Doctor Magazine March 2017 by Manjula Kumarta Gamage

magazine Doctor The Premier Bilingual Health Magazine in Sri Lanka Volume 23 • March 2017

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Women's World

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Chemical Peeling

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Why your baby spits up and vomits ?

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ISBN-1391 1341

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• • • • • • • • • • • • • • • • • • •

;u ukdmh mßos isÿ lr.; yels fjk;a mÍlaIK *DEXA wiaÓ ialEka mÍlaIKh *wdydr .ekSfuka miq reêr iSks mÍlaIKh (PPBS) *Biag%äfhda,a fydafudak mÍlaIKh *FSH yd LH fydafudak mÍlaIKh

• • • •

mQ¾K reêr mÍlaIKh Full Blood Count reêr wjidok fõ. mÍlaIKh ESR ksrdydr reêr mÍlaIKh Fasting Blood Sugar iïmQ¾K fïo mÍlaIKh Lipid Profile wlaud mÍlaIKh SGOT wlaud mÍlaIKh SGPT mQ¾K fm%daàka mrSlaIKh Total Protein Gamma GT mrSlaIKh we,al,ska fmdiamfÜia mrSlaIKh Alkaline Phosphatase jl=.vq mÍlaIKh S. Creatinine hQrsla wï, mÍlaIKh Uric Acid ;hsfrdhsâ mÍlaIKh TSH uq;%d mQ¾K mÍlaIKh Urine Full Report reêrfha hQßhd mÍlaIKh Blood Urea BiScS mÍlaIKh ECG Worfha ialEka mrSlaIKh US Scan Abdomen & Pelvis mmqfõ tlaia lsrK mrSlaIKh Chest X Ray with Report mema ;ejreu mrSlaIKh Pap Smear uefuda.%Eï mrSlaIKh$ mshhqre ialEka mrSlaIKh Mammogram/US Scan Breast YÍr ialkaO o¾Ylh uek ne,Su Body Mass Index ÿr fmkSu - oDIAÀ mÍlaIKh Distant Vision mQ¾j frda. iïnkaO f;dr;=re ,nd.ekSu" frda. mÍlaId yd ffjoH m%;sM< iudf,dapkh Medical History, examination & report discussion

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AD-MIRE Creative

WELL WOMAN COMPREHENSIVE SCREENING

CONTENTS

MAR' 2017 Volume 23 • Issue 03

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msmdih ikaisªjk ;j;a .=K /ila we;s meKs mqyq,a fyj;a flduvq 72

m%d:ñl wiaÓ ikaê m%odyhg v¾vkaia frdayf,ka kj;u m%;sldr l%uhla 20

osh; ch.;a zzm%dKcSjZZ n,.;= T!IOh y÷kajd ÿka fi;aiqj wdh;kfhka w¿;a T!IO ksIAmdok fm<la''' 74

we;eï fj,djg wmf.a lgy`v fjkia jkafka wehs @ 24 Dengue: A Closer Look At A Climatic-driven Virus Disease ‘War on Dengue 28 u<my lsÍfïoS f,a msgùu .ek Tn oek.; hq;= ldrKd''' 34

frda. /ilg ms<shï i|yka l< uyd ksOdkhla n÷ fy< fjo mqia;lhls 66

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March 2017

DOCTOR MAGAZINE

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March 2017

DOCTOR MAGAZINE

CONTENTS

MAR' 2017 Volume 23 • Issue 03

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Wïñhdf. mqxÑ lfÜ we;sfjk .eg¿ 90 w, uEIa 92 fï úosyg nnd m<;=re j,g yqre lrkak 94 Why Your Baby Spits Up and Vomits 96

ldka;djka fjkqfjkau fjkajQ udifhaoS wef.a wdorKShhka fj;ska wehg mqo osh yels fifkyfia ;s<sKhla''' iqj kdrs ffjoH mrSlaIK 107 ldka;djkaf.a wiSñ; úYajdih oskQ iSi¾ ie;alu f,dalhg y÷kajd ÿkafka fufyuhs 111

f,dal ms<sld oskh fjkqfjka ,xld fydiamsÜ,aiayS wdorKSh ieureula''' 118 wdorKSh l;djla''' 120

ueos jhfiaoS iq,n ldka;d fydafudak .eg¿ 98

hg weªï .ek wks;a whg fmfkkak w|sk weªï j,g;a jvd ie<ls<su;a jkak 124

Things you should know about infertility and treatments for infertility 103

ore iïm;a ,nd fokak ;rï Yla;shla ke;s äïn Yla;su;a lrkak;a mq¿jka''' 127

March 2017

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,m" le<e,a bj;,d uqyqfKA meyeh Tm uÜgï lrk Chemical Peeling 133 fhdjqka oshKshf.a" os.eishf.a iu iqkaor;ajh Tma kxjd .ekSug Wmfoia 135 fhda.d''' o¾YKhla''' cSjk rgdjg w;aje<la''' 139

ysre odyfhka iug we;sjk ydksfhka j<lskak''' fï úosyg Sun Screen/ Sun block .,ajkak 141

Aging wm úhm;a jk yeá 143 doctormagazine.lk

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EDITOR'S Women's World kj wdf¾ ldka;d yd <ud ix.%yh iu.ska iksgqyka jk j<¨ me<|S l;lf.a wd.ukh'''

zzffjoHjrhdZZi`.rdj oaù NdId i`.rdjla jYfhka kej;;a ikakdu.; fjñka (The Premier Bilingual Health Magazine in Sri Lanka) th Doctor Magazine hkqfjka fj<|fmd<g ksl=;a jkakg wdrïN jQfha 2016 fkdjeïn¾ udifhaoSh' th mdGl is;a i;ka m%uqos; l< fjkila neõ wmg mila jkakg jeä l,la .; jQfha ke;' fujr wm ;j;a ikaêia:dkhlg wj;S¾K jkafkuq' ta o mdGl Tnf.a b,a,Su ksidfjks' ñY% wdf¾ bosßm;a lsÍula jYfhka Tn w;g m;a l< zzffjoHjrhdZZi`.rdfõ wdlD;sl fjkialula isÿ lrñka <ud" ldka;d yd rEm,djkH hk úIhhka fjk fjku wxY.; lsÍula fujr l,dmfha isg isÿ fjhs' úfYaI;ajh jkafka tu wxY Tiafia jvd;a wdl¾YKSh w;aoelSula''' oeKQu

NOTE m%j¾Okhla wm mdGlhkg ,ndfokq jia osjhsfka lS¾;su;a fi!LH ikaksfõosldjla wmf.a ld¾h uKav,hg tlaùuhs' úoahq;a udOH Tiafia fï rfÜ u;= fkdj úfoaYhkayS fjfik ,dxlslhkaf.ao fkduo wdorh oskQ <orejka /l n,d. ekSu yd fmdaIKh iïnkaO úoaj;a jD;a;Shfõoskshl jQ .;a l;=jr" mjq,a fi!LH WmfoaYsld YHdu,s m;srf.a uy;añh fujr l,dmfha isg Tnf.a fiajhg wm yªkajd fok iïm;a odhsldjhs' zzffjoHjrhdZZi`.rdfõ <ud" ldka;d yd rE iq/l=ï wxYh Ndr l;=jßh jYfhka wmf.a lKavdhug weh tla jkafka tu wxYh Women's World hkqfjka fjku wkkH;djhlao ilia lr.ksñks' zzffjoHjrhdZZi`.rdfõ Women's World wxYh fï rfÜ ldka;d mrmqr fjkqfjka iqúfYAIS oeKQJ;a lsÍfï udOH fufyjrl ksr; jkq we;' úfYAIfhkau ldka;djkaf.a yd wfma ore mrmqf¾ wNsjDoaêh fjkqfjka iqúfYAIS jevigyka /ila bosßfhaoS l%shd;aul lsÍug bosßfhaoS weh kdhl;ajfhka msUqrem;a ielfik w;r thska wfma oehg''' fjfiiskau wfma wdorKSh ldka;d yd ore mrmqrg jákd wjia:d ks¾udKh fõjdhs m;ñ'

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

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The Premier Health Magazine in Sri Lanka Volume 23 â&#x20AC;˘ Issue 03, March 2017

EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka MANAGING EDITOR Amitha Wickramarachchi FEATURES EDITOR Shyamalee Pathirage 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 Palitha Bandara Subasingha Dr Nalaka Ranasingha Dr Janaka Premathilaka Dr Devinda Dayarathna Mr Sanjaya De Silva Mr S M D Senevirathna CREATIVE PRODUCTION AD-MIRE Creative 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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Malaria Surveillance uef,aßhd uÿrejka iu.u úldYh jQ fy<fha ck cSú;h iy fyg oji

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uef,aßhd uÿrejka iu.u úldYh jQ fy<fha ck cSú;h iy fyg oji

Malaria Surveillance

uef,aßhdj yd iajia:;dj md,k kdúl mdif,a YsIHhka fld<U ;odikakfha DDT bishs - 1944 foieïn¾

wfma .ïj,g DDT ridhKslh bisk ,oafoa fï jix.;fhka miqj 1945 j¾IfhaoSh' ta uef,aßhdjg tosßj lDñkdYl Ndú;h wdrïN lrk ,o uq,au wdishdkq rg njg m;a fjñks' uy;a jHikhla isÿ lrk ,o uef,aßhd jdylhka iEfyk muK u¾Okhg DDT lDñkdYl biSu ksid yels úh' jd¾Islj yªkd.;a frda.Ska ixLHdj 1953 j¾Ih jk úg 91"950la olajd wvq lsÍug DDT biSu we;=¿j fuu u¾Ok jevigyka fya;=jla jqKd' 1963 j¾Ih jk úg uef,aßhd frda.Ska ixLHdj osjhsfkau 17la f,io igyka jqKd' ta flfia fj;;a miqld,Skh fï ridhKslfhao fndfyda wj.=K we;snj y÷kd.;a;;a DDT wfma ck;dj iEfyk muKlf.a cSú; .,jd.;a nj kï wi;Hhla fkdfõ' fï wdldrfhka uef,aßhd frda.Ska ixLHdj u¾Okh jk úg wm ys;=fõ zzjefâ yßh'''ZZ lshdh' uef,aßhdfjka rg .,jd.;a ksid wdfh;a kï ìh úh hq;= ke;ehs lshdh' jdylhka md,kh lsßu fyda ta .ek lsisu wdfõlaIK yd ksjdrK Wml%uhla Ndú;d lsÍfï Wkkaÿj wvq lsÍu 1960 oYlfha wmg isÿ jQ úYd,;u jeroSuhs' fuys m%;sM<hla jQfha fojk jrgo 1968-69 ld,fhaoS uef,aßhd jix.;h ysi tiùh' 1934-35 jix.;hgo jvd oreKQ ke.sàula jQ w;r ,laI úiaila ck;dj

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tjr uef,aßhd WKg k;= úh' fï jk úg mßirfha frda. jdylhka u¾Okhg fhojQ DDT ridhKslh m%;sfrdaë ùula isÿ úh' tkï DDT j,g Tfrd;a;= osh yels uÿrejka oel .kakg ,eìK' DDT fjkqjg ue,;shka fhdokakg isÿ jQfha tys m%;sM<hla jYfhks' uef,aßhd frda.k S a l<uKdlrkh i|ydo kj T!IO t<soelajqKQ w;r fï ksid frda.S urK ixLHdjo ie<lsh hq;= muKlska wvq úh' flfia fj;;a uef,aßhdj iyuq,skau uq,sKQmqgd oeóug Tkak fukak lshd ;sìhoS th isÿ lr.; fkdyels jQ wjia:djla f,i fï 1960 oYlfha jix.;hg fmr ld,h wfma b;sydihg tlaù ;sfí' ;ju;a wfma rfÜ .crdfug uef,aßhd wdfõlaIK isÿ flfrkjd''' wdfh;a kï jroao .kak nE'''' b;sydifhka W.;a mdvï fujr uef,aßhdj Y%S ,xldfjka ;=rka lsÍfï msUqrem;a ieliqfKa fï w;aoelSï o m%fhdackhg .ksñks' ksj¾;k l,dmSh rgj, ck;dj uqyqKmdk fmdÿ fi!Lh .eg¿jla jQ uef,aßhdj frda. md,kh kshdukh isÿ flrefKA doctormagazine.lk

f,dal fi!LH ixúOdkfhao mQ¾K wëlaIKh hgf;ah' uef,aßhd u¾Ok jHdmdrh fuys nr lrg .;a w;r cd;sl fi!LH moaO;sh fukau m¾fhaIlhkao úYd, m%udKhla fï uef,aßhdjg tfrys igkg w;aje,a ne|.;af;ah' fuys m%;sM<hla jYfhka ;;a;ajh jvd;a i;=gqodhl ùu wdrïN flrefKa 1999ka miqjh' 1999 j¾IfhaoS jd¾;d jQ 264"549la jQ uef,aßhd frda.Ska ixLHdj 2002 j¾Ih jk úg 41"411la olajd wvq lr.ekSug yelshdj ,eìK' ta yereKQ úg uef,aßhdfjka isÿjk urK k;r lr.ekSug yelsùu fuys,d idOKSh ikaêia:dkhla úh' 1998 j¾IfhaoS uef,aßhd urK 115la jd¾;d jqKQ w;r 2008ka miq furg uef,aßhd urK jd¾;d jQfha ke;' 2012 j¾Ifhka miqj furgoS uef,aßhdj je<÷KQ lsisÿ uef,aßhd frda.sfhl= jd¾;d fkdùuo ;j;a ch.%yKhls' ta flfia fj;;a uef,aßhdj reêr.;jQ wh ;ju;a wfma rfgka yuq fjkjd' miq.sh jif¾o uef,aßhd ffjri reêr.; jQ mqoa.,hka 41la y÷kdf.k ;sfnkjd' bka fofofkla muKla úfoaYslhka' b;sß ish,a, úfoaYhkaysoS uef,aßhdj je<÷QK mqoa.,hka' uef,aßhd u¾Ok jHdmdrfha wOHlaI ffjoH fyauka; fyar;af.a my; m%ldYh wmf.a ie<ls,a,g fhduq úh hq;=hs' zzuef,aßhd ldrl mrfmdaIs;hd furáka ;=rka l<;a uef,aßhd jdyl uÿrejka fï rfÜ isáh yelshs' úfoaYhloS uef,aßhd mrfmdaIs;hka reêr.; jQ wfhla furg fjfik úg Tyqf.a f,a Wrdfndk uÿrefjl=g ;j;a whg uef,aßhdj fnda l< yelshs' ;j;a ld,hla hk;=re wdfõlaIK lghq;= fkdlvjdu isÿ l< hq;af;a fï lreKQ u;hs'ZZ Y%S ,xldj uef,aßhdj iyuq,skau ;=rka l< rgla jYfhka m%ldYhg m;a flreK;a uef,aßhd frda.h yd iïnkaO fi!LH wxYj, ld¾hhka fï moku u; wyjr jQfha ke;' úfYaIfhkau jdylhka ms<sn|j wdfõlaIK lghq;= (Vector surveillance) fkdlvjdu isÿ flreKQ w;r fmaidf,a m%foaYfhka Wla; uÿrejd fkdfyd;a uef,aßhd jdylhd y÷kd .ekqfkao fï miq doctormagazine.lk

úmrï l%shdj,shg msx isÿ jkakgh' uef,aßhd mrfmdaIs;hdf.a j.;=. uef,aßhdj kue;s frda.h we;s lrkafka mrfmdaIs;fhla hkqfjka ye|skafjk weig fkdfmfkk l=vd cSúfhla wfma reêrhg tl;= ùfuks' W!g we;af;a tlu tl ffi,hls' W! wh;a jkafka fm%dgfidajd kñka ye|skafjk cSù ldKAvhgh' wkqkag lrorhla lrñka wkqkaf.kau hefmk wh zzmrfmdaIs;hdZZ hk m¾hdh kulska iudcfha ye|skafõ' ta l;dfõ jro;a ke;' mrfmdaIs;hd we;af;kau lrkafkao taluh' Odrlhd - ñksia wfma YÍrfhkau fmdaIKh ,nñka wmj frda.S lsÍu mrfmdaIs;hdf.a yeáh' wfma rfÜ wdldr foll mrfmdaIs;hka uef,aßhdj fnda lsÍfï fhoS ;sfnkjd' Plasmodium vivax yd Plasmodium falciparum tlS úfYAI folhs' jeä jYfhka jd¾;d jkafka ma,eiafudaähï jhsjelaia mrfmdIs;hdhs' uef,aßhd mrfmdaIs;hdf.a cSjk pl%h iïmQ¾K ùug March 2017

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Malaria Surveillance

kï mshjr folla weiqf¾ iajlSh cSjk pl%h iïmQ¾K úh hq;=h' cSjk pl%fha tla fldgila .; lrkafka ñksia wmf.a YÍrh ;=<h' wfkla fldgi uÿrejdf.a YrSrh ;=<h' uÿrejdf.a ú;rla" ñksidf.a ú;rla wef`.a jeyqjdg uef,aßhd mrfmdaIs;hdf.a cSjk pl%h iïmQ¾K jkafka ke;' wmg jdish we;af;a t;ekh' cSjk pl%fha fld;ekla fyda lvf;d¿ lf<d;a udrdka;sl frda.hla Wreu lrkakg mrfmdaIs;hdg cSj;a jkakg ,efnkafka ke;' wfma rfgka uef,aßhdj ;=rka lrkakg wm Ndú;d lf<ao tu Wml%uhhs' uÿre oIaGkfhaoS mrfmdaIs;hka YÍr.; jk yeá uÿrejka wmg oIaG lsÍfïoS uq,skau lrkafka Wkaf.a fl< iaj,amhla wfma reêrhg uqod yeÍuhs' leá .eiSula isÿfkdù W!g ta f,a mdkh l< yels wdldrfhka fkdlvjd f,a .e,Sula we;s lr.kakg fï wdldrhg iqúfYAIS ridhkhla wvx.= uÿre fl< YÍr.; lrkjd' uÿrejkaf.a YÍrh ;=< cSjk pl%fha wvla iïmQ¾K lr.;a mrfmdaIs;hd wfma isrerg tkafka fï fÄGh yrydhs' fï mrfmdaIs;hd uq,skau hkafka wfma wlaudjg' tysoS Wka w;s úYd, jYfhka j¾Okh fjkjd' ryfia l,la wlaudfõ ie`.j isàugo fï mrfmdaIs;hd iu;a nj lsj hq;=hs' wlaudfjka r;= reêrdKQ Tiafia YÍrhu wdl%uKh lsÍu B<`. mshjrhs'' r;= reêrdKQ.;j osk folla cSj;a jk mrfmdaIs;hd r;= reêrdKQj mqmqrd hk úg cSjk pl%fha B<`. wjia:djg m;a fjkjd' uÿrejka úkdY lsÍfuka muKla uef,aßhdj u¾Okh lrkak nE''' uÿrejka úkdY lsÍfuka muKla uef,aßhdj u¾Okh lsÍu id¾:l kE' wo th f,dalh ms<s.;a ldrKhla' uÿrejkag mj;sk ;;a;aj hgf;a wkqj¾;kh jkakg''' yev.efikakg wmQ¾j yelshdjla ;sfnkjd' we;af;kau uÿrejd fï ñys;,fha cSj;a jkakg wdrïN ù oeka wjqreÿ ñ,shk 30la muK fjkjd' wms ;du fuys weú;a .;jQ ld,h wjqreÿ ñ,shk 4'5la muKhs' fï wkQj Wka wmg jvd wkqj¾;kfha olaIhs' whs;sh ne¨j;a' uÿrejka uq,a mosxÑlrejka' wms miqj 12

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weú;a ìkak neye.;a wdl%uKslhska' f,dalfha úúO l,dm j, uef,aßhdj fnda lrk uÿrejkaf.a iajrEmh fjkia' jeäfhkau uef,aßhdfjka neg lkafk wm%sldkqfjd' ta rfÜ uef,aßhdj fnda lrkafk Anopheles gambiae kï uÿrefjla' W! frda.h fnda lsÍfuys,d b;d Y+rhs' uÿrejd u¾Okh f,ais kE' wfma uef,aßhd uÿrejdf.a yeisÍfï iqúfYaI;d wfma rfÜ uef,aßhdj we;s lrkafka Anopheles culicifacies kï uÿre úfYAIhhs' fiiq rgj, bkak uÿrejka yd ii|k l< ;rula ÿ¾j, uÿrefjla f,i yªkajkak mq¿jka' ì;a;r odkafk fyd|g br wdf,dalh ;sfnk ia:dk j,' .,d hk c,fhj,g mia imhk ia:dk j, fï uÿre lSghka ì;a;r oukjd' úfYAIfhkau fï uÿrejdg ys;lr mßirhla yefokafka .ïj,hs' kd.ßl mßirfha fï Anopheles culicifacies uÿrejdg mj;skak wudrehs' wfma uef,aßhd frda.Ska wE; doctormagazine.lk

tmsg .ï j,skau jeä jYfhka jd¾;d fjkak fya;=j oeka Tng ys;d .kak mq¿jka fkao @ wfma wi,ajeis bkaoshdfj;a uef,aßhdj oreKQjg olakg ,efnkjd' bkaoshdfõ olakg ,efnk tla uÿre úfYaIhla jkafka Anopheles stephensi lshk uÿre úfYAIhhs' úfYAI;ajh ;uhs" Wka kd.ßlj wNsckkh jk uÿre úfYAIhla ùu' j;=r ,sx" j;=r gexls" nd;arEï''' úfYAIfhkau kdk ldur j, j;=r W.=,a ^isiagka& wdosh wdY%h lrf.k fï uÿrejka fjfikjd' fnda fjkjd' fmaidf,ka miq.shod wfma fi!LH wxY u.ska y÷kd.;af;a;a fï bkaoshdfõ olakg ,efnk kd.ßl m%foaY wdY%s;j fjfikakg m%sh;djhla olajk Anopheles stephensi uÿre úfYAIhhs' W;=f¾ ck;dj wi,ajeis bkaoshdj iu. .uka ìuka jeähs' bkaoshdfõoS uef,aßhd uÿrefjla oIaG lsÍu ksid wdidos; jQfjla wfma rgg wdj lsh, ys;kak' fufyaos Tyqg uÿrefjla oIaG lrkjd' túg mrfmdaIs;hd uÿrejdg hkjd' Bg miafi uÿrejd oIaG lrk ldg jqK;a fï ksid uef,aßhdj yefokak wjodkula ;sfnkjd' uef,aßhdj uq,sKQmqgd oukak wm lf<A mrfmdaIs;hka úkdY lrk tl' uÿrejka úkdY lrkak nE' mrfmdaIs;hka úkdY jqKdu cSjk pl%h iïmQ¾K fjkak úosyla kE' túg m%Yakh wyjrhs' ta;a mrfmdaIs;hka kej;;a il%Sh ffjk fujka wjia:d j,oS h,s;a ke.sàula fjkak mq¿jka' fï ksihs wdfõlaIK l%shdj,sh bosßhgu hkak wjYH jkafka' tjka ;ekska ;ek we;sjk ke.sàï .ek wm fnfyúka mÍlaIdldÍ fjkak ´ks' wfma fi!LH wxY ta ld¾hh fï jk úg;a fyd|ka isoaO lrk nj fmfkkakg ;sfnkjd' yenehs fuysoS wfma ck;djg;a lsishï j.lSula ;sfnkjd' úfoaY.;j uef,aßhdj nyq, m%foaYhl isg meñKS úg ielhla ;sfnkjd kï l,a fkdyer bosßm;a fjkak ´ks' kshñ; m%;sldr fkdmudj .kak ´ks'

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jeg fkdnekafod;a wdfh;a ke.sàula fjkak bv ;sfhkjd'' kd.ßl m%foaY wdY%s;j me;sr hk fï uÿrejka weiqf¾ wfma rfÜ h,s;a uef,aßhdj ysi Tijkakg we;s wjodku neyer lrkakg nE' úfYAIfhkau W;=f¾ ck;dj bkaoshdfõ .uka ìuka j, fhfokjd jeähs' uef,aßhdj fnda lrf.k wd flfkla uÿre oIaGkhlg ,la jqfKd;a ta uÿrejd úosk wfkla ´kEu flfkl=g uef,aßhdj je<|sh yelshs' mrfmdaIs;hd" Odrlhd" jdylhd lshk ;=kaf.d,a, w;r wúfhdackSh in|;djh ì|Sug .kakd ;e; fï wkQj kej;;a wid¾:l fjkak mq¿jka' fï wkQj fmaidf,a uÿrejd wmg ksl=;a lrkafka r;= t<shla' úfoaYslhka yeryd kej;;a wdidos;hka furgg meñKSfï lsishï wjodkulao ;sfnkjd' .=jkaf;dgqmf<A frda.Ska wdfõlaIK uOHia:dkhla ;snqK;a yefudau fuhska mÍlaIdjg ,la lrkakg yelshdjla kE' wjodkï iy.; ixpdrlhka ta i|yd bosßm;a ùu Tjqkaf.a fukau rfÜ;a hym;g fya;= fjkjd' frda.sfhla yªkd.;a miqj March 2017

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Malaria Surveillance

kï m%;sldr ,eîu wfma rfÜoS kS;sfhkau ;yjqre lr ;sfnkjd' uef,aßhdj yeos,do @ oek.kafka flfiao @ we`. fjõ,d WK .ekSu uef,aßhdj idudkH frda. ,laIKhhs' óg wu;rj ysiroh" jukh" we`.m; reodj jeks frda. ,laIK m%lg l< yelshs' tkuq;a fï lsisÿ frda. ,laIKhla fkdolajñkao uef,aßhdj we;s jkakg bv ;sfí' Tng fï ms<sn|j ielhla mj;skafka kï we`.s,a,la ú| lrk ir< f,a mÍlaIKhlska frda.h je<| ;sfnk$ke;s nj ;yjqre lr.; yel' fï reêr mÍlaIKh rcfha frday,lska fkdñ,fha isÿ lr .ekSfï myiqlï i,iajd ;sfí' uef,aßhdjg lrk m%;sldr je<÷QK uef,aßhd j¾.h wkQj m%;sldrh fjkia fjhs' jhsjelaia uef,aßhdfõoS laf,darlaùka yd m%sudalaùka hk T!IO foj¾.hu ,nd fohs' osk 14la mqrd fuu fnfy;a mx;sh ,nd.; hq;=h' *,aismdreï uef,aßhdfõoS Tng fkajdislj m%;sldr .ekSug isÿjkq we;' frdnÜ fkdlaiag je<ªKQ le<E WK fï uef,aßhdjhs fojk rdcisxy rcqf.a isrlrefjlaj tl=ka úis jirla ,xldoaùmfha úiQ frdnÜ fkdlaia .ek fkdokakd ,dxlslfhla fkdue;' Tyq fmros. bkaoSh fj<| iud. fï fk!ldjlska m¾ishdj n,d hk .ufkaoS fk!ldj wn,ka ùfuka ,xldjg fiakaÿ ù rcqf.a isrlrejka njg m;ajQy' fufia isr.;j" isß,l .eñhka yd noaOj .; l< ld,fhaoS furg ck cSú;h uekúka wOHhkh l< Tyq ta w;aoelSï weiqf¾ An Historical Relation of the Island Ceylon hkqfjka ilia l< lD;sh u.ska tl, wfma rfÜ cSjk rgdj ms<sn|j losu ú.%yhla isÿ lf<Ah' ienúkau tu igyka wo ojfia jvd;a jeo.;a jkafka ,dxflah wmgh' Tyq ,shq lD;sh zztod fy<osjZZ hkqfjka isxy,hg mßj¾;kh ù ;sfí' isrlrejkaj fkdlaia msh-mq;=ka fuys .; lrk jljdkqfõoS .eyS .eyS WK .kakd frda.hlg msh mq;= fom<u ,laúh' iy,jd WK .kakd úg .sks ;mskjd 14

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yefrkakg Tjqkg ,enqKQ fjk;a m%;sldrhla fkdùh' fï ksidu fcHaIAG frdnÜ fkdlaiag isrlrejl=ju ;u cSú;fhka iuq .kakgo isÿ úh' udi 16la ;siafia frda.fhka mSvd ú|s lKsIaG frdnÜ fkdlaiA cSú;h .,jd .kakg jdikdjka; úh' tl, Tjqkg je<ªKQ WK iajfoaYslhka w;f¾o iq,n WK frda. hla jQ w;r th yªkajk ,oafoa zzle<E WKZZ hkqfjks' óg;a j¾I foiShlg miq uef,aßhdj mrfmdaIs;fhl= úiska we;s lrKQ ,nk frda. hla f,i yªkd.;a;d' bkaoshdfõ l,algd yS m¾fhaIK j, ksr; jQ iafldÜ,ka; cd;sl frdk,aâ frdia 1898 j¾IfhaoS uef,aßhdj''' uÿrejl= jdylfhl= lrf.k we;sjk frda. hla nj y÷kd.kq ,enQ w;r ta i|yd Tyqg 1902 j¾IfhaoS fkdafn,a ;Hd. ho ysñ úK' fuys tk we;eï lreKQ úoHd ikaksfõol kd,l .=Kj¾Okhkaf.a ft;sydisl cki;=rd ^uef,aßhdj& u¾Okh l< uyd ix.%duh hk ,smsfhka Wmqgd .kakd ,oS' DM

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flfi,a f.äfh iqlafrdaia" mDlafgdaia yd .aÆfldaia lsh, iajdNdúl iSks j¾. ;=kla iu. ;ka;=uh mod¾: úYd, m%udKhla ;sfnk njhs y÷kd.;a i;Hh' fï ksid flfi,a f.ähla wkqNjfhka jeä fj,djla hkak l,ska úYd, Yla;shla YÍrhg ,efnkjd' fïl uy úYd, Yla;s m%udKhla''' ta fldfyduo lsõfjd;a flfi,af.ä folla lEfjd;a úkdä 90la nr jev lrkak thska cks; jk Yla;sh m%udKj;ah lshk ldrKh ;uhs fidhdf.k ;sfnkafka' f,dalfha kula oskQ u<, l%Svlhka /ila flfi,af.ä wkqNj lrk nj Tn okakjdo @ Yla;sh wereKQ úg flfi,af.ä ksid YÍrhg úYd, /ljrKhla ,efnkjd' ta fldfyduo lsh, oek.kak leu;s kï fï f;dr;=re os.gu lshjkak' úYdohg fnfy;a fjkqjg flfy¨;a fyd|hs m¾fhaIlhka yªkdf.k ;sfhk wdldrhg flfi,a úIdofhka fmf<k whg uyd¾> T!IOhla' flfi,af. äfh á%mafgdmEka lshk fm%daàkh ;sfhkjd'

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á%mafgdmEka ;uhs wfma ukfia nr yE,a¨ lrk" wmj i;=áka ;nk zzfirfgdkskaZZ lshk ridhkh njg m;a jkafka' ;j;a ldrKhla ksid;a flfi,af.ä ys; ieye,a¨ lrkjd' tys ;sfnk B6 úgñkh u.ska reêrfha iSks hdukh lsÍfï m%;sM<hla jYfhkq;a ukig laIdka;shla we;s fjkjd' hlv W!K;d ksrla;shg;a flfi,af.ä fyd|hs flfi,af.ä j, hlv ;sfhk ksid ksrla;shg wk.s úiªula' flfi,a ks;s wkqNjfhka hlv W!K;d ksrla;sh ke;s lrkakg yelshdjla ,efnkjd' fm%I¾ tlg;a fyd|hs fmdgEishï jeä ùu;a" ,jK wvq ùu;a ksid fm%I¾ tlg;a flfi,af.ä fyd|hs' tlai;a ckmofha wdydr wêldßh flfi,a ksIAmdolhkag úfYaI wjirhla oS, ;sfhkjd' ta ;uhs ;ukaf. wf,ú m%j¾Ok jevigyka j,oS flfi,a u.ska reêr mSvkh yd wd>d;h wvq lrkjdh lshk mKsúvh ,ndoSug'

ì%;dkHfha Üúflkayeï úoHd,fha bf.Kqu ,nk orejkag Wfoag yd oj,ag flfi,af.ä wdydrhg ,ndoSfuka miqj Tjqkaf.a nqoaêh n,d ys|soaoS j¾Okh ùfï w;aoelSula jd¾;d jqKd' m¾fhaIlhkag wkQj fmdgEishï idr wdydr wkqNjfhka fud<fha wjosu;a nj jeä fjkjd' u<noaOhg flfi,a u<noaOhg úi÷ula f,i weUq,a flfi,a f.ähla lk tl wfma yqre mqreÿ isß;la fkdje''' ;ka;=uh mod¾: j,ska fmdfydi;a ksid flfi,a j,g u, nqre,a lsÍfï yelshdjla ;sfnkjd' nfâ oeú,a,g;a iqÿiqhs iajdNdúlju m%;swdï,sl .=Khla ;sfnk ksid .eiag%hsáia j,g fyd|hs' uÿrejka oIaG l< whg we;sjk fõokdj yd m¿ oeóu ksid we;sjk wmyiq;djfhka ñoSug flfi,a msá álla msá lr ta ia:dkfha ;jrd oeñh yelshs' flfi,af.ä flfryS fuf;la Tn wvq wdl,amhla oelajQ flfkla kï fï .=Khka wjfndaO lr.;a miq;a tfiau tajd wvq ;lafiarefjka .ekSug Tng mq¿jkao @ flfi,a .a?ï 100l we;s fmdaIKh le,rs m%udKh 89 iïmQ¾K fïo tl;=j 0.3g ix;Dma; fïoh 0.1g nyqix;Dma; fïoh 0.1g tal, ix;Dma; fïoh 0.g fldf,iagfrda,a 0 mg fidaähï 1 mg fmdgEishï 358mg ldfndayhsfâ%g tl;=j 17g ;ka;=uh fl|s .a?ï 2.6 iSks .a?ï 12 fm%daàk 1.1g fï yereKQ úg úgñka tA" hlv" úgñka î6 yd ue.akSishï flfi,a j, iq,n m%udK j,ska mj;S'

fud<h j¾Okhg flfi,a

doctormagazine.lk

March 2017

DOCTOR MAGAZINE

High Blood Pressure

HIGH BLOOD PRESSURE MEDICATION AND YOU

Tfí fm%I¾ tl wvq lrkakg Tng ,nd fok T!IO úúO wê reêr mSvk Tfí reêr mSvkh wvq lsÍug odhl jk yeá reêr mSvkh jeäùu lshkafka l=ulao @ Tfí Ouks Tiafia reêrh wjhj j,g ixirkh ùfïoS ta i|yd fhofjk mSvkh reêr mSvkh f,i oelafõ' th ;sìh hq;= idudkH mSvkh blaujd .sh úg wêreêr mSvkh jYfhka ye|skafjhs' reêr mSvkh muK blaujd jeäùu isref¾ bkaøsh flfryS wys;lr n,mEï isÿ lrk ksid th ksjeros lsÍug T!IO Ndú;d lrkakg isÿfõ'

March 2017

DOCTOR MAGAZINE

reêr mSvkh wvq lrkakg T!IO l%shd;aul jk yeá Tn wê reêr mSvkh i|yd T!IO ,nd.;a úg th fkdfnda osklska idudkH ;;a;ajhg m;a fjhs' tfy;a Tfí ffjoHjrhdf.a Wmfoia j,g mgyeksj tajd keje;aùu fkdl< hq;=h' fm%I¾ frda.Skaf.ka wvlg jeä m%udKhla wêreêr mSvkhg fok T!IO folla fyda Bg jeä m%udKhla oskm;d mdúÉÑhg .kshs' wêreêr mSvkhg fnfy;a ,nd fkd.;af;d;a fjk foA''' fm%I¾ tl fndfyda úg we;s jkafka lsisÿ

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frda. ,laIKhla m%lg fkdlrñks' fï ksid th ksy`v wk;=rla f,i wm y÷kajuq' os.= ld,hla ;siafia m%;sldr fkd,nk wêreêr mSvk frda.Ska f.dÿre úh yels frda. lsysmhla''' jl=.vq krlaùu wxYNd.h wkaONdjh YDohdndO wêreêr mSvkhg ,nd fok T!IO wo ojfia ldKav kjhl wêreêr mSvk T!IO frda.Skag kshu flfrhs' ta tl tlla T!IO yd tajdhska wêreêr mSvkh wvq flfrk wdldrh ieflúka y÷kd.ksuq' Centrally Acting Alpha Adrenergics reêrfha we;s we;eï ridhk flfryS n,mj;ajñka reêr jdyskS bys,a lsrSula fuu ldKavfha T!IO j,ska isÿ fjhs' Beta Blockers yD;a fmaYs j, we;s îgd m%;s.%dyl b,lal lr.ksñka fmaYs yd wfkl=;a mgl bys,a lsÍula u.ska isÿfjhs' wd;;sh we;s lrk

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fydafudak u.ska yojf;ys we;s lrk n,mEu bj;a lsÍug fuu T!IO ldKavh iu;a fjhs' Calcium Channel Blockers yD;a ffi, yd reêrjdyskS fj; le,aishï uQ,øjH fya;=fldgf.k we;s jk wys;lr n,mEu fuu.ska bj;a flfrhs' fï ksid reêr ixirkh iqir jk w;r jvd;a myiq yDo iamkaokhlg wjldY ie,fia' Peripherally Acting Alpha Adrenergic Blockers l=vd reêr jdyskS u; fydafudak u;ska we;s lrjk wjysrh u. yeÍug fhdod.kS' Ouks jvd újD;j ;nñka reêr mSvkh iqir lsÍug fuho WmldÍ fjhs' Vasodilators reêr jdyskS úia;drkhg l%shd lrk Tiqjls' reêr jdyskS jeäfhka úia;drkh jk úg reêrh .uka lsÍfïoS we;sjk m%;sfrdaOh wju jk w;r th reêr mSvkh my; fy,Sugo iDcqju fya;= fjhs'

Angiotensin Converting Enzyme (ACE) Inhibitors Angiotensin 11 kue;s fydafudakfha ksIAmdokh ùu wjysr lrñka reêr jdyskS u; we;sjk n,mEu wvd, flfrhs' th reêr jdyskS úia;drkhgo" reêr mSvkh my; fy<Sugo WmldÍ fjhs' Angiotensin 11 Receptor Blockers Angiotensin 11fydafudakh l%shdldß;ajh wjysr lrñka reOr mSvkh my; fy<hs' Angiotensin 11 kue;s fydafudak j,g úl,amhls' ACE Inhibitor fjkqjg fhdod.; yel' Renin Inhibitors Angiotensin 11fydafudakh ksIAmdokh lrk frkska kue;s tkaihsuh wvd, lsÍu fuys ld¾hhhs' Diuretics reêrfha fidaähï yd c,h tl;= ùu j<lajhs' fï T!IO .ekSfuka fidaähï jv jvd uq;d% j,g tl;= fjhs' ta c,h;a iu.sk's fuys m%;M s <hla jYfhka reêr jdyskS Tiafia ixirkh jk ;r, mßudj my; jefghs'th reêr jdyskS ì;a;s u; we;s lrk f;rmqu wvq lrk w;r tys m%;M s <hla jYfhka reêr mSvkho wvq fjhs' DM March 2017

DOCTOR MAGAZINE

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New Trends in Medicine m%d:ñl wiaÓ ikaê m%odyhg v¾vkaia frdayf,ka kj;u m%;sldr l%uhla

m%d:ñl wiaÓ ikaê m%odyhg v¾vkaia frdayf,ka kj;u m%;sldr l%uhla

STEM CELLS & PRP THERAPY

Kysia lelal=ï" ikaê fõokd jeks oE wo iudcfha fndfyda fofkla uqyqKfok fõokdldÍ w;aoelSula njg m;afj,d' fuh fl;rï fõokdldÍoehs okafka th w;aÿgq flfklauhs' fndfyda úg fï fõokdjkag fya;= jkafka m%d:ñl wiaÓ ikaê m%odyh (Primary Osteoarthritis) kue;s ;;a;ajhhs' fï frda.S ;;a;ajh i|yd ,ndfok kj;u m%;sldr úêhla ms<sn|j Tn oekqj;a lsÍughs wmf.a fï iQodku' ta i|yd wm yuqqjqKd v¾vkaia frdayf,a úl,dx. Y,H ffjoH Ô' t,a' mqxÑfyajd uy;d' ffjoH;=uks" m%d:ñl wiaÓ ikaê m%odyh (Primary Osteoarthritis) ms<sn|j flá ye¢kaùula lf<d;a? m%d:ñl wiaÓ ikaê m%odyh lshkafka wiaÓ ikaêj, we;sjk mßyd‚ ;;a;ajhla' ld,h;a iu. ikaêj, we;sjk laIh ùï ;uhs fuhg fya;=j' ikaêj, we;sjk fõokdj yd ;o .;sh" p,kh lsÍfï wmyiqj" ikaê bÈóu fuys§ ±lsh yelshs'

March 2017

DOCTOR MAGAZINE

m%d:ñl wiaÓ ikaê m%odyh we;sùug jeämqru n,mdk idOl fudkjd o? fuhg úúO idOl n,mdkjd' jhi jeä ùu;a iu. fuu ;;a;ajh we;sùfï wjodku jeähs' ;jo ;rndrelu" w,i Ôjk rgdj" w;S;fha ikaê wdndO we;sù ;sîu fukau cdkuh idOl;a fï frda.h we;sùug n,mdkjd' wfma Ôjk rgdfõ we;sù ;sfnk fjkialï ksid j¾;udkfha fï frda.fha jeä ùula olskak mq¨jka' ffjoH;=uks" Stem cells & PRP therapy u.ska m%d:ñl wiaÓ ikaê m%odyh iqj lrkafka fldfyduo? iafgï ffi,hla ^l=U ffi,hla& lshkafka wfma l<, wjêfha

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isgu we;sjk m%d:ñl ffi, wjia:djla' ta ffi,h YÍrfha ;sfnk ia:dkhg wkqj th úúO iajrEmhkag mßj¾;kh fjkjd' fud<fha§ kï th uia;sIal ffi,hla njg mßj¾;kh fjkjd' iqIqïkdjg .sfhd;a iakdhq ffi,hla njg m;a fjkjd' wiaÓ j,g .sfhd;a wiaÓ ffi,hla njg mßj¾;kh fjkjd' wfma wefÕa ldáf,ac yokafk;a chondroblast lshk iafgï ffi,hlska' iafgï ffi,h iy Growth factor lshk folu tl;= jqkdu ldáf,achla yokak wjYH foaj,a iïmQ¾Khs' b;ska wms lrkafka tA fol tl;= lr,d f.ù .sh ldáf,ac kej; j¾Okh ùug wjYH ;;a;ajhka ilia lr §uhs' ir<j lshkjdkï fuys§ lrkafka frda.shdf.a ldáf,ac j¾Okhg wjYH iafgï ffi, W;af;ackh lsÍu i|yd Èk ;=kla tkak;a ,nd §uhs' bka miqj frda.shdf.au reêrh b;d iq¿ m%udKhla ,ndf.k thska iafgï ffi, fjka lrf.k th kej; doctormagazine.lk

frda.shdf.a YÍrhgu ,nd§uhs' fuh Y,Hl¾u j,ska f;dr frda.shdg;a myiq kùk m%;sldr l%uhla' fï m%;sldr l%ufha we;s úfYaI jdis fudkjdo? fuh Y,Hl¾uhla fkdjk l%uhla' ta myiqj frda.shdg ;sfnkjd' fuys§ frda.shdg ,ndfokafka ;ukaf.a YÍrfhkau ,nd.;a reêr ix>gl' tu ksid wid;añl;d we;sjkafk;a kE' YÍrhg ydkshla jkafk;a kE' March 2017

DOCTOR MAGAZINE

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m%d:ñl wiaÓ ikaê m%odyhg v¾vkaia frdayf,ka kj;u m%;sldr l%uhla

New Trends in Medicine

,dxflah wiaÓ ikaê m%odyh ksid mSvd ú|sk frda.Ska yg ,enqKq iqúfYAIS wjia:djla''' v¾vkaia frdayf,a m%Odk fufyhqï ks,OdÍ yd ffjoH fiajd wOHlaI ffjoH úu,a lr|f.dv zzm%d:ñl wiaÓ ikaê m%odyh ksid wo ld,fha frda.Ska úYd, ixLHdjla mSvd ú|skjd' fldhs ;rï fí;afya;a l<;a .=Khla kE' tfyu mSvd ú|sk frda.Skag fï kjH m%;sldrfhka wfmalaIdiy.; fjkila we;slr.; yelshs' mshú ffi<''' ke;fyd;a l=U ffi, m%;sldr wo f,dalfha úma,jldÍ m%;sldrhla' úúO nrm;, frda. ;;a;aj i|yd m%;sldr úosyg fï l=U ffi, fhdod .kakjd' wfma ykaosm;a frda. j,ska mSvd ú|sk frda.Ska i|yd fï m%;sldrh v¾vkaia frday, úiska fhdod .ekSu fï rfÜ frda.Skag ,enqKQ jákd wjia:djla'ZZ v¾vkaia frdayf,a m%Odk fufyhqï ks,OdÍ yd ffjoH fiajd wOHlaI ffjoH úu,a lr|f.dv uy;d fufia m%ldY lf<A fuu wNskj m%;sldrh v¾vkaia frdayf,a ia:dms; lsÍu ms<sn|j iajlSh woyia olajñka' jeä ÿrg;a wm yd l;dnyl fhÿKQ ffjoH úu,a lr|f.dv fufiao m%ldY l<d' zzm%d:ñl wiaÓ ikaê m%odyh i|yd Stem cells & PRP m%;sldrh v¾vkaia frday, fj;ska ,nd.kakd frda.Skag iqúfYAIS myiqlï /ila ysñ fjkjd'ZZ

March 2017

DOCTOR MAGAZINE

zzfï m%;sldrh i|yd v¾vkaia frdayf,a ta fjkqfjkau lemjQ úfYaI tallhla iQodkï lr ;sfnkjd' olaI úl,dx. Y,H ffjoHjreka iy rla;fõo ffjoHjrekaf.a fiajh fuys§ Tng ,nd.; yelshs' ta i|yd mqyqKq fyo ld¾h uKav,hla o fï tallfha isákjd' tfukau fï iïnkaO ish¨u mÍlaIK lsÍug wjYH myiqlï v¾vkaia frdayf,a ;sfnkjd' wfma mdßfNda.slhskag myiq ñ,g iqyoYS,S fiajdjla iemhSu v¾vkaia frdayf,a wruqKhs'ZZ ffjoH lr|f.dv fufiao jeäÿrg;a m%ldY lr isáhd' DM idlÉPd lf<a ixch o is,ajd

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March 2017

DOCTOR MAGAZINE

D•Magazine /

Medical voice problems we;eï fj,djg wmf.a lgy`v fjkia jkafka wehs @

Medical voice problems we;eï fj,djg wmf.a lgy`v fjkia jkafka wehs @ lgy`v fjkiaùu we;eï úg nrm;, wikSmhla l,afõ,d we;sj y÷kd .ekSug ,efnk iaj¾Kuh wjia:djla jkakgo mq¿jk

W.=r lk kdih ms<sn|j úfYAI{ ffjoH fcHaIAG lÓldpd¾h iS;d l=udß wrfòfmd< úisks

wm w;f¾ we;sjk idudcSh in|;d j,oS fukau wm cSú;fha ;SrKd;aul ikaêia:dk j,oS wm w;f¾ we;sjk ikaksfõokh m%uqLia:dkhla .kS' udkj wmf.a ikaksfõokfha uqLH fuj<u jkafka lgy`vhs' lgy`v ;=< we;sjk fjkialï ikaksfõokfha mrdih fukau Ndjd;aul ye`.=ï l=¿ .ekaùfuys,d we;eï úg WmldÍ fjhs' ix.S;fhaoS Ndú;d jkafka fï úp,H;djhhs'

March 2017

DOCTOR MAGAZINE

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tfy;a lgyfâ we;sjk fjkialï b;d oreKQ frda.S ;;a;ajhla y`.jk i<l=Klao úh yels nj Tn fudfyd;lg j;a oek isáhdo @

● lfgys hula ;ndf.k l;d lrk fia oekSu

lgyfâ we;sjk fodaI yªkd.ekSug m<uqj wmf.a lgy`v we;sjk wdldrh iïnkaOfhka hï wjfndaOhla ,nd.ekSu WÑ; hhs isf;a'

lgy`v fjkialï j,g n,mdk fya;= fï wdldrhg úúO fjkialï we;sùug fya;= jk ldrKd ljf¾o @ hï flfkl=g b;d wêl fmKy¿ frda.S ;;a;ajhla we;s úg ^Wod - y;sh& lgy`v ksmoùfï wmyiq;d we;sfõ' fuysoS ienúkau isÿjkafka lgyv ksmoùug wjYH lrk jdhq loïnh ksmojd.ekSfï fkdyelshdjhs'

ukdfldg lgy`vla mj;ajd .Kq msKsi fyd|ska l%shdldÍ fmKy¿ hq.,hla" iajrd,h" Yajdikd,h" ;,a," osj yd o;a hk bkaøshhka ish,a,u wjYH fõ' fulS wjhj j, we;sjk jHqyuh fjkialï fyda frda.S ;;a;ajhka ksid Tng lgyfvys fjkialï we;súh yel' tfiau udkisl jHdl+,;d yd fjk;a iakdhq.; frda.S ;;a;ajhka ksido lgyfâ fjkialï we;súh yel'

Hot Potato Voice ● ia;%Skaf.a mqreI lgyvla we;sùu ● mqreIhkaf.a ia;%S lgyvla we;sùu ● lgyfvys fjõ,Sula we;sùu Stunning Speech

tf,iu idudkHfhka we;sjk fiïm%;sYHdj yd W.=f¾ wdidok fya;=fjkaoiajr ;ka;=j, wdidos; ;;a;ajhla we;sù lgy`v fjkia úh yel' (Laryngitis) wdid;añl;djh ksid we;sjk iajr ;ka;= j, bosuqu úfYaIfhkau ÿïjeá ksid we;sjk bosóuo lgyv fjkialï we;sùug n,mdhs' iajr ;ka;= j, we;sjk l=vd .eg" uiao¿ fukau oshr f.ä ;;a;ajhkao fuhg fya;= fjhs'

lgy`v ;=< we;súh yels fjkialï ● lgyv iïmQ¾Kfhkau ke;sùu Dysarthria ● lgyv f.dfrdaiq ùu Husky voice ● kdifhka l;d lrk fia oekSu Nasal Voice

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iajr ;ka;% j, msysàu March 2017

DOCTOR MAGAZINE

D•Magazine /

we;eï fj,djg wmf.a lgy`v fjkia jkafka wehs @

Medical voice problems

wêl ÿïmdkh" nq,;aúg lEu" uoHidr Ndú;h fukau wêlj l;dfõ fhoSu" lgy`v wjNdú;h" wdudY wdï,sl;djh lgy`v fjkia ùug n,mdk wdydr Ndú;h" udkisl wd;;sh fukau wmsßisÿ mßirhl cSj;aùu''' fjfiiskau jd;h ¥IKh ùu fujeks frda. j,g fya;=jla jk nj y÷kdf.k ;sfí' wm wu;l fkdl< hq;= ldrKhla jkakfa ms<slduh ;;a;ajhka ksido fuf,iu Tfí lgyv fjkia lrk njh' Bg wu;rj we;sjk kdifha weoùu" uia o¿" wdidok" ms<sld ;;a;ajhkao Tfí lgyfâ fjkialï we;s lrhs' tf,iu uqLh ;=< hula isrùu" fiïf.ä wdY%s;j ierj msÍu" tfia;a ke;akï ms<sld j,oSoTnf.a lgyv

March 2017

DOCTOR MAGAZINE

fjialï we;súh yel' (Hot Potato Voice) iakdhq j, we;sjk úúO frda.S ;;a;ajhka ksido Y,Hl¾ufha ixl+,;djhla f,i Tnf.a iajr ;ka;= j, l%shdldß;ajh wvqùu fyda ke;sùu isÿúh yel' Wmf;aoSu iajrd,fha udxYfmaYs j, ÿ¾j,;d we;sùu ksid ia;%S$mqreI lgy`v ukdj fkdmsysàu isÿúh yelsh' (Puberphonia) iakdhq.; frda. we;sùu Tnf.a lgyv ksmoùu iïmQ¾Kfhkau k;r lsrSug fyda thg fjõ,Sula we;s lsrSu isÿ lrhs' wêlj W.=f¾ wdï,sl;djhla we;s ùuo tla fya;=jls' Gastric Reflux fï wdldrfhka lgyv fjkia ùug b;d ir< ldrKd fukau ixlS¾K frda. ;;a;ajhkao n,mEug yel' Tng we;af;a ljr wdldr frda. ;;a;ajhlaoehs ksYaph lr.ekSu i|yd fï ksid ffjoH mÍlaIdjlg ,laùu jeo.;a jkafkah' Tnf.a idhksl b;sydih fukau tkafvdiafldms leurd (Flexible laryngoscopy) wdOdrfhka iajr ;ka;= j, jHqyuh fjkialï fukau l%shdldß;ajfha fjkialïo y÷kd.ekSu" m%;sldr lsÍug m%:ufhka wksjd¾hfhkau l< hq;=h' fuysoS lgyfâ .=Kd;aul;djh ks¾Kh lsÍu ^Voice Assesment& b;d jeo.;ah' wêl ÿïmdkh" nq,;aúg lEu" uoHidr Ndú;h fukau wêlj l;dfõ fhoSu" lgy`v wjNdú;h" wdudY wdï,sl;djh lgy`v fjkia ùug n,mdk wdydr Ndú;h" udkisl wd;;sh fukau wmsßisÿ mßirhl cSj;aùu''' fjfiiskau jd;h ¥IKh ùu fujeks frda. j,g fya;=jla jk nj y÷kdf.k ;sfí' wjYH lrk T!IO m%;sl¾u fukau ksis l,g lrk Y,Hl¾u Tnf.a lgy`v kej; ,nd .ekSug WmldÍ jkq we;' jvd jeo.;a jkafka Nhdkl frda. ;;a;ajhla fjf;d;a th l,afõ,d we;sj yªkdf.k thg m%;sldrhla lsÍug ,efnk wk.s wjia:djhs' DM

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March 2017

DOCTOR MAGAZINE

Dengue A Closer Look At A Climatic-driven Virus Disease

Dengue: A Closer Look At A Climaticdriven Virus Disease

‘War on Dengue’ Reviewed by Dr. Waruna Gunathilake Consultant Physician Dengue in history The origins of the word dengue are not clear, but one theory is that it is derived from the Swahili phrase "Ka-dinga pepo", meaning "cramp-like seizure caused by an evil spirit". The Swahili word "dinga" may possibly have its origin in the Spanish word

"dengue" meaning fastidious or careful, which would describe the gait of a person suffering the bone pain of dengue fever. Alternatively, the use of the Spanish word may derive from the similarsounding Swahili. Slaves in the West Indies who contracted dengue were said to have the posture and gait of a dandy, and the disease was known as "Dandy Fever". Dewngue Prevalence in Sri Lanka Prevalence of mosquitoborne dengue is alarmingly rising in Sri Lanka and according to the Ministry of Health over 8,399 cases of suspected dengue cases have been reported already in the first January, first month of this year. What is dengue? It’s a viral condition caused by a mosquito bite (Aedesaegypti) that can develop the dengue viral antigen in the human body which will detect patient will have dengue fever. This is also a just a fever like having

March 2017

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other viral fever but it has to be excluded as soon as you developed high fever. How do you make sure you got dengue fever? As soon as you developed the high fever you have to do the blood test for dengue antigen. If the result is positive you have got dengue fever. The full blood count will not give a good picture about your dengue fever even you suffered from high fever for two three days. This initial test dengue antigen is also to be done very early of having fever. The dengue NS1 antigen rapid test and the dengue antibody rapid test The NS1 antigen rapid test usually gives a positive result within the first 5 days of dengue infection. However, this test can be positive even up to day 9 of infection. The dengue antibody rapid test usually gives a positive result after the first 5 days of dengue infection. However, if doctormagazine.lk

a patient has had dengue before, this test can yield positive results even before 5 days. Both the tests that have been mentioned can be done without prior processing of the patientsâ&#x20AC;&#x2122; blood. (i.e. whole blood can be used) In addition to the tests mentioned thus far, there are other investigations to confirm dengue. However, these are very rarely performed. If my lab test for dengue is negative, does that mean I donâ&#x20AC;&#x2122;t have dengue? Both the NS1 antigen test and the dengue antibody test are very accurate. However, the NS1 antigen test can be negative even on day 3 or 4 even if the patient does have dengue. Also, if the dengue antibody test is done too early (day 3 or 4 ) it will be negative even if the patient has dengue. Hence, even if a patientâ&#x20AC;&#x2122;s tests are negative there is still a possibility that he/she could be having dengue, if the symptoms, signs and the full blood count values are suggestive of dengue fever. What are the other blood tests do with the regular FBC? Other tests are to be done to correct calcium level and magnesium level in the body to regulate normal function of the human body smoothly. If these blood tests results also abnormal we have to correct them in order to balance the level of normal functions otherwise that can precipitate the dengue condition if in any case of emergency. Normal heart function should be maintained to avoid other possible complication that can be associated with dengue condition. Calcium and magnesium are very essential for normal heart function. Signs and symptoms of dengue fever If you have continues sudden high fever that might need to be excluded the dengue fever. Fever will continue for almost five days continuously even not

March 2017

DOCTOR MAGAZINE

Dengue A Closer Look At A Climatic-driven Virus Disease

settled to paracetamol or panadien.once the action of Paracetamol over again the fever will be raised. ● High fever-most of the time it is above 100 ferenhight ● Severe headache. ● Vomiting ● Nausea ● Photophobia (extreme sensitivity to light.) ● Loss of appetite ● Lethargy ● Malaise (general bodily weakness or discomfort) ● Flushing face ● Skin rashes ● Muscle ache Type of Dengue fever 1. Dengue fever 2. Dengue hemorrhagic fever 3. Expanded dengue syndrome

March 2017

DOCTOR MAGAZINE

Dengue may be present in human asymptomatically or symptomatically. If it is symptomatic which may be dengue fever or dengue hemorrhagic fever or expanded dengue syndrome. Dengue fever This may be present with bleeding or without bleeding. It is generally an acute febrile illness, with severe headache, muscle pain, joints pain, and rashes. Complications are very less. Sometimes

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patients may present with gastric bleeding and epistaxis. (nose bleeding) This can be managed with symptomatic problems. Dengue hemorrhagic fever DHF is characterized by the acute onset of high fever and is associated with signs and symptoms similar to DF in the early febrile phase. Plasma leakage is the hallmark of DHF which occurs soon after the end of the febrile phase. There is a tendency to develop hypovolemic shock (dengue shock syndrome) due to plasma leakage. Therefore suspected DF and DHF patients should be closely monitored to identify patients with DHF. For efficient management of DHF it is important to understand its natural history and its dynamic

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nature. Clinical course of DHF is stereotypic andconsists of three stages 1. Febrile phase 2. Critical phase (leakage phase) 3. Convalescent phase Febrile phase High fever lasting for 2-7days, facial flushing/ diffuse blanching erythema of the skin, muscle pain, joints pain,headache, nausea and vomiting. Some patients may have sore throat, injected pharynx, conjunctival injection and diarrhea. Mildhemorrhagicmanifestations can occur. Leucopenia (WBC<5000 mm3 ) and mild thrombocytopenia (<150,000 /mm3 ) are common in the late febrile phase. Above features are usually indistinguishable between DF and DHF during the febrile phase. However, the presence of tender hepatomegaly favors the diagnosis of DHF. Critical phase The critical phase is characterized with onset of plasma leakage.This usually occurs towards the late febrile phase, often after the 3rd day of fever, usually around the 5th or 6th day of illness with defervescence (settling of fever). However some patients may enter the critical phase While having high fever close monitoring is needed. Strict fluid balace chart maintenance. Observation for difficulty in breathing frequent ultra sound scans would be helpful to plan the management.Sometimes patients will be transferred to ICU for close monitoring. Catheterization will be help full if urine output difficult to measure.

March 2017

DOCTOR MAGAZINE

Dengue A Closer Look At A Climatic-driven Virus Disease

Recovery phase Itching all over the body and improved appetite, generalfitness, diauresis will be experienced by the patients.

PCV goes up it has a risk of fluid leaking and fluid management is strictly monitored.

What medicines not to take when you diagnosed dengue fever or till you exclude dengue fever? Specially non steroid anti-inflammatory drugs (NSAID)such as brufen, voltarenand steroids also. Which will cause the gastric erosions and will have a tendency of bleeding. If you have high fever do not use this type of drugs until you exclude the dengue fever.

What is the most important parameter in the dengue in FBC Packed cell volume (PCV) or hematocrit (HCT) is the most important parameter we look at. That value shows the thickness level of the blood inside the blood vessels. If this value is more than the average range (blood thickness become very less and easy to leak) there is a risk of leaking the serum into the outer area of blood vessels specially cavities around the internal abdominal organs like into the lungs, which cause patient difficult in breathing and also into the peritoneal cavity fluid leaking. DM

The patients who are having treatments for high blood pressures also should be withhold when they got dengue fever as in dengue the blood pressure will be go down. If you continue the high blood pressure drugs the blood pressure will further go down and may be a risk of hypertension. What type of food you can eat and drink? Most of the patients will have loss of appetite. You can eat whatever you want as preferred. But make sure not to eat and drink which are in red color or brown color food and beverages which in case of a blood vomiting the nurse cannot or difficult to identify whether it is related to what you eat or drink or else actual bleeding. The most suitable beverage is jeewanee. which contains electrolytes to replace your loss electrolytes. Why full blood count monitoring is important? Your full blood count report result will give a picture of where your disease is now.based on that the doctors and the nurses plan the further management. fluid management will be depend on the results.You will look at platelet count but the most important features are in the full blood count heamatocrit (packed cell volume ) and the white blood cell count.if

March 2017

DOCTOR MAGAZINE

Compiled by Lalith Kuragoda Clinical nurse practitioner and occupational health and safety officer, Hemas Capital Hospital

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u<my lsÍfïoS f,a msgùu .ek Tn oek.; hq;= ldrKd'''

u<my lsÍfïoS f,a msgùu .ek Tn oek.; hq;= ldrKd''' W;=re fld<U ffjoH úoHd,fha fcHaIaG lÓldpd¾h" rd.u uy frdayf,a úfYaI{ Y,H ffjoH jdis; wfíiQßh

<my lsÍfïoS f,a msgùu ldg jqK;a we;súh yels ;;a;ajhla' ldg jqK;a we;s úh yels jqK;a fuh idudkH ;;a;ajhla f,i i<ld wu;l l< yels ldrKhla fkdfjhs' ta .ek iudcfha fldhs ldg;a wjfndaOhla lsishï wjfndaOhla wo ;sfnkjd' ta;a fï frda.h iïnkaOfhka Tn fldhs ljqre;a oekf.k isáh hq;= jeo.;a f;dr;=re lsysmhla ;sfnkjd' Tfí wdrlaIdj Wfoid Tn oek.; hq;= ta jákd lreKq ish,a, ieflúka fyda bosßm;a lsÍu fï ,smsfha uQ,sl wruqK fjkjd' wms wdydr .;a;u" th lsishï cS¾Kl yd mßjD;a;Sh l%shdj,shlg ,la fjkjd' thska miqj b;sß jk fldgia ish,a, u<my úosyg YÍrfhka msg fjkjd' u<my iu. f,a msgùu úúOdldrhs' iuyrekag weia j,g fmakak f,a msgùula kE''' ta;a f,a tlla ne¨ju ysfud.af,dìka m%udKh ne¨ju wvqhs' fï whf. weig fkdfmfkk m%udKfhka reêrh msgùula isoaO fjkjd' wfkla wjia:dj ;uhs r;= mdgg f,a hkak mq¿jka'

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;dr l¿ mdgg;a f,a leá hk wjia:dj,a ;sfnkjd' fmdä <uhskag;a f,a .=o ud¾. fhka msgfjk wjia:d ;sfnkjd' fï wdldrfhka f,a u< iu. msgùfï úúO wjia:d ;snqK;a wo ud leu;shs ueos jhfia iy ;reK jhia wh w;f¾ we;sjk .=o ud¾. fhka f,a msgùï .ek l;d ny lerkak' u<my iu. f,a msgjsh yels fya;= fndfyda fofkla tlaflda r;= meyehg f,a úoSu ksÍlaIKh lr thska ;e;sf.k ffjoHjrhd yuqjg tkjd' lelal=ula we;sj hkak;a mq¿jka' lsisu fya;=jla ke;sj flfkl=g f,a hkak;a mq¿jka'

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ffjoH mÍlaIKhla lrk úg fjk;a frda. ,laIK;a ;sfnkjdo @ fgdhs,Ü hk jdr .Kk fjkia fjkjdo@ msámiafika f.ähla ;sfhkjdo@ ierj jf.a >%djhla .,kjdo @ mqo. a ,hdf.a jhi''' mjqf,a úia;r wdosh ,nd .kakjd' fï f;dr;=re frda.h y÷kd.ekSug msgj q y,la fjkjd'''

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f,a u<my iu. msgùug fya;= /ila ;sfnkjd' fï w;=ßka iq,nu fya;=jla ;uhs w¾Yia wudrej' .=o ud¾.fha wjika fldgfia reêrjdyskS msmsÍfuka fï úosyg f,a hkak mq¿jka' th ;uhs fï úosyg zzw¾YiaZZ lsh, y÷kajkafka' ta jf.auhs we;efug u<my lsÍu f,ais myiq ldßhla fkdfjhs' nv fõ,j,''' b;du;a wudrefjka u<my msg lrkak .kak W;aidyfhaoS .=o ud¾.fha me,Sula we;s jqKdu;a (Anal fissure) thska reêrh .e,Sula fjkak bvla ;sfnkjd' wdidokh ùula ksid fyda msßisÿlfï .eg¿jla ksid .=oud¾.fha nghla jf.a yeos, th iug iïnkaO fjkak mq¿jka' wm (Anal Fistula) hkqfjka y÷kajkafka tlS ;;a;ajhhs'

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u<my lsÍfïoS f,a msgùu .ek Tn oek.; hq;= ldrKd'''

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.=o ud¾.fha we;sjk ;=jd, (Solitary Rectal Ulcer) ksid;a f,a msgùula fjkak mq¿jks' ksid;a .=o ud¾.fha w;sjk ms<slduh ;;a;ajhla ksid;a u<my iu. f,a hkak mq¿jks' iuyreka Warfarin, Aspirin jf.a reêrh ;=kS lrk T!IO .kakjd kï ta ksid;a u<my iu. reêrh msgfjkak mq¿jka' by; oelajQfha u<my iu. f,a .e,Sula we;sjk iq,n fya;= ta yefrkakg iq,n fkdjk we;eï l,d;=rlska oelsh yels fya;= ksid;a u<my iu. f,a msgùula fjkak mq¿jka' cSú;hg wjodkula" wNsfhda.hla we;sjk wjia:d f,a .e,SuloS fjk;a frda. ,laIKo we;s fjkak mq¿jka' iuyrekag f,a hkafk lelal=ula we;sj' fõokdjla" lelal=ula ke;sj f,a hk wjia:do ;sfnkjd' oS¾>ld,Skj fuhska mSvd ú|sk who ke;sjd fkdfõ' jeisls,s .shdu .sfha kE jf.a oefkkjd''' b;ska wdfh;a hkjd' ta;a ys;g uos''' fukak fï jf.a''' iuyrekag u<my hkafk iSoka jf.a''' nfâ lelal=u ;sfhkak mq¿jka' lEu wreÑhla''' we`. flÜgq ùu jf.a frda.o ;sfhkak mq¿jka' fï úosyg úia;r l< wdldrfha u<my isß;la olakg ,efnkjd kï''' ta yereKQ úg ;j;a ldrKhla' frda.shdf.a mrïmrdfõ wdikak {d;sfhl=g fï wdY%s;j ms<sld frda.hla je<ªkd kï''' fï lshk ldKAvhg wh;a Woúh;a iqÿiqlï iys; ffjoHjrfhl=g fmkajd jeäÿr fidhd ne,Su jvd;a iqÿiqhs' fndfydauhla wjia:d j,oS fï ,laIK ;snqK;a th nrm;, ,laIKhla jkafka kE' thg we;af;a wvq wjia:djla' ta;a l,d;=rlska flfkl=g fï f,a hk tl nrm;, frda.hl uQ,sl ,laIKhla jkakg;a mq¿jka' ta ksid wjodkula we;s ke;s nj yªkd .ekSug mÍlaIK isÿ lsÍu wjYHhs' nrm;, ldrKhla jqK;a uq,a wjia:dfõ yªkd .ekSfuka frda.shdg lrkakg foaj,a ffjoHjrhdg fYaI fjkjd' 36

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m%;sldr msKsi frda.sfhla wd miq''' wmg frda.sfhla m%;sldr msKsi meñKshdu wm uq,skau frda.shdf.a idhksl jd¾;djla ,nd. kakjd' bkamiq frda.shd mÍlaId lrkjd' frda.shdf.a cSjk rgdj .ek oek.kak tl jvd;a jeo.;a' Tyq fmkajd fok frda. ,laIK ljr ld,hl isg mej; tkjdo @ ^wr" uq,ska lS wdldrhg& fjk;a frda. ,laIK;a ;sfnkjdo@ u<my hk jdr .Kk fjkia fjkjdo@ msámiafika f.ähla ;sfhkjdo @ ierj jf.a >%djhla .,kjdo@ mqoa.,hdf.a jhi''' mjqf,a úia;r wdosh ,nd .kakjd' f,a u<my iu. msgùug fya;= /ila ;sfnkjd' fï w;=ßka iq,nu fya;j = la ;uhs w¾Yia wudrej' .=o ud¾. fha wjika fldgfia reêrjdyskS msmÍ s fuka fï úosyg f,a hkak mq¿jka' th ;uhs fï úosyg zzw¾YiaZZ lsh, y÷kajkafka'

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bkamiqj frda.sS mÍlaIdjla lrkjd' Worh mÍlaId lrkjd' Digital Rectal Examination fkdfyd;a .=oh ;=<g we`.s,a, m%fõY lr mÍlaIdjla isoaO lrkjd' uQ,sl reêr mÍlaIK jd¾;d ,nd .kakjd' we`.a f,a wvqjla ;sfnkjdo @ wdoS lreKQ fidhd.kak fï jd¾;dj jeo.;a fjkjd' wiQÑ jd¾;djl=;a ,nd. kakjd' f,a hkjo @ mKQ wudrejla ;sfnkjdo wdoS jYfhka''' bkamiqj jeo.;a jk ldrKh ;uhs fï f,a hdu isÿjkafka

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fld;ekskao lshk ldrKh ksYaph lr.ekSu' Tn wid ;sfnk tkaviafldms mÍlaIKh fï i|yd WmldÍ fjkjd' mÍlaIK j,g miai .ykak tmd''' fndfyda fofkla fï u<my lsÍu wdY%s; .eg¿ we;s jqKdu ffjoHjrhd yuqfjkak lsishï wleue;a;la olajk fya;=jla ;sfnkjd' mÍlaId lrlkafk miai me;a;fk' tkaviafldms mÍlaIKhg;a tfyuhs' msámiafika leurdj od, mÍlaId lrkjd lshkfldg álla wlue;shs' tal ta wdldrhg l=<Eálu /l.kak ´ks wjia:djla fkdfjhs' fuu mÍlaIKh Tfí cSú; fírd.kak ,efnk wjia:djla jkakg;a mq¿jka fkdfjo @ tkaviafldms mÍlaIKfhaoS uydnvje, iïmQ¾Kfhkau mÍlaId lsÍula isÿ jkafka kE' idudkHfhka ms<sld we;s fjkjd kï ishhg 70-80lau mdfya we;s fjkafk jï me;af;' fuh mÍlaId lrkak jia;shla oSu muKhs mQ¾j wjYH;djhla jkafka' wjYH jqfKd;a iïmQ¾K

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.=oh fY%daKs mdou fmaYs

wNHka;ßl .=o pl%msOdkh ndysr .=o pl%msOdkh

.=o ud¾.fha we;sjk me,Sï

nvje,u mÍlaId lrkak mshjr .kakjd' ngysr rgj, kï jhi wjqreÿ 45-50 bl=;a jQ whg frda.hla''' frda. ,laIKhla ke;sj;a Screen Test tlla úosyg mÍlaId lsÍula ;sfnkjd' ta;a wfma rfÜ tjka myiqlï kE' tfyu tfla f,a hkj kï lsishï fya;=jla ksid thg fya;=j ksYaÑ;j oek.ekSu b;du jeo.;a' w¾Yia wudrejo @ ;=jd,hla we;s fj,do@ jeo.;au ldrKh ;uhs''' ms<sldjla yskao fï f,a hkjo lsh, n,k tl' l,ah,a .syska m%;sldr j,g fhduq ù Tfí cSú;h wk;=f¾ od.kak tmd''' wm w;aolsk fohla ;uhs" we;efula fndfyda fokd fï u<my hdug úúO m%;sl¾u ld,hla ;siafi isÿ lr, iqjhla ke;s ;ek wm <`.g tkjd' mÍlaId lr, n,k úg ms<sldj iEfykak me;sß,d' ,ecacdj ksid" m%;sl¾u ;sfnk nj oek fkdisàu ksid fï úosyg kshu m%;sldr j,g tkafk iEfykak m%udo fj,d'

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w¾Yia jf.a frda. j,g''' fjk;a frda. j,g m%;sldr lrk tl m%udo jqK;a ta yeá .eg¿jla fkdfjhs' ta;a ms<sldjla kï uq,a wjia:dfõoS m%;sldr lrkak iqjh ,nd fokak fyd| bvla ;sfnkjd' yenehs ld,hla .shdg miafi m%;sldr msKsi .shdg frda.shdg ta jdish ,efnkafk kE' fï wkQj u<my iu. f,a hkjd kï l,ah,a fkdn,d jydu m%;sldrhlg fhduQ ùfï jeo.;alu buy;a'

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w¾Yia j,g lrk m%;sldr iq,nju olakg ,efnk w¾Yia j,g lrk m%;sldr .ek ir< woyia oelaùula wms ys;uq mÍlaIK l<d'''' ms<sldjla kE'''' fjk;a frda. uQ,hla fydhd .;a;d' iq,nju olakg ,efnk w¾Yia frda.h .;af;d;a" fï frda.h fudk wjia:dfj ;sfnkjdo hkak fidhd ne,sh hq;=hs' cSj;a jk l%ufha fjkila we;s lr.kak uQ,sl wjia:dfj frda.sfhla kï fï frda.Ska wej;=ï mej;=ï fjkia lr.kak ´ks' fï wh wd;;sh wvq lr.kak ´ks' ;ry" flaka;sh jf.au ys;a wukdm lr.ekSï" l,amkd lsÍï we;sjk wjia:d j,ska ñfokak ´ks' is.rÜ wrlal= Ndú;fhka wE;a fjkak ´ks' r;= uia wkqNjfhka wE;a fjkak ´ks' f;,a lk tl wvq lrkak ´ks' fl|s iys; wdydr jeä lrkak ´ks' jHdhdu jeä lr.kak ´ks' fï úosyg ;ukaf. p¾hdfj fjkila lr.kak tl w;HjYHhs'

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fojk mshjr

f;jk mshjr

u<" wiQÑ YÍrfha ysr lrf.k b|Sfuka u<noaOh we;s fjkjd iuyreka Wfoa ke.sÜg fj,dfj b|ka tl tl jev j, fhfokjd' Whk tl'''' orefjd biaflda, j,g hk tl'''wiamia lrk tl'''' Bg miafi jevg hkak;a ´ks''' ;ukaf. jev lr.;a;o @ wvq ;rfï ;ukaf. ndysr mßjD;a;Sh l%shdj,sh j;a'''' u<my .sys,a,;a kE' tfyu wjia:d j,oS wiQÑ uynvjef,a b;sß jqKdu j;=r ál thska bj;a fj,d wiQÑ >k ùula isoaO fjkjd' thska we;sjk mSvkh jeä jqKdu úúO .eg¿''' u<noaOhg" w¾Yia j,g;a fï p¾hd ÿ¾j, ùu iDcqju iïnkaOhs' ffjoH m%;sldr w¾Yia frda.hg uQ,sl wjia:dfõoS kï .dk wdf,amk ;sfnkjd' fgdhs,Ü hkfldg u<my uDÿ lrk l%u ;sfhkjd' tfyu;a ke;akï tkaviafldms l%uhg lrk m%;sldr;a ;sfhkjd' Band odkak mq¿jka' fnfy;a úoskak mq¿jka' tfyu neß jqfKd;a ;uhs Y,Hl¾uhla lrkafk' Y,Hl¾u;a úúO wdldr ;sfnkjd' biair jf.a ld,hla Y,Hl¾uh ksid we|g fj,d bkak ´ks kE' Stapled hemorrhoidectomy, Laser jf.a m%;sldr udos,s ;sfnkjd' yenehs fudk m%;sldrh l<;a cSjk rgdfõ fjkila isÿ lr .ekSu b;du jeo.;a' DM

March 2017

DOCTOR MAGAZINE

leptospirosis <`. tk jeis ld,fhaoS ó WfKka mßiaiï fjkak

<`. tk jeis ld,fhaoS ó WfKka mßiaiï fjkak fj,a WK ''' ó WK fkdfyd;a f,mafgdiamhsfrdaishdfõ we;s ;;=

zzfj,a WKZZ fyda zzó WKZZ f,i Tn jvd;a fyd|ska yªkk f,mafgdiamhsfrdaishdjZZ ^Leptospirosis& kue;s frda.h jeis ld,h;a iuÕ iS>%fhka me;sr hkakls' ZZf,mafgdiamhsrdZZ ^Leptospira& kue;s nelaàßhdjla ksid we;s fjk fuu frda.h f,dj mqrd oelsh yels jqK;a nyq,j me;sr we;af;a ,xldj jeks >¾u l,dmhg wh;a rgj,aj,h' i;=kaf.ka ñksiqkag fndafjk fuu frda.h we;eï úg udrdka;sl fjkakg mq¿jka' frda.h ms<sn|j iy thska je<flk wdldrh .ek Tn oek isáh hq;af;a tu ksihs' 40

March 2017

DOCTOR MAGAZINE

l=reKE., YslaIK frdayf,a ffjoH kd,l rKisxy úisks

doctormagazine.lk

ó WK frda.h fnda jkafka flfiao@ f,mafgdiamhsfrdaishdj ñksiqkag fnda jkafka i;=kaf.ka' óhka" n,a,ka" W!rka iy .jhka fï w;ßka uq,a ;ekla .kakjd' frda.h ñksiqkag fnda lsÍfï jrog m%Odk f,i j. lsh hq;af;a óhka' tu ksidu zó WKZ kñka frda.h fndfyda úg ye|skafjkjd' ffjoHjreka" f.dúhka" ñßosh l¾udka; j, fhfokakka" W!rka iy .jhka iys; i;a;j a f.dúfmd<j, /lshd lrkakka w;ff¾ ó WK we;sùug jeä bvla ;sfnkjd'

frda.h je<ªKQ i;=kaf. ka uq;%d iu. frda. ldrl nelaàßhdj úYd, jYfhka msg fjkjd' Tjqkaf.a reêrh iy wfkla mgl ;=<o nelaàßhdj cSj;a fjkjd' jeis ld,h;a iuÕ .xj;=r .,oaoS" uv j.=re f.dv kef.oaoS

doctormagazine.lk

fuu úIîch iys; i;a;aj uq;%d iys; wfkl=;a øjH j;=f¾ mdfjñka uv j.=re" fj,a .x.d yd fmdl=KQ j,g me;sr hkjd' úIîch ñksia isrerg we;=¿ jkafka úIîch iys; fujka uv j;=r mE.Sfuka" kEfuka fyda mdkh lsÍfuka' ifï lemqï" iSßï" ;=jd, we;s ;eka j,ska iy kdifha" uqLfha YAf,aIAu, mg,h yryd fujka wjia:d j,oS nelaàßhdjg myiqfjkau ñksia isrerg we;=¿ fjkak mq¿jka' jeis ld,h;a iu. frda.h me;sr hkafka fï ksihs'

frda.h ieoSfï wjodku Tng;a mj;So@ we;eï /lshd j, ksr; jQ whg fï frda.h iEoSfï wjodku fndfyda jeähs' ffjoHjreka" f.dúhka" ñßosh l¾udka; j, fhfokakka" W!rka iy .jhka iys; i;a;aj f.dúfmd<j, /lshd lrkakka ñka iuyfrla' ;jo wmsßisÿ uv iys; c,fhyso c, l%Svd lsÍfukao" uv f.dyqre iys; mßirhl úfkdao pdßld hEfukao frda.h je<|Sfï wjodku fndfyda jeä fjkjd' frda. ,CIK fudkjdo@ frda. ,CIK iy frda. ;;a;ajhka tla wfhl=f.ka ;j;a wfhl=g fjkia úh yelshs' frda. ldrl úIîch YÍr.; jqK;a iuyr wh frda.S fjkafka keye' frda. ldrl nelaàßhdj YÍr.; jQ osk 5-14 we;=<;

March 2017

DOCTOR MAGAZINE

leptospirosis <`. tk jeis ld,fhaoS ó WfKka mßiaiï fjkak

ó WK frda.h ;j;a flfkl=g je<f|kafka flfiao @ wdidos; c,h iDcqju iam¾Y ùfuka ksfrda.S flfkl=g ó WK je<|sh yel'

f,mafgdiamhsrd nelaàßhdj

lDka;lhka''' úfYaIfhkau óhka

uq;%d

wdidos; wdydr ,nd.ekSu

wdidos; c,h$mia$ wdydr

idudkHfhka frda. ,CIK u;= fjkjd' ysiroh" jukh" uia ms`vq fõokdj iy weia r;= ùu frda.fha uq,a wjêh ;=< i;= ù i;shla we;=<; fuu frda. ,CIK myj hkjd' frda.Ska ishhla .; fyd;a bka wkQ fofklau ñkamiq iïmQ¾K iqjhla ,nkjd' iq¿ msrsila kej; frda.S fjkjd' frda.fha fuu fojk jljdkqj b;d Nhdkl úh yelshs' wlaudj wdidokh ùu ^Hepatitis& ksid weia" iu iy uq;%d ;o ly meye .ekSug bv ;sfhkjd' jl=.vq" yDoh jia;=j iy fmKy¿ j, l%shdldÍ;ajh wvd, ùug mjd bv ;sfhkjd' fud<h jgd we;s wdrCIl mg, wdidokh ùu ^Meningitis& iuyr úg isÿ fjkak mq¿jka' frda.h iEoSu j<lajd .kafka flfiao@ frda.h ms<sn`oj iy th je<f|k wdldrh ms<sn|j Tn fyd|ska oek isàu frda.h j<lajd .ekSug fndfyda WmldÍ fõ' jeis ld,fhaoS l=Uqre j, jev lsÍfuka" .x.d fmdl=KQ j, kEfuka iy uv mE.Sfuka yels;dla je<lsh hq;=hs' tfia lsÍug wmyiq fõ kï Tng .;yels mshjr folla ;sfí'

March 2017

DOCTOR MAGAZINE

wdidos; c,h$uq;%d weia j,g úisúh yel'

;=jd, wdosh wdidos; c,hg ksrdjrKh fjhs

úIîch ñksia isrerg we;=¿ jkafka úIîch iys; fujka uv j;=r mE.Sfuka" kEfuka fyda mdkh lsÍfuka' ifï lemqï" iSßï" ;=jd, we;s ;eka j,ska iy kdifha" uqLfha YAf,aIu A , mg,h yryd fujka wjia:d j,oS nelaàßhdjg myiqfjkau ñksia isrerg we;=¿ fjkak mq¿jka' jeis ld,h;a iu. frda.h me;sr hkafka fï ksihs'

doctormagazine.lk

(1) frda.h iEoSu je<elaúh yels tkak;la oekg fidhd f.k ke;s jqj;a m%;scSjl T!IO ;sfnkjd' ffjoH Wmfoia u; ksjerosj fuu T!IO Ndú;d lsÍfuka frda.fhka wdrCId ùug Tng mq¿jka' (2) uv iys; mßirhl .ejfioaoS wdrCIdldÍ w;a jeiqï iy md fyd|ska wdjrKh jk mßos mdjyka me<|Sug Tng mq¿jka' ;jo i;=ka we,a,Sfuka" uv j;=r mE.Sfuka miq iy wdydr wkqNjg fmr inka fhdod w;mh fidaod .ekSu jeks ksjeros mqreÿ wkq.ukh lsÍu b;d m%fhdackj;a' óhka fnda ùu md,kh lsÍu" i;aj f.dúfmd<j,a j,ska i;aj u< uq;%d iy wfkl=;a bj; ,k i;aj fldgia wdrCIdldÍ wkaoñka bj;a lsÍu" W!rka" .jhka jeks i;=ka w;m; .EfïoS w;ajeiaï" uqL jeiqï iy md jeiqï me<|Su b;d jeo.;a' tkak;a ;sfnkjd n,a,ka fyda i;aj

doctormagazine.lk

f.dú fmd<j,aj, i;=ka yg fuu frda.h je<|Su je<elaúh yels tkak;a ksmojd we;' ;jo tu i;=kag fuu frda.h je<|S we;ehs iel my< jQ ú.i mY+ ffjoHjrfhl=f.a Wmfoia mßos l%shd lsÍu b;d jeo.;a' zzf,mafgdiamhsfrdaishdjZZ Nhdkl frda.hla nj Tng jegfykjd fkdwkqudkhs' hym;a fi!LH mqreÿ iy wfkl=;a wdrCIdldÍ mshjr uÕska frda.fhka Tng wdrCId úh hq;af;a tu ksihs' flfia fj;;a WKla iEÿKQ muKska th zzf,mafgdiamhsfrdaishdjZZ lshd wksh; ìhla we;s lr.; hq;= keye' fujka frda. ,CIK fjk;a fndfyda wikSm ;;a;ajhka ksid we;s úh yelshs' Tng fuu frda.h hï whqrlska je<ªk;a m%;sldr ;sfnkjd' jydu ffjoH Wmfoia iy m%%;sldr ,nd .ekSfuka blauka iqjh ,eîug iy wksis m%;sM, wju lr .ekSug Tng mq¿jka' DM

March 2017

DOCTOR MAGAZINE

Skin iqÿ ifï udkj úoHdj" foaYmd,kh iy iqÿ fïkshdfjka wk;=f¾ jefgk l¿ <|qka

iqÿ ifï udkj úoHdj" foaYmd,kh iy iqÿ fïkshdfjka wk;=f¾ jefgk

l¿ <÷ka .euqKq id,sh fmf¾rd úisks W;aij wjia:djlg iyNd.s ùu i|yd ud okakd y÷kk ;f,¨ iula we;s ñ;=ßhla oskla rEm,djkHd.drhlg f.dia wef.a iug .e<fmk ksh wdf,amkhla ms<sno úuid we;' wod, wdh;kfha rem,djkH Ys,amsksh wehg fhdackd lr ;snqfka ifï j¾Khg .e<fmk ksh wdf,amkhla fkdj" ifï meyeh fjkia lr .ekSugh' w÷re iug nenf,k iqfoda iqola ,nd §ug weh úfYaI{jßhlehso tu rEm,djkH Ys,amsksh wehg ;jÿrg;a mjid ;sìKs' l¿ iï iqÿ lr fok wdf,amk" fm;s cd;s i|yd w;s ±jeka; fjf<|fmd<la fï jk úg ks¾udKh ù we;s w;r" ys;du;du zziqÿ fïkshdjlaZZ l¿ iy ;f,¿ cd;Ska u; wdfrdamkh lr we;s nj;a" fuu jdksc Wu;=j ukqIH YrSrfha uQ,sl ffcj úoHd;aul meje;au u; n,y;aldrS wdl%uKhla we;s fldg ;sfnk nj;a ksÍlaIK j,§ fmkS hhs' j¾KfNaojdofha jxY l:dj mßKdñlj ukqIHhdf.a ifï j¾Kh ;SrKh ù we;af;a Tyq cSj;a jk m%foaYhg ,efnk ysre t<sh u;h' wmf.a ifï meyeh ;SrKh lsÍu i|yd

March 2017

DOCTOR MAGAZINE

uQ,sl jYfhka n,mdk idOlh jkafka fu,kskah' (Melanin) fu,kska ksIAmdokh lrkafka p¾u ffi, j, ;sfnk fu,fkdihsÜia (Melanocytes) j,skah' fu,kska j, ld¾h Ndrh jkafka wmf.a iu ysre t,sfh ;sfnk wys;lr mdrcïnq, lsrK j,ska (UV radiation) j,ska wdrlaIdj iemhSuhs' w,ag%djh,Ü lsrK j,g jeä fõ,djla ksrdjrKh ùu iu u; ms,siaiSï we;s ùug;a" iu úh<s iy úhm;a jkakg;a" ifï ffi, j, ã'tka'ta' (DNA) ydks ùug;a fya;= fjhs' fmr lS ã'tka'ta' úkdY ùu p¾u ms<sldj,g o fya;= fjhs' Tfí iu ysre t<shg ksrdjrKh jk wjia:d j,§ fu,fkdihsÜ j,ska jeä jeäfhka fu,kska ksIamdokh lr ysre t<sfhka iug we;s jk wys;lr n,mEfuka wmj fírd .kS' ysre t<sh jeäfhka ,efnk iulh wdikakfha cSj;a jk ukqIHhskaf.a p¾u ffi, j, fu,fkdihsÜia jeä ksid Tjqkaf. iu u; fu,kska ksIAmdokh jeäh'

doctormagazine.lk

fuu ixisoaêh Tjqka ysre t<sfha wys;lr n,mEfuka fírd .ekSug bjy,a fjhs' meyem;a iula we;s wfhl= ks;r ysre rYañhg ksrdjrKh ùfï§ tfia Tyqf.a ysre t<shg ksrdjrKh jk ia:dk w÷re meye ùu isÿ fjhs' (Tanning) fuh o wys;lr mdrcïnq, lsrK j,ska wfma iu wdrlaId lr .kakg iu jeä jeäfhka fu,kska ksIAmdokh lsÍfï m%;sM,h ksidfjka isÿ jkakls' iqoaoka iy iqoaÈhka tfia iqÿmeye jQ fya;=j fïlhs uy fmdf<dj u; kQ;k ukqIH j¾.hdf.a kscìu jQfha iuldikak wm%sldfõ nj úoHd{hska ms<s. kS' wm%sldfõ isg mDÓú doctormagazine.lk

;,h u; ukqIH j¾.hd f.a jHdma;sh isÿùfï§ W;=rg .sh ñksiqkag wvq ;Sj%;djhla iys; ysre t<sh hg mßKduh jkakg isÿúh' Tjqkag ;jÿrg;a ysre lsrfKa wys;lr n,mEug hg;a jkakg wjYH jkafka ke;' ta wkqj Tjqkag fu,kska j, meje;au ;SrKd;aul ke;' ysre t<sh wvqfjka ,efnk O%ejdikak m%foaY j, mßKduh jQ ukqIHkaf.a iu u; fmr lS fu,kska we;af;a wvqfjkah' túg Tjqkaf.a p¾uhg wNHka;rfhka mj;sk iqÿ iïnkaOl mgl iy reêrh u;= msgg øIHudk fjhs' Tjqka iqoaoka iy iqoaÈhka jkafka ta ksidh' fï wkqj wÈka wjqreÿ 50"000 lg muK fmr fï ukqf,dj ukqIHhskaf.a ifï meyeh Tjqka cSj;a jQ ksYaÑ; ysre rYAñ l<dmhka (UV zones) j,g wkqj ksYaÑ; f,iu ;SrKh ù ;sfnkakg we;ehs udkj úoHd{fhda mji;s' ysre t<sfha ;Sj%r;djh wêl m%foaY j, ck;dj l,a,ka fyda iulfhka wE;g hk úg Tjqka w¾O l,a,ka ^;f,a¨ iu& iy iqoaoka úh' tfy;a wÈka jir 2"500 lg muK fmr ukqIHhska fmr lS rYaó l,dmhka w;r ixl%uKhka nyq,j isÿ lr .kakg jQ neúka tys m%;sM,h f,i Tjqkaf.a ifï j¾Khka fjkia ù ñY% ù we;'

March 2017

DOCTOR MAGAZINE

Skin iqÿ ifï udkj úoHdj" foaYmd,kh iy iqÿ fïkshdfjka wk;=f¾ jefgk l¿ <|qka

wfma isref¾ meyeh flfryS n,mdk fu,kska j¾. folla''' ifuys j¾Kh we;s lsÍug fya;= jk fu,kska j¾. lsysmhla fjhs' fmr lS fuf,fkdihsÜia u.ska uQ,sl jYfhka fu,kska j¾. folla ksIAmdokh flf¾'

fjhs' úgñka ã udkj isref¾ jeo.;a ffcj ridhksl l%shdldß;ajhka rdYshlgu w;HjYH úgñkhla fjhs'

Eumelanin jvd;a iq,n fu,kska j¾.h jkafka hQfu,kSkah' (Eumelanin) tajd ifuys" flia j," ^l¿" íf,dkaâ" ÿUqre iy w¿ meye ysiflia& mshhqre j, weßfhd,dfõ j¾Kh flfryS n,mdhs'

le,aishï isrerg wjfYdaIKh lr .kakg úgñka ã w;HjYH fjhs' .¾NkS iufha § iy lsß fok ia;%Skag jeä mqr le,aishï wjYH fjhs' Wm;a md,k l%u fkd;snqKq w;S; ia;S%ka cSú; ld,fhka Nd.hla tlafldaa .eìKshkah' ke;skï lsß ujqkah' w÷re iula we;s ia;%shlg wjeis ffoksl úgñka ã ixYaf,aIKh lr .kakg weh jeä ld,hla ysre t<shg ksrdjrKh jkakg wjYH fjhs' ´kEu l¨ fyda ;f,¨ iula we;s ck j¾.hl jqj ia;%Skaf.a ifï meyeh msßñkag idfmalaIj ,d meye;s jkafkah' mßKdufhka wmf.a ,÷ka g meyem;a Pú l,a,HdKhla ,nd § we;af;a wehg jeä úgñka ã m%udKhla ixYaf,aIKh lr .kakgh'

Pheomelanin msfhdfu,kSka hkq wfkla fu,kska j¾.h jk w;r" th frdai meyefha isg ;o r;= meyeh olajd jk j¾K mrdihlg fya;= fjhs' fuu j¾Kl r;= ysiflia" fof;d,a" mshhqre ;=vq" fhdaks f;d,a iy YsIaK uqKavfha meyeh i|yd fya;= fjhs' flfkl=f.a iu u; ckkh jk fmr lS fu,kska j¾K m%udKh iy tys ;Sj%;djh u; flfkl=f.a ifï meyeh fjkia fjhs' flfkl=f.a isref¾ fu,kska j¾. j, m%udKh" j¾.h yd tajdfha ;Sj%r;djh md,kh lrkafka wmf.a fouõmshkaf.ka ,enqKQ cdk j,skah' cdk ilia jQfha fmr lS mßKdñl l%shdj,sh ;=< isÿ jQ iajNdúl jrKh (Natural selection) ksidfjkah' ta wkqj flfkl=f.a ifï meyeh Wm;ska ,o odhdohla jk w;r" th w;a;fkdau;sl f,i wmg fjkialr .kakgo fkdyelsh' ,÷kg meyem;a Pú l,HdKhla ,enqfKa flfia o@ ysre t<sfha ;sfnk î keu;s mdrcïnq, lsrK j,g (UV-B) iu ksrdjrKh ùfï § ifuys úgñka ã ixYAf,aIKh fjhs' udkjhdf.a m%Odku úgñka ã m%Njh jkafka o ysre t<shhs' úfYAIfhka WoEik ysre t<shg ñks;a;= 15 la 20 la ksrdjrKh ùfï § ffokslj isrerg wjYH jk úgñka ã m%udKh ixiaf,aIKh fjhs' fu,kska jeä l¨ iula we;s whg wjYH úgñka ã m%udKh ixYaf,aIKh lr .kakg jeä ld,hla WoEik ysre t<shg ksrdjrKh jkakg wjeis

March 2017

DOCTOR MAGAZINE

,dxflah udkj jxY l:dfõ l¿ iqÿ fNaoh fmr lS cdkuh wdlD;shg wkqj YS% ,xldfõ jdih l<d hehs mejfik

doctormagazine.lk

Tfí iu ysre t<shg ksrdjrKh jk wjia:d j,§ jeäfhka fu,kska ksIamdokh lr ysre t<sfhka iug we;s jk wys;lr n,mEfuka wmj fírd .kS' ysre t<sh jeäfhka ,efnk iulh wdikakfha cSj;a jk wmf.a p¾u ffi, j, fu,fkdihsÜia jeä ksid wfma iu u; fu,kska ksIAmdokh jeäh'

wd¾h iïNjhlska mej; fkdtk hlaI" rdlaI wdÈ iajfoaYslhskaf.a meyeh ld, j¾K úh hq;=h' ta wkqj n,kaf.dv udkjhdf.ka werfUkakg we;ehs is;sh yels rdjKd" l=fõKs wdÈ fy< mrïmrdj ld, j¾K iula we;a;ka jQ njg ^wkd¾h& Wml,amkh lrkakg isÿ fjhs' wd¾hhka f.a iïNjh isÿ jQjd hehs ie<flkafka hqf¾ishdkq iafgmaia ;DK ìï wdY%s;jh' wd¾hhka ol=Kq hqfrdamfha isg jir 10"000 lg muK fmr isg ol=Kg ixl%uKh ù

doctormagazine.lk

we;ehs ms<s .efka' bÈka ta .ufka § Tjqka fmr lS rYAñ l<dmhka o ixl%uKh lr we;s neúka Tjqkaf.a ifï j¾Kh o iqÿ meyefha isg ;f<¨ meyeh olajd fjkia jkakg we;' ● fy<osfõ È wd¾hhka iy iajfoaYslhska w;r iïñY%Khka we;s ùfï m%;sM,hla f,i kQ;k isxy, ck;djf.a ifï j¾Khka f.a úÑ;%;ajhg ^úúO meyehka we;s Woúh& fya;= ù we;' flfia fj;;a wd¾h ixl%uK iy wdl%uK ksidfjka fy<fha uq,a whs;slrejka jQ hlaI wd§ ck j¾. j,g n,j;a widOdrKlï isÿ jkakg we;ehs Wml,amkh l< yelsh' úch kï wdl%uKslhd úiska l¿ iula we;s l=fõKsh ñKs lk hlaIKshla fldg mkakd ±óu fï i|yd jk fyd|u idlaIsh fjhs' ● w;S;fha § rfÜ rdcH;ajh iy rdcH md,kh yd iïnkaO jqKq ks,Odß me,eka;sfha fndfyda fofkl= meyem;a iula we;s wd¾hhka jkakg we;' iajfoaYsl l¨ ck;dj nrm;, f,i fkdi,ld yeÍulg ,la jkakg we;s njg idOl ;sfí' uydjxYh m%Odk b;sydi uQ,dY% fndfydauhlu we;af;a wd¾h rdc jxYslhskaf.a lshqï flreïh'

March 2017

DOCTOR MAGAZINE

Skin iqÿ ifï udkj úoHdj" foaYmd,kh iy iqÿ fïkshdfjka wk;=f¾ jefgk l¿ <|qka

● tfiau wmf.a merKs .oH yd moH idys;H lD;s j, l¿ ueKsfl,d" l¿ t;k,d j¾Kkd lr ke;' Ndr;fha rdc jxYslhskag r;s Ys,amh b.ekajQ jd;aiHdhkf.a zzldu iQ;%hZZ jeks .%ka: j,o ^wmf.a fy< rc jrekao .=re fldg .kakg we;ehs is;sh yelsh'& furg ,shejqKq ia;%S j¾Kkd j,ska o wjOdrKh lr we;af;a iqÿ meye;s" meyem;a iula we;a;shka jdikdjka;shka fukau mqkHjka;shka o jk nj h' uyd l¿ isxy,hka jQ iajfoaYslhska b;sydihg wu;lj .sh wjfYAI ck fldÜGdYhla f,i ;u wkkH;d ,laIK /l f.k ld,hla isákakg we;ehs is;sh yelsh' ● Od;=fiak rcq l,d jej bÈ lrkakg hEfï § thg hlaI f.da;%sl .ula hg jkakg kshñ; j ;snQ w;r" thg tfrysj nrm;, úfrdaOhla M, lrkakg tod ta .fuys úiQ iajfoaYslhska fmruqK .;a l:djla b;sydifha ths' fmdf<dkakre rdcOdks iuh jk f;lau furg fï ck j¾. w;r fkdixisÈhdj mej;S njg idlaIs we;' ● úch rcqf.a weu;s flfkl= isjqfy,h iu.s lrkakg .;a W;aidyhla ms<sn|j lshefõ' ^isjq fy,h hkq iajfoaYsl ck j¾.hkah'& idudkHfhka iajfoaYsl hlaI" rdlaI wd§ f.da;%sl ^fuu f.da;%sl w¾:h bx.%Sis NdIdfõ tk Tribes hkakg jvd fjkia fjhs'& ck;dj hkq ld, j¾K iula we;a;ka nj;a Tjqka le;" kmqre" ÿIaG .;s .=K we;a;ka iy ukqIHhskag úk lrkakka jQ njg iudch ;=< ms<s. ekSulg ,laj ;snqKq nj o is;sh yelsh' ● hlaI f.da;%sl kdhlhska hehs is;sh yels lvjr" uyfidfydka" l¨l=udrhd jeks pß; yd neÈ iudc úYajdihka foi ne,Sfï § fuh ;yjqre fjhs' fkdtfiakï" mßKdñlj ld, j¾Khla ,o iajfoaYsl ck;djg l¨ j¾Kh ms<sn| ySkudkhla we;s lrjkakg fuu ;;a;ajh bjy,a jkakg we;ehs is;sh yelsh' ● ;u mrmqf¾ Wreuh Wfoid buy;a lem lsÍï fldg wd¾hhka w;ska uereï lE ld,fõ, kï hlaI f.da;%sl kdhlfhl= ms<sn|j mKavqldNh l:dfjys ths' ;jo .euqKq l=udrhdg t<drhka

March 2017

DOCTOR MAGAZINE

mrdch lrkakg ie`.j isákakg Wojq l< fld;au,h kï m%foaYh jkdys isß,l uq,a mÈxÑlrejka nyq;rhla isá m%foaYhla njg is;sh yelsh' l¿ueKsld jeks .euqKq l=ureg wu;l l< fkdyels ;rugu ne|Sula we;s lrkakg iu;a jQ iafkayjka;shla o ta l¿ ñksiqka w;r ys| we;' tfy;a fï iajfoaYsl ld, j¾K we;a;ka iïnkaOfhka jQ ckiudch u; we;s lrk ,o" fkdtfiakï meyem;a iula we;s wd¾hh wdkqNdjh úiska we;s lrk ,o zzl¿ u;hZZ ksjerÈ fkdjk njg idlaIs ´kE ;rï ;sfí' úch úiska wkd: l< l=fõKsh ;u orejka —f;dg;a tmd kï ug;a tmd˜ hehs lshd .f`.a uqyqfoa fkdoud ^wo we;euqka isÿ lrkakdla fuka& Tjqkaf.a / ljrKh mq,skaohkag Ndr fldg wef.a ksh; brKu ;ksfhka ú| ord.;a wdldrfhka wef.a ore fifkyfia ;ru fmfka'

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l¿ iï we;a;ka u; we;s l< wêrdcjd§ iQrdlEu b;sydifha iajfoaYsl l¨ cd;Skag w;a jQ brKug jvd Nhdkl brKula fl<skau iqÿ iï we;s wêrdcjd§ka w;ska 1505 j¾Ifhka miq furg ck;djg w;a úh' Tjqka b;du;a oreKq iy ïf,aÉP f,i l¨ iy ;f,¨ iï we;a;ka jy¨ka yd ïf,aÉPhska fldg i,lkakg jQ w;r" iqÿ l¨ fNaoh u; N+ f.da,h fl,skau fnod fjka flßK' W;=re w¾O f.da,fha iqÿ iï we;a;ka jrm%ido,dNS iem ú|skakka njg m;aúh' l¨ iy ;f,¿ j¾K we;a;ka b;sydi fõÈldfjka ìug fy<k ,ÈS' iqÿ iï we;a;ka nyq;rhla fjfik lsisÿ rgla ÿmam;a rgla fkdjk w;r" ÿmam;a rgj,a ish,a,u mdfya l¿ iï we;a;ka fjfik rgj,ah' wog;a weußld tlai;a ckmofha ysÕkakka ish¨ fokdu mdfya l¨ cd;slhskah' weußldkq ysr f.j,a msÍ we;af;a l¨ cd;slhskaf. ks' wog;a weußldkq fmd,sialdrhska l,a,ka uy mdf¾ urd oud kS;sh

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yuqfõ ksjerÈ ldrhska fjhs' wm%sldkq ckmofha iqÿ cd;slhska nyq,j fjfik ol=Kq wm%sldj ixj¾ê; rgla jk úg wka ish¨ wm%sldkq rglau oßø;djfha m;=f,a .s,S .sh rgj,ah' f,dj l¿ cd;slhska iy ;f,a¨ iï we;a;ka fjfik rgj,a 100 la muK id.skafka isá;a§" iqÿ iï we;a;kag we;s m%Yakh ;rndrejhs' fuh YsIagdpdrpdrfha nrm;, wmrdOhls' iu ÿ¾j¾K ùfï ;j;a nrm;, iudc úoHdjla yuq fjhs' idudkHfhka jev lrk ck;dj ysre rYañhg jeä jeäfhka f.dÿre fjhs' ta ksidu Tjqkaf.a iï ÿ¾j¾K fjhs' hqfrdamfha jev lrk ck;dj ^iqÿ cd;slhska jqjo& iy jev fkdlrk ydïmq;=ka fjkalr y÷kd .ekSfï o¾Ylhla f,io ld¾ñl úma,jfhka miq we;s jQ iudch ;=< w÷re j¾Khla iys; iu i<ld we;' fï ms<s.ekSug wkqj hqfrdamfha tl, úiQ ldka;djka w;r iu iqÿ lr .ekSu i|yd wdiksla wvx.= ixfhda. mjd Ndú; lr ;sfí' fï wdÈ jYfhka wo jk úg iqÿ iula hkq jvd ms<s.ekSula" iudc ;;a;ajhla" jiÕhla yd jeo.;alula ,nd fok ixfla;hla fjhs' tod wêrdcjd§ka ñksia ifï j¾Kh wkqj we;s l< jd¾.sl yd mka;suh ySkudkh wo oji jk úg" Okj;a jHdmdßlhskag fvd,¾ á%,shk .Kkl uyd OkialkaOhla ,en fok jHdmdrhla ù we;' fï iqÿ nj we;s lrk ksIamdok fndfyduhla ms<sn| wfma rfÜ iy msgrgj,a j, lr we;s ridhkd.dr mÍlaIK j, m%;sM, YÍr fi!LHhg kï ta yeá ys;lr jkafka ke;' iu iqÿ lrk" meyem;a lrk l%Sï cd;s j, meálsßh fjk Èkhl lshjuq'

;;a f,aLlhd Y%S ,xld uyck fi!LH mÍlaIljrekaf.a ix.ufha udOH m%ldYl jYfhka lghq;= lrk w;r oekg ckdêm;s f,alï ld¾hd,hg wkqnoaê; zfiudZ wdh;kfha l%shdOrfhl= jYfhka lghq;= lrhs' DM

March 2017

DOCTOR MAGAZINE

D•Magazine /

Advertorial l=ryka .f,ka weUrE l=rlalka j, we;s .=Kh hdka;%slj fudaf,a wUrk l=rlalka j, kE'''

l=ryka .f,ka weUrE l=rlalka j, we;s .=Kh hdka;%slj fudaf,a wUrk l=rlalka j, kE''' oshjeähd frda.Skaf.a iSks md,khg jeäfhkau iqÿiq l=ryka .f,a wUrk l=rlalka nj m¾fhaIKhlska fy<sorõ fjhs

rSkd *qâia mqoa.,sl iud.u foaYSh;ajh w.hñka ck;djg rih" .=Kh imsß wdydr iemhSu uqLHd¾:h lr.;a úfoia f<|fmd<o w;sl%ukh l< ,dxflah iud.uls' fjfiiskau wdydr j, .=Kh m¾fhaIKd;aulj y÷kd.ksñka ta wkQj zzfyd|u foaZZ muKla mdßfNda.slhkg ,ndoSu uÍkd ;u uQ,sl wNsm%dh lrf.k isà' bkaoshdfõ wemf,da frdayf,a fmdaIKfõoSka úiska fld<UoS mj;ajk ,o wgjk cd;Hka;r fmdaIKfõoSkaf.a iïuka;%KfhaoS (Apollo International Clinical Nutrition Update - 2016) uÍkd ksIAmdok weiqre lr.;a wdydr fõ,la jl=.vq frda.Ska f.a frda. md,khg buy;a msájy,la jk nj y÷kd. kakd ,oS' fmdaIKfõofha kj udk weiqf¾ udkj ixy;sh wo uqyqK md we;s fnda fkdjk frda. wNsfhda.h ch

March 2017

DOCTOR MAGAZINE

.ekSug iu;a ;j;a wOHhkhl f;dr;=re uÍkd *qâia iud.u fufia Tn fj; f.k ths' l=rlalka mrïmrdkq.;j wfma me/kakka wdydrhg .;a OdkHhls' w;S;fha wfma uq;=ka ñ;a;ka fndfyda OdkH wdydrhg .;a;;a wo ojfia ta w;S;fha wfma l=i.sKs ksjdÆ OdkH Ndú;fha ke;a;gu ke;s fihls' tfy;a l=rlalka wo ojfiao wfma fndfyda fofkl=f.a wdydruh f;aÍuls' isß,l muKla fkdj bkaoshdjo we;=¿j wdishdkq uydoaùmfhao" wm%sldfõo ck;dj w;r l=rlalka buy;a fia m%p,s;h' f,dalfha jd¾Islj l=rlalka fgdka ñ,shk 4'5la ksIamdokh flfrhs' thska fgdka ñ,shk folla j.d flfrkafka wm%sldkq uydoaùmfhah' fiiai wm wh;a jk wdishdfõh'

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wo ojfiao wm w;f¾ iq,n Ndú;djg fya;=jQ l=rlalka i;= Ñls;ail .=K ;,m" frdá yd msÜgq jYfhka wdydrhg .ekSug fukau le| yd ;j;a iïm%odhsl wdydr yeoSug l=rlalka wfma rfÜ Ndú;hg .kS' l=rlalka uE; ld,h ;=< wfma rfÜ w;sYhska ckm%sh;ajhg m;ajQfha tys we;s fmdaIKSh .=Kdx. ksidh' úfYAIfhkau l=rlalka j, úYd, jYfhka ;ka;= ixhq;shla mj;S' reêrfha iSks hdukhg l=rlalka j,g we;s yelshdj w;s úYd,h' tfyhska oshjeähd frda.Ska w;f¾ l=rlalka fnfyúka ckm%sh wdydrhls' ta yereKQ úg reêrfha fldf,iagfrda,a ixhq;sh wvq lsÍu yd wdydr cS¾Kfha l%udl=xpk l%shdj,sh iqir lsÍug l=rlalka j,g we;s yelshdjo wo ojfia fjfiia wjOdkhg ,laj ;sfí' oshjeähdj - wo wfma rfÜ m%n, fi!LH wNsfhda. hls' kd.ßl m%foaYj, cSj;a jk ck.ykfhka ishhg 16'4la yd .%dóh m%foaY j, cSj;a jk ck.ykfhka ishhg 8'7la oshjeähd frda.Ska nj y÷kdf.k ;sfí' fuh ;jÿrg;a by< hk m%jK;djhla ;sfí' fï wkQj fï wNsfhda.fhka ñoSug wdydruh jYfhka fjkialï we;s lr.ekSu m%uqL wjYH;djhla fjhs' reêrfha iSks w.hka wvq lrk wdydr wkqNjhg f;dard.ekSu yereKQ úg úfYAIfhkau wdydr ieliSï l%shdj,sh ;=<o idOKSh fjkialï we;s lr.ekSu Tiafia jvd doctormagazine.lk

m%Yia; iSks md,khla idlaId;a lrk wdydr y÷kd .ekSuo jeo.;a jkafkaah'

reêrfha iSks hdukhg l=rlalka j,g we;s yelshdj w;s úYd,h' tfyhska oshjeähd frda.Ska w;f¾ l=rlalka fnfyúka ckm%sh wdydrhls' ta yereKQ úg reêrfha fldf,iagfrda,a ixhq;sh wvq lsÍu yd wdydr cS¾Kfha l%udl=xpk l%shdj,sh iqir lsÍug l=rlalka j,g we;s yelshdjo wo ojfia fjfiia wjOdkhg ,laj ;sfí'

March 2017

DOCTOR MAGAZINE

.a,hsisñla o¾Ylh wvq wdydr yd uOH m%udKfha .a,hsisñla o¾Ylhla .kakd wdydr oshjeähd frda.Skag kshu lrkafka fulS ixo¾Nh ;=<h' tfiau fuu wdydr fiiq fnda fkdjk frda. we;s Woúh i|ydo ks¾foaY flf¾'

ksñ l=rlalka úYd, wxY= j,ska fyì ùu fuhg fya;=j f,i ;;a m¾fhaIlhka m%ldY lr;s'

tlu wdydrfha ilik wdldrh wkQj fjkia jk .a,hsisñla o¾Ylh Glycaemic Index hkqfjka ye|skafjk fuu .aÆfldaia j,g ixfõoS o¾Ylh ielfikafka wdydrhla .ekSfuka miq tys m%;sM<hla jYfhka reêr.; .aÆfldaia m%udKh by< kexùug .;jk ld,h mdol lr.ksñks' wdydrhl .a,hsisñla w.h ks¾Kh lsÍug tu wdydrfha wxY= j, m%udKh fya;= fjhs' wdydrfha wxY= j, m%udKhg tu wdydrh ksñ ksIAmdokhla f,i ieliSug''' fhdod.kakd l%uho jeo.;a fjhs' l=rlalka oshjeähd frda.Skag iqÿiq wdydrhla nj ienEh' tfy;a wo jeä jYfhka l=rlalka msá ksIAmdokh lrkafka uyd mßudk rn¾ fuda,a j,h' ta hdka;%sl fuda,a j, ksIamdokh lrk l=rlalka msá u.ska wfmalaIs; iSks md,khla isÿ fkdjk nj m¾fhaIKd;aulj fy<sorõ ù ;sfnk ienEjls'

l=rlalka weUÍfïoS wmg Wreu ù we;af;a wdfõKsl iïm%odhsl l%uhls' l=ryka ., wfma w;S; uq¿;ekaf. hs ke;sju neß wdïmkakhla jQfha thska l=rlalka muKla fkdj ;j;a fndfyda OdkH wdydrhg .; yels fia ms<sfh, lsÍug w;HjYH wdïmkakhla jQ ksidh'

fï nj fy<sorõ l< foaYSh m¾fhaIKhl f;dr;=re 2013 foieïn¾ udifha Ceylon Medical Journal i`.rdfõ m%ldYhg m;a flßK' fï m¾fhaIKh isÿ lf<A tï ta chisxy" tia talkdhl yd ã î kqf.af.dv hk ffjoH m¾fhaIlhka úisks' l=ryka .f,a l=rlalka fmdaIH .=Kfhka by< nj ikd: fõ''' fï m¾fhaIKfhaoS hdka;%slj msßmyÿ l< l=rlalka yd iïm%odhslj msßmyÿ l< l=rlalka wdydrhg .kakg i,iajd Tjqkaf.a reêr iSks jeäjk wdldrh mÍlaIdjg ,la lrk ,oS' hdka;%slj msßmyÿ lrk ,o l=rlalka wkqNjfhka we;sjk iSks md,khg jvd meyeos,sj oelsh yels iSks md,khla iïm%odhsl l=ryka .f,a weUrE OdkH j,ska ,enqKQ nj fuys m%;sM< iïmsKavkh lrk m¾fhaIlhka olajd isák ,oS' fjfiiskau l=ryka .f,ka weUÍfïoS ,efnk

March 2017

DOCTOR MAGAZINE

wdydrh ms<sfh, lsÍug lsishï wdhdihla fhoùug isÿjQj;a flàu" weUÍu wdoS l%shdj,ska Tiafia ;u wdydr m%fhdackhg .; yels wdydr f,i ieliSu wfma wdos uq;=ka ñ;a;ka w;f¾ idOKSh ,laIKhla jQ w;r th Tjqka ÿIAlr ld¾hhla f,i ie<l+fhao ke;' jfka ù fldgd wkqNjhg iy,a ilid .ekSu" l=ryka .f,ka l=ryka weUÍu''' Tjqkaf.a ffoksl oskp¾hdfõ wx.hla jQ w;r tjka mqreÿ wdhq wdfrda.H rlaId lsÍfuys,d fjia j,d.;a rwdYs¾jdohla jQ njo fmfka''''

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wfma me/kakkaf.a iïm%odhsl wdydr Ndú;dj''' wo fhdod. kakd kùk l%ufõohka mjd w;sl%ukh lrñka fndfyda fmruqfKA ;sfnk nj fuu m¾fhaIKfhka h,s;a jrla mila jkafkah' .=Kj;a wdydr isß;lg Wiia ;;a;ajfha fmd,af;,a j,ska ,efnk iïudou

;sfí' fjfiiskau wdydr msKSi jHxck msiSfïoS fhdok fmd,af;,a j,go úYd, ksjdrK yelshdjla ;sfnk w;r tys Wmßu .=Kh i,id.; yelafla fN!;Shj msßmyÿ lrk ,o Y=oaO fmd,af;,a Ndú;d lsÍfuks' fmd,af;,a wkqNjfhka YÍrfha we;sjk bkaishq,ska m%;sfrdaOh ksYaÑ; jYfhkau yªkdf.k ;sfí' HDL hkqfjka ye|skafjk zzfyd|ZZ fldf,iagfrda,a uÜgu by< kexùu" yDoh frda. wju lsÍu yd ia:q,;djfhka ñoSugo fmd,af;,a WmldÍ fõ' kuq;a wfmalaIs; fï wruqKQ bgq lr.ekSug kï by< .=Kd;aufhka hqla; fmd,af;,a msiSu i|yd f;dard.; hq;= fõ' wo fj<|fmdf<a wf,úhg ;nd we;s fndfyda fmd,af;,a by< WIAK;ajfhaoS TlaislrKhg ,laù úúO OQ,l yd fldf,iagfrda,a mjd ksmojk wjia:d fõ' msßisÿ fmd,af;,a Ndú;fhaoS tajd laIKslj cS¾Kh fjhs' thska Yla;sh W;amdokh jk w;r fmd,af;,a j, wvx.= uOH odu fïo wï, u.ska YrSrfha ia:Q,;djho wvq lrhs' zzuÍkd fmd,af;,aZZ by< WIAK;aj j,g r;a lsÍfïoS ;u ridhKsl ixhq;sh fjkia lr.kafka ke;' fï ksid zzuÍkd fmd,af;,aZZ fi!LHiïmkakh' wdrlaIs;h' ffmd,af;,a állska jeä wdydr m%udKhla msiskakgo yels ksid wrmsßueiqïodhlh' .=Kd;aul jYfhka by< fi!LHiïmkak wdydr .kakd Woúh ieu úgu m¾fhaIKd;aulj idlaId;a jQ ldrKd j,g tl`. fj;s' ta tl`.;ajh ksfrda.Slu Wfoid lrk wdfhdackhla njg m;a lr.kakgo fï nqoaêu;a mdßfNda.slhka j.n,d .ks;s'

fï wdldrfhkau reêrfha iSks md,kh lsÍug úNùh jYfhka jákd .=Khka wka;¾.; foaYSh wdydr ;j;a fndfyda doctormagazine.lk

fi!LHiïmkak .=Kj;a wdydr isß;la .fõIKh lrk wm hd hq;af;a wfmau w;S; Wreuhka y÷kd.ksñks' DM

March 2017

DOCTOR MAGAZINE

March 2017

DOCTOR MAGAZINE

doctormagazine.lk

Physiotherapy wxYNd. frda.h ÿrefldg isrer iu;=,s; lr.; yels jHdhdu

Stroke Rehabilitation

wxYNd. frda.h ÿrefldg isrer iu;=,s; lr.; yels jHdhdu

xYNd. frda.fhaoS uQ,sl jYfhka isref¾ iajdNdúl bßhõ" iu;=,s; nj iy p,khka wdndê; ;;a;ajfha iajNdjh wkqj ke;s ù hkakg mq¿jka' fï wkqj wm iajNdúlj yqre ù we;s bßhõj, fhoSfï p,kh lsÍfï yelshdj fkdue;s ù hkjd' kuq;a ;ukag wjYH ld¾hhka isÿ lsÍug" m%Odk jYfhka w;mh yeisrùfïoS jeros bßhõj,g yqreùfï wjodkula ;sfnkjd' iajNdúl;ajfhka msg isÿjk fuu jeros bßhõ j, ld,hla fhoSfuka fud<fha tu jeros bßhõj OdrKh ùula isÿ fjkjd' óg fyd|u WodyrKh ;uhs wmg krl jpkhla weiqfKd;a ta iekska u;lfha /f|kjd' kuq;a fyd| jpkhla u;lfha r|jd .ekSug fldhs ;rï fjfyila oeßh hq;=o@ wmf.a bßhõ iïnkaOfhkao fud<fha wkq.ukh jkafka tnª ms<sfj;la' fï ksid wxYNd. frda.h je<|Sfuka miq iqmqreÿ bßhõj, yd p,kfha fhoSfï wmyiq;djh u.ska blauKska jeros bßhõ lrd fhduq ùula isÿ fjkjd' fïjd ksjeros fkdfldg oeä wdhdifhka tu bßhõj,u lghq;= lsÍfuka frda.h W;aikak ùug;a fya;= fjkjd' fï ksid wxYNd. frda.h je<|Su;a iuÕ jeros bßhõj,g fhduq ùug wjia:dj ie,iSu fkdl< hq;=hs'

doctormagazine.lk

wxYNd. frda.h je<|Sfï oreKQ;u wjia:dfõoS frda.shd ñh hEu isÿ úh yelshs' tfiau ysi ßoSula jeks iq¿ ßoSu muKla isÿ jk wjia:do wxYNd. frda.fha ;sfnkjd' kuq;a fuu wjia:d foflaoS m%;sldr wjYH jkafka keye' kuq;a fï w;r;=r frda.Skag m%;sldr wjYHhs' fN!; Ñls;aidj hkq wxYNd. frda. m%ia:dr .; fldg frda.sfhla ñh hEu 0 ^ìxÿj& f,i i<ld weúoSug yels uÜgu olajd fldgia mylg wxlkh lr ;sfnkjd' my; wdldrhghs' fuysoS frda.shd oekg isák ;;a;ajh wkqj m%;sldr wrUk w;r ke;s ù .sh isref¾ iunr;djh kej; Wmßu uÜgug f.k taug lghq;= l< yelshs' m%;sldr lsÍfïoS fud<fha pd,l m%foaYfha ffi, iy iu;=,s;;djh r|d mj;ajk l=vd fud<fha iudfhdackh yd iu;=,s; nj md,kh flfrk m%foaY kej; WoaoSmkh lsÍula isÿ fjkjd' fï i|yd fud<h W;af;ackh lrk l%u lsysmhlau Ndú;d lrkjd' tysoS mxp bkaøshka yryd fud<hg

March 2017

DOCTOR MAGAZINE

Physiotherapy wxYNd. frda.h ÿrefldg isrer iu;=,s; lr.; yels jHdhdu

ix{d ,nd oSu m%Odkhs' 1' oDIAÀh uÕska 2' wd>%dKh uÕska 3' weiSu ^wKoSu& 4' iu f;rmSu yd thg WIAK;ajh fhdod .ekSu 5' frda.h n,dmd we;s ikaê yryd fud<hg ix{d heùu fï ;=<ska wfmaCId lrkafka wdidokh iy wd;;shg ,la ù we;s fud<fha ffi, kej; wfma md,khg ,nd .ekSuhs' ta wkqj by; m%ia:dr.; lsÍu wkqj m<uq wjia:dfõ tkï wef|A Wvqne,s w;g je;sÍ isák frda.sfhl=g uq,skau wef|a uqkska w;g ;nd l%ufhka T¨j Wv my;g lsÍug ie,eiaùu l< hq;=h' fuysoS m%Odk jeros bßhõj jk jl=gqùu md,kh lr.; hq;= fjkjd' ta i|yd w. msgqmig lr tl;= lr ;nd .ekSug ie,eiaùu fyda je;sÍ isák úg isrer fome;a;g jkakg ;eîu l< hq;=h' bkamiqj T¨j Wia my;a lsÍu jdr oyhla myf<djla jYfhka áflka ál jeä lsÍug ie,eiaúh hq;=hs'

fuysoS Wrysi yd isrer fl<ska ;eîug u;l ,nd .kak' fojk wjia:dfõoS frda.shd jeä lrjd w;a fol tl iudkj fome;af;ka ;nd je<ñg fl<ska lr ueKslalgqj <Õska Wvg Wiaid weÕs,s os.yer isàug ie,eiaúh hq;=h' ;=ka jk wjia:djg m;a frda.sfhla cfka,h jeks fohla w;afolskau w,a,d ke.sÜgùug ie,eiaúh hq;=hs' kuq;a fuysoS úfYAIfhkau oKysi j<¨lr yd Wl=,a yd ikaê j,g isref¾ nr iuj fnoS hk wdldrhg ke.sàug ie,eiaùu l< hq;=hs' ' y;rjk wjia:dfõoS tla w;lska Wia ;ekl we;s fohla w,a,d ysg.kakg ie,eiaúh hq;=hs' fuh udrefjka udrejg w;a folgu iufia fnoS hk wdldrhg isg .ekSu lsÍu jeo.;a' fuysoS oKysia fl,ska ;eîu wkjYH fjkjd' oKysi keùug ,lafjkjd kï fN!; Ñls;ailjrfhla fj; fhduq ùu jeo.;a fjkjd' lsisÿ wdOdrlhla Ndú;d fkdfldg isg f.k isàu ó<`. mshjrhs' fuysoS oE;a msgqmig ;nd ysgf.k isák ld, iSudj is;ska .Kkh l< hq;=h' fuh osfkka osk j¾Okh lr .ekSu ;=<ska isref¾ iu;=,s; nj we;s lr .ekSug fya;= fjkjd' DM fN!;Ñls;ail l=udrisß jdßhmafmreu úisks

March 2017

DOCTOR MAGAZINE

doctormagazine.lk

March 2017

DOCTOR MAGAZINE

Tuberculosis ;ju;a laIh fkdjqKQ laIh frda.h

ud¾;= 24 oskg fhfok f,dal laIh frda. oskh fjkqfjks

;ju;a laIh fkdjqKQ laIh frda.h ldhsl frda. úfYaI{ ffjoH ksfrdaO o is,ajd uy;df.a foaYKhla weiqßks

CIh frda.h hkq ,dxflah fmdÿ jyf¾oS ldi frda.h" ldih jeks kï j,ska y`ÿkajk uhsflda nelaàßhï áhqn¾ lHQf,daisia ^Mycobacterium tuberculosis& keu;s nelaàßhdj fyj;a úIîch u.ska we;s lrk frda. ;;a;ajhls' fuh CIh ùfï frda.h" iqÿ uydudßh White Plague hk kï j,skao w;S;fhaoS y`ÿkajd we;' CIh frda.h iïnkaO úoHd;aul fidhd.ekSï 1800 .Kka j,oS fuh mrïmrdkq.;j mej; tk frda.hla f,i wkqudk lrk ,oS' 1865 oS Jean Antoine - Villemin úiska TB iam¾Yfhka fndajk nj m%ldY lrk ,oS' 1882 oS c¾udkq cd;sl Robert kock kï úoHd{hd úiska 1882 ud¾;= 24 osk fuu frda.h uhsflda nelaàßhï áhqn¾ lshqf,daisia keu;s nelaàßhdj u.ska je<fok nj fidhd .ekSu laIh frda. m%;sldrj,sh iM,odhS lsÍug n,meje;ajQ ;SrKd;aul fidhd.ekSuls' CIh frda.h ioyd m%;sldr fidhd .ekSug fmr tjeks frda.Ska ioyd jQ úfYaI uOHia:dk (Sanatorium) fj; frda.Ska fhduq lrk ,oS'

March 2017

DOCTOR MAGAZINE

tl, tu uOHia:dk j,g hjk frda.Ska iqj jk ;=re$ñhhk ;=re weo úfõlfhka újD; jd;dY%h iys;j ysre t<sh jefgk ia:dk j, r`ojd ;nk ,oS' 1940-1950 w;r ld,h ;=< T!IO fidhd .kakd ,oS' 1943 oS Streptomycin keu;s T!IOh fidhd .ekSu fuu frda. l<uKdlrkfha ;j;a jeo.;a iksgqykls' 1943 oS- 1952 ld,h ;=< laIh frda. úIîchg tfrysj l%shd l< yels Isoniazid INH P-aminosalicylic acid (PAS) hk T!IO fidhd .kakd ,oS' fuu T!IO fidhd .ekSfuka miqj ngysr rgj, laIh frda.S urK ixLHdj úYd, jYfhka wvq jQ nj jd¾;d jk w;r iEu jirlu CIh frda.hg f.dÿrejk frda.Ska ixLHdj meyeos,s wvq ùulao olakg ,enqKq nj lshfõ' ta;a iu.u CIh frda.Ska ioyd újD;j ;snQ úfYaIs; frday,ao jidouk ,o nj lshfõ'

doctormagazine.lk

Y%S ,xldfõ CIh frda. b;sydih ms<sn| f;dr;=re ìola 1916 oS CIh frda. u¾Ok wdh;khla fld<U fldgqfõ wdrïN úh' 1917 oS tu wdh;kh zz<h frday,ZZ f,i rd.ug /f.k hkq ,eìK' 1919 oS rd.u msysá wdh;kh <h frday, f,i l`odkg f.k hk ,o w;r 1937 oS je,sir <h frday, msysgqjkq ,eîh' 1945 oS CIh frda. u¾Ok jHdmdrh msysgqjkq ,eîh' miqj th uyck fi!LH jevigykla f,i osjhsk mqrd jHdma; úh' 1988 oS CIh frda. u¾Ok jHdmdrh iajik frda. u¾Ok jevigyk f,i kej; kï lrk ,oS' 2001 oS iajik frda. u¾Ok jevigyk hk ku fjkia lr th CIh frda. u¾Ok yd <h frda. ms<sno cd;sl jevigyk f,i kï lrk ,oS' CIh frda.h mrïmrdkq.; frda. hla fkdjk w;r fiïm%;sYHdj jeks ;j;a fndajk frda.hla muKs' ksis m%;sldr u.ska ksÜgdjg iqj l< yels frda.hls' tfy;a ksis m%;sldr fkd.ekSu ksid doctormagazine.lk

CIh frda.fhka urKh mjd isÿúh yel'

CIh frda.h we;s lrk nelaàßhdj

CIh frda. úIîchg YÍrfha ´kEu ;ekl ia:dms; úh yel' m%Odk jYfhka fmky¿ wdidokh lrk w;r fmky¿ j, ndysrj ;ekam;a ùfuka mqmamqYSh fkdjk CIh frda.h je<osh yel' CIh frda.h we;s lrk mico bacterium úIîch j¾. lsysmhla we;' micobacterium tubarculosis - fmky¿ CIh frda.h micobacterium bovis micobacterium africanum micobacterium Microti micobacterium Cenetti- CIh frda.h we;s fkdlrk micobacteria j micobacterium Avium complex TB nelaàßhdj fmky¿ j,g ndysrj wdidokh úh yels ia:dk ● fud<h ● jid .%kaÓ ● jl=.vq ● wiaÓ

March 2017

DOCTOR MAGAZINE

Tuberculosis ;ju;a laIh fkdjqKQ laIh frda.h

;=< we;s Alveoli .¾; olajd .uka lrhs' CIh frda. nelaàßhdj .=Kkh jkafka fuu .¾; ;=<h' wdidokh wdrïN jkafkao t;eksks' bka miq b;d iq¿ CIh frda. nelaàrshd m%udKhla reêrhg tlaj isrer mqrd me;sÍ hhs' .¾; ;=< .=Kkh jk CIh frda. nelaàßhdj jgd i;s 2-8 w;r ld,hla ;=< isref¾ we;s m%;sYla;slrK moaO;sh u.ska m%;sfoay (Macropages) ksmojk w;r th nelaàßhdj jg lrhs' fuu ffi, nelaàßhd md,kh lsÍug lghq;= lrhs'

CIh frda.h ksid fmKy,a,la úkdY jk wdldrh fï rEmlfhka losug oelafõ

wm rfÜ $ ^f,dalfha& nyq,j olakg ,efnkafka fmky¿ mqmaMqYSh CIh frda.hg f.dÿre jQjkah' ,xldfõ tu m%;sY;h 80] muK fõ' CIh frda.h me;sfrk wdldrh CIh frda. úIîch me;sÍu isÿ jkafka mqoa.,hdf. ka mqoa.,hdg iDcqju ìos;s l%uhg jd;h yrydh' wdidos; frda.shl= lysk" l;d lrk úg úIîch jd;hg tl;= fõ' ;j;a mqoa.,hl= yqiau .kakd úg ta yryd tu mqoa.,hdf.a fmky¿ j,g we;=,a fõ' fmky¿ j,g we;=,ajk CIh frda. úIîch fmky¿

March 2017

DOCTOR MAGAZINE

m%;sYla;slrK moaO;shg fuu CIh frda. úIîch md,kh l< fkdyels jqjfyd;a blauKska .=Kkh ù CIh frda. ;;ajh we;s fõ' m%;sYla;slrK moaO;sh ÿ¾j, flfkl=g fuh b;d blauKska je<osh yel' Wod( HIV oshjeähdj

doctormagazine.lk

CIh frda.h je<oSug jeä wjodkula we;s Woúh 1' frda.Ska iu. iómj wdY%h lrkakka'-mjqf,a wh" rdcldß ia:dkfha fiajh lrk wh" hy¨jka 2' wvq wdodhï ,dNS mqoa.,hka ^fmdaIK ;;a;ajh ÿ¾j, ùu fya;=jla fjhs& 3' fi!LH fiajlhka 4' l=vd orejka yd <orejka ^Tjqkaf.a m%;sYla;s moaO;sh j¾Okh fjñka mj;sk ksid& 5' u;aøjH Ndú;d lrkakka 6' jd;dY%h wvq wêl ck.ykhla fjfik mßirhl cSj;a jk - me,am;a jdiSka" irKd.;hka 7' msgrgj, Wmka whg CIh frda. úIîch YÍr.; ùfuka miq uq¿ cSú; ld,h mqrdu úIîch mqoa.,hd ;=< ;sìh yel' kuq;a CIh frda. úIîch YÍr.; jQ muKskau CIh frda.h we;s fkdfõ' wdidos; mqoa.,hskaf.a 10] muK CIh frda.Ska njg m;afõ'

doctormagazine.lk

CIh frda.fhka wdidos; fmKy¿ olajk tlaia lsrK PdhdrEmhla

CIh frda.fhka fmf<k frda.sfhla m%;sldr fkd.kakd úg wjqreÿ my ;=< ñhhdug we;s yelshdj 50]la muK fõ' ´kEu ;rd;srul mqoa.,fhl=g CIh frda.h je<oSug mq¿jk' CIh frda.h hï mqoa.,fhl=g je<oSu flfrys tu mqoa.,hd i;= m%;sYla;sh n,mdk nj Tng jegfykq we;s' CIh frda. ,CIK fmky¿ ;=, CIh frda.h we;sùu 1' i;s ;=klg jvd mj;sk leiai m%Odku frda. ,CIKh fõ' 2' rd;%s ld,hg we;sjk u`o WK 3' nr wvqùu yd wdydr wreÑh 4' rd;%S ld,fhaoS wêlj oyäh oeóu' 5' fiu iu. f,a msgùu' ie<lsh hq;=hs( CIh frda.Ska oy fofkl=f.ka tla whl=g fuu ,CIKh olskakg we;s w;r iEu CIh frda.sfhl= ;=<u th olakg fkd,efí' fmky¿ j,g ndysrj CIh frda.h je<oS we;s úg ^mqmaMqYSh fkdjk CIh frda.h& tu ia:dkhg wdfõKsl frda. ,CIK fmkakqï lrhs' March 2017

DOCTOR MAGAZINE

Tuberculosis ;ju;a laIh fkdjqKQ laIh frda.h

3' X-ray chest fmky¿ wdY%s;j lrkq ,nk X lsrK ,nd .ekSu'

CIh frda.fhka wdidos; orefjla

CIh frda.sfhl= yÿkd .kakd wdldrh fï ioyd we;s mÍCIK my; mßosh 1' Mantoux tuberculin skin test fuh tkak;la f,i ilid we;s wl%Sh jQ CIh frda. nelaàrshdjlska ,nd.;a fm%daàkhlska ilid we;' CIh frda.sfhl=g fuu tkak; ,ndÿka úg tu ia:dkfha m%;sl%shdjla we;sfõ' th .Kkh lsÍu ;=<ska frda.h y`ÿkd.; yel' wod, ødjKfha 0'1 la tuberculin isßkachlg f.k jï wf;a je<ñfgka Wv we,h me;a;g ,ndfoa' meh 48-72 w;roS m%;sl%shdj mÍCId lsÍu' 2' frda. ,CIKh yd YdÍßl mÍCIdj u.ska iaÓrj lsj fkdyels uq;a b;d jákd f;dr;=re ,nd.; yel'

March 2017

DOCTOR MAGAZINE

4' nelaàßhd mßCIK Bacteriological Examination - Sputum Sample (fiu mg, mÍCIdj& - Bronchoscopy - Culturing ,xldfõ isÿlrk jvd;au myiq yd ,dNodhSu fukau id¾:lu mÍCIdj jkafka fiu mg, mÍCIdjhs' fiu mg, mÍCIdj frda.sfhl= fï i|yd fiu ksheos $idïm, ;=kla ,ndosh hq;=h' th tl;= lsÍu ioyd wod, fi!LH wdh;kfha idhk u.ska ta ioyd kshñ; Ndck ,ndfokq ,efí' 1 jk ksheosh frda.shd úiska tu wjia:dfõoSu fi!LH uOHia:dkfhaoS ,ndosh hq;=h' 2 jk ksheosh 3 jk oskfhaoS frda.shd ;u ksjfiaoS WoEik wjos jQ jydu fiu idïm,hla ,nd.; hq;=h' ^imhd we;s Ndckh ta ioyd fhdod .; hq;=h&

doctormagazine.lk

3 jk ksheosh 3 jk oskfhaos fi!LH uOHia:dkhloS th ,ndosh hq;=h' fuu tl;=lr .kakd idïm, fl< fkdùug j. n,d .; hq;=h' .eUqre f,i yqiaula f.k leySfuka ,nd .kakd fiu úh hq;=h' frda.hg m%;sldr .kakd w;r jßka jr fiu mg, mÍCIdjg ,la lrk w;r thska frda.shdf.a ;;a;ajh n,d.; yel' frda.h wdidokh fkdjk frda.shd f,i i<lkq ,nkafka' 1' i;s 2 la fyda Bg jeä ld,hla m%udKj;a m%;sldr ,nd .kakd frda.shd 2' frda. ,CIK l%ufhka hym;a w;g yefrk frda.shd 3' meh 5-24 uq, .;a wLKav idïm,a ;=kla iDK ^Negative& m%;sM, fkdjk frda.shd CIh frda.h ioyd m%;sldr m%Odk jYfhka T!IO j¾. y;rßla we;' 1' Isoniazid(INH) 2. Rifampin (RIF) 3. Pyrazinamide (PZA) 4. Ethambutol (EMB)

doctormagazine.lk

CIh frda.h i|yd ,nd fok DOTS m%;sldrh

fuu T!IO m%;scSjl ^úIîc úkdY lsÍu i|yd fhdod.kakd& T!IO fõ' ksjeros ud;%dj kshñ; ld,h ;=<oS fkdlvjd .ekSu ;=<ska iïmQ¾K iqjh ,`.dlr .; yel' CIh frda. ldrl úIîchg iajdNdúlju wfkla úIîc j,g jvd ord .ekSfï Yla;shla we;s ksid tu úIîc úkdY lsÍu ioyd wju jYfhka udi 6 la j;a oskm;d T!IO .; hq;=h' frda.shdf.a frda. ;;a;ajh wkqj m%;sldr ,eìh hq;= ld,h ffjoHjrhd úiska ks.ukh lrkq we;' T!IO ksjerosj .ekSu meyer yeÍu Nhdkl ;;a;ajhla we;s lrhs' th Multi Drug Restitant TB hkqfjka (MDR TB) yeoskafõ' MDR TB hkq CIh frda.shl= úiska kshñ; T!IO" kshñ; ud;%dj" kshñ; ld,h iïmQ¾K jk f;la ,nd fkd.ekSu ksid iqj l< fkdyels CIh frda.S wjia:djg m;aùuhs' tkï ;jÿrg;a tu m%;scSjl T!IO j,ska CIh frda. úIîch u¾Okh l< fkdyels ;;a;ajhla we;s ùuhs' fuys Nhdkl lu jkafka tu frda.shd úiska wks;a whg m;=rjkafkao m%;sldr u.ska iqjl< fkdyels CIh frda.s ;;a;ajhla ùuhs'

March 2017

DOCTOR MAGAZINE

Tuberculosis ;ju;a laIh fkdjqKQ laIh frda.h

laIh frda.h iïnkaO w;S; u;lhka'''

1932 j¾IfhaoS m%ldYhg m;a l< fï jd¾;dfjka lshejqfKA Terpsichorean Diversion ksid laIh frda.h we;s jk nj y÷kdf.k we;s njhs' Terpsichorean Diversion hkq wka ljrla fkdj k¾;kfha fhoSu fkdfyd;a keàuhs'

hqksfi*a wdh;kh úiska 1950 oYlfhaoS tjlg Ceylon hkqfjka ye|skajqKq wfma rfÜ .ulg f.dia laIh frda. tkak;a ,ndÿka ÿ¾,N PdhdrEmhla' Photo Credit The Historical Medical Library of The College of Physicians of Philadelphia

March 2017

DOCTOR MAGAZINE

lysk lsúisk úg f,akaiqjla mdúÉÑ lrkak' fï oekaùu wog;a fkd.e,fmao@

wdorfhka fok ydÿjla ksid laIh frda.h je<|sh yels hhs mjiñka orejkag ydÿ oSu wffO¾h l< uq,a ld,fha fmdaiagrhla

doctormagazine.lk

DOTS CIh frda.Ska ioyd úfYaIs; jQ m%;sldr l%uh CIh frda.Ska ioyd úfYaIs; jQ m%;sldr l%uh DOTS kñka yÿkajhs' tkï Directly Observed Treatment Short Course iDcq ksÍCIK m%;sldr l%uh kñka th isxy,fhka Ndú;d lrhs' fuysoS m%;sldr ,ndoSu" ksÍCIKh lsÍu ioyd CIh frda. u¾Ok jevigykg j.lshk tfukau frda.shdg myiqfjka ,`.d úh yels whl= <h Ñls;aid.drfhka m;a lr .kq ,nhs' frda.shd m%;sldr .kakd njg iy;sl ùu fuu mqoa.,hkaf.a j.lSu fõ' ta i`oyd frda.shd oskm;du toskg kshñ; T!IO ud;%dj f;dard.;a ksÍCIlhd bosßfha .s,Su isÿ l< hq;=hs' fuu l%uh b;d id¾:lj frda.Skag m%;sldr lsÍu ioyd;a MDR TB ;;a;ajh we;sùu je<elaùu ioyd;a fhdod.; yel' lfYarefõ laIh frda.h ieÿKQ frda.sfhl=f.a fï Bcsma;shdkq uñh l%s mQ 1000 muK ld,hg wh;a jkakls'

T!IOj, w;=re wdndO 1' wk;=reodhl fkdjk w;=re wdndO 2' wk;=reodhl w;=re wdndO CIh frda.fhka wdrCIdùug yd frda.shdf.ka frda.h me;sÍu je<elaùu .;hq;= mshjr ● CIh frda.h .ek oekqj;a ùu ● frda.Ska fldka lsÍfuka je<lSu ● ksjeros m%;sldr j,g fhduqùu ● oshjeähd jeks frda. ;;a;aj ukdj md,kh lsÍu ● fydo jd;dY%h wdf,dalh iys; mßirhl cSú;h .; lsÍu ● fmdaIK uÜgu .ek ie<ls,su;a ùu ● frda. ,CIK .ek ie<ls,su;a ùu yd leue;af;ka ;ukaf.a mÍCIKj,g iyNd.s ùu ● lysk" yd lsúiqï hk úg f,akaiqjla Ndú;d lsÍu ● ;ek ;ek fl< .eiSfuka je<lS isàu

ñksia ixy;sfhka yf;ka tlla urKhg m;ajQ frda. hg úoHd;aulj úiªï fidhd .ekSfï uq,a mshjr jQfha frdnÜ fldla úiska laIh frda.h we;slrk neis,h y÷kd.ekSuhs'

doctormagazine.lk

CIh frda.h ksÜgdjgu iqjl<yels frda.hls' fkdmudj m%;sldr ioyd fhduq jkak' DM idlÉPd fldg ilia lf<a osh;,dj uQ,sl frdayf,a ysgmq fi!LH wOHdmk fyo ks<OdßkS - pkaødks r;akdhl

March 2017

DOCTOR MAGAZINE

wdhq¾fõoh WordndO i|yd fy<fha bmerKs fjolï

uhqrmdo ysñhka rpkd l< m%fhda. r;akdj,sh frda. /ilg ms<shï i|yka l< uyd ksOdkhla n÷ fy< fjo mqia;lhls WordndO i|yd fy<fha bmerKs fjolï ka;d iy msßñ ldf.a;a isrer úrEmS lrk wx.hla jkqfha muKg jvd uy;a jQ Worhhs' uy; Worh frda. ;;a;ajhla ñi wêl iqL úyrKfha fyda iuDoaêu;a nfõ ixfla;hla fkdjk nj b;d merKs fy< fjo fmd;la jk zzm%fhda. r;akdj,sfhaZZ i|ykaj ;sfí'

m<uqjeks nqjfklnd rc iufha uhqrmdo msßfjkayS jev úiQ uhqrmdo msßfjkam;ska jykafia úiska zzmQcdj,shZZ ,shd fojkqj zzfhda.d¾KjhZZ kï jQ fjo fmd;o ,shk ,ÿj f;jkqj iïmdokh lr we;af;a fï zzm%fhda. r;akdj,shZZ hs' mqiafld< m;a bre j, msgq ish .Kkla jk fia w;ska ,shk ,o fuu udye`.s ffjoH .%ka:h weiqf¾ id¾:l f,i fjo fyolï j, ksr; jk fjokdjreka wog;a ÿ,n fkdfõ'

March 2017

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ymq;f,a tia tï ã fifkúr;ak úisks

merKs fjo fmd; mf;ys we;s úfYaI;ajh merKs fjo fmd; mf;ys we;s úfYaI;ajh jkqfha uq,skau frda. hla olajd th we;s ùuj fya;=j;a" th iqj lsÍug osh hq;= Tiq;a ms<sfj<ska olajd ;sîuh' fï yer hï frda.hlg l< hq;= ms<shï úia;r lsÍfïoS m<uqj b;d ir< fnfy;a jÜfgdarefõ isg l%ufhka ixlS¾K jQ ixfhda. kshu lr bkq;a fkdkej;S wjidkfha ri fnfy;a wdosho jÜfgdare lsÍuhs' ri!IO hkq fy< fjolfuys jvd;a oshqKQ Ndú;djhs' frda. ;;a;ajhlg m<uqj wjg we;s ;=re,;d Tiq wdosfhka osh yels ir< myiq m%;sldrfha isg isg l%ufhka pQ¾K" .=,s"

doctormagazine.lk

ñyska;,d úydr ixlS¾Kfha frda.Skag m%;sldr msKsi fhdod.;a bmerKs fnfy;a Trejla

l,al" f,ay" f;,a" kiak wdoS jYfhka frda.shdf.a idOH widOH nj wkQj fnfy;a kshu lr wjidkfha ri T!IO olajd flfuka olajd isàu ffjoHjrhdg buy;a myiqjls' tys wjidkfha úia;r flfrk ri T!IO ms<sfh, lsÍu fukau fhoSuo wdOqkslfhl=g myiqfjka l< yelalla fkdfõ' wêl úI iys; mdIdkï" rka" ßoS" Bhï" ;=;a;kd.ï" ueKsla' ;U" hlv" riosh wdoS f,day j¾. mjd úI kid ri T!IO ms<sfh, lrk

doctormagazine.lk

neúka tajd ksIAmdokhg .=re weiqr fukau m%dfhda.sl mqyqKqjo ;sìh hq;= fõ'

mqiafld< m;a bre j, msgq ish .Kkla jk fia w;ska ,shk ,o m%fhda. r;akdj,sh weiqf¾ id¾:l f,i fjo fyolï j, ksr; jk fjokdjreka wog;a ÿ,n fkdfõ' úi,a jQ Worh .ek m%fhda. r;akdj,sfha i|yk m%fhda. r;akdj,sh - fï bmerKs .%ka:hg wkQj muKg jvd uy;a jQ Worh frda.S ;;a;ajhls' fuh .eyekq" msßñ" nd, yd uy¿ ldg;a fmdÿ ;;a;ajhls' fï nj i|yka jkqfha tu .%ka:fha tk tl=ka úis jeks wdoHdhfha meñfKk zzWor Ñls;aidZZ

March 2017

DOCTOR MAGAZINE

wdhq¾fõoh WordndO i|yd fy<fha bmerKs fjolï

kï jQ mßÉfPofhah' ta wkQj ufydaor frda.h" jdf;daorh" ms;af;daorh" Yaf,aIfudaorh" ÿIafgdaorh" hdlDcsf,daorh" wIaÀf,dorh" ma,Sfydorh" noaO .=fOdorh" laIf;dorh" cf,daorh hhs Wor frda. / ila fõ' fuu úúO m%ldr frda. ;;a;ajhka we;sùug fmdÿ fya;= jYfhka olajd we;s fmdÿ lreKQ wog;a j,x.=h' tu fya;= ldrKd fufiah' zzukaod.aks we;a;d yg wm;H ùfuka" ÿIaG wdydr wkqNj lrkakdg wcS¾Kfhka" juk úf¾l lsÍfuka" f;,a wdosh je<|Sfuka" f;,a msg we,a meka îfuka" iafõo wïnqjdys f>%d; iqka je<lSfuka" u<noaOfhka" ÿIaG c,h mdkfhka" kL frdaudosh wdydr iu. je<|Sfuka" wêlj .ia ke.Sï" msyskSï lSfuka ia;%Ska úiska fok fok ÿiHdúifhka" Wor msmSu" u< msg lsÍfï fõokd iy wmyiq;d we;sjk nj;a" widOH jQ úg oE;a" fom;=,a uqL wdosfha bosuqï" u<noaOh" p¾u frda. we;súh yels nj;a i|yka lr ;sfí' fuu ffjoH .%ka:h ,shd we;af;a oUfoks hq.fhaoSh' tys tk Tiq kï yd jd.a jHjydrho tu hq.fha ckS ckhd Ndú;d l< wdldrhgu fõ' tneúka fuu .%ka:fha i|yka jk we;eï Tiq kdu fï jk úg fjkia ù we;s njo ie<lsh hq;=h' jir ish .Kkla merKs Tiq jHjydrhka .ek ukd oeKQulska f;drj fuys tk jÜfgdare m%;sldr msKsi w;ayod ne,Su wk;=reodhl úh yel' fuys tla tla Wor frda. ldrKd hgf;a l< hq;= m%;sldr jYfhka b;d iq¿ m%;sl¾ufha isg ixlS¾K fjo Ndú;djka olajd úúO m%;sldr jÜfgdare ógu''' ógu''' jYfhka f,dl= l=vd fnfy;a jÜfgdare úis mylg jvd olajd we;s wjia:do fõ' Worh uy;a ùu flfryS n,mdk lreKQ fuu ffjoH .%ka:hg wkQj Worh uy;a ùu flfryS n,mdk lreKQ /ils' ukaod.aksh we;s ;eke;a;ka w.aksh fkdjvjk ^msIAgh iys; wdydr& nqoSfuka yd tajd wm;H ùfuka" osrùug myiq wdydr ^W!re uia"

March 2017

DOCTOR MAGAZINE

n,ud¿" wÉpdre" biaika wdoS WIaKdêl& wdydr j¾." ms¿Kq wdydr j¾. ^ÿIAG wdydr& je<|Sfuka" muK fkdoek juk" úf¾l lsÍï fyda tu lghq;= ksishdldrj bgq fkdlsÍfuka" f;,a iy fïoh iys; wdydr wkqNjfhka" flacq" .sf;,a" fj`vre wdosh iys; wdydr f.k isis,a osh mdkfhka" u< fõ." uq;% fõ." wfOdajd; fõ." wEKQï wdosh kssis f,i neyer fkdfldg j<lajd isàfuka" os.ska os.gu mj;sk u<noaOh fkdi<ld yeÍfuka" ÿIAG c, ^wmsßisÿ c,h" u;ameka& mdkh lsÍfuka" wdydrh iu.kshfmd;=" flia" f,dï wdosh ^ks;r kshfmd;= iemSufdosfhka& YÍr.; ùfuka fyj;a fkdosrjk foa wdydrhg .ekSfuka" wêl fjfyilr lghq;= j, fhoSfuka" ia;%Ska úiska fok ,o ÿiHdúifhka ^bkd nkaOk wdosfhka& uy;a jQ Wor ;;a;ajhka we;súh yel' fï ish¿ ldrKd leá lr.;a úg fmkS hkafka úIudpdr wdydr yd mej;=ï fya;=fjka uy;a jQ Wor ;;a;ajh we;súh yels njh'

doctormagazine.lk

wg wdldr iajrEm .kakd WordndO .ek i|ykla fuu frda. ;;a;ajh wg wdldr iajrEm .kakd nj m%fhda. r;akdlrfha i|yka fõ' jdf;daorfhaoS ^jd;fhka yg.;a& frda.shdf.a isref¾ recd" úouka" me,Sï" fidaM" yia:fhys" uqLfhys" msá m,af,ys" bosuqï" ;DIAKd" isiEreï''' fï yeuo" wxY Y=," wreÑ" Wor.; jdhq wdosfhka fmf<kafka hhso i|yka fõ'

kskao fkdhdu" lïue,s .;s" YÍr Yla;sh ySk ùu" lrleú,a," fydß" oo" l=IaG wdoS p¾u frda. we;sùu" iu wj meye .ekaùu wdosfhka fkdkej;S ksis f,i u<my msg lsÍu wiSre ùfuka u<noaOfhka wdrïN ù w¾Yia" N.kaOr yd YÍr bosuqï olajd frda. ;;a;ajhka we;súh yel'

m%fhda. r;akdj,shg wkQj .eyekq" msßñ" nd," uy¿ fldhs ldg;a widudkH f,i msg;g fkrd ;sfnk Worh frda.S ;;a;ajhls'

ms;af;daor frda. ^msf;ka yg.;a& ,laIK jYfhka uDÿ YÍrho" cajrho" Yafõo" msmdi" ody"y%u ks,a j fyda lidjka jQ YÍr we;sùu" uq¾Pd" w;Sidr" lg l=¿ ri ùu" kshfmd;=" weia" Púh" nv''' fï yeu lidjka ùï" kyr .eg .eiSï fõ''' hkqfjks' Worh widudkH f,i bosßhg fkrd tau;a iu.u we;sjk YdÍrsl wmyiq;d / ils' blauKska weúoSu" b|.ekSu" ke.sàu" osùu wdosfhys wmyiqj bka m%Odk fõ' u<noaOh" ukaod.aksh" Worfha w;=KQnyka fmr<Su" Yajik wmyiq;d" y;sh" ksosu; fyda we;eï úg

doctormagazine.lk

fy< fjolfuka WordndO ish,a,u mdfya iqj l< yelshs m%fhda. r;akdj,shg wkQj fï ish¿ WordndO b;d myiqfjka iqj l< yels Tiq /ila mj;S' tfy;a merKs fjo reishka Worh isyska ùug úúOdldrfha YdÍßl jHdhdu ks¾foaY l< njla fkdfmfka' thg tl, ck iudcfha wdl,am fya;= jQjd jkakg yel' m%fhda. r;akdj,sfhA Wor Ñls;aid mßÉfPoh uekúka mßYS,kh lrk úg úúO WordndO w;r uy;a jQ Worh m<uq ;ekayS i<ld we;s nj fmfka' fuu frda. March 2017

DOCTOR MAGAZINE

wdhq¾fõoh WordndO i|yd fy<fha bmerKs fjolï

;;a;ajh os.ska os.gu fkdi<ld yeÍfuka fjk;a frda. j,g uq,a jkafkah' fmdÿfõ .;a l< uy;a jQ Wor orkakka úYd, wdydr mßudjla .s, oukakkah hk woyi flfkl=g we;súh yel' tfy;a ienEj kï fudjqkaf.ka nyq;rhla idudkH mqoa.,fhl= .kakd m%udKhg;a wvq wdydr m%udKhla .ekSuhs' fï wkQj Worh uy;a ùug fya;=j wêlj wdydr .ekSuh hk u;h ì| jefÜ' l=vd orejkaf.a kï fmdaIK W!K;d fya;=fjka Worh bosßhg fkrd ths' ldka;djkaf.a Worh fkrd tAï''' ldka;djka ore m%iQ;sfhka miqj l< hq;= we;eï m%;sldr fkdi<ld yeÍu ksido Worh bosßhg fkrd tau isÿfõ' ldka;djkaf.a ore m%iQ;sfhka miqj Worh fros lvlska ;rfha fj,d osk lsysmhla .; fjkakg yeÍu wo;a wfma .eñ l;=kaf.a isß;hs' fufia fkdlf<d;a ore .en ord isá ld,fha bosßhg fkrd wd iu tf,iskau mj;sk nj .eñhkaf.a ms<s.ekSu úh' tl, .eñ ldka;djka rEm,djKH .ek t;rï ;elSula fkdl<o Worh bosßhg fkrd taug kï leue;a;la fkdoelajQ neõ fmfka' j;auka kd.ßl l;=ka fuka rEm,djKH i|yd jeä ld,hla fyda Okhla jeh fkdl< .eñ l;=ka Worh uy;a ùug fya;= jk tla ldrKdjla f,i i<ld m%iQ;sfhka miq Worh fj,d ;eîu u.ska l,a we;sju tu ;;a;ajfhka wdrlaId ùug Wkkaÿ jQ nj fmfka' m%fhda. r;akdj,shg wkQj .eyekq" msßñ" nd," uy¿ fldhs ldg;a widudkH f,i msg;g fkrd ;sfnk Worh frda.S ;;a;ajhls' Worh uy;a jQjka fndfydauhlg lsj yels ;rï frda. ;;a;ajhla meyeos,s f,i fmfkkakg fyda oefkkakg fkdue;s jQj;a YÍrdNHka;rfhka úúOdldr fjkialï isÿ fjñka mj;S' fï ;;a;ajh fkdi<ld yeÍfuka isÿ jkafka fjk;a frda. /ila u;=jg we;s ùfï wjodkuhs' os.ska os.gu

March 2017

DOCTOR MAGAZINE

wm;H wdydr wkqNjh ksid we;sjk u<noaOh jeks frda. ;;a;ajhka iys;j Worh fkrd we;s ldg;a m<mqreÿ foaYSh ffjoHjrfhl=f.a Wmfoia u; ;sm,a lIdh jeks iqÿiq wdldrfha úf¾lhla isÿ lsÍfuka miq ;%sm,d fyda wr¿ uqiq jQ pQ¾K wdos myiq Tiqjla ál l,la Ndú;fhka Worh widudkH f,i msg;g fkrd tau j<lajd .; yel' wêl jHdhduh u.ska fyda wdydr md,kh u.ska uy;a jQ Worh isyska lr .ekSug wdhq¾fõofha Wmfoia ,efnkafka b;du;a úr, jYfhks'

miq igyk fuu ,smsh ielfikafka bmerKs wdhq¾fõo .%ka:hla jk m%fhda. r;akdj,sh weiqßKs' fuu bmerKs rdclSh .%ka:fha uq,a msgm; n,kaf.dv" uyj,;ekak j,õfõ ;sì ndkaia r;aj;a; osidj fj;ska ,ndf.k rdclSh mKaä; lsßwe,af,a {dKúu, ysñhka úiska yd,a o`vqjk OïurlaÅ; ysñhka i;= w;a msgm; yd ii|d ixialrKh lrk ,oaols' DM

doctormagazine.lk

fnda fkdjk frda. ksÜgdjgu iqj lr.kak ldhsl frda. .eiag%hsáia oshjeähdj fm%I¾ fldf,iagfrda,a ysiroh u<noaOh w¾Yia kskao fkdhdu wêl ksosu; mSkia frda. w;a ysßh m¿ oeóï leiSï wdY%s; úúO iï frda. jd;rla; uq;%d frda. we;=¿ ish¿ ksoka.; frda.

,sx.sl frda. oshjeähdj WIAKdêl nj jeks fjk;a ldhsl ;;a;aj ,sx.sl fn,ySk;djh mqreI Yla;sh ÿ¾j, ùu ,sx.dY%s; isks÷ u;=msg me<Su jeks ;;a;ajhka

ldka;d frda. oreM< mud ùï Tima fodaI .¾NdI.; frda. Yafõ; m%or ^iqo hdu& leucorrhoea

rla; m%or

ish¿ frda. ;;a;ajhka ksÜgdjgu iqj lr.ekSu i|yd yuq jkak' ^/lshdjka lrk w;r myiqfjka Ndú;hg .; yels mßos T!IO ilia lr we;'

wdhq¾fõo ffjoH rkam; rejka r;akdhl rkam; fjo ueÿr 663" kqjr mdr" mE,shf.dv wdhq',s'm'wxlh 13869

071 300 9088 | 011 434 4599 mÜáh ykaosh fchrdca m%kdkaÿmq,af,a .=jka md,u wi, doctormagazine.lk

March 2017

DOCTOR MAGAZINE

D•Magazine /

wdhq¾fõoh msmdih ikaisªjk ;j;a .=K /ila we;s meKs mqyq,a fyj;a flduvq

msmdih ikaisªjk ;j;a .=K /ila we;s meKs mqyq,a fyj;a flduvq

oeä WKQiqu mj;sk fuu oskj, uy u. .uka lrkd úg wmg ;ek ;ek úÑ;%j;a f,i flduvq fm;s t,a,d irid we;s flduvq fjf<|dï lrk ia:dk olakg ,efí' th wmf.a fk;g m%sh oiqkla fukau wêl msmdihg osjHuh wdydrhls' tksidu tys ri ú|Sug wm fmf<fUkafka ksrdhdifhks' isxy, jHjydrfhaoS meKS flduvq" meKs mqyq,a wdoS kï j,ska yªkajk flduvq bx.%Sis jHjydrfhaoS Water Melon hkqfjka yªkajhs'

March 2017

DOCTOR MAGAZINE

hlal, le<Ksh úYAj úoHd,hh .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;fha lÓldpd¾h ffjoH mshqñ fmf¾rd

idudkHfhka úh<s m%foaY j, WKqiqï iD;=j,oS jefjk w;r tu m%foaY j, jikakkaf.a msmdih ÿre lsÍug fukau YÍr odyh ksùug;a iajNdj O ¾uhdf.ka ,enqKQ uyÕ= odhdohla f,i fuu m<;=r ie<lsh yelsh' tys uofha we;s is;a .kakd iq¿ r;= frdai j¾Kh ksid fndfyda fokd th wdydrhg .ekSug m%sh lrkd fiau T!IO jYfhka úúO frda. i|ydo fuu rij;a m<;=r Ndú;d lrhs'

doctormagazine.lk

uq;%d noaO;djh we;s úg meKs flduvq b;d wdrCIdldÍ uq;% ldrlhls' fuuÕska uq;%d j, wdï,sl;djh ke;s lrk w;ru jl=.vq yd uq;%dYfha ;ekam;a ù we;s wmøjH uq;%d uÕska neyer lrjhs' neyer lrjhs' ^kuq;a oreKQ jl=.vq frda. mj;sk wjia:d j, we;sjk uq;% noaO;djh yd uq;% wdidok i|yd Ndú;hg iqÿiq ke;&

meKs flduvq .=K ● isis,a îula f,i Ndú;fhka WKqiqï ld, j,oS we;s jk YÍr WKqiqu" odyh" msmdih" uÕ yrjd .ekSug fukau wdydr reÑh jvjd .ekSugo yelsh ● meKs mqyq,a weg ukd fmdaIK .=Kfhka hqla; w;r neo wdydrhg tla lr .; yelsh ● uq;%d noaO;djh we;s úg b;d fyd| yd wdrCIdldÍ uq;% ldrlhla f,i flduvq Ndú;d l< yelsh' fuuÕska uq;%d j, wdï,sl;djh ke;s lrk w;ru jl=.vq yd uq;%dYfha ;ekam;a ù we;s wmøjH uq;%d uÕska

doctormagazine.lk

● YÍrfha ,jK j¾. yd c,h /ia jQ fYda: ^Fluid edema& wjia:d j,oS flduvq hqI ùÿrejlg ó meKs fïi ye|s 1 la oud îug oSu b;d .=K odhlh' ● w;Sidr" mdpk" juk jeks wjia:d j, we;s jk úc,k;d i|yd flduvq hqIhg foys weUQ,a iaj,amhla ñY% lr îug oSu ys;h ● ´kEu cajr ^WK frda.& wjia:djl oS flduvq hqI" .aÆfldaia yd ó meKS iuÕ oSfuka YÍrfha we;s jk c, ysÕh ^úc,kh& u. yeÍug fukau fmdaIK mod¾: wjYH;djh iemsÍugo yelsh' ● flduvq uq,a fldgd ,nd .kakd i%djh .ìidùulska miqj we;sjk reêr jykh uÕ yrjd .ekSu i|yd fhdod .kS ● reêr kd, j, ;ekam;a ù we;s fïoh wvq lsÍu i|yd flduvq weg Ndú;d l< yelsh' ta wkqj yDo frda. j,ska wdrCId ùugo WmldÍ fõ ● meKs mqyq,a fyj;a flduvq f*da,sla wï,fhka b;du ire neúka f,a ysÕ nj uÕ yeÍug fhdod .kS' óg wu;rj ysià a ßhd" ksko a fkdhdu ^Insomnia& wdoS udkisl wdndO j,g o" fix.ud,h" CIh frda.fhaoS we;s jk f,a ldrd oeóugo" r;am; s "a WmoxY mQhdfïyh wdosfha oS isref¾ we;s jk odyh ikai| s ùu msKi s o fhdod .kS' isref¾ meyem;a nj we;s lsÍfï .=Kh ksid rEm,djkH lghq;= i|ydo fhdod .efka' DM March 2017

DOCTOR MAGAZINE

wdhq¾fõoh osh; ch.;a zzm%dKcSjZZ n,.;= T!IOh y÷kajd ÿka fi;aiqj wdh;kfhka w¿;a T!IO ksIAmdok fm<la'''

osh; ch.;a zzm%dKcSjZZ n,.;= T!IOh y÷kajd ÿka fi;aiqj wdh;kfhka w¿;a T!IO ksIAmdok fm<la''' fi;aiqj wdhq¾fõo frdayf,a ;j;a wkNsNjkSh ck;d fiajdjla ÿrd;S;fha isg Y;j¾Idêl ld,hla ;siafia wfma fi!LH /l .ekSug" frda. iqj lsÍug bjy,a jQfha mdrïmßl fjoluhs' oykj jirla fojk rdcisxy ksß÷kaf.a isrlrejl=j fuys fjfiñka fy<fha ck cSú;h .ek ishqï wjfndaOhla ;snQ frdnÜ fkdlaia ;u lD;sfha ,shd we;af;a wfma rfÜ iEu mqrjeisfhlau fjo {dKfhka hqla; njhs' wdhq wdfrda.H fkdwvqj ú|skakg" ish¿ fi!LH wNsfhda. ch.kakg wdhq¾fõoSh uQ,O¾u u; msysgd ;snQ wfma mdrïmßl fjolu ue m%fhdackj;a úh' bjy,a úh' iïm%odhsl ffjoH l%u kQ;k f,dalfha wjYH;d iu. noaOj bosßhg f.k hdfï wNsfhda.h ch .ekSug kï iEu úfglu úoHd;aul m¾fhaIK weiqre lr.; hq;af;ah' lS¾;sOr zzfi;aiqj frdayf,aZZ wêm;s ffjoH iqcSj ú;dkf.a uy;d iajlSh wdhq¾fõo ksIAmdok úoHd;aul m¾fhaIK i|yd fhduq lrkafka thska yqÿ ;u ksIAmdokhg muKla fkdj iuia; wdhq¾fõo lafIA;%hgu ie,fik fi; iïnkaOfhka úYAjdifhks'

March 2017

DOCTOR MAGAZINE

f,dalh mqrd kula oskQ zzm%dKcSjZZ ksIamdolhka jYfhka ;j;a uy`.= wdhq¾fõo ksIAmdok fm<la y÷kajd oSu miq.shod isÿúK' nKavdrkdhl cd;Hka;r iïuka;%K Yd,dfõoS tu W;aijh meje;sfha fi!LH fmdaIK yd foaYSh ffjoH wud;H fodia;r rdcs; fiakdr;ak ue;s÷ka m%Odk;ajfhks' fuu wjia:djg f.!rjKSh uyd ix>r;akh" wkHd. ñl mQcl jykafia,d" md¾,sfïka;= uka;%S p;=r fiakdr;ak" kdúl yuqodm;s;=uka yd ;j;a f.!rjKSh wuq;a;ka /ilao udOHfõoSkao iyNd.s úh' fi!LHiïmkak cSú;hl moku jkafka je<÷KQ úg m%;sldr lsÍu u fkdfõ' frda. j,g Tfrd;a;= fok m%;sYla;shla we;s lr .ekSu jvd;a jeo.;a jk ldrKhhs' .=Kj;a wdydrmdk iy fi!LHiïmkak cSú;h

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March 2017

DOCTOR MAGAZINE

March 2017

DOCTOR MAGAZINE

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wdhq¾fõoh yßhg frda. úksYah isÿ lf<d;a''' yß m%;sldr ie,iqfkd;a u<noaOh iqj lr.; yelshs'''

yßhg frda. úksYah isÿ lf<d;a''' yß m%;sldr ie,iqfkd;a u<noaOh iqj lr.; yelshs'''

u<noaOhg os.=ld,Skj m%;sldr fkd.ekSfuka fjk;a nrm;, frda. we;súh yelshs

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wdhq¾fõofha ioa mrud¾:h jkafka ukqj. f,v frda. j,ska wdrlaId lrf.k ksfrda.S cSú;hla ,ndoSuhs' fï wruqK fmroeß lr.;a mrud¾: folla wdhq¾fõo ffjoH úoHdjg ;sfí' ● ksfrda.S mqoa.,hdf.a ksfrda.S nj wdrlaId úh hq;=hs''' ● frda.S mqoa.,hdf.a frda.S nj ke;s l< hq;=hs' ksfrda.S mqoa.,fhl=f.a ksfrda.S nj ;jÿrg;a wdrlaId lsÍug wdydr yd ksis úyrK fya;= fjhs' frda.sfhl= iqjm;a lsÍug kï i;r fofkla tla úh hq;=h' ta frda.shd" T!IO" Wmia:dhlhd iy ffjoHjrhdh' u<noaOh wo fndfyda fofkla ks;r ks;r mSvd ú|sk frda.hls'

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March 2017

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yßhg frda. úksYah isÿ lf<d;a''' yß m%;sldr ie,iqfkd;a u<noaOh iqj lr.; yelshs'''

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ksishdldrj u< neyer fkdùu ksid YÍrhg úYd, wmyiqjla oefkkjd' thska we;sjk udkisl wiykho úYd,hs' lEula îula .kakg we;s msßh;a fï ksid ke;s fjkjd' wdhq¾fõo ffjoH rkam; rejka r;akdhl fujr wm yd fodvu¿ jQfha fï iq,n u<noaOh ms<sn|j yd Bg fhdod.; yels m%;sldr iïnkaOfhka wm mdGlhka

u<noaOh iïnkaOfhka m%udKj;a f,i wjOdkh fhduq fkdlsÍfuka miqj fïjd zzuyd frda.ZZ njgo m;aúh yel'

oeKQj;a lsÍugh'

uydnvje,a j, we;sjk p,kh fifuka isÿùu" .=ofhka u< neyer lsÍfï wmyiqj fyda fï folu fya;=fldg f.k wka;%j, wdydr bosßhg f.k hk p,k l%shdj,sfha ukao.dó iajNdjh fya;=fldg f.k u< ud¾.h wjysr ùula u<noaOfhaoS isÿ fjkjd' wdhq¾fõohg wkQj u<noaOh we;s jkafka jd; fodaI uQ,sl lrf.khs' tfy;a thg ms; yd l¿ fodaIhlao iïnkaO úh yelshs' u<noaOfha frda. ,laIK fuh we;eful=g we;s jkafka flá ld,Sk u<noaOhla jYfhks' kuq;a fï fláld,Sk u<noaOhg jQj yqre jQ úg th oS¾> ld,Skjo" ia:sridrjo mj;akd frda. ;;a;ajhla njg m;a fjhs' u< wmjyk isß; l%udKQl+,j isÿ fkdùu fuys m%uqL ,laIKhhs' úYd, wdhdihla f.k b;d iq¿ u< m%udKhla msg lrkjd' tho u<noaOhhs' flfkla osk 2-3lg jrla u, msg lrk w;r ;j;a flfkla osk 5-6-7 olajd jeisls,s fkdhd isáhs' u< fldgia msg fkdlr isàu fldhs yeá fj;;a flfkl=g we;s lrkafka iq¿mgq wmyiq;djhla kï fkdfjhs' 78

March 2017

DOCTOR MAGAZINE

fï frda.Ska m%lg lrk frda. ,laIK lsysmhla fufiahs' ● nv mqrjd oeóu ● ysfia lelal=u ● uqLfhka ÿ¾.kaOhla jykh ùu ● fkdßiaiqï iy.; nj ● uqyqK w÷re meye ùu ● iu ÿ¾j¾K ùu ● ifï leiSu ● ;=káfha yd ykaosm;a wdY%s; fõokdj fujka frda. ,laIK u;ska we;sjk u<noaOh iïnkaOfhka m%udKj;a f,i wjOdkh fhduq fkdlsÍfuka miqj fïjd zzuyd frda.ZZ njgo m;aúh yel' fï fya;=fjka w¾Yia" w¾Yia N.kaord wdoS oreKQ frda. ;;a;ajhka mjd yg.ekSug bv ;sfí' tfiau mSki" jd;rla;h" l=IaG frda. iy uOqfïyh wdoS frda. we;sùug fuh uq,la fõ' .=o ud¾.h yd ldka;djkaf.a kï fhdaks ud¾.h my;a ùugo m%;sldr fkdl< u<noaOh fya;= úh yelshs' u<noaOh we;sùug fya;= u<noaOh we;sùug n,mdk fya;= rdYshls' iuyrekag Wm;skau

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u<noaOh we;s fjkjd' .¾NsKS iufhaoS fndfyda ldka;djka u<noaOhg ,la fjkjd' jhia.; jk úgo u<noaOh we;s fjk bvlv jeähs' wvqfjka wdydr .;a úgo u<noaOh we;súh yelshs' oshjeähd T!IO yd fydafudak T!IO .kakd úgo u<noaOh we;s úh yelshs' .eiag%hsáia yd cS¾Kl moaO;sh wdY%s; widudkH;d ksid flfkl=g u<noaOh we;súh yelshs' <ud wjêfha mgka tk frda.o miqld,Skj u<noaOh we;sùug fya;= fjhs' uõmshka úiska mqxÑ ikaosfha ;rjgq lrñka lEu leùug W;aidy oeÍu fya;=fldgf.k"

wdhq¾fõohg wkQj u<noaOh we;s jkafka jd; fodaI uQ,sl lrf.khs' tfy;a thg ms; yd l¿ fodaIhlao iïnkaO úh yelshs'

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jeä wdydr m%udKhla .ekSfuka we;sjk mßjD;a;Sh .eg¿o u<noaOh we;s jSug fya;= fjhs' jeäfhka wdydr .ekSu jeäysáhka w;f¾o úúO .eg¿ we;s lrhs' u<noaOh tys ixl+,;djhla jYfhkao we;súh yel' u<noaOh we;s lrk wdydr fldams" fpdla,Ü wdosh ks;r .ekSfuka u<noaOh we;súh yelshs' flá wdydr" lD;%Su wdydrj,g weíneys ùfukao u<noaOh welsúh yelshs' mdkamsá j,ska yd f;,a j,ska ;ekQ wdydro u<noaOh jeä lrhs'

March 2017

DOCTOR MAGAZINE

D•Magazine /

yßhg frda. úksYah isÿ lf<d;a''' yß m%;sldr ie,iqfkd;a u<noaOh iqj lr.; yelshs'''

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u<noaOfhka ñoSug m%udKj;a f,i c,h mdkh lsÍu' ;ka;= fldgia wêlj we;s t<j¿ yd m<;=re wdydrhg tla lr .ekSu l< hq;a;lauehs'

fl|s iys; wdydr" t<j¿" m<;=re yd OdkH j¾. jeäfhka wdydrhg tla lr .ekSu u<noaOfhka ñoSug u.ls' u<noaOhg lrk m%;sldr m%udKj;a f,i c,h mdkh lsÍu' ;ka;= fldgia wêlj we;s t<j¿ yd m<;=re wdydrhg tla lr .ekSu m%Odkhs' m%;sldr f,i .;a úg u<noaOh ksid mSvd ú|sk frda.Skag jvd;a iqÿiq jkafka foaYsh m%;sldrhs' ngysr iïNjhla iys; m%;sldr ta wjia:djg .=K fok uq;a os.=ld,Skj frda.h iukh lrkafka ke;' tfy;a wdhq¾fõoSh m%;sldr ieliS we;af;a frda.h ksÜgdjgu iqj lsÍu wruqKQ lr.ksñks' uDÿ úf¾pk .=K iys; m%;sldr foaYSh wdhq¾fõofha u<noaOh frda.Ska i|yd ,ndfohs' fndfyda úg rd;%S wdydrfhka miq fïjd .; yelsh' fï T!IO Ndú;fhka WoEik u< nqre,a ùula isÿù u< wmjykh b;d myiq lrhs' uQ,sl jYfhka ta wjia:dfõ we;s wmyiq;djh bj;a lrkjd yereKQ úg os.=ld,Skj fyd| nys>%djhla we;s lsÍu foaYSh úf¾pl T!IO j, úfYAI;ajhls'

u<noaOhg rkam; mrmqf¾ iqúfYAIS m%;sldr rkam; mrïmrdfõ wmf.a m%;sldr l%uh jvd;a iykYS,S iqjhla i|ydu fya;=jk w;r ld¾h nyq, cSú;hla .; lrk Tng b;d myiqfjka m%fhdackhg .; yels jk fia wmf.a T!IO ksmojd ;sfí'

fld<U" kqjr mdf¾ mE,shf.dv wxl 663 orK ia:dkfha msysgd we;s zzrkam; fjo ueÿrZZ fj; meñfKk Tng ukd frda. úksYAphlska miq Ndú;hg b;d myiq" kùk l%u u.ska ixialrKh lrk ,o ld¾hlaIu" m%;sM<odhS ishhg ishhla foaYSh T!IO weiqf¾ m%;sldr ie,fikq we;' úfYAI;ajh jkqfha rkam; fjo mrïmrdfõ ryia jÜfgdare weiqf¾ fï T!IO ixialrKh ùuhs' u<noaOh fukau" fjk;a ´kEu frda.hlska fmf<k Tng .e,fmk m%;sldr l%u wm i;=j mj;akd w;r meñK m%;sldr ,nd wdhq wdfrda.H iïm;a;sh úkaokh lrk f,i wm isysm;a lruq' DM ilia lf<A wñ; úl%udrÉÑ

March 2017

DOCTOR MAGAZINE

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March 2017

DOCTOR MAGAZINE

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fifkyiska wu;ñ''' ohdnrj iqrlsñ''' Y%S ,xldfõ m%:u fi!LH ffjoH i`.rdj''' m%:u oaùSNdId fi!LH ffjoH i`.rdj hk f.!rj oaú;ajhu oskd.;a jir úis folla ;siafia wLKavj udiam;d Tn w;g m;a flfrkjH jHqyd;aul woshqreju;a iu.ska mdGl Tn wduka;%Kh lsÍug ,eîu uf.a cSú;fha buy;a Nd.Hhla fldg i<lñ' fuu lS¾;su;a m%ldYKh wdrïNfha isgu ud <`.ska weiqre lrk ,o w;r thg we;s iudc ms<s.ekSu iïnkaOfhka ug we;af;a buy;a f.!rjhls' úfYAIfhkau uE; ld,fhaoS fï rfÜ fi!LH ffjoH jD;a;slhka ìys lsÍug zzffjoHjrhdZZi`.rdj u.ska ,ndÿka odhl;ajh úYsIAGh' mqyqKQjk fyo YsIHdjka" mjq,a fi!LH ks,Odßkshka yereKQ úg ;j;a fndfyda fi!LH jD;a;slhka fï weiqf¾ oeKQu oshqKQ lr.kafka oYl .Kkdjl isgh' fujka f.!rjhla we;s i`.rdfõ kj;djfha fjkialula isÿ lrkakg ud fj; fï rfÜ m%uqL fi!LH ikaksfõolfhl= jQ Ndr; .=K;s,l ue;sªka l< wdrOkh ud ms<s.;af;a uQ,sl lreKQ folla uq,a lrf.kh' m<uq fldg fï rfÜ <ud yd ldka;d iqjfi; ikaksfõokfhys,d jD;a;slhka yd uyck;dj w;r md,ula fjkakg''' wdorKSh fõosldjla jkakg zzffjoHjrhdZZi`. rdjg úNùh yelshdjla ;sfí' uf.a wruqK ta wruqK uqÿkam;a lrjd .ekSfuys,d bosßfhaoS lem fjñka Tfí oeKQu msmdidj ixis|jñka Tfí iqjfi; Wfoid uf.ao idOKSh odhl;ajhla oelaùuhs' fojekak kï ud oekgu;a fï rfÜ fi!LH ikaksfõolfhl= jYfhka isÿ lrk ld¾h Ndrhg fï kj ld¾hNdrh;a iu.ska ,efnk Yla;shhs' zzffjoHjrhdZZ i`.rdj yd iïnkaOj lghq;= lrk wmf.a ffjoHjreka" úoaj;a jD;a;slhka yereKQ úg ;jÿrg;a wm yd w;aje<a ne|f.k ;jÿrg;a Bg Yla;shla jkakg yels ish¿ fokdu tl;= lr.ksñka fï rfÜ iqj ikaksfõokfhys jvd;a meyeir

March 2017

DOCTOR MAGAZINE

ld,mßÉfPaohl il%Sh md¾Yajlrefjl= ùfï isyskhlao ug ;sfí' ta wruqK idOkfhys,d ud lemù l%shd lrk w;r bosßfhaoS ta fjkqfjka úfYAI jevigyka yªkajd oSug ud wfmalaId lrñ' fï ish,a, iu.ska Tfí mjqf,a idudcslhkaf.a iqjfi; Wfoid zzffjoHjrhdZZ i`.rdj iu.ska w;aje,a ne|f.k fi!LH ikaksfõolfhl= jYfhka jákd iqj oeKQu kj;djfhka" jvd;a j.lSfuka Tn fj; f.k tkakg fu;eka isg fokak ug wjir''' YHdu,S m;srf.a Editor - Women's World

Director – Senehasa foundation, Baby care , child nutrition advisor Adv. Dip. in psy counseling [fertility & child] Dip. In midwifery Dip. in mother & baby Spa Therapy, Dip. in mother & baby Spa Management & operation Dip in yoga teacher training Dip. in Pharmaceutical studies Dip. in Hypnotherapy & Counseling Volunteer society leader national service award 2013 (UNFPA}

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Tfí ì<s|d iqqfjka i;=áka'''

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WK yd WK j,smamqj uõmshka u. fkdyer oek.; hq;=u uQ,sl lreKq lsysmhla WK .ekSu hkq YÍr WIaK;ajh 37'5 C g jvd by< ke.Suhs' WK we;s úg orejdf.a wef`.a riakh jeä fjkjd' ysia lnf,a riakh jeä fjkjd we`. fjõ,kak mq¿jk w;a ll=,a iS;, fjkjd

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March 2017

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FEVER AND FEBRILE SEIZURE

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WK .efkk tl fyd|o @ krlo @ WK isref¾ mj;sk iajdNdúl m%;sYla;sh l%shd;aul jk l%uhls' YÍr WIaK;ajh jeäùu wef`.a ;sfnk úIîc j,g tfrysj igka lsÍug Woõ fjkjd' Tfí nndg WK .ekS we;aoehs oek.kafka flfiao @ WK ;sfnkjdo hkak ksjerosj oek .ekSug we;s úYajdiodhS l%uh jkafka WKlgqjlska WK ne,Suhs' w; k<,g ;nd" uqyqKg uqyqK ;nd wdoS jYfhka WK ne,Su yd ta weiqf¾ ;SrK .ekSu t;rï úYajdiodhS l%uhla fkdfõ' WK ;sfnk úg l< yels foa''' ● fmdaIHodhS wdydr j¾. reÑ mßos" orejdg yels muK ,nd fokak'

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● oshr j¾. yels iEu úgu ,nd fokak' ● uõlsß fndk orefjla kï jeä jeä jdr .Kkla uõlsß fokak' ● orejdf.a wu;r we÷ï bj;a lrkak' ● fodr cfk,a újD; lr jd;d>%h ,efnkakg i,iajkak' ● úÿ,s mxldjla wi< isàfuka wef`.a riakh blauKska wvqfõ' ● u| WKqiqï c,fhka f;ud ñßld.;a fros lvlska ysfia isg fom;=,a olajd we`. msiod.kak' Tfí wjOdkhg fhduq úh hq;= WK j,smamqj ● ffuh frda. ;;a;ajhla fkdfõ' ● wef`.a WIaK;ajh jeäjQ úg fud<fhka we;sjk m%;sl%shdjla muKs' ● fndfyda úg WK je<|S m<uq meh 24 ;=< we;sfõ' kuq;a tla jrla fyda WK je<÷K úg orefjl==g udi 6 - wjqreÿ 6 muK jk f;la WK we;sjk úg kej; we;súh yel' ● fWK j,smamqj ksid fud<hg ydks isÿ fkdfõ' ● fidudkHfhka WK j,smamqj mj;skafka úkdählg;a wvq ld,hls'

March 2017

DOCTOR MAGAZINE

● we;eï úg úkdä 2-3 muK ld,hla ;sfnkakg mq¿jk' WK j,smamqj we;s úg l< hq;= foa ● l,n, fkdù orejd jï me;a;g yrjkak' ysig fldÜg ;nkak tmd' ● orejd Tijd .ekSfuka j<lskak' ● .eiau k;r lrkakg yokak tmd' ● uqLh ;=<g hlv len,s" ye|s" we`.s,s we;=,a lrkak tmd' ● j,smamq ;;a;ajh mj;sk úg wisys ;;a;ajfha isák orejdg lsisjla fmdjkak W;aidy lrkak tmd' ● j,smamq ;;a;ajh mej;S ld,h igyka lr.kak' ● j,smamqfõ iajNdjh igyka lr.kak' w;la mhla jeks isref¾ tla fldgila muKla .efykjdo @ uq¿ isreru .efykjdo hkak úuikak' ● wu;r we÷ï bj;a lrkak' ● j,smamq ;;a;ajh os.ska os.gu mj;skafka kï orejd jï me;a;g yrjd ysi foiska md;alr frday,g f.k tkak'

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nr lsf,da .a?ï tllg osh yels Wmßu fnfy;a m%udKh 15mg muKhs' ksoiqkla' orejdf.a nr lsf,da .a?ï 16 Kg kï osh hq;= fnfy;a m%udKh 16 x 5 = 240 mg

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WK niskakg merisgfuda,a ,nd fokakg Wmfoia WK 100F/38C g jeäkï merisgfuda,a T!IOh kshñ; ud;%dj YÍr nrg wkqj meh yhlg jrla ,nd fokak'

orejkag merisgfuda,a osh hq;= ud;%dj YÍr nr Kg isrma 15 mg / kg 3 2 4 2'5 5 3 6 3'5 7 4 8 5 10 6 12 7'5 13 8 15 9 16 10 YÍr nr Kg fm;s 10 Kg 15 Kg 25 Kg 30 Kg g jeä

fm;s fm;s fm;s fm;s

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ffjoH Wmfoia fkdmudj ,nd.kak ● j,smamqj we;sjQ ´kEu wjia:djlg miq" j,smamq ;;a;ajh úkdä mylg jvd mj;sk úg" meh 24la ;=< tla jrlg jvd je<÷K úg ● j,smamq ;;a;ajh iu. orejdf.a my; olafjk wdldrfha lsishï widudkH;djhla fmkajk úg -widudkH ksosu; -;o ysiroh -WK iu. wêl jukh -uq;%d msgùu b;d wvqùu -lsß Wrdîu wvqùu -yeisÍu wuq;= ùu

1$4 125 mg 1$2 250 mg 3$4 375 mg 1 500 mg DM

Reveiwed by Dr Deepal Perera March 2017

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Tfí ì<s|d iqqfjka i;=áka'''

nndf.a m%ckk moaO;sh yd ine|s .eg¿ fifkyi mokfï wOHlaIsld" mjq,a fi!LH fiajd ks,Odßks YHdu,s m;srf.a

refjla Wmka ú.i ujf.a lkiai,a,''' ;ukaf. orejd yeu w;skau msßmqka orefjlao lshk tl''' orejd ksfrda.Sj ish¿ w`. mi`. iys;j fuf,dj cks; jQ nj oek.;a;u ujg oefkk i;=g wiSñ;hs' ta;a orejd tlal ld,h .; lrk úg ujg kej;;a .eg¿ u;= fjkjd''' ta wfkal .eg¿ w;f¾ Tfí lsßleáhkaf.a m%ckl bkaøsh wdY%s;j we;s úh yels .eg¿ lsysmhla fï ,smsfhka idlÉPd flfrkjd'

March 2017

DOCTOR MAGAZINE

.eyekq orejkaf.a fhdaks u.ska f,a hdu w¨; Wmka l=vd .eyeKq orejkaf.a fhdaks ud¾. fhka f,a hdula fyda iqo hdula jeks fohla fndfyda úg ±lsh yelsh' fuh ish¨u orejkaf.a isÿ fkdjQjo w¨; Wmka orejka w;r nyq, yd uõjreka ìh lrjk ;;A;ajhls' fuhg fya;=j jkafka ujf.a fydafudak <ore isref¾ uo jYfhka meje;Suhs' fuu fydafudak <ore isrefrka bj;a ùu;a iu.u ;;a;ajh myj hhs' tu Y%djhka fyda reêrh msgjQ úg b;d msßisÿ j;=frka fidaod f;; ud;a;= lr msßisÿ kemshla wkaod ;eîu wjYH fõ' l=vd .eyekq orejkaf.a fhdaks u.ska l=vd uia je±,a,la jeks hula u;=j ;sîu' fuh idudkH ;;a;ajhls' th bj;a lsÍug W;aidy fkdlrkak' ie;alï u.ska fyda bj;a lsÍu lsisfia;au wjYH fkdfõ' fuh bfígu ye,S hhs' msßisÿj ;nd .kak'

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w¿;a nndf.a mshhqre bÈñ,d" lsß .ego @ iuyrla w¿; Wmka nnd,df.a mshhqre úYd,ù .eghla fia w;g wiqjkq ±lsh yel' r;=ù bÈó ;sîuo lsß jeks Y%djhla .e,Suo ±lsh yel' .eyekq" msßñ fNaohlska

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mqxÑ mq;df.a jDIKfldaIj, ysia nj iuyr w¿; Wmka msßñ orejkaf.a jDIKfldaI j, ysia njla ±lsh yelsh' fuúg ffjoH mßlaIKhla isÿ lr ne,Su wjYH fõ' w¿; Wmka orejka frdayf,ka msg; hdug fmr fuu mrSlaIdjka isÿ lrkq ,nk w;r orejd ksjig /f.k .sh miqo jDIKfldaI wdY%s; hï .eg¿jla wef;d;a Wmfoia ,nd.ekSug wjYH fjhs' mqreI ,sx.fha fmr iu msgqmig .ekSug fkdyels ùu w¿; Wmka msßñ orejkaf.a mqreI ,sx.fha fmriu iïmQ¾K f,i msgqmig .ekSug yels jkafka orejdg udi 4-5 muK .;jQ miqjhs' tf;la fmriu msgqmig lr msßisÿ lsÍug W;aiy fkd.kak' udi 6 ka miqjo tf,iu msgqmig l< fkdyels kï ffjoH Wmfoia m;kak' DM March 2017

DOCTOR MAGAZINE

WOMAN'S WORLD | SWEETHEART

f;drj fuf,i we;sjk .eá;s ;;a;ajh —lsß .eg˜ f,i me/kafkda y÷kajk ,oS' fuh isÿjkafka ujf. ka <ore isrerg we;=¿ jQ fydafudakhkaf.a l%shdldrlï ksidh' bfígu fï ;;a;ajh myj hk w;r fõokdjla we;s fkdfjhs' l=uk fya;=jla ksidj;a fuu mshhqre .eá;s ñßld lsß bj;a lsÍu isÿ fkdl< hq;=fõ' ;eùu" fmdä lsÍu yd ñßlSu ksid miq ld,Skj úúO frda. ;;a;aj we;s l< yelsh'

DOCTOR MAGAZINE

,sxf.akaøsfha ndysr fm;s tlg we,S ;sîu fuhg fya;= jkafka hï fydafudakuh wvq¨yq~q ;;a;ajhls' fujeks wjia:djkaj, w;a fnfy;a lsÍu" f.dv fnfy;a lsÍu fyda nf,ka wE;a lsÍug W;aidy lsÍug W;aidy fkdlrkak' ffjoH Wmfoia ,nd ms<silr lr .ekSug yel'

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Tfí ì<s|d iqqfjka i;=áka'''

Wïñhdf. mqxÑ lfÜ we;sfjk .eg¿ fifkyi mokfï wOHlaIsld" mjq,a fi!LH fiajd ks,Odßks YHdu,s m;srf.a

ore msáhd ujf.a uq¿ f,dalhhs' fodafr .,k fifkyi ksidu uõjreka orejka .ek ´kejg;a jeäfhka ie<ls<Su;a fjkjd' Wïñhdf. uqLh yd o;a wdY%s;j we;sjk iq,n .eg¿ iuyrlg ms<Shï fï ,smsfhka oelafjkjd'

March 2017

DOCTOR MAGAZINE

lsß ue,shï ne§u uõlsß Wrdfndk lsß leáhkaf.a Èfõ iy ;,af,a lsß meyehg ue,shï ne§ we;s fihla ±lsh yel' kuq;a fuh È,Sr wdidokhla fyj;a W,af,da.ï ;;a;ajhla jkafka fndfyda l,d;=rlsks' fuf,i nefok idudkH iqÿ meyeh bj;a lsÍug .a,sißka" foys biau jeks foa fhdod Èj ue§u wjYH fkdfjhs' tu iqÿ meye iajNdjh bfígu bj;aj hkq we;' wjYH kï orejd kyjk wjia:dj,§ j;=r fíiug orejd ±uQ ú.i msßisÿ kems frÈ lene,a,la we`.s,af,a ojgd Èj msßisÿ l< yel' ^we`.s,a, uqLhg ,x lrk úg orejd Èj msg;g ouhs' túg Tng fyd|ska fmfkk mrdifha muKla Èj tlajrla fyda fojrla muKla we;=f,a isg my<g uDÿj msi ±óu m%udKj;ah& uqLfha wksl=;a fmfoiao fuf,i msßisÿ l< yels jk w;r Bg fmr Tfí w;a b;d fyd|ska fidaod .; hq;= nj fkdlsjukdh'

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orejl= WmÈk úg;a lsßo;a ish,a, uqLfha úÿreuyg háka msyg s k nj Tn oek isáhdo @ lsßleáhd Tfí we`.s,, a ymk úg wiSñ; fõokdjla oefkkafka fï ie`.j.;a mqxÑ o;a ksihs'

WmÈk úgu o;a fudaÿùu iuyr orejka WmÈk úgu lsß o;la fyda folla fudaÿ ù ;sfnkq ±lsh yelsh' fuh l,n, úh hq;= ;;a;ajhla fkdfjhs' orejl= WmÈk úg;a lsßo;a ish,a, uqLfha mj;S' kuq;a úÿre uig háka msysgd we;s ksid fuu o;a fkdfmfkhs'

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úÿreuig háka we;s fuu o;a úÿreuig b;d ;o njla ,ndfohs' fï ksid orejka ymk úg fõokdjla ±fkhs' Èj t,shg ouk nnd,d iuyr orejka ks;r Èj t,shg oukq ±lsh yel' fkdkj;ajd fuu l%shdjka isÿ lrk úg uõjreka úúO ielhka we;slr .ksñka m%;sldr i|yd o fhduqfjhs' fuh frda.hla fyda frda. ,laIKhla fkdfjhs' kuq;a vjqka iy,laIKh iys; orejka b;d meye|s,s f,i fuf,i ks;r isÿ lrkq ±lsh yel' lsß o;a tk ld,fha § nv nqre,g hkjdo @ lsßo;a u;=jk ld,iSudfõ§ orejkaf.a nv nqre,g hk nj foudmsh ueisú,a,ls' kuq;a ish¨u orejkaf.a tfia jkafka ke;' fuf,i nv nqre,g hdug fya;= jkafka lsßo;a tk ld,fha orejka fndfyda foa lfÜ ±óug;a úlSug;a leue;a;la ±laùu ksid fuf,i lfÜ ouk foaj,ays we;s úIîc YÍr .; ùug bv we;s fyhsks' fuh jl%j we;sjk ;;a;ajhla ñi lsßo;a tau muKla nv nqre,g hdug fya;=jla kï fkdfjhs' DM

March 2017

DOCTOR MAGAZINE

W,af,da.ï Oral candidiasis b;d >kj ne|S we;s iqÿ meye ue,shï jeks l,dm W,af,da.ï fyj;a lsß ue,shï ke;fyd;a È,Sr wdidokhla ksid we;s fjkakls'

WOMAN'S WORLD | SWEETHEART

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WOMAN'S WORLD | SWEETHEART

Tfí ì<s|d iqqfjka i;=áka'''

Baby recipes

w, uEIa

Potato Mash fifkyi mokfï wOHlaIsld" mjq,a fi!LH fiajd ks,Odßks YHdu,s m;srf.a

rejkag wdydr fok tl hqoaOhla jf.hs''' ta;a Tn ks¾udKYS,S ujl kï orejdg m%shckl f,i wdydr ilia lr tajd wdhdihlska f;drj orejdg ,nd osh yelshs' l=vd orejkag myiqfjka ilia lr osh yels wdydrhla fï iu. bosßm;a lrkjd' wvq nr orejkaf.a nr jeä lr.ekSug b;d fhda.Hh wdydrhls'

March 2017

DOCTOR MAGAZINE

wjYH l,ukd''' ● w, f.ähla ● ng¾ f;a yekaola ● Öia fyda Wl= lsß f;a ye|s 2 ● ¨Kq .ïñßia - wjYYH kï''' idok l%uh''' ● w, fyd|ska fydaod.kak' ● w, fmd;=yer tl iudk mudKfha len,sj,g lmkak' ● i; j;=f¾ uola ;nd ¨Kq ñY% j;=f¾u oud ;ïnd .kak' ● fuf,la jk fia ;eïnqkq miq j;=r fífrkakg ;nkak' ● w, len,sj,g ng¾ oud m,ama tlla wdldrhg ñY% lrkak' ● l%ufhka lsß fyda Öia tla lrñka fyd|ska ñY% lrkak' ^îÜ lrkak& rglcq" ;, OdkH j¾." wdÈ wu;r fmdaIl fldgia o tla lsÍfuka jvd fmdaIHodhS f,i fuu fmdaIHodhS wdydrh ilid .; yelshs' ri wkqj .ïñßia fyda wjYH rihla tla lrkak' ^mdia,s fyda wn fld< lsysmhla tla lsÍfuka rih jeä fõ&

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● w, fmd;=yer tl iudk m%udKfha len,sj,g lmkak'

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● w, fyd|ska fydaod.kak'

● j;=f¾ uola ;nd ¨Kq ñY% j;=f¾u oud ;ïnd .kak'

● w, len,sj,g ng¾ oud m,ama tlla wdldrhg ñY% lrkak'

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● fuf,la jk fia ;eïnqkq miq j;=r fífrkakg ;nkak'

● l%ufhka lsß fyda Öia tla lrñka fyd|ska ñY% lrkak' ^îÜ lrkak& doctormagazine.lk

● rglcq" ;, tla lsÍfuka rih yd fmdaIKh jeä lr.kak'

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March 2017

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Tfí ì<s|d iqqfjka i;=áka'''

fï úosyg nnd m<;=re j,g yqre lrkak fifkyi mokfï wOHlaIsld" mjq,a fi!LH fiajd ks,Odßks YHdu,s m;srf.a

orejkag m<;=re ,nd§fï§ m<;=re hqI iE§u fyda iQrd fmdälr §u iqÿiq fkdfõ' m<;=re f.äfha tla mila lmd fyda f,,s .id orejdg ljk w;r;=ru w; ;o fkdlrñka lsysm úgla iQrd ,nd.kakd idrh ljkak' orejd jefv;au len,s .;sh jeä jk fia leúh yelsh'

March 2017

DOCTOR MAGAZINE

idrh hkq m<;=re f.äh fl,skau yekaolska iQrd .kakd hqIhhs' ● m<;=re j, mj;sk úgñka j¾. Ndckhlg oud fmdä lroa§ hqI iE§u i|yd Èhlroa§ jd;hg ksrdjrKh ù ;sîfï§ úkdY fõ' ● ore meáfhl= n,dfmdfrd;a;=jk ld,fha§ fyda ms<sis| .;a od fyda orejd ìysjqk od u;l igyka f,i m<;=re .ia isgqùfuka wu;r wdydr .kakd ld,fha§ f.j;af;ka fk,d .kakd m<;=rla ,nd §u b;du;a m%S;sodhl lreKls' ^wU" mefmd,a"

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flfi,a" flduvq" w,sfmar" wem,a jeks m<;=re Tng isgqùu i|yd myiqfjka imhd .; yel'&

m<;=rej, ridhkslhka wvx.= fkdùu;a l=vd m%udKhl nyq, f,i fmdaIl fldgia ;sîu;a ksid orejkag jeämqr tu m<;=re ,ndfokak' ● weg rys;j fmar idrh ● bÿKq fjr¨ ● fk,a,s hqIh ● v%e.ka *DÜ ● ,djq¨ ● W.=/iai idrh

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kdrx fodvï jeks hqU iys; m<;=re - m<;=re f.äh folg lmd hqIh yekaolg ñßlñka tu wjia:dfõu fmdjkak'

● f,dú idrh ● cïnq idrh ● kñkx idrh ● wkakdis idrh ● ox idrh

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March 2017

DOCTOR MAGAZINE

lsß iqj| Tfí ì<s|d iqqfjka i;=áka'''

Spitting up in babies: What's normal, what's not...

Spitting up is a rite of passage for many babies. Here's what's behind spitting up — and when it might signal a more serious problem. Is it common?

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WOMAN'S WORLD | SWEETHEART

Why Your Baby Spits Up and Vomits

By Dr Guwani Liyanage Senior Lecturer/ Consultant Paediatrician Faculty of Medical Sciences, University of Sri Jayewardenepura Professorial Paediatric Unit, Colombo South Teaching Hospital

March 2017

DOCTOR MAGAZINE

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Infants are especially likely to get reflux because their stomachs are small and the ring of muscles at the end of the eosophagus is not mature enough to work like it should. Later, when they mature he may stop spitting. doctormagazine.lk

What is gastro-esophageal reflux disease (GORD)? Certain percentage of babies has severe reflux. We will be able to distinguish typical spitting up from the more problematic GORD, in which vomiting is accompanied by such symptoms as irritability, weight loss, refusing to eat, heavy coughing, or wheezing and this could be confirmed through a series of diagnostic tests. If your baby has any of these symptoms, talk to your pediatrician, who can see if your baby needs ant treatment. What could you do for “happy spitters”? 1. Keep your baby upright for 30 minutes after a feeding to let gravity help keep things down 2. Burp him after every feeding Sometimes these simple steps help enough to keep your little one a happy spitter. If not, your pediatrician may suggest medications that could help. DM

March 2017

DOCTOR MAGAZINE

Why does it happen? After your baby swallows milk and enters the eosophagus and then to the stomach. There is a ring of muscles connects the esophagus and stomach. It opens to let the milk go into the stomach, and then it closes back up. If it does not doesn’t tighten once to milk is emptied into the stomach, milk can come back. That’s reflux.

WOMAN'S WORLD | SWEETHEART

During infants’ routine visits, one quarter of parents pepper pediatricians with questions about spitting up and vomiting. The truth is every baby does it at least every now and then. Some do it pretty often, even with every feeding. Most babies who spit up are “happy spitters”, they’re content, comfortable, growing well.

,,kd iqjfi; ueos jhfiaoS iq,n ldka;d fydafudak .eg¿

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ldka;djlf.a cSú;fha weh mßK; .eyekshlaj .; lrk ld,fha we;súh yels .eg¿ lsym s hla''' weäfkdufhdisia Andenomyosis fmd,sáisiaálaa ´jrs iskafv%dï we;s hqj;shlaj isáh oS ksis m%;sldr fkd.ekSfuka weäfkdufhdisia (Andenomyosis) ;;a;ajhg m;aùu m%Odk ixl+,;djhls' idudkHfhka udisl Tima ls%hdj,shg Wr fokafka úfYaI mglhls' fuu mglh ldka;d fydafudakj, ls%hdldß;ajh u; jeã udislj th leã hhs' weäfkdufhdisia ;;a;ajhl oS fuu mglh .¾NdIh we;=<; yer fjk;a ;ekaj, msysgd ;sfnkq oelsh yelshs'ta i|yd fyd|u WodyrKh jkafka äïnfldaIj, tkaäfkdñfhdisia iEoSuhs' fuu ;;a;ajh iq,nj oelsh yelalls' Bg wu;rj ● .=o ud¾.fha Wv ● fY%daKsfha we;=<; we;s mglj, ● uq;%dYh Wv ● .¾NdIfha udxYfmaYs we;=<; fulS msysghs' weäfkdufhdisia ;;a;ajhloS" ● Timaùu nyq,j isÿùu

March 2017

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úfYAI mgl

m%ij yd kdrsfõoS úfYaI{ ffjoH k,skao frdøs.= MBBS, MS, MRCOG (UK), MRCP (Ireland), FRCS (Edin)

● YrSrh we;=<; Timaùu isÿjk ksid wNHka;rj we;sjk f,a leá.eiSfuka fpdla,Ü mdg f.ä we;s fõ' ke;skï ia:rhla wdldrhg reêrh tl;= fjhs' fuu fya;=j ksid ldka;djlg úfYaIfhkau Timaùu isÿjk wjia:dfõ ● wêl fõokdjla we;s fjhs' ● msg fldkafoa fõokdj we;s fjhs' ● idm,H;djh wvqùu ^fpdla,Ü meyefhka we;sjk f.ä fyda ia:rhka mef,damSh kd,h úkdY lrhs' thg wu;rj mef,damSh kd,j,g äïn hdu wjysr lrk wjia:d o we;s fjhs& ● wêl reêrjykh

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tkafvdfuá%fhdisia Endometriosis ueosúh miq lr orejka tla flfkla fyda fofofkla isák ldka;djkaf.ka fuu ;;a;ajh oelsh yelsh' ldka;djf.a .¾NdIfha we;s úfYaI mglfha we;s udxYfmaYs we;=<;g ld jeoS ;sîu oelsh yelsh' fujeks ldka;djkag" Timaùu b;du;a fõokdldrSh' .¾NdIh bosñh yelsh' *hsfn%dhsâ Fibroid .¾NdI ì;a;sfha we;sjk ydkslr fkdjk f.ä ^udxY fmaIsj, j¾Okhls& úfYaIhls' b;du;a l=vd *hsfn%dhsâ tlla fyda folla ldka;djlg ;sìh yelshs' tys n,mEula we;s jkafka m%udKfhka úYd, jQ úghs' ke;skï úYd, ixLHdjla ;sîfuks' thg fya;=j fuu f.ä .¾NdIfha l=yrh we;=<g fkrSuhs' .¾NdI l=yrfha ì;a;s m%udKh jeäùfuka wêl reêrjykhla isÿ úh yelsh' tjeks wjia:djloS wêl f,a jykhla we;sùu" Timaùfï oS wêl fõokdjla we;s ùu oelsh yelshs' doctormagazine.lk

wd¾;jyrKhg wdikak ld,fha we;sjk .eg¿ ueos úhg miq ld,h wd¾;jyrKh (Menopause) hkq Timaùu kej;Suhs' wd¾;jyrKhg wdikak ld,fha oS yd wd¾;jyrKfhka jir folla muK .;jk úg reêrjykfha we;sjk fjkiaùï isÿfõ' fuu ;;a;ajhg m%Odk fya;=j jkafka reêrfha we;s ldka;d fydafudakj, March 2017

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mhsfnd%hsv we;sjk ia:dkh wkQj tajd j¾.Slrkh lrk whqre

orefjla ìys lsrSfuka miq Tima pl%fha úIu;djhka ksrdlrKh fjhs' isref¾ we;s fydafudak pl%h leãfuka fmd,sisiaálaa ´jrs iskafv%dï jeks ;;a;ajhla iïmQ¾Kfhka u ke;s fkdjqk;a udisl Tima pl%h ls%hd;aul fjhs' orejka fofofkla ,eîfuka fuu ;;a;ajh jvd;a iqj w;g m;a fjhs'

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.¾NdIh we;=<g fkrk f.ä ksid ldka;djkaf.a idM,H;djh wvq fõ' thg wu;rj .eí .ekSul oS th ke;sùug ^.íidùug& we;s bv m%ia:dj jeäh' idudkHfhka jhi wjqreÿ 25 -35 olajd ld,fha oS Tima pl%fha we;sjk úIu;djhka b;du;a wvq h'

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rEmfha wdldr bkakka we;s lrk udkj memsf,daud ffjrih .eîf., ms<sldj,go fya;= fjhs

fjkiaùuh' idudkHfhka ngysr ldka;djlf.a wd¾;jyrKh isÿ jkafka jhi wjqreÿ 50-52 w;r oS h' tfy;a wdishd;sl ldka;djkaf.a wd¾;jyrKh o< jYfhka jir 5la muK l,ska isÿ fjhs' wd¾;jyrKh olajd meñfKk ld,h jk úg tu ridhksl yd fydafudaksl fjkiaùu l%ufhka jir myl yhl ld,hla ;siafia isÿ fjhs' ta wkqj jhi wjqreÿ 40 miqjQ ldka;djf.a fydafudakj, wvqmdvq oelsh yelsh' ta iuÕu Tima pl%fha fjkiaùï o isÿ fjhs' Biag%cka fydafudakh wvqù äïnfldaIj, fgiafgiafgfrdaka fydafudak ksmofjhs' fydafudak fjkiaùu ndysrj oelsh yelafla" ● ldka;dNdjfha .;s ,laIKj, wvqùula oelsh yelsh' ● fïoh me;srSu msrsñ mqoa.,fhla yd iudk ùu' ● Wvq f;df,a flaIh we;sùu' ● rd;%shg jeämqr oyäh oeóu' ● ks;r ks;r wu;l ùï we;sùu' fydafudak ksmoùu wvqùu" ldka;dj jhig hdu" idM,H;djh ke;sùu yd orejka jeäuy,a jQ miq ldka;djf.a cSjk rgdj fjkiaùu o fuu ;;a;ajh we;sùug fya;= fjhs' 100

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wd¾;jyrkhg wdikakfha nyq,j oelsh yels frda. ;;a;ajhka ● tkafvdfuá%fhdisia ● *hsfn%dhsâ ^ldka;d fydafudak iu. fuu f.ä jhi wjqreÿ 4050 ;a w;r ld,fha oS úYd, fjhs& ● ms<sld yd ta yd iïnkaO jk ;;a;ajhka jeäùu' ● .eí f., ms,sld' ● .eí f.f,a fjkialï' ● fhdaks ud¾.fha úh<s .;shla we;sùu ksid wdidokhka we;sùu' ^fujeks ;;a;ajhloS ,sx.sl ixi¾.h fõokdldrS úh yelshs'& ● nelaàrshd wdidok Tima pl%fha wl%ñl;djhka i|yd ffjoHuh m%;sldr ● tjeks ;;a;ajhla we;sùug fya;=j mrSlaId lsrSu' ^*hsfn%dhsâ jeks ;;a;ajhla kï ldka;dj Y,Hl¾uhlg Ndckh lrhs&' ● ldka;d fydafudak wvqùu i|yd ndysrj fydafudak ,nd oS fydafudak ;;a;ajh h:d ;;a;ajh m;a lsrSu'

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● Wm;a md,k fm;s ● fm%dfciafgfrdaka fydafudakh ● uia jeoe,a,la jeks ;;a;ajhl oS iq¿ Y,Hl¾uhla isÿ lsrSu - .¾NdIfha we;=<; we;s uia jeo,s y÷kd.ekSu i|yd ysiagfrlagñ (Hysterectomy) mrSlaIKh isÿ lsÍu' ● ms<sld y÷kd.ekSu i|yd mrSlaIKhka lsrSu - mema mrSlAIKh

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miqj wjqreÿ 60 olajd ld,h ;=< jir ;=klg jrla mema mrSlaIdjla lr.; hq;=h' .eí f., ms<sldjg uQ,sl jYfhka u fya;= jkafka ffjri wdidokh nj fidhd f.k we;' th tÉ'mS ffjrihhs' (HP - Human Papillova Virus) tu ffjrifha 16" 18 iy 31 iy 33 hk ldKav .eí f., ms<sld i|yd n,mdhs' tÉ'mS (HP - Human Papillova Virus) ffjrih kùk ffjoH úoHd;aul fidhd .ekSï wkqj y÷kd.ekSu i|yd tyss mgl ridhkd.drhlg hjd mrSlaIdjla lsrSug wjYH fkdfjhs' ulaksido h;a tu wdidokh j<lajd .ekSug yels neúks' fuu ffjrihla uÕska we;sjk ;;a;ajhka md,kh lsrSu i|yd ;reK ld,fha oSu .eyekq orejkag tkak;a ,nd fohs' fuu tkak;a oeka wdishd;sl rgj, o Ndú;d lrhs' fuu tkak; ,sx.sl ixi¾.h wdrïN lsrSug fmr ,nd .ekSfuka jeä m%;sM, ,nd .; yelsh' tkï wdidokh we;sùug fmr' äïnfldaI ueo we;sjk ms<sld ialEka mrSlaIKh lr fyda CA 125 mrSlaIKhg Ndckh lsÍfukafuu wjodku y÷kd.; yel'

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tkafvdfuáfhdaisia we;sjk ia:dk yd tajdfha ;Sj%;djh wkQj j¾.Slrkh jk whqre

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wd¾;jyrKfhka miq ld,h udisl Timaùu jirl muK ld,hla kej;Su wd¾;jyrKhhs' hï lsis ldka;djlg wd¾;jyrKfhka jirlg miqj kej; reêrh hdula we;s jqjfyd;a ffjoH úoHd;aul mrSlaIKhlska miq m%ckk moaO;sfha ms<sldjla o keoao hkak iel yer oek.; hq;=h' ulaksido h;a fï ld,fha oS ms<sld we;sùug jeä yelshdjla we;s neúks' nyq, jYfhka oelsh yels ms<sld jkafka' .eí f., ms<sld idudkHfhka ldka;djlf.a m<uq ,sx.sl ixi¾.fhka

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WOMAN'S WORLD | FEMINA

mema mrSlaIKh hkq .eí f., ms<sld fidhd .kakd mQ¾j mrSlaIKhls' (Pre Cancer Test) wdishdfõ ldka;djkag nyq,ju iEfok ms<sld j¾.SlrKfha fojeks ms<sldj fuhhs' ms<sldjla we;sùug fmr fidhd .kakd mrSlaIKhhs' ms<sld ffi, ;;a;ajfha oS .eí f.f,ka .kakd ;ejreulska th ms<slduh ;;a;ajhla we;s lrjkakla o keoao hkak fidhd .; yelsh'

ialEka mrSlaIKh jeo.;a jkafka wehs@ ● äïnfldaIfha f.ä y÷kd .ekSug ● *hsfn%dhsâ jeks ;;a;ajhka y÷kd.ekSug jir 5 lg j;djla fuu mrSlaIKhka isÿ lr.kafka kï iuyr wjia:dj, mj;sk oshr iys; äïn fldaI y÷kd.; yels fõ' ta wkqj .¾NdIh bj;a lsrSfuka fyda äïnfldaI bj;a lsrSfuka ms<slduh ;;a;ajhka iqjm;a úh yelsh' CA125 mrSlaIKh fuh reêr mrSlaIKhls' äïn fldaIfha we;sjk ms<slduh ;;a;ajhka .ek mrSlaId lrkq ,nhs' fY%daKsfha we;sjk wdidokhka i|yd o mrSlaIdjka lrhs' jhi wjqreÿ 35 miqj jir 5lg jrla j;a fuu mrSlaIKh lr.; hq;=h' CA125 jeä jQ muKska th ms<sldjla hehs ;SrKh lrkq fkd,nhs' .¾NdI ms<sld ,laIK ● wl%uj;a reêrjykh ● wêl reêr jykh ● fhdaks ud¾.fha yd mef,damSh kd,fha ms<sld

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mrSlaIdjkag Ndckh úh yels ia:dk ● ´kEu rcfha frday,l we;s iqj kd idhkhlska ● m%ijydkdrsfõoS ffjoHjrfhla fj;ska ● m%foaYfha tï'´'tÉ (MOH) ld¾hd,fhka ● mjq,a ixúOdk ix.ufhka ● mqoa.,sl ffjoHjreka fj;ska ● ldka;djkaf.a kSfrda.S;ajh fjkqfjka mj;ajk idhk j,ska

zzffjoHjrhd i`.rdjZZ yd l< idlÉPdjla weiqßKs DM

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Dr. D. Maruthini MBBS, DGO, MS (Col), MRCOG (UK), MD (UK) Consultant in Reproductive Medicine and Surgery Consultant Obstetrician & Gynecologist Nawaloka Hospitals PLC Usually, womenâ&#x20AC;&#x2122;s ovaries release one ovum (egg) per month. In those women with regular menses, the egg is released around 14 days after the beginning of menses. The egg lives only for 24-48 hours after it is released. Fertilization occurs in the fallopian tube when several sperm meet the egg; break its shell allowing one sperm to penetrate the ovum. The fertilized embryo then reaches the uterus, where it gets implanted and grows into a baby. doctormagazine.lk

Unfortunately, there are some women who are unable to get pregnant. In order to expand your awareness regarding this matter, we met Dr. D. Maruthini, Consultant in Reproductive Medicine & Surgery. What is the definition of term infertility? In young healthy couple, infertility is the inability to get pregnant after regular intercourse for at least one year. Some people worry about not getting pregnant even after one or two months of trying. This cannot be considered as infertility unless there are known issues that could affect their fertility. For example, highly irregular menses, removal of cysts from ovaries prior to trying, previous ectopic pregnancy, swelling and pain reported in the testicles, etc.

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Things you should know about infertility and treatments for infertility

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Make your dream come trueâ&#x20AC;Ś

,,kd iqjfi;

WOMAN'S WORLD | FEMINA DOCTOR MAGAZINE

What are the common causes for infertility in our country? Causes for infertility can exist in both men and women. When it comes to female infertility, common factors are, polycystic ovary syndrome leading to difficulty in releasing the egg, damaged fallopian tubes, endometriosis and fibroids in the uterus. When it comes to the male partner, low sperm count, low sperm motility, high degree of abnormality in sperm shape or complete absence of sperm in semenl can be the problem. Sometimes, there may be a combination of problems from both partners. Also, there are situations where it is unable to identify a clear cause for infertility. This is called unexplained infertility. However, in most

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of the cases, we can identify the cause(s) with the help of diagnostic investigations. What are the basic investigations for infertility? There are a number of tests available but the right tests are selected for individual couples. Basically we perform semen analysis for men to determine the number and characteristics of sperm. For women, an

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What are the treatment options available for these fertility issues? Treatment for infertility depends on the cause. If there is a problem in releasing the eggs, tablets or injections are given to stimulate the ovaries. Some women are afraid of having sexual intercourse and therefore unable to conceive. For this, vaginal dilatation therapy combined with counseling is an effective form of treatment, thus avoiding any surgery. For males who have problems in their sperm, changes in their life styles are advised as the first step of treatment. Good control of diabetes, cessation of smoking, drinking, weight loss etc., should be done as appropriately to improve sperm quality. A course of anti-oxidant therapy may also help. Treatment options such as IUI and IVF are available for couples with unexplained infertility, persistent sperm issues, blocked fallopian tubes and those who struggle to conceive even after several treatments to release eggs. Intra Uterine Insemination (IUI) refers to placing concentrated good sperm inside the uterus at the time of ovulation. In Vitro Fertilization (IVF) is a process by which an egg is fertilized by sperm outside the body and then the embryos are transferred in to the uterus for implantation. doctormagazine.lk

Those men who make no sperm at all in their testicles, donor sperm intra-uterine insemination treatment can be used to help couple have a child. Similarly, in women with no eggs in their ovaries, donated eggs from another healthy young female can be used during IVF. Fibroids if present inside the womb cavity or if big in size, need removal by a surgery to improve fertility. Endometriosis may also need surgery to enhance their fertility.

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For women who have experienced repeated treatment failure or recurrent miscarriages, special tests should be done to identify thyroid, sticky blood and immune issues.

For men who make sperm in their testicles but not releasing it outside due to blockage in their sperm pipe(s), sperm can be taken from their testicles by a needle which then can be injected into the egg during IVF. This treatment is called testicular/epididymal sperm extraction (TESE/PESE) and intracytoplasmic sperm injection (ICSI).

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ultrasound scan, egg reserve testing, and tubal dye test (HSG) are done to identify any problem present in their reproductive system. Some women also need an operation called â&#x20AC;&#x2DC;laparoscopyâ&#x20AC;&#x2122; to directly see their uterus, tubes and ovaries. We have seen that some ladies conceive naturally after the initial tests without any other treatment.

WOMAN'S WORLD | FEMINA DOCTOR MAGAZINE

What are the modern facilities and treatment options available at Nawaloka Fertility Centre? All of the above mentioned treatments are available at Nawaloka Fertility Centre. The center has achieved higher success rates than other clinics due to the expertise and advanced facilities in the lab. For example, the national average pregnancy rate of IVF for all ages in the UK is 36%. But, at Nawaloka Fertility Centre, it is a good 55%. Egg donation has shown even higher success at 65%. Additionally, some advanced facilities such as Frozen Embryo Transfer and Egg Freezing are also available at Nawaloka Fertility Centre. Frozen Embryo Transfer is where frozen embryos from a previous IVF cycle are transferred in to the uterus. Egg freezing is a process in which a womanâ&#x20AC;&#x2122;s eggs are taken out, frozen and stored. When needed, these eggs can be fertilized with the sperm and implanted in the uterus. This is suitable for women who want to delay their pregnancy due to various reasons such as career and academic requirements. All of these facilities are available at Nawaloka Fertility Centre. Finally, what message you would like to give to the couples who have fertility problems? Some people are travelling abroad in order to get treatment for their fertility related problems. They spend a lot of money, energy and emotions staying far away

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from their homes for this purpose. I would like to say there is no need to go abroad for fertility treatment. All kinds of modern treatments are available in Sri Lanka. Nawaloka Fertility Centre is very advanced and it is as good as or even better that several overseas fertility clinics. Couples who have made their dreams come true with the help of Nawaloka fertility centre bear witness for that. DM

By Sanjaya De Silva

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iqj kdrs ffjoH mrSlaIK WELL WOMAN Comprehensive Screening ud¾;= udih ldka;djka flfryS c.;a wjOdkh fhduqjk udihhs' cd;Hka;r ldka;d oskh mdol lrf.k f,dj mqrd ldka;djkaf.a wjYH;d" wNsfhda. iy .eg¿ iïnkaOfhka c.;a wjOdkh fhduq jk w;f¾ wef.a fi!LHh iïnkaOfhka wjOdkh fhduq lsÍu wef.a wdorKShhkaf.ka wehg ,efnk fifkyfia wmQ¾j ;s<sKhlau jkq we;' Tfí wdorKSh uj" oshKsh yd ke.Ksh fj; ,nd osh yels w.kdu ;s<sKhla wdisß fikag%,a frday, yd wdisß Y,H frday, úiska ie,iqï lr we;' fï ta doctormagazine.lk

wo ld,fha wmg wNsfhda.hlaj we;s úúO fi!LH ;¾ckhkaf. ka wfma ldka;d mrmqro .e,ù fkdue;' fldhs ljqre;a f,v frda. j,ska wdrlaId úh hq;= uq;a mjqf,a wNsfhda.d;aul ld¾hhlg Wrfok wef.a iqjfi; ;¾ckhg ,laùfuka wjodkug ,la jkafka l=ÿ uy;a mjq,a tallhuh' fï ksidfjkau ldka;djka iajlSh fi!LHh flfryS jeä wjOdkhla fhduq l< hq;=h' ;u mjqf,a ldka;djkaf.a iqjfi; iïnkaOfhka fiiq idudcslhkao fjfiia wjOdkhla fhduq l< hq;af;auh' jd¾Islj kshñ; ffjoH mÍlaIK j,g Ndckh ùfuka fï Wjÿre j,ska ñoSfï iEfyk wjia:djla ,efí' fï ,smsh ldka;djl ;u iqjfi;

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ldka;djka fjkqfjkau fjkajQ udifhaoS wef.a wdorKShhka fj;ska wehg mqo osh yels fifkyfia ;s<sKhla'''

zzfifkyfia ;s<sKhZZ iïnkaOfhka Tnj oeKQj;a lsÍuls'

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cd;Hka;r ldka;d oskh iu.dó ldka;djka Wfoid ffjoH mÍlaIK

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m%;sikaê ndOl Wml%uhla Ndú;d lrkafkao @ ie|E iufha .; lrkafka kï wehg we;s fjk;a fi!LH .eg¿ fudkjdo@ wdoS wehg ,dlaIKsl lreKQ iïnkaOfhka iudf,dapkhl fhoSuo jeo.;a jkafkah'

flfryS ksrka;rfhka wjOdkh fhduq l< hq;= wdldrh iïnkaOfhka jákd Wmfoia /ila imhhs' ldka;djlf.a ffjoH mÍlaIKhl wvx.= úh hq;= uQ,sl mÍlaIK lsysmhls' ● uq;%d mÍlaIKh ● reêr iSks mÍlaIKh ● iïmQ¾K reêr mÍlaIKh ● fïo mÍlaIdj ● idhksl mshhqre mÍlaIKh yd uefuda.%Eï mÍlaIKh ● jl=.vq mÍlaIKh ● wlaud mÍlaIKh ● ;hsfrdhsâ .%kaÓ l%shdldß;aj mÍlaIKh ● mmqfõ tlaia f¾ mÍlaIKh ● Worfha w,ag%dijqkaâ mÍlaIKh ● wlaIs mÍlaIKh fï yereKQ úg úfYaIfhka jeo.;a hhs ie<flK fjk;a mÍlaIK lsysmhlao wef.a iqjfi; iudf,dapkhg jeo.;a jkq we;' fjfiiskau wef.a fmdaIKh" jHdhdu yd udkisl iqjfi;iïnkaOfhka iudf,dapkhl fhoSu jeo.;a jkafkah' weh lsishï

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ldka;dj jQl,S wiSñ; jQ udkisl Yla;shlska fyì ;eke;a;shls' ;ukaf.a fi!LH ;;a;ajh uekúka mj;ajd .ekSu wef.ka mjq,g ,efnk fiajh ;jÿrg;a mq¿,a lsÍugo fya;=jla jkafkah' Woa.; jk ,sx.sl .eg¿" wd¾;jdNdjfhaoS t<efUk m%Yak yd idudkH cSú;fha uqyqK mEug isÿjk wd;;sl ;;a;ajhkag wod, fndfyda úiªï j,g t<öugo wehg yelshdj ;sìh hq;=h' ffjoH mÍlaIK fujka .eg¿ j,g uqyqK oSug wjYH ;dlaIKsl iyfhda.h ,ndfohs' ldka;djkag cSú;hg wjodkula we;s lrk wjia:d fï iïnkaOfhka lsishï wjfndaOhla Tng ;sìh hq;=h' wo ld,fha wmg buy;a fi!LH ;¾ckhlaj

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ms<l s dj wo ck;djf.a wdhqI wNsfhda.hg ,la lrk úYd, ;¾ckhla ù ;sfí' ixLHdf,aLK j,g wkQj ldka;djka urKhg m;a lrjk úúO fya;= w;f¾ fojk ia:dkhg m;a jkafka ms<l s djhs'

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ldka;djkaf.a ms<sld wjodku ms<sldj wo ck;djf.a wdhqI wNsfhda.hg ,la lrk úYd, ;¾ckhla ù ;sfí' ixLHdf,aLK j,g wkQj ldka;djka urKhg m;a lrjk úúO fya;= w;f¾ fojk ia:dkhg m;a jkafka ms<sldjhs' fï ksid ms<sld j,ska ñoSug iEu ldka;djlu úfYAI W;aidyhla .; hq;= jkafkah' ldka;d iqjfi;g wNsfhda. lrk ms<sld j¾. folls' ● mshhqre ms<sldj ● .eíf., ms<sldj ms<sldjla we;s jkafka iEfyk ld,hla ;iafia YÍr wNHka;rfha isÿjk ffi,Sh fjkialï j, m%;sM<hla jYfhks' ´kEu ms<sldjla fï uQ,sl wjia:dfõu yªkd.ekSug ,enqfKd;a tajd iqj lsÍug uy`.= bvlvla ;sfí' tfy;a .eg¿j jkafka uQ,sl wjia:dfõoSu ms<sldjla yªkd.ekSug we;s wiSre;djhkah' mshhqre ms<sldj y÷kd .kakd uefuda.%Eï mÍlaIKh ldka;djka w;r iq,n mshhqre ms<sld uq,au wjia:dfõ yªkd.ekSug uefuda.%Eï úlsrK mÍlaIdj mej;Su jdikdjls' fuu mÍlaIKh weiqf¾ ffi, ;=< uQ,sl ms<slduh fjkialï we;sjk wjia:dfõoS mjd ta fjkialï .%yKh lr.ekSug kQ;k uefuda.%Eï mÍlaIK j,g yelshdj ;sfí' úfYAIfhkau mshhqre ms<sld je<|Sfï jeä wjodkula ;sfnk ldka;djkag fuu mÍlaIK u.ska tjka wjodkula we;s jQjfyd;a th uq,a wjia:dfõoSu yªkd .ekSug wjldY ,efí'

March 2017

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109

WOMAN'S WORLD | FEMINA

yDo frda. yd wxYNd.h ^wd>d;h& wo msßñka ;rugu ldka;djkgo we;sfõ' wd¾;jdNdjfhka miq fï frda. we;sùfï wjodku msßñka wNsnjd ldka;djkg we;s fjhs' fï ksid fnda fkdjk frda. j,ska wdrlaId ùug ysßu,a fhdjqka úfha isgu ldka;djka úfYAI W;aidyhl fhosh hq;=h'

wdydr rgdj yels;dla fi!LHiïmkak lr.ekSu" ji úfika f;dr wdydr j,g fhduq ùu" jHdhdu isß;la cSú;hg mqreoaola f,i we;s lr .ekSu fukau iqmika ufkdaNdjfhka lghq;= lsÍu fnda fkdjk frda. ksYAÑ; jYfhkau Tfnka wE;a lrhs' fï ksid ;=reKQ úfha isgu Tng .e,fmk wdrlg ;u wdydr rgdj" jHdhdu jevigyk yd ufkdaNdjhka ilia lr.; hq;=h'

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we;af;a fnda fkdjk frda.hs' wêl reêr mSvkh" fldf,iagfrda,a" oshjeähdj" wlaud.; frda." ms<sld" wxYNd.h''' wdoS jYfhka we;sjk fnda fkdjk''' tfy;a wfma wdydr rgdj yd cSjk rgdj fya;=fldgf.k uQ,sl jYfhka we;sjk frda.hs'

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WOMAN'S WORLD | FEMINA

yDo frda. yd wxYNd.h ^wd>d;h& wo msßñka ;rugu ldka;djkgo we;sfõ' ls,s jEÍfuka miq fï frda. we;sùfï wjodku msßñka wNsnjd ldka;djkg we;s fjhs' fï ksid fnda fkdjk frda. j,ska wdrlaId ùug ysßu,a fhdjqka úfha isgu ldka;djka úfYAI W;aidyhl fhosh hq;h = '

.eíf., ms<sldj y÷kd .kakd mema mÍlaIKh .eíf., ms<sldj fõ,dikska yªkd.;fyd;a ishhg ishhlau j<lajd.; yels ms<sldjlss' tfy;a wjdikdj kï wfma rfÜ ldka;djkag je<f|k ms<sld w;r fojk ;ekg m;a jkafkao .eíf., ms<sldjhs' mema mÍlaIKh u.ska .eíf., wdY%s;j we;sjk fjkialï uQ,sl wjia:dfõoSu yªkd fok ksid ldka;djka fuu

110

March 2017

DOCTOR MAGAZINE

mÍlaIK j,g Ndckh ùfuka fuu wjodkfuka iïmQ¾Kfhkau ñosh yelsh' ldka;djkag we;sjk uQ,sl fi!LHuh wjodkï lsysmhla flfryS fufia Tnf.a wjOdkh fhduq lf<uq' fï ldrKd yereKQ úg wef.a fi!LH ;;a;ajh ms<sn|j mßiudma; iudf,dapkhl fhoSug wdisß frday,a iuQyfha wdisß fikag%,a frday, iy wdisß Y,H frday, wfma wdorKSh ldka;d mrmqr fjkqfjka ilia l< ffjoH mÍlaIK meflac (WELL WOMAN Comprehensive Screening) ufydamldÍ jkq we;' DM

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,,kd iqjfi;

ka iSi¾ ie;alu lsh, lrj.kak keUqrejl=;a uq¿ f,dalfhau ;sfhkjd' isfiaßhka ie;alu f,dalhg Wreu jQ wdldrh .ek Tn fuf;la oek fkdisá lreKq rdYshla fï ,smsfhka Tng lshjkakg ,efnkjd we;' w;S;fha ore m%iQ;hka fndfydauhla isÿ jqfKA ksfjia j,oSuhs' we;eï fj,djg fujka m%iQ;hkaysoS m%iQ;sh wjysr ùu ksid;a" ta i|yd oS¾> ld,hla .; ùu ksid;a .¾NdIh me,Sfuka uj;a orejd;a ñh hk wjia:dj,a iq,nj olakg ,enqKd' fï wjodkï iy.; m%iQ;hkag úiªula jYfhka ;uhs iSi¾ ie;alu isÿ jqfKA' fhdaks uf.ka iajdNdúlj orejd ìys lrkjd fjkqjg Worfha lrk ie;alulska ore Wm;la isÿ lsÍuhs fuysoS isoaO jqfKA'

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iSi¾ wêrdcHhdf.a Wm; Worh lmd isÿjQ ksid thg iSi¾ ie;alu hk ku ,enqKd' iSi¾ wêrdchd ìys jqfKA fï wdldrhg ujf.a Worfha ie;alula isÿ lsÍfuka nj b;sydifha oelafjkjd' ^iSi¾ wêrdchd Gaius Julius Caesar hk kñka ye|skajqKd' fï ie;alug Ndckh jQ wef.a uj Aurelia Cotta fï ie;alfuka miqj cSj;a jkakg jdikdjka; jqKd' l=ureka ksis jhfiaoS rclug m;ajQ miq Tyqf.a WmfoaYlfhl= jYfhkao uj lghq;= l< nj b;sydifha i|yka fjkjd'& fhdaks ud¾.fhka iajdNdúl l%uhg fkdfjhs" Worh lmd orejd m%iQ; lsÍu iSi¾ ie;alu hkqfjka ye|skafjkafka fï id¾:l ie;alu ksihs' March 2017

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111

WOMAN'S WORLD | FEMINA

ldka;djkaf.a wiSñ; úYajdih oskQ iSi¾ ie;alu f,dalhg y÷kajd ÿkafka fufyuhs

fmardfoksh úYAj úoHd,fha iy fmardfoksh frdayf,a ysgmq kdß iy m%ij úfYaI{ uydpd¾h bkaøcs wurisxy

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CESAREAN SECTION

WOMAN'S WORLD | FEMINA DOCTOR MAGAZINE

iSi¾ ie;alu lSjdg fuh ffjoH jyf¾oS ye|skafjkafka Ceaserian Section hkqfjkqhs' jpkd¾;fhka th lsishï kS;shlah hk w¾:ho fï Section hkafkka cks; fjkjd' TjQ''' th isÿ jqfKa fufyuhs' ixl+,;d ksid uj ñh hk wjia:dfõoS jqK;a jyd l%shd;aul ù Worh lmd orejd msg;g .ekSfuka miq orejd cSj;a l< yels nj wjfndaO jqKdg miafi merKs frdaufha 112

March 2017

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Worh lmd ie;alula isÿ lrñka orejdf.a fyda cSú;h fírd .ekSu kS;shla njg m;ajqKd' fï ksid tu ie;alu Ceaserian Section f,i y÷kajkakg jqKd' fï .ek b;sydifha ;j;a l;d wikakg ,efnkjd' ujl ore m%iQ;shg fmr ñh .sh wjia:djloS ñysoka l< miq kej;;a ta ia:dkfha fojk uD;foayhla ñysoka lsÍug j< f.dv .kakd

úg ujf.a l=i ;=< isá orejd ujf.a foll=,a w;f¾ ñheo isá nj olskakg ,eî ;sfnkjd' uj ñh .sh;a orejd ksremøs;j iajdNdúlju m%iQ;sh ,nd ;snqK;a fmdf<djg ñysokaj isàu ksid fï orejdg cSj;a ùfï jdikdj wysñ jQ nj fuhska mila jqKd' frdaufha ñh.sh uõjrekaf.afï isÿùfuka miqj nj;a oek.kak ,efnkjd'

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iSi¾ ie;alug tu ku ,enqfKA iSi¾ wêrdcHhd tu wdldrhg Wmka m<uqjekakd f,i olajñks' tfy;a frdaufhau kqud mems,ia ksß÷ka 715-673 BC iufha mjd fï iïnkaO kS;s Í;s ;snqK nj mjd b;sydifha oelafõ' frdaujrekag;a fmr we;eï ck iudchkayS Worh fPaokh lr ore Wm;a lsÍï iïnkaO isoaêka jd¾;d fjhs'

ta flfia fj;;a tl, ñh .sh uõjrekaf.a ie;alï isÿlr ore m%iq;sh isÿ lsÍug tl, ffjoHjreka t;rï ukdmhla fkdoelajQ ksid lsishï fya;=jla ksid uj ñh .sfhd;a ujf.a l=i fyd;a orejd msg;g f.k orejdf.a cSj;a ùfï whs;sh ;yjqre lsÍu cq,shia iSi¾ wêrdcHhd iajlSh kS;s moaO;shg we;=<;a lsÍu Tyq fï iïnkaOfhka oelajQ wiSñ; Wkkaÿjg ksoiqkla' t;ekska fkdkej;=KQ iSi¾ wêrdcHhd tfia

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ore meáhdg Wm; oS f,dalh yer .sh ujf.a l;dj bkamiq fojk W;aidyhka .ek;a b;sydifha oelafjkjd' orejd Wm;a u. isr jkafka muKg jvd úYd, jQ orejka isák .¾NsKS ud;djkagh' orejd úYd, jQ úg iajdNdúlj Wm;a u. ^fhdaks u.& Tiafia m%iQ;sh isÿ jkafka kE' tl, úkakUq ud;djka fï fojk b;sydi.; W;aidyfhaoS iajdNdúl

March 2017

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113

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w;S;fha Worh fPaokh lr orejka ìys lsÍu iïnkaOfhka uq,skau l=ifhka Wm; ,enQfha óyrla meáfhla''' b;sydih úuiSfïoS uq,skau ó yrla foklf.a meáfhl= fï wdldrhg Worh fPaokh lsÍfuka ìys jQ nj oelafjkjd' meáhdg m%iQ;sh i,ikq msKsi tysoS fhdod.;af;a Worhg myroSu nj;a fï ksid meáhd kshñ; f,i ìysjQ kuq;a ó yrla uj thska we;sjQ ixl+,;d j,ska ñh .sh nj;a oelafjkjd'

WOMAN'S WORLD | FEMINA

fkdjk wjia:djkaySoS ffjoHjrekag urKSh oKavkh meK jQ njo b;sydifha oelafjkjd'

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WOMAN'S WORLD | FEMINA

m%iQ;sh wid¾:l jqKdu oskla folla fõokd ú|sk uj foi úkakUq wïud n,d isákjd' Bg jeä hula lrkakg wehg yelshdjla kE fkdje'' fï lshk .¾NKS ldka;djf.a isÿùfïoS;a tfyu iajdNdúlj m%iQ;sh isÿ jqfKA kE''' osk .Kklska miq úkakTq ud;dj ksfjiska msg;a jqfKa" ujf.a urKh iaÓrju isÿùu fkdje<elaúh yelalla f,i i<ld ys; yodf.khs' weh;a kslau .sh miq wka;sug fï ksjfia b;srs jQfha wUq ieñhka muKhs' osk .Kkdjla mqrd wiSñ; m%ij fõokdjla ú|s Nd¾hdj fufyu b,a,Sula l<d' zz;j;a kï fï fõokdj bji.kak ug nE''' Thdf. lvqj f.k,a, uf.a l=i lmd oukak'''ZZ wjidkfhaoS iajdñ mqreIhdg Bg tl`. jkakg isÿ jqKd' fï W;aidyfhka miqj orejd ksremøs;j ìysjQ nj;a" wehf.a fõokdj iïmQ¾Kfhkau ke;sjQ nj;a ta;a'''' wêl reêr jykh ksid weh Bg ál fj,djlg miq fuf,dj w;ayer .sh nj;a oelafjkjd' flfia fj;;a weh ñh hkakg

114

March 2017

DOCTOR MAGAZINE

fmr ;ukaf.a ú,s fõokdj ke;s lr ÿkakdg ;ukaf.a iajdñmqreIhdg w;sYhska msx ÿka nj;a i|yka fjkjd' wo iSi¾ ie;alu w;sYh wdrlaIs; ore m%ij ie;alula fï wdldrfhka wdrïN jQ Worh lmd orejka ìys lr,Sfï ie;alï wo jk úg fï f,dalfha .eìKs ud;djkag buy;a iekiSula ,ndfok wef.a mQ¾K wdrlaIdj i,ik Y,Huh lghq;a;la njg m;aù yudrhs' f,dal ;;a;ajh .;af;d;a wo ìysjk orejkaf.ka ;=fkka tllau ìys jkafka iSi¾ ie;alï j,skqhs' fmdÿfõ .;af;d;a iSi¾ ie;alul ienE wjYH;djh we;s jkafka .eìKs uõjrekaf.ka ishhg 10l muK uõjreka ixLHdjlg''' ta;a wefußldj .;af;d;a tys ìysjk orejkaf.ka ishhg 40lau m%iQ;sh ,nkafka iSi¾ ie;alï j,skqhs'

W.kavdfõ iïm%odhsl fjoeÿrka úiska uq,a ld,fhaoS Worh fPaokh lr ore m%iQ;shla isÿ lsÍug oerE W;aidyhla fufia is;=jï fjhs' Kahura, Uganda. As observed by R. W. Felkin in 1879.

iajdñmqreIhka i;=gq lrkakg iSi¾ ie;alu m;k uõjreka''' idudkH m%iQ;sfhka miqj fhdaks ud¾.h''' N.h fldgi weos,d .syska iuyyr úg bß,d .shdu iajdñ mqreIhd lshsl iïfNda.fhaoS ;Dma;shg m;a fkdù fjk;a iïnkaO;d we;s lr.kakd ksid th j<lajd.kakg fhdaks ud¾.h weoSï" bÍï we;sùfuka ñfokakg iSi¾ doctormagazine.lk

wfma rfg;a iSi¾ ie;alu b,a,d isák ldka;djka oeka jeähs iSi¾ ie;alï fï úosyg n,k l< isÿ lrk wdldr folla ;sfnkjd' ujf.a ys;=u;hg lrk iSi¾ ie;alï (Ceaserian Section by demand) yd wjYH;djh wkQj isÿ lrk iSi¾ ie;alï jYfhka' ,xldfj;a oeka fndfyda ldka;djka iSi¾ ie;alu b,a,d isàfï m%jK;djhla ;sfnkjd' úfYaIfhkau

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wo m%iQ; fõokdj .ek kï úlafIdam úh hq;= kE''' kuq;a m%iQ; fõokdj ksid iSi¾ ie;alu isÿ lr.ekSug W;aiql jk uõjrekag lshkak ;sfhkafka wo m%iQ;fha we;sjk fõokdj ke;s lsÍug fndfyda úiªï fhdod .kakd njhs' fï ksid we;a;gu tfyu fõokdjla hï ldka;djla w;a ú|skjd kï th ufkda uQ,slj we;s lr.kakd wksh; ye`.Sula nj;a lsj hq;=hs' fndfyda úg m%ij wjia:dfõoS we;s jkafka zznh ix{djlaZZ ´l ixfldapkfhaoS we;sjk fN!;sl w;aoelSula f,i is;g .;af;d;a thska miq fõokdj lshk March 2017

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115

WOMAN'S WORLD | FEMINA

wo ld,fha iSi¾ ie;alfïoS fhdok lemqï lsysmhla

m%ijfhaoS we;sjk fõokdjg iú[a{Kslj uqyqK oSug osßhla fkdue;s ùu ksid we;eï ldka;djka iSi¾ ie;alu ffjoHjrhd ,jd isÿ lr.kakg fm<fUk wjia:d ;sfnkjd' fldfydu jqK;a ful, iSi¾ ie;alu w;sYhska wdrlaIdldÍ ie;alula' ta weiqre lrf.k ore m%iQ;sh isÿ lr .ekSug wksh; ìhla we;s lr.; hq;= kE'

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ie;alu ;u wNsu;h mßos isÿ lr.ekSug wefußldj yd ;j;a ngysr rgj, ldka;djka fm<fUk njla olakg ,efnkjd'

iSi¾ ie;alula isÿ lsÍu w;HjYH jk fya;= Wm;a u. Tiafia m%iQ;sh isÿ lsÍug fkdyels jk ;rï orejd úYd, ùu iSi¾ ie;alula isÿ lsÍu w;HjYH jk fya;=;a ;sfnkjd' ujf.a

yd l=ifha bkak nndf.a wdrlaIdj .ek is;d iSi¾ ie;alula isÿ lr.kakg isÿ fjkjd' l=fia bkak orejd úYd, kï''' Bg idfmalaIj ujf.a Wm;a u. l=vd kï orejd ìys jkafka kE' orejd m%iQ; u. ysr fjkjd' biair osk .Kka orejka m%iQ;sh fkd,en m%udo jqfKA fï fya;=j ksihs' nndf. msysàu fjkia úosylg ;sfhkjd kï''' l=fia bkak nndf.a ysi my;g''' ke;skï yria msysàul bkakjd kï''' we,hg bkakjd kï túg;a iSi¾ ie;alula isÿ lrkakg isÿ úh yelshs' jeoEuy my<ska msysgd ;sîu jeoEuy ke;fyd;a orejdg fmdaIKh imhk fldgi my<ska msysgd ;snqK úg;a'''' m%iQ;h isÿjk wjia:dfõoS''' .¾NdIh os. yefrk wjia:dfõoS wêl reêr jykhla isÿù ore m%iQ;sh isÿ jkakg fmr uj ñh hdug bv ;sfnkjd' fï wkdrlaIs; wjia:dfjka uj;a orejd;a uqojd .kq i|yd;a iSi¾ ie;alula isÿ lrkakg isÿ fjkjd'

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WOMAN'S WORLD | FEMINA

ye`.su wu;l lr oeñh yelshs' túg m%ijh jvd;a myiqhs' wer;a fõokdjg wo ojfia id¾:lj ,ndosh yels fnfy;a ;sfnkjd' fï ksid ú,s fõokdjg nfha kï iSi¾ ie;alug Ndckh ùu ksIAM, l%shdjla'

116

March 2017

DOCTOR MAGAZINE

doctormagazine.lk

wudrefjka ore m%;sikaêhla isÿ lr.;a úgoSo iSi¾ ie;alula isÿ lsÍug ffjoHjreka fhduq fjk wjia:dj jeähs fndfyda úg jhia.;j ore m%iQ;ska isÿjk wjia:dj,oS wdhdifhka mfyda m%udoù .eí .ekSula isÿjk wjia:d j,oSo iSi¾ ie;alula lrkakg fndfyda úg ffjoHjreka fm<fUkjd' m%iQ; wjia:dfõoS orejdg lsishï Tlaiscka iemhqfï ySk ùula isÿ fjkjd' fmlKs je, f;rmSula isÿ jqfKd;a orejdg wmyiq;djhla we;s fjkjd' oS¾> fj,djla fï wï,lr W!K;djh we;s jqfKd;a B<`. wjodku we;s jkafka orejdf.a fud<hghs' th we;eï úg orejdg nrm;, ydkshla isÿùug'''' orejd ukaonqoaêl jSug mjd wjodkula ;sfnkjd' fujka wjia:djloS yosis iSi¾ iel;alula isÿ lrkjd' wêl reêr jykhla isÿùug we;s wjldYh by< kexjqKQ úg we;eï úg uj .¾NsKS wjia:dfõ;a" m%iQ; wjia:dfõ;a wêl reêr jykhla isÿùug bvla ;sfnkjd' jeoEuy miqmi sàfuka" jeoEuy .e,ùfuka fujka ;;a;ajhla we;s úh yelshs' th wk;=reodhlhs' tjka wjia:djloS;a uj;a orejd;a fírd .ekSu msKsi iSi¾ ie;alula isÿ lrkakg úh yelshs' doctormagazine.lk

kuq;a fujka wjia:d oeka we;s fjkjd b;du;a wvqhs' fï úosyg ld,h bl=;a jk f;la l,a h,a ne,Sula oeka isÿ jkafka;a kE' wjYH fj,djg ;Skaÿ ;SrK wrf.k jyd l< hq;= ie;alug .eìKs uj iQodkï lrkjd' bia;rï mq;Sl ;;a;aj ^úIîc yrk& ;sfnk ksid wdidok we;sùfï yelshdj b;du wvqhs' reêr mdrú,hkh wdoS myiqlï ksid frda.shdg wdrlaIdj ie,fikjd' wfkla ldrKh ;uhs" wo fï Y,Hl¾u isÿ lrkafka ukd mqyqKQjla" mßphla ;sfnk ffjoHjreka úiskauhs' DM

March 2017

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117

WOMAN'S WORLD | FEMINA

reêr mSvkh .¾NsKshl jYfhka reêr mSvkh jeäù zz.¾N úI frda.hZZ we;sù jl=.vq ydkshg m;aùu wdoS oreKQ ixl+,;d we;sjkakg bv we;s ksid tjka ixl+,;djhla we;sùfï wjodkula meK ke.=KQ úgo iSi¾ ie;alula isÿ lrkakg ;SrKh lrkjd'

iSi¾ ie;alu ksid we;súh yels ixl+,;d ojila folla muK m%iQ;shg W;aidy lr iSi¾ ie;alu isÿ lsÍfïoS .¾NdIh fnfyúka úvdjg m;;a fjkjd' túg m%iQ;fhka miafi kshñ; m%udKhg .¾NdIh yelsf,kafka kE' ta jf.auhs" m%iQ;sh isÿúh hq;= oskh myqfj,d m%iQ;sh isoaO lrkak .shdu wdidok we;sùfï bvlvla ;sfnkjd' m%iQ;sh isÿ ùfuka miq reêrh .e,Sfï bvlao ;sfnkjd'

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we;eï frda.S ;;a;aj ksid we;eï frda.S ;;a;aj ujg ;sfnkjd kï ta ksid ore m%iQ;sh wehg ÿIAlr ld¾hhla kï''' iSi¾ ie;alula isÿ lrkakg fjkak mq¿jka' yDohdndO" w;HjYH fjk;a bkaøshhka wdndOhg ,laùu we';s úg m%iQ;sh wkdrlaIs; úh yelshs' túg;a iSi¾ ie;alula isÿ lrkakg isÿ úh yelshs'

,,kd iqjfi;

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WOMAN'S WORLD | FEMINA

f,dal ms<sld oskh fjkqfjka ,xld fydiamsÜ,aiayS wdorKSh ieureula''' ms<l s d frda.k S g—wfmalI a djl Wodjla˜ we;s l< oskhla 2017 ckjdß ui 28 jk Èk" ,xld fydiamsg,a Y%jKd.drh fkdfhl=;a jhia iSudj, miqjk ldka;djkaf.ka msÍ b;sÍ ;snqKs' ;udg ms<sldjla je<§ we;s nj ±k.;aod isg frda. m%;sldrh wjika jk ;=re YdÍßlj iy udkislj lïmkhg ,laj isá fuu ldka;djka kj cjhla ,o jQjka fuka fufia /iaj isáfha" CAN - SUR - VIVE" Ndrldr;ajh u.ska ixúOdkh lr ;snQ" ms<sldfjka ch.;a iy iqj jQ ldka;djka i|ydjQ iïuka;%Khghs' miajk jrg;a mj;ajk ,o fuu iïuka;%Kfha§ ms<sldfjka ch.;a ldka;djkaf.a woyia iy w;a±lSïo" wkd.;hg fkdìhj uqyqK Èh hq;= wdldrho" Tjqfkdjqka w;r woyia yqjudre lr .ekSug myiqlïo i,id ;snqKs' ;jo Tjqkaf.a ffjoH" YdÍßl" udkisl iy wOHd;añl .eg¿ úi|ñka b;du;a by< Ôjk rgdjla lrd fhduq lrùug ta i|yd lemjQ úfYaI{ iïm;a odhlhskag yels jqKd'

118

March 2017

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fuu jevigykg wkq.%yh ±lajQ JETWING wdh;kfha iNdm;s;=ud jk ysrdka l=f¾ uy;d "CAN - SUR - VIVE" fyj;a wfmalaIdjl Wodjla jevigyk iïnkaOj woyia olajñka —ms<sldjla l,ska y÷kd fkd.;fyd;a ;u cSú;h ke;sùug mq¿jka frda.hla' fuh úfYAIfhkau ldka;djkag je<÷Kq úg uq¿ mjq,a ixhq;shu ì|jeàug ,lafjkjd' tneúka l,ska y÷kd.ekSu b;d jeo.;aZZ jYfhka woyia olajkq ,enQjd' zzfuf,i l,ska y÷kdf.k Ôú;h ch.;a ldka;djka ksis Ôjk rgdjlg fhduqlsÍu" kj doctormagazine.lk

fuu jevigyk uq,skau wdrïN l<" ,xld fydiamsÜ,aiays ms<sld Y,H úfYaI{ ffjoH fkTud,a fmf¾rd woyia olajñka —ms<sldjla je<§fuka

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"CAN - SUR - VIVE" Ndrldr;ajh bÈßfha§ fujeks jevuq¿" fld<ôka msgk.rj,o meje;aùug wruqKqlr ;sfnkjd' "CAN - SUR - VIVE" ms<sn| jeäÿr úia;r ±k.ekSu i|yd;a" odhl;ajh ,nd§u i|yd;a 0713 161616 wu;kak' DM

March 2017

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119

WOMAN'S WORLD | FEMINA

miq fndfydaúg fuu frda.Ska .ek wjOdkh fhduqlsÍu ffjoHjreka fukau frda.Skao w;miq lrkjd' tjeks wjia:djkays§ fuu frda.ho W;aikakjQ wjia:d jd¾;d ù ;sfnkjd' Bg wu;rj ukd udkisl m%fndaOhla we;sj Ôj;aùu u.ska ms<sldj kej; u;=ùu u.yrjd .; yels nj;a ffjoH m¾fhaIK u.ska ikd: lr ;sfnkjd' "CAN - SUR - VIVE" Ndrldr;ajfha wruqKfuhhs˜

DOCTOR MAGAZINE

wfmalaIdjka we;slsÍu" udkisl iy YdÍßl iydhla ,nd§ug Wmfoia ,nd§u u.ska fuu "CAN - SUR VIVE" Ndrldr;ajhg iudchg lrkafka uy.`= fiajhla' fujeks fiajhlg wkq.%dyl;ajh ,nd§u wm wdh;kfhao wruqKlAZZ "CAN SUR - VIVE" lrkak n,dfmdfrd;a;= jk bÈß jevigyka j,g;a JETWING iqnm;kjdZZ

,,kd iqjfi; wdorKSh l;djla'''

ÿfjla Wmkakd''' iquqÿ .=K;s,l úisks

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WOMAN'S WORLD | FEMINA

zzwms mqxÑ ikaosfha jqK;a yefudagu n,dfmdfrd;a;= ;sfhkjd' ug u;l we;s ld,fha b|ka ug ;snqK n,dfmdfrd;a;=j wïud flfkla fjk tl' yhla y;rla fkdf;afrk ldf,a jqK;a uf.a fi,a,u ;sífí fndakslafld tlal' Tjqka ;uhs uf.a orefjda' Tjqka keyeùu" weªï fiaoSu" ke<ùu ug wmQre i;=gla f.k ÿkakdZZ

.eyekQ <uhska mqxÑ ikaosfha fndakslalkag we¨ï lrk tl wreuhla fkdfõ' tal iajNdúlhs' ta;a flfuka ud jhiska jefvk úg;a fï we,au ì|lska fyda wvq jqfKA kE' iu jhia ñ;=ßhka" .=rejßhka jkak" ffjoHjßhka jkak" jHdmdßlhka jkak m%d¾:kd mqroaoS uf.a m%d¾:kdj jqfKA fudllao okakjo@ wïud flfkla fjk tl'''

120

March 2017

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ta isoaêh ug u;lhs' uf.a jhi wjqreÿ myf<djhs' ysá .uka ug Wyq,.kak neß nfâ lelal=ula wdjd' fõokdj fl;rï ;Sj%j we;s jqKdo lsõfjd;a weis,af,ka udj wdfrda.HYd,djlg wrf.k .shd' tysoS ud mÍCId l< ffjoHjreka lS ldrKh uf.a cSú;h lvd bysfrkak ;rï ìhlre mqj;la' ta ;uhs uf.a Worfha fldaIAGhla ^Cyst& we;s nj ' th fodvï f.ähl muK m%udKhla orK nj;a id¾j ks¾úkaokhg ud ,lalr ie;alula uÕska th bj;a l< hq;= nj;a ffjoHjrhd meyeos<s l<d' ta ú;rla fkdfjhs' ug wïud flfkla ùfï bvlv fï fya;=j ksid fnfyúka wvqjk nj;a Tyq fmkajd ÿkakd' ta úosyg ñ,sk fj,d .sfha uf.a cSú;fha ;snqKq f,dl=u n,dfmdfrd;a;=j' fldfydu jqK;a fï ;ejq,a ixld ueo jydu l< hq;= foh jQ ie;alula uÕska fldaIAGh bj;a lsÍug ud uqyqK ÿkakd' uf.a udisl Tima ùu fldfydu;a ta ;rï ms<sfj,lg ;snqfKA kE' fï isoaêfhka miafia ;;a;ajh ;j;a Nhdkl wählg th jegqKd' uu kj fhdjqqka hqj;shl ùu;a iuÕu uf.a cSú;fha fjkialï fndfydauhla isoaO jqKd' ta jk úg ug úYd, ÿlla we;s fj,d ;snqfKA uf.a fi!LH ;;a;ajh .ek' zzorejka ,eîug fkdyels ùu ksid uf.a cSúf;a ld,lkaks fjhsZZ' uu ys;=jd' ys;kak .syska frda.sfhla fjhs lsh,d f.oßka ug /lshdjla lrk f,i b,a,d isáhd' fjf<| m%pdrk iud.ul wf<ú úOdhlfhl= f,i /lshdjlg ud wj;S¾K jqfha tys m%;sM,hla úosyg'

doctormagazine.lk

újdy ùug fâúâ ug fhdackd l<du uu uy;a is;a ;ejq,lg m;a jqKd' zzuu orejka ,nkak neß .eyekshla' wms újdy fj,d ld,hla hkfldg wfma cSú; lvdlmam,a fõúZZ' tfyu ys;mq uu uf.a ksireNdjh ms<sn|j ish,a, fâúâg meyeos<s lf<a Tyq fjk;la n,d.kSú hehs ksh; úYAjdifhka' fâúâ uf.a l:dj wyf.k ysáhd' zzkE tfyu fjkak nE' tfyu fjkak bvla kE' Thdg orefjda ,efnkaku ´ks' ta fldfydu jqK;a uu Thdg újdy lr .kakjd'ZZ ug cSúf;a iqkaorhs lsh,d ys;=Kd' t;fldg uf.a jhi wjqreÿ 20la' tfyu ál ld,hla cSúf;a f.ù .shd' ta .;jqfKA uf.a cSúf;a March 2017

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121

WOMAN'S WORLD | FEMINA

hy¿ ñ;%hka w;f¾ f.fjk cSú;h ug m%YAk wu;l lrkak fyd| wjia:djla jqKd' fï ld,fhaoS ;uhs ug zzTyqZZ uqK .eiqfka' thdf.a ku fâúâ' lvjiï ;reKfhla jQ fâúâ yd ud w;r ñ;%;ajhla f.dvke.=Kd' ñ;=reou fmï oula njg m;ajkakg jeä ld,hla .sfha kE'

DOCTOR MAGAZINE

ug ys;=Kd ta mdr;a fldaIAGhla ;uhs lsh,d' ffjoHjreka ud mÍCIK j,g fhduq l<d' fï mdr ;;a;ajh fnfyúka nrm;,hs' fldaIAG je<lau tl os.g' fï ;;a;ajh yªkajkafka Polycystic Ovary Syndrome (POS) hkqfjka' äïnfldaI j, ;ekska ;ek fldaIAG rdYshla we;s ùu f,i fuh ir<j ye|skaúh yelshs' Y,Hl¾ufhaoS uf.a jïmi äïnfldaIfha ;snQ fldaIAG ;=kla whska l<d' ol=KQ me;af;a Bg;a jeä m%udKhla' ol=KQ äïnfldaIfha fjka fjkaj bj;a lsÍu ÿIAlr jQ fldaIAG fjkqjg äïnfldaIfha fldgilau bj;a flreKd' ie;alu yudr ùfuka miq ffjoHjrhd ;;a;ajh

122

March 2017

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WOMAN'S WORLD | FEMINA

iaj¾Kuh jq hq.h' tl ojila ug wdfh;a ;on, f,i nfâ wudrejla oeKQkd' ta nfâ wudrej;a yßhg wr fldaIaGh ksid we;sjqK nfâ wudrej jf.auhs' Wyq, .kak nE' uu lE.eyqjd' fjd,ia udj jydu frday,a .; l<d'

miqjod WoEik ksjfia ÿrl:kh kdo jqKd' zzuu l:d lrkafka' T!IOfõoskshZZ' Tng lshkak Y=N wdrxÑhla ;sfnkjd' Tn .eìkshla fj,d' uf.a iqn me;=ï ms<s.kakZZ''''

meyeos<s l<d' zzug fndfydu lK.dgqhs lshkak' Tng ujl jkakg kï neßfjhs' Tn .eí .ekSfï bvlv ishhg 0'5 g;a jvd wvqhs' b;sx ys; yod .kak''' ie;alfuka miq äïnfldaI j, bkaishq,ska m%udKh by< ke.Su je<elaùug ug Metformin kï fnfy;la oskm;d .ekSug ffjoHjrhd ,nd ÿkakd' ie;alfuka miafia i;shla ú;r uu f;daka;=jdfjka jf.a ysáfha' lEfõ ìõfõ kE' ksod .;af;a kE' orejka fkdue;sùu ìhlre isyskhla f,iska ug oefkkak .;a;d'

doctormagazine.lk

i;s yhlg miafia osfkl ug fndkak lsh,d oSmq fm;s wjidk jqK ksid kej; fm;s .kak uu Tiqy,g .shd' tysoS ug ;snqKQ fm!oa.,sl .eg¨jla .ek t;ek isá T!IOfõoskshg lsjqjd'

zzkE ''' tfyu fjkak nE'''''ZZ fldfydu jqK;a weh uf.ka reêr kso¾Ylhla ,nd .;a;d' zzTfí ÿrl:k wxlh ug fokak' uu n,,d m%;sM,h f.org okajkakïZZ ksjig .sh uu ta isoaêh u;la lrkakj;a W;aidy .;af;a kE' m%;sM,h okakjd fkdje' fk.áõ' ug fldhskao t;rï jdikdjla' miqjod WoEik ksjfia ÿrl:kh kdo jqKd' zzuu l:d lrkafka' T!IOfõoskshZZ' Tng lshkak Y=N wdrxÑhla ;sfnkjd' Tn .eìkshla fj,d' uf.a iqn me;=ï ms<s.kakZZ'''' ug úYAjdi lrkak wmyiq jqKd' foúhfka ishhg oYu mylaj;a .eìkshla ùfï wjia:djla ke;s uu .eìkshla jqfKA fldfyduo@ ffjoHjrhd yuqùfïoS fï i;=gqodhl mqj; ikd: jqKd' bka miafia ud .eìks cSú;hg b;d i;=áka iQodkï jqKd' .eìKs iuh ug t;rï iqjodhs' ld,hla .; jqfKA kE' wdydr mdk lsisjla ug m%sh jqfKA kE' úúO wdndO fï uq¿ ld,h uq¿,af,au ;snqKd' ta;a" ta ish,a, uu buy;a osßfhka ú|.kakd' uf.au orefjla@' ñh hdug ;snQ isyskhg kej; mK weúoska ''''

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m%ijhg kshñ; oskhg i;shla ;sìhoS ug orejd ìys jqKd' ta isfiaßhka ie;alulska' orejd uf.a w;g ,enqKu ug uyd yhsfhka we`vqKd' fohshfka ta i;=gg''' wïud flfkla fjk tl fldhs ;rï i;=glao@ mqxÑ ldf,a b|,d me;+ ta iïm; ug ,eì,d' ljodj;a fkd,efnk fia ÿßka wE;aù .sh ta iïm; ug fkdys;+ úosyg ,eì,d' fï l:dj lshk wïud fïß oeka jhi wjqreÿ 24 hs' wef.a mskanr iajdñ mqreIhd fâúâ fïß .eìKshlj Wkakq ldf, wdofrka /l n,d.;af; lsisu ÿlla" ixldjla fkdoefkkakhs' fï fofokdf.a hq. osúhg i;=g /f.k wd foaj¥;sh zfIhs,k s Za g oeka udi 23 la fjkjd' fï wh ì%;dkHfha ifyaß fl%dhsvka k.rfha m%; S f s hka l,a.; lrkjd' DM

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123

WOMAN'S WORLD | FEMINA

weh ud osyd n,df.k isáhd' zzTn .eìkshlao'''''''''ZZ@ weh uf.ka úuiqjd' uu wehg iskdjlska ms<s;=re ÿkakd'

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zzuf.a mshhqre mqmqre .ykjd jf.a' óg biair tfyu jqfKA kE'''ZZ

,,kd iqjfi; UNDER SCRUTINY

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WOMAN'S WORLD | FEMINA

hg weªï .ek wks;a whg fmfkkak w|sk weªï j,g;a jvd ie<ls<su;a jkak Tfí iqjfi;g n,mdk hg we÷ï yd ine|S jeo.;a f;dr;=re /ila

g we÷ï - jeä fokd l;dnyg úIh lr.kak ud;Dldjla fkdfjhs' w;sYh fm!oa.,sl wjYH;djhla ksid;a" iudcuh wjOdkh kue;s fmdÿ idOlh wu;l lr ,nd .kakd mdßfNda.sl NdKavhla ksid;a th ;rul iqúfYAIS fm!oa.,sl b,a¨ula iys; mdßfNda.sl NdKavhla' ta flfia fj;;a zzhg we÷ïZZ ffjoH úoHd;aulj i<lk l< l;d nyg úIh fkdúh hq;= ldrKhlau;a fkdfjhs' mqoa., iajia:;djh úIfhys u;=msgg fmakak w|sk weªug;a jvd jeo.;a jkafka wka whg fkdfmfkk''' Tng muKla fmfkk hg weªuhs'

124

March 2017

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wjOdkhg t;rï fhduq fkdfjkjd lSj;a jdksc f,dalh ;=< wo hg weªu;a ffjjdrk ksudfjka úlsfKk fj<| NdKAvhla njg m;a fj,d' fn%ishr ldka;d hg weªï w;f¾ fn%ishrh wehg úYd, mrdihl wjYH;djhka m%udKhla bgq lrk hg weªula''' f,dalfha ldka;djka fndfydauhla fokd ;uka fn%ishrhla we|sh hq;= njg;a úYajdi lrkjd' fuh ;snqK;a''' fkd;snqK;a jroskakg fohla kE''' ta;a iïu;fha isg n,kjd kï fn%ishrh wo ldka;djka yg ;sìh hq;a;la' mshhqre j, .%kaÓuh fldgia" fïoh" iïnkaOl mgl yd ;r,h iEfyk muK ;sfnkjd' ksi`.fhkau fï fldgia jid.;a iu .=re;ajhg tfrysj mj;ajd .ekSug tys ksuejqu ;=<u l%shdldß;ajhla ;sfnkjd' ta;a wu;l lrkak fyd| kE th wudre ld¾hhla'''

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isref¾ yevh mj;ajd f.k hdu" mshhqre j, wdrlaIdj" ;kmqvq yd mshhqre i`.jd ;eîu" mshhqre ksoyfia t,a,Sfuka" meoaoSfuka

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fldfydu jqK;a Tn .e,fmk fn%ishrhla Tn f;dard.; hq;=hs' fuysoS Tn wf,úlrK Wml%u j,g lka fokjdg jvd Tfí YÍrfha wjYH;djhg lkaosh hq;=hs' ysr ke;s" t,a,d jefgkafk;a ke;s''' YÍrhg myiq fn%ishrhla f;dard.kak' hg weªï hg weªï .eyekq msßñ fomd¾Yajhgu wjYH fjkjd' fï fomd¾Yajhu jeäúh m;a jQjdg miq úúO >%djhka ksl=;a ùu isÿ fjkjd' tajd msg;g je.sÍu je<elaùug jf.au wfkl=;a weªï j, ;ejÍu je<elaùug w|sk hg weªu m%fhdackj;a fjkjd' fï hgg w|sk weªï f;dard .ekSfïoS wm fnfyúka úuis<su;a úh hq;=hs' úfYAIfhkau oeä ysre odyh isrer u; m;s; jk ksj¾;k l,dmSh rgl cSj;a jk wmg oyäh f;; ud;a;= jk lmq hg weªï

March 2017

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125

WOMAN'S WORLD | FEMINA

we;sjk wmyiq;djhkaf.ka ñoSu" jvd;a wdl¾IKSh fmKQula ,nd .ekSu" w|sk weªï wdhs;a;ï j, fmKqu jeä lr .ekSu wdoS wjYH;d /ila ksid fn%ishr m<|skakg ldka;djkag isÿ fjkjd'

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ksn| ta mshhqre flfrka mSvkhla we;s fjkjd' ysgf.k bkak úg''' b|f.k bkak úg we;sjk mSvkh jeähs' weúosk úg wNHka;ßl jHqyhkayS mqxÑ wk;=re we;s fjkak mq¿jka' iqjmyiqj we;sj ld,h .; lrkak kï mshhqre j,g wdrlaIdjla ´ks' fï wjYH;djh ksid ;uhs fujka wdïmkakhla ,,kdjka fjkqfjka ks¾udKh jqfKa'

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WOMAN'S WORLD | FEMINA

jvd;a iqÿiqhs' lmq weªï yereKQ úg fï f;; ud;a;= lr.kakd fjk;a fros j¾. j,ska ieliQ hg weªïo fj<|fmdf<A ;sfnkjd' fïjd yqiau .kakd we÷ï úosyghs ye|skafjkafka' ta flfia fj;;a Tfí YÍrh ksjd ikyk wdldrfha''' .; oejàfuka wmyiqjla we;s fkdjk wdldrfha hg weªula Tfí f;aÍu úh hq;=hs' hg weªï lsysmhla tljr we|Sfuka Tng wmyiq;djhla we;súh yelshs ldka;djl kï hg weªug wu;rj ghsÜ fIdaÜ tl" hg idh''' iuyr úg fvksï l,siula jqK;a w|sk wjia:d ;sfnkjd' hgg weªï lsysmhla we|Sfuka YÍrfha u;=msg''' úfYAIfhkau ,sx.sl wjhj wjg WIAK;ajh flfuka jeä fjkjd' th Tfí wmyiq;djhg fya;=jla jkak mq¿jka' tfiau lsálsáfha isrfjk f,i hg weªï w|skak;a tmd''' khsf,dka yd fjk;a iska;ála ksIAmdos;hkaf.ka hqla; hg weªï w|skak;a tmd''' tajd yqiau .kakd we÷ï f,i ie<flkafka kE'

126

March 2017

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oskm;d hg weªï udre lrkak" th w;sYh jeo.;a ldrKdjla hg weªï osk .Kkdjla ;siafia w|sk Woúh .eyekq msßñ fomd¾Yajfhau bkakjd' ldgj;a fmakafk;a kEfk' ta;a l=Kq fmakak ke;s jqK;a hg we÷ula fldfydug;a osk folla tl os.g w|skak ;rï msßisÿ kE' ta ksid tl ojila wekao hg weªu B<`. ojfios fldfydugj;a w|skak tmd''' u;=msáka fmfkkak ;sfhk weªug;a jvd msßisÿj ;sfhkak ´ks Tn hgg w|sk weªuhs' u;=msáka fmfkkak ;sfhk weªug;a jvd hg we÷ï ls<sá fjkjd' fjdIska fuIska j,ska fkdfjhs" w;skau hg we÷ï fidaod .kak hg weªï fiaoSfïoS wf;ka fiaoSfuka tajd blauKska je/ye,s ùu j<lajd .; yel' l¾lY fiaÿï l=vq inka fjkqjg uDÿ inka jvd;a iqÿiqh' fyd|ska l=vq wdosh bj;a jk fia c,fhka fiaoSug j. n,d.kak' fidaod fyd|ska úh,d.;a hg weªï ueoSfuka tys fYaI jQ úIîc jQjfyd;a WIAK;ajhg úkdY jk nj oek. kak' hg weªï ksid we;s úh yels f,v frda. /ila ;sfnkjd hg weªï ksid úúO f,v frda. we;s úh yelshs' úIîc ksid we;sjk wdidok fukau os,Sr frda." oo" l=IaG fukau wdid;añl;d jqK;a wmsßisÿ hg weªï ksid we;s fjkakg mq¿jka úfYAIfhkau Tima osk j,oS ldka;djka w|sk hg weªï ukdj msßisÿ lr kej; m%fhdackhg .ekSug W;aiql úh hq;=uhs' ldka;djka" msßñka" orejka''' fï fldhs ljqre;a ;ukaf.a hg weªï ñ,oS .ekSfïoS ;ukag we;s myiqj uq,a ;kayS ;nd.kak' yqiau .kakd iska;ála fkdjk fros j¾.hla" ysr;a ke;s t,a,d jefgkafk;a ke;s isrerg .e,fmk m%udKhla jf.au ;uka reÑ lrk udos,shla Tfí f;aÍu úh hq;=hs' fndfyda úg ms<s.;a ikakdu j,ska fj<|fmd<g uqod yßk hg weªï wdl¾YKSh jkjd fukau wdrlaIdldÍ jk nj;a mdßfNda.slhkaf.a fmdÿ ms<s.ekSuhs' DM doctormagazine.lk

,,kd iqjfi;

f,dalfha ñ,shk 80la hqj, ore iïm;a wysñ ùfuka mSvd ú|S' (WHO 1979-1984, P. Rowe et al. tla orefjla ,eîfuka miq fojk orejd ms<sis|Su isÿ fkdjk ksid mSvd ú|sk ldka;djka m%;sY;h ishhg 10'5ls' ore .enla l=ihg fkdmeñKSu fkdfyd;a m%d:ñl ksire;djh ishhg 2la ldka;djka w;r mj;akd nj y÷kdf.k ;sfí' flfuka W.% jk fï idM<H;djh yd ine|S .eg¿ iïnkaOfhka wm ld,hla ;siafiau mdGlhka oeKQj;a lrñka isáuq' úfYAIfhkau fï .eg¿j ch.ekSug kùk ffjoH úoHdj i,ik m%ia:d ms<sn|j wm mdGlhka oeKQj;a lsÍu fï ,sms fmf<ys wmf.a wruqK fõ' fujro ta wruqK fmroeß lrf.k flá igyka

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lsysmhla Tn yuqjg f.k tkakg woyia lruq' l<,fõo úfYaI{ ÿ¾j, äïnh Yla;su;a lrk Oocyte activation ldka;djla jhig hk úg äïn j, .=Kd;aul Ndjh wvq fjkjd' orefjla ,nd .kak kï túg odhl äïnhlg hkak fjkjd' fjk;a flfkl=f.a äïnhla weiqf¾ .eí .ekSula lrkak isoaO fjkjd' ta;a fjk;a flfklaf. äïn fhdodf.k ;ukag orefjla yod.kak wlue;s Woúh;a bkakjd' Oocyte activation lshk idM<H;d ;dlaIKh tjka ldka;djkag wfmalaIdiy.; úl,amhla'

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ksfrda.S ore iïm;la fjkqfjka cdk ;dlaIKh weiqre lr .ekSu jvd;a iqÿiqhs

l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr iu. l< idlÉPdjla weiqßKs

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Subfertility Oocyte activation ore iïm;a ,nd fokak ;rï Yla;shla ke;s äïn Yla;su;a lrkak;a mq¿jka'''

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ksfrda.S l<, j,ska muKla ore iïm;a ,ndfok cdk ;dlaIKh

Oocyte activation - yefudagu tl fia .e,fmkafk kE' ta;a hï id¾:l;ajhla n,dfmdfrd;a;= úh yelshs' fuh úYd, bosß msïula' lsishï ldka;djlf.a äïnh W;af;ackhg ,la fkdlf<d;a thska orefjl= ,eîfï id¾:l;ajh ìkaÿjhs kï th W;af;ackhg ,la lsÍfuka ishhg 50-60 olajd by< w.hlg muqKQjd .ekSug yelsùu we;af;kau úYd, ch.%yKhla fkdfjhso @ ljqre yß flfkla ;udf.au äïnhlskau ore iïm;la ,nd.kak ´kd lsh, ys;kjd kï Oocyte activation ;uhs ;sfhkafka' oyfofkla 128

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.;af;d;a Tjqkaf.ka 5-6 fofklaf.au W;aidyhka id¾:l;ajhg muqKQjd.kak fï l%ufhka yelshdj ;sfnk nj lshkak mq¿jks' fuh by<u ;dlaIKhla Ndú;d fjk l%uhla' fuysoS flfrkafka ;ukaf.a cdk ;udf.a äïnfha fYAIj ;sfh;aoS fjk;a äïnhl ;sfhk uhsfg%dfldkaä%hdj .,j, wrf.k wr uq,a äïnhg iïnkaO lsÍu' uhsfgdfldkaä%hdj lshkafk ffi,hl ;sfhk neÜß tl' taflka ;uhs Yla;sh ckkh lrkafk' idudkHfhka jhig hk úg fï uhsfgdfldkaä%hd j, m%Yak fndfydauhla Woa.; úh yelshs' Oocyte activation lshkafk yßhg neÜß tlla w¿;ska oeïu jf.hs' fuhska äïnh mqk¾cSjkhg ,la fjkjd' Yla;sh jeä fjkjd' fï Tiafia thska n,dfmdfrd;a;= jk .eí .ekaùfï ld¾hh bIaG isoaO lr.kak wk.s wjia:djla we;s fjkak mq¿jka' ta yereKQ úg ;j;a wm uú; lrjk iq¿ j¾OKSh wjia:djkao fï lafIA;%h ;=< y÷kdf.k ;sfnkjd' wkd.;h wo''' oeka äïnhla yd Y=l%dKQjla ke;sj;a ore iïm;la ,nd.kak mq¿jka @ doctormagazine.lk

iu,sx.sl újdyhka we;eï rgj, ks;Hdkql+, lrkjd' .eyekqka-.eyekqka jf.au msßñka-msßñka tlg jdih lrkjd' fïj wfma rgj, ixialD;shg wkQj kï ys;d .kakj;a neß nj we;a;' ta;a fndfyda ngysr rgj, fïj idudkH foaj,a' Tjqkag;a fndfyda whs;sjdislï ta rgj, kS;sfhkau ,ndoS, ;sfnkjd' újdyh" mjq,la fia jdih lsÍu" orejka we;s oeä lsÍu jf.a foaj,a' fï whg;a orejka yod.kak ;sfnk wjldY .ek .eUqßka l,amkd lrk miqìula ta rgj, ;sfhkjd' ksfrda.S ore iïm;a ,nd.kakg cdk ;dlaIKh cdk ;laIKh;a wo fnfyúka k< ore ;dlaIKfhaoS fhdod.kakjd' l<, yo, ta yeu l<,hlskau ffi,hla .,j, ta l<,j, fldhs;rï id¾:lNdjhla ;sfnkjdo lsh, cdk ;dlaIKh weiqf¾ mÍlaId lrkjd' idudkHfhka l<, oyhla yeÿfjd;a l<, y;rla ú;r ;uhs fyd|''' krl l<,''' kshñ; iïmQ¾K;ajh ke;s l<,;a ;sfhkjd' fïj weyeg n,, y÷k.kak nE' wvqmdvqlï iys;j orefjla yod.kak lsisu ujla" msfhla leu;s fjkafk kEfk' fyd|ska ksfrda.S orefjla yod.kak tl ;uhs yeu wïu flfklaf.au" yeu ;d;a; flfklaf. au n,dfmdfrd;a;=j' talg msysg fjkak fï cdk ;dlaIKh - Pre genetic screening bosßm;a fj,d ;sfhkjd'

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idudkHfhka jhi;a iu.u cdk fodaI iys;j we;sfjk l<, jeähs' fï ksid hï flfkla jhi wjq' 40 muK bl=;a jQ miq fï k<ore ;dlaIKfha msysg m;kjd kï PGS fkdfyd;a fï lshk cdk weiqre lr.;a ksfrda.S l<, yªkd.ekSu b;d iqÿiqhs' wvqmdvqlï iys;j nfnla yefok wjodku ñka u. yefrkjd'

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WOMAN'S WORLD | FEMINA

wms ys;uq lsishï ldka;djlg jhia.; ùfïoS äïn bjrhs lsh,''' t;fldg wef`.a ;sfhk fjk;a ffi,hla''' fndfyda úg f;dard.kafka ifï ;sfhk ffi,hla' fï ffi,h ridhKsl m%;sl%shdjlska äïnhla njg m;a lrkjd' thska ore iïm;la we;s lrkjd' fï úosfya ;dlaIKhka bosßfhaoS wfma rgj,;a Ndú;hg .kak wjldY ,efíú'

uhsfgdfldkaäh % dj lshkafk ffi,hl ;sfhk neÜß tl' taflka ;uhs Yla;h s ckkh lrkafk' idudkHfhka jhig hk úg fï uhsfgdfldkaäh % d j, m%Yk a fndfydauhla Woa.; úh yelsh's Oocyte activation lshkafk yßhg neÜß tlla w¿;ska oeïu jf.hs'

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ore iïm;la we;s fjkak kï äïnhla yd Y=l%dKQjla tl;= ùu wjYHuhs' tal ;uhs uQ,sl wjYH;djh' ta;a oeka tal;a fndre fj,d' oeka w¿f;kau y÷kdf.k ;sfnkjd" Y=l%dKQjla yd ifï ;sfnk ffi,hla weiqf¾ .eí .ekaùula l< yels nj'''

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Y=l%dKQjl yd äïnhl ióm rEmhla

fï ksid wms ys;uq idM<H;d jYfhka lsiu s .eg¿jla ke;s hqj, ishhla il%h S ,sx.sl cSú;hla .; lrñka ore iïm;a wfmalI a ; s j isáh lsh,''' ta;a fï whf.ka ishhg 80la ;uhs wjqreoaola ;=< .eí .kafk'

130

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fuysoS wd¾Ól idOl kï ;rula yria fjkjd' cdk ;dlaIKh fhdod .ekSfïoS Bg jeä ñ,la f.jkakg isÿ fjkjd' fuhg jehjk wdrïNl m%d.aOkh;a ;rula jeähs' ta;a fuhska wUq ieñhkg úYd, wjodkulska ñfokakg wjia:dj ie,fikjd' fï ksid ta i|yd wd¾Ól Yla;sh ;sfnkjd kï l<, uekúka mÍlaId lr.kak cdk ;dlaIKh fhdod .ekSu iqÿiqhs' wo ld,fha k<ore ;dlaIKfha by< id¾:l ùfï iïNdú;djhla ;sfnkjd k< ore ;dlaIKhka wdrïNfhaoS ;snqfKA wvq id¾:l;ajhla' fuhg Ndckh jk msßia w;f¾ id¾:l;ajhla uq,a ld,fhaoS ,enqfKA l,d;=rlska' ta;a wo ;;a;ajh fnfyúka fjkia fj,d' wo fï ;dlaIKhkag Ndckh jk jeä fofkla ;u wruqKQ uqÿkam;a lr.kakjd' ore iïm;a isyskh ienE lr.kakjd' úfYaIfhkau uE; ld,Skj yªkajd ÿka ;dlaIKsl l%u fya;= fldgf.k ishhg 60-70l muK id¾:l;ajhla iuia;hla jYfhka ,efnkjd' wd¾Ól ldrKd fuysoS id¾:l;ajhg yria fjkak mq¿jka' ta;a

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k<ore ;dlaIKfhka ore iïm;la ,nd .ekSug orK W;aidyhka oyhlska mia fofkl=g .eí .ekSï we;s jqKd lsh, ys;uqfld' tfyu fj,djg wr wid¾:l jQ whg id¾:l jQ whf. l<, ;ekam;a lsÍula lrkak;a mq¿jka' thska ;j;a 2-3la u,aM< orkjd' ta;a Capsule Baby ;dlaIKfha we;s wid¾:l;ajh ;uhs" lsishï úosylska wid¾:l jqfKd;a fYAI jk l<, lsisjla ke;s ksid kej;;a uq, isgkau mgka .kak isÿ fjkjd' flfkl=g uqo,a ys`.hs kï" äïn wvqhs kï" bosßhg ;ekam;a lrkak äïn m%udKhlao ke;akï lemaishq,a fíì l%ufhka ishhg 50l muK id¾:l;ajhla ;sfhk l%uhla' wvqmdvqlï lsisjla ke;s hqj,la jqK;a .eí .kakg l,la hkjd''' iajNdúlj hqj,la újdy fj,d iajdNdúlj ixi¾. fha fhÿfKd;a ishhg ishhla idM<H;djh ;sfnk yeu w;skau ksfrda.S hqj,la jqK;a ishhg 15la ;uhs ta ihsl,a tflaos .eí .kafka' talg fya;=j ;uhs" Y=l%dKQjhs äïnhhs tl;= jqK;a ta wjia:dfõu fyd| l<, yefok wjia:d úr,hs' iajdNdúlj yeu úgu /l.kafk fyd| l<,h ú;rhs' wfkla fodaIiy.; tajd l<, njg m;a fkdù fyda l<,hla jqK;a uq,a wjia:dfõoSu úkdY fj,d hkjd' ksfrda.S mrmqrla we;s lsÍu i|yd iajNdjO¾uh úiska fï wmQre jrkh iajdNdúlju .¾NdIh ;=<oS l%shd;aul lrkjd' fï ksid wms ys;uq idM<H;d jYfhka lsisu .eg¿jla ke;s hqj, ishhla il%Sh ,sx.sl cSú;hla .; lrñka ore iïm;a wfmalaIs;j isáh lsh,''' ta;a fï whf. ka ishhg 80la ;uhs wjqreoaola ;=< .eí .kafk' ;j;a

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iuyreka fï .ek w;s ixfõoS fjk wjia:d;a ;sfnkjd' ta;a iajNdjO¾uh yeu úgu l%shd;aul jkafka iqÿiq foa muKla ,nd fokakhs' fï ksid iajdNdúlj ,sx.slj tlaùuloS jqK;a" ore iïm;a wmg ´ks úosygu fkdfjhs iajNdjO¾ufha ßoauhg;a wkql+,ju isÿjk ldrKhla nj wm wu;l lrkak fyd| kE' WOMAN'S WORLD | FEMINA

Capsule Baby ;dlaIKh - jdis yd wjdis Capsule Baby lshkafk;a kj ;dlaIKhla' idfmalaIj wvq úhoulska ore iïm;a ,nd.; yels ñ, wvq l%uhla'

úiaila fya;=jla ke;;a .eí .kafk kE' ta whg .en .kak ;j ál l,la jeämqr .; fjkjd'

kqf.af.dv" Wvyuq,a," mrK fldÜgdj mdf¾ WISH Fertility & IVF Clinic fï jákd ;dlaIKh weiqf¾ wUqieñhkaf.a ore iqr;,a isysk ienE lrk osjhsfka m%uqL idM<H;d wdh;khls' Tfí ore iïm;a ,eîfï m%udoh iïnkaOfhka we;sjk .eg¿ i|yd 0779728799 yd 0773273866 hk wxl wu;kak' DM

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tlla neßjqfKd;a" B<`. l%uh''' fï úosyg wjia:d / ilau ;sfnkjd'

131

fodafr .,k ore fifkyi

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

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

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

ì%;dkHfha iqÿiqlï ,enQ idhksl úfYaI{ ffjoHjrfhl=f.a fiajh ,nd .ekSug 011 2836 788 ÿrl:k wxlhg wu;kak' 132

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WISH Fertility & IVF Clinic No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda Tel: 077 9728 799, 077 3273 866 E mail: wishiuiivf@gmail.com | wishiuiivf.com doctormagazine.lk

,iaik ,m" le<e,a bj;,d uqyqfKA meyeh Tm uÜgï lrk

m%n, ridhKsl ødjKhla ifï wdf,amkh lrñka ksYAÑ; fj,djla ksfid,aufka ;sfnkakg i,iajd bkamiq th bj;a lsÍu fuysoS fhdod .kakd uQ,sl l%ufõohhs' fï fya;=fjka ifï u;=msg ia:rh lsishï ydkshlg ,lafõ' tu ydks jQ ffi, ia:rh ál osklska u| ms<siaiqulg ,la jQjd fia ;o meyehlg ,laù bkamiq .e,ù hhs' ta iu.u iu u;=msg we;s ,m" le<e,a iy wjmeye .ekaùïo bj;a ù hhs' fï fya;=fjka ifï hg ia:r j, isg w¿;a ffi, WoaoSmkh ùu isÿfõ' fuu m%;sldrh lsysm j;djla lrk úg iu ie<lsh hq;= m%udKhlska meyem;a fjhs' ifï le<e,a yd ,m wdosh bj;a ùfuka iug kj fmKQulao ,efnKq we;'

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fuu m%;sldrh i|yd imqrd,sh hq;= wjYH;d fudkjdo @ fuu m%;sldrh lr.ekSug fmr wju jYfhka i;s folla j;a ffjoHjrhd ,ndfok wdf,am Wmfoia mßos mdúÉÑ l< hq;=h' l=re<E" le<e,a i|yd fuu m%;sldrh lrk úgoS ifï l=re<E uekúka md,khg ,laj ;sìh hq;=h' tfiau fulS m%;sldrfhka ifï Wvu ia:rh bj;a lsÍu isÿ flfrk ksid tu.ska iu ysre/iaj,g ixfõoS;djh úYd, jYfhka jeäfõ' tu ksid iu l¿ meye .ekaùugo

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Chemical Peeling uE; ld,fha b;d ckm%sh jQ rEm,djKH m%;sldr l%uhls' uqyqfKA ,m" le<e,a" uqyqK wjmeye .ekSu yd ifï úhm;a njg m%;sldr msKsi fhdod .kakd id¾:l m%;sldr l%uhla jYfhka Chemical Peeling wújdos;h'

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CHEMICAL PEELING

;Uq;af;a.u uQ,sl frdayf,a jevn,k p¾u frda. úfYaI| ffjoH ksÆmd m;srdc úisks

WOMAN'S WORLD | BEAUTY DOCTOR MAGAZINE

ks;r t<suyfka /lshdj, ksr; jk wh m%;sldrh lr.ekSu t;rï iqÿiq fkdfõ'

134

March 2017

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bv ;sfí' fï ndOl ksid m%;sldrh isÿ lsÍfuka miq ysre/iaj,ska wdrlaId ùug mshjr .; hq;=h' úfYAIfhkau ysre /ia wdjrK wdf,am (Sun Screen) Ndú;d lsÍu wksjd¾hfhkau l< hq;a;ls'

fuu Chemical Peeling m%;sldrh lsysm j;djla lrk úg iu ie<lsh hq;= m%udKhlska meyem;a fjhs' ifï le<e,a yd ,m wdosh bj;a ùfuka iug kj fmKQulao ,efnKq we;' újdyfmalaIs; we;eï ;reKshka újdydikakfha fuu m%;sldrhg ,laùu iqÿiq fkdfõ' ta fjkqjg Tjqka tu osk j,g uilg muK fmr m%;sldrh isÿ lr.; hq;=h' Tjqka újdy jkakg wdikakfha fuu m%;sldrhg Ndckh ùu wkqu; l< fkdyel' DM

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,iaik

iul mej;sh yels wdldr Th úosyghs' Tfí iu ñka l=uk ldKavhg wh;a o@ iug i;aldrhla lrkakg fmr" iu fi!LH iïmkak lsÍfï ndysr mshjr .kakg fmr Tfí iu ljr wdldroehs uq,skau y÷kd.kak'

ffjoH W;am,d iurosjdlr fld<U cd;sl frday,

idudkH iug lrk i;aldr idudkH ifuys iEu fldgilau taldldßhs' ifuys ;dkh ^tone& uDÿhs' u;=msg iquqÿhs' uDÿhs' ,m le<e,a fmfkkakg kE' iula fï wdldr jkafka thg ,efnk c,fha;a" f;,a j,;a ;=,s;;djh ksihs' tfiau fyd| reêr .ukd.ukhl=;a mej;Su ksihs' Tng ;sfnkafka fujka idudkH iula kï l=Kq iy oyäh bj;a lsÍug osklg 2-3 jrla fiaoSu m%udKj;a' thg inka fyda uDÿ fYdaOlhla (Mild cleanser) fhdo.;a;dg jrola kE'

rld" kj fhdjqka úfha mdie,a YsIHdjla' isksÿ iqisksÿ iul ysñldßhl jqj;a wehg;a zz;jÿrg;a iu meyem;a lr .ekSfïZZ wjYH;djh fkdoeKqkd fkdfõ' wehg wyïfnka jf.a ckm%sh udos,shl f,daIka - j¾.hla ,enqKd' wE ;u j; luf,ys tajd .e,ajqjd' t;ekska miq isÿjQfha weh isysfkkqÿ fkdis;+ wlr;eínhla' tf;la lsisÿ le<,la fkd;snQ wef.a ifuys ìì,s u;= ù tajd l=re,E njg m;ajqKd' iEu iï i;aldrhlau iEu iulgu iqÿiq kE' kqiqÿiq wjia:dfõoS kqiqÿiq i;aldrhla ifuys .e,ajqfjd;a hym;la fjkqjg isÿjkafka whym;la' ;ukaf.a ifuys .;s fidndj .ek;a" thg l< hq;= i;aldr .ek;a isÿ fkdl< hq;= i;aldr .ek;a fjfiiskau isÿ fkdl< hq;= oE ms<sn|j;a ,,kdjkS" Tn oeKqj;aj isáh hq;=hs' ta i`oyd .kakd jQ yDohdx.u W;aidyhls fï'''

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135

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fhdjqka oshKshf.a" os.eishf.a iu iqkaor;ajh Tma kxjd .ekSug Wmfoia

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Skin care Tips forTeen Girls

Tfí iu l=uk iajrEmhla orhso@ 1' idudkH iu 2' úh,s iu 3' f;,a iys; iu 4' fïjdfhys tl;=jla

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WOMAN'S WORLD | BEAUTY

úh,s iug i;aldr oSma;shla ke;s" ;rula l¾lY" iu .e,ù hk tfukau we;eï úg lik iq¿ iajNdjhla úh,s iul mej;sh yelshs' ndysr wdia;rkfha iu .e,ù hdu fya;= fldgf.k fujka iula we;s fjkjd' YÍrfha ksiÕfhka mj;sk iajdNdúl ff;,uh iajNdjh ksid idudkHfhka fï iu flfrka we;sjk c,h CIh ùu j<lajkjd' Tng úh<s iula ;sfí kï uqj fodajkhg uDÿ fYdaOlhla (Mild Cleanser) mdúÉÑ l< hq;=hs' iu ;jÿrg;a úh,Su fï u.ska j<lajd.; yelshs' uqj fodajkfhka miq iu Moisturize l< hq;=hs' f;;uk ldrlhla wdf,am l< hq;=hs' ta ioyd Tfí f;aÍu úh hq;af;a Non-Perfumed ^iqj| ke;s& NonAlcoholic ^uOHidr wvx.= fkdjk& f;;uk ldrlhla' tfiau fnfyúka WKqiqï WKq j;=r iakdkh ksido" ifuys f;;ukh bj;aúh yels ksid fnfyúka WKqiqï WKq j;=r t;rï fyd| kE'

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inka mdúÉÑh ksid;a" jeämqr uqyqKq we;s,a,Su ksid;a úh,s ifuys uqyqKg isÿjkafka ydkshla' uo WKqiqï j;=ßka iakdkfha jrola kE' ta;a inka mdúÉÑh w;a yßkak' f;,a iys; iug lrk id;a;=j l=re,E we;s ùug ys;lr jkafka fï f;,a iys; iuhs' fï iu ;=< l=vd l+m ^Pores& olakg ,efnkjd' meyefhka iu os,sfik iajrEmhla orkjd' iu u; f;,a .;sh we;sùug fydafudak n,mdkjd' Tfí isrer u; fydafudakuh m%udK jeä lsÍug n,mj;ajk ljr fyda ldrKhla fï iu u;go n,mEï l< yelshs' úNd. wdikakfha" úúO ;rÕj,g fmkS isàfïoS ys;g oefkk wd;;sho l=re,E j,g fya;= jkjd' Tfí f;,a iys; iug lrk id;a;= w;f¾ osklg f;j;djla inka .d uqyqK fiaoSu m%udKj;a' mdif,aoS" msg;oS Tng uqyqK msßisÿ lr.ekSu wjYH kï Cleansing - pads Ndú;d lsÍfï jrola kE'

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Tfí ;=reKQ iu fi!LH iïmkakj yd meyem;aj ;nd .ekSug ir< Wmfoia 1'Cleanse l=KQ" f;,a iy uereKQ p¾u ffi, bj;a lsÍug laf,kaia lsÍu jeo.;a fjhs' Tng we;af;a f;,a iys; iula fyda Normal/ combination f,i oelafjk f;,a iys;$ úh<s uqyqka iula kï ie,sis,sla wï,h wvx.= laf,kai¾ tlla oskm;d mdúÉÑhg .ekSu iqÿiqhs' ckm%sh Acne wash /ilg we;af;a fï ie,sis,sla wï,hhs' ie,sis,sla wï,h f;,a W;amdokh md,kh lrk w;r th iu c, .ekaùugo ^Hydration& bjy,a fjhs' ;j;a laf,kai¾ j¾.hla jkafka .a,hsfld,sla wï,hhs' p¾u ffi, bj;a lsÍug .a,hsfld,sla wï,fhka ukd msgqjy,la ,efnhs' Eye make -up bj;a lsÍug fjkuu ksIamdok we;' kuq;a we;eï Facial

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2'Moisturize/ Hydrate Tfí iu ic,kh lsÍug kï uqj fodajkh" iakdkh m%udKj;ah' kuq;a uqfjys f;;ukh /|ùug ^Moisturize& wdf,am lsÍfuka p¾ufha wj l%shdldß;ajhla we;s fkdfõ' ixfõoS iulg nr wdf,amk Ndú;d fkdl< hq;=h' f;,a iys; iulg fhdok Moisturizer tl f;,a j,ska úhqla; ^Oil - free& úh hq;=h' kuq;a th ic,k .=Kdx.j,ska msßmqka tlla úh hq;=h' Moisturizer iEu úgu wdf,am l< hq;af;a iu Cleansing lsÍfuka yd Hydrating l<dg miqjh' 3. Treat fndfyda ;=reKq ldka;djka l=re,E fyda fjkhï p¾u.; .eg¿jla we;sjQ úg m%;sldr .kakg hkafka ifuys l=m wjysr jQ wjia:dfõoSh' f;,a jeä jYfhka March 2017

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137

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ld,.=Khg wkqj fujka ifuys we;s jk fjkialï ,dCIKslhs' YS; foaY.=K ;;a;ajhkays oS iu jvd;a úh<s iajNdjhla olskjd' fujka iula ;sfnk úg osklg 2-3 jrla inka .d uqj fodajkh m%udKj;a' fuysoS Moisturize l< hq;af;a uqyqfKA úh<s iajNdjhla ork l,dm muKhs'

Cleaners fï Waterproof Mascara jeks Eye make-up o bj;a lsÍfï yelshdfjka hqla;h' hï ksmehqula mdúÉÑfhaoS weia wi, flfjk njla oefka kï Bg úl,amhla f,i Fragrance-free Cleanser tlla mdúÉÑ lrkak'

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l=re,E ;sfnkjd kï tajd lsisÿ úfgl ñßlkak tmd' th ;;a;ajh nrm;, lr m%odysl ;;a;ajhka uqyqK u; we;s lsÍug m%uqL;u fya;=jhs' Tn uqyqfKa .,ajk ljr fohla jqj;a uqyqfKa ishqï l+m wjysr fkdjk tajd úh hq;=hs' tksid zzNon comedogenicZZ hkqfjka i|yka wdf,amk muKla .e,aùu wu;l lrkak tmd' idudkH $ Combination iug lrk id;a;=j Normal / Combination iu ;=< f;,a .;shla$ úh<s .;shla hk wjia:d folu oelsh yelshs' fuysoS f;,a .;sh olakg ,efnkafka k<," kdih yd kslg we;=<;a fmfoi u;hs' th me;sfrk wdldrh T wdldr ksid T. Zone f,i ye|skafjkjd' wfkl=;a ish¿ ia:dk j, iu úh<s iajNdjhla .kakjd' fï ifuys;a l+m idfmaCIj ;rula úYd,hs' iu u; blackheads we;s ùu bvlv jeähs'

ksIamdokh ùu yereKq úg l=Kq nelaàßhd wdosh l+mfhys isrjQ úg fuu wjysrùu isÿfõ' we;eï úg Moisturizer fukau ysfiys .,ajk vhs j¾.o ;;a;ajh ;jÿrg;a nrm;, l< yelsh'

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WOMAN'S WORLD | BEAUTY

inka j,g" Astringents j,g u;=j we;s f;,a bj;a l< yels jqj;a f;,a ksmehqu wvq lsÍug hula l< fkdyelsh' wm Scrubbing lrkafka fyd| m%;sM,hka wfmaCIdfjks' kuq;a fuysoS we;sjk iSÍu fl<jr jkafka l=re,E u;= ùfuks' Benzoyl Peroxide l=re,E u;=jk wjêfha fyd| m%;sldrhls' fï ødjKh .e,aúh hq;af;a l=re,E u; fkdfõ' k<,;" kdih yd kslg jeks ff;,uh iajNdjh jeä ia:dkj,h' kuq;a fïjdfhys o wvqmdvq ke;=jd fkdfõ' iq,nj fuu fnfy;a .e,aùfuka ifuys úh,s iajNdjhla we;s úh yel' Benzoyl Peroxide wdf,am l< hq;af;a osklg tla j;djls' ijig kï jvd;a fyd`oh' tys tys m%;sM,hla ,eîug kï uila j;a fkdlvjd wdf,am lsÍu l< hq;=h' 138

March 2017

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4 Protect - wdrCIdj iu laf,kaiska lsÍfuka miq ysre rYañfhka yd wfkl=;a mdßißl wj idOl j,ska iu wdrCIdlr .ekSuo jeo.;ah' fï i|yd SPF w.h 15 fyda Bg jeä Sun Screen tlla Moisturizer fyda Foundation Cream f,i .,ajd .ekSu l< hq;=h' SPF w.h ;SrKh l< hq;af;a Tfí ifï meyeh wkqjh' oskm;d Sun screen tlla wdf,am lsÍu iy oeä ysre odyfhka ñoSu wl,g iu /,s jeàu fukau ;j;a fndfyda p¾u.; .eg¿j,ska wdrCIdjla i,ihs' Tfí iu Moisturize l< hq;af;a wehs @ ksfrda.S iulg ic,kh b;d wjYH wx.hls' idudkHfhka iul fmdaIKh fukau ic,kho iïfm%aIKh jkafka wNHka;rfha isg u;= msggh' iug m%udKj;a c, fmdaIKhla ke;s úg iu úhef<hs' iu u; olakg ,efnkafkao ksfrda.S fmkqula fkdfõ' iul ic,kh Tng md,kh lsÍuo ;rula W.ygh' kuq;a fï iïnkaOfhka Tng l< yelallao ;sfí' ta iug f;;ukh ndysßka i,id oSuhs' Moisturizer u.ska isÿ lrkafka o fuu ld¾hhhs' ifuys u;=msg wdia;rKh ic,kh lsÍug - f;;a iys; mDIaGhla njg m;a lsÍug Moisturizers WmldÍ fjhs' Tn Moisturizer tlla ñ,oS .ekSfoS Tfí f;aÍu úh hq;af;a Broad Spectrum Sun Screen wvx.= Moisturizer h' fuu .=Kdx.h iys; wdf,amk Tfí iu ysre odyfha wys;lr n,mEï j,skao wdrCId lrhs' tfiau Tfí iu fnfyúka ixfõoS tlla kï ^Sensitive skin& iqj| lejQ (Added Fragrance) Moistrizer tlla .ekSfuka je<lsh hq;=h' iu ms<sn|j .eg¿j,g ffjoHjrfhl= yuqúh hq;= fj,dj'''@ Tng we;af;a ljr wdldrhl iula jqj;a" Tfí iu flfryS wys;lr f,i n,mdk ljr ldrKhla jqj;a - l=re,E fõjd fjk ´kEu .eg¿jla fõjd'' Tfí mjqf,a ffjoHjrhd yuq ù ta nj mjikak' wjYH kï Tyq Tnj p¾u frda. ffjoHjrfhl= fj; fhduq lrkq we;' DM

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,iaik

ldka;djkag kï th isrerg ,d,s;Hh tla lrk jHdhduhla YHdu,S m;srf.a úisks Yoga Shiromani (Teacher of Yoga) The International Yoga Vedanta Centre - India ;u rEmh flfryS we;s f,da,s;ajh f,dj fld;ekl isáh;a ldka;djkaf.a fmdÿ ,laIKhls' ta ksidfjkau weh udkj j¾.hd w;f¾ jvd;a wdl¾YKSh md¾YAjh njg m;aj isà' f,dalfha b;d cjiïmkak l¾udka;hla njg rEm,djKHh m;aj we;af;ao fï wisßh ksiduh' isrer meyem;a lr.eksug" tys yevh" ;dkh ;uka .e,fmk wdldrfhka mj;ajd .ekSug we;eï ldkA;djka ;=< we;af;a Wkaudohls' wdydr md,kh" jhdhdu fukau úúO T!IO j¾." kslafIAmk mjd ,nd .kakg weh ue<s fkdjkafkah' ta wdl¾YkSh remfha kdufhks' rej /l.ekSug fhdok wfkal Wml%u w;f¾ ta ish,a, w;r jvd;a id¾:l l%uhla jYfhka zzfhda.dZZ ye|skaúh

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ldka;djka jhia.; jk úg uqyqfKa /<s .eiSu" mshhqre jeyeÍ t,a,d jeàu" ifuys ;dkh wysñ ùu isÿjkqfha mDÓúfha .=re;ajdl¾IKfha n,mEu ksid nj;a isrer hál=re lrk bßhõjl msysgk ixjdx.dhkh" YS¾Idikh jeks wdik mj;ajd .ekSu fhda.H jk nj;a mqrdK fhda.dpdÍkaf.a u;hhs' fhda.d .ek uQ,sl ye|skaùula Ndr;Sh iïNjhla iys; .eUqre cSjK o¾YKhls' f,dj jvd;au merKs úoHdj" wOHdmkh jYfhka ie<flkafkao fhda.d fõohhs' nqÿ" mfianqÿ" uy ry;ka jykafia,dg úuqla;s ud¾.fha .uka lsÍug wejeis ldhsl" udkisl Yla;ska ,nd .ekSug lh ksfrda.S yd ksis f,i md,kh lr.ekSug fhda.d o¾YKh WmldÍ úh' March 2017

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o¾YKhla''' cSjk rgdjg w;aje<la'''

yel' wo ojfia ldka;djka fndfydauhla ;u rej mj;ajd .ekSug fhdod. kakd wjfYAI Wml%u yd ii|k l< zzfhda. dZZ hkq os.=ld,Skj m%;sM< w;aú|sh yels rEm,djKH l%uhls' tfiau fhda.d iajNdjfhkau ldka;d ,d,s;Hh mj;ajd .ekSug WmldÍ jk iajdNdúl rEm ,djKH l%uhla f,io ye|skaùfï jrola ke;'

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fhda.d'''

fhda.d o¾YKh bkaoshdfõ wdrïN jQfha Y;j¾Idêl ld,hlg fmrh' uú;h okjk ldrKh kï th tod fukau wog;a .,md.; yels ùuhs'

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WOMAN'S WORLD | BEAUTY

fhda.d o¾YKfha we;s ldhsl" udkisl YslaIKh isref¾ wNHka;r ksfrda.SNdjh mj;ajd .ekSug bjy,a fõ' isrer ,sys,a yd ieye,a¨ fldg mQ¾K ksoyia ;;;ajhg m;afldg is; ksrjq,a lr wjos lr .ekSug m%dfhda.slj M<odhSu l%ufõoh jkafkah' isref¾ ;dkh mj;ajd .ekSu" ;rndrej md,kh lsÍu" rEm fYdandj Tma kxjd .ekSu" ;reK nj /l.ekSu ifï meyeh m%lD;su;a lr .ekSu yd Tma kexùu' fhda.d o¾YKfha oelafjk ud¾. fhda.d hkq jHdhdu l%uhla muKlehs is;=fjd;a th je/oaols' tys we;af;a úúO bßhõ j, mj;ajd .kakd wdik muKlau fkdfõ' fhda.d j,g wkQj úuqla;sh lrd hk ud¾. yhla .ek oelafõ'

March 2017

fhda.d jYfhka jvd;a m%p,s;j mj;sk fhda.d wdik yd fhda.d jHdhdu wh;a jkqfha yG fhda.d >Khghs' fhda.d o¾YKh ;=< lh" uki f.k hkafkl=g Ndjkdkqfhda.Sj isàug yd ksfrda.S lhla mj;ajd .ekSug tl bßhõjl jeä fj,djla /|S isàug yd ;u isrer ;udg wjk;j mj;ajd .ekSug fyj;a isrer ;u o¾YKhg ndOdjla fkdjk mßos mj;ajd .ekSug wjYH neúka fhda.d wdik ìysjQ nj lshefjhs' fhda.d jHdhdu j,ska frda. iqjm;a l< yelso @ ldhsl yd udkisl jYfhka jk frda. fndfydauhla iqjm;a lsÍug fhda.d wdik j, mej;Sfuka yels fj' fhda.d wdik j,ska iqj l< yels frda. iuyrla ● fldkafoa wudrej ● ykaosm;a fõokd ● ysfia lelal=u$fldagrl m%odyh ● mSki$weÿu$fldagrl m%odyh ● wdydr cS¾Kl moaO;sfha .eg¿$w¾Yia ● Tima fodaI$fydafudak fodaI ● jl=.vq frda. ● kskao fkdhdu ● wêl ;rndrej ● ,sx.sl ÿn,;d$,sx.sl .eg¿

● Nla;s fhda.d ● l¾u fhda.d

140

● rdc fhda.d ● {dK fhda.d ● uka;% fhda.d ● yG fhda.d

,nk l,dmfhka fhda.d lsÍug wms iQodkï fjuq DOCTOR MAGAZINE

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ysre odyfhka iug we;sjk ydksfhka j<lskak''' fï úosyg Sun Screen/ Sun block .,ajkak

,iaik fï meyem;aNdjh YÍrfha wfkl=;a wxf.damdx. j,ska fidrd .;af;a ysre rcs÷ ñi wka ljfrlao@ iu wõjg meye.ekaùfï $ bysÍfï m%;sM, SunTanning wmsp¾ufha we;s fu,fkdihsg u.ska zfu,kskaZ keue;s j¾Klh ksmojk nj oeka Tn okakjd' fu,kska j, we;af;a wdrËl l%shdj,shls' ysre lsrK iug Wrd.;aúg tys Yla;sh ;dmh f,i uqodyßñka iug ydks f.koSu fu,kska ksid md,kh lrhs' ysreodyh jeä jYfhka ,efnk úg fu,kska ksIamdokho by< hhs' túg iu ÿUqre meye .ekaùula isÿfõ' th iu u; meyeh bysÍula f,io ye|skaúh yel' fuh y÷kajkafka Suntanning hkqfjks'

WOMAN'S WORLD | BEAUTY

Sun Tanning

ffjoH mqkaird úl%u;s,l úisks

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ysre t<sh Tfí iug fl;rï ydkshla lrkjdo@ ldka;djks" tys wreuh oel .ekSug kï n,kak Tfí mshhqrej, ks;ru wdjrKh ù we;s há me;a;¦ wf;a by< ndyqfõ há me;a;' b;d wvqfjka ysreg ksrdjrKh jk tu fmfoia j, iu fl;rï meyem;ao@

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141

WOMAN'S WORLD | BEAUTY DOCTOR MAGAZINE

Suntanning l%shdj,sh ksid isrerg jk wk¾:hka ms<sn|j oeka wmg wjfndaOhla ;sfí'

Urocranic wï,h yd m%;sl%shd ùfukao uqla; LKavl ckkh ùula isÿfõ' fï uqla; LKavl u.ska iu wNHka;rfha we;s jákd fld,eck yd b,iaák hk fm%daàk ì| fy,Sula isÿ lrhs' fuys m%;sM,h kï iu /,s jeàuhs'

Suntanning l%shdj,sfhaoS iu u;g msúfik mdrcïnq, lsrK mQ¾K jYfhka fu,kska u.ska wjfYdaIKh lr.kafka ke;' b;sßjk mdrcïnq, lsrK u.ska uqla; LKavl (free radicals) f,i ye|skafjk NËl wKq úfYaIhla ks¾udKh lrhs' fï uqla; LKavl mj;skafka bf,lafg%dak W!K wjia:djlh' ta ksid tajd ieuúgu ta wi, we;s ffi,j,ska bf,lafg%dak n,fhka wdl¾Ykh lrf.k ;u ljph iïmQ¾K lsÍug udk n,hs' thska isÿjk foa meyeos,sh' wjg ;sfnk wysxil p¾u ffi, ydkshg $ wdmodjg m;afjhs' uqla; LKavl isÿ lrk fï wdl%uKh ksid YÍrfha we;s ffi,j, m%fõKsl øjHj,go myr joS' ffi,hl m%fõKsl .;s.=K fjkiaùfuka isÿjk oE wuq;=fjka úia;r l< hq;= fkdfõ' úúO úlD;s;d we;sù tajd wjidkfha ms<sld jeks ;;a;aj j,go m;aùug bv we;'

ysre odyfhka j<lsk ux .ek ie<ls,su;a jkak' Tn t<suyfka bkakjd kï ysre odyh Tng w.;s lrkjd' isis,a foaY.=Khla we;s ojil jqj;a" j<dl=,a iys; wyil jqj;a bka ñoSula kE'

fï yereKq úg ysre t<sfhka iug fjk;a ydkshlao isÿfõ' wmsp¾ufha Urocranic kï wï,hla ;sfí' mdrcïnq, lsrK fï

● jeäfhkau fyd| is,ala we÷ï' lmq fros;a krl kE' jQ,a fros kï t;rï wdrËdjla ,nd fokafka kE' ● ne.S úosyg w|skjd kï háka Sun Screen tlla wdf,am lrkak' ysrg we÷ï w|skjd kï fyd| wdrËdjla ,efnkjd' DM

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March 2017

DOCTOR MAGAZINE

Sun Screen/ Sun block wdf,am lrkak fï oaú;ajhu ksmojd ;sfnkafka ysref.a ydkslr lsrK iu u; m;s; ùu j<lajkak' ;j;a wdldrhlska lshkjd kï fï wdf,amk mdrcïnq, lsrK wjfYdaIKh lr.kakjd' Sun Screen yd Sun block w;r t;rï fjkila kE' ta;a" fudlla ñ,oS .;a;;a ñ,oS .kakd úg broad spectrum ku ;sfnkjdo n,kak' tys wre; kï Ultra Violet - A yd Ultra Violet - B hk wdldr folgu iqÿiqùu' A yd B hk fowdldrfhau mdrcïnq, lsrK iug ydkslrhs' ysre odyhg ksrdjrKh jk YÍrfha iEu ;eklg fï wdf,amk .,ajkak' lkafm;s" f;d,a" mdo" weys neu ^wefya .Efjkak kï fyd| kE&''' wdoS jYfhka ysreg ksrdjrKh fjkak úkdä 15-30 lg fmrhs wdf,amkh .e,aúh hq;af;a' tajd iug Wrd .kak fï ld,h wjYHhs' ;j;a fohla' msyskkjd kï" wefÕa oyäh .,kjd kï iEu meh follg jrlau Sun Screen / block .e,aúh hq;=hs' ta;a udi yhlg jvd wvq lsß orejkag Sun Screen / block .,ajkak tmd' ysref.ka fífrkak fï úosyg we| me<| .kak yeu fjf,au Sun Screen .df.k bkak neß nj wm okakjd' we÷ï me<÷ï j,ska ;uhs m%Odk fldg wdrËdj ,efnkafka' tajdhska iu /,s jeàu" iu t,a,d jeàu" l¿ meye .ekaùu ú;rla fkdfjhs' p¾u ms<sld mjd j<lajd .ekSug WmldÍ fjkjd' wefußldkq p¾ufõoS ix.uh ysre odyfhka ñfokak w|sk m<|sk wdldrh ms<sn|j ksl=;a l< ks¾foaY lsysmhla fukak'

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,iaik AGING wm úhm;a jk yeá rkau,S .=K;s,l úisks

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DOCTOR MAGAZINE

WOMAN'S WORLD | BEAUTY

wm jhig hkafka flfiao@ ysßu,a Nø fh!jkfhaoS wmg Wreu fk;a is;a mskjk Pú j¾Kh flfuka úhelS iÕ uy¿ jhfiaoS úh<S mr~e,la jka jQ p¾u iajNdjhla Bg w;am;a jkafka flfiao@

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March 2017

DOCTOR MAGAZINE

143

WOMAN'S WORLD | BEAUTY DOCTOR MAGAZINE

Tn oekgu;a okakd mßos ld,h;a iu.u iu mßydkshg m;aùu fkdje<elaúh yelalls' ld,h;a iuÕ p¾uh ;=< c,h /|Su wvqfõ' tys fïo .%kaÓo l%u-l%ufhka úhelS hhs' iïnkaOl mglj, ;sr nj wvqfõ' iug iúh fukau kuH;djho ,nd fok fld,eck yd b,iaák l%u l%ufhka bys,a fjhs' tys ld¾hËu;dj ySk fjhs' ffi, m%;sckkh ùfï iS>%;djh wvq fjhs' l%u l%ufhka iug jk wï,lr jdhq iemhquo ySk fjhs' tfiau l=vd flaYjdyskS wjysr ùu;a iuÕu fmdaIl iemhSfuyso W!K;d yg.kS' osú uÕ wm uqyqK fok fï brKu jhi wjq( 30 oS weia fldkaj, yd k<,f;ys /<sj, uq,a i,l=Kq úoHdudk fjhs' uqyqfKys fmaYs l%shd lrùfïoS fnfyúka l%shd;aul jk fmaYs wdikakfhka fï uq,au /<s .eiSï we;s fõ' jhi wjq( 40 oS oeka uq,a ld,fha oS Pdhd f,i olakg ,enqKq /<s .eiSï ,dËKslh'

144

March 2017

DOCTOR MAGAZINE

kdifha isg uqj fmfoi olajd isria /<s .eiSï Pdhd we;sùfï jhi 40 .Kkaj,oS oelsh yel' jhi wjq( 50 oS Pdhd f,i olakg ,enqKq /<s .eiSï fyd|ska oelsh yel' lïuq,a iy f., wdYs%; fmaYs bys,a ù lvd ye,Su wdrïN fjhs' jhi wjq( 60 oS weia wjg fmaYso bys,aù t,a,d jefgkakg mgka .kS' fï iú n, ySk jk ;ekaj, fïo mgl tl;= jkakg mgka .kS' jhi wjq( 70 oS /<s jeàï iEu ;eklu mdfya we;s jkakg mgka .kS' iu f.dfrdaiq njla we;s fjhs' tys j¾Kfha talñ;sl Ndjh we;s fjhs' iuyr ;ekaj, me,a,ï .eiqKq fihla olakg we;' lkafm;s wÕ,a nd.hlg lsÜgq m%udKhlska t,a,d jefÜ' DM iu iqrlsk fï mshjr yh u;l ;nd .kak æ ● iu msßisÿ lr.kakg uDÿ inka mdúÉÑ lrkak' wjYH ;ekays§ f;;ukldrl (Moisturizer) wefÕys .,ajkak' ● we;eï úg fkfmkS mjd we;s jk úh<s iu u.ska iu ì£ug ,lalr ta ;=<ska iug$isrerg wys;lr úIîc we;=,a fjhs' úh<s iu ksjerÈj l<uKdlrKh lr .kak' ● ysre odyfhka j<lskak' th iu wdmodjg ,laùug" /<s jeàug fukau p¾u ms<sldj,g mjd fya;= fõ' SunScreen .e,aùfï§ SPF w.h 15g jeä wdf,amhla ñ,§ .kak' ● b÷,a n÷ka fia§u yd ridhk øjH mßyrKfha§ wdrËs; wiajeiqï m<¢kak' ● wjmeye .ekaùï" ,m we;sùï wdÈ iu wdY%s; fjkialï .ek ie<ls,su;a jkak ● Tfí p¾u.; ish¨ ;;a;ajhkays§ p¾u frda. ffjoHjrhd fok Wmfoia kshñ; wdldrfhka ms<smÈkak' DM

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

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