The Premier Bilingual Health Magazine in Sri Lanka Volume 27 • January 2021
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ISBN-1391 1341
9 7 7 13 91 13 400 1 RS 180 (VAT INCL)
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EVERY MOVE COUNTS ieu mshjr oyia jà PCR mÍlaIKh iy laI‚l m%;sfoayckl mÍlaIKh
INSIDE Regular
Features
Editors Note 6
Theme of the Month ieu mshjr oyia jà Every Move Counts 11
Health News 8 Laboratory Tests Explained COVID-19 ;yjqre lr.kakg flfrk ridhkd.dr hqoaOh - 2
Guest Editorial 12 osú iqrlsk jHdhdu f,dal fi!LH ixúOdkfha kj;u ud¾f.damfoaYK
wdisß frday,a iuQyfha ridhkd.dr wOHlaI kS,a m%sh;a fcdaka 39
fld<U úYaj úoHd,hSh ffjoH mSGfha lÓldpd¾h ffjoH p;=rx. rKisxy 16
What are some possible causes of female infertility? ore iïm;a ,eîug ndOd f.k fok fya;=
Aerobic Exercise iajdhq jHdhdu lshkafka fudkjdo@
idhksl l<,fõo úfYAI{ ffjoH fy<rejka mikal=udr 44
PCR mÍlaIKh iy laI‚l m%;sfoayckl mÍlaIKh fldúâ frda.hg lrk ridhkd.dr mÍlaId .ek jeo.;a f;dr;=re ffjri frda. úfYaI{ ffjoH .S;dks .,f.dv 58
rEu;a isiqúhf.a iriú .uk keje;ajQ zfoaj YdmhZ Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s 102
fld<U úYaj úoHd,hSh ffjoH mSGfha lÓldpd¾h ffjoH p;=rx. rKisxy 20
cSú;hg fndakia wdhqI m%udKhla tla lrk jHdhdu ikaê frda. úfYaI{ ffjoH yß÷ úfcaisxy 26
Reader Participation Every Move Counts fy< niska fyd|u Every Move Counts f;aud mdGh f;aÍfï mdGl ;rÕh 38 Foot Care for Arthritis ykaosm;a frda.Ska''' wd;rhsáia frda.Skaf.a mdo ffjoH reÑld fifkúr;ak 52
Wia ñálï meyer fldhs ljqre;a je<|.kakd fvksu fvksï f,dalh mqrd Wm ixialD;shla''' fudrgqj úYaj úoHd,fha ;s<sKs ch,;a 64
Mix of belly discomfort or pain and trouble with bowel habits:IBS ksjerosj y÷kd.; hq;= jk IBS fkdfyd;a Irritable Bowel Syndrome Y,H frda. úfYaI{ ffjoH m%fudaoa pkaøisxy 70
INSIDE Child Sexual Exploitation and Grooming orejka leu;s lrjdf.k orejkaf.a cSú; úkdY lsÍu fkdfyd;a <ud ,sx.sl wmyrKh <ud iakdhq ÿn,;d iïnkaO úfYaI{ ffjoH ksÆYsld ùrmafmreu 76
The Basics of Sentinel Lymph Node Biopsy: Y,H ffjoH úoHdjg kHIaál ffjoH úoHdfõ odhl;ajh wKql Ôj úoHd{ wdpd¾h ;kqcd foksmsáh ,xld fydiamsÜ,a ridhkd.drh 82
msx jmrh@ l,a h,a we;sj jmrh fmkajd .ekSfuka m< fok msk wlaIs Y,H ffjoH rx.sl .=Kr;ak 88
Myopathy ufhdam;s frda.S orejkag fN!;Ñls;ail m%;sldr ßÊfõ wd¾hd <ud frdayf,a fN!; Ñls;ail wêldß cd,sh Wvqje,a, 90
Interferon deficiency can lead to severe COVID fldõâ ;¾ckfhka ñfokakg bkagf*frdka ,ndfok odhl;ajh ffjoH fla;lS m,syjvk 94
Ôú; hÈk ms<sld frda.Skag ms<sirKla jk iqu;smd, fjo uy;aud iqjh ,o frda.Ska .ek Tjqkaf.a {d;Ska lshk l;d'''
Tlaia*â tkakf;a m%Odk m¾fhaIsldj wfma ufyaIs rduidñ Ndr; .=K;s,l 96
.,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd, 114
wdhq¾fõoh The Dynamic Healing Powers of Homeopathy w;a yd mdo j, we;sfjk ysßh fydañfhdam;s ffjoH l%ufhka iqjlr .ksuq
Proud history of medicine sri lanka ,xldj - fi!LHh iy hymeje;afï f;da;ekak wdhq¾fõo ffjoH ,laIsld pkaøisß 118
fydañfhdam;s ffjoH wkQId fyaul=udß 107
fidau frda.h fkdfyd;a ldka;djka mSvdjg m;a lrk Yafõ; m%or frda.h l%sñrdc T!IOd,h wêm;s uydpd¾h" ffjoH iquKr;ak wur;=x. 111
uOqksud uyú, ,sms irKsh úmÍ; wdydr" YÍßhg jHdhduhla ke;slu ksid wfma rfÜ jeä fofkla oshjeähdjg k;= fjkjd''' ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKavdr 123
úIîc j,ska f;dr oE;lg úYajdifhka uÕ fmkajk budñ f.da,aâ Emami GOLD Turmeric Range 127
EDITOR'S NOTE mq¿,a oelaula Tiafia ck;dj jHdhduhg yqre lrjk cd;sl jHdmdrhla@ ;j;a wNsfhda.d;aul jQ zzkj jirlZZ iudrïNh iksgqyka fjkjd' 2021 lshkafk;a wmg wNsfhda.d;aul jirla' wfma rg;a" iuia; f,dalh;a 2020 j¾Ih uq¿,af,au .;lf<A fldúâ jix.;fha fyjke,s iu.ska' fï t<U we;s wNsfhda.h ch.ekSfï wfmalaIdjka fudaÿ fjñka ;snqK;a wk;=r kï lsisfia;au myj f.dia kE' wog;a iEu ojilu úYd, ixLHdjla ffjrihg f.dÿre fjkjd' f,dalh mqrd úYd, ixLHdjla fï SARSCoV-2 ffjrih wdidokh ùfuka wkfmalaIs;j iuq .kakjd' ñksiqka nyq;rhla ksfjia j,g fldgq fj,d' wd¾Ólh lvd jeá,d' wudrefjka fyda cSú;h .eg .id .kakg Y%u n,ldhka zzkj idudkHlrkhlgZZ wkq.; jkakg W;aidyhl fhfokjd' ta w;f¾ fï ld,hg fjfiia jákdlula we;s ud¾f.damfoaYKhla WHO Guidelines on physical activity and sedentary behaviour hk uefhka fkdjeïnrfha f,dal fi!LH ixúOdkh úiska t<s oelajQjd' ksoka.; frda." jix.; frda. wvqjla ke;s fï ld,fha ;ukaf.a fi!LHiïmkakNdjh wdrlaId lr .ekSug yd ldhsl l%shdldÍ njla" jHdhdu isß;la mj;ajd .; hq;af;a flfiao@ hkak fuhska fmkajd fokjd' fï ud¾f.damfoaYK ix.%yh f,dal fi!LH ixúOdkh fjkqfjka iïmdokh lsÍfï ld¾hhg ljo;a uq,a fjkafk wefußldj" hqfrdamh ´iafÜ,shdj jeks ngysr rgj, m¾fhaIlhka yd úoaj;=ka' fï miqìu ;=< wfma rfÜ lS¾;sOr l%Svd ffjoH úfYAI{fhl= fï lghq;a;g odhl;ajh ,ndÿkafka ol=KQ wdishdkq l,dmfha tlu m¾fhaIlhd jYfhka' Tyq fld<U úYAj úoHd,hSh ffjoH mSGfha lÓldpd¾h p;=rx. rKisxy' th fï mqxÑ rgg buy;a wNsudkhla nj fï wjia:dfõ fkdlshdu neye'
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January 2021
fld<U úYaj úoHd,hSh ffjoH mSGfha lÓldpd¾hjrfhl= jYfhka lghq;= lrk ffjoH p;=rx. rKisxy" l%Svd iy jHdhdu ffjoH úoHdj iïnkaOfhka wdpd¾h Wmdêhla ysñ tlu Y%S ,dxlslhdo fjhs' Tyq úiska isÿ lrk ,o zziajdhq jHdhdu yd Yla;s j¾Ol jHdhdu isÿ lsÍfuka oshjeähd frda.h md,kh lsÍug ,efnk iïudouZZ iïnkaOfhka isÿl< wOHhkh furg oshjeähd frda.Skaf.a cSú; j,g kj wdf,dalhla imhhkjd' fnda fkdjk frda. u¾Okh iïnkaOfhka fjfiia wOHhk j, ksr; jk ffjoH p;=rx. rKisxy ´iafÜ%,shdfõ ì%iafnkays laùkaia,kaâ fglafkdf,dcs úYaj úoHd,fha jHdhdu yd fmdaIK wOHhk iïnkaOfhka lÓldpd¾hjrfhl= jYfhkao lghq;= lrkjd' fujeks miqìula ;=< ffjoH p;=rx.g fï wOHhkfha m¾fhaIlfhl= jYfhka iqúfYaIS ld¾hNdrhl ksr; jqKd' Tyq ld,hla ;siafiau jHdhdu isß;a ck;djf.a fi!LHiïmkakNdjh fjkqfjka fhdod.ekSu iïnkaOfhka m¾fhaIK l<d' ta iïnkaOfhka ck;dj oeKQj;a lsÍfuys;a ksr; jqKd' Tyq fï iïnkaOfhka wfma rfÜ ú;rla fkdfjhs" iuia; f,dalfhau f.!rjdorhg ,lajQ m¾fhaIlfhla jk nj;a lsj hq;=hs' f,dal fi!LH ixúOdkh ol=Kq wdishd;sl l,dmSh úfYaI{fhl= jYfhka ms<s.ekSug ,la lr ;sîuu wfma rgg úYd, f.!rjhla' wo wfma rfÜ wikakg ,efnk m%Odk fi!LH ;¾ckh fldúâ jix.;h' ta;a oYl .Kkdjl isg fndajk frda. ;¾ckfhkq;a wm mSvdjg m;ajqKd' fldákau wfma m%d:ñl fi!LH fiajdj jf.au" iuia; frday,a moaO;shu miq.sh ld,h uq¿,af,a ;u bosß l%fudamdhka ie,iqï lf<A fï fnda fkdjk frda. ;¾ckhg uqyqK fokak' oshjeähd frda.SkA" wêl reêr mSvkh" fldf,iagfrda,a" ms<sld" wlaud frda.'' fï úosyg úYd, jYfhka fnda fkdjk frda. j,g ,lajqKQ wh jd¾;d jqKd' fï frda.Ska w¿f;ka we;sùu j<lajd,Sug úúO l%fudamdhka wfma m%;sm;a;s iïmdolhka y÷kajd ÿkak;a tys jeo.;au zzjHdhdu fldgigZZ jeä nrla fkd,enqKQ njghs wmf.a úYajdih' ta;a fï YdÍßl l%shdldÍ nj yd jHdhdu iïnkaOfhka jeä wjOdkhla c.;a uÜgfukau we;sj ;sfnk iuhl wfma ck;dj fi!LHiïmkak lrkakg jHdhdu j,ska odhl;ajhla ,ndoSu w;HjYH fjkjd' fï u. yereKQ wjYH;djh kj cjhlska n,.kajñka iudcfha ish¿ ia:r orejka" jeäysáhka" jhia.; ck.ykh" frda.Ska" .¾NKska" wdndê;hka''' fï ish¿ fokd tl fmdl=reg n,d;aul lsÍfï cd;sl jHdmdrhl wjYH;djh mek ke.S ;sfnkjd' fjfiiskau fï wm .; lrkafka b;sydifha wNsfhda.d;aul ld, mßÉfPAohla' f.org fj,d bkak" ógrhla ÿßka bkak" l%shdldrlï iSud lrkak jeks Wmfoia ;uhs jeäfhka ck;djg ,efnkafka' fufyu ldf,l fjkog jeä wjOdkhlska Tfí YrSr fi!LH /l.; hq;= fjkjd' fïl ;uhs wjYHu ld,h" tjf.au fyd|u ld,h' ta ksid ksrka;rfhka jHdhdu lsÍfï jeo.;alu iïnkaOfhka mq¿,a oelaula iys;j ck;dj oeKQj;a lsÍfï lsishï cd;sl jHdhdu jevigykla n,.kajkakg fï wjia:dj jvd;a WÑ;hs' DM
DOCTOR MAGAZINE
Bharata Gunathilaka - Editor in Chief doctormagazine.lk@gmail.com bharata.gunathilaka@gmail.com
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EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka MANAGING EDITOR Amitha Wickramarachchi FEATURE ASSOCIATES Dr. Roshan Zerideen Zaid Consultant Obstetrician Gynaecologist
Dr Chandana Sri Kanakaratna Geriatrician, Physician
Dr. Asanga Wijayaratne Specialist in Human Kinetics and Sports Medical Science
Dr. Samantha kumara Kitalawaarachchi Dr Palitha Bandara Subasingha Dr Nalaka Ranasingha Dr Janaka Premathilaka Dr Devinda Dayarathna Mr Sanjaya De Silva Mr S M D Senevirathna Ms Hashini Himanshika Maheshani Bandara CREATIVE PRODUCTION Manjula Kumara Gamage 077 1 2424 08 WEB ADMINISTRATOR Dumindu Dissanayake PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda. WAIDYAWARAYA Doctor Magazine is a intellectual property of Healthwatch Publications Viharakele, Diyatalawa. TEL: 057 22 29040 | FAX: 057 22 29040 E-MAIL: doctormagazine.lk@gmail.com HOTLINE: 077 3149084
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January 2021
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Health News
Health News iqmqj; .%dóh fi!LH fiajdj by< kexùugfi!LH lafIa;%fha m%ùK hka yd tlaj lghq;= lrkjd kj rdcH weue;s OQrfha jev wrUñka úfYaI { ffjoH iqo¾YskS lshhs
.%dóh fi!LH fiajdj by< kexùug;a" m%;sYla;slrK jevms<sfj< Yla;su;a lsÍug;a" fi!LH weue;sksh we;=¿ m%ùKhka iuÕ lghq;= lrk nj m%d:ñl fi!LH fiajd" jix.; frda. yd fldúâ frda. md,k lghq;= rdcH weue;s úfYaI{ ffjoH iqo¾ YskS m%kdkaÿ mq,af,a uy;añh ish OQrfha rdcldß wdrïN lrñka mejeiqjdh' ;uka m%cd fi!LH úfYaI{ ffjoHjßhla njg m;a lsÍu g rfÜ uyck;dj úiska úYd, wdfhdackhla l< nj;a" ta fjkqfjka ffjoHjßhla f,i jir 24la muK ld,hla úúO ks,;, orñka lghq;= lr" foaYmd,khg msúi kej;;a rg fjkqfjka fiajh lsÍu g ,o wjia:djla f,i fï wjia:dj i,lk njhs' fi!LH fiajdfõ m%d:ñl fi!LH fiajd" jix.; frda. yd fldúâ frda. md,k lghq;= rfÜ b;d jeo.;a wjYH;djlaj
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January 2021
DOCTOR MAGAZINE
;sfnk neúka" .%dóh fi!LH fiajdj ÈhqKq lr fldúâ md,kfha § m%;sYla;SlrKh ms<sn|j iqÿiq jevms<sfj<la l%shd;aul lrk f,i ckdêm;s ÿka Wmfoia wkqj" fi!LH weue;skshf.a kdhl;ajh hgf;a" fi!LH lafIa;%fha m%ùKhka iuÕ tlaj fi!Nd.Hfha oelau jevms<sfj< bÈßhg f.kshkak lghq;= lrk njo rdcH weue;sksh mejeiqjdh' tfukau fldúâ-19 md,kh lsÍug ish¨ fokdf.au iyfhda.h ;uka fj; ,ndfok f,i o rdcH weue;sksh b,a,Sula l<dh' úfYaI{ ffjoH wu,a y¾I o is,ajd m%d:ñl fi!LH fiajd" jix.; frda. yd fldúâ frda. md,k lghq;= rdcH wud;HdxYfha f,alïOQrhg úfYaI{ ffjoH wu,a y¾I o is,ajd uy;d m%d:ñl fi!LH fiajd" jix.; frda. yd fldúâ frda. md,k lghq;= rdcH wud;HdxYfha f,alïOQrfha rdcldß wdrïN lf<Ah'
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fuu wjia:djg fi!LH wud;H kS;s{" mú;%d jkakswdrÉÑ uy;añh iy m%d:ñl fi!LH fiajd" jix.; frda. yd fldúâ frda. md,k lghq;= rdcH wud;H úfYaI{ ffjoH iqo¾YskS m%kdkaÿmq,af,a uy;añho tlaj isáhdh' fi!LH fiajfha jir 34 l fiajd m<mqreoaolska iy fi!LH mßmd,k fiajfha wjqreÿ 24 l fiajd m<mqreoaolska hq;a úfYaI{ ffjoH wu,a y¾I o is,ajd uy;d óg fmr fi!LH wud;HdxYfha ksfhdacH wOHlaI ckrd,a ^ffjoH fiajd& II ;k;=f¾ fiajh lrk ,È' .d,a, lrdmsáh YslaIK frdayf,a iy <ud frdayf,a wOHlaIjrfhl= f,io fiajh lr we;s ta uy;d niakdysr m<d;a fi!LH fiajd wOHlaI f,io" fm!oa.,sl ffjoH ixj¾Ok wOHlaI" fi!LH wOHdmk ld¾hdxYfha wOHlaI" cd;sl T!IO wêldßfha iNdm;s f,io fiajh lr we;' ffjoH iNdfõ isõ fofklau bj;a lsÍu ksid úYd, w¾nqohla uydpd¾h fld,aúka .=Kr;ak úfYaI{ ffjoH ir;a .dñŒ o is,ajd Y%S ,xld ffjoH iNdfõ iNdm;s we;=¿ idudðlhska isjq fokl= ish Oqr ld,h doctormagazine.lk
ffjoH iNdfõ ysgmq iNdm;sjrekaf.a iyNd.s;ajfhka mej;S udOH yuqj
ksu ùug fmr bj;a lsÍu fya;=fjka úYd, w¾nqohla we;s ù ;sfnk nj uydpd¾h fld,aúka .=Kr;ak mejiSh' ta uy;d fï nj m%ldY lf<a ffjoH iNdfõ ysgmq iNdm;sjrekaf.a iyNd.s;ajfhka miq.shod meje;s udOH yuqjl§h' uydpd¾hjrhd fmkajd fokafka fuu l%shdj u.ska Y%S ,xld ffjoH iNdfõ iajdëk;ajh nrm;< wNsfhda. hlg ,laj we;s njhs' tfiau fuu l%shdj i|yd ffjoH wd{dmkf;a kS;suh m%;smdok fkdue;s nj;a" fuu.ska furg ffjoH Wmdê i|yd we;s cd;Hka;r ms<s.ekSuo ;¾ckhg ,laj we;s nj;a fyf;u lSfõh' tys § jeäÿrg;a woyia oela jQ uydpd¾h fld,aúka .=Kr;ak fufiao mejiSh' zzfuu ffjoH iNdj uq,skau 1926 § ;uhs l%shd;aul jqfKa' iuld,Skj tx.,ka;fha;a tjeks wdh;khla ìys jqKd' yenehs tx.,ka;fha ffjoH iNdfõ mk; 2018 jir jk úg 34 j;djla ixfYdaOkh lr,d ;sfhkjd' yenehs ,xldfõ mk; mqiald,d' ta úÈygu ;sfhkjd' tal f,dl= jrola' ta jf.au Y%S ,xld ffjoH iNdfõ idudðl;ajh 25hs' bka 16la jD;a;Sh iñ;sj, Wiia uÜgfï l%shdldÍka' tu 16 fokdu fuu iNdjg m;afjkafka Pkaohlska' Y%S ,xld ffjoH iNdfõ m%Odk;u j.lSu fjkafka ck;dj wdrlaId lsÍuhs' iuyr wh lshkjd ffjoHjre wdrlaId lrkak lsh,d' tal jerÈhs' Y%S ,xld ffjoH iNdj iy wksla rgj, ffjoH iNdjka ;sfhkafka hï m%{ma;shlg wkqjhs' ta jf.au th l%shd;aul lrk wmlaImd;S idOdrK l%ufõohla ;sfhkjd' yenehs furg tu l%shdoduh fjkia fj,d' Y%S ,xld ffjoH iNdfõ ysgmq idudðl úfYaI{ ffjoH ir;a .dñŒ o is,ajdo tys § woyia oelaùh'
January 2021
DOCTOR MAGAZINE
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PCR - Rapid Antigen Test l< frda.Ska ,shdmÈxÑhg App tlla PCR - Rapid Antigen Test l< frda.Ska ,shdmÈxÑhg App tlla Ndú;hg meñK ;sfí' fuu wema tl Ndú; lr iaud¾Ü cx.u ÿrl;khla uÕska PCR - Rapid Antigen Test j,g Ndckh jk whf.a f;dr;=re tu ia:dkfha§u ,shdmÈxÑ flfrk nj;a" tuÕska laI‚lj ridhkd.dr moaO;shg" fi!LH wud;HdxYhg yd jix.; frda. wxYhg tu f;dr;=re n,d .ekSfï yelshdj ,efnk nj;a ksfhdacH fi!LH wOHlaI ckrd,a úfYaI{ ffjoH iuka r;akdhl lSh' uykqjr cd;sl frdayf,a§ meje;s udOH yuqjl§ r;akdhl uy;d fï nj m%ldY lf<ah' fï ;=<ska wod< mÍlaIKj,g Ndckh flfrk mqoa.,hka ms<sn| f;dr;=re úYaf,aIKh lsÍu läkï jk njo fyf;u wjOdrKh lf<ah' 10
January 2021
DOCTOR MAGAZINE
LIST OF HOSPITALS FOR COVID-19 TREATMENT fldúâ wdidos;hkag m%;sldr lrk rcfha wdh;k fndajk frda. ms<sn| cd;sl wdh;kh Y%S ,xld cd;sl frday, YslaIK frday, - rd.u YslaIK frday, - lrdmsáh YslaIK frday, - wkqrdOmqr YslaIK frday, - l=reK., YslaIK frday, - hdmkh cd;sl frday, - uykqjr YslaIK frday, - uvl,mqj Èia;%sla uy frday, - .ïmy Èia;%sla uy frday, - ó.uqj YslaIK frday, - r;akmqr m<d;a uy frday, - nÿ,a, ßÊfõ wd¾hd <ud frday, o fidhsid ldka;d frday, Èia;%sla uy frday, - fmdf,dkakrej Èia;%sla uy frday, - l¨fndaú, ldi,a ùÈfha YslaIK frday, uQ,sl frday, - yïnkaf;dg uQ,sl frday, - fudKrd., uQ,sl frday, - je,slkao Èia;%sla uy frday, - l¿;r <h frday, - je,sir uQ,sl frday, - uq,af,aßhdj uQ,sl frday, - fydaud.u fkú,a m%kdkaÿ frday, Èia;%sla uy frday, - y,dj; Èia;%sla uy frday, - ud;r fld;,dj, wdrlaIl úYaj úoHd, frday, Èia;%sla uy frday, - jjqkshdj uQ,sl frday, - udrú, oYslaIK frday, - Y%S chj¾Okmqr uQ,sl frday, - fírej, uQ,sl frday, - ld;kal=ä uQ,sl frday, - ñkqjkaf.dv kdúl yuqod frday, DM
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Theme of the Month
ieu mshjr oyia jà Every Move Counts jHdhdufha ienE wre; fi!LHiïmkak cSú;hhs' oS¾>dhqIhs' Key Messages ² tl ;ek jdäù isák ld,h wvq lrkak' ² lsisu jHdhduhla fkdlrkjdg jvd mqxÑ jHdhduhla fyda lsÍu w.fkah' ² iEu YÍrh fjfyik lghq;a;lau Tfí hym;ghs' ² fmaYs iún, .ekaùfï jHdhdu (Muscle-strengthening activities) iEu flfkl=gu hym;a m%;sM< i,ihs'
jHdhdu imsß l%shdldÍ cSú; j,g fhduqùfuka f,dalfha jd¾Islj isÿjk ñ,shk myl urK j<lajd .; yelshs' doctormagazine.lk
January 2021
DOCTOR MAGAZINE
11
GUEST EDITORIAL Every Move Counts cSú;hg wdorh lrkjd kï YÍrhg l%shdldÍ meje;aula ,nd fokak ksrka;rfhka jHdhdu isß;la mj;ajd .kak''' Physical Activity lshkafka l%shdldrS ùu' wms jeä fofklaf. lsishï YdÍßl l%shdldß;ajhla ;sfhkjd' yeuodu jevg hk tl' lkaf;darefj mäfm< k.sk tl' nvq .kak lvm<g hk tl" j;af;-msáfh" l=Uqfr jev lrk tl" l¾udka;Yd,dfj wfma /lsrlaId''' fïjf.os wm lsishï YdÍßl l%shdldß;ajhla mj;ajd .kakjd'
jeä fofkla wfma nd, mrïmrdj yd ;reK ;reKshka ùuhs' tla w;lska Tjqka M<odhS lghq;a;l l%shdYS,Sj fhfok tl ke;s fjkjd' wfkl Tjqka lhg yß yuka jHdhduhla ke;sj frda.Ska fjkjd'
rEm fmÜáhg hgùu fï lïue,slug f.jk cSú;hg myqKQ oYl j, jeä osß.ekaùula tlajqKd' b;du krl osß .ekaùula' rEmjdysksh wkjYH ;rï ld,hla n,k tl''' lisln,a fg,s kdgH n,ñka fydard .Kka .; lrk fldhs ;rï fokd fï iudcfha bkakjdo@
oijirlg miq f,dal fi!LH ixúOdkfhka ud¾f.damfoaYKhla miq.sh fkdjeïn¾ udifha f,dal fi!LH ixúOdkh jHdhdu yd YdÍßl l%shdldÍ nj iïnkaOfhka b;d jeo.;a m%ldYhla t<soelajQjd' fïl WHO Guidelines on physical activity and sedentary behaviour hkqfjka kï ,enQ tu ,sheú,a, jHdhdu lsÍu i|yd ud¾f.damfoaYKhla' ;ukaf. YÍrfha meje;au ;sr lr.kak" lsishï wikSm ;;a;ajhla ;sfhkjd kï th md,kh lr.kakg" fi!LHiïmkak cSú;hla .; lrkakg jf.au wvq jhiska fudf,dj w;ayer hdu fjkqjg oS¾>dhqI úkaokh lsÍug Tn f;dard.; hq;= jHdhdu iy Wmfoia iïnkaOfhka tys i|yka fjkjd'
;reK mrïmrdj .s,.kakd cx.u ÿrl:k fïlg B<Õg tla jqfKA ;j;a Bg;a jvd Nhdkl fohla' cx.u ÿrl:kh' cx.u ÿrl:kh ksid;a wo tl ;ek bkak ld,h úYd, jYfhka jeä fj,d' jvd;au nrm;, ldrKh jkafka fï cx.u ÿrl;kfha isrjqKQ
idudkHfhka f,dal fi!LH ixúOdkh jHdhdu iïnkaOfhka ;u ud¾f. damfoaYK hdj;ald,Sk lsÍula isÿ lrkafka
jHdhdu (Exercise) l%shdldÍ ùfï jeo.;a Ndú;djla' th YdÍßl fhda.H;djh jeä lrñka ixúOdkd;aulj YdÍßl l%shdldÍ njla mj;ajd .ekSuZZ jYfhka jvd;a mq¿,aj wre;a .ekaúh yelshs' YdÍßl l%shdYS,SNdjh fndfyda úg wmg ,efnkafka wm ta wruqKska" ta jqjuKdfjkau lrk lghq;a;lska fkdfjhs' wm lsishï lghq;a;l ksr; fjkjd' ta i|yd wmg lh lsishï m%udKhlska fjfyikakg isoaO fjkjd' talfk we;a;' ta;a jHdhduhla flfkla lrkafk" oeka jHdhduhla lrkak ´ks' YÍrhg jHdhduhla ,ndfokak ´ks lshk" ta fjkqfjkau lemjqKQ is;sú,a,lskqhs' ;j;a flfkla jevla fkdlr Tfya bkakg n,kjd' jevla fkdlr Tfya jdäfj,d bkak fj,dj''' fï w,ij .; lrk fj,dj lsh, lshkak mq¿jka' fïl Sedentary Behaviour lsh, lshkjd' fuh b;d Nhdkl p¾hdjla nj fï jk úg m¾fhaIlhka y÷kdf.k ;sfnkjd'
12
January 2021
DOCTOR MAGAZINE
doctormagazine.lk
jir oyhlg jrla' óg fmr wjika jrg jHdhdu ud¾f.damfoaYK t<soelaùula isoaO flrefKa 2010 j¾IfhaoS' bkamiqj 2020 fkdjeïnrfha t<s oelajqKQ ud¾f.damfoaYK' fï kj;u ud¾f. damfoaYK ck;djf.a fi!LHiïmkakNdjh fjkqfjka lafIA;%fha yerjqï ,laIhla iksgqyka l<d lsjfjd;a th ksjeroshs'
lS¾;su;a BMJ ffjoH c¾k,fha ifydaor m%ldYKhla jk BJSM, British Journal of Sport & Exercise Medicine fuu WHO Guidelines on physical activity and sedentary behaviour ud¾f.damfoaYK yqjd oelaùug ksl=;a l< úfYaI fj¿u' ;;a ud¾f.damfoaYK ix.%yh iïmdokhg oYl .Kkdjla ;siafia zzudkj jHdhdu isß;a yd w,ij osú f.ùuZZ iïnkaOfhka uydoaùm yfha úúO m¾fhaIlhka t<soelajQ m¾fhaIK jd¾;d Wmfhda.S lr.;a y;r tajd iudf,dapkh lrñka fuu ud¾f.damfoaYKh t<soelaùug m¾fhaIlhka y;,syl ixLHdjla iyNd.s úh' ffjoH p;=rx. w,aúia fï i|yd odhl;ajh oSug kï flreKQ tlu ol=KQ wdishd;sl m¾fhaIlhd fjhs'
doctormagazine.lk
i;shlg jHdhdu úkdä 150-300l wju jHdhdu yd l%shdYS,S ld,hla óg fmr 2010 j¾Ifhaos ksl=;a flreKQ jHdhdu ud¾f.damfoaYK u.ska ojilg meh nd.hla jHdhdu lrkakg yd l%shdYS,S jkakg osß.ekaùula flreKd' ta wkQj wm ish¿ fokdu ojilg meh nd.hla jHdhdu lf<d;a fyd|hs lshk oeKQj;a ùu ;snqKd' ta;a tal oeä b,a,Sula wjOdkh fhduq lsÍula jqfKA kE' mq¿jka wh''' leu;s wh tfyu l<d''' id;sYh nyq;rhla jHdhdu .ek ta ;rï ie<ls,a,la oelajQfh kE' fmaYs iúu;a lrk jHdhdu j,g;a jeä fhduqjla 2010 jHdhdu ud¾f.damfoaYK j, fjka fjka jYfhka fï jHdhdu .ek úia;r lsÍula fkdjqK;a fuysoS jeä wjOdkhla fhduq lf<A iajdhq jHdhdu flfryS' weúoSu" osùu" nhsisl,a meoSu jeks jHdhdu flfryS lsishï wjOdkhla myqkq ld,h ;=< fhduq jqfKA tys m%;sM<hla úosyghs' ta;a fujr kj ud¾f.damfoaYK j, úfYAI;ajhla ;uhs" fmaYs iún, .ekaùfï jHdhdu j,go iajdhq jHdhdu j,g ÿka jeo.;a ia:dkhu ,ndoSu' tajd i;shlg osk follg jeäfhka l< hq;= hhs ks¾foaY flfrkjd' fï ksid fmaYs iún, .ekaùfï jHdhdu iïnkaOfhka bosßfhaoS iuia; f,dalfhau wjOdkh oskd.kakjd we;s' jeo.;a jkafka jHdhdu muKla fkdj l%shdYS,Sj isàu flfrySo fujr fjfiiska olajd we;s wjOdkhhs' jev lrk ia:dkfha" .uka ìuka hk úg YrSrhg ,efnk jHdhduho jeo.;a' fï Wmfofiys idOKSh jQ mßj¾;khla isÿjqKd' zzojilg meh nd.hla fkdfjhs i;shlg úkdä 150-300l wju jHdhduhla Tn yefudagu ;sfhkak ´ks' tfyu jqfKd;a ;uhs wfma ck;dj uqyqKmdk f,vfrda. wNsfhda.h l,aodkak" kj;ajkak mq¿jka fjkafk' urKhg m;a fjk ixLHdj wvq lrkak yels fjkafk'''ZZ lshk mKsúvh kj;u ud¾f.damfoaYKfha ,nd oS ;sfnkjd' lïue,s lug kï cSúf;a f.fjkak fokak tmd''' No, Sedentary Behaviour fuu ud¾f.damfoaYK j, b;d jeo.;a ;j;a ldrKhla ;uhs lsisu wdldrhlska lh fjfyikakg Wkkaÿjla ke;s whg fok mKsúvh' lïue,sj osú f.jk tl wfma w¿;a p¾hdjla' biair ñksiaiq tfyu kE' wo wfma iudcfha jeä fofkla osjd ldf,;a jdä fj,d bkak''' meh .Kka wef|a bkak leu;shs' tfyu lïue,sj cSj;a fjk wh ljqo@ jhia.; Woúh@ f,v frda. ;sfhk Woúh@ ta wh kï neßh''' ^kuq;a" ta wh;a l%shdYS,Sj isáh hq;=hs'& yß yeá jHdhduhla ke;s wfma YsIHhka" ;reK-;reKshka fldhs ;rï kï bkakjdo@ Tfya jdä fj,d fmdaka Tn Tn bkak wh' rEm January 2021
DOCTOR MAGAZINE
13
GUEST EDITORIAL
fldúâ jix.;h yuqfõ wod, m¾fhaIK jd¾;dj t<s oelaùug f,dal fi!LH ixúOdkh úiska fjìkd iuq¿jla mj;ajk ,oS' fï ta iïnkaOfhka f,dal fi!LH ixúOdkh ksl=;a l< igyk
fmÜá j, meh .Kka bkak Woúh' fï ;;a;ajh yßu nrm;,hs' f,dal fi!LH ixúOdkfha kj;u ud¾f.damfoaYK j,ska Th" zzTfya bkakZZ whg oeä wk;=re weÕùï lrkjd' wvq jhfika f,v frda. j,g k;= fjhs''' wn, ÿn, fjhs' blauKska ueß, hhs'''
yefudagu fjk fjku jHdhdu Wmfoia ;sfhkjd fujr ud¾f.damfoaYK j, úfYAI;ajhla ;sfnkjd' f,vfrda. j,ska úfYAIfhkau wêreêr mSvkh" fldf,iagfrda,a" oshjeähdj jf.a ksoka.; frda. j,ska fmf<k whg''' ta jf.au .¾NKS ldka;djka" orejka m%iQ; l< w¿; ldka;djka jf.au wdndê;hkag mjd''' orejkag''' jeäysáhkag úfYAIs; jHdhdu Wmfoia ,ndoSu' fï ksid Tjqkag ;ukaf. fi!LHh /l.kakg jf.au tys m%;sM<hla úosyg f,vÿla j,ska wE;a ù fi!LHiïmkak cSú;hla .; lrkakg wjia:dj ie,fikjd'
jHdhdu lrkak ners kï mqxÑ l%shdldrlul fyda ksr; fjkak" th;a Tng hym;la lrkjd''' ;j;a b;d jeo.;a ldrKhla jkafka jHdhdu lrkaku neß kï jdäfj,d bkak tl fjkqjg lsishï fyda lh fjfyiSula lsÍu jeo.;ah hkak' fuh ld,hla ;siafia tla/ia lr.;a m¾fhaIK f;dr;=re Tiafia wkdjrKh lr.;a b;du jeo.;a wkdjrKhla'
jeäÿrg;a f,dal fi!LH ixúOdkh fï jdäfj,d" ksodf.k yd jevla fkdlr bkak ld,h b;du flá lrkak lsh, Wmfoia fokjd'
fudkj;au fkdlr bkakjdg jvd fudlla yß weÕ fjfyik lghq;al fhÿfKd;a thskq;a Tng ;sfhk fkdfhl=;a fi!LH wjodkï wvq fj,d" bj;a fj,d" Tfí hym;g th fya;=jla jk nj yd Tfí cSú;fha .=Kd;aulNdjhg th bjy,a jk nj kj;u ud¾f. damfoaYK j, oelafjkjd' jeäÿrg;a f,dal fi!LH ixúOdkh fï jdäfj,d" ksodf.k yd jevla fkdlr bkak ld,h b;du flá lrkak lsh, Wmfoia fokjd'
fuu ud¾f.damfoaYK ix.%yh" jHdhdu b;sydifha ikaêia:dkhla' f,dal fi!LH ixúOdkh c.;a ;,fha úfYAI{hkaf.a" m¾fhaIlhkaf.a iyfhda.h ,ndf.k l< fï wkdjrKhka" ta
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January 2021
DOCTOR MAGAZINE
doctormagazine.lk
Tiafia ,ndfok jHdhdu ud¾f.damfoaYK iuia; udkj ix;shguhs' cd;s" wd.ï" foaYiSud fNao ke;sj ñksidf.a hym; fjkqfjka yªkajd ÿka fï kj ud¾f.damfoaYK iïnkaOfhka mßiudma; újrKhla fujr zzffjoHjrhdZZ iÕrdfjka Tn yuqjg f.k tkjd' tajdhska Tng wjYH fldgi ;ukag .,mdf.k jHdhdu imsß cSú;hlg yqre ùfuka Tng ,efnkafka wka ish,a,gu jeä jákdlue;s ;ukaf.au zzcSú;hhsZZ ksfrda.S njhs' wdhq wdfrda. Hhhs' ksrka;rfhka YÍrfha l%shdldÍ nj" jHdhdu isß;la mj;ajd .ksñka Tfíu cSú;hg wdorfhka i<lk f,i wm Tfnka b,a,d isákjd' DM
ffjoH p;=rx. w,aúia l%shdYS,S ùu yd WodiSk p¾hd iïnkaO c.;a ud¾f.damfoaYK ixj¾Ok lñgq idudcsl f,dal fi!LH ixúOdkh
doctormagazine.lk
fldúâ frda.fhka ck;dj fírd.kakg zzlmksudZZ oshjeähd frda.Skaf.a iqjh yd ÑrcSjkh Wfoid háhkaf;dg fjof.or foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKAvdr uy;aud ^uyú, fjouy;aud& fldúâ frda.Skaf.a iqjh Wfoid ixialrKh lrk ,o uyd¾> Tiqj zzlmksudZZ foaYSh ffjoH isisr chfldä uy;d fj; Ndrÿka wjia:dj' zzlmksudZZ foaYSh ffjoH wud;HxYh u.ska idhksl m¾fhaIK j,g Ndckh lrñka ;sfnk w;r thska ,efnk id¾:l;ajh u; wfma rfÜ ck;djg buy;a wNsfhda.hlaj we;s fldúâ jix.;fhka fï rfÜ ck;dj wdrlaId lrKQ msKsi fhdod .ekSug n,dfmdfrd;a;= fjhs' fujka m¾fhaIK ld¾hhl ksr; fjñka fy< Tiq wdkqmdk weiqf¾ fujka T!IOhla ksmoùug .;a W;aidyh iïnkaOfhka foaYSh ffjoH wud;Hjrhd fya uQ chiQßh nKavdr uy;dg ia;+;sh m< lf<ah' DM
January 2021
DOCTOR MAGAZINE
15
D•Magazine /
Theme osú iqrlsk jHdhdu
EVERY MOVE COUNTS ieu mshjr oyia jà osú iqrlsk jHdhdu f,dal fi!LH ixúOdkfha kj;u ud¾f.damfoaYK fld<U úYaj úoHd,hSh ffjoH mSGfha lÓldpd¾h ffjoH p;=rx. rKisxy
16
January 2021
DOCTOR MAGAZINE
doctormagazine.lk
² orejkag yd .egjrhkag iqÿiq jHdhdu ² jeäysáhkag iqÿiq jHdhdu ² jhia.; Woúhg iß,k jHdhdu ² .eìKs ldka;djkag yd orejka m%iQ; l< uõjrekag Tìk jHdhdu ² ksoka.; frda. j,ska fmf<k whg fhda.H jHdhdu ² wdndê; orejkag iqÿiq jHdhdu ² wdndê; jeäysáhkag iqÿiq jHdhdu ksfrda.S njg jeä ;j;a iïm;la ;j;a ke;' ta neõ Ydia;Dka jykafia,d mjd foaYKd lr ;sfí' wfma is;eÕs oyil=;a tlla wfmalaIdjka uqÿka muqKQjd .kakg kï wm ksÿlska ksfrda.Sj" fomhska ke.S isg .; hq;=h' tfy;a''' wo wm .; lrkafka zzksfrda.S iïm;ZZ úIfhys wNsfhda.d;aul jQ ld,mßÉfPAohls' hka;ï fl<s fof,ka miqjk orejkag mjd oshjeähdj yefok" wêreêr mSvkfhka" fldf,iagfrda,a j,ska mgkaf.k úúO yoj;a frda." ms<sld wfma cSú; j,g ;¾ckh lrk zzf,äka wvqjla ke;sZZ wnqoaoiai ld,hlg wm idlaIslrejka ù isáuq'
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óg biair kï wfma uq;=ka ñ;a;kag lh fjfyid jev lrkakg .f;a iúh ;snqfKah' ljr wNsfhda.hla jqj ch .kakg ;ekam;a ukila ;snqfKAh' wo wfma wdydr isß; fkdmsg fmr<s,dh' wfma /lshd" úfkdaodiajdo iu.ska tl ;ek fydard .Kka m,afjk cSú; j,g wm wkq.; ù isáuq' fkdmsg fmr¿KQ wdydr isß;;a" jHdhduhla fkdue;s Wlg,S cSú;h;a" ta yefrkakg oyil=;a tlla .eg¿ w;f¾ Toao,a jQ ufkdaNdjhlskq;a wo ojfia wm jeä fofkla frda.Ska njg m;aj yudrh'''' jHdhdu ke;slu fndfyda fi!LH .eg¿ j,g mdr lshhs' fï ksid ia:Q,;djh iq,n ù ;sfnk w;r oshjeähdj" yDo frda." ms<sld''' ;j;a fndfyda frda. wmg w; jkñka isà''' jHdhdufha jeo.;alu wka ljrodg;a jeäfhka oefkkafka fï wNsfhda.d;aul miqìu ;=<h' f,dal fi!LH ixúOdkh miq.sh fkdjeïnrfha lïue,slfuka cSú;h .; lsÍfï wjodku .ek;a" jHdhdufha jeo.;alu .ek;a b;d jeo.;a ,sheú,a,la ilia lr m%ldYhg m;a lf<Ah' uydoaùm mfya m¾fhaIlhka 40lg jeä m%udKhla iyNd.sj isÿlrk ,o úi,a wOHhkhl m%;sM<hla jYfhka m%ldYhg m;a flreKQ fï ,sheú,a, WHO Guidelines on physical activity and sedentary behaviour hkqfjka kï lrKQ ,eîh' fldúâ jix.;h yuqfõ f,dalhu lsishï ksfjig iSud ùï" fodr.=¿,Eï" ksfrdaOdhkh ùï weiqf¾ l,a .; lrk iuhl fuhska f,dalhgu ,enqfKA W;af;ackhls' wjika jrg f,dal fi!LH ixúOdkh jHdhdu iïnkaOfhka ks¾foaY bosß mla lrk ,oafoa 2010 j¾IfhaoSh' kuq;a fujr ud¾f.damfoaYK ud,dj tu oYlhlg fmr ,sheú,a,g jvd fndfyda ÿr .sh tlla úh' tod fuod ;=r ñksia ix;;sh uqyqK mE zzfnda fkdjk frda.ZZ ;¾ckh yuqfõ m%:u jrg orejkag" jeäysáhkag" .¾NsKS yd miq m%ij ld,h .; lrk ldka;djkag" ksoka.; frda. j,ska fmf<kakkag" wdndê; orejkag wdoS jYfhka fjk fjku jHdhdu ks¾foaY fuys oelajqKQ w;r jHdhdu lsrSfï jeo.;alu fudkjg fmkajd oSug fuu.ska iu;aj ;sfí'
January 2021
DOCTOR MAGAZINE
17
D•Magazine /
Theme osú iqrlsk jHdhdu
ojfia jeä ld,hla tl ;ek b|f.k isàfuka meK k.sk fi!LH wjodku fmkajd foñka iEu flfklau jHdhdu .ek ie<ls<su;a úh hq;= nj;a tfy;a fudkj;au fkdlr isákjdg jvd iq¿ fyda weÕ fjfyiSula l< yels kï thskao hym;a fi!LH m%;s,dN ,efnk nj;a tu.ska fmkajd ÿkafkah' jHdhdu iïnkaOfhka fujka c.;a ;,fha mßiudma; iudf,dapkhla isÿ flrefKa m<uq j;djgh' ta ksidfjkau f,dalfha fndfyda fokdf.a l;dnyg fuu ud¾f.damfoaYK ,lajQ w;r th kj udkj ix;;sh mßÉfPaohl wdrïNhlg bv i,ik jeo.;a mshjrla f,i i<lkakg úoaj;=ka mshjr .;ay' fu ud¾f. damfoaYK Ydia;%Sh iÕrd j, mqj;a ujkakg jQ w;r The British Journal of Sports Medicine (BHSM) úfYAI ljrfha l;djlao lf<Ah' KEY MESSAGES 01 jHdhdu yd YÍrhg fjfyi fok l%shdldrlï j, ksr; ùu yoj;g;a" YÍrhg;a ukig;a hym;a f,i n,mdhs' ksrka;rfhka YÍrhg jHdhdu ,efnk l%shdlrlï j, ksr; ùfuka yoj;a frda." fojk wdldrfha oshjeähdj yd ms<sld wdoS frda. j<lajd .ekSug;a tajd md,kh lsÍug;a msgqjy,la ,efnhs' by; oelajQ frda. ksid f,dalfha y;frka ;=kl ck;djla fuf,dj yer hhs' YdÍÍl jHdhdu ixldj yd úYdoh jeks wjmi ufkdaNdjhka wvq lrkakgo is;Su" Odrkh bf.kSu yd iuia; hy l%shdldß;ajh msKsio fya;= fjhs' 02 lsisu jHdhduhla fkdlrkjdg jvd mqxÑ jHdhduhla fyda lsÍu w.fkah' ukd fi!LH ;;a;ajhla mj;ajd .ekSug Wfoid i;shlg iajdhq jHdhdu wvq ;rfï ñks;a;= 150-300 w;r ld,hla isÿ l< hq;= hhs f,dal fi!LH ixúOdkh ks¾foaY lrhs' jhdhdu yereKQ úg Bg iudk YdÍßl l%shdldrlï j, fhfok f,io ks¾foaY lrhs' orejkag yd
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January 2021
DOCTOR MAGAZINE
fh!jKshka fukau jeäysáhkago fuu ks¾foaY wod,h' i;shlg úkdä 300" idudkHfhka osklg meh nd.hl jHdhdu mx.=jls' 03 iEu YÍrh fjfyik lghq;a;lau jeo.;a fjhs' Tfí /lshdfõ fldgila jYfhka" l%Svdjl kshe,Sula jYfhka" úfkdao lghq;a;la f,iska fukau weúo hdu" nhsisl,fhka .ukl fhoSu fukau tosfkod .Dy wjYH;djhkayS ksr; ùu fï ljr lghq;a;la fyda Tfí YdÍßl jHdhdu wjYH;djh bgq lrfohs' 04 fmaYs iún, .ekaùfï jHdhdu iEu flfkl=gu hym;a m%;sM< i,ihs' jhi wjq' 65 yd Bg jeä mqoa.,hka i|ydo jHdhdu wjYHh'
doctormagazine.lk
thska YÍrfha ;=,s;;djh" iudfhdackh" fmaYs Yla;su;a ùu wdosh ksid weo jefgkakg we;s bvlv wju jk w;r hym;a fi!LH ;;a;ajhla mj;ajd .ekSug msgqjy,la ,efí'
05
os.= ld,hla w,ij isàu" tl ;ek jdäù isàu fi!LH msßySug fya;=jls' thska yoj;a frda." fojk wdldrfha oshjeähdj we;s ùfï wjodku by< hhs' lsisÿ jevla fkdlr w,ij isák fõ,djka yels;dla wju lr.kak'
06 YÍrh fjfyiùfuka yd w,ij f.jk cSú;fhka ñoSfuka iEu flfkl=gu fi!LH m%;s,dN ie,fia' .¾NKS ldka;djka" orejka m%iQ; l< ldka;djka fukau ksoka.; frda. j,ska fmf<k whgo" wdndê;hkago fuh wod,h'
jHdhdu imsß l%shdldÍ cSú; j,g fhduqùfuka f,dalfha jd¾Islj isÿjk ñ,shk myl urK j<lajd .; yel' Every Move Counts uOHia: m%udKfha YdÍßl l%shdldrlï (Moderate-intensity activity) ksid Tnf.a yoj; fõ.fhka iamkaokh fjhs' Tfí YAjik fõ.h jeä fjhs' jeä Yla;shla fhfok jHdhdu Vigorous-intensity activity) isÿ lsÍfuka Yajikh fõ.j;a fjhs' Tn Tfí fmaYs iúu;a lrk jHdhdu .eko fjfiiska ie<ls<su;a úh hq;= ke;' ldhj¾Ok uOHia:dkfhaoS fukau ksfjfiaoSo fmaYs iúu;a lrk jHdhdu j, ksr; ùug Tng wjia:dj ;sfí' DM
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January 2021
DOCTOR MAGAZINE
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Aerobic Exercise iajdhq jHdhdu lshkafka fudkjdo@
Aerobic exercise Training (AT) and Resistance exercise Training (RT)
iajdhq jHdhdu lshkafka fudkjdo@ Yla;s j¾Ol fkdfyd;a fmaYs iún, .kajk jHdhdu lshkafka fudkjdo@ fld<U úYaj úoHd,hSh ffjoH mSGfha lÓldpd¾h ffjoH p;=rx. rKisxy MBBS (Col), D.Sp.Med.(Col), PhD (Aus) Lecturer, Department of Allied Health Sciences Faculty of Medicine,University of Colombo,Sri Lanka Specialist in Sports and Exercise Medicine Visiting fellow, School of Exercise and Nutrition Sciences
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January 2021
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doctormagazine.lk
wm fndfyda fofkla zzjHdhduZZ lrkafka ke;' jHdhdu lrk fndfyda fofkla fmaYs iúu;a lrk jHdhdu lrkafkao ke;' weúoSu" osùu" nhsisl,a meoSu" l÷ ke.Su" msyskSu wdoS jHdhdu ñi vïfn,a fhdodf.k lrk nr mx;s jHdhdu yd fjk;a ldhj¾Ok uOHia:dk.; jHdhdu lrkafka ke;' f,dal fi!LH ixúOdkh 2020 ud¾f.damfoaYK j, i|yka m%Odk mKsúv w;r iajdhq jHhdu yereKQ úg Yla;s j¾Ol jHdhduo w;sYhska jeo.;a jk nj fmkajd fohs' zzug Th csï hkak kï nE'''ZZ tfyu lshk who isà' ldhj¾Ok jHdhdu lrkakg ldhj¾Ok uOHia:dku wjYH ke;' tjd Tfí ksfjfia isguo l< yel' ta iïnkaOfhka l;d lsÍu mfil ;nd fï jHdhdu iïm%odfha fojeoEreï jHdhdu l%u iïnkaOfhka l;dnylg fï wjia:dj lr .ksuq' m%Odk jHdhdu ldKav 1' iajdhql jHdhdu ^Aerobic Exercises& fkdfyd;a yD;ajdysksl jHdhdu ^Cardiovascular Endurance Exercises& 2' Yla;s j¾Ol jHdhdu ^Strength or Resistance Training& jYfhks' iajdhql jHdhdu Aerobic Exercises ksfrda.S cSú;hla m%d¾:kd lrk ´kEu flfkl=g tosfkod myiqfjka l< yels jHdhdu ldKAvh hg;g .efkkafka iajdhql jHdhduhs' fmKy¿ fukau yDoho Yla;su;a lrkakg fïjd fya;= jk ksidfjka tajd yD;ajdysksl jHdhdu (Cardiovascular Endurance Exercise) hk kñkao ye|skafjhs' fuu jHdhdu j,oS yqiau fyd|ska by< my< .ksñka ßoauhdkql+,j udxYfmaYs p,kh lsÍula isÿ lrhs' iajdhql hkq YÍrfha Yla;s oyk l%shdj,sh Tlaiscka jdhqj m%Odk jYfhka fhdod .ksñka isÿ lsÍuhs' fmKy¿ yd yDoh Yla;su;a lsÍug yd ld¾hlaIu lsÍug fï jHdhdu WmldÍ fjhs' YÍrfha ord.ekSfï yelshdj oshqKQ fjhs' doctormagazine.lk
iajdhql jHdhdu lsÍfuka ,efnk hym;a m%;sM, iajdhql jHdhdu isÿ lsÍfuka jeä yDo iamkaok fõ.hlska" È.= fõ,djla úêu;aj reêrh fmdïm lsÍug yDoh jia;=jg yelshdj ,efí' reêrfha iSks j, md,khla we;sùu yereKQ úg reêr mSvkh" fldf,iagfrda,a md,kho w;am;a jkq we;' Tfí isref¾ Yla;sh yd ord .ekSu oshqKq fjhs' tuksid" ks;sm;d iajdhq jHdhdu lrk Tfí isrerg wmQ¾j iqjodhl njla oefkkq we;' iajdhql jHdhdu fyd|ska yqiau by< my< .ksñka YÍrfha udxYfmaYs ßoauhdkql+,j p,kh lrñka isÿ lrk jHdhdu fï hg;g .efka' ² weú§u ² Èùu ² msyskSu ² nhsisl,a me§u ² k¾;kh ² meismkaÿ" fjd,sfnda,a neâñkagka" fgksia jeks l%Svd mäfm<la ke.Su ² lkaola ke.Su ² j;af;a fjfyiS jev lsÍu
January 2021
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Aerobic Exercise iajdhq jHdhdu lshkafka fudkjdo@
weúoSu" osùu" msyskSu jeks iajdhql jHdhdu j, fhoSfuka yDoh fukau fmKy¿o Yla;su;a fjhs
fï úosyg iajdhq jHdhdu j, fhfokak meh nd.hla ne.ska osk myla j;a wju jYfhka úkdä 10 fldgia f,i jHdhdu isÿ l< yel' jeo.;a jkafka Tn jHdhdu fkdlr isákafka kï th lsÍug mgka .ekSuhs' úkdä 10 fldgia f,i uq,skau mgkaf.k l%ufhka tajd jeä oshqKQ l< yel' ks;sm;d l=vd m%udKhkaf.ka fyda jHdhdu lsÍu osk 1-2la jeämqr jHdhdu lsÍug jvd fhda.H fõ' idudkH ;Sj%;djhl isg oeä ;Sj%;djhla olajd j¾Okh jk jHdhdu (Moderate-to-vigorous intensity Exercises) osklg meh nd.hla ne.ska i;shlg osk myla j;a l< hq;=h' Yla;s j¾Ok jHdhdu Strength or Resistance Training Yla;s j¾Ok jHdhdu m%;sfrdaO mqyqKq jHdhdu hkqfjkao y÷kajhs' udxYfmaYs j,g m%;sfrdaOhla oelaùu fuu ldKavfha jHdhdu u.ska isÿl< yel' Yla;s j¾Ol jHdhdu isÿ lsÍfï m%;sM, 1' fuu.ska YÍrfha udxYfmaYsj, Yla;sh" m%udKh yd .=Kd;aulNdjh jeäfõ' 2' YÍrh kshñ; nrl mj;ajd .ekSug WmldrS fõ' (Waight Management and maintainance during
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January 2021
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weight reduction process) 3' YÍr mßjD;a;Sh fõ.h jeäfõ' Increased Basal Metabolic Rate (BMR)
Tn uE; ld,h ;=< t;rï jHdhduhl fkdfhÿKQ flfkla kï Tn fjfyilr jHdhdu j,g tlajru fkdhd hq;=h' iqÿiqlï ,;a jHdhdu mqyqKQlrefjl=f.a fiajh ,nd .ekSu jvd;a iqÿiqh'
doctormagazine.lk
úhm;a Woúh iq¿ l%shdldrlï j, fhoSfukao ;u YdÍßl fhda.H;djh mj;ajd .kshs' 2020 f,dal fi!LH ixúOdk ks¾foaY j,g wkQj lsisjla fkdlr isákjdg jvd l=ula fyda isÿ lsÍuo hym;a fi!LH ;;a;ajhla mj;ajd .ekSug Wmldr fjhs
Yla;s j¾Ol jHdhdu lsÍfuka ,efnk hym;a m%;sM, 1' Yla;s j¾Ol jHdhdu j, fhoSu u.ska isref¾ wu;r fïoh laIh ù" fïoh rys; udxY fmaYs j¾Okh jk w;r" tu.ska Tfí isref¾ wu;r fïo oykh ;jÿrg;a ld¾hlaIu fõ' tfukau" jhia.; ùfï§ isÿjk udxY fmaYs laIh ùu je<elaùugo (Sarcopenia) Yla;s j¾Ok jHdhdu j,g yelshdj we;' 2' YÍrfha bkaishq,ska ixfõoS;djh j¾Okh lrk ksid reêr iSks w.hka my; oeóug fuu jHdhdu fya;=
doctormagazine.lk
fjhs' fmaYs mßudj jeä jk úg jeäfhka Yla;sh oykh ùula isÿ fjhs' Tfí YÍrh ksfid,aufka ;snqK;a fï jdish w;am;a lr.; yel' Due to Increase Basal Metabolic Rate (BMR)
Tng .e,fmk Yla;s j¾Ol jHdhduh f;dard.kak ² nr tiùfï jHdhdu hka;% ^Weight machines& ² Resistance bands ² ksoyia nr tiùu ^Lifting free weights Dumbells etc.& ² YrSrfha nr (Body Weight) m%;sfrdaOhla jYfhka fhdod .ksñka lrk jHdhdu' (Push ups)
Yla;sh m%Odk jYfhka oshqKq jkafka Strength Training jHdhdu ud,d j,ska jk w;r Tfí isref¾ m%Odk udxY fmaYs ldKav b,lal lr.ksñka osk foll mr;rhla we;sj fuu jHdhdu isÿ lrkak' fuu ldKAvfha Wmßu m%;sM, ,nd.ekSu i|yd i;shlg fojrla fyda ;=kajrla Yla;s j¾Ok jHdhdu isÿ lrkak'
January 2021
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Aerobic Exercise iajdhq jHdhdu lshkafka fudkjdo@
iajdhq jHdhdu yerKQ úg Yla;s j¾Ol jHdhdu fkdfyd;a fmaYs iúu;a lrk jHdhduo ;u jHdhdu isß;g tla lr.; hq;=h
fï jHdhdu ldKAv folu fyd|hs wfma fcHaIaG mqrjeishka lh fjfyid jev lsÍu hï muKlg lrk uq;a th fi!LHiïmkak nj fmroeß lr.;a wNs,dIhlska isÿ lrkakla fkdfõ' jHdhdu isÿ lrk iq¿;rhla jQjo weúoSu" mäfm<la ke.Su jeks ir< iajdhql jHdhduhlg jeä hula isÿ lrkafka ke;' ksoka.; frda. ;sfnk wh" jHdhdu isÿ lsÍug fmr ffjoH wkque;sh ,nd .ekSug wu;l lrkak tmd''' ksoka.; frda.sfhl= jHdhdu lsÍug fmr ffjoHjrfhl= úiska Tyqf.a fi!LH ;;a;ajh ms<sn|j iudf,dapkhl fhoSu iqÿiqh' fuysoS Tyqf.a yoj; iqjfi; iïnkaOfhka fjfiia ie<ls,a,la oelaùu isÿ flfrhs' reêr mSvkh ;sfí kï" we;eï úg Tyqf.a reêr kd,hla wjysrhg m;aj ;sfí kï ffjoHjrhd fj;ska mQ¾j wdrlaIl Wmfoia ,nd.; hq;=h' tfiau wlaIswdndOh" iakdhq wdndOh we;=¿j fjk;a ixl+,;d n,.ekaù ;sfío hkak .ek fidhd n,d wdrlaIl Wmfoia ,nd.; hq;=h' oshjeähdj ;sfnk wh jHdhdufha fhoSfïoS mdjyka me<|Sug wu;l fkdl< hq;=h'
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January 2021
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oskm;d m%udKj;a f,i c,h mdkh lsÍu" jHdhdufhka fmr yd miqj m%udKj;a ic,khla mj;ajd .ekSu fukau tlajku iSks wvqùula isoaO jqjfyd;a ta wjia:dfõoS m%fhdackhg .; yels meKs rila wdikakfha ;nd .ekSuo Tfí wdrlaIdjgh'
doctormagazine.lk
ffjoHjrekao isák w;r Tng wjYH kï Tjqkaf.a Wmfoiao ,nd .ekSug wjldY ;sfí'
Yla;s j¾Ol jHdhdu isÿ lrkakg ldhj¾Ok uOHia:dkhlau wjYH fkdfõ' ;u ksfjfia isgu l< yels jHdhdu iïnkaOfhka Tfí mqyqKQlref.ka oeKQj;a fjkak
;dreKHfha isyskh''' osfkl Tfí os.disß fjkqfjkao wdfhdackhla jkq we;
jHdhdu isÿ lsÍfïoS imqrd,sh yels b,lal ;nd .ekSu (Setting realistic goals) wjYHfhka l< hq;a;ls' Tn uE; ld,h ;=< t;rï jHdhduhl fkdfhÿKQ flfkla kï Tn fjfyilr jHdhdu j,g tlajru fkdhd hq;=h' iqÿiqlï ,;a jHdhdu mqyqKQlrefjl=f.a fiajh ,nd .ekSu jvd;a iqÿiqh' jHdhdu mqyqKQlrejka yereKQ úg wo l%Svd yd jHdhdu iïnkaO
doctormagazine.lk
jHdhdu lsrSfïoS úfYaIfhka isys ;nd.; hq;= lreKq oskm;d m%udKj;a f,i c,h mdkh lsÍu" jHdhdufhka fmr yd miqj m%udKj;a ic,khla mj;ajd .ekSu fukau tlajku iSks wvqùula isoaO jqjfyd;a ta wjia:dfõoS m%fhdackhg .; yels meKs rila wdikakfha ;nd .ekSuo Tfí wdrlaIdjgh' fï ish,a, w;f¾ jHdhdu l%uh hï ld,hla mj;ajd f.k hk úg Tfí isref¾ cjiïmkak nj we;sù kej;;a ukd frda. md,khlao we;s jk whqre Tngu w;aú|sh yels jkafkah' DM
January 2021
DOCTOR MAGAZINE
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D•Magazine /
Exercise cSú;hg fndakia wdhqI m%udKhla tla lrk jHdhdu
cSú;hg fndakia wdhqI m%udKhla tla lrk jHdhdu f.or b|ka lrk jHdhdu ² ldh j¾Ok uOHia:dk j,oS lrk jHdhdu ² f,v frda. wE;a lrk jHdhdu ² Tn fndk fnfy;a ál wvq lrk jHdhdu ²
ikaê frda. úfYaI{ ffjoH yß÷ úfcaisxy
wfma cSú; md,kh lsÍug oeka wdfh;a wosis y;=frla l%shd;aul fj,d''' fldúâ 19' oekgu;a th rgg" f,dalhg isÿlr we;s ydksh iq¿mgq kE' fldúâ jix.;fha fofjks /,a,;a tlal wfma rg kej;;a wNsfhda.d;aul ld,hlg uqyqK md,d' fjko w;sYhska ld¾h nyq, jQ fndfydauhla fokdg f.or bkak fj,d'
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January 2021
DOCTOR MAGAZINE
rg mqrd l%shd;aul zzf,dla vjqka tllaZZ ke;s jqKdg m%foaY úosyg ta jdrk" iSud wjia:dfjdaÑ;j l%shd;aul fjkjd' flfkla ;j;a flfkla yuq fjk tlg;a fi!LH kS;s rdYshla l%shd;aul lrkak fj,d' fï ldf, f.or bkak tlg ;uhs jeä nrla ,nd fokafk' ixprkh w;sYhska iSud fj,d' fï Nhdkl jix.;h yuqfõ tfyu fkdlr;a b;ska nE''' ojia .Kka f.or bkakfldg we;sfjk m%Yakh''' fi!LHiïmkakj cSú;h .; lrk úosy .ek' wdydr jeäfhka .ekSu' jHdhduh wvqùu ksid f,v frda.;a jeä fjkak mq¿jka' ud¾;= j,ska miafi jeä fofkl=g tfyu jqKd' iSks nr .Kka j,ska jeä jqKQ" fm%I¾ tl''' fldf,iagfrda,a''' mmqfj wudrelï ;síng jvd jeä ùu ksid mSvdjg m;a jqKQ wh .ek miafika myq ;snqKq idhk j,ska jd¾;d jqKd' yenehs ta w;f¾ l,amkdfjka lghq;= lrñka f,v frda.;a uekúka md,kh lr.;a;= wh;a ysáh'''
doctormagazine.lk
ojilg meh nd.hla .dfk i;shlg ojia myla jHdhdu l<du''' tfyu;a neß kï úkdä y;,syla .dfk i;shlg ojia y;rla j;a jHdhdu l<du iqúfYAIS m%;s,dN /ila ,efnkjd' f.or b|ka fi!LHiïmkakj cSú;h .; lrk úg jHdhdu isß;;a úYd, odhl;ajhla imhkjd' th yßhg mj;ajd .ekSfuka úYd, fi!LH m%;s,dN ,efnkjd'
doctormagazine.lk
wfma ld,fha jeäysáhkag f,vfrda. fndfydau jeähs' fm%I¾" fldf,iagfrda,a" yDo frda." oshjeähdj" weÿu wdoS jYfhka' óg oYl .Kkdjlg fmr fï úosfya fnda fkdjk frda. j, mq¿,a jHdma;shla ;snqfK kE' w;ßka m;r tfyu frda. ;sfnk wh ysáh;a oeka jf.a jeä fofkla fnda fkdjk frda. j,g k;= jqfK;a kE' frda ìh jmqrk lreKQ ;=kla ² fnda fkdjk frda. j, fï id jeäùula we;s fjkakg uQ,slj lreKQ ;=kla uq,a jqKd' ² ia:q,;djh fuysoS jeäfhka wdydr wkqNjfhka we;sjk ;rndrej .ekhs woyia flfrkafka' l%shdldÍ fkdjk w,i cSú;hla .; lsÍu' ² jHdhdu fkdue;s ùu wmg wo ;sfnk fndfyda .eg¿ j,g fï ;;a;ajh odhl jkjd' jeäfhka wdydr wkqNjh wm lk fndk foa j,ska ,efnk Yla;sh wfma tosfkod l%shdldrlï j,oS m%fhdackhg .kakjd' l%shdldrlula" jHdhduhla ke;akï fï wdydr j,ska ,efnk Yla;sh isref¾ ;ekam;a fjkjd' f;,a úosyg''' mgl j,''' wm fkdoekSu ia:Q,;djhg m;a fjkakg fuh fya;= fjkjd'
January 2021
DOCTOR MAGAZINE
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Exercise cSú;hg fndakia wdhqI m%udKhla tla lrk jHdhdu
zzwfka wmg wuq;=fjka jHdhdu fudlgo whsfhdaa'''ZZ we;efula lshk l;djla''' úfYAIfhkau ldka;djka fufyu lshkjd' zzjHdhdu lrkak''' ldhj¾Ok jHdhdu lrkak''' thfrdìla jHdhdu lrkak''' tfyu lf<d;a uy; wvq fjkjd' fm%I¾" fldf,iagfrda,a" oshjeähdj yefokafk kE''' fï ksid yefudau mq¿jka úosyg i;shlg osk myla j;a jHdhdu lrkak' fï úosyg wo jHdhdu .ek úYd, jYfhka l;d lrkjd'''ZZ zzwfka wmg kï wdfh w¿f;ka jHdhdu fudlgo@ wms oji mqrd jev lrkjd' f.orfodr jev' T*sia tfla jev''' orejkaf. jev'' uy;a;hf.a jev''' lfâg" fmd<g hk tl" orejka áhqIka mx;s j,g odk tl''' fïj lrk fldg wdfh w¿f;ka jHdhdu fudlgo@ZZ zzl%shdldÍj isàu;a jHdhduh;a lshkafk folla' yenehs jHdhdufhka jf.au jevm< lrñka l%shdldÍj isàfukq;a fi!LH m%;s,dN w;am;a fjkjd' ZZ
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January 2021
DOCTOR MAGAZINE
zzld¾hd,hl jdä fj,d jev lrk flfkla kï úkdä oyhlg myf<djlg j;djla yqkiafkka ke.sàu jf.au Tnfudn ilauka lsÍfuka lsishï YdÍÍl .;sl Ndjhla we;s fjkjd' ksfjfia jqK;a wm úúO lghq;= j, fhfokjd' Tn fudn .uka lrkjd' thska w,ij tl ;efkl bkakjdg jvd fi!LHuh m%;s,dNhla ,efnkjd'ZZ zzta;a wu;l lrkak tmd''' jev lrkjd lshkafk l%shdldrlula' jHdhduh Bg yd;amiskau fjkia' jHdhduhla
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Plank jHdhdu u.ska Tfí fldªweg fm< Yla;su;a lrhs' fjfiiskau rhomboids yd trapezius hk fmaYs yd fjfiiskau Worfha udxYfmaYs Yla;su;a lrhs' fuu mx;sfha jHdhdu lsÍfuka b;d fyd| bßhõ msysgqjd .ekSug wjia:dj Wod fõ' fuu.ska b;d jeä jYfhka isref¾ ixÑ;j mj;akd fïo oykhlao isÿfõ'
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January 2021
DOCTOR MAGAZINE
29
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Exercise cSú;hg fndakia wdhqI m%udKhla tla lrk jHdhdu
lshkafk ksYAÑ; b,lalhla imqrd .ekSfuys,d lrk lghq;a;la' th lsishï ld,hla uq¿,af,a isÿ lsÍfuka úYd, m%;s,dN m%udKhla ,efnkjd'ZZ zzjHdhduhla tl os.g meh nd.hla ú;r lf<d;a yDo iamkaokh jeä fjkjd' thska reêrjdyskS úia;drkh fjkjd' thska fmKy¿ Odß;dj jeä ù fmKy¿ l%shdldß;ajh;a jvd;a iqug fjkjd'ZZ fï úosyg jHdhduhl ksr; jqKdu''' ojilg meh nd.hla .dfk i;shlg ojia myla jHdhdu l<du''' úkdä y;,syla .dfk i;shlg ojia y;rla j;a jHdhdu l<du iqúfYAIS m%;s,dN /ila ,efnkjd' Yajik jHdhdu yd Yla;s j¾Ol jHdhdu jHhdu uQ,slj fojeoEreï fjkjd' thfrdìla ^Yajik jHdhdu&" ldhj¾Ok jHdhdu fkdfyd;a Yla;s j¾Ol jHdhdu lsh,;a ;sfhkjd' Yajik jHdhdu fukak weúoSu" ye,afï osùu" ihsl,a meoSu" msyskSu" neâñkagka l%Svdj wdoS jHdhdu ;uhs YAjik jHdhdu fkdfyd;a thfrdìla jHdhdu lshkafka' zzfï jHdhdu lrk Woúhg yDohdndOhla we;s ùfï wjodku fnfyúka wvq jk nj yªkdf.k ;sfnkjd' ta ú;rla fkdfjhs fm%I¾" oshjeähdj yefokak ;sfhk wjia:d wvq fjhkjd' ms<sld wjodku fnfyúkaa wvq
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January 2021
DOCTOR MAGAZINE
fjkjd' YÍrfha nr wvq ùfuka f,v frda. fndfydauhla we;s ùfï wjodku;a wvq fjkjd' YÍrhg fyd| ksfrda.S njla oefkkjd' ukig;a fyd|hs' fyd| udkisl iunr;djhl=;a we;s fjkjd'ZZ
meh 8-10la tl ;ek jdä ù isàu is.rÜ meleÜgqjla mdkh lsÍfuka we;sjk wjodkug iudk hhs lshefjkjd' Yla;s j¾Ol jHdhdu ldhj¾Ok jHdhdu lshkafk YÍrfha ;sfhk udxYfmaYs Yla;su;a lrk jHdhdu' nr tiùfuka flfrkafka udxYfmaYs Yla;su;a lsÍuhs' ;j;a Yla;s j¾Ol jHdhdu doctormagazine.lk
/ila .ek fuys miqjg úia;r lrkjd' jHdhdu w;f¾ w.;ekam;a Yajik jHdhdu fï jHdhdu ms<n|j m¾fhaIlhka wmg fmkajd oS ;sfnk wdldrhg wmg cSú;hg úYd,;u jdish ,efnkafka Yajik jHdhdu j,ska' fï Yajik jHdhdu ksid fnda fkdjk frda. wfmka wE;a fjkjd' Th reêrfha jeä mSvkh" fldf,iagfrda,a" oshjeähdj jf.a frda. wfmka wE;a lrkakg Yajik jHdhdu fya;= fjkjd' ta yereKQ úg YÍrfha ia:Q,;djh wvqùu fï ksidfjkau w;am;a jk úYd, jdishla' Tn okakjd ms<sld we;=¿j frda. rdYshla we;s lrkakg ia:Q,;djho lsishï n,mEula we;s lrk j.' YAjik jHdhdu ffjoH ks¾foaYh ² ojilg wju meh nd.h ne.ska i;shlg osk myla fyda ² úkdä y;,syla i;shlg osk y;rla hï flfkl=g t;rï m%udKhla jHdhdu l<
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Big Biceps ndyqj Yla;su;a lr .ekSu yd tys fmaYs úYd,j ;nd .ekSu ;dreKHfha nr bis,Sï j, ksr; jkakkaf.a isyskhls
fkdyels kï Tng yels m%udKh fyda jHdhdufha ksr; fjkak' iïmQ¾K m%;s,dNh fkd,enqK;a thskq;a Tng úYd, jdishla w;am;a fjkjd' ldhj¾Ok uOHia:dkhloS l< yels Yajik jHdhdu ² Cross Trainer u.ska isÿlrk jHdhdu ² ihsl,a meoSu fïjd jeä jYfhkau isref¾ nr jeä whg b;d Tìkjd' yenehs tla ldrKhla lsj hq;=hs' thfrdìla uQ,sl jYfhkau yojf;a l%shdldß;ajh iqir lrk jHdhduhla' thska yoj;" reêrjdyskS j, l%shdldß;ajh jeä fjkjd' yenehs fï jHdhdufhys w;=re m%;sM<hla jYfhka Tng isref¾ nr md,kh ùu;a ,efnkjd' Cross Trainer ihsl,a meoSu wdoS jHdhdu oksia lelal=u ;sfhk whg;a fyd|hs' iudcfha ;sfnk jeros u;hla ;uhs fï ksid oksia lelal=ï tfyu jeä fjkjdh hkak' fï jHdhduh lrk úg oksia j,g nrla jefgkafk kE' tu ksis hï flfkla Yajik jHdhdu ldh j¾Ok uOHia:dkhloS wdrïN lrkak bkakjd kï fï Cross Trainer ihsl,a meoSu Bg losu wdrïNhla ,nd fokjd'
January 2021
DOCTOR MAGAZINE
31
D•Magazine /
Exercise cSú;hg fndakia wdhqI m%udKhla tla lrk jHdhdu
jHdhduhg fmr weÕ WKQiqï lr.; hq;af;a wehs@
YrSrfha WIAK;ajh by< kexfjhs
fmaYs j,g reêrh m%udKj;aj iemfhhs
Cross Trainer myiqlï ke;akï fg%âñ,a tll weúoskak' fuh;a oksia lelal=u ;snqK;a úYd, jYfhka ;rndre ke;akï wdrïN lrkak mq¿jka jHdhduhla' ojilg meh ndf. .dfk osk myla jHdhdu lrkak lSjg wdrïNfhaoSu tfyu lrkak wjYH kE' tfyu lrkak;a neß fjkak mq¿jka' uq,skau úkdä oyhlska fyda Bg;a wvqfjka mgka .kak' oji .dfk ál ál jeä lrkak' ta w;fr Tng ykaosm;a lelal=u tkak mq¿jka' mmqfj wudrelï" uykaish jf.a tkj kï ffjoHjrfhl=g ta neõ okajd Wmfoia ,nd.; hq;=hs' neâñkagka lshkafk;a wmQre YAjik jHdhduhla' th YdÍßl l%shdldß;ajh jf.au udkisl i;=g;a we;s lrkjd' ta yereKQ úg Th mdmkaÿ" w;amkaÿ jf.a jhdhdu jqK;a l< yels kï b;d fyd|hs' f.oroS b|ka isÿ l< yels ldhj¾Ok jHdhdu ful, ;reKhka ldhj¾Ok jHdhdu j,g úYd, Wkkaÿjla olajkjd' tys we;s jeo.;alu úYd,hs'
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January 2021
DOCTOR MAGAZINE
fmaYs yd ikaê jvd;a kuHYS,S fjhs
nr wvq lr.kak wruqKskajHdhdu lrk tfla f;areula kE' nr wvq lr.kak kï lk wdydr m%udKh wvq lrkak ´ks mqoa.,fhl=f.a YrSr fi!LH úIfhys YAjik jHdhdu wxl tl fjkjd jf.au B<Õg jeo.;a jkafka ldhj¾Ok jHdhduhs' fuhska isÿ lrkafka YÍrfha udxYfmaYs iúu;a lsÍuhs' fmaYshlg W;af;ackhla ,ndÿka úg tu fmaYsh
doctormagazine.lk
fyd|u jHdhduh lrkakg jHdhduhla ke;ehs ,; fjkakkag;a myiqfjkau l< yels ksid weúoSu fyd|u jHdhduhlehs mejish yel' osklg meh nd.hla yudrla weúoSu" Bg;a jeä fõ.hla f.k ye,afï osùu lvms,g hk úg;a" fjk;a wjYH;djhlg f.oßka neyer jk úg;a l< yels jHdhduhls' fuh cSú;h fi!LHiïmkak lsÍug fndfyda fia WmldÍ jk w;r YÍrfha fyd| nrla mj;ajd .kakg;a" yDo frda." fm%I¾" oshjeähdj jeks frda. ;sfhk whg tajd wvq lr .kakg;a" tajd fkdue;s wh kï fnfyúka wE;a lrkakg;a WmldÍ fjhs
fjkilg ,laù ld,hla .; jk úg tu fmaYsh Yla;sfhka" úYd,;ajfhka jeä fjkjd' ldhj¾Ok jHdhduhloS Wiq,k nr jeä jqKdu thska fi!LHuh jdis /ila w;am;a fjkjd' fm%I¾ tl" iSks wvq fjkjd' iuyre lshkjd''' kE''' fjkafk fï fm%I¾ tl" iSks jeä fjk tlZZ lsh,' tal jeroshs' flá ld,Skj tfyu fjkak mq¿jka' tfy;a oS¾>ld,Skj
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iuia;hla jYfhka .;a úg fï wjodkï iy.; idOl hym;a w;g fmr<Sul=hs we;af;kau isÿ jkafka' ldhj¾Ok jHdhdu lrkak ldhj¾Ok uOHia:dkhlg hd hq;=u kE' f.oros;a l< yels ldhj¾Ok jHdhdu ;sfhkjd' wms ta .ek;a fidhd n,uq' iafldÜ jHdhduh iafldÜ j,g wkaj¾: kduhla ;sfhkjd' King of all exercises. zzjHdhdu f,dalfha rcacqrefjda'''ZZ fï jHdhdufha úfYAI;ajh ;uhs fï jHdhduh l<du wefÕa ;sfhk yeu udxYfmaYshlau Yla;su;a fjkjd' ll=,a" ;Ügu" nv m%foaYh''' fï yeu m%foaYhlu ;sfhk udxYfmaYs Yla;su;a fjkjd'
January 2021
DOCTOR MAGAZINE
33
D•Magazine /
Exercise cSú;hg fndakia wdhqI m%udKhla tla lrk jHdhdu
iafldÜ jHdhdu mqoa.,fhl= m%.=K l< hq;= jákd jHdhduhls' th isref¾ by< yd my< we;s fmaYs úYd, m%udKhlg tlfia wNHdi imhk w;r ixÑ; le,ß úYd, jYfhka oykh lrhs' l%Svlhkaf.a mßph yd ord.ekSfï yelshdj j¾Okh lrhs'
fuh ´ks flfkl=g f.oroSu l< yelshs' fï úosyg ksoyfia lrkak wudre kï mqgqjl b|f.k;a fï jHdhduh lrkak mq¿jka' tfia lrk jHdhdu mx;sh wms Chair Squt hkqfjka y÷kajkjd' fuh;a tl mdru jeä ;Sj%;djhlg hkak nE' tfyu hkak wjYH;a kE' uq,skau ál ál''' l%ufhka fõ.h" ld,h jeä lsÍu m%udKj;a' ldhj¾Ok jHdhdu lsrSfuka wfmalaIs; jdish ,nd. kakg kï YrSrfha ;sfnk úYd,;u udxYfmaYs ál tkï mdofha ;sfnk fmaYs ál''' Yla;su;a úh hq;=hs' Push Ups jHdhdu ó<Õg jeo.;a jk ldhj¾Ok jHdhduh ;uhs Push Ups lshkafk' mmq m%foaYfha ;sfnk fmaYs Yla;su;a lsÍu ;uhs wms Push Ups j,ska lrkafka' msßñkag fï jHdhduh myiqfjkau lrkak mq¿jka' ldka;djkag;a lrkak yelshdj ;sfhkjd' hï wdldrhlska ldka;djg Push Ups lrkak wmyiq kï ll=,a fol ìu ;sh,
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January 2021
DOCTOR MAGAZINE
lrk ta Push Ups tl lrkak mq¿jka' fuysoS l< hq;= jdr .Kk oyfha ;=kla lrkak lshk tl ;uhs iïu;h' wdrïNfhaos tfyu lrkak nE' ta ;;a;ajhg tkak kï wNHdi lrkak ´ks' ta ksid uq,skau tllska follska wdrïN lr, l%ufhka jHdhduh jeä lrkak' oji .dfk tl tl jeä lrkfldg okafku ke;sj Tfí b,lalhg weú;a' nv wvq lrk jHdhdu@ wo fndfyda fofkla nv wvq lrk jHdhdu .ek
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Wkkaÿjla olajkjd' fudkjo nv wvq lrk jHdhdu' we;af;kau Tfí nv wvq lr.kak kï jHdhdu lr, ta wjYH;djh imqrd .kak nE' talg lrkak ´ks wdydr md,khhs' lEu lk tl wvq lsÍuhs' jHdhdu wiSñ;j lrñka nv wvq lr.kakg hdfï W;aidyfha wjodkula ;sfnkjd' fï i|yd wêl f,i yefrk" kefuk jHdhdu lrkakg hdfuka fldkafo ;sfhk fc,a tl ydkshg m;a jqKdu fldkafo lelal=ï tfyu tkjd' Worfha udxYfmaYs Yla;su;a lrk jHdhdu Push Ups jHhdufhkq;a Worfha udxYfmaYs Yla;su;a lrkak mq¿jka' ta;a" talg m%Odk jYfhka odhl jkafka fï Plank lshk jHdhduhhs' Worfha ;sfhk udxYfmaYs Yla;su;a ùfukq;a jdis /ila wmg ,efnkjd' isref¾ fyd| iSks md,khla we;s fjkjd' udxYfmaYs jeä jqKdu YrSrfha mßjD;a;Sh jeä fjkjd' Yla;sh oykh ùï túg jeähs' udxYfmaYs Yla;su;a ùfï ;j;a jdishla ;uhs bka
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jHdhdu w;r;=r wjOdkh fhduq l< hq;= jeo.;a lreKla ldhj¾Ok jHdhdu lrk úg mmqfõ mqxÑ fyda lelal=ula tkj kï fyda y;sh njf.a yefokjd kï ta fj,dfju jHdhdu k;r l< hq;=hs' iuyreka fï ;;a;ajh ;sfhoaoSu os.gu jHdhdufha bkak;a W;aiql jk wjia:d ;sfhkjd' iuyre ;sfhkjdg;a jvd fõ.fhka jHdhduh lrkakg W;aidy lrkjd' fuh fnfyúka wk;=reodhlhs' lsisu wjia:djl mqxÑhg yß mmqfõ fõokdjla tkj kï jHdhdufhka bj;a fjkak' ikaê j,g wu;r wdrlaIdjla we;s ùu' jhig .shdu jefgkak tfyu ;sfhk wjia:d wvqhs' b;ska fï jHdhdu ish,a, w;f¾ Yajik jHdhdu ;uhs w;sYhska jeo.;a' ta;a fï wms úia;r lrk ,o úúO wdldrfha Yla;s j¾Ol jHdhdu;a wmg b;d jákd fufyjrla lrkjd' zzjHdhdu uOHia:dk j,g hkak fldfyo fj,djla'ZZ jeä fofkla k.k ueisú,a,la' ta;a wms wo úia;r l< jHdhdu lrkak ldhj¾Ok uOHia:dk j,g hkak wjYH jkafkau kE' fjfiiskau fï wms .; lrk fldúâ jix.; ldf, ;djld,slj uq;a ldhj¾Ok uOHia:dk j, l%shdldß;ajhg ndOd t,a, fj,d ;sfhkjd' ta;a iuyr úg i;s .Kka f,dla vjqka j,"
January 2021
DOCTOR MAGAZINE
35
D•Magazine /
Exercise cSú;hg fndakia wdhqI m%udKhla tla lrk jHdhdu
we|sß kS;s j, bkak isÿùfï wjodkul=;a meK ke.S ;sfnk wjia:dfõ fï ksfjfia isgu lrk jHdhdu ie,iqï fndfydau jeo.;a jkq we;s' jHdhdu wk;=re we;efula fï jHdhdu lsrSfïoS th ksjerosj lrkakg wiu;a ùfuka úúO YdÍßl wdmodj,g uqyqK mdkjd' jHdhdu lsÍfuka miqj fldkafoa lelal=u we;sùu tjka iq,n isoaêhla' j<¨lf¾ fmr<Sï''' n, kyr weoSï jf.au oksia fõokdjkq;a jeros iy.; f,i jHdhdu lsÍfï m%;sM<hla f,i olakg ,efnkjd' ta yereKQ úg je<ñg wdY%s; .eg¿" fgksia t,afnda jeks ;;a;aj" weÕs,s wdY%s; wk;=re" f., wdY%s; wdmodjka fï w;r fjkjd' udxYfmaYs weoSuq;a fï wk;=re w;r iq,nhs' Quadriceps, Hamstrings, Calf Muscle yd biceps wdoS jYfhka'
ksoka.; frda. hla ;sfhkjd kï jHdhdu lrkak fmr ffjoH Wmfoia ,nd.kakg wu;l lrkak tmd''' wid¾:l fjk tlhs' úúO wdmodjkag uqyK q mdk tlhs'
fyñka mgka .kak' l%ufhka jHdhduh jeä lr.kak' weúoskj kï úkdä oyhla jf.a mqxÑ ld,hlska mgka .kak' nrla Tijkj kï wvqu nrlska jhdhdu mgka .kak'
weÕ WKQiï q lsÍfï jHdhdu yßu jeo.;a' weÕ WKQiï Q lrkj lshkafk Stretch fjk tl fkdfjhs' we;efula jHdhduh wdrïNhg fmr udxYfmaYs wefok wNHdi j, ksr; fjkjd' weÕ WKQiï q lrkjd lshkafka B<Õg lrkak ;sfhk jHdhduhg l%ñlj ms<f s h, ùula fjk tlhs' ÿjkakg fmr lrk weÕ WKQiï q lsÍu ;uhs mshjr lsym s hla weúosk tl' l%ufhka fõ.h jeä lr, Odjkhg tl;= fjkak ´ks' nr Wiaikjd kï álla weúo, lsh, iq¿ nr áll wNHdi uq,k s u a lrkak ´ks'
ksis mqyK q j Q la ,nd jHdhdu j, ksr; fjkak ´ks' nr Tijkj kï talg Technique tlla ;sfnkjd' uq,k s u a ta l%ufõohka ksjerosj .%yKh lr.kak ´ks' we;efula Techniques yß .iai .kafk ke;sj
nr wvQ lr.kak jHdhdu lsÍu uq,djla@ ;j;a fndfyda fokd mg,jd .kak fohla
jHdhdu lrkafka cSú;hg jeä jákdlula tl;= lr.kakhs' kuq;a ta ksid ;snqKQ YÍr fi!LHh;a ke;s lr .ekSu wfmalaId Nx.;ajhg ldrKhla' yeu úgu jeros Ndú;hka ;uhs l%v S d wdmod j,g uq,' fï wdmod wjodku wju lrf.k jHdhdu lrkafka fldfyduo@ jHdhdu wk;=re j<lk u. ta i|yd uQ, Q O¾u moaO;shla ;sfhkjd' tajdg wkq.;j ksjerosj jHdhdu lsÍfuka fuu wdmodjka wju lr.kak .ukau jHdhdufhka wfmalI a ; s m%;, s dNh ,nd.kak;a mq¿jka'
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January 2021
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doctormagazine.lk
;uhs nr wvq lsrSu yd jHdhdu' iuyreka nr wvQ lr.kak meh .Kka jHdhdu lrkjd' m%;sM<hla w;a jkafka kE' jro fld;eko@ nr wvq lsÍfï udjf;a ishhg 90lau ;sfhkafka wdydr wvq lsÍu' b;sß oyh ú;rhs wjfYAI úiªï j,g wh;a jkafka' fyd|g ld, jHdhdu meh .Kka l<dg nr wvq fjkafk kE' jHdhdu lrkafk yoj;g" ikaê j,g YrSrhg wu;r wdrlaIdjla ,nd .ekSu wruqKQ lrf.khs' ldhj¾Ok uOHia:dkfhaoS .e,fmk we÷ï we|Su" .e,fmk" iqÿiq mdjyka me<|Su;a jeo.;a' f,v frda. ;sfnk wh uq,skau ffjoH wjjdo j,g wkQj jHdhduh ie,iqï lr.kak lsishï frda.hlska' fjfiiskau oshjeähdj" fm%I¾" mmqfj wudrej" weÿu" ykaos wudrej jf.a ksoka.; frda. hlska fmf<kjd kï Tyq jHdhdu uOHia:dkhg tkakg fmr ;ukag m%;sldr lrk ffjoHjrhdf.ka Bg wjirh ,nd.; hq;=uhs'
doctormagazine.lk
th Tfí hym; fjkqfjka wjYHfhkau l< hq;a;la nj;a wu;l lrkak tmd' fldhs ;rï m%udKhla" fldhs úosyg jHdhdu l< hq;=o hkak ksYAph lsÍug ffjoHjrhd Wmfoia fokjd' fuh jHdhdu fkdlr bkak lshk l;djla fkdfjhs' frda. ;sfnk wh ;uhs jeäfhka jHdhdu l< hq;af;a; thska frda.h md,kh fjkjd' Tfí fnfy;a jÜfgdarej;a wvq lr.kakg thska wjia:djla ie,fikjd' mKsúvh ² fõ.fhka me;sr hk frda. /ilska ñfokakg" oekgu;a Tn frda.hlska fmf<k flfkla kï .kak fnfy;a m%udKh wvq lr.kak ;sfhk fyd|u úi|÷u ;uhs jHdhdu lrk tl' ² jHdhdu jevigyk ixlS¾K b,lalhla lr.kak tmd' ldhj¾Ok uOHia:dkhlg hkak ;sfhkjd kï fyd|hs' ta;a th w;HjYH ldrKhla fkdfjhs' ² Tfí l=vd ksfjfia b|f.k jqK;a Tng b;d id¾:l jHdhdu jevigykla mj;ajdf.k tys m%;s,dNh ,nkakg mq¿jka nj fï ,smsh uekúka mßYs,kh l< Tng mila jkakg we;s' DM
fï ,smsfha i|yka ish¿ lreKQ yd tys oelafjk ldhj¾Ok jHdhdu krUkak" msúfikak
January 2021
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Reader Participation Every Move Counts fy< niska fyd|u Every Move Counts f;aud mdGh f;aÍfï mdGl ;rÕh Every Move Counts th ;uhs fujr f,dal fi!LH ixúOdkfha kj;u jHdhdu ud¾f.damfoaYK j, f;audj' wfma ck;dj w;f¾ hym;a jHdhdu mqreÿ m%p,s; lrkakg wm th jvd;au iq.u" <hdkaú; joka j,g fmr<kakg W;aiql jqKd' wfma ohdnr mdGlhkag ta i|yd wdrdOkd lf<a ta ksihs' thg m%;spdr jYfhka wmg úYd, Woafhda.hlska kï úYd, m%udKhla fhdackd flreKd' ta w;ßka f;dard.;a ch.%dyS ku;a" wjfYAI kï oyh;a fuf,i m%ldYhg m;a lrkjd' ;rÕhg iyNd.s jQ ieug ia;+;sh mqo lrk w;r Tfí m%ldYs; kï bosßfhaoS wmf.a oeKQj;a lsÍfï jevigyka j,g;a fhdod.kakg woyia lrk nj i;=áka oeKQï fokjd' f,dal fi!LH ixúOdkfha l%shdYS,S ùu yd WodiSk p¾hd iïnkaO c.;a ud¾f.damfoaYK ixj¾Ok lñgq idudcsl úfYaI{ ffjoH p;=rx. w,aúia uy;d fukau wod, ish¿ md¾Yaj fukau Doctor Magazine kej;;a wfma mdGlhkag ia;+;sh m%ldY lrkjd' Every Move Counts hkakg m%Odk f;aud mdGh jYfhka zzieu mshjr oyia jàZZhkak yªkajd fok w;r ch.%dyS Tn ieuf.a jákd mdGo wmf.a ck;d oeKQj;a lsÍï j,g bosßfhaoS fhdod.kakjd we;s' 38
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úfYAI ;Hd.hg ysñlï lshk mdGlhd Swarna Perera ch.%dyS mdGh mshiersh osúiersh os.= lrhs f;areKq wfkl=;a fyd|u mdG 1' iEu mshjrlau Tnj ksfrda.Sj ;nhs Indya Dananjali 2' Tfí mshjr Tfí fyg ojihs Yiromi Jayasinghe 3' l%shdYS,S osúhla" iohs iqjnr wkd.;hla Subodhi D. Fernando 4' iqje;s osúhlg" ;nuq mshjr Nilusha Priyadharshani 5' osúu. wdhqI /lfok md hq. Rasanjali Badugodahewa 6' ;nk yeu mshjrla .dfka ksfrda.su;a osúhla Ayoma Raísingha 7' jvuq wdhqI" ;nd mshjr MFNG Gunasekara Gunasekara 8' ;nuq mshjr" ,nuq iqjfi; Sadasi Dahamsa 9' os.= osú .ukg osßfok mshjr Shalini Udalamatta 10'fomh k.k yeu jrlau" iqj osúhl mshjrlah Dhanushi Kularathne Athukorala ch.%dyS iEu mdGlfhl=gu u.ska oeKQï fok w;r Tng ,ndfok ;Hd. bosßfhaoS Tfí ;eme,a ,smskhg ,efnKq we;s' DM
doctormagazine.lk
D•Magazine /
Laboratory Tests Explained fldúâ 19 frda.h úuik mÍlaId
Laboratory Medicine Explained
COVID-19 ;yjqre lr.kakg flfrk ridhkd.dr hqoaOh - 2 wdisß ridhkd.dr fiajdfõ wOHlaI kS,a m%sh;a fcdaka úisks
;ju;a fldúâ úksYaph lsÍfï iaj¾Kuh mÍlaIdj Real-time reverse transcription polymerase chain reaction (RT-PCR) hs''' ;ju;a lsisÿ rgla jix.;hloS ck;dj mQ¾Kj wdrlaId lsÍug iu;a myiqlï j,ska hqla; kE''' wdrlaIdfõ mshjr w;sYhska jeo.;a jkafka fï ksihs doctormagazine.lk
fldúâ 19 we;s lrk ffjrih yªkd.ekSfuys,d oekg Ndú;fha mj;akd fojeoEreï jQ ridhkd.dr m¾fhaIK woshqreju'''' m%;sYla;sfõod;aul m¾fhaIK yd wKQl mÍlaIK .ek;a fï ish,af,kau COVID-19 iïnkaOfhka jvd;a úYAjdikSh mÍlaIdj jYfhka ie<flk RT-PCR mÍlaIdj iïnkaOfhkq;a m%;sfoay mÍlaIK yd tajdfha iSud iïnkaOfhkq;a wm l< úuiqfuys wjika fldgi fï iu. bosßm;a flf¾' m%;sYla;sfõod;aul m¾fhaIK reêr idïm, j,ska fukau Yajik ud¾.fhka ,nd.kakd ksheos wdY%fhka isÿ lr.; yels jk w;r fï kso¾Yl ,nd.ekSu frda.shd isák ia:dkfhaoSu lrkakg yelsùu myiqjls'
January 2021
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D•Magazine /
Laboratory Tests Explained fldúâ 19 frda.h úuik mÍlaId
ridhkd.dr.;j isÿlrk mÍlaIKhloS uQ,slj wkq. ukh l< hq;= mshjr ;=kla ;sfí' mQ¾j úYaf,aYK mshjr" f,dal fi!LH ixúOdkfha ud¾f.damfoaY j,g wkql+,j ffcj idïm, tl;= lsÍfïoS fm!oa.,sl jYfhka .; hq;= wdrlaIl mshjr" iEu ffcj idïm,hlau wdidokldrl wjodkfuka hqla;h hkak isysfha ;nd.ekSfuka lghq;= lsÍu mQ¾jfhaoS wkq.ukh l< hq;= Í;shls' fjfiiskau fldúâ 19 frda.h i|yd ffcj idïm, tl;= lsÍfïoS fukau tajd mßyrkh lsÍfïoS fjfiia wdrlaIl úêúOdk wkq.ukh l< hq;= jk w;r fm!oa.,sl wdrlaIl fuj,ï me<| isàu fuysoS wksjd¾h wjYH;djhla fjhs' fuysoS jrla mdúÉÑ lr bj; ouk Apron, gloves, bonnet, foot protection, protective goggles, and an N95 breathing mask wdosh fhdod .ekSu fjfiiskau jeo.;a jkq we;' idhksl kso¾Yl ridhkd.drh fj; túh hq;af;a ;%s;aj oejgqï triple packaging l%uhla fhdod .ksñks' meh 72la olajd .nvd lsÍfïoS 2-8°C WIAK;ajhl tu ffcj idïm, mj;ajd .; hq;=h' th meh 72g jeä ld,hla .nvd lr r|jd.; hq;= kï -70°C YS;k ;;a;aj hgf;a mj;ajd .; hq;= fõ'
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fuh extracted nucleic acid i|ydo wod, WIAK;ajhhs' kso¾Yl mÍlaId lsÍu l< hq;af;a Class-2 biological cabin tlloSh' fuysoS wdrlaIl weªï me<| isàu wksjd¾h fjhs' ish¿u mDIAG" WmlrK yd cryo-boxes hk fï ish,a, 0.1% sodium hypochlorite, 62-71% ethanol, 0.5% hydrogen peroxide, and quaternary ammonium or phenolic compounds hk ridhk j,ska msßisÿ l< hq;= fjhs' fuysoS ,efnk m%;sM<h frda.h ks¾Kh lsÍug" frda.shdf.a ;;a;ajh
doctormagazine.lk
iudf,dapkhg fukau úúO Biomarkers weiqf¾ frda.shd iudf,dapkhg ,la lsÍug WmldÍ jkq we;' Biomarkers mÍlaIdjka fldúâ 19 we;s lrk SARS-CoV-2 ffjrih ye|SkSu i|yd ksYAÑ; mÍlaIKhl ld¾hNdrh bgq fkdl<;a (Nonspecific) tu.ska wdidok l%shdj,sh iïnkaOfhka jeo.;a f;dr;=re y÷kd.ekSug WmldÍ fjhs' fï wkQj ,sïfmdihsg yd mÜáld m%udK wvqùu" we,aìhqñka m%udK wvq ùu fukau C-reactive protein w.hka jeäùu fukau D-dimer, ferritin, lactate dehydrogenase, transaminases, and interleukin-6 hk mÍlaIK j, w.hkao frda.shdf.a ;;a;ajh mqfrdal:kh i|yd jeo.;a jkq we;' tfiau CD4 + and CD8 + T lymphocytes iu.ska we;sjk , cytokine storms mÍlaIKo jvd;a nrm;, ixl+,;d j,g m;ajk fldúâ frda.Skaf.a yD;a wlrKsh wjia:djka fukau nyqúO bkaøsh ì|jeàu yd urKhg m;aùug we;s wjia:d l,afõ,d we;sj .ekSug m%fhdackj;a ld¾hNdrhla bgq lrhs' doctormagazine.lk
PCR Testing jdis: jvd;a ksrjoHhs wjdis: m%;sM<h ,nd.ekSu ixlS¾Khs' ;rul ld,hla .; fjhs' Antigen Testing jdis: fõ.j;a" úhou wvqhs wjdis: ksrjoH;djh idfmalaIj wvqhs Antibody Testing (Serology Testing) jdis: fõ.j;a" jix.;h me;sÍu .ek woyila fohs wjdis: fodaIiy.; m%;M s , we;sùfï bvlv jeähs fldúâ 19 i|yd isÿ lrk mÍlaIK
iudf,dapkh fuu ,smsfhka COVID-19 frda.h i|yd ridhkd.dr mÍlaIK Wmfhda.S lr.kakd wdldrh iïnkaOfhka úia;rd;aul f;dr;=re olajd ;sfí' fï mÍlaIK wdlD;ska tl tlla iïnkaOfhka wjYH lrk f;dr;=re (literature) úYd, jYfhka fï oskj, tl;= fjñka ta iïnkaO oeKQu mq¿,a fjñka ;sfí' kuq;a m%dfhda.slj jix.; ;;a;ajhg wNsfhda. l< yels ueosy;aùï iSudldÍ jk i;Hho wm uekúka wjfndaO lr.; hq;=h' yªkd.ekSfuys,d RT-PCR mÍlaIKh wka ish,a, wNsnjd fmruqfKa mj;akd uQ;a tys we;s .eg¿j jkafka False-negative jd¾;djka ,eîfï wjia:djkah' tfiau fï i|yd wjYH flfrk úffYaIs; ridhkd.dr ;;a;aj" ta i|yd jeh l< hq;= jk uqo,a iïNdrh wdoS idOl ksid fï mÍlaIdjkag lsishï iSudjka mekù ;sfí' idïm, ,nd .kakd ia:dkfhaoSu l%shd;aul l< yels wKQl mÍlaIK fkdfyd;a Molecular point-of-care tests ksrjoH jQ precision frda. ksOdk f;dr;=re imhhs' mÍlaIK l%ufõoh fõ.j;ah' ñf,ka wvqh' fï ldKavfha mÍlaIK jvd;a mq¿,a l< hq;=h' úfYAIfhkau wd¾Ólj oeßh fkdyels iSudjka ;=< fuu mÍlaIK j, N+ñldj lemS fmfka'
January 2021
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D•Magazine /
Laboratory Tests Explained fldúâ 19 frda.h úuik mÍlaId
"
uyck fi!LH wdrlaIdj yd iïnkaOfhka m¾fhaIK n,.kajñka fï we;sj ;sfnk Nhdkl ysvei msrùug wjYH l%h s dud¾. fkdmels,j .ekSug;a ta weiqf¾ u;=j we;s hq.fha úYd,;u wNsfhda.h jix.;h msgq oelsu S g;a kjH uQf,damdhsl l%h s dud¾. .ekSug wm W;ail q úh hq;h = ' reêr mÍlaIK iydhl mÍlaIK l%ufõohla jYfhka iudka;rj oshqKq l< yel' frda.h flfkl=g je<|S osk 4-7l ld,hla .; jk ;=re fuys m%;sM< ,nd. kakg n,d isáh hq;= fõ' tfiau wefÕa mj;akd ffjri m%udKh wvq jk úgo frda. ,laIK m%lg fkdlrk úgo" ld,hla ffjrih wefÕaa mej;S frda.Ska i|ydo fuys ksrjoH;djh m%YAk.; jk wjia:do fõ' fï miqìu hgf;a ffjri wdidok fy<sorõ lr.ekSfuys,d Real-time RT-PCR iqúfYAIS ld¾hNdrhla bgq lrhs' tfukau óg fmr mej;S jix.; iudf,dapkh" wkd.;fha we;sjk ;;a;ajhka iïnkaOfhka mqfrdal:kh lsÍu i|yd reêr mÍlaIK (Serological tests fukau jix.;fõoSh f;dr;=re (Epidemiological data) buy;a ld¾hNdrhla bgq lrhs' The Global Health Security (GHS) index u.ska isÿlrk ,o wOHhkhlg wkQj c.;a ;,fha úNùh wjYH;djhkag wkQj jix.; ;;a;ajhla jd¾;d lsÍu yd Bg ms<shï fhoSu (Capacity to detect and report epidemics of potential international concern) i|yd 42
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Odß;djhla f.dvk.df.k we;af;a iuia; rgj,a w;=ßka ishhg 19l muKs' tfiau yosis jix.; ;;a;ajhlg jydu l%shd;aul fjñka ksYaÑ; l%shdud¾. .ekSfï (Ability to respond quickly and mitigate the spread of an epidemic) Odß;djh we;af;a ishhg 5la jQ rgj,a w,am m%udKhlg muKs' fï wkQj lsisu rgla jix.;hloS iïmQ¾Kfhkau ;u ck;djg wdrlaIdj ,ndoSug fkdiu;a jk nj wm yuqfõ meyeos,sj wkdjrKh jk i;Hhhs' uyck fi!LH wdrlaIdj yd iïnkaOfhka m¾fhaIK n,.kajñka fï we;sj ;sfnk Nhdkl ysvei msrùug wjYH l%shdud¾. fkdmels,j .ekSug;a ta weiqf¾ u;=j we;s hq.fha úYd,;u wNsfhda.h jix.;h msgq oelsSug;a kjH uQf,damdhsl l%shdud¾. .ekSug wm W;aiql úh hq;=h' osfkka osk wmg ke;sfjk jákd cSú; fukau fmdÿfõ wm ldg;a n,mdk wd¾:sl wiSre;d fuysoS tu l%shdud¾.hg W;af;ack jYfhka .; hq;=h' 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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D•Magazine /
Trying to conceive ore iïm;a ,eîug ndOd f.k fok fya;=
What are some possible causes of female infertility?
ore iïm;l m%d¾:kh bgq lr.kakg WmldÍ jk wdorKSh ,sms fm<l iudrïNh
ore iïm;a ,eîug ndOd f.k fok fya;= 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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January 2021
orejka ke;slug fya;=j ldka;djka ú;rla fkdfjhs''' mqreI uQ,sl fya;= ksi;a yß yßhg ore iïm;a ,eîu m%udo fjkjd''' iudrïNh újdm;a hqj,lf.a W;=ïu m%d¾:kh fukau hq. osúfha iqúfYaISu lvbu jkafkao ore iïm;la ,eîuhs' orejka jákafka uõmshkag muKlau fkdfõ' th iudchg;a" rgg;a úYd, odhdohlauh' tfy;a ore iïm;a ,eîu wo tkak tkaku ÿIalr wNsfhda. hlaj ;sfí' 2020 j¾Ifha wfma rfÜ idM,H;d iS>%;djh oelafjkafka ldka;djlg ore Wm;a 1'777la jYfhks' 2019 j¾Ifha tu w.h 2'194la jQ w;r 2018 j¾Ifha 2'210la úh' 2020 j¾Ifha my; jeàu ishhg 0'77ls' 2018g idfmalaIj 2019 j¾Ifha my; jeàu ishhg 0'72ls' 2017g idfmalaIj 2018oS idM<H;d iS>%;djh ishhg 0'05lska my; jeà ;sfí'
DOCTOR MAGAZINE
doctormagazine.lk
fï wkQj idM<H;d iS>%;djh flfuka ySk fjñka mj;akd neõ fï ixLHdf,aLK j,ska fudkjg meyeos,s jkafkah' w;S;fha mjq,lg orejka mia yh fofkla isàu idudkH isoaêhls' tfy;a oeka orejka fofofkla fyda Bg jeäfhka bkakd mjq,a jQj w,amh' fndfyda wUq ieñhka ore iïm;a ,nd .ekSu wNsfhda.hlaj fndfyda m%h;akhka j, isrj isà' ore iïm;a ,eîug ÿIAlr;d we;s wUqieñhkg ta i|yd we;s wjia:djka iïnkaOfhka oeKQj;a lsÍu wm ld,hla ;siafia isÿ lrf.k wdfjuq' wo" fï idM<H;d lafIA;%h ;=< fndfyda mßj¾;kSh ch.%yK w;am;a lrf.k ;sfí' ta iïnkaOfhkao úia;r iu.ska Tfí leoe,a, WKQyqï lrk wdorKSh ore iïm;la fjkqfjka Tng fndfyda lreKQ ldrKd kej;;a fï jif¾oSo f.k tkakg wm wfmalaId lruq'
.eí .ekSula isÿ fkdùu ksire;djhla jYfhka oelafjhs' tu ldka;djf.a jhi wjq' 35 fyda Bg jeä kï fï wfmalaIdiy.; W;aidyfha ld,h jirla fkdj udi yhla jYfhka ie<lsh hq;=h' .eí .ekSula isÿ jQj;a th Odrkh fkdfõ kï tho fuysu .eg¿jla jYfhka ie<fla' .¾NsKS;djhla ia:dms; ùug kï mshjr /ila iïmQ¾K úh hq;=h'
tys wdrïNl mshjr jYfhka ore iïm;a ,eîug we;s úúO wNsfhda. iïnkaOfhka úia;r oelaùug fï ,smsh fjka flreKQ we;'
² wef.a äïnfldaI j,ska mßK;shg m;a äïnhla fudapkh (ovulation) úh hq;=hs'
ksire;djh lshkafka l=ulao@ ldka;djl orefjla wfmalaIdfjka jirl ld,hla uq¿,af,a ,sx.sl iyjdifha ksr; ùfuka miqjo
² fï äïnh mef,damSh kd,h Tiafia .¾NdIhg msúish hq;=hs'
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D•Magazine /
Trying to conceive ore iïm;a ,eîug ndOd f.k fok fya;=
² iylref.a Y=l%dKQjla yd fï äïnh ixfiapkh (fertilize) úh hq;=hs' ² fï ixfiaÑ; ffi,h .¾NdIfha ia:dmkh fkdfyd;a wêfrdamkh (implantation)úh hq;=hs' fï ljr fyda mshjrl wvq¨yq`vq;djhla ksid ore .enla fkdmsysgkakg mq¿jk' orejka ke;slu .eyekqka muKlau j. lsjhq;= .eg¿jlao@ lsisfia;au ke;' ksire;djh we;sùug n,mdk fya;= iudf,dapkh lsrfïoS
iuia;fhka ;=fkka tllg fya;= jkafka wef.a wvq¨yq`vq;djhls' wef.a iylre ksid ;j;a ;=fkka tlla .eg¿ mek k.S' b;sß ;=fkka tl tlaflda fofokdf.au .eg¿jls' fkdtfia kï yªkd.;a lsisÿ fya;=jla fkdue;sj we;sjk orejka ke;sluls' ore iïm;a ke;sùug n,mj;ajk mqreI uQ,sl uQ,sl fya;= ljf¾o@ ² jDIKfldaI muKg jvd úYd, ùfuka we;sjk ;;a;ajh' (Varicocele) fuysoS jDIKfldaI j, WIaK;ajh by< kexfjk w;r th Y=l%dKQ m%udKhg yd tys .=Kd;auhg wys;lr n,mEï we;s lrhs' ² Y=l% Od;= fudapkfha we;súh yels fodaI (Ejaculation issues) ² Y=l% Od;= YsIAKh Tiafia msg;g msúfikjd fjkqjg uq;%dYhg uqod yefrk Retrograde ejaculation ;;a;ajh ² m%;sYla;slrK moaO;shg wh;a Y=l%dKQ kdYl m%;sfoay (Anti-sperm antibodies) u.ska Y=l%dKQ úkdYldÍ wd.ka;=lfhlehs jrojd jgydf.k l%shd lsÍu
.eí .kafka ke;s fjkak fya;=
46
äïn fudapkh isÿ fkdùu
iylref.a fodaI
jhi
mef,damSh kd, fodaI
tkafvdfuá%fhdaisia
mdol fjk fjk;a ffjoH .eg¿jla
January 2021
DOCTOR MAGAZINE
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² we;euqkaf.a jDIK" my;g fkdjeà Worh ;=< mej;Su' (Undescended testicles) ² j¾Kfoay wvq¨yq`vq;d ² ,sxf.akaøsh iDcq fkdùu jeks iyjdifha ÿn,;d (Problems with sexual intercourse)
mqreIhka iïnkaOfhka kï uq,skau isÿ flfrkafka Od;= mÍlaIKhls' Y=l%dKQ j, ixLHdj" yevh yd pd,l;djh iïnkaOfhka fï Od;= mÍlaIK jd¾;dfõ f;dr;=re wka;¾.; fjhs' wjYH jQjfyd;a Tyqf.a fydafudak mÍlaIKo isÿ flfrhs'
msrsñkag ore iïm;a ,eîug wys;lr fia n,mj;ajk fya;= iylref.a ckk yelshdj ÿ¾j, lsrSug n,mdk fya;= /ila fjhs' ÿïmdkh" u;ameka mdkh" we;eï T!IO yd u;aøjH .ekSu" mdßißl OQ,l" ms<sld j,g .kakd lSfudf;rms m%;sldr ta w;r fõ' lïuq,a.dh" jl=.vq frda. fukau we;eï fydafudak W!K;d ksido mS;DNdjh ,eîug n,mEï we;súh yel' ore iïm;a ke;sùug n,mj;ajk mqreI ldka;d uQ,sl fya;= ljf¾o@ ² fydafudak wvq¨yq`vq;d fuh äïnfudapkhg ndOd muqKQjhs' ;hsfrdhsâ .%kaÓsfha fydafudak j, wjl%shdldß;ajh fyda wêl%shdldß;ajh fukau Polycystic ovarian syndrome (PCOS) ;;;ajh" msáhqgß .%kaÓfha yd wêjDlal .%ka:dfha hk fï ljr fydafudak m%Njhl fyda we;sjk wvq¨yq`vq;djhka ore iïm;a ,eîug ndOl úh yel' ² m%ckl bkaøshhkayS we;sjk jHqyd;aul fodaI
.¾NdIfha we;sjk fmd,sma" *hsfn%dhsâ" mef,damSh kd, wjysr ùu" .eíf.f,ys jHqyd;aul fodaI" tkafvdfuá%fhdaisia yd mgl j, we;sjk le<,s wdosh ore iïm;a wjysr lrhs'
Od;= mÍlaIKfhka fy<sorõ lr.; yels iylref.a fodaI idudkH Y=l%dKQ m%udKh
wvq Y=l%dKQ m%udKh
Y=l%dKQ m%udKh
doctormagazine.lk
idudkH pd,l;djh
ÿ¾j, p,kh
Y=l%dKQ pd,l;djh
idudkH rEmlldrh
úlD; rEmldrh
Y=l%dKQ j, yevh
January 2021
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47
D•Magazine /
Trying to conceive ore iïm;a ,eîug ndOd f.k fok fya;=
äïn fudapkh isÿ fkdùu
ldka;djf.a fodaI mef,damSh kd,fha iqug l%shdldß;ajhg ndOl jk wef,k fldgia
äïnfldaIh yd ine|S fodaI
mef,damSh kd,h yd ine|S fodaI
.¾NdIh yd ine|S fodaI
² äïn ixÑ;h ySkùu" kshñ; l,g fmr wd¾;jwNdjhg meñKSu fukau äïn j, .=Kd;auh ySk ùu' ldka;djkag ore iïm;a ,eîug wys;lr fia n,mj;ajk fya;= fï yereKQ úg wdydrfhys we;sjk fmdaIK W!K;d" muK blaujk jHdhdu" wd;;sh" ÿïfld<" u;ameka" úlsrKh jeks OQ,l j,g ksrdjrkh ùu" we;eï T!IO .ekSu" jl=.vq frda." iS,shela frda. wdoS we;eï frda. ksido ore iïm;a m%udo$wysñ úh yel'
.eíf., yd ine|S fodaI
² Tima pl%h fkdue;sùu fyda widudkH Tima ùu ² b;d fõokdldÍ Tima ùu ² tkafvdfuá%fhdaisia ² fY%daKs wdidok (Pelvic inflammatory disease) ² jrlg jvd .íid ùu
² jhig hdu ia;%s mqreI fofokdf.au idM<H;djh ySk lrk fya;=jla jk w;r th fjfiiskau ldka;dj flfryS jeä n,mEï we;s lrhs' ² ia:Q,;djho fofokdf.au ckl yelshdj ÿ¾j, lrk ;j;a fya;=jls' .eìKs ixl+,;d j,go fuh úIh fjhs' ² ÿïfld<" u;ameka yd u;aøjH .ekSu fofokdf.au orejka ,eîug ndOl fjhs'
.eìKs nj me;SfïoS ffjoHjrfhl= yuqùu wf.ah' bka .eìKs Ndjhg iQodkï ùug;a Tng we;sjk .eg¿ j,g ms<shï fhdod.ekSug;a wjia:djla ,efnk w;r ms<sis|Sula id¾:l lr .ekSug wjYH ldrKdo oek.; yels jkq we;'
uu ffjoHjrfhla uqK .eish hq;af;a ljr wjia:dfõo@ uq,ska i|yka l<dla fuka jirla uq¿,af,a W;aidyh iM< fkdùu fukau jhi wjq' 35g jeä kï udi yhla ;=< .eí fkd.ekSu ffjoHjrfhl= yuqùug fya;=jls' ta yereKQ úg my; wjia:d j,oSo l,a fkdhjd ffjoHjrhd yuq fjkak'
idM<H;djh iïnkaOfhka isÿlrk uQ,sl mÍlaIdjka uq,skau ffjoHjrhd úiska ldka;dj uQ,sl lr.;a idhksl mÍlaIdjka isÿ lrKQ ,nhs' tfiau
48
January 2021
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.eíf., >%dj weiqf¾ äïn fudapkh úuiSu úh,s iy wef,k iq¿ äïn fudapkhla isÿ fkdfjhs
f;;hs" j;=r jeks >%djh äïn fudapkh fyd|gu <Õhs
l%Sï iajNdjh äïn fudapkhg wdikakhs
wefok iq¿hs" ì;a;r iqÿuoh jekshs äïn fudapkfhaoS
fofokdf.au fi!LH ;;a;ajh iïnkaOfhka úuiqula isÿ fllfrhs' Tjqkaf.a ,sx.sl iqjfi; iïnkaOfhkao fuysoS úuis<su;a fjk w;r thska Tjqka w;r we;s ndOl l%shdldß;ajhka fjf;d;a thg ms<shï fhoSug wjia:dj Wod jkq we;' mqreIhka iïnkaOfhka kï uq,skau isÿ flfrkafka Od;= mÍlaIKhls' Y=l%dKQ j, ixLHdj" yevh yd pd,l;djh iïnkaOfhka fï Od;= mÍlaIK jd¾;dfõ f;dr;=re wka;¾.; fjhs' wjYH jQjfyd;a Tyqf.a fydafudak mÍlaIKo isÿ flfrhs' ldka;djf.a uq,a wjOdkh fhduq flfrkafka Tima pl%h fjkqfjks' wehf.a äïnfudapkh iïnkaOfhka fy<sorõ lr .ekSug my; úuiqï tlla fyda lsysmhla isÿ lrkakg Wmfoia fohs' ² WoEik YÍrfha WIAK;ajh uek .ekSu ² wef.a .eíf., >%dj mÍlaId lsÍu ² Home ovulation test kit weiqf¾ isÿ lrk mÍlaId doctormagazine.lk
reêr mÍlaIdjla u.ska fyda w,agd% ijqkâ a mÍlaIKhla u.ska ffjoHjrhdg wef.a äïn fudapkh iïnkaOfhka mÍlaId l< yel' äïn fudapkh uekúka isÿjk njg ;yjqre jkafka kï fjk;a ldrKd flfryS wjOdkh fhduq lrKQ we;'
January 2021
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49
D•Magazine /
Trying to conceive ore iïm;a ,eîug ndOd f.k fok fya;=
reêr mÍlaIdjla u.ska fyda w,ag%d ijqkaâ mÍlaIKhla u.ska ffjoHjrhdg wef.a äïn fudapkh iïnkaOfhka mÍlaId l< yel' äïn fudapkh uekúka isÿjk njg ;yjqre jkafka kï fjk;a ldrKd flfryS wjOdkh fhduq lrKQ we;' Hysterosalpingography mÍlaIKh mef,damSh kd, yd .¾NdIh wjysro hkak úuiSug úlsrKh fhdodf.k isÿ lrk mÍlaIKhls' Laparoscopy mÍlaIKh fuho äïnfldaI" mef,damSh kd, yd .¾NdIh we;=¿j WoÍh wjhjhka mÍlaId lrñka tys fodaI úuiSug ,emriafldamh yd wNHka;rhg m%fõY lrk ishqï leurdjlska isÿlrk mÍlaIKhls' iuyr úg ufkda NdjhkayS we;sjk fjkialï ksido ore iïm;a m%udo jk w;r we;eï úg fï lsisÿ mÍlaIKhlska fodaIhla jd¾;d fkdùo ore iïm;a m%udo jk wjia:do ;sfí' DM
ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx. uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï lafIA;f % ha m<mqreÿ wfma jD;a;h S iydh ,nd oSug wm b;d leue;af;ka isáuq' wmg l;d lrkak' fukak wfma wxlh
077 291 4526 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a; mdr" mrK fldÜgdj mdr" Wvyuq,a, kqf.af.dv
,nk l,dmfhka( ksire;djhg lrk m%;sldr
50
January 2021
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Thisakya Design Studio doctormagazine.lk
January 2021
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51
D•Magazine /
Foot Care for Arthritis ykaosm;a frda.Ska''' wd;rhsáia frda.Skaf.a mdo
FOOT CARE FOR ARTHRITIS
ykaosm;a frda.Ska''' wd;rhsáia frda.Skaf.a mdo wd;rhsáia yd oshjeähdj ;sfnk úg .; hq;= úfYAI mdo iqrlaId l%shdud¾.
ffjoH reÑld fifkúr;ak
52
January 2021
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doctormagazine.lk
ikaê m%odyhg ,laùu" ta ksidfjkau rsÿï fojk" ÿn,;d yd wdndO we;s lrjk wd;rhsáia kue;s fmdÿ jyfrka y÷kajk frda. 200la muK yªkdf.k ;sfí' ta w;=ßka Tiaáfhda wd;rhsáia fukau reuefgdhsâ wd;rhsáia hk frda. folu ksid mSvd ú|sk frda.Ska idhk j,oS ksrka;rfhka olskakg ,efí' fï ikaê wdndO foflaoSu mdo j, fõokd" lelal=ï fukau úmÍ; ùïo oelsh yel'
wd;rhsáia frda.hg m%;sldr /ila ;sfí' ta yereKQ úg mdo j,g lrk we;eï i;aldro frda.h md,kh lsÍug w;sYhska jeo.;a fjhs' fi!kao¾fha W,am;lao@ mdo''' mdo iqjfi; iïnkaOfhka l;d lrk l,ayS mdo j,g Tìk mdjyka hqj,la Ndú;hg .eku w;sYhska jeo.;a idOlhls' iïudkkSh Ñ;% Ys,amS" ks¾udml ,shkd¾fvda vdúkaÑ wmf.a jeä wjOdkhlg fhduq fkdjk mdo iïnkaOfhka fujka i|ykla lf<Ah' ñksiqkaf.a mdo wmQ¾j w,xlD; l,d ks¾udKhla'ZZ "The human foot is a masterpiece of engineering and a work of art." tjka jQ fi!kao¾hd;aul jeo.;alulao we;s" isrerg w,xldrhla tla lrfok mdo irik ñßjeäiÕ, o ukdfldg ksuejQ tlla ue úh hq;=hs' tu;=o fkdfõ''' th fi!LHiïmkak mdjyka Ndú;dj .=re fldg .;a mdjyka me<|Sulau úh hq;=hs'
wmQ¾j w,xlD; l,d ks¾udKhla hkqfjka ,shkd¾fvda vdúkais lSfõ ñksia mdo j,gh' fï Tyqf.a f;,s;=vg yiqjQ mdo wNHka;rfha yd u;=msg is;=jï lsysmhla
doctormagazine.lk
January 2021
DOCTOR MAGAZINE
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D•Magazine /
Foot Care for Arthritis ykaosm;a frda.Ska''' wd;rhsáia frda.Skaf.a mdo
u; we;s jkafka ke;' lrorldÍ ksuejqulska hq;a mdjyka fukau f,o¾ jeks oDV øjH j,ska ieliQ mdjykao iqÿiq ke;'
wd;rhsáia frda.fhka mSvd ú|sk Tn Tn f;dard.; hq;af;a fhda.H f,i meäka l< me;,s mdjyka hq.,l=hs' meäka lsÍfuka we;sjk l=Ika tll ixfõokh u.ska oekgu;a ÿ¾j,j we;s ikaê j, wd;;sh hï m%udKhlska ,sys,a fjkjd'
Bunion hkqfjka ye|skafjkafka uymgÕs,af,a msg me;af;ka we;sjk fkrd tauls' fuh l=vdjg we;sù j¾Okh jk w;r hï wjia:djloS mdjyka me<| weúoSfïoS fõokdldÍ njla oefka' úfYAIhkau Bunion ;sfnk úg im;a;= oeóu fõokdldÍh' fuu Bunion frda.Ska i|yd mdjyka me<|SfïoS we;sjk fõokdjg úi÷ula f,i tu ia:dkh iam¾Y jk fia Customized gel padding tlla im;a;=jg fhosh yel' thska tu j¾Olh mdjyka j, we;s,a,Sfuka fõokdj we;sùug mj;akd bvlv wdjrKh fõ'
frda.fha iajNdjhg .e,fmk mdjyka msßú;r wd;rhsáia frda.sfhla ;ukag WÑ; mdjyka hqj,la f;dard .ekSfïoS weÕs,s w;r m%udKj;a bvla ksoyiaj mj;sk wdldrhg tu mdjyka hq., f;dard.kak' os.= ld,hla ;siafia wd;rhsáia frda.hg k;=ùfuka we;sjk weÕs,s j, úlD;s;d j,oS tjka ksoyia bvla iys; mdjyka ñi lsá lsáfha m<|sk mdjyka j,ska isÿ jkafka uy;a Wjÿrls' wd;rhsáia frda.Skaf.a mdo weÕs,s j, we;sjk úlD; keùï (Hammer toe) we;súg fï bv mj;S kï wu;r mSvkhla weÕs,s
wd;rhsáia frda.Ska''' fjfiiskau reuefgdhsâ wd;rhsáia frda.Ska" Bursitis frda.fhaoSo weúosk úg fõokdjla we;súh yel' Bursitis hkq ikaê jfÜg we;s mei j, mj;akd ;r,h m%odyhg ,la ùuhs' fuhska we;sjk fõokdfjka ñoSug weÕs,a,g by<ska fc,a
wä Wi im;a;= wd;rhsáia frda.Skag kqiqÿiqh' Wi wä iys; im;a;= ksid oKsia j, msgqmig wu;r mSvkhla we;s fjkjd' tfiau Tng we;sjk ykaosm;a lelal=ï jvd;a fõokdldÍ njg m;a lrkakg;a Wi wä im;a;= j,g mq¿jka'
Wi wä im;a;= wd;rhsáia frda.fhaoS fyd| kE''' wd;rhsáia ;sfnk ldka;djl kï lsisúfgl Wi wä im;a;= oeóu iqÿiq kE' Wi wä iys; im;a;= ksid oKsia j, msgqmig wu;r mSvkhla we;s fjkjd' tfiau Tng we;sjk ykaosm;a lelal=ï jvd;a fõokdldÍ njg m;a lrkakg;a Wi wä im;a;= j,g mq¿jka'
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January 2021
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doctormagazine.lk
wd;rhsáia ksid mdo j, úlD;s;d /ila we;sùfï wjodku ;sfnkjd
mEâ tlla (Metatarsal gel cushion pads) ;eìh yel' wd;rhsáia frda.Skaf.a mdofha bosßmi yd msgqmi (Heel and the sole) ikaê úlD;;djhg .,mdf.k mdjyka ks¾udKh lsÍula isÿfõ' fuysoS mdofha uOH m%foaYfhao nr iunrj me;sr hk fia Medial (inner) sole wedges we;=<;aj mdjyka ks¾udKh l< yelsh' we;eï wd;rhsáia ;;a;aj j,oS ikaê j, wiaÓ tlg yd ùfuka tajd p,khg we;s wjia:d nrm;, f,i iSud fjhs' fuysoS ksoyia weÕs,s j, p,k we;s jqjfyd;a tho frda.shdg bys,sh fkdyels fõokdjls' fujka p,k wjia:d iSud lsÍug idok mdjyka hq.,hg Rocker sole iïnkaO lr we;' mdo j, we;sjk fjkialï u;ska we;sjk weúoSfï wmyiqlï u.yrjd .ekSu msKsi wjYH mßos mdjyka j, fjkialï flf¾' tu.ska mdo j, we;s jk fjkialï ksid we;sjk .eg¿ /ila u.yrjd .; yel' fï wdldrfhka frda.Skaf.a wjYH;djh mßos mdjyka ieliSu osjhsk mqrd uyfrday,a j,ska lr.; yel' oKsfia we;sjk Tiaáfhdawd;rhsáia ;;a;ajhka j,g m%;sldrd;aul l%shdud¾. .ekSu iy ie;alï lsÍu fjkqjg úl,am l%shdud¾. flfryS fndfyda frda.Ska wjOdkh fhduq lrhs' tfy;a by;ska i|yka l< we;eï ueosy;aùï úYAñ; wdldrfhka frda.shdf.a cSú;fha .=Kd;aul oshqKQjlg rel=,a oSula isÿ fjhs' wdOdrl nia;u WodyrKhls' weúoskakg jdre ke;s whg nia;fï jdrej úYd, msgqjy,la fjhs' wOHhkhlska ikd: jQ yerñá jdrefõ jákdlu fï iïnkaOfhka wkqrdOmqr YslaIK frdayf,aoS wm doctormagazine.lk
úiska wOHhkhl ksr; ùuq' Tiaáfhdawd;rhsáia mdol oksia lelal=fuka iykh ,eîu msKsi wdOdrl nia;ula ljr wdldrfha msgqjy,la fõo hkak ksÍlaIKh lsÍfï fuys wruqK úh' nia;ula fkdfyd;a yerñáhla Ndú;d lsÍfuka fõokdj iukh lsÍug úYd, msgqjy,la ,efnk nj;a fï ksid tosfkod l%shdldrlï j, ksr; ùu jvd;a myiq jQ nj;a fï wOHhkhg iyNd.s jQ frda.Skaf.a woyi úh' yerñá" fjdal¾" la,pia wdosh Ndú;d lsÍu wd;rhsáia frda.Skaf.a tosfkod p¾hdjka iqug lsÍug fnfyúka bjy,a jk w;r Tjqkaf.a n,j;a fõokdjka wvq lsÍugo th fya;=jla fjhs' fhda.H jHdhduhl ksr; ùu fyd| m%;sM< ,nd fokjd mdo j, we;sjk fõokdjkaf.ka ñoSug jHdhduho msysg ths' ye,afï osùu" osùu" iafldÜ" cïmsx frdama jeks jHdhdu wd;rhsáia frda.Skag kqiqÿiqh' fï jHdhdu ksid ikaê u; wd;;sh jeäjk w;r ikaê Ldokh ùfï l%shdj,sh thska fõ.j;a fjhs' fï ldKAvfha frda.Skag jvd;a iqÿiq jHdhdu jkafka weúoSu" ihsl,a meoSu" msyskSu jeks jHdhduhs'
January 2021
DOCTOR MAGAZINE
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D•Magazine /
Foot Care for Arthritis ykaosm;a frda.Ska''' wd;rhsáia frda.Skaf.a mdo
² kshfmd;= lmk úg fofldka u; .eUQrg fkdlefmk fia yß ;sria w;g bv ;nd lmkak'
wd;rhsáia frda.sfhla ;ukag iqÿiqq jHdhdu b;d ie<ls,af,ka f;dard.; hq;=hs' jvd;a iqÿiq jHdhdu jkafka weúoSu" ihsl,a meoSu" msyskSu jeks jHdhduhs'
c,fha lrk l%Svd (Water associated exercises or hydrotherapy) ksid ikaê u; we;sjk mSvkh ie<lsh hq;= uÜgulska wvq jk njo fuys,d i|yka l< hq;=h' oshjeähdj mdo i;aldr oshjeähdj ;sfnk frda.Ska ;ukaf.a mdo .ek fjfiiskau ie<ls<Su;a úh hq;=h' Tjqkaf.a ÿ¾j, iakdhq l%shdldß;ajh ksid mdohg lsisÿ fõokdjla fkdoekSu mdofha ;=jd, we;s úh yel' ikaê.; frda. we;s whg oshjeähdjo ;sfí kï jeä mSvkhla we;sjk mdofha we;eï ia:dk j, lr.eg (Callosities) we;sùfï wjodku ;rula by<h' ² oshjeähdj ;sfnk wh ;ukaf.a mdo oskm;d uekúka mrlaId l< hq;=h' úfYaIfhkau mdofha weÕs,s ;=vq w;r mÍlaId l< hq;=h' wd;rhsáia ;sfnk úg kefjñka mdo mÍlaId lsÍu ;rula wmyiq jkakg mq¿jk' tjka wjia:d j,oS lKakdähla wdOdr lrf.k ta lghq;a; lrkak'
² mdo w;sYhska úh<Sfuka je<lSug yd me,Sï je<elaùug Moisturizer Cream tlla .,ajkak' tfy;a fuh weÕs,s w;f¾ wdf,am lrkak tmd' ² mdjyka fkdue;sj weúoSu we;euqkaf.a isß;ls' kuq;a fuhska ;=jd, we;sùfï wjodkulao mek k.sk ksid wd;rhsáia yd oshjeähdfjka fmf<k Tng kï mdjyka ke;sj weúoSu iqÿiq ke;' ² Tn ;nk iEu mshjrlau Tfí cSjk ;S¾:fha hy meje;au fjkqfjks' ta ksidfjkau Tn ;nk iEu úgu Tfí mdo iq/lsj wdrlaId lr.kak' DM
² iakdkfhka miq mdo msiod f;; ud;a;= l< hq;af;a os,Sr wdidok we;sùfï bvlv wjqrd,Su fjkqfjks'
fuu f,aÅldj m¾fhaIK ld¾hhkayS ksr; ffjoH jD;a;slfhls'
² oshjeähdj ;sfnk úg mdo fodajkfhaoS c,h ydkslr fkdjk WIAK;ajhl ke;s nj iy;sl jkak' Tfí mdo j,g WIAK;ajh jeäùu fkdoeKQfkd;a thska mdo ms<siaiSug mq¿jk'
Credit :http://www.dailymirror. lk/print/medicine/Foot-care-for-a-healthy-life--/308-191180 Image
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January 2021
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PCR Test fldúâ frda.hg lrk ridhkd.dr mÍlaId .ek jeo.;a f;dr;=re
PCR mÍlaIKh iy laI‚l m%;sfoayckl mÍlaIKh fldúâ frda.hg lrk ridhkd.dr mÍlaId .ek jeo.;a f;dr;=re ffjri frda. úfYaI{ ffjoH .S;dks .,f.dv MBBS, Dip.(Med.Micro), MD ridhkd.dr m%Odks" ,xld fydiamsÜ,a vh.afkdiaálaia
58
January 2021
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2019 foieïn¾ udifha Ökfha jQydka k.rh k.rfhka werUqKq kj;u id¾ia ffjrih oeka uq¿ uy;a f,dalhgu oeä m%Yakhla ù yudrhs' th oekg f,dal jHdma; jix.;hla (Pandemic) f,i f,dal fi!LH ixúOdkh y÷kdf.k ;sfí' fï frda.h ksid fï ,shk fudfyd; jk úg ñ,shk 72'7la frda.Ska wdidokh ù thska ñ,shk 1'62la urKhg m;aù isà' fuu fldúâ 19 frda.h y÷kd .ekSfuka miq th ;yjqre l< yels ridhkd.dr mÍlaIK ms<sn|j idudkH ck;dj uy;a Wkkaÿjla oelaùug mgkaf.k ;sfí' wms m<uqfjkau fï frda.fha ku ms<sn|j úuiuq' COVID-19 iy SARS-CoV-2 hkqfjka y÷kajkafka l=ulao@ COVID-19 ke;akï Severe Acute Respiratory Syndrome (SARS) hkq fuu frda.hg fya;=ldrl jk ffjrifha kuhs' th CoV-2 hkqfjka y÷kajkafka SARS hkqfjka ffjrihla 2003 j¾Ifha § m<uqfjkau y÷kd.;a ksihs' COVID-19 lshkafka ta ksid we;sjk frda.hlghs' th Corona virus disease -19 f,i w¾: oelaúh yelshs' 19 lshkafka m%:u frda.Ska jd¾;d jqfKa 2019 j¾Ifha§ ùu ksihs' COVID-19 frda.h y÷kd .ekSug yels ridhkd.dr mÍlaIK fudkjdo@ COVID-19 frda.h y÷kd.ekSu i|yd mÍlaIK j¾. lsysmhla ;sfnkjd' thska b;du jeo.;a ixfõ§ mÍlaIKh jkafka PCR mÍlaIKhhs' PCR mÍlaIKh .ek ;j;a úia;r fudkjdo@ fuys§ isÿ isÿlrkafka SARS-CoV-2 ffjrifha cdk y÷kd .ekSuhs' iEu Ôúfhl=f.au''' i;=ka" Ydl j¾." nelaàßhd" ffjri''' fï iEu flfkl=f.au isref¾ cdk wvx.= fjkjd' ;j;a fohla" wfma isref¾ iEu fohlau md,kh lrkafka fï cdk uÕska' b;ska tla tla Ôúhdf.a cdk ,dlaIKslhs' wka cSùkag jvd fjkia' fï fjkia cdkh y÷kd.;fyd;a wmsg f,aisfhkau Ôúhd y÷kd.; yelshs' doctormagazine.lk
COVID-19 hkq Yajik ud¾.fhka fndajk frda.hla' b;ska m%Yak.; ffjrih ;sfnkjd kï th wvx.= jkafka Yajik ud¾.fhka ,nd .kakd idïm,a j,' rEmjdysksfhka oel we;s frda. úuiSug idïm,a ,nd .kakd wdldrh' kdih" .%iksldj ,Õska iy W.=frka ,nd.kakd idïm,a fndfydaúg fuys§ mdúÉÑ lrkjd' tfyu ke;akï fiu ,ndf.k mÍlaIdj isÿ l< yelshs'
fï l%uh fndfyda ld,hl isg úoHd{hka oek isáhd' 1985 § Kary Mullis kï úoHd{fhl= fï cdk úia;drKh (Amplification) u.ska ñ,shk m%udKhlska tajd jeä lr myiq f,i y÷kd .ekSfï l%uh y÷kajd ÿkakd' Polymerase chain reaction (PCR) lshkafka fï l%uhghs' fï jákd fidhd.ekSu i|yd 1993oS
January 2021
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PCR Test fldúâ frda.hg lrk ridhkd.dr mÍlaId .ek jeo.;a f;dr;=re
mÍlaIKfha§ th isÿlrk w;r;=ru mÍlaIKh isÿfjkjdoehs oek.; yelshs' fï i|yd wjYH jkafka fudkjdo@ fï i|yd by< ie,iqula we;s úoHd.drhla" ñ, wêl Wiia WmlrK iy uekúka mqyqKq l< ld¾ñl úoHd{hka wjYH fjkjd' úoHd.drh ta i|ydu ie,iqï lr ieliQ tlla úh hq;=hs' wvqu .Kfka fjka l< ldur ;=kla ;sìh hq;=hs' Real Time PCR i|yd wjYH ridhkd.dr WmlrK b;du ñ, wêlhs' thg wjYH ridhKsl øjH ;ekam;a lsÍu i|yd YS;lrK yd wêYS;lrKo ridhkd.drh ;=< ;sìh hq;=hs' fï YS;lrK j, fjk;a øjH .nvd lrkak;a nE' B<Õg tys fiajh lrk úoHd{hka" úfYaIfhka ta i|yd mqyqKq l< hq;= fjkjd' PCR mÍlaIKh uq,a jrg f,dalhg yªkajd ÿka Kary Mullis. Tyq y÷kajd ÿka cdk ñ,shk m%udKhlska jeä lr myiq f,i y÷kd .ekSug fmkajd ÿka l%ufõohg 1993oS ridhk úoHdj i|yd jk fkdfn,a ;Hd.h ;Hd.ho ysñ jqKd'
ridhk úoHdj i|yd jk fkdfn,a ;Hd.h ;Hd.ho ysñ jqKd' SARS-CoV-2 i|yd Ndú;d lrk Real Time PCR hkq l=ulao@ uq,au wjia:dfõ cdkh y÷kd.; yels jQfha mÍlaIKh iïmQ¾Kfhkau yudr jQ miqhs' kuq;a Real Time PCR
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PCR mÍlaIKfha wx. fudkjdo@ m%:ufhkau frda.shdf.a fiumg," fiu fyda tjeks ffcj idïm, ,nd .; hq;=hs' COVID-19 hkq Yajik ud¾.fhka fndajk frda.hla' b;ska m%Yak.; ffjrih ;sfnkjd kï th wvx.= jkafka Yajik ud¾.fhka ,nd .kakd idïm,a j,' rEmjdysksfhka oel we;s frda. úuiSug idïm,a ,nd .kakd wdldrh' kdih" .%iksldj ,Õska iy W.=frka ,nd. kakd idïm,a fndfydaúg fuys§ mdúÉÑ lrkjd' tfyu ke;akï fiu ,ndf.k mÍlaIdj isÿ l< yelshs' mÍlaIKfha B<Õ mshjr l=ulao@ fuys m%Odk mshjr folla ;sfhkjd' 1' fuu idïm,fhka cdk (RNA)t<shg ,nd .ekSu' ta i|yd mehl muK ld,hla .; fjkjd' th Extraction kñka y÷kajkjd' fuh úoHd{hl= úiska isÿ l< hq;=hs' 2' PCR mÍlaIKh isÿ lsÍu' ta i|yd l,ska Extract lr bj;a lr.;a RNA j,g ridhksl øjH tl;= lr th Real Time PCR we;=,a lrkjd' b;sß jev fldgi i|yd ;j;a meh folyudrl muK ld,hla .; fjkjd'
DOCTOR MAGAZINE
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PCR mÍlaIK m%;sM, mud fjkafka wehs@ fndfyda fofkla fkdokakd ldrKhla jkafka fuh ldKav jYfhka (Batch Test) isÿlrk mÍlaIKhla njhs' PCR hka;%hg tljr idïm, 48la ke;akï 96la we;=<;a l< yelshs' bkamiq tu meh .Kk ksujQ miq B<. B<Õ ldKavh ke;akï Batch tl mÍlaIKhg fhduq lrkjd' PCR mÍlaIKfha we;s jdis fudkjdo@ úia;drKh fkdfyd;a Amplify lsÍfï§ tla cdkhla ñ,shk m%udKhlska jeä lr .; yelshs' túg isref¾ b;d wvq ffjri m%udKhla ;snqK;a th y÷kd.ekSug wjia:dj ,efnkjd' PCR mÍlaIKfha we;s wjdis fudkjdo@ ud óg l,ska mejiQ mßÈ fuu úoHd.dr i|yd f,dl= uqo,la'' ñ,shk .Kkla jeh l< hq;=hs' tfiau thg Ndú;d lrk ridhksl WmlrK PCR mÍlaIKh i|ydu lemjQ (dedicated) WmlrK úh hq;=hs' tys fiajh lrk úoHd{hka fyd¢ka mqyqKq lrk ,o wh úh hq;=hs' tfukau fï i|yd mdúÉÑ lrk ridhksl øjHhka b;d ñ, wêl ksid m¾fhaIKh i|yd wêl ñ,la jeh l< hq;=hs'
jdyfka b|kau fldúâ mÍlaIKh;a'''
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PCR mÍlaIKhla u.ska frda.h y÷kd.ekSfï we;s ndOl fudkjdo@ fuys we;s m%Odk ndOlhla jkafka frda.h iqj jQ miq ffjrih iïmQ¾Kfhkau úkdY jqj;a tys RNA len,s isrer ;=< ;sîuhs' PCR mÍlaIKh b;d ixfõ§ ksid fï RNA len,s y÷kd.kakjd' wm ljqre;a wid we;s mßÈ PCR positive fjkjd' frda.h iqj ù Èk lsysmhla .;jk ;=re;a bßishd positive úh yelshs ta ksid frda.h je,£ iqj jQ frda.sfhl= Èk lsysmhla hk;=re;a PCR positive úh yelshs' ta ksid frda.h je<|S" iqjù osk lsysmhla .; jQj;a PCR positive f,i mÍlaIKfha m%;sM,h oelafjkjd' Ôj;ajk ffjri y÷kd.ekSu i|yd ;sfnk mÍlaaIK fudkjdo@ Tõ" ta i|ydVirus culture, tfyu ke;akï ffjri frdamK mÍlaIK lsÍfuka Ôj;a jk ffjri y÷kd.; yelshs' kuq;a fuu l%uh l%shd;aul January 2021
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D•Magazine /
PCR Test fldúâ frda.hg lrk ridhkd.dr mÍlaId .ek jeo.;a f;dr;=re
m%;sfoay isrer ;=< we;s jkafka ffjrih isrer ;=<g we;=¿ ù i;s foll muK foll muK ld,hlg miqjhs' th y÷kd.kafka f,a idïm,hlska' b;ska fï ksid tu l%uh frda.Ska w¨;ska fidhd .ekSug mdúÉÑ l< fkdyelshs' kuq;a hï wfhl=g i;s foll muK ld,hlg fmr frda.h we;sjqKdoehs oek.ekSu i|yd mdúÉÑ l< yelshs'
tys§ ,nd .kakd idïm, fudkjdo@ óg fmr mejiQ mßos PCR mÍlaIKh i|yd fhdod.kafka kdifhka ,nd.kakd idïm, muKhs' fuu mÍlaIKfha we;s jdis fudkjdo@ th laI‚lj m%;sM, ,nd fokjd' oekg ,xldfõ ;sfnk laI‚l mÍlaIKfhka idïm, ,nd .;a miq úkdä 20 lska m%;sM, ,nd.; yelshs' tfukau fuh point-of -care mÍlaIKhla f,i y÷kajkjd' thska meyeÈ,s jkafka frda.shdf.a ,Õ isgu isÿ l< yels mÍlaIKhla njhs' úfYaIs; jQ ridhkd.drhla fï i|yd wjYH jkafka kE' b;d fyd¢ka úfYaIs; f,i mqyqKq l< úoHd{hka wjYH keye' mÍlaIKh;a PCR mÍlaIKhg jvd ñf,ka wvqhs' b;ska wehs wms Antigen mÍlaIKh muKla isÿ fkdlrkafka@ fïfl jeo.;au idOlh jkafka ixfõ§;djh wvq ùu' fï mÍlaIKfhka y÷kd.kak b;d jeä ffjri m%udKhla ;sfnk frda.Ska muKhs' wvq ffjri m%udKhla ;sfnk frda.Ska y÷kd .kakg fuh wiu;a fjkjd' túg Tjqkaf.ka frda.h iudchg me;sr hdfï wjodku ;sfnkjd'
l< yels jkafka b;d by< uÜgul mj;sk ridhkd.drj, muKhs' oekg ,xldfõ tjka Wiia ;;a;ajfha ridhkd.dr keye' w¨;ska y÷kajd we;s laI‚l m%;sfoayckl mÍlaIdj (Rapid antigen test) .ek hula mjikak@ fuysoS lrkafka ffjrifha fldgia y÷kd.ekSuhs' fïjd m%;sfoayckl (Antigen) fldgia f,i yªkajkjd'
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b;d flá ld,hlska m%;sM< ,nd.; yels wekaáck mÍlaIdj
DOCTOR MAGAZINE
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PCR mÍlaIKh isÿ l< hq;af;a l=uk wjia:dfõ§o@ f,dal fi!LH ixúOdkh m%ldY lrk mßÈ fldúâ frda.h iudcfha wvq uÜgul ;sfnk wjia:dj,§ PCR mÍlaIKh jvd;a iqÿiqhs' tfiau l,ska ie,iqï lrk ,o Y,Hl¾u j,§" f,a oka §ug ierfik whg PCR mÍlaIKh isÿ l< hq;=hs' tfukau msgrg hdfï§ .=jka hdkhg msúiSug;a ndr.kafka PCR mÍlaIK muKhs' ,xldfõ fi!LH wud;HdxYfha ud¾f.damfoaYk wkqj frda.h je<£ we;ehs oeä f,i iel iys; whg Antigen mÍlaIdj isÿ l< hq;=hs' th Negative jQj;a PCR mrSlaIdj isÿ l< hq;=hs' tfiakï Antigen mÍlaIdfjka m%fhdackhla ;sfnkjdo@ i;a;lskau''' fuhska frda.Ska blauKska y÷kdf.k Tjqkaf.ka frda.h wka whg fndaùu je<elaùu i|yd laI‚l mshjr .; yelshs' tfiau frda.h je<£ we;ehs iel iys; mqoa.,fhl= yÈis wjYH;djhlg frday,a .; lf<d;a''' ^WodyrKhla úÈyg yÈis Y,Hl¾u" yÈis wk;=re& flá ld,hlska Tjqkag frda.h je<£ ;sfíoehs fidhd .; hq;=hs'
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wjidk jYfhka m%;sfoay mÍlaIKh .ek Tng lsj yelafla l=ulao@ m%;sfoay isrer ;=< we;s jkafka ffjrih isrer ;=<g we;=¿ ù i;s foll muK foll muK ld,hlg miqjhs' th y÷kd.kafka f,a idïm,hlska' b;ska fï ksid tu l%uh frda.Ska w¨;ska fidhd .ekSug mdúÉÑ l< fkdyelshs' kuq;a hï wfhl=g i;s foll muK ld,hlg fmr frda.h we;sjqKdoehs oek. ekSu i|yd mdúÉÑ l< yelshs' DM
January 2021
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Fashion Wia ñálï meyer fldhs ljqre;a je<|.kak fvksu
Wia ñálï meyer fldhs ljqre;a je<|.kakd
fvksu fvksï f,dalh mqrd Wm ixialD;shla'''
D-fvksï fvksï - fNaohlska f;drj fldhs ljqre;a we¨ï lrk ú,dis;djla' idvïnr jQ w;S;hlg Wreulï lSj;a Y;j¾Idêl ld,hla ;siafia fkdisf|k b,a¨ula fvksï ixialD;shg ;sfnkjd' thg cd;s fNao kE' Wiañá fNao kE''' f,dl= fmdälï kE''' fvksï udkj j¾.hd fmdÿfõ je<|.kakd ixialD;shla lSfjd;a Tn Bg tlÕ fjkjd fkao@
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lïlrejkag uq,skau ,ndÿka l,a mj;akd l,siu fvksï j, b;sydih .ek lsõfjd;a iuyr úg Tn mqÿu fjú' 19 jk ishjfia ueo Nd.fha § tlai;a ckmo jdisfhla fvksï Ndú;hg iudrïNh ,ndÿka nj fidhd f.k ;sfnkjd' 1873 § m<uq fvksï l,siï hq.,h ksIamdokh lrñka b;sydihg tlajQ fudyq fkjdvdys fÊlí ví,sõ' fâúia' ta ld, jdljdkqfõ§ lïlrejka" ñkskafodarejka iy m;,a lïlrejka jeks ngysr rgj, lïlrejkag l,a mj;sk we÷ï fkdùh' Yla;su;a lrk ,o Ôkaia iE§u ms<sn| ixl,amh we;s jQfha .kqfokqldßhla ;u iajdñmqreIhdg oej lemSu i|yd l,a mj;sk iy Yla;su;a l,siula fâúikaf.ka b,a,d isá Èklh' tu b,a,Sug wkqj fvksï ks¾udKh lsÍu werUqfõh' fâúia fvksï Ôkaia iE§u wjika lsÍug wdikakj isáh§" ;U ßjÜ lsysmhla fïih u; úisÍ ;sfnkq ÿgq Tyq idlal= iú lsÍug ßjÜ Ndú;d lf<ah' fï wdldrfhka Ndú;hg meñKS fvksu" jeä l,a fkdf.diau fõ.fhka jHdma; ùug mgka .;a w;r fâúia fj; l,siï b,a,d fndfyda b,a,Sï .,d tkakg úh' Tyq b;d blauKska nr jevj, kshq;= lïlrejkag we÷ï hq., 200 la úl=Kqfõh' levi Strauss iud.u b;sydih fjkia l< isÿùu ,úia fâúiag ish l=vd idmamqj ;=< b,a¨ug iß,k mßÈ ksIamdok Odß;djh imqrd,Sug uy;a mßY%uhla oeÍug isÿ úh' bkamiq Tyqg fvksï frÈ" fnda,aÜ imhñka isá NdKav f;d. fjf<kafol= jk f,ú iafg%daia iy iud.ug fhdackdjla bÈßm;a lf<ah' fâúiaf.a fhdackdj jQfha ksIamdokfha iaÓr whs;sjdislï fjkqfjka fâúia kj ksmehqïlre f,i kï lr we;s ßjÜ fhdod Yla;su;a lrk ,o fvksï l,siï ks¾udKh i|yd fmagkaÜ n,m;%h ,nd .ekSuhs' f,ù iafg%daia iy iud.u fvksï weÕ¨ï ksIamdokfhka ,dN bmhSug we;s yelshdj .ek mqÿuhg m;a jQ w;r Tjqka ieka *%ekaisiaflda ys uyd mßudK ksIamdokd.drh Ndrj lghq;= lsÍug fâúiaj n|jd .;ay' úisjk ishji mqrdu fvksï m%xY cd;sl ÿïßh fiajfha ld¾h uKav,hg ksl=;a lrk ,o ,dNodhS ks, we÷ï i|yd Ndú;d lrk ,§' mYapd;a hqO iufha§ rdclSh .=jka yuqodfõ wiSre rdcldß i|yd fvksï kï lr we;'
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fudrgqj úYaj úoHd,fha ;s<sKs ch,;a (B.Des.)
fvksfï ckm%sh;djh by< hhs uq,skau fvksï we÷ï we|,d ;sfhkafk nrjev lrk lïlrefjd' Tjqkag >klu froaolska uymq we÷ulska ,efnk wdrlaIdj ;=kS froaolska uymq we÷ulska ,enqfK keye' b;ska fï >K frÈ j,ska uyk we÷ï lïlrefjd w;r m%isoaO jqKd' wkak tfyu ;uhs áflka ál fvksï j,g ñksiaiq we¨ï lrkak mgka .;af;'
fvksu tfyu;a ke;akï fvksï lshk fldgu u;la fjkafka ks,a mdg lmq j,ska ksujmq ;o froaolska uymq l,siula Wkdg tal i¾ms,hla jf.a kej;a kej; ú,dis;djla úÈyg lr,shg tk l,djla' biair b|kau w¢k we÷ï j¾.hla jqKdg wo ldf,a ú,dis;d f,dalfha biairyu bkak we÷ula'
January 2021
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65
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Fashion Wia ñálï meyer fldhs ljqre;a je<|.kak fvksu
wo jk úg Tng idmamqjlska" iqmsß weÕ¨ï fj,|i,a j,ska" wka;d¾cd,fhka yuqjQ lfâlska mjd fvksï l,siï ñ,§ .; yel' tys§ Tn tys nr" w¢k ia:dkh" Tfí YÍrh yevh" Tn úhoï lsÍug n,dfmdfrd;a;= jk uqo," fjf<| ikakduh" j¾Kh"froafoa iajNdjh hk lreKq j,g wu;rj my; lreKqo ms<sn|j ie,ls,su;a úh hq;=h' Levi Strauss iud.fï m;, kula oskQ D ksmehqï
ldka;djkaf.a fkdisf|k wd,h fvksu tfyu;a ke;akï fvksï lshk fldgu u;la fjkafka ks,a mdg lmq j,ska ksujmq ;o froaolska uymq l,siula Wkdg tal i¾ms,hla jf.a kej;a kej; ú,dis;djla úÈyg lr,shg tk l,djla' biair b|kau w¢k we÷ï j¾.hla jqKdg wo ldf,a ú,dis;d f,dalfha biairyu bkak we÷ula' tÈfkod .ukg úfkdao .ukg" rdcldßhg" W;aij wjia:djka j,g wd§ tlS fulS fkdlS yeu ;ekgu w¢k fvksu;a tlal wfma ldka;d md¾Yjhg ;sfhkafka wdorŒh ne|Sula' ;uka w¢k fvksï l,siu ú;rla fkfuhs wkqkaf.a fvksï l,siï Èyd;a n,kak wfma wh wu;l lrkafka keye' Tng .e,fmk fvksug .=reyrelï Tn Tng .e,fmk Fit tl" tfia;a ke;skï Tng .e,fmk ksis yevh iy m%udKfhka ^fuys§ m%udKh hkqfjka woyia lf<a bk jg m%udKh muKla fkdjk w;r isref¾ m%udKh hkak woyia flf¾& hq;=" ksudfjka hq;= fvksula f;dard.kafka fldfyduo lsh,d ;uhs wms lsh,d fokak hkafka'
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Rise of jeans - fuu.ska l,siu wef|ys /f|k ia:dkh ms<sno woyila .; yel' kdNsh yryd hk bK f¾Ldj mdol lrf.k fuu msysàu .kshs' Tng ;sfhkafk iu n, yevhl isrerlao" È.= neúka jeä Wvq lhla" l| fldgiska my< Wi wvq nj jeks oE ieÕùu fyda biau;= lsÍu Tnf.a fvksï l,siu wefÕys /f|k ;ek u; ;SrKh fjhs' A. High rise waist - kdNsh u; fyda Bg by<ska w¢k l,siu ' hglr w¢k I¾Ü ioyd fyda crop top ú,dis;dfõ we÷ï i|yd jvd;a iqÿiq fõ' È.= Wvqlh iy flá ll=,a iys; whf.a ll=,a
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Boot cut
Relaxed Straight
fvksï l,siï kx fydaokak tmd''' msrsisÿ lr.kak wjYH úg ojila mqrd YS;lrKfha ;nkak iud.fï whs;slre lshhs'f,dalm%lg levi Strauss iud. fï j;auka ysñlre 56 yeúßÈ Ñma n¾.a fvksula fiaÈh hq;= ld,h ms<sn|j f,dj uú;hg m;a jk jk fy<sorõjla f*dapqka iÕrdjg iïuqL idlÉPdjla ,ndfoñka m%ldY lr ;sfnkjd' È.= nj jeä lr fmkaùu i|yd fuu udÈ,sh Ndú;d l< yel' B.Original - fuys§ l,sifï by< bK jdáh kdNsh u; msysghs' *ake,a I¾Ü" crop top" ,sys,a yeÜg fyda I¾Ü i|yd jvd;a iqÿiq fõ'
Skinny
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C.Regular - ´kEu yevhlska hq;a tllg .e,fmk fuu bv msysàu kdNshg uola my<ska msysghs' Tn leu;s ´kEu ú,dis;djl Wvqlh
January 2021
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Fashion Wia ñálï meyer fldhs ljqre;a je<|.kak fvksu
we÷ula i|yd iqÿiq fõ' Tfí bfKa m%udKh jvd;a isyska lr fmkajhs' D. Law waist kdNshg w.,a folla muK my,ska w¢k fvksï l,siu' me;,s Worhla iys; hqj;shkag fuh jvd;a .e<fma' l,siug hg lr wÈk I¾Ü jeks ú,dis;d i|yd jvd;a iqÿiq fõ' m<,a Wl=, jvd;a Tma kxjd fmkajhs' E. Ultra low - bK f¾Ldjg b;du;a my,ska l,sifï by, jdáh msysghs' me;,s Worhla iys; b;d isyska hqj;shka i|yd jvd;a WÑ;h' l,siug hg lr wÈk I¾Ü jeks we÷ï ú,dis;d fï i|ydo iqÿiq fõ' úúO ikakdu j,ska" úúO j¾Khkaf.ka "fjkia jQ ksudjka f.ka hq;=j fvksï fj<om,g wdj;a f,dalh mqrd iy Y%S ,xldj ;=< nyq, f,i úlsfKk iy mdßfNda.slhd Ndú;d lrk fvksï fit j¾. lSmhla fõ' 1. Super Skinny kfuka lshjk f,iskau yula jeks ;Èka weÕg we¨kq iajNdjfhka 68
January 2021
Super Skinny
hq;=" fyd¢ka wefok froafoka ksujQ l,siuls' tu.ska ll=,a yevh b;du;a fyd¢ka Tmakxjd fmkajhs' tfiau isref¾ keuqï j,g b;du;a fyd| iyhla olajñka we| isàu myiq lrhs' Tng ird.S isyska fomd we;akï fï fvksï l,siï j¾.h Tn i|yduhs' Tn i;=j we;s ´kEu Wvq lh we÷ula i|yd fuu l,siu .,md.; yelsh' 2. Skinny fïjdo Super skinny jeans jeksu jqjo Bg jvd ieye,a¨ ksudjlska hqla;h' t;rï weÕg ;o .;shla ke;s fïjdo wefok iq¨ ksudjlska hqla;h' w¢k ´kEu Wvqlh we÷ulg b;du;a fyd| ksudjla fok fuu l,siu Tfnka ks;fò fmkqu jvd;a Tma kxjhs' bfka isg l,jd olajd b;du;a ysr fuu l,siu t;eka isg j<Ælr olajd hï m%udKhla ysr .;sh wvqfõ' 3. Relaxed straight fomd fmfkkjdg jvd È.= f,i fmkajk fuu fvksï j¾.h l,jd j,ska jvd;a weÕg we¨Kq iajrEmhl=;a t;eka isg j<Ælr wdikakh olajd iDcq yd ,sys,a njl=;a njl=;a fmkakqï lrhs' isref¾ yevh ukdj Tma kxjk Tng ukd fmkqula f.k fohs' Tnf.a isrer yevh l=ula jqjo fuu relaxed straight fvksï j¾.h Tng .e<fma' fïjd jvd;a .e,fmkafka rdcldß fyda úfYaI wjia:dj,g jvd b;ska tÈfkod .uka ìuka j,ghs'
DOCTOR MAGAZINE
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4. Boot cut l,lg by;§ jeäysá ldka;djka w¢k ú,dis;djla f,i ie,l=jo fiñka fiñka fuu ú,dis;dj ish¨u jhia ldKavj, ldka;djka w;r ckm%sh ú,dis;djla úh' oKysi olajd weÕg we¨Kq iajrEmhla fmkakqï lrk fuu l,siu t;eka isg j<¨lr olajd flfuka yevh hï;dla ÿrlg úYd, fjhs'úYd, Wl+,a m%foaYhla iys; hqj;shkag jvd;a iqÿiq jk fuu ú,dis;dj u.ska Wl=f,a yevh ´kjg jvd W¨mamd oelaùu j<lajhs ' ;jo" fvksï l,siula u.ska Tfí wefÕa yevh biau;= lsÍug kï Tn ta fvksï l,siu Ndú;fha§ yd Ndú;fhka miqj fyd¢ka /l n,d .; hq;=h' we£fï§" fia§fï§" fõ,Sfï§ .nvd lsÍfï§ ie,ls,su;a úh hq;=h' fvksï l,sifï we;=,; f,an,h ;=< fï f;dr;=rej,ska fndfyduhla wka;¾.;h' È.= Ndú;hla i|yd m%p,s; fvksï l,siu ksis f,i mj;ajd .ekSfuka fmdlÜgqj;a /lf.k yevg w¢kak;a yelshdj ,efí'
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levi Strauss iud.fï j;auka ysñlre Ñma n¾.a
fvksï l,siï kx fydaokak tmd''' msrsisÿ lr.kak wjYH úg ojila mqrd YS;lrKfha ;nkak iud.fï whs;slre lshhs - Levi Strauss f,dalm%lg levi Strauss iud.fï j;auka ysñlre 56 yeúßÈ Ñma n¾.a fvksula fiaÈh hq;= ld,h ms<sn|j f,dj uú;hg m;a jk jk fy<sorõjla f*dapqka iÕrdjg iïuqL idlÉPdjla ,ndfoñka m%ldY lr ;sfnkjd' fvksï l,siula msßisÿ lr .ekSug wjYH kï th bá nE.hla ;=,g oud YS;lrKfha meh 24la ;eìh hq;= nj Tyq m%ldY lrkjd' zzuu okakjd''' tal yßu ms<sl=,a iy.;hs''' ta;a uu lshkak ´fka ug ;du ifï frda. kï fudkj;a yeÈ,d kEZZ Ñma n¾.a jeäÿrg;a m%ldY lr we;af;a fvksï ks;r fia§fuka je<lS isáh hq;= njhs' tfukau fvksula kï th j;=frkau yd inka j,ska wE;a fldg ;nk ;rug fvksug fyd| njo m%ldY lr isákjd' wen¾äka iriúh u.ska isÿl< ;j;a iólaIKhlska fy<s ù ;sfnkafka fvksï l,siula fia§ulska f;drj myf<dia udihla we¢h yels njhs' DM
idlÉPd igyk fidand ã' flda,shjxY
January 2021
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Irritable Bowel Syndrome ksjerosj y÷qkd.; hq;= jk IBS
Mix of belly discomfort or pain and trouble with bowel habits:IBS ksjerosj y÷kd.; hq;= jk IBS fkdfyd;a Irritable Bowel Syndrome hym;a cSjk u. fjkialï Tiafia fï frda.h uekúka md,kh l< yelshs Y,H frda. úfYaI{ ffjoH m%fudaoa pkaøisxy
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January 2021
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nvg hula jegqKQ .uka jeisl< s s fidhd ÿjk wh wm w;r isà' ;j;a flfkl=g lsih s ï wdfõ.hla" ÿlla fyda jeä m%; S h s la we;s jqK;a jeisl< s s hkakg ´kEh''' wdydr cS¾K moaO;sfha frda. /ila ;sfnk w;r IBS fkdfyd;a Irritable Bowel Syndrome hk frda.h we;súg fï by;ska lS wjia:d folgu uqyK q mdk frda.k S a isà'
fï frda.h .ek ;ju;a Tng f,dl= wjfndaOhla ke;s nj oksñ' tfy;a frda. ,laIK .ek ó<Õg lrk oeKQj;a lsÍfïoS tjka frda. ,laIK j, zzyqrelulaZZ kï Tng oefkkakg mq¿jk'
doctormagazine.lk
wdydr
we;eï wdydr j,g we;sjk m%;sl%shd
ufkdaNdjhka wdidok Ndj ;;a;aj
cS¾Kl .eg¿
YrSrfha idudkH l%shdldrs;ajhg ndOd muqKQjk frda. iuqodhla ffjoH úoHd;aulj y÷kajkafka Functional Disorders hkqfjks' Functional Disorders frda. j, úfYAI;ajh jkafka reêr mrSlaIdjlska" fjk;a ksYaÑ; mrSlaIKhlska frda.h y÷kd .ekSug fkdyels ùuhs' fï frda.shdf.a u;=msáka ne¨j;a frda.hla olskakgo ke;' IBS fkdfyd;a Irritable Bowel Syndrome hkqfjka ye|skafjkafkao tjka ksyaÑ; mrSlaId lsrSulska yªkd.; fkdyels frda.hls' frda.h ;yjqre lr.; yels tlu l%uh jkafka tu frda. ,laIK we;súh yels wjfYaI frda. fkdue;s njg ;yjqre lrñka m%ia;=; frda.h úksYaph lsrSuhs'
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ffjoH úoHdfõ Irritable Bowel Syndrome yªkajkafka Functional Disorder tlla hkqfjks' IBS fkdfyd;a Irritable Bowel Syndrome ;;a;ajh uqLfhka miq t<fUk .,kd,fha isg wdudYh yd l=vdnvje,a yryd uydnvje,a .=oud¾.h olajd iuia; wdydr cS¾Kl moaO;shgu hï hï wdldr j,ska n,mEï lrk nj kï ryila fkdfõ'
IBS fkdfyd;a Irritable Bowel Syndrome jeä jk fya;=
IBS frda.hg msßñkag jvd ldka;djka jeä jYfhka k;=jk iajNdjhlao olakg ,efí'
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January 2021
DOCTOR MAGAZINE
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Irritable Bowel Syndrome ksjerosj y÷qkd.; hq;= jk IBS
IBS frda. ,laIK IBS fkdfyd;a Irritable Bowel Syndrome uQ,slju we;af;a Worfha fõokdjhs' tu fõokdj úfgl nrm;,j oefkhs' úfgl wvqfjhs" ke;sfjhs' ta yereKQ úg my; ,laIKo frda.fhaoS oelsh yels fjhs'
² Tlaldr .;sh" jukh" wdydr wreÑh" we;eï wdydr .ekSfïoS nv fmrf<k iajNdjh iy we;eï úg isref¾ nr wvqùulao oelsh yel'
² nv mqrjd oeóu
IBS frda.hg msßñkag jvd ldka;djka jeä jYfhka k;=jk iajNdjhlao olakg ,efí'
² u<noaOh fyda ² nv nqre,g hdu ² we;efulag iSoï wdldrfhka nvt<sh hdulao we;súh yel' ² tfiau úfgl nvt<sh hdu yd ;j;a úfgloS nv fõ,ùu hk wka; foflys ,laIK fmkajk iajNdjhlao olakg ,efí'
IBS frda.h we;s fjkafka wehs@ uydka;%fha;a" l=vd wka;% j,;a we;sjk zzwidudkH
IBS frda.fhaoS wka;% j, widudkH ixfldapk we;súh yel
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January 2021
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doctormagazine.lk
frda.h jeä lrkakg mdol jk W;af;ack ² wdydr j, we;s wï, yd iSks fldgia wjfYdaIKh ÿ¾j, ùfuka we;sjk wdydr ixfõoS;djh' ;sfnk frda.Skaf.a m%ckl fydafudak j, fukau iakdhq iïfm%aIl j, ;=<s;;djfha ì|jeàulao olakg ,efnhs' doctormagazine.lk
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p,kZZ fuu frda.h we;sùug n,mdk njg u;hla fõ' fud<h yd wdydr ud¾. moaO;sh w;r ióm zziakdhql iïnkaO;djhlaZZ ;sfhkjd' wdydr ud¾. moaO;sh wNHka;rfh;a wm ;ju;a iïmQ¾Kfhka wOHhkh lr keiakdhql cd,hla ;sfnkjd' fï iïnkaO;djfha we;sjk lsishï fjkiaùula fya;=fldgf.k we;s fjkak bv ;sfhkjd' wfkla u;h jkafka wfma nvje,a j, isák ,laI ixLHd; nelaàßhdjkaf.a ;=<s;;djh fkdfyd;a zzuhsfl%dnhuZZ ì| jeàuhs' fuys miqj i|yka jQ ldrKh kQ;k u;hla jk w;r fï iïnkaOfhka fï jk úg úYd, jYfhka mÍlaIK isÿfjñka mj;akd njo lsj hq;=h'
we;eï wh we;eï wdydr wkqNj l< úg frda.h weúiafikjd' m%;HlaIfhka tfia yªkd.;a wdydr fjf;d;a tajhska Tjqka je<lsh hq;=hs' nv msmqu;a fï frda.fha tla iajNdjhla'
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² uydka;%.; fõokdjka" jdhq wxY= flfryS wêixfõos;djhla we;sùu' ufkdaNdjhkayS fjkiaùu j,go fï frda.h iDcqju iïnkaOh' IBS frda.h ;sfnk we;eï wh ixldj yd úIdoh jeks udkisl frda. ;;a;ajhkaf.ka fmf<kafkao hkak .ek ie<ls<su;a fjkak' ² we;eï wys;lr nelaàßhdjkaf.a j¾Okh ² wdudYh yd wka;% ffjri fyda nelaàßhdkq.; wdidokhlska ² fm<Sfuka we;sjk Gastroenteritis ;;a;ajh ² frdgd ffjrifhka mdpkh we;s jqKdu;a fï IBS we;s fjk njg u;hla ;sfnkjd' IBS frda.h yªkd.ekSu óg fmr m%ldY l<dla fuka fuu frda.h y÷kd.ekSfï úfYAIs; mÍlaIK udos,shla fkdue;' fï ksid l< hq;af;a ukd mÍlaIdjlg frda.shd fhduq lrñka cS¾Kl moaO;sh yd iïnkaO fjk;a frda. ;;a;aj we;sùfï bvlvo úuiñka tfia fkdjk l,ayS th Irritable Bowel Syndrome frda.h njg uekúka úksYAph lsÍuhs' fldf,dfkdiafldms mÍlaIKh frda.shd fldf,dfkdiafldms mÍlaIKhlg Ndckh lrk w;r thska wka;% j, jHqyd;aul fodaI" fjk;a frda.dndO we;s ke;s nj ksYAph flf¾' Ulcerative Colitis, Crones Diseases fukau ms<sld ;;a;aj we;sùug we;s bvlvo fuu.ska neyer l< yels fõ'
January 2021
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Irritable Bowel Syndrome ksjerosj y÷qkd.; hq;= jk IBS
fuysoS we;sjk úhjq,a iy.; fõokdjka yd ufkdaNdjhka is;=julska ksrEmkh jQ wdldrh
ufkdaNdjfha n,mEulao IBS frda.hg ;sfnk ksid iqmika ufkdaNdjhla mj;ajd .ekSug mshjr .ekSu;a jeo.;a fjkjd' we;eï wdydr u.skq;a fï IBS wvq jeä fjkjd'
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frda. ,laIK .,kd,h yd ine|Sj mj;S kï Upper GI Endoscopy mÍlaIKhla lr.; hq;=hs' fya;=ldrlh m%odyhla fyda ms<sldjla fkdjk njg ;yjqre lr .ekSfuka miqj Irritable Bowel Syndrome frda.h njg frda. úksYaph lrkafka isÿl< mÍlaIK j, jd¾;djka yd idhksl mÍlaIdjka weiqrKs' Irritable Bowel Syndrome frda.fha wdldr uQ,sl jYfhka fuu frda.h yd ine|sj u<noaOh fukau mdpkh" nv nqre,g hdu we;súh yels neõ m%ldY l<d' Tng we;af;a u<noaOh iu. we;sjk
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January 2021
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IBS ;;a;ajh kï IBS with constipation (IBS-C) thg wod,j m%;sldr i,ikjd' fuysoS úf¾pl m%;sldr frda.shdg iykh i,ik w;r tajd wjYH;djh wkQj fjoH ks¾foaY u; tajd ,nd fokjd' Osmotic laxatives wka;%fha c, mßudj jeä lrkjd' Cathartic laxatives wka;% ì;a;s lsishï W;af;ackhlg ,la lrkjd' nvt<sh hdu iu. we;sjk IBS i|yd (IBS-D) i|yd loperamide jeks T!IO kshu lrkjd' ta yereKQ úg wka;%fha udxYfmaYs wê ixfldapkh j<lajk Antispasmodic ldKAvfha Mebeverine jeks T!IOo
doctormagazine.lk
fï frda.Skag iykh fokq msKsi kshu lrkjd' fï yereKQ úg nvje,a j, ffcj .ykfha fjkialïo (Changes in gut flora) frda.h jeä lrñka m%odysl ;;a;ajhka we;s lrk njo" uydka;%.; l%shdldß;ajh fjkia lrk njo fy<sorõj ;sfnkjd' Tjqkg fm%danfhdála lr,a yd l=vQ jYfhka ,ndfok wjia:d ;sfnkjd' w¨f;ka uhsfl%dnhï tl tkï uydka;%fha fjfik nelaàßhd .ykh fjkia lrkak ys;lr nelaàßhd j¾. ,elafgdneis,ia wdoS nelaàßhdjka ,nd fokjd' fhda.Ü wdosfh;a fï ys;lr nelaàßhdjka ;sfhkjd' ta yereKQ úg fm%danfhdálaia úosyg;a fï .ykh fjkia lrk m%;sldr ,nd fokakg mq¿jka'
doctormagazine.lk
ufkdaNdjfha n,mEulao IBS frda.hg ;sfnk ksid iqmika ufkdaNdjhla mj;ajd .ekSug mshjr .ekSu;a jeo.;a fjkjd' we;eï wdydr u.skq;a fï IBS wvq jeä fjkjd' IBS fkdfyd;a Irritable Bowel Syndrome lshkafka frda. ,laIK iuqodhla iys; frda.hla' talfk kug Syndrome fldgil=;a ;sfhkafk' fuysoS cSjk u. fjkialï Tiafia ;uhs frda.h md,kh lr.; hq;af;a' ta yefrkakg frda.h ksÜgdjg iqj lsrSula fuysoS isÿ jkafka kE' we;eï wh we;eï wdydr wkqNj l< úg frda.h weúiafikjd' m%;HlaIfhka tfia yªkd.;a wdydr fjf;d;a tajhska Tjqka je<lsh hq;=hs' nv msmqu;a fï frda.fha tla iajNdjhla' tfyu wh .Eia tl W;amdokh lrk mdka" w¾;dm,a" fndaxÑ" f.dajd" ldnfkagâ mdk j¾. .ekSu iqÿiq kE' iuyrekag mDlafgdaia lshk iSks j¾.h iys; wdydr .ekSfukq;a nv ßoSï" jeisls<s wjYH;djhka we;s fjkjd' meks ri iys; t<j¿ j, jf.au nyq;rhla m<;=re j,;a ;sfhkafk mDlafgdaia' Medium Chain Fatty Acid krl whg ud.ßka fokak fyd| kE' fldams j,g" msálsß j,g''' wdoS jYfhka wdydr .;aúg nv ßfok" jeisls<s hkakg wjYH jk wdydr j,ska je<lSuhs wjYH jkafka' fï frda.h ;sfhk wh ;ka;=uh mod¾: nyq,j ;sfnk wdydr .ekSu jvd;a iqÿiqhs' DM
January 2021
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Child Sexual Exploitation and Grooming <ud ,sx.sl wmyrKh
Child Sexual Exploitation and Grooming orejka leu;s lrjdf.k orejkaf.a cSú; úkdY lsÍu fkdfyd;a
<ud ,sx.sl wmyrKh úúO fjia f.k orejka cSú; ì,s .kakd n,dmrdOldrfhda''' <ud iakdhq ÿn,;d iïnkaO úfYaI{ ffjoH ksÆYsld ùrmafmreu úisks MBBS, MD, DCH, MRCPCH Neurodisability Paediatrician
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January 2021
DOCTOR MAGAZINE
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l=vd orejka iy fhdjqka orejka n,y;aldrlñka ,sx.sl wmfhdackhg ,laùu wm lïmdjg m;a lrjkakls' ks;r ks;r fïjd isÿ jqj;a" b|ysg iuyr isoaêka jeämqr iudch ;=< l;dnyg ,laùu isÿfjhs' fï ,smsh ;=< ud meyeÈ,s lrkafka Bg jvd ishqï f,i isÿjk" isÿúh yels" jeämqr fy<s fkdjk ,sx.sl ysxikhla .ekhs' fuh Child Sexual Exploitation f,i ffjoHjreka úiska y÷kajkq ,nhs' orejka isák foudmshka fukau .=rejreka iy ishÆu jeäysáhka fï .ek oek .ekSu b;d wjYH nj uf.a woyihs' tfia fkdjQ úg" fkdoekqj;aju fuu wmrdOlrejka wfma orejka úkdY lr oukakg yelshs' zz<ud ,sx.sl wmyrKhZZ wm okakd ,sx.sl wmfhdackfhka fjkia jkafka fuys we;s úfYaI ,laIKhla ksihs' fuys§ wmyrKhg ,lajk orejd fyda fhdjqka mqoa.,hd" fuhg leue;af;ka iyNd.s fjhs' leue;af;ka iyNd.s fjkjd kï" fuh wmrdOhla jkafka flfiao@ ;ud udkisl fm<Uùula ;=<" wmfhdackhg ,lajk nj" fï orejdj;a fkdoek isàuhs fuys fjki' Nhdkl lu' we;af;kau lsis n,y;aldrlula fuys§ isÿ fkdfjhs' ta fjkqjg Tyq fyda weh fuhg b;d iQlaIu f,i fmd<Ujd .ekSu isÿfjhs' fï fmd<Ujd .ekSuo úúO f,i isÿúh yelshs' ;E.sfnda. §fuka" wdorh iy wjOdkh §fuka" l%Svd lKavdhul by< ;ekla fyda kdhl;ajfhka §fuka orejka fuf,i fmd<Ujd .kakg fï f.dÿre fidhkakkag yelshs' uq,skau lr.kafka orejdf.a wdl¾YKh yd úYajdih oskd .ekSu wms WodyrK lsysmhla n,uq' mdif,a l%Svd mqyqKqlre orejka bÈßfha fldhs ;rï ùr pß;hlao@ Tyqg fyd| l%Svd yelshdjla iy wdl¾IŒh l;d ú,dYhla ;sìh yelshs' fï ksidfjkau wjqreÿ oy;rl myf<djl oeßhlf.a ùrhd ùug lsisu wmyiqjla ke;' Tyqg
doctormagazine.lk
;sfnk fï wdl¾IKh fhdodf.k tla oeßhla flfryS úfYaI ie<ls,s olajñka weh fifuka jiÕhg .; yelshs' weh wikakg leu;s foa mjiñka wehg f,dl= isysk ,nd§u b;d iQlaIu f,i isÿ l< yelshs' fufia ál l,la .; jk úg" oeßhg fï mqoa.,hd .ek leue;a;la we;s ùug bv ;sfí' Tyq áflka ál fï oeßhg <x fjhs' oeßhf.a foudmshkag;a jvd wehj f;areï .; yels mqoa.,hd Tyq nj wehg yeÕSug Tyq jqjuKdfjkau bv yßhs' ál l,lska oeßhf.a uq¿ f,dalhu zzTyqZZ njg m;a ùu mqÿuhg lreKla fkdfõ' l,la hk úg wïu" ;d;a;g;a jeä úYAjdijka;fhla fjkjd''' oeßhg Tyq ke;sj neß jk ;rug Tyq wehj ukiska ne| .kshs' weh yd wmQ¾j jQ ñ;%;ajhla" úYAjdijka;Ndjhla Tyq we;s lr .kshs' bkamiq Tyq ;u wruqK lrd l%shd;aul fjhs' iuyr úg weh Tyqg ryia mqoa.,sl PdhdrEm mjd
January 2021
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77
D•Magazine /
<ud ,sx.sl wmyrKh
"
Child Sexual Exploitation and Grooming
fujka wmyrK wka;¾cd,h yryd;a b;d iq,nj isÿ fjhs' jix.;h frda. ;;a;j a h iu. we;s jQ fjkialï ksid wfma orejka mdvï jev j,g wka;¾cd,h nyq,j fhdod.ksh's fï iudc cd,d w;r zzf.dÿre fidhkakkaZZ nyq,j isák nj wdorŒh foudmshka fkdokakjd úh yelsh's
Tfí orejd úkdY lrkakg tk fï wmrdOldrhd orejdf.a cSú;hg msúfikafka orejdf.a ùrfhla f,isks' u;l ;nd.kak''' túg fï wmrdOhg orejd k;= jkafka iajleue;af;ks' fujka ,sx.sl ysxik j, nrm;,luo fuhuh'
heúh yelshs' fï wdldrfhka weh;a fkdoek wehj f.dÿrla njg m;a jkafka ishqï f,i l%u l%ufhks' we;eï úg Tyq wehj ñ;=rka w;f¾ fnod.ekSug mjd ,laúh yelshs' tfy;a wef.a l=vd ukiska weh ;ju oeßhls' wehg fuhska jk ydksh f;areï .ekSug fkdyelshs'fuh bx.%Sis NdIdfõ§ Grooming hkqfjka ye¢kafjhs' Tn fu;ek§ f;areï .; hq;= i;H jkafka fu;ek bkafka ukiska uqyql=rd fkd.sh l=vd oeßhla njhs' ál l,lska oeßh Tyq lshk ´kEu fohla lrkak leu;s fjhs' fuys u;=msáka neÆ úg lsisÿ n,y;aldrlula olskakg ke;' ta ksid fndfyda úg fuh ryilaj ;nd .kakg fofokdu Wkkaÿ jkq we;s' tfy;a fu;ek fï oeßhg isÿjkafka nrm;, wmrdOhls' idyisl luls' weh fkdoekqj;aj zmsßisÿ wdorhgZ uqjd jQ <ud wmfhdaclfhl=f.a f.dÿrla njg m;afjhs' 78
January 2021
DOCTOR MAGAZINE
fuh ie,iqï iy.; ,sx.sl wmrdOhla oeka fuh lshjk Tn is;kq fohla ;sfí' zzfï .egjr jhig lrk foaj,afk" fuys we;s jro l=ulao@' Tn fyd¢ka úuid neÆjfyd;a fuys fjkila Tng fmfkkq we;s' wmyrKhlÈ" fofokd w;r n,fhka fjkila ;sîu w;HjYH lreKls' ^Power imbalance&' fï fjki uqo,a u;" jhia mr;rh u; fyda .=re f.da, in|;djla u; úh yelshs' we;eï úg jákd ;E.s fnda. ,nd§u ;=<ska orejd wdl¾IKh lr.; yelshs' orejl=f.a myiqfjka /jfgk doctormagazine.lk
iajNdjh fudjqyq fyd¢ka y÷k;s' jir myf<djl .eyekq orejl= tu jhfia fyda iu jhil msßñ orejl= iu. fmï in|;djla we;s lr .ekSu óg fjkiah' fofokdf.au f;areï .ekSfï yelshdj iudk uÜgul mj;sk neúks' wmyrKfha§ tfia fkdfjhs' meyeÈ,s n, fjkila" wruqKq j, fjkila ;sìh hq;=uhs' Tng fï foj¾.fha fjki hï ÿrlg oeka jegfykq we;ehs ud is;ñ' wjodkï iy.; mqoa.,hkaf.ka orejka wdrlaId lr.kak Tfí <dnd, Èh‚h fyda mq;d fuf,iska fmd<Ujd .ekSug Tfí ksjfia" mdi,a jEka r:fha ßhÿrdg yelsh' Tn okakd ñ;=rkag fyda ñ;=ßhkag isÿ jQ fujka isÿùï isysm;a úh yelshs' ud uq,ska i|yka l<d fuka ßhÿfrl= lrk fm<TùuloSo n,fha meyeos,s fjkila ;sfí' ta Tjqka w;r we;s jhia mr;rh ksihs' fuh wdorfha kdufhka isÿ flfrk f.dÿre .ekSula nj i;Hhhs' doctormagazine.lk
.eyekq" msßñ fNaohla ke;''' msßñ orejkao isákafka wk;=f¾h'
¥jreka fukau" msßñ orejkq;a fufia f.dÿre njg m;a úh yelshs' foudmshka fï .ek fyd¢ka wjêfhka isáh hq;af;a tksidhs' wka;¾cd,h ;=< f.dÿre fidhkafkda fujka wmyrK wka;¾cd,h yryd;a b;d iq,nj isÿ fjhs' jix.;h frda. ;;a;ajh iu. we;s jQ fjkialï ksid wfma orejka mdvï jev j,g wka;¾cd,h nyq,j fhdod.kshs' fï iudc cd,d w;r zzf.dÿre fidhkakkaZZ nyq,j isák nj wdorŒh foudmshka fkdokakjd úh yelshs' fujekakka fmkS bkafk wvq jhia mqoa.,hka jYfhka' tfia fmkS isáh úg" wvq jhiaj, orejka ñ;=re lr.ekSu t;rï wmyiq fkdfjhs' we;eï úg uqyqKq fmdf;a msx;+rhlg woyia ^comments& m< lsÍfuka ñ;=reoula f.dvk.d .; yelshs' fï jhfia orejka wjOdkhg leu;shs' j¾Kkdj,g blaukska /jàug yelshs'
January 2021
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79
D•Magazine /
Child Sexual Exploitation and Grooming <ud ,sx.sl wmyrKh
Tfí orejd;a ,sx.sl wmyrKhl f.dÿrlao@ orejd flfrka fmkajk fï ,laIK .ek ie<ls<su;a fjkak''' yeisÍfï fjkialula oelaùu' osú f;dr .ekSfï wfmalaIdjla we;sùu
mjqf,a Woúh yd ióm;uhka yd we;s lr..kakd in|;d wE;a lsÍu
w|sk m<|sk ms<sfjf,ys nrm;, fjkila we;sùu nr wvqùu
YrSrhg isÿjk wvkaf;aÜgï" ,sx.sl ysxikhka yd ine|S i<l=Kq
ord.; fkdyels ;E.s ,eîu
kd÷kk whf.ka ,efnk ÿrl:k weu;=ï yd kdªkk wh uqK .eiSug lrk W;aidyhka
mdif,ka" ksfjiska lÜá mekSu
u;ameka fyda u;aøjH Ndú;hg yqreùu
Tfí orejd ? fndaù mdvï lrk fõ,dfõ fï f.dÿre fidhkakka b;d wjÈfhka wka;¾cd,h ;=< ießirk nj Tn iuyr úg fkdokakjd úh yelshs' ksjfia fodr w.=Æ oud ;snqK;a Tjqkag orejdf.a ldurhg meñ‚h yelshs' orejka iqkaor jokaj,ska fmd,Ujd f.k" orejka ,jd wiNH msx;+r f.kajd .ekaug fudjqkag yelshs' orejdg w.;shg m;a jk yeá fujka in|;djhl we;af;a tla mqoa.,hl=f.a há wruqK imqrd .ekSuls' fuhska orejdf.a fkdfïrE uki úhjq,a ù" wOHdmkh úkdY ù hd yelshs' orejd foudmshkaf.ka" mjqf,ka wE;a ùug iy tu mqoa.,hd muKla úYajdi lsÍug yelshs' weh fyda Tyq ,sx.sl frda.j,g f.dÿre úh yelshs' HIV jeks frda. mjd iE§ug bvla ;sfnhs' wvq jhia .eí .ekSï" wkdrlaIs; .íid lsÍï j,g fm<ôh yelshs' u;aøjH Ndú;hg" m%pKavldÍ;ajhg ^physical violence and abuse& ,laúh yelshs' udkisl wd;;sh fukau" wkd.;fha lsisjl= úYajdi lrkakg neßj ySkudkhg m;aúh yelshs' úYdoh ^depression&" ishÈú ydks lr.ekSu jqj;a isÿ úh yelshs' 80
January 2021
DOCTOR MAGAZINE
cSú;h jroaod.;a wh fuhg jir mylg yhlg fmr fï isoaê .ek t;rï oekqula <ud frda. ffjoHjrekag;a ;snqfKa ke;' tfy;a miq.sh ld,h ;=<" jerÿKq isoaê oduhka mÍlaId lsÍfuka miq fï .ek l%ufhka wjfndaOh jeäù we;' iuyr oeßhka frday,g meñfKkafka myr lEulg miqjhs' we;eï úg kdßfõo wxYhg meñfKk <dnd, .eìks oeßhla u.ska wkqfõokSh jQ l;djla fy<sfjhs' we;eï úg fï orejka udkisl wdndO ;;a;ajhlska fyda wdydr
doctormagazine.lk
wreÑfhka frday,g tkq we;s' tjka úgl" tys we;s wka;¾.;h fidhd n,d orejd wdrlaIs; ia:dkhlg fhduq lsÍu m%uqL;ajhls' ngysr rgj, fuh nrm;< wmrdOhla f,i kS;s iïmdokh lr ;sfí' miqld,Skj fufia wmyrKhg ,la jQ orejka meñK mj;ajk idlÉPd uu wid we;af;ñ' Tjqkag isÿjqKq ydksh h<s iqjm;a l< fkdyels ;=jd, fia Tjqkaf.a ukia ;=< ;ekam;a ù we;s whqre uf.a fiajdj ;=< ud oel we;af;ñ' uõmshkS" Tfí orejka fírd .kakg m<uqj Tn oeKQj;a jkak foudmshka yd .=rejreka jk Tn oekqj;a jkafka flfiao@ Child sexual exploitation fyj;a zz<ud ,sx.sl wmyrKZZ .ek wka;¾cd,h ;=< lshjd n,k f,i ud Tng wdrdOkd lrñ' f,dalfha rc mjq,a j, idudðlhka mjd fufia <dnd, oeßhka iu. meje;ajQ in|;d ksid lrorj,g jeà we;s whqre Tng lshúh yels fjhs' orejka /l .ekSug lemjqKq wdorŒh foudmshka fï iïnkaOfhka oekqj;a lsÍï uf.a fï flá ,smsfha wruqKhs' oekqj;a ù Tfí wdorŒh orejka fï udkisl wiykldÍ f.dÿre fidhkakka f.ka fírd.kakd f,i;a fï .ek orejka oekqj;a lrk f,i;a ud Tng werhqï lrñ' DM fhdjqka <ud ufkda úfYAI{ ffjoH ñhqre pkaøodif.a jákd woyia oelaùula''' For some valuble information Visit, https://youtu.be/T6jXqGffOlg
ó WK frda.fhka je<lSug f.dùka wkq.ukh l< hq;= lDIsld¾ñl j;a ms<sfj;aa ² uQ,sl ìï ilia lsÍfï§ óhkag /|S isáug fkdyels jk f,i kshr ne| fyd|ska j,a me< WoÆ .d yels ;rï m<, wvqfjka kshr me§u isÿl< hq;=h' ² l=Uqr wjg mßirfha;a yels muK ,÷ le<E lmd msßisÿj ;nd .ekSu isÿl< hq;=hs' ² úf,damsl mlaISka yg /§ isàug fmd,ams;s jeks oE l=Uqf¾ isgqùuo iqÿiq fõ' ² tfukau l=Uqrg neiSug fmr mdo wdjrK me<|Su isÿl< hq;= w;r tu.ska nelaàßhdj YÍr.; ùu j<lajd .; yelsh' m%foaYfha fi!LH ffjoH ks,OdÍjrhd yuqù fuu frda.S ;;a;ajh j<lajd .ekSug Wmfoia ,nd .ekSu iqÿiqhs' fj,a óhka md,kh ms<sn| jeäÿr f;dr;=re n;,f.dv ù mf¾haIK yd ixj¾Ok wdh;kfha my; ÿrl:k wxlh úuiSfuka ,nd .; yelsh' DM
037 2258 561 doctormagazine.lk
January 2021
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81
D•Magazine /
Sentinel Lymph Node Biopsy Y,H ffjoH úoHdjg kHIaál ffjoH úoHdfõ odhl;ajh
The Basics of Sentinel Lymph Node Biopsy: Y,H ffjoH úoHdjg kHIaál ffjoH úoHdfõ odhl;ajh
mshhqre jid .eá;s i,l=Kq lsÍfï kHIaál ffjoH úoHd mÍlaIKh Sentinel Lymph Node Biopsy Study mshhqre ms<sldjloS mshhqf¾ fldgila ú;rla bj;a lrkjdo@ iïmQ¾Kfhka mshhqru bj;a lrkjdo@ ;SrKh .kafka fï mÍlaIKh u.ska fld<U ,xld fydiamsg,a ys kHIaál ffjoH wxYfha iyldr l<ukdldr kHIaál ffjoH ;dlaIKfõ§ Ydu,a bkaÈl o is,ajd
82
January 2021
DOCTOR MAGAZINE
idudkHfhka ldka;djlg mshhqre ms<sldjla je<£ we;akï weh uq,skau ìh jkafka ta iuÕ ne÷Kq Ôú; ;¾ckhghs' tfy;a tys iajNdjh iy me;sÍu wkqj ms<sldj iuÕ igka lsÍfï§ th Y,Huh wdldrhlska bj;a l< yels uÜgul mj;S kï th uy;a wiajeis,a,la jkq fkdwkqudkh' wehf.a mshhqr iïmQ¾Kfhka bj;a lsÍug isoaO fõo@ fkdtfia kï mshhqf¾ fldgila muKla bj;a lsÍfuka wjodkfuka ñfokakg yelsfõoehs oek.ekSug ,efí kï th fl;rï jákd fidhd .ekSulao@ tys jákdlu olkafka tjka wjia:djlg uqyqK mE flfklauh' kHIaál ffjoH úoHdfõ jid .eá;s i,l=Kq lsÍfï mÍlaIKh ta .eg¿j úi|d.ekSug Woõ jk nj Tn okakjdo@ mshhqre ms<sldjla y÷kd .ekSu;a iu. jid .%ka:so Bg k;=ù ;sfío@ fï .ek ffjoHjrhd w;sYhska ie<ls<su;a fjhs' w,ag%dijqkaâ mÍlaIdjo" mgl fldgila ridhkd.drfhaoS mÍlaId lrk Fine needle aspiration mÍlaIdjo doctormagazine.lk
fuysoS fhdod .kshs' ms<sldj jid .eá;s j,go me;sr f.dia ;sfí kï Y,Hl¾ufha§ tajd bj;a lsÍug isÿfjhs' Sentinel Lymph Node Biopsy Study isÿ lrkafka ljr frda.Ska i|ydo@ fuys§ Sentinal Node Maping Study mÍlaIKhg n÷ka lrkafka Y,Hl¾uh i|yd wjika jYfhka Èk kshu lr.;a frda.Skah' Sentinel Lymph Node Biopsy Study mÍlaIKh isÿlsÍug imqrd,sh hq;= wjYH;d fudkjdo@ fuys§ ukd mqyqKqjla ,;a kHIaál ffjoHjrfhla (Consultant in Nuclear Medicine) iy kHIaál ;dlaI‚l Ys,amsfhla (Nuclear Medical Technologist) fukau yelskï oaú;aj .%dyl .eud leurd myiqlï (Dual Detectors) iys; iqÿiq kHIaál ffjoH wxYhla f;dard .; hq;=h' .eud leurdjg wu;rj .eud lsrK wêlaIK fhduq .%dylhla (Gamma Probe) Y,Hd.drfha ;sìh hq;= w;r th kshñ; ;;a;ajhka hgf;a úIîcyrKhg ,lajQ (Streralized) WmlrKhla
doctormagazine.lk
f,i mej;sh hq;=h' fï i|yd .kq ,nk fglakSIshï (Technicium Tc 99M ) iuia:dkslhg wu;rj úlsrKYS,s fkdjk T!IOhla jk (Non Radioactive PharmaceuticalNano Colloid) kï kefkdafldf,dhsâ mÍlaIKd.drfha ;sìh hq;=h' fuys§ kHIaál ffjoH wxYfha iy Y,Hd.drfha iïnkaêlrKh w;sYhska jeo.;a fõ' ish,a, isÿúh hq;af;a ukd f,i ld,h l<ukdlrKh lsÍu ;=< neúks'
January 2021
DOCTOR MAGAZINE
83
D•Magazine /
Sentinel Lymph Node Biopsy Y,H ffjoH úoHdjg kHIaál ffjoH úoHdfõ odhl;ajh
y;rla muK .;jk mÍlaIKh ms<sn|j frda.shd oekqj;a lsÍula uQ,slj isÿ lrhs' Sentinel Lymph Node Biopsy Study mÍlaIKh isÿ lrk wdldrh uq,skau úlsrKYS,S tkak; ms<sfh, lsÍu iSrejg l< hq;=h' fuys§ iuia:dkslh f,i fglakSIshï iy úlsrKYS,s fkdjk T!IOh f,i kefkdafldf,dhsâ Ndú;d flf¾' idudkH i,a*¾ fldf,dhsâ wKqjlg jvd b;d l=vd kefkdafldf,dhsâ wKQjla b;d ksjerÈj jid .eá;a; lrd .uka lrhs'
What is Sentinel Lymph Node? ms<sldjla we;sjQ úg th hdno jid wdl%uKh lrk nj Tn oekgu;a okakd lreKla úh yel' fufia jid wdl%uKfhaoS m<uqfjkau wdl%ukh lrk jid Sentinel Lymph Node hkqfjka ye|skafjhs' Sentinel Lymph Node Biopsy Study mÍlaIKhg frda.Ska iQodkï lrk whqre fuys§ Y,Hl¾uh lrk Èkh iy fõ,dj wkqj mÍlaIKh ie,iqï lrkq ,nhs' th Y,Hl¾uh isÿ lsÍug meh lsysmhlg fmr fyda Bg fmr Èkfha isÿ l< yelsh' frda.shd Y,Hl¾uh msKsi frday,g we;=<;a jQ miqj wju jYfhka meh y;rlg fmr fï mÍlaIK i|yd fhduq l< hq;=h' ksjerÈ f,i frda. igyka mßlaId lsÍfuka úfYaI{ ffjoHjrhd úiska wdidÈ; mshhqr iy ms<sldfõ m%udKh yd ia:dkh ms<sn|j wjfndaOhla ,nd .kshs' bka miqj meh ;=kla
84
January 2021
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fuu iqúfYaIS mÍlaIKh u.ska mshhqf¾ wjYH ;ek muKla l=vd úÉfþokhla lr Ôú;h fírd.; yels jk w;r Y,Hl¾ufha we;s úh yels fodaI b;d wju lsÍug ms<shula fõ'
doctormagazine.lk
ms<sldj jid cd,h
m%Yak.; ia:dkhg kslafIamkh lrKQ ,nk vhs tl fikaákkag,a jid .eá;s fkdfyd;a uq,skau wdidos; jid .eá;s fj; me;sr hhs
wdidos; ^fikaákkag,a& jid .eá;a;$.eá;s Y,Hl¾ufhka bj;a lrhs
kshñ; ;dlaIKh wkqj ms<sfh, lr.;a tkak; kslafIamK ;=klg fyda y;rlg fjka lrkq ,nkafka b;d ishqï lgq iys; isßkac (Fine Needles) j,gh' fuys§ fokq ,nk iuia; úlsrKYS,S T!IO ud;%dj jydu isÿ lrk Y,Hl¾uh i|yd wju f,io" tfia fkdue;sj m%udo jk Y,Hl¾u i|yd jeä jk fiao fjkia lr.; yelsh' fuysoS w;sYhska jeo.;a jkafka f;dard.kq ,nk tkak;a mßudjhs' th wjYHfhkau l=vd tlla úh hq;=h' kslafIamkh ,nd §u iqÿiqlï ,;a ffjoHjrfhl= fyda úfYaI mqyqKqjla ,o fyo ks,Odßkshl u.ska isÿlrkq ,nhs' mshhqfrys kdNsh (Nipple) jgd mÍlaIdldÍj iu ;=<g (Intra Dermal) kslafIamKh lrKQ ,nhs' kslafIamKfhka úkdä 15 lg miqj m<uq m%;sìïn ;=k .kq ,efí'
doctormagazine.lk
meh follska blaì;s wkdjrKh jk foa''' fuu m%;sìïn lÜg,h mehlg miqj iy meh follg miqj .kq ,nk w;r fndfyda úg meh follg miq .kq ,nk m%;sìïnhkays wm n,dfmdfrd;a;= jk jid .eá;a; fyda .eá;s Èiajkakg mgka .kS' fï wjia:dfõ ksjerÈ ia:dkh leurdj;a" l=vd úlsrKYS,S i,l=KqlrKh;a wdOdrfhka fidhd th uelS fkdhk mEkl wdOdrfhka iu u;=msg i,l=Kq fldg fldmuK .eUqrlska we;aoehs i|yka l< hq;=h' uQ,sl mÍlaIKh lsÍu fu;kska yudr jk w;r frda.Shd kHIaál ffjoH fomd¾;fïka;=fjka Y,Hd.drh fj; heùfï§ wod< mÍlaIK jd¾;dj m%;sìïn mska;+r;a frda.shdf.a we| bym; iu. heúh hq;=hs' Y,Hd.drhg wh;a jk mÍlaIKh bkamiq t<efUk fldgi Y,Hd.drhg wh;a jk w;r Tjqka Ndú;d lrk ks,a j¾Kl l%uhg fjkiaj fyda ta iu.u fuu mÍlaIKh Ndú;d
January 2021
DOCTOR MAGAZINE
85
D•Magazine /
Sentinel Lymph Node Biopsy Y,H ffjoH úoHdjg kHIaál ffjoH úoHdfõ odhl;ajh
fikaákkag,a jid .eá;s mÍlaIKh
fikaákkag,a jid .eá;s m%dfoaYSh jid .eá;s
jid ;r, >%djh
ms<sldj jid.;a mgl j,g úlsrKYS,S iuia:dkslh yd j¾K .ekajQ idhu tkak;a lrhs tkak;a lrk ,o øjH hdno jid ;r, m%foaYhg ldkaÿ fjhs úlsrKYS,S iuia:dkslh yd iïnkaO jQ vhs rtl u.ska ms<sldj me;sr.;a jid ffi, yªkd.kshs
ms<sldj
jid ffi, fj; ms<sldj me;sr we;akï hdno jid j, isg lsys,a, olajd wdidos; jid ish,a, bj;a lrKQ ,nhs
lrhs' fuys§ i,l=Kq lr .;a ia:dkhg .eud lsrK wêlaIK fhduq .%dylh ;nd tys tk .eud w.h igyka lr.kq ,efí' bkamiq l=vd lemqula u.ska wjYH .eUqrg hk Y,H ffjoHjrhd ksjerÈj jid .eá;a; fhduq lr .kS' bj;a lsÍug fmr uola isref¾ iïnkaOfhka bj;a fkdfldg .eá;a; bj;g f.k ks,a j¾Kh;a iu. jQ .eud w.hka mÍlaId lr úÉfÉokh lr.kq ,efí' bkamiq tk l=vd fldgi u|la ks,a meye jk w;r .eud w.h l,ska uek.;a .eud w.hg iu úh hq;=hs' tfia fkdue;s kï ;j;a fldgila isref¾ bj;a lsÍug ;sìh yelsh'
86
January 2021
DOCTOR MAGAZINE
bka miqj b;d blauKska ridhkd.drh lrd fhduqlrk kso¾Ylh ms<sld ffi, i|yd j¾K .kajd wkaùlaIhla u.ska úfYaI{ ffjoHjrfhl= úiska mßlaId lr tu jd¾;dj Y,Hd.drh fj; fhduq lrkq ,efí'
doctormagazine.lk
,efnk ridhkd.dr f;dr;=re Tiafia .kakd jeo.;a ;SrK tys§ tu jid .eá;a; ;=< ms<sld ffi, ;sfí kï tu jid .%kaÓh yd ish¨u mgl tu me;af;a lsys,a, olajdu bj;a lrk w;r mshhqro bj;a lsÍug isÿfõ' tu kso¾Ylfha ms<sld ffi, ke;akï mshhqre .eá;a; muKla fyda mshhqr muKla bj;a lrk w;r lsys,a, ;=, jid .eá;s bj;a lsÍu;a isÿ fkdflf¾' fuu iqúfYaIS mÍlaIKh u.ska mshhqf¾ wjYH ;ek muKla l=vd úÉfþokhla lr Ôú;h fírd.; yels jk w;r Y,Hl¾ufha we;s úh yels fodaI b;d wju lsÍug ms<shula fõ' fuh rcfha frday,a lsysmhl iy fm!oa.,sl frday,l kHIaál ffjoH wxYhkays oekg l%shd;aulj mj;S' fuu ,smsfha l;=jrhd" kHIaál ffjoH ;dlaIKfõ§ Ydu,a bkaÈl o is,ajd fmardfo‚h ffjoH mSGfha kHIaál ffjoH wxYh iy reyqKq ffjoH mSGfha kHIaál ffjoH wxYfha kHIaál ffjoH úoHd ;dlaIK ks,OdÍ f,i;a wemf,da frdayf,a kHIaál ffjoH úoHd ;dlaI‚l Ys,amS f,i;a jir úis wgla muK jQ ld,hla fuu úIfhys m%ùK;ajh ,enQfjls' wka;¾cd;sl mrudKql Yla;s wêldßfha YsIH;ajhla u.ska uyck Ök iuQydKavqfõ îðx Ök mrudKql Yla;sh wdh;kfhys kHIaál ffjoH úoHdj iy kHIaál ffjoH wdrlaIKh ms<sn|j wOHdmkh yeoErE Tyq úhÜkdufha fyda Ñ ñka yS msysá fpdafrda frdayf,a ms<sld iy yDo frda. kHIaál mÍlaIK j, ksr; úh' Y%S ,xldfõ m%:u kHIaál ffjoH yDo frda. ;dlaIKfõ§shd jk Tyq fm!oa.,sl wxYfha m%:u kHIaál ffjoH ;dlaIKfõoS f,i wLKavj jir 18l fiajd ld,hlg ysñlï lshhs' Y%S ,xld úYajúoHd,hSh ;dlaIK ks<OdÍkaf.a ix.ufha úOdhl idudðlhl= f,i §¾> fiajhla l< Tyq fudyq wïn,kaf.dv O¾udfYdal úoHd,fha" fld<U wdkkao uyd úoHd,fha fukau reyqKq úYaj úoHd,fha wdÈ YsIHfhls' DM
doctormagazine.lk
fodrlv ñÿf,a lrmsxpd fodrlv ñÿf,a ;ekQ .i hk wkaj¾: kdufhka fy< fjolfï meÈj, yuqjk lrmsxpd wdydr rildrlhla f,i wmf.a wdydr fõf,ys wksjd¾h wx.hla jkafkah' lrmsxjd T!Iëh jákdlfuka o b;d by< w.hla .kakd Ydlhls' .DyKshkag fnfyúka wjeis Ydlhla neúkau .ïno iEu ksjilu fukau k.rno bvlv wvq f.j;= j,o fmdaÉÑhl fyda isgqjd ksfjia wi,u /l .kakg .DyKsfhda wu;l fkdlr;s' Èkm;du wmf.a n;a mf;ys olakg ,efnk fuu fld< j¾.h wyrg fkdf.k tla mfil f.dv .eiSu wm fndfyda fofkl=f.a isß;hs' tys we;s T!Iëhuh yd fmdaIH .=Kh ms<sn`oj uola fyda Tn oekqj;a kï th tfia fkdlrkq we;' lrmsxpd m;% fm%daàka" fïoh" msIaG mod¾:" ;ka;=" LKsc ,jK" úgñk ^úgñka A"úgñka B" ixlS¾K úgñka C&" fukau le,aishï" fmdiamria" hlv wd§ mod¾: j,skao iukaú; fõ' th fi!LH i`oyd ys;lr wdydrhla ksidu jefvk orejkaf.a isgu fuh wdydrhg .ekSfï mqreoao we;s lsÍu b;d jeo.;ah' DM
January 2021
DOCTOR MAGAZINE
87
D•Magazine /
Strabismus msx jmrh@
Strabismus msx jmrh@ l,a h,a we;sj jmrh fmkajd .ekSfuka m< fok msk woyia oelaùu wlaIs Y,H ffjoH rx.sl .=Kr;ak
biair wfma jeäysáhka zzmsx jmrhlAzz .ek l;d l<d' flfklaf.a weil we;sfjk jmrh Tyqf.a zzmskZZ yd iïnkaOhla we;s njhs w;S;fha wfma uq;=ka ñ;a;kaf.a úYAjdih jqfKa' ta;a" jmrh mskg we;s fjkakla fkdfjhs' jmrh we;s fjk fya;=j wlaIs Y,H ffjoH rx.sl .=Kr;ak meyeos,s lrkafka fï úosyg'''
88
January 2021
DOCTOR MAGAZINE
wefia yd;ami p,khg WmldÍ jk iakdhq ;%s;ajhla zzwfma weiaj, msysgd ;sfnk wlaIs f.da,h i;r Èidjg fhduqjkafka fud<h yd iïnkaO ù we;s iakdhq ;=klska' wlaIs f.da,h md,kh jkafka fud<h uÕska jk w;r fud<h yd iïnkaO ù ;sfnkafka fï iakdhq ;=khs' hï fyhlska fï tla iakdhqjla wl¾ukH jQjfyd;a —jmrhla˜ we;súh yel' thg fya;=jkafka wlaIs f.da,h yßhdldrj p,kh lsÍug iakdhq folla muKla fkdiEfyk neúkaZZ ÿr fmkSu wvq ùu ksid;a" <Õ fmkSu wvq ùu ksid;a jmrhla we;sjk wjia:d ;sfnkjd ta yereKQ úg ÿr fmkSu wvq ùu ksid;a" <Õ fmkSu wvq ùu ksid;a hk
doctormagazine.lk
jmrfha úúO wdldr
idudkH fk;= hq.,
we;=<;g wefiys yeÍu
weia my<g yeÍu
msg;g wefiys yeÍu
weia by<g yeÍu
ldrKd fol ksid;a flfkl=g jmrhla we;s úh yelshs' thg kïffjoHjrfhl=f.a ks¾foaYhlg wkQj weia lkakdähla me<|Sfuka tu fodaIh ms<silr lr.; yelshs' w¿; Wmka orefjlaf.a jmrh fndfyda úg idudkH ;;a;ajhla orefjla Wmka miq udi yhla muK hk;=re lsishï jmrhla jeks ;;a;ajhla olakg ,efnkjd' th kï idudkH ;;a;ajhla' th udi yhla muK bl=;a ù;a ;sfnkjd kï muKla ffjoHjrfhl=g fmkaùu iqÿiqhs' fud<fha we;s .eg¿ldÍ ;;a;ajhla ksido l,d;=rlska jmrh we;súh yelshs iakdhq wl¾ukH ùfuka we;sjk jmrh yereKQ úg fud<fha mdol fya;=jla ksid;a l,d;=rlska jmrhla we;s úh yelshs' tjka wjodkul=;a we;s ksid jmrhla we;s jQ úg zzmsx mõ'''ZZ flfia fj;;a ffjoHjrfhl=g fmkaùu kqjKe;s ;SrKhla' DM
doctormagazine.lk
January 2021
DOCTOR MAGAZINE
89
D•Magazine /
Physiotherapy ufhdam;s frda.S orejkag fN!;Ñls;ail m%;sldr
MYOPATHY ufhdam;s frda.S orejkag fN!;Ñls;ail m%;sldr
u
õmshkaf. jákdu iïm; orejkah' ish orejka fuf,djg ksfrda.Sj ìys lsÍu;a" Tjqka fyd¢ka yod jvdf.k hym;a Ôú;hla .; lsÍug wjYH miqìu ilia lsÍu;a Tjqkaf.a tlu n,dfmdfrd;a;=jh' ;u l=iska ksfrda.S orejl= ìyslr ta isÕs;a;df.a iqr;,a n,ñka miqjk úg Tjqkg oefkk i;=g lshd ksu l< fkdyel' tjka wjia:djl§ orejdg iqj l< fkdyels frda.hla je<÷k úg ta ujqmshkg oefkk fõokdj jpkfhka kï úia;r l< fkdyelsh' wjqreÿ ;=kla muK jkúg § orejka f.dÿre lr .kakd frda. ;;a;ajhla zzvqfIka uialshq, äiafg%dmsZZ Duchenne Muscular Dystrophy (DMD) j¾.fha ufhdam;s frda.h" f,i y÷kajhs' jeä jYfhkau fuu frda.hg f.dÿre jkafka msßñ <uhska ùu fuys we;s úfYaI;ajhls' fï ;;a;ajh we;sùug fya;=j l=ulao hkak ffjoH úoHdj ;ju;a ;yjqre lrf.k fkdue;' fuu frda. ;;a;ajfha§ orejdf.a udxYfmaYs j, we;s Yla;sh ySkù f.dia th wl¾uKH ùula isÿfõ' fuysoS YÍrfha we;s CPK idkaøKh jeäùula oelsh yels jk w;r túg udxYfmaYs j,ska lsishï l%shdldrlul fh§u wmyiq fõ'
90
January 2021
DOCTOR MAGAZINE
doctormagazine.lk
" ßÊfõ wd¾hd <ud frdayf,a fN!; Ñls;ail wêldß cd,sh Wvqje,a,
orejdf.a udxY fmaYsj, Yla;sh ySk ù hdu ksid fyd¢ka l%shdYS,Sj isá orejd ks;r jefgkakg mgka .kshs' ta iu.u YÍrhg we;sjk úvdj ksid orejdf.a l%shdYS,S nj fndfyda ÿrg wvqù f.dia orejd wfkla ndysr l%shdldrlï j,g fhduq ùfï ue,slula olajhs' fujeks wjia:dj,§ fouõmshka ys;kafka orejka lïue,s ù we;s njhs' fï orejka fmr mßÈ fi,a,ug fhduq fkdfõ' weúÈñka isá orejd áflka ál th wvq lrhs' miqj ks;ru jdäù isàug fhduq fjhs' fï ;;a;ajh W;aikak jQ miq orejd jdä ù isg ysg.ekSfï§ ;u fomd j,g jdre ù isg. kS' fuh .j¾kaia iy,laIKh f,i y÷kajkq ,nhs' miqj" wka whf.a Woõ .ekSug isÿfõ' n;aflkao fmaYsh ;rula úYd,j jeã msysáho tys n,h wvqh' th jHdc úYd,;ajhls'
doctormagazine.lk
Èjhsk mqrd fN!;Ñls;ailhska f,i fmkS isákakka úYd, ixLHdjla isák neúka ;u fiajdj ,nd .kakd fN!;Ñls;ail ks,Odßhd ffjoH iNdfõ ,shd mÈxÑ wfhla oehs fidhd ne,Su uyck;djf.a j.lSu fõ' Tyqf.a fyda wehf.a ,shdmÈxÑ wxlh úuid isàu Tfí whs;shls'
"
iïmQ¾K fmaYs wl¾ukH jQ úg tla;eka ùug isÿùu wd§ ,laIK oelsh yel' fufia l%ufhka fmaYs wvmK ù f.dia wjidkfha§ yDo fmaYsho wvmK fõ' fuu frda. ;;a;ajhg fya;= f,i ksYaÑ; lreKla bÈßm;a l< fkdyels jk w;r úfYaI{ ffjoHjreka my; oelafjk Wml,amk hï;dla ÿrg fujeks ;;a;ajhka we;sùug n,mE yels nj m%ldY lr;s' f,a kElï újdy ksid we;s jQ orejka" uj orejd ìyslrk úg b;d wvq jhil miqùu fyda b;d jeä jhil miq ùu' flfia fj;;a fujeks idOl j, n,mEula fkdue;sj o fuu frda.h mj;sk wjia:d ;sfí' ffjoHjreka fï frda.h ;yjqre lr .ekSug frda.shd f.a bf,lafg%da ufhda.%ms Electromyography (EMG)" l%sheákska fmdiamlhsfkaia idkaøKh Creatine phosphokinase (CPK) iy fmaYs nfhdmais Muscle biopsy hk mÍlaIK isÿlrkq ,nhs' fuu frda.h ;yjqre jQ miq ffjoHjreka frda.shd fN!;Ñls;ail m%;sldrj,g fhduq lrkq ,nhs' frda.h md,kh lr .ekSula fN!; Ñls;ail m%;sldr j,ska isÿfjhs' iïmQ¾Kfhka iqjl< fkdyels jqj;a orejdf.a l%shdldrlï wvmK fkdù ld,hla mj;ajd .ekSu fN!;Ñls;ail m%;sldr wNsu;d¾:h fõ'
January 2021
DOCTOR MAGAZINE
91
D•Magazine /
Physiotherapy ufhdam;s frda.S orejkag fN!;Ñls;ail m%;sldr
ufhdam;s frda.fha ,laIK yDofha l%shdldß;ajh wvqùu ldäfhdaufhdam;s
yDo wlrKsh
uydm%dÖrh ÿ¾j, ùu
Yajik wlrKsh
fmaYs ialkaOh ySk ùu m%odysl ;;a;aj *hsfn%daishdjfrdao mqgqjla
wjYH fjhs
fN!;Ñls;ailjrhdf.a we.hSu wkqj l< hq;= fN!; Ñls;ail m%;sldr y÷kajd §ula isÿ fjhs' 1' udxYfmaIs Yla;su;a lrk jHdhdu (Muscle Strengthening Exercise) 2'úoahq;a W;af;ack m%;sldr (Electrical stimulation) 3' iiafmkaIka Ñls;aidj (SuspensionTherapy) 4' c, Ñls;aidj (Hydro Therapy)
ufhdam;s frda.h we;sùug ksYaÑ; fya;=jla ;ju;a y÷kdf.k ke;;a f,a kElï újdy ksid we;s jQ orejka" uj orejd ìyslrk úg b;d wvq jhil miqùu fyda b;d jeä jhil miq ùu fï ;;a;ajhg fya;= fj;ehs Wml,amkhla mj;S'
"
"
92
fN!;Ñls;ailjrhdg fhduq jQ miq Tyq fyda weh úiska frda.shd we.hSulg ,lalr fmaYs j¾.SlrKhla isÿ lrhs' 0 isg mia jk fYa%‚h olajd fï j¾.SlrKhg iEu fmaYshlau wh;a fõ'
January 2021
DOCTOR MAGAZINE
5'wdOdrl wdY%fhka lrk Ñls;aidj (With Appliances 6'fmaYsj, È. mj;ajd .ekSug È. we÷ï wNHdi (Strengthening Exercise) 7' Wria Ñls;aidj (Chest Physiotherapy)
doctormagazine.lk
.j¾ia frda.S orefjl ysg.ekSu iyd w;a mdohg jdre lr.kakd wdldrh ksÍlaIKh lrkak
orejdf.a l%shdldrlï wvq neúka ks;r tla ;ek isàu ksid fiï >%djhka tl;= ù iajik wdndO we;súh yels neúka ksõfudakshdj ;;a;aj j¾Okh jqjfyd;a leiai we;sùuo ÿ¾j, neúka frda.h md,kh lsÍu wmyiqh' tnejska ks;r orejdf.a iajik moaO;sh ksfrda.Sj ;nd .; hq;=hs' ta i|yd fN!;Ñls;ailjreka Wria Ñls;ail m%;sldr lrk yeá fouõmshkag W.kaj;s' tneúka fujeks frda. ;;a;ajhla we;s njg iel iys; kï ffjoHjrhl= yuqù ta yryd fN!;Ñls;ail wxY fj; fhduqjkak' Èjhsk mqrd uy frday,a uQ,sl frday,a j, fN!;Ñls;ail wxY msysgqjd ;sfí'
doctormagazine.lk
Èjhsk mqrd fN!;Ñls;ailhska f,i fmkS isákakka úYd, ixLHdjla isák neúka ;u fiajdj ,nd .kakd fN!;Ñls;ail ks,Odßhd ffjoH iNdfõ ,shd mÈxÑ wfhla oehs fidhd ne,Su uyck;djf.a j.lSu fõ' Tyqf.a fyda wehf.a ,shdmÈxÑ wxlh úuid isàu Tfí whs;shls' DM
January 2021
DOCTOR MAGAZINE
93
D•Magazine /
Interferon fldõâ ;¾ckfhka ñfokakg bkagfrdka ,ndfok odhl;ajh
frdakd ffjrihg tla tla mqoa.,hd uqyqK fokafk úúO wdldrhg''' fldhs ;rï iq¿ fj,djla ksrdjKh jQj;a fï f,fâ yod.;a;= wh bkakjd' ta;a fkdoeKqj;a lfuka jQj;a frda.S fmdl=re wi, iEfyk ld,hla .ejiqK;a we;euqka frda.fhka úYañ; wdldrhg fífrkjd'''
fï foaj,a meyeos,s lrkafk fldfyduo@ fï iïnkaOfhka isÿlrK ,o m¾fhaIKhlska yªkdf.k ;sfnkjd" fldúâ 19 nrm;, ixl+,;d j,g ,lajQ ishhg 14la ixLHdjlf.a YÍrfha bkagf*frdka m%;spdrh yßu ÿ¾j,hs lsh,' úfYAIfhka Type I interferons (IFN-I) kue;s bkagf*frdka ldKAvfha we;sjk wvq¨yq`vq;djhla ksid cjiïmkak ;reKfhlaf.a jqK;a frda. ;;a;ajh lsishï wjodkulg ,la jkakg fï ksid yelshdjla ;sfnk nj fy<sorõ ù ;sfnkjd'
fu jix.;h jhil Woúhg Nhdkl úosyg n,mdkj lshkj'''' ta;a fndfydau cjiïmkak ;reKfhd;a fï jix.;fhka ;u cSú;h wysñ lr.;a;= wjia:d ;sfhkjd''''
fldfyduo fï bkagf*frdak i;=re wdl%uKhloS YÍrhg wdrlaIdjla imhkafka@
Interferon deficiency can lead to severe COVID
fldõâ ;¾ckfhka ñfokakg bkagf*frdka ,ndfok odhl;ajh ffjoH fla;lS m,syjvk
fld
94
January 2021
DOCTOR MAGAZINE
doctormagazine.lk
flfklaf. wefÕa ;sfhk m%;sfoay úiska isref¾ wdrlaIdjg ;sfhk bkagf*frdk i;=frlehs jrojd jgyd .kak bv ;sfhkjd' tfyu jqKdu bkagf*frdak j,g myr oS, tajdfha l%shdldß;ajh wvmK lrkjd'
wdidos; fkdjQ hdno ffi, j,g RNA úkdY lrñka fm%daàka ixYaf,aYKh ÿ¾j, lrkakg ksfhda. ix{d ksl=;a lrhs'
ffjrih
fuh Apoptosis hkqfjka ye|skafõ' bkagf*frdak
;j;a ldrKhla''' isrer úiska bkagf*frdk ksmojk l%shdj,shg ndOd f.k tk cdk úlD;shla jqK;a flfklaf.a YÍrfha n,.ekafjkakg mq¿jka' f,dl= l;d lsõjg fï bkagf*frdak lshkafk fudkjo lsh, ;ju;a wms meyeos,s lf<A kE' bkagf*frdak lshkafka YÍrfha wdrlaIdj fjkqfjka fmkS isák m%;sYla;slrK moaO;sfha iqcd; wx.hla' i;=re wl%uKhloS fï bkagf*frdk j, ;sfhkafka fõ.j;a l%shdldß;ajhla' ta ú;rla fkdfjhs' úúO Wml%u weiqf¾ i;=rd fu,a, lsÍfï wreu mqÿu yelshdjl=;a bkagf*frdk j,g ;sfhkjd' ta ú;rla fkdfjhs wdldr lsysmhlska i;=re m%ydrhloS l%shd;aul fjkakg bkagf*frdak l%shd lrkjd''' wms n,uq ta fldfyduo lshk ldrKh;a'''
doctormagazine.lk
m%;sYla;slrK ffi, n,d;aul fjhs wd.ka;=l úIîc úkdY lrkakg bkagf*frdka l%shd;aul jkafka fufyuhs
1' i;=re wdl%uKhla ^fldúâ 19 jf.a& meñKs nj yªkd.;a ú.i hdno ffi, j,g zzmßiaiï fjh,a,d''' ñ;=rkSZZ lsh, wjodkï ix{djla hdno ffi, j,g ksl=;a lrkjd' 2' lsishï ffi,hla fï jHdêcklh wdidokh ùfuka tys f.dÿrla njg m;a jqKdu ksmojk úiska zzfudkj lrkako@ oeka b;ska ueßh,a,'''ZZ lsh,;a ix{djla ,nd fokjd' 3' ;¾ckhloS Bg .e,fmk úosyg m%;sfoay iQodkï lrkakg;a" os.= ld,hla hqoaOh w,a,d bkakg l%shdud¾. .kakg;a ksmojk j,g mq¿jka' b;ska fï úosfya wdrlaIl l%shdldß;ajhl fhfok bkagf*frdak wvmK jqKdu iuia; wdrlaIl hdka;%Khu wvmK fjk tl wdfh wuq;=fjka wykak;a fohlao@ bkagf*frdak kQ;k ffjoH úoHdj n,dfmdfrd;a;= .; T!IO ksmojkakg;a odhl ù ;sfnkjd' Ökfha fldúâ jix.;h jHdma; jQ jljdkqfõ jix.;h fnda ùu j<lajk bkafya,rhla jYfhkq;a bkagf*frdAk fhdodf.k ;sfnkjd' bkagf*frdk m%;sldr j,g fhdod .ekSfï iSud ;sfhkjd' tal fjku ldrKhla' ta;a iajdNdú; bkagf*frdk wfma YrSrh f,vfrda. j,ska wdrlaId lr.kak orK odhl;ajh kï wñ,hs' úfYAIfhkau fï wnqoaoiai fkdfjhs" fldúoaoiai ldf,''' DM
January 2021
DOCTOR MAGAZINE
95
D•Magazine /
Oxford Vaccine Tlaia*â tkakf;a m%Odk m¾fhaIsldj
Tlaia*â tkakf;a m%Odk m¾fhaIsldj
wfma ufyaIs rduidñ wïuhs ;d;a;hs fofokdu uydpd¾hjreka''' ysáfh fld<T" wkq,d úfcaiqkaor uy;añh wef.a mqxÑwïud''' Ndr; .=K;s,l úisks
fï jk úg fldúâ frda.h id¾:l f,i fu,a, lrk tkak;a ;=kla f,dalhg yªkajd oS ;sfnk w;r Tlaia*â úYaj úoHd,h AstraZeneca PLC. T!IO iud.u iu. tlaj yªkajd ÿka ChAdOx1 nCoV-19 vaccine tkak; ishhg 90g jeä id¾:l;ajhla olajñka by< wfmalaIdjka cks; lr ;sfí' fï tkak; iïnkaO mÍlaIK lKavdhfï m%Odkshd (Chief Investigator) jQfha uydpd¾h wekavD fmd,d¾âh' m¾fhaIK m%Odkshd jYfhka uydpd¾h idrd .s,an¾Ü lghq;= lrk ,o w;r Principal Investigator ;k;=frys lghq;= lf<A ffjoH ufyaIs rduidñh' Tlaia*â úYaj úoHd,fha tkak;a iïnkaO m¾fhaIK isÿ lrkafka Oxford Vaccine Group kï wxYhls' tu Oxford Vaccine Group fjí wvúfha ufyaIs .ek oelafjkafka fujka igykls' zzffjoH ufyaIs m%:u ffjoH Wmdêh ,nd.kafka Tlaia*â iriúfha l%siaÜ fldf,ca fj;sks' wdidok frda. yd ffjoH úoHdj
96
January 2021
DOCTOR MAGAZINE
doctormagazine.lk
ffjoH ufyaIsf.a kekaokshka" uydpd¾h wkq,d úfcaiqkaor
iïnkaOfhka jeäÿr yeoEßï l< weh DPhil. mYApd;a Wmdêh jvdï fld,Scsfhka ,nd .kshs' m%;snoaO yd fmd,sielrhsv ldKAv j,g wh;a fukska f.dfldl,a tkak;la ksIAmdokfhys,d weh î ffi, m%;spdr iïnkaOfhka m¾fhaIK j, ksr; ù ;sfí' Oxford Vaccine Group yS m%Odk mÍlaIljßh jYfhka lghq;= lrk ufyaIs tkak;a jeäysáhkag ,ndoSu iïnkaOfhka m¾fhaIK lghq;= j, ksr; fjhs' weh úYAj úoHd,hSh wdfrda. HYd,dj, fukau NHS Foundation Trust wdfrda.HYd,dj,o ldhsl frda. ffjoHjßhl jYfhka lghq;= lrk w;r Tlaia*â úYaj úoHd,fha fcaIaG lÓldpd¾hjßhl jYfhkao fiajh lrhs'ZZ
doctormagazine.lk
ffjoH ufyaIs rduidñ wmg jeo.;a jkafka weh wfma rfÜ ,dxflah uõmshkag odj fld<UoS Wmka ;eke;a;shl ùuhs' wef.a uj uka;%S iurkdhlhs' mshd rkacka rduidñh' fofokdu uydpd¾hjreka jk w;r mshdf.a úIh jQfha wKQl m%;sYla;sfõohhs' uj lSg úoHd{jßhl jQjdh' fkdlshdu neß ;j;a lreKla jkafka ;sfí' fï rfÜ lS¾;su;a ldhsl frda. úfYaI{ ffjoHjßhl jQ uydpd¾h wkq,d úfcaiqkaor wef.a ujf.a ke.Kshkah' ufyaIs Wmkafka fld<Uh' mqxÑ ikaosh .; lf<a ijqos wrdìh yd flkahdfõh' kej;;a flá ld,hlg fld<U mosxÑhg meñKS w;r ta 1983 cd;sjdoS wr., rfÜ we;sjQ wjdikdjka; ld, mßÉfPaohhs' rfÜ wkdrlaIs;Ndjh ksid ufyaIsf.a uõmshka wefußldfõ mosxÑhg .sfhdah' bkamiqj ´iafÜ%,shdfõ ì%iafnka kqjro l,la jdih l< fï wmQre mjq, kej;;a 1989 j¾IfhaoS Wmka rggu meñKsfhdah' ufyaIsf.a uj;a wef.a mqxÑwïud;a hk fofokdu fld<T úYdLdfõ wdos YsIHdjka jQjdh' ta ksidu weh;a ;u wOHdmkfha moku i,id .ekSug úYdldjgu we;=<;a jQ uq;a tys wOHdmkh ,eîug yels jQfha udi oyhl muK ál l,la muKs' kej;;a ì%iafnka isg ,xldjg meñKSfïoS weh we;=,a jQfha fld<T iage*â cd;Hka;r mdi,gh' weh idudkH fm< yd Wiia fm< hk úNd. lvbï folu iu;a jQfha iage*â cd;Hka;r mdif,ks' weh tys m%Odk YsIH kdhsldj jQ w;r ú,slaia wd¾ o fidhsid wOHdmk úYsIAG;d YsIH;ajhgo ysñlï mEjdh' weh Wiia fm< iu;a jk úg hka;ï jhi oyihla jQjd muKs' fï ksid ffjoH úoHd,hg we;=<;a jkakg ;j;a jirl ld,hla n,d bkakg isÿ jQj;a 1995 j¾IfhaoS flaïì%ca úYAj úoHd,hg we;=<;a jQfha flaïì%ca fmdÿrdcH uKav,Sh YsIH;ajhgo ysñlï ,nñks'
January 2021
DOCTOR MAGAZINE
97
D•Magazine /
Oxford Vaccine Tlaia*â tkakf;a m%Odk m¾fhaIsldj
Tlaia*â tkak; yd tys m%Odk m¾fhaIlhka iïnkaOfhka Ydia;%Sh úoHd c¾k,hl i|yka jQ whqre
uQ,sl ffjoH Wmdêh ,eîfuka miq ,kavka yd flaïì%ca j, lKsIAG ffjoHjßhl jYfhka fiajh lrk w;f¾ weh mYapd;a wOHdmkh msKsi fndajk frda. iïnkaOfhka yeoEÍu f;dard .;af;ah' Tlaia*â úYAj úoHd,hg wh;a jvdï fld,Scsfha fudf<A WK frda.hg tkak;la yªkd.ekSu l< m¾fhaIKhg wehg mYapd;a Wmdêh msßkeñk' bkamiqj fcHaIAG m¾fhaIsldjl jYfhka Oxford Vaccine Group fj; iïnkaO ùug wjia:dj ufyaIs yg ysñ úh'
98
January 2021
DOCTOR MAGAZINE
weh ksrka;rfhkau Tlaia*âyS ffjoH YsIHhkag b.ekaùfuys ksr; jk w;r Tlaia*â úYaj úoHd,fha Wmdê m%fõY ffjoH úoHd,fha ksfhdacH wOHlaIjßh jYfhkao lghq;= lrhs'
doctormagazine.lk
;u <ud ld,h isysm;a lrk ufyaIs ;u uõmshka fijfka fndajk frda." m%;scSjl yd tkak;a .ek M<odhS idlÉPd rd;%S wdydr fïifhaoS isÿjQ nj;a thska weh buy;a wdNdIhla ,nd.;a nj;a isysm;a l<dh' zzúoHdj;a" ffjoH úoHdj;a lshk úIh folu uf.a cSú;hg noaO jQ fldgia' uef,aßhdj" fvx.= jf.a úIhka iïnkaOfhka wfma f.oru úoaj;a l;sldj;a we;sjqKd'ZZ weh isysm;a lrkakSh' tfiau ;u wdorKSh mqxÑwïud jk ffjoH wkq,d úfcaiqkaor uy;añh iu. ;=reKQ úfha uyfrdayf,a jdÜgq j, frda.Ska n,oaoS weh legqj .sh nj;a thska ffjoHjßhl ùfï isyskhg ;gq ,enqKQ nj;a weh f.!rjfhka isysm;a lrkakSh' ffjoH ufyaId rduidñ újdy ù isákafka ;uka iu. tlg Tlaia*â yS wOHdmkh ,enQ flfkl= iu.sks' wo Tyq ms<sld frda. úfYaI{ ffjoHjrfhls' fï wdorKSh m;s-m;skshkag jhi wjq' 15" 13 yd 10l orejka ;sfofkla isáhs' weh fnod yodf.k jev lrkakg iuf;ls' lS¾;su;a m¾fhaIKdh;khl m%Odk m¾fhaIsldjl jYfhka Oxford Vaccine Group yS
doctormagazine.lk
weh nrm;, j.lSula oerej;a weh ;ju;a frda.Skag fnfy;a fok ffjoHjßhls' zzuu idhksl lghq;= j,g;a mkyg mkfya ld,hla ,nd fokjd'''ZZ weh mjihs' ta ú;rla fkdfõ''' bv ,efnk úfõlhloS weh ys; ñ;=rkag wdydr ilid msßkukakg buy;a wNsreÑhla olajkakSh' fï foaj,a Tlafldu lrkak ld,h fldhskao@ Tn wdorKSh jQ ujlf.a jf.au fifkfynr ìß|lf.a;a N+ñldjl ksr; fjkjd' zzuf.a uy;a;hd''' ug mjqf, lghq;= j,oS w;sYhska iydh fjkjd' Whk msysk" orejka /l n,d.ekSfïoS mjd weh ug wdorKSh iydhlfhla'ZZ weh mjikakSh' weh ksrka;r fmd;a lshjkakshls' fldhs ;rï jev ;snqK;a Tlaia*â úYAj úoHd,fha wef.a fmd;a la,í tl mßyrkhg weh iEu udihlu wjldY ,nd .kakSh' Tlaia*â tkakf;ys m¾fhaIK lghq;= j,oS ufyaIs uQ,sl jYfhka lghq;= l< hq;= jQfha jhia.; jQjkag fuu tkak; fl;rï M,odhS jkafkao hk ldrKh mÍlaId lsÍuh' idudkHfhka fndfyda m¾fhaIK wjia:d j,oS jDoaO ldKAvh i|yd ,efnk m%;sM< j, úi,a Ldokh ùula olakg ,enqK;a jhia.; ldKAvhgo Tlaia*â tkak; úYd, /ljrKhla ie,iSu fuu tkakf;a id¾:l;ajhg fya;=jls' oekg id¾:l;ajh ,nd ;sfnk wfkl=;a tkak;a folu .nvd lsÍug fixáf.%aâ iDK 70 l YS;k ;;;aj mej;sh hq;= jQj;a fï tkak; idudkH YS;lrKhl jQj .nvd l< yels ùu ;j;a jdishls' ffjoH ufyaId rduidñ ,dxflah uqødj ñáka .;a id¾:l .eyekshls' udkqIjdoS m¾fhaIK j, ksr; ùu Wreuh lr.;a mjq,l wdNdIfhka weh ;ukaf.a wkkkH;dj fï jk úg;a ia:dms; lrf.k wyjrh' fldúâ fu,a, lsÍfï ix.%du N+ñfha lS¾;sOr pß; lsysmhlau ;sfnk w;r ta w;f¾ fmruqfKA l%shdldßkshl jYfhka wehf.ka bgqjk fiajh wfma mqxÑ rgg;a wNsudkhla f.k fkdfokafkao@ DM Source: Kumudini Hettiarachchi (http://www.sundaytimes.lk/201129/plus/ science-and-medicine-were-part-of-my-life-423957.html) , The Lancet Journal (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)316044/fulltext), https://www.ox.ac.uk/news/2020-11-23-oxford-universitybreakthrough-global-covid-19-vaccine, https://www.sciencemediacentre.org/ phase-2-trial-safety-and-immunogenicity-data-from-the-oxford-covid-19vaccine-trial-including-in-healthy-older-adults/
January 2021
DOCTOR MAGAZINE
99
D•Magazine /
ufkdaÑls;aid rEu;a isiqúhf.a iriú .uk keje;ajQ zfoaj YdmhZ
Fears and Phobias
rEu;a isiqúhf.a iriú .uk keje;ajQ zfoaj YdmhZ
foa
j fldamh ksid ñksiqka wikSm fõo@ foúhkag mqo mQcd meje;aùfuka" lkak,õ lsÍfuka frda. iqj l< yelso@ foaj ydialfuka fmak lsj yelso@ foúhkag ñksiqkaf.a YÍrj,g jefykakg ke;skï wdrEV fjkakg mq¿jkao@ foúhkag ñksiqkaf.a m%Yakj,g úi÷ï ,ndÈh yelso@ foúhkag ñksiqkaf.a úNd. iu;a lr Èh yelso@ foaj n,fhka .sks mE.Su" isref¾ lgq .eiSu l< yelso@ foúhka fkdfhla fõYfhka ñksiqkag o¾Ykh úh yelso@ wl=/iai m%foaYfha tla;rd .ul Ôj;a jk mjq,l tlu orejd jQfha j;ai,dh' w.ysÕlïj,ska wvqjla fkdjqKq ksjfia foudmshka iuÕ Ôj;a jQ weh mdi,a YsIHdjl jQjdh' j;ai,d wOHdmk lghq;=j,ska b;d fyd| olaI;d fmkajQ w;r" my jir YsIH;aj úNd. fhka o by<u ,l=Kq .;a w;r" fld<U k.rfha Wiia mdi,lg we;=<;a ùug jrï ,enqjdh' w¨;a mdi,lg fhduqùu;a iuÕ weh" fld<U m%foaYfha Ôj;a jQ wehf.a {d;sjßhlf.a ksjfia kjd;eka .;a;dh' kj ksjig meñŒu;a iu. j;ai,df.a wOHdmk lghq;= flfrys ;snQ olaI;djka l%ufhka wvq jkakg úh' lsisÿ lghq;a;la flfrys Wkkaÿjla fkdoelajQ weh mdi,a .sfhao ´kEjg tmdjgh' ksjig meñ‚ho fmd;mf;au fh§ isá weh 102
January 2021
DOCTOR MAGAZINE
Y%S ,xld iajdmk úoHdfõ§kaf.a ix.ufha j;auka iNdm;s ufkda Ñls;ail" ffjoH mS'tka' úoHd,l=,m;s
´kEu fohlg bÈßm;a fjk" olaI;d fmkajk YsIHdjl jqjo {d;s ksjig meñ‚ od isgu lsis÷ fohlg Wkkaÿjla fkdoelajQjdh' {d;s ksjig hï msgia;r mqoa.,fhl= meñ‚ úg ta wi,lgj;a fkdmeñfKk weh ;u ldurhgu ù isàug j.n,d .;a;dh' fufia wuq;a;ka meñfKk wjia:dj,§ fukau fndfyda fokd .ejfik wjia:djlg iyNd.s ùug isÿjqjfyd;a wikSmhla lshd ksjfia k;r ù yqol,dj weh ;u ldurhg ù isáhdh' tkak tkaku uq¿.ekafjk iajNdjhla j;ai,df. ka Èiaúh' fuu fjkiaùu fyd¢ka jgyd.;a j;ai,df.a {d;sjßh tkï j;ai,df.a mshdf.a ke.‚h fï nj j;ai,df.a mshdg oekqï ÿkakdh' doctormagazine.lk
;uka ksid is;a ßojd .kS hk u;h ksid weh wlue;af;ka jqjo Èkm;d mka;s .shdh'
;u Èh‚hg l=ula isÿùoehs ne,Sug j;ai,df.a foudmshka .fï isg j;ai,df.a kekao‚hf.a ksjig meñ‚fhdah' ;u Èh‚h fj;ska fmr oelmq m%ikak nj .s,syS f.dia we;s nj foudmshkag jegyq‚' wehf.a l%shdldrlïj,o úYd, fjkila foudmshkago f;areï .sh neúka Tjqyq o ál ld,hlg fuu ksjfia k;rùug is;d .;ay' b;d ÿmam;a" W.;alñka wvq j;ai,df.a foudmshka yg wehj ffjoHjrfhl= lrd fhduq lsÍug ;rï oekqula fkdúK' ;ukao oeka Èh‚h;a iuÕ fuys k;r ù isák neúka wehf.a fuu .;s ,laIK fjkia fõ hehs j;ai,df.a foudmsfhda is;+y' fufia ld,h f.ù weh idudkH fm< úNd.hg uqyqKfok ojio Wod úh' wfkla .eg¨ tf,iu ;snqKo weh úNd.h kï w;ayf<a ke;' weh idudkH fm< úNd.h by<skau iu;a jQjdh' l,d wxYfhka Wiia fm< yeoEÍug fhduq jQ weh mdi,a hdu fyda mka;s hdu lf<a b;du;a wlue;af;ks' kuqÿ foudmshka
doctormagazine.lk
Wiia fm< úNd.fhkao úYsIag m%;sM, ,enQ j;ai,d .ek foudmshkag we;s jQfha wdvïnrhls' ;u Èh‚hf.a l%shdldrlï j, fjkila ÿgq fyhska weh fufia úNd.fhka iu;a fõú hehs Tjqka is;=fõ ke;' Tjqkaf.a n,dfmdfrd;a;=j jQfha flÈkl fyda ;u Èh‚h kS;S{jßhl jkq oelSuh' ta i|yd b;d fyd| m%;sM, ;snqKo j;ai,d foudmshkag mejiqfõ úYaj úoHd,hg hdug wef.a leue;a;la fkdue;s njh'
ñksiqkag iEfok iq¿ udkisl frda. w;ßka tlla ;uhs NS;sld lshkafka' fuys§ iuyr mqoa.,hska we;eï foag widudkH ìhla fmkakkjd' fuu NS;sld w;s úYd, ixLHdjla ;sfnkjd' WodyrK f,i iuyreka msßila bÈßhg hkakg nhhs' ;j;a iuyreka úNd.j,g nhhs' f,a olskakg nhhs'
January 2021
DOCTOR MAGAZINE
103
D•Magazine /
ufkdaÑls;aid rEu;a isiqúhf.a iriú .uk keje;ajQ zfoaj YdmhZ
—fudlo mqf;a Thdg fj,d ;sfhkafka' wehs úYaj úoHd,hg hkak nE lshkafka'˜ foudmshka fldf;l=;a m%Yak l<o j;ai,d Tjqka iuÕ .egqï we;s lrf.k ;u u;fhau isáhdh' .=rejreka yd jeäysáhka ud¾.fhka wehj úYaj úoHd,hg heùug fldf;l=;a W;aidy oerejo j;ai,df.a u;h fjkia fjk njla olakg fkdùh' uq,ska uq,ska weh úYaj úoHd,hg hdug wlue;s fya;=j fkdlSjo myqfjk úg weh foudmshkag lSfõ zzuu leïmia hkak nhhs˜ hkqfjks' j;ai,df.a foudmshka yd kekao‚ho weh úYaj úoHd,hg hdug leue;s lrjd .ekSug fkdyels jQ neúka .=rejre ud¾. fhka wehf.a is; fjkia lsÍug W;aidy .;a w;r" .=rejreka lshd isáfha j;ai,dj ufkda ffjoHjrfhl= fj; fhduq lrk f,igh' zzwfma orejg msiaiq yeÈ,d keyefk ufkda ffjoHjrekag fmkakkak' Th msiaiq fnfy;a ìõfjd;a ljodyß uf.a fl,a,g hk l,oidjla ke;sfjhs˜ mejiQ j;ai,df.a foudmshka tu fhdackdj ;rfhau m%;slafIam l<y' j;ai,df.a ;SrKfhao lsis÷ fjkila fkdue;s fyhska wehf.a flakaorh ne,Sug foudmshka is;d .;ay' ta i|yd b;d fyd| fcHda;sIfõÈfhl= lrd .shd' foudmshka ;u Èh‚hf.a ;;= meyeÈ,s lr isáhy' zzfï flakaorfha lsisÿ wm,hla fmakak keye' orejd ffjoHjrfhl=g fmkakqfjd;a fyd|hs˜ j;ai,df.a flakaorh mÍlaId lr neÆ fcHd;sIlre lSfõh' zzfï ukqiaihg;a msiaiqo fldfyo' uf. ÿjj fodia;r flfklag fmkakkak f,vla ;sfhkjehs˜ lshñka j;ai,df.a mshd fcHda;sIlreg is;ska nekjÈñka ;u ìß| yd ksji lrd meñ‚fhah' zzfldfykaj;a iykhla keyefka' fudllao fïlg lrkafka oeka˜ j;ai,df.a uj;a mshd;a wjidkfha§ Ydia;%lrefjl= uqK.eiSug ;SrKh lf<dah' zzug kï nE ´jg tkak˜ hkqfjka j;ai,d .uk m%;slafIam l<dh' miqj uj yd mshd Ydia;%lre fj; f.dia ;uka meñ‚ ldrKh lSy' 104
January 2021
DOCTOR MAGAZINE
úYaj úoHd,hg hk Èkh o <x fõ' kuq;a j;ai,d mjikafka fldfy;au fkdhk njhs' foudmshkago oeka foajd, miqmi f.dia tmd ù we;' fudjqkaf.a l%shdl,dmh ;j;a fkdbjiQ j;ai,df.a udud flfkl= zzTh orejj oekaj;a fodia;r flfkl=g fmkakm,a,d Th ukia.d; w;yer,d˜ ;Èkau lshd isáfhah' Ydia;%lre ish,a, fyd¢ka wid isg foúhkag j;ams<sfj;a lr wjidkfha§ zzTh orejkag foaj fldamhla ;sfhkjd' foúhkag ndr jqKq fohla yßhg Tmamq lr,d keye˜ lSh' zzTõ' tal fjkak mq¿jka' ta;a wms ys;,d tfyu fohla lr,d keye' ta;a wu;l ùulska tfyu jqKdo okafk keye˜ j;ai,df.a uj Ydia;%lreg mjikakg úh' zztalg foúfhd fldam fj,d' talhs fï oeßúf.a msáka .syska ;sfhkafk'
doctormagazine.lk
fïl u.yer,d fokak ´kE kï foaj f;dú,hla yd mQcdjla ;sh,d wyjr lr.kak fjhs˜ Ydia;%lre lSfõh' ta i|yd Èkhla yd fõ,djla fjka lr.;a j;ai,df.a uj;a mshd;a ksjig meñ‚hy' foaj f;dú,hg yd mQcdjg Èkh Wodúh' zztl tl ñksiaiq lshmq úÈhg fodia;r,d <Õg .shdkï fudlla fjhso@˜ lshñka j;ai,df.a foudmshka foaj f;dú,hg yd mQcdjg remsh,a ;siaoyil uqo,la o iQodkï lrf.k wjYH l<ukdo ,eyeia;s lrf.k foaj f;dú,h isÿflß‚' zzoeka b;ska foaj fldamh wjika' Tkak oeka uf. jefâ wyjrhs˜ Ydia;%lre Wcdrefjka lSfõh' ish,a, isÿ lr wjika jQ miq ksjig meñ‚ foudmshkag j;ai,d lSfõ zzuu úYaj úoHd,hg hkak nhhs˜ hkqfjks' fï wdldrfhka f;dú,a" MQcd fldf;l=;a l<;a fjkila fkdúK' úYaj úoHd,hg hk Èkh o <x fõ' kuq;a j;ai,d mjikafka fldfy;au fkdhk njhs' foudmshkago oeka foajd, doctormagazine.lk
fuys§ hfula idudkH foag ìhùu NS;sld f,i fkdi,lhs' WodyrKhla f,i hul= i¾mhskag ìhùu" ;ukag ljqreyß flfkla fjä ;shkakg t<jqjfyd;a Bg ìhla oelaùu jeks foa idudkH ìhhs' kuq;a ìh fkdúh hq;= foaj,g widudkH f,i ìhla oelaùu frda.S ;;a;ajhla' fïjd ufkda m%;sldr u.ska iqj l< yels nj fndfyda fokd okafk keye' ta ksid mSvd ú¢ñka Ôj;a fjkjd' miqmi f.dia tmd ù we;' fudjqkaf.a l%shdl,dmh ;j;a fkdbjiQ j;ai,df.a udud flfkl= zzTh orejj oekaj;a fodia;r flfkl=g fmkakm,a,d Th ukia.d; w;yer,d˜ ;Èkau lshd isáfhah' zztalj;a lr,d n,uq tfykï˜ j;ai,df.a mshd ;SrKh lf<ah' Y%S ,xld iajdmk úoHdfõ§kaf.a ix.ufha j;auka iNdm;s ufkda Ñls;ail" ffjoH mS'tka' úoHdl=,m;s uy;d fj; tf,i fuu .eg¨j fhduq flß‚' úia;r ish,a, úuid neÆ ffjoH mS'tka' úoHdl=,m;s uy;d j;ai,dg wjYH ufkda m%;sldr ,ndÿks' ufkda m%;sldrj,ska miq wehf.a úYaj úoHd,hg hdug mej;s ìh wef.a isf;ka ;=rka úh' j;ai,df.a ;;a;ajh iqN w;g yereKq w;r" weh fï jkúg kS;s YsIHdjls' fuys§ ffjoH mS'tka' úoHdl=,m;s uy;d isoaêh fufia úia;r lf<ah' ñksiqkag iEfok iq¿ udkisl frda. w;ßka tlla ;uhs NS;sld lshkafka' fuys§ iuyr mqoa.,hska we;eï foag widudkH ìhla fmkakkjd' fuu NS;sld w;s úYd, ixLHdjla ;sfnkjd' WodyrK f,i iuyreka msßila bÈßhg hkakg nhhs' ;j;a iuyreka úNd.j,g nhhs' f,a olskakg nhhs' ta jf.au Wia ia:dkj,g ke.Sug ìh" l=reñ‚hka" l=yqôka jeks i;=kag ìh" újdyhg ìh" ,sx.sl weiqrg ìh" j;=rg ìh" w÷rg ìh" jymq ldurj, isàug ìh" lerfmd;a;ka" yQkka" ul=¿jka" yel/,a,ka jeks i;=kag ìh" n,a,kag ìh" .skaorj,g ìh" u<ñkSj,g ìh" iq<Õg ìh" jeiaig ìh" msßñkag ìh" ia;%Skag ìh" wl=Kq .ikjdg we;s
January 2021
DOCTOR MAGAZINE
105
D•Magazine /
ufkdaÑls;aid rEu;a isiqúhf.a iriú .uk keje;ajQ zfoaj YdmhZ
ìh" mq¿kaj,g ìh" fkdfhla j¾Kj,g ìh" jdykj, hdug ìh" ;ksj isàug ìh" fõÈldj, l;d lsÍug ìh wd§ fndfyda foa ;sfnkjd' fuys§ hfula idudkH foag ìhùu NS;sld f,i fkdi,lhs' WodyrKhla f,i hul= i¾mhskag ìhùu" ;ukag ljqreyß flfkla fjä ;shkakg t<jqjfyd;a Bg ìhla oelaùu jeks foa idudkH ìhhs' kuq;a ìh fkdúh hq;= foaj,g widudkH f,i ìhla oelaùu frda.S ;;a;ajhla' fïjd ufkda m%;sldr u.ska iqj l< yels nj fndfyda fokd okafk keye' ta ksid mSvd ú¢ñka Ôj;a fjkjd' j;ai,df.a ;;a;ajho tjekakla' weh inflda,h ke;fyd;a iudc NS;sldfjka fm<S isg we;' ta jf.au mdi,a hdug wlue;a;la ;snQ w;r" jeä jYfhkau wehg n,mEfõ inflda,hhs' tu ksid wehg ñksiqka bÈßfha l;d lsÍug nh" wmyiqj" fjõ,Su jeks ;;a;ajhka we;s ù ;sfnkjd' úYaj
106
January 2021
úoHd,hg hdfï§ tys f.dia wka wh iuÕ uqiqùug yd tu wjia:djkag uqyqK§ug we;s ìh ksid weh úYaj úoHd,hg hdu m%;slafIam l<d' úfYaIfhka inflda,fhka fmf<kafkl= ;=< my; ,laIK ;sìh yelshs' msßila bÈßhg hdug ìh" msßila bÈßfha l;d lsÍug ìh" wfkla wh ;ud foi n,d isáhs hk ìh" wka wh bÈßfha l;d lsÍfï§ fjõ,Su" wka wh olsk úg oyäh oeóu" yDo iamkaokh jeäùu" f;d, lg fõ,Su" jpk meg,Su" wka wh n,d isák úg ,sùug neßùu" Tjqka ;udg yskdfõhehs is;Su" ;uka .ek we;s ySkudkh fyda wj;lafiarej wd§ fndfyda lreKq ;sìh yelshs' fuu ;;a;ajhg ksis m%;sldr lsÍfuka fuu NS;sld ;;a;ajhka iqj l< yelshs' fïl uf.a lreuh" mQrefõ wl=i,a" fïl uf.a wm, ld,hla" y;=frla lrmq wKúk" fldäúkhla" f.or fodaIhla" foaj fldamhla" wukqIH n,mEula wd§ wiqNjd§ is;=ú,sj, fkd/£ ksis úi÷ï ,nd. ekSfuka Ôú;fha i;=g" ieye,a¨j" ksfrda.S nj jeälr .; yels nj ffjoH mS'tka' úoHdl=,m;s uy;d ;jÿrg;a myod ÿks' fuys§ foúhkag yd lsisÿ foaj ixl,am .ek lshfjk wd.ïj,g lsis÷ wjudkhla fkdlrk nj;a" ;udg je<f|k frda.j,g fya;=j mjd foúhka msg mejÍu jerÈ nj;a meyeÈ,s l< hq;=hs hkqfjka ffjoH mS'tka' úoHdl=,m;s uy;d mjihs' DM
ia;+;sh ynrd¥j ksu,a w,af.j;a; uy;d
DOCTOR MAGAZINE
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
doctormagazine.lk
D•Magazine /
The Dynamic Healing Powers of Homeopathy w;a yd mdo j, we;sfjk ysßh fydañfhdam;s ffjoH l%ufhka iqjlr .ksuq
The Dynamic Healing Powers of Homeopathy
w;a yd mdo j, we;sfjk ysßh fydañfhdam;s ffjoH l%ufhka iqjlr .ksuq 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
doctormagazine.lk
ysßjeàu lshkafka isref¾ fld;ekl fyda iakdhq ;oùula u; we;sjk ;;a;ajhla' iakdhq j, msg;ska ;sfnk f;rmqu iu. we;sjk iakdhq j, j¾Okfha nd,ùula fyda ta wdYs%;j we;s fjk;a ;;a;ajhla u;ska fï zzysßhZZ we;s úh yelshs' ysßjeàula wf;a mfha fyda weÕs,s j, fyda we;s fõ kï" th ;djld,sl ysßjeàulao@ §¾> ld,sk ysßjeàulao@ hkak .ek ie<ls<su;a úh hq;=h' zz;djld,sl ysßjeàulaZZ we;sùug kï tlu bßhõfjka isàu fya;= úh yel' ke;fyd;a isrerg oeä f;rmSula
January 2021
DOCTOR MAGAZINE
107
D•Magazine /
The Dynamic Healing Powers of Homeopathy w;a yd mdo j, we;sfjk ysßh fydañfhdam;s ffjoH l%ufhka iqjlr .ksuq
§¾> ld,sk ysßjeàuloS fmkakqï lrk frda. ,laIK ² bÈlgq wkskjd jf.a oekSu
lfYareldj iqiqïkdj
² l+ô ÿjkjd jf.a oekSu
iakdhq uQ,h
wiaÓ yd mgl iqiqïkdj u;g f;rmSfuka we;sjk mSvdj bis,sh fkdyels jk úg ,eñfklagñ kï Y,Hl¾uhla isÿ lrhs' fuu ie;aluo ixl+,;d /ilg uq,la jk fyhska ta iïnkaO ;SrKh ffjoHjreka úiska .kq ,nkafka nrm;, we.hSulsks' hï fyhlska ie;alulska f;drj fujka wdndO iqjm;a lr.; yels fõ kï th fl;rï kï iykhlao@
iakdhq uQ,h
lfYareldj
iys;j hula ;ndf.k isá úfgl fujka ;;a;ajhla we;súh yel flfia fj;;a ;djld,sl ysß jeàula kï" meh .Kkla fyda Èk .Kkla ;sî ke;sù hd yel' ;ukaf.a /lshdfõ iajNdjh wkqj ks;ru mß.Klh Ndú;d lrk fyda mEklska ,shk fyda fjk;a tlu bßhõjlska jeä fj,djla lghq;a;l kshef,k wfhl=f.a wf;a fyda ll=f,a fyda ysßjeàula we;s jkakg bv ;sfí' th l,ska l,g Èk lsysmhl§ fyda ysßjefghs kï th zzȾ> ld,sk ysßjeàulaZZ f,i ie<lsh yel'
January 2021
² we;eï ia:dk j, ysßh iu. fõokdjo" oeú,a,o we;súh yel' fuf,i olakg ,efnk ysßh f.k fok frda. ,laIK we;eï úg oreKq frda.S uq, ;;a;ajhka msg;g úoyd olajk wk;=re weÕùï úh yelsh'
iqiqïkdj
108
² we;eï úfgl tu ia:dkfha ixfõÈ;djh ^oekSu& fkdoekS hdu'
DOCTOR MAGAZINE
ysßjeáulg fya;= úh yels idOl lfYareld 7 lska iukaú; fn,a, fldgi fyj;a ^Cervical Spine& w;r we;s ldáf,ac f.ù hdula" ;oùula" bÈßhg fkÍula" Èrdhdula" weoùula jeks ;;a;ajhla ksid miajk lfYareldfõ we;sjk fjkiaùu fn,af,a isg ue‚la lgq ikaêh olajd;a" yhjk lfYareld w;r fjki fn,af,a isg uymgÕs,a, olajd;a" y;ajk lfYareld w;r we;sjk fjki fn,af,a
doctormagazine.lk
isg onrÕs,a, yd ueo weÕs,a, olajd;a ysßh iu. fõokdj we;súh yel' fldkao wdYs%;j lfYareld fjkia ùul§ tys my, fldgi fndfyda úg n,mEulg ,laúh yel' tys§ 2jk lfYareld w;r iakdhq f;rmqu fldkao ueo isg l,jd Wvq fldgi olajdo" 3 jk lfYareld w;r iakdhq f;rmqu l,jd isg oKysi olajdo" 4 jk lfYareld f;rmqu fldkafoa isg mdofha uymg weÕs,a, olajdo" 5 jk lfYareld w;r fjki mdofha isg iq,Õs,a, yer b;sß weÕs,s yd ú¨U fldgi S1 lfYareld w;r iakdhq f;rmqu fldkafoa isg mdofha iq,Õs,a, olajdo ysßh iu. fõokdj f.kÈh yel' wf;ys uymgÕs,a," onrÕs,a, yd ueoÕs,a, olajd fõokdj yd ysßjeàu úysÈhdu fuu ;;a;ajhg ;j;a fya;= idOlhla jkafka wf;a ue‚la lgqj wdikakfha msysá zzldm,a gk,aZZ kï jk Wu. ;=< zzóähka iakdhqjZZ f;rmSulg ,laùuh'
fydañfhdam;s ffjoH l%ufha úfYaI;ajh frda. uq,h ke;s lsÍuh' frda.shdf.a ldhsl frda. ,laIK fukau udkisl frda. ,laIKo fuysoS ie,ls,a,g .kq ,nhs' fydañfhdam;s uq,O¾uh wkqj ie<ls,a,g .kakdjQ frda. ,laIKhg ,ndfok iudk T!IOh frda. uq,h wduka;%Kh lrñka m%lD;s ;;a;ajhg f.k taug ls%hd lrkq we;'
fuhg wu;rj we;eï wjia:d j,oS È.=ld,Sk T!IO j¾. Ndú;h ksid;a ysßjeàu ;;a;ajhka we;súh yel' úgñka W!K;djh ^úgñka B1, B6, B12, E& ysßjeàu f.k fok w;r úgñka B12 W!k;djh i;aj wdydr fkd.kakd whg úfYaI fõ'
mß.klhla os.= fõ,djla .; lrk úg fi!LHiïmkak ia:dms;hl isg jev l< hq;=hs' mß>kl ;srh weia uÜgug jvd iaj,am jYfhka fyda my;ska mej;sh hq;= jk w;r wei yd mß>kl ;srh w;r wju wÕ,a 20l ÿrla mej;sh hq;=h'
doctormagazine.lk
January 2021
DOCTOR MAGAZINE
109
D•Magazine /
The Dynamic Healing Powers of Homeopathy w;a yd mdo j, we;sfjk ysßh fydañfhdam;s ffjoH l%ufhka iqjlr .ksuq
wjodkï idOl jhi wjqreÿ 40g jeä msßi w;r È.= ld,sk ysßjeàu n,mEu by<h'
ffjoH m%;l s drh fukau Tnf.A i;aldrho ffjoH Wmfoiaj,g wkql, = j ksjerÈ f,i isÿ lrkafka kï Y,Hl¾u isÿ fkdlr Tng iïmq¾K blauka iqjh fydañfhdam;s m%;l s dr u.ska ,nd.; yels jkq we;'
u;ameka yd u;aøjH Ndú;h ksido" lsfudf;rms jeks m%;sldr wjia:dj,oSo" ;hsfrdlaiska fyda¾fudak wiu;=,s;;djh" nelaàßhd fyda ffjria wdidokhla fya;=fjka we;sjk ,dÿre frda. ;;a;ajhka u;o flfkl=g ysßjeàula we;súh yel' úfYaIfhka mdoj, kyr .eg .eiSuo ysß jeàug fya;= úh yel' 110
January 2021
ysßjeàug m%;HlaI fydañfhdam;s m%;sldr fydañfhdam;s ffjoH l%ufha úfYaI;ajh frda. uq,h ke;s lsÍuh' frda.shdf.a ldhsl frda. ,laIK fukau udkisl frda. ,laIKo fuysoS ie,ls,a,g .kq ,nhs' fydañfhdam;s uq,O¾uh wkqj ie<ls,a,g .kakdjQ frda. ,laIKhg ,ndfok iudk T!IOh frda. uq,h wduka;%Kh lrñka m%lD;s ;;a;ajhg f.k taug ls%hd lrkq we;' ysßjeàu ke;sj hkafkao fï uQ,O¾uh u; msysgñks' WodyrKhla f,i .;fyd;a uymgÕs,a, ysßjeàug fya;= jQ fn,a, lfYareld w;r fjki fyda ue‚la lgq ikaêfha we;sjQ fjki fyda n,mEula ,lal< ia:dkh kej; ksj/È f,i ieliSug ,laùuhs' fuu.ska YÍrh ;=< we;s lrk iaÓr iqjh ysßjeàu iïmq¾Kfhka iqjm;a lrkq we;' fydañfhdam;s ffjoH úoHdj iqúfYaIS jkafka fï ksidh' jhia fNohla ke;' jhil flfkl=g jqjo ysßjeàu ke;sù iqjh w;aoelsh yelsh' ffjoH m%;sldrh fukau Tnf.A i;aldrho ffjoH Wmfoiaj,g wkql=,j ksjerÈ f,i isÿ lrkafka kï Y,Hl¾u isÿ fkdlr Tng iïmq¾K blauka iqjh fydañfhdam;s m%;sldr u.ska ,nd.; yels jkq we;' DM
DOCTOR MAGAZINE
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 doctormagazine.lk
D•Magazine /
wdhq¾fõoh ldka;djka mSvdjg m;a lrk Yafõ; m%or frda.h
fidau frda.h fkdfyd;a ldka;djka mSvdjg m;a lrk Yafõ; m%or frda.h
l%sñrdc T!IOd,h wêm;s uydpd¾h" wdhq¾fõo ffjoH iqukr;ak wur;=x. D. S. A. C. BA Pg. PhD
ldka;djkaf.a fhdaks ud¾.fhka i%djhla msg ùfï Ôj úoHd;aul ixisoaêh ms<sn|j iudcfha úúO ia:r j, fkdfhla u;su;dka;r mj;akd w;r we;eï úg tu ;;a;ajhg uqyqK fok ldka;djka fï ksid udkisl jYfhka n,j;a fia mSvdjg m;aj isákq oelsh yelsh' ldka;djkaf.a fhdaks ud¾.fhkaÿ iqÿ mdg Èhrhla je.sÍu zziqohduZZ fyj;a zzYafõ; m%orZZ hkqfjka ye¢kaúh yelsh'
wo iudcfha fndfyda ldka;djkag lrorldÍ frda.hla njg zzYafõ; m%orZZ m;% ;sfí' iqohdu frda.S wjia:djlg;a jvd ia:dkslj yd ckfkakaøsh .;j yg.kakd frda.hl ,laIKhla f,i y÷kajd fokq leue;af;ñ' fhdaks ud¾.h yd ndysr ckfkakaøsh j, wdidok fya;=fjka Yafõ; m%orhg weh f.dÿre úh yel' tfiau fkdfhl=;a YdÍßl yd udkisl fya;= yd ta ine¢ ldrKdo fuu frda. hg f.dÿre ùug ;j;a fya;=jla fõ' Yafõ; m%orh we;s lrjk iq,n fya;= nyq mqreI fiajkh" <dnd, ld,fha§u újdm;a ùu" ldka;dj wlue;af;ka ixi¾.fha fh§u" l%sñ ^mKq& frda.j,g f.dÿre ùu" hym;a fi!LH mqreÿ fkdue;s ùu" hg we÷ï wmsßisÿj Ndú;hg .ekSu"
doctormagazine.lk
January 2021
DOCTOR MAGAZINE
111
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wdhq¾fõoh ldka;djka mSvdjg m;a lrk Yafõ; m%or frda.h
orejl= m%iQ; l< w¨;u wêlj fjfyiSu wd§ lreKq fya;= fldgf.k lsishï ldka;djl Yafõ; m%or frda. ,laIK fmkaúh yel' tfiau WIaKdêl wdydr jeä jYfhka .ekSu yd Biag%cka fydafudakfha wê l%shdldß;ajho Yafõ; m%orh we;sùug n,mEï l< yel' ;jo .¾NdIfha yd fhdaksfha bosuqu" .¾NdI .%Sj l,dfõ >k nj yd >%dj wêl;ajh" .¾NdI.; f.ä hk wjia:d ksido fhdaks ud¾.fhka iqÿ meye Èhrhla je.sf¾' wdidokh jQ úg >%djh ly meyehla .kakjd''' fuu Èhrh ÿ.|la fkdue;' >%djh jk úg fõokdjlao yg fkd.kS' frda.hg lsisÿ m%;sldrhla fkdlr mj;ajdf.k hk úg frda.h wdidok ;;a;ajhg m;afõ' túg >%djh jk Èhrh ly mdgg yef¾' fhdaksh ks;r ks;r f;;a .;sfhka mj;sk ksid fhdaks m%foaYh leiSug ,laùu ks;r ks;r isÿúh yel' ksrka;rfhka we;sjk uq;%d wdidok iq,n jYfhka oel.; yelsfõ' we;efula uo WK .;shlskao fmf<a' fuu frda.Skag wdydr Ô¾Kh wdY%s;j frda. ,laIK my< úh yel' wdydr wreÑh" u,noaOh jeks wmyiq;d yg.kS' iuyr ldka;djka fuu frda.h ,eÊcdj ksid jika lrf.k isàfuka fjk;a frda. j,go Tjqka f.dÿre úh yelshs' fï fya;=fjka oreM, fkdue;s ùuo we;s úh yel' wdhq¾fõo m%;sldr l%ufha fulS frda.hg úfYaI T!IO ksmojd ;sfí' wo ojfia ldka;djka b;d ld¾h nyq, Ôú;hla .; lrk w;r m%;sldr ,nd .ekSug ffjoHjrhl= fj; hdu mjd mud lrkq fndfyda úg olakg ,efnk ksidfjka u wmf.a l%sñrdc iud.u ieugu Ndú;d l< yels zzl%sñrdc Od;%S ridhkhZZ iqo hdu frda.h i|ydu ksIamdokh lr we;' zzl%sñrdc Od;%S ridhkhZZ uyd¾> T!IOh mdúÉÑ lsÍfuka fuu iqo hdfï frda.h ksÜgdjgu iqj lr .; yels jkq we;'
112
January 2021
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jir ye;a;Ejla mqrd Y%S ,dxlslhkag muKla fkdj úfoaYslhkago ishhg ishhla fy< T!IO muKla Ndú;d lrñka T!IO ksmojk lsßj;a;=vqfõ weï ã ,sfõßia wur;=x. nd,!IOd.drh bmer‚ mdrïmßl wdhq¾fõo fnfy;a jÜfgdarejlg wkqj fuu zzl%sñrdc Od;%S ridhkhZZ uyd¾> T!IOh ksmojd ;sfí' lsßj;a;=vqfõ weï ã ,sfõßia wur;=x. iy mq;%fhda wdh;kh ISO:9001:2015 wka;¾cd;sl ;;a;aj iy;slho ,ndf.k we;' ;jo úYsIag ksIamdok mßph i|yd jk GMP iy;slfhkao msÿï ,nd we;' ;;a;ajdkaú; yd ld¾hlaIu T!IO y÷kajd§fuka ,dxlSh ck;dj w;f¾ lS¾;su;a kula ?|jQ weï ã ,sfõßia wur;=x. iy mq;%fhda iud.u 250lg wêl jQ T!IO /ila cd;sh fjkqfjka ;s<sK lr ;sfí' Y%S ,xldj mqrd úisÍ isák wdhq¾fõo ffjoHjreka i|yd úfYaI T!IO /ila ksmojd we;s ksid Tng;a fuu T!IO ñ,§ .ekSu i|yd úuiSï l< yel' 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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foaYSh ms<sld fjolu Ôú; hÈk ms<sld frda.Skag ms<sirKla jk iqu;smd, fjo uy;aud
Ôú; hÈk ms<sld frda.Skag ms<sirKla jk iqu;smd, fjo uy;aud iqjh ,o frda.Ska .ek Tjqkaf.a {d;Ska lshk l;d''' ms<sld frda.fhka fmf<k whf.a f;dr;=re Tn fndfyda fia wid we;' Tjqka ;ukag tjka frda.hla je<ªKQ neõ oek.;a fudfydf;a isg cSú;h .ek wúksYaÑ;;djhlg m;a fjhs' frda. ksOdk mÍlaIdjka" m%;sldr''' fï fldhs tl;a Tyqf.a wirKlfuys ixfla; jeksh' ms<sldj''' cSú;hg ksudj iksgqyka lrk f,vlao@ fujr zzffjoHjrhdZZ iÕrdfjka wm Tng mjikakg f;dr;=re /ialr .;af;a tjka wjdikdj;a brKulg ,laj" ffojfha ydialulska fuka .=fKdams; fy< ffjoHjrfhl=f.a m%;sldr uysufhka kej;;a cSú;h ,o lsysm fofkl=f.a jdikdjka; l;d lsysmhls' bUq,a.iafoksh udrelaj;=f¾ fla iqks,a rdcmlaI uy;d ÿrl:k wxl 0778333457 fï mska;+rfha fjo uy;a;hd iu. bkafka uf.a ;d;a;d' Tyqf. wlaudfõ ;uhs ms<sldj ygf.k ;snqfKa' frdayf,ka udi .Kkdjlau fnfy;a l<d' iqj jqfKa kE' wka;sug wdydrmdk fudkjd j;a .kak neß ;rug frda.h W;aikak jqKd' miafia frdayf,ka lsõj zzziqj lrkak nE''' f.or wrka hkak'''ZZ lsh,d' wms m;afjÉp wirK ;;a;ajh mjikak jpk kE' ldf.ka msysgla hoskako@ Th w,a, mk,af, wmg wdrxÑhla wdj" .,s.uqfõ wúiaidfõ,a, mdf¾" fn,sfldgqj .fï ms<sld j,g m%;sldr lrk fyd| fjo uy;a;fhla bkakjd lsh,d' wms ta jk úg fjk;a lsisu 114
January 2021
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.,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd,
n,dfmdfrd;a;=jla ke;s wirK ;;a;afjl ysáfh' fï ksidu fomdrla ys;=fj kE' ;d;a;d wudrefjka jdykhlska ys÷jd f.k fjouy;a;hd yuq fjkak .shd' fjouy;a;hd ;d;a;j fndfydu iSrejg mßlaId lr, n,, fnfy;a ÿkakd' f.or .syska lshmq wdldrhgu ta fnfy;a ,nd ÿkak' fjo uy;a;hd uqK .eyqKu" t;=ud lshmq jpk wy, yßu úYajdihlska ;uhs fnfy;a lf<a' wo fï wdfõ ;=kajeks j;djg" fnfy;a .kak' oeka Th uy;a;hd oelalfk" ;d;a;d ;%Sú,rfhka neye,d ;kshu fjo uy;a;hdf.a f.org weú,a, fï mqgqfõ jdä jqKq wdldrh' udi ;=khs ;ju fnfy;a .;af;' uy;a;fhda yßu i;=gqhs lshkak''' oeka ;d;a;dg f.dvla ikSmhs'
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fï frda.h fjouy;a;h iqj lr, wfma mjqf, ish¿ fokdf.u .skaor ksuqj' wo wms oEia j,ska jEfykafk i;=gq l÷¿' fï fjo uy;ajre fkfï''' ñysmsg foújre'''' wmg fu;=ud uqk fkd.eiqk kï fudlo fjkafka@ wms kï okak lshk flkdg lshkafka mÍlaIK lr, ms<sldjla lsh,d oek.;a;d kï Èkhla j;a myq lrkafk ke;=j fï fjo uy;a;hdg fmkakkak lsh,d''' bx.sßh" Wvy W!re.," wxl 258$A ia:dkfha mosxÑ tÉ l,amkd l=uqÿ l=udß ÿrl:k wxlh 0767500145 wfma wdÉÑ wïug ms<sld frda.h je<÷fKa' uq,skau jqfka lEu .ekSu ál ál wvq lrk tl' miafia lEu Whk iqj| wdj;a wmamsßhdfjka jufk lrkak yokjd' ta ksid wms fydrK ffjoHjrfhla jek,a l<d' ialEka mÍlaIKhl=;a l<d' .eiag%hsáia lsh,d ;uhs fnfy;a ÿkafka' ikSm jqfKa kE' tkak tkaku f,fâ jeäjqKd' miafi kej; j;djla ta ffjoHjrhd yuq jqKd' Bg miafia iSà mÍlaIKhla l<d' tl n,, ;uhs fidhd.;af;a w.akHdYfha ms<sldjla lsh,d' wmg ,shqula ÿkak l¿fndaú, uy biamsß;df, idhkhlg hkak' m%udo jqfKa kE' wms wdÉÑwïuj l¿fndaú, uy;a;=rekag fmkakqjd' t;k uy;a;=re lsõjd Tmf¾Ika tlla lrkak ;sfhkjd" álla nrm;,hs' oeä i;aldr tallfh;a ál ojila bkak isoaO fjhs lsh,d' wdÉÑ wïuf.a jhi wjqreÿ75 g jeä ksid;a YÍr fi!LHh fyd|gu ÿ¾j, ù ;sfnk ksid;a Y,Hl¾uhla lrkak ffjoHjrekag fo.sähdjla ;snqK' oeka fudlo lrkafka@ Y,Hl¾uh lr.kak wmg neß jqKd' wjidkfha wms wirKj Wkakq wdÉÑ wïuj;a wrka f.or wdjd' wfma mqxÑwïud flfkla bkakjd" tx.,kaf;' thdg wms fï úia;rh wl=rla kEr lsõj' zzwdÉÑf. jhi ksid Tmf¾Ika lr.kak neß jqKd' yenehs wfkl=;a m%;sldr j,g fhduq fjkak lsh, frdayf,ka Wmfoia ÿkak'''ZZ lsh,'
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Bg miafia mqxÑwïu wmg jeo.;a wdrxÑhla ÿkak' thd lsõjd .,s. uqfj ms<sld fyd| lrk fjo uy;a;fhla bkakjd' thdf. fhfy<shlf.a mjqf, flfkla t;kska fnfy;a wrka ms<sldj fyd|gu ikSm jqKd lsh,' fldfydu yß wïuj fjo uy;a;hg fmkakkak lsh,;a jeä ÿrg;a mqxÑwïu b,a,d isáhd' wms ta Tiafi .,s. uqjg .syska" t;ekska fn,sfldgqfj fjo uy;a;hf. f.or fydhd.;a;d' kdä mßlaId lr, n,, fl,skau lsõjd fuhdg ;sfhk ms<sld ;;a;ajh ug mq¿jka ikSm lrkak mq¨jka lsh,d' Bg miafia ;uhs fjo uy;a;hg wms jd¾;d fmkakqjd' taj mÍlaId lr, n,, t;=ud jeäÿrg;a fufyu lsõj'
January 2021
DOCTOR MAGAZINE
115
D•Magazine /
foaYSh ms<sld fjolu Ôú; hÈk ms<sld frda.Skag ms<sirKla jk iqu;smd, fjo uy;aud
zzf,vdj lm, fldg, ke;s ksid jefbâ f,aishs' ug fï jDIKflda ms<sld u iqj lrkak mq¿jkaZZ lsh,d' we;a ;s wksIjd¾fhka wmsg i;=gla jf.au lsishï n,dfmdfrd;a;=jl=;a we;s jqKd''' zzfoúhkaf. msysfgka wdÉÑ wïu iqjm;a fjkak ´ks' tal ;uhs wms ldf.;a m%d¾:kdj jqfKa' Bg miafia wms lshmq wdldrhg t;uka wmg ÿkak fnfy;a ÿkakd' fnfy;a mdúÉÑ lrkak ´ks ms<sfj, lshd ÿkak' f.oros fnfy;a ál ojila fndk úg lsishï iqjodhl fjkila we;s fjkj lsh, wmg fmfkkakg ;snqK' fkdld fkdî ysá tl" áflka ál wdydr .kak;a mgka .;a;d' YÍrhg Yla;sh wdj jf.au frda. ;;a;ajh;a flfuka myj hk njla fmfkkakg ;snqK' wms fï jk úg fnfy;a .kak mgka wrka udi y;la ú;r fjkj' oeka weh ;ukaf. jev ál lr.kak ;rï ;;a;ajhlg weú;a ;sfhkjd' Tmf¾Ika tlg Ndckh fjkak j;a YÍr fi!LHhla fkdue;sj T;am,j isá wdÉÑwïud oeka ;ukaf. frosál fydao.kakjd' Whk fj,djg wmg Woõ lrkjd' fldákau oeka wehg iEfykak fyd|hs' fï fjouy;a;h kï wfma mskg my< jqKQ W;a;ufhla' iqu;smd, ffjoH;=ukaf.ka m%;sldr ,ndf.k iqjh ,enQ frda.Skaf.a f,aLkhla t;=ud ,Õ ;sfhkjd' t;=ukaf.ka m%;sldr ,ndf.k iqjh ,enQ frda.Ska /ilf.a ,smskhka yd ÿrl:k wxl wmg t;=ud ,nd ÿkakd' kuq;a ta ish,a, fï ,smsfhka m%ldY lrkak bv uoshs' ta lghq;a; wm bosß l,dmhlg isÿ lrkakï' mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd, ksIamdos;zzmdkSh ms<sld ff;,hZZ jir 40 l muK ld,hl isg i¾jdx. yd ms<sld frda. ms<sn|j ,nd.;a w;aoelSï yd m<mqreÿ Wmfhda.S lr.ksñka" úúO m¾fhaIK j, fhfoñka ta Tiafia ,nd .;a oekqu Wmfhda.S lrf.k fuu zzmdkSh ms<sld ff;,hZZ ksIamdokh lrkjd' fuys úfYAI;ajh jkafka YÍrfha l=uk ia:dkhl ms<sld ffi, j¾Okh jqK;a tu ia:dkh fidhd f.dia tu ms<sld ffi, úkdY lsÍfï yelshdjhs' ´kEu ms<sld frda.hlska fmf<k
116
January 2021
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frda.shl=g ngysr m%;sldr ,ndfok w;r;=r fuu T!IOh T!Iëh ff;,h mdúÉÑ lrkak mq¿jka' foaYSh Ydlidr T!IO muKla ixfhda.j fuh ksmojd ;sfnk ksid lsisÿ wu;r .eg¨jlg uqyqK fkd§ mdúÉÑ lrkak mq¿jka' tu ksid ìfhka ielfhka f;drj tkak ud fj;' ud Tn iqjm;a lrjkakï' frda.Skaf.a urK ìh l%ufhka mylr ukqIH YÍrfhys yg.kakd ms<sld iqjlsÍu i|yd zzmdkSh ms<sld ff;,hZZiu;a ù ;sfnkjd' DM mdrïmßl foaYSh ms<sld ffjoH idu úksiqre ta ta iqu;smd, i¾jdx. Ñls;ail ,shdmosxÑ wxlh 13297 mdrïmßl foaYSh ms<sld ffjoH uOHia:dkh fn,sfldgqj wrkaor ^.,s.uqjwúiaidfõ,a, ud¾.h fnda.y ykaÈh& ÿrl:k
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wdhq¾fõoh ,xldj - fi!LHh iy hymeje;afï f;da;ekak
Proud history of medicine sri lanka
,xldj - fi!LHh iy hymeje;afï f;da;ekak wfma ñyska;f,a frday, f,dalfha bmerKsu frday,hs ikSmdrlaIdjg" m%;sYla;shg tod by<u ;ekla ysñ jqKd''' wdhq¾fõo ffjoH ,laIsld pkaøisß úisks BAMS (Colombo) Adv. Dip. In Ayurveda Beauty Therapy iu ks¾ud;D - www.sayora.lk
118
January 2021
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wd¾hd.ukhg fmr mej;s Y%S ,xldfõ mQ¾j Ys,d hq.hg wh;a ñksiqka úiQ nj b;sydi{hka úiska fidhdf.k we;' mqrdK ckdjdi ms<snoj f,dal mßudK jYfhka i<ld ne,Sfï§ Y%S ,xldjg woaú;Sh ia:dkhla ysñjk nj wdpd¾h oer‚h., úiska nQkao, m;srdcfj, wdY%fhka isÿlrk ,o lekSï u.ska fmkajd § we;' ñksia ix;;sfha iïNjfha ^wdrïNfha& mgkau úúO frda.dndO ñksia ðú;h yd fj,S mj;sk fyhska ñksia mßKduh iu. iajdNdúl wdfrda.H wdrlaIs;hkao úúO l%ufhka f.dv kef.kakg we;'
fmr;a furg ÈhqKq ffjoH l%uhla mej;s njhs' rdjK hfYdardj rdjK rcqo b;d olaI ldhsl ffjoHjrfhla fukau Y,H ffjoHjrfhla njg jQ idlaIs .Kkdjls' tl, mej;s hlaI f.da;%sl iudcfha OdrK Yla;sh r|jd ;nd .ekSug T!IO
wfma ffjoH l%uh jir 8000la merKshs Y%S ,xldj ;=< mej;s m%d.a ft;sydisl fjolu mqrdfKdala;skaf.ka yd ckm%jdoj,ska jeiS mj;sk nj fmfka' ffjoH wd¾hodi l=udrisxyhka fmkajd fok mßÈ rdjKd ksߪkaf.a ,xldj úchd.ukhg mq¾j wjêhl mej;s rdcHhls' th zz,xldmqßZZ hkqfjka ñi zz,xldoaùmhZZ hkqfjka i|ykaj ke;' mqrdúoHd{hkaf.a ks.ukhkag wkQj l%s' mQ' 2000 1500 w;r wdhq¾fõo l%uh W;a;r Ndr;fha jHdma;j we;s kuq;a YS% ,xldfõ frda. Yuk ffjoH l¾uhla j¾I 8000 lg;a fmr isg l%shd;aulj mej;S nj fmfka' zzfrday,ZZ hk ixl,amh uq,skau f,dalhg y÷kajd ÿka rg Y%S ,xldjhs' wkqrdOmqr fm!rd‚l k.rfha ñyska;,fhka yuqjQ wdhq¾fõo frday, zzf,dalfha mer‚;u frday,ZZ fjhs' w;S;fha ,xldfõ rc l< fndfydauhla rcjre fjolfuyso fndfyda iu;alï oelajQfjdah' mq,;sis iDIs j; wdhq¾fõofha uQ, .%ka:hla jk zzprl ixys;dfõZZ ioyka jk mßÈ wdhq¾fõofha iïNjh we;sjQ ysud,fha mej;s RIs iïfï,kh i|yd iyNd.s jQ tlu fjoeÿre jqfha ,xldfjka thg iyNd.S jQ mq,ia;s RIsjrhdhs' Tyq ,xldfõ wNS; rfcl= jQ rdjK rcqf.a iShdh' fuhska .uH jkafka wdhq¾fõoh we;sùug
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wdhq¾fõofha ks¾ud;Djrhd f,i ie<flkqfha Okajka;ß uy RIs ;=udh' fu;=ud úiska wdhq¾fõo ffjoH l%uh Ndr;fha jHdma; lrkq ,enq w;r thska j¾I 400 lg muK miq W;a;r Ndr;fha ckhd w;r W.% whqßka f,v frda. me;sr hkakg úh' thska mSvdjg m;a ck;djg fi; ie<iSu ms‚i tl, Ôj;a jQ uyd RIsjreka ysud,h mduq, mxp k§ ;Srhg tla/iaj fuh i|yd ms<shï fijQy' fï iDIs iïfï,khg ,xldoaùmfhka mq,;sis iDIs;=ud iyNd.s jQ neõ mejfia' fmdf<dkakrefõ mrdl%u iuqøh winv we;s m%;sudj mq,;sis iDIsf.a hk u;hlao fõ'
January 2021
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119
D•Magazine /
wdhq¾fõoh ,xldj - fi!LHh iy hymeje;afï f;da;ekak
m¾fhaIlfhl= njg;a b;sydih idlaIs orhs' fï ish¨ ldrKd fmkajd fokafka ,xldfõ mej;s wk¾. jQ foaYSh fjolfï Y%S úN+;shhs'
rdjKd ksߪka fjo Ydia;%h jkfmd;a l< úoajf;l= jYfhkao f.!rjdorhg ,laj ;sfí' t;=uka l< zzl=udr ;ka;%hZZ,dÿre we;=¿j frda. oyila Wfoid pk Ñls;aid wka;¾.;h'zzWoaosh ;ka;%hZZfudayk yd .=ma; Ñls;aid fjkqfjks' kdä Ydia;%h weiqf¾ frda. úksYaph fjkqfjka rdjK ksߪka ,shQ fmd; zzkdä m%ldYhZZhs' w¾l m%ldYh" ri r;akdlrh" jáld m%lrKh wdoS ;j;a .%ka: /ilao rdjKd ksߪka w;ska iïmdos; neõ lshefõ'
j¾. myla Ndú;d fldg we;' OdrK Yla;sh ÈhqKq lsÍug zziilalZZ kï me<Eáho" fyñka lshjd OdrK Yla;sh r|jd .ekSug zzm,OdkZZ kï jQ T!IOho" ;¾lfhka OdrK Yla;sh /|ùug zzlsßj,aZZ kï T!IOho Tjqka Ndú;d fldg we;' fï lreKq wkqj fmfkkafka rdjK hq.fha§ fjoluo Wiia ;,hl ;sfnkakg we;s njhs' nqoaO ld,hg jir 1844 lg fmr ,xldfõ rc l< rdjKd rcq úiska zzw¾l m%ldYhZZ m%uqL kdä m%ldYho" kdä ;ka;%ho" WâãI ;ka;%h" l=udr ;ka;%ho kï jákd fjo fmd;a ,shd we;' tfukau rdjK rcqf.a mq;a bkaøð;a úiska úúO frda. ioyd m%;sldr f,i isÿlrkakd jQ hd. fydau we;=,;a l%sfhdaâãYh kï fmd;la ,shd we;' fuu lreKq ie<lSfï§ ,xldjg wdfõ‚l jQ ffjoH l%uhla meje;S nj wújdod;aulh' fjolu uekúka o;a wfma ksߪka ;jo nqoaOodi rcq Y,H ffjoH úoHdfõ m%ùKfhl= njg;a" y;ajk w.a.fndaê rcq T!IO me<Eá iïnkaOj
120
January 2021
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fy< fjolfï wLKav meje;aug nqÿ oyñka ,o wdrlaIdj w;s uy;ah' mkai, wdY%s;j wOHdmkh yd fjolu isÿ flreKq w;r mqiafld< fmd;aj, ;ud okakd fjolu ,shd ;nd fjolu wdrlaId lsÍu isÿ lr we;' .%ka:lrKfha kshe,Su yd .=rel=, wOHdmkfha fh§u u.ska NslaIqka jykafia,d foaYSh fjolfï Wkak;shg uy;a fiajdjla bgq lr we;' fuys§ .%ka:lrKhg ,enqkq rdcH wkq.%yho b;d jeo.;ah' nqoaOodi rcq úiska rÑ; zzidrd¾: ix.%yhZZo" oUfo‚ hq.fha rÑ; fyaiÊc uxcqidj" fhda. r;akdj,sh" m%fhda. r;akj,sho" l=reKE., hq.fha rÑ; jrfhda. idrho" fldÜfÜ hq.fha rÑ; wßIag Y;lho" fNaIc ix.%yho" foaYSh fjolfï uysuh lshdmdhs'
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wfma bmerKs fi!LHdrlaIdj
oS.jdmsfha fnfy;la Trej
jia;s oSug
wjr.srg .sh fy< fjolu flfia kuqÿ ngysr rgj,ska isÿjQ wdl%uKhka iu. isxy, ffjoHjrhdg ck iudch ;=< mej;S ms<s. ekSu fukau ffjoH l%uh ms<sno ;snq úYajdiho flfuka flfuka wE;aj hdu wdrïN úh' fuf,i úúO ixialD;Ska úiska foaYSh fjolu úkdY lsÍu yd Tjqkaf.a fjolu rg ;=< jHdma; lsÍug lghq;= lrk ,§' tfia jqj;a foaYSh ffjoH l%uh fï olajd fkdkeiS mej;=fka tys mej;S iqúfYaISNdjh ksiduh' hq.fhka hq.h wfkal úO ndOlj,g uqyqK foñka úúO fldgia tla lr.ksñka" úúO fldgia wysñ lr.ksñka" fy< fjolu w;S;fha isg wo olajd meñK we;' tys§ wjfYaI jQ Ôjudk mqrela b;d id¾:lj Ñls;aidfõ kshef,ñka ;uka msg megjqKq mdrïmßl Wreuh /l.ksñka ,laÈj kka foi jdih lrhs' j¾;udkfha we;sù ;sfnk jix.;h;a iu. foaYSh fjolu iy wdhq¾fõofha we;s frda. j<lajd .ekSfï yelshdj ms<sno jeämqr l;dnyg ,lafjñka mj;S' tlsfklg ñY%j mj;sk fuu ffjoH l¾uh frda. j<lajd .ekSu ioyd mqoa.,fhl=f.a Wmf;a isgu wdydr" úyrK iy ;u Èkp¾hdj mj;ajd.; hq;af;a flfiao hkak W.kajk ðjk o¾Ykhls' wo ojfia ñksiqkaf.a w;s OdjkldÍ ðjk rgdj;a iu. Tjqkag ;u fi!LH ;;a;ajh hym;aj mj;ajd .ekSu ms<snoj wu;l ù fyda w;miq ù
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fyda we;' kj;u ixLHdf,aLk j,g wkqj iEu mqoa.,hka ;sfofkl=f.kau tla wfhl= Èhjeähdj" wê reêr mSvkh" yDo frda." ms<sld jeks fnda fkdjk frda. j,ska msvd ú§' kuq;a mqoa.,hdf.a fi!LHh wdrlaId lrk hym;a wdydr mqreÿ iy ðjk mqreÿ yqjd olajk foaYSh iy wdhq¾fõo ffjoH l%uh iu. nyq,j mj;sk fuu fnda fkdjk frda. iudcfhka ;=rka lsÍfï yelshdj mj;S' w;S; Wreuh Tiafia f,dalhg wejeis wdhq¾fõo ffjoH oeKQu fnod fok jevms<sfj,la Y%S ,dxlslhka muKla fkdj fndfyduhla úfoaYslhkao ,dxlsl foaYSh fjolug wkqj iajNdúl;ajh ;=<ska
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wdhq¾fõoh ,xldj - fi!LHh iy hymeje;afï f;da;ekak
wfma bmerKs fi!LHdrlaIdj
b;d Wiia ;dlaIKhka weiqf¾ ilia lrk ,o w;S; fy< leisls,s moaO;shla
ó yrla wx j,ska ieliQ fnfy;a fymamq
fnfy;a ñKQï j,g Wmfhda.S lr.;a ;rdoshla
122
January 2021
;u fi!LHh j¾Okh ms<sno úYd, Wkkaÿjla olajhs' fm!V b;sydihla we;s foaYSh fjolfï odhdohka iu. Y%S ,xldj f,dalfhau fi!LHh iy hymeje;au m%j¾Okh lsÍfï uOHia:dkh njg m;a l< yel' f,dal fi!LHh ixúOdkfha OrŒh ixj¾Ok kHdh m;%fha ;=kajk wruqKg wkqj f,dalfha ukd fi!LHh iy hymeje;au ;yjqre lsÍfï wruq‚ka www.sayora.lk jí wvúh ks¾udKh flß‚' fuu.ska ñksiqkaf.a fi!LHh iy hymeje;au j¾Okh lsÍu ioyd fi!LH wèhdmkh ,nd§u isÿ flf¾' fi!LH wOHdmkh ,nd§u ioyd ùäfhda" ,sms iy fmdaiagr fuys Ndú;d fldg we;af;a ´kEu mqoa.,fhl=g myiqfjka tu f;dr;=re .%yKh lr.; yels jk f,ih' tfukau fuu Èkj, mj;sk jix.; ;;a;ajh fya;=fjka ixprK iSud mkjd we;s fudfyd;l ´kEu mqoa.,fhl=g mj;sk fi!LH .eg¨ ksrdlrKh lr.ekSu ioyd ud¾.ia: ^Tka,hska& ;dlaIKh Tiafia ffjoHjrfhl= yd iïnkaO ù m%;sldr fyda Wmfoia ,nd.ekSug wjia:dj Wodlr we;' ;jo YdÍßl fhda.H;djh mj;ajd .ekSu ioyd ud¾.ia: ;dlaIKh (Online) Tiafia fhda. wNHdi ,nd§fï jevigykao fuu.ska laßhd;aul flf¾' ;jo ;u fi!LHh ;;a;ajh iy rej ,iaikg mj;ajd .ekSu ioyd m%;Sl úoHdj ^Reflexology& fhdod.kakd wdldrh ms<snojo Tka,hska mqyqKq ieis fï yryd Èh;a flf¾' wdhq¾fõo o¾Ykfha uQ,sl wruqKq jkafka ksfrda.S mqoa.,hdf.a ksfrda.S nj /l.ekSu yd frda.S mqoa.,hdf.a frda. ksjdrKhhs' ifhdard fjí wvúfha wruqK jkafkao tu b,lalhka id¾:l lr.ekSu ioyd Y%S ,dxlsl ck;djg ukd msgqjy,la ùuhs' DM
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wdhq¾fõoh uOqksud uyú, ,sms irKsh
uOqksud uyú, ,sms irKsh
úmÍ; wdydr" YÍßhg jHdhduhla ke;slu ksid wfma rfÜ jeä fofkla oshjeähdjg k;= fjkjd''' reêrfha .aÆfldaia m%udKh jeä fjkakg fmr mßiaiï fjkak wfma rfÜ fndfyda fokdg Èhjeähdj yefokafka cdk j, fjkialï j,g jvd Ôjk rgdfõ we;s fjk fjkialï ksid hehs lSu w;sYfhdala;shla fkdfõ'
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ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKavdr
oekg fidhdf.k ;sfnk kj;u jd¾;d wkqj fld<U wjg ck;djf. ka muKla ishhg 20lg fkdwvq msßilg Èhjeähdj je<£ ;sfnk nj y÷kdf.k ;sfnhs' jhia fNaohla" Wia my;a fNaohla fukau ;rd;srula fkdn,d ñksia isrer fidhdf.k Èhjeähdj yefokakg fmr bka je<lS isákakg yels kï thu ;ud ,o Nd.Hhla fkdfõo@
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wdhq¾fõoh uOqksud uyú, ,sms irKsh
wykak;a fohlahe''' iSks fkdyeÿfKd;a ;uhs mqÿfu''' orejkag wdofrhs kï" Tjqka fi!LHiïmkakj /l.kak Tn l< hq;af;a ksjeros wdydr yd úyrK isß;a orejdg b.ekaùuhs'
frda.h .ek oeKQj;a ùu yßu jeo.;a m<uqfjkau lsj hq;= fohla ;uhs fï frda.h ms<sn|j mQ¾K wjfndaOhla ,nd .ekSu thska je<lSug úYd, rel=,la fjkjd' fuf;kaÈ wjfndaO lr.; hq;= foa ;uhs fudllao fï Èhjeähdj lshkafka lsh,d' fyd|hs" wo oji jk úg wms lSfhka lS fokdo ;ukaf.a Ôjk rgdj ms<sn|j ie<ls,a,lska bkafka@ we;af;kau fndfyda fofkla wo hka;% jf.a' Wfoa b|ka ? fjklï lsisu fohl lsishï b,lalhl" wruqKl" /lshdjl ksr; fj,d' ;j;a lghq;= fndfydahs' orejkaf.a jev''' iudc cSú;h" úfkdaodYajdoh''' rEm fmÜáh''' cx.u ÿrl:kh''' fldfyduo ;ukaf.a lEu ál" Ôjk rgdj ms<sn|j fydh, n,kafk@ yß yuka jHdhduhla ,efnk ksoyia cSjk rgdjlg wkq.; fjkafk@ ;ukaf. tosfkod fi!LHiïmkakNdjh .ek yeu flfklau óg jvd .eUqßka ys;kak ´ks' msßisÿ jf.au .=Kj;a wdydr álla l=i mqrj.kak ;sfhkak ´ks' jHdhdu ´ks' Ñ;a; úfõlh;a yßu jeo.;a' fï cSjk rgdfõ jeo.;a ldrKd .ek yß wjfndaOhla ;sfhkjd kï Èhjeähdfjka ñfokak fyd|fgdau yelshdj ;sfhkjd'
124
January 2021
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wfma wdydr rgdj oeka krl w;g fnfyúka fjkia fj,d''' wms fïl WodyrKhlska f;areï .kakg W;aidy .ksuq' wo oji jk úg wfmka lSfhka lS fofkla ;ukaf.a wdydr fõ, ksjerosj ilia lr.kakjdo@ iun, fndcqklg fhduq fjkjdo@ ;ka;=uh fldgia jeä" t<j¿ hyñka ;sfhk" msIaGh yd f;,a wvq wdydrhla ffokslj ms<sfh, lr.kak tl yßu jeo.;a' ;ukaf.a lEu fõ,g fld, ue,a¨ula tl;= lr .kafka lSfhka lS fokdo@ m<d wdydrhg tla lr.kak tl yßu jeo.;a' we;af;kau tfyu ys;k wh f.dvla wvqhs' oeka jeä fofkla lv lEu j,g ;uhs yqre fj,d bkafk' lkafku YÍr fi!LHhg wys;lr lEu' wfma oeka ldf, ;reKhska lEu lEjg miafia j;=r fjkqjg fudkjo fndkafk@ me‚ îu''' meKs îu lshkafk lD;%Su iSks úYd, jYfhka tl;= lrmq ;j;a fndfyda YÍrhg wys;lr oE tl;= lr, ilia lrk krlu îula' b;ska fïj ojia m;d î," Èhjeähdj fkdyefokjd kï ;uhs mqÿfï' ;reK jhig fï yeu fohlau fokak mq¿jka' ta;a álla jhig hkfldg ;uhs fïfl nrm;,lu f;afrkafka' wfma wdydr jeros wo úYd, jYfhka oshjeähd doctormagazine.lk
we;a;''' wo ldf, wfma /lshd j, iajNdjh fjkia' ta;a oyäh odk jHdhduhl ksrka;rfhka fhfok tl oshjeähdj jeks frda. wE;a lrkak yßu jeo.;a
frda.Ska ks¾udKh lr, ;sfhkjd' iSks" msIaGh wvx.= wdydr .kakd m%udK wvq lsÍu;a ta fjkqjg t<j¿" m<;=re jeä jYfhka wdydrhg .ekSu;a u.ska .=Kd;aul wdydr wjYH;djhka ;Dma; fjkjd' wms tÈfkod jeh lrk YÍr Yla;sh ksmojk tl wuqøjHhla ;uhs msIaGh lshkafka' wm .kakd wdydrfha msIaGh iys; wdydr Yla;sh njg yerùug isrerg yels fkdfjkjd kï fï msIaGh iSks jYfhka wms reêrhg tl;= fjkjd' wfma YÍr oeka fydr fj,d'''' yß yuka jHdhduhla kE wmg u. yeßÉp ;j;a jeo.;a isß;la ;sfhkjd' wfma fi!LHiïmkakNdjhg w;HjYH fohla ;uhs YdÍßl jHdhdu' jHdhdu ksid YrSrh il%Sh fjkjd'
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f;,a jf.a ixÑ; fldgia osh fjkjd' yDoh ksfrda.s fjkjd' oshjeähdj ú;rla fkdfjhs" wêreêr mSvkh" fldf,iagfrda,a jf.au wo jeä jYfhka me;sr hk ms<sld rdYshla we;sùu j<lajkak ksrka;r jHdhdu isß;lg mq¿jka' ta;a lshkak lk.dgqhs' ojilg úkdä myf<djla úiaila j;a YdÍßl jHdhdï j, fhfokafk" lSfhka lS fokdo@ wvq ;rfï ojig meh Nd.hla jHdhdufha fhfokjd kï fï Èhjeähd frda.fhka ñfokak fndfyda ÿrg tal m%fhdackj;a fjkjd' ksrka;rfhka jHdhdu lrk tl Th ;rïu wudre kï wvq ;rfï jHdhduhg lsh, lvfmd<g hk tl j;a mhska hkak' mäfm,a .eAïug k.skak' f.or j;a; msáfh jev lrkak' YÍrhg oyäh ouk lsishï ld¾hhl fyda ksr; fjkak W;aidy lrkak' fudkj;a fkdlr bkakjg jvd fufyu fohla yß lrk tl Tfí iSks uÜgu lsishï ÿrlg yß iajdNdúlju md,kh lrkak fya;= fõú' biair wfma rfÜ Woúh wvq Yla;s m%udKhla ,ndf.k jeä jev m%udKhla l<d' ta;a oeka jeä le,ß m%udKhla wrf.k wvq m%udKhlska jev lsÍu ;uhs flfrkafk' cdk fjkialï ksid Èhjeähdj yefokafka keoao@ cdk fjkialï ksid Èhjeähdj fkdyefokjd fkdfjhs' wfma rg Èyd n,mju cdk ms<snoj m%Yakhla ;sfhkjd ;uhs' kuq;a Bg jvd Ôjk rgdfõ fjkialï Èhjeähd wfma whg we;s fjkak fya;= fjkjd' thhs we;a; ;;a;ajh' ksfrda.S mqoa.,hl=f.a YÍrfha iSks 80-100 mg/dl ;sfhkak ´ks' th ksfrda.S iSks hdukhla isÿfjk njg idlaIshla' January 2021
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wdhq¾fõoh uOqksud uyú, ,sms irKsh
fuh bka tydg jeä fjkjd kï oshjeähdfjka wE;a fjkakg lsishï fm<Uùula we;s lr.kak tl ;uhs iqÿiq' oshjeähdj ixlS¾K frda. hla' tys w;=re wdndO rdYshla ;sfhkjd' fuys n,mEug ,la fkdjk bkaøshla YÍrfha ke;s ;rï' ixLHd f,aLk j,g wkqj f,dalfha jeämqru urK isÿjk ;=kajk fyda y;rjk fya;=j Èhjeähdj lsh,d ;uhs fmkak,d §,d ;sfhkafk' fï frda.h we;s jqKdu ms<shï fhdokjdg jvd thska j<lskakg W;aiql ùuhs jeo.;a fjkafka' fï frda.fhka je<lSug wdydr md,kh yßu jeo.;a' ngysr úoHd;aulj fï wdydr md,kh .ek w¾: ksrEmK ;sfnkjd' kuq;a wfma bmerKs wdhq¾fõo iïm%odhg wkQj uOqr wdydr ^ta lshkafk meKsri wdydr& jf.au .=re wdydr ^le,ß w.h jeä wdydr& j,ska je<lsh hq;=hs' ngysr ffjoH úoHdj fï ldrKd m¾fhaIKd;aulj wre;a ksrEmKh lr;aoS wfma wdhq¾fõoh jir fooylg;a wE; ld,hl b|, fï wdydr iqrlaIdj uekúka fmkajd oS ;sfhkjd'
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January 2021
oshjeähdjg fhda.H wdydr isß; Èhjeähd frda.Skag kqiqÿiq wdydr ish¨u me‚ ri wdydr fyd| kE' iSks" whsial%Sï" flala" isrma j¾." fc,s" yl=re" cEï j¾." rileú,s" ákalsß" fgdms" fpdla,Ü" jg,mamka" ìialÜ" ;,.=,s lEu fyd| kE' m,;=re j¾. j,ska wU" wkakdis" w,sfmar" jrld" ¥ßhka" ños" rgb|s' t<j¿ j¾. w¾;dm,a" îÜ" n;," fo,a" fldia" u[af[dlald wdydrhg .ekSu w.=Khs' Èhjeähd frda.Skag iqÿiq wdydr m<d j¾. uql=Kqjekak" f.dgqfld<" f;nq fld<" lxl=x" l;=reuqrex.d" idrK" ñxÑ" wifudao.ï" ksñ;s" ;ïm,d" w.=K fld<" lsß w.=K t<j¿ j¾. lerÜ" ngq" fndaxÑ" f.dajd" ,Slaia" fkdfld,a" mf;da," fldys," msms[a[d" uqrex.d" nKavlald" ;,kngq" rdnq" jegfld¿" lrú," flfi,auqj" fmdf,dia" mqyq,a" weU/,a,d" ,nq" oU, yd uElr,a m,;=re wuq .ia,nq" fn,s" fjr¿" udoka yd fk,a,s iSks fkdoeuQ mdk j¾." yd;djdßh" rKjrd" fmd,am,d" bruqiq fld;, ysUqgq" nd¾,s yd fld;a;u,a,s fï wdydrj,g wu;rj fl¢ iys; wdydr .ekSu jvd;a fyd|hs' wdhq¾fõo ffjoH m%;sldr .ekSu;a iqÿiqhs' DM
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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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Emami GOLD Turmeric Range úIîc j,ska f;dr oE;lg úYajdifhka uÕ fmkajk budñ f.da,aâ
úIîc j,ska f;dr oE;lg úYajdifhka uÕ fmkajk
budñ f.da,aâ Emami GOLD Turmeric Range COVID-19 ffjrih uq¿ f,dalhu ;e;s .ekaùug ,la lr we;s ;;a;ajhla ;=<" tys we;s wjodku wjfndaO lr .ksñka Bg id¾:lj uqyqK §ug Y%S ,dxflah ck;dj fj; we;s Yla;sh j¾Okh lr ,Sfï wruq‚ka bkaÿ ,xld ^mqoa& iud.u fj;ska zzbudñ f.da,aâ g¾ußlaZZ (Emami Gold Turmeric) kduh hgf;a kduh hgf;a yEkaâ ieksghsi¾" yEkaâ fjdIa" inka hk ksIamdok ;%s;ajhla y÷kajd §ug fhduqúh'
úIîc keiSu uQ,sl ld¾hh lr.ksñka ksIamdokh lrkq ,nk fuu wk.s ksIamdok ;%s;ajh mdrïmßlj wm úiska úIîc kdYlhla f,i Ndú;d lrk zzlyZZ Wmfhda.S lr .ksñka ksIamdokh lr ;sîu úfYaI;ajhls' Y%S ,dxlslhka jYfhka wm zzlyZZ ndysr mßirfha úIîc keiSug fukau wdydrhg uqiq lsÍu ;=<ska wmf.a YÍrfha m%;sYla;slrKh j¾Okh lr .ekSug;a" wdydr j¾Kj;a lr .ekSug;a Wmfhda.S lr.kS' tf,i by< m%;sM, w;alr fok zlyZ wdY%fhka y÷kajdfokq ,enQ fuu ksIamdok fm<" mdßfNda.sl ck;dj fj; iïmQ¾K msßisÿ lsÍula fukau mßmQ¾K wdrCIdjla iy;sl lsÍug iu;a ùu;a iqúfYaIS lreKls' ;jo fm!oa.,sl wdrCIdjg m%uqL;ajhla imhñka cd;sl ld¾hhl ksr; úh hq;= fudfyd;l" fujeks ksIamdok ;=<ska mdßfNda.sl ck;dj fj; ish wdrCIdj ;yjqre lr .ekSu i|yd imhkafka mq¿,a jQ wjldYhls'
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Emami GOLD Turmeric Range úIîc j,ska f;dr oE;lg úYajdifhka uÕ fmkajk budñ f.da,aâ
mQ¾K /ljrKhg" budñ f.da,aâ g¾ußla yEkaâ ieksghsi¾ Emami Gold Turmeric Sanitizer fujeks wjia:dj,§ myiqfjka Ndú; l< yels fuu budñ f.da,aâ g¾ußla yEkaâ ieksghsi¾ u.ska id¾:l whqßka úIîc j,ska wdrCId ùfï wjia:dj Wodfjhs' úfYaIfhka Y%S ,xld m%ñ;s wdh;kfha (SLSI) wkqu; 75] l we,afldfyd,a m%;sY;hlska hq;= zzbudñ f.da,aâ g¾ußla yEkaâ ieksghsi¾ZZ tys wka;¾.; zlyZ uÕska 99'9]lska oE;a j, we;s úIîc úkdY lrkq ,nhs' ;jo fuys wka;¾.; zfldaudßldZ u.ska ifï f;;ukh wdrCId lrñka iu úh<Su j<ld,kq ,nk w;r" fuu fya;=j ksidu orejkaf.a iugo fuh jvd;a fhda.H fõ' kejqï iqj|lskao hq;a fuu ksIamdokh" Tfí oE; uDÿj fukau wdrCIdldÍ whqßka ;nd.ksñka Tnf.a ffoksl ld¾hhka úYajikSh;ajfhka hq;=j lr .ekSfï miqìu ks¾udKh lr fokq we;'
128
January 2021
iïmQ¾K w;a fiaÿulg budñ f.da,aâ g¾ußla yEkaâfjdIa Emami Gold Turmeric Hand Wash wm fndfyda úg ndysr mßirh iu. iam¾Y jkafka oE;aj,sks' fï ksid oE;aj, msßisÿ nj b;d jeo.;a fõ' fuys§ úIîcj,ska fukau úúO jQ wmøjH YÍr.; ùu j<ld,Su fjkqfjka ksIamdokh lr we;s id¾:l w;afiaÿï ksIamdokhla f,i budñ f.da,aâ g¾ußla yEkaâ fjdIa oelaúh yelsh' lyj, wka;¾.; úIîckdYl .=Kh iu.ska 99'9]l fiaÿï ld¾hhlg u. fmkajk fuu ksIamdokhla budñ wdh;kh fj;ska y÷kajd§ we;' budñ f.da,aâ g¾ußla inka Emami Gold Turmeric Bathing Soap fíÈka nd¾ iy inka j, we;s fjki jkafka tys wka;¾.; TFM w.hhs' úfYaIfhka TFM w.h by< uÜgul mej;Su ifï ys;lr njg jf.au fíÈka nd¾ j,g jvd Èk .Kkdjla Ndú; lsÍugo fya;=jk lreKls' idudkH fíÈka nd¾ ksIamdokhl TFM w.h 60] la muK jk w;r" budñ f.da,aâ g¾ußla inkays TFM m%;sY;h 76] l m%udKhla .kS' tneúka budñ f.da,aâ g¾ußla inka j,ska ukd fmk keÕ=ula iu.ska id¾:l msßisÿ lsÍulg u. ilihs' ;jo ly u.ska 99'99] l úIîc kdYl .=Khla fuhg tlalr we;s w;r" m%ikak iqj| iu.ska Tng wdYajdokSh iakdkhlg wjia:dj ,nd § we;' DM
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