Waidyawaraya May 2016 Online

cd;sfha mqfrda.dó ffjoH iÕrdj

ONLINE ISSUE

22 ldKavh 2016 - uehs

re'150$-

cSú;hu ksfrda.s lrk ysianv msgqj 06 j;=r ùÿre y;r kùk ikSmdrlaIl ;=jd wk;=reodhlhs msgqj 104

PLUS

NEW ISSUE

NOW AVAILABEL ONLINE!

ISBN-1391 1341

9 7 7 13 91 13 400 1

waidyawaraya.lk

jhi wjqreÿ 6-12 w;r <uqka i|yd Rs.1,100

2016 uehs l<dmh

1

CONTENTS

6

cSú;hu ksfrda.S lrk ysianv j;=r ùÿre y;r'''

11 The Life Through You Tube

ffjoHjrhd fujr fm,.eiau

49 oreiïm;a fkdmsysàug

86

fyd|hs" fyd|hs lsõjg fidahd iïnkaOfhkq;a nrm;, m%Yak ;sfhkjd'''

93

YS;lrkfha fkd;eìh hq;= foaj,a

57 osú iqrlsk Wmfoia

94

wdhq wfmalaIdj wvqfjka we;af;a;a msrsñkaghs

60 reêrfha iSks .ek iEu

98

ms<sldjlska bj;a l< mshhqrla kej; ieliSfï§'''

62

102 o;a lelal=u we;s

wod,j ldka;djka fjkqfjka isÿ lrk mÍlaIK

54 Tn;a m%ska.a,aia lkjdo @

fukak m%ska.,aia j, ;sfhk Nhdkl úI øjH'''

12 mshhqre ms<sldj osk

tfld<ylska iïmQ¾Kfhka bj;a lrk ì%;dkHfha úma,jldÍ m%;sldrh

14 ll=,la msg ll=,la oud

f.k bkak tl ksid wmg isoaO fjk foa'''

17 lEu lkak fyd|u fj,dj

fokdu oek.; hq;= lreKQ lsysmhla

18 fudllao fï l¾K YxL

l=i ;=< jefvk orejd .ek Tn óg fmr wid oek fkdisá lreKq lsysmhla'''

fjkafka fufyuhs

noaOh @

104 kùk ikSmdrlaIl ;=jd

64 ufkda úoHdj iy ufkda 21 orejdg wdorfhka osh hq;=

wdydr iy y;r udhsug j;a <x lr fkd.; hq;= wdydr

ksid Tfí fi!LHhg we;sjk wk;=r'''

úoHd;aul m%;sldr

69 T!IO iud.ï f,dalh

108 wisßu;a ñksia isrer'''

70 iyjdifhaoS l,d;=rlska

110 ÿïmdkh ksid Tfí

md,kh lrk yeá

24 Tfí Tima reêrh msgùu idudkHo @ widudkHo @

mdoh bj;a lrkak isÿúh yelshs

flfkl= uqyqKmdk uyd wlr;eínhla ryi`. isrùu

30 wxYNd.h fkdfyd;a wd>d;h .ek u;lfha ;nd.; hq;= lreKq lsysmhla

74 l=l=,a uia úIîc wdlrhla'' th wdrlaIs;j ms<sfh, lr.kafka fufyuhs'''

36 .eiag%hsáia

nv mmqj ojk iq,n frda.h

42 ol=Kq wm%sldfõ ffjoH

ix.ufhka muKla fkdj f,dalfhkau nqyquka ,enQ Whkam,a,d''' yeñ,agka kdls'''

114 uõmshkaf.a uy¿ jhfioS orejkaf.aa ie<ls,a, fhduq úh hq;= lreKq

76

Thousand Words in ONE IMAGE...

118 yDohdndO" wxYNd.h

78

fmdlÜ tl msámiai idlal=fj odf.k jdä fjkak tmd'''

122 weia fmkSu iqir lrk'''

80

Ôú;h tmd jqKq ldka;dfjda tf,dj hkq fjkqjg ueofmrÈ. hkjd

124 Wor uÜgq

j<lajk weiamsßka

wlaIs frda. uev mj;ajk weig ys;e;s wdydr

;d;a;d'''

WoEik ysia nv fldams îu 48 wjodkï'''

.%Ska y¾n,a fïo yrK pQ¾Kh

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

2

ffjoHjrhd - udisl ffjoH iÕrdj

waidyawaraya.lk

47 fodia;r uy;a;hd iy

2016 uehs l<dmh

3

EDITORIAL

l;= igyk

Editor's

Note

fi!LH fiajfha oshqKqjg wl=,a fy,k ffjoH" fiajl ixLHd wvqj fï rfÜ fi!LHh fiajh l,dmfha fiiq rgj,a yd ii|k l< bosßfhka ;snqK;a ffjoHjrekaf.a wvqj kï yeuodu nrm;, f,i oeKqkq ldrKhls' fï .eg¿j .ek miq.shod fi!LH wud;Hjrhd újD;j ixjdohl fhfoñka fi!LH fiajfha''' fjfiiskau úfYaI{ ffjoHjrekaf.a ys`.mdvqj msßueiSug fkdj,yd mshjr .ekSfï iajlSh wNs,dIh m%lg lf<ah' fi!LH wud;Hjrhd m%ldY lrk ,o wdldrhg fï rfÜ úfYaI{ ffjoHjreka bkafka 1577ls' fi!LH fiajdj úêu;aj mj;ajd .ekSu i|yd úfYaI{ ffjoHjreka 3078 la wjYH fjhs' fï wkQj oekg 1501la úfYaI{ ffjoHjreka rcfha fi!LH fiajdjg w¿;ska ,nd.; hq;=j ;sfí' fï i|yd uQ,sl jYfhka mYapd;a Wmdê mdGud,d j,ska iu;a lrk m%;sY;h by< kexúh hq;= nj wud;Hjrhd fhdackd lrhs' fkdtfia kï úfoaYhkayS isg fyda ffjoHjreka f.kajkjd ñi wka úi÷ula fkdue;s nj wud;Hjrhdf.a úYajdihhs' flfia fj;;a fï j¾IfhaoS úfYaI{ ffjoHjreka 1100la n|jd.ekSu i|yd fi!LH wud;HxYh lghq;= lrk nj wud;Hjrhd jeäÿrg;a m%ldY lf<ah' wfma rfÜ fi!LH fiajfha jD;a;ShfõoSkaf.a m%Yakh w;sYhska nrm;,h' wud;Hjrhdu mjik wdldrhg úfYaI{ fkdjk idudkH ffjoHjrekaf.a 2100 l wvqjla mj;S' ta yereKQ úg fyo fiajfhao" w;=re ffjoH yd mßmQrl ffjoH lafIA;%fhao nrm;, f,i fiajl ys`.h n,md ;sfí' fyo fiajfha iy w;=re ffjoH fiajfha we;eï jD;a;SkayS nrm;, fiajl ixLHd ys`.hla fï jk úg ks¾udKh fjñka ;sfí' tfy;a fi!LH wud;HxYfha mj;akd we;eï w¥ro¾YS fr.=,dis ksid fï ixLHd msrùu ÿIalr ù ;sfí' tla ldrKhla muKla fuysoS fmkajd fokq leue;af;ñ' mßmQrl ffjoH fiajfha fï jk úg Wmdê ,enQ úYd, ixLHdjla /lshd fkdue;sj isà' kuq;a wud;HxYh wenE¾;= msrùfïoS fï whf.ka n|jd. ekSï isÿ lrkafka fldagd l%uhlgh' ta o ishhg 25la muKs' wfmau rfÜ úYaj úoHd, j, wfmau orejka ämaf,daudOdÍkag;a jeäfhka wOHdmkh ,nd isàu fi!LH wud;HxYhg wkQj jrola nj fmfka' fujka w¥ro¾YS ;SrK bj;a lr wfma rfÜ fi!LH fiajdj Yla;su;a lsÍug we;s ndOd oekaj;a bj;a l< hq;=h' tys wjidk m%;s,dNh w;am;a jkafka fï rfÜ uyck;djgh Ndr; .=K;s,l - úOdhl l¾;D editor@waidyawaraya.lk bharata.gunathilaka@gmail.com

The Pioneer Health & Medical Journal 22 ldKavh 2016 - 05 l,dmh

EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka MANAGING EDITOR Amitha Wickramarachchi FEATURE ASSOCIATES Dr. Sanath Senanayaka Dr. Chaminda Premathilaka Dr. Nalaka Ranasingha Chandrani Rathnayaka (Nursing Officer) R.A.D.T. Priyadarshani (MLT) Prasanna Dissanayaka (Occupational Therapist) Sahan Siriwardhana (Pharmacist) Dinesh Priyal Darshana (Radiologic Technologist) Shamal Indika (Nuclear Medical Technologist) Shamali Pathirage S.M.D. Senevirathne Anuradha Dilini Ilankoon CREATIVE PRODUCTION AD-MIRE Creative WEB ADMINISTRATOR Dumindu Dissanayake TYPE SETTING Chathurika Sandamali PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda.

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

TEL: 057 22 29040 | FAX: 057 22 29040 E-MAIL: info@waidyawaraya.lk WEBSITE: www.waidyawaraya.lk HOTLINE: 077 3149084

sociaLanka

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

WAIDYAWARAYA Online Powered By

sociaLanka

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

sociaLanka

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

Web Administrator Dumindu Dissanayake

4

ffjoHjrhd - udisl ffjoH iÕrdj

2016 uehs l<dmh

5

WATER THERAPY

Water Therapy: The Benefits of Drinking Water Right After You Wake Up

cSú;hu ksfrda.S lrk ysianv j;=r ùÿre y;r''' cmdkfha ck;dj os.disß ú|sk ryi fïlhs'''

cSú;hu ksfrda.S lrk ysianv j;=r ùÿre y;r'''

cmdkh f,dalfha jeäfhkau oS¾>dhqI ú|sk ñkssiqka bkak rgla' ta rfÜ ck;dj w;r yDohdndO wvqhs" ms<sld wvqhs' wfma rfÜ jix.;hla úosyg jHdma; fj,d ;sfhk oshjeähdj" wxYNd.h jeks fnda fkdjk frda. yeu tllau wvqfjka ;uhs jd¾;d fjkafk' cmdkh fï ymkalu isÿ lrkak fya;= f.dvla n,mdkjd' ta w;f¾ ;u ksfrda.S iqjh m;d cd;shla jYfhka cmka cd;slhka mj;ajdf.k hk wmQre ziqj mqreoaolaZ .ek lshkak fuh wjia:djla lr.kakjd' ta ;uhs WoEik ysianv c,h mdkh lsÍfï mqreoao' wfma rfg;a fndfyda fofkla ysianv j;=r ùÿrejla fndkjd' th fyd|hs' fndfyda hym;a m%;sM< we;s fjkjd' ta;a cmdkfha fï j;=r fndk isß; hïlsis l%shdmámdáhla wkQjhs isoaO fjkafk' thska wêreêr mSvkh" .eiag%hsáia" oshjeähdj ú;rla fkdfjhs ms<sld mjd u¾Okh lrkak mq¿jka nj cmdk

6

ffjoHjrhd - udisl ffjoH iÕrdj

ffjoH ix.uh m%ldY lrkjd' yenehs fuh Y;j¾Idêl ld,hla ;siafia wúÉÑkakj mej; tk mqreoaola' fí;la fya;la fhdod. kafka;a ke;s ksid" ta l%uh wkq.ukh lsÍfuka je/oaola jkafka;a ke;s ksid wm;a fï hym;a isß; wkq.ukh lrkak W;aidy lruq' Tn by; oelajQ lsishï fyda frda. hlska fmf<kjd kï thska w;añfokak iqúfYaIS wjia:djl=;a ,efnk ksid fï ,smsh lshùug ,eîu Tfí cSú;fha hïlsis Nd.Hhla fjkak;a mq¿jks' WoEik c, m%;sldrfhka iqjm;a hjk frda. iuyrla''' • ysiroh • wef`.a mf;a lelal=u • yoj;a ÿ¾j,;d • ykaosm;a frda.

• yDoh fõ.fhka iamkao ùu • fldf,iagfrda,a • fn%dkalsfhda, m%odyh • weÿu • laIh frda.h • fukskachsáia • jl=.vq frda.

• uq;%d wdndO 2016 uehs l<dmh

• jukh • .eiag%hsáia • mdpkh • w¾Yia • oshjeähdj • u<noaOh • W.=r" lk kdih frda.

• ish¿ wlaIs frda.

• Tima wdndO • ms<sld

ysia nv j;=r fndkak ´ks fï úosyghs wm oeka cmka rfÜ Ñr m%isoaO WoEik c, m%;sldrh isÿ lrk wdldrh úuiuq' • Tn WoEik wjos jQ ú.i j;=r ùÿre y;rla mdkh l< hq;=hs' fuysoS Tn mdkh lrk j;=r yß m%udKhg .ekSu jeo.;a fï ksid fï j;=r ùÿre y;r ;=<ska jrlg ñ,s ,Sg¾ 640la mdkh l< hq;=hs' tkï ñ,s ,Sg¾ 160 l fldamam kï y;rla .; hq;=hs' fyd|u foa ;uhs Tn îug .kakd Ndckfhka fldmuK j;=r m%udKhla fï w.h iïmq¾K lsÍug wjYHo hkak .ek mQ¾j wjfndaOhla ,ndf.k fndk j;=r m%udKh ta wkQj ;lafiare lsÍu' • j;=r îjg miafi o;a ueoaog lula kE' ta;a úkdä 45la hklï lsisjla wkqNj lrkak tmd' • úkdä 45la .shdu Tn leu;s f;a fldamamh fndkak' ke;akï WoEik wdydr fõ, .kak' úfYaI Wmfoia • nr wdydrhla .;a;g miafia meh folla hklï lsisjla wdydrhg .kak tmd • lrkak ;sfhkafk tmukhs' ;j;a ldrKhla tkuqÿ Tng lsj hq;=hs' WoEik" osjd fyda rd;%S wdydrh .ekSfuka miafi fomehla hklï lsisjla wdydrh msKsi fyda mdkh msKsi .kak tl fyd| kE' thska .;a wdydr cS¾Khg ndOd meñfKkjd'

7

WATER THERAPY

cSú;hu ksfrda.S lrk ysianv j;=r ùÿre y;r'''

j;=r f.dvla fndkak neß Woúh''' frda.Ska tfyu bkakjd kï''' • uq,skau wvq c, m%udKhlska mgka .kak' ál ál jeä lrf.k wjYH ùÿre y;fr b<lalhg <`.d fjkak' • fï WoEik c, m%;sldrh mqreoaola lr.;a;u" f,âvq bkakjd kï ta f,v u¾Okh fjkjd" fyd| fjkjd''' ksfrda.s whf. YÍr fi!LHh wdrlaId fjkjd''' • úfYaIfhkau jl=.vq frda.Ska yd úfYaI ffjoH wëlaIKh hgf;a bkak wh fï l%uh w;ayod n,kjd kï Bg fmr ffjoH Wmfoia ,nd.; hq;=hs'

Tn WoEik wjos jQ ú.i j;=r ùÿre y;rla mdkh l< hq;=hs' fuysoS Tn mdkh lrk j;=r yß m%udKhg .ekSu jeo.;a fï ksid fï j;=r ùÿre y;r ;=<ska jrlg ñ,s ,Sg¾ 640la mdkh l< hq;=hs' tkï ñ,s ,Sg¾ 160 l fldamam kï y;rla .; hq;=hs'

yßhg jefâ lf<d;a f,v fyd| fjkafk fï úosyg''' zcmdk ffjoH ix.uhZ olajk wdldrhg c, m%;sldrh kshñ; mßos lsÍfuka my; wdldrhg frda. j,ska iqjh ,nd.; yelshs' • wêl reêr mSvkh osk 30lska • .eiag%hsáia osk 10lska • oshjeähdj osk 30lska • u<noaOh osk 10lska 8

• laIh frda.h osk 90lska • ms<sld osk 180lska wd;rhsáia frda.Skag fokafk úfYaI WmfoaYhla' uq,au i;sfh osk ;=kla ú;rhs fï m%;sldrh l< hq;af;a' fojeks i;sfha isg Tjqkq;a oskm;du fï úosyg ysianv j;=r fndkak' m%;sldrhla lsõjg fldhs;rï iajdNdúl" fldhs;rï m%dfhda.sl wysxil weje;=ula" mej;=ula lsh, ´ksu flfkl=g f;afrkjfka' wfkl=;a ljr fyda m%;sldrhla jf.a fkdfjhs" fuhska ta ksid lsisu ixl+,;djhla" w;=re wdmodjla isoaO fkdjkjdg fukak leg''' yenehs fuys wka;hka .ek Tn oeKqj;a úh hq;=hs' ´kejg jvd c,h;a ´ks kE''' iSudj oekf.k bkak tl fyd|hs bkaoshdfj;a óg iudk m%;sldrhla ;sfhkjd' th ixialD; NdIdfjka zW!Id mdk Ñls;aidjZ hkqfjka y÷kajkjd' ffjoHjrhd - udisl ffjoH iÕrdj

fuys wre; WoEik c, m%;sldrh hkakhs' fuysoS fok Wmfoi ;uhs wjos jQ ú.i c,h ,Sg¾ tl yudrla mdkh lrkak lshk tl' yenehs t;rï c, m%udKhla mdkh lsÍu iqÿiq kE' wfma jl=.vq j,g mehl ld,hla ;=< yiqrejkak mq¿jkafk ñ,s ,Sg¾ 800-1000 l c, m%udKhla muKhs' mdkh lrk c,h Bg jeä jqKdu thska jl=.vq j,g wd;;shla tkjd' fïfl ;sfhk Nhdkl lu ;uhs fï ksid isref¾ fidaähï m%udKh my; jeàfuka yhsfmdkeá%ñhd kue;s ;;a;ajh isrer ;=< we;s fjkak mq¿jka' idudkHfhka fuh l,d;=rlska flfkl=g we;s fjk frda. ;;a;ajhla' kuq;a os.ska os.gu fï úosyg c,h jeä jYfhka isrerg ,enqKu;a yhsfmdkeá%ñhd we;s fjkak mq¿jka' wu;r jYfhka tl;= fjk c,h yiqrejd.kak jl=.vq wiu;a jk úg YÍrfha fidaähï ,jK m%udKh hïlsis 2016 uehs l<dmh

;kQl lsÍula isoaO fjkjd' fï ksid ffi, weoSulg ,la ùfuka udrdka;sl ;;a;ajhla jqK;a we;s fjkak mq¿jka' fï ksid ùÿre y;rla ñi ^ñ,s ,Sg¾ 640& Bg jvd .kak tl wjYH kE'

wfma jl=.vq j,g mehl ld,hla ;=< yiqrejkak mq¿jkafk ñ,s ,Sg¾ 800-1000 l c, m%udKhla muKhs' mdkh lrk c,h Bg jeä jqKdu thska jl=.vq j,g wd;;shla tkjd' fïfl ;sfhk Nhdkl lu ;uhs fï ksid isref¾ fidaähï m%udKh my; jeàfuka yhsfmdkeá%ñhd kue;s ;;a;ajh isrer ;=< we;s fjkak mq¿jka' oyia ixLHd; frda.Skag msysg jqKq ffjoHjrfhla c, m%;sldrh fhdodf.k id¾:l;ajhg m;a oyia ixLHd; mqoa.,hka .ek b;sydifha oelafjkjd' thska tla isÿùula .ek ú;rla lshkakï' f*ßfvdaka nÜukaf.,sâ brdk cd;slfhla' Wmkafk 1931 oS' ,kavka úYaj úoHd,fhka ffjoH Wmdêh ,enqjd' fkdafn,a ;Hf.,dNS lS¾;su;a úoHd{ wef,laiekav¾ *af,ñka Tyqf. .=rejrfhla' foaYmd,k fya;= ksid túka kï nkaOkd.drfha Tyq isr.; l<d' isrueosßhl isrlrejka ;=< úúO frda. ;sfnkjd' úYd, ixLHdjlg wd;;sh ksid wdudYfha jk we;s fjkjd' ysiroh" fm%I¾''' oshjeähdj''' fï úosfya frda. j,ska fm¿Kq whg tl, kshñ; 9

WATER THERAPY

cSú;hu ksfrda.S lrk ysianv j;=r ùÿre y;r'''

ffjoH m%;sldr ie,iqfka kE' f*ßfvdaka nÜukaf.,sâ fï whg msysg fjkak ys;=j;a thg T!IO myiqlï ;snqfK kE' ;snqfK j;=r ú;rhs' j;=r j,ska f,v iqj lrkj lsh, Tyq wid ;snqKd' ta ksid Tyq WoEik fï m%;sldrh c, kshu l<d' lsisjla fkdlr bkakjg jvd fudlla yß fohla lrk tl jákjfk' ta;a úYañ; úosyg ;u ifydaor isrlrejkaf. wikSm fï ksid iqj jqKd' Tyq lf<a cmkqkaf. ysianv c, m%;sldrh' fï ld,h ;=< Tyq mqoa.,hka 3000 lg muK j;=r j,ska f,v iqj lr, ;snqK lsõfjd;a Tn uú;hg m;a fjhs'

zzwfma isref¾ ixhq;sfhka ishhg 65lau ksuú,d ;sfhkafk c,fhka' we;eï fj,djg isrerg c,h uosmdvq fjkjd' túg isrer ksl=;a lrk ix{d wm frda.dndO f,i jrojd jgyd .kakjd' mÍlaIK lrkjd' fnfy;a fokjd' ta;a wjYHu foa" ta lshkafk ic,kh lsÍu lrkafk kE'ZZ m¾fhaIK jd¾;d /ila ,shefjhs ysfrka ksoyia jQ fï ffjoHjrhd miqj wefußldjg wdj tysoS fï c, m%;sldrh ms<sn|j ;jÿrg;a m¾fhaIK l<d' tys id¾:l;ajh .ek m¾fhaIK ,sms m%ldYhg m;a l<d' 1983 oS Journal of Clinical Gastroenterology i`.rdfj;a New York Times mqj;amf;a Science Watch úfYaIdx.fha;a fï .ek iúia;rd;aulj lreKq olajd ;sfnkjd' zzwfma isref¾ ixhq;sfhka ishhg 65lau ksuú,d 10

;sfhkafk c,fhka' we;eï fj,djg isrerg c,h uosmdvq fjkjd' túg isrer ksl=;a lrk ix{d wm frda.dndO f,i jrojd jgyd .kakjd' mÍlaIK lrkjd' fnfy;a fokjd' ta;a wjYHu foa" ta lshkafk ic,kh lsÍu lrkafk kE' isrer fok ix{d ksjerosj jgyd .ekSfuka m%;sldrd;aul fkdjk ir< l%u Tiafia fndfyda frda. u¾Okh lrkak mq¿jks'ZZ ffjoH f*ßfvdaka nÜukaf.,sâ m%ldY lrkjd' jefâ mgka .uqo @ fndk j;=r m%udKh jeä ksid uq,a ld,fhaoS Tng jeä jYfhka uq;%d msg lrkak isÿ fõú' isß;la úosyg thskq;a fjkafk hym;la' uq;%d ud¾.h uekúka msßisÿ fjkjd' ld,hla .; fjk úg fu ;;a;ajh iukh fj,d Tfí f,v frda. u¾Okh fjkjd' kSfrda.S wdrlaId fjkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

THE LIFE THROUGH YOU TUBE

jpk oyilska lshkak neß foa lshk ùäfhda l:dx.

my;ska oelafjkafka wm úiska f;dard.;a jákd ùäfhda tl;=jla' Tfí oeKqu jmißh jeä lr.kak" wu;l fkdjk fia tys we;s oeKQu Wlyd.kak''' wdl¾IKSh f,i ks¾udKh lr we;s fï ùäfhda l:dx. WmldÍ fjkjd we;s' wd¾;jh .ek iEu oeßúhlau fldhshïu fyda fudfyd;loS oek.; hq;=hs' ,d nd, oeßhla ;u uõ fijfka" mshd fijfka wd¾;jh iïnkaOfhka wehg .%yKh lr.; yels ish¿ f;dr;=re ukd fldg oek.kakd whqre fï ùäfhdafjka ks¾udKYS,Sj bosßm;a lr ;sfnkjd'''

https://youtu.be/MfNHyjSK9pQ

;=ka ksjqka orejka iu. wïu flfklaf. hqoafoa''' orejka ;=ka fofkla tlmdr yod.kak tl f,aismdiq ldrKhla fkdfjhs' ;=ka ksjqka orejkaf.a wdorKSh ujlaj .; lrk fid÷re cSú;h .ek oek.kak msúfikak my; ,skala tlg'''

https://goo.gl/FmQXjO

The Mircale of life

wisßu;a wd.ukh

wm fldhs ljqre;a wd uq,skau miqlr wd .uka u. fuhhs''' oi udihla ;siafia uõf.a l=i ;=< wm .; l< cSú;h .ek''' tys wdrïNfha isg wmQrejg olajk fï wmQre ùäfhdaj ore Wm;la iïnkaOfhka fuf;la ks¾udKh l< úYsIaG;u ùäfhdajla fia ie<flkjd' Tfíu cSú;fha Tn fuf;la kqÿgq mshigyka wjf,dalkh lr.kak fï úäfhdaj krUkak'

https://youtu.be/GZk4hT7ncv0 2016 uehs l<dmh

11

BREAST HEALTH mshhqre ms<sldj osk tfld<ylska iïmQ¾Kfhka bj;a lrk ì%;dkHfha úma,jldÍ m%;sldrh

NEW BREAST CANCER DRUGS KILL TUMOURS IN ONLY 11 DAYS Researchers call the results 'mind boggling'

mshhqre ms<sldj osk tfld<ylska iïmQ¾Kfhka bj;a lrk ì%;dkHfha úma,jldÍ m%;sldrh jydu kj m%;sldrhg frda.Ska fhduqlsÍug cd;sl fi!LH úoHdh;kh lghq;= lrhs fhdod.;af;a kj T!IOhla fkdfõ''' fuf;la Ndú;fha ;snQ T!IOuhs''' ryi iqixfhda.fhahs''' ka;djkag je<f|k ms<sld w;r m<uq ;ekg tkafka mshhqre ms<sldjhs' f,dal jHdma; ixLHdf,aLK úuik l<o ;;a;ajh thu fõ' miq.sh ld,h ;=< ldka;djka úYd, jYfhka mshhqre ms<sld j,g k;=jk m%jK;djhla olakg ,eìK'

ld

fï miqìu ;=< ,kavkayS ms<sldh;kh yd uekafpiag¾ iriúfha m¾fhaIlhka lKavdhula mshhqre ms<sld frda.Ska yg úYañ; m%;sM< ,ndfok T!IO ixfhda.hla miq.shod fidhd.;af;ah' idudkHfhka ms<sld j,g fok lSfudf;rms T!IO j,ska uq,skau isÿjkafka ms<sldj ydu;a lsÍuhs' tfy;a fï oekg Ndú;fha mj;akd T!IO follau fhdodf.k isÿ lrk kjH m%;sldrh u.ska mshhqre ms<sldj osk 11la ;=< iïmQ¾Kfhkau bj;a jk nj fï m¾fhaIK lKavdhfï m%Odks ms<sld Y,H ffjoH uydpd¾h ksfc,a nqkafâ%â m%ldY lrhs' fï iïnkaOfhka jeäÿr m¾fhaIK isÿ lsÍfï wjia:dj m¾fhaIlhkag mjrñka ì%;dkHfha cd;sl fi!LH fiajdj ;=< fuu m%;sldrh jydu fhdod.kakg fi!LH n,OdÍka lghq;= lf<a fuys we;s id¾:l;ajh ie<ls,a,g .ksñks' mshhqre ms<sld iïnkaO m%;sldrfõofhaoS uq,skau isÿ lrkafka Y,Hl¾uhhs' tu Y,Hl¾ufhka miq lSfudf;rms T!IO ,ndoSu iy úlsrK Ñls;aidj frda.shdf.a wjYH;dj mßos ie,iqï flf¾' kj úma,jldÍ m%;sldr l%ufhaoS tu kshñ; Y,H l%shdud¾. j,ska miqj ms<sld frda.Skag ,nd fokafka Tyverb yd Herceptin hk T!IO folhs' ienúkau Herceptin hkq iq,nj mshhqre ms<sld frda.Ska yg ,nd fok 12

ffjoHjrhd - udisl ffjoH iÕrdj

T!IOhls' Tyverb kue;s Tiqjo w¿;a T!IOhla fkdfõ' th oekgu;a Ndú;fha mj;skakls' tfy;a th b;d ñ, wêl ksid tx.,ka;fhao m%;sldr msKsi fhdod.;af;a wvqfjks' kuq;a fï T!IO fol kshñ; ixfhda.hlg wkQj frda.Skag ,nd oSfuka fujka úYauh okjk id¾:l;ajh w;am;a lr.ekSug m¾fhaIlhkag wjia:dj ,eî ;sfí' mshhqre ms<sld frda.Ska uQ,sl jYfhka ldKav follg fhdod m%;sldrhg fhduq lrhs' ta" HER2 hkqfjka ye|skafjk cdkfha iq,n;djh wkQjh' ishhg 1520 w;r ldka;djka wh;a jkafka HER2 Positive ldKavhgh' 2016 uehs l<dmh

fï whf.a tu fm%daàkh iq,nj cdkfha u;=msg ;sfnk w;r ta ksidu ms<sldj fõ.fhka me;sfrk w;r fõ.fhka wfkl=;a wjhj j,go ms<sldj me;sr hdfï wjodkula ;sfí' fï ksid HER2 Positive ldKavfha ms<sld frda.Skag lrk m%;sldr HER2 Negative frda.Skag lrk m%;sldr j,g jvd fjkiah' fuys we;s jvd;a wdl¾YKSh ldrKh kï fuu kj Tiq jÜfgdarej HER2 Positive frda.Skag fukau HER2 Negative frda.Skago jYfhka m%ia;=; ldKav folgu wh;a frda.Skag ,ndoSug yels ùuhs' osk 11la jeks ld,hla ;=<oS fï wdldrfhka ms<sld ffi, modihla iïmQ¾Kfhkau bj;a ùu óg fmr olakg fkd,enqKq isÿùulehs m¾fhaIl lKavdhu lshd isà'

mshhqre ms<sld ms<sn|j wjodkï ix{d • mshhqrl fyda lsys,af,a we;sjk r;ameye .ekaùula" ìì,s • mshhqre fyda lsys,a, wdY%s; fõokdjla • ;k mqvqjlska >%djhla .e,Su • lsys,af,a bosóula • mshhqre wdY%s; meyefha fjkialula" ;kmqvqj we;=<g hdula • m%udKfha fjkia ùula • mshhqre wdY%s; ifï j,j,a iys; iajNdjhla" >kjSula we;s ùu 13

DANGER IN BEHAVIOUR - CROSSING LEG

ll=,la msg ll=,la oud f.k bkak tl ksid wmg isoaO fjk foa'''

Why You Should Never Sit With Your Legs Crossed

ll=,la msg ll=,la oud f.k bkak tl ksid wmg isoaO fjk foa'''

ll=,la msg ll=,la oud f.k bkak tl wm ljqre;a ks;r fhdod.kak bßhõjla' fïl ys;, we;s lr.kak bßhõjla fkdfjhs' os.= fj,djla tl ;ek bkak úg ksrdhdifhkau tfyu bßhõjl msysgkak wm ljqre;a fm<fUkjd' iuyr mqxÑ mqxÑ foaj,a wm fkdis;k n,mEula wfma iuia; fi!LHhg we;s lrkjd' fï ll=,la msg ll=,la oud f.k bkak tl bßhõ iïnkaO m%udKs;l úoaj;=ka mjik wdldrhg wfma iuia; fi!LHhg we;s lrk n,mEu fyd| tlla fkdfjhs' wms n,uq fï isß; ksid wfma fi!LHhg we;sfjk n,mEu ljrdldr tllao hk j.'''' fldkafo wudrejg uq,la''' ll=,la msg ll=,la oud f.k bkak bßhõj idudkH bßhõjla fkdfjhs' fï ksid fY%daKs wiaÓ weoSulg ,la fjkjd' fjfiiskau là lfYareldj wdikakfha

14

ffjoHjrhd - udisl ffjoH iÕrdj

wd;;shla we;s lrkak fï msysàu fya;= fjkjd' fï ksid fldkafo wudrelï we;s fjkak mq¿jka' oekgu;a fldkafo wudrefjka mSvd ú|sk flfkla kï th j¾Okh fjkak;a fï msysàu fya;=jla'

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

www.waidyawaraya.lk

reêr mSvkh by< kxjkjd ll=,la msg ll=,la oud f.k bkak tl ksid reêr mSvkh by< kexfjkjd' lood Pressure Monitoring kï i`.rdfj m¾fhaIK jd¾;djlska fï nj fudkjg meeos,s fjkjd' reêr mSvkh .kafk mdGdxl follska' ixfldapk mSvkh yd úia;drk mSvkh jYfhka' 2016 uehs l<dmh

ll=,la msg ll=,la oud f.k bkak tl ksid úia;drk mSvkh mdGdxl y;lskq;a ixfldapk mSvkh mdGdxl follskq;a by< kexfjkjd' Tfí mdoj, ;sfnk reêrh kej; yoj;g meñKSfïoS th isÿjkafka .=re;ajhg tosßjhs' ll=,la msg ll=,la oud f.k bkak úg fï wdldrhg reêrhg yoj; lrd meñfKkak jeä m%;sfrdaOhla ie,fikjd' b;ska fï ksid reêrh by<g ;,a¨ lrkak wu;r mSvkhla fhdokak isoaO fjkjd' th ;uhs jeäfjk reêr mSvkh njg m;a fjkafk' kyr .eg .eiSug fya;=jla kyr .eg .eiSu fkdfyd;a wmiaÓ; Ysrd lshkafk Ysrd bosó" úYd, ù r;ameye .ekaùu frda. ,laIK f,i m%lg lrk we;euqka mSvdjg m;a lrjk frda.hla' fuysoS isÿ jkafka mdo j, isg by<g reêrh .e,Su fkdfyd;a Ysrd.; ixirkhg ndOd we;s ùu' n;aflKav" l,jd wdY%s;j kyr .eg .eiSï iq,nj oelsh yelshs' fuys wmiaÓ; ;;a;ajhg m;a fkdjqKq tfy;a uQ,sl wjia:dfõ mj;akd reêr ixirkfha wjysr;d iamhsv¾ ùkaia hkqfjka y÷kajkjd' iuyrekag mjq,a miqìu;a tlal odhdohla úosyg fï kyr .eg .efik frda.h Wreu fjkak mq¿jka' os.= fõ,djla ysgf.k bkak whg fï wmia:s; Ysrd ;;a;ajh we;s fjkjd jeähs' fï úosyg fya;= f.dvla ;sfhkjd kyr .eg .efikak' thg os.= fj,djla ll=,la msg ll=,la oud f.k bkak tl;a fya;=jla úh yels nj jdysksl ffjoHjreka y÷kdf.k ;sfnkjd' ll=,la msg ll=,la oud f.k isàfuka reêr .ukd.ukhg ndOd meñfKkjd' reêr .ukd.ukh wjysr fjkjd' Ysrd ieleiaug wkQj tajdfha we;s lmdg j, reêrh tla/ia fjkjd' by<g .uka lsÍu ÿ¾j, fjkjd' t;ek bosfukjd' wmiaÓ; ;;a;ajh j¾Okh fjkjd' 15

DANGER IN BEHAVIOUR - CROSSING LEG

ll=,la msg ll=,la oud f.k bkak tl ksid wmg isoaO fjk foa'''

iakdhql wdmod we;s fjkak;a mq¿jks fïlg fya;= fjkafk;a Ysrd.; reêr ixirkh ÿ¾j, ùuu ;uhs' fï ksid ihála iakdhqfõ YdLdjla jk fmfrdksh,a iakdhqj u; wu;r nrla" mSvkhla we;s fjkjd' iakdhqjla f;rmSug ,la jqKdu t;ek ysß jeàula we;s fjkak mq¿jka' fõokdjla we;s fjkak mq¿jka' fï ksid ta wdY%s; fmaYs j, ;djld,sl fmaYs ì| jeàula jqK;a fjkak mq¿jka' uQ,sl jYfhka fuhg n,mdkafk iakdhqj f;rmSfuka ÿ¾j, ùu' ll=,la msg ll=,la oud f.k os.= fj,djla bkak ksid fï wdldrfha iakdhql ydks jqK;a isÿ fjkak mq¿jka nj y÷kdf.k ;sfnkjd'

ll=,la msg ll=,la oud f.k bkak tl wm;a fkdoeksu lrk wksÉPdkq. l%shdjla' ta;a by; lS ljr fyda ;;a;ajhlska mSvd ú|sk flfkla bkakjd kï by;ska oelajQ ldrKd u;l ;shd.kak tl fyd|hs' bßhõ cSú;hg yßu jeo.;a' bßhõ j, we;sjk jeros we;eï fj,djg zzcSú;fha uyd jroaod .ekSïZZ njg;a m;a fjkak mq¿jka ksihs fufyu oeKqj;a ùula m%fhdackj;a jkafka'

16

wm jeä fofkla ksjeros bßhõ cSú;fha mj;ajd .kafka kE' ta;a ksjeros bßhõ j,g wkq.; fjkjd kï thska jdis /ila w;am;a fjkjd' fï fj,dfj yßhg jdä fjk yeá ú;rla bf.k .ksuq' yßhg mqgqjl jdä fjk yeá .ek oeKqj;a fjkak" my; ùäfhdaj krUkak'

https://goo.gl/4EDSOl ffjoHjrhd - udisl ffjoH iÕrdj

BEST MEAL TIME

lEu lkak fyd|u fj,dj

lEu lkak fyd|u fj,dj WoEik wdydrh • .kak fyd|u fj,dj WoEik 17-8 w;r • fï fj,dj myq lrkak tmd fmrjre 10 • u;l ;nd.; hq;= úfYaI ldrKh WoEik wjos ù meh nd.hla we;=<; .kakjd kï úYsIaGhs'

osjd wdydrh • .kak fyd|u fj,dj oyj,a 12'30 - 2'00 w;r • fï fj,dj myq lrkak tmd miajre 4 • u;l ;nd.; hq;= úfYaI ldrKh WoEik wdydrh yd osjd wdydrh w;r mr;rh meh 4la j;a úh hq;=hs'

rd;%S wdydrh • .kak fyd|u fj,dj iji 6-9 w;r • fï fj,dj myq lrkak tmd rd;%S 10 myq lrkak tmd • u;l ;nd.; hq;= úfYaI ldrKh ksod.kak meh 3 lg fmr rd;%S wdydr .kakjd kï f.dvla fyd|hs

2016 uehs l<dmh

17

COCHLEAR IMPLANT SURGERY

fudllao fï l¾K YxL noaOh @

fudllao fï

lK m%Odk jYfhka fldgia ;=kls' ta ndysr lk" ueo lk iy we;=,a lk jYfhks' ndysr lk hkq lfka wmg ndysrj Èiajk fldgihs' msg; Yío lkg we;=¨jkafka fuys we;s ndysr Y%jk kd,h Tiafiah' ndysr lk fl<jr jkafka lka fnrfhks'

ndysr Y%jK kd,h Tiafia we;=¨ jk Yío u.ska lka fnrh lïmkhg ,la lrhs' túg we;=¿ me;af;a msysá we;=¿ lfkys we;s wia:s ;=klao fï Yíoh ksid lïmkhg ,la fjhs'

l¾K YxL noaOh@ W.=r lk yd kdih iïnkaO úfYaI{ Y,H ffjoH ta î lsßok l¾K YxL noaOh Tn fyd¢ka wid m<mqreÿ ie;alula jkq ksielh' fujeks ie;alï i|yd wdOdr b,a,ñka mqj;am;aj, oekaùï m< jkq o fndfyda úg olakg ,efí' tksid wms l¾K YxL noaOh hkq l=ulaoehs fidhd n,uq' l¾KYxL noaO lsÍu f,i fuu ie;alu ye¢kajqj;a fuyso wNHka;r lKg l¾K YxLhla noaO lrkafka ke;' tfia kï l¾K YxL noaOh hkq l=ulao@

ta ms<sn|j úia;r oelaùug fmr wms lkl msysàu ms<sn|j ir, f,i wjfndaO lrf.k ys¢uq'

18

ffjoHjrhd - udisl ffjoH iÕrdj

tys§ Yíoh j¾Okh lsÍulao isÿ jkq we;'

ueo lk u.ska fufia j¾Okh jQ Yíoh bkamiqj we;=¨ lk fj; .uka lrhs' tys msysgd we;s l¾K YxLh Tiafia fuu Yío iakdhq ix{djla njg m;a lr fud<hg .uka .kakd Y%jH iakdhqj fj; ,nd §u isÿfõ' fufia ix{dj fud<hg .uka l< miq wmg Yíoh wefia'

oeka Tng lfka msysàu ms<sn|j hïlsis jegySula ,eî we;ehs is;uq'

Y%jKdndO we;s ùug úúO fya;= ;sfí' iuyrekaf.a Wm;skau ndysr lfkys we;s Y%jK kd,h ^lka isÿr& msysgd ke;' ;j;a iuyr whf.a frda.hla ksid fyda miqj we;sjQ wk;=rla fya;=fjka ndysr lk yd ueo lk wysñ ù ;sìh yelsh' ke;fyd;a wl¾ukH ù ;sîug mq¿jk' túg ndysßka tk Yío l¾K YxLh lrd meñKSu j<lshs'

2016 uehs l<dmh

fujeks wjia:djl§ lrkafka ndysr Yío fl<skau we;=¿ lfkys l¾K YxLh lrd .uka lrùug lkafm;a;g msgqmiska isÿrla ks¾udKh lr th l¾K YxLh lrd .uka lrùug bv ie,eiaùuhs' kuq;a tfia ud¾.hla ks¾udKh lsÍu muKla m%udKj;a ke;' ndysr yd ueo lk u.ska isÿ fjk ld¾hNdrho isÿ fldg th we;=¿ lk lrd .uka lrúh hq;=h' fï i|yd bf,lafg%dksla fldgia folla wjYHh' tajd fufiah'

ndysr Y%jK kd,h Tiafia we;=¨ jk Yío u.ska lka fnrh lïmkhg ,la lrhs' túg we;=¿ me;af;a msysá we;=¿ lfkys we;s wia:s ;=klao fï Yíoh ksid lïmkhg ,la fjhs'

1' uhsfl%df*dakhla" l:k ilikhla iy iïfm%aIK moaO;shla 2' .%dylhla iy bf,lafg%dav moaO;shla

fuu WmlrK foflka ndysr iy wNHka;r lfkys ld¾hNdrh bgq flf¾' túg frda.shdg lka weiSu isÿjkq we;' fï ie;alu i|yd idudkHfhka mehl muK ld,hla .; fjhs'

19

COCHLEAR IMPLANT SURGERY

fudllao fï l¾K YxL noaOh @

fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;' l¾K YxL noaOfhka miq Y%jKh n,.ekafjk yeá 1' ndysr lfkys ia:dms; lr we;s uhsl%fmdakhla u.ska Yíoh .%yKh lr .kshs 2' ,nd.kakd Yíoh l:k ilikhla u.ska wxls;lrkhg ,la lr iïfm%aYk o`.rhlg fhduq lrhs' 3' iïfm%aYk o`.rh u.ska fla;kh lrk ,o fï ix{d .=jka úÿ,s ixLHd; wdldrfhka iu hg ia:dms; lr we;s lD;%su wegjqu m%;s.%yKh lrhs' 4' wNHka;r ilikh ia:dms; lr we;af;a lfkys msgqmig jkakg we;s ueiafgdhsâ kï wiaÓfhysh' l¾K Yxl ilikh u.ska úoahq;a Yla;sh loïnhla l¾K Yxlh fj; fhduq lrjhs' 5' bf,lafg%dav u.ska Y%jK iakdhq ;ka;= W;af;ackhg ,la flf¾' 6' tys m%;sM<hla f,i úoahq;a èjks f;dr;=re fud<hg .uka lr Y%jK ixfõokh iïmQ¾K fjhs' 20

waidyawaraya.lk

Y%jK wdOdrl u.ska isÿ flfrkqfha ckkh jk Yíohla fõ kï th j¾Okh lsÍuh' tfy;a l¾K YxL noaOh isÿ lsÍfuka ckkh jk Yíoh úoahq;a ix{d njg mßj¾;kh lrñka wNHka;r lfkys ;sfnk Y%jK iakdhqj W;af;ackhg ,la lrñka Y%jKh ckkh fkdjk frda.Skag kej;;a Y%jK myiqlï <`.d lr fohs' ffjoHjrhd - udisl ffjoH iÕrdj

NUTRITION IN DANGER orejdg wdorfhka osh hq;= wdydr iy y;r udhsug j;a <x lr fkd.; hq;= wdydr

orejdg wdorfhka osh hq;= wdydr iy y;r udhsug j;a <x lr fkd.; hq;= wdydr úfYAI{ ffjoH jreK .=K;s,l wxY m%Odks cd;sl úI f;dr;=re uOHia:dkh cd;sl frday, fld<U

.eUqre f;f,a n|sk ,o wdydr wdydrhg .kak tmd''' fnfyda úg .eUqre f;f,a nosk ,o wdydr j¾. ilia lsÍfï§ ta i|yd fhdod.kakd f;,a keje; keje; Ndú;d lr tu wdydr j¾. ilia lsÍug tjeks jHdmdßlhska mqreÿ ù isá;s' th YÍr fi!LHhg lsisfia;au iqÿiq fkdjk isß;la nj mÍlaIKj,ska ikd: ù ;sfí'

2016 uehs l<dmh

f;,a lsysmjrla r;a lsÍfï§ tys wka;¾.; zzisiaZZ keue;s iajNdjh g%dkaia keue;s iajNdjhg m;afõ' fuh YÍrhg lsisfia;a ys;lr fkdjk wys;lr fïohls' fuu g%dkaia fïoh" reêr kd, ì;a;s yd ffi, úkdY lsÍug iu;a fõ' orejd úfkdao pdßld /f.k hdfïoS wdydr Èh hq;af;a flfiao@ úfkdaoh i|yd orejd .uka ìuka /f.k hk wjia:dj,È f;,a iys; wdydr oSug Tn l%shd lrk wjia:d we;' fujeks f;f,a n¢k ,o w, fm;s" u[af[dlald 21

NUTRITION IN DANGER orejdg wdorfhka osh hq;= wdydr iy y;r udhsug j;a <x lr fkd.; hq;= wdydr

fm;s" uqrelal=" jfâ" jeks nhsÜ j¾. wdydrhg .ekSfuka we;súh yels m%;sM< Nhdklh' fujeks wdydr ilia lsÍfï§ fndfyda úg tu f;,a keje; keje; Ndú;hg .ekSfuka fïofha ksmojk g%dkaia keue;s fïo fldgia reêrfha ;ekam;a ù reêr kd, ì;a;sj, wdia;rkfha mj;sk ì;a;s j,g ydks muqKqjkq ,efí' we;frdaud ;;a;ajh we;s fjkjd fufia ydks muqKqjk ffi, fldgiaj,g reêrfha mj;sk úúO fïo fldgia tla /ia ù we;frdaud keue;s ;;a;ajhla we;s lrhs' fuu we;frdaud ;;a;ajh fya;=fjka reêrjdysks ;=< reêr .ukd.ukhg ndOd we;sfõ' fufia ndOl iys;j mj;sk reêrjdysksh ;=<ska reêrh .uka lsÍug fkdyels fõ' yDohg reêrh imhk reêr jdyskshl fujka ;;a;ajhla u;= jqjfyd;a túg yDohg reêrh iemhSug fkdyels fjhs' fï ;;a;ajh yDohdndOhla f,i ye¢kafõ' fuf,i yDofha reêrh iemhqu wvd, jQ úg tu fldgfia ffi, úkdY ù hk w;r fuf,i uereKq ffi,j,g kej; mK ,ndÈh fkdyelsh' g%dkaia fïoh YÍrfha ffi, fn§ug b;du;a whym;a f,i n,mEï t,a, lrhs idudkH ;;a;ajh hgf;a fnfok ffi, g%dkaia keue;s ;;a;ajh u; widudkH f,i fn§ug mgka .kS' fuh b;du;a Nhdkl ;;a;ajhls' fuf,i widudkH f,i ffi, fn§ula ms<slduh ;;a;ajhla olajd j¾Okh ùfï yelshdj mj;S' ta wkqj Tn .kakd wdydrfha fyda Tn orejdg ,ndfok wdydrfha g%dkaia keue;s ;;a;ajh w;a;¾.; kï hï úÈhlska yDohdndOhla fyda ms<sldjla we;sùfï nrm;, wjodkula ;sfnk nj isys ;nd .; hq;=h' fï ksid g%dkaia fïoh iys; wdydr j,ska imqrd je<lsh hq;=h'

22

YÍr fi!LHhg jvd;a ys;lr f;,a j¾. jkafka iajNdúl fmd,af;,a muKs' tho tla jrlg jeäfhka Ndú;d lsßu YÍr fi!LHhg wys;lrh'

ys;lr jkafka fmd,af;,a''' fï jk úg fj<| fmdf,a úúO fj<o kduhka hgf;a ;r`. ldÍ f,i wf,ú jk f;,a j¾. úYd, ixLHdjla mj;S' kuq;a fïjd jeä yßhla wdydr ms<sfh, lsÍfï§ Ndú;d lrk wdldrh wkqj YÍrhg wys;lr jk nj Tn fkdokS' YÍr fi!LHhg jvd;a ys;lr f;,a j¾. jkafka iajNdúl fmd,af;,a muKs' tho tla jrlg jeäfhka Ndú;d lsßu YÍr fi!LHhg wys;lrh' ffjoHjrhd - udisl ffjoH iÕrdj

pQka mdka lEu fyd| kE''' Tnf.a ksjig WoEik yd yjig meñfKk cx.u lEu /f.k tk ;s%frdao r: ^pqka mdka& msá wdY%s; lEu yd f;f,ka n¢k ,o lEu j¾.j,ska msÍ we;' l=vd orejkaf.a ri kyr mskjk whqßka m%o¾YKh lr we;s fuu wdydr jeäysáhkaf.ao ri kyr WoaoSmkhg iu;a fõ' fuu msá iys; fílß wdydr ksIamdokh lsÍug zz,dâZZ keue;s fïoh Ndú;d lrkq ,nhs' fuu fïoho YÍr fi!LHhg flfiaj;a ys;lr fkdjkafkah' tu ksid ,dâ fhdodf.k ilik wdydr wkqNjfhka je<lS isáh hq;= jkafkah' Tnf.a fkdoekqj;alu yd wdydr ms<sn|j we;s fkdie,sls,su;a nj fya;=fjka Tfí orejd;a Tn;a b;d blauKska frda.Ska njg m;a fõ' fuu wys;lr fïo fldgia l=vd l< isgu Tnf.a orejdf.a isref¾ ;ekam;a

2016 uehs l<dmh

ùu fya;=fjka jeäysá úhg t<öfï§ frda. .Kkdjla je<§fï nrm;, wjodkula mj;S' orejka fi,a,ñka wE;alr fldgq lrñka isàu fï jkúg wmf.a orejka fi,a,ï j,ska uqojd ujqmshka úiska wOHdmk rgdjlg fldgq lr we;' fï fya;=fjka Tjqkaf.a isrerg wjYHu jHdhdï fkd,eî hdfuka isÿjkafka l=ulao@ YÍrhg we;=¿jk wys;lr fïo fldgia Ⱦ> ld,hla YÍrfha /foñka reêr kd,j,g nrm;, ydks isÿlrñka fndafjk frda. .Kkdjlg md;% ùug isÿ fõ' fï jk úg mdie,a <uqka f.ka ie<lsh hq;= msßila ia:q,Ndjfhka yd Èhjeähdfjka fmf<k nj fidhdf.k ;sfí' orejkaf.a jhig fkd. e<fmk wêl ;rndrelu Èhjeähdjg m%Odk fya;=j ù we;' fï ;;a;ajhg fya;= ù we;af;a orejkag ,ndfok wys;lr fmdaIHodhs fkdjk wdydrh' orejdf.a wdydr fõ, .ek wjOdkh fhduq lrkak' Tfí orejd wkd.;fha § frda.sfhl= njg m;a fkdjkakg kï l=vd wjÈfha isgu orejdf.a wdydr fõ, ms<sn|j ksis wjOdkhla fhduq lsÍug j.n,d .; hq;=h' laIKsl wdydr j,ska orejd wE;a lsÍug;a tÈfkod fmdaIHodhs wdydr fõ,la ,nd §ug;a uõmshka lghq;= l< hq;=h' fujka jq hym;a fmdaIKsh wdydr rgdjlg orejd l=vd l< isgu mqreÿ mqyqKq lsÍfuka wkd.;fha§ ksfrda.S fi!LH iïmkak m%cdjla ìysjk w;r iudchg;a" rgg;a jvd;a M,odhs fõ' igyk - wkqrdOd È,sks b,kafldaka

23

MENSTRUATION EXPLAINED...

Tfí Tima reêrh msgùu idudkHo @ widudkHo @

How normal is your period ?

How normal is your bleeding ?

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

Tfí Tima reêrh msgùu idudkHo @ widudkHo @ m%ij yd kdßfõo úfYaI{ ffjoH frdIdka fihsßãka fihsâ - kjf,dal frday,

ia;%shlf.a cSú;fha w;sYh jeo.;a cSj úoHd;aul isÿùï folla ;sfí' thska uq,skau we;sfjk isÿùu jeäúh m;aùuhs' wehg uõ moúh ,eîug ffcj úoHd;aul iqÿiqlula ,efnkafka fï isÿùfuka miqjh' wfkl wd¾;j wNdjhhs' wd¾;j wNdjh;a iu.u wehf.a il%Sh m%ckl cSú;h ksudjg m;a fjhs' idudkHfhka wjqreÿ 8-14 w;r ld,hloS oeßhl jeäúh m;a jkafkah' tys idudkH wjqreÿ 11la muK fõ' jeäúh m;aùu hkafkka idudkH jHjydrfha wre;a olajkafka weh uq,skau Tima reêrh msg lsÍfï isÿùuhs' th menarche hkqfjka fmd;am;aj, oelafõ' fï wdldrhgu ldka;djl osfkl fï Tima pl%h l%shd;aul ùug ;s; ;nkafkah' Tima ùu k;r jkafkah' idudkHfhka wjqreÿ 40-55 w;r ld,fha ljr fyda jljdkqjloS isÿjk fï ffcj úoHd;aul isÿùfï idudkHh wjqreÿ 51 muK fõ' idudkH jyf¾ zzwd¾;jwNdjhZZ zzls,s jEÍuZZ hkqfjka ye|skafjk fï wjia:dj menopause hkqfjka fmd;am;a j, i|ykah' jeäúh m;aùu;a ls<s jEÍu fkdfyd;a wd¾;jwNdjh;a w;r m%ckl jYfhka il%Sh ld,hla .; lrk ish¿u ldka;djkag fmdÿ fohla ;sfí' ta Tima reêrh jEiaiSuhs' ke;fyd;a wd¾;jhhs' .eí .ekSula isÿ fkdjqKfyd;a Tima ùu fkdlvjdu iEu udihlgu mdfya jrla wvq jeä jYfhka isÿ fjhs' fï w;aoelSug iEu ldka;djlu hg;a fjhs' by; lS ffcj úoHd;aul isÿùï fol w;r ld,h .; lrk iEu ldka;djlgu wd¾;jh fmdÿ fohls' fï wdY%s;j ldka;djkag fndfyda .eg¿ u;=jk nj wm oksuq' 24

ffjoHjrhd - udisl ffjoH iÕrdj

wd¾;j pl%fhaoS .¾NdIfha we;sjk fjkialï iy fydafudak >%djh fjk yeá Tima ùug fmr

Tima ùu

Tima ùug mi mef,damSh kd,

tkafvdfuá%hu fldamia ¨áhuh wd¾;j reêrh äïn fudapkh

îc ffi,

.eí f., fhdaksh

äïn fudapkh

äïn fudapkh

äïnfldaI

fm%dfciagfrdaka

tkafvdfuá%h wdia;rkh

wd¾;jh fkdfyd;a Tima ùu iïnkaOfhka mßiudma; újrKhl fhfok fï iqúfYaIS ,sms fmf<ys iudrïNh jYfhka wm bosßm;a lrkafka wd¾;j reêrh .ek Tn oek.; hq;= jeo.;a lreKq iïNdrhls'

wd¾;j reêrh jEiaiSfï idudkHh ke;fyd;a kshñ; ms<sfj, l=ulao @ tys widudkH;d ke;fyd;a we;sjk .eg¿ ljf¾o @ ta iïnkaOfhka Tn .;hq;= mshjr fudkjdo @ fï ldrKd iïnkaOfhka b;d meyeos,s wjfndaOhla fï ,smsh lshùfuka Tng ,nd.; yels jkq we;' wd¾;jfhaoS ienúkau isÿjkafka l=ulao @ wd¾;jh yd uQ,sl jYfhka ine|S fydafudak folla fõ' tlla Biag%ckah' wfkl fm%dfciagfrdakah' fï fydafudak j, l%shdldrs;ajh Tiafia wd¾;j pl%h iïmQ¾K jk wdldrh úuiuq' 2016 uehs l<dmh

Biag%ck

wd¾;j pl%fha uq,a wv ;=<oS Biag%cka fydafudak >%djh ùu by< kexfjhs' Biag%cka fydafudakh ldka;d iqjfi; flfryS buy;a n,mEula lrk fydafudakhls' th wiaÓ iúu;a lrhs' wef.a YÍr fi!LHh iúu;aj mj;ajd .ekSug WmldÍ fjhs' .¾NdIfha ì;a;s u; wdia;rkhla ks¾udKh lsÍug uQ,sl jkafkao Biag%ckah' ta .eí .ekSula we;s jQjfyd;a thg wdrlaIdj i,ik ksjykla njg m;ajkq msKsih' fï w;r äïnfldaIfhka äïnhla fudapkh 25

MENSTRUATION EXPLAINED...

Tfí Tima reêrh msgùu idudkHo @ widudkHo @

ùfï l%shdj,sho wkjr;fhka n,.ekafjhs' osk 28l o¾YSh wd¾;j pl%hla we;s ldka;djlf.a äïn fudapkh isÿ jkafka 14 jk oskfhaoSh' tfia jQj;a iEu ldka;djlgu fï osk 28fÜ wd¾;j pl%hla we;s jkafka ke;' fuh osk 22-35 w;r ljr ld,fha is¥ jQj;a th iddudkHh' äïnh fudapkh jQ miq th mef,damSh kd,h osf.a .¾NdIh olajd bosßhg .uka lrhs' fï tk äïnh lrd Y=l%dKq meñKshfyd;a thska tlla yd ixfiapkh ù cSjhl wdrïNh we;s fjhs' ia;%shlf.a jvd;a ire osk f,i ie<flkafka fï äïnh ksl=;a ùug wdikakfha osk ;=k iy äïn fudapkh isÿjk oskhhs' ixfiapkhla isÿ fkdjqKfyd;a fï wdia;rkh ì|S hhs' Tima reêrh f,i fhdaks u. Tiafia msgjkafka thhs' .¾NKSNdjhla we;s jQjfyd;a tu .¾NKSNdjh idlaId;a lrKQ msKsi fm%dfciagfrdaka fydafudakh fjfiia ld¾h Ndrhla bgq lrhs' .¾NKS;djhla we;s fkdjQ l,ayS wd¾;jfha wjidk wv ;=< Biag%cka fydafudakh;a iu.u fm%dfciagfrdaka fydafudakfhao wvqùula fmkakqï lrhs' wd¾;jh we;sjk ld,fhaoS we;sjk mshhqre wdY%s; mqmqre .eiSï" udkisl uÜgfï fjkiaùïo we;=¿j YdÍßl fjkialï /ila we;s fjkafka fï fm%dfciagfrdaka fydafudakfha n,mEu fya;=fjks' Tn w;aú| we;s wdldrhg Tima ùu;a iu.u hïlsis wmyiq;djhla" fõokdjla Worh wdY%s;j we;s fõ' Tima reêrh msg fjk úg .¾NdIh ixfldapkh fjhs' .¾NdIhg jk reêr iemhqu k;r fjhs' .¾NdIhg jk reêr iemhqfuys ySk ùula isÿ fjhs' fuysoS fm%diag.a,ekaäka fydafudakh ksoyia jk w;r Tima fõokdjg fya;= jkafka fï fm%diag.a,ekaäka fydafudakhhs' idudkHfhka Tima reêrh msgùu osk 2-7 w;r ld,hla mj;sk w;r tys idudkHh osk myls'

26

Tima reêrh .e,Sfï we;sjk widudkH;d Tima ùu;a iu.u jEiafik reêr mßudj fuysoS uQ,sl jYfhka wjOdkhg ,lafjhs' idudkHfhka ñ,s ,Sg¾ 30-40l muK reêr mßudjla tla wd¾;j pl%hloS msgùu idudkHh iajNdjh hhs ie<fla' kuq;a yeu flfkla ygu fï m%udKhg Tima reêrh msgùula isÿjkafka ke;' flfkl=g reêrh jeäfhka .,hs' ta flfiao h;a iuyr úg tosfkod ld¾hhkayS ksr; ùug mjd ndOd meñfKhs' ;j;a flfkla Tima ùfïoS msg lrkafka b;d iq¿ reêr mßudjls' ;j;a flfkla udi lsysmhlg jrla reêrh msg fjhs' ;j;a flfklaf.a reêrh msg fjkafka b;d l,d;=rlsks' Tima ùï folla w;r ld,fhaoS reêrh msgùula w;aolsk ldka;djkao isá;s' fï wdldrfhka ldka;djka jeä fofkla .;af;d;a

ffjoHjrhd - udisl ffjoH iÕrdj

wd¾;j pl%h uq¿,af,a .¾NdI wdia;rkfha yeisrSu yd äïnhla fudapkh jk wjia:dj

äïnhla fudapkh ùu

Tima ùu

.¾NdI wdia;rkh ilia fjhs

.¾NdI wdia;rkh mj;shs

.¾NdI wdia;rkh ì| jefghs

.¾NdI wdia;rkh

lshkakg fudlla fyda wl%ñl;djhla ;sfí' m%Yia; ;;a;ajhkag wkQj Tima reêrh jEiaiSfï l%shdldß;ajhla olakg we;af;a ldka;djka w;f,diailg muKs'

jeäfhka Tima reêrh .e,Su Heavy Bleeding idudkHfhka jrlg ñ,s ,Sg¾ 80g jeä Tima reêr m%udKhla msg fjkjd kï wm ta ;;a;ajh jeämqr reêrh .e,Sula (Heavy Bleeding) jYfhka y÷kajuq' fï iïnkaOfhka ldka;djkaf.a ueisú<s úúOdldrh' 2016 uehs l<dmh

zzug mEâ fol ;=kla tlmdr w|skak fjkjd''''ZZ zzmehlg mEâ lSmhla udre lrkak fjkjd''' yßu lrorhla'''ZZ zzwe÷ula j;a yßhg w|skak nE''' f;;a fjkjd'''ZZ zzksodf.k bkak fldg fnâ ISÜ tl;a f;;a fjkjd'''ZZ zzuu fï ojia j,g biafldaf, hkafk kE'''ZZ oeßúhla tfia lsh;aoS zzuu fï ojiaj, ksjdvq od, f.or bkakjd'''ZZ /lshd lrk ldka;djla ta wdldrfhka ueisú<s k.kakSh' fï úosfya l;d j,skau fï wdldrfhka muK blaujd Tima reêrh msgùu ldka;djkag fudk ;rï ysßyerhla ùfoda fmfka' idudkHfhka ldka;djka mia fofkla .;af;d;a thska tla flfkl= fï wêl jYfhka Tima reêrh .e,Sfï wmyiq;djhg uqyqK md;s'

27

MENSTRUATION EXPLAINED...

Tfí Tima reêrh msgùu idudkHo @ widudkHo @

wd¾;j pl%h uq¿,af,a äïnfha yeisÍu iy .¾NdIfha l%shdldß;ajh äïnfha úldYh

.¾NdIfha yev.eiau

Tfí m%ckl jYfhka il%Sh cSú;fha úúO jljdkq j,oS fï wdldrhg Tima reêrh jeä jYfhka .,k wjia:d ;sfí' Tima ùu wdrïN jk iufha" wjqreÿ 40 .Kkaj,oS fukau wd¾;j wNdjhg wdikakfhao fï wdldrfhka wêl jYfhka reêrh .e,Sï isÿúh yel'

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

Tima reêrh jeä jYfhka msgùug n,mdk fya;= Tima reêrh jeä jYfhka msgùug fndfyda wjia:d j,oS ksYaÑ; fya;=jla lsj fkdyelsh' lsishï mdol fya;=jla fkdue;sj fndfyda ldka;djka fï w;aoelSug uqyqK md;s' ta yereKq úg Tima reêrh jeä jYfhka msgùug n,mdk fya;= o úfgl ;sfí' ta my; mßoafoks' • fydafudak wiu;=,s;;djh • fmd,sma" *hsfn%dhsâ jeks wjia:dj,g m;aj .¾NdIfha we;sjk jHqyd;aul fjkialï • we;eï ffjoHuh ldrKd ^frda. ;;a;aj& fï hgf;a my; ldrKd ;j ÿrg;a úia;r l< yel' 28

www.waidyawaraya.lk

fuu ,smsfha b;srs fldgi ,nk l,dmfhka n,dfmdfrd;a;= jkak'

ffjoHjrhd - udisl ffjoH iÕrdj

2016 uehs l<dmh

29

STROKE

wxYNd.h fkdfyd;a wd>d;h .ek u;lfha ;nd.; hq;= lreKq lsysmhla Y%S chj¾Okmqr uy frdayf,a iakdhq frda. úfYAI{ ffjoH y¾I .=Kfialr

wd>d;h we;s jQ jydu frday,a.; jkak Tng wd>d;h frda. ,laIK u;= jqjfyd;a''' l< hq;af;a l=ulao @ wd>d;h ,laIK u;= jqjfyd;a b;du;au blauKska frday,a .;ùu l< hq;af;ah' frdayf,a § frda. úksYaph i|yd isÿlrkq ,nk mÍlaIK w;=ßka Tfí fud<fha .kq CT m%;sìïn mÍlaIKh ^Computed Tomography& fyda MRI ^Magnetic resonance imaging & mÍlaIKh b;du;a u jeo.;a fõ' fud<hg reêr iemhqu wvd, jQ fya;=j jkqfha reêr jykhla o reêr kd,j, isÿjQ wjysr;djhlao hkak ;yjqre lr .ekSug fuu mÍlaIK j,ska ,nd.kakd jQ f;dr;=re ufydamldÍ fõ' tfia mÍlaId lsÍula fkdue;sj m%;sldr ,nd .ekSu we;eï úfgl fud<hg we;s jQ ydksh ;jÿrg;a jeä lrjk ;;a;ajhlg mjd m;a l< yelsh' fï ish,a, i|yd ld,h wjYH jk ksid b;du;au blauKskau frday,a.;ùu b;du;au jeo.;a fõ'

30

wxYNd.h

wd>d;h ksid YÍrhg isÿjk wys;lr n,mEï

p¾hduh n,mEï idudkHfhka YÍrfha tla wxYhla mK ke;sj hdu nyq,ju oelsh yelsfõ' fï ksid frda.shdf.a ffoksl lghq;= i|yd ndOd we;s fõ' weú§u" hula w,a,d .ekSu" wdydr .ekSfï§ .s,Su" wdÈfhys wmyiq;d o we;s úh yelsh' tfukau" wkquia;sIalhg isÿjk ydks ksid foay p,k iudfhdackh ì| jeà foay iu;=,s;;dj ì| jeàug wjldY ;sfí'

ixfõok ÿn,;d iam¾Yh" WIaK;ajh" fõokdj hkd§ ixfõokhkayS we;sjk ÿn,;djhkao wd>d;h we;sjQ frda.Ska flfrka úoHdudk fõ' we;eï frda.Skag ÿ¾j, jQ m%foaYfha fõokdj" ysßjeàu bÈlgq j,ska wksk úg oefkk fõokdj jeks ixfõok we;sùfï yelshdjlao mj;S' fud<fha iakdhq wdfõ. m¾h:kh ffjoHjrhd - udisl ffjoH iÕrdj

jk ud¾.j, isÿj we;s ydks ksid widudkH fõokd mjd oekSfï yelshdjla we;' ^Thalamic pain syndrome & fujeks fndfyda fõokd ksid w;a yd mdoj, we;s ikaê fkdfi,aùu fya;=fjka miqld,Skj ta wdY%s;j ixl=,;d we;s ùfï wjodkulao mj;S'

2016 uehs l<dmh

uq;%d msg lsÍu wkq oekqulska f;drj isÿùu frda.h iEÿKq ú.i uq;%d msglsßu wkqoekqulska f;drj isÿùuo úh yel' wdydr ud¾.fha p,k ksis f,i isÿ fkdùu" u<noaOh jeks ;;a;aj we;súh yels fõ'

l:d lsÍfï yd woyia yqjudre lsÍfï wmyiq;d l:d lsÍug fyda ,Sùug" lshk foh f;areï .ekSug we;s yelshdj hkd§ jYfhka fï ish¨u foa fyda fyda bka lsysmhl ÿ¾j,lï we;súh yelsh' fud<fha ydks isÿ jQ ia:dkh wkqj fï 31

STROKE

wxYNd.h

we;sjk fodaIh fjkia fõ' u;lh" is;Sfï yelshdj w¨;a fohla mqreÿ ùug we;s yelshdjo fï wdldrfhka wd>d;hg ,laùu ksid wysñ ù hd yelsh'

udkisl n,mEï we;s ùu ìh" ixldj" fkdreiaik iajNdjh" n,dfmdfrd;a;= rys; nj hkd§ jYfhka fndfydauhla udkisl n,mEïj,g fya;=j jkafka frda.S ;;a;ajh u.ska we;s l< ldhsl ÿn,;d fõ' flfia fj;;a ufkda ffjoH WmfoaYkho fuysÈ b;du;a jeo.;a fõ'

wd>d;h je<|Sfuka wk;=rej Tn fjkqfjkau úfYAIfhkau mqyqKq l< wd>d; iydhl lKavdhfï;a" Tfí;a Tn mjqf,a;a iduqysl m%h;akhl m%;sM,hla f,iska frda.S ;;a;ajh ksid we;s jk ÿn,;d wju lr.; yelsh'

frda.Ska mqkre;a:dmkh lsrSu

keje; uq¿ukskau m%lD;s ;;a;ajhg f.k tu l< fkdyelshs wd>d;h frda. ;;a;ajh je<|Sfuka wk;=rej Tnf.a fud<hg isÿ jQ ydksh keje; uq¿uKskau m%lD;s ;;a;ajhg f.k tu l< fkdyelshs' kuq;a we;sjk ldhsl" udkisl ÿn,;d chf.k Ôj;a ùu isÿl< yelsh'

wd>d;h je<|Sfuka wk;=rej Tn fjkqfjkau úfYAIfhkau mqyqKq l< wd>d; iydhl lKavdhfï;a" Tfí;a Tn mjqf,a;a iduqysl m%h;akhl m%;sM,hla f,iska frda.S ;;a;ajh ksid we;s jk ÿn,;d wju lr.; yelsh' frda.shdf.a uq,sl m%;sldr isÿlr wjikajQ ú.iu frdayf,a § werfUk fuu mqkre;a:dmk jev ms<sfj, miqj idhksl yuqùï iy ksfji uq,sl fldgf.k uq¿ Ôú; ld,h mqrdu Èfjk jev ms<sfj<ls' keje; j;djla wd>d; ;;a;ajh we;s ùug n,mdk idOl ms<sn| Tn oekqj;a fldg th wju jk whqßka iy ixl+,;d wju jk f,i;a T!IO Wmfoia ,nd foñka Tn wd>d; lKavdhu fj; fhduq lrùu úfYAI{ ffjoHjrfhl= úiska isÿ lrkq ,nhs'

fuh ffjoHjrhdg" frda.shdg fyda mjqf,a <`.u {d;sjrhdf.a Woõj u; ;ksj is l< yels l¾;jHhla fkdfõ' 32

ffjoHjrhd - udisl ffjoH iÕrdj

ksjerÈ fi!LH mqreÿ j,g yqre lrùu úfYAIs; fyo ks,Odßkshl u.ska ^Rehabilitation nurse& Tnj ksjerÈ fi!LH mqreÿ j,g yqre lrùu isÿ flfrkq we;' T!IO ,nd .kakd whqre" we| ;=jd, we;s fkdjk f,iska we| u; isák whqre" uq;%d msglsÍu ms<sn| md,kh" ndysßka uq;%d nghla iúlr we;akï th ksjerÈj Ndú;h" Tng w;HjYH fjk foa ms<sn|j mqreÿ mqyqKq lrjkq we;' Tng iykhla ,ndfok fy!; Ñlsiail jrhdf.a lghq;= Tfí ldhsl l%shdldß;ajh yels ;rï by< kexùug fN!;Ñls;ailjrhd lghq;= lrkq we;' p,kh" foay iunr;dj" foay p,k hdukh" Wfoid fkdfhdl=;a jHdhdu iy m%;sldr l%u" u.ska Tng iykhla ,efnkq we;'

2016 uehs l<dmh

Ôj;aùug wjYH jk tÈfkod lghq;= j,g yqre lrùu" woyia m%ldY lsÍu yd l:kh yqre lrùu" fukau Tfí uq,Huh lghq;= ms<sn| Wmfoia ,nd §uo" iykdOdr ,nd .ekSug ueosy;aùuo" wd>d; lKavdhï úfYaIs; mqyqKq ks,Odßka úiska lrkq ,efí' yÈisfha u Tn wNsuqLj we;s fï fjkia ùfï wNsfhda.hg id¾:lj uqyqKq §ug Tn iqodkï lrùu Tfí ufkda ffjoHjrhd úiska isÿ lrkq ,nhs' fï whqßka Tn frday,ska msgj hk úg we;sjQ ÿn,;d u. yefrk f,iska kj Ôjk rgdjlg Tnj fhduq lrjhs' Tfí mjqf,a {d;skago fï ms<sn| wjfndaO lrfoñka Tng keje; i;=áka Ôj;a ùug wjYH jgmsgdj ilid§u wd>d; úfYAIs; mqyqKq ks,Odß lKavdhu u.ska isÿ flf¾'

frda.shd mqkre;a:dmkh lrk wjia:dfõoS ,nd fok fN!;Ñls;ail m%;sldr j,skao jeo.;a fufyhla bgq flfrkjd'''

33

STROKE

wxYNd.h

iy reêrkd, isyska ùfï yelshdjo jeä lrjhs'

wd>d;h jeks frda. ;;a;ajhka keje; iïmq¾Kfhkau m%lD;s ;;a;ajhg m;a l< fkdyels ksid thg n,mdk wjodkï idOl j,ska w;a ñ§ frda.h yg .ekSu je<elaùug lghq;= l< hq;=h'

iEu rcfha frday,lu úfYAIs; mqyqKq wd>d; lKavdhï ke; flfia kuq;a wfma rfÜ fujeks wd>d; lKAvdhï iEu rcfha frday,lu fkdisák ksid Tn tu myiqlï we;s rcfha frday,la fj; meñKsh hq;=h' wd>d;h jeks frda. ;;a;ajhka keje; iïmq¾Kfhkau m%lD;s ;;a;ajhg m;a l< fkdyels ksid thg n,mdk wjodkï idOl j,ska w;a ñ§ frda.h yg .ekSu je<elaùug lghq;= lsÍu Tnj;a Tfí mjqf,a idudcslhskag;a iekiSu Wod lrkq we;' msßñkag idfmalaIj ldka;djkag wd>d;h je<§fï iïNdú;djh jeähs' md,kh l< yels wjodkï idOl u; wd>d;h je<§fï yelshdj ishhg 80 muK wju l< yelsh' wêl reêr mSvkh" reêrjykh ksid we;sjk wd>d; ;;a;ajh iy wjysr;d ksid we;s jk wd>d; ;;a;ajhka reêr kd, ;=<ska .,k reêrh u.ska reêr kd,j,g we;s lrk mSvkh jeä ùu ksid tu kd, mqmqrd hdfï yelshdj jeä fõ' ;jo reêr kd, we;=<; ì;a;shg tu.ska we;s lrjk m¿ÿùï ksid we;frdaud we;sùfï yelshdj 34

wêl reêr mSvkh md,kh lrkafka flfiao@ ffjoHjrfhl= 01 lrd fhduqj udihlg j;dj;a reêr mSvkh mÍlaId lsÍu' Wig iß,k 02 nr mj;ajd .ekSu' BMI w.h 18'5-24 w;r mj;ajd .ekSu' l%udkql+,j 03 jHdhdï j, ksr; ùu' fïoh wvq" 04 fl¢ nyq, wdydr wkqNjh' wdydrhg tla 05 lrk ¨KQ m%udKh wju lrùu' uOHidr 06 Ndú;fhka yd ÿïmdkfhka je<lSu' kshñ; 07 ud;%dfjka ksis fõ,djg uq¿ Ôú; ld,h mqrdu fyda

ffjoHjrhd - udisl ffjoH iÕrdj

ffjoHjrhd úiska kej;Sug Wmfoia ,ndfok ;=re fyda reêr mSvkh md,kh lrk T!IO ,nd .ekSu' fï whqßka Èhjeähdj" reêr.; fldf,iagfrda,a m%udKho md,kh l< hq;=h' Tn yDo frda.sfhl= kï fï mshjr wkq.ukh lrkak'

01 02

yDoh wlrKS ;;a;ajhg m;aj we;skï" ^Heart Failure & lsÍgl Ouksj, wjysr;d ksid yDo ì;a;sj,g ydks isÿj we;akï" ^Myocardial lnfarction&

03

yDofha ikakhk ÿn,;djhla we;akï' ^Atrialfibrillation&

04

jï fldaIsldj ;=< reêrh /iaùu ksid reêr leá;s iE§ uyd

2016 uehs l<dmh

Ouksh wfOdalaI Ouks Tiafia fud<hg reêrh imhk Ouks lrd Èjf.dia wjysr;d we;sl< yelsh' yDofha lD;s%u lmdg iúl< frda.Skago fuu m%jK;dj nyq,j olakg ;sfí'

ffjoHjrhd úiska Tng ksl=;a lrk ,o reêrh leá .eiSu j<lajk T!IO ffjoH Wmfoia wkqj Ôú; ld,hu ,nd.ekSu b;du jeo.;a fõ' u;ameka yd ÿïjeá Ndú;h u;ameka iy ÿïjeá Ndú;h ksid reêr mSvkh jeä ù we;frdaud we;s ùfï yelshdj jeä lrñka reêr kd, isyska lrjhs' reêrfha leá .eiSfï m%jK;djho fuu.ska jeä lrjk ksid iEu úgu wd>d;h we;sùfï wjodku jeä lrjhs'

Tnf.a yqÿ udkisl wjYH;dj ksid fyda iudcfha wjYH;djh ksid fyda u;amekg yd ÿïjeáhg f.dÿre jk Tfí wjidk ld,h b;d u;au wjdikdjka; f,i wirKj wxYNd. frda.sfhl= f,i .; lsßug isÿjqjfyd;a @

thska Tfí ÿ orejka we;=¿ mjqf,a yeu fofkl=gu Wreu jkafka fÄockl jQ brKuls' we;af;kau fuh Tn oekqj;aju <`.d lr.kakd brKula ñi wka lsisjla fkdfõ' u;amekska yd ÿïjeáfhka w;a ñfokakg Tng wmyiq kï ffjoH Wmfoia ,nd .ekSuo wksjd¾hfhkau l< hq;= nj isys;nd .kak' igyk - wkqrdOd È,sks b,xfldaka

35

GASTRITIS

nv mmqj ojk iq,n frda.h

.eiag%hsáia nv mmqj ojk iq,n frda.h fudk m%;sldrhg;a fmr frda.h uekúka mÍlaId lr.; hq;=hs le<Ksh úYaj úoHd,hSh ffjoH mSGfha ysgmq fcHaIaG uydpd¾h Y,H úfYAI{ ffjoH uydpd¾h flu,a ãka

,dxlslhka w;r .eiag%hsáia frda.h fnfyúkau iq,nh' nd," ;reK" uy¿ fldhs ljqre;a .eiag%hsáia frda.hg k;= fj;s' fï frda.h ffjoH úoHd;aulj ks¾Kh jkafka flfiao @ fuh frda.hlao @ fkdtfia kï fjk;a iq,n YdÍßl ;;a;ajhlao @

wdudYfha wdia;rkh m%odyhg m;aùu - fuh ;uhs ffjoH úoHd;aulj .eiag%hsáia frda.hg ,nd fok ks¾jpkh' ye,sfldnelaàßhï mhsf,daß lshk nelaàßhdjla fï frda.h we;s ùug iq,nj n,mj;ajkjd' wdudY wdia;rkfhka iajNdjfhkau jEiafik yhsfv%dlaf,daßla wï,h .,kd,h Tiafia by<g meñKSfuka ^Reflux& fï ;;a;ajh we;súh yelshs' ;j;a fya;=jla ksido .eiag%hsáia we;s fjkjd' ta ;uhs wdydr len,s wdudYfha mej;Su' fuh GERD ke;fyd;a GORD f,io ,>q fldg oelafjkjd' fï ldrKd foflau ixl,khla ksido flfkl=g .eiag%hsáia we;s úh yelshs' ffjoH úoHd;aul oeKQfuka f;dr fndfyda fofkla Worfhka we;sjk ish¿u fõokd .eiag%hsáia f,i ye|skaùug mqreÿj isákjd' fuh iqúfYAIS frda.hlau fkdfjhs' kuq;a ffjoHjrfhl=f.a mÍlaIKhg ,laúh hq;= ldrKhla f,io y÷kajd oSug leu;shs'

36

ffjoHjrhd - udisl ffjoH iÕrdj

frda.h kej; we;sùu uev meje;aùug frda.shdf.a oeKQj;aNdjh w;sYhska bjy,a fjkjd' frda.h W;aikak lrk idOl y÷kdf.k tajdhska ñoSu fuysoS jeo.;a'

óg oYlhlg muK fmr ;;a;ajh n,k úg .eiag%hsáia frda.Skaf.a jeäùula olakg ,efnkjd fkao @ ksielfhkau y;r mia .=Khl frda.Skaf.a jeäùula fmfkkakg ;sfnkjd' .eiag%hsáia frda.Ska fï wdldrfhka jeäùug fya;= fjkafka ljr idOlo @ m%;sldr msKsi meñfKk frda.Ska ixLHdj jeäùug fya;= lsysmhla n,mdkjd' frda.Ska fï .ek ;sfnk oeKqj;alu jeäùu ksid jeä jeäfhka 2016 uehs l<dmh

m%;sldr j,g fhduq ùu tla fya;=jla' fï yd iïnkaO úfYaI{ ffjoHjrekaf.ao jeäùula miq.sh ld,fha we;s jqKd' Tjqka ie<lsh hq;= m%udKhla w.kqjr;a" msg m<d;a j,;a fiajh lrkjd' fi!LH wOHdmksl jevigyka Tiafia fï frda.h ms<sn|j oeKQj;a lsßï iq,n ksid frda.Ska fï iïnkaOfhka ffjoHjrekaf.ka m%;sldr ,eîug jeä Wkkaÿjla olajkjd' fï yereKQ úg frda.Skaf.ao meyeos,s jeäùula olakg ,efnkjd' frda.Ska jeäùug uQ,sl jYfhka fya;= jkafka fjkia jqKQ cSjk rgdj' wd;;sh" .ufkys fhfok ld,h jeäùu" / lshdj;a" cSú;h;a w;r ;=<s;;djh ì| jeàu" jevuqr" <`.d úh fkdyels b,lal''' fï wdoS fndfyda foaj,a fukau wdydr isßf;a fjkialïo fjfiiskau laIKsl wdydr" wdydr fj,dj fjkia ùu wdosh .eiag%hsáia frda.hg w; jkkjd' weiamsßka jf.au Non Steroidal Anti Inflamatory Drugs (NSAID) ldKAvfha T!IO ksid;a .eiag%hsáia we;s fjkak bv ;sfnkjd' iuyr úg fïjd ksid wdudYfha ;=jd, we;s fjkak;a mq¿jks' fï ;;a;ajhg yDoh frda. j,g" ykaosm;a wudrelï j,g T!IO ,nd.kakd ueos jhfia yd jhia.; fndfyda fokd uqyqK fokak bv ;sfnkjd' .eiag%hsáia frda.hg m%;sldr lsÍug we;s fyd|u wdldrh l=ulao @ uq,skau ffjoHjrfhl= úiska kshudldrfhka frda.h mÍlaId l< hq;=hs' th wdudYfha wï,h Wvg meñKSfuka we;sjk Gastro-Oesophageal Reflux ;;a;ajho hkak idlaId;a lr.ekSu fuys jeo.;a mshjrla' fï i|yd iïmQ¾K ldhsl mÍlaIdjla l< hq;= jkjd' Reflux fkdù fjk hï frda. ;;a;ajhlao @ ke;fyd;a ms;a;dYfha .,a" nfâ we;sjk f.ähla iu. m%lg lrk frda. ;;a;ajhlao @ ldka;djkaf.a kï .¾NsKS;djh;a iu.ska fï yd iudk frda. ,laIK m%lg lrk wjia:d ;sfnkjd' 37

GASTRITIS

nv mmqj ojk iq,n frda.h

fï i|yd iïu; mÍlaIK ;sfnkjd' reêr mÍlaIK" w,ag%d ijqkaâ mÍlaIKh" tkafvdiafldms mÍlaIKh" wjYH jqfKd;a fldf,dfkdiafldms mÍlaIKh fuysoS lrkakg isÿ fjkjd' fïjdhska l< hq;a;" fkdl< hq;a; ;SrKh lsßu ffjoHjrhd i;= ld¾hhla' uq,skau T!IO m%;sldrhla oSfuka ;;a;ajh iukh jkjdo hkak uQ,sl jYfhka úuiSu m%dfhda.slj fndfyda ffjoHjreka úiska fhdod.kakd Ndú;hla nj;a lsj hq;=hs' .eiag%hsáia hkq cSú;ld,Skj jo ú|sh hq;= frda. hlao @ ke;fyd;a fõ,dikska m%;sldr .ekSfuka kej; we;sùu k;r lr.; yelso @ frda.h kej; we;sùu uev meje;aùug frda.shdf.a oeKQj;aNdjh w;sYhska bjy,a fjkjd' frda.h W;aikak lrk idOl y÷kdf.k tajdhska ñoSu fuysoS jeo.;a' tfiau wdydr isßf;a yd wdydr rgdfõ fjkialï isÿ lsÍfuka fï frda.h u¾Okh lsÍfï moku ie,fikjd' frda. ,laIK j,g wkQj m%;sldr lsÍu t;rï wkqu; l< yelalla fkdfjhs' fï ksid úúO ixl+,;d we;súh yelshs' we;eï úg ms<sld mjd we;sùfï wjodkula ;sfnkjd'

wdudYhsl jkùuloS we;sjk m%odysl fjkialï 38

.eiag%hsáia we;s fjk fya;= oekf.k thska w;añÿfKd;a" cGr wdka;%sl ys;jdoS fi!LH iïmkak cSjk rgdjlg fhduq jqfKd;a .eiag%hsáia we;sùfuka iïmQ¾Kfhkau w;añosh yelshs'

we;efula .eiag%hsáia i|yd wdhq¾fõo" fydañfhdam;s" iam¾Y Ñls;aidj wE úúO m%;sldr j,g fhduq fjkjd' ngysr ffjoHjrfhl= jYfhka fï ms<sn|j Tfí u;h l=ulao @ úl,am m%;sldr ngysr ffjoH úoHdjg m%fhdackj;a id¾:l m%;sldr i,ikjd' ta;a ngysr fjolfï frda. ks¾Kh w;sYh úoHd;aulhs' fï ksid frda. ksOdkh fiùug ngysr fjolfï fï ;dlaIKh fhdod.ekSu yßu jeo.;a' ys;kak''' we;eï úg wdka;%sl ffjoHjrhd - udisl ffjoH iÕrdj

w¾nqohla ^f.ähla& ksid;a .eiag%hsáia yd iudk frda. ,laIK m%lg l< yelshs' túg .eiag%hsáia j,g m%;sldr lr lr b|, yßhkjdo @ .eiag%hsáia frda.fhka w;añoS isáh yelso @ .eiag%hsáia we;s fjk fya;= oekf.k thska w;añÿfKd;a" cGr wdka;%sl ys;jdoS fi!LH iïmkak cSjk rgdjlg fhduq jqfKd;a .eiag%hsáia we;sùfuka iïmQ¾Kfhkau w;añosh yelshs' th mrïmrdfjka mrïmrdjg Wreu jk frda.hlao @ tfia jk njg kï idlaIs keye' we;eï wdydr j,g ;sfhk wdid;añl;d .eiag%hsáia frda.hg uq,a úh yelso @ Gluten Allergy hkqfjka ye|skafjk iqúfYAIS wdid;añl;djh fuh Coeliac Disease hkqfjka ye|skafjkjd' - fuh iudcfha jeä jYfhka olakg ,efnk wdid;añl;d ;;a;ajhla' fuysoS jeäfhka W.=rg tkjd" wfOdajd; iq,nj we;s fjkjd' fuh fndfyda úg Reflux Disease 2016 uehs l<dmh

ke;fyd;a .eiag%hsáia f,i jrojd jgyd .kakjd' reêrfha ;sfnk m%;sfoay mÍlaId lsÍu yd Upper Endoscopy hk mÍlaIK folu isÿ lsÍfuka fï frda.h ksjerosj y÷kd.; yelshs' fndfyda mdie,a YsIHhka jf.au ;reK ;reKshka fï ld,fha jeä jeäfhka .eiag%hsáia frda.hg k;= fjkjd' fuhg Tn olsk fya;=j l=ulao @ talg fya;=j fï whf.a fjkia jqKq cSjk rgdj' wdydr .ekSu läuqäfha isÿ lsÍu" wdydr fõ,a u`. yeÍu" wd;;sh" laaIKsl wdydr" wêl fïoh iys; wdydr" wêl l=¿nvq" ñßia iys; wdydr fïjd wo orejka w;f¾ .eiag%hsáia frda.h mD:q, lsÍug fya;=jla fjkjd' flfkla fï .eiag%hsáia frda.hg ;ukau m%;sldr lr.ekSu fldhs ;rï iqÿiqo @ fuh iqÿiq kE' frda.h we;s jqKdu m%;swï, fm;a;la .kakjd yereKQ úg T!IO ys;=uf;a Ndú;h kqiqÿiqhs' fï iïnkaOfhka mjqf,a ffjoHjrhdf.ka m%;sldr ,nd .ekSu iqÿiqhs' fï frda.h ksid frday,a.; jkak isÿùula idudkHfhka keyefk' fndfyda úg fnfy;a álla wrf.k f.or hkak mq¿jka' .eiag%hsáia frda.sfhla kshñ;j ;u m%;sldr ,nd fkd.;af;d;a we;sjk fi!LHuh wjodku l=ulao @ kshñ; fj,djg m%;sldr fkd.ekSfuka fï frda.h W.% ;;;ajhg m;aúh yelshs' túg mqoa.,hdf.a tosfkod lghq;= j,g" /lshdjg jf.au ld¾hlaIu;djhg n,mEï isÿ fjkjd' fuh Tyqf.a wka;¾ iudchSh iïnkaO;do ÿ¾j, lrkjd' ta ú;rla fkdfjhs m%;sldr m%udo ùu fya;=fjka we;eï úg wdndê; pl%msOdkh ^Sphinctor& ms<silr lsÍfï Y,Hl¾uhla mjd isÿ lrkakg we;eï úg isÿúh yelshs' fia i|yd lrk Y,Hl¾uh Fundoplication hkqfjka ye|skafjkjd' .eiag%hsáia ksid os.=ld,Skj n,mj;ajk fjk;a fi!LHuh wjodkï we;sùfï bvlv ;sfnkjdo @ keye' kuq;a yDohdndO" wekachskd jf.au wdka;%sl ms<sld j,oSo j,g iudk frda. ,laIK we;súh yelshs' fï ksid fï jyd wjOdkhg ,laúh hq;= 39

GASTRITIS

frda.hla' .eiag%hsáia" yDohdndO" wekachskd jf.au wdka;%sl ms<sld j,g ,>qùfï wjodkula ;sfnkjd' fukak fï ksihs .eiag%hsáia we;sjQ úg ffjoHjrfhl=f.a iqmÍlaIKh wjYH jkafka' .eiag%hsáia y÷kd.ekSu iy m%;sldr lsÍu i|yd wo ojfia ;sfnk kQ;k ;dlaIksl l%ufõohka fudkjdo @ Reflux Disease y÷kd.ekSfuys,d kï uE;ld,Skj kjH fjkila uQ,sl jYfhka isÿù kE' frda.Ska fï frda.fhka oeä f,i mSvd ú|Sug kï fya;= jkafka oS we;s Wmfoia j,g Tjqka wkq.; fkdùu ksihs' fï frda.fha iajNdjh iïnkaOfhka úuiSug ìysjQ kjH ;dlaIKhla f,i Physiology Laboratory oelaúh yelshs' .,kd,fha mSvkh" PH w.h fuysoS úuid n,k w;r úis y;r mehla mqrd wï,h pl%msOdkfhka Reflux ùu iïnkaOfhka fuysoS iudf,dapkhla flfrkjd' .eiag%hsáia iu. .s,Sfï wmyiq;djhla we;s fjkjd kï fírshï iafjdf,da mrSlaIKhla isÿ l< hq;=hs' ukao @ th Achalasia of the cardia kï ;;a;ajh ksid we;sjk .eiag%hsáia j,g jvd fjkia m%;sldrfõohla Ndú;d l< hq;= ;;a;ajhla jk ksihs' .eiag%hsáia frda.Ska yg Tn ks¾foaY lrk wdydr l%uh l=ulao @ fïoh wvqfjka wdydrhg tl;= lr.; hq;=hs' tfiau fj,djg wdydr .ekSu;a fjfiiskau jeo.;a fjkjd' fndfyda úg orejkag .eiag%hsáia yeÿKu uõmshka fnfyúka lK.dgq fjkjd' orejkaf. me;af;ka mne¨fjd;a fï lK.dgq ùu orejkag;a we;s jQjfyd;a th frda.h j¾Okh ùu flfryS n,mEula we;s lrkjdo @ Tõ''' wd;;sh" lK.dgq ùu wdoS ldrKd ksid .eiag%hsáia frda.h jeä fjkjd' fï ksid ;ejq,a .ekSfuka je<lsh hq;=hs' frda.hg m%;sldr .ekSug jf.au fï ;ejq,a iy.; iajNdjh iukh lr.ekSug;a Tfí mjqf,a ffjoHjrhdg jákd ld¾h Ndrhla bgq l< yelshs' 40

nv mmqj ojk iq,n frda.h

wjika jYfhka Tn ujqmshkag;a .eiag%hsáia frda.Skag;a fok mKsúvh l=ulao @ fouõmshkag fok mKsúvh ksfjfiaoS orejka fjkqfjka hym;a lEu isß;la ia:dms; lrkak' uõmshkau wdo¾Yfhka orejka yß u.g .kak' frda.Skag fok mKsúvh .eiag%hsáia frda.h uekúka l<uKdlrkhg fldgia foll lemùu wjYH fjkjd' ffjoHjrhdf.a lemùu iy frda.shd f;fï fjkqfjkau lrk lemùu' fjfiiskau fuysoS frda.shd fl;rï lem jqK;a jevla kE' wruqK h:d¾:hla njg m;a lr .ekSug frda.shdf.a lemùu w;sYhskau jeo.;a' ffjoHjrhd ,ndfok Wmfoia m%ldrj Tyq cSú;h fjkia lr.; hq;=uhs'

uydpd¾h flu,a ãka iu. Sunday Observer mqj;amf;a lefrd,a wef,daishia isÿ lrk ,o idlÉPdjla weiqßka wkqjdoh YdLH wurfialr úisks

ffjoHjrhd - udisl ffjoH iÕrdj

2016 uehs l<dmh

41

BLACK GARDENER TURNED HEART SURGEON

yeñ,agka kdls'''

ol=Kq wm%sldfõ ffjoH ix.ufhka muKla fkdj f,dalfhkau nqyquka ,enQ Whkam,a,d'''

yeñ,agka kdls''' f,dalfha uq,au yDo ie;alfuys ;SrKd;aul ld¾hNdrhla isÿ lrñka f,dalfhau f.!rjdorhg md;% jQ l¿ cd;slhdf.a l;dj wfma l;dkdhlhf. ku yeñ,agka kdls' bmÿfka 1926 j¾Ifhaos ol=kQ wm%sldfj wE; msáirno .ïudkhl'''' ta" wka; os,skafola úosyg' l¿u l¿ yula ;sfhk wirKfhla úosyg' Th ldf, ol=Kq wm%sldfj l¿ cd;slfhla úosyg Wmosk tl Ydmhla fj,d ;snqfk' j¾KfNaojdofha uyf.or fj,d ;snqfK ol=Kq wm%sldj' fï miqìu ;=< yeñ,agka kdls bf.k.;af; yfha le,eishg ú;rhs' ÿmam;alu ksidu Tyq riaidjla fydhd.kak k.rhg .shd' Tyqg Tyqf. iqÿiqlï wkQj ,enqfK msßisÿ lrkafklaf. ;k;=r' ffjoHjreka w;r m%isoaêhla oskd isáhd Tyq úY%du .sfha 1991 j¾Ifhaos' ta jk úg Tyq Whkam,a,df. ;k;=f¾ Tyq wjqreÿ 55lg wdikak ld,hla ú;r fiajh lr, ;sfhkjd' Tyq ñh .sfha 2005 fya uehs 29 fjksod' wm%sldfj flamagjqka kqjroS' ñh hk úg Tyq ol=Kq wm%sldju Tyq y÷kkjd' f,dalfha;a Tyq .ek ie<lsh hq;= msßila l;d l<d' jeäfhkau Tyq .ek oekf.k ysáfh ffjoHjreka' ta ffjoH úoHdjg wñ, fiajhla l< úoHd¾Ófhla úosyg'

42

flamagjqka úYaj úoHd,h ta jk úg úoHdfõoS mYapd;a Wmdêhl=;a yeñ,agka kdlsg msßku, ;snqK' ta yereKq úg ffjoH úoHdjg isÿ lrk ,o buy;a jQ fufyjr fjkqfjka 2003 j¾IfhaoS Tyqg trg ffjoHjrfhl=g ,ndfok by<u iïudkh Order of Mapungubwe kue;s nqyquk ,ndfokak trg ffjoH m¾fhaIK ljqkai,h ue<s jqfKa kE' jev lf<a Whkam,af,la" msßisÿ lrkafkla úosyg kï" úY%du .sfh;a ta ;k;=f¾u kï yeñ,agka kdlsg ffjoH úoHdj iïnkaOfhka fïid úYd, iïudkhla ,enqfK fldfyduo @ ol=Kq wm%sldfõoS isÿjqKq f,dalfha m%:u yDo noaO lsÍfï ie;alu Tn okakjd f,dalfha m%:u yDo noaO lsÍfï ie;alu isoaO jqfKa ol=Kq wm%sldfj lsh,' thg mqfrda.dó jQ ffjoHjrhf. ku l%siaáhka n¾kdâ' fï

ffjoHjrhd - udisl ffjoH iÕrdj

Y,H ffjoHjrfhl= jQ Whkam,a,d yeñ,agka kdls

l%siaáhka n¾kdâ 1967 j¾Ifha foieïn¾ 3 jkod fjdIaldkaials kï 55 yeúßos fjf<kafol=g yDo ie;alula lrk úg Tyqf.a ffjoH lKavdhu ;=< ta jk úg ridhkd.dr fiajlfhl= jYfhka fiajh l< fï Whkam,a,d" ffjoHjrfhl=f.a ;SrKd;aul ld¾hNdrh isÿlr ;snqKd' jdykhlg 2016 uehs l<dmh

hgù uereKq fud<hla iys;j yoj;a noaOhg ;Skaÿ fj,d ysáh mqoa.,hg yDoh fokak brKï fj,d ;snqfK fvksia vdfj,a kï iqÿ cd;sl ldka;djla' wef.a yoj; iq/lsj bj;a lsÍfï uQ,sl ld¾hh isoaO l< ffjoH lKavdhfï m<mqreÿ lKavdhï idudcslfhla jQfha ffjoHjrfhla fkdjQ yeñ,agka kdls'

uq,skau úYaj úoHdf, jevg wdfj lïlrefjla úosyg''' kdls" lïlrefjla úosyg úYaj úoHd,fha jevg wdfj 50 oYlfha wjidk Nd.fhaos' uq,skau Tyqg ;snqfK m¾fhaIK j,g .d,a lrmqq i;a;=kaf. l+vq msßisÿ lrk tl' Tyqg ishqï {dKhla ;snqK' bjiSula ;snqK' ukd lemùula ;snqKd' fï .=Kdx. ish,a,u ukqIHfhl=g fndfydu jákjd' Tyqf.a fï iqúfYaIS nj ksidu Tyqg fkdfnda l,lskau ridhkd.dr fiajlfhla úosyg lghq;= lrkak wjia:dj ,enqK' ridhkd.drfhaos;a yeñ,agka kdls uq,skau lf<a r¿ msßisÿ lsÍï jeks ld¾hhka' ta;a yeñ,agka kdls iqúfYaIShs' fï ksidu Tyqg ;j;a mshjrla bosßhg ;nkak wjia:dj ,enqKd' ridhkd.drh ;=< ishqï Ndú;djkag Tyqf.a iïudou fkdfnda osklskau ysñ jqKd' ;j;a ld,hl wejEfuka m¾fhaIK msKsi i;a;ajhka ks¾úkaokh lrk mqoa.,hd jqfKa yeñ,agka kdls' 43

BLACK GARDENER TURNED HEART SURGEON

yeñ,agka kdls'''

uq,au yoj;a noaO lsrSfï ie;alu tod mqj;am;a jd¾;d l< wdldrh

miqj i;a;ajhkaf. ixlS¾K ie;alï ;s;g" isÿ l<d Bg miafi Tyq mqfrda.dó m¾fhaIK lKavdhfï il%Sh idudcslfhla jqfKa lsisjl=f.a lsisÿ m%;sfrdaOhlska f;drjuhs' ta wkQj yeñ,agka kdls ydjka" W!rka" iqkLhka yd csrd*a wdoS i;=kaf.a Y,Hl¾u isÿ lrkakg jqKd' Tyqq lf<A is,a,r Y,Hl¾u fkdfjhs' fldrkß nhsmdia" wlaud wdoS Y,Hl¾u i;a;ajhka fjkqfjka isÿ lrñka ukd Yd,l mßphla ,enqjd' ta Tyq iu. yjq,aj lghq;= l< W.;a ffjoHjrekaf.a ud¾f.damfoaYKh yd weiqr ,nñka' noaO lrkak .;a; yoj; bj;a lrmq lKavdhfï fï Whkam,a,d ysáhd''' f,dj uq,au yoj;a noaOfhaoS tu ffjoH 44

lKavdhug yeñ,agka kdls we;=<;a lsÍug muKla fkdfjhs tys ;SrKd;aul j.lSula Tyqg mejÍug ffjoH l%siaáhka n¾kdâ miqng jqfKa kE' meh lsysmhl ixlS¾K Y,Hl¾uhlska miq yeñ,agka kdls m%uqL lKavdhu hka;% j, wdOdrfhka iamkao jk vdfj,a uy;añhf.a yoj; bj;a lrf.k lsysm jrla fidaod msßisÿ

ffjoHjrhd - udisl ffjoH iÕrdj

lr mkia mia yeúßos fjdIaldkaialsf.a mmq;=frys ia:dmkh lrkq msKsi ffjoH n¾kdâg Ndrÿkak' ta;a we;eï jd¾;d j, fï isoaêh igyka jkafka yeñ,agka kdls" wdOdrl lKavdhfï tkï Y,Hl¾uhg wdOdr lrk lKavdhfï idudcslfhlaj muKla isá njhs' tfy;a yDo noaO lsÍfï mqfrda.dó ffjoH l%siaàka n¾kdâf.au joka tjka ;¾l ksIam%Nd lrkjd' zzYd,lfõofhys,d Tyqf.a oE;a yiqrejk wdldrh ug;a jvd ;slaIKhs' ueyqï oeóug kï Tyq Wmkaf.hs reisfhlaZZ ffjoH l%siaáhka n¾kdâ tjka prs; iy;slhla yeñ,agka kdlsg fokjd' nelma àï tll ueyqï ;nk wh bkak neye fkdje''' úoajf;l=f.a ld¾hNdrh bgqlrñka''' ol=Kq wm%sldfõ tjlg mej;S j¾KfNaojdoS kS;sh wkQj lsisu l¿ cd;slfhl=g iqÿ 2016 uehs l<dmh

cd;slfhl= fjkqfjka Y,Hl¾uhla lrkak nE' ta;a yeñ,agka kdls fï lghq;a;g w; .eiqfõ Tyq ke;sj fï ld¾hh isÿ lsÍu ys;d.kakg;a wmyiq ùu ksihs' yDo ie;alï iïnkaOfhka .;a l, yeñ,agka kdls iEu ld,hlgu j,x.= úYsIaG m¾fhaIlfhla'ZZ “one of the great researchers of all time in the field of heart transplants” ffjoH l%siaáhka n¾kdâ tjka ms<s.ekSulao yeñ,agka kdlsg msßkukjd' m%:u yDo noaO lsÍfï ie;alfuys ls;af.di f,dj mqrd me;sr hdu;a iu.u Y,H ffjoHjreka flamagjqka yS frday, fj; meñK fï ms<sn|j j.;=. úuikakg jqKd' ta .ek meyeos,s lsÍï j,oS yeñ,agka kslSf.a iqúfYaIS Ys,am {dKh fuu ie;alu id¾:l lsÍug ufydamldÍ jQ whqre Tjqkg úia;r flreKd' miqld,Skj yeñ,agka kdls fï ms<sn|j lreKq ffjoHjrekg úia;r lrk wOHdmk{fhl=f.a ld¾hho isÿ lrKQ ,enQ nj The Daily Star mqj;am; i|yka lrkjd' Because of the success of heart transplants, which at the time was a revolutionary advance in surgery, surgeons from all over the world would come to Cape Town. They would marvel at Naki's techniques and learn from him. Naki had a major role in training those heart surgeons- thousands of them, who flocked to Cape Town to study under Barnard. Naki cherished his role as an educator. fï mú;%;dlrejdg ksis wOHdmkhla ,eîfï wjia:dj ie,iqks kï Tyq oSma;su;a Y,H ffjoHjrfhl= ùu lsisfjl=g;a je<elaúh fkdyels hhs ffjoH l%siaàka n¾kdâ m%ldY l<d' “He has skills that I don't have. If Hamilton had had the opportunity to perform, he would have probably become a brilliant surgeon.”

-Dr Christiaan Barnard to Associated Press in 1993 45

BLACK GARDENER TURNED HEART SURGEON

yeñ,agka kdls'''

yeñ,agka kdls mqfrda.duS yDo ffjoH l%siagshka n¾kdâ iu.

yeñ,agka kdls úY%du hk úg f,dalh Tyqg wdor kduhla msßkud ;snqKd' ta Self-Taught Surgeon hkqfjka' zz;ukaf.au oeKQfuka ìysjQ Y,H ffjoHjrhdZZ" miqld,Skj ffjoHjrfhl=g fkd,efnk f.!rj kdu" nqyquka ,nkakg Tyq jdikdjka; jQj;a we;af;kau ta wkaj¾: kduh Tyqg f,dalh ÿka jákdu nqyqukhs' miqjok yeñ,agka kdls .ek ug uq,skau oek.kak ,enqfKa uf.a ñ;=frl=f.ka' Tyq Wmd,s Wnhfialr uy;aud' uqyqKq fmd;g Wnhfialr uy;aud fufyu igykla tl;= lrkjd' zzuu oelal úYaj úoHd, wdpd¾hjrfhla ,sh, ;snqK fm!oa.,sl ffjoH úoHd, jykak ´ks lsh,''' Wiia fm< by<u ,l=Kq wrf.k mdia fjkak neß wh fldfyduo ffjoHjreka fjkafk lsh, wykj' f,dafl m<fjks yDo ie;alu lrmq n¾kdâ uy;a;hf. i.h .ek uu u;la 46

lrkjd' úNd.hl ,l=Kla folla wvqùu flfkla zzfudavfhlaZZ úosyg yxjvq .yk ;;a;ajhlafk oeka ,xldfj ;sfhkafk' yelshdj úNd. j,skau ukskak neß nj;a úYajúoHd, j, bv ke;s ksid ,l=Kla folla wvqfj,d we;=,a fjkak neß fjk YsIhdg;a fodia;r flfkla fjkak fyd|gu mq¿jka fjk nj fï igyfkka f;areï .kshs lsh, uu ys;kjd'ZZ fï f,dafl bkak yefudau wfkla whg;a .re lrkak bf.k .kakjd kï fï f,dalh we;a;gu iqkaor ;ekla fõú' úfYaIfhkau wfma W.;=ka" nqoaêu;=ka ksryxldr fjkak ´ks' óg jvd''' wr rEiai .yhs mqxÑ yq<`.g;a kefjk WK .yhs lsh, fok mdvu u;la lr.kak' meje;au .ek ys;kj kï yels ;rï ksryxldr fjkak' f,dafl mqfrda.dó yDo ffjoHjrhd l%siaáhka n¾kdâ lsh, ÿkafk;a ta mdvuuhs' Ndr; .=K;s,l úisks

ffjoHjrhd - udisl ffjoH iÕrdj

REAL LIFE OF A DOCTOR

fodia;r uy;a;hd iy ;d;a;d''' yosis Y,Hl¾uhlg frday,g le|jqKq ffjoHjrhd Y,Hd.drhg hqyqiq¨j we;=,a jQfhah' ie;alug Ndckh ùug kshñ; orejdf.a mshd ffjoHjrhd meñfKk ;=re fkdbjis,af,ka n,d isg iekiqï iqiqula fy¿fõh' Tyq ffjoHjrhd ÿgq .uka Tyq fj; lvd mekafkah'' zzwehs" Thd tkak fï ;rï fj,d .;af;'''uf.a mq;df. cSúf;a wk;=f¾ nj okafk keoao @ lsisu j.lSula ke;s yeá'''ZZ ffjoHjrhd iskyuqiqj fffia ms<sjoka ÿkakd''' zzuu ysáfh frdayf,a fkdfjhs' mKsúfâ ,enqKq .ukau uu msg;a jqKd' oeka b;ska l,n, fkdù bkakfld'''ZZ

zzl,n, fkdù bkak'''@ l,n, fkdù bkafk fldfyduo @ Thdf. mq;dg fufyu fohla jqfKd;a Thd l,n, fkdù bkakjo @ZZ mshd fldamfhka Yd,dj .s.=ï fokak lE .eyqjd''' iskyuqiqj Tyq foi n,dyqka ffjoHjrhd bkamiqj ms<s;=re ÿkafk fufyu''' zzñksiaiq bmfokjd''' ta jf.au uefrkjd''' ffjoHjrfhl=g tal kj;ajkak nE''' ta;a Thd Thdf. mq;dg lrorhla fjkak tmd lsh, wêIaGdk lr.kak' wms thdj fír.kak yeu fohlau lrkjd'''ZZ

zzuy f,dl=jg Wmfoia kï fokjd'''ZZ ;d;a;d fyñka ñuqKqfõh' ie;alug meh lsysmhla .;jqKd' Y,Hd.drfhka ffjoHjrhd t<shg wdfõ m%ikak njlska''' zzThdf. mq;df. fj,dj fyd|hs' thdf. cSúf;a fíreKd''' Thdg oek.kak fohla ;sfhkj kï k¾iaf.ka wy.kak'ZZ

fodia;r uy;a;hd iy ;d;a;d'''

zz wehs thd tÉpr wdvïnr''' @ uf.a mq;d .ek úia;rhla j;a wykak l,ska Tyq u.wer, .shd''' ZZ mshd fyoshg lSfõ fkdßiaiqïiy.;j''' fyoshf. weia r;= fj,d' uqiqK ye`.=ïnrhs' Tyq ;d;a; osyd ál fj,djla n,df.k ysáhd' zzThd okakjo @ Bfh isoao jqKq welaisvkaÜ tllska thdf. mq;d uereKd'''wo ;uhs wjika lghq;='''Thdf. mq;df. cSú;h fír, oS, thd blauKg .sfha thdf. mq;df. wjika lghq;= isoaO lrkak'''ZZ ljodj;a ;j;a flfkl=g fpdaokd lrkak j;a nkskak j;a yosis fjkak tmd''' iuyr fj,djg fï f,dafl h:d¾:h wjfndaO lr.;a foújre jf.a ñksiaiq;a wfma mqyqÿka nj ksid wmg jeros ldrfhd jf.a fmfkkjd'''

fï igyfkys iïmdoljrhd w{d;h'''

tfyu lsh, jdykhg ke.mq ffjoHjrhd yosisfhka jf.a frday,ska msg;a jqKd' 2016 uehs l<dmh

47

RISKY TIME FOR COFFEE

WoEik ysia nv fldams îu wjodkï'''

Say No, Coffee... for Bed Tea

WoEik ysia nv fldams îu wjodkï''' thska YÍr fi!LHhg whym;a m%;sM< we;s úh yelshs

ms fndfyda fokd w;r ckm%sh mdkhla' flda ksosu; iajNdjh ke;s lrk ksid .;g iúhla tl;= lrk ksid fldams mqreoaola jYfhka fndkakg fndfyda fokd yqreù isákjd' fldams ìõjg lula kE' ta;a WoEik wjos jQ iekska ysianv fldams fndkak tmd' thska wys;lr M<úmdl /ilau" ms<sld mjd we;s fjkakg mdr lmkjd' WoEik fldams mdkfhka yhsfv%dlaf,daßla wï,h jEfykak mgka .kakjd' bkamiqj .kak wdydrh kshñ; mßos cS¾Kh lsÍug fï fldams ndOd t,a, lrkjd' tfiau wka;% wdY%s;j m%odyhka we;s lsÍug" nfâ jd;h mqrjd oeóug jf.au YÍrhg wmyiq;djhla we;s lsÍug WoEik .kakd fldams fldamamh fya;= jk nj w;aoelSfuka ikd: ù ;sfnk ldrKhla' 48

fldams .ekSfuka fldaáfida,a kue;s ridhkfha >%djh ùu by< hkjd' wfma ffcj Trf,daiqj" ;j;a f,ilska lsjfyd;a tosfkod ld¾hhka ojilg fnod mqkrdj¾;kh lsÍug fya;=jk ridhkh fldaáfida,a fydafudakhhs' th mqoa.,fhl=f.a wjos nj mj;ajd .ekSugo WmldÍ fjkjd' th idudkH ;;a;ajhg m;aùug iEfyk ld,hla ñvx.= jk ksid th ojidrïNfha ffcj ßoauhgo wys;lr f,i n,mdkjd' WoEik wjos jQ ú.iu fldams fnkak fyd| ke;s jqKdg l=ig hula jegqKq miq .kakd fldams fldamamh fï lshk lsisÿ wjodkula f.k tkafka kE' hï flfkl=g fï isßf;ka ñfokaku neßkï lsß álla jeäfhka fhdod fldams fldamamh mdkh lsÍfuka we;súh yels Wmøj hï muKlska u¾Okh l< yels nj fï iïnkaOfhka mrafhaIK isÿ l< úoaj;=ka m%ldY lr isákjd'

ffjoHjrhd - udisl ffjoH iÕrdj

INVESTIGATIONS FOR FEMALE INFERTILITY

oreiïm;a fkdmsysàug wod,j ldka;djka fjkqfjka isÿ lrk mÍlaIK

ore iïm;a fkd,o ldka;djka .eí .kajk wáfhka isÿ lrk ffjoH mrSlaIK Wish Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr MBBS (Sri Lanka) MD (Gyn. & Obs - Infertility) China Pg. Dip. (Andrology) - Monash - OUSL Master of Clinical Embryology- (Monash, Australia) SLMC Reg. No. 20800

fujr ,smsfhka wm oreiïm;a fkdmsysàug wod,j ldka;djka fjkqfjka isÿ lrk mÍlaIK .ek l;dnyl fhfokjd'

uy;d iu. l< idlÉPdjla ore iïm;a ke;s fjkak m%Odk jYfhka fya;= ;=kla n,mdkjd' 1' ldka;djf.a hïlsis wvq¨yq`vq;djhla' 2' msßñhdf.a hïlsis wvq¨yq`vq;djhla 3' fï fofokdu mÍlaId lrdu" kshñ; mÍlaIK isÿ l<du lsisu fodaIhla olskafk kE' ta;a fï hqj,g ore iïm;a m%udo fjkjd' wUq ieñ fofokdu mÍlaIKhg Ndckh lrkak isoaO fjkjd fuysoS Nd¾hdj" tfyu;a ke;akï iajdñ mqreIhd hïlsis idM<H;d fodaIhlska fmf<kjdo lshk ldrKh y÷kd.ekSu fndfydau jeo.;a fjkjd' thska miafi ;uhs fodaIh y÷kd.kafk' m%;sldr ;SrKh lrkafk' u|ire;djh iïnkaO mÍlaIK isÿ lsÍfïoS ldka;djka i|yd muKla mÍlaIK isÿ lrkafka kE' fuysoS mqreIhd;a mÍlaIK j,g Ndckh úh hq;=uehs' ukao" oreiïm;a fkd,eîug n,mdk fya;= w;ßka ldka;d fya;= muKgu mqreI fya;=;a n,mdkjd'

2016 uehs l<dmh

óg fmr wm u|ire;djh ks¾jpkh l< wdldrhg hqj,la mÍlaIdjg ,la lrkafka jirl ld,hla j;a fkdlvjd m%;sikaê ndOl fkdue;sj ,sx.slj tlaùfuka miqjo .eí .ekSula isÿ fkdjqk úgoSh' jhi wjqreÿ 35 blaujq ldka;djkaf.a kï fï l,a n,k ld,h udi yhlg muK iSud flfrkjd' fuysoS uQ,sl jYfhka ffjoHjrhd yuqùug hk Tn my; wjYH;d iïmQ¾K lr isàu bosß lghq;= ie,iqï lsÍug myiqjla uq;a th 49

INVESTIGATIONS FOR FEMALE INFERTILITY

oreiïm;a fkdmsysàug wod,j ldka;djka fjkqfjka isÿ lrk mÍlaIK

• f*d,sl,a j¾Okh úuiSu i|yd lrk w,ag%d ijqkaâ mÍlaIKh

wksjd¾h wjYH;djhlao fkdfõ' ukao" tu uQ,sl mÍlaIK;a isÿ lrkak idM<H;d idhkfha myiqlï ;sfnkjd' 1'Tfí Tima ùu iïnkaOfhka f;dr;=re' kshñ; mßos isÿjkjdo @ .eg¿jla ;sfío hkak Tima ùu iïnkaO miq.sh osk jljdkq iu.ska' 2'.¾NdIfha" mef,damSh kd,j, hïlsis y÷kd.;a .eg¿jla ;sfí kï ta iïnkaO ffjoH jd¾;d' äïnfudapkh isÿùu iïnkaOfhka isÿ lrk mÍlaIKh ldka;djl fjkqfjka isÿ lrk mÍlaIK j, uq,au mshjr jkafka weh äïn fudapkh lrkjdo @ hkak iy;sl lr.ekSuhs' ore Wm;la i|yd wjYH ldka;d idOlh uQ,sl jYfhka äïn fudapkfhka n,.ekaùu óg fya;=j jkafkah' fuhg my; ldrKd we;=<;ah' • Urinary ovulation detection kit fhdodf.k isÿ lrk uQ,sl mÍlaIKh • fm%dfciagfrdka uÜgfï yeisÍu mÍlaId lsÍu i|yd äïn fudapkh isÿùfuka i;shlg miq isÿ lrk mid-luteal reêr mÍlaIKh

tfiau w,ag%d ijqkaâ ialEkska mÍlaIKh isÿ lsÍfuka .¾NdI wdia;rkfha iajNdjho (endometrium) fmd,sma fyda *hsfn%dhsv wdoS ndOl frda. mj;skafkao hkako ksYaph lr.; yel' mef,damSh kd,h yd .¾NdIh mÍlaIdjg ,la lsÍu fuysoSo uQ,sl jYfhka w,ag%d ijqkaâ mÍlaIKhl iydh ,nd .efka' mef,damSh kd,hl hï wjysr;djhla mj;skafkao hkak (tubal patency) fuu mÍlaIKfhka y÷kd .ekSug wjia:dj ie,fia' ,emriafldms iy ysiagriafldms mÍlaIK Dignostic laparoscopy and Hysteroscopy fuu b;d jeo.;a mÍlaIK ks¾úkaok ;;a;aj hgf;a Y,Hd.drhloS isÿ lrKq ,efí' In vitro

50

ffjoHjrhd - udisl ffjoH iÕrdj

fertilisation (IVF l%uhg ore iïm;a ,eîu wjYH hhs ;yjqre lr.;a ldka;djka i|yd fï mÍlaIK kej; isÿl< hq;= ke;'

ldka;djka Wfoid isÿ lrk fjk;a mÍlaIK ldka;djkaf.a idM,H;djh iïnkaOfhka mÍlaIK lsÍfïoS ta ta wjYH;djh wkQj lrk mÍlaIK lsysmhla u;= oelafõ' fï ieu mÍlaIKhlau iEu ujlgu isÿ l< hq;= fkdfõ' Tfí ffjoHuh wjYH;djh wkQj wjYH whg fï mÍlaIK we;efula isÿ lrKq we;'

laparoscopy mÍlaIKfhaoS fmlKsh wdY%s;j ilik b;d l=vd isÿrla u.ska m%ldY WmlrK iaÓms; lr .¾NdIh" mef,damSh kd," äïn fldaI iy fY%daKs l=yrho mÍlaIdjg ,la lrKq ,efí' .¾NdIh Tiafia mdrdkaO idhï j¾.hla we;=,a lr mef,damSh kd,j, wjysr;djhla ;sfío hkak fidhd.; yel'

Hysterosalpingogram (HSG) fuh tlaia lsrK Wmfhda.S lrf.k isÿ lrk mÍlaIKhls' mef,damSh kd, wjysr;d fkdue;s nj yd .¾NdI l=yrh ldhjHÉfPaod;aulj ksjeros l%shdldß;ajfhka hqla; jk nj fï mÍlaIKfhka ;yjqre lr.; yel' whäka wka;¾.; idhï úfYaIhla fhdaksu. osf.a .¾NdIhg tkak;a lrk w;r bkamiq th mef,damSh kd, mqrjk wdldrh tlaia lsrK m%;sìïn weiqf¾ ksÍlaIKh flf¾'

by; wdldrhgu ishqï m%ldY WmlrKhla ^leurd wdïmkak& isÿrla Tiafia .¾NdIhg m%fõY lsÍfuka .¾NdIfha m%fõKsl wvq¨yq`vq;d ;sfnkafkao" fmd,sma" *hsfn%dhsâ yd fjk;a leo,s (adhesions) ;sfnkafkao hkak úuiSug ,la l< yel' fuh Hysteroscopy mÍlaIKfhka imqrd.; yel'

Ovarian Reserve Testing fuh äïnfldaI ixÑ;h Ovarian reserve .ek wjfndaOhla ,nd.ekSfï mÍlaIdjla f,i ie<fla' weh kshñ; mßos äïn ksIamdokhla isÿ lrkjdo @ tajd wjYH .=Kd;aul;djfhka hqla; jkafkao @ fud<fhka ksl=;a lrk fydafudak ix{d j,g äïnfldaI ksis m%;sldr olajkafkao @ wdoS b;d jeo.;a .eg¿ rdYshlg fuu.ska ms<s;=re ,nd.; yel'

2016 uehs l<dmh

Transvaginal Ultrasonography Ultrasound probe tl fhdaksfhys ia:dms; lrñka isÿ lrk w,ag%dijqkaâ mÍlaIKhhs' fuu.ska *hsfn%dhsâ" ovarian cyst wdoS widudkH;d fkdue;s njg ;yjqre lr.; yel'

fuysoS uQ,sl jYfhka isÿ lrk reêr mÍlaIKh jkafka Folliclestimulating hormone (FSH) mÍlaIKhhs' Tima pl%fha ;=kajeks oskfhaoS isÿ flf¾' ta yereKq úg my; fydafudak mÍlaIKo wjYH;djh u; fï hgf;a isÿ lrKQ ,efí'

51

INVESTIGATIONS FOR FEMALE INFERTILITY

oreiïm;a fkdmsysàug wod,j ldka;djka fjkqfjka isÿ lrk mÍlaIK

• Estradiol • Antimullerian hormone (AMH) • Inhibin-B,

,nk l,dmfhka u|ire;djh fidhk mqreIhkaf.a mrSlaIK

fuu mÍlaIKh iq,nj isÿ lrkafka äïnfldaI ixÑ;h u| m%udKhla .kakd my; ;;a;aj imqrd,k ldka;djkagh' • jhi wjq' 35g jeä ldka;djka' • ;rula l,ska wd¾;j wNdjh isÿjk mjq,a b;sydihla imqrk ldka;djka' • äïnfldaI tlla muKla ;sîu' • fmr äïnfldaI Y,Hl¾uhlg Ndckh ùu" lSfudf;rms fyda úlsrK m%;sldr j,g Ndckh ùu • fya;=jla y÷kd fkd.;a u|ire;djh • Gonadotropin ovarian stimulation i|yd ÿ¾j, m%;spdr oelaùu fjk;a reêr mÍlaIK • Thyroid-stimulating hormone (TSH) iy prolactin level hk mÍlaIK ;hsfrdhsâ .%kaÓfha fodaI iy Hyperprolactinemia kï ;;a;ajh y÷kd.ekSug WmldÍ fõ' fï yd ine|S fodaI Tima widudkH;d" u|ireNdjh iy kej; kej;;a .íid ùu wdoshg iïnkaOhla ;sîug mq¿jk' • uqyqfKys" mmq;=frys wêlj frdau we;s ldka;djkag blood tests for dehydroepiandros terone sulfate (DHEAS), 17-a hydroxyprogesterone, and total testosterone isÿ lrKQ ,efí' • Tima pl%fha fofjks Nd.fhaoS isÿ lrk Progesterone level mÍlaIKh u.ska äïn fudapkhla isÿ jQfhao hkak ksYaph lr.; yel'

52

ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx.uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï lafIA;%fha m<mqreÿ wfma jD;a;Sh iydh ,nd oSug wm b;d leue;af;ka isáuq' wmg l;d lrkak' fukak wfma wxlh ( 077 972 8799 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a;mdr mrK fldÜgdj mdr Wvyuq,a, kqf.af.dv

ffjoHjrhd - udisl ffjoH iÕrdj

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

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

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

WISH Fertility & IVF Clinic

2016 uehs l<dmh

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

Tel: 077 9728 799, 077 3273 866 E mail: wishiuiivf@gmail.com 53 Web: wishiuiivf.com

AD-MIRE Creative

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

QUESTIONED HEALTH

Tn;a m%ska.a,aia lkjdo @

fukak m%ska.,aia j, ;sfhk Nhdkl úI øjH'''

Tn;a m%ska.a,aia lkjdo @

m%ska.a,aia lshkafk iqmsß wdydrhla' fmdfÜfgda Ñmaia j,g ¨Kq yd ier od," tlska tl wmQrejg msÜgq nïnqjla jf.a áka tll wiqr, ;sfhk m%ska.a,aia lkak orefjd ú;rla fkdfjhs jeäysáfhd;a wdihs' m%ska.a,aia fm;a; iu;, kE ;rula jl%hs' yeu m%ska.a,aia tllau mqxÑ jl%hl=;a tlal tlska tlg ISÜ fj,d ;sfhkjd' yßu wdl¾IKShhs' fï ksid ´ks flfkl=g lkak ysf;kjd' w, fm;sfk' krl fohla fjkak;a nE''' Tn tfyu ys;kjd fkao @ ta;a ienEj th fkdfjhs' ienEj ta m%ldYhg <`.ska j;a hkafk kE' ud tfyu lshkak fya;=j fï ,smsh lsheùfuka miqj Tnu ;SrKh lrkak' m%ska.a,aia lshkafk w, fm;s fkdfjhs m%ska.a,aia j, ;sfhkafk w, fm;s fkdfjhs' fïl lshkafk fjk lõrej;a fkdfjhs' fï iqmsß wdydrfha ksIamdolhkauhs'

54

ffjoHjrhd - udisl ffjoH iÕrdj

m%ska.a,aia lshkafk “luxury foods," tlla' fï ksid thg noaola .ykak ´ks' ngysr rgloS tjka n,mEula m%ska.a,aia fldïmekshg wdjd' zztfyu lrk tl widOdrKhs' fïj w, fm;s fkdfjhs" Tnu mÍlaId lr, n,kak''' w,fm;s j, ;sfhk wka;¾.;h fuys kE'''ZZ Tkak n<, u,af,ka t<shg mekak''' wms oeka n,uq tfykï fudkjo fï m%ska.a,aia j, ;sfhkafk lsh, @ iy,a" bß`.= iy w¾;dm,a j, iïñY%Khla fkdfyd;a Wl= oshrhla ;uhs uq,skau m%ska.a,aia yokak fhdod.kafk' fukak" m%ska.a,aia yok úosy iy,a" bß`.= jf.au w¾;dm,a fyd| fmdaIH wdydr ;uhs" ta;a fïjg fjk foa B<`.g n,kakfld' fï wdydr l=vq lr, msá fuda,shla uq,skau yokjd' fï msá fuda,sh b;d isyska fjklï hka;%dkqidrfhka w;=rkj' Bg miafi 2016 uehs l<dmh

rjqï fm;s lmkjd' Tn oel, ;sfhkjfk rileú,s ksIamdokd.dr j, - lkafõh¾ fn,aÜ tllska fï fm;s .uka lrkjd' fï .ufkaos tl ;eklos iïmSvkhg fm;a; ,la lrkjd' thska m%ska.a,aia fm;a;g wmQre jl% yevhla ,efnkjd' Bg miafi f;,a j, .s,a,kj' Bg miafi ;uhs úh,kafk' úh,khg ,la jqKdg miafi ¨Kq" ier jf.a wdl,k fjk fjku óg tl;= fjkjd' wjidkfhaoS hka;%dkqidrfhkau wr l=vd w,xldr lkafÜk¾ j, wiqrkjd'

iy,a" bß`.= iy w¾;dm,a j, iïñY%Khla fkdfyd;a Wl= oshrhla ;uhs m%ska.a,aia yokak fhdod.kafk' fï øjH ;=fkau jrola kE' ta;a jro ;sfhkafk ksIamdok l%shdj,sfh'''' fhdod.kak wfkl=;a wdl,k j,''' welaß,uhsâ kue;s w;s Nhdkl OQ,lh m%ska.a,aia j, ;sfhkjd wms oeka fuys we;s wk;=r .ek úuis<su;a fjuq' m%ska.a,aia ksIamdokfhaoS b;d wêl WIAK;ajh fhdod .kakjd' wê WIaK;ajfhka fïjd ieliSfïoS welaß,uhsâ kue;s w;s Nhdkl OQ,lh w;=re M<hla f,i ksIamdokh fjkjd' fïj m%ska.a,aia j,''' fmdfÜfgd iïñY%s; Ñmaia j, ;ejfrkjd' wka;¾.; fjkjd' thska ñoS .kakg iu;a ;dlaIKhla ;ju y÷kdf.k kE' m%ska.a,aia j,g ,dlaIKsl lymdgg yqre ÿUqre meyeh fï welaß,uhsâ tajdfha ;sfnk njg idlaIshla' úI øjHhla fldmuK fi!LHhg wka;rdhldÍo hkak y÷kd.kafka tys fldmuK fldgia m%udKhla tu wdydrfha wka;¾.;o hkak wkQjhs' wefußldfõ f*vr,a wêldÍkag wkQj fï welaß,uhsâ wjqkai wgl j;=r ùÿrejl uhsfl%d .a?ï 0'12 g wvqfjka ;sfnkjd kï 55

QUESTIONED HEALTH

Tn;a m%ska.a,aia lkjdo @

ke;fyd;a parts per billion (ppb) lshk ñkqug wkQj fldgia 0'5 g wvqfjka ;sfhkjd kï th wdrlaIs;hs' ta;a wjqkai wgl m%ska.a,aia Tn ñ,oS .;af;d;a tafla welaß,uhsâ wdrlaIs; m%udKh jf.a 500 .=Khla jeäfhka ;sfnkjd'

ishqï rihka flfryS rikyr j, ixfõoS;sdjh ke;sfj,d hkjd' fï .ek;a úúO .eg¿ ngysr rgj, we;s jqKd'

iakdhq wjysrlhla''' ms<sld j,g;a fya;= jk njg idlaIs ;sfnkjd welaß,uhsâ lshkafk b;d Nhdkl úIla' th iakdhq moaO;sh flfryS fnfyúka n,mEï lrkjd' ta Tiafia fud<fha l%shdldß;ajhg;a wys;lr n,mEï we;s lrkjd' ta yereKq úg welaß,uhsâ we;eï ms<sld we;s lsÍug fya;= jk nj;a m¾fhaIlhka wkdjrKh lrf.k ;sfnkjd' m%ska.a,aia ngysr iïNjhla iys; wdydrhla' jrla fojrla fkdj lsysm j;djlau fï m%ska.a,aia ksIamdolhkag tfrysj kS;s iïmdolhka lghq;= lr ;sfnkjd' le,sf*dakshdfõ Environmental Law Foundation (ELF) 2005 j¾IfhaoS fï m%ska.a,aia ksIamdolhkag tfrysj kvqjla f.dKq l<d' Tjqka fï wdydr j, ;sfnk ms<sldldrl wjodku .ek wêlrkfha lreKq olajd isáhd' nyqcd;sl wdydr iud.ï m%n,hs' wjidkfhaoS meñKs<slrejkag Tjqka iu. iudodkhlg t<öug isÿ jqKd' m%ska.a,aia j,g msgrgj, kï kvq msg kvq Frito-Lay kue;s m%ska.a,aia ksIamdol wdh;kh jrla wdydr wêldÍka úiska wêlrkhg meñKjQjd' tysoS wka;¾.; m%ska.a,aia j, mj;sk welaß,uhsâ ixLHdj 270 parts per billion ( ppb). olajd wvq lrk f,i wêlrKh ksIamdolhkag kshu l<d' ri kyr;a úlD;s fjkjd m%ska.a,aia j, ;j;a .eg¿jla ;sfnkjd' tajdg wêl jYfhka ¨Kq tl;= lr, ;sfhkjd' fjk;a m%n, ri tl;= lr, ;sfnkjd' fïjdhska ri kyr wêl f,i WoaoSmkhg ,la lsÍu ;j;a ydkshla' fuhska iajdNdúl ri kyr uefrkjd' 56

ngysr rgj, fï úosyg fïjdfha fi!LH iïmkakNdjh wNsfhda.hg ,la jqK;a tajd wm jeks rgj, ksoyfia wf,ú fjkjd' fï fjk;=re j;a lsisu ks,Odßfhla" mdßfNda.slfhla wfma rfÜ ksoyfia wf,ú jk m%ska.a,aia j,g wNsfhda. lr, kE' fï ksidfjkau wfma rfÜ uOHu mdka;slhka fï m%ska.a,aia j,g tkak tkaku yqre fjkjd' yß yuka jHdhduhla ke;s" msgráka tk wys;lr wdydr bU,d ms<s.kak úlD;s wdydr isß;la we;s wmsg fï úosfya lEu j¾.;a tl;= jqKdu b;du Nhdkl fi!LH ;¾ck j,g uqyqK mdkak isÿ fjkjd' ta ksid wfma ck;dj" fjfiiskau wfma ore mrmqr fujka w;sYh wka;rdhldÍ iqmsß wdydr j,ska uqojd .ekSu jeo.;a'

ffjoHjrhd - udisl ffjoH iÕrdj

HEALTH TIPS

osú iqrlsk Wmfoia • Tfí cx.u ÿrl:kfha negß Yla;sh ishhg 10g jvd wvq jQ úg th Ndú;fhka j<lskak' negß w.h fumuK wvq jQ úg thska úfudapkh jk úlsrK m%udKh 1000 jdrhlska jeä fõ' • iji 5 g miq nr wdydr .ekSfuka j<lskak' Wfoag rfcla fuka wdydr N=la;s ú|skak' rd;%sfha os,skafol=f.a wdydrfhka iekfikak' fï isß; wdydr .ekSfïoS we;s lr.kak' • Tfí folka j,ska fud<hg jvd;a wdikak jkqfha ol=Kq lkhs' fï ksid fudnhs,a ÿrl:k Ndú;fhaoS jï lk Ndú;d lrkak' • Wfoag j;=r jeäfhka fndkak' rd;%S ld,fhaoS ta m%udKh wvq lrkak' fyd| cS¾Kl l%shdj,shla i|yd ta isß; WmldÍ jkafkah' • Tfí isrer jvdg jvd;a úfõl .ekaùug fyd|u ld,h rd;%S oyh isg fmrjre y;r olajd ld,hhs' • Öia kskao fkdhk frda.hg losu Tiqjls' tfiau tys we;s á%mafgdmEka kue;s ridhkh ysf;a fkdikaiqkaNdjh ke;s lrhs' • ños YÍrfha fldf,iagfrda,a wvq lrk m<;=rls' tfiau th reêrmSvkho my; fy<hs' • ñf.%aka fkdfyd;a brejdroh we;s whgo Öia losuh' thg fya;= jkafka tys we;s le,aishï mod¾:hhs' le,aishï yd fmdiamria iq,nj we;s ksid Öia wkqNjfhka wiaÓ fi!LHho by< kexfjhs' 2016 uehs l<dmh

osú iqrlsk Wmfoia

• wem,a wkqNjfhka wêreêr mSvkh" oshjeähdj fukau yDo frda.o u¾Okh fjhs' tfiau thg ms<sld u¾Ok .=Khlao ;sfí' • fnfy;la î iefkka wef|a os.d fjkak tmd' u|la Tnfudn ilauka lrkak' ke;fyd;a hï YdÍßl l%shdldrlul ksr; jkak' th fnfyf;a .=Kh ,eîug WmldÍ jkafkah' • we,a j;=frka fnfy;a fndkak tmd' ta i|yd we,a uerE j;=r fyda WKQ j;=r fhdod.kak' • osh flduvq lEfuka Tfí yoj; .efyk iS>%;djh ys;lr mrdihl mj;ajd .; yels fõ' oshflduvq j, fmdgEishï yd ue.akSishï iq,nj ;sfí' tajd Tfí reêr mSvkho md,kh lrhs'

57

58

ffjoHjrhd - udisl ffjoH iÕrdj

2016 uehs l<dmh

59

SUGAR IN THE BLOOD

reêrfha iSks .ek iEu fokdu oek.; hq;= lreKQ lsysmhla

• we;eï T!IO Ndú;h ksid reêrfha iSks by< hdu y`.jk ,laIK • msmdih • lg fõ,Su • yeuúgu we;sjk l=i.skak • uq;%d nr ks;r we;sùu • fjfyilr nj • wruqKl ys; fhduq lsÍu wmyiq ùu • YÍrfha nr jeäùu • wdidok ks;r we;sùu • fmkSu fnd| ùu • ,sx.sl wm%dKsl;ajh • ;=jd, iqj fkdùu • iakdhq.; wdndO

reêrfha iSks .ek iEu fokdu oek.; hq;= lreKQ lsysmhla fndfyda fokd ys;df.k bkafk reêrfha iSks jeä fjkafk oshjeähdj ;sfhk whg ú;rhs lsh,' meKs rila lEju reêrfha iSks yefudaf.u jeä fjkjd' flala lE,a,la lEju" meKs îu ùÿrejla ìõju fï úosyg reêr iSks jeä fjkjd' ta;a oshjeähdj ;sfhk úg fï jeäùu muK blaujd hkjd' os.= ld,hla ;siafia fï jeäùu mj;akd úg th oshjeähdj njg m;a fjkakg bv ;sfnkjd' hï fyhlska reêrefha iSks jeä nj oek.kakg l%uhla ;sfhkjd kï tys wdoskj j,ska j< lskak Tng wjia:djla ,efnkjd' reêrfha iSks uÜgu by< hk fya;= • jeros wdydr • jHdhdu u|lu • udkisl wd;;sh • we;eï ffjoHuh ;a;aj ksid 60

we;eful=g fï frda. ,laIK lsisjla ke;sj;a reêrfha iSks uÜgu by< hkjd' tfy;a fmr lS ,laIK tlla fyda lsysmhla ;sfnkjd kï meh 12la ksrdydrj isg reêr iSks mÍlaIKhlg ,laùu kqjKg yqrehs' uq,a ld,fha y÷kd.;af;d;a wdydr YslaIKhla ;=<ska yd jHdhdu ;=<ska fuh u¾Okh lr .ekSfï wjia:dj;a Tng ;sfnkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

2016 uehs l<dmh

61

MIRACLE IN THE MOTHERS BELLY

l=i ;=< jefvk orejd .ek Tn óg fmr wid oek fkdisá lreKq lsysmhla'''

Miracle in the Mothers Womb

l=i ;=< jefvk orejd .ek Tn óg fmr wid oek fkdisá Tn mqÿuhg m;a lrjk lreKq lsysmhla''' • fuf,dj Wmosk ukqIHfhl=f.a .eyekq" msßñ nj ;SrKh lrkafka äïnh yd ixfiaph jk j¾Kfoay w;=ßka 23 jk j¾Kfoayh wkqjhs' ukqIHfhl=g j¾Kfoay hq., 23la tkï j¾Kfoay 46la mj;S' fuhska 23la ,efnkafka ujf.ks' wfkla 23 mshdf.ks' 23 jk j¾Kfoayg X fyda Y ùu u; .eyekshl fyda msßñfhl= ùu ;SrKh flf¾' fï wkQj Tfí ,sx.sl;ajh ;SrKh lrkafka Tfí mshd ñi uj fkdfõ' • ujf.a l=i ;=<oS wjika jrg mßK; jkafka fmKy¿h' 62

ffjoHjrhd - udisl ffjoH iÕrdj

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

www.waidyawaraya.lk

• orejdg l=i ;=< udi yhla ú;r jk úg orejd uq;%d lrhs' tajd ;ukau mdkh lrk wjia:do fõ' • l=i ;=< isák orejd úfgl y`vk nj Tn okakjdo @ • orejd .¾NdIh ;=< jefvkafka c,Sh udOHhlh' th l<,jdßl ;r,h f,i ye|skafjhs' fï l<jdßl ;r,fha jeä jYfhka we;af;a cSjdkqyß; orejdf.au uq;%d nj Tn fkdokakjd we;' 2016 uehs l<dmh

• YÍrfha we;s úYd,;u ffi,h ujf.a äïnhhs' tfia kï l=vdu ffi,h .ek;a Tn o; hq;=h' ñksia YrSrhl l=vdu ffi,h f,i y÷kdf.k we;af;a mshdf.a Y=l%dKqjhs' • uj wkqNj lrk wdydr l=i ;=< isák orejdg ri ú|sh yels nj wOHhk j,ska fy<s ù ;sfí' • ujf.a .¾NdI ixfldapk ore Wm;;a iu.u wjika fkdfõ' YÍrfhka wu;r reêrh msgùu j<lajkq msKsi fmaYs ixfldapk bjy,a jkafkah' • kQmka orejkag iam¾Y oefka' Tjqkag yd;ami oelsh yel' tfiau we;eï Yío weish yelaflah' • óhdf.a;a" ydjdf.a;a" f.daß,a,df.a;a" n,a,d''' W!rd fukau ñksidf.a;a ;,auidf.a;a äïn tl yd iudkh' • l<,rEmsfhl=f.a w;a we`.s,s j, we`.s,s i<l=Kq ;=ka uila hk úg ia:dms; fõ' • ñfldakshï hkqfjka ye|skafjk orefjl=f.a uq,au u<my i;s 21la jk úg yefohs' tkuqÿ tajd msg jkafka Wmf;ka miqjh'

63

PSYCHOLOGY AND PSYCHOLOGICAL TREATMENTS

ufkda úoHdj iy ufkda úoHd;aul m%;sldr

ufkda úoHdj iy ufkda úoHd;aul m%;sldr jHjydßl ufkda úoHd{ ksu,a ,shkf.a úisks

ufkdaNdj wOHhkfha úÿyqre úIh YdLdj ufkda úoHdj hkq ñksidf.a p¾hdj (Behaviour& udkisl l%shdldrs;ajh" (Mental Process) ms<sn|j lrKq ,nk úoHd;aul wOHhkhls' ufkda úoHdj oshqKq ùu;a iu. oeka i;a;ajhska fj;go ufkda úoHdj fhduq fjñka mj;S'

oS¾> b;sydihla iys; ufkda úoHdj úoHd;aul wOHhkhla f,i bosßhg meñKSu;a iu.u udkisl l%shdldß;aj iy p¾hdj wdY%s;j mj;akd fjkiaùï wiajdNdúl;d ms<sn|j wOHhkh lrñka tajd ksjeros lr,Su i|yd úfYaIs; jQ l%shdldß;aj oshqKq fjñka mj;S' m%;sldruh wxYfha mqkreohla" wirKNdjhg m;ajQjkag n,dfmdfrd;a;=fõ wdf,dalhla fulS oshqKqj;a iu.u ufkda úoHdj wdY%s;j m%;sldruh wxYh oshqKq úh' ta i|yd ufkda úoHd;aul isoaOdka;" kshuhka iy meyeos,s lsÍï iu. m¾fhaIKo mgka .eksk' fï i|yd ufkda úoHd{hka yd ffjoHjreka uQ,sl úh' th l%udkql+,j ffjoH úoHdj iu.o ine|shdjla wdrïN úh' fujka m%;sM< uQ,sl lr.ksñka ufkda úoHdfõ ufkda

64

ffjoHjrhd - udisl ffjoH iÕrdj

úoHd;aul m%;sldr oshqKq fjñka mj;S' fuu m%;sldr ufkda úoHd;aul frda." udkisl frda. i|yd úfYaIs;ju Ndú;d lrKq we;' fuu l%uhka ish,a,gu ridhKsl T!IO Ndú;d fkdlrKq we;' kuq;a fulS frda. m%;sldr l%u ridhksl T!IO fukau m%n, f,i frda. iqj ùug fhdod.kS' Wodyrk f,i úIdoh (Depression) .ksuq' fï i|yd ufkda úoHdj (Psychiatry) wkQj T!Iëh m%;sldr fhdod.kq ,nk w;r ufkda úoHd;aul ta i|yd fhdod .kS' iuyr wjia:d j,oS fuu l%u folu tlg fhdod.kS' jHjydßl ufkda úoHdj y÷kd.kak fuf,i ufkda úoHdfõ m%;sldr lrKq ,nk ufkda úoHd;aul wxYh jHjydßl ufkda úoHdj hkqfjka y÷kajhs' ta i|yd ;j;a úfYaIs; jQ ufkdaúoHd wxYhka fõ' fuu m%;sldr l%uh iu. ufkda úoHdfõ General 2016 uehs l<dmh

Psychology wxYho tlg noaO ù we;' ufkda úoHd;aul m%;sldr i|yd lsisu T!IOhla Ndú;d fkdflf¾' ufkda úoHd m%;sldr Ndú;d lrk úfgloS ufkda úoHd;aul úYaf,aYKh (psychoanalysis) iu.ska ufkda úoHd;aul we.hSu (Psychological Assesment) úfYaIs; fõ'

ufkda úoHdfõ m%;sldr lrKq ,nk ufkda úoHd;aul wxYh jHjydßl ufkda úoHdj hkqfjka y÷kajhs'

nyqúO udkhka Tiafia fmdaIKh jk oeKqfuka Tmq kejqKq úh;a úIh flafIa;%h fï i|yd isoaOdka;" kshuhka ufkda úoHd flafIa;% wdY%s;j fhdod.kS' úúO ufkda úoHd{hka úiska bosßm;a l< tu ish¿u lreKq u; ufkda úoHd;aul m¾fhaIK u; ks¾udKh ù we;' fuh b;d ixlS¾Kj l< hq;a;ls' úúOdldr jQ o;a; tl;= lsÍu" úúO we.hSï l%u" úYaf,aYK l%u fhdod.kS' fuysoS p¾hdjka ksÍlaIKh lsÍu" úúO l%shdldß;aj wOHhkh lsÍu l< hq;=hs' tfiau iuyr wjia:dj,oS ffjoH úoHd;aulj lrKq ,enQ wOHhk j,oS m¾fhaIK f;dr;=reo fhdod..ekSug isÿ fõ' fuh b;d jeo.;ah' WodyrKhla f,i we;eï wjia:d j,oS frda.Ska YdÍßl lelal=ï" fõokd" wmyiq;d jeks oE .ek meñKs<s l< úgoS ffjoH úoHd;aul ks.uk yd m¾fhaIK m%;sM< Ndú;d l< hq;=h' ta ;=<ska frda.shdf.a udkisl ;;a;ajh ks.ukh lsÍug yels jkq we;' fï i|yd ffjoH úoHd;aul oeKqu yd mßph w;sYhska jeo.;a jkafkah'

65

PSYCHOLOGY AND PSYCHOLOGICAL TREATMENTS

ufkda úoHdj iy ufkda úoHd;aul m%;sldr

fulS úYAf,aYKh yd we.hSu ;=<ska ,nd. kakd o;a; wkqidrfhka ufkda úoHd;aul frda. úksYaph (Diagnosis) l< hq;=hs' tu l%shdj,shg udkisl frda. úksYaph ms<sn| oeKqu wjfndaOh b;d jeo.;a jkafkah' fï i|yd f,dj ms<s.;a ICD fyda DSM hk l%u Ndú;d l< hq;=hs' fuu frda. úksYaph w;sYhska jeo.;a jkafka m%;sldr mrud¾:h (Aims of Treatment) yd m%;sldr wdrïN lsÍu i|ydh'

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

fuf,i m%;sldr l%u l%ufhka isÿlsÍu frda. ,laIK j,g fukau frda. ksOdkhgo m%;sldr flf¾' fï i|yd uq,ska i|yka l< wdldrhg ufkda úoHd;aul m%;sldr l%u Ndú;d flf¾'

waidyawaraya.lk

ufkda úoHd;aul m%;sldr lafIa;%h Mind - Body Interaction kï jQ úfYaIs; in|;djh u; r|d mj;S' tfiau ufkda úoHdj yd ufkda Ñls;aidj fffjoH úoHdj wdY%s;j f.dvke.=k úfYaIs; jQ m%;sldr l%uhls'

fm!oa.,sl;ajh iq/flk fia isÿ flfrk ueosy;aùï wjYHhs fuu m%;sldr isÿ lsÍfïoS frda.shdf.a mßmQ¾K fi!LHuh cSú;h ms<sn|j úia;r" /lshdj" mqoa.,sl cSú;h wdoS wxY flfrySo ie<ls<su;a ùu jeo.;ah' thska frda.Skaf.a udkisl fi!LHh fjkia lsÍug fulS wxYj, we;sjk fjkiaùï n,mdk fyhsks' fuu úia;r ryis.;j mj;ajd .ekSuo w;sYhska jeo.;a fõ' ufkda úoHd;aul m%;sldr lsÍfïoS b;du iqúfYaIS ;;a;ajhla jkafka m%;sldr wdrïN lsÍug fmr thska ,efnk m%;sM< l=ula úh yelso hkak frda.shdg fkdoekaùuhs' th frda.shdg oekSug" wjfndaO ùug i,iajd b;du l%uj;a wdldrfhka m%;sldr ud,dj mj;ajdf.k hduls' fuh m%;sldr lrk jD;a;slhdf.a olaI;djh u; r|d mj;sk fohls' Mind - Body Interaction fuu m%;sldr lsÍfïoS fyda úia;r ,nd.ekSfuka ufkda úYaf,aYKh yd we.hSu lrk úgoS frda.shd ;kslr fyda wka whf.a wdOdrh we;sj th l< yelsh' tho m%;sldr lrk jD;a;slhdf.a oeKqu yd wjfndaOh u; r|d mj;S'

66

iuyr úg fuh lshjk Tn fuu m%;sldr l%uh WmfoaYK udos,shla f,iu is;sh yel' th ksjeros fkdfõ' fï m%;sldr j,oS;a frda.shd iu. l;d lsÍu" idlÉPd lsÍu isÿ l<o th WmfoaYKfhaoS lrKQ ,nk l%shdj,shla fuka isÿ fkdlrKq we;' tfyhskau fuh Tng hï wd.ka;=l;djhla we;s l< yel' kuq;a

ffjoHjrhd - udisl ffjoH iÕrdj

oshqKq rgj, b;d m%n, f,i fulS ufkda úoHd;aul l%uh Ndú;d flf¾' ufkda frda. iuqodhlg iykh" iqjh Tn okakd úIdoh ^Depression& udkisl wd;;sh (Stress) , Anxiety& OCD jeks úúOdldr ufkda úoHd;aul fyda udkisl frda. fukau Tn jeämqr fkdokakd frda. i|ydo fuu m%;sldr iq,nj fhdod.kS' ufkda úoHd;aul mqkre;a:dmkh ;j;a jákd Wml%uhla ufkda úoHd;aul mqkre;a:dmkho udkisl frda. i|yd ufkda úoHd;aul m%;sldr i|yd fhdod.kS' yDofrda. mqkre;a:dmkh i|ydo ufkda úoHd;aul m%;sldr Ndú;d flf¾' th furgoS m%:u jrg Y%S ,xld cd;sl frdayf,aoS wdrïN lrKQ ,eîh' wdjrKh jk mq¿,a úIh lafIa;%h ;jo úúOdldr jQ ldhsl frda. j,g 2016 uehs l<dmh

ufkda úoHd;aul m%;sldr w;HjYH fõ' ldhsl frda.Ska ;=< mj;akd ÿn, udkisl" fi!LHuh ;;a;ajfhka uqojd .ekSu ;=<ska mßmQ¾K fi!LHiïmkak cSú;hla <`.d lrosh yel' úúO ldhsl frda. ,laIK ;snqKo tu lsisÿ frda. ;;a;ajhla ffjoH úoHd;aulj úia;r lr osh fkdyels ;;a;ajfhka fmf<k wh wo úYd, jYfhka iudcfha isà' ksoiqkla f,i ysiroh" we`.m; lelal=u" mk ke;slu" yqiau .ekSfï wmyiq;d" ,sx.sl .eg¿ wdosh ñka iuyrls'

ufkda úoHd;aul m%;sldr lsÍfïoS b;du iqúfYaIS ;;a;ajhla jkafka m%;sldr wdrïN lsÍug fmr thska ,efnk m%;sM< l=ula úh yelso hkak frda.shdg fkdoekaùuhs' th frda.shdg oekSug" wjfndaO ùug i,iajd b;du l%uj;a wdldrfhka m%;sldr ud,dj mj;ajdf.k hduls' fujka whf.a cSú;fha we;s wirK ;;a;ajfhka uqojdf.k id¾:l udkisl fi!LHhla we;s lr.ekSug ufkda úoHd;aul m%;sldr b;d iq,nj Ndú;d flf¾' ;jo mqoa.,hkaf.a fm!reI;aj .eg¿" kskao fkdhdu" flaka;s fkdhdu" Ñ;a;fõ.S ;;a;ajhkag uqyqKoSug we;s wmyiq;d i|ydo b;du;a ixúOdkd;aul ufkda úoHd;aul m%;sldr Ndú;d l< yel' 67

PSYCHOLOGY AND PSYCHOLOGICAL TREATMENTS

ufkda úoHdj iy ufkda úoHd;aul m%;sldr

/lshdj" újdyl cSú;fha wiSre;d" wOHdmkh wdoS osúu. wfkal úO .eg¿ i|yd úfYaIs; jQ ufkda úoHd;aul m%;sldr Family therapy, Psychological Guidance iu. fhdod.kS' fujka m%;sldr lrkq ,nk jD;a;slhd i;=j úfYaIs; jq jD;a;sh ,laIK .Kkdjla mej;sh hq;=h' fuu m%;sldr ,ndoSfuka frda.shdg csú;fha mek ke.S we;s .eg¿ l<ukdlrKh lr id¾:l.=kd;aul osúhla <`.d lr.; yel' ixlaIsma;j ufkda úoHd;aul m%;sldr úia;r lsÍug .;a W;aidyhls fï' ufkda úoHd m%;sldr ;=<ska udkisl fi!LHh" ldhsl fi!LHh ksfrda.S lrf.k b;d id¾:l cSú;hla .; lsÍu wmyiq fkdfõ'

68

jHjydßl ufkda úoHd{ ksu,a ,shkf.a BSc. MSc. (Applied Psychology) Col. MPhil/PhD SROT (UK), Dip OT (SL) Edu.Sc. Applied Psychologist fuu f,aLlhd fld<U cd;sl frdayf,a ufkda úoHd;aul m%;sldr uOHia:dkh ^ldur wxl 4& ysgmq jHjydßl ufkda úoHd{ jYfhkao" cd;sl frdayf,a yDo frda. wxYfha yDo frda. mqkre;a:dmk idhkfha jHjydßl ufkda úoHd{" cd;sl frdayf,a fN!;Ñls;aid iy jD;a;Sh Ñls;ail úÿyf,a ufkda úoHd" jD;a;Sh Ñls;ail wdpd¾h" ufkda úoHd yd m¾fhaIK ms<sn| fi!LH úoHd mSG lÓldpd¾h jYfhka lghq;= lr ;sfí'

ffjoHjrhd - udisl ffjoH iÕrdj

MYTH & TRUTH

T!IO iud.ï f,dalh md,kh lrk yeá

T!IO iud.ï f,dalh md,kh lrk yeá

• 1997 j¾Ihg fmr reêrfha ksrdydr .aÆfldaia ksfrda.S uÜgu (Fasting Blood Sugar) f,i ie<l+fha 140 mg/dl h' • f,dal fi!LH ixúOdkh fï w.h iudf,dapkh lrKQ msKsi lñgqjla m;a lrk ,oS' fï lñgqj úiska ixfYdaOkh lrk ,o ksrdydr .aÆfldaia ksfrda.S uÜgu (Fasting Blood Sugar) f,i ie<l+fha 126 mg/dl h' • fï ;SrKfhka miq tl /hlska f,dal ck.ykfhka ishhg 14la oshjeähd frda.Ska njg m;a úh' • bkamiqj wefußldkq oshjeähd iïfï,kh 2003 oS fï w.h 100la njg iïu; lf<ah' • wefußldkq oshjeähd iïfï,khg wkQj bkaoshdfõ ck.ykfhka ishhg 60la oshjeähd frda.Skah'

fï ;SrKh .kakg /iajQ lñgqfõ idudcslhka ljqo @ f,dalfha úYd,;u T!IO ksIamdolhka y;a fofkl=f.a WmfoaYlhka f,i l%shd l< úfYAI{ ffjoHjreka i;a fofklaf.ka tu ;Srl uKav,h iukaú; úh'

fuhska wm flareï .; hq;= i;H l=ulao @ Tn oshjeähd frda.sfhlao @ ke;ao @ fï ;SrKh .kafka T!IO iud.ï úisks' wo T!IO iud.ï úiska frda.Ska md,kh lrk wdldrhg fuh losu ksoiqkla fkdjkafkao @ 2016 uehs l<dmh

69

PENIS CAPTIVUS

ryi`. isrùu

udkj wka;¾iïnkaO;d úIfhys meK kef.k .eg¿ iïnkaOfhka l;dnyl fhfok ffjoHjrhd i`.rdj fï isÿùu;a iu.u tys cSj úoHd;aul wxYh ms<sn|j úuiSul fhfokjd'

iyjdifhaoS l,d;=rlska flfkl= uqyqKmdk uyd wlr;eínhla

ryi`. isrùu óg ál l,lg fmr Ökfha úY%dñlfhl=g wjdikdjka; iy kskaodiy.; hhso lsj yels isoaêhla ksid ;u cSú;fhka jkaos f.jkakg isÿ jqKd' Tyq lsishï .Ksldjlf.a myi ,nñka isáhoS yosisfha ñh.shd' fï wkfmalaIs; wjia:dfõ fï fofokd ldhsl jYfhka tlaj isá nj;a bka wk;=rej weh Tyqf.ka bj;a jkakg W;aidy l<;a" fl;rï ta i|yd wmuK fjfyi jqK;a th wiSre jQ nj;a wjidkfha wehg wjg isáhjqkaf.ka Wmldr m;kakg isÿjQ nj;a jd¾;d fjkjd' wjidkfha fï fofokdu frday,a.; lf<a ldka;dj Tyqf.a we`. Wv isák bßhõfjkauhs' fofkdaoyla ueo fï fofokd ks,a í,ekaflÜgqjlska jid frday, fj; f.k hkakg isÿ jqKd' Ökfha Miaopai kï iudc cd, fõí wvúhl m< lr ;snQ fï isoaêhg wod, ùäfhdaj miqj Daily Mail mqj;amf;a m< ùu;a iu.u f,dj mqrd wdkafoda,khlg ;=vq ÿkakd' fÄojdplhlska wjikajQ fï w;sYh fm!oa.,sl l%shdj wjidkfha urKhg m;ajQ úY%dñlhd;a" ldka;dj;a frday, fj; f.k .sh wdldrh my;ska krUkak'

goo.gl/ubbDSy 70

ldu iïfNda.fhaoS fï wdldrhg ldka;djf.a ryi`. ;=< fm!reI ,sxf.akaøsh isrfjk wjia:d úr,hs' tfy;a th isÿúh yelshs' tfia isÿjQ wjia:d .Kkdjla iïnkaOfhkao jd¾;d ;sfnkjd' fufia ldka;d ryi`. ;=< fm!reI ,sxf.akaøsh isrùu hkqfjka ffjoH úoHd;aulj Penis captivus hkqfjka ye|skafjkjd' jhil flfkla iyjdifha fhfok úg we;sjk udkisl úhjq, uq,skau wjdikdjka; Ök úY%dñlhdg isÿjQ isÿùu n,uq' jhiska jeä Woúh ,sx.sl lghq;= j, ksr; ùfïoS ldhsl jYfhkao udkisl jYfhkao úYd, wd;;shla we;s fjkjd' fndfyda úg fï wh ta i|yd f;dard.kafka jhiska wvq ldka;djka' fï whf.a ,sx.sl WoaoSmkhka jeähs'

ffjoHjrhd - udisl ffjoH iÕrdj

uq,skau fudjqka nr wdydrhla .kakjd' fï ldrKd folu Tyq flfrka yosis ;;a;ajhla ks¾udKh l< yels hhs journal Circulation, i`.rdjg “Sexual Activity and Cardiovascular Disease,” hk uefhka ,smshla iïmdokh lrk m¾fhaIlhka lKavdhula m%ldY lr isákjd' fï ,smshg wkQj ldu iïfNda.fha fhfoñka isáhoS ñhhk msßñ m%;sY;h ishhg 82-93la .kakjd' wfkla úfYaIs; ldrKh fï wdldrhg yosis urK j,g ,sx.sl ld¾hfha fhoS isáhoS m;afjk ishhg 75lau we;s lr.kafka wkshï iïnkaO;d' fï wkQj Tjqkaf.a uy¿ lh fukau is;;a fï ld¾hfhaoS úYd, wd;;shla .kakjd lshk ldrKh meyeos,shs' ft;sydisl jd¾;d penis captivus kï weneoaosh iïnkaOfhka uq,skau ffjoH úoHd;aul i|ykla jd¾;d jkafka c¾udkq cd;sl kdßfõo ffjoHjreka fom<la jk Scanzoni (1870) yd Hildebrandt (1872) úiska fï iïnkaOfhka 2016 uehs l<dmh

iïmdokh l< úoHd;aul ,smshl' lS¾;sOr British Medical Journal (BMJ) i`.rdj 1979 j¾IfhaoS F. Kraupl Taylor kï ffjoHjrfhl= úiska ieliQ ,smshla m%ldYhg m;a l<d' fï ,smshg wkQj kï penis captivus kï weneoaosh ñksia iudch ;=< we;sjkafka iïu; ;;a;aj hgf;a fkdfjhs'

we;eï ldka;djka ;u iylre ryi`. fj; m%fõYhla isÿ lrk wjia:dfõ ;u ,sfx.akaøsh yl=,d.kakjd' th ys;du;d lrk fohla fkdfjhs' nh ksid" ,ecacdj ksid" kqmqreÿ nj ksid fï ;;a;ajh we;s fjkak mq¿jka'

Hildebrandt kï ffjoHjrfhl=g ldka;djl úiska ;uka uqyqK mE w;aoelSula jd¾;d lr ;sfnkjd' ta oisÿùu isysm;a lrk fï Hildebrandt ffjoHjrhd lshk wdldrhg ldhsl iïfNda.fhka miq wehf.a ryi`. fmaYs b;d ;oska ixfldapkh fjkjd' fï ksid úkdä lsysmhla hk;=re wef.a ryi`. ;=< mqreI ,sx.h isrùula isÿjk nj fï wUq ieñhka meñKs<s lr ;snqKd' fï wUq ieñhkg udi .Kkdjla hk;=re ixjdifhka je<lS isák f,i Hildebrandt Wmfoia oS ;snqKd' 1947 j¾IfhaoS tx.,ka;fha ßkafâyS Royal Isle of Wight County Hospital frday, fj; ;u uOqiuh .; lrñka isá w¿; újdm;a hqj,la tlu fg%d,shl mgjdf.k meñK ;snqfKA fï weneoaoshg ,laùfuka' Brendan Musgrave kï ffjoHjrfhl=

71

PENIS CAPTIVUS

ryi`. isrùu

jd¾;d l< wkaoug fï isÿùfïoS ldka;dj ks¾úkaokhg ,la lr fm!reI ryi`. .,jdf.k ;sfnkjd' miqjod WoEik fï hqj, frdayf,ka kslau .sh nj ffjoHjrhd jeäÿrg;a wkdjrKh l<d'

ta;a l,d;=rlska ldka;djkaf.a fï fhdaks fmaYs bys,aùula isÿ jkafka kE' ta fjkqjg ryi`. ;=< mqreI ,sx.h uqød ùula isÿ fjkjd' túghs bj;a lsÍu wmyiq jkafka'

BBC rEmjdyskS fiajh fï wlr;eính isÿjk wdldrh iAUnkaOfhka úoaj;a idlÉPdjla fufyhjQjd' thg iyNd.s jQ Dr. John Dean úia;r l< wdldrhg ldhsl iïfNda.fhaoS isÿjk ffcùh l%shdj,sh my; úia;r fjkjd' ldßh miqmi we;s ffcù l%shdj,sh ,sx.sl ld¾hhloS wef.a ryi`. ;=<g ,sxf.akaøsh we;=<;a lsÍfïoS W;af;ack ksid ,sxf.akaøsh ;=<g f,a msÍula isÿ fjkjd' ldka;dj W;af;ackhg ,laùfuka wef.a fY%daKs mdou fmaYs ßoauhdkql+,j ixfldapkh fjkjd' fuysoS fhdaksu. ì;a;s úiska fm!reI ,sfx.akaøsh isr lr.kakjd' ta wjia:dfõoS f,a msÍu ;jÿrg;a isÿù isrùula fjkjd' ta;a fuh isÿjkafka ixfldapk we;sjk iq¿ ld,fhaoS muKhs' iefklska fY%daKs mdou fmaYs bys,a fjkjd' túg fm!reI ,sx.h bj;a lr.; yelshs' we;af;kau fuysoS isrùula ñi uqød úula isÿjkafka kE'

jhiska jeä Woúh ,sx.sl lghq;= j, ksr; ùfïoS ldhsl jYfhkao udkisl jYfhkao úYd, wd;;shla we;s fjkjd' fndfyda úg fï wh ta i|yd f;dard.kafka jhiska wvq ldka;djka' fï whf.a ,sx.sl WoaoSmkhka jeähs' uq,skau fudjqka nr wdydrhla .kakjd' fï ldrKd folu Tyq flfrka yosis ;;a;ajhla ks¾udKh l< yelshs'

72

fujka ÿ¾,N uqød ùula isÿjk wjia:djloS wehg m%ijfhaoS .¾NdIh bys,a ùug fok T!IO tkak;a lsÍfuka thska ñoSug yelsjk nj Dr. Dean kï ffjoHjrfhl= mjikjd' w;aoelSï fnodyod.;a Y%djlfhda''' BBC's Health Check jevigyfkka fï iïnkaOfhka jevigyklska lreKq bosßm;a lsÍu;a iu.u fujka w;aoelSï j,g uqyqK ÿka lsysm fofklau .=jkaúÿ,sh yd iïnkaO jqKd' ku i|yka fkdl< ldka;djla uq,skau l;d lrñka ;ud;a ;u iajdñmqreIhd;a fuu w;aoelSug uqyqK mE nj fkdj,yd ms<s.;a;d' fï jevigykg wjqreÿ 75l mqoa.,fhla l;d l<d' Tyq ;uka y÷kajd ÿkafka fcdaka hkqfjka' ;ukaf.a jhi wjqreÿ 22la muK jk

ffjoHjrhd - udisl ffjoH iÕrdj

jljdkqfõoS wefußldkq .=jka yuqod Ngfhl=g fujka weneoaoshla jQ njg jQ i|ykla Tyq isysm;a l<d' fï fofokd fjka lsÍug frday,a.; lsÍug isÿjQ njo Tyq isysm;a l<d' fcdaka bkamiq fj<| kdúlfhl= jYfhka lghq;= lrk iufha cmdkfha hqj;shl yd wdorfhka fj¨KQ nj;a weh yd .; l< fm!oa.,sl wjia:djloS ;ukao fï W.=f,a isrj úkdä lsysmhla .; l<d Tyqg isysm;a jk nj;a Tyq iskyfiñka .=jka úÿ,s jevigykg u;la lr ÿkakd' isjqmd''' l%shdldß;ajh iqkLhka iyjdifhaoS fï w;aoelSug iq,nj uqyqKmdkjd' thg fya;=jla ;sfnkjd' iqkLhka ,sx.sl w;aoelSï ,noaoS YsIAKfha f,a msfrk fjku l=àrhla ;sfnkjd' fï l=àrfha we;s f,a kej; uq,a msysàug tk f;la Wkag kej; fjka fjkak nE' we;af;kau th iajdNdúl ldhjHÉfPaod;aul ieliqula'

2016 uehs l<dmh

fmïj;=ka fofofkla osú kid .;a;d 1920 j¾IfhaoS fmda,ka;fha fjda¾fida kqjroS wkqfõokSh isÿùula fï ,sx.sl mg,ú,a, ksid isÿ jqKd' tla;rd fmïj;=ka hqj,la ;u w;sYh fm!oa.,sl wkqrd.S yuqjl fhfooaoS fï wdldrfhka ,sxf.akaøsh isrùula jqKd' fuysoS;a fï fom< fjka lrkakg ldka;dj ks¾úkaokh lrkakg isÿ jqKd' fï isoaêh B .yl fõ.fhka me;sr f.dia jd¾;dlrejka ta ia:dkhg frdla jqKd' fuhska n,j;a ,ecacdjg m;a wirK fmïj;=ka fofokd miqoskfha ßfjda,ajrhlska ysig fjä ;ndf.k ñh.shd' wkshï in|;d j, m%;sM<hla''' hk u;hla''' Manual of Gynaecology kñka ffjoH .%ka:hla rpkd l< Walter Stoeckel kï ffjoHjrfhl= penis captivus wkshï in|;d j, m%;sM<hla jYfhka we;s fjk ixisoaêhla fia úia;r lrkakg fm<UqKd' fjkhï flfkl= yg wkdjrKh fõfoda hk ìfh ksid wef.a ryi`. fmaYs ixfldapkh ùfuka fujka wlr;eín we;sjk nj Tyq ;u lD;sfha i|yka lrkjd' kuq;a fï u;hg úoaj;=ka jeä fofkla tl`. jkafka kE' we;eï ldka;djka ;u iylre ryi`. fj; m%fõYhla isÿ lrk wjia:dfõ ;u ,sfx.akaøsh yl=,d.kakjd' th ys;du;d lrk fohla fkdfjhs' nh ksid" ,ecacdj ksid" kqmqreÿ nj ksid fï ;;a;ajh we;s fjkak mq¿jka' úfYaIfhkau w¿; újdm;a jQ wh w;r fujka wmyiq;d iq,nhs' ffjoH úoHd;aulj fuh Vaginismus hkqfjka y÷kajkjd' ryi`. isrùu iïnkaOfhka ft;sydisl jd¾;d wkqidrfhka ilia l< fï ,smsh we;eï úg Tnf.a uú;hg fya;= jkakg mq¿jka' th cq.=maidckl hk u;hla flfkla m< l<;a tys;a uú;hla kE' ta;a udkj ffcùh mßKduh kue;s mq¿,a úIh flafIa;%h ;=< úr, uq;a fujka ldrKd;a imqrd neyer lrkak nE' ukao" wm mh .ik fmdf<da ;,h ;=< fïjd;a udkj ixy;sfha w;aoelSï jk ksihs'''

73

KITCHEN OPER ATION FOR CHICKEN

l=l=,a uia úIîc wdlrhla''

l=l=,a uia úIîc wdlrhla'' th wdrlaIs;j ms<sfh, lr.kafka fufyuhs''' ia''' wo ojfia ckm%sh wdydrhla' fndfyda fokd l=l=,a uia álla tlal n;a lkak leu;shs' ke;akï Tn leu;s fndfyda wdydr j,g l=l=,a uia ñY% lrkjd'

u

fï lshkakg hkafka l=l=,a uia fi!LHdrlaIs;j ms<sfh, fkdlsÍfuka we;sjk fi!LH Wjÿrla .ekhs' wuq l=l=,a uia j, Tn uú;hg m;a lrjk ;rï úIîc úYd, m%udKhla ;sfnkjd' hï fyhlska fï úIîc ish,a,lau wdydrhg .ekSfïoS úkdY fkdlf<d;a Tfí isrer f,v fjkjd' we;eï úg frda.S ;;a;ajh b;d ne?reï lrkakg mjd fï úIîc fya;= úh yelshs' fudkjo ;sfhk úIîc - ie,afudfk,a,d ie,afudfk,a,d lshkafka l=re,a,kaf.a wka;% j, j¾Okh jk b;d iq,n nelaàßhdjla' fï ie,afudfk,a,d úIîch ;ejreKQ wdydr mßfNdackhg .;a úg ñksiaiq f,v fjkjd' nfâ reodj" WK" Worfha uiams`vq fmr<SU" Tlaldrh" jukh''' fï úosyg fkdfhl=;a frda.S ,laIK fï nelaàßhdj YÍr.; ùfuka we;s fjkjd' fndfyda fofkl=f.a frda.S ;;a;ajh osk lsysmhlska weß, hkjd' ta;a l,d;=rlska flfkl=g frda.h W;aikak fjkjd' we;eï fj,djg fimaáiSñhd fkdfyd;a f,a úIùfï frda.h fï ie,afudfk,a,d nelaàßhdj ksid we;s fjkak mq¿jks'

74

leïmsf,danelag¾ nelaàßhdj fuh;a l=l=,a uia jf.au udxYuh fjk;a wdydr ksid we;s fjkak mq ¿jka frda.S ;;a;ajhla' fuysoS;a YÍr.; jQ mqoa.,hd WordndOhlg uqyqK mdkjd' we;s fjkafk ;rula oreKq fõokdjla' ojia oyhla ú;r frda.h w,a,df.k ysákjd' fï nelaàßhdfõ ;sfhk úfYaI wjodku ;uhs" l,d;=rlska uq;a flfkl=g wjodkï iy.; ixl+,;d j,g uqyqK mdkakg isÿùu' ykaosm;a fõokdjg m;a lrjk wd;rhsáia frda.h fuys tla ixl+,;djhla' uq¿ iakdhq moaO;shgu n,mdk" fmaYs wl¾uKH;djh we;s lrjk .s,ka ndf¾ frda.h leïmsf,danelag¾ f.k tk ;j;a b;d Nhdkl ixl+,;djhla' wefußlfj fï .s,ka ndf¾ frda.hg Ndckh jQ frda.Skaf.ka ishhg y;,sylgu Bg mdol fj,d ;sfhkafk fï leïmsf,danelag¾ nelaàßhdj lsh, wkdjrkh ù ;sfnkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

m¾fhaIlhka lshk wdldrhg fiaoSfuka fï leïmsf,danelag¾ úIîch úkdY lrkak nE' tfykï l=l=,a uia ál fyd|ska fyaÿjd lsh, wdrlaIdjla bka ie,fikafk kE'

l=l=,a uia fiaoSfuka tys we;s úIîc bj;a jkafka kE m¾fhaIlhka lshk wdldrhg fiaoSfuka fï leïmsf,danelag¾ úIîch úkdY lrkak nE' tfykï l=l=,a uia ál fyd|ska fyaÿjd lsh, wdrlaIdjla bka ie,fikafk kE' fï w;sYh wjodkï iy.; úIîc úkdY lrkak fudkjo tfykï lrkak ´ks' by< WIAK;aj j, fyd|ska msiska ´ks" thhs úi÷u lrkak ;sfnk tlu foh fyd|ska fï uia msiSu' by< WIAK;ajfha ish¿u wdydr wxY= ;dmkhg ,la fjk nj Tn iy;sl fjkak ´ks' l=l=,a 2016 uehs l<dmh

uia yÜáfha ;sfhk f,dl=u uia lE,adf,;a we;<" wNHka;rh fyd|ska msfik njg idlaId;a fjkak ´jks' iuyre uhsfl%dfõõ wjka j,ska uia msiskak W;aidy lrkjd' th wjodkï iy.;hs' taldldÍj wdydr msiSula fuysoS isÿ fjkafk kE' fyd|g .skaor od, uia msisk tl ;uhs" fï úIîc úkdY lrkak ;sfnk tlu l%uh' wdrlaIs;j uia .nvd lrkafka fufyuhs wjidk jYfhka ;j;a tla lreKla fï iïnkaOfhka lshkak ´ks' msiskak fmr uia YS;lrKfha .nvd lsÍfïoS fi,aishia wxYl y;rg wvq WIAK;ajhl uia .nvd lsÍfuka nelaàßhd fndaùu kj;skjd' óg jeä WIAK;aj j,oS nelaàßhd j.d fjk ksid by< WIAK;aj j, YS;lrkfha jqK;a .nvd lsÍu m%fhdackj;a fkdjk nj Tn oek.; hq;=hs'

75

THOUSAND WORDS IN ONE IMAGE...

l:d lrk msx;+r

Thousand Words in ONE IMAGE...

l:d lrk msx;+r High Heel Shoes f.fkk wk;=r ldka;djkS" Tn;a High Heel Shoes m<|skjdo @ fï tlaiaf¾ PdhdrEmh fï ksid wiaÓ úmÍ; jk wdldrh yd thska mdoh u; we;sjk wd;;sh fudkjg úoyd olajhs'

we`.s,s .,jk f,dalfha Nhdklu u;aøjH fï;a nvje,a''' fï úosfya msïnqKq nvje,a yefok frda.fha ku Toxic megacolon. inflammatory bowel disease ulcerative colitis, Crohn's disease, wdoS frda. we;s jqKdu Clostridium difficile jeks wdidokhla we;s jqKdu tajdg ksis m%;sldrhla .kak fkd,enqKdu fjk foa ;uhs fuhska fmkajkafk' 76

Krokodil lshkafk oekg y÷kd.;a f,dalfha Nhdklu u;aøjH' T!IOhla f,i;a Ndú;d jk fuda*ska j,ska ;uhs ksmofjkafk' fïl .;a;u YÍrh we;=f, f,a kyr mqmqrkj' rEmfha ;sfhk úosyg mgl ueß, we`.s,s jefgkjd' weíneys jqfKd;a wjqreÿ follska muK fkdtk .uka hkjd iy;slhs' ffjoHjrhd - udisl ffjoH iÕrdj

ujf.a;a orejdf.a;a wñ, iïnkaOh lefvkakg fudfyd;lg fmr''' ;ukf. orejd Wmka ú.iu wdorfhka .kakd fï wïud ;j;a fudfyd;lska oi udihla ;siafia ;ukaf.a f,hska orejdg fmdaIKh ,ndÿka jeoEuy ¨yqj;a lsÍug iQodkï'''

wisßu;a ma,diaála Y,Hfõoh ma,diaála Y,Hfõofha yelshdjka úYañ;hs' ys;d.kakg;a neß ;rug ms<siaiqKQ fï orejd;a" oeßh;a kej;;a wdl¾YKSh jQ rEmhlg ysñlï ,enQfha fï ma,diaála Y,Hfõoh ksidfjks'

ffjoH YsIHhkaf. orefjda''' fï rEmfha oelafjkafka 1940 oYlfha ffjoH YsIHhkaj isá msßila' fï rEmh .ekSug Tjqka iEu flfklau urKhg m;ajQ orefjl=o iómfha ;nd.;a;d'

2016 uehs l<dmh

77

DO NOT SIT ON YOUR WALLET!!!

fmdlÜ tl msámiai idlal=fj odf.k jdä fjkak tmd'''

al=fj l d i i a i m msá l t Ü l d m f md''' t k a k j f odf.k jdädoekSu Tn osfkl a fk d''' thska Tn; re ldrfhla fjkj ud fldkafo w

fndfyda msßñka ;ukaf. miqïìh" fmdlÜ tl od.kafk msámiai idlal=fj' fndfydau wdvïnrfhka" msïfnkak miqïìh od.kakjd''' miqïìfh ;sfhk foaj,a .ek;a fkdlshdu nE' whsfvkaá ldâ tlhs v%hsúka ,hsika tl''' Th lShla yß uqo,a álla''' jf.a ke;sju neß wdïmkak állafk ;sfhkak ´ks' ta;a we;efulaf. fmdlÜ tl mqxÑ nE.a tlla jf.a' fl%äÜ ldâ" fg,¾ ldâ" fld< lE,s'''' fmdfgda lE,s''' fï úosyg fïfi Wv" w,audßfh ;shkak ´ks f.dvla foaj,a miqïìfh odf.k hk hk ;ek wrf.k hkjd' wek ;shd.kafk fmdlÜ tl miai idlal=fj ;sfhoaosuhs fldfy yß jdä fjkfldg wek ;shd.kafk fmdlÜ tl idlal=fj ;sfhoaosuhs' b;ska fmdlÜ tfla ;sfnk foaj,a wkQj wvq jeä jYfhka jdä fjkafk reysf;g''' isrefr uOH.; iunr;djh ke;s fj,d hkjd' fuh b;du krl mqreoaola' m¾fhaIlhka y÷kdf.k ;sfnk wdldrhg 78

ffjoHjrhd - udisl ffjoH iÕrdj

fï úosfya mqreoaola ;sfnk nyq;rhla fokd fkdoekSu miqld,fhaos fldkafo wudreldrfhd fjkjd' miqïìh miaid me;af; fmdlÜ tfla odf.k jdä jqKdu wm jdä fjkafk wef,ag' thska fldkaog wd;;shla we;s fjkjd' ta jf.au fï msysàu ksid là m%foaYfha ;sfhk iakdhq f;rmSulg ,la fjkjd' ihála iakdhqj f;rmSug ,la fjkjd wfma ;Ügï ks¾udKh jqKQ fmaYshla ;sfnkjd .aÆgia uelaisuia lsh,' tys .eUqßka mek k.sk msßf*dañia fmaYsh wdrïN jkafk lfYareldfj my;ska'''' th l<jd

2016 uehs l<dmh

wiaÓhg;a iïnkaOhs' ta yryd iakdhq /ila .uka lrkjd' fjd,Ü tlla idla=fj od.;a;yu fï msßf*daï fmaYsh wd;;shg m;a fjkjd' mSvdjlg m;a fjkjd' tajd yryd .uka lrk iakdhq fuysoS f;rmSulg ,la fjkjd' ihála iakdhqj bka m%Odkhs' wd;;shg ,lajQ fmaYs yryd hk iakdhq f;rmSfuka ihála iakdhqj iïnkaO mdoh olajdu wjhj ysß jeàula we;s fjkak mq¿jka' zmsßf*dañia iskafv%dïZ lshkafk fï fmaYsh weoSug ,la ùfuka we;sjk oeä fõokdjla fldkafoa we;s lrJk frda.hla' meh .dkla ßh mojk úg fmdlÜ tflka jdä fjkak tmd''' meh .dkla ßh mojk úg" meh .dkla tl ;ek jdä fj,d bkak úg fï fldkafo wudre we;s fjkak ;sfnk wjia:d jeähs' ;reK ldf, iuyr fj,djg Tng .eg¿jla we;s fjkafk kE' kuq;a jeros bßhõjla fndfyda ld,hla mqreÿ mqyqKq lr.;a;u tys m%;sM< miqld,Skj Tn fidhd tkjd' fï ksid miai me;af; idlal=fj miqïìh odf.k hk mqreoao Tng;a ;sfnkjd kï thska wou w;a ñfokak' thska Tng u;= oskhl n,j;a mSvdjla f.k osh yels frda.hlska ñfokak wjia:dj ie,fikjd'

79

TRAGEDY

Ôú;h tmd jqKq ldka;dfjda tf,dj hkq fjkqjg ueofmrÈ. hkjd

Ôú;h tmd jqKq ldka;dfjda tf,dj hkq fjkqjg ueofmrÈ. hkjd Y%S chj¾Okmqr úYaj úoHd,hSh iudc úoHd wOHkdxYfha uydpd¾h iaj¾K,;d fmf¾rd ueo fmrÈ. .Dy fiajhg hk wfma rfÜ ldka;djka fj;ska zTn rg / lshdjlg hkakg fm<Uqfka wehs@Z hkqfjka wiqfjd;a jeä fofkl=u fok ms<s;=r jkafka zÔj;a jkakg yß yux wdÞhula fkdue;s ùuZ ksid hkakh' ;j;a úÈhlska lsjfyd;a mjq,g hym;a wd¾Ólhla f.dvk.d .kakgh'

th m%Odku lreK jqjo fï yereKq úg f.hla fÞrla ;kd .kakg" orejkag hym;a wOHdmkhla ,nd §ug" orejka újdy lr §u i|yd uqo,a fidhd .kakg wd§ jYfhka lsisfia;a widOdrK fkdjk fya;= fï ldka;dfjda bÈßm;a lr;s' u;=msáka fmfkk b;du idOdrK fya;= fïjd jqjo fï yereKq úg ldka;djka ueofmrÈ. /lshdj,g hdug n,mdk ;j;a fya;= ;sfí' 80

ffjoHjrhd - udisl ffjoH iÕrdj

fuys ;snqfKa iem ±k .ekSfï ldka;djka úfoia.; mrK w;Dma;slr" wjldYh wysñ úh' jkafka w.ys`.lï fõokdldÍ Ôú;huh' f,nkka rfÜ ksidu fkdfjhs weh ál ojila hqoaOh we;s jQfha fï ug yuqjQ jhi ,xldfõ .; lr w;r;=r§h' fï wkqj wjqreÿ y;,syl fofjks jr f,nkka ieÕù Ôj;a jQ weh muK ldka;djla rgg .shdh' tys tl È.g f,nkka uq,ajrg ueofmrÈ. jir foll fiajd rfÜ .;l< ld,h f.dia ;snqfKa wef.a ld,h wjika jQ wjqreÿ fÞ<ylg jeä jhi wjqreÿ úis miq weh ,xldjg úh' wjidkfha weh .Kkaj,§h' tA 1988 meñKsfha ke;' tA ,xldjg meñfKk jif¾§h' m%d:ñl wkqj kS;shg mgyeks úg orejka újdylh' fY%aKsj, W.;a f,i weh tA rfÜ ieñhd wka ldka;djl ÈhKshka fofokl= ieÕù isáfha kej; fj; f.disks' isáh§ weh tA orejka ,xldjg tkakg ;snQ hqoaOfhka weh ñh /l n,d .ekSu fkdleue;a; u;h' f.dia we;ehs is;d ys; ish ujg mjrd yÞf.k isá orejkag ueofmrÈ. hdug ujf.a meñKSu fm<UqfKa by; lS wuq;a;la jQ mßÈ fyd| wd¾Ólhla w;r Tjqka f.dvk.d .kakg ;=< uj fyda f.hla ;kd flfryS .kakg fkdfõ' .Dy fiaúldjla f,i fmr ieñhdf.ka rg hdug jvd fï rfÜ mej;s ;snQ lror weÕ¨ï lïy,l fyda fï u; mjq,a rfÜu .Dy fiajfha fh§u Ôú;h tmdùu hym;ah' kuq;a fndfyda l;=ka ksidh' fuh wjfndaO lr fkd.ekSu ieñhdf.a wjdikdjls' lror wdl,amo msgq±lSu msKsi is£ Èúkid .kakg ì£ f.dia lsysm jrlau is;S ;sìKs' tA ;snqK;a weh th uj Tjqkag u;l l%shd;aul fkdlr fufia we;s ld,hlska wjidkfha ueofmrÈ. ieÕù Ôj;a ùfï ióm ù fkd;sîu .shdh' fya;=fjka wehg ksidh' l,lsÍï iy orejka iu. l;dny tmdùï msgq olskakg uq,a jir fol lsÍfï" Tjqkaf.a ÿl úfoaY.; jQ wehg .; lr ,xldjg fuys meñKs miq meñKsh;a wehg 2016 uehs l<dmh

81

TRAGEDY

tfuka lsysm .=Khl l,lsÍï lkaordjla ;=re¨ lr .kakg isÿ úh' weh ±ka Ôj;a jkafka ;on, udkisl mSvdjlsks' rg isák fhfy<shka fyda ×;Ska álÜ m; tjk ksid rg hk wh" tAckais u.ska fj<| ±kaùï wdÈh ;=<ska lrk fm<Uùï ksid rg hk wh wd§ jYfhka ;j;a úúO fldgia fj;s' msgrg .Dy fiajho" furg we`.¨ï fiajho jvd fyd| @ flfia jqjo .Dy fiaúldjla f,i rg 82

Ôú;h tmd jqKq ldka;dfjda tf,dj hkq fjkqjg ueofmrÈ. hkjd

hdug jvd fï rfÜ weÕ¨ï lïy,l fyda fï rfÜu .Dy fiajfha fh§u hym;ah' kuq;a fndfyda l;=ka fuh wjfndaO lr fkd.ekSu wjdikdjls' fufia lshkafka fndfyda fya;= we;sjh' fudkjd jqK;a msgrglg hkakg ,eîfï wdvïnrh ú£u yer fjk lsisjla fï ;=< ke;ehs isf;kafka wm l< m¾fhaIKfha§ ;yjqre jQ lreKqj,g wkqjh'

.Dy fiaúldjka f.kajd .kafka wm flfryS we;s wdorhlg fkdfõ' Tjqkag thska jdishla ;sfnk ksidh' wfma ldka;djka fndfyda Wcdrefjka .=jka hdkhl ke. msgrg .sh;a fuh wfma rg ;=< ys| lrk by; lS /lshdjlg jvd lsisfia;a iqjÞhl jkafka ke;' wjidkfha zuu rg riaidjla lrkafkZ hk yeÕSu u; uq,§ ;snQ wdvïnrldÍ njj;a ukfiys b;sß fkdjkq we;'

tu rgj, Okj;=ka wfma jeks rgj,ska

ffjoHjrhd - udisl ffjoH iÕrdj

jeä fofkl=g lsisÿ úfõlhla ke;sj jev lrkak fjkjd w¨hu y;rg jev mgka .;a miq ueÈhu f;la tl È.g jev lrkakg isÿ ùu fuu /lshdj ;=< we;s m%Odku ,laIKhla nj fujeks .Dy fiaúldjka ishh blau jQ m%udKhla iu. l;d ny lsÍfï§ wkdjrKh lr.; yelsjQ lreKls' zmdkaor y;rg ux ke.sákafk' Bg miafi Wfoa lEu yokak ´fk' lEu yo, bjr fj,d f.or ;Ügq ;=ku msßisÿ lrkjd' ;Ügq ;=fka ;shk .klï ldmÜ jel=ï lrkak .shdu fyd| mK hkjd' ux Wfoau fmdä îu lEka tlla lvd .kakj jev lrk w;f¾ fndkak' úYajdi lrkak yjia fjkl,a j;a tAl î,d bjr lrkak nE' fya;=j tAl .e¨ï ndf.l ú;r lEka tlla ksid fkdfjhs' ;rul ùÿrejla ;rfï tA îu m%udKh fndkak lrugj;a ug úfõlhla ,efnkafk ke;sluZ tA tla 2016 uehs l<dmh

ldka;djla mejiQ wdldrhhs' wrdì cd;slhka f.a lEu isß; fnfyúka ixlS¾Khs wrdì cd;slhka wm fuka ;=ka fõ,la wdydr f.k iEySulg m;ajk wh fkdfõ' fkdaïì w,a,k ld,hg yereKq úg jif¾ fiiq ld,j,§ Tjqyq m%Odk fõ,a ;=k yereKq úg ;j wu;r wdydr fõ,a folla muK .ks;s' wfma rfÜ kï fïihg wdydr hejQ miq tu wdydr Ndck yereKq úg ;j b;sß jkafka mjqf,a whf.a m%udKhg iß,k msÕka lsysmhla muKs' kuq;a wrdì cd;slhka wdydr .kafka tf,i fkdjk nj fuu .Dy fiaúldfjda lsh;s' tA wkqj mjqf,a tla whl=f.a wdydr fõ,lg m%Odk msÕdkg wu;rj ;j ;eá ^plate& oyhla muK m%udKhla wh;ah' tA wkqj mjqf,a idudðlhkaf.a .Kk myla kï .Dy fiaúldjg tl jrlg fidaokakg isÿjk msÕka m%udKh mkyla muK fjhs'

Èklg mia j;djla fyda Bg jeä jdr .Kkla jrlg msÕka fïid úYd, m%udKhla fidaokakg isÿùu ksjfia wksl=;a rdcldß w;r tla rdcldßhla muKs' fïjd yß yeá bgq fkdlf<d;a myr lEug isÿùula fuu rdcldßfha wksjd¾hh wx.hla jk ;rugu fndfyda fokdg myr lEïj,g ,lajkakg isÿ ù ;sfí' oeka ldf, jegqma f.ùu meyer yßk ydïmq;=ka f.dvla bkakjd fï ish¨u foa l<;a .súiqfï olajd ;sfnk wkaoug jegqma f.ùu fndfyda ydïmq;=ka meyer yßkakls' tfiau iuyreka .súiqï w;aika lrkafka idmamqjl fj<| fiaúld jeks .Dy fiaúld fkdjk /lshdjlgh' kuq;a wka;sug Tjqkaj fhdojkafka .Dy fiaúld jD;a;shgh' tA wkqj fuys§ fmdfrdkaÿ jQ /lshdj wysñ jk wjia:d b;d iq,nh'

83

TRAGEDY

Ôú;h tmd jqKq ldka;dfjda tf,dj hkq fjkqjg ueofmrÈ. hkjd

tksid ueofmrÈ. orejka ;=< uj ;ukaf.a mjq,g fjfik wfma rfÜ flfrys meje;sh fyd|u Þhl;ajhla .Dy fiaúldjka hq;= Ndjd;aul ne£u jeä fokl=gu .; ì£ hdu ksid tu lrkakg isÿù mjqf,a wh ;=< ;sfnkafka fuu ldka;dj ÿlaÅ; ÿlaÅ; flfryS we;s Ôú;hla .; lr Ôú;hls' wdorh fiau lsishï uqo,la we÷ï tjeks úYajdiho me<÷ï" bf,lafg%dksla .Dy ÿlaÅ; m¿ÿ ù hkq Ôú;hla we;' NdKav jeks foa Wreu lr .; lr .;a;;a Tjqkag furg wysñ jk lsishï ìß|l foaj,a ms<sn| ;lafiare lf<d;a uqo,la yd ujla th Wmhd .;a foag jvd we÷ï jYfhka me<÷ï" ne|Sï lsysm .=Khlska jeä nj j¾Okh meyeÈ,s jkq we;' lr.kakg fï ldka;djka bf,lafg%dksla wiu;a fjkjd .Dy NdKav jeks hï ldka;djla ìß|l foa Wreu lr .;a;;a yd ujla jYfhka Tjqkag furg wysñ jk foaj,a ms<sn| ieñhd iu.;a ,nd Èh yels ld, ;lafiare lf<d;a th orejka iu.;a .; mßÉfþoh fõ' lsÍu hkq mjq, ;=< Wmhd .;a foag jvd ;ukaf.a orejkag iqrlaIs;Ndjhla lsysm .=Khlska jeä iy ieñhdg wdorh" we;s lrjkakls' nj meyeÈ,s jkq we;' udkisl iykh iy th iudcfha hy WKqiqu fï ld,fha§ ;u mjq, fjkqfjka meje;aug wjYH wef.ka úfYaIfhka lem l< hq;= fyd|u fjhs' fï ;;a;ajh ,eìh hq;= w;r fïjd ld,h msgrgl meyer yeÍu hkq fkd,eî hdu ksid .; lsÍug isÿùu iudchg wef.ka tu ldka;dj iuÕ fÄojdplhla ,efnk Þhl;ajho ieñhd iy orejka idudkHfhka wysñ ùuls' tA wkqj w;r ;sfnk udkisl ldka;djka úfoaY weh wd¾Ól jYfhka iïnkaOh ÿria jkq .; jk jhia mßudj ,nd .kakd jákdlu we;' tfiau mjq,g jkafka wjqreÿ 20by< hdug idfmalaIj bgqúh hq;= hq;=lï 39 olajd ld,hhs' iudch ;=< wehg iy wjYH;d weh fuh ldka;djlf.a ;sfnk jákdlu my< fj;ska u. yef¾' Ôú;fha jeo.;au hkq we;' fufia ieñhd ;=< ld, iSudjls' tkï ìß| flfryS iy 84

ffjoHjrhd - udisl ffjoH iÕrdj

f,dl=u ydksh isÿ jkafka orejkagh uj úfoaY .; jQ miq orejkaf.a /ljrKh ysñjkafka mshdg iy fjk;a ×;shl=gh' ljÞj;a ujf. ka ,efnk wdorh fjk;a ×;shl=f.ka msßueish fkdyelsh' tA wkqj orejkaf.a udkisl;ajh msßyS hdu isÿ fjhs' orejkag uj ms<sn| jákdlu ke;sj hk w;r orejka wlSlre ùu fuys§ ;jÿrg;a iq,nj we;s jk ;;a;ajhls' fuys m%;sM,h jkafka Tjqkaj n,d .kakd wh úiska Tjqka ms<sn|j fkdi,ld yeÍuh' orejkag fkdi,ld yeÍu hkq wmfhdackfhys tla fldgils' tfiau fï orejka wmpdrhg ,laùug b;d myiq bv m%ia:djla ;sfí' /ljrKh" fiùu ne,Su ke;slu ksid orejka fndfyda fihska fkdu.g hd yels w;r .eyekq orejka ;ukaf.au ×;Ska w;ska wmpdrj,g ,laùfï yelshdj jeäh' fï nj wmf.a

2016 uehs l<dmh

mÍlaIK u.ska ikd: ù ;sfí' ìß| ke;s md¿j uld .kakg ieñhd fjk;a ldka;djla fj; .sfhd;a orejka .ek ;sfnk ie,ls,a, ;j ÿrg;a ke;s ù hhs' tfiau orejka ;udg lrorhla f,iska i,ld Tjqka flfrys oafõY iy.;j lghq;= lsÍugo we;eï úg fun÷ mshjreka fm<ôh yelsh' uj úfoia. jQ úg orejkaf.a fyg oji wúksYAÑ; fjkjd mÍlaIK u.ska ikd: ù we;s ;j;a úfYaI lreKla jkafka uj úfoaY.; jQ orejkaf.a wOHdmk lghq;= wvd, ùuh' mdi,g ksis f,i orejka fhduq lsÍug uj wksjd¾hfhkau isáh hq;=h' orejdj n,d .kakd wh fï .ek ksis Wkkaÿjla fkdolajkq we;' tA ksid fndfyda úgu orejka mdi,ska lÜá mekSug fhduq ùu ksid wOHdmkhg ndOd meñfKhs'

wOHdmkh ,eìh hq;= jhiaj,§u l=vd / lshdjkays tÈfkÞ kshq;= ù uqo,a fidhd .kakd fï orefjda fndfyda úg u;ameka" u;aøjH wdÈhg o fhduq fj;s' tfiau u;aøjH cdjdrïj,g fun÷ mjq,aj, msßñ orejka fhdÞ .kakd wjia:d nyq, jk w;r iólaIKj,ska fy<sjQ úfYaIs; lreKla jkafka iu,sx.sl fiajkhg fujeks orejka fhduq ùug ;sfnk myiq yelshdjhs' ,sx.sl jHdmdrj,g fujeks orejka fhdÞ .ekSu myiq ld¾hhla jkafka ksis /ljrKhla fkdue;sj Tjqkaf.a Ôú; mdfjk ;;a;ajhg m;a ùu iq,n isÿùula jk ksidh' .eyekq orejkajo ,sx.sl lghq;= i|yd ;ekska ;ekg wf,ú lsÍu wo iudch ;=< nyq,j isÿfjhs' fun÷ fÄockl brKïj,g ,laù ys¢k .eyekq iy msßñ orejkaf.a mjq,a miqìu ne¨fjd;a Tjqka fï wdldrhg udmsh /ljrKh ksis f,i fkd,enQ wh nj meyeÈ,s jkq we;' 85

THE SHOCKING TRUTH

fyd|hs" fyd|hs lsõjg fidahd iïnkaOfhkq;a nrm;, m%Yak ;sfhkjd'''

Is Soy Bad For You, or Good? The Shocking Truth

fyd|hs" fyd|hs lsõjg fidahd iïnkaOfhkq;a nrm;, m%Yak ;sfhkjd''' úistlajeks ishjfia iqmsß wdydrh fidahd j,g m%Yak m;a;rhla''' hd zzúis tlajeks ishjfia iqmsß wdydrhZZ f,i ye|skafjhs' ks¾udxYslhkag wjYH fm%daàk m%udKh imqrd.kakg fuu.ska ,efnk wjia:dj;a thg reêr.; fldf,iagfrda,a uÜgu wvq lrkakg we;s yelshdj;a miq.sh oYl fol ;=k we;=<; fnfyúkau m%Yxidjg ,lajqKd' wdishdfõ fidahd iïnkaOfhka uy;a mqkreohla we;s jqKq w;r fï yd ine|S ksIamdok rdYshla ta;a iu.u fj<|fmd<g meñKqkd'

fida

ta;a os.ska os.gu fidahd j,g iajlSh lS¾;skduh mj;ajd .ekSug jdikdjla kE' oeka" oeka fmdaIKfõoSka fidahd wdydr nrm;, f,i m%Yak lrkjd' fï iïnkaOfhka c.;a jHdma; ixjdohla mej;=K;a ,dxflah wm fï iïnkaOfhka oeKQj;a kE' fidahd iïnkaOfhka ful, mj;sk úoaj;a l;sldj;a weiqf¾ Tfí oeKqu jmißh mq¿,a lsÍu wfma fï ,smsfha tla wruqKla'

86

ffjoHjrhd - udisl ffjoH iÕrdj

oeka ;sfhkafk cdk fjkia lrmq fidahd fidahd wdydr Wmkaìu fmros. wdishdjhs' ta;a f,dalfha j;auka fidahd wiajekafkka jeä yßhlg Wreu lshkafka wefußldjhs' biair ksIamdokh l< fidahd;a oeka jjk fidahd;a w;r m%Odk fjkialula ;sfnkjd' wo wm wdydrhg .kakd fidahd j,ska ishhg 90lgla jeä m%udKhla cdk fjkia lr jjk ,o fidahdhs' tfiau fï fidahd j,g rjqkaâwma kue;s j,akdYlh ksYaÑ; jYfhkau fhdokjd' rjqkaâwma jl=.vq frda.S lrk m%n, j,a kdYlhla' th miq.shod wfma rfÜ ;ykï l<d'

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

www.waidyawaraya.lk

2016 uehs l<dmh

ñf,ka wvq ksid fidahd wdydr l¾udka;hla jYfhka f,dalfha ckm%sh jqKd''' ish,a, isÿjqfKa Bg miafi''' @ fidahd weg j,ska .kakd uQ,sl ksIamdokh fidahd f;,ah' f;,a ,nd.;a miq b;sß jk frdâv fidahd wdydr ieliqug fhdod.kshs' fidahd ñf,ka wvqh' tfiau wdydr ieliSfïoS tajdfha m%Yia; ksIamdok myiqlï we;sfõ' fï wkqj fidahd wdydr fnfyúka ckm%shh' fidahd j,ska <ore wdydro ie<lsh hq;= m%udKhla ksmojhs' fidahd j, fmdaIKSh .=Kh fidahd .a?ï 100l Yla;sh le,ß 100la ;sfí' fïoh .a?ï 9lao" ldfndayhsfâ%g .a?ï 10lao fm%daàk .a?ï 17lao wvx.=h' fuys we;s fm%daàk uiaj," ì;a;rj, we;s fm%daàk ;rug fmdaIKSh fkdfõ' tfy;a wka ljr Ydl fm%daàkhlg;a jvd fidahd fm%daàk fmdaIH .=Kfhka by<h' yenehs fïoh ie<l+ l<" fuys we;af;a nyq wix;Dma; fïohhs' tu ksid fi!LHiïmkak cSú;hla w.hk whg t;rï iqÿiq fkdfõ' iqmsß wdydrhlehs fn!;Siau ,enQ fidahd j, pß; iy;slhg l¿ me,a,ula tl;= jQfha wehs @ YÍrhg lD;%Suj ,sx.sl fydafudak fnodyßk mhsfgdBiag%ck oekg y÷kdf.k we;s mhsfgdBiag%ck jeä jYfhkau wvx.= wdydrh fidahd fjhs' mhsfgdBiag%ck hkq wm YÍrfha ;sfnk Biag%cka fydafudakhuh' fidahd j, fjkilg we;af;a tlS fm%daàk iïNjhlska hqla; ùuhs' miq.sh ld,h mqrdjgu wikakg ,enqfKa mhsfgdBiag%ck j, .=K .ekh' kuq;a ta m¾fhaIKj,g uqo,a úhoï lf<a ljqo @ fidahd l¾udka;fhka wêl ,dN ,enQ jHdmdßlhkah' ndysßka fujka fydafudak j,g iudk ridhkhla ,enqKq úg YÍrh thg m%;spdr olajhs' ,sx.sl fydafudak lD;%Suj ,eîu ksid iajdNdúl 87

THE SHOCKING TRUTH

fyd|hs" fyd|hs lsõjg fidahd iïnkaOfhkq;a nrm;, m%Yak ;sfhkjd'''

YÍr.; fydafudak l%shdldß;ajhg we;s lrk n,mEu w;s úYd,h' Biag%cka fydafudakh wêlj l%shd;aul ùfï m%;sM<hla f,i we;sjk frda. w;r mshhqre ms<sld" tkafvdfuá%fhdaishdj" *hsfn%dhsv" orejka ke;slu fukau ,sx.sl fn,ySk;djh uQ,sl fjhs' orejka i|ydo fidahd ksIamdok wo wf,ú flf¾' fidahd jÜfgdarejlska iukaú; wdydr fõ,la .ekSfïoS fï fkdorejdgo Wm;a md,k fm;s y;rl fydafudak YÍr.; jk nj m¾fhaIlhka lKavdhula m%ldY lf<ah' wo ld,fha we;eï orejka jhi wjqreÿ yf;a wfÜoS jeäúh m;a ùug fï nf,ka megjQ fidahd wdydr isß;o tla pQos;fhls' fidahd Tfí ;hsfrdhsv .%kaÓh úkdYhg m;a lrhs ;hsfrdhsâ .%kaÓh u.ska isÿ lrk whäka iudfhdackh wvd, lrk wdydr zf.dhsfg%dcsksl wdydrZ f,i y÷kajuq' ;hsfrdhsâ fydafudak >%djhg wys;lr n,mEï we;s lrk f.dhsfg%dcsksl wdydr /ila fï jk úg y÷kdf.k ;sfí' ta ish,af,kau rcq f,i ie<flkafka fidahd wdydrhs' fidahd wdydr u.ska ;hsfrdhsâ .%kaÓfha l%shdldß;ajhg úYd, n,mEula lrk nj miq.shod udOH u.ska buy;a m%isoaêhg m;ajQfha fidahd ksIamdok uy;a wNsreÑfhka wdydrhg .;a wefußldfõ Tmard úka*%sg isÿjQ wlr;eínhla fya;=fjks' ks,shla" rEmjdyskS ksfõosldjla jYfhka oejeka; udOH N=ñldjlg mk fmjQ Tmard úka*%s ysá wäfha pmamfodare YÍrhlg ysñlï mEjdh' wef.a cSj Yla;sh flfuka wvqjk njla fukau ufkdaNdjhkayS msßySulao we;sjk nj wehg ye`.S .sh ksid weh ffjoH mÍlaIK j,g ,laùfïoS whäka ys`.;djh ksid we;sjk yhsfmd;hsfrdäiï frda.hg weh ,la ù we;s nj ffjoHjreka fidhd.kakd ,oS' fuhg n,mE wdikak fya;=j 88

fïid úmÍ; meálsßhla iys; fidahd wdydr mqreoaola f,i mßfNdackhg .ekSfuka rgl ck;djg isÿjk hym;la ke;' fï ksid iq,nj fidahd ksIamdok wdydrhg .kakd mdßfNda.slhka fï .ek h,s h,s;a is;kq jà'

f,i wef.a fidahd wdYla;;djh nj fy<sorõ ùu;a iu.u fidahd wdydr iïnkaOfhka úYd, m%;sfrdaOhlao ngysr rgj, we;s úh' tkaihsu wjfYdaIKh wvd, lrk mhsfÜg mhsfÜg - weg j¾."

OdkH yd rks, l=,fha wdydr j, ;sfí' fidahd j, fïjd úYd, jYfhka ;sfí' mhsfÜg u.ska YÍrfha LKsc

ffjoHjrhd - udisl ffjoH iÕrdj

wjfYdaIKh ÿ¾j, lrhs' wfkl=;a wdydr j, fï l%shdj,sh isÿjkafka fkd.sksh yels m%udKhlsks' kuq;a mhsfÜg j, wê idkaøKhla we;s ksid fidahd wdydr u.ska YÍrfha LKsc wjfYdaIKh ie<lsh uÜGulska m%udKhlska ÿ¾j, lrk nj fy<sorõ jS ;sfí' fuhska ñoSug l%uhla ;sfí' fidahd wdydrhg .ekSug fmr meiùulg ,la l< hq;=h' á%maiSka ksid wdydr cS¾Khg ndOd meñfKhs á%maiska hkq cS¾Kl tkaihsuhls' á%maiska ke;s úg kshñ; mßos 2016 uehs l<dmh

YÍrfha wdydr cS¾Khla isÿ jkafka ke;' túg mdpkh" flKavd fmr<Sï" reêrjyk wdosh we;sfõ' fidahd á%maiSka j, l%shdldß;ajh wvd, lrk njg fy<sorõ ù ;sfí' thska iuia; cS¾Kl l%shdj,shg ndOd meñfKa' fï ksid w.akHdYfha frda. we;sùug we;s wjldY by< hhs' fï yereKq úg fidahd i;=j we;s my; oelafjk wj.=Khkao m¾fhaIKd;aulj ikd: ù ;sfí' • fidahd j, we;s úgñka î m%;siu wjfYdaIKhla isÿ fkdfõ' iuia; m%;sM,h jkafka YÍrfha î 12 úgñk W!K;djhla we;s ùuhs' • fidahd wdydr ksid YÍrfha úgñka ã wjYH;djh by< kexfjhs' • fidahd wdydr ieliSfïoS úIldrl ,hsisfkdwe,kska yd wê ms<sldldrl fukau khsfg%dfidweóka W;amdokh fjhs' • Tn oekgu;a ydkslr hhs i<lk ksoyia .aÆgñla wï,ho fidahd wdydr ksIamdokfhaoS W;amdokh fjhs' fidahd j, we;s wuq rih ke;s lsÍug ieliQ wdydr j,g fïjd lD;%suj tl;= lsÍulao isÿfõ' 89

THE SHOCKING TRUTH

fyd|hs" fyd|hs lsõjg fidahd iïnkaOfhkq;a nrm;, m%Yak ;sfhkjd'''

• fidahd j, wêl f,i we¿ñkshï we;' fïjd iakdhq moaO;shg;a" jl=.vqj,g;a ydkslr nj wuq;=fjka lsjhq;= fkdfõ' fidahd iïnkaOfhka iudcfha we;s jeros úYajdi fidahd wdydr iïnkaOfhka jeros úYajdi úYd, ixLHdjla iudc.; ù ;sfí' wm tajdfha i;H wi;HNdjh úuiuq' fidahd jir oyia .Kkdjla merKs wdydrhls fidahd uq,skau wdydrhg .;af;a Ökfha l%s'mQ' 1134-246 iufha úiQ fpdjq wêrdcHhh' fidahd wuqfjka wdydrhg .ekSu úI iys;h' fï ksid fidahd meiSug ,la lsÍfuka (Fermentation) Ök jeisfhda we;eï wdydr rij;aj ksIamdokh l<y' wdishdkqjka úYd, jYfhka fidahd wdydr wkqNj lrhs Ökfha;a" cmdkfha;a hk forfÜu ffoksl fidahd mßfNdackh tla mqoa.,fhl=g f;a ye|s follg jeä fkdfõ' iuia;hla f,i wdishdkqjka fuh udxY, wdydr j,g wdfoaYlhla f,i m%fhdackhg .kafka ke;' merKs fidahd wdydr ;rugu kQ;k fidahd wdydro fi!LHiïmkakh kQ;k wdydr ieliSfïoS isÿjkafka meiSug ,la lsÍfuka tys we;s úI WodiSk lsÍuhs' fuysoS fm%daàk j, uq,a wKQl ieleiau fjkia lsÍula isÿfõ' (Denaturation of protein) th fi!LHhg ydkslrh' tfiau fï l%shdj,sfhaoS úYd, ms<sldldrl m%udKhla Bg tl;= jkafkah' fidahd wdydr j,ska iïmQ¾k fm%daàka wjYH;djh imsfrhs th jeros u;hls' ish¿u rks, fNda. j,g we;s fkdyelshdj" tkï f.kao.ï iys; weñfkda wï,h fkdue;s ùu" ñ;sfhdkhska yd isiaáka hk ix>gl W!K;djh fï fidahd fm%daàkj,o tf,iuh' kQ;k wdydr ksIamdok l%shdj,sh ;=<oS 90

myiqfjka ìf|kiq¿ ,hsiska úkdY ùu ;j;a nrm;, wvqjls' túg ,efnkafka ndf.g fm%daàk iemhquls' fidahd meiùug ,la lsÍu ksid úgñk î 12 wjYH;djh iïmQ¾K jkafkah fidahd j, ;sfnk fï úgñka î 12 YÍrh ;=< m%fhdacH jkafka ke;' ta ksid tu úgñk j, we;s .=Khla ke;' fuysoS we;af;kau isÿ jkafka úgñka î 12 ;snqKdg;a jvd wvqjla ks¾udKh ùuhs'

fidahd weg j,ska .kakd uQ,sl ksIamdokh fidahd f;,ah' f;,a ,nd.;a miq b;sß jk frdâv fidahd wdydr ieliqug fhdod.kshs'

ffjoHjrhd - udisl ffjoH iÕrdj

fidahd wdydr jÜfgdare <orejkag b;d fmdaIHodhlh á%maiska ksfIaOl wdydrhg .ekSfuka ñá nj we;sjk nj yd w.akHdYfha f,v frda. we;s lrk nj i;a;aj wOHhk j,ska ikd: ù ;sfí' orefjl=g o;a yd wia:s j¾Okhg úgñka ã" ;SrKd;aul ld¾hla bgq lrhs' orejkag fidahd jÜfgdare ,ndoSfuka YÍrfha úgñka ã wjYH;djh by< kexjk nj y÷kdf.k ;sfí' hlv yd ;=;a;kd.ï ì<s÷ fud<fha j¾Okhg wjYH fõ' fidahd j, we;s mhsála wï,h fï hlv yd ;=;a;kd.ï j, l%shdldß;ajh wvd, lrk nj fy<sorõ ù ;sfí' fï ld,hg orejkag fldf,iagfrda,ao wjYH lrhs' fidahd j, fldf,iagfrda,a ixhq;sh wvqmdvq iys;h'

orejka m;aùfï .eg¿j fï ,smsfhau wka ;ekl wm l;d lf<uq' fï ish¿ ldrKd úuiSfïoS yhla y;rla fkdf;afrk orejkag fidahd jÜfgdare ks;sm;d oSu fl;rï iqÿiqo hkak kej; iudf,dapkh lsÍug isÿ fõ' fidahd wdydr Tiaáfhdafmdfrdaisia j<lajhs fidahd wdydr .ekSu ksid le,aishï yd úgñka ã hk fmdaIH mod¾: folgu .eg¿ u;= fjhs' fï folu wiaÓ iqjfi; flfryS fnfyúka jeo.;a jk nj Tno okakd lreKls' fï ksid fidahd wiaÓ iúu;a lsÍug lsisfia;a iïudoula jkafka ke;' kQ;k fidahd wdydr .ekSfuka ms<sld úYd, m%udKhla je<|Sfuka Tnj wdrlaId lrhs fuho jeros u;hls' ì%;dkH rch úfYaI jd¾;djla ksl=;a lrñka fidahd wdydr .ekSfuka ms<sld we;sùu j<lsk njg we;s idlaIs t;rï iúu;a fkdjk nj fmkajd fohs' we;af;kau fï .ek .eUqßka úuik l< ms<sld we;sjk wjia:d jeä lsÍug kï fidahd fya;= jk njg úoHd;aul lreKq fndfyda ;sfí'

fidahd j, we;s mhsfgdBiag%ck ksid b;d wvq jhfika ,sx.sl mßK;shg 2016 uehs l<dmh

91

THE SHOCKING TRUTH

fyd|hs" fyd|hs lsõjg fidahd iïnkaOfhkq;a nrm;, m%Yak ;sfhkjd'''

j¾.hd fnda lsÍug ndOd lrñka wys;lr l%shdldß;ajhl fhfok nj fy<sorõ ù ;sfí' fï yereKq úg ueos jhia mqoa.,hkaf.a frdau j¾Okh jeä lrk nj y÷kdf.k ;sfí' fuh fgiagiagfrdak fydafudak ySk jk njg i<l=Kls'

fidahd wdydr Tnj yoj;a frda. j,ska wdrlaId lrhs f,dj mqrd isÿjQ wOHhk j,g wkQj fidahd wdydr .ekSfuka we;eï ck fldgia j, fldf,iagfrda,a uÜgu wvq lrk njg idlaIs mj;S' tfy;a fidahd fm%daàk j,ska yoj;a frda. we;sùu u¾Okh jkafkao hkak úuish hq;a;ls' zzfidahd Biag%ckaZZ Tng hym;la isÿ lrhs fidahd" ks¾kd, .%kaÓ wjysrlhls' iajdNdúl YÍr fydafudak j, l%shdldß;ajhg fuu.ska we;s lrkafka ndOdjls' wdydr m%fhdacH uÜgfuka .;a úg fidahd wdydr .ekSfuka ldka;djkaf.a äïn fudapkhg ndOd meñfKhs' ms<sld wjodku by< kxjhs' th ñlaisãud fkdfyd;a ;hsfrdhsâ .%kaÓfha whäka ksIamdokh wvd, lsÍfï jrogo fya;= fjhs' fidahd j, we;s mhsfgdBiag%ck uki iqir lrhs uE;ld,Sk wOHkhlg wkQj ldka;djkaf.a reêrfha jeäu Biag%cka ixhq;shla we;s wjia:dfõoS Tjqka wvqu m%cdkk l%shdldr;ajhla m%lg lrkafkah' wefußldfõ" cmdkfha fgd*q" ckm%sh wdydrhls' fï fidahd j,ska yok wdydrh wkqNjfhka miqld<Skj we,aIhsu¾ frda.hg ,laùfï wjodku by< kexfjk nj y÷kdf.k ;sfí' wd¾;j wNdjhg miq ld,h .; lrk ldka;djkag fidahd wdydr jvd;a fyd|h fidahd wdydr u.ska Biag%cka u; l%shdldÍ jk w¾nqo" ms<sld wdosh n,.ekaùfï wjia:dj jeäh' th ;hsfrdhsâ .%kaÓh wdY%s; frda. j,go w; jkhs' ;hsfrdhsâ .%kaÓfha wjl%shdldß;ajh fya;=fldgf.k wd¾;j wNdj frda. ,laIK jvd;a ÿIalr ;;a;ajhlg m;afõ' fidahd wdydr Tfí ,sx.sl fi!LHh idrj;a lrhs i;a;ajhka fhdodf.k isÿ lrk ,o m¾fhaIK j,g wkQj fidahd idM<H;djh fkdfyd;a 92

fidahd mßirhg ñ;=re j.djls oekg jjk fidahd j,ska ishhg 90lau cdk fjkia lrk ,o fidahd fjhs' fïjd .eg¿ rdYshla mdßißl ffcj l%shdldÍka úIfhys we;s lrhs' fidahd wdydr oshqKq jk rgj, ck;djg jvd fyd| wdydr f;aÍuls oshqKq jk rgj,g wdfõKsl OdkH ;sfí' ù" l=ryka" fufkaß" uqx'''' fï lsisjla fi!LHhg wys;lr ke;' m%pdrhg uqjdù fidahd m%p,s; lsÍfuka fï .=Kj;a wdydr ck;djff.ka wE;a ù hhs'

ffjoHjrhd - udisl ffjoH iÕrdj

KITCHEN TIPS

YS;lrkfha fkd;eìh hq;= foaj,a

YS;lrkfha fkd;eìh hq;= foaj,a

YS;lrkh ;sfhkafk Tfí wdydr iqrlaIs; lr.kak' jeä ld,hla krla fkdù ;nd.kak' ta;a yeu wdydrhlau YS;lrkfha ;nkak fyd| kE' n,kak my;ska i|yka lrk wdydr Tn;a YS;lrkfha ;ekam;a lrkjdo lsh,' tfykï th wdydrhg wys;lr m%;sM<hla tla lrk ksd wou fï my;ska i|yka lrk wdydr Tfí YS;lrkfha;a ;nkjd kï tajd bj;a lrkak' • ;lald,s YS;lrkfha ;ekam;a lsÍfuka tys rih fjkia fjkjd' fmKqu;a fjkia fjkjd' • ómeKs YS;lrkfha ;ekam;a lsÍfuka fõ.fhka iaMÁlrKh ù Ndú;h wmyiq fjkjd' ó meKs yeu úgu ldur WIaK;ajfha ;nkak' • iqÿ¿Kq YS;lrkfha ;eîfuka wxl=r ú;a me< fjkak .kakjd' tfiau os,Srhla we;s fjkak;a mq¿jks' • fldams;a YS;lrkfha ;nkafka kE' thska fldams j, rih úkdY fjkjd' YS;lrkfhga wñysß ri Bg tl;= fjkjd' • Tn mdka kï YS;lrkfha odkafk kE' lvodishl mdka f.vsdh T;d ;=jdhl T;d ;eîfuka tys kejqï nj wderlaId fjkjd' • r;=¿Kq;a YS;lrKfha odkak fyd| kE' • uOHidr yeuúgu ;eìh hq;af;a ldur WIAK;ajfhahs' • T,sõf;,a Tn wdydr msiSug mdúÉÑ lrkjd kï tajd;a fmd,af;,a jf.au ldur WIaK;ajfha ;nd.kak' 2016 uehs l<dmh

93

ADVERTORIAL

wdhq wfmalaIdj wvqfjka we;af;a;a msrsñkaghs

WELL MAN HEALTH CHECK .eyekqka msßñka w;f¾ msßñka nrm;, cSú; wjodkï j,g ,laùfï bvlv jeähs

wdhq wfmalaIdj wvqfjka we;af;a;a msrsñkaghs msßñka i|yd ffjoH mÍlaIK

94

ffjoHjrhd - udisl ffjoH iÕrdj

iqje;s msßñ ffjoH mÍlaIKh Tng wjYH wehs @ ffjoHuh jYfhka ful, we;sjk m%YAk w;r uQ,sl .eg¿jla jkafka idudkH ffjoH yuq" ke;fyd;a zzf,vla yeÿKQ úg .kak fnfy;a ál'''ZZ Tnf.a iuia; iqjfi; idlaId;a lrKQ msKsi fl;rï jeo.;a jkafkao hkakhs' Tfí jhi" ia;%s - mqreINdjh" Tfí fm!oa.,sl yd mjqf,a ffjoHuh b;sydih wdoS ldrKd u; zfuäl,a fpla-wma tllaZ ke;fyd;a ffjoH mÍlaIKhla isÿ lr.ekSfï wjYH;djh ks;ekskau u;= jkafkah' wdisß Y,H frday, úiska ie,iqï l< Well Man Check ^iqje;s msßñ ffjoH mÍlaIKh& myiqfjka m%;sldr .; yels" j<lajd .; yels frda. tfia j<lajd .ekSug wjia:djla i,ihs' fndfyda úg l,a fõ,d we;sj y÷kd. ekSfuka nrm;, ixl+,;d j,g m;a ùfï wjodku myù hhs' fï msßñka i|ydu jQ ffjoH mÍlaIKh oshjeähdj" fldf,iagfrda,a" jl=.vq .eg¿ yd wlaud .eg¿ y÷kd.ekSfï reêr mÍlaIK j,skao ms<sld fukau ms;a;dY yd jl=.vq .,a y÷kd.ekSfï w,ag%d ijqkaâ ialEka mÍlaIKhlskao hqla;h' fï ialEka mÍlaIKfhkau Tfí mqriaÓ;s .%kaÓ m%udKho" uq;%d /|Sfï yelshdjo úuis,a,g ,la lrhs'

msßñka Tjqka i|ydu jQ ffjoH mÍlaIKhlg fhduq úh hq;af;a wehs @ msßñka fndfyda úg ldka;djkag jvd cSú; wjodku f.fkk frda. Wjÿre j,g ,laùfï wjodku l=vd ld,fha mgka uy¿ úh olajdu jeäh' we;af;kau msßñkag jvd ldka;djkaf.a iuia;h ksfrda.Sh' cSú;hg n,j;a ;¾ckhla f.k tk yDohdndO" wxYNd.hg msßñka ,lajkjd jeäh' msßñkag yefok mqriaÓ;s ms<sldj fukau fmKy¿ yd wdka;%sl ms<sld j,go jeä jYfhka k;= jkafkda msßñkah' wdhq wfmalaIdj .;a;o msßñka urKhg m;aùfï

2016 uehs l<dmh

idudkHh .eyekqkag jvd mia wjqreoaola bosßfhks'

msßñka i|yd ks¾foaY Tn ksÿlska ksfrda.Sj isákafkl= jqjo ir< ie,eiaula Tnf.a bosß cSú;hg mQ¾K /ljrkhla i,ihs' msßñkag we;s nrm;,u fi!LH ;¾ck uekúka y÷kdf.k ;sfí' tajd fmdÿh' l,a h,a we;sj ms<shï fhÿfjd;a myiqfjka j<lajd.; yelsh'

yD;a frda. msßñkag we;s nrm;,u fi!LH ;¾ckh jkafka reêr kd, >k ùfuka we;sjk wef;frdialaf,frdisia kue;s frda.hhs' f,dalh mqrd msßñ-. eyekq fomd¾YAjfhau urK isÿjk m<uq yd fojk fya;= fol fï uq,a lr.;a yDohdndO iy wxYNd.hhs' fuysoS fldf,iagfrda,a ;ekam;= yDofha iy fud<fha kyr wjysr lrhs' fï leá;a; wjidkfha reêr

95

ADVERTORIAL

leá;a;la njg m;aù reêr .ukd.ukh wjysr lr yoj; fyda fud<h wdoS jákd bkaøsh fldgilg jk reêr iemhqu wvd, lrhs' th yDohdndOhla fyda wd>d;h we;sùug mQ¾jfhka jk yev .eiSuhs' Tfí fldf,iagfrda,a mÍlaId lsÍu jir 25 isg wdrïN lrkak' fldf,iagfrda,a yd reêr mSvkh by< w.hla .kS kï th md,kh lsÍug W;aiql jkak' ÿïmdkfhka w;añfokak'

wdhq wfmalaIdj wvqfjka we;af;a;a msrsñkaghs

myiqfjka me;sr hhs' frda. ,laIK m%lg lsÍug fmr" úlsrK mÍlaIKhlg fyda yiqjk ld,hg fudaÿ ùug fmr th wjfYAI bkaøsh j,g me;sr hkafkah' fï ksid fmKy¿ ms<sldjla idudkHfhka y÷kd.kakd wjia:dj jk úg th me;sr f.disks' m%;sldr Tfrd;a;= fok woshr bl=;a fj,dh'

Tn ;ju;a ÿï fndkafklao @ Tfí jhi ljrla jQj;a ÿï mdkfhka ñoSfuka fmKy¿ ms<sld wjodku fndfyda fihska wvq lr.; yel'

mqriaÓ;s ms<sldj ldka;djkag fujka .%kaÓhla fkdue;s ksid wjYHfhkau fuh msßñkagu ,dlaIKsl jQ .eg¿jls' YsIAKhg msgqmiska jQ fukñka ye|skafjk j,akÜ f.ähl m%udKfha .%kaÓfha ldßh jkqfha Y=l% Od;= fudapkfhaoS wjYH lrk iafkaykh ,ndoSuhs' flfkl= úhm;a j;au fï fm!reI .%kaÓfha wdndO we;s fõ'

ojilg úkdä 30la jla jk fia i;sfha jeä osk .Kkdjla jHdhdu lrkak' fndcqkam;g jeäfhka t<j¿ yd m<;=re tl;= lr.kak' ix;Dma; yd g%dkaia fïofhka yels;dla j<lskak'

ms<sld fmKy¿ ms<sldj fmKy¿ ms<sldj Nhdkl iajrEmhla .kakd ms<sldjls' th m%pKavldÍh' 96

ffjoHjrhd - udisl ffjoH iÕrdj

msßñka w;r jvd;au iq,n ms<sldj mqriaÓ;s ms<sldjhs' idudkHfhka mqreIhkaf.ka yfhka tllau fï ms<sldjg k;= jk nj mejfia' tfy;a ñh hkafka ;siamfyka tlls' flfia fj;;a mqriaÓ;s ms<sld we;s ùfï by< wjodkula ;sfnk nj uqidjla fkdfõ' .a,jqia fhdod .=o ud¾.hg we`.s,a, m%fõY lr isÿ lrk Digital Rectal Exam u.ska idhkslj iel lghq;= frda.Ska y÷kd.; yel' PSA fkdfyd;a Prostate Specific Antigen kue;s reêr mÍlaIKho fï ms<sldj iïnkaOfhka b`.s imhkafkah'

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

waidyawaraya.lk

oshjeähdj fuh ksy`v wjodkuls' fndfyda úg ld,hla ;siafia reêrfhys jeä iSks w.hka jd¾;d ù wjidkfha oshjeähd reêr iSks uÜgug <`.d jkafkah' wêl msmdidj" rd;%S lsysm jrla uq;%d msgùu wdoS ,laIK flfrka isÿ lrk reêr mÍlaIKhlska uq,a jrg oshjeähdj y÷kd .kS' reêrfha mj;akd jeäuk;a iSks reêrjdyskS j,g" iakdhq j,g wdmod we;s lrkafkah' fldákau jeä reêr iSks fïjdg;a weia" jl=. vq wdoshgla ydks isÿ lrhs' yDohdndO" wd>d;h" wkaONdjh" jl=.vq wl%Sh ùu" mdo lmkakg isÿùu oshjeähd frda.Ska w;r iq,nh' ia:q,;djh" wd;;sh iy fi!LHiïmkak fkdjk cSjk rgdj oshjeähdjg w; jkhs' ia:q, ;;a;ajhg m;a wh fjfiiskau oshjeähd wjodkfuka ñfokq msKsi ;u nr md,kh lsÍug W;aiql úh hq;=h' iqN mKsúvh jkafka ojilg ñks;a;= 30 l jHdhduhl fhoSfuka oshjeähdj we;sùfï wjodku ishhg 50 lska muK my; fy<sh yels njhs' miq.sh ld,h uq¿,af,a wfma rfÜ oshjeähdjo we;=¿j wêreêr mSvkh" wxYNd.h" ms<sld wdoS fnda fkdjk frda. j, úYd, W;aikak

2016 uehs l<dmh

ùula olakg ,enqKs' jHdhdu u|lu" jeros wdydr isß;a" wêl udkisl wd;;sh" uoHidr" ÿïmdkh wdoS fndfyda lreKQ fïjdg fya;= mdol úh' fï ;;a;ajfha f.dÿrla njg m;a fkdjkq msKSi kss;s úuis,a, jeo.;a fõ' fjfiiskau jd¾Islj isÿ lrk ffjoH mÍlaIK hï wjodkula fõ kï ta l,a fõ,d we;sj y÷kdf.k wjYH ms<shï fhoSug WmldÍ jkafkah' ffjoH mÍlaIK ksielfhkau Tfí cSú;hg iqrlaIdjla jk nj wm Tng fok mKsúvhhs'

97

BREAST IMPLANT

ms<sldjlska bj;a l< mshhqrla kej; ieliSfï§'''

ms<sldjlska bj;a l< mshhqrla kej; ieliSfï§''' úfYaI{ ma,diaála Y,H ffjoH i;sYa úfÊudkak

<sldjla ksid mshhqrla bj;a lrk úg tA wjia:dfõu mshhqrla iïnkaO lsÍug yelshdjla we;ehs lSfjd;a Tn ;=< mqÿuhla fiau i;=glao we;súh yelsh' thg fya;=j ldka;djlf.a mshhqrla bj;a lrkakg isÿjqjfyd;a me;s lsysmhlskau th wehg wjdisÞhl ùuh'

ms

tu.ska isref¾ yevh fjkia ùu" isref¾ iuñ;slNdjh fjkia ùu" ldka;djlf.a wkkH;d ,laIK ke;sj hdu fuu wjdis w;ßka lsysmhls' tneúka fï ;;a;ajh u; tu ldka;djg Ôúf;a b;sß ld,h .; lrkakg isÿjkafka úYd, udkisl wiykhlsks' mshhqr bj;a lrk fudfydf;au kej; mshhqrla noaO l< yels jqjfyd;a tl ie;alulska ld¾hhka folu isÿjk w;f¾ ie;alu wjidkfha frda.shd m%lD;s isysh ,o miq l,ska ;snQ mshhqrg iudk mshhqrla ysñ ùfï iekis,a, frda.shdg w;ajkq we;' tksid mshhqrla kej; ilia lsÍu iïnkaOfhka Tn ±k .; hq;= lreKq ms<sn|j wm ±kqj;a fjuq' fï ;SrKh .;a;d kï Tng WmldÍ jk fofokd" ms<sld úfYaI{ ffjoHjrhd yd ma,diaála úfYaI{ Y,H ffjoHjrhd mshhqre ms<sldjla je<÷kq miq th uq,a wjêfha mj;sk tllao" l,la ;siafia ;snQ tllao hkak

98

ffjoHjrhd - udisl ffjoH iÕrdj

ms<sld úfYaI{ ffjoHjrhd úiska fidhd ne,Su isÿfõ' mshhqre ms<sldfõ m%udKh" tys j¾.h" jid .%kaÓj,g ms<sldj me;sÍ ;sfío keoao hk lreKq ms<sld úfYaI{ ffjoHjrhd úiska ish mÍlaIK yd ksÍlaIK u.ska wkdjrKh lr .;a miq mshhqre bj;a l< wjia:dfõ§u kej; mshhqrla ilia lr .ekSug wjYH kï ma,diaála úfYaI{ Y,H ffjoHjrhd iu. idlÉPd l< yelsh' fuu úfYaI{ ffjoHjreka fom,u fï ie;alu lsÍfï§ isáh hq;=fjhs'

mshhqrla kej; ilia lsÍfï§ wjOdkh fhduq l< hq;= lreKq lsysmhla ;sfí' mshhqf¾ fldmuK m%udKhla bj;a l< hq;=o@ tA wkqj ms<sldj ;sfnk fldgia muKla bj;a lrkafkao @ ke;fyd;a uq¿ mshhqru bj;a lrkafkao hkak;a ms<sld úfYaI{ Y,H ffjoHjrhd úiska ;SrKh flf¾' w¿;a mshhqr;a YÍrfha wx.hla f,iu l%shd lrkjd bkamiq mshhqr kej; ilia lsÍfï§ wu;r iu wjYHo @ tfia kï tA fldmuK m%udKhlao @ hkak fidhd ne,sh hq;=h' th ma,diaála Y,H ffjoHjrhd i;= ld¾hhls' fuh iqúfYaiS ie;alula ksid nyq,ju m%uqL;ajh fokafka tu ldka;djf.au YÍrfha mgl fhdÞ .ekSugh' ndysßka lsisjla fkd.kakd úg tu ie;alñka miq YÍrh tu mglj,g tfrysj l%shd lsÍula isÿ fkdfõ' tfiau frda.shdf.au mgl .ekSfï ;sfnk ;j;a jdishla jkafka miq lf,l wef.a isrer nr wvq jk úg fyda jeä jk úg tu ilia l< mshhqro wfkla ksfrda.S mshhqr mßoafokau isref¾ nrg wkqj nr wvq ùu fyda jeä ùu isÿùuh' tA wkqj lsjhq;af;a tu w¨;a mshhqro YÍrfhau wx.hla f,i yeisfrk njhs' fufia w¨;a mshhqr ieliSug fhdÞ .kafka fndfyda úgu Worfha mgl fõ'

Worfha mgl ie;alug fhdod .kakjdo @ kuq;a Worfha l,ska ie;alula lr we;akï tjeks whl=f.a Worfha mgl mshhqr ilia lsÍu i|yd fhdÞ .kafka ke;' thg fya;=j Worfha kyr l,ska ie;alfï§ lemS ;snqfKd;a tu mglj, f,a 2016 uehs l<dmh

.ukd.ukh wvq ùug bv ;sîuh' kuq;a isfiaßhka ie;alul§ Worfha b;d my<ska lemSu isÿjk ksid tjeks ie;alula l< whg fuu .eg¨j we;s fkdfõ' tksid Worfha fjk;a ie;alula l< whf.a l,j m%foaYfhka fyda msg m%foaYfhka mgl f.k ie;alu flfrkq we;'

frda.shdf.au mgl .ekSfï ;sfnk ;j;a jdishla jkafka miq lf,l wef.a isrer nr wvq jk úg fyda jeä jk úg tu ilia l< mshhqro wfkla ksfrda.S mshhqr mßoafokau isref¾ nrg wkqj nr wvq ùu fyda jeä ùu isÿùuh'

99

BREAST IMPLANT

isref¾ mgl uÈ jqjfyd;a wvqj msßuykak is,slka bïma,dkaÜ fndfyda isyska isrerla we;s ldka;djlf.a fuf,i mshhqrla ilia lrkakg isÿjQ úg isref¾ mgl uÈ jqjfyd;a wvq m%udKhg is,slka bïma,dkaÜ Ndú;d lsÍug isÿ fjhs' kuq;a ie;alfuka miq frda.shdg f¾äfhdaf;rms m%;sldr ,nd §ug wjYH jkafka kï is,slka fhdÞ .ekSu ys;lr fkdfõ' fya;=j tys§ úúO ixl+,;d we;s ùug bvlv ;sîuhs' tneúka tjeks frda.shl=g frda.shdf.a isref¾ mglj,skau w¨;a mshhqr ilia flf¾' fuys§ wfkla mshhqf¾ m%udKhg w¨;a mshhqr ilia l< fkdyels kï tu mshhqro w¨;a mshhqf¾ m%udKhg l=vd lrkakg isÿ jkq we;' orejka ìys l< ldka;djlg fuhska ,efnk wu;r jdish jkafka tu mshhqr t,a,d jeà we;akï th idudkH wkaoug ilia lr .ekSug yelsùuh'

100

ms<sldjlska bj;a l< mshhqrla kej; ieliSfï§'''

is,slka fc,a bïma,dkaÜ

idudkH mshhqrl l%shdldß;ajh kï w¿;a mshhqf¾ kE flfia jqjo w¨;ska ilia lrk mshhqr idudkH mshhqrl iajNdjfhkau mej;sh;a idudkH mshhqrl l%shdldß;ajh tys ke;' tA wkqj ie;alñka miqld,Skj tu ldka;dj orejl= ìys lf<d;a tA orejdg uõlsß Èh yelafla ksfrda.S mshhqfrka muKs'

mjqf,a <Õu ×;sfhl=g mshhqre ms<sldjla yg .;fyd;a tA mjqf,a ;reK ldka;djkag mshhqre ms<sld ye§fï wjÞkula ;sfío hkak ±k .ekSu i|yd BRCA 1 and 2 cdk mÍlaIK lr ne,Su ÈhqKq rgj, isÿfõ' tys§ mshhqre ms<sld ye§fï wjÞkula ;sfnk ;reKshlg wef.a mshhqre folu ie;alulska bj;a lsÍfï jeo.;alu ms<sn|j ±kqj;a lrk w;r tjeks ;reKshlg bkamiq w¨;ska mshhqre ilia lsÍuo isÿ lr .; yelsh'

ie<ls,af,ka Wmfoia ms<smeoSu jeo.;a flfia fyda wjika jYfhka úfYaIfhka i|yka l< hq;a;la ;sfí' ilia l< mshhqrlg isref¾ fjk;a ke;lska mgl fh§ula isÿjk ksid tu mshhqfrys h<s ms<sldjla yg .ekSfï wjÞkula ;ek;a" mshhqre ms<sldjla yg .;a miq tu mshhqr bj;a lr kej; mshhqrla ilia lrjd .;a;;a ke;;a tu ldka;dj ms<sld úfYaI{ ffjoHHjrhd fok Wmfoia tA wdldrfhkau ms<sme§u wksjd¾hfhkau l< hq;=h' ksfrda.Sj Ôj;a ùu i|yd th w;HjYH fjhs' ffjoHjrhd - udisl ffjoH iÕrdj

2016 uehs l<dmh

101

DENTAL CARE

o;a lelal=u we;s fjkafka fufyuhs

o;a lelal=u we;s fjkafka fufyuhs oka; Y,H ffjoH chiqkaor nKavdr cSú;fha tla jrla fyda o;a lelal=ula we;s fkdjQ wfhla fidhd.ekSu ÿIalrh' fï o;a lelal=ug mdr lmk wfmau wdydr mqreÿ .ek igykls'

le,aisyrKh n,.ekafjk yeá wm wdydr .ekSfï§ we;sjk wï, u.ska o;aj, bkeu,fha we;s le,aishï fldgia Èhlr bj;a lrhs' ld,hla ;siafia bkeu,fha le,aishï fldgia bj;a jqjfyd;a ÿ¾j, jk bkeu,h ;=<ska wï, m%ydrh oka;Skh foig t,a, fjhs' ta ksid wfma o;aj, we;s oka;Skh wï, u.ska fifuka fifuka úkdY fjkakg mgka .kS' tu ksid oka;Skh wï, u.ska fiñka úkdY ùu;a iu.u ÿ¾j,jQ bkeu,h ì| jeà o;aj, l=yr we;s fjhs' fï l%shdj,sh o;a; ffjoH úoHdj y÷kajkafka le,aisyrKh lsh,hs'

102

o;aÈrd hdu isÿjkafka fufyuhs o;a Èrdhdu isÿ ù fuh mshú weig fmfkk j¾K fjkia ùula fyda l=yrhla njg m;ajkafka le,aisyrKh f,i y÷kajk l%shdj,sh wLKavj isÿ fjk úghs' tfy;a ukd uqL fi!LH mqreÿ j,ska hq;=j isák ´kEu wfhl=g meKsri wdydr .ekSfuka jqj;a o;a ksfrda.Sj /l .ekSugo yels jk fia iajNdúl /ljrKhlao iajNdjO¾ufhka ñksydg imhd § we;'

ffjoHjrhd - udisl ffjoH iÕrdj

úfYaIfhka meKs ri wdydr .;aúg lfÜ we;sjk nelaàßhd ta wï, njg yrjk w;r tku,fha we;s le,aishï ta wï,fha Èhù t<shg ths' fufia bkeu,fhka bj;a jkafka le,aishï muKlau fkdfjhs' ;j;a ldnksl fldgia o bj;a ù fl< j,g meñfKkjd' meKs ri wdydr .;a mqoa.,hka meh lsysmhla hkf;la h<s;a tjka meKs iys; wdydrhla fkd.;fyd;a ksmofjk wï, jk m%udKh l%ufhka wvqù hdu ksid o;l bkeu,h jgdjq wdï,sl mßirh WodiSk fõ' túg wdï,sl;djh wvq fl< idudkH ;;a;ajhg m;aù fl< j, we;s le,aiShï whk h<s;a uq,ska bj;a ùu ksid we;sjk wjldYhkag we;=¿ fõ' fuhg kej;;a le,aishï ;ekam;a ùula f,i y÷kajkak mq¨jks' fuhg lshkafka m%;sle,aisNjkh lsh,hs'

ukd uqL fi!LH mqreÿ j,ska hq;=j isák ´kEu wfhl=g meKsri wdydr .ekSfuka jqj;a o;a ksfrda.Sj /l .ekSugo yels jk fia iajNdúl /ljrKhlao iajNdjO¾ufhka ñksydg imhd § we;'

2016 uehs l<dmh

of;a l=yr we;sùu of;a l=yr we;sùfuka miq wdydr .ekSfï§ fldgia tu o;a l=yr ;=< ysrfõ' we;eï úg ylafla o;aj, o;a w;r l=yr ;=< ysrfõ' we;eï úg ylafla o;aj, o;a w;r u;=msgl fujeks l=yr ;=< ;ekam;a jk wdydr len,s o;a ue§fuka mjd bj;a fkdfõ' o;a ysßjeàula we;sfõ' laIKslj fõokdj we;s ù fifuka ke;sù hkak;a mq¨jka' uq,sl ,laIK y÷kdf.k m%;sldr fkdl<fyd;a o;a l=yrh flfuka úYd, ùu yd .eTqre ù of;a l,alh ksrdjrjQj we;súh yel' o;a lelal=fï fõokdj flfkl=g ord .ekSug fkdyels fõokdjls' we;eï úg fuu o;a l=yr j,g úIîc mjd wdidokh ù l,alh meijd ierj iEoS of;ys uq, jgd wdidokh ù l,alh meijd ierj iE§ of;ys uq, jgd f.ähla iE§u;a lïuq, bÈóu;a we;s fõ' o;a Èrdhdu fndfyda fihska wfma ck;dj w;r me;sr .sh frda.hla fõ' fi!LH wOHdmk ld¾hdxYfha§ meje;s foaYkhla weiqßKs' igyk - wkqrdOd È,sks b,kafldaka 103

ALERT

kùk ikSmdrlaIl ;=jd ksid Tfí fi!LHhg we;sjk wk;=r'''

WHAT’S REALLY IN THOSE SANITARY PADS AND TAMPONS?

kùk ikSmdrlaIl ;=jd ksid Tfí fi!LHhg we;sjk wk;=r''' wkdjrKhla''' ikSmdrlaIl ;=jd" mEkaá,hsk¾ia yd geïmQka ksIamdokh lrkafka fndrf;,a j,ska Wlyd .kakd ma,diaála weiqf¾h''' ld

ka;djl ùu ksidfjkau wo ojfia zwehZ uqyqKmdk fi!LH wjodkula .ek Tfí wjOdkh fhduq lrkakg leu;shs'

ikSmdrlaIl ;=jd ldka;djkag ke;sju neß fohla fkao@ iqmsßisÿj ksIamdokh lr losug wiqrKhl ojgd wef.a w;sYhska fm!oa.,sl wjia:djloS m%fhdackhg .kakg fïjd iqm;, ikakduhkaf.ka fj<|fmdf<a ;sfnkjd' wehg fïjd .ek wúYajdihla kE' wehf.a <ne|s ñ;=ßhla fia wehf.a wjYH;djhg msysgg tkjd fkdje''' ta;a fï ikSmdrlaIl ;=jd ú;rla fkdfjhs" Tima reêrh Wrd.ekSug Ndú;hg .kakd geïmQka mjd Tn fkdis;k fi!LH wjodkulg Tnj f.k hkjd' m%uqL ldka;d ikSmdrlaIl ksmehqï wk;=f¾''' Women’s Voices for the Earth kï ixúOdkhla úiska ldka;djka m<|sk ikSmdrlaIl ;=jd" geïmQka yd mEkaá,hsk¾ia iïnkaOfhka isÿ l< wOHhkhlska fï nj ikd: ù ;sfnkjd' 104

zzgeïmQkaZZ wfma rfÜ t;rï Ndú;hla kE' kslï oek.kak' fuh Tima reêrh msg;g .e,Su j<lajk fhdaksfhys msysgqjk fuj<ula' wfma rfÜ Ndú;h úr, jqKdg tlai;a ckmofha Tima reêr wjfYdaIl w;r wxl tl geïmQka' t;rï ;oska Tima reêrh msg fkdjk ldka;djkag hg we÷fïu w,jk l=vd ikSmdrlaIl fuj<ula zzmEkaá,hsk¾ZZ hkqfjka y÷kajkjd' fkdokakd whg fïjd .ek W!K mQrkhla lf<a ikSmdrlaIl ;=jd" mEkaá,hsk¾ia yd geïmQka fï ish,a,u tlaj f.k weh we;s lrk fi!LH Wjÿrla .ek fjfiiskau Tnj oeKqj;a lrkakhs' ma,diaála j,ska ;uhs fïj yeos, ;sfhkafka''' fïjd ish,af,au ksIamdok wuqøjH .;af;d;a wvqfjkau ;sfhkafk lmq' jeäfhka ;sfhkafk frfhdka' frfhdka j,ska ;uhs fïjdfha uQ,sl ksIamdokh ldßh isÿ flfrkafka' frfhdka j, SAP fkdfyd;a Super Absorbent Powders hkqfjka ye|skafjk

ffjoHjrhd - udisl ffjoH iÕrdj

j,go fya;= jk nj y÷kdf.k ;sfnkjd' wefußldfõ wdydr yd T!IO wêldßh 2012 j¾IfhaoS BPA wka;¾.; fmd,su¾ fhdodf.k iQmamq yd fnda;,a ksIamdokh lsÍu ;ykï lrKq ,en ;sfnkjd' ta;a fïjd wfma rfÜ kï ksoyfia wf,ú jkjd' n,.;= ridhkhla ;sfnkjd' fndrf;,a j, w;=re M<hla f,i ,nd.kakd fmd,su¾ j,ska ;uhs fï frfhdka ksIamdokh jkafka' fï SAP yereKQ úg ikSmdrlaIl ;=jd" geïmQka yd mEkaá,hsk¾ia j, vfhdlaiska" *shqrkaia" lDñkdYl wjfYdaIl ;sfnkjd' ta yereKq úg my; ridhKo ta øjHj, wka;¾.;hs' • ms<sldldrlhla jk iaghsßka • m%ckl moaO;shg n,mdk OQ,lhla jk laf,dafróf;aka • ms<sldldrlhla jk laf,dafrdBf;aka • ms<sldldrlhla" m%ckflakaøsh OQ,lhla" fukau iakdhq OQ,lhla jk laf,darf*daï • p¾uhg wys;lr f,i n,mj;ajk weisfgdaka • ms<sldldrlhla fukau jl=.vq j,g ydks lrk .a,hsfmdiafmaÜ fukak wmg wk;=re f.k tk ridhk j, meálsßh fï wkQj fj<|fmdf<a iq,nj we;s ikSmdrlaIl ;=jd" mEkaá,hsk¾ia iy geïmQka uQ,sl jYfhka fndrf;,a j,ska ksmojk ma,diaála j,ska iukaú; nj meyeos,shs' fïjdfha Bisphenol A (BPA) ridhkho ;sfnkjd' BPA j,ska ks¾Kd, .%kaÓ u.ska ksmojk fydafudakj, l%shdldß;ajh wvd, lrkjd' fjfiiskau BPA u.ska ore.eng wys;lr n,mEï we;s l< yelshs' tfiau BPA ms<sld yd yDo frda.

2016 uehs l<dmh

geïmQka j,g ikSmdrlaIl WmlrK j,g ,dlaIKsl iqmsßisÿ iqola ;sfnkjd' fï iqo fïjdg ,efnkafka laf,daÍka m%n, jYfhka fhdodf.k isÿ lrk úrxck l%shdj,sh ksihs' fï laf,daÍka úfhdackfha w;=reM<hla jYfhka vfhdlaiska fukau g%hsyef,dóf;aka jeks OQ,l ridhk ksmofjkjd' vfhdlaiska b;d Nhdkl ridhkhla' fuys wdrlaIs; ud;%dj lsh, tlla kE' wxY= ud;% m%udKhla jqK;a fnfyúka wk;=reodhlhs' yïn fjkak bkak orejkag;a wm, lrkjd geïmQka ksIamdokfhaoS Bg ukd uDÿ ksudjla 105

ALERT

kùk ikSmdrlaIl ;=jd ksid Tfí fi!LHhg we;sjk wk;=r'''

mqxÑ mÍlaIKhla fuys ;sfnkafka lmq iïNjhla iys; ikSmdrlaIl ;=jd iy fj<|fmdf<a iq,nj mj;akd frfhdka iys; ikSmdrlaIl ;=jd idïm, folla' fïjd .sks .ks;aoS;a fojkqj lS frfhdka ikSmdrlaIl ;=jd ms<siaiSugo fl;rï fj,djla hkjdo hkak Tng fuh ne,Sfuka mila lr.; yelshs' ikSmdrlaIl ;=jd f.fkk .eg¿ wo ojfia fhdod.kakd ikSmdrlaIl ;=jd ksid wmg we;sjk .eg¿ .ek fuu l:dx.fhka Tng;a iúia;rd;aul woyila ,nd.; yels jkq we;'

https://goo.gl/QQV1Fo

,nd fokq msKsi Phthalates wuqøjHhla f,i fhdod.kakjd' Phthalates lshkafk;a iajdNdúl fydafudak l%shdldß;ajh wvd, lrk ridhkhla' wka;su krl ridhkhla' fuys we;s Nhdkl lu jkafka th cdk.; l%shdldß;ajhgo wys;lr n,mEï we;s lsÍuhs' .enla orK ld,fhaoS Phthalates j,g ksrdjrKh ùfuka ore.en .íid ùug jf.au wvq Wm;a nrla iys;j iy fkdfïrE ore Wm;la f,i m%ijh isÿ fjkakgo bv ;sfnkjd' tf,i Phthalates j,g ksrdjrKh ùu ksid mshhqre ms<sld wjodku by< hkjd' fojk wdldrfha oshjeähdjg k;= ùfï wjodkula we;s fjkjd' orejkaf.a ia:q,;djhg;a fï Phthalates fya;=jla fjkjd'

106

geïmQka j, ;sfnk lD;%Su ;ka;= yd ma,diaála ksid jdhq ixirkhg wjysr;d we;s fjkjd' f;;a .;sh iy ;dmho fï ;=< isr fjkjd' tys m%;sM<hla f,i os,Sr frda." nelaàßhd j¾Ol wdosh we;s ùfï wjodkula we;s fjkjd' iu Tiafia YrSr.; jk jiúI j,ska isÿjk ydksh jeähs krl foaj,a" YÍrhg wys;lr foaj,a YÍr.; fjkafka wdydr Tiafia ú;rla fkdfjhs' we;af;kau wfma iu yryd;a wys;lr oE wkjr;fhka YÍr.; fjkjd' wdydr Tiafia .kakd fohla YÍr.; jk fohla fjf;d;a fÄGh yryd cS¾Kl tkaihsu yryd hï ;rulg ì| fy<Sula isÿ fjkjd' thska ier nd, fjkjd' tfy;a ifuka we;=¿ jk oE iDcqju reêr Odrdjg tl;= fjkjd' iu mdr.uHhs' fuhskq;a ryi`. wdY%s;j iu w;sYhska ixfõoshs' ifuys iam¾Y jk hï fohla fjf;d;a th iDcqju YrSrhg wjfYdaIKh fjkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

wo ldka;d ikSmdrlaIl WmlrK j, frfhdka" úiafldia" fi,shqf,daia" oej m,am wdosfhka ieÿï,;aj ;sfnkjd' frfhdka yd úiafldia j, we;af;a wêwjfYdaIl fl|s' fjfiiskau tajd me<|Sfuka miq kej; bj;a lsÍfïoS fïjd ryi`. ì;a;s j, ;ejÍ YÍrhg wjfYdaIKh ùfï b;d jeä wjodkula ;sfnkjd' tajd ;rula fõ,d iu u; iam¾Y fjñka mej;Su ksid Toxic Shock Syndrome kue;s b;d Nhdkl yosis wjia:djgo we;eï ldka;djka m;aù ;sfnk nj jd¾;d ù ;sfnkjd' Toxic Shock Syndrome hkq Staphylococcus aureus (staph) or group A streptococcus (strep) hk nelaàßhdjka ksid we;sjk udrdka;sl yosis wjia:djla' wfma rfÜ fyd| ikakdu j, ikSmdrlaIl Wmlrk kE''' fuu ,smshg mdol jkafka úfoaYhkayS isÿl< m¾fhaIK' wfma rfÜ ke;;a wdrlaIs; hhs wkdjrKh jQ ikSmdrlaIl ksIamdok lsysmhl ikakdu lsysmhla ta uQ,dY% j, olajd ;sfnkjd' yerjqï ,laIhla fia i<ld fi!LHiïmkak ikSmdrlaIl ksIamdok furgg y÷kajd oSu flfryS jHdmdßlhkaf.a wjOdkh fhduq lrKq jia wm oekg hqfrdamSh fj<|fmdf<a Ndú;d fjk wvq wjodkula iys; ikSmdrlaIl ikakdu lsysmhl kï olajkjd' • Natracare • Diva Cup • Seventh Generation Chlorine Free Organic Cotton Tampons • Glad Rags Organic Pads • Organyc 100% Organic Cotton Tampons wjdikdjg we;a; l;djla óg jir oyhlg muK fmr lefrd,ska fu,ks kue;s wefußldkq uka;%Sjßhla ldka;d fi!LdrlaIl ksIamdok j, fi!LHiïmkakNdjh m%Yak lrñka jvd;a wdrlaIdldÍ ikSmdrlaIl ksmehqï iemhSfï kS;s iïmdokh lrKq i|yd fhdackdjla bosßm;a lrKq ,enQj;a 2016 uehs l<dmh

wjdikdjlg th trg jHjia:dodhlh úiska iïu; lrKq ,enqfõ kE' tafia jQjd kï fï wdo¾Yh wo jk úg iuia; ldka;d mrmqr fjkqfjka wfkl=;a rgj,g;a jHdma; jkakg bv ;snqKd' ikSmdrlaIl ;=jd" mEkaá,hsk¾ia yd geïmQka Ndú;fhka úNùh fi!LH wjodkula we;s fjkjd' ta;a thg wfma rfÜ úl,amhla kE' fya;=j" wo ,dxflah fj<|fmdf<a ;sfnk fï iEu ksIamdokhlau wvq jeä jYfhka tl yd iudk ksIamdok l%shdj,shlg wkq.;hs' fldfydu kuq;a yß; ñ;=re ksIamdok ukqIH iqjfi; flfryS y÷kajd oSug ful, jeä wjOdkhla fhduq ù ;sfnk ksid wkd.;fhaoS fïjd jvd;a ys;ldó ksIamdok f,i l<t<s niskakg yelshdj ;sfnkjd' th tfia úh hq;=hs' fkdtfia kï fya;=jla ke;sj we;sjk Nhdkl wikSm j,g wfma ishque<shka wksjdrf;a md;% ùug jeä bvlvla ;sfnkjd' 107

HUMAN BODY

wisßu;a ñksia isrer'''

wisßu;a ñksia isrer'''

isg wE;skau ;sfnk maÆfgda .%yf,dalh olajd oi jdrhla t;sh yels ÿrls'

o;a .ek Tn fkdo;a fohla

is`.s;a;kag wiaÓ 60la jeähs jeäysá wmg ;sfnkjdg jvd <orejkag wiaÓ 60 la jeäfhka ;sfnkjd' tajd miqld,Skj tl;= ù jeäysáfhl=f.a wia:s ixLHdj jk 206 la njg m;a fjkjd'

iajhx w¿;ajeähdjla isÿ fkdjk wfma YÍrfha we;s tlu foa o;ah' wmg yeuodu o;a uoskakg isÿj we;af;a ta ksidh' Tfí DNA fl;rï os.o @ Tfí YÍrfha we;so`.r .eiqKq DNA wKq ish,a, os. yeßfhd;a th ye;elau ì,shk 10la t;Sug ;rï m%udKj;ah' Tng fï .ek hï m%dfhda.sl woyila .ekSug wjYH kï" th yßhg wfma mD:súfha

108

mqÿuhs" ta;a we;a;hs''' • wm wjosj isák úg wfma fud<fha ixirKh jk úoahq;fhka l=vd úÿ,s nqnq,la oe,aúh yelshs' • wm urKhg m;aù osk ;=kl wejEfuka wm isref¾ ;sfnk tkaihsu wfma isrer wdydrhg .kakjd' • hula .s,sk fj,djg yqiau .kak neß fï f,dalfha isák tlu laISrmdhS i;ajhd ñksidh' • Tfí we| me;a;l ;sfnk ¥ú,s j,ska jeä yßhl we;af;a Tfíu uereKQ ffi,h' • ñksfila ;u cSú; ld,h ;=< msysKqï ;gdl folla mqrjkakg ;rï úYd, fÄGh Odß;djla ksmojhs' • fï f,dalfha isák ñksia ck.ykhg jeä ixLHdjl nelaàßhdjka Tfí uqLfha jrlg ,e.=ï f.k isà' • Tn ksod isák fudfydf;a Tng lsisjl .| iqj| fkdoefkkafkah'

ffjoHjrhd - udisl ffjoH iÕrdj

2016 uehs l<dmh

109

BEHAVIOUR

ÿïmdkh ksid Tfí mdoh bj;a lrkak isÿúh yelshs

ÿïmdkh ksid Tfí mdoh bj;a lrkak isÿúh yelshs ÿïmdkh mdo ijfi; ydkshg ,la lrk yeá

yDo frda. úfYaI{ ffjoH kdu,a úchisxy

110

yDofha lsÍgl OukS wjysr;djhla we;s ù yDohdndOhla yg .ekSug n,mdk m%Odk fya;=jla jkafka ÿïmdkhhs' kuq;a ÿïmdkh ksid Tfí mdohla lmd bj;a lsÍug isÿúh yels nj Tn fudfyd;lgj;a is;kafka ke;sj we;s' we;af;kau ÿï mdkh Tfí mdo iqjfi; wk;=f¾ fy<kjd' fï th isÿjk yeáhs'

yDofha lsÍgl Ouksj, fldf,iagfrda,a ;ekam;a ù wjysr ùu ksid wekachskd lelal=u iy yDohdndO we;s jk wdldrhgu YÍrfha wksl=;a Ouksj,o fldf,iagfrda,a ;ekam;a ùfuka wjysr úh yelshs' fufia fldf,iagfrda,a ;ekam;a ùfï l%shdj,sh y÷kajkafka wef;frdialaf,frdaisia ^Atherosclerosis& f,iskqhs' lsrSgl Ouks wjysr ùfuka yDo l%shdldrs;ajhg wjYH reêrh iy Tlaiscka iemhqu wvd, fjkjd' túg yg .kakd lelal=u zwekachskd lelal=uZ f,iskqhs y÷kajkafk' ffjoHjrhd - udisl ffjoH iÕrdj

ll=,aj, reêr OukS wjysr;djh ksid mdo j,g fjk foa fuf,i ll=,aj, reêr OukS wjysr;djh we;s jqjfyd;a weúosk úg ll=f,a fmaYsj,g wjYH reêr iemhqu wvd, jk ksid ll=,aj, oKysfika my< msgqmi n;aflKav kñka y÷kajk fldgfia;a" mdoj, m;=,a j,;a" l,jd j,;a lelal=ula fyda fõokdjla we;s úh yelshs' fuh úfYaIfhka yg .kafka frda.shd weúosk úghs' fõokdj yg .kakd úg u| fõ,djla úfõl .;fyd;a udxYfmaYsj, l%shdldrs;ajh k;r jk ksid lelal=u l%u l%ufhka ÿre ù hkjd' kuq;a kej; weúoSug mgka .;a úg h<s;a udxY fmaYs l%shdldrS ùug mgka .kakd ksid lelal=u kej; yg .kakjd' fufia lelal=u we;s jkafka weúosk úg ll=f,a udxY fmaYsj, l%shdldß;ajhg wjYH Tlaiscka iemhqu tu Ouks j, wjysr;djh ksid wvd, jk neúkqhs' fï wdldrfhka we;sjk lelal=u ffjoH úoHdfõ olajkafka laf,däflaIka ^claudication& lsh,hs'

OukS wjysr jkakg fya;= jk lreKq fuf,i ll=,aj, Ouks wjysr jkakg n,mdk wjodkï idOl fudkjdoehs oeka wms n,uq' • m%Odku wjodkï idOlh ;uhs ÿïmdkh' tA wkqj yDohdndOj,g muKla fkdj Tfí fomd j,g mjd b;du wys;lrhs'

2016 uehs l<dmh

• ;j;a wjodkï idOl jkafka oshjeähdj" wêl reêr mSvkh iy reêrfha fldf,iagfrda,a idkaøKh jeä ùfï ;;a;ajhhs' • fï yereKq úg jl=.vq wl¾ukH ùu" tfia wl¾ukH jQ frda.Skag lrkq ,nk ldkaÿlrK ^dialysis& m%;sldr l%uh" yDofha lsrSgl Ouks wjysr ùu" wxYNd.h" ,sx.sl ÿn,;djh jeks ;;a;ajhka ksid;a fï frda.h nyq,j we;s jkak mq¿jka' fï frda.fha frda. ,laIK frda.shdg oefkk wdldrh .ek ne¨fjd;a uq,a ld,fha ll=f,a udxY fmaYsj, fõokdj fyda lelal=u oefkkafka iEfyk ÿrla weúoSfuka miqjhs' 111

BEHAVIOUR

ÿïmdkh ksid Tfí mdoh bj;a lrkak isÿúh yelshs

frda.h W;aikak jQ úg kskafoaoS mjd lelal=u yg .kakjd kuq;a l%u l%ufhka Ouks wjysr;djh jeäjk úg flá ÿrla weúoSfï§ fuu lelal=u u;= jkak mq¿jka' b;d ;on, f,i Ouks wjysr ù we;akï" weúoSfuka f;drj úfõlfhka isákd úgoS iy rd;%S kskafoaos mjd lelal=u yg .kakjd' frda.h ;oska mj;sk úg mdoj, we`.s,s ysrs jeàu isÿjk w;r ksod .ekSfïoS froaola fmdrjd .kakd úgoS mjd fõokdjla oefkkq we;s'

ll=,aj, reêr OukS wjysr;djh we;s jqjfyd;a weúosk úg ll=f,a fmaYsj,g wjYH reêr iemhqu wvd, jk ksid ll=,aj, oKysfika my< msgqmi n;aflKav kñka y÷kajk fldgfia;a" mdoj, m;=,a j,;a" l,jd j,;a lelal=ula fyda fõokdjla we;s úh yelshs' fuh úfYaIfhka yg .kafka frda.shd weúosk úghs'

112

udxYfmaYs osh fjkakg;a mq¿jka tfukau mdoj, my< fldgfia iu ks,a meyehg yqre wjmeyehla .ekSu ;j;a ,laIKhla' fï ;;a;ajh we;s jkafka tu fldgfia reêr iemhqu ;on, f,i iSud ùfï fya;=fjkqhs' Bg wu;rj frdau ye,Suo isÿfjkjd' tfiau ll=,aj, n;aflKav m%foaYfha udxY fmaYS laISK ù ^oshù& l=vd ùfï fya;=fjka l,a mj;sk ;=jd, yg .kakg mq¿jka' fujeks ;=jd, úfYaIfhka yg .kafka we`.s,sj, iy ú¨fòh' fun÷ frda.Ska mrSlaId lr ne,SfïoS mdoj, kdä jeàu b;d ÿ¾j, ;;a;ajfhka meje;Su iïmQ¾Kfhkau kej;S ;sfnk wkaou ffjoHjrhl=g myiqfjka jgyd .; yelshs' tfiau Tjqkaf.a fomdj, reêr mSvkh o fndfyda wvq jkak mq¿jka'

ffjoHjrhd - udisl ffjoH iÕrdj

frda.h ksYaph lr .ekSug fhdod.kakd mÍlaIK fujeks frda.sfhl=f.a frda.h ksYaph lr .ekSu i|yd wekacsfhda.%Eï ^Angiogram& mrSlaIK" fomd j, reêr ixirKh mrSlaId lr nef,k w,ag%d ijqkaâ ialEka mrSlaIK" Doppler ultra sound scan fyj;a m%;sody ;rx. mrSlaIdj iy fomdj,;a w;aj,;a reêr mSvkh ixikaokh l< yelsAnkle Brachial Index (A.B.I.) mrSlaIK jeo.;a fjkjd' fuu frda.hg m%;sldr lsrSfïoS úfYaIfhka l< hq;a;la jkafka frda.shd úiska ÿïmdkh iïmQ¾Kfhka k;r lsrSuhs' ta jf.au weúoSfïoS fomdj, lelal=u we;s jqK;a yels muK jHdhdu lsrSuo jeo.;a' óg wu;rj oshjeähdj" wêl reêr mSvkh iy reêrfha fldf,iagfrda,a idkaøKh fyd|ska md,kh lsrSu yd

2016 uehs l<dmh

YrSrfha nr wvq lr .ekSuo ;j;a jeo.;a lreKqhs'

fï wdldrfhka mdo j, reêr .ukd. ukh wjysr ùu ksid we;sjk lelal=u ffjoH úoHdfõ olajkafka laf,däflaIka lsh,hs'

frda.hg fok T!IO fï frda.hg T!IO f,i yDo frda.Skag ,nd fok wdldrhgu f,a leá .eiSu wvq lrk weiam%Ska jeks T!IO ,nd osh yels w;r fomd j, reêr .ukd.ukh j¾Okh l< yels úfYaI T!IO j¾.o ,nd fokq we;' lsrSgl Ouks wjysr;djhg m%;sldr lrk mrsosu wekacsfhdama,diaá ^iqúld¾h;djh& m%;sldr l%uh u.ska fomd j, reêr kd,j, wjysr;d u. yrjd .kak mq¿jka' fomdj, reêr kd,j, nhsmdia ie;alï u.skao reêr ixirKh h:d ;;a;ajhg m;alr .; yelshs' m%;sl¾u wid¾:l jQjfyd;a ll=, lmd oukakg isÿ fjkjd fï lsisÿ l%uhlska id¾:l m%;sM, ,nd .; fkdyels ;rug frda.h W;aikak jQ frda.Skag Y,Hl¾uhla u.ska mdoh lmd bj;a lsrSug ^Amputation& isÿfjkjd' fufia lrkakg isÿjkafka fomdj, úfYaIfhka we`.s,sj, ;=jd, iEoS Ouks uq¿ukskau wjysr ù fomd wêl lelal=u we;s frda.Skagh' fujeks frda. ;;a;ajhla .ek fndfyda úgu Tn wid fkd;snqK;a fïl ÿ¾,N frda.hl=;a fkdfjhs' ÿïmdkh ksid nyq,ju isÿjk fï frda. ;;a;ajh .ek ÿï fndk wh úfYaIfhkau wjOdkh fhduq lsrSu jeo.;a'

113

ELDERLY CARE MEDICINE

uõmshkaf.a uy¿ jhfioS orejkaf.aa ie<ls,a, fhduq úh hq;= lreKq

yeu wïu flfklaf.au" yeu ;d;a; flfklaf.au is;sú<s f;areï .kakg W;aidy lruq uõmshkaf.a uy¿ jhfioS orejkaf.aa ie<ls,a, fhduq úh hq;= lreKq jeäysá ffjoHfõoh úfYaI{ ffjoH pkaok Y%S lklr;ak

jhia.; jk úg wm úúO fi!LH .eg¿ j,g uqyqK mdkjd' tla frda.hlau fkdfjhs" frda. /ilg uqyqK mEug isÿùu fï uy¿ úfha jeä fokd w;aú|sk ;;a;ajhla' jeäysáhka iq,nj uqyqKmdk .eg¿ lsysmhla .ek úuiuq' tl frda.hla fyd| fjk úg ;j;a frda.hla''' @ jeäysáfhl=g frda.hla we;s jqKdu Tyq ;reK ld,fha" nd, ld,fha ta frda.hg uqyqK ÿkakdg jvd ;;a;ajh ;rula fjkia' wms ys;uq' uq;%d wudrejla yeÿK lsh,' uq;%d wudrejg fnfy;a ÿkaku ta frda.h iqjm;a fjkjd' ta;a m%Yakh t;ekska wyjr fjkafk kE' hdno wjhjhl ;j;a ixl+,;djhla yg.kakjd' ke;a;ka" t;ek ;snqKq wdidokh fyd| fjkjd' B<`.g t;eku w¿;a ;;a;ajhla' yeu ;siafiu uQ;%d lsÍfï wiykhla we;s fjkak mq¿jka' ke;akï uq;%d fkdoekSu ldkaÿ fjkak mq¿jka' fï wdldrfhka frda.hla iqj fjk úg fjk;a frda.hla u;=ùu uy¿ úfha olakg ,efnk ,dlaIKsl ;;a;ajhla' tfyu ffjoH m%;sldr wjYH w¿;a ;;a;ajhla meK ke.=Ku thg;a kshñ; m%;sldr i,iajd Tyq iqjm;a lsÍu jeäysáhka iïnkaO ffjoHjrfhl=f.a ld¾hhg whs;shs'

114

jeäysá jhfia we;sjk úúO frda. ;;a;aj .ek oeKqj;a fjuq' wêreêr mSvkh" oshjeähdj" yDo frda.''' ta ú;rlao @ uy¿ jhfiaoS flfkl= ffjoH m%Yak tlla fkdfjhs" lsysmhlg ueos fjkak mq¿jka' wêreêr mSvkh fï ld,fhaoS iq,nhs' oshjeähdj fndfyda fofkl=g we;s fjkjd' yDo frda. we;s fjkak bv ;sfnkjd" weia fmkSu wvqùu''' fï wdoS frda. /ila uy¿ ld,fhaoS Wreuhs' fï ld,fhaoS we;eful=g isys l,amkdj wvqhs' nvqjla .;a;yu tal ;sín ;ek ksÉÑhhla kE' iuyrekag weia fmakjd wvqhs' iuyrekaf.a Y%jKh ÿ¾j,hs' iuyrekaf.

YÍrh jdre kE' álla hkfldg weof.k jefgkak n,kjd'

ffjoHjrhd - udisl ffjoH iÕrdj

fujka .eg¿ /ilg we;euqka uy¿ úfhaoS wm uqyqK mdkjd' fï wdldrhg .eg¿ / ila ;sfnk úg ta ;sfhk .eg¿ j, iajNdjh wkQj ;j flfklaf. Woõj tosfkod cSú;fhaoS wjYH fjkak mq¿jka' tjka jeäysáhka wdorfhka /ln,d. ekSu l< hq;=hs'

2016 uehs l<dmh

Geriatrician flfkl=f.a /ljrKhg uj mshd m;a lrjkak f.or ;shdf.k /ln,d.kakjd jf.auhs fï whf.a mjqf,a Woúhg ;j;a j.lSula ;sfnkjd" meK ke.=Kq frda. ;;a;ajhkag kshñ; ffjoH m%;sldr ie,iSu' iuyr fj,djg we;eï úfYaIs; ;;a;aj ;sfhk úg ta iïnkaO úfYaI{ ffjoHjrekag Tfí wdorKSh ióm;uhd fmkajkak isÿfjkak mq¿jks' ta whf.ka kshñ; Wmfoia ,nd.kak isoaO fjkak mq¿jks' yenehs frda. /il ;sfnk úg Bg wu;r jYfhka Geriatrician flfkl=f.a /ljrKhg frda.shd m;a lrùfuka Tyqf.a cSú;fha úYd, mßj¾;khla isÿ lrkak mq¿jks'

115

ELDERLY CARE MEDICINE

uõmshkaf.a uy¿ jhfioS orejkaf.aa ie<ls,a, fhduq úh hq;= lreKq

we;eï fj,djg fï jhfia frda.sfhla fnfy;a 10-15 la jrlg fndkjd fjkak mq¿jka' fï fnfy;a yeu tllu mdfya ixl+,;d ;sfnkjd' ksødYS,SNdjh" nv fõ,jk tl" Tlaldrh" jukh''' fï wdoS jYfhka mq¿,a mrdihl n,mEï fnfy;a ksid we;s fjkak mq¿jks'

iuyr fj,djg lfka wudrelï ksid;a YÍrfha ;=<s; nj ke;s fjkjd' thg fya;= ;sfnkjd ffjri wdidokhla fya;=fldg f.k lfka wdidok we;s fjkak mq¿jka' wm fndk fí;afya;a ksido fï ;;a;ajh we;s fjkak mq¿jka' ;j;a fndfyda fya;= ksid lfka wudrelï we;s fjkjd'

fï n,mEï wju lrkak frda.shd .kak fnfy;a ish,a, iudf,dapkh lrkak isÿ fjkjd' tl tlla frda. iïnkaOfhka ,nd fok fnfy;a j¾. .ek fidhd n,, frda.shdg jvd;au wjYH fjk fnfy;a ál ksjerosj .kakd wdldrh iïnkaOfhka Wmfoia ,ndosh hq;=hs' fuysoS Tn .kak we;eï fnfy;a kj;ajkak jf.au ;j;a fnfy;a w¿;ska ,nd fokak isÿ fjkak mq¿jka' fï lghq;a; úäysáfõoh ffjoHjrfhl= w;ska isoaO fjkjd'

iakdhq wdndO ksid;a flfkla weo jefgkak bv ;sfnkjd' fujka wjia:d j,oS ta mdol fya;=jg ms<shï fhosh hq;=hs'

we;eï fj,djg flfklaf.a reêrfha iSks fnfyúka my; jefgkak mq¿jks' túg ta frda.shdf.a yeisÍu widudkHhs' .kak fnfy;a j,g reêr mSvkh kshñ; mßos md,kh fkdfjkakg;a mq¿jks' uy¿ jhfiaoS yDohdndO" wd>d;h jf. yosis ;;a;aj we;s fjkak mq¿jka' fï bvlv wju lrkak ffjoHjrekaf.a ióm ksÍlaIKh fya;= fjkjd'

fï yereKq úg fud<fha f,a kyrhla msmsÍfuka flfkl=g yosisfha wd>d; ;;a;ajhla we;s fjkakg;a ;sfnk bvlv neyer lrkak nE' fï úosfya ;;a;ajhloS frda.shd jydu frday,a.; l< hq;= fjkjd'

jeäysáhka ks;r weo jefgkak ;sfnk bvlv jeähs' fï ksidfjka Tjqka .ek oeä úmrulao wjYHhs jeäysáhkaf.a w;a md jdre kE' fï ksid Tjqka jefgkakg ;sfnk wjia:d jeähs' fï ksid jeäysáhka .uka ìuka hk úg Tjqkag iómj /ljrKh ,ndosh hq;= fjkjd' we;eï fj,djg fï jeäysáhka jefgkak hkafk weia fkdfmkSu ksid' bosßfhka we;s ndOlhl mh mels¨kdu weo jefgkjd' fïlg fya;=j fmkSu ÿ¾j, ùu ùu kï th kï wlaIs ffjoHjrfhl=g fmkajd ms<shï fhoSu l< hq;=hs'

116

fï wdldrfhka weo jeàï j,g fya;= /ila ;sfnkjd' jeäysáfhla weo jegqfKd;a Bg ksYaÑ; fya;=jla y÷kd.; fkdyels kï tu

ffjoHjrhd - udisl ffjoH iÕrdj

frda.shd jydu frday,a.; lsÍu jvd;a iqÿiqhs' ks;r ks;r weo jefgk whg ;ksfhka ta lghq;= lr.kak wiSrehs lshk mKsúvh ;uhs fokak fjkafk' fï ksid tjka frda.Skag Tn ldf. yß Wmldrh" w;ajdrej ,nd fokak' weo jeàula isÿ jQ úg Bg fya;=j oek.; hq;=hs' ta wkQj m%;sldr m%;sl¾u fhosh hq;=hs' IMMOBILITY wp,H;djh fkdfyd;a tosfkod l%shdldrlï j, we;sjk iSudldÍ nj Wfiaka fnda,aÜ ;;amrhg óg¾ 9'8la fõ.fhka ÿjkjd' ta;a ta idudkH fõ.h ld,hla hk úg Tyqg ke;sjqfKd;a th Tyqg n,mdk wp,H;djhla f,i oelaúh yelshs' f.or bkak wdÉÑ wïu biair kï ;ksfhka ñÿ, w;= .dkjd' ta;a oeka tal lr.kak jdre kE''' th wdÉÑ wïuf. wp,H;djh' 2016 uehs l<dmh

wxYNdf. yeÿKq w,a,mq f.or ysgmq f,vd .sh i;sh fjklï wef|a me;a;g yereK' Bfh fmf¾od b|ka tal;a k;r fj,d' oeka tl ;eku Tfya bkakjd' wkqlòmd iy.; ;;a;jhla jk fï neßlu fï wirK frda.shdf.aa wp,H;djh''' WodyrK ;=kla ÿkafk fï wp,H;djh ksjerosj ú.%y lrkak wjYH ksihs' hï flfkla óg l,ska lrf.k ysgmq ixp,k l%shdj,shla ;jÿrg;a lrf.k hdu wiSre jqfKd;a fuh zwp,H;djhZ f,i y÷kajkjd' wp,H;djhla we;s jqKdu th h:d ;;ajhg m;a lr.kak lreKq ;=kla n,mdkjd • ld,h • jHdhdu • Ñls;ailhkaf.a ueosy;a ùu fï úosfya .eg¿jla we;s jqKdu th ld,h;a iu.u iajdNdúlju ms<silr fjk yelshdjla ;sfnkjd' yenehs .;fjk ld,h ksYaÑ;ju lshkak wudrehs' jeàula ksid isÿjqKq wdmodjloS fmaYs" Lkavrd w¿;ajeähd jqKdu kej; p,k wkql%ufhka h:dj;a lr.; yelshs' wxYNd. frda.sfhlaf. p,k ;jÿrg;a iSud jqKdu ;;a;ajh fjkia' túg ta i|yd jHdhdu isÿ l< hq;=hs' fï úosfya frda.sfhl=g ys;=uf;a jHdhdu lrkak nE' fN!; Ñls;ailfhl=f.a" jD;a;Sh Ñls;ailfhl=f.a u.fmkaùu fuysoS wjYHhs' ta ta frda.Skag .e,fmk úosyg ie,iqï l< jHdhdu ñila wmg ´ks úosyg fï foaj,a lrkak .sfhd;a ;;a;ajh jvd;a oreKq fjkak;a mq¿jka'

117

ASPIRIN

yDohdndO" wxYNd.h j<lajk weiamsßka

yDohdndO" wxYNd.h j<lajk

weiamsßka

iamsrska" ñf,ka wvqhs' myiqfjka ñ,oS .; yelshs' yDohdndO je<elaùug f,dj mqrd úYd, msßila oskm;d weiamsrska .kakjd' wxYNd.h je<elaùu" ms<sld j,ska ñoSu" m%Stla,ïmaishd fkdfyd;a .¾NsKS ldka;djkaf.a reêr mSvkh jeä ùfuka we;sjk jl=. vq wdoS jákd wjhj wdmodjg m;aùfï Nhdkl ;;a;ajfhka ñoSug;a weiamsrska ffjoHjreka úiska ks¾foaY lrkjd' fï wdoS jYfhka úi,a jmißhl frda. /ilg weiamsrska /ljrKhla i,ikjd' we;euqka weiamsrska y÷kajkafka zuecsla fnfy;Z lsh,hs' oskm;d iq¿ ud;%djla .ekSfuka fïid mq¿,a /ljrKhla ,efnk fjk;a T!IOhla is;d.ekSug fkdue;s ;rï'

we

kuq;a fldhs fnfy; jqK;a ys;=uf;ag .kak fyd| kE lsh, NSI.afõofha uQ,sl kshuhla ;sfhkjd' fïl weiamsrska i|yd;a tl fia idOdrKhs' fjfiiskau weiamsrska fldfydu;a ys;=uf;a .kak fyd| kE' ta wehs lshk ldrKh ;uhs fï ,smsfhka idlÉPd flfrkafka'

118

ffjoHjrhd - udisl ffjoH iÕrdj

weiamsrska isß;la jYfhka .kak fomsßila bkakjd' yDohdndOhla" wxYNd. ;;a;ajhla we;s fj,d kE' kuq;a bosßfhaoS ta we;s ùfï wjodkula ;sfnkjd kï th je<elaùug flfkla weiamsrska .kakjd' wfkla fldÜGdYh ;uhs fï frda.hla we;s jqKdg miafia kej;;a th oaú;Shslj we;sùfï wjodkfuka ñoSug weiamsrska .kakd wh'

weiamsßka fyd|hs" ta;a we;eï úg wjodkula f.fkk wjia:d ;sfnkjd fldak,a úYaj úoHd,fha veksfh,a flis.a weiamsrska ms<sn|j mq¿,a wOHhk isÿ l< c.;a lS¾;sOr úoajf;la' Tyq lshk wdldrhg jhia.; ùu;a iu.u we;sjk reêr.; frda. je<elaùug jf.au iakdhq.; frda. j,g weiamsrska fyd| ms<s;=rla fjkjd' ta;a weiamsrska .ekSfuka wu;r fi!LH wjodkulg;a Tn ks;ekskau ,la fjkakg bv ;sfnkjd' weiamsßka ksid cS¾Kl moaO;sfha" fud<fha f,a .e,Sï we;s fjkak bv ;sfnkjd weiamsrska ksid cS¾Kl moaO;sfha by< fldgia j, f,a .e,Sï we;s fjkak mq¿jka' úfYAIfhkau we;euqkaf.a wdudYfha f,a .e,Sï j,g fï oskm;d weiamsrska .ekSu fya;= ù ;sfnkjd' wfkla nrm;, ldrKh ;uhs" fï ksid fud<fha jqK;a f,a .e,Sï we;s fjkak bv ;sfnkjd' laf,is.a lshk úosyg fï wk;=r iïnkaOfhka ;jÿrg;a wm mq¿,aj wOHhkh l< hq;=hs' fjfiiskau jvd;a ld¾hlaIu" wk;=re wvq

2016 uehs l<dmh

ie,sis,sla wdldrhla y÷kd.kakg wm W;aiql úh hq;=hs' ie,sis,sla wï,fha wkqyiska fud<fha ffi, úkdYh lrd hk l%shdj,sh wdmiq yerùula weiamsrska j, ;sfnk il%Sh ridhkh ie,sis,sla wï,hhs' we,aIhsu¾" mdlskaika jf.a frda. j,os isoaO jkafka f,a iu. fud<hg meñK ffi, wl¾uKH lrk tlhs' fï jhia.; ùu;a iu.u we;sjk frda. j,g weiamsrska iykhla jkafka tys we;s ie,sis,sla wï,h fï fm%daàk fud<hg m%fõY ùu j<lajk ksihs' f,vla ke;sj weiamsrska .kak wh;a" f,vla yeÿKq miq bosßfhao wdrlaId fjkak .kak wh;a weiamsrska isß;la jYfhka .kak fomsßila bkakjd' yDohdndOhla" wxYNd. ;;a;ajhla we;s fj,d kE' kuq;a bosßfhaoS ta we;s ùfï wjodkula ;sfnkjd kï th je<elaùug flfkla weiamsrska 119

ASPIRIN

yDohdndO" wxYNd.h j<lajk weiamsßka

.kakjd' wfkla fldÜGdYh ;uhs fï frda. hla we;s jqKdg miafia kej;;a th oaú;Shslj we;sùfï wjodkfuka ñoSug weiamsrska .kakd wh' uq,ska lS msßi Primary prevention ldKavh f,i y÷kajk w;r fojkqj lS wjYH;djh u; weiamsrska .kakd ldKavh Secondary prevention ldKavh f,i y÷kajkjd'

weiamsrska ksid cS¾Kl moaO;sfha by< fldgia j, f,a .e,Sï we;s fjkak mq¿jka' úfYAIfhkau we;euqkaf.a wdudYfha f,a .e,Sï j,g fï oskm;d weiamsrska .ekSu fya;= ù ;sfnkjd'

120

ydksh yd jdish ;lafiare lrñka .; hq;= ;SrKhla .ek l;sldj;la The U.S. Preventive Services Task Forc kñka y÷kajk wefußldkq ffjoH ixúOdkhla wdrlaIdfõ mshjrla f,i" ke;akï f,vla ke;sj weiamsßka .kak tl fl;rï wdrlaIdldÍo hkak úuiSfï wOHhkhk ksr; jqKd' fï wh ;u wOHhkh wjidkfha wdka;%sl ms<sld wjodkfuka ñoSug;a weiamsßka .ekSu iqÿiq hhs ks¾foaY l<d' flfia fj;;a fu úosyg weiamsßka .kak kï Tjqka fldkafoais folla bosßm;a l<d' tlla fï frda.Ska jhi wjq' 50-69 jhia iSudfõ wh úh hq;=hs' tfiau bosß oi jir ;=< yDohdndOhla we;sùfï bv m%ia:dj ;lafiare lr ishhg 10g jeä wjodkula ;sfnkjd kï muKla fï oskm;d weiamsßka m%;sldrh ,nd osh hq;=hs' yenehs hï flfkla wdka;%sl ms<sld we;s ùu je<elaùug weiamsßka ffjoHjrhd - udisl ffjoH iÕrdj

.ekSug weiamsßka .kak ys;df.k bkakjd kï thg bvla osh fkdyels nj;a Tjqka m%ldY l<d' yoj;a frda. wjodkfuka ñoSug weiamsßka .kak flfkl=g ,efnk wu;r jdishla úosyg ;uhs fuysoS wdka;%sl ms<sld we;sùu je<elaùug ,efnk / ljrKh ie<flkafka'

jqKd' fï wdldrfha osß.kajk iq¿ wkdjrKhka ksid ;uhs weiamsßka ms<sld u¾Ok fufyhl ksr; jk njg wo ms<s.ekSula we;sù ;sfnkafka' fï iïnkaOfhka jeä ÿrg;a m¾fhaIK isÿ úh hq;=hs'

weiamsrska wdka;%sl ms<sld u¾Ok fufyhl fldfydu jqK;a uefipqfiÜia frdayf,a m¾fhaIlfhl= jk wekavD pEka mjik wdldrhg weiamsßka ms<sld u¾Okfhys ;ju;a y÷kd fkd.;a l=i,;d úNjhla we;s fnfy;la' we;eï ms<sld j,g úIh jk fm%daàk j¾. ksfYaOkhg weiamsßka iu;a jk nj óg fmr;a i|yka l<d' miq.sh cqks udifha th ;jÿrg;a ikd: jqKd' weianeiafgdaia fl|s wd>%Kh ùfuka we;sjk mesothelioma kï ms<sldj u¾Okhg;a weiamsßka wdrlaIdldÍ hdka;%Khl ksr; jk nj fuysoS ;yjqre

mlaIj yd m%;smlaIj fnÿKQ úoaj;a iudch yDohdndO je<elaùug weiamsßka wdrlaIl m%;sldrhla jYfhka weiamsßka ,nd.; hq;=o hkak iïnkaOfhka wo úoaj;=ka fofldgilg fnoS bkak njla fmakjd' The Canadian Cardiovascular Society, European Society of Cardiology fï wdldrfhka weiamsßka ,ndoSu m%;slafIam lrkjd' The American Heart Association iy The preventive services task force weiamsßka m%d:ñl yoj;a frda. m%;sldrhla f,i weiamsßka ,ndoSug tl`.hs' yenehs Tjqka lshkjd fuhska we;sjk ys;lr n,mEu yd wys;lr n,mEu uekúka ;lafiare lr weiamsßka ,ndoSfuka frda.shdg w;ajk /ljrKh thska Tyqg we;sjk ydksh mrhd hkakla kï muKla weiamsßka ,nd osh hq;=hs hkqfjka'

2016 uehs l<dmh

2014 j¾Ifhaos fíh¾ iud.u wefußldfj wdydr yd T!IO wêldßfhka b,a,Sula l<d' weiamsßka yDohdndO je<elaùfï m%;sldrhla jYfhka fhdod.ekSug wjir ,nd fok f,i' tfy;a wdydr yd T!IO wêldßh tu b,a,Su m%;slafIam l<d' fuys wdrlaIs;;djh id¾j jYfhka ms<s.ekSug m%udKj;a idlaIs fkdue;s njhs T!IO wêldßfha u;h jqfKa'

fï wkQj jákd uyd¾> TIOhla jqK;a weiamsßka oskm;d Ndú;fhaoS hï ;lafiarejla tla tla frda.shd fjkqfjka fm!oa.,slju isÿúh hq;= nj meyeos,shs' wfma rfÜ ffjoHjreka fï wjodku iy jdish uekúka ;lafiare lr wjYH frda.Skag weiamsßka ,nd fok ksid ta iïnkaOfhka yqUia ìhla we;s lr fkdf.k ffjoHjreka fok Wmfoia j,g wkq.;j l%shd lrkak lshk mKsúvh;a wm fï;a iu.u ,nd fokjd' 121

NUTRITION FOR EYE HEALTH

weia fmkSu iqir lrk''' wlaIs frda. uev mj;ajk weig ys;e;s wdydr

weia fmkSu iqir lrk''' wlaIs frda. uev mj;ajk

weig ys;e;s wdydr fmdaIKfõosKS rdêld úu,fialr úisks wfma rfÜ iEfyk msßila wkaO Ndjfhka mSvd ú|skjd'' fï iïnkaOfhka ksYaÑ;j ;yjqre lr.;a ixLHdf,aLK ke;;a 90"000-150"000 w;r ixLHdjla wfma rfÜ wkaONdjhg m;aj isák nj weia;fïka;=.;j ;sfnkjd' weia j, úúO uÜgfï fmkSfï fodaI iys; whf.a ixLHdj óg jvd fnfyúka jeähs' fuhg mdie,a jhfia orejkao úYd, ixLHdjla wh;a fjkjd' wkaONdjhg f.dÿre ù ke;;a fkdfhl=;a wlaIs fodaI j,ska fmf<k frda.Ska m%udKh fmr oelajQ ixLHdj fuka lsysm .=Khls' fï wkQj wlaIs fodaI wfma rfÜ fudk ;rï ixLHdjlg n,mdk m%Yakhlaoehs mila lr.ekSu wiSre fkdfõ' fk;a w|Ndjhg n,mdk fya;= y÷kd.ksuq wfma rfÜ ixLHdf,aLK úuiSfïoS wkaONdjhg n,mdk m%Odk fya;=j f,i oelafjkafka wefia iqohs' j¾;k fodaI fojk ia:dkho .aÆfldaudj f;jk ia:dkho .kS' fï ish,af,kau mdfya tla lreKla kï meyeos,sh' hï flfkl= wkaONdjh olajd m;ajkafka tlajru fkdfõ' iq¿ fodaIhla we;s úg th fkdi<ld yeÍu" frda. ;;a;ajh uqyql=rd hdug n,mdhs' .aÆfldaudj we;sjkafka wefia mSvkh jeä ùfuks' uq,a wjia:dfõ .aÆfldaud frda.h y÷kdf.k ms<shï fhÿjd kï wkaONdjhg m;a ùfuka fuyd iEfyk muK ms<shï fhosh yel' wefia iqo yd j¾;k fodaI i|yd kï iaÓridr ms<shï fhosh yelsh' wjYH jkafka ffjoH m%;sldr j,g fhduq ùuhs' frda.h y÷kd.;a miq m%;sldr j,g fhduq ùuhs' ful, wlaIs frda. iq,nh' fï ;;a;ajh uqyql=rd tkakg fmdaIKfhka hï n,mEula we;s ù ;sfío @ fuhu wm ;j;a wdldrhlg m%Yak lruq' weia j, hyl%shdldß;ajhg n,mj;ajk fmdaIK ix>gl ;sfío @ tajd mdßfNdackhg tla lr .ekSfuka wlaIs iqjfi; flfryS ys;lr n,mEula we;slr.; fkdyelso @ weia j, iqjfi; flfryS wdydr j, n,mEu iq¿mgq kE''' wlaIs frda. we;sùug úúO fya;= n,mdhs' tl tlla frda. i|yd n,mdk fya;= úúOdldrh' oshjeähdj jeks frda. ;sîu iEu wlaIs frda.hlau wjodku we;s lrk njo fmfka' ta flfia jQj;a wlaIs iqjfi; flfryS fmdaIKfha o hï n,mEula ;sfnk nj m%;HlaI lreKls' m¾fhaIK j,g wkQj we;eï wdydr wkqNjh lsÍu ksid wefia fmKqu m%j¾Okh jk nj m¾fhaIKd;aulj y÷kdf.k ;sfí'

122

ffjoHjrhd - udisl ffjoH iÕrdj

hqfrdamSh m¾fhaIK Tiafia idlaId;a lr.;a i;Hh wm jeks rgj, wlaIs fmKqu ÿ¾j, ùug n,mj;ajk fya;= j,g jvd hqfrdamSh rgj, n,mj;ajk fya;= fjkiah' ta rgj, wlaIs fmkSu ÿ¾j, ùug ishhg 50g jvd n,mj;ajk fya;=j macular degeneration h' jhi wjqreÿ 60 muK bl=;a jQ úg jhia.; ùu;a iu.u fï ;;a;ajh we;sfõ' th age related macular degeneration (ARMD), f,i ye|skafõ' fuhg ms<shï fidhk m¾fhaIlhka kshñ; fmdaIKh Tiafia frda. fhka iEfyk muK je<lsh yels nj fmkajd fo;s' Lutein ;SrKd;aul ld¾hNdrhl''' tysoS Lutein kue;s fmdaIlh .ek jvd;a úYAjdih oekfjk m¾fhaIK n,.ekaù ;sfí' wefia uelshq,dfõ j¾Kl .ekaùu fuysoS ;SrKd;aul ld¾hNdrhla bgq lrk nj;a fï ksid ydkslr lsrK u.ska wei ydkshg m;a ùu u. wefrk nj;a i|ykah' ksú;s" f.dajd" fn%dl,s wdoS fld< meye 2016 uehs l<dmh

wefia wNHka;rsl ieleiau

wfma m%Odk wdydrh jkafka n;ah' n;a msiSfïoS ksjqâv iys; r;= iy,a wkqNjfhka úYd, fmdaIK ix>gl m%udKhla isrerg ,efí' ;ka;=uh mod¾:" B úgñk" le,aishï" ;=;a;kd.ï" uex.kSia" fif,kshï" ue.akSishï wdoS úYd, fmdaIH mod¾: ixLHdjla ;sfnk ksid ksjqâv iys; r;= ydf,a n; wlaIs iqjfi;g fnfyúka WÑ;h' t<j¿ j, fï uelshq,dj iajdNdúlj j¾K .kajk fmdaIl iq,nj ;sfí' tfia y÷kd.;a wdydr jeämqr wkqNjfhka uelshq,dfõ j¾Kl .ekaùu ishhg 90lska muK m%j¾Okh jk nj fï m¾fhaIK j,ska ikd: ù ;sfí' wlaIs iqjfi; /l.kak" iu;=,s; wdydr rgdjlg yqre fjkak weia j, fmkSu iqir lr.ekSug Tn l< hq;= fyd|u foa iu;=,s; wdydr rgdjlg yqre ùuhs' t<j¿" m<;=re iq,n fï wdydr j, ix;Dma; fïoh ;sìh hq;af;a wvqfjks' tfiau iSks wkqNjh yels muK iSud l< hq;=h' wfma m%Odk wdydrh jkafka n;ah' n;a msiSfïoS ksjqâv iys; r;= iy,a wkqNjfhka úYd, fmdaIK ix>gl m%udKhla isrerg ,efí' ;ka;=uh mod¾:" 123

NUTRITION FOR EYE HEALTH

weia fmkSu iqir lrk''' wlaIs frda. uev mj;ajk weig ys;e;s wdydr

B úgñk" le,aishï" ;=;a;kd.ï" uex.kSia" fif,kshï" ue.akSishï wdoS úYd, fmdaIH mod¾: ixLHdjla ;sfnk ksid ksjqâv iys; r;= ydf,a n; wlaIs iqjfi;g fnfyúka WÑ;h' iu;=,s; fndcqklska úgñk yd LKsc ,jK wjYH;d uekúka imsfrhs' úfYAIfhkau wefia msgqmig jkakg msysà wdf,dalhg ixfõoS fldgi oDIAÀú;dkfha ksfrda.S nj flfryS fif,kshï yd ;=;a;kd.ï W!K;d fkdmej;sh hq;=h'

lerÜ lerÜ j, úgñk A úYd, jYfhka ;sfnk ksid weig ys;e;s wdydrhla f,i mrisÿ kula oskdf.k isà' th wefia iqo yd uelshq,¾ äfckf¾Ika frda. j,g tfrysj l%shd lrhs' ksú;s" fn%dl,s" f.dajd wdoS fld<meye t<j¿ fïjdfha úgñka C" îgd lefrdák" ¨áhka" fiwelaia;ska wdoS weig ys;e;s fmdaIl rdYshla mj;S' fïjdfha we;s m%;sTlaisldrl iajdNdúl Sun Screen tlla fia l%shd lrhs'

weig wjYH fmdaIl /ila imhk r;aydf,a n;

wefia m%udKj;a f;;ukhla ;sìh hq;=h' thg WmldÍ jkafka wm ,nd.kakd ys;lr fïohhs' fjfiiskau l=vd ud¿ wdosh wkqNj lsÍfuka Tng wjYH ys;lr fïo ixhq;sh mj;ajd .; yelsh' wlaIs iqjfi;g n,mdk uQ,sl úgñk ;=kla ;sfí' ta úgñka A, C yd E h' wei ikyk iqúfYAIS wdydr wefiys fmKqu iqiqr lrk njg yd wlaIs fi!LHh uekúka mj;ajd .kakd njg m¾fhaIKd;aulj ;yjqre jQ wm wjg mßirfhka myiqfjka fidhd.; yels wdydr lsysmhla u;= oelafõ' fn,afmm¾ wfma rfÜ yß;d.dr t<j¿jla f,i jjk fn,afmm¾ uelshq,¾ äfckf¾Ika we;=¿j wlaIs frda. /ilg iqjh i,ihs' fïo rys;" wvq le,ß w.hla iys; j, ;ka;=uh mod¾: iy A yd C úgñk iq,nj msysghs' 124

n;, n;, y÷kd.;a ;j;a úfYaI wlaIs fmdaIlhls' tajdfha úYd, jYfhka úgñk yd LKsc ,jK mj;akd w;r wei Wjÿre rdYshlska wdrlaId lr.ekSug WmldÍ fjhs' fï wdldrfhka wm fjfiiska y÷kajd ÿka wdydr yels iEu úgu fndcqkam;g tl;= lr.kakd w;f¾ iun, fndcqkam;lska Tnf.a ffoksl wdydr wjYH;djh ;Dma; lr.ekSfuka Tfí weia os.= ld,hla ksfrda.Sj ;nd.ekSug wjia:dj ie,fia' ffjoHjrhd - udisl ffjoH iÕrdj

2016 uehs l<dmh

125

ADVERTORIAL

Wor uÜgq

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

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

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

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

126

ffjoHjrhd - udisl ffjoH iÕrdj

ADVERTORIAL

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

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

flaI uQ, ;r,h

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

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

127

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

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

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

ffjoHjrhd - udisl ffjoH iÕrdj

AD-MIRE Creative

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