Doctor Magazine December 2020 by Manjula Kumarta Gamage

The Premier Bilingual Health Magazine in Sri Lanka Volume 30 â&#x20AC;¢ December 2020

ffjoHjrhd

SECOND WAVE New Normal Life with COVID 19 hlv W!K;djh ksid we;s fjk rla;ySk;djh ISBN-1391 1341

9 7 7 13 91 13 400 1 RS 180 (VAT INCL)

doctormagazine.lk

INSIDE Editors Note 6 Health News 8 Theme of the Month

m<uq jrg fldúâ ffjrih leurd weig yiq fjhs fiahdrej WKQ lejQï fia f,dalh mqrd ixirkh fjhs 11 fldõâ-19 Tn frda.s hehs Tn is;kafka kï" fï mshjr .kak 13 COVID-19 ;yjqre lr.kakg flfrk ridhkd.dr hqoaOh ;ju;a fldúâ úksYaph lsÍfï iaj¾Kuh mÍlaIdj wdisß ridhkd.dr fiajdfõ wOHlaI kS,a m%sh;a fcdaka 15

SARS-CoV-2 Specific Virulence Factors in COVID-19 chj¾Okmqr m¾fhaIlhka wkdjrKh l< kj fldúâ jHdma;sfha m¾fhaIK f;dr;=re 20

iajhx ksfrdaOdhkh$ ksjfia isg ksfrdaOdhkh ùu iajhx ksfrdaOdhkh$ ksjfiaisg ksfrdaOdhkh ùu hkq l=ulao@ 24 Rapid Diagnostic Test úkdä úiafika m%;sM< fok Rapid Diagnostic Test mÍlaIdj oeka wfma rfg;a''' 26 Coronavirus Anxiety: Coping with Stress, Fear, and Worry fldúâ ksid ys; úlafIdam lr.;a orefjla lsßn;af.dv uQ,sl frdayf,a" ufkda ffjoH tallfha" m%Odk ufkda ffjoH tka' l=udrkdhl 30

How accurate are the laboratory tests used to diagnose COVID-19? fldúâ ke;s wh we;s f,ig;a" we;s wh ke;s f,ig;a jeros iy.; ßfmdaÜ tkafka fldfyduo@ fi!LH wud;HxYfha udOH m%ldYl ffjoH chrejka nKavdr 33

,laI ;syla muK jk wfma jeäysáhka fldúâ jix.;fhka wdrlaId lr .ksuq fldfrdakd wjodkfuka ñfokak" jeäysáhkag Wmfoia 36

December 2020

DOCTOR MAGAZINE

fldúâ-19 fldfrdakd jHdma;sh jk fï wjÈfha§ Tn ms<smeÈh hq;= Wmfoia 38 W;aij iuh weú;a''' fï oskj, wyl hk f,v od.kafk ke;=j nvq .kafka fufyuhs fldúâ jix.; ldf<a fjkia jk ck cSú;h fudrgqj úYajúoHd,fha WmfoaYsld ;s<s‚ ch,;a 41

fomd iqjhg n,mdk fomd iqjfi; mdo iq/lSfuka osú iq/ lSugo yels fõ jdysksl frda. úfYAI{ ffjoH kd,l .=KjxY 44

Diverticulosis and Diverticulitis nvje,a wdY%s;j fï ld,fha we;sjk iq,n frda.hla''' vhsjálshq,¾ äiSia''' Y,H frda. úfYaI{ ffjoH m%fudaoa pkaøisxy 48

Early Detection of Breast Cancer and Its Impact on Women’s Health jeä jYfhka mshhqre ms<sld jd¾;d jkafka jhi wjq' 55g wvq ldka;djkag''' mshhqre ms<sld uyr.u wfmalaId frdayf,a ms<sld Y,H úfYAI{ ffjoH lksIAl o is,ajd 55

doctormagazine.lk

INSIDE Stress Disorders yQkshï lsÍfuka mjq,a lvdlmam,a lrkak mq¿jkao@

ksis l, jhia j,oS wjdy újdy fjkak ore iïm;a ,nkak''' thhs fyd|u úosy''' idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr 60

Iron Deficiency Anaemia hlv W!K;djh ksid we;s fjk rla;ySk;djh rla; jHdêfõo úfYaI{ ffjoH úidld r;aku,, 66

Best ways to clean eyeglasses correctly Tfí fk;= iÕ, fï úosyg msßisÿ lr.kak 71 m;, ohd lreKd .=Kh ksid ffjoH wdpd¾h ;rx.d f;darfoksh ,o ;Hd.h Ndr; .=K;s,l 72 Emergency treatment of a snake bite khd ldms''' fudlo lrkafk@ 75 Messege to the parents udl÷f¾ uOqIa,d ìys fkdjkakg''' orejka .ek uõmshka fï úosyg wjOdkfhka isákak 78 World AIDS Day 2020-December, 1 wfma rfÜ taâia frda.k S f a .a jeäùula úfYAI{ ffjoH ridxc,S fyÜáwdrÉ 80

December 2020

Why Do Some People Have Cheek Dimples? fldmq,a j, .eiSu fmardffoksh YslaIK frdayf,a ma,diaála Y,H úfYAI{ ffjoH wñ, isßj¾Ok 86

Physical therapy (PT)|Pysiotherapy fN!;Ñls;aidj-uQ,sl ye|skaùula''' frda. .Kkdjla f.dv ouk" lS‍%vlhka cj .kajk fN!; Ñls;aidj fld<U ßÊfõ wd¾hd <ud frdayf,a fN!;Ñls;ail wêldß cd,sh Wvqje,a, 91

Sepsis The hidden killer 98 Indigenous Communities in Sri Lanka tod jeos mrmqf¾ iqj p¾hdjka ffjoH YdLH wurfialr 104 wdhq¾fõoh Homeopathy for Wellbeing mdlskaika frda.Skag kej; cSú;hla ,ndfok fydañfhdam;s m%;sldr fydañfhdam;s ffjoH wkQId fyaul=udß 107

DOCTOR MAGAZINE

Y%S ,xld iajdmk úoHdfõ§kaf.a ix.ufha j;auka iNdm;s ufkda Ñls;ail" ffjoH mS'tka' úoHd,l=,m;s 111

foaYSh ms<sld fjolu mdkSh ms<sld ff;,h <Õ ;sfnkjd kï ms<sldjla yeÿk;a nhfjkak fohla kE''' .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd, 116

wdhq¾fõofha uqL frda.j,g isÿ lrk m%;sldr oSma;su;a oika fom<lg fya;= jk oka; iqjfi; l%sñrdc T!IOd,h wêm;s uydpd¾h" ffjoH iquKr;ak wur;=x. 120

uOqksud uyú, ,sms irKsh Èhjeähd frda.Ska fï lshk úosyg wdydr .uq''' ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKavdr 124

úIîc j,ska f;dr oE;lg úYajdifhka uÕ fmkajk budñ f.da,aâ Emami GOLD Turmeric Range 127 doctormagazine.lk

EDITOR'S NOTE rg fjkqfjka fi!LHdrlaIdfõ hq;l = ï bgq lruq f,dalh mqrd rgj,a 218l fldfrdakd wdidokhg ,lajQ ixLHdj fï ,smsh ,shk úg fldaá yhlg wdikak ù ;sfí' f,dalh mqrd isÿj we;s urK ixLHdjo B .il fõ.hka jeä fjñka mj;S' ld¾hlaIul tkak;l wd.ukhlska ñi" fï frda.h os.=ld,Skj md,kh lsÍu W.yg nj fï jk úg f;areï hñka ;sfnk i;Hhhs' iudc ÿria:Ndjh" fyd|ska w;a fiaoSu jeks lreKQ fldúâ iïfm%aYKh wvd, lsÍfuys ,d jeo.;a fõ' fldúâ 19 frda.h fl;rï oreKQ n,mEï we;s l<;a rgj,a jid isàu Bg;a jvd oreKQ n,mEï ck cSú;hg we;s lrk ksid fï jk úg f,dalhu zzkj cSjk rgdjlgZZ yqre fjñka isà' th wfma rggo wod,h' zzkj cSjk rgdfõZZ ;ukaf.ka bgqúh hq;= hq;=lï yd j.lSï j,g ,efnkafka iq¿mgq j.lSula fkdfõ' frda.fhka ;uka wdidokh fkdù isàug fukau ;uka ksid iudchla wk;=f¾ fkdjeàug kï fï hq;=lï yd j.lSï iEu mqrjrisfhl=u fï wjia:dfõ fkdmsßfy,d bgq l< hq;=h' fï jk úg wfma rg;a l=ÿ uy;a f,dalh;a fyg ojfia wmg fldúâ frda.fhka /ljrKh imhk tkak;la iïnkaOfhka n,dfmdfrd;a;= o,ajd isáhs' kuq;a fï n,dfmdfrd;a;= ish,a, m%dfhda.sl ;,hlg meñKùug kï wmg ;j;a fndfyda ÿrla hd hq;= jkafkah'

zzwms f;areï .kak ´fka jeo.;au ldrKh ;uhs f,dal ck.ykh ì,shk 7lg jvd bkakjd' t;fldg fudk tkak; id¾:l jqK;a lsiu s T!IO iud.ulg yelshdjla kE tkak;a ì,shk 7la yokak' ta ksid tkak;a hï lsis m%;Y s ;hla ;uhs ,xldjg ,efnkafka'ZZ fldúâ frda.hg tosßj fhdod .kafka mRNA lshk kjH ldKAvhl tkak;a' wdrlaIdj w;sk; q "a ld¾hlaIu;djh w;sk; q a ta yereKQ úg fõ.fhka ksIm a dokh lsÍfï úNjh w;sk; q a mRNA tkak;a iqúfYaIh s 's th wo mj;akd Nhdkl jix.; ;;a;j a h úIfhys wfmalI a d iy.; jd;djrkhla we;s lrkjd' ta;a tyso" Bg ,dlaIKsl .eg¿ ke;sjd fkdfjhs' tkakf;ys l%h s dldÍ wka;¾.;h jk free RNA fl,sku a YrSrfhaoS ì|fy,Sulg ,la fjkjd' fï ksid mRNA, ,hsfmdfidau meleÜgq úosyg úYd, wKQ ;=< iudhq; lsÍula lrkakg isÿ fjkjd' wfkla ldrKh ;uhs fi,aih s iia wxYl iDK 70la jf.a úYd, YS;k ;;a;j a hl fï tkak;a .nvd lrkakg isoO a fjkjd' fï i|yd wfma rfÜ myiqlï i,iajd .kakg isoO a fjkjd' oekgu;a ì%;dkH taldnoaO tkakf;a ñ,shk 30la uyd ì%;dkHh weKjqï lr wjidkhs' tu iud.fï m<uq jgfha ksIm a dokfha Wmßu Odß;dj ñ,shk 50hs' túg iuia; f,dalhgu b;sß fjkafk ;j;a ñ,shk 20la muKhs' wfma rgg ñka lShla ,efnhso@ fï lshk mqfrdal:k thdldrfhkau yß .sfhd;a''' uydpd¾h ks,l S d u,úf.a lshk wdldrhg" ta;a wmsg tkak;a <Õd fjkak ,nk wjqreoafo w. Nd.h fjhs' f,dal fi!LH ixúOdkfha fkajdisl ksfhdac; s rdihshd fmkaâfia wfma ck.ykfhka ishhg 20lg uq,a jgfhaoS ,ndfok njg m%ldY lr ;snK q d' tfy;a fï miqìu ;=< ;j;a iEfyk ld,hla hk;=re wfma rgg tkakf;ys /ljrKh fkd,efnkakg fndfyda ÿrg wjia:dj ;sfnkjd' fï miqìu ;=< fldfrdakd wdidos;hkaf.a urK ;j;a ld,hla isÿ fõú' urK wvq lr.kak" wfma jeäysáhka" ksoka.; frda. j,ska fmf<k whg we;s n,j;a ;¾ckfhka Tjqka uqojd.kak kï ;j;a ld,hla wfma hq;l = ï rg fjkqfjka bgq lrkak fõú' udiala tlla m<|sk tl" ÿria:Ndjh wdrlaId lr.kak tl jf.au w;a fiaof S ï fi!LH mqreÿ ;jÿrg;a rlaId lr.kak tl fyg ojfia;a wfma wdorKShhkaf.a cSú; j, meje;au fyda urKh ;SrKh lrK idOlh jkq we;s' DM

fï ms<sn|j îîiS isxy, fiajhg woyia olajk Y%S chj¾Okmqr úYAj úoHd,fha m¾fhaIsldjla jk ffjoH ks,Sld u,úf.a uy;añh mjik woyia fï .eg¿fõ .eUqr fudkjg lshdmdhs'

December 2020

DOCTOR MAGAZINE

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

doctormagazine.lk

The Premier Health Magazine in Sri Lanka

BUY YOUR "DOCTOR MAGAZINE" IN FOOD CITY OUTLET NEAREST TO YOU...

Never miss an issue... Hurry up its your life passion...

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

Dr Chandana Sri Kanakaratna Geriatrician, Physician

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

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

doctormagazine

www.doctormagazine.lk For Advertising Inquiries

077 815 02 70 doctormagazine.lk

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

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

December 2020

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

DOCTOR MAGAZINE

D•Magazine /

Health News iqmqj;

Health News iqmqj; rgmqrd HIV wdidÈ;hka 3600'''la idhkj, ,shdmÈxÑh ,nd we;af;a 2000la muKhs rg mqrd HIV jhsrih wdidÈ;h 3600la isáh hq;= njg weia;fïka;= lr we;;a oekg idhkj, ,shdmÈxÑh ,nd we;af;a 2000la muK nj;a b;sß 1600la ;uka ffjrih wdidÈ;hl= nj fkdoek iudc.;j isák nj;a cd;sl ,sx.dY%s; frda. yd taâia u¾ok jevigyfka wOHlaIsld úfYaI{ ffjoH ridxc,S fyÜáwdrÉÑ uy;añh mejeiqjdh' ;udg ffjrih YÍr. ;j we;s njg fkdoek iudc.;j isák mqoa. ,hska 1600 fokdf.ka iudcfha fiiq mqoa.,hka wdrlaId úh hq;= nj;a fkdtfia kï wkdrlaIs; ,sx.sl iïnkaO;d meje;aùfuka ;ud;a

December 2020

cd;sl ,sx.dY%s; frda. yd taâia u¾ok jevigyfka wOHlaIsld úfYaI{ ffjoH ridxc,S fyÜáwdrÉÑ uy;añh

l=uk fyda wjia:djl ffjrih wdidÈ;fhl= ùfï wjodkula mj;sk nj;a weh fmkajdfohs' ffjrih YÍr.; ù we;s njg ielhla mj;skafka kï cd;sl ,sx.dY%s; frda. yd taâia u¾ok jevigyfka idhk fj; meñK ;udf.a fm!oa.,sl;ajh iq/flk mßÈ fkdñ,fha reêr mÍlaIdjka isÿ lr .; yels nj o weh m%ldY l<dh'

DOCTOR MAGAZINE

uqL ms<sld frda.Ska úYd, jYfhka by< hhs miq.sh ld,h ;=< uqL ms<sld frda.Ska úYd, jYfhka by< .sh nj;a fï jk úg jHdma;sh w;ska wfma rfÜ fojk úYd, ms<Sldj njg uqL ms<sldj m;aj we;s nj;a ms<sld u¾Ok jevigyk wdrxÑ ud¾. m%ldY lrhs' osklg kj ms<sld frda.Ska kj fofkl= w¿;ska yªkd.efka' msßñka w;r iq,nu ms<sldj njg m;aj we;af;a uqL ms<sldjhs' ldka;d iq,n ms<sld oyh w;rgo uqL ms<sldj meñK ;sfí' osklg uqL ms<sld frda.Ska 2-3 w;r ixLHdjla ñh hhs' msßñ ms<sld urK w;ßka uqL ms<sld wh;a jkafka fojk ia:dkhgh' fndfyda uqL ms<sld uq,a wjia:dfõ yªkd.ekSfuka iqjh ,nd.; yelsj ;sfnk uq;a wjdikdj kï

doctormagazine.lk

uqL ms<sld frda.Ska w;=ßka ishhg 70lau bosßm;a jkafka ms<sldj Tvqÿjd wjidkfhaoS ùuhs' uE; iólaIKj,g wkqj" uqL ms<sld we;sùfï m%Odk wjodkï idOl jkqfha nq,;a úg" ÿïfld< yd mqjla wdY%s; ksIamdok" ÿï mdkh iy uOHidr Ndú;d lsÍuhs' msßñkaf.ka ishhg 45'7 la iy ldka;djkaf. ka ishhg 5'3 la hï wdldrhl ÿïfld< ksIamdokhla ^ÿï yd ÿï rys;& Ndú;d lrk nj fidhdf.k mj;akd w;r msßñkaf.ka ishhg 34'8 la iy ldka;djkaf.ka ishhg 0'5 la u;ameka Ndú;d lr;s' jvd;a jeä wjodkula orK lKavdhï w;r j;=

doctormagazine.lk

lïlrejka" ßhÿrka" ëjrhska" m;,a lïlrejka" bÈlsÍï lïlrejka" wdrlaIl ks,OdÍka" ;%sfrdao r: ßhÿrka iy f.dùka we;=<;a fõ' ÿr .uka nia ßhÿrka o by< wjodkï lKavdhula orhs' cd;sl ;,fha l%Svlhkag fmdaIK jevigykla cd;sl ;,h ksfhdackh lrk l%Svl l%Säldjkaf.a iy mqyqKqlrejkaf.a fmdaIKh ms<sn| oekqu jeä ÈhqKq lsÍfï ud¾. ia: jevigyka ud,djla meje;aùug l%Svd ffjoH wdh;kh iy Y%S ,xld fmdaIK ix.uh tlaj lghq;= iQodkï lr ;sfí' fï mqyqKq mdGud,dj miq.sh i;s lsysmh ;=< wÈhr lsysmhlska

meje;ajqKq w;r" mdGud,dfõ m<uq wÈhr i|yd l%Svd ix.ï 10l mqyqKqlrejka yd l%Svl l%Säldjka 300lg wêl msßila iyNd.S úh' fï jevigykg iyNd.s ùug leue;s wfkl=;a cd;sl l%Svd ix.ï iy l%Svl l%Säldjka" l%Svd ffjoH wdh;kfha f;dr;=re ,nd .ekSfï wxlh 077 0169 169 wu;d jeäÿr f;dr;=re ,nd .kakd f,i oekqï fokq ,efí' iu,sx.sl yd ixl%dka;s ,sx.slhkag mSvd lrk njg ,xldjg fpdaokd iu,sx.sl" oaú,sx.sl yd ixl%dka;s ,sx.sl ^LGBT& mqoa.,hkag mSvdldÍ whqßka i,lk njg yshquka rhsÜia fjdÉ ^Human Rights Watch& iy Blaj,a .%jqkaâ ^Equal Ground& hk ixúOdkh Y%S ,xldjg fpdaokd lr we;' miq.shod taldnoaO jd¾;djla ksl=;a lrñka tu ixúOdkh m%ldY lr we;af;a 2017ka miq miq.sh jir lsysmh we;=<; iu,sx.sl yeisÍï ms<sn|j idlaIs ,nd.ekSu i|yd mqoa.,hka .Kkdjla n,y;aldrfhka YdÍßl

December 2020

DOCTOR MAGAZINE

D•Magazine /

Health News

mÍlaIdjkag ,lalr we;s njh' ,sx.sl ysxikhkag ,la lrñka isÿlrk fujeks lDDr n,mEï jydu k;r lsÍug Y%S ,xld rch ish kS;s ixfYdaOkh l< hq;= njo fuu ixúOdkh wjOdrKh lrhs' zzffjoH wdpdr O¾u fukau uQ,sl whs;sjdislïo W,a,x>kh lrk fuu mÍlaIK Y%S ,xld wêlrK wud;HdxYh úiska jydu ;ykï l< hq;=h' msßñ iu,sx.sl yeisÍï iïnkaOfhka miq.sh udi 12 we;=<; wju jYfhka 6 fokl=g tfrysj fmd,sish kvq mjrd we;' fuf,i kvq mejeÍfï§ pQÈ;hkaf.a YdÍßl mÍlaIK jd¾;djka wêlrKhg bÈßm;a lr we;'ZZ hehs wod< jd¾;dfõ jeäÿrg;a i|yka lr ;sfí' bÈß jir my ;=< t<suyka YdÍßl iqj;d uOHia:dk 1000la bÈß jir my ;=< t<suyka YdÍßl iqj;d uOHia:dk 1000la rg mqrd bÈ lsÍu b,lalh nj l%Svd yd ;reK lghq;= weue;s kdu,a rdcmlaI uy;d mjihs' .%dóh wd¾Ólh kÕd isgqùfï cd;sl jevigykg iu.dój t<suyka YdÍßl iqj;d

December 2020

uOHia:dk bÈ lsÍfï m<uq wÈhr miq.shod wkqrdOmqrfhka wdrïN lsÍfï wjia:djg iyNd.s fjñka weue;sjrhd fï nj mejeiSh' ,dxflah fyoshkg wdpd¾h Wmdê jevigykla Y%s ,xldfõ m%uqL;u fi!LH fiajd wOHdmk wdh;khla jk International Institute of Health Science (IIHS) u.ska Y%S ,xldfõ fyoshkaf.a jD;a;Sh m%ia:d i|yd Doctor of Nursing wOHdmksl jevigykla wdrïN lr we;' isõ jirl úIhdkqnoaO yd ksnkaOk iys; fï jevigyk mj;ajkq ,nkafka uef,aishdkq újD; úYaj úoHd,fha iyfhda.s;djfhks' fuu jevigyk IIHS yS ÿria: yd újD; bf.kqï wdlD;sh yryd ,nd fok w;r Ydia;%m;s Wmdêh i|yd we;=<;a ùfï iqÿiqlï imqrd we;s fyda ms<s.;a foaYSh yd cd;Hka;r úYaj úoHd,j,ska BSc/Bachelors /MBBS ,nd.;a ish¨‍ fokd i|yd újD; fõ' IIHS ys m%Odk úOdhl ls;aisß tosßisxy uy;d fï iïnkaOfhka fufia woyia oelaùh' —Y%S ,xldfõ fyÈhkaf.a m%ñ;Ska ;jÿrg;a by< kxjk fuu kj mYapd;a

DOCTOR MAGAZINE

IIHS ys m%Odk úOdhl ls;aisß tosßisxy uy;d

Wmdê jevigyk fuf,i bÈßm;a lsÍug ,eîu .ek wms ienúkau i;=gq fjuq' wmf.a fyÈhkag Tjqkaf.a oekqu fmdfydi;a lsÍug iy cd;Hka;r m%ñ;Skag .e,fmk mßÈ Tjqka i;= úfYaI{Ndjh iy jD;a;ShNdjh ,nd .ekSug Wmldr jk fyd|u jevigyka ,nd §ug wms oeä Wkkaÿjla olajuq' wmf.a mq¿,a oelau jkafka ol=Kq wdishdkq l,dmSh isiqka f,dal uÜgfï fi!LH fiajd jD;a;slhka njg m;a lsÍu iy Y%S ,xldj oekqu flakaøia:dkhla njg m;alsÍfï rcfha wNsu;d¾:h;a iu.ska f,dj mqrd isiqkag .=Kd;aul fi!LH fiajd iqÿiqlula ,nd .ekSug wjia:dj ,nd §uhs'˜ hkqfjka mejiSh' DM doctormagazine.lk

SECOND WAVE

D•Magazine /

Image Virus

New Normal Life with COVID 19

m<uq jrg fldúâ ffjrih leurd weig yiq fjhs

Bg fya;=jla ;sfnkjd' wkaùlaISh wOHhk j,g wkQj by; lS ixrpl SARS-CoV-2 fjrifha mej;sh;a cSù jHdêcklhla m%;sìïn.; lsÍu myiq ldrKhla fkdfjhs' wkaùlaISh wOHhk j,oS ffjrifha tu mshú rEmldhg jeä jákdlula ysñ jkafka;a kE'

UNC Researchers Publish Striking Images of SARS-CoV-2 Infected Cells

m<uq jrg fldúâ ffjrih leurd weig yiq fjhs fiahdrej WKQ lejQï fia f,dalh mqrd ixirkh fjhs fldúâ ffjrih fudk jf.ao@ j,hdldr uOHhla iy tu mDIAGh mqrd me;sr.;a W,a iuQyhlska fldõâ 19 we;s lrk SARS-CoV-2 ffjrih iukaú;j ;sfnk nj fldhs ljqre;a okakjd''' f,dalh mqrdu fmdÿ rEml wdldrhlska fï ffjrih oelaùugo fkdks, Ndú;djlao ;sfnkjd' ta;a we;a;gu tjka wdldrfhka .;a icSj m%;sìïnhla f,dj fld;ekl j;a kE''' doctormagazine.lk

ta;a ienE SARS-CoV-2 ffjrihl wkaùlaISh fiahdrejla ,nd .ekSfï ymkalu lrkakg miq.shod m¾fhaIsldjla iu;a jqKd' weh leñ,s tyaf¾' ì%;dkHfha The UNC School of Medicine laboratory lS¾;su;a m¾fhaIK wdh;kfha <ud frda. iïnkaO iydh uydpd¾hjßhla jk weh uq,a jrg ,nd.;a ffjrifha ióm m%;sìïnfha j.;=. fu;eka isg úuiuq' leñ,s tyaf¾ Yajik ud¾.fhka ,nd.;a mgl idïm,hlg ffjri ksheoshla tkak;a l<d' bka miqj th meh 96l ld,hla jefvkakg i,iajd kej;;a mßf,dalk bf,lafg%dak wkaùlaIhlska ksÍlaIKh l<d'

December 2020

DOCTOR MAGAZINE

D•Magazine /

Image Virus m<uq jrg fldúâ ffjrih leurd weig yiq fjhs

tys wmQrejg SARSCoV-2 ffjrih rEml wdldrfhkau igyka jQfha m<uq jrg SARS-CoV-2 fjrihl m%;sìïnhla mshú leurdjlska rEm.; lsÍug yels jk wdldrhghs' fï ffjrih fiahdrE .; lsÍug fmr leñ,s tyaf¾f.a iydhlfhl= jQ leurka fudßika úiska kso¾Ylh j¾K .ekaùulao isÿ l<d' fuys ks,a meyefhka oelafjkafka Yajik uf.ys fjfik flaYsl wmsp¾u ffi,hs' fmKy¿ j, isg ldkaÿ jk fiu fldgia m%jdykfhys j.lSu fulS flaYsl ffi, úiska ork w;r lsishï jHdêckl ffjrihla fjf;d;a fï jHqyh ;=< isrj ,e.=ï .kakjd' ly mdáka oelafjkafka ffjrifhka wdidos; fiu fldgia jk w;r' frdai meyehg yqre r;= meyefhka wm fuf;la kqÿgq ffjrih uekúka olakg ,efnkjd' fï m%;sìïn ld¾hh iïnkaOfhka woyia olajk leñ,s tyaf¾''' zzffi,hla ;=< fïid jHdêckl ixLHdjla ksmoùu úYAuhcklhs' 12

December 2020

jeä ffjri ixLHdjlg ksrdjrKh jqfKd;a th isrer nrm;, f,i wdl%rk njg;a ksfrda.S flfkla wdidokhg fõ.j;a hdka;%Khl ksr; jk njg;a fy<sorõ lr .kSug fï m%;sìïn idlaIs imhkjd'''ZZ leñ,s tyaf¾ UNC Marsico Lung Institute fukau UNC Children’s Research Institute o idudcsldjla' wef.a fuu m¾fhaIK ld¾hhg UNC Gillings School of Public Health yS lS¾;su;a jix.;fõo uydpd¾hjrfhl= jQ William R. Kenan f.a iyfhda.s;djho ,nd.;a neõ lshefjkjd' uQ,Huh iyfhda.s;djh The National Institutes of Health yd Cystic Fibrosis Foundation fj;ska' f,dalhu fj,d.;a fkdfmfkk i;=rdf.a mshú fiahdrejla fï wdldrfhka uqod yeÍu;a iu.u fï fiahdrej zzWKQ lejqïZZ fõ.fhka ffjoH c¾k, iajlSh kejqï uqøK i|yd fhdod .;a;d' DM SARS-CoV-2 virions (red). (Ehre Lab, UNC School of Medicine) A higher power magnification image shows the structure and density of SARS-CoV-2 virions (red) produced by human airway epithelia. (Ehre Lab, UNC School of Medicine) Source: The New England Journal of Medicine

DOCTOR MAGAZINE

doctormagazine.lk

SECOND WAVE

D•Magazine /

New Normal Life with COVID 19

fldõâ-19 Tn frda.s hehs Tn is;kafka kï" fï mshjr .kak

mshjrhka wkq.ukh lrkak' fuh mqrjeisfhl= f,i Tnf.a cd;sl j.lSuls' iuyr wh wdidokh ù we;s kuq;a lsisÿ frda. ,laIKhla j¾Okh fkdjk w;r wikSm njla oefkkafka ke;'

fldõâ-19 jvd;a fmdÿ frda. ,laIK ² WK ² leiai ² W.=f¾ wmyiq;dj ² yqiau .ekSfï wmyiq;dj fï frda. ,laIK ;snQ mu‚ka Tn fldõâ-19 wdidÈ; hehs is;sh fkdyels uq;a fldfrdakd ffjri wdidokfhao olakg ,efnk frda. ,laIK fïjdu jk neúka Tnf.a wdorŒhhkaf.a wdrlaIdj ms‚i my;

doctormagazine.lk

fï Wmfoia ms<smoskak ² ffjoH Wmfoia ,nd .ekSu i|yd ñi fjk lsisÿ ldrKhla i|yd ksjiska msgj fkdhkak' ² yels kï ;udu muKla /§ isàug ldurhla fjka lr.kak' ² ksjfia Tn iy wfkla wh w;r wju jYfhka ógrhl ÿrla ;nd .kak'

December 2020

DOCTOR MAGAZINE

D•Magazine /

New Normal Life with COVID 19 fldõâ-19 Tn frda.s hehs Tn is;kafka kï" fï mshjr .kak

² yelskï fjku jeisls,shla$kdk ldurhla Ndú;d lrkak' tfia l< fkdyels kï jeisls<sh$kdk ldurh Ndú;d l< miq tajdfha lrdu" fodr.=¿ wdÈh inka fhdod fidaokak' ² ksjig wd.ka;=lhka f.kajd fkd.kak' ² Tn fukau wfkl=;a ksjeishkao ks;r ks;r yels iEu úgu inka fhdod ;;amr úiailaj;a w;a fidaod .; hq;=h' ² ;uka Ndú;d lrk msÕka" ùÿre" fldamam" ;=jd yd we| we;sß,s wdÈh wka whf.ka fjkaj ;nd .kak' wfkla whf.a tajdfhka fjkaj inka .d fidaod .kak' ² lysk úg fyda lsúiqï hjk úg je,ñfgys we;=,a me;af;ka fyda áIq lvodishlska uqj jid .kak' tla jrla Ndú;d lrk ,o máIq lvodis mshk iys; li, n÷klg oukak' ² Tn Ndú; lrk uqyqKq wdjrK yd w;ajeiqï Ndú;fhka miq kej; kej; Ndú;d fkdlr mshk iys; li, n÷klg oukak' jvd;au jeo.;a foh kï Tn miq.sh i;s fol we;=<; msgrglg f.dia meñ‚fha kï fyda fldúâ frda. wdidÈ;fhl= fyda tfia iel l< yels mqoa.,fhl= wdY%h lr we;akï jydu m%foaYfha uyck fi!LH mßlaIlg fyda fi!LH ffjoH ks,Odßjrhdg oekqï fokak' 1999 Wmfoia fiajdj weue;Sfuka ffjoH m%;sldrj,g fhduq ùu yd bÈß lghq;= ms<sn| wjYH Wmfoia ,nd .; yel

December 2020

DOCTOR MAGAZINE

1990 m%;sldr i|yd m%jdyk myiqlï i,id .ekSug' iqjießh .s,kar: fiajdj wu;kak' jydu ffjoH m%;sldr j,g fhduq úh hq;= wjia:d by; frda. ,laIK i|yka Tn" miq.sh Èk 14 we;=,; msg rgl isg Y%S ,xldjg meñ‚ wfhla kï" fyda iel lrk ,o fldõâ-19 frda.shl= iu. ióm iïnkaO;d meje;ajqfha kï fyda tfia .uka fyda iïnkaO;d b;sydihla fkdue;s jqj;a úfYaI{ ffjoHjrhl= úiska ;yjqre lrk ,o W.% ksõfudakshd ;;a;ajhlska fmf<kafka kï" ffjoH Wmfoia i|yd b;d blaukska ,Õu we;s rcfha frday, fj; fhduq jkak' DM

Source: Health Promotion Bureau

doctormagazine.lk

D•Magazine /

SECOND WAVE

Laboratory Tests Explained

New Normal Life with COVID 19

COVID-19 ;yjqre lr.kakg flfrk ridhkd.dr hqoaOh

COVID-19 ;yjqre lr.kakg flfrk ridhkd.dr hqoaOh ;ju;a fldúâ úksYaph lsÍfï iaj¾Kuh mÍlaIdj Real-time reverse transcription polymerase chain reaction (RT-PCR) h'''

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

doctormagazine.lk

fï jk úg fldfrdakd ldKavfha SARS-CoV-2 ffjrih ksid yg.;a fldúâ 19 frda.h iuia; f,dalhu fj,df.k ;sfí' 2019 foieïnrfhaoS uq,skau jd¾;d jqKQ fï frda.h wo jk úg f,dalfha iEu wiail uq,a,lu" iEu ck fldÜGdYhlu ck;dj iïfm%aIKh lrñka uyck fi!LHhg wNsfhda. t,a, lrñka me;sr yudrh'

December 2020

DOCTOR MAGAZINE

D•Magazine /

Laboratory Tests Explained COVID-19 ;yjqre lr.kakg flfrk ridhkd.dr hqoaOh

kso¾Yl ,nd.ekSu

m%fõKsl úYaf,aYKh

m%;sM< iudf,dapkh

kso¾Yl ,nd.ekSu

laIKsl m%;sckl mÍlaIKh

m%;sM,h ,nd .ekSu

fï frda.hg ksYaÑ; m%;sldrhla fyda ksjdrKhg tkak;la fidhdf.k fkdue;s miqìula ;=< frda. md,khg;a" ck;djf.a fi!LH ;;a;ajh wk;=f¾ fkdfy,d mj;ajd .ekSug;a we;s tlu úi÷u jkqfha ksjeros frda. úksYaphhs' fï ,smsfha wruqK jkafka wfma rgg n,mj;ajk fldúâ fofjks /,af,a ;SrKd;aul fydfyd;l ksjeros frda. úksYAphla Wfoid ridhkd.dr mdol l%shdldrlï iïnkaOfhka Tnj oeKQj;a lsÍuhs' fldúâ jix.;h md,kfhys,d fï

December 2020

fudfydf;a ;SrKd;aul idOlh jkafka fõ.j;aj yd b;d ksrjoHj frda.h úksYaph lsÍuhs' th frda.h me;sr hdu md,kh lsÍug fukau ta ksid frda.S jk yd urKhg m;ajk ck;dj .,jd .ekSugo fya;=jla fjhs' jix.;fõoSh jYfhkao" idhksljo fï wruqKQ uqÿka muqKQjd .ekSu Wfoid bjy,a jk mÍlaIK lsysmhla yªkdf.k ;sfnk w;r ta iïnkaOfhkao fï ,smsfhka Tnj oeKQj;a lrKQ we;' fldúâ 19 we;s lrk ffjrih yªkd.ekSfuys,d n,mj;ajk ridhkd.dr mÍlaIK ldKAv fojeoEreïj j¾. l< yel' 1' m%;sYla;sfõod;aul m¾fhaIK Immunological 2' wKQl mÍlaIK Molecular m%;sYla;sfõod;aul m¾fhaIK reêr idïm, j,ska fukau Yajik ud¾.fhka ,nd.kakd ksheos wdY%fhka isÿ lr.; yels jk w;r fï kso¾Yl ,nd.ekSu frda.shd isák ia:dkfhaoSu lrkakg yelsùu myiqjls' wKQl mÍlaIK j,oS SARS-CoV-2 ffjrifha RNA fldgia we.hSug ,la flfrk w;r fï i|yd ixlS¾K ridhkd.dr myiqlï wjYH fjhs'

DOCTOR MAGAZINE

doctormagazine.lk

Serological tests óg wu;rj fjk;a ridhkd.dr wdlD;ska lsysmhlao wdidos;hka idhkslj yªkd. dkSug fya;= fjhs' wKQl ridhkd.dr myiqlï fkdue;s wjia:d j,oS iq¿ jYfhka yd uOHu m%udKfhka frda. ,laIK fmkajk frda.Ska yªkd .ekSug ;ju;a wfma rfÜ wjir ,nd oS fkdue;s Serological tests jeo.;a ld¾hNdrhla bgq lrhs' iudcfha wdidokh jk fõ.h" tys we;s oreKQ nj" mqoa.,hka jYfhka yd iudch ;=< wdidokh iudf,dapkhg we;s bv m%ia:dj" iudc ÿria:Ndjh jeks idhkslfõod;aul fkdjk mshjr yªkajd oSu jeks lreKQ iïnkaOfhka ;Skaÿ ;SrK .ekSug fuhska myiqjla ie,fia' fï mÍlaIK fndfydauhla mdol ù we;af;a f,dalh mqrd T!IO iud.ï lsysmhla u.ska yªkajd ÿka enzyme-linked immunosorbent assay (ELISA), yd lateral flow immunochromatography (LFI), IgM yd IgG m%;sfoaY YÍrfha mej;Su u; moku jQ hk ;dlaIKhka u;h'

doctormagazine.lk

fuhska fldúâ frda.Ska yªkd.ekSfuys,d ishhg 95l (Specificity) ksYaÑ;;djhla fmkajhs' ELISA mÍlaIdjg wh;a IgG High titers m%;sfoay Neutralizing antibodies m%;sfoay iu. ixixokfhka jvd;a ksrjq,aj frda. úksYaphla ,ndoSug wjia:dj ie,fia' frda.shd isák ia:dkfhaoSu fiajd ie,iSug we;s bv m%ia;dj w;ska bosßfhka isákafka LFI mÍlaIKhhs' fï mÍlaIKfhaoS IgM and yd IgG hk m%;sfoay ñks;a;= 20la jeks flá ld,hloS yªkd.ekSug wjia:dj ie,fia' ixlS¾K WmlrK" iqúfYaIS jD;a;slhka wjYH ke;' weÕs,a, úo f,a álla .ekSug we;s mßpho m%udKj;ah' tfy;a fï mÍlaIdj imqrd ;;a;ajdkaú; (Qualitative) mÍlaIdjla jk w;r ffjrih mej;Su fyda tfia fkdùu .ek muKla woyila ,nd fohs' jix.;h fõ.j;aj me;sfrk wjia:djl fuhska úYd, fiajhla ,nd.; yels uq;a fuys j,x.=;djho (Validation) ksrka;rfhka wNsfhda.hg ,la fjhs' mÍlaIK m%;sM, j, ksrjoH;djh (sensitivity and specificity) fukau hï ld,hla uq¿,af,a ,efnk m%;sYla;slrKh iïnkaOfhkao f;dr;=re ,nd.ekSug fkdyels ùu fuys we;s wfkla wjdishhs' ;ju;a fï iïnkaO m%;sfoay wOHhk isÿ flfrñka ;sfnkjd''' fï jk úgo SARS-CoV-2 ffjrihg isref¾ ksmofjk m%;sfoay u.ska we;s lrk wdrlaIdj iïnkaOfhka ksYAÑ; wjfndaOhla m¾fhaIK f,dalhgo ke;' frda. ,laIK my, ù isõjk oskh jk úgo ELISA mÍlaIKfhka IgG and IgM m%;sfoay i|yd Positive ùu yªkd.; yel' tkuq;a jvd;a jeä jYfhka m%;sfoay isref¾ ksmofjkafka fojk yd f;jk i;s j,oSh' wdruNfha isgu IgM m%;sfoay ghsgrh jeä fjhs' frda. ,laIK m%lg r i;s follg miqj IgG yd IgM hk m%;sfoay folu mj;sk w;r isõjk i;sfhka miqj tajdfha uÜgu wvq fjkakg mgka .kS' IgM hkq b;d Nhdkl f,i ;Skaÿ ;SrK .; fkdyels yeisrSula fmkajhs' IgG m%;sfoay

December 2020

DOCTOR MAGAZINE

D•Magazine /

Laboratory Tests Explained COVID-19 ;yjqre lr.kakg flfrk ridhkd.dr hqoaOh

y÷kd .ekSug i;s lsysmhla .; fjhs' fï wkQj frda.Ska l<uKdlrKh i|yd fuhg t;rï nrla ;eìh fkdfya' frda.h yªkd .ekSu" ;yjqre lsÍu yd fi!LH ld¾huKAv, j, Tfrd;a;= oSu iyïnkaOfhkao j,x.= m%;sM< ,nd .ekSu m%YakldÍh' m¾fhaIK j,g wkQj jvd;a ixl+,;d j,g uqyqK mE W;aikak frda.Ska YÍr j, m%;sfoay jeä jYfhka jd¾;d jk nj yªkdf.k ;sfí' fï wkQj m%;sfoay ixLHd;aulj yeoEÍu idhksl jYfhka jeo.;a lreKla jkq we;' wKQl frda. ksOdk mÍlaIK Molecular Tests wKQl mÍlaIK Molecular Tests fldúâ 19 i|yd we;s jvd;au ms<s.;a mÍlaIK wdldrh (Gold standard for the 18

December 2020

diagnosis of COVID-19 ) jk w;r th isÿ lsÍu i|yd Wiia ridhkd.dr myiqlï (Specialized laboratory using cutting-edge equipment) fukau mqyqKQ ld¾uKav, (Highly qualified staff) wjYH fjhs' fï i|yd jvd;au WÑ; ffcj ksheosh jkafka W.=frka ,nd .kakd ffcj idïm,hs' Nasopharyngeal (NP) ta yereKQ úg Yajik u. my; ffcj kso¾Yl jYfhka ie<flk Sputum or bronchial lavage yd Oropharyngeal (OP) o mÍlaIdj i|yd fhdod .kS' fuh isÿ lsÍug jvd;a WÑ; ld,h jkafka frda. ,laIK my< ù osk myl wejEfuks' m%;sM<h m%udKd;aulj ,nd.; yels ùu;a Quantitative jvd;au úfYaIs;j Highly specific ,nd.; yels ùu;a fuys we;s jdishhs' frda.h we;s flfkla frda.h ke;ehs (False-negative) f,i jd¾;d ùï ;sfnk w;r Bg fya;= jkqfha kshqla,sla wï,h m%udKj;a f,i Wmfhda.S fkdùu" ffcj idïm, j, fodaI" wvq ffjri m%udKhla ;sîu" kso¾Yl ,nd.kakd jeros wjia:dj" fodaIiy.; f,i .nvd lsÍu mßyrkfha fodaI yd PCR inhibition hkdoshhs' fuu wdlD;sfha jeä oshqKQ lsÍï ksrka;rfhka isÿjk w;r fõ.h" ixfõoS;djh yd myiqfjka mÍlaIdjg ,la lsÍug yelsùu hk ldrKd fuysoS Bg úIh fjhs' fï jk úg f,dalfhau Kits j,g we;s oeä b,a¨u ksid fndfyda rgj,a ;ukaf.au ;dlaIK wdlD;ska Tiafia RT-PCR isÿ lsÍug mshjr f.k ;sfí' DM

u;= iïnkaOhs&

DOCTOR MAGAZINE

doctormagazine.lk

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

Matara Kandy Kalubowila Negambo Ragama Kurunagala Jaffna Battittcaloa Anurudhapura Badulla Homagama Kalutara Gampaha Matale Pelawatta Wellampitiya Kadawatha Wattala Gampaha Horana Kiribathgoda Kotahena Wellawatta Awissawella Rathmalana Kaduwela Peradeniya Bogambara Katugastota Warakapola Avissawella Marawila Panadura Kada 50 Waththegama Nawalapitiya Dehiwala Kuliyapitiya Malabe Bandarawela Ja-Ela Embilipitiya Kegalle Nugegoda Tangalle Gampola Maharagama Akurana Kottawa Piliyandala Athurugiriya Nittambuwa Badulla IDH Pilimathalawa Mattakkuliya Moratuwa Beruwala Pitakotte Makola Pannipitiya Mawanella Kandana

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

Address

041 - 4390900 081 - 7389022 011 - 7389701 / 704 031 - 7388010/011/ 012 011 - 7389753/754/755 037 - 7220110/111/112 021 - 7389389 / 392/93 065 - 7755400/401/402 025 - 7800850/851/852 055 - 7634020 011 - 7519583/585/586 034 - 7634005/010/009 033 - 7634139/ 148/323 066 - 4501011 011 - 7634035 011 - 7519581 011 - 7617180 011 - 7581598 033 - 7500598 034 - 7877200 011 - 7782704 011 - 7782702 011 - 7782706 036 - 7637611 011 - 7782708 011 - 7782710 081 - 7634010 081 - 7389011 / 13 081 - 7634002 035 - 7634011 036 - 7634 008 032 - 7634010 038 - 7634011 025 - 7800854 081 - 7634008 054 - 7634012 011 - 7634096 037 - 7634003 011 - 7654039 057 - 7634008 011 - 7634186 047 - 7634008 035 - 7634014 011 - 7634098 047 - 7634007 081 - 7634013 011 - 7634182 081 - 7634009 011 - 7634159 011 - 7634188 011 - 7634312 033 - 7634004 055 - 7634011 011 - 7634310 081 - 7634015 011 - 7634314 011 - 7634198 034 - 7634007 011 - 7634318 011 - 7634226 011 - 7634217 035 - 7634000 011 - 7634344

Telephone

E-Mail

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

SECOND WAVE

D•Magazine /

SARS-CoV-2 w¿;a ffjri Wm úfYAIh fõ.fhka jHdma; fjkjd'''

New Normal Life with COVID 19

SARS-COV-2 SPECIFIC VIRULENCE FACTORS IN COVID-19 w¿;a ffjri Wm úfYAIh fõ.fhka jHdma; fjkjd''' chj¾Okmqr m¾fhaIlhka wkdjrKh l< kj fldúâ jHdma;sfha m¾fhaIK f;dr;=re fldúâ 19 jix.;h b;d Nhdkl f,i f,dalfha fndfyda rgj,a wvmK lr;aoS wm uq,a jgfhaoS thg id¾:lj uqyqK ÿka nj ryila fkdfõ' tfy;a ñKQjkaf. dv n%ekaälaia l¾udka; Yd,dj weiqf¾ wdrïN jQ fojk fldúâ /,a,''' fjfiiskau tys os.=jla f,i l%shd;aul jQ mE,shf.dv u;aiH fj<|ief,a /,a, fkdys;+ úrE

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

f,i rg mqrdu jHdma; úh' wfma rg fï jix.;h u.ska fï jk úg lsishï .%yKhlg f.k wjidkh' fjfiiskau fï rfÜ n,.ekajqKQ fldúâ fofjks /,a, w;sYh fõ.fhka ck;dj f.dÿre lr.kakd nj wdrïNfha isgu fmfkkakg ;snqKQ ldrKhla úh' fkdjeïn¾ m<fjksod jk úg fï ksid kj wdidos;hka 7000 blaujd jd¾;d jQfha rfgka jd¾;d jQ iuia; fldúâ wdidos;hka ixLHdj 10"000 ixLHdj miq lrñks' kj wdidos;hkaf.a isrere.; ffjri ixLHdj fjfiiskau jeä njo" th fõ.fhka iïfm%aIKh ùuo hk lreKQ mdol lrf.k fï ffjrih fmr mej;S ffjri m%fNaohg jvd fjkia ffjrihlao hk ielh meK ke.=KQ w;r ta .eg¿j ksrdlrKh lr .ekSfï wáfhka m¾fhaIK iyfhda.s;djh b,a,d isáfha Y%S chj¾Okmqr iriúfhks' furg fvx.= frda.fha jHdma;sh iïnkaOfhka mq¿,a m¾fhaIK j, ksr;

doctormagazine.lk

oekg mj;akd ffjri Wm wdldrfha mßKdóh fjkialï - ks,a meyefhka oelafjkafka óg fmr wfma rfÜ mej;S ffjri Wm wdldrhs' rjqï lr we;af;a kj Wm wdldrhhs' f,dalfha jHdma; fiiq ffjri wdldro fuys oelafõ

jQ Y%S chj¾Okmqr ffjoH úoHd,fha m%;sYla;sfõoh" wKQl frda. ksOdk" wdid;añl;d yd ffi, cSj úoHd m¾fhaIl lKavdhu (Department of Immunology and Molecular Medicine and Allergy, Immunology and Cell Biology Unit) fldúâ 19 iïfm%aIKh fï rfÜ wdrïNùu;a iu.u iajlSh m%uqL;d fjkia lrñka ta jk úg;a fldõâ 19 ffjrifõoSh wOHhk wdrïN lr ;sìK' kj m¾fhaIK ld¾hh läkñka bgq l< hq;= jQjla jqKQ w;r f,dal fi!LH ixúOdkh Bg wruqo,a imhd ;sìK' osk .Kkdjla ;=< lemùfuka iudma; l< m¾fhaIK ld¾hh wjika jd¾;dj Tlaf;dan¾ 31 osk fi!LH wud;HxYfha f,alï fckrd,a ixcSj uqKisxy uy;d w;g m;a lrk ,oS' fï f;dr;=re j,g wkQj kj ffjri m%fNAoh óg fmr wfma rfÜ jHdma; jQ lkaoldvq" kdúl fmdl=rg fya;= jQ ffjri m%fNAohg imqrd fjkia tlls'

December 2020

DOCTOR MAGAZINE

D•Magazine /

SARS-CoV-2 w¿;a ffjri Wm úfYAIh fõ.fhka jHdma; fjkjd'''

fjkialfuys m%;sM<hla nj m¾fhaIlhkaf.a u;h fjhs'

uydpd¾h ks,Sld u,úf.a

fï m¾fhaIKh i|yd ñKQjkaf.dv n%ekaälaia wdidos;hka" fld<U uy k.r iNd n, m%foaYfha wdidos;hka" fírej, u;aiH fj<|fmd< wdidos;hka yd fï jk úg frday,a j, m%;sldr ,nk wdidos;hka wdoS jYfhka kso¾Yl 16la we.hSug ,lajQ w;r thska ksheos 13la id¾:l f,i m¾fhaIKhg ,la lsrSug iqÿiqlï ,eîh' m%ia;=; ksheos j,ska fod<ylau B.1.42 lineage (clade 20C) tlu iïNjhla iys;j wdrïN jQQ ffjri j,ska hqla; nj fï m¾fhaIKfhaoS fy<sorõ ù ;ssfí' tfiau m¾fhaIKhg n÷ka jQ ksheos oyifhka myf<djlu D614G mutation ^úlD;;djh& mj;akd neõ y÷kd.;a w;r fï oskj, W.% fõ.hlska wka whg iïfm%aIKh ùu fï

December 2020

óg l,ska furáka yuqjQ ffjri Wm m%fNAo B.1, B.2, B1.1, yd B.4 hk lineage wdldr l%shdldrSj ;snqKQ nj;a kuq;a fï oskjk me;sr hk ffjri Wm m%fNAofha ta fjkqjg B1.42 fm%daàk wdldrh olakg ,efnk nj;a fï wkQj meyeos,s fjhs' lkaoldvq jHdma;shg fya;= jQfha B.1 lineage wdldrhhs' kj ffjri wdldrh fï tflysu iq¿ fjkialula we;s lr .ksñka B.1.42 lineage wdldrh ksfhdackh lrhs' fï kj m%fNAoh f,dalfha wka ljr rgl me;sfrk ffjria m%fYaohlg iïnkaO;djhla olajkafkaoehs lSug fkdyels jkafka ta ffcj ksheos m¾fhaIlhka i;= fkdjk neúks' flfia fj;;a fuu Wm m%fNAoh lsishï cdk úlD;s;djhla" ìysiqKQ njg m;ajk fjkialula we;s lrf.k ;sfío" th óg fmr mej;S ffjri m%fNaoh yd lsishï in|;djhla orkafkao hkak yªkd .ekSu jeäÿr m¾fhaIK Tiafia úi|d.; hq;= ldrKhla nj jeäÿrg;a fmkajd oS ;sfí'

lemùfuka l%shd lrñka kj wkdjrKhka isÿ l< Y%S chj¾Okmqr iriúfha ffjoH mSG m¾fhaIlhkag cd;sfha m%Kduh ysñ úh hq;=h'

DOCTOR MAGAZINE

doctormagazine.lk

uydpd¾h ks,Sld u,úf.a uy;añhf.a m%Odk;ajfhka isÿ jQ fuu fï m¾fhaIK ld¾hh i|yd ffjoH pkaosu cSjkaor" ffjoH foaYaks ch;s,l" ffjoH oskQld" ,laisß f.dauia" oshkd;a rKisxy iydh jQ w;r fnda fkdjk frda. úoHdh;kfha ffjoH wdkkao úfcaúl%u yd ffjoH ud,sld lreKdr;ak ffcj ksheos iïmdokfhys,d iyfhda.h ,ndoS ;sfí' wfma rg ;=<oS fldúâ ffjrifha yeisÍu uq,skau wfma rfgka fldúâ 19 frda.Ska yuqjqKQ fï ud¾;= udfi fï rfÜ frda.skaf. ffjrifha Wm wdldr (strains) bkaoshdfj;a" hqfrdamfha;a meje;S ffjri j,g iudklula oelajQjd' myq.sh ldf, lkaoldvq j,os ;rula fjkia Wm wdldr jd¾;d ùula olakg ,enqKd' f,dalfha ;;a;ajh ne¨fjd;a fldúâ 19 Wm wdldr y;la fï jk úg yªkdf.k ;sfnkjd' thska y;rlau fï jk úg wfma rfgka jd¾;d fjkjd' tajd kï O,G,

doctormagazine.lk

GH yd GR' fuhska GH Wm wdldrh ;uhs wfma rfÜ ck;dj w;f¾ iq,n Wm wdldrh' O wdldrfha frda.Ska jd¾;d ùfï wvqjla olakg ,efnkjd' yenehs GH yd GR Wm wdldr j, frda.Skaf.a oelafjkafka jeä jd¾;d ùula' ld,h;a tlal fï ffjrifha yeisÍu i<lk úg frda.h wvq fjkjo" jeä fjkjo lshk ldrKh .ek lsishï wjfndaOhla ,nd.kakg kï ffjrifha iajNdjh fjkiaùï" úlD; ùï iïnkaOfhka úYAf,aYKhla Mutational analysis lrkakg isoaO fjkjd' wfma rfÜ fï ffjrifha ljr Wm wdldr jHdma; fjkjdo lshk ldrKh ;jÿrg;a úuikakg isoaO fjkjd' ta jf.au iïfm%aYKh ùfï lsishï jeäùulg fï ffjrifha fjkiaùï n,mdkjo lshk ldrKh;a úuikakg isÿ fjkjd' fojk /,a,g fmr wmg ksÍlaIKh ù we;s úlD; ùï ixLHdj 153la' fïjhska 99lu weuhsfkda wï, fjkialï olakg ,efnkjd' ngysr rgj,g idfmalIj wdishdkq rgj,oS ffjrifha fjkiaùï we;s lr .ekSu" úlD; we;sùu ;rula wvq lshk ldrKh;a lshkak ´ks' wfma rfÜ fï ffjrifha yeisÍu wOHhkh lrk úg úlD;ùï mutations foll fjfiia n,mEu .ek l;d lrkakg isoaO fjkjd' tlla D614 isg G614 olajd jqKQ úlD; ùu' fï jix.;h SARSCoV2 wdrïN jqKQ jljdkqfõ jd¾;d jqKq D614 wdldrfha ;snqKq ffjri m%udKh wvqhs' th frda.h me;sfrk fõ.h wvq lrkakg less virulent fya;=jla jqKd' ta;a miqld,fha olakg ,enqKQ G614 lshk fjkia wdldrfha ;snqKQ úfYAI;ajh jqfKA jeä ffjri m%udKhla wka;¾.; ùu' fuh ks;ekskau jeä ixLHdjlg frda.h jHdma; lrkakg (more virulent) fya;=jla' m%dfhda.slj miqld,Skj fndaùu" iïfm%aYKh ùu jeä fõ.hlska isÿjqKQ nj wm w;aÿgq ldrKhlafk' DM

December 2020

DOCTOR MAGAZINE

SECOND WAVE

D•Magazine /

Quarantine iajhx ksfrdaOdhkh$ ksjfia isg ksfrdaOdhkh ùu

New Normal Life with COVID 19

iajhx ksfrdaOdhkh$ ksjfia isg ksfrdaOdhkh ùu iajhx ksfrdaOdhkh$ ksjfiaisg ksfrdaOdhkh ùu hkq l=ulao@ —iajhx ksfrdaOdhkh$f.or isg ksfrdaOdhkh ùuZZ hkafkka woyia jkafka" kSfrda.S f,i fmfkk" tfy;a" wê wjodkula iys; úh yels mqoa.,hska frday,a yd ksfrdaOdhk uOHia:dk fkdjk ;ekaj, fjka lr ;eîuhs'

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

iajhx ksfrdaOdhkh$ksjfia isg ksfrdaOdhkh l< hq;af;a ldjo@ miq.sh Èk 14l ld,h ;=< úfoaY rgl isg Y%S ,xldjg meñ‚ mqoa.,fhl= fldúâ-19 jhsrih wdidokh ù we;s nj y÷kd.;a mqoa.,hl= fyda tfia wdidokh ù we;s njg iel lrkq ,nk mqoa.,hl= fyda iu. miq.sh Èk 14l ld,h ;=<§ ióm iïnkaO;djla meje;ajQ wfhl=' iajhx ksfrdaOdhkh$ ksjfia isg ksfrdaOdhkh isÿlsÍfï§ wkq.ukh l< hq;= l%shdud¾. ² yelskï" Tn fjkqfjka fjku ldurhla fjka lr.kak' ² yeuúgu Tn iy mjqf,a wh w;r wju óg¾ tll mr;rhla ;nd.kak' ² yelskï" fjku jeisls<shla$kdk ldurhla Ndú;d lrkak' tajd wfkla wh iu. yjqf,a mdúÉÑ lrkakg isÿfõ kï" fodr w.=,a" lrdu wdÈh inka iy j;=r fhdod msßisÿ lrkak'

doctormagazine.lk

² wuq;a;kaf.a meñŒu Èß .kajkak tmd' yels ;rï wuq;a;kaf.a meñŒu wju lrkak' ² Tn;a" f.or wfkla wh;a" ksr;=reju fyd¢ka oE;a fiaÈh hq;=hs' ^oE;a fidaok úg wvq jYfhka ;;amr 20la j;a tu lghq;a; isÿ lrkak& ² msÕka" fldamam" ùÿre" ;=jd iy we|frÈ yjqf,a mdúÉÑ lrkakg tmd' Tnf.a WmlrK inka iy j;=r mdúÉÑ lrñka fjku fyd¢ka fidaokak' ² lysk iy lsúiqï hk úg" bj; ouk áIQ lvodishlska fyda Tnf.a je,ñfÜ we;=¿ me;af;ka wdjrKh lr.kak' Ndú;d lrk ,o áIQ lvodis mshkla iys; li, n÷klg wdrlaIdldÍj neyer lrkak' ² Tn úiska mdúÉÑ lrk ,o uqyqKq wdjrK" áIQ iy w;afïia mshkla iys; li, n÷klg wdrlaIs; wkaoñka neyer lrkak' ² weia" kdih iy uqLh fkdfia¥ w;aj,ska w,a,kakg tmd' ² wvq jYfhka Èklg fojrlaj;a Tnf.a YÍr WIaK;ajh mÍlaId lr.kak' ² Tng WK" leiai" W.=f¾ fõokdj" weÕ ß§u iy yqiau .ekSfï wmyiqj jeks frda. ,laIK ;sfí kï" jydu uyck fi!LH mÍlaIl iy$fyda ffjoH ks,Odß fj; oekqïfokak' ² ÿrl:k wxl 1990 Tiafia iqjießh .s,ka r: fiajh wu;d wdikak;u wod< frday, fj; .uka myiqlï imhd.kak' DM

uQ,dY%h( jix.; frda. tallh" fi!LH wud;HdxYh

December 2020

DOCTOR MAGAZINE

D•Magazine /

Rapid Diagnostic Test úkdä úiafika m%;sM< fok Rapid Diagnostic Test mÍlaIdj oeka wfma rfg;a'''

SECOND WAVE New Normal Life with COVID 19

Rapid Diagnostic Test úkdä úiafika m%;sM< fok Rapid Diagnostic Test mÍlaIdj oeka wfma rfg;a'''

ta;a" uq,a wjia:dfõ frda.Ska yªkd .kakg fï mÍlaIKh iqÿiq kE''' úâ 19 frda.Ska fmdl=re jYfhka jd¾;d fjk miqìula ;=<" wfma rg f;jk woshf¾ iïfm%aIKhla iys; rgla jYfhka kï flreKQ miqìula ;=<" fldhs ldf.a;a ys;a ;=< zzfyg ojiZZ iïnkaOfhka wksh; ìhla we;sj ;sfnk iuhl fldúâ 19 frda.Ska yªkd.ekSu i|yd Rapid Antigen Testing hkqfjka ye|skafjk kj mÍlaIK l%ufõohla yªkajdoSug rch ueosy;a ù ;sfí'

fld

zzmÍlaIK lrkjd uos" uosZZ hhs ksrka;rfhka f>daId l< whg oeka ;j;a igka mdGhla ks¾udKh ù ;sfí' ryia fgkav¾" wh:d .kqfokq'' jeä ñ, fnfy;a" fldñia l=Üá wdoS jpk yiqrejñka Tjqka W;aidy lrkafka fï rfÜ ck;djg ,enqKQ fï jákd wjia:dj flfryS we;s úYAjdih ì|ùugo@ flfia fj;;a fu;eka

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

mgka PCR mÍlaIK iu. w;aje,a ne|. kakd COVID-19 Antigen rapid tests (mÍlaIKh& iïnkaOfhka uQ,sl lreKQ /ila bosßm;a lrkafka fï iïnkaOfhka ksjeros f;dr;=re oek. ekSug Tng we;s whs;shg .re lsÍula jYfhks' fldúâ 19 jHdma;sh f,dalhu .s, .ks;aoS" fjfiiskau ÿmam;a yd ueos wdodhï ,nk rgj, ck;djg iykYS,S frda. md,k m%fõYhla ,nd oSug f,dal fi!LH ixúOdkh n,j;a mßY%uhla oeÍh' PCR mÍlaIKh wKQl

doctormagazine.lk

;dlaIKh Ndú; mÍlaIKhls' th isÿ lrkakg idudkH mÍlaIKd.dr m%udKj;a fkdfõ' PCR hka;%hla mj;ajd.ekSu mjd l< hq;af;a w;sYh md,s; ;;a;a;aj hgf;ah' ta ish,a, chf.k jqj mÍlaIKfha jd¾;dj ksl=;a lsÍug meh yhla .; fjhs' miq.sh ld,h ;=< mÍlaIK jd¾;d ,nd .ekSug osk 3-5 ld,hla .;kjQ nj isysm;a lr.kak' fï miqìu hgf;a myiqfjk''' we;eï úg lafIA;%fhaoS mjd isÿ l< yels" tfukau blauKska jd¾;d ,nd.; yels mÍlaIdjla yªkajd oSug f,dal fi!LH ixúOdkh úfYAI fjfyila .;a;d u;lh' Tjqka tu mßY%ufha m%;sM< leá lr.;a mqj;a ksfõokhla iema;eïn¾ 28 osk ksl=;a lf<Ah' tys oelajqfKA wvq yd ueos wdodhï ,nk rgj,a i|yd myiqfjka jeh l< yels" Wiia ;;a;ajfha mÍlaIKhla yªkajd oSug Tjqka iu;a jQ njh' fï lghq;a; h:d¾:hla njg m;a lr .ekSug Africa Centres for Disease Control and Prevention (Africa CDC), The Bill & Melinda Gates Foundation, The Clinton Health

December 2020

DOCTOR MAGAZINE

D•Magazine /

Rapid Diagnostic Test úkdä úiafika m%;sM< fok Rapid Diagnostic Test mÍlaIdj oeka wfma rfg;a'''

reêrfhka lrk mÍlaIdjls' iSrï reêrh fukau ma,iaudjo fhdod.; yel' uq,skau reêrh .kakd ia:dkh uoHidr ødjKhlska msßisÿ lr ,ekaiÜ Wmlrkfhka ifuys úÿula we;s lrhs

msfmÜgqfõ ;=vg msfmÜgqfõ we;s reêrh reêrh tl;= udre lrhs lr.kakd w;r jdhq fldgia we;=,a fkdùug j. n,d .kshs

;KQl lrk ,o reêrh ìxÿ 2-3la leigfha fmkajd oS we;s ia:dkhg m;s; flfrhs

úkdä 8-10l ld,hla .; fjhs

Access Initiative (CHAI), The Foundation for Innovative New Diagnostics (FIND), The Global Fund, UNAID) hk wdh;ko md¾YAjlrejka jQ nj tu jd¾;dfõ jeäÿrg;a i|yka úh' fï yereKQ úg ;j;a mshjrla bosßhg ;nñka The Bill & Melinda Gates Foundation u.ska ;j;a RDT ixLHdjlao f,daljdiSkaf.a hym; msKsi ,ndoSug lghq;= lrk ,o nj;a fï jHdmD;s fol Tiafia udi yhl ld,hla ;=< ñ,shk 120la mÍlaIK lÜg, ksIAmdokhg mshjr .kakd nj;a f,dal fi!LH ixúOdkh ksl=;a l< tu ksfõokfha jeäÿrg;a i|yka fjhs' fï mÍlaIK lÜg,hla i|yd kshu l< yels Wmßu is,a,r ñ, fvd,¾ myg jeä fkdúh hq;= njo tu ksfõokfha jeäÿrg;a i|yka fjhs' iudc iïfm%aYKhl wjodku orK tfy;a Acid amplification-based diagnostic (NAAT) ^mÍlaIK& 28

December 2020

DOCTOR MAGAZINE

ngh fyd|ska fi,ùu$l,jï lsÍu

md,l f¾Ldjg idfmalaIj we;sjk fjki u.ska wdidos;fhl= fyda wdidos;fhl= fkdjk nj ;yjqre flfrhs

myiqlï fkdue;s fyda mÍlaIK jd¾;d m%udo jk miqìuloS RDT mÍlaIK mq¿,a lsÍfuka ;SrKd;aul m%.;shla w;am;a lr .ekSug tu rgj,g yels jkq we;ehs f,dal fi!LH ixúOdkh fmkajd fohs' tfiau fuh mÍlaIK lsÍu" yªkd.ekSu yd ksfrdaOdhkh Wmdhud¾.hg (test-trace-isolate strategies) n,j;a msgqjy,lao jkq we;' doctormagazine.lk

wfma rfÜoS fï l%uhg jvd;a úfõpkh jQfha tajd wdkhkh lrk T!IO iud.ïh' f,dal fi!LH ixúOdkh tu iud.ï iïnkaOfhka orkafka fujka u;hls' Abbott and SD Biosensor are highly portable, reliable, and easy to administer, making testing possible in nearperson, decentralized healthcare settings. Both companies’ tests are faster and cheaper than laboratory-based tests, enabling countries to increase the pace of testing, tracing and treating people for COVID-19 at the point of care particularly in areas with under-resourced health systems. flfia fj;;a wNskjfhka jvd;a m%;sM<odhS RDT mÍlaIK yªkajd oSfï ;rÕhl fï jk úg m¾fhaIlhka ksr; jk nj f,dal fi!LH ixúOdkh fmkajd fokafka tjka id¾:l;ajhla w;am;a jQQjfyd;a f,daljdiSkaf.a ys;iqj msKsi tajd m%fhdackhg .ekSfï wNs,dIh olajñks'

doctormagazine.lk

isfhda,a j, isg fydxldx yryd úfYAI thd¾ ,xld .=jka hdkhlska Rapid Diagnostic Test Kits uq,a f;d.h" tkï lÜg, 200"000la meñKS wjia:dj

RDT mÍlaIKfhaoS mÍlaId lrkafka ffjrih YrSr.; ùfuka miqj YÍrfha ksmfofjk IgM/IgG m%;sfoay weiqf¾ frda.Ska y÷kd .ekSuhs' wfma jix.;fõo tallh fï iïnkaOfhka ksl=;a lr we;s ksfõokfha fï mÍlaIdjka isÿ lsrSug kï wdidos;hdf.a isref¾ frda.hg tfrysj l%shd lrk m%;sfoay mej;sh hq;= nj;a ta i|yd ffjrih wdidokh ùfuka osk 7-10l ld,hla .; jk nj;ah' fï wkQj mÍlaIKh mqoa.,hka uq,a wjia:dfõ yªkd .ekSug m%fhdackhla fkdue;s nj fmkajd oS ;sfí' hï mqoa.,fhl=f.a m%;sfoay ksmofjkakg fmr fï mÍlaIKh lsÍfuka Tyq fodaI iy.; f,i wdidos;fhl= fkdjk njg wkdjrKh ùugo yelshdjla ;sfí' ta wkQj fï Rapid Diagnostic mÍlaIKh wjia:dfjdaÑ;j fhdod.; hq;= mÍlaIKhla nj wjfndaO lr.; hq;=h' cd;sl T!IO kshduk wêldßfha idudcslfhla jk ffjoH wdkkao úfcaúl%u uy;d f,dal fi!LH ixúOdkh úiska wkqu; lrk ,o Rapid Antigen Testing lÜg, mÍlaIdjlska miqj (Validating) fï rgg ,nd .ekSug ;SrKh lrk ,o nj fï w;r udOH fj; oeKQï ÿkafkah' tfiau yªkd.kakd ,o frda.Skaf.a wdY%s;hka" iel l< yels frda. ,laIK iys;j frday,a ndysr frda.S wxY j,g meñfKk wh yd iudcfhka wyUq f,i isÿ lrk mÍlaIK i|yd fuu Rapid Antigen Testing fhdod.; yels jkq we;ehs úYAjdih m< lf<Ah' DM

December 2020

DOCTOR MAGAZINE

D•Magazine /

Coronavirus Anxiety fldúâ ksid ys; úlafIdam lr.;a orefjla

SECOND WAVE New Normal Life with COVID 19

Coronavirus Anxiety: Coping with Stress, Fear, and Worry

fldúâ ksid ys; úlafIdam lr.;a orefjla fï jix.; ld,fha fjkia jQ cSú;h Tfí orejdf.a;a ufkda Ndjhka whym;a lrkakg mq¿jka''' ta .ek uõmshks" úuis<su;a jkak lsßn;af.dv uQ,sl frdayf,a" ufkda ffjoH tallfha" m%Odk ufkda ffjoH tka' l=udrkdhl

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

ud,af.a jhi wjqreÿ 15 ls' Tyq ,nk foieïn¾ udifha idudkH fm< ,sùug kshñ;h' Tyq YsIH;ajfhka iu;a ù fyd¢ka wOHdmkh yeoErefõh' ld,igyklg wkqj mdvï lghq;= lf<ah' oeka i;s foll muK isg iqud,a fnfyúka fjkia ù ;sfí' f,dl= wjq,lska hqla;j fukau ks;r ;ry hdfï ;;a;ajhla iqud,a ;=< mj;S' ojilg meh 2-3la fyda ksod fkd.kS' Tyqf.a uj lEu lkak hehs hehs oy j;djla muK weu;Sfuka miqjh Tyq ldurfhka msg;g meñfKkafka' iqud,a ujf.a cx.u ÿrl:kh f.k meh 7-8 ld,hla cx.u ÿrl;kh iuÕ ld,h kdia;s lsÍugo mqreÿj isà' —uf.a orejd cx.u ÿrl:kfhka yqÕlau n,kafka fldfrdakd .ek' T¿j lel=u lsh,d ks;r fõokd kdYl fndkjd' uu <Õ§ ojil Wfoa f;a tl fokak ldurhg .shd' Bg miafia mq;d ug neK,d ldurfhka t<shg hkak lsõjd' ;=kafjks j;djg;a f;a tl fndkak lsõjyu ;ry .syska f;a fldamam fmdf<dfõ .eyeõjd' ZZ hkqfjka iqud,af.a uj m%ldY l<d h' iqud,af.a ujf.a cx.u ÿrl:kh uÕska uu iqud,a iuÕ úkdä 10 la ⁣l;d lrk ,o w;r fï tu orejd ;=<ska fidhd .;a oEh' iqud,af.a yeisÍu iqud,af.a yeisÍu ;=< olakg ,enqKQ úfYAI;d fumßosh' ² meh 7-8 lg jvd cx.u ÿrl:kh Ndú; lsÍu' ks;ru fldfrdakd ms<sn|j f;dr;=re ne,Su" ñ;=rkao Bg yjq,a lr .ekSu' ² tlaj mß.Kl l%shdldrlfuys ksr; ùu" meh ;=klg jeä kskaola fkd,eîu' Wrysia ß§u" ysi nr .;sh" ks;ru weÕ m; Í§u" fya;=jla ke;sj fmdä foag;a ;ry hk nj iqud,a úiskau ms<s.ekSu'

kskao wvqlu" ysfia nr .;sh" ;ry hdu" wu;l ùu hk ish,a, udkisl wd;;sfha ,laIK fjhs' thska ñoSug wejeis u.fmkaùu ,ndoSu iEu uõmshkaf.au hq;=luls

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

D•Magazine /

Coronavirus Anxiety fldúâ ksid ys; úlafIdam lr.;a orefjla

—uu biair fyd|g mdvï l<d' oeka ta fiaru kej;s,d ' fmd; w;g .;a;yu ksÈu; tkjd' idudkH fm< foieïn¾j, ;sífnd;a uu fudkjd ,shkak o@ ljod we¢ß kS;Sh bjr fjhs o@ wfma mka;s mgka .kSo @ ta foaj,a .ek ug f,dl= nhla oefkkjd' — hs iqud,a ud iuÕ lshd isáfhah' iqud,a ufkda ffjoH úoHdjg wkqj oeä udkisl wd;;shlg ,laù isà' fuu wd;;sh md,kh lsÍu i|yd ;ud l=uk Wmfoia ms<smeÈh hq;= o hkak Tyq ud fj;ska m%Yak lf<ah'

December 2020

orejdg ,nd ÿka Wmfoia m<uqfjkau uu iqud,ag hym;a ufkda wOHdmkhla ,nd ÿksñ ' kskao wvqlu" ysfia nr .;sh" ;ry hdu" wu;l ùu hk ish,a, udkisl wd;;sfha ,laIK nj uu Tyqg meyeÈ,s lr ÿksñ' ta yefrkakg my; Wmfoia jeä ÿrg;a ,nd ÿkafkñ' ² fyd¢ka c,h mdkh lsÍu ² jHdhdu lsÍu ^Wv mekSu jeks jHdhduhla ksjfia isáñka lsÍu& ² wju jYfhka ojilg meh 7-8 ld,hla ksod .ekSu ² YÍrh ieye,a¨‍ lsÍfï jHdhduhl fh§u' ^udxY fmaYs ;o lsÍu yd ,sys,a lsÍu& ² cx.u ÿrl:kh iuÕ .; lrk ld,h meh follg iSud lsÍu ² fldfrdakd ffjrh .ek lsheùu ojilg úkdä 10 lg 15 lg iSud lsÍu' ² ld,igyklg wkqj idudkH fm< úNdf.a jev lghq;= fyñka wdrïN lsÍu' ² b;du;au ;Èka ;ry hk wjia:djkays§ whsia leg lsysmhla wf;a ;o lr f.k isàu fyda uqyqKg ;o lsÍu jeks l%shdjla lsÍu' DM

DOCTOR MAGAZINE

doctormagazine.lk

SECOND WAVE

D•Magazine /

PCR Test

New Normal Life with COVID 19

PCR mÍlaIK j,ska ishhg 30loS fodaI we;sùfï bvla ;sfnkjd'''

How accurate are the laboratory tests used to diagnose COVID-19? fldúâ ke;s wh we;s f,ig;a" we;s wh ke;s f,ig;a jeros iy.; ßfmdaÜ tkafka fldfyduo@ PCR mÍlaIK j,ska ishhg 30loS fodaI we;sùfï bvla ;sfnkjd''' fi!LH wud;HxYfha udOH m%ldYl ffjoH chrejka nKavdr ^idlÉPdjla weiqßKs&

fldfrdakd ffjrih wfma ck;djf.a Ñ;a; Yla;shg wNsfhda. lrñka ys;=jlaldr ria;shdÿldrfhl= fia rgmqrd ießir;aoS th u¾Okh lsÍfï wmg we;s tla wNsfhda.hla jkafka fldúâ frda.Ska yªkd.ekSug lrk PCR mÍlaIdfõ ksrjoHNdjhhs'

doctormagazine.lk

we;eï jD;a;Sh lKavdhï we;eï fm!oa.,sl wdfrda.HYd,d j,ska lrk mÍlaIK ifodia iys; hhs ksrka;rfhka wjOdrkh lr;aoS ta .ek ielhla ck;djgo we;s úh' wjidkfha fï iïnkaOfhka rch md¾YAjfhkau lsishï woyia oelaùula isÿ flßK' ta fi!LH wud;HxYfha udOH m%ldYl ffjoH chrejka nKAvdrhkaf.a meyeos,s lsÍula iu.sks' jvd;a úÿyqre niska fï ldrKd ú.%y lrk ffjoH chrejka nKAvdrhka olajk lreKQ iïnkaOfhka Tnf.a wjOdkh fhduq lrKQ jà' wdh;ksl jYfhka isÿlrk PCR mÍlaIK j,oS tys ksrjoH;djh mj;skafka ishhg 70l muK w.hlh' fuys f;areï .; hq;= ienEj jkafka ish fofkla mÍlaIKhg ,la jQjfyd;a 30 fofkl=g ,efnk m%;sM< ifodia iy.; ùfï lsishï bvlvla we;s njhs' frda.h ke;s flfklag frda.h we;ehs lSuo" frda.h we;s flfkla yg tu frda.h ke;ehs

December 2020

DOCTOR MAGAZINE

D•Magazine /

PCR Test PCR mÍlaIK j,ska ishhg 30loS fodaI we;sùfï bvla ;sfnkjd'''

lSuo folu jerosh' tfy;a fldúâ 19 we;s flfkl=g ke;ehs jd¾;djla ,enqfKd;a ;;a;ajh b;d nrm;,h' PCR jd¾;dfjka frda.sfhla fkdjk nj ikd: ùu ksid Tyq thska wk;=rej iudchg frda.h iïfm%aIKh lrk fmdl=re rdYshla we;s lrk ;eke;af;l= ùug we;s bvlv neyer,sh fkdyel'

uq,skau kso¾Ylh .kakd wjia:djhs' ffjri >k;ajh uekúka we;af;a kdifha lsishï .eUqrlo .kakd kso¾Yl j,oSh' Swab tl tu ia:dkhg <Õd fkdjqfKd;a''' Bg by;ska ;sfnk lsisÿ ffjrihla Swab tlg iam¾Y fkdjkakgo mq¿jk' túg ,efnkafka Tyq wdidos;fhl= fkdjk njg''' tkï Negative hhs i|yka m%;sM<hls' fuh frda.h jHdma; lsÍfuys odhl jk nrm;, jeroSuls'

ffjoH chrejka nKAvdrhka mjik wdldrhg lsishï wdh;khla ;=< mÍlaIKh isÿ lsÍfïoS tys m%;sM<hg n,mEï l< yels ldrKd rdYshla n,.ekafjhs'

fldúâ 19 ffjrih je<|Sfuka wdidos; jQ mqoa.,fhla Tyqf.a m%;sYla;slrK moaO;sfha l%shdldß;ajh ksid isref¾ m%;sfoay ksmofjkjd' tf,i m%;sfoay ksmojqfKd;a Tyqo ffjrih je<|S ke;s flfkla f,i tkï Negative mqoa.,fhla f,i mÍlaIKfhka fmkajd fohs'

December 2020

fï iïnkaOfhka jeäÿrg;a woyia olajk ffjoH chrejka nKavdr fldúâ 19 Negative flfkla Positve f,i idjoHj yªkd .ekSug;a" Positve flfkla Negative f,i idjoHj yªkd .ekSug;a fya;= lsysmhla n,mdhs'

DOCTOR MAGAZINE

doctormagazine.lk

tfiau fldúâ 19 Positve f,i uq,ska mÍlaIdfjka ;yjqre ù fojk mÍlaIdfõoS Negative f,i ;yjqre jkakg tu mqoa.,hdf.a m%;sYla;slrK moaO;sh l%shd;aul ùfuka YÍrfha m%;sfoay ksmoùu fya;= jkakg mq¿jk' tfiau uq,a mÍlaIdfjka Negative ù fojk mÍlaIKfhka Positve jkakgo mq¿jk' fodaIiy.;j Negative f,i y÷kd.;a" tfy;a ienúkau Positve mqoa.,fhl= iudc.;j Tyqf.a wdY%s;hka wdidos;hka njg m;a lsÍfï wjodku .ek

doctormagazine.lk

ffjoH chrejka nKAvdrhka úuiSfïoS Tyq Bg ÿkafka fujka ms<s;=rls' zzTõ''' tfyu wjodkula ;sfnkjd' ta;a" fï mÍlaIK wm fndfyda ÿrg isÿ lrkafka frda.sfhla f,i ;yjqre jQ flfkl=f.ka Tyqf.a wdY%s;hka úosyg bkak wdidos;hka yªkd.ekSughs' (Contact tracing) tfyu jqKdu wms mÍlaIK t;ekska wjika lrkafk kE' ;j;a mÍlaIK isÿ lrkjd' túg fï wh kej;;a yªkd .ekSug wjia:djla Wod fjkjd'ZZ PCR mÍlaIKh ifodia fjkak lsishï bvla ;sfhkjd' wfma ffjoHjreka fuysoS tu wjodku ie<ls,a,g .ksñka bosß uQf,damdhka ie,iqï lrkjd' fldúâ 19 ikd: lr.kakg PCR mÍlaIKh ñi wka l%uhla kE' tu ksid ta ms<sn|j wjfndaOfhka wdY%s;hka mÍlaIK j,g uqyqK oSuhs jeo.;a' tfiau fï ;SrKd;aul fudfydf;a w;a fiaoSu" uqyqK wdjrK me<|Su jf.au ÿria:Ndjh mj;ajd .ekSug l%shd lf<d;a th ;uhs ;ukag fífrkak ;sfhk fyd|u wdhqO' DM

December 2020

DOCTOR MAGAZINE

D•Magazine /

Corona advice for adults fldfrdakd wjodkfuka ñfokak" jeäysáhkag Wmfoia

SECOND WAVE New Normal Life with COVID 19

,laI ;syla muK jk wfma jeäysáhka fldúâ jix.;fhka wdrlaId lr .ksuq fldfrdakd wjodkfuka ñfokak" jeäysáhkag Wmfoia fldúâ jix.; iufha jeäu wjodku we;af;a wfma jeäysáhkagh' ksoka.; frda. j,g k;=ùu fukau flfuka ÿ¾j, jk m%;sYla;sh fya;=fjka wfma jhia.; ck;djg we;sjk n,mEu ;j;a jeäh' fï ksid Tjqka tu ffjrihg ksrdjrKh ùfuka j<lajd .ekSug mshjr .ekSu wm ieuf.a hq;=lula jkafkah' 1'yels iEu úgu ;u ksji$jeäysá ksjdih ;=<u /£ isàug j.n,d .kak' yels;dla ÿrg neyer hdfuka j<lskak' 2'ksjig$jeäysá ksjig wuq;a;ka f.kajd .ekSu fukau msßia jYfhka tla/ia ùfuka j<lskak' 36

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

fldúâ jix.; iufha jeäu wjodku we;af;a wfma jeäysáhkagh' ksoka.; frda. j,g k;=ùu fukau flfuka ÿ¾j, jk m%;sYla;sh fya;=fjka wfma jhia.; ck;djg we;sjk n,mEu ;j;a jeäh'

3' wka wh weiqre lsÍfï§ fofokl= w;r wju jYfhka ógrhl mr;rhla ;nd .kak' 4' jrlg ;;amr úiaila j;a inka iy j;=r fhdod ksjerÈ l%uh wkq.ukh lrñka oE;a fia§fï mqreoao ksr;=reju mj;ajdf.k hkak' 5' weia" kdih we;=¿ uqyqKq fmfoi ks;r iam¾Y lsÍfuka j<lskak' 6' lysk úg iy lsúisk úg uqyqK iy kdih je,ñfgys we;=¿ me;af;ka wdjrKh lr.kak' 7' ksjiska neyer hk iEu úgu msßisÿ uqL wdjrKhla kdih yd uqLh ksis whqßka wdjrKh jk mßÈ m,|skak' 8' §¾> ld,Sk fnda fkdjk frda. i|yd m%;sldr .kafka kï tu ks¾foaYs; T!IO fkdlvjd ,nd .ekSug Wkkaÿjkak' 9' leiai" W.=f¾ fõokdj" WK" yqiau .ekSfï wmyiqj wd§ Yajik wdY%s; frda. ,laIK we;akï jydu <Õu frdayf,a ffjoHjrhd fyda fi!LH ffjoH ks,Odßkaf.a Wmfoia ,nd.kak' tys§ Tn uE;l§ isÿ l< .uka úia;r fyda iudc iïnkaO;d ;snqfKa kï ish,a, wod< ks,Odßkag okajkak' 10' ks;ru is; ieye,a¨‍fjka ;nd.kak' iqj kskaola yd fmdaIHodhS wdydr fõ,la ,nd .kak'

doctormagazine.lk

ksfjia ;=< fjfik jeäysáhka fukau rdcH yd fm!oa.,sl wxY úiska mj;ajdf.k hkq ,nk jeäysá ksjdi ;=< fjfik jeäysáhkao fldúâ -19 ksid oeä wjodkulg ,laj we;s lKavdhula f,i y÷kdf.k we;s fyhska by; fi!LH Wmfoia ms<sme§u b;d wjYHh' DM

wdY%h:fcHIaG mqrjeishka yg fldúâ 19ka je<lS isàu i|yd fi!LH wud;HdxYfha ;reK jeäysá iy wdndO iys; tallh yd jeäysá uy f,alï ld¾hd,h úiska ksl=;a lr we;s taldnoaO ksfõokh'

December 2020

DOCTOR MAGAZINE

D•Magazine /

New Normal Life with COVID 19 fldúâ-19 fldfrdakd jHdma;sh jk fï wjÈfha§ Tn ms<smeÈh hq;= Wmfoia

SECOND WAVE New Normal Life with COVID 19

fldúâ-19 fldfrdakd jHdma;sh jk fï wjÈfha§ Tn ms<smeÈh hq;= Wmfoia

.¾NŒ ldka;djka i|yd Wmfoia ² .¾NŒ nj ;yjqre jqKq Tn ;ju;a idhksl fiajd i|yd ,shdmÈxÑ ù fkdue;s kï m%foaYfha mjq,a fi!LH fiajd ks,Odßksh fyda fi!LH ffjoH ks<OdÍ ld¾hd,h fj; ÿrl;kfhka wu;d ta nj oekqï fokak'

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

² .¾NŒ ld,h udi 8 la ^i;s 32 la& fyda Bg jeä ish¨‍u .¾NŒ ldka;djka mjq,a fi!LH fiajd ks,Odßkh ÿrl;kfhka wu;d idhkhg Tn meñ‚h hq;= Èkh iy fõ,dj oek.kak' ² Tnf.a .¾N‚ ld,h udi 8 lg ^i;s 32 lg& wvq kï iy my; frda. ;;a;aj ;sfí kï muKla Tnf.a mjq,a fi!LH fiajd ks,Odß‚h ÿrl;kfhka wu;d Tnf.a j;auka ;;a;ajh ms<sn| úia;r lr idhkhg hdug Èkhla iy fõ,djla oek.kak' - Èhjeähdj - wêl reêr mSvkh - yDo frda. - Yajik wdndO - fjk;a lsishï frda. ,laIK fyda wmyiq;djhla we;akï ² yels iEu úgu ksjfia /£ isákak' wkjYH .uka ìuka hdfuka j<lskak - ^Wod' W;aij iy fj<oie,a fj; hdu'& jeä úia;r 1999 iqjießh wxlh wu;d fyda Tnf.a m%foaYfha mjq,a fi!LH fiajd ks,Odßksh ud¾.fhka fyda ,nd .; yel'

ms<sld frda.Ska i|yd Wmfoia ² Tn yg fldfrdakd wdidokfha frda. ,laIK ;sfí kï" Tng kshu lr ;sfnk wdikaku frday, iu. iïnkaO jkak' ms<sld frday,g hkakg tmd' ² Tn oekg ms<sld i|yd m%;sldr ,nd.ksñka bkakjd kï" idudkH mßÈ ms<sld idhkhg fyda uOHia:dkhg hkak' ² Tn ms<sld i|yd T!IO ,nd.kakjd kï" ks¾foaYs; fnfy;a ;=Kavqj yd wjYH f,aLk úYajdijka; mqoa.,hl= iu. hjd wjYH T!IO ,nd.kak'' ² ms<sld m%;sldr ms<sn| jeäÿr úia;r ,ndfok f;la m%;sldr ia:dk fj; meñŒfuka j<lskak' jeäÿr úia;r i|yd Tnf.a ms<sld frday, iu. iïnkaO jkak'

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

D•Magazine /

New Normal Life with COVID 19 fldúâ-19 fldfrdakd jHdma;sh jk fï wjÈfha§ Tn ms<smeÈh hq;= Wmfoia

fnda fkdjk frda. j,g m%;sldr .kakd frda.Ska i|yd jk Wmfoia ud,dj Èhjeähdj" wê reêr mSvkh" yDo frda." wd>d;h" ksoka.; Yajik frda." wêl fldf,iagfrda,a" wlaud wdndO" ;hfrdhsâ wdndO" jeks frda. ² fnda fkdjk frda. i|yd ffjoH ks¾foaY u; Tn oekg Ndú;d lrk T!IO È.gu Ndú;d lrkak'

Tng YajikdndOhl frda. ,laIK ^leiai" WK iy yqiau .ekSfï wmyiq;djh& we;akï" lreKdlr <Õu frday, fyda wxl 117 ^úfYaI fldúâ-19 weu;=ï wxlh& wu;kak'

² Tnf.a T!IO ,nd .ekSu i|yd j.lsj hq;= mqoa.,fhla" Tnf.a ffjoH jd¾;d iy ,shlshú,s iu. wod, idhkhg tjkak' ² Tng kshñ; idhdk Èkfha§ tu idhkhg iyNd.S ùug fkdyels jqjfyd;a" bkamiq ´kEu i;sfha Èfkl ndysr frda.S wxYhg meñK Tng ysñ T!IO ,nd .kak' ² yels iEuúgu" tlsfkld w;r ógrhl mr;rhla ;nd .kak' ² Tng YajikdndOhl frda. ,laIK ^leiai" WK iy yqiau .ekSfï wmyiq;djh& we;akï" lreKdlr <Õu frday, fyda wxl 117 ^úfYaI fldúâ-19 weu;=ï wxlh& wu;kak' Tng fldúâ-19 frda.h je<£ we;ehs iel lrkjd kï ^by; frda. ,laIK iu. <Õ§ úfoaY ixpdrhl ksr; jQjd kï fyda fldúâ-19 hehs iel iys; fyda ;yjqre l< frda.sfhl= weiqre l<d kï&" jydu <Õu we;s úfYaIs; fldúâ-19 m%;sldr uOHia:dkh fj; hkak' ffjoH idhkh fj; hdfuka j<lskak' ² fnda fkdjk frda. i|yd yÈis m%;sldr frday,a ;=< fmr f,iu isÿ lrkq ,efí' ² Tn iajhx ksfrdaOdhkhlg ,laù we;akï" Tn m%foaYfha fi!LH ffjoH ks,OdÍ fyda uyck fi!LH mÍlaIl wu;d Tng wjYH T!IO ,nd .kak'

December 2020

DOCTOR MAGAZINE

Tng fldúâ-19 frda.h je<£ we;ehs iel lrkjd kï" ffjoH idhkh fj; hdfuka j<lskak' Tng fldúâ-19 frda.h je<£ we;ehs iel lrkjd kï ^by; frda. ,laIK iu. <Õ§ úfoaY ixpdrhl ksr; jQjd kï fydafldúâ-19 hehs iel iys; fyda ;yjqre l< frda.sfhl= weiqre l<d kï&" jydu <Õu we;s úfYaIs; fldúâ-19 m%;sldr uOHia:dkh fj; hkak' DM

Source: Health Promotion Bureau

doctormagazine.lk

SECOND WAVE

D•Magazine /

New Normal Life with COVID 19

fï oskj, wyl hk f,v od.kafk ke;=j nvq .kafka fufyuhs

W;aij iuh weú;a'''

fï oskj, wyl hk f,v od.kafk ke;=j nvq .kafka fufyuhs fldúâ jix.; ldf<a fjkia jk ck cSú;h fudrgqj úYajúoHd,fha WmfoaYsld ;s<s‚ ch,;a Bachelor of Design

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

D•Magazine /

New Normal Life with COVID 19 fï oskj, wyl hk f,v od.kafk ke;=j nvq .kafka fufyuhs

wms fï .; lrkafka t;rï hym;a ld,hla fkdfõ' nyq;rhla fokd ksfjia j,gu iSud 19 iu;a fj,d' ffjri jHdma;sh je<elaùug we;eï m%foaY ;ju;a w.=¨‍ oud ;sfnkjd' nd," ;reK uy¨‍ fNaohla ke;sj ksfjia j,g fldgq fj,d Èk" i;s f.fjoaÈ tk m%Odku m%Yafk wdydr' B<Õg tk m%Yak w;ßka tlla ;uhs we÷ï' jHdhdu j,ska wE;a fj,d b|,d f.dvla wh ;rndre fj,d' f.dvdla fofklag l,ska we|mq we÷ï w¢kak neß ;;a;ajhla we;s fj,d' mqxÑ orefjd tlal we÷ï mßiaiï lr.kak neß wh tlu weÿï ál È.gu we|,d mdúÉÑ lrkak neß ;rug wdju" .ukg we|mq we÷ï" rdcldßhg we|mqjd f.org w¢kak mgka .;a;d''' úi÷ula ksYaÑ;j fkdue;s ksid f,dalfha fndfyduhla rgj,a ;SrKh l<dla fuka m%fõiï iys;j iqmqreÿ ck

December 2020

Ôú;h wdrïN lsÍug wfma rg;a ;SrKh lr ;sfnkjd' rdcldß i|yd hoa§ yefudagu ;u ;ukaf.a we÷ï me<÷ï j, wvqmdvq fmfkkakg mgka .kakjd ú;rla fkfjhs" fï jir wjidkh;a w; <Õ ksid jÜgï msßkuk ldf,' oeka b;ska idmamq ijdß mgka wrka ;sfhkafka' rdcldß idudkH ;;a;ajhg m;a jqjo jix.; ;;a;ajh ;ju;a myj f.dia keye' fï ksid idmamq ijdß hdfï§ wms ljqre;a ie<ls,su;a úh hq;= " wjOdkh fhduq l< hq;= lreKq lsysmhla .ek ;uhs wms wo l;d lrkafka' uq,skau ys;kak ´k Tn idmamq ijdß hkaku ´kE o lshk ldrKh''' fudlo fldfrdakd wjodku Èfkka Èk jeä fjñka mj;sk njla ;uhs fmfkkakg ;sfhkafka' b;sx idmamq ijdßhg l,ska ta foa .ek lsysm jrla is;d n,kak' is;kak''' hkak l,ska fï hkafka wjYHu .uklao lsh,d' fldfyago hkafk @ fïl b;du jeo.;a m%Yakhla' we;a;gu Tng yqre mqreÿ idmamq ixlS¾Khla ;sfí kï Tn tys hdug fmr Tng ÿrl:k weu;=ula §,d taf.d,af,d fï fj,dfõ wrka ;sfhk wdrlaIl Wml%u fudkjdo lshd l,a ;shdu oek .kak' w; fia§fï myiqlï" úIîc kdYl myiqlï" we÷ï we| ne,Sfï myiqlu ke;s lsÍu" udre lsÍfï myiqlu ke;s lsÍu''' fï fj,dfõ jeo.;a' ljqo hkafka@ Tfí idmamq ijdßh w;HjYHu .ukla kï fï .ukg iyNd.S jkafka ljqrekao lshd l,skau ;SrKh lsÍu b;du jeo.;a' mjqf,a orejka" jfhdajDoaO mqoa.,hka" frda.Sj isák wh yer ksfrda.S jeäysáhka ;uhs iyNd.s

DOCTOR MAGAZINE

doctormagazine.lk

úh hq;af;a' .ukg tla wfhl= fyda fofokl=g iSud jkak mq¿jka kï b;du;a fyd|hs' fudlo th ;ukaf.a wdrlaIdjg jf.au mjqf,a wdrlaIdjg;a jeo.;a' wkjYH ;onohla we;s ùu je<elaùug yd iudc ÿria:Ndjh wdrlaId lr .ekSug iyfhda.h olajkak mq¨‍jka' fudkjo .kak hkafka@ we;a;gu oeka ;sfhk fjf<| ixlS¾K ie,ls,a,g .;fyd;a fndfyda ;eka j, ish¨‍u NdKav tlu jy,la háka .kak mq¿jka' ta lshkafk uid ksu l< we÷ï" frÈms<s ms<s" úis;=re NdKav" .DyNdKav" uq¿;ekaf.hs WmlrK" úis;=re NdKav" rEm,djkH WmlrK yeufoau tlu jy,la hg .kak ;sfhkjd' b;sx Tng wjYH foaj,a uQ,sl f,i ,hsia;=.; l<fyd;a b;du myiq fjkjd' ta jf.au f.dvke.s,a, ;=< tyd fuyd ilauka lsÍfï wjYH;djh ke;s fjk w;r Tfí uqo,a miqïìhgo th jdisodhl jkafka olsk olsk foa ñ,§ .ekSug fkd hk ksidh' fudkjo oek .; hq;af;a@ oeka Tfí ,hsia;=j kej; lshjk wjia:djhs' fldfrdakd ksid fndfyda idmamqj, we÷ï we| ne,Sfï wjia:dj fyda udre lsÍfï myiqlu ke;s lr,d ;sfhkjd' ta yeufoau lrkafka Tfí wdrlaIdjguhs' kuq;a wjYH foa yßhg ñ, § .ekSfï j.lSu wm i;=h' b;ska Tfí ,ehsia;=j kej; lshjkak' my; WodyrK j, oelafjk mßÈ ta ,ehsia;=fõ we;s f;dr;=re tla /ia lr .kak''' ² msßñ I¾Ü kx fld,¾ m%udKh" Trim fit, Slim fit, Regular fit" w;a È." w;a fldg hkdoS jYfhka' ² msßñ à I¾Ü kï Trim fit, Slim fit, Regular fit hkdÈh ² <ore .jqï kï kï Wi" bK" Wrysi ² <ore l,siï kï bK iy Wi ² ldka;d .jqï i|yd Small, Medium yd Large hkdÈh ² im;a;=" fifrmamq i|yd ll=f,a È. fyda jfÜg we|mq fld<hla ² rEm,djKH WmlrK .kakj kï yßhgu Tn .kakd j¾.fha ku ² fïia kï .kakd m%udKh iy È." fldg nj ;jo Tn fÜma máhla /f.k hkjd kï th wdrlaIs;hs' ula ksidoh;a idmamqfõ WE;S fÜma máh lSm fofkla mdúÉÑ lrk ksidh' f.kdmq .uka we|, n,kjo@ we;a;gu Tn we÷ula .kafk lSm j;djla ys;,d' f.kdmq we÷u Tng .e<fmkjd kï w¢kak fmr fyaÿfjd;a jvd;a iqÿiqhs' tfyu Wfkd;a idmamqfjka §,d ;sfhk

doctormagazine.lk

ojia .dkg miafia yß udre lrkak nE' Tn f.kdmq we÷u .ek Tng we;a;gu úYajdi ke;a;x Tng lrkak ;sfhk fyd|u foa ;uhs tal jrla fyd|ska ueo weo,d n,k tl' túg Tng f;afrkjd kï ta .e,fmkafka keye lshd idmamqfjka lsh,d ;sfhk ld,h fjklka bkak ´fka' b|,d udre lr.kak' Tng .e,fmkjd lsh, ys;=k;a w¢kak fmr fyd¢ka fidaokak' ta jf.au Tn we|,d ne¨‍jg miafia Tn;a fyd¢ka iakdkh lrkak'

idmamq ijdßfhaoS fï Wmfoia ms<smoskak ² idmamq ijdßhg miq oE;a fia§u fyda úIîc kdYlhla Ndú;d lsÍu ² idmamq ijdßfhÈ fjkod jdf.a ish¨‍u foa iam¾Yhg fkdhEu ² uqo,a Ndú;h wju lr yels;dla ÿrg ldâ Ndú;d lsÍu ² fik. .ejfik wvq Èk fyda fõ,djka idmamq ijdß i|yd f;dard .ekSu ² idmamq ;=< .; lrk ld,h wju lsÍu DM

idlÉPd igyk fidand flda,shjxY

December 2020

DOCTOR MAGAZINE

D•Magazine /

Diabetes and Foot Care fomd iqjhg n,mdk fomd iqjfi;

fomd iqjhg n,mdk fomd iqjfi; mdo iq/lSfuka osú iq/ lSugo yels fõ jdysksl frda. úfYAI{ Vascular Surgeon ffjoH kd,l .=KjxY úisks jd, .ek l;d lrk úg mdo j, we;sjk ;=jd, .ek fndfyda úg ffjoHjreka b;d ie<ls,f a ,ka l;d lr;s' mdo j, we;s jk ;=jd, flfryS we;s ìh wksh; ìhlao @ fï ,smh s lshjkak' thska Tng m%Yk a hg ms<; s r = e ,efnkq we;s'

December 2020

DOCTOR MAGAZINE

mdo j, we;sjk ;=jd, we;af;kau wjfYAI ;=jd, j,g jvd fnfyúkau Nhdklh' oshjeähdj jeks''' tfia;a ke;skï kyr .eg .eiSu jeks wjodkï iy.; frda. b;sydihla orK úg we;eï úg ;=jd,h krla ù ll=, lemSug mjd isÿúh yel' we;eï úg cSú;fhka jkaos f.ùug mjd zzmdofha ;=jd,hZZ fya;= úh yelsh' fufia wjodkï iy.; úNjhla we;s mdo j, we;sjk ;=jd, j,g fya;= jkafka my; ldrKdjkah'

doctormagazine.lk

iakdhq l%shdldß;ajh wvq ùu fuhg uQ,sl jYfhka fya;= jkafka oshjeähdjhs' oshjeähdj frda.h je<oS jir 10- 15 hk úg iakdhq ÿ¾j, ù tajd wl¾ukH ùug bv m%ia:djla ;sfnk w;r túg mdo j, oekSu''' ixfõoS;djh ke;s ù hhs' túg fmdf<dfõ r¨ ìu u; weúoao;a oefkkafka mq¨ka frdola u; weúoskjdla fiah' fuysoS we;sjk ydksh kï lgqjla" .,a leghla wekS ;=jd,hla isÿ jQj;a th ;ukag fkdoekSuhs' ;=jd,hla isÿjQj;a fï wdldrfhka th fkdoekSu b;d Nhdklh' fï ksid ;=jd,h md,kh lsÍu ÿIAlr ;rug úYd, tlla úh yelsh' th wdidokhg ,la ùfïo jeä bvla ;sfí' we;ï oshjeähd frda.sfhl=f.a je,s leghla wekqk;a th ;=jd,hla''' úYd, jkhla jk f;la j¾Okh ùugo yelshdj ;sfí'

doctormagazine.lk

kyr .eg .eiSu fkdfyd;a wmiaÓ; Ysrd ;;a;ajh kyreg .eiSu wo ojfia ie<lsh hq;= msßila mSvd úosk frda.hls' fï frda.Ska jir 10-15 l os.= ld,hla frda.h;a iu. .; jk úg j<¨lr m%foaYfha l=KQ f,a tl;= ù ;ekam;a fjhs' túg ta wjg mSvkho by< hhs' fï ksid myiqfjka mdoj, ;=jd, we;s úh yelsh' f,a kyr j, wjysr;djh uq,skau lS kyr .eg .eiSu''' tkï wmiaÓ; Ysrd ;;a;ajh we;s jkafka Ysrd uQ,sl lrf.kh' tkï .d;%d j, isg wmsßisÿ reêrh yoj; lrd f.khk jdyskS wdY%h lrf.kh' kuq;a fuysoS isÿjkafka yojf;a isg reêrh .d;%d j,g f.k hk OukS wdY%h lr.;a wjysr;djhls' OukS wjysr;djhla we;s jQ úg .d;%d j,g msßisÿ reêrh ke;s fjhs' ta;a iu.u mßjykh jk fmdaIl iy wï,lr jd;h ^Tlaiscka& ke;s fjhs' fuysoS isÿ jkafka l=ulao @ hï fyhlska mdofha ;=jd,hla we;s jQjd hhs is;uq' túg m%;scSjl T!IO .;a;;a f,a .,kfhys wjysr;djh ksid tajd mdoj,g ksishdldrj ,efnkafka ke;' mdofha ;=jd,h wdY%h lr.;a m%foaYfha mgl ÿ¾j, cSj Ndjhlska hqla; ksid ndysßka fnfy;a wdf,am l<;a thska t;rï m,la jkafkao ke;' wdidok fya;=fldg f.ko wiaÓ.; frda. ksidfjkao mdo j, ;=jd, we;s úh yel' Ouks we;=,; fldf,iagfrda,a ;ekam;a ùu ksido" wêreêr mSvkh ksido OukS fuhdldrfhka wjysr ùug bv ;sfí' fuys úia;r lrk ,o ljr fyda fya;=jla ksid mdo wdY%s;j ;=jd,hla we;s jQ ú.i l< hq;= jkafka Y,H ffjoHjrfhl= yg ;=jd,h fmkajd th iqj lr.kakg ms<shï fhoSuhs'

December 2020

DOCTOR MAGAZINE

D•Magazine /

Diabetes and Foot Care fomd iqjhg n,mdk fomd iqjfi;

m%;sldr fuhg fya;=j oshjeähdj kï oshjeähdj uekúka md,khg ,lalr.; hq;=hs' fuysoS mdo wdY%s; iakdhq wvmK ùug fya;=j Ñrd;a ld,hla ;siafia reêr iSks jeä w.hla f.k ;sîu ksidh' ke;fyd;a ta wjia:dfõ ;snqKq reêr iSks m%udKhu fkdfõ' frda.h md,kh lsÍug fï lreKQo is;ayS Odrkh lrf.k os.= ld, mßÉfPAohkayS os.gu oshjeähdj md,kh lrug mshjr .; hq;=hs' wmiaÓ; Ysrd ;;a;ajh fkdfyd;a kyr .eg .eiSuo nyq, jYfhka mdo wdY%s; ;=jd, we;s ùug fya;=jls' kyr .eg .eiSug ksis ms<shï fhoSu wiSre lreKla fkdfõ' uq,skau frda.h ksishdldrj yÿkd/; hq;=h' ta ioyd mdo ksÍlaIKh" Doppler Scanning' wdoS mÍlaIK lsysmhla fjhs' bkamiqj m%;sldr Tfí ffjoHjrhd úiska ie,iqï lrKq we;' uQ,sl wjia:dfõ fnfy;a m%;sM< f.k ÿkak;a l,a.; jQ miq Baloon Angioplasty fkdfyd;a wjysr jQ ia:dkh msïîfï l%shdj,sh" fjk;a ;eklska kyrhla ¨yqj;a lrf.k th wmiaÓ; jQ ia:dkhg msßoaoSu (Bypass) wdoS ie;alï isÿ lsÍfuka fuu ;;a;ajh u.yrjd .; yel' mdo iqjfi; Wfoid Tn l< hq;= foa mdo hq., .ek Tnf.a wjOdkh t;rï fhduq fkdjqK;a" mdo wmf.a fi!LH ;;a;ajh uekúka mj;ajd .ekSug fl;rï n,mdkjdo hkak Tng jgyd .kakg kï fujka wjodkula Woa.; úh hq;=h' kuq;a túg ldßh t;rïu myiq fkdfõ' fï ksid mdo wk;=f¾ jefgk frda. ldrl j,ska ñoSug Tn bgd.; hq;=h' oshjeähdj" wmiaÓ; Ysrd fkdfyd;a kyr .eg .eiSu" fldf,iagfrda,a wdosfhka je<lsh hq;=h' ld,hla ;siafia ÿï mdkh lsÍu ksido .d;%d j, iakdhq l%shdldß;ajh wvmK jk ksid thskao ñoSu mdo iqjfi; flfrySo ;SrKd;aul idOlhls'

December 2020

DOCTOR MAGAZINE

yefokakg fmr frda. fhka j<lskakg fok ta Wmfoia iaj¾Kuh mshjr jkafkah' kuq;a iEu úgu ;;a;ajh tf,i fkdjkafkah' oshjeähd frda.Ska''' kyr .eg .eiSfuka mdo hï wjodkulg ,lajQ wh wdoSka wmg yuq fõ' Tjqkag osj hq;af;a Bg;a jvd m%fõYï iy.; Wmfoia ud,djls' fujka wjodkula we;s wh mdo ;nd .; hq;af;a lKakdähla fuks' b;d msßisÿj mdo ;nd/; hq;= w;r kshfmd;= w;r''' we.s,s lre yd uq¨ mdohu oskm;d uekúka mÍlaId l< hq;=h' iq¨fjka fyda ìì,la" ;=jd,hla jQj;a th ffjoHjrfhl=g fmkajd jydu m%;sldr ,nd.; hq;=h' kshfmd;= lemSu m%fõYfuka kshu ms<sfj<g l< hq;=h' ksfjfia isáh;a mdjyka hq.,la me<osh hq;=h' fï wdldrfhka mdo .ek ie<ls<su;a jkafka kï Tng Tnf.a mdo uekúka /l.ekSug ta bjy,a jkq we;' DM

doctormagazine.lk

D•Magazine /

Diverticular Diseases vhsjálshq,¾ äiSia'''

DIVERTICULOSIS AND DIVERTICULITIS nvje,a wdY%s;j fï ld,fha we;sjk iq,n frda.hla'''

vhsjálshq,¾ äiSia''' Y,H frda. úfYaI{ ffjoH m%fudaoa pkaøisxy

vhsjálshqf,daisia kï ta yeá l,n, úh hq;= kE''' ta;a ta ksid we;súh yels ixl+,;d wjOdkhg ,la lsÍu yßu jeo.;a''' zzwms fï j;dfj fudkj .eko l;d lrkafka@ZZ iEu udihlu Yd,lfõoh yd ine|S ,sms fm<la úia;rd;aulj bosßm;a lsÍug wm w;r jQ tlÕ;djh ksidfjka ud fujr ,smshg úfYaI{ ffjoH m%fudaoapkaøisxyhka úpdf,ñ' zzoeka jeä jeäfhka frda.Ska jd¾;d fjk frda.hla ;uhs vhsjálshq,¾ äiSia''' wms ta .ek álla l;d lruqo@ZZ ud i;=gg m;aùñ' miq.shod wfma l;dny fjka jQfhao nvje,a wdY%s; frda. hla fjkqfjks' nvje,a ms<sld''' fï ld,fha w;sYhska nyq, ksid wm ta .ek iúia;rd;aulj l;d lf<uq' ms<sldjla njg m;a fkdjk" jeäysáhka w;f¾ oeka oeka iq,n nvje,a frda.hla f,i ie<flk zzvhsjálshq,¾ äiSiaZZ .ek l;d lsÍu ta iïnkaOfhka jk ÿ¾u; bj;,kakg;a" fjfiiskau tu frda. ;;a;ajhka W;aikak ùu j<lajd .kakg;a lsishï fm<Uùula l< yels zzwjia:djlaZZ fyhska

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

ta .ek ud fm!oa.,slju i;=gg m;aùñ' ta;a ug oeka uyd .eg¿jla we;' WK lsõju" ksõfudakshdj lsõju''' jl=.vq frda.h lsõju''' fldúâ lsõju ta frda.h .ek wjfndaOhla .kakg Tng wiSre ke;' ta;a zzvhsjálshq,¾ äiSiaZZ uu úia;r lrkafka fldfyduo@ ud uq,skau ta zzysf;a .eg¿jzz úfYaI{ ffjoH m%fudaoapkaøisxy fj; fhduq lf<ñ' zzysf;a .eg¿j;aZZ wfma ms<si|f¾ ksoyfia .,d .sh frda. fha fjfiia f;dr;=re;a fu;eka mgka fufia os. yefrkq we;' doctormagazine.lk

wms uq,skau fï uydnvje,a fkdfyd;a uydka;%h .ek wjfndaOhla ,nd.ksuq@ Tn okakjd" nvje,a wfma wdydr cS¾Kl moaO;sfha wjidkhg ;sfnk cS¾Kl bkaøsh' l=vd nvje,a j,ska wdydr msúfikafka uyd nvje,a j,g' uq,skau wdrïNl ia:dkh iSluh (cecum)" iys; wdydr Wvg hk fldgi (ascending colon)" wk;=rej yria w;g wdydr .uka lrk fldgi (transverse colon)" kej;;a my<g .uka lrkjd (descending colon) bkamiq is.afudhsâ fldgi yryd .=oh (sigmoid colon, and the rectum) Tiafia u< øjH msg;g .uka lrkjd' idudkHfhka uydka;%fha iuia;h wä myla ú;r os.hs' úi,a mßudjla fuhg wh;a jkafka wdydrfha we;s c,h wjfYdaIKhg''' c,h wjfYdaIKh jQ miq u< fldgia >k njg m;aj wm tajd msg lrk f;la .nvd ù mj;skjd' wm .kakd wdydrhla fõ kï th cS¾Kl ud¾.h wjidkh lrd <Õd jkakg idudkHfhka meh 12-48l ld,hla .; fjkjd' uydka;%fha laIqø cSjdkQ á%,shk .Kkla fjfikjd' tajdhska jeä yßhla nelaàßhdjka' fïjd wfma cSú;fha meje;aug wmuK jQ ld¾h Ndrhla bgq lrkjd' December 2020

DOCTOR MAGAZINE

D•Magazine /

Diverticular Diseases vhsjálshq,¾ äiSia'''

fudllao fï vhsjálshq,¾ äiSia lshkafka@ fï nvje,a j, wdia;rkh iqughs' ta;a nvje,a wNHka;rfha ÿ¾j, ia:dkhl isg ì;a;sh u; f;rmqula we;s lr, u¨ jf.a msg;g tkak bv ;sfhkjd' tfia fkr, msg;g wdju th Diverticulosis lshkjd'

uydka;%fha rEmldrh

fï ;;a;ajh oeka ueos jhfiaos ;rula iq,nj olakg ,efnkjd' jhi wjq' 40ka Tíng ;uhs jeä jYfhka we;s fjkafk' jhig hkak" hkak we;sfjk bvlv jeähs' fïl ;uhs Diverticular Disease j, wdrïNl wjia:dj' m%drïNl wjia:dfj isg myq ld,fhaoS frda.h ixlS¾K ùula jkakg mq¿jkao@ Tõ tfyu fjkak mq¿jka' fu;k ierj f.ähla yefokak mq¿jka' meijkak mq¿jka' mqmqr, Wor l=yrhg wmøjH fldgia hkak mq¿jka''' yosis Y,Hl¾uhla lrkak isoaO fjkak mq¿jka' tfyu ke;akï nvje,a w;=re ud¾.hla Tiafia uq;%dYhg iïnkaO fjkak;a mq¿jka' fï úosfya mrdihl ixl+,;d we;s fjkak bv ;sfhkjd' 50

December 2020

fï úosfya frda. iajNdjhla nvje,a wdY%s;j we;s fjkak n,mdk fya;= fudkjdo@ ;ju;a fï .ek ksYAÑ;ju fya;= wkdjrKh lrf.k kE' ta;a fï iïnkaOfhka úoaj;=ka ms<s.kakd fya;= lsysmhla ;sfnkjd' wdydr cS¾Kl moaO;shfk''' wdydruh idOl fuysoS jeäfhka l;dny isoaO fjkjd' wêl ldfndayhsfâ%Ü" wêl fïoh vhsjálshq,¾ äiSia yefokakg fya;= fjk njg fmdÿfõ" ms<s.ekSula ;sfhkjd' ffjoHjreka ;ka;=uh wdydr jeä jeäfhka wkqNj l< hq;= njg fï frda.Skag ksrka;rfhka Wmfoia fokafka fï ksihs'

DOCTOR MAGAZINE

doctormagazine.lk

vhsjálshqf,daisia yd vhsjálshq,hsisia

fldf,dfkdiafldamh

vhsjálshq,d

fldf,dfkdiafldms mÍlaIKfhaoS vhsjálshqf,daisia ;;a;ajh fmfkk whqre wka;%fha wNHka;rh

ksfrda.S

ta;a fuh ld,hla ;sif a ia uq,a neyef.k ;snK q Q u;hla' ta yefrkakg oeka ;j;a fya;j = la .ek l;d fjkjd' uynvje,a j, wNHka;rfha we;sjk mSvkh ksid nvje,a j, ÿ¾j, ;eka j,ska msg;g f;rmSula we;s lrk njg;a ta ksid ;ekska ;ek Pouch fkdfyd;a zzu¿ZZ jeks fkÍï we;sfjk njg ;sfnk u;hg jeä ms<. S ekSula ,eî ;sfnkjd' doctormagazine.lk

vhsjálshqf,daisia

vhsjálshq,hsisia

ldgo jeäfhka fï frda.h yefokakg bv ;sfhkafk@ biair kï fïl hqfrdamh S hka w;f¾ iq,n frda.hla jYfhka ie<l+j;a oeka kï l,dmSh" N+f.da,h S fnoSulska f;drj yeu rglu mdfya frda.k S a jd¾;d fjkjd' iuyrekag Wm;sku a ;a frda.h we;s fjkjd' fiiq úkao; s hka jeäysáNdjhg m;ajQ wh' Ök" cmdk wdoS wdishd;slhkq;a fï frda.hg iq,nj ,lajk nj yªkdf.k ;sfnk w;r th mdrïmßlj ,efnk Wreuhla fia ie<lsh yelsh's hqfrdamh S hkag jeä jYfhka we;s jkafka jï me;a; wdY%; s j we;sjk vhsjálshf q ,daii s a ;;a;j a ' wfma rfg;a oeka ;;a;j a h t;rï i;=go q dhl kE' kd.ßlj jeä jYfhka frda.k S a jd¾;d fjkjd' December 2020

DOCTOR MAGAZINE

D•Magazine /

Diverticular Diseases vhsjálshq,¾ äiSia'''

fï ;;a;j a h oeka wfma rfg;a iuia; f,dalfh;a fl;rï iq,no lsõfjd;a fldf,dfkdiafldms mÍlaIKhla lsÍfuka wkdjrKh jk wr nvje,a ì;a;h s f;rmS Pouch ^meila& t<shg tk tl''' Diverticular Disease oeka hqfrdamfha frda.hla f,ij;a ms<. s ekSug ,la jkafka kE' vhsjálshqf,daisia j,ska Tíng we;sjk ixl+,;d fudkjdo@ wo ojfia fï vhsjálshqf,daisia kï ;;a;ajh .ek t;rï ;elSula ke;s jqK;a fuhska Tíng we;sjk zzixl+,;dZZ fjfiiskau wmf.a wjOdkhg ,la úh hq;=hs' uQ,slj .;af;d;a nvje,a jï me;af;a ;on, lelal=ula we;sjk wjia:dfõoS lrk fldf,dfkdiafldms mÍlaIdfõoS u<my fldgia wdosh isrùu ksid ta wdY%h lr.;a zzmeiùulaZZ (Diverticulitis) oel.kakg mq¿jka' fuysoS lelal=u yereKQ úg u<my lrk l%ufha fjkialï we;s fjkakg mq¿jka' iuyr whg f,a hkjd' jhia.; Woúh úfYAIfhkau

December 2020

vhsjálshqf,daisia yd vhsjálshq,hsisia

vhsjálshq,dj

m%odyhg m;aùu reêrh .e,Su

wka;%

vhsjálshqf,daisia vhsjálshq,hsisia

fï f,a .e,Sï j,g uqyqKmdkjd ú;rla fkdfjhs we;efulag fï reêrh .e,Su kj;aj .kak nE' oshjeähdj ;sfnk whg fï ;;a;ajh ;j;a ixl+,;d iys;hs" nyq,hs' Tjqkg nvje,a mqmqr, ierj f.ähla (Diverticular Abscess) yefokak mq¿jka' ;j;a whg u<my thska msg;g tkak mq¿jka' iuyr whg fmdä msmsÍula fjkjd' thg iqÿiq m%;scSjl T!IOhla .;a;u iukh jk wjia:do ;sfhkjd' ;j;a flfklaf.a nvje,a yd uq;%dYh w;f¾ w;=re iïnkaO;djhla yefokak;a mq¿jka' (Colovesical Fistula) fï ;;a;ajh ;sfhk úg uq;%d iu. läka lv jdhqjo msgùula (Pneumaturia) isoaO fjkjd' frda.shd fndfyda úg tkafka ;o WKla iu.ska' wfkla we;súh yels ixl+,;djh ;uhs reêrh jykh ùu' we;efulag fï ;;a;ajh fldhs ;rï jeä f,a hdulao lsjfyd;a fï ksid nvje, n,j;a f,i wdmodjg m;aùfuka reêrh k;r lr.; fkdyelsj

DOCTOR MAGAZINE

doctormagazine.lk

nvjef,a fldgila bj;a lsÍug mjd isÿjk wjia:d ;sfnkjd' frda. ,laIK jeä fofklag frda. ,laIK we;s fjkafk kE' yenehs iuyrekag hánfâ lelal=u tkjd' úfYAIfhkau nfâ jï me;af;' nv mqrjd oeóu" u<noaOh jf.au we;euqkag nvt<sh nqre,g hdu;a isoaO fjkak mq¿jka' Bg wu;rj meijQ úg we;sjk WK yd jukhg tau frda. ,laIK f,i m< fjkakg mq¿jka' frda.h úksYaph lsÍu .=o ud¾.h yryd isÿ lrk fldf,dfkdiafldms mÍlaIKfhka fï frda. ;;a;ajh ;yjqre lr .kakg mq¿jka' Diverticulitis ;;a;ajhla fkdfyd;a wdidokhla we;s jQ úg WBC w.h fukau CRP w.ho jeä fjkjd' fï frda.Skag CT Scan tlla isÿ lsÍfukao frda. úksYAph ;yjqre l< yels fjkjd' fï ;;a;ajh iu. ixl+,;do fmkajk úg fldf,dfkdiafldms mÍlaIKh lrkafka kE' túg Bg wod, m%;sldr isÿlr fojkqj frda.S iajNdjh iukh jQ úg fuu mÍlaIKhg frda.shd Ndckh lrkjd'

doctormagazine.lk

wdidokhg ,laùfï ixl+,;djhla f,i nvje,a yd uq;%dYh w;r ñiaáhq,djla ks¾udKh ùu

vhsjálshq,¾ äiSia frda.Skag lrk m%;sldr yosis ;;a;ajhla fkdfõ kï Worfha fõokdj meñKs<s lrk frda.Ska yg ksjeros frda. úksYAphlska miqj m%;scSjl T!IO ,nd fokjd' iuyreka bkakjd''' úáka úg frda.h u;=jk' fï whg jirlg jrla fojrla frda.h yefokjd' m%;scSjl j,g m%;spdr olajkjd' fufyu whg Y,Hl¾u j,g hkakg wjYH kE' frda.h Diverticular Disease njg úksYAph jqfKd;a'' Tn oek.; hq;=hs" th kej;;a ms<silr ùulg bvla kE' jhi;a iu.ska B<Õ woshr j,g meñfKkakg mq¿jka' fï ksid frda.h ;sfhk whg ffjoHjreka fok uQ,sl wjjdoh ;uhs f;,a" wêl msIAGh wvq lrkak lshk ldrKh' ia:Q, wh;a jeäfhka frda.hg k;=ùfï keUqrejla ;sfhk ksid nr wvq lrkak tl;a fyd|hs' l%shdldÍ jHdhdu tfyu ;sfhk cSú;hlg yqre ùu;a jeo.;a' ierj f.ähla yeÿfKd;a th tlaia lsrK m%;sìïnhla wdOdr lrf.k Drain lrkak mq¿jka' Diverticular Disease j,oS Y,Hl¾u isÿ lrkakg fya;= jk wjia:d ² we;eï fj,djg uy nvjef,a msmsÍula fjkak mq¿jka' tfia msmqrefKd;a wmøjH ldkaÿ fjkafk Wor l=yrhg' fïl jyd ie;alulska ms<silr l< hq;= wjia:djla' ² ierj f.äh id¾:lj Drain lrkakg fkdyels jQ úg

December 2020

DOCTOR MAGAZINE

D•Magazine /

Diverticular Diseases vhsjálshq,¾ äiSia'''

fï ie;alu ksid we;eï úg tljru uydka;%h fome;a; uykak neß fjk wjia:d;a ;sfnkjd' yenehs kùk ;dlaIKh weiqre lrk oeka ldf, tfyu fjkafk l,d;=rlska' tfyu isoaO jqfKd;a ál ld,hlg Stoma nE.a tlla ia:dms; lr.kak fjkjd'

fldf,dfkdiafldms mÍlaIKh

² frday,a.; lr wka;¾ Ysrd úosyg kslafIAmK ,nd ÿkak;a thska M,la fkdjk wjia:d j,oS ² uynvje,a j, b|ka uq;%dYhg ,Sla tlla fjkak mq¿jka (Fistula) th;a ms<siler lrkakg Y,Hl¾ufhka fuydg nE' ² ks;r ks;r fï frda.h ksid mSvd ú|skfldg we;euqka wkd.;fha fï ysßyerfhka ñfokakg Y,Hl¾uhg Ndckh fjkjd'

December 2020

DOCTOR MAGAZINE

vhsjálshqf,daisia - wo ojfia iq,n frda. ;;a;ajhla' jeäysá Tng th ;sfhkjdh lsh, fldf,dfkdiafldms mÍlaIKhlska wkdjrKh jqfKd;a th uú;hg ldrKhla fkdfjhs' kuq;a fï m%d:ñl wjia:dj bosßhg hdfuka ixl+,;d rdYshla we;sùfï wjodkula ;sfnkjd' uQ,sl frda.h yereKQ úg wka ish,a, Y,Huh ueosy;aùï wjYH ldrKd úh yels ksid fï wjfndaOh Tng ksjeros m%;sldrhlg mdr fmkajkq we;s' DM

doctormagazine.lk

D•Magazine /

Women’s Health mshhqre ms<sld

Early Detection of Breast Cancer and Its Impact on Women’s Health

mshhqre ms<sld jeä jYfhka mshhqre ms<sld jd¾;d jkafka jhi wjq' 55g wvq ldka;djkag''' orejka mdie,a hk uõjreka" /lshdj, ksr;jk ldka;djka úYd, ixLHdjla mshhqre ms<sld j,g ,la fjkjd uyr.u wfmalaId frdayf,a ms<sld Y,H úfYAI{ ffjoH lksIAl o is,ajd

wfma rfÜ ldka;djka k;=jk ms<sld w;=ßka m<uq ;ekg tkafka mshhqre ms<sldjhs' jvd;a nrm;, ldrKh jkafka jirla mdidu w¿f;ka jd¾;d jk mshhqre ms<sld frda.Ska ixLHdj l,ska jirg jvd jeä ùuhs' fifuka jqj;a jeäfjñka mj;sk ms<sldjla ùu ksid ldka;djka fuhska je<lSug oeKqj;a úh hq;=h' wfma rfÜ ms<sld frda.Ska iïnkaOfhka f;dr;=re olajk c¾k,hla ;sfí' National Cancer Registry kñka yªkajk tu f,aLKhg wkQj 2012 j¾IfhAoS 1"00"000l ck ksheoshlg jd¾;d jQ mshhqre ms<sld frda.Ska ixLHdj 26'6la ù ;sfí' fï ixLHdj ldka;djkag we;sjk iuia; ms<sld j,ska y;frka mx.=jl ksfhdackhls' tfy;a ngysr rgj,a yd ii|k

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

D•Magazine /

Women’s Health mshhqre ms<sld

mshhqre ms<sld úuiqu

uefuda.%Eï mÍlaIKh i|yd ;rï fkdjk wvq jhils

idhksl mshhqre mÍlaIKh

uefuda.%*s mÍlaIKh

úlsrKfõoS

jhi wjq' 40 fyda bka tydg iel l< yels ,laIK ke; uefuda.%Eï mÍlaIKhla i|yd bosßm;a úh yel ffjoHjrhd iu. idlÉPd lr fl;rï ld, wka;rhloS mÍlaIdjlg Ndckh úh hq;=oehs ie,iqï lr.kak

nyq;rhla idudkH f,i yªkd .efka ^kej;;a wdrïNhg&

ffcfõlaId ffcfõlaId ^nfhdmais& mÍlaIKh

nyq;rhla ms<sld fkdfõ

ms<sld

widudkH ;;a;aj ^jeäÿr mÍlaIK wjYh fjhs&

ffi, mÍlaIK m%;sM<

fjk;a mÍlaIK

ffjoHjrhd iu. idlÉPd lrkak w,ag%dijqkaâ

l< wfma rfÜ mshhqre ms<sld we;sjk fõ.h y;r mia .=Khlska tu rgj,g jvd miqmiska mej;Su osß.kajk iq¿ wdrxÑhls' jir 35 bl=;ajQ ldka;djkaf.a jvd;a iq,n ms<sldj jhia ldKav wjkQj fuu ms<sldj úuiSfïoS th jir 35 bl=;ajQ ldka;djkaf.a jvd;a iq,n ms<sldj jk w;r 100"000l ksheoshlg ishhg 26l mshhqre ms<sld jd¾;d ùula 56

December 2020

MRI pqïnl wkqkdo m%;sìïn

isÿ fjhs' jhi;a iu.u fuu ms<sldj jeäùfï wjodku flfuka by< hk w;r jvd;a jeäu frda.Ska ixLHdjla jd¾;d jkafka jhi wjq' 55oSh' jhi wjq' 55 miqjk ldka;djkaf.ka ,laIhlg ishhg 83'1la mshhqre ms<sldfjka fmf<k nj National Cancer Registry c¾k,fhys jeäÿrg;a oelafjhs' tu jhfika miqj fuu w.hka l%ufhka wvqjk m%jK;djhla ;sfí' National Cancer Registry wkQj fï iïnkaOfhka olakg ,efnk ;j;a idOkSh ,laIKhla jkafka fï ms<sldjg jeäfhka k;=jk ldka;djkaf.a jhia iSudj jeä jhia ldKav olajd .uka lsÍuhs' fï ;;a;ajh uekúka úuiSfïoS th ngysr rgj, mshhqre ms<sld keUqrejg ióm iïnkaO;djhla fmkajhs' tfy;a wfma rfÜ ck ixLHd me;sÍu ksidfjka ;ju;a jeä jYfhka mshhqre ms<sld jd¾;d jkafka jhi wjq' 55g wvq ldka;djkagh' fï

DOCTOR MAGAZINE

doctormagazine.lk

iajhx mshhqre mÍlaIKh lKakdähla bosßmsg isgf.k Tfí mshhqre iuia;h fyd|ska úuikak' fome;af;a lsys,s fmfoio ksÍlaIKh lrkak' w;a fol ysi ;nd me;s j,ska n,kak' tys fmKqfuys fjkila ;sfío@ bosóula fmfkkakg ;sfío@ ifuys j< .eiSula ;sfío@ ;k mqvqfjys lsishï fjkialula olskakg ,efío@

w;a fol Wl=, fome;af;a ;nd. kak' Tfí mmqfõ fmaYs yelsf,k fia uDÿj ;o lrkak' fome;af;a mshhqre tl iudk fkdjqKdg lula ke;' tfy;a j< .eiSula" lsishï mshhqrl fjkialula" iu ixfldapkh ùula fmfkkakg ;sfío@

oeka ydkais fjkak' Tfí mshhqre mgl iuñ;slj fomig fjhs' ol=KQ me;af;a fldÜghla ;nkak' Tfí ol=K; ysig háka ;nkak' Tfí jï w; weÕs,s tlalrf.k thska ol=K; mshhqre iam¾Y llrkak' j,hdldrj yd;ami wdjrKh jk fia iam¾Yh isÿ lrkak' thu lsys,a, hg;a lrkak' weÕs,s j,g fhosh hq;af;a ieye,a¨ mSvkhls' ;k mqvqj u|la ñßlkak' >%djhla .,kafkaoehs úuis<su;a fjkak' lsishï ;o .;shla w;g yiqfõo hkak .ek úfYAIfhka ie<ls<Su;a fjkak' fï wdldrfhkau jï mshhqro ksÍlaIKh lrkak' mshhqre Wv yd my<g iamrY lrkak' uq,skau uDÿ mSvkhla weÕs,s j,ska fhdokak' th ;rula jeä lrñka tu iamrYh kej;;a lrkak' ta wdldrhgu me;a;g;a iam¾Y lrkak' lsisÿ mgl fldgila u. fkdyer th isÿ lrkak'

doctormagazine.lk

w;ßka orejka mdie,a hk uõjreka" /lshdj, ksr; jk ldka;djka úYd, ixLHdjla jd¾;d fjhs' mshhqre ms<sldj uq,skau y÷kd.;af;d;a iqj lsÍu myiqhs mshhqre ms<sldjla fõ,dikska yªkd.ekSu jvd;a jdishla jkafka b;d l=vd yd uq,au woshf¾ ms<sldjla ùu ksid th jvd;a blauKska md,kh lr.ksñka iqj lr .ekSug we;s jeä wjia:dj ksihs' fuh 2009 jd¾;dj weiqf¾o meyeos,s lr.; yel' mshhqre ms<sld uq,a wjia:dfõ" tkï stage I fyda II woshr j, frda.Ska ixLHdj iuia; ms<sld frda.Skaf.ka ishhg 63'7la fjhs' mshhqre ms<sld iïnkaOfhka ;s;a; we;a; jkafka th wdl%uKsl ms<sldjla njhs' m%;sldrhla fkd,enqfKd;a th me;sr f.dia úkdYhla we;s lsÍu fkdje<elaúh yels ldrKhls'

December 2020

DOCTOR MAGAZINE

D•Magazine /

Women’s Health mshhqre ms<sld

iajhx mshhqre mÍlaIdj fujka wjodkula iys; mshhqre ms<sldfjka wdrlaId ùug .; hq;= l%shdud¾.h jkafka l,afõ,d we;sj ms<sld wjodku ye|skSuhs' fuys ir<u yd jvd jeo.;au fuj<u jkafka zziajhx mshhqre mÍlaIdjZZ( Self breast examination) h' jeäúh m;a ùfuka miq iEu uilgu jrla ;ukaf.a mshhqre yd lsys,s m%foaYh ;ukaf.au mrSlaIdjg ,la lsÍu hkqfjka ye|skafjhs' fï iïnkaOfhka we;s lr.kakd oeKQu oeka mshhqre zzms<sn|j oeKQj;aùuZZ ‘Breast Awareness’ hkqfjkao fjkia wdldrhlska yªkajk w;r fuh isÿ lrk wdldrh b;d ir<j udOH úiska úia;r lr olajhs' fï mÍlaIKfhaoS mshhqre ms<sld njg m;aúh yels iel iys; ia:dk y÷kd.ekSug wjia:djla ie,fia' jhiska flfuka uqyql=rd h;au''' fjfiiskau jhi

December 2020

idhksl mshhqre mÍlaIKh • mjqf,a frda. b;sydih úuiSu • mshhqre mshú wefika ksÍlaIKh lsÍu • iam¾Y lrñka mshhqre hq.," lsys,s fol hg yd f.f,ys uq, ksÍlaIKh lsÍu • iajhx mshhqre mÍlaIdj ksjerosj isÿ lrk wdldrh" fjfiiskau w;g yiqjk .eg úuik wdldrh .ek weh oeKQj;a lsÍu

wjq' 35 bl=;a jQ miqj ldka;djlg mshhqre ms<sld we;s ùfï wjodku by< hhs' fï mÍlaIdfõoSu mshhqre wdY%s; ifuys we;sjk fjkialï" ;kmqvqfõ we;sjk >%djh .e,Sï" j, .eiSï yd lsys,s wdY%s;j we;s úh yels .eg wdosh fjf;d;a th ksÍlaIKh fjhs' wo ojfia rch úiska iqj kdß idhk mj;ajk w;r fuysoS mshhqre mÍlaIdjla fi!LH ld¾h uKAv, weiqf¾ lr .ekSugo Tng wjia:dj ie,fia' idhksl mshhqre mÍlaIdj ffjoHjrfhl= fyda mqyqKQ fi!LH ld¾h uKAv, idudcslfhl= úiska isÿ lrk mshhqre mÍlaIdjla u.skao Tfí mshhqre wdY%s; iel iys; fjkialï mÍlaId lr.; yels jk w;r th idhksl mshhqre mÍlaIdjla ‘Clinical Breast Examination’ jYfhka ye|skafjhs'

mshhqre ms<sld l,afõ,d we;sj yªkdf.k wef.a cSú;h iqrlsuq' jhi wjqreÿ 18 isg iajhx mshhqre mÍlaIKh isÿ lr.kak' uefuda.%ï mÍlaIKhla jhi wjq' 40oS isÿ lr.kak'

DOCTOR MAGAZINE

wk;=rej tu mÍlaIKhg Ndckh jk wdldrh .ek Tfí ffjoHjrhdf.ka úuikak'

doctormagazine.lk

f,dal fi!LH ixúOdkh úiska fuu idhksl mshhqre mÍlaIdj wm jeks ixj¾Okh fjñka mj;akd rgj, ldka;djka yg uyÕ= fiajhla lrk mÍlaIdjla jYfhka yªkajd oS ;sfí' Wiia mshhqre mÍlaIK fuysoS lsishï ielhla u;= jQjfyd;a uefuda.%Eï mÍlaIKh jeks mÍlaIK i|yd frda.shd idhkhg fhduq lrKQ we;' uefuda.%Eï mÍlaIKh idudkHfhka isÿ lrkafka jhi wjQ' 40 bl=;a jQ ldka;djkagh' ;o iajNdjhla .kakd mshhqre iys;''' fjfiiskau ;reK ldka;djka yg fhda.H mshhqre mÍlaIdj jkafka MRI mÍlaIKhhs' iel iys; ia:dkhlska mgl idïm,hla f.k tu.ska nfhdmais mÍlaIKhla isÿ lsÍuo jeo.;a fõ' fuh isÿ lrkafka w,ag%dijqkaâ mÍlaIKhla (Ultrasound-guided biopsy) u.ska úuiñka Core biopsy needle fhdodf.k isÿ lrk mÍlaIKhla jYfhks' doctormagazine.lk

fuysoS ks¾úkaokhla hgf;a mÍlaIdj isÿ lrk ksid wehg fõokdjla oefkkafka ke;' isÿlrk uefuda.%Eï mÍlaIKfhaoS le,aishï we;s ia:dk we;=¿j iel iys; f;dr;=rla .ek bÕshla ,nd.;af;a kï th úksYAphg ,la lrkafka Vacuum Biopsy’ kï jQ ;dlaIKho fhdod .ksñks' fï mÍlaIKh w,ag%d ijqkaâ m%;sìïn fhdod .ksñka isÿ lrk w;r Y,H ffjoHjrhd úiska m%ia;=; mgl idïm,h ridhkd.drfha jeäÿr mÍlaIdj i|yd fhdod .kS' ngysr rgj, kï wjodkï jhia ldKAvfhaoS mshhqre ms<sld iïnkaOfhka ksYaÑ; ld, wka;r j,oS mÍlaIdjka isÿ lrhs' tfy;a wfma rfÜ tjka myiqlï rchg iemhSu ÿIAlr jk ksid idhksl mshhqre mÍlaIdj ta fjkqjg fhdod.kS' hï flfkla iïnkaOfhka jeäÿr mÍlaIK wjYH kï wehg th B<Õ uÜgfïoS frdayf,a Y,H$ms<sld idhkfhka isÿlr .; yels jkafkah' kuq;a wfma rfÜ fm!oa.,sl frday,a moaO;sfha fï myiqlï mj;akd w;r ;uka Bg leue;a;la olajkafka kï fyda jeä wjodkula we;s ldKAvhkg weh wh;a jkafka kï yd uqo,a yo,a we;akï fï wjia:dj wehg ,nd.; yel' Ductwork Hyperplasia (ADH), duct carcinoma in the situation (DCIS), lobular carcinoma in situ (LCIS) wdoS jYfhka m%fNaolrKhg ,lajkakg fmr kshñ; m%;sldr lrñka uq,a wjia:dfõ" wjodku wju lr .ekSug fï whg wjia:djla Wod jkq we;' DM fuu f,aLlhd uyr.u wfmalaId ms<sldh;kfha ms<sld Y,H úfYAI{ ffjoHjrfhl= jk w;r Speciality Board of Oncosurgery, Post Graduate Institute of Medicine, and the President of Sri Lanka Association of Surgical Oncologists hk wdh;khkayS uqLH ;k;=re orñka ffjoHjreka jeäÿr mqyqKQ lsÍfuys ;SrKd;aul ld¾h Ndrhlg Wr oS isà'

December 2020

DOCTOR MAGAZINE

D•Magazine /

Fertility ksis l, jhia j,oS wjdy újdy fjkak ore iïm;a ,nkak''' thhs fyd|u úosy'''

Modern medicine is already allowing women to have children far later in life than their ancestors, but how far can female fertility really be extended?

ksis l, jhia j,oS wjdy újdy fjkak

ore iïm;a ,nkak''' thhs fyd|u úosy''' újdyh m%udo fjkjd kï" ore iïm;a ,nkakg m%udo fjkjd kï Tfí wkd.; ud;D;ajh fjkqfjka idM,H;d ;dlaIKfha iydh ,nd .kak

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

December 2020

óg jir 3000lg muK fmr ñysmsg jdih l< kshekav;d,a udkjhd .eyekqka .eí.;a idudkH jhi wjq' 15ls' 1960 oYlfhaoS hka;ï jir 21la jk úg ldka;djka jeä jYfhka .eí.;a nj ixLHdf,aLK j,ska ;yjqre fjhs' wo ojfia ldka;djka jeä yßhla .eí .kafka jhi 30 wdikakfhaoSh' mßKdufha Trf,daiqj l%shd;aul jkafka fuf,ih' tkak tkaku ldka;djka .eí .kakd jhi uqyql=rd hhs' th ;j;a Tíng .sfhd;a we;s jkafka nrm;, jQ .eg¿ /ils' idM,H;djh fkdfyd;a orejka jeoSfï yelshdj jhi;a iu.u jeä jkafka ke;' we;a;gu lshkjd kï th jhi;a iu.ska nrm;, f,i wvq fjhs' ldka;djlg .eí .ekSug we;s fyd|u jhi úis .Kka j,oS yuqjk neõ idM,H;d m¾fhaIlhka fmkajd fohs' jhi wjq' 30 bl=;a ùu;a iu.u wehf.a orejka jeoSfï yelshdj l%ufhka wvq fjhs' jhi 35 bl=;aùfuka miq idM,H;djhg we;sjk n,mEu úYd,h'

DOCTOR MAGAZINE

doctormagazine.lk

m%dfhda.sl ;,fhaoS jhi wjq' 30 jkakg fmr ldka;djl tla Tima pl%hla ;=< .eí .ekSug we;s wjia:dj ishhg 20ls' th jhi wjq' 40oS kï ishhg 5la olajd wvq fjhs' b,lalï lshdmdk i;Hh orefjla Wmoskakg mshdf.ka ,efnkafka Y=l%dKQh' ì;a;rh ke;fyd;a äïnh ysñldßh wehhs' Y=l%dKQ oskm;d ksrka;rfhka w¿f;ka ksmofj;aoS äïn kï weh Wmosk úgu wef.a l=ifha Wreuhlaj mj;S' w¿f;ka Wmosk ì<s|shla äïn oi,laIhl ixÑ;hl Wreulaldßhla jkakSh' fuhska weh osfkl jeäúh m;ajk úg fYAI jkafka 300"000l muK äïn ixÑ;hls' wehg jhi wjq' 37la jk úg i;= jk uq¿ äïn m%udKh 25"000lg jeä fkdfõ' th 100la ;rï wvq w.hla njg m;a ùu isÿ jkafka wehf.a jhi wjq' 51la muK jk úgoSh' idudkHfhka ia;%shlf.a cSú; ld,h ;=< äïn 300-400l m%udKhla mßK;shg m;aj Tima ùfï l%shdj,shg odhl;ajh olajk w;r wfkla ish,a, iajdNdúlju laIh ùulg ,la fjhs'

wef.a ffcj Trf,daiqj oeßúhl jeä úhg m;ajkafka jhi wjq' 9-13 w;r ld,fhaoSh' kuq;a äïnfldaI il%Shj udisl Tima pl%h l%udKql+,j n,.ekafjkakg ;j;a jirl foll muK ld,hla .; fjhs' idudkHfhka jir 33la muK wejEfuka l%u l%ufhka wef.a Tima l%shdj,sh jeyefrkakg wdrïN fjhs' jhi wjqreÿ 51 muK wdikakfhaoS wd¾;jyrkh isÿjk w;r idudkHfhka Bg jir wglg muK fmrd;=j wef.a orejka jeoSfï yelshdjo

D•Magazine /

Fertility ksis l, jhia j,oS wjdy újdy fjkak ore iïm;a ,nkak''' thhs fyd|u úosy'''

fnfyúka ÿ¾j, fjhs' fï i;%shlf.a idM,H;d Trf,daiqj iajdNdúlj l%shd;aul jk wdldrhhs' ldka;djlg i;H jYfhkau weh i;= zzäïn ixÑ;hZZ (Ovarian reserve) yªkd .ekSug iydh jkafka AntiMullerian hormone (AMH) kue;s reêr fydafudak mÍlaIdjhs' wef.a äïnfldaI j, we;s wmßK; äïn mßK;shg ,la lsÍug Metamorphosis fï Anti-Mullerian hormone fydafudakh jeo.;a ld¾hNdrhla bgq lrhs' ldka;djlg Wreu jk äïn ixÑ;h ;SrKh lrkafka wef.a m%fõKshhs' tfy;a ore iïm;lg fya;=jk ksfrda.S äïnhlg wNsfhda. lrk ndysr idOlo /ila fjhs' úIldrl ridhkhkag" úlsrK j,g ksrdjrKh ùu" wd;;sh wdoS lreKQ u;o äïnhl .=Kd;auh msßfyk nj wo wms ilaiqola fia oksuq' ldka;djlf.a idM,H;djh wdrlaId lr .ekSfïoS tfyhska fï ish¿ ldrKd wmf.a wjOdkhg fhduq úh hq;a;ls' 62

December 2020

idM,H;d m%;sldr fukau YS;kh lrñka äïn ixrlaIKh lsÍug we;s yelshdj ksid wo ojfia fndfyda ldka;djkag jhia.; ù;a ore iïm;a ,nd .ekSug wjia:dj Wod ù we;' fkdje<elaúh yels fya;=jla u; ore iïm;a m%udo fjkjd kï äïn ixrlaIKh flfryS wjOdkh fhduq lrkak

j¾Kfoay.; wvqmdvq oreiïm;lg n,mdk whqre j¾Kfoay j, n,mEu Tn is;kjdg jvd idM<H;djhg odhl;ajhla olajhs' jhi wjq' úis .Kka j,oS ldka;djlf.a äïn ixÑ;fhka y;frka mx.=jl j¾Kfoay.; fodaI mej;sh yel' jhi wjq' 30-35 w;roS fuu fodaI iuia;h ishhg 40muK olajd by< hhs' bka miqj kï fï mßydksh isÿ jkafka B.il fõ.fhks' ta flfiao h;a uilg ishhg 0'5l fõ.fhka j¾Kfoay.; fodaI ks¾udKh fjhs' fï wkQj jhi y;,sia .Kka miq lrk ldka;djlf.a kï ta jk úg mj;akd j¾Kfoay ixÑ;fhka y;frka ;=klau fodaIiy.; tajdh' fï jhia ldKAvfha

ore iïm;g wys;lr f,i n,mdkafka ujf.a jhi muKlau fkdfõ' mshdf.a jhio ksfrda.S ore iïm;a flfryS ;SrKd;aul iïudoula olajk nj kQ;k m¾fhaIK j,ska fy<sorj ù ;sfí

DOCTOR MAGAZINE

doctormagazine.lk

.eí .;a;;a fndfyda wjia:dj,oS cSjhla tys fkdr|kakg fya;= jkafka fï ifodia j¾Kfoayhs' ta yereKQ úg fndfyda j¾Kfoay wvqmdvq u; ixfiapkhla isÿ jQj;a wêfrdamkh fjñka th l<,hla njg m;a jkafka ke;' tfukau .íid jk fndfyda l<,o j¾Kfoay.; wvqmdvqlï iys;h' uE;loS m¾fhaIlhka úiska wkdjrKh lr.;a ;j;a jeo.;a ldrKhla jkafka jhia.; ldka;djka yereKQ úg jhi wjq' 13-20 muK ld,h ;=< hqj;shkaf.ao jeä j¾Kfoay fodaI oel.; yels jk njhs' fï wkQj wef.a jhi;a idM,H;dj olajk j.=jl we;s jkafka N yevhls' uhsfgdfldkaä%hd fodaI j¾Kfoay yereKQ úg uhsfgdfldkaä%hd fodaIo idM,H;djhg wys;lr n,mEula tla lrhs' uhsfgdfldkaä%hd hkq wfma ffi, j,g n,h W;amdokh lrk n,d. drhhs' wOHhk j,g wkQj jhi wjq' 35 bl=;a jQ miqj wef.a äïn j,ska wvlu uhsfgdfldkaä%hd úlD;s;djhka olakg ,efnhs' id¾:l f,i l<,hla .¾NdIfha ia:dms; lrKQ msKsi Mitochondrial DNA msgm;a 40"000l muK ixÑ;hla wjYH fjhs' doctormagazine.lk

wehg ú;rla fkdfõ''' jhia.;ùu Tyqg;a ffcj úoHd;aul n,mEï we;s lrkjd jhi;a iu.u mßydkshg m;a jkafka ldka;d äïn muKlau fkdfõ' m¾fhaIK j,g wkQj jhi úis .Kka j,oS mqreIfhl=f.a Y=l%dKQ j, ;sfnk fi!LHiïmkak nj ;sia .Kka j,oS ke;' iEu j¾IhloSu Y=l%dKQ j, p,lh ùfï yelshdj ishhg 0'7lska my; jefgk nj m¾fhaIK j,ska fy<sorõ ù ;sfí' jhia.; msßñkaf.a Y=l%dKQ jeä jeäfhka úlD;ùï j,g ,lajk w;r ldka;djl ;u úlD; ùï ;u orejkag Wreu lr fokjdg jeä fõ.hlska msßñka th isÿ lrk njo fy<sorõ ù ;sfí'

ldka;djka yd mqreIhkaf.a idM,H;djh jhi;a iu. ySk jk wdldrh

IVF ;dlaIKfhaoS ixfiapkhg w;sYhskau fhda.H äïnh yªkd .ekSug fhda.H ;dlaIKh j¾Okh lsÍu m¾fhaIlhkaf.a ksn| wjOdkhg ,laj lreKls

idM<H;d lafIA;%h wkjr;fhka kj f;dr;=re ,nd fohs' tla wOHhkhlg wkQj (Andrea Jurisicova, an embryologist at the Lunenfeld-Tanenbaum Research Institute of Mount Sinai Hospital) äïnhla mef,damSh kd,hg uqod yßkakg fmr kj udihl ld,hla uq¿,af,a ksYaÑ; j¾Ok yd mßK;shg ,laùfï l%shdj,shla n,.ekafjhs' fï ld,h ;SrKd;aulh' hï fyhlska tu äïnh ixfiapkhlg m%ia;=; jkafka kï äïn fudapkhg fmr we;sjk ye, yemams,s äïnfha December 2020

DOCTOR MAGAZINE

D•Magazine /

Fertility ksis l, jhia j,oS wjdy újdy fjkak ore iïm;a ,nkak''' thhs fyd|u úosy'''

.=Kd;auhg n,mEï lrhs' .eìKshl jkakg wfmalaId lrkakshl Bg .;ska ys;ska fl;rï ms<sfh, úh hq;=oehs fï wOHhkfhka fmkajd fok i;Hhhs' jhia.;j .eìKshl ùu;a iu.u wehg;a Wmosk orejdg;a n,.ekafjk wjodkï ;;a;aj rdYshls' th .¾NsKS wjosfha;a" m%iQ;fha;a wNsfhda. we;s lrhs' wêreêr mSvkh" .¾NsKS oshjeähdj ksid wehf.a .¾NsKS;djh ixl+,;d iys; jkakg mq¿jk' jeoEufyka we;súh yels reêrjyk" isfiaßhka ie;alulg ,la lrkakg isÿùu weh bosßfha we;s wNsfhda.h' ta yefrkakg wvq jhfika orejd ìysùu" orejd W;am;a;s fodaI iys;j Wm; ,eîu we;sùfï wjodkuo by< hhs' orejdf.a mshdo jeä jhia flfkla kï Tyqo fï fkdfïre ore Wm;a" wvq nr ore Wm;a wjodkfï nr jeä lrhs' fï wm l;d lf<A iajdNdúl ;;a;ajhka ;=< úhm;aj orejka ,eîfïoS we;sjk m%dfhda.sl ;;a;ajhhs' úoHdj wo fndfyda úi÷ï j,g wjldY i,ihs' ol=Kq bkaoshdfõ úiQ trudÜá uka.ïud kï jhi wjq 74l ldka;djlg ore iqr;,a n,kakg;a" bkaoshdfõu W;=re fldfka o,acskao¾ ljq¾ kï jhi wjqreÿ 72l ldka;djl óg wjqreÿ ;=klg fmr wïud flfkla lrkakg;a idM<H;d ;dlaIKh wo iu;aj ;sfí' m%fõKsl ÿ¾j,;djhla hï fyhlska u;= jQjfyd;a Wmosk orejdg cSú; ld,Skj ÿla ú|skakg isÿfõo@ Tng ysf;kakg mq¿jk' tfy;a Pre-implantation genetic testing jeks Wmdh ud¾.hka Bgo úiªï imhhs' flfia fj;;a idM<H;djh kï jhi;a iu.ska ySk jk nj fkdieÕúh yels i;Hhls' fï ksid újdy úh hq;= jhfiaoS tu wjdy újdy isÿ lrf.k ore iïm;a ,nd .ekSu .ek Tn fojrla is;sh hq;=o fkdjkafkah' tfy;a wo wm fï l,a hjkafka w;sYh ixlS¾K iudc jqjuKd tmdlï we;s wjêhlh' wOHdmkh ksid" /lshd yd fjk;a ne|Sï ksid Tfí ore iïm;a isyskh m%udo fjkjd kï wkd.;h Wfoid ixrlaIK wjia:djlg fhduq jkak' wjia:dj" ;dlaIKh ;sìhoS tfia fkdlr miq;eú,s jkafka l=ugo@ DM

December 2020

DOCTOR MAGAZINE

ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx. uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï lafIA;f % ha m<mqreÿ wfma jD;a;h S iydh ,nd oSug wm b;d leue;af;ka isáuq' wmg l;d lrkak' fukak wfma wxlh

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

doctormagazine.lk

• • • • •

AD-MIRE Creative

• Intrauterine insemination • IN-VITRO FERILIZATION (IVF) • Pre-implantation genetic diagnosis (PGD/PGS) • Intracytoplasmic sperm injection (ICSI) • Microepididymat and testicular sperm aspiration (MESA AND TESA) • Embryo/sperm freezing (vitrofication) • Egg freezing (vitrofication) • Social freezing • Assisted hatching • Blastocyst Transfer • FROZEN EMBRYO TRANSFER (FET) • Embryo donation program • Egg donation program • Becoming an egg donor • Fertility preservation

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

D•Magazine /

Iron Deficiency Anaemia hlv W!K;djh ksid we;s fjk rla;ySk;djh

Iron Deficiency Anaemia

hlv W!K;djh ksid we;s fjk rla;ySk;djh rla; jHdêfõo úfYaI{ ffjoH úidld r;aku,, MBBS, D. Path, MD (Haematology) Consultant Haematologist

;e,iSñhdj" úgñka B W!K;djh iy fjk;a wegñÿ¿ wdY%s; ixl+,;do fya;= úh yelsh'

² hlv uOHu m%udK fyda wêl W!K;djhloS fya;=j mÍlaId lr Bg ms<shï fhoSu jeo.;a ² hqj;shka hlv idr wdydr jeä jYfhka .; hq;=hs ² uõlsß oSu ksido hlv m%udK wvq fjkakg yelshs' .eìKs uõjrekao hlv idr wdydr .ek jeä ie<ls,a,la olajkak ² .kakd wdydrhg foys" ;lald,s" f.drld jeks wdydr ñY% lsÍfuka hlv wjfYdaIKh jeä fjkjd

Y%S ,xldfõ hlv W!K;djh nyq,ju olakg ,efnkafka jhi 13-50 w;r ldka;djkag yd jhi udi 6 isg wjqreÿ 6 olajd <uhskagh' ldka;djkaf.a udisl Tima ùfï§ msgjk reêr m%udKhg iß,k hlv m%udKhla wdydr iuÕ fkd.ekSu óg fya;=fõ'

rla;ySk;djh fyda ksrla;sh hkq YÍrfha we;s r;= reêrdKq fyda ysfud.af,dìka m%udKh wvq ùuh' fuhg fndfyda fya;= we;;a nyq,ju olakg ,efnkafka hlv W!K;djhs'

orejkaf.a j¾Okh isÿjk ld,h ;=< hlv wjYH;djh wêlh'

wfma rfÜ isÿ lr we;s iólaIK j,g wkqj 2010 j¾Ifha§ hlv W!K;djh ishhg 34'9 la muK w.hla .kakd ,o nj y÷kdf.k ;sfí' tfiau udi 6-12 w;r <uhska f.ka ishhg 34 la hlv W!K;djfhka fmf<hs' ysfud.af,dìka (Hb) wvqùug 66

December 2020

DOCTOR MAGAZINE

YÍrhg wjYH hlv fkd,eîug fya;= ² .eyekq orejkaf.a Tima wjêfhaoS wêlj Tima reêrh msgùu fyda

doctormagazine.lk

jeä Èk .Kkla reêrh .e,Su hlv W!K;djhg m%Odk fya;=jls' ² w¾Yia fyj;a u<my iu. reêrh jykh ùu" isref¾ we;sjk ;=jd, fyda fjk;a wdidok uÕska reêrh jykh ùu fukau fldl= mKq frda.ho hlv W!K;djhg fya;= fjkjd

jeämqr we;s hlv u,my iuÕ msgùu ksid u,my l¨‍ mdgla .kS' fuh hlv .ekSfï§ we;sjk idudkH ;;a;ajhls'

² úúO Y,Hl¾u u.ska nvjef,a fldgia bj;a lsÍu ksid hlv wjfYdaIKhg ndOd we;súh yelsh' ² ks;r f;a yd fldams mdkh lsÍu u.ska hlv wjfYdaIKh wvq ùug yelshdj ;sfí' tho hlv W!K;djhg u. mdohs' ² mqoa.,hkaf.a wkkH jQ wdydr rgdjka ksido YÍrhg wjYH muKg hlv fkd,eî hdug yelshdj ;sfí fld<U yd ta wjg m%foaYj, fjfik whf.a hlv W!K;djh wvqjk w;r uOHu yd inr.uq m<df;a hlv W!K;djhka idfmalaIj nyq,h'

doctormagazine.lk

YÍrh wjYH hlv m%udKh yd tajd ,nd .; yels wkaou idudkHfhka ldka;djlg Èklg hlv ñ,s .%Eï follao ( 2mg) msßñ mqoa.,fhl=g hlv ñ,s .%Eï tllao ( 1mg) Èkm;d wjYH fjhs'

December 2020

DOCTOR MAGAZINE

D•Magazine /

Iron Deficiency Anaemia hlv W!K;djh ksid we;s fjk rla;ySk;djh

fuh wm .kakd wdydr j,ska b;d myiqfjka YÍrhg wjfYdaIKh fjhs' uia yd ud¿ j, we;s ySï wdldrfha hlv b;d myiqfjkau wdydr ud¾.fhka (Duodenum and Upper Jejunum) u.ska wjfYdaIKh fjhs' r;= uia yd ud¿ j, hlv nyq,h' wfkl=;a uia yd ud¿ j¾.o hlv we;s wdydr fia ie<fla' ksú;s jeks fld< j¾. j, hlv fndfyda we;;a tajd wjfYdaIKh lsÍfï§ wdydr ud¾.fha we;s ffi, ì;a;sfha we;s tkaihsuhla u.ska Fe3+ , Fe2+ f,i fjkia lrkq ,nhs' fuu m%;sl%shdj wï, u.ska fõ.j;a lrhs' tuksid fld< j¾. iu. foys" ;lald,s" f.drld jeks wdydr ñY% lsÍfuka wjfYdaIKh myiq fjhs' OdkH j¾." fn%dl,s jeks t<j¿ j,o hlv wvx.=h' jhi msßñ > 15 wjqreÿ .eyekq > 15 wjqreÿ .¾NKs uõjreka <uqka wjqreÿ 5-6 <uqka wjqreÿ 5-11 <uqka wjqreÿ 12-14

;sìh hq;= Hb w.h g/dl > 13 > 12 > 11 > 11 > 11'5 > 12

iq¿ hlv W!K;djh g/dl 11-12'9 11-11'9 10-10'9 10-10'9 11-11'4 11-11'9

hlv W!K;djh ksid we;sjk frda. ,laIK ² wêl uykaish" hï fohla foi ksis fia is; fhduq lsÍug wmyiq ùu" fkdreiakd nj" ;ry hdu" wêl yDo iamkaokh" yqiau .ekSu wmyiq ùu" lEu wreÑh hlv W!K;djfha § oelsh yel' ² ysiflia .e,ù hdu" ksÈu; njo" iy,a lEu jeks ,laIKo hlv W!K;djh ksid we;euqkag we;s fjhs' ² hï hï l%shdldrlï j,§ miqnEu" .Kka iE§u ÿ¾j, ùu yd YÍrfha j¾Okh wvq ùu fukau ks;r December 2020

DOCTOR MAGAZINE

f,dal fi!LH ixúOdkhg wkql+,j jhig .e<fmk ysfud.af,dìka m%udKhka my; mßÈh'

uOHu hlv W!K;djh g/dl 8-10'9 8-10'9 7-9'9 7-9'9 8-10'9 8-10'9

fuu igyk www.thelancet.com Haematology Vol.5, February 2018 fj;ska Wmqgd .kakd ,§'

fj<|fmdf<a we;s fndfyda lsß j¾." fndfyda OdkHuh wdydr j¾. j, hlv wvx.=h' hlv yd le,aishï hk f,day folu tlúg .kakd úg wjfYdaIKh i|yd ;r.ldß njla we;sfõ' hlv W!K;djh uo jYfhka" uOHu jYfhka fyda wêl f,i flfkl=g we;s úh yel'

wêl hlv W!K;djh g/dl <8 <8 <7 <7 <8 <8

ks;r ffjri iy nelaàßhd wdidokhg f.dÿre ùu hlv W!K;djfhaoS oelsh yelshs' ² .¾NKS uõjrekaf.a hlv W!K;djh ksid l<,hg yd ujg n,mEï we;sfõ' l<,h j¾Okh wvqùu fukau l<,h ñh hdu mjd fï ksid isÿúh yel'

doctormagazine.lk

² .eyekq msßñ fomd¾Yjhgu fmdÿ nvje,aj, reêrh jykh ùu tkafvdiafldms mÍlaIKhla u.ska fyda u<my iuÕ reêrh msgùu mßlaId lsÍfuka y÷kd.; yelsh' ² tfiau úfYaI frda. ;;a;aj ke;s úg wdydr .ek jeä ie,ls,a,la oelaúh hq;=h' .¾NsKS wjia:dfõoS hlv W!K;djh we;s jQ úg YÍrhg fjfyilr njla fukau ÿ¾j, njlao we;s úh yel

² ujg rla;ySk;djh we;s úg ore m%iQ;sfha§ reêr jykh ùu ksid ixl+,;d j,g uqyqK §ug we;eï úg isÿfõ' ² orejd Wm;ska miq hlv W!K;djg f.dÿre úh yel' uj lsß fok wjêfha kej;;a ujg hlv W!K;djhla we;s úh yelafla ujqlsß iuÕ hlv fyd¢ka >%djh jk neúks ' ² t<lsß j,g jvd uõlsß j, hlv iq,nh' ta ksid uõlsß w.fkah' hlv W!K;djfhaoS isÿ lrk ridhkd.dr mÍlaIK frda. ks¾Kh i,ld ne,Sfï§ fndfyda úg Tfí ffjoHjrhd úiska FBChk uQ,sl reêr mÍlaIKh isÿ lrk úg ysfud.af,dìka m%udKh wvq nj y÷kd.; yelsh' fuys§ hlv W!K;djh ;yjqre lsÍu i|yd hlv ;;a;ajh yd reêrh wkaùlaIh u.ska mßlaId lsÍu i|yd Blood Picture mÍlaIdj jeo.;a jkafkah' hlv W!K;djh we;s ùug fya;= fidhd ne,Su Bg wu;rj hlv W!K;djh we;s ùug fya;=j fidhd ne,Su w;HjYH ldrKhls' ² ia;%shlf.a kï .¾NdIh frda.S ;;a;ajhka mßlaId l< hq;=h' doctormagazine.lk

uOHu fyda wêl f,i hlv W!K;djh we;s úg wdydrfhka muKla th h:d ;;a;ajhg m;a l< fkdyel' ta i|yd wksjd¾fhkau hlv fm;s fyda lr,a ffjoHjrhd úiska ,ndfokq we;' hlv W!K;djhg lrk m%;sldr yd frda. iudf,dapkh reêr mdrú,kh lrKqfha wêl rla;ySk;djh ksid YÍrfha fyda yDofha wdndO we;sùfï m%jK;djh mj;akd úg§h' hlv bkafclaIka jYfhkao ,nd Èh yels uq;a fm;s yd lr,a §¾> ld,hla Ndú;fhka ysfud.af,dìka m%udKh h:d ;;a;ajhg m;alr .; yel'

December 2020

DOCTOR MAGAZINE

D•Magazine /

Iron Deficiency Anaemia hlv W!K;djh ksid we;s fjk rla;ySk;djh

fi!LHiïmkak flfkl=f.a yd ksrla;sh we;s flfkl=f.a reêr idïm,hl wkaùlaISh m%;sìïnhla

kej; ysfud.af,dìka m%udKh mÍlaId lsÍfuka frda. ;;a;ajh iukh ù we;aoehs ks¾Kh lsÍug ffjoHjrhdg yels fõ'

December 2020

hlv W!K;djh je<elaùu i|yd iunr wdydr fõ,la .; hq;= w;r reêrh jykh ùula ;sfí kï ta i|yd ksis m%;sldr .ekSu;a jeo.;ah' l=vd <uqkaf.a yd .¾NKS uõjrekaf.a wdydr .ek ie,ls,su;a ùu u.ska ksrla;sh yd hlv W!K;djh j<lajd.; yelshs' DM

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

BEST WAYS TO CLEAN EYEGLASSES CORRECTLY

Tfí fk;= iÕ, fï úosyg msßisÿ lr.kak

uq,skau Tfí oE;a fyd|ska inka .d fidaod.kak' bka miqj fiao oE;a fyd|ska úh<d.kak

we,a uereKQ .,d hk c,hg Tfí lKAkdäh w,a,kak' WKQiqï c,hg lKakdäh we,a,Sfuka ldpfha wdjrKh ydks ùug bv ;sfí'

äIAfjdIA b;d iaj,amhla ldph u;g m;s; lrkak

oeka th lkakdä mDIAGh u; msßisÿ fjkakg i,iajd kej;;a .,d hk c,hg w,a,kak

ldpfha fome;a;u yd lKAkdä rduqjo c,fhka uekúka msßisÿ lr.kak

c,h bj;a jk fia fid,jkak' th fyd|ska msßisÿj we;aoehs úuikak

uhsfl%d*hsn¾ fros lene,a,lska ùÿrej msßisÿ lrkak' tajd lKakdäh iu. ksIAmdolhkaf.ka iemfha

bka miqj kej;;a ldp ksÍlaIKh lrkak' lsishï me,a,ula fõ kï th fros lene,af,ka bj;a lrkak

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

D•Magazine /

Appreciation m;, ohd lreKd .=Kh ksid ffjoH wdpd¾h ;rx.d f;darfoksh ,o ;Hd.h

Dr. Tharanga Thoradeniya Awarded 2020 Global Animal Welfare Award m;, ohd lreKd .=Kh ksid

ffjoH wdpd¾h ;rx.d f;darfoksh ,o ;Hd.h 2020 f.da,Sh i;a;aj iqNidOk nqyqufkka msÿï ,oaoS wehhs''' m¾fhaIK j,g .kakd i;=ka fjkqfjka y`vla ke.= mY= ffjoHjßhf.a cSjk u. mshigyka''' Ndr; .=K;s,l úisks f,dalh ñksiqka jk wmg muKla wh;a jk nQo,hla fkdfõ''' tfy;a i;a;ajhka mrhd hk ñksiqka jk wm oeka fï f,dalfha ish¿u fï nqi;=oaêkfhka a wkilg f.k wjidkh' iqr;,hg we;slrk iqkLhd isg i;a;aj WoHdkfha fldgq lr.;a isxyhd" jHd.%hd" Ñïmkaishd''' l=re,a,d" Wr.hd u;= fkdj''' le,Efõ ioaoka;hdgo wo Wka ysá ;eka jdiN+ñ wysñj ;sfí' ta uosjdg wmg fnfy;a fydhkakg idhksl mÍlaIK i|yd n,y;aldrfhka i;=ka fhdod .ksuq' wjkvqfõ" meñKs,a,g lshkakg fndfyda lreKQ ;sfí''' tfy;a meñKs,a,o" ú;a;sho" kvqldrhdo wmu jk fyhska jeg;a" kshr;a f.dhï ld kï ldg lshño ta wudrej''''

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

ffjoH ;rx.d f;darfoksh, mY= ffjoH ix.ufha iNdm;sks ffjoH ksrkac,d o is,ajd fj;ska WVA Global Welfare Award 2020 nqyquk ,nd.;a wjia:dj

fld<T úYAj úoHd,hSh ffjoH mSGfha m¾fhaIsldjl jk mY= ffjoH" wdpd¾h ;rx.d f;darfoksh i;a;aj iqNidOkh iïnkaOfhka lemùfuka l%shdlrk" Wka cSú; j, jákdlu .ek kEiQ lkaj ys|sk f,dalhg wefikakg" oefkkakg y`vla k.k wfma ld,fha ùrjßhls' weh f,dalhg wefikakg lE fudr fokakshla fkdù b,hg" kdähg bj w,a,d l< igk ;SrKd;aul ikaêia:dkhlg meñK ;sfí' iycfhka ish,a i; flfryS meje;S lreKd" ohd .=Kh ;uka m%;sldr lrk isõmdjdg" yqr;,dg muKla iSud fkdlrñka nqoaêhg f.dapr jk fia weh ke.+ y`v ufyda>hlaj l< t<s nisk oskh Wod ù ;sfí''' f,dal mY= ffjoH ixúOdkh World Veterinary Association (WVA), Ceva Santé Animale (Ceva) iu. taldnoaOj mj;ajk f.da,Sh i;a;aj iqNidOk nqyquKska fï jif¾oS msÿï ,enqfha ffjoH ;rx.d f;darfoksh uy;añhhs' iEu j¾IhloSu i;a;aj iqNidOkh fjkqfjka lemjQ mqoa.,hka yd wdh;k yªkdf.k fï nqyquk jd¾Islj msfohs' weh m¾fhaIsldjls' m¾fhaIK i|yd i;=ka fhdod .ekSu weh ksrka;rfhka olsk isÿùuls' tysoS wik olsk foa weh fk;Õg lª¿ ì|la tl;= l<d jkakgo neß lula ke;'

doctormagazine.lk

ZZwms if;la isr.; l<;a ta i;=kaf.a iajdNdúl p¾hdjka" fN!;fõoSh wjYH;djhka yels Wmßu wdldrfhka ilia lr fokakg ´ks' th wfma m¾fhaIK lghq;= id¾:l lr.kakg;a bjy,a jk ldrKhla' ta;a i;=ka m¾fhaIK i|yd .kakjd kï th l< hq;af;a fjk;a úl,amhla ke;su kï muKhs' mq¿jkalula ;sfhkjd kï m¾fhaIK j,oS úl,am j,g hk tlhs jvd;a iqÿiq' ta;a ta .kakjd kï .; hq;af;a;a wjYH wju i;=ka .Kk ú;rhs' fõokdjla ta i;dg we;s lrkj kï ta wju fõokdjla fjkak ´ks'''ZZ

December 2020

DOCTOR MAGAZINE

D•Magazine /

Appreciation

m;, ohd lreKd .=Kh ksid ffjoH wdpd¾h ;rx.d f;darfoksh ,o ;Hd.h

fï wdldrfhka w¿;a úosyg Wka cSú; j, jákdlu" .=Kd;aulNdjh .ek is;k weh ienúkau m¾fhaIK f,dalfha Wvq.x n,d msyskkakshls' -ffjoH" wdpd¾h ;rx.d f;darfoksh zztla iqNidOkhla'''ZZ fï weh osj u;=rla fia iqrlsk wdo¾Yhls' Tng tys wre; jegfyao@ zzñksiaiqkag ú;rla fjk hym; fudllao@ hï hym;la fjkj kï wehs ñksia l=,hg ú;rla'''@ th ksielfhkau ñksia wmo wh;a jk iuia; i;a;aj f,dalhu ,nk ch.%yKhla úh hq;=hs'ZZ l%s'mQ' 580-500 ld,fha cSj;a jQ .Ks;{fhla yd od¾YKslfhl= jQ mhs;.ria fufia lSfõh' zi;=kag;a f.!rj lrkak mqreÿ fjkak''' ukao@ ukqIH yd ukqIH fkdjk wd;au ukqIHhdf. ka i;a;ajhdg;a i;a;ajhdf.ka ukqIHhdg;a fjkia úh yels neúks'''ZZ

December 2020

;;a nqyquk iïnkaOfhka woyia olajk ffjoH f;darfoksh m%ldY lrkafka i;a;aj iqNidOkh fjkqfjka lemjqKQ ck;dj talrdYS lr.ksñka i;a;aj iqNidOkh i|yd jQ fmdÿ fõosldjla ieliSu ;u wNsm%dh nj;a ta fjkqfjka fï jk úg;a lghq;= wdrïN lr we;s nj;a m%ldY l<dh' "Respect for animals, and believed that human and non-human spirits could be reborn from man to animal, and vice versa." Steiner ( 2005,), p. 47; Taylor ( 2009 ), p. 37. fï jk úg ffjoH ;rx.d f;darfoksh i;a;ajhka m¾fhaIK i|yd fhdod .ekSfïoS mej;sh hq;= wdpdrO¾u yd i;a;aj iqNidOkh fjkqfjka úúO úoaj;a lKavdhï iu. b;d M<odhS jQ l;sldj;l fhfoñka isà' jD;a;Sfhka mY= ffjoHjrshl jk ;rx.d f;darfoksh iajlSh mYapd;a Wmdêhg f;dard.;af;a udkj fmdaIKh yd ffcj ridhkhhs' wef.a mY= ffjoH úoHdj wdY%s; mßph yd iqÿiqlï fya;=fjka fld<U úYAj úoHd,Sh i;a;ajhka wdY%s; idrO¾u iudf,dapk lñgqjg Animal Ethics Review Committee PCR fukau Y%S ,xld ridhkd.dr i;a;aj úoHd ix.uhgo weh iïnkaO lr.kakd ,oS' ;;a nqyquk iïnkaOfhka woyia olajk ffjoH f;darfoksh m%ldY lrkafka i;a;aj iqNidOkh fjkqfjka lemjqKQ ck;dj talrdYS lr.ksñka i;a;aj iqNidOkh i|yd jQ fmdÿ fõosldjla ieliSu ;u wNsm%dh nj;a ta fjkqfjka fï jk úg;a lghq;= wdrïN lr we;s nj;a m%ldY l<dh' fï W;a;=x. wruqK idOkh fjkqfjka oeKQu yqjudre lr.kakg" iïm;a fnod yod.kakg fukau kfjda;amdol woyia ;=<ska i;a;aj iqNidOkh jvd;a hym;a woshrlg f.k tkakg w;aje,a ne|.kakd f,i m¾fhaIlhka" úoaj;=ka yd ;=reKQ iudc lKAvdhï we;=¿j ish¿ md¾Yaj j,g weh wdrdOkd lrkakSh' DM

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

Snake Bite khd ldms''' fudlo lrkafk@

EMERGENCY TREATMENT OF A

SNAKE BITE

khd ldms''' fudlo lrkafk@ kfhla oIaG lsrSu we;eï úg cSú;fhka mjd jkaos f.ùug isÿjk wlr;eínhls' fuysoS cSú;h fírd .ekSug kï l< hq;af;a jydu frda.shd frday,a.; lr kshñ; m%;sldr ie,iSuhs' khl=f.a oIaGkhloS we;sjk frda. ,laIK mqoa.,hdf.a mqoa.,hdg fjkia fjhs' oIaG lsÍu fl;rï fõ.fhka isÿjkakla oehs lsjfyd;a zzl=ulao jqfKA@ZZ ys;kakg j;a oekSula" fj,djla b;sß jkafka ke;' o< foll i<l=Kla kfhla oIAG lsrSfïoS yªkd .ekSug yels fjhs'

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

D•Magazine /

Snake Bite khd ldms''' fudlo lrkafk@

frda.shd m%jdykfhaoS we,hg fkd;nd WvqQ w;g ;nd .ekSfuka jdhqu. wjysr ùu yd jukh isrùu ksid" W.=f¾ fmaYs wl¾ukH ùu ksid frda.shd ñh hk wjia:d fndfyda ;sfnk nj f,dal fi!LH ixúOdkh fmkajd fohs'

December 2020

kfhla oIAG l< úg my; frda. ,laIK we;súh yel • msÉfpk fõokdjla • bosóula-fuu bosuqu fõ.fhka me;sr hk fihlao olakg ,efí' • lrleú,a,;a" .s,skakg wmyiq ùu;a" yqiau .ekSug wmyiq ùu;a ;jÿrg;a frda.shdg we;s úh yel' i¾m oIaGkhloS l< hq;= oE • uq,skau l< hq;af;a wdmodjg m;a jQ ia:dkfhka frda.shd jyd bj;a lr .ekSuhs' • o< myr lE ia:dkfha ysrg we;s weªï" uqÿ jeks fjk;a foa fjf;d;a tajd bj;a lrkak • ìhg m;a frda.shdg úYAjdikShla we;s lrkak' ^fndfyda i¾m oIaGk úI iys; fkdjk nj;a jyd frday,a.; lsrSfuka cSú; wjodkula fõ kï th ke;s lr.; yels nj;a Tyqg ta;a;= .kajkak • wod, ia:dkh iys; ll=, m;=rlska fyda .eg .id fkdfi,afjk fia ;nd.kak'&

DOCTOR MAGAZINE

doctormagazine.lk

• iSrejg frda.shd jdykhl ;nd .kak • frda.shdg jukh we;súh yel' jï we,hg frda.shd ;nd.kak • frday,g f.k hk w;f¾ Yajikh jdhqu. ksÍlaIKh lrkak (WHO Guidelines)

i¾mfhla oIaG l< úg l< hq;= foa fi,úh fkdyels jk fia m;=rla ;nd n|skak

o< myr we;s ia:dkh j;=r$ inka fhdod fidaokak

m%;súI$msg.eiau tkak;a yosis m%;sldr l< yels frday,la fj; frda.shd jydu f.khkak

doctormagazine.lk

jeo.;a frda.shd m%jdykfhaoS we,hg fkd;nd WvqQ w;g ;nd .ekSfuka jdhqu. wjysr ùu yd jukh isrùu ksid" W.=f¾ fmaYs wl¾ukH ùu ksid frda.shd ñh hk wjia:d fndfyda ;sfnk nj f,dal fi!LH ixúOdkh fmkajd fohs' frdayf,aoS m%;súI m%;sldr ie,fik w;r ic,kh mj;ajd .ekSuo" frda.shd ióm wëlaIKhg k;= lsÍuo isÿfõ' m%;súI T!IO l,afõ,d we;sj ,ndoSfuka khs úfIys we;s úh yels l%shdldß;ajho wvmK fjhs' fuhska mgl úkdY ùuo k;r fjhs' DM

December 2020

DOCTOR MAGAZINE

D•Magazine /

Messege to the parents udl÷f¾ uOqIa,d ìys fkdjkakg'''

Messege to the parents

udl÷f¾ uOqIa,d ìys fkdjkakg''' orejka .ek uõmshka fï úosyg wjOdkfhka isákak <ud iy fhdjqka uki ms<sn| úfYaI{ ffjoH ñhqre pkaøodi

December 2020

DOCTOR MAGAZINE

udl÷f¾ uOqIa ñh .sfhahæ Tyqo ukqIHfhls' kuq;a kej; uOqIa jekakjqka ìys fkdùug kïæ wo <uqka" fyg Èk wmrdOlrejka" iydislhska fkdùug wm l< hq;af;a l=ulao@ iudc úfrdaë l%shd ^Antisocial Behaviour& kï" iudc iïu; iy iudc Í;s ì| ouñka wfkla whg ysßyer jk f,i lghq;= lsÍuhs' fuys uQ,sl ufkda ffjoH úoHd;aul ,laIKh jkafka wfkla whf.a yeÕSï j,g ixfõ§ fkdùu" tkï iylïmkh ^empathy& ke;s ùuh'

doctormagazine.lk

mK kjeks Tfí orejka iudchg jevodhS .=K .rel mqoa.,hka jkjd oelSu Tfí me;=u kï ta me;=u h:d¾:hla lr .ekSug my; ldrKd .ek fjfiiskau ie<ls<Su;a fjkak' 1& <uqka wdY%h lrk ñ;=rka oek y÷kd.ekSu" fi,a,ï lrk" irex.,a wßk iy mka;s hk i.hka kï jYfhka oekf.k Tjqkaf.a fm!reI;ajh yeoeÍu ^parental monitoring& 2& <uqkaf.a yeisÍfï iq¿ fjkialï oek.ekSu iy fya;= fidhdne,Su ^Behavioural deviations& 3& <uqkag fyda <uqka bÈßfha§ YdÍßlj" jdÑlj fyda yeÕSï u.ska m%pKav fkdùu ^Observational learning& bjiSu iy iudj §u .ek l%shdfjka wdo¾Yu;a ùu 4& <uqka wi, isák úg u;ameka iy u;aøjH Ndú;d fkdlsÍu iy tu mqreÿ w.h fkdlsÍu ^Substance use and modelling& 5& <uqkaf.a iq¿ jerÈ j,g iudj §u" jeä jerÈ j,È m%pKav fkdù ^Hostility&" Tjqkaf.a jrm%ido hï ld,hlg bj;a lsÍu 6& m%pKav l%shd olajkakjqka ùr;ajfhka ie,lSu je<elaùu" WodyrKhla f,i ˜‍W! kï udr msßñfhla" ldgj;a nh kE" fokafkl=g jqK;a jefgkak .yhs" lfÜ ioafoa n,mkaflda˜‍ ^Toxic musculinity&

doctormagazine.lk

7& <uqka úys¿jg fyda m%;slafIam fkdlsÍu" WodyrK jYfhka ˜‍ug kï oeka we;sfj,d" uu hkjd Thdj od,d˜‍ ˜‍fï mka;sh ;uhs uu W.kakmq crdu mka;sh˜‍ Êmotional rejection& 8& ujf.a úIdoh ^Maternal depression& l,ska y÷kd .ekSu iy ufkdaffjoH m%;sldr Âdult psychiatrist& ,nd.ekSu" ujf.a yeÕSï wjfndaOh Êmotional awareness& <ud ixj¾Okhg b;d jeo.;ah 9& wi,ajdiSka iu. iqyoj lghq;= lsÍu iy wdrlaIdldÍ mßirhla Ôj;a ùug f;dard.ekSu ^Community violence& 10& mshd orejkaf.a lghq;= j,g oeä f,i odhlùu iy orejkag ióm ùu DM

December 2020

DOCTOR MAGAZINE

D•Magazine /

World AIDS Day 2020 wfma rfÜ taâia frda.Skaf.a jeäùula

World AIDS Day 2020-December, 1 Ending the HIV/AIDS Epidemic: Resilience and Impact

wfma rfÜ taâia frda.Skaf.a jeäùula úfYaIfhkau jhi wjq' 19-25 w;r fh!jkhka jeä jYfhka HIV wdidos;hka njg m;aùu ne?reï ldrKhla''' woyia oelaùu tÉwhsù$taâia md,k jevigyfka wOHlaIsld úfYAI{ ffjoH ridxc,S fyÜáwdrÉÑ

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

zzmiq.sh jir lsysmhl ld,h ;=< wfma rfÜ taâia frda.Skaf.a úYd, wvqùula wm wfmalaId l<d' ta;a ta fjkqjg isÿ jqfKA ;rula jeäfhka taâia frda.Ska jd¾;d ùu' úfYAIfhkau wfma kj ckau wjosh .; lrk .egjrhka w;ßka jeäfhka taâia frda.Ska yuqùu wfma yo m%lïmkhg m;a lrjk isÿùula'''ZZ tÉwhsù$taâia md,k jevigyfka wOHlaIsld úfYAI{ ffjoH ridxc,S fyÜáwdrÉÑ fï iïnkaOfhka jeäÿrg;a lreKQ oelqjQ ffjoH fyÜáwdrÉÑ fufiao woyia oelajQjdh' zzfï ksid fjfiiskau" ;=reKQ mrïmdj fï ,sx.dY%s; frda. j,ska uqojd .ekSfï úfYAI jevigykla n,.ekaùu iïnkaOfhka HIV/ AIDS ,sx.dY%s; frda. jevigyk l%shd lrk njo tys mshjrla jYfhka mjq,a ixúOdk ix.uh" mjq,a fi!LH ld¾hdxYh yd wOHdmk wud;HxYh yd taldnoaOj 10 fY%aKsfhka by<g meie,a orejka i|yd fhda.H jevigykla l%shd;aul lsÍug lghq;= lrkjd'ZZ doctormagazine.lk

iudc.;j isák yªkd fkd.;a taâia frda.Ska ;j;a .eg¿jla wfma rfÜ jhi wjq' 15g jeä taâia frda.Ska 3"600la muK isák nj jd¾;d jQj;a fï jk f;la taâia u¾Ok jevigyfkys ,shdmosxÑh ,nd isákafka 2"000l msßila muKs' fï wkQj 1"600l muK m%udKhla yªkd fkdf.k iudcfha isák w;r fï whf.ka iuyrla fokd wvq ;rfï ;ukag ffjrih wdidokh jQ nj j;a ;uka fyda fkdokakd wh úh yels nj ,sx.dY%s; u¾Ok tallh m%ldY lr isáhs' ielhla ;sfí kï wm ú;a mÍlaIdjla lr.kak''' th Tfí fm!oa.,sl;ajh iq/flk fia iwÿ lrkak wm iQodkï''' fï wkQj iel iys; ,sx.sl p¾hdjka j, kshe¿K ldKav isà kï rcfha ,sx.dY%s; u¾Ok idhkhlg meñK reêr mÍlaIKhlg Ndckh jk f,i ,sx.dY%s; u¾Ok jevigyfkys wOHlaI ffjoH ridxc,S fyÜáwdrÉÑ uy;añh b,a,d isáhs' rcfha ,sx.dY%s; idhkhlg meñfKk ljr fyda flfkl=f.a fm!oa.,sl;ajh yd ryiHNdjh w;sYhska iq/flk jgdmsgdjla ks¾udKh ù ;sfnk njo fï wkQj lsisfjl= m%;sldr i|yd bosßm;a ùug ìhg" pls;hlg m;a fkdúh hq;= njo weh jeäÿrg;a m%ldY lr isáhdh' taâia j,g ;sfhk Rapid HIV antibody test jvd blauKska frda.Ska yªkd.ekSug WmldÍ jk Rapid HIV antibody test oeka wfma rfÜ ,sx.dY%s; idhkj,oS l%shd;aulhs' fï u.ska úkdä 30la jeks flá ld,hloS frda.shd yªkd.ekSug wjia:dj ie,fia' 2018 j¾IfhaoS fuu kj frda.Ska yªkd.kakd mÍlaIdj fï rgg yªkajd ÿka w;r thska miq frda.Ska yªkd.ekSfuys úYd, oshqKQjla we;s úh' 2019 j¾Ih jk úg kso¾Yl ksheos 3000lg jeä ixLHdjla mÍlaIdjg ,la lrk ,oS' 2019 j¾IfhaoS w¿;ska wdidos;hka 439la yªkd.kakd ,o w;r bka 409 fofklau m%;sldr i|yd idhk j, ,shdmosxÑ lr.kakd ,oS' 341la fokd i|yd m%;sffjri

December 2020

DOCTOR MAGAZINE

D•Magazine /

World AIDS Day 2020 wfma rfÜ taâia frda.Skaf.a jeäùula

fï wdldr j,ska taâia frda.h we;s lrk HIV ffjrih ;j flfkl=g fnda fkdfõ

m%;sldr (ART) Trans Gender wdrïN lrk ,o w;r fï whf.ka ishhg 80la fokd mqreIhkah' fofofkla fjkia jQ ,sx.sl;ajh wjêhl isá w;r b;sßh ldka;djka fõ' frda.Skag msysg jk wfma idhk fï w;r 2019 j¾Ih wjidk jk úg rcfha idhk j,ska m%;sldr ,nd.;a ffjri wdidos;hka .Kk 1"947la úh' fï whf.ka 1"845 fofklau m%;sffjri m%;sldr j,g fhduq lrjk ,o w;r Tjqka w;ßka 42la tkï ishhg folla fokd jhi wjq' 15g wvq orejka ùuo úfYAI;ajhls' jvd;au jeä frda.Ska ixLHdjla m%;sldr i|yd iyNd.s jkafka cd;sl frdayf,a idhkhgh' ta yereKQ úg rd.u" uykqjr" l¿fndaú," l=reKE.," .d,a, yd l¿;r uyfrday,a wdY%s;j mj;ajk idhk j,go frda.Ska jeä jYfhka iyNd.s jk w;r wfma rfÜ ffjrih iu. cSj;ajk frda.Skaf.ka ishhg 80lf.au m%;sldr wdjrKh lrkafka by; idhk wfgka ùuo úfYAI;ajhls' mÍlaIK j,g ,laúh hq;= wh rd;%s iudc Yd,dj, /lshd lrkakka" ,sx.sl Y%ñlhka" furg ùid b,a¨‍ï lrk úfoaYslhka yd reêr mß;Hd. lrkakka

December 2020

DOCTOR MAGAZINE

2020 j¾Ifha taâia w¿;ska yªkd.;a frda.Ska 2020 jif¾ cqks udih jkúg kj wdidÈ;hka 185 fokl=;a jd¾;d ù ;sfí' bka úis;=ka fokl= jhi wjqreÿ 15-24 w;r jhia ldKavhg wh;a nj úfYAI{ ffjoH ridxc,S fyÜáwdrÉÑ uy;añh i|yka l<dh' 2019 jif¾§ furáka kj wdidÈ;hka ;=kaish tla fokl= jd¾;d ù we;' iu,sx.sl iïnkaO;d taâia wjodkug m%uqL fya;=jla furg ;reK msßñkag HIV wdidokh jeäùug m%Odk fya;=j iu,sx.sl iïnkaO;dh' 2019 jir ;=<§ w¨‍;ska

doctormagazine.lk

YÍrhg je<f|k úúO wdidok j,g tfrysj l%shd;aul úh fkdyels fia m%;sYla;slrK moaO;sh wvmK lrk frda.h taâia fõ

jd¾;d jQ HIV wdidÈ; msßñka ishhg mkia yhlg ffjrih wdidokh ù we;af;a wkdrlaIs; iu,sx.sl iïnkaO;d meje;aùu fya;=fjks' ta w;r mdi,a <uqka nyq;rhla jk njo weh fmkajd ÿkakdh' ffjrih YÍr.; jk wdldr HIV ffjrih flkl=g YÍr.; jk wdldr ;=kls' 1' wkdrlaIs; ,sx.sl iïnkaO;d u.ska 2' ujf.ka orejdg 3' wdidÈ; reêrh fyda ;r, u.ska

doctormagazine.lk

wmf.a m%;sYla;slrK moaO;shg myr fok ffjrih HIV kñka ye|skafjhs

fï yer Tjqka iam¾Y lsr‍Sfuka w;g w; §fuka" Tjqka iuÕ tlg tl;= ù wdydr .ekSfuka fyda jdih lsÍfuka tÉ'whs'ù' ffjrih YÍr.; fkdfõ' ujf.ka orejdg HIV YÍr.; ùu wms k;r l<d ujf.ka orejdg HIV YÍr. ; ùula wo wfma rfÜ isÿjkafka ke;' wo jk úg ujf.ka orejdg HIV YÍr.; ùu ,xldfõ iïmQ¾Kfhka ;=rka lr ;sfí' 2017 iy 2018 j¾Ij, tjeks ore Wm;a lsisjla jd¾;d ù ke;' HIV wdidÈ; ujqjrekag fkdlvjd m%;sldr ,nd §u ksid .¾Nh ;=< isák orejdg ffjrih wdidokh ùu j<lajd .ekSug yels ù we;s w;r ujql sß §fuka iy m%iq;s wjia:dfõ§ orejdg ffjrih YÍr.; ùu j<lajd .ekSug ffjoHjreka lghq;= lsÍfuka HIV wdidÈ; ujqjrekag ìys jQ orejka ksfrda.s orejka nj ;yjqre ù ;sfí' 2018 j¾Ifha HIV wdidÈ; ujqjre 16 fofkla ksfrda.S orejka ìys l<y' HIV wdidÈ;hka ixLHdj jd¾Islj j¾Okh jk wdldrhla olakg ,efí' Y%S ,xldfõ m<uq jrg tÉ'whs'ù' wdidÈ;hl= jd¾;d jQfha 1986 §h' Tyq msg

December 2020

DOCTOR MAGAZINE

D•Magazine /

World AIDS Day 2020 wfma rfÜ taâia frda.Skaf.a jeäùula

2016 j¾IfhAoS UNAIDS c.;a wdh;kh úiska 2020 j¾IfhAoS imqrd,sh hq;= b,lal lsysmhla y÷kajd ÿka w;r th m%p,s; jQfha 90-90-90 b,lal jYfhks' fï hgf;a 2020 jk úg isák ffjri wdidos;hkaf.ka ishhg 90lau ta neõ oek.; hq;=h' tfia yªkd.;a wdidos;hkaf.ka ishhg 90lau m%;sldr ,nñka isáh hq;=h' tmuKla fkdfõ''''fï m%;sldr ,nñka isák whf.ka ishhg 90lau id¾:lj frda.h uev,sh hq;=h' tkï Tjqkaf.a reêrfhys mj;akd ffjri .ykh ñ,s ,Sg¾ 200g jvd wvq úh hq;=h' fuh m%;sldr Tiafia id¾:lj frda.h md,kh l< njg úoHd;aulj ,efnk idlaIshhs' fï 2020 b,lal imqrd,k j¾Ihhs ksfõokh lrk wdldrhg rgj,a 16la oekgu;a fï b,lal imqrdf.k ;sfnk uq;a wfma rg ta b,lal ;ju;a imqrdf.k ke;'

/áfhls' m%:u HIV wdidÈ; Y%S ,dxlslhd 1987 jd¾;d jQ w;r ta jk úg Tyq taâia ;;a;ajfha miq úh' t;eka isg 2019 cqks ui wjidkh olajd HIV wdidÈ;hka 3393 fokl= jd¾;d ù ;sfí' f,dalfha fiiq rgj,a iuÕ iei§fï§ Y%S ,xldfõ HIV m%jK ;dj wvq uÜgul mj;sk kuq;a uE;l isg HIV wdidÈ;hka jd¾;d jk ixLHdj m%udKd;aulj by< w.hla f.k ;sfí' ksoik q la f,i 2013 - 196" 2014 - 228" 2015 235" 2016 - 249" 2017 - 285 iy 2018 - 350 f,i jd¾;d ù we;' wjqreÿ 20- 49 w;r jhia uÜgïj, miqjk fndfyda wdidÈ;hkf a .ka 75] la rg we;=<; Ôj;a jk wh ùu úfYaI ;j a hls' óg jeä jYfhka f.dÿre jkafka msßñkah' th wkqmd;hla f,i olajkafka kï 1(5 ls' Y%S ,xldfõ kj tÉ'whs'ù' wdidokh jeämqr jd¾;d jkafka msßñ - msßñ iïnkaO;d mj;ajk wh w;r ùu jeo.;a lreKls' tÉ'whs'ù' YÍr.; jQ wh ms<sn|j i,ld ne,Sfï§ u;aøj Hj,g weíneys jQ wh" fjrf<a isák msßñ orejka ^Beach boys&" ,sx.sl Y%ñlhka" nkaOkd.dr.; jQ wh jYfhka y÷kd.; yelsh'

December 2020

DOCTOR MAGAZINE

wfma rfÜ reêr mdrú,hkh wdrlaIdldßhs" tu.ska wdidokh ùug bvla kE ,xldfõ reêr mdrú,hkh lsÍu wo jk úg b;du;a wdrlaIdldÍj j.lSfuka hq;=j cd;sl f,a nexl=j isÿ lrk neúka thska HIV wdidokh ùu j<lajd .; yelsh' tfia jqjo reêrh ;ejreKq b¢lgq" lemqï WmlrK yjqf,a Ndú; lsÍfuka th YÍr.; ùfï wjodkula we;' tkak;a lgq" f¾i¾" mÉp flàfï lgq hkdÈh fjka fjkaj mßyrKh l< hq;= nj wjOdrKh lrkafka tneúks' f.da,Sh ;;a;ajhkag idfmalaIj wm taâia frda.h iïnkaOfhka lsishï wdrlaIl l,dmhl isáh;a fï .egjr .egjßhka yryd u;=j we;s ;¾ckh ,>q fldg ;elsh fkdyelshs' wer;a jix.; ld,hl fujka iïfm%aYKhka fkdi<ld isàfuka Bg f.jkakg isÿúh yels jkaosh o fmrhSï l< fkdyelshs' cd;sl taâia u¾Ok jevigykg j;a fi!LH wud;HxYhg j;a ;ksju l< fkdyels fï taâia u¾Ok ld¾hfhys,d uyck iyNd.s;ajh w;sYhskau jeo.;a fjkjd' DM

doctormagazine.lk

NEVER MISS AN ISSUE Get 'DOCTOR MAGAZINE' delivered to your door every month and FREE download the Digital Magazine to your mobile or tablet.

Download FREE Magazines Anytime. Anywhre. All on your device.

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

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

ku'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ,smskh''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ÿrl;k wxlh'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' úoahq;a ,smskh'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' jd¾Isl odhl;ajh re' 2600'00

ih uil odhl;ajh re'1300'00

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

D•Magazine /

Dimple whialdka; iqkaor;ajhla f.k fok W;am;a;s fodaIh

WHY DO SOME PEOPLE HAVE CHEEK DIMPLES?

whialdka; iqkaor;ajhla f.k fok W;am;a;s fodaIh

DIMPLE fldmq,a j, .eiSu

;

ju;a iqkaor ix.S;d ùrr;akg wdorh lrk fï rfÜ rislhska" yskefyk úg" fodvu¿ jk úg whialdka; oiqkla ujk wef.a zzj, .eiqKQ fofldmq,aZZ .ek b;d Wkkaÿfjka l;d lrkjd' fnd,sjqvfha Tfí wdorh oskQ oSmsld mÿfldka" w,shd nd;a ú;rla fkdfõ yskaos iskudfõ isysk l=udrhd hhs úreodj,s ,;a Idrela Ldka wdoS iqmsß ;re iskefyk úg ,;djg zzj, .efyk lïuq,aZZ foi fojrla n,kakg fkdys;kafka ljfrlago@ j, .efyk lïuq,a wo fndfyda fokdf.a ukkkaokSh wdl¾IKhla njg m;aj ;sfnk w;r ffjoH úoHd;aulj .;af;d;a th jla;% fmaYskayS j¾Okfha we;sjk zzwvqmdvqjlaZZ u; we;sjk fmaYsuh fjkialula neõ mejiqfjd;a Tn th ms<s.kakjdo@ lïuq,a zzj, .eiSuZZ flfkl=g ckaufhka Wreu jk odhdohla' ta;a th lD;%Suj we;s lr .ekSfï Wkaudohlao fjfiiskau fndfyda ;reKshkag we;s nj Tn okakjdo@

December 2020

DOCTOR MAGAZINE

fmardffoksh YslaIK frdayf,a ma,diaála Y,H úfYAI{ ffjoH wñ, isßj¾Ok

lïuq,a j, .eiSu wdhdifhka we;s lr .ekSfï W;aidyhka lïuq,a j, .eiSu fkdfyd;a Dimple i|yd i|yd we;efula Bg ,dlaIKsl jQ jHdhdu lr;s' (Dimple exercise) ;j;a flfkla eyebrow pencil tlla fhdodf.k

doctormagazine.lk

lïuqf,ys j, .eiSula lD;%Suj fmkajkakg W;aidy .kakd w;r th Contouring makeup hkqfjka ye|skafjhs' tfiau lïuq, j, .eiSu wruqKQ lr.;a ys,a lsÍulao (Pierce your cheeks) isÿ lrk w;r th kï ;rula Nhdklh' lk yd kdih úoSfï mqreoaola ldka;djka w;f¾ ckm%shh' lka úoSfïoSo" kdih úoSfïoSo ldáf,ac ñi wka hula yiq fkdfõ' ta ksid cSjdkqyß; ;;a;aj hgf;a lf<d;a th wdrlaIs;h' tfy;a" fï fojkqj lS úoSï j,oS''' lïuq,a úoSfïoS iakdhq wdmodjg ,laùfuka wk;=rla we;sùfï úNùh wjodkulao meK k.sk nj fkdlshdu neßh' óg ldf,lg biair wefußldfõ ksõfhda¾la kqjr jdih l< bfifn,d .s,an¾Ü kï fkdakd uy;a;fhla Dimple ks¾udKh lsÍfï hka;%hla y÷kajd ÿka w;r thg mej;S oeä b,a¨u ksidu wehf.a w;ñg fndfydu irejQ nj;a jd¾;d fjkjd' (ta ld,fhau fï hka;%fhka fofldmq,a j, .eiSu ksid ms<sld we;s úh yels njgo u;jdohla me;sr .sh nj;a f,aLK j, oelafjkjd'&

doctormagazine.lk

yskefyk úg j, .efik fofldmq,a j,g ys;e;a;h s ka th lD;%u S j we;s lr.kakg W;aidy lr;s' ta i|yd jk ie;alu oeka fm!oa.,sl frday,a j,oS isÿ lr.; yel'

ie;alula u.skq;a lD;%Suj tlla ilikak mq¿jka' ta i|yd lrk ie;alu Dimpleplasty hkqfjka ye|skafjkjd'

December 2020

DOCTOR MAGAZINE

D•Magazine /

Dimple whialdka; iqkaor;ajhla f.k fok W;am;a;s fodaIh

oSmsld mÿfldka" w,shd nd;a yd Idrela Ldka

Dimple tlla lshkafka@ fldmqf,ys we;sjk we;=<g j, .eiSula' tla me;a;l fyda lïuq, fome;af;au Dimple tl we;s fjkakg;a mq¿jks' we;eï úg kslg hg;a fuh isÿ fjkjd' f,dal ck.ykfhka ishhg 20lg fï iqkaor m¨oao we;s fjk nj yªkdf.k ;sfnkjd' fndfyda úg Dimple tl fmfkkafka yskefyk úg' ta;a iq¿ yeÕSï m%ldYKhloS jqK;a m%n,j fldmq,a j, .eiSula flfkl=g we;s fjkakg mq¿jka' flfklaf.a Dimple tfla iajNdjh (Morphology) ;SrKh fjkafka wehg fyda Tyqg ,dlaIKsl jla;% wiaÓj, iajNdjh wkQjhs' we;efulaf.a j, .eiSu uqLh f;la osia

December 2020

fjkjd' ;j;a flfklaf.a fï Dimple tl osia jkafka fndfydu mqxÑhg' Dimple tlla we;s jkafka fufyuhs uqyqfKA úúO bßhõ we;s lsrSug odhl jk lïuqf,ys fmaYs fldgila Zygomaticus major hkqfjka ;sfí' Dimple hkqfjka ye|skafjk fldmq,a ;, ks¾udKfhys m%uqL jk Zygomatic bone kñka ye|skafjk wiaÓhlska wdrïN jk fuu fmaYs fldgi uqLfha fl<jr olajd osj hhs' Dimple we;s jkafka fuh tl fmaYshla f,i uqLh olajd mj;skjd fjkqjg fmaYsh ueoska folg ì|S hdu (double or bifid zygomaticus major muscle) ksidh' tfia ìf|k fmaYsfha tla fldkla uqLhg my,ska wjika jk w;r ;j;a fldgila Bg by<ska iug iïnkaO fjñka mj;S' yskefyk úg" yeÕSï m%ldYKfhaoS fnoSfuka ks¾udKh jQ ihsf.dueália fïc¾ fmaYsh p,kh fjñka fï wmQre j, .eiSu ks¾udKh fjhs' Dimple .ek cdk úoHd;aul meyeos,s lsÍula wfma isrer ks¾udKh ùfïoS thg ujf.a yd mshdf.a cdk j, n,mEula we;sjk nj wm oksuq' ñksia w,sx.sl kHIaáhl j¾Kfoay hq., 23la mj;skjd' fï tlsfkflys cdk rdYshla mj;skjd' cdk uQ,sl jYfhka j¾. follg wh;a fjkjd' m%uqL cdk DOMINANT yd ks,Sk cdk RECESSIVE jYfhks' m%uqL cdk tla uõmsh hqj,lf.a orejka yefudagu msysgkjd' ta;a ks,Sk cdk orejka yefudagu tl fia

DOCTOR MAGAZINE

doctormagazine.lk

iqfldu, ix.S;d

msysgkafka kE' lïuq,a j, .eiSu wh;a jkafka m%uqL cdk ldKAvhghs' Tfí uj fyda mshd hk fofokdf.ka tlaflfkl=g tlla ;sfnkjd kï th ksrdhdifhkau Tng;a Wreu fjkjd' we;eï úg fï we;sjk tl ld,h;a iu.ska ke;sù hkakg;a wjia:djla ;sfnk nj lSfjd;a Dimple tll ysñldßhla kï lsishï ÿll=;a we;s fjkakg mq¿jka' kuq;a tfia jkakg bvla ;sfnkjd' tfia jkakg fya;=jk ms<silr ùu m%fõKsl jd.aud,djg wkQj RECESSIVE wdldrhla f,i oelafjkjd' Dimple tlla we;s jkafka jdikdj ;sfhk ldka;djkag hhs fndfyda iudc j, ms<s.kakjd' ta .ek kï úÿyqre iudch woyia m%ldY lrkakg bosßm;a jkafka ke' kuq;a ta l;dj wog fï wdldrfhka fjkia lrkakg kï neß lula kE' W;am;a;sfhka f.k tk jdikdj fldfydu fj;;a Dimple tlg wo ,eî we;s iudc wdl¾YKh ksidfjkau Dimple tlla we;s ;eke;a;shg ta ksidfjka jdikdj <Õd lr.kakg ners lula kE' j, .efik lïuq,a ke;s wh äïm,a we;s lr.kakg ;rk Dimpleplasty ie;alu yskefyk úg j, .efik fofldmq,a j,g ys;e;a;shka th lD;%Suj we;s lr.kakg W;aidy lr;s' ta i|yd jk ie;alu oeka fm!oa.,sl frday,a j,oS isÿ lr.; yel'

doctormagazine.lk

kshñ; iqÿiqlï fke,enQ who wo fujka ie;alï isÿ lsÍug fm<öula ;sfnk w;r th wjodkula we;s ld¾hhls' fldmqf,ys f;d,a fj; osfjk iakdhqjla ;sfnk w;r ta .ek wjfndaOfhka hql; a j iSrejg fkdlsÍu ksid wdmodjg m;aùfuka isÿ jkafka úYd, ydkshls' fï ksid ie;alu Bg iqÿiqlï ork flfklaf.kau isÿ lr .ekSug Tn lghq;= l< hq;h = '

fï ie;alu isÿ lrkafka uqLh we;=<;ska isÿ lrk Y,Huh l%shdj,shla Tiafiah' fï ksid u;=msáka lsisÿ le<,la fmfkkafka ke;suq;a iajdNdúl j, .eiSu muKgu iqkaor;ajhla we;s l< yel'

December 2020

DOCTOR MAGAZINE

D•Magazine /

Dimple whialdka; iqkaor;ajhla f.k fok W;am;a;s fodaIh

Before

After

Dimpleplasty ie;alu isÿ lsÍug fmr yd ie;alfuka miq

frday,a.; fkdù ndysr m%;sldr frda.sfhl= jYfhka ie;alu isÿ lr.; yelsjk w;r ks¾úkaokh lsÍula wjYH fkdfõ' fï ksidfjkau hk uqo,o t;rï úYd, tlla fkdfõ' tfy;a we;eï ldka;djka fï ie;alu mshú isysfhka lr.kakg ue<slula olajk úg ks¾úkaok ;;a;aj hgf;a jqj ie;alu isÿ lrfokakg ma,diaála Y,H ffjoHjrhd úiska wjldY i,id fohs' ^túg frday,a .dia;= hï muKlska by< hdulao isÿfõ'& fï ie;alu iaÓridrj ld,hla äïm,a tl mj;ajd .ekSug WmldÍ fõ' jhia.; jk úg uqyqfKA fïo ia:rh ySk jQ úg fï fldmq,a j, .eiSu fjkia jkakgo" ta wkQj th isÿ fkdjkakgo bvla ;sfí'

ie;alu isÿ lr.; hq;af;a ma,diaála Y,H ffjoHjrfhl= fj;sks' kshñ; iqÿiqlï fke,enQ who wo fujka ie;alï isÿ lsÍug fm<öula ;sfnk w;r th wjodkula we;s ld¾hhls' fldmqf,ys f;d,a fj; osfjk iakdhqjla ;sfnk w;r ta .ek wjfndaOfhka hqla;j iSrejg fkdlsÍu ksid wdmodjg m;aùfuka isÿ jkafka úYd, ydkshls' fï ksid ie;alu Bg iqÿiqlï ork flfklaf.kau isÿ lr .ekSug Tn lghq;= l< hq;=h' DM

ie;alu iïnkaOfhka jeäÿr úia;r oek. kakg my; úoahq;a ,smskfhka úia;r úuikak' amilaswd@yahoo.com Dimple ks¾udKh lsÍfï hka;%hla ks¾udKh l< bfin,d .s,an¾Ü

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

Physical therapy (PT)|Pysiotherapy frda. .Kkdjla f.dv ouk" lS‍%vlhka cj .kajk fN!; Ñls;aidj

Physical therapy (PT)|Pysiotherapy fld<U ßÊfõ wd¾hd <ud frdayf,a fN!;Ñls;ail wêldß cd,sh Wvqje,a,

fN!;Ñls;aidj-uQ,sl ye|skaùula'''

frda. .Kkdjla f.dv ouk" lS‍%vlhka cj .kajk fN!; Ñls;aidj

doctormagazine.lk

f,v frda. iqjm;a lrk Ñls;aid m%;sldruh jHdhdu ksjeros bßhõ yªkajd oSu l%Svdjg lrk fufyh m%cd mqkre;a:dmkh

December 2020

DOCTOR MAGAZINE

D•Magazine /

Physical therapy (PT)|Pysiotherapy frda. .Kkdjla f.dv ouk" lS‍%vlhka cj .kajk fN!; Ñls;aidj

ixj¾ê; rgj, ffjoH m%;sldrhkayS b;d ckm‍%sh YdLdjla jk fN!; Ñls;aidj .ek ;ju;a wm rfÜ ck;dj w;r fyd| wjfndaOhla ke;sùu wjdikdjls' fuu m%;sldr l%uh iqúfYAIS Ñls;ail ,laIK iys; b;d jákd m%;sldr l%uhla jk w;r thska l< yels foa fjk;a úl,am m%;sldr j,g l< yels jkakg fyda fkdyels jkakg mq¿jk' hï fyhlska l< yels jQj;a fN!;Ñls;aidfjka l< yels foa lrkakg jx.= .iñka fndfyda m%h;akhla oeßh hq;= jk nj kï iy;slh' tneúka fN!;Ñls;ail m%;sldr wejeis ;ekg ks¾ndOlj tu m%;sldrh ,nd .ekSfï m%fõYh wfma ck;djg ;sìh hq;=h' fN!;Ñls;aidj hkq l=ulao@ fN!;Ñls;aidj hkq fN!;sl úoHdfõ fhfok uQ,O¾u jk ;dm Yla;sh" úoHq;a Yla;sh" pqïNl Yla;sh" èjksh" wdf,dal Yla;sh" .=re;ajdl¾IKh" pd,l Yla;sh" úNj Yla;sh jeks Yla;Ska iy fN!;sl jHdhdu;a Ndú; lrñka frda.sfhl=g flfrk

December 2020

mdrcïnQ, lsrK iug wys;lr hhs Tn okS' tfy;a wfOdarla; lsrK tfia fkdfõ' thg isref¾ ffi, yd mgl w¿;ajeähd lrñka ys;jdoS fufyjrl fhoSfï yelshdjla we;' wï,lr jdhqj jeäfhka mßjykh lrñka wdmodjg m;a mgl w¿;ajeähd lsÍugo wfOdarla; lsrK iu;ah' fï jákd .=Kh fN!;Ñls;aidfõoS m%fhdackhg .kafka Infrared therapy hkqfjks' fmaYs bys,a lsÍug" wdmodjka ms<Silr lsÍug yd ;j;a wjia:d lsysmhloSu fï m%;sldrh fN!;Ñls;aidfõ fhdod .efka'

m‍%;sldr l%uhls' lsisu ridhksl øjHhla Ndú; fkdlrñka lsisu úlsrKhla Ndú; fkdlrñka lrk fuu fN!;sl Ñls;aidfõ lsisu ixl+,;djla ^side effects& ke;' <ud frda." jeäysá úfha frda." ldka;d frda." iakdhq frda." levqï ì÷ï úl,dx. frda." rla;jd; frda." Yajik frda." cdk frda. iy l%Svd wk;=re jeks ishÆ foa i|yd fN!;Ñls;ail m‍%;sldr we;' fN!;Ñls;ailjrhdg frda.shd fhduq jQ miq Tyq fyda weh úiska frda.shd we.ehSulg ,la lr tu m‍%;sldr ;SrKh lrkq ,nhs' tu m‍%;sldr m‍%fNao .Kkdjlg fnfoa' tkï m‍%;sldruh jHdhdu ^Therapeutic exercise&" Wria Ñls;aidj ^Chest Physiotherapy&" úoHq;a Ñls;aidj ^Electro therapy&" c, Ñls;aidj ^Hydrotherapy&" wdOdrl wdY‍%fhka fN!; Ñls;aidj ^Appliances&" bßhõ Ndú;fhka fN!; Ñls;aidj ^Positioning& f,i fmkajd Èh yel'

DOCTOR MAGAZINE

doctormagazine.lk

fuu WmlrK u.ska fõokdj ke;s lsÍu" bÈuqula ke;s lsÍu" ;o jQ ikaêhla nqre,a lr .ekSuo" iakdhq W;af;ackh o" udxY fmaYs Yla;su;a lsÍuo" reêr .ukd.ukh myiq lrùuo" ne£ï mgl bj;a lsÍu jeks ld¾hhka isÿ flf¾' fmaYs wdY%s;j we;sjk fõokdjka" W¿lal= ùï j,oS fhdod .kakd Ñls;aidjls Shortwave diathermy. fuysoS wêl ixLHd;hlska hqla; úoahq;a pqïnl Yla;sh iamkao jYfhka fhdodf.k wod, ia:dkhg kdNs.; flfrhs'

m‍%;sldruh jHdhdu m‍%;sldruh jHdhdu f,i ikaê p,kh myiq lrjk jHdhdu ^Mobilization exercises&" udxY fmaYs Yla;su;a lrjk jHdhdu ^Strengthening exercises&" uDÿ mgl we§ug ,la lrk jHdhdu ^Stretching exercises&" iudfhdack jHdhdu ^Co-ordination exercises&" iunr;d jHdhdu ^Balance exercises&" iakdhq W;af;ackh jHdhdu ^P.N.F‍& jeks jHdhdu m‍%Odk ;ekla .kS' Wria Ñls;aidj Wria Ñls;aidj Yajik moaO;sh ksfrda.Sj ;nd .ekSug WmldÍ fõ' kshqfudakshd" n‍%kalsfhda,hsáia" weÿu" n‍%kalsfhlafÜisia jeks frda. iqj lsÍug ksrka;rfhkau fN!;Ñls;aidj WmldÍ fmky¿j, fiu >‍%djhka .=re;ajdl¾IKh Wmfhda.S lrf.k msg;g .ekSu;a" yqiau .ekSfï jHdhdu;a u.ska th isÿfõ' úoahq;a Ñls;aidj úoHq;a Ñls;aidfõ § fkdfhl=;a úoHq;a WmlrK Ndú;d lrhs' ta w;r ;dmh ,nd§ug wfOdarla; lsrK ^Infra Red& WmlrKo" pqïNl;ajh i|yd flá ;rx. (Short Wave& WmlrKo" èjksh ,nd§ug w,ag‍%d ijqkaÙ ^Ultra sounds& WmlrKo" úoahq;h ,nd§ug úoHq;a W;af;acl ^Stimulator& WmlrK o m‍%Odk ;ekla .kS' doctormagazine.lk

c, Ñls;aidj c,fha Wvql=re f;rmqu u.ska wd>d;hg m;ajQ frda.Skaf.a mK ke;s jQ fmaYs Yla;su;a lsÍug o" weú§u mqyqKq lsÍugo c, Ñls;aidj fhdod .kS' fjdal¾" fldak¾ fphd" iagEkaäka *af¾ï" lsys,slre" m;=re l%u" úfYaIs; im;a;= Ndú;fhkao fN!; Ñls;ail l%u frda.Skag lrkq ,nhs' bßhõ y÷kajd §fuka lrk fN!; Ñls;aidj bßhõ y÷kajd §fuka lrk fN!; Ñls;aidjo jeo.;a fõ' fõokdj wvq lrk bßhõ" bÈuqu wvq lrk bßhõ" m‍%;Sl l%shd W;af;ackh lrk bßhõ u.ska frda. iqj lrkjd fukau ksjerÈ bßhõ y÷kajd §fuka wkdndê;j l%shdldrlï

December 2020

DOCTOR MAGAZINE

D•Magazine /

Physical therapy (PT)|Pysiotherapy frda. .Kkdjla f.dv ouk" lS‍%vlhka cj .kajk fN!; Ñls;aidj

j, fh§ug ñksidg yels jk wkaou y÷kajd fohs' jerÈ bßhõ ksid fndfyda fokl=g f.f,a fõokdj" fldkafoa fõokdj we;sfõ' tfukau Kyphosis, Scoliosis, Lodosis jeks fld÷weg fmf<a úlD;s;d we;s fõ' l%Svlhkag fN!;Ñls;aidj l%Svlfhla cd;sl ;,h olajd ks¾udKh lsÍug fN!; Ñls;ailfhl=f.a fiajh wksjd¾hfhkau wjYHhs' uki ixhuhg m;a lsÍfï jHdhduo lrñka fN!; Ñls;ailjre udkisl wd;;sho wvq lrhs' ;jo Ôú; .,jd .ekSfï fufyhqug'' Èjd rd;‍%S oeäi;aldr tall j, fN!; Ñls;ailjre fiajh lrhs' frda.sfhl= oeäi;aldr tallfha isg kej; iqj ù m‍%cdjg uqod yeÍu f;la fN!; Ñls;ailjre lemù l%shd lr;s' tfukau m‍%cdfõ mqkre;a:dmk jevigyka j,go

December 2020

l%Svd wk;=re j,oS wdmodjg m;aùï ms<silr lsrïA yereKQ úg lsishï l%Svlfhla c.;a ;,hg meñKùfïoS fN!;Ñls;ailjrfhl=f.a iyfhda.h ke;sju nersh

fN!;Ñls;ailjre úYd, fufyhla isÿ lr;s' ^Community Based Rehabilitation Programme&' mq¿,a jmißhl frda. i|yd fN!;Ñls;aidfõ msysg wxYNd.h" mdlskaika frda.h" .s,kand¾ iskafv%dauh" fn,aia fmda,ais" w¾íia fmda,ais jeks iakdhq frda. j,go" reufgdhsÙ wd;rhsáia" Tiaáfhda wd;rhsáia" i¾jhsl,a iafmdkaäf,daisia" *afrdaika fIda,av¾ jeks rla;jd; frda. i|ydo" wiaÓ N.ak" ikaê úikaê ùï" uDÿ mgl wk;=re jeks levqï ì÷ï úl,dx. frda. i|yd o" vjqkaia iskafv%dauh jeks cdk frda. i|yd o kshqfudakshdj" n‍%kalhsáia" n‍%kalsfhda,hsáia" n‍%kalshelafÜisia jeks Yajik frda. i|yd o fN!;Ñls;aidj fhfok frda. i|yd WodyrKhs' uia;sIal wd>d;h" fgdaáflda,sia" ufhdam;s jeks <ud frda. i|ydo b;d WmldÍ fõ' fN!; Ñls;aidj" oekg Èjhsfka ishÆ uyfrday,a" uQ,sl frday,a iy iuyr Èia;‍%slal frday,a j,§ Tn yg ,nd .; yel' tu frday,aj, ndysr frda. wxYj, ffjoHjreka úiska fï i|yd Tnj fhduq lrkq we;'

DOCTOR MAGAZINE

doctormagazine.lk

Tgql=oh" me;sl=oh jeks fldªwegfm< wdY%s; jHqyd;aul fjkialï ms<Silr lsÍu fN!;Ñls;ailfhl=f.a ;j;a ld¾hNdrhls

fN!; Ñls;ailfhl= f,i Y‍%S ,xldfõ fiajh lsÍug ffjoH iNdfõ ,shdmÈxÑh wksjd¾hhs' oekg Èjhsfka jHdc fN!; Ñls;ailhka úYd, m‍%udKhla isák neúka fiajh ,nd .ekSug m‍%:u ffjoH iNdfõ ,shdmÈxÑ wxlh úuiSu Tnf.a whs;shls' fN!; Ñls;aidj yeoEÍug isõ wjqreÿ Wmdê mdGud,djla l< hq;=j we;' Bg wu;rj ih uil iSudjdisl mqyqKqjlao we;' oekg fld<U úYajúoHd,fha" fmardfo‚h úYajúoHd,fha iy fld;,dj, wdrlaIl mSGfha úYajúoHd,fha mdGud,d i|yd muKla ,shdmÈxÑh ,nd foa' Wiia fm< by< Z score w.hla thg wjYH fõ' DM

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

D•Magazine /

Sepsis The hidden killer

The life-threatening syndromic response to infection worldwide. We as human beings frequently fall ill due to various germs. However, thanks to our immune system and modern medicine, we can clear off many of those tiny organisms from our bodies. The medical field has also advanced in a way to deal with the rising trend of infections caused by microbes. Therefore, mankind can live a better life now more than ever. But this may not be the case all the time.

SEPSIS THE HIDDEN KILLER Dr. M. E. Ranaweera Dr. C.S. Botenne Dr. M.A.D.P.K Wijesinghe Dr.G.N Kahangama

December 2020

DOCTOR MAGAZINE

What if we are immunesuppressed? What if we have a chronic illness? What about those who are very young or old? Will we then be able to tackle an infection in the same way? The answer is “No” as there is a risk of developing a life-threatening condition called sepsis when infections are encountered. Sepsis may not be a familiar term to most of us, but we need to know what it is as it is very common and takes a lot of victims. It could be your loved ones

doctormagazine.lk

or yourself who is having sepsis. So, what is sepsis and why is it important to know about it? What is sepsis? Sepsis is a life-threatening condition caused by the bodyâ&#x20AC;&#x2122;s response to an infection that is unusually severe. During sepsis, your body releases various chemicals into your blood and the response is out of balance and triggers changes that would result in massive damage to many of your organs. If treatment is not given on time this can progress to a condition called septic shock, where blood pressure drops drastically, and together with multiple organ failure, can lead to death. This can happen to anyone, but some are more prone to this condition than others. This can be difficult to identify at times and hence sepsis is referred to as the hidden or silent killer. How common is sepsis? It is difficult to measure the global burden of sepsis, but according to WHO statistics, sepsis affects more than 30 million people in a year with around six million deaths.

doctormagazine.lk

In 2017, there were 48.9 million cases and 11 million sepsis-related deaths worldwide which accounts for almost 20 percent of all global deaths. One in 10 maternal deaths is due to sepsis. Furthermore, approximately 85 percent of sepsis cases and sepsis-related deaths worldwide occurred in lowand middle-income countries. This gives us a glimpse of the magnitude of the problem and we can expect the actual counts to rise during the coming years if we do not take necessary actions against it. To make people aware of this and fight against this preventable condition, The Global Sepsis Alliance has taken the initiative of marking September 13 as World Sepsis Day. With that in mind let us now look at some important aspects of sepsis. What causes sepsis? Sepsis is caused by any infection including bacteria, viruses, fungi, or parasites. But bacterial infections are the most common cause of sepsis. These organisms can enter the body through ingestion, inhalation, or even through a minor abrasion. Although anyone can develop sepsis, some are more prone to it than others.

December 2020

DOCTOR MAGAZINE

D•Magazine /

Sepsis The hidden killer

Do you have any of the following conditions? If the answer is yes, then you are at an increased risk of developing sepsis. ² Do you have low immunity? ² Do you have any chronic conditions like diabetes, liver cirrhosis, kidney, or lung disease? ² Are you already receiving treatment at a hospital or intensive care unit? ² Do you have any wounds or burns? ² Do you have any external devices such as urinary catheters or breathing tubes? ² Are you on steroid treatments? ² Have you received frequent long-term antibiotics? ² How old are you? (< 1 year or > 65 years are at increased risk) The number of cases of sepsis is rising worldwide every year. This may be attributed to an aging population, an increase in the number of people with illnesses that weaken their immune system, a greater prevalence of antibiotic resistance making them ineffective at killing bacteria, and an increase in invasive procedures providing easy access to microbes.

100

December 2020

DOCTOR MAGAZINE

Why are newborns at greater risk? Newborns are one of the most affected. Neonatal sepsis is defined as a baby getting a blood-borne infection within the first month. It can be classified according to the timing of the onset of symptoms. ² Early onset: contracted before or during the period of delivery usually within 72 hours from birth. ² Late onset: contracted after 72 hours of birth. A baby may become infected before birth if the mother’s amniotic fluid is infected. During delivery, the newborn may be exposed to an infection in

doctormagazine.lk

the birth canal. Once born, a baby may be exposed to infections in the hospital or at home. The following will increase the risk of your baby developing sepsis ² Was your baby born too early, before 37 weeks? ² Did your amniotic sac break more than 18 hours before birth? ² Did you have prolonged or difficult labor? ² Did you have an infection during the time of birth? ² Did your baby need any medical interventions soon after birth? Why are mothers at more risk? Sepsis can develop during pregnancy or after delivery and it is a leading cause of maternal death in the world. Sepsis during pregnancy is called maternal sepsis whereas sepsis within six weeks of delivery is called postpartum or puerperal sepsis. Sepsis can occur because of an infection related to the pregnancy following unsafe terminations or unrelated to pregnancy such as pneumonia or urinary tract infections. Puerperal sepsis may arise due to poor hand hygiene and other unhygienic practices during delivery.

doctormagazine.lk

Why are the elderly more at risk? The elderly population is at a higher risk of developing sepsis. As we go through the aging process, our immune system becomes less effective at fighting infections. This results in contracting more infections and a greater risk of developing sepsis. There is a higher prevalence of chronic illnesses such as diabetes, liver cirrhosis, and kidney disease in the elderly which are independent factors increasing the risk of sepsis. Having multiple comorbidities, which is common in the elderly population, compounds this risk further. Other factors contributing to greater sepsis risk among the elderly are repeated and prolonged hospital stays, functional limitations, malnutrition, and endocrine deficiencies. The most common infections that progress to sepsis among the elderly are lower respiratory tract infections and urinary tract infections. How does sepsis present? Sepsis can develop after any simple infection. There are many signs that are indicative and used to diagnose sepsis which are listed below: ² Fever with chills and/or shivers (>38.30C / 101F ² Hypothermia (<360C / 96.8F) ² Difficulty in breathing or rapid breathing (> 20 breaths/ minute) ² Increased heart rate (>90 beats per minute) ² Weak pulse ² Low blood pressure ² Cold extremities ² Altered mental state ² Fatigue or weakness ² Cyanotic or mottled skin ² Reduced urine output All the above may not be present in everyone with sepsis and some symptoms may be more severe. Without timely intervention, it can progress into septic shock rapidly where blood pressure drops dramatically. As sepsis worsens, the blood flow to our vital organs such as the brain, heart, and kidney diminishes leading to their irreversible damage. Blood clots may form inside the vessels of organs and limbs causing organ failure and tissue death that may appear as gangrene. All these together can ultimately lead to death if not treated promptly. Most people may recover from sepsis with

December 2020

DOCTOR MAGAZINE

101

Dâ&#x20AC;˘Magazine /

Sepsis The hidden killer

timely management; however, the average mortality rate due to septic shock is nearly 40 percent. There are some differences in the presentation of sepsis in neonates and pregnant mothers which is described below. How does sepsis present in newborns? In neonates, the presenting symptoms can be subtle and nonspecific. It may also include pale color skin, poor feeding, lethargy, temporary stopping of breathing, seizures, diarrhea, and vomiting. Late signs may include jaundice (yellow discoloration), enlarged liver and spleen, and petechiae (bleeding under the skin). Neonatal sepsis is a leading cause of infant deaths, but with early diagnosis and treatment, a complete recovery can be expected. Unfortunately, in some lifelong disability such as deafness, hydrocephalus is possible despite treatment. How does sepsis present in pregnant mothers? They commonly present with fever and chills, lower abdominal pain, foul-smelling vaginal discharge, and an increase in heart rate. It may take several days for these symptoms to become apparent thus leading to a delay in seeking medical help. The risk of developing an infection after delivery depends on the method of delivering the baby. The emergency cesarean section having the highest

102

December 2020

DOCTOR MAGAZINE

risk of infection with normal vaginal delivery having the lowest. How is sepsis treated? Sepsis is a medical emergency and should be managed accordingly for treatments to be effective. The treatment interventions include intravenous fluids, prompt administration of empirical antibiotics, diagnostic tests to identify the source of infection and the offending organism, inotrope support (drugs to support blood pressure) with regular monitoring in a high dependency or intensive care unit. Those with diabetes need special mention as their blood sugar and other organ functions need to be carefully monitored and supported to increase treatment doctormagazine.lk

effectiveness. Reasons for ineffective treatment are delay in presentation to hospital and delay in diagnosis and initiating treatment. What are the challenges in managing sepsis? The mainstay of treatment for sepsis is antimicrobial drugs. However, with the rapid emergence of antimicrobial resistance, this can be a problem. Antibiotic resistance is when an antibiotic that had been effective against bacteria suddenly stops working against them due to various reasons including genetic changes in bacteria. This is a significant challenge in the treatment of sepsis where existing drugs become ineffective. The delay in the presentation of patients with sepsis to health care facilities is another key challenge in management. One of the reasons for such delay is the non-specific nature of symptoms of sepsis. With late presentations, the interventions carried out by health professionals are less likely to be effective as the disease is in a critical stage. A significant challenge faced by low middle-income countries is limited resources such as intensive care unit beds and access to high-quality antibiotics. This is another problem faced during the management of sepsis that may result in a poor outcome for patients. How can sepsis be prevented? To prevent sepsis, it is important to prevent contracting an infection in the first place. There are many actions you can take as an individual to stop an infection which includes: ² If you develop any cuts or small wounds, keep them clean and covered as necessary to avoid any infection from taking root. ² If you are suffering from a chronic illness such as kidney disease or diabetes, then visit your health care provider regularly to keep your illness under control. Those with diabetes with poor glycaemic control have a high risk of a simple infection progressing to sepsis. For this reason, it is vital to maintain good blood sugar control to prevent sepsis. ² Ensure you get available vaccines for preventable illnesses. These include annual flu shots and vaccines of the national immunization program. This is critical for those with underlying chronic diseases. ² Lifestyle changes to avoid alcohol consumption and smoking to maintain good health and prevent the

doctormagazine.lk

development of an infection. Hand hygiene is one of the most effective methods to prevent the spread of infection. Maintain good health with a balanced nutritious diet and safe drinking water giving your immune system the best chance to evade an infection. If you recognize symptoms of sepsis as described above, then seek medical attention immediately. To prevent the progression of infection to sepsis it is important to take prescribed antibiotics as directed.

Sepsis claims many lives and targets the most vulnerable among us, but the united effort of the public and health care professionals can go a long way to combat its harm as we discovered in the recent fight against the COVID-19 pandemic. DM

(This article was written by members of the Sri Lanka College of Microbiologists – Drs. M. E. Ranaweera, C.S. Botenne, M.A.D.P.K Wijesinghe and G.N Kahangama) as an awareness creation project for the public in commemoration of the Ninth World Sepsis Day which fell on September 13.)

December 2020

DOCTOR MAGAZINE

103

D•Magazine /

Indigenous Communities tod jeos mrmqf¾ iqj p¾hdjka

INDIGENOUS COMMUNITIES IN SRI LANKA

tod jeos mrmqf¾ iqj p¾hdjka u;ameka" ÿïmdkh fmkakkak nE''' ìßkaoEjrekag mk fia wdofrhs újdyfhka msg iïnkaO;d kE''' oreM, jeähs''' ta;a jeä fofkla frda. j,ska ñh hkjd p¾u frda. nyq,hs ffjoH YdLH wurfialr

f,dj bmerKsu wdos jdiS ck fldÜGdYhla jYfhka ie<flk jeoaoka wo wfma ,dxflah iudcfhau ixrplhls' kQ;k ,dxflah jeos ck;dj kQ;k;ajh yd fl;rï noaO ù we;aoehs lsjfyd;a óg Y;j¾Idêl ld,hlg fmr Tjqkg ;snQ fndfyda wkkH p¾hd ,laIK ;jÿrg;a Tjqkg wh;a fkdfõ'

104

December 2020

DOCTOR MAGAZINE

,xld isú,a fiajfha lS¾;su;a ks,Odßfhl= jYfhka isáñka jeos ck;dj yd iómj lghq;= l< iS fca wd¾ f,uish úiska ;u wOHhkhla weiqf¾ rdclSh wdishd;sl iÕrdfõ wxl 32, IX fj¿ug ,ndÿka m¾fhaIK f,aLKhla weiqf¾ úoyd oelafjk tod jeos mrmqf¾ iqj p¾hdjka fufia Tn fj; olajñ' fuu ,smsh ;;a iÕrdfõ m< jQfha 1886 j¾IfhaoSh' Bg wdY%h lr.;a w;aoelSï uq,skau

doctormagazine.lk

rpkd lrk ,oafoa 1820 j¾IfhaoSh' ta wkQj fï f;dr;=re j,g mdol ld,h iïnkaOfhka Tng wjfndaOhla ,nd.; yels jkq we;'

doctormagazine.lk

fj<ªkag imhhs' ÿïîfï fyda u;ameka f;d,.Efï wdidjla fyda mqreoaola ke;' isrer msßis¥ lsÍï'' ú,dis;d tod jeos ck;dj jeiaig yiqj f;uqfKd;a ñi lsisod isrer fodajkh lr.kafka ke;' ysi mSrkafka ke;' ta ksid ysfiys ksrka;rfhka yevm¨ f.;S ;sfí' msßñka muKla fkdj .eyekqkao tfiauh' lvd yef,k fldKAvh yS,E lr .ekSug ysfiys kQ,la fyda máhla ne|.kS' hlfvka fyda ms;a;f,ka ksujQ l=vd lrdUq j¾.hla m<|shs' fjk;a wdNrk me<|Sulao ke;'

tod jeoaoka wdydr imhd.;a yeá ovhfuka uiqka we,a,Sfuka yd le<fhka .kakd w, j¾." m<d j¾. wdosho c,c me<Eáo Tjqka wdydr fjhs' f.dakqka" uqjka" j,a W!rka" idjqka" j÷rka" b;a;Ejka" ;,f.dhska" fudkreka" j,sl=l=,ka'' Tjqkaf.a ovhug f.dÿre jk i;=kah' n,a,ka iu. yUdf.dia ;,f.dhska w,a,hs' ke;fyd;a .ylg k.skakg i,iajd urd .kshs' fiiq i;=ka kï urd oukafka ÿkafkka úo ou,dh' ¨KQ fyda ómeKs j,ska moï lrk uia ;=uQ wuqfjkau ld ou;s' t< yrla" ó yrla yd fldá j,ia uia kï jeoaoka wkqNj lrkafka ke;' j,yd yd fldáhdg kï Tjqka w;sYhskau ìhh' ÿïfld< j,g leu;sh' isxy,hka yd urlal,hka iu. lrk NdKAv yqjudre j,oS fï foaj,a fukau iy,a" l=rlalka" frosms<S yd úfYAIfhkau ovhug wjYH hlv B;, ysia yqjudre lr .kshs' ta fjkqjg uqj yu" fõÆ uia" lmq yd ómeKs

fudjqka mrudo¾YS újdy cSú; .; lrkafkdah' lsisod mria;%S" mr mQreI fiajkhla ke;'

December 2020

DOCTOR MAGAZINE

105

D•Magazine /

Indigenous Communities tod jeos mrmqf¾ iqj p¾hdjka

jeos ckhdf.a wUQieñ in|;d fudjqka mrudo¾YS újdy cSú; .; lrkafkdah' lsisod mria;%S" mr mQreI fiajkhla ke;' ;u ìßkaoEjrekaf.a m;sjD;a;dj iïnkaOfhka zzmdrïnEuZZ msßñkaf.a isß;ls' wka wh w;f¾ tjka .=KO¾u ke;ehs lshkakgo Wka fm<fUhs' ksis l, jhia imsrE ,ñiaishl w; .kakg /fya flfkla bosßm;a jQfjd;a uõmshka Tyqf.a wvqmdvq úuikafka ke;' m<uq b,a,Sug ;ek ,efnhs' újdyfhaoS lrkafka ukd,shf.a me,amf;a isg ukd,h ;u me,am;g lekaoka hduhs' pdß;% ke;' W;aij m%shiïNdIK ke;' oEjeos" ;E.sfnda. yqjudre ùï ke;' fofokd uq,skau wUQieñ in|;djhla meje;aùfuka miqj ukd,sh úiska ukd,hdf.a bfka osh ,kqjla .eg .ihs' ore iïm;a;sh iq,nhs" wdrlaId lr.kak wudrehs jeoaoka w;f¾ ore fndfyda m%iQ;hka isÿfjhs' Tjqka wêl f,i oreM< iïm;g ysñlï lshhs' kuq;a Wmka orejkaf.ka jeä fofkla WK jix.; j,ska ñhefohs' fkdìf|k wdf,a ieñhka" ìßkaoEjrekag ldreKslj i<lhs' ^îf.k fliaj¨ mg,jd .kafka ke;'& f.a we;=f,a jevlghq;= ñi fjk;a jev rdcldß wehg mejfrkafkao ke;' ;ukaf.a ifydaorhka ifydaoßhkag jvd ìß|g fifkyila" wd,jka;lula olajhs' f,vfrda. j,g Tfrd;a;= oSu jeoaoka yd mhqre mdidkug tk ckhdg myiqfjka l<E WK wdoS jix.; j,g ,la jQj;a jeos ckhd idfmalaIj ksremøs;h' foaY.=Kfha n,mEugo Tfrd;a;= fohs' iï frda. ;rula fudjqka w;f¾ nyq,h' jiQßh" .ek jd¾;d jkafka ke;'

106

December 2020

DOCTOR MAGAZINE

f,v frda. we;s lrkafka hlaI n,fõ. ksidh hkak Tjqkaf.a wp, úYAjdihhs' flfkla n,j;a fia wd;=r jQ úg hï ;efkl uqoaola" froslvla ;ekam;a lrhs' hlafoiaid le|jd hdosks lshhs' fï Tjqkaf.a m%;sldrhhs' kQ.;a jqj;a" msßisÿlu .ek kskõjla ke;;a tod jeos ckhd idM<H;djfhka" m%;sYla;slrKfhka wog jvd fndfyda bosßfhka isá neõ fmfka' tfiau wdorKSh l=gqïnhl ;sìh hq;= wfkHdkH úYAjdih osj u;=rla fia wdrlaId lr .ekSug Tjqka olajk lemùu ;=< wo wfma we;eï l%shdldrlï foi n,k úg Tjqka wmg jvd fndfyda oshqKQ hhs is;kakg neßlulao ke;' DM

úfYAI ia;+;sh uq,a ,smsh mßj¾;k ld¾hh isÿ l< pkaø Y%S rKisxy doctormagazine.lk

D•Magazine /

Homeopathy for Wellbeing mdlskaika frda.Skag kej; cSú;hla ,ndfok fydañfhdam;s m%;sldr

mdlskaika frda.Skag kej; cSú;hla ,ndfok fydañfhdam;s m%;sldr wiSñ; f,i ÿla ú|sk mdlskaika frda.Skaf.a cSú; j,g wdf,dalhla ,ndoSu uf.a W;aidyhhs

fi!LH" fmdaIK yd foaYSh ffjoH wud;HxYh foysj, rcfha fydañfhdam;s ffjoH uOHia:dkfha ia:dkNdr ffjoH ks,Odßks" fydañfhdam;s ffjoH wkqId fyaul=udr úisks

iqkaor fyda lgql Ôú;hl hq;=lï" j.lSï bgqlrñka iekiSu fidhñka hk ðjk udjf;a Tng fkdis;+ fudfyd;l" fkdoekqj;aju yg.kakd we;eï frda." Tfí i;=g" iudodkh" iekiSu ke;slr Ôú;h ;udg;a wka whg;a nrlaj .; lrkakf isÿ fkdúh yelso@ yojf;a uyd ÿlla iuÕ bjid.; fkdyels fõokd Wyq,ñka" Ôú;h f.ùug isÿjk" iqjl< fkdyels njg f,dalhla mjik zzmdlskaika frda. hZZ bka wirK Ndjhg m;a frda.Ska iqjm;a lsÍu Wfoid fndfyda w;aoelSï nyq, ms<sn|j m%ùK fydañfhdam;s ffjoH wkqId fyaul=udr uy;añh yuqù wms fï frda.h .ek;a" fydañfhdam;s ffjoH l%uh Tjqka i|yd ms<sirKla jk wdldrh .ek;a l;dnyl ksr; jQfhuq' ffjoH;=ñhks" wms uq,skau fï mdlskaika frda.h yªkd.ksuq j¾;udk iudcfha fndfyda fofkla mSvd úÈk frda.S ;;a;ajhla' fï frda.hg m%Odk f,i n,mdkafka wfma ysia ln, ;=< msysgd we;s fud<fha iakdhq ffi, j, —fvdmeñka˜ keu;s ridhksl ixfhda.fha fjkia ùuhs' fuu fvdmñka ixfhda.h wm YÍrfha udxYfmaYs p,khka fukau isref¾ iu;=,s;;djh

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

107

D•Magazine /

Homeopathy for Wellbeing mdlskaika frda.Skag kej; cSú;hla ,ndfok fydañfhdam;s m%;sldr

,nd§ug fya;=fjkjd' fuu fvdmeñka laIh ùu;a" ke;a;gu ke;sù hdu;a ksid fud<fha msysgd we;s ;e,ui fldgi wêl%shdldß;ajhg m;aùu fya;=fjka fuu mdlskaika frda.fha frda. ,laIK mgka.ekSu wdrïN fjkjd' fud<fha ffi, ;=< we;s fufia ridhksl fjkialï we;sùug n,mdk fya;= ;sfhkjdo@ Tõ''' mdrïmßl cdkuh ;;a;aj" ysfiys l,a.;jq we;sjQ ;e,au" ld,hla ;siafia .kakd T!IO j, w;=re wdndO f,i;a" udkisl wl%ñl;d ksid;a fujeks frda. fndfyda ÿrg we;súh yelshs' mdlskaika frda.fha frda. ,laIK fudkjdo@ uu" fï we;sfjk frda. ,laIK wÈhr mylska úia;r lrkakï' 1 jk wÈhr tl weÕs,a,la boysg fjõ,Sug mgka .ekSu' th ldgj;au f;areula keye' fjkila oefkkjd' kuq;a th .Kka .kafka keye' áflka ál wl=re ,shk fõ.h wvqfjkjd' l:d lrk úg Èj megf,kak mgka .kakjd' weÕs,af,ka mgka.;a fjõ,Su w; Èf.a áflka ál tkak mgka .kakjd' iunr;djh ke;sj hk nj oefkkjd'

108

December 2020

tl weÕs,a,la boysg fjõ,Sug mgka .ekSu' th ldgj;au f;areula keye' fjkila oefkkjd' kuq;a th .Kka .kafka keye' fuh frda. fha wdrïNhhs' tfy;a l,a hdfuka fï wksÉPdkq.; p,k md,kh fkdl< yels ;rug jeä fjhs

2 jk wÈhr bof.k isg tljr ysg.kak neßj hkjd' álla W;aidy wrka ke.sákafka' Èj megf,k .;sh álla jeä fjkjd' weúÈk úg ukao.dó njla we;s fjkjd' ll=,a yd w;a p,kh wvq fjkjd' ysgf.k isák úg" weúÈk úg iunr;djh ke;sj jefgkak hkjd' mdohla fjõ,sug mgka .kakjd' uqyqfKa yevh fjkia ùf.k hkjd' 3 jk wÈhr weúÈk úg iu;=,s;;djh ke;sj jefgk jdr .Kk jeä fjkjd' f.d; .eiSu jeä fjkjd' Tyq fyda weh iuÕ flfkla isáh hq;= fjkjd' ;ksj wdydr .ekSug fkdyels fjkjd' wdydr .s,Sug wmyiq fjkjd' mdo folu fjõ,Su jeä fjkjd' u<noaOh we;s fjkjd' uq;%d md,kh lsÍfï wmyiq;djh oefkkjd' isys l,amkdj u| jYfhka wvqfjkak .kakjd' 4 jk wÈhr w;a folu" ll=,a folu''' fjõ,k ;;a;ajhg m;a fjkjd' wu;l ùu;a jeä fjkjd' ;ksju weúÈkak neye' jefgk jdr .Kk jeä fjkjd' wdOdrhla Èh hq;=u fjkjd' bkaojkak" ke.sgjkak" ljkak" fmdjkak''' fï iEu fohlgu ljqreka fyda Woõ l< hq;=u fjkjd' u<noaOh" kskao fkdhEu" flaka;s hdu" wjisysfhka l:d lrkjd' fkdoekqj;aj uq;%d msgùu jeäfjkjd' frda.shdg oeä fia jOdkh fhduq lsÍu l< hq;=u fjkjd'

DOCTOR MAGAZINE

doctormagazine.lk

,laIK l%u l%ufhka myj hkafka frda. uQ,h ms<silr lrñka frda.shd fmr ;;a;ajhg m;a lrñks' tkï frda.hg fya;=j ke;s lsÍfuks'

my;g keuqKQ ia:dms;h uqyqfKa fmKqu fjkia fjhs msgqmi orovq iajNdjhla we;s fjhs w;a .efykakg .kshs

mdo .efykakg .kshs

fydañfhdam;s ffjoH l%ufha tl uq,O¾uhla jk zziudk fohska iudk foa iqjm;a fõ˜ hk kshuh ikd: lrñks'

l| bosßhg keó mj;shs w;a p,k iSud fjhs je<ñg yd ueKslalgqj jl=gq fjhs Wl=,a wegh;a oksi;a iaj,am jYfhka jl=gq fjhs

wia:djr" flá mshjr .ufkaoS we;s fjhs

5 jk wÈhr fï wjia:dfõ frda.shd tla;eka ù we|gu jefgk wjia:djhs' kskao fkdhEu fukau frda.shd fndfyda ÿ¾j, ;;a;ajhg m;a fjkjd' tfukau frda.shdj n,d.kak" id;a;= lrk who fndfyda mSvdjg m;a fjkjd' fï frda.h i|yd fydañfhdam;s ffjoH l%uh msysg jkafka fldfyduo@ fuu m%;sldr j,ska frda.shd iqjm;a l< yelso@ uq¿ f,dalhu" m¾fhaIlhka mjd iqjl< fkdyels frda. hla f,i mdlskaika frda.h y÷kajd § ;sfnkjd' kuq;a fydañfhdam;s m%;sldr ;=< fuu frda.Ska iqjm;a fjkjd' frda.hl frda. ,laIKhla fkdue;sj frda.hla iqjl< fkdyels nj fydañfhdam;s ffjoH l%ufha ks¾ud;D ydksuka;=ud mjid ;sfnkjd' frda. ,laIKhg;a" m%;sYla;slrKhg;a" iqúfYaIS ia:dkhla fuu ffjoH l%uh ;=< ;sfnkjd' fï wkqj wfma YÍrfha ðjYla;sfha$tkï m%;sYla;slrKfha ÿ¾j, ùula ksid fud<fha ffi,j, isÿjk fjki fmkajk frda. ,laIKhkag iudk jQ T!Iëh Yla;sh frda.Skag ,nd§u ;=< wk;=r weÕjQ frda. doctormagazine.lk

fuys§ mdlskaika frda.Skaf.a laIh ù hk zzfvdmeñka ˜ ixfhda.h kej; >%djh jkq we;' fydañfhdam;s m%;sldr ,nd .ekSfuka miq frda.shd uq,ska fmkajQ frda. ,laIK ish,a, l%ufhka myù iqjm;aNdjhg m;ajkq we;' wka whg;a" ;ukag;a w;aj ;snQ mSvdldÍ ðú;fhka ñ§ug yelsfõ kï@ th fl;rï kï jdikdjlao hkak w¿f;ka meyeÈ,s lsÍu wjYH jkafka ke;' mdlskaika frda.Skag fldmuK ld,hlska iqjh ,eìh yelso@ frda.Ska mia fofkla .;af;d;a Tjqkaf.a YÍrhg wdfõKsl jQ .;s ,laIK /f.k ;uhs ud <.g tkafka' fok T!IO kshdudldrfhka ,ndÈh hq;=hs' uu kqiqÿiq hhs lshk wdydr fkdf.k isàu fuys§ jeo.;a fjkjd' fkialf*a" fldams " fpdl,Ü" uhsf,da wvx.= wdydr fydañfhdam;s T!IO j, l%shdldß;ajh wvq lrkjd' tfukau fydañfhdam;s T!IO j,g

December 2020

DOCTOR MAGAZINE

109

D•Magazine /

Homeopathy for Wellbeing mdlskaika frda.Skag kej; cSú;hla ,ndfok fydañfhdam;s m%;sldr

n,fkdmdk" kuq;a frda.h s df.a jhi wkqj iqjhg ndOd muqKj q k wdydr f,i úfYaIfhka fldia " fo,a" jïngq" uE lr,a jeks wdydr;a .kak tmd' wmsg ´fka blauka iqjh ,nkakfka' tuksid fok Wmfoia ms<m s Èñka" bjiSfuka m%;l s dr ,nd. kak ´fka' jolu jf.au fyolu; frda.h s df.a iqjhg wjYHhs' frda.h s dg ,ndfok id;a;j = u;;a iqjfjk ld,h ;SrKh fjkjd' fldfydu;a m%;l s dr mgkaf.k i;shlska miqj frda.h s dg hym;a m%Óm, ,efnkak mgka .kakjd' ffjoH;=ñhks " mdlski a ka frda.k S g a wd;rhsáia tfyu we;s fjkjdo@ túg ta frda. folgu m%;l s dr lrkjo@ Tõ' mdlski a ka frda.k S a fndfyduhla ne¨fjd;a wd;rhsáia ;sfhkjd' kyr .eg .eys,d" ll=,a weofj,d' fydañfhdam;s m%;l s dr ;=,k s a tjeks whf.a f.jqkq ldáf,ac j¾Okh lr" weo.eiqKq mdo h:d ;;a;j a hg f.k foñka" ish¨ wiaÓ" fmaY"s kyr" mgl" iakdhq weiqf¾ we;sjk ish¨ fõokd myj f.dia fmr ;;a;j a hg m;aù Tjqka ksfrda.S iqjh ,nkjd'

110

December 2020

fi!LHiïmkak fud<hl fmKQu

mdlskaika frda.fha uq,a wjêfhaoS th iaj,am jYfhka fjkia fjhs

fud<fha oeä fjkia lï we;slrk mdlskaika frda. fha mYapd;a wjêh

fvdmñka ridhkfha laIh ùu mdlskaika frda.hg fya;=jhs

Tn;=ñh fujeks frda.Skag wdf,amk j¾.;a ,ndfokjdo@ fud<fha ffi, j, ÿ¾j,;djhka h:d ;;a;ajhg f.k taug flaYdf,mhla ,ndfokjd' tfiau fn,a," fldkao" oKysia j, wdf,am lsÍug wdf,amk j¾. ,nd fokjd' úfYaIfhkau fïjd ish,a,u ud úiska jir .Kkdjl idhksl wOHhk weiqf¾ m¾fhaIKd;aulj fidhd.;a fydañfhdam;s T!Iëh .=Kfhka wkqk wdf,amk j¾.hs' fïjdfha fõokdkdYl lsisjla wvx.= ù keye' kuq;a tys wka;¾.; T!IO frda.shdf.a blauka iqjhg uy;a fia bjy,a fjkjd' ffjoH;=ñhks wjidk jYfhka wfma mdGlhskag Tn ,ndfok m‚úvh@ fï ,smsh lshjk wh" ta wirK frda.Skaj oekqj;a lrkak lsh, ux b,a,d isákjd' iqj lrkak mq¿jka lsh, fkdokak lu ksid fï frda.Ska ÿlaúÈkjd' ug wjYH fj,d ;sfhkafka fï whj iqjm;a lrkak' ÿla ú|Sfuka uqojd .kak' thd,f.a ðúf;a l,ska ;snq i;=g" iekiqu ,ndfokak' thska ud ksïysï ke;s wd;au ;Dma;shla ,nkjd' 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 2637 740" 011 2637 741 011 2637 742" 071 8250 716 071 8250 717

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

ufkdaÑls;aid yQkshï lsÍfuka mjq,a lvdlmam,a lrkak mq¿jkao@

Stress Disorders yQkshï lsÍfuka mjq,a lvdlmam,a lrkak mq¿jkao@

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

fud

Krd., m%foaYfha fjfik ksYdks foore ujl jk w;r" ksYdksf.a ieñhd jk lms, fudKrd., k.rhg wdikak m%foaYhl tla;rd wdh;khl ,smslrefjl= jYfhka fiajh lrhs' Tjqkaf.a jeäu,a mq;d miajk jif¾ bf.kqu ,nk w;r" fojk Èh‚h ;=kajk jif¾ bf.kqu ,nkakSh' hq;=lï ish,a,u fyd¢ka bgql< o ksYdks iEu fudfyd;la mdidu isáfha lkiai,af,ks' tfy;a weh lsisúfgl th ieñhdgj;a orejkagj;a oefkkakg bvyeßfha ke;'

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

111

D•Magazine /

ufkdaÑls;aid yQkshï lsÍfuka mjq,a lvdlmam,a lrkak mq¿jkao@

ksYdks" lms, iuÕ újdy jQfha foudmshkaf.a úreoaO;dj uOHfhah' ta ksid Tjqka fofokd f.j,aj,ska mekf.dia újdy ù Ôj;a jkakg ;SrKh lf<dah' wk;=rej Tjqyq fudKrd., m%foaYfha ksjila l=,shg f.k mÈxÑ jQy' jir yhl ld,hla f.ù .sho Tjqkaf.a udmshka ne,Sug lsisÈkl hdug Tjqka is;=fõ ke;' b;du;a iuÕsfhka hq;=j Ôj;a jQ Tjqkag orejka ,eî Wiauy;a fjoa§ wd¾Ól wÕ ysÕlï we;sjqKo flÈklj;a wdrjq,la fyda nyskaniaùula we;s jQfha ke;' —wïug jO ÿkafka kE fkao uf. meáfhd fokakd''''@ flda tkak fokaku ux <Õg˜ lms, jev ksu ù ksjig meñ‚ miq lrkafka orejka fofokd ;uka <Õg lrf.k iqr;,a lsÍuh' fjkodg ksYdks o iskduqiq uqyq‚ka hq;=j Tjqka wi,g meñK i;=áka ld,h .; l< o wo weh Tjqka wi,g fkdmeñ‚ fyhska lms, l,n, ù ksYdksj fidhd ldurh fj; .sho weh tys fkdisáhd h' l=iaishg tî n,oa§ ksYdks f,dl= l,amkdjl ksu.ak ù isáhdh' —ksYdks''' ksYdks˜ lms, l;d l< o wehf.ka m%;spdrhla ,enqfKa ke;' lms, weh fj; meñK Wrysiska w,a,d fi,ùh' —wdya'' Thd wehs fu;kg wdfõ'' ug l;d lrkak ;snqKfka˜ ksYdks th lSfõ o l,amkd nrjh'

—yQkshï folla ksid lm,d whska lrkak f,dl= jevla lrkak fjhs' f,dl= uqo,la hhs ta folgu' lula kE ux folu lm,d fokakï y;<sia myla ú;r ,Eia;s lr.kak'' nvq ux fydhd.kakï'' Woõjla úÈhg ux lr,d fokakï fïl'' l,a wßkak tmd' Èkhla fhdod.kak'''˜

112

December 2020

DOCTOR MAGAZINE

—uu fu;kg weú;a l;d lr;a Thdg weyqfKa keye ksYdks''' fudllao TÉprg u l,amkd lrkafka'''@ Thd fjkod jf.a fkfuhs'''˜ lms, mejiqfõ úuiqï oEisks' weh fu;rï l,amkd lrkafka l=ulao@ ál Èkl isgu wehf.ka ksjfia jevlghq;= mjd w;miqùï isÿjq‚' tfy;a lms, wehf.ka lsisjla fkdúuiqfõ wehf.a is; ßoùug we;s wlue;a; ksidh' ms<sfj<g" msßisÿj isàug ksYdks fndfyda m%sh l<dh' tfy;a oeka oeka tajd wehf.ka uÕyeÍ we;' lms, tÈk jev ksu ù iji yh yudr joa§ ksjig tkúg ksYdks isáfha ;o kskafoah' — ksYdks fudllao Thdg fj,d ;sfhkafka''' fodr;a wer,d od,d ksÈ'' <uhs fokakd ñÿf,a''' fudllao fj,d ;sfhkafka''' wikSmhlao Thdg@˜ —wd Thd wdjo'''˜ ksYdks tf,i mjiñka ihkfhka ke.sÜgdh' lms, rd;%S wdydrh .;af;a lsis÷ ukdmhlska f;drj h' ksYdks Whk msysk

doctormagazine.lk

lEu oeka oeka lsisÿ rila ke;' weh bjqï msyqï lghq;= lrkafka o ´kEjg tmdjgh' iuyr Èkj, ksod.kakg ihkhg .shúg wvqmdvq .ek mjihs' Èkla weh Èh‚hg myrla folla .eiqfõ wehg jO fokafka wehs lshd wiñks' fldhsfjf,a;a weh orejkaf.a jrola oel Tjqkag nekjÈhs' ke;skï oyj,a ld,fha ksod. kS' j<|la msÕdkla fidaokafka Whkakg l=iaishg .shfyd;a mu‚' ke;skï uq¿ oji mqrdu b÷,a Ndck f.dv .eiS we;' ksYdks tkak tkaku fjkia fjhs' wef.a l%shd ms<sfj; lms,f.a flaka;sh jeä lrhs' ks;ru orejkaf.a jerÈ lshñka Tjqkag ;rjgq l< ksYdks lms,f.a o jerÈ ÿgqjdh' jev ksuù ksjig meñfKk lms,f.a is; ßfok whqßka Tyqg oefkk fkdoefkk mßÈ jpk j,ska oud.ikakg weh mqreÿj isáhd h' wehg Ôúf;a tmdù we;' úfgl uefrkakg mjd wehg is;=‚' úfgl fndfyda flaka;s .;a;sh' lms, ;u ñ;=frl= iuÕ

doctormagazine.lk

ksYdksf.a fjki .ek l;d lf<a bjid neßu úg§h' —upx wms idia;rhla wyuqo'''@˜ lms,f.a ñ;=rd mejiqfõ ;u ìß| ;ukag fyda orejkag wikSmhla jQ úg§ ;uka Ôj;a jk m%foaYfha foajd,hla lrk uE‚hka flfkl= fj; f.dia wdrlaIl hka;% uka;% jev lrf.k tk ksidh' ñ;=rdf.a nig lms, tlÕ jQfha fjk;a lrkakg fohla fkdue;s ksidh' —ksYdks wms idia;rhla n,kak huqo'''˜ lms, ksYdksf. ka úuiqfõ ksokakg ihkhg wd miqh' ksYdksf.a bfya u,la msmqKd jdf.a úh' —wfka lms, ug Thdg lshd.kak neßj ysáfha'' ug uefrkak ys;s,d ;sfhkafka''' ljqre yß wmsg fjkafjkak fudkdyß lr, o okafk kE' ug yeufoau tmdfjkjd lms,˜ ksYdks mejiqfõ ÿlsks' —yß wms fyg huq˜ lms, ksYdksf.a ysi w;.Efõh' —uE‚fhda uf.a hy¿fjla fï'' thd,g m%Yakhla˜ ñ;=rd foajd,fha uE‚hkag lms,,dj fmkajñka mejiSh' foajd,fha uE‚fhda lms,f.a;a ksYdksf.a;a foig yeß‚' —wfka uE‚fhda ug uefrkak ysf;kjd' wms fokakd nekafoa wfma wïu,g fydfrka thd,d wms ueß lrkjg wlue;s ksid' wms Ôj;a fjkafk wudrefjka' ug msiaiq yefohs lsh,d nh ysf;kjd' yeufoau tmdfjkjd' uy;a;hj;a tmd fjkjd' ug fldfya yß T¿j yereK w;l hkakuhs ysf;kafka˜ ksYdks uE‚fhda foi n,d y~ñka lshdf.k lshdf.k .shdh' —yaï''' wms n,uq fudlo fj,d ;sfhkafk lsh,d'' m~qre remsh,a mkaish yegla fu;k ;sfhk nq,;a fld<hla wrf.k foajd,h we;=<g weú;a ;shkak' wms lvjr wmamÉÑf.ka wyuq fudlo fj,d ;sfhkafk lsh,d'''˜ uE‚fhda lSfõ foaj rEm yd Bg háka ñh.sh fofofkl=f.a rduq l< mska;+r folla we;s l=áh fj; hñks'

December 2020

DOCTOR MAGAZINE

113

D•Magazine /

ufkdaÑls;aid yQkshï lsÍfuka mjq,a lvdlmam,a lrkak mq¿jkao@

uE‚hkaf.a jï wf;a je,ñgg Wäka r;= mdg frÈ lvlao ne| we;' weh iqÿj;ska ieriS isà' foúhka bÈßfha je|f.k hula fkdf;afrk f,iska uquqKhs' bkamiq ál fõ,djla hkúg ysi yhsfhka fid,jñka W.=frka f.dryeç y~la u;=lrñka uq¿ i¾jdx.hu fid,jñka fkdf;afrk nila uquqKhs' bkamiq uE‚fhda —yQkshula lr,d''' yaï'' yQkshula lr,d''' Tõ f.or tjqka yQkshula lr,d lidfo lvkak'' yaï'' msßñ mrdfk me;af; lÜáh oeßúg msiaiq yefokak yQkshula lr,d''' fï oeßúf.a f.or Woúh lidfo lvkak yQkshula lr,d''' Tõ''' Tõ'''yaï''˜ lshñka ;j;a fudkjfoda uquqKñka úkdä úiail ld,hla ysi fid,jñka fkdf;afrk NdIdfjka l;d lrñka foúhka bÈßfha isá uE‚fhda wdrEVfhka bj;a jQjdh' —wms fudllao fïlg lrkafka uE‚fhda˜ lms, weiqfõ je|f.kh' —yQkshï folla ksid lm,d whska lrkak f,dl= jevla lrkak fjhs' f,dl= uqo,la hhs ta folgu' lula kE ux folu lm,d fokakï y;<sia myla ú;r ,Eia;s lr.kak'' nvq ux fydhd.kakï'' Woõjla úÈhg ux lr,d fokakï fïl'' l,a wßkak tmd' Èkhla fhdod. kak'''˜ uE‚fhda lms,g lSh' —yß uE‚fhda wms ojia ;=klska ú;r i,a,s ,Eia;s lrf.k tkakï''' wms .syska tkakï'''˜ lms, we;=¿ ish¨‍‍ fokd msg;aj wdfjdah' ñ;=frl=f.ka Khg uqo,a b,a,d .;a lms, Èk ;=ksla muK foajd,fha uE‚hka uqK.eiSug .sfha ñ;=rdf.a ksjfia ore fofokd ;ndh' ksYdks;a lms,;a iji y;g muK foajd,hg meñ‚fha ñ;=rd iuÕsks' rd;%S fod<y yudr jkf;la yQkshu lmd bj;a lr fudjqkag Ydka;sl¾uhla lr wod< uqo,a uE‚hka úiska ,nd. eks‚' ksYdks;a lms,;a ñ;=rd;a ksjig meñ‚fha ieye,a¨‍‍ is;sks' —oeka b;ska yßfk upx''' uE‚hkaf.a jev fyd|hs'' oeka b;ska i;=áka b|y,a,d''˜ ñ;=rd lms,f.a

114

December 2020

DOCTOR MAGAZINE

msgg ;Ügqjla ouñka ksjig f.dvjeÿ‚' tÈk ñ;=rdf.a ksjfia ish¨‍‍fokd k;r jQy' miqÈk WoEiku Tjqyq ;u ksji fj;g meñ‚hy' orejkao mdi,g msg;a lr yer lms, o /lshdj n,d msg;a úh' Èk i;s udi f.jqK o ksYdksf.a fjkila isÿfkdjq‚' weh ks;ru w~d.;a; .uka isákakg úh' orejkaf.a bf.kSfï lghq;= o lvdlmam,a jkakg jQfha weh Wfoa wjÈ fkdù ksodf.ku isá ksidh' lms,g WoEik wdydrhj;a weh w;ska iQodkï fkdú‚' lms, uE‚hka fidhdf.dia fï nj ie,lr isáfhah' —´jd tlmdrg yßhkafka kE''' ál ld,hla hkfldg áflka ál yßhhs˜ uE‚hka weÕ fírd.;a;dh' ksYdks ks;ru wikSm jkakg jQjdh' tl tl f,v weh lshkakg mgka .;a;d h' wehj ffjoHjreka lrd /f.k .sh;a ffjoHjrekaf.a u;h jQfha wehg lsis÷ wikSmhla fkdue;s njhs'

doctormagazine.lk

—fuhdj udkisl ffjoHjrfhl=g fhduq lrkak˜ tla ffjoHjrfhla mejiSh' lms, ñ;=frl=f.ka Tyq okakd udkisl ffjoHjrfhl= isàoehs úuiSh' ñ;=rdf.a uÕfmkaùu wkQj Tjqka Y%S ,xld iajdmk úoHdfõ§kaf.a ix.ufha j;auka iNdm;s" ufkda Ñls;ail" ffjoH mS'tka' úoHdl=,m;s uy;d fj; fhduq flß‚' ffjoHjrhd ksYdksg m%;sldr lsÍug Ndr.;af;ah' ta wkQj ffjoH mS'tka' úoHdl=,m;s uy;d ksYdksj iy lms,j fjk fjku f.k fndfyda fõ,djla l;d lf<ah' bkamiq ksYdksg ufkda m%;sldr ,ndÿkafkah' udi ;=kla ufkda m%;sldr ,nd.;a ksYdksf.a wikSm ;;a;ajhka iqjúh' weh isáfha fmrmßÈ i;=áks' ksjfia jevlghq;= fidhd n,d lrkakg mgka .;a;dh' ksjfia i;=g we;s úh'

doctormagazine.lk

ffjoHjrhd ksYdksf.a ;;a;ajh meyeÈ,s lrÿkafka fufiah' uehf.a ;;a;ajh foi n,k úg weh mqÿudldr f,i udkisl mSvdjlg ,lajQ wfhla' tu udkisl mSvdjg ld,hla ;siafia ,laùfuka weh Stress Disorders ^la,u: wl%ñl;d& hkqfjka y÷kajk udkisl ;;a;ajhg m;aù ;snqKd' tys ,la‍IK ;uhs ÿl" l,lsÍu" tmdùu" ;ryd hdu" wu;l ùu" is;g i;=g fkdoekSu" wfya;=l nh" kskafoa wl%ñl;d" wdydr Ô¾K moaO;sh uq,a lr.;a frda." ks;r ks;r l=uk fyda frda.S ;;a;ajhlska fm<Su" Ôú;h ú|jkjd f,i oekSu wd§ ,la‍IKhs' fuu frda.fhka mSvd ú¢ weh thg meyeÈ,s m%;sldr .ekSu fjkqjg lf<a fkdfmfkk n,fõ.hka miqmi f.dia iykhla n,dfmdfrd;a;= ùuhs' kuq;a fuh i;H jYfhkau iq¿ udkisl frda.s ;;a;ajhla' wm úiska lf<a udi fol ;=kl ld,hla ufkda m%;sldr lr wehf.a .eg¨‍j,g o ufkda WmfoaYkh ;=<ska úi÷ï ,nd§uhs' weh iqj ù wo jk úg jir lSmhls' kuq;a lsisu Èfkl wehg h<s Ôú;h tmdjQfha ke;' weh lms, yd orejka iu.ska i;=áka iudodkfhka hq;=j Ôj;a jkakSh' úfYaI ia;+;sh ynrdÿj ksu,a w,af.j;a; Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s

ÿrl:k wxlh 0718 30 30 30

December 2020

DOCTOR MAGAZINE

115

D•Magazine /

foaYSh ms<sld fjolu mdkSh ms<sld ff;,h <Õ ;sfnkjd kï ms<sldjla yeÿk;a nhfjkak fohla kE'''

foaYSh ms<sld fjolu

mdkSh ms<sld ff;,h <Õ ;sfnkjd kï ms<sldjla yeÿk;a nhfjkak fohla kE'''

tla wxYhl w;la mK ke;s fjkjd' fuu frda. ,laIK j,ska fmkajkafka ysfiys ms<sld ;;a;ajhla fyda f.ähla ks¾udKh jk njhs'

ms<sld ;;a;ajhla YÍrfha j¾Okh ù f.k tk nj bkaøshhka wdY%s;j fmkajkq ,nk frda. ,laIKj,ska y÷kd .ekSug yelshdj mj;skjd' úfYaIfhka tla" tla bkaøsh wdY%s;jhs fuu frda. ,laIK my< jkafka'

W.=f¾ ms<sld ;;a;ajhla j¾Okh fjkjd kï my< úh yels ,laIK W.=f¾ wêl f,i fiu /f|kjd' l;d lsÍu wmyiq;djhg m;afjkjd' lfÜ ;=jd, we;s fjkjd' W.=f¾ ;=jd, yg.kakjd' lKaGudr f.ä f,i y÷kajk f.ä W.=f¾ yg.kakjd' §¾> ld,Skj fuu frda. ,laIK mj;skjd kï fuh W.=f¾ ms<sld ;;a;ajhla jkakg mq¿jka'

ysfiys ms<sld ;;a;ajhla j¾Okh ù ;sfí my< úh yels ,laIK kj;skafka ke;s ysfia lelal=u mj;skjd' fldhs ;rï m%;sldr l<;a fuu ysiroh iqj jkafka kE' iuyr úg l;d lrkak neß fjkjd' w;mh mK ke;s fjkjd'

fmKy¨‍ wdY%s;j ms<sld ;;a;ajhla ;sfnkjd kï my< úh yels ,laIK fkdkj;sk leiaila yg.kakjd' fudk

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

116

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

m%;l s dr l<;a" ke;;a th iqj jkafka keye' fmky¿ j, fiu .;sh msÍ mj;skjd' yqiu a .ekSfï wmyiq;djfhka fmf<kjd' mmqj fõf,kjd' mmqj .efykjd' fujeks ,laIK mj;skjd kï fmky wdY%; s ms<l s djla ;sfnkakgo mq¿jka' wdudYfha ms<l s d ;;a;j a hla ;sfnkjd kï my< úh yels ,laIK ks;ru nv mqrjd oeóu isÿ fjkjd' lkak fndkak neye' nv msß,d jf.a oefkkjd' W.=r ysr fjkjd' Tlaldrh yd jukh we;s fjkakg mq¿jka' fuu frda. ,laIK ksjerÈj úksYp a h l< úg fï ;;a;j a h wdudY ms<l s djla j¾Okh jk nj mejeish yelsh's .,kd,fha ms<l s d ;;a;j a hla ;sfnkjd kï my< úh yels ,laIK .,kd,h widudkH f,i bosfukjd' fldfydugj;a wdydr .kak neß fjkjd' .kak wdydr wdmiq odkjd' jukh hkjd' fujeks frda. ,laIK fmkajkq ,nkafka .,kd,fha ms<l s d ;;a;j a hla j¾Okh ù ;sfnk ksid;a jkakg mq¿jka'

doctormagazine.lk

wdudYhsl ms<sld j,oS wdydr reÑh ke;sjk w;r Worfha fõokdjla" isref¾ nr wvqùula" Tlaldrh yd jukh fukau nv mqrjd ouk fihlao oefka' fï yd ine|S frda. ,laIK uq,skau oefkkafka frda.shdghs' Tyq ie<ls<su;a jQjfyd;a l,afõ,d we;sj m%;sldr j,g fhduq ùfuka Tyqg frda.h myiqfjka lvd .ekSug wjia:djla ,efí'

wlaudfõ ms<sld ;;a;ajhla kï my< úh yels ,laIK wdydr .ekSug b;d wmyiqhs' jeisls<s hdug wmyiqhs' wêl f,i fldkafo wudrej" WK yg.ekSu" la,dka;h" lrleú,a, jeks frda. ,laIK wêlj mj;skjd kï tu ;;a;ajh wlaudfõ ms<sldjla j¾Okh ù we;s njg bÕshlao úh yelshs' jl=.vq wdY%s; ms<sld ;;a;ajhla kï my< úh yels ,laIK uq;%d wudrej §¾>j mj;skjd' uq;%d wêlj msgfjkjd' iuyrúg wvqfjka msg fjkjd' uq;= l=ÉÑh yefokjd' uq;%d iu. f,a msg fjkjd' fldkafoa wudre wêlj we;s fjkjd' fuu frda. ,laIK §¾>ld,Sk mj;skjd kï fï ;;a;ajh jl=.vq ms<sldjla úh yelshs'

ms<sldj yg.kakd ia:dk f,i mejiqj ;=kaish ody;la ;sfnkjd' wm uykaisfj,d jev lrdu wmsg fjfyi oefkk tl idudkH ;;a;ajhla' ta;a" lsisu jevla fkdlr kslrefka bkak úg;a Tng È.= fj,djla uykaish oefkkjd kï fuh;a §¾> f,i úksYaph l< hq;= fjkjd'

December 2020

DOCTOR MAGAZINE

117

D•Magazine /

foaYSh ms<sld fjolu mdkSh ms<sld ff;,h <Õ ;sfnkjd kï ms<sldjla yeÿk;a nhfjkak fohla kE'''

u< ud¾.fha ms<sld ;;a;ajhla kï my< úh yels ,laIK jeisls,s hdu b;du;a wvq fjkjd' jeisls<s .sh;a u<my ùu isÿ jkafka b;du;a wudrefjka" fõokdfjka' osk .Kkdjla jeisls<s fkdf.dia isàu" frda.S ;;a;ajh W;aikak jQ úg f,a .e,Su" ierj hdu" oshdrejgg j;=r jf.a msgùu" fiï fidgq fia msgùu" oeú,a, jeks frda. ,laIK yg .kakjd kï th u< ud¾.fha ms<sldjla jkakg;a mq¿jks' mÍlaIdjla lr .kak' w.akHdYfha ms<sld ;;a;ajhla kï my< úh yels ,laIK ks;r ks;r oeú,a, yg .kakjd kï" bkamiq lelal=u yg .kakjd' YÍrfha .aÆfldaia ksIamdokh b;d my< uÜgulg jefgkjd' fuu frda. ,laIK ksjerosj yªkd.; hq;=hs\ th w.akHdYfha we;sjk ms<sldjla ksido úh yelshs' ms<sld yg.kakd fjk;a ia:dk ms<sldj yg.kakd ia:dk f,i mejiqj ;=kaish ody;la ;sfnkjd' wm uykaisfj,d jev lrdu wmsg fjfyi oefkk tl idudkH ;;a;ajhla' ta;a" lsisu jevla fkdlr kslrefka bkak úg;a Tng È.= fj,djla uykaish oefkkjd kï fuh;a §¾> f,i úksYaph l< hq;= fjkjd' frda. ,laIK ksjerÈj úksYaph lf<d;a ;ukag ms<sld ;;a;ajh .ek uQ,sl bÕshla" wjfndaOhla ,nd .kakg mq¿jka' fï wkQj Tng l,afõ,d we;sj ffjoHjrfhl= yuqùug wjia:dj Wod fjkjd' mdkSh ms<sld ff;,h jir 40 l muK ld,hl isg i¾jdx. yd ms<sld frda. ms<sn|j ,enQ w;aoelSï yd m<mqreoao iu. úúO m¾fhaIKj, fhfoñka wjqreÿ .Kkdjl ms<sld frda.h" frda.Ska ms<sn|j ukd wjfndaOhlska miq ud úiska fuu mdkSh ms<sld ff;,h ksIamdokh lr ;sfnkjd'

118

December 2020

DOCTOR MAGAZINE

fuys úfYaI;ajh jkafka YÍrfha l=uk ia:dkhl ms<sld ffi, j¾Okh ù we;;a tu ia:dkh fidhd f.dia tu ms<sld keiSfï .=Kh ;sîuhs' frda.Skaf.a urK ìh l%ufhka mylr ukqIH YÍrfhys yg.kakd ms<sld iqjlsÍu i|yd fuu mdkSh ms<sld ff;,h iu;a ù ;sfnkjd' ngysr m%;sldr ,nñka isák ´kEu ms<sld frda.shl=g jqjo mdkSh ms<sld ff;,h mdúÉÑ l< yelshs' foaYSh Ydlidr T!IO ixfhda. lr fuu ff;,h ms<sfh, lr we;' mdkSh ms<sld ff;,h w;aÿgq ÈjHuh T!IOhls' DM mdrïmßl ffjoH ta ta iqu;smd, ^iduúksir q e& .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s i¾jdx. Ñls;i a l ,shdmÈxÑ wxl 13297 mdrïmßl foaYh S ms<l s d ffjoH uOHia:dkh fn,sfldgqj" wrkaor" wgd< ^.,s.uqj wúiaidfõ,a, ud¾.fha lsf,daóg¾ yhhs&

ÿrl:k

072 4282 140 071 8889 635 doctormagazine.lk

D•Magazine /

wdhq¾fõoh oSma;su;a oika fom<lg fya;= jk oka; iqjfi;

wdhq¾fõofha uqL frda.j,g isÿ lrk m%;sldr

oSma;su;a oika fom<lg fya;= jk oka; iqjfi; oka; uQ,.; frda. j,ska ñoSug iEu wdydr fõ,lska miqju o;a ueo msßisÿ lr.; hq;=hs

120

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

l=vd orejka yd jeäysáhka w;ro oelsh yel'

uydpd¾h wdhq¾fõo ffjoH iqukr;ak wur;=x. (D.S.A.C/BA/Pg. PhD) uqL fi!LH ms<sn|j ieufokd ieuod ksr;=rej l;d l<;a th l%shdfõ fhdojkjd fmfkkakg wvqh' fndfyda wh o;a Y=oaO lsÍu mfil ;nd" yß yeá o;a uoskafka j;a ke;' Wfoag /lshdjg hkakg" mdi,a hkak fyda tÈfkod lghq;= iQodkï ùug ,ys,ysfha uosk o;a ueoSfuka uqL fi!LH wdrlaId fjhso@ Èklg fojrla o;a uÈkafka lSfhka lS fokdo@ uqL fi!LH ms<sn| olajk fkdie,ls,su;alu yd fkdoekqj;alu ksid úÿreuia Èhùu fyj;a o;a uq,a Èhùu fndfyda úg olakg ,efnk iq,n frda.hls' fï ;;a;ajh oka; uQ,.; frda. hls' óg wu;rj YS;do frda.h (Scurvy) fyj;a úgñka C W!K;djh ksid we;sjk frda. ;;a;ajh

doctormagazine.lk

oka; uQ,.; frda.j,§ úÿreui wdY%s;j we;sjk wdidok ;;a;aj fya;=fjka o;a uq,a j,ska reêrh .e,Su" ierj .e,Su" uqLfha ÿ¾.kaOh yd o;a fi,ùu uQ,slj isoaO fjkjd' úÿreui yd ine£ frda." úÿreui Ldokh ùu fya;=fjka uQ,slju oka; uQ,fha iú Yla;sh ke;sùu nrm;< .eg¨‍jla ù ;sfí' tneúka oka; uQ, wdY%s; frda.j,ska je<lSug uqLfha ikSmdrlaIdj flfryS fkduo mÍlaIdfjka lghq;= l< hq;=hs' ok; uQ,.; frda. ksid oka; fi!LH msßfykjd oka; uQ,.; frda. wjia:dj,§ lk fndk Ndck u.ska flkl=f.ka ;j;a flkl=g frda.h fnda ùug bv ;sfí' úÿreui Ldokh ùu" úÿreufia we;s jk ;=jd," úÿreui bÈóu" ierj .e,Su yd reêrh .e,Su iq,n jYfhka oelsh yels oka; uQ, .; frda. ,laIK ksid fuu frda. ;;a;ajfhka je<lS isàug kï iEu wdydr fõ,lgu miq o;a ue§u isÿ l< hq;=hs' fï i|yd T!Iëh oka;df,amhla Ndú;d lsÍu b;du;a jeo.;a' oka; uQ, .; frda. j,§ fõokdj bjid .ekSug fkdyels fya;=j u; o;a .,jd oeóu lsis úfgl;a fkdl< hq;=hs' frda.S" ksfrda.S ´kEu mqoa.,fhl=f.a uqL fi!LH uekúka mj;ajd .ekSug wdhq¾fõo fjolu i;= T!IO ixialrK rdYshla ;sfí' wdhq¾fõoSh ms<shï iqúfYaIShs o;a uq,a Èhùu" o;a fi,ùu wd§ wjia:dj,§ oka; uQ,hg iemfhk reêr iemhqu jeä lr .ekSug ff;, j¾. fhdod .kS' úfYaIfhkau ;,f;,a yd bßfïodÈ ff;,h úÿreufia wdf,am lr ;Èka msßue§u isÿl< yel' o;a ue§fuka wk;=rej osklg fojrla muK tfia isÿlsÍu iqÿiqh' fuu f;,a j¾. uqLfha .Eùfuka YÍr.;ù lsisÿ wdid;añl;d ;;a;ajhka we;s fkdfõ' óg wu;rj o;a ue§ug .kakd T!Iëh .=Ke;s l=vq j¾. Ndú;d l< yel' m%;sidrk kñka y÷kajk úfYaIs; wdhq¾fõo m%;sldr l%uhlao we;' fï i|yd December 2020

DOCTOR MAGAZINE

121

D•Magazine /

wdhq¾fõoh oSma;su;a oika fom<lg fya;= jk oka; iqjfi;

T!Iëh l=vq j¾. Wmfhda.S lr.kS' ;jo uqL wNHx." f,am" m%f,am" .KAvQI" lj,.%y jeks úfYaIs; uqL fi!LH m%;sldr l%u ta ta wjia:djkag wkql+, jk whqßka Wmfhda.S lr .ekSfuka wdhq¾fõofha uqL frda.j,g m%;sldr isÿ lrkq ,nhs' uqLhg ys;lr T!IO j¾. j,ska ieliQ uqL fidaok Èhrhlska rd;%S kskaog fmr uqLh fia§u ys;lrhs' oka; fi!Lh iqrlsk wdydr úyrK úgñka iS nyq, wdydr jk fk,a,s" fodvï" foys" kdrx" cïnq" fmar hkd§ foaYSh m,;=re j¾. ks;r wdydrhg .ekSu jeo.;a' ;jo ;o fld< meye;s t<j¿ j¾. Èkm;d wdydrhg .ekSu fhda.Hhs' lsßj;a;=vqj nd,!IOd.drfha woaú;Sh oka; wdrlaIK ksmehqï wdhq wdfrda.H iqj iïm; fjkqfjka mqrd jir 70l muK buy;a fiajhla imhk lsßj;a;v = f q õ nd,!IOd.drh uq¿ uy;a ,dxlslhkaf.a uqL fi!LH /l .ekSu Wfoid T!Iëh .=Kfhka by< oka; pQ¾Khla yd uqL fidaok ksmojd we;' úÿreuia Èhùu o;a uq,a j,ska reêrh hdu" o;a mKqjka lEu" o;a lelalu = " o;aa ysßjeàu" o;a fi,ùu" lg .| .eiSu hk frda. /ilaa iqjlr .; yel' fuu T!IO osjhsk mqrd msyà s ish¿u isxy, fnfy;a wf,úi,a j,ska ,nd.; yel' ;;a;j a dkaú; yd ld¾hlaIu T!IO y÷kajd§fuka ,dxflah ck;dj w;f¾ kula /|jqï tï ã ,sfõßia

122

December 2020

DOCTOR MAGAZINE

wur;=x. iy iud.u foish mkylg wêl jQ l%sñrdc ksIamdok /ila fi!LH iïmkakj ksIamdokh lrñka wka;¾cd;sl ISO:9001:2015 ;;a;aj iy;slho Èkd isá' ;jo úYsIag ksIamdok mßph i|yd jk GMP iy;slho l%sñrdc iud. ug ysñj we;' DM l%sñrdc ksIAmdok i|yd úuiSï uydpd¾h wdhq¾fõo ffjoH iquKr;ak wur;=x. (DASC, BA/PG/PhD.) weï ã ,sfõßia wur;=x. iy mq;%fhda ndf,!IOd.drh" lsßj;a;=vqj ÿrl:kh$*elaia 011 2753 889 Bfï,a krimiraja@sltnet.lk fjí ayurvedakrimiraja.com

doctormagazine.lk

D•Magazine /

wdhq¾fõoh oshjeähdfjka ksÜgdjg iqjh i,ik mdrïmßl fjouy;auhd

oshjeähdfjka ksÜgdjg iqjh i,ik mdrïmßl fjouy;auhd Èhjeähd frda.Ska fï lshk úosyg wdydr .uq'''

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

thska frda.h md,kh jk m<uq fnfy;a jäh ,efnkjd'''

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

md,khlska f;drj wdydr wkqNjh Èhjeähdj ye§ug tla uQ,sl fya;=jla fjhs' tfia kï m%:ufhkau l< hq;af;a wdydr md,khhs'

wfkl=;a OdkH j¾. ;," W÷" fld,a¨" l=rlalka" uqxweg" lv," lõms"

124

December 2020

DOCTOR MAGAZINE

doctormagazine.lk

;Kyd,a" ´¨‍weg" n;a fufkaß" hjyd,a" nd¾,s j;=r wu;rj .kakd wdydr fjhs' uE;loS fj<|fmd< wdl%uKh l< cdk ;dlaIKfhka yªkajd ÿka OdkH fjf;d;a tajd wkqÑ; fõ' Èhjeähdj frda.Skag iqÿiq fkdjk t<j¿ j¾. t<ngq" ;síngq" ;s;a; ;síngq" ;lald,s" oU," flfi,auqy" fkdaflda,a" f.dajd" ;=U lrú," ngq lrú," fouqyqka lrú," uE lr,a" j÷re uE" r;= Ækq" weU/,a,d" wkakdis" rglcq" ySkafndaúáhd" fld< ue,a¨‍ï le|" jerksh o¨‍ iïfnda," f;nq o¿" fldia uÿ¨‍" lxl=ka" l;=reuqrex.d u,a yd fld<" lsß w.=Kfld<" w.=Kfld<" lsßw," bkak," rg w," f.dgqfld<" msms[a[d" lelsß" ;s;a; ,nq"wÜálald f.ä" fmdf,dia .eg" rg fo,a" j,a fo,a" .eg;=U" lvqmyr" jïngq" nKavlald" ksú;s hk wdydr oshjeähd frda.Skag iqÿiq fkdfõ' wfkl=;a t<j¿ ish,a,u fyd|hs' oshjeähd frda.SkAg iqÿiq m,;=re j¾. me‚ flduvq" wU" wkakdis" bÿKq w¿ flfi,a" weUq,a flfi,a" iqj|e,a" flda,sl=Ügq" weïnqka" j,a iqjfo,a" kdrx" cukdrx" foys" f,ka foys" je,afodvï" lcq" wU/,a,d" fmar" ;lald,s" jrld" Èjq,a" fn,s" W.=/iai" f,dú" ysUqgq" udox" m¨"‍ ùr" ySka lv," lel=K we" uo wuq fk,a,s" .ia ,nq" uex.=ia" iemÈ,a," fo¿ï" rTqgka" wd;a; ^wfkdaod& wÜálald f.ä" ndf.g bÿKq m,;=re" weUq,a ri ;sìh§ .kak Èhjeähdj frda.Skag iqÿiq mdk j¾. fn,s u,a ;ïnd fndkak' rKjrd u,a" ySka fndaúáhd iyuq,ska úh<d ;ïnd fndkak' l=re÷ fmd;=" fjksje,a.eg" fldfydU fmd;=" fk,a,s" ;s;a; ls|" rils|" bruqiq" fldams" f;a lyg" l=ß[a[x" uianeoao" bÕ=‍re" fld;a;u,a,s" j,a fld;a;u,a,s" ks,a msgjlald" fld;, ysUqgq" udox weg Èhjeähdj frda.Skag iqÿiq le| j¾. hlskdrx fld< le|" ySkafndaúáhd fld<" fnfy;a wfkdaod fld<" uianeoao fld<" t<ngq fld<" f;dá, fmd;=" f.dgq fld<" fn,s fld<" yd;djdßh fld<" t,msgjlald" bruqiq fld<" fudKrl=vqïìh" Èjq,a fld<" lrmsxp fld<" rKjrd fld<" je,afmk," uqiaiekao" nla ó fmd;=" Èjq,a fmd;=" Èhn;a le|

doctormagazine.lk

Èhjeähdj frda.Skag iqÿiq ue,a¨‍ï j¾. lsßw.=k fld<" l=ß[a[x fld<" rKjrd o¿" lr fld<" ue,a, fld<" meIka fld<" uql=Kqjekak" f.dgqfld<" l;=reuqrex.d fld<" u[af[dlald fld<" fudKrl=vqïìh fld<" .sß;s,a, o¿" ySkafndaúáh o¿" fldys, o¨‍ Èhjeähdj frda.Skag iqÿiq iïfnda, j¾. fmd,aiïfnda, f.dgqfld<" uql=Kqjekak" l;=re uqrex.d o¿| iqÿ y÷ka o¨‍" je,a fmfk, fld<" f;nq o¿" ;=U o¿" fldys, o¿" jer‚hd o¿" idrK fld<" lrmsxp fld<" r;= Ækq fld<" wifudao.ï fld<' Èhjeähdj frda.Skag iqÿiq udxY j¾. l=vd ud¿ j¾." f,dl= ud¿ lkjd kï" iu fyd¢ka bj;a l< hq;= fõ' l=l=,a uia" ì;a;r b;d wvqfjka lkak Èhjeähdj frda.Skag iqÿiq msÜgq j¾. l=rlalka msÜgq" uvq msÜgq" yd,a msÜgq" r;= lel=¿ yd,a msÜgq l=¿nvq j¾. fkdfyd;a foaYSh rildrl lrmsxp" .ïñßia" bÕ=‍re" ly" wn" iqÿÆkq" r;=Ækq" foys" kdrx" W¨‍yd,a" tkid,a" lrdnq keá" l=re÷" fld;a;u,a,s"

December 2020

DOCTOR MAGAZINE

125

D•Magazine /

wdhq¾fõoh oshjeähdfjka ksÜgdjg iqjh i,ik mdrïmßl fjouy;auhd

wdhq¾fõofha oshjeähd wdydr ks¾jpkh jkafka lm fodaIh ksjdrKh lrk wdydr hkqfjkqhs' fmdaIK .=Kfhka idr tfy;a le,ß w.hka wvq wdydr oshjeähdfjka fmf<k whf.a m%uqL f;aÍu úh hq;=h'

f.drld" iQÿre" ñßia" Èh ¨‍Kq" ishU,d" rïfma" fiar" udÿre wdoS iajNdúl rildrl fh§fuka ,efnk .=K fndfydah' fï iajdNdúl rildrl j,ska wdydr reÑh we;s lrhs' l=i.skak o,ajhs' wdydr Èrùu myiq lrjhs' wdydr rih Wrd .ekSuo myiq lrjhs' wdydr Èrùfï § we;sjk úI fldgia ^wduh& wvq lrhs' fiu ^l¿& kid ;rndrej wvq lrhs' l=¿nvq" fiu wvq lr nv.skak o,ajk ksid Èhjeähdjg b;d ys;lrh'

126

December 2020

Èhjeähdj frda.Skag wdydr .ekSug fmdÿ Wmfoia 1' i;aj wdydr .kafka kï b;d wvq m%udKhlska .kak' 2' yels;dla wuqfjka .; yels wdydr wuqfjka .kak' 3' b;d fyd¢ka Y=oO a l< ^msßmyÿ l<& wdydr wvqfjka .kak' 4' l=reÜg iys; OdkH wdydr jeämqr .kak' 5' msiQ t<j¿ fjkqjg wuq t<j¿ iy wuq t<j¿ hqI wdydrhg .ekSu b;d fyd|hs DM

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

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

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

Emami GOLD Turmeric Range úIîc j,ska f;dr oE;lg úYajdifhka uÕ fmkajk budñ f.da,aâ

úIîc j,ska f;dr oE;lg úYajdifhka uÕ fmkajk

budñ f.da,aâ Emami GOLD Turmeric Range COVID-19 ffjrih uq¿ f,dalhu ;e;s .ekaùug ,la lr we;s ;;a;ajhla ;=<" tys we;s wjodku wjfndaO lr .ksñka Bg id¾:lj uqyqK §ug Y%S ,dxflah ck;dj fj; we;s Yla;sh j¾Okh lr ,Sfï wruq‚ka bkaÿ ,xld ^mqoa& iud.u fj;ska zzbudñ f.da,aâ g¾ußlaZZ (Emami Gold Turmeric) kduh hgf;a kduh hgf;a yEkaâ ieksghsi¾" yEkaâ fjdIa" inka hk ksIamdok ;%s;ajhla y÷kajd §ug fhduqúh'

úIîc keiSu uQ,sl ld¾hh lr.ksñka ksIamdokh lrkq ,nk fuu wk.s ksIamdok ;%s;ajh mdrïmßlj wm úiska úIîc kdYlhla f,i Ndú;d lrk zzlyZZ Wmfhda.S lr .ksñka ksIamdokh lr ;sîu úfYaI;ajhls' Y%S ,dxlslhka jYfhka wm zzlyZZ ndysr mßirfha úIîc keiSug fukau wdydrhg uqiq lsÍu ;=<ska wmf.a YÍrfha m%;sYla;slrKh j¾Okh lr .ekSug;a" wdydr j¾Kj;a lr .ekSug;a Wmfhda.S lr.kS' tf,i by< m%;sM, w;alr fok zlyZ wdY%fhka y÷kajdfokq ,enQ fuu ksIamdok fm<" mdßfNda.sl ck;dj fj; iïmQ¾K msßisÿ lsÍula fukau mßmQ¾K wdrCIdjla iy;sl lsÍug iu;a ùu;a iqúfYaIS lreKls' ;jo fm!oa.,sl wdrCIdjg m%uqL;ajhla imhñka cd;sl ld¾hhl ksr; úh hq;= fudfyd;l" fujeks ksIamdok ;=<ska mdßfNda.sl ck;dj fj; ish wdrCIdj ;yjqre lr .ekSu i|yd imhkafka mq¿,a jQ wjldYhls'

doctormagazine.lk

December 2020

DOCTOR MAGAZINE

127

D•Magazine /

Emami GOLD Turmeric Range úIîc j,ska f;dr oE;lg úYajdifhka uÕ fmkajk budñ f.da,aâ

mQ¾K /ljrKhg" budñ f.da,aâ g¾ußla yEkaâ ieksghsi¾ Emami Gold Turmeric Sanitizer fujeks wjia:dj,§ myiqfjka Ndú; l< yels fuu budñ f.da,aâ g¾ußla yEkaâ ieksghsi¾ u.ska id¾:l whqßka úIîc j,ska wdrCId ùfï wjia:dj Wodfjhs' úfYaIfhka Y%S ,xld m%ñ;s wdh;kfha (SLSI) wkqu; 75] l we,afldfyd,a m%;sY;hlska hq;= zzbudñ f.da,aâ g¾ußla yEkaâ ieksghsi¾ZZ tys wka;¾.; zlyZ uÕska 99'9]lska oE;a j, we;s úIîc úkdY lrkq ,nhs' ;jo fuys wka;¾.; zfldaudßldZ u.ska ifï f;;ukh wdrCId lrñka iu úh<Su j<ld,kq ,nk w;r" fuu fya;=j ksidu orejkaf.a iugo fuh jvd;a fhda.H fõ' kejqï iqj|lskao hq;a fuu ksIamdokh" Tfí oE; uDÿj fukau wdrCIdldÍ whqßka ;nd.ksñka Tnf.a ffoksl ld¾hhka úYajikSh;ajfhka hq;=j lr .ekSfï miqìu ks¾udKh lr fokq we;'

128

December 2020

iïmQ¾K w;a fiaÿulg budñ f.da,aâ g¾ußla yEkaâfjdIa Emami Gold Turmeric Hand Wash wm fndfyda úg ndysr mßirh iu. iam¾Y jkafka oE;aj,sks' fï ksid oE;aj, msßisÿ nj b;d jeo.;a fõ' fuys§ úIîcj,ska fukau úúO jQ wmøjH YÍr.; ùu j<ld,Su fjkqfjka ksIamdokh lr we;s id¾:l w;afiaÿï ksIamdokhla f,i budñ f.da,aâ g¾ußla yEkaâ fjdIa oelaúh yelsh' lyj, wka;¾.; úIîckdYl .=Kh iu.ska 99'9]l fiaÿï ld¾hhlg u. fmkajk fuu ksIamdokhla budñ wdh;kh fj;ska y÷kajd§ we;' budñ f.da,aâ g¾ußla inka Emami Gold Turmeric Bathing Soap fíÈka nd¾ iy inka j, we;s fjki jkafka tys wka;¾.; TFM w.hhs' úfYaIfhka TFM w.h by< uÜgul mej;Su ifï ys;lr njg jf.au fíÈka nd¾ j,g jvd Èk .Kkdjla Ndú; lsÍugo fya;=jk lreKls' idudkH fíÈka nd¾ ksIamdokhl TFM w.h 60] la muK jk w;r" budñ f.da,aâ g¾ußla inkays TFM m%;sY;h 76] l m%udKhla .kS' tneúka budñ f.da,aâ g¾ußla inka j,ska ukd fmk keÕ=ula iu.ska id¾:l msßisÿ lsÍulg u. ilihs' ;jo ly u.ska 99'99] l úIîc kdYl .=Khla fuhg tlalr we;s w;r" m%ikak iqj| iu.ska Tng wdYajdokSh iakdkhlg wjia:dj ,nd § we;' DM wf,úh( budñ bkaÿ ,xld ^mqoa& iud.u" 200" ¨laukað p;=rY%h" fld<U 14'

ÿrl:k( 0112 432 675

DOCTOR MAGAZINE

doctormagazine.lk