Doctor Magazine August 2019

magazine Doctor The Premier Bilingual Health Magazine in Sri Lanka Volume 25 • August 2019

ffjoHjrhd doctormagazine.lk RS 180 (VAT INCL)

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Eats at Meets - Reloaded úYd, lKavdhï j,g lEu msrskeófï isßf;ys P. 12 úma,ùh ikaêia:dkhla ISBN-1391 1341

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AUG 2019

VOLUME 25 • ISSUE 08

Regular

Editors Note 6 Health News iqmqj; 8 Health Video on demand lshjk iÕrdjg tl;= jQ weisosis rE fm<yr 10 Laboratory Tests Explained mqriaÓ;s ms<sld y÷kd .kakg msßñka i|yd isÿ lrk mÍlaIKh mÍlaIKfha kjH Ndú; kS,a m%sh;a fcdaka 37 In Vitro fertilisation (IVF) oreM< wysñ iyila hqj, isysk ienE lrk k, ore ;dlaIKh l<, úoHd ffjoH uodr /<mkdj 32

Fertility újdyh" orejka ,eîu l,a oukak fyd|u ke;s ffjoH ldrKd y÷kd.kak idhksl l<,fõo úfYAI{ ffjoH fy<rejka mikal=udr 42

Homeopathy Medicine iufm; weiqf¾ iqjfi; - fldkafoa wudrefjka mSvd úÈk jeäysá Tng fydañfhdam;s ;=,ska iaÓr iqjh fydañfhdam;s ffjoH wkqId fyaul=udr 116

August 2019

fu!;% frda. úfYaI{ ffjoH wreK bkaÈl kkaofiak 27

Tfí ;reK orejd;a u;aøjH j,g weíneys ùfï ±ä wjodkula æ ffjoH Ydka; fyÜáwdrÉÑ 51

wd;rhsáia ksis m%;sldr lsÍfuka iuyr wd;rhsáia j¾. iqj l< yelshs Features

wdh;kslj yd iuQy lKavdhï i|yd fi!LHiïmkak wdydr msßkeóug u.fmkaùula Eats at Meets Reloaded m%cd ffjoH úfYaI{ wñ, pkaøisß osi; a l %s a fi!LH fiajd wOHlaI ld¾hd,h - .d,a, 12

wOHdmkhg;a jeäfhka orejdf.a fi!LHh .ek úuis<su;a fjkak lsß ùÿrefjka Wfoa wyrlsi iïmQ¾K fjkafka kE fld<U ffjoH m¾fhaIK wdh;kfha fmdaIK wxY m%Odks úfYaI{ ffjoH f¾Kqld ch;sii a 22

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jl=.vq j, yefok .,a bj;a lrk úma,ùh m%;sldr l%uh Renoscope / Laser lithotripsy

DOCTOR MAGAZINE

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Trigger finger weÕs,s keù ;sîfï frda.h .d,a," lrdmsáh" YslaIK frdayf,a l%Svd ffjoH tAllfha T,sïmsla úfYaI{ l%Svd ffjoH ixL f;nqjkwdrÉÑ 58

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AUG 2019

VOLUME 25 • ISSUE 08

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NINEWELLS AESTHETIC & COSMETIC CENTRE UNVEILS TO THE PUBLIC Discover the best aesthetic beauty treatments in the Island 77

Facebook Faces new dilemmas uqyK q f Q mdf;a lvjiï ;reKhdg yiqjQ foore ujf.a l;dj''' fkdokakd whf.ka tk ßlafjiaÜ j,g ñ;=reoï f.dvk.d.kafka fndfydu mßiaifuka ksYdka; je,swx. 80 ukrï iskyj wE;a lrjk úl,dx. .eg¿ mqxÑ ikaosfhau m%;sldr .ekSfuka .eg¿ we;s ;eka myiqfjka úi|d.; yelshs

iaudÜ f*dakh mdi,a <uqkag flfia n,mdhso@ ÿrnkqjla l< yoshla Y%S ,xld iajdmkfõoSkaff.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS tka úoHdl=,m;s 97

Folic Acid .eí fkd.;a wh;a f*da,sla wï, W!K;djfhka fmf<kak mq¿jka

August 2019

uyú, wdhq¾fõofha uyd iïm%odh oshjeähdj iqj l< yels nj wdhq¾fõoh wkdosu;a ld,hl isg fmkajd ÿkakd''' foaYSh ffjoHY+Í" foaYudkH" uydpd¾h fya' uQ' fikr;a chiQßh nKavdr 112

f*da,sla wï, W!K;djh ufkda jHdl+,;djh yd ;j;a fndfyda .eg¿ we;s lrkjd 106 Nurtition

r;= ndiau;S iyf,a .=K iy,a j, .a,hsisñla o¾Ylh iïnkaO m¾fhaIKd;aul ú.%yhla 90 Spices kej;;a wfma fndcqkam;g tla lr.; hq;= fy<fha ;=kmy jÜfgdarej 103 Watermelon rih;a" .=Kh;a tlfia orKd ysre odyh ld,fha isis, iok m<;=r meKs flduvq 114

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DOCTOR MAGAZINE

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u<noaOhg wdhq¾fõoh weiqre lr.;a ir< ms<shï wdhq¾fõo ffjoH rkam; rejka r;akdhl 127 doctormagazine.lk

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EDITOR'S NOTE fnda fkdjk frda. j,g tfrys igfka ikaêia:dkhla'''

fjfiiskau orefjla l=ifha ordk bkakd ld,fha isg" nd, ikaosfha isg orejka wdrlId lr Tjqkag fi!LHiïmkak cSú;hla Wreu lr fokakgh'

Eats at Meets Reloaded

Y%S ,xld m%cd ffjoH úfYAI{ ix.uh miq.shod wjfYaI fi!LH wdh;k /ila iïnkaêlrKfhka t<soelajQ lD;sh fï m%dfhda.sl ikao¾Nh ;=< wfma rfÜ wdydr isßf;ys úma,ùh fjkila we;s lsÍug bjy,a jkq we;ehs wm úYajdi lruq' fjfiiskau fï lD;sh wduka;%Kh lrkafka wdh;kslj yd iuQy lKavdhï i|yd wdydr iemhSfïoS tajd fi!LHiïmkak lsÍug u.fmkaùula jYfhks'

fnda fkdjk frda. wo wfma ld,fha wNsfhda.d;aul fi!LH ;¾ckhlaj we;s nj oeka fldhs ldg;a ryila fkdfõ' jeäysáhka muKla fkdj W;am;a;sfha" nd, ikaosfha orejka mjd fï wdydr yd úyrK wdY%h lr.;a nrm;, fi!LH .eg¿ j,g uqyqK fohs' wfma ld,h ksfhdackh lrk mrïmrdj buy;a wjdikdjka;hka msßila hhs lshefõ' uõmshka jfhdajDoaOj ñheÿKQ l< Tjqkaf.a wjika lghq;= lrkafka Tjqkaf.a wdorKSh orejkah' f,dal iajNdjh thhs' tfy;a wfma mrïmrdj, orejkaf.a u<.ï uõmshkag isÿ lrkakg isÿjk wjia:d úr, fkdfõ' fukhska n,k l< wm''' wjdikdjka; jQ mrïmrdjla ksfhdackh lrkakka fkdfõo@ fï ;;a;ajh wo fi!LH wxY fudkjg wjfndaO lrf.k ;sfí' f.da,Sh jYfhkao" rgj,a jYfhkao fï fnda fkdjk frda. j,ska wdrlaId ùug fjfiia jevigyka l%shd;aul lrñka isà' wo m%d:ñl fi!LH ixrlaIKh ;=< rdcldß j,ska úi,a jmißhla wh;aj we;af;ao fnda fkdjk frda. j,ska ck;dj wdrlaId lsÍugh'

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August 2019

wm okakd mßos /iaùï" jevigyka yd ck;dj iyNd.s jk W;aij j,oS wmg ,efnkafka fi!LHiïmkak wdydr fkdfõ' flala" frda,aia" lÜ,Ü" meáia''' osj wef,fh¥ lsß''' fï .ek u;la lsÍu mjd weÕ f,duq oeye .kajhs' yeuodu jevigyka j, bkakd whg foúhkaf.au msysgh' Eats at Meets - Reloaded m%h;akhl fhfokafka fï fi!LHhg ;¾ck f.fkk wdydr isß; fjkia lsÍugh' b;d m%dfhda.sl f,i fmdaIKfõoSka" iQmfõoSkaf.a iydh ,ndf.k m%dfhda.sl ;,fhaoS wdydr imhkakkaf.ao woyia úuiñka t<solajk fï fmd; iuQy lKavdhï j,g rih fukau .=Kho imsß wdydr iemhSug ud¾f.damfoaYKhla imhhs' miq.shod we;slr.;a fï iudrïNh ;jÿrg;a cd;sl ;,hgo jHdma; lsÍug m%cd ffjoH úfYaI{ ix.uh wosgka lr isà' ta fuys ;j;a kj iQm úúOdx.SlrKhlao iu.sks' fnda fkdjk frda. j,ska ukqj. wdrlaId lsÍug tldjkaj wm ish,a, f.k hk igfkys Eats at Meets - Reloaded úma,ùh ikaêia:dkhla iksgqyka lrKQ we;' th iuQy lKavdhï wdydr msßkeófuys fi!LHiïmkak fjkila we;s lsÍfuys,d iudrïNl mshjrla jkq we;' fï jHdmD;sh i|yd kdhl;ajh .;a Y%S ,xld m%cd ffjoH úfYAI{ ix.ufha iNdm;s m%cd ffjoH úfYAI{ cdklS úodkm;srK uy;añh" m%Odk N+ñldj bisÆ m%cd ffjoH úfYAI{ wñ, pkaøisß we;=¿j ish¿ ffjoHjrekag;a óg wem Wmldr l< wfkl=;a ish¿ jD;a;ShfõoSkag;a cd;sfha m%Kduh ysñ jkq we;'

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

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August 2019

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HEALTH NEWS iqmqj; irïm frda.h iïmQ¾Kfhkau ;=rka l< rgla njg ,xldj m;a fjhs Y%S ,xldj f,dalfha irïm frda.h iïmQ¾Kfhkau ;=rka l< rgla f,i f,dal fi!LH ixúOdkh miq.shod ksfõokh lf<ah' f.da,Sh irïm frda.Skaf.a ixLHdj ;=ka .=Khlska by< f.dia we;s fudfyd;l Y%S ,xldj irïm frda.h ;=rka l< rgla f,i irïmj,ska <uhska wdrlaId lsÍug fi!LH wxY b;d id¾:lj lghq;= lr we;s nj;a ta i|yd fouõmshkao úYd, lemlsÍula lr we;s nj;a f,dal fi!LH ixúOdkfha kef. kysr l,dmSh wOHlaI mQkï fya;%md,a uy;d mejiSh' fi!LH wxY yd tlaj iajdëkj ;yjqre lr.;a f;dr;=re uÕska fuh kï lr we;s w;r Y%S ,xldfõ wjika irïm frda.shd jd¾;dù we;af;a 2016 jif¾§h' N+;dkh" ud,Èjhsk iy áfuda¾-f,iafÜ hk rgj,g miqj f,dal fi!LH ixúOdkfha w.aksÈ. wdishdkq l,dmfha isjq jk rg f,i Y%S ,xldj kï lr we;' fï jk úg wm%sldfõ irïm frda.Skaf.a ixLHdj ishhg 700l .=Khlska by< f.dia we;' wefursldjo irïm frda.Ska ksid nrm;, f,i mSvd ú|S' tlai;a cd;Skaf.a ixLHdf,aLk fmkajd fokafka f,dalfha ish¨‍ l,dmhkaf.a irïm frda.h YS>% f,i by<Efï m%jK;djla we;s njhs' fuhska jvd;a mSvdjg m;aj we;af;a hqfla%kh" uev.ialrh iy bkaÈhdj hk rgj,ah' tjeks miqìula ;=< fujka ch.%yKhla ,nd .ekSug Y%S ,xldj iu;a ùu f,dal fi!LH ixúOdkfha we.hSug ,laj ;sfí'

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August 2019

DOCTOR MAGAZINE

uÿre lSghka fnda jk ia:dk ysñlrejkag jev jroshs ksfjia j,g wu;rj mdi,a" bÈlsÍï mßY% iy l¾udka; Yd,d fvx.= uÿrejka fnda ùfï jeä wjOdkï iys; ia:dk f,i y÷kdf.k we;s w;r È.ska È.gu uÿre lSghka fnda jk fia tjeks mßY% mj;ajdf.k .shfyd;a tu wdh;k j, kï m%isoaO lr kS;sh oeäj l%shd;aul lsÍug lghq;= lrk nj cd;sl fvx.= u¾ok tallh mjihs' fudaiï jeiai il%Sh ùu;a iuÕ miq.sh jir j, fuka fujr;a ‍cQks iy cQ,s udi j,§ fvx.= frda.h h<s ysi Tijd we;s w;r Èjhsfka Èia;%slal lsysmhl fvx.= frda.Ska jd¾;d ùfï ie,lsh hq;= by< hdula fï jk úg;a fmkakqï lrhs' fld<U" .ïmy" l¿;r"

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ÿïfld< iy uOHidr ms<sn| cd;sl wêldß mk; oeka Èjhsk mqrd l%shd;aulhs ÿïfld< iy uOHidr ms<sn| cd;sl wêldß mk; Èjhsk mqrd oeäj l%shd;aul lsÍug mshjr f.k we;ehs ÿïfld< yd uOHidr ms<sn| cd;sl wêldßfha iNdm;s ffjoH md,s; wfífldaka uy;d mjihs' ta uy;d fï nj mejiqfõ" miq.shod fld<U fi!LH m%j¾Ok ld¾hxfYha mej;s udOH yuqjlg talafjñks' jeäÿrg;a woyia oela jQ iNdm;sjrhd mejiqfõ" 2006 wxl 27 orK ÿïfld< yd uOHidr ms<sn| cd;sl wêldßh mk; W,a,x>kh lrk mqoa.,hska kS;sfha / yekg yiqlr .ekSu i|yd fi!LH ffjoH ks,OdÍ ld¾hd, yryd mfk;a n,h,;a ks,OdÍka jYfhka uyck fi!LH mÍlaIljreka u.ska bÈßfha§ Èjhsk mqrd úfYaI jeg,Sï ixúOdkh lr we;s njhs' Èjhsk mqrd úisÍ isák uyck fi!LH mßlaIljreka 2500l muK iyNd.s;ajfhka fuu jeg,Sï l%shd;aul fõ' ta wkqj wo m%isoaO ia:dk j, uOHidr Ndú; lrkakka" jhi wjreÿ 21 g wvq mqoa.,hkag is.rÜ" wrlal= ìh¾ jeks uOHidr wf,ú lrkakka" uOHidr m%pdrh lrkakkag tfrysj kS;sh l%shd;aul lrk nj;a mejiSh' Y%S ,xld uyck mÍlaIljrekaf.a ix.ufha iNdm;s Wmq,a frdayK uy;d mejiqfõ nq,;a úg fyda mqjla ñY% l< ndnq,a jeks øjH Ndú;d lrk mqoa.,hka mjd w;awvx.=jg f.k kS;sh l%shd;aul lsÍug lghq;= lrk njhs'

fnda fkdjk frda. tallfha taalflha wOHlaI ffjoH ;s,la isßj¾Ok uy;d mejiqfõ fnda fkdjk frda. fya;=fjka Èklg mqoa.,hka 245la muK urKhg m;ajk njhs' ÿïfld< iy uOHidr Ndú;h ksid we;sjk fi!LH .eg¿ fjkqfjka jirlg ì,shk 200l muK uqo,la fi!LH wud;HxYh jeh lrk nj fmkajd ÿka taa uy;d ÿïfld< iy uOHidr mk; W,a,x>kh lsÍula isÿ fõ kï 1948 orK ÿrl:k wxlhg okajk uyck;djf.ka b,a,d isáfhah' fi!LHiïmkak ck;djla ìys lrkakg rgl fi!LH ksjdrK wxYh jvd;a iúu;a úh hq;=hs ckdêm;s ffu;%Smdd, isßfiak yïnkaf;dg uy frday, újD; lrñka mjihs zz,xldfõ ;sfnkafka .=Kd;aul Wiia m%ñ;sfhka hq;a wfma fi!LH fiajdjla lsh,d wms okakjd' kuq;a wfma rfÜ fok ksoyia fi!LH fiajdfõ m%;sldr wxY iy frda. ksjdrK wxYh .;aúg ta i|yd w;s úYd, uqo,la jehlrk nj Tn okakjd' m%;sldr wxYhg ishhg 90 la jeh lrkúg frda. ksjdrK wxYhg wvqfjka ;uhs fjka fjkafka' kuq;a we;af;kau rgl fi!LH iïmkak ck;djla ìysjkak ksjdrK wxYh ;uhs Yla;su;a úh hq;af;a'ZZ fko¾,ka;fha iyk Kh wdOdr hgf;a hQfrda ñ,shk 46'8 la jeh lrñka bÈlrk ,o yïnkaf;dg Èia;%sla kj uy frday, ckdêm;s ffu;%Smd, isßfiak uy;df.a m%Odk;ajfhka iy fi!LH" fmdaIK yd foaYSh ffjoH wud;H fodia;r rdð; fiakdr;ak uy;df.a iyNd.S;ajfhka bl=;aod újD; lsÍfï wjia:djg tlafjñks' DM

August 2019

DOCTOR MAGAZINE

9

DM

Health Video on demand

HEAL VIDE DEMA kf¾kaø fudaosf.a iajdNdúl Gym tl wm fndfyda fofkla YdÍßl jHdhduhg ;ekla fokafka kE' zzfldhskao ´jg fj,djla'''ZZ wms ta úosyg j. W;a;r n|skjd' wmg;a jvd fj,dj ke;s bkaoshdfõ w.ue;s kf¾kaø fudaos kï tfyu lshkafk kE' ta fjkqjg Tyq ;ukagu wdfõKsl ffY,shlska oskm;d jHdhdu lrkjd' kf¾kaø fudaosf.a jHdhdu ld,h .; fjk whqre fï ùäfhdafjka krUkak'

doctormagazine.lk

LTH EO ON AND

pkaøfndia frdayf,aoSh' fï fkdúh hq;a; udOH Tiafia jd¾;d jQ miQ Bg iïnkaO ;sfofkl=f.a jev ;ykï l< nj frdayf,a m%OdkS kõkS;a ilafiakd m%ldY lf<ah'

https://www.youtube.com/ watch?v=XrpkMKIVbRQ

weof.k f.dia tlaia f¾ .eiSu Patient dragged on a bed sheet to the X-Ray room in India

https://www.youtube.com/ watch?v=YBJUXYzTH1g

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bkaoshdfõ uOH m%foaYfha frday,l frda.sfhla we| we;sß,a,la u;ska ìu weof.k hk PdhdrEmhla miq.shod nqlsfha buy;a l,n.Ekshla isÿ lf<ah' we| we;sß,af,a frda.shd weof.k f.dia ;snqfKa tlaia f¾ tlla .ekSugh' fï isoaêh isÿ jQfha cnd,amQ¾yS fk;cs iqNdIA

iqÿ¿KQ iqoaO lrk l%fï''' iqÿ¿Kq b;d .=Kj;a lEula' tys jákd fmdaIH ix>gl /ila ;sfhkjd' yDohdndO j<lajkjd" fldf,iagfrda,a ;sfhk whg;a fyd|hs''' ta;a iqÿ¿Kq iqoaO lrk tl kï álla wudrehs' ta;a fï ùäfhdafjka ldg;a w;ayod ne,sh yels wmQ¾j ks¾udKYS,s l%uhlg iqÿ¿KQ iqoaO lrkjd' DM

https://twitter.com/i/status/1145050838978768896

August 2019

DOCTOR MAGAZINE

11

tfy;a''' rdcldßfhaoS" jevfmdf<aoS" Tn hk /iaùfïoS Tng fi!LHiïmkak flá wyrla ,efnkjdo@ .=Kiïmkak mdkhla ,efnkjdo@ ksfrda.S njg ;¾ckhla we;s fkdjk wdydrhla ,efnkjdo@ tjka fmdÿ wdydr msßkeófï ixialD;shla ;ju;a wmg fkdue;'

wdh;kslj yd iuQy lKavdhï i|yd fi!LHiïmkak wdydr msßkeóug u.fmkaùula

Eats at Meets Reloaded

m%cd ffjoH úfYaI{ wñ, pkaøisß osia;s%la fi!LH fiajd wOHlaI ld¾hd,h - .d,a,

i

uyr úg Tn ksfjfiaoS fi!LHiïmkak wdydr fõ,lg yqre jQ flfkla jkakg mq¿jk' wm tfia lshkafka wo ojfia fndfyda fofkla ;ukaf.a wyrlsi fmdaIKfhka imsß fi!LHiïmkak wdydr fõ,la lr.kakg iafjda;aidyhl fhfok neúks' fjfiiskau ;u ÿjd orejkaf.a iqjfi; .ek úuis<Su;a jk uõmshka wo tfia lrkakg fm<fUk jgdmsgdjla ieliS ;sfí' 12

August 2019

DOCTOR MAGAZINE

/iaùï j,oS wmg ,efnkafka flala lene,a,la" frda,ia" lÜ,Ü tlla" f;f,a ne¥ iakela tlla wdoS jYfhks' lsß f;a tl osjg wef,kak iSks ou,dh' ?g wfma fydag, j, n;a ke;' tfy;a rhsia we;' w;=remig fok whsial%Sï" jg,mamka fï fldhs tfla;a yß yßhg iSks meKs ri ;sfí' ñ,oS .kakd úg wmg is;eÕs wdydrh .; yel' tfy;a jeäìfïë" ld¾hd,fhaoS" iñ;s iud.ï /iaùfïoS wmg fok foa lkakg isÿ fõ' th m%;slafIam lf<d;a ksrdydrj bkakg isÿ fõ' wm W;aidy lrkafka / iaùï yd iuQy lKavdhï j,g fi!LHiïmkak wdyr isß;la y÷kajd oSugh' frda.sfhl=g jQj;a .e,fmk" fldhs ldg;a riuijQ,la fia ri ú|sh yels wdydr Tn fjkqfjka

doctormagazine.lk

yªkajd oSugh' fïjd myiqfjka ilia l< yel' ta i|yd jeä ñ,la jeh l< hq;= jkafkao ke;' Tfí wdh;kfha;"a iñ;s iud.ï j,;a wdydr isrfa fjkila we;s lr.kakg fï woyia ud¾f. damfoaYKhla lr.kakjd oelSu wfma wosgk fjhs' Tn;a iq/flk" wka wh;a iqrlsk fi!LHiïmkak wdydr isß;la i|yd wm fjkia fjuq' fi!LHu;a wdydr ms,sfh, lsÍug fmdÿ Wmfoia 01' wdh;kh u.ska ixúsOdkh lrk / iaùï$mqyqKq jevigyka j,oS wdydr msrskeóu ioyd fï fmd; ud¾f.damfoaYh f,i Ndú;d lrkak' 02' wdydr$mdk msg;ska weKjqï lsrSfïoS fyda wdh;kh ;=,u ms<sfh, lsrSfïoS fuys ioyka wdydr$mdkj¾. f;dard .kak' 03' funÿ wdydr$mdk ms,sfh, lr osh yels iemhqïlrejkaf.a ,ehsia;=jla wdh;kh ;=, ;nd .kak' ksis m%iïmdok l%ufõo wkqj hñka wod, iemhqïlrejkaf.ka ,nd .kak' 04' fi!LHu;a wdydr$mdk ms,sfh, lr iemhSug Tjqka Wkkaÿ lrjkak' wjYHkï fï fmd; Ndú;d lrñka jeäÿrg;a oekqj;a lrkak' 05' jevigyka ioyd wdydr jÜfgdarejla ieliSfïoS wdh;k m%Odkshd$by, udKav,sl ks,Odrshl= fm!oa.,slj mrSlaId lsrSug mshjr .kafka kï jvd fhda.Hh' 06' fi!LHu;a wdydr msrskeóu hkq iSudiys; wdydr lsysmhla os.ska os.gu ,ndoSu fkdfõ' úúO;Ajh o mj;Ajd .kAk' tfia lrk w;r ieuúgu fi!LHu;a wdydr j¾. jeämqr ,ndfokak' 07' fi!LHu;a wdydr f;dard .ekSu yd fnda fkdjk frda. j,ska je,lS ysoSug tys jeo.;alu ms<sno iyNd.sjkakka oekqj;a lsrSugo mshjr .kak' jevigyfka wdydr úfõlh ;=,oS ta ms,sno mKsjqv (Power point slides) m%o¾Ykh l,yel' 08' wjidkfhaoS iyNd.S jkakkaf.a mjq,a yd ksfjiaj,go ^fm!oa.,sl ido wdoS& fõ' fi!LHu;a wdydr j¾. Ndú;h yqre lrùug fï ud¾f.damfoaYh wjia:djla lr .kak'

doctormagazine.lk

WmfoaYl;ajh m%cd ffjoH úfYaI{ iqiS fmf¾rd - ksfhdacH wOHlaI fckrd,a ^uyck fi!LHfiajd -11& fi!LH wud;HxYh - fld<U m%cd ffjoH úfYaI{ cdklS úodkm;srK - iNdm; YS% ,xld m%cd ffjoH úfYaI{ ix.uh m%cd ffjoH úfYaI{ pkaou s isr; s x= . - osia;s%la fi!LH fiajd wOHlaI - .d,a, fidaur;ak úodk m;srK osia;s%la f,alï" osia;s%la f,alï ld¾hd,h - .d,a, ;dlaIKsl u. fmkaùu m%cd ffjoH úfYaI{ pïmd úfcaixs y - fcaHIaG l:sldpd¾h" m%cd ffjoH úoHd wOHhk wxYh" ffjoHmSGh" reyqKq úYajúoHd,h" lrdmssáh - .d,a, m%cd ffjoH úfYaI{ tï' mS' mS' hQ' pQ,isrs - osia;s%la fi!LH fiajd wOHlaI ld¾hd,h - .d,a, m%cd ffjoH úfYaI{ hfidaud ùrfialr - fmdaIK wxYh fi!LH wud;HxYh - fld<U m%cd ffjoH úfYaI{ Ndkqc úfca;, s l - fmdaIK wxYh fi!LH wud;HxYh - fld<U ffjoH k,ska úfcafialr ffjoH ks,Odrs fnda fkdjk frda. - osia;s%la fi!LH fiajd wOHlaI ld¾hd,h - .d,a, tï' tï' tï' Y¾*dia - iyldr osia;s%la f,alï - .d,a, ysud,s r;akùr - m%dfoaYSh f,alï" m%dfoaYSh f,alï ld¾hd,h" lvj;ai;r - .d,a, p;=r ñysÿï - iyldr m%dfoaYSh f,alï" m%dfoaYSh f,alï ld¾hd,h" lvj;ai;r - .d,a, Ndr; .=K;s,l - .re ol=Kq m<d;a wdKavqldrjr udOH f,alï ksyd,a fiakdkdhl - úOdhl iQmfõoS" fcÜúka.a" ,hsÜ yjqia fydag,h - .d,a,

August 2019

DOCTOR MAGAZINE

13

D•Magazine /

wdh;kslj yd iuQy lKavdhï i|yd fi!LHiïmkak wdydr msßkeóug u.fmkaùula

Eats at Meets

jevigyka$ /iaùï ioyd wdydr j¾. f;dard .ekSfï ud¾f.damfoaYkh /iaùï yd mqyqKq jev igykaj,os wdydr$mdk ,ndfok wjia:d lsysmhla fhfoa" tla tla wjia:dj ioyd fï fmd; weiqrska wdydrmdk f;aÍï l, yels wdldrhka my; oelafõ' wdydr$mdk ,ndfok wjia:dj

,ndosh yels wdydr $mdk j¾.

WoEik wdydrh ^Breakfast& f,i ÿr neyerj isg iyNd.sjkakka meñfKa kï jevigyk wdrïN lsÍug fmr WoEik wdydrh f,i msßkud jev lghq;= werôh yel'^fm'j'9'00g fmr&

lsßn;a$uqx lsßn;a$wdmam$boswdmam$f;dafia OdkHj¾.$w, j¾. iekaâúÉ - WoEik wdydrh f,i msßkukafka kï ;Ügq 3 f,i ielish yel' Wrap frdà

WoEik flá mdkhla f,i jevigyka ioyd WoEik wdydrh msßkukafka kï ke;skï wdrïNhg fmr fun÷ mdkhla msßkeñh yel'

fld<le|$l=rlalka le|$fufkaß le| iõ

WoEik flá wdydrhla f,i WoEik wdydrhla ,ndoS we;skï fm'j 11'00 g muK msßkukak' ke;skï fm'j 10'00 g muk iqodkï lrkak'

iekaâúÉs Wrap frdá ^l=vd m%udKhg ms,sfh, lrkak& m,;=re - *DÜ ie,â$*DÜ flndí$m<;=re §ishla f,i msßkeñh yel' ;eïnq t,j¿ len,s §ishla fi!LHu;a f,i ms,sfh, l, flá lEu l%el¾ j¾.hla iu. Öia

mdk j¾.

flá wdydrhg m<;=re wka;¾.; ke;skï - m<;=re hqI mdk j¾.h f,i fhda.Hh' ke;skï f;a msrskukak ;eô,s$ l=reïndo fhda.Hh'

Èjd flá wdydrhla /iaùï m'j 2ka miqjg l%shd;aul jkafkakï ^Èjd wdydrh mudjkafkakï& oyj,a 12 g muk msßkeñh yel'

iqma j¾.hla m,;=re hqI m<;=re ,eis ^Lassi&$m<;=re iauq;S ^Smoothie&

iji flá wdydrh ijia ld,fha meje;afjk jevigyka kï iji 3-4 w;r msßkeóug

iekaâúÉ$ Wrap j¾. iqÿiqh' flala ^iSks wvqfjka fhdod ;ekq j¾. kï jvd fhda.Hh& whsisx rys; úh hq;=h' l=vd len,s f,i lmd .kak' mdkh - rKjrd$ fn,su,a$ bruqiq fyda fldams

14

August 2019

DOCTOR MAGAZINE

doctormagazine.lk

flá /iaùï ioyd ^meh 1-2 ld,hla meje;afjk&

*DÜ ie,â$ *DÜ flndí$lemQ m<;=re len,s osishla rhsia l%el¾ ^Rice cracker& ;ejreula iu.^dip&

w;=re mi

fhda.Ü$*DÜ ie,â

fi!LHu;a wdydr j¾. yd jÜfgdare wdydr$flá wdydr (Snack) msßkeófïoS fi!LHu;a f;dard .ekSï yeuúg u iqÿiq jqj o ta w;rg wfkl=;a flá wdydr j¾. o (range of options) ms,sfh, lsÍu jeo.;a fõ' fi!LHu;a wdydrhl uQ,sl kshuh jkafka wu;r iSks" ¨kq yd g%dkaia fïoh yels;dla wju jQ iajNdúl t<j¿ yd m<;=re j,ska nyq, jQ wdydr fõ,la msß keóu h' kSfrda.s jeäysáfhl=g osklg .; yels Wmßu wu;r iSks m%udKh f;a yeos 6 ^.%Eï 30& yd wu;r ¨Kq m%udKh f;a yeos 1 ^.%Eï 5& fõ' w¿;a msßisÿ fmd,af;,a iaj,am jYfhka Ndú;d lr wdydr ms<sfh, lsÍu fi!LHg ys;lr w;r ´kEu f;,a j¾.hla .eUqre f;,ska neo ^wêl WIaK;ajhlg r;alr& fyda kej; kej; neo ms,sfh, lrk úg tys b;d wys;lr g%dkaia fïoh ckkh fõ' yDohdndO we;slrùug by< u wjOdkula orkafka g%dkaia fïohhs' osklg t<j¿ yd m,;=re j¾. 5 la j;a wdydr fõ,g tlalr .ekSu fnda fkdjk frda. fuka u ms<sld wdosfhka je,lS ysoSug o buy;a fia jeo.;a fõ'

doctormagazine.lk

August 2019

DOCTOR MAGAZINE

15

D•Magazine /

wdh;kslj yd iuQy lKavdhï i|yd fi!LHiïmkak wdydr msßkeóug u.fmkaùula

Eats at Meets

iekaâúÉ

mdka j¾.

/iaùuloS$ jevigykl oS WoEik wdydrh f,i fyda flá lEula (Snack) f,i msßkeóug iqÿiqfõ' ms,sfh, lsÍfïoS ie,ls,su;a úh hq;= lreKq msá iys; fldgi yels ;rï l=vd úh hq;= w;r ^tkï ;=kS mdka fm;s& ueog fhdok msrjqu (Filling) u.ska fi!LHu;a nj jeä l< yel' ueog fhdokafka l=ula o yels;rï t<j¿ fhdokak' ;;ald,s" i,dofld," i,do msms[a[d (Salad Cucumber) wdosh fhda.Hh' óg wu;rj fn,a fmm¾ ^fld< yd r;=&" weiamer.ia tlalr ;j;a w.h jeä l< yel' j¾K ixl,khg o th jeo.;a jkq we;'

ÿUqre meye mdka fyda iqÿmdka fhosh yel' ^ÿUqre mdka jvd fhda.Hfõ'& jvd jeo.;a jkafka fm;s ;=kS ùuhs' we;sreu (Spread) f,i ng¾$ ufhdaki S $a w,s.egfmar ;ejreu b;d ;=kh S g fhdokak¡ ;=ka yq,ia fyda iDcqfldaKdi%dldr yev fhda.H h' bosßm;a lsÍu - Ciling wrap tll T;d ms<f s h, lsÍfïoS fnoSug yd Ndú;hg myiqfõ¡ wjYH kï l=vdjg ms<f s h, lr Kebab Stick fyda Tooth pick .id bosßm;a l< yel' ^flá lEula f,i fhda.H fõ¡&

Wraps

óg wu;rj ì;a;r$ ud¿$ uia tl;= lsÍu ;=<ska fm%daàk wka;¾.;h jeä l< yel' wjYH kï t<j¿ iekaâúÉ$ ì;a;r iekaâúÉ$ uia iekaâúÉ$ úúO j¾. j,ska bosßm;a l< yel' uia ^l=l=¿ uia& - ;ïnd (Boiled) fyda f;,a fkdoud (Oven cooked) f,i ms<sfh, l< yel' ud¿ - ;ïnd (Boiled) fyda yqud,fhka ;ïnd (Steamed) ms<sfh, l< yel' l=l=¿ uia fyda ud¿ ;eïîfï oS j;=rg .ïñßia" foys wdosh tla lsÍfuka rih jeä l< yel' ì;a;r - ;ïnd fyda uo WKqiqñka ;ïnd (Poached) ms<sfh, l< yel'

16

August 2019

DOCTOR MAGAZINE

/iaùïj,oS$ jevigyka j,oS WoEik flá lEula (Snack) f,i fhda.Hfõ' ljrh msá j¾.hlska ms<sfh, l< yel' ljrh ms<sfh, l< yels wdldrh wdgd msá fyda l=rlalka msá iu. mdkamsá 1:1 wkqmd;hg$yd,a msá weußlka msá 3:1 wkqmd;hg óg wu;rj Tortilla frdá fyda Pita Bread o ^fj<ofmdf,ka ñ,g .; yel& ljrh f,i .; yel' ljrh yels ;dla ;=kS úh hq;=h'

doctormagazine.lk

ueos msrjqu - by; iekaâúÉ msrjqug iudkj ms<sfh, l<yel' yels ;rï t<j¿ fhdokak' Bg wu;rj ÆKq yd fn,afmm¾ tla lsÍu u.ska rih jvjd .; yel¡

ms<sfh, l< yels wdldr msá ñY%Khg t<j¿" m,d tl;= lr ;eksh yel' ke;skï ñY%Kh fjku idod frdáh ueog oud kud ms<sfh, l< yel'

óg wu;rj ì;a;r$ ud¿$ uia tl;= lsÍu ;=<ska fm%daák wka;¾.;h jeä l< yel'

ks¾foaYs; m%udKh - >Klu wÕ,a 1$2 úYalïNh wÕ,a 3 - 3 1$2

;jo f.dgqfld< iïn,a fhdod ms<sfh, l< yel'

msßkeóu - jvd wdl¾Yksh f,i frdáh u;g uola oshdrejg ms<sfh< l< ñßia iïn,a oud osh yel'

msrjqu oeóug fmr hï we;sreula (Spread) ;=kshg ;ejßh yel' uqx weg$ lv,$ jïfndgq Paste f,i ms<sfh, lr fhdod .; yel' ;ejreu iajNdúl rildrl ^l=¿ nvq& fhdod ri .ekaúh yel'

f;dai

ms<sfh, lsÍfuka miq frda,alr .%s,a lsÍu u.ska ljrh jvd iúu;a fõ' ^by; ioyka l< mßos& WoEik wdydrh f,i msß kukafka kï ^;ks wdydr j¾.hla f,i& w.,a 5Z- 6Z m%udKhg os.=jg ;eksh yel' wdydr lsysmhla iu. msßkukafka kï w.,a 2Z os. m%udKj;a h' úYalïNh w.,a 1 1$2 m%udKj;a h'

WoEik wydrhla i|yd fhda.Hfõ'

Tooth Pick tll .id myiqfjka lEug .; yels f,i ms<sfh, l< yel'

ks¾foaY; s m%udKh - úYalïNh wÕ,a 4 - 4 1$2

frdá j¾.

f;dafia folla tla mqoa.,fhl=g iEfya' ueog f;dafia iïn, ;nd" lekao fld<hl T;d msßkeóu fhda.Hh' f;daih ueog t<j¿ ^uid, f,i ms<sfh< l<& ñY%Khla oud kjd osh yel' w,$w¿ flfi,a" lerÜ" ,Slaia" ud¿ ñßia" ¿EKq fhdod ms<sfh, l< yel'

wdmam yd b|swdmam

mdka msá fukau wdgd msá" lv, msá wdosfhka ;eksh yel' t<j¿ ^lerÜ" ,Slaia" f.dajd wdoS& m,d ^uql=Kqjekak" lxl=x wdoS& ì;a;r wdosh tl;= lsÍu u.ska fi!LHu;a nj fukau fmdaIH .=Kh o by< kexúh yel'

doctormagazine.lk

August 2019

DOCTOR MAGAZINE

17

D•Magazine /

wdh;kslj yd iuQy lKavdhï i|yd fi!LHiïmkak wdydr msßkeóug u.fmkaùula

Eats at Meets

WoEik wdydrhla f,i iqÿiq wu;r wdydr iu. msßkeñh yel' tla mqo. a ,fhla i|yd WoEik wdydrh f,i wdmam 03 la b|s wdmam 15 la muK m%udKj;a h' wdmam lÜg iïn,a$¿Ekq iïn,a yd flfi,a f.ähla iuÕ ,nd osh yel' b|s wdmam fokafka kï fydos j¾.hla ^lsßfydos$w, fydos" mßmam&q yd iïn,la ^fmd,a iïn,a& iu. ms<f s h, lsÍu fhda.H fõ'

weg j¾.

*DÜ ie,â i|yd fhda.H m,;=re j¾. wkakdis" .ia,nq" flduvq" flfi,a" wU" wem,a" ños" iafg%dafnß ta ta ld,hg fj<ofmdf,a myiqfjka imhd .; yels yd ,dNodhS m,;=re j¾. fhdod .; yel' wju jYfhka j¾. 4 la j;a tljr wka;¾.; úh hq;= h' ksis ixl,khla *DÜ ie,â tl j¾Kj;a yd wdl¾YkSh lrkq we;'

WoEik wdydrh f,i fhda.Hfõ' lv,$ lõms f;ïmrdÿlr ¿EKq" ñrsia iaj,amhla tlalr fmd,aoud$;Sre f,i lmd tlalr msßkeñh yel' uqx weg - .dk ,o fmd,a iaj,amhla iu.

m,;=re m,;=re b;d by, fmdaIK jákdlula yd fnda fkdjk frda.j,ska je,lS ysoSug b;d rel=,a fok wdydr ldKavhls' jevigyka w;r;=r flá lEu f,i m,;=re yd ta wdY%s; ms<sfh, l< lEu j¾. msßkeóu b;d fhda.H h' m,;=re msßkeñh yels wdldr 1' *DÜ ie,â iSks fkdhod ms<sfh, lrkafka kï jvd fhda.Hh'

*DÜ ie,â ms<sfh, lsÍfïos m<;=re len,s tlu m%udKhg lemSu jeo.;a h' úh<s m<;=re f,i úh,s ños" rgbos iaj,amhla tla l< yel' lcq" wdukaâ wdoS weg j¾. iaj,amhla tla lsÍu o l< yel' ks¾foaYs; ixl,khka jÜfgdare 1

jÜfgdare 2

jÜfgdare 3

.ia,nq

.ia,nq

.ia,nq

flduvq

wU

wkakdis

flfi,a

wem,a

iafg%dafnß

wkakdis

fodvï

ños

msßkeóu - wdydrhg .ekSug myiq mßos nÿkl nyd yekaola iys;j msßkeñh hq;= h' ks¾foaYs; nr - tl lma tlla 200 g

whsial%Sï fyda meKs tla fkdlr" wjYH kï ri .ekaùug wju m%udKhg ¨Kq yd foys tla lsÍu l< yel'

18

August 2019

DOCTOR MAGAZINE

doctormagazine.lk

2' *DÜ flndí (Fruit Kebab)

mdk j¾.

m,;=re j,ska ks¾udKh l< yels wdl¾YKSh flá lEuls¡

flá wdydrhlg miq yd WoEik$ iji f;a fj,djg msßkeóug my; mdk j¾. iqÿiqfõ'

flndí l+rla f.k fuys oelafjk wdldrhg m,;=re fldgq ^wÕ,a 3$4 m%udKfha& lmd .eish yels w;r" len,s 4 la 5la m%udKj;ah¡ j¾K ixl,kho jeo.;a fõ¡

f;a$fldams iSks yd oshr lsß fjku ;eîu lrkak'

fhdod .; yels m,;=re - flduvq" ños ^fld< yd oï& wem,a ^fld< yd r;=& iafg%dafnrs" wU 3' m,;=re oSishla (Fruit Plate)

fuys oelafjk wdldrhg m,;=re len,s lmd msrsishl w;=rd osh yel¡ l=vd fm;s wdldrhg fyda ;s%fldaK len,s f,i lmd bosrsm;a l< yel¡ Tooth Pick iu. ^wjYHkï foys m¨jla" úh,s ños iaj,amhla fyda rglcq $lcq ;eìh yel'& l=vd foys m¿jla ;eîu u.ska jvd w,xldrj;a jk w;r wjYH wfhl=g ri .ekaúh yel¡

m<;=re hqI iSks fkdoud ms,sfh, lrkafka kï jvd fhda.

Hfõ' iqÿiq m<;=re j¾. ^iSks fkdoud jqjo ms<sfh, l, yels flduvq" wU" meIka" w,s.eg fmar" wkakdis wdosh& leo yd iqma j¾.

WoEik jevigyk wdrïNfhaoS (Welcome drink) f,i fld, leo yd osjd ld,fha § yd ieoE ld,fha § iqma j¾. jvd fhda.Hh' fld, leo ms,sfh, lsÍfïoS f.dgqfld," uql=kqjekak" je,afmfk," yd;jdrsh" fldys, wdoS m,dj¾. ;ks ;ksj fyda ñY% lr ms,sfh, l, yel' n;a wvqfjka tlalsÍu;a" n;a ;ïnd wUrd ^Blend& tla lsrsu;a jeo.;ah' fmd,alsß fkdoeóu fyda b;d wju f,i oeñh yel' l=rlalka fufkaß jeks OdkH j¾.hlska o le| ms<sfh, l,yel' iqma f,i l=l=¿ uia iqma" t<j¿ iqma" ìïu,a iqma wdosh ms<sfh, l, yel' iaùÜfldaka" ì;a;r yd t<j¿ tlalr iqma ms,sfh, l, yel' iqÿiq t<j¿ j¾. - lerÜ" ,Slaia" f.dajd ì;a;r tla lsrsu yd iaùÜfldaka tla lsÍu u.ska fmdaIK .=Kh fukau wdl¾YKSh njo jeälr .; yel' msßkeóu - msrskeófïoS nÿkl nyd yekaola ^iqma yekaola kï jvd fhda.Hh& msßkeñh yel'

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August 2019

DOCTOR MAGAZINE

19

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wdh;kslj yd iuQy lKavdhï i|yd fi!LHiïmkak wdydr msßkeóug u.fmkaùula

Eats at Meets

m<;=re wdY%s; mdk j¾. Smoothies yd Lassi

flálEu

m<;=re iu. fhda.Ü tl;= lr mdkhla f,i mss<sfh, flf¾ - Smoothies

.eUqre f;f,a $ kej; kej; nosk ,o f;,a j,ska ms<sfh, l, flálEu j¾. yels;dla neyer l, hq;=hs'

m<;=re iu. ólsß tl;= lr mdkhla f,i mss<sfh, flf¾ - Lassi

wjYHkï fi!LHu;a jrKhka (Options) iu. my; flálEu j¾. msrskeñh yel'

fï wdldr ish,a, i|ydu .ia,nq" wU" flfi,a" iafg%dafnß wdoS m<;=re fhda.H h'

fílalrk ,o meáia

lsß (Fresh Milk) iu. m<;=re tla lr mdkhla f,i ms<sfh, l< yel' ;eô,s" l=reïnd f.äh msáka mSßishl ;nd msß keñh yel' rKjrd$ fn,su,a$ bruqiq ^l=vd yl=re len,s iu.& iji f;a fõ,djg iqÿiqfõ' yeuúg u mdkSh c,h ;nkak'

l=vd lKavdhï /iaùï i|yd

rhsia l%el¾ ;ejreula (dip) iu. ;ejreu f,i - ñxÑ" lv," jïngq" jÜglald wUrd ms<sfh, l< yel' Öia iu. l%Sï lel¾$ n%Eka lel%¾ ìialÜ 2 ^´kEu fj<o kduhlska& meKs ri ìialÜ$l%Sï iys; ìialÜ Ndú;fhka f;drjkak'

20

August 2019

DOCTOR MAGAZINE

we;=,g fmdf,dia$ flfi,auqj$ fldys, tlalr ;ekQ lÜ,Ü ;jo we;=<g l=l=¿ uia$ ud¿$ uqyqÿ wdydr ^oe,a,ka" biaika& jeks tlalsrSu u.ska fmdaIK .=Kh by< kxjd.; yel' ye,m ueog meKsfmd,a fkdoud ms<sfh, lrkak' ta fjkqjg th ^yels;dla iSks yd meKs wvqfjka fhdod msáj,g ñY% lr ilikafka kï fhda.Hfõ' lsßn;a $uqx lsßn;a

lE,a,la w.,a 2 - 2 1$2 m%udKhg lmd msßkeñh yel' lsrsn;aj,g idfmalaIj uqx lsrsn;aj, fmdaIH .==Kh by<h' lÜgiïn,a $¿EKqiïn,a$ ud¿$ iSksiïn,a$ ¿EKqf;ïmrdÿ$flfi,a f.ä iu. msrskeñh yel'

doctormagazine.lk

w, j¾. u[f[dlald" n;," wdoS w, j¾. l=vd lene,sj,g lmd ;ïnd fmd,a$fmd,a iïn,a$lÜg iïn,a iu. msrskeñh yel'

iõ

flá lEu lsysmhla msrs kukafka kï ^j¾. 2-3& tla m<;=rla wksjd¾hfhka ;nkak' nosk ,o wdydr$ fmaiaá%$ we;akï tla j¾.hlg muKla iSud lrkak' ;ïnk ,o t<j¿ oSishla (Mixed boiled vegetable plate)

oshdrejg fyda mqäx f,i ms<sfh, l, yel' iSks$ yl=re iaj,am f,i oud lcq" úh<s ños" rg bos tlalsrSu yd jeks,d jeks rildrlhla tla lsrSu u.ska ri jvjd .; yel'

osjd wdydrh

mSßishla u; ;nd msß keñh yel' fuysoS ;ïnk ,o t<j¿ len,s lsysmhla ^lerÜ$ fndaxÑ$ ;lald,s$ wem,a$ i,do msms[a[d (salad cucumber) iqÿiqh&' os. len,s f,i lmd ielish yel' .ïñßia yd ¨Kq iaj,amhla tla l, yel' fuh l=vd mdka (French bread) fm;s 02la iu. msßkeñh yel' fuhg weg j¾.hla ^rglcq$lcq& tla l, yel' flala

ieuúgu n;a yd t<j¿ (Rice and Curry) osjd wdydrh f,i fhda.Hfõ' *%hsâ rhsia oSfuka j<lskak' n;a m%udKh idfmalaIj wvqfjkq;a t<j¿ idfmalaIj jeäfhkq;a wka;¾.; lrkak' n;a melÜgqjla ieliSfï oS Wmfoia

l=vd lene,s f,i lmd msßkeóu fhda.Hh' w.,a 1 1$2 - 2 lerÜ flala" flfi,a flala" wdoS iSks wvqfjka fhdod ms<sfh, l, flala Ndú;h fhda.Hh'

doctormagazine.lk

wju t<j¿ j¾. 3la we;=<;a úh hq;=h' f;,a oud ms<sfh, l, ^f;ïmrdÿ oeuQ& whs;u tllg iSud lrkak' m<d j¾.hla fï w;r ;sîu fhda.Hh fõ' t<j¿ f;dard .ekSfïoS j¾K ixl,kh o i,lkak' ud¿$ uia$ ì;a;r ms,sfh, lsrSfïoS yels muK f;,a wvqfjka Ndú;d lr ilik l%ufõo wkq.ukh lrkak' DM

August 2019

DOCTOR MAGAZINE

21

D•Magazine /

Nutrition

wOHdmkhg;a jeäfhka orejdf.a fi!LHh .ek úuis<su;a fjkak

uõmshka fj; ohdnrj fok mKsúvhls'''

wOHdmkhg;a jeäfhka orejdf.a fi!LHh .ek úuis<su;a fjkak lsß ùÿrefjka Wfoa wyrlsi iïmQ¾K fjkafka kE''' —wfma mq;d ;uhs fï ief¾ mka;sfha m<uqjekshd'''˜ —Thd okakjo fï jdr úNdf.a .Ks;hg jeäu <l=Kq wfma ÿjg'''˜ —Thdf.a mq;df.a úoHdj ,l=Kq lSho fuhd'''˜

fld<U ffjoH m¾fhaIK wdh;kfha fmdaIK wxY m%Odks úfYaI{ ffjoH f¾Kqld ch;siai

22

August 2019

mdi,a hk jhfia orejka isák uõjreka tl;= jQ ;ekl wefik iq,n l;dnyls fï' iuyr wïu,d ;u orejdf.a úIh ,l=Kq muKla fkdj wy, my, fjfik orejkf.a ,l=Kq mjd fidhd n,k wjia:d b;du iq,nh' tfiau ;u orejdg wNsfhda.hla fõ hehs is;k orejkaf.a úIh ,l=Kq ±k lshd .ksñka ;u orejdf.a ,l=Kq uÜgu jeä lr .ekSug Wmfoia ,ndfoñka l,a f.jkafka ±ä wjOdkhlska hq;=jh' tfiau ;u orejd lsishï úIhlg wvq ,l=Kq ,nd ;sfnk wjia:dj,g wu;r mka;s j,g fhduq lrñka ,l=Kq uÜgu jeälr .ekSug W;aidy lrhs'

DOCTOR MAGAZINE

doctormagazine.lk

fï ish¨ m%h;akhka orkafka wkd.;fha ;u orejd iudcfha by<ska jecfUk W.f;l= lsÍfï mru fÉ;kdfjka hq;=jhs' ujl f,i lrk ta ish¿ foa orejdf.a hym; fjkqfjka hym;a mrud¾: j,ska lrk njo ienEjls' kuq;a ujl f,i Tng wu;lj .sh ;j;a jeo.;a fohla fya;= lrf.k Tfí mdie,a hk orejd úYd, Ôú; wjodkulg uqyqK § isák nj weiqjfyd;a Tn mqÿuhg m;ajk fkdwkqudkh' wkd.;fha nqoaêuf;l= ùug fyd| mqrjeisfhl= ùug ish,a,gu jvd orefjl= b;sß úh hq;=h' miq.sh oYl lSmh mqrdu mj;sk fmdaIK .eg¿ fya;= lrf.k mdi,a orejka nyq;rhlau ;u Ôú; ld,h flá ùfï wjodkulg uqyqK § isà' f,dal fi!LH ixúOdkfha iólaIK j,g wkqj b;d uE; wkd.;fh§ foudmshka doctormagazine.lk

"

lfvka wdydr ñ,oS .kak i,a,s fokak tmd

wfma hq.fha mrïmrdj tla w;lska b;d wjdikdjka;fhdah' ;uka bosßmsg ;ukaf.a orejka frda.Sj ñhhk ld,hls fï''' úúO wk¾:ldÍ cSjk p¾hdjka ksid orejka fnda fkdjk frda. j,g jeä jeäfhka ,laùfï wjdikdjg wo wfma orejka uqyqK md isá;s'

August 2019

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wOHdmkhg;a jeäfhka orejdf.a fi!LHh .ek úuis<su;a fjkak

Nutrition

mdi,a hk jhfiaoS fndfyda uõmshka orejkaf.a fmdaIKh iïnkaOfhka fkd;ld yßkjd Wmka ojfia mgka b;du Wkkaÿfjka orejdg uõlsß ,ndfok wfma wïu,d b;du m%Yia: ;ekl isá' tfiau uõlsfrkau muKla hefmk udi 6 wjidkfha§ wu;r wdydr mgka .kafkao orejdf.a nr ksjerÈ w.hl mj;ajd f.k hdu i|yd ksjerÈ fmdaIK Wmfoia j,g wkqjuh'

"

jhi wjqreÿ 18la imsfrk ;=reu orejdg orejl= f,i ie,lSug jeäysáhka wu;l lr ;sfí' orejdf.a jeãug wjYH lrk ksjerÈ fmdaIK fldgia wvx.= wdydr fõ,a orejdg ,nd§u jeäysáhkaf.a úfYaIfhkau ujf.a mru hq;=lu fjhs' 24

August 2019

DOCTOR MAGAZINE

Ôj;aj isáoa§ orejka ñh hk ìhlre wkd.;hl ix{d ,l=Kq my, ù yudrh' orejkaf.a wOHdmk uÜgï fidhd ne,Sug jvd úYd, wjOdkhla orejkaf.a ksjerÈ fmdIKh ioyd fhduq l< hq;= ld,hla ±ka t,eU ;sfí' úfYaIfhka ;u ore uqKqmqrka fï uyd jHikfhka .,jd .ekSfï Ndr¥r ld¾h Ndrh iudcfha uõjrekaf.a fiau jeäysáhkaf.ao Wr u; megù we;'

jhig wkqj orejdf.a j¾Ok fõ.h igyka jk ldâm; wdrlaId lr .ksuka jir 5la .; jk ;=re orejdf.a fmdAIKh .ek ´kEjg;a jvd jofjk wïu,dg orejd mdie,g ndrÿka miq fmdaIKh .ek ;snQ wjOdkh wu;lj hhs' —±ka orejd mdi,a hk jhfia''' hk yeÕSfuka hq;=j orejdf.a fmdaIKhg ,ndÿka m%uqL;djh w;ayßhs' ta ksidu fï jk úg mdi,a orejka fndfydauhla úi,a fi!LH .eg¿ j,g f.dÿre ù yudrh' orejdf.a ksjerÈ fmdaIK wjYH;d .ek wu;l

doctormagazine.lk

lrk wïu,d tod mgka fjfyfikafka orejka úNd. miqmi" ,l=Kq miqmi yUdhEug Èß .kajñks' orejka Wfoa fõ, u. yeÍu úYd, jrola uy mdkaor l=l=,;a w;g f.k mdi,a jEka j,g niar: j,g f.dv jk orejka nyq;rhla Wfoa wdydr fõ, uÕ yÍ' mdi,a orejkaf.ka ie,lsh hq;= m%udKhla mdie,a hkafka ysia näks' tfia;a ke;skï lsß ùÿrejlska imamdhï fjñks' WoEik lsß ùÿrefõ fmdaIKh orejdg uos lsß ùÿrej .ek uõjreka ;=< ;sfnkafka ñ;Hd úYajdihls' jefvk jhfia orefjl=g lsß ùÿrejla Wfoa wdydrh f,i lsisfia;au m%udKj;a jkafka ke;' ish¿u fmdaIK fldgia wvx.= jk wdldrhg iïmQ¾K wdydr fõ,la orejdf.a Wfoa wdydrh úh hq;=uh' orejdg fï wdydr fokak tmd orejkag lsisfia;au kqiqÿiq ìialÜ j¾." iakela" meKsîu" f;,a" iSks" msá wêlj wvx.=

doctormagazine.lk

orejkaf.a ia:q,;djh fndfyda frda. j,g fya;=jla fílß ksIamdok j¾. mdie,a orejkaf.a wdydr fõ,g tl;= jk wdldr b;d meyeÈ,sj ±lsh yel' fïjd Tn;a Tfí orejdg msßkukjd kï th jydu kj;ajkak' wdydr ñ,oS .kak i,a,s fokak tmd orejdg lShla fyda w;ñg fud,jd wjYH leu;s fohla /f.k lk f,i wjjdo fok jeäysáhka is;kafka th uyd f,dl= olaIlula lshdh' ;ukaf.a wdydr fõ, ;=, wvx.= úh hq;= fmdaIl ix>gl ljf¾±hs orejd okafka ke;' uqo,a w;g ,enqKq úg orejd ;uka leu;s rihlska hq;= wdydrhla f;dard.kS' th fi!LHhg ys;lro keoao hkak .ek jegySulao orefjl= i;= fkdfõ' tfiau wïud fyda ksjfia jeäysáfhl= úiska ;ukag ,ndfok wdydrhla .kakd orejd wirKhs' orejkaf.a wdydr rgdj,g n,md ;sfnk fuu .eg¿ ksidu fï jk úg Wig iß,k nrla ke;s fmdAIK W!K;d j,ska fmf<k orejka fiau wêl f,i YÍrfha fïo ;ekam;a ù wê nr fiau ;rndre ;;a;ajhg meñKs mdi,a orejkao iudcfha iq,nj ±l.; yelshs' fï lshdmdkafka wkd.;fha uq¿ iudchu frda.Ska njg m;aùfï i,l=Kqh' orejkaf.a ia:q,;djh-wo wm uqyqK mdk úYd, .eg¿jla fi!LH wxY úiska 2016 lrk ,o iólaIKhlg wkqj 6 isg 12 jk fY%aKsh olajd orejkaf.ka 6'1] la wênr ;;a;ajfhka fmf<k w;r 2'9]la ia:q,;djhg f.dÿre ù ;sfí' fï jk úg fuu ixLHd óg jvd fndfyda by, f.dia ;sfnk njo fkdwkqudkh' fld<U ffjoH m¾fhaIK wdh;kh uÕska 2017 jif¾ lrk ,o iólaIKhlg wkqj wênr iy ia:q,;djh niakdysr m,df;a orejka w;r nyq,j ±lsh yels nj fy<slr ;sfí'

August 2019

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wOHdmkhg;a jeäfhka orejdf.a fi!LHh .ek úuis<su;a fjkak

Nutrition

uy; isrer frda. j,g w; jkkjd <udúfha ia:q,;djh ksid b;d wvq jhil§ wê reêr mSvkh" Èhjeähdj" fldf,diagfrda,a by< hdu" wlaudj wdYs%; frda. jeks fnda fkdjk frda. j,g f.dÿre ùug myiqfjka uÕ mdohs' tfiau <ud úfha ia:q,ndjh ksid orejdg ldhsl udkisl wiykldß ;;a;aj u;= lrñka wOHdmksl fiau iudcuh Èú fmfj;go ndOd muqKqjhs' orejdf.a úIh ,l=Kq fiau BMI ^YÍr ialkaO o¾Ylh& ±k.ekSfuka orejdf.a nr wvqo idudkH ;;ajho wênfrka mSvd úÈkjdo ia:q,;djhg f.dÿre ù we;a±hs udmshkag ks.ukh l< yelsh' ksjerÈ BMI w.h .Kkh lr .ekSu .eko jeäyssáhka oekqj;aj isàu w;Yhska jeo.;ah' nr lsf,da.%Eï j,ska uek.kak' Wi ógr j,ska uek.kak' uek.;a nr my; i|yka wdldrhg Wfia j¾.fhka fnokak' BMI = nr^kg&

Wi^m& x Wi^m&

mdi,a orejka uqyqK § ;sfnk fia fi!LH .eg¿j ksidu Wig iß,k nr mj;ajd f.k hdu .ek orejka ±kqj;a lrñka kej; j¾Ol igyka fmd; mdie,a j, Ndú;hgo fi!LH wxY mshjr f.k ;sfí' orejdf.a jhig wod, j¾Ol igyfka we;s mdg ;Sre j,ska l=uk mdg ;Srejg orejdf.a BMI w.h .e,fma±hs ii|kak' fld, mdg ;Srej nr idudkHhs ,d oï mdg ;Srej wênßka hq;=h' ;o oï mdg ;Srej ia:q,;djfhka fmf,a orejdf.a Wi nr kshñ; ksjeros ;ek ;nd.ekSu i|yd Woõ Wmldr lsÍu uõmshkaf.a hq;=luls' whdf,a .sh orejdf.a wdydr rgdj kej; ksjerÈ ud¾.hlg fhduq lrùug l,a fkdhjd mshjr .kak' ta .ek ksis wjOdkhla fhduq lsÍug W;aiql jkak' DM

igyk- ks¾u,d l=udß fiakdr;ak

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Laser lithotripsy

jl=.vq j, yefok .,a bj;a lrk úma,ùh m%;sldr l%uh

jl=.vq j, yefok .,a bj;a lrk úma,ùh m%;sldr l%uh RENOSCOPE / LASER LITHOTRIPSY fõokdj wjuhs ñf,ka wvqhs tla oskhla ;=< f.or hkak;a mq¿jka

fu!;% frda. úfYaI{ ffjoH wreK bkaÈl kkaofiak

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jl=.vq j, yefok .,a bj;a lrk úma,ùh m%;sldr l%uh

Laser lithotripsy

hQÍgfriafldamh jl=.vqj fj; m%fõY lrk whqre yd l=vQ l< .,a bj;g .kakd ishqï ndialÜ tl

jl=.vq

jl=. vq .,a fmdosh

uQ;%d m%Kd, ndialÜ tl

uq;%dYh uq;%d kd,

hqÍgfriafldamh

., fj; m%fõY jk hQÍgfriafldamh

28

August 2019

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jl=.vq j, .,a we;s úg wmg w;aolskk a g isÿjk uQ,l s ,laIKh jkafka bys,h s fkdyels fõokdjhs' jl=.vq j, isg uQ;d% Yh olajd uq;d% .uka lsÍug ieliS we;s ishï q uq;d% m%Kd, Tiafia ., my<g .uka lrk úg fujka fõokdjla we;s fjhs' fuysoS ., kd, ;=< isrùu ksid uq;d% .uk wvd, jkakg$wjysr jkakgo mq¿jk' túg wiSñ; fõokdjla wmg we;s fõ' fõokdjla we;s lrjk jl=.vq .,a yd frda. ,laIK m%lg fkdlrk jl=.vq .,a fu!;% ffjoHjreka jYfhka wmg úfgl frda.Ska yg fujka .,a ksid fõokdjla we;s fkdjk wjia:do w;aú|skakg isÿ fõ' ke;fyd;a b;d iq¿ fõokdjla muKla we;sjk wjia:d j,g uqyqK mdk frda.Skao yuqfõ' fuf,i fõokdjla we;s fkdjk we;eï .,a j,g m%;sldr lsÍu ;rula ÿIalr jkafka T!IO j,g tajd oshlr yeÍu myiq ld¾hhla fkdjk neúks' tfiau jl=.vq j,g muKla iSud jk .,a fõokdjla m%lg

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fkdlrñka flfuka flfuka úYd, jk wjia:do olakg ,efí' wo ojfia id¾:lu jl=.vq .,a m%;sldrh fuu .,a i|yd oekg y÷kdf.k we;s jvd;a id¾:lu yd wdrlaIs;u m%;sldrh jkafka Renoscope m%;sldrhhs' fuh f,ai¾ ,sf;daá%mais (Laser lithotripsy) hkqfjka ye|skafjhs' fï b;d ir< jQ Y,Huh l%shdj,sfhaoS ñ,s óg¾ 3lg fkdjeä b;d l=vd leurdjla uq;%d ud¾.h Tiafia jl=.vq olajd m%fõY lrk w;r tu.ska tu wNHka;ßl wjhjhka ;srhla u;ska b;d uekúka o¾YKh lsÍug wjia:dj ie,fihs fuu leurdjg uq;%d ud¾.h" uQ;%dYh yd uq;%d m%Kd, Tiafia jl=.vq olajd ieÍug wjia:dj ie,fik w;r .f,ys jHqyd;aul f;dr;=re b;d ksjerosj ffjoHjrhdg Wlyd .kakgo wjia:dj ie,fihs' l=vd fldgia j,g lvk .,a uq;%d ud¾.h Tiafiau msg;g .kakjd .f,ys iajNdjh y÷kd.ekSfuka miqj ó<Õ mshjr jkafka f,ai¾ loïnhla weiqf¾ Renoscope yryd ., l=vq lrñka th uq;%d ud¾.h

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Tiafiau neyer lsÍuhs' lefvk l=vd fldgia b;d l=vd ndialÜ tllg tl;= lr.kakd w;r th msg;g .kafkao ñ,s ógr lsysmhl muKla úYAlïNh we;s uq;%d m%Kd, Tiafiauh' úfYaI;ajh jkafka fulS f,ai¾ ;dlaIKh weiqre lrf.k ., l=vd fldgia j,g levqj;a jl=.vq wdY%s; mgl fldgia j,g wnu,a f¾KQjl fyda ydkshla isÿ fkdùuhs' f,ai¾ ,sf;daá%mais m%;sldrfhys iqúfYaIS ,laIKhla jkafka lsisÿ whqrlska isrefrys lemSula flàula isÿ fkdlsÍuhs' Renoscope fuj<u isÿrla yryd isrerg m%fõY lrk w;r fmr ld,fha isÿ lrk ,o wdldrfha lsisÿ lemqula isÿ fkdlsÍu ienúkau frda.shdf.a me;af;ka úYd, jdishls'

mÍlaIKh isÿ lsÍfuka meh follg muK miq m<;=re álla" flá wdydr iaj,amhla ,ndosh yel' weúoskakg mq¿jk' uQ;%d my lrkakgo mq¿jk' wfmalaIs; f,i fï ldrKd bIaG lsÍug frda.shdg yelshdj ,eîfuka miqj tosku frda.shd yg ksfji lrd msh k.kakg yels jkq we;'

"

mrSlaIKhg fmr iQodku mrSlaIKhg meh yhlg fmr mgka ksrdydrj isáh hq;=hs' we;eï reêr mrSlaIK lsysmhlg;a ECG mrSlaIdjlg;a uqyqK fokakg isÿfõ'

August 2019

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jl=.vq j, yefok .,a bj;a lrk úma,ùh m%;sldr l%uh

Laser lithotripsy

fõ.j;a iqjh''' blauka iykh f,ai¾ ,sf;daá%mais Y,Huh l%ufõoh fjkqfjka fhdod.;a ks¾úkaok T!IO j, n,mEu n,mj;afka meh 1-2l ld,hla muKs' bkamiqj Tyqg fyda wehg lsishï mdkhla ,nd .kakg" flá wyrla l=fiys oud .kakg wjia:dj ie,fik w;r ie;alfuka miq fõ.fhka h:d ;;a;ajhg m;aùuo isÿ fjhs'

fuu kjH m%;sldrh fndfyda M< m%fhdack" myiqj yd jdis tla lrfok m%;sldrhla nj lsj hq;=h' fõ.fhka iqjm;a ùu" fõ.fhka frdayf,ka tkakg ,eîu fukau blauKska idudkH jevm< j,g fhfokakg ,eîu ksid fuh jvd;a myiq m%;sldrhla jYfhka frda.Skaf.a úYajdih oskd ;sfí'

ie;alfuka miqj we;sjk iq¿ ixl+,;d fuu .,a bj;a lsÍfuka miq we;eï úg f,a meyehg uq;%d msgùula isÿ jQj;a th idudkH ;;a;ajhls' uq;%d lrk úg oeú,a,la we;s jkakgo mq¿jk' f,ai¾ m%;sldrh isÿ lsÍfuka miq frda.shd fõ.fhka iqjh ,nk w;r osk 2-3lska /lshdjg hkakgo" f.orfodr idudkH jevm< j, ksr; jkakgo wjia:dj ,efnKq we;' myiq''' blauka iqjh i,ik m%;sldrhla fõ.fhka iqjh ,eîug uQ,sl fya;=j jkafka lsisÿ lemSula .,a bj;a lsÍug isÿ fkdlsÍuhs' fï wkQj óg by;ska isÿ lrk ,o Worh lmd isÿ lrk m%;slrh yd ixixokfhaoS 30

August 2019

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ie;alfuka miq''' ms<sfj;a ie;alfuka miqj frda.shd ksfjig hk úg fõokdj ke;s lrk T!IO Analgesics yd idudkH m%;scSjl T!IO lsysmhla kshu lrhs' ta yereKq úg we;eï úg Stent hkqfjka ye|skafjk ishqï kd,hla ie;alug fmr fyda miqj we;=,a lrhs' ., l=vq lsÍfïoS ta fldgia uq;%d ud¾.h ;=< wjysr ù thska uq;%d mßjykhg we;sjk ndOd u.yerùu fuys wruqKhs' fuh jl=.vq j, isg uq;%dYh olajd ia:dms; lrk /|jqula ksid th msg;g fmfkkafka j;a wjysrhla jkafka j;a ke;' fï myiqj ksidfjkau jl=.vq .,a bj;a lsÍfï m%;slrh Day Surgery fkdfyd;a oskla ;=< ish,a,u wjika lrk m%;sldrhla jYfhka ye|skaúh yel' tla oskla ;=< id¾:lj ksudjg m;a jk Y,Huh lghq;a;loS frday,a fkajdisl .dia;= f.jkakg isÿ jkafka ke' thska buy;a wd¾Ól jdishla w;am;a fjhs' tfiau nrm;, Y,Hl¾uhla lsÍug hk wjia:dfõoS we;sjk ysf;a nr we;s jkafkao ke;' ysf;a ieye,a¨fjka ie;alu lr.kakg fuu.ska wjia:dj Wod fjhs' ? oj,a ;siafia {d;Skago frda.shdf.a ;ks rlskakg isÿ jkafka ke;' kE ys;ñ;=rkago fufia Y,Hl¾uhla lrk frda.shdf.ka lsisÿ lrorhla ke;' Renoscope fkdfyd;a ,sf;daá%mais ie;alu jl=. vq .,a m%;sldrfõofha wkNsNjkSh jQ kj msgqjla fmr¿ m%;sldr l%uhls' fuhg .; jkafka wvq ld,hls' jeh jkafka wvq msßjehls' frda.shd iefklska iqjh ,nhs' fõokdj wjuh' fï wkQj kj m%;sldrfõoh ienúkau uq;%d .,a m%;sldrj,sfhys wdYap¾hhla f,i mejiSu w;sYfhdala;shlao@ DM

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D•Magazine /

In vitro fertilisation (IVF) oreM< wysñ iyila hqj, isysk ienE lrk k, ore ;dlaIKh

oreM< wysñ iyila hqj, isysk ienE lrk k, ore ;dlaIKh

IN VITRO FERTILISATION (IVF) ,xld fydiamsg,aiays l<, úoHd ffjoH uodr /<mkdj

k,ore ^IVF& fyj;a lD;su ixfiapkh hkq l=ulao@ mef,damSh kd,h ;=, isÿjk iajNdúl ixfiapk ls%hdj,sh tkï mqreI Y=l%dKqj iy ia;S% äïnh md,s; ;;a;aj hgf;a ridhkd.drhla ;=, lD;s%uj ixfiapkh úug i,iajd Èk ;=kla olajd j¾Okh lr ffi, 6-8 l l<,hla ^Day 3 Embryo& fyda osk myla olajd j¾Okh jQ í,diagq,djla ^Blastocyst& .¾NdIfha ;ekam;a lsÍu k,ore ;dlaIKh fyj;a lD;S%u ixfiapkh f,i yeÈkafõ' IVF iqÿiq jkafka ldgo@ whs'hQ'whs' m%;sl¾u jdr 4-5 la isÿfldg wid¾:l jQ fyda mef,damSh kd, wjysr jQ ldka;djka fyda wksl=;a .eí .ekSfï wmyiq;d we;s hqj< ioyd fuu l%uh fhda.H fõ' ;jo ieñhdf.a Y=l%dKq m%udKh wju hqj<lg whs'ú't*a' ;dlaIKfha blais ^ICSI& m%;sl¾uhg fhduqùfuka .eí.; yelsh' k,ore ^IVF/ICSI& ;dlaIKh fyj;a lD;s%u ixfiapk l%shdj,sfha§ isÿjkafka l=ulao @ lD;s%u ixfiapk l%shdj,sh l%u follg isÿ flf¾' ir,u l%shdj,sh iïu; whs'ù't*a' hkqfjka yÿkajk w;r tys§ äïnfldaI j,ska ,nd .;a mßK; äïn folla fyda ;=kla Y=l%dKq 80"000-100"000 muK iu. ixfiapkh ùug i,iajd mef,damsh kd,fha ixhq;shg iudk mßir WIaK;ajh fi,aishia wxYl 37" wd¾ø;djh" ldnkavfhdlaihsâ" Tlaiscka" îfc!Ilhl j¾Okh ùug wjYH frdamK udOHkao mef,damSh kd,fha ixhq;shg iudkju mj;ajd .ekSug lghq;= flf¾'

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fuh f,dalfha m%:ufhka Ndú;d l< iïu; whs'ù't*a' l%ufõohhs'

ka fyda ksjfiaa§ ;ksju tkak;a lr .ekSfï yelshdj mj;sk w;r tu.ska Tng frday,g meñKSug ;sfnk jdr .Kk wju lr.; yelsh' Èkm;d fydafudak tkak;a ,nd.;a;o tÈfkod jev lghq;= j,g bka lsisÿ ndOdjla we;s fkdlf¾'

kuq;a ;dlaIKfha ÈhqKqj;a iu. whs'ù't*a' i|yd blais (ICSI& ;dlaIKh ìysúh' blais ^ICSI& ;dlaIKfha§ uhsfl%daueksmshqf,agrhla Ndú;fhka tla äïnhlg tla Y=l%dKqj ne.ska iDcqju we;=,a lsÍfï yelshdj we;s w;r tu ksid ixfiapkh ùfï iy .eí .eksfï m%jK;djh j¾Okh fõ' fydafudak ,ndoSfuka äïn W;af;ackh ;rkjd k,ore ;dlaIKfha§ äïn W;af;ackh lsÍu ioyd ldka;djkag fydafudak tkak;a ,nd oSu isÿlrk w;r tu fydafudak tkak;a Tima pl%h wdrïN ù fojeks Èkfha isg ks¾Kh lrk ,o Èk m%udKhla Èkm;d ,nd .ekSug isÿfõ' tu tkak;a ,nd .ekSu ioyd we;s Èk m%udKh ks¾Kh jkqfha ldka;djf.A FSH,LH,AMH hk fydafudak uÜgï" jhi iy Wig idfmalaIj nr ^BMI& wkqjh' fuysÈ tkak;a ish,a, myiqfjka Tfí mjqf,a ffjoHjrhdf.

doctormagazine.lk

frday,a.; ùula wjYH kE IVF m%;sl¾ufha§ frdayf,a fkajdislj isàu wkjYH jk w;r äïnfldaI u.ska äïn jQIKh ^äïn msg;g .ekSu& Y,Hl¾uhla fkdfõ' äïn jQIKh fyj;a äïn

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oreM< wysñ iyila hqj, isysk ienE lrk k, ore ;dlaIKh

In vitro fertilisation (IVF)

msg;g .ekSu ^OR& isÿlrkqfha idudkHfhka fhdaks ud¾.h Tiafia isÿlrk ialEka mÍlaIKhla isÿlrk whqßks' l<, ;ekam;a lrkafka úfYaI le;Sgrhla u.ska l<, ;ekam;a lsÍu úfYaI l<, ;ekam;a lsÍfï le;Sgrhla ^ET& Ndú;fhka isÿ lrk w;r th IUI m%;sl¾uh yd iudk ls%hdj,shls' fuu l<, ;ekam;a lsÍu w,ag%d ijqkaâ ialEka mÍlaIKh Tiafia kerôh yel' k,ore ^IVF/ICSI& ;dlaIKfha id¾:l;ajh by< kexùu i|yd ÈhqKq l%ufõo ;sfnkjdo@ idudkHfhka Èk 3la olajd j¾Okh jQ ffi, 7-8 l l<,hla .¾NdIfha ;ekam;a lsÍu IVF m%;sl¾ufha§ isÿflf¾' tu l<, í,diagqjla olajd j¾Okh ùug ^Blastocyst Culture& i,iajd" tkï ixfiapkfha isg Èk 5la olajd j¾Okh isÿfldg ;ekam;a lsÍu u.ska jvd;a id¾:l m%;sm, ,nd.; yelsh' Bg fya;=j jkqfha l<,hla í,diagqjla olajd j¾Okh ùu hkq tys ffi, m%udKh 50-200la m%udKhg j¾Okh ù ;sîuhs'

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tfukau k<ore ^IVF/ICSI& ;d;aIKfha ìysjk ì,s÷ka iajdNdúlj fyda whs'hQ'whs' m%;l s ¾ufhka .eí.;a ì,s÷ka fukau ksfrda.S yd fi!LH iïmkak fõ' l<, wêYS; lsÍu iy tys we;s jdis fudkjdo@ IVF m%;l s ¾ufha§ j¾Okh jQ wu;r l<, wêYS; fldg ;nd.ekSug myiqlï we;s w;r tu l<, jir 5 l ld,hla tfia .nvd lr ;eìh yel' hqj,f.a m%:u m%;l s drh wid¾:l jqjfyd;a kej; Ndú;hg .ekSugo id¾:l m%;m s , we;s jqjfyd;a tu hqj<g fojeks orejl= wjYH jQ úgloS Ndú; lsÍugo fuuÕska yelshdj we;'

mrSlaIK isÿ lrñka .eg¿j y÷kd.ekSu

äïn W;af;ackh lsÍu

äïn Wlyd .ekSu

l<,h j¾Okh

äïnh ixfiapkh

ixfiapkh lsÍu

DOCTOR MAGAZINE

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IVF mÍlaIKhloS osk .Kka j,g wkQj isÿ lrk fufyhqï

fuys§ kej; fydafudak tkak;a ,nd.ekSu wkjYH jk w;r .¾NdI ì;a;s ieliSu i|yd Biag%cka fm;s iy fm%dfciagfrdaka fc,a muKla Ndú;h m%udKj;ah' fuf,i l<, wêYS; fldg ;nd.ekSu uÕska wkd.;fha§ ±Íug isÿjk úhoï wju lr .ekSugo yelshdj we;' wêYS; lsÍfï l%uh Ndú; l< yelafla l<, wjia:dfõ§ muKo@ l<, fukau ldka;djkaf.a äïno wêYs; l< yel' fndfydaúg ms<sld jeks frda.S ;;a;ajhlska fmf<k ldka;djkag Y,Hl¾u ksid äïnfldaI j,g ydksùfï wjodkula we;s ldka;djkag tu m%;sldr j,g m%:ujo hï hï iudÔh iy fm!oa.,sl fya;=ka u; .eí .ekSu m%udo lsÍug wjYH jQ ldka;djkag äïn wêYS; lsÍug fhduqúh yelsh'

tfiau mqreIhka i|yd Y=ld%Kq wêYS; lsÍfï myiqlï mj;S' ms<sld jeks frda.S ;;ajfhka fmf<k mqreIhska fyda Y=ld%Kq ckkhg ydks f.k fok Y,Hl¾uhkag uqyqK §ug iQodkñka isák mqreIhskag fyda tf;r /lshdj, ksr; ù isák mqreIhska i|yd fuh b;d fhda.H l%uhls'

ICSI l%shdj,sh ieflúka

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oreM< wysñ iyila hqj, isysk ienE lrk k, ore ;dlaIKh

In vitro fertilisation (IVF)

k,ore ;dlaIKhg fhduqùu i|yd Tima pl%fha ls%hdldß;ajh w;HjYHo@ Tima pl%fha wl%ñl;djhka fyda Tima pl%fha ls%hdldß;ajh k;r ùu fyda jhi wjqreÿ 42 lg jvd jeäùu fyda wvq jhiska äïnfldaIj, ls%hdldÍ;ajh k;rùu fyda äïnfldaI bj;a lr ;sîu ldka;djkag k,ore ;dlaIKh i|yd fhduqùug ndOdjla fkdfõ' tjeks ldka;djkag odhl äñn Ndú;fhka id¾:l m%;sm, ,nd.; yelsh'

;Sj%;djhla iys; jeä ÈhqKq lrk ,o ldphla Ndú; lrñka Y=ld%Kqjl ysi" f.," j,s.h we;=,; fldgia úia;rd;aulj ksÍlaIKh lr n,d úlD;s Ndjhkaf.ka f;dr ilS%h Y=ld%Kqjla f;dard .ekSu isÿflf¾'

mqreI u|ire nj ioyd ;sfnk ms<shï fudkjdo@ mqreI Y=ld%Kqj, ÿn,;djhka mej;Su u|ireNdjhg m%Odk fya;=jla fõ' Y=l% ;r, mÍlaIdjg wu;rj Y=ld%kqj, DNA LKavKSlrKh úYaf,aIkh yd Y=ld%Kqj, w;sf¾l Tlaiscka m%;sls%hdj úYaf,aIkh u.ska .eí .ekSug wmyiq;d f.kfok cdkuh úlD;s;d iys; Y=l%dKq m%udKh yd Y=ld%Kq j, ls%hdldß;ajhg ydks muqKqjk ROS uÜgu mÍlaId fldg ta i|yd ms<shï fhÈh yel'

fuu l%ufõoh ksrka;rfhka .íidjkag ,lajQ ld;akdjkag k,ore ;dlaIKh lsysm j;djla wid¾:l jQ hqj,lg wju l<, m%udKhla í,diagq,dj wjia:djg m;ajQ hqj<lg Y=l%dKqj, rEmldrh wju mqreIhskag yd orejka n,dfmdfrd;a;=fjka È.= ld,hla mqrd T!IO ,nd.;a hqj,lg fhda.H fõ' DM

tfukau hïlsis mqreIfhl=f.a Y=ld%Kqj, uq¿ m%udKh Y=kH jQ wjia:djl jDIKfldaI ;=,ska Y=ld%dKq jQIkh u.ska k,ore blais ;dlaIK ls%hdj,shg Y=ld%Kq ,nd.ekSfï yelshdj mj;S' bïis ;dlaIKh hkq l=ulao@ bïis hkq blais ;dlaIKfha jeä ÈhqKq lrk ,o ;j;a tla wjia:djls' fuys§ l<, úoHd ffjoHjreka jeä

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August 2019

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,xld fydiamsÜ,aia idM,H;d uOHia:dkfha idM,H;d WmfoaYsld ,laud,s .cùr úiska ilia lrk ,§'

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Laboratory Tests Explained mqriaÓ;s ms<sld y÷kd .kakg msßñka i|yd isÿ lrk mÍlaIKh

mqriaÓ;s ms<sld y÷kd .kakg msßñka i|yd isÿ lrk mÍlaIKh

mÍlaIKfha kjH Ndú; wdisß ridhkd.dr fiajdfõ wOHlaI kS,a m%sh;a fcdaka úisks

mq

riaÓ;s ms<sld (Prostate cancer) frda.Skaf.a by< hdula ful, olakg ,efí''' l,ah,a we;sj y÷kd.;fyd;a iqj lsÍfï wk.s bvlvla we;s fï frda.h .ek wm miq.sh l,dmfhka uQ,sl lreKQ rdYshla idlÉPdjg Ndckh lf<uq' ta iïnkaOfhka iudf,dapkhla iu.ska mqriaÓ;s ms<sld iïnkaO ;j;a lreKQ /ila fujr Tfí wjOdkhg fhduq lruq' mqriaÓ;s ms<sld iïnkaOfhka f,dj mqrd isÿ lrk m¾fhaIK weiqf¾ wkdjrKh jk woyia mqriaÓ;s ms<sld iïnkaOfhka fï jk úg fndfyda m¾fhaIK isÿ flfrñka mj;S' tajdfhka ,efnkafka ñY% woyiah' fï w;=ßka Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial, European Randomized Study of Screening for Prostate Cancer (ERSPC) wdoS m¾fhaIlhka mqriaÓ;s ms<sld doctormagazine.lk

iïnkaOfhka m¾fhaIK isÿ lrk m¾fhaIK m%cdj w;r fmruqfKa isá;s' uQ,sl jYfhka by; wOHhk lKavdhï yd fï m¾fhaIK j, ksr;j isák wjfYaI m%Odk Odrdfõ m¾fhaIl m%cdj w;aoelSï weiqf¾ The United States Preventive Services Task Force úiska tu m%;sM< iudf,dapkhla isÿ ;rk ,o w;r thska ksl=;a l< jd¾;dfõ my; ldrKd wka;¾.;h' jhi wjqreÿ 55-69 w;f¾ msßñka jir 1-4lg jrla jYfhka jir 1015l ld,hla mqriaÓ;s ms<sld iïnkaO mÍlaIK j,g Ndckh lsÍfuka tu mÍlaIK j,g iïnkaO jk 100la fokd ie<l+ úg my; m%;sM< ,nd.; yels jkq we;' ² mqriaÓ;s ms<sld wdY%s; urK ishhg 1la j<lajd .; yel' ^fuh mÍlaIKh iïnkaOfhka n,dfmdfrd;a;= iy.; wruqKQ we;s lrjk ;;a;ajhla fkdfõ'&

August 2019

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37

² mqoa.,hka 120lgu ,efnkafka mqriaÓ;s ms<sld je<|S ;sfí (false-positive) hk fodaIiy.; m%;sM<hhs' tkï ke;s f,vla we;ehs hk m%;sM<hhs' fï ksid wkjYH nfhdmais mÍlaIK yd fjk;a mÍlaIK j,g wksjdrf;a uqyqK mdkakg isÿ fjhs' ² 100la fokdg ienúkau mqriaÓ;s ms<sld ;sfnk njg wkdjrKh fjhs' fï whf.ka 80la fokdg Y,Hl¾u yd úlsrK m%;sldr weiqf¾ frda.hg úi÷ï fiùug wjia:djla ,efí'

38

August 2019

² mÍlaIK j,g Ndckh jk ishhg 60la fokd m%;sldr ksid we;sjk we;eï ixl+,;d j,g ,la ùfï wjodkula orhs' mqriaÓ;s ms<sld ;sfnk frda.Ska PSA mÍlaIKh isÿ lsÍfuka ,efnk m%fhdack fudkjdo@ mqriaÓ;s ms<sld ;sfnk frda.Ska PSA mÍlaIKhg ,la lsÍfuka ta whf.a frda.h u¾Okh jk wdldrh iïnkaOfhka id¾:l we.hSula lsÍug bjy,a fjhs' mqriaÓ;s ms<sldjg m%;sldr isÿ lsÍfuka miqj PSA w.hka by< hdula fmkajQfjd;a th kej;;a ms<sldj ysi Tijk njg uQ,sl ix{djla f,i i<lkakgo isÿúh yel' fï ksid tjka m¾fhaIK m%;sM<hla ,eîu ffjoHjrhd iu. idlÉPd l< hq;= jk wjia:djls' tu PSA mÍlaIKh kej;;a j;djla isÿ lr th h,s ysi tiùula isÿj we;ao hkak .ek jy jyd msßlaiqï l< hq;= fõ' fuysoS tlajku kej;;a m%;sldr weröula isÿ fkdlrk w;r m%;sìïn mÍlaIK wdosh isÿ lrñka kej; ysi tiùu ikd: lr.; hq;= jkafkah'

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PSA mrSlaIKh .ek Tn oek.; hq;= jeo.;a lreKq myla PSA mrSlaIKh ir<h' th wre;a .ekaùu kï t;rï ir, ke;'

PSA w.hka jeäjQ muKska Tng mqriaÓ;s ms<sldjla we;s njg ikd: lrkakg fkdyel'

fuu mÍlaIKh isÿ lsÍfï jdis yd wjdis .ek oek.kak'

fjk;a úúO fya;= ksido w.hka by< hhs'

PSA mÍlaIKh isÿ lsÍug iqÿiq jhi .ek ksYAÑ; tlÕ;djhla ffjoH m%cdj w;r ke;' Tng tu mÍlaIKhg Ndckh úh hq;= jhi iïnkaOfhka Tfí ffjoHjrhdf.ka oek.kak'

PSA mÍlaIKh jvd;a oshqKQ uÜgulg f.k tkakg W;aidyhla ñY% m%;sM< iys; mÍlaIdjla jYfhka ie<flk PSA mÍlaIKh jvd;a oshqKQ uÜgulg f.k tau flfrySo ful, úoaj;a wjOdkh fhduq ù ;sfí' ydkslr fkdjk ffi, j,ska ms<sld ffi, meyeos,sj fjkalr .ekSu" fõ.fhka jefvk ms<sld yd fiñka j¾Okh jk ms<sld fï weiqf¾ y÷kd .ekSu iïnkaOfhka PSA mÍlaIKh oshqKQjg ,la lrñka fhdojd .ekSu iïnkaOfhka fï hq.fha m¾fhaIK osh;a ù ;sfí' my; m¾fhaIK flfryS fuysoS fjfiia wjOdkhla fhduq ù ;sfí'

doctormagazine.lk

mqriaÓ;s ms<sld ye|skSug wo m%fõKsl mÍlaIKo fhdod.kS' mqriaÓ;s ms<Sld fjk;a ms<sld j,g fya;=jk cdko yjq,a lr.kS' Wod BRCA1, BRCA2

oekg y÷kdf.k we;s kj mÍlaIdjka jvd;a ksjerosj mqriaÓ;s ms<sld yªkd.ekSfuys iu¾:;d olajk nj fmfkkakg ;sfí' Prostate Health Index (PHI) yd fjk;a fndfyda mÍlaIdjka fmdfrdkaÿ iy.; id¾:l;ajhla w;am;a lrf.k ;sfí'

² Free versus total PSA. The amount of PSA in the blood that is “free” (not bound to other proteins) divided by the total amount of PSA (free plus bound) is denoted as the proportion of free PSA. we;eï wOHhk j,g wkQj lower proportion of free PSA mej;Su m%pKavldÍ mqriaÓ;s ms<sld j, yeisÍula fjhs' ² PSA density of the transition zone. The blood level of PSA divided by the volume of the transition zone of the prostate. transition zone hkq mqriaÓ;s .%kaÓfha bosßmi l,dmhhs' fï l,dmfha udkhka weiqf¾ lrk by; .Kkh lsÍu mqriaÓ;s ms<sld iïnkaOfhka jvd;a ksjeros we.hSula lsÍug WmldÍ jk nj we;eï m¾fhaIlhkaf.a u;hhs' ² Age-specific PSA reference ranges mqoa.,fhl=f.a w.h Tyq jhig hk úg jeä fjhs' fï ksid jhig wkqrEmS w.h ,nd .ekSu fuhska woyia flfrhs' ² PSA velocity and PSA doubling time. PSA velocity is the rate of change in a man’s PSA level over time, expressed as ng/mL per year. PSA doubling time hkqfjka woyia lrkafka hï mqoa.,fhl=f.a w.h fo.=K ùug .;jk ld,hhs' fuho mqriaÓ;s ms<sld August 2019

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mqriaÓ;s ms<sld y÷kd .kakg msßñka i|yd isÿ lrk mÍlaIKh

Laboratory Tests Explained

PSA mÍlaIKh mqoa.,fhl=f.a reêrfha mj;akd wKQ m%udKh ixLHd;aulj olajhs'

mqriaÓ;s .%kaÓh PSA wKq uqod yßhs iEu msßñfhl=gu PSA wKq ksYAÑ; ixLHdjla mj;S' th idudkH ;;a;ajhls'

uq;%dYh

wkdjrkhg fya;= jk njg u;hla mj;S' ² Pro-PSA. Pro-PSA refers to several different inactive precursors of PSA fuh BPH o blaujd hk mqriaÓ;s ms<sld wkqudk lsÍfï úNjhla mj;S hhs we;eï m¾fhaIlhka lsh;s' uE;loS Ndú;hg tlajQ prostate health index kï o¾YlhloS [-2]proPSA kï PSA wdldrhl m%;sM< PSA and free PSA iu. taldnoaO lr ;sfí' PSA w.h 4 and 10 ng/mL w;r m%udKhl mj;sk úg Tyqg nfhdmaishla isÿ l< hq;=o@ke;ao@ hkak ;SrKh lsÍug fuu l%ufõoh jeo.;a fjhs'

40

August 2019

uq;%d wdidokhla mej;Su

mqriaÓ;s .%ka;sfha W;af;acs; ;;a;ajhla

PSA wKQ ixLHdj by< w.hla .ekSu mqriaÓ;s ms<sldjloS olakg ,efnhs' tfy;a ta yereKQ úg fjk;a fya;= ksido PSA w.hka by< hhs' tajd w;r''' wêl f,i jHdhdufhys ksr; ùu

we;eï T!IOo fõ

² IsoPSA. PSA exists in different structural forms (called isoforms) in the blood. The IsoPSA test, which measures the entire spectrum of PSA isoforms rather than the concentration of PSA in the blood, may improve the selection of men with prostate cancer for biopsy. PSA úúO jHqyhka orñka mj;shs' fïjd isoforms hkqfjka ye|skafjhs' PSA concentration .ek we.hSula lrkjdg jvd IsoPSA mÍlaIKh isÿ lsÍfuka mqriaÓ;s ms<sld frda.Ska ksjerosj y÷kd .ekSug wjia:djla ,efnk nj m¾fhaIlhkaf.a u;hhs' ² PSA in combination with other protein biomarkers.

PSA fjk;a fm%daàka biomarkers iu.o iïnkaOj mj;S' jeä wjodkula orK mqoa.,hka y÷kd. ekSu i|yd f,a j, iy uq;%d j, we;s fjk;a nfhdaudl¾ia yd taldnoaOj mj;sk PSA w.hka úuiSu jvd;a WÑ; fjk njg m¾fhaIlhka lreKQ olajhs' fï PSA mÍlaIKh yd iïnkaO lr.; yels nfhdaudl¾ia lsysmhls' kallikrein-related peptidase 2, prostate cancer antigen 3 (PCA3 ), and the TMPRSS2-ERG gene fusion. DM ,nk l,dmfhka''' fldf,iagfrda,a wjodku y÷kd.ekSu i|yd kQ;k f,dalfha jvd;a ksrjoH hhs y÷kdf.k we;s kjH mÍlaIdjla iïnkaO jeäÿr f;dr;=re

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Asiri Hospital Holdings PLC The Central Hospital Asiri Surgical Hospital PLC Centres & Labs

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181, Kirula Rd, Narahenpita, Col-5 011 - 4523355/356/357 prlab@asiri.lk 114, Norris Canal Rd, Col-10 011 - 4665500 / 077 - 2092847 chllab@asiri.lk 21, Kirimandala Mw,Col-5 011 - 4524400 / 48 microlab@asiri.lk

Anagarika Dharmapala MW 67/7,William Gopallawa MW 5, S De S Jayasinghe MW 155,Colombo Road 39 A, Kadawatha Road 199 / 1, Colombo Road 546,Hospital Road 39/1, Central Road 280 A, Maithreepala Senanayaka Mw, 18,Darmadootha Road 20, Katuwana Road 21,Chamly Gunawardena Mawatha 06, Asoka Gardens,Colombo Road 87/A,Kandy Road 730 B , Pannipitiya Road 100,Kumaradasa Place 134 H, Jaya Mawatha 122, Negombo Road Queen Maryâ&#x20AC;&#x2122;s Road Anguruwatota Road Kandy Road,Dalugama Pickerings Road Manning Place Gemland,Kudagama Road Galle Road Avissawella Road Peradeniya Road Keppitipola Road Katugastota Road 92, Main Street 48, Seethagama A Moodukotuwa 159,Galle Road Bandaranayake MW,Anuradhapura 45,Mathale Road 119,Kothmale Road 190 A,D.B.Jayathilake Mw (Hill Street) 95, Hettipola Road 877, Athurugiriya Road 276,Badulla Road 67, Gamini Road 29 / A, New Town Road 325, Main Street 584, Highlevel Road, Gangodawilaa 187, Matara Road 36C, T.B.Panabokke Mawatha 152, Piliyandala Road 91E, Mathale Road, Akurana 197/1,Horana Road,Kottawa 148A, Horana Road,Piliyandala 1/1 E, Borella Road, Athurugiriya 584 , Kandy Road , Nittambuwa 13C, Bandarawela Road , Badulla 34/4 D, Kollonnawa Rd , Gothatuwa New Town 197/1,Daulagala Road,Pilimathalawa 77, Mattakkuliya Church Rd 56/D,Galle Road,Moratuwa City Arcade , 201B, Galle Road, Beruwala 155 B, Pagoda Road , Pita Kotte 96A/5,Makola Road,Makola South, Makola 92, Borella Road, Depanama , Pannipitiya No 209, Colombo Road , Mawanella No. 47 Ganeulla Road, Hapugoda,Kandana

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infoasirimatara@asiri.lk kandylab@asiri.lk kalubowilalab@asiri.lk nglab@asiri.lk ragamalab@asiri.lk kurunegalalab@asiri.lk jaffnalab@asiri.lk batticaloalab@asiri.lk anuradhapuralab@asiri.lk badullalab@asiri.lk homagamalab@asiri.lk Kalutharalab@asiri.lk gampahacc@asiri.lk matalelab@asiri.lk pelawattalab@asiri.lk wellampitiyalab@asiri.lk kadawathalab@asiri.lk wattalalab@asiri.lk gampahalab@asiri.lk horanalab@asiri.lk kiribathgoda.lab@asiri.lk kotahena.lab@asiri.lk wellawatte.lab@asiri.lk avissawella.lab@asiri.lk ratmalana.lab@asiri.lk kaduwela.lab@asiri.lk peradeniyalab@asiri.lk bogambaralab@asiri.lk katugasthotalab@asiri.lk warakapolalab@asiri.lk avissawella.lab@asiri.lk marawilalab@asiri.lk panaduralab@asiri.lk kadapanahalab@asiri.lk wattegamalab@asiri.lk nawalapitiyalab@asiri.lk dehiwalalab@asiri.lk kuliyapitiyalab@asiri.lk malabelab@asiri.lk bandarawelalab@asiri.lk Jaelalab@asiri.lk embilipitiyalab@asiri.lk kegallelab@asiri.lk nugegodalab@asiri.lk tangallelab@asiri.lk gampolalab@asiri.lk maharagamalab@asiri.lk akuranalab@asiri.lk kottawalab@asiri.lk piliyandalalab@asiri.lk athurugiriyalab@asiri.lk nittambuwalab@asiri.lk badullacc@asiri.lk idhlab@asiri.lk pilimathalawacc@asiri.lk mattakkuliyacc@asiri.lk moratuwacc@asiri.lk beruwalacc@asiri.lk pitakottecc@asiri.lk makolacc@asiri.lk pannipitiyacc@asiri.lk mawanellacc@asiri.lk kandanacc@asiri.lk

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Fertility

újdyh" orejka ,eîu l,a oukak fyd\u ke;s ffjoH ldrKd y÷kd.kak

újdyh" orejka ,eîu l,a oukak fyd|u ke;s ffjoH ldrKd y÷kd.kak fmd,sisiaála ´fõßhka frda.h ;sfhk ldka;djkag k< ore ;dlaIKh b;du iqÿiqhs hï fyhlska újdyh m%udo fjkjd kï äïn ixrlaIKh lr fyda ;nkak 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

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August 2019

ore iïm;a j,g fydafudak wdY%s; .eg¿ ldka;djf.a orejka ,eîu m%udo ùug" fkdtfia kï ore iïm;a wysñ ùug n,mdk fya;= ms<sn|j fujr ,smsfhka újrKhl fhfouq' ldka;djkaf.a u|ireNdjhg fya;= ldka;djf.a m%ckl moaO;sh ne¨fjd;a mqreIhdg idfmalaIj úYd, m%ckl moaO;shlg weh Wreu lshkjd' th wdrïN jkafk fud<fhka' yhsfmd;e,uih" msáhqgß .%kaÓh yryd tk fydafudak äïnfldaI" .¾NdIh" fhdaksud¾. fha l%shdldß;ajhg n,mdkjd' Bg wu;rj fïjdfha l%shdldß;ajh uekúka mj;ajd .kakg ;hsfrdhsâ .%kaÓh;a jeo.;a fjkjd' fï fudlla yß .%kaÓhl fydafudak l%shdldß;ajfha .eg¿jla wdfjd;a th ore iïm;a ,eîug ndOdjla jkakg bvla ;sfhkjd'

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we;eï ldka;djkaf.a fud<fha fydafudak >%djh ÿ¾j, fjkjd' fuh Wmf;kau we;s fjkak;a mq¿jka' tfyu ke;akï miqj wjia:djloS fjkak;a mq¿jka' t;fldg fuysoS m%ckl moaO;sfha ÿ¾,;djhla ksid fkdfjhs" fud<fha fydafudak >%djfha .eg¿jla ksihs fï ore iïm;a m%udo ùu isÿ jkafka' .|" iqj" oekSu wvq kï th .ek ie<ls<su;a fjkak iuyr ldka;djka bkakjd" iqj| oefkkjd wvqhs' fïl wms tÉpr i<lkafka ke' kuq;a fï wdldrfha ldka;djka u|ire;djhg ,la ùfï jeä bvla ;sfnk nj Tn okakjdo@ fud<fha ia:dkhlg iïnkaO iakdhq /yeka fodaIhla we;sfj,d fydafudk >%djfha wvq¨yq`vq;djhla we;s ùfuka oreM< M< m%udo fjkakg mq¿jks' äïn fudarkafk ke;s fjkak mq¿jka' m%ckl moaO;sh ksishdldrj mßK;shg ,la fkdù ;sfhkakg mq¿jka'

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fydafudakuh wvqmdvqlï oreiïm;a j,g n,mdk m%n, fya;=jla we;eï fj,djg ;hsfrdhsâ .%kaÓfha fydafudak >%djh wvq fjkak mq¿jka' l%shdldß;ajh jeä fjkak;a mq¿jka' tfyu fj,djg tu fydafudak >%djh ksjeros lrkak ´ks' jl=.vq j, uqÿfk;a fydafudak .%kaÓ ;sfhkjd' fï fodaI fmdä foaj,a' fïjd ksjerosj yªkd .ekSu ;uhs jeo.;a' túg fydafudak ,ndoS, ta wvqmdvqj ksjeros lrkakg mq¿jka' ;j;a tla l;djla tl j;djla wmg ldka;djla wdj' ore iïm;a ke;s tl .ek fydhd n,k úg wka;sug jl=.vq krla fj,d' wdfj tl ldrKhlg' fj,d ;sfhkafk yd;amiskau fjkia fohla' mqxÑ .eg¿jla fjkak we;s' ta;a kshu ldf,g m%;sldr ,enqfK kE' wka;sfïos jl=.vq noaO lrkak isoaO jqKd' fldfydu;a fï l;dfj wjidkh jdikdjka;hs' jl=.vq noaO l<dg

August 2019

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újdyh" orejka ,eîu l,a oukak fyd\u ke;s ffjoH ldrKd y÷kd.kak

Fertility

miafi fï ldka;dj ore iqr;,a n,kakg;a yelshdj ,enqKd' flfkl=g m%Yakhla we;s fjkak mq¿jka' jl=. vq noaO l<dg miafi nfnla yokak neßo@ neß kE' mq¿jks' fï whg ióm wëlaIKh hgf;a ksjeros l<uKdlrkhla isÿ lf<d;a ore iïm;a ,nkak yelshdj ;sfnkjd'

fmd,sisiaála ´jrs iy,laIKh - k< ore ;dlaIKh fï ldka;djkag b;d iqÿiqhs

tkafvdfuá%fhdaisia - ,ys ,ysfha újdyh''' ore iïm;a .ek ys;kak

ore iïm;a j,g n,mdk äïnfldaI wdY%s; .eg¿ fmd,sisiaála ´fõßhka frda.h fmd,sisiaála ´jß iy,laIKh lsh, ;;a;ajhla ;sfnkjd' fuh äïn fïÍfï l%shdj,sh ÿ¾j, ùu m%uqL lr.;a .eg¿jla' wef.a fydafudak moaO;sfha

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.eg¿ jf.au iq¿ jYfhka >%djh jk tkaihsu j, fjkialï we;s fjkjd' msßñ fydafudak wfÕa jeäfhka >%djh ùu" bkaishq,ska fydafudakfha l%shdldß;ajfha fjkialï wdosh;a fuysoS we;s fjkjd' fï ksid fï ldka;djkaf.a äïn fïÍu kshñ; mßos isÿ jkafka kE' we;eï ldka;djka okakjd" fldhs ;rï fnfy;a ÿkak;a ksishdldrj äïn fudarkafk kE' fï wh weú,a, lshkj''' zzfvdlag uu fï fnfy; .;a;''' wr fnfy; .;a;''' ta;a äïn fïrefj kE' Bg miafi bkafclaIka .eyqj'ZZ lsh,''' fmd,sisiaála ´fõßhka frda.h ;sfhk ldka;djkag k< ore ;dlaIKh b;du iqÿiqhs fï fmd,sisiaála ´fõßhka frda.h ;sfhk ldka;djkag fï k< ore ;dlaIKh b;du iqÿiqhs' wkd.;hg;a fï whg l<, yo, ;shd. kak mq¿jka' fï whf. .¾NdI ì;a;sh fyd| ksid ore iïm;la ,eîfï by< bvlvla ;ssfhkjd' fï whg uq,skau YÍrfha ia:Q,;djh ;sfhkjd kï

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th wvq lsÍfï l%shdud¾. .kakjd' we;eï fj,djg ldka;djkag ;sfnk tlu m%Yakh ia:q,;djh muKhs' b;ska ;rndre ldka;djka kï fï .ek úuis<su;a fjk tl fyd|hs' we;eï fj,djg ishhg oyhlska nr wvq jqKdu iïmQ¾Kfhkau m%Yakh úif|kjd' ms<sis|Su isoaO fjkjd'

*hsfn%dhsâ blauKska ore iïm;a ,nk tl fyd|hs

weäfkdufhdaisia - ffjoH Wmfoia u; lghq;= lrkak

tkafvdfuá%fhdaisia tkafvdfuá%fhdaisia lshk frda.h;a ldka;djka w;f¾ u|ireNdjh we;s lsÍug ie<lsh hq;= odhl;ajhla olajkjd' fmd,sisiaála ´jß frda.h jf.a fkdfjhs fï tkafvdfuá%fhdaisia lshkafk u|ireNdjhg ne?reï fya;=jla fjkjd' doctormagazine.lk

iuyr ldka;djka bkakjd" .| iqj| oefkkjd wvqhs' fï wdldrfha ldka;djka we;eï fj,djg u|ire;djhg ,la ùfï jeä bvla ;sfnk nj Tn okakjdo @

wms ir< Wodyrkhla weiqf¾ fuys ne?reï lu meyeos,s lr.ksuqfld' fmd,sisiaála ´jß frda.h ;sfnk ldka;djla ore iïm;la ,eîfï m%;sY;h ishhg 70 lsh, ys;kak''' tkafvdfuá%fhdaisia ;sfhk ldka;djlf.a fuu n,dfmdfrd;a;=fõ m%;sY;h ishhg 40 muK olajd wvq fjkjd' tkafvdfuá%fhdaisia frda.h Grade 1-4 lsh, wjêka y;rlg fnfokjd' Grade 4 tkafvdfuá%fhdaisia wdju fpdl,Ü isiaÜ weú,a," .¾NdIfha mef,damSh kd,h we,s," nvje,a j,

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újdyh" orejka ,eîu l,a oukak fyd\u ke;s ffjoH ldrKd y÷kd.kak

Fertility

t;s,''' fï wdoS w,l,xÑ we;s jqKdu IUI jf.a l%u Tiafia orefjla we;sùfï yelshdj b;du wvqhs' ishhg tlg;a jvd wvqhs' fï whg ksielfhkau k< ore ;dlaIKhg hkak fjkjd' k< ore ;dlaIKhg .sh;a fï whf.a id¾:l;ajhla ,eîfï bvlv ishhg 40-50 w;r m%udKhla ;uhs' kj l%u fudk wdldrfhka wkq. ukh l<;a fï whf.a .¾NdI ì;a;shg l<,h w,a, .ekSfï .eg¿ ie<lsh hq;= uÜgulska we;s fjkjd' tkafvdfuá%fhdaisia oek.kak ;sfnk T;a;=jla l%uhúfYaIfhkau tkafvdfuá%fhdaisia oek.kak ;sfnk l%uhla ;uhs" ldka;djlg Tima ùu isÿjk úg wêl Wor.; fõokdjla we;s fjkjd' fïl oeä fõokdjla' Tima reêrh msgfjkak ojilg ú;r biafi,a, mgka wrf.k ojia 3-4la ú;r fõokdj w,a,kjd' hï ldka;djlg fï ,laIK ;sfhkjd kï ialEka mÍlaIKhlg Ndckh fj,d wjYH jqfKd;a reêr mÍlaIK ;sfhkjd' taj;a isÿ lr .ekSfuka weh tkafvdfuá%fhdaisia me;a;g nro hk ldrKh yªkd.; hq;=hs' hï ldka;djlg tkafvdfuá%fhdaisia ;sfhkjd kï weh lsisu fj,djl ore iïm;lg fhduq ùu m%udo lsÍu iqÿiq kE' th m%udo lsÍfuka wehg miqld,Skj ore iïm;a ,eîfï úYd, .eg¿ we;sùfï wjodkula ;sfnkjd' tkafvdfuá%fhdaisia frda.fhaoS .¾NdIfhka msg; f,a tl;= ùula isÿ fjkjd' fï úosyg tl;= fj,d'' tl;= fj,d''' wka;sug f,dl= leáhla we;s fjkjd' ie;alula l<;a fï .=,sh bj;a lsÍu f,fyis myiq kE' wka;sug fïflos isoaO fjk foa ;uhs .¾NdIh bj;a lrkakg isÿ ùu' hï ldka;djla tkafvdfuá%fhdaisia ;sfhkjd kï l< hq;= foa ;uhs blauKska újdm;a ù orefjla yod .ekSu' fudlo" fuh ore iïm;a ,nd .ekSug úúOdldrfhka ndOd f.k fok frda.hla' l<,h .e,ú,d hkjd" th .¾NdIhg w,a,kafk kE''' iuyr úg udi 2-3la hkúg .íid fjkak bv ;sfhkjd' fï úosyg fkdfhla ndOdjka tkafvdfuá%fhdaisia ;sfhk úg we;s fjkak mq¿jks'

46

August 2019

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ia:q,;djh u|ire;djhg fya;= fjkjd' we;eï fj,djg ishhg oyhlska nr wvq jqKdu iïmQ¾Kfhkau m%Yakh úif|kjd' ms<sis|Su isoaO fjkjd'

újdyh isÿ lr.kak tl m%udo fjkj kï Freeze lrkak újdyh isÿ lr.kak tl hï ldka;djlg fkdje<elaúh yels fya;=jla ksid m%udo fjkj kï weh äïn lsysmhla bj;a lrjdf.k YS;k ;;a;aj hgf;a .nvd lr.ekSula j;a (Egg Freezing Technology) isÿlr.; hq;=hs' tkafvdfuá%fhdaisia frda.fhaoS äïn j, m%udKh jf.au tys .=Kd;aulNdjh;a blauKska ke;s fjkak

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mq¿jks' fï ksid újdy fjkakg m%:ufhka jqK;a ffjoHjrfhl= yuqù äïn t<shg wrf.k wkd.;h i|yd tajd iqrlaIs; lr.ekSu fyd| Wml%uhla' fïj ;uhs ;sfhk kj;u l%u' újdyh ta wjia:dfõ m%udo jqK;a ljo yß ojil weh újdy jqKdu äïnfldaIj, .=Kd;aulNdjh ÿ¾j, jqKdg m%Yakhla kE' uy;a;hf. Y=l%dKQ;a tlal wr YS;kh l< äïn t<sfh ixfiapkh lr, kej;;a orefjla yod.kak mq¿jka' äïn ixÑ;h fõ.fhka wvqjk ldka;djka ldka;djkaf.a äïnfldaI ;=< ysrfj,d ;sfhkafka fï Wm;skau tk äïn álhs' iuyr whf. ;sfhkjd" fï äïn blauKska wvq fjkjd' orefjla yokak äïn ke;s fjkjd'

flfklaf. äïn j,ska ;uhs l=i ;=< orefjla yod.kak isÿ jkafka' ore iïm;a j,g n,mdk mef,damSh kd, wdY%s; .eg¿ ldka;djkaf.a mef,damSh kd, wdY%s;jo hï wjysr;djhka we;s fjkak mq¿jka' mef,damSh kd, j, f.ä ;sfhkak mq¿jka' mef,damSh kd,h os.ska jeä fjkak mq¿jka' jeäfhka flá fjkak mq¿jka' mef,damSh kd,fha bosuqula we;s fj,d ierj yefokak mq¿jka' úIîchla .syska tys l%shdldß;ajh wvq fjkak mq¿jka' Y,Hl¾uhl n,mEula ksid l%shdldß;ajh ÿ¾j, fjkakg mq¿jka' fï úosyg úúOdldr fya;= ksid ore iïm;a ,eîug ndOd jk mef,damSh kd, .; fya;= ks¾udKh fjkakg mq¿jka' fudkhïu fya;=jla ksid w¾O jYfhka fyda iïmQ¾K jYfhka mef,damSh kd,fha wjysr;djhla we;s fjkak mq¿jka' fudk fya;=j ksid .eg¿ldÍ ;;a;ajhla we;s jqK;a tajd ms<silr lsÍug .kakd W;aidyhg jvd;a ;dlaIKsl Wml%u fhdodf.k ore iïm;la ,nd .kakg W;aidy .kak tl ;uhs iqÿiq' fï wjysr;d we;s mef,damSh kd,h Wfoid úi÷ï fiùfïoS mef,damSh kd,fha orejd jefvkakg mq¿jka' th Nhdklhs'

fï äïnfldaIfha mj;akd äïn m%udKh fõ.fhka wvq fjk wh;a újdyhg l,a .kak fyd| kE' ta wh;a blauKska ore iïm;la ,nd.kak mshjr .; hq;=hs' l,a .; jqfKd;a fjk;a

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újdyh" orejka ,eîu l,a oukak fyd\u ke;s ffjoH ldrKd y÷kd.kak

Fertility

ore iïm;a j,g n,mdk .¾NdIh wdY%s; .eg¿ .¾NdIfha we;sjk *hsn%dhsv ksid;a ore iïm;a ySk fjkjd' .¾NdIhg wE;ska ;sfnk l=vd f.ä j,ska t;rï n,mEula we;s fkdfjkak mq¿jka' tfy;a .¾NdIhg hákau ;sfhk fyda tys m%udKh ;rula jeä kï ^fi'ó 4g jeä& thska ore iïm;a ,eîug ndOd we;s fjkak mq¿jka' *hsfn%dhsv ;sfnk ldka;djkq;a thg Y,Hl¾u wdosh isÿ l< wh;a ore iïm;a ,nkak l,a ne,Su iqÿiq kE' weäfkduhsisia weäfkduhsisia lsh, frda.hla ;sfnkjd' fuysoS isÿ jkafka .¾NdI ì;a;sh f,dl= ùula' tho .¾NsKS;djhg wys;lr f,i n,mEï we;s lrjk ksid ffjoH Wmfoia ,nd .ekSu iqÿiqhs' .¾NdIh we;=<; uiao¿ we;s fjkak mq¿jka' úIîc ;sfhkak mq¿jka' .¾NdIhg jk reêr iemhqfuys kd,j, .eg¿jla we;s fjkak mq¿jka' fï úosyg úúO .eg¿ .¾NdIfha we;s fjkak mq¿jka' ore iïm;a j,g n,mdk .eíf., wdY%s; .eg¿ we;eï ldka;djkaf.a .eí f., b;du ;ohs' Tima reêrhg msg;g tkakg fï whf. fmdä isÿrla ;sfhkjd' kuq;a Y=l%dKQjlg fuh yryd hdfï yelshdj ke;s fjkak mq¿jka' .eíf.f,ys we;eï f.ä j¾. we;s ùfukao ireNdjhg wNsfhda. we;s fjkak mq¿jka' ore iïm;a j,g n,mdk fhdaks ud¾.h wdY%s; .eg¿ fhdaks ud¾.h .;af;d;a idudkHfhka fhdaks ud¾.h NdIAñl;djhg nrhs' Y=l%dKQ wdï,sl ksid we;eï úg Y=l%dKq m%;slafIAm lsÍfï yelshdj ;sfnkjd' fï whf.a pH w.h fjkia lsÍfï fnfy;a ;sfnkjd' fï ksid tjka .eg¿ we;s ldka;djka frda.h uekúka yªkdf.k ta iïnkaOfhka kshñ; m%;sldr ,nd .; hq;=hs' DM

48

August 2019

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ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx.uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï lafIA;%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

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Drug abuse Tfí ;reK orejd;a u;aøjH j,g weíneys ùfï ±ä wjodkula æ

Tfí ;reK orejd;a u;aøjH j,g weíneys ùfï ±ä wjodkula æ ffjoH Ydka; fyÜáwdrÉÑ úisks

Drug abuse is a serious public health problem that affects almost every community and family in some way. Drug abuse also plays a role in many major social problems, such as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a job.

u

;aøjH Ndú;h iïnkaOfhka f;dr;=reia flfrkafka u;aøjH ksid nkaOkd.dr .;jk frday,a .;jk yd mqkre;a:dmkh i|yd fhduqjk msßiaj, ixLHdf,aLk weiqre lrf. kh' kuq;a fuu ixLHf,aLk j,g yiqjk msßi b;d iSñ; msßila jk w;r Bg yiq fkdjk m%udKh b;d úYd, úh yelsh' fï ksid u;aøjH Ndú;h iïnkaOfhka ksl=;a flfrk ixLHdf,aLk j, i|yka m%udKhka b;d ksjerÈu tAjd fkdjk nj mejish hq;=h' b;d lk.dgqÞhl ldrKh jkafka u;AøjH Ndú;hg weíneys jQjkaf.ka nyq;rhla ;reK jhfia miqjkakka ùuh'

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jeä fofkla u;aøjH Ndú;hg fm<fUk jhia ldKavh - wjqreÿ 15-25 u;aøjH Ndú;d lrk msßia w;ßka ishhg ye;a;Ejla muK tA i|yd fhduqj we;af;a jhi wjqreÿ 15-25 w;f¾§ nj iólaIK uÕska ;yjqre ù ;sfí' fuu jhia iSudfõ§ uq,skau u;aøjH Ndú;hg fhduqù we;s Tjqka bka miqj th weíneys ùula olajd fhduqj ;sfí' flfia fj;;a fuu jhia uÜgfïoS u;aøjH fj; ;reK msßia fhduqùu i|yd n,md we;af;a ;j;a flfkl=f.a

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51

fm<Uùu nj iólaIK uÕska ;yjqre ù we;' fï ksid ;reK orejka isák foudmshka ;u msßñ orejka .ek úfYaI wjOdkhla fhduq l< hq;= ld,hl fï' u;aøjH W.=f,a iajNdjh u;aøjH fj; fhduqù we;s nyq;rhla u;aøjH Ndú;d lsÍfuka n,dfmdfrd;a;= ù we;af;a tA Tiafia ,nk W;af;ackfhka iudcYS,S ùug yels njg Tjqkaj fhduq l< ;eke;a;ka úiska lrk ,o jerÈ WmfoaYkhkah' ;reK fm< b,lal lr.ksñka fyfrdhska .xcdj,g wu;rj lD;%su u;aøjH iïnkaOfhka

52

August 2019

fuu ;;a;ajh b;d oreKqjg l%shd;aul fõ' uq,a ld,fha iq`Mfjka werfUk u;aøjH Ndú;fhka ;uka wfmalaId l< W;af;ackh" rih yd iudcYS,S ùug we;s yelshdj fkd,enqKfyd;a flfuka flfuka Ndú;hg .kakd u;aøjH m%udKho jeä lrkafka by; wfmalaIdj wruqKq lrf.kh' kuq;a wjidkfha ;ukag;a fkd±kqj;aju u;aøjHj, f.dÿrla njg ;reK orejka m;aj we;s nj ±kg mqkre;a:dmkh jkakkaf.ka ,o f;dr;=re wkqj meyeÈ,s fõ' kj fh!jKfha wkqlrKhg we;s jqjuKdj ksid;a u;aøjH W.=f,a isr fjkjd by; wdldrhg flfkl= ndysr n,mEulg wjk;j u;aøjH i|yd fhduqúh yelsjd fiau úfYaIfhka kj fh!jk jhfia§ orejka wkqlrKh lsÍug fm<öu ksido u;aøjH Ndú;hg yqreúh yelsh' tfia;a ke;akï hy`Mjl=f.a w;a±lSula w;ayÞ n,kakg hEu ksid;a u;aøjH Ndú;hg fhduqùug mq`Mjk' l=uk ldrKhla mokïj fyda flfkl= u;aøjH fj; áflka ál k;=ù th ke;sj neß ;;a;ajhg m;aùu Nhdklh' fuhska YÍrh u;aøjH yqreùu ^Drug Dependence& wjodkï iy.; ;;a;ajhls'

DOCTOR MAGAZINE

doctormagazine.lk

YÍrh u;aøjH yqreùu (Drug Dependence) fujeks ;;a;ajhg m;ajQ úg u;aøjH Ndú;h laIKslj k;r lsÍu úúO YdÍrsl .eg`M rdYshla we;sùug fya;=fõ' fï ksid kej;;a u;aøjH fj; fhduqùfï wjodkula mj;S' weíneys ùula olajd fï mqreoao ÿr È. hkafka fï ksidh' —uu kj;ajkak leu;shs' tA;a kj;a;.kak neyefka˜hs mjikafka tjeks whh' flfia fyda ;reK wjêfha§u flfkl= u;aøjH Ndú;hg yqreùu ;=<ska wkd.; Ôú;h iïmQ¾Kfhka w÷reùug fya;=úh yelsh' fï ksid ;reK orejka isák foudmshka ±kgu;a ;u orejd fujeks krl mqreoaolg fhdÿù we;akï bka uqojd .ekSug b;d blaukska lghq;= l< hq;=h'

hy`Mjl=f.a w;a±lSula w;ayÞ n,kakg hEu ksid;a u;aøjH Ndú;hg fhduqùug mq`Mjk' l=uk ldrKhla mokïj fyda flfkl= u;aøjH fj; áflka ál k;=ù th ke;sj neß ;;a;ajhg m;aùu Nhdklh' fuhska YÍrh u;aøjH yqreùu ^Drug Dependence& wjodkï iy.; ;;a;ajhls'

úúO iajrEmfhka tk u;aøjH u;aøjH hkqfjka i|yka lrk úg wmf.a u;lhg kef.kafka u;a l=vq fyj;a fyfrdhska jqj;a .xcd yd lD;%Su u;aøjH j¾.o wh;a jkafka fuu fldgigh' fyfrdhska Ndú;hg idfmalaIj wfma rfÜ u;aøjH Ndú;d lrkakkaf. ka jeäfofkla .xcd Ndú;hg yqreù isà' Bg wu;rj j;auka ;reK mrmqr w;f¾ lD;%Su u;afm;s wd§ øjHhka fiau T!IO jYfhka Ndú;d lrk mdk j¾.o u;aøjHhka f,i Ndú;d lsÍfï m%jK;djhla ;sfí' fï ish,a, Ndú;d lsÍfï wjika m%;sM,h by; i|yka l< lk.dgqÞhl ;;a;ajhhss' u;aøjH Ndú;hg yqrejQ wfhla y÷kd .ekSu t;rï wmyiq ke;' úfYaIfhka foudmshkag myiqfjka th isÿl< yel' ;u orejd ms<sn| fyd| wjOdkfhka isg my; ,laIK orejd fj;ska Èiajkafka kï b;d blaukska wjYH m%;sl¾u fhÈh hq;=uh'

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Tfí ;reK orejd;a u;aøjH j,g weíneys ùfï ±ä wjodkula æ

Drug abuse

fyfrdhska Ndú;fha .;s fidndj fyfrdhska Ndú;d lrk flfkl= uq,a ld,fha§ lEu wreÑh" u<noaOh jeks frda. ,laIK j,ska fm<sh yels w;r ;rula isysu| .;sho m< l< yelsh' §¾> ld,Sk Ndú;fha§ yDo lmdg wdY%s; frda. yg .eksh yel'

yd miqld,Skj fud<fha f,a .e,Sï mjd isÿúh yelsh' Tfí orejd fj;ska fujeks ,laIK m< jkafka kï mudùu miq;eú,a,g fya;= úh yelsh'

lxid Ndú;fha .;s fidndj lxid Ndú;d lrk wfhl=f.a yDo iamkaokfha fjkialï" weia r;=ù mej;Su meyeÈ<sj ±l .; yels ,laIKhls' u| isys úl,a .;sh ^wêl i;=g&" ld,h ms<sn| wjfndaOh ì|jeàu" is;Sfï ;SrK .ekSfï yelshdj wvqùu yd udxY fmaYSka j, Yla;sh ySk ù hdu fuys§ m%Odk jYfhka isÿúh yelsh' §¾> ld,Sk Ndú;fha§ Yajik moaO;sh wdY%s; frda." udkisl frda. yd m%;sYla;sh ySkù hdu jeks ;;a;ajhkag m;aúh yelsh' lD;%Su u;aøjH Ndú;fhka isref¾ WIaK;ajh by< hdu" wêlj oyÈh ±óu" yDo iamkaokh wl%uj;a nj 54

August 2019

DOCTOR MAGAZINE

orejdf.a ldhsl udkisl fjkila olskakg yelsfõ kï ie<ls<su;a fjkak by;ska i|yka l< frda. ,laIK iuÕ orejdf.a ldhsl udkisl fjkila olskakg yelsfõ kï fjkÞg jvd jeä ie,ls,a,la ±laúh hq;=h' úfYaIfhka weiqre lrk hy`Mjka" uqo,a Ndú;d lsÍu yd orejdf.a tf;la mej;s Èk p¾hdfõ fjkialï we;s jkafka kï tA ms<sn|j úfYaI wjOdkfhka isáh hq;=h' <uhd lsishï u;aøjHhlg yqreù we;s nj ;yjqre jqjfyd;a uq,skau l< hq;af;a orejdf.a f.!rjdorh ,nk jeäysá wfhla ,jd lreKq meyeÈ<s lr § orejd bka uqojd .ekSug lghq;= lsÍuh' tfia ke;akï mjqf,a ffjoHjrhd ,jd wjYH Wmfoia ,nd§ug §ug mq`Mjk' th;a m%;sM, Þhl fkdue;s kï WmdhYS,Sj orejd rcfha ms<s.;a WmfoaYk fiajdjla i|yd fhduq l< hq;=h' fuys§ orejdf.a leue;a; b;du;au jeo.;ah' leue;a; ,nd.ekSu ;rula wmyiq úh yels jqj;a tu wjia:dj meñfKk ;=re jeäysáhka bjis,sjka; úh hq;=h' j¾;udkfha fujeks u;aøjH j,g weíneys jQjka mqkre;a:dmkh lrk fm!oa.,sl wdh;k .Kkdjla we;s uq;a fuu wdh;k fj; orejd n,y;aldrfhka fhduq lsÍfuka wjidkfha uqo,;a wysñ ù foudmshka iïnkaOj orejd ;=< ffjrhlao cks; úh yelsh' fï ksid orejdf.a leue;a; we;sj ms<s.;a WmfoaYk wdh;k fj; fhduqúh yel' tfia fkdjqkfyd;a orejdg wu;rj úYd, uqo,lao ;ukag wysñ úh yelsh' thg fya;=j j¾;udkfha nyq;rhla fm!oa.,sl WmfoaYk wdh;k mj;ajdf.k hkq ,nkafka yqÿ uqo,a wfmalaIdfjka muKla ùu ksidh' DM

ilia lf<a ¦ uOqjka; niakdhl doctormagazine.lk

D•Magazine /

Arthritis

ksis m%;sldr lsÍfuka iuyr wd;rhsáia j¾. iqj l< yelshs

wd;rhsáia ksis m%;sldr lsÍfuka iuyr wd;rhsáia j¾. iqj l< yelshs ldhsl frda. úfYaI{ ffjoH flañkao ;s,lr;ak úisks

fndfyda fofkla wd;rhsáia frda.hla jYfhka ye`Èkajqjo wd;rhsáia lshkafk frda.hla fkfuhs' th frda.hl ,laIKhls' yßhg ysiroh jf.a' ysiroh;a frda.hl ,laIKhla ñila frda.hla jYfhka i<lkafk kEfk'''

doctormagazine.lk

wfma YÍrfha ´kEu ykaÈhl wd;rhsáia we;s jkak mq¿jka' fuys m%Odk ,laIK jkafka tu ikaêfha we;s jk fõokdj iy bÈuquhs' Bg wu;r ,laIKhla jYfhka iuyr úg tu ikaêh YÍrfha wfkla ;ekaj,g jvd WKqiqï jeä fjkak mq¿jka' fldfydu jqK;a nyq,j olskak ,efnkafk uq,ska lS ,laIK folhs' ;rndre whg wd;rhsáia yefokjdo@ isrer ;rndre fjk úg oKysiaj,g os.= l,la jeä nr m%udKhla ordf.k isàug isÿ fjk ksid" túg oKysi ikaêfha we;s ldáf,ac m`Mÿ ùfuka wiaÓ fol tlg .eàu isÿ fjkjd' fuys§ f,dl= fõokdjla oefkkjd' ta wkqj nr jeä flfkl=g Tiaáfhda wd;rhsáia yg .ekSug ;sfnk yelshdj isyska flfkl=g jvd jeähs' kuq;a nr jeä ùu fï frda.h yg .ekSug n,mdk tl idOlhla ú;rhs' ta wkqj wks;a idOl;a tl;= jqfKd;a nr jeä flfkl=g Tiaáfhda wd;rhsáia yg .ekSug myiq yelshdjla ;sfnkjd'

August 2019

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ksis m%;sldr lsÍfuka iuyr wd;rhsáia j¾. iqj l< yelshs

Arthritis

ikaêfha bÈuqula fyda WKqiqu njla fkdue;sj fõokdjla muKla oefkkjd kï th y`ÿkajkafka wd;/,aðhd (Artharalgiya) f,iskqhs' fuys§ ta .ek l;d lrkakg woyia lrkafka kE' wfma YÍrfha m%Odk ikaê j¾. folla ;sfnkjd' ñka m<uq j¾.h l=yrf.da, ikaêh (Sinoviol Joints). fï ikaêj, ldáf,ac iy ta jfÜg wdjrKhlao mj;skjd' óg WodyrK ;uhs oKysi" w; Wrysig iïnkaO jk ikaêh wdosh' wksla ikaê j¾.h *shsfn%daldáf,aðkshia fcdhskaÜia (Fibrocartilaginous Joints) kï fjkjd' fld`ÿ weg fmf<a lfYareld w;r ikaê óg WodyrKhls' fï ikaê foj¾.fhau wd;rhsáia yg .kakjd' wd;rhsáia yg .kak fya;= ² YÍrfha m%;sYla;slrK moaO;sfha fjkialï ksid ikaêj,g we;s jk widudkH n,mEu wd;rhsáia yg .ekSug tl fya;=jls' (Inflamatory Conditions) fï ;;a;ajhg fyd`o WodyrKhla jkafka reuefgdhsâ wd;rhsáia ;;a;ajhhs' fuys§ l=vd iy f,dl= ikaêj, b`Èuqu yd fõokdj we;s fjkjd' ² oKysi" Wl=,a wegh jeks f,dl= ikaêj,g reêrh yryd úIîc we;=,a ùfuka tu ikaê wdidokh ùu (Infections Conditions) f.dfkdaßhdj keue;s ,sx.dY%s; frda.h ksid tu nelaàßhd j¾.h we;=,a ù wdidokh ùfuka yg .kak f.dfkdfldl,a wd;rhsáia" laIh frda. úIîch ikaêj, yd lfYareldj, wdidokh ùfuka we;s jk àî wd;rhsáia wdÈh óg WodyrKhs' ² ldka;djkag wd¾;jyrKfhka miqj we;s úh yels oKysia" Wrysia" je<ñg" j<¨lr jeks ikaêj, we;sjk fõokdj b`Èuqu yd WKqiqï nj' fï ;;a;ajh Degenerative Conditions kï jk w;r fï ,laIK yg .kafka Tiaáfhda wd;rhsáia frda. fha§hs' fï frda.h ldka;djkag fukau msßñkag;a je<fokjd'

56

August 2019

DOCTOR MAGAZINE

² YÍrfha we;sjk ridhksl fjkialï (Metabolic Conditions) fï ;;a;ajhg WodyrKhla jkafka .jqÜ wd;rhsáia (Gout Arthritis) frda.hhs' YÍrfha yefok hQßla weisâ úúO fya;= u; ikaêj, ;ekam;a ùu ksid ld,hla hk úg oKysiaj,;a w;amd j, we`.s,s ikaêj,;a fõokd we;s ùu fuys ,laIKhs' ² yÈis wk;=rlska" ;on, myrla je§ulska jeks ;;a;ajhla u; ikaêhlg ydks we;s ùu ksid tys m%;sM,hla f,i yg .kakd wd;rhsáia fuh Traumatic Artharitis kï fjkjd fulS fya;=j,ska l=uk fya;=jla u; jQj;a wd;rhsáia yg .kak mq¿jka' frda.Ska tu ,laIK iu`. ffjoHjrhl= fj; meñ‚ úg frda. b;sydih ms<sn`oj úuiSula lrkjd' iuyr frda.Ska ;=< ;ukaf.a frda.hg wod< by; lS ,laIKj,g wu;rj WK" ikaêj, Woh ld,fha ;o .;shla we;sùu"

doctormagazine.lk

ta wkqj ikaê Wfoag È. yer .ekSu wmyiq ùu" ^oyj,a jk úg áflka ál u. weÍ hkjd& jeks ,laIK oelsh yelshs' frda. ,laIK j,g wkqj FBC, ESR jeks uQ,sl reêr mÍlaIK lr bka ,efnk m%;sM,j,g wkqj úfYaIs; mÍlaIK lsÍug ffjoHjrhdg isÿ fjkjd thska ;uhs frda.h .ek yßhgu ksYaphlg t<fUkafka' idudkHfhka wd;rhsáia yg .kafka uy¨ úfhaÈ lsh,d iuyrekaf. ms<s.ekSula ;snqK;a nd," ;reK" uy¨ hk ´kEu jhia ldKavhl flfkl=g wd;rhsáia ,laIK yg .; yelshs' Tiaáfhda wd;rhsáia jeäysá ldka;djkag iy msßñkag je<fok ;;a;ajhls' fldfydu jqK;a ;uka fj; meñ‚ frda.shdf.a wd;rhsáia j¾.h y`ÿkd.ekSfuka miq ta ms<sn`oj frda.shdj oekqj;a lsÍu ffjoHjrhd úiska isÿ lrkq ,nkjd' ta wkqj lrkq ,nk m%;sldr ms<sn`oj;a frda.shd oekqj;a l< hq;=hs' doctormagazine.lk

wd;rhsáia yeÿkg miafi iqj lrkak nE lshk u;h 100]lau ksjerÈ kE' wd;rhsáia j¾.h ksYaÑ;j y`ÿkd .;a;g miafi ksis m%;sldr lsÍfuka iuyr wd;rhsáia j¾. iqj l< yelshs' wms fï .ek;a l;d lruq' reuefgdhsâ wd;rhsáia m%;sldr u.ska md,kh l< yelshs' ta wkqj ksis f,i m%;sldr .ekSu ;=<ska frda.shdg idudkH Ôú;hla .; lrkakg yelshdj ;sfnkjd' Tiaáfhda wd;rhsáia m%;sldr u.ska frda.h md,kh flfrkjd' frda.h iys; ikaêh bj;a lr lD;Su ikaêhla ie;alula u.ska iú lsÍu óg ksYaÑ; m%;sldrhla' kuq;a fï ie;alu ñ, wêlhs' f.dfkdfldl,a wd;rhsáia yd àî wd;rhsáia fujeks wdidok ksid we;s jk wd;rhsáia j¾.fha§ wdidokh i`oyd fya;= ldrl jQ úIîch m%;sldr u.ska bj;a l< úg frda.h ksYaÑ;ju iqj fjkjd' yÈis wk;=re ksid we;s jk wd;rhsáia ikaêhg iq¿ ydkshla ù we;akï ie;alula u.ska h:d ;;a;ajhg m;a l< yelshs' .jqÜ wd;rhsáia YÍrfha hQßla weisâ jeä ùug n,mdk fya;=jg m%;sldr lr th bj;a l< úg frda.h uq¿uKska iqj fjkjd' wd;rhsáia fõokd kdYl we;=¿ fkdfhl=;a úfYaIs; jQ T!IO m%;sldr iy iuyr wd;rhsáia j¾.j,g jHdhduho lssÍug isÿfjkjd' È.= ld,Sk T!IO m%;sldr u.ska .eiag%hsáia" we;eï úg isrer ;rndre ùu" Èhjeähdj fukau we;eï úg Tiaáfhda fmdfrdaisia mjd w;=re wdndO f,i yg .ekSfï yelshdj ;sfnkjd' flfia jqj;a fï w;=re wdndO ms<sn`oj;a frda.shd oekqj;a lsÍu idudkHfhka isÿ flfrkjd' DM

August 2019

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57

D•Magazine /

Trigger finger weÕs,s keù ;sîfï frda.h

Trigger finger weÕs,s keù ;sîfï frda.h l;=ka w;r nyq, weÕs,s keù ;sîfï frda.hg ms<shï

.e

yekq msrsñ fldhs ldg;a je<¢h yels frda. ;;a;ajhla f,i Trigger Finger fyj;a weÕs,s keó ;sîfï frda.h ye¢kaúh yel' fomd¾Yjhgu je<£fï wjodkula ;snqK;a fuh ldka;djkag je<£fï jeä

58

August 2019

DOCTOR MAGAZINE

.d,a," lrdmsáh" YslaIK frdayf,a l%Svd ffjoH tAllfha T,sïmsla úfYaI{ l%Svd ffjoH ixL f;nqjkwdrÉÑ

m%jK;djla we;s nj fmkS f.dia we;' Trigger Finger frda.h we;sjQ úg tl weÕs,a,la fyda weÕs,s lsysmhla w;a, foig keù ;sîu m%Odk ,laIKh fõ' fufia keù ;sfnk weÕs,s h:d ;;a;ajhg m;a lsÍfï§ Tng th

doctormagazine.lk

;ksju isÿlr .; fkdyels w;r wksla w;ska wdhdifhka tu weÕs,s È. yeßh hq;=h' fuh ienúkau b;du;a fõokdldÍ w;a±lSuls' fya;=j- ikaê wi< we;s fmaYs m%odyhg ,laùu Trigger Finger frda.h we;s jkqfha weÕs,sj, ikaê wi, we;s mglhkays m%odysl ;;a;ajhla ^Imflamation) fya;= fldgf.kh' fuu frda.h b;du oreKq jQ úg weÕs,s kejQ miq kej; È. yeÍug fkdyels jk mߧ ysrù (Lock) ;sîug jqjo mq`Mjk' úfYaIfhka ksr;=rej w;ñg fud<jd isÿlrk ls%hdjkayS ksr; jk whg fuu ;;a;ajh kej; kej;;a isÿúh yelsh' óg wu;rj Èhjeähdj" wd;rhsáia jeks frda. ;;a;ajhka ksido fuu frda.h je<£fï jeä m%jK;djla mj;S' WoEik wjÈ jk úg weÕs,s j, ;o .;shla ±kSu m%Odk frda. ,laIKhls weÕs,s keù ;sîfï frda.fha§ ±lsh yels frda. ,laIK w;r WoEik wjÈ jk úg weÕs,s j, ;o .;shla ±kSu m%Odk ;ekla .kS' weÕs,s È. yeÍfï§ lsishï Yíohla we;sùu ;j;a frda. ,laIKhls' Bg wu;rj weÕs,a, w,a,g iú

doctormagazine.lk

jk ia:dkfha wêl fõokdjla fyda f.ähla jeks ;;a;ajhla we;sùu ;j;a frda. ,laIKhls'

ksr;=rej w;ñg fud<jd isÿlrk lsh % djkayS ksr; jk whg Trigger Finger we;sùfï wjodku jeähs' oshjeähdj yd wd;rhsáia we;s úg;a Trigger Finger we;s fjkak mq¿jka

August 2019

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weÕs,s keù ;sîfï frda.h

Trigger finger

úfYaIfhkau lS%vd ffjoHjrfhl= yuqù fï i|yd iqÿiq m%;sldr fj; fhduqùu b;d jeo.;ah'

b;du oreKq wjia:djl§ kï flfiaj;a È. yeÍug fkdyels mßoafoka weÕs,s isrù ;sîugo mq`Mjk' fufia ;oúh yels m%Odk weÕs,sjkafka uymg" ueo yd fjoÕs,a,h' fuu ;;a;ajh Wfoa mdkaor fukau hïlsis WmlrKhla w;ñg fud<jd we,a,Sfï§o we;sùug jeä wjldYhla we;' m%;sldrhg fmr frda.shdf.a idhksl b;sydih úuiSu b;d jeo.;a Trigger Finger frda. ;;a;ajh y÷kd.ekSfïÈ frda.shdf.a idhksl b;sydih úuiSu iy ksjerÈj mÍlaId lsrsu b;d jeo.;a fõ' fï i|yd l< yels m%;sl¾u rdYshla mj;sk w;r frda. ;;a;ajfha nrm;, nj u; tu m%;sldr l%u fjkia fõ'

60

August 2019

DOCTOR MAGAZINE

Trigger Finger m%;sldr l%u Trigger Finger frda.fhaÈ b;d id¾:l m%;sldr l%uhla f,i Taping m%;sldrh ye¢kaúh yel' Bg wu;ru T!IO mdkh" úfõlh yd WKqiqï iy YS; m%;sldr l%u (Ice or Hot ) b;d id¾:l fõ' tfiau keó we;s weÕs,a, i|yd Splint keue;s WmlrKh me<§u ;j;a id¾:l l%uhls' Bg wu;rj id¾:l jHdhdï l%u u`.skao fuu ;;a;ajh j<lajd.; yel' by;ska i|yka l< m%;sldr l%u wid¾:l jqjfyd;a muKla kslafYamK (Injection) m%;sldrhg fyda Y,Hl¾uhlg fhduqúh hq;=h' tA ;=<ska keù ;snQ wÕs,s h:d ;;a;ajhg m;alr.; yel' DM

ilia lf<a uOqjka; niakdhl

doctormagazine.lk

Wmßu is,a,r ñ, re'1490$-

DM

Advertorial iqfjka jefvkakg" iúh f.fkkakg hy.=K msß fmdaIKhla zzfm%daáfklaia f.da,aâZZ

iqfjka jefvkakg" iúh f.fkkakg hy.=K msß fmdaIKhla

zzfm%daáfklaia f.da,aâZZ

T

n fudn ÿjkakg mgka .;a od isg" Èfkka Èk jefvk ls%hdYS,s orejkaf.a Yla;s wjYH;d muKla fkdj" fm%daàka" úgñka iy Lksc ,jK wjYH;d l%ufhka by< hhs'

ls%hdYS,s orejkag jeä jeäfhka Yla;sh wjYH jk w;r jhi;a iuÕ flfuka jefvk mgl iy wiaÓj, ukd j¾Okhg ,jK iy úgñka uy;a odhl;jhla ,nd foa' Yla;s ckl wdydr fï wjêfha § jeä jYfhka ,ndÈh hq;= w;r" Yla;sh ksmoùfï mßjD;a;Sh ls%hdj,shg odhl jk úgñka B ixlS¾Kh wvx.= wdydr ms<sn|j;a jeä wjOdkhla ,nd Èh hq;=h' jefvk wiaÓ iy o;aj, ukd j¾Okhg le,aishï jeä jYfhka wvx.= lsß iy lsßuh wdydr" ;o fld< meye;s m,d j¾." yd,aueiaika jeks l=vd ud¿j¾. wdydrhg ,nd§u;a b;d jeo.;a fõ' fmr mdi,a wdrïNh;a iuÕ fmdä;a;kaf.a Ôjk rgdfõ jk fjkialï fya;=fjka wdydr .ekSfï rgdjka o fjkia fõ' mdi,a hdu wdrïNùu;a iuÕu ;jÿrg;a isÿjk Ôjk rgdfõ fjkiaùï" WoEik wdydr fõ,a uÕyeÍï" ksis fmdaIK ixhq;shla fkdue;s laIKsl wdydrmdk jeä jYfhka ,nd.ekSu jeks wjêu;a wdydr mqreÿ rdgdjkag wkq.;ùug fya;=ka fõ' foudmshkaf.a ld¾Hnyq, Ôjk rgdjka fuu ;;a;ajh ;jÿrg;a by< hdug ie<lsh hq;= f,i odhl fõ'

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doctormagazine.lk

zfm%daáfklaia f.d,aâZZ hkq laIKslj ms<sfh, lr .; yels (Instant) fmdaIK w;sf¾lhla f,i ksmojd we;s neúka c,h yer fjk lsisjla tl;= lsÍfï wjYH;djla fkdue;s neúka ld¾Hnyq, WoEikl§ myiqfjka ms<sfh, lr .; yels fmdaIK w;sf¾lhls'

fuf,i fmr mdi,a hk jhfia ÿjd orejkao" mdi,a jhfia ÿjd orejkao wl%uj;a wdydr rdgdjka yqreùu iq,Nùu oelsh yelsh' zzfm%daáfklaia f.d,aâZZ hkq tjka ld¾Hnyq, Ôjk rgdjka we;s mjq,aj, fmr mdi,a hk mdi,a hk jhfia miqjk orejkaf.a Yla;sh" fm%daàka" le,aishï hk úgñka wjYH;d imqrd,Sug WmldÍjk f,i ieliQ jir 60 lg wêl ld,hla YS% ,dxlSh ck;djf.a fi!LH yd ne`ÿkq fi!LH iïmkak ksIamdok ieuodu y`ÿkajdfok weiafg%daka iud.fï idvïnr bÈßm;a lsÍuls' tla zzfm%daáfklaia f.d,aâZZ ùÿrejlska lsf,da le,ß 173 la ;rï by< Yla;s m%udKhl=;a wjqreÿ 18 g wvq orejkaf.a ffoksl le,aishï wjYH;djfhka ^RDA& wdikak f,i 40] la imqrd,sh yels fmdaIK w;sf¾lhls' ;jo tla zzfm%daáfklaia f.d,aâZZ ùÿrejlska fm%daàka .%Eï 6'4 m%udKhla o" úgñka A, D, C, E, K iy úgñka B ixlS¾Kho flda,ska 28'8 mg m%udKhla ,ndfoa'

ms<sfh, lr.kakd wdldrh weiqrkh iuÕ imhd we;s yekao Ndú;lr yeÈ folla ^40g& ùÿrejlg oud.kak' W;=rjd ksjd.;a c,h iaj,amhla Bg tlalr fyd`Èka ñY% lr ;,mhla iod.kak' WKq c,h fyda W;=rejd ksjd.;a c,h ñ',s' 200 la olajd tl;= lr fyd`Èka ñY% lr.kak' YS; lsÍfuka fyda whsia leg lsysmhla tlalr .ekSfuka fmdâvka jvd;a leue;s rij;a mdkhla idod .; yel' Èjhsk mqrd msysá *duis" iqmsß fj<|ie,a j,ska re' 1"490$} la f.jd ñ,§ .; yels' DM ksIamdokh yd fnodyeÍu - weiafg%daka iud.u" wxl 688" .d¨ mdr" r;au,dk' ÿrl:k wxl

011 2148799 doctormagazine.lk

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Vitiligo

iqj l< fkdyels uq;a uekúka md,kh l< yels iqÿlnr

ksÜgdjg iqj l< fkdyels uq;a uekúka md,kh l< yels

iqÿlnr

iqÿlnr we;s wh fmdÿfõ uqyqKmdk wiSre;d fndfydauhs

64

August 2019

DOCTOR MAGAZINE

doctormagazine.lk

Ydlidr m%;sldr l%u j,g jvd ;rula fjkiah'

p¾u frda. úfYaI{ ffjoH wð;a m%ikak lkakka.r MBBS; MD(Dermatology) International Dermatology Fellowship (USA) SL& NSC Fellowship (Singapore) Diploma in American Academy of Aesthetic Medicine(A3M) Diploma in American Academe of Anti - Aging & Regenerative Medicine (A4M) Consultant Dermatologist & Specialist in Cosmetology

ú

á,hsf.da hkq b;sydifha wE; w;S;fha isg olakg ,enqKq frda.hla jk w;r fndfyda úg merKs YsIaGdpdr yd úúO wd.ï weoySï j, ifuys j¾K úhelS hdu ms<sn|j hï wdldrhl y÷kajd§ula olakg ,efí' fï iïnkaOfhka me/Ks;u fhÿï j,ska tlla jQfha —ls,dia˜ ^Kilas & fyj;a iqÿ mq,a,s uqjd f,i ß.a fõofha ±lafjk i|ykhs' iqÿ lnr frda.h i|yd jQ ngysr ffjoH úoHd m%;sldr l%ufhys uQ,sl isoaOdka;h jkafka j¾Kl ffi, úkdYh j<lajd" isÿjQ ydksh kej; ms<silr lsÍuhs' fuu m%;sldr l%uh fydañfhdam;s iy wfkl=;a

doctormagazine.lk

iqÿlnr frda.h .ek uQ,sl lreKQ iqÿlnr ksoka.; p¾óh frda.hla jk w;r fuys§ isÿjkafka YÍrfha úúO fldgiaj, j¾Kl úkdY ùuhs' l=vdjg yg .kakd iqÿ meye;s me,a,ï YÍrfha úúO m%foaYj, we;sù frda.fha jHdma;sh iu. iuyr úg uq¿ YÍrhu j¾Kl j,ska f;drúh yelsh' fndfyda úg fuu me,a,ï YÍrfha ksrdjrKh jQ m%foaYj, tkï uqyqK" fn,a, iy w;aj, yg .kakd w;r iqÿq meye p¾óh fldgia ;shqKq odrj,ska iukaú;h' iuyr wjia:dj,§ frda. fha jHdma;sh iu. flia iy YÍrfha frdau mjd iqÿ meye úh yelsh' l,d;=rlska iqÿ meye;s ,m uqL l=yrfha iy kdia l=yrfha we;=<; ±lsh yels w;r YÍrfha we;s w;S; ,m le<e,a mjd iqÿ úh yelsh' iqÿ lnr wfkfll=g fnda fkdjk w;r th Ôú; ;¾ckhlg n,mE yels frda.hlao fkdfõ' tfy;a fuu frda.h ±ä udkisl wd;;shlg m;a lrkakla jk w;r frda.Syq fndfyda úg ÿ¾j, fm!reIhla

iys; idxldfjka iy udkisl wjmSvkfhka fmf<k wh njg m;a fj;s' fuu frda.h ioyd ;ks ksYaÑ; fya;=jla ;ju;a fidhdf.k fkdue;s w;r úúO Wml,amkhka ta i|yd bÈßm;a lr we;' fndfyda m¾fhaIlhka fï frda.h i|yd fya;= f,i cdkuh m%;sYla;slrK moaO;sh wdY%s; iy iakdhq moaO;sh wdYs%; idOlhkaf.a tl;=jla olajd we;' iqÿ lnr frda.h we;s ùu úia;r lrk ,o w¿;au kHdh jkafka Tlaisldrl wd;;shhs'

idudkH mqoa.,hka w;r iqÿ lnr frda.sfhl= isák úg Tjqkag ±fkk m%Odk is;=ú,a,la jkafka wka wh ;uka foi my;a wdldrfhka mÍlaIdldÍ jk njhs' fuh iqÿlnr ksid we;sjk iudc ixldfjys ,laIKhla úh yelsh'

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iqj l< fkdyels uq;a uekúka md,kh l< yels iqÿlnr

Vitiligo

² wfkl=;a m%;sldr l%u j,§ fukau fuys§ o YÍrh mqrd wêlj mej;=Kq frda.h f;d,a iy weÕs,s j, fl<jr frda.hg k;=j ;sfí kï iqj lsÍu ÿIalrh' ² m%;sldr wdrïN lsÍug m%:u frda. ,laIK wkqj frda.h ks¾Kh lsÍu isÿfõ' iuyr wjia:d j,§ frda.h ;yjqre lsÍu i|yd p¾u fldgia ,nd .ekSu iy reêrh mÍlaId lsÍu isÿfõ' wefußldkq m¾fhaIlhkaf.a u;h wkqj mßjD;a;sh ls%hdjkaf.a m%;sm,hla f,i ffi, j, tl;= jk yhsv%cka fmfrdlaihsâ fuu frda.h ioyd m%Odk jHdêldrlhl= f,i lghq;= lrhs' YÍrfha wka;¾.; iuyr fm%daàk W!K;d úá,hsf.da frda.h we;s lsÍug;a th me;sÍug;a fya;= úh yels nj fidhd f.k we;' wdhq¾fõo ffjoH úoHd mxpl¾u m%;sldr l%ufha§ fuu fmdaIK W!K;d h:d ;;a;ajhg m;a lsÍug lghq;= lsÍu uQ,sl ms<sfj;ls'

66

August 2019

m%;sldrfha isoaOdka;h uq,ska i|yka l< wdldrhg fuys§ isÿjkafka m%;sYla;slrK moaO;sh kej; h:d ;;a;ajhg m;a lsÍuhs' uQ,sl m%;sldr j,§ isÿjkafka j¾Kl ffi, úkdY ùfï ls%hdj,sh kj;ajd fyda md,kh lr frda.h ia:dhs ;;ajhg m;afldg fojkqj j¾Kl ksmoùfï ls%hdj,sh W;af;ackh lsÍuhs' ² m%ÓM, wdrïN ùfï§ iu m<uqj ÿUqre meyehg m;a fõ' l=vd iqÿ meye;s me,a,ï m<uqj h:d ;;a;ajhg m;a jk w;r úYd, me,a,ï iqj ùug l,la .; fõ'

DOCTOR MAGAZINE

² YÍrfha frda.h msysá fldgia" th me;sr mj;akd iSudj iy frda.h we;s jQ ld, iSudj u; m%;sldr ² wdrïN lsÍu isÿfõ' frda.shdf.a idudkH ;;a;ajh" Èhjeähdj" ;hsfrdhsâ .%kaÓh wdY%s; ixl+,;d T!IO ks¾Kh lsÍfï§ ie,ls,a,g .kakd wfkl=;a idOlhkah' iqÿlnr frda.hg fhdod .kakd uQ,sl T!IO ² fldaáflda iaáfrdhsâia j¾.fha wdf,amk uQ,sl wjia:dfõ mj;sk iqÿ meye;s me,a,ï iqj lsÍug fhdod .kS'

doctormagazine.lk

iqÿlnr frda.fha wdldr

úYd,j me;sÍ mj;sk ,m i|yd iy l=vd orejka i|yd wvq iy uOHia: idkaø wdf,amk fhdod .ekSu fhda.H fõ' ² ThskaukaÜia f,i mj;sk gefld%,suia^Tacrolimus) msfufld%,suia ^Pimecrolimus& jeks T!IO u.ska úfYaIfhkau uqyqfKa iy f.f,a we;s iqÿ meye;s me,a,ï uq,skau h:d ;;a;ajhg m;a ùu isÿfõ' fndfyda úg fuu T!IO flá ;rx. wfOdarla; lsrK B m%;sldr l%uh yd tlaj fhdod.ekSu isÿfõ' ² fidr,ka ^Psoralen& kï jQ Ydl j,ska ,nd .kakd T!IO wfOdarla; lsrK A" wfOdarla; lsrK B iy f,air lsrK iu. fhdod .ekSu fuys§ isÿfõ' fuu l%u tlaj Ndú; lsÍu ;ks l%uhg jvd m%;sM,odhlh'

by; ioyka lrk ,o m%;sldr" l%ufõohka úfYaI{ ffjoHjrfhl=f.a wkque;shlska f;drj Ndú; fkdlrkak' frda.h wdrïN jkakg lsih s ï W;af;ackhla uq,a fjkjd hï idOlhla uq,a lrf.k iqÿlnr frda.h wdrïN jk nj nyq,j ms<s.;a u;hls' fuu ms<s.;a idOlhka

doctormagazine.lk

w;r jhsria wdidok" fydafudakh n,mEï ^.¾NKS Ndjh& ld¾ñl ksIamdokhkag fhdod. kakd iuyr ridhkslhka iy ifï iSÍï uq,a ;ekla .kS' fï ia:dk j, ifuys fjkialï jeähs YÍrh mqrd me;=reKq iqÿ lnr m%fNaoh YÍrfha ksr;=reju >¾IKhg ,lajk ia:dkhkayS m%Odk jYfhka olakg ,efí' WodyrK f,i ysia jeiqï" iaj¾KdNrK iy we÷ï wLKavj ifï .efgk ia:dk ±laúh yelsh' uekúka md,kh lrkakg mq¨jka iqÿlnr frda.h ksÜgdjgu iqj lsÍu

August 2019

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67

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iqj l< fkdyels uq;a uekúka md,kh l< yels iqÿlnr

Vitiligo

i|yd f,dj ksYaÑ; jQ T!IOhla ;ju;a fidhdf.k ke;s kuqÿ th md,kh lsÍu i|yd fndfyda T!IO Ndú; jkafkah'

iqÿlnr yg.kakd fya;=

iqÿlnr - frda.h md,kh lrkakg wdydr idOlh yßu jeo.;a

ks¾Kd,.; frda.

iqÿlnr we;s wh fyd|ska wdydr md,khla mj;ajd .; hq;=hs hym;a p¾óh fi!LHhla mj;ajd .ekSu i|yd fmdaIHodhS wdydr fõ,l we;s w.ho fuys§ i|yka l< hq;=h' Tn t<j¿ muKla wdydrhg .kakd ks¾uxY jQ wfhl= kï tfia lsÍu jrola fkdjk kuqÿ th iun, wdydr fõ,la úh hq;=h' Ydluh wdydr jk ksú;s" îÜrEÜ" w¾;dm,a" f.dajd" rdnq" f.dajd u,a j¾." fld< meye fndaxÑ wdydrhg .ekSu jeo.;a fõ' úfYaIfhkau lerÜ" iqÿ lnr frda.h me;sÍu je<elaùu i|yd Woõ jk nj úYajdi flf¾' r;= uia" W!re uia j,ska f;drjQ Wiia ;;a;ajfha fm%daàka wvx.= ud¿ iy ì;a;r wdydr fõ,g tl;= lr .; hq;=hs'

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August 2019

udkisl wd;;sh

ysre odyhg ksrdjrKh ùu

wdydr cS¾Kh wdY%s; frda.

m%fõKsl ;;a;aj

we;eï T!IO j¾. .ekSu

Tn tjeks wdydr j,g wlue;s kï l=l=,a uiaj, WoÍh fldgi" fïoh wju jQ l¿l=ï uia" ud¿ iy ldnksl ì;a;r ^.ï l=l=¿ ì;a;r& wdfoaYl f,i fhdod.; yelsh' wdydr ms<sfh, lsÍfï§ f;,a wju jQ iy ieye,a¨ f,i ms<sfh, lr.kakd jQ l%uhla fhdod .ekSu jeo.;ah' le,aishï wêl jQ m<;=re wdydrhg fkd.ekSu jeo.;ah' thg fya;=j jkafka wêl le,aishï" j¾Kl ksmoùfï ls%hdj,sh kj;d ±óuhs' wdydr fõ,g nyq, jYfhka *s.a^Fig&" wemaßfldÜ ^Apricort& iy b÷kq wU we;=,;a lsÍu jeo.;ah'

DOCTOR MAGAZINE

doctormagazine.lk

ldnksl wdydro wdydr fõ,g wvx.= ùu b;du;a fhda.H fõ' fï i|yd ldnksl ì;a;r" jl=.vq yeve;s fndaxÑ ^Kidney beans&" lv," y;= j¾. iy f,kaá,ia tl;= lr .; yelsh' ksõvq iys; OdkH j¾. wdydrhg tl;= fldg .ekSu;a CIKslj ms<sfh, lr .kakd ,o wdydr Ndú;hg fkd.ekSu;a jeo.;ah' fuu.ska .aÆÜka^Gluten& wêlj wvx.= wdydr mßfNdackhg .ekSu wju fõ' ksõvq iy,a" ;sßÕ= iy ksõvq bj;a fkdl< wfkl=;a OdkH j¾. wdydrhg tl;= lsÍu fhda.Hh' frdaiauÍ^Rosemery&" ;hsï^Thyme&" neis,a ^Basil& iy fld;a;u,a,s fld< ^Corianderm& wdydrfha ix>glhka úh hq;=h' lrdnq keá" l¨ .ïñßia" l=re÷" idÈlald" lr|uqx.= l=vd m%udK j,ska wdydrhg tl;= ùu w;sYhskau jeo.;ah' c,h YÍrfha we;s wmøjH neyer lsÍug uyÕ= ld¾hhla bgq lrhs' wdhq¾fõo u;h wkqj

doctormagazine.lk

iqÿlnr we;sùug fya;= iy ta ioyd jk m%;sldr iqÿlnr hkq l=ulao@ ifuys iajdNdúl j¾Kh wysñ ù we;eï ia:dk iqÿ ùu iqÿlnr we;s jk fya;= iuyrla

m%fõKsl ;;a;aj

wd;;sh

iajhx m%;sYla;slrK ;;a;aj

iqÿlnr i|yd m%;sldr

T!IO m%;sldr

fidrf,ka yd wdf,dal m%;sldr taldnoaOj isÿ lsÍu

ysre odyhg" we;eï ridhk j,g ksrdjrKh ùu

meyeh fjkia lsÍu

Y,Hl¾u

c,h ;U n÷kl nyd Ndú;hg .ekSu iqÿ lnr frda. fha me;sÍu md,kh lsÍug fhdod.kakd wvq úhoï iys; l%uhls' m<;=re hqI iy fmd,a j;=r Tnf.a ióm;u ñ;=rka lr .kak' tfy;a meÕsß l=,fha mdk j¾. ^foys" fodvï& Ndú;hg fkd.ekSu jeo.;ah' Èkm;d lerÜ hqI mdkh lsÍu iqÿlnr frda.h i|yd b;du;a .=Kodhlh'

August 2019

DOCTOR MAGAZINE

69

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iqj l< fkdyels uq;a uekúka md,kh l< yels iqÿlnr

Vitiligo

iuyr iqÿ lnr frda.Skaf.a úgñka î 12" fm%daàka" le,aishï" iskala iy ix;Dma; fïo wï, ^Tfï.d 3& W!K;d mj;S' ffjoH ks¾foaYh u; fuu wdydr w;sf¾l ,nd .ekSu jeo.;ah' fuu frda.h i|yd w;afnfy;a j¾. mdúÉÑ lsÍu fndfyda úg olakg ,efnkakls' tf,i fhdod.kakd tla ms,sfj;la f,dalh mqrd m%p,s;j we;s w;r iuyr wjia:d j,§ tu.ska blauka m%;sm, ,nd.;a frda.Skao olakg ,efí' fuu ir, ms<sfj; kï mdkSh c,h rd;S%h mqrd ;U Ndckhl ;nd WoEik Ndú;hg .ekSuhs' idudkH mqoa.,hka w;r iqÿ lnr frda.sfhl= isák úg Tjqkag ±fkk m%Odk is;=ú,a,la jkafka wka wh ;uka foi my;a wdldrfhka mÍlaIdldÍ jk njhs' fuh iqÿlnr ksid we;sjk iudc ixldfjys ,laIKhla úh yelsh' iqÿlnr frda.Ska uqyqK mdk iudcuh .eg¿ iudc ixldj ne¨ ne,aug ir, ,eÊcdYS,s nj f,i fmkqko tys

70

August 2019

DOCTOR MAGAZINE

doctormagazine.lk

uQ,sl isoaOdka;h jvd .eUqreh' m<uqfldg idudkH ;;a;ajhla f,i fuh ±kqko wjidkfha§ iudc jgmsgdjg w;suy;a NS;shla olajk jHdl+,;d úh yelsh' iqÿ lnr frda.Ska fndfyda úg fNdackd.drhg wdydr .ekSu msKsi hEug ue<slula olajkafka ;uka úiskau ;u frdaa.h wka whg ksrdjrKh lrkafka hehs yefÕk is;=ú,s ksidfjks' fuu is;=ú,a,u Tjqkag ±fkk wfkl=;a wjia:d jkafka iNdjl l:d lsÍu iy W;aij idohlg hdug wjYH jQ úgl§h' fï fya;=j ksid iqÿ lnr frda.Skag iudc in|;d b;d wvqh' fuh Tjqkaf.a fm!reIh" wdor iïnkaO;d" jD;a;Sh yd wOHdmk lghq;= j, m%.;sh flfryS ±ä f,i n,mdhs' iqÿlnr frda.Syq úúO YdÍßl frda. ,laIK w;a ú¢;s' fuf,i we;sjk jvd;a fmdÿ jQ frda. ,laIK jkafka fõ.j;a yDo iamkaok" udxY fmaYsj, wd;;sh" lerleú,a," ysiroh" wdudYfha ixl+,;d" Yajik wmyiq;d hkdÈhhs' fuu wmyiq;d iuÕ wfkfll=f.a újfÉkh iy wjudkhg md;% jqjfyd;a wjidkfha§ Tjqka udkisl wjmSvkhlgo ,la úh yelsh' doctormagazine.lk

.S;f,dfõ lsre¿ m<ka uhsl,a celaikag wjdikdj f.kdfj;a úá,hsf.da''' It was obvious that Michael’s skin grew more pale during the mid 1980’s. The media, in their frenzy to print anything Michael, without any proof, stated that Michael bleached his skin and changed his features to appear European.

“It is well documented that in 1986, Michael was diagnosed with Vitiligo and Lupus. Vitiligo is a chronic disorder that causes depigmentation of patches of skin. It occurs when melanocytes, the cells responsible for skin pigmentation, die or are unable to function.

The saying of Karen Faye, Michael´s long-time make up artist and friend “It started happening relatively early, he even was trying to hide it from me.. he tried to hide it for quite awhile. He’d always try to cover it with makeup and even out his skin tone until it got so extensive. It’s all over his body.

We were always trying to hide it and cover it for the longest time until he just had to tell Oprah and tell the world, ‘Listen I’m not trying to be white, I have a skin disease.’ In the beginning I tried to cover the light spots to match the darker part of his skin, but then it became so extensive that we had to go with the lighter part of his skin because his whole body was reacting…he’d have to be in complete full body makeup, every inch of his body. So it was easier to make the transition to him being to the lighter shade that he is.” DM

The Skin Clinic (Specialized skin, hair & cosmetic clinic) Karapitiya, Galle www.theskinclinic.lk info@theskinclinic.lk

August 2019

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71

oeka wfma rfÜ ujf.ka orejdg taâia fndajkafka kE'''

is*s,sia fnda fjkafk;a kE''' ,sx.dYs%; iy taâia frda. u¾Ok tallfha wOHlaIsld ,sx.dYs%; fnda fkdjk frda. ms<sn| úfYaI{ ffjoH ,s,dks rdcmlaI

YS% ,xldj HIV iy is*s,sia ujf.ka orejdg fndaùu ;=rka l< rgla ;;a;ajlrK iy;slh f,dal fi!LH ixúOdkfhka ,nd.ekSug kshñ;hs

72

August 2019

DOCTOR MAGAZINE

doctormagazine.lk

—;d;a;df.a lmdmq m¿j˜ —wïuf. isßhdjka; yskdj ÿjg;a msysg, ;sfhkafk ta úÈhgu˜ iuyre lshkafk ta ksidh'

All Sri Lankan HIV infected pregnant women who received treatment delivered uninfected babies during the last five years. This proves, the mother to child transmission risk can be eliminated through appropriate services.

doctormagazine.lk

"

orejka yg ;u foudmshkaf.ka Wreu jk fkal WreuhkayS iSudjla ke;' j;a-fmdfydi;alï we;s udmshkag odj Wmosk orejkag ta foafmd, iem iïm;a Wreu jk w;f¾" uõmsh Wreufhka ÿ.S ÿmam;alï j,g ysñlï lshk orefjdao fj;s' tfiau foudmshka i;= .=K hym;a lï" iQr-ùrlï ;uka i;= lr .kakg jdikdjka; jk orefjdao f,dalfha fndfyda we;'

2011 jif¾ isg wmf.a ,sx.dYs%; frda. idhk u.ska fï fiajdjka ,nd.;a ish¿u HIV wdidÈ; uõjreka HIV widokh fkdjQ ksfrda.S ì,s÷ka ìyslr we;' fuh wfma fi!LH fiajdj fiau wkd.; ore mrmqro ,o uy;a ch.%yKhla jkafkah'

fï ish¿ lreKq ldrKd ta wdldrhgu isÿjkjd fiau foudmshka fmf<k f,v frda.o we;eï úg orejkag Wreu jk nj wm ms<s.; hq;= fjhs' cdk yryd mrïmrdfjka mrïmrdjg Wreu fjñka hk frda.dndO /ilao fjhs' uõmshkaf.ka Wreu jk wjdikdj;a frda. HIV iy is*s,sia uE; b;sydih ;=< uq¿ f,dalhgu úYd, fi!LH .eg¿jlaj ;sfnk taâia frda.h uõjreka yryd orejkag Wreu úfï fÄokSh ;;a;ajho úi|d.; fkdyels .eg¿jla njg m;aj ;sìKs' foudmshkaf.a Wreufhka ta whg odj WmÈk orejkag fï frda.h iïfm%aYKh ùu b;du wjdikdjka; ;;a;ajhls' yirla fkd±k ìysjk lsßleáhdg f,dalfha ;sfnk oreKqu frda.hla Wreu lr §ug wïud fya;=fõ kï th fudk ;rï kï ne?reï jQ .eg¿ldÍ ;;a;ajhlao@ fï wjidkdjka; brKfuka ta wirK orejka fírd .ekSu i|yd f,dal fi!LH ixúOdkh úiska úi,a jEhula Èh;a flßks' ta óg l,lg by; isgh' Wmosk úg we;s jk r;s frda. j,ska orejka fírd .kakg f,dal fi!LH ixúOdkh ueosy;a fjhs fï hy wruqK fmr±ßj YS% ,xldfõ fi!LH wxYfhao úfYAIs; jQ jevigyka wdrïN flßks' HIV ffjrih muKla fkdj is*s,sia ^SYPHILIS& jeks iudc frda.o ujf.ka orejdg Wreu ùu je<elaùu fï n,.ekajQ

August 2019

DOCTOR MAGAZINE

73

D•Magazine /

oeka wfma rfÜ ujf.ka orejdg taâia fndajkafka kE''' is*s,sia fnda fjkafk;a kE'''

HIV

wfma ch.%dyS msh igyka''' fï ujf.ka orejdg taâia frda.h je<|Su md,kh lsÍu i|yd wfma fi!LH wxY wfmalaIs; b,lal lrd id¾:l .ukla meuK ;sfí' 2013 jif¾ isg .¾NKS uõjrekaf.a reêrh mÍlaId lrñka HIV wdidos; ±hs y÷kd. ekSu werôks' fï jk úg tÉ'whs'ù' iy is*s,sia wdidÈ; uõjreka

74

August 2019

"

jHdmD;s j, wruqK úh' fï jk úg wfma rg mqrdu ìï uÜgu olajd úys§ we;s Yla;su;a yd fyd¢ka ixúOdkh jQ ud;D yd <ud fi!LH fiajdj óg m%n, odhl;ajhla ,nd foñka isà'

.eí.;a iEu ujlau ;u orejdf.a ksfrda.S nj m%d¾:kd lrk nj wuq;=fjka lsj hq;a;la fkdfõ' flfkl= HIV wdidÈ; ujla ±hs ±k .ekSug fjk lsisÿ frda. ,laIKhla ke;' b;du kSfrda.sj isák ldka;djla i;=j jqjo fuu ffjrih ieÕj ;sìh yelsh'

i|yd .¾NKS wjêfha isg ore m%iQ;sh olajd iy bka wk;=rej;a wjYH ish¿u m%;sldr iy wfkl=;a fiajdjka ,ndfokafka ta whf.a fm!oa.,sl;ajh fiau ryiHNdjho Wmßufhka /flk f,ihs' wfma orejka wdrlaIs;hs 2011 jif¾ isg wmf.a ,sx.dYs%; frda. idhk u.ska fï fiajdjka ,nd.;a ish¿u HIV wdidÈ; uõjreka HIV widokh fkdjQ ksfrda.S ì,s÷ka ìyslr we;' fuh wfma fi!LH fiajdj fiau wkd.; ore mrmqro ,o uy;a ch.%yKhla jkafkah'

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fuu ld¾hh id¾:l lr .ekSu i|yd wm%;sy; ffO¾hfhka hq;=j lghq;= l< fi!LH wxY j,go uq¿ uy;a cd;sfhau m%Kduh ysñúh hq;= fiau fï ch.%yKh fmr f,iu mj;ajd f.k hdu i|yd iudcfhka úYd, iyfhda.hlao wjYH lr ;sfí' YS% ,xldj ;=< bmfok iEu ì,sf|lau ujf. ka orejdg wdidokh jk HIV, is*s,sia hk frda. j,ska f;drj fuf,dj t<sh ±lSu fï l¾;jHfha wruqKhs' zzYS% ,xldj HIV iy is*s,sia ujf.ka orejdg fndaùu ;=rka l, rgla'''ZZ doctormagazine.lk

f,i fuu jif¾§ ;;a;ajlrK iy;slh f,dal fi!LH ixúOdkfhka ,nd.ekSug iQodkï fjñka isà' 1952 jif¾ isgu .¾NKS uõjreka is*s,sia frda.h i|yd mÍlaId lrkq ,nk neúka fï jk úg is*s,sia frda.h wdidokh jQ orejka ìysùu iïmQ¾Kfhkau mdfya k;r ù ;sfí' ch.%yKh mj;ajd .ekSug ;jÿrg;a uõjrekaf.a lemùu wjYHhs úYD, lemlsÍï yryd wfma rg ,nd ;sfnk fï f.!rjKSh jQ ;;a;ajh ta f,igu wdrlaId lr .ekSug kï ;reK uõjrekaf.a iyfhda.h w;HdjYHh' rg mqrd msysá ish¿u ud;D idhk j,§ uõjreka fï ms<sn|j ±kqj;a lr Tjqkaf.a wkque;sh iys;j HIV iy is*s,sia frda. îc YÍr .; ù we;a±hs uQ,sl mÍlaIK isÿ lrkq ,nhs' fï ish¿u mÍlaIK iy fiajdjka fkdñf,au ,nd .; yelsh' tfiau ta whf.a fm!oa.,sl;ajh iy ryis.; Ndjho Wmßufhkau wdrlaId lr §ug fï fi!LH wxY lem ù ls%hd lrk njo lsj hq;=uh'

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oeka wfma rfÜ ujf.ka orejdg taâia fndajkafka kE''' is*s,sia fnda fjkafk;a kE'''

HIV

fï jk úg fm!oa.,sl wxYfha orejka ìyslrk uõjreka mjd fuu mÍlaIK j,g fhduq lrjk f,i wod, wxY ±kqj;a lr ;sfnkjd fiau tajdfha m%.;sh úuid ne,Sïo ksrka;rfhka isÿfjhs' .eí.;a iEu ujlau ;u orejdf.a ksfrda.S nj m%d¾:kd lrk nj wuq;=fjka lsj hq;a;la fkdfõ' flfkl= HIV wdidÈ; ujla ±hs ±k .ekSug fjk lsisÿ frda. ,laIKhla ke;' b;du kSfrda.sj isák ldka;djla i;=j jqjo fuu ffjrih ieÕj ;sìh yelsh' tneúka ujla ùug isák iEu ldka;djlau ta .ek wjOdkh fhduq lr iafõÉPdfjkau wod, mÍlaIK j,g fhduq ùu w;sYhskau jeo.;a fjhs' iEu ujlau reêr mÍlaIKhg fhduq ùu jeo.;a fuu mÍlaIK j,g fhduqùfuka flfkl=g lsisÿ w.;shla isÿjkafka ke;' th idudkHfhka fï jk úg iEu .eí.;a ldka;djlgu isÿ lrkq ,nk ;j;a tla reêr mßlaIKhlau muKs' ;uka lsisu ojil fkdis;+ úre f,i fujeks frda. îchla ;uka ;=< ;sî th lsßleáhdgo Wreu lr fok mdm l¾ufhka ñ§ug we;s tlu l%uh kï fï mÍlaIK j,g iyh ,nd§uhs' th wkd.;fha HIV iy is*s,sia j,ska f;dr mrmqrla ìys lsÍfï jeo.;au wä;d,uhs' wfma rfÜ taâia ;;a;ajh wfma rfgka jd¾;d.; uq,au tÉ'whs'ù wdidos;hd y÷kd.kafka 1987 j¾IfhaoSh' 2018 iema;eïn¾ jk úg jd¾;d.; uq¿ taâia frda.Ska ixLHdj 3"117la njg m;a úh' wfma rfÜ ck.ykfhka iuia; wdidos;hka ixLHdj ishhg 0'02la muKla jk w;r fuh ie<flkafka HIV wvq jd¾;d ùula iys; rgla jYfhks' fï frda.hg k;=jk wfma mqrjeishka i<lk l< Tjqka ldKav lsysmhlg wh;a fjhs' ldka;d ,sx.sl Y%ñlhka" msßñka yd ,sx.slj tlajk msßñka" fjr<dY%s; orejka yd u;aøjH j,g f,d,a jQjkah'

HIV wdidos; ldka;djkag isÿ lrk m%;sldr wfma rfÜ ldka;djkaf.ka orejkag isÿjk HIV wdidok je<elaùu iïnkaOfhka uq,skau fhduq jQfha 2002

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j¾IfhaoSh' l%udKql+,j ixúê; jevigykla fia m%j¾Okh flreKQ fï jHdmD;sh 20103 j¾IfhaoS jvd;a ;sridr f,i l%shd;aul lsÍu n,.ekajqKs' fï wkQj ish¿u .¾NsKS ldka;djka HIV ffjrih iïnkaOfhka mÍlaId lsÍu fukau wdidos;hkag m%;sffjri m%;sldr wdrïN lsÍu isÿúh' b,lalh jQfha HIV wdidos; ffjri m%udKh orejd ìysjk wjêh jk úg yels;dla wju lsÍuhs' fuu.ska Wmosk orejka HIV wdidokfhka úhqla;j Wm; ,eîfï by< m%ia:djla ysñ jkafkah' fï wdldrfhka lghq;= lsÍfï m%;sM<hla jYfhka miq.sh jir my uq¿,af,au uj HIV wdidos;fhla jQj;a Wmosk orejka tfia fkdùu buy;a ch.%yKhla fkdfõo@ DM úfYaI{ ffjoH ,s,dks rdcmlaI uy;añh YS% ,xldfõ ls%hdlaul tÉ'whs'ù'iy is*s,sia ujf.ka orejdg fndaùu ;=rka lsÍfï jevigyfka cd;sl iïnkaëldrl yd ,sx.dYs%; iy taâia frda. u¾Ok tallfha wOHlaIsldj jYfhka l%shd lrhs'

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NINEWELLS Ninewells Aesthetic & Cosmetic Centre Unveils To The Public

NINEWELLS A Lifetime of Care

NINEWELLS AESTHETIC & COSMETIC CENTRE UNVEILS TO THE PUBLIC Discover the best aesthetic beauty treatments in the Island

The newest addition to the array of services offered by Ninewells Hospitals was unveiled to the public last week and was declared open by Mr. Sumal Perera, Chairman Access Group of Companies. Aesthetic & Cosmetic Centre by Ninewells (ACC) is a fully fledged state of the art facility that offers a range of skin, hair and body treatments with the aim of empowering people of all ages to embrace and celebrate their life to the fullest.

Being situated within a hospital premises, ACC contains the advantage of a collegial environmental of support as well as close links to other specialties offered by the hospital, which gives an added assurance of safety to its clients.

ACC is equipped with Lumenis, the renowned and leading brand for aesthetic and cosmetic related machinery in the world and hence positions themselves as the largest and most advance aesthetic and cosmetic

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center in the country. This feature allows the center to make available an array of procedures through the integration of Laser Technology to offer Laser Hair Removals, Stretch Mark removals, Skin Resurfacing and more.

include Face and Body Contouring, Breast Augmentation/ Reduction and Liposuction and Mommy Makeover. The Aesthetic & Cosmetic Centre is located at the 10th Floor, East Wing of the Ninewells building is geared to maintain the highest level of privacy and confidentiality of their clients through personalized services. Its ambiance and setting is bold and luxurious ensuring superior comfort and relaxation to its clients at all times.

The treatments at ACC includes a range of NonSurgical procedures such as, Platelet Rich Plasma, Chemical Peel, Botox and Fillers; while some of the Surgical procedures

More information about the Centreâ&#x20AC;&#x2122;s offerings can be obtained by contacting their dedicated hotline 0112049907 or by visiting their website www.ninewellshospital.lk. They are also accessible via their Instagram page ninewells_acc_lk and via the Ninewells Facebook Page. DM

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uqyqKQfmdf;a lvjiï ;reKhdg yiqjQ foore ujf.a l;dj''''

FACEBOOK FACES NEW DILEMMAS

uqyqKQfmdf;a lvjiï ;reKhdg yiqjQ foore ujf.a l;dj'''' fkdokakd whf.ka tk ßlafjiaÜ j,g ñ;=reoï f.dvk.d.kafka fndfydu mßiaifuka FACEBOOK FORCES INDIVIDUALS, COUPLES, AND ENTIRE FAMILIES TO FACE BRAND NEW DILEMMAS. RISE IN FAKE FACEBOOK ACCOUNTS IS CERTAINLY ALARMING. FACEBOOK REMOVED 2.2 BILLION FAKE ACCOUNTS THIS YEAR. SOME INDIVIDUALS ARE PURPOSELY HANDLING FAKE FACEBOOK ACCOUNTS TO DESTROY WOMEN.

ksYdka; je,swx. úisks ^BSc&'

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August 2019

iqÿ " flÜgq" Wi" frdai fmdÜgqjla jf.a fof;d,la we;s weh ms,smSk cd;sl ldka;djls' ug weh uqK .eiqfKa óg jir lsysmhlg fmr uqyqKq fmdf;ka wyïfnks' oek y÷kdf.k ál Èklska weh ud;a iu. ks;r ks;r fodvu¿ jkakg mgka .;a w;r Èk lsysmhla f.fjk úg wef.a fyd|u ñ;=rd ud njg m;a úh'

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wvq jqKd' ál ld,hlska ta l;dny ke;a;gu ke;s jqKd' udihla folla .shdg miafia fï .eyeksh ug kej; l;d l<d' ta uf.ka Woõjla b,a,f.k''' ug miafia uqK uqK .eiqkq ñ;=rd .ek weh wf;drla ke;sj lshkak mgka .;a;d' Tyq fjk;a rgl msßñfhla nj" b;d lvjiï Ok l=fõrfhl= nj'' weh ne,Sug Tyq ms,Smskfha zfianq isà fj; meñfKk nj''' Tyq yuqjg hEug weh pls;fhka fmf<k nj"''' l=ula lrkakoehs fkdf;afrk nj'''

—iEu mqoa.,fhl=u ojilg wvqu ;rñka úkdä mylaj;a fudavfhl= f,i yeisfrhs'''˜ ta óg jir iShlg muK fmr Okd;aul Ñka;lhl= lshQ" wog;a fm!reIj¾Ok f,aLlfhda foaYlhka ks;r ;u foaYkj,§ f.kyer olajk woyils'''' kuq;a wo ;;a;ajh Bg yd;amiskau fjkia fiah''' wm ojig jrla fkdj lsysm jdrhla fudavhka f,i yeisfrk nj fmfka' ojfia fndfyda ld,hla iudc udOH cd, j, ießirk äðg,a .eyekqkag kï ta ixLHdj" Bg;a jvd jeähs' wfma l;d kdhsldj" fï ms,smSk ldka;dj f,dalfha wfkl=;a fndfyda ldka;djka fuka uqyqKq fmdf;ka y÷kd .;a msßñka Wmßufhka úYajdi lrk ;eke;a;shls' weh Tjqka bÈßfha ish,a, È. yßkjd''' ;ukaf.a Ôú;h''' Ôú; wNHka;rh .ek''' ;u mqoa.,sl;ajh mjd''' ÿl i;=g yeu fohla .eku''' újD;j l;d lsÍu wef.a mqreoaola' fï ldka;dj ojila wehg w¨‍;a hd¨‍fjla uqK .eiqKq nj ud iu. mejiQjd''' Bg miafia ud;a tlal l;d ny

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weh uf.ka me;=fõ Wmfoila''' weh ore fofokl=f.a ujla'''' ieñhd;a ksjfia isákjd''' ta;a wr uqyqKq fmdf;a ñ;=rdg;a ys; hkjd''' weh fkdlshd lSfõ talhs' uu lsõjd fldalg;a Tyqf.a PdhdrEm fol ;=kla tjkak lsh,d' weh ksjerÈhs'' Tyq Okjf;la" ta jf.au yßu lvjiï''' uu Pdhdrem foi úuis,af,ka n,kak jqKd' ug fmdä ielhla we;s jqKd''' k¿fjla jf.a ,iaik fï jf.a Okj;a ñksfila ms,smSkfha bkak fï ÿmam;a .eyeksh n,kak ùid .yf.k fudlg tkjo lsh,d@ fudlo Tyqf.a

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Okj;aNdjfhka Thsg jeäh ,iaik .eyekqka ;ukaf.u rfgka ´k ;rï fydhd .kak mq¿jka''' ta;a wdorh lshkafka wuq;=u fohla''' tfyu ne|Sï fkdfjkak;a neß lula ke;=jd fkdfjhsfka''' uu kej;;a Tyqf.a mska;+r foi ne¨‍jd' mqÿfï lshkafka ta lsisu PdhdrEmhl fyjke,s keye''' t<suyfka" ojd,l''' uy mdf¾ b|,d .;a; jqK;a fyjke,s keye' zztlaflda fï hld fyd,aukla" ke;skï

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f*dfgdafIdmaj,ska täÜ lr,d'''ZZ uu iQï lrd Wmßu''' mslafi,a j, .eg¨‍jla keye' ta lshkafka lE,s yhs lr,d keye' PdhdrEm we;a; tajd''' lD;s%uj yomq tajd fkfuhs' úia;r ug ;j ´fka" ta lshkafka profile tfla screen fIdÜ tlla'''' weh iefkka th ug tõjd''' weh lsõjd yß' uu Tyqf.a ghsï ,hska tfla ießierejd'''Tyq ;=¾ls cd;slfhla' uqi,audkqfjla' k¨‍fjla jf.a ,iaikhs' lymdg weÕ" W;=rkak i,a,s" ueÈ jhi''' ñ, wêl jdyk lsysmhlau ysñhs'''''' fï ldka;djf.a idudkH ms,smSk .eyekshla" l=vq .yk" ish¿ Okh úkdY lr" oeka wegiels,a,la fj,d bkak ;u fudav ieñhg jvd Tyq fld;rï kï jeo.;ao@ Tyqf.a n,dfmdfrd;a;=j wehj Tyqf.a rgg f.k hduhs''' weh fkdlshd ug lSfõ thhs' —ug ál fj,djla ´fka'''˜ uu wehg tfyu lsh,d Tyqf.a profile tlg ;j ÿrg;a ßx.,d úia;r

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tljqkaÜ tfla bkafka profile mslap¾ tlg wod, ienE msßñhd kï" Tyqg yx.kak fohla ke;skï" tlyudrla kE Tyq ziska .dkfldg ùäfhda flda,a tlg tkjd''' Tyq fndre ldrfhla kï" ùäfhda flda,a tlg fkdtk fya;= odyla lshñka fIama tfla fIama fjkak n,kjd'''' tÉprhs ææ

fydhkak mgka .;a;d' ielhla we;sfjk lsisjla tys keye' tljqkaÜ tl;a mrKhs''' ta lshkafka wjqreÿ fol ;=kla mrK tljqkaÜ tlla' fndfyda úg fake .sKqï j, ;sfhkafka wvq wdhq ld,hla''' ta lshkafka .sKqu yo,d ;sfhkafka udfilg follg ú;r l,ska" kuq;a fïl tfyu fkfuhs' ms,smSk ÿmam;a .eyekshf.a jdikdjo@ ore fofokd oud weh Tyq iu. ;=¾lshg hdúo@ ta;a tys fyjke,s ke;s cdhdrEm lsysmhlau ;snqKd''' fldfyduo tal tfyu fjkafka''' álla fj,d hkfldg ug f;areï .shd fï mska;+r .kakfldg y;rjáka *a,EI¾ .y,d ;sfhk nj''' Th wms újdy W;aijhl u.=,a mska;+r .kakfldg jf.a'''' t;fldg fyjke,s jefgkafka kE''' wvq .dfka ;ukaf.a kyfha fyjke,a,j;a kE'' fï ñksyd tlaflda k¿fjla ke;skï ‍ksrEmk Ys,amsfhla''' y;rjáka l=v by<f.k wl=Kq .ykjd jf.a *a,EI¾ .y,d mska;+r .kafka Tjqka" idudkH wms ljodj;a tfyu lrkjdo@ ielh ksjrÈhs'' uu ghsma l<d .+.,a .sys,a,d i¾É ‍fndlaia tfla fukak fufyu''' Top ten turkish actors lsh,d''' túg .+.,a ug ;;amfrka fmkajkjd The Top 10 Hottest Turkish Actors ,siaÜ tl'''' fukakæ wr hld bkakjd ta ,siaÜ tfla m<fjkshguæ Tõ ta PdhdrEmhg ysñlï lshk yenEu mqoa.,hd 2014 jif¾ ;=¾lsfha w;sYh ckm%sh Ñ;%má iy fg,skdgH k¿fjla''' Kenan Imirzalioglu Tyqf.a kuæ Tng leu;s kï .+.,a .syska fï ku ghsma lr,d Tyqf.a PdhdrEm we;s ;rï krUkak mq¨‍jka' we;a;gu fj,d ;sfhkafka fukak fïlhs''' wfma rfÜ fldfya yß uq,a,l bkak wmamqydñ flfkla fyaud,af. yß ke;skï ix.laldrf.a yß photos wrf.k fydr .sKqula yokjd fmdIa kula od,d''' wkak ta jf.a fohla ;uhs fj,d ;sfhkafka''' Bg miafia tflka f,dafla bkak .Ekqkag ßlafjiaÜ odkjd'''' f;afrkjdfka jefâ''' wr mqoa.,hka ckm%sh

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ksid wjYH ;rï PdhdrEm wka;¾cd,fhka nd.; lrkak mq¨‍jka' bx.%Sisfha ;sfhk ish¨‍ l=Kqyrem foid n,d weh Tyqj íf,dla l<d''' uu wehg lsõjd tfia fkdlr lsisjla fkdokakd .dkg isg" B<.g tk fmdg fudllao lsh,d n,kl,a bjimka lsh,d''' kuq;a weh Bg ijka ÿkafka kE''' ud lshQ f,iu weh lsisjla fkdokakd f,ig ysáhd kï fï l;dj óg jvd rij;a fjkak ;sínd''''' wjdikdjka; úÈhg ta l;dj t;kska wjika jqk;a fï .eyeksh ;j;a udihla folla .sh ;ek kej; fujeksu jHdc ñksfil=g wiq jqKd' ta ñksyd mlsia;dka ldrfhla' ta l;dj fjk ojil lshkakï''' uu fï l;dj lsõfõ ,xldfõ Tng;a" Tfí Èh‚hg;a" Tfí ñ;=ßhg;a" iuyr úg Tfí ujg mjd úfoia rgj,ska tk fujeks jHdc fmïj;=kaf. ka .eyeg úÈkak yels ksihs' Tjqka iqlaIuhs" lmáhs''' olaIhs''' t*a î tflau we,s,d .e,s,d Wka okakjd weu laI‚lj .s,skafka ljqo lsh,d'' fkdfhl=;a fya;= lsh,d Tfnka i,a,s lvd .kak mq¿jka''' ta jf.au Tnj ,iaikg rjÜgkak;a Tjqka okakjd'' ld¾ tlla .kak wjYH fvd,¾ m%udKh udfilska follska ,xldjg tjkakï lsõfjd;a zwfka m, iqoaodæ lsh,d Tn kslx b§o@ Tjqka okakjd .eyekq wkaok úÈh''' äðg,a W.=,aj, .eyekq ysrlrk yeá''' wyq jqfkd;a äðg,a .eghlg tal ,syd .kakjd kï fndre'' äðg,a f;dKavqjlg Tfí f., isrjQjdg miq ksrej;a PdhdrEm" ùäfhda tjk f,i í,elafï,a lrkak mq¨‍jka''' Bg miafia Tjqka tajd fmdaka úäfhda j, wdishdkq leg. ßhg tl;= lrkjd''' lK.dgqjg lreK fïlhs''' tfyu fohla .eyekshlg jqkdu ldgj;a fkdlshd ;uka ;ksj wv,d ish,a, úo ord .kak tlhs''' tal ksid fujeks w¨‍;a wka;¾cd, f.aï m%isoaO fjkafka kE''''tajd fufyu fjkak mq¨‍jkao lsh,d ljqrej;a úYajdi lrkafk;a kE'''

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2014 isg 17 olajd jir ;=kl§ úfoia rgj,a .Kkdjl .eyekq .ek uu fydhd .;a; fï jf.a tlsfklg fjkia l;d fmd;la ,shkak ;rï f.dkakla ug ;sfhkjd' fldhs rfÜ isáh;a fïjd fmdÿ foaj,a''' wmsg;a fjkak mq¿jka'' bka wfma iudchg hula Èh yels l;d uu fyñka lshkakï''

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kdÿkk msßñ ;u ñ;=re ,ehsia;=fõ isákjd kï" tjeks ñ;=rka iu. Tn l;dny lrkjd kï" ta fyñka mgka .;a l;dny fkdoekSu ÿr È. hkjd jf.a kï" f.d¿fn,a,d jf.a Tyq ojiu ;uka tlal we,ú,d bkak try lrkjd kï" peÜ lrñka isák úg Tyq lsisfia;a n,dfmdfrd;a;= fkdjk fudfyd;l tl ;;amr lsysmhlg muKla ùäfhda flda,a tllg hkak' ;ukaf.a uqyqK Tyqg fmkaùfï hï wmyiqjla fõ kï f;dmamshla" ika .a,dia folla neß kï wïn,kaf. dv rElvhla yß odf.k uqyqK jid .kak' '''' m<uq ùäfhda weu;=u .ekSug ;rï Tn tä;r ke;skï Tyqf.ka úuikak tl ;;amr oyhlg Tyqf.a uqyqK ùäfhda tllska olskak wdihs lsh,d''' úfoia .eyekq fndfyduhla oeka oeka fï l%uh okakjd" úkdä oyhla peÜ l< iekska Can I see you in video call@ Even just a second æ hehs mjikafka fï fya;=j ksid'''' we;a;gu fï l%ufhka wlal,d jf.a" kx.s,d jf.a" iu,sx.sl .eyekq jf.a rÕmdñka fydr tljqkaÜ yodf.k .eyekq iu. f;dfod,a fjkak tk whsh,d" wkal,a,d fukau iQá u,a,s,d .ek jqK;a i;H úia;r fudfyd;lska fydhd .kak Tng mq¨‍jka'''

uqyqKqfmdf;a l+g ñksiqka fï úosyg y÷kd.kak uqyqKq fmdf;a fujeks jHdc mqoa.,hka wÿkd .kak l%u lsysmhlau ;sfhkjd''' ta iEu l%uhlau lshkak .sfhd;a fuh kjl;djla fjkjd''' tal ksid jeo.;au iy fláu l%uh ú;rla lshkakï''' úfoaYSh fyda foaYSh l=uk fyda fmr fkdokakd

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tljqkaÜ tfla bkafka profile mslap¾ tlg wod, ienE msßñhd kï" Tyqg yx.kak fohla ke;skï" tlyudrla kE Tyq ziska .dkfldg ùäfhda flda,a tlg tkjd''' Tyq fndre ldrfhla kï" ùäfhda flda,a tlg fkdtk fya;= odyla lshñka fIama tfla fIama fjkak n,kjd'''' tÉprhs ææ ^i;H .sKqu ysñ mqoa.,hd jqj;a" iShg tla ,laI jdrhla Tyq úYajdijka; jqj;a lsis Èkl ;ukaf.a w;sYh fm!oa.,sl PdhdrEm" bkafndlaia lrkak tmd''' tys we;s Nhdkllu fldmuKo hkak i;H l;d iu.ska fjk;a fld<ulskau lshkakï æææ& DM

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Orthodontics ukrï iskyj wE;a lrjk úl,dx. .eg¿

ukrï iskyj wE;a lrjk úl,dx. .eg¿ mqxÑ ikaof s hau m%;l s dr .ekSfuka .eg¿ we;s ;eka myiqfjka úi|d.; yelshs f.ù.sh uehs 15 jkod —cd;Hka;r úl,dx. uqL fi!LH Èkh ˜ ^WORLD DAY&iurkakg fhÈks' idudkH —uqL fi!LHh ˜ .ek ±kqj;a jqjo" wm iudch ;=< fï — úl,dx. uqL fi!LHh hkq t;rï l;d nyg m;a fkdjQ tfiau m%p,s; fkdjQ ud;Dldjls' uqLfha úl,dx.;d lshQ úfgl fndfyda whg isysjkafka o;a bÈßhg fkrd tau" o;a w;r ys±ia msysàu jeks b;d ir, .Kfha uqLh wdYs%; .eg¿ muKla jqjo tajd bka Tíng úys§ .sh b;d mq¿,a mrdihla .kakd .eg¿ /il tl;=jla f,i fï úIh oelaúh yel ' ñksiqka fndfyda fofkla fï .ek t;rï fkdokakd fiau Wkkaÿ fkdùu ksidu b;du myiqfjka m%;sldr ,nd j<lajd .; yels uqLfha" o;aj, widudkH;d''' nrm;, .eg¿ olajd j¾Okh lr .kS' ta ksidu ;reK úhg t<fUk fï .eg¿ iys; fndfyda wh iqkaor iskyjl Wreuh wysñlr .kafka b;du wjidkdjka; f,ih'

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úl,dx. oka; ffjoH ix.ufha iNdm;s" úfYaIdx. úl,dx. oka; ffjoH" fla'mrka;ud,sx.ï

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úl,dx. oka; m%;sldr j,g l=vd ikaosfhau orejd fhduq l< hq;af;a wehs@ orejka l=vd wjêfha§u uqLfha iq¿ fjkialï" wdndO y÷kdf.k úl,dx. oka; m%;sldr lrd fhduq lsÍu foudmsh jeäysáhkaf.a hq;=lula fjhs' iudch fï .ek fudk ;rï kï fkd±kqj;a ±hs meyeÈ,s lsÍug fï ixLHd f,aLk Tng Woõ lrkq we;' —2015-2016 cd;sl uqL fi!LH iólaIKhg wkqj lshdmdkafka ,xldfõ doctormagazine.lk

fjfik wjqreÿ 12 la muK jhfia miqjk orejkaf.ka ishhg 16la wksjd¾h m%;sldr wjYH jk o;a yd ykq wdYs%; úlD;s;djhkaf.ka mSvd ú¢ñka isák njhs'˜ o;aj, msysàu l%uj;a lrkjd" iqkaor iskyjla Wreu lr fokjd úl,dx. oka; m%;sldr j, uQ,sl wruqK jkafka o;aj, wl%uj;a msysàu iy ykqj, úIu;d uqyqKg .e,fmk wdldrhg ;sridrj ilia lsÍu yryd wdl¾YkSh iskdjla Wreu lr §uhs'

tfiau fï ;;a;ajhkag ksis m%;sldr fkd,eîu yryd wdydr iemSfï .eg¿" ksjerÈ jpk WÉPdrKfha .eg¿ " lgyfå fjkialï" l:d lrk úg fl< msg;g úisùu jeks .eg¿ rdYshla Woa.; úh yelsh' tfiau uqLfha ykq ksjerÈ f,i ia:dk.; fkdjQ úg wld,fha o;a f.ù hdï o;a wysñùï isÿúh yelsh' fï yryd orefjl=f.a idudÔh Ôú;hg" fm!reIhg isÿjk ydkso iq¿mgq ke;'

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87

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ukrï iskyj wE;a lrjk úl,dx. .eg¿

Orthodontics

orejka l=vd ld,fhaoSu wjOdkhg fhduq úh hq;= úl,dx. .eg¿ lsysmhla

Tfí o;a fm< fï úosyg ksjerosj msysgkjdo@ fidhd n,kak kSfrda.S flfkl=f.a kï há ykqfõ o;a fm<g bÈßfhka Wvqhkqfõ o;a fm< msysáh hq;=h' tfiau há ykqfõ o;a j,ska 2$3 la bÈßfhka oDIHudk jk f,i th msysàu jvd;a ksjerÈ wdldrhhs' fufia fkdùu yryd blaukska o;a f.ùhdu fiau úÿreuia j, .eg¿ o yl= weg f.ùfï widudkH;do u;=úh yelsh' fujeks wvqmdvq we;s orejka l,ska y÷kdf.k wjYH m%;sldr lrd fhduq lsÍfuka fï ish¿u .eg¿ b;d id¾:lj h:d ;;a;ajhg m;a l< yelsh' l=vd ld,fh§ b;d iq¿ m%;sl¾u yryd ksjerÈ lr .; yels fujeks .eg¿ l,a hdfï§ Y,Hl¾u yryd ms<s;=re fiúh hq;= ;;a;ajhka njg m;afjhs' yl= bÈßhg weo fyda miaig we§fuka ilid .; yels fujeks ;;a;ajhka orejka l=vd ld,fha§ isÿlsÍï jvd;a myiq fiau jeä úhoula ±Íug fkdjk wdldrfha ms,shï fjhs'

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wms<sfj, o;a l%uj;a lsrSu fí%ia m%;sldrhlg Ndckh jQ flfkl=f.a id¾:l;ajh

o;a ksjeros lsÍug fhdod .kakd úúO fíiia

wfma frday,a j,ska .; yels úl,dx. fiajd .ek oeKqj;a fjuq foìä ;,a,la msysàu" yl= wegfha widudkH j¾Ok ùï" jeämqr o;a msysàu jeks .eg¿ j,g f,dalfha w;s kùk m%;sldr úê fï jk úg ,xldfõ wfma frday,a moaO;sfhka fkdñf,au ,nd.; yelsh' Èjhsfka ish¿u YslaIK frday,a" m<d;a uy frday,a" osia;s%la uyd frday,a j, fuu idhk ls%hd;aul fjhs' tfiau uqyqK iy ykq wdY%s;j Wm;skau we;sjk fnÿkq f;d,a" ;,a, iskafv%dñla ;;a;ajfhka msysàu jeks úl,dx. ksjerÈ lsÍuo úl,dx. úfYaI{ oka; ffjoHjreka yryd isÿfjhs' úl,dx.fõofha iqúfYaIS m%;sldr o;a w;r mj;sk ys±ia ke;slr iqkaor o;a fom,l ysñlu ,nd.ekSugo iqúfYaIS jQ m%;sl¾u ;sfí' ta

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i|yd o;a j,g iú lrk APPLIANCES msg;g Èiaùu wlue;s flfkl= tajd uqLfha we;=,;ska iúlr .ekSfï yelshdjkao ±ka kj;u m%;sldr w;r we;' tfiau wjYH fj,djg iúlr b;d myiqfjka bj;a lr .; yels ^REMOVABLE& fuj,ïo fï kQ;k m%;sl¾u j,g wh;a fjhs' fï ish¿ ksjrÈ lsÍï lr .; yels jkafka l,g fõ,djg orejka fï i|yd fhduq lsÍu yrydh' ish¿u orejka jhi wjqreÿ 8 jk úg uq,au úl,dx. oka; WmfoaYkh i|yd fhduq lsÍu w;sYhskau w;HjYH nj ish¿ jeäysáhka ±k .; hq;= lreKls' l,a we;sj WmfoaYKhg fhduq ùfuka ixlS¾K m%;sldr j, wjYH;djh wju lr .ekSug ms<sjk' úl,dx. oka; m%;sldr i|yd jhia iSudjla fkdue;s w;r" kSfrda.su;a yd Yla;s iïmkak úÿreuia ;sfíkï ´kEu jhil§ fuu m%;sldr isÿ l< yelsh' DM

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Health benefits of Red rice iy,a j, .a,hsiñ s la o¾Ylh iïnkaO m¾fhaIKd;aul ú.%yhla

r;= ndiau;S iyf,a .=K iy,a j, .a,hsisñla o¾Ylh iïnkaO m¾fhaIKd;aul ú.%yhla ldfndayhsfâ%Ü wka;¾.; wdydr wkqNjfhka reêrfha iSks ixhq;sh by< kexfjk neõ m%lg lreKls' fï by< kexfjk iSks m%udK mokï lrf.k wdydr j¾.SlrKh lr.;a o¾Ylhla Ndú;d fõ' .a,hsisñla o¾Ylh Glycemic Index (GI) hkqfjka ye|skafjk fulS o¾Ylh wkQj wvq .a,hsisñla o¾Ylhla iys; wdydr f;dard .ekSfuka reêrfha iSks ixhq;sh lsishï md,khlg ,la lr.; yels neõ ryila fkdfõ'

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GI w.h u; mokï jQ wdydr j¾.SlrKh Tn .kakd wdydrfha GI w.h 55g wvq kï th wvq .a,hsisñla w.hla iys; wdydrhla fia ie<flhs' GI w.h 55-70 w;r w.hla .kS kï túg th uOH m%udKfha GI w.hla iys; wdydrhls' GI w.h 70 blaujd hk wdydrhla kï th ie<flkafka by< GI w.hla iys; wdydrhla jYfhks' tkï oshjeähd frda.sfhl=g t;rï iqÿiq fkdjk wdydrhla jYfhks'

mD:q, mrdihl me;sr mj;sk iy,a j, GI o¾Ylh wm m%Odk wdydrh fldg i<lkafka n;ah' n;a j, we;af;a ksYaÑ; GI w.hlao@ ke;''' úúO iy,a j, úúO GI w.hka mj;S' m¾fhaIlhka úiska y÷kdf.k we;s wdldrhg iy,a j, GI w.hka 4892 w;r mD:q, mrdihl me;sr mj;S' fndfyda iy,a j, GI w.h 64 wdikak w.hl mj;akd njo lsj hq;a;ls'

iy,aj, we;s msIaGh iy,a j, msIaGfha wdldr folla fjhs' weuhsf,daia yd weuhsf,dfmlaáka hkqfjks'

iy,a j, we;s weuhsf,aia weuhsf,daia hkq os.= yd iDcq wKQjla iys; msiSfïoS fc,ákhsi jk øjHhls' weuhsf,daia w.h by< ixhq;shla .kakd úg ^25-30%& msfikafka úh<s iajNdjfhks' n;a wegh ;eïfnk úg tlsfklg wef,kafkao ke;' weuhsf,daia w.h 20-25 w;r jk úg n;a wegfha uDÿNdjh fukau wef,kiq¿ Ndjho ;rula jeäh' weuhsf,daia w.h 20g jvd wvq jk úg n;a wegfha iqúffYaIS jQ wef,kiq¿ iajNdjhlao uDÿ njlao we;s fjhs'

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"

frda.Ska fuu .a,hsisñla o¾Ylh .ek fjfiia wjOdkhla fhduq lsÍu Tjqkaf.a frda. md,khg w;sYhska bjy,a fjhs'

ndiau;S iy,a ie<l+ l< wvq GI w.h;a wfkl=;a iy,a j,ska iqúfYaIS jk ;j;a fndfyda ldrKd;a ksid th oshjeähdj we;s whg wk.s jQ f;aÍuls' tys iq,nj we;s weuhsf,daia ixhq;sh fuys .=Khg fya;= fjhs'

iy,a j, we;s weuhsf,dfmlaáka weuhsf,dfmlaáka wKQ YdLd.; jQ wKQl iajNdjhla orK w;r msiSfïoS tajd uqod yefrk úg iy,a j,g wef,k iajNdjh we;s fjhs' uOHu weg m%udK orK iy,a j, weuhsf,dfmlaáka ixhq;sh jeäh' oshjeähd frda.Ska i<lk l< weuhsf,dfmlaáka jeäùu t;rï fyd| ldrKhla fkdfõ' tfy;a weuhsf,daia jeäùu kï fyd|h' oshjeähd frda.sfhl=g tu wdydr fyd|h'

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iy,a j, .a,hsisñla o¾Ylh iïnkaO m¾fhaIKd;aul ú.%yhla

Health benefits of Red rice

"

iy,a j, GI w.h ;SrKh jkafka tys we;s weuhsf,daia w.h wkQjh' hï iy,l weuhsf,daia w.h jeä kï th wvq GI w.hla iys; iy,la fia ie<flhs' tfyhskau th oshjeähd frda.Skag iqÿiq fyd|ska iSks w.hka md,kh lrk wdydrhla fia ie<flhs'

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iy,a j, GI w.h ;SrKh jkafka tys we;s weuhsf,daia w.h wkQjh' hï iy,l weuhsf,daia w.h jeä kï th wvq GI w.hla iys; iy,la fia ie<flhs' tfyhskau th oshjeähd frda.Skag iqÿiq fyd|ska iSks w.hka md,kh lrk wdydrhla fia ie<flhs' ndiau;S iy,a ie<l+ l< wvq GI w.h;a wfkl=;a iy,a j,ska iqúfYaIS jk ;j;a fndfyda ldrKd;a ksid th oshjeähdj we;s whg wk.s jQ f;aÍuls' tys iq,nj we;s weuhsf,daia ixhq;sh fuys .=Khg fya;= fjhs' óg wu;rj w;HjYH weuhsfkda wï," ;ka;=uh mod¾: fulS iy,aj, hyñka mj;S' ;ka;=uh mod¾: cS¾Kl bkaøsh uekúka fi!LHiïmkak lrhs' m%;sfrdaë msIAGh ldKavhg wh;a ldfndayhsfâgo fuys .=Kj;a nj ;Sj% lrhs' ta yereKq úg r;= ndiau;S iyf,a m%;sTlaisldrl fukau ms<sld kik ix>gl rdYshlau wka;¾.;j mj;S' DM

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Strabismus o c c u r s

Strabismus occurs when the eyes are not correctly aligned and point in different directions when looking at an object. It is commonly known as ‘turned’, ‘lazy’ or ‘crossed’ eyes.

One eye or both eyes may turn either inward (esotropia), outward (exotropia), upward (hypertropia) or downward (hypotropia). Strabismus may be constant or intermittent.

Strabismus is one of the most common eye conditions in children, Risk factors for developing strabismus include: • Family history. People with parents or siblings who have strabismus are more likely to develop it.

• Refractive error. People who have a significant amount of uncorrected farsightedness (hyperopia) may develop strabismus because of the additional eye focusing they must do to keep objects clear.

• Medical conditions. People with conditions such as Down syndrome and cerebral palsy or who have suffered a stroke or head injury are at a higher risk for developing strabismus.

• Whilst the causes of strabismus are not completely understood it is known that abnormalities in the muscles and nerves surrounding the eyes are both contributing factors.

• A person can be born with strabismus or develop it during infancy or childhood, or

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later in life. It can also occur because of injury to the eye or head trauma.

• Sometimes strabismus can be a sign of a more serious eye disease or other health problem and should always be thoroughly investigated by an eye specialist as soon as possible.

• Early diagnosis is essential in preventing vision loss.

AMBLYOPIA Amblyopia, commonly known as ‘lazy eye’, is the loss of vision caused by strabismus if left untreated. When a person with a strabismus looks at an object the brain receives two different images, and this can confuse the brain. In children, the brain may learn to ignore the double image from the turned eye. This constant ignoring of the image from one eye during a child’s visual development can result in poor vision. Untreated, the vision will remain poor.

VISION Strabismus and amblyopia can also interfere with the development of 3D vision (depth perception). Early treatment can improve the likelihood of depth perception developing in a young child.

Symptoms The symptoms of strabismus may be constant or intermittent, and include; • Crossed eyes, • Double vision, • Uncoordinated eye movements, • Vision loss, • Loss of depth perception.

Strabismus can be difficult to detect in children, particularly if the size of the turn is small and not cosmetically noticeable. If a child is showing any signs of strabismus they should be examined by an eye specialist immediately.

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How is strabismus treated?

Normal eyes

Left esotropia

Left hypertopia

Left exotropia

An optometrist can diagnose strabismus through a comprehensive eye exam.

Testing for strabismus, with special emphasis on how the eyes focus and move, may include: • Patient history. An optometrist will ask the patient or parent about any current symptoms. In addition, the optometrist will note any general health problems, medications or environmental factors that may be contributing to the symptoms.

• Visual Acuity. An optometrist will measure visual acuity to assess how much vision is being affected. For the test, you will be asked to read letters on reading charts that are near and at a distance.

• Refraction. An optometrist can conduct a refraction to determine the appropriate lens power you need to compensate for any refractive error (nearsightedness, farsightedness or astigmatism).

• Alignment and focusing testing. Your optometrist needs to assess how well your eyes focus, move and work together. To obtain a clear, single image of what you are viewing, your eyes must effectively change focus, move and work in unison.

This testing will look for problems that keep your eyes from focusing effectively or make it difficult to use both eyes together.

• Examination of eye health. Using various testing procedures, your optometrist will observe the internal and external structures of your eyes to rule out any eye disease that may be contributing to strabismus. This testing will determine how the eyes respond under normal seeing conditions. doctormagazine.lk

People with strabismus have several treatment options to improve eye alignment and coordination. They include: • Eyeglasses or contact lenses. This may be the only treatment needed for some patients.

• Prism lenses. These special lenses have a prescription for prism power in them. The prisms alter the light entering the eye and reduce how much turning the eye must do to view objects. Sometimes the prisms can eliminate the eye turning.

• Vision therapy. optometrist might prescribe a structured program of visual activities to improve eye coordination and eye focusing. Vision therapy trains the eyes and brain to work together more effectively. These eye exercises can help problems with eye movement, eye focusing and eye teaming and reinforce the eye-brain connection. Treatment can occur in your optometrist's office as well as at home.

• Eye muscle surgery. Surgery can change the length or position of the muscles around the eye, so they appear straight. Often, people who have eye muscle surgery will also need vision therapy to improve eye coordination and to keep the eyes from becoming misaligned again.

Chanura Mahindapala

Optometrist (Dip: In Optometry, VCA)

August 2019

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Aversion Therapy

iaudÜ f*dakh mdi,a <uqkag flfia n,mdhso@

iaudÜ f*dakh mdi,a <uqkag flfia n,mdhso@ ÿrnkqjla l< yoshla'''

fld

<U k.rfha kdrdfyakamsg m%foaYfha Ôj;a jk md,s;,df.a mjq, tu m%foaYfha isák fmdfydi;a mjq,a j,ska tlls' ìß| kfhdañ yd tlu mq;d jk k§lg;a lsis÷ wvqmdvqjlska f;drj Ôj;a ùu i|yd foam, jia;=jo tugh' k§l wOHdmkh ,nkafka fld<U k.rfha m%isoaO mdi,l oy jk jif¾h' wïudf.a;a ;d;a;df.a;a tlu orejd jk k§lg lsis÷ wvqmdvqjla fkdue;' bf.kSugo k§l olaIh' foudmshkag lsis÷ foalg lror fkdlrk k§l we;a;gu fyd| orefjls' mdif,a YsIH;aj úNd. fhkao k§l iu;a jQ YsIHfhls' mdif,a .=re Nj;=kaf.ao ys; Èkd.ksñka mdi,a jev lghq;= b;d fyd¢ka lrk fï orejdg mdif,a ñ;=rkao fndfyda isà'

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

zzwfma mq;d ljodyß fyd| ;eklg thsZZ k§lf.a wïud ksr;=re isysk ueùh' k§l lsisu Èkl mdi,a fkdf.dia isáfha ke;' Tyq t;rïu bf.kSug leue;a;la ±lajQ orefjls' mdi,a hkafkao fndfyda wdidfjks' k§l b;du;a läir orefjla nj mdif,a .=re Nj;=kao l;d lr;s'

wïudf.a;a ;d;a;df.a;a fifkyi ueo Ôj;a jk k§l lsisu fudfyd;l lïue,s orefjla fkdùh' mdi,a f.dia ksjig meñKs ú.i ld î msßisÿ ù fmd; w;g .kakd k§l meh .Kklau fmdf;au isáhs' olsk yeu fudfyd;lu ;u orejd fmd;a mdvï lrk ksid k§lf.a wïudo k§lg yeufoau ,Õg f.k;a fokakSh' doctormagazine.lk

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iaudÜ f*dakh mdi,a <uqkag flfia n,mdhso@

kuq;a uE;l isg k§l mka;sfha jevj,g ÿ¾j,Ndjhla fmkakqï lf<ah' w,i Wlg,S njlska hqla;j Tyq mdif,a bf.kSfï lghq;=j, kshe¨Ks' ál ld,hl isg k§lf.a fï fjki mka;sNdr .=re;=udgo fmkqKs' zzk§l fudlo fï tkak tkaku Thdf. Wkkaÿj wvqfj,dZZ .=re;=ud tlaÈfkl k§lj mdi, ksujQjdg miq ;uka ,Õg le|jd m%Yak lf<ah' tfy;a k§l thg ms<s;=re fkdÿKs' zzyß yß óg miafij;a Wkkaÿfjka jev lf<d;a fyd|hs' ±ka hkakZZ .=re;=ud k§lg wjjdo fldg msg;a lf<ah' k§l ne¨fjd;a fmdf;au isák nj is;d isáh;a fmd; we;=f<a ;ukag /f.k ÿka ÿrl:khg tîf.k isák nj k§lf.a wïudf.a w;gu wiqúh' zzyß fIdala mq;d fïlo fï mdvï lrkjd lsh lsh lrkafka' bkakfld ux ;d;a;g lshkakZZ k§lf.a wïud nek jeÈKs' fldmuK lSj;a k§l ÿrl:kfhka ñfok mdgla fkdùh' zz´l ±ka uu w,a,,d úis lrkjd mq;d' hkjd .syska mdvï lrkjd fmd;la wrf.k' tkak tkaku fuhdf.a jev ÿ¾j,hs lsh,d ug f;areKdZZ k§lf.a wïud ;rjgq lrk úg muKla k§l ÿrl:kh me;a;l ;nd fmd;la w;g f.k ´kjg tmdjg jf.a mdvï lrhs' kjh fY%aKsfha úNd.h wjika jQjdg miq k§l ks;ru wïudf.ka ;ukag iaudÜ f*daka tlla wrf.k fok f,i weúá,s lrkakg jQ ksid k§lf.a wïud Tyqg fuu ÿrl:kh /f.k ÿks' ;ukaf.a hy¿jkag;a fyd| fyd| ÿrl:k ;sfnk nj;a ;ukag ke;s ksid hy¿jkag m,a jkakg jk nj;a k§l wïudg lshk ksidu weh fuh /f.k ÿka w;r" fï jk úg Tyqg ÿrl:kfhka f;dr f,dalhla fkdùh'

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Aversion Therapy

wo iudcfha mdi,a <uqka w;g iaudÜ f*daka ,nd§u ksid uy;a m%Yak rdYshlg fhduq ù we;' fudav foudmshka úiska mdi,a hk jhfia orejkag iaudÜ f*daka ,ndfohs' we;eï rEmjdysks kdgH u.skao fuu wkqjK l%shdj ñksiqka w;r m;=rjhs'

mdi,a ksuù ksjig meñKs ú.i ldî ÿrl:kh w;g .kakd k§l meh .Kka .; lrkafka ÿrl:kfhauh' zzfudllao wfka mq;dg fj,d ;sfhkafka' fldhs fj,dfj ne¨j;a f*daka tflauhs' wfka ukaod bf.k .kak fohlg ys; fhduq lrkafkau keyefk fï orejd' ug ysf;kafk flakaof¾ álla n,j .;af;d;a fyd|hs lsh,d orejf.aZZ k§lf.a wïud ;u ieñhdg mejiSh' zztal kï fyd|hs ;uhs' tfykï fyg Èydg .sysx n,j.kakZZ md,s; lSh' k§lf.a wïud Tyqf.a

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y|yk mÍCId lsÍu i|yd fcHda;s¾fõÈfhl= fj; .shdh' k§lg hï wm,hla kï ta i|yd lghq;= lr orejdf.a wkd.;h hym;a lr.ekSu k§lf.a wïudf.a tlu n,dfmdfrd;a;=j úh' weh is;=jd fiau k§lf.a flakaorh msßlaiQ fcHda;s¾fõÈhd mejiqfõ k§lg rdyq ,nd we;s njhs' jir lSmhlau bÈßhg rdyqf.a n,mEu we;s ksid k§lf.a bf.kSu lvdlmam,a úh yels neúka fndaê mQcd ;nk f,i;a kj.%y foúhkag msx wkqfudaoka lrk f,i;a fcHda;sIHfõÈhd k§lf.a wïudg lSfõh' tmuKla fkdj n¨ lmqgq odk fok f,i o Tyq k§lf.a wïudg lSh' fndaê mQcd È.gu meje;aúKs' k§lf.a wïud k§ljo legqj .fï mkai,g f.dia Tyq fjkqfjka iEu ijilu fndaê mQcd meje;aùh' kj.%y foúhkag msx wkqfudaoka lrùh' fcHda;s¾fõÈhd mejiQ mßÈ n¨lmqgq odk ÿkakdh' wu;r mka;sj,go fhduq lf<ah' fufia lghq;= isÿ lroa§ue k§l tkak tkaku bf.kSfuka b;du ÿ¾j, uÜgul isáfhah' zzlSmj;djlau mka;sNdr i¾ ug l;d lr,d mq;df.a mdvï jev ÿ¾j,hs lsh,d lSjd' wms fïlg fudllao doctormagazine.lk

lrkafka' wfka ukaod lõreyß fudlla yß lr,o okafk;a keye' ug kï fï uql=;a f;afrkafk keyeZZ k§lf.a wïud ;u ieñhdg fndfyda lkiai,af,ka hq;=j mejiqjdh' zzyaï fudllao wms fïlg lrkafka' fldÉpr ;rjgq l<;a m,la keyeZZ md,s; weiqfõh' zzwms fldalg;a lmq uy;a;fhla ,Õg mq;dj wrka huqoZZ k§lf.a wïud weiqjdh' zzyaï tal;a lr,d n,uqZZ md,s; lSfõh'

August 2019

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iaudÜ f*dakh mdi,a <uqkag flfia n,mdhso@

Aversion Therapy

k§lf.a wïud Tyq legqj lmq uy;l= fj; .shdh' foajd,fha hï ;rula msßi úh' k§lf.a wïud Tjqkaf.a jdrh t<fUk ;=re n,d isáhdh' ál fõ,djlska Tjqkaf.a jdrh t<ôks' k§lf.a wïud nq,;a iy uqo,a lmq uy;d isák bÈßfha we;s wdikh u; ;eîh' zzfudllao ±k.kak ´fkZZ lmq uy;d úuiSh' zzmq;d tkak tkaku biafldaf, jev j,g ÿ¾j, fjkjd lmq uy;a;hd' fï YsIH;ajh by<skau mdia jqK orefjla' talhs lmq uy;a;hd ,Õg wdfõ fudllao fj,d ;sfhkafk lsh,d n,kak' ±ka fmd;la w;g .kafku kE' ±lafld;a f*daka tflaZZ k§lf.a wïud lmq uy;dg ne.Em;a iajrfhka lSh'

wOHdmkh lvdlmam,a lr±óug fuh lr we;s nj;a tu .=relfï n,mEfuka k§lf.a wOHdmk lghq;= bÈßfha§ lvdlmam,a ù hk nj;a fuhg k§lg we;s wm,o fndfyda n,md we;s nj;a lmq uy;d lSh' fuhg úi÷ula ,ndfok f,i k§lf.a wïud lmq uy;df.ka b,a,Sh' zzwm,j,g fndaê mQcd ú;rlau ;sh,d nE' <uhdf.a bf.kSu lvdlmam,a fkdfjkak lrmq fldäúkh lm,d whska lrkak ´k' t;fldg Tlafldu yßhhsZZ lmq uy;d k§lf.a wïudg meyeÈ,s lf<ah' thg fldmuK uqo,la úhoï lrkak wjYH ±hs lmq uy;df.ka ±k.;a k§lf.a wïud lmq uy;d ÿka nvq ,ehsia;=jo w;g f.k kej; tk fmdfrdkaÿj u; k§l iuÕska foajd,fhka msg;a wdfõh' fldäúkh lmd ;u orejd wdrlaId lr.; hq;= hehs k§lf.a wïud ;u ieñhdg mejiSh' ke;fyd;a orejdf.a wkd.;h úkdY ù hdú hehs weh fndfyda lK.dgqfjka hq;=j k§l .ek l;d l<dh' zzug ys;d.kak nE wehs wkqr,d wmsg fufyu fohla lf<a lsh,d' orejf.a biafldaf,gu hk yskaod

lmq uy;dg ish,a, jegysKs' lmq uy;d foúhkag lkak,õ lrñka hd;sld lf<ah' úkdä lsysmhla tfia lkak,õ l< lmq uy;d k§lg .=relula lr we;s nj;a Tjqkaf.a ksjig wi,ajeis ksjfia isák wh úiska k§lf.a

100

August 2019

DOCTOR MAGAZINE

doctormagazine.lk

taf.d,a,kaf. orejd wfma orejdg jvd by< ,l=Kq .kak ´fk lsh,d ys;,d fï jf.a le; jevla lrkak we;s wfma orejd tlal B¾IHdjg' lula kE wms wfma orejd fjkqfjka fïl lruqZZ k§lf.a wïud isáfha fndfyda ÿlsks' k§lf.a bf.kSfï lghq;= tkak tkaku ÿ¾j, jk ksid lmq uy;d lshQ mßÈ fldäúkh lemSug wjYH nvqo ,eyeia;s lr.;a k§lf.a fouõmshka lmq uy;d yuqjg .sfhdah' foajd,h ;=<§u fldäúkh lmd k§lg fi;a Ydka;shla lsÍug lmq uy;d mshjr .;af;ah' k§lf.a lrg hka;%hlao ±óh' zz±ka b;ska l,a hkak hkak hka;rfha n,h jeäfjkjd' udi ;=kla we;=<; orejd fmr jf.au bf.kSu lghq;= yßhg lrf.k hhs' wdfh;a fudku fohlskaj;a n,mEula fjkafk kE' Èkm;d fndaê mQcd;a ;sh,d ks;ru foúhkag msx wkqfudaoka lrkak' ls<s f.j,aj, hkak fyd| kE udi ;=kla hklï' ta jf.au fyd| ke;s uia udxY lsisjla f.org .kak tmd' hka;rfha n,h ke;sfjhsZZ lmq uy;d meyeÈ,s lr § wod< uqo,ao k§lf.a fouõmshkaf.ka ,nd.;af;ah' k§lf.a fouõmshka isáfha ieye,a¨ is;sks' zz±ka b;ska Tlafldu yß' wdfh kï .=rejre wfma orejd .ek jrola lshk tlla kEZZ k§lf.a wïud is;=fõ tfyuh' Èk i;s udi f.fjñka ;snqKs' k§lf.a lsisu fjkila fmfkkakg fkdúKs' fmr fiau k§l fmd;la m;la w;g .;af;a ke;' fldhs fjf,a;a ÿrl:kh Tn Tnd isáfhah' lrmq fi;a Ydka;sfhka jevla ù ke;' orejd mx;sfha ÿ¾j, <uqkaf.a uÜgug jeà we;' fuhg l=ula lrkak±hs k§lf.a wïud l,amkd l<dh' weh ;u orejd .ek fidúka miqúh' zz´l .ek ´kjg jeäh l,amkd lrkak .sysx Thd f,v fjkjd tal ksid wms fïlg fudllao lrkafk lsh,d n,uqZZ k§lf.a mshd ;u ìß| ks;ru l,amkd lrk neúka wehf.a is; iekiqfõh' doctormagazine.lk

fï w;r k§lf.a wïud k§lf.a wu;r mx;sfha W.kajk .=re;=udg k§lf.a ;;a;ajh .ek lshd isáhdh' zz±lafld;a f*daka tflauhs i¾' fudllao fïlg lrkafka wmsZZ k§lf.a wïud weiSh' zzug;a f;areKd k§lf.a jevj, fjkila' uu;a ysáfha wïuj yïnfjkaku ;uhs' ±kqhs ug f;afrkafka fudlo fj,d ;sfhkafk lsh,d' ux okak uy;aufhla bkakjd' k§lj ta uy;auhd ,Õg fmdâvla tlalf.k hkak k§lf.a wïu,d' wms n,uq Tyq fudlo lshkafka lsh,d fï .ekZZ wu;r mx;sfha .=reNj;d k§lf.a wïudg mejiSh' ta wkQj k§lf.a foudmshka k§lj Y%S ,xld iajdmk úoHdfõ§kaf.a ix.ufha j;auka iNdm;s ufkda Ñls;ail" ffjoH mS'tka' úoHdl=,m;s uy;d yuqjg /f.k .sfhah' ffjoHjrhd fjk fjku wïudf.kq;a ;d;a;df.kq;a k§lf.

August 2019

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iaudÜ f*dakh mdi,a <uqkag flfia n,mdhso@

Aversion Therapy

kq;a ;ks ;ksju f.k m%Yak weiqfõh' ffjoHjrhdg ish,a, fyd¢ka meyeÈ,s úh' ffjoHjrhd k§lf.a wïudf.ka úia;r wik úg weh lshd isáfha zzf*daka tflauhs fvdlag mq;d bkafka' lE .eyqju ú;rla fmd;la w;g .kakjd' tÉprhsZZ k§lf.a wïud ffjoHjrhdg k§l .ek lshd isáhdh'

udi ;=kla jk úg iïmQ¾Kfhkau k§l l%udkql+,j mdi,a jev lsÍug mgka .;af;ah' bkamiq ffjoHjrhd k§lf.a foudmshkag zzóg miafij;a fï jf.a fudav jev lrkak tmdZZ lsh,d wjjdo lf<ah'

zzwehs tÉpr fj,d f*daka tfla bkafka' wehs ´f.d,af,d orejg f*daka tlla wrka ÿkafkaZZ ffjoHjrhd weiSh' zzbiafldaf,a hy¿fjd yefudagu iaudÜ f*daka ;sfhkjd lsh,d yßhg rKavq jqkd f*daka tlla b,a,,duZZ k§lf.a wïud ffjoH mS'tka' úoHdl=,m;s uy;dg lshd isáhdh' k§lf.a is; wOHdmkh fj; fhduq lsÍu i|yd;a ÿrl:kfhka Tyq uqoùu i|yd;a ffjoHjrhd úiska k§lg Aversion Theraphy tkï" tmd lrùfï m%;sldr m%Odk jYfhka fhdod.;a w;r" ixhu wNHdi iy R.E.T l%u fhdod.;af;ah'

102

August 2019

DOCTOR MAGAZINE

wo iudcfha mdi,a <uqka w;g iaudÜ f*daka ,nd§u ksid uy;a m%Yak rdYshlg fhduq ù we;' fudav foudmshka úiska mdi,a hk jhfia orejkag iaudÜ f*daka ,ndfohs' we;eï rEmjdysks kdgH u.skao fuu wkqjK l%shdj ñksiqka w;r m;=rjhs' nqoaêu;a foudmshkag lshkak ;sfnkafka Tfí orejdg jhi wjqreÿ oywgla úiailaj;a jkf;la iaudÜ f*daka ,nd§u fkdl< hq;= njhs' ta jf.au <uhskag mß.Kl" ,emafgdma wdÈh ,ndfokafka kï tajd ksjfia id,h jeks fmdÿ ia:dkhl ;ndf.k <uhskag jevlsÍug i,iajk f,i b,a,ñ' Tnf.a wkqjKNdjh iy ÿrÈ. n,d l%shd fkdlsÍu ksidfjka <uhskaf.a Ôú; w÷re lrkafkao Tn úiskauh' ;ukaf.a myiqjg <uqkag tajd ,nd§ Tjqka tajdg weíneysjQjdg miq fyda we;eï jerÈj,g" wi;H foag <uhd yqre jQ miq tajhska ñoùug W;aidy ±Íug jvd fyd|u foa jkafka nqoaêu;aj is;d n,d tajd /f.k §ug fmr lghq;= lsÍuhs' DM ufkda Ñla;sil WmfoaYk i|yd úuiSï

0718303030

doctormagazine.lk

DM

Spices kej;;a wfma fndcqkam;g tla lr.; hq;= fy<fha ;=kmy jÜfgdarej

kej;;a wfma fndcqkam;g tla lr.; hq;=

fy<fha ;=kmy jÜfgdarej rdjKd hq.fha isg wfma wdydr rij;a lf<A fï Tiq .=Ke;s ;=kmy jÜfgdarejhs

ixialdrl igyk wfma uq;=ka ñ;a;ka b;d fi!LHiïmkak cSjk rgdjlg yqre ù isá w;r tfyhskau ksfrda.S iïmkak cSú; .; lrñka jeõ wuqKQ ilid f.dú;eka n;a lrñka" oehg jákd odhdo tla lrñka cSj;a jQ fm!V cd;shla f,i f,dalfhau ms<s.ekSug ,laj isáhy' tod Tjqka wdydrhg .;a foa fmdaIHodhS nfjka fukau .=Kfhkao by< úh' rildrl" j¾Kldrl fh¥ wdydr Ndú;fhka .s,ka jQ cd;shla njg m;aj isák wmg tod wfma wEhska wdydr ms<sfh, lsÍug fhdod.;a ;=kmy úfYaIhla .ek wmQ¾j jQ úia;rhla fy< fjoeÿre wfkdaca o is,ajd foaYKhlska wikakg ,efnhs' wog;a tl fia j,x.= myiqfjka ms<sfh< lr.; yels fy< ;=kmy .ek fï úia;rh Tfí oeKQu i|yd muKla fkdfõ' wkd.; mrmqf¾ wdrlaIdj i|yd fuh kej;;a wfma Ndú;hg tla lr.kakg W;aiql jkafka kï th buy;a jeo.;alula we;s lreKls'

doctormagazine.lk

August 2019

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103

DM

Spices kej;;a wfma fndcqkam;g tla lr.; hq;= fy<fha ;=kmy jÜfgdarej

;=kmy jÜfgdarej wjYH øjH (iqÿ,qQKq 100g" wuq bÕ=‍re 100g" .ïñßia 100g" fld;a;u,a,s 100g" lyl=vq 10g" lrmsxpd 100g" fmdÕjd ñßld .;a úh<s f.drld 100g" ishU,d 100g" fldaudßld uoh 100g" uqrex.d fld< ^jeg uqrex.d&100g fy< ;=kmyg fhdod. kakd wdkqmdk j, T!Iëh .=K'' iqÿÆQKq" wuq bÕ=‍re" .ïñßia - jd;h" ms;" fiu kid,hs' fld;a;u,a,s WIaK;ajhg isis,i;a" isis,ig WIaK;ajh;a ,nd fok oaú;aj l%shdldÍ tfukau YÍrh ;=< ish¨‍ wjhj j, n, jvk ud yeÕs Tiqjls' ly l=vq rej jvhs" úI keiSfï yelshdj iys;hs' lrmsxpd weia" bia" uia" kyr" wiaÓ Yla;su;a lrk iakdhq moaO;sh m%lD;su;a lrk Tiqjls' f.drld bia" uia" wiaÓ Yla;su;a lrhs'

104

August 2019

ishU,d reÑ jvhs" n, jvhs' fldaudßld - frda. kdYl .=K we;s n,j;a Tiqjls' uqrex.d - ihkhsâ j, mjd úI ke;s l< yels woaú;Sh Ydl Tiqjls' w.;sldó Ndú;dj ksid wmg ke;sj f.dia we;s Tiq wdkqmdkh fuhg ;j fohla tl;= úh hq;=hs' th kï N+udgfha isg ÈjH f,dal olajd n,h meje;aúh yels" wdydr Ô¾Kh moaO;sfha ish¨‍ úI kid,sh l< yels" ñksia W;af;ackh msKsiu jk" ñksia Ñka;kh mjd fjkia lsÍug yels ;rï uyd m%n, ridhksl .=Khla wvx.= T!IOhla jk úchdm;% fkdfyd;a lgjyf¾ wm .xcd hkqfjka ye|skafjk me<Eáhhs' fuh mdkh lsÍfï§ u;a ùu isÿ jqj;a iaj,amhla lEug .ekSfuka tfia u;aùula isÿ fkdfõ'' úchdm; fy< fjolu ;=< w;S;fha Ndú;d l< wñ," m%n, T!IOhla jqj;a wúêu;a Ndú;h ksid kS;sfhka ;ykug ,la ù we;'

DOCTOR MAGAZINE

fy< ;=kmy ilikafka fufyuhs fldaudßld iqÿ uoh yer wfkl=;a øjHhka ish,a, pQ¾Khla ^b;d ishqïj l%Sï tlla& f,i fjk fjku .f,a wUrd .kak' bka miq fjk fjku wUrd.;a øjH ish,a, fldaudßld iqÿ uofhka kej; jrla tlg wUrd f.k l,alh ilid .kak' fuh idok w;r;=r lsisu úfgl fuu ñY%Khg j;=r ì|la j;a tl;= fkdlsÍug j. n,d .kak' fmdÕjd ñßld .;a úh<s f.drl j,ska tl;= jk j;=r m%Yakhla keye' fuu idod.;a ;=kmy ñY%Kh YS;lrKhl ;nkak tmd' Tn kshudldrfhka fuh ilid .;af;a kï fuu ñY%Kh i;s ;=kla muK lsisjla fkdù t<suyfka ;nd.; yelshs' ;j;a jeo.;a ldrKhla" ;=kmy iE§ug ñßia .,la ñi íf,kav¾ tlla Ndú;d lrkak tmd' íf,kav¾ l< úg mqia iE§ug we;s bvlv jeähs' tu ksid by; ñY%Kh .f,au wUrd .ekSug j. n,d .kak' fuu fy< ;=kmy ñY%Kh wUrd l,a ;nd. ekSfï§ thg fõ,dik ¨‍Kq tl;= lrkak tmd' jHxckh ilik úg tu wjia:dfõ§ muKla ¨‍Kq tl;= lr.kak' doctormagazine.lk

fuu fy< ;=kmy Tiqj Ndú;hg .; yels wdldr''' 1' wdydr msiSfï§ fuhska f;a ye¢ ;=kla muK tl;= lr.kak' fjk;a ;=kmy ñY%Khka fh§ug wjYH jkafka keye' wjYH jqjfyd;a muKla ¨‍Kq iy foys iaj,amhla tl;= lr.kak' fuh ;=kmy ñY%Khla f,i wdydr j,g fh§u uÕska WK" fyïìßiaidj" leiai" fldkao lelal=u" w;mh lelal=u" nfâ lelal=u" ykaÈm;areodj" fldf,iagfrda,a" Èhjeähdj" fm%I¾" w¾Yia" wd;rhsáia hk fndfydauhla f,v frda. md,kh fõ' weia fmkSu we;sfõ' flia meiSu kj;S' flia we§u isÿfõ' YÍrfha ish¨‍u l%shdldÍ moaO;Ska ksis f,i l%shdldß;ajhg m;aùfuka Tn iajNdjfhkau kSfrda.S fjhs' 2' fuu T!IOhg ¨‍Kq ìxÿjla tl;= lr riï tlla f,i Tng mdkh l< yelshs' 3' fuu T!IOfhka fk,a,s weghl m%udKhla wkqNj l<fyd;a th fyd| fõokd kdYlhls'

doctormagazine.lk

^mekfvda,a fm;a;lska Tn n,dfmdfrd;a;= jk fõokdj iukh ùu fuka Bg jvd lsysm .=Khla fyd¢ka Tng fuuÕska ,nd.; yelshs'& 4' ykaÈm;a wudrej jeks jd; fõokd iys; flfkl=g fuh ndï tlla fjkqjg Ndú;d l< yelshs' fuh lsysm Èkla Ndú;d lsÍfuka ndï tllska fkd,efnk woaú;Sh .=K Tng fuuÕska ,efnkq we;' Tnu th w;aolskak' fuh ilid .ekSug t~re f;,a" wn f;,a fyda mia f;,a hk f;,a j¾. j,ska tlla fyda yelskï f;,a j¾. ;=ku f.k by; fy< ;=kmy T!IOfhka fk,a,s weghl m%udKhla fïi yekaog f.k thg f;,a álla oud msÉp u,a fmdfydÜgqfjka r;alrkak' ^msÉp u,a fmdfydÜgqfjka r;a lsÍu hkq" msÉp u,a fmdfydÜgqjla ;rï l=vd oe,a,lska r;a lrkak hkakhs' fujeks l=vd oe,a,la ilid .ekSug Tng ,hsgrhla jeks WmlrKhla Ndú;d l< yelshs'& oeka fuu T!IOh fyd¢ka mefyklï r;alr Tng vmamshla jeks l=vd n÷kla

;=< fuh .nvd lr Ndú;hg .; yelshs' bkamiq fõokdj we;s ia:dkfha fuu T!IOh fyñysg .dkak' ;Èka w;=,a,kak tmd' ál Èkla È.gu .dkak' fõokdj áflka ál my ù hhs' 5' ;=jd,hla yg.;a flfkl= fyda mKq leú,s" oo" l=IaG" w¨‍yï" iqÿ lnr" fmd;= lnr wd§ frda. ;;ajhka we;s flfkla ;, f;,ska by; mßÈ msÉpu,a fmdfydÜgqfjka r;alr ta ta frda.S m%foaYhka j, wdf,am lrkak' ta iuÕu fuu fy< ;=kmy ñY%Kfhka fk,a,s f.ähl m%udKhla wkqNj lrkak' fuh woaú;Sh T!IOhls' ksfrda.Su;a fy< mrmqrla ìyslsÍu Wfoid ffu;%S is;ska fuu fy< ;=kmy jÜfgdarej kej; cd;shg odhdo lr ÿka fy< fjoÿre wfkdaÊ o is,ajd uy;dg ish¨‍ msx w;afõjdæ ^fy< fjoeÿre wfkda Ê o is , a j d uy;df.a foa Y khla weiq f rka fuu ,s m s h ilik ,§' Hela Arana uq y q K q fmd;a ms g q f jka Wmq g d .ka k d ,oS ' & DM

August 2019

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105

DM

Folic Acid .eí fkd.;a wh;a f*da,sla wï, W!K;djfhka fmf<kak mq¿jka

FOLIC ACID .eí fkd.;a wh;a f*da,sla wï, W!K;djfhka fmf<kak mq¿jka f*da,sla wï, W!K;djh ufkda jHdl+,;djh yd ;j;a fndfyda .eg¿ we;s lrkjd Folic acid is a B vitamin. It helps the body make healthy new cells. Female or male, everyone needs folic acid. For women who may get pregnant, it is really important. Getting enough folic acid before and during pregnancy can prevent major birth defects of her baby's brain or spine.

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August 2019

DOCTOR MAGAZINE

doctormagazine.lk

f*da,l s a wï,fhys wjYH;djh we;af;a .¾NkS uõjrekag muKla hehs iuyreka is;;s' tfy;a th wms ldg;a wjYHfhkau ;sìh hq;= fmdaIlhla jk w;r th ysÕmdvq ùfuka fndfyda fi!LH m%Yk a we;súh yelsh's

f*da,sla wï,fhys wjYH;djh we;af;a .¾NkS uõjrekag muKla hehs iuyreka is;;s' tfy;a th wms ldg;a wjYHfhkau ;sìh hq;= fmdaIlhla jk w;r weußldkq ffjoH wdh;khg wkqj jeäysá mqoa.,fhl= fyda ffoksl f*da,sla wï, mßfNdackh ñ,s.%Eï 400la úh hq;=h' DNA wkq w¿;ajeähd lsÍug;a r;= reêrdKq ksIamdokhg fukau YÍrfha ffi, f.dvkexùug;a f*da,sla wï,fhys odhl;ajh iq¿ mgq fkdfõ'

doctormagazine.lk

YÍrhg wjYH ;rug f*da,sla wï,h fkd,enqkq úg th rla; ySk;djhg fya;= fõ' túg YÍrfha wNHka;r bkaøshhkag ksis mßÈ Tlaiscka iemfhkafka ke;s fya;=fjka tajdfha ls%hdldÍ;ajh wvd, jkakg fndfyda ÿrg bv ;sfí' Tno f*da,sla wï, W!K;djfhka fmf<kjd ±hs l,a;shd yÿkd .ekSu jeo.;a jkafka ta ksihs' f*da,sla wï,h wvq jQ úg isref¾ we;sjk fjkialï my; ,laIK ;sfí kï Tno f*da,sla wï, W!K;djfhka fmf<k wfhl= jkakg fndfydaúg bv ;sfí'

Èjg ri ±kSfï wvq nj f*da,sla wï,fha fkdue;s nj fya;=fjka Èfõ ìì,s" ;=jd, wdÈh yg .kS' túg wm ri .%yKhla lr .kakd ri wxl=r u.ska iakdhq yryd fud<hg ta mKsúvh ksis mßÈ fkd,eî hEu fya;=fjka wdydrhl kshu rih wmg fkd±kS hd yelshs' f*da,sla W!K;djh fya;=fjka Èj r;= meye ù bÈuqKq ijNdjhla .kakd wjia:do ;sfí' r;= reêrdKq ffi, wvqùu Bg fya;=jk w;r fuu iajNdjh ±l .; yels jkafka Èfõ w. fl,jßka úu úfYaIhs'

f*da,sla wï,h hkq î úgñkhls' th isref¾ kj ffi, W;amdokhg odhl fjhs'

ldka;djl osklg f*da,sla wï,h ñ,a .a?ï 400la .; hq;= hhs ks¾foaY fõ' kuq;a f*da,sla wï,h msßñkag;a w;HjYH fmdIH mod¾:hls'

u,af.dajd yd ksú;s" yd;jdßh fndaxÑ jeks ;o fld< meye;s wdydr j, f*da,sla wï,h hyñka mj;S' Bg wu;rj meÕsß l=,fha m,;=re j,ska y;= iy OdkH j,ska f*da,sla wï,h wvx.= fõ'

August 2019

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107

DM

Folic Acid .eí fkd.;a wh;a f*da,sla wï, W!K;djfhka fmf<kak mq¿jka

wdydr Ô¾Kh wdY%s; .eg¿ yg .ekSu wdydr wreÑh" jukh" Worfha fõokdj" wdÈ wdydr ud¾.h wdY%s; fkdfhla .eg¿ldÍ ;;a;ajhkao f*da,sla wï, W!K;djh fya;=fjka we;súh yelshs' fjfyi uykaish ke;s úg§ mjd flá yqiau .ekSu fjfyildÍ ld¾hhl ksr; jQ úg§ fuka flá yqiau .ekSu isÿjkafka YÍrhg ,efnk Tlaiscka m%udKh wvqjQ úghs' Bg fya;=j r;= reêrdKq ffi, j, ysÕ njhs' túg yqiau flá ùug wu;rj yDo iamkaokh fõ.j;a ùu" la,dka;h" ysi lrleùu jeks ,laIKo we;súh yelsh'

² f*da,sla wï,h .eyekqkag fukau msßñkag;a w;HjYH jQ fmdaIlhls' ² th wfma m%fõKsl ieleiau iqir lrhs' ² u,af.dajd yd ksú;s" yd;jdßh fndaxÑ jeks ;o fld< meye;s wdydr j, f*da,sla wï,h hyñka mj;S' Bg wu;rj meÕsß l=,fha m,;=re j,ska y;= iy OdkH j,ska f*da,sla wï,h wvx.= fõ' ² w;sf¾l mod¾: iajdNdúlj .kakd f*da,sla wï,h ;rï mßmQ¾K ke

iu iqÿue,s ùu fmky¿ j, isg Yßrfha ish¿ fmaYs j,g Tlaiscka /f.k hkafka r;= reêrdKq ffi, j, wvx.= ysfud.af,dìka u.skqhs' wjYH muKg reêrfha r;= reêrdKq ke;s úg§ ysfud.af,dìka m%udKho wvqjk ksid fmaYs ÿ¾j, ùu fjfyi ±kSu w;amdj, ysß .;sh iu. iu iqÿue,s ùu yÿkd .; yelsh'

108

August 2019

DOCTOR MAGAZINE

doctormagazine.lk

u,af.dajd yd ksú;s" yd;jdßh fndaxÑ jeks ;o fld< meye;s wdydr j, f*da,l s a wï,h hyñka mj;S' Bg wu;rj meÕsß l=,fha m,;=re j,ska y;= iy OdkH j,ska f*da,l s a wï,h wvx.= fõ'

YÍrfha yg .kakd ßÿï f*da,sla W!K;djh fya;=fjka yg.kakd rla;ySk;djh ksid fud<hg iemfhk Tlaiscka m%udKho wvqfõ' túg fud<hg reêrh imhk kd, ke;skï fud<fha reêr Ouks bÈfjkakg mgka .kakd w;r th wmg ysirohla wdldrhg ±kqï Èh yelshs' fuu fõokdldÍ nj fud<hg muKla ±fkk fohla fkdfõ' úfYaIfhka mdo" mmqj we;=¿j YÍrfha ´kEu wjhjla flffrka fuu fõokdldÍ nj yg.kakg mq¿jka' udkisl .eg¿ iakdhq moaO;sfha hy meje;augo f*da,sla wï,h w;sYh jeo.;a jkakls' ta ksidu f*da,sla wï,h ysÕ jQ úg§ fkdfhla udkisl .eg¿ldÍ ;;ajhkao yg .kS' ta wkqj udkisl tald.%;djh wvqùu ks;r wu;l ùu blauka fldamh udkisl wd;;sh jeks .eg¿ldÍ ;;ajhka biau;= úh yelsh' wk;=re weÕùu f;areï .kak f*da,sla wï,fha ysÕlu by; lS ,laIK wdldrhg Tng ±kqï Èh yelsh' tu wk;=re weÕùu ;jÿrg;a fkd;ld yßñka È.ska È.gu f*da,sla wï, ysÕ;djfhkau Tn l,a f.jk úg§ yg .kakd frda.S ;;a;ajh Bg jvd fndfyda nrm;, yd lrorldÍ úh yelsh' ta wkqj th Tng äfukaIshd" we,aIhsu¾ jeks ;;a;ajhlg weo ±óula jkakgo fndfyda ÿrg bv ;sfí' äfukaIshd ;;a;ajhlg f.dÿre jkakg fmr wjYH muKg f*da,sla wï,h ,nd.kafka flfiao@ wdydr uÕska Tng th myiqfjkau YÍrhg ,ndÈh yelshs' u,af.dajd yd ksú;s" yd;jdßh fndaxÑ jeks ;o fld< meye;s wdydr j, f*da,sla wï,h hyñka mj;S' Bg wu;rj meÕsß l=,fha m,;=re j,ska y;= iy OdkH j,ska f*da,sla wï,h wvx.= fõ' fmr lS ,laIK Tn flfrka ±l .; yels kï iodld,slju mSvd ú¢kakg isÿjk äfukaYshd jeks frda.hlg f.dÿre fkdù f*da,sla wï, wjYH;djh msßuid,kakg blauka jkak' DM

W;am,d iqNdIskS chfialr doctormagazine.lk

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109

110

August 2019

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doctormagazine.lk

doctormagazine.lk

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111

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wdhq¾fõoh uyú, - wdhq¾fõofha uyd iïm%odh

uyú, wdhq¾fõofha uyd iïm%odh oshjeähdj iqj l< yels nj wdhq¾fõoh wkdosu;a ld,hl isg fmkajd ÿkakd''' wo f,dalh mqrd úYd, jYfhka fnda fkdjk frdaa. me;sr ;sfnkjd' oshjeähdj thska m%Odkh' md,kh fkdjk oshjeähdj yDo frda." jl=.vq frda." iakdhq ÿ¾j,;d" wxYNd.h fukau ;j;a fndfyda frda. j,g w; jkk ksid fuh b;d wjodkula cSú;hg f.fkk frda.hla' wdhq¾fõofha oshjeähdj m%fïy frda.hla fia ie<fla' m%fïy frda. úis jeoEreïh' tys wjidk wjia:dj oshjeähdjhs' uq;%d iu. iSks msgjk fyhska uOqfïyh hkqfjka ye|skafjkafkao fuhuh' uOqfïyh ienEúkau úis jeoEreï m%fïyhka ;=< j¾.Slrkh fkdjk w;r ish¿ m%fïy frd.hkaf.a w;sl%dka; wjia:dj fia ie<flhs'

zi¾j taj m%fïyia;= ldf,akd m%;sldßkx uOqfïyiH cdhf;'''z

iqY%e; ks' 6$26

fuhska lshkafka ish¨‍u Èhjeähd fkdfyd;a m%fïyhka kshñ; ld,hg kshñ; T!IO uÕska m%;sldr fkdl<fyd;a muKla iqj l< fkdyels ;;a;ajhg m;afjk nj'

112

August 2019

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

háhkaf;dg uyú, fjouy;d

wfma merKs fjouy;ajreka m%fïy frda. uq,a wjia:dfõu y÷kd.ekSfï iqyqre oeKQula mrdïmrdkq.;j ysñ lr .;a;d' fï ksid tajd uqyql=rd f.dia oshjeähd wjia:djg m;aùu je<l=Kd' flfia fj;;a oshjeähdj wdhq¾fõofha ie<flkafka zzuyd frda.hlaZZ jYfhka' óg jir 3"000lg muK by; bkaÈhdfõ wdhq¾fõoh ia:dmkh lroaÈ ta iïfï,kfh uq,iqk .;af; ,xldfjka .sh mq,;sis RIsjrhd' mq,;sis RIsjrhd lshkafk rdjKdf.a iShd' fuhska meyeÈ,shs wmg bkaÈhdjg;a jvd ÈhqKq

doctormagazine.lk

wdhq¾fõo ffjoH l%uhla foaYh S fjolula ,xldfj ;snK q q nj' wjdikdjlg wfma foaYh S ffjoH oekqu ixrlaIKh lf<a keye' tfyu ixrlaIKh lrmq bkaÈhdkq fmd;am;aj, i|yka fjkjd iqYe% ; lshk mäjrhd .ek' fï iDIsjrhd y÷kajd ÿka jákd ffjoH uQ,O¾u .ek' iqYe% ; mäjrhd lshkafka wdhq¾fõo ffjoH l%ufha jf.au wo ngysr Y,H ffjoH úoHdfõ mshd' Èhjeähdj iqj l< yels nj Tyq ksYÑ A ;ju fmkajd fokjd' ngysr ffjoH úoHdj iudrïNfha isgu Èhjeähdj ie<l+fha iqj l< fkdyels frda.hla jYfhkqh's kqu; q a frda.k S a Wlg,S lrkakg Tjqka fm<UqfKa kE' th wdydr yd úyrK Tiafia fyd|ska md,kh l< yels neõ frda.k S g a fmkajd ÿkakd' uyd frda.hla jk oshjeähdj isref¾ úk fkdlrk bkaøh s la kE' th ish¿ wjhj j,g n,mdkjd' ngysr ffjoH úoHd;aul oeKQu wfma mrïmrdfõ ,laI ixLHd; ckS ckhd fj; ixl+,;d j,ska wdrlaId jkakg ud¾f. damfoaYKhla imhkjd' kuq;a uE;la jk ;=reu Tjqkg a Èhjeähdj lshkafka ikSm l< fkdyels frda.hla' ta;a uE;oS ta u;h;a fjkiaj ;sfnk nj fmfkkakg ;sfnkjd' ngysr ffjoH m¾fhaIlhka oeka lshk

doctormagazine.lk

wdldrhg uq,a wjia:dfõ oshjeähdj iqj l< yelsh's ndysßka bkaih s , q k s a ,ndoSu" w.akHdYfha îgd ffi, W;af;ackhg lrk T!IO yd isref¾ nr wvq lsÍfuka w¿;a oshjeähd frda.k S g a th ksÜgdjg iqj l< yelsh hk u;h oeka ngysr m¾fhaIlhka kj u;hla fia bosßm;a lrkjd' ta;a wdhq¾fõofha wfma iDIsjreka fï i;Hh bosßm;a lf<A Y;j¾Idêl ld,hlg fmr' bkaih s , q k s a ksmehqu osß .kajk fnfy;a" w.akHdYfha îgd ffi, W;af;ackh lrk fnfy;a ÿrd;S;fha mgka wfma Ndú;fha ;snK q d' nr wvq lrkak iQ;. % ; fnfy;a t;rï ÿkafk kE' wdydr yd úyrK Tiafia ta ld¾hh b;d myiqfjkau bgq flreKd' oeka oYl .kkdjl u;jdoS wr., j, ksudj iksgy q ka lrkak ld,h weú;a' oshjeähd iqjh n,d .sh foux;,dj tla ikaêia:dkhlg weú;a' wm Ñrd;a ld,hla ;sif a ia mejiQ foh úÿyqre m¾fhaIK Tiafia;a ms<. s kakd ;ekg lghq;= fhos,' oshK q q rgj, uq,a wjia:dfõoS y÷kd.kakd oshjeähd frda.k S g a oeka frda.hg iuqfok wruqKk s a fnfy;a fokjd' tajdhska id¾:l m%;M s <;a ,efnkjd' rn¾ fnda,hla j;=fr hg lrkak neßj jf.a ;uhs" fï i;Hh hgm;a lrkak nE' b;d iq¿;rhlg yereKq úg nyq;rhla fokdf. oshjeähdj iqjm;a lrkak wdhq¾fõohg mq¿jka' ta nj wm wvfnr .id fkdlsjdg wm fj; tk úYd, frda.k S a lkaordfjkau t mKsúvh ,nd fokjd' fï frda.fhka úYd, jYfhka mSvd ú|s frda.k S a wfma fnfy;a j,ska b;d úYAñ; f,i iqjm;a fjkjd' DM fy< Tiqfjka oshjeähdj kik háhkaf;dg uyú, fjo uy;d yuqùug i÷od" wÕyrejod" nodod" n%yiam;skaod" fikiqrdod oskj,oS fmrjre 8'00 isg miajre 4'00 olajd háhkaf;dg uyú, fjo ueÿf¾oS iukafoõ ms,srej wi," háhkaf;dg

ÿrl:k 036 5710 810 $ 0711631 724 iEu bßod osklu" mif<diajl fmdfyda osklu fydaud.u fi;a mdrïmßl frday, 64$20" iq.;md, kdysñ udj;" fydaud.u ÿrl:k 011 7024 222 $ 076 7828 647

uyú, fjo uy;df.a ;j;a yrnr ,smshla ,nk l,dmfhka n,dfmdfrd;a;= jkak igyk - wñ; úl%udrÉÑ

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Watermelon rih;a" .=Kh;a tlfia orKd ysre odyh ld,fha isis, iok m<;=r meKs flduvq

Watermelon Effectively Hydrates, Detoxifies, And Cleanses The Entire Body On A Cellular Level

rih;a" .=Kh;a tlfia orKd ysre odyh ld,fha isis, iok m<;=r

meKs flduvq

me

114

August 2019

Ks flduvq b;d rij;a wdydrhla jk w;r ysre odyfhka wêlj ñksiqka mSvd ú|sk fujka ld, j,oS thg úYd, b,a¨ula ks¾udKh ù ;sfí' mji ksjd,ñka isrerg isis,la f.k tkakg we;s ksiÕ yelshdj;a tys we;s m%KS; rih;a ksid meKs flduvq j,g

DOCTOR MAGAZINE

doctormagazine.lk

ksrka;rfhka oeä b,a¨ula mj;S' Tn fkdokakjdg meKs flduvq j, bkq;a mßndysrj ;j;a hy .=Kdx. rdYshla mj;akd we;s w;r tajd ms<sn|j Tnj oeKQj;a lsÍu fuu ,smsfha uqLH wruqK fjhs' meKs flduvq iqúfYaIS fmdaIK .=Kfhka hqla; m<;=rls' le,ß tallhla i;= úYd, fmdaIK .=Khla fuys ;sfnk ksid wka m<;=re j,g jeä jákdlula meKs flduvq j,g ysñ ù ;sfí'

meKs flduvq j, fmdaIKSh .=Kh úgñka A " úgñka B" úgñka C ;ka;=" m%;sTlaisldrl" fmdgEishï''' fï wdoS iqúfYaIS fmdaIK ix>gl /ilska fmdfydi;a meKs flduvq i;= ;j;a jákd fmdaIK ix>glhla jkafka L-citrulline h' meKs flduvq wdydrhg .ekSfuka m%;sYla;slrK moaO;sh imqrd ;sr flfrk w;r oshjeähdj" weÿu wiaÓ.; frda. wdoshg iykh i,ihs'

doctormagazine.lk

meKs flduvq wdydrhg .ekSfuka we;sjk úfYaI jdis iuyrla

Bg fya;= jk nj y÷kdf.k ;sfí' ² wlaudfõ ;ekam;a jk wefudakshd fldgia bj;a lsÍug meKs flduvq fya;= fjhs'

² ydkslr nelaàßhdjka úkdY lr jl=.vq l%shdldß;ajh jeä lrhs'

² YÍrhu fYdaOkhg ,la lrhs'

² meKs flduvq weg j,o uyÕ= Ñls;aiSh .=Kdx. mj;S' uq;%d ud¾.fha .,a we;sùu je<elaùug fuu meKs flduvq weg fya;= jk nj m¾fhaIKd;aulj y÷kdf.k ;sfí'

me‚ flduvq j, fmd;a; bj;a lrkak tmd

² meKs flduvq oskm;d wdydrhg .ekSfuka reêr mSvkh hym;a fjhs' reêr ixirkh iqir fjhs' ² meKs flduvq j, we;s úgñka E reêrjdyskS >kùu je<elaùfï .=Kfhka hqla;h' ² fuu.ska u<noaOh j<lajd,hs' ² meKs flduvq j, wêlj m%;sTlaisldrl ridhk mj;S' msßñkaf.a mqriaÓ;s ms<sld we;=xj ms<sld je<elaùug fï i;=j uyÕ= .=Khla mj;S' ² wefÕa we;sjk fõokd" lelal=ï j,ska iykh ,nKq msKsio meKs flduvq fya;= fjhs' tys hyñka we;s fmdgEishï yd ue.akSishï

wms yeu úgu wdydrhg .kafka r;=mdg udxY, fldgi muKhs' fmd;a;;a tlla bj;a lrk iqÿ mdg fldgi wms wdydrhg .kafkau ke;s ;rï' wehs@ r;=mdg fldgi rifhka jeähsfk' ta;a Tn okakjdo fï iqÿmdg fldgfia L-citrulline lshk weuhsfkda wï,h wka;¾.; jkafka' fuhg YÍrfha l%shdYS,S Ndjh jeä lrk w;r udxY fmaYSj, fõokdj ÿre ls Í fï yels h djla ,efnkjd' ta ú;rla fkfjhs reêrfha khs g % c ka bj;a ls Í fï yels h d;a flduvq fmd;a ; g ;s f hkjd' fï ldrKd .ek uekúka wjfnda O hla ;s f nk ks i d óg mia f ia flduvq lk úg fmd;a ; / ye, bj;a lr,d iq ÿ mdg fldgi;a tla l u wdydrhg .ka k ' DM

August 2019

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Homeopathy Medicine fldkafoa wudrefjka mSvd úÈk jeäysá Tng fydañfhdam;s ;=,ska iaÓr iqjh

iufm; weiqf¾ iqjfi;''' fldkafoa wudrefjka mSvd úÈk jeäysá Tng fydañfhdam;s ;=,ska iaÓr iqjh wo iudcfha nyq,j olakg ,efnk mSvdldÍ frda.hla f,i fldkafo lelal=u yeÈkaúh yel' fndfyda fofkl= ldka;d mqreI fNaohlska f;drj jhig hdu;a iu. wiaÓ moaO;sfha ÿ¾j,;djhkag f.dÿre jk m%;sY;h jeä w;r bka m%Odk f,i fldkafo lelal=u fndfyda fokd w;r oelsh yel' fldkafo lelal=fuys iïNjh .ek;a th iukh lr .kakg''' iqjh ,nkakg fydañfhdam;s ffjoH l%uh bjy,a jk wdldrh .ek;a wo oeKqj;a fjuq'

116

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doctormagazine.lk

fydañfhdam;s ffjoH wkqId fyaul=udr iu. l< idlÉPdjla weiqßKs

ffjoH;=uks" fldkafoa wudrej lshkafka l=ulao@ fldkafoa wudrej ms<sno l:d lrk úg fndfyda úg frda.Ska ueisú,s k.kafka fldkafoa my< m%foaYh wdY%s;j we;sjk fõokdjka ms<snojh' Bg wu;rj fldkao wdY%s;j udxY fmaYs j, lelal=u' fldkao ks¾udKh ù ;sfnk wiaÓuh jHqyuh fjkialïo' fï ksid fld÷weg fm< yryd .uka lrk iakdhqj, f;rmsuo" Bg wu;rj fldkaog yd;amiskau fjk;a me;a;l ;sfnk bkaøshl hï .eg¨ ksido we;sjk m%odysl ;;a;ajhla ksid wmg oefkk fjki" frda. ,laIKh fldkao lelal=u f,i y÷kajkjd'

doctormagazine.lk

fldkao wudrejg n,mdk nrm;, yd nyq, fya;= fudkjdo@ nyq, jYfhka n,mdk fya;= .Kkdjla ;sfí' fldkao ks¾udKh ù we;s lfYareld w;r we;s wka;¾ lfYareld uKav,fha we;sjk m%odylhka .; yelsh' wfma fldkafoa my< m%foaYfha lfYareld 5 lskq;a th wms L1,L2,L3,L4,L5 f,i yÿkajkjd' tfla my< fldgi S1,S2 yd tail(Coccyx) tl wdldrhg wjika fjkjd' fïjd w;r" tkï lfYareld 2 w;r msysgd ;sfnk wka;¾ lfYareld u~, fyj;a ldáf,aÊ j, we;sjk fjkialula ksid we;sjk m%odyl ;;a;ajh - Tiaáfhda wd;rhsáia - ;;a;ajh fldkafoa lelal=ug fya;=úula fjkjd' ldáf,aÊ $wka;¾ lfYareld uv,g bÈßhg f;rmSula ksid ^disc bulge& ksid frda. ,laIKhla f,i fõokdj we;sfjkak mq¿jka' tu ;;a;ajh j¾Okh ùu iqIqïkdj f;rmSu ^Herniation& njg m;a fjkjd' fuhska orkak neß fõokdjla oefkkjd' b|.kak neye' ysgf.k bkak;a neye' mdo Èf.a tk fõokdj´ ÿjkjd" bÈlgq wkskjd jf.a oefkkak mq¿jka' weÕs,s ysßjeáuo isÿúh yelshs' fï ksid scietica jeks frda. ,laIK ;;a;ajhlao we;súh yelshs' lfYareld tlsfkl ,siaid hdu" ^spondylolisthesis& jeks ;;a;ajhkao" fujeks ;;a;ajhka j,§ jHqyd;aul fjki áflka ál j¾Okh ùu" ll=, msÉfpkjd fuka oekSu" fuh fmkakqï lrk frda. ,laIK fjkjd' miqld,Skj fldkao ;on, fõokdj we;s lrkjd' ta jf.au fujeks ;;a;ajhka j,§ fmdaIK W!K;d yd m%;sYla;slrK moaO;sfha ÿ¾j,;d ksid wiaÓ Èrdhdu ˜Tiaáfhda fmdfrdaisia˜ ;;a;aj we;sùuo" Ankylosing Spondylithis jeks ;;a;aj we;sùuo fldkao wdY%s; b;d fõokdldÍ ;;a;aj f.k Èh yel'

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fldkafoa wudrefjka mSvd úÈk jeäysá Tng fydañfhdam;s ;=,ska iaÓr iqjh

Homeopathy Medicine

wiaÓuh .eg¨ fkdjk fjk;a fya;= fï i|yd n,mdkjdo@ jl=.vq frda." uq;%dYfha .,a we;sùu" .¾NdI .; frda." fyda¾fudak wiu;=,s;d" l%shdjla isÿlrk úg bßhõj" b|.kak wdldrh" wä Wi mdjyka me<|Su" isref¾ nr jeäùu" isÿjk yÈis wk;re" udkisl wd;;sh" fuh jhig hdfïÈ fndfyda jeä fjkjd' fïksid fldkafoa udxY fmaYs ;oùuo m%Odk f,i fldkao fõokdjg n,mEula we;s lrkjd'

"

<uqka w;r nyq,j mj;sk me;sl=oh fyj;a fyj;a fldkao weoùuo l%u l%ufhka isÿùu fldkafo fõokdj we;s lrk ;;a;ajhla fjkjd'

fydañfhdam;s m%;sldr j,§ úfYaIfhka T!IO ,nd fokaafka frda. ,laIKhghs' frda. ,laIKhla fkdue;sj frda.hla iqjl< fkdyelshs nj fydañfhdam;s ffjoH úoHdfõ mshd jk ffjoH ydfkudka ;=ud mjid ;sfnkjd'

"

iakdhq j,g .uka lsÍug ;sfnk bvlv wvqùu (spinal stenosis)" fï ksid iqIqïkdj jfÜ ;sfnk reêr iemhqfï ndOdjla we;sùu ksid fõokdjg ,laúula we;s lrkjd' jhi iu. we;sjk ia:q,Ndjh" mqoa.,hdf.a YÍrfha nr fldkaog Tfrd;a;= fkd§u" wiaÓj, Yla;su;a nj wvqùu" jhig hdfï§ ksishdldrj wdydr fkd.ekSu fmdaIK W!K;djhka" wiaÓ Èrdhdu l%u l%ufhka isÿùuo" ÿïmdkh yd ldnksl ridhksl ixfhda. óg n,mdk wfkl=;a m%Odk fya;= f,i oelaúh yelshs'

jhia.; ùu;a iu. fldkafo wudrej iq,nj we;s fjkjdo@ fldkafoa wudrej iq,nj oelsh yelafla jhi 60 ka miqjhs' jhi;a iu. iqIqïkdfõ úIalïNh wvq fjkjd' lfYareld j, wiaÓ mgl j, wê j¾Okh isÿùu" wka;¾ lfYareld u~, ;sfnk ;eka lsysmhla ;oùu yd úia;drKh ùu ksid iqIqïkdfõ ;sfnk

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doctormagazine.lk

jhia.; Woúhg fldkao fõokdjg wu;rj fujeks fohla we;sùfï§ oefkk frda. ,laIK fudkjdo@ ² u| ÿrla weúo hk úg ll=,a j, ;o .;sh" fõokdj" ² mdoh ysßjeàu" weÕs,s ysßjeàu' ² weú§u kej;Su fyda jdä ùfï§ kej; fõokdj hgm;a jk nj oeksu' ² mdo msÉfpkjd fuka oekSu'

fï ioyd isÿ lrk mÍlaIK fudkjdo@ X-ray, Dexa MRI jeks mÍlaIK u.ska fya;=j fidhd.; yel' ffjoH;=uks" fydañfhdam;s m%;sldr u.ska jhia fNaohlska f;drj fldkao lelal=u iqjlr .; yelso@ fydañfhdam;s m%;sldr j,§ úfYaIfhka T!IO ,nd fokaafka frda. ,laIKhghs' frda. ,laIKhla fkdue;sj frda.hla iqjl< fkdyelshs nj fydañfhdam;s ffjoH úoHdfõ mshd jk ffjoH ydfkudka ;=ud mjid ;sfnkjd' Tyq frda. ,laIKhkag iudk jQ T!IO m¾fhaIKd;aulj fidhdf.k ;sfnkjd' fydañfhdam;s uq,O¾uh zziudk fohska iudk foa iqjm;a fõ˜ hk u;h f.dvke.=fka ysfmdl%áia ;=udf.a zzfrda.hg iudk m%;sldr u.ska frda.h iqjh˜ hk m%ldYkh ydfkudka ;=ud m%;sj¾Okh lsÍu ;=<skqhs' fï ksid frda. ,laIK f.k thg iudk iqÿiq T!IOh §u ;=< YÍrdka;fha fõokdjg fya;= jQ jHqyd;aul yd ridhksl fjki kej; ms,silr ùula f.k fokjd' m%;sYla;slrKh Woa§mkh ùu fuhg m%Odk fya;=jla' jhia fNaohlska f;drj msvdjg fya;=j h:d ;;ajhg m;aùu fõokdj myù hdug

doctormagazine.lk

fya;= fjkjd' frda.shd ksiel iqjh w;aolskjd' fydañfhdam;s T!IO mdúÉÑh myiqhs' w;=re wdndO keye' fuu T!IO j, úYañ; jQ T!Iëh Yla;shla we;s ksid ´kEu T!IOhla mdúÉÑ lrk .uka tu T!IO .kakd fj,dj w;ayer fuu T!IO Ndú;d l< yelshs' Tnf.a fldkafo lelal=u muKla fkdj ysfia isg fom;=, olajd YÍrh mSvd fok iEu frda.S ;;a;ajhka fï ;=<ska iqjh f.k fokjd' DM

ffjoH wkqId fyaul=udr fi!LH" fmdaIK yd foaYSh ffjoH wud;HxYfha foysj, rcfha fydañfhdam;s ffjoH uOHia:dkfha ia:dk Ndr ffjoH ks,Odßksh jYfhka lghq;= lrhs fydañfhdam;sffjoH l%uh .ek úuiSï

011-2731695 0718250716$17

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wdhq¾fõoh

ks,fjolu

ks,fjolu ks, fjolfuka wxYNd.h frda.Skaj iqjm;a lrk uykqjr" wxl=Uqf¾ chka; nKavdr fjoÿrdfKda''' Y%S ,xldfõ wo jk úg fnda fkdjk frda. j,ska w;sYh nyq;rhla mSvd ú|sñka isá;s' fï fnda fkdjk frda. w;f¾ wxYNd.h úYd, wNsfhda.hlaj ;sfí' yDo frda. yd ms<l s djg muKla fofjks jk wxYNd.h fyj;a wd>d;h ksid jákd Ôú; rdYshla wmg wysñ fõ'

uykqjr" wxl=Uqf¾ ffjoHdpd¾h chka; nKavdr

fuu frda.h je<÷Kq úg ;udf.a idudkH ffoksl lghq;= mjd lr.; fkdyelsj T;am,j wirK Ndjhg ñksiqka m;a fõ' wl%uj;a Ôjk rgdj" wêl ;rndrej" ÿïmdkh" nq,;aúg iemSu" Èhjeähdj" wê reêr mSvkh yd yDo frda. jeks frda. dndOhka fuu frda.h je<|Su i|yd fndfyda fihska bjy,a fõ' jd" ms;a" fiï hk ;%sfodaIh uq,alrf.k YÍrfha yg.kakd fjkiaùï wxYNd. frda.h i|yd fya;=jk nj wdhq¾fõo uQ,Oßu wkqhk ks¾jpkhhs'

120

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doctormagazine.lk

flfkl= wxYNd.h frda.hg f.dÿre jQjfyd;a Tyqg fyda wehg ;u lghq;= lr .ekSug fkdyelsj b;d wirKNdjhg m;afjkjd' flfkla oeä f,i T;am, jkakgo mq¿jka' fuysoS w;la" ll=,la mK ke;sfjk w;r lg me;a;g hkjd' fujeks wirK frda.Skag ud ks, f;rmqu u.ska m%;sldr fldg b;d blaukska iqjm;a lrkjd'

doctormagazine.lk

fï frda.h iqjm;a lsÍu i|yd ngysr ffjoH l%ufha we;s m%;sldr iSudiys;h' wdhq¾fõoh fndfyda frda.Ska i|yd lsishï oefkk .=Khla i,ik m%;sldr isÿ lrkk nj fmfka' mdrïmßl fjolfuys tla YdLdjla jk zzks, fjoluZZ wxYNd. frda.Ska i|yd m%;sldr lsÍug id¾:lj fhdod .kakd ffjoHjrfhla wmg iïuqL úh' ta uykqjr" wxl=Uqf¾ ffjoHdpd¾h chka; nKavdrhs' wxYNd.h frda.h iqjm;a lsÍug ks, fjolu fhdod.kakd wdldrh .ek wm t;=uka yd úms<sir ùuq' fï ta wkqidrfhka ieliqKQ flá igykhs' ffjoH;=uks" wxYNd.h frda.h iE§ug n,mdk lreKq fudkjdo@ wxYNd.h frda.h iE§ug lreKq lSmhla n,mdkjd' kyr ;e,Su" f,a leá .eiSu" kyr msmsÍu" wêlj l,amkd lsÍu" fjfyildÍ nj jeks foa wxYNd.h frda.hg m%Odk fya;= idOl f,i y÷kajd§ug mq¿jks' wo iudcfha Ôj;ajk mqoa.,hka YÍrhg úfõlhla ,nd fkd§ hka;%-iQ;% fuka lghq;= j, ksh,Su fya;=fjka yd Tjqkag we;sjk .eg¿ldÍ ;;a;ajhlka fukau wêl f,i ,;ejq,a .ekSu" udkisl wd;;sh wdoS ldrKdo mokï lrf.k wxYNd.h frda.hg Èfkka Èku f.dÿre jk msßia fï jk úg olakg ,efnkjd'

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ks,fjolu

wdhq¾fõoh

wxYNd.h frda.Skaj Tn;=ud iqjm;a lrkafka flfiao@ flfkl= wxYNd.h frda.hg f.dÿre jQjfyd;a Tyqg fyda wehg ;u lghq;= lr .ekSug fkdyelsj b;d wirKNdjhg m;afjkjd' flfkla oeä f,i T;am, jkakgo mq¿jka' fuysoS w;la" ll=,la mK ke;sfjk w;r lg me;a;g hkjd' fujeks wirK frda.Skag ud ks, f;rmqu u.ska m%;sldr fldg b;d blaukska iqjm;a lrkjd' ks, f;rmqu wxYNd. frda.Skaf.a fud<fha wl¾ukH jQ fldgia WoaoSmkh lrkjd' wxYNd.h frda.sfhl= ud fj; /f.k wd úg fyda ud frda.Shd mÍlaId lsÍfuka wk;=rej m%;sldr wdrïN lrkjd' y;r j;djla muK frda.shdg m%;slr l< úg frda.h iyuq,skau iqjm;a lsÍug yelshdj mj;skjd'

ks, m%;sldr l%uh iud¾: fjkjd' ud fï jk úg wxYNd.h frda.Ska úYd, ixLHdjla fï ks, m%;sldr l%uh .=re fldgf.k iqjm;a lr ;sfhkjd' ffjoH;=uks" Tn;=ud wxYNd.h frda.hg muKla o m%;sldr lrkafka@ keye' ;j;a frda. lsysmhlgu m%;sldr lrkjd' iqjl< fkdyelsj mj;sk weÿu frda.h" l,a mj;sk ysiroh" fldkafoa fõokd" oKysia bÈuqu" ikaêjd; frda." YÍrfha ia:Q,Ndjh wvq lsÍu" fldf,iagfrda,a jeks frda.hkag m%;sldr lrkjd' Wm;skau wdndê; jQ orejkag o m%;sldr fldg iqjm;a lrkjd' yenehs orejd wjqreÿ 8 g wvq úh hq;=hs' tfukau bk yd YÍrfha yevh w,xldr f,i mj;ajdf.k hdu i|yd ks, fjolfuka m%;sldr ,nd fokjd' ud Bg wu;rj wukqIH n,fõ.hkaf.ka mSvd úÈk wh i|yd msysg fjñka ck;djg iykh i,ikjd' wxYNd.h frda.hg f.dÿre ù .;ska yd is;ska mSvd úÈk wfhl= kï ks, m%;sldr weiqf¾ wxYNd.h frda.h iqjlr .ekSug ffjoHdpd¾h chka; nKavdr fjouy;d yuqùfï wjia:dj Tng ;sfnkjd'

lg weoùu yd w;mh j, mK ke;s iajNdjh fkdue;sj frda.S ùug fmr isá wdldrhg kSfrda.SNdjhg Tjqkaj iqjm;a lr fokakg wfma

122

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m%;sldr lrk ia:dk yd Èk fmd,af.d,a, - bßod fm'j' 8'00 isg iji 4'00 olajd lvq.kakdj - i÷od yd wÕyrejdod Èkhkays§ wxl=Uqr rdufldgqj ksjfia§ - nodod" isl=rdod" fikiqrdod Èkj, úuiqï ffjoHdpd¾h chka; nKavdr kqjrmdr" rdufldgqj" wxl=Uqr" uykqjr'

072-4464957$ 071-6080849

DM

doctormagazine.lk

D•Magazine /

wdhq¾fõoh ì÷KQ wiaÓ hdlrk T!IOhla fidhd.;a fjo uy;d

foaYSh úl,dx. m%;sldrfõofha fmr<shla ì÷KQ wiaÓ hdlrk T!IOhla fidhd.;a fjo uy;d

iEis isxyf,a Tiq fjo ueÿf¾ wêm;s fy< fjo uydkdu ta' ymqf.dvf.a úisks

doctormagazine.lk

mq

oa.,fhl= Ôj;a jk ld,iSudj ;=< Ôú;h fkdfhl=;a ye,yemamSï j,g Ndckh jk nj fkdryils' fldmuK Ok iïm;a ;snqK;a wm iEu fokdgu b;d jeo.;a jkafka ksfrda.Sluhs' ksfrda.Slu ie<ls,a,g .ekSfï § iuyr wh fndajk frda. j,g Ndckh jk nj;a" iuyr wh fnda fkdjk frda. j,g Ndckh jk nj;A wm oksuq' jeàï yd yÈis wk;=re u.ska w;a" md" yd YÍrfha fjk;a wxf.damdx.

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ì÷KQ wiaÓ hdlrk T!IOhla fidhd.;a fjo uy;d

wdhq¾fõoh

ì£hdï j,g Ndckh jQ fndfyda fokd ful, jeä jeäfhka yuq fõ' flfkla foaYSh fjolu u.ska tu wiaÓ ì£hdï j,g m%;sldr .kS' ;j;a iuyrla ngysr ffjoH l%uh ;=<ska m%;sldr ,nd .kS' ngysr ffjoH l%uh ;=<ska Y,Hl¾u yd ma,diag¾ oud tu wiaÓ ì£hdu iqjm;a lr .ekSug fndfyda ñksiqka fm<fU;s' ta kùk ;dlIKfha wkqyisks'

lsÍug" tys iajNdjh" bka ,efnk úYañ; m%;sM< iïnkaOfhka Tnj oeKqj;a lsÍug fu;eka isg wm W;aidyhl fhfouq'

N.ak" wjikaë ùï wdoS yosis wk;=re i|yd Y;j¾Idël ld,hla uq¿,af,a mej; tk foaYSh ffjoH Ydia;%hla wmg we;s neõ wm wu;l fkdl< hq;=h' tu wdos ffjoH l%u weiqf¾ kjH kfjda;amdol m¾fhaIK j, ksr; ffjoHjreka ful, ke;sjd fkdfõ' tjka id¾:l m¾fhaIKhla osh;a lrkakg fy< fjoeÿre uydkdu ymqf. dvhka iu¾: ù we;' fy< fjoÿre uydkdu ta' ymqf.dvf.a uy;d wiaÓ ì£hdul§ tu wiaÓ mehla muK iq¿ fj,djloS hd lrk jákd T!IOhla ksmojd we;' tu T!IOh ms<sn|j mdGl Tn oeKQj;a

Tn;=ud ksmojQ wiaÓ hd lrk fuu jákd T!IOh l=ulao@ wo iudcfha ck.ykh jeäùu yd jdyk jeäùu;a iuÕ Èfkka Èku isÿjk ßh wk;=re j, j¾Okhla olakg ,efí' tfukau ksji ;=,§ fyda mdf¾ .uka lrk úg fkdis;k f,i uqyqK fok yÈis wk;=re ksid w;mh leãì£ hdï j,g Ndckh jk ixLHdfõ by< w.hla f.k we;'

124

August 2019

wfma mdrïmßl fjolu yd foaYSh fjolfuys úYAñ; Ndú;djka iïnkaOfhka wm mdGlhka oeKQj;a lsÍfï W;aidyhla jYfhka fuu y÷kajd oSu lrKQ ßisfhñ'

tjeks wk;=rlg Ndckh jk ñksiqka iEfyk ld,hla ú¢k ysßyerhka ksidu ud fujeks T!IOhla ksmoùug lsishï wOHhkhl ksr; jqKd' wiaÓ ì£hdulg

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Ndckh jQ mqoa.,fhl=g ud ksmojd we;s fuu T!IOh mdkh lsÍfuka tu ì£ .sh wiaÓh ksjerÈ f,i mehl muK flá ld,hla ;=,§ hdùula isÿ ùfuka" frda.shdg iqjh ,efí' wiaÓ N.akh úYd, f,i ydks isÿ ù we;akï thg Bg jvd jeä ld,iSudjla wiaÓh hdùug .; fjkjd' ud ,ndfok T!IOfhka frda.shd iqj ùu ksid ld,hla ú|ùug isÿù mej;s frda.h b;d flá ld,hlska iqjùu ksid Tjqkaf.a jevlghq;= lr .ekSug myiq fõ' fuu T!IOh Ndú;h ;=,ska w;aolsk m%;sM, l=ulao@ frda.h iqjùug .; jk ld,iSudj flá jk ksid frda.shdf.a fõokd .;sh wvqùu" ;udf.a ffoksl jev lrf.k hdug yelsùu" úfYaIfhkau lsj hq;=hs ngysr m%;sldr j,§ oud we;s ma,diagrh bj;a fkdlr ^fkdlmd& T!IO u.ska frda.shd iqjm;a lsÍug we;s yelshdj" ld,h" Y%uh" uqo,a b;sß lr.ekSug yelsùu wd§ fndfyda m%;s,dN frda.shdg fuhska w;am;a fõ'

doctormagazine.lk

Tn úiska N.ak i|yd fuf;la lrk ,o m%;sldr j,ska ,efnk m%;sm%, flfiao@ wiaÓ ì£ we;s frda.Skag ma,diagrh oud ;sìh§ T!IO mdkh lsÍfuka muKla ì£.sh weglgq yd fjk fujka l%ufõohla" m%;sldr l%uhla ud okakd ;rñka f,dalfha lsis÷ ;ekl fkdue;' fuu T!IOh mdkh lsÍfuka wiaÓh ì£.sh wdldrh wkqj meh lsysmhlska yd fjkjd' bkamiq tlaiaf¾ mÍlaIKhla u.ska th yd ù iqjm;a ù we;s wdldrh oek. ekSug yelshdj we;' ud wdrdOkh lrkq ,nkjd" oekg wiaÓ ì£ ma,diagrhla oud we;s frda.Skag ud fj; meñK ma,diagrh fkdlmd udf.a m%;sldr l%uh ;=<ska th imqrd iqjm;a jk wdldrh w;a olsk f,i' uq,§ udf.a m%;sldr l%uh ms<sn| frda.Skag l=;=y,hla mej;s w;r ud ,ndÿka T!IOh id¾:l ùu doctormagazine.lk

;=<ska Tjqkaf.ka ,efnkqfha b;d by< m%YxikSh m%;spdrhls' ud fj; meñKs frda.Ska úYd, m%udKhlg oekgu;a úsYAñ; f,i iqjh ,nd § ;sfí' Tjqkaf.a kej;;a ,o ksfrda.sNdjh fk;= mqrdjg oskm;du oelSu ;=<ska ud ,nkqfha buy;a i;=gls' tfukau ud fj; meñfKk frda.Skaj iqjm;a lsÍug yelsnj ud yg mj;skqfha oeä úYajdihls' m%;sldr ,nd .kak" ud fj;ska úuikak wiaÓ ì£ we;s frda.Ska ud yg ÿrl:k weu;=ula ,nd§ Èkh yd fõ,dj fjkalrf.k m%;sldr ,nd.ekSug meñfKkak' ud m%;sldr i|yd úYd, uqo,la wh fkdlrñ' frda.shdf.a ,shdmÈxÑh i|yd re 1000$- l uqo,la wh lrkq ,nk w;r" bkamiq frda.shdg yelshdj we;s mßÈ .=re m~qrla f,i uqo,la ,ndÈh yelsh'

lDY YÍr mqIaÀu;a lrk m%;sldr i|yd l+ßh¾ fiajdjla —flÜgqjg ;s; udihlska Tng w,xldr mDIaÀu;a YÍrhla˜ hk ud;Dldj hgf;a miq.sh ui m<jQ ,smshg ,efnk m%;spdr wkqj YÍrh mDIaÀu;a lr.ekSug fok T!IOhg i;shl T!IO i|yd re' 2000$} ls' tu T!IOh l=ßh¾ fiajh u.ska Tng ksjigu f.kajd .; yelsh' iEis isxyf,a Tiq fjo ueÿf¾ wêm;s fy< fjo uydkdu ta' ymqf.dvf.a uy;d m%;sldr lrk Èkhka yd fõ,djka n%yiam;skaod yd fikiqrdod fm'j' 8'00 isg m'j' 3'00 olajd iEiS isxyf,a Tiq fjo ueÿr 100$5" lu; mdr" udú,auv" uykqjr ^o<od ud<s.dj <Õ isg ls'ó' 4 la muK ÿßks& úuiSï 075 5559229 $ 071 2495752 DM

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wdhq¾fõoh u<noaOhg wdhq¾fõoh weiqre lr.;a ir< ms<shï

u<noaOhg wdhq¾fõoh weiqre lr.;a ir< ms<shï <noaOh wo fndfyda fokd mSvd ú|sk idudkH ;;a;ajhls' wfma fkdmsg fmr¿Kq wdydr isß;a" úyrK ksid fujka ;;a;ajhka we;s jk nj fmfka' fndfyda fofkla fï ksid fl;rï mSvdjg m;a jkafkao h;a ;ukaf.a ffoksl rdcldß wej;=ï mej;=ï j,g mjd n,mj;ajk nj fmfka' tfy;a u<noaOfhka b;d id¾:lj ñoSug wdhq¾fõoh weiqre lr.;a m%;sldr iu;a jk nj okafka lSfhka lSho@

wdhq¾fõo ffjoH rkam; rejka r;akdhl úisks

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u<noaOh we;sùu i|yd n,mdk fya;= fudkjdo@ u<noaOh we;sùu i|yd fya;= .Kkdjlau n,mE yelsh' ta w;ßka j¾;udkfha nyq,j olakg ,efnk .eiag%hsáia iy Ô¾K moaO;sh wdYs%; úúO ÿ¾j,;d m%Odk;ajhla .kS' óg wu;rj <ud wjêfha mgka we;sjk fya;+ka o fuu frda. wjia:dj i|yd n,mE yelsh' úfYaIfhka orejka l=vd wjÈfha§ foudmshka úiska ;rjgq lrñka orejkag jeämqr wdydr ,ndfok w;r tajd ksis mßÈ Ô¾Kh lr .ekSug fkdyels ùfuka Ô¾K moaO;sh wdY%s;j uq,a ld,Skj fufia .eg¿ldÍ ;;ajhla we;súh yelsh' fufia uq,a ld,Skj we;sjk ;;a;ajhka miqj u<noaOh we;s lsÍu i|yd n,mEï we;s lrhs'

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l=vd orejkag muKla fkdfõ we;eï jeäysáhka mjd jeämqr wdydr .ekSug mqreÿ ù isák w;r tjeks fya;+kao u<noaOh we;sùug iDcqj n,mdkq ,nhs' jeämqru u<noaOh we;slrkq ,nkafka fudkjf.a wdydr .;a úgo@ u<noaOh we;s lsÍu i|yd fya;=jk wdydr ms<sn|j i<ld ne,Sfï§ fldams" fpdla,Ü" jeks wdydr úfYaI;ajhla .kq ,efí' fïjd jeämqr Ndú;h ksid u<noaOh we;s lrkq ,nhs' ;jo lD;s%u wdydr j¾.o Bg n,mdk nj fya;=jls' fmr w;S;fha yqre jQ fl¢ iys; wdydr jk n;," t<j¿" m<;=re

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u<noaOhg wdhq¾fõoh weiqre lr.;a ir< ms<shï

wdhq¾fõoh

kshñ; mßÈ fujeks uDÿ úf¾pk .=K we;s T!IO Ndú; lsÍu uÕska WoEik wjÈ jQ iekska b;d myiqfjka u< msglsÍfï yelshdjla mSvdjg m;a frda.Skag ,nd.; yelsh' fufia l%udkql+,j u< msgúu ksid wod, mqoa.,hdf.a YÍrhg b;d ieye,a¨jla we;sjk nj fkdryils'

jeks wdydr rgfjka neyer ù mdka msá" f;,a ñY% wdydr nyq,j Ndú; lsÍu;a óg fya;=jla' fujeks ;;ajhkag m%;sldr ;sfhkjdo@ u<noaOh hkq nrm;, uÜgfï frda. ,laIKhla jkjd yd iudkj fjk;a m%Odk frda. .Kkdjla we;s ùug;a n,mdk uQ,sl fya;=jls' fï ksid wdhq¾fõo ffjoHjre fï ms<sn|j úfYaI wjOdkhla fhduq lrjk w;r mdrïmrsl foaYSh T!IO jÜfgdare wkqju ksmehQ ´kEu wfhl=g j;auka ld¾h nyq, Ôjk rgdjla iuÕ Ndú; l, yels wdhq¾fõo T!IO fï jk úg ksmojd ;sîu ksid fujeks frda.sfhl=g m%;sldr ,eìug jvd;a myiqjla fõ' u<noaOh iukh lrk uDÿ úf¾pk .=Kfhka hq;= T!IO fujeks u<noaOfhka fmf<k frda.Skag u< myiqfjka ta jf.au l%udkql=,j msg lsÍu i|yd uDÿ úf¾pk .=Kfhka hq;= T!IO ,ndfok w;r fïjd fndfyda úg rd;S%S ld,fha rd;%S wdydrhg miq kskaog fmr ,nd.ekSug kshu lrkjd' 128

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fï ksid ksis mßÈ u< msg fkdùu ksid we;sjQ frda. ,lAIK myj hhs' ta wkqj fkdßiaiqï iy.; nj" ysi lelal=ï" YdÍrsl fõokd uqLfha ÿ.| fï wd§ fmr meyeÈ,s l, wmyiq;d fndfydauhla myj hkq we;' fï ksid wod, ;eke;a;dg b;d fyd| cjhlska fukau m%fndAOu;a uqyqKlska hq;=j ojfia jev lghq;= j, fhÈh yelsh' ta ksid fujeks frda. ,laIK y÷kd.;a jydu wdhq¾fõo ffjoH l%uhg wkqj m%;sldr ,nd.ekSu l< hq;= fjkjd' DM fkdñf,a ffjoH Wmfoia ioyd wu;kak'

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