yd n,dfmdfrd;a;=fõ kjd;ekafmd

Lanka Hospitals Haemato-Oncology Centre

reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd<

Lanka Hospitals Haemato-Oncology Centre

reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd< ,xld fydiamsÜ,a reêr ms<sld uOHia:dkh

idhksl rla;fõo úfYAI{ ffjoH iuka fyajdudk MBBS(Colombo), MD(Medicine, Colombo) MRCP(UK), FRCP(London), FRCPath(UK), PhD(UK), CCT (Haematology, UK) Consultant in Clinical Haematology/Haemato-Oncology (UK), Member British Society of Haematology, Member American Society & Haematology

Lanka Hospitals Haemato-Oncology Centre

reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd<

reêr.; ms<sld frda. iïnkaOfhka fï ld,fha fjfiia wjOdkhla fhduqù ;sfnkjd' ksrka;rfhka fï reêr.; ms<sld ldKAvfha frda.Ska jd¾;d ùu;a we;eï úg kjH ;dlaIKh fhdod .ekSu wjYH ùu;a ksid fï frda.Ska iïnkaOfhka fï rfÜ m%;sldr l%u úêu;aj mj;ajd .ekSfï wjYH;djh mek k.skjd'

fï miqìu ;=< b;d id¾:l wdldrfhka reêr.; ms<sld j,g m%;sldr i,ik wdfrda. HYd,djla mej;Su fï rfÜ ck;dj ,o Nd.Hhla' zz,xld fydiamsÜ,a reêr.; ms<sld frda. uOHia:dkhZZ c.;a msßú;r j,g wkQj mj;ajd .ksñka" kjH l%ufõohkao ksrka;rfhka Ndú;hg .ksñka ngysr rgj, reêr.; ms<sld frda.Ska ,nk id¾:l;ajhg wdikak jQ id¾:l;ajhla fï jk úg;a w;am;a lrf.k ;sfnkjd'

reêr.; ms<sld iïnkaOfhka yd id¾:l;ajfha ch.%yK w;am;a lrf.k isák ,xld fydiamsÜ,a reêr m%;sldr uOHia:dkfha m%Odks rla;fõo frda. úfYAI{" ffjoH iuka fyajdudk iu. flfrk ms<si|rl ;;= iu.ska fufia wm Tn yuqjg tkafkuq'

frda.sfhl=g m%;sldr lsÍfïoS jvd m%;sM<odhS frda.S l<uKdlrKhla i|yd úúO lafIA;%hkayS m%ùK ffjoHjrekaf.a m%udKsl oeKQu wjYH fõ' ,xld fydiamsÜ,aia reêr uOHia:dkfhaoS iEu frda.sfhla iïnkaOfhkau fujka Multidisciplinary Team (MDT) Approach yuq u.ska bosß m%;sldr l<uKdlrkh isÿ fjhs'

wmg uq,skau fï reêr.; ms<sld iïnkaOfhka uQ,sl ye|skaùula lrkak' reër.; ms<sld uQ,slj fldgia ;=klg fnfokjd' ,shqflañhd" ,sïfmdaud yd uhsf,daud wdoS jYfhka' fï reêr.; iïNjhla iys; ms<sldjla we;sjQ úg YÍrfha reêrh ksIamdokhg;a" reêrh u.ska flfrk l%shdldrlï j,g;a ndOd meñfKkjd'

fndfydauhla reêr.; ms<sld we;s fjkafka reêrh ksIAmdokhg uQ,slj lghq;= lrk wegñÿ¿ j,uhs' fï wegñÿ¿ j, mj;akd l=U ffi, ( Stem cells) r;= reêrdKQ" iqÿ reêrdKQ yd mÜáld hk reêr ffi, njg mßK; fjkjd' reêr.; ms<sldjloS fï reêr ffi, W;amdokh ùfï l%shdj,shg ndOd meñfKkjd ú;rla fkdfjhs" widudkH ffi, j, ys;=jlaldr ckkh ùul=;a isÿ fjkjd'

lSfudf;rms m%;sldr reêr ms<sld frda.Skaf.a m<uq fm< m%;sldrhla fjhs' jvd;a wdrlaIs; mßirhla ;=<" b;d ixúê; md,s; ;;a;aj hgf;a lSfudf;rms m%;sldrh frda.Ska fj; isÿ flf¾

fï reêr ffi, j,g YÍrfha hy l%shdldß;ajh fjkqfjka bgql< h;= ld¾hhka /ila ;sfnkjd' lsishï wd.ka;=l úIîchla YÍr.; jqKdu th wvmK lrk m%;sYla;sl l%shdj,sh" reêrh .e,SuloS th k;r lsÍug isÿ lrk reêrh leá .eiSfï l%shdj,sh''' wdoS jYfhka' reêr.; ms<sldjla ;sfnk úg fu l%shdj,s j,g;a fmdÿfõ ndOd meñfKkjd'

kej;;a wms fï uQ,sl reêr.; ms<sld j¾. .ek flá meyeos,s lsÍula lruq@ ,shqflañhdj lshkafka wegñÿ¿ mdol lrf.k we;sjk ms<sldjla' fuysoS widudkH iqÿ reêrdKq úYd, jYfhka ksIamdokh jk w;r tajdg ms<su¨‍ka yd igka lr YÍrh f,vfrda. j,ska wdrlaId lr.kakg yelshdjla kE' ta ú;rla fkdfjhs wegñÿ¿ j,oS r;= reêrdKQ yd mÜáld ksIAmdok l%shdj,sh;a ,shqflañhdj ksid wvmK fjkjd'

,sïfmdaudj lshkafka YÍrfha jid moaO;shg n,mj;ajk reêr.; ms<sld úfYaIhla' fuysoS ,sïfmdihsg lshk iqÿ reêrdKQ wdldrh widudkH ,sïfmdaud ffi, njg fmrf<kjd' tajd jid .eá;s yd YÍrfha fjk;a mgl wdY%h lrf.k ys;=jlaldr f,i ckkh fjkjd' fï fya;=fjka l,la hk úg YÍrfha m%;sYla;slrK moaO;sh wl¾ukH fjkjd'

uhsf,daud lshkafka ;j;a reêr.; ms<sldjla' fuh we;s jkafka wmg we;s úh yels frda. yd wdidok j,ska wmj wdrlaId lrk zzm%;sfoayZZ ksmoùug fya;= jk ma,iaud ffi, j, we;sjk ms<sldjla jYfhka' uhsf,daudjla we;sjqKdu m%;sfoay ksIAmdokfha idudkH hdka;%Kh wvmK fjkjd' tys m%;sM<h

Lanka Hospitals Haemato-Oncology Centre

reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd<

jkafka ksrdhdifhkau YÍrh wkdrlaIs; ùuhs' mqxÑ f,vla jQj;a úkdYldÍ m%;sM<hla we;s lrkakg fï ksid wjia:dj ie,fikjd'

reêr.; ms<sld frda.Ska uqyqKmdk úYd,;u wNsfhda.h l=ulao@ b;du fyd| m%Yakhla' fï reêr.; ms<sld frda.Skag we;s úYd,;u .eg¿j ;uhs ndysrj we;sjk fjk;a frda. yd wdidok fï frda.Ska úIfhys b;d nrm;, frda. ;;a;aj njg m;aùu' mqxÑ wdidokhla jQj;a óg l,ska lsõj jf.a f,dl= ydkshla isrerg we;s lrkak fï ksid mq¿jka'

mqxÑ Yajik wdidokhla fmKy¿.; kshqfudakshdjla olajd j¾Okh fjkak fï frda.Skag ;sfnk wjia:dj jeähs' iuyr fj,djg reêr .e,Sï kj;a; .kak neß fjkjd' fldákau fï frda.Ska nyq;rhla wkdrlaIs; mßirhla ;=< jeä jYfhka ñhefokafk ms<sldj ksid fkdfjhs' fï ksid we;sjk wdidok yd úúO ixl+,;d ksihs' fï ksid reêr.; ms<sld fï frda.Ska ksjerosj /l n,d.ekSu w;sYhska jeo.;a'

fï reêr.; ms<sld frda.Ska iqj lrkakg mq¿jkao@ fndfydauhla frda.Ska i|yd m%;sldr yd m%;sl¾u ;sfhkjd' frda.shd iqjh ,nkakg we;s wjia:dj lreKQ lsysmhla u; ;SrKh fjkjd' ms<sld j¾.h" tys l=uk woshrl frda.shd isákafkao hk j. yd frda.shdf.a idudkH fi!Lh ;;a;ajh wdoS ldrKd u; frda.shdf.a iqjh ,eîfï wjia:dj ;SrKh fjkjd'

reêr.; ms<sld frda.Skag lrk m%;sldr fudkjdo@ uQ,sl jYfhka m%;sldr lsysmhla ;sfnkjd' thska jvd;a iqÿiq m%;sldr ;SrKh lrkafka ffjoHjrhd úiska" ffjoHjreka lKavdhula úiska frda.shdf.a ;;a;ajh iudf,dapkh lsÍfuka miqjhs' we;eï úg m%;sldr lsysmhlau tljr ke;fyd;a tla m%;sldrhlg miq B<Õ m%;sldrh jYfhka l%shd;aul lrkjd'

reêr.; ms<sld frda.Skag lrk uQ,sl m%;sldrhla lSfudf;rms' úfYAI ms<sld T!IO kslafIAmkh lsrSu' ta yereKQ úg úlsrK Ñls;aidj" wegñÿ¿ noaO lsÍu"

rfÜ fjk;a ms<sld m%;sldr lrk ffjoHjreka" fyoshka yd wjfYAI ld¾huKAv, i|yd kj oeKQu" w;aoelSï fnodfok jevuq¿ fuu m%;sldr uOHia:dkfhka ksrka;rfhka meje;afjhs'

Targeted therapy, Immunotherapy wdoS m%;sldr fï frda.Ska Wfoid isÿ lrkjd'

fï frda.Ska úúO wdidok j,g ,laùfï wjia:d jeä nj Tn m%ldY l<d tfiau frda.Ska jeä jYfhka ñh hkakg fï frda.Ska /ln,d .ekSfï wvqmdvqlïo fya;= jk nj Tn mejiQjd' fï ;;a;ajh ;=< ,xld fydiamsÜ,a reêr frda. uOHia:dkh fï frda.Ska wdrlaId lr.kakg f.k we;s úfYaI mshjr fudkjdo@ wm fï frda.Ska i|yd ta fjkqfjkau mqyqKQjla yd mßphla ,enQ ld¾huKAv,hla fhdod .kakjd' ta wh ksrka;rfhka kj oeKQfuka ikakoaO lrkjd' fï frda.Skag úIîchla YÍr.; fjkakg b;d l=vd fyda wjodkula we;s fjkakg wm bv ;nkafka kE' ld¾h uKAv,h ksrka;rfhka ksis fi!LHdrlaIl l%u wkq. ukh lrkjd' ffjoHjrfhl= j;a w;aos. lïi" ghsmá m<|skafk kE' tajd Tiafia iq¿ fyda úIîc iïfm%aYKh ùfï wjodkula ;sfhkak mq¿jka ksid Bare below elbow mqreoao wm frda.Skaf.a wdrlaIdj Wfoid mj;ajd f.k hkjd' wuq;a;ka ne,Su wm fnfyúka iSud lr ;sfnkjd' fï wdldrfhka wm b;d ksjerosj frda.S i;aldr l%shd ms<sfj;la wkq.ukh lrkjd'

Tfí wdh;kh ksrka;rfhka Wiia ;dlaIKh Ndú;hg .kakjd' wegñÿ¿ noaOh b;d id¾:lj isÿ lrk reêr frda. uOHia:dkhla f,i fu jk úg Tn wdh;kh m%p,s;j ;sfnkjd' fï jk;=re wegñÿ¿ noaO id¾:l;ajh ishhg iShhs' ishhu frda.Skag cSú;h ,nd fokak iu;aj ;sfnkjd' fï ngysr mkakfha ;rugu wdrlaId lr.kakd id¾:l;ajfha ryi l=ulao@ wm fï wdh;kh wdrïN lf<A 2013 j¾Ifhaos' uyd ì%;dkHh" reêr.; ms<sld frda.Ska b;d id¾:lj m%;sldr lrk rgla' uu reêr frda. úfYaI{ ffjoHjrfhl= jYfhka uyd ì%;dkHfha oS¾> ld,hla lghq;= lr ;sfnkjd' uf.a jD;a;Sh iqÿiqlï ,nd.;af;;a uyd ì%;dkHfha úoHdh;k j,ska' wm uq, b|kau uyd ì%;dkHfha msßú;r wkq.ukh l<d' ksrka;rfhkau uu tu úoHdh;k" m¾fhaIlhka iu. hdj;ald,Sk ùï isÿ lrkjd' fï ksid ta oeKQu" ta mßph wm ksrka;rfhkau ,dxflah frda.Skaf.a wdrlaIdj msKsi fhdod.kakjd' ,xld fydiamsÜ,a reêr ms<sld uOHia:dkh fï rfÜ reêr.; ms<sld frda.S i;aldr fiajd iïnkaOfhka mqyqKq uOHia:dkhla jYfhka lrk fiajh .ek mjikak@ Haemato-Oncology wfma rfÜ uq,a nei.;a úfYaI{ ffjoH YdLdjla fkdfjhs' Haematologist frda.h úksYAph lsÍfuys yjq,a jqKd' Oncologist frda. m%;sldr lsÍfuys odhl;ajh oelajQjd' kuq;a reêr.; ms<sld iïnkaOfhka m%;sldr lsÍfïoS fï folu taldnoaOj Haemato-Oncology Sub Speciality tlla mej;Su ;=< frda.Skag jvd;a idOdrKhla bgq fjkjd' fï rfÜ fcHIAG ms<sld ffjoHjrekaf.a b,a,Su u; fuu fï lafIA;%h iïnkaOfhka uyr.u wfmalaId frday, we;=¿j ffjoHjreka mqyqKQ lsÍula l<d' thg ,xld fydiamsÜ,a frday, wk,iaj wkq.%yh oelajQjd'

Lanka Hospitals Haemato-Oncology Centre

reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd<

reêr.; ms<sld frda.Skag ksjerosj lSfudf;rms T!IO ,ndoSu;a" bka miqj Tjqka b;d ie<ls,af,ka /ln,d .ekSu;a b;du jeo.;a' wfma wdh;kh ta iïnkaOfhka ukd mßphla iys; ld¾huKav,hlska mßmQ¾Khs' wmg fï rfÜ ish¿u reêr.; ms<sld frda.Ska wdrlaId lr .ekSfï iudc hq;=lula ;sfnkjd' ta .ek wjfndaOfhka wms rdcH wxYfha fukau fm!oa.,sl wxYfhao frday,aj, fyoshka" T!IOfõoSka i|yd lSfudf;rms mqyqKQ myiqlï iEu j¾Ihlu mj;ajkjd'

reêr.; ms<sld frda.S i;aldrfhaoS jeo.;a jk fiiq wxY fudkjdo@ frda.S m%;sldr ;Skaÿ lsÍu i|yd ta iïnkaO úúO lafIA;% j, úfYaI{hka iyNd.s jk Multidisciplinary Team (MDT) Approach m%fõYhla wm wkq. ukh lrkjd' úlsrK úfYAI{hka" jHdêfõoSka" rla; ms<sld ffjoHjreka tl fïihl idlÉPd lr frda.Ska iïnkaO ksjeros ;SrK .; hq;=hs' wm th isÿ lrkjd' tfiau ksrka;rfhka kj oeKQu hdj;ald,Sk lr.ekSu fjkqfjkao wm iEu úgu msmdidfjka miq fjkjd' frda.S m%;sldr j, .=Kd;aul ;;a;ajh m%j¾Okhg wm ne?rï f,i lghq;= lrk nj lsj hq;=hs'

reêr.; ms<sld yerKQ úg Tn wdh;kh fjk;a reêr.; fodaI iys; frda.Ska Wfoido m%;sldr lrkjdo@ Tõ' wm reêr.; ms<sld frda.Ska muKlau fkdfjhs" fjk;a reêr.; fodaI iys; frda.Skago m%;sldr lrkjd' ksrla;sh" reêrh leá .eiSfiï widudkH;d" r;= reêr ffi, ydks ùu ksid we;sjk Haemolysis ;;a;ajhka" reêrh leá .eiSu ksishdldrfhka isÿ fkdjk Idiopathic thrombocytopenic purpura ;;a;ajh" .¾NKS wjêfhaoS we;sjk reêr.; fodaI fukau fjk;a reêr.; widudkH;d j,go fuysoS id¾:lj m%;sldr lrkjd'

fï wNsfhda.d;aul ld,hla' f,dalhu fldúâ 19 jix.;h wìuqj wirKNdjhg m;aj bkak iuhla' fï wjia:dfõ reêr.; frda. j,ska fmf<k frda.Ska fldúâ frda.fhka wdrlaId lr.kakg fhdok wdrlaIl Wml%u fudkjdo@ fï fldúâ je<|Sfuka idudkH ksfrda.S flfklaf.a cSú;h wysñ ùfï wjia:dj ishhg 1-2g jeä kE' ta;a" reêr.; ms<sldjla ;sfhk flfkl=g fldúâ yeÿfKd;a we;sjk wjodku fnfyúka jeähs' Tyqf.a cSú; wjodku ishhg 30-40 muK fjkjd' fï ksid wm wfma frda.Ska yg fï frda.h je<ªKQ úg m%;sldr lrkjdg jvd frda.Ska yels iEu W;aidyhlau fhdod fldúâ frda.hg k;= ùfuka j<lajd .ekSuhs l< hq;af;a' wm reêr.; ms<sld frda.Ska flfryS fldfydu;a wkq.ukh lrk oeä wdrlaIK ms<sfj; fï wjia:dfjoS ;j;a oeä l< hq;=hs' ,xld fydiamsÜ,a reêr ms<sld uOHia:dkfha wm fï ksidfjkau wdidok md,k l%shdud¾. b;d oeä f,i wkq.ukh lrkjd' DM

Puredale Kirithé

lsß f;a l,dfõ fmr<sldrhd msfhdafâ,a

lsß f;a l,dfõ fmr<sldrhd msfhdafâ,a

zzuf.a f.or uf.a f;a tl yod .kafk uu''' f;a tl yokak úkdä oyhla ú;r hkfldg f;a fndk tfla wdidjla ke;s fjkjd''' b;ska uu ne¨‍jd ;;amr .Kklska f;a tlla yod .kafk fldfyduo lsh,d' tys m%;sM,h ;uhs ;;amr ;sfyka yok lsß f;a tl" msfhdafâ,a'ZZ -Anods Cocoa wdh;k m%Odks ,laIauka ùriQßh uy;d'''

iajdNdúl t<lsß idrh yd iajdNdúl Wla j,ska ksIamdÈ; iSks iy Wiia .=kd;aufha f;a fld< uqyqka lrñka cd;Hka;r fjf<|fmd<g;a wNsfhda.hla jk fia zzmsfhdafâ,aZZ lsß f;a ksIamdokh lsÍfï uQ,slhd jQ ,laIauka ùriQßh uy;d zzmsfhdafâ,aZZ lsß f;a u.ska mdßfNda.slhdg we;sjk jdis yd myiqj .ek fï úÈyg woyia olajkjd'

;;amr 30ka lsß folla idod .; yels wÆ;au f;a l,dj miq.shod zzmsfhdafâ,aZZ lsß f;a kñka y÷kajd fokq ,enqjd' uq,skau zzmsfhdafâ,aZZ lsß f;a fjf<| fmd<g ksl=;a lsÍfuka miq ,enqKq by< b,a¨‍u ksid iSks rys; lsß y÷kajd§uo isÿflreKd' úfYaIfhkau Èhjeähd frda.Skag wfma zzmsfhdafâ,aZZ iSks rys; lsß f;a tl úYd, myiqjla fjkjd ksielhs'

ishhg ishhla msßisÿ t<lsß j,ska ksIamdokh lrk iïmQ¾K fhdoh iys; zzmsfhdafâ,aZZ lsß f;a Y%S ,xldfõ Wiiau f;a idrho leá lrf.k Tn fj; tkafka Wmßu úYajdih i,iñks' óg wu;rj zzmsfhdafâ,aZZ lsß f;a mdkh u.ska fndfyda jdis Tng ,efnkq we;'

f;a fld< ;ïnd f.k iSks tl;= lr iïm%odhsl l%uhg lsß f;a tlla idod .ekSug úkdä 6l muK ld,hla .; fjkjd' kuq;a zzmsfhdafâ,aZZ lsß f;a tlla idod .ekSug .; jkafka ;;amr ;syla jeks b;d iq¿ ld,hla' ta ksid oeka Tng úYd, ld,hla b;sß .ekSug yels fjkjd'

idudkHfhka lsß f;a tlla idod .ekSfuka miq Ndck lSmhlao fidaod msßisÿ lr.; hq;= jk w;r zzmsfhdafâ,aZZ lsß f;a tlla idod .ekSug wjYH jkafka Tnf.a f;a fndk fldamamh muKhs' fï ksid ld,hg wu;rj Y%uh" c,h b;sß lr .; yels mßir ys;ldó ksIamdokhla jk zzmsfhdafâ,aZZ lsß f;a Ndú;h u.ska Tng lsishï uqo,la ksielfhkau b;sß lr .ekSugo wjia:dj ie,fikjd'

fï myiqlï ksid Tfí ksjig" wdh;khg" f;a lvhg" wdmkYd,djg" l%Svdmsáhg" fkajdisld.dr j,g wu;rj ´kEu ia:dkhlg zzmsfhdafâ,aZZ lsß f;a .ekSu u.ska fndfyda jdis ,efnkjd' úfkdao .ukla hk úg;a zzmsfhdafâ,aZZ lsß f;a melÜgqjla /f.k hdfuka Tfí .ukg myiqjla w;afjkjd' lsß f;a l,dj myiq zzmsfhdafâ,aZZ Y%S ,dxlslhkaf.a f;a l,dfõ wreuh njg m;aj we;af;a fuu ksIamdokh ishhg iShlau Y%S ,dxflah yd iajdNdúl wuqøjHj,ska ksIamdÈ; lsß f;a mdkhla ksidfjks' mrK mqreÿ wu;l lr" wou lsß f;a l,dj w¨‍;a l< zzmsfhdafâ,aZZ lsß f;dar.kak'

frday,a.; jk whgo iSks rys; fyda iys; zzmsfhdafâ,aZZ lsß f;a melÜgqjla /f.k hdfuka fudk ;rï myiqjla ,efnkjdo@

Puredale Kirithé

lsß f;a l,dfõ fmr<sldrhd msfhdafâ,a

úfYaIfhkau iSks iys; iy iSks rys; wdldrhg zzmsfhdafâ,aZZ lsß fj<| fmd<g meñK ;sfnk ksid Tfí fi!LH uÜgug .e,fmk lsß f;a tlla myiqfjka f;dard .ekSfï yelshdjo ;sfnkjd'

lsÍ f;a ueiska i|ydo zzmsfhdafâ,aZZ lsß b;d fhda.H jk w;r f;a fldamamhlg jeh jk uqo, remsh,a úiailg jvd wvq uqo,la ùu úfYaI jdishla'

´kEu flkl=g wjYH ´kEu fõ,djl§ WKqj;=r álla muKla Ndú;d lr b;d blauKska ;;amr ;syla jeks iq¿ ld,hl§ ilid .; yelshs' .%Eï 25" 200" 400 fukau lsf,da tfla melÜ jYfhkao oeka ,xldfõ ish¨‍u iqmsß fj<|ie,a we;=¿ ´kEu fj<|ie,lska o ,nd.; yelshs'

.%Eï 25 melÜgqjla remsh,a 25la" .%Eï foiSh meleÜgqjla remsh,a 200la" .%Eï 400 melÜgqjla remsh,a 380la" lsf,da tfla melÜgqjla remsh,a 920la o fjhs' iSks rys; zzmsfhdafâ,aZZ .%Eï 200 meleÜgqjla re'330la muKla fjhs' lsß f;a l,dj myiq zzmsfhdafâ,aZZ Y%S ,dxlslhkaf.a f;a l,dfõ wreuh njg m;aj we;af;a fuu ksIamdokh ishhg iShlau Y%S ,dxflah yd iajdNdúl wuqøjHj,ska ksIamdÈ; lsß f;a mdkhla ksidfjks' mrK mqreÿ wu;l lr" wou lsß f;a l,dj w¨‍;a l< zzmsfhdafâ,aZZ lsß f;dar.kak' DM

Physical Therapy

bjikak neßfhda''' fldkafoa wudrej''' jeäfhda'''

Physical Therapy bjikak neßfhda''' fldkafoa wudrej''' jeäfhda'''

ishhg 90la fldkafo wudrelï j,g ie;alï wjYH kE''' fN!;Ñls;aidj jeäfofkl=g úmq, M< ,nd fokjd'''

fN!;Ñls;ail liqka niakdhl úisks

jhia fNaohlska f;drj wo jk úg fndfyda fokd fldkafoa wudrefjka mSvd ú¢kjd' jeäysáhkag muKla fkdj mdi,a úfha miqjk orejkag mjd fldkafoa fõokdjla we;súh yelshs' fndfydaúg fldkafoa fõokdj nr fohla Tijd .ekSug W;aidy lsÍfï§ yd yÈis wk;=rl m%;sm,hla f,i we;s úh yelsh' ke;fyd;a th jhig wkqj ld,h;a iuÕ j¾Okh jk fldkafoa wudrejla úh yelsh'

fldkafoa fõokdj fld÷weg fmf<ys ´kEu ;ekl we;súh yelsh ^Tfí fldkafoa my< isg isg fn,af,a mdou olajd&' fldkafoa fõokdj È.=ld,Sk ^ksoka.;& fyda flá ld,Sk wudrejla úh yels w;r fndfydaúg Èk lsysmhlg miq myj hhs'

fldkafoa fõokdj m%Odk jYfhka we;sjk wdldr ² fhduq lrk ,o fõokdj Reffered pain fuh ;o" fõokdldÍ ;;a;ajhla jk w;r úúO ;Sj%;djhka .kS' YÍrfha msgqmi úúO m%foaY lrd .uka l< yelsh' th fld÷ weg fmf<a ;eáj,g jHqyd;aul ydkshla fyda jhig hdu;a iu.u we;sjk fjkialï (Degenerative disease) u; we;súh yel'

ff.%ù lfYAreldj

là lfYAreldj fldªweg fmf<ys iajdNdúl jl% y;rla we;

Wria lfYAreldj

;%sldiaÓl jl%h

fldkafoa wudrejl ,laIK idudkHfhka fuys msgfldkafoa fõokdjla we;s fjhs' fõokdfjys iajNdjh wkQj th mj;akd ld,h ;SrKh fjhs'

WK" fõokdj mdo osf.a my<go oekSu" bosuqu" jeäfjk fõokdj yd uq;%d ixhuh .s,sySu wdoS ,laIK iu.ska fldkafoa wudrej we;sjk úg wm%udoSj ffjoHjrfhl= yuqjkak'

Physical Therapy

bjikak neßfhda''' fldkafoa wudrej''' jeäfhda'''

fldkafoa wudrejg m%;sl¾u

fmaYs j,g lrk m%;sldr

fmays W;af;ackh lsÍu" jHdhdu iy fN!;Ñls;ail Ñls;aidjka m%odysl ;;a;ajhka iukh lsÍug bjy,a jk w;r msgfldkao u; Yla;sh kej; ,ndoSug yd u;=jQ wd;;sh iukh lsÍugo th bjy,a fjhs

² wlaISh fõokdj Axial pain wlaISh fõokdj tla ia:dkhlg fyda l,dmhlg iSud fõ' fuh msgqmi udxY fmaYsj, we;s jk úl%shd fya;=fjka we;súh yels fõokdjls' wlaISh fõokdjo ;on, fõokdjla úh yels w;r" th ojfia úúO fõ,djkays§ meñ‚h yelsh' ² /älshq,¾ fõokdj Radicular pain fld÷ wegfm, w;r msysgk ;eá iïmSvkh" m%odyh fyda fjk;a .eg¿ ksid fld÷weg fmf<a iakdhq uQ,hla ;o ùfuka iakdhq uQ, Èf.au fõokdjla we;s lrhs" th Tfí ll=,a olajd úysfoa' iháld$ Sciatica iEu úgu /älshq,¾ fõokdjla f,i ie<fla'

fldkafoa fõokd j,g mdol jk iq,n fya;= iuyrla ² msgfldkao m%foaYfha we;s ´kEu mglhl ^Wod - lfYareldjka" wka;¾ lfYarel ldáf,ach" wiaÓ nkaOks" fmaYSka" iakdhq" wiaÓ& yg .kakd leãula ì£ula fyda wdidokhla ksid t;ek fõokdjla yg .; yel' ² fldkaog wdrlaIdj imhk udYfmaIsj, ;oùula ksid lelal=ula f,iska u;=úh yels fõ' fuh ;reK jhfiaoS iq,nj oel.; yels fõ' nrla bis,Su i|yd kqyqre bßhõ Ndú;h óg fya;=úh yels fõ'

ihála iakdhqj iháld mdo osf.a my<g we;sjk ysßh" fõokdj

fõokdj we;sjk m%foaY r;= meyefhka olajd we;

msg;g ;,a¨‍ ùu msg;g fkrd tau

fuh fndfyda úg wka;¾ lfYArel uv, msg;g mekSfuka we;súh yel

² wm tÈfkod Ôú;fha Ndú;d jk jerÈ bßhõ wkq.ukfhka fld÷weg fmf<a iajNdúl jl%;djka wdrlaId lr.; fkdyels fõ' tu jl%;djkag n,mEï we;s jQfjd;a th fldkafoa lelal=ï i|yd fya;=úh yels fõ' ² ;j;a iuyr úg fld÷ weg fmf<a fõokdjg fya;=j isref¾ fjk;a ia:dkhl ^Wod-wdudYfha ;=jd," ms;a;dYfha wdidok iy .,a" jl=.vqj, wdidok iy .,a" uq;%d ud¾.fha wdidok iy .,a" .¾NdIfha frda.& yg.kakd frda.hls' l,d;=rlska uq;a" fldkafoa fõokdjg fya;=j ms<sldjla fyda ,shqflañhd jeks reêr.; frda.hla ùuogo mq¿jk' ² óg wu;rj ÿïmdkh" wä Wi mdjyka me<£uo fld÷weg fm<g wys;lr n,mEï we;s lrúh yelshs' nE.a /f.k hdu" ÿïmdkh" jdäùu yd wä Wi mdjyka

Ndú;h wdÈh ;reK jhfia whg fld÷weg fmf<a fõokdjg fya;= fõ'

fldkafoa fõokdj iu.dój wikakg ,efnk iháld ;;a;ajh iqIqïkdfjka mgka.kakd iakdhq tl;=ù ;efkk iakdhqjla f,i ihála iakdhqj yeÈkafjk w;r th YÍrfha we;s úYd,;u iakdhqjo fjhs' fuu iakdhqj È.= iakdhq follg fn§ mdoj,g iakdhq iemhSu lrkq ,nhs'

fldkafoa wudrejl§ iakdhq yd b;d l=vd ikaê mÍlaId lsÍu jeo.;a ksid MRI mÍlaIKh jvd;a iqÿiq fõ' kuq;a we;eï wjia:dj,§ CT ialEka mÍlaIKho bjy,aa fõ' tu CT mÍlaIKfha§ úuid n,kafka wiaÓ j, mj;sk jHqyh ms<sn|jhs'

Physical Therapy

bjikak neßfhda''' fldkafoa wudrej''' jeäfhda'''

ksjeros ia:dms;hlska we;sjk jdis

u;lh yd bf.Kqu yelshdjka j¾Okh ùu

jvd;a fm!reIhlska hq;a ndysr fmKQu

f.f,ys" msgfldkafoys fõokd tkafka ke;

hym;a udkisl Ndjhla Wreu fjhs

Yajikh iqir fjhs

fgiagiagfrdka fydafudak >%djh jeä fjhs

jvd flÜgqjg yd Wig ndysßka fmfkhs

fuu iakdhqj u; we;sjk f;rmSula fyda ydkshla jQ úg th ll=,a j, we;sjk fõokdjla fyda ysßjeàula fyda mK ke;sj hdula f,i frda.shdg oefkkq we;'fuu ;;ajh iháld ;;ajhla f,i yeÈkafõ'

iháld i|yd iq,nj n,mdk fya;= ta w;r fldkao ks¾udKh ù we;s lfYareld w;r we;s" wka;¾ lfIarel uKav,fha we;sjk m%odyhka fukau jhi;a iuÕ we;sjk fjkiaùï ksid fldkafoa wudre we;súh yelshs' fuh iháld ;;a;ajhg uQ,sl fya;=jla úh yelsh' flfia kuq;a iháld j,g ishhg 85la fya;=j lfYareldj, levqula" ì÷ula fyda wdidokhls'

ishhg 10lg fya;=j wka;¾ lfYarel ldáf,ac fm;a; iakdhq rÊcqj foig ,siaidhduh' th bx.%Sisfhka y÷kajkafka Slip disc fyj;a PID ^Prolapsed Intevertebral Disc& hkqfjks' fuu ;;a;ajh fndfyda úg yg.kafka jerÈ l%uhg nr bis,Su ksidh'

iháld frda. ,laIK fuu iakdhqj uq,slju iakdhq iemhqu isÿlrkafka ll=f,a msgqmi fldgig fõ'tneúka ish¨‍u wdldrfha frda. ,laIK fndfydaúg tu m%foaY j, olskakg ,efí'

² ysßjeàu fyda k,shk iajNdjh ² u| lelal=ula fyda ll=, fi,ùug mjd fkdyels ;rfï ;o lelal=ula we;s ùu ² ll=,a mK ke;sj hdu ^ll=,a j, há m;=,aj,o fuu ;;a;ajh we;súh yel'& ² lelal=u we;akï th lsúiqï hk úg§ fukau yhsfhka isky jk úg§ mjd jeäùula oelsh yels w;r ál ÿrla weúof.k hkúg§ mjd lelal=u jeäúh yel' ² iuyr mqoa.,hkaf.a ál fõ,djla bof.k isák úg§ fyda ysgf.k isák úg§ lelal=u jeäùula oelsh yel'

fldkafoa fõokdj fyda iháld frda.h ksYAph lr .ekSug wod, mÍlaIK ² X-ray tlaia lsrK ² CT ialEka ² MRI ialeka

X-ray u.ska fldkafoa ì§ulg ,lajQ wiaÓhla fyda lfYareld w;r ;sfnk mr;rh ms,sn| o< wjfndaOhla ,nd.; yelsh' kuq;a MRI ialEka mÍlaIKfha§ uDÿ mgl mjd oeln,d .ekSfï yelshdj ;sfí' tfiau b;d l=vd ikaê j, lfYareld w;r ;sfnk ikaê j, isÿjk fjkiaùïo fuu mÍlaIK l%uh yryd isÿ l< yels fõ' fndfyda fõ,djg fldkafoa wudrejl§ m%Odk jYfhka oel n,d.; hq;af;a ikaêj, we;sjk fjkialïh' ta ksid fldkafoa wudrejl§ iakdhq yd b;d l=vd ikaê mÍlaId lsÍu jeo.;a ksid MRI mÍlaIKh jvd;a iqÿiq fõ' kuq;a we;eï wjia:dj,§ CT ialEka mÍlaIKho bjy,aa fõ' tu CT mÍlaIKfha§ úuid n,kafka wiaÓ j, mj;sk jHqyh ms<sn|jhs' flfia fj;;a fï ish,a, r|d mj;skafka frda. shdf.a frda. ,laIK" ffjoHjrhd fidhd .kakd úúO lreKq yd frda. b;sydih wkqjhs' tfiau MRI jeks mßlaIKhl m%;sM, l=uk wdldr jqj;a ffjoH Wmfoia j,ska f;drj frda.Ska úúOdldr ks.uk lrd fkdhd hq;= fõ' ta ksid frda.shdg iakdhq f;rmqï rdYshla ;snQ mu‚ka Y,Hl¾uhla fkdl< hq;= nj Tn fyd¢ka wjfndaO lr.; hq;= lreKls'

fldkafoa wudrej ie§u j<lajd .ekSug ksjfia§ Tng l< yels foa ² ks;ru jHdhdu lrkak jdäù .; lrk w,i Ôú;fhka ñ§"

Physical Therapy

bjikak neßfhda''' fldkafoa wudrej''' jeäfhda'''

ks;r l%shdYS,Sj isákak' §¾> fõ,djla tl È.g jdäù isàfuka j<lskak' wju ;rñka Èklg mehla j;a jHdhdï lr fldkafoa fmaYSka Yla;su;a lr.kak'

² ksod.kakd bßhõj .ek ie<ls,su;a jkak ksod.kakd fuÜgh ueÈka jl fkd.eiqKq" fyd¢ka iu;,d tlla úh hq;= w;r fldÜgho Wjukdjg jvd .eUqrg tfrk tlla fkdúh hq;=h' Wvqne,s w;g ksod.kakd úg oKysia j,g háka fldÜghla ;nd.kak' me;a;g yeÍ ksod.kakd úg l,jd folg ueÈka fldÜghla ;nd.kak' ke;skï bÕáhg háka >klï froaola ;nd .kak'

² bßhõ .ek ie,ls,su;a jkak mqgqjl jdä isák úg tl we,hlg nrù isàfuka j<lskak' isgf.k isák úg tl ll=,lg nr§ isgf.k isàfuka j<lskak'

² wjYH ;rug úfõl .kak

Tn l%Svdjl ksr; jkafka kï fyda ðï tllg hkafka kï isref¾ udxY fmaYSka j,g wjYH ;rï úfõlh §uo jeo.;a fõ' wêl f,i jHdhdï lsÍfuka fyda mqyqKq ùfuka j<lskak ^over exercising or over training&' nr foaj,a tiùfï§ fldkao fkdkud" fooK kud tfia lrkak' fldkao kudf.k tl È.g jev lsÍu fjkqjg l=vd mqgqjla fyda nxl=jla u; jdäù jev lrkak mqreÿ jkak'

fldkafoa fõokdj iqjlr.; yels m%;sldr ² fõokdkdYl T!IO - iafgfrdhsv fkdjk m%;s-m%ody

T!IO ^Non-steroidal Anti-inflammatory Drugs/

NSAIDs& ² tkak;a- by; m%;sl¾u u.ska m%;sM,hla fkd,enqKs kï" Tfí ffjoHjrhd úiska fldÿ wegfmf<ys m%odyh wvq lsÍu i|yd iafgfrdhsâ T!IO wvx.= kslafIamk ^Steroid injections& ,ndfokq we;' ² Y,Hl¾u -by; i|yka l, m%;sl¾u udi 6-12la lsÍfuka iqjhla fkd,efí kï" fldkaog

Y,Hl¾uhla lsÍu wjYH úh yel' ² fN!; Ñls;aidj fldkafoa fõokdj Y,Hl¾uhlg fkdhd fN!; Ñls;aidfjka md,kh lr.kafka flfiao @ frda.Skaf.ka ishhg 90lg jvd Y,H fkdjk l%u u.ska id¾:lj m%;sldr l< yelsh' fldkafoa fõokdj ksoka.; wjêhlg meñŒug fmr m%;sldr j,g fhduqùu iqÿiq fõ'

fN!; Ñls;aidfjys m%;sldr l%u jk lgq Ñls;aidj" úohq;aa Ñls;aidj" lmamsx Ñls;aidj" udxY fmaYs Yla;su;a lsÍfï jHdhdu" bßhõ ksje/È lsÍu yd wfkl=;a m%;sldr u.ska fuu ;;a;ajhkag id¾:lj m%;sldr l< yelsh'

fN!; Ñls;ailjrhd úiska bßhõ ksje/È lsÍu" udxYfmaYs j, ;o iajNdjh yd fõokdj iukh lr" lfYareld j, ksje/È msysàug wod, jQ m%;sldr /ila yd kej; fldkafoa fõokdj we;s fkdùug wod, jHdhdu yd Wmfoia Tng ,nd fokq we;' DM