Doctor Magazine December 2021 by Doctor Magazine

The Premier Bilingual Health Magazine in Sri Lanka Volume 27 • December 2021

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ISBN-1391 1341

9 7 7 13 91 13 400 1

Rs.220/-

(Vat Included)

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jl=.vqfõ .,a bj;a lrk w¿;au ;dlaIKh ldka;djka w;r iq,n wd;rhsáia @ WEIGHT LOSS SURGERY f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu

nr wvq lrk ie;alï

Regular

Features

Editors Note 4

Cover Story Morbid Obesity weight loss surgery f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu nr wvq lrk ie;alï

Health News 6 reuefgdhsâ wd;rhsáia ,sms irKsh Blood Tests for RA reuefgdhsâ wd;rhsáia frda.h Wfoid lrk reêr mÍlaIK wdisß frday,a iuQyfha ridhkd.dr wOHlaI kS,a m%sh;a fcdaka 32

jl=.vqfõ .,a bj;a lrk w¿;au ;dlaIKh Flexible Ureterorenoscopy j;a;, fyaudia frdayf,a fu!;% frda. úfYAI{ ffjoH wreK kkaofiak 38

How Long Does Ovulation Last? ta ire osk lsysmh yßhgu oek.kafka fldfyduo@ Fertile Window idhksl l<,fõo úfYAI{ ffjoH fy<rejka mikal=udr 52

Mind & Soul f.d; .ik fma%;hd Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s 105

December 2021

le<Ksh úYaj úoHd,hSh ffjoH mSGfha Y,H fomd¾;fïka;=fõ m%Odks Y,H úfYAI{ ffjoH iquqÿ l=udrf.a 9

ykaosm;a lelal=u fkdje''' ldka;djka w;r iq,n wd;rhsáia @ ud;r uy frdayf,a ikaê frda. iy mqkre;a:dmkh ms<sn| úfYaI{ ffjoH ysuka; w;=fldar, 24

urKSh wjodkula f.fkk ixcdkSh yoj;a wdndOhla iqj lsÍug m<uq j;djg fld<U cd;sl frdayf,ka m%;sl¾uhla''' bosßhg;a fujka frda.Ska yªkdf.k fï m%;sl¾uh fhdokjd''' fld<U cd;sl frdayf,a fcHaIAG yDo frda. úfYAI{ ffjoH f.daGdNh rKisxy 29

T!IOfõosfhl=f.a w;aoelSï''' T!IOfõoS m%idoa chiQßh 43

DOCTOR MAGAZINE

Liver consumption good or bad? mSl=ÿ lshkafk fudk úosfya lejq;a;lao@''' fyd| mrhd ke.S isák ful, mSl=ÿ j, krl''' fmdaIKfõoskS Yafõ;d Wvqÿïnr 48

The blog of Bill Gates Going door to door, this hero brings the world closer to ending ì,af.aÜia wjOdkhg ,lajq mlsia:dkfha fi!LH fiaúldj Iquhs,d fryaudks Ndr; .=K;s,l 58 Multisystem inflammatory syndrome in children fldúâ frda.h je<÷Kq orejkag we;súh yels ;j;a Nhdkl ixl+,;djhla ßÊfõ wd¾hd <ud frdayf,a <ud frda. úfYaI{ ffjoH k,ska iS ls;, = j a ;a; 64

ful, ldf.a;a wjOdkhg ,laj we;s YS% chj¾Okmqr úYAj úoHd,fha wdid;añl;d m%;sYla;slrK úoHd Ôj úoHd wdh;kh''' Allergy Immunology and Cell Biology Unit (AICBU ffjoH wdpd¾h pkaou s cSjkaor 66

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Èh‚hka isákd uõjre‚" fï Tfí wjOdkh ms‚ihsæ 85

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rd;%sh fldúâ w,a, mk,af,a ffjoHjrekaf.a cSúf;a'''

Spondylosis fn,af, lelal=u jf.au fldkafoa lelal=u ke;s lr.kak kï fï lshk jefâ lrkaku fjkjd'''

fmardfoksh YslI a K frdayf,a m%ij yd kdßfõo úfYAI{ ffjoH pñkao ch,;a 87

jix.; j,g lei ljk ffjri .ek oek.ksuq''' ffjoH mqkaird wurfialr úisks 90

kjf,dal frdayf,a ikaê frda. úfYAI{ ffjoH yrs÷ úfcaixs y 70

Father of Infection Control b.akdia fifu,aúia

Imaging Modalities tlaia f¾ .ykafka fudk wekakEjgo@

ffjoH YdLH wurfialr 94

fydañfhdam;s ffjoH wkQId fyaul=udß 109

fkdi,ld isáfhd;a ;=káfhka my< fldgi wl%Sh lrk .DO%eiS fyj;a ihsáld frda.h l%sñrdc T!IOd,h wêm;s uydpd¾h" ffjoH iquKr;ak wur;=x. 113

Tng m%fhdackj;a w;a fnfy;a lsysmhla 118 oshjeähdjg w;aÿgq T!Iëh wdydrh W¿yd,a'''' 119

bIdr jkiQßh úlsrK úoHd ;dlaIKfõÈ 76

uOqksud uyú, ,sms irKsh fkdmsg fmr¿KQ cSjk rgdj wo oshjeähd frda.Ska fï id jeä fjkakg fya;=jla

Computer Eye Strain mß>kl ksid we;sjk weia wdndO j,ska fï úosyg j<lskak''' rd.u YslI a K frdayf,a ffjoH ckl fm%u a ;s,l 79

ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKavdr 120

Medi Gadget reêr mSvkh" reêrfha iSks uÜgu ksjerosj uek fok w¿;a ;df,a wem,a Trf,daiqj 99

ms<sld kik úiajdrdu fy< fjolu ms<sld j,g tfrysj l%shd lrk wdydr

A guide to tackling lip pigmentation or dark lips f;d,a l¿ ùu

Care in Pregnancy .¾NŒ iufha iqohdu wjodkï ;;a;ajhlao@

ffjoH Ydksld w¾il=,r;ak 82

m%ij yd kdßfõo úfYaI{ ffjoH pdñkao udf;dg 102

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Homeopathy reufgdhsâ wd;rhsáia .ek Tn fkdo;a lreKq

.,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd, 124

December 2021

DOCTOR MAGAZINE

EDITOR'S NOTE osßfhka h:d¾:hg uqyqK fouq ;j;a wNsfhda.d;aul jQ jirl wjidkh iksgqyka fjñka ;sfí' fldaá úis yh blaujQ fldúâ wdidos;hka msßila f,dalfhka jd¾;d fj;aoS wfma rfgka mka ,laI yeg oyilg jeä wdidos;hka msrsila fï jk úg jd¾;d ù ;sfí' fï igyk ;nk úg fldfrdakdfjka ñh.sh wfma mqrjeishka ixLHdj 14"258ls' ta f,dalfha us,shk 5'19la ush.sh miqìula ;=<oSh' jix.;fõoh m%udKsl úoaj;=ka lsishï jix.; ;;a;jhla f,dj we;sjQ l,ayS tys ke.sàu" me;sÍu yd wvqùu iïnkaOfhka mqfrdal:kh lrhs' fldúâ 19 ffjrih iïnkaOfhka isÿl< mqfrdal:khkag wkQj fï jk úg fuys wvqùula" wjk;shla we;s úh hq;=h' tfy;a tjka ;;a;ajhla ;ju;a meyeos,sj olakg ke;' ta fjkqjg ffjrifha úlD;skayS W;aikak ùï wo úYd, m%Yakhla njg m;aj ;sfí'

tkak;a wl¾ukH lsÍfï wjodkula kj jHq;amkakhg we;s nj;a jd¾;d fjhs' tlai;a rdcOdksh tu wjodku wju lsÍug fï jk úg;a tu wjodkï l,dmfhka uyd ì%;dkHhg flfrk ish¿u .=jka .uka k;r lr ;sfí' fï wjodku wmgo úYd, jYfha ;sfnk njo fujka ffjrihla m..ekajQfKd;a oekgu;a w.dOhlg m;aj ;sfnk wfma rg úYd, úkdYhlg m;aúh yels njo fkdwkqudkh' fï jix.; ;;a;ajh ;=< fuf;la wfma rfÜ n,.ekajqKQ wjfYaI fi!LH fiajdjkao úYd, jYfhka wNsfhda. hlg ,laj ;sfí' ud;D yd <ud fi!LH fiajdjka j,oS wm rg oshqKQ jk rgj,g wdo¾Yhla jQ w;r tu fiajdjka úfYAIfhka m%;sYla;slrK jevigyka wdosh oshqKQ hqfrdamfha muK úYsIAG ;;a;ajhl mej;=Ks' fnda fkdjk frda. wmg buy;a ;¾ckhla jQ uq;a wm tajd je<elaùug fjfiia jevms<sfj,l wm ksu.akj isáfhuq' ms<sld wjodkfuka j<lskakg fi!LH wxY lemùfuka fï wdldrhg l%shd;aul fj;aoS frda. ksjdrKhg iDcqju n,mdk ji úfika f;dr wdydr" mßir ixrlaIK l%shdoduhka Tiafia oS¾>ld,Sk cd;sl jevigyka j,go wm wj;S¾K fjñka isáfhuq' wfma rfÜ ck;dj jpkd¾:fhkau N=la;s úkafoa ksoyia fi!LH fiajdjl m%;s,dNhkah' fldúâ wªre fijke<s ueo fï lS fkdlS ish¿ fi!LH fiajdjka lsishï wNsfhda.hlg ,lajQ nj ryila fkdfõ' fjfiiskau ìï uÜgfuka .;a l< frda.S miq úmrï mjd úYd, jYfhka wvmK ù ;sfí' ;j;a osk lsysmhlska kj jirla Wod fjhs' fldúâ ?<s lShla kej;;a ta fodahS ;ju;a lsisfjl=g lshkakg fkdyel' ta;a fu ish,a,gu wm osßfhka wosgkska uqyqK osh hq;= fjuq' kj jif¾ fï ish¿ wNsfhda.hka ch .ekSug rgla jYfhkao f,dalh jYfhkao yels fõjdh hkak wfma taldhk me;=uhs' DM

fï jk úg f,dalfhau wjOdkhg ,laj we;af;a wm%sldkq rgj,ska jd¾;d jk kj úlD;sh .ekhs' fuh fl;rï wdl%uKYS,So h;a tys jHq;amkakhka 50la muK fï jk úg;a yªkdf.k we;s nj;a fuf;la ksIAmdos; ish¿u

December 2021

DOCTOR MAGAZINE

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

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The Premier Health Magazine in Sri Lanka

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

Dr Chandana Sri Kanakaratna Geriatrician, Physician

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

Dr. Samantha kumara Kitalawaarachchi Dr Palitha Bandara Subasingha Dr Nalaka Ranasingha Dr Janaka Premathilaka Dr Devinda Dayarathna Mr Sanjaya De Silva Mr S M D Senevirathna Ms Hashini Himanshika Maheshani Bandara CREATIVE PRODUCTION Manjula Kumara Gamage 077 1 2424 08 WEB ADMINISTRATOR Dumindu Dissanayake PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda. WAIDYAWARAYA Doctor Magazine is a intellectual property of Healthwatch Publications Viharakele, Diyatalawa. TEL: 057 22 29040 | FAX: 057 22 29040 E-MAIL: doctormagazine.lk@gmail.com HOTLINE: 077 3149084

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December 2021

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

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Ongoing Health Threats .sks .skaor fia me;sr hk Nhdkl fldfrdakd m%fNaohla fldfrdakd u¾ok tkak;aj,g u¾okh lsÍu wiSre oekg me;sr hk fv,agd fldfrdakd m‍%fNaohg jvd jeä fõ.hlska me;sr hk kj fldfrdakd ffjria m‍%fNaohla wm‍%sldkq uydoaùmfhka fidhd f.k ;sfí' kj ffjri m%fNaoh f,dal fi!LH ixúOdkh úiska kï lr we;af;a Omicron hk kñks' fuu kj fldfrdakd m‍%fNaoh fv,agd m‍%fNaohg jvd oreKq nj fy<s ùu;a iu.u tx.,ka;h ol=Kq wm‍%sldj we;=¿ wm‍%sldkq rgj,a 6lska meñfKk ixpdrlhkag trgg meñŒu ;ykï lr we;s w;r tx.,ka; jeishkag ol=Kq wm‍%sldjg hEu iSud lr ;sfí'fuf;la y÷kd.;a jeäu mßKduhg ,la jQ m%fNaoh fuh jk w;r fuys úlD; 50lg wêl ixLHdjla mj;S' bka ;syla muK tkak;alrKh u.ska fldfrdakd wdidokh

December 2021

wjysr lrk ffjrifha fm%daàk fldgi b,lal lr .;a tajdhs' fuu m%fNaoh wfkla m%fNaoh,g jvd tkak;ska ,nk m%;sYla;sho u.yßñka jeä jYfhka me;sr hdfï wjodkula we;ehso jd¾;d fjhs' fldúâ frda.Skag m%;sldr msKsi Molnupiravir furgg f.kajkakg mshjr fldúâ ffjrih wdidÈ; jQjka i|yd ,ndfok Molnupiravir T!IOh Y%S ,xld rdcH T!IO kS;s.; ixia:dj yryd furgg f.kaùug jydu mshjr .kakehs ckdêm;s f.daGdNh rdcmlaI uy;d jisska T!IO ksIAmdok rdcH wud;H uydpd¾h pkak chiquk uy;dg Wmfoia

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,nd § ;sfí' Molnupiravir - fldúâ 19 ffjrih wdidÈ;hka i|yd Ndú;hg .kakd tlu m%;sffjri T!IOh jk w;r fuu T!IOh Ndú;hg .ekSfuka ffjrih wdidÈ;hka frday,a.; ùu yd urK ixLHdj yß wvlska wvq lr .ekSug wjia:dj ie,fik nj Molnupiravir T!IOh ksIAmdokfha mqfrda.dó jQ u¾la iud.u mjihs' frda.h we;s jQ wjia:dfõ§u .ekSfuka jvd;a fyd| m%;sM< ,nd.; yels njo fï ksid frday,a frda.Skaf. ka msÍ b;sÍ hdu md,kh lr .ekSugo yels jk nj yªkdf.k ;sfí'

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fuh kslafIAmKhla jYfhka fjkqjg fm;s jYfhka .ekSug yelsùuo úfYaI;ajhls' fuu T!IOh ksIamdokh llrkafka tlai;a ckmo T!IO ±jeka;fhl= jk Merck, Sharp and Dohme (MSD) yd Ridgeback Biotherapeutics. úisks' udrdka;sl mshhqre ms<sld iqj lrk f,dj m%:u ms<sld tkak; Ndú;hg <Õhs wefußlka ffjoH m¾fhaIlhka msßila id¾:l m%;sM< fmkajk mshhqre ms<sld kik tkak;la ksmojd ;sfí' ta wkqj" mshhqre ms<sld kik f,dj m<uq tkak; jkq we;af;a fuhhs' tkak; ksmojd we;af;a wefußldfõ TysfhdayS zla,Sõ,kaâ la,skslaZffjoH m¾fhaIK wdh;kfha úoHd{hka lKavdhuls' mshhqre ms<sld j¾. lsysmhls' thska Biag%cka" fm%dafciagfrdaka iy HER2 kue;s fydafudak mÍlaIKj,ska y÷kd. ekSug fkdyels udrdka;sl mshhqre ms<sld wvmK lsÍug fuu tkak; fya;= jkq we;ehs m¾fhaIlhka fmkajd fo;s' fujeks udrdka;sl mshhqre ms<sld ye¢kafjkafka Triple

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Negative Breast Cancer hkqfjks' ta" Biag%cka" fm%df a ciagfrdaka iy HR+ or HER2 mÍlaIKj,ska ms<l s d ;;a;j a h y÷kd.ekSug fkdyels neúks' uQ,sl wÈhf¾ m¾fhaIK id¾:l ùfuka miq tkak; idhksl w;ayod ne,Sï i|yd iqÿiq hehs wefußlka wdydr iy T!IO md,k wêldßh ;srKh lr ;sfí' la,Sõ,kaâ la,sksla ffjoH m¾fhaIK wdh;kh tkak; ksmojd we;af;a zwekslaid nfhda ihkaiiaZ T!IO m¾fhaIK wdh;kh iuÕ tla fjñks' Triple Negative Breast Cancer frda.Ska 24 fokl=f.ka 18 fokl= fuu tkak; ,nd f.k iqjh ,nd we;s nj ffjoH m¾fhaIlfhda meyeÈ,s lr;s' m¾fhaIlhka fmkajd fok wdldrhg tkak; ud;%d 3lska hqla; fjhs' i;s foflka folg tu tkak;a ud;%d 3 ,nd §u isÿfjhs' ,nk 2022 jir fjoa§ tkak; iïnkaOfhka ish¨‍ m¾fhaIK wjika lsÍug yelsfõ hehs ffjoH m¾fhaIlfhda úYajdih m< lr;s' tkafvdfuá%fhdaisia yd weäfkdñfhdaisia c.;a úYdrohka furgoS uq¿ fo;s''' f,dalh mqrd ldka;djka

ishhg 5-10 w;r m%udKhla jo fõokd ú|sk frda. folla iïnkaOfhka miq.shod c.;a iïfï,khla furgoS meje;ajqKd' ta kj fjks wdishd;sl tkafvdfuá%fhdaisia iïfï,kh' fuh ixúOdkh lf<A Y%S ,xld tkafvdfuá%fhdaisia yd weäfkdñfhdaisia ix.uh' tkafvdfñá%fhdaisia yd weäfkdñfhdaisia frda. iïnkaO wdishd;sl ix.uh;a fuhg iyfhda.h ,ndÿkakd' fld<U úYAj úoHd,fha m%ijfõoh yd kdß frda. iïnkaO wxY m%Odks uydpd¾h fyauka; fiakdkdhl foia úfoia úoaj;=ka iyNd.sjQ fuu úoHd;aul iuq¿j yuqfõ fufia woyia oelajQjd'

fld<U úYAj úoHd,fha m%ijfõoh yd kdß frda. iïnkaO wxY m%Odks uydpd¾h fyauka; fiakdkdhl

December 2021

DOCTOR MAGAZINE

D•Magazine /

Ongoing Health Threats

zztkafvdfuá%fhdaisia yd weäfkdñfhdaisia iudk;d iys; ldka;d frda. folla' .¾NdIfha wNHka;r ì;a;s j, we;sjk fldgia bka msg; YrSrfha fjk;a ia:dk j,o ;ekam;a fjkjd' ta;a weäfkdñfhdaisia j,os fï ffi, ;ekam;a fjkafk .¾NdIh we;=f, ú;rhs' yenehs fï weäfkdñfhdaisia ksid .¾NdI ì;a;s úYd, fjkjd'ZZ zztkafvdfuá%fhdaisia j, m%Odk ,laIKh jkafka wd¾;jfhaoS we;sjk fõokdj' fïl b;ska ksrka;rfhka we;sfjk wmyiq;djhla ksid fõokdj tkfldg weh lrkafk fõokd kdYl fndk tl' ksrka;rfhka we;sjk ksid" fïl cSúf;ag .,m.kak n,kjd' fï ksid fndfydauhla ixl+,;d j,g weh ,la fjkjd' weäfkdñfhdaisia frda.hg md;% jqKdu Tima reêrh md,khlska f;drj jeä fjkak mq¿jka' ta yereKQ úg ,sx.slj tla jSfïoS fõokdjla we;s fjkak mq¿jka' th orejka fkd,eîug;a fya;=jla fjkjd'ZZ ieisjdrfha uqLH wruqKla jQfha wfma rfÜ fï frda. fol ksid mSvd ú|sk ldka;djka fjkqfjka

December 2021

jvd;a kjH m%;sldr udos,s yªkajd oSu' fujka c.;a úoHd;aul ieisjdr ksid wfma frda. l<uKdlrKfha .=Kd;auh jeä fjkjd' ms<sld frda. úfYAI{ ffjoH Idu .=K;s,l jif¾ úYsIAG;u fi!LH ikaksfõolhd jYfhka nqyquka ,nhs ms<sld frda. úfYAI{ ffjoH Idu .=K;s,l 2019$20 zzj¾Ifha úYsIAG;u fi!LH ikaksfõolhdZZ Excellence in Health Journalism 2019/20 jYfhka nqyquka ,nd ;sfí' zzffjoHjrhdZZ DOCTOR MAGAZINE iÕrdfõ Tyq úiska m< lrk ,o zzms<sld frda.Ska weiqf¾ ,o w;aoelSïZZ ,smsh fï iqúfYAIS iïudkhg fya;= ù ;sfnk w;r Y%S ,xld ffjoH ix.uh úiska fi!LH lafIA;%h ;=< ikaksfõokfhys,d udOHfõoSka olajk odhl;ajh we.hSug fuu iïudk Wf<, jd¾Islj mj;ajkq ,nhs' ms<sld frda. úfYAI{ ffjoH Idu .=K;s,l fuu iïudkhg md;% jQfha zzfi!LH ikaksfõok úYsIAG;d ffjoH ikaksfõokfha kshef,k ffjoHjrekaZZ wxYfhks' iïudk m%odkh miq.shod Y%S ,xld ffjoH ix.ufha ,hk,a

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ms<sld frda. úfYAI{ ffjoH Idu .=K;s,l

wkqiaurK Y%jKd.drfhaoS meje;aúK' ms<sld frda. úfYAI{ ffjoH Idu .=K;s,l fï rfÜ úYsIAG;u fi!LH$ffjoH ikaksfõolfhl= f,i kula oskd isà' mqj;am;a yd iudc udOH cd, weiqf¾ Tyq ck;djg ksrka;rfhka iqj oeKQu ,ndoSug wkQmfïh jQ fufyhla isÿ lrhs' uyr.u" nÿ,a, iy uvl,mqj frday,aj, ms<sld frda. úfYAI{ ffjoHjrfhl= jYfhka lghq;= l< ta uy;d tu frday,a j, lghq;= lrk iufha ck;dj ms<sld frda. j,ska wdrlaId lr .ekSu i|yd ks¾udKYS,S m%cd uQ,sl jevigyka /ila wdrïN lsÍug mqfrda.dó úh' oekg fld<U wdisß frday,a iuQyfha wefußlka Tkafldf,dcs bkaiaááhqÜ yd wkqnoaê; ms<sld m%;sldr wxYfha wxY m%Odk ms<sld frda. fkajdisl úfYAI{ ffjoHjrhd jYfhka lghq;= lrhs' DM

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Cover Story f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu

Morbid Obesity

weight loss surgery f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu nr wvq lrk ie;alï fudk l%uhg nr wvq l<;a wdydr md,kh;a" jHdhdu lsÍu;a ;jÿrg;a l< hq;=hs le<Ksh úYaj úoHd,hSh ffjoH mSGfha Y,H fomd¾;fïka;=fõ m%Odks Y,H úfYAI{ ffjoH iquqÿ l=udrf.a

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December 2021

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Cover Story f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu

zzisisjk jqjk bÕ iqÕ .; yels ñák ksis mq¿Æl=, ßh il hqre ;sir ;k Èis rk ,sfhõ rE isß hq;a fumqrÕk weis msh fy<k mu‚ka fkdfj;s fojÕk˜ isß ry,a ysñhka jev úiQ fldaÜfÜ hq.fha ñáka .; yels ldka;djka jQjdo hkak fkdoksñ' th fndfyda úg w;sYfhdala;shla ue úh hq;af;ah' tfy;a fldaÜfÜ hq.fhaoS fukau wo ojfia;a ldka;djka w;f¾ mj;akd fkd;s;a wdYdjla jkafka isyska bÕlg Wreu lSuhs' ffjoH úoHd;auljo fï isyska bÕe;s isrer ksfrda.S;djfha levm;la jk nj úoHd;aul ms<s. ekSug ,laj yudrh' oshjeähdj" fldf,iagfrda,a" ms<sld wdoS fnda fkdjk frda. u;= fkdj nyq fldaIAG frda.h jeks ia:q,;djh uq,a fldg.;a Wmøjhka wehg ore iïm;a mjd ySk lrjk''' frda. iuqodhlg fya;= jkafka ;rndrejhs' ;rndrej fkdfyd;a ia:q,;djh ldka;djkaf.a muKla .eg¿jla fkdfõ' ia;%s" mqreI" nd, uy¿" we;s ke;s''' fï ljr fNaohlska fyda f;drj iEu flfklau ia:q,;djh bosßfha wirKhka jk w;r ish¨ fokdu W;aidy .; hq;af;a f,vfrda. Wmøj /ila we;s lrk" rEmh mjd msÍySug ,la lrk ;rndrefjka je<lSugh'

ia:q,;djh wo c.;a m%cdjf.a .eg¿jla njg m;aj ;sfí' wdydr isßf;a fjkialï" jHdhdu u|lu yd ;j;a fndfyda fya;= fuhg mdol ù ;sfí'

December 2021

DOCTOR MAGAZINE

flfkla wvq wdydr m%udKhla .ks;aoS jeäfhka ;rndre jk w;r ;j;a flfkla fldhs ;ru wdydr wkqNj l<;a fliÕ isrerlgu ysñlï lshhs' flfklaf.a YÍr m%udKhg Tyqf,a m%fõKSh fkdfyd;a wdrfha we;af;a m%uqL iïudouls' tfy;a fï lshk ldßh ys;k ;rïu myiq tlla fkdfõ''' we;efula iq¿ jYfhka fï ia:Q,;djhg m;a fj;aoS ;j;a fndfyda fofkla tys úúO mrdihkayS ia:q,;djhkag m;aj thska we;sjk úúO .eg¿ j,g uqyqK mdhs' ia:q,;djh hï iSudjla blaujQ l< wdydr" jHdhdu yd fjk;a fndfyda Ñls;ail l%shdj,ska j,ska fyda md,kh l< fkdyels jk njo túg Tjqka fjkqfjka l< yels tlu id¾:l m%;sldrh zznr wvq lsÍfï ie;alulauzzjk njo fuu ,smsfhka mejfia' nr wvq lrk ie;alï - wo fndfyda fofkla t;rï fkdokakd úIhhla jk fyhskau ta iïnkaOfhka mßiudma; újrKhl fhoSu fujr

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wm uq,a ,smsfha wNsm%dh fjhs' wo ldf,a wfma YÍr" ;rndrejg nrhs YÍrfha nr jeä ùu fkdfyd;a YÍrh ;rndre ùuwo ld,fha fndfyda fokdg mj;sk .eg¨‍jls' YÍrh ;rndre ùu hkq jeämqr fïo fldgia YÍrfha ;ekam;a ùuhs' 2016 jif¾ § f,dalfha jeäysáhkaf.ka ishhg 13la muK ia:q,;djfhka fm¿Kq nj jd¾;d fjhs' Y%S ,xldfõ fuu w.h ldka;djka w;r ishhg 13la muK fjhs' f,dal fi!LH ixúOdkh mqfrdal:kh lr we;s mßÈ 2025 jir jk úg wfma rfÜ iEu 10 fofkl=f.ka tla wfhl=u ia:q,;djfhka fm<Sfï wjodkula we;' oekg f,dalfha isÿjk urK j,ska ishhg 71lgu fya;=j jkafka fnda fkdjk frda. fõ' ,xldfõ fuu w.h ishhg 83la muK fõ' tu ksid ia:Q,;djh we;s ùu j<lajd .ekSu fyda Tn oekgu;a ksis YÍr nrg jvd jeä nrla ord isákjd kï th kshñ; uÜgug wvq lr .ekSu Tn i;= j.lSuls' fuh

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isÿ lsÍug kï hym;a wdydr rgdjlg yqre ùu" jHdhdu lsÍu iy hym;a udkisl fi!LH uÜgula mj;ajd .ekSu isÿ l< hq;= fõ'

wms uy;a fjkafka wehs@

jeäfhka wdydr .ekSu jHdhdu ke;s l=iS; cSú;hla .; lsÍu isref¾ nr jeäùu ;hsfrdhsâ .%kaÓfha wjl%shdldß;ajh m%fõKSh

we;eï T!IO j¾.

Tfí nr jeäo@ ta nj oek.kafka fldfyduo@ isrerl nr jeäo@ wvqo@ fï wdoS jYfhka YÍrfha nr .ek wjfndaOhla ,nd .ekSug úúO ñKQï fuj<ï ;sfnk uq;a wo ojfia mq¿,aj Ndú;hg .kakd jvd;a m%dfhda.sl l%uh jkaffka YÍr ialkaO o¾Ylh uek ne,Suhs'

December 2021

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Cover Story f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu

ia:Q,;djh - uQ,sl lreKQ ia:q,;djh we;s ùug n,mdk fya;=  m%fõKsh fkdfyd;a wdrh  Yla;sh wêl jYfhka mj;sk" wêl iSks" f;,a iys; wdydr Ndú;h jeä ùu'  l%h s dYS,; S j a h wvq ùu' YÍr l%h s dldrlï wju jk /lshdj, ksr; ùu" lh fjfyfik ld¾hhkaf.ka wE;aj tosfkod jev lghq;= myiqfjka isÿ lsÍug W;ail q ùu' ia:Q,;djh wju lr .kafka flfiao@ ia:Q,;djh fukau thska we;s jk frda.o j<lajd .ekSfï yelshdj b;d by< fõ' fï i|yd l< hq;= uQ,sl foh jkafka hym;a wdydr rgdjla mj;ajd .ekSu iy Èkm;d YdÍßl l%shdldrlï j, ksr; ùuhs' jvd;a ;rndre whg kï fï ia:Q,;djh yd thska Woa.; jk wjodkfuka neyer ùug ie;alï isÿ lsÍu wo id¾:l úl,amhls' ia:Q,;djh j<lajd .ekSu i|yd wkq.ukh l< yels Wmfoia lsysmhla  b;d wêl iSks iy ¨‍Kq iys; wdydr .ekSu wju lsÍu'  t<j¨‍" m,;=re" msh,s iy weg j¾." mßmQ¾K OdkH wdydrhg .ekSu jeä lsÍu'  i;shlg ñks;a;= 150 la YdÍßl l%shdldrlï j, ksr; ùu' ;rndrefjka ñoSfï ir< ryila''' Tn l=uk wdydrh ,nd .;a; o Tn Èklg ,nd .kakd wdydr m%udK j, Yla;s m%udKh Tng Èklg wjYH Yla;s m%udKhg iudk úh hq;= jkafkah' tfy;a Tn oekgu;a ia:Q, fyda wêl YÍr nr iys; wfhla kï wdydr uÕska ,nd .kakd Yla;s m%udKh Tng Èklg wjYH Yla;s m%udKhg jvd wvq úh hq;=h' YÍr ialkaO o¾Ylh ukskafka fldfyduo@ YÍr ialkaO o¾Ylh ^BMI& hkq Tfí nr fi!LH iïmkako hkak ;SrKh lsÍu i|yd Ndú;d lrk

December 2021

DOCTOR MAGAZINE

losu o¾Ylhla' isref¾ nr iïnkaOfhka woyila .ekSug fjk;a l%u rdYshla ;snqK;a fuh jvd;a myiq yd ckm%sh l%uh ù ;sfí' YÍr ialkaO o¾Ylh YÍrfha nr iïnkaOfhka fyd|u m%dfhda.sl Ndú;dj jYfhka fhdod .ekSug ;j;a fya;=jla ù we;af;a ia:Q,;djh ksid mek k.sk fjk;a .eg¿ iïnkaOfhka úiªï fiùfïoSo BMI mdol lr.;a úiªï ,ndoSu jvd;a myiq ùuhs' mqoa.,fhl=f.a YÍr ialkaO o¾Ylh .Kkh lrkafka fufyuhs jeäysáfhl=f.a nr lsf,da.%Eï j,ska f.k Wfiys j¾.fhka fnoSfuka ,efnk w.h tu mqoa.,hdf.a YrSr ialkaO o¾Ylhhs' YÍr ialkaO o¾Ylh 25g jeäkï yd 25-30 w;r w.hla .kakjd kï tjka YÍrhla wêl nrla iys; (Overweight) f,i w¾: oelafjhs' fï ldKAvhg wh;a jk mqoa.,hkag wdydr isß; fjkia lsÍfuka" jHdhdu lsrSfuka yd p¾hd rgdj jvd;a ys;lr uÜgulg muqKQjd .ekSfuka fï jeä nr wvq lr .ekSug wjia:dj ;sfí' doctormagazine.lk

nr wvq lr .ekSfï ie;alu l< hq;af;a fï whhs YÍr ialkaO o¾Ylh 30g jeä kï Tjqka ;rndre (Obese) kue;s ldKAvhg wh;a fjhs' fï whg we;s uQ,sl .eg¿j jkafka wdydr u.ska" jHdhdu u.ska ia:Q,;djh md,kh lsÍu wiSre lreKla ùuhs' fï wh ie;alulg uQ,sl iqÿiqlï imqrkafkda fj;s' YÍr ialkaO o¾Ylh u; j¾.Slrkh

YÍr ialkaO o¾Ylh wkQj ia:q,;djfha j¾.SlrKh wvq nr } <18'5 ^Tfí YÍr nr idudkH ks¾foaYs; nrg jvd wvqh' m%udKj;a jHdhduhlska Tn fmdaIHodhS wdydr wkqNj l< hq;=h'

ia:Q, mqoa.,hkaf.a isrer ia:q, f,iu kv;a;= lrkakg n,mj;ajk iajdNdúl l%shdj,shla

idudkH nr } 18'5-22'9 ^Tfí nr idudkH ks¾foaYs; nrhs' m%udKj;a nrlska Tfí nr mj;ajd .kak' jeämqr nr ùfï wjodku } 23-24'9 ^Tfí nr idudkHfhka ks¾foaYs; nrg jvd jeäh' jeä jHdhduhlska yd ksis wdydr fõ,lska th wvq lsÍug W;aidy lrkak' wêl nr } 25-29'9 ^Tfí nr idudkHfhka ks¾foaYs; nrg jvd jeäh' jeä jHdhdu iy ksis wdydr fõ,la iuÕ th /f.k tkak' jeäÿr lshjkak& ;rndrelu } 30 ^YÍr nr o¾Ylh fyda Bg jeä ^Tfí nr idudkH ks¾foaYs; nrg jvd fnfyúka jeä jk w;r Èhjeähdj yd yDo frda. jeks fndfyda frda. i|yd wjodkï idOlhls' jeä jHdhdu" ksis wdydr iy ffjoH Wmfoia iuÕ th md,kh lr .kak' jeäÿr lshjkak&

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December 2021

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Cover Story f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu

fuhg úúO idOl n,mdk w;r YÍrh úiskauo fï nr m%udKh kv;a;= lr .ekSug lsishï zzweíneyshlaZZ we;slr .kshs' wms fuh u|la meyeos,s lr .ksuq' ;rndre wh w;a ú|sk ldrKhla jkafka fï nr m%udKh zzYÍrh mj;ajd .; hq;= nr m%udKhZZ f,i i<lkakg YÍrhu fm<fUhs' nr m%udKh hï m%udKhlska wvq jqfKd;a th kej; ,nd .ekSfï iajdNdúl l%shdj,shl YÍrho ksr; fjhs' ta yereKQ úg isref¾ ysñlreo ta wdldrfhkau is;kakg .kshs' fï wdldrfhka ;rndre isrerla we;s úg ta ;rndrej zzYÍrfha iajdNdúl nrZZ f,i is;kakg n,.kajk l%shdj,shlao fjhs' wms uy;a fjkafka wehs@ m%fõKsh YÍrfha nr jeäùug ksrdhdifhkau fya;= fjhs' tlu m%udKhlg wdydr .kakd fofofklaf.ka tla wfhla wdidjg uy;a fkdjkafkao@ wfkla flkd wdidjg flÜgq fkdjkafkao fï m%fõKsl n,mEu ksidfjks' f,dl= n;a msÕdkla lk fliÕ mqoa.,hka fukau b;d wvqfjka lEj;a msÜgq nïnqjla fia isrer uy;a jk who wm w;ru isák nj isysm;a lr.kak' ta yereKQ úg YÍrfha nr jeäùug mßjD;a;Sh idOlo" fydafudakuh idOlo fya;= fjhs' fï wkQj ia:q,;djh iEu úgu idOl lsysmhla n,.ekaùfuka we;sjk ixlS¾K .eg¿jla nj fmfka' fuhska wdrhg tk .eg¿ ke;fyd;a m%fõKsl .eg¿ fjkia lsÍu l< yelalla fkdfõ' kuq;a mßjD;a;Sh .eg¿" fydafudakuh .eg¿" wdydr isß; fjkia lsÍu yd jHdhdu lsÍu wdosh wmg l< yels tajdh' ;rndre isrer isyska lrk T!IOo ke;af;a fkdfõ'''' fuu .eg¿jg ms<s;=re fiùfïoS" ta ta YÍr ialkaO o¾Ylh wkQj tfiau Tyqf.a isref¾ nr by< hdug n,mj;ajk by;ska i|yka l< wfkl=;a idOlo wOHhkh lsrSfuka lsishï iSudjlg úiªï l%shd;aul lsrSfï yelshdj ;sfí' wdydr md,kh" jHdhdu fukau we;eï T!IO fï ldKAvhg wh;a ms<shï jkafkah' kuq;a fï ms<shï j,o iSudjla ;sfnk w;r tu iSudjka w;sl%uKh jk my; wjia:d j,oS fudk 14

December 2021

DOCTOR MAGAZINE

W;aidyhka .;a;;a isref¾ nr wvq jkafka ke;' Tjqkag we;s tlu id¾:l úiªu jkafka ie;alulg Ndckh ùuhs' Obese fkdfyd;a ;rndre f,i kï ,o ldKavhg wh;a fkdjk wfkl=;a uQ,sl ldKAv j, (Over Weight) ish¿u ia:Q,;djhka i|yd wdydr isß; fjkia lr .ekSu;a" jHdhduh;a fmdÿfõ m%;sM< f.k tkq we;' fldhs ;rï W;aidy l<;a nr wvq fkdjk wh Morbid Obesity (5 fmdfgda tl odkak& YÍr ialkaO o¾Ylh 40 blaujd hk fndfyda fokdg wdydr md,kh" jHdhdu l<;a tys m%;sM< ,efnkafka iaj,am jYfhks' ie;alug jvd;au .e,fmk mqoa.,hka jkafka fï whhs' YÍr ialkaO o¾Ylh 40 g jeäùu  YÍr ialkaO o¾Ylh 40 blaujd hdfïoS fï lsisu fohla isÿ lsÍfuka l,a mj;akd nr wvq lr .ekSula isÿ lsÍu ksIAM< ld¾hhla jk w;r Tjqka ta i|yd .; doctormagazine.lk

yels id¾:lu úiªu jkqfha ie;alulg Ndckh ùuhs' YÍr ialkaO o¾Ylh 40 blaujd hk fï wêl ia:Q,;djh yªkajkafka Morbid Obesity hkqfjks' fuh ie<flkafka frda.hla jYfhks' YÍr ialkaO o¾Ylh 35g jeä ù yd oshjeähdj" fldf,iagfrda,a" wd;rhsáia wdoS frda. j,ska fm<Su  YÍr ialkaO o¾Ylh 35g jeä ùu iu. we;sjk fjk;a frda. ;;a;aj  ta yereKQ úg YÍr ialkaO o¾Ylh 35g jeä ù fjk;a frda. ;;a;aj tkï oshjeähdj" fldf,iagfrda,a" wd;rhsáia jeks ykaosm;a wdY%s; frda. wdosh we;s úgo''' ta yereKQ úg orejka ,eîug m%udo ùu'

fuu ie;alu isÿ lsÍfï jákdlu jkafka fï wdldrfhka isref¾ nr wvq lr .ekSfuka fï oshjeähdj" wêl reêr mSvkh" fldf,iagfrda,a jeks fndfyda úg cSú; ld,hla ÿla ú|sh hq;= jk frda. ;;a;aj nr wvq lsÍfuka iqj lsÍug mjd wjia:djla ,eîuhs' YÍr ialkaO o¾Ylh 30g jeä yd fnfy;a .ekSfuka jqj iSks md,khla ke;s wh  YÍr ialkaO o¾Ylh 30g jeä" tfiau fojk wdldrfha oshjeähdj frda.hg kshñ; T!IO ,nd.;a;;a wfmalaIs; reêr iSks md,khla fkdue;s who Morbid Obesity ldKAvfhys,d ie<flK w;r Tjqka i|ydo fï nr wvq lr .ekSfï ie;alu fhda.H fjhs' id¾:l m%;sM< ,eîug kï kshñ; jhia ldKAvhloS ie;alug Ndckh úh hq;=hs fï ldKAv ish,af,au wfmalaIlhkag" nr wvq lr .ekSug lrk ie;alu ksYAÑ; jhia mrdihla ;=< isÿ l< h;= jk w;r tfia fkdlr l,a .; lsÍfuka miqj ie;alï isÿ lsÍu ;=<ska wfmalaIs; m%;sM< fkd,eî hd yel' fmdÿfõ YÍr ialkaO o¾Ylh 40g wvq fyda by; úfYAI ldKAv j,g wh;a fkdjk ia:Q,;djfhka fmf<k Woúh i|yd ie;alu wjYH fkdjk w;r''' wdydr md,kh" jHdhdu yd ffjoHuh ueosy;aùï yd Wmfoia weiqf¾ ia:Q,;djh md,kh lr.; yel' ia:q,;djh ksid we;sjk fjk;a .eg¿

 kskafoka f.rùu" kskao fkdhdu yd osjd ld,fha jQj;a jegqKQ jegqKq ;ek kskao hdu jeks kskao wdY%s; ixl+,;do fï ie;alu isÿ lsÍug wfmalaIlhka fjhs'

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December 2021

DOCTOR MAGAZINE

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Cover Story f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu

fï wêl ia:Q, YÍr iys; ldKAvh uqyqKmdk ;j;a ffjoH .eg¿ /ilao fõ'  wmiaÓ; Ysrd fkdfyd;a kyr .eg .eiSu  uoHidr mdkh fkdl<o wlaudfõ fïo ;ekam;a ùu  ms;a;dYfha we;sjk .,a  wd;;sh" úYdoh jeks ufkdaNdjhkayS we;sjk fjkiaùï fï ia:Q,;djh ksid ufkda uQ,sl .eg¿ úYd, jYfhka olakg ,efí'''' zzuu uy;hs'''ZZ lshk is;sú,a,u fï fndfyda whg iDKd;aul n,mEï we;s lrk w;r th cSú;fha .=Kd;aulNdjhg n,mEula we;s lrhs' flÜgq fjkak .kak T!IO j,ska M,la ;sfhkjdo@ Obese ldKAvhg wh;a nr jeä ùug jvd;a ;on, md,k l%uhla (Strict Regimen) wjYH jkq we;' ksrka;rfhka wêlaIKh lrñka wdydr md,kh yd jHdhdu lrkjd yereKQ úg iuyr úg fï whg T!IO mjd ,ndfok wjia:d ;sfí' Phentermine, Orlistat wdoS jYfhka fuysoS Ndú;d flfrk úúO T!IO ;sfnk uq;a tajd iq,nj mdúÉÑ fjkafk kE' T!IO .ekSfï we;s wjdish jkafka fnfy;a keje;ajQ miq kej;;a isref¾ nr jeä fjkakg mgka .ekSuhs' i;a;aj f,dalfha ñksid nvcdß i;a;aj úfYAIhlao@

wms fõ,a ;=kla wdydr .kakg ;uhs wm mqreÿ fj,d ;sfhkafka' fuys we;a; l;dj .;af;d;a ñksiqka jk wm wmg wjYH lrkjdg jvd jeä wdydr m%udKhla .kakjd' oeka l=re,af,d .;af;d;a lkafk álhs' wdydr .nvd lr .kafk kE' wdydr .nvd lr.;af;d;a isref¾ nr jeä fjkjd' túg mshdUkak nE' i;a;aj f,dalfh;a tfyuhs' ;ukaf. f.dÿr .s,a,g miafi ojia .Kka ksrdydrj bkak ovhï i;a;= jf.au ,efnk hula weys|f.k ld, kej; l=i.skakla we;sjk ;=re wdydr fkd;lk i;=ka tugj;a bkakjd' ta;a wms fjkia' wmsg lkak fndkak Bg fmr lE î wdydr osrjkak ´ks;a kE' ojilg m%Odk fõ,a ;=kla yerKQ úg ;j;a w;=re wdydr fõ,a mjd nridfrg .kak wm mqreÿ fj,d bkakjd'

nr wvq lrkakg isÿ lrk Y,Hl¾u isref¾ nr wvq lrkakg isÿ lrk Bariatric Surgery nr wvq lrkakg isÿ lrk Y,Hl¾u fmdÿfõ Bariatric Surgery hkqfjka ye|skafjkjd' 16

December 2021

DOCTOR MAGAZINE

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YÍrfha nr wvq lr .ekSu wruqKQ lrf.k cS¾Kl oaO;sh ;=< Yd,lH fjkialï isÿ lsÍu hkak Bariatric Surgery hkafkka úia;r fjkjd' wdydr md,k l%shdud¾." jHdhdu jeks uQ,sl YrSr nr md,k l%shdud¾. j,ska YrSrfha ia:q,;dj md,kh lrkakg fkdyels ùu fndfyda fofkla fï ie;alï f;dard .kakg fya;=jla fjkjd' Restrictive Type Surgery wdudYfha mßudj wvq lrk ie;alï

Gastric Banding

Gastric Banding wdudYfha by< fldgfia is,slka máhla r|jñka wdudYfha bv m%udKh lsishï mßudjlska wvq lrhs' wfmalaIs; wruqK bgq lr.;a miq fuu nEkaâ tl bj;a l< hq;= jkafkah'

Sleeve Gastrectomy

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Sleeve Gastrectomy ie;alfïoSS wdudYfhka fldgila lmd bj;a lrhs' túg fYAI jkafka nghla jeks jHqyhls' fï ksid wdudYfha Odß;dj wvq jk w;r Ghrelin jeks wdydr reÑh hdukh lrk fydafudako ksmojk ksid lsishï wreÑhlao we;s lrkakg fya;= fjhs' wdudYh wm wdydr c¾Kh lrkakg fmr r|jd .kakd" .nvd lr .kakd wdydr .nvdjhs' fuys mrsudj wvq lrk ie;alï fï ldKAvhg wh;a fjkjd' óg l,lg by; Gastric Banding Y,Hl¾u fuys,d ckdorhg m;a jqKd' ful, jeä fofkla isÿ lsrSug m%sh;djhla olajk Sleeve Gastrectomy ie;alu wh;a jkafkao fï wdudYfha mrsudj wvq lsrSfï ie;alï ldKAvhghs' fï ldKavfha ie;alï w;r oekg jvd;a ckm%shj we;af;a Gastrectomy ie;aluhs' fuysoS isÿ lrkafka wdudYfha fldgila wdydr r|jd .kakg neß jk wdldrhg ilia lsrSuhs' fï ie;alu ukd f,i wdydr md,khla we;s lr.kakg W;aiql jk whg jvd;a iqÿiqhs'

December 2021

DOCTOR MAGAZINE

D•Magazine /

Cover Story f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu

ie;alfuka miqj iSudjla ke;sj uoHidr mdkh lrkjd kï yd meKsri wdydr .kakjd kï fuu ie;alfuys id¾:l;ajh wvq jkq we;'

wdydr md,kh iy jHdhduh ia:q,;djfhka ñoSug fudk ;rï jeo.;ao h;a fudk m%;sldrh l<o fudk ie;alu l<;a tys m%;sM<h os.gu mj;ajd .kakg kï fï wdydr md,kh yd jHdhduh os.gu mj;ajd .; hq;af;auh'

Malabsorptive Procedures wjfYdaIKh iSud lrk ie;alï wdydr YrSrhg Wrd .kakd m%udKh wvq lsrSu fuu ie;alfuys wNsu;d¾:h jkjd' wm .kakd wdydr j,ska jeä yßhla wjfYdaIKh lrkafka l=vdnvje,a j,ska' fuysoS l=vd nvje, wdrïNfha hï ÿrla wdydr

December 2021

DOCTOR MAGAZINE

fkdhk fia nhsmdia tlla lrkjd' fuysoS wjfYdaIKh ùug we;s mDIaGh" lafIa;%M,h wvq jk ksid cS¾Kh wffO¾hhg m;a fjkjd' th ks;ekskau YÍrfha nr wvq lrkakg fya;=jla fjkjd' wm fuysoS isÿ lrkafka ldfndayhsfâ%g wjfYdaIKh wvq lsÍu jQj;a úgñk" LKsc ,jK wdoS fmdaIl;a wjfYdaIKh iSud fjkjd' tys m%;sM<hla jYfhka fmdaIK W!K;d we;súh yels neúka fuu ie;alug Ndckh jQ wh fï W!K;d we;s jqjfyd;a tajd imqrd,k l%shdud¾. .; hq;= ùu fuys we;s wvqmdvqjla' flfia fj;;a nr wvq lsÍfï wjYH;djh úIfhys fuu YÍrhg wdydr Wrd .ekSu wffO¾h lrk ie;alï wdudYfha mßudj muKla wvq lrk ie;alï j,g jvd jeä id¾:l;ajhla fmkajk nj;a lsj hq;=hs'

doctormagazine.lk

Mini Gastric Bypass (MGB) hkak flá" ir< yd kej; uq,a msysàug .; yels nr wvq lsrSfï ie;alula jYfhka f.!rjdorh oskd ;sfí' fu wdrlaIs; ie;aluls'

taldnoaO l%uh Roux-en-Y Gastric Bypass Mini Gastric Bypass

mei

wdudYfha nhsmdia lrk ,o fldgi

wka;%

os.= rE

.%yKsh

,sïn fldgi

Roux-en-Y (roo-en-wy) gastric bypass wdudYfha isg l=vd meila l=vd nvje,a j, uq,a fldgig w;=re ud¾.hla ks¾udKh lrñka iïnkaO flfrhs'

kj wdudYh

l=vd nvje,a j, nhsmdia lrk ,o fldgi

wdudYfha nhsmdia lrk ,o fldgi

id¾j ks¾úkaokhg ,la lsÍfuka miqj ie;alu isÿ lrkjd' fjk;a ixl+,;d ke;akï Gastric Banding jf.a ie;alula mehl muK ld,hla ;=< wjika lrkak mq¿jka' Sleeve Gastrectomy meh tl yudrl ú;r ld,hla we;=<; lrkak mq¿jka' Mini Gastric Bypass tlla kï meh foll ú;r ld,hla ;uhs hkafk' Rouxen-Y Gastric Bypass i|yd kï meh ;=kla ;=k yudrla ú;r hkjd'

wdydr cS¾Kl hqI

doctormagazine.lk

December 2021

DOCTOR MAGAZINE

D•Magazine /

Cover Story f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu

wo ojfia jvd;au m%p,s; by; ie;alï foflysu ixl,khkla jYfhka isÿ flfrk taldnoaO ie;alïh' wdudYfha mßudj wvq lsÍula fukau wdydr wjfYdaIKh wvq lsÍula hk wjYH;d folu fï taldnoaO ie;alï j,oS isÿ flfrkjd' taldnoaO ie;alï udos,sh ckm%sh ùug úfYAI fya;=jla jkafka by; úia;r l< udos,s folgu jeä id¾:l;ajhla fmkaùuhs' fï ie;alï w;=ßka ;ukag .e,fmk ie;alu yªkd.ekSu frda.shdf.a p¾hdj wkQj ffjoHjrhdf.a ueosy;a ùfuka isÿ lrKQ ,nkakla' oeka .eiafg%lagñ ie;alug Ndckh jqKdu óg fmr .;a wdydr m%udKh .kak nE' Tyq tfyu .;af;d;a biauqre;a;d fjkjd' fï ;eke;a;d Th .eiag%hsáia jf.a Reflux Disorder frda.hlska fmf<k flfkla kï ;;a;ajh jvd;a jHdl+, fjkjd' Tyqg iqÿiq jkafka fjk;a l%uhla'

December 2021

fï ie;alug Ndckh ùug meñfKk whgo ta ie;alu lsrSfï úúO wruqKQ ;sfnkjd' fï uy;;a tlal frda. /il wjodkula we;s fjkjd' uf.a cSú; ld,h flá fjhs'''ZZ tfyu ys;, wdrlaIl Wmdh ud¾.hla jYfhka ie;alug leue;a; m%ldY lrk wh bkakjd' ;j;a iuyrekag ;sfhkafk fndfydu mgq wfmalaIdjka''' zzfjäka tlg biafi,a, fmKQu yod .kak ´ks''' nv wvq lr .kak ´ks'''zzfmdfgda tlg ke;akï ji le;hs'ZZ /lshdjg hkak nr jeähs' bK álla wvq lr.kak ´ks' tfyu ys;, uy; wvq lrk ie;alï lr.kak bosßm;a fjk wh;a ke;=jd fkdfjhs' ffjoHjreka fï tla tla mqoa.,hdf.a wruqKQ wkQj;a lsishï .e,mSula lrkak isÿ fjkjd' fudk l%uh wkq.ukh l<;a wdydr md,kh;a" jHdhdu lsÍu;a ;jÿrg;a l< hq;=hs wdydr md,kh iy jHdhduh ia:q,;djfhka ñoSug fudk ;rï jeo.;ao h;a fudk m%;sldrh ;<| fudk ie;alu l<;a tys m%;sM<h os.gu mj;ajd .kakg kï fï wdydr md,kh yd jHdhduh os.gu mj;ajd .; hq;af;auh' fuysoS Tn isys ;nd.; hq;= jeo.;a ldrKhla jkafka wfmalaIs; m%;sM< fkd,enqKo wdydr md,kh yd jHdhdu lsÍu nßka jeä isrerla ;sfnk whg wjYHfhkau l< hq;a;la jk njhs' tfiau fuys ó<Õg l;d nyg ,la lrk nr jeä lsÍug lrk ie;alï j,oS wdydr md,kh yd jHdhdu ie;alï j, m%;sM<h jvd;a iqrlais; lsÍug fya;= jk njhs' ie;alï l<d lsh, jHdhdu fkdlr bkak nE''' .scqlu ;síng ysf;k ysf;k úosyg lkak;a nE''' fï ie;alï wdydr md,khg''' jHdhdu j,g jvd m%;sM<odhlhs' ta neõ lsj hq;=hs' yenehs" fï ie;alug Ndckh jqKd lsh, wdydr md,kh lsÍu''' jHdhdu lrk tl kj;ajkak Tng nE' ljqre yß ys;kj kï ;j;a álla jeäfhka lkak fndkak fï ie;alu WmldÍ fjkj lsh, tal jeros woyila'

DOCTOR MAGAZINE

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ie;alula fkdjk fláld,Sk nr wvq lr .ekSfï Wml%uh .eiaá%la neÆka jdhqj bj;a lrk ,o .eiaá%la neÆkh

wdudYh

jdhqj iys; .eiaá%la neÆkh

ie;alula fkdjk fláld,Sk nr wvq lrk l%uhla Gastric Baloon fia,hska mqrjk ,o is,slka neÆkhla wdudYfha r|jk fuu l%uh flá ld,Sk b,lal i|yd nr wvq lr .ekSug Intragastric balloon l%uh iqÿiqh' Tn .kakd wdydr m%udKh wvq lrñka blauKska l=i msrùu fuu l%ufha wruqK fõ' iuyr wjia:d j,oS zzug iïuqL mÍlaIKhlg hkak ;sfhkjd''' fukka fï wjYH;djh yskao ál ldf,lg nr wvq lr.kak ´ks'''ZZ wdoS jYfhka tk we;euqK bkakjd' fufyu wh ie;alulg iqÿiq kE' ;ukaf. b,lalhg hkak;a nE tfyu fj,djg wms lrk Procedure tlla ;sfhkjd Gastric Baloon lsh,' wms wdudYhg ne¨ula od, th mqïn, ;sfhkjd' túg wdudYfha mßudj wvqhs' f.dvla wdydr .kak nE' fïl Tmf¾Ika tlla fkdfjhs' fïl oeïuu wdydr .kak m%udKh wvq fjkjd' fïl yeuodu ;shkak;a nE' Wmßu udi yhhs' Bg miafi whska lrkak ´ks' Bg miafi Tyq ks;ekskau jeä wdydr m%udKhl=;a wkqNj lsrSfï Odß;djhlg Wreu lshkjd'

fï ie;alug Ndckh jk we;euqka YÍr ialkaO o¾Ylh jeä ùu ksidfjkau ksrka;rfhka wmyiq;djfhka fmf<kjd' úfYAIfhkau fï whg wef|a ydkais fj,d bkak nE' wef|a ydkais jqKdu yqiau .kak nE' ydkais fjkak wdïmkak fhdod .kak wh;a bkakjd' fuIska tfla Wmldrh ke;akï wef|A ydkais fjkak nE' kskafoka f.drjkjd' kskao hkafk;a kE' fufyu whg kï fï nr wvq lrk ie;alu úYd, wdYs¾jdohla'

ie;alug Ndckh jQ frda.Skag Wmfoia  wdydr rgdj kï fjkia lr.; hq;h = 's  nr jeä ùu ksid fudk ie;alu l<;a we;sfjk ixl+,;d wjodkula ;sfnkjd'

doctormagazine.lk

December 2021

DOCTOR MAGAZINE

D•Magazine /

Cover Story f.dvla uy; YÍrj, jeä nr wvq lrkakg ;sfnk fyd|u úiªu

 kyr wjysr ùfuka f;%dufndaii s a wjodkula we;s ùu  reêrjyk  ueyqï ia:dk j,ska reêrh ldkaÿ ùu;a we;súh yels úr, ixl+,;djhla' Bariatric Surgery iqúfYAIS;d  fï nr wvq lrk Y,Hl¾u j, úfYAI;ajh ;uhs fï ish,a,u ,emriafldms l%uhg tkï leurdjla fhdodf.k isÿ lsrSu' biair kò fï ie;alï isÿ lf<A Worh lm,' ta;a ,emriafldms l%uhg msx isÿ õkkg oeka ldßh b;du myiqhs' isref¾ ueyqï .ykak fjkafk kE' le<,s we;s fjkafk kE' óg by; Worh fPaokh lrñka isÿl< (Laparatomy) ie;alï j,g jvd fuh b;d ir< nj;a lsj hq;=hs' fï ie;alï j,g Ndckh jk frda.Ska fofjks oskfhaoSu" ke;fyd;a f;jk oskfhaoS ksfjig;a hkjd' ie;alfuka miq fõ.j;aj iqjh ,efnkjd' ixl+,;d we;s jkafka b;du wvqfjka'  Y,Hfõoshd yereKQ úg fjk;a ffjoHjrekao frda.shdf.a b,lal fjkqfjka fjfyfikjd' úfYAIfhkau fï whg ie;alfuka miq fmdaIKfõosfhl=f.a wëlaIKh wdydr isß; fjkia lr .ekSug wjYHhs' fï lKavdhfï tlÕ;djfhka ;uhs ie;alu jf.au bka miq wfmalaIs; wruqKQ lrd frda.shd fufyhùu isÿ jkafka;a'  fuysoS we;súh yels ixl+,;d j,g mQ¾j ms<shï fhoSfuka fï ixl+,;d wjodku;a w;sYhska wvq lr .kakjd'  ie;alfuka miq Tjqka tosfkod cSú;fhaoS úYd, iykhla ú|skjd' ksjeros fj,djg fï ie;alu l<du Type 2 oshjeähdj ;sfhk whf.a iSks ksjeros w.hg tkjd' fm%I¾ tl wvq fjkjd''' fldf,iagfrd,a wvq fjkjd' iq,nj olakg ,efnk ldrKhla jkafka fï oshjeähdj ;sfnk wh fuu ie;alug Ndckh ùfuka Tjqka .;a oshjeähd T!IO m%udK wvq lrkakg wjia:djla ie,fikjd' ksod. ekSfïoS mek ke.=KQ wmyiq;djhka kï ;=fkka

December 2021

DOCTOR MAGAZINE

follg muK iïmQ¾Kfhkau iqj fjkjd' fï úosfya ñ, l< fkdyels jákd m%;sM<hka fï ie;alu;a tlalu ,nd .kakd nj wm oel ;sfnkjd' nr wvq lr .ekSfï ie;alï j,g wo ck;djf.a úfYAI keUqrejla ;sfnkjd' fjfiiskau wêl f,i ;rndre Woúhg fï .eg¿fjka ñoSug mj;akd jvd;au id¾:l m%;sl¾uh jkafka fï nr wvq lr .ekSfï ie;aluhs' fï ie;alu isÿ lsßfuka ta wêl f,i ;rndrejg m;a" ta ksidu cSú;fha úúO wNsfhda. hkag uqyqK mE tu ldKAvhg úfYAI iykhla ,efnkjd' Tjqkaf.a cSú; jvd;a myiq lr.kakg th fya;=jla fjkjd' fï nr wvq lr .ekSfï ie;alï yd neªKQ wfkal ñ;Hdjkaf.ka ñoSug fï mKsúvh Tng msgqjy,la jkq we;s' DM

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Arthritis ldka;djka w;r iq,n wd;rhsáia @

ykaosm;a lelal=u fkdje''' ldka;djka w;r iq,n wd;rhsáia @ T!IO yd fN!;Ñls;ail m%;sldr j,ska wd;rhsáia frda.h uekúka md,kh l< yelshs

December 2021

DOCTOR MAGAZINE

ud;r uy frdayf,a ikaê frda. iy mqkre;a:dmkh ms<sn| úfYaI{ ffjoH ysuka; w;=fldar, MBBS (Colombo) MD FRCP (Edin) Fellow of American College of Rheumatology

doctormagazine.lk

zzwd;rhsáiaZZ lshkafka ykaÈhl bÈuqKq ;;a;ajhla' fuh .%Sl NdIdfjka tk wd;afrda (Arthro) keue;s fhÿfuka úldYkh jqKq bx.%Sis jpkhla' wd;rhsáia frda. ;;a;ajhka ish,af,a§u isÿjkafka ikaê bÈuqïo@ th tfiau jkafka keye' úúO frda. ,laIK fmkajk ikaê iy ikaê wdY%s; frda. 55lg jeä ixLHdjla zzwd;rhsáiaZZ lshk jpkfhka úia;r lr fokjd' fï ,smsfhka wd;rhsáia frda.h ms<sn|j ixlaIsma; úia;rhla uu f.kyer olajkakï'

YÍrfha nr ord.kakd ikaê WodyrKhla''' oKysia" Wl=," j<¨‍lr jdf.a ikaêj, we;=,; ;sfhk ldáf,ac f.ù hEu isÿfjkjd' fuh Tiaáfhda wd;rhsáia hkqfjka yªkajkjd'

doctormagazine.lk

uQ,sl ldKav myla hgf;a úia;r fjk wd;rhsáia zzwd;rhsáiaZZ lshk jpkh Ndú;d jk frda. ldKav myla .ek fuys§ úia;r lr fokakï' ikaê f.ùu kï Tiaáfhda wd;rhsáia m%:ufhka ikaêhl f.ùï ;;a;ajhka j,g wms zzwd;rhsáiaZZ lshk jpkh fhdod .kakjd' WodyrKhla yeáhg Tiaáfhdawd;rhsáia (Osteoarthritis) keue;s ;;a;ajh f.kyer olajkak mq¿jka' fuys§ fndfydaúg YÍrfha nr ord.kakd ikaê WodyrKhla f,i" oKysia" Wl=," j,¨‍lr jdf.a ikaê j, we;=,; ;sfhk ldáf,ac keue;s wdjrKh f.ù hEu isÿfjkjd' ikaê bosuqu kï reuefgdhsâ wd;rhsáia ykaÈhl bÈuqï iajNdjhkq;a zzwd;rhsáiaZZ lsh, y÷kajk wjia:djka ;sfnkjd' fuhg WodyrKhla f,i reufgdhsâ ykaÈ m%odyh úia;r lr fokak mq¿jka' reufgdhsâ ykaÈ m%odyh iEfok úg l=vd ikaê" úfYaIfhkau w;aj, weÕs,s mqrela w;r bÈuqula we;s fjkjd' tfiau ysñÈßfha ikaê j, olskakg ,efnk ;on, fõokdj fukau ;o .;sh fï frda.fha ,laIK jkjd' ikaê.; wk;=re ksid;a wd;rhsáia we;s fjkak mq¿jka''' udxYfmaYs" LKavrd" nkaOkS jeks ikaêhla ;=< iy bka msg; olakg ,efnk jHqyhka j, we;eï wjia:dj,§ wk;=re we;s fjkjd' fuh;a zzwd;rhsáiaZZ lsh,d iuyre y÷kajkjd' úfYaIfhkau fn,af, udxY fmaYsj, we;sjk we;eï wk;=re óg wh;a' fld÷weg fma,sfha we;sjk wdndO ksid we;sjk ;j;a wd;rhsáia j¾.hla fld÷weg fma,sfha we;sjk wdndO wd;rhsáia j¾.hla ksid we;s jkakg mq¿jka' fld÷weg w;r bÈuqï" fld÷ weg tlsfkl iúùu" ta jdf.au fld÷ weg Èrdm;a ùu ksid we;sjk fõokd fï frda. .Khg wh;a fjkjd'

December 2021

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Arthritis ldka;djka w;r iq,n wd;rhsáia @

ikaê orovq ùu

ikaê.; fõokdj

bosóu

p,kh wmyiq ùu

kl,a wdY%s;j .eá;s iajNdjhla we;súh yelshs

YÍrfha ikaê wdY%s;j wd;rhsáia fõokdj yg.; yelshs' ta tla tla ia:dk j,oS úúO iajrEmfhka fõokdj we;s fjkjd' wf;a weÕs,s j, we;sjk wd;rhsáia ;;a;ajfhaoS we;súh yels fõokdfõ ,laIK

iïnkaOl mgl j, we;sjk fjkialï .ek;a wd;rhsáia ldKAvhloS úia;r fjkjd ;rula úr, frda. ldKavhla jk iïnkaOl mgl j, we;sjk fjkialï j,g;a zzwd;rhsáiaZZa lshkjd' fï frda. ;;a;ajhka hgf;a Æmia (Lupus) iy iafl,frdv¾ud (Scleroderma) y÷kajkak mq¿jka' wd;rhsáia - frda.shdg tu fõokdj oefkkafkA flf,io@ fuys mj;akd frda. ,laIK úia;r lr fokjd kï uQ,slj frda.shdg we;s jkafka ikaê wdY%s; fõokdjla' ta jdf.au ikaêj, bÈuqu" u;=msg ifï WIaK;ajh jeäùu$r;a meyeùu" ikaêhla fi,ùug we;s wmyiq;djh wms frda.Ska ;=< olskjd' wd;rhsáia ikaê ;=<gu iSud jkafka keye' we;eï úg fjk;a wjhj lrd fuys n,mEu úisÍ hkjd' rla;ySk;djh ^reêr.; ysfud.af,dìka wvqùu&" f;fyÜgqj" iakdhq moaO;sh" Yajik moaO;sh" jl=.vq" iu" iy weia j, we;sjk fjkialï óg WodyrK fjkjd'

December 2021

DOCTOR MAGAZINE

doctormagazine.lk

wd;rhsáia wdldr ksfrda.S ikaêh

Tiaáfhda wd;rhsáia

reuefgdhsâ wd;rhsáia

ikaêfha f.ùï we;s jkafka Tiaáfhda wd;rhsáia frda.fhaoS' bosuqï iajNdjhla we;s jkafka reuefgdhsâ wd;rhsáia frda.fhaoS' wd;rhsáia frda.fha iq,n wjia:d folla fuys oelafjkjd'

wd;rhsáia frda.hg jeäfhka ldka;djka ,la jkafka wehs@ wd;rhsáia frda.hg jeä jYfhka ,la jkafka ldka;djka' idudkHfhka ldka;djka isõfofkla fï wd;rhsáia frda.hg k;= jk úg msßñka k;= jkafka tla flfkla' thg úfYAI fya;=jla ;sfnkjdo@ wd;rhsáia we;s jkakg fya;=j jYfhka oekg ffjoH úoHdfõ úia;r jkafka th iajhx m%;sYla;l frda.hla f,ighs' wfma m%;sYla;slrK moaO;sh we;s lr.kakd jeros jegySula fuhg fya;= fjkjd' idfmalaIj .;a l< msßñkag jvd ldka;d m%;sYla;slrK moaO;sh n,iïmkak njg fmdÿ ms<s.ekSula ;sfnkjd' fï wkQj ldka;djka jeä jYfhka wd;rhsáia frda.hg k;= ùu meyeos,s l< yelshs' fojekak ldka;djka w;r m%uqL Biag%cka yd fm%dfciagfrdka jeks fydafudak j,;a wd;rhsáia flfryS n,mEula ;sfnkjd' ldka;djkaf.a wd¾;jh" .¾NsKS;djh jeks ffcj l%shdj,skag iudkqmd;slj fï fydafudak >%djhka fjkia fjkjd' tajdg wkqrEmSj reOsr ix>gl fjkialï we;s fjkjd' th m%odysl ;;a;ajhka W;af;ackh lrkjd' ldka;djka .¾NsKS ;;a;ajhg m;ajQ úg tf;la mej;S ykaosm;a wudrelï úhelS hdu;a ore m%ijfhka miqj kej;;a ta frda. ,laIK u;=ùu;a tys iajNdjhla jk w;r ta iajNdjh;a by; meyeos,s lsÍu wkQj mila lr.; yelshs'

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December 2021

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Arthritis ldka;djka w;r iq,n wd;rhsáia @

l¾;jHhka isÿ lsÍug;a ta jf.au hï hï bßhõ mj;ajd .ekSug;a fuu iqúfYaIS m%;sldrh bjy,a jkjd'

fN!;Ñls;ail m%;sldr ikaê.; .eg¿ iys; frda.Skaf.a wk.s iukl m%;sl¾uhla

zzwd;rhsáiaZZ j,g we;s m%;sldr fudkjdo@ T!IO m%;sldr wd;rhsáia j,g isÿlrk m%;sldr m%Odk ldKav ;=klg fnokak mq¿jka' fï w;=ßka m%:ufhka wm T!IO .ek l;d lruq' T!IO j,ska b;du;a m%p,s; j¾.h jkafka fõokdkdYl' fïjdhska frda.shdg laI‚l iykhla ,efnkjd' ta jf.au tÈfkod Ôúf;a jev lghq;= isÿlr isÿlr.ekSug frda.shdg yelshdj ,efnkjd' ta;a yenehs" fï fõokd kdYl frda.Skag ßis fia Ndú;d lsÍï iqÿiq keye' ulaksido h;a fïjd §¾> ld,hla Ndú;fhka ydkslr w;=re M, we;sjkakg mq¿jka ksid' ieuúgu ffjoH Wmfoia wkqj fï fõokdkdYl .; hq;= jkjd' óg wu;rj frda.h md,kh lrk fnfy;a (Disease Modifying Drugs) wd;rhsáia j,§ b;du;a jeo.;a' frda. md,l ldKAvhg wh;a fï fnfy;a j,ska wd;rhsáia frda.fha uq, fidhdf.k frda.h iukh lrkjd' fuh b;du;a jeo.;a fnfy;a ldKavhla' tfia jqjo yeu frda.hgu fuu fnfy;a iqÿiq keye' fN!;Ñls;aidj iy jD;a;Sh Ñls;aidj fN!;Ñls;aidj iy jD;a;Sh Ñls;aidj wd;rhsáia j,§ frda.shdg buy;a iykhla ,nd fokjd' w;mh idudkH wdldrfhka p,kh lsÍug;a weÕs,s j,ska ishqï

December 2021

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ie;alï j,ska we;sfjk iykh we;eï úg wd;rhsáia frda.Skag ie;alï isÿ lrkakg isÿ jkjd' fuys§ úl,dx. Y,H ffjoHjrfhla hgf;a wd;rhsáia frda.Ska f.a ikaêj, jHqyhka kùlrKh lsÍu jkjd' wd;rhsáia frda. ;;a;ajhka j,§ ksis j¾.SlrKh iy mßlaId lsÍï yryd frda.Skag uekúka m%;sldr ,nd§ug yel' ffjoH ks¾foaYh u; we;eï úg reêr mßlaId" tlaiaf¾" ialEka j¾. frda.shdg wm ks¾foaY lrkjd' iuyrla ;;a;ajhka l,ska l,g we.hSï j,g ,laúh hq;=hs' fõokdfjka mSä; frda.Skaf.a tu fõokdj iukh lr Tjqkaf.a Ôjk ;;a;ajh hym;a lsÍu;a" cSjk rgdj lsishï kjHlrKhlg Ndckh lsÍu;a fï ueosy;aùï j, m%uqL wruqK fjkjd' DM

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HOCM urKSh wjodkula f.fkk ixcdkSh yoj;a wdndOhla iqj lsÍug m<uq j;djg fld<U cd;sl frdayf,ka m%;sl¾uhla'''

Alcohol Ablation for Hypertrophic Obstructive Cardiomyopathy (HOCM)

urKSh wjodkula f.fkk ixcdkSh yoj;a wdndOhla iqj lsÍug m<uq j;djg fld<U cd;sl frdayf,ka m%;sl¾uhla''' bosßhg;a fujka frda.Ska yªkdf.k fï m%;sl¾uh fhdokjd'''

fld<U cd;sl frdayf,a fcHaIAG yDo frda. úfYAI{ ffjoH f.daGdNh rKisxy

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HOCM urKSh wjodkula f.fkk ixcdkSh yoj;a wdndOhla iqj lsÍug m<uq j;djg fld<U cd;sl frdayf,ka m%;sl¾uhla'''

yDofha my< l=àr fol w;r ì;a;sh >k ùfuka isref¾ reêr ixirkhg ndOd f.k tk úr, frda.hla fya;=fjka we;sjk ixl+,;d /ila yd ta Tiafia we;sjk cSú; wjodku imqrd neyer lrk kj ;d,fha m%;sldrhla id¾:lj y÷kajd fokaakg fld<U cd;sl frdayf,a yDo m%;sldr wdhh;kh miq.shod iu;a jqKd' yDofha l=àr y;rla fõ' Wäka ;sfhkafk l¾Ksld' háka ;sfhkafk fldaIsld' reêrh msrsisÿ lsÍfï l%shdj,shg fï l=àr y;ru iïnkaOhs' yDoh jia;=fõ wmsßisÿ reêrh msßisÿ reêrh njg m;a lrkafka fmKy,a,' fï wmsßisÿ reêrh yd msßisÿ reêrh ñY% ùu j<lajkak ì;a;s folla ;sfnkjd' Wäka ;sfhkafk l¾Ksld ì;a;s' háka ;sfhkafka fldaIsld ì;a;s' fï fldaIsld ì;a;s w;r yD;a fmaYs j, widudkH >kùula we;sjk m%fõKsl frda.hla ;sfnkjd' th Hypertrophic Obstructive Cardiomyopathy (HOCM) hkqfjka

December 2021

Hypertrophic Obstructive Cardiomyopathy (HOCM) frda.h i|yd Alcohol septal ablation m%;sl¾uh fhoSu id¾:l m%;sldrhls'

yªkajkjd' HOCM ;;a;ajfhaoS fuu widudkH f,i úYd, jQ wdjdrh yDofha jï l¾Ksldj foig t,a,d jefgkjd' fï ksid isrer mqrd mßjykh lrk msßisÿ reêrh lsishï wjysrùulg ,la fjkjd' fuh yoj;g wu;r mSvkhla we;s lrjk ;;a;ajhla' fï ;;aajfhka mSvd ú|sk wh flfrka yqiau .ekSfï wmyiq;djh yd úvdnr .;sh fukau ;j;a fn,ySk;d rdYshla oelsh yelshs' fldákau fï frda.h we;s úg Tyqf.a ffoksl lghq;= j,g ;SrKd;aul f,i th n,mdkjd' Tyq YdÍßlj fn,ySk ;;a;ajhg m;a fjkjd' fï frda.h ksid yD;a wlrKsh" cSú;h buy;a wjodkulg fy<k yD;a wiamkao" ;%S;=Kav lmdgfhka úreoaO osYdjg reêrh .e,Su jf.au yosis urKh mjd we;s ùfï wjodkula ;sfnkjd' fuf;la wfma rfÜ fulS ie<lsh hq;= cSú;dodkula we;s lrjk úr, frda.fhka mSvd ú|sk ,o frda.Skg ksYAÑ; m%;sldrhla fkd;snqK;a ,dxflah yD;a m%;sldr b;sydifha kj msgqjla fmr<ñka m<uq j;djg tu frda.Skag iaÓridr m%;sldrhla ie,fik ie;alula fld<U cd;sl frdayf,aoS isÿ flreKd'

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neÆkh Oukshla yryd m%fõY lrk wdldrh

Alcohol septal ablation m%;sldrh fuysoS uq,skau isyska kd,hla ^le;Sgrhla& bls,sh yryd osfjk Oukshla yryd fldaIsld w;r ì;a;sh fkdfyd;a wdjdrhg iSrejg m%fõY lrkjd' bka miqj ta isyska le;Sgrh yryd uoHidr ødjKhla hjkjd' uoHidr yD;a fmaYs j,g úihs' fï uoHidr iam¾Y ùfuka yD;a fmaYs yelsf,kjd' ñh hkjd' tfia jkafka wkjYH muKg jeã ;snqKQ wdjdrfha fmaYs u;hs' fï ixisoaêfhka miq fmr fuka oeä >K iajNdjhlg m;ajQ wdjdr fmaYs fjkqjg md,khlg ,lajQ yD;a fmaYs m%udKhla muKla fldaIsld ì;a;s w;r /f|kjd' fï kej; ilia l< kshu m%udKfha wdjdr ì;a;s yryd fukau uyd Ouksh yryd myiqfjka reêrh ixirkh jkakg mq¿jka' tfiau fuys m%;sM<hla f,i isrer mqrd reër ixirkh jvd;a ld¾hlaIu fjkjd'

Tyq fjkqfjka miq.shod l< ie;alu fï rfÜos tu yD;a fodaIh fjkqfjka isÿl< m<uq ie;aluhs' th b;d id¾:l jQ nj yDo frda. úfYAI{ ffjoH f.daGdNh rKisxy uy;d ;u uqyqKQ fmdf;a igykla ;nñka m%ldY l<d' HOCM hkq frda.shdg nrm;, ffoksl cSú;fha ndOdjka fukau lsishï cSú; wjodkulao f.fkk frda.hla' tjka wjodkul isák ,dxflah frda.Skaf.a tu wjodku neyer lrñka Tjqkag os>disß ie,iSu i|yd fuu ie;alu bosßhg;a isÿ lrk nj fld<U cd;sl frdayf,a yDo frda. wdh;kfha fcHaIAG yDo frda. úfYAI{ ffjoH f.daGdNh rKisxy uy;d m%ldY lrkjd' DM Watch It

fï ie;alug cd;sl frdayf,aoS uq,skau Ndckh jqfKA 36 yeúßos tla ore msfhla' Tyq fï frda.h ksid mmqfj wudrejlska jf.au yqiau .ekSfï wmyiq;djhlskao fm¿Kd' ojfia jevlghq;= lsÍug j;a ikSmhla ;snqfKa kE' frdayf,aoS isÿ lrk ,o mÍlaIK j,ska Tyq HOCM frda.sfhla njg ;yjqre jqKd'

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December 2021

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Blood Tests for RA reuefgdhsâ wd;rhsáia ,sms irKsh

reuefgdhsâ wd;rhsáia ,sms irKsh Blood Tests for RA reuefgdhsâ wd;rhsáia frda.h Wfoid lrk reêr mÍlaIK wdisß frday,a iuQyfha ridhkd.dr wOHlaI kS,a m%sh;a fcdaka

lsishï frda.sfhl=g reuefgdhsâ wd;rhsáia frda.h ;sfí hhs wkqudk lrk úg Tyq iïnkaOfhka isÿ lrk reêr mÍlaIK iïnkaOfhka fuu ,smsfhka úia;r flrKq we;' fï reêr mÍlaIK ish,a, Tnf.a ffjoHjrhd úiska Tng ks¾foaY fkdlrk w;r thska iqÿiq mÍlaIKh ;SrKh lrKQ ,nkafka idhksl 32

December 2021

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mÍlaIdfõoS Tyq lrKQ ,nk iudf,dapkh u;h' Anti-cyclic citrullinated peptide (Anti CCP) mÍlaIKh fuu mÍlaIKfha wruqK jkafka Anti-cyclic citrullinated peptide (anti-CCP) kue;s m%;sfoayh reêrfha mj;skafkao hkak úuiSuhs' reuefgdhsâ wd;rhsáia frda.fhka fmf<k ishhg 75lg muK fuu m%;sfoayh mj;sk neõ wOHhk j,ska ;yjqre ù we;' hï flfkla reuefgdhsâ wd;rhsáia frda.h iys;j Anti-CCP m%;sfoayho ;sfnk flfkla jkafka kï Tyq Seropositive RA mqoa.,fhla jkafkah' reuefgdhsâ wd;rhsáia

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by< RF uÜgula ;sîu reuefgdhsâ wd;rhsáia frda.h we;s ùfï wjodkula fmkajhs' RF idudkH w.hla mej;So reuefgdhsâ wd;rhsáia frda.h mj;skakg mq¿jk Seronegative Arthritis fuu mrSlaIKh u.ska reêrfha we;s idudkH fm%daàkhla jk .eud .af,dìhq,ska j,g tfrysj m%;sfoayhla f,i l%shd lrk RF uÜgu uekSula isÿfjhs'

frda.fhka fmf<k Anti-CCP m%;sfoay rys; hkq Seronegative RA jkafkah' fuu mÍlaIKfha m%;sM< úYaf,aYKh msKsi Rheumatoid Factor (RF) mÍlaIKho Anticyclic citrullinated peptide (anti-CCP) hk folu iudf,dapkhg .kafkah' Rheumatoid Factor (RF) iïnkaOfhka miqjg úia;rd;aulj l;d lrKQ we;' m%;sM< úYf,aYKh fufiah' positive CCP antibodies and positive RF

reuefgdhsâ wd;rhsáia frda.h ;sfnkakg mq¿jk positive CCP antibodies and negative RF uq,a wjia:dfõ reuefgdhsâ wd;rhsáia we;' ke;fyd;a reuefgdhsâ wd;rhsáia we;sùug wjia:dj we;' doctormagazine.lk

negative CCP antibodies and negative RF

reuefgdhsâ wd;rhsáia we;sùfï wjia:d wvqh' idudkH mrdih jkafka 0-20 h' fuu w.hka blaujk w.hla hkq reuefgdhsâ wd;rhsáia wjia:djhs'

Rheumatoid factor mÍlaIKh fuu mrSlaIKh u.ska reêrfha we;s idudkH fm%daàkhla jk .eud .af,dìhq,ska j,g tfrysj m%;sfoayhla f,i l%shd lrk RF uÜgu uekSula isÿfjhs' idudkH RF mrdih ñ,s,Sgrhlg tall 0-20 ls' fuhg jvd by< RF uÜgula ;sîu reuefgdhsâ wd;rhsáia fj; hdfï wjodkula fmkajhs' kuq;a fuu mÍlaIK m%;sM<h muKla reuefgdhsâ wd;rhsáia mj;sk nj ;yjqre fkdlrhs' fjk;a YÍr ;;a;ajhka u;o RF w.h by< kexúh yels w;r

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Blood Tests for RA reuefgdhsâ wd;rhsáia ,sms irKsh

reuefgdhsâ wd;rhsáia hkq ikaê wdY%s; mgl yd fjk;a YÍr fldgia j,g n,mj;ajk iajhx m%;sYla;sl frda.hla jkafkah'

;j;a ishhg myla muK msßilf.a RF w.h 20 blaujd ;snqK;a Tjqka reuefgdhsâ wd;rhsáia frda.Ska fkdfõ' ta yereKQ úg reuefgdhsâ wd;rhsáia ;snqK;a th RF w.fhka fmkajkafka ke;' fkdfyd;a Tjqkaf.a RF w.hka idudkH fjhs' fï ksid frda.h ksYaph jYfhka ;yjqre lsÍug Anti-CCP jeks mÍlaIKhl msysg ,nd .ekSug isÿfjhs' we;eï ffjri wdidok j,oSo wd;rhsáia frda. hg iudk frda. ,laIK we;súh yelsjdla fukau Tjqkaf.a RF w.hkao by< hd yel'

December 2021

fï ksid ikaê wdY%s;j ;on, fõokdjka fukau bosóïo we;sùu ,dlaIKslh'

parvovirus B19 yd hepatitis C wdidok tjka wjia:d folls' fujka ffjri wdidokhla ksid ,dlaIksl frda. ,laIK we;s fkdjQ njg iy;sl ùug kï Hepatitis C antibody jeks mÍlaIdjka fj; fhduq ùugo isÿ fõ' fuysoS parvovirus jeks mÍlaIdjkag fhduq l< hq;af;a Bg fya;= jk wjodkulg Tyq ksrdjrKh jQjfyd;a muKs' Antinuclear antibody (ANAs) mÍlaIKh fuu mÍlaIKh isÿ lrkafka Antinuclear antibody by< m%udK j,ska mj;akd nj y÷kd .ekSughs' ANAs hkq ffi, kHIaÀhg myr oS ffi,h úkdY lrk reêr fm%daàk úfYAIhls' reuefgdhsâ wd;rhsáia" Scleroderma, Sjögren’s, iïnkaOl mgl frda. wdosfhaoS ANAs fm%daàkh mj;skakg mq¿jk' fï fya;=j ksidu ANAs reër idïm,hlska Positive jQj;a thg ksiel fya;=j reuefgdhsâ wd;rhsáia hhs lshkakgo yelshdjla ke;' túg frda.h bkaf;arefjka ksYaph lrkakg kï fjk;a mÍlaIKo lrkakg isÿ fõ'

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C-reactive protein (CRP) mÍlaIKh wlaudfõ ksmofjk C-reactive protein (CRP) m%;p s dr olajkafka YÍrfha m%odysl ;;a;j a hkagh' fï fm%dà a kh m%;Y s la;l s rK wdprKh hdukhg fya;j = k w;r CRP w.hka by< hdu isref¾ ljr ;efkl fyda m%odysl ;;a;j a hla n,.ekaù we;s njg bÕs lrhs' th frda.h fyda fjk;a oshjeähdj" ia:, Q ;djh" yD;a frda." mßjD;a;h S frda.hla" úYdoh jeks ufkdaNdjhla fyda fmKy¿ wdY%; s wdndOhloSoo Positive w.hka fmkaúh yel' fndfyda ridhkd.dr j,oS fuu mÍlaIKfha idudkH mrdih f,i i<lkafka ñ,s .a?ï 1g jvd wvq w.hla mej;Suhs' Erythrocyte sedimentation rate (ESR) mÍlaIKh fuu iq,n mÍlaIKfhka f,a idïm,hl we;s r;= reêrdKQ mehl ld,hla uq¿,af,a fl;rï mÍlaIK k,fha fõ.hlska ;ekam;a jkafkao hkak ixLHd;aulj .Kkh lsÍula isÿ flfrhs' fuhsko a bÕs lrkafka YÍrfha n,.ekafjk m%odyhls' yereKQ úg fjk;a frda. ksido" wêl f,i jhia.; ùfukao jeä ESR w.hka jd¾;d úh yel'

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reuefgdhsâ wd;rhsáia frda.h ksjerosj úksYAph lrf.k kshñ; m%;sldr j,g fhduq ùfuka th jvd;a wiSre wjia:djka olajd m;aùu md,kh lr .; yel'

msßñfhl= i|yd idudkH ESR w.hka mehlg 0–20 millimeters (mm) per hour' ldka;djka i|yd kï mehlg 0–30 mm per hour jhi wjq' 50 bl=;a jQ úg iajNdjfhkau jeä ESR w.hka ,efí' Human leukocyte antigen tissue typing mÍlaIKh fuhska mÍlaId flfrkafka Human leukocyte antigen (HLA). kï m%fõKsl i<l=Kls' (Genetic marker) wOHhk j,g wkQj wd;rhsáia frda.Skaf.ka nyq;rhlg fuu m%;scklh odhdo jk nj y÷kdf.k ;sfí' fï wkQj wd;rhsáia frda.h we;sùfï wjodku l,afõ,d we;sj yªkd .ekSug fï HLA mÍlaIKfhka wjia:dj ie,fia' th ÿïmdkh jeks wfkl=;a idOl j,o fya;=fjka jeä jkakg mq¿jk' Ankylosing spondylitis yd Reactive arthritis. frda. j,oSo fuu m%;scklh yªkd .kakg ,efí' Lyme serology mÍlaIKh wd;rhsáia frda.hg iudk fjk;a frda. ksido wd;rhsáia frda.h yd iudk frda. ,laIK m%lg lrkafkao úuiSugo we;eï úg ffjoHjreka ridhkd. dr mÍlaIK kshu lrKQ ,nhs' Gout hkq Bg iudk frda. ,laIK m%lg lrk fjk;a wd;rhsáia frda.hls' hï flfkl=g Lyme serology immune factors kue;s idOlh mj;skafka kï Tyq wd;rhsáia frda.h yd iudk December 2021

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Blood Tests for RA reuefgdhsâ wd;rhsáia ,sms irKsh

frda. ,laIK m%lg l<;a we;af;kau Tyqg we;af;a ,hsï frda.hhs' Uric Acid mÍlaIKh hQßla wï,h hkq nys>%dùh wmøjHhls' .jqÜ frda. fhaoS fuu hQßla wï,h jeä jYfhka jd¾;d fjhs' .jqÜ hkq m%odysl ;;a;ajhka we;s lrk wd;rhsáia m%fNaohls' hQßla wï,h by< w.hka jd¾;d ùu Hyperuricemia hkqfjka yªkajhs' msßñkaf.a kï hQßla wï,h w.h 800 mg per dayg jvd jeäfhka jd¾;d ùu yd .eyekqkaf.a kï hQßla wï,h w.h 750 mg per dayg jvd jeäfhka jd¾;d ùu wd;rhsáia j,g jvd .jqÜ kue;s fjk;a wd;rhsáia m%fNaoh mj;akd njg bÕshls' Complete blood count (CBC) mÍlaIKh Complete blood count (CBC) reêrfha úIîc yd igka lrK Yafõ;dKQ" rla;dkq" reêrh mßjykh lrk ySfud.af,dìka" mÜáld wdosh ixLHd;aulj ksudKh lrk mÍlaIdjhs' wd;rhsáia frda.Ska f.a f,a wvqùula ;sfío hkak úuiSug CBC mÍlaIKh jeo.;a fjhs' ldka;djlf.a kï reêr.; ySfud.af,dìka w.h 12 grams (g) 36

December 2021

per deciliter (dl)Trusted Source g jvd wvqùuo" msßñfhl=f.a kï 13 grams (g) per deciliter (dl)Trusted Source g jvd wvq ùuo f,a ysÕ;djhla f,i is;d lghq;= lrkakg isÿ fjhs' Complete metabolic panel mÍlaIKh fuhska wlaudfõ yd jl=.vq j, mq¿,a iudf,dapkhlg bjy,a fjhs' reêrfha fidaähï" fmdgEishï" laf,darhsâ" .aÆfldaia" jl=.vq j, l%shdldß;ajh úuik l%sheákska yd wlaudfõ l%shdldß;ajh úuik weiamdfÜia g%dkaiaweñfkaia yd we,kska g%dkaiaweñfkaia hk w.hka fuyso mÍlaIdjg ,la flf¾' wd;rhsáia frda.hg ms<shï f,i ,ndfok we;eï T!IO wlaudjg" jl=.vq j,g wys;lr fia n,meje;aùug yelshdjla we;' fuu mÍlaIK j,ska ,efnk m%;sM< u; tjka wjia:dj ,oS fokq ,nk T!IO j, ixfYdaOkhka isÿl< yel' reuefgdhsâ wd;rhsáia frda.h ks¾Kh i|yd fhdod. kakd úl,am l%u reêr mÍlaIK j,g wu;rj my; mÍlaIdjkao reuefgdhsâ wd;rhsáia frda.h ks¾Kh i|yd fhdod .kshs'  w;a" ueKSlalgqj" oKysia wdosfha we;sjk fõokdj yd bosóu  m%;sìïn mÍlaIK u.ska ikaê.;j ;r, we;sjk ia:dk ksÍlaIKh lsÍu  ikaê.; kso¾Yl ,ndf.k tys hQßla wï, iaMÀl fyda fjk;a ixfhda. mj;Soehs úuiSu wd;rhsáia frda.fhaoS ksjerosj frda. úksYAph isÿ lsÍu w;sYhska jeo.;a jk w;r m%;sldr wdrïN lsÍfuka frda.h oreKQ w;g m;aùu j<lajd .; yel'

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iudf,dapkh reêr mÍlaIK Tiafia ffjoHjrhdg frda.h ksYaph lsÍug wjia:dj ie,fia' frda.shd idhkslj mÍlaIdjg ,la lsÍuo úlsrK yd wfkl=;a m%;sìïn mÍlaIKo fuysoS wdOdrhg .; yel' reêrh ,nd .ekSug fmr ksrdydrj isáh hq;=o@ th fldmuK fõ,djlao wdoS Wmfoiao fuysoS ,nd.; hq;= jkafkah' DM

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Centres & Labs Asiri Hospital The Central Hospital Asiri Surgical Asiri Hospital Matara Asiri Hospital - Galle Asiri Hospital - Kandy Kandy Kalubowila Negambo Ragama Kurunagala Jaffna Batticaloa Anuradhapura Badulla Homagama Kalutara Gampaha Matale Kalmunai Akuressa Tangalle Amabalangoda Pelawatta Wellampitiya Kadawatha Wattala Gampaha Horana Kiribathgoda Kotahena Wellawatta Awissawella Rathmalana Kaduwela Peradeniya Bogambara Katugastota Marawila Panadura Anuradhapura Waththegama Nawalapitiya Dehiwala Kuliyapitiya Malabe Bandarawela Ja-Ela Embilipitiya Kegalle Nugegoda Gampola Maharagama Akurana Kottawa Piliyandala Athurugiriya Nittambuwa Badulla IDH Pilimathalawa Mattakkuliya Moratuwa Beruwala Pitakotte Makola Pannipitiya Mawanella Kandana Kolonnawa Boralasgamuwa Embuldeniya Dharga Town Wennappuwa Kochchikade Mattegoda Battaramulla Jaffna Kesbewa Maharagama II Karapitiya Thannekumbura Ganemulla Kirillawala Thalawathugoda

Address No 181,Kirula Road, Narahenpita,Colombo 5 No 114,Norris Canal Road,Colombo 10 No 21,Kirimandala Mawatha,Colombo 5 No 191 , Anagarika Dharmapala Mawatha No 10, Wakwella Road , Galle No 907, Peradeniya Road, Kandy No 67/7, William Gopallawa Mawatha No 5, S De S Jayasinghe Mawatha No 155, Colombo Road No 39 A, Kadawatha Road No 199 / 1, Colombo Road No 546, Hospital Road No 39/1, Central Road No 1, Bandaranayake Mawatha, Kada 50 No 18, Darmadootha Road, Badulla No 20, Katuwana Road No 21, Chamly Gunawardena Mawatha No 06, Asoka Gardens, Colombo Road No 91/A, Kandy Road No 303, Main Street No 56 , Matara Road No 201 D, Matara Road No 291, New Galle Road No 730 B , Pannipitiya Road No 100,Kumaradasa Place No 134 H, Jaya Mawatha No 122, Negombo Road No 144, Queen Mary’s Road No 223 B ,Anguruwatota Road No 140/A, Kandy Road,Dalugama No 01, Pickerings Road, Colombo 13 No 37, Manning Place, Colombo 06 No 29, Gemland, Kudagama Road No 421 G, Galle Road No 475/1/D, Avissawella Road No 116,Peradeniya Road No 46,Keppitipola Road No 202/3,Katugastota Road 375/1,South Muhudu Katuwa No 159,Galle Road No 280, Bank Place , Main Street No 45,Mathale Road No 119,Kothmale Road No 190 A,D.B.Jayathilake Mw (Hill Street) No 95, Hettipola Road, No 877, Athurugiriya Road No 276,Badulla Road No 67, Gamini Road No 29 / A, New Town Road No 325, Main Street No 491, Highlevel Road, Delkanda No 36C, T.B.Panabokke Mawatha No 152, Piliyandala Road No 91E, Mathale Road No 203/2 Horana Road No 148A, Horana Road No 1/1 E, Borella Road No 584 , Kandy Road No 13C, Bandarawela Road No 34/4 D, Kollonnawa Rd, Gothatuwa NT No 197/1,Daulagala Road No 77, Mattakkuliya Church Rd, Colombo 15 No 56/D,Galle Road City Arcade , No 201B, Galle Road No 155 B, Pagoda Road No 96A/5,Makola Road,Makola South No 92, Borella Road, Depanama No 209, Colombo Road No 41 A, Ganemulla Road No 62 Kolonnawa Road No 138/1 , Kesbewa Road No 325, Old Kottawa Road Dhargatown No 29, Chilaw Road , Wennappuwa No 18 , Poruthota Road, Kochchikade No 102/177 , Mattegoda Watta , Mattegoda No 56/3A Main Street, Battaramulla No 232, Pallali Road , Thirunelveli No 215/82B Bandaragama Road No 225 Highlevel Road Maharagama No 325, Maitipe 1st Lane , Karapitiya No 124 , Thannekumbura , Kandy No 188D, Kirindiwita Road 574/1, Ranmuthugala , Kadawatha 773-779, Borella Road, Thalawathugoda

Telephone 011 - 4523355/356/357 011 - 4665500 / 077-2092847 011 - 4524400 / 011-4524448 041 - 4390900 091 - 4640625 081 - 7850404 / 05 081 - 7389022 011 - 7389701 / 704 031 - 7388010/011/ 012 011 - 7389753/754/755 037 - 7220110/111/112 021 - 7389389 / 392/93 065 - 7755400/401/402 025 - 7800850/53/54 055 - 7634020 011 - 7519583/585/586 034 - 7634005/010/009 033 - 7634139/ 148/323 066 - 4501011/ 0667434001 067 - 7388001/3 041 - 4937607 047 - 4937557 091 - 4946449 011 - 7634035 011 - 7519581 011 - 7617180 011 - 7581598 033 - 7500598 034 - 7877200 011 - 7782704 011 - 7782702 011 - 7782706 036 - 7637611 011 - 7782708 011 - 7782710 081 - 7634010 081 - 7389011 / 13 081 - 7634002 032 - 7634010 038 - 7634011 025 - 7596620 081 - 7634008 054 - 7634012 011 - 7634096 037 - 7634003 011 - 7654039 057 - 7634008 011 - 7634186 047 - 7634008 035 - 7634014 011 - 7634098 081 - 7634013 011 - 7634182 081 - 7634009 011 - 7634159 011 - 7634188 011 - 7634312 033 - 7634004 055 - 7634011 011 - 7634310 081 - 7634015 011 - 7634314 011 - 7634198 034 - 7634007 011 - 7634318 011 - 7634226 011 - 7634217 035 - 7634000 011 - 7634344 011 - 7709977 011- 7709975 011 -7634330 034 - 7634015 032 - 7434044 033 - 7434024 011 - 7654344 011 - 7654346 021 - 7637618 011 - 7726077 011 - 7654301 077 - 7846160 081 - 7596623 033 -7501800 011 - 7580800 011 - 7580880

E-Mail prlab@asiri.lk chllab@asiri.lk microlab@asiri.lk infoasirimatara@asiri.lk labgalle@asiri.lk ahklab@asiri.lk kandylab@asiri.lk kalubowilalab@asiri.lk nglab@asiri.lk ragamalab@asiri.lk kurunegalalab@asiri.lk jaffnalab@asiri.lk batticaloalab@asiri.lk anuradhapuralab@asiri.lk badullalab@asiri.lk homagamalab@asiri.lk Kalutharalab@asiri.lk gampahalab@asiri.lk matalelab@asiri.lk kalmunelab@asiri.lk labakuressa@asiri.lk labtangalle@asiri.lk labambalangoda@asiri.lk pelawattalab@asiri.lk wellampitiyalab@asiri.lk kadawathalab@asiri.lk wattalalab@asiri.lk gampahacc@asiri.lk horanalab@asiri.lk kiribathgoda.lab@asiri.lk kotahena.lab@asiri.lk wellawatte.lab@asiri.lk avissawella.lab@asiri.lk ratmalana.lab@asiri.lk kaduwela.lab@asiri.lk peradeniyalab@asiri.lk bogambaralab@asiri.lk katugasthotalab@asiri.lk marawilalab@asiri.lk panaduralab@asiri.lk kadapanahalab@asiri.lk wattegamalab@asiri.lk nawalapitiyalab@asiri.lk dehiwalalab@asiri.lk kuliyapitiyalab@asiri.lk malabelab@asiri.lk bandarawelalab@asiri.lk Jaelalab@asiri.lk embilipitiyalab@asiri.lk kegallelab@asiri.lk nugegodalab@asiri.lk gampolalab@asiri.lk maharagamalab@asiri.lk akuranalab@asiri.lk kottawalab@asiri.lk piliyandalalab@asiri.lk athurugiriyalab@asiri.lk nittambuwalab@asiri.lk badullacc@asiri.lk idhlab@asiri.lk pilimathalawacc@asiri.lk mattakkuliyacc@asiri.lk moratuwacc@asiri.lk beruwalacc@asiri.lk pitakottecc@asiri.lk makolacc@asiri.lk pannipitiyacc@asiri.lk mawanellacc@asiri.lk kandanacc@asiri.lk kolonnawacc@asiri.lk boralasgamuwacc@asiri.lk embuldeniyacc@asiri.lk dhargatowncc@asiri.lk wennappuwacc@asiri.lk kochchikadecc@asiri.lk mattegodacc@asiri.lk battaramullacc@asiri.lk jaffnacc@asiri.lk Kesbewacc@asiri.lk maharagamaIIcc@asiri.lk labkarapitiya@asiri.lk thannekumburacc@asiri.lk ganemullacc@asiri.lk kirillawalacc@asiri.lk thalawathugodacc@asiri.lk

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Innovations and Technology bj;a lsÍug wmyiq ia:dk j, we;s .,a mjd bj;a lrk jl=.vqfõ .,a bj;a lrk w¿;au ;dlaIKh

Kidney Stones

bj;a lsÍug wmyiq ia:dk j, we;s .,a mjd bj;a lrk jl=.vqfõ .,a bj;a lrk w¿;au ;dlaIKh Wfoa frday,a.; ù ie;alu;a lrf.k yjig f.or;a hkak'''

Flexible Ureterorenoscopy

j;a;, fyaudia frdayf,a fu!;% frda. úfYAI{ ffjoH wreK kkaofiak

December 2021

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jl=.vq j, we;sjk .,a wo fndfyda fofkla mSvd ú|Sk ;;a;ajhla' fï .,a ;sfnk úg fõokdj" uQ;%d iu. reêrh msgùu jeks ldrKd jf.au tkak tkak ., úYd, ùfuka we;sjk wjodku ksid tajd bj;a lsÍug isÿ fjkjd' fï ie;alu fudk jf.ao@ kùk ;dlaIKh fï ie;alu myiq lrkakg WmldÍ jkafka flfiao@ wo wms fï jákd f;dr;=re f.k tkjd'

Flexible Ureterorenoscopy Y,Hl¾uh i|yd isyska ngh iajdNdúl uq;%d ud¾.h Tiafia we;=,a lrk wdldrh

biair jf.a fkdfjhs' wo fï .,a bj;a lrkakg ld,hl isg tkaviafldms ;dlaIKh Ndú;d lrkjd' zzleurdjla od, ., bj;a lrkjd'''ZZ ir<j wms ta l%ufõoh .ek lshkafka tfyuhs' fuf;la ta i|yd ;snqKq ms<shï fnfyúka ir< lrñka fldákau Wfoa frday,a.; fj,d yji ie;alu;a lrf.k f.org;a hkak mq¿jka fjk úosyg''' myqjodg jevg;a hkak mq¿jka fjk úosyg fï ie;alï myiq fj,d''' ir< fj,d ;sfhkjd''' j;a;, fyaudia frdayf,a jl=.vq j, .,a bj;a lrkak fï jeä jev

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ke;s b;du;au myiq ie;alu isÿ lrk wdldrh .ek l;dnyl fhfokak Tn fjkqfjka wm idlÉPdjl fhfokjd tu frdayf,a fu!;% frda. úfYaI{ ffjoH wreK kkaofiak uy;aud iu.ska' fï wm ffjoH wreK kkaofiak uy;d yd l< l;dnfyys wkdjrKh jQ jeo.;a lreKQ' jl=.vq j, .,a we;s jQ úg tajd bj;a lrk fï w¨;au ;df,a Y,Hl¾uh fudllao@ jl=.vq j," uq;%d ud¾.fha we;sjk .,a bj;a lsrSu Wfoid oeka Flexible Ureterorenoscopy kue;s Y,Hl¾uh isÿ lrkjd' jl=.vq .,a bj;a lsÍfï Y,Huh l%shdud¾. w;f¾ fuu Flexible Ureterorenoscopy ;dlaIKh iqúfYaIshs' fïl December 2021

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Innovations and Technology bj;a lsÍug wmyiq ia:dk j, we;s .,a mjd bj;a lrk jl=.vqfõ .,a bj;a lrk w¿;au ;dlaIKh

wfma rgg ;rula kùk l%ufõohla' Ureteroscopy .;af;d;a th wo rfÜ fndfyda m%foaY j,''' rcfha frday,a j, mjd iq,n jYfhka Ndú;fha ;sfnkjd' jl=.vq wNHka;rh iqúfYaISj .,a bj;a lsÍfï wruqKskau ks¾udKh jQ fï f,ai¾ wdY%s; Flexible Ureterorenoscopy ;dlaIKh ;ju;a wfma rfÜ t;rï jHdma; fj,d keye' Flexible Ureterorenoscopy ;dlaIKh fhdodf.k jl=.vq j, ;sfhk .,a bj;a lrk wdldrh fláfhka myod fokak mq¿jkao@ fuysoS wm b;d l=vd WmlrKhla ,sxf.akaøsh yryd iajdNdúlj uq;%d ud¾.h Tiafiau jl=. vqj fj; m%úIAG lrkjd' uq,skau th hkafk uq;%dYhg' wk;=rej th uq;%d kd, osf.a YÍrfha by<g .uka lrkjd' wjidkhg .ukdka;h''' tkï jl=.vqfõ .,a ;sfhk ia:dkhg m%úYAG fjkjd' bka miqj f,ai¾ ;dlaIKh fhdodf.k b;d ishqï f,i ., l=vq lrkjd' tu .,a

December 2021

fuys oelafjkafka uq¿ Y,Hl¾uhu Y,H ffjoHjrhdf.a oEf;a fufyhjk fuj<u yd tl;= lr.kakd .,a iys;j uq;%d ud¾.h Tiafia m%fõY lrk nghhs

bj;a lrkafk;a .,a l==vq lrkak fhdod.;a WmlrK yryduhs' iajdNdúl uq;%d ud¾.h Tiafiauhs'

ie;alu ksid fõokdjla we;s fjkjdo@ id¾j ks¾úkaokhg ,la lrk ksid Y,Hl¾uh w;r;=r fõokdjla we;s fjkak bvla kEfk' we;eï fj,djg frda.Skag ie;alu i|yd mehlg jeä ld,hla .; fjkjd' tjka wjia:d j,oS lsishï wmyiq;djhla we;s fjkak mq¿jks' ta;a fuh ord .kak wiSre lelal=ula kï fkdfjhs' fndfydauhla wjia:d j,oS frda.shdg tjka fyda w;aoelSula olskak ,efnkafka kE' jeo.;au foa ;uhs Y,Hl¾ufhka miq Tyq fyda weh blauKskaku h:d ;;a;ajhg m;aùu' Flexible Ureterorenoscopy weiqf¾ ie;alu isÿ lsÍug fhdod .kakd uQ,sl fuj<ï" wdïmkak fudkjdo@ Flexible Ureterorenoscopy óg l,ska i|yka l<d jf.a tkaviafldms ke;fyd;a Key Hole Surgery wdldrfha ;dlaIKhla' tys ishqï leurdjla ;sfhkjd'

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kjH f,ai¾ ;dlaIKh Tiafia .,a len,s lrñka bj;a lrk wdldrh;a" tajd meil úYAñ; wdldrfhka r|jd .kakd wdldrh;a fuys losug oelafõ

ta ksid .uka u. jf.au yd;ami msg; isg fyd|ska ;srhlska oelsh yelshs' fï WmlrKfha ;sfnk Y,Huh WmlrK j,g myiqfjka z.,Z .%yKh lrf.k bj;a l< yelshs' tfia bj;a lrk len,s ndialÜ tllg tl;= lr m%fõY l< kd,h yrydu tajd bj;g .kakjd' b;d kuHYS,S yeisrùï j,g bv i,ik l%ufõohla fhdod.kakd ksidu fuu ie;alu Flexible Ureterorenoscopy hkqfjka ye|skafjkjd' ., l=vq lsÍu fkdfyd;a pulvarise lsÍu mjd w;sYhska oshqKQ l%ufõohlg wkq.; lr ;sfnkjd' fï ksid doctormagazine.lk

frda.fhka imqrd ñfokakg we;s Ndú;" wjia:d mD:q,hs' Y,Hl¾ufhka miqj we;sjk wmyiq;d ;sfnkjdo@ jl=.vq ;snqKQ m%foaYfha fldkafoa lelal=ula we;s fjkak mq¿jka' uq;%d oeú,a, tkak mq¿jka' ojila folla hk;=re uq,a wjia:dfõoS uq;%d iu. reêrh msg fjkak mq¿jka' leurdj we;=,a lsÍfïoS ishqï kd, Tiafia th m%fõY lsÍfïoS we;sjk iSÍï ksid tjka ;;a;ajhla we;s fjkak bv ;sfhkjd' flfia fj;;a fï lsisu fõokdjla l,a w,a,kafka j;a nrm;, fõokdjla" .eg¿jla njg m;a fjkakgj;a bvla kE' Flexible Ureterorenoscopy ;dlaIKh úfYaI;d fudkjdo@ Ureteroscopy ;dlaIKh f,dalfha uq,a neif.k oeka iEfyk ld,hla fjkjd' ta;a fï ;dlaIKh;a idfmalaIj kjH ;dlaIKhla' fuysoS .,a bj;a lsÍug fhdod .kakd f,ai¾ ;dlaIKh" Ureterorenoscopy December 2021

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Innovations and Technology bj;a lsÍug wmyiq ia:dk j, we;s .,a mjd bj;a lrk jl=.vqfõ .,a bj;a lrk w¿;au ;dlaIKh

WmlrKfha yeisrùï wdosh jvd;a ir< njg m;aj ;sfnkjd' fï ksid ie;alu jvd;a frda.shdg myiqj okjkjd' fjk;a jl=.vq bj;a lsÍfï Ndú; l%u j, Bg wdfõKsl iSudjka ;sfhkjd' ndOdjka ;sfhkjd' úfYAIfhkau jl=.vqj wNHka;rfha we;s .,a j,g m%úYaG ùug ndOd ;snqKd' fï ksid ;j;a oshqKq l%ufõohl wjYH;djh fu!;%fõoh ;=< meK ke.=Kd' thg úiªula f,i b;du uE;loS .,a bj;a lsÍug fhdod.;a l%ufõoh ;uhs Flexible Ureterorenoscopy lshkafk' fuhska bj;a l< yels .,a j, m%udK .ek woyila fokak'''@ jl=.vq j, wNHka;rfha mj;akd .,a bj;a lsÍug fhdod.kakd fuu l%ufhka fndfydauhla .,a bj;a lr.; yelshs' fikaáóg¾ 2'5 muK olajd jk .,a ú;rla fkdfjhs wjia:d lsysmhla tu Y,Huh lghq;a; isÿ lsÍfuka jvd;a úYd, .,a j,ska mjd ñoSfï yelshdj fï ;dlaIKfhaoS ,efnkjd' we;eï fj,djg wm bj;a 42

December 2021

lrk .,a len,s msg;g .kakg oe,la (Stent) t,kjd' tfyu jqfKd;a ta bj;a lrk wjldYh mq¿,a ùu ksid f,dl= .,a mjd bj;a lsÍfï yelshdj ,efnkjd' fï wkQj fï l%ufõoh jl=.vq .,a i|yd ;rula mq¿,a úiªula imhk Y,Huh l%shdud¾.hla nj meyeos,shs' fï Y,Hl¾uhg fldmuK ld,hla frday,a.; úh hq;=o@ idudkHfhka frda.h yªkd .ekSu l,ska isÿ fjkjdfk' frda.shd ffjoHjrhd iïuqL jqKdu m%;sìïn mÍlaIK" ialEka wdosfhka ., ;sfhk ;ek .ek o< wjfndaOhla ;sfnkjd' B<Õg l< hq;af;a Y,Hl¾uhg oskhla fhdod .ekSu' oS we;s Wmfoia m%ldrj ksrdydr ld,h wkq.ukh lrñka frda.shd we;=,a lr.;a;g miafi Y,Hl¾uh lrk fj,dj ;yjqre lr .kakjd' frda.shd ie;alug Ndckh lrkafka id¾j ks¾úkaok ;;a;aj hgf;aoS' meh nd.hl isg meh tl yudrla olajd ld,hla idudkHfhka .; fjkjd' Bg miafi m%lD;shg m;a fjk ld,jljdkqj' fï ie;alfïos b;d fõ.fhka frda.shd h:d ;;a;ajhg m;a fjkjd' wjYH Wmfoia ,nd .ekSfuka miafi todu jqK;a frda.shdg f.or hkak mq¿jka' ta ú;rla fkdfjhs" myqjodg l,ska ysáh jf.au jevg hkak;a mq¿jka' yenehs frda.h ksid we;sjQ wf;darhkaf.ka ñÿKQ ksfrda.S mqoa.,fhla úosyg' Y,Hl¾ufhka miafi lrk fjk;a ld¾hhka ;sfnkjdo@ yefudagu fkdfjhs" iuyrekag ;djld,sl áhqí (stent) tlla tlla odkak fjkjd' jl=.vqfõ isg uq;%dYhg uq;%d .,dhk ia:dkh fjkqjg wjYH wjia:d j,oS muKla ;djld,sl áhqí (stent) tlla odkjd' lsishï wjia:djl f,a leáhla isrùfï ;sfhk bvlv wjqrd,Su ;uhs fuys wruqK' th yefudagu wjYH fjkafk kE' tfia lf<d;a muKla th ksjerosj ia:dk.; lsÍug tlaia lsrK m%;sìunhla ,nd .ekSug wjYHhs' ta yereKQ úg fjk;a úfYaI hula Y,Hl¾ufhka miqj wjYH jkafka kE' DM

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Medicine Tfí wdorKSh jeäysáhkaf.a T!IO Ndú;dj .ek jvd;a ie<ls,su;a jkak''''

T!IOfõosfhl=f.a w;aoelSï'''

Tfí wdorKSh jeäysáhkaf.a T!IO Ndú;dj .ek jvd;a ie<ls,su;a jkak''''

T!IOfõoS m%idoa chiQßh

uf.a ;d;a;d Èhjeähdj iy weÿu frda.h i|yd §¾> ld,hla ;siafia T!IO Ndú;d l< wfhls''' wïud rEuál ;;a;ajhla iy Èhjeähdj i|yd §¾>ld,Skj m%;sldr .;a wfhls''' Tjqka Ndú;d lrk T!IO .ek ud ie<ls,su;a fjkak mgka .;af;a ug hdka;ug f;afrk jhfia isg jqj;a T!IOfõoh yodrkakg Tjqka úiskau udj fhduq l< Èkfha isg uu jvd;a úuis,af,ka ta .ek fidhkakg mgka .;af;ñ'''

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jir lSmhla .;ù uu iqÿiqlï ,;a T!IOfõÈfhl= jQfhñ'''' iqÿiqlï ,eîfuka miq ud lshk foaj,a ms<sf.k T!IO Ndú;d lsÍug ;d;a;d fm<Uqk;a Bg fmr Tyq lf<a ud lshk foa yßo@ ud yßhg bf.k .kakjdo@ lshd

December 2021

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Medicine Tfí wdorKSh jeäysáhkaf.a T!IO Ndú;dj .ek jvd;a ie<ls,su;a jkak''''

uf.a .=rejrekaf.ka úuid ne,Suhs'''' l,la .;ù uu m<mqreÿ T!IOfõ§fhl= f,i lafIa;%fha uqyql=rd hk wdldrh n,d Tjqka i;=gq jQ wdldrh uu w;aúkafoñ' ud ms<sn|j uq,skau mqj;am;l m<jQfha ud mdie,a l%Svlfhl= f,i m<d;a jd¾;djla msysgjQ Èkfhah' b;d ÿr neyer isá ;d;a;d ta .ek oek .kafka tu mqj;am; lsheùfuks' tÈk tlla fkdj" mqj;am;a lsysmhlau ñ,§f.k Tyq ud fidhd wdfõ buy;a wdvïnrfhks' tod mgka ud .ek m<jQ iEu l%Svd m%jD;a;shlau uf.a ;d;a;d tl;= lr ;snqKs'''' ta uf.a ;d;a;df.a wdvïnrhh''''' T!IOfõÈfhl= f,i uf.a uq,au ,smsh m, jkafka zzrdjhZZa mqj;amf;ah' ta Wiia fm< ridhk úoHdj uQ,sl iqÿiqlï w;rg tla lsÍu .ek ud ,shQ ,smshls' t;eka mgka mqj;am;a j,g ud ,shd m,jQ ,sms ish,a,u wïud tl;= l<dh''' ta uf.a wïudf.a wdvïnrhh'''''

December 2021

úhm;a jQ uõmshkag u;l Yla;sh wvqh''' Odrk Yla;sho wvqh''' T!IO .ekSfïoS jk iq¿ jrola Tjqkaf.a cSú;fha brKu ;SrKh lrkakgo neß lulao ke;' fï ksid Tfí wdorKSh uõmshka .ek fjfiiska ie<ls<Su;a fjkak

ud iyNd.s jQ uq,au rEmjdysKS jevigyk úldYkh jkafka cd;sl rEmjdys‚fhah' ta wdmod wjia:djl§ T!IO l<uKdlrKh iïnkaOj jevigykls''' tod mgka Tjqka ud isá iEu jevigyklau tl, Tjqka i;=jQ ;dlaIKh Wmfhda.S lrf.k má.; lr ;snq‚'''' ta uf.a foudmshkaf.a wdvïnrhh''''' ud ksjerÈj iuc.; lsÍug uf.a wïud iuÕ tlaù ;d;a;d yels iEu mshjrlau .;af;ah' miq lf,l ud iudch ;=< T!IOfõÈfhl= f,i hk .uk foi n,d Tjqyq wmuK i;=gq jQy' ;d;a;d tl;= l< uf.a ish¿ u;l igyka wïud iqrlaIs;j ;nd .;a‍;dh''' ta ish,a, n,ñka" h,s h,s;a wdj¾ckh lrñka wïud iuÕ kej; kej; ri ú÷kq ud n,d isáfhñ'ta uf.a foudmshkaf.a wdvïnrhh''''' ta wfma foudmshka wm .ek fidhd neÆ yeáh'''' wm .ek i;=gq jQ yeáh''' m;a;r j," rEmjdysŒ idlÉPd j,oS ud fudkjd l<;a tajd foi Tjqka n,d isá f,ig tajdfha u;l igyka Tjqka tl;= l, f,ig''' uu Tjqka .ek fidhd

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idudkHfhka tu T!IO Bg ;rula jeä ud;%djlska ,nd fokafka wê reêr mSvkh md,kh lsÍu i|yd nj ienEjls'

ne¨‍jdo" Tjqkaf.a ffjoH mÍlaIK jd¾;d" fnfy;a jÜfgdare uu ,Õ ;nd f.k fidhd ne¨‍jdo@ hkak uf.a ys; ks;r wyk m%Yakhla njg m;a jkafkah' lsisfia;au fkdis;+ fudfyd;l uf.a wïud wm yer .shdh'''' rd;%sfha u,a,sf.ka ,o yÈis weu;=ug wkqj f.dia wïudj iQokï lrf.k uf.a ldrhg kxjd .;a;o frday,g hk ñks;a;= myl ÿr f.jkakg fmr wïud wfmka iuq.;a;dh'''' weh ñh .sh nj ms<s fkd.;a ug ffjoH;=ñh meh nd.hla muK ;siafia ta .ek myod fokakg ldreKsl jQjdh' zzfï n,kak''' oeka thdf. yoj; jev lrkafk kE''' uu fï Thd ms<s.kafk ke;s ksid fï wdfh;a od, fmkakqfj''''˜‍ wjidkfha ug uf.a uEKshka ud yerf. dia we;s wñysß we;a; ms<s.ekSug isÿúh'''' rd;%S jev rdcldßfha fhoS isá ;d;a;d yÈisfha f.kajd .ekSfï ÿIAlr lghq;a; lrkakg jQfhao ugh' fndfyda fõ,djla lsisjla lshd .ekSug nerej isá ;d;a;d wjidkfha lSfõ fujekakls'''' zzwmsg thdf. fí;a mdúÉÑh .ek Thsg jvd ys;kak ;snqKd''' f,dl= mq;d tod fvdlag ySkaks<fuf.ka wrka ÿkak fí;a kj;a;kafk ke;=j .kak ;snqKd'''˜‍ ;d;a;d tfia lSfõ jir oyhlg fmr wdrïN l< m%;sldr .ekh''''

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we;a;h''' Tjqka ud ymkalï .ek yeu u;l igyklau tl;= l<d'''ri úkaod'''' ug neß Wkd wef.a m%;sldr .ek tfia fidhd n,kakg''' ta jd¾;d ,Õ ;ndf.k tajd .ek wjosfhka bkakg''''' fï uf.a mYapd;a;dmhhs' uu ksjerÈ ffjoHjrhd fj; f.dia ksjerÈj frda.h y÷kdf.k ksjerÈ m%;sldr È.gu ,nd § ;snqK;a weh kej; kej; ffjoHjrhd yuqù hdj;a ld,Skj tajd §¾> ld,hla ,ndf.k ;snqK;a weh ñh hkakg udi lSmhlg fmr m%;sldr udre lr ;snqfKa fjk;a ffjoHjrfhl= fj; fhduqùfuka''' tu m%;sldr ksjerÈ jqj;a tajd Ndú;hg ksis Wmfoia ,eî fkd;snQ w;r ffjoHjrhd ks¾foaY l< mÍlaIKhla isÿ fkdlr u. yeÍ ;snqks'''' tu ksid md,kh fkdjQ rEuál ;;a;ajh wïudf.a yDohg t,a, l, n,mEulska weh fuf,dj yer .shdh'''' weh ñh hEug fmr Èk;a weh uf.a wjYH;djhla .ek fidhd n,d l;d

December 2021

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Medicine Tfí wdorKSh jeäysáhkaf.a T!IO Ndú;dj .ek jvd;a ie<ls,su;a jkak''''

l<dh''' zzf,dl= mqf;a wr jefâg uu i,a,s álla fydhd .kakï''''Thd weú;a w;aika lrkakfld˜‍ zzwïfï uu bkafka l¿;‍r''' uu fyg tkjd''' wdju ta .ek l;d l;d lruq''' oeka ta .ek ys;kak tmd'''˜‍ weh wm .ek ta ;rï ie<lsu;a jqjo uu wef.a m%;sldr iy T!IO .ek wjêfhka isáhd m%udKj;a fkdjQ nj uf.a yeÕSuhs'''' ;d;a;df.a jegySu jqfKa w¿f;ka .;a T!IO .ek uf.ka fkdúuiSu iy ug fkdokajd T!IO udre lsÍu wmg ta wjdikdj f.k wd njls'''' ke;'''' ug ta Bg jvd weh .ek fidhd ne,Sug ;snqKdh hkak uf.a jegySuhs''' fld;ek fyda jeroS fkdúh hq;a;la isÿúh'''' t;eka mgka ;d;a;df.a m%;sldr iy T!IO .ek b;du;a ie<ls,af,ka fidhd ne,Sug wms j. n,d .;af;uq''' jirlg muK miq Èkla

December 2021

uu ud;r isáh§ ;d;a;df.ka ÿrl:k weu;=ula wdfõh''' zzf,dl= mq;d fldfyo bkafk'''@˜‍ zzwo ud;r''''' fyg nÿ,af, hkak fjkjd''' wehs ;d;af;'''@˜‍ zzkE fï ''' fï mdr la,sksla tflka ug fm%I¾ tlg;a fí;a §,fk''' ug fm%I¾ kE''' uu fï oekq;a fpla l<d' fvdlag ,Õg .syska '''fí;a ÿkak <uhg jerÈ,d fjk fudkj yß §,o okafk kE''' uu tal fkdî bkako@ ˜‍ zzfldfyduo okafk fm%I¾ tlg lsh,'''' fjko fok fí;aj,g jvd fjkia fí;la ;shkjo @˜‍ zzTjq tlla wvq lr,'''' ;j tlla tl;= lr, ;shkj'''' uu ljqkagf¾ bkak flkdf.ka weyqju lsõjd tal fm%I¾ tlg lsh,d'''' fm%I¾ ;shkj kï fvdlag¾ lshkak tmdhe''' tfyu lsõfj;a kEfk'''˜‍ zzyß uu wo ?u tkakï'''˜‍ tu T!IO ,Õu we;s *duishg hjd y÷kdf.k .eg¿j ÿrl;kfhkau myiqfjkau úi|d .; yelsj ;snqKq nj ug jegyqk;a uu f.or tkakg ;SrKh lf<a fmr w;aoelSï ksidh' tÈk rd;%sfha tu T!IO w;g f.k mÍlaId lf<a tla ud;%djla fyda w;miq ùug fmrh' tys w¿f;ka wvx.= ù ;snqfka Captopril hk T!IOhhs'''tys ud;%dj f,i ks¾foaY lr ;snqfKa Èklg 6'25mg ne.ska Wfoag muKla hkqfjks' bj;a fldg ;snqfKa ta fjkqjg uq,ska Ndú;d l< Enalapril 2.5mg Wfoag muKla hk T!IO ud;%djhs'''' oekqula we;s T!IOfõÈfhl=f.ka fyda fï .ek úuid isáfha kï fuu .eg¿j we;s jkafka ke;' tu ud;%dfjka tu T!IO ,nd fokafka Èhjeähdj ksid

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jl=.vqj,g úh yels ydksh je<elaùug fyda wju lsÍughs ^To prevent or reduced the possibility of progression of diabetic nephropathy&

uu ,Õ isáfhñ' f,dl= u,a,So b;d wdikakfha isáfhah''''

idudkHfhka tu T!IO Bg ;rula jeä u;%djlska ,nd fokafka wê reêr mSvkh md,kh lsÍu i|yd ^To control of Hypertension& nj ienEjls' th muKla oekf.k tf,iska jerÈ úÈhg f;dr;=re ,nd §u ksid fndfyda fokd fuf,iska wiSre;djhg m;aùu je<elaúh fkdyel'

Ôú;h tf,ih''''

fuf,iska ie<ls,su;aj fidhd fkdne¨‍fõ kï wïudg w;ajQ brKu bÈßfhaÈ ;d;a;dgo w;aùug bv ;snqfKa wod, ud;%dj fkd.ekSu ksid jl=.vq j,g t,a, jk n,mEulsks' tf,iska ;j;a lvq¨‍ .Kkdjla mek ;j;a jir y;rla wfma ;d;a;d Ôj;a jQfha uf.a oekqu iy fidhd ne,Su ksidh'''' tfy;a yÈisfhau wïud meñK ;d;a;dj le|jdf.k .sfha wm ljqre;a fkdis;+ fudfyd;lh''''

kuq;a wjdikdjg th u. yeÍ ;snqKs'''' y÷kd .kakd úg m%udo jeäh''''

isl=rdod Èkl Worfha iq¿ wmyiq;djhla .ek lshQ ;d;a;dj ud jßka jr ffjoHjreka isõ fofkl= fj;u le|jd .sho úfYaI ;;a;ajhla mejiqfKa ke;' i÷od WoEik ud;a iuÕ f.dia ldrfhka nei weúof.k f.dia yÈis m%;sldr tallhg we;=¿ jQ ;d;a;d Bg meh y;rlg muK miq ud iuÕ l;d lrñka isáh§u udfoi n,df.ku wm yer oud wïud iuÕska .sfhah''' fï jk úg ,xldjg meñK ;d;a;d iuÕ úiSfï n,dfmdfrd;a;= we;=j uf.a kx.S wef.a ksjqka orejka fofokd iuÕska ;j;a orefjl= l=fia ;nd f.k .=jka.;j isáhdh' weh ,xldjg tk úg tÈku wfma ;d;a;d;a Bg jir 4 lg fmr wïud;a wm yer f.disks' wïud ñh hk úgo ;d;a;d ñhhk úgo tl f,iu uf.a fmdä u,a,S fmdf<dkakrej n,d .uka wrUd ;snqfKa iajlSh rdcldßh i|ydh''' ta wjia:d fofla§u doctormagazine.lk

;d;a;df.a urKhg fya;=j f,i lshd isáfha §¾> ld,hla ;siafia Èhjeähdjg .;a T!IO j, m%;sM,hla f,i keetoacidosis hk ;;a;ajh we;sù yoj;g jQ n,mEula fya;=fjka njhs' th l,ska y÷kd .;af;a kï T!IO udre lsÍfuka iy blauka m%;sldrfhka fírd.; yelsj ;snQ njhs''''

wms foudmshka iy wmf.a wdorŒhhka .ek wjêfhka isáh hq;=h'''' ksrka;rfhka Tjqka l,g fõ,djg ffjoHjreka fj; le|jdf.k f.dia Wmfoia ,nd.ekSu iy ffjoH wëlaIKh ,nd Èh hq;=h'''' ,nd .kakd T!IO ms<sn|j iqÿiqlï ,;a T!IOfõ§fhl=f.a Wmfoia ,nd.; hq;=h''' DM

December 2021

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Liver consumption good or bad? fyd| mrhd ke.S isák ful, mSl=ÿ j, krl'''

Liver consumption good or bad?

mSl=ÿ lshkafk fudk úosfya lejq;a;lao@''' fyd| mrhd ke.S isák ful, mSl=ÿ j, krl''' fmdaIKfõoskS Yafõ;d Wvqÿïnr úisks

uia udxYf,da,Skaf.a ckdorh oskQ wdydrhls mSl=ÿ' fï mSl=ÿ wêl fmdaIH .=Kfhka hqla;h hk woyiska tajd orejkag ,ndoSug uõmshka lghq;= lr;s'

December 2021

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wfma we;euqka mSl=ÿ j,g olajkafka uy;a .scqluls' mSl=ÿ ;sfhkjd kï wfkla lEu .ek n,kafka j;a ke;' tfyu;a iqúfYAIS b,a¨ula mSl=ÿ lEug we;af;a uiaudxY w;ßka fmdaIH .=Kfhka wkQk wdydrhla f,i mSl=ÿ kula oskd ;sîu ksidh' yenEj''' th fmdaIHcklhs@ ta;a''' mSl=ÿ j, fmdaIH .=Kh iïnkaOfhka .eg¿jla ke;' th n,iïmkak udxYuh fmdaIlhla jk w;r tys b;d jákd úgñka A uQ,dY%hlao jkafkah' weia j, ksfrda.s;djhg úgñka

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A j,ska isÿ flfrkafka úi,a fufyhls' ta yereKQ úg m%odysl ;;a;ajhkag fya;=jk ljr fyda YÍr frda.hl isg ueos jhi blauùfïoS u;l Yla;sh ySk lrk we,aIhsu¾ frda.h olajd fndfyda frda.dndOhka iukh lsÍug mSl=ÿ j, wka;¾.; fmdaIH mod¾: j,ska ie<lsh hq;= n,mEula we;sjk nj fmdaIKfõoSkaf.a woyihs' f*da,sla wï,h" hlv" fl%dañhï" fldm¾" iskala wdoS jYfhka mSl=ÿ j, we;s laIqø fmdaIl yoj;g iqñ;=reh' mSl=ÿ hkq wlaudjh'' ^ir, isxy, nia jyfrka .;af;d;a lejq;a;h''& kuq;a fï lshkakg hk l;dj kï zzmSl=ÿ f,da,SkagZZ lsisfia;au iqnodhl l;djla fkdjk w;r mSl=ÿ b|ysg fyda wdydrhg .kakd whg mjd fuys wk;=reodhl NS;shla cks; lrjk mKsúvhla we;af;ah'

Nature’s Most Potent Superfood - fmdaIKfõosfhla mSl=ÿ ye|skajQfha zzf,dalfha fuf;la yªkd.;a iqmsß wdydrhZZ lshdh' mSl=ÿ j, fmdaIH .=Kh iïnkaOfhka .eg¿jla ke;' úgñka A ;sfí' f*da,sla wï,h" hlv" fl%dañhï" fldm¾" iskala wdoS jYfhka mSl=ÿ j, we;s laIqø fmdaIl yoj;g iqñ;=reh' kuq;a .eg¿j we;af;a mSl=oafoa .nvd jk úI fldgiah" j¾Ol fydafudakh''' wfkal udos,sfha T!IOh'''

úYd, jYfhka jd¾;d ùu;a" mi yryd ksrka;rfhka ,dxflah wdydr fõ,g nerf,day tl;= jk njg;a l,ams;hla f.dvke.S ;sìK' tjka miqìul fï wOHhkh nerf,day ukqIH YÍrhg wjfYdaIKh ùu iïnkaOfhka ;j;a wm fkdÿgq udkhlg wm le|jdf.k hdula úh' Tlafldu l=Kq ál ^fírej, fndlalg fkdfõ& wlaudjg'''

wfma m%uqL rdcH úYajúoHd,hl m¾fhaIlfhl= i;a;aj wjhj j,ska nerf,day ukqIHhdg nerf,day wjfYdaIKh jk wdldrh iïnkaOfhka m¾fhaIK lghq;a;l ksr; jQfhah' neÆ ne,augu fuh ld,dkqrEmS wOHhkhls' miq.sh ld,h ;=< wfma rfgka jl=.vq frda.Ska b;d doctormagazine.lk

December 2021

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Liver consumption good or bad? fyd| mrhd ke.S isák ful, mSl=ÿ j, krl'''

´kEu i;a;ajhl=f.a reêrh msßisÿ jkafka wlaudj yryd hEfuks' wm .kakd wdydr yd c,h yryd ú;a reêrfha Èh ù we;s úúO fmdaIl fukau úI ixfhda.o" wlaudfjka Wrd.kS' úI wlaudjg Wrd .;a;dg lï ke;' tu úI ie<lsh hq;= m%udKhla kik ld¾hho wlaudfjka isÿ lrk neúks' wdydr j, úI kdYkh fï wdldrfhka lsishï m%udKhlg wlaudj úiska isÿ l<o muK blaujd ;ekam;a jk m%n, úIldrl j, l%shdldß;ajh WodiSk lsÍug wlaudj fkdiu;ah' úfYaIfhka jl=. vq flfryS wys;lr f,i n,mdk" tfukau ms<sldldrlhlao jk zzner f,dayZZ fldgia wlaudfjka wjfYdaIKh l<o tajd ì| fy<Sug" WodiSk lsÍug fyda iïmQ¾Kfhkau foayfhka msg lsÍug wlaudj wfmdfydi;a‍h' fï wkQj Ôú; ld,h mqrdjg reêrhg we;=¨‍ jk nerf,day ie<lsh hq;= m%udKhla wlaudj fkdfyd;a mSl=oao fkdfyd;a okakd isxyf,ka lsjfyd;a wmf.a zzlejq;a;ZZ ;=< idkaøkh fõ' 50

December 2021

l=l, = "a .j''' fï ljr ldKAvfha mSlÿ = j, jqj hyñka fldf,iagfrda,a ;sfí' tfiau wkqNj lrkakdg reêrfha fldf,iagfrda,a by< kxjkakg yelshdjlao ;sfí' mSlÿ = lk wh ta .eko ie<ls<u S ;a úh hq;= fõ'

i;a;aj wlaud wo ojfia idkaø.; úI n,d.drhla uqyqÿ ud¿o we;=¿j wo wm wdydrhg .kakd fndfyda i;a;aj fldgia ¥IKh jk wdldr lsysmhls' wfma mi ¥IKh fj,dh' c,h ¥IKh fj,dh' mßirh ¥IKh fj,dh' fï wkQj wo ojfia wdydrhg .kakd ish¿ u;aiH fldgiao iEfyk muK ¥IKh fj,dh' tkuqÿ m¾fhaIK j,g wkQj wdydrhg .kakd i;a;aj fmaYs fldgia j, ner f,day mj;skafka b;du iaj,am jYfhks' ta .kakd wdydr ner f,day j,ska ksoyia ùu ksid fkdfõ' we;af;kau tajd idkaøKh jkafka wlaudfõh' ner f,day yd úI fldgia wlaudfõ fï wdldrfhka wjfYdaIKh jQ miq tys ;j;a wosis ld¾hhlao isÿfõ' fuf,i ner f,day yd úI fldgia wlaudfõ ;ekam;a jQ miq tys Metallothioneins hkqfjka y÷kajk f,day j¾. tl;=jlska hqla; ffcù ixfhda.hla ksmofjk w;r tu.ska isrer ;=< f,day mdol lr.;a úI ùfï hdka;%Khla (Metal detoxification mechanism within the body) n,.ekafjhs' Metallothioneins hkq we;af;kau isiaáka wka;¾.; fm%daàkhls' th ixYaf,aIKhg m;aùfuka leâñhï" ;U" ;=;akd.ï" Bhï" riosh wdoS jYfhka wm zzner f,dayZZ jYfhka y÷kajk úI ldrl /ila ksmofjhs' fïjd ksielfhkau ms<sldldrl jk w;r wfkla w;g jl=.vq frda. we;s lrkakgo fya;= jkafkah'

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fï wkQj mSl=ÿ jqj;a ks;r ks;r .ekSu Tng b;d ydkslr jk nj meyeos,s jk w;r ta isß;g fï jk úg;a weíneys ù isák wh fï mKsúvh uekúka .%yKh lr.; hq;= jkafkah' i;a;aj udxY lk wh wo ojfia uqyqK md we;s wNsfhda.h i;a;ajhka uig iEoSfï l¾udka;h ;=< miq.sh oYl lsysmh ;=< úYd, fjkialï rdYshla isÿ úh' .Dyia:j iq¿ jYfhka isÿ lrk i;a;aj md,k l¾udka; yereKQ úg úYd, i;a;aj f.dúm< ìys úh' ,dNhu wruqKQ lr.;a tajdfha wruqK jQfha flá ld,hlska i;=ka uig wf,ú lsÍuhs' ta i|yd fydafudak ,ndoSu wjYHfhkau l< hq;a;la úh' uyd mßudKfhka i;=ka we;s lsÍu ksid lsishï frda.hla yg.;af;d;a th md,kh lsÍugo úiªï fiúh hq;= úh' Tjqka i;=kag ,nd ÿka wdydr ;=< fï wNsfhda. hka folgu ms<s;=re úh' j¾Ol fydafudak ÿkafka blauKska i;=ka f,dl= uy;a lr .kakgh' f,v frda. we;s fjkakg mj;akd wjia:d wysñ lrñka mKq fnfy;a" m%;scSjl wdoS wfkal T!IOo i;a;aj wdydr j,gu tl;= jkakg úh'

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miq.sh ld,h ;=< isÿ lrk ,o wOHhkhlska fn%dhs,¾ l=l=,kaf.a wlaudfõ levamisole kue;s mKq fnfy;a j¾.h wêl idkaøK j,ska ;ekam;aj we;s nj fy<s úh' fï T!IO jeä yßhla fïofha osh fõ' fï ksid tu uia wkqNjhg .kakd úg tu T!IO fldgiao wmf.a YÍrhg wjfYdaIKh ùu je<elaúh fkdyelalls' fuhska wm;a fkdoeku wmg m%;scSjl m%;sfrdaOhla we;súh yels w;r f,vla frda.hla we;s jQ úg fok fldhs fnfy;la fyda YÍrhg Tfrd;a;= fkdoSu fuys m%;sM<hla fõ' ta yereKQ úg fujka úIldrl ridhk yd T!IO ;ekam;= yryd we;súh yels wdid;añl;d" nvje,aj, laIQøcSùka fjkia ùu wdoS fi!LH Wmøjhka rdYshls' W.% úIls - Aflatoxin Aflatoxin hkq b;d Nhdkl úils' tys b;d iq¿ m%udKhlska jqj ñksidg Nhdkl úIùï we;s úh yel' tajd isref¾ ms<sld yokakg fya;= úh yel' fuhska we;sjk ;j;a wk;=rla jkafka wmf.a DNA fjkia lrñka ffi,Sh uÜgfï OQ,l;djhka (Toxic effects)" ms<sld ;;a;ajhka (Carcinogenic effects) fukau cdk.; úlD;s;djhka (Mutagenic effects) jqj we;s lrkakg mq¿jk' fulS Aflatoxins B1 ie<lsh hq;= m%udK j,slka l=l=,kaf.a wlaudfõ ;sfnk nj yªkdf.k ;sfí' wlaudfõ ms<sld we;s lrk úI j¾. w;r wxl tl ;ekg m;aj we;af;a fï Aflatoxins B1h' blauKska i;=ka j¾Okh lsrSug fhdod .kakd j¾Ol fydafudak j, estradiol-17β, progesterone yd testosterone hk iaàfrdhsv ;sfí' ta yereKQ úg uia j, f;,a ukao wvq lsÍug zeranol wdoS lD;%Su ixfhda.o fhdod .kshs' i;a;aj mSl=oafoys ;ekam;aj we;s j¾Ol fydafudak fldgia YrSr.; ùu ksid tajd wkqNj lrk ñksiqkag Neurobiological, genotoxic and carcinogenic wdoS jYfhka ydks isÿúh yels nj m¾fhaIlhka fmkajd fohs' mSl=ÿ lEfuka YÍrhg wk.s úgñka A ixÑ;hla ,efnk nj fï ,smsfha uq,skau i|yka lf<uq' zz´kEjg jvd ´kEu fohla ´kE ke;'''ZZ lshk lshuk isysm;a lrñka úgñka A jeä ùu (Vitamin A toxicity) ksid wiaÓ ì|Sfï wk;=rla we;s jk njo m¾fhaIlhka y÷kdf.k ;sfí' weia j, fmkSu fnd| ùu fmaYs ifudaOdkh ÿ¾j, ùu yereKQ úg úgñka A w;sud;%d ùfuka Wmosk orejkaf.a W;am;a;suh fodaI mjd yg .kakg mq¿jk' DM

December 2021

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Fertile Window ta ire osk lsysmh yßhgu oek.kafka fldfyduo@

How Long Does Ovulation Last? ta ire osk lsysmh yßhgu oek.kafka fldfyduo@ Fertile Window WISH Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr uy;d MBBS (Sri Lanka) MD (Gyn. & Obs.) Infertility - China Pg.Dip. (Andrology)Monash,OUSL Master of Clinical Embryology Monash, Australia SLMC Reg. No. 20800

December 2021

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wd¾;jh

*ßá,sá úkafvda ld,h fukau wd¾;j pl%ho ldka;djlf.ka ldka;djlg fjkia fjkjd

idudkH wd¾;j pl%hl osk fnfok yeá

jvd;au ire ld,h lsishï wju ireNdjhla mj;S äïn fudapkh isÿfjk oskh

orefjla ,ndkakg wfmalaId lrk wUQ ieñhka oek.; hq;= uQ,sl lreKQ lsysmhla ;sfnkjd' weh ,sx.slj tla jqKd lsh,u ore iïm;la msysgkafk kE' wehg ore iïm;la .ek wfmalaIdj we;s lr.; yels osk ;sfhkafk lsysmhla ú;rhs' fï osk lsysmh Fertile window hkqfjka y÷kajkjd' fï Fertile window tl yefokafk wehf.a wd¾;j pl%h wkQjhs' wd¾;jhla iïmQ¾K fjkak .;fjk ojia .Kk wkQjhs' Fertile window wd¾;j pl%hla ;=< wehf.a äïnfldaIhlska äïnhla uqod yefrk oskhla ;sfnkjdfk' ta oskh;a Bg fmr osk my;a .;af;d;a th ;uhs ,sx.sl iyjdihla isoO a jqfKd;a tys m%;M s <hla jYfhka ore iïm;la we;s ùug zzjvd;au bvlvZZ ;sfhk ld,h' ore iïm;a m;k wUQ ieñhka ta W;aidyfha fhosh hq;u = ld,h' fï .ek wjfndaOhla ;snf q Kd;a Tfí wfmalI a dfjka bIaG lr.kak jvd;au yelshdj ;sfnk ta osk lsym s h''' wehf.a ire ld,h yßhgu oek.kafka fldfyduo@ hï ldka;djlf.a mSßhâ yefokak hk ojia .dk yßhg wrf.k bka 14la wvq l<du ta tk oskh ;uhs äïnh msgfjk oskh jkafka' idudkHfhka osk 28l wd¾;j pl%hla ;sfhk ldka;djl kï úis wfgka oy y;rla wvq l<du osk 14hs' fï ldka;djf.a wd¾;j pl%fha 14 jk oskfhaoS äïnhla msg fjk njg wkqudk

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December 2021

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Fertile Window ta ire osk lsysmh yßhgu oek.kafka fldfyduo@

Tfí wd¾;jh k;r fj,do@ fukak Bg fya;=

Tn .eìKshl fj,d

Tn n,j;a udkisl úhjq,lska

Tn orejdg uõlsß fok ksid

nyqfldaIaG PCOS frda.h

we;eï úg Tn .kak fnfy;la

Tfí ls<s jEfrkak <Õhs

Tn wêl f,i jHdhdu j, ksr; fjkjd

Tn Wm;a md,k Wml%uhl msysg m;kjd

flfrkjd' ojia 30la kï 16 jk oji' ojia 34l wd¾;j pl%hloS kï 20 fjks oji' Th úosyg ;uhs äïnh msgfjk oskh.Kka yefokafk' iuyreka tl tl úosyg jeros osk wkqudk lr .kakjd' fï äïn msgùu iïnkaOfhka jeros ñ;Hd u; j, t,anff.k isákjd' jvd;au ire ld,h ,nd .ekSu ;uhs uQ,slu foa' ta ksid ta .ek ksjeros wjfndaOhla ore iïm;a m;k hqj,la kï ;sfhkak ´ks' Facts About Timing  äïnhla yefokafk äïnfldaIfha' tfyu äïnfldaI folla ;sfnkjd' udrefjka udrejg tla äïnfldIhla il%Sh fjñka äïnhla msg lrkjd' th ;uhs zzäïnkSyrkhZZ Ovulation hkqfjka yªkajkafka'  fï uqod yefrk äïnh mef,damSh kd,h Tiafia bosßhg weú;a Y=l%dKQjla yd tl;= fjkjd' mef,damSh kd,hg Y=l%dKq uqod yeß fudfyd;loS ^ta lshkafka ,sx.sl iyjdihloS mef,damSh kd,fha äïnhla ;snqfKd;a thska ixfiapkhla yg.kak wk.s wjia:djla ie,fikjd' thska l<,hla (embryo) yg .kakjd' th áflaka ál orefjla f,i úlikh fjkjd' ;dlaIKsl jYfhka .;af;d;a äïn fudapkh isoaO fjk oskfhaos;a Bg fmr osk myloS;a ,sx.slj tl;= jqfKd;a orefjla yg.kak mq¿jka' ta;a äïnkSyrkh

December 2021

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isoaO fjk oskh we;=¿j Bg fmr osk fol;a iu. iïmQ¾K osk ;=k ;uhs jvd;au ire ld,h' ta ld,h m%fhdackhg .;af;d;a ore iïm;la ,efnkak ;sfhk yelshdj jeä'  äïnh fudapkh ùfuka meh 12-24l ld,hla ;=< äïnh mef,damSh kd,fhka bj;a fjk ksid Bg miafi ore iïm;la we;s fjkakg bvla kE'  fï ire ld,h yereKQ úg Bg fmr ojia j,;a" ire ld,fhka miafi ojia j,;a ,sx.slj tla ùfuka ore iïm;la we;s fjkak bvla kE'  ta;a Tn ore iïm;la wfmalaId fkdlrk hqj,la kï tfyu lsh, wkdrlaIs; ,sx.sl yeisÍula isÿ lr.kak tmd' Tn ksielfhkau m%;sikaêh j<lajk Wml%uhl (contraception) msysg ,nd.; hq;= jkjd' doctormagazine.lk

jeros wdf,amk .dkak tmd" thska ore iïm;lg ndOd we;s fjkakg mq¿jka''' iuyreka we;eï wkjYH wdf,amk ^l%Sï& j¾. Ndú;d flrkjd' jeros wdf,amkhla .;af;d;a thska Y=l%dKQ úkdY fjkjd' tajdfha pd,l;djh wjysr lrkakg bv ;sfhkjd' tla hqj,la oS¾>ld,Sk u|ire;djh ksid ud fj; Wmfoia .kak meñKshd' th fkd.e,fmk wdf,amkhla' uu th k;r lrkakg Wmfoia ÿkakd' fjk;a lsisu m%;sl¾uhla fhdokafk ke;sju weh .¾NsKS;djhg m;a jqKd' ,xldfj bkak m%ijfõoSka b;d .eUqre wOHhk Tiafia m%udKsl oeKqula ,enQ wh' lsishï l%Sï j¾.hla whg wjYH kï weh ta .ek fï ffjoH;=uka,df.ka Wmfoia .kak' .; hq;af;a fudllao@ fkd.; hq;af;a l=ulao@ fï .ek Tjqka Tng b;d ksjeros Wmfoia ,nd foaú' ñ;Hd u; j,ska neyer jkak wfma jeä fofkla ñ;Hd u; rdYshl t,an f.k isákjd' wr lEu .;a;u .íid fjkjd' wr f;,a ìõju oreM< ,nd.kakg msgqjy,la fjkjd wdoS jYfhka' iuyre fï ksid ke;s f,v yod .kakjd' fïjd úoHd;aul molul msysgd lshk foaj,a fkdfjhs' wm wdydrhg .kakd foa idM<H;djhg ndOdjla fjkafk kE' f;,a fnfy;a î, idM<H;djh jeä lr .kak;a nE' idlaIs u; mokï jQ ffjoH úoHdjg wkQj kï fïj ñ;Hd u;' fï u; j,ska neyer fj,d wm ksjeros ud¾.fha m%;sldr j,g fhduq jQjfyd;a jákd ld,h;a" Tnf.a ñ, uqo¨;'a b;sß lrf.k Tfí iqkaor wfmalaIdjka uqÿka muqKQjd.; yelshs' wfmka Tng ,efnk myiqlï iuyrla wfmka Tng''' oeka myiq" oeßh yels uqo,lg fiajdj ,nd .kakg mq¿jka''' k< ore Ys,am l%u fhdodf.k ore iïm;la ,nd .kakjdh lshk ldrKh óg ld,hlg fmr kï b;d úYd, uqo,la jeh fjk ldrKhla jqKd' ta;a miq.sh

December 2021

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Fertile Window ta ire osk lsysmh yßhgu oek.kafka fldfyduo@

ld,h ;=< fï jeh fjk uqof,a úYd, wvqùula jqK;a wfma rfÜ fï .eg¿jg uqyqK fok wUq ieñhka ,lajQ wd¾Ól wNsfhda.hka /ila ;snqKd' fï ;dlaIKfhaoS fhdod .kakd fnfy;a" ridhk øjH ta úfoaYSh wdh;k j,ska iDcqju ,nd .kakg wmg yelshdjla ;snqfK kE' w;rueoshka fï ld¾hhg ueosy;a ùu ksid úYd, jeä uqo,la jeh jqKd' kuq;a oeka wms ta ridhkd.dr j,ska fl,skau fnfy;a wdkhkh lrk ksid Tng jeh jk uqo, úYd, jYfhka wvq lrkakg mq¿jks' biair fï ;dlaIKh Ndú;hg .kakg ,laI 7-9 w;r uqo,la jeh jqKd' oeka th ,laI 4'5-5 muK olajd wvq fj,d ;sfhkjd' reêr mÍlaIK" kslafIAmk" T!IO" l<, YS;khg ,la lsÍug jk úhou" l<, ;ekam;a lsÍu" l%sfkdka fc,a tl oeóu" bka miqj isÿ lrk mÍlaIK" .¾NsKs;d mÍlaIK fï wdoS yeu fohlau fï úhou ;=< isoaO fjkjd' flfklag äïn wjYH kï th ,ndoSu;a wfmka flfrkjd' lemaishq,a fíì ;dlaIKh jqK;a wm fhdod .kakjd' úúO mrdihl me;sr we;s ;dlaIKhka oeßh yels ñ,lg fhdod.kakg wm meflachka yªkajd oS ;sfnkjd' hï flfkla ;=reKQ úfha äïn odhlfhl= yªkajd fokj kï wms ta wh fjkqfjka wfma fiajdjka fkdñ,fha ,nd oSu mjd isÿ lrkjd' wfma wruqK ;uhs''' fï ;dlaIKhg wkq.; ùfïoS uqo,a wdr:sl idOlhg yels;dla myiqlï ie,iSu' w;ñg ñ, uqo,a ke;s flfkl=g jqK;a fï ;dlaIKh weiqre lrf.k ore iïm;lg ysñlï lshkakg wjia:dj ie,iSu' fï úh yshoï wvq jqKdg fiajdjka by<u uggul mj;ajd .kakg wm ie<ls<Su;a fjkjd' ´iafÜ%,shdfõ" wefußldfõ mj;ajdf.k hk msßú;r ta wdldrfhkau mj;ajd f.k hk ksid wfma id¾:l;ajhg we;s wjia:d fndfydu jeähs' Tfí ore iòm;l isyskh ienE lr .kakg wm msgqjy,la fjkjd' DM

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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;f % ha m<mqreÿ wfma jD;a;h S iydh ,nd oSug wm b;d leue;af;ka isáuq'

wmg l;d lrkak' fukak wfma wxlh

077 291 4526 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a; mdr" mrK fldÜgdj mdr" Wvyuq,a," kqf.af.dv

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• • • • •

AD-MIRE Creative

• 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

No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda Tel: 077 9728 799 E mail: wishiuiivf@gmail.com | wishiuiivf.com

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Gates Notes ì,af.aÜia wjOdkhg ,lajq mlsia:dkfha fi!LH fiaúldj

The blog of Bill Gates Going door to door, this hero brings the world closer to ending

ì,af.aÜia wjOdkhg ,lajq mlsia:dkfha fi!LH fiaúldj

Iquhs,d fryaudks Ndr; .=K;s,l úisks

uhs,d fryaudks- orejka ;sfofkl=f.a ujla' bkafk wfma wi,ajeis mlsia;dkfha' weh f,dalfha wxl tfla odkm;shd fukau uq,a fmf<a Okjf;l= fukau jk ì,a f.aÜiaf.a f.!rjdorhg ,laj ;reKshla' l,lg fmr uhsfl%dfid*aÜ iud.u msysgqjñka uyd fmr<shla l<" wo ojfia f,dalh mqrd ck;djf.a fi!LH k.d isgqùug l%shd lrk ì,af.aÜia kï uyd fm!reIh fï yoaod msáir .eñ ;reKsh .ek ixfõoS jqfKa wehs@ GatesNotes hkqfjka m%p,s; ì,a f.aÜia úiskau ,shk íf,d.a igyfkys mßÉfPaohla weh fjkqfjkq;a fjkajQfha wehs@

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weh jD;a;Sfhka fi!LH fiaúldjla' mlsia;dkfha wE; .ïno m<d;l ;uka fjkqfjkau fjkajqKQ fi!LH jiul jhi wjqreÿ myg wvq orejkag fmda,sfhda tkak; ,ndoSu wehg mejreKQ rdcldßh jqKd' fïl ta ;rï wudre jevlao@ Tng isf;kakg mq¿jks' ta;a ldßh ta is;k ;rïu myiq tlla jQfha kE' kQ.;alu" ÿmam;alu byjyd .sh mlsia;dkfha os<s÷ ck;djg fok fi!LH mKsúv fndfyda úg .Õg bks lemSula nj okafka ál fofkla muKhs'

jQ úYd, frda.Ska ixLHdjla wfma rfÜ jf.au f,dalh mqrdu l,lg fmr cSj;a jqKd'

fmda,sfhda óg oYl .Kkdjlg fmr f,dalh mqrd b;d fõ.fhka jHdma;j mej;S frda.hla' iakdhq ffi, j,g myr fok" uOH iakdhq moaO;shg n,mdk Nhdkl frda. hla' tys m%;sM<hla jYfhka YÍrfha fmaYs ÿ¾j, fjkjd' YÍrfha fn,ySk;djhla we;s fjkjd' wjidkfha wld,fha urKhg m;a fjkjd' fmda,sfhda je<|Su ksid wdndê;j cSú;hu wjdikdjka;

ta;a f,dalfha rgj,a foll ;ju;a ie<lsh hq;= orejka ixLHdjla tkak;a lr keye' oYl .Kkdjl isg hqoaOhg ueosjQ we*a.ksia:dkh yerrKQ úg Iquhs,d fjfik mlsia:dkfha;a orejka rdYshla ;ju;a fmda,sfhda jix.;h wìuqj wkdrlaIs;j isákjd'

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tmd lsh;aoS wdorh oelaùfï Iqud,d l%uh

fï wjdikdfjka orejka uqojd .ekSfï l%uh fidhd .;af;a wefußldkq cd;sl ffjoHjrfhla' fcdkdia i,ala kï jQ fï ffjoHjrhd 1953 j¾IfhaoS ldKav ;=kl wdldr 25l fmda,sfhda ffjri j,g .,md.; yels id¾:l tkak;la yªkajd ÿkakd' th l%ufhka f,dalh mqrd jHdma; ùu;a iu.u tf;la yuqjQ fmda,sfhda frda.Ska my; nisk keUqrej Wod jqKd' f,dal fi!LH ixúOdkfha ueosy;aùfuka fmda,sfhda uq,sKQmqgd oeófï f.da,Sh jHdmdrh wdrïN jqfKA 1988 j¾IfhaoS' myqKQ jir 33l ld,h ;=< fï Nhdkl Wjÿfrka f,dalh mqrd orejka uqojd .ekSug ì,shk ;=kl fmda,sfhda tkak;a f,dalh mqrd ,nd ÿka w;r fï jk úg orejka ishhg 99'9 lau fï fmda,sfhda ud;%djka ,ndf.k wyjrhs' tys /ljrKh ,nd wjidkhs'

óg ld,hlg fmr wdishdjg;a jvd wkdrlaIs; ;;a;ajhl isáfha wm%sldkq rgj,a' ld,hlg fmr f,dalfha jd¾;d jk Wild Polio ldKAvfha fmda,sfhda wdldrfhka w¿;ska yªkd.kakd frda.Skaf.ka wvlg;a jeä ixLHdjla jd¾;d jQfha khscSßhdfjka' ta;a f,dal fmda,sfhda tkak;a jevigykg msx isÿjkakg jvd;a

December 2021

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Gates Notes ì,af.aÜia wjOdkhg ,lajq mlsia:dkfha fi!LH fiaúldj

ì,a f.aÜia yoaod msáir fi!LH fiaúldjlg ,ndÿka f.!rjh-f.aÜia fkdaÜia lxpqlh

Nhdkl f,i frda.h jHdma; jQ khscSßhdjo we;=<;aj wm%sldkq rgj,a 47lu fmda,sfhda tkak;a jevigyk id¾:lj osh;a flreKQ w;r tys m%;sM<hla jYfhka wm%sldkq uydoaùmfhka fmda,sfhda wk;=r uq,sKQmqgd oeuqKd' mlsia;dkfha ;;a;ajh .;af;d;a fmda,sfhda tkak; iïnkaOfhka uq,a jljdkqfõ id¾a:l oeKQj;a lsÍula isÿj ;snqfKA kE' tys m%;sM<hla úosyg fndfyda fouõmshka fmda,sfhda tkak; u. yeßhd" ke;fyd;a iDcqju m%;slafAIam l<d' th ;¾ckhla jQfha mlsia:dkhg ú;rlau fkdfõ' f.da,Sh fmda,sfhda uq,sKQmqgd oeófï jevigykgo th w;sYhska krl n,mEula isÿ l<d' mlsia:dkfha fmda,sfhda .crdfug me;sfrkjd kï th f,dalfhka uq,sKQmqgd oukafka mlsia;dkh f,dal is;shfuka W.=,a,d úis lr,do@ fï miqìu ;=< mlsia;dkfha w.ue;s bïrdka Ldkaf.a fufyhùfuka ÿIAlr l%shdkaú;hla osh;a flreKQ w;r Iquhs,d fryaudks tys ìï uÜgfï fi!LH fiaúldjla jYfhka lemùfuka lghq;= l< fi!LH fiaúldjla muKhs'

December 2021

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ùrfhd lshkafk we;a;gu ljqo@ ndyq n,h fmkajñka igka úl%udkaú;hka lrk who@ kE''' hfula wirK cSú;hla fírd .ekSug W;aidy lrkjd kï th yenE ùrlula' ùr úl%udkaú;hla'

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l+,a fmÜáfha tkak;a oudf.k f.hska f.g hdk tl Iquhs,dg myiq lghq;a;la jqfKA kE' w,s uosjg fldá lSjd fia fldúâ jix.;h;a mlsia;dkfha fmda,sfhda m%;sYla;slrKhg n,mEï l< úYd, wNsfhda.hla jqKd' ohdfõ mKsúvh wrf.k lsß leáhdg fijK ÿka ksfjig f.dv jqK;a we;euqka wehf.a wd.ukh ie<l=fõ fldúâ ldf,a isÿ l< fkdmk;a lula úosyg' fï jir uq,a udi lsysmh ;=< muKla wef.ka wdjrKh jk m%foaYfh mjq,a 250lau orejkag fmda,sfhda tkak; ,ndoSu ujAmshka m%;slafIAm l<d' Iquhs,d ie¨fKA kE' frdia mfrdia" wffO¾h we;s lrjk m%;spdr ueo fmda,sfhda frda.fha wdoskj weh osßfhka meyeos,s lr ÿkakd' thu uka;rhla lr.;a;d' wehj m%;slafIam lrjk ñksiqka oskd .kakg weh wdorKSh igkl ksr; jqKd' fmda,sffha frda.h je<|Sfuka frda.S jqKdu we;sjk mSvd .ek uõmsgka oeKQj;a lrkakg

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wehg buy;a wdhdihla .kakg jqKd' uq,skau n,j;a m%;sfrdaOhka t,a, jqK;a wef.a fkdmiqng W;aidyh yuqfõ wehj m%;slafIAm l< mjq,a j,u ys;j;shla jqKd' wjidkfha oS¾>ld,Sk mßY%uhl m%;sM,hla jYfhka ;ukaf.a yoúfha orejkag mQ¾K wdrlaIdj fokakg weh iu;a jqKd' jeros u;su;dka;r uq,a nei.;a iudchl we;a; hq;a; fmkajd oSu myiq lghq;a;la fkdfjhs' we;euqka wehg wjuka l<d' wehj m%;slafIam l<d' weh fkdfjhs fï wNsfhda.hkag ie¨fKA' weh ta ish¿ wNsfhda. lreKdjka; jD;a;Sh Ndú;h Tiafiau úi"d .;a;d' f,dalh mqrd uyck fi!LH lafIA;% lghq;= j, ksr; jk ish¿ fi!LH fiajlhkg Iquhs,d fryaudks ùrjßhla' ùrfhd lshkafk we;a;gu ljqo@ ndyq n,h fmkajñka igka úl%udkaú;hka lrk who@ kE''' hfula wirK cSú;hla fírd .ekSug W;aidy lrkjd kï th yenE ùrlula' ùr úl%udkaú;hla' mlsia;dkfha fmda,sfhda jix.;hg tfrysj Wvq .x msysKQ ìu uÜgfï fi!LH fiaúldjf.a l;dj uyd odkm;s ì,a f.aÜiaf.a is;a meyer .;a;d' wjidkfha wehf.a l;dj ì,a f.aÜiaf.a íf,d.h jk Gates Notes yS ùrjßhlf.a pß;hla jYfhka m%;sks¾udKh jkakg ;rï wE jdikdjka; jqKd' DM

Iquhs,d fryaudks .ek jeäÿr úia;r fï weisosis jevigyfkka krUkak'

Watch it

December 2021

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Advertorial

f,dal Èhjeähd Èkh iksgqyka lrñka úIka flhd wdh;kh ksrka;r wlaIs mÍlaIKfha jeo.;alu wjOdrKh lrhs Y% S ,xldfõ m% u q L ;u oDIa á fia j d imhka k d jQ úIka flhd wdh;kh úis k a fujr f,da l Èhjeähd Èkh iks g q y ka lrñka Èhjeähdj fya ; = f jka wefiys we;s jk ixl+ , ;d uÕyrjd .ks ñ ka fmkS u wdrla I d lr .ekS u i|yd ks r ka ; r wla I s mÍla I djka fj; fhduq ùfï jeo.;a l u wjOdrKh lrhs ' Èhjeähdfjka fmf<k mq o a . ,hka g nrm;, frda . dndO je<§fï jeä wjodkula mj;S ' È.s k a È.gu reêrfha .a Æ flda i a uÜgu by< w.hl mej;S u ks i d yDoh iy reêrjdys K S moa O ;s h " weia " jl= . vq " ia k dhq ffi, iy o;a wdÈhg ±ä n,mEï we;s f õ' fujr f,da l Èhjeähd Èkfha § úIka flhd wdh;kh fmka j d foka f ka úoHd;a u l ks Í la I K wkq j " Èhjeähdj ;s f nk iEu mq o a . ,hs k a ;= k a fofkl= f .ka tl wfhl= g u Èhjeähd fráfkdA m ;s ;;a ; a j h (Diabetic Retinopathy) we;s úh yels njhs ' Èhjeähdj ks i d weia wka O ùug n,mdk uQ , s l fya ; = j la f,i fuu ;;a j h we;s ù u ±la ú h yel' reêrfha .a ¨ flda i a uÜgu jeäùu fuu ;;a j h we;s ù ug m% O dk;u fya ; = j hs ' ths k a wla I s reêr fla I kd,s l d ydks h g ,la ù u" wjys r ùu iy ta j d ;= , s k a ms g ;g reêrh ldka ÿ ùu ks i d l% u fhka weia f mkS u wju ù wjidkfha o S wka O Ndjhg mjd m;a ù ug jeä bvlvla ;s f í' tfuka u Èhjeähdj wefiys iq o we;s ùug n,mdk m% O dk idOlhla jk w;r wla I s mS v kh iy wefiys úh,s nj we;s ùugo fya ; = fjhs ' úIka flhd uÕs k a is ÿ lrk Èhjeähd fráfka d m;s (Diabetic Retinopathy) mÍla I dj Èhjeähd frda . S k a f .a wla I s ixl+ , ;d uq , oS u y÷kd .ekS u g WmldÍ fjhs ' fuu úfYa I mÍla I Kh i|yd oDIa á mÍla I djla " wNHka ; r PdhdrEmlrK

December 2021

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(Fundus Photography) mÍla I djla " OCT mÍla I djla iy oDIa á mrdih uekS f ï mÍla I djla we;= ¿ ;a fjhs ' Èhjeähd fráfka d m;s mÍla I dj wjidkfha mÍla I K jd¾;djg wkq l + , j weia lKa K dä" wla I s ldp iy wõ lKa K dä úIka flhd uÕs k a ,nd .ekS u g yels w;r wjYH jq j fyd;a jeäÿr m% ; s l dr i|yd iq ÿ iq ffjoHjrfhla fj; hdug wjYH Wmfoia ,nd fohs ' hï mq o a . ,fhl= Èhjeähd frda . S ;;a j fhka fmf<ka f ka kï uQ , s l wla I s mÍla I dj ks ; r is ÿ lr.ekS u ;= , s k a nrm;, frda . md,kh iy l<ukdlrK lr.ekS f ï yels h dj yd wefia ks f rda . S l u wdrla I d lr.ekS u g wjia : dj Wodfjhs ' ta i|yd úIka flhd wdh;khg weu;= u la ,nd oS fõ,djla fjka lrjd .ekS f uka th myiq wdldrfhka id¾:lj bgq lr .ekS u g yels h dj ,efí' úIka flhd iEu úgu is h mdßfNda . s l hka f .a ; a " fia j lhka f .a ; a " iudcfha ; a iq j fi; ms < s n |j m% u q L ;a j hla fok wdh;khla jk w;r fuu fldúâ- 1 9 jix.; ;;a j h yuq f õ is h ¿u úIka flhd YdLdjka rch iy fi!LH wud;HxYh úis k a mkjk ,o wdrla I s ; fi!LH ls % h d mámdàka g wkq l + , j mj;a j df.k hkq ,efí' Y% S ,dxls l wla I s fi!LH la f Ia ; % f ha Wiia ;dla I Kh Wmfhda . S lr.;a kùk hka f ;% d a m lrK Ndú;d lrk mq f rda . dñhd f,i úIka flhd wdh;kh y`ÿka j d§ug yels h ' by< ;;a ; a j fha wla I s frda . mÍla I K fia j d" weia lKa K dä iy wõ lKa K dä" wla I s ldp" Y% j KdOdrl iy Y% j k mÍla I K ,nd§ug Tjq k a lghq ; = lrhs ' tys § Tng f,dj m% p ,s ; weia lKa K dä ika k du" wla I s ldp ika k du iy wõ lKa K dä ika k du b;du idOdrK ñ,lg ñ,§ .ekS f ï wjia : dj ys ñ fõ' -ks ñ -

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December 2021

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Multisystem inflammatory syndrome fldúâ frda.h je<÷Kq orejkag we;súh yels ;j;a Nhdkl ixl+,;djhla

Multisystem inflammatory syndrome in children

fldúâ frda.h je<÷Kq orejkag we;súh yels ;j;a Nhdkl ixl+,;djhla Multisystem inflammatory syndrome

ßÊfõ wd¾hd <ud frdayf,a <ud frda. úfYaI{ ffjoH k,ska iS ls;=,aj;a;

ksis m%;sldr fkd,enqfKd;a orejd ñh hkakg;a mq¿jka ta;a l,afõ,d we;sj m%;sldr lf<d;a orejka iqjh ,nkjd''' fldúâ frda.hg k;=ù i;s fol;a" yh;a w;r ld,hla .; jqKq orejka wjodkug ,lalrjk frda.hla iïnkaOfhka fld<U ßcafõ wd¾hd <ud frdayf,ka fy<sorõ fjhs' fldúâ frda.h je<|Sfï m%;sM<hla jYfhka kej;;a tjka wjodkula we;s jqjfyd;a Bg tosßj igka lrkakg iu;a jk m%;sfoay YÍrfha ksIamdokh fjk nj Tn wm oksuq' frda.h jrla je<ªKQ miq

December 2021

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doctormagazine.lk

kej;;a ta m%fNaofhau frda.hla je<|Sfï wjia:dj wvq jkafka tneúks' tfiau tkak;a ,ndoSfuka lrkafkao frda.fhka wdrlaId ùug YÍrh m%;sfoay j,ska ikakoaO lsÍuhs' fï zzfyd|g lrk fohZZ kmqrg ysák wjia:djla jYfhka fï Multisystem inflammatory syndrome frda.h orejkag we;sùu oelaúh yel' fuysoS fldúâ frda.hg tosßj YÍrfha YÍrfhau ksmofjk m%;sfoay jl=. vq" fmky¨‍" wlaudj wd§ jákd bkaøsh fj; n,mEï we;s lrhs' tfiau yDoh jia;=jo fuu m%;sfoay j, n,mEug ,lajk w;r tfia ùfuka reêr mSvkh wvq ù l,g fõ,djg ksis m%;sldr fkd,enqfKd;a orejd ñh hkakg mjd mq¿jk' tfia jqj;a kshñ; wjia:dfõoS m%;sldr ,enqfKd;a''' uq,a wjia:dfõ§u frda.h y÷kd .;af;d;a m%;sldr lsÍfuka orejdf.a iqjh ,nd.; yel' fï ,laIK orejd fmkakqï lf<d;a ie<ls<su;a fjkak fuu frda.h we;sùfï § ;o WK" ;on, nfâ lelal=u" mdpkh" jukh" weia j, r;ameye .ekaùu" iu mqrd we;sjk oo olskakg ,efí' Tfí orejd fï ,laIK

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fuh idudkHfhka úr, frda.hls' tfy;a fldúâ je<ªKQ orejka lsishï wjodkula orhs

fldúâ je<|S i;shlska miq we;s fjhs

n,mEug ,laúh yels wjhj yDoh fmKy¿ jl=.vq fud<h iu weia wka;%

u;=úh yels frda. ,laIK WK nfâ ;on, fõokdj jukh mdpkh fn,af,a fõokdj ifï m¿ u;=ùu weia r;a meye .ekaùu wêl fjfyilr nj

fuu frda.fhaoS fldúâ frda.hg tosßj YÍrfha YÍrfhau ksmofjk m%;sfoay jl=.vq" fmky¨‍" wlaudj wd§ jákd bkaøsh fj; n,mEï we;s lrhs' fmkakqï lrk uQ,sl wjia:dfõ§u ffjoHjrhd fj; orejd /f.k hkak' l,afõ,d fkdhjd kshñ; m%;sldr ,nd .kak' Multisystem inflammatory syndrome je<÷Kq orejka rdYshla miq.sh ld,h uq¿,af,a fld<T ßcafõ wd¾hd <ud frdayf,ka yªkd.kakd ,o w;r Tjqkaf.ka lsysm fofklau oeä Wmia:dk tallfha m%;sldr j,g k;= lrkakg isÿjQ njo fuysoS i|yka l< hq;af;ah' fï wkqj nrm;, ixl+,;d we;s jQ oeä Wmia:dk m%;sldr wjYH jk orefjla fjkqfjka oeä Wmia:dk tallfha we|la fjka lrkakg fkdyels jkakgo mq¿jk' taid b,a¨ula oeä Wmia:dk tallhg we;' ta orjka nrm;, ixl+,;d j,g ,lajk neúks' fuh b;du nrm;< ;;a;ajhla jk w;r Tfí wdorŒh orejka fï jix.;fhka wdrlaId lr .ekSug ish¨‍ mshjr .kakd f,i uõmshkaf.ka wm b;d lreKdfjka b,a,d isáuq' DM

December 2021

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Allergy wdid;añl;d

ful, ldf.a;a wjOdkhg ,laj we;s YS% chj¾Okmqr úYAj úoHd,fha wdid;añl;d m%;sYla;slrK úoHd Ôj úoHd wdh;kh'''

Allergy Immunology and Cell Biology Unit (AICBU)

ffjoH wdpd¾h pkaosu cSjkaor lreKQ oelaùulsks

December 2021

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doctormagazine.lk

ta 2012 j¾Ih' ta" uu Y%S chj¾Okmqr úoHd,fha uf.a mYapd;a wOHhk lghq;= isÿlrñka isá wjêh' ta ld,fha wfma wkOHhk ld¾h uKav,fha §¾> jevj¾ckhla mej;=Kd' wfma Y%S chj¾Okmqr úYajúoHd,hSh ffjoH mSGfha laIqøcSj úoHd ridhkd.drfha ud fukau kS,sld u,úf.a uy;añh;a wms wOHhk" m¾fhaIK lrf.k isá ld,h''' m¾fhaIK lghq;= ú;rla fkfjhs" yeu jevlau''' WmlrK fiaoSu" w;=.dk tl mjd lf<A wmsuhs' wms fndfydu Wkkaÿfjka" i;=áka fï m¾fhaIK j, ksr; jqKd'

fï w;r;=r uf.a mYapd;a wOHhk lghq;= iïmQ¾Khs' mYapd;a wOHhk lghq;= tx.,ka;fha isÿ lrk fldg Tlaia*¾â úYaj úoHd,fha ld,hla wOHhk lghq;= iïmQ¾K lrkakg wjia:dj ,enqKd' tys ;sfnkafka kùk m¾fhaIKd.dr' Odß;dj by<hs' WmlrK w;sYh kùkhs' fndfyda myiqlï tu m¾fhaIKd.dr j, ;snqKd'

ridhkd.drhla i|yd wfma fhdackd m;%hla Ndr ÿkakd'

chj¾Okmqr úYAj úoHd,fha wmsg;a fï ldf, isyskhla ;snqKd' is;eÕs mßos mq¿,aj m¾fhaIK lghq;= isoaO l< yels wfmau m¾fhaIKd.drhla' wms fuys§ b,a,d isáfha fvx.= frda.h iïnkaOfhka m¾fhaIK isÿlrkakg myiqlï we;s ridhkd.drhla' fï jljdkqj jk úg wfma ck;dj fvx.= frda.fhka úYd, jYfhka mSvdjg m;ajqKd'

m%;sYla;slfõoh ms<sn|j m%ud‚l oeKQfuka hq;a m¾fhaIlhska /ilau isákafka Y%S chj¾Okmqr úYajúoHd,fhahs'

2018 j¾IfhaoS wms tjlg whjehg fmr rchg m¾fhaIKd.drhla ia:dms; lsÍu i|yd fhdackdjla bosßm;a l<d' kùk ;dlaIKfhka hqla; (state-of-the-art) doctormagazine.lk

ta jk úg Y%S chj¾Ok mqr úYaj úoHd,fha isõjeks mshjf¾ ixj¾Ok lghq;= iïmQ¾K lrñka isá wjêh' ta wjia:dfõ§ wfma b,a,Sug rcfhka m%;spdr ,enKd' wmsg ta i|yd uqo,a m%udKhla wkqu; jqKd'

whjehlska uqo,a wkqu; jqKdg ta uqo, tfyïuu wmg ,efnkafka kE' fndfyda wjYH;d" wvqmdvq we;s fjkjd' WmlrK" wjYH ;j;a fndfyda foaj,a''' fïj iïmQ¾K lr.kak wm fï ld,h ;=< úYd, W;aidyhl ksr; jqKd' tys m%;sM,hla úÈyg wmg fuf;la wmg fkd;snqKQ

December 2021

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Allergy wdid;añl;d

m%;sYla;slfõoh ms<sn|j m%ud‚l oeKQfuka hq;a m¾fhaIlhska /ilau isákafka Y%S chj¾Okmqr úYajúoHd,fhahs' wfma uQ,sl j.lSu ;sfnkafka ffjoH YsIHhkag wjYH oeKQu ,ndoSu'

Y%S chj¾Okmqr úYAj úoHd,HSh ffjoH mSGfha oyy;ajk wOHhk fomd¾;fïka;=j jYfhka m%;sYla;slrKfõoh iy wKQl ffjoH úoHd fomd¾;fïka;=j ;;a úYAj úoHd,hSh ffjoH mSGfha Wml=,m;s uydpd¾h iqrx.s chj¾Ok uy;añh úiska újD; lrk ,o wjia:dj

wdrïNl m¾fhaIlhka yd ld¾h uKAv,h'''

kùk" iqúfYaIS jQ m¾fhaIKd.drhla ia:dms; lrkakg wjia:dj ,enqKd' wfma m¾fhaIKd.drfha ld¾hNdrh mq¿,a ùu;a iu. 2020 j¾IfhaoS m¾fhaIKd.drh fjk;a ;eklg f.k hdfï wjYH;djh we;s jQ úg wms kej;;a leìkÜ m;%sldjla ilia lsÍu i|yd mshjr .;a;d' tys m%;sM,hla úÈyg ;uhs iajdëk wdh;khla jYfhka Y%S chj¾Okmqr úYAj úoHd,fha wdid;añl;d m%;sYla;slrK úoHd Ôj úoHd wdh;kh jYfhka fï m¾fhaIKd.drhg wfma rfÜ ks, jYfhka ms<s.ekSula ,enqfKa'

December 2021

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wfma m¾fhaIKd.drfha fï jk úg m¾fhaIlhska y;<syla ú;r m¾fhaIK lghq;= j, ksr; fjkjd' Tjqka w;r mYapd;a WmdêOdÍkao /ilau isákjd' wms Yla;su;a" iajdëk m¾fhaIKdh;khla úÈyg fï jk úg f.dvke.S ;sfnkjd' fuu wdh;kh msysgqùfï lghq;= id¾:l lsÍfuys,d uydpd¾h iïm;a wur;=x. uydpd¾h tï t,a ta lreKdr;ak iy j¾;udk Wml=,m;s uydpd¾h iqoka; ,shkf.a hk wh wmg oelajQ iyfhda.h fï wjia:dfõ§ lD;.=K mQ¾jlj isysm;a l< hq;=hs' fï wjia:dj jk úg wmg ks;ekskau cd;sl ld¾hNdrhl yjq,alrejka jkakg isÿj ;sfnkjd' ffjri iïNjhla iys;j jix.;hla we;s fjk ld,hl cdk úYaf,aIK isÿ lsÍu

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b;du;au jeo.;a' ta;a fï cdk úYAf,aYK isÿ lsÍfï myiqlï fi!LH wud;HxYhg keye' ta myiqlï ;sfnkafka wmg ú;rhs' b;ska fï jf.a ne?reï wjia:djl úfYaIfhkau fï fldúâ 19 jix.;h wfma ck Ôú;hg úYd, jYfhka wNsfhda. lrk wjia:djl fï rgg wjYH cdk úoHd;aul m¾fhaIK meje;aùfï ld¾hNdrhg wm WroS isákjd' Tn okakjd wfma rfÜ fï jk úg ixpdrlhska .uka lsÍu kqiqÿiq jk r;= ,ehsia;=jg we;=,;aj ;sfnk rgla' ta ú;rla fkfuhs wfma rg;a wh;a jk ol=Kq wdishdkq l,dmhu r;= ,ehsia;=.;j ;sfnkjd' fï jk úg jix.; ;;a;ajh wfma wd¾Ólhg nrm;< jYfhka wNsfhda. t,a, lrkjd' hï wdldrhlska fï jix.;h md,kh lsÍfuka miqj kej;;a wfma rgg fmr mej;S ck Ôú;h wjYHhs' fmr ;snQ wd¾Ólh wjYHhs' fuysoS wmsg uQ,sl jYfhka r;= ,ehsia;=fjka bj;a jkakg kï imqrd,sh hq;= ldrKd ;sfnkjd' tl" wfma rfgka wvqfjka wdidos;hka jd¾;d úh hq;=hs' ta lshkafka fyd| frda. md,khla fï rfÜ mej;sh hq;=hs'

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fldúâ frda.Skaf.a cdk úYAf,aIK mÍlaIK isÿ lrñka'''

fojekak wfma rfÜ cdk úYaf,aYK myiqlï ;sfnkjdo lshk ldrKh .ek tu rgj,a úuis,su;a fjkjd' Bg fya;=jla ;sfnkjd' cdk úYaf,aYKfhka ú;rhs ffjrifha úlD;s;d" kj m%fNAo we;sùu .ek wmg wjfndaOhla ,nd.; yelafla' Tn okakjd bkaoshdfjka fv,agd ma,ia jd¾;d jqKdu tal uq,skau wkdjrKh lr.;af; tx.,ka;fha m¾fhaIKd. drhl' ta;a wms wfma rfÜ fvx.= ffjrifha fjkiaùï .ek inqoaêlj isákafka wmf.a fï wdid;añl;d m%;sYla;slrK úoHd Ôj úoHd m¾fhaIKd.drfha m¾fhaIK ksihs' oekgu;a fv,agd m%fNAofha úlD;s;d ;=kla wfma rfgka yuqjk nj wm fï jk úg yªkdf.k ;sfnkjd' tla úlD;s;djhla wfma rfgka jd¾;d fjkafka f,dalfha m<fjks j;djg' uef,aishdfõ óg fmr jd¾;d jQ úlD;s;djhl=;a oekg rgj,a lsysmhl jd¾;d jk ;j;a úlD;s;djhl=;a jYfhka úlD;s;d ;=kla wfma rfgka yªkd.kakg wm Y%S chj¾Okmqr úYAj úoHd,fha wdid;añl;d m%;sYla;slrK úoHd Ôj úoHd wdh;kh iu;aj ;sfnkjd' kj úlD;s;d j, we;s wjodku jkafka thska kj m%fNaohla we;s ùfï m%ia:djhs' wm fv,agd iqm¾ m%fNaohl wjodku uqj úg isákjd' wm oekgu;a fï oeä wjodku iïnkaOfhka m¾fhaIK wdrïN lr ;sfnkjd'''' wfma rfÜ ck;dj weiqf¾ fï fldúâ ffjrifha fjkialula úlD;s;djhla we;s fjkjd kï oek.kafka wmshs' wfmau m¾fhaIlhkqhs' úh hq;af;ao thhs' fï cd;sl j.lSu wmg bgq lrkakg ,eîu wmg i;=gg ldrKhla' DM

úfYAI ia;+;sh forK udOH cd,h

December 2021

DOCTOR MAGAZINE

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Spondylosis ksjeros bßhõ mj;ajd .ekSu yd jHdhdu lsÍfï jdis

Spondylosis fn,af, lelal=u jf.au fldkafoa lelal=u ke;s lr.kak kï fï lshk jefâ lrkaku fjkjd''' ksjeros bßhõ mj;ajd .ekSu yd jHdhdu lsÍfï jdis kjf,dal frdayf,a ikaê frda. úfYAI{ ffjoH yrs÷ úfcaisxy lreKQ oelaùulsks

December 2021

DOCTOR MAGAZINE

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l;djg lshkjd ffjria WK <Õg jeäfhkau wfma ñksiqka meñKs<s lrk frda.h fn,af,a yd fldkafoa we;sjk fõokd yd lelal=ï lsh,d' ta ;rugu fï fn,af, lelal=ï''' fldkafo lelal=ï iq,nhs' ta;a Tn okakjdo@ fï fõokd''' fï lelal=ï j,g úrduh ;nkakg Tn l< hq;af;a fmdä fjkialula ú;rla nj''' th yßu ir<hs''' ta jf.au fï .ek wjOdkh fhduq lf<d;a fõokd''' lelal=ï ú;rla fkdfjhs'''' ;j;a fndfyda f,v frda. ke;s lr.kakg bka wjia:dj ie,fikjd''' wka lsisjla fkdfjhs''' fï mKsúvh ksjerosj brshõ mj;ajd .ekSu .ek''' ta jf.au ie,iqï iy.; jHdhdu jevigyklg tla ùfuka Tng ie,fik jdish .ek;a wms l;dnyl fhfokjd' fldªweg fm< .ek uQ,sl wjfndaOhla uq,skau ,nd .ksuq ysia lnf,a isg Wl=,a m%foaYh olajd fldªweg úiaila ;sfhkjd' fï wiaÓ úiai ;uhs fud<fha isg .uka lrk iakdhq cd,hg wdrlaIdj ,nd fokafk' iqiqïkdj ;sfnkafka fï fld÷weg wNHka;rhg jkakg' iqiqïkdj osf.a hk iakdhq cd,h w;= jf.a fnos," w;a" ll=,a wdoS jYfhka

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weia uÜgfuka wdk;shla we;s jk fia jia;=jla foi ne,Su fldªweg j, wka;¾ lfYareld uv,g wu;r mSvkhla we;s ùug uQ,sl fya;=jla' wms th Tn ks;r Ndú;hg .kakd cx.u ÿrl:khla Ndú;d lrk wdldrh yd ixixokh lruq' wxYl 15l wdk;shla we;sj fmdaka tl ne,SfïoS rd;a;,a 12l mSvkhla ff.%ù lfYAreld u; we;s fjkjd' th ord.; yels mSvkhla' tfy;a wxYl 15" 30" 45 yd 60l wdk;shloS ms<sfj,ska rd;a;,a 27" 40" 49 yd 60l wu;r mSvkhla fhfokjd' fndfyda fn,af,a yd fldkafoa wudrelï j,g uq, mqrkafka fï wu;r mSvkhhs

iuia; YrSrh mqrdjgu wjYHfhkau jeo.;a jk iakdhq l%shdldß;ajh imhkjd' fldªweg fm< ksid ;uhs wmg iDcq YÍrhla mj;ajd .kakg yels jkafka' ta yereKQ úg YÍrfha iu;=,s;;djh mj;ajd .kakg;a fldªweg fm< ke;sju nE' wfma fn,a, yrjkak kukak mq¿jks' fldkao;a tfyuhs' md;a lrkak mq¿jka' tydg" fuydg yrjkak mq¿jka' fï fldªweg j, kuH;djhg fya;= jkafka fldªweg iEu folla w;f¾u ;sfhk ldáf,ac j, l%shdldß;ajhg ksihs' wms th wka;¾ lfYArel uv, (Inter vertibal Disc) hkqfjka yªkajkjd' wfma fldªweg fma<sh ia:djr lrkakg ta yereKQ úg udxYfmaYs;a ;ka;=uh má;a ;sfhkjd' fn,af, lelal=u yd fldkafoa lelal=u we;s jkafka wehs@ fn,af, lelal=u yd fldkafoa lelal=u we;s jkakg m%Odk fya;=jla jkafka jeros bßhõ ksid wka;¾

December 2021

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Spondylosis ksjeros bßhõ mj;ajd .ekSu yd jHdhdu lsÍfï jdis

lfYarel uv, f.ùug ,laùu' ;sfnk ;ka;= weoSulg ,laùu' udxYfmaYs ÿ¾j, ùfukq;a fï lelal=ï we;s fjkak mq¿jka' l,d;=rlska úIîc wdidok yd ms<sld ksid;a fï úosfya lelal=ï yd fõokd we;s fjkakg mq¿jka' kuq;a ta i|yd kï we;s wjia:d wvqhs' wms jdäfj,d bkakfldg" ysgf.k bkakfldg ksjeros bßhõj mj;ajd .kak wjYHhs' jevm, lrk úg" nr Wiaik úg taj jeros bßhõjlska isÿ jqKdu fn,af, fldkao m%foaYfha jfÜ ;sfhk ;ka;=" udxYfmaYs wefokak mq¿jka' thska fõokdjla yg .kakjd' fï fldªweg jeros bßhõ ksid fõokdjla we;sjk ;;a;ajhg m;a jkafka fldfyduo@ wka;¾ lfYArel uv, ks¾udKh fj,d ;sfhk úosy ne¨fjd;a" tal yeos, ;sfhkafk jfÜg >k øjHhla yd we;=f, fc,s tllska' gQ;a fmaiaÜ tlla isyshg k.d .kakfld' wkak ta jf.hs' wms jeros bßhõjl bkak ksid fï >k ljrh lefvkjd' yßhg gQ;a

December 2021

lh iDcqj ;sfhk úg wka;¾ lfYAreld uv, fj; we;s lrk mSvkh wju fjkjd' yenehs bßhõj iDcq fkdfõ kï fï wka;¾ lfYArel uv, u;g wu;r mSvkhla fhfokjd' fï ksid udxYfmaYs yd ;ka;= weoSulg''' wd;;shlg ,la ùfuka fn,af, wudre" fldkafo wudre yg .kakjd fmaiaÜ áhqí tl breKd jf.a túg fudllao fjkafk@ ta fc,suh fldgia msg;g ldkaÿ fjkjd' taj msáka ;sfhk iakdhq j,;a .Efjkjd' fn,af, we;s fjk fõokdj fn,a,g ú;rla iSud fkdù w;a osf.a;a we;s fjkafka;a msgfldkafo we;sjk fõokdj ll=,a j,g hkafk;a fï ksihs' wms oeka fï frda.Ska mSvd ú|sk wdldrh n,uq fn,af,a fõokdj ;sfhk fldg w; osf.;a fõokdj tkak mq¿jka' ta jf.auhs fn,a, yrjk tl;a iSud fjkjd''' lelal=u ksid' fldkafoA fõokdj tlal fldkao kjkakg" yrjkakg neß fjkjd' blauKska ffjoHjrfhl= yuqúh hq;= wjia:d fï fldkafo" fn,af, fõokdjla we;s jqKdu jydu ffjoHjrfhl= uqK .eish hq;= wjia:d ;sfnkjdo@ ² Tõ''' fyd| m%YAkhla''' jeàulska miafi fn,af," fldkafoa fõokdjla we;s jqfKd;a blauKska ffjHjrfhl= yuqúh hq;=hs ² fõokdj;a iu. wf;a mfha ysß .;shla" weúoskakg wmyiq njla oefkkjd kï" ta;a blauKskau blauKska ffjHjrfhl= yuqúh hq;=hs ² ta yereKQ úg wfkl=;a wjia:d j,oS kï" úfõlSj isáñka fï lelal=ï wvq fjkjdo hkak fidhd n,d tfia iqjhla fkdue;s úg ta;a ffjoHjrfhl= yuq úh hq;=hs'

DOCTOR MAGAZINE

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ffjoHjrfhla fï frda.k S a mÍlaId lrk úosy@ fõokdj yg .kakg fya;= úuikjd' frda. b;sydihla ;sfhkjdo fidhd n,kjd' frda.shd idhksl mÍlaIdjlg ,la lrkjd' Bg miafi wjYH jqfKd;a tlaia f¾" MRI jf.a mÍlaIK wjYH kï kshu lrkjd' fõokdj wvq fjkak" m%;sldr úosyg fnfy;a bkafclaIka wdosh wjia:dfjdaÑ;j ,nd fokjd' frda.h iqj lsÍug mshjr .ekSu ffjoHjrhdf.a j.lSula' yenehs ta jf.au kej; fï fõokd we;s fkdjk njg;a j. n,d.; hq;=hs' fn,af,a yd fldkafoa lelal=ï j<lajkakg f.oroS .; yels l%shdud¾. fudkjdo@ fïl ;uhs jeo.;au m%fõYh''' ta i|yd wm Tn fhduq lsÍu ;uhs wfma m%Odk wruqK jkafka;a'''' m<uqjekak''' Tn ksjeros bßõ mj;ajd .ekSug Tn W;aiql úh hq;=hs' jdä fj,d bkak wjia:dfõoS lk" Wrysi yd Wl=< ;ks isria f¾Ldjl msysáh hq;=hs' lh iDcqj ;ndf.k bkak wjia:dfõoS ;uhs fï lk" Wrysi yd Wl=, isria f¾Ldjl msysgkafka'

doctormagazine.lk

b|f.k isàfïoS fldkao u; wu;r mSvkhla we;s fkdjkakg kï lk" Wrysi yd fY%daKSh tlu isria f¾Ldjl msysgúh hq;= fjkjd' ysgf.k isák úg kï tu isria f¾Ldjg ú¨Uo tl;= lr.; hq;=hs

fï ldrKh ;jÿrg;a meyeos,s lr ÿkafkd;a@ wms u|la wfma fldª weg fm< yeos, ;sfhk wdldrh fidhd n,uq' fldkafoa ff.%ù" Wria yd là hkqfjka lfYareld fldgia ;=kla ;sfnkjd' fï fldkao msysgd ;sfnkafka bx.%Sis tia wl=f¾ yevhg' fïfl fn,a, wdY%s;j;a" fldªweg fm< my; fldgfia;a bosßhg jl% ùula olakg ,efnkjd' Wor m%foaYh msgqmig jl% ù ;sfnkjd' lh iDcqj ;sfhk úg wka;¾ lfYAreld uv, fj; we;s lrk mSvkh wju fjkjd' yenehs bßhõj iDcq fkdfõ kï fï wka;¾ lfYArel uv, u;g wu;r mSvkhla fhfokjd' fï wjia:dfõoS wdY%s; udxYfmaYs yd ;ka;= weoSulg''' wd;;shlg ,la fjkjd' wmsg fn,af, wudrejla" fldkafo wudrejla we;s fjkak m%Odk fya;=j fïlhs' fï ksid bßhõ iDcqj ksjerosj mj;ajd .;af;d;a fn,af, wudrelï" fldkafo wudrelï we;s lrk m%Odk fya;=j ke;s fjkjd' jdä fjk iEu úgu" ysgf.k bkak" .ukla hk iEu úgu wms ia:dms;h ksjeros lrk msysàula ,nd.; hq;=hs' túghs fn,a,g" msgfldkaog wudrejla" wd;;shla ke;sj ksoyfia tajd l%shd;aul jkafka' msgfldkao m%foaYfha we;sjk jl%hg ys;lr jk fia" thg wkq.%y jk fia wm jdä fjkafka fldfyduo@ fyd|g mqgqfj fya;a;= fjkak ´ks' ;Ügï m%foaYh fyd|ska mqgqfõ iam¾Y fjkak ´ks' lkhs" Wrysihs Wl=,hs tla isria f¾Ldjl msysáh hq;=hs' December 2021

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Spondylosis ksjeros bßhõ mj;ajd .ekSu yd jHdhdu lsÍfï jdis

rEmjdysksh fvialafgdma mß.klh jf.a mdúÉÑ lrkjd kï th weia uÜgfï ;sìh hq;=hs' àù n,kak''' fudnhs,a fmdaka tl mdúÉÑ lrkak ksjeros bßhõjla ;sfhkjdo@ Tõ''' wo jeä jYfhka fokd fudnhs,a fmdakaj, bkak nj wms okakjd' fï fudnhs,a fmdaka tl;a weia uÜgfuka Ndú;hg .; hq;=hs' tfia lrkakg wdOdrlhla Wmldr lr.; yelshs' ta úosfya wdïmkak ñ,oS .kak;a ;sfhkjd' tfyu lf<d;a ú;rhs fn,a, m%foaYh iDcqj mj;skafka' fufyu jk úg wka;¾ lfYAreld uv,g wu;r mSvkhla fhfokafka kE' ta ksidfjkau fn,af,a wudrelï wdosh we;s jkafka;a kE' f.oros" ld¾hd,fhaoS jf.au fjk;a ´kEu ia:dkhloS fï remjdyskS ;sr" fudnhs,a fmdaka Ndú;fhaoS fï wdldrfhka f., my;g fkdjefgk fia tajd Ndú;hg yqre fjkak'

wka;¾ lfYareld uvf,ys úia:dmkh ùula mÍlaIKhlska fmkajk whqre

fkdjefgk wdldrhghs' fudk jefâ l<;a fldkao;a" f., m%foaYh;a iDcqj ;nd .kakg wm W;aiql úh hq;= jkjd' jev lrk w;f¾ úfõlhla .kak yß bßhõjl jqK;a os.= ld,hla bkak fyd| kE' wms ys;uq jdä fj,d /lshdjla lrk flfkla lsh,' úkdä myf<djlg j;djla u|lg ke.sg .kak' u|lg Tn fudn hkak' fï úosyg fí%laia .kak tl isß;la .kak' fï wdldrhg úfõlhla ,nd oSfuka udxYfmaYs ;ka;= ldáf,ac u; we;sjk mSvkh wju fjkjd' ta ksidfjkau thg úh yels ydkshla fõ kï th wju fjkjd' orkakg neß nrj,a Tijkakg tmd' tfiau nrla Tijk úg msgfldkafoka jl% ù th Tijkjd fjkqjg oksia j,ska fyd|gu keó tu nr w;g .; hq;=hs

,shk úg jqK;a fmd; ;nd.; hq;af;a f., m%foaYh my;g

December 2021

DOCTOR MAGAZINE

doctormagazine.lk

lsis úfgl f,dl= nrj,a Tijkakg tmd B<Õ ldrKh ;uhs nrla Tijk úg f,dl= nrj,a Tijkakg tmd' lsf,da oyhlg" myf<djlg jvd ;ksfhka Tijkak;a tmd' nr foaj,a Tijdf.k jeä fj,djla bkak tmd' uõjreka orejka Tijdf.k mäfm< ke.SfïoS;a wdhdildÍ jk wdldrhg th lrkak tmd' nrla tiùfïoS thska fldkaog wd;;shla we;s fkdjk fia nr ;uka wdikakhg f.k mdo jer .kajd nr Tijkak' fldkaog iqj myiqjla fok ksod .kakd yßu úosy l=ulao@ ² idudkH fïÜghla f;dard .kak' f,dl= uqo,a f.jd iqj myiq fuÜg .kak wjYH kE' ieye,a¨ fldÜghla ysfia ;nkak .kak' ² fldÜg lsysmhla ysfia ;eîfuka f.f,ys jl%hg we;sjk wd;;sh jeä fjkjd' ² mq¨jka kï Wvq w;g ksod .kak' kskaofoa wdrïNh j;a Wvq w;g fjkjd kï fyd|hs' doctormagazine.lk

² me;a;g yeÍ ksod .kakjd kï fn,a, fl,ska jk fia ksod .kak' fn,a,g" msg fldkaog myiqjla jk fia l< hq;= jHdhdu fudkjdo@ ² uq,skau ksjeros jHdhdu f;dard fírd .; hq;=hs' jeros jHdhdu lf<d;a lelal=ï jeä fjkjd' fï ksid yß jHdhdu m%fõifuka f;dard fírd .; hq;=hs' tfyu jqfKd;a ú;rla" fn,af,a udxYfmaYs Yla;su;a ù f., Yla;su;a fjkjd' fn,af, wudrelï tkakg bvla kE' ke;akï jefâ krl w;g yefrkjd' ke;s fõokd fn,a,g fldkaog tkak mq¿jka' ² weúoSu" nhsisl,a meoSu msyskSu jeks jHdhdu f.,g b;d fyd|hs' thsska udxYfmaYs Yla;su;a fjkjd' ² fldkao fn,a, jeäfhka kefjk" yerfjk yd jeä nrla tifjk jHdhdu lsÍfuka ydkshla fjkakg mq¿jka' ² fn,af, yd fldkafo lelal=ï ;sfnk wh ;ukaf.a jHdhdu ie,iqï lsÍfïoS ffjoHjrekaf.a fukau ta fjkqfjkau mqyqKQj ,enQ fN!;Ñls;ailjrekaf.a Wmfoia ,nd ..ekSu l< hq;=hs' ² jHdhdu lr;aoS ykaoshl lelal=ula tkjd kï tu jHdhduh k;r l< hq;=hs'

ldáf,ac j¾Okh lrk wdydr ;sfhkjdo@ ldáf,ac j¾Okh jk wdydr kE fnfy;a kE' ta;a yß ia:dms; j, isàfuka wmodjg ,lajQ ldáf,ac kej; ksjeros fjkjd' fuhska udxYfmaYs Yla;su;a ù fõokdj wvq fjkjd' fn,af,a lelal=ug" fldkafoa lelal=ug ksjeros bßhõ mj;ajd .ekSu yd yß jHdhdu isÿ lsÍuhs jeo.;a jkafka' túg .eg¿j ksYaÑ;ju úi|d.kak ,efnkjd' DM

December 2021

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Imaging Modalities tlaia f¾ .ykafka fudk wekakEjgo@

Imaging Modalities

tlaia f¾ .ykafka fudk wekakEjgo@ kQ;k m%;sìïnfõofha uQ,sl mÍlaId yd tys fjk;a Ndú;

bIdr jkiQßh úlsrK úoHd ;dlaIKfõÈ

tlaia f¾ .y, n,kafk levqKQ weg ú;ro@ fï wjqreÿ kuhla ;siafi fndfyda fofkla uf.ka ks;r wyk m%Yakhla' ir<ju W;a;f¾ zzkE˜‍ tfykï@ tlaia f¾ mÍlaIK lrkafk fudk frda. fydhd .kakgo lsh, fláfhka lshkako@ mmqfjka mgka .kakï' Thd, fcdí tllg hoaÈ fuäl,a lrkak mmqfõ tlaia f¾ tlla .;af; levqï ì÷ï n,kako@ kE''' mmqfj tlaia f¾ tllska mq¨‍jka Thdf. yojf;a jf.au fmky¿ ‍j, widudkH;d ;sfíoehs mßlaId lr, n,kak'' yoj;a frda.sfhl= yg wjYHfhkau l< hq;= mÍlaIKhla ;uhs mmqfj tlaia f¾ (Chest X Ray) mÍlaIKh' 76

December 2021

DOCTOR MAGAZINE

doctormagazine.lk

yoj; wkjYH wê l%shdldß;afjlg m;afj,do" widudkH f,i bÈñ,do@ jf.a foaj,a mmqfõ tlaia f¾ mÍlaIKhlska n,kak mq¨‍jka' t;fldg T¨‍fj lelal=u@ Sinusitis lshkj fkao' wkak ta lshk T¨‍fj Sinusitis lshk ;;a;afj;a tlaia f¾ tllska myiqfjka n,kak mq¨‍jka' ysia lnf,a tlaia lsrK m%;sìïnhloS fldagrl ksÍlaIKfhka fï frda.fha iajNdjh yªkd.kakjd' jl=.vqj, .,a lshk frda. ;;a;ajh;a oeka ta ;rïu ÿ,n kE fkAo@ jl=.vq j, ú;rla fkfï''' uq;%d m%Kd," ms;a;dYfha mjd .,a we;s fjkjd' fïjd Worfha tlaia f¾ tllska ksÍlaIKh lrkak mq¨‍jka' ta jf.au jl=. vqfj b|ka uq;% ud¾.h olajdu ta fu!;% moaO;sh l%shd lrk wdldrh n,kak;a ir, tlaia lsrK mÍlaIKhlska mq¨‍jka' bji.kak neß nfâ lelal=ula wdju;a isÿ lrk uQ,slu mßlaIKhla

doctormagazine.lk

fldúâ frda.fhka neglk fï ldf, fldúâ ksjQfudakshd ;;a;ajh yªkd.kak ;sfhk uQ,sl mÍlaIdj jkafka Chest X Ray tl' ksõfudakshdj tfla iqÿ meyefhka fmkajkjd' idudkHfhka olskakg ,efnk fmKy¿ i<l+KQ ksõfudakshdfjka jy .kakjd'

;uhs tlaia f¾ mÍlaIKh' wdudYfha fukau nvjef,a ;sfhk iuyr ixl+,;d" nv mqrj oeóu jf.a foaj,a n,kafk;a biafi,a,u tlaia f¾ tlla wrka' iuia: wdydr ud¾.hu''' ta lsõfj uqLfhka mgka.;a;u .=o ud¾.h olajdu ;shk frda. ;;a;aj w÷r.kak vhs fhdodf.k isÿlrk úfYaIs; tlaia lsrK mÍlaIK ;sfhkj' t;fldg Th fmdä <uhs lgq" ldis" negß ^Foreign body& .s,, wdju taj fldfyo ;sfhkafk lsh, n,d. kafk;a tlaia f¾ j,ska ;uhs' l=vd wEfhd" ta wod, jhig .e,fmk j¾Okhla fkdue;s kï tal ue‚la lgqfj tlaia f¾ tllska n,kak mq¨‍jka lsh, lsõfjd;a Thd úYajdi lrk tll=;a kE' ta;a tal tfyuhs' ta orej wod, jhig wod, j¾Okh fmkakqï lrkjo@ lsh, ue‚la lgqfj ;sfhk wiaÓ tlaia f¾ lr, lshkak mq¨‍jka ^Bone age estimation&'

December 2021

DOCTOR MAGAZINE

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Imaging Modalities tlaia f¾ .ykafka fudk wekakEjgo@

orejka fkd,efnk ldka;djlg;a ^Subfertility& Bg mef,damSh kd, j, fodaIhla fya;= fjkjo lsh, fidhd n,kak isÿlrk úfYaIs; tlaia lsrK mÍlaIK ;shkj'

úlsrKh fhdod.;a mÍlaIK weiqf¾ wo ffjoH úoHdjg ,efnk msgqjy, w;s úYd,hs' mef,damSh kd, wjysr ùfuka ore iïm;a wysñ ùu yªkd .ekSug tlaia lsrK ;dlaIKh fhdod.;a wjia:djla

Bg wu;rj wd;rhsáia" fld÷weg fma,sfha frda. ;;a;aj" we;eï ms<sld ;a;aj" msáhqgß .%kaÓfha wdndO jf.au mYapd;a urK mÍlaIK j,È;a tlaia f¾ tla wx.hla fjkj' wjYH;d wkqj ffjoHjreka fï mÍlaIK b,a,d isákjd' levqï ì÷ï j,g wu;rj ir< tlaia lsrK mßlaIKhlska lrkak mq¨‍jka foa ú;rhs' óg wu;rj úúO jQ úlsrK ;dlaIK l%ufõo u.ska tlaia lsrK Ndú;fha isÿlrk f.dvla ixlS¾K mÍlaIK ;sfhkj'

CT fkdfyd;a Computed Tomography Scan úlsrK ;dlaIKfha Wiia Ndú;hla' oaúudk m%;sìïnhla fjkqjg YÍr wNHka;rfha ;%sudKrEmS m%;sìïnhla fjka fjka ia:r jYfhka ,nd.ekSug yelsùu fuys fjfiia jdishla

December 2021

DOCTOR MAGAZINE

ta ksidu ;uhs zz‍kùk ffjoH úoHdfõ yoj; - úlsrKfõoh˜‍ lsh, wújdofhka mejfikafka' Th CT, MRI, PET fï Tlafldu úlsrK ;dlaIKfha j;auka Ndú;djka' fï ish,a, fmdÿfõ .;a l< Imaging Modalities hkqfjka fmdÿfõ yªkajkjd' DM doctormagazine.lk

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Computer Eye Strain mß>kl ksid we;sjk weia wdndO j,ska fï úosyg j<lskak'''

Computer Eye Strain

mß>kl ksid we;sjk weia wdndO j,ska fï úosyg j<lskak''' rd.u YslaIK frdayf,a ffjoH ckl fm%au;s,l

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wo ojfia wm cSj;a jk f,dalh ;dlaIKsl fuj<ï iq,nj Ndú;d jk f,dalhla' jeäfhka weiqre lrkafk w;s oshqKQ ixksfõok fuj<ï' fjfiiskau" tod iïm%odhsl ;dlaIKhka äcsg,alrKh fj,d' wf;a ;sfhk ,emafgdma tl" mdïfgdma tl ke;akï geí,Ü tl ;uhs Tfí tosfkod l%shdjka ú;rla fkdfjhs" Tnj;a yiqrejkafk' fï äcsg,alrKh jQ f,dalfha jeä fofkla uqyqK fok fi!LH .eg¿jla .ek l;d lrkakhs fï iQodku' ta

December 2021

DOCTOR MAGAZINE

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Computer Eye Strain mß>kl ksid we;sjk weia wdndO j,ska fï úosyg j<lskak'''

weia r;= ùu

a ei a, ú,

oe w ysiroh

 ysiroh  wefia we;s jk fõokdj  weia r;= ùu  weia j,ska l÷¿ .e,Su  n,k oiqk rEm folla f,i fmkSu  fmkSu fnd| ùu

December 2021

wd;;sh

wei úvdjg m;a ùu''' uQ,sl jYfhkau mß.Kl ;srh os.= ld,hla ;siafia weiqre lsÍu ksid od.kak f,vla' oji mqrd mß.Kl yiqrejk whf.ka y;frka ;=klau fï wei úvdjg m;aùu .ek ueisú,s k.kjd' wei úvdjg m;a jqKdu we;sjk .eg¿ rdYshla ;sfnkjd'

w f e

u; i fokh h k vS

ysiroh" weia oeú,a," weia r;= ùu" wei u; fhfok mSvkh$wd;;sh úvdnr .;sh wdosh ksrka;rfhka úoahq;a ;sr mßyrkfhaoS we;súh yels fi!LH .eg¿ jkafkah' ksjeros Ndú;dj ;=<ska fndfyda úg fï wjysrhka u. yrjd .; yel

uQ,sl jYfhkau fuu ,smsfhka wm l;d nyg ,la lrkafka fvialafgdma" ,emafgdma Ndú;fhaoS we;sjk wefia úvdjg wod,j .; hq;= wdrlaIl Wmdh ud¾.' kuq;a fudnhs,a ÿrl;k Ndú;fhka wei úvdjg m;a ùfï m%;sM< óg;a jvd ixlS¾Khs' uQ,sl jYfhka cx.u ÿrl:k mqjre" h;=re mqjre jvd;a l=vdhs' fïjd Ndú;dfõoS wei jvd;a iSreudre lsÍu wjYH fjkjd' fï ;;ajfhka ñoSug .; yels mshjr /ila we;s nj weiSuu Tn i;=gg m;a lrjk m%jD;a;shla jkq we;s' mß>Kl Ndú;h ksid we;sjk weia úvdfjka je<lSug Tng .; yels mshjr .ek úia;r lsÍug oeka wm wjia:dj ,nd.kakjd' lrk jevh w;r;=r flá úfõlhla .kak tl os.g os.= fõ,djla mß>Klfha jev lrk úg úkdä 15l muK úfõlhla .kak' ta wjia:dfõoS ldurfha ÿßka we;s jia;+ka foi Tfí fk;= fhduq lsÍu jvd;a iqÿiqhs' Tng iqÿiq fyd| wlaIs jHdhduhla Tfí fk;= mshd.kak' oeka Tfí fow;a" w;a, uOHh

DOCTOR MAGAZINE

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fk;= j, iam¾Y jk fia fk;= uOHfha w;a, ;nkak' .eUqre os.= yqiaula f.k tu yqiau flfuka msg lrkak' os.= ld,hla mß>Klfha jev lrk Tng fuh w.kd wlaIs jHdhduhla nj ffjoHjreka fmkajd oS ;sfnkjd' jeäuk;a jYfhka yelskï flfkl= <jd f., iy Wrysi l=vd iïndykhl=;a lr.kak' weis ms,a,ï .ykak wjOdkh fjfiiska ,nd. kakd mß>Kl ld¾hhl ksr; jk úg Tn;a fkdoekSu Tn weia ms,a,ï .yk m%udKh wvqfõ' fï .ek wjOdkh fhduq lr W;aidyfhka weys ms,a,ï .ykakg yelskï fyd|hs' weys ms,a,ï .eiSfuka wefia l=Ks;hg wï,lrh yd fmdaIKh ,eî weye jvd;a iqir fjhs' thska fmKSuo jvd;a fyd| fjhs' mß>Kl ;srh u; Computer glass wdrlaIdj ,nd .kak mß>klfha r|jk úfYAI wdrlaIl ùÿrej wei úvdjg m;aùu j<lajk ;j;a wk.s Wml%uhls' fuhska wjYH ia:dkh fj; wei kdNs.; lsÍug

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úfYAI W;aidyhla oeÍu j<lajhs' fufia wu;rj fhdok wdhdih wefia mSvkh by< kexùug mjd fya;=jla fõ' fï ùÿrej iú lsÍfuka miqj tys kdNs ,laIHh wkQj w`.,a 20-28 mrdifha .e,fmku ia:dkfha Tn ia:dk.; jkak' mß>Kl ;srfha oSma;sh jeä lr.kak oSma;sh jeä lr .ekSfuka Flicker rate wvqjk w;r tys m%;sM<hla jYfhka weig we;sjk úvdj wvq fjhs' oSma;su;a fudksgrhla yeu úgu wefia l¿ bx.sßhdj yl=¿jd,hs' túg weil oDYH mrdih jeä fjhs' os.= fj,djla myiqfjka jev lsÍug bka wjia:djla ie,fia' rd;%S ks,a wdf,dalfhka ñfokak ydj¾â iriúfha wOHhkhlg wkQj ksYd ld,fha ks,a meye wdf,dalh YÍrfha fu,fgdkska uÜgu ySk lsÍfï W;aidyhl fhfohs' fuh oshjeähdj" ia:Q,;djh yd ms<sld mjd we;sùfï w;sf¾l wjodkula f.k ths' rd;%S ld,fhaoS mß>Kl Ndú;dj wju lr.kak mß>Kl Ndú;fhaoS yd;ami ks,a wdf,dalh wjysr lrk lkakdä l=Ügula m<|skak' wdf,dalh we;s ;ekl jefvys fhfokak osjd ld,fha jQj;a m%udKj;a wdf,dalhla ke;akï wei úvdjg ,lafõ' fï ksid mß>Klh wi<g m%udKj;a f,i wdf,dalh ,efnk njg iy;sl jkak' mß>Klfha msysàu .ek ie<ls<su;a fjkak th wvq ;rfï weig w`.,a 20-28 la muK ÿßka ia:dk.; lr.; hq;=h' tfiau os,siSula wdf,dalh weig mrdj¾;kh ùula fkdúh hq;=h' iuia;hla jYfhka fuys tk Wmfoia yereKQ úg wmg fokak ;sfnk fyd|u wjjdoh ;uhs wkjYH ;rï fï ;dlaIKsl WmlrK j,g weíneys fjkak tmd h lshk ldrKh' thska Tng jvd;a ;sridr fi!LH iïmkak cSú;hla .; lsÍfï wjia:djla ie,fikjd' DM

December 2021

DOCTOR MAGAZINE

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Beauty f;d,a l¿ ùu

A guide to tackling lip pigmentation or dark lips

f;d,a l¿ ùu meyem;a lr.;a f;d,a wdrlaId lr.kak cSú; ld,hgu lem úh hq;=hs th udi 3-4l W;aidyhlska w;a yßkak nE''' Like skin tone, lip color can vary from person to person. No shade of skin on the lips is healthier than any other. In some cases, a change in the color or condition of the lips could indicate that the lips need more care.

December 2021

DOCTOR MAGAZINE

ffjoH Ydksld w¾il=,r;ak

ifï j¾Kh fukau f;d,a j¾Kho mqoa.,hdf. ka mqoa.,hdg fjkia úh yelsh' iuyr wjia:dj,§ f;d,aj, j¾Kh fyda ;;a;ajh fjkia ùfuka fmkakqï lrkafka f;d,a j,g jeä ie<ls,a,la wjYH njhs'

we;efulaf.a W;am;a;sfha b|kau f;d,a j, l¿ ùula olakg ,efnkjd' f;d,a wdf,amk ^,smaiaála" úúO fnfy;a j¾. ksid fukau úfYaIfhka msßñkaf.a kï ÿïmdkh ksid fufia f;d,a f;d,a l¿ ùula olakg ,efnkjd'&

doctormagazine.lk

wdrlaIs; T!Iëh wdf,amk" fmdaIK ix>gl jf.au" úúO m%;sldr wo Ndú;fha ;sfnkjd' ta;a cdk.; meyehla fjkia lr th bosßhg mj;ajd.kakg kï ta i|yd ksrka;r lemùul=;a wjYH fjkjd'

f,dalfha úúO cd;Ska Tjqka cSj;afjk N+ l,dm wkQj ifï meyeh fjkia jk nj Tn okakjd' f;d,a fm;s .;af;d;a hqfrdamShhkaf.a f;d,a frdai meyehla .kakjd' kuq;a ol=Kq wdishd;sl wfma Wvq f;d, ;rula ÿUqre meyehla .kakjd' Tjqkaf.a há f;df,ys ueoaog jkakg lsishï frdai meyehla .kakjd ;uhs' kuq;a jfÜg kï f;d,a l¿ mdgla .kakjd' uQ,sl jYfhkau Wmf;aoS ifuys meyeh wkQj ;uhs f;d,a j, meyeh;a ;SrKh jkafka' we;efulaf.a f;d,a frdai meyehla .kakd uq;a ÿUQre jka meyehla .kakd f;d,a ;sfnk who wfma N+ l,dmfha jeä jYfhka bkakjd' fï ÿUqre meyeh wvq jeä jkafka cdk.; Wm;a meyeh u;hs' w÷re meye.;a Tfí f;d,a j,g mshlre meyehla ldf. yß cdk.; meyeh wkQj uQKg jvd f;d,a fol jeä ÿUqre meyehla .kakjd kï thg fya;=j fu,kska j¾Klh ksihs' tfyu wªre meyehla .;a f;d,a iÕ, meyem;a fmKQula ,ndfok wdrlaIs; T!Iëh wdf,amk ;sfnkjd' úgñka j¾. jf.au úfYaI m%;sldr;a ;sfnkjd' yenehs Tn b;d oeäj wjfndaO lr.; hq;= ldrKhlao ;sfnkjd' Wmf;a isgu ;sfhkjd lshkafka th cdk.;hs' wmg cdk fjkia lrkak nE' fï ksid tys iaÓridr fjkila olskk a g kï lrk foa os.gu mj;ajd .kakg Tng isÿ fjkjd' f;d,a iÕ, mdg mshlrej ;shd.kakg lsh, udi 3-4la fï m%;l s ¾u fhÿjdg cSú; ld,hgu ta fjkialu we;s r.kak nE'

doctormagazine.lk

,smi a á a la ksid;a f;d,a l¿ fjkak mq¿jka Th mqxÑ ldf,os" tfyu ke;akï riaidjla ,enqKu ;ukaf. rEmh .ek olajk úfYaI ie<ls,, a ;a tlalu wjfndaOfhka f;drj wm ,smi a á a la ñ,oS .kakjd' tajd f;df,a wdf,am lrkjd' ,iaikhs' wmQre pu;aldrhla ys;g;a we;s fjkjd' ta;a Tn wkjfndaOfhka ñ,oS .kakd''' Tfí j; lu, w,xldrj;a lrk ta nd, f;d,a wdf,amk ksid;a f;d,a l¿ jk nj Tn okakjdo@ oeäj u;l ;nd.kak' Tn .,ajk f;d,a wdf,amkh fjfiisku a m%ñ;s.; tlla úh hq;h = 's th Tfí iu u; m%;l s h s% d lrkak nE' ifï meyeh fjkia lrkak nE' ta;a fj<|fmdf<A ;sfnk fndfyda ,smi a á a la ksid tfyu fjkak bv ;sfhkjd' fï ksid Tn ñ,oS .kakd iEu f;d,a wdf,amkhlau m%ñ;s.; ksIm A dokhla jk njg j. n,d.kak'

ifï meyeh ;SrKh lrk fu,kska wms yefudagu W;am;a;sfhaoS wmg Wreu jk ,dlaIksl meyehla ;sfnkjd' zzfuhd kï iqÿhs''' ;f,¿hs''' l¿hs'''ZZ fï úosyg ifï meyehka .ek woyia oelafjkjd' iqÿ kï ,iaikhs''' ;rula w÷re meyehla ku le;hs''@ tfyu lshkak nE' wmQre wdl¾IKhla ;sfhk ;f,¿ ñksiqka fldhs ;rï kï isákjdo@

December 2021

DOCTOR MAGAZINE

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Beauty f;d,a l¿ ùu

lrkakg| wj,laIK lrkakg odhl fjkjdo lshk ldrKh .ek ie<ls<su;a fjk tl fyd|hs'

flfklaf.a ifï meyeh ;SrKh fjk wdldrh .ek Tn oeKQj;ao@ fu,kska kue;s j¾Klhla ;uhs wm fldhs ldf.;a ifuys meyeh ;SrKh lrkafka' fu,fkdihsg kï ffi, úfYAIhla weiqf¾ fï fu,kska isref¾ W;amdokh fjkjd' fu,kska jeä kï iu wªre meyehla .kakjd' wvq kï iu frdai meyehla .kakjd' zzfu,kska wvq kï fyd|hsZZ lshd fudfyd;lgj;a Tn is;kjd kï fu,kska lshkafk wdrlaIl l%shdj,shl ksr; j¾Klhla' ysref. ka ú;a isrerg m;s; jk mdrcïnQ, lsrK j,ska isrerg we;s lrk ydksh wju lrkakg fulS fu,kska WmldÍ fjkjd' iulh wdikakfha cSj;a jk wm jeks whf.a fu,kska idfmalaIj jeähs' ysre odyh;a jir uq¿,af,a tl f,igu ;sfhk ksid tfia úh hq;=hs' ta;a iulhg wE;ska rgj, ck;djf.a ifï meyeh iqÿhs' tlu rgl ysáh;a wm w;r;a ifuys fjkialula we;s fjk tl .ek Tng .eg¿jla ;sfhk nj wm okakjd' ta fjkig fya;= jkafka tlu mjqf,a jQj;a fofofkl= w;r ;sfhk cdk.; fjkialï'

f;d,a wªre meye .kajk fya;= nd, f;d,a wdf,amk ú;rla fkdfjhs" iuyreka Th iqÿ fjkak lsh, uQKg .dk we;eï nd, l%Sï j¾. ksid;a f;d,a l¿ fjkak n,kjd' Tn fndk we;eï fnfy;a j¾. ksid;a f;d,a l¿ fjkjd' óg fmr i|yka l<dla fuka ÿï mdkh;a f;d,a l¿ lrjk m%uqL fya;=jla' fjfiiskau mqreoaola jYfhka is.rÜ Wrk msßñ <uhska fndfydauhlf.a f;d,a l¿ fjkjd'

mKsúvh ueos jhfios fï úosyg f;d,a l¿ fjkj kï tlafld ridhKsl" rEm,djKHuh ke;akï Th is.rÜ j, ;sfhk ksfldáka wdosh ksid we;s jQ fya;j = la' fï ;;a;j a h fjkia lr f;d,a j,g mshlre meyehla ,nd.kak wdrlaIl m%;l s dr ;sfhkjd' thska kej;;a meyeh ,nd .kakg mq¿jka' yenehs kej; ,nd.;a ta fmKqu wdrlaId lr.kakg;a Tn lem ùfuka lghq;= l< hq;h = 's DM Dr Shanika Arsecularatne, the youngest person to be certified by the American Academy of Aesthetic Medicine (AAAM) in Sri Lanka, is very passionate about conveying the importance of Aesthetic medicine to Sri Lankans. Watch it

Th lshmq idOl ;uhs fndfyda úg Tfí f;d,a j, wªre meyehla we;s lrkakg fya;= fjkafk' b;ska fï idOl j,ska ljrla fydaa Tfí f;d,a j, reje;s meyeh fjkia

December 2021

DOCTOR MAGAZINE

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Daughter Èh‚hka isákd uõjre‚" fï Tfí wjOdkh ms‚ihsæ

fï Wmfoia" orejka bkak uõmshkaghs Èh‚hka isákd uõjre‚" fï Tfí wjOdkh ms‚ihsæ 01

Tfí Èh‚hg jeäysá msgia;r msßñkaf.a Wl=, u; Wv jdäfjkak fokak tmd" je<|f.kak fokak tmd" ism.kak fokak tmd'

msgia;rhska bÈßmsg§ lsisu Èh‚hlf.a weÿï udre lrkak tmd'

orejd m%;slafIam lrk" .ejiSug wlue;s" weiqre lrkak wlue;a;la olajk jeäysáhka Õ.g hkak ljodj;a n, lrkak tmd'

fï uf.a ìß|" fï uf.a fmïj;sh f,i úys¿jgj;a orejdj ye|skaùug ldgj;a bv fokak tmd'

mqxÑ Èh‚h hd¨‍fjd;a tlal fi,a,ï lrk úg" weh wdY%h lrk hd¨‍fjda .ek fyd|ska ie<ls,su;a fjkak' Tn fkdokakjd jqKdg fndfyda orejka ,sx.slj wmfhdack j,g ,laù ;sìh yel' Tfí Èh‚hgo Tjqkaf.a w;aoelSï j, jerÈ m%;sm, ysñúh yel'

fndfydu l%shdYS,Sj" fl<sfof,ka ld,h .; lrmq Tfí orejd laI‚lj fjkia jqKdo@ ksy~o@ yels blauKska orejd ms<sn|j wjOdkh fhduq lr" orejdg wdorh ,nd § orejd ms<sn|j fidhd n,kak' bjis,su;aj orejdf.ka ta ms<sn|j úuikak'

doctormagazine.lk

December 2021

DOCTOR MAGAZINE

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Daughter Èh‚hka isákd uõjre‚" fï Tfí wjOdkh ms‚ihsæ

orejd krUk ldgqka" Ñ;%mg iy mß>kl l%Svd ms<sn|j úuis,su;a jkak' Tno fkdoekqj;aju ta yryd orejd ,sx.sl l%shdjkag fhduq úh yel'

wka;¾cd,hg Ndú;d lr orejka msúfik fjí wvú ms<sn|j fidhd n,kak'

orejdg ;ukaf.a isref¾ wjhj fydÈka msßisÿ lr.kakd wdldrh W.kajkak' f.or fufylreg fyda fufyldßhg orejdf.a wjhj w,a,kak bvfokak tmd'

msßila bÈßfha úkS;j iy wpdrYS,sj yeisfrk yeá oek W.;a orejdg mqreÿ lrkak'

Thdf.a orejd lsisu úfgl lsishï flfkla ms<sn|j meñ‚,s lf<d;a ksyvj bkak tmd' jydu ta .ek fidhd n,kak'

ksyvj isàu hïlsis wmrdOhlg Èß §ula úh yels w;r tjekakla isÿjqfjd;a th Tfí;a orejdf.a;a uq¿ Ôú; ld,hgu jofok fõokdjla muKla Wreu lrdú' o/jka mK fuka /l.ksuq DM

c,h oek mdkh lruq'''

c,h wfma cSú; j,g wjYHfhkau ;sìh hq;= mdkhhs' f,dj wka ljr mdkhg;a jvd m%fhdackj;a jk mdkhhs' ta;a''' c,h mdkh lsÍfï zzfyd|u fõ,djkaZZ .ek Tn oek isáhdo@ Tn ó<Õg lrkakg hk lshùu Tfí cSú;hg buy;a jQ m%fhdackhla w;am;a lrfokq ksielh'  wjÈ ùfuka miq j;=r ùÿre folla mdkh lsÍfuka Tfí isref¾ ish¿ wNHka;r wjhj  wdydr .ekSug ñks;a;= 30lg fmr j;=r ùÿrejla mdkh lsÍfuka .kakd wdydr uekúka Èrùug WmldÍ fõ

December 2021

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 iakdkh lsÍug fmr j;=r ùÿrejla mdkh lsÍfuka Tfí reêr mSvkh wvq lsÍug WmldÍ fõ  kskaog hdug fmr j;=r ùÿrejlamdkh lsÍfuka wxYNd.h yda yDohdndO we;sùu j<lajk / ljrKhla imhhs'  wu;rj" kskaog hdfï§ c,h mdkh lsÍu rd;%sfha§ ll=,a lelal=u j<lajd .ekSug WmldÍ fõ'  ll=f,a udxY fmaYs ixfldapkh jk úg f;;ukh fidhk w;r c,h ,nd.ekSu ioyd Tnj wjÈ lrhs' DM

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True Story fldúâ w,a, mk,af,a ffjoHjrekaf.a cSúf;a'''

rd;%sh

msúiqu

fïl i;H l;djla''' i;Hfha ta igyk ;enQfhao ffjoHjrfhla' fmardfoksh YslaIK frdayf,a pñkao ch,;a m%ij yd kdßfõo úfYaI{ ffjoHjrhd ;u uqyqKQ fmdf;a ;enQ igykla Tyqf.ao wjirh iys;j fufia tu igyk Tn fj; f.k tkafka fldúâ iufha iqj úrejka w;aoels ta wNsfhda.fha yevrej .ek Tng;a wjfndaOhla ,nd fok ßisfhka''' tfiau fuf;la Tn fjkqfjka lem jqKQ" bosßhgo fldkafoais úrys;j Tfí zzcSú;hZZ fjkqfjka osjd ? fkdn,d ;u fufyjr bgq lrk iqj úrejkag lD;.=K mQ¾jl Wmydrhla jYfhka'''

fldúâ isõjk /,af,a wmg we;sjQ wNsfhda. iq¿mgq fkdfjhs' fldúâ jdÜgq ú;rla fkdfjhs" oeä Wmia:dk tall mjd b;sr .shd' mk .eg .y.kak Tlaiscka wvqjla kQk;a tu Tlaiscka ,nd.kak;a úYd, igkla fokak jqKd' frday,a ld¾huKav,h w;sYhska fjfyilr ;;a;ajhlg m;ajqKd' ta;a fldhs fj,djl j;a wfma iqj úrejka fï W;aidyh w;a yeßfha kE'''

fj,dj mdkaor 3'30hs' flda,a tlla''' fudk lreuhlao ukaod" hka;ï kskaola mgka .;a;d ú;rhs' fï ojiaj, fldfydu;a mdkaor fol ú;r fjklx kskao hkafka

fldúâ w,a, mk,af,a ffjoHjrekaf.a cSúf;a''' fmardfoksh YslaIK frdayf,a m%ij yd kdßfõo úfYAI{ ffjoH pñkao ch,;a

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December 2021

DOCTOR MAGAZINE

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True Story fldúâ w,a, mk,af,a ffjoHjrekaf.a cSúf;a'''

keye' wd;;sh''' wfma rgg fudkj fjhso@ uu fldúâ j,ska uerefKd;a tfyu uf.a orejkag ldf. msysglao@ìß|g / lshdjl=;a keye' weh" fudkj lr .kSo@ ta wiafi fckS uf. nõj iqr;,sg megjq lS fofkla yïn fjhso@ iqÿ fnda, nnd, b|So@ úldr ys;sú,s''' yenE ys;sú,s we;sfjk" ke;sfjk kskao fkdkskao w;r hduh''' zzch,;a u,a,s" fldúâ ksõfudakshd wïud flfkla bkakjd' nndg i;s 27hs' áhqí lr, bkafk" wïuf. iepqf¾Ika 70hs f,vdg wudrehs' fmardfokshg udre lr.kak mqjka fjhso@'' udjke,a, frdayf,a VOG uhqr whahd l;d lf<a' ICU Bed tlla kï ;sfhkjd ;sfhkjd' tjkak uhqr whah' cSú;hla tlal TÜgq w,a,k wïu flfkla''' orefjl=;a l=fia ;shdf.k bkak wïu flfkla fjkqfjka ta b,a,Su meyer yßkak mq¿jkao@ uu frda.shdj f.kak .kak wjirh ,nd ÿkak' zzfrda.shd wdmq .ukau fjkaáf,ag¾ tlg iïnkaO lr, frda.shdf. ia:djr lr.kak n,kak'''ZZ Tyq oekuq;=lï ÿkak'

December 2021

uu Bg miafi wfma oeä i;aldr tallh ndr jdi,g l;d l<d''' Tyq ;uhs oeä i;aldr tallh Ndr ffjoHjrhd" ks¾úkaok úfYAI{ ffjoHjrhd' ch,;a whah''' f,vdf. iepqf¾Ika ÿ¾j,hs kï fjkaáf,ag¾ tfla uelaisuï fiáka.aia j, ;shkak fjhs fkao@ jefâ álla nrm;,hs jf.a''' uu fï f,vdj ndrf.k fudllao@ lrkafk@ fï wirKSf. cSú;h .,j .kak úosyla ;sfhao@ ug uf.a ;j;a ks¾úkaok ñ;=frlaj u;la jqKd''' uhqr whahd''' fydaud.u fldúâ biamsß;df, m%ij wxYfha jev lrmq yskao Tyqg fldúâ wïu, l<uKdlrKh .ek fndfydu w;aoelSï ;sfhkjd''' uu Tyqg l;d lr, úia;f¾ lsõj''' Tyqg;a uu ÿka flda,a tflka kskao kE''' ta;a b;ska fudkj lsh, lrkako@ zzu,a,S fufya iepqf¾Ika fv%dma fj,d" áhqí lr," fjkaáf,aÜ lrmq wïu, Tlafldu fv;a jqKd''''ZZ uf.a ll=,a fol mk ke;s fj,d .shd' isfhd<Õ yS;, fj,d .shd' m%ij ffjoHjrfhla fï f,dafl wykak wlue;su jpk fol - ud;D urK uu jdi,g uhqr lshmq foa lSjd' fufyu .sfhd;a wïuhs nnhs fokaku uefrkj' nnd m%iQ;shg iQodkï lf<d;a fokakgu fmdä pdkaia tlla ;sfhkjd' wïug yqiau .kak ;sfhk ÿIAlr;djh;a álla yß wvq fjkjd' wms wïuj f.kdmq .uka iSi¾ lruq' wms wka;sug l;d jqKd' zzwhahd f,vdj ;shg¾ tlgu .kak' lrk fohla ICU fnâ tfla f,vd ;shdf.ku lruq'''ZZ jdi, lSjd' zz´fla upx'''ZZ

zzch,;a u,a,s" fldúâ ksõfudakshd wïud flfkla bkakjd' nndg i;s 27hs' áhqí lr, bkafk" wïuf. iepqf¾Ika 70hs f,vdg wudrehs' fmardfokshg udre lr.kak mqjka fjhso@''

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tod ojig kskao tmuKhs' orefjla l=ifha ordk bkak ;=reKQ wïu flfkla jf.au''' fï f,dalfha t<Sh j;a fkdoelmq lsß leáfhlaf. cSú; fír.kak f,dl= wNsfhda.hla lrmsg''' uu jydu iqodkïj frdayf,a Y,Hd.drhg meñKshd'

wms ujf.a Worh lemqula fhdod orejd t<shg .;a;d' fmlKsje, ¨yaj;a l<d''' u| fj,djlska w¿; Wmka orejd ySka fl|Stßhla ke.=jd'

ál fj,djlska tk frda.shd ms<s.kak ffjoH" fyos jf.au iydhl lKavdhï hqyqiq¿j lghq;= lrkjd' ksfhdafkagf,dcs àï tl ^orejd Wm; ,enQ miq i;aldr lrk lKavdhu& nnd ndr .kak lghq;a;g ,eyeia;s Wkd' SHO nkaÿ, Y,Hd.drhg msúiqKd' ta wdrlaIs; weªï lÜg,h;a PPE odf.ku' fï weªï we| we| kdia;s lrkak fj,djla kEfk''' uu we|f.ku wdjd'

wïuf. lmd oeuQ Wor mgl kej; ilik úg f,a .e,Sula fjkak bvla ;sfhk yeu ia:dkhlau iSrejg vh;ñ l<d' í,Sâ fkdfjkak w;sf¾l ueyqï tfyu;a oeïud' ta ueyqug lshkafk PPE lsh,hs'

fldúâ tfla widOH ;;a;ajfha m%;sldr ,nk fldúâ frda.Ska mia fofkla bkakjd' ta ksid fïfl id;a;= imamdhï lrk fldhs ljqre;a wdrlaIs; weªï lÜg, PPE odf.ku bkak ´ks' fg%d,sh ;,a¨ lrf.k wdrlaIs; weªï we|.;a ffjoH fyos yd iydhl lKavdhu läuqäfha frda.shd /f.k tkjd'

ta w;f¾ jdi, ug wk;=re yÕjkjd'''' zzí,Sâ fjkak bvla ;sfhk yeu ;eklau .ek ie<ls<Su;a fjkak whahd'''ZZ

wms oeä i;aldr tallfha fodrgqj wìhioS frda.shdj ndr.;a;d''' ;j;a orefjl= l=ifha ;shdf.k wysxil fjÉÑ wïu flfkla' ta fj,dfj iejqf¾Ika ishhg 70hs' yDo iamkao iS>%;djh 120hs' foúhfka fï wïuj fír .kak ug msysgla fjkak' uu iSi¾ tl mgka .;a;' Wiska wvq" m<,ska jeä oeä i;aldr we|l ie;alula lrk tl f,ais mdiq jevla fkdfjhs' Bg;a wdrlaIl weªï f.dkakla we|f.k' ál fj,djla hkfldg fldkao;a ßfokak .kakjd' fõia IS,aâ tl odf.k jev lrkfldg tafla ñiaÜ tlla tkj' ta wiafi iafmdÜ ,Eïma tfla t<sh;a ÿ¾j,hs''' w;g .a,õia fcdaâ mylau odf.k bkafk''' fï ksid w;g;a oekSula" m%dKhla ke;s .dkhs' fï úosyg wvqmdvq f.dvla ueo''' ta;a ysf;a yhsh jf.au cSú;hla fírd .kakg'''' wd cSú; follau fírd .kakg ;sfhk wêIaGdkh oeäj ys;ayS ordf.k wms fï ie;alu Wmßu úosyg l<d''' idudkHfhka ie;alula lrk úg .,k reêrh r;= mdghsfk' ta;a wï,lr W!K;djfhka ;sfnk fï wïuf. f,a l¿ mdghs' i;s 27l nfnla ksid fï orejdf.a m%ijhg ;ju;a .¾NdIfha my; fldgia j, iajdNdsú; ms<sfh, ùula kE'

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kj ckau ffjoHjreka orejd foda;ska f.k t;ekska msg;a jqKd'''

wka;sug wuAuf. iSi¾ ie;alu wjika lrk úg weÕ mqrdu odäfhka f;;a fj,d jf.a oeKQkd'''' wdrlaIsd; weªï .,jk tl;a mshjfrka mshjr''' ieksghsi¾ tlal'''' wka;sug ICU tfla nd;arEï tflkau kd.;a;d' wfka fï fokaku fífrkak ´ks'''ZZ tfyu ys;k .uka ;uhs fï Tlafldu foaj,a flrefKA''' wka;sug f.org weu;=ula .;a;d'''ta t<sfjk cuh'''' zzuu oeka tk .uka'''' t<sfhka ;=jdhla ;shkak'''ZZ wfma f.org fldúâ f.kshkak bkafk uufk b;ska''' DM

December 2021

DOCTOR MAGAZINE

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What is a virus? jix.; j,g lei ljk ffjri .ek oek.ksuq'''

What is a virus? How do they spread? How do they make us sick? jix.; j,g lei ljk ffjri .ek oek.ksuq''' ffjoH mqkaird wurfialr úisks oeka wjqreoaol muK ld,hl isg wmg ksjkla ke;' fldfykafoda isg meñKs weyegj;a fkdfmfkk zzffjrihlaZA f,dalhu .%yKhg wrf.kh' ysá .uka m%foaY yqfol,d fjhs' fi!LH n,Odßka ksfjiska neyer fkdjkakg ^ksfrdaOdhkh& ksfhda. fohs' .ia .,a jf.a Wka ñksiqka ysá .uka weo jeà ñh hhs' f.oroS ñh hhs' frdayf,aoS ñh hhs' udiala tlla ke;akï ov lkakg fj,dh' mdie,a jy,dh" úYAj úoHd, jy,dh' wd¾Ólh lvd jeá,dh' ñksiaiqkag lka w|skak j;a ke;' m%Yak je,ls'

December 2021

DOCTOR MAGAZINE

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fï ffjrih fkd;sfnkakg wefußldj fï ;rï wirK jkafka ke;' reishdj" tx.,ka;h" bkaoshdj" b;d,sh" c¾uksh wdoS zzf,daflg fmd,sialdrhkaZZ mjd wka; wirK fj,dh' fï Tlafldu úkdYh lf<a weyeg j;a fkdfmfkk ffjrihls' kñka SARS-CoV-2 ffjrihhs' th fldfrdakd mjq,g wh;a hhs lsh;s' wo fldfrdakd''' fyg ;j ffjrihla tf,i tkakg neß lula ke;' fï ksid wms wfma udkj ixy;sfha w¿;au ;¾ckh zzffjriZZ .ek úuiuq' hldf. ;ru fkdoek úudfkg tfrysj hqo joskafka fldfyduo@ ffjri - ñksiqka jk wmg we;s lrk frda. fndfydah' irïm" mefmd," lïuq,a.dh" refn,a,d we;s lrkafka ffjri j,sks' biair ,laI ixLHd;j ñksiqkag ñhefokakg fya;= jQ zzle,E WKZZ fkdfyd;a jiQßhg fukau fndfyda fokd wín.d; lrkakg fya;= jQ fmda,sfhdajg fya;= jQfhao ffjrihls' ms<sld j,g mjd fya;=

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jdkrfhlaf.a ffi, j,g we;=,aj th wdidokh lr we;s tfnda,d ffjrih fuys ks,a meyefhka osia fjkjd' tfnda,d udkj ixy;sh uqyqK mE ;j;a iqúfYAIS ffjri ;¾ckhla Photo Credit: NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

jk SARS-CoV-2 ffjriho ñksidg buy;a ;¾ckhls' y¾msia" HIV/AIDS, Shingles fïjdo ffjri ksid ñksidg je<f|k frda.h' wmg ffjri ;¾ck j,ska ljodj;a ñfokakg nE fï ffjri u.ska we;slrk frda. j,ska we;efula nrm;,h' ld,hla wejEfuka nrm;, ydkshla fkdlr wysxilj bj;a jk ffjrio ;sfí' uq,skau lsj hq;af;a wm leu;s ke;s jQj;a ffjri wfma cSúf;a mx.=ldrfhls' tajdf.ka ioygu ñoSula ke;' ffjri fuf,i wmj frda.S lrkakg wm miqmiu tkafka wehs@ thg fya;=jla ;sfí' ffjrihg ;u j¾.hd fnda lrkakg kï wmf.a ffi, wjYHuh' ñksiqka yereKQfldg" Ydl" i;a;ajhka" nelaàßhd" os,Sr''' fï ´kEu ffi,hl fjfiñka ffjri ;u zzfnda lsÍuZZ isÿ lrhs' by; i|yka l< cSù fldgiao we;=¿j wfma ffi, ksrka;rfhka ffjri j,g zzmyiqlï i,iajkakkaZZ jk fyhska wm ish,af,dau zzOdrlhkaZZ jYfhka ye|skafjhs'

December 2021

DOCTOR MAGAZINE

D•Magazine /

What is a virus? jix.; j,g lei ljk ffjri .ek oek.ksuq'''

nelaàßhdjkao wmg úúO frda. we;s lrhs' yenehs wmf.a meje;aug WmldÍ jk zzfyd|ZZ nelaàßhdjkao isref¾ fjhs' tfy;a ffjri j, kï zzfyd|ZZ hhs flfkla ke;' ffjri ñksia isrer yhscela lrkjd nelaàßhdjkag idfmalaIj ffjri fnfyúka l=vdh' iEu ffjrihlau fm%daàka wdia;rkhlska wdjrKh ù ;sfnk w;r tys uOHfha" ke;fyd;a we;=f,a we;af;a DNA fyda RNA fyda wKqjls' fï iEu wKQjlau zzWmfoia fmd;lZZ (instruction book) ld¾hh bgq lrhs' tu wKQjg ,dlaIKsl m%fõKsl .nvdj (genetic information) Bgu ,dlaIKsl wdldrfhka fï f;dr;=re uqod yeÍu isÿ fjhs' zzl< hq;af;a l=ulao@ZZ zzl< hq;af;a ljodo@ZZ fï f;dr;=re DNA fyda RNA u.ska ksl=;a lrkafka" yßhg yuqod LKavhl zzúOdkhlaZZ wdldrfhks' ffjrihla u.ska hï ffi,hla .%yKhg .;a úg ksl=;a lrkafka ksYAÑ; úOdkhls' zzjeäfhka ffjri ksIAmdokh lrõZZ

December 2021

úúO ffjri j¾.

fukhska n,k l< ffjrila hkq zzyhscelrfhlsZZ' nf,ka lvd joshs' Odrlhd wvmK lrhs' úkdY lrhs' wjidkfha ffjrih u.ska ta ;ek w;am;a lr.kS' wm uq,ska lS ffjrihl f;dr;=re .nvd lr.kakd m%fõKsl .nvdj yd ine|S fm%daàk fldgiao fõ' fm%daàk j, ldrhh jkafkaf.fkdauh wdrlaId lsÍu yd ffjrihg ia:djr iajNdjhla ie,iSuhs' nrm;, foaY.=Ksl wjia:d j,oS mjd ffjri fkdkeiS mj;skjd b;du;a ÿIalr ;;a;aj hgf;a jqj wdrlaId ùug ffjri reishkah' b;d YS; foaY.=Ksl ;;a;aj hgf;a mj;akd

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10"000"000"0 00"000"000" 000"000"000"

000"000 fï ixLHdj lshjkak Tng mq¿jkao@ fu;rï ffjri m%udKhla fï f,dalfha mj;akd nj weia;fïka;= lr ;sfnkjd'

.a,eishr j, mj;akd ffjri N+ úoHd{hkaf.a úuiqug ,lafõ' cSjfha iïNjh" wka .%yf,dal yd mj;akd iïnkaO;d yd f;dr;=re yeoEÍug fï ffjri jeo.;a uQ,dY%hla jk nj Tn oek isáhdo@ ffjri j,ska wdidos; uD;YÍr ñysoka lsÍu iïnkaOfhka úoaj;a l;sldj;la we;sj ;sfnkafka fï miqìu hgf;ah' ffcj ffjri .ek l;dny we;s fjkakg fmr wm l;d lf<A zzmß. kl ffjriZZ .ekh' mß>kl ffjrihla lshkafka uDÿldx.hls' th mß>klfha fldgia j,g ydkslrhs' wjidkfha mß>klfha ienE l%shdldß;ajh wl¾ukH lrhs' mß.Kl j,g wNsfhda.hla jQ zzmß.Kl

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ffjrihl fldgia

ffjriZZ lrkafkao fï ffcj ffjri j,ska bf.k.;a úkakeyshls' ffjri yd igka lrkakg m%;sffjri@ ffjri fï ;rï ixúOdkd;aul jQj;a tajd fndfydauhla uev,kakg YÍrhgo yelshdjla ;sfí' isrerg ta i|yd iydh jkakg T!IOo ;sfí' ffjri yd igka lsÍug wfma YÍrfha zzm%;sYla;slrK moaO;shZZ iEu wdldrhlskau l%shd;aul fjhs' ffjri yd igka lrkakg ksmojd we;s T!IO zzm%;sffjriZZ antiviral hkqfjka ye|skafjhs' m%;scSjl T!IO ffjri frda. u¾Okh lrkakg fkdiu;a jk njo lsj hq;=h' ffjri iïnkaOfhka wmg fyd|u wdrlaIdj ie,fikafka m%;su,a,jfhl= fia n,uq¿ Yla;su;a lr .ekSfuks' (With viruses, the best defense is a good offense.) ffjri j,g wNsfhda. lrk zztkak;aZZ isÿ lrkafka fï lghq;a;hs' ffjri j, fï l%shdldß;ajhka ie<ls,a,g .ksñka tajd ukqIH YrSrfha hym;g fhdod .kakgo m¾fhaIlhka W;aiql fjkjd' YÍrhg ydks lrk ;j;a jHdêckl úfYAIhla jk nelaàßhdjka u¾Okhg l%shd;aul jk ffjri úfYaI ;sfnkjd' zznelaàßhdjka ld oukZZ hk w¾:h we;s Bacteriophages hkqfjka fï ffjri yªkajkjd' ffjri j,g ffi, j,g msúiSug we;s úYAñ; yelshdj m%fhdackhg .ksñka zzhym;a wruqKQZZ Wfoid l%shd;aul jk ffjrio Ndú;fha ;sfnkjd' tajd fmdÿfõ vector hkqfjka ye|skafjkjd' DM December 2021

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Ignaz Semmelweis fï ld,hg jvd;a WÑ; l;djla'''

FATHER OF INFECTION CONTROL

fï ld,hg jvd;a WÑ; l;djla''' zzinka .d w;a fidaod.kak lSu'''ZZ ksid msiafilehs yxjvq .id Wkau;a;ld.drhl ñhefokakg ie,eiajQ ffjoHjrhd .ek Tn wy, ;sfhkjdo@

b.akdia fifu,aúia ffjoH YdLH wurfialr wo wmg isoaO fj,d ;sfhkafk fkdfmfkk úIîchla yd igka lrkak' fldúâ 19 ffjrihg tfrys hqoaOfhaos w;a fiaoSu yßu jeo.;a' fldúâ ffjrifha u;=msg we;s ff;,uh ;Ügqj inka .Efuka bj;aj hkjd'''' wo iEu rcfha frday,lu mdfya wdidok md,k tallhla ;sfnkjd' úúO cSjdKQ ksid wmg f,v frda. we;Sùu .ek wjosfhka isák wdidok md,k tallfha j.lSï orkafka fcHaIAG fyo ks,Odßkshla' fï fldúâ w,a, mk,af,a ksrka;rfhka w;a fiaoSfï jeo.;alu .ek Wfoa yji lshd fok tl wehf.a m%Odk ld¾hhla'

December 2021

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wehg frdayf,a f,dl= jeo.;alula ,efnkjd' tfyu lshkfldg mqxÑ mg,ú,a,l=;a we;s fjkak mq¿jka''' fudllao@ fï zzjeo.;alulZZ l;dj''' Tõ wdidok md,khg" ke;fyd;a frda. j,ska wdrlaId ùug zzw;a fiaoSuZZ fyd|u úiªula lsh, biafi,a,u lsõfj 1800 .Kka j, úhdkdfõ ysgmq b.akdia fifu,aúia kï m%ijfõo ffjoHjrfhla' wo Tyqg zzwdidok md,kfha mshdZZ hkqfjka kï lr f,dalh b;d by<ska .re nqyquka l<;a tod Tyqg ;u fidhd .ekSu bosßm;a l<du t,a, jqfKA .,a uq,a ú;rhs' oyia .Kka frda.Ska cSú; fírd .ekSug ;uka úYAjdi l< i;Hh f,dalhg bosßm;a l<dg Tyqg fndfydu oreKQ jkaoshla f.jkak jqKd''' Tyq msiafila lsh, yxjvq .eyqj''' tysoS wfkal úO jO nkaOkhkag uqyqK fokak jqKd' wka;sfï jhi wjqreÿ 47la jf.a flá ld,hlska cSú;fhka jkaos f.jkak;a isoaO jqKd' ks;ru w; fidaokak'''

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1600 yd 1800 .Kka j, hqfrdamfha iQ;sld l¾uhkag ,lajQ ldka;djka ie<lsh hq;= m%udKhla ñheÿKQ w;r Child Bed Fever kñka ye|ska jQ tu urK j,g fya;= jQfha ksis fi!LHdrlaIl l%u ms<sfkdmeoSu" cSjdKQyß; fkdjQ WmlrK ore m%ijh i|yd fhdod .ekSu yd wdfrda. HYd,dj, mej;S ckdlS¾K;djhhs' rKldñfhl= jQ kefmda,shka fndkmdÜf.a uj f,áishd frdu,sfkd o fï wjodkug ,lajQ w;r jdikdjg Tyqf.a frda.h fÄodka;hla jQfha ke;' fï urK j,g fya;=j ksis fi!LHdrlaIl Wml%u fkdfhoSu ksid isÿjkakla nj lS ffjoH b.akdia fifu,aúia wo zzwdidok md,kfha mshdZZ jYfhka ye|skafjhs'

Tnf.a jákd cSú;h /l.kak''' lsh, osj u;=rla fia fi!LH wxY ú;rla fkdfjhs" rfÜu ck;dj u;=rk fujka hq.hl fï b;d wysxil úosyg cSú;h fl<jr lr.;a zzw; fiaoSfï jákdluZZ f,dalhg lshdÿka ta wiydh nqoaêu;df. l;dj ieflúka fyda lshkakï' kS;sh fjkqjg ffjoH úoHdj f;dard .;a;d b.akdia fifu,aúia yxf.aßhdkq cd;slfhla' Wmkafk 1818 j¾Ifhaos' orejka oi fofklaf.ka hqla; fj<|dfï kshq;= mjq,l fifu,aúia miafjks orejd jqKd' nqvdfmiaÜ w.kqjr nqvd m%foaYh Tjqkaf.a kscìu jqKd' Tyq Wiia wOHdmkh i|yd kS;sh yeoEÍug 1837oS úhdkd úYAj úoHd,hg we;=<;a jqK;a jirl ld,hlg miq ;u úIh Odrdj fjkia lr ffjoH

December 2021

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Ignaz Semmelweis fï ld,hg jvd;a WÑ; l;djla'''

úg fuhska tla wirKshla j;a wosis f,i urKhg m;aùuhs' .yla .,la fuka ksfrda.Sj .eìKs iuh miqlr m%iQ;fhaoS ñh hdu ksid fï ;;a;ajh Child Bed Fever hkqfjka ye|skajqKQ w;r Bg fya;=jla fidhd .kakg lsisfjla iu;a jQfha ke;' ta flfia fj;;a fï urK iïnkaOfhka ;=reKQ ffjoHjrfhl= jQ b.akdia fifu,aúia oeä f,i úuis<su;a úh'

úoHdj yeoEÍug kej;;a úYAj úoHd,fha ,shdmosxÑ jqKd' 1944 j¾IfhaoS ffjoH Wmdêh ,nd .ekSfuka miq jHdêfõoh yd wNHka;r ffjoH úoHdj jeäÿr yeoEÍug oerE W;aidyh iM< jQfha kE' fï ksidu Tyq ;u f;jeks f;aÍu m%ijfõoh jeäÿr úfYAI{;djh i|yd f;dard .;a;d' th f,dalfhau .uka u. fjkia l<" ,laI ixLHd; cSú; iqrlaIs; lsÍug mdol jQ ffofjdam.; isÿùula jqKd' hqfrdamfha lf,l jeä w.hla .;a m%iQ; wef|ys ud;D urK ta ld,fha olakg ,enqKQ wjdikdjka; isÿùula jQfha iShla ldka;djka ore m%iQ;shg Ndch jk

December 2021

fï urK j,ska jeä yßhla isÿ jkafka ffjoHjreka yrydh' úkakTq ud;djka úiska lrk m%iQ;hka j,oS tfia jkafka ke;' fï Tiafia b.akdia fifu,aúia is;kakg úh' ta iïnkaOfhka f,dalfha fiiq w;aoelSïo úuikakg úh'

ore m%iQ;shla isÿ lsÍug fmr fyd|ska w;a fidaod.kakehs lSu ksid b.akdia fifu,aúia Wkau;a;lfhl= jYfhka ffjoHjreka úiskau yxjvq .eiqK;a Tyq ;u u;h fjkqfjka yels;dla fmkS isáfhah' National Library of Medicine Ndrfha we;s fuu PdhdrEmh b.akdia fifu,aúia fufyjr flfryS oelafjk Wmydrhls' we;euqka fï u;jdoh fy<d ols;aoS ;j;a lKAvdhula ta Wmfoia wkQj l%shd lrñka ud;D urK wvq lsÍug yels iEu W;aidyhlau .;af;ah' ¨ù mdiap¾" fcdaima ,siag¾ wOHhk j,g wdf,dalhla ÿka mqoa.,fhl=- jYfhka b.akdia fifu,aúia b;sydihg tla fõ' Courtesy: : National Library of Medicine

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hqfoõjka wdrlaId jQ ryi hqfoõ cd;slhka w;f¾ fujka ud;D urK isÿfjkjd wvqh' hqfoõjkag wd.u úiska mqreÿ mqyqKQ lrk ,o isß;la ;snqfKah' ta wka lsisjla fkdj w;a fiaoSuhs' th wd.u lshk úg muKla fkdj tosfkod iEu lghq;a;loSu mQ¾j lD;Hhla jYdfhka isÿ lsÍug YslaIdjla jYfhkau mkjk ,oafoa hqfoõ wd.u úisks' ud;D urK .ek b.akdia fifu,aúia isÿl< wOHhk ful, ffjoHjrekag mejreKQ ksYaÑ; rdcldßhla jQfha m%foaYfha flfkla ñh.sh úg urK mÍlaIK meje;aùuhs' iSñ; jq ffjoHjreka fndfyda wjia:d j,oS u< isrerla úÉfPokh lr wk;=rej ore m%iQ;shlgo ths' fï rdcldß fol;a isÿjk .eìKs urK;a w;r iïnkaOhla we;s neõ b.akdia fifu,aúia y÷kd .;af;ah' úIîc kdYl fhdod w;a fiaoSfuka fï urK b;d myiqfjka j<lajd .kakg yels nj Tyq fmkajd ÿkafkah' t;ekska fkdisg th m%dfhda.slj l%shd;aul lrñka Tyq Ndrfha isÿjk m%iQ; j,oS ud;D urK ixLHdj ishhg doctormagazine.lk

ffjoH fifu,aúiag Wmydr msKSi ksl=;a l< uqoaorhla

urKska miq b.akdia fifu,aúi kduhg fndfyda ls;a hiia" meiiqï .,d wdfõh' m%;sud" wkqiaurK M,l bos flßK' Tyq fjkqfjka ksl=;a lrk ,o uqoaoru ÿisulg jeäh' tfy;a w;a fiaoSu fjkqfjkau fjkaj we;s Tlaf;dan¾ 15 fjksod iod iurk ùrhd fudyqu ñi wka ljfrlao@

óg i;s lsysmhlg fmr .+.,a iud.u fï fldúâ me;sfrk iufha ffjoH fifu,aúiaa u;lh wjos lf<A fufyuhs' .+.,a iud.fï fuu f.!rjh f,fyisfhka flfkl=g fkd,efnk nj;a lsj hq;=uehs

90lska wvq lr fmkaùh' th wjfndaO lr.;a lKsIAG ffjoHjrekao fï l%uh wkq.ukh lrñka ud;D urK ;ukag we;s yels muKska kj;ajkakg lghq;= lrk ,oS' fï iïnkaOfhka Tyq ´iaá%hdkq ffjoHjreka oeKQj;a l< miq Tyqg ,enqfKA .,a uq,ah' wmydi yd Wmydih' jD;a;Sh ;=< ,efnkakg we;s Wiiaùï yd jD;a;Sh m%ia:djka mjd wysñ lsÍfuka Tjqka fkdkej;=fkah' zzmsiafilehs'''ZZ yxjvq .iñka Wkau;a;ld.drhlg n,y;aldrfhka hjk ,oS' flfia fj;;a b.akdia fifu,aúia m¾fhaIK ld¾hh iïnkaOfhka hqfrdamfha fiiq rgj, yd uyd ì%;dkHfhao l;sldj;la we;s úh' ¨ù mdiap¾ yd fcdaima ,siag¾ wkdjrKhkaf.ka fï fidhd .ekSï j, úYAùh i;H;djh Tmamq úh' wo jk úg zzwdidok md,khZZ hkq fi!LHdrlaIdfõ osju;=rhs' December 2021

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Ignaz Semmelweis fï ld,hg jvd;a WÑ; l;djla'''

w;a fiaoSu ksid fldúâ ffjrih md,kh jkafka fufyuhs fjfiiskau fldõâ 19 jix.;fhka f,dalhu we,,S.;a fï ld,fha w;a fiaoSfï jeo.;alu wka ljrodg;a jvd ikd: ù we;s nj mejish hq;af;auh' fldúâ ffjrifha msg; ia:rh inka fhdod w;a fiaoSfuka" YÍrh yd wfkl=;a mDIAG fiaoSfuka tu ffjrih úkdY l< yels nj wOHhk j,ska ikd: ù ;sfí' úIîckdYl ridhk j, ld¾hlaIu;djh óg;a jvd by<h' wOHhk j,g wkQj fiA w;a fioSfï isß; fya;=fjka fldúâ wdidokh me;sr hdu ishhg 36lska md,kh lr.; yel' fldúâ yereKQ úg úáka úg mek k.sk fymghsáia" bfnda,d" id¾ia wdoS jix.; md,kfhys w;a fiaoSu yd wdidok md,k l%shdud¾. j,g ysñ jkafka iEu úgu m%uqL ia:dkhhs' mdpkh yd iïnkaO frda. ishhg 3048lska u¾Okh lsÍugo ;Sj% iajik wdidok ishhg 20lska wvq lsÍugo fï isß; bjy,a fjhs' zzf,dal w;a fiaoSfï oskhZZ - Tlaf;dan¾ 15 w;a fiaoSu wo úYaùh fi!LH l%shdud¾.hla fldg i<lk w;r iEu j¾Ihlu Tlaf;dan¾ 15 zzf,dal w;a fiaoSfï oskhZZ jYfhka kï lr ta iïnkaOfhka f,dal wjOdkh ,nd .ekSu isÿ fjhs' w;a fiaoSug hfula tfrys fõo@ th th wo ld,fha ksielfhkau fy,d olsk iq¿ isÿùula jkafkah' tod ore m%iQ;s iQ;sld yd Y,Hl¾u lsrSug fmr fyd|ska w;a fidaod .kakehs lS ksid b.akdia fifu,aúia yg Wkau;a;ld. drhl l,a f.ùug isÿ úh' Wkau;a;ld.drfha fiajlhka fofofkl= úiska b.akdia fifu,aúia yg l< wudkqIsl myroSuloS ol=Kq w; nrm;, f,i ì|S thgo ksis m%;sldrhla fkd,en we;sjQ f,a úI ùï ;;a;ajhla ksid fï wiydh ffjoHjrhdg 1865 wf.daia;= 13 osk f,dalfhka iuq .kakg isÿ úh' ta jk úg Tyq ;u osú ießfha hka;ï wjqreÿ 47la .; l<d muKs' urKska miq ,enqKQ ls;a chf.dia bka miqj ;j;a fndfyda foa isÿ úh' b.akdia fifu,aúia fy<d ÿgq ffjoHjrekau Tyq fjkqfjka iaudrl" wkqiaurK ia:dk bos lf<Ah' Wmka rg yxf.aßhdjo ;ukaf.a rfÜ ckau odhdoh ,o úYsIAG mqrjeisfhlehs

December 2021

DOCTOR MAGAZINE

iïNdjkdjg md;% lf<Ah' wo Tyq f.!rjhg md;% jkafka zzkQ;k wdidok md,kfha mshdZZ jYfhks' ,laI ixLHd; .eìKs uõjrekaf.a cSú; j, wdrlaIdj Wfoid Tyq l< igk ksid Tyq zz.eìKs ud;djkaf.a wdrlaIlhdZZ hk f.!rj iïm%hqla; kdufhkao f,dfjka msÿï ,nkafkah' tf;la uq,a nei.;a oeKQu" Ndú;dj fya;=fjka úoHd;aulj lsishï ld¾hhla idlaId;a l<;a th ms<s.ekSug fkdleue;s ùu iïnkaOfhka wfma ld,fha fyd|u WodyrKh jkafka fï wiydh ffjoHjrhdg w;ajQ brKuhs' tfyhska tu iajNdjh Semmelweis Reflex hk kñka úoaj;a iudcfha l;dnygo ,lajQfha nqoaêu;=kag is;kakg fndfyda ldrKd fYAI lrñks' kuq;a wu;l fkdl< yels fõokd;aul i;H kï ksrjq,a Ñka;lfhla Wkau;a;lfhl= f,i yxjvq .id" myr oS if;la isõmdfjla .dkg fï wiydh nqoaosu;dg uefrkakg ie,eiaùuhs' DM Watch https://youtu. be/0xnordQIWCo

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Medi Gadget reêr mSvkh" reêrfha iSks uÜgu ksjerosj uek fok w¿;a ;df,a wem,a Trf,daiqj

mrïmrdfõ Apple Smart Watch tlla m<|sk uy;ajrekag wjia:djla ie,fikq we;' fuys miqìï l;dj fufiah'

Apple Watch Likely to Gain Blood Pressure, Blood Glucose, and Blood Alcohol Monitoring

reêr mSvkh" reêrfha iSks uÜgu ksjerosj uek fok w¿;a ;df,a wem,a Trf,daiqj reêr mSvkh" reêrfha iSks uÜgu fukau reêr.; we,afldfyd,a idkaøkh mÍlaId l< yels zziaudÜ Trf,daiqjlaZZ ksmoùug f,dal m%lg wem,a iud.u lghq;= lrhs' reêrfha iSks uÜgu uek ne,Su lgqjlska wkskafka ke;sj lsÍu m%dfhda.slj wmyiqh' reêr mSvkh kï uksk ksmehqï fï jk úg;a fj<|fmdf<A we;' tfy;a f,dal mQcs; wem,a ikakduh hgf;a fï lvbï ch .kakd Smart Watch tlla fj<|fmd<g ksl=;a jk nj weiSu fndfyda fokdf.a wukaodkkaohg fya;=jk ldrKhlau jkq we;' fuhg ZZjeroszz Wmdx.hlao tl;= lr ;sfí' ta reêr.; uoHidr m%udKh ksjdrosj uek .kakgo iu;a uDÿldx. Wmdx. hla fuhg tl;= lr ;sîuhs' ySka wähla .id fmd,sia rd,ydñ,df.a lfkka ßx.d ;u jdykh meoùugo fï kj

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Rockley Photonics hkq ì%;dkHfha ikakdu.; kfjda;amdol isÿ lrk lS¾;su;A iud.uls' Tjqka jvd;a m¾fhaIK lrkafka YÍrfha reêr ixirkh wdY%s; o;a; ,nd .ekSfï ir< l%u m%ldY ixfõol weiqf¾ yªkajd oSu (Developed non-invasive optical sensors designed to detect blood-related health metrics.) iïnkaOfhks' fï jefâg Rockley Photonics fldhs ;rï reishkao lsjfyd;a Tjqka oeka iaàõ fcdíf.a wem,a iud.fïo úYAjdih oskdf.k isà' iajlSh úfYAI{;djfhka b;d úYsIAG ldKAvfha fi!LH jd¾;d olajk fuj<ula ks¾udKh l< Rockley Photonics ta i|yd jk iïuq;sh “supply and development agreement” .súiquo wem,a iud.u iu. w;aika lr wjidkh' ta wkQj fuu kj fi!LH o¾Yl ksjerosj olajk Smart Watch tl Apple Watch Series 8 ldKAvh hgf;a 2023oS fj<|fmd<g ksl=;a lsÍug lghq;= fhdod ;sfí' DM

December 2021

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Care in Pregnancy .¾NŒ iufha iqohdu wjodkï ;;a;ajhlao@

Care in Pregnancy

.¾NŒ iufha iqohdu wjodkï ;;a;ajhlao@ fhdaks ud¾.fhka iajNdúlj msgfjk >%dj m%udKh .¾NŒ ld,fha lsishï jeä ùula isÿfjkjd m%ij yd kdßfõo úfYaI{ ffjoH pdñkao udf;dg MBBS (Colombo) MD Obstetrics & Gynaecology (Colombo) MRCOG (UK) DRCOG (UK) DOWH RCPI (Ireland) MRCPI (Ireland) Fellowship in laparoscopy, Fellowship in IVF & Assisted Reproductive Technologies (India) Dip in Advanced Gynae Endoscopy (Germany)

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December 2021

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.¾NŒ ujlg iqohdu fyda fhdaks ud¾.fhka >%djhla msgùu nyq,j olakg ,efnk ;;a;ajhla' fndfydaúg óg fya;= fjkafk .¾NŒ iufha iajNdúlj isÿjk fjkialï jqj;a l,d;=rlska fuh ore.eng mjd ydkslr úh yels ;;a;ajhka mdol lr.;a;la jkakg mq¿jka' idudkH ;;a;ajhla fukak tys iajNdjh .¾NŒ ld,fha .¾NdIhg fukau .eíf., yd fhdaks ud¾.h wdY%s;j reêr iemhqu jeä fjkjd' Bg wu;rj isref¾ fydafudak fjkialï /ila isÿfjkjd' fuys n,mEula f,i fhdaks ud¾.fhka iajNdúlj msgfjk >%dj m%udKh .¾NŒ ld,fha lsishï jeä ùula isÿfjkjd' fuh idudkH ;;a;ajhla' we;af;kau >%djh È.gu mej;Su ksid fhdaks ud¾.hg úIîc wdidok ;;a;ajhka we;sùfï wjodku wvq fjkjd' msgfjk i%djh wj¾K iy ÿ.|la fkdue;s >%djhla kï th idudkH f,i i,lk w;r lsis úgl th wvq lsÍug m%;sldr wjYH keye' os,Sr wdidokhlao@ iel yer.kak kuq;a iuyr úg fhdaks ud¾.fha úIîc wdidok ;;a;ajhla ksid msgfjk >%djh fjkia fjkak mq¿jka' fhdaks ud¾.fha leiSula iu. iqÿ meye;s >klï >%djhla msgfõ kï thg fya;=j Candida albicans È,Sr wdidok ;;a;ajh úh

ffjoHjrfhl= yuqùu iqÿiq jk ;;a;aj

jeä >k;ajhlska we;sjk >%dj yd úYd, m%udKfhka msgjk >%j

ÿ¾.kaOhlska hqla; ùu fhdaks ud¾.fhka leiSula we;sùu

fjdag¾ nE.a tl leä,do@

wj meye;s ùu

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103

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Care in Pregnancy .¾NŒ iufha iqohdu wjodkï ;;a;ajhlao@

msgfjk >%djh wjmeye;s ùu iy ta iu. ÿ.|la we;sùu nelaàßhd wdidokhl frda. ,laIKhla úh yelshs'

yelshs‍‍' fuhg m%;sldr f,i fhdaks ud¾.fhka we;=¿ lrk È,Sr kdYl T!IO ffjoHjreka kshu lrkjd' îug .kakd fndfyduhla È,SrkdYl T!IO .¾NŒ ujqjrekag iqÿiq ke;s ksid fhdaks ud¾.h yryd ,nd fok T!IO wid¾:l jk úg muKla úfYaI{ ffjoH ks¾foaYh u; kshñ; T!IOh kshu lsÍu isÿ lrkjd' msg fjk >%djh wj meye;s kï th wdidokhla@ msgfjk >%djh wjmeye;s ùu iy ta iu. ÿ.|la we;sùu nelaàßhd wdidok ;;a;ajhl frda. ,laIKhla úh yelshs' túg ffjoH Wmfoia u; iqÿiq m%;sÔjl T!IOhla ,nd.; hq;=hs' fjdag¾ nE.a tl leä,d kï''' ore.en wdrlaId lrk fjdag¾ nE.a tl leãu iuyr .¾NŒ ujqjrekag we;sfjk ixl+,;djhla' tjeks wjia:djl fjdag¾ nE.a tl ;=, we;s N%EK ;r,h fhdaks ud¾.h yryd msg;g meñfkkak mq¿jka' fuh kï wjodkï ;;a;ajhla' ta iu. fhdaks ud¾.h ;=, we;s úIîc .¾NdIhg we;=¿ùug yelshdj ;sfnkj' Bg wu;rj .eí f., újD; jqjfyd;a fml‚je, ta ;=,ska msg;g meñŒug fyda l,ska orejd ìysùu jeks ixl+,;d we;sfjkak mq¿jka' fujeks ;;a;ajhla we;sjQ jydu .¾NŒ ujla blau‚ka frday,lg meñ‚h hq;=hs' tys§ ujg iy orejdg we;súh yels ixl+,;d wju lsÍug iqÿiq m%;sldr isÿ lrkj' ore m%iQ;shg wdikakfhaoS''' ore m%iQ;shg wdikak fjk úg .eí f.f,ka msgfjk Yaf,aIau, >%dj m%udKh jeä fjkjd' .eí f., újD; ùu wdrïN fjk úg fuu >%djh iu. reêrh iq¿ m%udKhla msgfjkak mq¿jka' fuh ore m%iQ;sh wdikak ùfï ,laIKhla' ta ksid fuu ,laIK we;s fjk úg frday,a .;ùug iQodkï úh hq;=hs' DM The writer is a dedicated content writer on the subject. Read www.vog.lk He is a Visiting Consultant Obstetrician & Gynaecologist at Asiri Central Hospital Colombo, Ninewells Hospital - Colombo, Nawaloka Hospital Colombo, Joseph Frazer Hospital Colombo, Nawaloka Hospital - Negombo, Leesons Hospital Ragama, Melsta Hospital

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Mind & Soul f.d; .ik fma%;hd

f.d; .ik fma%;hd uka; mdi,a wOHdmk lghq;= i|yd kj mdi,lg we;=<;a jQ w;r" Tyq k;r jQfha Tyqf.a mshdf.a keÕ‚hf.a ksjfiah' ynrK m%foaYfha hyñka uqo,a we;s mjq,l tlu msßñ orejd jQ úuka;g ujf.a;a mshdf.a;a fifkyi fkdwvqj ,enq‚' kuq;a úuka; ;u keÕ‚hf.a ksjfia k;r lrkakg Tyqf.a foudmshkag isÿjQfha tu m%foaYfha mdi,lg wOHdmkh yeoEÍu i|yd we;=<;a lsÍug wjYH ksidh' úuka;f.a kekao‌d;a udud;a úuka;g fifkyi oelajQfha Tjqkaf.a orejl= fia is;dh' tu ksid úuka;g ;u foudmshka ke;s wvqjla fkdoekqfKah'

Y%S ,xld iajdmk úoHdfõ§kaf.a ix.ufha j;auka iNdm;s ufkda Ñls;ail" ffjoH mS'tka' úoHd,l=,m;s

b;d fyd¢ka wOHdmk lghq;= yeoErE úuka; tlajru l;d lroa§ f.d; .ikakg mgka .;af;ah' jpkhla l;d lr.kakg Tyqg ál fõ,djla .; úh' ke;fyd;a jpk meg¨‍‚' fuh úuka;f.a kj mdif,a .=rejrekag fukau kekao‌dg;a ududg;a m%Yakhla úh' zzfudlo úuka; ysáyeáfhau fudlla yß wyoa§ f.d; ..yd W;a;r fokafka@ Th <uhd óg l,ska kï Tfydu keye''' fudllao Th <uhg fj,d ;sfhkafka@˜ úuka;f.ka .=rejre úuikakg jQy' thg;a zzo''' o'''oka kE ñia˜ hehs úuka; W;a;r ÿkafkao f.d; .iñks'

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zzwhsfha orejg fudkd fj,do okakE jpkhla l;d lroaÈ;a f.d; .ykjd" ljo‌dj;a ke;sj' wms ys;=fj úys¿jg lsh,' ta;a orejg fudlla kuq;a fj,d ;sfhk mdghs˜ úuka;f.a kekao‌d Tyqf.a mshdg okajd isáhdh' zzta fudlo@ ta mq;dg ulafj,do@ bkak uu wlald tlal tkakï fudlo lsh,d n,uq wms weú;a˜ ;u keÕ‚hg úuka;f.a mshd mjid isáfhah' úuka;go fuh uy;a m%Yakhla úh' Tyq lf<a iudcfhkao Tyqf.a hy¿jkaf.kao wE;aùuh' f.d; ..ñka l;d lsÍu tla wf;lska Tyqg johls' ;j;a wf;lska ,eÊcdjls' fï fya;=j ksid Tyq mdi,a hEugo wÈuÈ lrkakg jq‚' úuka;f.a foudmshka ;u mq;=g l=ula isÿùo hkak oek.ekSfï fkdbjis,af,ka mdkaoru ksjiska msg;a jQfha úuka;f.a kekao‌df.a ksjig taugh' zzwfka wï'''ï.'''fï we'''wehs ug l;d lr.kak ne'''ne''' neß@˜ úuka; w~ñka ;u ujf.a wf;a fjf<ñka úuiqfõh' th lsisjl=gj;a ord .kakg neß wjia:djla úh' zzwms n,uq mqf;a fudllao fj,d ;sfhkafk lsh,d' wms fyg Wfokau fodia;r uy;a;hl=g fmkakuq˜ úuka;f.a mshd Tyqj iekiqfõh' zzfudllao u,a,S fyd|g ysáh uf.a orejg we;a;gu jqfKa˜ úuka;f.a mshd úuka;g isÿjQ we;s foa Tyq ;u keÕ‚hf.a ieñhd jk ,,ka;f.ka úuiqfõ ord. ekSug fkdyels ksidh' zzokakE whsfha wms fyg orejj fmkakuqfld fvdlag flfklag fudlo lsh,d n,kak˜ miqo‌d WoEiku úuka; legqj Tyqf.a foudmshka ffjoHjrhl= fj; f.dia orejd fmkakqfõh' úuka;g we;af;a ldhsl .eg¨‍jla fkdjk nj;a udkisl .eg¨‍jla nj;a fuh udkisl ffjoHjrhl=g fmkaúh hq;= ;;a;ajhla nj;a tu ffjoHjrhd Tjqkg mejiqfõh' zzyels blaukg orejd ufkda ffjoHjrhl= fj; fhduq lrk tl fyd|hs˜ wo‌d< ffjoHjrhdf.a 106

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ms<s;=ßka úuka;f.a foudmsfhda l=;=y,hg m;ajQy' ;u orejdg lsisÿ udkisl .eg¨‍jla fkdue;s nj is;+ Tjqka ffjoHjrhdf.a u;h meyer yer úuka;f.a flakaorh ne,Sug is;+y' úuka;f.a flakaorh /f.k tkakg ;u ksjig msg;a jQ úuka;f.a mshd tÈk uy ? ke.‚hf.a ksjig meñ‚fha tho /f.kh' miqo‌du úuka;f.a foudmshka Tyqf.a flakaorh /f.k fcHd;S¾fõÈhl= fj; f.dia orejdg isÿù we;af;a l=ulao hkak weiQy' flakaorh fyd¢ka mÍlaId lr neÆ fcHd;S¾fõÈhd mjid isáfha orejd fï f.jkafka tardIaGl wm, ld,hla nj;a ;j;a jir ;=kla bÈßhg tu wm, ld,h mj;sk nj;a ta i|yd j;ams<sfj;a lrk f,i;ah' ;u mq;=f.a ;;a;ajh bjid.; fkdyels jQ jeäysáfhda idia;r n,k uE‚ flfkl= fj; f.dia ish,a, wehg ie,lr isáfhdah'

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lr.ekSug fkdyels úh' ysñÈß mdkaor jk ;=re oywg md<s kegqj;a úuka;j l;d lrùug wmyiq jQ w;r Tjqka fi;a Ydka;sh lsÍug fmdfrdkaÿ jQ uqo, /f.k msg;a jQfha úuka;f.a f,fâ Èk y;lska iqj jk nj mjiñkah' fmakh neÆ uE‚fhda lshd isáfha úuka;g fmf¾; ne,aula jeà ;sfnk nj;a Tjqkf.a mjqf,a f.d;h ;snQ mqoa.,hl= ñhf.dia fmf¾; wd;auhla ,nd we;s nj;a tu fmf¾; wd;aufha ne,au fuu orejdg jeà ;sfnk nj;a ta fya;=fjka Tyqg fuu f.d;h we;s ù ;sfnk nj;ah' ta i|yd lvjr foúhkag fi;a Ydka;shla lr f.d;h ke;slr .ekSug yels nj;a weh mjid isáhdh' fmakh lsjQ uE‚hkaf.a l;dj úuka;f.a jeäysáhkag mqÿuh okjkakla jQy' ukao ;u mjqf,a f.d; .eiQ lsisjl= fkdisá nj Tjqkf.a u;h úh' tfiakï fmakh neÆ uE‚fhda lSfõ fndrejlao@ kuq;a úuka;f.a foudmshka fmakh neÆ uE‚hka lshQ mßÈ fi;a Ydka;shla lsÍug bgd .;ay' fi;a Ydka;sh lrk oji Wo‌d úh' lvjr foúhkag fi;a Ydka;sh lsÍu i|yd ish¨‍ nvq ndysrdÈh iQo‌dkï úh' tÈk rd;%sfha fmakh neÆ uE‚fhda we;=¿ hleÿfrda fi;a Ydka;sh wdrïN l<y' uyd yhsfhka fnr y~ ;<ñka ìhlre iajrfhka fkdf;afrk NdIdjlska l;d lrñka hleÿfrda kg;s' fnr .i;s' mkaoï ú,lal=j,ska tu rd;%sfha wkaOldrh myfjñka we;s fjñka ;j ;j;a ìhlre nj jeä lrhs' kuq;a fmak n,k uE‚hkag fyda hleÿrkag fyda úuka;j l;d lrùug wmyiq úK' úuka;f.a iajrEmfhka fmf¾; wd;auh úuka;g wdfõY ù we;s fihla olakg ,enq‚' kuq;a Tyqg l;d

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b|ysg mdi,g .sh úuka; .ek Tyqf.a .=rejre úuis,su;ajkakg jQy' fuh n,d isákakg fyd| fohla fkdjk nj Tjqyq l;d l<y' tfia kï úuka;j udkisl ffjoHjrhl= fj; jydu fhduq lrúh hq;= nj Tjqka úuka;f.a jeäysáhkag okajd isáhy' mdif,a .=reNj;l=f.a ud¾.fhka úuka;j ufkda Ñls;ail" ffjoH mS'tka' úoHdl=,m;s uy;d fj; fhduq flß‚' ta wkqj ufkda úoHd;aul m%;sldrj,g úuka;j fhduq lrñka ffjoH mS.tka. úoHdl=,m;s uy;d úuka;f.a f.d;hg ;s; ;eîh' úuka;f.a f.d;h iqj úh' ffjoH úoHdl=,m;s uy;d isoaêh fufia úia;r lf<ah'

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f.d;h lshkafka wukqIH n,mEula fyda tjeks ;;a;ajhla hgf;a we;sjk fohla fkdfõ' f.d;h wdldr folla hgf;a ú.%y fjkjd' Ôj úoHd;aulj hul=f.a f;d,aj," Èfõ fjkia ùula u; fyda we;eï T!IO úIùula ksid f.d;h jeks ;;a;ajhla ;djld,slj we;sfjkakg mq¿jka' fuh we;sfjkafka fndfyda l,d;=rlskqhs' kuq;a fndfyda fofkl=g we;sjkafka ufkda ldhsl f.d;hhs' fuh udkisl fya;=u; we;sjk ldhsl ;;a;ajhla' th ufkda ldhsl f.d;h f,i y÷kajkjd' fuu f.d;fha ,laIK fndfyda ;sfnkjd' msßila bÈßfha l;d lrk úg f.d;h jeä fõ' kuq;a iskaÿ lshk úg f.d;h tkafka keye' yqremqreÿ wh bÈßfha f.d;h wvqhs' flfkla tlajr m%Yakhla wik úg f.d;h jeä fõ' ;ukag jvd Wiia mqoa.,hska ;uka úfõpkh lrdú hk is;=ú,a, ksid tjeks mqoa.,hska bÈßfha f.d;h jeä fõ' nihl§ álÜ tlla b,a,k úg" ÿrl;kfhka ms<s;=re fok úg f.d;h jeä fõ' kuq;a fmd;la m;la n,oa§ f.d;h wvq fõ' f.d;h iuÕ inflda,ho tlg ne£ mj;S' fï f.d;h i|yd m%;sldr ffjoH úoHdfõ oelsh yelshs' kuq;a wfma iudcfha nyq;rhla f.d;hg k;=ù f.d;hg m%;sldr ,nd.ekSug m%udo lrkq ,nhs' úuka;f.a .eg¨‍j Èyd n,oa§ Tyqg w¨‍;a mßirhla" w¨‍;a mdi,la" w¨‍;a mqoa.,hska" w¨‍;a nia jyrla ksid Tyqg f.d; ;;a;ajhla we;sjkakg fya;= ù ;sfnkjd' mdi,a wOHdmkh i|yd wlue;a; we;sjQfhao fï ;;a;ajh fya;= fldgf.khs' iuyr wjia:dj,§ f.d; .ikakka weiqre lroa§ f.d; .ikakg yqre jk wjia:do ;sfnkjd' kuq;a f.d;h fndajkafka ke;' fujeks frda. ;;a;ajhka ffjoH úoHdj u.ska iqjlr .ekSug yelshdj ;sìh§ wfma iudcfha nyq;rhla hlaI" N+;" l=ïNdKavhka miqmi f.dia ;uka ißlr.;a foa úkdY lr.kakd

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wjia:d fndfydauhla olskakg wikakg ,efnkjd' th we;a;gu lK.dgqjg lreKla' f.d; .eiQ úuka; fï jk úg fyd¢ka l;d ny lrk w;r" w'fmd'i' Wiia fm< o wjika lr iriú jrï ,ndf.k ;u Ôú;h jdikdjka; lr.ekSug ;rï jdikdjka; ù we;' úuka; fidhd bkamiq fma%; f.d;hl= fyda lsisÿ wukqiaihl= meñ‚fha ke;' ^fuh i;Hhls' fuu isoaêfha kï .ï wdikak jYfhka fjkia l< nj lreKdfjka i,lkak' & zzúoHdj ÈhqKq f,dalfha fkdfmfkk n,fõ.hka fidhdf.dia úkdY jkakg tmd˜ hkak wjidk jYfhka ffjoH mS' tka' úoHdl=,m;s uy;d mejiqfõh'

úfYaI ia;+;sh ksu,a w,af.j;a; uy;aud Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s

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wd;rhsáia frda.hg fydañfhdam;s m%;sldr reufgdhsâ wd;rhsáia .ek Tn fkdo;a lreKq wo iudcfha fndfyda fofkl= mSvd úÈk úojk frda.hla f,i wd;rhsáia yÿkajkak mq¿jka' wd;rhsáia j¾. 100lg wêl ixLHdjla we;s w;r nyq;rhlg Tiaáfhda wd;rhsáia tkï ikaê f.ùhdu ksid we;sjk wd;rhsáia j¾.o f,a j, iqÿ ffi,j, l%shdldß;ajh jeäùu ksid ldáf,ac laIh lrjk reufgdhsâ wd;rhsáia j¾.o ck iudcfha nyq;rhlg mj;sk wd;rhsáia j¾. fõ'

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fydañfhdam;s ffjoH wkqId fyaul=udr

reufgdhsâ wd;rhsáia frda.h iajhx m%;sYla;slrK frda. ^Autoimmune Disease& ldKavhg wh;ah' tu ldKavhg wh;a jk ;j;a frda. f,i Psoriatic arthritis, Multiplesclerosis, Lupus arthritis jeks

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Homeopathy wd;rhsáia frda.hg fydañfhdam;s m%;sldr

>k Ndjhg m;ajQ l=yrf.da, mg,h l=yrf.da, ;r,h

ÿ¾j, fjk ldáf,ach

wd;rhsáia frda.hg ,laù w;af,ys ikaêhla

frda. we;=,;ah' fuys§ isÿjkafka wfma YÍrfha m%;sYla;slrK moaO;sh jerÈ ks.ukhka ke;skï jerÈ jgyd .ekSula hq;a;j YÍrfha y;=rl= f,i wfmau ikaêia:dkj,g oeä m%ydr t,a, lsÍug hduhs' fuys§ iqÿ reêrdKq l%shdldß;ajh jeä ù fõ.j;a f,i ikaê l=yrj,g .,d tau' tys§ Tjqka msglrk ihsfgdlhsksia ^cytokines& ridhksl øjH ikaê jgd we;s wdrlaIl mg,h synovial 110

December 2021

membrane úkdY lsÍug .kak W;aiyh ;=< Bg m%;spdrh f,i ikaêh m%;sm%ydr t,a, lsßug hdu isÿjk l%shdj,sh ikaêh ;=< ,isld kue;s ffi, md,khlska f;drj j¾Okh ùu isÿ lrhs' tu.ska mgl iuqyhla tlg tla ù mkaki ^pannus& kue;s jHqyhla f.dvkef.k w;r tu.ska ldáf,aÊ úkdY lrk tkaihsu ksmoù ldáf,aÊ úkdY lsÍu isÿlrhs' fï ksid ikaê tlsfkl .eàu" bÈóu" fõokdj" ikaêh ;=< we;slrjk m%odyl ;;a;ajh reufgdhsâ wd;rhsáia f,i y÷kajkjd' j<¨lr" ue‚lalgq ikaêh" oKysi" w;amd" we.s,s mqrela m%Odk f,i m%odyhg ,lajk ia:dk fõ' ridhksl mÍlaIK u.ska tkï Rheumatoid factor, ESR, FBC, CRP u.skao X ray jd¾;d u.skao kshudldr f,i frda.h ikd: lr.; yel' fuys§ wmg we;af;a Sero Negative Rheumatoid Arthritiso, Sero Positive Rheumatoid Arthritis hk j. mÍlaIK u.ska ffjoHjrhd ks.ukh lrkq ,nhs'

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frda. ,laIK ² uq,sl ,laIK f,i we.s,s mqrelaj, tk fõokdj l%u l%ufhka wfkl=;a we.s,s mqrelaj, fõokdj iu. bÈóu' ² Wohg ke.sák úg we.s,sj, ;o .;sh" bÈuqï iajNdjh th wfkla ikaêj,;a me;sÍu' ² u| WK .;sh oekSu ² lEu wreÑh ² rd;%S kskao fkdhdu ² u<noaOh ² ikaê p,k wmyiqùu ² ifuys .eá;s u;=ùu ² mmqj jßka jr lelal=u .ekSu ² weiaj, leiSu ² uykaish oekSu ² ikaê r;= meyeh .ekSu ² ord.; fkdyels fõokdj ² l%u l%ufhka ikaê weoùu Anti CCP (Anti Cyclic Citrullinated Peptide Antibody& mßlaIKh u.ska mÍlaId lrkq ,nk m%;sfoayh jeämqr ;sfnk frda.shl=f.a ikaê weú§fï jeä m%jK;djla mej;sh yel' wjodkï idOl ² yDohdndO we;sùu' ² rla;ySk;djh ² fmky¿j, le<e,a we;sùu ² yqiau .ekSfï wmyiq;djh' doctormagazine.lk

² weia úh,Su" weia wdidok ;;a;aj we;sùu' ² ifï .eá;s u;=ùu" wdidok we;sùu ² is;=ú,s j, jHdl=,Ndjh yg .ekSu'

wvq ySfud.af,dìka uÜgu

idudkH ySfud.af,dìka uÜgu

jeä ySfud.af,dìka uÜgu

rla;ySk;djh fkdfyd;a f,a j, ySfud.af,dìka wvqùuo fuu frda. hg fya;=jla jk wjia:d fjhs'

fydañfhdam;s m%;sldr j,ska wd;rhsáia frda.hg id¾:lj m%;sldr l< yel

je<elaùu my; ioyka wdydr reufgdhsâ wd;rhsáia j¾Okhg n,mdkq we;' ² iSks iys; wydr" mdk j¾. wêl Ndú;h' ² ieliq iy r;=uia' ² CI‚l wdydr' ^mSid" n¾.¾& ² u;ameka Ndú;h' ² Tfï.d-6 fïo jeä wdydr .ekSu' December 2021

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Homeopathy wd;rhsáia frda.hg fydañfhdam;s m%;sldr

² Tfï.d-3 fïo wvq wdydr wiu;=,s;j .ekSu' ² ¨Kq wêl f,i wdydrh .ekSu' ² áka l<" weiqreï lrk ,o wdydr .ekSu' ² we;eï Öia" ng¾ j¾. Ndú;h reufgdhsâ wd;rhsáia u¾Okh ioyd .; hq;= wdydr ² í¨fnß" nelafnß" iafg%dafíÍ" lekafnß" rdiiafíÍfïjd m%;sTlaisldrlj,ska fmdfydi;a jk wdydrhg .ekSu iqÿiqhs' ² wem,a m%;sTlaisldrlj,ska b;d fmdfydi;ah' ² jÜglald" y;=" fn%%l,s jeks t<j¨ ² b.=re" iqÿ¿kq Ndú;h ² ksis Wmfoia u; jHdhduj, ksr; ùu' ² wdydrj,g wu;rj ukfia ikaiqkalu" ksrjq,aNdjh b;d jeo.;ah' wd;rhsáia frda.hg fydañfhdam;s m%;sldr b;du iqúfYaIhs' frda. uq,hu ke;s lr ouk neúka reufgdhsâ wd;rhsáia iqjl< yels frda.hls' fydañfhdam;s m%;sldr uq,O¾u wkqj frda.shdg wkq.; lrk

112

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T!Iêh l%shdj,sh YÍrfha i;=rej isák m%;sYla;slrK moaO;sh kej; ys;ldó ;;a;ajhg mßj¾;khg fhduq lsÍu ñka isÿlrkq we;' tu.ska iqÿ ffi, m%ydr l%shdj,sh l%u l%ufhka ke;s ù hdu frda. uq,h h:d ;;a;ajhg f.k tu fuu m%;sldr l%ufha m%;sM, oelau f,i fõokdj ke;s ù hdu" bÈóu ke;s ù hdu" weoh l%u l%ufhka fjkiaùu" frda.shd h,s h:d ;;a;ajhg m;aùu wmg oel.; yelsh' fï ;=< YÍr wNHka;rh reêr ridhksl ixhq;sh iu;=,s; ùu isÿjk w;r kshudldr f,i m%;sYla;slrk moaO;sh f.dvke.Su isÿlrhs' frda.shdf.a iqjm;aNdjh ksieljkq we;' kuq;a jhi wkqj f.jqKq ldáf,aÊ j¾Okhg ndOd lrk fldia" fo,a" jïngq" uelr,a" uqxweg" lúms" uhsfhdlald" w," mßmamq fkd.; hq;=hs' fydañfhdam;s T!Iêh wdf,amkj, wk¾> T!Iêh l%shdldß;ajh —wd;rhsálalsfhda˜ iy —fjßfldialsfhda˜ ldáf,aÊ j¾Okh ùug;a" wiaÓ fmaYs" kyr" iakdhq LKaOrd" nkaOkS j, fjkialï h,s h:d ;;a;ajhg f.k taug uy;a fia Wmldr lrkq we;' lsisÿ w;=re wdndOhlska f;drj" mdúÉÑh myiq jQ fuu wk¾> fydañfhdam;s m%;sldr l%uh ;=< frda.shdf.a fmkajk ldhsl frda. ,laIK oefkk udkisl ,laIK fï ish,a, ie,ls,a,g .kq ,nhs' fydañfhdam;s m%;sldr l%shdj,sh frda.hg fkdj frda.shdg isÿlrkq neúka Tjqfkdjqka fmkajk wfõksl frda. ,laIK frda. uq,h h:d ;;a;ajhg f.k tau ;=< ke;s ù hkafka frda.shd iïmq¾Kfhka reufgdhsâ wd;rhsáia frda.s ;;a;ajfhka l%u l%ufhka iqjm;aNdjh;a iu.h' tu iqjh w;aú§u Tnf.a Èúfha jdikdj jkq we;' DM

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tÉ fla fydañfhdam;s fy,a;a flhd¾ fikag¾ m%hsjÜ ,sñgâ fkd'12" ms ì w,aúia fmf¾rd udj;" lgqneoao" fudrgqj'

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wdhq¾fõoh ihsáld frda.h

fkdi,ld isáfhd;a ;=káfhka my< fldgi wl%Sh lrk .DO%eiS fyj;a

ihsáld frda.h zzksfrda.S njZZ mru ,dNh f,i mejiqjo wo ojfia zzksfrda.S njZZ we;af;a lSfhka lS fokl=go@ frday,lg .sfhd;a" ijia hduhl ffjoH uOHia:dkhlg tys rÕ n,d.; yel' wo ojfia wm úúO f,v frda.j,ska mSä;j Ôj;a jkafkuq' uydpd¾h wdhq¾fõo ffjoH iqukr;ak wur;=x. DASC. BA Pg. PhD ysgmq úÿy,am;s" .ïmy úl%udrÉÑ wdhq¾fõo ffjoH úoHd,h

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wdhq¾fõoh ihsáld frda.h

wiQjla jd; frda. w;ßka zz.DO%eiSZZ kï jQ frda. wjia:dj wo ojfia b;d iq,nj iudch ;=< oel.; yels jkafkah' ngysr ffjoHjreka fuu frda.h iháld (Sciatica) kñka y÷kajhs' .DO%eish kï jQ ñksia isref¾ we;s úYd,;u zzjd; kdähZZ uq,a lrf.k fuu frda.h yg.kS' wdhq¾fõofha uQ,.%ka: j, olajd we;s mßÈ l=ms; jQ jd;h u.ska zz.%eOeiS uy kyrhZZ wdY%h lrñka fuu frda.h yg.kS' fuu frda.h zz.scqiq jd;hZZ ke;fyd;a zz.%eOeiS jd;hZZ f,io y÷kajhs' zz.DO%eiSZZ hk ixialD;sl jpkfha w¾:h jkafka zz.scqiQ hkakhs' .scq hkq .scq,syskshkag fhdok kduhls' wdhq¾fõofha fuu frda.h zz.DO%eiSZZ kñka y÷kajkafka frda.h W;aikak jQ úg .scq,sys‚hl= .uka lrk ú,dihg weú§ug fya;=jk ksihs'

114

December 2021

fuys ly meyefhka oelafjkafka ihála iakdhqjhs

frda.h we;s jkafka fufyuhs fuu frda.hg ióm;u fya;=j jkafka zzlfYareldka;r ìïnhZZ (Intervertebral disc) msgqmig fkrd tafuka kdäh f;rmS bÈóug ,laùuhs' fï ;;a;ajh yÈis wk;=rl§ fyda fldkafoa úlD; bßhõjloS" ta wdY%h lr.;a msysàul§ jqjo isÿúh yel' Bg wu;rj wka;¾ lfYarel ìïn msmsÍu ksid;a fuu frda. ;;a;ajh yg.kS' ;jo fld÷ weg fmf<ys weo ùu" fld÷weg Èrdm;a ùu" wêl iS;,g ksrdjrKh ùu" wêl nr tiùu" jerÈ bßhõj, §¾> ld,hla ksr; ùu wd§ lreKqo fï frda.hg fya;= jk nj i|yka l< hq;=h' ;Ügï wdrïN ù mdoh msgqmiska .uka lrk fõokdj fuys ,dlaI‚l frda. iajNdjhhs' we;eï úg fï fõokdj tla mdohl fyda mdo fofla fyda we;súh yelsh' fufia isÿjkafka lfYareld j,ska msúfik iakdhq f;rmSu fya;= fldg f.khs' uq,a wjÈfha§u fldkafoa fõokdjla f,i we;sù l%ufhka ixlS¾K ;;a;ajhlg m;afõ' fï ksid we;sjk fõokdj

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w;sYhskau W.% jQ úg frda.shd .scq,sysksfhl= fia weú§u fyda iïmQ¾Kfhkau weú§ug fkdyels ùuo isÿúh yelshs' we;eï frda.Ska yg fï iu.u mdoh mqrdu we;sjk zzysr iajNdjhlaZZ mj;S' mdoh n/;s nj oefka' mdofha udxYfmaYskaf.a ixfldapkh iy mdo odyho we;sfõ' tfiau fuu fõokdj u<noaOh wêlj mj;sk whgo" jd; fldamldr wdydr nyq,j .kakd whgo ^jïngq" uElr,a" ksú;s" nKavlald''' wdoS jYfhka& jeä úh yel' ihsáld frda.hg m%;sldr ihsáld frda.hg wdhq¾fõo yd fy< fjoeÿrka b;du;a id¾:lj isÿ lrkq ,nkjd' fujeks frda.Ska uq,skau ksYaÑ;j y÷kd. ekSu l< hq;= fjkjd' frda.shd ihkhl Wvq w;g È.d lr" oK ysi kukafka ke;sj iïmQ¾K mdoh áflka ál by<g tiùu l< hq;=h' .DO%ei frda.Skag ;u mdoh wxYl 45la jk ;rï jQ fldaKhla msysgk fia j;a ;u oK ysi fkdkud tiúh fkdyelshs' tfia doctormagazine.lk

fld÷weg mqrela folla w;r ;sfhk ;eáhg ysrùfuka m%odyhg m;afjk ihsáld iakdhqj ksihs zz.DO%eiSZZ we;s jkafka' ys| .kakd úg fuu ;eáhg we;sjk mSvkh jeä fjkjd' túg fõokdj jeä fjkjd' nrla Tijk wjia:djlÈ;a fï fõokdj yd oefkk wmyiqj jeä fjkjd'

lsÍfïoS ;Sj% fõokdjla Wl=,a ikaêh wdY%s;j mek ke.S' fuu mÍlaIdj u.ska ksYaÑ;ju iháld frda.Ska y÷kd.ekSug m<mqreÿ ffjoHjrhl=g yelsh' m<uqj frda.shd f.a YÍr m%lD;sh iy frda. fya;=j ks¾Kh l< miq tla tla frda.shdg úfYaIs; jQ Ñls;aid moaO;shlg wkqj m%;sldr wdrïN l< hq;= fjkjd' fï i|yd wNHka;r fukau ndysr m%;sldro ;sfí' wNHka;r m%;sldr jYfhka lidh" .=,s" l,al" pQ¾K iy fm;s j¾.o ndysr m%;sldr f,i ff;, wNHx." mskaviafõo ^f;,a me,eia;r oeóu& m;a;= ue,a¨‍ï wdoshffjoHjrhd úiska kshu lrkq ,nkjd' fuu frda.hg m%;sldr ,nd .ekSug hdfï§ olaI ffjoHjrfhl= y÷kd.ekSu w;sYhska jeo.;a' ksis wjfndaOhlska f;drj m%;sldr ,nd ÿkafkd;a fndfyda

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wdhq¾fõoh ihsáld frda.h

ks¾foaYs; zzl%sñrdc iqo¾Yk me‚hZZ Tng Èjhsk mqrd msysá ish¨‍u isxy, fnfy;a nvq lkao j,ska ,nd.; yel' frda. ksjdrKfha zzl%sñrdc iïm%odhZZ jd" ms;a" fiï kue;s ;%sfodaI fldam ùu ksñ;af;ka yg.kakd frda.dndO iqj lsÍuhs' frda.shd frda.S nfjka uqojd .ekSu yd ksfrda.S mqoa.,hdf.a iajia:;dj wdrlaId lsÍuhs' DM fõokdj .uka lrk ia:dk rEmfha r;= meyefhka oelafjhs

ÿIalr;dj,g uqyqK §ug frda.shdg isÿúh yels neúks' id¾:l wdhq¾fõo m%;sldr moaO;s ;=<ska frda. ;;a;ajh myiqfjka iqjlr .; yelshs' fydaud.u" lsßj;a;=vqfõ weï ã ,sfõßia wur;=x. iy mq;%fhda jk wmf.a wdh;kfha zzl%sñrdc ksIamdokZZ kñka T!IO j¾. 250 lg wêl m%udKhla ksIamdokh lrkjd' fuu T!IO Èjhsk mqrd ;sfnk isxy, fnfy;a nvq wf,úie,a j,ska ñ,§ .ekSug ms<sjka' jir 70lg wêl ld,hl isg .=Kd;aul T!IO" Ydl idr muKla Ndú;d lrñka TIO ksmojñka Y%S ,dxflah mqrjeishka ,laI ixLHd; msßila Tjqkag yg.kakd úúO frda. dndO j,ska uqojd .ekSug uyÕ=‍ odhl;ajhla ,nd § we;' fldfrdakd frda.hg m%;sYla;s lrk T!IOh zziqo¾Yk me‚hZZ fldfrdakd frda.hg m%;sYla;s lrk T!IOhla f,i ks¾foaY lr we;s zziqo¾Yk me‚hZZ l%sñrdc ksIamdokhla f,i oeka fj<|fmd<g ksl=;alr ;sfí' Y%S ,xld wdhq¾fõo fomd¾;fïka;=fõ iQ;% lñgqfõ

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l%sñrdc ksIamdok i|yd úuiSï uydpd¾h wdhq¾fõo ffjoH iqukr;ak wur;=x. weï ã ,sfõßia wur;=x. iy mq;%fhda nd,!IOd.drh lsßj;a;=vqj ÿrl:kh$ *elaia

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Bfï,a: krimiraja@sltnet.lk Web: ayurvedakrimiraja.com

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wdhq¾fõoh Tng m%fhdackj;a w;a fnfy;a lsysmhla

Tng m%fhdackj;a w;a fnfy;a lsysmhla

Wmqgd .ekSu Natural Life 118

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2' yeuodu Wfoag uo WKqiqï WKq j;=r ùÿrejl W¿ yd,a l=vq f;a yekaola Èh lr mdkh lrkak' 3' W¿ yd,a weg" iQÿre weg iudkj wrf.k fyd¢ka wUrd .kak' fï ñY%Kfhka f;a yekaola Wfoa iy rd;%S wdydrhg l,ska uo WKqiqï j;=rg tla lr mdkh lrkak'

wdhq¾fõoh oshjeähdjg w;aÿgq T!Iëh wdydrh W¿yd,a''''

ta jf.au Tn wdydr ms<sfh< lroa§;a wdydr j,g wu;l fkdlr W¿yd,a álla tl;= lrkak' wdydr j, rih jf.au th Tfí fi!LHh;a wdrlaId fõú'

oshjeähdjg w;aÿgq T!Iëh wdydrh W¿yd,a'''' ojiska oji fnda fkdjk frda. j,g f.dÿre jk m%udKh wjidkdjka; f,i by, hkjd' ta w;ßkq;a yoj;a frda." fldf,iagfrda,a" yd Èhjeähdj lshkafka jeä fofkl=g je<f|k m%Odku frda.S ;;a;ajhka' Èhjeähdj lshkafk;a wo fjoa§ nyq;rhla fokd ;=, olskak mq¿jka frda.S ;;a;ajhla' fï ;;a;ajfhka wdrlaId fjkak;a frda.h je<÷kq whg iqjm;a fjkak;a ;sfhk jákd T!IOhla ;uhs W¿yd,a lshkafka' W¿yd,a f;a yekaol le,ß 35'5" ldfndayhsâf¾g .a?ï 6'4" fm%daàka .a?ï 2'5" fïoh .a?ï 0'7" fl¢;s .a?ï 2'7" hlv ñ,s .a?ï 3'7" ;U ñ,s .a?ï 0'1" úgñka B6 ñ,s .a?ï 0'1l m%udKhla wvx.= fjkjd' W¿yd,a lshkafka Tng miiqfjkau imhd .kak;a mq¿jka wuqøjHla' ta jf.au Tfí wdydr fõ, rij;a lrk W¿yd,a j,ska Èhjeähdj iqj lr .kak f,dl= iyhla ,efnkjd' W¿yd,a j,g f,a j, ;sfhk .aÆfldaia idkaøKh wvq lsÍfï by< yelshdjla ;sfhkjd' ta ksid W¿yd,a Ndú;fhka Èhjeähdj we;=¿ fnda fkdjk frda. lsysmhl wjodkfuka ñfokak Tng mq¿jka' n,kakflda fldfyduo tal lrkafka lsh,d' 1' msßisÿ j;=r ùÿrejlg W¿yd,a f;a yekaola oud /hla ;sfhkakg yer WoEik mdkh lrkak'

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W¿yd,a wdydr Ô¾Kh iïnkaO .eg¿ j,g;a fyd| úi÷ula' iSks yd ldfndayhsfâ%g Wrd .ekSu;a wvq lrñka Èhjeähd ;;a;ajh we;s fjkak ;sfhk bv m%udKh wju lrkjd' YÍrh iSks jeh lrk m%udKh by< kxjkak;a odhl fjkjd' nfâ wudrej" nvje,a yd wdudYfha wdidok jeks fndfyda wdydr Ô¾Kh iïnkaO .eg¿ j,g Woõ fjkak W¿yd,a j,g mq¿jka' ta jf.au fuys we;s ;ka;= <,noaOh jeks ;;a;ajhkag;a iykh i,ikjd' fujka jákd .=K iuqodhla we;s W¿yd,a úúO wdldr j,ska Tfí wdydrhg tl;= lr .ekSu Tfí fi!LHh fïid by< ïggulg by< kxjkakg fya;=jk nj Tn fuf;la oek isáhdo@ DM ^Wmqgd .ekSuls'&

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wdhq¾fõoh uOqksud uyú, ,sms irKsh

uOqksud uyú, ,sms irKsh

fkdmsg fmr¿KQ cSjk rgdj wo oshjeähd frda.Ska fï id jeä fjkakg fya;=jla wdydr isß; fjkia fj,d''' yß yuka jHdhduhla kE''' ysf;a i;=gl=;a kE''' wfma foaYSh mrïmrdkq.; ffjoH l%uh wkQj iSks lsh, f,vla kE' fïl zzuOqfïyhZZ ke;fyd;a zzoshjeähdjZZ f,i oelafjkjd'

120

December 2021

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ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKavdr

oshjeähdj yefokafka fldfyduo@ wfma YÍrfha mdúÉÑhg fhdod .kakd ri myla ;sfnkjd' uOqr" wï," ,jK" lgql ;sla; wdoS jYfhka' fï ;sla; mod¾:hka jeämqr wdydrhg fkd.ekSu

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oshjeähdjg mdr lmkjd' fudkjo wmg wjYHfhkau wdydrhg tla úh hq;= ;sla; wdydr mod¾:@ weUQ,a j¾." lyg j¾." lgql fkdfyd;a ier wdydr' fï wdydr fkdf.k wo ldf, wms jevqmqr .kafk fudk wdydro@ meKsri wdydr" flá wdydr''' iSks jeä wdydr' lD;%Su wdydr' fïjd w.akhdYfha reêr iSks md,kh fkdfyd;a hdukh .s,syS hkakg fya;= fjkjd' th ;uhs reêrfha iSks lsh, Th fmdÿ jyf¾ y÷kajk .aÆfldaia jeä fõkg uq,' biair oshjeähdj jeämqr yeÿfK uqo,a yo,a jeämqr ;snqKQ whg' ta wh ;uhs jeä uqo,la f.j, wvq .=Kd;auhla ;sfnk wdydr jeämqr .;af;' ta;a myq.sh ldf, fï jeo.eïulg ke;s .=Kd;aufhka msßyqKQ wdydr rg mqrdu jHdma; jqKd' ÿmam;a" fmdai;a fNaohla kE'''' yefudau jf.a fïjg yqre jqKd' tafl m%;sM<hla úosyg wo we;s ke;s fNaohlska

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lh fjfyid jev lsÍu;a" .=Kj;a wdydr wkqNjh;a''' úfYaIfhkau ;sla; rie;s wdydr ySk ùu;a ksid uOqfïy frda.Ska ful, iq,nj jd¾;d jk nj wdhq¾fõo u;dkql+, u;hhs'

f;drj" jhia fNaohlskq;a f;drj iudcfha iEu ;eklu jf.a oshjeähdj fkdfyd;a uOQfïyh;a jHdma; fj,d' mdrïmßl fjolfïoS;a wm fuh reêr.; .aÆfldaia idkaøKh by< hdu mdol lr.;a frda.hla nj ms<s.kakjd' thska fndfyda bkaøsh wl¾ukH lrk nj" úkdY lrk nj ms<s. kakjd' fï reêr.; iSks md,kh lsÍu ;uhs wfma b,lalh jkafka;a' fï reêrfha iSks md,kh lrk wdydr j,ska" T!Iëh me<eá j,ska wdhq¾fõoh yßu fmdfydi;a' jeo.;au ldrKh ;uhs' fïjd iajdNdúlju isrerg m;a;shï fjk ixl+,;d lsisjla we;s fkdlrk wdydr ùu' T!IO ùu' oshjeähd iukfhys,d ngysr fjolug jvd wfma mdrïmßl fjolu" wdhq¾fjkAo fjolu bosßfhka isákafk fï ldrKh ksihs' fï frda.h we;s ùfuka j<lskakg .; hq;= mshjr fudkjdo@ w.akHdYfha lmdg j,ska mgl osf.a ffi, j,g bkaishq,ska .uka lrkjd' uOQfïyh yg.kafka

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wdhq¾fõoh uOqksud uyú, ,sms irKsh

w.akHdYh kue;s wfma Wor.;j ;sfnk bkaøsh m%udKj;aj bkaishq,ska ksmoùula isÿ fkdlsÍfuka' thg iDcqju wm .kakd wdydr n,mdkjd' bkaishq,ska ksIAmdokhg ydkshla isÿ lrk wdydr fkd.; hq;=hs' m<d j¾. f.dgqfld<" uql=KQjekak" fldjlald" f.dksld" ySkafndaúáhd" jerksh o¿" lvqmyr wdoS jYfhka jk fld< meyefhka hqla; wdydr YÍrhg b;d ys;lrhs' fïjd bkaishq,ska ksIAmdokh osß .kajk wdydr' fï wdydr isß; fjkia ùu ksid f,dl= l+vd nd, uy¿ ishhg 40la ú;r fï oshjeähdj frda.hg k;=j isákjd' we;af;kau fï l%ufhka msg mkskak jQK;a Tjqkag yelshdjla ke;sj we;s' yeuodu neß jQK;a fï fld<meye wdydr i;shlg ojia folla j;a .kakjd kï frda. fhka ñfokak th úYd, msgqjy,la fjkjd' wo wms fldhs ;rï lsõj;a fndfyda fofkla .kafka ngysr wdydr' iSks fhÿ wdydr" mdk j¾." neomq" f;ïmrdÿ l< wdydr ukqIH 122

December 2021

wm wdydrhla .;a úg tys we;s .aÆfldaia wka;% yryd reêrhg wjfYdaIKh fjhs' tys m%;sM<hla jYfhka reêrfha iSks ixhq;sh jeä fjhs' túg tu iSks ixhq;sh wvq lrkakg w.akHdYfhka bkaishq,ska fydafudakh >%djh fjhs' fuys m%;sM<hla jYfhka tu iSks ffi, j, m%fhdackh msKsi wjfYdaIKh fjhs'

mßfNdackhg iqÿiq kE' fu kqiqÿiq wdydr .kakjd kï .; hq;af;a b| ysg,d' ta;a wms fï krl wdydr mqreoaola f,i .kakjd' tys m%;sM<hla úosyg w.akHdYh ÿ¾j, ùfuka iSks hdukh wl¾ukH fjkjd' reêr kd, j, f;,a ;ekam;a fjkjd' wdydr rgdj yerKQ úg oshjeähdj we;s ùug n,mdk fjk;a idOl fï frda.h yefokak wdldr y;la ;sfhkjd'  oshjeähdj yefokakg uki;a n,mdkjd' iM< lr fkd.;a is;sú<s fya;=fjka we;sjk Ñ;a; mSvdj;a oshjeähdj frda.hg fya;=jla fjkjd'  jHdhdu fkdlsÍfuka l=iS; cSú;hlg yqre ùfuka oshjeähdj yefokak mq¿jka'

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 u< uQ;% fõ. Odrkh;a fyd| kE' tajd wjYH;djh we;sjqKq l,ayS msg lrkak ´ks' tfia fkdjqKQ úg we;s úh yels Wmøj w;f¾ uOQfïyh we;sùu;a ;sfnkjd'  f;,a wêlj fh¥ fjk;a nr wdydr ks;r ks;r wkQNjfha fhfokjd kï th;a fï frda.h yefokak fya;=jla' uu fmd;la ilia lr ;sfnkjd" zzuOQksudZZ hkqfjka tys oshjeähdj ;sfnk whg bka md,khla we;s lr .kakg;a" ke;s whg frda.h wE;a lr .kakg;a jHdhdu oyhla .ek úia;r lr ;sfnkjd' we;af;kau jHdhdu idOlh yßu jeo.;a oshjeähdj wE;a lrkak' wms yeu flfklau oskm;d lh fjfyfik jHdhduhl ksr; úh hq;=hs' oshjeähdj ;sfnkjd kï Tyq ksielfhkau jHdhduhla isÿ l< hq;=hs'

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biair wms fldhs ljqre;a fyd|g weÕ m; fjfyfikak jev l<d' bka miafi ;uhs jfika f;dr fmdaIHodhS f.or yok wdydr fõ,la wkqNj lf<A' tod ù ál jqK;a jfka fldg,hs n; ilia lf<A' ñßia ál" ;=kmy ál wUr.;af; ñßia .f,ka' orefjd yïn fjkak bkakj kï Tjqkaf. wïu, .eìKs ujg kslka bkak ÿkafk kE' m%iQ;shg weÕ Tfrd;a;= fokak iqÿiq úosyg lh fjfyikak Wmfoia ÿkak' wo wehg yeufoau myiq fj,d' fï ksid wehg;a ffokslj wjYH jHdhdu ,efnkafk kE' l=Uqfr" j;af; msáfh jqK;a f,dl= jev isoaO fjkafk hka;% iQ;% j,ska' fï f.dú;ek wo jvd;a myiq /lshdjla njg m;a fj,d' lvfmd<g hkak ;%S ù,a" mäfm< k.skak úÿ,s fidamdk" fï úosyg cSú;h myiq fjk úhg mßKdóh jYfhka ukqIHdg Wreu jHdhdu m%udKh ,efnkafk kE' fï oshjeähdj jf.a f,v frda. fï úosyg iq,n fjkakg jHdhdu uosmdvq jSfï idOlhla nrm;, fya;=jla' DM

oekg oshjeähd frda.Ska oyia .Kkla iqjm;a lr we;s háhkaf;dg uyú, fjouy;df.a oshjeähd m%;sldr idhkh oshjeähdj m%;sldr f;dr;=re oek.kak" wmg wu;kak

071 1631 724$ 036 5710 810 036 2270 220 foaYSh ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh ^wdhq¾fõo ffjoH iNdfõ ,shdmosxÑ wxlh 14251 ) uyú, fjo ueÿr" háhkaf;dg mahavilawedamahatha9@gmail.com

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ms<sld kik fy< fjolu ms<sld j,g tfrysj l%shd lrk wdydr

ms<sld kik fy< fjolu ms<sld j,g tfrysj l%shd lrk wdydr .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd,

ms<sld frda.fhka fmf<k frda.Ska fndfyda úg Tjqkaf.a Ôjk ;;a;ajh jeä ÈhqKq lr .ekSu i|yd iajdNdúl ms<shï j,g yqreùu b;d fyd| mqreoaols' ms<sldjla we;s flfkla ksjerÈ wdydr yd w;sf¾l wdydr iu. fi!LH iïmkakj yd iunr Ôjk rgdjla .; lsÍu b;du jeo.;a' úoHd;aul mokula fkdue;sj ms<sld frda.Ska ´kEu wdydrhla .ekSu m%fhdackj;a fkdjk

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w;r fjfiiskau jiúi iys; wdydr mßfNdackhg yqreùu ksid nrm;< wys;lr n,mEï we;s ùfï wjodkulao ;sfí' ms<sld folla tl yd iudk fkdfõ' iEu frda.sfhl=u ;u ffjoHjrhd Wmfoia fok wdydr yd w;sf¾l wdydr j,g fhduq ùu b;d jeo.;a' my;ska i|yka lrkafka fmdÿfõ ´kEu flfkl=g yd úfYaIfhkau ms<sld frda.sfhl=g iqÿiq wdydr j¾. ms<sn| úia;rhls' lßú, fmdaIK .=Kfhka b;d by< wdydrhls' ms<sld frda.Skag muKla fkdj Èhjeähdj" w¾Yia" fldf,iagfrda,a jeks frda. j,ska fmf<k whg;a

doctormagazine.lk

lßú, b;d .=Kodhlhs' nvjef,a yg.kakd ms<sld" mshhqre j, we;sjk ms<sld i|yd b;d .=Kodhlhs' reêrh msßisÿ lsÍfï .=Kh b;d by< t<j¿jla' lßú, weg ms<sld T!IO ksIamdokhgo fhdod .kS' wfkdaod nvje,aj, we;sjk ms<sld" w.akHdYfha ms<sld" mshhqre ms<sld je<elaùfï .=Kh b;d by< m<;=rls' ffjri iy nelaàßhd kdYl .=Kh by<skau we;' wêl reêr mSvkh we;s frda.Skag yd Èhjeähd frda.Skago .=Kodhlhs' ms<sld frda.Skag b;d ys;lr m<;=rls' ¥ßhka fidaähï" fmdgEishï" ue.akSishï" le,aishï hk uQ,øjH yd ldfndayhsfâ%Ü fm%daàk hk m%Odk fmdaIl nyq, m<;=rls' ms<sld kdYl .=Kh b;d by<hs' ms<sld j¾Okh ùfï fõ.h ySk lrhs' YÍrfha m%;sYla;slrKh jeä ÈhqKq lrhs' fldf,iagfrda,a frda.Skag fukau Èhjeähd frda.Skag;a iqÿiqhs' r;=w, fkdfyd;a îÜ kik .=Kh b;d by<ska we;s t<j¿jls' ms<sld j¾Ok fõ.h wvq lrhs' ms<sld ffi, úkdY lrhs' m%;sYla;sh j¾Okh lrhs' wêl reêr mSvkh wvq lrhs' w¾Yia frda.Skag .=Kodhlhs' ms;a;dYfha frda.j,ska fmf<k whg;a .=Kodhlhs' wêl ;rndrej u¾okh lrhs'

doctormagazine.lk

*e,efjdkhsv" Bkshq,ska" iefmdkska hk mhsfgdridhk hyñka wvx.= ksid iqÿÆKQ n,.;= ms<sld kdYlhlehs ie<fla' fjfiiskau wdudY ms<sld j,g tfrysj th l%shd lr;ehs yªkdf.k ;sfí'

kiakdrx úgñka C, A, E yd K nyq, m<;=rls' Bg wu;rj fmdgEishï nyq, f,i we;' ;jo fmdiamria" ue.akSishï" hlv" iskala yd le,aishï wvx.=h' ms<sld kik .=Kfhka by<hs' ms<sld ffi, j¾Ok fõ.h wvq lrhs' yDo frda. j<lajk .=Khlao we;' .¾NŒ ldka;djkag b;du;a .=Kodhlhs' ì;a;r j¾;udkfha isÿ l< m¾fhaIKj,skao lshefjk mßÈ ì;a;r j, úgñka B nyq, ksid ms<sld frda.Skag .=Kodhl kuq;a ì;a;rhlfm%daÁk .a?ï y;la muK we;s ksid ta w¾:fhka neÆ úg ms<sld frda.Skag kqiqÿi hs lshd lshkak mq¿jka' kuq;a ì;a;r j, wvx.= fif,kshï keue;s ix>glh ms<sld frda.Skag b;d fyd|hs' w,s.egfmar m%n, m%;sTlaisldrlhla jk .a¨‍g;hka nyq, w,s.egfmar YÍrfha wdka;%sl wjfYdaIKhg ndOd muqKqjk úúO fya;= úkdY lrkjd' wlaudj wdYs%; ms<sld frda.Skag b;d .=Kodhlhs' ñßia fuys wvx.= jk zzlemaihsiskaZZkue;s ridhksl ix>glhg ms<sld ldrl øjH WodiSk lsÍfï yelshdjla ;sfí' wdudYhsl ms<sld we;s ùu je<elaùfï yelshdjla we;' .ia,nq ^mefmd,a& úgñka iS nyQ,j wvx.= m<;=re j¾.hls' m%;sTlaisldrl .=Kfhka by<hs' ta ksid ms<sldldrl zzkhsfg%dfhdweókaZZ wjfYdaIKh lr .ekSu j<lajkq ,nhs' .eíf., ms<sld yd fjk;a ms<sld wju lrk zzf*d,iskaZZ .ia,nqj, wvx.= fjhs'

December 2021

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D•Magazine /

ms<sld kik fy< fjolu ms<sld j,g tfrysj l%shd lrk wdydr

iqÿÆkq fuys m%;sYla;slrKh jvjk zzwe,shïZZkeue;s ixfhda.h wvx.= ksid ms<sld ffi,j,g tfrysj igka lsÍug yelshdj ;sfí' iqÿÆkq ieugu m%fhdackj;a wdydrhls' i,a*¾ jeäfhka wvx.= ksid wdudY ms<sld we;s ùu je<elaùfï .=Kh we;' ms<sld ffi, iajNdúlj úkdY lsÍfï yelshdjla iqÿÆkqj,g mj;S' wem,a fuys we;s iajdNdúl fl|s yd fmdaIK mod¾: ms<sld ffi, we;sùu j<lajhs' ud¿ YÍrfha úgñka D uÜgu by< kxjk wdydrhls' fuys§ ieuka l=ïn,d ud¿ j¾. úfYaIhs' fuu ud¿ j¾. wdydrhg .ekSfuka ms<sld ffi, u¾okhg WmldÍ fõ' m%;sYla;s ffi, W;af;ackh lrk zzfif,akshïZZj,skao fuu u;aiH wdydr fmdfydi;ah' r;= ñÈ urŒh wdndOhla jk ms<sldj u¾okh lsÍfï uyÕ=‍ yelshdjla r;= ños j,g ;sfí' mshhqre ms<sld" Worfha ms<sld iy wlaud ms<sld j,ska je<lSu i|yd r;= ñÈ úYd, jYfhka msgqjy,la fõ'

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wo uq¿;ekaf.h fi!LHiïmkak wdydr j,g muKla iSud lsÍu hq.fha wjYH;djhls' fndfyda ms<sldldrl yd jiúI wdydr j, mj;akd w;r tajd fkdue;s wdydr .ek wjfndaOhla .DyKshka fj; ;sìh hq;= jkafkah'

;lald,s úgñka A iy ZZ,hsfldfmkaZZ keue;s ridhkslh wvx.= fõ' fuu.ska ms<sld kdYl .=Kh we;s fõ' ms<sld j¾Okh ùfï fõ.h wvq lrhs' fud<fha ms<sld .eá;s j,g tfrysj igka lsÍfï yelshdjla we;' ;o ÿUqre meye;s fpdla,Ü m%;sY;fhka ishhg 70la wvx.= fpdla,Ü j, ms<sld ffi, jeãfï fõ.h wvqlrk ridhk iy m%;sTlaisldrl wvx.=h' u,a f.dajd u,a f.dajd j, zzi,afmdrf*akaZZ iy zzbkafvda,a-3ZZ hk ridhksl ixfhda. wvx.=h' fuh ms<sld ldrl úI keiSug iu;ah' jïngq jïngq zzg¾fmakaZZ mjqf,a Ydlhls' ms<sld fi, me;sÍu md,kh lsÍug jïngq j,g yelshdj we;' ms<sld ffi,j,g wjYH tkaihsu wjysr lsÍfuka ms<sldldrl .eá;s u; fïjd l%shd lrhs' wm tÈfkod ,nd .kakd fndfyda wdydro ms<sld frda. i|yd T!IO f,i l%shd lrkjd' úfYaIfhkau úúO j¾Khka iys; wdydr - f.dgqfld<" idrk" i,do"

DOCTOR MAGAZINE

doctormagazine.lk

wfma mdrïmßl l=¿nvqo ms<sldkdYl .=Kh w;ska by<h'

iQÿre" uyÿre" W¨‍yd,a" ly" tkid,a" lrdnqkeá" l=re÷" .ïñßia wdÈ t<j¿ yd l=¿nvq j¾.j, ms<sld kdYl T!IO wvx.= fõ' bruqiq" fk,a,s" rils|" fmd,am,d" yd;djdßh jeks T!Iëh mdk j¾. j,;a ms<sld kdYl T!IO wvx.= fõ' ;jo fl¢ iys; wdydr j¾. jk fldys," flfi,auqj j, ms<sld kdYl .=K mj;skjd' Y,H" Yia;%" laIdr" w.aks yd T!IO u.ska w¾nqoh ^ms<sldj& iïmQ¾Kfhkau iqj lsÍug yel' wo ojfia foaYSh fy< fjoeÿrka Ydlidr T!IO Ndú;d lrñka ms<sldj id¾:lj u¾okh lrkq ,nkjd' Ydl T!IO úI rys; jk w;r w;=re wdndO we;s fkdjk ksid;a yßhdldrj m%fõYfuka §¾> ld,hla jqj frda.shdg ,nd Èh yels ksid Ydlidr T!IO j¾;udkfha jeä jeäfhka Ndú;d lrñka T!IO ksmojkjd' .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;sjrhd jk ud y;<sia mia jirl muK ld,hl isg ms<sld frda.Skag muKla fkdj ish¨‍ ksoka.; yd i¾jdx. frda. i|yd m%;sldr ,nd fok rcfha ,shdmÈxÑ wdhq¾fõo ffjoH Wmdêh ,nd.;a mdrïmßl ffjoHjrfhlañ' uf.a mrïmrdj zzúiaidrduZZ fjo mrmqrhs' wmf.a fjo mrïmrdjg Wreu mdrïmßl fy< ryia jÜfgdarejlg wkqj T!IO fnfy;a me<Eá j¾. foiShl muK tl;=jlska ilia lrk zzmdkSh ms<sld ff,hZZ ´kEu ms<sld frda.hla iqjlrk ÈjHuh T!IOhls' YÍrfha we;s ms<sld ffi, yUd f.dia tajd u¾okh lsÍfï yelshdj fuu ff;,hg ;sfnkjd'

wefußldj" cmdkh" tx.,ka;h" ud,Èjhsk" lekvdj" vqndhs" nyf¾ka" l=fõÜ wd§ rgj, bkakjd' Tjqkaf.a f;dr;=re ´kEu wjia:djl § bÈßm;a lrkakg ud i;=j ;sfnkjd' tu ksid Tng mjikafka Tng ms<sld frda. ,laIK my< ù ;sfí kï" tfia fkdue;s kï ms<sldjla hhs ielhla mj;S kï ke;fyd;a ta iïnkaO mÍlaIKhlg uqyqK oS tu jd¾;d j, ms<sld ;;a;ajhka ;yjqre ù ;sfí kï úYajdifhka meñK ud yuqfjkak' ug mq¿jks Tnj iqjm;a lrkak' DM

mdrïmßl ffjoH ta ta iqu;smd, ^iduúksir q e& .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s i¾jdx. Ñls;i a l ,shdmÈxÑ wxl 13297 mdrïmßl foaYh S ms<l s d ffjoH uOHia:dkh fn,sfldgqj" wrkaor" wgd< ^.,s.uqj wúiaidfõ,a, ud¾. fha lsf,daóg¾ yhhs& ÿrl:k

ms<sld frda.S ;;a;ajhla kï b;d blauKska T!IO ,ndÈh hq;=hs' Èkhla fyda miqjQjfyd;a m%dKh uqojd .kakg ta Èkh;a n,mdkjd' uúiska iqj l< ms<sld frda.Ska wfma rfÜ muKla fkdj ´iafÜ%,shdj" doctormagazine.lk

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ukqIH YÍrfha yg .kakd ish¨‍u ms<sld iqjh

mdkSh ms<sld ff;,h úYañ; m%;sldrhls

ALL CANCER TREATMENT CENTRE ish¨u jl=.vq frda. i|yd

m%fïy úoajxYkS ff;,h ysfia ms<sld" fud<fha f,a leá ysrùu" fn,a," W.=r" uqLh" .,kd,h" iqiqïkdj" fmKy,a," wdudYh" wlaudj" hlD;h" ms<dj" ms;a;dYh" fm!reI .%kaÓ;sh" wfOdaud¾.h" N.kaord" uydka;%h" fldÿwegfm<" jl=.vq yd f,a ms<sld" wiaÓ ms<sld" udxY ms<sld" .eíf., ms<sld" *hsírhsâ" ,shqflañhd wd§ ishÆu ms<sld me;sÍu kj;d iykh ,nd fohs' ngysr m%;sldr ,nñka isák ´kEu ms<sld frda.sfhl=g o mdúÉÑ l<yels jk mßÈ foaYSh YdL idruh T!IO ixfhda. lr ms<sfh, lrk w;aÿgq ÈjHuh T!IOhls' wjqreÿ 40l w;aoelSï yd m<mqreoao wkqj ksmojd we;' Wfoa iji fïi yeÈ 1 ne.ska mdkh lsßu wjYH fõ' foaYSh ms<sld ffjoH uOHia:dkh

wdhq¾fõo ffjoHdpdhH_ ta'ta iqu;smd, lS¾;s Y%S foaYnkaÿ fjoHdNsudks bkaÈhd isoaOd¾fõo" iïudk,dNS" idu úksiqre ^lE.,a, wêlrK l,dmh&" wdhq¾fõo YsfrdauŒ" mKaä; ^iïudk,dNS&" mßirfõ§

fn,sfldgqj wrkaor" wgd, ^.,s.uqj - wúiaidfõ,a, mdr&

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