Doctor Magazine February 2021

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

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BLOOD CANCERS reêr.; ms<sld iïnkaO uQ,sl ye|skaùula udkj b;sydifha úYd,;u tkak;alrK jevigyk wfma l%slÜ l%Svlhka l%Svd wdmod j,g ,la fjkjd jeähs'''

ISBN-1391 1341

9 7 7 13 91 13 400 1

RS 180 (VAT INCL) doctormagazine.lk

Schizophrenia Nskafkdkaudoh

Regular

Editors Note 6 Health News 8 Laboratory Tests Explained jrla COVID-19 je<÷KQ wh tkak; ,nd.; hq;=o@ fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿ wdisß frday,a iuQyfha ridhkd.dr wOHlaI kS,a m%sh;a fcdaka 81

What You Need to Know About Your Egg Quality and Quantity ore iïm;a m%udo ùug fya;=

Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s 97 Features

reêr.; ms<sld iïnkaO uQ,sl ye|skaùula idhksl rla;fõo úfYaI{ ffjoH iuka fyajdudk 19

What Causes Non-Healing Foot Ulcers? mdofha iqj fkdjk ;=jd, we;s jkakg fya;= ffjoH fla;lS m,syjvk 41

m%;sÔjl yd m%;slaIqøcSù ix>gl .ek o; hq;= foa" l< hq;= foa yd fkdl< hq;= foa'''

Classic Cricket Injuries l%Svdj iy fN!; Ñls;aidj

idhksl laIqøcSù úfYaI{ ffjoH frdaysŒ jvkïì 46

ßcafõ wd¾hd <ud frdayf,a fN!; Ñls;ail wêldß cd,sh Wvqje,a, 30

Computer Vision Syndrome Tka,hska tflka bf.k .kak .syska orejkag ke;s weia f,v ud;r uy frdayf,a wlaIs Y,H úfYaI{ ffjoH m%shx. boaofj, 34

February 2021

nÿ,a, m<d;a uy frdayf,a uqL" yKQl yd jla;% úfYAI{ ffjoH nqoaêl oikdhl 37

óhd tkfmdg yß kE@ jir y;lg miq jeäu ó WK frda.Ska miq.sh j¾Ifha''' 13

idhksl l<,fõo úfYAI{ ffjoH fy<rejka mikal=udr 52

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msßñka w;r jvd;a iq,n uqL ms<sldj nq,;aúg lEu jeä fofkl=g uqL ms<sldj je<|Sug fya;=jhs

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Savant syndrome úúO NdId w;s olaI f,i l;dlrk l=vd orejka .ek <ud ufkda ffjoH woyilaæ <ud iy fhdjqka uki ms<sn| úfYaI{ ffjoH ñhqre pkaøodi 58

What are gallstones and how to treat them? ueos jhfia ldka;djka w;r iq,n ms;; a dYfha .,a Y,H frda. úfYAI{ ffjoH m%fudaoa pkaøisxy 60

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ld,hla ;siafia jo fõokd ÿka fmaYs fõokdjka iqj lrk fN!;Ñls;ail m%;sldr fma%rl ,laIH úls;aidj fN!;Ñls;ail liqka niakdhl 66

fldaúâ tkak;" ÿmam;a wms iy COVAX ikaOdkfha udkqISh fufyjr f,dalfha yefudagu wdrlaIdj ,nd fokakg Wvq.x n,d lrk fufyhqu

.eìKs ujf.a ;=kal,a wdydr isß; fld<U úYAj úoHd,hSh foaYSh ffjoH úoHdh;kfha fcHaIAG lÓldpd¾h ffjoH fl!uos lreKdf.dv 114

ffjoH ,ysre fldä;=jlal= ffjoH úoHd mYapd;a Wmdê wdh;kh 94

wdhq¾fõoh mSkia iqjhg fydañfhdam;s fydañfhdam;s ffjoH wkQId fyaul=udß 103

Nuclear Medicine Scintigraphy wdudYfha frda. .ek úuik kHIaÀl mÍlaIK

weÕ ksjk" iú jvk oshn;a wï, ms;a;h fkdfyd;a .eiag%hsáia j,g osj Tiqjla''' wdhq¾fõo ffjoH cSjka; we,af,fmd, 107

world largest vaccine campaign ever udkj b;sydifha úYd,;u tkak;alrK jevigyk 75

Photo Story 92 4

February 2021

ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKavdr 116

ffjria frda.hla jk fiïm%;sYHdj iy WK fkdi,ld yßkak tmd

kHIaál ffjoH ;dlaIKfõ§ Ydu,a bkaÈl o is,ajd 71

fldúâ tkak; wmg;a yq,x o@ fldúâ tkak;''' wjYH m%udKhg jvd fo;=ka .=Khla jeäfhka zzwe;af;daZZ fjka lrf.k''' 88

uOqksud uyú, ,sms irKsh wdhq¾fõoh oshjeähd frda.Ska ksÜgdjg iqj lrkafka fufyuhs'''

l%sñrdc T!IOd,h wêm;s uydpd¾h" ffjoH iquKr;ak wur;=x. 120

fjkaáf,agrh" uhskyu yd kjH ffjoH ;dlaIKh úÿyqre kùk ffjoH fuj<ï wef,dam;s ffjoH l%ufha nQo, ffjoH veksiag¾ t,a' fmf¾rd 110

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uu fldfrdakd osk ;=fkka ksÜgdjg iqj lrkjd''' uf.a fnfy;a vqndhs rfÜ ,dxlslhka mdúÉÑ lr fldfrdakdfjka iqjm;a jqKd''' .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd, 124

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EDITOR'S NOTE ;Skÿ a ;SrK .ekSug wms" l,a w,a,kj jeäo ukao@ fldúâ jix.;h yuqfõ oeka ;j;a tla ;SrKd;aul ld,mßÉfPaohla Wod ù we;ehs isf;a' fï ,shk fudfyd; jk úg f,dalfha ñksik q a 90"759"370 fofkla fldúâ jix.;hg f.dÿre fj,dh' fï ksid wkfmalI a ; s j fï f,dalfhka iuq .kakg isÿjQ mqo. a ,hka ixLHdj 1"963"169ls' (Globally, as

of 11:49am CET, 14 January 2021, there have been 90,759,370 confirmed cases of COVID-19, including 1,963,169 deaths, reported to WHO.)

wfma rfÜ kï fï ,shk fudfyd; jk úg 50"229la wdidos;hka njg m;aj wjikah' isÿj we;s urK ixLHdj 247la njg igyka fõ' ud ,shk foa Tn lshjk fudfyd; jk úg fï ixLHdf,aLK fudk ;rï krl úosyg jeä fõoehs lsif s jl=g mqfrdal:kh lrkakg neßh' wfma rfÜ fï l%h s d;aul jkafka fldúâ jix.;fha fofjks /,a,hs' m<uq /,a, wmg f,dalfhkau Woï weksh yels ;;a;j a hla Wod lr ÿka w;r fofjks /,a, Bg yd;amisku a fjkia ;¾ckd;aul iajrEmhla .;af;ah' wfma rfÜ Tlaf;dan¾ 14 ;odikakfhaoS fofjks /,a, wdrïN jk úg uq¿ rfgkau jd¾;d ù ;snf q Ka wdidos;hka 3"396ls' uq¿ urK ixLHdj 13lg iSud úh' m<uq /,af,a wmg ;snK q Q jdish fï jk úg iïmQ¾Kfhkau .s,y s S wjikah' m<uq /,a,g jvd ;Sj% fõ.hlska fofjks /,a, n,.ekaù ;sfnk w;r rfÜ ck cSú;h wl¾ukH fkdjk fia fiajdjka mj;ajd

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February 2021

.ekSug;a wd¾Ólh wdrlaId lr .ekSug;a we;s jqjuKdj u; kj idudkHlrKhlg rg wj;S¾K ù ;sfí' idudkHlrkfhaoAS ;Skÿ a .; hq;f a ;a kqjKska úuid n,ñks' ixpdrlhka kej; f.kaùu jeks ldrKd .ek kej; is;d ne,sh hq;= w;r fldúâ jix.;h tkak tkaku oreKQ jk miqìula ;=< wm jvd;a nqoê a u;aj kj idudkHlrkfha lghq;= l< hq;h = ' fï ,shk fudfyd; jk úg;a wmg f.kajk tkak; .ek iaÓr ;Skÿ a jla ke;' reishdfjka" bkaoh s dfjka yd Bfh fmf¾od Ökfhka tkak;a f.kaùug we;s bvlv wmf.a fi!LH wxY fidhd n,k ,oS' fï t<U we;af;a udkj b;sydifha úYd,;u tkak;alrK jevigykhs' wfma wi,ajeis bkaoh s dj fï jk úg;a ck;dj tkak;a lsÍfï jevigyk n,.kajd ;sfí' fjfklla ;nd wi,ajeis nx.a,dfoaYh fï udih ;=<oS tkak;a ñ,shk myla ck;djg ,ndoSug wjYh lghq;= iïmdokh lrñka isà' fkamd,fha T!IO kshduk wêldrsh tkak;a ksIm A dolhka yg f,aLK.; jk f,i b,a,d ;sfnk w;r trg rch ishhg 72l ck;djla läuqäfha tkak;a j,ska wdrlaId lsru S g mshjr .ksñka isáhs' mlsi; a dkh Ökfha ksIm A dos; isfkdjela tkak; ud;%d ñ,shkhla oekgu;a weKjqï lr wjikah' wfma T!IO kshduk wêldßh tkak;a wëlaIKhg wjYH f;dr;=re fï jk úg ilia lrñka isák w;r T!IO kshduk wêldßh ks¾foaY lrk tkak;a f.kaùug rch läuqäfha lghq;= lrk nj jd¾;d fjhs' tfy;a wmg jeä fõ.hlska fmdÿ i;=rd l%h s d;aul fjñka isà' fï ksid fï lghq;= ;j;a jeä fõ.hla r|jd.; hq;h = hkak uOHia: W.;=kf a .a" nqoê a u;=kf a .a fukau ck;djf.ao woyihs' kS;s iïmdokh lrk md¾,sfïka;j = go fldúâ w; jk,dh' ksrka;rfhka ck;djg wdrlaId jkakg Wmfoia fok ffjoHjrekao W.=f,a yiqj ;sfnk nj fmfka' lreKQ fufia jk l< uyck;dj flfia wdrlaIdjla i,id .; hq;o = hkak m%Yk A iy.;h' fï fkdj,yd ;Skÿ a ;SrK .; hq;= fydardjhs' úpdrYS,j S lghq;= l< hq;= wjia:djhs' fi!LH wxY yereKQ úg ;j;a fndfyda ks,orejka wdrlaIl wxYo yd foaYmd,k wêldßho ;Skÿ a ;SrK .kakd lKAvdhu ksfhdackh lrk wNsfhda.d;aul fudfyd;l ld,fha jdish;a iu.ska Wvq.x n,d hñka fldúâ ;¾ckh ch .ekSug yels fõjdh hkak ck;djf.a me;=uhs" DM

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

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

Dr Chandana Sri Kanakaratna Geriatrician, Physician

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

Dr. Samantha kumara Kitalawaarachchi Dr Palitha Bandara Subasingha Dr Nalaka Ranasingha Dr Janaka Premathilaka Dr Devinda Dayarathna Mr Sanjaya De Silva Mr S M D Senevirathna Ms Hashini Himanshika Maheshani Bandara CREATIVE PRODUCTION Manjula Kumara Gamage 077 1 2424 08 WEB ADMINISTRATOR Dumindu Dissanayake PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda.

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

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February 2021

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

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News ,dxflah wdydr yd fmdaIK ks¾foaY hdj;ald,Sk fjhs

,dxflah wdydr yd fmdaIK ks¾foaY hdj;ald,Sk fjhs f,dal wdydr yd lDIsl¾u ixúOdkfha wkq.%yfhka fi!LH" fmdaIK yd foaYSh ffjoH wud;HxYh úiska Y%S ,xldfõ wdydr mdol fmdaIK ud¾f.damfoaYK ix.%yfha kj;u hdj;ald,Skhla Sri Lanka Food-Based Dietary Guidelines (FBDGs) miq.shod t<solajk ,oS'

rglg wkkH jQ wdydr mdol fmdaIK ud¾f.damfoaYK (FBDGs) hï rgl ck;djf.a fi!LHiïmkak wdydr isß;la i|yd bjy,a jk m%fhdackj;a w;sYh jeo.;a fuj<ula jk nj f,dal yd wdydr yd lDIsl¾u ixúOdkh yd f,dal fi!LH ixúOdkh FAO/WHO úiska fmkajd fok ,o w;r tjka ud¾f.damfoaYKhla t<soelaùug mqfrda.dó jQ rgj,a w;f,diai w;rg Y%S ,xldjo tlaj ;sfí' wdydr mdol fmdaIK ud¾f.damfoaYK u.ska ck;djf.a wdydr yd fmdaIKh" fi!LH yd lDIsld¾ñl m%;sm;a;ska mdol lr.;a wdydr ud¾f.damfoaYKhka tu rgg yªkajd fohs' tu.ska uyck;djg wjYH fmdaIKh ie,iSfuys,d wdydr iïnkaO Wmfoia imhk w;r f,v frda. j,ska wdrlaId ùug WmldÍ jk whqßka wdydr ldKAv yd fmdaIK rgdjka iïnkaOfhkao f;dr;=re imhhs' wfma rfÜ m%:u jrg wdydr ud¾f.damfoaYKhla t<soelajQfha 2002 j¾IfhaoSh' tys m%:u hdj;ald,Sk ud¾f.damfoaYKh 2011 j¾IfhaoS t<soelajQ w;r miq.shod ksl=;a jQfha tys f;jk ixialrKhhs' kj;u ud¾f.damfoaYKh iïnkaOfhka woyia oelajQ fi!LH wud;HxYfha ^uyck fi!LH& ksfhdacH wOHlaI ckrd,a ffjoH iqiS fmf¾rd fufia woyia oelaùh' zzfï ud¾f.damfoaYK

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February 2021

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ix.%yh ms<f s h, lsrf S ïoS úúO md¾YAjlrejka úiska isÿlrk ,o wOHhk" m¾fhaIK" woyia oelaùï weiqre lrf.k jvd;a mßiudma; ud¾f.damfoaYKhla iïmdokh lsÍug buy;a fjfyila f.k ;sfnkjd' fuys we;s laIKsl ks¾osIG A ud¾f.damfoaYK (Quick Reference Guide) ck;djg fmdaIK f;dr;=re läkñka iemhSfuys,d iqúfYaIs ld¾hNdrhla isÿ lrKQ we;s' fï f;dr;=re j,ska uyck;dj fmdaIKh lsÍfuys,d tajd iudc.; lsÍuo tlfia jeo.;a jkafkah''ZZ hkqfjka m%ldY l<dh' fuu wdydr mdol fmdaIK ud¾f.damfoaYK ix.%yh úúO wud;HxY" úYAj úoHd," fmdaIK ix.ï" yd wdh;k" mdßfNda.l s yd rdcH fkdjk ixúOdk iu. l;sldj;l fhoSfuka yd úoaj;a md¾Yaj WmfoaYl;ajh ,nñka fi!LH wud;HxYfha fmdaIK tallh úiska ms<f s h, lrk ,o w;r th fi!LH wud;HxY fjâ wvúfha fmdaIK tallh yd ine|sj Tng;a ,nd.; yels jkq we;' fi!LH wud;HxYfha w;sf¾l f,alï ^uyck fi!LH& ffjoH ,laIñ a fidau;=x. kj;u Y%S ,xld fmdaIK ud¾f.damfoaYK we;=<;a fjí wvúh újD; l< wjia:dj' ksfhdacH wOHlaI ckrd,a ^uyck fi!LH& ffjoH tÉ tia wd¾ fmf¾rd" fmdaIK tallfha wOHlaI ffjoH ,lañKs uf.daor;ak" ffjoH hfidaud ùrfialr" ffjoH wfkdaud niakdhl fï wjia:djg iyNd.s úh' DM

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News tkak;g;a jeä úYajdihla m‍%;sYla;slrK moaO;sh Yla;su;aj ;nd .ekSug ;nd.kak

Want a defense against COVID-19? Strengthen your immune system

<ud iakdhq frda. úfYaI{ ffjoH wkqreoaO mdfoksh ^idlÉPdjlsks&

tkak;g;a jeä úYajdihla m‍%;sYla;slrK moaO;sh Yla;su;aj ;nd .ekSug ;nd.kak meie,a orejkaf.a fi!LHiïmkakNdjh fjkqfjka idOKSh jevms<sfj,la mdie,a j,g yªkajd fokakg wm n,dfmdfrd;a;=fjka bkakjd'''

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oeka yefudau fldúâ 19 frda.h ch .ekSug tkak;la fhdod.ekSu iïnkaOfhka l;dny lrkjd' wfma rfg;a m%fhdackh i|yd tajd weKjqï lsÍfï l%shdoduh fï jk úg;a n,.ekaú,d' tkak;a iïnkaOfhka uq¿ uy;a f,dalfhau wfmalaId oe,aú,d' ta;a tkak;la .ek f,dl=jg úYAjdih ;shd.kakjdg jvd wfma m%;sYla;slrK moaO;sh Yla;su;a lr.ksñka fï fnda jk frda. j,g uqyqK oSu ;uhs jvd;a keKj;a ;SrKh' thhs wfma uqLH wruqK úh hq;af;a' fï jk úg tkak;a lsysmhla .eku l;dny ;sfnkjd' ta;a fï iEu tkak;lau läuqäfha Ndú;hg wjir ÿka taj' fï úosyg wiïmQ¾K l%shdj,shla ;=< läuqäfha n,.ekajqKQ tkak;la .ek úYajdihla ;nkjdg jvd ;ukaf. m‍%;sYla;slrK moaO;sh Yla;su;aj ;nd .ekSu u; fldúâ ffjria frda.hg iy wfkl=;a fnda fkdjk frda. j,ska fíÍ isàug udj; újr jkafka hhs rcfha ffjoH ks,OdÍkaf.a ix.ufha iNdm;s úfYaI{ ffjoH wkqreoaO mdfoksh uy;d mejiSh'

February 2021

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News tkak;g;a jeä úYajdihla m‍%;sYla;slrK moaO;sh Yla;su;aj ;nd .ekSug ;nd.kak

wfma m%;sYla;slrK moaO;sh iúy;a lrk wdydr iuyrla

.d,a, Èia;‍%sla jD;a;Shfõ§kaf.a ix.uh iy ish;aud ixúOdkh tlaj ms,dk uqo,sf.a W;aij Yd,dfõ mej;s zzji úi ke;s rgla" msìfok fyglaZZ uefhka foaYkhla mj;ajñka mdfoksh uy;d fï woyia m%ldY lf<ah' f,dal fi!LH ixúOdkh oekg tkak;a y;rla iïnkaOfhka ks¾foaY bÈßm;a lr, ;sfhkjd' ta ish,a, w;ayod ne,Sï ;;a;ajfha ;sfhkafka' ta;a Woa.;j we;s ;;a;ajh u; zzyosis Ndú;hZZ lsh, tkak;a lrkak wjir ,ndf.k ;sfnkjd' ta wkqj f,dalfha oekg tkak;a ,laI úiaila ck;djg §, ;sfhkj' fï tkak;a m‍%;sM,odhl fjhso@ m‍%;sfoay ckkh fldhs wdldrfhka isÿfjhso@ lshk tl ms<sn| ;ju wOHhkh lrñka mj;skafka' ta wOHhk id¾:l jqjfyd;a tkak;ska id¾:lNdjhla ,efnkjd' iuyr úg m‍%;sfoay ckkh fyd¢ka isÿ fkdjqfKd;a fyda th iuyr úg fvx.= j,g yomq tkak; jdf.a frda.h wvq lsÍug odhl fkdjqfjd;a fï tkak; M<la ke;s fjkak;a mq¿jka' oeka úfYaIfhka iuyr cd;sl úNd. l,a oeóu ksid ta <uhska f,dl= mSvdjlg m;ajQ ;;a;ajhla we;sù ;sfnkjd' mdi,a ke;=j <uhs f.or bkak fldg;a .eg¿ ;sfhkjd' wms taj ie<ls,a,g .; hq;=hs' ta whf.a b.ekaùfï lghq;= iuyr fj,djg ;dlaIKh mdúÉÑ lr, lrk úg th;a iuyr úg ksfrda.S lug ndOdjla fjkak mq¿jka' tfiau udkisl wd;;sh jeks ;;a;aj;a we;súh yelshs' fï ish,a, i<l< wms .kafka wjodku wvqu ;SrKhhs' fï ;;a;aj idfmalaIj úuiñka mdi,a weÍug rch ;SrKh lf<a tfyuhs' orejkag fï frda.h iE§u j<lajd .kak w;a fia§u" ÿria:Ndjh mj;ajd .ekSu fjk;a fi!LHuh mshjr 10

February 2021

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.ekSu l< hq;a;la' tfiau orejkaf.a m‍%;sYla;slrK moaO;sh Yla;su;a lsÍu flfryS;a mshjr .; hq;=hs' th ;uhs wkd.;h .ek i<lk úg .; hq;= fyd|u" ;sridr úiªu' wms ffjoHjreka úosyg b,a,Sula lr, ;sfhkj wOHdmk wud;HdxYh iu. jevigykla osh;a lsÍug' m<uq foh ;uhs orejka fi!LHiïmkak jQ wdydr muKla .ekSug yqre lsÍu' ta iïnkaOfhka 2001 j¾Ifha ksl=;a jQ pl%f,aLkhl=;a ;sfhkkjd' me‚îu bj;a lrkakg;a ta i|yd c,h iy ;eô,s jeks foaYSh mdkhka m‍%j¾Okh lsÍug lghq;= lrkj' tfiau úfoaYSh lsßmsá fjkqjg orejkag foaYSh mdrïmßl iy,a iy OdkH j,ska yomq le| j¾. m‍%j¾Okh lrkakg;a wms lghq;= lrkjd' wfma m%;sYla;slrK moaO;sh Yla;su;a lrk l%shdud¾. ² m%udKj;a kskaola ,nd .ekSu ² iu;=,s; fndcqkla ,nd.ekSu ² l%shdYS,S" jHdhdu isß;la mj;ajd .ekSu ² m%udKj;a c,h mdkhg .ekSu ² oshjeähdj md,khl .nd .ekSu yd reêr mSvkh ys;lr w.hkayS mj;ajd .ekSu ² ks¾foaYs; tkak;a l,g fõ,djg ,nd .ekSu ² u;ameka y;aøjH j,ska je<lS isàu ² uki msßmqkaj" ksoyiaj ;nd .ekSu ² Tfí wdorKShhka yd hym;a in|;djhka mj;ajd .ekSu DM

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News wfma rfÜ jir oyhla ;=< wïu,d 8"90"000la j|lr,d'''

wfma rfÜ jir oyhla ;=< wïu,d 8"90"000la j|lr,d''' fndÿ n, fiakd ixúOdkfha uyf,alï .,f.dvw;af;a {dkidr ysñ

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rdcH fkdjk ixúOdk folla yd rdcH ueÈy;aùu u; miq.sh oYlfha muKla fï rfÜ isxy, orejka 8"90"000la j|lr we;ehs fndÿ n, fiakd ixúOdkfha uy f,alï .,f.dvw;af;a {dkidr ysñfhda mji;s' tys § jeä ÿrg;a woyia olajñka Wkajykafia fufia o lSy' zzmq;a;d j;a;= ukqiaidkxZZ fï f,dafla ñksiaiqkag ;sfhk tlu ñ, l< fkdyels jia;=j orefjda' ta nj f,daflg lshdmq Ydia;Djrhd nqÿyduqÿrefjda'

February 2021

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News wfma rfÜ jir oyhla ;=< wïu,d 8"90"000la j|lr,d'''

Tn okakjdo myq.sh wjqreÿ 10g fï rfÜ isxy, orefjda 8"90"000 j| lr,d ;sfhkjd' fmdä m‍%udKhla fkfuhs' wdh;k folla iïnkaO lrf.k fïl lr,d ;sfhkafka' tx.,ka;fha yd fkda¾fõ wdOdr ,n,d 1973 wjqreoafoa mgka .;a;" ta wh ;uhs fï zzmqxÑ mjq, r;a;rkaZZ lshk ixl,amh f.kdfj' f,dalfha ta iufha mej;S ck.ykh md,kh lsÍfï jevms<sfj< wkqj' 1973 yomq mkf;a fudloao lsh,d ;sfhkafka@ wjqreÿ 26 iïmQ¾K kï" ldka;djla orefjda fokafkla yo,d bkakjd kï ks, jYfhka wjirh ,efnkjd t;kska tydg t,awd¾à ie;alu lr.kak' ta lshkafka orefjda ´k kE' j| ie;alï lr.kak' fï rdcH fkdjk ixúOdk fol rdcHfhao ueÈy;aùu we;=j fïl lf<a' fu;k bkafka ;reK wïu,d' ;j orefjda yokak mq¿jka' fï uy fmd<j orejka b,a,kjd'

12

February 2021

fï r;a;rx wïu,d f;areï .kak uõ moúh lsh,d lshkafka fï f,dafla ;sfhk W;=ïu moúh' nqÿjre" kìjre" fYa%IaG kdhlfhda" md,lfhda fï ljqre;a ìys lrkafka wïu,d' ta ksid uõ moúh lshkafka yßu W;a;Í;r tlla' uu uyskao rdcmlaI uy;a;hdg lsõjd' yeu wdKavqfõu uy tjqkag lsõjd' mhsfilg .Kka .;af;a kE' .fï bkak úkakUq wïu,d fïlg mdúÉÑ lrkjd' mjq,a fi!LH fiaúldfjda mdúÉÑ lrkjd' tfyu lr.kak whg remsh,a 3000l osß .ekaùfï uqo,la ,nd fokjd' j| ie;alu lr .;a;g miafia wïud flfkl=g remsh,a 500l=;a fokjd' tal lrkak fjku jev ms<sfj<l=;a l%shd;aul fjkjd' fï r;a;rx wïu,d f;areï .kak uõ moúh lsh,d lshkafka fï f,dafla ;sfhk W;=ïu moúh' nqÿjre" kìjre" fYa%IaG kdhlfhda" md,lfhda fï ljqre;a ìys lrkafka wïu,d' ta ksid uõ moúh lshkafka yßu W;a;Í;r tlla' fï rg we;=f,a wúoHd;aul foaYmd,kh ksid wfma rfÜ fkdfhla w.ysÕlï ueo Ôj;a ùfï igkl fhÈ,d bkakjd' tfyu ;shdf.k orefjla u,af,la fokafkla yokafka' wms wjqreÿ fooyia .Kkl b;sydih .ek l;d lrkjd' Wreuh .ek l;d lrkjd' tl ;j wjqreÿ ish .Kkla mj;ajdf.k hkak kï f.dvke.s,sj,g tal lrkak nE' ñksiaiq bkak ´k' orefjda bkak ´k' Wkajykafia fï nj mejiqfõ ueÈß.sßfha uõjreka 450lg wjYH úh,s wdydr øjH yd wfkl=;a ikSmdrlaIl øjH fnod §fï W;aijhlg iyNd.s fjñks' fuu wjia:djg fmdf<dkakrej Èia;‍%sla md¾,sfïka;= uka;‍%s wurlS¾;s w;=fldar, uy;do" ;sfld iuQy jHdmdrfha ;s,s‚ uy;añh we;=¿j .ïjeishka úYd, msßila iyNd.s úh' DM

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Leptospirosis óhd tkfmdg yß kE@

Leptospirosis: Treatment and prevention

óhd tkfmdg yß kE@ jir y;lg miq jeäu ó WK frda.Ska miq.sh j¾Ifha'''

Ndr; .=K;s,l úisks miq.sh j¾Ih ;=<§ ó WK frda.Ska 8407la jd¾;d ù ;sfnk nj jix.; frda. úoHd wxYh i|yka lrhs' fï wkQj jir oyhlg miq jeäu ó WK frda.Ska m%udKh miq.sh jir ;=< jd¾;d ù ;sfí' fï jk úg mj;akd iqúfYaIS jd;djrkh u; lafIa;%fhka ,efnk f;dr;=re j, lsishï wvqmdvqjlao mj;akd w;r fï ixLHd ;jÿrg;a by< hdfï m%jK;djhla fï wkQj we;sj ;sfí'

² miq.sh jif¾ ó WK frda.ska 8407la ² r;akmqr Èia;%slalfhka ú;rla 1560la ² fï j¾Ifha uq,a osk 13 ;=< muKla frda.Ska 160la jd¾;d fjhs

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February 2021

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Leptospirosis óhd tkfmdg yß kE@

2020 yd wkqhd; oi jirl ó WK frda.Ska jHdma;sh 2020 - 8407 2019 - 6021 2018 - 5257 2017 - 3601 2016 - 4005 2015 - 4402 2014 - 3214 2013 - 4226 2012 - 2663 2011 - 6689 2010 - 4545 miq.sh jir ;=< jeäu ó WK frda.Ska m%udKhla jd¾;d ù ;sfnkafka" r;akmqr Èia;%slalfhka jk w;r" tu m%udKh 1560ls' tfiau .d,a, Èia;%slalfhka ó WK frda.Ska 1197la" l¿;r Èia;%slalfhka ó WK frda.Ska 1110la" yd lE.,a, Èia;%slalfhka 660la jd¾;d ù ;sfí' fudKrd., Èia;%slalh yer wfkl=;a iEu Èia;%slalhlskau frda.Ska jd¾;d ù ;sîu úfYAI;ajhls' miq.sh j¾Ih uq¿,af,au frda.Ska 407la jd¾;d jQ nÿ,a, osia;%slalfhka 2021 uq,a osk i;s fol bl=;a ùug;a u;af;ka ó WK frda.Ska 18la jd¾;d ùu úfYaI;ajhls'

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February 2021

f,mafgdiamhsfrdaih s dj fkdfyd;a ó WK c,h wdY%; s j fndajk frda.hls'

2020 ó WK urK frda.Ska w;r urK wkqmd;slh 5]-30] w;r mrdihl jd¾;d jk w;r jl=.vq wl%sh ùu" yDoh wl%sh ùu yd reêr jykh urKh we;s lsÍug m%Odk fya;= fõ' frda. me;sÍu jeä fujka ld, j,§ by; lS frda.S ,laIK we;akï jydu ffjoH m%;sldr ,nd. ekSu w;HdjYHh' 2008 jir isg fï olajd lrk ,o m¾fhaK ish,a,kaf.kau fmkS hk m%Odk ldrKhla jkafka ó WK iïnkaO urK j,ska nyq;rh uQ,sl wjia:dfõ frday,g fkdmeñŒu ksid isÿjk urK njhs' FACT SHEET f,mafgdiamhsfrdaisia frda.h ms<sn|j Tn o; hq;= lreKq f,mafgdiamhsrd kï nelaàßhdjla u.ska we;s lrkq ,nk fndajk frda.hls' tu nelaàßhdj lDka;lhska" f.dúfmd< i;=ka" iqkLhka yd le,Eno laISrmdhska jeks i;=kaf.a jl=.vq ;=< iajdNdúlj yuqfõ' fuu nelaàßhdj iDcqj fyda jl%dldrj i;=kaf.ka ñksidg iïfm%aIKh fõ' tksid fuh i;=ka u.ska fndajk frda. hls' frda.ldrl nelaàßhdj ñksia YÍrh ;=,g we;=¿ jkafka flfiao@ wdidÈ; i;=kaf.a uq;%d u.ska ¥Is; jQ c,h" mi yd wdydr Tiafia frda.ldrl nelaàßhdjka ñksia YÍrhg

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f,mafgdiamhsfrdaishdj fkdfyd;a ó WK c,h wdY%s;j fnda jk frda.hls' óhkaf.a uQ;%d iy u< fldgia weeiqf¾ ksfrda.S mqoa.,fhl=g frda.h wdidokh úh yel'

m%úIAG fjhs' lDIsld¾ñl lghq;=" ksfjfia l=Kq li, ksis f,i neyer fkdlsÍu jeks lghq;= ksid nelaàßhd u.ska ¥Is; jQ mßirhla we;sjk w;r" th fuu wdidokh fnda lsÍfuys fya;=jla fjhss' ifuys iSÍï ;=jd, ùï fyda kdifha" uqLfha fyda wefiys Yaf,aIau, mg, ;=,ska f,mafgdiamhsrdjka isrerg we;=¿ fõ' ¥Is; jQ c,h mdkh lsÍfukao wdidokh we;s úh yel' wdidokfhka miq nelaàßhdjka reêr ixirKhg we;=¿ ù isrefrys ish¿u wjhj yd mgl mdfya wdl%uKh lrhs' frda. ,laIK we;sùug fldmuK ld,hla .;fõo@ nelaàßhdjg ksrdjrKh ù Èk 5-14 l muK ld,hl§ frda. ,laIK we;sfõ' idudkH mrdih Èk 2-30 ls' we;sjk frda. ,laIK fudkjdo@ f,mafgdiamhsfrdaisia frda.h mq¿,a mrdihl frda. ,laIK fmkakqï lrhs' u| WK iys; frda. ,laIK j, isg" oreKq fukau iuyr úg udrdka;sl frda.

hla njgo m;aúh yel' fuys frda. ,laIK iuyr úg fvx.= WK" bka*a¨jkaidj" fukskaðmg, m%odyh yd wlaud m%odyh ^fymghsáia& jeks frda. j,go iudk úh yel' isrer ly meyeùu ^fix.ud,h& f,mafgdiamhsfrdaisia frda. fhys iq,n;u frda. ,laIKhla jk kuq;a wlaudj yd iïnkaO wfkl=;a frda. ;;a;aj j,§o óg iudk frda. ,laIK we;sfõ' flfia fj;;a tljr yg.;a WK" iS;," weia r;=ùu" ysiroh" uiams`vq

ifuys iSÍï ;=jd, ùï fukau kdifhka yd uqLfha ishqï mg, j,skao úIîch isrerg we;=¿ úh yelshs'

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February 2021

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15

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Leptospirosis óhd tkfmdg yß kE@

frda.h me;sfrkafka fufyuhs mmqfõ fõokdj

lDka;lhkaf.a uq;%d" úfYAIfhkau óhka

Yajik wmyiq;d isref¾ bªrka bosóu

wdidos; c,h

fõokdj ^úfYaIfhka flKav yd fldkao wdY%s;j& yd ly meye ùu hk ;;A;aj we;s jQ úg frda. ks¾Kfha§ f,mafgdiamhsfrdaisia ms<sn|j ie,ls,su;a úh hq;=h' fix. ud,h ;;a;Ajh we;s jqjo wlaudj wl%sh ùu ÿ¾,Nh' f,mafgdhsfrdaisia frda. ks¾Kh isÿlrkafka flfiao@ m%Odk f,i frda. ks¾Kh ;yjqre lr .efkkafka m%;sfoay mßlaIdjka ^Wod(

16

February 2021

MAT& u.sks' flfia fj;;a uq;%d mßlaIK ^we,aìhqñka fm%daàka ;sîu& yd WBC/DC j, iqÿ reêrdKq ixLHdfõ jeä ùu fuysoS olakg ,efí' f,mafgdiamhsfrdaisia frda.hg m%;sldr lrkafka flfiao@ f,mafgdiamhsfrdaisia oreKq w;g m;a úh yels jqjo m%;sldr l< yels frda.hls' frda.h iel l< jydu ld¾hlaIu m%;sÔjl m%;sldr lsÍu wdrïN l< hq;=h' lsis úfgl;a mßlaIK j, m%;sM, ,efnk ;=re m%;sðjl ,nd §u mud fkdl< hq;=h' fï frda.h reêr uia;= mÍlaIK j,ska frda.h y÷kd .; yels jkafka frda. ,laIK my, ùfuka i;shlska muK miq ùu;a" laIqøÔú frdamk mÍlaId u.ska m%;sM, ,eîug i;s lsysmhla .; ùu;ah' fï frda.Skaf.a isrefrys ;r, yd whk iu;=,s;;dj flfrys úfYaI wjOdkhla fhduq lsÍu w;HjYH fõ'

DOCTOR MAGAZINE

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jeis jisk ld,j,oS fukau l=Uqre f.dú;eka lrk ld, j,oS frda.fha jeäùula olakg ,efí' fvdlaisihsla,ska kï m%;sÔjlh u.ska frda.h yd wdidokhg tfrysj hï wdrlaIdjla ,efnk fyhska mQ¾j wdrlaIdjla f,i jeä wjodkula orK f.dùka jeks ldKAv th ,nd .ekSu iqÿiqh'

jl=.vq wl%sh ùfï§ lD;%su reêrh msßisÿ lsÍu isÿ l< hqq;=h' f,mafgdiamhsfrdaisia we;s jkafka l=uk ld, j,§o@ Y%S ,xldfjys jir mqrdu f,mafgdiamhsfrdaisia frda.h jd¾;d fõ' by< wd¾ø;djh;a jeä j¾Idm;kh;a jix.; ;;a;ajhka jeä lrhs' thg fya;=j .xj;=r óhka jeks fï lDka;lhkaf.a uq;%d u.ska ¥Is; ùuhs' ud¾;= isg uehs olajd frda.h me;sÍfï ;rul jeä ùulao" Tlaf;dan¾ isg foieïn¾ olajd úYd, jeä ùulao fmkakqï lrhs' fï fudaiï jeis il%Sh jk ld,hhs' f,mafgdiamhsfrdaisia frda.h jrlg jvd je<¢h yelso@ Tõ' wdidokhlg miq lsishï uia;= m%fNaohlg úfYaIs; jQ m%;sfoay" m%udKj;a ;rñka isrefrys ;sfnk ;dla" tu mqoa.,hd kej; tu m%fNaoh u.ska wdidokhg ,la fkdfõ' flfia fj;;a fuu.ska wfkl=;a m%fNao j,g tfrys wdrlaIdjla fkd,efí' doctormagazine.lk

f,mafgdiamhsfrdaisia j<lajd .kafka flfiao@ Tn f.dú;efkys" m;,a l¾udka;fhys" we, ud¾. fyda ldKq moaO;s msßisÿ lsÍu wd§ / lshdjl kshqla; jQjl= kï" Tfí m%foaYfha fi!LH ffjµ ks,OdÍ fyda uyck fi!LH mÍlaIl fj; ±kqï fokak' Tjqka úiska frda. fhka je<lSu ms<sn| úia;r Tng imhkq we;' my; ±lfjk úfYaIs; Wml%u u.ska f,mafgdiamhsfrdaisia frda.h j<lajd .; yel'

February 2021

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17

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Leptospirosis óhd tkfmdg yß kE@

² le<s li, bj;a lsÍu yd ñksia jdihka wdikak mßirh msßisÿj ;nd .ekSu u.ska lDka;lhska md,kh lsÍu' ² f.j;=" l%Svd msá wd§ <uqka l%Svd lrk ia:dk wdikakfha i;=ka .ejiSu je<elaùu' ² iqÿiq ia:dkhkays§ wdrlaIs; we÷ï we£u" oKysi olajd wdjrKh jk mdjyka me<£u" w;ajeiqï wdÈh Ndú;h yd c,h we;=¿ fkdjk wdldrhg ;=jd, wdjrKh lr .ekSu' ² W;=rejd .;a c,h mdkh ^c,h laf,daßkSlrKh t;rï m%fhdackj;a fkdjkafka nelaàßhdj tu.ska úkdY fkdjk ksidh" tfukau fmrd.;a c,ho wdrlaIs; fkdfõ&' ² .xj;=frys .uka lsÍfuka j<lskak' ² fvdlaisihsla,ska kï m%;sÔjlh u.ska frda.h yd wdidokhg tfrysj hï wdrlaIdjla ,efnk fyhska mQ¾j wdrlaIdjla f,i th ,nd .ekSu'

fldúâ w,a, mk,af,a kej; ysi Tijk ó WK WK" ysiroh iy udxYfmaYs j, fõokdj fldfrdakd ksid fukau ó WK frda.h ksid;a we;s úh yelshs' miq.sh ld,h lsysmh ;=< ó WK frda.h ,xldfõ m<d;a lsysmhlu oreKq f,i ysi Tijk ,o nj jd¾;d fjhs' fldfrdakd jix.;h yuqfõ we;sjQ jix.; ;;a;ajh u; ó WK frda.h ksid we;sjk nrm;, ;;a;aj iy urK m%udKh jeä ùfï b;d ;on, wjodkula mj;S' WK" leiai we;s ´kEu frda.sfhla fldfrdakd ffjri frda.sfhla f,i Tn úiska ielhla we;slr .kq fkdwkqudkh' mj;sk ;;a;ajh hgf;a fuh fldfrdakd frda.h ms<sn|j fyd| oeKqj;a ùuls' Tng WK" ysiroh iy udxYfmaYs j, fõokdj we;akï Tn iel lrkafka l=uk frda.S ;;a;ajhlao@ tjeks frda.sfhla ó WK we;s frda.sfhla ùug we;s iïNdú;dj by; lS iïNdú;djg jvd oi .=Khlg;a jeäh' fmdÿfõ okakd ó WK frda.S ,laIK jkafka by; mejiq f,i WK" ysiroh iy uiamsvqj, fõokdjh' ñg wu;rj weia r;= meye ùu iy YÍrh$wei ly meyeùuo fï frda.fha§ oel .; yel' tfy;a frda.Ska ie<lsh hq;= m%udKhla fï frda. ,laIK ke;=j fjk;a ,laIK iys;jo oel.; yelsfõ' DM

Source: Leptospirosis Fact Sheet, Epidemiology Unit, Ministry of Health, Sri Lanka

18

February 2021

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Blood Cancers reêr.; ms<sld iïnkaO uQ,sl ye|skaùula

Blood Cancers fmnrjdß 4 oskg fhfok f,dal ms<sld oskh fjkqfjka ,xld fydiamsÜ,aia reêr frda. uOHia:dkfha bosßm;a lsÍuls

reêr.; ms<sld iïnkaO uQ,sl ye|skaùula idhksl rla;fõo úfYaI{ ffjoH iuka fyajdudk

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Blood Cancers reêr.; ms<sld iïnkaO uQ,sl ye|skaùula

ACUTE LEUKAEMIA CHRONIC LEUKAEMIA LYMPHOMA MYELOMA reêr.; ms<sld j, n,mEu uQ,slj we;s fjkafka reêr ffi, yd wegñÿ¿ j,gh' reêr.; ms<sldjla yg.;af;d;a reêr ffi, l%shdlrk wdldrh fjkia fjhs' wfma YÍrfha f;jeoEreï jQ reêr ffi, mj;S' ² wfma isref¾ m%;sYla;slrK moaO;sfhys uQ,sl md¾Yajlrefjla jYfhka l%shd lrk iqÿ reêr ffi, White blood cells (leucocytes) ² isrer mqrd wï,lr jdhqj mßjykh lrk yd ffi, yd mgl j, we;s ldnka vfhdlaihsâ jdhqj fmKy¿ fj; f.k hk ld¾hfha ksr; r;= reêr ffi, Red blood cells (erythrocytes) ² reêrh leá .eiSfï l%shdj,shg odhl jk mÜáld Platelets (thrombocytes) reêr.;j we;sjk ms<sld uQ,sl jYfhka f;jeoEreïh' ² ,shqflañhd ² ,sïfmdaud ² uhsf,daud fï ms<sld úfYAI ;=ku reêr ffi, j, idudkH l%shdldß;ajh wvmK lrhs'

,shqflañhdj ,shqflañhdj frda.hg f.dÿre jQ úg iqÿ reêrdKQ úYd, jYfhka ksmofjhs' tfy;a tajdg uekúka m%;sYla;slrK moaO;sh ;sr lsÍug odhl;ajhla oelaùu fkdl< yelalls' iqÿ reêrdKQ j,g n,mj;ajk wdldrh wkQj;a" th fõ.j;aj me;sr hkafkao" ke;fyd;a fiñka jHdma; jkafkao hkak;a wkQj ,shqflañhdj ldKAv y;rlg fnfohs'

20

February 2021

DOCTOR MAGAZINE

Acute myeloid leukemia (AML) fuu ms<sldj yg.kafka Yafõ;dkq" rla;dkq yd mÜáld njg mßK; jk uhsf,dhsâ ffi,j,h' tu ksid fï ms<sldfõoS ldKAv ;=fkau reêr ffi, j, ixLHd;aul w.hka wvq fjhs' idudkHfhka AML ldKaAvfha ms<sldjla fõ.fhka me;sfrhs' jeä jYfhka we;s jkafka jhia.; whgh' fjfiiskau jhi wjq' 65 blaujQ whg;a msßñkag;a jeäfhka we;s úh yel' Acute myeloid leukemia (AML) iEoSfï jeä wjodkula mj;sk wh ² fjk;a ms<sldjlg lSfudf;rms m%;sldrh ,enQjka ² úI ridhk j,g ksrdjrKh jQjka ² Myelodysplasia fkdfyd;a Polycythemia vera jeks reêr widudkH;d j,ska fmf<k wh ² vjqkaia jeks m%fõKsl frda. j,g k;= jQjka Acute lymphoblastic leukemia (ALL) fï frda.h yg.kafka wegñÿ¿ j,h' ksfrda.S iqÿ reêrdKQ fkdfyd;a YAfõ;dKq wvmk lrk doctormagazine.lk

f;jeoEreï reêr ms<sld

,shqflañhd reêrfha yd wegñÿ¿ j, yg.kakd fï ms<sldj úiska widudkH f,i iqÿ reêr ffi, ksIAmdokh lrhs

,sïfmdaud jid moaO;sfha yg.kakd ms<sld

uhsf,daud wegñÿ¿ j, yg.kakd ms<sld úfYAIhls

;rfï iS>%;djhlska fuysoS ,sïfmdihsg ksIAmdokh fjhs' fkdmudj kshñ; m%;sldr j,g Ndckh fkdlsÍfuka frda. ;;a;ajh ixlS¾K úh yel' fuh <uhskag iq,nj yefok ms<sldjls' jhi wjq' 3-5 w;roS olakg ,eîu jeäh' jhi wjq' 75 blaujQ whgo we;sùfï jeä wjia:djla ;sfí' frda.hg k;=jQ orefjl=f.a mjqf,a orejka fï frda.hg k;=ùfï wjodku jeäh'

doctormagazine.lk

Chronic Myelogenous Leukemia (CML) Chronic Myeloid Leukemia hkqfjkao yªkajk fuu ,shqflañhd frda.fhaoS wegñÿ¿ j, we;s uhsf,dhsâ kï ffi, úfYAIh md,khlska f;drj j¾Okh jk w;r tajd reêrfha ;ekam;a fjhs' fuh frda. ,laIK fndfyda wjia:dj ,oS m%lg fkdlrk w;r reêr mÍlaIKhloS frda.h wkdjrkh fjhs' jeä wjodkula orK mqoa.,hka ² jhia.; mqoa.,hka ² msßñka Chronic lymphocytic leukemia (CLL) jeäysáhka w;r jvd;au iq,n ,shqflañhdj fuhhs' ,sïfmdihsg hkqfjka ye|Skafjk iqÿ reêrdKQ njg m;ajk wegñÿ¿ j, ffi, wdY%s;j fï reêr ms<sldj we;s fjhs' fuysoS úYd, jYfhka ,sïfmdihsg ksmoùula isÿjk w;r tajd rla;dKQ" YAfõ;dKQ yd mÜáld j, l%shdldß;ajhg wys;lrj n,mEï lrhs'

February 2021

DOCTOR MAGAZINE

21

D•Magazine /

Blood Cancers reêr.; ms<sld iïnkaO uQ,sl ye|skaùula

ksfrda.S ffi, yd ,shqflañhd ffi,

tßf;%dihsg

kshqfg%dms,

,sïfmdihsg

fudfkdihsg

úvdnr .;shla YÍrhg oekSu yd jid ffi, bosóu fuys frda. ,laIK fjhs'

,sïfmdaud jid moaO;sfhka wdrïN jk ms<sld yªkajk fmdÿ jpkh zz,sïfmdaudZZ hkakhs' ,sïfmdaud m%Odk wdldr folls' ² fydcalska ,sïfmdaudj Hodgkin lymphoma ² fydcalska fkdjk ,sïfmdaudj Non-Hodgkin lymphoma ,sïfmdaudfõ wdldrh;a tys m%n,;ajh;a u; m%;sldrfha id¾:l;ajh ;SrKh fjhs' lSfudf;rms" fkdfyd;a m%;sYla;slrk moaO;sh ;sr lrk m%;sldr" T!IO" úlsrK Ñls;aidj fukau wegñÿ¿ noaO lsÍu fï i|yd we;s m%;sldr jk w;r wjia:dfjdaÑ;j isÿ lrk m%;sldrh ;SrKh fjhs' frda. úksYAph

22

February 2021

DOCTOR MAGAZINE

mÜáld

msKsi ffcfõlaId (biopsy) mÍlaIdjla lsÍu yereKQ úg fï ms<sldfõoS Y,Hl¾uhla idudkHfhka isÿ fkdflf¾' ksjerosj frda.h úksYAph lf<d;a Hodgkin lymphoma iïmQ¾Kfhka iqjh ,eîug fyd| wjia:djla ;sfí' ,sïfmdaud frda. ,laIK ² f.f,ys" lsys,af,ys yd bls<sh wdY%s;j we;sjk fõokdldÍ fkdjk l=oaoá bosóu ² l,a mj;akd úvdnr .;sh

doctormagazine.lk

reêr ms<sld we;sùfï wjodkï idOl

bkaøsh noaOhlg Ndckh ù isàu

úlsrKhg$lSfudm%;sldr j,g Ndckh ùu

² WK ² rd;%sfhys oyäh oeóu ² Yajik wmyiq;d ² YrSrfha nr wvqùu ² ifuys we;sjk leiSï ,sïfmdaud we;sjk wdldrh iïnkaOfhka ksYaÑ; wre;a oelaùula ;ju;a ke;' Yafõ;dkQ j, we;sjk m%fõKsl úlD;shla fya;=fjka ffi, úfNaokh fõ.fhka isÿjk w;r fuysoS úlD; ffi,o .=Kkhg ,lafjhs'

doctormagazine.lk

ÿïmdkh

rêr.; ms<sld mjq,a b;sydih

úhm;aùu

taâia wdoS frda.hla ksid m%;sYla;slrK moaO;sh ÿ¾j, ùu

uhsf,daudjl úfYAI;ajh jkafka fndfyda úg f.ähla" w¾nqohla we;s fkdlsÍuhs' ta fjkqjg widudkH f,i ma,iaud ffi, yd paraprotein ksIamdokh lsÍu isÿ fjhs' YÍrfha l%shdldÍ wegñÿ¿ mj;akd w;a" mdo" Wrysia" fldkao" lmd,h" fY%daKsh yd b<weg j,g fuys we;sjk n,mEu jeäh'

wjodkï ldKAv ² msßñka w;r iq,nh ² ÿ¾j, m%;sYla;slrKhla we;s úg;a m%;sYla;slrK moaO;sh yd jqjuKdfjkau ÿ¾j, lrk ,o frda.Ska w;r ² Epstein-Barr virus yd Helicobacter pylori wdoS wdidok j,ska fmf<k wh

February 2021

DOCTOR MAGAZINE

23

D•Magazine /

Blood Cancers reêr.; ms<sld iïnkaO uQ,sl ye|skaùula

,sïfmdaudj woshr

uyd m%dÖrh

woshr 1

woshr 2

woshr 3

woshr 4

tla ;ekl muKla we;sjk bosuqKQ jid ffi,

uydm%dÖrfhka tla me;a;l we;sjk jid ffi, bosuqï folla fyda jeä .Kkla

uyd m%dÖrfha Wv yd hg fome;af;au we;sjk jid ffi, bosuqï folla fyda jeä ixLHdjla

frda.h me;sr hdu úúO wjhj j,g n,mEï we;s lrhs' jid bosuqï ;sfnkakg fyda fkd;sfnkakg mq¿jk

fuys f;jk yd isõjk woshf¾oS wlaudj" wegñÿ¿" fmKy¿ wdoS fiiq wjhj j,go me;sr hdfï wjodkula ;sfí' Multiple Myeloma|Plasma Cell Myeloma

u,aám,a uhsf,daud wegñÿ¿ j, we;s ma,iaud ffi, j, yg .kakd ms<sld úfYAIhls' wegñÿ¿ úúO wdldrfha ffi, ksIAmdokfha f;da;ekakls' fuys ksIAmdokh jk ma,iaud ffi, hkq wfma m%;sYla;slrK moaO;sh mj;ajd .ekSug wjYHfhkau wjYH jk m%;sfoay (antibodies) ksIAmdokhg fya;= jk m%d:ñl ffi, úfYaIhhs' Immunoglobulins hkq m%;sfoay yªkajk ;j;a kuls' A, G, M, D and E hkqfjka bñhqfkd.af,dìhq,sk wdldr myls' ma,iaud ffi, ks¾udKh jkafka B lymphocytes hkqfjka ye|skafjk iqÿ reêrdKQ úfYaIhlsks'

24

February 2021

DOCTOR MAGAZINE

uhsf,daudjla we;s jkafka fldfyduo@ ma,iaud ffi,hla ckkh jk wjia:dfõ we;sjk DNA úlD;s;djhla fya;=fjka fï widudkH ffi, ksIAmdokh fjhs' widudkH ffi, B<Õ mshjf¾oS wegñÿ¿ ;=,oSu .=Kkh fjhs' me;sr hhs' uhsf,daud frda.fhaoS tlu wdldrfha ma,iaud ffi, úYd, jYfhka ksmofjk w;r tajd wfkla ffi, j,g ndOd we;s lrñka wegñÿ¿ ;=< úYd, bvlvla w;am;a lr .kshs'

doctormagazine.lk

úfYaI{ ffjoH iuka fyajdudk fld<U úYAj úoHd,fhka ;u m%:u Wmdêh iïmQ¾K lr.eKSfuka wk;=rej MD iqÿiqlïo mYapd;a iqÿiqlula jYfhka imqrd .ekSfuka miqj Royal College of Physicians yd Royal College of Pathologists hk wdY%h idudcsl;aj i|yd mqyqKQùï isÿ lsÍug uyd ì%;dkHfha wdh;k tu foflau jeäÿr wOHdmk lghq;= iïmQ¾K lrñka FRCP and FRCPath mYapd;a Wmdê iqÿiqlï ,eîh' ta yereKQ úg Tyq uyd ì%;dkHfhka ,shqflañhd wOHhk iïnkaOfhka PhD Wmdêho ,nd ;sfí' fï jk úg m¾fhaIK jd¾;d 30lg wêl m%udKhla m%ldYhg m;a lr we;s ffjoH fyajdudk ,kavkfha Royal Free Hospital, Whips Cross Hospital, North Middlesex Hospital yd ldä*ayS University Hospital of Wales hk wdfrda.

HYd,d fj;ska idhksl rla;fõoh (Clinical and Laboratory Haematology) ffjoHjrfhl= jYfhka fiajh lr ;sfí' uyd ì%;dkHfha The Royal Marsden frdayf,a Haemato-Oncology úfYAI{ ffjoHjrfhl= jYfhkao Tyq lghq;= lf<ah' idhksl rla;fõoh iïnkaOfhka fjfiia Wkkaÿjla olajk ffjoH iuka fyajdudk fmr<d furgg meñKSfuka miqj ,xld fydiamsÜ,aia fj; iïnkaOj tys Lanka Hospitals Haemato-Oncology Centre yS mqfrda.dó iudrïNlhd fukau j¾;udkfhao tys fufyhqï lghq;= j,g iïnkaO fjñka fï rfÜ ck;djg úmq, fiajdjla isÿ lrñka isà'

doctormagazine.lk

l=oaoá bosóu ,sïfmdaud fkdfyd;a jid wdY%s; ms<sld j, werïNl ,laIKhls

ms<sldldrl ma,iaud fi, wegñÿ¿ j, talrdYS ùfuka fi!LHiïmkak ffi, j, l%shdldß;ajh fuysoS wvmK fjhs' YÍrfha hymeje;aug WmldÍ jk m%;sfoay ksmofjkjd fjkqjg fuysoS úúO frda. yd ixl+,;d we;s lrk widudkH fm%daàk ksmoùula isÿ fjhs'

fï ma,iaud ffi, j,ska paraprotein hkqfjka ye|skafjk lsisÿ m%fhdackhla fkdue;s m%;sfoay úYd, m%udKhla ksoyia lrhs' frda.h we;s úg Tyqf.a fyda wehf.a reêrfha;a" uq;%d j,;a fïjd ;sfnk ksid frda.h úksYaphg reêr yd uq;%d mÍlaIK bjy,a lr.; yel' uhsf,daudjl úfYAI;ajh jkafka fndfyda úg f.ähla" w¾nqohla we;s fkdlsÍuhs' ta fjkqjg widudkH f,i ma,iaud ffi, yd paraprotein ksIamdokh lsÍu isÿ fjhs' YÍrfha l%shdldÍ wegñÿ¿ mj;akd

February 2021

DOCTOR MAGAZINE

25

D•Magazine /

Blood Cancers reêr.; ms<sld iïnkaO uQ,sl ye|skaùula

ms<sldldrl ma,iaud fi, wegñÿ¿ j, talrdYS ùfuka fi!LHiïmkak ffi, j, l%shdldß;ajh fuysoS wvmK fjhs' YÍrfha hymeje;aug WmldÍ jk m%;sfoay ksmofjkjd fjkqjg fuysoS úúO frda. yd ixl+,;d we;s lrk widudkH fm%daàk ksmoùula isÿ fjhs'

ksfrda.S wegñÿ¿ yd u,aám,a uhsf,daud ;;a;ajhg m;ajQ wegñÿ¿ f.f,ys bosuqKq l=oaoá

w;a" mdo" Wrysia" fldkao" lmd,h" fY%daKsh yd b<weg j,g fuys we;sjk n,mEu jeäh' uhsf,daud wdldr lsysmhlau ;sfnk w;r tajd tl tlla fjkia jkafka uhsf,daudjg fya;=jk widudkH bñhqfkda.af,dìhq,skfha wdldrh wkQjh' ta wkqj IgG yd IgA hkqfjka jeä jYfhka mj;akd uhsf,daud wdldr folla mj;akd w;r fuhska iq,nu wdldrh jkqfha IgG h' IgM, IgD yd IgE hk uhsf,daudjka t;rï iq,n fkdjk uhsf,daud hg;g .efka'

26

February 2021

DOCTOR MAGAZINE

flfkl=g frda. ,laIK m%lg fkdlrk uhsf,dajkao we;súh yels w;r fyda Smouldering myeloma or Indolent myeloma hkqfjka ye|skf a jk tajdg m%;l s dr wjYH fkdfõ' light chain myeloma, or Bence Jones myeloma hkqfjka ;j;a uhsf,daud wdldrhla mj;akd w;r fuys úfYAI;ajh jkqfha fuu.ska widudkH paraprotein ksIAmdokh fkdlsÍuhs' doctormagazine.lk

ksfrda.S wegñÿ¿ yd u,aám,a uhsf,daud ;;a;ajhg m;ajQ wegñÿ¿ ksfrda.S wegñÿ¿

ms<sldldrl ma,iaud fi, wegñÿ¿ j, talrdYS ùfuka fi!LHiïmkak ffi, j, l%shdldß;ajh fuysoS wvmK fjhs' YÍrfha hymeje;aug WmldÍ jk m%;sfoay ksmofjkjd fjkqjg fuysoS úúO frda. yd ixl+,;d we;s lrk widudkH fm%daàk ksmoùula isÿ fjhs'

doctormagazine.lk

u,aám,a uhsf,daud ;;a;ajhg m;ajQ wegñÿ¿

frda. ,laIK uq,a wjia:dfõoS lsisÿ frda. ,laIKhla fkdfmkajhs' l,a hfïoS my; frda. ,laIK j,ska lsysmhla we;s úh yel' wiaÓ wdY%s; fõokdj" fjfiiskau msgfldkao yd mmqj wdY%s;j we;sjk fõokdj" Tlaldrh" u<noaOh" wdydr wreÑh" udkisl úhjq,a nj" ks;r wdidok j,g ,laùu" nr wvqùu" mdo ysßjeàu" ks;r we;sjk msmdih

February 2021

DOCTOR MAGAZINE

27

D•Magazine /

Blood Cancers reêr.; ms<sld iïnkaO uQ,sl ye|skaùula

wjodku jeä jYfhka we;s wh ² jhi' jeä fofkla fï frda.hg k;= jkafka jhi yeg .Kkaaj,oSh' ² msßñka w;r ldka;djkag jvd iq,nh ² mjqf,a ióm;ufhl=g fï frda.h je<|S ;sîu fï frda.Ska uqyqKmdk wjfYAI .eg¿ ² ks;r ks;r wdidok j,g ,laùu ² wiaÓ fõokdj" wiaÓ ;=kSùu yd ì|S hdug we;s jeä bv ² jl=.vq l%shdldß;ajh ÿ¾j, ùu yd jl=.vq wlrKsh wjodku ² rla;dkq wvqùfuka ksrla;sh we;sùu m%;sldr ² Immunotherapy ms<sldjg tfrysj lghq;= lsÍug fhdok m%;sYla;sl T!IO m%;sldr ² Chemotherapy ms<sld ffi, ueÍug fhdod.kakd T!IO ² Targeted therapy we;sjk ÿ¾j,lï b,lal lr.ksñka isÿlrk m%;sldr ² Radiation therapy úlsrK Ñls;aidj ² Anti-myeloma medicines ksYaÑ; uhsf,daud T!IO ² iafgfrdhsv T!IO ² wegñÿ¿ noaO lsÍu 28

February 2021

DOCTOR MAGAZINE

LANKA HOSPITALS’ BLOOD CANCER CENTRE ,xld fydiamsÜ,a reêr uOHia:dkh ,shqflañhdj" ,sïfmdaud yd uhsf,daud wdoS reêr.; ms<sld frda.Ska Wfoidu fjkajQ" ,xld fydiamsÜ,a reêr frda. uOHia:dkh oeka id¾:l jir y;la iïmQ¾K lr ;sfnk w;r th fï frda. j,g k;= jQ frda.Skaf.a n,dfmdfrda;a;= bgq lrñka" cSú;dfmalIdj by< kexùug lr we;s wkNsNjkSh fiajh fjfiia we.hSug ,laj ;sfí' osjhsfka m%:u reêr.; ms<sld uOHia:dkh (First Haemato-Oncology Centre) jYfhka ,xld fydiamsÜ,aiayS reêr frda. m%;sldr uOHia:dkh wdrïN lf<A 2013 Tlaf;danrfhaoSh' ta reêr.; ms<sld frda. úfYAI{ ffjoH iuka fyajdudk uy;df.a u.fmkaùu yd kdhl;ajfhks' ,shqflañhd" ,sïfmdaud yd u,aám,a uhsf,daud jeks frda. j,ska fmf<k frda.Skaf.a frda. úksYaph" m%;sldr" lSfudf;rms wdoS fiajdjka fukau wegñÿ¿ noaO lsÍfï ie;alïo fuysoS ,nd.; yel' c.;a ;,fha kjH ;dlaIKh fhdod .ksñka frda.Skag m%;sldr lsÍfuys,d fuu wdh;kh mqfrda.dó ù ;sfí' fï jk úg frda.Ska 3000lg wêl m%udKhla fuu frdayf,ka m%;sldr ,ndf.k ;sfnk w;r frda.Skaf.a iqjh ,eîfï wjia:dj" myiqlï" T!IO wdosh b;d m%Yia;j mj;akd ngysr rgj, mj;akd id¾:l;ajfha wdikakhgu id¾:l lr.kakg ,xld fydiamsÜ,a reêr frda. uOHia:dkh iu;aj ;sfí' DM

doctormagazine.lk

Sports Physiotherapy

Classic Cricket Injuries l%Svdj iy fN!; Ñls;aidj wfma l%slÜ l%Svlhka l%Svd wdmod j,g ,la fjkjd jeähs''' cd;sl uÜgfï l%Svlhkag úfYAI fN!;Ñls;ail jevms<sfj,la ´kE''' cd;sl mdie,a j,g fyda fN!;Ñls;ailfhl=f.a fiajh ,nd fokjd kï wkd.;fha cd;sl uÜgfï l%Svlhka ìys lsÍug th úYd, rel=,la'''

30

February 2021

DOCTOR MAGAZINE

ßcafõ wd¾hd <ud frdayf,a fN!; Ñls;ail wêldß cd,sh Wvqje,a,

miq.sh jif¾ wjika Nd.fha ish¨‍ fokd ,xld m%sñh¾ ,S.a l%slÜ ;rÕdj,sh kerUqjdg ielhla ke;' tu ;r.dj,sfha § b;d m%n, l%Svlhka /ila wdndOj,g ,la jQ nj ryila fkdfõ' wjika mQ¾j ;r.fha § m%n, Colombo Kings Galle Gladiators mrod wjika

doctormagazine.lk

fndfydaúg l%Svlhkaf.a wdfõ‚l bßhõ yd mj;sk bßhõ fjkia lsÍug fN!; Ñls;ailjrhdg ueÈy;a ùug isÿfjhs' ord.ekSfï Yla;sh iqúfYaIS fjhs' fuys§;a l%Svdfjka l%Svdjg YÍrfha jvd;a fjfyi l< hq;= ia:dk fjkia fjhs'

jghg iqÿiqlï ,eîh' fuys§ Colombo Kings msf,a m%n, l%Svlhka isõfofkla wdndOj,g m;a ùu;a tu ksid Tjqkaf.a miqnEu isÿ jQ nj;a uekúka meyeÈ,s úh' fï jir uq,oS mej;S ol=kQ wm%sldfõ fcdyekakian¾.ayS mej;S ;r¿h i|yd l%Svlhka kï lsÍfïoSo fï zzl%Svd wdmodZZ n,j;a .eg¿jla jQ nj ryila fkdfõ' fujeks wdndOj,g ,la fkdù l%Svd lsÍug fN!;Ñls;aidj buy;a jeo.;a fõ' úfoaY l%Svl l%Säldfjda ;rÕ msáfha fndfyda l,la /£ isá;s' jeä wE;g fkdhd w,a,mq rfgkao wmg th i|yd ksoiqka tug j;a ,nd.; yel' wfma LPL ;r.dj,shg meñ‚ mlsia;dk l%Svl iySâ w*aßäo ;ju;a ish l=i,;d uekúka m%o¾Ykh lrñka isà' Tyq iyNd.s jQ m<uq ;rÕfhaÈ fõ.j;a m%;s m%ydrhla t,a, lf<ah' tfy;a Tyqf.a iuld,Skhka jQ wfma l%Svlhka l%Svdfjka wo iuqf.k wjikah' wjika f,dal l=i,dk l%slÜ ;r.dj,sfha § Y%S ,xld lKavdhfï l%Svlhka /ilgu kej;;a Èjhskg

doctormagazine.lk

meñŒug isÿjQfha wdndO j,g ,laùfï m%;sM,hla jYfhks' tu ;r.dj,sfha§ jeäfhkau wdndOj,g ,lajQ l%Svlhka isá lKavdhu wfma Y%S ,xld lKavdhu úh' olaI l%Svlfhl=g ;u olaI;djka iu. fndfyda ld,hla l%Svdfõ ksr; ùug kï fyd| fN!; Ñls;ailjrfhl=f.a u. fmkaùu wksjd¾h fjhs' úoHd;aulj l%Svlhka mqyqKq lsÍu isÿ jkafka fN!;Ñls;ail jrhdf.a iy mqyqKqlref.a tlÕ;djh u;hs' l%Svlhdf.a l%Svd ffY,sh fï fofokd w;skau ksÍlaIKh úh hq;=h'

February 2021

DOCTOR MAGAZINE

31

D•Magazine /

Sports Physiotherapy l%Svdj iy fN!; Ñls;aidj

fuys§ fN!;Ñls;ailjrhdf.a ld¾hh jkafka l%Svlhdf.a isref¾ fN!;sl ;;a;ajhka ksÍlaIKh lsÍuhs' Tyq tys§ mqyqKq lrejdg l%Svlhdf.a fm!oa.,sl jQ iqúfYaIS jQ Yla;Ska y÷kajdfokjd' mqyqKq lrejd ta Yla;ska l%Svdjg wod, f,i fhdod.ekSug WmdhYS,S jkjd' olaI l%Svlfhl= ìys ùfï úoHd;aul moku fuhhs' fndfydaúg l%Svlhkaf.a wdfõ‚l bßhõ yd mj;sk bßhõ fjkia lsÍug fN!; Ñls;ailjrhdg ueÈy;a ùug isÿfjhs' ord.ekSfï Yla;sh iqúfYaIS fjhs' fuys§;a l%Svdfjka l%Svdjg YÍrfha jvd;a fjfyi l< hq;= ia:dk fjkia fjhs' ta wkqj hï l%Svdjl ksr; jk l%Svlfhl=f.a bßhõj yd tu bßhõ ;=< jvd;a l%shdldÍ fmaYSka ms<sn|j fYa%‚.; lsÍï wkqj tu bßhõfõ j,x.= wj,x.=;djh ;SrKh lsÍug fN!; Ñls;ailjrhdg yelshdjla ;sfí' ta ta fmaYs j, m%udKhka" tajd j¾Okh l< yels Wmßuhka" mqoa.,hdf.ka mqoa.,hdg 32

February 2021

Shoulder Pain Side Strain

Low Back Pain

Hamstring Strain

Sprained Ankle l%slÜ l%SvdfõoS iq,nj we;súh yels wk;=re myla

Wi-nr-jhi jeks ldrKd u;;a fï ;;a;ajfha fjkialï we;sfjhs' ta iïnkaOfhka fN!;sl Ñls;ail jrhdg ukd wjfndaOhla mj;S' fmaYs j, fY%a‚.; lsÍï wkqj ÿ¾j, fmaYs uq,§u yÿkdf.k tajd Yla;su;a lsÍug wjYH fN!;sl jHdhdu ,ndÈh hq;=h' tu Wmfoia wkqj jHdhdu j, ksr; ùfuka l%Svdfõ§ wk;=rlg ,la fkdù È.gu lS%vd lghq;= j, ksr; úh yelsh' fN!;Ñls;aidj jeo.;a jkafka fï ksidh' fN!;Ñls;ailjrhd jHqy úoHdj" ldhsl úoHdj uekúka yodrd we;s ta iïnkaO m%udKsl jD;a;Shfõosfhls' l%Svlhkaf.a wjfYaI wdndO .eko mqyqKqlreg jvd fyd| wjfndaOhla fN!;Ñls;ailjrhdg ;sfí'

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we;eï l%Svlhka l%Svdfõ§ mjd tl È.g fhdod fkd.kafka fjfyi fkdù l%Svlhd wdrlaId lr .ekSugh'

ish¨‍ l%Svdj, cd;sl lKavdhï j,g;a" mdi,a uÜgfï l%Svd lKavdhï j,g;a fN!;Ñls;ailjreka fhdod .kafka kï fï m%Yakh úif|kq we;' wm rfÜ ish¨‍ cd;sl mdi,a j,go fN!;Ñls;ailfhl= wkqhqla; lrkafka kï l=vd ld,fha isgu cd;sl ;,hg tk l%Svlhl= úoHd;aulj ìys l< yels nj wmf.a úYajdihhs' mdi,a uÜgfï l%Svlhl= kï uq,a ld,fha isgu l%Svdj weröug fmr YÍrh WKqiqï lsÍfï jHdhdu" È. we÷ï wNHdi fukau l%Svdj wjidkfha§ YÍrh isis,a lrk jHdhdu l< hq;= nj u;l ;nd .kak' tfukau fN!;Ñls;ailjreka l%Svdfõ§ fud<h yd iïnkaO jk iakdhq iudfhdackh" iunr;djh" mSvkh ord .ekSu" uki ixhuhg m;a fjk jHdhduo lrkq ,nhs'

iysâ w*aßäf.a iuld,Sk ,dxflah l%Svlhka l%slÜ l%Svdfjka iuqf.k isáhoS w*aßä ;ju;a l%Svdfõ id¾:lj ksr; fjhs' ksjeros ;dlaIKh fndfyda úg l%Svlhdf.a l%Svd cSú;h yeviú lrk w;r tysoS fN!;Ñls; a i a ljrfhl=f.ka ,efnk Wmfoia w;sYhska jeo.;a fjhs

doctormagazine.lk

Tn oekgu;a lsishï wdndOhlg ,laj we;akï fN!;Ñls;ail m%;sldr u.ska tajd iqj lr.; yelshs' ta i|yd fhdod.kakd m%;sldr w;r whsia f;rms" ;dm m%;sldr" w,ag%dijqkaâ iy fN!;sl jHdhdu Wmfhda.S lr.kS' m%;sldr .ekSug fmr Tnf.a fN!; Ñls;ailjrhd Bg iqÿiqlï ,;a wfhlaoehs fidhd n,kak oekg jHdc fN!;Ñls;ailhka úYd, m%udKhla rgmqrd isák ksid ffjoH iNdfõ ,shdmÈxÑ wxlh úuiSu Tnf.a whs;shls' DM February 2021

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Vision Tka,hska tflka bf.k .kak .syska orejkag ke;s weia f,v

Computer Vision Syndrome

Tka,hska tflka bf.k .kak .syska orejkag ke;s weia f,v .=rejreka orejkag weia j,g .eg¿ we;s fkdjk fia ud¾.ia: wOHdmkh ,eîug Wmfoia fokjd kï fyd|hs ud;r uy frdayf,a wlaIs Y,H úfYaI{ ffjoH m%shx. boaofj, ^idlÉPdjla weiqßKs&

—oeka orejka meh .Kka tl È.g Tka,hska wOHdmkhg fhduq fj,d mß.Klh fyda cx.u ÿrl;kfha ;srh foi n,df.k isàu ksid úúO oDIaá frda. wdndO j,g ,laù ;sfnkjd' fï Èkj, ud yuqjg meñfKk mdi,a yd iriú isiq isiqúhkaf.ka ishhlg 60 lg jvd fï ;;a;ajh ;sfnkjd'ZZ ud;r uy frdayf,a wlaIs Y,H úfYaI{ ffjoH m%shx. boaofj, uy;d mejiSh' <ud wlaIs idhkhg tk orejkaf.ka kï ishhg 80 lg jvd fï ;;a;ajh oel. kak ;sfnkjd' úfYaIfhkau fï Èkj, jukh" la,dka;h" weia fõokdj" weia j,ska lÿ¨‍ .e,Su wd§ frda. ,laIK .ek ore oeßhka jeä jYfhka meñKs<s lrkjd' 34

February 2021

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úoahq;a ;sr keröfï 20- 20 20 kS;sh

iEu úkdä

lg jrla

fïl t;rï fyd| fohla fkdfjhs' tu frda. ,laIK;a iu. we;eï orejkaf.a yeisÍï rgdj mjd fjkia fj,d' Tjqkag fjkog jvd flaka;s hkjd' ;ryd hkjd' mj;sk ;;a;ajh ;=< Tka,hska ^ud¾.ia:& wOHdmkh isÿ úh hq;=hs' yenehs ta ksidfjka orejdg w.;shla fkdjkakg uõmshka" .=rejreka yd jeäysáhka mshjr .; hq;=hs' mß.Klhg jvd cx.u ÿrl;kfha ;srh fmdähs' ta ksid weia ;jÿrg;a fjfyi uykais fjkjd jeähs' wefia fõ,Su jeä lrkjd' f;;a .;sh ke;s fjkjd' doctormagazine.lk

;;amr

wä

l úfõlhla ,nd.kak

la wE;ska we;s jia;=jla foi fk; fhduq lrkak

wefia fmaYs úvdjg m;aùfï m%;sM<hla wfma wei .;af;d;a ld¾hlaIu ishqï fmaYska yhla ;sfnkjd' l=ula fyda Èyd n,k úg m%;sìïnh ta miqmi hkjd' wju jYfhka yeu úgu fï fmaYs j,ska fol y;rla jev lrkjd' ,Õ n,k úg y;rla ixfldapkh fjkjd' tl È.g tlu ;ekla Èyd n,oa§ ta ixfldapkh oeä njla we;s lrkjd' th fud<hg fukau weyego oefkkjd' tys m%;sM,h weia jfÜ oeú,a," l÷¿ .e,Su" ysiroh" jukh hdu olajd úúO wmyiq;d we;s fjkak mq¨‍jka' fï ksid we;eï orejkag weia lKaKdä mjd ks¾foaY lrkak isÿ fj,d ;sfnkjd' fï i|yd .; hq;= mshjr l=ulao@ ud¾.ia: wOHdmkh fokafka l,ska l<dla fia iómj wOHdmkh i,ikakg fldúâ jix.;h ndOd muqKQjk ksihs' fï ksid orejkag ÿria:Ndjh mdol lr.;a wOHdmksl fuj<ï Ndú;hg fhduq jkakg isÿù ;sfnkjd' thska neyer jkakg nE' l< hq;af;a wjodku wju jk p¾hdjka j,g k;= ùuhs'

February 2021

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Vision Tka,hska tflka bf.k .kak .syska orejkag ke;s weia f,v

fï iqúfYaIS fi!LH úêúOdk j,g wkq.;j cSj;a úh hq;= ldf,a bf.kSfïoS" /lshdfõoS ud¾.ia: ieis neyer lrkakg nE' thska jk ydks mQrkh jk Wml%u weiqf¾ ksjerosj ;dlaIKh mßyrkh lrkakg wm mshjr .; hq;af;a ta ksihs

úáka úg Break tlla .kak weia j, .eg¿ we;sùug l< hq;af;a úkdä 20 ka 20 g ;;amr 20 l fyda úfõlhla .ekSuhs' tfia fkdue;s kï uDÿldx.hla ;sfnkjd úkdä 20ka 20g ;srh Tfgda ´*a ù kej; Èiajk' kjH Wml%uh Ndú;hg .kak' ud¾.ia: mka;s lrk .=rejreka fï .ek oekqj;a ù orejkag ta wdldrhg úfõlh ,nd Èh hq;=hs' Tka,hska bf.k .kak yeá orejkag lshd §ug" ta iïnkaOfhka ud¾f.damfoaYK ie,iSug rch ueÈy;a úh hq;=j ;sfnkjd' fuh mßKdóh wkq.; ùfï .eg¿jla ñksid jdkrhf.ka ;uhs mßKduh fj,d ;sfhkafka' ta ksid wfma weia tl fohlau Èyd tl È.g n,d f.k bkak ;rï yqrejla keye' mßKdufha B<Õ mshjr j,oS" iuyr úg ;j wjqreÿ yeg ye;a;Ejlska wfma weye ud¾. ia: wOHdmkhg yqre fõú' kuq;a ;ju tfyu yqreùula kE'

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February 2021

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uDÿldx. bxðfkarejka mjd weia j, .eg¿ wrf.k wfma .djg tkjd' Tjqka wykjd t;fldg fïlg úi÷u wms /lshdj fkdlr bkak tlo@ lsh,d' túg Tjqkag meyeÈ,s lr §,d mß.Klhg wei úáka úg úfõlh wrka yqre jk úÈh lsh,d fokjd' l=vdu orejkag fïl ta ;rï n,mEula kE' fudlo Tjqka tl È.u wjOdkh fhduq lr f.k bkafka kE' 6 fYa%‚fhka by, ;uhs fï .eg¿j jeämqru ;sfnkafka' zzwfma wefika meh .dkla tl È.g n,d f.k ysáh;a fyd|g u;lfha ;sfhkafka wjika ñks;a;= 20 l tajd ú;rhs lsh,hs kùk úoHdfõ lshkafka' ta ksid meh oyh fod<y tl È.g Tka,hska j,g fhduq ùug jvd l%udKql+,j ta .ek wjfndaOfhka bf.k .ekSu jvd;a id¾:l fõú'˜ wlaIs Y,H úfYaI{ ffjoH m%shx. boaofj, uy;d jeäÿrg;a mejiSh' DM

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Mouth Cancer msßñka w;r jvd;a iq,n uqL ms<sldj

What Does Mouth Cancer Look Like? msßñka w;r jvd;a iq,n uqL ms<sldj nq,;aúg lEu jeä fofkl=g uqL ms<sldj je<|Sug fya;=jhs nÿ,a, m<d;a uy frdayf,a uqL" yKQl yd jla;% úfYAI{ ffjoH nqoaêl oikdhl ^idlÉPdjlsKs&

doctormagazine.lk

wfma rfÜ jeä jYfhka ck;dj w;f¾ olakg ,efnk ms<sld w;r zzuqL ms<sldZZ m%Odk ia:dkhla .kS' iEu osklu wfma rfÜ fld;ekl fyda uqL ms<sld frda.Ska 3-4la ñh hhs' j¾Ihlg w¿f;ka 32000l muK frda.SkA m%udKhla w¿;ska yªkd.kshs' iuia;hla jYfhka n,k l< fï mq¿,a jYfhka me;sr hk ms<sldj iïnkaOfhka ;ju;a wfma rfÜ ck;dj w;r t;rï jeä wjOdkhla fhduq fkdù mj;akd njo olakg ,efí'

February 2021

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Mouth Cancer msßñka w;r jvd;a iq,n uqL ms<sldj

uQ,sl jYfhka uqL ms<sldj wfma rfÜ fïid fõ.fhka me;sr hkakg fya;=jk m%Odk ldrKhla jkafka nq,;aúg iemSfï mqreoaohs' ÿisß;la f,i ksjerosj ms<s.; yels fï mqreoaog jeä jYfhka yqre ù isákafka f.dúhkah' lïlrejkah' ffoksl fõ;khka ,nk wvq wd¾Ól ;;a;ajhla we;s lKavdhïh' ta yereKQ úg kd.ßl iqfLdamfNda.S cSú; .; lrk wh w;f¾ nq,;aúg iemSfï mqreoao t;rï olakg fkd,efí' fï we;s ke;s fNaoho wfma rfÜ uqL ms<sld ksjdrKh iïnkaOfhka mq¿,a l;sldj;lg udj;a wjysr l<foda ielhla mj;S' nq,;a úgg .kak mqjla" yqKQ" ÿïfld<''' fï lshk yeufohlau ms<sldldrlhs' nq,;aúg yereKQ úg bkaoshdfjka" mlsia:dkfhka furgg tk ndnq,a" udjd jf.a úg j¾.;a b;d Nhdkl ms<sldldrl l%shdldß;ajhla mj;akd nj fï jk úg yªkdf.k ;sfnkjd'

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February 2021

uqLfha fukau''' f;d,a| osj" úÿreuia" lïuq,a fï ´kEu ;efkl ms<sldjla we;s úh yel' my; ,laIK flfrySo ie<ls<su;a fjkak

uqLfha" ysfiys fyda f.f,a we;sjk f.ähla fyda bosuqula

i;s ;=klg jeä ld,hla iqj fkdjk ;=jd,hla uqLfha we;s r;= yd iqÿ me,a,ï iys; ia:dk

uq,a wjia:dfõoSu yªkd .ekSu w;sYhska ;SrKd;aulh' <Õu frdayf,a oka; Y,H ffjoHjrhd yuqjkak

flfia fj;;a nq,;a úg iemSu b;d oeä jYfhka mj;akd m%foaYhl''' ta ksidfjkau uqL ms<sld j,g md;% ùfï jeä wjodkula mj;akd W!j m<df;a fï iïnkaOfhka fndfyda frda.Ska weiqre lrñka Tjqkag m%;sldr yd ud¾f.damfoaYK imhk ffjoHjrfhl= olajk woyia lsysmhlska uqL ms<sld iïnkaO l;sldj; wm Tn fj; f.k tkakg W;aiql fjuq' uqLh - uqL ms<sld j,g úIh jk fï bkaøsfha jeo.;alu .ek uQ,slj wjOdkhla fhduq lf<d;a@ wms YrSrfha kv;a;=jg" l%shdldß;ajhg wjYH flfrk wdydr .kafka uQLh uQ,sl lrf.k' l;d lrkakg" yqiau .kakg" woyia m%ldY lrkakg''' fï úosyg wfma meje;afï uQ,sl ld¾hhka /ilgu uQ,slj odhl;ajh ,efnkafka uqLfhka' .;sl l%shdldß;ajhla mj;sk" l%shdldrlï /ilg odhl;ajh olajk''' ta ú;rla fkdfjhs mqoa.,fhl=f.a w,xldr;ajhg" wdl¾YKhg;a jeä odhl;ajhla olajk bkaøshhla jYfhka uqLh yªkajkakg mq¿jka'

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uqL ms<sld frda.Ska wfma rfÜ jeähs' úfYAIfhkau nq,;aúg iemSu jeks wjodkï iy.; p¾hdjka ksid fï ;;a;ajh we;sj ;sfnkjd' fï ksid uqLfha we;sjk fjkialï .ek ie<ls<su;aj isàu fukau iel iys; fjkialula fk; .egqKQ l,ayS oka; ffjoHjrfhl= yuqùu;a w;sYhska jeo.;a fjkjd' uqLfha we;sjk fujka fjkialï .ek wjOdkfhka bkak' iel iys; fjkialula ÿgq l,ayS oka; ffjoHjrfhl= yuq jkak

wfma rfÜ uqL ms<sld jeä jkakg fya;=j nq,;aúghs' mqjla" yqKQ" ÿïfld<''' fï ish,a,u ms<sld we;sùug fya;= fjhs

uqLfha ms<sld we;sjkakg odhl jkafka ljr fya;=o@ ² uQ,slj nq,;a iemSu ² ÿïmdkh ² u;ameka mdkh jf.au we;eï ffjri;a uqLfha ms<sld we;s lrkakg odhl;ajh imhkjd'

doctormagazine.lk

nq,;a úgg .kak mqjla" yqKQ" ÿïfld<''' fï lshk yeufohlau ms<sldldrlhs' nq,;aúg yereKQ úg bkaoshdfjka" mlsia:dkfhka furgg tk ndnq,a" udjd jf.a úg j¾.;a b;d Nhdkl ms<sldldrl l%shdldß;ajhla mj;akd nj fï jk úg yªkdf.k ;sfnkjd' fï fldhs tflkq;a wE;a fkdjqfKd;a uqL ms<sld wjodku Tng ;sfhkjd' fï yereKQ úg ÿï mdkh ksid;a úYd, wjodkula we;s fjkjd' uoHidr;a uqLfha ms<sld wjodkug iDcqju fya;= fjk nj lsj hq;=hs'

February 2021

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Mouth Cancer msßñka w;r jvd;a iq,n uqL ms<sldj

uqL ms<sldjla we;s jqfKd;a cSú;fha meje;au fyda urKhg fya;=jk w;sYh ;SrKd;aul idOlh l=ulao@ uq,a wjia:dfõu frda.h yªkd.ekSu' uq,a wjia:dfõu uqL ms<sldj yªk.;af;d;a th md,kh lrñka iqj lrkakg b;d jeä yelshdjla ;sfhkjd' wdrïNl wjia:dfõ ms<sldj y÷kdf.k kshñ; m%;sldr j,g ,lafjk flfklag boss jir myl ld,hla cSj;a fjkakg ishhg 80l wjia:djla ,efnkjd' ta;a ms<sldj fiiq wjhj j,g me;sr .shdg miafi m%;sldr l<;a B<Õ wjqreÿ my ;=< cSú;h meje;Sfï wjia:dj ishhg 20g jeä fjkafk kE' fïl ;uhs lsishï mqreoaola ksid fyda fjkhï fya;=jla ksid uqL ms<sldjla je<ªfKd;a Tng ,efnk fojeks" iuyr úg wjidk wjia:dj' ms<sldjla we;s nj yªkd.;a iefklska ffjoH m%;sldr j,g fhduq úh hq;= jkafka ta ksihs'

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February 2021

fudkjo uqL ms<sld j,g lrk m%;sldr@ Y,Hl¾uh ;uhs m%Odk m%;sl¾uh' bkamiqj rYañ Ñls;aidj''' ljqre;a okak lshk jyßka lsõfjd;a zzlrkaÜ w,a,kjd'ZZ lSfudf;rms T!IO;a ,nd fokjd' frda.shd idhkslj mÍlaId lsrSfuka miq yd ffcfõlaId mÍlaIKhlska ms<sldfõ iajNdjh ;lafiare lr Tyqg wjYH m%;sldr ie,eiau ie,iqï lrkjd' m%;sldr ie,fikafka tu ie,eiaug wkQjhs' fujka wjodkula uq,a wjia:dfõ yªkd .kakg l< hq;af;a l=ulao@ by; lS wjodkï p¾hdjka ;sfnk wh iEu úgu ;ukaf.a uqLfha we;sjk fjkialï .ek wjOdkfhka isáh hq;=hs' uqL ms<sldjl uQ,sl ,lIK .ek fuys fjk;a ;ekl i|yka fjkjd' ta i|yd uqLfha we;sjk fjkialï .ek wjfndaOfhka isg tjka wjia:djla .ek iel is;=Kq l,ayS jydu oka; Y,H ffjoHjrfhl= yuqùu jeo.;a' iel lghq;= fjkialul fiahdjla fyda oek.kakg ,enqfKd;a wdfh n, n,d bkak tmd''' <Õu we;s frdayf,a oka; idhkhg hkak' tysoS oka; Y,H ffjoHjreka fï wjodkï iy.; ,laIK (Early lesions) iys; frda.Ska y÷kdf.k B<Õ mshjf¾ mÍlaIK j,g fhduq lrkjd' uqL" yKQl yd jla;% úfYAI{ ffjoHjreka (Oral and Maxillofacial Surgeons)" ms<sld Y,H úfYAI{ ffjoHjreka (Onco Surgeons)" ms<sld úfYAI{ ffjoHjreka (Oncologists) ;uhs fï frda.Ska yªkd.;a miqj frda.Skag m%;sldr lsÍfï j.lSu orkafka' uqL ms<sld frda.Ska wfma rfÜ jeähs' úfYAIfhkau nq,;aúg iemSu jeks wjodkï iy.; p¾hdjka ksid fï ;;a;ajh we;sj ;sfnkjd' fï ksid uqLfha we;sjk fjkialï .ek ie<ls<su;aj isàu fukau iel iys; fjkialula fk; .egqKQ l,ayS oka; ffjoHjrfhl= yuqùu;a w;sYhska jeo.;a fjkjd' DM

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What Causes Non-Healing Foot Ulcers? mdofha iqj fkdjk ;=jd, we;s jkakg fya;=

WHAT CAUSES NON-HEALING FOOT ULCERS?

mdofha iqj fkdjk ;=jd, we;s jkakg fya;= uy¿ ug jHdhdu fudlgo@ tfyu lsh, w,ij cSj;a jqfKd;a fjk;a frda. jf.au fï mdo wdY%s; .eg¿;a jeä fjkak mq¿jka''' ffjoH fla;lS m,syjvk mdofha we;sjk ;=jd, fndfyda wjia:d j,oS idudkH uq;a" ;=jd, fnfy;la" m%;scSjl T!IOhla jegqKQ úg kej;;a iqjh ,efnk uq;a oshjeähd frda.Ska yd ;j;a wjia:d lsysmhloS th Tfí cSú;hg mjd ;¾ckhla jk Nhdkl wjia:djla úh yel' fï ta ms<sn|j lreKQ oelaùuls'

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February 2021

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What Causes Non-Healing Foot Ulcers? mdofha iqj fkdjk ;=jd, we;s jkakg fya;=

wjOdkfhka úuish hq;= ;=jd,hl uq,a wjia:dj reêr .ukd.ukfhys" iakdhq l%shdldß;ajh ì| jegqKQ wjia:djloS mdohl we;sjk ;=jd,hloS uq,a wjia:dfõ fndfyda úg we;s jkafka r;a meye .ekaùuls' wf;ka th iam¾Y lsÍfïoS w;g oefkk iajNdjho ;rula fjkiah' wuq;= ;o .;shla fukau fiiq ia:dk j,g jeä riakhlao t;ekska oeksh yel' tfiau w,a,k úg lsishï fõokdjlao we;s jkakg mq¿jk' ld,h;a iu.u fï iu ì|S ;=jd,h msg oukakg .kS' bka miqj iug háka fïo ia:rhla ks¾udKh fjhs' fï wdldrfhka we;=<g hk ;=jd,hg ms<shï fkdfhoSfuka fmaYs" LKavrd yd wiaÓ olajdo me;sr hk jkhla njg m;a jkakg mq¿jk'

myiqfjka iqj fkdjk ;=jd, iïnkaOfhka jk fï l%shdj,sh we;s lrk wjia:d lsysmhla my;ska f.kyer olajkafkuq' reêr .ukd.ukfhys we;sjk .eg¿ fya;= lrf.k reêrjdyskS u.ska Tfí isref¾ ish¿u ffi, yd mgl j,g wjYH wï,lr jdhqj idrj;a reêrh f.k hhs' fïjd ffi, yd mgl j, meje;aug wjYHfhkau jqjuKdh' fï ixirkh ÿ¾j, jQfjd;a th uq,skau oefkk ia:dkhla jkafka Tfí mdo hq.,hhs' fyd|ska mdoh mÍlaId lsÍfuka jqj;a we;eï úg Tng fjkila olskakg fkd,efnkakg mq¿jk' fõokdjla" ysß jeàula fyda meyefha fjkiaùula wdoS fï fudkhïu fyda fjkila Tng fkdoekSu jqjo Peripheral Artery Disease (PAD) kï ;;a;ajh n,.ekaùug mq¿jk' fuh Tng oefkk uÜgug tk úg oeä fõokdjla oekSu" iqj l< fkdyels ;=jd, we;sùu muKla fkdj fuh fya;=fldg f.ku cSú;h wjidkh lrd <Õd ùfï wjodkulao iys; ;;a;ajhla mjd we;s l< yels ksid fï ;=jd,h uq,a wjia:dfõu yªkdf.k Bg wejeis ms<shï fhoSu iïnkaOfhka Tfí oeä wjOdkh fhduq úh hq;af;ah'

ld,h;a iu.u j¾K fjkilao we;sfõ' uq,skau r;ameye .ekafjk iu ly meyefha isg l¿ meyeh olajd j¾K wka;rhla we;s lr.kshs' thg isÿj we;s ydksh u;=msáka n,d ;lafiare lrkakg fkdyels w;r th Tn is;kjdg;a jeä úkdYhla Tng fkdfmkS we;s lrkakgo mq¿jk'

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reêr jdyskS j, fïoh ;ekam;a ùu ksid mdo jeks m¾hka; wjhj j,g reêrh iemhSug ndOd we;s fjhs'

we;rialaf,frdaisia fkdfyd;a fïoh ;ekam;a ùu ksid kyr wjysr ùu uekúka ixirkh isÿjk Oukshla

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iakdhq wdmodjg m;aùu reêr ixirkfha ÿ¾j,;d we;súg iakdhq l%shdldß;ajho .s,syS hkafkah' oshjeähdj frda.Ska yereKQ úg ÿï yd u;ameka mdkhg yqre jQjkao reêr kd, >k ùfï frda.h (Atherosclerosis) we;s who fï wjodkug ,la úh yel' iakdhq uekúka l%shd;aul jk l," mdofha wdrlaIdjg wjYH ix{d fud<hg iemfhhs' ;o .,la jeÿfKd;a" .skaorl wjodku oeKQfkd;a" fudkhïu fyda ;e,SuloS''' fjkhï wdndOhloS iefkka mdoh bj;a lr.kafka fï iakdhql ikaksfõokh uekúka mj;akd ksidh' tfy;a tfia fkdjk l,ayS WKQiqu" fõokdj''' yosis ;e,Sï" jeoSï fï lsisjla mdohg fkdoefkhs' túg ms<siaiqula kï iEfyk ;rï ms<siafik f;la oek.kafka ke;' .,l jeoS nrm;, ydkshla mdohg isÿ jQj;a thska jk ydksh Tn iEfy l,la hk;=re Tn fkdokS' f,a .ukd. ukho wvq ksid m%;sM<h jkafka we;sjk ;=jd,h b;d nrm;," iqj fkdjk ;=jd,hla njg m;a ùuhs' os.=ld,Skh mdohg oefkk mSvkh we;eï úg mdohg odk im;a;=j Tng .e,fmk tlla fkdjkakg mq¿jk' fuys úfYAI wjodku we;af;a nqre,g ouk im;a;=jg jvd lsá lsáfha ysrg ouk im;a;=fjks' fï ksid ld,hla hk úg mdo

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wdY%s; mgl j,g ydks isÿù ;=jd, we;s jkakg mq¿jk' jhia.; ùfïoS fïjd t;rï uekúka mÍlaId lrkakgo fkd,efnk l,ayS nrm;, ydkshla jk ;=re fï isÿj we;s foh wjfndaO jkafkao ke;' os.=ld,Skj mdohg wd;;shla" mSvkhla we;sjk mdjyka oukakg tmd' Bg rel=,a fok ljr fyda lghq;a;l ksr; jkak;a tmd' mdo bosóu u.ska m%lg jk ;;a;ajh by;ska i|yka l< reêr .ukd.ukhg ndOd we;sùfuka yg.kakd PAD frda.h yereKQ úg oshjeähdj" jl=.vq wlrKsh" wêl reêr mSvkh yd fldf,iagfrda,a j, mjd ixlS¾K woshr j,oS mdo j, bosuqu" iqj fkdjk ;=jd, we;s ùu olakg ;sfí' by;ska i|yka l< ;;a;aj j,oS reêr ixirkh wl%uj;a fjhs" iakdhq ydkshg m;a fjhs' fï ksid ;=jd," jk we;sùfï wjia:d iq,nh' fï frda. j, uq,a wjia:d j,oS tajd md,kh lr .ekSfuka ixlS¾K woshr j,g meñKSu md,kh l< yel' m%udo l< yel' ksjeros wdydr" T!IO" jHdhdu" yÍrfha nr md,kh lsÍu fuysoS Tn úiska .; hq;= l%shdud¾. fjhs'

fuys oelafjkafka Tfí mshú weig fkdfmfkk wdrlaIl hdka;%Khls' mdofha iakdhq iemhqu' mdofha iakdhq l%shdldß;ajh wvmK ùu mdo úYd, wjodkulg ksrdjrKh ùug fya;=jla fjhs' ;=jd,hla we;s jqK;a" msÉpqk;a iakdhq ÿ¾j, jQ úg oefkkafka ke;'

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D•Magazine /

What Causes Non-Healing Foot Ulcers? mdofha iqj fkdjk ;=jd, we;s jkakg fya;=

reêr .ukd.ukhg ndOd we;sùfuka yg.kakd PAD frda.h yereKQ úg oshjeähdj" jl=. vq wlrKsh" wêl reêr mSvkh yd fldf,iagfrda,a j, mjd ixlS¾K woshr j,oS mdo j, bosuqu" iqj fkdjk ;=jd, we;s ùu olakg ;sfí'

ÿïmdkh lsÍu jk ydksh ÿïmdkh lsÍu ksid fuf;lehs lsj fkdyels ;rï úYd, ydks m%udKhla Tfí fi!LHhg we;s fjhs' ÿïj, wka;¾.; úIøjH kyr j, ;ekam;a ùfuka mild,Skj YÍrfha reêrjdyskS wjysr jk w;r iakdhq l%shdldß;ajho ÿ¾j, fjhs' uq,skau fuh fmfkkakg mgka .kafka mdo j, we;sjk fõokdjla jYfhks' fuys we;s wjodku kï ;=jd,hla we;s jQjfyd;a th iqj lsÍu f,fyis myiq lghq;a;la fkdùuhs' hï flfkla ;ukag lr.kakd úYd,;u úkakeyshla jkafka ÿïmdkh lsÍfï ÿisß;g k;= ùuhs'

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February 2021

ÿïmdkh lsÍu mdo j, iakdhq ÿ¾j, ùugo" reêr .ukd.ukh wvmK lsÍugo m%Odk fya;=jls' mdo j,g reêrh f.k hk Ouks wjysr ùfuka we;sjk severe peripheral arterial occlusive disease (PAOD) frda.h idudkH jyf¾ yªkajkafka Smoker's leg hkqfjks'

jHdhduh mdo iqjfi; j¾Okh lrkjd' w,ij cSú;h f.ùfuka mdo iqjfi; ÿ¾j, fjkjd m%Yakh;a ms<s;=r;a folu leájqKq mdvula fuys ;sfnkjd' jhia.; jk úg frda. mSvd wmg tkafka ksrdhdifhka' oshjeähdj" wêreêr mSvkh" fldf,iagfrda,a''' .; .s,ka lrk fjk;a wdndO''' fïjd jeäfhkau wmg mSvd lrkafka ;reK ldf,os fkdfjhs" wms jhig hk úg' mdo j,g reêr ixirkh kshñ; wdldrfhka isÿ fkdùfï .eg¿" iakdhq .eg¿ wdosh uy¿ úfhaoS iq,nhs' fïjd md,kh lr.kak''' l,a oukak ksYAÑ; jYfhkau zzjHdhduhZZ WmldÍ fjkjd' Tn ;reK ldf, b|kau jHdhdu l<d kï fï frda. iEfykak Tfnka wE;a fjkjd' ;reK ldf, fkdl< jHdhdu uy¿ ldf, fudlgo@ tfyu ys;kak;a tmd' tfyu jqfKd;a .eg¿j ixlS¾K fõú' uy¿ Tng ;uhs jeäfhkau jHdhdu wjYH' Tng wjYH jHdhdu f;dard fír fok tl ffjoHjrhdf.a" fN!;Ñls;ailjrhdf.a" jHdhdu WmfoaYlhdf.a ld¾hhla' w,ij ysáfhd;a fïj ;j ;j;a ne?reu fjkjd' fï ksid uy¿ jqK;a" jhig hñka bkak flfkla jqK;a l%shdYS,Sj cSj;a fjkak mqreÿ fjk tl ;uhs fyd|u úosy''' DM

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Antimicrobial Therapy m%;sÔjl yd m%;slaIqøcSù ix>gl .ek o; hq;= foa" l< hq;= foa yd fkdl< hq;= foa'''

General Principles of Antibiotics/ Antimicrobial Therapy

m%;sÔjl yd m%;slaIqøcSù ix>gl .ek o; hq;= foa" l< hq;= foa yd fkdl< hq;= foa''' idhksl laIqøcSù úfYaI{ ffjoH frdaysŒ jvkïì MBBS, Dip(Med Micro) wxY m%OdkS" laIqøÔj úoHd wxYh ,xld fydiamsÜ,aia

COVID-19 j,g m%;sÔjl j,ska .=Khla ,efío@ COVID-19 ffjrihla ksid thg m%;sÔjl j,ska lsis÷ m,la ke;' kuq;a COVID-19 weiqre fldg.;a jHdl+,;d we;súg lD;s%u Yajikh" Yajik hka;% wdÈhg iú lsÍu jeks ÿr-È. .sh wjia:dj,§ idïm, mÍlaId fldg" úfYaI{ ffjoHjreka úiska .e,fmk m%;sÔjl Ndú;d lrhs' ta" ffjrihg fkdj" fojkqj YÍrhg ydks lrk (Secondary bacterial) laIqøÔùka fjkqfjks' COVID-19 i|yd m%;sffjri (Anti viral) fiùfï mÍlaIK úYd, jYfhka isÿfjñka mj;S' úúO wikSm" W.=r ßoSu" ysi lelal=u" nfâwudre" idudkH WK jeks iq¿ wikSm j,§ <Õu we;s T!IOy,g (Pharmacy) f.dia tys fiajlhl=f.ka fnfy;a b,a,d .ekSu iqÿiqo@ lsisfia;au iqÿiq fkdfõ' T!IO Yd,dj, (Pharmacy) fiajlhska T!IOfõoh ms<sn|j mdGud,d yodrd we;s fyda ke;s wh úh yelsh' ta lsisfjla fnfy;a kshu lsÍu (Prescribing) i|yd iqÿiq ke;' ffjoH iNdfõ ,shdmÈxÑ ffjoHjrhl= úiska ,shk

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February 2021

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,o fnfy;a jÜfgdarejlg muKla fnfy;a §ug Tjqkag wjirh ;sfí' Tjqka ,shdmÈxÑ ù we;af;a ffjoH jd¾;dfõ we;s m%;sÔjl fyda wfkl=;a fnfy;a ksl=;a lsÍug mu‚' ta ksid úúO T!IOy,a iy fjf<kaokaf.ka lsisu T!IOhla f,fyishg hehs is;d /f.k wk;=f¾ fkdjefgkakg n,d.kak' fuh fkdÈhqKq rgj, m%;sÔjlj,g m%;sfrdaë nelaàßhdjka we;sùug n,mdk m%Odk idOlhls' ta fya;=fjka jeä urK ixLHdjla jd¾;d fjk nj f,dal fi!LH ixúOdkh yÿkdf.k we;s w;r ta .ek uyck;dj fj; úfYaIfhka wk;=re yÕjhs' wdidokhla hkq l=ulao@ wdidokhla hkq YÍrfha fldfya fyda ;ekl u;=msg fyda wNHka;rfhka w¾nqoldÍ ;;a;ajhla yg .ekSuhs' fõokdj" WK" w¾nqoh we;s ia:dkh r;aùu" r;=ùu" bÈóu" uq¿ isreru fõokd iy.; ;;a;ajhlg m;aùu" oeú,a," wmyiq;djh" fjkodg jvd úfYaI fjkialï lsysmhla tljr oekSu wdÈh wdidokhloS oelsh yels ,laIK fjhs'

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wdidokhla hkq YÍrfha fldfya fyda ;ekl u;=msg fyda wNHka;rfhka w¾nqoldÍ ;;a;ajhla yg .ekSuhs' fõokdj" WK" w¾nqoh we;s ia:dkh r;aùu" r;=ùu" bÈóu" uq¿ isreru fõokd iy.; ;;a;ajhlg m;aùu" oeú,a," wmyiq;djh" fjkodg jvd úfYaI fjkialï lsysmhla tljr oekSu wdÈh wdidokhloS oelsh yels ,laIK fjhs'

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Antimicrobial Therapy m%;sÔjl yd m%;slaIqøcSù ix>gl .ek o; hq;= foa" l< hq;= foa yd fkdl< hq;= foa'''

Tiqif,ys isák ;eke;a;df.ka frda. j,g fnfy;a ,nd.ekSu wm jeks rgj, iq,nj isÿjk jrols' fï ksid frda.shdg jk ydksh buy;a jk w;r fï jro kï fkdj<yd k;r l< hq;af;ah

wdidok lsysmhla WodyrK f,i olajkak@ ² W.=f¾ fõokdj ^WK iuÕ fyda WK ke;sj& ² ysfia lelal=u" WK iy ysfiys nr .;sh ² nfâ oeú,a, iu. jukh ² uq;%d oeú,a, ² oKysfia bÈóu yd weú§ug we;s wmyiqj ² msgfldkao weú,Su wdidok ish,a,u we;sjkafka úIîc ^laIqøÔùka& ksiduo@ ke;" úIîc hkq" wdidokhla yok tl ldrlhla muKhs' WodyrKhla f,i ^wk;=re" jeàu" ì£u& jeks ldrKd''' ;dmh ^WKqj;=r" ;o br t<sh& jeks ldrKd" foaY.=‚l fjkia ùu ^wêl riakh" f;;ukh& wdydr ^wm;H wdydr" wdid;añl;d we;s lrk wdydr& jeks oE ridhksl øjH ^lDñkdYl" j,a me<EákdYl& wdÈh ksid úúO wdidok YÍrfha we;súh yelshs'

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February 2021

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wdidok we;s lrk úIîc .ek meyeÈ,s lsÍula lrkak@ úúO laIqøcSúka" mrfmdaIs;hka m%Odk jYfhka fuhg wh;a fõ' laIqøcSúka lS úg nelaàßhd" ffjri" laIqø mrfmdaIs; Ôùka" È,Sr j¾. m%Odk jYfhka wh;a fõ' weig fmfkk mrfmdaIs;hka yd È,Sr j¾. úúO wdidok we;s lrk nj oek.; hq;=h'

doctormagazine.lk

ks;r ks;r wdidok we;s lrk nelaàßhd j¾. lsysmhla y÷kajd fokak@ W.=r wdidokh lrk (Tonsillitis) Methicillin Resistant Streptococcus pyogeans -(Group A strep GAS) fuys§ úfYaIfhkau lsj hq;=hs' ks;r yefok W.=f¾ wdidok ishhg wiQjla muKu yefokafka ffjri u.sks' th y÷kd.; yelafla ridhk.dr mÍlaIdjlsks' iu" frdau l+m yd isref¾ úúO ;ekaj, meiaùï" ierj f.ä" wiaÓ l=Kqùu wd§ frda. /ila Staphylococcus aureus kï nelaàßhdj úiska we;s lrkq ,nhs' fuu nelaàßhdfõ jvd;a m%;sfrdaê wjia:dj Methicillin Resistant Streptococcus aureus (MRSA)) f,i y÷kajk w;r ñksia isref¾ úYd, wdidok /ila i|yd frday,a.; frda.k S g a w;sYhska ydks lrk úIîchls'

nelaàßhd yereKqfldg wdidok yok wfkl=;a laIqø Ôùka lsysmhla .ek wms WodyrK olajkak@ nelaàßhd yereKqfldg wdidok we;s lrk wfkl=;a laIqøÔúka .ek flá ye¢kaùula l<fyd;a úúO ffjri j¾." úúO È,Sr j¾." úúO mrfmdaIs; j¾. .; yelsh' ffjri j¾. ² Yajik moaO;sfha by< fldgfia wdidok i|yd fya;=jk ffjria j¾. Wod' Flu virus ^fiïm%;sYHdj&" Influenza virus, Rhino virus, Astro virus wdosh ² wdydr ud¾.fha wdidok idok ffjri Rota virus (Gastroenteritis) ² fud<fha yd iakdhq moaO;sfha wdidok (Encephalitis, Meningitis) Japanese Encephalitis È,Sr j¾. ² p¾u frda. idok È,Sr Taenia corporis ² ysiflia wdidokh lrk È,Sr Taenia capitis ² ksh wdidokh lrk È,Sr Taenia pedis ² ,sx.dY%s; È,Sr frda. Taenia cruris by; i|yka m%Odk j¾. y;r hgf;a tk È,Sr j¾. /ila we;s nj i,lkak' mrfmdaIs;hska idok wdidok ² mKq frda.- nvje,a wdY%s; mkq frda. /ila we;' jgmKqjd" lsßmKqjd" fldl= mKqjd wdoska ² p¾u frda. - ul=Kka" Wl=Kka" lsks;=,a,ka iu wdidokh lrk mrfmdaIs;hka ² weig fkdfmfkk tal ffi,sl mrfmdaIs;hska idok wdidok weónhisia (Amaebiasis) ² cshdähdisia (Giadiasis)

m%;scSjl m%;sfrdaOh we;s jkafka fldfyduo@

úYd, nelaàßhd .ykh

doctormagazine.lk

m%;scSjl u.ska fï nelaàßhdjka úkdY lrKQ ,nhs' YrSrh f,v frda. j,ska wdrlaId lrk ys;lr nelaàßhdjkao fuysoS úkdY fjhs

m%;sfrdaë nelaàßhdjkag ys;lr mßirhla kej; ks¾udKh fjhs

February 2021

fï nelaàßhdjkag Wla; T!IO m%;sfrdaOh fiiq nelaàßhdjkago ,ndosh yel' fuh .eg¿ /ila we;s lrhs

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Antimicrobial Therapy m%;sÔjl yd m%;slaIqøcSù ix>gl .ek o; hq;= foa" l< hq;= foa yd fkdl< hq;= foa'''

;uka leu;s f,i fyda Wmfoila msg fyda wmsg ys;= ukdmhg T!IO fj<|ie,lska m%;slaIqøÔù ixrpl fyda m%;sÔjl ,nd .ekSu ksid úh yels ydks fudkjdo@ tjka wksis m%;sldr$fnfy;a Ndú;h ksid wdidokhlska jk ydks j,g jvd úYd, §¾>ld,Skj n,mdk Wmøj we;súh yels nj i,lkak' ta my; wdldrfhks'

ñksia isrefrys ,e.=ï .kakd nelaàßhdjka" ffjri" os,Sr''' wdos jQ ish¨ laIQøcSùka fmdÿfõ .;a l< uhsfl%daìhu hkqfjka oelafõ' wka;%fhys fuu uhsfl%dìhu l%shdldß;ajh ukqIH hym; Wfoid fndfyda foa isÿ lrKQ ,nk w;r fï iïnkaOfhka m¾fhaIK isÿ lsÍug ful, fjfiia Wkkaÿjla we;sù ;sfí' cS¾Kl moaO;sfhys (Gut flora) tlsfklg fjkia ys;lr nelaàßhdjka 200-300 w;r m%udKhla ,e.=ï .kakd nj fy<sorõ ù ;sfí'

m%;sÔjl" Antibiotics m%;sffjri ix>gl Anti-fungal agents m%;s È,Srldrl m%;s mrfmdaIs;ldrl Anti parasitic Agents ljqreka úiska ks¾foaY l< hq;=o@ fuu ish¨‍ frda.ldrl Y=oaO Ôùka i|yd Ndú;d lrk m%;slaIqø Ôù ixrpl (Antimicrobials) b;d fyd¢ka ksjerÈj f;dard fírd ksis ud;%d j,skq;a" ksjerÈ ld,hla i|yd;a" wjYH ia:dkhgu l%shd lrk f,i;a ukdj l< yelafla ta" ta wxY ms<sn| úfYaI{ oekqu we;s ffjoHjrekagh' úfYaIfhkau tla tla úIîch ksis f,i y÷kd.; yels mÍlaIK isÿlr yßhgu frda. ks¾Kh isÿfldg tu ksjerÈ T!IOh ks¾Kh lsÍfuks' ta ish¨‍ frda. ksÜgdjgu iqj l< yels ksjerÈ frda. úksYaphla i|yd ksrjoH jr,;a ridhkd.drhlska isÿlr .ekSugo j.n,d .; hq;=h'

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February 2021

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² ffjria wdidokhka fndfydauhla bfíu iqj jk w;r merisgfuda,a" úfõlh yd fyd| wdydr Bg m%udKj;a fõ' tjka whl= m%;sÔjl .;fyd;a iajNdúlj wm isrer wdY%s;j Ôj;a jk ys;lr nelaàßhd úkdY ùu ksid w;=re wdndO /ilg uqyqK §ug isÿfõ' wdudYfha wdidok yd ;=jd, (Gastritis and Gastric ulcer)" nv nqre,aùu bka iuyrls' ks;r ks;r wksis f,i m%;sÔjl .kakd whf.a nvje,a wdY%s;j Ôj;ajk laIqøÔù .yK ix.=kslh (Microbiome) úkdY ùfuka fndfyda w;=re wdka;rdhka we;sjk doctormagazine.lk

nj kQ;k m¾fhaIK u.ska ;yjqre ù ;sfí' tajd kï ia:q,;djh" fojk wdldrfha Èhjeähdj" fldf,iagfrda,a jeäùu" yDofrda." udkisl frda. wd§ §¾>ld,Skj n,mdk frda. we;sjk nj fy<sorõ ù ;sfí' ² wkjYH m%;sÔjl uÕska wm isref¾u isák wjia:dj ,o úg wmg ydks lrk nelaàßhdjkaf.a m%;sÔjl flfryS m%;sfrdaë;djhla we;s lsÍug bjy,a jk nj fidhdf.k we;' úfYaIfhkau tjka nelaàßhd uq;%d meiùu" jl=.vq wdidokh" bkaøsh noaO l< frda.Skaf.a" ms<sld frda.Skaf.a úúO wdidok we;s ùfuka urK ixLHdj by< hk nj fkdryils'

doctormagazine.lk

² È,Sr frda. j,g Ndú;d lrk m%;sÈ,Srldrl;a mrfmdaIs;hkag Ndú;d lrk m%;smrfmdaIs;ldrl;a m%;sfrdaë;djhka fmkakqï lrñka by; i|yka ldKavfha m%;sYla;sh wvq frda.Skaf.a wdidok iE§u jeäù we;s nj;a" tkhska Tjqkaf.a Ôú; flá ùu;a wkqfõokSh jQ lreKls' idudkH ck;dj m%;sÔjl iy m%;slaIqøcSù ix>gl .ekSfï § wkq.ukh l< hq;= m%Odk lreKq ieflúka olajkak@ ² iq¿ wdidok j,§ idudkH wdldrhg ;u isref¾ m%;sYla;sh iqj ùug wjYH úfõlh" kskao" fi!LHuh wdydr yd msßisÿ j;=r''' úfYaIfhka WKq j;=r mdúÉÑ lrkak' ² lsis úfgl ffjoHjrfhl=f.a Wmfoia ke;sj ys;=uf;ag Antibiotics/Antimicrobials .kak tmd' ² wdidokh ridhkd.dr mÍlaIKj,ska ;yjqre fldg ksjerÈj fok T!IO ksis ud;%dfjka" kshu lrk ,o iïmQ¾K ld,hu mdúÉÑ lrkak' tajd mdúÉÑ lroaÈ isref¾" úfYaIfhka wdudYfha;a" wka;%j,;a isák ys;lr nelaàßhd mj;ajd .kakg Wojq jk fi!LH iïmkak wdydr jeä jYfhka .kak' ² tlu wdidokh ks;r ks;r je,f|k wh ^uq;%d meiùu" ierj f.ä" ;=jd, meiùu& thg n,mdk fya;=j fidhdf.k ta i|yd Woõ úh yels úfYaI{ ffjoH Wmfoia ,nd.kak' DM

msgm; ilia lsÍfï iydh ta cS iudhd rkañKss fufkúh

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Ovarian Reserve ore iïm;a m%udo ùug fya;=

Ovarian Reserve: What You Need to Know About Your Egg Quality and Quantity ore iïm;a m%udo ùug fya;= äïn ixÑ;h wvqùu yd Bg fhdok ms<shï

j WISH Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr uy;d iu. l< idlÉPdjla weiqßKs MBBS (Sri Lanka) MD (Gyn. & Obs.) Infertility - China Pg.Dip. (Andrology) Monash,OUSL Master of Clinical Embryology Monash, Australia SLMC Reg. No. 20800

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ldka;djl .eí .ekSug we;s yelshdj weh flfuka jhia.; j;au wvq jk nj wo ljqre;a okakd lreKls' jhig hk úg ia;%s îc j, .=Kd;aulNdjh ySk fjhs' tajdfha b;du jeo.;a fldgi jk m%fõKsl mod¾: j, j¾Kfoay lsishï jQ widudkH fjkialï /ilg ,laùfï wjodkulao jhia.; jk úg we;sfjhs' tla tla ldka;djf.a fï wjmi fjkialï ienúkau isÿjk jhi ta ta ldka;djg wkQj ,dlaIKslh' m%dfhda.l s jYfhka n,k l< jhi wjqreÿ 35 blaujQ miq ldka;djlg fï .eí .ekSfï .eg¿ we;s úh yel' jhi wjq' 37ka miq ldka;djlf.a orejka jeoSfï yelshdj iS>%fhka mßydkshg m;a fjhs' iajdNdúlj äïn ixÑ; wvq jkafka fufyuhs ldka;djl .eí .ekSug wjYH jk ia;%s îc fkdfyd;a zzäïnZZ wef.a isref¾ ks¾udKh jkafka ljodo@ fï äïn weh ;u ujf.a l=ifha isák úg;a wehg Wreuj wjikah' fuys ;j;a jeo.;a wkdjrKhla jkafka fï zzäïn

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oeßhl ;u ujf.a l=fia m%;sikaêfha isg l%ufhka ;u äïn l+m mßydkshg m;ajk wdldrh

ixÑ;hZZ jvd;au jeämqr mj;skafkao weh ;u uj l=ifha bkakd ld, mßÉfPaofhau ùuhs' i;s 20l l<,hlaj weh ;u ujf.a .¾NdIfha .; lrk iufha weh i;=j ñ,shk 6-7l äïn ixÑ;hla (Ovarian Reserve) mj;S' weh fuf,dj Wm; ,nk úg tu ixLHdj ñ,shk 1-2la muK olajd wvq fjhs' weh oeßhlj jefvk iufhaoS th ;jÿrg;a wvqjk w;r osfkl weh jeäúh m;a jk úg wehg ysñ iuia; zzäïn ixÑ;hZZ 300"000-500"000 fkdblaujkq we;' jeäúh m;a ùfïka miq weh úhm;aj wd¾;j wNdjhg m;a jk f;la uilg jrla ne.ska msg lrk äïn m%udKh 400-500 w;r ixLHdjls' fudapkh fkdjk äïn" äïn mgl j,gu wjfYdaIKh fjhs' fï l%shdj,sh iEu pl%hloSu isÿjk w;r fl;rï äïn m%udKhla fuf,i wjfYdaIKhg ,la fjkjdo hk ldrKh m%fõKslj mQ¾jfhka ie,iqï jk ffcùh l%shdj,shls' jrlg msg lrkakg wjYH jkafka tla äïnhla muKla jQj;a" cSú; ld,hgu fï ffcj l%shdj,sh imsÍug wjYH jkafka 400-500l äïn ixÑ;hla

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Ovarian Reserve ore iïm;a m%udo ùug fya;=

Wm;

jeäúh m;aùu

jhi wjq' 30

jhi wjq' 40

jhiska uqyql=rd hk úg äïn l+m ixÑ;h wvq jkafka fufyuhs

jQj;a fï ixÑ;fha äïn wvq ùu;a tys .=Kd;auh ÿ¾j, ùu;a orejka ,eîug wys;lr fia n,mj;ajk nj fy<sorõ ù ;sdfí' fï idM<H;djh ySkùu wef.a jhi 30 .Kka muK jk úg n,.ekafjk w;r wehg jhi wjq' 37la muK jk úg yd bka wk;=rej fõ.j;aj idM<H;djh ySk jkakg mgka .kS'

wvqmdvqlu jeäfhka mj;skakg mq¿jk' ;;a;ajfhka ÿ¾j jQ äïnhla ixfiapkh jQ úg th wêfrdamkhg (Implantation) ndOd meñKsh yel' th wêfrdamkh jQj;a uekúka jefvkakg ndOd wjysr;d we;súh yel' fïjd .íid j,g ,laùfï wjodku ;rula by<h'

ksis l, jhia j,oS ore iïm;a ,nd .ekSug W;aiql úh hq;af;a wehs@ fï ksid iEu ldka;djlau fï úIu pl%h n,.ekaùug fmr ;u ore iïm;a ,nd .ekSug bgd.; hq;=h' m%udoh miq;eú,a,g fukau fndfyda mßY%uhkag ;u ld,h ydOkh jeh lsÍugo fya;=jla jkakg mq¿jk' jhia.;j msgjk äun j, j¾Kfoay.;

äïn ixÑ;h wvq ùug fya;= fndfyda wjia:d j,oS Bg ksYAÑ; fya;=jla lsj fkdyel' th tla tla ldka;djf.a fffcj jhia.;ùu yd m%fõKsh yd ne|S mj;skakls' ta yereKQ úg äïn ixÑ;h ySk ùug my; idOl j, n,mEula we;s nej y÷kdf.k ;sfí'

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February 2021

.eí .ekSu m%udo jk ldka;djlg ;ukaf.a äïn ixÑ;h fl;rïo hkak ixLHd;aulj idlaId;a lr.kakg mÍlaIK /ila mj;S' fuh wehf.a ksire;d mdol mÍlaIK j, fldgila jYfhka isÿ l< yels jk w;r ixÑ;h wvq tlla jQjo tf;l=¥ jQj;a weh idudkH iajdNdúl f,igu wd¾;j pl%h mj;skakgo mq¿jk'

² ÿïmdkh ² m%fõKsl .eg¿ (Fragile X and other X chromosome abnormalities) wdosh ² ms<sld j,g lrk m%;sldr ² tkafvdfuá%fhdaisia jeks frda. yd Bg lrk m%;sldr

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äïn ixÑ;h .ek wjfndaOhla ,eîug isÿ lrk mÍlaIK" tys idudkH w.hka yd widudkH w.hka

i;s 20l l<,hl ñ,shk 6-7l äïn ixÑ;hla mj;S' weh Wm; ,nk úg tu ixLHdj ñ,shk 1-2la muK olajd wvq fjhs' weh oeßhlj jefvk iufhaoS th ;jÿrg;a wvqjk w;r weh jeäúh m;a jk úg wehg ysñ iuia; zzäïn ixÑ;hZZ 300"000-500"000g eä fkdfõ' weh úhm;aj wd¾;j wNdjhg m;a jk f;la uilg jrla ne.ska msg lrk äïn m%udKh 400-500 w;r ixLHdjls'

doctormagazine.lk

äïn ixÑ;h wvqùu ks¾Kh i|yd fhdod .kakd mÍlaId fï i|yd iq,nj fhdod .kakd mÍlaId lsysmhls' Basal antral follicle count. wd¾;j pl%fha uq,a osk lsysmfhaoS fhdaks ud¾.h yryd isÿ lrKq ,nk w,ag%d ijqkaâ mÍlaIdjlska l=vd iy úfõl wjia:dfõ mj;akd l+m (Follicles) .Kkh lsÍula fuyso isÿfõ' wehg úfõl wjia:dfõ mj;akd l+m 8-9 (Resting follicles) j;a mj;skafka kï th idudkH äïn ixÑ;hlehs ie<fla' ta yereKQ úg wef.a Tima ùu wdrïNfhks osk 2"3 yd 4 osk j,oS isÿlrk reêr mÍlaIK Serum FSH and serum estradiol o fuysoS Ndú;d flf¾' fuf,i fydafudakh jeä jkafka äïn jhig hdfïoS fud<h Bg yev .eiSug .kakd W;aidyfh m%;sM<hla jYfhks' (The FSH level should be less than 10-12 miu/ml. An FSH greater than 18 miu/ml suggests a significant reduction in ovarian reserve with a corresponding marked reduction in the chance of achieving pregnancy, even with advanced fertility treatment.) äïn ixÑ;h ySk jQ ldka;djkag;a ore iïm;a Reproductive aging fkdfyd;a ffcj jYfhka idM<H;djh ySkùug iDcqj ks¾foaY lrk m%;sldr ke;' tfy;a fï .eg¿jg uqyqKmdk ldka;djkag we;eï m%;sldrd;aul ms<shï M,odhS f,i l%shd;aul jk nj yªkdf.k ;sfí'

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Ovarian Reserve ore iïm;a m%udo ùug fya;=

Dehydroepiandrosterone (DHEA) wdydr mod¾:hla jYfhka ,ndoSu iïnkaOfhka fu jk úg id¾:lj m¾fhaIK isÿflÍ we;' DHEA wekav%cka j,ska msßmqkah' fïjd ,ndoSfuka ldka;djka /ila ;ukaf.au ckaudKQ weiqf¾ .eí.;a nj wOHhk j,ska fy<sorõ ù ;sfí' fï äïn ixÑ; ySkùfï .eg¿j ;sfnk ldka;djkag ;u äïn Wlydf.k YS;k ;;a;aj hgf;a ixrlaIKh lsÍu ks¾foaY flf¾' Fertility preservation involves retrieving a woman’s eggs from her ovaries and freezing them for later use. ta yereKQ úg fï .eg¿ we;s ldka;djka IVF kjH ;dlaIKh weiqf¾ ore iïm;a ,eîug iqÿiaika jk w;r ore iïm;la ;ukaf.au cdk miqìulska ,nd.ekSug ful, wehg jeä wjia:djla mj;S'

k< ore ;dlaIKh weiqf¾ ore iïm;a ,nkako@ tla tla woshr j, l%u fod<yla fï jk úg Ndú;hg .kakjd' ICSI, IMSI/PICSI, Capsule Baby, Donor Embryo, Surrogacy PGD, PGS wdoS jYfhka' jeh jk uqo, ;SrKh jkafka fhdod .kakd ;dlaIKh wkQj' fhdod.; hq;= ;dlaIKh ;SrKh jkafka wehg''' ke;fyd;a wUQieñhkg mj;akd .eg¿j wkQj' kuq;a o< woyila ,nd.; hq;= ksid lshkakï" mgka .kafk ,laI fol yudr ;=kl ú;r b|ka' ta jqK;a kej; mejish hq;=hs" flfkla wdjg miafi wehf. jd¾;d iudf,dapkhlska" uQ,sl mÍlaIK j,ska miafi ;uhs wehg .e,fmk k< ore ;dlaIK l%uh ;SrKh jkafka' iuyr úg ir< ueosy;aùula m%udKj;a fjkak;a mq¿jka' we;eï úg álla ixlS¾K ;dlaIKsl l%ufõohla fhdod .kakg;a fjkak mq¿jks' ta wkQj jeh l< hq;= jk uqo,;a fjkia jkjd'

jvd fyd| meñK iqÿiqu l%uh ie,iqï lr .ekSuhs fï fya;=j ksid úhoï .ek oek.kak jvd;a iqÿiq jkafka wmg meñK l;d lrk tl' fïflos úhoï md¾YAjfha we;eï iyk i,iajkak l%u wm <Õ ie,iqï ;sfhkjd' b;du;a ÿ¾j, wd¾Ólhla ;sfhk wh;a fï k< ore ;dlaIKfhka wfmka ore iïm;a ,nk nj fuysoS lshkafka Tng osßhla ,nd fokakhs' DM

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February 2021

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

SAVANT SYNDROME úúO NdId w;s olaI f,i l;dlrk l=vd orejka .ek <ud ufkda ffjoH woyilaæ iejkaÜ iskafv%dauh ^Savant syndrome& hkq ÿ¾,N ;;a;ajhls' fuh ´áiï" weiam¾c¾ ;;a;ajh ^Autism Spectrum Disorder/Asperger& we;=¿ we;eï ufkda ffjoH .eg¿ iys; mqoa.,hskag mej;sh yel' <ud iy fhdjqka uki ms<sn| úfYaI{ ffjoH ñhqre pkaøodi

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February 2021

fuys§ iuia; yelshdjkag jvd lemS fmfkk yd fkd.e,fmk f,i tla olaI;djhla b;d by<ska msysghs' ´áiï ;;a;ajfhka fmf<k mqoa.,hska 10 fofkl=f.ka tla wfhl=g úúOdldrfhka tjeks úYsIag yelshdjka ;sìh yel' kuq;a tjeks yelshdjka we;s ish,a,kau ´áiï ;;a;ajh we;a;kao fkdfõ' DOCTOR MAGAZINE

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úfYaIs; iejkaÜ l=i,;djh l=ula jqj;a" th iEu úgu úfYaIs; u;lhg iïnkaO fõ' iejkaÜ iskafv%dauh we;s fndfyda mqoa.,hskag Tjqkaf.a uQ,sl ;;a;ajfha fldgila f,i wvq NdId l=i,;d we;' fndfydaúg ix.S;" l,d;aul" .‚;uh fyda hdka;%sl l=i,;d w;s-úfYaI yelshd f,i j¾Okh fõ' b;d l,d;=rlska" wfkla iuia; yelshd ;;a;ajhkag jvd yd;amiskau fjkia jQ zzNdId l=i,;dZZ msysáh yel'

fn!oaO mjq,l ñ;a;ksh flfkl= jQ wef.a fmr Ôú;fha§ yqiau .ekSfï wmyiq;d fya;=fjka ñh .sh nj mejiqjdh' f;jekakd" wg yeúßÈ wOHdmksl jYfhka w;solaI orefjl=h' ;ud fmr Ôú;fha NslaIqjla hehs lshd isá w;r" NslaIq moúhg we;=¿ùug bv fok f,i foudmshkaf.ka n,lr isáfhah'

,kavkfha hqksj¾isá fldf,aÊ ys wdpd¾h kS,a iañ;a jir .Kkdjla ;siafia tjeks úúO NdId olaIfhl= ^polyglot savant& jk l%siafgdam¾ kue;af;l= iuÕ jev lr we;' l%siafgdam¾f.a woaú;Sh yd w;súYsIag NdId yelshdjka - wdpd¾h iañ;a úiska rÑ; The Mind of a Savant, Language, Learning and Modularity hk fmdf;a olajd we;' Tyqg NdId 15;a 20;a w;r m%udKhla ´kEu wdldrhlska lshùug" ,sùug yd ikaksfõokh lsÍug yelshdj ;sìK' tfukau iuyrla ´áiï ;;ajh iys; orejka fmr Njfha ðú; .ek f;dr;=re mjikq we;' tjeks Y%S ,dxlsl orejka lSmfofkla .ek wm úiska Reincarnation Type Presentations of Children with High-Functioning Autism in Sri Lanka hk ,smsfha jd¾;d lr we;' (https://pubmed.ncbi.nlm.nih.gov/29602719/) ´áiï ;;a;ajh wvq$fjkia iudc ikaksfõokh iy iSñ; mqkrdj¾;k yeisÍï iys; fõ' flfia fj;;a" by< l%shdldÍ ´áiï mqoa.,hska ^High-Functioning Autism& ;=< NdIdj iy nqoaê l=i,;d idudkH fyda by,ska we;' frda. ,la‍IK ixlS¾K iudÔh yd ixialD;sl rgdjka wkqj úúO fõ' fn!oaOhka iy yskaÿ Nla;slhka mqkre;am;a;sh úYajdi lrk w;r <uqka ;=< mqkre;am;a;sh ms<sn| bÈßm;a lsÍï ks;r olakg ,efí' Y%S ,xldfõ <uqka ;sfofkl= Tjqkaf.a w;S; Ôú; ms<sn| u;lhka m%ldY lsÍfuka miqj by< l%shdldß;ajhlska hq;a ´áiï ;;a;ajh Tjqka ;=, fidhd .ekqks' m<uqjekakd" y;a yeúßÈ fn!oaO orefjl=h' Tyq úYajdi lrkafka" Tyqf.a fmr Ôú;fha § Tyq ;%ia;jd§ka úiska fid,aodÿfjl= f,i >d;kh jQ njhs' Tyqf.a Wmka ,mh ^birth mark& urKhg fya;= jQ ;=jd,h nj Tyq mejiqfõh' fojekakd" weÿu frda.fhka fmf<k mia yeúßÈ lf;da,sl oeßhls' weh

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The Good Doctor l;dud,dfõ ffjoH u¾*s fuu ;;a;ajh wjOdkhg ,lalsÍu i|yd kj ksoiqkls' óg fmr 1988 § ;sr.; jQ Rain Man Ñ;%mgfha viaáka fyd*auka Táiï ;;a;ajfhka fmf<k ñksfil= f,i rÕmdhs' Tyqg iqúfYaIS u;lhla we;' Tyq ;u ifydaorhd iuÕ ,dia fõ.diays casino Yd,dj, ldâm;a .Kka lsÍu u.ska uqo,a Wmhhs' <ud iy fhdjqka uki ms<sn| úfYaI{ ffjoH jrfhl= f,i ud mÍlaId fldg ke;s orefjla .ek woyia m<lsÍu l< hq;= fkdfõ' NdId lsysmhla l;d lrk orejd iïnkaO úia;rh fu;ekska n,kak WATCH IT...

February 2021

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Gallstones ueos jhfia ldka;djka w;r iq,n ms;a;dYfha .,a

What are gallstones and how to treat them? oeka ms;a;dYfha ie;alu kùk ;dlaIKh ksid yßu f,aishs''' myiqhs''' ueos jhfia ldka;djka w;r iq,n

ms;a;dYfha .,a Y,H frda. úfYAI{ ffjoH m%fudaoa pkaøisxy

ms

;a;dYfha ;sfhk ms;a ix>gl j, idkaøkfha fjkia ùula ksid ms;a;dYfha .,a we;s fjkjd' fï .,a j,ska ishhg 90la muKu yefokafka ms;a;dYfhauhs' ta yereKQ úg ms;a; m%Kd, j,;a l,d;=rlska .,a we;s fjkakg mq¿jka' ms;a;dYfha we;sjk .,a jf.a fkdfjhs" ms;a; m%Kd, wjysr lrñka we;sjk .,a we;eï ixlS¾K ;;a;aj we;s lsrSfï wjia:d jeähs'

wfma fldgilg ;uka fkdoeku ms;a;dYfha .,a ;sfhkjd ck.ykh iuia;hla fia .;af;d;a thska ishhg 15lg muK ms;a;dYfha .,a ;sfhkjd' ialEka lf<d;a ta úosyg wkdjrKh fjkjd' ta;a yefudagu fï ksid lror we;s jkafka;a kE' fï ishhg 15l ms;a;dYfha .,a we;s whf.kq;a lsishï frda. ,laIKhla fmkajkafka ishhg 15l jf.a m%udKhlg muKhs' frda. ,laIK ;sfnkjd kï ms;a;dYfha we;sjk .,a bj;a l< hq;=hs' ta;a frda. ,laIK fmkakqï fkdlrkafka kï .,a ;snqK;a tajd bj;a lsÍu wjYH jkafka kE' fï wyïfnka 60

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yuqfjk frda. ,laIK fmkakqï fkdlrk ms;a;dY .,a zzwyUQ ms;a .,aZZ (Incidatinal Gall Stones) hkqfjka yªkajkjd' ms;a;dYfha .,a yefokafka fldfyduo@ ms; wdydr cS¾Khg wjYH jk ix>glhla' ms; yefokafka wlaudfõ' cS¾Khg wjYH ms; ;ekam;a fjk ia:dkh ;uhs ms;a;dYh' m%Odk ms;a; kd,h (Common Bile Duct) yryd l=vd nvjef,a .%yKsh fldgig cS¾KfhaoS wjYH m%udK j,ska ms; ksoyia flfrkjd'

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fldf,iagfrda," ,hsfmdfm%daàk yd ms;a j¾Kl j,ska ms; ieÿï,;ah' iudkqmd;slj fïjd mj;sk úg th ødjH ;;a;ajfha mj;skjd' tfia fkdjk úg''' fldf,iagfrda,a yd ms;a; j¾Kl j, ixhq;sh jeä jqfKd;a ;r,h >k iajNdjhla .kakjd' ta u; le,aishï frdvq ffi, ;ekam;a ùu .,a we;sùug fya;= fjkjd' fuysoS ;ks .,la (Solitary Calculus) fukau .,a lsysmhla (Multiple Calculi) ms;a;dYfha we;s jkakgo wjldY ;sfnkjd' .,a ksid ms;a;dYfha .eg¿ iy.; ;;a;ajhka we;s fjk yeá Biliary Colic ms;a;dYfha .,a we;s úgoS YÍrfha ol=KQ me;af;a b<weg j,g my<ska zzñßld w;a yßkjd'''ZZ jeks fõokdjla (Billiory Colic) we;s fjkakg mq¿jka' idudkHfhka wdydrhla .ekSfuka miqj ;uhs fõokdj we;s fjkafk' th meh fol ;=kla muK hk;=re tu ld,h uq¿,af,au thdldrfhkau mj;skjd' wvqùula kE' jukhg" Tlaldrhg tkak;a mq¿jka' nfâ fõokdj yereKQ úg nv mqrjd oeóu" yd jukh jeks frda. ,laIK;a fuysoS we;s úh yelshs'

February 2021

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Gallstones ueos jhfia ldka;djka w;r iq,n ms;a;dYfha .,a

Chronic Cholecystitis ld,hla kej; kej; wdidokh jQ úg ms;a;dYh ixfldapkh ù ì;a;sh >k ù we;eï úg le,aishï ;ekam;a jkakg bv ;sfhkjd' thska ks;r ks;r fõokdj we;s úh yelshs' fï wjia:dfõoS Y,Hl¾uhlg Ndckh lsÍu;a wmyiq jkakg mq¿jka' Acute Colycystitis ;j;a flfkl=g ms;a;dYfha meiùula ksid yosisfhau fõokdj we;s fjkakg mq¿jka' ms;a;dYh u,a,la jeks wjhjhla' tys f., fmfoi mgqhs' ms;a;dY f.f,ys ., isr jqKdu thska >%djh .e,Su wjysr fjkjd' ta m%foaYfha meiùula we;s fjkjd' .,la .syska ms;a;dYfha f.f,ys isrùfuka meiùu ksid ;uhs fï úosyg yosisfha frda. ,laIK u;=ùula we;s fjkafka' fuh wms Acute Colycystitis hkqfjka ye|skafjkjd' fuysoS fõokdjg wu;rj WK .kakjd' jukhg tkjd' lEu wreÑh;a fuys ;j;a ,laIKhla' fï fohdldrfhka ;uhs ms;a;dYfha .,a ksid frda. ,laIK we;s fjkafk'

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ms;a;dY .,a ksid we;sjk fõokdj Worfha ol=KQ me;af;ka b<weg j,g háka yg .kakjd

lemqula" flgqula fkdue;sj ishhg wkQjlau ie;alï lrkakg wjia:dj oeka ,emriafldms ;dlaIKhg msx isÿjkakg ,eî ;sfí

DOCTOR MAGAZINE

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idudkHfhka ms;a;dYh m%odyhg m;a jKdu m%;scSjl j,ska tys fõokdj wvq lrkak mq¿jka' ms;a;dY m%odyfhaoS fõokdj;a m%odyh;a wvq lr, Y,Hl¾uhg Ndckh lsÍu ;uhs iq,nj isÿ jkafka' ta;a we;eï úg ierj yeos, (Empyema)" taj ldkaÿ fj,d ixlS¾K ;;a;ajhkag m;a jqKdu ta úosyg l,a yßkak nE' th ixl+, ;;a;ajhla'

isiaála m%kd,h

rla;md; kd,h

hdlD; m%kd,h wlaudj

ms;a;dY .,a hdlD; m%kd,h m%Odk ms;a; m%kd,h w.akHdYhsl m%kd,h

fuhg yosisfha ms<shï fhosh hq;=hs' jyd ie;alug frda.shd ms<sfh, lr hq;=hs' úfYAIfhkau oshjeähdj jeks ksoka.; frda. ;sfhk wh fujka ixl+,;d j,g m;a jkakg mq¿jka' ms;a;dY m%odyfha ixlS¾K wjia:d iq,nj fkdjqK;a we;s úh yels ;j;a ixl+,;djhla ;uhs ms;a;dYfha ., mj;skjd fjkqjg ms;a; m%Kd,fha ., isrùu' fï ksid ms;a; m%kd, wjysr fjkakg mq¿jka' fuu wjia:dfõoS wjysr;d ldud,dj (Obstructive Jaundice) kue;s ;;a;ajh we;s fjkjd' frda.shdf.a weia" YrSrh fï wjia:dfõoS ly meye .ekafjkjd' fuysoS we;s úh yels b;d Nhdkl ;;a;ajhla ;uhs wlaudjg úIîc

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.%yKsh

ms;a;dYfha msysàu yd tys we;sjk .,a ms;a; m%Kd,h wjysr ùfuka we;sjk ;;a;ajh fï u.ska ukdj wjfndaO lr.; yel

bj;a lrk ,o ms;a;dY .,a iuyrla

hk tl' fuh Nhdkl ;;a;ajhla' fï ;;a;ajh os.= ld,hla mej;Sfuka jl=.vq mjd krla ùfï wjodkula ;sfnkjd'

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Gallstones ueos jhfia ldka;djka w;r iq,n ms;a;dYfha .,a

ms;a;dYfha mgq f.f,ys wjysr jQ ms;a;dY .,la w;sèjks m%;sìïnhl ksrEmkh jk wjia:djla

hdnoj we;s w.akHdYhg;a fï wdldrhgu úIîc .syska w.akHdYhsl m%odyh kue;s ;;a;ajh we;s fjkakg mq¿jka' ms;a;dYfha we;s .,la w.akHdYfha isrùu fndfydu ne?reï wjia:djla f,i i<lkakg fjkjd' fuysoS .eiag%hsáia frda.hg iudk ,laIK jk nv mqrjd oeóu" W.=reg tau" nfâ oeú,a, wdoS frda. ,laIK my< fjkjd' ms;a;dYfha .,a we;s úg isÿ lrk mÍlaIK uQ,slj isÿ lrkafka w;s èjks mÍlaIKhlska ms;a;dYfha mj;akd .,a wkdjrkh lr .ekSu' ta;a" nfâ lelal=uloS ms;a;dYfha .,la yªkdf.k ;snqK;a lelal=ug fya;=j tu .,u hhs lshkakg ialEka mÍlaIKh m%udKj;a jkafka kE' tfyu fj,djg wdudYfha" .%yKsfha .eg¿ ;sfnkjdo hkak úuish hq;=hs' .eiag%hsáia jeks frda. ksid;a óg iudk nfâ

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lelal=ï tkak mq¿jka' tkaviafldms mrSlaIdjla fï iïnkaOfhka ksiel bÕs imhkjd' ms;a; m%Kd, wjysr ùula iïnkaOfhka ksjerosj úksYAph lsÍug ERCP kue;s mÍlaIKh fhdod .kakg mq¿jka' ms;a;dYh bj;a lsÍfï ie;alu lrkafka fldfyduo@ fï ie;alu isÿ lrkafka ,emriafldms l%uhg' fï ksid lemqï flgqï wjuhs'

doctormagazine.lk

ie;alfuka miq meh lsysmhlska frda.shd iïmQ¾Kfhkau iqjm;a fjkjd' todu neß jqfKd;a ksielfhkau B<Õ oskfha Tyqg ksfji lrd hkakg mq¿jka' osk lsysmhl úfõlhlska miqj idudkH jev lghq;= j, fhfokak;a yelshdj ,efnkjd' ms;a;dY m%odyh we;sj frday,g .sfhd;a uQ,sl jYfhka m%;scSjl T!IO ,nd fokjd' m%;scSjl ,ndoS ;;a;ajh lsishï md,khlg m;a jqKdu" m%odyh ie<lsh hq;= muKlska wvq jqKdu ms;a;dYfha Y,Hl¾uhlska bj;a lsÍug B<Õg ie,iqï flfrkjd' tysoS ,emriafldms l%uhg (Laparoscopic Cholecystectomy) ms;a;dYh bj;a lrkakg mq¿jka' iq,nj isÿ jkafka fuhhs' tfy;a yosis wjia:djla kï m%;scSjl T!IO ,ndoS l,a urkakg nE' tysoS jydu frda.shd ie;alug iQodkï lrkjd' lsysm jrla meiùu" jHqyfha we,Sï jeks ixlS¾K wjia:d j,oS muKla ,emriafldms ie;alï fjkqjg nv fPaokh lr ms;a;dYfha ie;alu lrkakg (Open Cholecystectomy) isÿ fjkjd'

Q&A

ms;a;dYfha we;sjk .,a osh lrkak mq¿jkao@ ngysr ffjoH úoHdfõ fï .,a osh lrk úiªï kE' Y,Huh úiªï ;uhs ;sfhkafka'

jeä jYfhka ms;; a dY .,a we;s jkafka ldgo@ ueos úfha ldka;djkag' ore m%i; Q k s a isÿl< yd ia:, Q ldka;djka fuhg jeäfhka k;=jk nj fy<sorõ ù ;sfnkjd' ta yereKQ úg ;e,iSñhd frda.k S a w;r;a fï ms;; a dY .,a ;rula olakg ,efnkjd'

ms;a;dYfha .,a l=vq lrkak mq¿jkao@ fuys;a t;rï id¾:l;ajhla olakg ,efnkafka kE' kej; kej;;a ms;; a dYfha .,a we;s fjkakg mq¿jkao@ Tõ tfyu jkakg mq¿jka' tfy;a frda. ,laIK fmkajkjd kï ms;; a dYh bj;a lrk ksid tjka wjodkula we;s jkakg bvla kE' ms;; a dYh bj;a lsÍfuka lsih s ï ydkshla isÿ fjkjdo@ thska jk ydkshla kE' ms;; a dYh bj;a lsru S os.l = d,Sk .eg¿ we;s lrkafka kE' ms;; a dYfhka flfrkafka jeämqr ms; .nvd lsÍu muKhs'

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ms;; a dY .,a j,ska j<lskakg l< hq;= foa fudkjdo@ fïo wdydr wvqfjka .ekSu;a YÍrfha nr wvq lr .ekSu;a fhda.Hhs' DM

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Trigger Points fma%rl ,laIH úls;aidj

Characteristics of Trigger Points

ld,hla ;siafia jo fõokd ÿka fmaYs fõokdjka iqj lrk fN!;Ñls;ail m%;sldr fma%rl ,laIH úls;aidj

fN!;Ñls;ail liqka niakdhl úisks

Ôú; ld,h mqrdjg lsishï fyda fõokdjla w;aúo fkdue;s wfhl= fiùu b;d wiSreh' Wrysfiys" f.f,ys" oKysfiys fyda fldkafoa fõokdj iEu úgu Nhdkl fkdjqjo th iu.u meñfKk udxY fmaYs fõokdj hkq mqoa.,hd ldhslj;a" udkislj;a mSvdjg m;a lrjk" iq,nj oelsh yels frda. ,laIKhls' fuu udxY fmaYs fõokdjg tla m%Odk fya;=jla jkafka udxY fmaYs we;=f,a iEfok zzl=vd .eá;a;laZZ hehs lsjfyd;a Tn th úYajdi lrkjdo@ Tnf.a YÍrfha §¾. ld,hla ;siafia ;sfnkafka fï fõokdjkao@ úuikak' fï udxY fmaYs j, iEfok fma%rl ,laIH$Trigger points ksid iEfok fhduqjQ

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doctormagazine.lk

fõokd wdldrhkah' fuu fõokdjg fya;=j y÷kd.; fkdyelsj fï fõokd ksid wjqreÿ .dkla Tn ÿla úkaod úh yelsh' WodyrKhla f,i m<fjks rEmfha i|yka jkafka fn,a, yd Wrysia w;r ;sfnk Trapezius fmaYsfha yg.;a fma%rl ,laIH ^l¨‍ mdg l;sr& ksid fõokdj fn,a,g yd ysig fhduqjk wdldrh fõ' wms oeka fï fõokdjka we;s lrjk fm%arl ,laIH miqìu yd thska ñfokakg lrk m%;sldr iïnkaOfhka úuiuq' 1& fma%rl ,laIHhla hkq l=ulao@ fma%rl ,laIH$trigger points fma%rl ,laIH ^Trigger Points -TrPs& hkq .eUqre fõokdjla we;s lrk uDÿ mgl ^fndfydaúg lxld, udxY fmaYs ;ka;=& ;=< ks¾udKh jk tlsfklg fjkaj msysgd we;s .eg$Knots úfYaIhla fõ' 2& fma%rl ,laIH we;sùug n,mdk fya;= fudkjdo@ fma%rl ,laIH YÍrfha we;sùug fya;=j jkafka

doctormagazine.lk

Wrysig iïnkaO g%msishia fmaYsfha fm%arl ,laIH' uekúka mÍlaId lsÍfïoS tu m%foaYfha udxYfmaYs j, ;o .;shla yd p,k mrdih wvqùula olakg ,efnk w;r w;g .eá;a;la f,i oefka'

udxY fmaYs wêl f,i Ndú;d lsÍu" udxY fmaYs lïmkh ^;=jd, ùu& fyda udkisl wd;;sh ksidh' fma%rl ,l=Kq fndfyda úg mek k.skafka jev lrk ia:dkfha jerÈ bßhõ j,g yqreùu" ksrka;rfhka nr jia;+ka tiùu fyda oji mqrd Tn isÿlrk wLKav mqkrdj¾;k l%shdldrlï j,sks'

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Trigger Points fma%rl ,laIH úls;aidj

,laIH ksid we;sjk fõokd wdldr folla we;' l,dmSh fõokdj ^Reigonal & localized pain& fuu fõokdj fma%rl ,laIh we;s m%foaYfha muKla úyso hhs'

l¨‍ mdg l;sr j,ska oelafjkafka fma%rl ,laIH fkdfyd;a fõokdjg uq,a jk ia:dkh' fma%rl ,laIH ksid mek ke.=Kq fõokdj ;oska oefkk ia:dk r;=mdáka oelafõ'

;jo ;sj% frda.hlska miqld,Skj jqjo Tnf.a YÍrfha fma%rl ,laIH ks¾udKh úh yelsh' WodyrKhla jYfhka hï ojil Tn l%shdldrlul ksr;j isáh§ Tnf.a Wrysfia fyda fldkafoa udxY fmaYs we§ulg fyda bÍhEulg ,laù fõokdjla yg.kshs' fuhg úiÿu f,i Tn fõokdkdYlhla wdf,am l<d úh yelsh' kuq;a miq ldf,l tu fõokdj kej; ;snqKdg;a jvd W.% ù meñfKa' Tng th meñfKk fya;=j j;a fidhd.ekSug fkdyels fõ' fuh fndfydaúg fma%rl ,laIH ksid we;sjk fõokdjla úh yelsh' flfia fj;;a fuu fma%rl ,laIH j¾Okh i|yd ;ks idOlhla j.lsj hq;= fkdfõ' 3& Tnf.a YÍrfha ;sfnk fma%rl ,laIHhla yÿkd.kafka flfiao@ fndfyda úg Tnf.a lsishï udxY fmaYshl fma%rl ,laIHhla we;akï th iug háka we;s .eá;a;la f,i Tng oefkkq we;' m<uqj fma%rl ,laI ks¾udKh jQ m%foaYfha udxY fmaYsj, ;o iajNdjhla Tng oefka' tu udxY fmaYs j,g wdikakj msysgd ;sfnk ikaêfha p,k mrdiho wvqúh yelsh' óg wu;rj uQ,sl jYfhka b;d ixfõ§ fõokdjla thska yg.kshs' fma%rl 68

February 2021

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fhduqjQ fõokdj ^Reffered pain& fhduqjQ fõokdj hkq ksYaÑ; udxY fmaYsj, fõokdjla we;s kuq;a YÍrfha fjk;a m%foaYhl fõokdjla we;s lsÍuhs' ksoiqkla f,i" g%emsishia udxYfmaYs ^by< msgqmi$Wrysia m%foaYh& ;=< fma%rl ,laIHhla ;sfí kï" th ysi iy fn,a, foig fõokdj fhduq l< yels w;r wd;;s ysiroh ^Tension Headache& fyda brejdroh ^Migraine& mjd we;s lrhs' 4& YÍrfha fma%rl ,laI m%;sldr lsÍulska f;drj bfíu ke;sù hkjdo@ fma%rl ,laI YÍrfha il%Sh (Active form& fyda wl%sh ^Inactive form& iajNdjfhka mj;S' hïlsis fya;=jlska Tnf.a YÍrfha fma%rl ,laIH ks¾udKh jqjfyd;a

doctormagazine.lk

ld,h;a iu. fma%rl ,laIH j,ska fldgila iajNdúlju hgm;a úh yelsh' kuq;a tfia hgm;a ùu tu ,laI wl%sh iajNdjhg m;a ùuls' kej; Tnf.a jerÈ bßhõ yd mqkrdj¾;k l%shdldrlï fya;=fjka miqld,Skj fuu fma%rl ,laI il%sh iajNdjhg m;aúh yelsh' 5& fma%rl ,laI iqjlsÍfï m%;sldr l%u fuu fma%rl ,laIH idudkHfhka YÍrfha idudkH l%shdldß;ajh h:d ;;ajhg m;a lsÍu i|yd fN!;Ñls;aidfjys lgq Ñls;aidj$ Dry Needling$IASTM fkdfyd;a Instrument Assisted Soft Tissue Mobilization" lmamsx Ñls;aidj$Cupping therapy fyda fma%rl ,laI hgm;a lsÍfï úfYaI udxY fmaYs we§fï jHdhdu $Special trigger point relieving stretching exercises fhdod .kS' 6& lgq Ñls;aidj$ Dry Needling úfYaI jkafka wehs@ Dry needling m%;sldrh u.ska il%Sh fma%rl ,laIHh$Active trigger points uqod yßk

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msgfldkafoa fm%arl ,laIH yd fõokdj oeäj mek k.sk ia:dk

m%;spdrhla ,nd .kS' iqj lsÍu m%j¾Okh lsÍug" lelal=u wvq lsÍug iy reêr m%jdy jeä lsÍug WmldÍ jk mßÈ Dry needling m%;sldrh LKavrd j," udxY fmaYs j, fyda wiaÓ j,g jqj;a Ndú;d l< yelsh' 8& lgq Ñls;aidj$Dry Needling wdrlaIs;o@ Dry needling m%;sldrh b;du wdrlaIs;h' ta ms<sn| iy;sl ,;a fN!; Ñls;ailhska úfYaI mqyqKqjla ,nd we;s w;r" udxY fmaYs moaO;sh ms<sn| mq¿,a wjfndaOhla ,nd .ekSu;a iuÕ Tjqka fuh isÿlsÍu i|yd iqÿiqu jD;a;slhka fõ'

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Trigger Points fma%rl ,laIH úls;aidj

fm%arl ,laIH wdY%s; fõokdjg m%;sl¾u /ila ;sfnk w;r thska Dry Needling Ñls;aidj id¾:l m%;sM< fmkajhs' fN!; Ñls;ailjrfhla isref¾ fmaYs l%shdldß;ajh iïnkaOfhka ukd mßphla we;sj lghq;= lrk ksid fN!;Ñls;ailjrfhl=f.ka isÿ lr.kakd Dry Needling Ñls;aidj jvd;a m%;sM<odhl jkq we;'

flfia fj;;a" Tfí ffjoH b;sydih" j¾;udk ;;a;ajh" mqoa.,sl fõokd iSudj iy Dry Needling iuÕ w;S; w;aoelSï ms<sn|j Tfí ffjoHjrhdg oek .ekSu jeo.;ah' fï wdldrfhka" Tfí fN!; Ñls;ailjrhdg Tfí m%;sldrhg úfYaIs; Dry Needling m%;sldrhkays fhda.H;djh ;lafiare l< yelsh' ;;a f,aLlhd" fN!;sl Ñls;ail f.!rj Wmdêh yd jHdhdu yd l%Svd ffjoH úoHdj ms<sn| mYapd;a Wmdê ämaf,daudj iïmQ¾K lsÍfuka miqj fld<U Aqua fN!;sl ffjoH uOHia:dkhg ne£ fiajh lr l%Svdjg iïnkaO ish¨‍ wk;=re yd mqkre;a:dmk" mYapd;a Y,H fN!; Ñls;aidj" iakdhq fN!; Ñls;ail mqkre;a:dmkh" fhda.H;d mqyqKqj iïnkaOfhka lghq;= lr we;' Y%S ,xldfõ msyskqï Y+r cq,shka fnda,ska uy;df.a Rainbow Swimming Academy iuÕ l%Svd fN!; Ñls;ailjrhl= f,io Tyq lghq;= lr ;sfí' wmf.a fN!;sl ffjoH l%ufha úYsIag m%Òldr l%u rdYshla mj;akd w;r tu l%u w;ßka Y%S ,xldjg kùk m%;sldr l%uhla jk lgq Ñls;aidj ^Dry needling& weiqf¾ m%;sldr lsßug Tyq ukd mßphla olajhs' nyq,j fhdod .;af;uq' lmamsx Ñls;aidj" udxY fmaYs we§fï" Yla;su;a lsÍfï jHdhdu" c, Ñls;aidj iu.ska lgq Ñls;aidj fhdod.;a úg jvd;a frda.Skag b;d blauka id¾:l m%;sidOk uÜgula ,efnk nj Tyqf.a wjfndaOhhs' lgq Ñls;aidj ms<sn|j Tyq oelajQ Wkkaÿj ksidu bkaÈhdfõ lS¾;su;a lgq Ñls;aid ffjoHjrhl= jQ úl%ka;a NdroajdÊ uy;d hgf;ao mqyqKqj ,eîh'Tyq oekg Y%Su;a fcdaka fld;,dj, wdrlaIl frdayf,a fN!; Ñls;ailjrhl= f,i fiajh lrhs' DM

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Nuclear Medicine Scintigraphy wdudYfha frda. .ek úuik kHIaÀl mÍlaIK

Nuclear Medicine Scintigraphy

wdudYfha frda. .ek úuik kHIaÀl mÍlaIK Gastroparesis frda.h ;sfnkjdo@ hkak fidhd .ekSug we;s iaj¾Kuh mÍlaIKh wdudYh ysia jk wdldrh úuik fuu mÍlaIdjhs

Gastric Emptying Study

A Gastric Emptying Study is a test to determine the time is takes a meal to move through a person's stomach. It is typically ordered by physicians for patients with frequent vomiting, gastroparesis, abdominal pain, early satiety and pre-operative evaluation. doctormagazine.lk

February 2021

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Nuclear Medicine Scintigraphy wdudYfha frda. .ek úuik kHIaÀl mÍlaIK

fld<U ,xld fydiamg s ,a ys kHIaál ffjoH wxYfha iyldr l<ukdldr kHIaál ffjoH ;dlaIKfõ§ Ydu,a bkaÈl o is,ajd

Tnf.a wdudYh l%shd;aul jk wdldrh ms<sn|j f;dr;=re f.k tk kHIaÀl ffjoH mrSlaIKhla ms<sn|jhs fuu igyk' wdudYh ysia lsrSfï mÍlaIKh" fkdtfia tkï kHIaÀl ffjoH iskaá.%ems mÍlaIKh ^Nuclear Medicine Scintigrapghy& ffjoH úoHdfõ by< uÜgfï ;dlaIKhka fhdod.;a ^Gold Standard Test& mrSlaIKhla f,i m%p,s;j we;' w,am jQ úlsrKYS,S;djhla Ndú;hg .ekSu;a" fõokdfjka f;drùu;a" w;=re wdndO fkdùu iy w;sYh ksrjoH;djh fuu mÍlaIKhg fujka iaj¾Kuh jQ ms<s.ekSula we;s ùug fya;=jhs' wdudYh fj; tk wdydr idudkHfhka meh

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February 2021

mÍlaIKh isÿ lrkafka fï o¾YSh wdydr fõ,g iuia:dksl wju ud;%djla fhdod wdydrhg .kakg ie,eiaùfuks

y;rloS ishhg 90la j;a thska neyer úh hq;=h' kuq;a wdudYfha udxY fmaYskays iy iakdhq iemhqfuys jHdl+,;ajhka ksid yg .efkk ^Gastroparesis) kï frda. ;;ajfhaoS tfia l%shd fkdlrhs' fuu ;;a;ajh ksYaÑ;j y÷kd.ekSu fuu mrSlaIKfha tlA wruqKls' wdudYh ysia lsÍfï kHIAÀl mÍlaIdj lrkafka ldgo@ ² wdudY.; frda.S ;;a;ajhloS ² ks;r jukh we;sùu ² <ore wjêfhaoS lsrs oSfuka miqj kskafoaoS tk Tlaldr ùu iy tajd Yajdikd,h Tiafia fmky¿ j,g hk wjodku u;=ùu

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wdudYh ysiajk wdldrh iïnkaOfhka úuik m%;sìïn jd¾;dj

² lEug miq nv mqrjd oeóu" nfâ fõokdj fukau nr wvqùu ² iSks uÜgu úYd, mrdihkaf.ka fjkia ùu ² úc,kh ² fmdaIKh wvqùu mrSlaIKhg fmr iQodku 1' mrSlaIKhg fmr oskhloS kHIaÀl ffjoHjrfhl= yuqù Wmfoia ,nd .ekSu l< hq;af;ah' fï yuqfõoS Tn .kakd we;eï T!IO fjf;d;a" tajd ;djld,slj osk folla muK kj;d ;eîug isÿúh yelsh' th tjka T!IO wdudYfha ls%hd;aul jk fõ.h fjkia ùug fya;= jk fyhsks' ^Wod:Prokinetic agents and Anti spasmodic agents&' 2' mrSlaIKhg fmr oskfha wju jYfhka meh y;rla j;a ksrdydrj isáh hq;=hs' 3' oshjeähdj iy fjk;a frda. i|yd ,nd.kakd T!IO mrSlaIK wjia:dfõoS .ekSug /f.k meñKsh yel' doctormagazine.lk

3' oshjeähd frda.Ska fuu mrSlaIKhg fmr reêr.; iSks uÜgu mrSlaId lr .ekSu jvd iqÿiqh' 5' mrSlaIKhg wju meh myla j;a .;jk neúka ta i|yd iQodkïj ffjoHjrhdf.a fhduq$ks¾foaYs; ,smsh;a" Tfí ffjoH jd¾;d;a /f.k meñKSu jeo.;a fõ' 6' kHIaÀl ffjoH wxYfhka ,o Wmfoia wkqj Tng mrSlaIKh i|yd fokq ,nk úfYaIs; wdydrh /f.k meñKsh hq;=h'

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Nuclear Medicine Scintigraphy wdudYfha frda. .ek úuik kHIaÀl mÍlaIK

mrSlaIKh i|yd ,ndfok iqúfYaIS lEu jÜfgdarej fufyuhs 1' ial%ïn,aâ t.a ^Scrubled egg& f,i ieliQ wdydr ñY%Kh" th iqÿuoh muKla jk fia 120g m%udKhl úh hq;=h' 2' fgdaiaÜ lr .;a ^Toasted bread& mdka fm;s folla' 3' cEï fyda fc,s 30g m%udKhla' 4' mdkSh c,h 120ml fuu wdydrh kHIaÀl ffjoH ;dlaIK Ys,amshd w;g m;a l< miq thg úfYaIs; i,a*fldf,dhsâ iy fglakSIshï iuia:dkslh w,am ud;%djla ^0.5 to 1.0mCi & iu. ilia lr frda.shdg fokq ,efí' th úkdä 10 la muK jk flá l,la ;=<oS wdydrhg .; hq;=h' (Eating the meal with tracer) mrSlaIKh isÿ lrkafka fufyuhs lEu .ekSfuka miqj mrSlaIKh wdrïN fjhs' fuysoS frda.shd úfYaIs; .eud leurdj u; Wvql=rej tfy;a ysi u|la by<g tifjk fia je;sr isáh hq;= w;r

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February 2021

oaú;aj .%dyl .eud leurdj by<ska iy my<ska ia:dk.; fjhs' bkamiqj jrlg meh Nd.hla muK jk fiaa mehlg" meh follg iy y;rl m%%udohlsskA miq fuu ialEka mrSlaIKh isÿlrkq ,nhs' fuysoS l%shd;aul jkafka .;sl ^Dynamic& wOHhkhla neúka frda.shd u|l=ÿ fkdfi,aù isáh hq;= jk w;r fuu oS¾> ld,h ixhufhka hqla;j .; lsrSug iQodkïj meñKsh hq;=h' fuysoS .eud leurdj wjYH jqjfyd;a jï me;s m%;sìïnhla (Left Anterior Oblique View) ,nd .ekSug Ndú;d lrhs' mrSlaIK m%;sM, idudkHfhka mehloS ishhg oyhla" meh folloS ishhg y;,syla" iy meh y;rloS ishhg wkQjla jk fia wdudYh ysia ùu úh hq;=h' frda.shdg ta wdldrfhkau wdudYh ysiaùu isÿ jkafkao@ hkak ,efnk kHIaÀl m%;sìïn ud,dj wdOdrfhka m%ia:drhla u.ska fidhd .; yelsh¡ mrSlaIKfhka miq frda.shdg .¾NKS iy b;d l=vd <uhskaf.ka tosk ;=< wE;aù isàug Wmfoia fohs' frda.shd tosku ksfjig hjhs' fï i|yd w,am ud;%sl úlsrKYS,S iuia:dksl m%udKhla Ndú;d lrk ksid thska ydkshla jkakg bvla ke;' mrSlaIK m%;sM<h ,ndoSug hï ld,hla .;jk w;r m%%ia:dr wdY%fhka kHIaÀl ffjoHjrfhl= úiska iúia;rd;aulj jd¾;djla uqøs; m%;sìïn iys;j frda.shd fj; ksl=;a lrkq ,efí' fuu mrSlaIKh rcfha m%Odk frday,a lsysmhl" kHIaÀl ffjoH wxY j,oS iy fld<U ,xld fydiamsÜ,aysoS fï jk úg isÿ lrkq ,nhs' DM

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World largest vaccine campaign udkj b;sydifha úYd,;u tkak;alrK jevigyk

² Y%S ,xldj bkaoshdfjka Covishield tkak; ,nd .ekSug we;s bvlv jeähs ² rgj,a 92lg tkak;a fkdñ,fha fokakg ì,a f.aÜia ìysl< ixúOdkh fmruqKQ .kshs ² lekvdj" ´iafÜ%,shdj" wefußldj msiaiqfjka fuka tkak;a f.dv .y .kshs ² BY%dh,h jeäfhkau ck;dj tkak;a l< rg njg m;a fjhs ² fkamd,h fldúâ tkak;a ,nd .ekSug wmg;a biair fjhs

world largest vaccine campaign ever

udkj b;sydifha úYd,;u tkak;alrK jevigyk

udkj b;sydifha úYd,;u tkak;alrK jevigyk oeka n,.ekaù ;sfí' ta jirlg jeä ld,hla uq¿,af,a f,dalhu fy,aÆ fldúâ jix.;h msgqoelSu wruqKQ lr.ksñks' fï jk úg f,dalfha ck.ykh ì,shk 7'8la jk w;r fldúâ jix.;fhka ñfokakg kï ud;%d fol ne.ska ì,shk 16l tkak;a ud;%d m%udKhla f,dal m%cdj i|yd wjYH fjhs' fï jk úg zzyosis wjia:dZZ f,an,h hgf;a iud.ï kjhla fldúâ frda.h msgqolskq msKsi tkak;a ksIAmdokh lr ;sfnk w;r fï iud.ï

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World largest vaccine campaign udkj b;sydifha úYd,;u tkak;alrK jevigyk

ish,af,a iuqÉÑ; tkak;a ksIamdok jevigyk oekgu;a ì,shk 8'25l tkak;a ksIAmdokh flfryS ie,iqï lr wjikah' tla mqoa.,fhl=g tkak;a ud;%d folla wjYH hhs i<lK l< fuh f,dal ck.ykfhka nd.hlg iß,k tkak;a ud;%d m%udKhls' kuq;a i;Hh kï fï tkak;a j,ska jeä yßhla fjka lrf.k we;af;a biqreu;a rgj,a w;f,diaila muKla ùuhs' fï jk úg;a tkak;a jevigykg id¾:lj iïnkaO ù we;s tkak;a iud.ï fufiah' *hsi¾$nfhdatkafgla tkak; f;jk woshf¾ idhksl mÍlaIKwjika lr uq,skau fldúâ tkak;a ch lKqj fj; <Õd jQfha *hsi¾$nfhdatkafgla tkak;hs' fuys id¾:l;ajh ishhg 95la jYfhka jd¾;d fjhs' tu iud.u úiska 2020 j¾IfhaoS tkak;a ñ,shk 50la ksIAmdokh lr ;sfnk w;r fï j¾Ih i|yd Tjqkaf.a tkak;a ksIAmdok mqfrdal:kh ì,shk 1'3ls' RNA ;dlaIKfhka fuu tkak;a ksIAmdokh lr ;sfí' tajd .nvd lsÍug fikaáf.%aâ wxYl iDK

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February 2021

fldfrdakd ffjrih ch .ekSfï hqoaOh 1 woshr

wjirh ,eîu

2 woshr

3 woshr

wdrlaIdj yd ud;%dj M<odhs;djh iïnkaO mÍlaIK iïnkaO úia;S¾K wdrlaId mq¿,a mÍlaIK iy;sl lsrSfï mÍlaIK

4 woshr

Ndú;h i|yd wjir ,nd .ekSu

70l .nvd myiqlï wjYH ùu ksid fndfyda ixj¾Okh jk rgj,g fuu tkak;a ,nd.ekSu wNsfhda.hlaj mj;S' flfia fj;;a f,dal ck.ykfhka yfhka tll ck;djla b,lal lr.ksñka fï j¾IfhaoS tu tkak;a fj<|fmd<g uqod yeÍug ksIAmdolhka lghq;= lrKQ we;' fudv¾kd tkak; fuh messenger RNA ;dlaIKh weiqf¾ ksIAmdokh jk w;r thg .nvd lsÍug wjYH jkafka 2-8l WIAK;ajhls' tys id¾:l;ajh ishhg 95ls' foieïn¾ udifha tkak;a ud;%d ñ,shk 20la ksAImdokh l< fudv¾kd iud.u fï jif¾ m<uq ld¾;=fõoS tkak;a ñ,shk 100la ksIAmdokhg mshjr f.k we;' weiag%dfifkld$Tlaia*â tkak; f;jk mshjf¾ m%;sM< ,eîug;a fmr fuu tkak; ud;%d ì,shk ;=kl m%udKhla ksIAmdokh lsÍug weiag%dfifkld mshjr .;af;ah' fï jk úg ñY% idhksl m%;sM< fmkakqï lrk w;r tys id¾:l;ajh ishhg 70la jYfhka jd¾;d fjhs' fuh wfma rgg ñ,oS .ekSu i|yd jeä bv m%ia:djla we;s tkak;ls' oekg Odß;dj jYfhka f,dalfha jeäu tkak;a m%udKhla ksIamdokh lrkafka wfma wi,ajeis bkaoshdfõ The Serum Institute of India wdh;khhs' The Serum Institute of India Tlaia*â Covishield tkak; ksIAmdokh lrk AstraZeneca wdh;kh iu. tkak;a ksIAmdokfhys,d .súiqulg ne|S isák ksid ,xldjg

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*hsi¾ nfhdatkafgla tkak; m<uq oskh m<uq ud;%dj 12 jk oskh m%;sYla;slrKh we;sùu wdrïN fjhs 21 jk oskh fojk ud;%dj 28 oskh ffjrihg tfrysj mQ¾K wdrlaIdj ie,fihs

fuu tkak; bkaoshdfjka ,nd.ekSug we;s wjia:dj fndfyda jeäh' The Serum Institute of India wdh;kfha m%Odk úOdhl ks,Odß wdo¾ mQkj,a,d m%ldY lrk wdldrhg The Serum Institute of India wdh;kh fï jk úg;a 2021 j¾Ih i|yd tkak;a ud;%d ñ,shk 850la ksIAmdokh lsrSug n,dfmdfrd;a;= fjhs' thska ishhg 50la ì,shk 1'5l ck;djla isák bkaoshdjgh' b;sßh Y%S ,xldj jeks rgj,g ,nd.ekSfï m%ia:dj ;sfí' ckdêm;s f.daGdNh rdcmlaI úiska lrk b,a,Sulg m%;spdr olajñka fiiq cd;Ska fj; ;u rfÜ ksmojk tkak;a iemhSfïoS Y%S ,xldjg m%uqL;ajh ,nd fok nj miq.shod fuys ixpdrhl fhÿKQ bkaoSh úfoaY lghq;= weu;s wdpd¾h tia chsIkal¾ Y%S ,xld ckdêm;sjrhdg oeKQï oS ;sfí' isfkdjela tkak; Ökfha fícska kqjr mdol Tiq iud.ul ksmehquls' ffjrifha m%fõKsl fla;fha fldgila''' tkï" wl%Sh lrk ,o ffjri fldgia fuysoS tkak;a lsÍug fhdod. kS' fuys id¾:l;ajh .ek fï ,smsh ,shk fudfyd; jk úg;a yß yeá f;dr;=re ke;' f;jk mshjf¾ idhksl m¾fhaIK n%iS,h" bkaÿkSishdj yd ;=¾lsfha isÿ lrk ,oS' fuys ishhg 91'25l id¾:l;ajhla mj;sk nj doctormagazine.lk

;=¾lsfhka jd¾;d jQj;a miq.sh Tlaf;danrfha f,dalfhkau fojk ia:dkhg frda.Ska jd¾;d jQ n%iS,fhka mejfikafka ishhg 50g jeä id¾:l;ajhla we;s njls' flfia fj;;a isfkdajela tkak; miq.sh cq,s udifha isg jeä wjodkula we;s ck;djg ÖkfhaoS ,ndfohs' iamqÜksla v fkdfyd;a .udf,hd T!IO iud.fï tkak; reishdkq f*vf¾IKfha fi!LH wud;HxYhg wkqnoaê; N.F. Gamaleya u.ska ksmojk ,o iamqÜksla tkak; ishhg 91'4l by< id¾:l;ajhla w;am;a lrf.k we;ehs wdrxÑ ud¾. m%ldY lrhs' fï tkak; iïnkaOfhka Y%S ,xld rcfhao wjOdkh fhduq ù ;sfí' wfma fi!LH wud;HdxYh" reishdfõ fi!LH wud;HdxYh iy tu wud;HdxYfha jix.; frda. yd laIqøÔj úoHd ms<sn| .uf,ahd m¾fhaIK wdh;kh w;r foieïn¾ 29 od uQ,sl wka;¾cd, /iaùula meje;aúK' Y%S ,xldj fjkqfjka fï idlÉPdjg fi!LH wud;HdxYfha f,alï ffjoH tia'tÉ' uqKisxy

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World largest vaccine campaign udkj b;sydifha úYd,;u tkak;alrK jevigyk

uy;d" ffjoH fiajd w;sf¾l f,alï ffjoH iqks,a o w,aúia uy;d" w;sf¾l f,alï ffjoH t,a' fidau;=x. uy;d" jix.; frda. úoHd{hska" laIqøÔj úoHd{hska" tkak;a ms<sn| úoHd{hska" ffjria úoHd{hska" m%;sYla;s úoHd{hska tla jQy' lekaisfkdanfhda CanSinoBIO's tkak; fuh Ökfha ;=kajk woshf¾ w;ayod ne,Sï j,g Ndckh flreKQ tkak;a mfyka yuqod m¾fhaIlhkaf.a iyNd.s;ajh ,enQ tkak;ls' m%;sM< iïmQ¾K lsÍug;a fmr yosis Ndú;hg fhdod .eksk' isfkdamdï Sinopharm tkak; fuho rdcH wxYfha iyNd.s;ajh we;sj Ökfha ksmojqKls' mÍlaIK woshr wjika ùug;a fmr isgu yosis Ndú;h i|yd Ökfha fhdod .eksk' Ökfhka msg isfkdamdï tkak; fhdod.;a m<uq rg jQfha tlai;a wrdì tó¾ rdcHhhs' tys id¾:l;ajh ishhg 86la jYfhka jd¾;d úh' nyf¾kh" Bcsm; a j = yd fudfrdlafldajo fuu isfkdamdï tkak; ,nd.ekSug idlÉPd mj;ajñka isà'

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February 2021

reishdfõ .fï,hd tkak;a wdh;kfha iamqÜksla V tkak; fnodyeÍug iQodkï fjhs

biqreu;a rgj,a jeämqr tkak;a tl;= lr .ekSfï ks¾,cacs; W;aidyhl lekvdfõ isákafka ñ,shk 38l ck;djls' tfy;a fï jk úg;a Tjqka iud.ï y;lska ñ,shk 112l tkak;a weKjqï lrf.k ;sfí' tla wfhl=g tkak;a fol ne.ska lekvdjg tkak;a ñ,shk 78la wjYH jk w;r b;sß tkak;a w;sßla;h zz;ïnd fndkakgoehsZZ wikakg lsisfjla ke;' fï w;r wefußldj ;u fldúâ tkak;a fldagdj fjka lr.kafka wuq;=u wdldrhlgh' Tiq iud.ï j, whs;sh" fldgia yd ,dNdxY j, Wreuh m%fhdackhg .ksñka ;ukag uq,au tkak;a f;d.h ,ndoSu g%ïma mßmd,kh úiska kS;shla njg m;a lr we;af;a fndfyda iud.ï iu. oaùmd¾Yaùh .súiqï mjd we;s lr.ksñks' jix.;h me;sr hk uq,a jljdkqfõ bka je<lSug mshjr .ekSu ;=Ügqjlg udhsï fkdl< ckdêm;s fvdk,aâ g%ïma trg ckdêm;sjrKh meroSfukq;a miqj fï ;SrKh .;af;a ;u zzmõ fidaod.kakgo@ZZ fï jk úg wefußldfõ wdidos;hka 86"252"766 ixLHdjlao" urKhg m;aj isák ixLHdj 1"863"952o f,i iksgqyka jk w;r fldúâ jix.;fhka f,dalfhkau jeäfhkau neg lEfõo wefußldjhs' wefußldkq uydoaùmfhau oßø;djfhka fmf<k ,;ska wefußldka rgj,g tkak;a ,nd oSug fulaisldkq cd;sl ì,shkm;sfhla jk Carlos Slim lghq;= lrhs'

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f,dal fi!LH ixúOdkh ixj¾Okh fjñka mj;akd rgj, ck;djf.a /ljrKh msKsi tkak;a fnod yeÍug COVAX iu.ska úYd, m%h;akhl ksr; jk w;r ta W;aidyh wìuqj ngysr biqreu;a rgj,a yeisfrkafka zzlidh î f.d¨jkaZZ fiah' Tjqka lsisu ysßls;hla fkdue;sj ;ukag wjYH m%udKhg;a jvd tkak;a tla / ialr .kakg ierfikafka wehsoehs fkdf;af¾' ´iafÜ%,shdfõ jerÿKQ W;aidyh ´iafÜ%,shdj yd kjiS,ka;h fldúâ frda.h md,kh lsÍfuys,d buy;a fjfyila .kakd rgj,a f,i f.!rjdorhg ,laj ;sfí' tkak;a iïnkaOfhka ´iafÜ%,shdfõ iQodku .ek l;d lrk úg Tjqkg isÿjQ weneoaoshla .ek fkdlshdu neßh' ´iafÜ%,shdfõ laùkaia,kaâ úYaj úoHd,h yd CSL iud.u taldnoaOj ksIAmdokh l< tkak;la iïnkaOfhka trg úYd, n,dfmdfrd;a;= we;s lrf.k isáfhah' uq,a m¾fhaIK id¾:l jQ ksid Tjqka tkak;a ñ,shk 51la ksIAmdokh lsÍfï ie,eiaul isáfhah' tfy;a wjika woshf¾ idhksl m¾fhaIK j,ska wkfmalIs; wid¾:l;ajhka we;sjQ ksid tu iïmQ¾K W;aidyhu j;=f¾ .sfhah' fï iu.u ´iafÜ%,shdkq rch úiska University of Oxford yd AstraZeneca Plc, fj;ska ms<sfj,ska ñ,shk 20 l yd ñ,shk 11l wu;r tkak;a weKjqï lsÍug mshjr .;af;ah' fï jk úg ´iafÜ%,shdj fldúâ tkak;a ñ,shk 140la weKjqï lr wjikah' trg bkafka ñ,shk 26l ck.yKhls' fï wkQj ;ukag wjYH m%udKhg;a jvd tkak;a weKjQï lrk ,o rgj,a w;r ´iafÜ%,shdjo fmruqfKau isákafkah' Sanofi and GlaxoSmithKline hk iud.ïo tkak;a igfka mshjrla miqmig .;a iud.ula fjhs' Bg fya;= jQfha jhia.; ck;dj úIfhys fuu tkak; m%;sM<odhl jk njg Tmamq lsÍug Tjqka wiu;a ùuhs' fldúâ frda.fha m<uq fm< úkaos;hka jkafka jhia.; m%cdj jk w;r Tjqkag wdrlaIdjla ke;s tkak;lska we;sM,h l=ulao@ fï ,smsh ,shk ckjdß 5 osk jk úg tkak;a ñ,shk 15'9la f,dalfha ljr rgl fyda ñksiqka fj; tkak;a lr

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uhsfl%dfid*aÜ iud.fï ysñlre" ì,af.aÜia ;u wefòKsh ñ,skavd f.aÜia iu.ska f,dal m%cdjf.a fi!LH ;;a;ajh by< kexùug lrk odhl;ajh w;súYd,h' f,dal fi!LH ixúOdkfha lghq;= i|yd iuia; msßjefhka ishhg 9'8l odhl;ajhla olajkafka fï fom< úisks' ÿmam;a rgj, m%cdjgo fldúâ tkak; ,ndoSug fmruqKQ .;a COVAX Facility i|yd odhl;ajh iemhQfõo fï fom< úiska wefußldkq fvd,¾ ñ,shk 750la jeh l< wdrïN l< GAVI jHdmD;shhs'

;sfí' thska ñ,shk 5'46la wefußldkqfõoS tkak;a lr ;sfnk w;r ÖkfhaoS ñ,shk 4'5la tkak;a wdjrkh ,ndf.k ;sfí' c¾uksfha ñ,shk 3'6lao" b;d,sfha ñ,shk 2'6lao reishdfõ 800"000lao tkak;a wdjrKh ,ndf.k ;sfí' iuia; ck.ykfhka ishhg 14'9lg tkak;a wdjrKh ,nd foñka BY%dh,h fï úg jeäu ck;djlg tkak;a l< rg njg m;aj ;sfí' Tjqka 1"490"000 lg fï jk úg tkak;a ,ndoS we;' ldg;a biair

February 2021

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World largest vaccine campaign udkj b;sydifha úYd,;u tkak;alrK jevigyk

fnfy;a ál fjka lr.;a wefußldfõ iuia; ck.ykfhka 1'66lg tkak;a wdjrKh ,nd oS wyjrh' ck.ykfhka ishhg 1'95 l rgjeishka tkak;a l< wfkla rg jkafka uyd ì%;dkHhhs' b;sydifha úYd,;u tkak;a jHdmD;sfha wfma rg ;ju;a fldúâ tkak;la oel,d fyda ke;' ta w;r fkamd,h iamqÜksla tkak; ñ,shk 25la ,nd .ekSug idlÉPd mj;ajk nj jd¾;d jk w;r bkaoshdfõ The Serum Institute of India iud.u COVAX iyfhda.s;djfhka ñ,shk 100l tkak;a ud;%d ksIamdokhg mshjr .ksñka isáhs' f,dalh iqkaor lrk ñksiaiq iy ixúOdk fï igyk wjika lrkakg u;af;ka fï f,dalh ,iaik ;ekla lrkakg fjfyfik mqoa.,hka yd wdh;k lsysmhla .ek lshkakg jqjuKdh' ì,af.aÜia .ek fkdokakd flfkla bkakg fkdyel' ì,a f.aÜia ÿmam;a ck;dj frda. j,ska uqojd .ekSug ;uka bmehQ uyd OkialkaOfhka fldgila ;u Nd¾hdj iu.ska fjka lf<A Global Alliance for Vaccines and

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February 2021

bkaoshdfõ w.ue;s kf¾kaø fudaäThe Serum Institute of India wdh;kfha m%Odk úOdhl ks,Odß wdo¾ mQkj,a,d iu. fldúâ 19 tkak;a ksIAmdokh iïnkaOfhka l;dnyl ksr; jk whqre

Immunisation (GAVI) kue;s mqkHdh;khla ia:dms; lsÍu wruqKQ lr.ksñks' Bill and Melinda Gates Foundation yryd f,dal fi!LH ixúOdkhgo tys iuia; úhofuka ishhg 9'8la ì,af.aÜia ,nd fohs' fï GAVI wdh;kh fufyhùfuka myq.sh cqks 4 jk osk COVID-19 Vaccines Advance Market Commitment (COVAX AMC) kñka fldúâ jix.;h yuqfõ ÿ.S ck;djg tkak;a lsÍu wruqK lr.ksñka iuq¿jla mj;ajk ,o w;r wm rgo we;=¿j rgj,a 92lg fkdñ,fha fldúâ tkak;a ,ndoSfï jevigykla GAVI úiska ixúOdkh lrk ,oS' wo ljqre;a l;d ny lrk COVAX Facility hkqfjka ye|skafjkafka thhs' 2021 j¾Ih ;=< tkak;a ì,shk folla ksIAmdokh lsÍug tkak;a ksmojk iud.ï yd iyfhda.s;djfhka Tjqka fmruqK f.k isák w;r bka wvlau ÿmam;a rgj,g ñ,oS .ekSug GAVI wfmalaId lrhs' ' ,laI ixLHd; ck;dj oskm;d jix.;hl jiÕhg m;a fjoaoS" oyia ixLHd; ck;djla kùk úoHdfõ ish¿ Wkak;ska wl¾ukH lrñka jákd ñksia cSú; ì,s .ks;aoS udkj O¾u;d" iuh" iuhdka;r oshqKQj" wdOHd;añl .=K j.dj muKla fkdj Okj;a rgj, zzudkj ysñlïZZ m%cd;ka;%jdoho m%Yak lrñka fldúâ jix.;fha fjä kQ, ;ju;a oe,afjhs' DM

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Laboratory Tests Explained fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿

Do You Need to Get Vaccinated if you’ve Already Had COVID-19? jrla COVID-19 je<÷KQ wh tkak; ,nd.; hq;=o@ fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿

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

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COVID - 19 frda.h fojrla je<ªKQ wh .ek úáka úg jd¾;d fõ' l,d;=rlska jqj;a''' fojrla fkdj Bg;a jeä jdr .Kkla fldúâ je<ªKQ who isà' *hsi¾ iud.fï fldúâ tkak;;a ;j;a tkak;a lsysmhl=;a zzyosis m%fhdackhZZ f,an,h hgf;a Ndú;hg wjir oSu;a iu.u wm fldúâ frda.hg tkak;a / ljrKh ,nd.ekSfï ld,mßÉfPaohlg msúi isák w;r fkdfnda osklska wfma rfÜo tkak;a lsÍfï l%shdoduh werfUkq we;'

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Laboratory Tests Explained fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿

Tng hï wjia:djl fldúâ frda.h je<÷fKd;a bkamiqj fojeks jr wdidokhloS Tng /ljrKh ,efnkafka flá ld,hls' oekg mj;akd idlaIs wkQj kej;;a jvd;a W;aikakj fï frda.h je<|Sfï wjodkfuka ñoSug kï jrla fldúâ je<|Sfuka udi 3-4lg miq Tn ta i|yd jk tkak;l /ljrKh ,nd.; hq;=h' -fha,a iriúfha iïudks; m¾fhaIl Tksfhaud T.anqjd.=

Tng jrla fldúâ ffjrih je<ªKs kï" fldúâ frda.sfhl= njg jrla m;aj isáfha kï" Tn;a fldúâ tkak; ,nd.; hq;=o@ fï .eg¿j ks;ekskau mek kef.kakls'

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February 2021

thg fok ms<s;=r i|yd n,mdk fya;= lsysmhla fõ' Tn fldúâ wdidokhg ,la jQfha ljodo@ ta wdidokfhaoS Tng frda. ,laIK my< fkdjQfhao@ ke;fyd;a iq¿ jYfhka frda. ,laIK my< jQfhao@ frda.h i|yd jk iajdNdúl m%;sYla;sh fld;rï ld,hla YÍrfha mj;skafkao@ fï iïnkaOfhka hqksj¾isá T*a fldf,dïìhd" f,diawekac,siayS wdidok frda." laIQø cSj úoHd m%;sYla;slrKfõoh yd udkj m%fõKsh ms<sn| fomd¾;fuka;=fõ uydpd¾h Tfgda hEx.a fujeks woyila m%ldY lrhs' zztkak; .ekSfuka miq isrer fl;rï ld,hla kej; wdidokh ùulska f;drj /ljrKh ,nkafkao hk ldrKh .ek ;ju;a ksYaÑ; ms<s;=rla oSug ffjoHjrekao wfmdfydi;ah' fjk;a fldfrdakd ldKAvfha ffjri j,oS ffjrih wdidokh ùfuka miqj kej;;a Bg wdrlaIdj ie,iSug isref¾ ksmofjk m%;sfoay ffjrih je<|S ál ld,hlska ÿ¾j, jk nj ksÍlaIKh ù we;' fï idOlh fldúâ 19g;a i;Hhla jkq we;' tfiau kej; wdidokhla jkjd kï thg YÍr.; m%;sfoay m%udKh wvqùuo ;SrKd;aul idOlhla jkq we;' kuq;a .eg¿j we;af;a th fldmuK ld,hlska isÿ jkaklao hkakhs' ZZ m¾fhaIKd;auljo fï lreK i;H nj fmkajk idlaIs wmg yuqù ;sfí' jrla fldúâ frda.hg k;=jQ wh l,la hk úg ;ukaf.a isref¾ m%;sfoay uÜgu wvqùfuka kej;;a frda.hg k;= ùfï wjodkula mj;sk nj kej; fldúâ wdidokhg ,lajQ 28 fofkla iïnkaOfhjka mÍlaIK j,oSo ikd: ù ;sfí' fuys we;s Nhdkl ;;a;ajh jkafka tfia kej; wdidokh ùfïoS uq,a wjia:djg jvd nrm;, m%;súmdl j,g Tjqka ,laùuhs' uq,a wjia:dfõ lsisÿ frda. ,laIKhla fkdfmkajQ iy iq¿ frda. ,laIK muKla fmkajQ wh nyqwkej;;a isÿjk wdidokhloS idOKSh frda. ,laIK fmkaùu ksÍlaIKhhs'

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óg l,ska fldúâ yeÿK;a" fkdyeÿK;a tkak; ,ndf.k bka /ljrKh ,eîu jvd;a iqÿiqh hkak fï jk úg úoaj;=kaf.a úYajdihhs

Forbes iÕrdj m%ldY lrk ,o wdldrhg fofjks jrg fldúâ frda.hg k;=jQ 89 yeúßos ´,kao cd;sl ldka;djlg fofjks jr we;sjQ wdidokfha W;aikak ùu ksid cSú;fhka iuq .kakg isÿ úh' Lancet iÕrdfõ SARSCoV-2 ffjrihg fofjks jrg;a k;=ùu yuqfõ .;hq;= mshjr iïnkaOfhka fufia oelafõ' l,ska ffjri wdidokhg k;=jQjd fyda ke;;a iEu mqoa.,fhlau th kej;;a je<|Sfuka ñoSug wjYH mshjr idOkShj .; hq;= jkafkah'

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fldúâ tkak; iïnkaOfhka Pfizer m¾fhaIK ld¾hhkago iyNd.s jQ fha,a iriúfha iïudks; m¾fhaIlfhl= jQ Tksfhaud T.anqjd.= (Onyema Ogbuagu) fufia m%ldY lrhs' zzTng hï wjia:djl fldúâ frda.h je<÷fKd;a bkamiqj fojeks jr wdidokhloS Tng /ljrKh ,efnkafka flá ld,hls' oekg mj;akd idlaIs wkQj kej;;a ^jvd;a W;aikakj& fï frda.h kej;;a je<|Sfï wjodkfuka ñoSug kï jrla fldúâ je<|Sfuka udi 3-4lg miq Tn ta i|yd jk tkak;l /ljrKh ,nd.; hq;=h' weh ke.+ ;j;a m%Yakhla jQfha hï fyhlska frda. ,laIK mj;akd flfkl=g fï tkak; ,ndoSfuka we;súh yels .eg¿ ;sfío@ hkakhs' weh tu ;;a;ajh iudf,dapkh lf<a fuf,ih' zzil%Sh m%;sfoay YÍrfha ;sfnk ;eke;af;l=g tkak; ,ndoSfuka hï wys;lr m%;sM<hla ,efnkakg bv ;sfnkjd' kuq;a m%dfhda.slj tfyu isÿùula ;ju kï jd¾;d fj,d kE'ZZ hkakhs'

February 2021

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83

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Laboratory Tests Explained fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿

udi 3-4lg fmr Tn frda.fha wdidos;fhla jqK;a Tng wdrlaIs;j fï tkak; ,nd.kak mq¿jka' th tfia l< hq;=hs' Tn ie<ls,a,g .; hq;= jk m%Odk ldrKh ;uhs fofjks /,a, m<fjks /,a,g jvd Nhdkl tlla jqKd jf.au bosßhg;a fï jix.;fha ìysiqKQ uqyqKqjrla .kakg ;sfhk úNjH;djh' fï ksid fldúâ yeÿKQ" fkdyeÿKQ fldhs ljqre;a tkakf;ys / ljrKh ,eîu ;uhs iqÿiq' Bfh fmf¾o frda. hg k;= jqKd kï ú;rla ;j;a udi 2-3lg ú;r tkak; miaig odkak mq¿jka'

84

February 2021

jhi wjQ' 16 bl=;a jQ whg fldúâ frda.fhka je<lSug zzyosis Ndú;hZZ f,an,h hgf;a iemhQ Pfizer and BioNTech iud.u ksmojQ tkakf;ys i|yka Wmfoia

jrla fldúâ yeÿKQ whg m<uq jrg fok tkak; Booster Dose tlla jkakg bv ;sfhkjd' ta .ek m¾fhaIlhka orkafka fujka u;hla' zztal kï tfyu fjkj kï fndfydu fyd|hs' wjdikdjg tfyu ;;a;ajhl=;a ;ju olskak kE' ta iïnkaOfhka idlaIs lsisjla kE'ZZ fï jk úg w¿f;ka yªkajd ÿka tkak;a w;f¾ fmruqfKAu bkafk Pfizer and BioNTech iud.u ksmojQ tkak;' ta whf. tkak;a iïnkaO ud¾f.damfoaYK j, fldákau óg fmr fldúâ je<÷KQ wh tkak;g k;= lsÍfïoS l< hq;= foa iïnkaOfhka lsisu i|ykla kE' thska meyeos,s jk ldrKh ;uhs" fï *hsi¾ tkak; óg fmr frda.h je<ªKQ fukau fkdje<ªKQ fldhs ldg;a iudkj tkak; ,ndoSula iy;sl lr, ;sfhkjd lshk ldrKh' Th úosyg ;uhs fldúâ tkak; ,ndoSu iïnkaOfhka m¾fhaIl woyia fm< .efikafk' fï wkQj udi 3-4lg fmr Tn frda.fha wdidos;fhla jqK;a Tng wdrlaIs;j fï tkak; ,nd.kak mq¿jka' th tfia l< hq;=hs' Tn ie<ls,a,g .; hq;= jk m%Odk ldrKh ;uhs fofjks /,a, m<fjks /,a,g jvd Nhdkl tlla jqKd jf.au bosßhg;a fï jix.;fha ìysiqKQ uqyqKqjrla .kakg ;sfhk úNjH;djh' fï ksid fldúâ yeÿKQ" fkdyeÿKQ fldhs ljqre;a tkakf;ys /ljrKh ,eîu ;uhs iqÿiq' Bfh fmf¾o frda.hg k;= jqKd kï ú;rla ;j;a udi 2-3lg ú;r tkak; miaig odkak mq¿jka' DM

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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

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

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

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Descrimination fldúâ tkak;''' wjYH m%udKhg jvd fo;=ka .=Khla jeäfhka zzwe;af;daZZ fjka lrf.k'''

COVID-19: MANY POOR COUNTRIES WILL SEE ALMOST NO VACCINE NEXT YEAR, AID GROUPS WARN

fldúâ tkak; wmg;a yq,x o@ fldúâ tkak;''' wjYH m%udKhg jvd fo;=ka .=Khla jeäfhka zzwe;af;daZZ fjka lrf.k'''

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doctormagazine.lk

iudkd;au;djh yd tlÕ;djh w.hk ck;djf.a tkak;la udkj ixy;sfha wdrlaIdj i,ikq we;ehso" th kej;;a f,dalfha ish¿ ck;djf.a wdrlaIdldrS meje;au ;yjqre lrKQ we;ehso khscSrshdfõ ckdêm;s uqyïuÿ nqydrs mejiQfha fï hk ms<sfjf,ys ;ukaf.a ck;djg w;am;a jk w.;sh iïnkaOfhka mQ¾jfhka ÿgq ksido@

biqreu;a rdcH úiska ;ukaf.a rgj, ck;djg wjYH flfrk m%udKhg;a fndfyda jeäfhka tkak;a oekgu;a fjka lrf.k we;s ksid f,dalfha wvq wdodhï ,nk rgj,a 67lg 2021 j¾Ih ;=< fldúâ tkak;la úof.k wdrlaIdjla i,id .ekSu yqÿ isyskhlau jkq we;' f,dalfha ck.ykfhka ishhg 14la muKla fjfik Okfhka wdVH rgj,a oekgu;a ishhg 53l tkak;a m%udKhla fjka lrf.k wjidk hhs People’s Vaccine Alliance, Frontline AIDS, Global Justice Now yd Oxfam hk ixúOdk úiska m%ldY lr isáhs' fï wkQj 2021 j¾Ihg ksIAmdokh lsÍug kshñ; uq¿ tkak;a m%udKfhka Moderna iud.u úiska ksIAmdokh lrk iuia; tkak;a Odß;djhuo Pfizer-BioNTech iud.fuys tkak;a m%udKfhka ishhg 96lao oekgu;a ngysr rgj,a weKjqï lr wjikah' fï w;r Oxford University yd AstraZeneca ;uka ksmojk tkak;a j,ska ishhg 64la ixj¾Okh jk rgj,a úiska ,nd .ekSug fhduq jkq we;ehs okajd isáh;a ;ju;a ixj¾Okh jk rgj,ska weKjqï ,eî we;af;a ishhg 18lg muKs'

doctormagazine.lk

fï jk úgo lekvdj ;ukaf.a iuia; ck.ykh tkak;a lsÍug wjYH lrk tkak;a m%udKh fuka wg .=Khla weKjqï lr ;sfí' ta wkQj Tjqka fjka lrf.k we;s tkak;a m%udKfhka tla lefkaähdkq mqrjeisfhl=g tkak;a wdjrk myla (Five complete immunisations) ,efnkq we;' wefußld tlai;a ckmoh wjYH m%udKh fuka isj.

Q K = hla fjka lr.ksñka fojeks ;ekg m;aj isà' uyd ì%;dkHh tkak;a ud;%d ñ,shk 5'7la fjka lrf.k ;sfnk w;r th tkak;a trg iEu mqrjeisfhl=gu m%;Y s la;l s rK jg ;=kla mj;ajd .ekSug m%udKj;ah'

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Descrimination fldúâ tkak;''' wjYH m%udKhg jvd fo;=ka .=Khla jeäfhka zzwe;af;daZZ fjka lrf.k'''

ksfIAO n,h ysñ .,sjrhka wìuqj os<k s o a ka ,s,m s Ü q gkaj isáhoS f,dal fi!LH ixúOdkh fkdWlg,Sj n,d isà

The People’s Vaccine Alliance úiska ;u rgj, wdKAvq iu. lghq;= lrk Pfizer-BioNTech, Moderna, AstraZeneca-Oxford, Novavax, Johnson & Johnson, Sanofi-GSK, Gamaleya-Sputnik, yd Sinovac. hk tkak;a iud.ï wgl ksIAmdok fnoS hk wdldrh iïnkaOfhka iudf,dapkh lr we;' People’s Vaccine Alliance ys m%ldYlfhl= Dr Mohga Kamal Yanni i|yka lrk wdldrhg ÿmam;a rgj, fi!LH fiajlhka yd wjodku jeäfhka orK ck;djg j;a tkak;a ud;%djla ,ndoSug fkdyelsj ,; fj;aoS Okj;a rgj,a oekgu;a ;ukag wjYH m%udKhg wu;rj iEfyk w;sßla;hlao weKjqfuys ;nd .ekSug W;aidy ord ;sfí' fldúâ 19 tkak; iïnkaOfhka m¾fhaIK lrk fndfyda iud.ï j,g uQ,HdOdr nyq;rhla imhkafka tu rdcHhka úiskauh' fï wkQj ;ukag wjYH wêldÍ n,h mj;ajd .ekSug;a" ;dlaIKh ryilaj ;nd .ekSug;a Tjqka W;aiql jk w;r fï wjia:dfõ id¾:l;ajhg m;a iud.ï j, Wmßu W;aidyh jkafka wêl f,i ,dN ,eîughs'

90

February 2021

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fï jk úgo lekvdj ;ukaf.a iuia; ck.ykh tkak;a lsÍug wjYH lrk tkak;a m%udKh fuka wg .=Khla weKjqï lr ;sfí' wefußld tlai;a ckmoh wjYH m%udKh fuka isjQ.=Khla fjka lr.ksñka fojeks ;ekgo" uyd ì%;dkHh ;u mqrjeisfhl=g tkak;a ud;%d ;=kla fjka lr.ksñka f;jk ;ekgo m;aj isà' doctormagazine.lk

fï iïnkaOfhka wjosu;aj l%shd lrk The People’s Vaccine Alliance b,a,d isákafka f,dal fi!LH ixúOdkfha Covid-19 technology access pool iu. ;u nqoaêuh foam, fnod yodf.k f,dalfha ck;djg fi;la jk f,i l%shd lsÍug ixj¾Okh jk rgj,a fukau T!IO iud.ïo W;aiql úh hq;= njhs' AstraZeneca-Oxford, Moderna, yd PfizerBioNTech hk iud.ï j, tkak;a m¾fhaIK i|yd tlai;a ckmo fvd,¾ ì,shk mylg jeäfhka fhdodf.k we;af;a uyck uqo,a njo lshefõ' fï ÿ.SNdjfha w.dOfha isák rgj,a 67ka jeä yßhla ;u wruqo,a j,ska tkak;a ,nd .ekSug lsisu uqo,la fjka lrf.k fkdue;s w;r tu rgj,a iïmQ¾Kfhkau ?|S we;af;a fï jk úg tkak;a ÿmam;a rgj,g yd ixj¾Okh jk rgj,g ,ndoSug buy;a mßY%uhla ork Covax programme l%shdldß;ajh iïnkaOfhks' Covax programme hkq WHO, Unicef, the World Bank, and the Bill & Melinda Gates Foundation hk wdh;k j, uQ,HdOdr yd kshdukh u; tkak;a ixj¾Okh fjñka mj;akd rgj,g ,ndoSug n,.ekaù we;s n,j;a mqkH jHdmD;shls' oekg fuu Covax programme u.ska tkak;a ñ,shk 700la fnod yeÍu i|yd uQ,HdOdr mj;akd w;r th iEfykafka ÿmam;a rgj, ck.ykfhka ishhg 10la muKla tkakf;ka wdjrKh lsÍugh' foieïn¾ 11 osk wmQre iroï iy.; isÿùulao úK' Sanofi-GSK tkak; jeäysáhka i|yd t;rï id¾:lj m%;sYla;slrK m%;spdrhla fkdolajk njg fy<sorõjla isÿúh' fï wkQj tu m¾fhaIK lghq;= ;j;a udi yhla muK os.a .eiafikq we;ehs lshúK' Sanofi-GSK tkak;g ;rÕ lr ;snqfKA lekvdj" tlai;a ckmoh yd tx.,ka;hhs' fï wkdjrKh;a iu.ska Tjqka ;u weKjqï jydu yl=,d .ekSulao l%shd;aul úh' fï w;r fvdk,aâ g%ïma úiska foieïn¾ udifha trg T!IO iud.ï fj; úOdhl ksfhda.hla

doctormagazine.lk

(executive order) ksl=;a lrñka ksIAmdokh lrk tkak;a j, m%uqL;djh wefußldkq mqrjeishka fj; ysñ úh hq;= hhs okajd isáfhah' fldúâ jix.;h wdrïNfha wefußldj oyia ixLHd;j .s,.ks;aoS th ;=Ügqjlg udhsï fkdl< fvdk,aâ g%ïma Pfizer and BioNTech tkak;a ud;%d ñ,shk 500la wefußldkq ck;dj fjkqfjka ,nd .ekSug ;snQ wjia:dj fkdi<ld isáfha hhs cq,s udifhaoS New York Times mqj;am; jd¾;d lf<Ah' hqfrdamd ix.uh Pfizer and BioNTech tkak; ñ,shk 300la weKqjQï lr ;sfn;aoS wefußldj weKjqï lr ;snqfKA tkak;a ñ,shk 100la muKs' fuh ck;djf.ka m%;slafIAm jQ ckdêm;sjrhd wmjdofhka fíÍug .;a W;aidyhla f,io fu miqìu ;=< úfõplhka fmkajd fo;s' fï ish¿ ldrKd foi úuis,af,ka n,k úg u;la jkafka merKs lshuKls' zzwe;af;da l;s" fnd;s' ke;af;da W,d l;s'ZZ DM

February 2021

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Photo Story

noaO orefjda''' .d;%d y;rla w;a y;rla fjka fjkaju we;suq;a ;ks ysila" l|la iys;j Wm; ,nd we;s fï orejd ffjoH úoHdfõ Cephalothoracopagus twinning hkqfjka yªkajhs' m%;sikaêfhka miqj t<fUk i;s 13-15 w;r ld,fhaoS isÿjk l< fnoSu" wÕmiÕ ks¾udKh ùug fmr wjika ùfuka noaO orejka Conjoined Twins ìysfjhs' noaO orejka úúOdldrh' thska tla wdldrhla jk Cephalothoracopagus twinning noaO ore W;am;a;sh ñ,shk 1-3 w;r m%udKhla ore Wm;a j,ska tlla jYfhka we;s úh yels nj fï iïnkaO m¾fhaIlhka mji;s' noaO orejka idudkHfhka ore Wm;a 200"000lg tlla jYfhka isÿ fj;s' fï rEmfha oelafjk wdldrfha orejkag fud<fha we;sjk nrm;, wvqmdvqlï ksid cSj;aùu W.yg uq;a i;=áka cSjj;a jk noaO orejka f,dj fndfyda isà' we;eï orejka fjkalr iajdëk cSú; .; lsÍug wjia:djo ffjoHjreka úiska i,iajhs'

iaàjka fmd,d¾â f.a uq;%d.,a ie;alu ffjoH úoHdj fu;rï oshqKQ ful, wmg lrkakg isÿjk fndfyda ie;alï j,oS we;sjk fõokdj wmg fkdoefkk .dkh' tfy;a fï oshqKQj ,nd.kakg h;a; oerE uq,a jljdkqfõ ldßh t;rï iqkaor jQjla fkdfõ' uq;%d .,a we;s jQ úg tajd bj;a lsÍug ie;alula ñi wka úl,amhla fkdjq l< th 19 jk ishjfia isÿl< wdldrh fï wdf,aLH Ñ;%fhys oelafõ' ,sÕ=j yryd wekhla uq;%dYhg m%fõY lrk w;r ., l=vq lrkakg ñáhlao fhdod.;a neõ lshefõ''' iaàjka fmd,d¾â kue;s 53 yeúßos frda.sfhla fuu ie;alug Ndckh jQ wdldrh .ek úfoia uQ,dY% j, i|yka fjhs' iaàjka fmd,d¾âf.a wek-ñá ie;alu ie,iqï lf<A úkdä mylgh' kuq;a wjidkfha Tyqg iekiqula ,efnk úg úkdä 35la .;j ;snQ w;r ie;alï ld,h uq¿,af,au Tyq fõokjdfjka ú,dm ;enQ neõ i|yka fjhs' fï fõokdnß; ie;alu miqld,Skj ffjoHjrekaf.a fjfiia l;dnyg ,lajQ w;r th f;,s;=vlska oelaùug .;a W;aidyhla fuys oelafjhs'

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doctormagazine.lk

cSú; y;la Tn oEf;a'''' mmqfõ fmKy¿ j, fldgia fnfok úosy

a ;ksfhka .a,jqi úg k tl od

;j flfkla biairyoS ta .a,jqia tl odk úosy'''

äïnhl ;%sudKrEmS fiahdrejla' äïnh yd th yd ixfiapkh ùug W;aidy .kakd msßjrd.;a Y=l%dKQ j, m%udKh .ek woyila .kak

wms iQodkï''' fldúâ jix.;fhka ñfokakg wo jk úg we;s tlu wfmalaIdj tkak;' fï tkak; ,nd fokakg wjYH lrk isßkac m%udKh;a ì,shk .Kkla' UNICEF ixúOdkh fï 2020 j¾Ih wjidk ld¾;=fõoS isßkac ñ,shk 520la fï i|yd iQodkï lrkakg fmruqK .;a;d' fldúâ tkak; ,ndoSu i|yd fï j¾IfhaoS ^2021& ì,shkhla tkak;a

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February 2021

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No one is safe until everyone is safe fldaúâ tkak;" ÿmam;a wms iy COVAX ikaOdkfha udkqISh fufyjr

COVAX: ENSURING GLOBAL EQUITABLE ACCESS TO COVID-19 VACCINES fldaúâ tkak;" ÿmam;a wms iy COVAX ikaOdkfha udkqISh fufyjr f,dalfha yefudagu wdrlaIdj ,nd fokakg Wvq.x n,d lrk fufyhqu

ffjoH ,ysre fldä;=jlal= ffjoH úoHd mYapd;a Wmdê wdh;kh

94

February 2021

fï Èkj, fldhs ldf.;a f,dl=u wfmalaIdj jkafka fldúâ tkak;ska wdrlaIdj imhk tkak;la ,nd ;ukaf.a wdrlaIdj ;yjqre lr.ekSu' fldúâ''' cSú;h yd urKh w;r .kqfokqjla fj;aoS tys ;SrKd;aul lvbu igyka lrkafka tkak;a /ljrKhhs' cd;s" wd.ï" l==,f.d;a" we;s-ke;s fï ljr fNaohlska f;drj fldúâ frda.h iuia; f,dalhu .s, .ks;aoS ì,shk y; yudrla muK jk f,dal ck.ykhg tkak;a lsÍu lshkafk iq¿mgq ld¾hhla fkdfjhs' fuh ;uhs tod fuod;=r f,dalfha mq¿,au tkak;alrK jevigyk'

DOCTOR MAGAZINE

doctormagazine.lk

we;s ke;s fNaohlska f;drj yefudagu fldúâ tkak;ska wdrlaIdj ie,iSu fldjelaia myiqlfï uqLH mrud¾:hhs

cd;s" l=,f.d;a" we;s-ke;s''' fï lsisu fohla fldúâ 19 ffjrih udhsï lrkafka kE' thg foaY iSud jdrk kE''' lsisu rgla ;uka ú;rla fífrkak ys;kjd kï th uq,djla''' fï ñysmsg wm ish,a,u fï ffjrifhka wdrlaId jk ;=re fï lsisu flfklag wdrlaIdjla kE'''

doctormagazine.lk

fï tkak;alrK l%shdkaú;fha kï we;s-ke;s mr;rh .crdfug l%shd;aul fjkjd' zzwe;af;da" l;s fnd;s''' ke;af;a W,d l;s'''ZZ lshk uQ,O¾uh ;uhs fï iïnkaOfhka fï jk ;=re;a l%shd;aul fjkafka' we;s yels rgj,a ;ukag wjYH m%udKhg;a jeäfhka tkak;a weKjqï lr;aoS f,dj os,skaoka ;ukaf. jeäysáhkag j;a wjYH tkak;a ál fydhd .kak fmdgla mEfok ;=re wirKj n,df.k bkakjd' fï wjia:dfj ;u;a COVAX ikaOdkh lr<shg tkafk' fuu lghq;a;g mqfrda.dó j isákafka wka whg Wmldr lsÍfuka i;=gq jk odkm;shka lsysm fofkla' f,dal fi!LH ixúOdkh we;=¿j c.;a ixúOdk lsysmhl=;a Bg rel=,a fokjd' (COVAX ikaOdkfha md¾Yajlrejka" GAVI, The Vaccine Alliance, WHO and CEPI – UNICEF) iïm;a we;s rgj,a wjfYAI rgj,a wNsnjd tkak;a tla /ia lrkakg W;aiql jQj;a COVAX ikaOdkh ksid ÿmam;a ñksiqkago wfmalaIdfõ wreK¿ Wod fj,d ;sfhkjd lsõfjd;a ksjeroshs' ÿmam;a rgj, ck;djg iykhla i,ikak COVAX ikaOdkh fï jk úg Yla;su;a ia:djrhl isákjd' fldúâ tkak; ÿ.S ÿmam;=kag fokak oekgu;a fldjelaia my; ldrKd oshqKQ jk rgj, ck;dj fjkqfjka bgq lr fokakg mshjr f.k ;sfhkjd' February 2021

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No one is safe until everyone is safe fldaúâ tkak;" ÿmam;a wms iy COVAX ikaOdkfha udkqISh fufyjr

tkak;a m%udKhla fï jir wjidkh jk úg ksIAmdokh lsÍu

fï jir wjidkh jk úg isßkac m%udKhla m%iïmdokh lr ñ,oS .ekSu yd fnod yeÍu

rgj,a ixLHdjla wdjrKh lsÍu

fudkjdo fï COVAX ikaOdkfha wruqKQ@ ² fldúâ tkak;a ms<sn|j m¾fhaIK" ksIamdok l%shdj,sh i|yd myiqlï iemhSu ² tkak;a ñ, ;SrKh lsÍfï§ wvq wdodhï" my< iy by< ueo wdodhï rgj,g widOdrKhla fkdjk mßÈ th isÿ lsÍug ueÈy;a ùu ² idOdrK ^Fair&" fõ.j;a ^Rapid& iy iudkd;au;djfhka ^Equitible& tkak;a fn§hdu ;yjqre lsÍu ² tkak; f,dj mqrd fnod yeÍfï§ ish¿ rgj,g;a ish ck.khg wkqrEmj ysñúh hq;= tkak;a m%udKh iudkj fn§hdu ;yjqre lsÍu ² tu rgj, ck.ykfhka ishhg 20la wdjrkh jk mßÈ uq,a wÈhf¾§ tkak;a ,nd§ug myiqlï ie,iSu ² wvq wdodhï iys; rgj,g f,dal tkak;a fj<|fmdf<a§ widOdrKhla fkdjk f,ig fmr wekjqï bÈßm;a lsÍug wjia:dj i,id §u ² jir 2021 wjika jk úg tkak;a ud;%d ì,shk 21la f,dj mqrd wjodku jeä ck fldgia iy bÈßfm< fi!LH fiajlhka w;r fnod§ug myiqlï ie,iSu

fïl iyfhda.fhka" mrd¾:fhka ch.; hq;= wNsfhda.hla' u;l ;nd.kak' fï f,dalfha iEu mqoa.,fhalu wdrlaId jk ;=re f,dalfha lsisu flfkla wdrlaIdldÍ kE' tkak;a j, whs;sh jf.au ;ukaf. mx.=j N=la;s ú|sk fldhs ljqre;a oek.; hq;= i;H fuhhs' DM

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ufkdaÑls;aid Nskafkdkaudoh

Schizophrenia

Nskafkdkaudoh f.org fldgq lrf.k ye¥ iuka Nskafkdakaudohg ksis m%;sldr fkdlf<d;a th cSú; wfmalaIdj wvq lrkakg;a fya;= fjkjd

doctormagazine.lk

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

February 2021

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ufkdaÑls;aid Nskafkdkaudoh

wfma l;dkdhlhd iuka l=udr' Wiia wOHdmkh yudr ù /lshdjla n,dfmdfrd;a;=fjka isák jhi wjqreÿ 18l muK ;reK​fhls' iuka uE;l isg ;kshu l;d lrhs' úfgl" fifuka l;d lrk w;r ;j;a úfgl ;kshu uy yhsfhka l;d lrhs' úfgl iskdfik iuka ;j;a úgl w~hs' fï isÿjkafka l=ulao@ .d,a," Èlal=Uqr .fï wïud ;d;a;d iuÕ Ôj;ajk iukag ysá yeáfha we;sjQ wikSmh l=ulao@ udmsfhda l,amkd l<y' iukaf.a wïud .=rejßhls' ;d;a;d úÿy,am;sjrfhls' mq;dg we;sj we;s wikSmh l=ulao@ fïld u;a øjHhla j;a .kakjdo@ mshdg we;s jQfha ielfhls' iukaj uõmshka yeÿfõ zzwefya ;shdf.k'''ZZ hhs lSfjd;a tys jrola ke;' zzwefya ;shdf.k'''ZZ yeÿj;a uõmshkag jerÿKQ ;ekla ;sfhk fiah' f.org fydr ryfia iuka zz;Ku,aú, u,aZZj,g wdorh lf<ah' tajd Wrd îfõh' fld<" o¨"‍ u,a zzúfkdaohZZ .;af;ah' 98

February 2021

f;dú,a-mú,a Nskafkdakaudohg úiªï ,nd fohso@ fï NskafkdakaudofhaoS we;sjk fud<fha fjkialï oelafjk m%;sìïnhls' fud<fha w¿meye mod¾:fha mßudj jeäùu yd wvqùu mdol lr.;a Nskafkdakaudofha wdldr folla .ek ffjoH m¾fhaIlhka isÿ lrk m¾fhaIK'''' T!IO yd p¾hd;aul m%;sldr;a" ksfjfia jgdmsgdj fjkia ùu;a u.ska fï frda.Ska iqjm;a l< yel'

zzfldfydu kuq;a mq;d tlal weiqre lrk wh ms<sn|j wjOdkfhka bkak'''ZZ fï .ek ielhla we;s jQ l,ayS iukaf.a wïudg iukaf.a ;d;a;d mejiSh' Èk i;s udi .Kkdjla .sho iukaf.a ;kshu l;d lsÍu kï wvqjk fihla fkdùh' zzfld,a,g hflla jeys,d o okafka kE'''ZZ iukaf.a wïud ;d;a;dg lSjdh' zzoeka fldfyo mq;d,ehs wïfï hlal='''@ wksl ;reK fld,a,kag .yk hlal= biair ysáhg wo Wka kE'''fndre l;d''' ukia.d;'''ZZ W.;a mshd lSfõh' zzwms uy;a;hd''' mq;d buÿfõ idÿ .=rekakdkafia .djg wrf.k huq' ta foajd,fha lrk yeu fohlau yßhkjd lsh,d ;uhs w,a,mq f.or ,S,d wïud ug lsõfõ ZZ iukaf.a wïud lSjdh' zzyaï''' fyd|hs tfykï b;ska .syska n,uqzz .=re hqj, buÿj fofjd,g .sfha mq;= ;kshu fodvk hlaIhdf. ka ish tlu mq;= fírd .kakgh' .=refoaj lmq uy;d wxckï foaj;djd le|jd iuka ;kshu l;d lrk frda.h ms<sn|j wxckï foaúhf.ka úuiqfõh'

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foaj NdIdfjka l;d l< .=refoaj lmq uy;d''' zz fï orejg je<£ we;af;a hlaI fodaIhla' ta ksid fï wdldrhg l;d lrkafka ;kslï fodaIhla ksidZZ hehs .=re udmshkag lSfõh' i;a ojila .sh ;ek zzoywg md,shZZ iu.ska uy f;dú,hla kgd fi;a Ydka;s l¾uhla lsÍfuka miqj iukag wdreV ù we;s l;d lrk hlaI N+;hd t<jkag yelshdj we;s nj o .=refoaj lmq uy;d jeäÿrg;A lSh'

yskafkdkaudoh uÕska idudÔh .eg¨‍‍o we;s lrkjd' ;=reKQ úfha we;sjk ;;a;ajhla idudkHfhka frda. ,laIK fmkakqï lsÍu wdrïN jkafka ;reK úfhys§ jk w;r ishhg 0'3-0'7 la muK jQ msßila ;u Ôú; ld,h ;=<§ fujka ;;a;ajhlg uqyqK fo;s' tlS mqoa.,hdf.a yeisÍu iy w;aú| we;s w;aoelSï u; mokïj frda. úksYaph isÿ lrkakg yelshdj we;'

lS mßÈ uy f;dú,hla meje;aú‚' jeh jQ uqo, remsh,a ,laI tl yudrlg wêl úh' uqo,a úhoï jqjo ;u tlu mq;dg iqjùu ms<sn|j udmsfhda i;=gq jQy' kuq;a .; jQfha i;s lsysmhls' ;kshu l;d lrk iuka oeka fjkodg;a jvd ;kshu l;d lrkakg úh' fï wkqj" .=re udmsfhda isÿl< hq;af;a l=ulao@ hkak ys;d.; fkdyelsj n,d isáfhdah' .=re hqj<f.a f.da,fhl= jk ;si,a reyqKq úYajúoHd,fha bf.kqu ,nk isiqfjls' iukaf.ao ñ;=frl= jQ ;si,a yryd ufkda Ñls;ail" ffjoH mS tka úoHdl=,m;s uy;d fj; iukaj fhduq flß‚' ffjoHjrhd iukag m%;sldr lsÍug Ndr.;af;ah' m%;sldr lsÍfuka miqj iuka fkdfnda osklskau iqjh ,eîh' iuka ;kshu l;d lrk frda.h iukag je,÷fKa flfiao@ levqKQ ys;l ufkdarEmS ksfhdackh-yskafkdakaudoh ta iïnkaOfhka ufkda Ñls;ail ffjoH mS tka úoHdl=,m;s úia;r lf<ah' lhsh .iñka ;kshu l;d lsÍu" ;kshu yskd ùu" mqridrï foãu''' fuh udkisl frda.hl ,laIK' zzyskafkdakaudohZZ - udkisl wdndOhla jk w;r ukfia iajdNdúl l%shdj,sh ì| jeàfuka iy ÿ¾j, jQ Ñ;a;fõ. m%;spdrhkaf.ka th ta wdldrfhka fmkakqï lrkjd' ienEjg ke;s y~j,a wefikjd hehs is;Su" wms<sfj<g ilia jQ Ñka;kh" ySk jQ ufkdaNdjhka iy ySk wNsfma%rKh jeks udhdjka fuys iq,n ,laIK' doctormagazine.lk

cdk úoHdj;a" mj;sk jgdmsgdj;a" udkisl iy iudchSh l%shdj,s;a fuhg n,mdkakd jQ ie,lsh hq;= idOl fõ' úfkdaoh i|yd fyda fnfy;a jÜfgdarej,§ fyda Ndú;d lrkq ,nk iuyr u;aøjHh fuu wdndOh we;s lsÍug;a tys frda. ,laIK ;jÿrg;a jeä lsÍug;a fya;= ldrl fõ' m%;sldr ;sfhkjd''' tajdg fkdmudj fhduq úh hq;=hs Nskafkdakaudoh kï jQ udkisl frda.h" W.% udkisl frda. ldKavh hgf;a j¾. flf¾' fuh §¾>ld,Skj m%;sldr .; hq;= frda.hls' l,a;shd y÷kd .ekSu" ksis whqßka

February 2021

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ufkdaÑls;aid Nskafkdkaudoh

m%;sldr .ekSu ksid fndfyda frda.Syq iqjm;aj idudkH Ôú; .; lr;s' ia;%S-mqreI fomd¾yajfhau fï ;;a;ajh oelsh yel' Nskafkdakaudoh je,£ug n,mdk ksYaÑ; fya;=jla iaÓr jYfhkau ;SrKh ù ke;;a" mrïmrdfjka mrïmrdjg frda.h me;sr hdfï m%jK;djla we;'

mqoa.,hskaf.a idudkH Ôú; wfmalaIdj wdndOh fkdue;s mqoa.,hl=g jvd wjreÿ 12-15 lska muK wvqfõ' ldhsl .eg¨‍‍ jeä ùug;a" ish Èú kid .ekSï wkqmd;h by< hdug;a fuh fya;= ù we;'

fuu wdndOfha úúO ,laIK mj;S' Bg uqLH" m%;sIaGd m%;sldrh jkafka uQ,sl jYfhka fydafudak m%;s.%dyl l%shdj,sh j<lajk zzm%;s ufkda jHdêl T!IOZZ ñY%Khls' idudÔh mqkre;a:dmkho m%;sldrfha§ jeo.;a fõ' jvd nrm;< ;;a;ajhl§ ;udg;a" wka whg;a wjodkula úh yels ;;a;ajhl§ yÈis ufkda Ñls;aidjo wjYH jkq we;'

NskafkdakaudofhaoS frda.shd yeisfrk úosy fjk;a fndfyda frda. j,oS fuka" Nskafkdakaudofha frda. ,laIKo l%u l%ufhka fmkakqï lrhs' we;eï úg tlajru jqjo fmkakqï lrkq we;' fndfydaúg fuys§ fmkajkqfha wêl flaka;sh" lEu wreÑh" ks;r ;ksj l;d lsÍu" ;ksj iskdiSu" kskao fkdhdu" ysiroh wka whg kEfik Yío weiSu" wka whg fkdfmfkk rEm fmkSu" wka whg kEfik ;ukag muKla wefik úOdkhkag wkqj lghq;= lsÍu wd§ frda. ,laIKhs'

fuu wdndOh m%Odk jYfhkau is;Sfï yelshdjg n,mdk nj mejiqKo" ;jÿrg;a th yeisÍfï iy Ndjhka iïnkaO ksoka.; frda. we;s lsÍugo fya;= fjhs' Woafõ. ldÍ njo fudjqkaf.ka oelsh yelsh' idudÔh .eg¨‍o fï ksid mek ke.sh yel' fulS .eg¨‍ fya;=fjka wdndOh iys; 100

February 2021

iukag je,£ ;snq​fKa hlaI fyda N+; frda.hla fkdfõ' th yqÿ udkisl frda.hls' uki frda.S jQ l, mshú f,dalfhka wE;a ù lghq;= lsÍu isÿfõ' fndfyda udkisl frda. w;ßka Nskafkdakaudoh hkq ;j;a iq,nj oelsh yels udkisl frda.hls' zzì÷Kq is;ZZ hkak bka w¾:j;a fõ'

fuysoS frda.shdg wikakg olskakg ,efnkafka" frda.shd weiSug wlue;s neŒï fukau úfõpkh lsÍï jeks lgy~j,ah' wiajdNdúl ielh" ñ:Hd úYajdihka fï yd ine|Sh' ;uka w;ska jrola isÿù ke;;a" ;uka msgqmi fmd,sisfhka fyda yuqodfjka T;a;= n,k nj" ;uka lk lEug ji oeóug flfkla ;e;a lrk nj" ;ukag úfYaI n,;," jrm%ido we;s nj" by< fmf<a m%N+ka yd ks,OdÍka y÷kk nj" Tjqka ;udf.a <Õu {d;Ska nj we;eï frda.Ska mji;s' ;ud f,dlafll= nj;a''' ;udg ´kEu mqoa.,hl= .re lrk" i<lk" okakd y÷kk ;;a;ajhla ;sfnk nj;a Tjqka lshhs' iuyr frda.Ska is;kafka iudcfha iEu fokdu mdfya ;ud foi n,k njls' ielh yd wúYajdih we;sj Tjqka ksrka;rfhka lghq;= lr;s'

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ksr;=reju udmshka úiska md,kh lrk ksid ;udg ksoyila ke;s njhs'

f,dj oskQ fndfyda fofklao fï wjdikdjka; frda.hg isrù isá nj Tn oek isáhdo@ f,dj wiydh nqoaêu;d fia ie<flk we,anÜ whskaiaghskaf.a fofjks mq;= tâj¾â ;u mshdf.a wfmalaIdjka lsisod lv fkdl< olaI mqf;l= jQ uq;a Nskafkdakaudoh ksid wjia:d lsysmhloSu frday,a.;j bkakgo isÿ úh'

iukaf.a frda.fha miqìu wm l;d kdhlhd" iukao jeä msßila weiqre lf<a ke;' fyf;u wksla ;reKhkag fuka lvjiï isrerla iukag fkdùh" wvqu ;rñka ;ud foi .eyekq <ufhla j;a n,kafka ke;sh hk u;fha isáfhah' ;ud ;reK .eyekq <uhska tlal l;d lrkafka fukak fufyuhs'' lshñka ;reK iuka ;kshu l;d lrkakg jQfha fï ksidh' fï ksidu iuka u;aøjH .kakgo fydr ryfia weíneys jQ nj .=re foudmshka oekf.k isáfha ke;' ffjoH mS tka l=,m;s uy;d lSfõ iudc weiqrla ke;sj ;ks mx.,fï isák ;reK orejka iïnkaOfhka udmshka jeä úuiSula oelaúh hq;= njhs' iukag f.oßka msgg hkakg wjir ,enqfKa l,d;=rlsks' .=re udmshka ys;=fõ tfyu iudc weiqr mj;ajdf.k .shfyd;a iuka mq;= úkdY jk nj;a udmshka fuka wdKavqfõ riaidjla lrñka l,a f.jkakg iukag fkdyels fõh hkakh' fuys§ iuka ys;=fõ ;ud doctormagazine.lk

ish¨‍‍ Nskafkdakaudo frda.Ska tlu wdldrhl yeisÍï rgdjla fmkakqï lrkafka ke;' th úúO wdldrhla m%lg fjhs' iuyr Nskafkdakaudo frda.Ska l,n,ldÍ yeisÍï rgdjla fmkakqï l<o" ;j;a iuyreka tfia fkdfj;s' fndfydaúg fudjqyq wkHhkaf.ka wE;aù yqfol,dj lghq;= lsÍug ;e;a lr;s' tksidu fï frda.Ska ;u ffoksl Ôú;h ì| jeàug fya;= fõ' fndfyda udkisl frda.Ska fukau" yskafkdakaudo frda.Syqo ;uka ms<sn|j t;rï ie,ls,a,la fkdolaj;s' frda.shdg wod< m%;sldr l%uh ks¾Kh lrkq ,nkafka frda.shdf.a frda. ,laIK" frda. b;sydih i,ld ne,Sfuka wkq;=rejhs' frda.Skag m%;sldr lrkq ,nk l%u /ils' fm;s$lr,a fyda kslafIamK Wmfhda.S lr .ksñka isÿlrk iq,n T!IO m%;sldrh" úoahq;a lïmk m%;sldrho fuys,d jeo.;afõ' fï frda.hg m%;sldr ,nd .ekSfï§ frda.Skag we;eï w;=re wdndO we;súh yelsh'

February 2021

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ufkdaÑls;aid Nskafkdkaudoh

wêl msmdih" f;d, lg úh<S hdu" ksÈnr .;sho fndfydaúg fujeks w;=re wdndO ,laIK fõ' ksis m%;sldr iy i;aldrh u.ska frda.fha W.% nj wju l< yelsh' tfiau frda.h h<s h<s;a W.%ùu ksid frda.shd kej; kej; frday,a.; lsÍu je<elaúh yelsh' tfiau fuhska frda.fha ksoka.; iajNdjh fndfyda ÿrg md,kh jk neúka m%;sldr j, id¾:l Ndjh Wmßu jYfhka ,nd .ekSug frda.shdg yels fõ' wdorh" u.fmkaùu fukau fldka fkdlsÍuo jeo.;a tf,iu frda.shd /ln,d .kakd wh" frda.shdf.a udkisl fi!LHh fukau" ldhsl fi!LHh .eko fjfiiska Wkkaÿ úh hq;=h' frda.shdf.a wdrlaIdj ms<sn| wjOdkh fhduq lsÍu b;d jeo.;ah' fmdaIKh iy mqoa.,sl msßisÿlu" frda.shdf.a fmdaIKh .eko ksis wjOdkhla fhduq l< hq;=j we;' ksis m%;sldr lsÍfuka miqj" ;u ffoksl jev lghq;= ;udgu lr.ekSfï yelshdj we;' frda.Skag ;ukaf.a fmdaIKh w;sYhska jeo.;a fõ'

102

February 2021

ÿïmdkh" u;ameka iy u;aøjH Ndú;h frda.shdf.a fi!LHhg b;d wys;lr jk neúka tjeks mqreÿ w;ay< hq;=h' Nskafkdakaudoh we;sùug we;eï úg úfYaI fya;=jla ke;' fya;= lsysmhla tlaùfuka frda.h u;= lrk wjia:do ;sìh yel' iakdhq moaO;sfha ridhksl fjkialï we;sùu ksido" ldhsl frda.''' ore m%iQ;shlska miqj fukau yÈis wk;=rla ùuo frda. ,laIK m%lg ùug fya;=jla úh yel' u;ameka yd u;aøjH" udkisl wiykh" úNd. wiu;aùu" /lshd fkd,eîu" fma%u in|;d .s,sySu" jeks is;g fõokd f.kfok wjia:d t<eöu ksido Nskafkdakaudoh we;súh yel' fï frda.Skaf.ka ;=fkka tlla muK iïmQ¾K iqjh ,n;s' m%;sldr mudùu yd ;Èka frda.h we;s úg iïmQ¾K iqjhla we;s fkdjkakgo mq¿jk' frda. ,laIK ke;s jQ miqo" È.gu fnfy;a .ekSu wjYH fõ' fuu frda.Ska wd.ñl jevigyka" ix.S;" úfkdao l%Svd" pdßld fukau Tjqka m%sh lrk úfkdaodxY flfrys fhduq lrùu jvd;a iqÿiqh' frda.Skag wdorh" wkqlïmdj fukau bjid isàu ,eìh hq;=h' m%;sldr" iudcfhka-mjqf,ka fldka fkdlsÍu fukau Tjqkago lsishï jákdlula §u jeäysáhkaf.a hq;=luhs' iuka oeka ;kshu l;d lrkafka ke;' mqoa.,sl wdh;khl /lshdjla ,o iuka oeka úfkdaoldój osú f.jk hi b,kaodßfhls' riaidjg hk iuka i;s wka;fha ldh j¾Ok uOHia:dkhlg hhs' iukag oeka iuk,shla fuka ,iaik wdorjka;shlao isà' fuys oelafjk kï .ï muKla ukxl,ams;h'

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ia;+;sh: ynrdÿj ksu,a w,af.j;a;

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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

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Homeopathy mSkia iqjhg fydañfhdam;s

fiï mski | .,a mSki | f,a mSki | <ud mski | <h mski

mSkia iqjhg fydañfhdam;s mski frda.h lshkafka l=ulao@ wd.ka;=l hula isrerg we;=¿ jQ úg thg úreoaOj igka lsÍug wfma isref¾u ksmofjk m%;sfoay mqreÿfj,d ;sfhkjd' wfma YÍrfha Yajdikd, moaO;sfha by< fldgfia m%odyl ;;a;ajhka we;s lsÍug wd.ka;=l øjH .kakd W;aidyfhaoS;a Bg tosßj m%;sfoay l%shd;aul fjkjd' mSki lshkafka wdid;añl;djhla' kdih yd Bg iïnkaO fldgia fukau fldaGrl fuysoS bosfukjd' ta wdY%s;j >%djhka .,kjd'

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foaYSh fjolu m%j¾Ok" .%dóh yd wdhq¾fõo frday,a ixj¾Ok yd m%cd fi!LH rdcH wud;HdxYfha foysj, rcfha fydañfhdam;s ld¾hNdr ffjoH ks,Odßks" fydañfhdam;s ffjoH wkqId fyaul=udr úisks

mskih we;sùug n,mj;ajk fya;= m%;sYla;slrK moaO;sh ÿ¾j, lrk fya;= fndfyduhla mßirfha mj;skjd' February 2021

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Homeopathy mSkia iqjhg fydañfhdam;s

² ÿú,s m%Odk;u idOlhla" jd;fwha úúO ÿú,s wxY= mj;skjd" ÿú,s j, isák l=vd uelalka" ÿú,s lsvEjkaf.a wmøjH mSkig fya;= fjkjd' ² u,a mrd. ² i;a;aj f,dau n,a,ka" mqika jeks i;=kaf.a isreßka msgjk uhsgdjka mßirhg tl;= ùfuka tajd wd>%dKh lsÍfuka mski jeä fjkjd' ² ul=¿ oe,a leãfï§ uqL yd kdihg wdjrKhla oud isÿ lsÍu hym;a' ke;fyd;a mski jeä ùug fya;= fjkjd' ² rd;%S ld,fha§ t<suyfka .ejiSu ² mskakg wiqùu ² jeis iys; Èkj, t<suyfka isàu jeiaig f;ñfukao mski je<f|a' thg fya;=j jkafka mßirfha we;s wêl c, ix;Dma;;dj fyda w¾ø;djh" fiï" ms; fldam lrkakd jQ frda.ldrlhla neúka jd;fha c,jdIam jeäùu mski jeä lrkjd' ² we;eï wdydr WIaK wdydr ^biafida" oe,af,da" n, ud¿&"

104

February 2021

m,;=re" îu" ;lald,s" wkakdis" wÉpdre" j¾. lsß" ì;a;r" wêl isks wdÈh mSkia frda. ;;aj we;s lrkjd' rd;%Shg is;, wdydr .ekSu' ^Wod' uqojmq lsß" whsial%Sï& ² YÍrfha wdf,am lrk l%Sï" iqj| ú,jqka ² we;eï rE iq/l=ï øjH fldKavh j¾K lsÍug Ndú;d lrk vhs j¾." fldKavh ú,dis;d lsÍug fhdod .kakd øjH wdid;añl ù mSkia ;;a;aj we;slrk frda. ldrl' ² jdhqiólrK jdhqiólrKh l< ldur j, fndfyda fj,d /|S isàfuka" ² rd;%shg ksÈ ueÍu ² Èjd ld,fha kskao mSkia ljr wdldro@ mSkfiys m%fNao kdih msvdjg m;a lrk" §¾> ld,hla mj;sk frda. ;;a;aj .Kkdjla mSki hgf;a j¾. lrkak mq¿jka' ² fiï mski ² .,a mSki ² f,a mSki ² <udmski ² <h mski fiï mski wo nyq, jYfhka olakg ,efnk mSki jkafka fiï mskihs' fiï mSki we;s úg tÈfkod jev lghq;= lrf.k hdu wiSrehs' fiï mSki frda. ,laIK ² mSkia frda.sfhl=g Wfoa ld,h krlu ld,hla fjkjd' WoEik wjos jQ ú.iskau lsúiqï hkjd" ke.sg,d fmd<fõ mh .ymq ie‚ka lsúiqï hk wh;a bkakjd' fojkshg lshmq frda. ,laIKh f.dvla whg ;sfhkjd' ² Wfoa mdkaor j;=r w,a,k fldg mSki u;= ùu' ² ndysr mßirhg fhduq fj;a§ isis,a" f;; jd;h wdYajdi l< iekska lsúiqï hdu mgka .kakjd' ² kdifhka j;=r jeks Èhrhla .e,Su' fuh" wj¾Kh" Èh mski" fiï mSki ;sfhkjd'

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fldaGrl wjysr;d bj;a lrk id¾:l m%;sldr

fldaGrl wjysr ùfuka we;sjk mSvkh ksid fldaGrl m%odyh fkdfyd;a .,a mSki we;s fjhs

mSkig m%;sldr lsÍfuka fuu fldaGrl msßisÿ fjhs

kdisl oajdr wjysrh bj;a ù kej;;a ks¾ndOlj >%dj .,kakg udj; ie,fihs

² kdifha wjysr .;shla we;sùu" yqiau .ekSug wmyiq ùu' ² ysfia nr .;sh' ² weia leiSu" weia r;=ùu" lÿ¿ .e,Su' ² ysiflia jeàu" wl,g ysiflia meiSu" le,aishï mod¾:fha W!K;djh ksid;a isrerg wjYH fmdaIKh fkd,eî hdu' ² l=vd orejkaf.a OdrK Yla;sh wvqùu' fudk ;rï mdvï l<;a u;l isákafka keye' fuh mSkifha iDcq frda. ,laIKhla fkdjqK;a mski iu. ld,hla

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.; lsÍfï§ uqyqK fokakg isÿ jk ;;a;ajhla' ² lka leiSu' ² uqLfha ÿ.|" úÿreuia j,ska f,a .e,Su" o;auq,a Èhùu" o;auq,a meiSu" o;a ye,Su' ² ysiafidß yg .ekSu' ² weia jgd l¿ ùu' ² fn,a, jgd l¿ ùu' ² fiu" ifï fu,kska m%udKh fjkia lrkakg n,mEï we;s lrkjd' ² ;j;a iuyrekag láka yqiau .kak isÿ fjkjd' ta ;;a;ajh ksid wdydr .kakd úg§ ks;r ks;r msg W.=f¾ hdu isÿfjkak mq¿jka' .,a mSki ^fldaGrl m%odyh& l,a.sh mSkia frda.Skaf.a fndfyda úg kdih wjysr fõ' thg fya;=j jkafka Tjqkaf.a kdia l=yrh ;=< uiao¿ jeãuhs' fï uia o¿ nqnq,dldr rEmldrhla .kS' l,a.; jQ .,a mski fyj;a fldaGrl m%odyh kñka yeÈkafõ' jdhq l=yr j, we;s isúh bÈuqulg m;aù fiu fyda ierj fï l=yr ;=,g tl;= fõ' fiï mSkia frda.Ska fï ;;a;ajhg blauKska f.dÿre ùug mq¿jka' tÈfkod wmg je<f|k fiïm%;sYHdj meiùfuka .,a mSki je<§ug yelshdj we;' kdifha ueo ì;a;sh weo ùuo .,a mskihg fya;= fjhs' mSki frda.h W;aikak jQ úg olakg ,efnk ,laIK ² uqyqK yd ysfia we;s jk nr .;sh ² ly mdg fydgq Èhr .e,Su ² kdih ;Èka wjysr ùu ² WK .;sh ² YÍrfha wm%d‚l ;;a;ajh ² ysiroh ² uqyqfKa bÈóu" ;äiais ùu ² lgy`v fjkia ùu ² kdifhka .|la msgùu ² ysig by,ska ;sfnk fohla foi ne,Sug fkdyels ùu ² uqyqfKa bÈß fldgi ;=, .,aleg fmrf,kakd fia oekSu fujeks whf.a k<,g ;Ügq lsÍfï§ .,lg ;Ügq lrkakd fia oekSu' <h mski Yajdikd, moaO;sfha my< fldgfia we;sjk m%odyh ;;a;ajhls' Wl= njg m;ajQ fiï fldgia Yajdikd,fha isrù jd;hg .uka lsÍug fkdyels ùu fuhg fya;=hs' weÿu mskihg ksis m%;sldr fkd,eîfuka ishhg 80 muK fokdg <h mSki we;súh yelshs'

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Homeopathy mSkia iqjhg fydañfhdam;s

fiïm%;sYHdjhs mskihhs w;r we;s fjki flfkl=g Wfoa mdkaor lsúiqï hkafka ke;s fjkak mq¿jka' kuq;a thdg fydgq Èhr .e,Su isÿ fjkjd' iuyre ys;kjd tl fiïm%;sYHdj lsh,d' tl iïmq¾K jerÈ jgyd.ekSula' fiïm%;sYHdj ksid we;euqkag >kg fydgq msg fjkjd" leiai we;s fjkjd' weÕ ßÿu" WK .;sh we;s fjkjd' ta;a fuh Èk lsysmhlska iqj fjkjd' Èk 4-5lska" jeäu jqfKd;a i;shlska' Èk 2-3 lg miq' ta;a mSki frda. fhaoS olakg ,efnkafka óg imqrd fjkia fmrlS wdldrfha frda. ,laIKhs' mski j<lajd .; yels mshjr ² ksok ldurfha úÿ,s mxldj msßisÿj ;nd .ekSu' ² Èkm;d fldÜg Wrh" we| we;sß,s msßisÿ lr ;nd .ekSu' ² ksok fldÜgh i;shlg fojrla wõfõ fj,d ;nd .ekSu' ² Ys; l< wdydr j¾. .ekSfuka je,lSu'

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mSkig fydañfhdam;s m%;sldr fydañfhdam;s m%;sldrh frda.hg fkdj frda.shdghs' frda.shdf.a ysfia isg fom;=, olajd Tyqf.a YÍrfha l=uk fyda wjhjhl fjkia ùula u; oefkk" fmfkk frda.S ,laIKh fydañfhdam;s m%;sldr j, iqúfYaIS jkjd' fuysÈ iajdikd, moaO;sfha"fmky¿ wdY%s;j we;sjk frda. ,laIK m%Odk fjkjd' fydañfhdam;s m%;sldr l%ufha uq,O¾uh zziudk fohska iudk foa iqjm;a ùuhs˜ tkï frda.hg iudk m%;sldr j,ska frda.h iqj lsÍuhs' ´kEu YÍrhl frda.S wjia:djl fmkajk frda. ,laIKhg iudk ksjerÈ T!IOh §u ;=< tys l%shdldß;ajh ;=<ska frda. ,laIKh ke;sj hkafka ÿ¾j, jQ m%;sYla;sh f.dv kexùfuka frda. uq,h h:d ;;ajhg m;a úfuks' fï whqßka m%;sldr ie,iSfuka mskfiys ish¨ frda. ,laIK ke;sj hkjd' fï i|yd Tng ffjoHjrhd úiska kshu lrkq ,nk T!IO" kshñ; fõ,djkays§ ud;%d u.ska ,nd .ekSu ;=<ska frda.h iqjjkjd we;' fydañfhdam;s ffjoH l%uh iqúfYaIS jkafka frda.skaf.a iqjh wjika m%;sM,h ùuhs' w;=re wdndO fkdue;s ùuo" T!IO ;s;a; fkdue;s ùu" mdúÉÑh myiq ùuo orejdf.a mgka uy,a,d olajdo" .¾N‚ uõjrekago b;du iqjodhs mq¾K ksfrda.s Èú fmj;lg fuu ffjoH l%uh Tnj wkq.; lrkq we;' fï whqßka mSki frda.Skag fokakdjQ fydañfhdam;s T!IO j, l%shdldß;ajh frda. uq,h h:d;;ajhg m;a ùu ;=, frda. ,laIK myj hdula jkjd'tkï mskih iïmq¾K iqjh ,eîu ñka isÿjkjd' fï ioyd fydañfhdam;s ffjoHjrhd kshu lrk whqreka ksis ud;%dfjka ksis ld,h ;=, T!IO Ndú;fhka iy fydañfhdam;s ffjoH l%uh ms<sno ksis wjfndaOhlska yd úYajdihlska hq;=j T!IO Ndú;fhka mski frda.h blaukska yd iïmq¾Kfhka iqjlr .; yel' DM

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foaYSh fjolu m%j¾Ok" .%dóh yd wdhq¾fõo frday,a ixj¾Ok yd m%cd fi!LH rdcH wud;HdxYfha 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

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weÕ ksjk" iú jvk oshn;a wï, ms;a;h fkdfyd;a .eiag%hsáia j,g osj Tiqjla'''

weÕ ksjk" iú jvk oshn;a

w;f¾ m%p,s;j meje;S zzoshn;aZZ nqoSfï isß; .ek lreKq lshd oSug fï ,smsh fjka lruq'

wï, ms;a;h fkdfyd;a .eiag%hsáia j,g osj Tiqjla''' wdhq¾fõo ffjoH cSjka; we,af,fmd, mg wfma uq;=ka ñ;a;kaf.ka Wreu jQ fndfyda jákd oE j, lsisÿ w.hla ke;' tys m%;sM<hla jYfhka wo wmg tod Tjqkag fkd;snqKQ zzw¿;a m%YakZZ /ila ks¾udKh ù ;sfí' fujka wNsfhda.d;aul ld, jljdkqjl zzWoEik yS,ZZ fkdfyd;a zzmd;rihZZ kej;;a w;S; iïm%odh wkqhñka .ekSfï jeo.;alu .ek;a thska we;sjk hym;a m%;sM< .ek;a lreKQ olajñka me/kakka

w

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wï, ms;a;h" Èhjeähdj" fïo mßjD;a;sh wl%uj;a ùfuka iEfok ia:q,;djh yd yoj;a frda. jeks fndfyda fnda fkdjk frda. ioyd WoEik wdydr fõ, u. yeÍu fya;= fõ' w¿f;ka hula ilia lr msßkukjd fjkqjg rd;%S wdydrfhka miqj fYaI jk n;a álg j;=r oud fmdälr" thg wuqñßia" r;=ÆKQ" fmd,alsß yd foys weUq,a álla tl;= lr wdydrhg .kakd

February 2021

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weÕ ksjk" iú jvk oshn;a wï, ms;a;h fkdfyd;a .eiag%hsáia j,g osj Tiqjla'''

zzoshn;ZZ fl;rï m%KS; wdydrhlao@ fl;rï .=Kj;a wdydrhlao@ oshn; .=K th YÍr Yla;sh jeä lsÍug" cS¾Kl moaO;shg wjYH ys;lr nelaàßhd j¾. YÍrhg ,nd.ekSug" rd;%sh mqrd YÍr wNHka;rfha jeäù ;snQ WIaK;ajh iukh lsÍug fya;= fjhs' fuys we;s ;ka;=uh mod¾: fkdfyd;a flÈ iys; nj ksid u<noaO;djfhka ñfokakg /l=,la ,efnhs' wêreêr mSvkh iukh lrhs' YÍrh m%fndaOu;a lrhs' fuhska weÕ ksfjk nj me/kakka lSfõ kslug fkdfõ' isref¾ wêl oeú,a, we;s úg" wêlj oyäh msgjk úg" uqLfha WIaK ìì,s we;s úg" wêl WIaK;ajh ksid f;d,a mef,k úg Ndú;d l< yels wk.s Tiqjls' Èhn;a ilid .kafka fufyuhs wjYH øjH ² /hla j;=f¾ fmdÕjd .;a n;a ² kejqï fmd,a lsß ² isyskaj lmd.;a r;=ÆKq iaj,amhla ² úh,s ñßia lr,a lSmhla ² iqÿÆKq ìla 01la muK ² foys hqI fyda ishU,d ² ¨‍Kq yd .ïñßia wjYH muKg ² isyskaj l=vq lr.;a Wïn,lv ^wjYH kï muKla& ilid .kakd wdldrh ² rd;%sfha§ b;sß jk n;a jefyk f;la c,h oud WoEik jk f;la ldur WIaK;ajfha jid ;nkak' ^rd;%sfha§ b;sß jk n;a j,g WoEik ld,fha§ zzyS,a n;aZZ f,i me/‚ .eñhd y÷kajk ,È& ² WoEik c,fha fmÕ=‍k n;a ñßld c,h bj;a lrkak' fuu c,h b;d fmdaIKfhka by< mdkhls' tu ksid th mdkh lsÍfuka hym;lau isÿfõ' ² miqj fmrd.;a n;a uekúka fmdä lr .kak' ^kEô,shla yd fmd,algq yekaola u.ska fuh .eñhd wmQrejg isÿlrhs'&

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² thg kejqï fmd,alsß" isyskaj lmd.;a ÆKq" ;,d.;a iqÿ¨KQ yd úh,s ñßia lr,a .skafkka mq¨‍iaid len,s lr tla lrkak' ² Tng wjYH rihg ¨‍Kq yd .ïñßia tla lrkak' ^wêl f,i wï,ms;a; frda.fhka fmf<a kï fhdok .ïñßia m%udKh wvq lrkak& ² thg foys fyda ishU,d tla lr fyd¢ka ñY% lrkak' ^wjYH kï muKla ri yd fmdaIKh jeälsÍu i|yd isyskaj l=vqlr.;a Wïn,lv tla l< yel'& ² ilid .kakd ,o Èh n;a ls;=,a yl=re iuÕ m%KS;j wdydrhg .; yel' Èhn;a j, fmdaIŒh .=K wm wjg mßirfha Ôj;a jk ys;lr laIqøÔùka jk hSiaÜ n;a u; l%shdldÍ ù n;a j, meiSula isÿ lrkjd' ^ms¿kq ùu hkq fuh fkdkj;ajd È.ska È.gu isÿù we;sjk wjia:djls'& fuu laIqøÔùka ksid we;sjk ridhksl m%;sl%shdj, m%;sM,hla f,i thska ksmofjk ,elaála wï,h

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ks¾udxY mqoa.,hkag tfia fkd,efnk fuu laIQø fmdaIl ,nd .ekSug fuh b;d m%fhdackj;a wdydrhls'

oshn;a flfkl=g WoEik .; yels fyd|u wdydrhhs' fl;rï ri uijqf,ka msß wdydr oji uq¿,af,a ,enqK;a fmdaIKfhka msß" lsisÿ wj.=Khla fkdue;s oshnf;ka oji wdrïN lf<d;a th ojfia fyd|u wdydr fõ, jkjdgo ielhla ke;' u.ska n;a j, wvx.= kuq;a wjfYdaIKh l< fkdyels fndfyda L‚c j¾. ^fmdgEishï" hlv" le,aishï'''& wjfYdaIKh oyia .=Khlska jeä lrkjd' w¿f;ka msiQ n;a fldamamhl wvx.= hlv m%udKh 3'4 mg jk w;r" meh 12 la ;nk ,o yS,a nf;ys fuu hlv m%udKh 74 mg muK olajd jeä fjhs' fuu la‌Iqø Ôù l%shdldß;ajh ksid úgñka B iy úgñka C j, idkaøKh by< hkjd' f,i úgñka B12 o b;d by< m%udKhla tys .eí fjhs' ^uia j¾." úgñka B12 ,efnk m%Odk wdydrhls' tu ksid

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tfukau fuhska ksmofjk ,elaála wï,h u.ska ÔrKfha§ wjfYdaIKh wmyiq jk hlv" le,aishï" fmdgEishï jeks Lksc j¾. wjfYdaIKh myiq lrhs' óg fmr i|yka l<d;a fuka Èhn;a meiSï l%shdj,shlg ,laj we;s ksid ÔrKh yd isref¾ wjfYdaIKh myiq lrhs' Èh n;a iE§u i|yd idudkHfhka fhdod. kafka n;a uqÜáfha hgu b;sßjk zzoxl=vZZ hkqfjka ye|skafjk fldgihs' fuys laIdÍh nj jeä neúka wï, ms;a; frda.h i|yd b;d WÑ; fõ' oshn;a flfkl=g WoEik .; yels fyd|u wdydrhhs' fl;rï ri uijqf,ka msß wdydr oji uq¿,af,a ,enqK;a fmdaIKfhka msß" lsisÿ wj.=Khla fkdue;s oshnf;ka oji wdrïN lf<d;a th ojfia fyd|u wdydr fõ, jkjdgo ielhla ke;' DM

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109

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A Glimpse of Ayurveda fjkaáf,agrh" uhskyu yd kjH ffjoH ;dlaIKh

A glimpse of Ayurveda The forgotten history and principles of ayurveda medicine

fjkaáf,agrh" uhskyu yd kjH ffjoH ;dlaIKh úÿyqre kùk ffjoH fuj<ï wef,dam;s ffjoH l%ufha nQo, wdhq¾fõo ffjoH l¾uh Ndú;d lrk ffjoHjreka frda.S mÍlaIdj yd m%;sldr i|yd kùk ;dlaIKh fhdod.ekSu we;eï úg wef,dam;sl ffjoHjrekaf.a ks¾oh úfõpkhg ,la fjhs' kùk ;dlaIKh hkq wef,dam;sl ffjoH l%uhg muKla wh;a fuj<ulao@ th jir oyia .Kkl mßKdóh Wreuhla iys; foaYSh ffjoH úoHdjg wlemo@ fï ta iïnkaOfhka úuiquls' miq.sh Èk j, u;=j wd l;d nyla jkafka fldúâ f,âvqkag wdhq¾fõo m%;sldr lrk úg fjkaáf,ag¾ mdúÉÑ lrkafka fldfyduo@ hkakhs' fïl yßu ,dul l;djla' ngysr ffjoH úoHdfõ fndfyda ùr úl%udkaú; fufyhqï /¢, ;shkafk Th lshk

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ffjoH veksiag¾ t,a' fmf¾rd

;dlaI‚l WmlrK yd fuj,ï ksidfka' oeka fïjd ìysfjkafka ffjoH úoHdfjka fkdfjhs' tajd whs;s ffjoH fkdjk ;dlaI‚l úoHdjkag' ta ál whska lf<d;a ffjoH úoHdj wka; wirKhs' ta yskao fï ;dlaIKh l=uk fyda ffjoH l%uhlg frda.Skaf.a Ôú; wdrlaId lrkak fhdod .kak mq¿jka' wjYH jkafka mqyqKqj yd udkj iïm;a muKhs' ;dlaIKh lshkafka ld,h;a tlal ixj¾Okh jk foaj,a' w¿;a ;dlaIKh tkfldg mrK tajd bj;a fjkjd' w¿;a WmlrK yefok fldg mrK tajd whska lrkjd' ta yskao lsisu fj,djl dlaIKh iïnkaOfhka ;yxÑ odkak neye" fï ÈhqKq f,dalfha'

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ngysr ffjoH úoHdj ;ukag iskaklalr ,shd.;a;= iuyr foaj,a j, uq,a wdlD;s tkafka wdhq¾fõofhka' ma,diaála ie;alï j, uq,drïNh i|yka fjk iqY%e; ixys;dj y÷kajd ÿka Y,H WmlrK 121 la kQ;k ;dlaIKh u.ska ÈhqKq fldg m%fhdackhg .kakjd' ta;a wdhq¾fõo ffjoHjrfhla tlaiaf¾ tlla n,k fldg" BiSÔ tlla lshjk fldg" fia,hska tlla fok fldg iuyrekag f.da;%sl yeÕSï l=ms; fjkjd' wfma iuyre ys;df.k bkafka wdhq¾fõo ffjoHjrhd kslï lIdh ,shk" .=,s-l,alwßIag fok" h,a mek.sh l%uhg f,âvq n,k Yaf,dal mdvï lr,d úNd. mdia fjÉp flfkla lsh,' wo fodia;r,d mmqj n,k Stethoscope tlhs miai n,k Protoscope tlhs folu óg Y;j¾I .Kklg l,ska wfma ;snqKq ;dlaIKh' isrer we;=< n,kak Th fudk scopy l%u wdj;a tajd wfma kdä hka;% ;uhs' ngysr ffjoH l%uhg wh;a lsh, ys;k Forceps, Dilators, Speculums, Needles, Lancets, Speculum wd§ ish¨‍ foaj,a wdhq¾fõo .%ka: j, ;sfhk Y,H WmlrK j,g whs;shs' wdhq¾fõofha úia;r lrk zzY,HZZ bj;a lrkak úúO hka;% j¾. ;sfnkjd' Y,H lshkafka YÍrfhka bj;a l< hq;= foaj,a' frda.shdf.a isrefrka neyer l< hq;= ierj" øj" fiu wdÈh bj;a lrk WmlrK .ek wdhq¾fõofha lshfjkjd' t;fldg fmky¿ j,ska fiu bj;a lrk Suction machine Tlafldu jefgkafka pQIl hka;% .Khg' ta jf.au Tracheostomy suctioning l<;a tal;a wreuhla

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A Glimpse of Ayurveda fjkaáf,agrh" uhskyu yd kjH ffjoH ;dlaIKh

Wmldr ,nd .kak tl wdhq¾fõo uq,O¾u j,g mgyekshs lsh, lsõfjd;a zzf.dkaZZ ;¾lhla' wdhq¾fõofha úia;r lrk zzY,HZZ bj;a lrkak úúO hka;% j¾. ;sfnkjd' Y,H lshkafka YÍrfhka bj;a l< hq;= foaj,a' frda.shdf.a isrefrka neyer l< hq;= ierj" øj" fiu wdÈh bj;a lrk WmlrK .ek wdhq¾fõofha lshfjkjd'

hdka;%slj jd;h iemhSfï uQ,O¾uh YajikdOdrl hka;%hl wruqK' wfma me/kakka Ndú;d l< zzuhskyuZZ tfyu n,k úg fuys uQ,dlD;shla' YajikdOdrl (Ventilator) lshkafka lshkafka wdhq¾fõoh wkqj ud¾. Y=oaê yd mQrK hka;% ld¾h fofla tl;=jla'

fkfjhs cf,daorhg Laparotomy lrmq wmsg' nqoaOodi rc;=ud Open brain surgery lrmq yeá uydjxYh lsfhdamq wh okakd ksid wdhq¾fõo ffjoHjre Cephalotomy lrkak mqreÿ jqKdg jrola lshkak neye' wdhq¾fõo uq,O¾u ixl,am u; mokï fj,d yomq WmlrK fyda fuj,ï ta úÈhgu ;sfhkak ´fka keye' tajd kj ;dlaIKh tlal tl;=fj,d l%shdj ÈhqKq lr,d kj uqyqKqjrlska tkak mq¿jka' fï Ventilator l;dj tkafka fï jf.a ,dul ;¾l f.dvla tlal meg,s,d' Ventilator tllg fkd.syska fiu ál whska lr.kak fnfy;a wdhq¾fõofha ;sfhkjd' tfy;a tfyu hkak Wfkd;a tal;a jrola fkdfõ' frda.shdf.a fmky¿ l%shdj fkdì£ mj;ajd .kak wmsg hï wkqldrl hka;%hl

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Ventilator tlla lshkafka wdhq¾fõoh wkqj ud¾. Y=oaê yd mQrK hka;% ld¾h fofla tl;=jla' uhskyu lshkafka fï Ventilator tlal uQ,dlD;shla' tu.ska lrkafk;a hdka;%slj jd;h iemhSula ^Mechanical ventilation&' ^riafka ojia j,g ll=,a fol Wv ;shdf.k irfuka mjka .eyqjdu fjkafk;a taluhs'& t;fldg oeka fï uhskyu Modify lr,d Sopisticated úÈhg äðg,a óg¾ yhs lr,d yokjd' Positive end-expiratory pressure (PEEP) tl .dkg ;shd.

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kakjd' jefâ ld¾hlaIuhs' ´fka kï fiu ál whska lrk tlhs" yq<x .yk tlhs folu tlg lrkak;a mq¿jka' fïjg lshkafka life-sustaining treatment lsh,' mK .eg .y, ;shd.kafka fïflka' wmsg W.kak, ;sfhkafk;a f,vdf.a mK hkak fkd§

w;S; wdhq¾fõofha fndfyda Ndú;hka úuid ne,SfïoS wo kjH ;dlaIKh úiska ksmojk fndfyda fuj<ï uQ,dlD;s iajrEmfhka mqrdkfha Ndú;fha mej;S nj ryila fkdfõ'

wjika fudfyd; fjklka m%;sldr lrkak' ta;a uek, yq<x .yk äðg,a uhskyu yhs lr,d ;sín;a uefrk f,âvq bkakjd' ta jqKdg Th hka;f¾ wuq;= fí;la keye' ;sfhkafka Ñls;aiSh ;dlaIKh' tajd ngysr ffjoH l%uhgu ,sh, §, keye' ffjoH veksiag¾ t,a' fmf¾rd wdhq¾fõo ffjoH iNdfõ ysgmq f,aLldêldÍjrfhl= fukau Y%S ,xldfõ T!IO Ydl ;sridr Ndú;h ixrlaIKh iïnkaO jHdmD;s wOHlaIjrhd jYfhka lghq;= lrk wdhq¾fõo ffjoH veksiag¾ fmf¾rd zzffjoHjrhdZZ iÕrdfõ m%drïNl f,aLlfhl= jYfhka óg jir 26lg fmr lghq;= lf<ah' wdhq¾fõofha m%udKsl oeKQue;s yi, úoajf;l= jk t;=uka úfYAIfhkau fi!LHiïmkakNdjh iïm%odhslj wfma Wreuhlaj we;s wdldrh iïnkaOfhka ksrka;r m¾fhaIK ld¾hhl ksr; fjhs' DM

fy<fha bmerKs Yd,l fuj<ï tl;=jla

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wdhq¾fõoh .eìKs ujf.a ;=kal,a wdydr isß;

.eìKs ujf.a ;=kal,a wdydr isß; m<uq udi ;=k uy f,dl= fmdaIKhla wjYH kE''' fofjks udi ;=k fmdaIKh jeäfhkau wjYH ld,hhs wjika udi ;=fkaoS lsß tfrk wdydr j,g jeä wjOdkhla fhduq lrkak .¾NKS wjêfha uq,au udi ;=fka fndfyda ud;djkag úúO wmyiq;d we;s fjhs' Tlaldrh" jukh fukau wdydr wreÑh fya;=fldgf.k ;u fmdaIKh ksishdldrfhka mj;ajdf.k hdu mjd wiSre fjhs' tjka iuhl''' l=ifyd;a orejdg ,efnk fmdaIKh m%udKj;ao@ fï ld,fhaoS fjfiiskau wdydrhg .;hq;= foa fudkjdo@ .eí orkakshlf.a uq,au udi ;=k wdhq¾fõo Ydia;%hg wkQj zzwixcd; wx. wjêhZZ jYfhka ye|skafjhs' fï''' orejdf.a wÕ miÕ fífrk ld,hhs' l<,h fõ.fhka j¾Okh jkafka uq,a udi ;=fkka miqj t<fUk jljdkqfõoShs'

fld<U úYAj úoHd,hSh foaYSh ffjoH úoHdh;kfha fcHaIAG lÓldpd¾h ffjoH fl!uos lreKdf.dv

114

February 2021

uq,a udi ;=fkaoS ore .en Wmøj j,ska wdrlaId lr.ekSu .ek is;d wdydr .; hq;=hs fï uq,a udi ;=fkaoS wêl fmdaIKhla wjYH fkdjk neõ wdhq¾fõo uQ, .%ka: j, oelafjk wdldrhhs' wêl fmdaIKhla fkdj wjYH lrk wdydr wdkqmdk fï uq,a udi ;=fkysoS .ekSu jeo.;a jk njo" fjfiiskau fï ld,fhaoS .sf;,a ñY% wdydr .ekSu uõjrekag fukau l=i ;=< jefvk orejdg .=Kodhl jk njo lsj hq;=h' ore.en Wmøj j,g ,la fkdù ia:dhSj ;nd .ekSug wjYH Yla;sh mj;ajd .ekSug uq,a udi ;=fkysoS fld<le|" yd;djdßh" bÕ=r," n;," ;eô,s j;=r wdosh ufydamldÍ jkafkah'

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.eìKshl ;u .eìKs ld,h uq¿,af,a fjkia jk wjYH;djhka y÷kd.ksñka .kakd wdydr wehg;a" l=ifyd;a orejdg;a wjYH fmdaIKh uekúka imhhs' tfiau uq,a udi ;=fkaoS uqx weg lsßn;a w.fkah' th foaYSh iy,a j¾.hlska msi.;af;a kï jvd;a fyd|h' oshjeähd ;;a;ajhla ke;akï Bg uqoaormam,ï yd meKs állao tl;= lr.kak' udi ;=klska miqj l<,h fõ.fhka j¾Okh fjkjd' fmdaIKh jeämqr wjYHhs udi ;=k bl=;a jQ miq t<fUkafka l<,h fõ.fhka j¾Okh jk iuhls' f,a Od;=j yd udxYfmaYs j¾Okh jkafka fï ;SrKd;aul ld,fhaoSh' Bg iudkqmd;slj .eìKS ujf.a nro jeä fjhs' fï jk úg wdydr wreÑho u. yeÍ hk ksid iEu ujlau ;ukaf.a fmdaIKh .ek fjfiia ie<ls,a,la oelaùh hq;=h'

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fï ld,fhaoS t<lsß" .sf;,a" ng¾" fhda.Ü jeks wdydr .; hq;=h' uxY fldgia wka;¾.; iqma j¾. .; hq;=h' ta yereKQ úg ukd fmdaIKhla fï fojk udi ;=k uq¿,af,au mj;ajd .ekSug .eìKS uj wosgka lr.; hq;=h' we;eï úg fï ld,fhaoS mdo bosfukakg n,k ksid fmd,am<d le|" f.dlgq le| mdkh lsÍfuka uq;%d fmÍu hym;a ù tu mdo bosuqï ;a;a;aj md,kh fjhs' wkjYH f,i ;r, tl;= ùu md,kh ùu yereKQ úg fuu wdydr .ekSfuka uq;%d wdidok wjodkuo wvq fjhs' ore m%ijhg iQodkï jk ld,fha uõlsß jvjk wdydr bka miqj t<fUk wjika f;uil ld,h ore m%ijhg iQodkï jk ld,hhs' orejd ìysjQ miq Tyqf.a fmdaIKh ie,fikafka uõlsß j,sk's wjidk f;ui orejdf.a j¾Okh .ek fukau Wmf;ka miq fmdaIKhg wjYH uõlsß .eko is;h s hq;= ld,hhs' uÿr rih iys; wdydr fï ld,fhaoS wehf.a wdydr fõ,g tla lr.; hq;h = ' uqojdmq lsß .ekSu iqÿiqh' yd;djdßh le|" lsß fudare" fudar ud¿" uvq ud¿" ;,m;a" lsßw.=K" ;s;; a w.=K" lsßyekao" uvq o¿ lsß tfrk wdydrh' rd;%S ld,fha nv msmu q jeks wjia:d we;s fõ kï fldia jeks wdydr rd;%S ld,hg fkd.; hq;h = ' thska jd; frda. W;aikak ùug bv ;sfí' wfõ,dfõ nr wdydr .ekSuo fkdl< hq;; a ls' DM

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wdhq¾fõoh uOqksud uyú, ,sms irKsh

uOqksud uyú, ,sms irKsh

wdhq¾fõoh oshjeähd frda.Ska ksÜgdjg iqj lrkafka fufyuhs''' oshjeähdj wo ld,fha úYd, jYfhka me;sr.;a frda. hla' biair fï ;rï oshjeähdj frda.k S a ysáfh kE''' wms fï zzfrda.k S a nyq,;djhZZ .ek u|la meyeos,s lr .ksu@q fï ldf, jeä jYfhka oshjeähd frda.Ska ysáhg fïl w¿;a frda.hla fkdfjhs' ffjosl hq.fha b|kau fï frda.h .ek oelafjkjd' thska meyeos,s jkafka mqrd;kfha;a frda.Ska ysá njhs' zzoshjeähdjZZ lsõjg fïl wdhq¾fõofha ye|skafjkafk zzuOqfïyhZZ lsh,hs' wdhq¾fõofha m%fïy frda. úiaila .ek lshefjkjd' fï zzúis jeoreï m%fïy frda.ZZ j,g kshñ; m%;sldr fkd,enqKdu ;uhs zzuOQfïyhZZ we;s fjkafk' —oOd;s Od;af;a jd YÍr uk mafrdaKdka b;s Od;=#˜ uq, .%ka: j, fufia olajd we;af;a zzOd;=ZZ iïnkaOfhks' by; ‍Yaf,dal mdGfha w¾:h jkafka Yßrh" uki iy m%dKh hï lsisjlska ord isào th zzOd;=ZZ hkakhs' ir,ju mjikafka kï YÍr wdlD;sh mj;ajd .ekSu iy tys fmdaIKh ksis mßÈ isÿjkafka Od;= ksidfjks' Od;= y;la fkdfyd;a zzima; Od;=ZZ.ek wdhq¾fõofha oelafjkjd'

February 2021

fï Od;= fldgia j, we;sjk zzfodaIZZ j,g ;uhs kshñ; mßos m%;sldr l< hq;af;a' ta tlla Od;= fldgia fodaI iy.; jqKdu Bg ine|S frda. yg.kakjd' m%fïy frda. we;s jkafk;a fï úosyghs' m%fïyhlg udi yhla m%;sldr fkd,enqfKd;a fï lshk uOQfïyh we;s fjkak mq¿jka' Bg kshñ; m%;sldr .s,syqKdu m%fïy W;aikak fjkjd' thska zzuOQfïyhZZ ú;rlau fkdfjhs" ;j;a fndfyda frda. we;s fjkakg mq¿jka' fï .ek wms ;jÿrg;a l;d lruq@ biair wfma uq;=kañ;af;d ukd wdydr isß;la jf.au hym;a úyrK mj;ajdf.k .shd' wdydrhg .;af;

² ri Od;=j ² rla; Od;=j ² udxY Od;=j ² fïfoda Od;=j ² wiaÓ Od;=j ² uÊcd Od;=j ² Y=l% Od;=j

116

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

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fudkjo@ yd,a" l=rlalka" fufkaß" w," n;," fld<le|" yd;djdßh" fn,su,a'''' wo fudkjo ;sfhkafk@ mdkamsá j,ska ;eKQ laIKsl wdydr" rildrl" j¾Kldrl" ms<sldldrl" t<j¿fj" m<;=f¾ b|ka lDIs ridhk" jiúi''' oeka ;sfhkafk zzwdydr isß;laZZ fkdfjhs" zzwdydr úlD;shla'''ZZ fï ksid ;=kafodia lsfmkjd''' frda.

WoaoSmkh fjkjd' úfYaIfhkau uOQfïyh jf.a frda. zzlsh, wv.y.kakZZ wdydr isß;lg wm yqre fj,d' ta uosjg jHdhdu kE' jeäfokd jeä fj,djla bkafk rEm fmÜá j," fmdaka j,''' oyäh oukak ;nd wefÕa jHdhduhlg j;a álla uykais fjkafk kE''' YÍr fydr fj,d''' fï fya;= ksid jf.au biair ir< cSú;hla .; lrmq ñksiqkag ;sfhk uki fjfyijk m%Yak tlal ;uhs fï ;rï oshjeähd frda.Ska jeä fj,d ;sfhkafk'

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w.akHdYh fkdfyd;a we,osj ksmojk bkaishq,ska fydafudakh mgl yd ffi, j,g fkd,eîfuka ;uhs reêrfha uOQr fldgia idkao%Kh by< hkafka' uOQfïy m%;sldr fï >%djhka mqk¾cSjkhg ,la lr n,.ekaùug iu;a úNjhlska hqla;hs

fudkjo fï oshjeähdj je<÷kdu we;sfjk frda. ,laIK@ YÍrh uqÿ fudf<dla fjkjd" /<s jefgkjd" yDo iamkaokh wvq fjkjd" reêr mSvkh jeä fjkjd" isys nqoaêh wvq fjkjd" flKAvd fmrf<kjd" ksos lsrd jefgkjd' wms fï lú moh;a úuiuq''' th;a oshjeähdj frda. úia;r uekúka olajkjd' oshjeähd fldhsldg;a yeÿkdu uq;%d msg lr;s ?g;a ks;frdau f;d, lg úh<s ksosu; ths yeuodu iqj lr.kak frda.h fkdjrojdu fjo uy;a;=re frda. úksYAphg fhdod .kakd iïm%odhsl l%u fudkjdo@ kdä ne,Su' thska frda.h je<|s,do@ je<|s,d kï" fldhs ;rï ld,hla ;siafi b|kao@ fï ksid YÍrh jeyeß,do@ fudk ;rï mßydkshla fj,do@ jf.a ldrKd b;d ksjerosj lshkakg mq¿jka' ta yereKQ

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wdhq¾fõoh uOqksud uyú, ,sms irKsh

úg fï yªkd.ekSï idlaId;a lr.kak kùk úoHdj fhdod .kakjd kï tafl jrola kE' ^jir fooyia .Kkdjla ;siafi mßKduh fjÉÑ fjolfï fï wka;su jir foiShl ú;r ld,h ú;rla fjkia jqKQ oeKQu wmg whs;s ke;s fjkak nEfk'& fï frda.h we;s fjkak n,mj;ajk fjk;a idOl fudkjdo@ fï frda.h wdhq¾fõofha zzuyd frda.hlaZZ jYfhka ;uhs úia;r fjkafk' isref¾ meje;aug" hy l%shdldß;ajhg wjYH lrk bkaishq,ska lshk mod¾:h ksmoùu wvqùu jf.au ksmoùu k;r ùu;a oshjeähdjg fya;=jla fjkjd' w.akHdYfha bkaishq,ska ckkh lrk lmdg jeiS hdula isoaO fjkjd' frda.h n,.ekafjkak my; ldrKd W;af;aclhla fjkjd' ² cdk yryd mrïmrdkq.;j fï frda.h we;s fjkjd' ² lD;%su wdydr" jeros wdydr ² ia:Q,;djh" wêfmdaIKh ² u<" uQ;% wdoS fõ. ord isàu ² lïmkh ² kdkd úO úI j¾.

118

February 2021

Tlafldfgdu uq,''' oshqKqj hhs lshd wm tod wmg Wreuj ;snQ idr.¾N cSjk rgdj w;ayer ;sfnkjd' hym;a wdydr isß;a" weÕ fjfyijñka Yla;sh ojk jevm< w;a yeß wm ta fjkqjg uyd .eg¿ /ilska uki;a mSvdjg ,la lrf.k ;sfnkjd''' ful, isref¾ ima; Od;= ¥IKh fjk tl wykak;a fohlao@

wdhq¾fõo l%uhg fhdod.kakd fnfy;a j,ska isoaO fjkafk l=ulao@ w.akHdYfha ÿ¾j, jQ ffi, yd mgl mqk¾cSjkhg ,la lrkjd' tysoS w.akHdYfha jeiqKQ lmdg kej; msßisÿ fj,d il%Sh fjkjd' ÿ¾j, jQ bkaishq,ska iemhqu;a" k;r jQ bkaishq,ska iemhqu;a lshk fï folu kej; n, .kajkakg wfma fnfy;a iu;a' frda. uQ,hg ;uhs wfma T!IO j,ska m%;sldr fjkafk' ta ksid frda.h ksÜgdjg iqj lrkak mq¿jka' fuh wef,dam;sl uQ,O¾u j,g mgyekshs' Tjqka lshk úosyg oshjeähd frda.h iqj lrkak nE' ta;a wdhq¾fõoh ;=< úfYaI wjia:d j,oS yereKQ úg nyq;rhla zzuOQfïyZZ ;;a;ajhka ksÜgdjg iqj fjkjd'

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fudkjo Bg fhdod .kak fnfy;a' fldfyduo fï fnfy;a fhdod.kafk@ wmg ta .ek úia;rhla lskak mq¿jkao@ fï fjolug wmsg fnfy;a wdkqmdk úYd, m%udKhla wjYH fjkjd' mqrdK iQ;%.; jÜfgdare wkQj ;uhs T!IO ielfikafka' we;eï T!IO wdkqmdk fï ld,fha fidhd .ekSu yßu ÿIAlrhs' ta;a fï ish,a,u wvq fkdlr Ndú;hg fhdodf.k ;uhs wms fï fnfy;a ilikafk' kùk ;dlaIKh fkdfjhs" ;ju;a wms .=refldg .kafk' tal;a lshkak ´ks' jxf.äfhka fldg," wUr," ñßl, ;uhs ta mod¾: ,nd .kafk' fï rfÜ fldhs m<df;o fnfy;a ;sfhkafk@ wms taj f.akj" fhdod .kakjd' fïl w;S; iïm%odh thdldrfhkau .=re lr.ksñka lrk fjolula' zzoshjeähdj yeos, udi 2-3 wh" jir 5-10 wh jf.au jir 20-25 jf.a ld,hla .; jqKQ wh;a tkjd' wfma rfÜ y;r os.aNd.fhkau tkjd' fï jeä fofkla frda.h lvd .kakjd' iqj lr

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.kakjd' we;efula udi 2-3 hkfldg' tl udfil fnfy;a fõf,ka iSks nyskjd' fldfydu;a udi 6-7 hk úg frda.h iqj lr.kak wjia:dj jeä fofkl=g ,efnkjd'''ZZ fudkjo fnfy;a iu. ,efnk frda.Skag ,efnk Wmfoia@ m%;sldr .kak ld,fha m;H-wm;H wdydr ;sfhkjd' krl wdydr wkqNjh fyd| kE' fnfy;a fndk ldf, fjfiiskau th fkdl< hq;=hs' iqjm;a jqKdu hym;a wdydr j,g" úyrK j,g fhduq ùu m%udKj;a' oshjeähdj w;=re wdndO rdYshla we;s frda.hla' tajdg fï m%;sldr wduka;%Kh fjkjdo@ wfma T!IO fï w;=re wdndO uQ, j,g;a m%;sl¾u fjkjd' fïj Tlafldu n,.;= T!IO' ixfhda. fjkafk;a wdhq¾fõo uQ,O¾u j,g wkQj' fï ksid ngysr fnfy;a j, jf.a ixl+,;d we;s fjkak úosyla kE' ta w;f¾ f;,a osh lrkak" bkaøsh iqir lrkak" ÿ¾j, jqKQ bkaøsh mqk¾cSjkh lrkak;a fï .kak T!IOu fya;= fjkjd' DM

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

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

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wdhq¾fõoh ffjria frda.hla jk fiïm%;sYHdj iy WK fkdi,ld yßkak tmd

ffjria frda.hla jk fiïm%;sYHdj iy WK fkdi,ld yßkak tmd we;eï f,v wmg je,f|kafka uq¿ Ôú; ld,hgu tla jrls' tfy;a iuyr frda. jßka jr ke;fyd;a jirlg oy fodf<dia jrla jqjo je<f|a' fiïm%;sYHdj iy WK Bg WodyrKhls' uydpd¾h wdhq¾fõo ffjoH iqukr;ak wur;=x.

DASC. BA Pg. PhD ysgmq úÿy,am;s" .ïmy úl%udrÉÑ wdhq¾fõo ffjoH úoHd,h

120

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fiïm%;sYHdj Ôú;hg w;=re-wdka;%d we;s lrjk frda.hla fkdjqj;a th fkdi,ld yeÍu ksid §¾>ld,Skj mSvd ú¢kakg isÿjk leiai" ysiroh" WK" W.=f¾ fiïf.ä" kdifha uiao¨‍" mSki" weÿu wd§ frda. .Kkdjla we;s lrjk ffjri frda.hls' ;jo fmky¿ wdidok frda. iy WK ikaksmd;h olajd l%ufhka Yajik jHqyh mqrd jHdma; jk wjia:do we;s jkakg mq¿jk' fuu frda.h ióm wdY%fhka yd jd;h u.ska tla wfhlaf.ka ;j;a wfhl=g myiqfjka fnda fjkakg mq¿jk' uq,ska isysm;a l<d fia fuys frda.ldrlh jkafka ffjrihls' ^wo ojfia

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f,dj l<Uk fldfrdakd frda.ho ffjri iïNjhlska we;sjk w;r tyso uQ,sl frda. ,laIK fï fiïm%;sYHd WK frda. ,laIKu jk ksid wo fï frda. ,laIK ,>q fldg i<lkafkao ke;'& ffjrihl .;s fidndj ffjrihla hkq wfma weig muKla fkdj idudkH wkaùlaIhlgo fkdfmfkk ;rï l=vd jQ Ôúfhls' ke;fyd;a cSjhls' th m%udKfhka kefkda óg¾ iShla muK fõ' ^kefkda ógrhla hkq ñ,sógrhlska oi ,laIhlska mx.=jls'& fuu ffjria j,g úfYaIfhka wdfõ‚l jQ ,laIKhla jkafka ks;r ks;r tys yevrej fjkia ùuhs' ^fldúâ 19 yokakg fya;=N+; jQ ffjriho fï jk úg tfia ;u uq,a yevrej fjkia lrf.k jvd;a ìysiqKQ ffjri wdldrhka njg m;aj ;sfí'& tneúka tla jrla je<£fï§ we;sjk m%;sYla;sfhka h<s;a frda.h je<£u u¾okh l< fkdyels ;;a;ajhla fï fya;=fjka Wod fõ' tu ksid tlu ;eke;a;dg jqjo lsysm j;djla frda.h we;sùfï wjodku mek k.S' frda. ldrl ffjrih YÍrhg we;=¿ ù Èk 1-3 ld,hl§ frda. ,laIK msg;g fmkajkakg mgka .kS' uq,skau isref¾

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ñksidg je<f|k fiïm%;sYHd w;=ßka ishhg 40lg muK fya;= jkafka weäfkd ffjrihs' fndfydaúg fï ffjri ldKAvh l,a mj;akd Wmøjhla we;s fkdlru iqjjk uq;a iqjh blauka lsÍug fukau fjk;a ixl+,;d j,g mßj¾;kh fkdùug .;hq;= ms<shï jeo.;a jkafkah'

wm%d‚l .;shla yg.Œ' miqj kdih ;o .;sh" fidgq Èhr .e,Su" W.=f¾ fõokdj" úh<s leiai" WK" ysiroh" jukh" Èhr iajNdjfhka u<my msgùu wd§ frda. ,laIK wjia:dfjdaÑ;j u;=úh yel' fuys§ ie,lsh hq;= lreKla kï frda. ldrl ffjrifha m%n,;djh wkqj;a th je<f|k mqoa.,hdf.a isref¾ m%;sYla;sh wkqj;a by; oelafjk frda. ,laIK tlla fyda lsysmhla we;s jkakg mq¿jk'

ffjri iïNjhla iys; fiïm%;sYHdjka 200la muK we;' tu ksid flfkl=g fiïm%;sYHd ;;a;ajhka úáka úg yg .kakg mq¿jk' fiïm%;sYHdj ksrka;rfhka wmg neg fokafkao ta ksidh' fiïm%;sYHdj yefokakg fïjd fyd| fya;= iS;f,ka fm,Sfuka" wêlj ksÈ jeÍfuka" YS; .=K wêl wdydr j¾. jeämqr .ekSfuka" wêl f,i fjfyi uykais ù ta ie‚ka iakdkh lsÍfuka" ijia ld,fhys fyda rd;%S ld,fha m%udKj;a fkdjk fia iakdkh lsÍfuka fndfyda úg m%;sYdj je<£fï bvlv jeä úh yel' YÍrfha fiï fldamùu ksido fï ;;a;ajh we;sfõ' flfia fj;;a m%;sYHdj je<£fï§ my; i|yka fi!LH ms<sfj;a ms<sme§fuka iqjh <Õd lr .; yels w;r frda.h jHdma; ùu j<lajd .; yel' kdih isrùu" W.=r leiSu yd ߧu" lsúiqï hdu" kdifha Èhr .;sh jeks uQ,sl ,laIK iu. m%;sYHdj ;;a;ajhl§ iakdkh lsÍu" YS; wdydr yd îu j¾. mdkh lsÍu" ier m%;sÔjl ,nd .ekSu wdÈfhka je<lS" miamx.=j lIdh ;ïnd ojilg fo;=ka jdrhla mdkh lsÍu iqÿiqh'

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wdhq¾fõoh ffjria frda.hla jk fiïm%;sYHdj iy WK fkdi,ld yßkak tmd

;sfí' fuu T!IO Èjhsk mqrd msysá ish¨‍u isxy, fnfy;a nvq wf,úi,a j,ska Tng ,nd.; yel'

iS;,g ksrdjrKh ùu" wêlj ksÈ jeÍfuka" YS;.=K wêl wdydr j¾. jeämqr .ekSfuka" wêl f,i fjfyi uykais ù ta ie‚ka iakdkh lsÍfuka fukau ijia ld,fhys fyda rd;%S ld,fha m%udKj;a fkdjk fia iakdkh lsÍfuka fiïm%;sYHdj yg .kafka isrerg tu úIîc yd igka lsrSug we;s ksiÕ m%;sYla;sh ÿ¾j, ùfuks

th muKlao m%udKj;a fkdfõ' ksÈ jeÍfuka" wêl f,i fjfyig m;aùfuka ñÈh hq;=h' ks;ru WKq c,h mdkh l< hq;=h' uo WKq c,fhka uqyqK iy k<, ;eùu jeks ms<sfj;a ms<sme§fuka m%;sYHdj uekúka md,kh lr .; yel' fufia m%fõYï fkdjqfkd;a WK jeäù wêl leiai" ysiroh" mmqfõ uykaish yd wÔ¾Kho ygf.k frda.h jHdma; ùug we;s yelshdj jeä fõ' m%;sYHdj l,a .;ùfuka mSkia ;;a;ajh we;sfõ' <h mSki" .| mSki" f,a mSki" .,a mSki wd§ jYfhks' fujeks ;;a;ajhl§ uekúka frda.h f;areï f.k ta ksid yg.;a ldhsl ÿ¾j,;djhka u.yeÍ hk mßÈ wjYH m%;sldr iys;j mSkia fjolu fkdlf<d;a iqjhla ,nd .ekSu ÿIalr ldrKhls' frda. ksjdrKfha l%sñrdc iïm%odh jd-ms;a-fiï kue;s ;%sfodaI fldamùu ksrka;rfhka wm frda. j,g ,laùug fya;= fjhs' wdhq¾fõofha mrud¾:h jkafka frda.shd frda.S nfjka uqojd .ekSu yd ksfrda.S mqoa.,hdf.a iajia:;dj wdrlaId lsÍuhs' ck;djf.a wdhq" wdfrda.H fjkqfjka mqrd jir ye;a;Ejl ld,hla uq¿,af,a buy;a fiajhla imhk lsßj;a;=vqfõ nd,!IOd.drh uq¿ uy;a ,dxlslhkaf.a frda. / ila iqjlr .ekSu i|yd zzl%sñrdcZZ ksIamdok kduh iys; ksmehqï 250 lg wêl ixLHdjla ksIamdokh lr fj<ofmd<g ksl=;a lrhs' ta w;r zzl%sñrdc miax.=jZZ yd zzl%sñrdc fmahdjZZ m%;sYHdjg yd WK frda.h iqjlr .ekSu i|yd ukdfldg WÑ; T!IO fhdod ilia lr 122

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zziqo¾YK meKshZZ l%sñrdc ksIamdokhla f,i fj<|fmd,g ksl=;a lr we;' wo jk úg uq¿ f,dalhu NS;shg m;a l< fldfrdakd frda.h u¾okh i|yd foaYSh T!IOhla f,i Y%S ,xld wdhq¾fõo fomd¾;fïka;=j ks¾foaY lrk ,o zziqo¾YK meKshZZ nyqck ys;iqj msKsi ue l%sñrdc ksIamdokhla f,i fufia y÷kajd § ;sfí' ish¨‍u isxy, fnfy;a nvq wf,ú ie,a j,ska zziqo¾YK meKshZZ meñK ,nd.; yel' wdhq¾fõo iQ;% lñgqfõ ks¾foaYs; ish¨‍u T!IO kshu m%ñ;sfhka uqiqfldg zzl%sñrdc iqo¾Yk me‚hZZ ksIamdokh lr ;sfí' DM l%sñrdc ksIAmdok i|yd úuiSï uydpd¾h wdhq¾fõo ffjoH iquKr;ak wur;=x.

(DASC, BA/PG/PhD.) weï ã ,sfõßia wur;=x. iy mq;%fhda ndf,!IOd.drh" lsßj;a;=vqj ÿrl:kh$*elaia 011 2753 889 Bfï,a krimiraja@sltnet.lk fjí ayurvedakrimiraja.com

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wdhq¾fõoh uu fldfrdakd osk ;=fkka ksÜgdjg iqj lrkjd'''

uu fldfrdakd osk ;=fkka ksÜgdjg iqj lrkjd''' uf.a fnfy;a vqndhs rfÜ ,dxlslhka mdúÉÑ lr fldfrdakdfjka iqjm;a jqKd'''

fïj wfma frda.Skag fhdod .kakjd kï f,dl= fohla''' .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd,

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´kEu ms<sld frda. hla iqjlrk zzmdkSh ms<sld ff;,hZZksmojQ .,s.uqfõ iqu;smd, fjouy;d fldfrdakd frda.h iqjlrk id¾:l T!IOhla ksmojhs' j¾I 40 l muK ld,hl isg i¾jdx. yd ms<sld frda. j,g m%;sldr lsÍfuys,d w;aoelSï iy m,mqreoao we;s" úúO m¾fhaIK j, fhfoñka ms<sld frda.Ska oyia .Kkska iqjm;a l<" wog;a ms<sld frda.Skag m%;sldr ,nd fok .,s. uqj" wúiaidfõ,a, mdf¾" wrkaor" fn,sfldgqj .fï m%;sldr lrk" .,s. uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s foaYSh ffjoH ta ta iqu;smd, fjo uy;d fldfrdakd frda.hg id¾:lj m%;sldr l< yels foaYSh T!IOhla ksmojd we;' doctormagazine.lk

fldfrdakd frda.h uev mj;ajkakg wdhq¾fõo ffjoH ta ta iqu;smd, úiska ms<sfh, l< Tiq

fuh Tyq úiska id¾:lj w;ayod n,d we;s njo" fjfiiskau úfoaYhkayS fjfik ,dxlslhkaw;fr fï Tiqjg jeä b,a¨ula we;s neù oek.;a ksido" fujr l,dmfhka wms ta ms<sn|j fjo uy;df. ka lreKq ldrKd oek .ekSug Tyq iïuqL ùuq' zzuu wdhq¾fõo Wmdêhla iu;a lrmq" wdhq¾fõo ffjoH iNdfõ ,shdmÈxÑ n,m;%hla ^,shdmosxÑ wxlh 13297& ;sfhk wjqreÿ y;<syl muK ffjoH jD;a;sh w;aoelSï we;s foaYSh ffjoHjrfhla' i¾jdx. frda. i|yd fnfy;a ,nd fokjd' úfYaIfhkau ms<sld frda.hg uu fnfy;a lrkjd' fï ojia j, iuia; f,dalh

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mqrdu jHdma; fj,d ;sfnk wfma rfg;a kiame;a;shla njg m;a fj,d ;sfnk fï fldfrdakd frda.h ms<sn|j ud úfYaIfhkau fidhd ne¨‍jd' ñksiqka úYd, f,i ñh hkjd' fïl ffjri frda.hla fkdje' wfma fy< fjolfï úI kik fnfy;a jÜfgdare rdYshla ;sfhkjd' ud ,Õ;a fï jákd jÜfgdare lsysmhkau ;sfhkjd' b;ska uu l,amkd l<d fï fjkqfjka hula lrkak ´ks" wirK ck;dj fjkqfkka fnfy;la ksmojkak ´ks lsh,d' 2020 ud¾;= udifha isgu fï iïnkaOj ud §¾> jYfhka yeoEÍula l<d' wfma jÜfgdare tlska tl mßlaId l<d' uu fï ffjria frda.hg fnfy;la yeÿjd' wjdikdjlg wfma rfÜ frda.Skag fuu fnfy; §,d mßlaId lrkak wjia:djla Wod jqfKa kE' kuq;a ,xldfõ fldfrdakd frda.h fmdisáõ jqK frda.Ska fofokl=g fnfy;a lrkak mq¿jkalu ,enqKd' uf.a fnfy;a mdúÉÑ lr, Tjqka fofokdu iqj jqKd' Tjqka ug l;d lr, ta nj mejeiqjd'

wmg mq¿jka fï frda.Ska iqjm;a lrkak' ´kEu fldfrdakd frda.sfhla tjkak" ud <Õg' ojia ;=fkka uu fldfrdakd frda.Ska iqj lrkjd'

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wdhq¾fõoh uu fldfrdakd osk ;=fkka ksÜgdjg iqj lrkjd'''

uyfmdf<dfõ jefjk fndfyda foaj,a ukqIHhdg T!IO fjkjd' iajdNdúl .=Kfhka fïjd mßyrkh lsÍuhs wdhq¾fõofhka flfrkafka' tkak;a fydhkjdg jvd fnda fjk frda. j,ska wdrlaId jkakg m%;sYla;slrKh jeä oshqKQ lsÍuhs fuhg we;s os.=ld,Sk úi÷u

ud ,Õ ms<s.;a Tmamq l< yels idlaIs ;sfnkjd' Èkm;du ms<sld frda.hg yd fjk;a frda.j,g fnfy;a .kak frda.Ska úYd, jYfhka uf.a ksjig tkjd' fï wh;a oeka okakjd uu fldfrdakd frda.hg fnfy;la fidhd f.k ;sfnk nj' ojila ms<sld frda.hg fnfy;a lr, iqj jqK frda.sfhla l;d lr,d uf.ka weyqjd zzfjo uy;a;hd vqndhs rfÜ wfma isxy, lÜáh iEfyk m%udKhla fldfrdakd je<¢,d' Tjqka wudre ;;a;ajfhka bkafk' neßo fnfy;a álla fokak'''ZZ lsh,d' zzuu lsõj mq¿jka úÈhg uu Tjqka iqjm;a lrkakïZZ lsh,d' Bg miafia ug vqndhs rfÜ zzf.da,Sh ixiohZZ lsh,d ixúOdkhlska iuka; ùruka;%S lsh,d uy;aufhla l;d lr,d frda.Ska mkia fokl=g fnfy;a l+ßh¾ lr, ,nd .;a;d' lshkak i;=gqhs' frda.Ska mkia fokdu iqj fj,d ug fk.áõ jqKd lshk ßfmdaÜ mjd tõjd' Bg miafia wr iuka; uy;a;hd ;j;a mkia fokl=g uf.ka fnfy;a ,nd.;a;d' fï zzf.da,Sh ixiohZZ lshk ixúOdkh vqndhs j, Y%S ,dxlslhska fjkqfjka fmkS isák ixúOdkhla' Tjqka fldfrdakd frda.h je,÷k frda.Ska fidhdf.k f.dia wfma fnfy;a ,nd 126

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fokjd' fldfrdakd frda.h yeÈ,d ksõfudakshd ;;a;ajh we;s jqK frda.sfhla vqndhs rfÜ weußlka fydiamsÜ,a tlg we;=,a lr,d miafia wr ixúOdkh lÜáh ta frday,g .sys,a,d ffjoHjre yuqfj,d fï fnfy; .ek lsh," wy, ;sfhkj fuhdg mdúÉÑ lrkak fokako@ lsh,d' wdhq¾fõo fnfy;la ksid" lula kE''' fokak lsõju ta Y%S ,dxlsl frda.hg uf.a fnfy; §,d' ojia ;=klska miafia mßlaId lr, ne¨‍ju frda.h fkf.áõ fj,d' ta frda.shd ÿrl:kfhka ud iu. l;d l<d' ßfmdaÜ tl;a ug tõjd' lshkak lK.dgqhs" wfma rfÜ ñksiaiqkag fï fnfy;a ,nd fokak l%uhla yeÈ,d kE' ldf. ka j;a wdrdOkdjla kE' wkq.%yhla kE' f,âvq tjkafk;a keye' foaYSh fjolfï n,j;alu ;ju wfma rfÜ kdhlfhda jgydf.k keye' iuyr wh yskd fjkjd' wekqïmo lshkjd' ,xldfõ mdrïmßl ffjoHjreka wdOqksl fyda bf.k .kak wh jYfhka Wmydihg ,la lrkjd' doctormagazine.lk

ñksia isrerg n,mdk Nhdkl frda.hla jk ms<sld frda.h kik fnfy;a T!IO ksmojd we;s wmg Th ffjria frda.h t;rï f,dl= frda.hla fkdfjhs'

foaYSh fjolu fj<|dula fkdfjhs' fjf<kafod;a ,xldfõ bkakjd' yenehs Tjqka kshu úNd. mdia lrmq wh fkdfõ' fï f.d,af,dkag ld,Sk frda.j,g m%;sldr ,nd§ug yelshdjla kE' wms ys;uq bÕ=‍re" fld;a;u,a,s" iqÿÆKq" idÈlald" iQÿre" fjksje,a" ìkafldfydU" W¿yd,a" wifudao.ï fï wdÈ l=¿nvq uyfmdf<dfj yg.kakjd' fuu T!IOj,ska ksIamdokh lr fnfy;a YÍrhg wys;lr jkafka fldfyduo@ miamx.=j ;ïnd îfuka ji úi jqfKa ldgo@ fmdf<dfõ yg.kakd nyq;rhla foaj,a ish¨‍u ukqIH j¾.hdo i;ajhskao mßfNdackhg .;a;d" .kakjd' n;a" t<j¿" m,;=re" OdkH j¾." foaYSh T!IO j¾. fïjd lsisÈfkl úi jqfKa kE' fïjd úoHd;aulj mßlaId lf<a ljqo@ ljodo@ fldfyaÈo@ fïfla i;H wi;H;dj nqoaêu;=kag fmfkkafka ke;so@ foaYSh T!IOj,ska .=ma; ÿjks .=K úoHdka;h ms<sn|j foaYSh fjo fmdf;a uekúka ú.%y fldg ;sfnkjd' fïj ljfrl=g j;a" ljrodl j;a mßlaId lrkakg fkdyelshs' foaYSh fjolfï ydialï fmkaùug fï ffjrih mj;sk wjia:dj b;du fyd| wjia:djla' wms ngysr fjolu iuÉp,hg ,lalrkjd fkdfjhs' ngysr fjolñka lrkakg mq¿jka fiajh wmßñ;hs' uõlsß îfuka we;s oeä jQ YÍrh" fmdf<dfõ yg.kakd fohska fmdaIKh ù osú iqrlsk fy< Tiq uekúka iqrlaIs;j frda. Ydka;sh i|yd fhdod. ekSu j¾;udkfha fukau wkd.; mrmqrgo ,enqKq odhdohla f,i ud i,lkjd' fldfrdakd frda.shd foaYSh fjoeÿrkag wNsfhda.hla jkafka kE' ta ksid

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fï rgg tk ixpdrlhska yd Y%S ,dxlslhska Èk ody;rla ksfrdaOdhkh lrkakg wjYH jkafka kE' wmrdfo uqo,a kdia;s lrkak ´ks;a kE' wmsg mq¿jka wfma fnfy;a oS, Èk y;rlska mÍlaId lr,d n,,d frda.shd wdrlaIs;j msg;a lrkak' th úoHd;aulj mÍlaId lrkak' uu j.lSfuka lshkjd ug mq¿jka Èk ;=fkka fï frda.h iqj lrkak' 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

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ukqIH YÍrfha yg .kakd ish¨‍u ms<sld iqjh

mdkSh ms<sld ff;,h úYañ; m%;sldrhls

ALL CANCER TREATMENT CENTRE ish¨u jl=.vq frda. i|yd

m%fïy úoajxYkS ff;,h ysfia ms<sld" fud<fha f,a leá ysrùu" fn,a," W.=r" uqLh" .,kd,h" iqiqïkdj" fmKy,a," wdudYh" wlaudj" hlD;h" ms<dj" ms;a;dYh" fm!reI .%kaÓ;sh" wfOdaud¾.h" N.kaord" uydka;%h" fldÿwegfm<" jl=.vq yd f,a ms<sld" wiaÓ ms<sld" udxY ms<sld" .eíf., ms<sld" *hsírhsâ" ,shqflañhd wd§ ishÆu ms<sld me;sÍu kj;d iykh ,nd fohs' ngysr m%;sldr ,nñka isák ´kEu ms<sld frda.sfhl=g o mdúÉÑ l<yels jk mßÈ foaYSh YdL idruh T!IO ixfhda. lr ms<sfh, lrk w;aÿgq ÈjHuh T!IOhls' wjqreÿ 40l w;aoelSï yd m<mqreoao wkqj ksmojd we;' Wfoa iji fïi yeÈ 1 ne.ska mdkh lsßu wjYH fõ' foaYSh ms<sld ffjoH uOHia:dkh

wdhq¾fõo ffjoHdpdhH_ ta'ta iqu;smd, lS¾;s Y%S foaYnkaÿ fjoHdNsudks bkaÈhd isoaOd¾fõo" iïudk,dNS" idu úksiqre ^lE.,a, wêlrK l,dmh&" wdhq¾fõo YsfrdauŒ" mKaä; ^iïudk,dNS&" mßirfõ§

fn,sfldgqj wrkaor" wgd, ^.,s.uqj - wúiaidfõ,a, mdr&

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