Doctor Magazine September 2017 by Doctor Magazine

Volume 23 • September 2017

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SEPTEMBER 2017 Volume 23 • Issue 09

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EDITOR'S ¨ù mdiap¾ fi!LH wOHdmk ld¾hdxYfha f.!rjKSh cd;sl fufyjr óg oYl lsysmhlg fmr wfmaa .ï okõj,g t<efUk úfYaI oskhla fjhs' ta zziekaáfndaâ uy;a;hdZZ .ug meñfKk oskhhs' iekaáfndaâ uy;a;hdg .fï ;snqfKa f.!rjh uqiq nh mlaImd;S njls' Tyq mKq fnfy;a fohs' tkak;a ,nd fohs' jeisls,s ke;s f.j,a j,g jeisls,shla ;kd.ekSfï jeo.;alu .ek lshd fohs' ldls ks, lndhlska ieriS tk iekaáfndaâ uy;a;hd tosk we|sß jefgk;=re .; lrkafka .fïh' fkdñ,fha zziem;ZZ i`.rdjlao .ïjeishka w;r fnodyßk w;r tys fndfyda jákd iqj Wmfoia wka;¾.;h'

NOTE wdh;khla ms<sn|j woyila iudc.; lsÍugh' wo fi!LH wOHdmk ld¾hdxYh hkqfjka ye|skafjk wdh;kh miq.sh 1950-60 oYlfha''' fï rfÜ fi!LH wOHdmkfha iqyqUq,a wjia:dfõ m%n, fi!LH mKsúv ck.; lsÍug uq,a jQ wdh;khhs' fi!LH wOHdmk ks,Odßkaf.a mßmd,k YlH;djfhka uq,a ld,fha fi!LH fomd¾;fïka;=fõ uyck fi!LH wxYfha l=vd tallhla jYfhka l%shd;aul jQ wfma fi!LH wOHdmk fiajdj l%ñl oshqKQjla Tiafia wo we;s ;;a;ajhg m;aj ;sfí' uyck fi!LH mÍlaIljrfhl= hgf;a osia;%sla fi!LH wOHdmk tall l%shd;aul ùu" iyldr wOHlaIjrfhl= hg;g wdh;kh m;aùu" f,dal fi!LH ixúOdkfha wdOdr hgf;a ld¾hdxYhla njg m;aùu jYfhka wdh;ksl fjkialï isÿ fj;aoS ta yd iu.dój ck;dj oeKQj;a lsÍfï jevigykao jeä oshqKQ jkakg úh'

iema;eïn¾ 28 yd wfma idOKSh hq;=lu

brKï jQ orejd iqjm;a lf<Ah' t;eka mgka Tyq .ek f.!rjdkaú; ùugo m%cdj ue<s jQfha ke;' f,dalfha m%:u jrg id¾:l c,NS;sld tkak;la fidhd.;a fï wiydh nqofi!LH aêu;d f,dalh yermshd .sh oskh zzf,dal wo jk úg fi!LH wOHdmk ld¾hdxYh wud;HxYfha wOHdmk yd m%pdr wOHlaIjrfhl= hgf;a c,NSffjoH" ;sld ffjoHjreka oskhZZ f,i kï flrefKA Tyqg l< yels m%cd ldhsl ffjoH" m%cd Yd,l " oka; ffjoHjreka" fi!LH wOHdmk ks ,Odßka we;=¿ j fyd|u f.!rjh jYfhka fï oskh mdol lrf.k fï mQ¾K ld¾h uKav,hlska iukaú; ck;dj iqj ixfõoS ìys iqKwdh;khla Q frda.hnjg fuoshf;ka ;=rka lsÍug wejeis mshjr lsÍfï úYd, fufyjrlg Wrfok m;aj ;sfí' m%cd fi!LH" mdie,a fi!LH" wdfrda. .ekS uqLï;djh NOTE HYd,d fi!LH wOHdmk" m¾fha Iu Kg yd m% we.hS " mqyqKq ,nd foñks'

EDITOR'S EDITOR'S NOTE

lsÍï''' wdoS wxY .Kkdjlska iukaú; j;auka fi!LH wOHdmk ld¾hdxYh udOH yryd úúO fi!LH mKsúv ixksfkAokfhys,d iqúfYAIS jevigyka ksn|j l%shd;aul wdh;khla ms<sn|j woyila iudc.; lsÍugh' fi!LH wOHdmk lrhs' wo fi!LH wOHdmk ld¾hdxYfha wdh;khla ms<sn|j woyila iudc.; lsÍugh'ld¾hdxYh hkqfjka ye|skafjk wo fi!LH wOHdmk hkq jka kafjk oYlfha''' fï rfÜ fi!LH wdh;kh .ye|s sh 1950-60 f.!rjKS h fnda fkdjk frda." l,sld¾hdxYh ka l, u;=f jkfmiq fi!LH ;¾ck" wdh;kh .sh 1950-60 '' fï rfÜ qUyd q,a fi!LH wjia:dfõ m%n, fi!LH mKsúv cd;s l fufyjr úúO ld,S kmiq wjYH;d fukawOHdmkfha uoYlfha úfYaI's; taiq ly l ine|S wOHdmkfha yÍqUfï q,a wjia :ck.; dfõ m%j, nls , ÍfhoS fi!LH mKs v uguuq" , a jQ úwdh;khhs ' fi!LH wOHdmk ógoeKQ oYl úúO j;aiqls jevigyka ld¾h ck.; lsÍugmqy uq, ' fi!LH wOHdmk ,Odßka fk.aa i|yd mßmd,k uq,a ld,fha fi!LH lsvy,smi|yd hlg uKa qKa Q jQlswdh;khhs Íï"ksudOHfõoS mj;aYlH;djfhka jk ksfmr ,Odßka ld,fha fi!LH fomd¾;fïka ; õ uyck fi!LH wxYfha l=vd tallhla a mßmd,k iïuka ;wfma %kf" .a zziq jießhZZ YlH;djfhka fi!LH f;dr;=uqr, e a =f fjí wvúh fomd¾;fïka ; = f õ uyck fi!LH wxYfha l= v d ta l lhla d;aj udj l jQ .ï fuka u okõj,g úfYaI ÿrl:k" ialjYfhka hsma mKsúl%vshfia wdoSwfma fi!LH wOHdmk fiajdj jYfhka l%shúfYa d;aul lD; jQ wxY wfmal%Tia fi!LH wOHdmk fia jYfhka úúOdx.S fi!LH ñlfiaosh qKQjla wOHdmk Tia fj iadjwo we;s ;;a;ajhg m;aj ;sfí' t<efUk I l%ñl oshqKj¾;udkfhys Qjla Tiafia wofï we;s ;;a ;ajhg fj; m;aj fi!LH ;sfí' ld¾hdxYh rfÜ ck;dj uyck fi!LH mÍla Iljrfhl= hgf;a osia;%sla fi!LH oskhla fjhs ' uyck fi!LH Iljrfhl= osifõ' a;%sla fi!LH oeKQ ,ndoS g mÍla orK dyh m%hgf;a YxikS h tall l%shd;aul ùu" iyldr wOHlaIjrfhl= ta uzzieka áufnda â W;aiwOHdmk wOHdmk tall l%shd;aul ùu" iyldr wOHlaIjrfhl= hg;g wdh;kh m;aùu" f,dal fi!LH ixúOdkfha uy;a;hdZZ .ug hg;gwOHdmk wdh;khld¾hdxYhg m;aùu" f,dald¾hY+ l fi!LH ixúOdkfha fi!LH r" mßK;" ienE njg m;aùu jYfhka wdOdr hgf;a ld¾hdxYhla meñfKk osk hhs' hgf;a ld¾hdxYhla njg m;aùu jYfhka iqwdOdr jieka ixfõoS oela ka hq;a wNs kjfhka wOHla wdh;ks lI ïjßhl isÿ fj;aoS ta yd iu.dój ck;dj ál fnda â uls wdh;ks fjkia lï isÿ fj;a S ta l ydfjkia iu.dój ck;dj m;a j isá; khdg fï .fï fudfydf;a kj oudkhka Tiafjevigyka ia ck;dj oeKQ j;aosls Í fï o jeä oshqKQ jkakg úh' uy;a oeKQ j ;a ls Í fï jevigyka o jeä h q K Q jka k g úh' fj; jvd;a ks¾udKYS,S f,i iqj iïmf;ys mKsúvh

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Chief m;ajieka ;sfá í'fnda m%câd fi!LH" mdie,a lshd fohs' ldls ks, lndhls ka ieriS áfndaâka ieriS Bharata m;aj ;s fEditor í' m%cwdfrda d fi!LH" mdie,a fi!LH" wdfrda. lshd fohs ' ldlstk ks,ieka lndhls tk HYd,d wOHdmk" m¾fha IK yd we.hS ï" mqyqK q uy;a;hd tosk we|sß uy;a jefgk;= .; lrkaßfka HYd,d fi!LH wOHdmk" m¾fha IK yd we.hSï" mqyqKq ;hdretos k we|s jefgk;=re .;doctormagazine.lk@gmail.com lrkaffi!LH ka ï''' wdoShka wxY .Kkdjls a iuka ú;wxY j;au.Kkdjls ka fi!LH ka iukaú; j;auka fi!LH .fïh' fkdñ,fha zziem;ZZ o .ïjeis hka i`.rdjlaolsÍ lsk Íï''' wdoS .fïh'i`.rdjla fkdñ,fha zziem;ZZ .ïjeis bharata.gunathilaka@gmail.com wOHdmk ld¾hdxYh udOH yryd úúO fi!LH mKs ú w;r fnodyßk w;r w;r tys fndfyda jákd iq j Wmfoia wOHdmk ld¾hdxYh udOHv yryd úúO fi!LH mKsúv fnodyßk w;r tys fndfyda jákd iqj Wmfoia ixksfkAokfhys,d iqúfYAIS jevigyka ksn|j l%shd;aul wka;¾.;h' ixksfkAokfhys,d iqúfYAIS jevigyka ksn|j l%shd;aul wka;¾.;h' lrhs' lrhs' ? we|sß jeàf.k tk fj,djg ojfia l+gm%dma;sh ? we|sß jeàf.k tk fj,djg ojfia l+gm%dma;sh fnda fkdjk frda." l,ska l, u;=fjk fi!LH ;¾ck" meñfKhs' fnda fkdjk " l,s ka l, u;=fjk fi!LH ;¾ck" ' Ñ;% NEVER úúO ld,Sk wjYH;d fuka u úfYa Is; tafrda ll.yd ine|S ì;a;shlg w,a,k iqÿ meñfKhs ;srhla u; máhlaMISS fmkajAN hs' ISSUE úúO ld,S wjYH;d ì;a lgiai w,a kDOCTOR iqy<s ÿ ;s rhlaMAGAZINE u; Ñ;%úúO máhla fmka hsto Get delivered your door every month orfukau úfYaIs; tall yd ine|S oeKQ j;ajls Í' fï jevigyka j,kfhoS u" ld¾h ;srfha úl=ï mdkafka ÿma m; ;ashñks qh ',t<s m fha oeKQ ;aa i|yd lsÍfïmj;a jevigyka j, fhoSu" ld¾h fha ï choose mdka fka ÿma mdownload ' uKa t<s fmobile ha mqyqK vy<s , i|yd Íï"úúO udOHfõoS jk u<my lrk orejdf.a;suqry qK úl= nUhla ;rïh' Tyq f;a.añksiaiqhit to to m your orQ lstablet. Go tojksubscription uKav,f;dr;= i|ydremqfjí yqKQ wvúh lsÍï" udOHfõoSka i|yd mj;ajk lrk orejdf.a uqyqK nUhla ;rïh' .ajießhZZ fi!LH ;Tyq %k" fzziq wfOdauqLfhka isß isß u<my .d jefgk mKq fjla to w;l udKh page seem%our latest iïuka subscription offer. iïuka ;%kú"vzziq wfOda qLfhka isß is ß .d jefgk mKqffuka jla uw;l dKh úfYam% Iuÿrl:k" ial hsma mKs fiajjießhZZ dj wdoS fi!LH f;dr;=re fjí wvúh fjhs'''' ta bosßm;a lrka fka uzzmKq wudre .ek'''ZZ fuka I ÿrl:k" ''' máhls ta bosß'm;a lrka fka zzmKq wudre .ek'''ZZ jYfhka úúOdx.SlD; wxY TiaufiaúfYa fi!LH wOHdmkialhsma mKsúv fiajdj wdoS jákd Wmfoia uqiq l<fjhs isk'ud zzle<e WKZZ lD; fi!LH wxY Tiafia fi!LH wOHdmk jákd uqi.ek" q l< mdpkh iskud máhls' ld¾hdxYh zzle<e WKZZ j¾;udkfhys jYfhka fï rfÜ úúOdx.S ck;dj fj; hkqfjka ye|skajqKQ uef,a ßhdWmfoia jix.;h oeKQ u ,ndoS ug orK W;ald¾hdxYh idyh m%YxikS h fõ' .ek'''tkak;a lsÍfï jeo.;a luye|s .ek''' jeis ls,shßla j¾;udkfhys fï rfÜ ck;dj fj; fi!LH hkqfjka kajqK Q uef,a hd jix.;h .ek" mdpkh wjYH jkafka wehs @ hk ldrKh .ek jYfhka oeKQu ,ndoSug orK W;aidyh m%YxikSh fõ' .ek'''tka k;a lsÍfï fïwdoS jeo.;a lu .ek''' jeisls,shla doctormagazine.lk April 2017 DOCTOR MAGAZINE wOHdmk ld¾hdxYhg ld¾hY+r" mßK;" ienE tl, ck;djg hym;awjYH iqj isjka ß;a fyqkarewehs lrka g ldrKh .ekfi!LH @ khk fï wdoS jYfhka j ixfõoS a wNskjfhka wOHla Ijßhl ld¾hY+r" mßK;" ienE zziekaáfndaâ uy;a;hdZZ yryd tl, fi!LH wOHdmk ld¾hdxYhg tl, ck;djg hym;awêldßka iqj isß;a yqre iqlrka kg oelaulska hq;fi!LH m;aj isá k fï fudfydf;aiqkj udkhkaoela Tiau fls ia k ck;dj ÿka mKsúv fõ.fhkazzieka ck;dj .%y lr.;a h' tl, fi!LH j ixfõoS a hq;a wNskjfhka wOHlaIjßhl áfnda âKh uy;a ;hdZZf;a yryd wêldßka jvd;a mKsúvh kj udkhka Tiafia ck;dj tl, fld¿ l=reÜgka ÿka f,imKsúv fõ.fhka ck;dj .%yKhfj; m;ajiqj isáiïmf;ys k fï fudfydf;a lr.;a f;aks h¾' udKYS,S f,i ixksfõokh lsÍug yels fj; fõjdh hkakkswmf.a me;= hs' iqj iïmf;ys mKsúvh je/ye,s weªï we|f.k jevigyka j,gf,i l%shdYS,Sj jvd;a ¾udKYS ,S u f,i tl,fïfld¿ l=reÜgka iyNd.s jQ ck;dj ;j;a ld,hla hk úg wfma rg ixksfõokh lsÍug yels fõjdh hkak wmf.a me;=uhs' je/ye,s weªï we|f.k fï jevigyka j,g l%shdYS,Sj zzl,dmfha úYsIAG;u fi!LH o¾Yl mj;akd rgZZ hk iyNd.s jQ ck;dj ;j;a ld,hla hk úg wfma rg f.!rjdorh ,la forKg ,nd fokakg uq,a jQfhah' zzl,dmfha úYsIAG;u fi!LH o¾Yl mj;akd rgZZ hk fï mQ¾úldj wm bosßm;a lrkafka fï rfÜ f.!rjdorh ,la forKg ck;djf.a iqj iïm;g iqúfYaIS odhl;a jhla ola,nd jk fokakg uq,a jQfhah'

Æù mdiap¾ ffjoH úoHdj ;=< wurKSh úoHd{fhls' tkak;alrKh" wdydr l,a;nd .ekSfï mdiapÍlrkh yereKQ úg laIqøcSj úoHdjg iïnkaO uQ,sl kHdhka / ilau f,dalhg y÷kajdoSfuys,d Tyqf.a iïudou iq¿mgq fkdfõ' tfy;a f,daljdiSka ¨ù mdiap¾ wkqiaurKh lrKQ msKsi jif¾ hï oskhla fhdod .;af;a kï ta Tyqf.a f;daïnqj .ek mqridrï foãug th fhdod fkd. ekSug m%fõYï ùu ud ksÍlaIKh l< iqúfYAIS lreKls' ¨ù mdiap¾ fï f,dalh yer .sfha 1895 iema;eïn¾ 28 jkodh' Tyqg lrk buy;a f.!rjhla jYfhka f,daljdiSka iEu j¾Ihlu tosk uq,a lr.;a iqúfYAIS frda. ksjdrK jevigyka ud,djla mj;ajkafkah' ta tosk zzf,dal c,NS;sld oskhZZ jYfhka fhdod .ksñks' ¨ù mdiap¾ udrdka;sl c,NS;sldjg id¾:l tkak;la fidhd.;a uq,au úoHd{hd úh' idjkaf.a isrer ;=< j.d lr.;a m%;sldrd;aul ffjrih uq,skau ,nd ÿkafka kj yeúßos c,NS;sldfjka oeä wirKNdjhg m;a orefjl=gh' mdiap¾" ffjoHjrfhl= fkdjQ ksidfjka" ienúka u Tyqg T!IOhla w;ayod ne,Sfï ffk;sl 6 wjirhla m%xYfha ;snqfKao ke;' w;ayod ne,Sfï fnfy;la oSfuka miq hï fyhlska orejd urKhg m;a jQjfyd;a thg jeros lrejd jkafka c,NS;sldj fkdfõ' fnfy; w;ayod ne,Suhs' fï ksid Tyqg isr.;j ÿla ú|skakg mjd isÿjk nj bªrd o;a uq;a fujka wNsfhda.d;aul ÿIalfïrmQ;;a ;aj hgf;a ¾úldj wmhka bosßm;a lrkafTyq ka fï urKhg rfÜ

,xldfõ ;;a;ajh ne¨fjd;a wfma rfÜ fï .ek ck;djg we;s wjfndaOh ksid iqkLhka fyda ljr wjodkula we;s i;a;ajfhl=f.a imd lEuloS frday,a lrd meñfKkakg fndfyda fokd W;aiql fj;s' frda.shdg ;sfnk wjodku wkQj udos,s foll m%;sldr j,ska tllg frda.shd ,la lrjk w;r ta i|yd remsh,a 2"000-50"000 w;r uqo,la rchg jeh fjhs' wfma rfÜ fï c,NS;sld tkak; ,nd .ekSug tk mqoa.,hkaf.ka ishhg 87la muK tkafka iqkL imd lEï j,g ,la ùfuks' jd¾;d jk wkaoug wfma rfÜ iqkLhka ,laI 30lg jeä ixLHdjla isák w;r wjodku we;s jkafka whdf,a hk iqkLhka yd ksfjfiaoS we;s l<;a tkak;a ,nd fkdÿka iqkLhkaf.ks' miq.sh jir y;,sy ;=< wfma rfÜ isÿjk c,NS;sld urK ixLHdj úYd, jYfhka wvQ jQj;a jirlg 50-60 iSudjl urK isÿ fjhs' 2020 j¾IfhaoS c,NS;sldj ;=rka lsÍfï ie,iqula wmg ;sfí' iakdhq moaO;shg n,mEfuka b;du ÿlaÅ; urKhla ,ndoSug fï udrdka;sl frda.h iu;a jk ksid fuhska wfma ck;dj fírd .ekSug''' wfmalaIs; b,lal ch .ekSug wm yefudagu kshñ; j.lSula ;sfí' ksfjfia we;s lrk iqr;,a i;=ka tkak;a lrkak' th uQ,sl mshjrla uq;a wm yefudau fkdj<yd .; hq;=u idOKSh mshjrla jkafkah'

Bharata Gunathilaka ck;djf.a iqj iïm;g iqúfYaIS odhl;a jhla olaj k

- Editor in Chief

doctormagazine.lk@gmail.com Bharata Gunathilaka bharata.gunathilaka@gmail.com

- Editor in Chief

doctormagazine.lk@gmail.com bharata.gunathilaka@gmail.com

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Volume 23 ● Issue 09 ● September 2017

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SEPTEMBER 2017 | DOCTOR MAGAZINE

fyo úoHd, ixj¾Okfha kfjdaohla''' osjhsk mqrd fyo úoHd, ixj¾Ok jevigykla fi!LH fmdaIK yd foaYSh ffjoH wud;HxYh u.ska osh;a lr ;sfí' fuys wdrïNl mshjr jYfhka l¿;r" .d,a," wkqrdOmqrh yd uykqjr fyo úÿy,a ixj¾Okhg fï jif¾oS remsh,a ñ,shk 2"500l uqo,la fhofjkq we;' l¿;r" .d,a, iy wkqrdOmqr fyo úÿy,a i|yd miauy,a f.dvke.s,s yd mßmd,k ixlS¾K boslsÍug fï jk úg;a mshjr f.k ;sfí' oekg mqyqKqj i|yd n|jd .kakd fyo YsIH YsIHdjka fï há;, ixj¾Ok myiqlï ,neoSfuka miq ;jÿrg;a jeä lr.ekSug wjldY ie,fia' Y%s chj¾Okmqr uy frday,a N+ñfha fyo mSGhla bos lsÍug óg wu;rj mshjr f.k ;sfnk w;r tu.ska jirlg fyo WmdêOdßka 2000l muK m%udKhla ìys lsÍu rcfha wfmalaIdjhs' cd;Hka;r b,a¨ug iß,k wdldrfhka fyo jD;a;slhka ìys lsÍu fuys wruqK fõ'

,xldfõ m%:u jrg yoj;la noaO lr.;a ldka;dj iqfjka''' i;=áka''' bkaøsh noaO lsÍfï ie;alï fï rfÜ oeka úYd, jYfhka isÿ flfrkjd' jl=.vq noaO lsÍu wo fï rfÜ uekúka ia:dms; bkaøsh noaOhla' rdcH wxYfha ie;alï myiqlï i<lk úg wlaud yd fmKy¿ noaO lsÍfï ie;alï fld<UoS id¾:lj isÿ flfrkjd' yoj;a noaO lsÍfï ie;alïo fld<U cd;sl frdayf,ka wdrïN lsÍug iQodkïj ;snqKQ miqìul fï rfÜ m<uq yoj;a ie;alu isÿ l< frday, f,i b;sydihg tla jqfKA uykqjr uy frday,hs' fud<h ñh.sh 24 yeúßos ;reKfhl=f.a yoj;la 34 yeúßos wkqrdOmqrfha ldka;djlg noaO lf<A yosisfha ie,iqï lr.;a Y,H ffyhqula jYfhka' miq.sh cq,s y;ajkod uqos; ,xilaldr" fla {dKldka;ka c.;S fmf¾rd yd iqfka;%d bre.,anKavdr hk ffjoHjreka we;=¿j ffjoH fyo lKavdhula isÿ l< fï ie;alfuka miqj frda.shd fï jk úg ukd iqjfhka miqjkjd' fi!LH wud;H rdcs; fiakdr;ak uy;d miq.shod fuu frda.shdf.a iqjÿla ne,Sug hdug wu;l lf<A kE'

SEPTEMBER 2017 | DOCTOR MAGAZINE

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jl=.vq frda.Skag m%;sldr lsÍu i|yd ueojÉÑfha wdhq¾fõo m¾fhaIK frday,la msysgqjhs osjhsk mqrd osia;%slal lsysmhl me;sr hk jl=.vq frda.hg wdhq¾fõo m%;sldr lsÍu i|yd mq¿,a jevms<sfj,la osh;a lsÍug fi!LH wud;HxYh lghq;= lrhs' ueojÉÑfha jl=.vq m¾fhaIK frday,la fï jevms<sfj, hgf;a miq.shod ia:dms; lrk ,oS'

yDo frda.Skaf.a yoj;a ie;alï i|yd wjYH lrk iafgkaÜ ñ, wvqfjhs yDo frda.Skaf.a yoj;a ie;alï i|yd wjYH lrk iafgkaÜ ñ, miq.shod isg wvq lsÍug cd;sl T!IO kshduk wêldßh mshjr f.k ;sfí' fï wkQj fj<|fmdf<A remsh,a 75"000 lg wf,ú jk f,dayuh iafgkaÜ ñ, remsh,a 24"000olajd wvqlr ;sfí' remsh,a ,laI ;=k yudrlg wf,ú jQ T!IO uqodyßk iafgkaÜ ñ, remsh,a tla ,laI mkia oyi olajd wvq ùula fï hgf;a isÿfõ' rdcH wxYh ;=<oS iafgkaÜ fkdñ,fha iemhSula fï rch hgf;a isÿjQj;a fï mshjr .kakd f;la fm!oa.,sl wxYfhka yoj;a ie;alï isÿ lr .eksfïoS frda.Skag wël ñ, .Kka f.ùug isÿ úh' kj mshjr hgf;a fm!oa.,sl wxYfhka m%;sldr .kakd yDo frda.Skag úYd, iykhla w;am;a jkq we;'

.s,ka r: j,g wêfõ.fha fkdñf,a .uka jrï''' @ wêfõ.S ud¾. .dia;= f.ùulska f;drj .s,ka r: i|yd mdúÉÑ lsÍu i|yd wjir ,ndoSug wod,j leìkÜ ixfoaYhla bosßm;a lsÍug fi!LH wud;H rdcs; fiakdr;ak uy;d ;SrKh lr ;sfí' wêfõ.S ud¾. Ndú;d lsÍfïoS ta uqo,a fi!LH fiajlhka úiska f.ùug isÿùu fï ksid u. yeÍ ksoyia fi!LH fiajdj jvd;a w¾:j;a jkq we;' 12

SEPTEMBER 2017 | DOCTOR MAGAZINE

fyo iy mjq,a fi!LH fiajd wNHdi,dNSka 3020la mqyqKQj wdrïN lrhs fyo iy mjq,a fi!LH fiajd wNHdi,dNSka 3020la mqyqKQjg n|jd .ekSu miq.shod isÿ úh' fyo wNHdi,dNSka 2250la yd mjq,a fi!LH fiajd wNHdi,dNSka 754la fï hgf;a ;u mqyqKQ lghq;= wdrïN lrKQ we;'

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isÿre jQ lka fnrh kej; ielish yelso@ lka fnrhg ydks lrk wjodkï lreKQ .ek oek.kak lfkys jhqyh ms<sn|j úuiSfïoS w;sYh jeo.;alula orK wjhjhla f,i lka fnrh oelaúh yelsh' lka fnrh lshkafka l¾K mgy mg,hgh' ndysßka lkg we;=¿ jk Yío msg; mg,h Tiafia lk wNHka;rhg .uka lr lka fnrh lïmkh lsÍu u.ska tu Yío we;=¿ lkg;a fud<hg;a .uka lrhs' weiSfï l%shdj,sh iïmQ¾K fjkafka fï weiqf¾h'

W.=r lk kdih ms<sn|j úfYaI{ ffjoH fcHaIaG lÓldpd¾h ffjoH iS;d l=udß wrfòfmd, úisks 14

SEPTEMBER 2017 | DOCTOR MAGAZINE

isÿre ù we;s l¾K mgy mg,hg Y,Hl¾uhla u.ska ksjeros lr.ekSu nyq,j isÿjkakls' fï Y,Hl¾uh isÿ lsÍfuka ksrka;rfhka lk wdidokhg ,laùu je<elaùugo Y%jKh jvd;a hym;a lr .ekSugo wjia:djla frda.shdg Wod fõ' doctormagazine.lk

fldÜka nâia lfkys rejd ;eîu jeks jerosiy.; mqreÿ ksido lka fnrh ydkshg ,lafõ'

lfkys jHqyh

ueo lk

wNHka;r lk ndysr lk

ueo lk

hqIAfÜlSh kd,h

l¾Kmgy mg,h

tfiakï fuu l¾K mgy mg,hg fkdfyd;a lka fnrhg ydkshla isÿùu fyda tys idudkH ieleiau fjkilg ,la jk úg weiSfï ÿ¾j,;d we;súh yelsh'

lka fnrh wdmodjg ,la jk fya;= tmuKla fkdj ksrka;rfhka hful=f.a lfkka >%djhla .,kafka kï''' tys wdidokhla we;s jkafka kï th lka fnrh isÿre ù we;s njg wkqudk l< yels fmrksñ;a;lao úh yel' úúO wk;=re yd úúO fya;= ksid flfkl=f.a lka fnrh isÿre úh yel' uq,ska i|yka l<d;a fia ksrka;rfhka we;sjk wdidok lka fnrh isÿre ùug fya;=jls' thg fndfyda úg uq,a jkafka kdifha we;sjk wjysr ùïh' yosis wk;=rloSo''' lkg ;on, myrla jeÿKq úgo l¾K mgy mg,h wdmodjg m;a úh yel' th isÿre úh yel'

ueo lfkys we;sjk wdidok ksid lka fnrhg ydks isÿfõ' doctormagazine.lk

we;eï msyskqïlrejka yd úfYAIfhka lsñÿïlrejka fõ.fhka c,hg mekSu mqreoaola f,i isÿ lrhs' fuho lka fnrh ydkshg ,laùug fya;=jls' we;efula .=jka .uka j, fhoSfïoSo oSo lka fnrh wdmodjg ,la fõ'

lka fnrh isÿre jQ úg l< hq;= foa yd fkdl< hq;= foa''' lka fnrh isÿre ùu yosis wk;=rla fya;=fjka isÿfõ kï Tn ;oska isyshg .; hq;= jeo.;au fkdl< hq;a; kï lsis úfgl T!IO ìxÿ lkg fkdoeóug j. n,d .ekSuhs' tfiau fujka wk;=rloS Y%jKh iïnkaOfhka ukd mÍlaIdjlg ,la ùu;a w;sYh jeo.;a fõ' fujka wjia:djloS

yosis wk;=rloSo''' lkg ;on, myrla jeÿKq úgo l¾K mgy mg,h wdmodjg m;a úh yel' th isÿre úh yel'

SEPTEMBER 2017 | DOCTOR MAGAZINE

lfkys úh<s nj mj;ajd .ekSu w;sYhska jeo.;a jk w;r th blauka iqjhgo ;SrKd;aul f,i n,mdhs' lka fnrfha isÿr l=vd kï ú;rla T!IO m%;sldr M,odhS fjkjd''' wdidokhla fya;=fldg f.k lfka we;sjk isÿre ld,hla mj;S' tfy;a we;sjQ isÿre l=vd kï th blauka iqjhg fya;=jls' kuq;a m%udKfhka úYd, lka fnr iqj ùug jeä ld,hla .; fjkjd hhs úYajdi lrkakg yelshdjla ke;' ukao @ b;d úYd, lka fnrh wdY%s; isÿre T!IO u.ska iqj lsÍu ÿIAlr ld¾hhla jk neúks' Tjqkg lka fnrh h:d ;;a;ajhg m;a lr.ekSug Y,Hl¾uhlg Ndckh ùug isÿ fõ'

lka fnrhg isÿ lrk ie;alfuys f;dr;=re Tympanoplasty / Myringoplasty isÿre ù we;s l¾K mgy mg,hg Y,Hl¾uhla u.ska ksjeros lr.ekSu nyq,j isÿjkakls' fï Y,Hl¾uh isÿ lsÍfuka ksrka;rfhka lk wdidokhg ,laùu je<elaùugo Y%jKh jvd;a hym;a lr .ekSugo wjia:djla frda.shdg Wod fõ' mQ¾K ks¾úkaokh hgf;a fuu Y,Hl¾uh iq,nj isÿ lrk w;r we;eï úg tkaviafldms l%uhg" tkï leurdjla yd ishqï lemqula wdY%fhkao fuu Y,Hl¾uh isÿ l< yel' orejka fukau jeäysáhkao fuu Y,Hl¾uhg n÷ka jkafkah' lk msgqmiska isÿ lrk lemqula u.ska lfkys we;=<;g m%fõYh i,idf.k frda.shdf.a we;=<; udxY wdjrk mglhla (Temporalis Fascia) fyda ldáf,ac fldgila fhdodf.k lka fnrfha isÿr fuysoS jid oukq ,efí' lka fnrh

idudkH fmKqu 16

SEPTEMBER 2017 | DOCTOR MAGAZINE

isÿre jQ lka fnrh

úys¿jlg j;a fkdl< hq;= fï je/oao ksid lS fofkla wk;=f¾ jefgkjdo@ ixl+,;d b;d wju jk fuu Y,Hl¾uhg miq tla oskla muKla frday,a.;j bkakg isÿfõ' f;dard.;a we;eï frda.Ska yg Endoscopy l%uhg fuu l¾K ie;alu isÿ lrk w;r tu.ska lfkys msgqmi lemqula fhoSu j<lajd .; yel' kuq;a tjka lemqula fhÿj;a th ndysr jYfhka fjk;a whg o¾YKh fkdjk njo lsj hq;af;ah'

yosis wk;=rloSo''' lkg ;on, myrla fujka wjia:djloS lfkys úh<s nj mj;ajd .ekSu w;sYhska jeo.;a jk w;r th blauka iqjhgo ;SrKd;aul f,i n,mdhs' jeÿKq úgo l¾K mgy mg,h wdmodjg m;a úh yel' th isÿre úh yel' doctormagazine.lk

CHOCOLATE FACTS

fpdla,Ü lEfuka

fi!LH m%;s,dN /ila'''

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kj;u m¾fhaIK ;rdosfha hym;a mi ;=,dj nr lrhs''' fpdla,Ü j,g wo jeä fofklaf.a we;af;a kslïu leue;a;la fkdfõ''' th wiSudka;sl f,i wdYla; ùuls' fm%aujka;fhla ;u fmïj;shg fok wdorfha ixfla;d;aul ;Hd.h njg fpdl,Ügqj m;aj we;af;ao fï ksiduh' fpdla,Ü j,g we;af;a wiydh rihls' th úia;r lsÍug mjd wiSre udOq¾h rihls' SEPTEMBER 2017 | DOCTOR MAGAZINE

rih fl;rï Tn wukaodkkaohg m;a l<;a fpdla,Ü j, Yla;s ^le,ß& w.h ;rula jeäh' tfiau brejdroh" l=re,E wdoS frda. j,g fpdla,Ü t;rï ys;lr fkdjk njo lshefõ' fpdla,Ü j,g úreoaOj kef.k wfkla fpdaokdj jkafka ia:q,;djhg" wêreêr mSvkhg fpdla,Ü wys;lr njhs' fpdla,Ü j, wys; me;a;g jvd ys; me;a;'''jákd me;a; fnfyúka nr jeäh' uE; ld,Sk m¾fhaIK j,g wkQj fpdla,Ü j, wvx.= YdL iafgfrda, Plant Sterols (PS) (CF) iy fldfldajd *a,ejfkda, Cocoa Flavanols i;=j wkNsNjkSh jQ fmdaIK .=Kdx. /ila we;ehs y÷kdf.k ;sfí' fï wkQj fï wdldrfhka wNskjfhka y÷kd.;a fpdla,Ü i;= idOKSh fmdaIH .=Kdx. fya;=fldg f.k oeka fpdla,Ü iïnkaOfhka fuf;la mej;S wjmi u;su;dka;r iEfyk muK wNsfhda. hlg ,laù ;sfí' úhm;a ùu" reêr mSvkh hdukh widudkH lsÍu iy reêr kd, ;=< wjysr;d we;sùug n,mj;ajk njg fpdla,Ü j,g ;snQ fpdaokdfjka fpdla,Ü imqrd ksoyia lsÍug j;auka fmdaIK úoHd m¾fhaIK bjy,a ù we;' ta iïnkaOfhka kj;u m¾fhaIK weiqf¾ ilia lr.;a m¾fhaIK igykla fuys olajuq' 18

SEPTEMBER 2017 | DOCTOR MAGAZINE

fpdla,Ü reêr.; fldf,iagfrda,a my; fy<hs fpdla,Ü wkqNjfhka fldf,iagfrda,a j, LDL ix>glh my; jefgk nj úoaj;=ka m¾fhaIK WOD; olajñka The Journal of Nutrition iÕrdj wkdjrKh lrhs' fï kj wkdjrKhka isÿ flrefKA The Journal of Nutrition j, we;s plant sterols (PS) and cocoa flavanols (CF) iïnkaO wOHhk j,oSh' fuu

wOHhkh isÿ l< m¾fhaIlhka fufiao olajhs' zzfldf,iagfrda,a by< w.hka jd¾;d lrk whf.a wvq fïo wyrjgg oskm;d fpdla,Ü o tla lsÍfuka iuia; m%;sM<h jvd;a b,lal iy.; lr.; yelsh'ZZ

fpdla,Ü iaurKh''' u;l Yla;sh iqir lrhs ydj¾â ffjoH úoHd,fha m¾fhaIlhka msßila ;u m¾fhaIK wkqidrfhka fufia m%ldY lr;s' zzoskm;d fojrloS fpdla,Ü mdkh lsÍfuka úhm;a whf.a u;lh" Odrk Yla;sh iqir lr.; yel' fï whf.a wu;l ùï u`.yrjd .ekSug th losu Tiqjls'ZZ

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Chocolate Reduces Chances of

Diabetes

Eating a small amount of chocolate each day could prevent diabetes and insulin resistance. Daily chocolate consumption was also linked to a lower risk of stroke, reported in the British Journal of Nutrition last year. fud<fha reêr .ukd.ukh jvd;a ksrjq,a lsÍug fï WKQiqï fldams fya;= jk nj fï ydj¾â m¾fhaIlhkaf.a u;hhs' fï iïnkaOfhka jeäÿrg;a woyia olajk m¾fhaIK m%Odks *¾ifka ta fidrkaâ''' zzfud<fha tla tla l,dm j,g ;u b,lal.; ld¾hhka imqrd.ekSug m%Yia; reêr ixirkhla wjYH fjhs' we,aIhsu¾ frda.h wdoS frda. we;sjkafka fuys wvq¨yq`vq;djhka ksidh'ZZ fï wkQj n,k úg cSú;fha ikaOHdNd.h .; lrk úhm;a m%cdjg fï fpdla,Ü wkqNjfhka ,efnk fi!LHuh m%;s,dN w;suy;ah'

yDohdndO wjodku wvq lrk fpdla,Ü

Journal) i`.rdfõ fï nj i|yka jd¾;dj miq.shod m%xYfhaoS European Society of Cardiology

iuq¿jg bosßm;a lrñka m%Odk m¾fhaIl ;ek fufia m%ldY lf<Ah' zzolakg ,efnk idlaIs j,g wkQj fpdla,Ü lEfï isß; ksid yD;a yd mßjD;a;Sh frda. /ilska ñoSfï wjia:dj ysñ fõ' fï iïnkaOfhka jv jvd;a mÍlaIKbosßfhaoS isÿlsÍfuka fpdla,Ü j, wk.s fmdaIKSh m%;sM< m%cdj fj; ,nd oSug wjia:djla ie,fikq we;'ZZ

fpdla,Ü wxYNd.h j<lajhs mqoa.,hka 44"489 la fokd fhdodf.k isÿ lrk ,o lefkaähdkq wOHhkhlg wkQj fpdla,Ü wkqNj lrk mqoa.,hka wxYNd.hg f.dÿre ùfï wjodku ishhg 22 lska wvq jkq we;' úhm;a ùu" reêr mSvkh hdukh widudkH lsÍu iy reêr kd, ;=< wjysr;d we;sùug n,mj;ajk njg fpdla,Ü j,g ;snQ fpdaokdfjka fpdla,Ü imqrd ksoyia lsÍug j;auka fmdaIK úoHd m¾fhaIK bjy,a ù we;'

fpdla,Ü wkqNjfhka yDohdndO we;sùfï wjodku ;=fkka mx.=jlska wvq fjhs' BMJ (British Medical doctormagazine.lk

SEPTEMBER 2017 | DOCTOR MAGAZINE

Tired all the time? Surprising reasons why, and simple solutions...

Underactive

Thyroid

Underactive thyroid - a lifelong condition where your thyroid gland doesn't make enough ... Learn about the tricky disease its symptoms and treatment etc...

Dr. Sachith Abhayaratna

MBBS(Col), MD (Col), MRCP(UK) MRCP (UK) (Endocrinology & Diabetes) Consultant Endocrinologist Faculty of Medicine University of Colombo 20

SEPTEMBER 2017 | DOCTOR MAGAZINE

doctormagazine.lk

What is hypothyroidism? Hypothyroidism is an underactive thyroid gland. Hypothyroidism means that the thyroid gland can’t make enough thyroid hormone to keep the body running normally. People are hypothyroid if they have too little thyroid hormone in the blood. There are many causes for getting a underactive thyroid gland and thyroiditis or swelling and inflammation of the thyroid is a main cause which could lead to a underactive thyroid gland.

How common is it? Prevalence of thyroiditis has been found to be in 6-19% in different populations in Sri Lanka. Hypothyroidism is seen in around

8-10 % of the population in many countries with more commonly present in women.

What are the symptoms of hypothyroidism? When thyroid hormone levels are too low, the body’s cells can’t get enough thyroid hormone and the body’s processes start slowing down. As the body slows, it will lead to feeling cold, getting tired more easily, getting a dry skin, becoming forgetful, depressed, and getting constipated. Because the symptoms are so variable and nonspecific, the only way to know for sure whether you have hypothyroidism is with a simple blood test for TSH level.

What is the thyroid gland and it’s role?

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SEPTEMBER 2017 | DOCTOR MAGAZINE

The thyroid gland is a butterflyshaped gland in the middle of the neck, located below the larynx (voice box) and above the collarbones. The thyroid gland produce two hormones, triiodothyronine (T3) and thyroxine (T4), which regulate how the body uses and stores energy, stay warm and keep the brain, heart, muscles, and other organs working as they should. Thyroid function is controlled by a gland just below the brain, known as the pituitary. The pituitary gland produces thyroid-stimulating hormone (TSH), which stimulates the thyroid to produce thyroid hormones (T3 and T4).When adequate T3 and T4 levels are produced from the thyroid gland, they enter the blood stream and send a signal to the pituitary gland to stop producing the stimulating hormone and thereby removing the stimulation to produce thyroid hormones. In this way body maintains a very fine balance in thyroid hormone levels in healthy status. When this balance in thyroid hormones is affected due to the disease conditions in thyroid gland or pituitary gland, normal day to day functioning could be compromised. There are several conditions which could affect the thyroid status in the body.

SEPTEMBER 2017 | DOCTOR MAGAZINE

What causes hypothyroidism? There can be many reasons why the cells in the thyroid gland can’t make enough thyroid hormone. Most important causes are, Autoimmune disease. In some people’s bodies, the immune system that protects the body from invading infections can mistake thyroid gland cells and their enzymes for invaders and can attack them. The resultant swelling and the inflammation in the thyroid gland is called thyroiditis. Because of this there aren’t enough thyroid cells and enzymes left to make enough thyroid hormone. This is more common in women than men. This can begin suddenly or it can develop slowly over years. Surgical removal of part or all of the thyroid gland. Some people with enlarged thyroid glands, thyroid cancer, or overactive thyroid may need to have part or all of their thyroid removed. If the whole thyroid is removed, people will definitely become hypothyroid. If part of the gland is left, it may be able to make enough thyroid hormone to keep blood levels normal. Radiation treatment. Some people with overactive thyroid gland or thyroid cancers are treated with radioactive iodine (I-131) for the purpose of destroying their thyroid gland. Certain other forms of cancers doctormagazine.lk

Who are at risk of developing hypothyroidism?

of the head or neck are treated with radiation. All these patients could lose part or all of their thyroid function and become hypothyroid. Other than above reasons, Sometimes babies are born without a thyroid or with only a partly formed thyroid and they are unable to produce adequate level of thyroid hormones. Certain medicines, lack of iodine and damage to the pituitary gland could also lead to an underactive thyroid state. Prior to universal salt iodization in Sri Lanka, iodine deficiency was also a major cause of hypothyroidism but now we rarely see this.

•

People with a family history of thyroid disease or any autoimmune disease

•

Patients with type 1 diabetes or rheumatoid arthritis, or other autoimmune disorders

·• If anti-thyroid medications (a treatment for hyperthyroidism) or have been treated with radioactive iodine (a treatment for thyroid cancer) ·• People who had thyroid surgery (thyroid removed to treat thyroid cancer or to treat a symptomatic enlargement of the thyroid gland) ·• If exposed to radiation to neck or upper chest area

How is hypothyroidism diagnosed? The correct diagnosis of hypothyroidism depends on the following • Symptoms and signs Hypothyroidism doesn’t have any characteristic symptoms. But longer the duration and more severe the disease, patients may get some of the symptoms mentioned above and If the medical history and physical

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SEPTEMBER 2017 | DOCTOR MAGAZINE

examination is suggestive of high risk of developing hypothyroidism (enlarged thyroid gland, dry skin, slow reflexes) • Blood tests. There are two blood tests that are used in the diagnosis of hypothyroidism. • TSH (Thyroid-Stimulating Hormone) test. This is the most important and sensitive test for hypothyroidism. It measures how much of the thyroid hormones the thyroid gland is being asked to make. An abnormally high TSH means hypothyroidism. • Free T4 test. Most of the T4 in the blood is attached to a protein called thyroxine-binding globulin. The “bound” T4 can’t get into body cells. Only about 1%–2% of T4 in the blood is unattached (“free”) and can get into cells. The free T4 measure how much unattached T4 is in the blood and available to get into cells. In underactive state Free T will be low and in the overactive state Free T4 level will be high. Free T3 levels in the blood can also be measured but don’t give an extra advantage over measuring T4 level when hypothyroidism is suspected.

How is Hypothyroidism treated? Hypothyroidism can’t be cured. 24

SEPTEMBER 2017 | DOCTOR MAGAZINE

But in almost every patient, hypothyroidism can be completely controlled. It is treated by replacing the amount of hormone that the thyroid can no longer make, to bring T4 and TSH levels back to normal levels. So even if the thyroid gland is not producing enough thyroid hormones, T4 replacement can restore body’s thyroid hormone levels and body’s function. Synthetic thyroxine pills contain hormone exactly like the T4 that the normal thyroid gland makes.

What are the side effects of thyroxine pills? The only dangers of thyroxine pills are caused by taking too little or too much. If too little is taken, hypothyroidism will continue and If take too much thyroxine is taken then the symptoms of an overactive thyroid gland will develop. The most common symptoms of too much thyroid hormone are fatigue ,inability to sleep, greater appetite, nervousness, shakiness, feeling hot when other people are feeling cold, and trouble exercising because of weak muscles, shortness of breath , and a racing heart.

How the follow up is done after starting treatment? TSH level should be checked 6 to 10 weeks after initiating or changing thyroxine dose change. doctormagazine.lk

More frequent testing is needed in pregnancy. The goal of treatment is to keep the TSH in the normal range. Babies with hypothyroidism must get all their daily treatments and have their TSH levels checked as they grow, to prevent mental retardation and stunted growth. Once the thyroid hormones stabilise on a particular thyroxine dose less frequent monitoring (once yearly) could be done.

achieve the optimum blood thyroid hormone level prior to pregnancy. Demand for thyroid hormone level increase in pregnancy and even when the pre-pregnancy level of thyroid hormones are normal, a dose adjustment is needed in pregnancy.

What things are important in hypothyroidism in pregnancy?

Overactive thyroid is seen much less often than underactive thyroid. It can present with symptoms like weight loss, Increase heart beat, feeling warm most of the time and increase sweating due to increased metabolism in the body. Special drugs called anti thyroid drugs are needed to bring down the thyroid hormone level to normal. Small swellings in the thyroid gland called (nodules) are another commonly seen condition and most of them are incidentally found when a neck scan is done for another reason. If these swellings are small only a follow up scan is needed and if they are large a small tissue sample from these swellings are taken (using a small needle) to see under the microscope to decide whether the swelling is cancerous or not. Very large swellings in thyroid or swellings that produce too much of thyroxine may be better managed surgically.

Thyroid hormones( T4 and T3) are essential for early brain development of the foetus (growing baby). In the first part of the pregnancy till the thyroid gland is formed, the foetus is entirely dependent on mothers thyroid hormone level. So if a pregnant mother has hypothyroidism which is not adequately treated then there is a high risk of having a baby with compromised brain development. To prevent this, it is essential that pregnant mother takes her thyroxine pills properly and should try to keep the thyroid hormone level in the optimum range from the time of planning pregnancy. Any female with child baring age who has been diagnosed with hypothyroidism should discuss her pregnancy plan with a doctor and adjust the dose to

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What are the other problems seen in the thyroid gland?

SEPTEMBER 2017 | DOCTOR MAGAZINE

A Revolutionary Retinal Imaging Facilities from The Golden Key Hospital

As a result, they are able to acquire ultra-clear, colour-depth-resolved 3D microvascular imaging of the retina via dye-free angiography as part of routine eye care, making retinal disease management and treatment planning more efficient and effective.

The Hospital said it has upgraded its CIRRUS 5000 HD-OCT machine with Zeiss AngioPlex OCT Angiography, enabling doctors to view both vascular and structural information from a single noninvasive scan. 26

SEPTEMBER 2017 | DOCTOR MAGAZINE

â&#x20AC;&#x153;Angioplex technology revolutionises clinical practice with single-scan simplicity, and ensures artefactfree scans and precise location identification during follow-up visits,â&#x20AC;? a spokesman for the

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Golden Key Hospital said. “It also eliminates concerns about potential allergic reactions to the dyes used in standard angiography.” The technology also enables doctors to quantify microvascular change in patients by comparing changes from visit to visit to identify patients progressing in disease. The acquisition of this latest technology reflects the Hospital’s continuing commitment to offering patients the benefit of the best medical equipment available and standards that match those of renowned international medical institutions, he said. The Golden Key Hospital is the only

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private sector hospital in Sri Lanka that is a centre of excellence dedicated and equipped for all Eye & ENT related investigations, treatment and surgery. This stateof- the-art super specialty hospital is backed by a team of experts and nursing staff with specialised training in Eye and ENT. The hospital is equipped for 3D Optical Coherence Tomography and treatment of all eye diseases. Tests such as Fundus Fluorescein Angiography (FFA), Fundus Photography, A&B scans, Visual field assessment, Pachymetry Binocular Single Vision test, computerised eye tests for spectacles, as well as laser treatment and phacoemulsification surgery for cataracts are done routinely at the hospital. The hospital also offers vitreoretinal surgery for problems such as retinal detachment, diabetic eye diseases and intraocular infection. The hospital is managed by an Advisory Committee comprising of Professor Rohan W. Jayasekera, Emeritus Professor and former Dean of the Faculty of Medicine of the University of Colombo (Chairman), Dr Saliya Pathirana, Senior Consultant Eye Surgeon, Dr Saumya Paranawithana, Consultant Eye Surgeon, Dr Dilruwani Aryasingha, Consultant Eye Surgeon and Niranjan Silva (Chief Operating Officer).

SEPTEMBER 2017 | DOCTOR MAGAZINE

ŚĀLĀKYA SANDĪPANĪ - 2017 Recent Advances in Salakya Tantra

International Conference on Śālākya Tantra 2017 (3rd International Conference of TAS - India) Organized by Gampaha Wickramarachchi Ayurveda Institute University of Kelaniya - Sri Lanka With the collaboration of The Association of Salaki - India

15th, 16th and 17th September 2017 in Sri Lanka

Sub Themes • Preventive measures • Pharmaology • Rasayana Therapy & Punchakarma • Surgical & Parasurgical treatments • Basic concepts • Anatomy & Physiology of sensory organs • Beauty culture • Traditional knowledge • Sociological relations • Occupational disorders

Information shalakya2017@gmail.com Venue - Inaguration The Amaya Green Hotel, Weeragula, Yakkala, Sri Lanka Scientific Sessions Gampaha Wickramarachchi Ayurveda Institute

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fj;ska frda.Skag iyk /ila Y%S ,xldfõ frda. úksYaph iy m%;sldr we;=¿ ffjoH fiajd fCIa;%h ;=< kj;u ;dlaIKh Ndú;d lrñka fmr<shla we;s l< äðg,a ffjoH fiajd iemhqfï m%uqL;ufhl= jk uhsfvdlag¾ fvdÜ t,afla ^MyDoctor.lk) fj;ska ish mdßfNda.slhka i|ydu wema ^App) tlla y÷kajd § we;s w;r" ±kg tys ,shdmÈxÑ ù we;s 70"000 lg wêl mdßfNda.sl ck;djg tuÕska iykodhS ffjoH fiajdjka /ila iemfha' Bfvdlag¾ fvdÜ t,afla ^eDoctor.lk) f,iska 2012 § wdrïN fldg" wo jk úg äðg,a ;dlaIKh mdol fldg .;a YS% ,xldfõ ffjoH fiajd fCIa;%fha m%uqLhd f,i ms<s.efkk uhs fvdlag¾ fvdÜ t,afla ^MyDoctor.lk) Èjhsk mqrd ,shdmÈxÑ mdßfNda.slhkag meh doctormagazine.lk

24 mqrdjgu" ´kEu fõ,djl§ ffoH iNdfõ ms<s.;a ,shdmÈxÑ ffjoHjreka yd iïnkaO ù" ish ffjoH .eg¿ idlÉPd fldg ffjoH Wmfoia ,nd.; yel' tfiau úfoaY.; Y%S ,dxlslhkag fuys fjfik ish mjqf,a idudðlhka fjkqfjka fuu fiajdj ,nd .ekSfuka Tjqkaf.a wdorKShkaf.a fi!LHuh iqrCIs;Ndjh ;yjqre fõ' .¾NKS ud;djkag ,nd.; yels zzuhs fvdlag¾ fifkyiZZ meflac" ffjoHjreka pek,a lsÍfï fiajdj;a" yÈis ffjoH fiajd iemhSu;a ;j;a lemS fmfkk fiajdjka jk w;r" tuÕska .s,ka r:" ffjoHjreka yd fyÈhka ksjigu f.kajd .ekSfï myiqlï iemfha' óg wu;rj MyDoctor ys jd¾Isl idudðl;ajh (Membership) ,nd .kakd SEPTEMBER 2017 | DOCTOR MAGAZINE

mdßfNda.slhka yg Y%S ,xldfõ m%Odk fmf<a frday,a 50 lg jeä iy 150 lg wêl T!IOd.dr (Pharmacy) fj;ska 25] olajd jÜgï (Discount) iy wfkl=;a iqúfYaIs m%;s,dN j,g ysñlï ,nhs' fuu mdßfNda.sl wema (App) tfla iqúfYaI;ajhla jkqfha ´kEu ,shdmÈxÑ frda.sfhl=g ;u ish¿u mqoa.,sl iy ryis.; ffjoH" ridhkd.dr jd¾;d iy wfkl=;a ,shlshú,s l%udkql+,j frda.S fi!LH l=áh ^Health Vault) ys úYajdikShj yd iqrlaIs;j .nvd l< yels ùuhs' tu.ska ´kEu wkd.; ffjoH .eg¨jl§ iïmQ¾K mqoa.,sl ffjoH jd¾;djkag b;d myiqfjkau fhduq úh yels fõ' Bg wu;rj tu ish¿u úia;r wjYH jQ ´kEu úgl MyDoctor.lk ys ,shdmÈxÑ ù isák Tng m%;sldr lrk ´kEu ffjoHjfhl=g ksßlaIKh lsÍfï yelshdj ,nd § we;' fuu myiqlu ie<fikqfha Wmßu ryiHNdjh yd iqrlaIs; mßirhla ;=< ùu tys we;s ;j;a iqúfYaI;ajhls' zzwo iudcfha olakg we;s w;s ld¾hnyq, Ôjk rgdjkq;a" iaud¾Ü cx.u ÿrl:kfha ckm%sh;djh;a fya;= fldg f.k wmf.a äðg,alrKh mdol lr .;a iaud¾Ü mdßfNda.sl fiajdjka miq.sh jir 05 mqrdjgu wê iS>% j¾Okhla fmkakqï lrkjd˜ hkqfjka MyDoctor.lk fiajfha ks¾ud;D 30

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SPECIAL REPORT

fvx.= uÿrejd u¾Okfha wmg jerÿKQ ;eka'''

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SEPTEMBER 2017 | DOCTOR MAGAZINE

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ienE fvx.= frda.Ska ixLHdj ksielfhkau óg jvd lsysm .=Khlska by<h' fvx.= WK frda.h yeoS jd¾;d fkdjk frda.Ska úYd, ixLHdjla isà' fm!oa.,sl ffjoH uOHia:dk j,ska m%;sldr wrf.k ksfjfia isák frda.Ska" ndysr frda.Ska jYfhka frday,a j,ska WKg m%;sldr .kakd frda.Ska yd fm!oa.,sl frday,a j, m%;sldr ,nk frda.Skaf.a f;dr;=re jd¾;d lrk l%ufõohla fkdue;' uÿrefjlaf.a i;=relula ksid fï wdldrfhka wfma rg NS;shg m;ajQ m<uq wjia:dj fuhhs' furg frday,a ish,a,u mdfya fvx.= frda.Skaf.ka msÍ h;aoS wfma fi!LH wxxYj,go fï frda.h u¾Okhg c.;a iydh ,nd.kakg isÿ ù ;sfí' f,dal fi!LH ixúOdkfha l,dmSh lSg úoHd{ nQfmakaøkd;a od;amd,a" furg uef,aßhd u¾Ok jHdmdrfha wOHlaIjrhd jYfhka lghq;= l< oekg f,dal fi!LH ixúOdkfha fiajh lrk jix.; frda. úfYaI{ ffjoH ßIska; fm%aur;ak we;=¿j ;j;a iïudks; ffjoHjreka fofofklaf.ka iukaú; lKavdhula iu. furgg meñKsfha fï b,a,Sfï m%;sM<hla jYfhks' uÿre >k;ajh;a" frda.Ska ixLHdj;a ishhg mkylska wvq lsÍug läkï ks¾foaY ,ndoSu fudjqkaf.a fláld,Sk wNsm%dh úh' fï jk úg;a fuu úoaj;=ka ieliQ doctormagazine.lk

jd¾;dj rchg ,ndoS wjikah' tys i|yka jeo.;a ldrKd lsysmhla ms<sn|j ck;djf.a wjOdkh fhduq lsÍu fï ,smsfha wruqKhs'

;ju;a uÿrejkaf.ka ñfok wdldrh .ek jeä fofklaf. oeKqu uos''' fvx.= frda.h iïnkaOfhka fï jk úg;a úYd, oeKQj;a lsÍï wfma rfÜ wvqjla fkdue;sj isÿfõ' wm fndfyda fokd oeka fï oeKQj;a lsÍï j,ska fyïn;a ù isákjd hhs woyila we;s lr.kakgo neß lula ke;' ta ;rugu oeKQj;a lsÍï iq,nj ;sfí' ta;a lSg úoHd{ nQfmakaøkd;a od;amd,a mjik wdldrhg kï uÿre .ykh wvq lsÍug .;hq;= mshjr iïnkaOfhka ;ju;a wfma nyq;rhla ck;djg wjfndaOhla ke;' fuh fvx.= uÿrejka u¾Okh wvd, ùug iEfyk muK fya;= ù ;sfí'

uÿrefjla fjkak biafi,a, úkdY lrk tl ;uhs fyd|u uÿre md,kh''' fvx.= uÿrejdf. cSjk pl%h wjia:d y;rlska hqla;hs' ì;a;r" lSghd" ms,jd iy iqyqUq,a uÿrejd jYfhka' fuhska uq,a wjia:d ;=ku .; lrkafk c,fha' c,fhka msg fjfikafka uÿrejd ú;rhs' cSjk pl%fha c,fha .; lrk ì;a;r" lSg" ms,õ" wdoS wjia:djloS fï uÿrejd úkdY lsÍu ;uhs id¾:lu l%uh' fï .ek újdohla kE' fï ksid wm uq,skau uÿrefjla fjkak biafi,a, fï cSjk pl%h úkdY lrkak W;aiql úh hq;=hs' SEPTEMBER 2017 | DOCTOR MAGAZINE

SPECIAL REPORT

wfma fvx.= frda.Ska ixLHdj oeka ksielfhkau ,laIh blaujd ;sfí' urK ixLHdj 260 blaujd f.disks' nqÿka oji úYd,d uykqjrg isÿjQ úm;a;shg iudk úm;a;shla wo uq¿ uy;a rggu tljr meñK ;sfí'

SPECIAL REPORT

fukak fvx.= uÿrejd .ek wm oeKQj;a úh hq;= foa'''

fvx.= uÿrejd jrlg

ì;a;r 200la ú;r oukjd' oIaG lrkafk osjd ld,fha' jeäfhkau oIaG lrk fj,dj ;u

WoEik 7-10 w;r;a ijild,h' reêr fõ, iïmQ¾K lr.kak uÿrefjla mehlg mqoa.,hka

4-5lg jqK;a oIaG lrkak mq¿jks fvx.= uÿrejd lrk jevla .ek ryila''' fvx.= uÿrejd c,h iys; Ndckhl ì;a;r ouk .uka ;j;a jevla lrkjd' msgqmi mdo foflka ta ì;a;r ;o lr, Ndck mDIAGhg w,jkjd' fï w,jk ì;a;r j;=r ke;s jqK;a wjqreoaola jqK;a ksremøs;j ;sfhkak mq¿jka' tfyu ;sì, jeiaila wdj .uka ì;a;r mqmqr, kej;;a uÿre cSjk pl%h l%shd;aul fjkjd' fï úosyg ,laI .Kka îc c, gexls j," j;=r W.=,a j, ;sfhkjd' fï gexls iqoaO lrk úg n%IA tllska ;oska w;=,a,kak ´ks' tfyu l<du ta ì;a;r .e,ú,d hkj' gexlsfh kej; fnda fjkak bvla kE' 34

SEPTEMBER 2017 | DOCTOR MAGAZINE

újD; c, gexls mdhk ldf,;a fvx.= uÿrejd frda.h jHdma; lrkjd wfma rfÜ fvx.= jHdma;sh isÿjk wdldrh úuik úg oeka oeka jeys ke;s ldf,g;a fvx.= frda.Ska jd¾;d fjkjd' f,dal fi!LH ixúOdkfha ksfhdacs;hka lshk wdldrhg fï frda.S jHdma;shg újD; c, gexls m%Odk fya;=jla fjkjd' fï j;=r gexls mÍlaId lrkak úosyla kE' ksremøs;j fïjd j, uÿre lSghka jefvkjd' jy,j,a Wv ;sfhk isfuka;s c, gexls uÿrejka fnda fkdfjk ia:dk njg m;a lr.kak l< hq;af;a c, gexlsh fyd|ska jid oeóu iy jeä j;=r msgjk k,fha lg isyska oe,lska jid oeóuhs'

´kEu f.orl mehla we;=<; fvx.= uÿrejka fndafjk ia:dk 10-15la fydhd.kak mq¿jka''' j;=r tla/ia jk Ndck j, fvx.= uÿrejdg fndafjkak mq¿jks' ´kEu f.orlska mehla we;=<; uÿrejka fnda ùug bvlv ie,fik ia:dk 10-15la fydhd.kak mq¿jka lsh, nQfmakaøkd;a od;amd,a uy;auhd lshkjd' fï ksid f.or idudcslfhd i;shlg mehla j;a ;ukaf. j;af;a''' ksfjfia msßisÿlu fjkqfjka ld,h ñvx.= lsÍu w;HjYHhs' PHI uy;a;hg" fmd,Sishg" m<d;a md,k wdh;khg fï jefâ lrkak nE' lrkak bv ;shkak;a nE' zz;ukaf.a ksfji ;ukau msßisÿ lr.ekSuZZ Tfí iudc j.lSula' doctormagazine.lk

;j wjqreÿ

;=klska wmg wjYH T!IO j,ska mfyka y;rlau

wfma rfÜu ksIamdokh lrkjd'''

ms<sld T!IO;a wfma rfÜoSu bÈßfha§ ksIamdokh fjkjd we;s'''

rdcH T!IO ksIamdok ixia:dfõ iNdm;s ffjoH ihqre iuriqkaor doctormagazine.lk

SEPTEMBER 2017 | DOCTOR MAGAZINE

zzwmg wjYH T!IO j,ska ;ju;a wfma rfÜ ksIamdokh jkafka ishhg 15l m%udKhla muKhs' b;sß ish,a, wdkhkh lrkafka úfoaYhkaf.ka' fï i|yd w;s úYd, cd;sl OkialkaOhla''' j¾Ihlg fvd,¾ ñ,shk 400la jeks úYd, uqo,a m%udKhla fhoùug wfma rgg isÿj ;sfnkjd' kuq;a wm fï wdkhksl T!IO fjkqjg ;;a;ajfha b;d Wiia T!IO fï rfÜu ksIAmdokh lsÍu flfryS oeka jevigyka iïmdokh lrñka isákjd' fndfydau kqÿf¾oS wmg yelshdjla ,efíú wmg wjYH ;;a;ajfhka Wiia" .=Kd;aul T!IO j,ska jeäyßhla wfma rfÜu ksIamdokh lrkakg'''ZZ rdcH T!IO ksIamdok ixia:dfõ iNdm;s ffjoH ihqre iuriqkaor tfia m%ldY l<d' fï rfÜ fyg ojfia isÿ jkakg hk T!IO úma,jhla iïnkaOfhka lreKQ wkdjrKh lrñka ffjoH iuriqkaor wm yd l< idlÉPdfõ riuqiq''' wre;anr woyia fu;eka mgka Tfí wjOdkhg''

wmg wjYH T!IO wfma rfÜu ksIamdokh''' fuh ;ju;a isyskhlao@ kE tal isyskhla fkdfjhs' ZZisysk oelskak ´ks lshkjfka isysk ienE lr.kak'''ZZ wmg wjYH T!IO wfma rfÜu ksmojd.kak ySkh wmg;a fndfydau m%n,j ;snqKd' ta ySkh ienE lr.kak wm oeka ie,iqï ilia lr wjidkhs' ;j;a wjqreÿ ;=klska''' 2020 j¾IfhaoS wfma rgg wjYH lrk T!IO j,ska ishhg 80lau'' ta lshkafk mfyka y;r mx.=jlau foaYSh jYfhka ksIAmdokh lrkak wjYH mshjr oekgu;a wm wrf.k ;sfnkjd'

fï b,lalh imqrd .ekSug f.k we;s mshjr fudkjdo@ ta .ek wmj oeKQj;a lrkakg mq¿jkao@ Tõ''' fïid b,lalhlg hk tl wmg ;ksju l< yels fohla fkdfjhs' ta i|yd wmg wdfhdaclhka oskd.kak isÿ fjkjd' wdfhdack j,g iqÿiq jgdmsgdjla imhñka Tjqkag tu ksIamdok l%shdj,sh uekúka l%shd;aul lsÍug ys;lr kshduk lghq;a;la wfmka isÿ úh hq;=hs' rchla jYfhka ¥ro¾YSj ta osßu;a lsÍu m%:ufhkau i,id oS ;sfnkjd' wdfhdaclhka ;=< úYajdihla cks; lrkakg" ksIAmdok ñ,oS .ekSu iïnkaOfhka iy;sl jkakg wmg yelshdj ;sfnkjdfka' wm ta ldrKd bIAg lr oSfuka fï lafIA;%fha wdfhdack isÿ lsÍug wdfhdaclhka lsishï wdl¾YKhla fï jk úg olajd ;sfnkjd' tu ksIamdolhkaf.a T!IO ish,a, ñ,oS .ekSu .ek wm wdfhdaclhkag oeKQï oS ;sfnkjd' Tjqkag wdfhdack i|yd ishhg 20l ,dNhla ,efnkjd' fï wkQj wm oekgu;a wdfhdaclhka 24la iu. wm .súiqï.;j bosß T!IO wjYH;djhka fï rfÜoSu ksIAmdokh lsÍug wm mshjr f.k ;sfnkjd'

fï rfÜ ms<sld frda.Skag wjYH T!IO j,ska wvlau fï l¾udka;Yd,dfõ ksIAmdok lghq;= wdrïN ùfuka imqrd .ekSfï wruqKla wmg ;sfnkjd' ms<sld frda.Ska yg T!IO ksIAmdokh lsÍu Wfoid ;uhs fld.a., l¾udka;Yd,dj fhdod .ekSug wm woyia lrkafka'

SEPTEMBER 2017 | DOCTOR MAGAZINE

doctormagazine.lk

T!IO ksIamdokfha mqyqKQ Y%ñlhkaf.a ysÕh nrm;, .eg¿jla'''@ Tõ''' wm ta .ek ixfõoshs' mqyqKq Y%ñlhka T!IO ksIamdok l%shdj,sfhaoS w;HjYHhs' nq,;aisxy, m%foaYfha T!IO ksIamdokh iïnkaO l¾udka;Yd,djla fï oskj, bos flfrñka ;sfnkjd' th mqyqKQ Y%ñl m%fõYhlao iyss; wdh;khla jYfhka mj;ajd .ekSug wm b,a,d isáhd' tu wdh;kh fuu T!IO l¾udka;hg wjYH Y%ñlhka mqyqKQ lsÍfï uQ,sl woshf¾oS úYd, ld¾hNdrhl ksr; fjkjd we;s'

fï jevigyka fï jk úg l%shd;aul jk fõ.h .ek m%ldY lrkak@ fï jevigyfka m<uq l¾udka;Yd,dj wm miq.shod uykqjr újD; l<d' th Wiia ;;a;ajfha kjH ;dlaIKh fhdodf.k ksIAmdok l%shdj,shl fhfok l¾udka;Yd,djla' fojeks l¾udka;Yd,dj kqÿf¾oSu fydrK újD; fjkjd' oekg tx.,ka;fha jdih lrk ,dxflah úoHd{fhla uQ,sl;ajfhka ;j;a l¾udka;Yd,djl jev fï jk úg wjika fjñka ;sfnkjd' fld.a., wm ;j;a T!IO l¾udka;Yd,djla boslsÍug kshu lrf.k ;sfnkjd' ms<sld frda.Ska yg T!IO ksIAmdokh lsÍu Wfoid ;uhs fld.a., l¾udka;Yd,dj fhdod .ekSug wm woyia lrkafka' oekg úYd, OkialkaOhla ms<sld frda.Skag wjYH lrk T!IO ,nd .ekSug jeh fjkjd' fï rfÜ ms<sld frda.Skag wjYH T!IO j,ska wvlau fï l¾udka;Yd,dfõ ksIAmdok lhghq;= wdrïN ùfuka imqrd .ekSfï wruqKla wmg ;sfnkjd' ta yereKQ úg fï j¾IfhaoSu ;j;a l¾udka;Yd,d myl lghq;= n,d;aul lrkakg wm n,dfmdfrd;a;=fjka bkakjd'

fuu T!IO ksIamdok jHdmD;sfha m%;s,dN ms<sn|j iudf,dapkhl fhÿfKd;a''' @ wfma rfÜ ck;djg wjYH T!IO wvq uqo,lg ,nd .kakg yelsùu ;uhs uqLH mrud¾:h' tu ksid th ;uhs wm w;am;a lr.kakg ierfik m<uq m%;s,dNh jkafka;a' fï l¾udka;d,d u.ska /lshd wjia:d 2000la muK w¿;ska W;amdokh fjkjd' fïjdfha fiajh lrkafka mqyqKQ Y%ñlhka' fï ksid ksielfhkau doctormagazine.lk

Tjqkag mq¿,a jákdlula ,efnkjd' úfoaYhkayS ;rÕldÍ /lshd fj<|fmd<g jqK;a fï whg msúfikakg wjia:dj ,efnkjd' oeka wfma b,lalh wmg wjYH T!IO wfma rfÜoSu ksIAmdokh lsÍu' kuq;a fïjdfha Odß;djka jeä jk úg wmg fï T!IO úfoaYhkag wmkhkh lr úfoaY úksuh Wmhk wdodhï ud¾.hla njg;a m;a lr.kak wjia:dj ;sfnkjd'

,xldfõ;a uE;la jk ;=reu T!IO fj<|du oeä ,dN ,enQ jHdmdrhla' iud.ï wêl ,dN ,nk w;f¾ ck;djg oeä w.ysÕlï hgf;a fnfy;a ñ,oS .kakg isÿ jqKd' j¾;udk fi!LH weue;s rdcs; fiakdr;ak uy;aud oeä lemùfuka" wNsfhda. ueo fï rfÜ T!IO ñ, b;d ie<lsh hq;= uÜgulska my; fy<Sug mshjr .;a;d'

SEPTEMBER 2017 | DOCTOR MAGAZINE

,dNh ie<lSfïoS T!IO fj<|du;a wdhqO fj<|du;a .ek tlg l;d lrkjd' fïl ,dNodhS jHdmdrhla''' fm!oa.,sl wxYfha l%shdldß;ajh Tiafia wkd.;fha wfma ck;dj;a iQrdlEug ,la ùfï wjodku'''@ ,xldfõ;a uE;la jk ;=reu T!IO fj<|du oeä ,dN ,enQ jHdmdrhla' iud.ï wêl ,dN ,nk w;f¾ ck;djg oeä w.ysÕlï hgf;a fnfy;a ñ,oS .kakg isÿ jqKd' j¾;udk fi!LH weue;s rdcs; fiakdr;ak uy;aud oeä lemùfuka" wNsfhda. ueo fï rfÜ T!IO ñ, b;d ie<lsh hq;= uÜgulska my; fy<Sug mshjr .;a;d ú;rla fkdfjhs" t;ekskq;a tydg .syska wlaIs ldp" cSú; iqrlsk Y,H fuj<ï fia ie<flk yDo frda.Skaf.a iafgkaÜ wdosh;a fkdñ,fha frda.Skag ,nd oSug i,iajñka ksoyia fi!LH fiajdj jvd;a w¾:j;a l<d' T!IO kshdukh iïnkaOfhka oekg mj;sk l%ufõoh ;=< wêl ,dN ,nkak nE' idOdrK ,dNhla ;uhs wdfhdaclhdg ,nd .kakg wjia:dj ;sfnkafka' th rgla jYfhka wm ,enQ úYd, ch.%yKhla' bosß T!IO ksIAmdok jevigyk hgf;a fï lghq;= ;j ÿrg;a w¾:j;a fjkjd' tl WodyrKhla fokakï' tla m%;scSjlhla ;sfnkjd' th fj<|fmdf<A remsh,a

2020 j¾IfhaoS wfma rgg wjYH lrk T!IO j,ska ishhg 80lau'' ta lshkafk mfyka y;r mx.=jlau foaYSh jYfhka ksIAmdokh lrkak wjYH mshjr oekgu;a wm wrf.k ;sfnkjd' 38

SEPTEMBER 2017 | DOCTOR MAGAZINE

75la jf.a ñ,la kshu fjkjd' tu m%ñ;shgu''' ta wdldrfha ksudjlskau wmg ta T!IOh remsh,a 11la jf.a uqo,lg ksIamdokh lrkak mq¿jka' T!IO fjf<kaoka lsishï fyda wêl ,dNhla ,nkjd kï fï foaYSh T!IO ksIAmdok jevigyk hgf;a ta wjia:djkq;a u. yef¾ú'

rdcH T!IO ksIAmdok ixia:dfõ lghq;= .ek;a wm iq¿ mKsúvhla ,nd fouq'''@ rdcH T!IO ksIAmdok ixia:dj oekg T!IO j¾. 57la ksIAmdokh lrkjd' 2015 j¾IfhaoS ,dNh ñ,shk 215hs' 2016 j¾IfhaoS th ñ,shk 400 olajd f.k tkakg wmg yels jqKd' ksIamdok Odß;djho úYd, jYfhka jeä lr.kakg wmg yelshdj ,enqKd' wmf.a ld¾huKav,fha lemùu b;d by<hs' Tjqka b;d úYajdijka;j ;u ld¾hhka isÿ lrñka rdcH T!IO ksIAmdok ixia:dfõ Wkak;shg odhl;ajh fok nj ud lsj hq;=uhs' idlÉPd igyk wñ; úl%uwdrÉÑ doctormagazine.lk

fhda.Ü

uyd¾> .=K we;s wdydrhla''' tys we;s fm%danfhdála ksid wfma f,vfrda. we;sùfï wjodku úYd, jYfhka wvq lr.kakg mq¿jks'''

zzhy fmdaIKhZZ fifkyiska wjfndaO lr.; hq;= cSjk l,djla'' fmdaIKh wfma cSú;h yd iïnkaO w;sYh ixfõoS ud;Dldjla' wo wmg ;sfnk fndfyda f,vfrda. .ek n,k úg tys ksh; fmdaIK úoHd;aul me;a;l=;a ;sfhkjd' fmdaIKh uosmdvq jqKdu;a .eg¿' fmdaIKh jeä jqKdu;a .eg¿' ta ú;rla fkdfjhs wo wfma mrïmrdj uqyqKmdk úYd, wNsfhda.hla ;uhs wfma fmdaIKh i|yd wm ,nd. 40

SEPTEMBER 2017 | DOCTOR MAGAZINE

Wmfoia oelaùu fmardfoksh úYaj úoHd,hSh ffjoH mSGfha cSj ridhk fomd¾;fïka;=fõ uydpd¾h YsrdKs rKisxy kakd wdydr j, ;sfnk .=Kd;aulNdjh iïnkaO .eg¿j' jiúI j,ska ¥IKh jQ wdydr WordndO''' u<noaOh'' úúO tosfkod wmyiq;d ú;rla fkdfjhs oshjeähdj" jl=.vq frda. yd ms<sld wdoshg mjd fya;= jk nj Tn;a okakjd' fujka miqìul wdydrhg iqÿiq hym;a" hy.=K imsß wdydr ms<sn|j wm wjfndaOfhka isáh hq;=hs' tjka wdydrhla .ek''' YÍrfha j¾Okhg jf.au wfma YÍrh u.ska isÿ lrk doctormagazine.lk

fN!;fõoSh yd ridhKsl l%shdldrlï j,g ksYaÑ; jYfhkau rel=,la ,nd fok wdydrhla .ek ieflúka woyila m< lrkakg ud leu;shs' ta ;uhs fhda.Ü'

iífí i;a:d wdydrÜÀld''' wdydr wm ldf.a;a hemSug wjYHhs' f.!;u nqÿrcdkka jykafia;a foaYKd lf<a tfyufk' úÿyqre wdldrhg ukqIHhdf.a meje;aug wdydr ms<sn|j úuik úg wfma YÍrhg wjYH lrk Yla;sh i,ikak'' YÍr j¾Okhg yd meje;aug uQ,sl jYfka ldfndayhsfâ%g" fm%daàk jf.au fïoh;a wjYHhs' Bg wu;rj úgñk" LKsc ,jK yd laIqø fmdaIl;a wfma YÍrfha j¾Okhg" mßjD;a;Sh l%shdj,ska uekúka isÿ jkakg wjYHhs'

wfma fm%daàk wjYH;djhka imqrd.kakd úúO l%u wfma m%Odk wdydrh n;a' n;a j," w, j¾. j, yd msá j¾. j, ldfndayhsfâ%Ü uekúka ;sfnkjd' ldfndayhsfâ%Ü jf.au fm%daàk;a" fïo úfYaI;a fndcqkam;g wjYH fjkjd' fm%daàk wfma YÍrhg w;sYhska jeo.;a wdydr ix>glhla' orejkaf.a kï wia:s j¾Okhg fm%daàk wjYHuhs' wm tosfkod .kakd wdydr /il fm%daàk ;sfnkjd' uia j," mßmamq" fndaxÑ" lsß''' fï fldhsfl;a fm%daàk wka;¾.;hs' yenehs fï tl tlla wdydr j, ;sfhkafka fjkia fjkia fm%daàk' we;af;kau fï úúO wdldrfha fm%daàk wfma YÍrfha meje;aug" l%shdldß;ajhg wjYH fjkjd' uf.a w;aoelSï tlal uu jeäu fm%daàk

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m%Njhla iys; wdydrh f,i kï lrkafka ì;a;r' B<Õg lsß' lsß wm cSú;fha m<uqfjkau .kak wdydrh' th oskm;du ojilg lsysm j;djla .kak wdydrhla' fï ksid lsß wfma fm%daàk wjYH;djhka imqrd.kak fyd| uQ,dY%hla lsõfjd;a th ksjeroshs' lsß yereKq úg lsß ñY% wdydr;a wfma wdydr isßf;a jeo.;a ;ekla .kakjd' lsß ñY% wdydr wfma wdydr isß;g tl;= jqfKA lreKQ folla Wv' tlla ;uhs" lsß jf.a fkdfjhs''' lsß ñY% wdydr jeä ld,h;a ;nd.; yelshs' wfkla ldrKh ;uhs úúOdx.SlD; wdydr j,ska ,efnk rih' fhda.Ü tl m%KS; wdydrhla' lsß fndkak wlue;s flfkla jqK;a fhda.Ü tlla ÿkafkd;a fkdld bkak fm<fUkafka kE'

fhda.Ü m%KS;''' fi!LHiïmkak laISr wdydrh fhda.Ü .ek Tn fkdokakd fmdaIKSh lreKQ lsysmhla wm fu;eka isg idlÉPd lruq' fhda.Ü yokafk lsß j,ska' yenehs lsß j,g wu;rj fhda.Ü ksIAmdokfhaoS ys;lr" icSù nelaàßhdjka Bg tl;= lrkjd' fm%danfhdála''' ku lsõju Tn okakjd" taj ;uhs fhda.Ü j, bkak nelaàßhdjka'

wkNsNjKsh fm%danfhdála fm%danfhdála .ek wo jeä jeäfhka wykak ,efnkjd' fhda.Ü ksIamdolhka ;uhs ;ukaf. ksIamdok wf,úfhaoS fï .ek jvd;a wmj oeKQj;a lrkafka' we;af;kau fhda.Ü .ek l;d lrkjd kï fm%danfhdála .ek lshkaku fjkjd' SEPTEMBER 2017 | DOCTOR MAGAZINE

tl;= lrkak ´ks' fï úosfya wdydr jeä ld,hla fj<|fmdf<a wf,ú l< yels jk fia l,a bl=;a ùfï oskh wE;g oukjd lshkafka jeäfhka ridhk øjH Bg tl;= lrkjd lshk tlhs' túg tys iajdNdúl laISr .=Kh''' fmdaIl .=Kh ySk fjkjd' Tn oek.; hq;= jeo.;au ldrKh ;uhs fï úosyg l,a bl=;a ùfï oskh wE;g oeuQ fhda.Ü j, fm%danfhdála kue;s uyd¾> fmdaIlh lsishï m%udKhlska wvqùfï bvlvl;a ;sfhkjd' fï fm%danfhdála Tn ys;kjdg;a jvd jákd fohla' wjYH m%udK j,ska YÍrfha fm%danfhdála ;sfnkjd kï wmsg je<f|k f,v frda. j,ska ishhg 50la j;a wvq lr.kak mq¿jka' fm%danfhdála wo ojfia wmg wNsfhda. hlaj ;sfnk fndfyda f,vfrda. j,g wfmalaIdiy.; úi÷ula jYfhkqhs m¾fhaIl m%cdfõ ms<s.ekSu' fhda.Ü yereKQ úg uqojdmq lsß jf.a uqyqka fh¥ laISr wdydr j,;a fï fm%danfhdála ;sfnkjd' fm%danfhdála j, M< m%fhdackh ,efnkak kï tajd tl;= l< hq;af;a mk ;sfhk úghs' nelaàßhdjka icSùj wdydr ud¾. hg we;=,a jk f,ihs' wdydr ud¾.h ;=< fï nelaàßhdjka l%shd;aul ùfuka ;uhs wms fm%danfhdála j,ska wfmalaIs; wdrlaIdj''' /ljrKh wmg ,efnkafka' ta ksid fm%danfhdála wjYH m%udKfhka icSùj ;sfnk fhda.Ü tlla f;dard .ekSuhs jeo.;a jkafka' wo fj<|fmdf<A fhda.Ü úYd, m%udKhla ;sfnkjd' tajd os.= ld,hla lvms,a j, YS;lrK ;=< ;ndf.k wf,ú lsÍfï W;aidyhl=;a ;sfnkjd' fhda.Ü jeä ld,hla ;shd .kak kï talg wdydr ixrlaIKh lrk ridhk tl;= lrkak ´ks' úúO ridhk Bg 42

SEPTEMBER 2017 | DOCTOR MAGAZINE

fï wkQj meyeos,s jk tla ldrKhla ;sfnkjd' fhda.Ü Tfí fi!LHiïmkak;djh fjkqfjka Tfí wdydr isß;g fifkyiska tla lr.; hq;= wdydrhla' ta;a''' Tn fhda.Ü ñ,oS .ekSfïoS th inqoaêlj l< hq;= fjkjd' ñ,oS .kakka jdf, i,a,s oS, lfvka .kafk ke;sj iajdNdúl .=Kh wkQk''' jeä ld,hla YS;lrKfha f.dv .y.kak fkdfjhs blauKska l,a bl=;a jk úYajdiKSh fhda.Ü udos,shla Tfí wdydr isß;g tla lr.;af;d;a thska Tfí ksfjfia idudcslhkaf.a fi!LHdrlaIdjg w;sYh jeo.;a / ljrKhla ,efnkjd' jeä ld,hla fj<|fmdf<a wf,ú l< yels jk fia l,a bl=;a ùfï oskh wE;g oukjd lshkafka jeäfhka ridhk øjH Bg tl;= lrkjd lshk tlhs' túg tys iajdNdúl laISr .=Kh''' fmdaIl .=Kh ySk fjkjd' wjYH m%udK j,ska YÍrfha fm%danfhdála ;sfnkjd kï wmsg je<f|k f,v frda. j,ska ishhg 50la j;a wvq lr.kak mq¿jka' fm%danfhdála wo ojfia wmg wNsfhda.hlaj ;sfnk fndfyda f,vfrda. j,g wfmalaIdiy.; úi÷ula jYfhkqhs m¾fhaIl m%cdfõ ms<s.ekSu'

ilia lf<a Ndr; .=K;s,l doctormagazine.lk

LABORATORY TESTS EXPLAINED

Èhjeähd frda.Skaf.a frda. md,kh ms<sn|j ksiel bÕs imhk ridhkd.dr mÍlaIdj

HbA1c

wdisß ridhkd.dr fiajdfõ wOHlaI kS,a m%sh;a fcdaka úisks 44

SEPTEMBER 2017 | DOCTOR MAGAZINE

Èhjeähdj wdY%s; ixl+,;d we;sùfï wjodku lshkafkao fuu mÍlaIKh uehs''' doctormagazine.lk

Èhjeähdfjka fmf<k frda.sfhl=g miq.sh udi ;=kl ld,h ;=< flfkla ;u Èhjeähdj fl;rï m%udKhlska md,kh lrf.k ;sfío hkak .ek mÍlaId lsÍug jvd;a fhda.H mÍlaIdj f,i ffjoHjreka i<lkafka HbA1c mÍlaIdjhs' fï mÍlaIKfhka ,efnk m%;sM< iudf,dapkfhka tu ;eke;a;df.a fyda ;eke;a;shf.a T!IO m%udK ixfYdaOkh lsÍug ffjoHjreka W;aiql fj;s' flfkl=f.a HbA1c uÜgu tljku fyda iS>%fhka fjkia jkafka ke;' r;= reêr ffi, j, wka;¾.; .a,hsfldisf,agâ ix>glh f;uil ld,hla''' th ñh hk f;la fkdfjkiaj mj;akd fyhsks' wfkla w;g reêr.; .aÆfldaia uÜgu (Blood Glucose Tests) fï wdldrfhka ksYaÑ; ld,hl reêr iSks yeisÍu olajk m%;sM<hla ,ndoSug wiu;ah' flfkl=f.a tla tla wjia:dfõ mj;akd reêr iSks m%udKh Tyq .kakd wdydr" Tyqf.a YÍr l%shdldrlï wdoS úúO idOl u; fjkia fõ' ojil ld,h ;=< ne¨j;a flfkl=f.a reêr.; iSks idkaøKh fudfyd;ska fudfyd; fjkia jkafkah' fï wkQj flfkl=f.a reêr iSks mÍlaIKfhka ta reêrh ,nd .kakd wjia:dfõ reêr iSks idkaøKh muKla olajk w;r th ksYAÑ; ld,hla ;=< flfkl=f.a reêr iSks md,kh iïnkaOfhka wjfndaOhla ,nd .ekSug tu f,a mÍlaIKh (Blood glucose Tests) lsisfia;a iqÿiq fkdfõ' fï wkQj HbA1c mÍlaIKhg oshjeähd frda. mÍlaIK w;r ysñ jkafka iqúfYaIS jeo.;aaluls' ;j;a jeo.;a ldrKhla jkafka HbA1c mÍlaIKh oshjeähd frda.Ska yg we;sjk úúO ixl+,;d iïnkaOfhka wjfndaOhla ,nd .ekSugo we;s fyd|u mÍlaIKh ùuhs' doctormagazine.lk

fuu HbA1c mÍlaIKhg reêr kso¾Ylh ,nd .ekSfïoS frda.shd ksrdydrj isáh hq;= ke;' thg myiqjls'

HbA1c mÍlaIKh yd Blood Glucose Tests w;r iudk;d yd

fjkialï HbA1c mÍlaIKh yd ksrdydr .aÆfldaia

mÍlaIKh wmg b;d jákd wdldr foll f;dr;=re iemhSula isÿ lrhs' HbA1c mÍlaIK m%;sM<h u.ska Tn

oekgu;a oeKQj;aj isák wdldrhg oshjeähd frda.fha ;=kauil yeisÍu" th fl;rï m%udKhlska iuia;hla jYfhka l<uKdldrKh ù we;ao hkak .ek ñi ta wjia:dfõ mj;akd reêr iSks m%udKh iïnkaOfhka lreKQ oelaùula isÿ fkdlrhs' reêr iSks mÍlaIKhloS wmg ,nd fokafka ta wjia:dfõ reêr iSks uÜgu iïnkaO m%udKd;aul fy<sorõjls' tu.ska tu wjia:fõoS tu frda.shdf.a

HbA1c mÍlaIKhg reêr kso¾Ylh ,nd .ekSfïoS frda.shd ksrdydrj isáh hq;= ke;' SEPTEMBER 2017 | DOCTOR MAGAZINE

iSks uÜgu fnfyúka by< f.dia ;sfío@ (Hyperglycaemia) ke;fyd;a fnfyúka my; jeà ;sfío (Hypoglycaemia) wdoS jYfhka iSks j, ta ta wjia:dfõ yeisÍu .ek wjfndaOhla ,nd .ekSug m%fhdackj;a fõ' HbA1c mÍlaIKh yd ksrdydr .aÆfldaia

mÍlaIKh fjkia f;dr;=re ,ndfok mÍlaIK folla jkjd fiau HbA1c mÍlaIKh yd ksrdydr .aÆfldaia mÍlaIKfha idudkHhla ,ndfok mÍlaIdjla jYfhka ie<lSuo jeros iy.;h'

HbA1 yd Blood Glucose w;f¾

iyiïnkaO;djhlao yªkd.efka''' ksrka;rfhka wêl reêr iSks w.hka ,eîu .a,hsfldisf,agâ r;= reêr w.hka ixLHd;aulj jeä lrjk w;r tfyhskau HbA1c w.hkao jeä lrjk nj i;Hhls' 2008 j¾IfhaoS isÿ lrk ,o wOHhkhlskao fï HbA1c yd Blood Glucose w.hka w;r ksiel iyiïnkaO;djhla wkdjrKh lrf.k ;sfí' fï iïnkaOfhka isÿ lrk ,o wOHhk j,ska wk;=rej yd w;r .Ks;uh wdfmdaykhla fy<sorõ lr.ekSfï wkdjrKhlao isÿ lrk ,o w;r th A1c-Derived Average Glucose (ADAG) or estimated Average Glucose (eAG) hkqfjka yªkajd oS ;sfí'

mÍlaIK m%;sM< fodaI iy.; njg m;a lrjk f,vfrda. HbA1 mÍlaIKh ksrjoH mÍlaIdjls'

kuq;a tys we;eï iSudldÍ idOl n,.ekafjk wjia:d iïnkaOfhka wm oeKQj;a úh hq;=h' fuu w.hkayS ksrjoH ixLHd;aul w.hka ,nd.; 46

SEPTEMBER 2017 | DOCTOR MAGAZINE

HbA1c mÍlaIKh

oshjeähd frda.Ska yg we;sjk úúO ixl+,;d iïnkaOfhka wjfndaOhla ,nd .ekSugo we;s fyd|u mÍlaIKh ùuhs' yels fkdjk wjia:do mj;S" tfia wvqmdvqlï iys; w.hka ,eìh yels lKavdhï lsysmhla fufiah' • ksrla;sl frda. j,ska fmf<k wh • .¾NsKS ldka;djka • ysfud.af,dìka w.hkayS úp,H;djhka olajk wh

HbA1c w.hka iudf,dapkh • Type-1 yd Type-2 hk ljr wdldrhl fyda oshjeähdj ;sfnk flfkla ;u b,lalh lr.; hq;af;a ;u HbA1c mÍlaIKfha w.h 7%g jvd wvq lr .ekSugh' fuu w.h 8 fyda Bg jeä w.hla .ekSfuys wre; jkafka oeä frda. md,khla wjYH jk njhs' • oshjeähdj ke;s flfklaf.a fuu HbA1c w.h 4.0% to 6.0% mrdihl msysghs' oshjeähdj ;sfnk whf.a HbA1c w.hka wvqùu Hypoglycemia kue;s wjodkï ;;a;ajh .ek wk;=re yÕjhs' • orejkaf.a yd .egjrhkaf.a b,lal.; w.h 7'5g (< 7.5 %) ;rula jeäh' fï jhfiaoS wdydr md,khla ke;' jeäfhka iSks wkqNjhg .kshs' oeßúhkaf.a

doctormagazine.lk

jeäúh m;aùu wdoS cSj úoHd;aul ldrKdo fï ksid we;sjk j¾Ol fjkialïo''' fï wdoS ldrKd ksid iaj,am jYfhka lvbu by< hdu iajdNdúlh' • Tfí HbA1c w.hka idudkH ys;lr mrdifha fkdfõ kï Bg Tn l,n, úh hq;= ke;' Tn l< hq;af;a ffjoHjrhd uqK .eiSuhs' HbA1c by< w.hka jd¾;d jk l,ayS ^.aÆfldaia uÜgu >200 mg/ dL) oshjeähdj fya;= fldgf.k tu w.hka we;sjQ njg idlaId;a l< yelafla kej; kej; tu mÍlaIK isÿ lsÍfukao HbA1c by< w.hka jd¾;d jkafka kï muKs' • HbA1c w.h 5.7 - 6.4 mrdifha ;sfnk wh wkd.;fhaoS oshjeähdj frda.h wkd.;fhaoS we;sùfï wjodkula iys; f,i y÷kd.kS' we;eï mqoa.,hkag oshjeähdj yªkd .ekSu i|yd reêr.; iSks mÍlaIKh fhdod.kakd uq;a A1c mÍlaIKh ta ldßhg iqÿiq ke;' fuys wfkla me;a;o ;sfí' we;eï fj,djg reêr.; .a¨fldaia uek ne,Sfuka oshjeähdj ks¾Kh lsÍu isÿ fkdl< yelsuq;a A1c mÍlaIKh th ks¾Kh lsÍug fhdod.; yels jk wjia:d ;sfí' fujka úp,H;djhka we;s jQ úg mÍlaIK fol iqÿiq mßos fhdod .ekSug

Tfí w.hka idudkH ys;lr mrdifha fkdfõ kï Bg Tn l,n, úh hq;= ke;' Tn l< hq;af;a ffjoHjrhd uqK .eiSuhs'

doctormagazine.lk

ffjoHjreka fm<fUk w;r kej; kej; fuu mÍlaIK isÿ lsÍuo fuys,d iqúfYaIS jeo.;alula orhs' fuu oshjeähd reêr mÍlaIK isÿ lsÍfuka úúO wjia:d j,oS úúO w.hka oelaùu oshjeähd frda.fha uQ,sl wjia:dfõoS o we;s úh yel' iEu mÍlaIKhlskau jeä w.hka fkdoelaùu frda.fha uq,a ld,fhaoS oelsh yels yeisÍuls'

HbA1uek n,k l%ufõoh tßf;%dihsÜ uÜgu úp,H lrk frda. j,oS Wod' Homozygous for HbS fyda HbC HbA1uek ne,Su ksjeros m%;sM< fkdolajhs' fuu mÍlaIKh isÿ lrk ridhkd.dr úiska ;uka úiska isÿ lrk mÍlaIK j, m%;sM< j,g wNsfhda. t,a, lrk iSudldÍ idOl iònkaOfhka úuis<sula úh hq;=hs' tjka wjia:d j,oS úl,am l%ufõohka fhdod.; hq;=hs' (If an ion-exchange HPLC method is used, then careful inspection of chromatograms may identify the presence of aberrant peaks produced by variants. In this way unacceptable results can be detected and, in most cases, alternate HbA1c methods can be used.)

fiiq ridhkd.dr mÍlaIK j,oS wkq. ukh lrkjdla fukau ridhkd.dr mÍlaIKfhka ,efnk m%;sM< idhksl f;dr;=re j,g fkd.e,mSula m%lg lrhs kï tjka wjia:d j,oS fjoHjrhdg tu ;;a;ajh fmkajd oSuo ridhkd.drfha j.lSuhs' wdisß ridhkd.dr fiajdfõ ridhkd.dr ld¾ñl p;=rdks fufkúhg wmf.a ia;+;sh ysñ fõ'

SEPTEMBER 2017 | DOCTOR MAGAZINE

ARTHRITIS

wd;rhsáia frda.fha úúO .;s fidnd''' fõokdj;a iu. w;aje,a ne|f.k ðú;hg jo fok wd;rhsáia frda.fha úúO wdldr .ek úia;r lrk ,smshls' 48

SEPTEMBER 2017 | DOCTOR MAGAZINE

tlai;a rdcOdksfha l%Svd ffjoH tallfha úfYaI{ ffjoH wix. úchr;ak

doctormagazine.lk

úúO wd;rhsáia m%fNao Tiaáfhdawd;rhsáia Osteoarthritis

fuu frda.Skag jHdhdu" Wig iß,k nrla mj;ajd .ekSu" ksjerÈ bßhõ iy ir, T!IO u.ska idudkH f,i Ôj;aùug u. mdod .; yelsh'

m%odyhsl wd;rhsáia ^bka*a,fïgß wd;rhsáia Inflammatory arthritis&

f,dj mqrd isák frda.Ska ñ,shk .Kklg fõokd f.k fok iq,nu wd;rhsáia ldKavh fuh fõ' ikaê f.ù hdfuka bÍ hdfuka we;s jk frda.h f,io fuh y÷kajhs' ld,hla mqrd wiaÓ fl<jr we;s ldáf,ac laIh ù hdfuka Tiaáfhdawd;rhsáia frda.h iefoa' isref¾ ´kEu ikaêhlg frda.h n,meje;aúh yelsh' tfy;a jvd;a iq,n f,i oelsh yelafla w;aj," fn,af,a" fldkafoa" oK ysia iy Wl=¿ ikaêfha we;s jk Tiaáfhda wd;rhsáia ;;a;ajhkah' ld,hla ;siafia fuf,i frda.h ;sîu ksid frda.h oreKq fõ' ;ju;a frda.h iqj lsÍug m%;sl¾uhla ke;' ldáf,aÊ j¾Okh lrk Tiqjlao fuf;la fidhdf.k fkdue;' tfy;a frda.Skag is;a ikid .; yelsh' ta frda.h j¾Okh ùu wvd, lrk m%;sl¾u ;sfnk ksihs' ta u.ska fõokdfjka iykhla ,nd ikaê l%shd ldß;ajh jeä lr .ekSug;a bv ,efnkjd'

doctormagazine.lk

fï m%;sYla;slrK wl%ñl;djla ksid we;sjk wd;rhsáia ;;a;ajhls' isref¾ mgl i;=frl= fia i<ld m%;sYla;slrK moaO;sh úiskau myr§u fuysÈ isÿfjhs' fuu ksid ikaê fõokdjkag wu;rj isref¾ úúO wjhj j,g n,mEï isÿfõ' Wod-iu" weia" fmKy¨" reêrkd, jeks wjhjhkag ydks lsÍug W;aiql fjhs' fï frda.fha § m%;sYla;slrK moaO;sh md,kh l< hq;=h' ke; yd;a frda.h ksid isref¾ ldáf,ac úkdY ù ikaê j,g iaÓr jYfhkau ydks isÿfõ' l%shd lsÍug we;s yelshdj uq¿ ukskau ke;sù hhs' m%ody wd;rhsáia j¾. ^Rheumatoid, Ankylosing Spondyitis,Psoriatic Arthritis,SLE, Systemic Sclerosis, Vasculitis&

.Kkdjla we;'

SEPTEMBER 2017 | DOCTOR MAGAZINE

cqfjkhs,a reuefgdhsâ wd;rhsáia Juvenil Rheumatoid Arthritis/ Juvenile idiop athic Arthritis ld,hla mqrd wiaÓ fl<jr we;s ldáf,ac laIh ù hdfuka Tiaáfhda wd;rhsáia frda.h iefoa' isref¾ ´kEu ikaêhlg frda.h n,meje;aúh yelsh' tfy;a jvd;a iq,n f,i oelsh yelafla w;aj," fn,af,a" fldkafoa" oK ysia iy Wl=¿ ikaêfha we;s jk Tiaáfhda wd;rhsáia ;;a;ajhkah' fuh jhi wjqreÿ 16g wvq orejka w;r jvd;au iq,n wd;rhsáia j¾.hhs' È.ska È.gu mj;sk ikaê fõokdj" bÈuqu" ;o.;sh" fuys ,laIK fõ' iuyr orejka frda. ,l=Kq w;a olskafka udi lsysmhla muKhs' ;j;a orefjda Ôú; ld,h mqrdu frda. ,laIK j,ska mSvd ú¢;s' iuyr cqfjkhs,a reuefgdhsâ wd;rhsáia j¾. ksid nrm;, ixl=,;d yg.kS' j¾Ok .eg¿" wlaIs m%odyhka ta w;r fõ' fõokdj md,kh lsÍu YdÍßl l%shdldß;ajhka jeä lsÍu"

SEPTEMBER 2017 | DOCTOR MAGAZINE

ikaê ydksh je<elaùu frda.hg lrk uq,sl m%;sldrhka fõ' à'ì wd;rhsáia" tia't,a'B isiagñla ialaf,dfrdisia" jeialshq,sáia" wd§ t;rïu iq,n ke;s wd;rhsáia j¾. .Kkdjla ;sfí'

wd;rhsáia frda.fha ldKavh wkqj fjkia jk frda. ,laIK .ek ó<Õ l,dmfhka idlÉPd lruq'

doctormagazine.lk

COMMON BLOOD TESTS IN DIABETES; DIAGNOSIS & TESTING THE CONTROL

Things you should know and Misconceptions I am certain most of you, who have been living in this country, may have undergone one or two blood tests for diabetes.

Dr Gaya W Katulanda MBBS, Dip Path, MD (Chem Path), DipRCPath (UK) Consultant in Chemical Pathology Head, Department of Biochemistry Medical Research Institute 52

SEPTEMBER 2017 | DOCTOR MAGAZINE

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Sri Lanka being a country in South Asia shows a high prevalence of diabetes mellitus. Prevalence of both diabetes and pre-diabetes is around 20% in the adult population in the country. While the risk of eye disease, kidney disease and diabetes wounds leading to amputation is high in diabetes, the risk of heart attack and strokes is high in pre-diabetes as well as diabetes. In addition those with pre-diabetes may develop diabetes in the future. Therefore those with pre-diabetes also need dietary control, exercises and monitoring. Those with diabetes need vigorous control to prevent complications, disability and death. There are two types of tests for diabetes 1. Tests to diagnose and monitor control of diabetes

FBS in the afternoon or evening is not allowed as physical activities can affect the result making it lower. During fasting period water is allowed and even plain tea without sugar or milk can be ingested. More importantly 3 days prior to the test the patient shall be on his normal diet and physical exercise. If you diet and exercise prior to the test, your sugars will be lower than before and will miss the diagnosis. Furthermore a person on any other medications which might affect sugar levels such as oral contraceptive pill or steroids shall not be stopped especially if that drug taken routinely. Fasting up to 12 hours might not affect result significantly. If you have symptoms of diabetes such as excessive thirst, weight loss or excessive urination a single test result

2. Tests to look for complications of diabetes Most commonly performed tests for diagnosis and monitoring control include fasting blood sugar(FBS), oral glucose tolerance test (OGTT), post prandial blood glucose (PPBS), glucose challenge test (GCT), blood sugar series( BSS), random blood sugar (RBS) and HbA1c.

FBS â&#x20AC;&#x201C; Fasting blood sugar FBS is the most commonly performed test and used to screen for and diagnose diabetes or pre-diabetes.

or Interpretation of FBS: < 100

Normoglycaemia

100 - 125

Pre-diabetes

â&#x2030;Ľ 126

Diabetes Mellitus

In preparation of FBS, you need to fast for 8-10 hours overnight. Fasting during daytime and giving blood for doctormagazine.lk

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is sufficient to diagnose diabetes. In an asymptomatic patient repeat testing is necessary.

PPBS – Post prandial blood glucose This is a less standardized test in diagnosis of diabetes or prediabetes. It is more commonly used to measure control of diabetes. This is advantageous as no fasting is required. Instead you need to have a normal meal (one you are used to have) and give blood exactly 2 hours after starting the meal. You have to make sure that meal is eaten within 5-10 minutes. The test can be done after breakfast, lunch or dinner. If a person normally on a fairly heavy meal of rise and curries eats a ‘malu paan’ and gives blood for PPBS you might miss diabetes. In vice versa if you eat abnormally large meal and do PPBS a false diagnosis of diabetes will be made. Moreover during the time between meal and the blood test the patient need to sit and wait without engaging in physical activities. Undue excretion can lower glucose levels and miss the diagnosis. It is essential to give proper advice to patients by laboratories about the test. By doing this we check how your body handles a normal meal. If your insulin acts properly after 2 hours the sugar level shall come back to normal. Interpretation of PPBS: Postprandial plasma glucose < 140 mg/dL indicates good glycaemic control 54

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OGTT – Oral glucose tolerance test This is not a routine test to diagnose diabetes. It is performed in special instances such as when diabetes is highly suspicious but FBS is normal and when pregnant. OGTT is a more sensitive test to diagnose diabetes and everybody with diabetes can be diagnosed by doing OGTT. Moreover if OGTT is negative we are confident that the patient has no diabetes. In preparation of OGTT you need to be careful again. Normal diet and normal amount of physical activities have to be maintained. If a patients diets and exercises a lot before the test the body will not be able to handle the glucose load given and sugars will be high giving falsely positive results. Alcohol binges have to be avoided 3 days prior to test. Test shall be performed in a morning. Overnight fasting of 8-10 hours is mandatory. More importantly patient shall not stop his/her regular medicines such as contraceptive pills, anti-asthmatics, anti-hypertensives or inhalers just in preparation for OGTT. First a fasting sample is taken. Then a glucose load (usually 75g) dissolved in 300 mL of water is given. This should be drunk within 5-10 minutes. Especially pregnant women may feel nauseated after drinking this. This nauseated feeling may impair absorption of ingested glucose load and invalidate the results of OGTT. Addition of few drops of lime juice may avoid this. In western countries there are flavored drinks which contain doctormagazine.lk

exact amount of glucose ready to drink. Usually next blood sample is taken 2 hours after the glucose drink. However in pregnancy another sample is taken at 1 hour. During this period of 2 months patients shall be at rest. They shall not leave laboratory premises for shopping for groceries or any other work. The laboratory who does OGTT must organize reading material such as news-papers, magazines and television or “wi-fi” to keep patients occupied and at rest.

OGTT- altered methods Sometimes you may have been asked to perform OGGT with little variations. There are different guidelines in different countries set up by various academic bodies which ask to take different doses of glucose and blood at different times. The physicians, obstetricians and diabetologists request them depending on their experience and preference. Therefore laboratories have to comply with those requests. Appropriate interpretative comments need to accompany report as well.

OGTT in children

Interpretation of 2 hour value of OGTT: Fasting Plasma Glucose: < 140

Normal

140 – 199

Pre-diabetes

≥ 200

Diabetes Mellitus

The purpose of doing OGTT is to diagnose diabetes or pre-diabetes patients whom we will miss by just doing an FBS. Here we give a standard dose of glucose and see how your body clears this load after a certain time (2 hours).

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Sometime we need to perform OGTT is children to diagnose diabetes. Then the dose of glucose needs to be calculated according to the body weight of the child and up to a maximum of 75 g. The laboratory personnel shall have the knowledge to do this.

GCT – Glucose challenge test This

test is only for pregnant women. A standard glucose load of glucose is given and blood is taken after 1 hour/2 hours. The biggest advantage is no fasting is needed. However this is only a screening test. If the results are abnormal pregnant mothers need to undergo OGTT.

BSS – Blood sugar series Sometimes you are requested to do a BSS by your physician, diabetologist or obstetrician. BSS includes 6 tests for glucose; three pre-meal and three SEPTEMBER 2017 | DOCTOR MAGAZINE

post-meal glucose values. The test shall be spread throughout the day from breakfast to dinner. On the day of BSS patients shall stick to normal diet, normal activity level and normal medication.

blood can be taken at any time of the day. Though the test is more expensive than FBS, above two advantages makes it a more cost-effective test than FBS (no second visit is required to the lab/hospital by the patient).

BSS is done for your doctor to judge how glucose levels change throughout the day with your diet and day to day habits. Depending on results of your BSS he might change quantities of your meals, doses of drugs or timing of insulins.

For diagnosis of diabetes: HbA1c is more standard and diagnosis of diabetes and pre-diabetes is straight forward.

RBS – Random blood sugar This is commonly done at physician’s office for a quick diagnosis. No need of fasting. If it is high and patient has symptoms diagnosis can be made straight away.

HbA1c – glycosylated haemoglobin This test was popular earlier as a test to check the glycaemic control of diabetes. Now the role of HbA1c is shifted as a diagnostic test for diabetes. Two commendable advantages; no fasting necessary and

For monitoring of diabetes: HbA1c has the surprising ability to reveal patient’s glucose values during past 3 months (12 weeks). HbA1c gives information on amount you ate, how you took your regular medicines, duration you engaged in physical exercises. There are instances where FBS is normal but HBA1c is high for a particular patient. Then this patient has been very obedient to his diet, drugs and exercise within last 1 week but neglected all during the 11 week period before that. Blood glucose level in past 12 weeks according to HbA1c HbA1c

Interpretation of diabetes Diagnosing diabetes: Normal

4.3 – 5.6%

Pre-diabetes

5.7 – 6.4%

Diabetes

> 6.4%

Control of diabetes: Expected level <7%

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Plasma glucose (mg/dL)

6% 126 7% 154 8% 183 9% 212 10% 240 11% 269 12% 298

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,laIKhla jkafka tajd wdf,am lr ld,hla .; jk úg tajdfha nkaOk ,sys,a ù iug ishqïj ldkaÿ ùug we;s yelshdjhs' wOHhk j,ska fy<s ù we;s wdldrhg mqreoaola jYfhka fï f;d,a wdf,amk .,ajk ldka;djka yg fïjdfha we;s ridhk Tiafia we¿ñkshï" leâñhï" fl%dañhï yd uex.kSia wdosh osklg wjYH lrk iSudj blaujQ wjfYdaIKhla isÿ jkjd' fï wkqj f;d,a wdf,amk ksielfhkau YÍr.; ùu hkq m%,dmhla fkdjk nj meyeos,shs' 2007 j¾IfhaoS wefußldfõ wdrlaIs; rE wdf,amkZZ kï jHdmdrhla úiska "A Poison Kiss" hk kñka ,smaiaála j¾. 33la iïnkaOfhka wOHhkhla isÿ lrk ,oS' fï úúO ikakdu w;=ßka ishhg 61lu wka;¾.; Bhï m%udKh Parts per million (ppm) kue;s mßirfha Bhï uksk tall j,ska 0'030'65 w;r m%udKhla nj ;yjqre úh' Bhï iïnkaOfhka f,a j, mej;sh hq;= wdrlaIs; m%udKhla ke;' th fkd.sKsh yels m%udKhla jQj nrm;, kmqrla isÿ lrkakg bv ;sfí' fï wkQj f;d,a wdf,amk wmj fl;rï wka;rdhlg fy<kjdo hkak mila lr .ekSug fï ldrKhu m%udKj;a jkafkah' doctormagazine.lk

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,smaiaála j, ydkslr ridhk /ila f;d,a wdf,amk j, fi!LHhg ;¾ck f.k tk wys;lr ridhk /ila wka;¾.; fõ' Bhï fuhska m%Odkh' iakdhq moaO;shg iDcqju n,mEï lrk Bhï (Neurotoxin) YÍrfha fydafudak j, hy l%shdldß;ajhg ie<lsh hq;= n,mEï lrk neõ fy<sorõ ù ;sfí' Bhï yereKq úg leâñhï" fl%dañhï" u¾lrs wekaáuks hk ner f,dayo ridhk ixrlaIlhla fia fhdod .kakd f*due,aäyhsâ o f;d,a idhï ;=< wka;¾.;h' f*due,aäyhsâ ms<sld we;s lrk ridhkhla jYfhka y÷kd.;a w.;s.dó ridhkhls' fï wdldrfha b;d wka;rdhldÍ n,mEula isrer ;=< we;s l< yels f;d,a wdf,amk j, mj;akd ;j;a ixrlaIl ridhkhls' ìiau;a Tlaislaf,darhsâ'

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u|ireNdjh y÷kd .ksuq jhi;a iu.ska ldka;djkaf.a orejka ,eîfï yelshdj wvq fjkjd''' iEu hqj,lau mdfya újdyfhka miq ore iïm;la ,nd .ekSug W;aidy lrhs' tu hqj,a w;=ßka ishhg 80la wjqreoaol ld,hla we;=<; iajdNdúlj .eí .kshs' m<uq wjqreoaol ld,h we;=<; .eí fkd. kakd b;sß hqj, w;=ßka yß wvla fofjks wjqreoaol ld,h ;=<oS .eí .kshs' u|ireNdjh ffjoH úoHd;aulj ks¾jpkh lrkafka fufyuhs wUqieñ hqj,la oreM< ,nd .ekSfï wruqkska ks;r ,sx.slj tl;= jk úg wjqreoaol ld,hla we;=<; iajdNdúlj ms<sis| .ekSula isÿ fkdjqKfyd;a th zzu| ireNdjhZZ jYfhka wre;a oelafjhs' ldka;djf.a jhi wjqreÿ 35g jvd jeä jk úg udi yhla ;=< orefjla ms<sis| fkd.;fyd;a tho u|ireNdjh fia i<ld ffjoH Wmfoia yd m%;sldr ,nd.; hq;=h'

u|ireNdjhg fya;= ksfrda.S ldka;djl uilg jrla ;u äïnfldaI j,ska äïnhla ^Egg& ksmojhs' äïnfldaI j,ska msgjk tu äïnh mef,damSh kd,h osf.a .¾NdI l=yrh fj; meñfKhs' ire ld,fhaoS tu ldka;dj ,sx.slj tl;= ùula isÿ jQjfyd;a .¾NdIh fj; msyskd hk Y=l%dKQjla u.ska tu äïnh ixfiapkh ù l<,hla yg .kshs' 60

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ldka;djlf.a .eí .ekSfï yelshdj fyd|u uÜgul ;sfnkafka jhi wjqreÿ 20-25 muK ld,fhaoSh' bkamiqj jhi wjqreÿ 35 muK jk;=re idM<H;djh wkql%ufhka wvq jk w;r wjqreÿ 35 bl=;a jQ miq tu yelshdj fõ.fhka wvq fjhs' tu l<,h ksjeros f,i .¾NdI ì;a;sfha ;ekam;a jQjfyd;a th úlikh fjñka orefjla j¾Okh fjhs' fuu iajdNdúl l%shdj,shg ndOd we;sjk ´kEu frda.S ;;a;ajhla ksid hqj,lg u|ireNdjh we;s úh yelshs'

Polycystic Ovarian Syndrome frda.h ldka;djka w;ßka ishhg 10l muK m%;sY;hla Polycystic Ovarian Syndrome kue;s frda.S ;;a;ajfhka fmf<k w;r tu frda.h ;sfnk úg äïnfldaI j, äïn iEoS fïÍfï l%shdj,sh" äïn fudapkh jk l%shdj,sh kshñ; mßos isÿ fkdfõ' fï frda.h iys; ldka;djka u|ireNdjh" wd¾;j pl%h wl%uj;a ùu" udi lsysmhlg j;djla Tima ùu jeks frda. ,laIK fmkakqï lrhs'

Polycystic Ovarian Syndrome frda.h ldka;djkaf.a Biag%cka yd fm%dfciagfrdka hk fydafudak j, iu;=,s;;djh .s,syS hdfukaäïnfldaIj, f.ä we;sùfuka we;sjk wmyiq;d" frda. iuqodhla fuu fmdÿ kdufhka ye|skafõ'

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,sx.slj fnda jk wdidok" wefmkaäihsáia jeks frda. ;;a;aj yd Worfha isÿ lrk Y,Hl¾u ksid mef,damSh kd,j, we;sjk we,Sï yd wjysr ùï we;súh yels neúka tu frda. ksid äïnfldaI j,ska mßK;j fudapkh jk äïn ixfiapkh i|yd .¾NdIh fj; hk .ukg ndOd we;sfõ'

uq,a osk lsysmh äïnhla Y=l%dKqjla yd ixfiapkh jQ úg th yªkajkafka l<,hla (Embryo) hkqfjks' uq,a osk ;=fkaoS fï l<,fha ksjyk jkafka mef,damSh kd,hhs' wkql%ufhka mef,damSh kd,h osf.a bosßhg tk l<,h bka miq .¾NdIhg m%úYaG fjhs' miajk oskh wjidkh jk úg th ffi, modihlska iukaú; fnda,hla f,i olakg ,efnk w;r th í,iafgdisiaghla (Blastocyst) hkqfjka ye|skafõ' fuu í,iafgdisiagfha ndysr ljph ì|S hk w;r bkamiq th .¾NdIfha ì;a;shg we,S mj;sk iajNdjhlska hqla; fõ' fï wjia:dfõoS thska (hCG) kue;s fydafudakh >%djh jk w;r .eìKshl njg m;ajQ miqj lrk uq;%d mÍlaIKhloS fidhd n,kafka fï hCG fydafudakfha we;s ke;s njhs'

ore iïm;a m%udohg n,mdk fmdÿ ldrKd lsysmhla ;jo ÿïmdkh" wêl udkisl wd;;sh" ia:q,;djh" Wig .e,fmk nr fkdue;s ùu" ;hsfrdhsâ yd msáhqgß .%kaÓfha we;s frda. ;;a;aj ksid äïnfldaI j, äïn mßK; ùu yd äïn msgùu wvd, jk w;r tu.ska u|ireNdjh we;sfõ' mef,damSh kd, wjysr;d ldka;djkaf.a mef,damSh kd, wjysr;d u|ireNdjhg ;j;a fya;=jls' jhi wjqreÿ 40la jQj;a we;eï fi!LHiïmkak ldka;djkaf.a YÍrh jhi wjqreÿ 35l ldka;djlg iudkh' túg fN!;sl jhi fkdfyd;a ienE jhi jeä jQj;a fï whf.a YÍrfha we;s fi!LHiïmkak nj ksid tys jdish orejka ,eîug we;sjk ndOd wju fõ' 62

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.¾NdI ì;a;sfha we;eï jHqyd;aul .eg¿ .¾NdI ì;a;sfha we;s we;eï frda. ;;a;aj ksid ixfiaÑ; ì;a;r l<, njg m;aù .¾NdI ì;a;sfha ;ekam;a ùug ndOd we;s fõ' .¾NdI ì;a;sh tlsfklg we,s ;sîu (Ashehermans Syndrome)" uiao¿ (Polyps) yd *hsfn%dhsâ (Fibroid) f.ä tjeks l<, ;ekam;a ùug ndOd we;s lrjk frda. ;;a;aj lsysmhls' msßñkaf.a Y=l%dKQ fodaI óg wu;rj msßñhdf.a Y=l% ;r, j, we;s Y=l%dKQ m%udKd;aul Ndjfhka yd .=Kd;aul Ndjfhka wvqùu ksido u|ireNdjh we;s fõ' lïuq,a.dh jeks ffjria frda. ;;a;aj msßñkaf.a jDIKfldaIj,g n,meje;aùfuka mqreIhkaf.a u|ireNdjh we;sjk doctormagazine.lk

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wjia:d ;sfí' ÿï yd wêl uoHidr mdkh" jDIKfldaI j, WIaK;ajh jeä jk f,i lsá lsáfha isrjk hg we÷ï oji mqrd we|Su Y=l%dKQ ixLHdj wvq lsÍug;a Y=l%dKQ j, pd,l;djh wvq lsÍug;a fya;= fõ' oreM, ,eîug jhi ndOdjlao @ ldka;djlf.a .eí .ekSfï yelshdj fyd|u uÜgul ;sfnkafka jhi wjqreÿ 20-25 muK ld,fhaoSh' bkamiqj jhi wjqreÿ 35 muK jk;=re idM<H;djh wkql%ufhka wvq jk w;r wjqreÿ 35 bl=;a jQ miq tu yelshdj fõ.fhka wvq fjhs' tfiau wjqreÿ 40la jhi ldka;djl ie<l+ úg weh ore iïm;la ,eîug we;s bvlv jhi wjqreÿ 35l ldka;djlg idfmalaIj wvlskau wvqh' cSj úoHd;aul jhi yd fN!;sl jhi kuq;a ldka;djlf.a cSj úoHd;aul jhi (Biological Age) yd fN!;sl jhi (Physical Age) hkqfjka ye|skafjk idOlhlao tla tla whf.a orejka ,eîug n,mj;ajk nj fmfka' jhi wjqreÿ 40la jQj;a we;eï fi!LHiïmkak ldka;djkaf.a YÍrh jhi wjqreÿ 35l ldka;djlg iudkh' túg fN!;sl jhi fkdfyd;a ienE jhi jeä jQj;a fï whf.a YÍrfha we;s fi!LHiïmkak nj ksid tys jdish orejka ,eîug ,efnk nj fuhska mila fõ' ksfrda.S fi!LHiïmkak cSú;hlg Wreulï lshk ldka;djkag id¾:l oreM< ,nd.ekSug yelshdj mj;akd nj ffjoH úoHd;aulj mila ù ;sfí' doctormagazine.lk

Y=l%dKQfõ we;sjk Y=l%dKq j, pd,l;djh wvqùu

u|ireNdjh y÷kd .kakd mÍlaIK u|ireNdjhg fya;= úuiSu i|yd wUQieñ hqj,la mÍlaIdjg Ndckh lrk úg ldka;djf.a reêrfha fydafudak uÜgu uQ,sl jYfhka mÍlaIdjg ,la lrhs' wd¾;j pl%fha f;jeks oskfha isÿ lrk FSH mÍlaIKh yd 21 jk oskfha isÿ lrk fm%dfciafg%daka (Progesterone) fydafudak mÍlaIKh fuys,d fjfiia jeo.;a lula orhs' fuu mÍlaIK u.ska ldka;djf.a äïnfldaIfha äïn mßK; ùu yd tajd fudapkh ùu fkdfyd;a msgùu hk l%shdj,ska ksjerosj isÿ jkafkaoehs fidhd ne,Sula isÿ fõ'

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.eyekq orefjla jeäúh m;a fjk úg wehf.a äïnfldaI j, ire ì;a;r 30"000l muK m%udKhla wka;¾.; fõ' fuu ì;a;r ixLHdj jhi;a iu.ska flfuka wvqjk w;r ta wkQj orefjl= ,eîug we;s yelshdjo wvqfõ'

mef,damSh kd,fha l%shdldß;ajh mÍlaId lsÍu i|yd úfYaI l%u folla Ndú;d flfrhs' HSG mÍlaIKh (Hysterosalpingography) fï w;=ßka jvd;a ir< l%uh jk w;r tysoS .eíf., yryd úfYAIs; vhs j¾.hla hjd ldka;djf.a mef,damSh kd,o we;=¿j WoÍh fldgia j, tlaia lsrK m%;sìïnhla ,nd .kshs' tu.ska mef,damSh kd,h osf.a vhs .uka lr Worhg m%fõY jk wdldrh wmQrejg oel .kakg ,efnhs'

Laparoscopy mÍlaIKh laparoscopy mÍlaIKh

Worh mÍlaIdjg ,la lrk fojeks l%uhhs' tysoS ldka;dj ks¾úkaokhg ,la lr ishqï leurdjla Wor l=yrhg m%fõY lr .eíf., yryd hjk Methyline Blue kue;s vhs j¾.h mef,damSh kd, j,ska t<shg tk whqre mshú weiska ksÍlaIKh lrhs' mef,damSh kd,j, wjysr;d y÷kd .ekSug fuu l%u folu wjYH;djh mßos ffjoHjreka úiska fhdod .kS' ó<Õ l,dmfhka u|ireNdjhg lrk m%;sl¾u

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WOMEN'S WORLD

Effects of Early Nutrition .eyekq orefjl= on Long ia;%S îc ñ,shk 1-2 w;r m%udKhla Term ika;lfha ;ndf.k Wmoshs' Health 11 12 1 10 2 9 3 8 4 7 6 5 äïnfldaIfhka ksoyia jQ miq ia;%S îchla icSùj mj;skafka

meh 12-24 w;r ld,hla muKs'

ia:q,;djfhka fmf<k ldka;djka ;u nr ishhg 5-10la muK wvq lsÍfuka .eí .ekSfï yelshdj úYd, jYfhka jeä fjhs'

.eyekq orefjl= ia;%S îc ñ,shk 1-2 w;r m%udKhla ika;lfha ;ndf.k Wmoshs' kuq;a cSú; ld,h mqrd fudapkh jkafka 300-400 w;r m%udKhls' äïn fudapkhg kshñ; oskhg

osk 1-2 la fmr iyjdifha fhoSfuka .eí .ekSfï jeäu wjia:djla ,efí'

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WOMEN'S WORLD

Y=l%dKQjlg

osk 3-5 w;r

ld,hla icSùj mej;sh yel' lsisÿ fodaIhla fkdmej;sh;a fndfyda wUQieñhka ms<sis|Sula id¾:l lr .ekSug udi 6-12 w;r ld,hla .; fjhs'

idudkHfhka wd¾;j pl%hla iïmQ¾K ùug

osk 28-32 w;r ld,hla .; fjhs'

fi!LH iïmkak jhi wjq' 30l ldka;djl udihla ;=< .eí .ekSfï wjia:dj ishhg 20ls' jhi wjq' 40fyaoS kï uila we;=<; .eí .ekSfï wjia:dj ishhg 5ls' jhi wjq' 35g miq fõ.fhka orejka ,eîfï yelshdj wvq fjhs' .eí .ekSfï wmyiq;d we;s ldka;djka YÍrh bys,a lsÍfï yd wd;;sfhka ñoSfï jevigyka j,g wkq.; ùfuka blauKska .eí .kakd nj m¾fhaIK j,ska fy<sorõ ù ;sfí' udkisl wd;;sh Tn ys;kjdg;a jvd idM<H;djhg ndOd lrhs'

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WOMEN'S WORLD

Reducing pain during

LABOUR Labor can be a painful process for some women. Fear, uncertainty and feeling lack of control of the situation makes the pain worse. Learning about your pain relief options and preparing adequately will help you minimize pain.

Dr Indu Asanka Jayawardane

MBBS, MD, MPhil (Nottingham UK), MRCOG Consultant Obstetrician and Gynecologist induasanka@gmail.com 68

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Active lifestyle, exercise and antenatal classes during pregnancy will help you prepare physically and mentally for labour and make the process easier on your body. Learn different relaxation and breathing techniques, which could help you to stay calm and push effectively during labor when pushing is required. Discuss with your doctor and find out different positions that could help you self-manage pain during labor. Some women may find soothing/ relaxing music helpful. Others prefer to use religious chants, “pirith” or similar. Check with your hospital about availability. Most hospitals will allow you to bring in your own blue tooth speaker and music. Having your partner, a friend or close relative with you during labor, who is able to give you support and offer a back massage to alleviate backache if you like, could also be helpful. Having a warm bath and moving around during early contractions can also help ease pain. Support your birth partner can give you It is always good to have someone close with you for support during labor and birth. Just being with you throughout labor and offering moral support is the biggest help they can give you. Your birth partner could be the baby’s father, a close friend or relative for example. Studies show that fathers who were present and involved during labour and birth felt close to their child from the start. Decide who your birth partner will be in advance and discuss your birth plans with him/her. Keep them updated on your preferences regarding where you would like to give birth, pain relief, and doctormagazine.lk

assisted delivery techniques (forceps or vacuum delivery for example) so they can help during any decisions you may have to make during labor. Your birth partner can support you in many ways: • Keeping you company during the early labour • Helping you pack and travel to the hospital or birth center • Providing you with a wet towel or sponge to wipe your face • Offering you sips of water to keep hydrated • Offering a back and shoulder massage to alleviate pain, helping you to move around and settle into a comfortable position • Providing encouragement and comfort during the different stages of labour through to the birth • Helping you make your decisions regarding pain relief • Helping communicate your needs to your midwife or doctor • Reminding you of the breathing techniques and relaxation techniques you learnt for use during labour • Explaining to you what’s happening during the birth if you can’t see what’s happening at the other end. Planning for pain relief Ask your doctor and mid-wife about what medical pain relief options are available to you during labour so you can decide on what would be best for you. Do keep an open mind however as during actual labor, you may need more/less/different pain relief than planned. Below are some common forms of pain relief administered during labour:

SEPTEMBER 2017 | DOCTOR MAGAZINE

WOMEN'S WORLD

Self-Help

WOMEN'S WORLD

Gas and Air: You will be asked to breathe in a mixture of oxygen and nitrous oxide gas through a mask or mouthpiece. The gas normally works within 15-20 seconds of breathing in. Take a slow, deep breath just when a contraction starts. While this won’t completely take away the pain, you may find it becomes more bearable. You can practice using this in most antenatal classes, and it is a relatively safe method of pain relief which women prefer because they can use and control it themselves during labour. Possible side effects: No known harmful side effects to the mother or baby. Stop using it if you feel sick, light headed, sleepy, or groggy. Pethidine Injections Pain relief injections containing pethidine could be injected into the muscle of your thigh or buttock if your pain is unbearable. This injection helps to relax the muscles and reduce pain. They normally work within 20 minutes of administration and the effect can last several hours (2-4 hours normally). You may like to try half a dose first to see if this is sufficient to alleviate your pain. Possible side effects: can make you feel sick, lightheaded or groggy; if the effect hasn’t worn out by the pushing stage, you may find it harder to push; if given too close to the time of delivery, this may affect the baby’s breathing; these drugs could interfere with the baby’s first feed.

effective pain relief. This is normally used for women having long, unusually painful labour, or for women who become very distressed and agitated during labour. You will first be given a fluid drip intravenously to your arm, then you anesthetist will ask you to lie on your side or sit up while your back is cleaned, a local anesthetic is administered to numb the area, and a needle is introduced into your back. A thin tube attached to the needle will carry drugs (usually local anesthesia mixed with opioid) to the nerves in your back which connect your uterus and brain. Epidurals usually take about 10 minutes to set up, around 10-15 minutes to work, and may require adjusting and topping up throughout labour. When using epidurals your contractions and your baby’s heart rate will have to be monitored closely by a doctor. You not be able to move your legs around much until the effect of the epidural wears off. You could ask your doctor about this in advance. Epidurals may not be sufficient alone in particularly painful cases of labour, and you may need one or more of the above described pain relief methods as well for effective pain management. Possible side effects: heaviness in the legs, drop in blood pressure (this is rare due to administration of intravenous fluids.

Epidurals Epidurals are a type of regional anesthesia, which should only be administered by an anesthetist. Epidurals numb the nerves carrying pain signals from your uterus to your brain, and in most cases, this provides 70

SEPTEMBER 2017 | DOCTOR MAGAZINE

Introducing epidural anesthesia doctormagazine.lk

FEMINA

Pregnancy Month by Month The Third Month

l=i ;=< orejdf.a

;=kajeks udih orejd l=i ;=< ms<sis| .;a miqj uq,a udi fol ;=<oS l<,h j¾Okh jkafka flfiao@ fuu jljdkqj ;=<oS ujq moúh ,enQ Tng oefkk fjkialï fudkjdo@ tu ld, mrdih ;=<oS Tn úiska l< hq;= yd fkdl< hq;= foa fudkjdo@ fï .ek miq.sh udi j, wm idlÉPd l<d' Tfí ore .efí ;=kajeks udih ;=<oS tkï wdikak jYfhka i;s 9-13 w;r ld, mrdifhaoS isÿjkafka fudkjdo hkak fujr wm ie<ls,a,g Ndckh lruq'

.eìKs iuh''' oUfoksh uQ,sl frdayf,a m%ij yd kdßfõoh úfYaI{ ffjoH yßkaø rKùr doctormagazine.lk

udifhka udih''' SEPTEMBER 2017 | DOCTOR MAGAZINE

WOMEN'S WORLD

Women’s World

WOMEN'S WORLD

kjjk i;sh fï jk úg l<,h wÕ,la muK os. fõ' osfkka osk jvd;a ñksia orefjl=f.a iajrEmhla .ksñka l<,h j¾Okh fõ' fuu i;sh ;=<oS orejdf.a l=vd uiams`vq yg .ekSu wdrïN jk w;r tu ksid orejd w;mh fi,ùug mgka .kS' tfy;a orejdf.a l=vd w;a md myrj,a kï ;ju;a oefkkakg l,a jeäh' oyjk i;sh l<,h wÕ,a tl yudrl muK os.lska hqla; fõ' l=vd wiaÓ yd ldáf,ac úlikh ùu wdrïN fõ' ll=,a j, ishqï keuqï we;sù oKysia yd j<¨lr ikaê iEoSu wdrïN fõ' tfiau l=vd je<ñá fï jk úg;a l%shdldßhs' fï ld,fhaoS úÿreuia ;=< l=vd o;a úlikh fõ' wdudYfha >%djhka ksmoùuo wdrïN jk w;r jl=.vq u.ska ie<lsh hq;= muKlska uq;%do ksmofõ'

tfldf<diajk i;sh wÕ,a folla muK jk l<,h .a/ï oyhl muK nrlska hqla;h' fuf;la jl=gq ù mj;ajd.;a ia:dms;h fï ld,fhaoS ;rula iDcq lr.ekSfï W;aidyhl fhfokjd' orejdf.a kshfmd;=" frdaul+m wdosh ks¾udKh ùfï moku ie,fikafka fï jljdkqfõoShs' tfy;a ialEka mÍlaIK u.ska orejdf.a .eyekq msßñ nj

f;jk udifhaoS ialEka m%;sìïnhl l<,h o¾Ykh jk wdldrh

ks¾Kh lsÍug kï ;ju;a l,a jeäh'

fodf<diajk i;sh oeka Tfí orejd m%udKfhka wÕ,a 2'5l muK os.lska hqla; fjkjd' fï jk úg orejdf.a YÍrfha wNHka;r wjhj yd moaO;s fndfydauhlau úlikh ù yudrhs' tfy;a tajd mßK; ùu os.ska os.gu isÿ fjkjd' WodyrKhla jYfhka .;af;d;a wdydr cS¾K moaO;sh ixfldapk p,k isÿ lrhs' weg ñÿ¿ u.ska iqÿ reêrdKq ksmoù orejdf.a m%;sYla;sh we;s lsÍuo n, .ekafjhs' tfiau fï wjêfhaoS isÿjk ;j;a b;d jeo.;a fohla jkqfha msáhqgß .%kaÓfhka fydafudak ksmoùu wdrïN ùuhs'

oy;=ka jk i;sh wÕ,a ;=kl muK os. m%udKhla orK orejdf.a ysi bka wvlu jmißhla w;am;a lr .kakjd' orejdf.a iajr ;ka;= ksmoùu wdrïN ùu fï i;sfha isÿjk jeo.;a isÿ ùula'

oy;=ka jk i;sh ld,fhaoS Tng oefkk fjkialï fudkjdo@ we;sjk fjkialï ujlf.ka ujlg fjkia fjkjd' we;eï fjkialï óg fmro we;sjQ tajd fjkakg mq¿jka' w¿;a fjkialïo fï ld,fhaoS we;s úh yelshs' 72

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Tfí m<uqjk ialEka mÍlaIKh

• úvdnr iajNdjhla oekSu

Tfí m<uqjk ialEka mÍlaIKh u.ska my; f;dr;=re ,nd.ekSu isÿ fjkjd'

• ks;r ks;r uq;%d lsÍfï wjYH;djh • jeäfhka fl< bkSu" Tlaldrh yd jukh' fïjd Bg fmr ;snqKdg jvd wvqùulao we;súh yel' • nv mqrjd oeóu" Worfha by<g jkakg we;sjk oeú,a,' • u<noaOh • we;eï wdydr iïnkaOfhka úfYaIs; leue;a;la we;sfõ' ;j;a wdydr i|yd oeä wleue;a;la we;s fõ' WoEik Tlaldr .;sfha wvqjla ;sfí kï wdydr reÑfha jeäùula fï ld,fhaoS we;súh yel' • mshhqre msïnqKQ iajNdjh" mshhqre ;=vq l¿ meye .ekaù b,smamSu jeks fjkialï''' óg fmro we;sjQ fjkialï fï ld,h ;=< ;jÿrg;a j¾Okh úh yel' • we;eful=f.a fomd j, kyr b,smamS u;=jqKQ iajNdjhla oelsh yel' • we;eï whg fï ld,fhao fkdreiaikd iajNdjhla we;s fõ' iDKd;aul l,amkdjka we;s fõ' Okd;aulj" i;=áka hym;a udkisl;ajhlska isàug iEu úgu W;aidy lrkak' • fï jk úg Tnf.a m%Odk reêr mÍlaIK jk FBC, reêrfha .aÆfldaia mÍlaIK" ySfud.af,dìka mÍlaIKh VDRL yd HIV hk ,sx.sl frda. mÍlaIK wdosh isÿ lr yudrh' • tfiau uq;%d j, fm%daàka iSks m%udKh yd uq;%d wdidok fidhd ne,Sug uq;%d mÍlaIKhlao isÿ lrkjd' doctormagazine.lk

• l<,fha msysàu" th .¾NdIfha ia:dms; nj' • l<,fha cSù nj • l<, m%udKh" tkï tla ore Wm;lao@ ksjqka" ;=ka ksjqka woS nyq ore Wm;lao hk j.' • osk .Kk .Kkh lsÍu • l<,fha uQ,sl widudkH;d ;sfío hk j. • .¾NdIfha fyda äïnfldaIj, widudkH;d' Wod' f.ä we;aoehs fidhd ne,Su' Tfí ore.efí j¾Okh uq,a udi ;=k ;=< flfia isÿfõo @ tu ld,h ;=< Tng oefkk fjkialï yd Tn úiska l< hq;= yd fkdl< hq;= foa ms<sn|j wm ixjdohl fhÿKd' Tfí orejdf.a j¾Okh bosßfhaoS isÿjk wdldrh;a fuu ore iïm; ms<s.ekSug Tn iQodkï úh hq;= wdldrh;a ms<sn|j bosß l,dm j,ska wm l;dnyl fhfouq'

Watch .¾NsKS;djhg udi ;=kla jk úg Tfí orejd l=i ;=< jefvk wdldrh .ek oek.kak fï ùäfhdaj Tfí cx.u ÿrl:kfha QR fla;h il%Sh lrf.k n,kak' https://youtu.be/3yHptMXSJY0

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WOMEN'S WORLD

we;s úh yels YdÍrsl fjkialï

JUBILEE CELEBRATION

,xld ldhsl ffjoH úoHdh;kfha

iaj¾K chka;sh úoHd;aul ieisjdrh iema;eïn¾ 6-9 foia úfoia ffjoH úfYaI{hkaf.a iyNd.s;ajfhka fld<UoS''' j¾;udk iNdm;s uydpd¾h tia ã chr;ak 74

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,xld ldhsl ffjoH úoHdh;kfha jd¾Isl úoHd;aul ieis jdrh fï ui 6-9 hk osk j,oS fld<U iskuka .%EkaâysoS W;aijdldrfhka meje;afjk w;r thg ,kavkfha" täkan¾. fha yd .a,diaf.da j, ldhsl frda. úfYaI{ ffjoHjrekaf.a úoHdh;k iNdm;sjreka ´iag%f,aIshdkq ldhsl frda. ffjoH úoHdh;kfha iNdm;s we;=¿j foia úfoia ldhsl frda. úfYAI{jreka" m¾fhaIlhka /ila iyNd.s jkq we;'

fujr meje;afjkafka úoHdh;kfha 50 jk ixj;airhhs' fï wkNsNjkSh wjia:dj fjkqfjka “Celebrating our past, igniting our future” hk uefhka fujr jevigyka f;aud.; lr ;sfí' ,xld ldhsl ffjoH úoHdh;kh furg ffjoH fiajfha Wkak;sh Wfoid úYd, fiajdjla bgq lrk m%uqL jD;a;Sh wdh;khls' j¾I 1967oS idudcslhka 11 fofkl=f. ka wdrïN jQ ,xld ldhsl ffjoH úoHdh;kh oekg Y%S ,xldfõ l%shd;aul bmerKsu jD;a;Sh wdh;khla jk w;r wo jk úg úúO ffjoH wdh;kj, lghq;= lrk ldhsl úfYaI| ffjoHjreka 700lg wêl m%udKhla fuys idudcsl;ajh ,nd isà' ldhsl frda. úfYaI| ffjoHjreka" wlaudj wdka;%sl frda. úfYaI{ ffjoHjreka iakdhq frda. úfYaI{ ffjoHjreka" yDo frda. úfYaI| ffjoHjreka jeks úúO lafIA;%j,

B tï úfcardu ue;s;=uka iNdm;s;ajh oerE ,xld ldhsl ffjoH úoHdh;kfha uq,au ks,OdÍ uvq,a, doctormagazine.lk

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úfYaI{ ffjoHjrekao fuu úoaj;a wdh;kh ksfhdackh lr;s' furg ffjoH fiajh Wiia uÜgul mj;ajd f.k hdu i|yd ,xld ldhsl ffjoH úoHdh;kh u.ska ksrka;rfhka jevigyka mj;ajdf.k hkq ,nhs' úfYaI| ffjoHjreka yd ffjoHjreka mqyqKQ lsÍu iy Tjqkaf.a oeKQu wLKavj m%j¾Okh lrKQ msKsi (Continuous Medical Education) bjy,a jk iïuka;%K yd jevuq¿ /ila iEu jirlu fuu ,xld ldhsl ffjoH úoHdh;kh u.ska ixúOdkh lrKQ ,nhs' fuu iïuka;%K iy mqyqKQ mdGud,d fndfyda rgj, oshqKQ rgj, ffjoH úfYAI{hkaf.ao iyNd.s;ajfhka meje;afjk w;r iEu jirlu osjhsfka iEu m%foaYhlu mdfya fuu jevigyka meje;aùu úfYaI;ajhls' fyo ld¾h uKAv, we;=¿j wfkl=;a fi!LH jD;a;slhka i|yd jevigyka meje;aùuo ,xld ldhsl ffjoH úoHdh;khfha úiska lrf.k hkq ,efí'

ffjoH fiajfha oshqKQj i|yd w;HjYH úoHd;aul m¾fhaIK fï rfÜ isÿ lsÍu i|yd ffjoHjreka osß .ekaùu yd úúO YsIH;aj jevigyka osh;a lsru iy iïudk m%odkh i|ydo ,xld ldhsl ffjoH úoHdh;kh mshjr f.k ;sfí' tfiau fï rfÜ fi!LH fiajdfõ m%.ukh Wfoid fi!LH wud;HxYh úiska l%shd;aul lrk jevigyka j,oS wk,iaj Bg iyfhda.h oelaùufuhska isÿ flfrk ;j;a jákd fiajdjls' 76

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úúO frda. i|yd m%;sldr ,ndosh hq;= wdldrh iïnkaOfhka ud¾f.damfoaYK iemhSu" fiajd wjYH;djhka u; úúO m%foaY j,g úfYAI{ ffjoHjreka m;a lsÍu msKsi fi!LH wud;HxYhg Wmfoia iemhSu wdoS ld¾hhkaySo ,xld ldhsl ffjoH úoHdh;kh l%shd;aul fjhs' fujr meje;afjk ,xld ldhsl ffjoH úoHdh;kfha iaj¾K chka;shg iu.dój zzuyck iqjOkZZ hkqfjka cd;Hka;r ffjoH m%o¾YKhla cq,s ui 14" 15 yd 16 hk oskj,oS id¾:lj meje;aùug lghq;= lf<A wdh;kfha iudc i;aldrl jevigykla jYfhks' ta ck;djg ;¾ckhla jk f,v frda. iïnkaOfhka oeKQj;a lr tajd je<elaùug .kakd mshjr yd isÿ lrk m%;sldr ms<sn|j uyck;dj oeKQj;a lsÍu Wfoidh' ffjoH úoHd," fi!LH wud;HxYfha úfYAIs; tall" úúO fi!LH wdh;k iyNd.s;ajfhka m%o¾Yk l=á 100la muK fhdodf.k meje;akjQ zziqj OkZZ fi!LH ffjoH m%o¾YKh fï rfÜ ck;djgukd fi!LHiïmkak cSú;hla .; lsÍug msgqjy,la jQ nj m%o¾YKh kerUQ fndfyda fokdf.a u;h úh' fujr meje;afjk iaj¾K chka;s iu.dó ,xld ldhsl ffjoH úoHdh;kfha úoHd;aul ieish i|yd foia úfoia ffjoHjreka rdYshla iyNd.s ùug kshñ; w;r fï rfÜ ffjoH úoHdfõ m%.ukhg mqfrda. dó fufyjrla isÿ lrk ,xld ldhsl ffjoH úoHdh;kh iaj¾K chka;shg wmf.a iqNdYsxYk msßkuuq'

doctormagazine.lk

m%ij yd kdßfõo úfYAI{ ffjoH pdñkao udf;dg W;=re fld<U YslaIK frday,

doctormagazine.lk

orefjl= fuf,djg ìys jk iajdNdúl l%uh jkafka idudkH m%iQ;shhs' kuq;a iuyr .¾NsKS uõjrekag idudkH m%iQ;sh kqiqÿiq jk wjia:d j,oS isfiaßhka ie;alula ks¾foaY lrkjd' oekg wfma rfÜ isÿjk ore Wm;a j,ska ;=fkka tlla muK isÿ jkafka isfiaßhka ie;alï l%uhghs' fï i|yd myiqlï wfma rfÜ fndfydauhla uQ,sl frday,a j,;a ;sfhkjd' fuu isfiaßhka Y,Hl¾uh i|yd jeh jk ld,h idudkHfhka mehlg;a wvqhs' SEPTEMBER 2017 | DOCTOR MAGAZINE

WOMEN'S WORLD

isfiaßhka ie;alu isÿ lrkafka fufyuhs'''

WOMEN'S WORLD

isfiaßhka ie;alu ks;ru ks¾foaY lrk ie;alula jQj;a we;eï úg ta ksid ixl+,;d we;s jkakg yelshdjla ;sfhkjd' tneúka isfiaßhka ie;alu ks¾foaY lrkafka iajdNdúl ore m%iQ;shla iqÿiq fkdjk wjia:d j,oS muKhs'

isfiaßhka ie;alfïoS wo jeä jYfhka Ndú;d fjkafka hg weªï odrhg iudka;rj fhdok lemquhs isfiaßhka ie;alu isÿ lrk m%Ok wdldr folla ;sfhkjd'

ie,iqï l< isfiaßhka ie;alu ie;alu ffjoHjreka .eìKshg isfiaßhka ie;alula wjYH nj l,ska y÷kdf.k iqÿiq oskhl ie;alu isÿ lsÍu i|yd ie,iqï lrkjd'

jQjfyd;a yosisfhau isfiaßhka ie;alula isÿ lsÍu wjYH jkakg mq¿jka' tjeks wjia:djl ixl+,;djfhka orejdg fyda ujg we;súh yels ydksh wju lr.ekSu i|yd fuu ie;alu yosisfhau isÿ l< hq;=hs'

isfiaßhka ie;alu jeä jYfhkaisÿ lrkafka uj mshú isysfhka isák úgoShs fndfyda úg isfiaßhka ie;alu isÿ lrkafka uj mshú isysfhka isáhoSh' kuq;a wehg fõokdjla we;s jkafka kE' Y,Hl¾uhg fmr wehf.a fldªweg fm<g kslafIAmKh lrk T!IOhla u.ska kdNsfhka my< fldgi ysß jeàug i,iajkjd' bka miqjhs Y,Hl¾uh wdrïN lrkafka' fï ksid uj flfrk ldßh iïnkaOfhka oeKQj;aj ta .ek wjOdkfhka bkakd kuq;a wehg lsisÿ fõokdjla we;s jkafka kE'

ie;alu isÿ lrk yeá Y,Hl¾uhg fmr uq;%d bj;a lsÍu i|yd nghla oeóu iy hánv fldgfia frdau bj;a lsÍula Y,Hl¾uhg fmr mQ¾j l%shdud¾.hla jYfhka isÿ lrkjd' bkamiq ujf.a

yosis isfiaßhka ie;alu idudkH f,i ore m%iQ;shg fyda bosß oskhl isfiaßhka ie;alulg ie,iqï l< ujla Bg iQodkï jk ld,h we;=<; hï ixl+,;djhlg ,la fndfyda úg isfiaßhka ie;alu isÿ lrkafka uj mshú isysfhka isáhoSh' 78

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wÕ,a y;rl muK ;sria lemqula hg weªï odrh wdikakfhka fhdoñka isfiaßhka ie;alu wdrïN lrkjd doctormagazine.lk

uõlsß oSu jeks ld¾hhka ;ksju lr .ekSug Y,Hl¾ufhka miqj ,ndfok fõokd kdYl T!IO WmldÍ fjkjd'

iug háka we;s ia:r lsysmhla fPaokh lrñka Worl=yrh m%fõY lr .kakjd

ie;alfuka i;s yhlg miqj kej; .eí .ekSfï wjodkula we;s ksid iqÿiq Wm;a md,k l%uhla ms<sn|j Tfí mjq,a fi!LH ks,Odßksh fyda ffjoHjrhd iu. idlÉPd lr.kak'

Worh u;=msg msßisÿ lr cSjdKQyß; fros j,ska jeiSu isÿ lrkjd' bkamiq Worfha my<ska yria w;g fikaáóg¾ 10l muK l=vd lemqula fhdokjd' fuh Bikini Line Incision f,i ye|skafjk w;r th fhdokafka Worfha my<u hg weªug jefik m%foaYfhahs' bka miqj iug háka we;s ia:rhka úÉfPaokh lrñka Wor l=yrh ;=<g we;=,a fjkjd' .¾NdIfha my< fldgfia ;j;a ;sria lemqula fhdod orejd isák jHqyh újr lr.kakjd' ffjoHjrhd úiska iSrejg orejd t<shg .ekSfuka miqj fmlKsje, lemSu isÿ lrkjd' ta wjia:dfõoSu ujg

iSrefjka orejd bj;a lr .kakjd doctormagazine.lk

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WOMEN'S WORLD

;u wdorKSh orejd oel n,d.kakg i,iajkjd' uõlsß oSu Y,Hl¾uh wjidk ùug fmrd;=ju wdrïN l< yelshs' ore m%iQ;sfhka miq jeoSuy bj;a lr .¾NdIfha we;=<; msßisÿ lrkjd' bka miqj mshjfrka mshjr lemQ ia:r kej; ;snQ ;;a;ajhg ;sfnk

.¾NdIh msßisÿ lsÍfuka miq ueyqï fhdod Y,Hl¾uh wjika lrkjd fia ueyqï fhoSu isÿ lrkjd' .¾NdIh" Wor ì;a;sh yd ifï ueyqï oeóu isÿ lrkjd'

Y,Hl¾ufhka miqj l< hq;= foa''' Y,Hl¾ufhka miqj reêrjykhla we;aoehs mÍlaIdldÍ ùu;a b;d jeo.;a' bkamiq uj;a orejd;a fofokdu Y,Hd. drfhka bj;g f.k hkjd' ujf.a fomd j, ysß .;shla we;s ùu iajdNdúlhs' th bj;a ùug meh y;rl muK ld,hla .; fjkjd' bkamiq Y,Hl¾ufha fõokdj ujg oefkkakg mq¿jka' fï ksid fõokd kdYlhla .ekSu wjYHhs' lEu .ekSu" uõlsß oSu jeks ld¾hhka ;ksju lr .ekSug fï fõokd kdYl T!IO WmldÍ fjkjd'

fojk oskh jk úg uj wef|ka nei weúoskjd''' Y,Hl¾ufhka meh 12lg muK miq 80

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uõlsß oSu Y,Hl¾uh wjidk ùug fmrd;=ju wdrïN l< yelshs' uq;%d msgùug fhdok ,o ngh bj;a l< yelshs' bka miqj fndfyda úg kslafIAmK T!IO;a k;r lrkakg mq¿jka' fojk oskh jk úg fndfyda uõjrekag wef|ka nei ;rula ÿr ;ksju weúoSfï yelshdj ,efnkjd' fõokd kdYl T!IO kshu lrk ms<sfj,g ,nd .ekSu;a os.gu orejdg uõlsß ,ndoSug lghq;= lsÍu;a fï ld,fhaoS w;sYhska jeo.;a' ixl+,;djhla we;s fkdjqKfyd;a osk 3-5 w;r ld,hloS ujg orejd;a iu. frdayf,ka ;u ksfji lrd hd yelshs'

ueyqï lemSu Y,Hl¾ufhaoS fndfyda úg iug fhdokafka osh fjk ueyqï' túg tu ueyqï bj;a lsÍula wjYH jkafka;a kE' kuq;a osh fkdjk ueyqï j¾.hla fhdod we;s úg Y,Hl¾ufhka osk mylg miq tajd bj;a lrjd .; hq;=hs'

mjq,a ie,iQï Wml%uhla iïnkaOfhkq;a is;sh hq;= ld,hla isfiaßhka ie;alfuka miq idudkH tosfkod lghq;= j, fhoSu ydksodhl fkdjk kuq;a i;s folla muK hk f;la nr tiùu jeks lghq;= j,ska wE;a úh hq;=hs' ie;alfuka i;s yhlg miqj kej; .eí .ekSfï wjodkula we;s ksid iqÿiq Wm;a md,k l%uhla ms<sn|j Tfí mjq,a fi!LH ks,Odßksh fyda ffjoHjrhd iu. idlÉPd lr.kak'

Y,Hl¾ufhaoS fndfyda úg iug fhdokafka osh fjk ueyqï' doctormagazine.lk

WOMEN'S WORLD

wjqreÿ

MODERN FERTILITY OPTIONS

miafi wïu flfkla fjkak ;SrKh lrk y;,sfyka ldka;djkaghs'''

wo Wmosk orejkaf.ka iEu úis mia fofklaf.ka tla wfhlau Wm; ,nkafka jhi wjq' 40 blaujQ ujlgh' jhi wjQreÿ 40 blaujQ ujlg orefjl= ,nkakg we;s yelshdj miq.sh 30 jir ;=< isõ .=Khlska by< meñK ;sfí' orefjl= ìys lsÍug fyd|u ld,h f,i ie<flkafka ldka;djf.a jhi wjqreÿ 35 bl=;a ùug fmr ld,hhs' fï ld,h ;=< orejka ìys lsÍfïoS ldka;djka ixl+,;d j,g ,laùfï bvlv wvqh' tfiau orejkao ksfrda.Sj Wm; ,nkakg ;sfnk yelshdj jeäh' jhia.; jk úg ldka;djkaf.a idM,H;djh fkdfyd;a orejka ,eîfï yelshdj l%u l%ufhka wvqjk w;r fojkqj lS wdndO j,g" fjfiiskau kej; ms<silr l< fkdyels m%fõKsl wvq¨yq`vq;dj,g orejka ,laùfï bvlv jeäh' kuq;a m%dfhda.sl jYfhka wo wUqieñhka uqyqKfok ;;a;ajh fï zzfyd|u orejka ,eîfï ld,hgZZ wNsfhda. f.k ths' ksis whqßka wOHdmkh iïmQ¾K lrkakg iEfyk muK ld,hla .; jkafkah' bkamiq yß yuka riaidjla 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 doctormagazine.lk

SEPTEMBER 2017 | DOCTOR MAGAZINE

WOMEN'S WORLD

fidhd.ekSuo wr.,hls' iqÿiq iylrefjla fidhd.ekSu Bg;a ÿIalr ld¾hhla fjhs' fï ish,a, iïmQ¾K lr.kakd úg iEfyk jhila f.ù .syskah' úfYaIfhkau ldka;djf.a orejka ,eîfï iaj¾Kuh hq.h wjika fj,dh' fujka w;aoelSï j,g uqyqKmdk wUq ieñhka wjidkfha ore iïm;a m%udo ùfï .eg¿jg fmdÿfõ uqyqK mdhs' orejka ,eîug fyd|u ld,h ;reK ld,h jQj;a" ljr fya;=jla ksid fyda ta ore iïm; <Õd lr.kakg wiu;a jQ úg jhia.; ùo ore iïm;a ,nd oSug wo ;dlaIKh iu;a ù ;sfí' iajdNdúlj jhi wjqreÿ y;,sy blaujQ ldka;dlg fl;rï wiSre jQj;a úoHdj ta wNsfhda.ho ch f.k ;sfí' f,dal ;;a;ajh i<lk l< wo Wmosk orejkaf.ka iEu úis mia fofklaf. ka tla wfhlau Wm; ,nkafka jhi wjq' 40 blaujQ ujlgh' jhi wjQreÿ 40 blaujQ ujlg orefjl= ,nkakg we;s yelshdj miq.sh 30 jir ;=< isõ .=Khlska by< meñK ;sfí'

ore iïm;a fkdue;s wUq ieñhkaf.a cSú; j,g n,dfmdfrd;a;= tlal< wisßu;a isÿùu

iajdNdúlj orejka ,eîug fkdyels uõmshkaf.a brKu fjkia lrñka Tjqkag;a ridhkd.dr ixfiapkhla weiqf¾ ore iïm;a ,eîug bvlv i,id foñka cSú;hg n,dfmdfrd;a;=jla tla flrefKa 1978 jif¾ isÿjQ tla;rd jdikdjka; isÿùulska miqjh' tod ì%;dkHfha ´,aâyeï uy frdayf,aoS f,ia,s n%jqka yd fcdaka n%jqka kï wUq ieñhka hqj,lg frdai fofldmq,a iys; jdikdjka; oeßhla Wmkakdh' Æù n%jqka kï fï f,dalfha m%:u k< oeßhf.a Wm;g uq,ajQ ffjoHjreka fofokd meÜßla iafgmafgda iy frdn¾Ü tâj¾âiah' fï Wm;;a iu.ska f,dalh mqrd orejka fkdue;s hqj, fj; w¿;a n,dfmdfrd;a;= tl;= úh' tfia w¿;ska wfmalaId we;s lr.;a wUq ieñhka w;f¾ jhi;a iu.u idM<H;djh wvq jQ iEfyk msßilao isà' wo jk úg lD;%Su ixfiapk weiqf¾ ore iïm;a ,eîfï wfmalaId w;sYhska iM< lrjk jd;djrkhla we;s ù ;sfí' úfYaIfhkau miq.sh oYl lsysmh ;=< fï lafIa;%h w;sYhska úYañ; oshqKqjlg m;aj ;sfnk w;r fndfyda ore iïm;a fkdue;s hqj, fj; cSú;fha ienE wre;''' orejka ;s<sK lrkakg fï ;dlaIKh iu;aj ;sfí' jhia.; ù ore iïm;a wfmalaId lrk hqj, fj; ta me;=ï iM< lr.kakg fï ;dlaIKh bjy,a jk wdldrh fujr wm idlÉPdjg n÷ka lruq'

óg tl=ka y;,sia jirlg fmr f,dalfha m%:u k, ore ;dlaIKfhka ìysjQ oersh ¨ù n%jqkaf.a Wm; udOH jd¾;d l< yeá 82

SEPTEMBER 2017 | DOCTOR MAGAZINE

ksn| ckkh jk mqreI îc iy Wmf;a mgka laIh jk ia;%S îc idudkHfhka mqreIfhlaf.a isrer ;=< úkdählg Y=l%dKq 1500la muK WmoS' fï wkQj osklg isref¾ ksmofjk Y=l%dKq ixLHdj ñ,shk .Kkdjls' kuq;a doctormagazine.lk

Donor Insemination ;dlaIKh ldka;djf.a ,sx.sl îc jk äïn tfia fkdfõ' iEu ldka;djlgu weh b;d l=vd ì<sf|l=j Wmosk wjia:dfõoSo weh cSú; ld,h mqrdu Ndú;hg .; hq;=" jeäúh m;aj Tima reêrh iu.ska bj;a lrk" osfkl ore iïm;la ,eîfïoS ta i|yd fhofjk äïn isref¾ iq/lsj mj;skafkah' Wmf;aoS weh ixÑ;j mj;sk äïn m%udKh ñ,shkhla muK fõ' tfy;a weh jeäúh m;ajk úg fï ixLHdj ,laI folla muK olajd wvq jkafkah' t;eka mgka weh wd¾;jhg hg;a jk w;r ;u cSú; ld,h ;=<oSu mßK;shg ,laj msg jkafka 400l muK äïn m%udKhls' fï wkQj ,laI ixLHd;j we;sj bmÿK;a cSú; ld,h ;=< m%fhdackhg .; yels äïn ixLHdj t;rï úYd, fkdjk nj Tng fmkS hkq we;'

fï orejka jhia.; ù yeoSfïoS ;sfnk wjodkuhs' flfia fj;;a wUq ieñ hqj,l jákdu m%d¾:kh jkafka orejkah' ffofjdam.; ldrKhla ksid orejka ,eîu m%udo ùfuka ta wjia:dj miqld,Skj ,nd.kakg W;aiql jk wUq ieñhkag fï wjodku uOHfha jQj cSú;hg wfmalaIdjla tla lsÍug kjH idM<H;d ;dlaIKh iu;aj ;sfí'

jhia.; jQ ldka;djka ore iïm;a ,nk yeá Donor Insemination wd¾;j wNdjhg m;ajQ ldka;djlf.a .¾NdIfha orefjl= yeoS jefvkakg wjYH lrk

fï ;sfhk îcdkqo fi!LHiïmkakj" .=Kd;aulj ;sfhkafka wef.a fhdjqka úfhaoSh' jhi;a iu.u fï äïn j, .+Kd;aul w.h wvq fjhs' cdkuh jYfhka fjkialï we;sùu iq¿fldg ;elsh yelalla fkdfõ' fï ksid wx.úl, orejka we;s ùfï bvlv jeä jkafkah'

mqreI ckldKq j, we;sjk fjkialï mqreIhdf.a ckl yelshdj cSú; ld,h mqrdu mj;skakls' tfy;a doctormagazine.lk

fjk;a ldka;djlf.a l=i ;=< orejdg Wm; ,eîug i,iajk Surrogation ;dlaIKfha mshjr SEPTEMBER 2017 | DOCTOR MAGAZINE

WOMEN'S WORLD

jhi wjqreÿ 55 muK blaujQ wk;=rej fu Y=l%dKq j,o .=Kd;aul nfõ wvqmdvqlï we;súh yel' úfYaIfhkau fïjdfha DNA len,s l=vd leãï j,g ,laù tys m%;sM<hla jYfhka orejdf.a W;am;a;s fodaI" wx.úl,;d we;s ùug bv ;sfí'

WOMEN'S WORLD

fydafudakuh mßirhla ke;' tfy;a Biag%cka" fm%dfciagfrdaka yd j¾Ol fydafudak wdosh ,ndoSfuka kej;;a .¾NdIh orefjl= jefvkakg wjYH lrk losu udOHhla njg m;a lr.; yel'

idudkH .¾NKSNdjhls' wehg Wreu fi!LH ;;a;ajh wkQj .en ord isák ld,h ffjoH Wmfoia wkQl+,j .; l< hq;=h' jhi wjqreÿ 60-70 jhfia ldka;djlg jqK;a fï wkQj ujla ùfï wdorKSh wjia:dj ysñ fõ'

fï wh wd¾;jdNdjhg m;a ldka;djka kï zzäïnZZ wka whl=f.ka ,nd.; yels fõ' fuysoS mqreIhdf.a Y=l% Od;= iu. ridhkd.dr ;;a;aj hgf;a ixfiapkhla isÿ l< yel' fkdtfia kï tajdo msgia;rska ,nd.; yels bvlv ;sfí'

fjk;a ujlf.a .¾NdIfha ;ukaf.a orejd yokak;a mq¿jka'''

idM<H;d uOHia:dkfhka ksfrda.S l<, ,nd.; yelshs flfia fj;;a fï wdldrfhka b;d m%fõYfuka kshñ; ;;a;aj hgf;a m%;sldr lr kv;a;= lrk ksfrda.S l<, Tng idM<H;d uOHia:dkhloS ,nd. ekSug yels jkjd we;' fuysoS fï wdldrhg ,nd.kakd l<, frda.S tajdo@ tajd m%fõKsl wvq¨yq`vq;d mj;sk l<, o hkak .ek ielhla we;s jkq we;'

ukdfldg iSyqï mÍlaIK isÿ lrkjd' frda.S hhs iel lrk l<, ;ekam;a lrkafka kE''' idM<H;d uOHia:dkhloS äïn f;dard. kafkao tajd ukd fi!LHiïmkak ;;a;ajhl mj;skafkao hkak ;yjqre lr.ksñks' fuysoS vjqkaia iy,laIKh yd isÿúh yels wfkl=;a m%fõKsl wvq¨yq`vq;d iïnkaOfhka ishqï mÍlaIdjka isÿ flfrk w;r ;ekam;a lsÍug .kafka ffcfõlaId (Biopsy) mÍlaIKhla isÿlr ,nd.kakd l<,hka muKs' wUq ieñhkaf.a wjYH;djh wkQj fï wdldrhg l<, folla fyda ;=kla wdoS jYfhka l=i ;=< ;ekam;a lrKQ we;' t;eka mgka ldka;dj .; lrKqfha 84

SEPTEMBER 2017 | DOCTOR MAGAZINE

Surrogate Mother úhm;a ù orefjl= m;k úg we;eï wjia:d j,oS orefjl= yod jvd .ekSug ;rï wef.a YÍrh Yla;su;a fkdjkakg mq¿jk' fkdtfia kï" frda.S ;;a;ajhla ksid thg ndOd tkakg mq¿jk' fujka ndOdjla we;s úg fjk;a ldka;djlf.a l=fiys l<,h ;ekam;a lr orejdg Wm; ,ndoSuo wo f,dalh mqrd iq,nj Ndú;d fõ' kùk idM<H;d ;dlaIKh fï Tn yuqjg tk fndfyda .eg¿ j,g ms<shï fidhdfok úÿyqre ;dlaIKhls' th ljr jhil ldka;djlg jQj;a ;ukaf.au orefjla ,ndoSug wjYH úi÷ï j,ska iukaú;h' ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx.uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï lafIA;%fha m<mqreÿ wfma jD;a;Sh iydh ,nd oSug wm b;d leue;af;ka isáuq' wmg l;d lrkak' fukak wfma wxlh( 077 972 8799 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a;mdr" mrK fldÜgdj mdr" Wvyuq,a," kqf.af.dv' doctormagazine.lk

WOMEN'S WORLD

fodafr .,k ore fifkyi

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

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

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

´iafÜ%,shdfõ iqÿiqlï ,enQ idhksl úfYaI{ ffjoHjrfhl=f.a fiajh ,nd .ekSug 011 2836 788 ÿrl:k wxlhg wu;kak' doctormagazine.lk doctormagazine.lk

WISH Fertility & IVF Clinic No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda Tel: 077 9728 799, 077 3273 866 E mail: wishiuiivf@gmail.com | wishiuiivf.com SEPTEMBER 2017 | DOCTOR MAGAZINE April 2017 DOCTOR MAGAZINE 91

Nutrition in Coconut Oil Explained

fmd,af;,a krl kE fkdfjhs'''

th w;S;fha isg wfma fi!LHh wdrlaId l< .=Kiïmkak f;,a j¾.hhs

SEPTEMBER 2017 | DOCTOR MAGAZINE

doctormagazine.lk

m¾fhaIKd;aulj idlaId;a l< fmd,af;,a i;=

.=Kdx. oyhla fmd,af;,a j, we;s fïo wï, iy wfkl=;a fmdaIl øjH iqjfi; úIfhys ;SrKd;aul jQ fufyhla bgq lrk nj oeka m¾fhaIKd;aulj fy<sorõ ù ;sfí' YÍrfha fïoh wvq lsÍu" fud<fha l%shdldß;ajh iqir lsÍu wdoS úúO l%shdj,ska yd ine|S fï .=Kdx. j,ska f;dard.;a .=Kdx. oyhla Tfí wjOdkhg''''

fmd,af;,a j, n,.;= T!Iëh .=Kdx. iys; fïo wï,h wka;¾.; fõ'

óg l,lg fmr fmd,af;,a i;= fïoh .ek wikakg ,enqfKA wj.=Kh' Bg fya;= jQfha fmd,af;,a j, ix;Dma; fïo wï,h mej;Suhs' ix;Dma; fïoh fi!LHhg ys;lr fkdjk njg tod úoaj;=ka woyia m%ldY lr ;snqKs' we;af;kau fmd,af;,a i;= fïo wï, j,ska ishhg 90lau ix;Dma; fïohhs' úoHdj kï tl ;ek m,a fjk úIhla fkdfõ' tod yß hhs lS foa wo jeros hhs idlaId;a lrkafkao úoHdjuh' kQ;k wOHhk olajk wdldrhg fmd,af;,a i;= ix;Dma; fïoh ydksodhl fkdfõ' tu.ska reêrjdyskS doctormagazine.lk

wjysr lrkjd hkak ñ;Hdjls' ta nj kQ;k úoHd{hka lreKQ iys;j fmkajd oS ;sfí' fmd,af;,a j, we;af;a uOH odu fïo wï,hhs' (Medium-Chain fatty Acids) wm wdydrhg .kakd fndfyda f;,a j¾. tfia fkdfõ' tajdfha we;af;a os.= odu fïo wï,h' os.= odu fïo wï, yd uOH odu fïo wï, mßjD;a;Shg ,lajk wdldrh tlsfklg fjkiah' uOH odu fïo wï, YÍrhg b;d wdrlaIdldÍ mßjD;a;Sh hdka;%Khlg ,lafõ' fuysoS wdydr cS¾K moaO;sfhka miqj uOH odu fïo wï, wlaudjg mßjykh fjhs' wk;=rej fuhska fldgila lSfgdakfoay kï ixfhda. W;amdokhgo bjy,a fõ' bkslaì;s YÍrfha Yla;s wjYH;djhkag Wmfhda.S ùu fuu.ska o isÿfõ'

fmd,af;,a jeä jYfhka wkqNj lrk ck fldÜGdY by<u ksfrda.S;djfhka hqla; jk nj fy<sorõ ù ;sfí'

ol=Kq meis*sla l,dmfha fjfik Tokelauans kue;s ck fldÜGdYh mrïmrd .Kkdjl isg fmd,af;,a wkqNjh isÿ lrk w;r Tjqka w;r iuia;hla f,i .;aúg yDohdndO wjodku wjuh' úfYAI;ajh jkafka Tjqkaf.a Yla;s wjYH;djfhka ishhg 60la muK fmd,a wdY%s;j ,nd .ekSuhs' SEPTEMBER 2017 | DOCTOR MAGAZINE

Kitavans kï ;j;a ck fldÜGdYhlao

fmd,af;,a iq,nj Ndú;d lrk w;r ksfrda.S;djh w;ska Tjqkao bosßfhka isák nj lshefõ' ol=Kq wdishd;sl wm o mrïmrd.; fmd,af;,a Ndú;djl idvïnr Wreuh ,oafoda fjuq' wfma wdos uq;=ka ñ;a;ka b;d ksfrda.S iïmkak cSú; .; l< nj fkdryils'

fmd,af;,a Tfí YÍrfha ;sfnk Yla;sh ^fïoh& oeùug WmldÍ jkafkah'

ia:q,;djh wo f,dalh uqyqKmdk úYd, fi!LH .eg¿jla jkafkah' fmd,af;,a j, we;s uOH odu fïo wï,h YÍrfha fïoh oykhg úYd, ;,a¨jla ,nd fok øjHhls' kuq;a os.= odu fïo wï,h tfia jeäuk;a Yla;sh oykh lrkafka ke;' tla;rd wOHhkhlg wkQj .a?ï 15-30 w;r m%udKhl uOH odu fïo wï,h u.ska meh 24 l Yla;s oykh ishhg 5 lska muK jeä lrhs' idudkHfhka fuh osklg le,ß 120 l muK m%udKhls'

fmd,af;,a j, we;s f,daßla wï,h nelaàßhd" ffjri" os,Sr kdYkh lrhs' th YÍrfha wdidok msgq oelSug uy`.= iïudoula olajhs' fmd,af;,a j, we;s fïo wï,fhka ishhg 50 lau 12 - ldnka f,daßla wï,hhs'

fmd,af;,a tkaihsóh cS¾Khlg ,laùfïoS Monolaurin hkqfjkao ye|skafjk fudfkd.a,sirhsvh ksmojhs' f,daßla wï,h;a fulS Monolaurin ixfhda.h;a hk folu ld¾hlaIuj nelaàßhd" ffjri" os,Sr wdoS jHdêckl 88

SEPTEMBER 2017 | DOCTOR MAGAZINE

cSjdKq kikakg WmldÍ fjhs' wms ksoiqkla .ksuq' fmd,af;,a j,g úkdYldÍ jHdêcklhla fia ie<flK Staphylococcus Aureus nelaàßhdj úkdY l< yel' tfiau frda.ldrl os,Srhla fia ie<flK Candida Albicans uev,Sugo fmd,af;,a iu;ah'

fmd,af;,a j,g l=i.skak m%udo l< yel' m%;sM<h jkafka Tn;a fkdoeku Tn .kakd wdydr m%udKh wvq ùuhs'

fuh isÿjkafka fmd,af;,a j,g ,dlaIKsl fïo wï, YÍrh ;=< mßjD;a;Shg ,lajk úfYaIs; iajNdjh ksihs' tysoS ksmofjk lSfgdakfoay j,g wdydr reÑh uev,Sfï .=Kdx.hla we;' tla;rd wOHhkhloS flá odu" uOH odu yd os.= odu g%hs.a,sirhsv fjk fjku mqoa.,hka yhlg ,nd fok ,oS' fï ldKAvfhka uOH odu g%hs.a,sirhsv ,nd.;a wh ojilg .;a wdydr m%udKh le,ß 256 lska muK wvq ù ;sìK' ;j;a wOHhkhloS WoEik wdydr fõ,g jeä jYfhka uOH odu fïo wï, iys; wdydr .;a ldKAvh oj,a wdydr .ekSfïoS ie<lsh hq;= wdydr m%udKhla wvq lr ;snqKs' fï wOHhk folu m%lg lrkafka flá ld, mßÉfPaohla uq¿,af,a wdydr reÑh wvqjk m%udKhhs' hï fyhlska os.= ld,hla i|yd fuu m%;sM< wdfoaY lf<d;a Tfí YÍrhg ,nd fok le,ß m%udKh ie<lsh hq;= úYd, m%udKhlska wvq lr.; yel'

fï ,smsfha b;sß fldgi ,nk l,dmfhka n,dfmdfrd;a;= jkak doctormagazine.lk

WOMEN'S WORLD

SWEET HEART

mqxÑ orejkag we;sjk

uQ;%d wdidok

fld<U úYAj úoHd,hSh ffjoH mSGfha lÓldpd¾h iy ßcafõ wd¾hd <ud frdayf,a <ud jl=.vq frda. úfYaI{ ffjoH rkaÿ, rKjl 90

SEPTEMBER 2017 | DOCTOR MAGAZINE

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orejka w;r ks;r ks;r uq;%d wdidok we;sùu t;rï fyd| kE' th orejkaf.a jl=.vq j,g wys;lr f,i n,meje;aùug we;s bvlv wm j<lajd .; hq;=hs' fï ksid uq;%d wdidokhla orefjlag we;s jqKdu ta iïnkaOfhka wm úfYAI ie<ls,a,la oelaúh hq;=hs' fï .ek wm fld<U úYAj úoHd,hSh ffjoH mSGfha lÓldpd¾h iy ßcafõ wd¾hd <ud frdayf,a <ud jl=.vq frda. úfYaI{ ffjoH rkaÿ, rKjl iu. l;dnyl fhfokakg fujr woyia l<d'

WOMEN'S WORLD

l=vd orejkag we;sjk uq;%d wdidok fkdi<ld yeÍfuka jl=.vq ydkshg m;a ùfï wjodkula ;sfnkjd'''

ksis m%;sldr lf<d;a uq;%d wdidok myiqfjkau iqjm;a lr.; yelshs' orejkag ks;r ks;r uq;%d wdidok we;s jkakg n,mdk fya;= fudkjdo@ l=vd orejkaf.a uq;%d wdidok we;sjkafka jl=.vq" uq;%djdyskS moaO;sh wdY%s;j úIîchla''' nelaàßhdjla j¾Okh ùfuka we;s jk frda.S ;;a;ajhla jYfhka' uq;%d wdidok orejka w;r ;rula iq,nhs' ta;a ks;r ks;r uq;%d wdidok wdidok we;sùu jl=.vq we;=¿j fu!;% moaO;shg t;rï fyd| kE' tu ksid fuu uq;%d wdidok ksjerosj y÷kdf.k thg kshñ; mßos m%;sldr l< hq;=hs'

orejkag ks;r ks;r uq;%d wdidok we;s jkakg n,mdk fya;= fudkjdo@

úIîchla uq;%d ud¾.hg we;=,a jQ úg uq;%d ud¾.h wdidokh fjkjd doctormagazine.lk

SEPTEMBER 2017 | DOCTOR MAGAZINE

WOMEN'S WORLD

uq;%d wdidok we;s ùfï nrm;,lu wm y÷kd.; hq;=hs' WK;a iu. orejkag ks;r ks;r uq;%d wdidok we;s jk úg bka jl=.vq j,g ydkshla isÿ jkakg hï bvla ;sfnkjd' fï orefjl=f.a uq,au jir lsysmh ;=< jl=.vq j¾Ok fõ.h jeähs' fï ld,fhaoS uq;%d wdidok we;sùu jl=.vq j,g wk;=rla we;sùfï lsishï wjodkula yÕjkjd' uQ,sl jYfhka uq;%d wdidok we;sùug n,mj;ajk fya;= lsysmhla u;= oelafjkjd'

jHqyd;aul fodaI ksid we;sjk uq;%d wdidok jl=.vq uq;%d jdyskS moaO;sh wdY%s;j Wm;skau we;sjk widudkH;d orejkag ks;r ks;r uq;%d wdidok we;sùug m%Odk fya;=jla' Vesicoureteric reflux hkqfjka

ye|skafjk jHqyd;aul ;;a;ajhla ;sfnkjd' fuysoS uq;%d msg lsÍfïoS kej;;a uq;%d k,h osf.a uq;%d Wvg .uka lrkjd' fï ksid uq;%d kd,fha bosóula olakg ,efnkjd' fï ;;a;ajh ;sfnk úg orejdg iïmQ¾Kfhkau uq;%d ysia lrkak nE' fï orejkag ks;r ks;r uq;%d wdidok we;sùfï bvlvla ;sfnkjd'

Vesicoureteric reflux hkqfjka

ye|skafjk jHqyd;aul fodaIfha úúO woshr jHqyd;aul fodaIfhaoS;a orejka w;r uq;%d wdidok jeä jYfhka olakg ,efnkjd' msßñ orejkaf.a uq;%dYfha isg YsIAKhg jk kd,fha wjysr;djhla we;s fjkakg mq¿jks' Posterior Ureteral valve hkqfjka ye|skafjk fuu ;;a;ajfhaoS;a orejka w;r uq;%d wdidok we;s jkakg bv ;sfnkjd' fï wdldrfhka uq;%d ud¾.fha yd jl=. vq j, we;sjk fodaI iy.; msysàï" iajNdjhka ksid we;sjk fodaI ksid orejka w;r uq;%d wdidok we;s ùu iq,nj olakg ,efnkakla'

uq;%d jdyskS folla wm yefudagu ;sfnkjd' jï me;af;a yd ol=KQ Tfí orejdg WKla ;sfhkjd''' me;af;a' Duplex fyïìßiaidjla" leiaila kE''' System kue;s frda. ;;a;ajhla yenehs uq;%d lrk jdr .Kk we;euqka ;=< jeähs' meyefh;a lsishï olakg ,efnkjd' fjkialula ;sfnkjd' uq;%d lrk fuysoS tla me;a;l úg orejd wmyiqfjka bkafk''' uq;%djdysksh fjkqjg fï úosfya fj,djg uõmshka follau olakg orejdf.a uq;%d mÍlaIKhla isÿ ,efnkjd' fuu

fï jHqyd;aul fodaI we;eï úg ld,h;a iu. ksjeros fjk wjia:d ;sfnkjd' ke;akï iq¿ Y,Hl¾uhlska iqjm;a l< yelshs' yenehs kshñ; wjia:dfõoS kshñ; m%;sldr

lrkakg mshjr .ekSu iqÿiqhs'

SEPTEMBER 2017 | DOCTOR MAGAZINE

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Duplex System we;s úg tla me;a;l uq;%d kd, follau we;s fjkjd

fkd,eîfuka jl=.vq ydkshg m;a jqfKd;a ;;a;ajh ;SrKd;aul woshrlg meñfKk ksid tu fodaI j,g kshñ; m%;sldr ,eîu b;d jeo.;a'

u<noaOh ksid;a uq;%d wdidok we;s fjkjd uq;%d wdidok jeä jYfhka we;s lrk nelaàßhdjla ;uhs B fld,hs' B fld,hs nelaàßhdj YÍr.; jqfKd;a ksjyk lr.kafka wdydr ud¾.hhs' fuu nelaàßhdj yßhg wdydr ud¾. fhka bj;a kQfkd;a fld,ks yo," fnda fj,d myiqfjkau uq;%d ud¾.h;a wdl%uKh lrkjd' fï ksid wyru. iqug l%shdldß;ajhg ndOd we;s lrjk u<noaOfhka orejka uqojd .ekSug wm W;aiql úh hq;=hs' kshñ; fmdaIKh yd oshr j¾." ;ka;=uh wdydr orejdg ,ndoSu fuys,d b;d jeo.;a fjkjd'

uq;%dYfha udxYfmaYs j, ;sfnk lsishï wiu;=<s;;djhla orejka w;r jeä jYfhka olakg ,efnk ;j;a ;;a;ajhla ;uhs jeä jYfhka uq;%d r|jdf.k isákakg we;s doctormagazine.lk

uq;%d ud¾.fha we;sjk .,a .,a we;sùu jeäysáhka w;f¾ mj;akd f,vla úosyg Tn ys;kjdo@ ta;a we;eï fj,djg l=vd orejkag;a .,a we;s úh yelshs' tfyu wjia:d ;sfnkjd' th;a uq;%d wdidok we;sùfï fya;=jla' orefjl=g ks;r ks;r uq;%d wdidok je<f|kjd kï thg fya;=j ljrla jQj;a th ksjerosj y÷kdf.k Bg ksis ms<shï fhoSu jeo.;a fjkjd'

uq;%d wdidok yªkd.ekSug l< hq;af;a l=ulao@ orefjl=g uq;%d wdidokhla we;s jqKdu ta .ek uõmshkag mjikak fkdf;afrkak mq¿jka' oeú,a," fõokdj'' wdoS frda. ,laIK u;= jQj;a tajd jpk njg fmr<d ikaksfõokh

m%udKj;a ;rï c,h mdkh fkdlsÍu uq;%d wdidok jeä j¾Okh jkakg fya;=jla' c,h mdkh lsÍfuka úIîc tl;= fjkafk kE' taj .yf.k hkjd' fï ksid uq;%d wdidok we;s úg ;u orejkag fjkodg jeäfhka j;=r mdkh lrkakg i,iajk f,i wm fouõmshkag Wmfoia fokjd' SEPTEMBER 2017 | DOCTOR MAGAZINE

WOMEN'S WORLD

fkdyelshdj' Tjqka ks;r ks;r uq;%d lrkakg fm<fUkjd Tn oel we;s' fuhg fya;=j ;uhs uq;%dYfha udxYfmaYs j, ;sfnk lsishï wiu;=<s;;djhla' fï whg p¾hd;aul fjkialï we;s lsÍfuka fï ;;a;ajh j<lajd .kak mq¿jka' we;eï úg T!IO ,ndoSu;a isÿ fjkjd' fujka <uhska w;f¾;a uq;%d wdidok we;sùfï jeä m%jK;djhla olakg ,efnkjd'

WOMEN'S WORLD

lrkakg orejka fndfydauhlg yelshdjla kE' fï ksid uõmshka jYfhka wm Tjqkaf.a fõokdjka yªkd.ekSug" ta .ek úuis<su;a ùug ie<ls<su;a úh hq;=hs' wms ys;uq" Tfí orejdg WKla ;sfhkjd''' fyïìßiaidjla" leiaila kE''' yenehs uq;%d lrk jdr .Kk jeähs' meyefh;a lsishï fjkialula ;sfnkjd' uq;%d lrk úg orejd wmyiqfjka bkafk''' fï úosfya fj,djg uõmshka orejdf.a uq;%d mÍlaIKhla isÿ lrkakg mshjr .ekSu iqÿiqhs' ;rula f,dl= orefjla kï Tyqg ta .ek lshkak mq¿jka''' zzuq;%d lrk úg oeú,a,la tkjd'''ZZ zzwmyiqjla oefkkjd'''ZZ wdoS jYfhka' ta yereKQ úg uõmshkaf.a ióm ksÍlaIK;a jeo.;a fjkjd' uq;%d lrk jdr .Kk jeä ùu' we;eï fj,djg nv rsfok nj mejiSu' WK;a iu. jukh we;s ùu''' leiaila fyïìrsiaidjla jf.;a fmfkkak ke' fï úosfya wjia:d j,oS uõmshka orejdf.a uq;%d idïm,hla mÍlaId lrjd .kak tl fyd|hs'

uq;%d wdidok j,g lrk m%;sldr uq;%d wdidok yªkdf.k m%;sldr lsÍu b;du jeo.;a' uq;%d wdidok yªkd.ekSu t;rï wiSre kE' ir< mÍlaIKhlska yªkd .ekSfuka miq kshñ; T!IO ,ndoSfuka thg m%;sldr ie,ish hq;=hs' fuysoS ks¾foaY lrk T!IO kshñ; ud;%dj" kshñ; fj,djgu ,nd oSu jeo.;a' fuysoS ks¾foaY lrkafka m%;scSjl T!IO' tajd ojia y;la j;a ,ndosh hq;=hs' we;euqka osk ;=kla fuu T!IO ,ndoS frda. ,laIK my jqKdu T!IO kj;ajd oukakg yosis fjkjd' fuysoS frda.h iyuq,skau 94

SEPTEMBER 2017 | DOCTOR MAGAZINE

lefvkafk kE' nelaàßhdjka úkdY fjkafk kE' túg frda.h kej;;a u;= fjkjd ú;rla fkdfjhs" ta kej; u;= fjkafk l,ska ÿkak T!IO j,g iqj fkdfjk uq;%d wdidokhla úosyg' fï ksid fok ,o m%;sldrh iïmQ¾Kfhkau isÿ lr .ekSu jeo.;a'

uq;%d wdidok j<lajd .kakd yeá uq;%d wdidokhg fya;= mdol jQ ldrKh fidhd.; hq;=hs' l=vd orefjlaf. uq;%d wdidokhla we;s jqKdu wm ialEka tlla lr.kakg Wmfoia fokjd' u;=msáka olskakg fkd,efnk fohla fï mÍlaIKfhka yªkd .ekSfï wjia:dj ;sfnkjd' Ultra Sound Scan mÍlaIKh myiqfjka l< yels mÍlaIKhla' w;=re wdndO ke;s mÍlaIKhla' thska lsishï fodaIhla yªkd .;af;d;a Bg ms<shï fhoSfï wjia:dj fuu.ska ,efnkjd'

orejdg fjkodg jeäfhka j;=r mdkh lrkakg i,iajkak wfma wdydr mqreÿ fjkia lr.kakg;a fuysoS isÿ fjkjd' m%udKj;a ;rï c,h mdkh fkdlsÍu uq;%d wdidok jeä j¾Okh jkakg fya;=jla' c,h mdkh lsÍfuka úIîc tl;= fjkafk kE' taj .yf.k hkjd' fï ksid fouõmshkag ;u orejkag fjkodg jeäfhka j;=r mdkh lrkakg i,iajk f,i wm Wmfoia fokjd'

u<noaOhg ksis ms<shï fhdokak óg fmr lS wdldrhg u<noaOh ;sfhkjd kï uq;%d wdidok wjodku jeähs' fï ksid fl|s iys; wdydr m<;=re wdosh jeä jYfhka ,ndoSug mshjr .kakjd kï fyd|hs' doctormagazine.lk

WOMEN'S WORLD

uq;%d os.= fj,djla ysr lrf.k bkak fokak tmd''' we;eï orejka jeä fj,djla uq;%d fkdlr r|jdf.k bkakg jeä leue;a;la olajkjd' fï orejkag meh 3-4lg j;djla j;a uq;%d lr, tkak lsh, Wmfoia fokjd' thska uq;%d wdidok we;sùfï wjia:d wvq lr.kak mq¿jks' fï ir< l%shdud¾. orejka uq;%d wdidok j,ska uqod .ekSfuys,d w;sYhska msgjy,la fjkjd' we;eï uq;%d jdyskS moaO;sfha widudkH;d iys; orejkag rd;%sfha muKla ,nd .kakd T!IOhla kshu lrkjd'

l=vd orefjlaf. uq;%d wdidokhla we;s jqKdu wm ialEka tlla lr.kakg Wmfoia fokjd' u;=msáka olskakg fkd,efnk fohla fï mÍlaIKfhka yªkd .ekSfï wjia:dj ;sfnkjd'

uq;%d wdidok fidhd fok uQ;%d mÍlaIK cSjdkqyrs; fnda;,hlg tl;= lr.kakd uq;%d ksheoshla wkqidrfhka isÿ lrk UFR Culture kue;s mÍlaIKfhka uq;%d wdidokhla ;sfíoehs ksjerosj yªkd.; yelshs' úIîchla uq;%d j, we;s nj ;yjqre lr.;a miq thg .e,fmk m%;scSjlh ksielfhka yªkd .ekSfï mÍlaIKhlao ridhkd.dr.;ju l< yelshs' frda.shdg T!IO wdrïN lsÍug fmr isÿ lrk fuu mÍlaIKh ABST fkdfyd;a Antibiotic Sensitivity Test hk kñka ye|skafjkjd' fuysoS tu úIîc we;=<;a uq;%d idïm,h fhdodf.k úúO m%;scSjl fhdod .ksñka tu úIîch úkdY

doctormagazine.lk

lrk T!IOh ksielfhkau fidhd .kakjd' fuys m%;sM<h ,nd .ekSug osk 2-3la .; fjkjd' fï ksid m%dfhda.sl jYfhka isÿ lrkafka úIîchla hhs yªkd.;a wjia:dfõoS wkqudk jYfhka úIîc uev meje;aúh yels hhs is;d .kakd T!IOhla uq,a wjia:dfõ mgkau ,ndoSu yd hï fyhlska ABST mÍlaIKfhka tu T!IOh úIîch uev meje;aùug fkdiu;a hhs y÷kd .;af;d;a muKla .e,fmk fojk Tiqjla ,nd oSuhs' fuu mÍlaIKh i|yd ridhkd.drh u.ska ,ndfok cSjdkqyrkh lrk ,o lrljk uQähla iys; fnda;,hlau ,nd.; hq;=hs' tfiau th b;d msßisÿj ,sxf.akaøsh j, iam¾Y fkdjk fia uq;%d ksheosh ,nd.ekSuo jeo.;a fjkjd'

SEPTEMBER 2017 | DOCTOR MAGAZINE

s d r o w d n a Thous IN ONE IMAGE

úYauhckl ks¾udKYS,s;ajh

kE mqf;a vjqkaf,daâ lf<a kE''' Thd bmÿKd'''

foaYKhlg ijka oSfï wjia:d y;r

ffjoH YsIHdjka msßila ;u Wmdê m%odfkda;aijfhaoS fi,a*s tlla .kakd wkaou

wïuf.u mq;d''' fukak leg''' 96

SEPTEMBER 2017 | DOCTOR MAGAZINE

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tlla f;dard.kafka fldfyduo@ vhmrhla f;dard .ekSfïoS ujla fidhd ne,sh hq;= m%Odk lreKq fudkjdo@ lreKq ;=kla wms i<ld n,uq' doctormagazine.lk

ksIamdokh bÈßm;a lrk wdh;kh Tfí orejdg iqÿiq <ore Diaper tlla f;dard .ekSfï§ ne,sh hq;= m%Odk lreKla jkafka" th ksIamdokh lr Tn fj; bÈßm;a lrk ksIamdolhd iïnkaOfhks' th b;d jeo.;a lreKla jkafka wehs@ lS¾;s kduhla ck;dj w;r f.dvkef.kafka hym;a ksIAmdokhla idOdrK ñ,lg fj<|fmd<g bosßm;a lf<d;a muKs' túg tu ksIamdok flfryS mdßfNda.slhd ;=< úYajdihla f.dvkef.hs' tfukau ksIamdolhd SEPTEMBER 2017 | DOCTOR MAGAZINE

myiqfjka Tng iïnkaO lr.ekSfï yelshdj ;sìh hq;=hs' ksIamdokh ms<sn| ´kEu úia;rhla ±k .ekSug ta ;=<ska wjia:djla Tng ,efnkq we;' tu ksid lsis÷ ìhlska f;drj Tnf.a orejdg Ndú;d lÍßug Tng yelsjkq we;'

FDA - fuu ;;a;aj iy;slh ,nd fokafka tu ksIamdok l%shdj,sh yd ksIamdokh cd;Hka;r ;;a;aj iy;slhkag yd kS;Hdkql+,j isÿ lrk tlla njg iy;sl lrñks'

ksIamdokfha we;s úfYaIdx.

tlai;a rdcOdksfhka wdrlaIs; ksIamdokhlg" ksIamdok l%shdj,shg yd tu ksIamdok l%shdj,sh cd;Hka;r ;;a;aj iy;slhkag yd kS;Hdkql+,j isÿlrk tlla njg iy;sl lrhs'

wê iqiqï miqmi wdjrKh (Ultra Breathable Back-Sheet) iq<Õ ukd wkaoñka ixirKh jk wdldrfhka vhmrh ksujd we;s ksid orejdf.a iu ks;ru úh<sj ;nd .kshs' f;;uk o¾Ylh (Wetness

Indicator) f;;ukh fmkakqï lrk fyhska vhmrh udre l< hq;= fudfyd; msg;skau myiqfjka ±k .; yelsh'

fldaudßld iy úgñka E (Aloe Liners) Vitamin E iajNdúl fldaudßld ;Sre yd úgñka E orejdf.a iu fmdaIKh lrk w;r ì<s|d f.a isks÷ iug ydks we;s ùfukao wdrlaId lrhs' b,diaála bkmáh ^Elastic waist Band& ysßyerhlska f;drj orejdf.a

bk fmfoi iúu;aj fj,d .kshs'

ksIamdokh i|yd we;s ;;a;aj iy;sl <ore Diaper ksIamdokhla f;dard .ekSfï§ ne,sh hq;= m%Odk lreKla jkafka" th b;d Wiia ;;a;ajhlska hq;= ksIamdokhla o hkakhs' ukao" iqÿiq fkdjk Baby Diaper tlla ksid Tfí orejdg úYd, ydkshla isÿùug we;s yelshdjhs' ;;a;ajfhka Wiia ksIamdokhla Ndú;d lsÍfuka tu wjodku Tng uÕ yrjd .; yel' ±kg f,dalfha we;s ;;a;aj iy;slhla .ek fidhd n,uq'

SEPTEMBER 2017 | DOCTOR MAGAZINE

BRC – fuu ;;a;aj iy;slh ì%;dkH

SGS - fuu ;;a;aj iy;slh ,nd

fokafka tu ksIamdok l%shdj,sh yd ksIamdokh cd;Hka;r ;;a;aj iy;slhkag mj;ajdf.k hdu ksihs' fuu ;;a;aj iy;sl ;=ku ,nd fokafka tu ksIamdokhka cd;Hka;r ;;a;aj iy;slhkag wkqj yd ñksia mßfNdackhg iqÿiq whqßka ksIamdok l%shdj,sh mj;ajdf.k hdu ksihs' by; i|yka ;;a;aj iy;sl we;s Diaper tlla Tfí orejdg f;dard .ekSu b;d jeo.;a' bÈßfha§;a fujeks jeo.;a f;dr;=re rdYshla ,dxflah uõjreka yd fnod .ekSug wms n,dfmdfrd;a;=fjka isáuq' bÈß l,dmfhka Diaper tlla f;dard. ekSfï§ laf,daÍka rys; ^Chlorine Free& Baby Diaper tlla f;dard.; hq;af;a wehs@ hk lreK .ek f;dr;=re fnod .ekSug wms n,dfmdfrd;a;=fjka isáuq' THREAD WORKS (PVT) LIMITED VELONA CUDDLES

wmf.a j.lSu Tfí orejdg fyd|u foa ,ndoSuhs' igyk úOdhl ks,Odß ksrdca *¾kekavq doctormagazine.lk

WOMEN'S WORLD

SWEET HEART

hym;a orejl= yod jvd .ekSug w;aje,la orejkaf.a l=vd ld,fha .;s ,laIK .ek fouõmshkS" ie<ls<su;a fjkak' th Tfí orejd úYsIAGfhla lrkakg ,efnk wjia:djls' orejka úúOdldrh' tlu mjqf,a jqjo orejka fofofkl= iu l< fkdyel' tla tla orejdg wdfõKsl jQ .;s ,laIK" olaI;d yd ÿ¾j,;d ;sìh yel' fï ,laIK fndfydaúg cdkuh miqìu yd lsisahï orejl=g cSú;fha uq,au wjêfha ,efnk w;a±lSï yd W;af;ack u; ;SrKh fõ' 100 SEPTEMBER 2017 | DOCTOR MAGAZINE

ufkda frda. úfYaI{ ffjoH ud,sld ùrisxy úisks

doctormagazine.lk

orejl= l%ufhka jefvk úg Tyqf.a ldhsl j¾Okh flfryS olajk ie<ls,a,g iudkj Tyqf.a udkisl" idudcSh yd nqoaê j¾Okh flfrySo ie<ls,a, fhduq lsÍu fndfyda jeo.;a fõ' orejka úúOdldrh' tlu mjqf,a jqjo orejka fofofkl= iu l< fkdyel' tla tla orejdg wdfõKsl jQ .;s ,laIK" olaI;d yd ÿ¾j,;d ;sìh yel' fï ,laIK fndfydaúg cdkuh miqìu yd lsishï orejl=g cSú;fha uq,au wjêfha ,efnk w;a±lSï yd W;af;ack u; ;SrKh fõ' orejkaf.a fjkialï fndfyda úg biau;= jkafka Tjqka fmr mdi,a fyda mdi, wdrïN l< úgh' kuq;a iuyr úuis,su;a uõjreka ;u orejkaf.a .;s.=K b;d l=vd wjêfhau y÷kd.kq o wm ±l we;' wka fouõmshka fyda .=rejreka ;u orejdf.a fjkialula ms<sn|j úfYaIS i|ykla l<fyd;a fndfyda fouõmsfhda l,n, fj;s' fuh ufkda ffjoH .eg¨jla úh yels±hs fidhd n,;s' l=vd l, isgu ;u orejdf.a pß; ,laIK ms<sn| ukd wjfndaOhla we;slr .kafka flfia±hs wms fidhd n,uq' Tfí orejd fyd|ska ksÍlaIKh lrkak' Tyqf.a fyda wehf.a lEu .ekSfï mqreÿ" ksod.ekSfï mqreÿ" l%shdYS,S nj" leu;s ydwlue;s foa" wka wh yd iïnkaO;d we;s lr.kakd wdldrh wdÈh úuis,su;aj ksßlaIKh lsßfuka Tfí orejdf.a idudkH ,laIK .ek wjfndaOhla ,nd .; yel'

orejd yd iïnkaO fun÷ uQ,sl ,laIK lsysmhla .ek wms úia;rd;aulj i,ld n,uq' l%shdYS,S nj Tfí orejd jeämqr ksy`vj l,n,hlska f;drj isàug leu;s wfhlao" doctormagazine.lk

ke;fyd;a tl úkdähla fyda tl ;ekl /|sh fkdyels ks;ru fkdikaiqka wfhlao" hkak ms<sn| úuis,su;a jkak' l%shdYS,S orefjda l%Svd j,g olaI yd tljr j.lSï /ila ±Ífï yelshdj we;a;jqka úh yel' wjOdkh §fï yelshdj iuyr orejkag wjg mßirfha W;af;ack fndfyda ;snqKo ;ud lrñka isák fohg ikaiqkaj wjOdkh fhduq l< yel' kuq;a iuyre b;d blauKska wjOdkh ì|S fjk;a fohlg fhduq fõ' fuu .;s ,laIKh fmd;a m;a j, jev wiïmQ¾K ùug fya;=jla úh yel' m%;spdr ±laùfï m%udKh Tfí orejd i;=gqodhl fyda wi;=gqodhl wjia:djlg flfia m%;spdr olajkafkao@ b;d l=vd isÿùulg mjd b;d yhsfhka lE .id l,n,ù m%;spdr m%;spdr olajhso ke;fyd;a wi;=gqodhl fohla isÿjQ úg ksy`vj isào@ wêl f,i m%;spdr olajk orejka ;udf.a wjYH;d f,fyisfhka bgqlr .kakjd fukau miq lf,l kdgH l,dj jeks ks¾udKd;aul wxY j, olaIhska úh yel' idudkH lghq;= j,§ olajk l%udkql+, nj ñka woyia jkafka lEu .ekSu" ksod .ekSu jeks idudkH cSj l%shdj,§ fl;rï l%udkql+, njla olajkafkao hkakhs' iuyr orejka l=vd l, isgu l%udkql+, rgdjlg yev .iajd .ekSu myiqh' kuq;a iuyreka f.a rgd wkqudk lsÍu b;d wmyiq jk w;r tn÷ orejka n,d .ekSug wudre orejka f,i ie,fla' orejka l%ufhka jefvk úg Tjqka ukd f,i yslaujd .ekSuo hym;a orejl= yod jvd .ekSug b;d jeo.;a fõ' fï i|yd fouõmshka wkq.ukh l< hq;= mshjro orejdf.a .;s ,laIK wkqj fjkia l< hq;= fõ' tfia ke;fyd;a orejdf.a yeisÍulg fouõmshka olajk m%;spdrh yeisÍfï .eg¨j ;j;a W.% ùug fya;= úh yel' orejkaf.a úúO pß; ,laIK y÷kd .ekSfï mshjrh B,Õ iïnkaOfhka jeäuk;a úia;r ,smsfhka i,ld n,uq' SEPTEMBER 2017 | DOCTOR MAGAZINE 101

WOMEN'S WORLD

iEu ujlf.au" mshl=f.au isyskh ;u orejd iqúfYaIS olaI;d we;s" iudchg jevodhS mqoa.,hl= lsÍuhs' fï i|yd foudmshka jYfhka l< hq;af;a fudkjd±hs fidhd ne,Sug fndfyda fokd Wkkaÿ fõ'

WOMEN'S WORLD

,,kd iqjfi;

FEMINA

ysiflia

l¿ meye .ekaùu .ek Tn oek.; hq;= lreKQ ysiflia iqÿ jk úg tajd l¿ lr .ekSug wm jeä fofkla ksrdhdifhka fm<fUkjd' tfy;a th ksjerosj lr.kafka flfiao@ tys we;s hym; yd whym; ljrdldro@ fï .ek iudf,dapkhl fhoSu fï ,smsfha wruqKhs' ysiflia l¿ lr .ekSfuka Tng ,efnk jdis fudkjdo@ iqÿ ysiflia Tfí fm!reIhg iDKd;aul n,mEula we;s lrkakg mq¿jks' tu n,mEfï ;ru ;SrKh lsrug Tfí jhi" /lshdj yd iudc ;;a;ajho hï ;rulg fya;= fjkjd' ksoiqkla f,i ms<s.ekSfï ks,Odßkshla f,i lghq;= lrk ;reK ldka;djlf.a wl,g ysiflia iqÿ fõ kï tajd b;d blauKska iÕjd .ekSu wjYH jk w;r ueos jhig lsÜgq jk msßñfhl=g kï b;d ;o l¿ meyefhka j¾K lr.;a ysilg jvd ;ekska ;ek iqÿflia.ia lsysmhla ;sîfuka Tjqkg jvd;a mßK; fmKqula we;s fjkjd'

iqÿ ysiflia Tfí fm!reIhg iDKd;aul n,mEula we;s lrkakg mq¿jks' 102 SEPTEMBER 2017 | DOCTOR MAGAZINE

doctormagazine.lk

ysiflia l¿ lr .ekSug fmr Tn is;d ne,sh hq;= lreKQ fudkjdo@ m<uqfjkau is;d ne,sh hq;= ldrKh jkafka fuu kj fjki Tng fldf;l=;a ÿrg .e,fmao hkakhs' fuh yqfola Tfí ndysr idOl u; ;SrKh jkakls' ksoiqkla f,i f,dl= uy;a jQ orejka isák ujla fyda msfhl= tlajku ysiflia l¿ lr .ekSu iudcfha ms<s.ekSug t;rï md;% fkdjkakgo mq¿jk' Tfí ysiflia l¿ lsÍu Tfí fmKqug fyda by;ska i|yka l< ndysr idOl j,g fyda flfia n,mdhso hkak Tng ksYaph fkdue;s kï ysiflia ;djld,slj j¾K .kajd ta fjki Tngu mila lr.kak wjia:djla ie,fikjd' fuu ;djld,sl j¾Kl wo fj<|fmdf<a iq,nh' tajd r|d mj;skqfha Tn kej; jdrhla Ieïmq lr ysi fidaod yßk ;=re muKs' iqÿ ysiflia l¿ lsÍfïoS Tfí b;sß ysiflia j, j¾Khgu f;dard .ekSfuka jvd iajdNdúl fmKqula osiafõ' wo fj<|fmdf<A mj;akd Black Henna jeks j¾Kl b;d ;o l¿ meyefhka hqla; ksid tajd wdf,am l< miq iajdNdúl ysiflia j, j¾Kh fmkajkafka ke;' tfiau is;d ne,sh hq;= ;j;a jeo.;a ldrKhla jkqfha fuh os. gu mj;ajd f.k hk wdldrh ms<sn|jhs' l¿ l< ysiflia os.= jk úg ysiflia j, uq, fmfoi iqÿjg fmfkk ksid tla tla whf.a ysiflia jefjk fõ.h wkQj idudkHfhka i;s 2--3lg jrla kej; flia uq, j¾K lsÍug isÿ fõ' Tn ld¾h nyq, flfkla kï fuu j¾K .ekaùu wdrïN

ysiflia j, ridhKslh ;ejÍug fmr iEu úgu wdid;añl;d mÍlaIKh isÿ lr.kak' doctormagazine.lk

SEPTEMBER 2017 | DOCTOR MAGAZINE 103

WOMEN'S WORLD

;Uq;af;a.u uQ,sl frdayf,a jevn,k p¾u frda. úfYaI{ ffjoH ,laud,s m;srdc

WOMEN'S WORLD

lsÍug fmr th os.gu mj;ajd .; yelallao hkak ;SrKh l< hq;=h' tfiau /jq, jjd we;s msßñfhl=f.a ysfiys fukau /jqf,yso flia iqÿù we;akï ysi muKla j¾K lsÍfuka ;rul widudkH;djhlska th osia fjkak mq¿jks' we;eï mqoa.,hka / jqf,yso vhs j¾. .,ajk kuq;a uqyqfKa iu ixfõoS ksid wdid;añl;djhkag f.dÿre ùfï jeä wjodkula fï ksid we;s fjkjd'

ksjerosj ysiflia j¾K .kajkafka flfiao@ • iEu úgu wdid;añl;d mÍlaIKh isÿ lr.kak' fuysoS wod, ridhKslfhka iaj,amhla lk msgqmi fyda ndyqfõ we;=,a me;af;a wdf,am lrkjd' meh 24l muK ld,hla we;=<; leiSula" r;= ùula fyda m¿ yg.ekSula olakg ,efíoehs úuis<su;a fjkak' fuysoS Tng lsj hq;= jeo.;a mKsúvhla ;sfnkjd' fuu mÍlaIKfhka Tn fuh .e,aùfuka iaÓrju wdid;añl;djhla we;s ùfuka ksoyia jk njg b÷rdu mejish fkdyelshs'

we;eï mqoa.,hka /jqf,yso vhs j¾. .,ajk kuq;a wdid;añl;djhkag f.dÿre ùfï jeä wjodkula fï ksid we;s fjkjd' ysiflia j¾K .ekAùug Wmfoia • wdrlaIl l%ufõohka iEu úgu fhdod .kak' ^Wod' w;a jeiqï" uqL wdjrK wdosh m<|skak'& • k<, jeks j¾Klh ;ejÍug yelshdjla we;s ia:dk j, jeia,ska jeks ndï j¾.hla wdf,am lrkak' • ysfiys fyda uqyqfKys ;=jd," iSÍï wdosh mj;skafka kï tajd iqjm;a jk ;=re ridhKslhka .e,aùu kqiqÿiqh' • j¾K .ekaùug fmr ysfiys we;s oyäh" f;,a" lkaäIk¾" l=KQ ¥ú,s bj;a jk fia fyd|ska Ieïmq lr fõ,d.; hq;=h' • l=vd fldgia f,i ysifla fnod j¾K .ekaúh hq;= w;r fï i|ydu úfYaI jQ nqreiq fj<|fmdf<a mj;S' jeä jYfhka iqÿ ysiflia mj;sk ia:dk j, fojk jrg;a .e,aùula isÿl< yelsh' • j¾Kl Wrd.ekSu i|yd Wmfoia m;%sldfõ i|yka lr we;s ld,h t,dï Trf,daiqjl igyka lrkak' ta ta ksIamdok i|yd wod, ld, fjkia jk w;r jeä m%;sM< ,nd .ekSug hhs is;d jeä ld,hla

104 SEPTEMBER 2017 | DOCTOR MAGAZINE

doctormagazine.lk

• kshñ; fj,dfjka miq Ieïmq Ndú;d fkdlr ysiflia fyd|ska fidaokak' ysi fiaoS hk c,h meyeos,s jk ;=reu fyd|ska fidaokak' • fufia fiaoSfïoS tu j¾Kl iys; c,h uqyqKg jefgk fia fiaoSu kqiqÿiq jk w;r rEm,djKHd.dr j, kï ysi msgqmig lr myiqfjka fiaosh yels fíiï iy c, lrdu ia:dms; lr ;sfí' • ysiflia j¾K .ekaùfuka miq tajd b;d úh<s iajNdjhla .kakd w;r tu ksid lkaäIk¾ j¾.hla wjYHfhkau Ndú;d lsÍug isÿ fõ' idudkHfhka fndfydauhla fyd| j¾Kl ksIamdok iu. fuu lkaäIk¾ l=vd meleÜgqjlao nyd ;sfí' • j¾Kl ysiflia j, jeä ld,hla /|S mej;Sug kï j¾K l< ysiflia i|ydu ksIamdos; Ieïmq

ysiflia l¿ lrkakg fmr m<uqfjkau l< hq;= jkafka fuu kj fjki Tng fldf;l=;a ÿrg .e,fmao hkak ;SrKh lsÍuhs' doctormagazine.lk

yd lkaäIk¾ os.gu Ndú;d lsÍu iqÿiqh'

ysiflia vhs lsÍfuka we;súh yels wys;lr M,úmdl fudkjdo@ m%Odk jYfhkau wdid;añl;d wjodku .ek úuis<su;a ùug isÿfõ' fuu wdid;añl;d wdldr folls'

b;d blauKska we;sjk wdid;añl;d fuysoS leiSu" YÍrfha m¿ oeóu" weia yd f;d,a bosóu" la,dka; .;sh" yqiau .ekSfï wmyiqj we;súh yelsh' idudkHfhka wdf,am lrk wjia:dfõ fyda meh lsysmhlska fuu ;;a;ajh we;súh yel' fuh b;d Nhdkl wjodkuls' blauKska m%;sldr fkdlf<d;a urKh jQjo we;súh yelsh'

ld,hla .; jQ miq we;sjk wdid;añl;d fuysoS ysfiys fyda uqyqfKa leiSu" ìì,s we;sùu idudkHfhka isÿfõ' j¾Kl ld,hla mqrd''' j¾I .Kkdjla Ndú;fhka miqj jQjo we;súh yel' fuu ;;a;aj j,g m%;sldr lsÍu b;d wmyiqh' fï ksid thg uqyqK mE wh fuh wdid;añl;djhla jYfhka ms<s. ekSug mjd ue<s fõ' tfia ielhla Tng mej;Sug ta i|yd isÿ lrk Patch Test mÍlaIKhlska ta nj ;yjqre lr .ekSugo wjia:dj ;sfí' tfiau we;eï ksIamdok j, mj;sk úI ridhKsl ksid tajd os.= ld,hla Ndú;d lsÍfïoS b;d l,d;=rlska ms<sld jeks ;;a;aj jQjo we;sùfu wjodkulao ;sfí' SEPTEMBER 2017 | DOCTOR MAGAZINE 105

WOMEN'S WORLD

isgfuka Nhdkl m%;sM< j,g uqyqK mdkakg isÿjQ wjia:do jd¾;d ù ;sfí'

WOMEN'S WORLD

iqrEmS ,shka hqj;shka fkdlshk ryilg iqkaor úi÷ula

VG FRESH Tn Èkm;d msßisÿj iqj|j;aj bkafka fldfyduo lshk tl .ek Tn udkisl mSvdfjkao bkafka@ Tn okakjdo" inka j,ska fï i|yd ms<s;=rla fkd,efnk nj''' inka ksid ldka;djhkaf.a ryia m%foaYfha pH w.h 7 blaujd hhs' ta i|yd Tng we;s iqkaoru úi÷u VG FRESH idhkslj iy úoHdkql+,j ;yjqre lrk ,o kshñ; VG fresh iunr;djfha w.h jk 3.5 – 4.5 iys; VG FRESH ikSmdrlaIl Èhrfhys we;s fmk ke.=ï ldrlh iu ;=<g ldje§ f;,a iys; wmú;% fldgia bj;a lrhs' tfukau tys we;s TEA TREE

106 SEPTEMBER 2017 | DOCTOR MAGAZINE

ffjoH Wmfoia rEm,djkH ffjoH chrejka nKavdr 071 812 7693 OIL m%;sTlaisldrlh u.ska È,Sr we;=¿

wys;lr laIqø cSùka u¾Okh lr iu Èrdhdu j<ld oji mqrd iqmsßisÿ iqj|j;a njla ,nd fohs'

ldka;d iqkaor;ajfha ryi msßisÿ luhs msßisÿlu .ek ljqre;a l;d fjkjd' ta jf.au fndfyda fokd msßisÿlu .ek jeä wjOdkhla ,nd fokjd' tfiau ;uhs msßisÿj bkak flfkla lshkafka fyd| fi!LH iïmkak flfkla úÈhg doctormagazine.lk

ldka;djla lshkafka b;du iqokaor m%shukdm flfkla' ta jf.au ,iaikg iqkaorj bkak wêl ñ, .Kka úhoï lr,d jqK;a ksIamdok j¾. ñ,§ .kak Tn fm<ô,d;a we;s' kuq;a Tn Tfí ryia m%foaYhkayS" ^,sx.dY%s; m%foaYh& msßisÿlu .ek is;=jdo@ ldka;djla úÈhg Tn Tfí ryia m%foaYhkays ^,sx. dY%s; m%foaYh& msßisÿlu .ek is;Su ;=<ska Tn ksfrda.S flfkla fjkjd jf.au Tn ukd fm!reIhla ysñ ;eke;a;shla njgo m;a fjkjd'

Tn;a Tfí ryia m%foaYfha ^,sx.dY%s; m%foaYh& msßisÿlu .ek is;k flfklao@ iuyr úg Tn fï .ek oekgu;a wjOdkh fhduq lr,d;a we;s' kuq;a Tn ;ju;a ryia m%foaYhkays ^,sx. dY%s; m%foaYh& msßisÿlu fjkqfjka Ndú;d lrkak mqreÿ fj,d bkafka inka j¾.hla fjkak;a mq¿jka' ta;a Tn mdúÉÑ lrkak inka j," úúO ødjk j¾.j, jqj;a wdï,sl;djh NdIañl;djh fkd.e,mSu ksid Tfí ryia m%foaYfha iajNdúlj iajdNdúlj wdrlaId lrk wdrlaIK moaO;shg ydks isÿùug mq¿jka' ta ksid úúO wdidOk iu u;=msg iy wNHka;rhg doctormagazine.lk

^fhdaksud¾.fha fyda fu!;% ,sx.sl moaO;sfha& isÿúh yelshs' ryia m%foaYhkayS ^,sx.dY%s; m%foaYh& msßisÿ lr .ekSug Ndú;d l< hq;= ksIamdokhla f;dard .ekSfï§ ie<ls,su;a úh hq;= lreKq • Tn Ndú;d l< hq;af;a ,sx.dY%s; m%foaYh wdrlaId lrk iajNdúl laIqø cSúka úkdY fkdjk ridhksl øjHhla ùu w;HdjYHhs' • ta jf.au ;ud Tn mdúÉÑ lrkaafka LACTIC ACID, TEA TREE OIL iy SEA BUKTHORN OIL ;sfhk ksIamdokhla kï wr l,ska i|yka l< ldka;djf.a isref¾ iajNdúlj ksmofjk ys;rlr laIqø cSùkag;a cSj;a úh yelshs' ta jf.au YÍrhg ys;lr kshñ; idkaøKfhka hq;= ksIamdokhla kï laIqø cSùkaf.a meje;aug iqÿiq jk ksid bka Tng hym;a m%;sM, Wodlr .; yelsh' • kshñ; pH w.h 3.5 – 4.5 w;r ikSmdrlaIl Èhrhla kï jvd;a fyd|hs' ifï ksfrda.S nj j¾Okh lrk ffY, wdrlaId lrk øjH wvx.= ksIamdokhla ùuo w;sYh jeo.;a' ta jf.au ;ud tÈfkod idudkH cSú;fha§ jf.au ldka;djkaf.a udisl Tima Èkj, § mjd mdúÉÑ l< yels iqÿiq msßisÿ ldrlhla f;dard .ekSu;a jeo.;a' Tn Ndú;d lrk ksIamdokh f,fyisfhka fidaod bj;a lr .; yels ksIamdokhla kï jvd;a fhda. Hhs' Tfí ryia wjhjj, kSfrda.S Ndjh ukd fm!reIhlska hq;=j idudcSh lghq;= lsßug bjy,a jk neúka ta ms<sn|j ie,ls<su;aj lghq;= lrkak'

SEPTEMBER 2017 | DOCTOR MAGAZINE 107

WOMEN'S WORLD

y÷kajkak;a mq¿jka' fndfyda fofkla msßisÿlu lsh, y÷kajkafka o;a ue§u" uqyqK fia§u" lEug fmr iy jeisls<s .sh miq w;a fia§u iy iakdkh jf.a foaj,a' kuq;a msßisÿlu lshkafka fï ál ú;rlau fkfjhs' ndysßka fmfkk foa ;=< ;sfhk msßisÿlu .ek ys;kjd jf.au Tfí ryia m%foaYfha we;s msßisÿlu .ek;a ys;kaku ´fka' t;fldg msßisÿ flfkla njg ks;ekskau m;afjkjd' ldka;djla kï Tn fï .ek jeä wjOdkhla ,nd Èh hq;=u fjkjd'

25"000 l mdGl msßila

blaujQ zztiafiÉfpdaZZ msgqjg Doctor Magazine wdpdrh

108 SEPTEMBER 2017 | DOCTOR MAGAZINE

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NATURAL NUTRITION

mqxÑ ,sf|a j;=r .=Khs

;eô,s wk¾.;u

iafmda¾Ü ä%kala tlla

wfma rfÜ fndfyda m%foaY j, jefjk ;eô,s .ia j, M,h zz;eô,sZZ fudk ;rï jákd mdkhla o@ my; f;dr;=re Tn uú;hg m;a lrjkq fkdwkqudkh' 110 SEPTEMBER 2017 | DOCTOR MAGAZINE

doctormagazine.lk

2 meis*sla hqoaOfha§

1941 - 45 ld,fha mej;s

117mg g jeä fkdfõ'

9 we;af;a wvqfjks' (25mg)

;eô,s j;=r j, fidaähï

Sport Drink j, fidaähï 41mg yd Energy Drink j, fidaähï 200mg ;sfí'

m%;sldrh isÿ jqfkah' bka wmuk ñksia Ôú; /l=fkah'

;eô,s j;=r j, laf,darhsv úYd, m%udKhla 118mg ;sfí' Sports Drink j, laf,darhsv we;af;a 39mg muKs'

11 iSks 5mg ;sfí' Sports

fome;af;au ;=jd, ,;a fid,aodÿjkg ;eô,s ,nd§fuka Emergency Plasma Transfusion

;eô,s j;=r iïmQ¾K fhdoh iys; msálsß j,g jvd fmdaIHodhS fõ' tys fldf,diagfrda,a ke;' fïoh o ke;'

;eô,s j;=r j, iajNdúl

yd Energy Drink j, fjkia lrk ,o iSks 10-25mg w;r m%udKhla ;sfí'

4 ùÿrejlg jeä fmdaIKhla ;eô,s j;=r j, fodvï

mj;S' mj;akd le,ß m%udKh fodvï ùorejlg jvd wvqh'

5 j,g;a jvd Wiiah' uõlsß ;eô,s j;=r <ore lsßmsá

j, ;sfnk f,daßla wï,h ;eô,s j;=r j,o mj;S'

;eô,s j;=r iajNdjfhkau ÔjdKqyß;hs' ta ksid úIîc isrere.; jkafka ke;'

7 jYfhka fmdgEishï ;sfí' ;eô,s j;=r j, úYd,

(299mg)

Sport Drink yd fndfyda Energy Drink j, tu w.h

doctormagazine.lk

wmf.a ie,ls,a, ksn| fhduqjkafka lfvka ñ,§ .kakd mdk j¾. fj;h' tfy;a ksi`. fhkau iajdNdúl" iajNdjfhkau msßisÿ" iajdNdúl iSks" ¨Kq yd úgñka j,ska muKla ieÿï,;a mqxÑ ,sf|a ;eô,s mdkh fudk ;rï jákd mdkhlao@ SEPTEMBER 2017 | DOCTOR MAGAZINE 111

WOMEN'S WORLD

;eô,s j;=r iajNdúl Isotonic Beverage mdkhls' tys ixhq;sh wm isref¾ mj;akd Isotonic ixhq;shg fnfyúka iudkh'

SEXUAL MEDICINE

,sx.sl;ajh iy Èhjeähdj msßñkag we;sjk ,sx.sl .eg¿

Dr. LASANTHA MALAVIGE Sexual Medicine Specialist

112 SEPTEMBER 2017 | DOCTOR MAGAZINE

Èhjeähdfjka fm¿ko ldka;djkag iy .eyekqkag idudkH ,sx.sl cSú;hla .; lsßug mq¿jk' tfia jqjo fuu frda. ;;a;ajfhka fmf<k iuyr msßñkag iy ldka;djkag" oshjeähdj frda.h fya;= fldg ;u ,sx.sl l%shdldrlï /ilg ndOd wjysr u;=jk ;;a;ajhka o we;sfjhs' fuh Y%S ,xld jdiSkag úfYaIfhka wjdisodhlh' thg fya;= jkafka wm Èhjeähdj we;sùfï wjodku by< m%jK;djla ùu;a ;reK jhfia §u frda.h we;sùu;a ±lsh yels m%jK;djla ùu;ah'

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Èhjeähdj fya;= fldg mqreIhkag we;sjk ,sx.sl .eg¿ yd tajdg úi÷ï fidhk wUqieñhkag ud¾f.damfoaYKhla''' fuu ,smsfhka Èhjeähdj fya;= fldg msßñkag we;sjk ,sx.sl .eg¿ idlÉPd lsÍu wfmalaIs;h'

,sx.sl wm%dKsl;ajh Èhjeähdj wdY%s;j we;sjk msßñ ,sx.sl .eg¿ w;ßka b;d iq,nu .eg¿j kï ,sx.sl wm%dKsl;ajhhs' kIag;djh f,io we;eï úg ye|skafjk ,sx.sl wm%dKsl;ajh úia;r lrkqfha i;=gqodhl ,sx.sl ixi¾. hl fh§ug m%udKj;a ;rug YsIaKh m%dKj;a lr .ekSug fyda m%dKj;aNdjh mj;ajd.ekSug fyda fkdyels ;;a;ajhgh' Èhjeähd frda.Ska fkdjk wh iu. ixikaokh lrk úg fï frda.Ska ;=< ,sx.sl wm%dKsl;ajh we;s ùug we;s bvlv 4-5 .=Khlska by< uÜgul mj;S' tfiau Èhjeähdj ksid we;sfjk ,sx.sl wm%dKsl;ajh wdrïN ùu Èhjeähdj rys; msßñkag tjeks ;;a;ajhla u;=ùug jir oyhlg fyda Bg;a jeä ld,hlg fyda fmr we;sùug mq¿jk'

Èhjeähdj fya;=fjka msßñkag we;sjk fjk;a ,sx.sl .eg¿ laIKsl fudapkh Èhjeähdfjka fmf<k msßñkag doctormagazine.lk

úfYaIfhka ,sx.sl wm%dKsl;ajhg ,lajQ uq,a ld,fha§u" ish Y=l% fudapkh blauKska isÿùu w;a±lsh yelsh' ,sx.slj tlajk fofokdgu tla wfhl=g fyda wmyiqldÍ jk fuu ;;a;ajh zzlaIKsl fudapkhZZ f,i ye|skafjhs'

jvd;a fõ,dikska fyda jvd;a m%udo ù Y=l% fudapkh isÿùu tfiau Y=l% fudapkh fya;=fldg idudkH ,sx.sl W;af;ackhlg miqj iqr;dka;hg m;aùu yd Y=l% fudapkh isÿùu mudùu fyda lsisfia;au isÿ fkdùu fyda ks;r we;súh yelsh' msßñfhl=f.ka neyer jk Y=l% ;r, m%udKh wvqùugo fuh fya;= ùug mq¿jk'

,sx.sl fm<öu ySk ùu Èhjeähdj ksid u;=jk ;j;a iq,n .eg¿jla f,i ,sx.sl fm<öu ySkùu ±lsh yelsh' ,sx.sl fm<Uùfï uÜgu tla tla mqoa.,hka w;r fukau ld,fhka ld,hgo hï mrdihla ;=< fjkia úh yelsh' idudkHfhka msßñhl= ,sx.sl ld¾hh i|yd uq, mqrk w;r ,sx.sl fm<Uùu wvq fyda fkdue;s jQ fyda úg ish yjq,aldßh úiska uq,msrE ld¾hhg mjd tlajkafka wi;=fgks' fuh ,sx.sl m%dKj;aNdjh ms<sn| jQ .eg¿ iu.o iïnkaO ùu fndfyda úg ±lsh yelsh' iuyr úg

SEPTEMBER 2017 | DOCTOR MAGAZINE 113

tu .eg¿jg fya;=j fyda .eg¿j ksid we;sjQ m%;sM,hla fyda úh yelsh'

ùu fya;= fldg f.kh' tu idOl w;ßka lsysmhla fuys my; ±lafjhs'

YsIaKfha we;sjk .eg¿

reêr kd, iy iakdhq j,g ydks isÿùu iïmQ¾K jYfhka Èhjeähdj

Èhjeähdfjka fmf<k frda.Ska ;=< YsIaKfha fõokd iy.; ;;ajhkao iq,nj we;s fjhs' •

YsIaKfha fmriu iy YsIak uqKavh r;= meyehg yeÍ fõokd iy.; úh yelsh' È,Sr wdidokhka ksid ks;r we;sjk fuu ;;a;ajh zzuqKavodyhZZ ^ne,khsáia& f,i ye|skafõ'

•

YsIaKfha kuHYS,S Ndjh iuyr úg wysñ úh yelsh' ta fya;=fjka YsIaKh m%dKj;a ùul§ th keù fyda jl .eiS fyda mej;Sug mq¿jk' tys§ fõokdjla o mj;shs' fujeks ;;a;ajhka we;s jkafka ljr fya;=jla ksido hkak fkdokshs' fuh zzfmafrda;sf.a frda. hZZf,i ye|skafõ'

•

iuyr úg fmr iu ±ä ;o .;shla .kakd neúka th YsIaK uqKavfhka msgqmig we§u wmyiq fjhs' th fõokd iy.;h' tu ;;a;ajh ye|skafjkafka zzfr!OHhZZ ^mhsfudaisia& f,ih'

Èhjeähdj iys; mqoa.,hl= ;=< ,sx.sl .eg¿ we;sùug uq,ajk fya;= Èhjeähdj hkq b;d ixlS¾K l%shdj,shla iys; frda.hls' ñksia isref¾ moaO;s flfrys ±ä n,mEï we;s lsÍug th iu;ah' Èhjeähdfõ§ ,sx.sl .eg¿ we;s lrkafka tla ;ks fya;=jla fkdj fya;= iuQyhl W;aikak

114 SEPTEMBER 2017 | DOCTOR MAGAZINE

j¾Okh ùug;a m<uqju Èhjeähd l%shdj,sh wdY%s;j kd, ydksh isÿùu wdrïN fõ' Èhjeähdfjka fmf<k msßñkaf.a fY%daKs m%foaYfha úYd, reêr kd, ;=< fïo ;ekam;= iy reêr leá we;sùu fya;=fldg ks;r wjysr fjhs' tu.ska YsIaKh fj; iemfhk reêr iemhqu wvqfjhs' fuhg wu;rj YsIaKh ;=< mj;sk l=vd reêr kd, Wmøjhg m;aùu ksido Woa.dul fmaYs lrd iemfhk reêr Odrdj iSud lr;s' fuu idOl fya;= fldg msßñfhl=g YsIaKh m%dKj;a njla w;am;a lr .ekSug wmyiq fjhs' isref¾ iakdhq j,g myr §ugo Èhjeähdj iu;afõ' ta fya;=fjka W;af;ackhlg m%;spdr jYfhka YsIaKhg ,efnk m%;sckl ixfõokhg ndOd meñfKhs' iakdhq ydkshg m;aùu fya;=fldg fud<fha isg YsIaKhg lrk ix{d iïfm%aIKhgo ndOd meñfKs' tys m%;sM,h jkaafkao ,sx.sl m%Kj;aùu ÿ¾j, ùuhs'

YsIaKh m%dKj;a Ndjhg ndOd meñKùug odhl jk Èhjeähdj wdY%s; fjk;a fya;= wêl reêr mSvkh" fi!LHhg wys;lr fldf,iagfrda,a uÜgï yd YÍrfha nr jeäùu ^ia:q,Ndjh$;rndrej& wd§ ;;a;ajhka Èhjeähdjg b;d ióm f,i iïnkaOh' fuu frda. ;;a;ajhka isrer mqrd reêr kd, frda.S lsÍug odhl fjhs' ta ksidu tu ;;a;ajhka yDohdndO iy wd>d; we;s lsÍug fukau wjodkï iy.;a idOl f,i i<lhs'

doctormagazine.lk

wêl reêr mSvkhg m%;sldr jYfhka ,ndfok iuyr T!IO o YsIaKfha m%dKj;a Ndjh we;sùug ndOd t,a, lrhs' tmrsoafokau fldf,iagfrda,a wvqlsÍug ,ndfok iuyr T!IOo tu m%;sM,hu we;s lrhs'

iy Tyqf.a YsIaKh m%dKj;a ùfï W;af;aclNdjhg b;d wys;lr f,i n,mdk nj;a is;sh yelsfjhs'

fgiagiagfrdaka fyda¾fudak uÜgu wvqùu YsIaKh m%dKj;a fkdùfï

;j;aa úúO ;;a;ajhka .Kkdjla iy T!IO$u;aøjH .Kkdjlau ,sx.sl m%dKj;a fkdùu we;s lsÍug uq,aúh yelsh' fuu ;;a;ajhka Èhjeähdjgu ksYaÑ; fkdjqjo tajdo Èhjeähd frda.Skag n,mEug mq¿jk'

wdndOhka f.ka Èhjeähd frda.Ska ie<lsh hq;= ixLHdjla ;=< idudkH mrdihlg jvd my< fgiagiagfrdaka fyda¾fudak uÜgula mj;sk nj wOHhk u.ska fmkajd § we;' fuhg uq,ajk fya;= ljf¾o hkak ksYaph jYfhka meyeÈ,s ke;;a" Èhjeähdj wdY%s;j wvq fgiagiagfrdaka uÜgula mej;Su msßñfhl=f.a ,sx.sl fm<Uqug yd Tyqf.a YsIaKh m%dKj;a ùfï W;af;acd;aul Ndjhg b;d wys;lr f,i n,mdk nj;a is;sh yelshs'

udkisluh iyiïnkaO;dj ms<sn| .eg¿ Èhjeähdj yd tys ixl+,;d úIdoh yd iïnkaOh' th YsIaKh m%dKj;a ùu wvd, lsÍfuys mQ¾j.dó ;;a;ajhls' túg YsIAKh m%dKj;a ùu wvd, ùu yd úIdoh ,laIK ;j;a W.% lrñka úIu pl%hla we;s lsÍug fya;=fjhs' YsIaKh m%dKj;a fkdùfï wdndOfhka hq;a Èhjeähd frda.Ska ie<lsh hq;= ixLHdjla ;=< idudkH mrdihlg jvd my, fgiagiagfrdka fyda¾fudak uÜgula mj;sk nj wOHhk u.ska fmkajd § we;' fuhg uq,ajk fya;= ljf¾o hkak meyeÈ,s ke;;a Èhjeähdj wdY%s;j wvq fgiagiagfrdaka uÜgula mej;Su msßñfhl=f.a ,sx.sl n,mEug

doctormagazine.lk

Èhjeähdj yd iïnkaO fkdue;s ffjoHuh wdndO iy T!IO$u;aøjH wksis Ndú;h

• wêl f,i u;ameka mdkh" kS;s úfrdaë T!IO ^u;a T!IO& Ndú;h' • m%;s úIdol" udkisl frda. i|yd ,ndfok T!IO wdudY jK i|yd ,nd fok iuyr T!IO" fyda¾fudak yd fyda¾fudakuh .eg¿ i|yd ,nd fok T!IO mdúÉÑh' • iqIqiqïkdfõ wk;=reyd iakdhq moaO;sfha wdndO • fY%daKs laI;sh" w¾nqo fyda Y,Hl¾uhlg ^Wod( mqriaÓ .%kaÓfha Y,Hl¾u& ,laùu'

fuu .eg¿ úi|sh yelafla flfiao@ fuhg ms<sirK ùug Tng l< yels foa fudkjdo@

Tnf.a cSjk rgdj h,s ilid .kak'

ksr;=re jHdhdu isÿ lsÍu" iu;=,s; ñY% wdydr fõ,la .ekSu" ÿïmdkfhka je<lSu" u;ameka mdkh iSud lsÍu hk mshjr Tfí cSjk rgdjg tlaùu jeo.;ah' fy<sorõ ù we;s f;dr;=re wkqj fuu fjkialï ;u ;u cSjk SEPTEMBER 2017 | DOCTOR MAGAZINE 115

rgdj ;=< we;s lr .ekSfuka oshjeähdj wdY%s; .eg¿ j¾Okh ùu ie<lsh hq;= f,iska mud lsÍug fya;=jla fjhs' we;eï mqoa.,hkag mej;S ;;a;ajfhka hï ÈhqKqjla ,eîugo tu mshjr .ekSu fya;= ù we;' wjYH cSjk rgd fjkialï isÿlr fkd.;fyd;a Èhjeähdj wdY%s; ,sx.sl .eg¨ i|yd ,nd fok m%;sldr wid¾:l ùug;a bv we;s nj oek isàu jà'

Tfí iyldßh iu. M,odhS ikaksfõokhl fhfokak'

;u ,sx.sl ÿIalr;d ms<sn| ;ukaf.a iyldßh iu. l;dny lsßug ;rï ffO¾hhla Wmojd .ekSug fndfyda msßñkag fkdyels fõ' uf.a w;a±lSug kï Y%S ,xldj ;=< fuu ;;a;ajh jvd;a iq,nh' fuys§ Tn ,ecacdfjka" miq;eú,af,ka" pxp, nfjka iy udkisl mSvdjlska fmf<k úg Tfí yjq,aldßhgo fï ms<sn|j l;d lsÍug wjYHj ;snqKo Tnf.a is; ßfoa hhs is;ñka weho bÈßm;a fkdjkq we;' iuyr úg fuu ;;a;ajhg jerÈlrejd ;uka hehs NS;shg;a m;aùug weh fm<ôh yelsh' weh ;j ÿrg;a fmr fuka wdl¾IKSh fkdfõ hhs Tn is;kjd fjkakg we;ehs wehg yefÕkjd fjkakgo mq¿jk' fuu ikaksfõok ysvei Tn fofokd w;r we;s iïnkaO;djh jvd;a m¿ÿ lsßug fya;=úh yelsh' ióm jQ úg ;u yjq,aldßh wjfndaOfhka iydh fjñka lghq;= lrk nj fndfyda msßñka oks;s' tfyhska újD; ixjdohl fh§u ;=<ska mj;sk ;;a;ajh ÈhqKq lr .ekSu i|yd úl,am 116 SEPTEMBER 2017 | DOCTOR MAGAZINE

fidhd hdu fofokdgu myiqfjka l< yelalls' tu.ska fofokdgu n,dfmdfrd;a;= iy.; yeÕSï we;slr .ekSug;a" iykodhS njla ±kSug;a fya;= fjhs' tfiau jhia.; whg iy Èhjeähd frda.Ska yg ,sx.sl m%dKj;a nj ,Õdlr .ekSu i|yd jeä ldhsl W;af;ackhla wjYH nj Tfí iyldßh jgyd .ekSuo jeo.;ah'

ksy`vj ÿla ú|skakg tmd''' ffjoHjrhl= f.a iyh m;kak'

,sx.sl m%dKj;a Ndjh ms<sn| .eg¨j,ska fmf<k fndfyda msßñka ish ffjoHjrhd uqK.eiSu mud lsßu fya;= fldg ksy`vj ;efjhs' ,;fjhs' ;u ,sx.sl cSú;h ms<sn|j ;jfll= iu. l;dny wdrïN lsßug miqndk .eg¿ ms<sn|j ffjoHjre fyd|ska ±kqj;ah' tfiau ,sx.sl .eg¿ ms<sn|j úfYaIfhka mqyqKqj ,o úfYaI{ ffjoHjreka isá;s' ,sx.sl ÿIalr;djhka ÿr,Su i|yd jk m%;sldr l%u fndfydauhls' ta w;r uqL ud¾.fhka .kakd T!Iëh fm;s" kslafIamk" ßla;l Wml%u wdosh we;=<;ah' ffjoH Wmfoia fkd,nd iajhx m%;sl¾uj,g fhduq ùu fyda ;ks leue;a;g T!IO .ekSu fkdl< hq;af;a tajd iuyrla Tng fkd.e,mSug wjldY we;s neúks' tfyhska m%;sldr ,eîug m%:ufhka ffjoHjrhd iu. iúia;rd;aul l;dnyl fhfokak' ,sx.sl m%dKj;aNdjh we;s lsÍu muKla fkdj ;Dma;su;a ,sx.sl in|;djhla mj;ajd .ekSug;a hym;a fi!LH ;;a;ajhla Wreu lr.ekSug;a fuu m%;sl¾u bjy,a jkq we;'

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Tn l< hq;af;a my; l+mkh fyda ta wdldrhg ilia l< f,aLKhl l+mkfha wvx.= úia;r mqrjd ta iu. wod, uqo,a f.jQ nexl= ,ÿm;" uqo,a weKjqu fyda fplam; my; ,smskhg tùu muKhs'

SUBSCRIPTION NOT READ BUT FOLLOW lshjk i`.rd w;r tlu ms<smosk i`.rdj Tfí mjq f ,a is h ¿ fokdf.a u hym; fjkqfjka oeka jvd;a yrnr lreKq iu.ska ixialrKh jk ffjoHjrhd DOCTOR magazine odhl;ajh fkdmudj ,nd.kak'

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ih uil odhl;ajh re'1100'00

uqo,a weKjqu l<uKdlre" fy,a;afjdÉ ,xld ^mqoa'& iud.u hkqfjka olajd f.jk ld¾hd,h osh;,dj f,i i|yka lrkak' fplam;a fy,a;afjdÉ ,xld ^mqoa'& iud.u hkqfjka ,shd f¾LKh lr tjkak' ,xld nexl=fõ osh;,dj YdLdfõ fy,a;afjdÉ ,xld mqoa.,sl iud.u wxl 9324332 .sKQug ´kEu nexl= YdLdjlska fyda wka;¾cd,h Tiafiao uqo,a ;ekam;a l< yel' uqo,a ;ekam;a l< l=ú;dkaish" uqo,a weKjqu fyda fplam; iu.ska Tfí ,smskh tùfïoS ,shdmosxÑ ;emE, fhdod.ekSu jvd;a iqÿiqh' jeä úia;r i|yd 0773149084 wxlfhka úuikak' doctormagazine.lk AprilMail: 2017doctormagazine.lk@gmail.com DOCTOR MAGAZINE 57 Healthwatch Lanka Private Limited 132/4, Viharakele, Diyatalawa Hot Line 0773149084E

wei hkq ñksia foayfha mj;sk bkaøshka w;=ßka b;d iqúfYaIS bkaøshls' mxfÉkaøshka w;=ßka tlla fia ie<flk fuh oDIaGs ixfõokh we;s lrhs' wo ld,fha mj;sk úúO kqiqÿiq whym;a wdydr" p¾hd rgd fya;=fjka wlaIs frda. iq,nj olakg ,efí'

ffjoH tÉ tï yisks lreKdr;ak .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kh" hlal,

w;S;h yd j¾;udk ld,h i,ld neÆ úg j¾;udkfha fuu frda.S ;;a;ajhkaf.a iS.% j¾Okhla isÿj we;s nj meyeos,sj y÷kd.; yel' mß.Kl" rEmjdysks hka;%" cx.u ÿrl:k wdoS ;dlaIKsl fuj,ï j,g wêl ld,hla weia fhduq lsÍu wdoS fya;= ksid l=vd wjosfha isgu úúO wCIs frda.hkag f.dÿrejk nj

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INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

weig iqjfok wCIs ;¾mK m%;sldrh

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

fia ms<sfh, lr weia jid .ekSug frda.shdg kshu lr tla tla jeáh ;=<g frda.shdg iqÿiq f,i ffjoHjrhd kshu lrk ,o T!IOh weia msydgq jeiS hk f;la mqrjd fifuka weismsh ie,Sug frda.shdg Wmfoia oSu isÿflf¾'

fmfka' ck.ykfhka jeä msßila Wmeia Ndú;hg mqreÿj we;' fujeks ;;a;ajhloS frda.S weia iqjm;a lsÍug;a kSfrda.S wefiys kSfrda.S nj wdrCId lr .ekSug;a tl fia bjy,ajk wdhq¾fõo m%;sldr l%uhla f,i zzwCIs ;¾mK m%;sldrhZZ oelaúh yel'

fï i|yd úúO >D; j¾. ñYs%; T!IO j¾. wjia:dkql+,j Ndú; lrhs' tla tla frda. wjia:djkag" fldam ù we;s jd;" ms;a;" lM wdoS fodaI wjia:djkag" frda.h ygf.k we;s ia:dkhkag wkqj ;¾mKh ord isáh hq;= ld, iSudj úúO jk w;r tla oskla fyda fooskla fyda ;=kaoskla wdoS jYfhka ;¾mKh fhdok osk .Kk úúO fõ'

wCIs ;¾mKh hkq l=ulao@

wCIs ;¾mKfha m%;sM,

wjia:dkql+,j f;dard.;a úúO T!IO j¾. .sf;,a yd >D; j¾. ñY%j ilid weig msrùu isÿlrk m%;sldr l%uhls' fuu.ska weia ;Dma;shg m;a lsÍu;a wefia oDIaGs fmaYSkag ukdj Tlaiscka iemhqu yd fmdaIK iemhqu;A we;sfõ¡

ksis mßos isÿl< wCIs ;¾mK m%;sldrh u.ska weig ,efnk id¾:l m%;sM, rdYshls' fmkSu jeä oshqKq ùu" mej;s frda. ;;a;aj iqj ùu" iqjfia kskao hdu yd iqjfia wjos ùu" weia msßisÿ ùu" weia m%ikak ùu" weia ieye,a¨ ùu" wefiys j¾K úY=oaêh" wefiys fldgia ksis mßos l%shd;aul ùu wdosh bka iuyrls' wCIs ;¾mK m%;sldr l%uh wefiys ish¿ fldgiaj, mj;sk frda. wjia:djkag id¾:l m%;sM, ,nd fok wdhq¾fõo m%;sldr l%uhla jk w;r ksis m%;sM, ,eîug ffjoH Wmfoia wkqj m%;sldrh isÿlr .ekSu w;HjYH fõ'

wCIs ;¾mKh fhdok frda.S wjia:d fmkSu ÿ¾j, ùu" weiaj, rECI nj" weiaj, úh,s nj" weia újD; lsÍfï wmyiqj" weiaj, bosuqu" weismsh .e,ù hdu" ;sñr" wNsIHkao" wêuka:" fka;% mdl wdoS wCIs frda. fndfydauhloS fhosh yels m%;sldr l%uhls'

wCIs ;¾mKh fhdok wdldrh jd;h" wõj" ¥ú,s hkdosfhka f;dr msßisÿ ;ekl frda.shd Wvql=rej ihkh lrjd Tyqf.a$wehf.a fka;% fldaI fol jgd c,h iu. wkd.;a W÷msáj,ska uKav,dldr jeá folla wÕ=,a folla muK Wig isÿre rys; 120 SEPTEMBER 2017 | DOCTOR MAGAZINE

mß.Kl" rEmjdysks hka;%" cx.u ÿrl:k wdoS ;dlaIKsl fuj,ï j,g wêl ld,hla weia fhduq lsÍu wdoS fya;= ksid jeä fofkla l=vd wjosfha isgu úúO wCIs frda.hkag f.dÿrejk nj fmfka' frda.S weia iqjm;a lsÍug;a kSfrda.S wefiys kSfrda.S nj wdrCId lr .ekSug;a tl fia bjy,ajk wdhq¾fõo m%;sldr l%uhla f,i zzwCIs ;¾mK m%;sldrhZZ oelaúìh yel' doctormagazine.lk

j<lajd .ksuq uQ,sl fi!LH mqreÿ j,g olajk wvq ie<ls,a, ksid l¾K frda. ksrdhdifhka ysi Tijkjd'''

ffjoH tka tia wfí.=Kfialr ;djld,sl l:sldpd¾h Y,H Yd,dlH wOHhkdxYh" .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kh" hlal,'

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SEPTEMBER 2017 | DOCTOR MAGAZINE 121

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

l¾K frda.

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

wo wm iudcfha f,dl= l=vd fNaohlska f;drj ljqre;a mdfya mSvd ú|sk frda. ;;a;ajhls l¾K frda.' fuu frda. fu;rï iq,n ù we;af;a ;u uQ,sl ksodk ldrKd fya;=fldg f.k fukau fjk;a YÍr.; frda. ;;a;ajhl Wmøjhla f,io we;súh yels neúks' fndfyda úg l=vd fõokdjlska fyda Y%jK wmyiq;djhlska wdrïN jk l¾K frda. b;d Nhdkl m%;sM, f.k fok wjia:dj olajdu mq¿,a jHdma;shla mj;S' l¾Kh ñksidf.a kj oajdr j,ska tlls' fuu wjhjh u.ska ndysr mßirh yd wNHka;r mßirh iïnkaO lsÍu isÿ lrhs' ñksidf.a iuiaÓ;sh hdukhgo lK u.ska uyÕ== fiajhla bgq lrhs' tu ksid wfkl=;a ish¿ m%Odk wxf.damdx. fukau oirefjka by< msysgk jeo.;a wx.hla f,i lK oelaúh yel' ñksia lK ndysr lK" ueo lK" wNHka;r lK f,i fldgia ;=klg fnod we;' ta wkqj ta ta ia:dkj, we;sjk frda.S ;;a;ajhkao fjkia fõ' iuyr wNHka;r l¾K frda. fkdi,ld yeÍfuka ñksid urKhg m;ajk wjia:do ke;=jd fkdfõ' tÈfkod Ôú;fha§ isÿjk ñksidf.a jerÈ l%shdldrlï ksido ndysrhg újD;j mj;sk jHqyhla ksido lK myiqfjka frda.dndOj,g f.dÿre fõ'

ia:dkhla .kS' fï i|yd fnfyda ÿrg fya;= ù we;af;a mj;sk ld¾h nyq, iudc rgdj" mßir ¥IKh úfYaIfhka Yío ¥IKh''' mqoa., jerÈ wej;=ï mej;=ï hkdÈhhs' fndfyda wjia:dj, wm t;rï nrm;, hehs fkdis;k lreKq ks;r ks;r isÿùu u.ska l¾K frda. we;sùfï jeä m%jK;djla mj;S' by; frda. ;;a;ajhg ;=vqfok ksodkuh lreKq ksishdldrj oek .ekSfuka myiqfjka frda. j<lajd .ekSfï yelshdj we;s fõ' oekg isÿlr we;s m¾fhaIK jd¾;d wkqj fndfydauhla l¾K frda. jd¾;d ù we;af;a wvq wdodhï ;;a;ajhla we;s my; wd¾Ól uÜgula we;s mjq,a w;r fõ' fuhg m%Odk jYfhka fya;=ù we;af;a tu lKavdhï w;r mj;sk uQ,sl fi!LH mqreÿ flfryS we;s fkdoekqj;aluh' tu ksid l¾K frda. we;sùu flfrys n,mdk ldrKd y÷kd.ekSu ;=<ska lrK frda. j<lajd .ekSug uy;a msgq n,hla ,efí' nyq,j olakg ,efnk l¾K frda. •

l¾K Y+, fyj;a lka lelal=u

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l¾K mdl fyj;a lK meiùu

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l¾K ndê¾h fyj;a lka weiSfï ÿ¾j,;d

•

l¾K lKavq fyj;a lKa leiSu

l¾K Y+,

oekg jd¾;d .;jk W!¾èj c;%d.; frda. w;=ßka l¾K frda. m%Odk doctormagazine.lk 122 SEPTEMBER 2017 | DOCTOR MAGAZINE

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l¾K frda. j,lajd .ekSfï Wmdh •

•

lfka lsishï fohla isrjQ úg th bj;a lsßug W;aiy fkdlrkak' tu.ska lKA fnrh ;=jd, úh yelsh' tneúka ta i|yd ffjoH Wmfoia ,nd.kak fldkav lgq" wdh lgq" lka yekao" jdykfha h;=r" brgql+re"mEkamekai,a" fldÜka nâia wdÈfhka l,d÷re bj;a lsÍug hdfuka j,lskak' lka fnrh isÿreùu" ndysr Y%jK kd,fha ;=jd, we;sùu ;=<ska miqld,Skj lka meiùu jeks frda. ;;a;aj we;súh yel' tneúka ta i|yd ffjoH Wmfoia ,nd.kak'

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lfka ;=jd,hla we;s jQ úg fnfy;a Èhr" úúO f;,a j¾. oeóug fkdhkak' fkdmudj ffjoHjrfhl= fj; hkak'

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lka meiùuÑ" lfkka ierj .e,Su wdÈhg ksishdldr m%;sldr fkdl<fyd;a ìysßnj w;afõ' tneúka tu frda. i|yd fkdmudj m%;sldr ,nd.kak'

•

ÿïîu" u;ameka Ndú;h lfka

doctormagazine.lk

wdndO we;s lsÍug fya;=fõ' tneúka tu mqreÿ j,ska j<lskak' •

krla jQ o;a ;sfí kï .,jd oeóu fyda msrùu isÿ lrkak' tajd fya;=fjka lka lelal=u we;súh yel' fjk;a o;a úÿreuia wdY%s; frda.S ;;aj mj;Skï tjdg ksis m%;sldr ,nd.kak'

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r;s[a[d Yío jeks wêl Yío ksid weiSu ÿ¾j, ù ìysß nj we;súh yel' tneúka ;ud wdikakfha r;s[a[d m;a;= lsÍfuka j<lskak'

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.ïNSr Yío (High Pitch Noise) j,g ksrdjrKh ùfuka yels;dla j<lskak'

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n,fõ. fmaIl¾u uOHia:dk jeks wêl f>daId iys; ia:dkhl fiajhl ksr;jkafka kï fiajlfhl=f.a fiajd uqrh meh 8 lg jvd fkdjeä úh hq;=h'

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l¾udka; Yd,dj ;=<§ me<|Sug fiajlhdg lka wdjrK ,nd§u'

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tjeks f>daId iys; l¾udka; Yd,djl fiajfha kshq;= kï jirlg jrla Y%jK mÍCIdjla isÿlr.; hq;=h' Y%jK ydkshla mj;Skï f>daIdj wju ;eklg frda.shd udre lr heúh hq;=h'

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Y,Hl¾uhla lsÍfuka fyda Y%jKdOdrhla me<§fuka lka weiSfï wvqnj u.yrjd .; yel' ke;fyd;a wdhq¾fõo ffjoH m%;sldr i|yd fhuqjkak'

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lka fnrh isÿre ù we;s kï lsis úfgl lkg c,h we;=,a ùug fkdfokak'

•

lk meiùu" lfkka >%dj .e,Su jeks ;;a;aj mj;S kï .,d hk SEPTEMBER 2017 | DOCTOR MAGAZINE 123

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

l¾K mdl

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

c,fhys .s,s iakdkh" lsñ§u kqiqÿiqh' fndfyda fokd kdk ia:dk j," wmsßisÿ c,fha iakdkh fkdl< hq;=h' iakdkfha§ lkg wen .id iakdkh l< hq;=h' iakdkfhka miq wen bj;a lr lk msßisÿ myka ;sr j,ska fyd|ska f;; ud;a;= l< hq;=h' W.=r;a kdihla msßisÿj ;nd.; hq;=h' •

Èhjeähdj" wêl reêrmSvkh" ;rndrej jeks fjk;a YdÍßl frda.o lfka wdndO we;s lsÍug fya;=jk neúka tu frda. j,ska je<lSug wjYH Wmfoia me,sme§u ukd fmdaIKhla mj;ajd .ekSu" reêr iSks uÜgu md,kh" jHdhdu lsÍu jeks oE ta i|yd jeo.;a fõ'

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ksÈ ueÍu" mskakg ksrdjrKh ùfuka yels;dla je<lSu'

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f,a {d;s újdyh ksid ìysß orejka WmoS' ta ms<sn|j ie<ls,su;a jkak'

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Tfí orejd wjqreoaola .; ù;a l:d fkdlrkafka kï" ta ìysß nj ksid úh yel' fkdmudj W.=r" lk" kdih ms<sn| úfYaI{ idhkhlg Tfí orejd /f.k hkak'

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orejd mdi,a hk jhfia kï" orejdg we;af;a ;djld,sl Y%jKdndOhla kï" bÈß fm<l wiqka .kajd jeä wjOdkhla fhduqlr b.ekaùï lghq;= lrk f,i ffjoHjrhd ,jd mdif,ka b,a,Sula isÿ lrkak' l:d fkdl<dg" lka kEiqkdg ìysß orejdgo bf.k f.k ÈhqKq úh yelsh' tneúka tjeks <uqkag mj;sk úfYaI mdi,lg fyda wdh;khlg orejd we;=,;a lr Tyqg wOHdmkh ,ndfokak'

124 SEPTEMBER 2017 | DOCTOR MAGAZINE

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l=vd orejkag l¾K wdidok we;sùu je<elaùu i|yd orejd kdjk úg lKg jeia,Ska ;ejre mq¿ka wenhla .eiSu u.ska lkg c,h we;=,aùu j,lS' orejdg fiïm%;sYHd WK iEÿkq ú.i ffjoHjrfhl=g fmkajd m%;sldr ,nd .ekSu'

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Èjd iq/l=ï tallhl§ orejdg wdidok me;sr hdfï m%jK;djh jeä ksid yelskï ksjfia§ / ln,d .kak'

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ksjfia mßirh msßisÿj ;nd.kak' wêl ;onoh" ksishdldr jd;dY%h fkd,eîu" Yajikh moaO;sfha wdidok me;sr hdug fya;=jls'

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orejdg yels ;rï uõlsß § Tyqf.a m%;sYla;sh hym;a uÜgulg mj;ajd .kak'

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wdid;añl;d we;slrk wdydr" iqr;,a i;=ka" ¥ú,s hkdosfhka orejd wE;alr ;nkak'

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ysiafydß we;s whf.a ndysr lfka we;s iugo tu ;;a;ajh n,mEug mq¿jk' tu ksid ysiafydß md,kh lr .ekSu o jeo.;ah'

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ÿrl;kh wêl Ndú;d lsÍuo lka weiSfï ÿ¾j,;d we;s ùug fya;=fõ'

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wl=Kq .ik úg ÿrl;kh Ndú;d fkdlrkak' wl=Kq ÿrl:kh Èf.a lkg .uka lr lK iïmQ¾Kfhkau ìysß úh yel'

iuyr wNHka;r l¾K frda. fkdi,ld yeÍfuka ñksid urKhg m;ajk wjia:do ke;=jd fkdfõ' tÈfkod Ôjú;fha§ isÿjk ñksidf.a jerÈ l%shdldrlï ksido ndysrhg újD;j mj;sk jHqyhla ksido lK myiqfjka frda.dndOj,g f.dÿre fõ' doctormagazine.lk

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

kdifha we;sjk uia o¿ j,g ksiel wdhq¾fõo m%;sldr

kdid w¾Yia i|yd CIdr m%;sl¾uh ffjoH cS'ù'mS'iurkdhl Y,H Yd,dlH wOHhkdxYh" .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kh" hlal,' doctormagazine.lk

SEPTEMBER 2017 | DOCTOR MAGAZINE 125

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

kdifha uia o¿ f,iska idudkH jHjydrfha y÷kajkq ,nk kdid w¾Yia" j¾;udk iudcfha iq,nj olakg ,efnk frda. ;;a;ajhls' ngysr ffjoH úoHdfõ Nasal Polyps jYfhka kï lrkq ,nk fuu kdid w¾Yia udxYuh j¾Okhla fkdjk w;r kdia l=yrh wdia;rKh lrk Yaf,aIau, l,dfõ wê j¾Okhls' m%;sY;hla jYfhka 90% la ;rï m%udKhla Ethmoidal Polyps jk w;r Antro Choanal Polyps m%;sY;hla jYfhka 10% la fõ' 126 SEPTEMBER 2017 | DOCTOR MAGAZINE

kdid w¾Yia yg .ekSug n,mdk fya;= idOl /ils' ta w;ßka mSkifha Wmøjhla f,i;a" cS¾K m%;sYHdfõ m%;sM,hla f,i;a kdid w¾Yia yg .ekSfï by< m%jK;djhla mj;S' kdid w¾Yia nqínq,dldr yevhla ork w;r kgqjla jeks isyska wdrïNhla mj;S' w¿ iqÿ meyehlska hqla; w;r ;o njla we;' ixfõoS njla fkdue;s w;r iafõohg WmYh fkdfõ' m%;sYHdj" wêl lsúiqï hdu" yqiau .ekSfï wmyiqj" kdifhka ierj ñY% i%dj msgùu" kdifhka l;d lrkakdla n÷ nj" wêl YS¾I Y+,h m%Odk ,CIK fõ'

doctormagazine.lk

th oï meyehg tk úg CIdrh msi oud Bg miq úkdlsß fyda foys weUq,a oejgQ mq¿ka j,ska WodiSk lrkq ,efí' bka miqj fõokdj fyda odyh we;akï .sf;,a fyda ó meKs t;ek .e,aúh hq;=h' kdid¾Yia i|yd ngysr ffjoH úoHdfõ oS isÿ lrkq ,nk Y,Hl¾uhka ;=<ska id¾:l m%;sM, wfmaCId l< fkdyels w;r kej; kej;;a kdid¾Yia yg .ekSfï m%jK;djhla mj;S' ta i|yd wdhq¾fõo yd foaYSh ffjoH l%uhka ;=< m%;HCI" w;aÿgq m%;sldr /ila mj;sk w;r kdid¾Yia i|yd wdhq¾fõo Y,H ffjoH l%ufha mj;sk b;d id¾:l mrdY,H m%;sl¾uhla jYfhka CIdr wdf,amh y÷kajd osh yel' kdid¾Yia m%;sldr úIhfhys CIdr jYfhka fhdod .kq ,nkafka lo,S CIdr muKls' fuu CIdr wdf,am lsÍug m%:ufhka frda.shd ys÷jd kdih by<g isák f,i Tijkq ,efí' wk;=rej kdih

CIdr wdf,amh i;shlg tla jrla udihl muK ld,hla isÿ lsÍfuka kdid¾Yia j,ska mQ¾K iqjh ,nd .; yel' idudkHfhka kdid¾Yia j,g lrkq ,nk wfkl=;a m%;sldr j,g idfmaCIj CIdr wdf,amh jvd;a ld¾hCIu yd myiq m%;sldrhla jYfhka i,lkq ,efí' óg fya;= jkafka WmlrK kdihg we;=¨ lsÍu b;du;a wmyiq ùu;a kdifha mj;sk wêl reêr iemhqu ksid CIdr wdf,amh jvd;a myiq ùu;ah' tfiau CIdr ;%sfodaI>ak jk w;r tys we;s f,aLk" fPaok" fNaok .=K ksid b;du;a myiqfjka kdid¾Yia i|yd iqjh ie,fia' lo,S CIdr ms<sfh, lr .ekSu i|yd w¨ flfi,a f.äj, keá fyd|ska úh,d hlv ;eáhlg ,d" w¿ jk f;la ojd .; hq;=h' bka wk;=rej ,efnk w¿ m%udKh fuka y;a .=Khla c,h oud fyd|ska w¿ c,fha osh fldg / hla ;nkq ,efí' wähg nei we;s fldgig ydks fkdjk f,i by< we;s ødjKh fmrd f.k 21 jrla th kej; fmrd .kq ,efí' wjidk ødjKh c,h iïmQ¾Kfhka jdIam jk f;la r;a fldg Ndckfha m;af,a iqÿ meye l=vla jYfhka b;sßj we;s CIdrh jdhq ksjdrl n÷kla ;=< .nvd lr ;nd .kq ,efí' SEPTEMBER 2017 | DOCTOR MAGAZINE 127

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

Speculum wdOdrfhka úia;drKh lr Y,dldjl lmq mq¿ka ojgd ld¾mdiS lDf;daIsKS f,i ilid CIdr ojgd th w¾Yia j, wdf,am fldg úkdä 3-4 la ;nkq ,efí'

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

Wkaudohg u. mdok

.,.Kavh ffjoH rejka m%shka; ,shkf.a kS,ïyur uki wdhq¾fõo frday," fndr,eia.uqj ffjoH rejka m%shka; ,shkf.a" le<Ksh úYajúoHd,hSh .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfhka wdhq¾fõo ffjoHfõoS yd Y,HfõoS Wmdêh ysñlr.;a w;r fï jk úg le<Ksh úYajúoHd,hSh md,s yd fn!oaO mYapd;a Wmdê wOHhk wdh;kfhka fn!oaO wdhq¾fõo WmfoaYkh ms<sn| Ydia;%m;s Wmdêh yodrñka isáhs¡ jir ;=kl isg kS,ïuyr mdrïmßl Wkaudo fjolu yd iïnkaOj oekg kS,ïuyr uki wdhq¾fõo frdayf,a wNHka;r frda.S wxYhg wkqhqla;j lghq;= lrhs¡

128 SEPTEMBER 2017 | DOCTOR MAGAZINE

wIagdx. wdhq¾fõohg wkqj Yd,dlH ;ka;%h hgf;a idlÉPd flfrk .,.Kav frda.h ;;ald,Sk iudcfha ldka;d yd mqreI fomsßiu w;r iq,n frda. ;;a;ajhls¡ ;hsfrdhsâ .%kaÓ.; frda.hla f,i fuu ;;a;ajh kjH iudcfha ld,Sk frda. l=,lfhys wka;¾.; lr we;¡ fuu frda.h ms<sn| wdhq¾fõoSh .%ka:.; idys;Hhka úu¾Ykh lrk wjia:dj,oS iqY%e; ixys;d ksodkia:dkh losu idOlhla imhhs¡ tA wkqj" —ksnoaO# Yajhq¾ hiH uqIal j,a,ïnfla .f,a uydka jd hos jd y%iafjda .,.Kavx ;udosfYa;a˜ ^iq¡ ks¡ 11$29& hful=f.a f.f,ys bosßmi ne|S mj;skakd jQ uy;a jQ fyda l=vd jQ fyda wKavfldaIhla fuka t,a,S mj;sk fYda:h ^bosuqu& .,.Kavhhs¡ fuu fYda:h YdÍßl jHqy rpkdj wkqj m%Odk m%fNao folls¡ tkï" 1

w,dnq wdldr ^,nq f.ähl wdldrhg msysgd we;s&

wKav fldaI wdldr ^jDIKfldaI wdldrhg msysgd we;s& doctormagazine.lk

kuq;a wdhq¾fõo idys;Hhka úu¾Ykh lrk úg 20 jk ishji olajd ;hsfrdhsâ .%kaÓh ms<sn| tjka meyeos,s w¾:l:khla wm%lgh¡ mqrdK Ndr;Sh fõo .%ka: mßYS,kfha oS .,.Kavh ms<sn| hï meyeos,s idOl /ia lr.; yelsh¡ tA wkqj l%s¡ mQ¡ 1000 oS muK ,shejqK zzw:¾jfõohZZ .%ka:h merKs;u ,sÅ; idlaIsh imhhs¡ tysoS f., wdY%s;j we;sjk fYda:h —wmÖ˜ f,i ie<fla¡ f., wdY%s;j mj;sk frda. ;;a;ajhla jqjo iqY%e; ixys;dj fuu ;;a;ajh Yd,dlH lKaG.; frda. ldKavh hgf;a fkdi<lhs¡ thg fya;=j .%iksldj fyda iajrd,h wdY%s;j yg fkdf.k f.f,ys bosßmi muKla we;sjkakd jQ ;;a;ajhla neúks¡ kuq;a wIagdx. yDoh ixys;dj úiska Yßr rpkdj fkdi,lñka fuu ;;a;ajh lKaG.; frda. l=,lfhys ,d i<lhs¡ prl ixys;dj

doctormagazine.lk

i|yka lrk mßos fmdÿ Yaf,aIau úldr ixLHd;aulj 20 ls¡ .,.Kavh bka tla frda.hla fjhs¡ th >kj;a fYda:hls (Solitary Swelling)¡ ;jÿrg;a iqY%e; ixys;d YdÍr ia:dk 4 wOHdh úu¾Ykh lsÍfïoS frda.h we;sjk ia:dkh ms<sn| iaÓr idlaIshla ,nd fohs¡ ta wkqj" p¾ufha ia:r 07 la mj;S¡ bka 6 jk ia:dkh orK frdaysKs kï ia:rh .,.Kav frda.dêIaGdkhhs¡ fNA, ixys;dj kï .%ka:hg wkqj Ya,Smo ^nrjd jeks ;;a;ajhla& yd .,.Kavh Ndr;fha kef.kysr m%dka; wdY%s;j iq,nh¡ ;j ÿrg;a úia;r lrk fNa, mjikafka ud¨ iq,n f,i mßfNdackh frda.hg fya;=jk njhs¡ ydß; ixys;djg wkqj ¥Is; yd l%sñ wka;¾.; c,h ksid ld,Skj frda.h we;s fjhs¡ ldYHm ixys;djg wkqj YS; foaY.=Ksl m%foaYj," l÷ nEjqïj," ,÷ le,E nyq, m%foaYj," c,h /f|k yd by< j¾Idm;khla iys; m%foaYj, ld,Skj Ôj;a ùu fuu ;;a;ajhg u. mdohs¡ ldYHm ixys;d u;h yd kjH m¾fhaIK o;a; iei|Sfuka ta nj ksjeros hehs ;yjqre fjhs¡ by< l÷ nEjqï m%foaYj,g by< j¾Idm;khla ,efnk úg tu

SEPTEMBER 2017 | DOCTOR MAGAZINE 129

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

bmerKs uQ,dY% j,ska ,efnk idlaIs

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

mdxY= ia:rj, mj;sk whãka jeks LKscuh mod¾: fiaoS hdug ,lafjhs¡ tneúka ta wdY%s; c, uQ,dY% yd fNda. j.djka i|yd wjYH LKsc b,a¨u imqrd.; fkdyels fjhs¡ tfia W!K LKsc ixhq;shla mßfNdackh lrk ck;djg .,.Kavh je<|Sfuys m%jK;djh jeäh¡ fuhg losu WodyrKhla f,i r;akmqr yd l¿;r osia;%slal wdY%s;j jdih lrk ck;djf.a .,.Kav iq,N;djh i|yka lsÍu WÑ;h¡

kjH wdhq¾fõo u;dkql+, ú.%yh kjH wdhq¾fõo uQ,dY% wkqj ;hsfrdhsâ .%kaÓh ima; Od;= w;=frka uÊcd Od;=j hgf;a ie<flhs¡ fuu uÊcd Od;= l=,lhg uia;sIalh" wkquia;sIalh yd weg ñÿ¿ wh;ah¡ lM fodaI m%d.=KH;djh uÊcd Od;=.; bkaøshhka w;r iq,nh¡ kuq;a ;hsfrdhsâ .%kaÓh fj;ska ksmofjk ;hsfrdlaiSka" g%hs whvda ;hsfrdlaiSka yd le,aisfgdkSka fydafudakj, l%shdldß;ajh ms;a; fodaI m%d.=KH;djhla olajhs¡ tfiau fuu fydafudakh ri Od;=fjka fmdaIKh ,nñka fjk;a YdÍßl moaO;s ;=<oS W;afm%arlhla f,i l%shd lr ldfndayhsfâ%Ü" fm%daàka" fïo" le,aishï yd fmdiamria mßjD;a;Sh isÿ lrhs¡ tfiau isrefrys Tlaisldrl mßjD;a;Sh l%shdj,s hdukh lrñka wka;¾ ffi,Sh yd nys¾ ffi,Sh iajia:;djh wdrlaId lr f.k Ydßßl j¾Okhg" bkaøshhka mßK; ùug yd mgl úfYaISlrKh ùug bjy,a fjhs¡ ffi,Sh Yajikhg odhl fjñka Yla;sh (ATP) ksmojhs¡ .¾N ld,Sk N%EKhdf.a yd Wm; ,enQ kj cks;hdf.a m<uq udi lsysmh ;=< l%uj;a YdÍßl yd udkisl ixj¾Okhg uQ,slj fuu fydafudak 130 SEPTEMBER 2017 | DOCTOR MAGAZINE

odhl fjhs¡ wdhq¾fõo ixl,amh wkqj rijy iy ufkdajy fi%da;ia ;=,oS l%shd;auljk ;hsfrdlaiska fydafudakfha l%shdldß;ajfhys úm¾hdi we;sjkafka tu fi%daf;da ud¾. ix. ^wjysr;d& fyda úud¾. .uk ^ia:dksl l%shdjka úlD;s ia:dkj,oS isÿúu& ksidfjks¡

;=ka wdldr .,.Kav m%fNao wdhq¾fõofha ú.%y jk yeá .,.Kavh m%fNaod;aulj ;=ka wdldrhlg j¾. lr we;¡ tajd kdñlj fuf,i oelaúh yelsh¡ jd;c .,.Kav" lMc .,.Kav yd fïoc .,.Kav¡ fuu m%fNao kjH u;dkql+,j ixikaokh lrk úg jd;c .,.Kavh Multinodular Goiter wjia:djg iumd; fjhs¡ ld,skj fuu ;;a;ajh ms<sld ;;ajhla f,i j¾Okh úh yelsh¡ lMc .,.Kavh wjia:dj f,i ie,lsh yelsh¡ fïoc .,.Kavh f., wdY%s; we;sjk Lypoma ^f;,a f.ä& ;;a;ajhls¡ kjH u;dkql+,j ;hsfrdlaiska fydafudakfha l%shdldß;ajfhys wêl;djh Hyperthyroidism f,io l%shdldß;ajfhys w,am;djh Hypothyroidism f,io y÷kajhs¡ fmdÿ ldhsl frda. ,laIK fukau udkisl frda. ,laIKo fuu ;;ajhka foflysoSu m%lg fjhs¡

diastolic blood pressure and decrease systolic blood pressure)” f., wdY%s;j we;sjk .Kav (Goiter) iajdNdjh lM

;hsfrdlaiska fydafudakfha l%shdldß;ajfhys w,am;djh ie,l+ úg YdÍßlj we;sjk f;fyÜgq iajNdjh" Yla;sh msrsyqK nj oekSu" ysiflia frdau wdosh .e,ù fyda ydks ù hdu" wiaÒ" ikaê yd fmaYs wdY%s; fõokd" ndyq hq., l%shd lrùug wmyiq nj" u<noaO;d" Tima pl% wl%uj;a ùu yd u|ire nj" j<¨lr ikaêh wdY%s;j we;sjk bosuqu" Worfha we;sjk t,a,d jeàfï iajNdjh yd yDoh wdY%s; uo fõokd jd; fldamh uQ,sl lrf.k we;s fjhs¡

fodaI wiu;=,s;;djfha m%;sM,hls¡

fuu ;;a;ajhka yqÿ ldhsl ;;a;aj f,i ie,lSu iqÿiqh¡ by; i|yka l, wiaÒ" ikaê yd fmaYs wdY%s; fõokd" ndyq hq., l%shd lrùug wmyiq nj jeks ;;a;aj we;eï úfgl ufkda ldhsl frda. .Kfha ,d ie,lsh yels wjia:do yuqfõ¡ ufkda ldhsl frda. j, fmdÿ ,laIKh jkafka mj;sk wmyiq;dj is;=ú,s úldYkhla u.ska W.%lr oekaùu fyda fkdmj;sk wmyiq;d biau;= lr oelaùuhs¡ ;o ksosu; iajNdjh" ia:q,;djh j¾Okh ùu" wdydr wreÑh" YS;, kqreiakd iajdNdjh" W.=frys nr nj" iajrh r¿ nj" yDo iaMkaokh wjr nj oekSu" reêr mSvk úIu;d (Increase

wefiys iajÉPh wdY%s;j we;sjk ly meye fyda wjmeye iajdNdjh;a isrefrys we;sjk ly meye nj;a ms;a; fodaI m%d.=KH;djfha idOl fj;s¡ fuu ;;a;aj j,g wu;rj yqÿ ufkda uQ,sl frda. ,laIK f,i m%lg jk wjia:do mj;S¡ ta w;r uqyqfKa bßhõ wdoSkaf.a we;sjk le<eUqK nj yd wj;djh" úIdo ;;a;aj ksid ks;r fYdal m%Odk is;=ú,s wkjr;j .,df.k tAu" is;=ú,s ud;%slj muKla olajk widudkH wêixfõoS nj" udkisl wiu;=,s;;djh" u;l Yla;sh msßySu yd lreKq .%yKh lr.ekSug we;s wmyiq;djh ksid bkaøshka fj;ska .%yKh lrk ix\ i|yd olajk m%;spdrj, ukao.dñ nj jeks m%cdkkd;aul fukau ixcdkkd;aul ndOd iq,nh¡ úfYaIfhka f;dard.;a we;eï ffoksl ld¾hhkayS kshe,Sug olajk wr;sh fuu ;;a;ajfhaoS m%uqL fjhs¡ wNsfhda. yuqfjys m,d hdug W;aidy lsÍu" ks;r mj;sk udkisl wd;;sh" fm!reI;aj idOlj, fmkajk meyeos,s wjixj¾ê; nj wdosh meyeos,sj ms<sìUq fjhs¡ fuu frda. ,laIK mj;sk frda.shd ksis m%;sldr fkd,eîu ksid miq ld,Skj iaÒr uia;sIal mßydks;d i|yd fya;= jk w;r tys m%;sM,hla f,i crd ckH Wkaudoh fyj;a Senile Dementia we;s ùug fya;= fjhs¡

;hsfrdlaiska fydafudakfha l%shdldß;ajfhys wêl;djh ;hsfrdlaiska fydafudakfha l%shdldß;ajfhys wêl;djh ie,l+ úg doctormagazine.lk

SEPTEMBER 2017 | DOCTOR MAGAZINE 131

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

;hsfrdlaiska fydafudakfha l%shdldß;ajfhys w,am;djh

INTERNATIONAL SYMPOSIUM- AYURVEDA IN GAMPAHA WICKRAMARACHCHI AYURVEDA VIDYATHANAYA

isrefrys mßjD;a;Sh l%shdj,s w;sOdkjh lrhs¡ tfiau ffi,Sh Yajikh jvd;a fõ.j;a lrjd ATP ksoyia ùfï l%shdj wêW;afm%arKh lrhs¡ tfiau yeisÍfuys olajk oeä fkdikaiqka nj" úúO ìh ckl idOl uQ,sl lrf.k we;sjk ldxYd;aul ;;a;aj" Obsessive Compulsory Disorder jeks .%iaÒ ;;a;ajhka ksid tlu l%shdldrlu md,khlska f;drj wkjr;j isÿ lsÍu fyda tlu is;=ú,a, wkjr;j .,df.k tau ^WodyrK f,i ks;r ks;r oE;a fiaoSu yd ks;r ufkda ud<s.d iEoSu&" jd; m%d.=KH;djhla olajk ufkda frda. l=,lfhys wka;¾.;h¡ yD;a lïmkdjfndaOh (Palpitation)" yDo iamkaokh iS>%.dñ ùu" fjõ¨u" wlaIs f.da, bosßhg fkrd meñKSfï iajdNdjh (Graves Opthalmology) jeks ;;a;ajhkao jd; m%d.=KH;djhla olajk ldhsl frda. ,laIK l=,lfhys wka;¾.;h¡ fuys ms;a; fodaI m%uqL;d ,laIK f,i w;Hdêl l=i.sks iajdNdjh" WKqiqu kqreiakd nj" oyosh .e,Su wêl nj" wêreêr mSvkh" yd Tima wl%ñl;d" ldhsl frda. ,laIKhs¡ ks;r we;sjk kqreiakd nj ^we;eï isÿùï" mqoa.,hka flfryS yd Yío flfryS& fkdbjis,su;a iajNdjh yd udkisl ixfõoS nfjys we;sjk le<Uqu;a ta ksid we;s jk wêreêr mSvk ;;a;ajh;a ufkda uQ,sl frda. ,laIK fj;s¡ fuysoS jd; yd ms;a; fodaI oajhu wkqnkaO fjñka we;sjk ;;a;aj f,i ffi,Sh mßjD;a;Sh l%shdj,s w;Hdêl;djh" isrer lDY ùu" yd b;d blauKskau isrerg oefkk widudkH fjfyilr nj i|yka l< yelsh¡ kskaog we;sjk oeä wjysr;d ksid frda.shdf.a ufkda uQ,sl ld¾hhka b;d iS>%fhka mßydkshg m;afjhs¡ prl 132 SEPTEMBER 2017 | DOCTOR MAGAZINE

ixys;d .%ka:hg wkqj w;Hdêl l=i.skak fuu frda.fha iq,n ,laIKhls¡ fuu ufkda uQ,sl jHdê fkdi<ld yeÍfuys wksgq m%;sM,h jkafka Tjqkg miqld,Skj Nskafkdakaudoh jeks widOH udkisl frda. we;s ùug we;s keUqrejhs¡ fuys m%;sM,hla f,i jHdc m%cdkkhka iq,Nj we;s fjhs¡ wdhq¾fõo .%ka:j, i|yka jk mßos l¾K Y%jK (Auditory Hallucination)" oDIaá.; udhd ;;a;aj (Visual Hallucination) we;sfjhs¡ tu ,laIK j,g iudka;rj jHdc iam¾Y (Tactile Hallucination)" jHdc ri ixfõok (Gustatory Hallucinations)" yd jHdc >%dK ixfõok (Olfactory Hallucination) mj;S¡ wiïnkaO jd.a ;;a;ajhka fyj;a Delirium ;;a;aj fukau ;djld,sl udkisl udhd ;;a;ajhka f,i ye|skafjk Illusions mj;S¡ .,.Kav frda.fhka w;añoSu i|yd wNHka;r T!IO Wml%u Ndú;h jvd;a ldf,daÑ;h¡ kjH ffjoHjre fuysoS frda.S frda. n,dn,;djhka i,ld Y,Hc Wml%u yd úlsrK Wml%u fhdohs¡ wdhq¾fõohg wkqj fldfnda,S," yd;djdßh w," wdmiq uOq" bruqiq yd rils| jeks Ydl øjH;a Ys,dc;= jeks md¾Òj øjH;a fhdod ilik wNHka;r Tiq fukau iafõokh" Wmkdy fhoSu jeks me,eia;r Wml%u" rla;fudalaIK" juk l¾u" kiH l¾u" úf¾pk l¾u fhoSu jeks mxp l¾u l%ufõo yd OQumdk fhdohs¡ wjYH;djh wkqj Y,Hc Wml%u f,i úï,dmk m%fhda. lrjhs¡ fhda. jHdhdu isÿ lsÍu u.ska frda.h md,khg yd frda. ,laIK wju lr.ekSug myiqh¡ ta i|yd iqÿiq fhda.dik f,i y,dik" iqma;jc%dik" fk!ldik" u;aiHdik yd iQ¾h kuialdr ye|skaúh yelsh¡ doctormagazine.lk

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doctormagazine.lk April 2017 DOCTOR MAGAZINE 133 SEPTEMBER 2017 | DOCTOR MAGAZINE 133

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.%Ska y¾n,a fj;ska ksIAmdokh lrk jákd T!Iëh ksIamdok /ila oeka fj<|fmdf<A''' ysifla hk tlg w;s id¾:l zzflaY uQ, ;r,hZZ úiªu ,ndÿka ol=fKA uy fjo f.or wkd.; oelau''' mdrïmßl fjolu uq,a lrf.k wdrïN jQ .%Ska y¾n,a fmdvlaÜia mqoa' iud.u wo foaY foaYdka;rfha ,dxflah ku''' fy< fjolfuys uysuh fmkajd ÿka woaù;Sh foaYSh iud.uls' ol=KQ ,l óáhdf. dv" .=rej;a; j,õfõ mdrïmßl cSjl Wreuh kjH ;dlaIKfhka jvd;a Tmj;a lr .ksñka miq.sh ld,h ;=< fuu T!IO iud.u jsiska fj<|fmd<g uqody, Tiq /i fï rfÜ ck;dj w;r b;d wdorfhka ms<s.ekSug ,laúh' .=rej;af;a ch;s,l j,õj" wmf.a cd;sudul ix> mS;Djrfhl= jQ yslalvqfõ Y%S iqux., ysñmdkkag .sys l, b;d ióm {d;s in|;d mej;S fy< fjo ksfjils' tod fuod ;=r cSjl mrmqrl úldYh i<ld ne,SfïoS u;=.u chisxy fjo uy;aud wdoS fjokd mrmqrl j¾;udk ksfhdackh bxcsfkare ch;s,l uy;aud m%uqL .%Ska y¾n,a iud.fï ks¾udKYS,S ifydaor le<hs'

u< flia .ig cSjh ÿka flaY uQ, ;r,h wo .%Ska y¾n,a fmdvlaÜia mqoa' iud.u foaY foaYdka;rfha m;,j we;af;a zzfnfy;a ke;s frda.hla jk ysifla hdugo id¾:l ld¾hlaIu Tiqjla ksmojQ ol=Kq ,l fjof.orZZ hk f.!rjKSh jQ kdufhks' zzflaY uQ, 134 SEPTEMBER 2017 | DOCTOR MAGAZINE

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;r,hZZ wo fï rfÜ fndfyda okka uqj f,,fok kduhls' th .,ajd iqjm;a jQfjda''' flaY iïm;a;sh kej;;a ,enQfjda ixLHdj iq¿mgq fkdjkafkah' f,dl= l=vd" ia;%S mqreI" frda.S Ndjhla ksid fyda iajNdjfhkau''' fï ljr fya;=jla ksid ysifla ;=kS ùfï''' ysifla hdfï .eg¿jla ;snqK;a zzflaY uQ, ;r,hZZ ta iEu fokdgu wk.s úi÷ula neõ wo fndfyda fokd okakd lreKls'

iqÿ flia l¿ lrk y¾n,a í,ela fyhd ysifla hdug id¾:l úiªula ,ndÿka .%Ska y¾n,a m¾fhaIlhka flia iqÿ lrk ridhk øjH j,ska f;dr jákd T!IOhla l<t<s oelaùh' zzy¾n,a í,ela fyhdZZ ksielfhkau iqÿ flia l¿ lrk wk.s iajdNdúl Tiqjls' l¾lY yd wka;rdhodhl ridhk øjH fkdue;s fyhska ishhg ishhla wdrlaIs;h' doctormagazine.lk

AYURVEDIC iakdkfhka miqj fldKavfha .,ajk oshrhla jYfhka ksIamdokh lrk ,o y¾n,a n,ela fyhd ksielfhkau Tfí fldKavhg kej;;a wdl¾YKSh l¿jka meyeh ,nd fohs'

YÍrfha m%;sYla;sh iq/lSug fukau ;rndre Worh fu,a, lsÍug Wor uÜgq pQ¾Kh ful, wm uqyqK md we;s úYd, wNsfhda.hls' fvx.= frda.fha W;aikak ùu' fvx.= uÿrejd úosk iEu flfkl=gu fvx.= yefokafka ke;' YÍrfha m%;sYla;sh ysÕ wh fvx.= frda.hg myiqfjka f.dÿre fõ' ishhg ishhla YdLidr ksIamdokhkaf.ka iukaú; zzWor uÜgq pQ¾KhZZ .kakd wh YÍrfha m%;sYla;sh fyd|ska mj;ajd .ks;s' Tjqka f,v frda. j,g Tfrd;a;= fok yelshdjlska hqla;h' YÍßfha m%;sYla;sh jefvkakg;a" f,v frda. j,ska wdrlaId jkakg;a WmldÍ jkafka fyd| fi!LH mqreÿh' laIKsl lEu j,ska je<lSu" ;, jeks OdkH j¾. jeäfhka wdydrhg tla lr .ekSu" rd;%S msisk ,o ^yS,a& n;a WoEik fmd,a iïfnda, jeks fola iu. wdydrhg .ekSu" T!IO jYfhka oY mx.=j ;ïnd îu" iEu osklu rd;%sha fjksje,a. eg ;ïnd îu jeks isß;a ksid wdhqI j¾Okh lr.ekSug wjia:djla Wod fõ'

ol=Kq ,l uy fjo f.or fvx.= uÿrejka m<jd yßk ksmehqï ta flfia fj;;a ful, wfma rfÜ jix.;hla njg m;aù we;s fvx.= frda. doctormagazine.lk

hg fya;=jk uÿrejka m<jd yßkakg b;d ld¾hlaIuj lghq;= lrk f;,la zz.%Ska ñlaiaZZ hk kñka wm .%Ska y¾n,a wdh;kh u.ska t<s olajd ;sfí' wfma uq;=ka ñ;a;ka uÿrejka m<jd yeßfha uÿre;,d" fldfydU wdoS YdL Wmfhda.S lr .ksñks' meÕsß f;,a ful, wêl jYfhka uÿrejka m<jd yeÍug fhdod .kS' kuq;a meÕsß f;,a wêl wdï,sl;djhlska hqla; jk w;r tajd ks;r ks;r mqreoaola jYfhka .e,aùu iqÿiq fkdfõ' bmerKs T!Iëh YdL i;la Wmfhda.S lrf.k ld¾hlaIu úl¾Yl f;,la zz.%Ska ñlaiaZZ ksIAmdokh lr ;sfí' fïjd ifuys .e,aùfuka uÿrejka m<jd yßk w;r ifuys we;s oo" l=IaG yd wfkl=;a wdidoko iqjm;a lrk Ñls;aiSh .=Khlska hqla;h' zz;=,ais iqj| OQmhZZuÿre Wjÿfrka ñoSug mßirh uÿrejkaf.ka f;dr lsÍug T!Iëh YdL 15l ñY%Kfhka iE¥ iqj| OQmhls' Wfoa yji ;=,ais iqj| OQmh fhdodf.k ÿï we,a,Sfuka Tfí ksfji;a uÿre lrorfhka wdrlaId lr.; yel' rej w,xldrj;aj ukd ;dkhlska hqla;j YÍrh mj;ajd .ekSu iEu ;reK ldka;djlf.au isyskh fõ' ;=reKQ úh blaujQj;a os.eish ;u ifuys wdrlaIdj .ek''' meyem;aj th mj;ajd .ekSu .ek ie<ls<su;a úh hq;= fjhs' wo úúO fj<| kdu j,ska rE iq/l=ï i;aldr rdYshla fj<|fmdf<A mj;S' tajd .,ajk úg wdrlaIdj .ek uekúka ie<ls<su;a jk f,i os.ska os.gu Wmfoia iemfhkafka SEPTEMBER 2017 | DOCTOR MAGAZINE 135

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ysig isis,''' iykh i,ik iyk ysfia .,ajk f;,a ysfia .,ajk f;,a ysig isis,ila fukau ysiroh wdoS wdndO j,go iyk f.k tk m%;sldrhla úh hq;=h' zziykZZ ikakduh hgf;a fj<|fmd<g tk ysfiys .,ajk f;,a u.ska ysfiys uQ, fmdaIKh lrhs' isis,ila ysig f.k ths'

l=Uqla y¾n,a Ieïmq zzl=Uqla y¾n,a IeïmqZZ .%ska y¾n,a iud.fï ;j;a wkNsNjkSh ksIamdokhls' ysiflia ye,Su kj;hs' ysiflia fmdaIKh lrhs' ysifla j¾Okh lrhs' ioh fidïkiska fy< wdhq¾fõo m%;sldr ,eîug iqj ksjykla bosfjñka mj;skjd''' fï wdldrfhka i¾jdx..; frda. /ilg úYsIAG wdhq¾fõo T!IO ksIAmdokh lrk .%Ska y¾n,a iud.u" hg., rcuy úydrh 136 SEPTEMBER 2017 | DOCTOR MAGAZINE

wdikakfha ukrï N+ñNd.hl frda.Skag kej;S m%;sldr .; yels wdhq¾fõo frday,la ia:dms; lsÍu i|yd oeka boslsÍï lrf.k hhs' wo ojfia w;s OdjkldÍ iudch u.ska ñksia Ndj w;sYhska úlD;s lr ;sfí' úfYAIfhkau wêl wd;;sh fndfyda fi!LH .eg¿ we;s lrhs' fuu frdayf,a Ndjkd l%u" fhda. wNHdi fukau jHdhdu mx;s wdosho mj;ajñka ir< cSjk rgdjla ;=< ksfrda.S fi!LHiïmkak cSú;hla .; lsÍug m%fõYhla kej;;a ,ndoSug mshjr .kakjd we;' bosßfhaoS fuu mqkHN+ñh i;ka is; lh ksjd ikyk .sukay,la f,i ,xldjdiSkaf.a mßYS,khg tla jkjd oelSu .%Skay¾n,a l,uKdldß;ajfha wfmalaIdjhs'

Tfí iqjfi; wfma wosgkhs ld,Sk iqj .eg¿ j,g bmerKs wdhq¾fõoSh m%;sldr Tiafia úiªï fiùu .%Ska y¾n,a iud.fï wNsm%dhhs' jiúI yd úI ridhKslhkaf.ka f;drj yqfola fYdLT!IOu fhdodf.k w;=re Wmøjhkaf.ka f;dr ld¾hlaIu T!IO ck;djg iemhSfuka ck;djf.a wdhq wdfrda.H wdrlaId lsÍug fmruqK .ekSu .%Ska y¾n,a iud.fï oelau jkafkah' mrïmrdkq.;j Ndú;fha tk jákd T!IO wkqidrfhka kjH ;dlaIKfha weiqro ,nd .ksñka ck;djg iqj úiªï ,ndoSfï wmf.a wruqK oeka bgqfjñka mej;Su wmg uy;a i;=gls'

.%Ska y¾n,a iud.fï jákd T!IO osjhsk mqrd wf,úhg ;nd ;sfnk w;r Tng wdikak Tfí .%Ska y¾n,a fj<| ksfhdacs; ;ek yªkd .ekSug www. hairlanka.com fjí wvúhg msúfikak' jeäÿr úia;r ,nd .ekSug my; ÿrl:k wxl wu;kak'

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fiïm%;sYHdj je<|SfïoS W.=r leiSu" kdih isrùu" lsúiqï hdu" kdih f;;aùu wdoS ,laIK my< fõ''' Yajik moaO;sh uq,a lrf.k we;s jkakdjQ fiïm%;sYHdj fkdi<ld yeÍu iqÿiq fkdfõ' th we;efula yg mSkia frda.h we;s lsÍug uq,a jk nj fmfka' mSki mxfÉkaøshu mSvdjg ,la lrk frda.S ;;a;ajhls' weÿu''' mSki wdoS fiï frda. wo wm w;f¾ úr, fkdfõ' wdhq¾fõofha oelafjk wdldrhg mSkia frda.fhys m%fNao 18la y÷kdf.k ;sfí' nd," ;reK yd uy¿ hk fldhs ljqre;a mSki ksid mSvdjg ,la jk w;r iudcfha iq,nj olakg ,efnk mSkia frda. lsysmla u;= oelafõ' fuu mSkia frda. 18 la foAYSh ;sls;aidfõ mj;sk w;r" jdkc mSki" ms;a;c mSki" l:c mSki" Ykaks mdoc mSki" rla;c mSki" osh mSki" .| mSki" .,a mSki" <h mSki f,i yªkajhs' fï w;r iq,nj olakg ,efí' iq,nj olakg ,efnk mSki frda. m%fNao lsysmhla u;= úia;rd;aulj ye|skaùula isÿfõ'

fiïm%;sYHdj idudkH frda. ;;a;ajhla jQjo" fuh ,>q fldg fkdi<ld yeÍu iqÿiq fohla fkdfõ' th we;eï úg lrorldÍ frda.hla f,i ie<flk mSki we;sùugo uQ,drïNhla úh yels neúks' mSki - jhia fNaohla fkdi<lk frda.hls' l=vd orejd isg uy,a,d olajd ´kEu flfkl=g mSki we;s úh yel' doctormagazine.lk

Èh mSki wêlj lsúiqï hdu iu.ska we;sjk ksrka;rfhka we;sjk kdifhka oshr .e,Su" kdifhys fiu isrùu" leiai" mmqfõ uykaish" ysiroh wdoS frda. ,laIK iu. fiïm%;sYHdj mj;S kï th osh mSki f,i y÷kd.kS' <h mSki mmqjg fiu tj;a weª frd.h <h mSki f,i yªkajhs ks;r" ks;r we;sjk leiai" f;fyÜgq .;sh" mmqfõ y;sh" mmqfõ fukau msg fomi fõokdj" wdydr wreÑh" u<noaOh wdoS frda. ,laIK ksrka;rfhka mj;sk úg SEPTEMBER 2017 | DOCTOR MAGAZINE 137

AYURVEDIC

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AYURVEDIC

mdrïmßl foaYSh ffjoH iqñ;a rdcmqr uy;d th <h mSki f,i y÷kd.kS' fuysoS mmqfõ ¥IH fiï fldgia tl;= ùu ksid fndfyda úg mmqfõ y;sh we;sfõ' .| mSki fiu frda. i|yd m%;sldr fkd.eKSu fya;=fjka we;eï mSkia frda.Ska m%dYajdi lrk úg kdifhkao" l;d lrk úg uqLfhkao ÿ.|la msgfõ' fuu frda. ;;a;ajh we;s ùu .| mSki f,i oelafjhs' óg wu;rj úÿreuia oshùu" úÿreuiska f,a .e,Su" o;a fi,ùu wdos ;;ajhka o isÿfõ f,a mSki iuyr mSkia frda.Ska lysk úg leiai iu. msg fjk fiï fldgia j, reêrh mj;skq ksÍlaIKh fõ' tfiau kdih iQrk úgo tu fYaI fldgia j, reêrh mj;skq olakg ,efí' fï f,a mSkihs' .,a mSki oS¾>ld,Sk mSkia frda. hla fm,Suo" fiu .,a ù msg fkdjk ;;a;ajhla mej;Suo" oS¾>ld,Skj fiïm%;sYdfjka fm,Su" wêl brejdrofhka fm,Su;a kdih yd lka ks;r isrùu;a úh<s .;sh ksid ks;r ks;r fiu msg;g fkdtau;a ksid fuu .,a mSki we;súh yel mSki uq,a wjia:dfõu iqjm;a lr.ekSu b;du;a myiqh' mSkia frda.Ska uq,skau l< hq;af;a fiïm%;sYHdj''' mSki ksjerosj úksYaph l< yels m<mqreÿ ffjoHjrfhl= yuqfõ ksjeros frda. úksYaphla isÿlr .ekSuhs' foaYSh 138 SEPTEMBER 2017 | DOCTOR MAGAZINE

m%;sldr" mSki iqj lr.ekSug m%n,j msgqjy,a jk w;r ÿrd;S;fha wfma uq;=ka ñ;a;ka fï frda. j,ska iqjh ,nkakg WmldÍ lr.;af;a wmf.a mrïmrdkq.; fnfy;a ue nj wuq;=fjka fkdlsjukdh' mSkia frda.h ksÜgdjg iqj lrk wdos mrïmrdkq.; ryia jÜfgdare j, Wreuh fukau''' wúÉÑkakj Y;j¾Idêl ld,hla ;siafia ,enQ W;=ï w;a.=Kho iu.ska w;S;fha frda. ksjdrK .=Kh ÿ¾j, fkdjk fia ful,o thdldrfhkau frda.Sk iqjm;a lrjk fjo mrïmrdjls rdcmqr fjo mrïmrdj' fuu bmerKs m%n, fjo jÜfgdare wog .e,fmk fia kùlrKh lr.ksñka ld¾h nyq, cSjk rgdjla .; lrk Tn ish¿ fokdgu myiqfjka .; yels fia ms<sffh, lsÍu kjH rdcmqr fjo mrïmrdfõ úfYAI;ajhhs' l,a mj;akd wmyiq;djhka we;s lrjk''' wiSñ;j .;g mSvd fok mSki frda.fhka iïmQ¾Kfhka ñosug W;aidyS jk frda.Ska yg rdcmqr mrïmrdfõ w;aÿgq''' m%;HlaI''' fnfy;a m%;HlaIfhkau .=K ,nd oSug iu;a jkafkah' m;H wm;H wdydr fyd|ska y÷kdf.k Wmfoia fok ksjeros úyrKhka tf,iu mj;ajd .ksñka fokq ,nk Wmfoia m%ldrj lghq;= lsÍu blauka iqjhg fya;= jkafkah' mdrïmßl foaYSh ffjoH iqñ;a rdcmqr uy;d frda.Ska yuqjk ia:dk yd fõ,djka''' fudKrd., rdcmqr fjo ueÿr isß., ÿrl:kh 071 6000250 fld<U rdcmqr fjo ueÿr md¾,sfïka;= mdr" me,j;a;" n;a;ruq,a, ÿrl:kh 0115727519

idlÉPd fldg ilia lf<A wñ; úl%uwdrÉÑ doctormagazine.lk

AYURVEDIC doctormagazine.lk

SEPTEMBER 2017 | DOCTOR MAGAZINE 139

AYURVEDIC

wdhq jvk''' .; iú .kajk fy<fha fld< le| isß;

wmg yqre mqreÿ wfma ri .=K imsß fld< le| ÿrd;S;fha isg wfma fy< fndcqkamf;ys b;d jákd wdydrhla jQ fld< le| i;= idOKSh .=Kdx. ms<sn|j wm miq.sh l,dmfhka úia;r lf<uq' fujr wm w;f¾ Ndú;fha ;sfnk tu fld< le| j¾. lsysmhla i;= fmdaIKSh jákdlï .ek úia;rhla oelafõ' ud;r ys;a;áfha wdhq¾fõo tÉ tÉ ffjoH rxckS mshodi úisks

yd;djdßh fld< le| YÍrfha WKQiqu kik" u<noaOh ÿre lrk ms;a frda. j,g iykh i,ik T!IOhls yd;djdßh fld<le|'

f.dgq fld< le| l,amkd Y;a;sh oshqKQ ùu" YÍr Yla;sh jvjk n,h" YÍrhg wdrlaIdj ie,iSu hkdoS .=Kdx. fuys we;' .¾NKS yd lsß fok uõjrekag fnfyúka .=Kodhlhs'

140 SEPTEMBER 2017 | DOCTOR MAGAZINE

doctormagazine.lk

uql=KQjekak fld< le| YS; .=Kfhka hqla; ´kEu fmfoiloS mdfya myiqfjka ,nd.; yels fld< le| j¾.hls' le,aishï wêl ksid .eìKs uõjrekag yd orejkag úfYAIfhka .=Kodhlh' ysiroh" ysiflia hdu" wl,g flia iqÿùu" iu r¿ ùu" ifï fldrfmd;= we;sùu hk frda. iukl .=Kh uql=KQjekak fld<le| j,g mj;S' jeis ld, j,oS yd fiu nyq, wjia:d j,oS fï mdkhg .ekSu kqiqÿiqh'

je,afmfk, fld< le| je,afmfk, wm ck;dj w;f¾ m%p,s;j we;af;a ldfudaoaoSmk Tiqjla jYfhks' fï .eñhd w;f¾ m%p,s; lú mohls'

je,afmfk, YdLd - .sf;,ska u,jd ld''' wUq fkd;lk tld - wUqjka ishla jQj;a i<ld''' ldfudaoaoSmk .=Kh flfryS jeä nrla ;enqj;a je,afmfk, Yla;sh" n,h ,en fok isref¾ j¾Okhg WmldÍ jk uQ, mod¾:hkaf.ka .yk Tiqjls' osrùfï yelshdj ;rula m%udo lrk neúka f.dgqfld<" uql=KQjekak ;rñka wêl m%udK j,ska je,afmfk, le| Ndú;d lsÍu iqÿiq fkdfõ' YÍrh lDY wh i|yd fuh jvd;a iqÿiqh' flÜgq whg isref¾ we;sjk frda. j,g Tfrd;a;= oSfï Yla;sg wvqh' Tjqka fï je,afmfk, le| mdkhg .ekSfuka isref¾ Yla;sh jeä j¾Okh fjhs' fuys le,aishï" fm%daàka" hlv yd ,jK j¾. wdoS mod¾:hka nyq,h' u<noaOh ÿre lrk .=Kh je,afmfk, fld<le| j, we;s ;j;a úfYAI;ajhls'

doctormagazine.lk

t<ngq fld< le| fuu le| jeä jYfhka Ndú;d jkafka fiï nyq, wjia:dfõoSh'fuysoS ms<sfh, lsÍug .; hq;af;a fld< muKs' ñY% fld<o ms<sfh, lsÍfïoS fhdod fkd.; hq;=h'

fldys, w, le| fldys, w, ukdj msßisÿ lr fldgd.; hq;=h' fldys, iqoaO lr /hla osfha oud miqod l=vd len,s j,g lmd fldgd ñßld .; hq;=h' u<noaOh jeä kï óg .sf;,a iaj,amhla tl;= lrkak'

fudkr l=vqïì le| WoEik ysianv mdkhg wf.hs' le| î meh 2-3lg muK miq WoEik wdydrh .; hq;=h' Y%S chj¾Okmqr úYAj úoHd,hSh m¾fhaIlhka msßila úiska isÿ lrk ,o wOHhkhlg wkQj fuu fudkr l=vqïì le| isref¾ m%;sYla;sh jvjk losu mdkhlehs y÷kdf.k ;sfí' fuu fidhd .ekSï w;S;fha fudkr l=vqïì le| .ek úia;rhg losug .e,fma' wdydr wreÑh we;sù orejdf.a ldhsl yd udkisl j¾Okh wvd, lrk frda. hls" udkaou' wdydr u|lu" fmdaIH wdydr uosmdvq ùu ksid fï frda.hg orejka f.dÿre úh yel' Tfrd;a;= oSfï yelshdj wmg ,efnkafka W;am;a;sfhks' kùk úoHdj tkak;a yryd lD;%Suj m%;sYla;sh ,nd fohs' m%;sYla;sh ÿ¾j, jQ úg m%;sYHdj" WordndO wdosh ks;r we;s fõ' fudkr l=vqïì le| fmdaIKh ysÕmdvq jQ fldhs ldg;a w.kd fmdaIH wdydrhls' fudkr l=vqïì le| iEoSfïoS me<Eáh iyuq,skau .,jd msßisÿ lr fldgd hqI ñßld .; hq;=h' le| iEoSfïoS ySká yd,a thg tla lr.kafka kï jvd;a fyd|h' m%;sM<h jvd;a M,odhSh'

SEPTEMBER 2017 | DOCTOR MAGAZINE 141

AYURVEDIC

fmdaÉÑ f.dgqfld< yd je,a f.dgqfld< kñka f.dgqfld< j¾. folla fõ' iajdNdúl mßirfha jeãu ksid fuhska je,a f.dgqfld< .=Kfhka jeäh'

AYURVEDIC

lrmsxpd fld< le|

meleÜ l< fld<le| wo ld,fha fnfyúka ckm%shh' ld¾h nyq, cSjk rgdjg tajd losug .e,fma' fi!LHdrlaIs;j ms<sfh, l< lrmsxpd fld<le| meleÜgqjla'''

YÍrfha úI bj;a lsÍug lrmsxpd fld< le| w.kd Tiqjls' oshjeähdj md,kh" ms<sld ffi, u¾Okh ùu" reêr mSvkh md,kh lsÍu" fix.ud,h iqjh wdoS lrmsxpd fld< le| i;= Ñls;ail .=Kdx. /ils' wfma rfÜ nyq,j jefjk YdLhls" lrmsxpd' fuu fld< yd iqÿÆKQ" wuq bÕ=re úc,k hka;% u.ska úh,d ud;%djlg wkQj meleÜ lr oeka wf,úhg ;nd ;sfí' fuys iy,a ln,a lr fjkuu meleÜgqjlg oud ;sfí' wúfõlS .DyKshg fuu meleÜ l< fld< le| w.fkah'

osjq,a fld< le| osjq,a fld< le| o úI kdYl .=Kfhka wkQkh' ó úIg m%;HlaI Tiqjls' uq;%dldrl .=Kdx. j,ska hqla;h'

bruqiq fld< le| fuys fmdaIHuh fukau T!Iëh .=Kho ;sfí' p¾u frda." rla; ¥IH;djh" YÍrfha oeú,a, we;s whg úfYAIfhka ks¾foaYs;h' fïjdo meleÜ lr wf,úhg ;nd ;sfí'

fmd,am<d le|

hla kdrx fld< le| fiï frda. j,ska fmf<k whg .=Kodhlh' oskm;d mdúÉÑhg kï iqÿiq fkdfõ' jrlg hla kdrx fld< ñgla muK iEfya' flfia jQj;a ffjoH Wmfoia wkQj muKla .ekSu ks¾foaY lrñ' fld< le| ,dxflah wmf.a ckm%sh md;rihls' WoEik wdydrhls' msá l< lsß ùÿrejla ysianv fndk isß; miq ld,fha wm wdydr isß;g tl;= jQjls' kuq;a fld< le| wfma wdos uq;=ka ñ;a;kaf.ka wmg ,enqKQ Wreuhhs' WoEik msá lsß fldamamh;a" fld< le| fldamamh;a ixixokh lf<d;a msá lsß fldamamh .õ .Kkla msgqmisks' fmdaIKSh nj" ukd cS¾Kl;djh" l=i.skak jeãu yereKQ úg tys we;s laIQø fmdaIl weiqf¾ YÍrhg ,efnk /ljrKh fuf;lehs lshd ksu lrkakg neßh' fld< le| fldamamhla WoEik mdkh lrk flfkla fõ kï Tyq uyd jdikdjka;fhls' ukao" Tyq meñKs frda ÿla fukau u;=jg meñfKkakg yels frda ÿlao iEfyk muKlska wdrlaId jkakg Tyqg ksiÕ yelshdjla ,efnk fyhsks' ysiroh" ysiflia hdu" wl,g flia iqÿùu" iu r¿ ùu" ifï fldrfmd;= we;sùu hk frda. iukl .=Kh uql=KQjekak fld<le| j,g mj;S' jeis ld, j,oS yd fiu nyq, wjia:d j,oS fï mdkhg .ekSu kqiqÿiqh' Y%S chj¾Okmqr úYAj úoHd,hSh m¾fhaIlhka msßila úiska isÿ lrk ,o wOHhkhlg wkQj fudkr l=vqïì le| isref¾ m%;sYla;sh jvjk losu mdkhlehs y÷kdf.k ;sfí' wfma rfÜ nyq,j jefjk YdLhls" lrmsxpd' fuu fld< yd iqÿÆKQ" wuq bÕ=re úc,k hka;% u.ska úh,d ud;%djlg wkQj meleÜ lr oeka wf,úhg ;nd ;sfí' fuys iy,a ln,a lr fjkuu meleÜgqjlg oud ;sfí' wúfõlS .DyKshg fuu meleÜ l< fld< le| w.fkah'

uq;%d jHqy.; frda. j,g .=Kodhlh' uq;%dldrl .=Kdx. we;s neúka ffjoH Wmfoia wkQl+,j Ndú;hg ks¾foaY flf¾' 142 SEPTEMBER 2017 | DOCTOR MAGAZINE

doctormagazine.lk

zzfrda. ksodkhg m%;sldr lsßfuka ysiroh iqjm;a lr.kakZZ

wdhq¾fõo ffjoH rkam; rejka r;akdhl iu.l ms<Si|rla'' Ayu. Reg. No. 13869

ffjoH rkam; rejka r;akdhl fy<fha bmerKs mdrïmrsl ffjoH l%u j,g cSjh fok fjokd mrmqrl jákd mqrella' wdhq¾fõofha''' foaYSh fjolfï hy.=K /l.ksñka tajd wo ld,hg .,md .kakg Tyq olajk mßph ksidu zzrkam;a fjouy;audf.a fjoluZZ uq¿ rfÜu m;,hs' Tyq fï rfÜ ck;djf.a oeKQu m%j¾Okh Wfoid bosßm;a lrk ,sms fmf<ys fujr l,dmfhka jvd;a iq,n frda. hla .ek l;dnyl ksr; fjkjd' ta fndfyda fofkl=g Headache jk ysiroh .ek'''

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SEPTEMBER 2017 | DOCTOR MAGAZINE 143

AYURVEDIC

ysiroh fkdi<ld yßkak tmd'''

AYURVEDIC

ffjoH ;=uks" fudlla o fï yeá Q yefudagu jO fok ysirh@ roh hkq fõokdjhs' ñksidf.a YÍrfha m%Odk;u bkaøsh jkafka fud<hhs' fud<h iakdhq moaO;sfha uQ,ia:dkhhs' thska ksl=;a jk uQ, iakdhqj l=vd fud<h Tiafia m%Odk lfYAreld mka;shg we;=,a ù lfYAreld ikaêia:dk j,ska msg;g ksl=;a ù YÍrfha ish¨u bkaøshhka yd wjhjhka lrd f.dia tajdfha l%shdldß;ajhg odhl fjkjd' tu ksid YÍrfha l=uk wjhjhl bkaøshl fodaIhla we;s jqj;a th fud<hg n,mEï lrkjd' tu n,mEï j, WÉp;u wjia:dfõ § ysig ±fkk wmyiqlu y÷kd.kafka fõokdjla f,ihs' th idudkH jHjydrfha § zzysirohZZ lsh,hs y÷kajkafka'

fuu frda. ;;a;ajhg fya;= jk lreKq fudkjdo@

úfYaIfhka u j¾;udkfha m%;sldr m;d tk jeä fofkl=f.a ysfia lelal=ï ;;a;ajhkag fya;=j fiu l=ms; ùuhs' fï whqßka ysi wdYs%; l,dmfha fiï nyq, jkafka l=ula ksid±hs fidhd ne,sh hq;=hs' Bg fya;=j fndfyda fofkl= fkdis;k lreKla' fiï nyq, hhs lSj o tjeks whf.a YÍr WIAKdêl njla fmkajkjd' tu WIAKdêl nj YÍrfha ish¨u bkaøshhka yd wjhj j,g n,mEu we;s l< o fud<h wdYs%;j mj;skafka w;s ishqï iakdhq ffi, jk neúka tajd fuu WIaKdêl nj ksid úkdY úh yelsh' fuu ;;a;ajh j<lajd .kakg YÍrh úiska YS¾I l,dmhg ^ysi fmfoig& fiu f.kajd iajhxl%Sh YS;lrK jev ms<sfj,la (Auto Cooling System& we;s lrhs' ish¨ .eg¨ u;=jkafka bka wk;=rejhs' fufia jeä jeäfhka ysia ln, ;=< tla /ia fjk fiu kdia l=yrfhka 144 SEPTEMBER 2017 | DOCTOR MAGAZINE

ndysr jd;h iu. tl;=jk CIqø Ôùka f.a n,mEfuka krla ùu ^fiï l=ms; ùu$fiï meiùug ,la fjkjd' tfia ¥IKh jk fiu ksid ysfia nr .;sh we;s jk w;r tu krla jQ fiu fud< l=yrfhka bj;a jk ;=re ysfia frda.dndO we;s lrkq ,nkjd' úfYAIfhka ysfia frda. w;ßka mSvdldÍ núka jeäu wjia:dj brejdrohhs' fuu ;;a;ajh je<÷Kq úg fuys we;s mSvdldÍ nj ksid frda.Skaf.a ish¿ ffoksl lghq;= mjd wvmK fjkjd' fï yereKq úg u<noaOh" .eiag%hsáia we;=¿ wdydr Ô¾K moaO;sfha ÿ¾j,;d m%uqL fjkjd' Bg wu;rj Èhjeähdj" w¾Yia" mSki" rla;ySk;djh" wêl ksÈ u; fyda kskao fkdhdu" nv mqrjd ±óu" uq;%d frda." jl=.vq wdY%s; ÿ¾j,;d" ms;a;dYfha .,a jßka jr u;= ù ke;sù hk jd;rla; jeks ifï frda." ldka;djkaf.a .¾NdI.; frda. iy wd¾;j fodaI jeks fya;+ka o we;eï T!IOhka §¾>ld,Skj Ndú;ho" ysiroh we;s ùug úúO whqßka n,mdkjd' Bg wu;rj úúO udkisl mSvkhka ksid o ysiroh we;s fjkjd'

ffjoH;=uks fuu ;;a;ajh u.yeÍug fhÈh hq;= ms,shï flfia úh hq;=o@

mj;sk fiu bj;a lsÍu yd fiu úh,Sug m%;sldr lsÍfï§ kej;;a WIAKdêl nj m%uqL ùfuka fud<h wdY%s;j mj;sk ishqï iakdhq ffY, úkdY úh yelshs' kuq;a fud<h wdY%s; l,dmh isis,kh lsÍug kï uq¿ YÍrfhau WIAKdêl nj wvq lsÍu fuys§ wm isÿ lrk m%Odk m%;sldr l%uhla' Bg wu;rj frda.shdf.a YÍrfha mj;sk wksl=;a wys;lr ;;a;ajhka fidhd n,d Bg wjia:dkql+,j ksis ms<shï fhÈh hq;=hs'

doctormagazine.lk

úfYaIfhka fuu frda.Ska ijia ld,fha we,a Èh kEfuka je<lsh hq;=hs' ;jo wêl WIAK wdydr" u;aøjH iy ÿï mdkfhka je<lsh hq;=hs' f;,a iys; lD;%su wdydr j,ska je<lSuo hym;a nj fmdÿfõ lshkak mq¿jka'

we;a;gu wm lrd tk frda.Ska f.ka jeä msßila mjik lreKla ;uhs Tn th u;= lf<a" fndfyda frda.Ska ysi lelal=ug m%;sldr ,nd .;a;;a ksis f,i iqj fkdjQ wh' fïlg fya;=j ta whf.a frda. ;;a;ajhkag m%;sldr lsÍfï § ksis f,i frda.h ms<sn| fidhd n,d frda. ksodkhkag m%;sldr fkdfh§uhs' we;a;gu ffjoHjrhd i;= ksjerÈ frda. mÍCIdj" tu.ska frda. ksYAph lsÍfï yelshdj iy tu y÷kd.;a ;;a;ajhg wjia:dkql+,j ksis m%;sldr lsÍu hk lreKq wkqj fuu frda.hka ksÜgdjgu iqjlr .; yelshs' kuq;a ;djld,slj fõokd kdYl j,g fhduq ùu fjk;a wk;=re wdndO iys; miq ld,Skj nrm;, .eg¿ we;s lrk ;;a;ajhla úh yelshs'

jeä ÿr WmfoaYhla ,nd fokjd kï Èh hq;af;a ta ta frda.Ska ms<sn|j mQ¾K mÍCIKhlska wk;=rej mj;sk ;;a;ajhg iy mqoa.,hdg wkqrEm jk f,ihs'

ysi lelal=u yeÿKq úg mßiaiï úh hq;= wdldrh ms<sn|j WmfoaYkhla fokjd kï@

ffjoH;=uks" wdhq¾fõo m%;sldrhka j,g fndfyda wh ue,s jkafka lIdh j¾. j,g fnfy;a nvq fiùu lIdh ;eïîu jeks l%shdjka isÿ l< hq;= ksihs' thg Tn;=udg Èh yels úi÷u@ talg úi÷ula yeáhg ;uhs uu mQ¾K jYfhka ksIAmdÈ; T!IO frda.Skag ,nd fokafka' tajd j¾;udk ld¾hnyq, Ôjk rgdjg .e,fmk f,ig ld¾hd,fha§" jev ìul§" uÕ f;dfÜ§ jqj;a myiqfjka Ndú;d l< yels mßÈ m¾fhaIKd;aulj ÈhqKq l< T!IOhs' tu ksid myiq T!IO Ndú;h jeä fofkl= w;r w;sYhska ckm%sh fj,d ;sfhk nj ldg;a ják mKsúvhla fõú'

wdhq¾fõo ffjoH rkam; rejka r;akdhl wdhq' ,s' wxlh 13869 rkam;a fjo ueÿr fkd' 663" kqjr mdr" mE,shf.dv ^mÜáh ykaÈh fchrdÊ m%kdkaÿmq,af,a .=jka md,u wi,& 071 300 90 88 $ 011 4 344 599 -

Hotline - 071 300 7000 ffjoH rkam; rejka r;akdhl fjoeÿre;=uka ysiroh muKla fkdj .eiag%hsáia" w¾Yia" mSkia frda." fiï frda." jd;rla;" yDo frda. iy wêreêr mSvkh ^fm%I¾& brejdroh" m¿ oeóu"leiSï yd iu iïnkaO frda." ,sx.sl ÿn,;d" ldka;d frda. yd .¾NdI frda. /ilg Tng iykh i,ihs' wo iudcfha iq,nj olakg ,efnk oreM< m%udo ùu" mqreI Yla;sh ÿ¾j, ùu wdoshgo fu;=ud m%;sldr lrKQ ,nhs' doctormagazine.lk

SEPTEMBER 2017 | DOCTOR MAGAZINE 145

AYURVEDIC

yqÕdla fofkla is;kafka ysiroh ksÜgdjgu iqjl< fkdyels jßka jr u;=jk ta fj,djg fõokd kdYlhlska hgm;a l< hq;= frda.hla f,ihs@

144

April 2017

DOCTOR MAGAZINE

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