Doctor Magazine November 2021 by Doctor Magazine

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

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ISBN-1391 1341

LUNG CANCER REVIEW l,afõ,d we;sj y÷kd.;af;d;a fmKy¿ ms<sldj;a iqj l< yelshs

9 7 7 13 91 13 400 1

RS 180 (VAT INCL) doctormagazine.lk

oshjeähd frda.Skaf.a mdo j,g we;s úh yels wk;=r

Regular

Features

Editors Note 4

World Suicide Prevention Day mk ky.kak W;aidy lrk ñksiqka bkak rgj,a w;r wmg 29 ia:dkh 8

Health News 6 COVID-19 Antibody Testing: Pros & Cons fldúâ m%;sfoay mÍlaIK wdisß frday,a iuQyfha ridhkd.dr wOHlaI kS,a m%sh;a fcdaka 74

Lung Cancer Review l,a fõ,d we;sj y÷kd.;af;d;a iïmQ¾Kfhka iqj lr.; yelshs Wria Y,H úfYAI{ ffjoH Oïñl riakdhl 80

Fertility INTRAUTERINE TUBOPERITONEAL INSEMINATION (IUTPI) .¾NdIfhka msg;oS äïnhla yd Y=l%dKQjla tlalr orefjla idod.kakd wdldrh idhksl l<,fõo úfYAI{ ffjoH fy<rejka mikal=udr 88

Mind & Soul f.dm¿ hldf.a fyd,auka''' Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s 109

Molnupiravir shows promise fldúâ u¾Okhg fnfy;a fm;a;la Ndú;hg tk ,l=Kq 12 emPowering Communities for Resilience during COVID-19 Pandemic jix.;hg tfrys m%cd iqj mjqr - i¾fjdaoh e PCR jHdmD;sh 14

idhkslj ;yjqre l< .a,hsisñla w.h y;<sia wgla jk r;= iqj| iy,a Èhjeähdj we;=¿ fnda fkdjk frda. md,khg wk¾>h

fldúâ jix.;hg tfrys i¾fjdaoh hqoaOh'''

rdc.sßh" foaYSh ffjoH úoHd,fha uydpd¾h ta ta ã wdßhjxY 32

i¾fjdaoh jHdmdrfha iNdm;s m%cd úfYAI{ ffjoH úkahd wdrshr;ak 18

Diabetes Basics oshjeähdj md,kh lruq oshjeähdj iïnkaO uQ,l s f;dr;=re

oshjeähd md,kfha osju;=r isref¾ nr wvq lr .ekSu wdydr md,kh yd jHdhdu Y%S ,xld ks¾Kd,fõoS úoHdh;kfha f,alï ks¾Kd, frda. úfYaI{ ffjoH ksrkac,d óf.dvúodk 24

Diabetes Diet oshjeähd frda.sfhl=f.a wdydr isß; wdydr yd fmdaIKfõoskS uOqId úfcaisxy 26

ldhsl yd ks¾Kd, frda. úfYAI{ ffjoH jreK .=K;s,l 36

Diabetic Foot Ulcer oshjeähd frda.Skaf.a mdo j,g we;s úh yels wk;=r fmardfoksh úYAj úoHd,hSh ffjoH mSGfha fcHaIG A lÓldpd¾h fmardfoksh YslI a K frdayf,a jdyskl s frda. úfYAI{ ffjoH prs;a .,mam;a;s 42

Lung Pathology fldúâ frda.k S a fïid ñh hk fya;j = l=ulao@ cd;sl fndajk frda. úoHdh;kfha wêlrK úfYaI{ ffjoH pkak fmf¾rd 50

fldúâ frda.fhaoS frda.shd" mjqf,a idudcslhka uqyqK mdk .eg¿ Y%S chj¾Okmqr frdayf,a ldhsl frda. úfYAI{ ffjoH fla ù iS cdkl 54

ms<sld frda.Ska fldúâ wdidokhg ,laùfï wjia:dj jeähs''' mßiaiï fjkak''' ms<sld frda. úfYaI{ ffjoH iÑks riakdhl 72

Why do you need to take folic acid when pregnant .eí .ekSug fmr f*da,l s a weisâ wksjd¾hfhka ,nd .; hq;f a ;a wehs@ m%ij yd kdßfõo úfYaI{ ffjoH pdñkao udf;dg 94

Covid Heart Complications fldúâ ksid ysá wäfha yDohdndO tkak mq¿jka'''

Homeopathy Y,Hl¾uhlska f;drj ksiel iqjhg fydañfhdam;s m%;sldr fydañfhdam;s ffjoH wkQId fyaul=udß 113

wdhq¾fõofha zzfïfodajDoaêZZ hkqfjka y÷kajk yoj; ñßlk fldf,iagfrda,a l%sñrdc T!IOd,h wêm;s uydpd¾h" ffjoH iquKr;ak wur;=x. 116

uOqksud uyú, ,sms irKsh fy<fha wdydr isß; h,s;a lEu fïihg le|jd .ksuq'''

úfYaI{ fÊHIaG yDo Y,H ffjoH f.daGdNh rKisxy 66

Corona Vaccination tkak;alrKh urK wvq lrkak ksielfhkau fya;= fjkjd''' uydpd¾h ks,l S d u,úf.a 68

wdhq¾fõoh

Incest A royal mistake Dr Gayani Galhena 98

Home Pulse Oximetry for COVID-19 fldúâ jix.;h ksid''' ysá.uka ksfjig;a ke;sju neß wdïmkakhla jQ m,aia Tlaisógrh''' fld<U cd;sl frdayf,a ldhsl frda. ffjoH Wmq,a osidkdhl 104

f,dj m%:u DNA tkak; bkaoshdfjka ZyCoV-D ffjoH YdLH wurfialr úisks 106

ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKavdr 121

ms<sld kik úiajdrdu fy< fjolu ;=ka fodia lsmqKq l,ays wmo fkdoekqj;aju yg.kakd ms<sld iy f.ä .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd, 125

EDITOR'S NOTE ieu w; n,dfmdfrd;a;=fõ myka oe,afjk ixl%dka;s iuhla''' uy l=Kdgqjla wjikaj yd;ami mßirh ksYap,j mj;akd iuhla wdrïN fjhs' fï wdrïN ù we;af;a wêIAGdkfha" n,dfmdfrd;a;=fõ hq.hhs' ixhufhka hqla;j" b;d l,amkdldÍj ;j;a l,la .; úh hq;= njg wmg mila fjñka ;sfnhs' fldúâ jix.;h fï jk úg wmg isÿ l, ydksh iq¿mgq fkdfõ' fï ,shk fudfyd; jk úg f,dalfha 246"813"293 l ck;djla fldúâ frda.hg f.dÿrej ;sfnk w;r urKhg m;ajQ ixLHdj 5"005"631 ls' Y%S ,xldfõ ;;a;ajh .;fyd;a fï jk úg 540"531 blaujq msßila wdidos;j urK 13"725la isÿj ;sfí' wfma rfÜ ñ,shk 22la jk ck.ykfhka ishhg 60la fokd iïmQ¾K tkak;a ud;%d folu ,ndf.k ;sfnk w;r th f,dal ;;;ajh yd ixixokh lrk l< úYd, ch.%yKhla jk nj mejish hq;=h' wfma rfÜ Ndú;h i|yd tkak;a y;la wkqu; lr we;s w;r fï jk úg jhi wjq' 16-19 ldKAvh i|yd tkak;a lsrSu wdrïN lr ;sfí' fi!LH wxY" wdrlaIl wxY yd ixpdrl l¾udka;h wdY%s; /lshdj, ksr; jk mqoa.,hka i|yd *hsi¾ tkak; fhdodf.k f;fjks ud;%djlao ,ndoSug fï jk úg lghq;= isÿ flfrñka mj;S'

November 2021

fldúâ jix.;h ksid we;sjq cSú; wjodku yereKQ úg iuia; ck cSú;hg we;sjQ n,mEuo iudc cSú;h Wvq hál=re lrkakg iu;aj ;sfí' jir tl yudrl muK ld,hla orejkag meie,a hkakg ,enqfKA ke;' jfhdajDoaO ck;djg ;u frda." wdndO j,g yß yuka fnfy;la .kakg ;snQ wjia:dj .s,y s S .sfhah' fuys n,mEfuka hgm;aj .sh fnda fkdjk frda.k S "a ms<l S d wdoS frda. j,g ,laj isá wh .ek yß yeá hdj;ald,Sk ixLHdf,aLK mjd ke;' ksfjia j,g iSudjQ fndfyda fokdf.a Ñ;a;fõ.Sh fjkialï fjkuu .eg¿jls' fï ish,a,gu jvd rgla jYfhka wm úYd, wd¾Ól wjmd;hlg ,laj ;sfnk njo" fï ksid cSjk úhou wyi Wig by< f.dia ;sfnk njo tys m%;M s <hla jYfhka wm úYd, oßø;djhlg wm m;aj ;sfnk njo ;jÿrg;a ieÕúh hq;= ryila fkdfõ' fï ish¿ .eg¿ j,g W;a;r fiùug rgla" cd;shla jYfhka wmg oeka isÿj ;sfí' fldúâ jix.;fhka jvd;au neg lEfõ ngysr rgj,ah' tfy;a fldúâ jix.;h;a iu.u meñKS wd¾Ól .eg¿ j,ska jvd;au neg lkafka wm jeks rgj,ah' oYl .Kkdjla ;sif a ia fï rfÜ isÿjq wufkda{ foaYmd,k ueosy;aùï ksid wia:djr" ;ekam;= Okhla ke;s wm f,dalfha zztod fõ, fydhk cd;shlaZZ ng m;aj ;sfí' kej;;a wms fï f>dar l=Kdgqj wjik wo m;aj ;sfnk ;;a;j a h ms<n s |j wjOdkh fhduq lruq' wfma rg fldúâ /<s lsym s hlgu fï jk úg uqyK q oS wjikah' mqxÑ wjirhla ,efnk úg úkao ÿla j, jf.a j.la ke;sj ksoyfia wjodkï iy.; p¾hd j, fhfok wm tys m%;M s <hla jYfhka b;d oreKQ M< úmdl j,g ,laùuq' tfy;a wfma u;lhg we;af;a flá ÿrls' oeka kej;;a wm wjodkï iy.; cSjk rgdjlg hñka isákafkuq' kej;;a jix.;h ysi tijQjfyd;a we;sjk M,úmdl .ek ys;kakg j;a neßh' tla mfilska wm wfma cSú; /l.; hq;h = ' wfkla w;g lvd jeà we;s wd¾Ólh k.d isgú q h hq;h = ' ;laifiare l< fkdyels mdvqjla isÿj we;af;a orejkagh' Tjqkf a .a ta .s,y s K q Q ld,h kej; ,nd oSu l< fkdyelalls' fï ish,a, úuiñka b;d ixhufhka wjodkï p¾hdjkaf.ka wE;aj kej;;a idudkH cSú;hg m;aùug wfma rfÜ mqrjeishka iEu flfkl=gu ;ks ;ks jYfhkau we;af;a úYd, j.lSuls' ta j.lSu id¾:lj is;ayS Odrkh lr .sksñka *Skslaia l=re,a,d w¿ .id ke.sg .;a fia wmo fyg ojfia wfma wkd.;h fjkqfjka osßfhka" ù¾hfhka ke.sg .; hq;= jkafkah' DM

DOCTOR MAGAZINE

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

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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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Akkaraipaththu Akurana Aluthgama Ambalangoda2 Ambalanthota Ampara Anuradhapura Attidiya Avissawella Badulla Balangoda Battaramulla Batticaloa Batticaloa 02 Beruwela Bk Majestic City Bokundara Boralesgamuwa Chilaw Chillaw2 Chunnakam Colpetty Cota Road Dalugama Dambulla Dankotuwa Deans Road Dehiwala Delgoda Delkanda Dematagoda Dharga Town Dickmans Road Duplication Ekala Elakanda Embilipitiya Eravur Ethulkotte Galewela Galle Galle 02 Gampaha Gampola Gatambe Grandpass Hambantota Hanwella Hatton Homagama Horana Jaela Jaela 02

Jawatta Kadawatha Kadawatha 2 Kaduruwella Kaduwela Kalapaluwawa Kalmunei Kalutara Kalutara North Kandana Kandy Kannaththidi Karagampitiya Karapitiya Katugastota Katugastota2 Katukurunda Kegalle Kelaniya Kesbewa Keselwatte Kilinochchi Kiribathgoda Kochchikade Kohuwala Kohuwala 2 Kolonnawa Koswatte Kotahena Kotikawatta Kottawa Kottawa 02 Kuliyapitiya Kundasale Kurunegala Kurunegala 2 Madulla Maharagama 2 Malabe Malabe 2 Manchanthoduwai Manippay Maradana Marawila Marine Drive Matale Matale2 Matara Mathugama Mattegoda Mawanella Minuwangoda Mirihana

November 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 jeis iufha fvx.= jeäùula Èjhsk mqrd mj;sk jeis iys; ld,.=K ;;a;ajh iu. fvx.= frda.fha jeäùula fmkakqï lrk nj fi!LH wud;HdxYh m%ldY l<d' cd;sl fvx.= u¾ok tallh m%ldY lf<a fï jif¾ fï olajd fvx.= frda.Ska 21"154la jd¾;d ù we;s njhs' fvx.= frda. fhka isÿj we;s urK ixLHdj 10la' niakdysr m<d;g wu;rj" uykqjr" .d,a," ud;r" l=reKE.," nÿ,a, iy r;akmqr Èia;%slalj,skao frda.Ska jeä jYfhka jd¾;d jkjd' cd;sl fvx.= u¾ok tallfha m%cd fi!LH úfYaI{ ffjoH Ysrka;s fifkúr;ak uy;añh mj;akd wjodku iïnkaOfhka fufia woyia m%ldY l<d' zz fvx.= ffjrih iys; uÿrefjl= oIaG lsÍfuka ´kEu mqoa.,fhl=g frda.h je<fokak mq¿jka' fï Èk j, WK ;;a;ajhla ;sfnkjd kï th fvx.= frda. ;;a;ajhla úh yelshs' tfukau WK" ysiroh" weia hg fõokdj" uiam`svq" ykaÈm;a fõokdj 6

November 2021

jeks frda. ,laIK f,i fmkajd Èh yelshs' tu frda. ,laIK ;sfnkjd kï Èk follg jvd l,a fkdf.k iqÿiqlï ;sfnk ffjoHjrfhla yuqùu u.ska mÍlaIK u.ska fvx.= frda.h wdidÈ;fhl=o hkak ;yjqre lr .; yelshs' WK ioyd hï T!IOhla ,nd.kakjd kï Tn .; hq;af;a kshñ; ud;%dfjka merisgfud,a T!IOh muKhs' fjk;a T!IO lsisu úfgl Ndú;d fkdl< hq;=hs' tfia jqjfyd;a fvx.= frda.h ksid we;sjk ixl+,;d we;súu ;=,ska reêr jykhla we;s jqjfyd;a iqj lsßug wmyiq ùug bvlv jeähs'Z

m%fNaohkag tfrysjo tkak;a ñY% lsÍfuka by< m%;sYla;shla ie<fik nj c¾uksfha id,Ekaâ úYajúoHd,fha ffjria úoHd{jßhl jk udákd fiiag¾ m%ldY lrkjd' óg iudk woyila''' tkï tkak;a ñY% lsÍu ;=<ska by< id¾:l;ajhla we;sjk nj ì%;dkH Tlaia*â iriúfha ffjria úoHd{ ue;sõ iafkama o i|yka l<d' Tlaia*â iriúh fukau c¾udkq úYajúoHd,h o fuf,i tkak;a ñY%lrKh iïnkaOfhka wOHhkhka isÿlr ;sfnkjd'

tkak;a j¾. ñY%lsÍfuka id¾:l m%;sm<

fv,agd m%fNaohg tfrysj f.dvkef.k m%;sYla;sh ms<sn|j tys§ úfYaIfhka wjOdkh fhduq flreKd'

tkak;a j¾. ñY%ùfuka *hsi¾ fyda fudv¾kd jeks mRNA tkak;aj,g;a jvd by< m%;sYla;shla f.dvk.k nj kj wOHhkhlska fy<sù ;sfí' kj fldfrdakd

fuu kj wOHhkh ms<sn|j igykla ;nk Y%S chj¾Okmqr úYajúoHd,fha wdid;añl;d m%;sYla;s úoHd yd ffi, ffcj úoHd tallfha wOHlaI

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fi!LH fiajd wOHlaI ckrd,ajrhdf.ka b,a,Sula lr we;ehso Tyq i|yka lf<ah'

pkaÈu Ôjkaor m%ldY lf<a fuf,i tkak;a ñY% lsÍfuka mRNA tkak;a wNsnjd fldfrdakd ffjrihg tfrys m%;sYla;shla f.dvkef.k nj fuf,i jd¾;djkafka m%:u j;djg njhs' fldfrdakd frda.Skag iqjh f.fkk Molnupiravir ,xldjg@ fldúâ u¾okh i|yd f,dalfha fndfyda rgj,a Ndú;d lrk Molnupiravir T!IOh furg Ndú;hg fhdod .ekSu iïnkaOfhka lreKq i,ld n,ñka isák nj T!IO ksIamdok" iemhqï yd kshduk rdcH wud;H pkak chiquk uy;d mejiSh' Bg wjYH ks¾foaY ,ndfokakehs

u¾la kue;s T!Iêh ksIamdok iud.u ksIamdokh lrk fuu T!IOh fhdod .ekSug f,dalfha rgj,a .Kkdjla wjOdkh fhduqlr we;s nj;a fuu T!IOh fhdod .ekSug yelshdj we;aoehs úfYaI{ lñgqfõ woyia úuid oekqï fokakhs fi!LH fiajd wOHlaI ckrd,ajrhdg oekajQ nj;a chiquk uy;d m%ldY lf<ah' T!IOh iïnkaOfhka úfYAI ,smshla fuys oelafjhs' ffcj nqnq, l%Svlhkag isr f.hla''' úrdÜ flda,s wo f,dalh mqrd me;sr we;s fldúâ jix.;h ksid l%Svdj mj;ajd .ekSug ffcj nqnq¿ ixl,amh mj;ajdf.k hkjd' jrla wfma l%slÜ l%Svlhka msßila úfoaY ixpdrhla w;r ;=r ffcj nqnq, leãu ksid Tjqka uy;a wlr;eínhlg m;a jqKd' úrdÜ flda,s ffcj nqnq¿ ixl,amh ksid fï oskj, mqj;a ujk l%Svlfhla' Tyq Bg úfrdaOh m< lrñka ffcj nqnq,l l,a heùu l%Svlfhl=g w;

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mh ne|Sulg iudk hhs lshkakg fï fiahdrej fhdod .;a;d' th fõ.fhka iudc udOH yryd ixirkh jqKd' fï PdhdrEmfha flda,s mqgqjlg ne| ;nd .eg. id we;s w;r" fuhska Tyq okjkakg W;aidy lr we;af;a" —ffcj nqnq<l l%Svd lsÍu˜ fujeks yeÕSula we;s lrjk njhs' fï jk úg ffcj nqnq< ;=< isák l%Svlhska uqyqK mdk .eg¨‍ .ek l;d lrk l|jqf¾ m%Odk;u —l;dlrejd˜ njg m;a j we;af;ao flda,s hs' Bg wu;rj" fõ. mkaÿ hjk fudfyduâ Idï o ffcj nqnq< .ek woyia m< lr ;snqKd' —fï ffcj nqnq< l%Svlhska wiSre;djhg m;a lrkjd' thska l%Svlhska udkisl wiykhg m;a úh yels hs' iuyr úg Tjqka fldamhg m;a jkak;a mq¿jka''˜ flda,s tfia m%ldY lrkjd' DM

November 2021

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World Suicide Prevention Day mk ky.kak W;aidy lrk ñksiqka bkak rgj,a w;r wmg 29 ia:dkh

World Suicide Prevention Day

mk ky.kak W;aidy lrk ñksiqka bkak rgj,a w;r wmg 29 ia:dkh wfma 3"000la jirlg ish osú ydks lr.kakjd iema;eïn¾ 10-f,dal ishosú kid .ekSï j<lajd .ekSfï oskh

cd;sl udkisl úoHdh;kfha úfYaI{ udkisl ffjoH mqIAmd rKisxy

lrdmsáh YslaIK frdayf,a úfYAI{ udkisl ffjoH rEñ rEnka

November 2021

iEu j¾Ihlu iema;eïn¾ 10 tkï wo jeks oskla W;=ï wruqKla fjkqfjka lemù ;sfí' ta ish osú kid .ekSï je<elaùfï wruqK fjkqfjks''' wm ljqre;a cSú;hg wdorh lrkafkda fjuq' hï flfkla ;ukaf.a mK kid .ekSug ;e;a lrkafka kï" ;ukaf.a cSú;h kid .ekSug ;rï jqjuKdjla Tyq fyda weh is; ;=< jdx ouñka ;sfí''' Tyq fyda weh isákafka Ñ;a; mSvdjlsks' ish osú kid .ekSï j,ska ,xldj;a fmruqfKA''' ishosú kid .ekSï iïnkaO f,dalfha rgj, meálsßh n,k úg wm bkafka t;rï hym;a ;ekl fkdfõ' f,dalfha jeäu ish osú kid .kakka isákafka f,fidaf;da rfÜh''' f,fidf;dafõ ,laIhl ck.ykhlg 72fofklau ish osú kid.kafkah' ,laIhlg 44 fofkla cSj;a ùu fjkqjg urKh ;=uQu f;dard.ksñka >hkdj fojk ia:dkhg m;ajk w;r f;jk ia:dkhg m;a jkafka tiaj;sks kï md,k l,dmhhs' fï f¾áx.aia j, wm bkafka 29 jk ia:dkfhah' fuf,i n,k úg f,dalfha jeäu ish osú kid .ekSï isÿjk ;j;a tla rgla jkafka O¾uoaùmh kñka úreodj,s ,;a wfma Y%S ,xldjhs' jeäfhka uefrkafk msßñka''' újdylhka ishhg 75lau''' wfma rfÜ ish osú kid .ekSï j,ska j¾Ihlg

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3"000la ñh hk w;r tfia ñh hk whf.ka ishhg 80lau msßñkah' f,dalfha ish osú kid .ekSï j,ska msßñka ish osú kid .kakd m%;sY;h ishhg 64la fj;aoS wfma msßñka ishhg 80lau fï fÄojdplhg leue;af;ka tl;= fj;s' tfiau ish osú kid .ekSï lrkakkaf.ka ishhg 75lau újdylhka nj fy<sorõ ù ;sfí' ;=reKQ úfha ish osú kid .ekSï j,g wdor iïnkaO;d m%Odk fya;=jla uq;a jeäysá ish osú kid .ekSï j,g mdol jk fya;= w;r mjq,a wdrjq,a" ksoka.; frda." udkisl wdndO" oßø;djho u;aøjH j,g weíneys ùu wdoS úúO ldrKd fya;= ù ;sfí' fï whf.a wOHdmk uÜgu ie<l+ úg ishhg 80lau wOHdmkh ,enQjka fj;s' fï whf.kao ishhg yeglau wgjk fY%aKshg my< mka;shlg muKla W.;a wh ùuka ish osú kid .ekSï yd wOHdmk uÜgu w;ro iïnkaO;djhla bÕs lrhs' wfma rfÜ ish osú kid .ekSï j,ska ishhg doctormagazine.lk

úYdoh (Depression and depressive illnesses) kue;s frda. ldKAvh wh;a jkafka Mood disorders >khgh' fuh fud<fha ridhksl fjkialula weiqre lr.;a frda.hla jk w;r tu frda.h we;súg thska .e,ùfï idOKSh ud¾. isyshg tkafka ke;' fuys we;s wjodku jkafka fï wh cSú;h f;dr lr .ekSug úYd, wjodkula ;sîuhs

60lau isÿ jkafka f., je,,d .ekSfuks' ishhg 20la fokd lDñkdYl mdkh lrk w;r .sks ;nd .ekSu" c,hg mekSu jeks l%u fhdod .kakd who fjhs' msßñka w;r ish osú kid .ekSï iq,n jkafka wehs@ wxf.dv udkisl fi!LH úoHdh;kfha fcHaIAG ufkda ffjoH mqIAmd rKisxy uy;añh Bg ÿkafka fujka

November 2021

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World Suicide Prevention Day mk ky.kak W;aidy lrk ñksiqka bkak rgj,a w;r wmg 29 ia:dkh

ms<s;=rls' zzmsßñkag jvd ldka;djkaf.a ord .ekSfï yelshdj jeähs' úfYaIfhkau" ueos jhfiaoS' fï ksid .eyekqkag jvd msßñka ish osú ydks lr.kakg ;e;a lrkjd'Z we;efula fufia cSú;h kid .ekSug ;SrK .kafka wehs@ Bg" .d,a, lrdmsáh frdayf,a úfYAI{ ufkda ffjoH reñ rEnka fokafka fujka ms<s;=rls' zzwe;af;kau ish osú ydkslr ,kakjqka yd osú kid .ekSug W;aidy .kakka jYfhka fomsßila .ek fuysoS úia;r lrkak isÿ fjkjd' myq.sh ldf, .;af;d;a osú kid .ekSï j, lsishï wvqjla ;snqK;a osú kid .ekSï i|yd .;a W;aidyhkaf.a wvqjla kE'''' úúO udkisl .eg¿ j,ska mSvd ú|sk wh fufia osú kid .ekSï j,g ;e;a lrkjd'ZZ zzfï ufkdaNdjhka" úIdoh wdoS frda. j,oS fudf<a ridhKsl ixhq;sfha fjkia ùï fjkjd' úIdoh jf.a frda. ke;s jqK;a osú kid .ekSfï W;aidyhka ;sfhkak mq¿jka'ZZ fuysoS ufkda frda. ffjoHjrhd fufiao m%ldY lf<ah' fndfyda úg uefrkakg ysf;k is;sú<s l%shdldÍ tajd fkfjhs' laI‚lj weú;a kej; hg hkjd' tajdg u;=msgg weú;a l%shd lrkakg wjia:djla keye' ta ksid ta is;sú,s bfíu ke;sù hkjd' ta jf.au iuyr wh uefrkak ´k lshñka ys; ys;d bkakjd' kuq;a úúO fya;= ksid Tjqka urKh lrd fkdhd wdrlaId fjkjd' iuyr wh orejkaf.a ne£ï ksid" wd;au .re;ajh iy wd.ñl úYajdi ksid ishÈú ydkslr.ekSfï is;sú,s uev.kakjd'ZZ úYdoh ;sfnk wh jeros ;SrK .ekSfï wjia:d jeähs zzkuq;a úYdoh iys; mqoa.,hl= ishÈú kid.ekSu úi÷ula f,i f;dard.ekSfï keUqrej jeähs' ta jf.au we;eï mqoa.,hka ;ukaf.a m%Yakhg fldhs ;rï úi÷ï fmfkkakg ;snqK;a uefrkak ´k lshk idOlh m%n, kï Tjqka urKh ie,iqï lrkjd'ZZ

November 2021

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zzta ksid flfkla ishÈú kid.ksú lsh,d ielhla ;sfnkjd kï ta i|yd n,mdk fya;=j,g jydu ksis ms<shï fhÈh hq;=hs' uki wNHka;rfha ;sfnk m%Yakj,g ksis úi÷ï fkd,enqfKd;a kej; kej; ta m%Yak u;=jkjd' túg th fl<jr jkafka ishÈú kid.ekSulskau úh yelshs' zz

f,dal fi!LH ixúOdk o;a;j,g wkqj f,dalfha iEu ;;amr 40 lg jrlau mqoa.,fhl= ishÈú ydks lr.kakd w;r" iEu jirlu ,laI wglg wdikak msßila ñhh;s'

ijkaoSu yd mÍlaIdldÍj isàu jeo.;a ishÈú kid.ekSï je<elaùu i|yd ish ióm;uhkag ijka §u iy wjOdkfhka isàu wm ld w;skq;a isÿúh hq;= fohla nj cd;sl udkisl fi!LH úoHdh;kfha fcHaIaG ufkda ffjoH doctormagazine.lk

úfYaI{ mqIamd rKisxy uy;añh mjikakSh' we;eï úg l=ula fyda m%Yakhlska mSvd ú¢k Tfí ys;j;l= Tn iuÕ ta m%Yakh l;d lsÍug wleue;s úh yelsh' kuq;a ta fudfydf;a Tyq ;ks fkdlr <Õ /£ isàu mjd Tyq ishÈú kid.ekSu j<lajd .ekSug bjy,a úh yelsh‍' l=uk fyda udkisl .eg¨‍jlska mSvd ú¢kjd kï fkdmudj Tng úYajdi l< yels flfkl= iuÕ l;d lrkak' ke;fyd;a WmfoaYkh i,id .; yels úYajdijka; wdh;khl iqÿiqlï ,;a WmfoaYlhl= fj; fhduqjkak' Tfí .eg¿fõoS Tn <Õ bkakd Tfí .e,jqïlrefjda''' rcfha cd;sl udkisl fi!LH úoHd;kh ck;djf.a udkisl fi!LH m%j¾Okh lsÍu fjkqfjka lemjQ rcfha cd;sl udkisl fi!LH úoHd;kho meh 24 mqrdu l%shd;aul 1926 Wmldrl fiajdj weu;sh yelshs' fudìfg,a iy ia:djr ÿrl:kj,ska tu wxlh

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ioyd ,nd.kakd weu;=ï j,g uqo,a wh lsÍula isÿ jkafkao keye' .eg¨‍fõ iajrEmh wkqj WmfoaYkh iy úfYaI ffjoH m%;sldr fukau wjYH kï kS;s wdOdr ,nd§u i|yd fhduqlsÍuo tu fiajdj u.ska isÿfõ'

zY%S ,xld iqñ;%fhdaZ m%cd ixúOdkh ishÈú kid.ekSï je<elaùu i|yd WmfoaYkh ,nd§u fukau .eg¨‍fõ iajdNdjh wkqj kS;s wdOdr ,nd§u i|yd wjYH wdh;k fj; fhduq lsÍuo isÿ lrhs' Èk 365 mqrdu Wfoa 9 isg rd;%S 8 olajd l%shd;aul jk tu wdh;kfha WmfoaYk fiajh iu. my; ÿrl:k" Bfï,a" jÜiawma iy ialhsma ud¾. j,ska iïnkaO úh yelsh' Hotline : +94 11 2 682535, 0112 2683555" 0112696666 iy 0112692909 Mobile/WhatsApp: 0767 520 620, 0777 723 696 info@srilankasumithrayo.lk u;ameka yd u;aøjHj,g fukau úúOdlr weíneysùï j,g ,lajQjka ishÈú kid. ekSu je<elaùu i|ydo iqñ;%fhda ys úfYaI uOHia:dkhla ue,a ueÿr Wmldrl fiajh kñka mj;ajd f.k hkq ,nhs' 0112693460$0112694665 wxl ;=<ska tu fiajdj ,nd.; yelshs' DM

November 2021

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New Trends fldúâ u¾Okhg fnfy;a fm;a;la Ndú;hg tk ,l=Kq

An oral pill for COVID-19?

Molnupiravir shows promise fldúâ u¾Okhg fnfy;a fm;a;la Ndú;hg tk ,l=Kq osk mylska frda.h iqj lrkjd udi mylska fj<|fmd<g fnfy; ksIAmdokhg wi,ajeis bkaoshdj;a mshjr .kshs''' ffjoH YdLH wurfialr úisks tkak;l msyg s ñi wka irKla ke;ehs is;+ fldfrdakdjg fkdfyd;a fldúâ 19 frda.hg m%;p s dr olajk fnfy;la iïnkaOfhka fï jk úg n,dfmdfrd;a;= oe,afjñka ;sfí' ojia myla mqrdjg fï lshk fnfy; .ekSfuka kj fldfrdakd ffjrih isrefrka iïmQ¾Kfhkau bj;a jk njo frda.h s d iïmQ¾Kfhkau iqjm;a jk njo fï jk úg yªkdf.k ;sfí''' 12

November 2021

DOCTOR MAGAZINE

fudllao fï fnfy;@ Molnupiravir hkqfjka ye|skafjk m%;sffjri (antiviral) ldKAvhg wh;a fï fnfy; ksIAmdokhg uq,aù we;af;a c¾uksfha Ridgeback Biotherapeutics hk T!IO iud.u;a" tlai;a ckmofha Merck hk T!IO iud.u;a hk T!IO iud.ï foflys taldnoaO W;aidyhla jYfhks' fï jk úg;a m<uq yd fojeks woshf¾ idhksl mÍlaIdjka wjikaj ;sfnk w;r m%;sM<h ishhg 100la jYfhka jd¾;d fjhs' f;jk woshf¾ ridhksl mÍlaIdjkao fï jk úg ksudj olsñka ;sfnk nj ;;a m¾fhaIK j, ksr; m¾fhaIlhka i|yka lr;s' fï wkQj ;j;a udi 3-5 w;r ld,hlo kj T!IOh frda.Ska iqjm;a lsÍug os.= iemhqï jYfhka ,nd.; yels jkq we;' jvd;a jeo.;a yd ir< ldrKh jkafka ksfjfiaoSu fuu T!IOh Ndú;hg f.k iqjm;a ùug ,efnk wjia:djhs' fuu kj T!IOh Molnupiravir uq,skau w;ayod ne,Sï j,g .;af;a bka*a¨fjkaid ffjrihg m%;sldrhla

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jYfhka fhdod. kq ßisfhks' ixfhda. hla jYfhka ie<lsh yels fuys ridhKsl wka;¾.;h u.ska ffjrih .=Kkh ùu j<lajhs' tfiau jHdêcklhla jYfhka l%shd;aul ùuo j<lajhs' (treatment and prophylaxis) ta ksid fuu m%;s ffjrih frda.h je<ªKQ whg m%;sldrhla jYfhka fukau frda.h je<|Sfuka ñoSug fhdod.kakd T!IOhla jYfhkao fhdod.; yels jkq we;'The use of molnupiravir as both a treatment and prophylaxis was found to reduce viral replication and pathogenesis.

miq.sh ud¾;= yd wfma%,a udi j,oS fko¾,ka;fha f.dúm< j, we;s lrk uq.áka úfYAIhla fldfrdakd ffjrihg f.dÿre ù ish oyia .Kkska ñh .shd Tng u;l we;s' Molnupiravir T!IOh fï uq.ákag uq,skau ,ndoSfuka Tjqka iïmQ¾Kfhkau iqjm;a jQ nj m¾fhaIlhka ksÍlaIKh lf<ah' fldúâ frda.hg tfrysj l%shd;aul jk tkak;a u.ska isÿ lrkafka ffjrih wvmK lsÍug iu;a m%;sfoay ksmoùuhs' fï wkQj fm;a; yd tkak; l%shd lrkafka fohdldrhlskah'

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m¾fhaIK uÜgfï wfmalaId iy.; fldúâ 19 m%;sffjrih ;j;a fkdfnda osklskau fldúâ frda.Ska Wfoid fhdod .ekSug lghq;= lrKq we;' th oekgu;a f,dalh mqrd m¾fhaIlhkaf.a wjOdkhg ,laj we;s njo wu;l fkdl< hq;=h'

miq.sh ud¾;= yd wfma%,a udi j,oS fko¾,ka;fha f.dúm< j, we;s lrk uq.áka úfYAIhla fldfrdakd ffjrihg f.dÿre ù ish oyia .Kkska ñh .shd Tng u;l we;s' ta fuu Molnupiravir T!IOh uq,skau i;a;ajhka i|yd w;ayod n,k ,o jljdkqjhs' uq.áka yg fï T!IOh uq,skau ,ndoSu ksid miqj tu uq.áka iïmQ¾Kfhkau iqjm;a jQ nj m¾fhaIlhka ksÍlaIKh lf<ah' bka miqj tu m¾fhaIlhka úiska fuu Tiqj ukqIHhka fhdod.;a idhksl m¾fhaIK j,g fhdod .kakd ,o w;r úYAñ; f,i tho id¾:l úh' ukqIHhka flfryS fuys M<odhS;djh úuik idhksl mÍlaIK j, wjika woshr fï jk úg f.fjñka ;sfnk w;r u¾la iud.u fï kj U!IOh wefußldkq jeishkag ,ndoSug iemhqï .súiqulao w;aika lr ;sfí' hqfrdamfha fndfyda rgj,a fukau ´iafÜ%,shdfõo T!IO wêldßka fuu T!IOh Ndú;hg .ekSug oekgu;a Wkkaÿjla olajk w;r wfma wi,ajeis bkaoshdfõo isma,d" fvdlag frâä ,efndrgÍia" hk T!IO iud.ï u¾la iud.u yd tlaj fuu kj T!IOh l,dmSh jYfhka idhksl m¾fhaIK isÿ lsÍug mshjr f.k ;sfí' by; iud.ï j,g wu;rj bkaoshdfõ ika mduisghqál,a" fgdrkaÜ yd tïlsfhda mduishqál,aia hk wdh;k ish,a, fuu T!IOh ksIAmdokhg fï jk úg idlÉPd lrñka isà' fï wkQj ;j;a fkdfnda l,lska fuu Molnupiravir T!IOho ukqIHhd uqyqK mE úYd,;u uE;ld,Sk wNsfhda.h ch .ekSug ie<lsh hq;= iïudoula olajkq we;ehs m¾fhaIK m%cdj n,dfmdfrd;a;=j m< lrhs' DM

November 2021

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e PCR jix.;hg tfrys m%cd iqj mjqr

emPowering Communities for Resilience during COVID-19 Pandemic jix.;hg tfrys m%cd iqj mjqr i¾fjdaoh e PCR jHdmD;sh fldúâ jix.;h wms yefudaf.u ðú;j,g n,mEï lf<a wms ljqre;a fkdys;mq úÈhg' fuf;la l,la wms .; l< cSjk rgdj fï jix.;h;a tlal Wvq hál=re fjkjd' ksrka;rfhka n, .ekajqKq ixprK iSud" mdi,a" ld¾hd, yd fmdÿ ia:dk jid oeóï ksid wfma ðú; wmsg;a fydrd kqyqre yqfol,djl ysrfjkjd' iuyrla úg wfkla whf.a Woõ Wmldr wjeisu fudfyd;l mjd wmsg b;sß fjkafka wfma ,Õu ohdnrhska ú;rhsæ 14

November 2021

DOCTOR MAGAZINE

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wms yefudau ys;=fõ Tfyduhsæ zz;u ysig ;u w;uh fijke,a,æZZ ta;a wmsg fï jf.a jHik wjia:dj,§ wfma msyg s g wdmq ñ;=frla fjkod jf.au wo;a wfma ,Õska ysáhd' wfmka jqKq tlu w;miqùu ;ud ta l,HdK ñ;=rd wms ;ju yß yeá wjfndaO lr fkd.ekSu' ta fjk ljqre;a fkfï wmsg wjeisu fudfyd;l wms jgd isá wfma wi,ajeishka" wfma .fï ñksii a "q fláfhkau lshkj kï wfma zz‍m%cdj‍ZZ' jix.;h Èfkka Èk W.%fjoa§ " furg m%cd uq,sl iún,lrKfha mqfrda.dñfhl= jqkq i¾fjdaoh Y%uodk jHdmdrh" tlai;a cd;Skaf.a <ud wruqo,;a (hqksfi*a$UNICEF) tlaj ;SrKh lrkjd wmsg wu;l jqKq wfma ñ;=rd ke;akï wfma m%cdj kej; lr,shg f.k tkak' ta jHhdufha wruqK ;ud m%cdj ;=, ;sfhk YlH;djhka fï jix.;hg tfrys igkg idOkSh yd M,odhs wdldrfhka fhdodf.k jákd ðú; jf.au" wfma bÈß meje;au ;SrKh lrk iudc úhuk /l.ekSu'

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jevigykg iyNd.s jQ m%cd kdhlhska Whatsapp iudc udOH Tiafia cd, .; flfrkjd' Èkm;d iïm;aodhlhska úiska tu cd,hg fldúâ yd neÿKq hdj;ald,sk f;dr;=re" iudc udOH Tiafia ießirk jHdc m‚jqv .ek ksjerÈ lsÍï fnod.kakjd' fï f;dr;=re m%cd kdhlhska ish m%cdj ;=<" ìï uÜgfï ikaksfõok cd, Wmfhda.S lr.ksñka fnod.kakjd

ta W;aidyfha tla jeo.;a mshjrla úÈhg TjQka ;SrKh lrkjd rg mqrd úisreKq m%cd kdhlhska" ;reK iudc l%shdlrejka" wd.ñl kdhlhska yd ldka;d ksfhdað;hska fldúâ jix.;h .ek ksrka;rfhka hdj;ald,sk fjk oekqfuka ikakoaO lrkak jevigykla ks¾udKh lrkak' ksis úoHd;aul miqìulska hq;= yd kj;u oeKqï fmdÈhlska ikakoaO jqKq m%cd kdhlhskag mq¿jka m%cdj ;=, .dul n,fõ. hla f,i l%shd lrkak' Tkak Th úÈhg ;ud e PCR (emPowering Communities for Resilience during COVID-19 Pandemic& lshk m%cd iún,lrK jHdmD;sh l<t<s nyskafka' i¾fjdaoh iNdm;s úfYaI{ ffjoH úkahd wdßhr;ak ue;s;=udf.a wkqYdil;ajfhka" m%cd ffjoH <ysre fldä;=jlal= uy;d fï jevigyfka ish¨‍ wOHdmk fuj,ï" fm<.eiau yd úIhdkqnoaO lreKq ks¾udKh lrkjd' i¾fjdaoh jHmD;s l<uKdldr ,laIsld ksixi,d uy;añhf.a iïnkaêlrKfhka ffjoH ,ysre fldä;=jlal=" ffjoH m%idoa ùrisxy" ffjoH fkdú,a úfÊfialr yd ffjoH Ñka;d rEmisxy uy;au uy;aóka m%cd fjoH úoHdj ms<sno lafIa;%fha we;s m<mqreoao uekúka m%fhdackhg .ksñka isxy, udOHfhka jevigyk ioyd iïm;a odhl;ajh imhkjd' wfma oñ< ni l;dlrk ifydaor ifydaoßhka fjkqfjka

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e PCR jix.;hg tfrys m%cd iqj mjqr

jevigyk fufyhjkafka ffjoH kd.=¾ wdß*a uy;d' jevigyk l%shd;aul flfrkafka ZOOM ;dlaIKh fhdod. ksñka" ud¾..; wOHdmk jevigykla f,ihs' mqrd meh follg wdikak ld,hla l%shd;aul fjk jevigyk ;=<§ wfma iïm;a odhlhska my; ld,sk ud;Dld Tiafia ir, niska m%cd kdhlhska oekqj;a lrkjd' 1' fldúâ 19 fjrih y÷kd.ekSu 2' fldúâ 19 jix.;h me;sÍu je<elaùu yd DReAM +V ixl,amh 3' fldúâ tkak;alrKh yd uyck u;h 4' fldúâ jix.;h yd ne÷Kq fndre f;dr;=re jix.;h ^Infodemic& 5' jix.; iuhl m%cd Y=rhkaf.a ld¾hNdrh fï ieis my ;=<§ fldaúâ jix.;hg iïnkaO wjfYaI iudc wd¾Ól lreKq mjd idlÉcdjg ,la flfrkjd' ta yd ine|S kj;u hdj;ald,sk jQ f;dr;=re úúOdldr jQ ikaksfõok fuj,ï Tiafia m%cd kdhlhskag yÿkajd fokjd' m%cd kdhlhka iún, .ekaùu i|yd iïm;a odhlhka fhdod.;a iqj mKsúv

November 2021

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úkdä 20 la mqrd Èj hk iEu ieishla wjidkfha§u m%cd kdhlhskag tu ieishg wod,j mek ke.=kq .eg¿ úuiSug wjia:djla Wodfjkjd' ta ú;rla fkfï" ieis myu wjika jQ úg jevigyfka§ idlÉcd l< ;ju;a wmyeÈ,s lreKq" ish w;aoelSï Tiafia y÷kd.;a .eg¿ yd ;ukaf.a m%cdj uqyqK ÿka iqúfYaIS ldrKd .ek iïm;aodhlhskaf. ka úuiSug;a m%cd kdhlhskag wjia:djla ,efnkjd' ta ú;rla fkfï jevigykg fmr jix.;h yd ne÷Kq f;dr;=re iïnkaOfhka ish oeKqu Wr.d ne,Sug;a" jevigyk wjidkfha§ ish oekqu flf,i hdj;ald,sk ù we;aoehs ixikaokh lr ne,Sug;a ud¾.d.; fmdaruhla ^NdId ;%s;ajhlska& u.ska m%cd kdhlhskag wjia:dj Wod lr § ;sfnkjd' f,dal <ud wruqof,a uq,Huh Yla;sfhka yd i¾fjdaoh wdh;kfha ;dlaI‚l WmfoaYl;ajfhka l%shd;aul jQ fuu mqyqKq jevigyk iuia; Èjhsku wdjrKh jk mßÈ Èia;%slal 25 mqrdu" isxy," oñ< NdIdj,ska udi folla mqrd b;d id¾:lj l%shd;aul jqKd' tl ieishla i|yd 100lg

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wdikak m%cd kdhlhska l%shdldßj iyNd.s jqKd' jevigyk wjika jk úg iuia; Èjhsku wdjrKh jk mßÈ m%cd kdhlhska 6"700 lg wdikak m%udKhla fldúâ jix.;hg tfrysj oekqfuka iún,lrKh lsÍug iïm;a odhlhskag wjia:dj Wodfjkjd' lsisÿ ielhlska f;drj fï jevigyk furg m%cd kdhlhska Wfoid fm<.iajk ,o w;s id¾:lu mqyqKq jevigyka j,ska tlla f,i b;sydi.; fjkjd' kej; kej;;a fuu jevigyk ish Èia;%slal ;=, l%shd;aul lrk f,i ,enqKq b,a,Sï" úfYaIfhkau ;reK kdhlhska fj;ska ,enqKq b,a,Sï tu ldrKh idlaId;a lrkjd' fï jevigyk mqyqKq ieisj,g muKla isud fjkafka kE' jevigykg iyNd.s jQ m%cd kdhlhska Whatsapp iudc udOH Tiafia cd, .; flfrkjd' Èkm;d iïm;aodhlhska úiska tu cd,hg fldúâ yd neÿKq hdj;ald,sk f;dr;=re" iudc udOH Tiafia ießirk jHdc m‚jqv .ek ksjerÈ lsÍï fnod.kakjd' fï f;dr;=re m%cd kdhlhska ish m%cdj ;=<" ìï uÜgfï ikaksfõok cd, Wmfhda.S lr.ksñka fnod .; hq;=hs' ta iïnkaOfhka ksrka;r miqúmrul fh§ug;a i¾fjdaoh wdh;kh wu;l lrkafka kE' b;ska" ;ud ,nd.;a oekqu ish m%cdj yd fnod.ekSu u.ska" ksis oekqfuka iqfmdaIs;j ;udf.a fi!LH yd ne÷Kq lreKq ldrKd ;uka úiskau ;SrKh lsÍfï uÜgulg ish m%cdfõ idudðlhska iún,lrKhg Tjqkag fï u.ska wjia:dj Wodfjkjd' jix.;hlg ueÈjQ iuhl oekqfuka" m%cd l%shdldß;ajfhka yd udkqIsh uq,O¾u j,ska yev .ekajqKq m%cdjla wms i;= jákdu Yla;sh nj kej; kej;;a lshkak wjYH keye' tkak;a u.ska wms wfmalaIs; fmdl=re m%;sYla;slrKh <Õd fjkjd jf.au oekqfuka yd h:djfndaOfhka m%;sYla;slrKh jQ m%cdjla wfma l=gqïN rlsk iqj mjqrla f,i l%shd lrkjd' jevigykg iyNd.s jQ tla ;reK m%cd kdhlfhla ;enQ igyklskau ta nj ;yjqre fjkjd' zzfï jevigyk ;ud fldúâj,g tfrysj jevlrkak wmsg ,enqKq fydou tkak;æ˜‍ Tfn;a uf.;a m%cdj wfma fmdÿ wkd.;h iqrlsk iqj mjqrhsæ DM

November 2021

DOCTOR MAGAZINE

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Dialogue osklg fldúâ fndafjk ixLHdj 500g jvd wvq fjk ta oskh tk f;la'''

Civil society collaboration against the covid pandemic

fldúâ jix.;hg tfrys i¾fjdaoh hqoaOh''' i;s y;rla ;=< m%cd kdhlhka 6"734la fldúâ frda.hg tfrys hqoaOhg n,.ekajQ wreue;s i¾fjdaoh jevigyk 18

November 2021

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i¾fjdaoh jHdmdrfha iNdm;s m%cd úfYAI{ ffjoH úkahd wdrshr;ak

zzmj;akd fldúâ jix.;h yuqfõ wmg ;sfnk n,.;=u wdhqOh tkak;' tkak;alrK l%shdkaú;fhaoS wm fï jk úg;a ie<lsh hq;= ch.%yK w;am;a lrf.k ;sfnk ldrKh ienEjla' tfy;a" thu muKla fï rg oekg uqyqK mdk Nhdkl ;;a;ajfhka ñoSug m%udKj;a jkafka kE' ZZ zzfï jix.;fhka wdrlaId jkakg kï wmf.ka rgg ,eìh hq;= ksYaÑ; odhl;ajhla ;sfnkjd' tkak; ,nd.;a;;a" úfYAIfhkau ;jÿrg;a mqoa., ÿria:Ndjh /l .ekSu wjYHhs' ksrka;rfhka w;a fiaoSfï ms<sfj;" doctormagazine.lk

iudcfhaoS uqj jeiqï me<|Su wjYHfhkau l< hq;a;la' tkak; u.ska fldúâ frda.h iïfma%IKh md,kh jf.au thska wdidokh jQjfyd;a nrm;, ;;a;ajhkag m;aùu fukau" ta ksid urKhg ;sfnk wjodku wvq lrk nj ienEj' tfy;a újdy ux., W;aij" fldgy¿ W;aij wdoS ck talrdYs ùï j,ska ;jÿrg;a je<lsh hq;=hs'''ZZ

;reKhka tkak;a ,.nd fkd.;af;d;a Tjqkaf. mjq,a j, jfhdajDoaO Woúh" úúO f,v frda. ;sfhk Woúh úYd, wjodkulg ,la fjkjd' th cd;sl jYfhkao frda.h u¾Okhg ndOdjla fjkjd' ,sx.sl fn,ySk;d" ore iïm;a ,eîfï .eg¿ fï tkak; ksid we;sjk njg ;sfnkafka w;sYhskau fndre u;hla' lreKdlr, uq,skau ,efnk tkak; ,nd. kak'

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wúysxidj fmroers lrf.k fn!oaO Ñka;dj weiqf¾ isß,l .ï kshï .ï tl¿ lr.;a uyd ck;d jHdmdrhl ks¾ud;D wdpd¾h ta à wdßhr;ak

úfYAI{ ffjoH úkahd wdßhr;ak tfia m%ldY lf<A i¾fjdaoh jHdmdrh u.ska .ï uÜgñka ;reKhka 5"000la fi!LH m%j¾Ok ld¾hdxYh yd taldnoaOj mqyqKq lsrSu iïnkaOfhka wm l< úuiSug m%;spdr olajñka' wyx.uf.a áhqv¾ wdßhr;ak kï kd,kaofha fiajh l< .=re uyf;la wE; tmsg .ïudk j, wfkal úO ÿlaL fodaukiaihka" úúO wf;darhka ú|sk ck;djg msysg ùug ;ukag yels muKska W;aidyhl ksr; jqfKah' kd,kaofha orejka lKavdhula iu.ska l=reKe., l=,ySkhka úiq .ul l< Y%uodk jHdmdrh tjlg w.ue;s nKAvdrkdhl Y%Su;dkkaf. ao f.!rjhg ,laúh' hym;a wruqKQ fmroeß lrf.k msysgjQ tu uyck jHdmdrh zzi¾fjdaohZZ kñka ks, jYfhka furg l%shd;aul jQfha 1958 j¾IfhaoSh' ta urodfka zzfo,a.yhg f.orZZ ksjyfkaoSh' i¾fjdaoh''' wúysxidj" ukqIHhdf.a oshqKQj fmroeß lrf.k oi; iqj| úysÿjd,ñka ck;d fufyjfrys fhfooaoS ;u ld¾hNdrho iudcfha úúO me;slv fj; fiajd ie,iSfuys,d jHdma; jQfha fm!refIdaoh" l=gqïfndaoh" .%dfudaoh" k.frdaoh" foafYdaoh" úYafjdaoh wdoS jYfhka udkj oshqKQfjys kjH wre;a fidhk jHdmD;s l%shd;aul lrñks'

November 2021

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Dialogue osklg fldúâ fndafjk ixLHdj 500g jvd wvq fjk ta oskh tk f;la'''

ujka jix.; iuhl wirK jQ mjq,a j,g msysgla fjkakg yelshdj ;sfhk m%cd ixúOdk ;sfnkjd' ta whg mqyqKQ m%cd l%shdldÍka bkakjd' ta;a ta whg l%shd;aul fjkakg rcfhka ms<s. ekSula jf.au wjirhlao (Official recognition and a mandate) ,ndosh hq;=hs'

wdpd¾h ta à wdßhr;ak ta ft;sydisl ld¾hNdrh fufyhqu wo mejeÍ we;af;a t;=uka fogq mq;a m%cd ffjoH úfYaI{ ffjoH úkahd wdrshr;akhka fj;h' ñ,shk 220la frda.Ska l<" ñ,shk y;r yudrla urKhg m;a l< fldúâ jix.;h yuqfõ ffjoH úkHd wdßhr;ak fi!LH wud;HxYfhao ueosy;aùfuka miq.shod iqúfYaIS fufyjrl ksr; úh' iuia; osjhsku wdjrKh jk mkaoyil i¾fjdaoh m%cd kdhlhka iún, .kajñka wE; tmsg .ïudk j, ck;dj wdrlaId lsÍug Tyq jevms<sfj,la ilia lf<Ah' i;s y;rl ld,hla ;=< ud¾..; l%uhg ieisjdr 53la Tiafia ,o mqyqKQfjka mkakrh ,nñka 6"734la m%cd kdhlhka ;uka fjfik .ïudk j,g wejeis kdhl;ajh ,ndoSug fmruqKg meñK isà' zzi¾fjdaohZZ - wfma ld,fha w;sYh mq¿,a wdjrKhla ie,iqKQ ck;d jHdmdrhla jYfhka ksiairKdOHdY fufyjr fï w;sYh ;SrKd;aul jljdkqfõ kej;;a iudc.; lsrfï wruqKska úfYAI{ ffjoH úkahd wdßhr;akhka ld¾hndrh úuiSfïoS Tyq oelajQ woyia j,ska fukau tu ld¾hh isÿjQ wdldrh iïnkaOfhka fi!LH wud;Hxyfhka flfrk iudf,dapkhlskao fï ,smsh iukaú; jkq we;' 20

November 2021

DOCTOR MAGAZINE

zzw¿;a wjqreÿ fmdl=rZZ wmg we;s lf<A iq¿mgq ydkshla fkdfjhs' ta;a oeka ;;a;ajh hym;a w;g yefrñka ;sfnkjd' fujka jix.; j,oS kshduk ld¾hNdrh mejfrkafka m%cd ffjoHjrekag' m%cd ffjoHjrfhla jf.au c.;a ;,fha m%cd uQ,sl ixúOdkhl kdhlfhla f,i Tn fï ;;a;ajh olskafka fldfyduo@ Tn b;d ksjeros m%fõYhlska wdrïNh .;a;d' zzi¾fjdaohZZ jHdmdrh úosyg''' uu wfma rfÜ ck;dj fï jix.;h ksid mSvdjg m;aj isák wdldrh .ek b;d fyd| wjfndaOhlska isákjd' fldfydu;a wE; tmsg .ï" kshï .ï j, ck;djg fï jix.;h ke;sj jqK;a cSú;h t;rï myiq jqfKA kE' Tjqka cSj;a fjkakg" orejkaf.a wkd.;h iqrlaIs; lrkakg f,dl= igkl ksr; jqKd' fldúâ ksid Tjqka lnf,ka ,smg jegqKd' fuh" l,ska mqfrdal:kh lrñka wd wNsfhda.hla fkdfjhs' Tjqkag úYd, wd¾Ól m%Yak j,g uqyqK fokakg isoaO jqKd' ta w;f¾ wfma .ï kshï .ï j,skq;a úYd, jYfhka frda.Ska jd¾;d jqKd' doctormagazine.lk

fï ;;a;ajh yuqfõ ck;djg wiSñ; lemùï lrkakg isoaO jqKd' fï''' iudc l%shdldßlfhl= f,i jf.au m%cd ffjoHjrfhl= jYfhka wmf.a ksÍlaIK''' jix.;fha fï uE;Nd.h jk ;=re wfma rfÜ isú,a ixúOdk j, t;rï iyNd.s;ajh olakg ,enqfKA keye@ we;a;''' fï ish,a, isoaO fj;aoS;a rch kshduk ld¾hhl ksr; jqKd' ta'a wfma rdcH fkdjk ixúOdk" isú,a l%shdldÍka fï l%shdoduhg yjq,a lr.ekSula ;snqfKA kE''' iuyr úg fï .eg¿ ish,a, tlska tl''' fkdys;+ fõ.hlska we;sùu Bg fya;=jla jkakg;a we;s' fï ;;a;ajh ;=< wmg fï rfÜ ck;dj fjkqfjka hula lrkakg wjia:dj fok f,i wm rcfhka b,a,d isáhd' úfYAIfhkau f,dal fi!LH ixúOdkh úiska le|jQ iajdëk ;dlaIKsl úfYAI{hkaf.a lKAvdhu Independent Technical Expert Group (ITEG) úosyg wd.ñl kdhlhka" isú,a ixúOdk" rdcH fkdjk ixúOdk fï lghq;a;g odhl úh hq;= doctormagazine.lk

.%dóh m%cd fiajlhka yuqùug hk .ukl w;ru.oS''''

njg f,dal fi!LH ixúOdkhu b,a,Sula l<d' ta jk úg wmg jqK;a fï lsisÿ rcfhka flfrk jevms<sfj,lg ks, jYfhka iïnkaO jkakg wjia:djla fkdue;sj ysáfh' wfma fhdackd fldúâ 19 iïnkaO ckdêm;s ld¾h idOk n,ldhg" fldúâ 19 wd¾Ól mqk¾cSjk ld¾h idOk n,ldhg fokak yelshdjla" jevms<sfj,la ;snqfK kE' isú,a ixúOdk tluq;=j Civil Society Collective (CSC) yeáhg wm b,a,d ysáhd" fï ÿIAlr wjia:dfõ fï ck;dj fjkqfjka lsishï ms<SirKla ,nd fokakg wmg;a wjia:djla ,nd fok f,i' ta;a wmj iunkaO lr.kakg fi!LH ffjoH ks,Odß ld¾hd, uÜgfuka j;a iïnkaêlrK jevms<sfj,la ;snqfKA kE' ug u;lhs" fldúâ frda.Skag i;aldr lsrSug odhl jk tla m%Odk rdcH frday,la tla wjia:djloS iafõÉPd fiajlhka b,a,d isáhd' fï úosfya lghq;= j,g fhdojd.; yels iudc l%shdldßlhka wmsg bkakjd' ta;a ta whj iïnkaO lr.kakg jev ms<sfj,la ;snqfk kE' m%cdj jYfhka fï úosfya wjia:dj, wirK jQ mjq,a j,g msysgla fjkakg yelshdj ;sfhk m%cd ixúOdk ;sfnkjd' ta whg mqyqKQ m%cd l%shdldÍka bkakjd' ta;a ta whg we|Sß kS;sh jf.a wjia:djl l%shd;aul fjkakg wjYH miqìula ;sfnkak ´ks' fï whg ta i|yd rcfhka ms<s.ekSula jf.au l%shd;aul fjkak wjirhlao Official recognition and a mandate ,ndosh hq;=hs'

November 2021

DOCTOR MAGAZINE

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Dialogue osklg fldúâ fndafjk ixLHdj 500g jvd wvq fjk ta oskh tk f;la'''

kj fh!jKhka tkak; ,nd .kakg lsishï ue<slula olajkjd' fu ;;a;ajh Tn olskafka fldfyduo@ Tõ" tfyu ;;a;ajhla wjdikdjg fmfkkakg ;sfnkjd' ,sx.sl fn,ySk;d" ore iïm;a ,eîfï .eg¿ fï tkak; ksid we;sjk njg iudcfha ¥Iudk wdrxÑhla me;sr hkjd' fldúâ frda.h wdrïN fj,d ;ju udi úiaihs' tfyu flá ld,hla we;=<; ta úosfya ks.ukhlg m;a fjkakg fldfy;au yelshdjla kE' fï iEu tkak;lau m¾fhaIKd;aul mshjr Tiafia j¾Okh jQ tajd' tys tjka wys;lr ;;a;ajhla ;sfnk njg oekg lsisu i|ykla kE' we;a;gu fï wjqreÿ 30g wvq jhia ldKAvh wfma rfÜ fldúâ frda.hg k;= jqfKA ishhg 1'3la muKhs' fï whf.ka jeä fofkla frda. ,laIK fmkajkafk;a ke;sju iqjm;a fjkjd' ta;a fï wh ksid Tjqkaf. mjq,a j, jfhdajDoaO Woúh" úúO f,v frda. ;sfhk Woúh úYd, wjodkulg ,la fjkjd' fu;ekhs .eg¿j ;sfnkafka' Tjqka tkak;a ,nd fkd.;af;d;a ta ksid mjqf,a wfk;a wh;a wk;=f¾ jefgkjd' th cd;sl jYfhkao frda.h u¾Okhg ndOdjla fjkjd' wfma rfÜ iuia; ck.ykfhka jhi wjqreÿ 15-29 w;f¾ m%cdj ,laI 48lau bkakjd' tu ksid fï wh tkak;alrKh lsÍu iqúfYAIS cd;sl wjYH;djhlao fjkjd' fï wNsfhda.d;aul jljdkqfõ wkd.;h foi iqNjdoSj n,k ck;djg" Tng ,nd fokakg ;sfnk mKsúvh l=ulao@ fï frda.fhka iuQy m%;sYla;slrKhla ,enf.k thska frda.h mrojkakg kï iuia; ck;djf.ka ishhg 80la tkak;alrKhg ,laúh hq;=hs' túg th frda. jHdma;sh wdmiq yrjkakg fya;=jla fjkjd' wfma rg oeka bkafk f,dalfha jeäu fldúâ wjodkula iys; rgj,a jk r;= ldKAvfha rgj,a j¾.SlrKfha' wfma rfgka osklg jd¾;d jk fldúâ frda.Ska ixLHdj 500g jvd wvq jqfKd;a wmg kej;;a wdrlaIs; fld< ldKAvfha bkakg wjia:dj ,efnkjd'

November 2021

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oekgu;a wmg n,j;a wd¾Ól mSvkhla ;sfnkjd' fuhska ñfokakg wm fkdj<yd mshjr .; hq;=hs' fjfiiskau" ixpdrl jHdmdrh Yla;su;a lrkakg" ks¾hd; NdKAv kej;;a wmkhkh n,.kajkakg jf.au wfma úfoia Y%ñl fj<|fmd< n,.kajñka rgg lsishï yqiaula .kakg bka wjia:dj ,nd fokakg wjYHhs' ta iu.u kj úl,am m%cd uQ,sl ;sridr wd¾Ól l%uhla f.dvkexùu ms<sn|jo wmf.a úfYaI wjOdkh fhduq úh hq;=hs' ta;a ta i|yd ;sfnk f,dl=u ndOdj ;uhs wfma frda. ;;a;ajh oreKQ w;g m;aùu' ta i|yd wms fï frda.h u¾Okhg wfmka Wmßu odhl;ajhla oelaúh hq;= jkjd' rg lrjk we;a;kaf.a j.lSï Tjqka bgq lrdú' jix.;hla wìuqj iEu mqoa.,fhl=gu tu jHdma;sh md,kh lrkakg iudc j.lSula ;sfnkjd' ;j;a iEfyk ld,hla hk;=re wfmka ;j fkfkl=g fldúâ fnda fkdjkakg wmu iajhx úkhla mj;ajd.; hq;=hs' DM

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oshjeähd ,sms irKsh 2021 fkdjeïn¾ 14 cd;Hka;r oshjeähd oskh ksñ;af;ks

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Diabetes oshjeähd md,kfha osju;=r

oshjeähd md,kfha osju;=r isref¾ nr wvq lr .ekSu wdydr md,kh yd jHdhdu Y%S ,xld ks¾Kd,fõoS úoHdh;kfha f,alï ks¾Kd, frda. úfYaI{ ffjoH ksrkac,d óf.dvúodk

hjeähdj ;sfnk iEu flfklau ;sr È wosgklska muqKqjd.; hq;= wruqKla ;sfí' ta wka lsisjla fkdj ;u reêrfha iSks uÜgu ksfrda.S mrdihl mj;ajd .ekSuhs' th jeä w.hla fkdúh hq;a;d fiau wiSñ; wvq w.hlao fkdúh hq;af;ah' oshjeähdj md,kh lr .kafka flfiao@ oshjeähd frda.sfhlaf.a uQ,sl frda. md,k l%shdud¾.h jkqfha wdydr isß; uekúka mj;ajd .ekSu" ksrka;rfhka jHdhdu lsÍu yd isref¾ nr wvq lr .ekSuhs' frda.h uq,a wjia:dfõoS fndfyda fofkl=g fuhska id¾:l m%;sM< w;am;a lr.; yels jkjd we;' tfia fkdjk l,ayS muKla Tyq" uqL T!IO m%;sldr j,go fhduq úh hq;af;ah' fuhskao Tfí reêr iSks uÜgu md,kh fkdjkafka kï os.= ld,hla ;siafia jeä m%udK j,ska

November 2021

DOCTOR MAGAZINE

2021 fkdjeïn¾ 14 cd;Hka;r oshjeähd oskh ksñ;af;ks reêr iSks mj;skafka kï bkaishq,ska m%;sldrhg hkakg isÿ fjhs' oshjeähd frda.sfhl=f.a b,lal isref¾ nr wvq lr .ekSu Tfí isref¾ nr ishhg mylska wvq lr .ekSfï b,lalh Tn ch.fyd;a Tng thskau ie<lsh hq;= reêr iSks md,khla we;s lr .ekSug bjy,a jk nj m¾fhaIK j,ska fy<sorõ ù ;sfí' Tfí YÍr ialkaO o¾Yl w.h weiqf¾ Tfí Wig iß,k ys;lr nr uÜgu .Kkh lrf.k ta wkQj lghq;= lrkak' oshjeähd frda.Skag iqÿiq wdydr oshjeähd frda.Skag Tn ys;k ;rfï nrm;, wdydr jdrK ke;' Tng;a wka wh .kakd ;rugu fi!LH iïmkak wdydr fõ,la .ekSfï wjia:dj ysñh' Tfí fjfiia wjOdkhg fhduq úh hq;= tlu ldrKh jkafka Tn oskla uq¿,af,a ,nd .kakd ldfndayhsfâ%Ü m%udKhhs' idudkHfhka reêrfha iSks w.hka by< kexùug fya;= jkafka wm wdydr Tiafia YÍr.; lr.kakd ldfndayhsfâ%Ü m%udKhhs' Tfí wdydrfha

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i,ihs' iajdNdúl iSks md,khla we;s lr oSu" YÍrfha fi!LHiïmkakNdjh ;sr lsÍu yereKQ úg ta ksid iqmika ukilska hqla;j cSú;hg uqyqK oSugo losu wjia:djla Wod lrhs' jHdhdu fkdl< flfkl=g jHdhduhg tlajru yqreùu t;rï myiq lghq;a;la fkdfõ' uq,skau l< hq;af;a weúoSu jeks ir< jHdhduh' jHdhdu j, ksr; jk ld,h;a tys fõ.h;a jeä l< hq;af;a l%u l%ufhks' ta i|yd jHdhdu WmfoaYlfhl=f.a" ffjoHjrfhl=f.a u.fmkaùu ,nd.kak'

jHdhdu lsÍug fmr Tfí reêr.; iSks mÍlaId lr.kak jHdhdu lsÍug fmr mj;ajd .; hq;= ys;lr reêr iSks uÜgu jHdhduh wdrïN lsÍug fmr Tfí reêr.; iSks uÜgu mÍlaId lr.ekSu iqoiqh' ² tu w.h 6mmol/L (100mg/dl) mrdihg jvd wvq kï jHdhduhg fmr l=vd fïo rys; iakela tlla ,nd .kak' ² tu w.h 22mmol/L (370mg/dl) g jvd jeä kï jHdhdu lrkak tmd' jeäfhka j;=r álla fndkak' úfõlSj bkak' jHdhdu lsÍfïoS .; hq;= fjk;a wdrlaIl mshjr ² Tnf.a jhi wjq' 40g jeä kï fyda yDo frda. b;sydihla ;sfí kï fjfyilr jHdhdu j, fhoSug fmr ffjoH Wmfoia ,nd .kak' ² Tfí mdo j, ysßhla ;sfí kï fyda fmkSu fnd| njla yefÕa kï jHdhduhg fmr ffjoH Wmfoia ,nd.; hq;= jkafkah' ² Tn jHdhdu lrkafka Tfí wdydrhg fmr kï jHdhdu wdrïN lsrSug meh nd.hlg fmr l=vd iakela tlla .kak' - Health Hub, Ministry of Singapore wvx.= jk fm%daàk yd fïoh iïnkaOfhkao ióm wëlaIKhla wjYHh' ukao@ tho Tfí reër.; iSks yd iDcq iïnkaOhla we;s lr.kakd neúks' jHdhduh oshjeähd frda.S Tn Tn ksfrda.S lrhs jHdhduh - oshjeähd frda.sfhl=g i,ik fiajh wiSñ;h' th lsysm wdldrhlska Tyqg m%;s,dN

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Tng iqÿiq jHdhdu weúoSu" ye,afï osùu" nhsisl,a meoSu" msyskSu" isrer os.Eÿï wNHdi nr bis,Su Tng;a fkdoekSu jHdhduh ,enfok hy isß;a ² úÿ,s fidamdkh fjkqjg ;rmamq fm< Ndú;d lrkak' ² kegqï mx;s Tng úfkdaodiajdoh yd jHdhduho ,nd fohs' ² <Õmd; lvuKAähg hk úg mhskau hkak' DM

November 2021

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Diabetes Diet oshjeähd frda.sfhl=f.a wdydr isß;

DIABETES DIET

oshjeähd frda.sfhl=f.a wdydr isß; oshjeähdj frda.sfhl= ksjerosj wdydr .; hq;af;a flfiao@ wdydr yd fmdaIKfõoskS uOqId úfcaisxy RD (SL) RN (SL) BSc. Food Science & Nutrition (Hons.)

November 2021

DOCTOR MAGAZINE

2021 fkdjeïn¾ 14 cd;Hka;r oshjeähd oskh ksñ;af;ks

;ud leu;s whqßka ri uijq,a msß wdydr fõ,la .ekSug ,eîu fldhs ldg;a i;=gls' kuq;a fndfyda oshjeähd frda.SyQ wdydr md,kh ms<sn|j ksis oeKQula fkdue;sùu ksid taldldÍ úúO;ajhlska f;dr wdydr rgdjlg yqre ù isà' tneúka TjqyQ wdydr .ekSfuka we;sjk udkisl i;=g fkd,n;s' oshjeähdj frda.fhka fmf<k Tn wdydr .ekSfïoS m%Odk lreKQ ;=kla iïnkaOfhka wjOdkh fhduq l< hq;=h' 1' ,nd.kakd wdydr j¾.h 2' ,nd.kakd wdydr m%udKh 3' wdydr ,nd.kakd fõ,dj doctormagazine.lk

oshjeähdj frda.Ska wdydr .ekSfïoS tu wdydrh ;uka ,nd.kakd fm;s iy bkaishq,ska ud;%djkag .e,fmk f,i wod, fõ,djkaysoS ,nd.; hq;=h' iuyr oshjeähd frda.Ska fnfy;a fndk ksid ´kEu wdydrhla" ´kEu m%udKhlska .; yels hhs is;;s' fuh jeros u;hls' iuyr frda.Ska ;uka leu;s wdydr jeä m%udK j,ska f.k fnfy;a ud;%dj jeälr îug mqreÿ ù isá;s' fujka jeros mqreÿ ksid oshjeähdj wdY%s; ixl+,;d u;=ùfï wjodku jeäh' wdydr md,kfhaoS iqÿiqlï ,;a wdydr yd fmdaIKfõosfhl=f.ka Wmfoia ,nd.ekSu u.ska Tng oshjeähdj wdY%s; ixl+,;d wju jk mßos wdydr ie,iqula (Diet Plan) wdrïN l< yelsh' ksjerosj wdydr fõ,a ie,iqï lr.ekSu u.ska Tng reêr iSks m%udKh" reêr mSvkh" reêr.; fldf,iagfrda,a wdosh md,kh lr.; yels jkjd fukau tu.ska Tfí isref¾ nr ys;lr uÜgul mj;ajd .ekSugo wjia:dj ie,fia' doctormagazine.lk

fi!LHiïmkak wdydr rgdjla''' fi!LHiïmkak wdydr rgdjla hkq yDo frda." wd>d;h wdoS ixl+,;d we;sùug we;s bvlv wju jk mßos ie,iqï l< wdydr rgdjls' ksjerosj wdydr md,kh lsÍfïoS my; wdydr ldKAv ish,a,u ksfhdackh jk mßos Tnf.a ffoksl wdydr-mdk f;dard.; hq;=h' fuysoS iEu oskhloSu tla wdydr ldKAvhlska tla wdydrhla j;a wvq ;rfï ksfhdackh úh hq;=h'  ksjqâv iys; OdkHuh wdydr  t<j¿ yd m<d j¾.  m<;=re  udI fnda. ^lv," lõms" uqxweg" mßmamq wdosh&  lsß iy lsß wdY%s; ksIAmdok ^fïo rys;" wvqfïo&  iu bj;a l< l=l=,a uia" ud¿" ì;a;r" lrj,  f;,a iy fïoh oskm;d .kakd wdydrfha hy fjkila''' fi!LHu;a wdydr rgdjlg yqre jQfha kï thska mjqf,a ish¿ fokdgu uy`.= jdishla w;am;a jkafkah' túg oshjeähd frda.Skag;a mjqf,a fiiq idudcslhka iu.u wdydr .ekSug yels jkafkah' wfkla idudcslhkgo ksfrda.S iqjfi; <`.d lr.; yel' oshjeähdj frda.Ska wdydr .ekSfïoS wêl wd;;shla" ìhla .; hq;=o fkdjkafkah' fuysoS uQ,sl jYfhka isÿ l< hq;af;a wm tf;la .;a wdydr yd tajdfha m%udK iqÿiq mßos fjkia lr tajd ojfia kshñ; ld,hla ;=< ,nd.ekSuhs' ksoiqkla f,i idudkHfhka ,nd.kakd msá iys; wdydr m%udKh wvqlr t<j¿ iy m<d j¾. jeämqr wdydrhg .ekSu l< yel' fuysoS Tn idudkHfhka ,nd.kakd msá iys; wdydr wvqlr t<j¿ iy m<d j¾. jeämqr wdydrhg .; yel' óg wu;rj Tn m%Odk wdydr fõ,a ;=k muKla wdydr .ekSug mqrqÿ jQ wfhla kï m%Odk wdydr fõ,a ;=kg .kakd wdydr m%udKh u|la wvqlr l=vd m%udK j,ska w;=re wdydr fõ,a 2-3la ,nd .kak'

November 2021

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Diabetes Diet oshjeähd frda.sfhl=f.a wdydr isß;

oshjeähd frda.sfhl= ;u wdydr isß; yeviú lr .ekSfïoS ksjqâv iys; OdkHuh wdydr" t<j¿ yd m<d j¾." m<;=re"udI fnda. ^lv," lõms" uqxweg" mßmamq wdosh&"lsß iy lsß wdY%s; ksIAmdok ^fïo rys;" wvqfïo&" f;,a iy fïoh ,nd.; yelsuq;a fmdaIKfõosfhl=f.a Wmfoia u; tajd ,nd .kakd wdldrh .ek Wmfoia ,nd.ekSu jvd;a iqÿiqh'

m%Odk wdydr fõ,a fnod.ekSfïoS wkq.ukh l< yels ir< l%uhla  ;ïnmq ydf,a n;a" b|swdmam" msÜgq" wdmam" f;dafia wdoS msá iys; wdydr  msá rys; t<j¿ yd m<d j¾.  uia" ud¿" ì;a;r 1' Tnf.a wdydr ms`.dfka ueoska yryg brla w|skak' tla nd.hla folg fnokak' oeka Tnf.a ms`.dk fldgia ;=klg fnod we;' 2' úYd,;u fldgig msá rys; t<j¿ fnod .kak' t<j¿" jHxck" i<do" m<d j¾." ;ïnmq t<j¿" msms[a{d" lerÜ" fndaxÑ" ,Slaia" ¿Kq" .¾lska" ud¿ñßia" ;lald,s" fldys," flfi,auqj" uqrex.d" uql+KQjekak" f.dgqfld<" lxl=x wdosh' 3' l=vd fldgia foflka tllg OdkH iy msá iys; wdydr fnod.kak' fuysoS ksjqâv iys; OdkH f;dard .ekSu l< hq;a;ls' Wod' ;ïnmq iyf,a

November 2021

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n;a" b|swdmam" msÜgq" kQâ,aia" meiagd" uelfrdaks" f;dafi" frdà" n;," lv," ljqms" uqxweg wdosh' 4' Tnf.a wfkla l=vd fldgig fm%daàkuh wdydr tla lr.kak' Wod' iu bj;a l< l=l=,a uia" id,hd" yqre,a,d" yd,aueiaid" n,hd" fl<j,a,d" ud¿" ì;a;r" fgd*q 5'm<;=rla fyda lsß wdY%s; ksIamdokhlafyda fï folu Tnf.a wdydr ie,iqfï mßos ,nd. kak' doctormagazine.lk

6' ;,f;,a" T,sõf;,a" iQßhldka; f;,a" fidahdf;,a wdosh b;d l=vd m%udK j,ska tl;= lr.kak' fuhg wu;rj i<do i|yd lcq j¾." ;, weg" w,s.egfmar tl;= lr.; yelsh'

 iqÿ mdka msá ^ksjqâv bj;a lrk ,o ;sß`.= msá& j,ska idok ,o wdydr j¾." ^mrdá" ì;a;r frdá" nksia" iqÿmdka" ìialÜ wdosh'''&

7' Tnf.a wdydr fõ, iïmQ¾K lr.ekSu i|yd wvq Yla;s mdk j¾. jk c,h" iSks rys; f;a fyda fldams mdkh l< yel'

 meKs ri ìialÜ" l%Sï ìialÜ" whsisx wdosh

oshjeähd frda.fhka fmf<k Tn yels ;rï je<lS isáh hq;= wdydr  ksjqâv bj;a l< iy,a iy ta wdY%s; ksIamdok

 yrlauia" W!re uia" t¿ uia wdoS r;= uia j¾.

 fldia" fo,a" u[af{dlald wdoS msá iys; wdydr  fmaiaá%" frda,aia" lÜ,Ü" meáia jeks flá lEu j¾.  yl=re" iSks" meKs yd ta wdY%s; ksIAmdok ^jg,mamka" mqäx" cEï wdosh&  laIKsl kQâ,aia  m<;=re hqI" meKsîu" fldaäh,a wdosh  fuda,aÜ wvx.= mdk  ri l< lsß yd lsß wdY%s; ksIamdok  Yla;sckl mdk j¾.  fidfiacia" yeï" fílka wdoS ilia lrk ,o uia wdY%s; ksIamdok  .eUqre f;f,a nosk ,o wdydr j¾. ^nosk ,o uia" ud¿" jfâ" lÜ,Ü" uqrelal=" w, fm;s&

ks¾udKYS,Sj is;kjd kï Tng rifhka wkQk wmQ¾j wdydr fõ,la ilia lr.kakg yelshdj we

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Diabetes Diet oshjeähd frda.sfhl=f.a wdydr isß;

oshjeähdj md,kh i|yd jHdhdu iy ldhsl l%shdldrlï msgqjy,la jkafka flfiao@  bkaishq,ska j,g ffi, olajk m%;sfrdaOh fojk wdldrfha oshjeähdj i|yd fya;= jkafkah' YÍrfha wêl f,i fïoh ;ekam;a ù we;s úg bkaishq,ska m%;sfrdaOh jeä fõ' fuu ;;a;ajh u.yrjd .ekSu i|yd;a" YÍrfha nr md,kh lsÍu i|yd;a jHdhdu yd YdÍßl l%h s dldrlï jeo.;a jkafkah'  fujeks frda.k S g a jHdhdu f,i fõ.fhka weúoSu" msyskSu" nhsisl,a meoSu" neâñkagka l%Svdfõ fhoSu wdosh l< yel' Tn" Wig iß,k nrlska hqla; kï ñks;a;= 30-45 w;r ld,hlao" nr jeä kï osklg meh 1- meh tl yudrl ld,hlao osklg jHdhdu l< hq;=h' i;shlg osk 4-5 muK ld,hla

November 2021

j;a jHdhdu lsÍu reêr iSks md,kh i|yd jeo.;a fõ'  jHdhdu lsÍfïoS reêr iSks uÜgu fnfyúka wvqjk frda.Ska ffjoHjrhdf. ka$fmdaIKfõoshdf.ka reêr iSks uÜgu wdrlaIs;j mj;ajd .kakd wdldrh .ek Wmfoia ,nd.; hq;=h'  oshjeähdj frda.Ska jHdhdu j, fhoSu yereKQ úg tosfkod lghq;= j,oS YÍrh uekúka fjfyi lsÍug W;aiql úh hq;=h' my; Wmfoia ms<smoskak'  úÿ,s fidamdkh fjkqjg ;rmamq fm< Ndú;d lrkak' flá .uka ;%Sù,rfhka" nifhka" fudag¾ ihsl,fhka fkdj mhska weúof.k hkak'  jev lrk w;r;=r mehlg jrla muK wiqkk s a ke`.sg u|la weúoskk a '  ksfjfia isáhoS w;ska fros fiaoSu" w;=.Eu" fmdf<dj weuoSu" we÷ï ueoSu wdoS lghq;= Tn úiskau isÿ lrkak' fï wdldrhg wej;=ï mej;=ï yev.iajd .ekSu u.ska ldhsl l%shdldrlï jeì lsÍu u.ska YÍrfha ffi, bkaishq,sk j,g olajk m%;sfrdaOh wvq lr.; yel' fuh reêr.; iSks uÜgu wvq lr.ekSug WmldÍ fõ' T!IO l,g fõ,djg .ekSu" ksjeros wdydr isß; iy jHdhdu j,g wu;rj udkisl iunr;djh mj;ajd .ekSuo oshjeähd frda.sfhl=g jeo.;a fõ' fmd;am;a lshùu" ix.S;h" Ndjkdj" wd.ñl lghq;= j, fhoSu u.ska Tfí uki ieye,a¨ lr.kak' th reêr.; iSks ïggfï laIKsl fjkiaùï md,kh lrhs' reêr iSks w.hka ksh; uÜgul mj;ajd .ksñka" oshjeähd;a" tys ixl+,;d;a md,kh lsÍug fuh msgqjy,la fjhs' DM

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Advertorial idhkslj ;yjqre l< .a,hsisñla w.h y;<sia wgla jk r;= iqj| iy,a

2021 fkdjeïn¾ 14 cd;Hka;r oshjeähd oskh ksñ;af;ks

idhkslj ;yjqre l< .a,hsisñla w.h y;<sia wgla jk r;= iqj| iy,a

zzn;a ri okafkda uõ y÷kkafkda''ZZ hhs lshukla wfma iudcfha mj;S' wfma wdydrh jk n;" wdydrhla muKla fkdj wk¾> jQ T!IOhls' f,da jeishka jeä m%udKhlf.a m%Odk wdydrh n;ah' Y%S ,dxflah wmf.a m%Odk wdydrh jkafkao n;ah'

Èhjeähdj we;=¿ fnda fkdjk frda. md,khg wk¾>hs

iy,a wegfha l=reÜfÜ uyÕ= fmdaIH .=Kh iy,a weghl ishhg 70l muK we;af;a ldfndayhsfâ%g fkdfyd;a msIaG Od;=h' ;j;a ishhg 8 muK fm%daàk ;sfí' b;sßh hlv" iskala" ;ka;=" fïoh" ue.akSishï iy weuhsf,daia wd§ fmdaIŒh iy T!Iëh ix>glhs' fïjd msysgkafka iyf,a l=reÜfÜh'

rdc.sßh" foaYSh ffjoH úoHd,fha uydpd¾h ta ta ã wdßhjxY

November 2021

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ffjoHjreka ks;ru mjikafka fukak fï l=reÜg iys; iy,a mdúÉÑhg .kakd f,ihs' úfYaIfhkau Èhjeähdj yd fnda fkdjk frda. we;s whg fuu iy,a b;du;a

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.=Kodhlhs' idhkslj ;yjqre l< zzr;= iqj| iy,aZZ Èhjeähd frda.Skag w;sYhska iqÿiq jk ldrKd lsysmhla ;sfí'  fuu n;a cS¾Kfhka m a iq tlajru reêrfha iSks uÜgu by< kxjkafka ke;' th Èhjeähd frda.k S a úIfhys úfYaI jdishls'  wfkl=;a iy,a j,g idfmalI a j r;= iqj| iy,a j, jeä ue.aki S h s ï ixhq;h s la mj;S' ue.aki S h s ï reêr iSks md,kfhys jákd fufyjrla bgq lrhs' CIC Red Fragrant Rice Low GI 48  r;= iqj| iyf,a we;s ;ka;u = h ixhq;h s idfmalI a j jeäh' fï ksid myiqfjka l=i msÍug th fya;j = la fjhs' fojk wdldrfha Èhjeähdj ksid mek ke.sh yels ixl+,;d wju lrkakg WmldÍ fõ'  r;= iqj| iy,a j,g ,dlaIKsl jQ jákdlï /ila ;sfí' m%k; S iqj|la" thgu ,dlaI‚l iq.kaOhla

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ta w;r fõ' r;= iqj| iyf,a le,ß w.h wvqh' ldfndayhsfâ%g fukau fidaähïo idfmalaIj wvq mrdihkayS mj;S' ñksia isrerg w;sYhska wys;lr g%dkaia fïo ldKavh fuu iyf,a lsisfia;au wvx.= fkdfõ' m%;sTlaisldrl fyd¢ka we;s wdydr m%Njhls' wdydruh ;ka;= nyq, f,i ;sfnk ksid fmdaIK .=Kfhka wkQk iy,ls' CIC Red Fragrant Rice Low GI 48 .eìKs wehg jvd;a WÑ; iy,a weh .eìkshl jQ od isg wef.a Ôú;ho jeo.;a yerjqï ,laIhla njg m;a fjkjd' tfiau .¾NŒ iuh ;=< isref¾ mßjD;a;Sh l%shdj,sh úúOdldr jQ fjkialïj,g ,la fjkjd' tfia jkafka l=i ;=, jefvk ì,s|dg wjYH ish¨‍ foa iemhSu ms‚ih' fï l%shdj,sh imqrd,Su i|yd isrer ;=< úYd, hdka;%Khla n, .ekafjkjd' fï iqúfYaIS iufha§ .¾NKS uõjrekag Èhjeähd frda.h we;sùfï lsishï bvla mj;skjd' fï ksidfjkau Tjqkag iqúfYaIS wdydr fõ,la ,ndÈh hq;=hs' fuysoS uQ,sl jkafka wdydrhg .kakd n;a j¾.hhs' .¾NKS iufha we;sjk oshjeähd ;;a;ajh md,kh lr .ekSu i|yd Tng b;du;a iqÿiq iy,la f,i zzr;= iqj| iy,aZZ kï l< yelshs' frda.hla we;s jQ miq m%;sldr ,nd .kakjd fjkqjg frda. we;s fkdùug j.n,d .ekSu {dkdkaú; l%shdjla' wo ojfia fnda fkdjk frda. /ilg fya;=jla ù ;sfnkafka wmf.a jerÈ wdydr rgdjhs' oshjeähdj frda.Ska jeä fjkjd''' wdydr isß; .ek ie<ls<su;a jkak 2050 jk úg Y%S ,xldfõ ck.ykfhka yß wvla Èhjeähd frda.Ska jkq we;ehs fi!LH wud;HdxYh olajkjd' j¾Ihlg Èhjeähdjg f.dÿre jQ mqoa.,hka 500-600 muK msßilf.a mdo bj;a lrkjd' mdi,a orejkaf.ka ishhg oyhla muK Èhjeähdjg f.dÿre ù isák w;r ;j;a ishhg myf<djla muK Èhjeähdjg f.dÿreùfï wjodkul isákjd' f,dj

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Advertorial

Èhjeähd frda.Ska ks;ru lEug .; hq;af;a .a,hsiSñla o¾Ylh wvqfjka we;s iy,ls' .a,hsiSñla o¾Ylh wvqfjka we;s iy,äka msiq n;a wdydrhg .kakd úg .aÆfldaia ixfõoS;djh by< kxjk w;r ffi,Sh l%shdldÍ;ajho jeä fjkjd'

CIC Red Fragrant Rice Low GI 48

mqrd ck;djf.ka ñ,shk 200l muK fokd Èhjeähd frda.fhka fï jk úg mSvd ú¢kjd' 2030 j¾Ih jk úg fï ;;a;ajh jirlg mqoa.,hka ñ,shk 7la muK Èhjeähd frda.S ,hsia;=jg w¿;ska tl;= fjkjd' b;d iS>%fhka jHdma; jk fuu Èhjeähd frda.h f,dalfha iEu ;;amr 10la ;=<u ;sfokl=g je<f|k nj;a ;;amr y;lg jrla tla wfhla Èhjeähdj fyda ta wdY%s; frda. fya;=fjka urKhg m;ajk nj;a ixLHd f,aLk fmkajd fokjd' idudkHfhka Y%S ,xldfõ kd.ßl ck.ykfhka ishhg y;<sylao .%dóh ck.ykh isg 19lao Èhjeähd frda.hg f.dÿre ù isákjd' m%Odk wdydrh f,i .a,hsisñla o¾Ylh wvq n;a Èhjeähd frda.Ska ks;ru lEug .; hq;af;a .a,hsiSñla o¾Ylh wvqfjka we;s iy,ls' .a,hsiSñla o¾Ylh wvqfjka we;s iy,äka msiq n;a wdydrhg .kakd úg .aÆfldaia ixfõoS;djh by< kxjk w;r ffi,Sh 34

November 2021

DOCTOR MAGAZINE

l%shdldÍ;ajho jeä fjkjd' ta yereKq úg reêr.; fldf,iagfrda,a uÜguo ie<lsh hq;= muKlska my; jefgkjd' ta ú;rlao@ iaurK Yla;sh m%j¾Okh fjkjd' ldhsl l%shdldß;ajh yd ufkdaNdjhka hym;a fjkjd' idhkslj ;yjqre lrk ,o .a,hsisñla w.h 48la jk zzr;= iqj| iy,aZZ fmdaIK .=Kfhka wkQk ksid th wkqNjfhka Èhjeähd frda.skaf.a reêr iSks uÜgu uekúka md,kh fjkjd' DM

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Diabetes Basics oshjeähdj md,kh lruq

Diabetes Basics f,dal oshjeähd oskh -2021

oshjeähdj md,kh lruq oshjeähdj iïnkaO uQ,sl f;dr;=re

2021 fkdjeïn¾ 14 cd;Hka;r oshjeähd oskh ksñ;af;ks

ldhsl yd ks¾Kd, frda. úfYAI{ ffjoH jreK .=K;s,l

¾ólrKh yd kd.ÍlrKh ksid wo ojfia ñksia cSjk rgdj w;sYhska ixlS¾K ù ;sfí' wdydr rgdj fukau tosfkod l%shdldrlï flfrySo tys n,mEï we;sù ;sfí' fï ksid oshjeähdj" wêreêr mSvkh" yDo frda." ms<sld wdoS fnda fkdjk frda. w;sYhska iq,n ù ;sfí' uq,a ld,fha tla;rd iudc me<eka;shla w;r muKla meje;S fï frda. wo jk úg uq¿ uy;a iudcfhau ms<s,hla fia me;sr hdu uy;a wjdikdjls'

fnda fkdjk frda. je<÷Kq miq iqj lsÍu wiSreh' fï ksid wm úiska l< hq;af;a frda.h 36

November 2021

DOCTOR MAGAZINE

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oshjeähdj yÕjk ,laIK

wêl l=i.skak

wêl msmdidj

YÍrfha nr jeäùu

we;eï úg YrSrh lDY ùu

reêr mSvkfhys fjkiaùï

w;a yd mdoj, we;sjk ysßh

lrleú,a,

reêrfha iSks w.hka jeäùu

,sx.sl fn,ySk;d$ÿ¾j,;d

ks;r uq;%d msg lsÍfï wjYH;djh

wefia fmkSu fnd| ùu

lekaävd p¾u wdidok

we;sùfuka je<lSu;a" frda.h je<÷Kq wfhla fõ kï ixl+,;d" we;súh yels Wmøj yels;dla wju lr.ekSu;ah' oshjeähdj hkq l=ulao@ oshjeähdj hkq fnda fkdjk frda.hls' fuysoS frda.shdf.a reêr.; iSks uÜgu idudkH mej;sh hq;= w.hg jvd by< w.hla .kS' ksfrda.S wfhl=f.a ksrdydr reêr iSks uÜgu 70-110 mg/dl w;r w.hl mj;S' iSks hkq isrerg wjYH Yla;sh ksmoùu i|yd fhdod.kakd bkaOkhhs' idudkHfhka Tnf.a isrer u.ska Tn .kakd wdydrfha we;s msIaguh ix>gl .aÆfldaia kï iSks j¾.h njg ì| fy<hs' tu iSks reêrhg tl;= fõ' fuu iSks YÍrfha mgl" ffi, ;=<g we;=¿ ù oykh ùfuka Yla;sh ksmojhs' w.akHdYfha ksmofjk bkaishq,ska kue;s fydafudakh ffi, j,g iSks j,g we;=¿ ùug WmldÍ fjhs'

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November 2021

DOCTOR MAGAZINE

D•Magazine /

Diabetes Basics oshjeähdj md,kh lruq

reêr.; iSks uÜgu by< hdug fya;= reêr.; iSks uÜgu by< hdug uQ,sl jk fya;= ;=kls' 1' w.akHdYfha ffi, úkdY ùu ksid bkaishq,ska fydafudakh >%djh fkdùu' 2' w.akHdYfha fi, j,ska m%udKj;a f,i bkaishq,ska >%djh fkdùu' 3' ffi, j,ska bkaishq,ska j,g olajk m%;sfrdaOh ksid .aÆfldaia ffi, ;=<g we;=¿ fkdù reêrfhau mej;Su' oshjeähdj wdldr oshjeähdj m%Odk jYfhka wdldr folls' 1' m<uq j¾.fha oshjeähdj (Type 1 Diabetes) 2' fojk j¾.fha oshjeähdj (Type 11 Diabetes) m<uq j¾.fha oshjeähdj l=vd <uqka w;r nyq,h' ;reK yd jeäysá jhfia Woúh w;r iq,nj olakg ,efnkafka fojk j¾.fha oshjeähdjhs' fuhg wu;rj .¾NsKS wjêfhaoS y÷kd. kakd oshjeähdj (Gestational Diabetes) ;;a;ajhlao mj;S' ore m%iQ;sfhka miqj fuu oshjeähdj fndfyda úg iqj jk w;r miqld,Skj fï ldka;djkg fojk j¾.fha oshjeähdj we;sùfï wjodkula mj;S'

Type 1 Diabetes fndfyda úg we;s jkafka l=vd ld,fhauh' kuq;a Type 11 Diabetes miqld,Skj we;s fjhs' oshjeähd frda.Skaf.ka ishhg 80-90g jeä m%udKhla Type 11 Diabetes frda.Ska jkafkah' m<uq Type 1 oshjeähdfõoS w.akHdYfha ;sfnk bkaishq,ska ksmojk ffi, j,g m%;sYla;slrK moaO;sfha myr oSug ,la jkakg isÿ fjhs' Type 11 oshjeähdfõoS Tfí isrer u.ska wjYH lrk m%udKhg bkaishq,ska ksmojkafka ke;' ke;fyd;a ksmojk bkaishq,ska YÍrhg m%fhdackhg .kakg neßh'

November 2021

DOCTOR MAGAZINE

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YÍrfha nr wvq lr .ekSu losu iajdNdúl frda. md,khls' Tfí iuia; nr ishhg mylska wvq lr .ekSfuka úYd, jYfhka reër iSks md,khla we;s jk nj Tn okakjdo@ isref¾ nr wvq lr .ekSfuys,d ksjeros wdydr isß;;a jHdhduh;a wkQmfïh ld¾hNdrhla isÿ lrhs'

fojk wdldrfha oshjeähdj f,dj mqrd nyq, jYfhka olakg ,efnkafka fojk wdldrfha oshjeähdjhs' fuu frda.Skaf.a bkaishq,ska uÜgu by< hdug bkaishq,ska j,g ffi, olajk m%;sfrdaOh (Insulin Resistance) fyda ksmojk bkaishq,ska m%udKh m%udKj;a fkdùu uQ,sl jYfhka fya;= fjhs' fudjqkaf.a reêr iSks uÜgu md,kh i|yd fnfy;a fm;s mdúÉÑh" cSjk rgdfõ fjkialï isÿ lsÍu yd bkaishq,ska tkak;a lsÍu isÿfõ' reêr iSks - isrerg lrk ydks isref¾ ffi, j,g we;=¿ fkdù reêr.;j bkaishq,ska mej;Su ksid uQ,sl jYfhka .eg¿ folla meK k.S' 1' Tn fl;rï wdydr .;a;;a Tnf.a isref¾ ffi, wjYH ;rï Yla;sh ksmojkafka ke;' tu ksid isref¾ nr wvq fjhs' Tn blauKska fjfyig m;aùuo isÿfõ'

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November 2021

DOCTOR MAGAZINE

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Diabetes Basics oshjeähdj md,kh lruq

2' os.=ld,Skj reêr.; iSks uÜgu by< w.hl mej;Su ksid Tfí weia" jl=.vq" iakdhq" yoj; wdoS bkaøshhkag ydks isÿúh yel' reêr.; iSks uÜgu" reêr mSvkh iy reêr.; fldf,iagfrda,a kshñ; uÜgul mj;ajd .ekSu ;=<ska by; .eg¿ j,ska ñoSug fyda tajd l,a oud .ekSug mq¿jk' fojk wdldrfha oshjeähdj b;d fiñka j¾Okh jk ;;a;ajhls' yeoSf.k tk úg y÷kd.ekSu i|yd fjfiia ,laIK fkdue;' oshjeähdj frda.h we;sùfïoS my; ,laIK we;súh yel' • wêl msmdih • wêl wdydr reÑh • fjfyilr nj • wêlj" úfYAIfhkau rd;%S ld,fhaoS uq;%d msgùu • fmkSu fnd| ùu • iqj fkdjk ;=jd, oshjeähdj y÷kd.ekSu i|yd isÿ lrk mÍlaIK • ksrdydr reêr iSks mÍlaIdj (Fasting Blood Sugar) • .a,hsfldisf,agâ ysfud.af,dìka mÍlaIdj (HbA1C) • ´r,a .aÆfldaia fgd,rkaia mÍlaIdj (OGTT) oshjeähdj we;sùfï wjodkï idOl • Wig iß,k nrg jvd nr jeäùu bK jg m%udKh fnfyúka jeä ùu msßñkaf.a bK jg m%udKh fi'ó' 90$w`.,a 35g wvq úh hq;=h' ldka;djkaf.a fi'ó'80$w`.,a 32 g wvq úh hq;=h' • wjq' 25g jeäùu • ol=Kq wdishd;sl iïNjhla ;sîu' • mjqf,a ióm {d;sfhl=g oshjeähdj ;sîu' • wêreêr mSvkh" yDofrda. je<|Su' • .¾NKS ld,h ;=< oshjeähdj je<|Su fyda ls'.a' 4'5g jeä orefjl= m%iQ; lsÍu' • udkisl frda.hlska fm<Su' oshjeähdj j<lajd .kafka flfiao@ • ksjeros wdydr md,kh' • jHdhdu yd YdÍßsl l%shdldrlï j¾Okh lsÍu' • kshñ; T!IO kshñ; ud;%djg .ekSu' • udkisl iunr;djh mj;ajd .ekSu' DM

November 2021

DOCTOR MAGAZINE

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November 2021

DOCTOR MAGAZINE

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Diabetic Foot Ulcer oshjeähd frda.Skaf.a mdo j,g we;s úh yels wk;=r

2021 fkdjeïn¾ 14 cd;Hka;r oshjeähd oskh ksñ;af;ks

Diabetic Foot Ulcer

oshjeähd frda.Skaf.a mdo j,g we;s úh yels wk;=r mdo /l.; hq;af;a cSú;h /l.kakhs fmardfoksh úYAj úoHd,hSh ffjoH mSGfha lÓldpd¾h fmardfoksh YslaIK frdayf,a jdysksl frda. úfYAI{ ffjoH prs;a .,mam;a;s

November 2021

DOCTOR MAGAZINE

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oshjeähd mdo wdndOh mshjr

wfma YÍrfha wxf.damdx. weiqf¾ uqyqKg ,efnkafka ;rula jeä ie<ls,a,ls' wm WoEik wjos jQ iekska lKakdäh bosßmsgg f.dia tys wmQrej úuiuq' WoEiku uqyqK fodajkh lruq' tys fjkialï fõfodahs úuiuq' mshre" wdf,amk .,ajuq''' osklg lsysm j;djla''' fjfiiskau .ukla .syska wdj;a" ierg odähla oeïu;a th msßisÿ lrkakg W;aiql fjuq' uqyqKgu fhdojk úúO wdf,amk lShla Tfí lKakdäh bosßmsg ;sfnkjdo@ uqyqK yd ii|k l< wvq ,xiqjl ie<ls,a,la ,efnk YÍr fldgils mdo''' uv" kdjr mdo jid .kakd ;=re tajd Tfí ie<ls,a,g md;% fkdjk wjia:d fndfydah' kdk fj,djl yereKQ úg flfkla mdo fidaokakg fyda Wkkaÿ jkafka ke;' ksrka;rfhka mdo j,

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fjkialï lKakdäfhka n,kakg kï fjfyfik flfkla we;af;au ke;' oshjeähdj we;s úg mdo /l n,d.; hq;af;a uqyqK ;ruguh' ke;fyd;a Bg;a jeä ie<ls,a,lsks' oshjeähdj YÍrfha fndfyda jákd bkaøsh wl¾ukH lrk nj Tn oek wid we;' oshjeähdfõ n,mEfuka wk;=rg jefgk bkaøsh w;f¾ mdo fjfiia ia:dkhla .kS' f,dalfha oekg oshjeähdj frda.Ska ñ,shk 470la muK isák nj fy<sorõ ù ;sfí' Tjqka w;ßka ñ,shk 19la muK fokd oshjeähdfõ ixl+,;djhla f,i mdo j, ;=jd, j,g ,laj ;sfí' wjdikdj jkafka fï whf. ka ñ,shk lg wdikak ixLHdjlf.a mdo ljr hï fudfyd;loS fyda bj;a lsÍug isÿ ùuhs' mdohla bj;a l< miq cSú;h fl;rï ÿIAlro hkak okafka ta w;aoelSug uqyqK ÿka flfklauh' ll=,a fírd.;af;d;a Tfí cSú;h;a fírd .kakg th wjia:djla fjhs oshjeähdj ksid mdohla bj;a lrkakg isÿ ùu fudk ;rï wjodkula cSú;hg we;s lrkjdo hkak úuiSug wmQre ixixokd;aul wOHhkhla weußldfõÈ isÿ lrk ,oS' fï wOHhkfhaoS ixixokh jQfha ms<sld je<|Sfuka miqj jir myla cSj;a ùu yd mdohla bj;a lsÍfuka miqj jir myla cSj;aùu (Five year mortality rate) hk ldrKd folhs' mdo bj;a lsÍug brKï jQ oshjeähdfjka fmf<k yd mdo j,g f,a .ukd.ukh wvq frda.Ska fuysoS we.hSug ,lajQ

November 2021

DOCTOR MAGAZINE

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Diabetic Foot Ulcer oshjeähd frda.Skaf.a mdo j,g we;s úh yels wk;=r

oskm;d mdo fodajkh lrkak

mdo fyd|ska úh<sj ;nd .kak

úfYAIfhka weÕs,l s re w;r biaiï S yd iu WKQiï q ùï .ek úuis<u S ;a fjkak

weÕs,s w;r uekúka mÍlaId lrkak

ksjerosj kshfmd;= lmkak

iu msmsÍï yd úh<Sï úuikak

mdo há me;a;o uekúka mÍlaId lrkak

y÷kd.;a fjkialï jd¾;d ;nkak

mdo j,g l< hq;= i;aldr

tla ldKAvhla úh' wfkla ldKAvh jQfha iuia; ms<sld frda.Skah' neÆ ne,aug fuhska jvd;a reÿre frda.h f,i ms<sldj .ek lsishï woyila wmg ;snqK;a fmKy¿ yd w.akHdY frda.Ska yereKQ úg wfkl=;a ish¿ ms<sld frda.Ska jir myla ;=< mdo bj;a lsÍug isÿjQ frda.Skag jvd jeä wdhqIla w;am;a lrf.k ;snqKs' ms<sld yeÿKQ frda.Ska b;d fyd| wdhq wfmalaIdjla or;aoS mdo ¨yqj;a lr ;snQ frda.Skaf.ka iEfyk msßila jir myla hk úg ;u cSú;fhka iuq f.k ;snqfKah' fï wkQj mdohla lmkakg isÿùu fudk ;rï fÄojdplhla oehs Tng w¿;ska is;kakg isÿjkq we;' fuu wOHhkh isÿl< m¾fhaIlhka fï oshjeähd frda.Skaf.a mdo ¨yqj;a lrkakg isÿùfï fÄojdplh Neglected Cancer hk wkaj¾: kduhlskao ye|skaùh' fï ;;a;ajh ;=< oshjeähdj ;sfnk frda.Ska yg ffjoHjreka b;d lreKd fmroeßj jákd wjjdohla ,nd fohs'

November 2021

DOCTOR MAGAZINE

zzTfí mdo b;d ie<ls,af,ka /l n,d .kak' mqxÑ fyda ;=jd,hla we;s fjkakg we;s bvlv iïmQ¾Kfhkau wjqrd ;nkak' ;=jd,hl uQ,sl ,laIKhla fyda we;s jQ iekskau wka ish¿ ldrKd mfil ,d m%;sldr ,nd .kak'ZZ Tn oshjeähd frda.sfhla kï Tfí mdo flfryS Tfí j; lu, ^uQK& ;rugu ie<ls,a,la olajk f,i Tng wjjdo lrk ldrKdj oeka kï Tng ryila fkdjkafkah'

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oshjeähd frda.sfhla ;u mdo flfryS ie<ls<su;a úh hq;= wdldrh fï ,smsfhka úia;r flfrKQ we;' oshjeähdj ksid we;sjk reêr kd, wjysr ùï oshjeähdj ld,hla ;siafia mej;Su fukau tu oshjeähdj md,khlska f;drj mej;Su fndfyda úg oshjeähdj wdY%s; ixl+,;d j,g mdr lmhs' oshjeähdj hkq reêrjdyskS u; wys;lr f,i n,mEï lrk frda.hls' fuysoS weig fkdfmfkk l=vd reêrjdyskS fukau ;rula úYd, reêrjdyskS hk wdldr foflysu reêrjdyskS wjysr;d j,g ,lafõ' l=vd reêrjdyskS we;af;a jl=.vq j," wefia oDIAÀú;dkfha wdosfhah' fï ishqï flaYsl kd,sld wdmodjg m;aùfuka jl=. vq frda.Ska yd wefia oDIAÀ ú;dkfha wdndO iys; frda.Ska we;s fjhs' yDofha reêr iemhqu wvmK ùu ksid yDohdndO we;sùu" fud<hg iemfhk reërh wjysr ùfuka wd>d;h$ wxYNd.h we;sùu fukau mdo j,g jk reêr iemhqu ÿ¾j, ùfuka mdo ;=jd, iqj fkdùu wdosh wh;a jkafka úYd, reêrjdyskS wdY%s; ixl+,;d jYfhks' mdo j, ;=jd, we;sùfï wjodku jeäfhka orkafka ljqo@ oshjeähdfjka fmf<k fldhs ljqre;a fï doctormagazine.lk

kshfmd;= lmk ksjerÈ wdldrh

kshfmd;= lmk jerÈ wdldrh

ksh jeäu fmaYs j,ska tmsg fldgfiys isÿjk fia odrhg fkdjkakg lemsh hq;=hs' tu lemqu ;sria w;g úh hq;=hs'

odrhg jkakg ksh lemSu fukau jD;a;dldrj ksh lemSu ksid kshfmd;a; uia j, isrù ;=jd, we;sùfï wjodkula we;sfjhs

ldKAvhg wh;a fjhs' tfy;a ta wjodku ;jÿrg;a jeä lrk idOl flfryS Tnf.a fjfiia wjOdkh fhduq lsÍu jà' mdo j, ;=jd,hla we;sjk uq,a wjia:dfõ ,laIK mdo j, osh mÜghla we;s ùu" mdo r;ameye .ekSu" lr.eg we;sùu" meyefha fjkila we;sùu" mdofha oeä WKQiqula oekSu" mdofhka ÿ¾.kaOhla jykh ùu jeks fï lshk fjkialula we;eï úg mdofha we;s fjñka mj;akd ;=jd,hl uQ,sl ,laIKh jkakg neß lula ke;' uq,au wjia:dfõ fï lshk ,o ,laIK fmkajkafka lsisÿ fõokdjlska f;drj ùuo úfYAI;ajhls' fï''' Tng l%shd;aul jkakg ,efnk fyd|u wjia:djhs' mdofha msg; iu ì|Sulg ,la ùfuka iu wNHka;rh ksrdjrKh ùu ;=jd,hl uq,a wjia:djhs' uymgÕs,a, fukau weÕs,s j,g wdikakfha há m;=, ;=jd, we;sùfï jeä wjodkula we;s ia:dk jkafkah' oshjeähdfjka fmf<k ´kEu wfhl=f.a mdo j, myiqfjka ;=jd, we;s úh yels uq;a iqn mKsúvh jkafka ksjeros i;aldr u.ska tu wjodku ie<lsh hq;= uÜgulska j<lajd .; yels ùuhs' mdo j, ;=jd, we;s jkafka wehs@ oshjeähd frda.sfhl=g mdofha ;=jd, we;s jkakg fya;=jk ldrKd /ils' wms tajd iuyrla fm< .iajuq' • mdo j, iakdhq ydkshg m;aùu • mdo j,g wvqfjka reêrh ,eîu • mdo j, we;sjk wdidok oshjeähd frda.Skaf.a mdo wjodkug ,lafjk yeá jHikfha wdrïNh reêr.; iSks w.hka md,kfhka f;drùu oshjeähdj wdY%s; mdo wdndOh we;s ùfï uq,a mshjrhs' November 2021

DOCTOR MAGAZINE

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Diabetic Foot Ulcer oshjeähd frda.Skaf.a mdo j,g we;s úh yels wk;=r

ÿ¾j, f,a .ukd.ukh fõokdj ysß jeàu mdo j, we;sjk ;=jd,

iakdhql l%shdldß;ajh ÿ¾j, ùu 1' iakdhq ÿ¾j, ùu Sensory Neuropathy mdoh fj; oekSï yeÕSï ke;fyd;a ixfõok fkd,eî hdu fkdfyd;a iakdhql l%shdldß;ajh ÿ¾j, ùu fuys m%;sM<hls' fuh Sensory Neuropathy hkqfjka ye|skafjhs' ixfõok fkdoekSu úúO mqoa.,hkag úúO wdldrfhka n,mdhs' ug fuysoS ud yuqjg meñKS we;eï frda.Ska uqyqK mE w;aoelSï .ek Tjqka l< lS oE u;la fjhs' Tn uy wõfõ wkqrdOmqr rejkaje,siE uyd ffp;Hh jkaokd l<d kï i,m;, u¿fõ r;a jqKQ je,af,ka mdohg oefkk riakh w;aú| we;sjdg iel ke;' ud fj; meñKS tla frda.sfhla Woaodufhka mejiQfha ;uka lsisÿ oekSula mdo r;aùul" ms<SiaiSul yeÕSula fkdue;sj uy wõfõ rejkaje,siEh ffp;Hh meol=KQ lrñka is;eÕs mßos jkaokd l< njhs' bkamiqj ne,Sfï§ wehf.a hám;=, oreKQ f,i ms<SiaiSfuka ld,hla m%;sldr .kakgo isÿ jqKd' ,x.u nifha ßhÿre wiqk jïmi fndkÜgqj u;=msg os.= fõ,djla mdo ;ndf.k wd tla oshjeähd frda.sfhla ,enQ w;aoelSula ug fufia úia;r lrhs' zzfvdlag''' uu fndkÜ tfla ll=,a fol ;shdf.k wdj' tafl .skshu ug oeKQfk kE'''' mq¿gq .|la wd úg ñksiaiq ta .ek fidhd n,k úg oeú," ms<siais,d ;snqfK uf.a ll=,a fol'

November 2021

DOCTOR MAGAZINE

ta;a b;ska iuyrekag kï lgqjlska wekak;a oefkkafk kE' mdofha .,la ysr fj,d ;=jd, fjklï oefkkafk ke;s fjk oshjeähd frda.Skq;a bkakjd' fï úosy ;uhs iakdhq ÿ¾j, ùfï úúO wjia:d' fï wk;=rla wìuqj fõokdj oekSu ienúkau" wdrlaIl hdka;%Khla' th .s,syS hdu wm úi,a wka;rdhlg weo ouk nj wuq;=fjka lsj hq;a;l=;a fkdfjhs' fï yereKQ úg ;j;a wka;rdhka folla fï oshjeähdj ksid n,.ekafjhs' 2' udxYfmaYs yd ine|S iakdhq l%shdldß;ajh ÿ¾j, ùu Motor Neuropathy udxYfmaYs yd ine|S iakdhq l%shdldß;ajh ÿ¾j, ùu fuys ;j;a wjia:djla' th Motor Neuropathy fkdfyd;a pd,l iakdhq.; ÿ¾j, ùula jYfhka ye|skaúh yelshs' wfma isref¾ iuia; nr ord isákafka mdo hq.,hhs' úi,a isrerl nr mdo j,ska ord isákafka thgu iqúfYAIS jQ ;dlaIKhl wkqyiska' hám;=f,a we;s wdrelal=" mdofha fiiq msysàï fï wruqK Wfoid lemù ;sfnkjd'

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mdo j, udxYfmaYs oshjeähdj ksid ÿ¾j, fjkjd' tys yevho fjkia fjkafka isref¾ nr ord isák iajdNdúl wdrelal= wdosho fjkia lrñka' fï ksid nr fmdf<dj u; m;s; jkafka tfia fkdúh hq;= mgl wdikakfhka' tys m%;sM<hla f,i ;=jd, we;s jkakg mq¿jka' Autonomic Neuropathy oyäh oeóu ksid mdo úh,Su isÿ jkafka kE' oshjeähdj we;s úg thska we;sjk n,mEu ksid mdoj, oyäh oeóu wdosh isÿ fkdjkakg mq¿jka' th isÿ fkdjk úg há m;=,a mef<kjd' fuh;a mdo j,ska ;=jd, we;sùfï wjodku jeä lrjkakla jk w;r tu ;;a;ajh Autonomic Neuropathy hkqfjka yªkajkjd' mdo j,g jk reêr iemhqu ÿ¾j, ùu oshjeähdj ksid mdo j,g jk reêr iemhqu wjysr fjkjd' fuysoS l=vd kyr fukau úYd, kyr hk fï ldKav foflau kyr wjysr ùulg ,la fjkjd' ;=jd,hla we;s jqKdu th iqj jkakg idOl lsysmhla n,mdkjd' Tlaiscka" .aÆfldaia" fmdaIH mod¾:" m%;sYla;sl øjH" m%;scSjl''' fï ish,a, wjYH fjkjd' oshjeähd frda.sfhl=g fï lsisjla m%udKj;aj fkd,eî hkakg mq¿jka' tys m%;sM<hla jkafka ;=jd,h iqj fkdù th

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Tvq ÿjd hduhs' fuhg iudk ;;a;ajhla ÿïmdkh lrk whf.kao olakg ,efnkjd' ld,hla ÿï mdkh lsÍu ksid Tjqkaf.a mdo j,g jk reêr iemhqu w;sYhska ÿraj, fjkjd' ;j;a fohla''' oshjeähdj;a ;sfnk ÿïmdkh;a mqreoaola jYfhka lrk wh;a bkakjd' fï wh fjkqfjka kï hula isÿ lsÍu b;d wmyiqhs' oshjeähdj ksid we;sjk wdidok wfkla jeo.;a ldrKh jkafka oshjeähdj ksid wdidok we;sùug we;s jeä wjia:djhs' oshjeähd frda.sfhlaf.a reêr ix>glhla jk kshqfg%d*s, l%shdldß;ajh idfmalaIj wvqhs' m%;sYla;sl ix>gl" m%;sfoay m%;spdrh fï whf.a ÿ¾j,hs' tuksid ll=f,a ;=jd,hla we;sjQ l,ayS ;=jd,h j¾Okh lsÍug odhl jk úIîc iu. igka lsÍfï yelshdj fï whf.a fndfyda ÿ¾j,hs' fuh;a oshjeähd frda.Skaf.a ;=jd, iqj fkdjkakg m%Odk fya;=jla fjkjd' oshjeähd ;=jd, j,g lrk m%;sldr oshjeähd frda.sfhla yg ;=jd,hla we;s jQ iekska th wdidokhg ,laùu yels iEu wdldrfhkau j<lajd .ekSug mshjr .; hq;=h' fuysoS ;=jd,hg lrk Y,Huh ueosy;aùu fukau T!IO ,ndoSuo w;sYhska jeo.;a fjhs' uq,skau isÿ lrk m%;sldr fhduq jkafka mdofha we;sjk fjkialu ;=jd,hla njg m;aùu j<lajd .kakgh' bka miqj ta yereKQ úg mdo j,g wys;lr mdjyka m<|shs kï tajd bj;a l< hq;=h' flfia fj;;a mdo weiqf¾ ;=jd,hla yg .;a úg wdidos; mgl fldgia bj;a lr (debridement) ieryqï fhoSu isÿ lrhs' T!IO m%;sldrho fuysoS tlfia jeo.;alula orhs' Staph ldKAvfha wdidok we;s lrk Staphylococcus aureus wka;% j,oS ydkshla ke;s tfy;a ;=jd, j,g wys;lr fia n,mj;ajk ß-haemolytic Streptococcu wdoS jYfhka ;=jd, flfryS l%shd;aul jk úúO nelaàßhdjka uev mj;ajkakg kï Bg Tìk m%;scSjl T!IO ,nd osh hq;=hs' fï jk úg oshjeähd frda.Skag lrk m%;sldr w;sYhska mßj¾;khlg ,laj ;sfí' fndfyda kjH m%;sldr oshjeähd frda.Ska i|yd fhdod .kshs'

yeu ;=jd,hgu uq, oshjeähdj fkdjqK;a yeu ;=jd,hlau iqjh ,eîu m%udo lrkakg reêrfha jeä iSks m%;sY;h fya;=jla jkafkah' fï ksid Tfí reêr.; iSks w.hka ksrka;rfhka ys;lr mrdihl mj;ajd .ekSug Tn W;aiql úh hq;=h''

November 2021

DOCTOR MAGAZINE

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Diabetic Foot Ulcer oshjeähd frda.Skaf.a mdo j,g we;s úh yels wk;=r

lS¾;su;a New England Journal of Medicine iÕrdj 2017 j¾IfhaoS fï iïnkaOfhka isÿl< m¾fhaIKhl f;dr;=re jd¾;d lf<ah' tu wOHhk jd¾;djg wkQj oshjeähd frda.Skag we;sjk uQ,sl ;=jd, j,ska yß wvla muKu meijhs' ke;fyd;a wdidokh fjhs' fï ;=jd, j,ska nrm;, ;;;a;ajfha mj;akd ;=jd, .;fyd;a bka ishhg 20lf.a muK mdo lmd oukakg mjd isÿfjhs' mdo j, we;sjk ;=jd, yels;dla j<lajd .ekSu;a uq,a wjia:dfõu id¾:l m%;sldr j,g fhduq ùu;a w;sYh jeo.;a jkafka fï ksidh' wfma oshjeähd frda.Ska fjkqfjka wjYHfhkau jeo.;a jk" tfy;a wfma rfÜ fkdue;s Podiatrists jrekaf.a ld¾hNdrh mdo j,g we;sjk wk;=re$;=jd, úfYAIfhkau oshjeähdj wdY%s; mdo ixl+,;d j,g m%;sldr lrk Podiatrists hkqfjka yªkajk jD;a;ShfõoSka lKAvdhula ngysr rgj, frda.Skaf.a hym; msKsi fiajfha fhdojd isák kuq;a wjdikdjg wfma rfÜ tjka jD;a;ShfõoSka fkdue;s ùu uy;a mdvqjls' úfYAIfhka fï jk úg wfma úYaj úoHd, moaO;sh ;=< Allied Health Science mSGo lsysmhlau ;sfnk ksid fyg oskfha fyda fuu Podiatrists jrekaf.a fiajh wfma frday,a moaO;sh fj; uqod yßkafka kï th fujka frda.Ska fj; fjfiia n,mEula lrKQ we;' mdo j, ;=jd, we;s ùfuka je<lSug l< hq;af;a l=ulao@ fï Wmfoia .ek wm l;d lrkafka oshjeähd frda.Skagh' Tjqka m<uqj fyd| reêr iSks md,khla mj;ajd .ekSug ksrka;rfhka W;aiql úh hq;=h' yeu ;=jd,hgu uq, oshjeähdj fkdjqK;a yeu ;=jd,hlau iqjh ,eîu m%udo lrkakg reêrfha jeä iSks m%;sY;h fya;=jla jkafkah' ta yereKQ úg my; mshjr .ekSug Tn W;aiql úh hq;=h' Tfí mdo j, we;sjk ishqï fjkialï ksrka;rfhka Tfí wjOdkhg fhduq lrkak' mdo j, lsishï ia:dkhl l¿ meye .ekaùula" ysß jeàula ;sfí kï jydu ffjoHjrfhl= uqK .eiS uq,a wjia:dfõ iqjh ,eîfï jdish ,nd .kak' mdo j, we;sjk ;=jd, iïnkaOfhka wjOdrKhg jeo.;a lreKQ lsysmhla • l,afõ,d we;sj y÷kd.;a úg mdo j, we;sjk ;=jd, iqj lsÍu myiqh' ;=jd,h wdidokhg ,laj m%;sldrh

November 2021

DOCTOR MAGAZINE

wdrïN lrk l,ayS ;=jd,h iqj ùugo l,la .; ùug mq¿jk' • oshjeähd ;=jd, iqj ùug i;s .Kkla iuyr úg Bg;a jvd .; jkakg mq¿jk' ;=jd,h iqj jk f;lau Tnf.a wjodku myj fkdhk nj is;g f.k th iqj jk f;la fok ,o ffjoH Wmfoia wkQju l%shd lrkak' • reêr.; iSks uÜgu jeäùu ;=jd, iqj ùu m%udo lsÍug iDcqju bjy,a jk ksid reêr.; iSks md,kh Tfí uQ,sl b,lalhla úh hq;=h' • ;=jd,h iqj ùfuka wk;=rejo kej;;a ;=jd,hla we;s ùfuka je<lSug Tn wosgka lr.; hq;= w;r ta i|yd wjYH mshjr fkdmudj .; hq;=h' oshjeähd iakdhq wdndOh monofilament hkqfjka ye|skafjk WmlrKhla weiqf¾ myiqfjka mÍlaId l< yelsh' tu mÍlaIKh fõokdrys;h' Ankle Brachial Pressure Index Èhjeähd frda.shdf.a mdofha reêr iemhqu we.hSug ,la flf¾'

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mdofha reêr iemhqu úuik fuu WmlrKfhka uekSfï§ Ankle Brachial Pressure Index j,g jvd ksrjoH w.hka ,nd.; yels fõ' oshjeähdj ;sfnk tfy;a ;=jd, fkdue;s Woúh wkq. ukh l< hq;= Wmfoia 1' ksfjfia isák wjia:dfõoS;a ksfjiska msg;oS;a hk iEu wjia:djloSu mdjyka me<|Su 2' iEu WoEiklu mdo msßisÿ lr.kak' msßisÿ fjka lrk ,o ;=jdhlska mdo j, f;; ud;a;= lr.kak' Tfí mdo uekúka mÍlaId lr.kak' Tng th wmyiq kï ta i|yd mjqf,a idudcslfhl=f.a iyfhda.h ,ndf.k fyda th mqreoaola jYfhka isÿ lrkak' mdo mÍlaId lsÍfïoS mdo weÕs,slre uekúka mÍlaId lrkak' f;; /f|k ksid fï ia:dk j, wdidok we;sùfï wjodku ;rula jeäh'

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3' kshfmd;= ksjeros wdldrhg lmkak' kshfmd;= odr fkdlefmk fia ;sriaj muKla kshfmd;= lmkak' jvd;a fldg lrkakg hdfuka ;=jd, we;s ùfï wjodku jeäh' 4' b;d l=vd fyda ;=jd,hla ;sfí kï ffjoHjrfhl=f.ka m%;sldr ,nd.kak' 5' ;u mdo wk;=rg m;a ùfï" ;=jd, we;sùfï wjodku .ek wjfndaOfhka ld,fhka ld,hg ffjoHjrfhl= yuqù ;u mdo mÍlaId lr.kak' mdo iqjfi;g fya;=jk OffloadingTechniques oshjeähd frda.Skaf.a mdo we;eï úg úrEmS ùï j,g ,laùu ksid isref¾ nr mdo j, Bg hq;= fkdjk ia:dk j,ska fmdf<djg m;s; ùu fya;=fjka ;=jd, yd jk" lr.eg wdosh we;sùfï wjodkula we;s fjhs' fï .eg¿j iïnkaOfhka wfma rfÜ wjOdkh fhduq lrk wjia:d wvqh' ta iïnkaOfhka úfYaI m%d.=KHhla we;s Podiatrists jrekaf.a fiajh fkd,eîuo Bg fya;=jla jkakg we;' wef|ys úfõlh ,nd .ekSu" frdao mqgq" lsys<slrejlska weúoSu ksido fufia mdo Tiafia wk;=reodhl f,i isref¾ nr uqod yeÍu j<lS' tfy;a Bg wu;rj Total-contact casts, felted foam dressings, half shoes, therapeutic shoes, padded socks, shoe inserts, removable cast walkers wdoS Wml%u fhdodf.ko fï .eg¿fjka ñosh yels jk w;r fï úIh oshjeähd frda.Skaf.a hym; Wfoid wfma rfÜ jvd;a jeä oshqKQ l< hq;= lafIA;%hla jkq we;' DM

November 2021

DOCTOR MAGAZINE

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Lung Pathology fldúâ frda.Ska fïid ñh hk fya;=j l=ulao@

Lung Pathology – Sri Lankan Experience of COVID-19 Death

fldúâ frda.Ska fïid ñh hk fya;=j l=ulao@ cd;sl fndajk frda. úoHdh;kfha wêlrK úfYaI{ ffjoH pkak fmf¾rd

November 2021

DOCTOR MAGAZINE

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cd;sl fndajk frda. úoHdh;kfha wOhk j,ska uq,a jrg isÿl< wkdjrKhla''' wfma rfÜ fldúâ frda.Ska urKhg m;aùfï m%;sY;h fï jk úg f,dalfha wfkl=;a

rgj,g idfmalIj by< w.hla f.k ;sfnkjd' tjka miqìul fldúâ frda.Ska urKhg m;aùfï fya;= iïnkaOfhka cd;sl fndajk frda. úoHdh;kfha wêlrK úfYAI{ ffjoH pkak fmf¾rd uy;d iajlSh wOHhk weiqf¾ jeo.;a lreKQ lsysmhla m%ldYhg m;a lr ;sfnkjd' f,dalfha fldúâ urK iïnkaOfhka uq,skau wOHhk isÿ l< rgla jYfhka Y%S ,xldj ye|skaúh yelshs' fldúâ urK j,ska ishhg ;syla muK isoaOjkafka fldúâ ksõfudakshdj ksidhs' f,a leá fmky¨‍ j, isrùfuka Bg wvq ixLHdjla ñh hkjd' fldúâ wdidos;hkaf.a fï fohdldrfhkau isÿjk urK ld,hl isg cd;sl fndajk frda. úoHdh;kfha fjfiia wjOdkhg ,la jqKd' fldúâ wdidokh ùu ksid fmKy¿ .¾; ì;a;s j, lsishï ixl+,;djhla we;sfjk nj fï jk úg y÷kdf.k ;sfnkjd' fmKy¨‍ .¾; j, ì;a;sfha we;sjk fuu wdidokh Pneumonitis

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hkqfjka ye¢kafjk tu wdidok ;;a;ajfha§ fmKy¿‍ .¾; j, ;sfnk Type 1 yd Type 2 hk wdldr foll ffi, j¾. úkdYhg m;a fjkjd' fuys m%;sM,hla jYfhka .¾; ì;a;s úkdY ù ;j;a oaú;Shsl ixl+,;djhlgo u. mEfokjd' fuys iajNdjh flfiao h;a .¾; ì;a;s úYd, m%udKhla wl¾uKH ù ñh hdula isÿfjkjd' ta;a tlalu .¾; ì;a;s we;=<;g lvd jeàu ksid Hyaline membrane ;;a;ajh we;s fjkjd'

fldúâ frda.Skaf.a ksõfudakshdj yefokak fmr .¾; ì;a;s wl¾ukH ù ì| jeàula we;s fjkjd''' th fldúâ ksõfudakshdjg mdr lmkjd'''

fldúâ wdidokh ùu ksid fmKy¿ .¾; ì;a;s j, lsishï ixl+,;djhla we;sfjk nj fï jk úg y÷kdf.k ;sfnkjd'

November 2021

DOCTOR MAGAZINE

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Lung Pathology fldúâ frda.Ska fïid ñh hk fya;=j l=ulao@

fmKy¿ j, reër leáhla isrùu Pulmonary embolism

fï ;uhs fmky¨‍ j, wdidokfha uq,a wÈhf¾ isÿjk ;;a;ajh' ffjrih wdidokh fj,d Èk myla y;la w;r ld,h ;=< fï uQ,sl ;;a;ajh we;s fjkjd' bkamiqj fuh Covid Pneumonia lshk ;;a;ajhg m;a fjkakg mq¿jka' fldúâ kshqfudakshd ;;a;ajh fndfydauhla fõ,djg we;s jkafka oaú;Shsl nelaàßhd wdidokhlska' fldúâ wdidokhg ,la jqKdu reêrh leá .eiSï isÿùfï wjia:d jeähs' ll=f,a flKavd m%foaYfha f,a leá we;s fjkjd' Ysrd.; reêr ixirkh yryd tajd yDohg;a" fmKy¿ j,g;a .uka lsÍfï wjodkula ;sfnkjd' thska fï leáh u.ska wjysr;djhla we;sù Pulmonary embolism kue;s ;;a;ajhg ,laj we;eï fldúâ frda.Ska ñh hkjd' fldúâ frda.fhaoS jeä fofkla lsisÿ ixl+,;djhla fkdolajdu frda.h iqj fjkjd' ta;a l,d;=rlska flfkla úúO ixl+,;d j,g ,la fjkjd' tkak;;a ,nd f.k ke;s fjk;a fnda fkdjk frda. j,ska fmf<k whg fuys wjodku jeähs' w;a;gu fï ixl+,;d j<lajd .kakg .; hq;= mshjr ljf¾o@ ffjrih wdidokh fjk tl ldgj;a j<lajkak nE kuq;a ixl+,;d we;sùu k;r lr .ekSfï W;aidyhka ;sfnkjd' fmdaIKh" jHdhdu wdosh fuys,d jeo.;a fjkjd' ngysr ffjoH úoHdj yereKq fldg fjk;a wdhq¾fõo ffjoH úoHdj jeks wfma mdrïmßl ffjoH l%u iajia:;dj mj;ajd .ekSfuys,d w;S;fhaoS;a jeo.;a ld¾hNdrhl ksr; jQ nj wm wu;l lrkak fyd| kE' fï úIhhka ms<sn|j

November 2021

DOCTOR MAGAZINE

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wOHhkh lrñka fuu frda.hg úiÿï fiùug W;aidy oeÍfï jrola ud kï olskafka kE' iqÿÆkq" r;=Ækq lk tl" fjksje,a.eg ;ïn,d fndk tl fï jf.a iïm%odhsl T!Iëh Ndú;djka ms<sn|j fidhd ne,Su fyd|hs' fldúâ 19 frda.hg ksrdjrKh ùfuka miqj we;s jQ fmKy¿ wdidokhla oelafjk tlaia lsrK m%;sìïnhla

.¾; ì;a;s lvd jeàfuka we;sjk ;;a;ajh olajk Hyaline Membrane wkaùlaISh m%;sìïnhla

fldúâ wdidokhg ,la jqKdu reêrh leá .eiSï isÿùfï wjia:d jeähs' ll=f,a flKavd m%foaYfha f,a leá we;s fjkjd' tajd yDohg;a" fmKy¿ j,g;a .uka lsÍfï wjodkula ;sfnkjd'

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zzcd;sl fndajk frda. úoHdh;k fldúâ frda. fhka isÿjk urK iïnkaOfhka uq,au mYapd;a urK mÍlaIKh isÿlf<a 2020 uehs mia jkod' tod isg wm fï fldúâ frda.Ska iïnkaOj mglfõoSh mÍlaIKo we;=¿j mÍlaIK 100lg jeä ixLHdjla muK isÿlr ;sfnkjd' fï wOHhk weiqf¾ wm fldúâ frda.Skaf.a urK iïnkaOfhka fï jk úg;a f;dr;=re / ila fy<Sorõ lrf.k ;sfnkjd'''ZZ fï iïnkaOfhka woyia oelajQ cd;sl fndajk frda. úoHdh;kfha wêlrK úfYaI{ ffjoH pkak fmf¾rd m%ldY lf<ah' DM

November 2021

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Covid 19 crisis a new sri lanka fldúâ frda.fhaoS frda.shd" mjqf,a idudcslhka uqyqK mdk .eg¿

COVID 19 CRISIS A NEW SRI LANKA

fldúâ frda.fhaoS frda.shd" mjqf,a idudcslhka uqyqK mdk .eg¿ fï Nhdkl wjia:dfõo osßh wvq lr .kak tmd''' wms wdrlaId fjuq ksfjfia isg fldúâ frda.Ska /l n,d.kakd yeá 54

November 2021

DOCTOR MAGAZINE

Y%S chj¾Okmqr frdayf,a ldhsl frda. úfYAI{ ffjoH fla ù iS cdkl úisks

wo wfma rg uqyqK md we;s ;;a;ajh wfma rfÜ ck >k;ajh idfmalaIj jeähs' ixikaokd;aulj ne¨‍fjd;a bkafka wms bkafk 41 jk ia:dkfha' j¾. lsf,daógrhlg mqoa.,hka 328la' yenehs rfÜ N+ñ jHdma;sh wkQj

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kd.ßlj tl fmdoshg cSj;a fjk iajNdjhl=hs ;sfhkafk' fï jix.; ;;a;ajh jHdma;shg th;a wys;lr f,i n,mj;ajk idOlhla' kuq;a jdikdjlg wfma m%d:ñl fi!LH fiajd ÈhqKqhs' wmsg ìï uÜgfuka uyck fi!LH mÍlaIljreka" mjq,a fi!LH fiaúldjka uyck fi!LH ffjoHjreka jeä ixLHdjla isákjd' Tjqka wkNsNjkSh fiajhla ,nd fokjd' yenehs ta;a tlalu" mQ¾K ksoyia fi!LH fiajdjla l%shd;aul jqK;a wfma nyq;rhla frday,aj, myiqlï ta ;rïu i;=gqodhl uÜgñka kE' úfYaIfhkau oeä i;aldr myiqlï iy by< uÜgfï m%;sldr fiajdjka ck.ykfha iEu ia:dkhlgu ,efnkafk kE' fï miqìu ;=< ;uhs oeka ;shk fldúâ jix.;hg wm uqyqK fok wdldrh ;SrKh jkafka' fv,agd ffjri m%fNaofha úlD;s wdldrh;a iu.u miq.sh ld,fha b;d fõ.fhka frda.Ska jeä ùula isoaO jqKd' fï ksid Èk .Kkdjla ;=< wfma frday,a moaO;sh Wmßu doctormagazine.lk

Odß;djg ,Õd jqKd' tfyu wjia:djl§ fiajd iemhSï wvd, ùu fkdje<elaúh yelshs' wo wm uqyqK rgla jYfhka uqyqK md isákafka fï wNsfhda.hg' mj;akd jd;djrKh yuqfõ rfÜ ck;dj fï frda. fhka wdrlaId fjkafka fldfyduo@ oeka wmsg fï ffjrih jHdma; jk wdldrh ms<sn|j fyd| wjfndaOhla ;sfhkjd' fï ffjrih b.s,s,d hkafk kE' mqoa.,fhl=f.ka mqoa.,fhl=g ;uhs fnda fjkafka' tfia jkafka flfkla m%dYajdi lrk jd;h wfkla ksfrda.s flkd wdYajdi lsÍfuka' th ;uhs uQ,O¾uh' fofofkla yuq jQ úg fï ksid úfYaIfhkau ksjerÈ fi!LH ms<sfj;a wkq.ukh lrkakg ´ks' wms okakjd" fï ffjrih jd;fhka fnda fjkjd' ta;a frda.sfhla lduf¾ ysáh lsh, fï ffjhsri w,a,mq ldurhg''' w,a,mq f.org hkafk kE' yeu flfklau tksfkld óg¾ foll ú;r mr;rhla mj;ajd .kakjd kï Tjqkag fyd| wdrlaIdjla we;s lr.kakg mq¿jka' yenehs jid oud ;sfnk ixjD; ldur j, ;;a;ajh fjkia' jdhq iólrKh l< ldur j,oS;a fï ;;a;ajh fjkia' fuys§ flfklaf.ka ;j flkl=g myiqfjka fnda fjkak f,dl= wjia:djla ;sfnkjd'

wfma fldúâ wdidok iS>%;djh oeßh fkdyels uÜgulg meñKsfha osk .Kkdjla ;=<oSh' ta jix.;hl .;s fidndjhs' fi!LH wxY ,ndÿka wk;=re yeÕùï flfryS ck;dj ixfõoS fkdùfï úmdlh rgguh

November 2021

DOCTOR MAGAZINE

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Covid 19 crisis a new sri lanka fldúâ frda.fhaoS frda.shd" mjqf,a idudcslhka uqyqK mdk .eg¿

wdrlaIdj;a wvqhs' oeka fj<|fmdf,a udiala j, ñ, úYd, jYfhka wvq ù ;sfnk ksid i¾csl,a udiala" N95 wdoS udiala tllau ñ,oS .ekSu iqÿiqhs'

tkak;-fldúâ jix.;hg kej;Sfï ;s; ;eîfï fyd|u wúhhs' tkak;a ud;%d folu ,nd .ekSfuka frda.h fndaõffï bvlv" widOH ùfï bvlv fukau urKhg m;aùfï wjia:do ie<lsh hq;= uÜgulska wvq lrhs

fv,agd m%fNaofhka fífrkakg kï''' fï ffjrih oeka wjqreÿ tlyudrla ;siafia wfma ck;dj mSvdjg m;a lrkjd' thskq;a oeka t<U ;sfnkafka b;du;a ;SrKd;aul wjia:djla fmr mej;Sa ffjrifha wdldrhg jvd oeka ;sfnk fv,agd m%fNaoh jvd;au wdl%uKldÍ iajrEmhla .kakjd' óg l,ska tlu lduf¾ ysgmq iajdñ mqreIhd iy Nd¾hdj .;a;;a tlaflfkl=g yeÈ,d wks;a iylre$ iyldßh frda.h fkdye§ fífrkakg ;snqKd' kuq;a oeka mjqf,a flfkl=g yeÿfkd;a wks;a mjqf,a yefudagu yefok nrm;< wjia:djla ;sfnkjd' jdikdjg fï yefok yefudagu wudre fjkafka kE' ta ksid ;uhs fï ;rug j;a wmg iekis,a,la ;sfnkafka' fï frda.fhka fífrkak kï ks;ru oE;a" uqj msßisÿj ;nd .kakg fjkjd' iel iys; iam¾Yhla isÿjQ iEu wjia:djl§u inka fhdod fyd¢ka oE;a msßisÿ lr.kakg fjkjd' uqyqK" kdih yd weia iam¾Y lrkak tmd' ksjerÈj udiala tl m<|kakg fjkjd' frÈ udiala odk tl;a t;rï iqÿiq kE' bka ,efnk 56

November 2021

DOCTOR MAGAZINE

m%;sYla;slrK T!IO fndkak ´kso@ ÿï w,a,kak ´kso@ wfmka frda.Ska ks;ru wyk m%Yakhla ;uhs fï frda.fhka j<lskakg úgñka iS úgñka î fndkakg wjYHo@ ÿï w,a,kak wjYHo hkak' ffjoHjreka jYfhka wms oeka jir tl yudrla muK uq¿,af,a ksrka;rfhka frda.Ska iu. isákjd' ta;a" wfma ffjoHjreka" Yajik frda. ffjoHjreka fï úgñka iS úgñka î fjk;a Th lshk úÈh m%;sYla;s lrK mdk j¾. .kakjd lsh,d ux ys;kafka kE' yqud,h w,a,k tl;a ud okak yeáhg ks;ru frda.Ska yd .efgk ffjoHjreka lrkafk kE' ta;a ksjeros fi!LH ms<sfj;a .ek úYAjdih ;ndf.k wfma ffjoHjreka frda.fhka wdrlaId ù isákjd' ngysr ffjoHjrfhl= jYfhka ud okafka

doctormagazine.lk

m%;sYla;sh jefvkakg wm .kak fi!LH iïmkak wdydr j¾. yd jHdhduh bjy,a jk nj muKhs' Èkm;d yqud,h we,a,Su .ek l;d lrkjd kï fï ksid m%fhdackhla ,efnkjdg jvd ydkshla isÿ fjkjdo lshd wms ys;, ne¨‍jo@ wêl WIaK;ajhla iys; yqud,h Èkm;d Yajik ud¾.hg we,a,Sfuka Yajik mg, j,g lsishï ydkshla fjkakg mq¿jka' fï ksid ffjri j, jHdma;sh fõ.j;a fjkak;a wjodkula ;sfnkjd' f;;ukh iys; ld,j,§ ffjri frda.Ska jeä jeäfhka yuq fjkjd' yqud,h lshkafk;a f;;a iys; c, jdIam Yajik.; lsÍula' fldúâ 19 frda.hg frda. fhka je<lSug tkakf;ka ,efnk odhl;ajh tkak;la úÈyg wmg ,ndfokafk ffjrifha RNA fldgila" Spike fm%daàkhla''' tfyu;a ke;akï wÔù ffjri wdldrhla' fufia we;=¿ lrk tu øjHh ndysßka wd Wmøjhla f,i y÷kdf.k Bg tfrysj YÍrh u.ska m%;sfoay

doctormagazine.lk

PCR yd Antigen hk mÍlaIK folu ishhg ishhla ksrjoH kE' Antigen mÍlaIKfha§ Negative m%;sM,hla ,enqfKd;a kej; PCR mÍlaIKhla isÿl< hq;=hs'

ksmojkjd' th ;uhs frda.h j<lajkakg ;sfhk tlu m%;sl¾uh' fuh f.dvla id¾:lhs' idudkHfhka mQ¾K tkak;a / ljrKh ,nd.;a flfkl=g ffjrih je<|Sfï wjia:d wvqhs' wudre fjk wjia:d wvqhs' urKhg m;aùfï wjia:djo úr,hs' ta;a" fï tkak;l ud;%d folu ,nd.;a wh;a kej;;a frda.sfhla fjkakg iq¿ bvla ;sfnkjd' wfma frdayf,;a mQ¾K tkak;a /ljrKh ,nd.;a 8lg ú;r frda.h yeÿkd' ta;a ta wh we;efula frda. ,laIK fyda m%lg lf<A kE' widOH ;;a;ajhlg m;a jqfKA kE' lsishï frda.sfhla tkak;a folu ,nd .ekSfuka miqjo urKhg m;a ù ;sfnkjd kï ta urKj,g fya;=j fldúâ fkfuhs" Tjqka ta jk úg;a fjk;a frda. ksid m;ajQ oeä ixl+,;d' fï tkak; yefudagu jf.a úo.kak mq¿jka' we;sjk wdid;añl;d b;du úr,hs' m%;sYla;sl m%;spdr j, .eg¨‍jla ;sfnk l,d;=rlska olsk flfkla yereKQ úg we÷u" Èhjeähdj" yDofrda." jl=.vq frda.'' fï ´kEu frda.hla ;sfnk flfkl=g wdrlaIs;j tkak; ,nd .kakg mq¿jka' wdid;añl;d ;sfnk wh jqK;a fï tkak; ,nd .kakg ìh úh hq;= keye'

November 2021

DOCTOR MAGAZINE

D•Magazine /

Covid 19 crisis a new sri lanka fldúâ frda.fhaoS frda.shd" mjqf,a idudcslhka uqyqK mdk .eg¿

SARS-CoV ffjrifhka YÍrh wdidokh ùu yd ta ksid YÍrh olajk m%;sYla;sl m%;spdr úuiSug úúO mÍlaIK isÿ flfrhs' fï tl tlla mÍlaIK i|yd Positive ùu ta ta mÍlaIdjkag wkQj úp,H fõ' PCR Based Tests PCR mÍlaIKfhka ffjrifha m%fõKsl øjH iq¿ m%udKhla YÍr.;j ;snqK;a m%;spdr olajhs' ffjrih wdidos;j os.= l,la .sh;a fï wkQj PCR m%;sM<h Positive úh yel' Rapid Antigen Test mÍlaIKfhka yªkd.kafka ffjrifha fm%daàk fldgihs' frda.shdf.a ffjri m%udKh wvqkï ksjeros m%;sM<hla ,nd fkdosh yel' Antibody Test fuhska ffjrih YÍr.; ùfuka miqj YÍrh thg tfrysj olajk m%;sYla;slrK m%;spdrh .ek woyila .kakd ksid ffjrih we;=,a jQ uq,a ld,fha isÿ lsÍu ksYaM,h

PCR lrkjdo@ Antigen lrkjdo@ fldúâ frda.Ska y÷kd.ekSug uQ,sl jYfhka lrk mÍlaIK folla ;sfnkjd PCR iy Antigen mÍlaIK jYfhka' fï mÍlaIK fol .eku uQ,sl wjfndaOhla wmg ;sìh hq;=hs' fï mÍlaIK folu ishhg ishhlau ixfõ§ kE' kuq;a Antigen mÍlaIKhg jvd PCR mÍlaIKfhka ksrjoH m%Óm, ,nd .kakg mq¿jka' PCR mÍlaIKfha§ ffcj idïm,fha ;sfnk RNA j¾Okh lr m%;sM,h ,nd .ekSu Bg fya;=jhs' kuq;a wms okakjd fldúâ

November 2021

DOCTOR MAGAZINE

frda.Ska ksõfudakshdj yeoS nrm;< f,i fldúâ frda. ,laIK fmkakqï l<;a ta frda.Ska we;eï fj,djg Antigen mÍlaIKhg j;a wvq ;rfï PCR mÍlaIKhg j;a Positive f,i olajkafk kE' by; mÍlaIK folgu iuyr fj,djg ixfõ§ kE' we;eï fj,djg PCR mÍlaIKh ;=ka y;r j;djla muK isÿ lr,d ;uhs mÍlaIKd;aulj frda.shd y÷kd.kakg ,efnkafka' PCR mÍlaIKhla isÿ lr, ta m%;sM,h fk.áõ Wkdu zzug fldúâ kE'''ZZ lsh,d lshkak nE' Antigen mÍlaIKhla lr, fk.áõ Wkdu kï fldfydu;a tfyu keyehs lshkak nE' yenehs fï mÍlaIKhlska Positive lsh,d y÷kd.;af;d;a ksYaÑ; jYfhkau Tyq Positive ;uhs' fï ffjri t<shg tk fõ,djka wkqj m%;sM,h úp,H fjkjd' iuyr fj,djg ffjrih ixLHd;aulj wvq w.hla ;sfnk wjia:dfõ§ kso¾Ylh .;af;d;a m%;sM,h jerÈ iy.; f,i Negative jYfhka jd¾;d fjkak mq¿jka' doctormagazine.lk

ksjerÈu l%uh ;uhs Antigen mÍlaIKh iy PCR mÍlaIKh hk mÍlaIK folu isÿ lsÍu' Antigen mÍlaIKfha§ Negative m%;sM,hla ,enqfKd;a kej; PCR mÍlaIKhla isÿl< hq;=hs' fldúâ frda. ,laIK hï flfkl=f.ka m%lg jqfKd;a Tyq ksielfhkau mÍlaIKhlg ,la l< hq;=hs' ;uka yd tlg bkak flfkla Positive jqfKd;a" tys§o Tyq b;du <Õska wdY%h lrk wh iïnkaOfhka fldúâ mÍlaIdjla l< hq;=hs' ksfjfia bkak flfkla Positive jqfKd;a wks;a ish¿u fokdo mÍlaId l< hq;=hs' ióm;ufhla frda.sfhla njg m;ajqKdu idudkH l%uh ;uhs Tyq yd iómj .egqKq wks;a wh Èk ody;rla ksfrdaOdhkhg ,la lsÍu' ta ld,h ;=< ta ksfrdaOdhkh fjk fmdl=f¾ wdidÈ;fhla isáfhd;a frda.h tlS ld,iSudj ;=< Tjqkaf.ka u;= fjkakg mq¿jka' idudkHfhka m<uq i;sfha§u frda.h u;= fjkjd' fndfyda úg miafjks Èkfha§ muK' doctormagazine.lk

fldúâ wdidos;fhl= ksfjfia isák úg ie<lsh hq;= lreKQ kdä fõ.h fujka ir< wdldrhlska mÍlaId l< yel'' ñks;a;=jg 100g jeä kdä fõ.hla mej;Su wk;=reodhlh

uQ,sl mÍlaIK j,ska Negative jqK;a <Õu wdY%s;hka ksfrdaOdhkh lrkjd' kej;;a osk 10lska miqj lrk PCR mÍlaIKfha§ fï wkqj by; wdidÈ;hd weiqf¾ wdidokh jqKq frda.Ska isáfhd;a ta ish¨‍u fokd y÷kd .kakg fï wkQj yels fjkjd' ta w;r ueo Èkhl§ lsishï flfkla frda. ,laIK fmkakqï lf<d;a ta ie‚kau Tyqg PCR mÍlaIKhla lrkakg isÿ fjkjd' ta yereKq úg frda.shd y÷kd.;a m<uq Èkfha§ isÿ lrk ,o mÍlaIK Negative jqKd lsh, Tyq yd iómj ysgmq whg fldúâ frda.h keye lsh,d kï lshkakg nE' Wmßuhg <ÕdjQ frday,a Odß;djh fi!LH moaO;shg we;s lrk .eg¿ fï jk úg wfma rfÜ iEu m%foaYhlskau úYd, jYfhka fldúâ frda.Ska yuq fjkjd' ffjoHjreka jYfhka wm uqyqK fok nrm;<u wNsfhda.h ;uhs frda.Ska we;=<;a lsÍfï§ m%uqL;djh ,nd§u' wms iEu úgu yeu fldúâ frda.sfhlau uq,a wjia:dj,§ wfma frday,a i;aldrhg k;= lr.;a kuq;a oeka tfyu lrkakg yels Odß;djla wfma frday,a moaO;shg kE' ta ksid wm m%uqL;djh Èh hq;af;a jvd;a wjodkï iy.; frda.Skag' November 2021

DOCTOR MAGAZINE

D•Magazine /

Covid 19 crisis a new sri lanka fldúâ frda.fhaoS frda.shd" mjqf,a idudcslhka uqyqK mdk .eg¿

Hypoxemia hkqfjka yªkajkafka l=uk ;;a;ajhlao@ • reêrfhys Tlaiscka m%udKh (SpO2) frda. ,laIK lsisjla fkdfmkajd wvqùu

• frda. ,laIK jvd;a m%lg lrñka Tlaiscka uÜgu wk;=reodhl fõ kï m%;sldr ie,iSu wiSre fõ'

th yªkd.kafka flfiao@ • weÕs,s j, r|jk Pulse Oximeter kï l=vd wdïmkakhlska Tlaic s ka uÜgu uek ne,Sfuka fuh myiqfjka yªkd.; yel' fï iïnkaOfhka oek.; hq;= jeo.;a lreKq • fï w.hka ks;r ks;r uek ne,sh hq;=h' ishhg 95g jvd tu w.h wvq kï frday,a.; úh hq;=hs'

ir< mÍlaIdjla''' • Tn weúo hk úg" mäfm<la k.sk úg Tlaiscka uÜgu wvq fõ kï Tn bkafka frday,a.; úh hq;= uÜgulh' • fï weúo hdfï mÍlaIKhg Ndckh úh hq;af;ao Baseline Tlaiscka uÜgu 95g jeä w.hl mj;skafka kï muKs

frda. ,laIK m%lg fkdlrk frda.sfhla jqK;a fldúâ Positive nj oek.;a yeá frday,a.; fjkakg jeä ukdmhla olajkjd' fudlo@ Tjqka cSú;h .ek lsishï ìhlska ;uhs bkafka' kuq;a fï miqìu hgf;a frda. ,laIK m%lg fkdlrk frda.Ska frday,lg fkdhjd w;rueÈ m%;sldr uOHia:dkhlg ke;akï ksjig hjkakg isÿfjkjd' iuyr fj,djg ksfjfia wjodkï iy.; frda.sfhla''' Èhjeähdj jf.a frda.Ska bkakj kï wms Tyqj ksjig fkdhjd w;rueÈ m%;sldr uOHia:dkhlg (Covid Intermediate Care Center) hjkakg W;aiql fjkjd' f.or bkakg Wmfoia ,enQ frda.Ska wksh; ìhla we;s lr.; hq;= kE' Tjqkaf.a fi!LH ;;a;ajho fidhd ne,Sulg ,la fjkjd' f.or bkak tl frda.shdg fyd|hs' myiqlï w;skq;a" lEu îu w;skq;a fyd|hs' udkislj;a fyd|hs' fuhska m%uqL;ajfhys,d frdayf,ka m%;sldr ,eìh hq;= whg wjia:djla i,ikjd' uq,a ld,fha§ wms w;rueÈ m%;sldr uOHia:dkhlg frda.Ska fhduq lf<a iudchg fnda ùu j<lajkak' kuq;a oeka ta wjia:dj miq fj,d'

November 2021

DOCTOR MAGAZINE

ksfjfia isák fldaúâ frda.sfhla lghq;= l< hq;= wdldrh ksfjfia isák fldúâ frda.sfhla kï fjku ldurhl bkak wjYHhs' wks;a whf.ka wE;aj bkak tl uQ,sl wjYH;djhla' kuq;a wms okakjd fndfyda úg ksjil ;sfhkafka tl jeisls,shla" kdk ldurhla jkakg mq¿jka' tfyu jqK;a fuh fnod yod .kakg isoaO fjkjd kï th wdrlaIs;j isÿ l< yelshs' wms okakjd fï frda.h jd;fhka fnda fjk tlla fkfjhs flfkla ta jeisls<shg .syska meh nd.hla yudrla hk úg ta úIîc jd;fha ;sfnkak bvla kE' ta ksid ;j;a flfkl=g tu jeisls<sh" kdk ldurhu mdúÉÑ lrkak mq¿jka' frda.shd;a"ksjeis fiiq idudcslhkq;a iEu úgu inka fhdod w;a fidaod .kakg ´fk' frda.shdg wdydr ,nd §fï§ ta Ndck jqK;a fyd¢ka inka .d msßisÿ lr.; hq;=hs' bkamiq Tn;a fyd¢ka w;a fodajkh lr.; hq;=hs'

doctormagazine.lk

ksfjfia isg m%;sldr ,nk frda.Ska l< hq;= mÍlaId kdä .eiau wf;a ue‚la lgqfõ kyrhla weÕs,s foflka iam¾Y lrñka kdä .eiau y÷kd .; yelshs' th 100g jvd jeä fjkjd kï wjodkï ;;a;ajhla' Tyq frday,a.; úh hq;=hs' Tlaiscka m%udKh Tlaiscka ika;Dma;;djh uekSug fhdod .kafka Pulse Oximeterh' fï ld,fha remsh,a foodfya isg fuu Pulse Oximeter ;sfhkjd' tu udmlhla we.s,af,a iúlr Tlaiscka m%udKh uek.kak mq¿jka' we;eï fj,djg Tlaiscka w.h wvqfjka

doctormagazine.lk

ksjerosj i¾csl,a udiala tlla m<|skafka fldfyduo@

uq,skau fyd|ska w;a fidaod .kak

udiala tl bÍ fyda m¿ÿ ù fkdue;s njg iy;sl jkak

udiala tfkla bosß mi-;o ks,a meyeh we;s me;a; y÷kd.kak

lfka ksjerosj /f|k fia udiala tl m<|skak

jd;h ldkaÿ fkdjk fia kdih wi,ska th kdihg iú jk fia r|jd .kak

iEu meh 6-8lg jrla udiala tl udre lrkak

fyïìßiaidjla leiaila yeÿfKd;a wms b;ska uQ,slj f.dv fjolula lrk tlfk lrkafk' u;l ;shd.kak fï ojia j, leiaila fyïìßiaidjla yeÿfkd;a th fldúâ ksidu we;s jQ leiaila" fyïìßiaidjla f,i ndr.kak' Antigen mÍlaIKhla fyda PCR mÍlaIKhla isÿ lr.kak' úfYaIfhkau wks;a whg fï frda.h fnda fjkakg bv ;nkak tmd' wjYH wdrlaIl úêúOdk fhdod .kak'

PCR mÍlaIKhla isÿ lr, ta m%;sM,h fk.áõ Wkdu zzug fldúâ kE'''ZZ lsh,d lshkak nE' Antigen mÍlaIKhla lr, fk.áõ Wkdu kï fldfydu;a tfyu keyehs lshkak nE' yenehs fï mÍlaIKhlska Positive lsh,d y÷kd.;af;d;a ksYaÑ; jYfhkau Tyq Positive ;uhs'

November 2021

DOCTOR MAGAZINE

D•Magazine /

Covid 19 crisis a new sri lanka fldúâ frda.fhaoS frda.shd" mjqf,a idudcslhka uqyqK mdk .eg¿

wjYH;djhla' ta wh frday,g meñfKkaku wjYHhs' kslka bkak fldg;a y;sh yefok wjia:dj fjklka bkak tmd' kslka bkak fj,djg;a y;sh yefokj lshkafk frday,g meñfKkakg ;sfnk wjia:dj;a myqfj,d'

iqj ù ksfjig tk Tfí {d;shdf.ka Tng frda.h fnda jkafka ke;' Tyqg osßhla''' iúhla jk fia lghq;= lrkak' Tyq fldka lrkak tmd'''

jf.a oefkkj kï ;j;a weÕs,a,lg oud mßlaId lrkak' iu >Klu wvq jqKdu" weÕs,a, iS;, jqKdu w.hka wvqfjka jd¾;d fjk ksid fuh lsysm jrla isÿ lsÍu jvd;a iqÿiqhs' tfyu fj,djg weÕs,s fol ;=klg ;nd mßlaId l< hq;=hs' 95g jeä mdGdxlh la tys ;sfnkjd kï Tn wdrlaIs;hs' w.h Bg jvd wvq jqfKd;a frda.shd frday,a.; lrkakg j. n,d .kak' y;sh y;sh yefokjd kï jydu frday,g''' fï fldúâ yeÿKQ frda.shd iïnkaOfhka jvd;au jeo.;a ldrKh ;uhs wef|ka neye,d álla weúÈk fldg''' jeisls<shg hkfldg y;shla oefkkjd kï Tyq jydu frday,a l< hq;=hs' wms we| úfõlfhka bkak ;dla l,a fldhs ;rï Tlaiscka wvq jqK;a oefkkafk kE' iuyr úg Saturation 90hs' ta;a frda.shd l;d lr lr fyd|g yskd fjù bkakjd' fï ;;a;ajh weÕg oefkkafka wms fmdâvla yß uykais fjk fudfydf;a§ ú;rhs' fï ksid wms fldõâ frda.sfhla mä fm<l mä lsysmhla k.sk úg''' jeisls<shg hk úg y;shla jf.a oefkkjd kï tal frday,g meñŒug ksiel

November 2021

DOCTOR MAGAZINE

frda.shdg wjodku we;s jkafka fndfyda úg fofjks i;sfhaoS idudkHfhka uq,a ojia 7l ld,h ;=< fldúâ frda.shl=g t;rï wudre fjkafka kE' m<uq i;sfhka miafia ;uhs ;;a;ajh oreKq fjkjd kï fjkafka' fï frda. fha iajNdjh ;uhs" ál ál ;uhs frda.h jeä fjkafka' wudre fjkfldg b;du;a fõ.fhka wudre fjkjd' ?''' Tkak wudre jqKd yqiau .kak' zz wo ?g;a b|,d fygu Tkak Tfy hkjd'''ZZ tfyu ys;ka bkak tmd' wudrejla oeKqkq .ukau frday,a.; fjk tl Tnf.a Ôú;fha wdrlaIdjghs' wm%udoSj frday,g we;=<;ajq frda.Ska blauKska iqjm;a fjkjd uf.a fm!oa.,sl

doctormagazine.lk

fldúâ 19 ffjrihg m%;sldr ke;s nj we;a;' ta;a fldaúâ ksõfudakshdjg m%;sldr tugj;a ;sfhkjd' fldúâ ksõfudakshdj lshkafka Immune Reaction tlla' wms fok m%;sldr j;a j,ska úYd, jYfhka frda.Ska iqj fjkjd' iqj fkdjk frda.Ska fndfyda fofkla ksis wjia:dfõ§ frday,g meñfKkakg wiu;a jQ frda.Ska' ke;akï fjk;a ixl+,;d iys; frda.Ska' fï ojiaj, fjkog ke;s f,v wmsg ;sfhkjd' yeu fokdgu W.=r oeú,a,''' yeufokdgu y;sh''' fï fldúâ ksid fndfyda fokd ìhg m;afj,d' frda.shdg y;sh we;s jqKdu ffjoHjrhdg th fldhs j¾.fha y;shla o@ hkak ksYaph lr .ekSu wmyiq ldrKhla fkfuhs' weÿu frda.Skag;a iq,nj

doctormagazine.lk

w;aoelSug wkqj ta úÈyg m%udKj;a wjia:djla ,nd§ frday,g meñ‚hdu wms ,nd fok uQ,sl m%;sldr j,ska b;d id¾:l f,i frda.shd n,df.k boaÈ iqjm;a fjkjd'

fldúâ 19 ffjrihg m%;sldr ke;s nj we;a;' ta;a fldaúâ ksõfudakshdjg m%;sldr tugj;a ;sfhkjd'

y;sh we;s fjkjd' th iafg;iafldamhg ksjerosj weÿu y;sh jYfhka yiq fjkjd' wfkl tu y;sh ie,aìhqgfuda,a jeks T!IO ,nd§fuka iqjm;a fjkjd' ta;a fldúâ j,§ we;s fjk y;sh tjka bkafya,¾ .ekSfuka iqjm;a lrkakg neye' Yajik frda. ;sfnk whg fldúâ je<÷fkd;a lsishï jeä wjodkula ;sfnk nj;a lshkakg wjYHhs' ta wh jeä wjOdkhlska isákkakg wjYHhhs' udiala ouk ksjeros wdldrh we;efula i¾csl,a udiala odkjd' flfkla N95 odkjd' N95 udiala tl fyd|hs' i¾cl,a udiala folla oeïug lula ke;so@ flfkla úuikjd' ta;a ksjerosj odkj kï tlla jqK;a fyd|gu we;s' iuyre folla fkdfjhs" Bg;a jvd odkjd' kuq;a yßhg odkafk ke;akï jevla kE' udiala folla odk fndfyda fokdf.a kyh wdjrKh fkdjk nj;a fkdoeKQj;aju tla udiala tlla kyfhka lvd yef,k nj;a wfma frda.Ska yeisfrk úÈh wkqj ksÍlaIKh lr ;sfnkjd' udiala tl m<|sk úg kyh fome;af;ka ;o fjk njg j. n,d .kak ´fk' frday,a j, wfma ld¾huKav,h kï kdifhka jd;h ldkaÿ ùu je<elaùug 3M fÜma tlla w,j.kak wjia:d;a ;sfhkjd' fldúâ iqjm;aj ksfjig hk frda.shd /l n,d .ekSu fldúâ frda.sfhla frday,g we;=,a fj,d ojia oyhla .shdg miafia Tyq frdayf,ka f.org hjkjd' fï frda.shd ksfjig wdju ksfjfia bkak wh Tyq fldka lrk wjia:d ;sfnkjd' u;l ;shd.kak frda.h

November 2021

DOCTOR MAGAZINE

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Covid 19 crisis a new sri lanka fldúâ frda.fhaoS frda.shd" mjqf,a idudcslhka uqyqK mdk .eg¿

frda.h wdidokh ù ojia oyhla .;jQ frda.shdf.A YÍrfha fldúâ 19 úIîc kE' ta ksid Tyqj fldka lrkak tmd'

wdidokh ù ojia oyhla .;jQ frda.shdf.A YÍrfha fldúâ 19 úIîc kE' ta ksid Tyqj fldka lrkak tmd' Tyqf.ka fjk;a wfhl=g frda.h fnda fjkj lsh, Tn fudfyd;lg j;a ys;kjd kï Tyqf.ka frda.h fjk;a wfhl=g fnda fjkakg we;s bvlvg jvd fndfydu jeä bvlvla fldúâ fkdyeÿKQ mjqf,a wks;a whf.ka we;s fjkakg bv ;sfnkjd' yenehs" iuyr fj,djg fuf,i ksfjig msg;a lrk frda.Skaf.a ksõfudakshd ;;a;ajh iïmQ¾Kfhkau iqj fkdù ;sfnkak;a mq¿jka' frday,a j, ;sfhk ;onoh ksid fldúâ ksõfudakshdj yeÈ, Tlaiscka ÿkak frda.Ska iuyr úg ksjig hkjd jqK;a ;j álla fmky¨‍ j, ksõfudakshd ;;a;ajh b;sß fj,d ;sfhkak mq¿jka' fldúâ ksõfudakshdj ksid fmky¨‍ .¾; j, we;s fjk øjH yßhgu Èk oyhlska bj;a jkafka kE' iuyr úg udihla ú;r m%;sldr lrkakg isoaO fjkjd' ta wh ksfjfiaoS fok T!IO mdúÉÑ l< hq;=hs' jeäÿrg;a wjYH kï idhk j,oS ffjoHjreka yuqúh hq;=hs' wms uq,§ fldúâ ksõfudakshdj ksid frda.Skaf.a fmky¨‍ j, le<,s we;sfj,d tajd iqj fkdù ;sfnkakg;a mq¿jka lsh,d ys;=K;a ta ìh oeka wmsg kE' udihla .sys,a,d yß lsisÿ le<,la fmkye,s j, we;s fkdù fmky¿ iïmQ¾Kfhkau iqjm;a fjkjd' tal jdikdjla' fï ksid f.or .sh .uka ;ukaf.a iqmqreÿ jev lghq;= lrkak hk tl iqÿiq kE' tfia lrkakg W;aidy 64

November 2021

DOCTOR MAGAZINE

.kak;a tmd' fyd| úfõlhla Èk lSmhla ,nd.kak' yqiau .kak myiqo lsh,d ;ukagu oefkkjd' iuyr úg fïl ffjria frda.hla ksid w;mh reodj" lEu wreÑh jf.a frda. ;j;a l,la ;sfhkak mq¿jka' ta yereKq úg frda.shd lsishï udkisl mSvkhlg ,lafj,d bkafka' Post-traumatic Stress Disorder fï udkisl mSvkh ksid iuyr úg kskao hkafk kE' mmqj .efykjd' mmqj ßfokjd' fï úÈyg .eg¨ ldÍ ;;a;aj j,g uqyqK fokakg;a mq¿jka' tfyu wd;;shg m;a jqKQ" úYdoh jeks frda. j,g m;ajqKq frda.Skq;a úYd, ixLHdjla bkakjd' frda.h je,£u ksid ;ukag we;s fjÉp nh jf.au iudcfhka we;sfjk hï hï fldka lsÍï ksid;a fï ;;a;ajhg fya;= fjkjd' fï whg f.orÈ fnda fjkjd lsh,d nh fjkafka ke;=j fyd¢ka i;aldr lrkak' udkislj Tjqkg iúhla fjkak' DM doctormagazine.lk

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Covid Heart Complications fldúâ ksid ysá wäfha yDohdndO tkak mq¿jka'''

Covid Heart Complications

fldúâ ksid ysá wäfha yDohdndO tkak mq¿jka''' ² fv,agd m%fNaofha w;=re m%;sM,hla f,i isÿfjk fohla''' ² lsisÿ fldúâ frda. ,laIKhla fkdfmkajd we;sjk yDohdndO úfYaIhla''' ² fldúâ wdidos; jQj;a frda. ,laIKhla fmkakqï lrkafka kE'''' jeä fofkla wvq jhia ;reKhka'''

úfYaI{ fÊHIaG yDo Y,H ffjoH f.daGdNh rKisxy

,agd m%fNaofha w;=re m%;sM,hla f,i lsisÿ fldúâ frda. ,laIKhla fkdfmkajdu yDohdndOhg ,la jk fldúâ frda.Ska jd¾;d jk m%jK;djhla mj;akd nj;a tjeks fldúâ wdidÈ; frda.Ska úis fokl=g muK miq.sh i;s lsysmh ;=< wekacsfhdma,diaála ie;alï isÿl< nj;a fld<U cd;sl frdayf,a yDo Ñls;ail tallfha úfYaI{ fÊIaG yDo Y,H ffjoH f.daGdNh rKisxy uy;d m%ldY lf<ah'

m<uq yd fofjks fldúâ /<sj,oS yDohndOhkag ,la jQ frda.Skaf.a m%jK;djhla olakg fkd,enqKq nj;a f;jeks /,af,a m%uqL jQ fv,agd m%fNaofha ixl+,;djhla f,i fuu ;;a;ajh olakg ,efnk nj;a f.daGdNh rKisxy uy;d jeäÿrg;a m%ldY lr isáfhah' yDohdndO j,g ,laù frday,a.; jk jeä msßila wvq jhia ldKAv j,g wh;a ùuo fuys fjfiia ,laIKhls' fldf,iagfrda,a"

November 2021

DOCTOR MAGAZINE

doctormagazine.lk

idudkHfhka yDohdndOhlg ,lajk frda.Ska flfrka olakg fkd,efnk fuu ;;a;ajfha§ Tjqkag u;=jk m%Odk frda. ,laIKh yDohdndOhu jk w;r th we;s jkakg fmr Tjqka fldúâ wdidos; nj fyda oel.; yels ,laIKhla fmkakqï fkdlrk njo ta wkQj fujka nrm;, ;;;ajhla we;sjk f;la Tjqka frda. ,laIK fkdfmkajk fldúâ wdidos;hka f,i isák njo ffjoHjrhd jeäÿrg;a m%ldY lr isáfhah'

fldúâ iïNjhla iys;j yDohdndO j,g ,laù frday,a.; jk jeä msßila wvq jhia ldKAv j,g wh;a ùu fjfiia ,laIKhls' fldf,iagfrda,a" oshjeähdj" wêl reêr mSvkh''' fï wdoS lsisÿ wjodkï iy.; idOlhla fkdue;sj yDohdndO j,g ,lajk njo fï frda.Ska nyq;rhla yDo wlrKshg ^Heart Failure& ,lajk nj ;ukag ksÍlaIKh ù we;ehso ffjoH f.daGdNh rKisxy mejiSh'

fldf,iagfrda,a" oshjeähdj" wêl reêr mSvkh''' fï wdoS lsisÿ wjodkï iy.; idOlhla fkdue;sj fldjsvA frda.Ska yDohdndO j,g ,lajk njo fï frda.Ska nyq;rhla yDo wlrKshg ,lajk nj ksÍlaIKh ù we;' oshjeähdj" wêl reêr mSvkh''' fï wdoS lsisÿ wjodkï iy.; idOlhla fkdue;sj yDohdndO j,g ,lajk njo fï frda.Ska nyq;rhla yDo wlrKshg ^Heart Failure& ,lajk nj ;ukag ksÍlaIKh ù we;ehs yDo frda. ffjoHjrhd mejiSh'

doctormagazine.lk

jhiska wvq jqK;a lsishï mqoa.,fhl=g lsishï yDohdndOhl frda. ,laIK mud jqjfyd;a wm%udoSj cd;sl frday,g we;=<;a jk f,i;a tjeks frda.Ska fírd .ekSug ;uka we;=¿ lKavdhu ksrka;rfhka lghq;= lrk nj;a ffjoHjrhd fuysoS isysm;a lf<ah' fv,agd m%fNaohg f.dÿre ù yDohdndO j,g ,la ,lajk frda.Ska ms<sn|j wOHhkh isÿ lsÍug oekgu;a lghq;= wdrïN lr we;s nj ffjoH f.daGdNh rKisxy jeäÿrg;a m%ldY lr isáfhah' DM

November 2021

DOCTOR MAGAZINE

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Corona Vaccination fjkiajQ fldúâ 19 ffjri m%fNAo wfma rg wk;=f¾ fy<hso@

Corona Vaccination

tkak;alrKh

urK wvq lrkak ksielfhkau fya;= fjkjd''' uydpd¾h ks,Sld u,úf.a Twitter .sKqfï m‚úvhla ;nhs''' tkak;lrKh wfma rfÜ fldfrdakd urK wvq lsÍug ie<lsh hq;= uÜgulska iïudoï jk nj wfma rfÜ isÿlrk ,o wOHhkhkaf.ka fy<sorõ ù ;sfí' tfiau tkak;alrKh fï jk úg f,dalh mqrdo fldúâ jix.;h yuqfõ tlu úi÷u njg m;aj ;sfí' Y%S chj¾Okmqr úYajúoHd,fha ffjoH mSGfha m%;sÔjl úoHd yd wKql úoHd wOHhk wxYfha m%OdkS uydpd¾h kS,sld u,úf.a uy;añh lreKQ olajkakSh' furg isÿjk fldúâ urK w;ßka ishhg 0'46la ihsfkd*dï tkakf;a ud;%d folu ,nd .ekSfuka miqj isÿj ;sfnk w;r *hsi¾ tkakf;ys ud;%d folu 68

November 2021

DOCTOR MAGAZINE

uydpd¾h ks,Sld u,úf.a

.ekSfuka miq ishhg 0'15 lao weiag%dfifkld tkak;a ud;%d folu ,nd .ekSfuka miqj ishhg 0'03 lao urKhg m;aj ;sfí' wfma rfÜ b;d iq¿ msßila fï wdldrfhka tkak;a ud;%d folu iïmQ¾K lsÍfuka miqjo ñh .sh;a id;sYh nyq;rhla ck;dj urKfhka .,jd .ekSu i|yd tkak;alrKh ksYaÑ; jYfhkau fya;= jk nj uydpd¾h kS,sld u,úf.a uy;añh m%ldY lf<ah'

doctormagazine.lk

Tlaia*â úYAj úoHd,fha wOHhkhlg wkQj fï jk úg f,dalh mqrd b;d fõ.fhka me;sr hk fv,agd m%fNaofhka wdrlaId ùug we;s fyd|u úiªu tkak;a ud;%d folla ,nd .ekSuhs' tkak;a ud;%d fol ,nd .ekSfuka tkak;a mqoa.,hka fldúâ frda.h wdidÈ; ùu" widOH ùu yd urKhg m;a ju b;d wvq m%;sY;hlg meñK ;sfnk nj fy<sorõ ù ;sfí'

fldfrdakd urK iy tkak;a iïnkaOfhka ;u Twitter .sKQfï m‚úvhla ;nk u,úf.a uy;añh nyf¾ka yS isÿj we;s wOHhkhl f;dr;=reo fuys § wkdjrKh lf<ah' 2021 uehs udifha isg fï olajd ,nd .kakd ,o ksheÈ nyf¾ka wOHhkhg fya;= ù ;sfnk w;r *hsi¾" weiag%dfifkld jeks tkak;a ihsfkd*dï tkak; yd ixikaokh lsÍfï§ ;rula jeä M<odhS;djhla fmkajk njo wkdjrKh ù ;sfí'

doctormagazine.lk

jhi wjqreÿ 50g jeä mqoa.,hkag fldúâ frda.fha jeä wjodkula mj;akd nj fuysoS fy<sorõ ù we;s ;j;a lreKls' tfiau fv,agd m%fNaoh meñŒu;a iuÕu ish¨‍u tkak;a j, jákdlu biau;= ù ;sfí' ixikaokd;aulj mßlaId lsÍfï§ ihsfkd*dï tkak; ,nd.;a jhi wjqreÿ 50g jeä mqoa.,hkag idfmalaIj tkak;a fkdl, jhi wjqreÿ 50 g jeä mqoa.,hka f.a urK isÿùu ishhg 8'1 .=Khlska by< hk nj fmfkkakg ;sfí' ihsfkd*dï tkak; ,nd.;a jhi wjq' 50g jeä mqoa.,hkag idfmalIj tkak;a fkd,enQ jhi wjq' 50 bl=;a jQ mqoa.,hka urKhg m;aùfï m%;sY;h ishhg 3'8lska jeä nj fuu wOhkfhka wdjrKh ù ;sfí' Tlaia*â úYAj úoHd,fha wOHhkhlg wkQj fï jk úg f,dalh mqrd b;d fõ.fhka me;sr hk fv,agd m%fNaofhka wdrlaId ùug we;s fyd|u úiªu tkak;a ud;%d folla ,nd .ekSu njo fï iïnkaOfhka iudf,dapkhl fhfok ks,Sld u,úf.a uy;añh ish Twitter .sKQfï olajd ;sfí' DM

November 2021

DOCTOR MAGAZINE

D•Magazine /

Cancer Patient and Covid ms<sld frda.Ska fldúâ wdidokhg ,laùfï wjia:dj jeähs''' mßiaiï fjkak'''

ms<sld frda.Ska fldúâ wdidokhg ,laùfï wjia:dj jeähs''' mßiaiï fjkak''' ms<sld j,g .kakd m%;sldr ksid fï whg wks;a msßia j,g fuka tkakf;ka wfmalaIs; /ljrKh fkd,eî hkakg mq¿jka'''

ms<sld frda. úfYaI{ ffjoH iÑks riakdhl

zzms<sld frda.Ska" úfYAIfhkau fï jk úg il%Shj m%;sldr ,nd .kakd ms<sld frda.Ska mj;akd fldúâ jix.;h yuqfõ zzwê wjodkulaZZ orK msßila jYfhka ie<flkjd' fï ksid iEu ms<sld frda.sfhlau fldúâ frda.fhka wdrlaId ùug mkjd we;s kshuhka ta wdldrfhkau ms<SmeoSug j. n,d.kak'ZZ ms<sld frda. úfYaI{ ffjoH iÑks riakdhl uy;añh tfia m%ldY l<dh' 72

November 2021

DOCTOR MAGAZINE

doctormagazine.lk

zzidhkhg meñKsh hq;= kï tysoS fi!LHdrlaIl Wmfoia oeäj ms<smoskak' wdmkYd,d j,ska lEu .kak tmd' lEu ál f.oßkau wrf.k tkak' fik. w;r .ejfikak tmd' wfkla iEu úgu ksfjfiau /|S isákak'ZZ fi!LH m%j¾Ok ld¾hdxYfha meje;S udOHfõoSka oeKQj;a lsÍfï jevigyklg iyNd.s jQ ta uy;añh oekgu;a osjhsk mqrd ms<sld tall j,g fï il%Shj m%;sldr ,nd.kakd ms<sld frda.Ska fjkqfjka fi!LH wud;HxYh tkak;a imhd we;s njo fy<sorõ l<dh' fï iïnkaOfhka jeäÿrg;a woyia m%ldY l< ffjoH riakdhl uy;añh fufia woyia

doctormagazine.lk

ms<sld frda.Skaf.a m%;sYla;sh ÿ¾j, lrk uQ,sl fya;=jla jkafka Tjqkag ,ndfok lSfudf;rms m%;sldrhs' lSfudf;rms T!IO u.ska ms<sld ffi, j¾Okh ùu yd tajd fnoS kj ffi, we;s lsÍu wffO¾h lrkjd' tfy;a fï T!IO m%;sYla;slrK moaO;sh hï m%udKhlg ÿ¾j, lrkjd' lSfudf;rms T!IO .ekSfïoS Yafõ;dKQ fkdfyd;a iqÿ reêrdKQ wdldrhla jk kshqfg%dms,a j, w.h wvq fjkjd'

oelajQjdh' zzms<sld frda.Ska wfk;a whg jvd idfmalaIj wvq m%;sYla;shla ysñ msßila' fï ksid fï mj;akd jix.;fhka wdrlaId ùug jeä ie<ls,a,la oelaúh hq;=hs' idhk j,ska ,nd.; hq;= Wmfoia ÿrl;k weu;=ulska ,nd.kak' idhkhg meñKsh hq;= kï tysoS fi!LHdrlaIl Wmfoia oeäj ms<smoskak' wdmkYd,d j,ska lEu .kak tmd' lEu ál f.oßkau wrf.k tkak' fik. w;r .ejfikak tmd' wfkla iEu úgu ksfjfiau /|S isákak'ZZ zzfï fldúâ tkak; ,nd.;a;;a ms<sld j,g ,ndfok wfkl=;a m%;sldr ksid fï whg wfmalaIs; m%;sYla;sh j¾Okh jkafkao hkak iel iys; njo ffjoHjßh fuysoS m%ldY l<dh' ms<sld frda.Ska b;d fyd| ldhsl yd udkisl fi!LH ;;a;ajhlska isáh hq;=hs' fmdaIHodhS wdydr fõ,la .kak jf.au m%udKj;a f,i j;=r mdkh lrkaak;a wu;l lrkak tmd'''ZZ weh jeäÿrg;a woyia oelajQjdh' DM

November 2021

DOCTOR MAGAZINE

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COVID-19 Antibody Testing fldúâ m%;sfoay mÍlaIK

COVID-19 Antibody Testing: Pros & Cons fldúâ m%;sfoay mÍlaIK yß fj,djg m%;sfoay mÍlaIKh isÿ l< hq;=hs ksjeros mÍlaIK l%ufõoh wkQ. ukh l< hq;=hs''' ke;fyd;a ,efnk m%;sM< .eg¿ iy.;hs wdisß frday,a iuQyfha ridhkd.dr wOHlaI kS,a m%sh;a fcdaka úisks

ful, wfma fndfyda fofkl=g meK k.sk .eg¿jla jkafka fudk úosylska fyda ;ukag;a fldúâ je<|S we;aoehs mj;akd ielhhs' fï frda.h me;sr hk fõ.h wkQj;a" jeä fofkl=g lsisu frda. ,laIKhla fmkakqï fkdlrk ksid;a tfia ielhla u;=ùu iajdNdúlh' zzug;a fldúâ je<|S ;sfío@ZZ thg W;a;rhla imhkakg kï m%;sfoay mÍlaIdjla (Antibody testing fkdfyd;a serological testing) lr.; hq;=h' tfy;a fï m%;sfoay mÍlaIKhla isÿ lr.kakg fmr fuu mÍlaIdfõ jdis yd wjdis .ek Tng wjfndaOhla ;sìh hq;=uh' fï ,smsh bosßm;a lrkafka tu mÍlaIKfha we;s ;;= tys we;s wNsfhda. iïnkaOfhka Tng oeKQu ,nd fokq ßisfhks'

November 2021

DOCTOR MAGAZINE

fldúâ m%;sfoay mÍlaIdjla lshkafka l=ulao@ Tn óg fmr fldúâ ffjrihg ksrdjrKh ù ;sfío hkak úuiSug fhdod .kakd mÍlaIKh Antibody testing fkdfyd;a serological testing hkqfjka ye|skafjhs' COVID-19 g tfrysj l%shd;aul jk f,a j, wka;¾.; Bgu iqúfYAIS jQ m%;sfoayhla ksIamdokh ù ;sfí kï Tn ffjrihg óg fmr f.dÿre fj,dh' tmuKlao fkdfõ' fï ffjrih YÍr.; ùfuka miq kej;;a tu ffjrih YÍr.; ùug W;aidy lf<d;a Bg úreoaOj igka l< yels fm%daàkhla reêrhg tl;= fj,dh' kuq;a m%;sfoay mÍlaIKh u.ska Tn fï fudfydf;a ffjrih YÍr.;j bkajdo@ hkak yªkd.; fkdyel' idudkHfhka ffjrih YÍrhg we;=,a ùfuka miqj Bg tosßj igka l< yels m%;sfoayhla ckkh jkakg kï i;s 2-3 ld,hla .; fjhs'

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m%;sfoay mÍlaIKhla isÿ lsÍfuka Tng ,efnk m%fhdack Tfí isrerg fydfrkau Tng m%;sfoay ksmofj,do@ fldúâ ffjrih YÍr.; jQ jeä fofkla lsisÿ frda. ,laIKhla fmkajkafka ke;' wvq jeä jYfhka fyïìßiaid wudrejl uDÿ frda. ,laIK fmkakqï lrk msßilao fjhs' fï wkQj Tn;a fkdoekSu Tng fldúâ ffjrih je<|s,do@ thska wdrlaIdjla isrerg tl;= fj,do@ wdoS

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jYfhka ksYaph lr .ekSug fuu m%;sfoay mÍlaIdj bjy,a fjhs' tfiau Tfí wdrlaIdj fjkqfjka Tfí ffjoHjrhdg jeo.;a idhksl ;Skaÿ .ekSugo fï mÍlaIKh bjy,a jkq we;' frda. jHdma;sh yd ;Sj%;djh wdoS lreKQ iïnkaOfhka wOHhkhg mq¿,a jYfhka m%;sfoay mÍlaIK iudc ksheos weiqf¾ isÿ lsÍfuka fï frda.h fldhs ;rï jHdma; ù ;sfnkafkao hkak .ek m¾fhaIlhkag wjfndaOhla ,nd.ekSug wjia:dj Wod fjhs' tfiau iudcfha fldgila jeä jYfhka wdidokfhka frda.d;=r ùu jeks ldrKd wOHhkhgo fuh msgqjy,la fjhs' Convalescent plasma therapy: fuh widOH fldúâ frda.Skag lrk m%;sldrhls' fldúâ je<|S iqjh ,enQjkaf.a reêrh yd m%;sfoay ,ndf.k tajd widOH frda.Skag ,nd fohs' Hackensack University Medical Cente úiska oekg fï m%;sldr l%uh id¾:lj l%shd;aul lrk w;r

November 2021

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COVID-19 Antibody Testing fldúâ m%;sfoay mÍlaIK

tkak;a u.ska isrerg ydkslr fkdjk wdldr j,ska ffjrih YÍr.; lr Tfí m%;sYla;slrK moaO;sh ffjrihg yqre lrjhs

kue;s m%;spdrhg my; oE we;=<;ah' ffjri Tfí isref¾ ffi, j,g wj;S¾K ùu j<lajk î ffi, wdidos; ffi, úkdY lsÍu yd î ffi, l=¿ .kajk à ffi, fï ffi, u.ska ffjrih uekúka u;lhg .%ykh lr.kS' fuh m%;sYla;slrk Odrkhhs' Immune Memory wkd.;fha oskl fï ffjrih tkakg ;e;a lf<d;a m%;sYla;slrK moaO;sh Bg jydu m%;spdr olajhs' fuh os.=ld,Sk m%;sYla;shhs' Long- mory ld¾hlaIu tkak;la u.ska m%n," os.=ld,Sk yd Adaptive Immune Responce tlla n, .kajhs' th B ffi," iqúfYAIS m%;sfoay yd T ffi, yd ta ish,a, W;af;ackh lrhs

tkak; u.ska m%;sYla;slrK m%;spdrhla (Adaptive Immune Responce) n,.kajhs

úYd, jYfhka m%;sfoay iEoS we;s frda.Skaf.a reêr fldgia frda.Ska iqj lsÍug ,nd oSfuka b;d fyd| m%;sM< ,eî ;sfí' tkak;a ksIamdokhg ,efnk msgqjy, iEu tkak;lau YÍrhg ÿka miq th ienE wdidokh lsishï wkqlrKh lsÍula isÿ lrhs' tfiau tkak; YÍr.; ùfuka miqj tu wdidok j,g úreoaOj isref¾ iajdNdúl m%;sYla;slrK l%shdoduh l=¿.ekafjhs' m%;sfoay ksmoùuo tysu fldgils' tfiau m%;sfoay

November 2021

mÍlaIKfhka YÍrfha tu yelshdj idlaId;a lr.; yel' m%;sfoay mrSlaIKhloS Woa.; jk .eg¿ mrSlaIK j, id¾:lNdjh COVID-19 i|yd isÿ lrk m%;sfoay mÍlaIK lsysmhla ;sfnk w;r tajdhska iuyrla wfkla udos,s j,g jvd id¾:lj m%;sM<h olajhs' fï m%;sfoay mÍlaIK iïnkaOfhka U.S. Food and Drug Administration (FDA) wdh;kh ;ju;a ;u wOHhk wjika lr ke;' iuyr mqoa.,hkag tkak; ,ndÿkak;a m%;sfoay ksmojkafka ke;s fldgilao isà' Tjqkag tkak;alrKh isÿ l<;a M,la ke;' ;;a;ajdkaú; fkdjk mÍlaIKhloS (Low Quality Test) fodaI iy.; f,i m%;sfoay ksmoù we;s njg False Positive m%;sM< olajkakgo mq¿jk' th fndfyda úg isÿ jkafka fjk;a ffjrihlg isrer ;=< ksmojqKQ m%;sfoay fya;=fjks'

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tkak;a .ekSfuka m%;sYla;sh cks; jk yeá

m%;sfoay f.dvke.Su

m%;sfoay ksIamdokfha Wmßuh

m<uq tkak;

fofjks tkak;alrKh

tkak;alrKfhka miq osk$m%;sckl j,g ksrdjrKh ùu

jrla yeÿKQ flfkla jqK;a wdrlaIs; ke; we;efula COVID-19 m%;sfoay YÍrfha ;sfnkjdh hkak''' ;uka tu ffjrihg uqyqK oSug Yla;su;a ksid kej; th fkdje<f|ah hk jeros is;sú,a,l isáhs' fï jk úg f,dalh i;= oeKQu wkQj jrla fï frda.hg k;= jQfjla tu frda.hg fojeks j;djl fkdje<f|k m%;sYla;shlska hqla; hhs fidhdf.k ke;' Tng isref¾ m%;sfoay ;sfnk njg m%;sM<h ,enqK;a fï frda.fhka wdrlaId ùug Tn ;jÿrg;a mshjr .; hq;= jkafkah' Tfnka ;j flfkl=g frda.h fnda jkakg mq¿jk Tn isref¾ m%;sfoay f.dvke.S ke;s nj mila ùfuka jQj" Tng wdidokhla we;sùug ;sfnk bvlv bka neyer fkdfõ' fï wkQj Tno fï frda.h iïfm%aYKh lsÍfï frda. jdylfhl= úh yels jkafkah'

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November 2021

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COVID-19 Antibody Testing fldúâ m%;sfoay mÍlaIK

fldúâ m%;sfoay mÍlaIKh Immunity Pass tllao@ fldúâ m%;sfoay mÍlaIdj isÿlr Tyqf.a isref¾ m%;sfoay ksmoùu hkak lsisfia;au idudkH wdrlaId rys; cSjk rgdjlg m;a ùug Safety Pass tlla fkdjkafkah' tfiau m%;sfoay mÍlaIdj kej; iudc.; ùfï úYAjdiodhS mÍlaIdjla f,i m%fhdackhg .ekSug fkdyels jk wNsfhda.o /ila fï mÍlaIdfõ mj;S' fuu m%;sfoay YÍrfha we;s jkakg kï frda.ldrl úIîc YrSr.; ù osk 11-12 muK .;úh hq;=h' hï flfkl=g m%;sfoay f.dv kef. ñka ;snqK;a fï wkQj fõ,dikska mÍlaIdj isÿ lf<d;a m%;sM,h fk.áõ jkakg mq¿jk' oekg jdkscH jYfhka Ndú;d flfrk we;eï Antibody tests j, nrm;, ksrjoH;d .eg¿ mj;S" lsishï wdidos;fhlaf.a isref¾

November 2021

ffjrihg tfrys m%;sfoay f.dvke.S we;ehs jeros iy.; f,i jd¾;d ù Tyq iudchg uqodyeßfhd;a isÿ jkafka uy;a w,l,xÑhls' fï yereKQ úg Nucleic acid mÍlaIKfhka Positive f,i jd¾;d jk we;euqka Antibodies testing mÍlaIKfhkao Positive f,i jd¾;d jk wjia:d we;' fï wkQj isref¾ m%;sfoay f.dvke.S we;;a ta whf.a isref¾ ffjriho ;sfnk nj fuhska mila jkafkah' we;af;kau fï wh COVID-19 ffjri jHdma;shg odhl jkjdo hkak .ek fï jk úg;a m¾fhaIlhka w;r idlÉPdjg Ndckh fjhs' ELISA hkqfjka ye|skafjk (enzyme-linked immunosorbent assay) mÍlaIdfjka yer as lateral flow assays wdoS mÍlaId j,ska tla tla mqoa.,hd ;=< wkd.; wdidokhka je<elaùug ;rï by< m%udKhlska m%;sfoay YÍrh ;=< ksmoù ;sfíoehs m%udKd;aul f;dr;=re ,nd fkdfohs' m%udKd;aul m%;sM< oelaùulska f;drj ke;fyd;a “Antibody titer” information fkdue;sj yqfola positive or negative wdoS jYfhka ,nd fok m%;sfoay mÍlaIK jd¾;djla u.ska mqoa.,fhla iellska ìhlska iudc.; lsãfï iy;slhla “Immunity Pass” ,ndosh fkdyelsh' ksjeros fj,djg ksjeros l%ufõohla wkq.ukh lrñka isÿ lrk m%;sfoay mÍlaIKhlska ñi Th fudlla yß m%;sfoay mÍlaIKhla isÿ lsrSfuka tu mqoa.,hdf.a wdrlaIs;;djh iïnkaOfhka ksjeros ks.ukhlg meñKSu jeros iy.; nj fï wkQj Tng meyeos,s jkq we;' mqoa.,dkqnoaO m%;sYla;sh iïnkaOfhka jvd;a ksrjoH Ndú;djla meñfKk f;la ms<sld frda.SkA ;jÿrg;a ÿria:Ndjh mj;ajd .ekSu" oE;a fiaoSu yd uqyqKQ wdjrK wdosh ;jÿrg;a wdrlaIdj fmroeßj mj;ajd .; hq;=j we;' 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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Lung Cancer Review l,a fõ,d we;sj y÷kd.;af;d;a iïmQ¾Kfhka iqj lr.; yelshs jeä fofkla fmKy¿ ms<sld j,g k;= jkafka ÿïmdkh ksihs'''

Wria Y,H úfYAI{ ffjoH Oïñl riakdhl

kj ;dlaIKfha Y,Hl¾u u.ska fmKy¿ ms<sld frda.Skaf.a úYd, mßj¾;khla

November 2021

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fmKy¿ ms<sldj - wo ojfia jeä jYfhka olakg ,efnk ms<sld úfYAIhla' m%Odk jYfhka msßñka w;r iq,n" fmKy¿ ms<sldj we;sùug uQ,sl fya;=jla jYfhka ÿï mdkh lsÍu y÷kdf.k ;sfnkjd' fmKy¿ ms<sldj l,afõ,d we;sj y÷kd.;af;d;a iïmQ¾Kfhkau iqj lr.; yelshs' th Tng iqn wdrxÑhla' fï .ek ;jÿrg;a meyeos,s lf<d;a" idudkHfhka l,afõ,d we;sj yªkd. kakd fmKy¿ ms<sld frda.Skaf.ka ishhg 65lau iïmQ¾Kfhkau iqj fjkjd' kuq;a fu;ek wNsfhda.hla ;sfnkjd' fï fmKy¿ ms<sld .ek fndfyda úg frda.sfhla oek.kafka ;rula m%udo ù' túg ta ;rï lrkak fohla ke;s ;rug frda.shd wirK fjkakg mq¿jka' fï ;uhs fmKy¿ ms<sldfõ iajNdjh' tfy;a Tn keKj;a kï''' Tn úuis<su;a kï''' fuh fõ,dikska oek yªkdf.k bka we;sjk cSú; wjodku iïmQ¾Kfhkau ke;s lr .kakg;a mq¿jka' fï ,smsh Tn fj; bosßm;a lsÍfï W;alDIAG jQ wruqKq /ila ;sfnkjd' wms th uq,skau olajkakï'

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fmKy¿ ms<sld m%Odk wdldr

1' fõ,dikska y÷kd .ekSfuka ishhg ishhla iqj lr.; yels fmKy¿ ms<sldj fõ,dikska y÷Qkd. kakg wm Tnj oeKQj;a lrkjd' 2' Tn fmKy¿ ms<sld iïnkaOfhka lsishï wjodkul isák flfklao@ hkak .ek;a fï ,smsfhka Tnj oeKQj;a lrkjd' 3' jeo.;au foh" fmKy¿ ms<sld m%;sldr;a wo mßj¾;khlg ,lafj,d' frda.Skaf.a wdhq wfmalaIdjka by< kexú,d' kQ;k Y,Hfõoh fï wNsfhda.h ch .kakg fhdodf.k ;sfnk kj;u fuj<ï .ek fï ,smsfhka wms Tnj oeKQj;a lrkjd' ta Tiafia fmKy¿ ms<sldfjka urKhg m;ajk frda.Ska ú;rla fkdfjhs" fmKy¿ ms<sldjg ,lafjk frda.Ska mjd wvq lr .kakg .; hq;= mshjr wms Tng myod fokjd' fmKy¿ ms<sldjl uQ,sl ,laIK ² leiai ² mmqj ßoSu ² fl<" fiï iu. f,a msgùu ² wdydr wreÑh ² w¨; we;s jqKQ weÿu jeks iajNdjhla ² Yajik ud¾.fha we;sjk wjfrdaOhka

November 2021

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Lung Cancer Review kj ;dlaIKfha Y,Hl¾u u.ska fmKy¿ ms<sld frda.Skaf.a úYd, mßj¾;khla

yerefKd;a ld,hg iudkqmd;slj .eg¿ u;= fjkjd' frda.h y÷kd.kakd úg fï ksid fmKy¿ ms<sldjg m%;sldrhla .; yels wjia:dj u. yeÍ ;sfnkakg mq¿jka' fï frda.fha nrm;,lu jkafka thhs'

fmKy¿ ms<sldjl woshr

fmKy¿ ms<sld i|yd lrk Y,Hl¾u

fmKy,a,l tla f,danhla ^fldgila& bj;a lsÍu

tla fmKy,a,la iïmQ¾Kfhkau bj;a lsÍu

fmKy,a,l ff,danhl fldgila muKla bj;a lsÍu

ld,h m%fhdackhg .ekSu b;d jeo.;a fuu uQ,sl frda. ,laIK m%lg lrk úg Tn uq,skau Tfí mjqf,a ffjoHjrhd yuqù m%;sldrhla .kakg mq¿jka' m%;sM<hla ke;s jqfKd;a" fjk;a ffjoHjrfhl= yuqjkakg mq¿jka' leiai" weÿu jeks ;;a;ajhka fndfyda úg fujka ms<sld frda.hl fmr ksñ;s f,i ndr.kakjd wvqhs' uq,skau fnfy;a álla fokjd' álla wvq fjkjd' ta;a f,fâ bjr fjkafk kE' kej;;a fnfy;a álla .kakjd' we;eï úg fjk;a ffjoHjrfhla <Õg;a hkjd' fï úosyg ld,hla .; fj;aoS uQ,sl frda. ,laIK ixlS¾K wählg m;a fjkjd' fmKy¿ ms<sldjloS frda.shdg jdish ,efnkafka uq,a wjia:dfõoS muKhs' tu iaj¾Kuh wjia:dj u. 82

November 2021

DOCTOR MAGAZINE

fï ,smsfhka Tng wm ,nd fok mKsúvh jkafkao Tfí wjodku yªkdf.k frda. ,laIK uq,skau my< jk wjia:dfõoS Tng ,efnk ta iaj¾Kuh wjia:dfjka m%fhdack f.k Tfí jákd cSú;h fírd .kakg wejeis oeKQu ,ndoSuhs' fmKy¿ ms<sld we;s ùug n,mdk fya;= ÿïmdkh ÿïmdkh yd ms<sld w;r b;d lsÜgq ta jf.au Nhdkl iïnkaO;djhla ;sfnkjd' is.rÜ" iqreÜgq" îä" mhsmam fï fldhs tl;a fmKy¿ ms<sld wjodku úYd, jYfhka f.k tkjd' ÿïmdkh lrk wh yereKQ úg ÿïmdkh lrk wh wi< bkakd whgo fï fmKy¿ ms<sld tlfia n, mj;akd nj;a lsj hq;=hs' is.rÜ fmKy¿ ms<sld

doctormagazine.lk

Lungs Tfí fmKy¿ mmq l=yrfha we;s yevfhka fla;= wdldr jQ hq., bkaøh s hla fõ' th wm zzfmKy¿ZZ jYfhka yªkajuq' wm yqiu a .kakd jd;h we;=¿ jkafka fmKy¿ j,gh' fï wdYAjdi lrk jd;h weiqf¾ iuia; YÍrfhau ffi, j,g wï,lr jdhqj mßjykh fjhs' ffi, j, we;s wmøjHhla jYfhka ie<flk ldnka vfhdlaihsâ jdhqj fmKy¿ j,g Wlydf.k m%dYAjdi jd;h f,i tajd wm mßirhg uqod yefrhs' fmKy¿ iïnkaOfhka wOHhkfhaoS tajd Lobe fldgiajYfhka fnod yodruq' jï me;af;a Lobe folls' ol=KQ fmKy,af,a Lobe ;=kls' Lobe ;=klg fnod fjka lr we;s ol=KQ fmKy,a, jï fmKy,a,g jvd úYd,;ajfhka u|la jeäh' fï fmKy¿ wdia;rkh lr.;a fmKy,a, jfÜgu mj;sk isúhla jk w;r th maÆrdj f,i ye|skf a jhs' .,kd,fha my; wka;fhka fome;a;g fnfok Yajdikd,sld hq.,hla fjhs' tajd fmKy,af,aoS wkQYj a dikd,sld yd l=vd .¾; njg m;aj we;af;a jdhqj r|jd.; yels jk mßosh'

we;s lsrSug fl;rï odhl;ajhla olajkjdo lsjfyd;a fmKy¿ ms<sld j,g k;=jk msßñkaf.

doctormagazine.lk

fmKy¿ ms<sld i|yd isÿlrk Key Hole wdldrfha ie;alula

ka oyfhka kjhlau ÿïmdkh lrk wh nj fy<sorõ ù ;sfí' ñkaÜ wvx.= is.rÜ j, fï wjodku ;j;a jeähs' ñkaÜ rih iys; tla;rd ckm%sh is.rÜ udos,shla fï ñkaÜ rih ksid .eUqßka Wrk nj;a" jeä fj,djla tys jd;h mmq;=r ;nd .kakd nj;a fï ksid thska jeä ms<sld wjodkula we;s jk nj;a fï jk úg fy<sorõ ù ;sfnkjd' ;dr wvq" ksfldáka wvq wdoS jYfhka kj ksIAmdok /ila fj<|fmdf<A we;s uq;a fmKy¿ ms<sld we;s lsÍug wvqjeä fNaohlska f;drj fï iEu ÿïfld< bÍulau odhl;ajh olajk nj fmfkkkg ;sfnkjd' m%fõKsh we;eï mjq,a w;r''' mrïmrdkq.;j fmKy¿ ms<sld me;sr hk fihla fmfkkakg ;sfnkjd' mjqf,a flfkla fmKy¿ ms<sldjlg ,la jqfKd;a Tyqf.a mjqf,a idudcslhkago fmKy¿ ms<sldjla we;s ùfï wjodku tfia fkdjk mjq,lg idfmalIj fo.=Khla muK jk nj wOHhk j,ska fy<sorõ ù ;sfí'

November 2021

DOCTOR MAGAZINE

D•Magazine /

Lung Cancer Review kj ;dlaIKfha Y,Hl¾u u.ska fmKy¿ ms<sld frda.Skaf.a úYd, mßj¾;khla

fmKy,af,a jïmi by< fldgfia we;sjQ Squamous cell carcinoma kï ms<sldjla' fuu m%;sìïnfhka prevascular fmfoi olajd me;sÍula fmkajk w;r fujka frda.Ska Induction treatment m%;sldrh yd jeäÿrg;a wOHhkh lrñka fjk;a kshñ; m%;sldr ie,iSug u. mdohs'

úI jdhq wd>%dKh jk úI jdhq" fjfiiskau jdhq ¥IKh yd l¾udka; jdhq ksid fuu fmKy¿ ms<sld we;s jkakg mq¿jka' ks,a weianeiafgdaia yd ms<sld w;r we;s nrm;, wjodku ksid tajd fndfyda rgj, ;ykï lr ;sfnk w;r weianeiafgdaia Ndú;ho fï jk úg wffO¾h lr ;sfnkjd' jrla wfma rfÜo fï i|yd mshjr .;a kuq;a rdcH ;ka;%sl jYfhka wmg wd n,mEula u; th wdmsg yerùu ck;djf.a wjdikdjla' wdiksla fl%dañhï" ksl,a fnß,shï" leäñhï yd ;dr jevìï j, W;amdokh jk fmKy¿ ms<sld j,g odhl;ajhla olajk øjH fõ' jdhq ¥IKh fï yereKQ úg ful, fndfyda k.r j,g ;¾ckhla ù we;s jdhq f.da,h ¥IKh jSuo fmKy¿ ms<sld j,g odhl;ajhla olajhs'

November 2021

DOCTOR MAGAZINE

w¿;ska weÿu jeks ;;a;ajhla fmfkkakg ;sfnkjdo@ ie<ls<su;a fjkak fjfiiskau jeo.;a hula mejish hq;=hs' w¿f;ka weÿu jeks ;;a;ajhla fmkakqï lrkjd kï" Tn fmKy¿ ms<sld we;sùfï wjodkï iy.; ldKAvhg wh;a jkafka kï Tn ta weÿu ;;a;ajh .ek fjfiia wjOdkhlska miq úh hq;=hs' ukao" w¿;ska we;sjk Yajik wjfrdaOh fmKy¿ ms<sldfõ uQ,sl wjia:dfõ u;= lrk frda. ,laIKhla jkakg;a mq¿jka' frda. mÍlaIdj ² uq,skau Chest Xray tlla isÿlr tys fmKy¿ ms<sld fjkialï ;sfíoehs fidhd n,kjd ² Chest X-ray tfla widudkH;d ;sfnkjd kï idhï fhdod.;a CT mÍlaIKhla tkï CECT tlla isÿ lrkjd' ² fuys iel lghq;= Nodule tlla ;sfnkjd kï wk;=rej Tyq Bronchoscopy kue;s mÍlaIKhg fhduq lrkjd' ''' fï mÍlaIKh isÿ

doctormagazine.lk

lrkafka Yajdikd,h (Wind Pipe) weiqre lr .ksñka' fuysoS lsishï fjkialula ksÍlaIKhg ,efíoehs fidhd n,kjd' ² Yajdikd,h yereKQ úg fmKy¿ ms<sld fjkialï m¾hka; fmKy¿.; jHqyhkaySo ;sfnkakg mq¿jka' Peripheral Air way túg th mÍlaId lsrSug Bronchoscopy mÍlaIKh m%udKj;a jkafka keye' ta i|yd CT Guided Biopsy mÍlaIdjla isÿ l< hq;= jkjd' fmKy¿ ms<sldfõ woshr yªkd .ekSu PET-CT mÍlaIdj fmKy¿ ms<sldfõ ljr woshrl frda.shd bkafkao hkak" frda.shdg m%;sldr lsÍfuys,d b;d jeo.;a' fï frda.shd .;lrk woshr .ek wjfndaOhla ,nd .ekSug Wmldr jk mÍlaIdj jkafka PET-CT mÍlaIdjhs' fmKy¿ ms<sldjg lrk m%;sldr Y,Hl¾uh ie;alu u.ska frda. úksYaph" frda.h mj;akd woshr ks¾Kh lsÍu yd frda.h l<uKdlrKhg wjYH wjia:dj Wod lrhs' Non-small cell lung cancer (NSCLC) jvd;a iq,n wdldrh .;fyd;a tys Stage I and II i|yd fuu doctormagazine.lk

ms<sld j,g m%;sldr jYfhka rYAñ Ñls;aidj oYl lsysmhl isg Ndú;d fjkjd' úlsrK m%;sldrhla u.ska t,a, lrk .eud lsrK j,ska ms<Sld ffi, úkdY lsÍu fuys uQ,O¾uhhs' fldhs ;rï ksjerosj .Kkh l<;a ms<sld ffi, yereKQ úg m%dfhda.slj ksfrda.S ffi,o fuu l%ufhka úkdY jqKd' thg úiªula jYfhka oeka úlsrK rYañ Ñls;aidjg wj;S¾Kj isák linear Accelerator u.ska wjfYAI ffi," bkaøsh j,g wnu,a f¾KQjl j;a ydkshla isÿ fkdlrñka glaflgu ms<sld ffi, muKla úkdY lsÍug iu;aj isákjd'

ie;alu iEfya' 40ml g jvd wvq me;sÍula ;sfnkjd kï fjk;a lSfudf;rms yd m%;sldr wjYH jkafka ke;' tfiau Stage IIIA wjia:dfõoSo fuh frda. l<uKdlrKfhys b;d jeo.;a mshjrla fjhs' frda.fha uq,a wjia:dfõ isÿ lrk ie;alï ksYaÑ; jYfhkau frda.shdf.a iqjh fukau urK wjia:d wvq lsrSu (morbidity and mortality ) bjy,a lr.;a;la jk w;r fï wvqfjka isrerg lemqï flgqï isÿ lrk ie;alï (less invasive approaches)Video-assisted thoracoscopic surgery yd Robotic approaches wdoS kùk l%u weiqre lrf.k isÿ lsÍfuka tu wruqKQ j,g hdu jvd;a myiq lr.; yel' fuysoS ms<sld ffi, mj;akd frda.S fmKy¿ fldgi muKla bj;a lsÍug mshjr .kakd w;r jid Tiafia me;srSula fõ kï tho yªkdf.k bj;a lrhs' fuys wNsu;d¾:h jkafka frda.shdg we;sjk wmyiq;djhka wvqlr m%;sldr ,nñka fjfikakg myiq jd;djrkhla ie,iSuhs' ta jf.au fï frda.shd fjkqfjka isÿlrk B<Õ woshf¾ m%;sldr myiq lsÍuo Curative Surgery j, wruqKla fjkjd'

November 2021

DOCTOR MAGAZINE

D•Magazine /

Lung Cancer Review kj ;dlaIKfha Y,Hl¾u u.ska fmKy¿ ms<sld frda.Skaf.a úYd, mßj¾;khla

fuysoS fmKy¿ j, msÍ we;s j;=r bj;a lsÍu" kej; ;r, tla/iaùu je<elaùug mshjr .ekSu yd Yajik wjfrdaOhka je<elaùu jeks mshjr .kq ,nkjd' fmKy,af,a msg; isúh fkdfyd;a maÆrdj ;=< ;r,h tla/ia ùu (malignant pleural effusion) isÿjQ úg tajd jd bj;a lsÍu wjYH jkafka tajd kshñ; mßos fkdlsÍfuka lSfudf;rms m%;sldr j, id¾:l;ajh wvqùu;a tfia uQ,sl ie;alfuka miqj isÿlrk lSfudf;rms m%;sldr fuhska miqj fyd|ska frda.shdg w,a,d isàu;ah' we;eï úg fï fmKy¿ ms<sld frda.Skaf.a Yajik ud¾.h ms<sld ffi, j,ska wjysr ùfuka (Airway Obstruction) Yajikh jvd;a ÿIAlr fjkjd' tjka wjia:d j,oS jdhq u.g iafgkaÜ tlla fhdok Y,Hl¾uo isÿ lrkjd' fuh kshñ; wjia:dfõoS isÿ fkdlf<d;a jdhq u. wjysr ùfuka Yajikh b;d ÿ¾j, fjkjd' fiu jdhqu. isr fjkjd' wjidkfha frda.shd ñh hkakg mjd mq¿jka ksid fuu Y,H l%ufõohka frda.shd wju frda. yd ixl+,;d n,mEfuka hqla;j ;nd .ekSug fukau Tyq ;jÿrg;a cSj;a lrjkakg;a ,efnkafka wiSñ; Woõjla' fuu ms<sldj YrSrfha ljr ia:dkhl fyda me;sr ;sfnkafkao hkak ie;alfuysoS isÿlrk jid .eá;s mÍlaIdfjka isÿlr.; yelshs' Tn oek.; hq;= ldrKhla' fmKy¿ j, fõokd m%;s.%dyl fkdue;s ksid fmKy¿ j,g lrk Y,Huh ueosy;a ùï j,ska fõokdjla oefkkafka kE' fmKy,a,g m%úYAG ùug wo Ndú;d lrk leurd wdïmkak" frdfndála Y,Hl¾u wdosh ksid fï ie;alï j, ldßh myiqù ;sfnkjd jf.au th frda.shdg;a blauka id¾:l;ajhla ,ndoSug odhl ù ;sfnkjd' fmKy¿ ms<sld iïnkaOfhka ful, isÿ flfrk Y,Hl¾u wo ffjoH úoHdfõ oshqKQj;a iu. fmKy¿ j, lrk ie;alï úYd, jYfhka myiq ù ;sfnkjd' óg ld,hlg by;oS kï fï fmKy¿ ie;alï lsÍfïoS m¾Y= weg wiSrefjka lmñka mmqj újr l< hq;= jqKd'

November 2021

DOCTOR MAGAZINE

bka miqj fmKy¿ olajd ia:rfhka ia:rh mdod .ekSu myiq lreKla jQfha kE' wjidkfhaoS ie;alu isÿl<d lshuqfld' kej;;a th u;=msg iu olajd ilia lsÍu wf;darla ke;s lemqï flgqï iïnkaO l%shdj,shla jqKd' fï ksid ;=jd, iqj fjkakg úYd, ld,hla .; jqKd' fjk;a .eg¿ rdYshla u;= jqKd' ;=jd, meijQ úg wê ud;%d m%;scSjl fokjd' ta jk úg;a m%;sYla;sh ÿ¾j, ù isák fï frda.Skaf.a yDoh" wlaudj" jl=.vq yd ;j;a fndfyda wjhj j,g fïjd wys;lr f,i n,mdkjd' fmKy¿ yereKQ úg ta ta wjhj j,o .eg¿ldÍ ;;a;aj u;= fjkjd' ta; oeka Y,Hl¾u isÿ lrkafka tkafvdiafldms l%uhg' Wria l=yrh lmd újr lSÍula fï ksid wjYH jkafka kE' ta fjkqjg wms l=vd isÿre fol ;=klska fmKy,a,g m%fõY fjkjd' tys ;sfnk HD leurdj jvd;a ksjeros oiqkla ;srh u;g f.fkkjd' tfiau fuys úYd,kh oi .=Khla 10 x Magnification

doctormagazine.lk

fï l%uh ksid reêrh .e,Su wjuhs" fõokdj wjuhs'tfiau fï ie;alï isÿ lsÍfuka miqj by< id¾:l;ajhla ld¾hlaIu;djhla fukau ,efnkjd' fï ie;alu isÿ lrSfuka miqj ICU tllg frda.shd hd hq;= jkafka;a kE ú;rla fkdfjhs b;d blauKskau iqjm;a fjkjd' fï ie;alfuka osk 5-6lg miq Tyqg idudkH ffoksl lghq;= j, ksr; jkakg;a wjia:dj ie,fikjd' fï wdldrfha kùk Key Hole ie;alï fld<U cd;sl frdayf,a fukau je,sir <h frdayf,a;a ;sfnk nj lsj hq;=hs' tfiau fm!oa.,sl wxYfhao frday,a rdYshloSu fï m%;sM<odhS ie;alu isÿ lrkakg mq¿jka' lSfudf;rms - fmKy¿ ms<l s d ie;alï Y,Hl¾u yereKQ úg lSfudf;rms ie;alïo fmKy¿ ms<l s d frda.k S a i|yd lrk uQ,l s m%;l s drhls' ;rula úYd, ms<l s djla fmKy,af,a we;akï we;eï úg th yl=¿jd,Su i|yd lSfudf;rms we;eï úg úlsrK Ñls;i a djo doctormagazine.lk

isÿ lrhs' ie;alu isÿ lsrf S uka miqj lsih s ï fYaI jQ ms<l s d ffi, fldgila fjf;d;a th úkdY lsÍu i|yd ie;alfuka miq lSfudf;rms we;eï úg f¾äfhaIka f;rms lrk wjia:do fjhs' idudkHfhka fmKy¿ ms<l s d m%udKhla fo.=K jkakg udi 3-6 w;r ld,hla .; fjhs' fï wkQj uq,k s u a úlsrK m%;ì s ïnhlska fmKy¿ ms<l s dj olsk wjia:djg m;a ùug jir .Kkdjla jqj .; jkakg mq¿jk' fmKy¿ ms<sld wjodkfuka ñfokakg .; hq;= mshjr fmKy¿ ms<sld we;s lrjk njg yªkd.;a m%Odk idOlh ÿï mdkh kï uq,skau l< hq;af;a th k;r lsrSuhs' Tn ksfjfiaisg ÿï mdkh lrkafka kï Tfí mjqf,a ish¿ fokdf.au fmKy¿ ms<sld wjodku Tn ;rugu jeä nj i<lkak' ÿï mdkh lsÍfuka je<lSug iudkqmd;slj fmKy¿ ms<sld wjodkuo wvq fjhs' ÿïmdkh w;ayer jir oyhla hk úg tu <Õd lr.;a wjodku ishhg 30-60 olajd wvq fjhs' úI jdhq j,g ksrdjrKh ùfuka j<lskak kd.ßl jdhqf.da,h ¥IKhg ksrdjrKh ùfuka yels;dla j<lskakg W;aidy .kak' ksfjia ;ekSfïoS weianeiafgdaia ;yvq odkak tmd' ksfjfia uÿrefldhs,a oe,aùu iSud lrkak' l¾udka; jdhq j,g ksrdjrKh ùu wju lr .kak' wdydr idOlh jeä jYfhka t<j¿ yd m<;=re wdydrhg .ekSfuka fmKy¿ ms<sld wjodku my; jefgk nj wOHhk j,ska fy<sorõ ù ;sfí jHdhdu we;eï wOHhk j,g wkQj jHdhdu yd YdÍßl fl!Y,Hho fmKy¿ ms<sld wjodku wvq lrk nj fmfkkakg ;sfí' DM

November 2021

DOCTOR MAGAZINE

D•Magazine /

Fertility .¾NdIfhka msg;oS äïnhla yd Y=l%dKQjla tlalr orefjla idod.kakd wdldrh

INTRAUTERINE TUBOPERITONEAL INSEMINATION (IUTPI)

.¾NdIfhka msg;oS äïnhla yd Y=l%dKQjla tlalr orefjla idod.kakd wdldrh IUTPI ;dlaIKh WISH Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr uy;d iu. l< idlÉPdjla weiqßKs MBBS (Sri Lanka) MD (Gyn. & Obs.) Infertility - China Pg.Dip. (Andrology) Monash,OUSL Master of Clinical Embryology Monash, Australia SLMC Reg. No. 20800

November 2021

Y=l%dKQ pd,l;djh wvq msrsñkag fyd| úl,amhla IVF iu. taldnoaOj;a fuh isÿ lrkak mq¿jka''' k< ore ;dlaIKhg fmr fhdod.; yels n,dfmdfrd;a;= iy.; W;aidyhla idudkHfhka ridhkd.drhl lrk ixfiapkhloS wm lrkafka Y=l%dKQ .¾NdIh we;=<g fhduq lsÍula ú;rhs' IUTPI l%ufhaoS bka fkdkej;S tu Y=l%dKQ mef,damSh kd,hgu fhduq lsÍula isoaO fjkjd' Y=l%dKQ j, pd,l;djh wvq hhs yªkd.;a mqreIhkag fuu ;dlaIKh jvd;a M,odhS jk nj;a thska id¾:l m%;sM< ,nd.ekSfï wjia:d jeä nj;a fmfkkakg ;sfnkjd' fïl osh;a lr, ;sfhkafk Dual Insemination Technique tlla jYfhka' tys wre; jkafka tla udihlg fojrla isÿl< yels W;aidyhla jYfhka'

DOCTOR MAGAZINE

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Y=l%dKQ ms<sfh, lsÍfï l%ufõofha fjkila fuysoS Y=l%dKQ ms<sfh, lsÍfï l%ufõofha lsishï fjkila we;s fjkjd' idudkHfhka IUI ;dlaIKfhaoS Y=l%dKq ñ,s ,Sg¾ 0'6la muK ;uhs ;ekam;a lrkafka' kuq;a IUTPI ;dlaIKfhao wms .kak Y=l%dKq m%udKh ñ,s ,Sg¾ oyhla muK olajd jeä lrkjd' ip, Y=l%dKq m%udKh''' frdamk udOHhla ;=< ;uhs r|jd .kafk' ;rula ñf,ka wêl fï Culture Medium tl ;=< Y=l%dKq j,g meh 12l muK ld,hla ksremøs;j bkak mq¿jka' fï frdamk udOHh wm mef,damSh kd, j,gu fhduq lrkjd' fïl lrkafk fldfyduo lsõfjd;a wm wr mef,damSh kd, doctormagazine.lk

wjysrhla ;sfnkjdo hkak úuiSug HSG mÍlaIKhla isÿ lsrSfïoS fhdaks ud¾.h yryd lsishï ;ajrKhla iys;j vhs tlla tkak;a lrkjdfk' ta wdldrhg ;uhs fuh;a isÿ jkafka' IUI l%ufõohg jvd ;rula ixlS¾Khs' m%;sM<h;a by<hs fïflos Cycle tl mgka .kak wdldrh .ek úuiSug ,la lf<d;a th IUI l%ufõohg jvd ;rula ixlS¾Khs' ta jf.au m%;sM<h;a by<hs' IUI tlloS M<odhS;djh" id¾:l ùfï bvlv ishhg 15la kï fuys id¾:l ùfï bvlv ishhg 25l ú;r by< w.hla .kakjd' IUTPI mÍlaIKhloS äïn fudarkak fny;a fok l%u lsysmhla ;sfhkjd' f.dvla fj,djg IUTPI tl hk úg fm;s fjkqjg kslafIamk fhdod .kakjd' m¾fhaIK j,ska fmkajd oS ;sfnkjd" fm;s j,ska .kakd m%;sM<hg jvd by< m%;sM<hla kslafIAmk j,ska ,nd.; yels nj' fuysoS ta äïn .=Kd;aul jYfhka Wiia ;;a;ajhla .ekSu;a tu äïn j,ska fyd| m%;sM<hlg hd yels njg f;dr;=re jd¾;d ù ;sfnkjd' fuysoS wms mef,damSh kd, foflkau äïn ,nd .ekSug W;aiql fjkjd' wruqK äïn 2-3la ,nd .ekSu'

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Fertility .¾NdIfhka msg;oS äïnhla yd Y=l%dKQjla tlalr orefjla idod.kakd wdldrh

we;euqkaf.a mef,damSh kd, hq.,fhka tlla jev lrkafk kE' t;fldg ta me;af;ka tk äïn M<odhS fkdfjkak mq¿jka' fï wdoS lreKQ;a fidhd ne,sh hq;= jkjd'

IUTPI ;dlaIKh: IUI l%uh wid¾:l jQ wUqieñhkaf.a wfmalaId by< kxjkjd' tfiau fuh wo IVF ;dlaIKh yd taldnoaOj isÿ lrk keUqre;djhlao olakg ,efnkjd

äïn ,nd.ekSfï l%ufõoh fïflos my" y;" kjh yd fod<y hk oskj,oS weh ialEka mÍlaIKhg Ndckh lrkjd' äïn j, m%udKh" .=Kd;aulNdjh iïnkaOfhka wjfndaOhla ,nd .ekSug fï ialEka mÍlaIK jeo.;a fjkjd' kjjk oslfhaoS wm fydafudak mÍlaIKhla lrkjd' LH yd fm%dfciagfrdka fydafudak iïnkaOfhka' m¾fhaIK j,g wkQj fï fydafudak oaú;ajfha jeäùula jqfKd;a m%;sM<h id¾:l ùug we;s wjia:dj wvqhs' tfyu jqKdu wms fjku fnfy;la fokjd' thska msáhqgß .%kaÓfhka LH fydafudakh >%djh ùu wvq lrkjd' fuh 8" 9 10 wdoS jYfhka oskm;d kslafIAmK úosyg ,nd fokjd' iuia;hla jYfhka .;af;d;a fï l%ufhaoS ;ekam;a lsÍug m<uqj IUI j,g jvd ishqïj .¾NdIh yd äïnfldaI iïnkaOfhka úuis<su;a fjkjd' fuysoS fndfyda wjia:dj,oS äïn fudapkh i|yd HCG j,g jvd Decapeptide fydafudakh ;uhs mdúÉÑ lrkafk' bkamiqj i;s follska reêr mÍlaIKhla lr m%;sM<h úuid n,kjd'

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w;aoelSï idr ffjoHjrfhl= fijfKA fuh isÿúh hq;af;a wehs@ IUI folla l<dg miafi th id¾:l fkdù kï" IUTPI ;dlaIKh foierhla isÿ lrkakg mq¿jka' IUTPI tfla id¾:l ùfï yelshdj IUI g jvd ishhg oyhlska jeähs' fïflos jvd;au ie<ls<su;a úh hq;af;a fhdod. kakd Culture Media tl .ek' cSjdKQyß;Ndjh''' th isÿ lrk wdldrh' hï fyhlska fuysoS lsishï jrola isÿj úIîchla .sfhd;a tal ksid mef,damSh kd,h wjysr jkakg wjodkula mjd ;sfhkjd' Y=l%dKQ mßyrkh;a yßhg l< hq;=hs' Sperm Wash tflaoS fkdfhla fm%daàk j¾." fm%diafgd.a,ekaäka jf.a ridhk ;ejÍ ;snqfKd;a th;a m%;sM<hg n,mEula we;s lrkak mq¿jka' mef,damSh kd, Tiafia .syska nv we;=<g jegqfKd;a ta ksid;a WordndO" wdidok wdosh we;s fjkak;a bv ;sfnkjd' we;eï fj,djg reêr mSvkh wvqù wk;=reodhl ;;a;ajhla we;s fjkakg;a mq¿jka' fï ksid frda.shd fjfiiskau mÍlaId lsÍu;a Cultur doctormagazine.lk

fuysoS fjk;a wmøjH fydafudak j,ska f;dr iqmsßisÿ Y=l%dKQ ;sîuo jeo.;a' fï i|yd Y=l%dKQ fYdaOk l%shdj,shla isoaO fjkjd' fjk;a oE iys; Y=l%dKQ miqld,Skj WordndO we;s lrkjd' iuyr úg reêr mSvkh wvQù weh wk;=f¾ fy<Sug mjd iu;a jk ksid fï l%shdj,sh b;d iSrefjka isÿúh hq;a;la

Y=l%dKQ iys; ma,iaudj idM,H;d m%;sldr i|yd fhdod.kakd Y=l%dKq

,sïfmdihsgwmsÉPo ffi, ÿ¾j, Y=l%dKq

pd,l;djfhka msßmqka Y=l%dKQ

Media yd iïnkaO lsÍug fmr ksjerosj Y=l%dKQ fidaod msßisÿ lr .ekSu;a b;du jeo.;a'

ksjqka orejka we;sùfï by< bvlvla ;sfnkjd' fuys id¾:l;ajh IUI j,g jvd jeähs' IUI W;aidyhl id¾:l;ajh ishhg 10-15 ú;r fj;aoS fï l%ufha ishhg 25l id¾:l;ajhla ,eîfï wjia:dj ;sfnkjd'

k<ore ;dlaIKhg fmr orK W;aidyhla jYfhka''' IUI l%uhg isÿl< W;aidyhka wid¾:l jQ úg k<ore ;dlaIKhg hkakg fmr fï IUTPI ;dlaIKfha w;ayod ne,Sul fhfokakg mq¿jka' ta;a fï i|yd mef,damSh kd," Y=l%dKQ hï m%udKhl iM<;djhla ;sfhhkakg ´ks' .¾NdI ì;a;sfha iqug Ndjh jf.au äïn fïÍu jf.a idOl uekúka mej;Su wjYHhs' tfiau wd¾;j pl%h mqrdjgu iSrejg weh Monitor lsÍula isoaO úh hq;=hs' fuysoSo äïn lsysmhla tljr fudapkh lsÍu osß.kajk ksid

fï iïnkaOfhka fï jk úg m¾fhaIK m%;sM< úYd, jYfhka t<soelafjk m%jK;djhla ;sfnkjd' <Õska fudksg¾ lrk ksidfoda id¾:l;ajhg we;s wjia:d jeä njl=;a fï f;dr;=re j,ska jd¾;d fjkjd'

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IVF tl;a iu. taldnoaOj;a l< yelshs iuyreka fuh IVF tl;a tlal taldnoaOj isÿ lrk wjia:d;a ;sfnkjd' äïn y;rla ú;r ,nd.kak fnfy;a oS, äïn 2-3la t<shg .kak mq¿jka' tl äïnhla weÕ we;=f, msg fjkakg wjia:dj ,nd .kakjd' ta äïnh fudapkh isÿ fjkakg meh 36loS Y=l%dKQ ;ekam;a lsÍula isÿ fjkjd' t<shg .;a äïn 2-3 t<sfhos Y=l%dKQ yd ixfiapkhg ,la lr, äïn fudapkh l< oskhg ojia myla .shdu fï iEÿKQ îc .¾NdIfha ;ekam;a lrkjd'

IUI tlloS M<odhS;djh" id¾:l ùfï bvlv ishhg 15la kï fuys id¾:l ùfï bvlv ishhg 25l ú;r by< w.hla .kakjd'

November 2021

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Fertility .¾NdIfhka msg;oS äïnhla yd Y=l%dKQjla tlalr orefjla idod.kakd wdldrh

.=Kd;aulNdjfhka by< yd m%udKd;aulj wjYH mßos äïn ,efnk njg ;yjqre lr.ekSug ialEka mÍlaIK bjy,a fjkjd'

fïflos isÿ fjkafk Link tlla' weÕ we;=f< isoaO fjk l%shdj,shg ndysßka lrk lD;%Su ixfiapkh;a iïnkaO lrkjd' IUTPI tflaoSu IVF tl;a lrkjd' fïl oeka kj m%jK;djhla njg m;a fjkjd' fuysoS jeh jk uqof,a b;sßhlao isÿjk w;r id¾:l;ajh ,eîfï wjia:dj ishhg 50-60 ú;r by< w.hla .kakjd' IVF tlg .kak fnfy;a wvqfjka jeh fjkafk' tla wd¾:j pl%h ;=< ms<sis|Sï W;aidyhka follau isoaO fjkjd' iuyr fj,djg fuysoS äïn 6-7la jf.a tkak;a mq¿jka' fufyu jqKdu tlafld Cucle tl wj,x.= lrkak fjkjd' ke;akï Convert lrkak;a mq¿jka' tfyu l<du äïn yhla ;snqfKd;a folla weÕ we;=f,a b;sß lr, y;rla t<sfha ixfiapkhg ,la lrkjd' fome;a;l foúosylg ixfiapkh jkakg yer ;ekam;a lsÍula isoaO fjkjd' DM Watch it... Intrauterine tuboperitoneal insemination (IUTPI)

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

,nk l,dmfhka Capsule Baby orefjla

November 2021

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Thisakya Design Studio doctormagazine.lk

November 2021

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Folic Acid .eí .ekSug fmr f*da,sla weisâ wksjd¾hfhka ,nd .; hq;af;a wehs@

Why do you need to take folic acid when pregnant ...

.eí .ekSug fmr f*da,sla weisâ wksjd¾hfhka ,nd .; hq;af;a wehs@ .eí .ekSug wfmalaId lrk ldka;djla idudkHfhka Èklg wvqu jYfhka f*da,sla weisâ uhsfl%d .%Eï 400l muK m%udKhla ,nd .; hq;=hs ia:Q,;djh iys; ldka;djka .; hq;= ud;%dj fjkia

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)

fudkjo fï f*da,sla weisâ lshkafk@ f*da,sla weisâ .ekSfuka .eí .ekSfï iïNdú;dj jeä fjkjo@ .eìKs ujl f*da,sla weisâ fldmuK m%udKhla .kak wjYHo@ f*da,sla weisâ .ekSu wdrïN l, hq;= fjkafka l=uk ld,hl isgo@ fï fndfyda ldka;djkag ;u .¾NsKS wjêfhaoS ksrka;rfhka we;sjk m%Yak' ta ksidfjkau wm ta .eg¿ j,g ms<s;=re ,ndoSug fï ,smsh fjka lrkjd' f*da,sla wï,h ;sfnk wdydr f*da,sla weisâ ^Folic acid/Vitamin B9&

November 2021

DOCTOR MAGAZINE

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iakdhq moaO;sfha fldgia ysfia msgqmiska iy fld÷weg fm< wdY%s; fmfofika msg;g meñ‚h yels ;;a;ajhka fï f*da,sla wï,h ysÕmdvq jqKdu we;s fjkakg mq¿jka' tjeks orefjl=g Ôj;a ùug wjia:djla ,efnkafk keye'

lshkafka wfma wdydr u.ska ,nd.; hq;= úgñkhla' .eí .ekSug wfmalaId lrk ldka;djla idudkHfhka Èklg wvqu jYfhka f*da,sla weisâ uhsfl%d .%Eï 400l muK m%udKhla ,nd .; hq;= fjkjd'

ldka;djlgu f*da,sla wï,h wdydr j,g wu;rj ,nd .ekSug ks¾foaY lrkjd'

fld< meye;s t<j¿ j¾." m<d j¾." fodvï" lcq" fndaxÑ lv, jeks weg j¾. iy l=l=¿ uia jeks wdydr j, idudkHfhka f*da,sla wï,h wvx.= jk kuq;a wm tÈfkod wdydrhg .kakd idudkH wdydr fõ,l fu;rï úYd, f*da,sla weisâ m%udKhla wvx.= fjkafk keye' ta ksid .eí .ekSug wfmalaId fjka isák iEu

isref¾ f*da,sla wï, m%udKh wvq jqjfyd;a ksrla;sh fkdfyd;a hlv W!K;djh jeks ixl+,;d mjd we;s fjkak mq¿jka'

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f*da,sla wï,h YrSrhg wjYH fmdaIlhla f*da,sla wï,h wfma isref¾ fndfyda l%shdldß;ajhkag jeo.;a úgñkhla' wm YÍrfha fndfyda ffi, j, j¾Okh iy idudkH l%shdldß;ajh mj;ajd .ekSug f*da,sla weisâ jeo.;a fjkjd' fï w;r r;= reêrdKq ksIamdokh jeo.;a l¾;jHhla'

ore ms<sis| .ekSula isÿjk ld,fha f*da,sla wï,h wvq jqfKd;a@ ore ms<sis| .ekSula isÿjk ld,fha isref¾ f*da,sla wï, W!K;djh mej;=K fyd;a" th ore .eng n,mdkjd' ta ksid orejdg iakdhq moaO;sh wdY%s; oreKq ixl+,;d we;sfjkak mq¿jka' Anencephaly iy Neural tube defects lshkafk fujeks oreKq ixl+,;jhka folla' Anencephaly f,i y÷kajkafk ysialn, iy fud<h j¾Okh fkdjk orejka' tjeks orefjl=g Ôj;a ùug wjia:djla ,efnkafk keye' November 2021

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Folic Acid .eí .ekSug fmr f*da,sla weisâ wksjd¾hfhka ,nd .; hq;af;a wehs@

keye' Tng myiq mßÈ Wfoa fyda rd;%s ld,fha fyda ,nd .; yelshs' oekg ffjoH ks¾foaYhlska f;drj jqj;a Tng T!IOy,lska f*da,sla weisâ fm;s ñ,§ .ekSug mq¿jka'

fld< meye;s t<j¿ j¾." m<d j¾." fodvï" lcq" fndaxÑ lv, jeks weg j¾. iy l=l¿ = uia jeks wdydr j, idudkHfhka f*da,l s a wï,h wvx.= jkjd' kuq;a .¾NKS ldka;djka jf.au .eìKshl ùug wfmalI a dfjka isák ldka;djka fï fmdaIlh fm;s jYfhka ,nd.; hq;h = s

iakdhq moaO;sfha fldgia ysfia msgqmiska iy fld÷weg fm< wdY%s; fmfofika msg;g meñ‚h yels ;;a;ajhka ^Neural tube defects)fï ksid we;sfjk ;j;a ixl+,;djhla' fuu ixl+,;djhka we;sùu kshñ; ud;%dfjka f*da,sla weisâ ,nd .ekSu u.ska j<lajd .kak mq¿jka' .eí .ekSug fmr isgu f*da,sla wï,h ,nd .ekSu wdrïN l< hq;=hs ta i|yd .eí .ekSug wfmalaIdfjka isák iEu ldka;djlau Èkm;d f*da,sla wï,h wu;rj .ekSu l< hq;=hs' ienúkau .eí .ekSug wfmalaIdfjka bkak ldka;djla kï" ldka;djla .eí .ekSug fmr isgu f*da,sla wï,h ,nd .ekSu wdrïN l< hq;=hs' thg fya;=j fjkafka" orejd ms<sis| .kakd wjia:dfõ isgu ksfrda.S j¾Okhg f*da,sla weisâ jeo.;a jk ksihs' ks¾foaYs; ud;%dj wm ks¾foaY lrkafk .eí .ekSug wfmalaId lrk ish¿u ldka;djka Bg udi ;=klg fmr isg f*da,sla weisâ ñ,s .%Eï 1l fm;a;la ne.ska Èklg jrla ,nd .kakd f,ihs' fuh ,nd .ekSug úfYaI fõ,djla

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DOCTOR MAGAZINE

jeä ud;%djla wjYH jkafka fï whghs iuyr ldka;djkag f*da,sla weisâ ñ,s .%Eï 1la m%udKj;a keye' ffjoHjreka ñ,s.%Eï 5l f*da,sla weisâ fm;s ,nd .ekSug ks¾foaY lrk úfYaI wjia:d f,i wêl ;rndre ldka;djka" Èhjeähd frda.fhka fmf,k ldka;djka" wmiaudrh i|yd m%;sldr ,nd .kakd ldka;djka" l,ska jeks ixl+,;d we;s orejl= ìys l, ldka;djka" ye¢kaúh yelshs' f*da,sla weisâ orejka ke;slug m%;sldrhla fkdfjhs f*da,sla weisâ uoire njg ,nd fok m%;sldrhla fkdfjhs' fuu T!IOh ,nd fokafk by; i|yka l, ixl+,;djhka iys; orejka ìysùu j<lajd .ekSughs' Tng .eí

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.ekSug m%udonj yefÕa kï ta ms<sn| mÍlaIK iy iqÿiq mßÈ m%;sldr lsÍu wjYH fjkjd'

.eí .ekSug wfmalaIdfjka isák iEu ldka;djlau Èkm;d f*da,sla wï,h wu;rj .ekSu l< hq;=hs' .eí .ekSug wfmalaIdfjka bkak ldka;djla kï" ldka;djla .eí .ekSug fmr isgu f*da,sla wï,h ,nd .ekSu wdrïN l< hq;=hs' ia:q, ldka;djka ffjoH Wmfoia mßos jeä ud;%djla .; hq;= jkjd'

hï flfkla w;=re wdndO fmkajkjd kï ta whg''' f*da,sla weisâ lshkafk w;=re wdndO b;du;a wvq T!IOhla' ta ksid lsisu .eg‍¿jla fkdue;sj

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lfYAreldj yd iqiqïkdj uekúka ks¾udKh fkdjk fï W;am;a;s fodaIfhaoS iqIqïkdfõ ì|Sula isÿj th rEmfha oelafjk mßos u;=msgg tkjd'

fndfyda fofkl=g fuh ,nd .; yelshs' kuq;a lsishï fya;=jla ksid Tng f*da,sla weisâ fm;s .ekSug wmyiq kï ta ms<sn| Tfí ffjoHjrhd iu. idlÉPd lrkak' túg Tng fjkia f*da,sla weisâ j¾.hla jk L Methylfolate fm;s ,nd .; yelshs' thg ñf,ka jeä jqj;a" idudkH f*da,sla wï,hg jvd fõ.fhka isrerg Wrd .kakd w;r w;=re wdndO wvqhs' .¾NsKS;djh yd iïnkaO fujka ,sms lshùug yd .¾NKS;djh yd ldka;d frda. iïnkaO úia;r oek .ekSug fjí wvúhg hkak' DM

The writer, Consultant Obstetrician & Gynaecologist visits Asiri Central Hospital - Colombo, Ninewells Hospital - Colombo, Nawaloka Hospital Colombo, Joseph Frazer Hospital Colombo, Nawaloka Hospital Negombo, Leesons Hospital - Ragama and Melsta Hospital - Ragama

November 2021

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Incest A royal mistake

of the human race. Indeed, in the absence of evolution, which has no place in mythology, the only way to populate the earth at its creation was through incest. As such many consanguineous unions have occurred among the divine figures who were subsequently diminished into human form.

INCEST A ROYAL MISTAKE Dr Gayani Galhena BSc (Hons), MSc (by Research), PhD, Senior Lecturer, Department of Zoology and Environment Sciences, Faculty of Sciences, University of Colombo

ncest referrers to the sexual unions between relatives closer than second cousins and encompasses the intimate relationships between father-daughter, mother-son, brother-sister, uncle-niece, aunt nephew and first cousins. Virtually, every culture in recorded history has held incest a taboo. However, stories of incest are quite common among folklore and mythology around the world, especially in those that illustrates the origin

November 2021

DOCTOR MAGAZINE

In Greek mythology Gaia (personification of earth) united with her own son Uranus (personification of sky or heaven) to produce their twelve children who later ruled the earth during the Golden Age of Greece. In some versions of history, one of their daughters, Rhea married her own brother Zeus, following their parents footsteps. In a similar manner the Egyptian chief goddess Isis, married her own brother Osiris. Their union produced Horus, from whom the pharaohs, the great Egyptian rulers descended. Following the tradition of their divine ancestors, pharaohs too practiced incest and maintained their divine family line, but with a huge risk on

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health. The Egyptian pharaoh Tutankhamen (“King Tut”), who became famous for the invaluable treasures found in his tomb including his 24-pound solid gold portrait mask, had not only been a product of incest, but he himself engaged in incest. Research conducted on genetic material using the mummies that were found in the Valley of Kings revealed that his parents were siblings. His wife Ankhsenamun was not only his halfsister but known to be among his father’s wives until his death. Going by the custom, she married Tutankhamen after her husband-father died. King Tut and Queen Ankhsenamun had two children, both born dead, probably due to their lethal genetic defects. Tutankhamen himself had many physical deformities owing to his inbred ancestry as revealed by the CT scans of his mummified body. These include a club foot, partially cleft pallet, buck teeth, elongated head and also a bone disorder (juvenile aseptic bone necrosis—a disorder in which poor

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Left: Golden coffin of King Tutankhamen; Right: a portrait of King Tutankhamen constructed on the evidences of his mummified remains

blood supply leads to bone damage). On top of those, he had severe kyphoscoliosis (curvature of the spine) and also suffered from a toe malformation known as oligodactyly. In addition, his immunity was so week that he contracted several lethal infections in his childhood. Malaria being the last of them was suggested to have shorten his life which only encompassed 19 years. Owing to his club foot and tissue degeneration, the young pharaoh was barely able to walk and was buried with 130 used walking canes, perhaps to help his spirit in his afterlife journey as believed by the Egyptians. Another famous example of a royal with incestuous history is Queen Cleopatra, the seductive queen of Egypt. Despite her Greek-Roman origin, she too was a child born from a brother-sister union and was also said to have followed the same footsteps. She was married to her 10-year-old brother when she was only 18 years old. After the death of her first brother-husband, she married her second brother as well. Like many others in her famous bloodline,

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Incest A royal mistake

she too bore marks of inbreeding, one of which was probably obesity. Reconstruction of her figure by scientists, show many other features that might have a link with her inbred ancestry. With a hooked nose, a round face, and fat hanging under her chin, she was a woman far from today’s standard of beauty, despite Roman propaganda, which claimed otherwise! Although records of incest have been found among royalty in numerous other parts of the world including ancient Inca, Peru, Central Africa, Mexico and Thailand, royal families in Europe avoided sibling incest. However, many including the Hohenzollerns of Prussia, the Bourbons of France, and the British royal family, often married cousins. The Spanish Habsburgs, who ruled for nearly 200 years, frequently married among close relatives. Perhaps the most famous example of the perils of incest can be seen among their last ruler, King Charles II. Born out of an uncle -

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Egyptian sculpture of Queen Cleopatra King Charles II of Spain

niece marriage, Charles’s tongue was so large that he could barely speak. His infamous Hapsburg jaw was so pronounced that he was unable to chew. He did not talk until he was four or walk until he was eight. He was claimed to be impotent while his autopsy was indicative of hydrocephaly, a condition in which fluid accumulates within the brain. The incest, the choice of his ancestors to keep the crown within the family, ended up terminating their line by producing weaklings who could not even cope with ordinary life. According to historians, royal incest occurs mainly in societies where rulers have tremendous power and no peers, except the gods. Since gods marry each other, so should royals. Marrying family members also ensures that their excessive wealth, privileges and power is shared only within the family. Despite the high price they paid with respect to their affected health, royals might have selected incest over mixing with commoners who suffered extreme deprivation and poverty which existed outside the royal boundaries. The biological term for incest is inbreeding. The detrimental effect of inbreeding can be explained using simple genetics. All of us have two copies of our genetic material which we inherit from each of our parents. If our parents are coming from different ancestral origins the two genetic copies are likely to be quite different. However, the parents of an inbred individual share a common ancestor making the two copies of the genetic material very much similar. There could be several heritable defects within the genetic materials of an individual. If only one of the

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two copies are defective, the good copy can cover the defects present in the bad one. As a result, the genetic defect can stay hidden without surfacing. However, in an inbred individual this hiding is not feasible since both copies are of the same type. Thus, if the copies are carrying defects, they will surface in the physical outlook. If inbreeding continues the genetic defects would be passed to future generations as well making a feeble family line. Such decline in the genetic fitness is referred to as inbreeding depression. It is reflected in genetic disorders that causes many physical deformities including asymmetric faces, small size adults, reduced fertility and low immunity. In addition, mental retardation and reduced cognitive abilities are a common feature among inbred children. The closer the kinship between the parents, severe would be the repercussions of incest. Acknowledging the downside, inbreeding is more of a taboo than a norm, outside royalty. Much clinical and

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ethnographic evidence suggests that humans, like many other animals, have developed mechanisms to avoid close inbreeding because of the fitness costs of inbreeding depression. As first suggested by E. Westermarck, people who live in close domestic proximity during the first few years of their lives become desensitized to sexual attraction. This effect, which is referred to as Westermarck effect, or reverse sexual imprinting, is both complemented and confronted by different psychologists based on numerous supporting and opposing evidence. Notwithstanding this debate, several research has identified that both animals as well as humans carry complicated kin recognition systems imprinted during their evolutionary memory for inbreeding avoidance suggesting incest is more of a cultural phenomenon than an instinct. It is also interesting to note that our Sinhalese identity is also associated with incest. Our great ancestor, King Vijaya was born out of the incestuous union between two siblings, Singhabahu and Singhasivali. Maybe the behavioral problems Price Vijaya had in his youth which made his father exile him were rooted in his inbred origin. Though this is only a legend it may be implying that incest could have been a practice among ancient royals of Aryan origin. Fortunately, at present many countries in the world have banned incest. However, several countries still lack the legal backup to prohibit incestuous unions although intimacy between mates closer than first cousins are strongly discouraged and associated with social stigma. Nevertheless, marriages between first cousins are tolerated in some parts of the world including Sri Lanka, where it is a well-accepted custom. Despite the differences in our opinions on incest, its biological impact is clear and unarguable. Culture could only change the way we see the facts, but not the fact itself. It is high time now for us to realize our real biological tendencies, leaving the frills of culture aside, in view of stronger and healthier future Sri Lankans. DM

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Home Pulse Oximetry fldúâ jix.;h ksid''' ysá.uka ksfjig;a ke;sju neß wdïmkakhla jQ m,aia Tlaisógrh'''

Home Pulse Oximetry for COVID-19

fldúâ jix.;h ksid''' ysá.uka ksfjig;a ke;sju neß wdïmkakhla jQ m,aia Tlaisógrh''' frda.Skaf.a reêr.; Tlaiscka m%udKh ukskafka fuu WmlrKfhka''' fld<U cd;sl frdayf,a ldhsl frda. ffjoH Wmq,a osidkdhl

óg ldf,lg by;oS kï wm jeä fofkla oel,d ;nd wy,d j;a ke;s ffjoH WmlrKhla oeka tosfkod cSú;fha jeo.;a jk .Dyia: fuj,ula njg m;a fj,d''' ta ;uhs fldúâ wdidos;hkaf.a cSú;drlaIl fuj<ula njg m;aj we;s m,aia Tlaisógrh' fldúâ ffjrih miq.sh ld,h ;=< wfma tosfkod cSú;fha fndfyda foa fjkia l<d' ujlg orefjla ism .kakg neß" mqf;l=g ;u jhia.; uõmshka oel n,d. kakg neß''' iuyr úg Wfoa yji wdorh fok wïud

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jev ksudù fydfrkau ksfjfia yqfol,d jQ ldurhlg josk''' ta yeugu jvd ysá wäfha ;ukaf.a wdorKSh iajdñmqreIhd" Nd¾hdj úfhdajk''' ta;a wdorKSh mjqf,a idudcslhdg iuq fokakg j;a neß ;rïg ñksiqka wirK lrk fï krl ld,fha ñksiqkaf.a cSú; fírd .ekSug Wrfok fï m,aia Tlaisógr WmlrKh .ek Tn;a oek.kakg wjYHhs' fldúâ frda.h je<ªkdu we;efula widOH fjkjd' fï widOH ùfï uQ,sl ,laIKhla ;uhs reër.; Tlaiscka uÜgu wvqùu' frda. ,laIK my< fkdlrk frda.Ska ful, ksfjfia r|jd .ekSu isÿjk ksid Tfí ksfjfia r|jd isák fldúâ wdidos; mjqf,a idudcslhd cSú;h /l.ekSug fï osú iqrlsk WmlrKh m,aia Tlaisógrhla ;nd .kakd f,i Tng ffjoHjreka Wmfoia fokjd' fudllao fï m,aia Tlaisógrh th Tfí reêrfha Tlaiscka m%udKh m%;sY;hla f,i ,nd fokjd' SpO2 f,i ;uhs mdGdxlh ,nd .kafka'

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Tn okakjd isref¾ ffi, j,g Tlaiscka fkdfyd;a wï,lr jd;h f.k hkafka ySfud.af,dìka u.ska' fuysoS m,aia Tlaisógrfhka m%;sY;hla f,i ,nd .kafka iuia; Tlaiscka m%udKfhka Tlaiscka ix;Dma; ysfuda.f,dìka m%udKhhs' Tn okakjd isref¾ ffi, j,g Tlaiscka fkdfyd;a wï,lr jd;h f.k hkafka ySfud.af,dìka u.ska' fuysoS m,aia Tlaisógrfhka m%;sY;hla f,i ,nd .kafka iuia; Tlaiscka m%udKfhka Tlaiscka ix;Dma; ysfuda.f,dìka m%udKhhs' fï l%ufõoh''' mdGdxl ,nd .ekSu''' m,aia Tlaisfuá% hkqfjka yªkajkjd' fï m,aia Tlaisógrh weÕs,a,l myiqfjka la,sma lrkak mq¿jka' fõokdjla kE' weÕs,af,a ;sfnk reêrh fj; l=vd wdf,dal Odrdjla t,a, fjkjd' wdf,dalh u; Wrd.kakd Tlaiscka m%udKh weiqf¾ ;uhs ksjeros mdGdxlh ,efnkafka' fuh ixfõoS l%ufõohl m%ñ;s.; m,aia Tlaisógrh la kï

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ksjeros mdGdxlhla ,nd fokjd' l=vd orejkaf.a kï mdofha we.s,s j, ;uhs m,aia Tlaisógrh ;nkafka th jeäysáhkag;a iqÿiqhs' ta yereKq úg fï wegjqu lka fm;af;ao ;eìh yelshs' mdGdxl ,nd .ekSug fmr l< hq;= foa mdGdxlh .ekSug fmr frda.shd úkdä 5-10ka úfõlSj isáh hq;=hs' ksh wdf,amk ;sfnkjd kï tajd bj;a lr.kak' m,aia Tlaisógrh weÕs,af,a /|ùug fmr w;afol fyd|ska msßuoskak' ueo weÕs,a, mdGdxl .ekSug jvd;a iqÿiqhs' w.hka iudf,dapkh w.h 95g jeäfhka ;sìh hq;=hs' je;sÍ isák úg 9394 jeks wvq w.hla jd¾;d fjkjd kï mehlg muK miq kej;;a mdGdxlhla .kak' wikSm .;sfha jeähla ;sîu" yqiau .ekSfï wmyiqj" y;sh frda.h W;aikak njg ,laIK' fï ksid jeä jdish m%;sldrhg ,ndoS blauKSka frday,a.; ùu jvd;a iqÿiqhs' ishhg 95-99 w;f¾ w.hla fmkajkjd kï Tn fyd|ska bkak njg bÕshla' ksõfudakshdj" ksoka.; mqmamqiSh fmKy¿ frda.h" weÿu" fmKy¿ ms<sldj" rla;ySk;djh" yDohdndO" yDoh wl¾ukH;djh ;sfnk frda.Skag frdayf,aoS m,aia Tlaisógrh Ndú;d lrkjd' tfiau fuh oeä Wmia:dk tall j, ks;ru Ndú;d fjkjd' fjkaáf,agrh l%shd lrk wdldrh oek.ekSug" yqiau .ekSug wjYH lrk iydh úuiSug" yoj; l%shdldß;ajh Wfoid ÿka fnfy;l l%shdldß;ajh úuiSug wdoS jYfhka frdayf,a Ndú;d l< m,aia Tlaisógrh oeka Tfí f.org ke;sju neß WmlrKhla njg m;aj ;sfnkjd' fuys ñ< .Kka remsh,a 2000 isg by< mrdihl .;a;;a Tn th ñ,oS .kakjd kï m%.kakd tu m,aia Tlaisógrh m%ñ;s.; ksjeros mdGdxl ,nd fok Wiia ;;a;ajfha tlla njg j. n,d.kak' DM

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ZyCoV-D f,dj m%:u DNA tkak; bkaoshdfjka

ñ,shk 120la wjqreÿm;d ksIAmdokh lrkakg bkaoSh ksIAmdolhka ;SrKh lf<A iajlSh id¾:l m¾fhaIK ld,mßÉfPaoh ksudjg m;a lrñka'

f,dj m%:u DNA tkak; bkaoshdfjka

ZyCoV-D

tkak; úoskak lgq .ykak wjYH ke;s tkak;la''' fõ.fhka me;sr hk fv,agd m%fNaohgo id¾:l f,i m%;spdr olajk fuys id¾:l;ajh ishhg 66la nj fidhdf.k ;sfnkjd''' ffjoH YdLH wurfialr úisks f,dj m%:u tkak; ksmojñka bkaoshdj b;sydifha iajlSh wNsudkfha u;l fmd; w¿;a l<d' f,dalhu fj,d.;a fldúâ jix.;h yuqfõ fuh f,daljdiSkag iekiqï iqiqula fy<sh yels iqmqj;la njg wújdofhka ms<s.; yelshs' tkak;a ud;%d ;=klska iukaú; f,dalfha m%:u DNA tkakf;a ku ZyCoV-D, Zydus Cadila Healthcare iud.u úiska ksIamdokh lrk fï kj tkakf;a

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f;jk woshf¾ m¾fhaIK w;s id¾:lhs uOHia:dk mkyloS mqoa.,hka 28"000la fhdodf.k fï kj T!IOh f;jk woshf¾ m¾fhaIK isÿ lf<A i;a;aj wOHhk j, id¾:l;ajfhka miqjhs' fï i|yd fu;rï jeä mqoa.,hka ixLHdjla fhdod .ekSu wiSre ld¾hhla fiau tu m¾fhaIK weiqf¾ id¾:l m%;sM<hla ,eîu osß .kajk iq¿ m¾fhaIK ch.%yKhla' tfiau f;jk mshjr m¾fhaIK lrkakg isÿjQfha bkaoshdj b;d m%n, f,i neg lE fldúâ jix.;fha fofjks /,af,aoS ùu úfYAI;ajhla' jhi wjq 12-18 ldKAvfha orejka 1"000la i|ydo mÍlaIKd;aul f;jeks woshf¾ tkak; ,ndÿka w;r b;d wdrlaIs; yd .,md.; yels tkak;la jYfhka fuysoS tkak; m¾fhaIlhkaf.a wjOdkh oskd .;a;d' doctormagazine.lk

fï kj ZyCoV-D tkakf;a ma,iañvh ;uhs tkak;la úosyg l%shd lrkafka' ma,iañvhla f,i yªkajkafka l=vd DNA j<¨ /ila' fu lgqjlska tkak;a lrkafk;a kE' ifuys ia:r folla w;rg ,efnkakg i,iajkjd' m%fõKsl f;dr;=re /.;a ma,iañvh iamhsla fm%daàka ksmojk w;r ta Tiafia ffi, j,g joskjd' iamhsla fm%daàk fldgilaa W;amdokh lrñka ta Tiafia m%;sYla;slrK moaO;sh l=¿ .kajd m%;sfoay ksIAmdokh lrñka ienE ffjri wdl%uKhka mrdchg m;a lsÍu fndfyda fldúâ tkak;a j, l%shdldß;ajfha uQ,O¾uhhs'

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fuu tkak; oekg bkaoshdfõ yªkd.;a wvqu ksIAmdok úhoula iys; tkak; jkjd' tys ud;%d ;=kgu hk úhou bkaoshdkq remsh,a 500g jeä fkdjkq we;s njg T!IO ksIAmdok wdrxÑ ud¾. úYAjdih m< lrkjd

n,j;a rgj, wid¾:l W;aidyhka ZyCoV-D f,dj m%:u DNA wdldrfha tkak;hs' úúO tkak;a 160la muK fhdodf.k m¾fhaIK isÿ lrñka óg fmr f,dj ljr rgla fyda ukqIHhka fjkqfjka DNA tkak;a ksmoùug oerE W;aidyhka id¾:l jQfha kE' ms<sld j,g" taâia ffjrihg tfrysj l%shdlrk tkak;la fjkqfjka f,dj úYd, jYfhka m¾fhaIK isÿj ;sfnkjd' wYajhka yd iqkLhka i|yd kï óg fmr DNA tkak;a lsysmhla wefußldkqjka ksmojd ;sfnkjd' fï wkQj f,dj m%:u ukqIHhka i|yd Ndú;hg .; yels tkak;la ksmioùfuka wfma wi,ajeishd olajd we;af;a iq¿mgq olaIlula fkdfjhs'

fï tkakf;a úfYAI;ajh l=ulao@ DNA ye|skafjkafka cSjfha ;eKQï tall f,ihs' tajd fouõmshkaf.ka orejkag m%fõKsl f;dr;=re imhk wKQ úfYAIhla' ujf. ka" mshdf.ka yd ujf.a mshdf.a mrïmrdfjka Wreu jk ,laIK / ila fï wkQj orefjl=g ysñ jkafka;a fï DNA ;eKQï tallh yryd nj Tng meyeos,s jkjd we;s' wfkl=;a tkak;a j,g jeä fohla kE' fï DNA tkak;;a kslafIAmKh l< miq ienE ffjrih yd igka lr isrerg osKQu fokakg lemù l%shd lrkjd'

jhi wjq 12-18 ldKAvfha orejka 1"000la i|ydo mÍlaIKd;aul f;jeks woshf¾ tkak; ,ndÿka w;r b;d wdrlaIs; yd .,md.; yels tkak;la jYfhka fuysoS tkak; m¾fhaIlhkaf.a wjOdkh oskd .;a;d' tkak;a lgqjla ke;sj úoskak mq¿jka wka;¾ p¾óh tkak;la tfiau fï tkak; bkaoshdfõ m<uq jrg tkak;a lgqjla fkdue;sj ,ndfok tkak; jYfhkao b;sydi.; fjkjd' tla jrla muKla Ndú;hg .; yels ;shqKQ lgqjla fkdjk kslafIAmlhla weiqf¾ ;ejreula f,i tkak; iug ,nd fok w;r iu yryd tys il%Sh ixfhda. wjfYdaIKh fjkjd' m<uq ud;%dj ,ndoSfuka miq ms<sfj,ska 28 yd 56 oskj, tkakf;ys fojk yd f;jk ud;%d ,ndosh hq;= nj ksIAmdolhka mjikjd' November 2021

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ZyCoV-D f,dj m%:u DNA tkak; bkaoshdfjka

fuu kj;u bkaoshdkq Tiqj j¾Ih w.Nd.fha isg tkak;alrKh i|yd fhdod.ekSug yels jkq we;ehs m%Odk úOdhl ks,Odß I¾ú,a mS mdfg,a m%ldY lr isákjd'

Cadila Healthcare T!IO iud.u m%fõKsl ldKAvfha T!IO ksmoùfuys,d lghq;= lrk bkaoshdfõ .=crdgh" wyuodndoa uQ,ia:dkh lr.;a nyqcd;sl iud.ula jk w;r th 2020 Fortune India 500 fY%aKS.; lsÍfuys 100 jk ia:dkh w;am;a lrf.k ;sfnkjd

me;sr hk wdidokhlg uqyqKfok tkak;la yªkajd oSu iq¿mgq ch.%yKhla fkdfjhs'ZZ bkaoshdfõ m%uqL ffjri úoHd{jßhl jk ffjoH ..kaoSma ldka.a m%ldY l<d' ,kavkfha rdclSh ix.uhg f;aÍ m;ajqKQ m%:u bkaoSh ldka;dj wehhs'

 fuu tkakf;a ksIAmdolhka jk leä,d fy,a;aflhd iud.u m%ldY lrk wdldrhg th m%jdykh yd .nvd lsÍug myiqhs' fikaáf.%aâ wxYl

tkakf;ys we;s úfYAI jdis fudkjdo@  fuh ñf,ka wvqhs' wdrlaIs; tkak;la' ia:djr tkak;la jYfhkao ie<flkjd'  fikaáf.%aâ wxYl 2- 8 w;r m%dfhda.sl WIAK;aj mrdihl fï tkak; .nvd lrkakg mq¿jka'  ma,iaud DNA úlD;;djhkag jvd;a m%;spdr olajk nj fy<sorõ ù ;sfnkjd'

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tlu ldisfh;a me;s folla ;sfnkjd' fï tkakf;a meje;aug we;s wNsfhda. fudkjdo@ fjk;a tkak;a j, ud;%d folla jeh fj;aoS id¾:l m%;sYla;slrKhlg kï tkak; ud;%d folla ,nd osh hq;= jkjd' ffjrifõoS oDIAÀfldaKfhka fuys meje;aug os.= ld,Skj wNsfhda. lrk fjfiia ndOdjla .eko oelafjkjd' óg fmr;a ma,iañâ DNA tkak;a iïnkaOfhka oS¾>ld,Sk m¾fhaIK isÿ flreKd' fï ma,iañâ DNA ukqIHhkaf.a ffi, kHIAÀhg m%fõY lsÍu b;d wmyiqhs' úfYAIfhkau jeäysáhkag' fï wkQj fuys iM<;djh fl;rïo hkak iïnkaOfhka oS¾>ld,Sk wOHhk wjYH fjkjd' miq.shod bkaoshdfõ Ndú;hg .kakd ihfjks fldúâ tkak; jYfhka fï f,dj m<fjks DNA tkak;''' ZyCoV-D yosis Ndú;hg .ekSug fï w;r bkaoshdfõ T!IO wêldßka wjirh ,nd ÿkakd' DM

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ufkdaÑls;aid uereKQ iShd wdfh;a ksfjig weú;a lror lrkjd'''

f.dm¿ hldf.a fyd,auka''' uereKQ iShd wdfh;a ksfjig weú;a lror lrkjd'''

Y%S ,xld iajdmkfõoSkaf.a ix.ufha iNdm;s ufkda Ñls;ail mS tka úoHdl=,m;s

u" ud;r fohshkaor m%foaYhhs' isßfiak;a Tyqf.a ìß| kkaokS;a tu .fuys ksjil Ôj;a jQ ueos jhfia miqjk hqj<ls' Tjqkg orejka isõ fofkls' m<uq orejd kqjkaf.a jhi wjqreÿ 20ls' wvq jhiska újdyhla lrf.k tu j;af;au fjk;a f.m<la wgjdf.k Ôj;a fõ' fojk orejd iqfïOg jhi wjqreÿ 14ls' wfkla orejka fofokdu .eyekq <uqka jk w;r tla wfhl=f.a jhi wjqreÿ 11la yd nd,u orejdf.a jhi wjqreÿ 6ls' orejkaf.a mshd isßfiakg yß yeá /lshdjla fkd;snqK w;r l=,S jevj,g hdu;a" Bg wu;rj j;af;a wlalr ld,l muK f;a fldgfika ,efnk iq¨‍ wdodhu;a m%udKj;a jQ w;r Bg wu;rj yrla lsysm fofkl=o we;s lrhs' lsrg yok fuu jeiaishkaf.kao iq¨‍ wdodhula Tjqkg ,eì‚' mshdf.a urKh fuf,i ld,h .; lrk úg tljru ksji bÈßfha msysá fodf<a jeà isßfiakf.a mshd ñh .sfhah' Tyqf.a jhi wjqreÿ 69ls' Tyq fodf<a jegqfKa ,siaid hdulskao isys ke;s ùulskao hkak m%YaKhls' ukao@ tu fodf,a hful= .idf.k hkakg fyda fíÍug wmyiq ;rfï j;=r mdrla ke;' wfkl fuu mqoa.,hdg fuu fod< kqyqre fkdmqreÿ ia:dkhlao fkdfõ' fï isÿùu hï ;ry ldrfhlaf.a l%shdjlaoehs iel l< isßfiak;a" doctormagazine.lk

Tyqf.a ifydaorhkq;a" uj;a fï .ek fndfyda f,i is;kakg úh' fuys iq< uq< fidhkakg fmakhlaj;a ne,Sug is;d" foaj jrñka fmak lshk .fï foajd,hla lrd .sfhah' tu fmak lshk ldka;dj .fï ish¨‍ ´md¥m okakd ldka;djls' fuu .eyeksh ;s;gu fmakh lshkakg jQjdh' zziekaoEfõ f.dïuka hdufha fuu mqoa.,hd .uka lroa§ kdk f;dfÜ§ fuu mqoa.,hdg hlaIfhl=f.a n,mEula we;sjQ nj;a ta hlaI n,mEfuka fuu mqoa.,hd ñh .sh nj;a weh lSjdh' fuu mqoa.,hdf.a urKhg j.lsj hq;= hlaIhd ;ry ldrfhlaf.a ms,a¨‍jla f,i tjQ nj;a'''ZZ ueh ;j ÿrg;a lshkakg jQjdh'

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ufkdaÑls;aid uereKQ iShd wdfh;a ksfjig weú;a lror lrkjd'''

yd megjqka y;r fokd;a Èk lsysmhla ;=, wNsryia wdldrhg ñh .sfhdah' jiq megjqka jegqKq ;ekska ke.sg .ekSug fkdyelsj u;a jqKd fia isá;s' lsls,s ì;a;r ouk fj,djg ì;a;s j,g je£ ì;a;s Èf.a tajdfha >%djh fíf¾' ksji me;a;g hkak neß ;rï ms,s .|la l=Kq .|la tkakg úh' isßfiakf.a ksji ta jk úg ñysmsg wmdhls' fjk foaj,a is;d .kakg;a neßh' fï wlr;eính fmakldßhg ls isßfiak flfia fyda fuu lrorh úi|d fok fuka wehg ne.Em;a úh'

fï wid l=ms; jQ isßfiak yd ìßh tlaù fuu wmrdOh isÿ l< i;=rdg wdmsg hkakg tu fmak lshk ;eke;a;shgu lshd .=relula lrùh' kuq;a ;ry ldrhka f,i iel lrk ld ygj;a lsishï fyda lrorhla fkdùh' fuf,i .; jQfha i;s lsysmhls' isßfiak,df.a f.org ysá yeáfha w;aN+; foa isÿjkakg úh' woaN+; isÿùï ud,djla jßka jr ksji ;=< ;ekska ;ek .s‚ weúf,kakg úh' jßka jr ì;a;s j, t,a,d we;s PdhdrEm mjd .s‚ weúf,kakg úh' ta jf.au jy,hg rd;%S ld,fha .,a jefgkakg úh' tfiau yrla uvqfõ isá yrlao jßka jr lE .ikakg úh' tmuKlao fkdfõ" yrla uvqfõ ne| we;s iuyr yrla Wfoa jk úg fkdfhla ;eka j, weúoS' Wkaj ne| ;enQ lU lemS f.dia we;' f.or jir yhla ;siafia isá n,a,d;a f.or isá mQis

110

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weh foaj jrñka fufia lshkakg jQjdh' zzisßfiakf.a mshd uerE hlaI ms,a¨‍j oeka wks;a wh miafika tkjd''' fuu úmf;ka fíÍug kï uq,ska l, foag jvd n,iïmkak Ydka;s l¾uhla l< hq;=hs'ZZ fudkjd lrkako@ fï ;rï úkakeyshla fldg''' isßfiak wUq ieñhka tfia is;=fjdah' hlaI fodaIhg ms<shï fhdok oskh Wod úh' y;a fofkl=f. ka iukaú; lKavdhula iuÕska fmakldßh isßmd,f.a f.or n,d meñ‚hdh' wdrEV jQ doctormagazine.lk

fmakldßh wuq;u = ;d,fha Ydka;l s ¾uhlg uq, msrejdh' meh 18la ;sif a ia isÿl< Ydka;l s ¾ufhka miq ish¨‍ .eg¨‍ wjika nj mjid fmdfrdkaÿ uqo,ao /f.k hkakg weh yd lKavdhu .sfhdah' ta;a iu.u uyd ydialula fia f.or ish¨‍ Wmøj ÿrejkakg úh' ksjfia whg is;g mqÿudldr úÈfha ieye,a¨‍jla oefkkakg úh' kuq;a fuu i;=g" ieye,a¨j‍ fudjqkf a .a is;a ;=< /÷fka Èk lsym s hls' kej;;a ì;a;s Èf.a l=Kq ì;a;r >%djhka fífrkakg úh' yrla lE .ikakg jQy' yrla uvqfõ tla yrla megfjl=o fï w;f¾ ñh .sfhah' wfkla yrl=ka mjd jegqK jegqK w; mK wÈñka isà' l=ii a f s ha jy,go .sks weú,s‚' fuu wdrxÑhg mshdm;a ,enqK's mqj;am;a yd f¾äfhda kd,sld j, isÿùu úldYh úh' fkdfhla we÷rka yd mÍlaIK lKavdhï fuys i;H fidhd .ekSug fjfyiqk's Tjqka fudk fudk foaj,a isÿ l<o thska iaÒridr úiªula fkd,enqK's tla;rd rEmjdysk kd,sldjla ueosy;a ùfuka Tjqka iuÕ fï ms<n s |j .fõIKh lsÍu i|yd úoHdl=,m;s uy;d iïnkaO ufkda úoHd wdh;khg wdrdOkd flß‚' ffjoH mS'tka' úoHdl=,m;s uy;d m%uL q ffjoH wixl úoHdl=,m;s" ufkda Ñls;i a l m%h s ka;''' fï ms<n s |j .fõIKh i|yd rEmjdyskS lKavdhu yd tlaj tu ksji n,d msg;a jQy' uQ,l s ju" ksjfia ish¨‍ fokd iuÕ fjk fjku fudjqka l;d l<y' bkamiq fuu .eg¨‍j úi£fï jÕlSu ffjoH mS'tka'úoHdl=,m;s uy;d ndr.;af;ah' ˜‍wms fï .eg¨‍j meyeÈ,sju úi|kjd' ta i|yd wmg ish,a,kaf.au iyfhda.h wjYHhs'˜‍ úoHdl=,m;s uy;d b,a,d isáfhah' m¾fhaIK wdrïN flrsK's m<uqj úoHdl=m;s uy;df.a wjOdkh fhduq jqfha isßmd,f.a mjqf,a fojk orejd jk iqfïO fj;h' ukao@ fuu isÿùu ms<n s |j l,ska l;d lrk úg fuu orejd ;=< hï wmyiq;djhla yd l=;y = ,hla ÿgq fyhsk's fudyq iuÕ ál fõ,djla l;d lrñka isá úoHdl=,m;s uy;d iqfïOf.ka fufia weiqfõh'

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zzTn weia foflkau oelaldo f.or iuyr ;eka .s‚ .kakjd' ta jf.au ì;a;r jeÈ,d" tajdf.a >%djhka ì;a;s Èf.a fífrkjd@˜‍ zzTõ' uu weia foflkau oelald˜‍ iqfïO lSh' zzTn ys;kafka ta ljqre lrkjd lsh,do@˜‍ zz‍ta ueßÉp iShd fjkak we;s˜‍ iqfïO lSh' zzwehs tfyu lshkafka@˜‍ zzug ysf;kjd thd fjkak we;s lsh,d˜‍ zzyß uu Tng tal lf<a ljqo lsh,d yßhgu fmkak,d fokakï Tn tal n,kak leu;so@˜‍ l=,m;s uy;d weiSh' zzTõ ug;a n,kak wdihs˜‍ iqfïO lSh' zzyß tfykï Tn weia mshdf.k uf.a lgyvg weyqïlka fokak˜‍ lshñka ffjoH mS'tka'l=,m;s uy;d iqfïOj fudayk ksødjlg m;a flß‚' bkamiq úoHdl=,m;s uy;d yd iqfïO w;r we;s jQ ixjdoh fufiah' zzTn oeka kskaol isákafka''' Tnj uu oeka miq.sh ld,fha isÿjqKq ia:dk j,g Tnf.a u;lh f.k hkjd' oeka Tng lshkak mq¨‍jkao fï f.org lror we;s lf,a ljqo lsh,d' ljqo ta'''@ZZ zziqÿ iShdZZ zzljqo iqÿ iShd lshkafka@ thd fldfyo bkafka@ZZ zzwfma ;d;a;f.a ;d;a;d' thd óg ál ld,hlg

November 2021

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ufkdaÑls;aid uereKQ iShd wdfh;a ksfjig weú;a lror lrkjd'''

l,ska uereKd'ZZ zzthd fldfyduo wdfõ' fudk jf.ao@ZZ zzfod< me;af;a b|,d yrla uvqj me;af;ka tkafka'ZZ zzfudk jf.ao@ zziqÿ we|,d f.dm¨‍ hld fj,hs tkafka' zzljqo f.dm¨‍ hld lshkafka@ZZ ta iuÕu Tyq fufiao lshkakg jQfhah' ZZhlaIhd uyd úYd,hs' weia fol t,shg weú,a,d' kdih uyd f,dl=hs' o;a t,shg weú;a' wyfika tkjd' fmd<j m<df.k tkjd' .ia wiafika uy le<Ej ueoafoka tkjd' ug ta hld fmakjd' ta hldg fkdfmkS bkak;a yelshs' uu fyd|gu oelald' fj,djlg foúfhla' iuyr fj,djg hflla fjkjd' thdf. wf;a ,Shla ;sfhkjd' taflka yrl=kag" n,a,kag .ykjd'ZZ zztfykï thd yrlaf.a ,Kq lemqfõ f.or ysgmq i;=ka uerefõ'''@ZZ zzthdf. wf;a ;sfnk ,Sfhka .y,d i;=ka uerejd'ZZ zztfykï .,a .eyqfõ@ZZ zzta;a thduhs'ZZ 112

November 2021

zzle,ekav¾ msÉpqfõ fldfyduo@ZZ zz.sks ;sh,d ta ;ekaj,g msôkjdZZ hehs lSh' fuf,i l;d ny lr iqfïOj .eUqre fudayk ksødjlg m;a flß‚' bkamiq l=,m;s uy;d yd iqfïO w;r we;sjQ foni fufiah' zzTn ;uhs iqÿ iSh lsh,d fuu jerÈ jev lf<a' Tn ,Kq lemqjd fkao .sks ;sínd fkao@' tajd lrd fkao@ZZ zzuu ;uhs lf<a' msysfhka ,Kq lemqjd' uu idlal=fõ .s‚ fmÜáh oudf.k bkakjd' ljqrej;a ke;s fj,djg ;uhs .s‚ ;shkafka' .s‚ ;sh,d ÿj,d yexf.kjd'ZZ zzzì;a;r .eyqfõ Tn lsh,d Tn ms<s.kakjdo@ZZ zzTõ'ZZ zziqfïO Tn lr we;af;a jerÈ fohla' f.or wh rjg,d ;sfhkjd' nh lr,d taj lrkak tmd' iqÿ iShdf.a jev fkfuhs fïl' Tn wo bo,d fyd| <ufhl= f,i lghq;= lrkak' fuu isÿùu iqÿ iShdf.a wd;auhg n,mEfõ kE' fuu mqoa.,hd ñh .syska' iqfïO ;uhs fï ish,a,u lr, ;sfhkafka' i;=ka urd oeóu mjd fudyqu lr ;sfhkjd' ZZ iqfïOf.a isf;a ;sfhkjd wks;a wh ug wdorhla kE" ie<lSula kE lsh,d' ta ksid tu lghq;a;g úi÷ula jYfhka ;uhs fuu wdldrhg iqfïO yeisÍ ;sfhkafka' fuh udkisl frda.hla' ta ksid fuu lghq;a;g úi÷ï jYfhka ;udg Ydm lrñka l¾uh" ,nd Wmka wdldrh lsh lshd lghq;= lsÍu fkdlr ffjoHjrfhl= yuqùu l< hq;= hehs úoHdl=,m;s uy;d jeäÿrg;a mejiqfõh' DM

^fuh i;Hhls' fuu isoaêfha kï .ï wdikak jYfhka fjkia l< nj lreKdfjka i,lkak' & Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s

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Homeopathy w¾Yia frda.hg Y,Hl¾uhlska f;drj ksiel iqjhg fydañfhdam;s m%;sldr

iudcfha fndfyda fofkla ryis.;j mSvd úÈk ldhsl frda.s ;;a;ajhla f,i Hemorrhoid fyj;a Piles ke;akï w¾Yia ye|skaúh yel' .=o újrh yd .=oh wdY%s; mj;sk m%foaY j,g reêrh imhk reêr kd,j, hï lsis fya;=jla u; fhfok mSvkh ksid idudkH f,i Ysrd reêr kd, Tiafia by<g hk reêr kd, wjysr ùfuka tu reêr kd, j, reêrh tl;= ùu" b,smamSu" bÈuqulg ,laùu w¾Yia frda.hhs' mdo j, olakg ,efnk Vericose Vein frda.s ;;a;ajh fuhg iudk wjia:djls'

w¾Yia frda.hg Y,Hl¾uhlska f;drj ksiel iqjhg fydañfhdam;s m%;sldr fydañfhdam;s ffjoH wkqId fyaul=udr

doctormagazine.lk

w¾Yia j¾. w¾Yia yg .ekSu .=o ud¾.hg we;=<;ska isÿjk wNHka;r w¾Yia frda.s ;;a;ajh Internal Hemorrhoids f,io" .=oh jgd iug háka ndysrj we;sjk w¾Yia External Hemorrhoids frda.h f,io y÷kajhs' frda. ,laIK .=o ud¾.h yd újrh wdY%s; f.ä yg .ekSu" bÈóu" msg;g fkrd tau" u<my lsÍfï§ we;sjk wmyiq;djh" oeú,a,"

November 2021

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D•Magazine /

Homeopathy w¾Yia frda.hg Y,Hl¾uhlska f;drj ksiel iqjhg fydañfhdam;s m%;sldr

² Èkm;d nr bis,Su ² È.= fõ,djla b|f.k isàu ² jHdhdu uÈlu ² wvq ;ka;= iys; wdydr rgdj ² .=o ixi¾.h

.=oh

.=o újrh wNHka;r w¾Yia

ndysr w¾Yia

w¾Yia iq,n frda. ,laIK .=ofhka reêrh jykh ùu .=o ud¾.fhka tk fõokdj .=ofha yd .=o ud¾.fhka tk lik iq¿ nj .=oh msÍ we;s fihla yeÕSu hg weªï f;;aùu .=ofhka mgl fldgila t<shg tau wka;%h ysia jQ miq msßisÿ lsÍu wiSreh

bÈlgq wkskjd jf.a oekSu" reêrh msgùu ndysrj we;sjk w¾Yia frda. ,laIK fõ' .=o ud¾.fha wNHka;rj we;sjk w¾Yia .=o ud¾.h we;=<; yg.kS" kuq;a fuu ;;a;ajh ndysrj oekSug fkdyels fõ' fuys§ frda.shdg wmyiq;djh iq,nj olakg fkd,enqk;a u<my lsÍfï§ we;s lrk mSvkh;a iu. fõokdj rys;j reêr jykh ùu isÿfõ' w¾Yia we;sùug fya;= idOl ^Causes & ² wêl ;rndrelu ² È.=ld,Sk u<noaOh ² È.=ld,skj mj;sk leiai 114

November 2021

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wjodkï idOl ^Risk Factors & jhig hdu .=o ud¾.fha yd .=ofha we;s kyr j,g iïnkaOl mgl ÿ¾j, ùu isÿfõ' .¾NKS wjêh Worh u.ska .=o ud¾.h u; w;sf¾l mSvkhla fh§u fya;= idOl fõ' ixl=,;d ^Complications& §¾> ld,Skj isÿjk reêr jykh iu. ksfrda.s r;= reêrdKq u.ska ffi, j,g Tlaiscka ^O2& iemhqu wvd, ùu rla;ySk;djh ^Anemia) we;sjkq we;' th Full Blood Count jd¾;dfõ mj;sk Hemoglobin m%udKh wkqj ikd: lr .; yel' je<elaùu ^Prevention& ² m<;=re" t<j¨" OdkH j¾." ;ka;= jeäfhka we;s wdydr wkqNj lsÍu' fï ;=<ska u<my uDÿ jk w;r u<my msglsÍu myiq jkq we;'

doctormagazine.lk

w¾Yia frda.h jeäùfï wjia:d

² Èklg j;=r úÿre 6la $8la jeks m%udKhla mdkh lsÍu u.sk s a u<my uDÿ ùu isÿfõ' ² jeä fõ,djla jdäù isàfuka je<lsh hq;h = ' úfYaIfhka jeisl< s h s u; jeä fõ,djla jdä ù isàu u.ska .=oh ;=< jQ kyr u; msvkh jeä lrhs' ² ksrka;rfhka jHdhdu isÿl< hq;h = ' jHdhdu u.ska w;sßla; nr wvqùu" ksoka.; u<noaOh yd kyr u; we;s lrk mSvkh je<lSu isÿfõ' fï Tiafia w¾Yia frda.h j<lajd .; yelsh' fydañfhdam;s m%;l s dr w¾Yia frda.h oreKqjg mej;=k;a" fõokdldÍ jqj;a Tng blauka iqjh fydañfhdam;s m%;l s dr u.ska ,nd .; yel' frda. fhka ú|ùu wjika lsÍu" iïmq¾Kfhkau iqj lsÍu fuys we;s úfYaI;ajhhs'

doctormagazine.lk

ir, m%;l s dr l%uhla ùuo" mdúÉÑh myiq ùuo" ;s;; a rifhka hql; a fkdùuo" w;=re wdndO fkdue;s ùu fuu m%;l s dr l%ufha iqúfYaI; s j a h jkq we;' fydañfhdam;s uq,O¾uhg wkql, = j frda. ,laIK j,g iudk ksjerÈ m%;l s drhg wkq.; ùu Y,Hl¾uhlska f;drj blauka iqjhg u. mdokq we;' m%;l s drh w¾Yia j,g muKla fkdj YÍrfha mj;sk iEu frda.s ;;ajhlu tljr m%;l s dr .; yel' m%;l s drh m%;Y s la;l s rK moaO;sh W;af;ackh ùu mj;sk frda. ish,a,kag iqjh w;aolskf q ha fydañfhdam;s m%;l s dr frda.hg fkdj frda.h s dg úfukah' fuu m%;l s dr l%uh Tng wkq.; jqjfyd;a ú|ùu fjkqjg iaÓr iqjh Tn w;am;a lr.kq fkdwkqudkh' DM

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

0112 637740 $ 0112 637741 071 8250716 $ 071 8250717

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wdhq¾fõoh wdhq¾fõofha zzfïfodajDoaêZZ hkqfjka y÷kajk yoj; ñßlk fldf,iagfrda,a

wdhq¾fõofha zzfïfodajDoaêZZ hkqfjka y÷kajk

yoj; ñßlk fldf,iagfrda,a ,fha ;d,hg ish,a, fjkia jk úg ñksiqkag ld we;s fjk f,v frda.;a úúO jQ iajNdjhka .kS' ld,hlg fmr iqmsß mka;sfha frda. hla f,i zzjeo.;a f,iskaZZ l;d l< zzisref¾ fldf,iagfrda,a jeäùuZZ wo jk úg mka;s fNaohlska f;drj''' Wia ñálï fkdn,d iudcfha fndfyda fokl= fj; <Õd ù ;sfnk nj fldhs ldg;a ryila fkdfõ'

uydpd¾h wdhq¾fõo ffjoH iqukr;ak wur;=x. .ïmy úl%udrÉÑ wdhq¾fõo ffjoH úoHd,fha úY%dñl úÿy,am;s D. S. A. C. BA Pg. PhD

wdhq¾fõohg wkqj zzfïfodajDoaêZZ hkqfjka y÷kajk fuu frda.h ÿrd;S;fha isgu mejf;k frda.hla jk w;r fuys w¾:h kï zzwkjYH fïo fldgia reêr kd, j, ;ekam;a ùuZZ hkakhs' idudkHfhka YÍrfha meje;aug wjYH uQ,sl ix>gl j,ska fïoh m%Odk fjhs' ´kEu foay ffi,hlg ;ukaf.a ffi,j, l%shdldß;ajh mj;ajd f.k hdug fïoh wjYH fjkjd' wm fïo rys; wdydr j,ska muKla iEyqk;a" isrerg wjYH fïo m%udKfhka ishhg 65la jeks m%udKhla wfma YÍrfhau jk wlaudj u.ska ksmojkjd' wmg fndfyda úg msg;ska .kakg isÿjkafka ishhg 35l muK fïo m%udKhla'

116

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doctormagazine.lk

kuq;a m%Yakh jkafka fndfyda fokd fïoh wêl wdydr jeämqr wkqNjhg mqreÿù isàuhs' fï ksidu YÍrhg wjYH fïo m%udKhg jvd y;r mia .=Khla YÍrfha ;ekam;a ùu isoaO fjkjd' fufia ;ekam;a jk wu;r fïoh fl,skau uqod yefrkafka reêrhghs' reêrfha§ fuu fïo fldgia Èh fkdjk ksid tajd reêr kd, ;=, ;ekam;a fjkjd' fufia ;ekam;a jk fïoh fldgia ;=klg fnod fjka lrkak mq¿jka' ² ix;Dma; fïoh ² wika;Dma; fïoh ² g%hs.a,sirhsâ wix;Dma; fïofhka YÍrhg ydkshla isÿjkafka keye' kuq;a fuys§ isÿjk Nhdkl ;;a;ajh jkafka ix;Dma; fïoh iy g%hs.a,sirhsv reêr kd, ;ekam;a ùu yDofha ;sfnk Ouks ;=< fuu fïoh ;Ügq jYfhka ;ekam;a ù reêr kd, isyska fjkjd' túg reêr .ukd. ukh wjysr fjkjd'

doctormagazine.lk

yDohdndO we;sjkafka fï ;;a;ajh ;=<hs' ;jo fuu fïoh fudf<fhao ;ekam;a fjkjd' túg wxYNd.h jeks oreKq frda. ;;a;ajhkago uqyqK§ug isoaO fjkjd' fldf,iagfrdaa,a mßlaId lsÍu i|yd Tfí f,a idïm,hla ,nd § ,smsâ fm%d*hs,a hkqfjka ye¢kafjk mÍlaIKh lrjd .ekSfuka th mj;akd m%udK n,d .; yelshs' fldf,iagfrda,a idudkH w.hka yd wjodkï iy.; w.hka idudkH w.h mg/dl

;rula jeä mg/dl

wjodkï mg/dl

fldf,iagfrda,a

200g wvq úh hq;=hs

200-239

240 isg

ix;Dma; fïoh

60-130 w;r

130-159

160g jeä

wix;Dma; fïoh

50 g jeä

40-59

g%hs.a,sirhsv

149

150-199

200g jeä

fldf,iagfrda,a wjodkug ,lajk fndfyda fokd frda.h WÉp ia:dkhg meñfkk ;=re ;ud tjka frda.sfhl= nj fkdoek isàu fuu ;;a;ajfha iajNdjhhs' wksl=;a Nhdkl frda. j,g idfmalaIj fï frda.fha§ msg;g oefkk frda. ,laIK t;rï m%lg kE' ta ksidu ;uhs fï frda.h .ek fndfyda fokd t;rï iEySulg fkdjkafka' wdhq¾fõ§fhaoS fldf,diagfrda,a by< keùfï ;;a;ajh y÷kajkafka ms;a;iafkay" fïfodajDoaê hk kï j,ska' ksjerÈ f,i .;fyd;a zzfkdÈrjQ fïo fldgiaZZ f,i fuh w¾: oelafjkjd' wdhq¾fõofha fïfodajDoaê m%;sldrh wdhq¾fõo m%;sldr weröug fmr YÍrfha fldf,iagfrda,a yg.kakd l%ufõoho ksishdldrj y÷kdf.k m%;sldr wdrïN l< hq;= fjkjd' zzwdumdplZZ kï T!IO Ndú;d lr reêr kd,

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wdhq¾fõoh wdhq¾fõofha zzfïfodajDoaêZZ hkqfjka y÷kajk yoj; ñßlk fldf,iagfrda,a

wjysr jQ Ouksh

idudkH Ouksh

woshr 1

woshr 2

woshr 3

woshr 4

reêrkd, j, fldf,iagfrda,a ;ekam;a jk yeá fldf,iagfrda, bj;a lrk Wmfoi

fi!LHiïmkak wdydr .kak

YdÍßl l%shdldß;ajh jeä lr.kak

ÿïmdkfhka w;a ñfokak

u;ameka mdkfhka j<lskak

wdhq¾fõ§fhaoS fldf,diagfrda,a jeäùfï ;;a;ajh y÷kajkafka ms;a;iafkay" fïfodajDoaê hk kï j,ska' ksjerÈ f,i .;fyd;a zzfkdÈrjQ fïo fldgiaZZ f,i fuh w¾: oelafjkjd' fyda fjk;a ia:dkhl ;ekam;aj we;s wys;lr fldf,iagfrda,a kej; Ô¾Kh lr ùu fuys§ isÿ lrkjd' zzuDÿ úf¾pkZZ T!IO Ndú;d lr tajdfha we;s wys;lr mod¾: u< uq;%d iy oyäh u.ska msg lsÍu isoaO fjkjd' m%;sldr iu. ,nd fok Ô¾Kl tkaihsu 118

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iunr jk T!IO u.ska YÍrhg w¨‍;ska fïo fldgia ksjerÈ wdldrhg Yla;sh f,i kej; YÍrhg ,nd §u isoaO fjkjd' fuf,i wm úiska isÿ lrk wdhq¾fõo m%;sldr u.ska b;d flá l,lskau fldf,iagfrda,a wêl ùfï frda.h ygf.k we;s frda.Skag iqjh ,nd Èh yelshs' hï flfklaf.a isref¾ fld,iagfrda,a uÜgu jeä ù ;sfnkjd kï wdhq¾fõo m%;sldr u.ska frda.Ska iqj lr.; yelshs' yenehs" ;ukaf.a frda.h ksÜgdjgu iqj fjk ;=re ffjoHjrhd fok Wmfoia yd m%;sldr iuÕ ksjerÈ wdldrfhka noaO ù isáh hq;=hs' wdhq¾fõo m%;sldr ,nd fokafka frda. ksOdkhg ñi frda. doctormagazine.lk

,laIK j,g fkdfõ' fuu frda.S wjia:dfõo wdydr md,kh frda. iqj lr .ekSug b;d jeo.;a fjkjd' uQ,sl wjia:dfõ§ kï ffjoHjrhdg mq¿jka frda.shdg ksjerÈ wdydr md,kh u.ska u frda. iqj lrjkakg' fldf,iagfrda,a ys;lr uÜgul mj;ajd .kakg fï wdydr isß; wf.hs idudkHfhka fldf,iagfrda,a jeä lr .kafka ke;=j ;ukaf.a Ôú;h f.kshkak kï r;= meye;s uia j¾." .eUqre f;f,a msisk ,o wdydr mdúÉÑh yels;dla wju lrkak ´fka' Èkm;d ¨‍Kq Ndú;h wju uÜgul mj;ajd .kak' mQ¾K fhdoh iys; lsß iy lsß ksIamdok Ndú;dj wvq lrkak' laI‚l wdydr Ndú;dj k;r lrkak' ksjfia§ ms<sfh< lrk wdydr fõ,lg yqre jkak' m,;=re" t<j¿ jeämqr wdydrhg tl;= lr.kak' l=vd ud¿ j¾. wdydrhg tl;= lr.kak' fï w;ßka yqre,a,d" l=ïn,djd wdÈh jvd;a iqÿiqh's Èkm;d idudkH m%udKhg jHdhduhlg yqre fjkak' ÿïmdkh" wêl f,i u;ameka mdkh w;ayßkak' Èkm;d m%Odk wdydrhg iqÿÆkq" r;=Ækq" f.drld" lrmsxpd" W¿yd,a" l=re÷ fmd;=" .ïñßia" fld;a;u,a,s wd§ wkqmdk tl;= lr.kak' i;shlg jrla j;a fjksje,a.eg ;ïnd îug mqreÿ fjkak' yels kï .sß;s,a, fld< iïfnda,h wdydrhg .kak' fuu mqreÿ Tn wkq.ukh lrkjd kï Tng Tfí YÍrfha fldf,iagfrda,a uÜgu wjYH ys;lr wdldrhlg mj;ajd.; yelshs' fydaud.u" lsßj;a;=vqfõ weï ã ,sfõßia wur;=x. iy mq;%fhda jk wmf.a wdh;kh zzl%sñrdcZZ kdufhka T!IO j¾. 250 lg wêl m%udKhla ksIamdokh lr Èjhsk mqrd fnod yßkq ,nhs' jir ye;a;Ejlg jvd w;S;hlg Wreulï lshk wm wdh;kh ish¨‍u ksIamdok Èjhsk mqrd msysá ´kEu isxy, fnfy;a nvq wf,ú ie,lska Tng oeka ñ,§ .; yelsh' wmf.a T!IO ksIamdok" .=Kd;aul Ndjfhka by< ;;a;ajfhka mej;Su ksid ISO:9001:2015 wka;¾cd;sl ;;a;aj iy;slh msßkud ;sfí' ;jo úYsIag ksIamdok mrsph i|yd jk GMP iy;slho wm wdh;kh ,nd we;' j¾;udkfha wfma rg mqrd úisr isák foaYSh wdhq¾fõo

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ffjoHjreka fndfyda msßila ;uka fj; meñfKk frda.Ska i|yd zzl%sñrdc wdhq¾fõo T!IOZZ ,nd§u isÿ lrkjd' ish¨‍u T!IO ishhg iShlau foaYSh fy< T!IO muKla Ndú;d lrñka kshñ; m%ñ;Skag wkql+,j ksIamdokh lrkjd' foaYfha wdhq¾fõo ffjoHjreka i|ydu WÑ; úfYaI T!IO / ila wm i;=j we;s neúka wm fj; l;d lrkak' weKjqu ,nd§ m%;HlaI T!IO foaYfha lS¾;su;a wdh;khla jk weï ã ,sfõßia wur;=x. iy mq;%fhda fj;ska ,nd .kak' DM l%sñrdc ksIAmdok i|yd úuiSï uydpd¾h wdhq¾fõo ffjoH iquKr;ak wur;=x. (DASC, BA/ PG/PhD.) weï ã ,sfõßia wur;=x. iy mq;%fhda ndf,!IOd.drh" lsßj;a;=vqj ÿrl:kh$*elaia 011 2753 889 Bfï,a krimiraja@sltnet.lk fjí ayurvedakrimiraja.com

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wdhq¾fõoh uOqksud uyú, ,sms irKsh

oshjeähdfjka ksÜgdjg iqjh i,ik mdrïmßl fjouy;auhd

fy<fha wdydr isß; h,s;a lEu fïihg le|jd .ksuq''' frda.h md,kh lrk m<uq fnfy;a jäh .e,fmk wdydr ue wkqNjhhs'''

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

oshjeähdj frda.Ska wo ljrodg;a jvd jd¾;d fjñka ;sfí' wo ojfia fkdmsg fmr¿Kq wdydr isß; fuhg úYd, n,mEula isÿ lrk ,o njo ;u fnfy;a .ekSfï ld,h ;=< jqj wdydr f;dard fírd .ekSu tu jákd T!IO

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wdhq¾fõoh uOqksud uyú, ,sms irKsh

wfma rfÜ m%Odk wdydrh n;ah' ljqre;a okakd wdldrhg ksjqvq iys; OdkH" ;eïnQ r;= iy,a ^r;= kdvq& ;eïnQ iqÿ iy,a ^iqÿ kdvq& j,ska ieliQ n;a fï w;f¾ wfma m%uqL f;aÍï fõ'

tod wfma fy< ir< cSjk rgdj iu.ska wmg ksrdhdifhka Wreu jQ oS¾>dhqI wo wfmka wE;a fjñka ;sfí'

YÍrh flfryS ld¾hlaIuj l%shd;aul lsÍug buy;a msgqjy,la jk njo háhkaf;dg uyú, fjo uy;d wm iu. m%ldY lf<Ah' wdydr md,kh" jHdhduh yd YÍrfha nr md,kh lsÍu hk ngysr oshjeähd md,k isoaOdka; j, ;sôßf.h wdhq¾fõoh nj u;la lr ÿka ta uy;d ngysr oshjeähd md,k ixl,amfhys we;s zzoshjeähd frda.h kï iqj l< fkdyels frda.hlehsZZ orK ixl,amh kï neyer lrkafka ;uka w;ska iqjm;a jQ oyia ixLHd; frda.Ska iïnkaOfhka idlaIs bosßm;a lrñks' fujr zzoshjeähd oskhZZ fjkqfjka ,ndosh yels fjfiia mKsúvhla fõoehs wm lrk ,o úuiqfïoS t;=uka mejiQfha zzoshjeähd frda.sfhl= wdydr wkqNj l< hq;= wdldrhZZ .ek kej;;a mdGlhka oeKQj;a lsÍu jeo.;a jk njhs' md,khlska f;drj wdydr wkqNjh Èhjeähdj ye§ug tla uQ,sl fya;=jla fjhs' tfia kï m%:ufhkau l< hq;af;a wdydr md,khhs'

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wfkl=;a OdkH j¾. ;," W÷" fld,a¨" l=rlalka" uqxweg" lv," lõms" ;Kyd,a" ´¨‍weg" n;a fufkaß" hjyd,a" nd¾,s j;=r wu;rj .kakd wdydr fjhs' uE;loS fj<|fmd< wdl%uKh l< cdk ;dlaIKfhka yªkajd ÿka OdkH fjf;d;a tajd wkqÑ; fõ' Èhjeähdj frda.Skag iqÿiq fkdjk t<j¿ j¾. t<ngq" ;síngq" ;s;a; ;síngq" ;lald,s" oU," flfi,auqy" fkdaflda,a" f.dajd" ;=U lrú," ngq lrú," fouqyqka lrú," uE lr,a" j÷re uE" r;= Ækq" weU/,a,d" wkakdis" rglcq" ySkafndaúáhd" fld< ue,a¨‍ï le|" jerksh o¨‍ iïfnda," f;nq o¿" fldia uÿ¨‍" lxl=ka" l;=reuqrex.d u,a yd fld<" lsß w.=Kfld<" w.=Kfld<" lsßw," bkak," rg w," f.dgqfld<" msms[a[d" lelsß" ;s;a;

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,nq"wÜálald f.ä" fmdf,dia .eg" rg fo,a" j,a fo,a" .eg;=U" lvqmyr" jïngq" nKavlald" ksú;s hk wdydr oshjeähd frda.Skag iqÿiq fkdfõ' wfkl=;a t<j¿ ish,a,u fyd|hs' oshjeähd frda.SkAg iqÿiq m,;=re j¾. me‚ flduvq" wU" wkakdis" bÿKq w¿ flfi,a" weUq,a flfi,a" iqj|e,a" flda,sl=Ügq" weïnqka" j,a iqjfo,a" kdrx" cukdrx" foys" f,ka foys" je,afodvï" lcq" wU/,a,d" fmar" ;lald,s" jrld" Èjq,a" fn,s" W.=/iai" f,dú" ysUqgq" udox" m¨"‍ ùr" ySka lv," lel=K we" uo wuq fk,a,s" .ia ,nq" uex.=ia" iemÈ,a," fo¿ï" rTqgka" wd;a; ^wfkdaod& wÜálald f.ä" ndf.g bÿKq m,;=re" weUq,a ri ;sìh§ .kak Èhjeähdj frda.Skag iqÿiq mdk j¾. fn,s u,a ;ïnd fndkak' rKjrd u,a" ySka fndaúáhd iyuq,ska úh<d ;ïnd fndkak' l=re÷ fmd;=" fjksje,a. eg" fldfydU fmd;="

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tod n;" nq,; imhd .;af;a iajNdjO¾uh iu. ixyx|shdfjks' wo wm me< lrk îch mjd fouqyqkah' f.dú;ek lshd lrkafka fidndoyu iu. hqoaOhls' fuh ish;ska f., is| .ekSula nj mila jk úg kej; wdmiaig taug fkdyels ;rfï úkdYhla wmg isÿj wjikah'

fk,a,s" ;s;a; ls|" rils|" bruqiq" fldams" f;a lyg" l=ß[a[x" uianeoao" bÕ=‍re" fld;a;u,a,s" j,a fld;a;u,a,s" ks,a msgjlald" fld;, ysUqgq" udox weg Èhjeähdj frda.Skag iqÿiq le| j¾. hlskdrx fld< le|" ySkafndaúáhd fld<" fnfy;a wfkdaod fld<" uianeoao fld<" t<ngq fld<" f;dá, fmd;=" f.dgq fld<" fn,s fld<" yd;djdßh fld<" t,msgjlald" bruqiq fld<" fudKrl=vqïìh" Èjq,a fld<" lrmsxp fld<" rKjrd fld<" je,afmk," uqiaiekao" nla ó fmd;=" Èjq,a fmd;=" Èhn;a le| Èhjeähdj frda.Skag iqÿiq ue,a¨‍ï j¾. lsßw.=k fld<" l=ß[a[x fld<" rKjrd o¿" lr fld<" ue,a, fld<" meIka fld<" uql=Kqjekak" f.dgqfld<" l;=reuqrex.d fld<" u[af[dlald fld<" fudKrl=vqïìh fld<" .sß;s,a, o¿" ySkafndaúáh o¿" fldys, o¨‍

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Èhjeähdj frda.Skag iqÿiq iïfnda, j¾. fmd,aiïfnda, f.dgqfld<" uql=Kqjekak" l;=re uqrex.d o¿| iqÿ y÷ka o¨‍" je,a fmfk, fld<" f;nq o¿" ;=U o¿" fldys, o¿" jer‚hd o¿" idrK fld<" lrmsxp fld<" r;= Ækq fld<" wifudao.ï fld<' Èhjeähdj frda.Skag iqÿiq udxY j¾. l=vd ud¿ j¾." f,dl= ud¿ lkjd kï" iu fyd¢ka bj;a l< hq;= fõ' l=l=,a uia" ì;a;r b;d wvqfjka lkak Èhjeähdj frda.Skag iqÿiq msÜgq j¾. l=rlalka msÜgq" uvq msÜgq" yd,a msÜgq" r;= lel=¿ yd,a msÜgq l=¿nvq j¾. fkdfyd;a foaYSh rildrl lrmsxp" .ïñßia" bÕ=‍re" ly" wn" iqÿÆkq" r;=Ækq" foys" kdrx" W¨‍yd,a" tkid,a" lrdnq keá" l=re÷" fld;a;u,a,s" f.drld" iQÿre" ñßia" Èh ¨‍Kq" ishU,d" rïfma" fiar" udÿre wdoS iajNdúl rildrl fh§fuka ,efnk .=K fndfydah'

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fï iajdNdúl rildrl j,ska wdydr reÑh we;s lrhs' l=i.skak o,ajhs' wdydr Èrùu myiq lrjhs' wdydr rih Wrd .ekSuo myiq lrjhs' wdydr Èrùfï § we;sjk úI fldgia ^wduh& wvq lrhs' fiu ^l¿& kid ;rndrej wvq lrhs' l=¿nvq" fiu wvq lr nv.skak o,ajk ksid Èhjeähdjg b;d ys;lrh'

Èhjeähdj frda.Skag wdydr .ekSug fmdÿ Wmfoia 1 'i;aj wdydr .kafka kï b;d wvq m%udKhlska .kak' 2' yels;dla wuqfjka .; yels wdydr wuqfjka .kak' 3' b;d fyd¢ka Y=oaO l< ^msßmyÿ l<& wdydr wvqfjka .kak' 4' l=reÜg iys; OdkH wdydr jeämqr .kak' 5' msiQ t<j¿ fjkqjg wuq t<j¿ iy wuq t<j¿ hqI wdydrhg .ekSu b;d fyd|hs 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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foaYSh ms<sld fjolu ;=ka fodia lsmqKq l,ays wm fkdoekqj;aju yg.kakd ms<sld iy f.ä

ms<sld kik úiajdrdu fy< fjolu ;=ka fodia lsmqKq l,ays wmo fkdoekqj;aju yg.kakd ms<sld iy f.ä

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

foaYSh ffjoH l%uhg wkqj ms<sld frda.h y÷kajkafka .vq" nkaOk" wegm,d f.ä yd iqjl< fkdyels jk jYfhks' ysfia mgka mdodka;h olajd yg.kakd ms<sld yd f.ä j¾. 4048 la muK ;sfnk nj mer‚ fjolfï i|yka lr we;' fuu .Kk kej;;a 48lg fnod we;' ;=kafodia lsmSfuka fïjd yg.kS' ;=kafodia hkq jd" ms;a yd fiï hk tajdh' fï ;=kafodia lsmSfuka yg.kakd ms<sld yd f.ä j¾. 48" ysfia isg my<g fumßoafoks' 1' ysi ms<sld jdhqf.ä 2' l¾K ms<sld 3' k<,a .eg ms<sld 4' kqjka ms<sld

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5' kyo~q ms<sld 6' kdid¾nqo ^uiao¿& 7' Ôúyd¾nqo 8' Oia:dw¾nqo 9' lfmda,d¾nqo 10' .,.Kavd¾nqo 11' yl= ms,sld 12' oka; ms<sld 13' oka; úÿr ms<sld 14' oka; p,k ms<sld 15' udxid¾nqo 16' .,k, ms<sld 17' lru,d ms<sld 18' kd. ud,d ms<sld 19' lKavud,d ms<sld

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foaYSh ms<sld fjolu ;=ka fodia lsmqKq l,ays wm fkdoekqj;aju yg.kakd ms<sld iy f.ä

20' .Kavud,d ms<sld 21' <h ms<sld 22' udxi ms<sld 23' mqr wudlr ms<sld ôl=Kq mshhqre& 24' foaj wudlr ms<sld ^jï mshhqre& 25' Wor ms<sld 26' rla; .=,au îa;%Skag je<f|k nfâ f.ä& 27' we, ms<sld 28' weg m<d tk ms<sld 29' ,sÕ= ms<sld 30' N.kaor ms<sld û< uf.a yg.kakd& 31' yqUia nkaOkh 32' l,,a LkaOkh 33' l,jd fmdare f.ä 34' fmdl=re úidÈ 35' úødê ms<sld 36' weg m,d ms<sld ^w;mh j, yg.kakd& 37' md ms<sld 38' lgq ms<sld 39' f,a ms<sld 40' wruk ms<sld 41' uql is,kaÿ 42' u, is,kaÿ 43' fn,af,a jdhqf.ä 44' YÍr jdhqf.ä 45' jdoka jdhqf.ä 46' fud< lkag 47' WmoxY ms<sld 48' fldKavr ms<sld f.ä" jk yd ms<sld ms<sn|j b;d ishqï f,i ú.%y lrkafka foaYSh ffjoH .%ka: j,h' YÍrfha lsishï frda.hla

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úiajdrdu mrmqf¾ mrïmrdkq.; Wreuh weiqßka Tiq wkqmdk foiShl muK ixLHdjla ixl,kfhka ksmojk fï uyÕ= Tiqj isref¾ ljr ia:dkhl fyda mj;akd ms<sld ffi, yUd f.dia tajd úkdY lsÍug iu;a fjhs

yg .;a l, jd" ms;a" fiï iqj lr fkd.ekSu''' f,a Od;=j ¥IKh Od;=j ¥IKh ùu ksid fkdfhl=;a frda.dndO j,g f.dÿre fõ' ms<sld frda.Skag frda.h me;sr hdug fmr y÷kdf.k uq,a wjia:dfõ§u foaYSh m%;sldr ,nd.;af;d;a b;d blauKska YdÍßl iqjh ,nd.; yel' m%ùK foaYSh ffjoHjrfhl=g kdä mßlaId lsÍfuka ms<sldjla y÷kd.; yels kuq;a wo ojfia we;s ÈhqKq ;dlaIKh Wmfhda.S lrf.k lrk ngysr ffjoH mÍlaIK jd¾;d ksid foaYSh m%;sldr ,nd .ekSfï§ mjd fïjd jeo.;a fõ' u<" uQ;%d" mÍlaIK ialEka mÍlaIK" nfhdmais mÍlaIK" CA 125 mÍlaIKh wd§ úfYaIs; ms<sld i|yd reêr mÍlaIK j,ska fndfyda fia frda.h y÷kd.ekSug bjy,a fõ' ms<sld frda.h ms<sn|j fndfyda fokdf.a u;h jkafka lsisfia;a iqj l< fkdyels frda.hla njhs' ms<sld

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;,a m;l jQ igyk: zz;jo fï w¾nqO ^ms<sld& cd;s j¾. kï" hï fia jDla‍Ihl yg.;a kq. ms<s,h l%%ufhka jeã f.dia m<uq jDla‍Ifhys kduhl=;a ke;s fldg kq. .iu fõo@ ta mßoafoka uqL udxY ^lfÜ we;s uia& iajNdjh ke;s fldg w¾nqO ^ms<sld& njg uqL udxYh muqKqjhs' fuhska iqnq;af;ys" Èfjys" há;,af,ys" W.=frys Wmka w¾nqO l,a fkd hjd ms<shï l<fyd;a ñi l,a.shfyd;a widOHhhs'' kdifhys" lfkys" Wvq;,af,ys" wefiys Wmokd w¾nqOhg ffjoHjrfhda ms<shï l< idOH fõ''

frda.h fl;rï Nhdkl jqj;a ta i|yd id¾:l m%;sldr mdrïmßl fy< fjolu i;=j mj;S' zzúiajdrdu fjo mrmqf¾ZZ j¾;udk ksfhdackh jk ud .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;sjrhd fjñ' mqrd jir 45l muK ld,hl isg ms<sld frda.Skag fukau ish¨‍u i¾jdx. frda. i|ydo m%;sldr ,nd fok rcfha ,shdmÈxÑ ffjoH Wmdêh ,nd we;s m<mqreÿ ffjoHjrfhl= fjñ' wm mrïmrdj i;=j mj;sk ÿ¾,N .Kfha fnfy;a jÜfgdarejlg wkqj foaYSh T!IO j¾. 200la muK ixfhdackh lr ud úiskau ksIamdokh lrk fnfy;a T!IOh jk zzmdŒh ms<sld ff;,hZZ fj; wo ojfia ´kEu ms<sld frda.hla iqj lsÍfï n,hla we;' fuys úfYaI;ajh jkafka YÍrh mj;sk ms<sld ffi, yUd f.dia tajd u¾Okh lsÍuhs' ldhsl yd udkisl ksfrda.S;djh we;s lrjk w;r frda.Skaf.a urK nh l%ufhka my flf¾' frda. iqjhg uyÕ=‍

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msgqjy,la ,nd fok yia;idr ksIamdokhls' ms<sld frda.shl= mdrïmßl foaYSh ffjoHjrfhl=f. ka m%;sldr ,nd.; hq;= hehs wm mjikafka mdrïmßl ffjoHjrhd fndfyda ld,hla jeä frda.Ska ixLHdjla mßlaId lrñka ksrka;rfhka m¾fhaIKd;aulj T!IO ixfhda. fldg wjYH fnfy;a ;ud úiskau ksmojd .kakd ksihs' by; i|yka l< ´kEu ms<sld frda.hla Tng ;sfí kï" tfia fkdue;s kï ta ms<sn|j ielhla we;akï fkdmudj ud yuqjkak' ud Tn iqjm;a lrjñ' DM

mdrïmßl foaYSh ms<sld ffjoH iduúksiqre ta ta iqu;smd, i¾jdx. Ñls;ail ^,shdmosxÑ wxlh 13297& mdrïmßl foaYSh ms<sld ffjoH uOHia:dkh fn,sfldgqj wrkaor ^.,s.uqjwúiaidfõ,a, ud¾.h fnda.y ykaÈh& ÿrl:k

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