April 2015 waidyawaraya Online by Doctor Magazine

21 ldKavh | 2015 - wfm%a,a

ISBN-1391 1341

re'150$-

cd;sfha mqfrda.dó ffjoH iÕrdj

9 7 7 13 91 13 400 1

ONLINE ISSUE

.¾NKS iy lsß fok uõjreka i|yd fmdaIKh waidyawaraya.com

2015 wfma%,a l<dmh

ffjoHjrhd - udisl ffjoH iĂ&#x2022;rdj

0778150270

Contact Amitha on

For Advertisements:

waidyawaraya.com

AD-MIRE Creative 2015

Sri Lanka

Health Portal in

No. 1

Available Diabetic Check Ups

oshjeähdj - ffjoH mrSlaIK PACKAGE I Optional Tests iïmQ¾K reêr mÍlaIdj (FBC) Tfí wjYH;djhg wkQj iSrï l%sheákska (S. Creatinine) tflda mrSlaIKh (Echo Cardiogramme) reêr.; fïo mÍlaIKh (Lipid Profile) jHdhdu BiScS mrSlaIdj (Exercise ECG) uq;%d uhsfl%d we,aìhqñka (Urine Micro wia:s mrSlaIKh (DEXA Bone Scan) Albumin) HbA1C ksrdydr reêr mÍlaIKh (FBS) wdydr .ekSfuka miq reêr iSks mÍlaIKh (Post Prandial Blood Sugar) BiScS mÍlaIKh (ECG) PACKAGE II iïmQ¾K uq;%d mÍlaIdj (UFR) iïmQ¾K reêr mÍlaIdj (FBC) reêr.; fïo mÍlaIKh (Lipid Profile) iSrï l%sheákska (S. Creatinine) ksrdydr reêr mÍlaIKh (FBS) wdydr .ekSfuka miq reêr iSks mÍlaIKh (Post Prandial Blood Sugar) uq;%d uhsfl%d we,aìhqñka (Urine Micro Albumin) HbA1C wlaud mÍlaIKh (SGPT) BiScS mÍlaIKh (ECG) mdo mrSlaIKh (Sensitometer Test) weia mrSlaIdj fmdaIKfõoS Wmfoia YÍr mÍlaIdj yd ffjoH jd¾;d iudf,dapkh fkajdisl ldhsl ffjoHjrfhl= úiska isÿ flf¾

ffjoH mrSlaIK i|yd úuikak ÿrl:k: 0114 524 400 os.=j: 2603 Direct Lines: 0114 542 818, 0114 542 819 wdisß Y,H frday, mSt,aiS" 21" lsßuKav, udj;" fld<T 5 www.asirihospitals.com 2015 wfma%,a l<dmh

Email: health@asiri.lk 1

COINTENTS

Breaking Health News

MEDGADGET

fjo f,djg úÿf,dfjka

10 ffjoHjrhd yuqjkakg hk frda.shl=g m%fhdackj;a lreKq

13 orejka ´kEjg jvd oÕldr fjk tl;a ksfrda.Slfï ,laIKhla fkfuhs

ffjoHjrhd fujr fm,.eiau

56 isrerg .=K fok ì;a;r

ksfrda.S wh w;aú¢k urKdikak w;a±lSï

kùk oka; ffjoH úoHdfõ ydialï

w;s iq,n úlsrK mÍlaIdj

101 iajdñmqreIhdf.a yd

wdndOh .ek Tn o; hq;= lreKq we;s úg l< hq;= foa

iqkL n<,a f,dï ksid wmg frda. we;s fjkjdo@

CHEST X - RAY

18 jmrh fkdfyd;a wlaIs p,k 24 uQ,.a.skak fkdfyd;a w¾Yia

Nd¾hdjf.a reêrh fkd.e,msfuka we;sjk ßiia wjq,

61 iun, wdydr fõ,lg f;,a j, we;s jeo.;alu

102 wef.a l;dj fy<slrk ri ryi

Wrd.kakd fõ.h y`.jk Glycemic Index

30 laIKslj wjOdkh

fhduq úh hq;= wfma ;e,iSñhd frda.Ska

34 oeka wdid;añl;d mÍlaId

lrk mÍlaIKhla ;sfnk nj Tn okakjdo@

42 ksfrda.S ud;D;ajhla Wfoid

Tfí fmdaIKh flfia ilia úh hq;=o@

48 yoj;a ie;alfï tk iafgkaÜ 52 .Dyia: T!IO úI ùï j,lajd .ksuq

54 iqÿ¿Kq fmdä lrkjd

fkdfjhs' iqÿ¿Kq fm%I¾ tlg fyd|hs

55 wef.a l;dj fy<slrk

66 l=vd orejkag ure le|úh

103 FULL BLOOD COUNT

yels wdydrmdk msg W.=f¾ hdu

mÍlaIdj

68 flÜgq fjk tl ys;k ;rï

105 wfma we;euqka ;=< we;s

69 wE flfrka we;sjk Y%dj

108 fn,su,a fldamamfha isg

lÊcla fkdfjhs

70 .¾NdIh my;aùu ms<sn|

Tn ±k.; hq;= lreKq álla

f,duq oeye .kajk wdydr mqreÿ

f;a fldamamh olajd meka mji ixis|Sfï fy< úldYh'''

111 ÿll ie`.j.;a jdish

73 fY%daKs mdou ;sr lrk

jHdhdu lrkafka fufyuhs

112 úYañ; .=Ke;s lrmsxpd

75 l=l=,auia

wo ld,fha fmdaIH .=KodhS f;aÍuls r;=uia j,ska wE;a ùug fuh wk.s úl,amhls

118 i¾m oIaGkhl§ Tn úiska fkdl< hq;= foa

119 mqxÑ ,sf|a j;=r .=Khs

78 l=vd orejkag fmr wd;auh

121 ;Ügh uÜgq lrk wfmau

80 m%;scSjl meáálsßh úuiuq

124 j¾K Ñls;aidj

.ek m%ldY lsÍfï yelshdjla kE

fidhd .ekSula''' flaI uQ, ;r,h

ri ryi

The contents of this publication may not reproduced in whole or part in any form without the written consent of the publisher. The opinions expressed in WAIDYAWARAYA are those of the writers and not necessarily endorsed by the publisher.

ffjoHjrhd - udisl ffjoH iÕrdj

www.waidyawaraya.com

26 fndcqkamf;a ldfndayhsfâ%Ü

2015 wfma%,a l<dmh

EDITORIAL

l;= igyk

Editor's

Note

mkaid,sia jilska ienEjQ isyskh - kj T!IO mK; cd;sl T!IO kshduk mK; miq.shod md¾,sfïka;=fõoS iïu; úh' tla uka;%Sjrfhla yereKQ úg wfkl=;a ish¿ fokdu fuu mK;g iyfhda.h olajñka Pkaaoh mdúÉÑ lsÍu lemS fmfkk isÿùula úh' jir 45 la mqrd újdohg ;=vq foñka yqfola jpkhg" l;djg muKla iSud jQ fuu T!IO mK; fï wdldrhg h:d¾:hla njg m;a lsÍug ,eîu ienúkau ck;djf.a ch.%yKhlau jkafkah' fuu mK; n,d;aul ùu;a iu.u zcd;sl T!IO kshduk wêldßhZ kï jQ kj wdh;khla ia:dms; jkafkah' T!IO ,shdmosxÑh" n,m;% ,ndoSu" ffjoH WmlrK ish,a, iïnkaO kshduk yd md,k lghq;= wNskjfhka ia:dms; flfrk fuu wêldßhg kj mK;ska mejfrkafkah' uydpd¾h fiakl ììf,a mqfrda.dñ;ajfhka ck;djg iyk ñ,g T!IO ,ndoSug msysgjQ rdcH T!IO kS;s.; ixia:dfõ lghq;= jvd;a mq¿,a jk w;r fï rgg wjYH T!IO ish,a,lau mdfya fï rfÜu ksIAmdokh lsÍug mshjr .kakd nj fi!LH wud;Hjrhd m%ldYhg m;a lf<Ah' T!IO fj<|du fofjks jkafka wdhqO fj<|dug muKlehs lshuKla ;sfí' wêl ,dn bmehSu T!IO taldêldrfha wruqKh' idOdrK fj<|du hk ioa Ndú;dj T!IO flafIA;%fha ke;' wo fï rfÜ ie<lsh hq;= msßila ;u mä mf;ka" fidÉpï wdodhfuka úYd, uqo,la fí;afya;a j,g jeh lrhs' ta w;suy;a jQ cSjk nrlska mSvdjg m;aj isá;aoSh' fï whg kj úêúOdk wkQj iEfyk iykhla ,efnKQ we;' kj T!IO m%;sm;a;sh h:d¾:hla njg m;a lrñka fï rfÜ ck;djf.a fí;a fõ, iqrlaIs; lsÍug .;a mshjr iïnkaOfhka w;s.re ckdêm;s;=udg wmf.a ia;+;sh ysñ úh hq;af;a fuh yqfola Tyqf.au mqfrda.dñ;ajfhka bgq jQ ldrKhla neúKs' kS;s Í;s ;snqKdg wfma we;eï flafIA;%j, ck;d iqNisoaêh yßyeá l%shd;aul jkafka ke;' kj T!IO mKf;ka ck;djg ysñ úh hq;= iykh thdldrfhkau ck;djg ie,iSu th l%shd;aul lrk ks,OdÍkaf.a j.lSu jkafkah' Ndr; .=K;s,l - úOdhl l¾;D bharata.gunathilaka@gmail.com 0773149084/ 0714133285

The Pioneer Health & Medical Journal 21 ldKavh 2015 - 04 l,dmh

EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka FEATURE ASSOCIATES Dr. Sanath Senanayaka Dr. Chaminda Premathilaka Dr. Nalaka Ranasingha Chandrani Rathnayaka (Nursing Officer) R.A.D.T. Priyadarshani (MLT) Prasanna Dissanayaka (Occupational Therapist) Sahan Siriwardhana (Pharmacist) Dinesh Priyal Darshana (Radiologic Technologist) Shamal Indika (Nuclear Medical Technologist) Shamali Pathirage S.M.D. Senevirathne Anuradha Dilini Ilankoon CREATIVE PRODUCTION AD-MIRE Creative BUSINESS EDITOR Amitha Wickramarachchi dapw1234@yahoo.com 0778150270 | 0717622760 TYPE SETTING Chathurika Sandamali PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda. WAIDYAWARAYA is a intellectual property of Healthwatch Publications Viharakele,Diyatalawa. TEL: 057 22 29040 | FAX: 057 22 29040 E-MAIL: info@waidyawaraya.com WEBSITE: www.waidyawaraya.com HOTLINE: 077 3149084

ffjoHjrhd - udisl ffjoH iÕrdj

2015 wfma%,a l<dmh

BREAKING HEALTH NEWS

ffjoHjrhd mqj;a úuiqu

BREAKING

HEALTH NEWS mdrïmßl ffjoHjreka i;= oeKQu wud;HxYh hgf;a Tjqka kñkau ,shdmosxÑ lsÍfï jevigykla mdrïmßl ffjoHjreka i;= jákd ffjoH Ndú;hka uqo,a f.jd ,ndf.k Tjqkaf.a kñkau ,shdmosxÑ lsÍfï l%uhla wdrïN lsÍug wfmalaId lrk nj fi!LH yd foaYSh ffjoH wud;H rdcs; fiakdr;ak uy;d m%ldY lf<Ah' furg wkdosu;a ld,hl isg mdrïmßl ffjoHjreka i;=j ;sfnk b;d jákd ffjoH Ndú;djka ksid fndfyda msßila iqjh

,ndf.k we;ehso fï l%u mrïmrd wejEfuka bosßhg f.k hdug flfkla fkdue;s ksid fyda fjk;a whg ,nd fkdoSu fya;=fjka fï ffjoH l%u wNdjhg hkafkah' fuu ydksh je<elaùug kj l%uh uy;a msgqjy,la jkafka hkak fi!LH wud;Hjrhdf.a woyihs'

wdhq¾fõo WmdêOdÍka yhiShlg rcfha ffjoH m;aùï oekg iqÿiqlï imqrd isák wdhq¾fõo WmdêOdÍka yhiShla i|yd m;aùï m%odkh lr Tjqka uOHu rcfha iy m<d;a iNd wdhq¾fõo frday,aj, fiajhg tla lsÍfï jevigykla <`.oSu

l%shd;aul lsÍug fi!LH yd foaYSh ffjoH wud;HxYh lghq;= lrf.k hhs'

fi!LH lafIa;%fha .eg¿ ms<sn|j ixjdohla we;s úh hq;=hs -iuia; ,xld ffjoH ks,OdÍkaf.a ix.uh Y%S ,xld ffjoH iNdfõ ,shdmosxÑ ffjoHjreka 28"000 la blaujQj;a oekg fï rfÜ fiajh lrkafka ffjoHjreka 14"000 lg;a wvq ixLHdjla nj iuia; ,xld ffjoH ks,OdÍkaf.a ix.uh wkdjrKh lrhs' tu ix.ufha m%Odk f,alï ffjoH chka; nKavdr uy;d fufiao mejiSh' zzo< foaYSh ksIamdos;fhka fi!LH ffjoHjrhd - udisl ffjoH iÕrdj

i|yd ishhg 8 la j;a fjka l< hq;=hs' ta;a oeka fjka jkafka ishhg 3 hs' fuh ck;djf.a fi!LH kxjd,Sug m%udKj;a kE' wfkl=;a jD;a;Sh iñ;s yd tlaj fi!LH lafIa;%fha .eg¿ ms<sn|j ixjdohla we;slr cku;hla f.dvke.Su ld,Sk wjYH;djhlaZZ

ZZwka;rdhlr T!IO md,l uKav,hg iajdëk jeg,Sï wxYhla kE' bkaoshdfõ ;sfnkjd fuka jeg,Sï wxYhla ÿkafkd;a thska fï jix.;h uq,sKQmqgd oukak mq¿jks'ZZ iNdm;sjrhd fufia woyia oelajqfha zzigkZZ rEmjdyskS foaYmd,k ixjdohg iyNd.s fjñks'

zzjeg,Sï tallhla ,nd ÿkafkd;a udi yfhka l=vq cdjdru wjika lrkjdZZ

zzkj T!IO mK;ska T!IOh ñ,oS .kakd wdldrh ;SrKh lsÍfï whs;sh frda.shdg ;sfnkjd'ZZ

-wka;rdhlr T!IO md,l uKav,fha iNdm;s ks,OdÍka 300la iu. iajdëkj jeg,Sï lsÍug n,h ÿkafkd;a u;al=vq cdjdru udi yhlska wjika lr fmkajkjd hhs wka;rdhlr T!IO md,l uKav,fha iNdm;s ffjoH ks,x. wurisxy uy;d m%ldY lf<Ah'

2015 wfma%,a l<dmh

-rcfha T!IOfõoSkaf.a ix.uh cd;sl T!IO m%;sm;a;s mK;a flgqïmf;ys frda.Skag fnfy;a ks¾foaY lsÍfïoS T!Iëh kduhg wu;rj wjYH kï fj<| kduho i|yka l< yels ksid T!IO ñ,oS .; hq;af;a l=uk kdufhkao hkak ;SrKh lsÍfï iïmQ¾K whs;sh mK;a

flgqïm;ska frda.shdg ,ndoS ;sfnk ksid thska .eg¿jla we;s fkdjk nj rcfha T!IOfõoSkaf.a ix.uh m%ldY lr isà' cd;sl T!IO m%;sm;a;s flgqïmf;ys 56'4 j.ka;sh hgf;a frda.Skag fnfy;a ks¾foaY lsÍfïoS T!Iëh kdufhka th isÿ l< hq;= w;r wjYH kï jryka ;=< fj<| kduh i|yka lsÍfï yelshdj ffjoHjrekag ,ndoS ;sfí' tfy;a ;uka U!IO j¾.h ñ,oS .; hq;af;a T!Iëh kdufhkao" fj<| kdufhkao hkak;SrKh lsÍfï iïmQ¾K whs;sh frda.shdg ,ndoS ;sfnk ksid fj<| kduh .eg¿jla fkdjk nj rcfha T!IOfõoSkaf.a ix.ufha u;hhs'

MEDGADGET

fjo f,djg úÿf,dfjka

MED GADGETS lD;su jl=.vq kqÿf¾u frday,a fj; tk ,l=Kq weußld tlai;a ckmoj, fcdaka iy ud¾ishd f.da,aâuka mokfï iy cd;sl fi!LH wdh;kfha (UCSF) iyh iys;j ieka *ekaislafldafõ le,sf*d¾kshd úYajúoHd,fhys (UCSF) isÿ flfrñka mj;sk jl=.vq jHdmD;sh jkdys jl=.vq wl%Sh;djhg m%;sldr lsÍfuys úma,ùh yelshdjla we;s m%YxikSh jHdmD;shla hehs ffjoH f,dfõ meiiqug ,lafjñka ;sfí. weußldkqjka ,CI yhlao we;=,;aj f,dj mqrd jl=.vq wl%Sh ùu ksid widOH

ù isákakka wdikak jYfhka ñ,shk folla muK isák w;r fuys we;s fLockl ;;ajh kï fuu ixLHdj iS>%fhka by< k.sñka ;sîuhs. jeä fjñka ;sfnk Èhjeähd frda.fha m%;sY;ho fuhg tla fya;=jls. jl=.vq wl%Sh;djh fjkqfjka lrkq ,nk Dialysis ±kg fuh i|yd we;s m%Odk;u tfukau b;d ñ,dêl m%;sldr l%uhla fjhs. jl=.vq frda.sfhla

https://www.youtube. com/watch?feature= player_ embedded&v= gtsHDY5S21A

ffjoHjrhd - udisl ffjoH iÕrdj

idudkH ;;ajhg m;a jkakg kï Tyqf.a fyda wehf.a Ôú; ld,fhys tla jl=. vq noaOhla fyda wju jYfhka isÿ l< hq;=uh tfia jqjo fuu frda.Ska w;ßka fjk;a flfkl=f.a jl=.vqjla ,nd .ekSfï jdikdj ,nkafka 19] la jeks iq¿ m%udKhla muKla fyhska Dialysis m%;sldrh yer w;s nyq;rhla jl=.vq wdidê;hkag iaÓr úl,amhla fkdue;s ;;ajhla ±kg f,dj mqrd mj;s. weußldfõ le,sf*dakshd m%dka;fha isÿ flfrñka mj;sk by; jHdmD;sfha w;Hka; b,lalh jkafka f,dj mqrd isák fuu ñ,shk ixLHd; jl=. vq frda.Skag ks;H úi÷ula f,iska lD;su fuj,ula ksueùuh. m¾fhaIK wÈhfrys mj;sk fuu WmlrKh fldgia

2015 wfma%,a l<dmh

follska hqla;h is,sfldka kefkda fmrkhlska iukaú; jkq we;s fuu WmlrKfha m<uq l=áfhys idudkH fm%daàk iy ffi, reêr m%jdyfha r|jd .ksñka øj iy wmøjH muKla fmrd fjka lrkq ,efnk w;r fuys fofjks l=áfhka kshu jl=.vqjlska

isÿ jk wfkl=;a ffcúoHd;aul ld¾HNdrhka isÿjkq we;s fuu l=vd WmlrKh Worfhys noaO lrkq ,nk w;r th ls%hd lrkq we;af;a reêr mSvkfha .=re;ajdl¾IKh u.sks. fuksid ndysr úÿ,s iemhqï fmdïm fyda msg;ska we;=,a lrkq ,nk ng jeks lsisjla wjYH fkdùu fuys iqúfYaIS;ajh fjhs. fuys wfkla jeo.;a ,CIKh kï fuu WmlrKh iú lr.kakka wka noaOlsÍï lr .;a frda.Ska fuka m%;sYla;l u¾Ol T!IO Ndú;d lsÍu wjYH fkdùuhs fuu WmlrKh jir 2017 jkúg jl=.vq frda.Ska ;=, w;ayod ne,aSug UCSF m¾fhaIK lKavdhu n,dfmdfrd;a;= fjhs.

TIPS BEFORE YOU TALK TO DOCTOR

ffjoHjrhd yuqjkakg hk frda.shl=g m%fhdackj;a lreKq

fodia;r uy;a;fhda''' ug f,v''' ffjoHjrhd yuqjkakg hk frda.shl=g m%fhdackj;a lreKq Tips before you talk to Doctor ,smsfha mßj¾;khls' zzwïfï''' fvdlag¾ ysáho@ZZ zzTõ mqf;a'' udj fyd|g ne¨jd' fnfy;=;a kshu l<d''ZZ zzl,ska .;a; fnfy;a .ek fvdlag¾g lsõjo@ZZ zzwfka ug tal lshd.kak u;l ke;s jqKdfka''ZZ mqxÑ mfya jrola fkfjhs wïug fj,d ;sfhkafka' f,vla yeÿku fvdlag¾g f,vd Èh hq;=u f;dr;=re ;sfnkjd' tajd fkd§fuka isÿjkafka frda.shdg ksjerÈ m%;sldrhla isÿ lsÍug ;sfnk wjia:dj u`. yeÍuhs' frda.shd yd ffjoHjrhd w;r isÿfjk ikaksfõokh b;du úYd, jeo.;alula orK ldrKhla' frda.shd b;d uekúka ;u frda. ;;a;ajh úia;r l< hq;=hs' frda.h iïnkaO b;sydih ffjoHjrhdg ±kaúh hq;=hs' óg fmr isÿl< mÍlaIK fõ kï tajdfha jd¾;d bÈßm;a lsÍu jf.au óg fmr .;a T!IO isref¾ mj;sk fjk;a wdndO .ek;a ffjoHjrhd uekúka ±kqj;a l< hq;=hs' tmuko@ 10

ffjoHjrhd - udisl ffjoH iÕrdj

fïl oaú mqoa., ikaksfõokhla ksid ffjoHjrhdg;a frda.shdg weyqïlka §fï úYd, j.lSula ;sfnkjd' zzfodßka tkfldgu ku weyqjd' jdäfjkfldgu fnfy;a ,sõjd' f,fâ .ek úia;r lrkakj;a fj,djla ÿkafka kE'ZZ fï úÈfya meñKs,s we;eï ffjoHjreka iïnkaOfhka frda.Ska k.kjd' we;af;kau" fudk ;rï wúfõlfhka bkak ffjoHjrfhl=g jqK;a hq;=lula jf.a j.lSula ;sfnkjd ;uka yuqjg meñfKk frda.shd úêu;a f,i mÍlaId lsÍug'

hq;= bÈß m%;sldrhka" mÍlaIdjla fõ kï ta iïnkaOfhka jf.au Tyqg u;=jk .eg¿j,g meyeÈ,s f;afrk NdIdfjka úia;r lsÍu ffjoHjrfhl= fkdi<ld fkdy< hq;= uq,sl j.lSula' wfma rfÜ we;eï ffjoHjrekag fï meyeÈ,s lsÍï lrkak fj,djla kE' fndfydu ál fõ,djlska tla frda.sfhl= ne,Su wjika lrkjd' kuq;a fj,dj ke;sùu iudjg ldrKhla kï fkdfjhs' wefußldj" tx.,ka;h'' lekvdj jf.a rgj, yßhg ir,j frda.shdg frda. ;;a;ajh wjfndaO fkdlr§ug mjd Widú hkak mq¿jks' kvq mjrkak mq¿jks' fldfydu jqK;A" ful, ffjoHjreka nyq;rhla ;u frda.Ska fjkqfjka bgq l< hq;= fï hq;=lï .ek wjfndaOd;aulj isák nj fmfkkjd' hïhï idOkSh p¾hdjka m%lg lrk wjia:d úr,;a kE' ta;a" frda.Skaf.a md¾Yajfhka óg jvd ;ukag ,efnk ld,h uekúka m%fhdackhg .kakg W;aidy l< hq;=hs' ffjoHjrhd bÈßmsg§ ;u whs;shg Wmßu idOdrKh bgq lr.ekSug ,l ,Eia;s úh hq;=hs'

ffjoHjrhd uekúka weyqïlka fokafkla'' tkï fyd| Y%djlfhla úh hq;=hs' tfiau frda. ;;a;ajh jgyd .ekSug mq¾j frda. b;sydih" mq¾j mÍlaIK m%;sM," idhksl mÍlaIK'' fï wd§ ish,a,lau imqrd ,sh hq;=hs' frda.shdf.a frda. ;;a;ajh iïnkaOfhka'' l< 2015 wfma%,a l<dmh

TIPS BEFORE YOU TALK TO DOCTOR

ffjoHjrhd yuqjkakg hk frda.shl=g m%fhdackj;a lreKq

ffjoHjrfhl= yuqùug fmr frda.sfhl= ta i|yd iqodkï úh hq;= wdldrh ms<sn|j my;ska ±lafjkjd' Tng mj;akd frda.S ;;a;ajh ms<sn|j wjOdkh fhduq lrkak' th ljod isg we;s jqjlao@ frda. ,laIK fudkjdo@ fõokd we;s fjkjdo@ ta ljr ia:dk j,skao@ fld<hla w;g wrf.k ;sfhk wudre ieflúka ,shkak' óg by; fï frda.h iïnkaOfhka jd¾;d ;sfnkjdo@ .kak fnfy;a fudkjdo@ ljr ud;%djlao@ fï fldf<a msgm;la Tn <`. ;ndf.k wfkl ffjoHjrhdg ,nd fokakg wrf.k hkak' ffjoHjrhd yuqùug fmr Tfí .eg¿j bÈßm;a lrk wdldrh isysm;a lr.kak' ieflúka ta;a ish¿ ldrKd" ffjoHrhdg olajkak' Tn ,shQ fld<hla wjidkfha ffjoHjrhd w;g m;a lrkak' ffjoHjrhdg mejiq foa f.org meñKs miq fld<hl igyka lr.kak' Tfí frda.h ffjoHjrhdg úia;r lsÍug mjqf,a flfkl=f.a iydh wjYH hhs yef`.a kï ta iyfhda.h ,nd.kak' ffjoHjrhd úiska mjik foa" hï mÍlaIKhla" m%;sldrhla Tng meyeÈ,s fkdjqKs kï ta .ek kej; úuikak' ndysr fjk;a ffjoHjrfhl= yuqùug fmr Tfí mjqf,a ffjoHjrhd (Family physician) yuq úh yelskï th jvd;a iqÿiqhs' úfYaI{ ffjoHjrhl= yuqùug wjYH kï ta i|yd fhduq lsÍula (referral) Tyq úiska isÿ lrKq we;s' ffjoHjrhd yuqùug hk úg Tfí merKs mÍlaIK jd¾;d wdÈh /f.k hkak' tajd Èk ms<sfj,g bÈßm;a l< yels kï wf.hs' mÍlaIK isÿ lsÍfuka miq ta m%;sM,;a iu`.ska fyda T!IO .ekSfuka miq kej; uqK .efik f,i ±kajqjfyd;a ta Wmfoia m%ldrj lghq;= lrkak'

wkjYH f;dr;=re'' je,a jgdrï fkdj wjYH f;dr;=re ish,a, kshud ldrfhka bÈßm;a lsÍug lghq;= lrkak' m%udo fkdù kshñ; fj,djg frda.shd n,kakg ffjoHjrhd meñKSu frda.shd i;=gq lrkakg ;sfnk m%Odk hq;=luls' iEu úgu th fkdl< yels fohla jqj;a yels yeuúgu tfia lsÍu .=K .rel ffjoHjrfhl=f.a hq;=luls' tfiau lreKdfjka weyqïlka§u" jD;a;shfõ§ Ndú;h" i;=gq is;ska lrk frda.S mÍlaIdj fukau wjfYaI ld¾h uKav,fha ñ;=re fiajdjo" frda.Ska mÍlaId lrk ia:dkfha ms<sfj<o frda.Ska i;=gq lrK ldrKd fj;s'

ffjoHjrhd - udisl ffjoH iÕrdj

CHILD CARE

ATTENTION DEFICIT HYPERACTIVITY DISORDER – ADHD

Attention deficit hyperactivity disorder – ADHD

orejka ´kEjg jvd oÕldr fjk tl;a ksfrda.Slfï ,laIKhla fkfuhs

tl ;ekl /f|kak neßlu;a" lsisu jevla yßhg lrkak neßlu;a ksidu mka;sfha wolaI" jev fkdlrk <uhskaf.a f.dkakg iór;a jegqKd'

udkisl frda. úfYaI{ ffjoH w¾cqk we,af,fmd,f.a jD;a;Sh w;a±lSula weiqßks iórf. l;dj yh yeúßÈ iór k.rfha m%Odk fmf<a mdi,l m<fjks fY%aKsfha bf.kqu ,nkafkah' iórj tA mdi,g we;=<;a lrkak iórf. ;d;a;d úYd, mßY%uhla ord ;snqKs' iórf. jhfia miqjqKq wi,ajeis ksjfia orejl=;a tA mdi,g we;=<;a lrkak tA foudmshka f,dl= uykaishla .;a;;a th id¾:l jqfKa kE' tA wkqj tA Nd.Hh ,eì, ;snqfK iórg muKhs' fï ksid wi,ajeis foudmshka ;u mjq, flfrys B¾IHdfjka miqjk nj;a" uQKg wukdmhla ke;s jqK;a ys; háka úYd, wukdmhlska miqjk nj;a iórf. ;d;a;d ±äju úYajdi lf<ah' iór oÕldrhs' tl ;ekl tl úkdählaj;a bkak neß;rï' yeu fj,dfju Wv k.skjd' ÿjkjd' oÕ,kjd' iórf. wïudg iórj md,kh lr.kaku nE' iórf. widudkH jQ yeisÍu mdif,aÈ fok f.or jev lsis fohla iór lrkafk kE' wïudf. n, lsÍu u; f.or jev lrkak .;a;;a ál fj,djla hkak l,ska t;kska ke.sg, .syska iór fjk jevla' Bg miafi uq,ska lrñka ysgmq foa u;l kE' iórg

2015 wfma%,a l<dmh

CHILD CARE

ATTENTION DEFICIT HYPERACTIVITY DISORDER – ADHD

tA uÈjg lsisu fohla ;shmq ;ek iórg u;l kE' yeuÞu f.or tkafk mekai," ulk lE,a," j;=r fnda;,a" we;eï fj,djg fmd;a''' fï l=ula fyda wu;l lr,hs' tA ksid ks;r tAjd w¨f;ka imhkak wïug isÿjqKd' mka;sfhaÈ;a iórg fï tl ;ekl /f|kak neß .;s ,laIK ;sfhkjd' jdä fjkak lsh,d .=re;=ñh lsõju úkdähla folla jdäfj,d bkak iór Bg miafi olskakg kE' ke.sg,d .syska' .=re;=ñhg wfkla isiqka yeufokd w;f¾ iórg úfYaI wjOdkhla fokak isÿù ;snqKd' mka;sfha wNHdi fmd;aj, yeu;eku fld< lv,d' ,shkak mgka .;a;u fyd|g ,sh,d ál fj,djla hkfldg wl=re lE,s' jpk;a jerÈhs' yeufoau tfyuhs' wjOdkh ;snqfKa wdrïNfha§ muKhs' iórf.a fï yeisÍï ksidu iór ks;ru .=rejßhf.a fpdaokdjg ,lajqKd'

iórg tl ;ekl /f|kak neßlu;a" lsisu jevla yßhg lrkak neßlu;a ksidu mka;sfha wolaI" jev fkdlrk <uhskaf.a f.dkakg iór;a jegqKd'

mka;sfha <uhskag fmda,sfï tkak lsh,d .=re;=ñh lsõfjd;a iór fmda,su lvdf.k biairyg .syska uq,skau ysg .kakjd' .=re;=ñh ;u YsIHhl=f.ka fudlla yß m%Yakhla weyqj;a iór Bg l,ska ke.sg,d W;a;f¾ fokjd' lÜgähdf.a W;aidyh fï jf.a yeisÍï iór m<lrk fldg iórf. ;d;a;d lsõfj w,a,mq f.or wh tAf.d,a,kaf. orejdj iór hk mdi,g we;=<;a lrkak fkdyels jqKq ;ryg yQkshula lr we;s njhs' tksid f.org lÜgähl= f.kaj,d yQkshï lems,a,l=;a l<d' tA;a iórf. ;;a;ajh tA úoyuhs' iórg yeuúgu wu;l ùfï iajNdjh mj;sk ksid ufkda ffjoHjrhl= yuqù iórj fmkajuq lsh,d iórf. wïud fhdackd l<;a ;d;a;d Bg oeäj úreoaO jqKd' —Thdg msiaiqo@ wy, my, ñksiaiq ±k.;af;d;a fome;af;ka yskdfjhs

ffjoHjrhd - udisl ffjoH iÕrdj

wfma <uhg msiaiq lsh,d˜ ffjoH yuqjla iórf. ;d;a;d tfyu lsõj;a fï .ek ufkda ffjoHjrhl= fj;ska oek .kakg wïudg ;snqfK f,dl= jqjukdjla' tA ksid ;d;a;dg fkdlshdu wïud ;ksju .shd ufkda ffjoHjrhl= yuqjkak' ish¨u lreKq lsõjg miafi orejj;a fldfydu yß tlalf.k tkak lsh,d ufkda ffjoHjrhd Wmfoia ÿkakd' bkamiafi ieñhdg fndrejla lsh,hs iórf. wïud iórj ufkda ffjoHjrhd fj;g tlalrf.k .sfha' iórj mqgqjl jdä lrjd wïud ffjoHjrhdg lreKq mjikakg jqKd' úkdä folla ;rïj;a ld,hla jdä ù fkdisá iór mqgqj u;ska ke.sg,d ffjoHjrhdf.a fïih <Õ ysgf.k fui froao my<g weoaÞ' tljru tA u; ;snqKq

2015 wfma%,a l<dmh

foaj,a ish,a, ìu jegqKdu wïud m;ajqfKa f,dl= wmyiq;djlg' iórf. yeisÍï ms<sn|j úuid ffjoHjrhd úiska iórf. .=re;=ñhg;a ,smshla heõjd' th iórf. yeisÍu iïnkaOfhka úuik ,o m%Yak lsysmhla wvx.= m;%sldjla' frda.h wkdjrKh fõ .=re;=ñh tu m%Yakj,g fkdmudj ms<s;=re tjd ;snqKd' fï ish¨ lreKq u.ska fy<sjqfKa iór tla;rd udkisl wdndOhlska fmf<k njhs' fuh wvq wjOdkh iys; wê l%shdldÍ frda.h ^Attention deficit hyperactivity disorder – A.D.H.D.& kñka ye¢kafjkjd' iórg lsidu úÈhlska jeä fj,djla tlu fohlg wjOdkh fhduqlrf.k bkak nE' kuq;a iór wksla <uhskag myrfok ysxid lrk wdldrfha m%pKav yeisÍï m< lf<a kE' tjeks m%pKavldÍ yeisÍï ;snqKd kï tA lkavlaÜ äfidav¾ ^conduct disorder& frda.h jh yelsj ;snqKd' iórg ;snqfK wu;l ùu" wjOdkh wvqlu" ks;r Wia ia:dkj,g ke.Su wd§ jYfhka jQ wkqkag ldhsl ysxidjla fkdjk yeisÍï' fndfyda úg tA'ã'tÉ'ã' frda.hg cdkuh fya;+ka o n,mdkjd' kuq;a tAlu lsh,d ksYaÑ;j lshkak;a nE' fï frda.hg ufkda ffjoH m%;sldr ;sfnkjd' tu.ska id¾:l f,i frda.h uevmj;ajd .; yelshs' l< hq;af;a fmr mdi,a fyda mdif,a m%d:ñl mka;sj,§ orejl=f.a fun÷ yeisÍï y÷kd .;af;d;a udkisl frda. úfYaI{ ffjoHjrhl=g fmkajd m%;sldr ,eîuhs' iórg ±ka fndfydaÿrg iqjhs' ;ju;a m%;sldr .kak ksid b;d blauKska iórg tu frda. ;;a;ajfhka ñ§ug yelsfõú'

FROZEN SHOULDER

ksoka.; ykaos fõokdj,g ngysr m%;sldr ;sfí

ksoka.; ykaos fõokdj,g ngysr m%;sldr ;sfí FROZEN SHOULDER OF ROTATOR CUFF FAILURE frda.Skag m%;sldr lsÍfïoS fõokdj ke;slr m%;sldrhg frda.Ska fhduq lrk yeá ldhsl frda. yd ksoka.; fõokd úfYaI{ ffjoH frdays; chuy zzykaÈm;a wudreZZ hkqfjka fmdÿ ck jyf¾ ye¢kafjk ksoka.; ikaê.; fõokd i|yd ngysr ffjoH m%;sldr ke;ehs fndfyda fofkla is;;S' tfy;a th ñ:Hdjls' wm fï úia;r lrkafka ngysr ffjoH l%ufha§ ksoka.; ikaê

wdY%s; fõokd l<ukdlrKh lrk wdldrhhs' fuhska Wrysi wdY%s; yg.kakd ^Frozen shoulder of rotator cuff failure& kï ;;a;ajh ms<sn|j m<uqj i,ld n,uq' fuu frda.S ;;a;ajh ksid Wrysia ikaêh fi,ùfï§ oä fõokdjla we;sfõ' fuu ;;a;ajh tla Wrysilg fyda Wrysia folgu n,mE yelsh' iuyr úg wjqreÿ folla jeks §¾> ld,hla mqrd frda.S ;;a;ajh úys§ hd yelsh' fuf,i ld,dka;rhla mj;sk úg Wrysia ikaêfha ffjoHjrhd - udisl ffjoH iÕrdj

l%shdldß;ajh iïmQ¾Kfhka wl¾ukH ùug bv ;sfí' ^Frozen shoulder& hkafkka yeÕkafka thhs' fuys§ fndfyda úg isÿjkafka Wria ikaê ;=< fkdj tA wjg we;s wfkl=;a uDÿ mglhkaf.a ^Tendons, muscles, burse of rotator cuff& hï m%Þyhla we;sùuh' iuyr úg fuhg fmr Wrysia ikaêhg isÿ jQ hï ;=jd,ùula" hï wd;rhsáia frda. ;;a;ajhla fyda Èhjeähd frda.h fuu m%Þyhkg mdol úh yelsh' tu ksid tu frda. ;;a;ajhka o fidhdn,d ksis m%;sl¾u ,eîu w;HjYH fõ' fuu ;;a;ajhg b;du;a fhda.H;u m%;sl¾uh .,a .eiS ^Frozen& we;s Wria ikaêh mQ¾K mrdih ;=<u h<s fi,ùuhs' tkï fN!;Ñls;ail l%u iy jHdhdu lsÍu fyda ikaêh ;=<g úYd, m%udKhla jkaoHlD; c,h ^30-50ml of sterile water& tkak;a lsÍuhs'

2015 wfma%,a l<dmh

túg m%Þyhg ,laj .,a.eiS we;s uDÿ mgl we§ h<s Wria ikaêh fi,úh yels ;;aa;ajhg m;afõ' kuq;a fuf,i jHdhdu lsÍu fyda ikaêh ;=<g c,h tkak;a lsÍu b;d fõokdldÍ l%shdjls' tuksid tu l%shdj,shka i|yd fõokd kdYl T!IO ,nd§u fyda Wria ikaêh ysßjeÜàula isÿl< hq;=h' 90] muK úgl§ tlu ^Supra scapula nerve& iakdhqjlska iemhqï jk neúka b;d myiqfjka ^Interventional pain procedures& u.ska fuu iakdhqj È.=ld,Skj ysßjeÜgùfuka §¾> ld,Sk fõokd iukh lsÍula we;eï úgl udi ;=kla muK ld,hla isÿl< yelsh' tA flfia fj;;a fõokdj iukh ùu frda.h iqjùula fkdjk nj;a frda.hg b;du ir, iy m%dfhda.sl m%;sldrh Bg wÞ< jHdhdu lsÍu nj;a fyd¢ka jgyd.; hq;=hs' tuksid úYd, jYfhka uqo,a jeh lrf.k fõokd kdYl T!IO wjqreÿ .Kka ,ne.ekSu ksIaM, lreKls'

SQUINTS

jmrh kï mskla fkdfõ'''

jmrh kï mskla fkdfõ''' jmrh fkdfyd;a wlaIs p,k wdndOh .ek Tn o; hq;= lreKq wlaIs Y,H úfYaI{ ffjoH fi!uHd mrKú;dk úisks zziskd fkdufika" oika olajd'''ZZ uq;= leg jka o;a fofm<la ;snqK;a wfyda os.eishg olajd we;s jdrKh'''' lúldrhka uqjg fl;rï ndOl fhÿj;a oSma;su;a oEil osÿ,k ldka;shg ljrl=g kï ;yxÑ oeñh yels fõo @ Tn okakjd o" foweiaj, ldka;sh wysñ lrk wlaIs p,k wdndOh (Squints) ioygu ÿßka ÿÍN+; l< yels nj' jmrh ^wlaIs p,k wdndOh& hkq l=ula o@ idudkH jHjydrfha oS zzjmrhZZ f,i y÷kajk wlaIs p,k wdndOh lshkafka foweiaj, fyda tl weil idudkH p,k rgdj hï lsis fjkiaùulg Ndckh ùu ksid isÿjk oDYHdndê; ;;a;ajhla'

fuu ;;a;ajh we;s jkafka fldfydu o@ cdkuh n,mEu ksid;a jmrh we;s úh yelshs' thg wu;rj fndfydaúg W;am;a;sfha isg we;sjk fohla ke;skï bfíu we;súh yels ;;a;a jhls' jhi udi yhla fyda Bg wvq jhil oS jqK;a we;s úh yelshs' iuyr jmr oel .kakg ,efnkafka orejd áflka ál j¾Okh fjk fldg" ta lshkafka jhi wjqreÿ 2 isg wjqreÿ 5 olajd ld,fha oS' Bg wu;rj jeäysá jhfia oS jqK;a hï lsis wikSmhla fyda yosis wk;=rlg ,la ùfuka flfkl=g jmrhla we;s jkakg bv lv ;sfnkjd' jmrhka oelsh yels wdldrhka fudkjd o@ • kdih foig yerjqKq jmr • kdifhka msg;g yerjqKq jmr tajd wxYl .Kkaj,ska wkqj fjkia fjkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

wlaIs p,k wdndOhla ;sîfuka orefjl=g fyda jeäysá flfkl=g thska we;s úh yels m%;súmdl fudkjd o@ úfYaIfhka fmdä <uhskag jmrh iuÕ fmkSfï ÿ¾j,;djhka we;s fjkak mq¿jka' ta i|yd wvq jhfia isgu ta lshkafka iuyr fj,djg udi 6 g wvq jhfia isgu m%;sldr lrkak mgka .kak wjYH fjkjd' jmrhla ksid fmkqu wvqùula fjkjd o@ ke;skï fmkqu wvqùu ksid jmrhla we;s fjkjd o@ ta ;;a;ajhka folu isÿ fjkak mq¿jka' úfYaIfhka u l=vd <uqkag ta lshkafka w¨; Wmka orefjl=g jqk;a fmkqu wvq ;;a;ajhla ;sfhkak mq¿jka' fujeks ;;a;ajhla ;sfnk úg weia bfíu kegfjk iajNdjhla yrs jmrhla yrs msysgkak mq¿jka' ta wjia:dfõ oS blaukg ffjoHjrfhla yuq úh hq;=hs' fudlo iuyr úg W;am;a;sfha oS we;sjk wefia iqo jeks oDIaá wdndO ksid;a w¨; 2015 wfma%,a l<dmh

Wmka orejkag jrmhla msysgkak mq¿jka' ta wjia:dfõ oS blaukg Y,Hl¾uhla lr,d wefia iqo bj;a lrkak ffjoH Wmfoia wkqj lghq;= l< hq;=hs' tjeks wjia:djl Y,Hl¾uh fkdlr isáfhd;a orejd mQ¾K wkaONdjhg m;a úh yelshs' orejdg kej; fmkSu ,nd osh fkdyels ;;a;ajhla mjd bka we;s fjkak mq¿jka' tu m%;sldrh;a iu. orejdf.a fmkqu jeä jk ksid jmrh f.dvdla ÿrg wvq fjkjd' l=vd orejkag jmrhla ;sfhkjd kï foudmshka l< hq;af;a l=ula o@ l=vd orefjlag jmrhla ;sfhkjd kï blauKska u orejdj ffjoHjrfhla fj; /f.k hd hq;=hs' tys oS tu ffjoHjrhd úiska wlaIs Y,H úfYaI{ ffjoHjrfhla fj; orejdj fhduq lrkq ,nkjd' tys oS úfYaI{ ffjoHjrhd orejd mrSlaId lr n,d jmrhla o keoao hkak ;SrKh lrkjd' orejd ;jÿrg;a mrSlaIdjkag Ndckh lrkjd o@ Tõ' bka miqj orejdf.a wefia ;;a;ajh .ek b;du;a ishqï mrSlaIdjka lsrSu i|yd ta iïnkaOfhka mqyqKqj ,;a úfYaI ;dlaIKfõoSka fj; fhduq lrkjd' tys oS orejd f.a • fmkqu • jmrfha iajNdjh • tys úYd,;ajh ^fldmuK wxYl .Kkl me;sr ;sfnkjd o@& • thska fmkqug we;s ndOdj • ;s%udk oDIaáhg we;s n,mEu wdoS jYfhka lreKq /ila iïnkaOfhka úia;r jd¾;djla ,nd .kakjd' tu jd¾;d mrSlaId lr n,d ffjoHjrhd úiska orejdg l< hq;= m%;sldr iïnkaOfhka ;SrKh .kakjd' úYd, m%udKfha jmrhla we;s wjia:djl tla weila i|yd Y,Hl¾uh lr tys id¾:l;ajh u; wks;a wefia Y,Hl¾uh isÿ lrkjd'

SQUINTS

jmrh kï mskla fkdfõ'''

m%;sldrj, iajNdjh .ek flá úia;rhla lf<d;a jmrfha ^wlaIs p,kfha& iajNdjh wkqj m%;sldr l%u lsysmhla wkq.ukh lrkak mq¿jka' idudkH jYfhka lshkjd kï tla m%;sldr l%uhla ;uhs lKakdä Ndú;d lsrSu' iuyr jrmhka lKaKdä Ndú;h;a iuÕ u fndfyda ÿrg wvq fjkjd' ta lshkafka f.dvla ÿrg ta jmrh iuÕ orejdg oDIaGs wdndOhla ;sfhkjd' b;sx lKaKdä uÕska oDIaGs wdndOh fyd| lrk fldg jmrh;a bfígu jf.aa wvq fj,d hkjd' yenehs lKaKdä .ef,õjdu wdfh;a ta jmrh fmakak .kakjd' ta jqKdg orejdg ks;ru lKaKdä me<| f.k bkak yqre l< hq;=hs' ke;skï miqjg fmkqu wvqùug we;sjk n,mEu fjkia lrkak fndfydu wudrehs' udi yfhka yhg ffjoH mrSlaIKhkag Ndckh úh hq;=hs'

lKaKdä mdúÉÑhg wu;rj ;j;a m%;sldr l%u ;sfhkjd o@ jmrh tl weil jeäfhka msysgkjd kï fndfyda úg tu wefia fmkqu wks;a wei;a tlal ixikaokh lrk úg f.dvla wvq fj,d ;sfhkak mq¿jka' tjeks wjia:djl oS jvd;a fmfkk weig ^Yla;su;a wei& ma,diagrhla oud ksYaÑ; meh .Kkla jid ;shkakg Wmfoia fokjd' l=vd orefjlag ma,diagrhla oud ;sfhk tl foudmshkag fndfydu fjfyilr tlla fjkjd' ta lshkafka orejd leu;s keye jvd;a fyd|ska 20

fmfkk Yla;sula wei jy,d ;shkak' orejd ks;ru ta ma,diagrh .,jd .kak W;aidy lrkjd' ta jqKdg ta jvd;a Yla;sula weye jyk tfla f;areu ;uhs ÿ¾j, wei" ta lshkafka fmkqu wvq" ls%hdlsrSug lïue,s weig fmkqï jHdhduhla ,nd oSu' thska ta wefia fmkqï m%udKh by< kexúh yelshs' l=vd ld,fha oS u tal flrefõ ke;skï ta we;sjk ÿ¾j,;djh bosrs cSúf;a yeuodgu n,mdkjd' fmkSula ke;s jmrhla ;sfhk m%fhdackhla ke;s weila njg m;a fjkjd' lKaKdä Ndú;h" fkdfmfkk weyeg jHdhdï ,ndoSug wu;rj Y,Hl¾u j,g;a Ndckh lrk nj mejiqjd' ta .ek meyeos,s lf<d;a Tõ' ux l,ska lsõjd jf.a wlaIs Y,H wdndOh ta lshkafka jmrh ;sfhk fldg fndfyda úg orejdg;a foudmshkag;a th iqj lr.ekSu i|yd os.=

ffjoHjrhd - udisl ffjoH iÕrdj

.ukl fhfokak isÿ fjkjd' lKaKdä me<÷j;a jmrfha fjkia lr.kak ners fldgila ;sfhkjd' ta wjia:dfõ Y,Hl¾uhla lr weiaj, udxY fmaIs Yla;su;a lrkak fjkjd' Yla;su;a fjkafka ke;skï tajdfha ls%hdldrS;ajh wju lrkak Y,Hl¾uhla l< hq;=hs' jmrfha iajNdjh u; we;eï úg ta Y,Hl¾uh b;du l=vd ld,fha oS lrkak wms ;SrKh lrkjd' ke;skï Bg jhiska jevqKu Y,Hl¾uh lrkjd' tal ;SrKh lrkafka • jmrfha iajNdjh • lKaKdä oeófuka ,nk m%;spdrh • jHdhdï lsrSfuka ,efnk m%;sM, wkqjhs jmrh" iuyr fj,djg wefia ms,sldjla ksid fjkak mq¿jka we;a;gu tjeks ;;a;ajhla we;s úh yels o@ udi 6 -9 ;a jf.a jhfia miqjk 2015 wfma%,a l<dmh

l=vd orejkag jqk;a fráfkdaí,diafgdaud (Retinoblastoma) keu;s ms<sldj wefia msysgkak mq¿jka' fuu ms<sldj cdkj,ska meñKsh yelshs' ta ksid th Wmam;a;sfhka u we;sjk iajNdjhla f,i mgka wrka jhi udi 6-9 isg wjqreÿ 5-6 fjklï fifuka j¾Okh fj,d úkdYldrS ms<sldjla njg m;a fjkak mq¿jka' fï wjia:dfõ oS iuyr fj,djg orejdf.a weia osyd n,k fldg wefia os,sfik iajNdjhla yrs jmrhla yrs oelsh yelshs' ta ksid jmrh lshkafka Nhdkl ms<sldjl frda.S ,laIKhla úh yelshs' blauKska y÷kdf.k m%;sldr lsrSfuka orejdf.a cSú;h fírd .kak mq¿jks' ta ksid ;uhs jmrhla ;sfhkjd kï msx jmrhla lshd i,lkafka ke;=j b;d blauKska wlaIs Y,H ffjoHjrfhla fj; fhduq fjkak wjYH fjkafka'

l=vd orefjlag jmrhla ;sfhkjd kï blauKska u orejdj ffjoHjrfhla fj; /f.k hd hq;=hs' l=vd ld,fha oS fkdi,ld yrsk ,o jmrhla ;sfhkjd kï jeä úhg m;a jqkdu thg lsishï m%;sl¾uhla l< yels o@ Tõ" foudmshka úiska msx jmrhla lshd fkdi,ld yersh jmrh jeäúhg m;a jqKdu ta orejkag f,dl= m%Yakhla njg m;a fjkjd' úfYaIfhka újdy jk jhig meñKshu Tjqka ;kshu mjd meñK lsishï m%;sldrhla l< yelsoehs úuikjd' tjeks wjia:djl oS wmsg wysñ jqKq fmkquj;a" ke;s fjÉp ;s%udK oDIaáh .ekj;a lsis fohla lrkak ners jqK;a Y,Hl¾uhlska wefia jmr iajNdjh ke;s lrkak mq¿jka' th wms Cosmetic Surgery lshd y÷kajkjd' ta lshkafka rej jeä lrùfï Y,Hl¾uhla'

SQUINTS

jmrh kï mskla fkdfõ'''

fï ,iaikùfï Y,Hl¾uh jmrhla ;sfhk ´kEu flfkl=g l< yels o@ h ;SrKh lrkafka úfYaI{ ffjoHjrhd úiska' iuyr jmrhka Y,Hl¾uhkag Ndckh lsrSfuka oaú;aj rEm fmakakg mgka .kakjd' ta lshkafka olsk foh folla f,i fmkSuhs' ta ksid ;uhs Y,Hl¾uhg fmr fyd|ska mrSlaId lr oaú;aj rEm fmkSfï wjodkula ;sfí o hkak fidhd .kafka;a' tjeks wjodkula ke;s whg fuu Y,Hl¾uh l< yelshs' tfia l<;a ta mqoa.,hd iu. l:d lr,d l< hq;= Y,Hl¾uh .ek myo, oS, wd;au úYajdih we;s lr, ;uhs Y,Hl¾uh lrkafka'

jï wefia we;s jQ jmrhla

th Y,Hl¾uhlska ksjeros lsÍfuka miq

fujeks Y,Hl¾u l=vd orejkag;a lrkjd o@ keye' idudkHfhka jhi wjqreÿ 8 wvq l=vd <uqkaf.a wefia udxY fmaYs Y,Hl¾uhlg Ndckh lsrSfuka we;sjk oaú;aj rEm fmkSu úYd, m%Yakhla jkafka keye' Tjqkag idudkHfhka wjqreÿ 2la ú;r hklï ke;skï flá ld,hla we;=<; thska ñfokak yelshdjla ;sfhkjd' thg fya;=j ;uhs fud<fha wlaIs iïnkaO fldgi iïmQ¾Kfhka u j¾Okh ù fkd;sîu' b;sx fï w¨;a ;;a;ajh hgm;a lrf.k j¾Okh os.gu isÿ fjkjd' jhig jeä flfklaf.a fud<h iïmQ¾Kfhkau j¾Okh fj,d wjika' ta ksid jeäysá whf.a wefia jmrh ilikak mq¿jka' idudkHfhka orejka fujeks Y,Hl¾uj,g Ndckh lrkafka tla jrla fyda fojrla muKhs' Y,Hl¾uh lsrSfuka miqj T!IO weig oeñh hq;= w;r bka miq os.ska os.gu ffjoH mrSlaIKj,g Ndckh úh hq;=hs'

ieÕjqKq jmrh lshkafka l=ula o@ l=vd ld,fha mgka iq¿ jmrhla ;sfhkjd kï fud<fhka tk mKsjqv uÕska ta jmrh uev mj;ajd f.k bkak mq¿jka' ta jqkdg tla;rd jhilg tkfldg ta lshkafka jhi wjqreÿ 15 -17 ú;r fjoaos tl os.g weia fjfyik fldg th uevmj;ajd .ekSfï yelshdj wvq fjkjd' t;fldg frda. ,laIK lsysmhla we;s fjkjd' tajd kï" • ysfia lelal=u • oEia rsoSu • iuyr wjia:dj,oS oaú;aj rEm fmkSu tjeks wjia:djl jydu ffjoH mrSlaIKhlg Ndckh úh hq;=hs' tysoS ffjoHjrhd úiska tu ;;a;ajh md,kh lsrSu i|yd Wmfoia ,ndfokjd' weys ms,a,u fjkiaj msysàu;a jmrhla o@ jmrhla lshkafka wlaIs p,k wdndOhla' udxY fmaIsj, ls%hdldrS;ajh wvqùu fyda iakdhqjl ls%hdldrS;ajfha wvqjla ksid jmrh we;s fjkjd' wei yd iïnkaO ;=kafjks

ffjoHjrhd - udisl ffjoH iÕrdj

iakdhqfõ ls%hdldrs l=vd orefjlag jmrhla ;sfhkjd kï blauKska u orejdj ffjoHjrfhla fj; /f.k hd hq;=hs' l%shdldrs;ajh ke;sùu ksid weia msydgqj jeàu isÿ fjkjd' idudkH wjia:djlg jvd iqúfYaISj ta .ek wjOdkh fhduq l< hq;= fjkjd' tjeks ;;a;ajhla oS wms Y,Hl¾u lrkafka b;du;a wvqfjka' ula ksid o h;a Wvq weia msydgqj ilia lsrSu;a iuÕ oaú;aj rEm we;sùu jeä úh yelshs' yosis wk;=rloS ^jmrhla&wlaIs p,k wdndOhla we;s jkafka fldfydu o@ th;a iakdhq iïnkaO ;;a;ajhla' wk;=r ksid ysi ;oska jeoSu;a iuÕ iakdhq ;e,Sulg Ndckh fjkjd' túg;a wefia udxY fmaIs wvq ls%hdldrs;ajhg ,la fjkjd' ysia ln, ;=< we;sjk lïmkh ksid;a iuyr iakdhqj, ls%hdldrs;ajh weK ysákjd'

cdkuh n,mEu ksid;a jmrh we;s úh yelshs' fndfydaúg W;am;a;sfha isg we;sjk fohla ke;skï bfíu we;súh yels ;;a;ajhls' jhi udi yhla fyda Bg wvq jhil oS jqK;a we;s úh yelshs' iuyr jmr oel .kakg ,efnkafka orejd áflka ál j¾Okh fjk fldg oshjeähdj" wêl reêr mSvkh jeks frda.S ;;a;ajhka hgf;a jmrhka ^wlaIs p,k& we;s úh yels o@ fujeks ;;a;ajhl oS jqk;a jmrhka we;s úh yelshs' tajd ;djld,sl jmrhka' uilg j;djla ta .ek mrSlaId lr m%;sldr .ekSfuka weig reêrh imhk kd,j, reêr .ukd.uk idudkH ;;a;ajhg m;a lr.; yelshs' os.= ld,hla fkdfjkia jk tlla kï muKla Y,Hl¾uhlg Ndckh lrkjd' fujeks wjia:djl oS frda.shdg oaú;aj rEm fmkSug mgka .kakjd' úfYaIfhka yhjk iakdhqj;a iuÕ iïnkaO t<sh me;a; ne,Su fuu ksid wvd, fjkjd' wxYNd. frda.h ksid;a jmrhka ^wlaIs p,k& wdndO we;s fjkjd o@ weia fol tla me;a;lg lerlS hd yelshs' th jmrhla jf.a osia jqk;a th l=vd fud<fha we;sjk fjkialï ksid isÿjkakla' wefia iqo we;sùu yd iudkj jmrh o me;srsh yels o@ th l%ufhka jeäjk wjia:d o ;sfnkjd' jmrhla lshd y÷kd.;a ieKska ffjoH m%;sldr ,nd.kak'

ixjdo igyk wika;s .xf.dvú, úisks

2015 wfma%,a l<dmh

SURGERY

uQ,.a.skak fkdfyd;a w¾Yia we;s úg l< hq;= foa

uQ,.a.skakg m%;sldr

uQ,.a.skak fkdfyd;a w¾Yia we;s úg l< hq;= foa uydpd¾h w¾cqk w¨úydf¾ w¾Yia fyj;a uQ,.a.skak hkq fnfyúkau nyq, fukau l=;=y,hg ,la jQ frda.hls¡ fuhg ksYaÑ; fya;=jla ;ju y÷kdf.k ke;¡

fuu frda.fha ,laIK úúOdldrh¡ 01¡ .=o ud¾.fha reêrh jykh ùu 02¡ u,my lrk úg my;a ù bfí we;=,g hk fyda we;=,a l< hq;= f.ähla mej;Su 03¡ .=o ud¾.fha hula ysrjkakd fia oekSu 04¡ fldmuK W;aiy l<o msg fkdjk u<my m%udKhla we;ehs oekSu fujeks ,laIK iys; frda.sfhl= jyd ffjoHjrfhl= fj; hd hq;= h¡ ulaksido th w¾Yia yer fjk;a frda.hla ùug o bv we;s neúks¡ ffjoHjrhd frda.shd fyd|ska mÍlaId lr th ;SrKh lrkq we;¡ w¾Yia i|yd m%;sldrh .=o ud¾. hg ,ndfok tkak;la fyda Y,Hl¾uhla úh yelsh¡ flfia jqjo mQ¾K iqjh ,nd.ekSu Wfoid frda.shdf.a iyh w;HjYHh¡ ke;fyd;a Y,Hl¾uhlg miqjo jir 10la 15lg miq kej; frda.h je<|Sug bv we;¡

ffjoHjrhd - udisl ffjoH iÕrdj

úh,s u< msglsÍug ;egóu ksid frda.h W.%jk neúka u,my uDÿj msglsÍu b;d jeo.;ah¡ ta i|yd c,h" ;eô,s jeks oshr jeäfhka mdkh l< hq;=h¡ fl|s;s nyq, wdydr j¾. jk ksjqvq iy,a" fldys," ksú;s" f.dgqfld<" lxl=x" uql=Kqjekak" jegfld¿" mf;da, fukau flfi,a .ia,nq jeks m<;=re wdydrhg .ekSu jeo.;ah¡ kuq;a jvd;a oshruh f,i u<my msgùuo .=Kodhl ke;¡ th flfi,a f.ähla fuka w;rueos uDÿ wjia:djl ;sìh hq;=h¡ jeisls<sh ;=< .;lrk ld,h ñks;a;=jlg iSud lsÍu b;d jeo.;ah¡ jeisls<sh ;=< is.rÜ fndñka mqj;am;a lshjñka fndfyda ld,hla .; lsÍu lsisfia;a wkqu; l< fkdyel¡ ;egófuka o yels;dla je<lsh hq;=h¡ iuyr úg w¾Yia f.ä .=o ud¾.fha by< fldgfia .eàu ksid u<my hï m%udKhla b;sßj we;ehs ye`.sh yels kuq;a tfia u<my fkdue;s nj w;aoelSfuka o; yelsh¡ tfia u<my fkdue;sj ;egóu l<fyd;a w¾Yia f.ä t<shg tau t<shg ú;a ysrùu fya mqmqrd reêrh jykh ùu isÿúh yels nj o; hq;= h¡

l< hq;=h¡ w¾Yia Wfoid tkak;a lsÍu frda.Ska 95] lgu fõokd rys;h¡ b;d l,d;=rlska we;sjk fõokdj md,kh lsÍug merisgfuda,a jeks fõokd kdYlhla .; yelsh¡ kuq;a bka osk follg jeä l,la fõokdj mej;sh fyd;a tkak;a ,ndÿka ffjoHjrhd yuqùu jvd hym;a h¡ w¾Yia lrorldÍ frda.hls¡ kuq;a ksis mßos ffjoH m%;sldr .ekSfuka iy by; úia;r l< fi!LH mqreÿ Ndú;hg .ekSfuka frda.h iqjlr.; yel¡ ilia lf<A ffjoH frdays; .ï,;a

w¾Yia hehs iel isf;k jydu ffjoHjrfhl= uqK.eiSu jvd;a hym;a nj kej;;a wjOdrKh 2015 wfma%,a l<dmh

FOOD GUIDE

fndcqkamf;a ldfndayhsfâ%Ü Wrd.kakd fõ.h y`.jk Glycemic Index

fï ldrKh m%fhdackhg .ksñka ldfndayhsfâ%Ü wvx.= wdydr fldmuK fõ.hlska reêr.; iSks uÜgu by< kxjkjdo hkak fidhd ne,Sfï o¾Ylhla 1981 j¾IfhaoS y÷kajd fokq ,eîh' th Glycemic Index (GL) f,i kï lrkq ,eìK'

fndcqkamf;a ldfndayhsfâ%Ü Wrd.kakd fõ.h y`.jk GLYCEMIC INDEX

wdydrj, ;sfnk ldfndayhsfâ%Ü" .aÆfldaia ^iSks& njg mßj¾;kh jk njo th isref¾ ffi, ;=< Yla;sh jYfhka ;ekam;a jk njo Tn fyd|dldrj okafkah' wdydrhla tys we;s ldfndayhsfâ%Ü isrerg Wrd. ekSfïoS iuyr wdydr fõ.fhka wjfYdaIKh jk njo ;j;a iuyr wdydr wjfYdaIKh ùfïoS jeä ld,hla .;jk njo fmkS f.dia we;' blauKska wjfYdaIKh jk wdydr reêr.; iSks uÜgu fõ.fhka by< kxjhs' m%udo ù wjfYdaIKh jk wdydrj, n,mEu reêrhg oefkkafka ;rula miqjh' 26

ffjoHjrhd - udisl ffjoH iÕrdj

Glycemic Index kue;s o¾Ylh jvd;a m%fhdackj;a jkafka oshjeähd frda.Skagh' Tjqkag ;u reêr iSks uÜgu md,khlg k;=lr .ekSug ñka ,efnk wjfndaOh w;suy;ah' lrk lshk /lshdj wkqj" fhfok jevm, wkqj wdydr f;dard fírd .ekSug ñka uy`.= wjia:djla ie,fia' Glycemic Index u`.ska hï úfYaIs; wdydrhl mj;sk ldfndayhsfâ%Üj, m%fhdacH ;;a;ajh fmkajhs th ;;a;ajdkaú;j mrdhla; jk kuq;a m%udKsl jYfhka iajdhla; fõ fuu o¾Ylh ks¾udKh lsÍfïoS my; oelafjk ;;a;aj hgf;a th fhdod .kS' 1' wod, lEu fõf,ys ;ka;= bj;al< ldfndayhsfâ%Ü .a?ï 50l m%udKhla mj;sk nj 2' wdydr .ekSfuka meh 2-3 miq .aÆfldaia bkaishq,ska ms<sn|j m%;spdr we.hSu 2015 wfma%,a l<dmh

3' m%ia;=; wdydrfha reêr.; iSks njg m;aùfï yelshdj m%;sY;hla f,i uek ne,Su ^mdkaj, fuu yelshdj 100]lau f,i ie<lSu& m¾fhaIlhka úiska wdydr j¾. oyil muK Glycemic Index mÍlaId lrk ,oS' tajdhska t<eUqkq we;eï ks.uk úYañ;h' iSks wyqrla lfÜ oud.;a;dg reêrh u; iSks uÜgu jeä fjkjdg jvd jeä fõ.hlska we;eï ldfndayhsfâ%Ü wvx.= wdydr l%shd;aul jk nj fmfka' ks;r Ndú;d flfrk wdydr lsysmhl Glycemic Index my; oelafõ' Food Items Clycemic Index Vegetables 15-50 Spinach 15-50 Turnip Greens 15-50 Lettuce 15-50 Water cress 15-50 Zucchini 15-50 Asparagus 15-50 Cabbage 15-50 Onion 15-50 Tomatoes 15-50 Caulliflower 30 Bell Pepprs 40 Green Peas 40 Grain Items Barley Pearled barley, cooked (average of 5 samples) 35 Barley kernel bread (50% kernels) (average of samples 64 Barley flour bread (80%) (20% white wheat, wheat flour) 94 Whole meal barley porridge 95 Corn Yellow 78 Corn Tortillas 78

FOOD GUIDE

fndcqkamf;a ldfndayhsfâ%Ü Wrd.kakd fõ.h y`.jk Glycemic Index

Cornmeal boiled in salted water 2 minuts 95 Rice Wild rice 81 Rice cakes 81 Rice noodles cooked 85 Rice bread 100 Fruits Grapefruit 35 Apples Dried (average of 2 samples) 40 Pears caverage of 4 samples) 53 Plums (average of 2 samples) 55 Strawberries 56 Oranges (average of 6 samples) 59 Pineapple juice 64 Starchy Vegetables Yams (average of 3 samples) 52 Carrots (average 4 samples) 66 Potatoes boiled 15 minutes, cubed peeled 81 Sweet potatoes (average of 5 samples) 85

l%Svdj, fhfok who" wêl wêl ia:q,;djfhka fmf<k who tosfkod wdydr .ekSfïoS Glycemic Index w.hka yeoEÍfuka ;u wdydr fõ, jvd;a ld¾hlaIu lr.ekSfï wjia:dj Wodlr .kS' wdydr f;dard .ekSfïoS ie<lsh hq;= idOl w;r Glycemic Index hkq tla lreKla muKs' wdydrfha wvx.= uq¿ ldfndayhsfâ%Ü m%udKh" fïo ldKavh yd m%udKh ;ka;= m%udKh úgñka yd LKsc ,jK mj;sk nj yd wvx.= ¨Kq m%udKh wdosh .eko Tfí úuis,a, fhduqúh hq;=h' tfiau wdydrfha iSks Wrd. ekSug olajk iS>%;djh ms<sn|j idfmalaI wd.hla f,i muKla GI w.h Ndú;d flfrk nj fyd|ska jgyd .; hq;=h'

fld<U ffjoH mSGfha ffjoH ik;a fiakdkdhl lreKQ oelaùula weiqßka ilia lf<A wñ; úl%uwdrÉÑ

ffjoHjrhd - udisl ffjoH iÕrdj

rdcH Tiqi,a cd,h fld<U 01 63" i¾ ndfrdaka ch;s,l udj;" fld<U 01 ÿ'w$ *e'w 011-2328046 fld<U 07 255" O¾umd, udj; fld<U 07 ÿ'w 011 2672293 *e'w 011 2694716 fld<U 04 85" .d¨ mdr" fld<U 04 ÿ'w$ *e' w 011-2587128 011-2559531 kqf.af.dv 151" tia ã tia chisxy udj;" kqf.af.dv ÿ'w$ *e'w 011 2856641 kqjr 14ta" ,ud.dr udj;" kqjr ÿ'w$ *e'w 081 2225175 ñkqjkaf.dv merKs hQ iS f.dvke.s,a, fld<U mdr" ñkqjkaf.dv ÿ'w$ *e'w 011 2295120 .d,a, 61 ta" jlaje,a, mdr" .d,a, ÿ'w$ *e'w 091 2234726 mdkÿr 159" tï'mS'iS'tia f.dvke.s,a, .d¨ mdr" mdkÿr ÿ'w$ *e'w 038 2234767 r;akmqr 32" kkaod t,a,dj, udj; r;akmqr ÿ'w$ *e'w 045 2223014 wúiaidfõ,a, 40" niakej;=ïm, wúiaidfõ,a, ÿ'w$ *e'w 036 2222501 nÿ,a, iS'ví'B f.dvke.s,a, nKavdrfj, udj;" nÿ,a, ÿ'w$ *e'w 055 2229837

ud;r pdrsldrduh wk.drsl O¾umd, udj; ud;r ÿ'w$ *e'w 041 2231871

ms,shkao, Tiqi, ,xld i'f;d'i fkd'01" fydrK mdr ñßiaj;a;" ms,shkao, ÿ'w$ *e'w 011 3045511

wïmdr mkai, ykaosh ã'tia fiakdkdhl ùoSh wïmdr ÿ'w$ *e'w 063 2223088

r;au,dk Tiqi, fu.d i'f;d'i f.d¨uvu ykaosh .d¨mdr" r;au,dk ÿ'w$ *e'w 011 3043789

l=reKE., 28" ùr;=x. f.dvke.s,a, fn!oaOdf,dal udj; l=reKE., ÿ'w$ *e'w 037 2230840

rd.u 61$ta" uyndf.a udj; rd.u ÿ'w$ *e'w 011 2955219

yïnkaf;dg 3" ne/la ùosh" yïnkaf;dg ÿ'w$ *e'w 047 2222163

hdmkh 149ta" fla'fla'tia udj; hdmkh ÿ'w $ *e'w 021 2219262

wkqrdOmqr 98" nexl= fmfoi wkqrdOmqr ÿ'w$ *e'w 025 2222181

fmdf<dkakrej frday, ykaosh" lÿrefj, mdr" fmdf<dkakrej ÿ'w$ *e'w 027 2225465

uyr.u 71$tA" w,aúia *a,did" mrK udj;" uyr.u ÿ'w$ *e'w 011 2745640

;x.,a, b|sfmdl=Kf.dv udj; ;x.,a, ÿ'w 047 2241221 ÿ'w$ *e'w 011 2779414

Y%S chj¾Okmqr Y%S chj¾Okmqr uQ,sl frday," chj¾Okmqr ;,m;amsáh" kqf.af.dv ÿ'w$ *e'w 011 2779414 lrdmsáh 132" m<uq mgqu`. ms<sld frday, udj; udbáfm" lrdmsáh ÿ'w$ *e'w 091 2226947 ó.uqj 134" uyfrday, bosrsmsg fld<U mdr" ó.uqj ÿ'w$ *e'w 031 2228599 osh;,dj kj niakej;=ïm< m%Odk ùosh" osh;,dj ÿ'w$ *e'w 057 2227190

nKavdr.u frday,a fmfoi fydrK mdr" nKavdr.u ÿ'w $ *e'w 038 2288671 fnd/,a, <ud frday,a mrsY%h fnd/,a, ÿ'w $ *e'w 011 2697660 weô,smsáh 102" fl<ska ùosh" m,af,.u"weô,smsáh ÿ'w $ *e'w 047-2261177 fldgqj ÿïßhfmd< mßY%h ÿïßhfmd<" fldgqj ÿ'w $ *e'w 011-2336926

ISO iy;sl

,;a rdcH T!IO kS;s.; ixia:dfõ ;;a;aj ridhkd.drfha ;;a;aj mÍlaIdjkag ,la jk Wiia ;;a;ajfha" wdrlaIdldß" m%;HlaI T!IO SPC kñkau b,a,kak' Y%S ,xld rdcH T!IO kS;s.; ixia:dj" 75" YS%u;a ndfrdka ch;s,l udj;" fld<U 01' ÿ'l' 011- %, 2320356-9 2015 wfma a l<dmh *elaia' 011-2447118

THALASSEMIA

laIKslj wjOdkh fhduq úh hq;=

wfma ;e,iSñhd frda.Ska <ud frda. úfYaI{ ffjoH fla¡ tmsgl=Uqr uy;aush iu. l< idlÉPdjla weiqrsKs

frda.S mqo. a ,fhl=f.a reêrfha ysfuda.f a ,dìka idudkH ishhg 12-15 olajd fõ¡ ksfrda.S whl=f.a idudkH r;= reêr ffi,hla osk 120la muK cSj;a fõ¡ osk 120lg miq r;= reêrdKq úkdY ù hhs¡ wegñÿ¿ u`.ska ta fjkqjg w¨;a r;= reêrdkq ksmojhs¡

ySfud.af,dìka j, hlv úYd, m%udKhla wvx.= fõ¡ osk 120l cSú; ld,fhka miq r;= reêrdKqj úkdY ùfïoS reêrhg tlajk hlv j,ska jeä m%udKhla w¨;ska ySfud.af,dìka ksmoùfïoS kej; fhdod .kS¡ wfma isrefrka oskm;d hlv hï m%udKhla msgjk w;r wfma wdydrfhka ta fjkqjg hlv reêrhg Wrd .efka¡ fufia hlv Wrd .ekSfuka iajNdúlju reêrhg wjYH hlv m%udKh mj;ajd .ekSfï l%uhla isrerg ;sfí¡ 30

wfma ;e,iSñhd frda.Ska

;e,iSñhd frda.Ska cSj;a lrùu i|yd udiam;d ,nd.;a reêrh frda.shdg mdrú,kh lsÍu w;HjYH fõ¡ fuu m%;sldrh frda.shdf.a uq¨ csú; ld,h mqrdu jilg jrla ne.ska ,eìh hq;= fõ¡

;e,iSñhdj hkq l=ulao@ fuysoS Wmf;kau YÍrhg m%udKj;a ;rï ySfud.af,dìka ksmoùu isÿ fkdfõ¡ fuu frda.Skaf. ka ySfud.af,dìka ksmoùu ishhg 2-3 ;rï my; uÜgul mj;S¡ ta ksid Tjqkaf.a isrer iqÿue,s ùu yd rla; ySk;djh we;s fõ¡ fï frda.Skaf.a r;= reêr ffi, j,g ksfrda.S whl=f.a fuka osk 120la cSj;a ùug fkdyelsh¡ tajd osk 28-30 w;r ld,hloS úkdY ù hhs¡ ffjoHjrhd - udisl ffjoH iÕrdj

fufia flá ld,Skj úkdY jk reêr ffi, ksid reêrfha hlv úYd, m%udKhla tl;= fõ¡ hlv nys>%dùh lsÍug reêrhg fjk;a l%uhla ke;s ksid fï hlv reêrfha we;s g%dkaia*ßka u.ska wegñÿ`M lrd f.k hkq ,nhs¡ ;e,iSñhdfõoS reêrfha mj;sk hlv m%udKh jeä ksid g%dkaia*ßka hlv j,ska ix;Dma; fõ¡ ;e,iSñhdj me;sÍ we;s wdldrh me;r we;s rgj,a 01¡ wdishd;sl rgj,a Wod( Y%S ,xldj$bkaoshdj$ mdlsia;dkh 02¡ ueofmros. rgj,a l=fõÜ$fi!os wrdìh 03¡ uOHOrKS rgj,a b;d,sh$.%Sish Y%S ,xldj oekg 2000 lg wêl frda.Ska ixLHdjla isá;s¡ úfYaIfhkau W!j" W;=reueo" jhU yd uOHu m<d;a j, fuu frda.h fnfyúkau me;sr ;sfí¡ wjqreÿ m;d w¨;a frda.Ska 200lg wêl m%udKhla jd¾;d fõ¡ fuu frda.h je<fokafka flfiao@ fuh mrïmrd.; frda.hls¡ foudmshkaf.a cdkj, fjkiaùula ksid Tjqka frda. jdylhska njg m;a fõ¡ Tjqkag frda.h je<fokafka ke;¡ tfy;a ;u orejkag fuu frda.h Wreu lrj;s¡ fuu frda.h m%Odk fldgia follg fnfoa¡ iq¿ ;e,iSñhdj Wm;skau r;= reêrdKqj, widudkH ;;a;ajhka ;sfí¡ tfy;a Tjqyq frda. ,laIK fkdfmkaj;s¡ ;ukaf.a orejkag Tjqkaf.a frda.h Wreu fõ¡ tkï jdylhka fj;s¡ udmshkaf.ka tla wfhla muKla frda. jdylfhla jQ úg orejkaf.ka ishhg 50 frda. jdylhka fõ¡ ud msh fofokdu frda. jdylhka jQ úg ,efnk orejkaf. ka ishhg 25lg frda.h je<f|a¡ iShhg 50la frda. jdylhska fõ¡ wjdikdjg wfma rfÜ ;ju ;e,siSñhd frda. jdylhska iaÒrj y÷kd.ekSug mÍlaIK isÿlsÍfï myiqlï rdcH wxYfha fkdue;¡ oekg y÷kd.kq ,nkafka ;e,iSñhdj 2015 wfma%,a l<dmh

we;s orejka ìys jQ miq orejkaf.a frda.h ksYaph lr.ekSuhs¡ uyd ;e,iSñhdj Wm;ska udi 6g fmr frda. ,laIK fmkaj;s¡ wjYH m%;sldr fkdlvjd ,nd fkd.;fyd;a jhi 1-2 w;f¾oS urKhg m;a fõ¡ ksis mßos m%;sldr ,nd.;fyd;a jhi wjqreÿ 40 miqjk ;=re cSj;a lrúh yel¡ idudkH cSú; .;lr újdy ù orejkao ,nd .; yel¡ ;e,iSñhd frda.h ksid u;=jk ffjoHúoHd;aul .eg¿ iqÿue<s ùu wegñÿ¿ úidrKh ùu isref¾ wjhj j,g Tlaiscka ys`. ùu fukau wegñ÷¿ j,g mßndysrj r;= reêrdKq ksmoùfï l%shdj,sh reêrfha w;sßla; wjhj j, ;ekam;a ùu ksid we;sjk ma,Sydj yd wlaudj bosóu moaO;shg jk ndOd yDoh úYd,kh ùu yDofha l%shdldß;ajh wvmK ùu

THALASSEMIA

;e,iSñhdfõ frda. ,laIK • r;=reêrdKq ys`.h msßueiSu i|yd iajNdjfhkau wegñÿ¿ j, mßudj jeä fõ¡ fï ksid wiaÓh laIh fõ¡ ta ksid wiaÓ ì|S hdfï m%uK;djh jeä fõ¡ • w;sßla; hlv ;ekam;a ùfuka ma,sydj yd wlaudj bosfï¡ fï ksid nv bosóu fmkakqï lrhs¡ • isref¾ wjhj j,g Tlaiscka W!K;djh fya;=fjka orejdf.a jeãu nd, ùu w,i nj" ks;r ks;r wdidok j,g f.dÿreùfï m%jK;djh jeäfõ¡ • jeäjk hlv isrefrka neyer lsÍfï l%uhla fkdue;s ksid reêrfha we;s w;sßla;h isref¾ bkaøshhka j, ;ekam;a fjhs¡ Wod wlaudj ma,sydj iu wegñÿ¿ ;e,iSñhdjg ,ndfok reêrh ksido fuu ;ekam;a jk hlv m%udKh ;j;a by< hhs¡ ma,sydfõ hlv ;ekam;a ùfuka 32

wfma ;e,iSñhd frda.Ska

yDoh l%shd úrys; úh yel¡ • w.akHdifha hlv ;ekam;a ùfuka yDoh l%shd úrys; úh yel • jl=.vq j, hlv ;ekam;a ùfuka oshjeähdj we;súh yel • f,a ys`.lu ksid orejd iqÿue,s ùu yd w,i nj we;s fõ¡

;e,iSñhd frda.h je<÷Kq orejkaf.a úfYAI;d ffjoHjrhd - udisl ffjoH iÕrdj

mÍlaIK isÿ lsÍu • YÍrfha hlv m%udKh uekSu • cdkuh mÍlaIK ksrka;rfhkau ffjoHjreka yd fi!LH ld¾Hh uKav,fha wêlaIKh ,eìh hq;= frda.Ska msßils¡ tfukau foudmshkaf.a jeä /ljrKh yd wjOdkh fhduqúh hq;= orejka msßils¡ ffjoH m%;sldr ,ndoSfïoS ysfud.af,daìka W!K;djh ksid frda.shdg we;sjk úúO wmyiq;d u`.yrjd Tjqkag idudkH cSú;hla .; lsÍug bv i,id oSu wjYH fõ¡ ;e,iSñhd frda.Ska cSj;a lrùu i|yd udiam;d ,nd.;a reêrh frda.shdg mdrú,kh lsÍu ^YÍr.; lsÍu& w;HjYH fõ¡ fuu m%;sldrh frda.shdf.a uq¨ csú; ld,h mqrdu jilg jrla ne.ska ,eìh hq;= fõ¡ udiam;d reêrh mdrú,kh lsÍu i|yd jeäjk hlv isref¾ úúO wjhj j, ;ekam;ajk nj wms oksuq¡ tu hlv bj;a lsÍu i|yd úfYaI m%;sldr l%uhla fhdod .efka¡ ta wkqj fviamrd,a keue;s T!IOh oskm;d fmdïmhla u`.ska YÍr.; lsÍu ks¾foaYs;h¡ fuu fmdïmh u`.ska T!IOh ksjfiaoSu YÍr.; lsÍfï myiqj ie<fia¡ tla frda.sfhl=g tla fmdïmhla ,ndoSu wjYH fõ¡ fviamrd,a T!IOho ñ, jeä T!IOhls¡ fmdïmho b;du ñ, wêl WmlrKhls¡ rcfha frdayf,aoS T!IOh fkdñf,a ,ndfokq ,efí¡ tfy;a re#35000$}la muK jákd fmdïm rcfhka iemhSug wiSre ù ;sfí¡ fuf,i fmdïmhla imhd frdayf,aoS fvimrd,a T!IOh i;shlg jrla YÍr.; lrkq ,efí¡ i;shlg jrla ne.ska os.ska os.g frday,a.;ùu ksid ;e,iSñhd frda.hg f.dÿre jQ orejkaf.a wOHdmk lghq;= j,g ndOd meñfKa¡

2015 wfma%,a l<dmh

fkdfhl=;a wmyiq;d ksid i;shlg jrla fkdlvjd frday,a.;ùu u`.yereKq orejka fviamrd,a m%;sldrh ksis mßos fkd. ekSfï fya;=fjka yd reêrh ,nd.ekSug wfmdfydi;a ùfukao ñh .sh wjia:d <ud frda. ffjoHjreka oel we;¡ ks;r ks;r reêr mÍlaIK isÿlr frda. ;;a;ajh we.hSuo wjYH fõ¡ ;e,iSñhd frda.Ska fndajk frda.j,g f.dÿre ùfï jeä m%jK;djhla ;sfí¡ tu ksid uilg jrla reêrhô mdrú,kh i|yd frday,a .; lsÍfïoS Tjqka wdidok j,ska wdrlaId lsÍug mshjr .; hq;=h¡ Tjqka idudkH frda.Ska yd tlg fkd;nd fjku jdÜgqjloS m%;sldr ,ndoSu iqÿiqh¡ ksjfiaoS fndajk frda. j,ska je<lSu ms<sn|jo wjOdkh fhduq l< hq;= fõ¡

ALLERGY

wdid;añl;d we;s ùug ;ekla fj,djla ke;'''

oeka wdid;añl;d mÍlaId lrk mÍlaIKhla ;sfnk nj Tn okakjdo@ wdid;añl;d hkq fudkjdo @ wdid;añl;d we;s jkafka flfiao @ wmf.a m%;sYla;slrK moaO;sh ;sfnkafka wm f,v frda. j,ska wdrlaId lr .ekSugh' úIîchla YÍrhg msúiS miq m%;sYla;slrK moaO;sh Bg tosßj l%shd;aul ù th u¾Okh lrhs' we;eï úg we;eï mqoa.,hkaf.a m%;sYla;slrK moaO;sh l%shd lrk wdldrh flfiao h;a mßirfha ;sfnk wmg ysxidjla isÿ fkdlrk we;eï øjHo wjodkï iy.; hhs i<ld tajdg myr fohs' wmg wdid;añl;d we;s jkafka ta whqßks' m%;sYla;slrK moaO;sh we;eï wdydr j,g úreoaOj l%shd;aul jQ úg wmg wdydr wdid;añl;d we;s fjhs' mßirfha we;s we;eï øjH j,g tfrysj m%;sYla;slrK moaO;sh l%shd;aul jQ úg kdifhka fidgq .,hs' weÿu we;s fjhs' we;eï wdydr yd wd>%dKldrl wmg lrmamka wdoS p¾u frda. we;s lrhs' oKysfia;a je<ñg msgqmi;a fïjd iq,nj olakg ,efnhs' l+ôka" ó ueiaika wdoSka oIAG l< úg we;eï mqoa.,hkag m¿ we;s jkafkah'

ffjoHjrhd - udisl ffjoH iÕrdj

wfma rfÜ wdid;añl;d j, ;;a;ajh fln÷o @ jd¾Islj ksl=;a lrk Annual Health Bulletin wkQj kï wfma rfÜ weÿu frda.Skaf.a nrm;, jeäùula fmkakqï flf¾' úúO wdldrfha wdid;añl;d we;sjk frda.Ska iïnkaOfhka o;a; ;eîula wfma rfÜ úêu;aj isÿ fkdlrk fyhska ta iïnkaOfhka iaÓr hula m%ldY l< fkdyel' flfia fj;;a frda.Skaf.a j¾Okhla we;ehs b÷rdu wkqudk l< yel' fï iïnkaOfhka jd¾;d kv;a;= lrk bkaoshdj" fmros. wdishdkq rgj,a" wm%sldfõ fukau ngysro wdoS jYfhka iEu rglu wdid;añl;d frda.Skaf.a olakg ,efnkafka jeä ùuls' iq,nj olakg ,efnk wdid;añl;d fudkjdo @ fidgq oshr .e,Su fukau weÿu yokakg WmldÍjk wfma rfÜ iq,n;u wdid;añl;dldrlhd 2015 wfma%,a l<dmh

ALLERGY

¥ú,s lSvEjkah house dust mite ' fï l=vd i;=kaf.a u< j,g wfma rfÜ ck;djf. ka ishhg 60-80 lg wdid;añl;d ,laIK m%lg lrhs'fï u< fldgia we;af;a f.orfodf¾ ¥ú,s j,h' lerfmd;a;ka" os,Sr wdosh ksido ie<lsh hq;= m%udKhl wdid;añl;d ,laIK m%lg fjhs' wfma rfÜ wdydr wdid;añl;d yeisÍu úuik l< th ngysr rgj,g jvd fjkia iajrEmhla .kshs' orejka w;r wdid;añl;d we;slrjk wxl tfla wdid;añl;d ldrlh lsßmsáh' orejka w;ro jeäysáhka w;ro W!reuia" .juia" t<j¿ w;=ßka idrK" uqrex.d wdoshg wdid;añl;d ,laIK fmkakqï lrk Woúh fidhd .ekSu wmyiq ke;' m<;=re j,ska wU" osjq,a yd mefmd,a j,g wdid;añl;d olajk wh yuq jkafkah'

wdid;añl;d we;s ùug ;ekla fj,djla ke;'''

wdid;añl;d we;sùu udrdka;slo @ Tõ''' cSú;h wk;=f¾ fy<k wdid;añl;d anaphylaxis hkqfjka ye|skafõ' fuh ffjoHuh jYfhka zyosis wjia:djlaZ jYfhka ie<flK ;;a;ajhls' wjYH m%;sldrh iefKlska ,ndÿkafka ke;skï frda.shd ñh hdug bvla ;sfí' kshñ; ms<shï fhoSfuka fuu ;;a;ajh l<uKdlr.; yels njo mejish hq;=h' wdid;añl;d y÷kd.ekSu i|yd mj;akd mÍlaIK ljf¾o @ iu úoSfuka (SPT) fyda ,nd.kakd reêr idïm,hla fhdodf.k lrk mÍlaIKhlska wdid;añl;dj fmrhSug yelshdj ;sfí' mÍlaIK /ila we;suq;a úoaj;=ka yd lS¾;su;a wdh;k j, ms<s.ekSug ,lajQ m¾fhaIKh Immunocap test kñka ye|skafõ' óg mQ¾jfhka fuu mÍlaIKhu RASTf,i ye|skaúk' fuys we;s wjdish jkqfha mÍlaIKh i|yd wêl ñ,la oeÍug isÿ ùuhs' iu úoSfuka (SPT) isÿ lrk mÍlaIKh Immunocap test g jvd jvd;a ixfõoS hhs ie<flK ksid fndfyda ffjoH wdh;k isÿ lr;s' flfia fj;;a jvd oshqKQ l%ufõohka fhdod.kakd Immunocap test mÍlaIKo wo Ndú;fha ;sfí' tajd kqÿf¾oSu wfma rfÜo Ndú;hg tla jkq we;' iu úoSfuka (SPT) isÿ lrk mÍlaIKfhaoS wdid;añl;dldrlh iq¿ m%udKhla wf;ys iam¾Y jkakg ;nKq ,efí' bkamiq b;d iaj,amhla jYfhka iu m¿ÿ lrkafkah' fuh fõokd rys; iq¿ m¿ÿ lsÍula nj ie<l=jukdh' iu úoSfuka (SPT) isÿ lrk mÍlaIKfhaoS Immunocap g idfmalaIj jeh jkafka wvq uqo,ls' fuu mÍlaIKh isÿ lsÍug osk mylg fmr m%;sysiageñk T!IO .kakd flfkla fjf;d;a tajd .ekSfuka je<lsh hq;=h' ke;fyd;a tu .ekSfuka m%;sM<h idjoH úh yels neúks' tfiau immunocap g idfmalaIj iu úoSfuka (SPT) isÿ lrk mÍlaIKh jhi wjq' 4 g wvq orejkag yd jhi wjq' 65 g jeä whg jvd;a wvq ixfõoS;djhla oelaúh yels njo ie<l=jukdh'

ffjoHjrhd - udisl ffjoH iÕrdj

2015 wfma%,a l<dmh

RENAL DISEASES

jl=.vq wl%Sh ùu frda.h úuiuq

yel¡ jßka jr we;sjk jl=.vq m%odyh wjidkfhaoS jl=.vq wl%Sh ùu olajd j¾Okh úh yel¡

jl=.vq wl%Sh ùu frda.h úuiuq uydpd¾h ßiaú fIß*a iu. l< idlÉPdjla weiqßKss

fuu fowdldrfha ñY% iïnkaOhla f,iskao fuu frda.h oelsh yelsh¡

jl=.vq wl%shùu hkq l=ula o@ wm isrer ;=< ;=káh m%foaYfha fndaxÑ yeve;s wjhj hq.,hla msysghs¡ jl=.vq fyj;a jDlal hkqfjka ye|skafjk wm fyd|ska wid mqreÿ fï wjhjhkaf.a ld¾hh uq;%d ksmoùuhs¡ fufia ksmojk uq;%d u.ska c,h yd isrerg wkjYH wmøjH isrefrka neyer lrhs¡ uq;%d ksmoùug wu;rj reêr mSvkh" reêr.; ysfuda.af,daìka m%udKh yd isref¾ wï, NIau iu;=,s;;djh md,kh lsÍu jl=.vq j, wksl=;a ld¾hhka fõ¡

frda.h iEfokafka ldgo@ <orejdf.a isg jeäuy,a,d olajd ljfrl=g jqjo frda.h je<f|a¡ ks;r ks;r jl=.vqj, wdndO j,g ,lajkafka kï jl=.vq wl%shùug f.dÿre ùfï jeä bvla olajhs¡

jl=.vq frda.S jQ úg bka isÿjk by; l%shdjka wvmK fõ¡ jl=.vqj, l%shdldß;ajh wvd, ùu zzjl=.vq wl%sh ùuZZ f,i y÷kajuq¡ jvd;a ksjerosj lSfjd;a jl=.vq folu frda.S jq úg iy tys uq¨ l%shdldÍ ;;a;ajh iShhg 60-70 lska wvmK jQ úg jl=.vq wl%Shj we;ehs is;uq¡ l%shdldß;ajh iShhg 90 lska wvd, ù we;s úg jl=.vq wl%Sh ùu W.% ù we;ehs (Severe Kidney Failure) lsj yel¡ frda.fha wdldr fudkjdo@ jl=.vq l%shdldß;ajh wvmK ùu l%u follg úh yel¡ 01¡yosisfha we;sjk jl=.vq wl%sh ùu flá l,la ;=< jl==.vq l%shdldß;ajh wvmK ù hhs¡ Wod# i¾mhska oIaG l< úg fujeks ;;a;ajhka we;súh yel¡ 02¡ld,dka;rhla ;=< jl=.vq wl%shùu fuysoS l%ufhka ld,hla ;siafia jl=.vq wvmK ù hhs¡ th udi fyda jir lSmhla ;=< úh 38

jl=.vq wl%shùug fya;= fudkjdo@ <uqka w;r jl=. vq wl%shùu iq,nj olakg fkdue;s uq;a Tjqka w;r fndfyda úg jl=.vq m%ody iy uq;%d ud¾. wdidokh oelsh yelsh¡ jeäysáfhl=f.a jl=. vq wl%sh ùug fya;= 01¡yosis jl=.vq wl%shùu i¾mhska oIaG lsÍu jl=. vq m%odyh we;eï

ffjoHjrhd - udisl ffjoH iÕrdj

T!IO j¾. úI j¾. Y,Hl¾u ;on, wdidok 02¡ld,dka;rhloS jl=.vq wl%sh ùu os.= ld,Sk jl=.vq m%odyh" wêl reêr mSvkh" oshjeähdj" fm%diafÜÜ .%kaÓfha we;sjk frda." jl=. vq j, .,a we;sùu m%fõKs.; frda.

úfYaIs; fkdjQ fjk hï frda. ,laIK fmkakqï lr;s¡ tneúka fuu frda.h fndfyda úg uq,au wjia:dfõ y÷kd.kqfha jl=.vq wl%Shj we;s oehs fiùfï wruqKskau flfrk reêr yd uq;%d mÍlaId j,sks¡ jl=.vq wl%Shùu ;SrKh lrkafka flfiao@ reêr iy uq;%d mÍlaIK u`.ska fuh ;yjqre l< yel¡ reêr.; hQßhd iy l%sheákska uekSu tjeks l%u folls¡ jl=.vq wl%sh jQ frda.fhl=f.a reêr.; hQßhd iy l%sheákska uÜgu idudkH uÜgug jvd jeäh¡

fufia we;sjk jl=. vq wl%sh;dj i|yd fndfyda úg ksYaÑ; fya;=jla fidhd .ekSu wmyiqh¡ uq;%d ud¾. fha we;sjk wdidok jl=.vq wl%Sh;ajh olajd j¾Okh jkafka l,d;=rlsks¡ tfy;a jl=.vq ÿ¾j, jQ frda.Ska yg we;sjk tjka uq;%d ud¾. wdidok ksid jl=.vq j, ;;a;ajh jvd;a krl w;g yerùug bv ;sfí¡ jl=.vq wl%shùu y÷kd.kafka flfiao@ frda.fha uq,a wjia:dfõoSu myiqfjka frda.Ska fndfyda fofkla frda. ,laIK fkdfmkaj;s¡ ke;fyd;a jl=. vq wl%Sh;ajhg 2015 wfma%,a l<dmh

RENAL DISEASES

meh 24la ;=< frda.shd msglrk uq;%d tl;= lrkq ,nk l%sheákka my lsÍu mÍlaIKh u.ska jl=.vq fldf;la ÿrg wl%Sh ù we;aoehs ;SrKh lr.; yel¡ fuu mÍlaIKh úáka úg lsÍfïoS frda. ;;a;ajh fjkia jk whqreo mÍlaId l< yel¡ fuhg wu;rj tlaia lsrK PdhdrEmo Ndú;d lrkq ,efí¡ frda.h i|yd m%;sldr fudkjdo@ 01 ¡frda.hg WÑ; wdydr f;dard .ekSu 02¡T!IO m%;sldr 03¡ldkaÿlrKh (Dialysis) 04¡jl=.vq noaOh (Kidney Transplantation) 01¡ frda.hg WÑ; wdydr f;dard .ekSu fuysoS lrkqfha wdydrfha wvx.= fldgia iSud lsÍuhs¡ fm%daàk" fmdgEishï" ,jK c,h iSud flf¾¡ uia ì;a;r ud`M jeks fm%daàkuh wdydrj,ska reêr hQßhd uÜgu by< k.S¡ tn÷ wdydr j,ska frda.shd je<lS isáh hq;= w;r osklg jrla muK fm%daàk wvx.= wdydrhla .; hq;= fõ¡ ;eô,s w¨;a m<;=re nosk ,o w¾;dm,a jeks fmdgEishï nyq, wdydr j,skaf frda.shd je<lsh hq;=hs¡ wêl reêr mSvkh isrer bosóu mmqfõ y;sh jeks ,laIK j,ska frda.shd fmf<hs kï ¨Kq iys; wdydr j,ska je<lsh hq;= h¡ mdkh l< hq;= oshr m%udKh ffjoHjrhd úiska frda. ;;a;ajh wkqj ;SrKh lrkq we;¡ 02¡ T!IO m%;sldr ldKav lsysmhl T!IO m%;sldr jYfhka fhdod .efka¡ isrer bosóu wvq lsÍug uq;%dldrl" reêr mSvkh md,kh lsÍug T!IO" nv oe`.,Su jukh md,kh lsÍug T!IO" rla;ySk;djh i|yd reêrh ,ndoSu tßf;%dfmdtáka (Erythropoietin) ñ, wêl T!IOhls¡ uq;%d ud¾. wdidokh i|yd m%;scSjl

jl=.vq wl%Sh ùu frda.h úuiuq

03¡ ldkaÿlrKh m<uqj m%;sldr fol u`.ska ;rula ÿrg frda.S ;;a;ajh W.%ùu mud l< yel¡ kuq;a jl=.vq wl%sh;djh ksid oskm;d isref¾ tl;= jk hQßhd yd fmdgEishï ,jK uÜgu wvq lsÍug by; l%u fol m%udKj;a fkdúh yels neúka hQßhd iy fmdgEishï YÍrfhka bj;a lsÍug ldkaÿlrKh l%uh fhdod.kS¡ yosis jl=. vq wl%sh;djh fndfyda úg h:d ;;a;ajhg m;a jk kuqÿ l,a.;j mj;sk jl=. vq wl%sh;djh h:d ;;a;ajhg m;a l< fkdyelsh¡ fuu frda.Ska iqj lsÍug wjYH kï jl=.vq noaO lsÍu wjYH fõ¡ 04¡ jl=.vq noaO lsÍu h:d ;;a;ajhg m;a l< fkdyels f,i jl=.vq wl%Sh jQ úgoS kej; kej;;a vh,hsisia kï m%;sl¾uh isÿ lsÍu frda.shdg mSvdldÍ ydkslr fukau wêl úhoï lghq;a;la úh yel¡ fuu frda.skag jl=.vqjla noaO lr kj cSjkhla ,ndosh yel¡ ffjoHjrhd - udisl ffjoH iÕrdj

2015 wfma%,a l<dmh

wd>d; ;;ajhl uQ,sl frda. ,laIK jk uqyqfKa me;a;l mK ke;s ùu" lg me;a;g weoùu" w;la fyda ll=,la mKke;s ùu yd l:dfõ fjkila we;s ùu jeks ,laIK my, jq jydu frday, fj; /f.k wd hq;=h' fuu m%;sldr l%uh frda. ,laIK my, ú meh 03la we;=,; ,nd Èh hq;=h' tu.ska úYd, jYfhka isÿúh yels wn,;d j,ska frda.shd wdrlaId fõ' CT /MRI jeks myiqlï j,ska imsß úfYaI{ ffjoHjreka" fN!; Ñls;ailhka wdoS iduqysl lKavdhulska ieÿï ,;a v¾vkaia frdayf,a yDo iy iakdhq ffjoH tAllh meh 24 mqrd Tn i|yd fkdu| fiajhla ,nd oSug ieÈ meyeÈ issá'

v¾vkaia frday, úiska fud<fha reêr kd, ;=, isrfjk f,a leá úiqrejd yßk kj m%;sldr l%uhla yÿkajd § we;' iuqy m%;sldr l%uhla jk fuu m%;sldrh rtPA (Tissue Plasminogen Activator Treatment) kï fõ'

wd>d;h (Stroke) hkq fud<fha tla m%foaYhl yÈisfha reêr iemhqu wvd, ùuhs' wd>d;h we;sùug n,mdk m%Odk fya;= folls' reêr kd, wjysr ùu (Ischaemic Stroke) iy reêr kd, msmsÍulska fud<hg reêrh ldkaÿ ùuhs' (Haemorrhagic Stroke)

1544 u.ska v¾vkaia frday, wu;kak

PREGNANCY NUTRITION

ksfrda.S ud;D;ajhla Wfoid Tfí fmdaIKh flfia ilia úh hq;=o@

ksfrda.S ud;D;ajhla Wfoid Tfí fmdaIKh flfia ilia úh hq;=o@ jhU úYAj úoHd,hSh jHjydßl fmdaIK wOHkdxYfha fcHIaG lÓldpdßkS kdu,S ;laIs,d wêldß úisks fmdaIKSh fh!jksh u;= osfkl ksfrda.S .eìKshla jkafkah¡ .¾NKSNdjhg m;aùug fmr isgu ;reK ldka;djka fi!LH iïmkak wdydr rgdjla wkq.ukh lsÍu ;=<ska Wig iß,k nrla iys;j ksis fmdaIK uÜgul isàu jeo.;a fõ¡

kï —wê fmdaIKZZ ;;a;ajfha isák w;r Tn Tnf.a nr ms<sn| jvd;a ie<ls,su;a úh hq;=h¡ • tuksid Tn Tfí mQ¾j .¾NKS wjêfhaoS ksjeros wdydr rgdjka wka. ukh lsÍu u.ska yd jHdhdu u`.ska Tnf.a isref¾ jeämqr we;s nr wvqlrf.k Wig iß,k ksis nr mj;ajd.ekSug ie<ls,su;a úh hq;= h¡

mQ¾K .¾NKS fmdaIK ;;a;ajh ks¾Kh l¾kafka flfiao@ Tfí Wig iß,k nrla mj;Soehs oek.ekSu i|yd —YÍr ialkaO o¾Ylh˜ keue;s wkqmd;h Wmfhda.S lr.; yelsh¡ YÍr ialkaO o¾Ylh hkq YÍrfha nr ^lsf,da.%Eï& Wfiys ^óg¾& jYfhka fnoSfuka ,efnk wkqmd;hhs¡

ud;D;ajhg m;aùug m%:u Wig iß,k nrla fkdue;s ùu ^wvqnr fyda wênr& .¾NKS iuh ;=<oS wfmalaIs; nr jeäùu <`.d lr.ekSugo ndOdjla fõ¡

YÍr ilakaO o¾Ylh } nr ^lsf,da.%Eï& Wi ^óg¾ j,ska& « Wi ^óg¾ j,ska& • fuu wkqmd;h 18¡5 -24¡5 w;r mj;S kï Tfí Wig iß,k nrla Tn i;=j we;¡ • fuu w.h 18¡5 g jvd wvq kï Tng Tfí Wig iß,k nrla fkdmj;S¡ tkï Tn — ukaofmdaIK˜ ;;a;ajfhka fmf<k w;r ud;D;ajhg m;aùug m%:u fmdaIHodhS wdydr ksis m%udK j,ska wdydrhg f.k kshñ;$ wod, nr jeäùu ,`.d lr.; hq;=h¡ • Tfí YÍr ialkaO o¾Ylh 25g jvd jeä

mQ¾K .¾NKS fmdaIK ;;a;ajhg wkqrEmj .¾NKS iufha nr jeäùu .¾NKS iuh ;=<oS nr jeäùu$.¾NKS ùug m%:u YÍr ialkaO o¾Ylhg wkqj fjkia jk w;r tu nfrys fjkiaùu my; j.=fõ oela fõ¡

ffjoHjrhd - udisl ffjoH iÕrdj

2015 wfma%,a l<dmh

PREGNANCY NUTRITION

ksfrda.S ud;D;ajhla Wfoid Tfí fmdaIKh flfia ilia úh hq;=o@

.¾NKS iufhaoS wfmalaIs; nr jeäùu mQ¾j .¾NKS YÍr ialkaO o¾Ylh ^lsf,da.%Eï$ óg¾2& 18¡5 jvd wvq ^wvq nr& 18¡5 -24¡5 ^idudkH nr& 25 -29¡9 ^wênr& 30 fyda 30g jeä ^;rndre&

.¾NKS iuh ;=<oS n,dfmdfrd;a;=jk nr jeäùu ^lsf,da.%Eï& 12¡5 - 18 11¡5 -16 7¡0-11¡5 6¡8 fyda Bg wv

uQ,dY%h # Y%S ,dxlslhka i|yd wdydr ms<sn|j Wmfoia ^2011&

.¾NKSNdjhg m;aùug m%:u Wig iß,k nrla fkdue;s ldka;djka yg ud;D;ajhg m;a jQ miq .¾NKS iuh ;=<oS wfmalaIs; nr jeäùu <`.dlr .ekSu wiSre jk w;r tys m%;sm<hla f,i Wm;a nriys; <orejka ìysùu iy ore m%iQ;sfhaoS we;sjk ixl+,;d j,g uqyqKoSfï m%jK;djh jeä fõ¡

ffjoHjrhd - udisl ffjoH iÕrdj

mQ¾K .¾NKS wvqnr ;;a;aj ksid ud;D;ajfhaoS we;sjk .eg`M .¾NKSNdjhg m;aùug m%:u Wig iß,k nrla fkdue;s ^< 18¡5& ldka;djka yg ud;D;ajhg m;a jQ miq .¾NKS iuh ;=<oS wfmalaIs; nr jeäùu <`.dlr .ekSu wiSre jk w;r tys m%;sm<hla f,i Wm;a nr ^lsf,da.%Eï 2¡5 g wvq & iys; <orejka ìysùu iy

ore m%iQ;sfhaoS we;sjk ixl+,;d j,g uqyqKoSfï m%jK;djh jeä fõ¡ tmuKlao fkdj .¾NKS ukaofmdaIK ;;a;ajh ujf.a fukau Wmosk orejdf.a úúO fmdaIK W!K;d ^kSrla;h$f,aj, hlv LKsc ,jK wvqùu$iakdhq kd, wl%ñl;d$f*da,sla wï,h wvqùu$weiafmkSï ÿ¾j,;d$úgñka —ta˜ wvqùu& j,go fya;= fõ¡ mQ¾j .¾NKS wêl nr ;;a;aj ksid ud;D;a;ajfhaoS we;sjk .eg¿ mQ¾K .¾NKS iuh ;=<oS —wêfmdaIK ;;a;ajfha miqjk ldka;djka yg .¾NKS iufhaoS wêl reêr mSvkh” .¾N oshjeähdj” wê j¾Okhla iys; <orejka ìys lsÍu ore m%iQ;sfhaoS we;sjk ixl+,;djhkag uqyqKoSu jeks ;;a;ajhkag ,laùfï jeä m%jK;djhla we;¡ tmuKlao fkdj mQ¾j .¾NKS iufhaoS wênr ;;a;ajfha miqjk uõjreka ìyslrk <orejka miqld,Sk” tkï jeäysá wjêfhaoS ia:q,;djhg m;aùfï jeä wjodkula we;s w;r uj .¾N oshjeähdfjka fmf<a kï th miqld,Skj orejdgo oshjeähdj je<|Sug fya;= idOl fõ¡ .¾NKS wjêfhaoS lsisu úgl nr wvqùula isÿ fkdúh hq;= w;r .¾NKS ld,h ;=< ks¾foaY nr jeäùu mj;ajd .ekSu i|yd wênr iy ;rndre uõjreka iSks meKsri wdydr yd îu f;,a iys; wdydr jeks Yla;sh jeä wdydr iy iïmQ¾K fhdoh iys; lsß iSud lsÍu fhda.H fõ¡ jHdhdu j, fhoSuo jeo.;a fõ¡ .¾NKS wjêfhaoS ldka;djkaf.a fmdaIK wjYH;d by< hk whqre my; mßos oelaúh yel¡ • wjYH Yla;s m%udKh lsf,da le,ß 400 isg 500 olajd by< hhs¡ • fm%daàk ^uia$ud¿$ì;a;r iy rks, fnda. j, m%Odk f,i wvx.= wjYH;dj 50] lg jvd jeä fõ& • hlv wjYH;dj ^uia$ud¿$m<dj¾.& 50] lg jvd jeä fõ

2015 wfma%,a l<dmh

PREGNANCY NUTRITION

ksfrda.S ud;D;ajhla Wfoid Tfí fmdaIKh flfia ilia úh hq;=o@

• f*daf,aÜ wjYH;djh 25] isg 50] olajd w.hlska jeä fõ¡ fuu by, hk f*da,sla wï, wjYH;djh imqrd .ekSu i|yd t<j¿” fld< meye;s m<d j¾.” ksjqâv iys; OdkH$ì;a;r iy udxY fnda. wdydrhg .ekSu fukau .¾NKS Ndjhg m;aùug fmr udi lSmh ;=< w;sf¾l f*da,sla wï, ud;%djla ;reK ldka;djka úiska ,nd.ekSu w;HdjYH fõ¡

mQ¾K .¾NKS iuh ;=<oS —wêfmdaIK ;;a;ajfha miqjk ldka;djka yg .¾NKS iufhaoS wêl reêr mSvkh” .¾N oshjeähdj” wê j¾Okhla iys; <orejka ìys lsÍu ore m%iQ;sfhaoS we;sjk ixl+,;djhkag uqyqKoSu jeks ;;a;ajhkag ,laùfï jeä m%jK;djhla we;¡

.¾NKS iufhaoS by< hk fmdaIK wjYH;djhka ksis mßos ,`.dlr .ekSu i|yd ldka;djka .¾NKSNdjhg m;aùug fmr isgu ish¿u fmdaIK ix>gl we;=,;a jk mßos úúO wdydr j¾. ^ OdkH$ m<;=re$ uia$ ud¿$ ì;a;r$ lsß yd lsß wdY%s; ksYamdok$ weg iy f;,a iys; îc ksis m%udK j,ska we;=,;a lr ms<sfh, lr.;a iun, wdydr fõ,la ,nd.ekSu ;=<ska Wig iß,k ksis nrla iys; ksfrda.S fmdaIK uÜgula r|jd .ekSu jeo.;a fõ¡ ud;DNdjhg m;aùug fmr ldka;djf.a ksis fmdaIKh id¾:l ksfrda.S .¾NKS iuhla i|yd;a ksfrda.S l<, j¾Okhla iy ore Wm;la i|yd;a uõlsßj, fmdaIKh yd .=Kd;aul Ndjh m%iia: uÜgul mj;ajd .ekSu i|yd;a uy`.= msgqjy,la fõ¡

,nk l,dmfhka jir 1-6 orejkaf.a l%shdldrlï

ffjoHjrhd - udisl ffjoH iÕrdj

Baurs_SustagenSchoolAllproductA4verticle.pdf

2015 wfma%,a l<dmh

6/6/14

11:55 AM

HEART CARE

yoj;a ie;alfï tk iafgkaÜ

Stent yoj;a ie;alfï tk iafgkaÜ yDo frda. úfYaI{ ffjoH .dñKs .,mam;a;s Y%S ,xld cd;sl frday, - yDofrda. wxYh

ksia isref¾ wêl l%shdldß;ajhlska hq;= bkaøshhla f,i zzyDoh jia;=jZZ ye|skajqjfyd;a th w;sfYdala;shla fkdfõ' ta ksidu yoj; /l.ekSug wms ish¿ fokdu fjfiiskau fjfyish hq;=uh' wo jk úg yoj;a frda.Ska úYd, jYfhka frday,a lrd" ffjoH idhk lrd meñfKkq olakg ,efí' wo ojfia wêl ;r`.ldÍ cSjk rgdj;a" ±ä mSvkh;a" ñksidf.au jerÈ p¾hd rgdj;a ksid fuf,i yoj;a frda.Ska jeäù we;s njg ks.ukh l< yel'

yDohdndO yd ta i|yd we;s úúO Y,Hl¾u wdY%s; m%;sldr yd T!IO m%;sldr ms<sn|j idlÉPd lsÍfï§ ksrka;rfhka wikakg ,efnk 48

jpkhls zziafgkaÜZZ (Stent) hkak' fudllao fï Stent lshkafka@ Stent tlla oukafka l=uk yDo frda. ;;a;ajhlgo@ fldfyduo ta foa lrkafka' fï wd§ oyil=;a tlla m%Yak ta jok yd iïnkaOj Tngo we;sjdg iel ke;' ta ksidu fï yd iïnkaO Tfí ±kqu mjig ms<sirK jkq wáfhka fld<U Y%S ,xld cd;sl frdayf,a yDo frda. wxYfha úfYaI{ ffjoH .dñKs .,mam;a;s uy;d iu. ixjdohlg t<öug wm woyia lf<uq' ffjoHjrhd - udisl ffjoH iÕrdj

fudllao fï Stent lshkafka @ Stent tlla fhdokafka l=uk yDofrda. ;;a;ajhlgo@ Stent tlla lshkafka ishqï f,day lïì ±,lska ;ekq is,skavrdldr o`.rhla' yojf;ys ukd l%shdldß;ajh i|yd fjk;a bkaøshkg fuka yoj;g m%udKj;a reêr iemhqula w;HjYH fõ' thg reêrh imhkq ,nkafka lsÍgl Ouks (Coronary Arteries) u.sks' fuf,i yDoh jia;=fõ fmaYsj,g reêrh imhk lsÍgl Ouks úúO fya;= u; wjysr úh yelshs' tjeks wjia:djkayS § lsÍgl Ouks wjysrjq ;eka m%idrKh lr reêr kd,h ;=< reêr .ukh myiq lrùu i|yd fuu Stent tlla Ndú;d lrkq ,efí' tkï reêr kd,fha ndOlh bj;a ù ksis mßÈ reêrh .uka l< yelsjk mßÈ kyrh ;=< Stent r|jkq ,efí' fuh isÿ lrkq ,nkafka úfYaIs; Y,Hl¾uhla u.sks' we;eï mqoa.,hkaf.a 2015 wfma%,a l<dmh

lsÍgl Ouks úúO fya;=ka u; wjysrùï isÿúh yel' lsÍgl Ouks u.ska yDofha fmaYsj,g reêrh iemfhk w;r yDofha fmaYs ixfldapkh jk úg reêrh YÍrh mqrd .uka lrkq ,efí' kuq;a lsÍgl Ouks wjysr jq mqoa.,hkaf.a yDofha fmaYskag ,efnk reêr m%udKh wvqfõ' m%udKj;a fkdfõ' úfYaIfhka fjfyi uykais ù lghq;= lrk úg§ mmqfõ ueo ±ä fõokdjla we;s fõ' thg wekachskd (Angina) ;;a;ajh hehs lshkq ,efí' fï ;;a;ajh u. yerùug lsÍgl Ouksfha wjysr;d bj;a lsÍug Stent fh§u lrkq ,efí'

Y,Hl¾ufha§ le;Sgrh m%fõY lsÍu" ne¿kh msïîu yd iafgkaÜ WmlrKh úia;drkh lsÍu ±lafjk rEml ksrEmkhls

úfYaIfhkau uykais ù jevlrk úg§" uykais jk úg§ mmqj ueo lelal=ula ±fkkjd hehs mjik frda. b;sydihla iys; frda.Ska yDo frda. idhkhg meñKs úg§" wod, yDo frda. úfYaI{ ffjoHjrhd úiska ECG, Echo, Scan wd§ mÍlaIKhlao ks¾foaY lrkq ,efí' fuf,i lsÍgl Ouks wjysrùug n,mdk fya;= fudkjdo@ lsÍgl Ouks wjysr ùug m%Odk jYfhka n,mdkafka lsÍgl Ouks ;=< fïo ;ekam;a ùuhs' ta ;;a;ajh we;sùug n,mdkq m%Odk lreKq w;r" Èhjeähdj" ÿïmdkh" wêl reêr mSvkh" 49

HEART CARE

wêl f;,a iys; wdydr j¾. jeämqr $ks;r ks;r .ekSu fukau cdkuh n,mEïo ^wdfrg hdu& tfiaau YÍrhg jHdhdu wvqùuo n,mdkq ,efí'

lsÍgl Oukshl ia:dk.; l< iafgkaghla

miq.sh jir 7 l muK ld,h ;+< flreK kj fidhd.ekSu u.ska Stent o`.rh ;=< wjysr ùu (In-stent stenosis) wju lsÍug ksmojq stent j¾.hls' fuys§ idudkH stent o`.rhgu úfYaI T!IOhla wdf,am lr ksmojd we;'

lsÍgl Ouks wjysrù we;a±hs fidhd .kafka fldfyduo @ úfYaIfhkau uykais ù jevlrk úg§" uykais jk úg§ mmqj ueo lelal=ula ±fkkjd hehs mjik frda. b;sydihla iys; frda.Ska yDo frda. idhkhg meñKs úg§" wod, yDo frda. úfYaI{ ffjoHjrhd úiska ECG, Echo, Scan wd§ mÍlaIKhlao ks¾foaY lrkq ,efí' jHdhdu lrk w;r;=r§ ECG máhla .kq ,efí' fuys§ wod, mqoa.,hdf.a lsÍgl Ouks wjysr ù ;sfí kï jHdhdu ECG máfha fjkialï ffjoHjrhdg ±l .; yelsfõ' tjeks frda.Ska Angiogram mÍlaIKhg bka wk;=rej ,lalrkq ,efí' 50

yoj;a ie;alfï tk iafgkaÜ

Angiogram mÍlaIKh lshkafka@ fuys§ frda.shdf.a wf;a fyda ll=f,a m%Odk Oukshla wi, ysßjeÜgùula lr Ouksh ;=<u isyska ma,diaála kd,hla ^le;Sgrhla we;=,a lr tu le;Sgrh kyrh Tiafia yDoh foig .uka lrjd úfYaIs; jq j¾Kl kslafIamKh lr lsÍgl Ouksj, X lsrK cdhdrEm .kq ,efí' tysoS kyrh ;=< j¾Kl .uk wjysrjk ia:dk y`ÿkd.ekSug yelshdj ,efí' tu wjysrhka" we;eï úg uq¿ kyrh ^Ouksh& mqrdu fyda lsÍgl Oukss ish,af,au ;sfí kï frda.shdg nhsmdia ie;alulg ks¾foaY lrkq ,efí' kuq;a fuu wjysr;d flá ia:dkhlg ia:dk.; ù ;sfí kï" tajd ishqï ne¨khla kyrh ;=< msïîu u.ska ;,d oud tu kyrh kej; yels,Su je,laùug tu ia:dkfha uq,ska lS stent tlla ia:dk.; lrkq ,efí' fuf,i stent tlla fhdod kyrh ;=< reêr .ukh fyd|ska isÿjk úg uq,ska ;snq frda. ,laIK myj f.dia yDofha l%shdldß;ajh h:d ;;a;ajhg m;aùu isÿfõ' ffjoHjrhd - udisl ffjoH iÕrdj

Stent j, m%fNao ;sfío@ ta fudkjdo@ Tõ uq,slj m%Odk j¾. follg fnÈh yel' tkï" 1' idudkH f,day lïìj,ska ieÿ Stent o`.r fuu Stent fh§fuka ie<lsh hq;= m%;sY;hla ^30]& l muK frda.Skag udi lsysmhla .;jk úg kej;;a hï m%udKhlg lsÍgl Ouksh wjysrùug mq¿jks' tjeks úgl§ frda.shdg uq,a frda. ,laIK kej; u;=úh yel' Stent o`.rfha úIalïNh ^uy;& jeä jk úg yd o`.rfha È. m%udKh wvq jk úg" ^flájk úg& tjeks stent fhÿ wjia:djkayS§ reêr kd, kej; wjysr ùfï wjodku wvq fõ' kuq;a isyska" È. stent fhÿ úgl§ by; lS mßÈ kej; wjysr ùfï wjodku jeä fõ' ^fuu stent j¾.h ±kg jir 25 l muK ld,hl isg Ndú;d fõ& fufia idudkH f,day lïì stent o`.r wjysr ù we;a±hs mÍlaId lrk w;r" tfia wjysr ù we;akï uq,a wjia:dfõ§ fuka isyska ne¨khla u.ska 2015 wfma%,a l<dmh

wjysrh ;,d ±ñh yel' we;eï wjia:dj, T!IO .e,a jq úfYaIs; stent o`.rhla ^2 j¾.h& uq,a stent o`.rh ;=< kej; ia:dk.; flf¾' 2' T!IO .e,ajq úfYaIs; o`.r miq.sh jir 7 l muK ld,h ;+< flreK kj fidhd.ekSu u.ska Stent o`.rh ;=< wjysr ùu (In-stent stenosis) wju lsÍug ksmojq stent j¾.hls' fuys§ idudkH stent o`.rhgu úfYaI T!IOhla wdf,am lr ksmojd we;' T!IOh u.ska kej; stent ;=< wjysr ùug fya;=jk ffi, jeãu k;r lrkq ,efí' fuu.ska jir lsysmhla .; jqj;a kej; wjysr ùu isÿjkafka 1] lg;a jvd wvq m%udKhlsks' fuu T!IO .e,ajq úfYaIs; stent ksid we;sjk úfYaI w;=re wdndOhla f,i stent ;=< reêrh leá.eiSula b;d l,d;=rlska ±l.; yelsùu y`ÿkdf.k we;' fï ksidu fuu frda.Skag È.=ld,Skj reêrh leá.eiSu je<elaùug T!IO ,ndfokq ,efí' tajd ksis mßÈ ffjoH Wmfoia wkqj .ekSu b;du jeo.;a lreKls' Stent i|yd hk úhou fldmuKo@ idudkH o`.r iys; stent tlla idudkHfhka re 90"000$} muK jk w;r" T!IO .e,ajq úfYaIs; stent tlla re' ,laI 2la-3la w;r ñ,lg .; yel' fld<U Y%S ,xld cd;sl frdayf,a yDofrda. tallfhkao frda.Ska i|yd fï stent wekjqï lr ,nd.kS' tla mqoa.,fhl=g Stent lShla ±ñh yelso@ tys iSudjla ke;' wjysr;d ;sfnk ia:dk m%udK wkqj kyr 3 gu ^flá È.lg iSudjq& wjysr;d lsysmhla ;snqK;a ta iEu wjysr;djhlgu stent tlla ±ñh yel' fuysÈ ksis mÍlaIK isÿlrjd .ekSu" ffjoH Wmfoia ksis mßÈ ms<sme§u" fokq ,nk T!IO ksismßÈ .ekSu yd ffjoH Wmfoia wkqj fkdlvjd idhk i|yd meñKSu jeo.;a lreKq f,i ±laúh yel' ixjdo igyk kd,l Èidkdhl 51

Tiq ;;=

.Dyia: T!IO úI ùï j,lajd .ksuq keKj;aj T!IO Ndú;hg bgd .ksuq ó.uqj osia;%sla uy frdayf,a T!IOfõoS ;sirx.s w;=fldar< m ish¿ fokdu frda.hla je,ÿKq úg ffjoHjrfhl= yuq ùug hkafkuq¡ túg ffjoHjrhd frda.h mÍlaId lr n,d T!IO ks¾foaY lrhs¡ tu T!IO frda.shd ,nd .kafka frda.h iqj ù ksfrda.S cSú;hla .; lsÍughs¡ fufia frda. iqj lsÍug ,nd.kakd T!IO úI ùu ksid jvd;a oreKq ixl+,;dj,g ke;skï urKhg f.dÿre ùug frda.shdg isÿ jqfKd;a — lnf,ka ,smg jeàula˜ úh yelsh¡

tfia kï úI ùï j,ska f;drj nqoaêu;aj T!IO Ndú;d lrkafka flfiao@ T!IO Ndú;d lsÍu ms<sn|j iudcfha ck;dj ksjerosj oekqj;a úh hq;= wdldrhhs fï¡ fuu lreKq ms<sn|j wjOdkh fhduq lsÍfuka wkjYH T!IO úI ùï wju lr.; yelsh¡

.Dyia: T!IO úI ùï j,lajd .ksuq

• iEu T!IOhlau y÷kajd oSug —T!Iëh kduh˜ Ndú;d lrkak¡ tlu T!Iëh kduh iys; T!IO fj<| kdu rdYshlska fj<|fmdf<aoS yuq fõ¡ fufia fj<| kdu iys; T!IO úúO wiqrK j¾K yev wdosfhka fjkia f,i fj<|fmdf<a olakg ,efí¡ tneúka tajd fjkia T!IO f,i ;SrKh lsÍu jeroshs¡ tneúka ieuúgu fj<| kdu lSmhlska tlu T!IOh tljr Ndú;d lsÍu T!IO úIùu i|yd m%Odk fya;=jls¡ tneúka —T!IO kdu˜ ms<sn|j ielhla we;s kï Ndú;hg fmr ffjoHjrhd fyda T!IOfõoshd fj; fhduq ù ielh ksjeros lr.kak¡ • T!IO ñ,oS .ekSfïoS j¾Kh" yevh" ysia wiqrK wdosh bosßm;a lr T!IO y÷kajdoSug W;aidy fkdlrkak¡ ieuúgu ffjoH ks¾foaYh iys; m%f,aLk m;%h T!IOfõoshdg bosßm;a lr Bg wod, T!IOh ,nd .kak¡

ffjoHjrhd - udisl ffjoH iÕrdj

• ffjoHjrhd ks¾foaY lrk T!IO ,nd.; hq;= ksjeros ld, iSudj ms<sn|j ksjerosj oekqj;a jkak¡ ks¾foaYs; ld, iSudjg fmr T!IO k;r lsÍu fyda Bg jeä ld, iSudjla T!IO Ndú;d lsÍu jeros l%shdjls¡ frda. ,laIK wvq fkdjkafka kï kej; ffjoHjrhd uqK .efikak¡ tfia fkdue;sj tlu T!IO jÜfgdarej kej; kej; Ndú;h T!IO úI ùug fya;=jls¡ • tla frda.sfhl= i|yd ks¾foaY l< T!IO tu frda. ,laIK oelajqjo fjk;a frda.Ska i|yd Ndú;h iqÿiq fkdfõ¡ jeäysáhka ,nd. kakd T!IO wvq ud;%d fyda ffjoH ks¾foaY rys;j orejka i|yd ,ndoSu iqÿiq fkdfõ¡ • ksji ;=< l=vd orejkag" udkisl frda.Skag yiqjk f,i T!IO .nvd fkdlrkak¡ T!IO .nvd lsÍug wdrlaIs; ia:dkhla fjkalr ;nd .kak¡ tu ia:dkfha we;s T!IO meyeos,sj f,an,a lr y÷kd.; yels wdldrfhka ;nkak¡ 2015 wfma%,a l<dmh

ieuúgu ffjoH ks¾foaYh iys; m%f,aLk m;%h T!IOfõoshdg bosßm;a lr Bg wod, T!IOh ,nd .kak¡ • l=vd orejka udkisl frda.Ska uy`M mqoa.,hka i|yd T!IO ,ndoSfïoS ta i|yd oekqj;a mqoa.,fhl=f.a iyh ieu úgu ,nd .kak¡ Tjqkag T!IO ;ksj mßyrKh lsÍug wjia:dj ,nd fkdfokak¡ wod, T!IO ud;%dj muKla Tjqka w;g wod, fõ,djg ,nd fokak¡ • T!IO - iSksfnda, fgd*S f,i orejkag y÷kajd fkdfokak¡ orejka i|yd úfYaIfhka ieliQ ri .kajk ,o T!IO fm;s isrma j¾. Ndú;h ieuúgu jeäysá wëlaIKh hgf;a isÿ lrkak¡ • Ndú;fhka miq l,a bl=;a jQ fyda b;sß jQ T!IO l%uj;aj bj;a l< hq;= h¡ lsis úfgl ;ek ;ek úis lsÍu isÿ fkdl< hq;=h¡ tajd kej; l=vd orejka fyda i;=ka wdydrhg .ekSfuka úIùï isÿúh yelsh¡ • Tn hï T!IOhla i|yd wdid;añl;djhla olajhs kï T!IO ks¾foaY lsÍug m%:u ta nj ffjoHjrhdg okajkak¡ T!IO ,nd.ekSug m%:u wdid;añl j¾f.fha T!IO - T!IO jÜfgdarefõ wvx.= fkdjk nj T!IOfõoshdf.ka úuid ;yjqre lr.kak¡ wdid;añl;d olajk T!IO Ndú;d lsÍfuka úúO ixl+,;d we;súh yels w;r urKh mjd isÿ úh yelsh¡ • l=vd orejka i|yd oshr T!IO uekSfïoS l%udxls; ñkqï WmlrK ieuúgu Ndú;d lrkak¡ T!IO ,ndoSu i|yd f;a yeos fïi yeos wdoS mßudj ksis mßos fkdokakd .Dyia: WmlrK ys;=uf;a Ndú;d fkdlrkak¡ fufia wdrlaIdldÍ yd l%uj;a f,i T!IO Ndú;d lsÍfuka .Dyia: T!IO úI ùï wju lr.; yelsh¡ 53

SNIPPET

iqÿ¿Kq fm%I¾ tlg fyd|hs

iqÿ¿Kq fmdä lrkjd fkdfjhs'

iqÿ¿Kq fm%I¾ tlg fyd|hs iqÿ¿Kq lEfuka reêrh mSvkh wvq lrkakg mq¿jks' fï u;h ksidu iqÿ¿Kq iq,n j ke;s hqfrdamSh rgj, iqÿ¿Kq j,ska ;ekq zzT!IO fm;sZZ iq,nj Ndú;d fjkjd' ol=Kq ´iafÜ%,shdfõ weäf,aâ iriúh ffjoH leßka Íâ m%uqL m¾fhaIlhka lKavdhula iqÿ¿Kq fm;s Ndú;d lsÍu iïnkaOfhka iy;slhla fokjd' "Supplimentation with garlic preparations may provide and acceptable alternative or complementory treatment option for hypertension" Tyq ;u m%;sM, i|yd m¾fhaIK 11 l .%ka:j, úYaf,aIKh l<d' iqÿ¿Kq wkqNjfhka reêr mSvkfha by< w.h tkï ikHia: reêr mSvkh (systolic BP) riÈh ñ,sóg¾ 8'4 lska muK wvq l< yelsshs' th úkHdia: reêr mSvkh (Diastolic BP) 7'3 lska wvq lrkjd' th fm%I¾ tlg fnfy;a .kakjdg iudkhs' Beta blocker ldKavfha T!IOhla .;af;d;a ikHia: mSvkh 6lska wvql< yelshs' iqÿ¿Kq;a wvq jeä jYfhka ta ld¾hfhau ksr; fjkjd' ffjoH Íâ ;jÿrg;a m%ldY l<d' Íâf.a wjOdkh fhduq jqfha iqÿ¿Kq ksiaidrKh lr yod.;a fm;s wfma rgj, iqÿ¿Kq Èkm;d wdydr wkqmd;hla' fï ksid wm iqÿ¿Kq isrerg tla lr.kakd l%uh Bg;a jvd m%;sM,odhs úh yelshs' Source BMC cardiovascular Disorder published online June 16,2008 54

ffjoHjrhd - udisl ffjoH iÕrdj

SNIPPET

wef.a l;dj fy<slrk ri ryi

,sxf.akaøSh bÈóu" ird.S .kaOhla isrefrka jykh ùu wdoS jYfhka' Heat Èkj,oS we;sjk fï fjkialï udkj ix;;sh ;=< olakg fkd,efnkq njghs fuf;la mej;S úYajdih jqfha'

wef.a l;dj fy<slrk ri ryi wef.a l;dj Tfí is;a .;a;d' ta;a" Èfkl wef.a l;dfõ ÿgq ta iqkaor;ajh B<Õ yuqfõ§ fk;= fkd.egqfKa wehs@ ksõfhda¾la iriúfha Nathan Pipitone yd Gordon Gallup hk m¾fhaIlhka fom< ldka;djkaf.a lgy~ wef.a Tima pl%hg wkqj fjkia jk nj ;u úoHd;aul wOHhk Tiafia ikd: lr ;sfnkjd muKla fkdfjhs - fï m¾fhaIK l%shdj,sh weiqre lrf.k zwef.a ,sx.sl N=ñldfõ mßKdóh fjkialïZ ms<sn|j újdod;aul ixjdohlg uq, mqrd ;sfnkjd Narthan - Gordon m¾fhaIK j,g wkqj udifha ,sx.slj jvd;a ire Èkj,§ wef.a lgy~ jvd;a ;shqKqhs' tys iajr ;dr;dj b;d .eUqrehs' ta;a" ,sx.sl fydafudakj, fjkialï isÿjk wdldrhg wkqrEmj fï lgy`v;a fjkialï j,g ,la fjkjd' ta;a" fulS u;jdoh tf;la mej;S úoHd;aul m%ldYKhla nrm;, f,i m%Yak lsÍulg ,la lrkjd' fiiq laIsrmdhska ,sx.slj zire njgZ m;aùfï§ we;eï ,laIK isrefrka m%lg lrkjd'

2015 wfma%,a l<dmh

ia;%S isrefrka ,sx.sl ix{djla ksl=;aùu wehg úYd, ysrsyerhla' túg úreoaO ,sx.slhka weh jgd .ejfikjd' fiiq i;a;ajhka w;f¾ ,sx.sl ix{d ksl=;aùï iq,nj olakg ,enqK;a ñksia mrmqf¾ ia;%ska flfrka fujka ix{d ksl=;a ùï fiiq ix;;Skag idfmalaIj olakg fkd,efnkafka fï wkjYH ,sx.sl wjOdkfhka we;sjk ysßyefrka weh uqojd .ekSughs' ta;a" fï ixl,amhg kj m¾fhaIKh fy<sorõ l< f;dr;=re ;rul wNsfhda.hla' flfia fj;;a i;a;aj f,dalfha jvd;au m%n, ,ssx.sl i;a;ajhdf.a fï ishqï ,sx.sl ix{d ye|sk .ekSfuka we;súh yels jdis fukau wjdiso wmuKhs' Newscientist 1, May 2008 p14 55

FOOD

isrerg .=K fok ì;a;r

isrerg .=K fok

hq;af;a m<uq wjqreoaog wdikak jk úgh¡

ì;a;r wdhq¾fõo ffjoH úoHdfõ wdydr j¾.SlrKh wdydr ldKav 12 la hgf;a j¾. lr we;' tys oS iuyr .%ka:j, ì;a;r j¾.h f,ig ldKavhla olajd we;' úúO mlaISkaf.a ì;a;r wdydr f,ig .; yels nj olajd we;s w;r bka lsls<s ì;a;r jvd;a iqÿiq fmdaIK .=Kfhka by< u ì;a;r j¾.h f,ig yªkajd oS we;' ì;a;r j, wvx.= foa ms<sno fufia olajd we;' mlaISkaf.a ì;a;r j¾. Y=l% Od;=j j¾Okh lrhs' uola f;,a iys;hs' ;rula nr wdydrhls' ñysrs rihlska hq;=hs' YrSr Od;=j fmdaIKh lrhs' úfYaIfhka u lsls<s ì;a;r j, fï .=Khka b;d by< nj olajd we;' l=vd orejdf.a isg uy,a,d olajd ,nd osh yels fmdaIHodhs wdydrhls ì;a;r' wvq úhoulska by< fmdaIKhla ,nd .; yels wdydrhls' tkï b;d by< YrSr wdrlaIl mod¾: fyj;a fm%daàka nyq, wdydrhls' ì;a;r j, .=Kd;aul núka by< ;;ajfhka hq;= fm%dàka j¾. /ila wvx.= fõ' tfy;a iuyr wfhl=g ì;a;r wid;añl;d we;s lrhs' ì;a;r wdydrhg .;a miq leiSï" m¿ u;= ùï" jukh" wcS¾Kh" iy w;Sidrh iy yqiau .ekSfï wmyiq;d jeks wjia:d my< fõ' tjeks wid;añl;d olajk wh ì;a;r .ekSfuka je<lS isáh hq;= w;r fjk;a l< yels fohla ke;' <ud ld,fha ui 6-9 w;r;=r orefjl=g fjk;a wdydr mqreÿ lrk úg i;shlg w,q;a wdydr 02 la ne.ska mqreÿ lrñka wid;añl;d we;s wdydr ms<sn| yªkd .; hq;=hs' m<uqj n;a o miqj t<j¿ yd m<;=re o Bg miqj uia" ud¿" ì;a;r ly uoh yqre l< hq;=h¡ yq.dla orejkag iqÿ uoh wid;añl fõ¡ tneúka ì;a;r iqÿ uoh orejdg yªkajd osh

jgq ì;a;r wdydrhg .ekSu iqÿiqo wo fj<o fmdf<a jgq ì;a;r m%p,s;h¡ jgq ì;a;r l=vdh¡ jgq ì;a;r j, fldf,iagfrda,a b;d wvq neúka reêr.; fldf,iagfrda,a by< frda.Skag jgq ì;a;r lEu iqÿiq nj iudcfha m%p,s;h¡ frda.shl= wdydrhg .kafka tla jgq ì;a;rhla muKs kï tu u;h i;Hhls¡ jgq ì;a;r b;d l=vd ksid tla mqoa.,fhl= jrlg jgq ì;a;r 05 la muK wdydrhg .kS kï th lsls<s ì;a;rhla lEjd yd iudk fmdaIKhla ,nd foa¡ tneúka f,dl= uqo,la jehlr jgq ì;a;r tlla folla muK jrlg .kafka kï Tn n,dfmdfrd;a;= jk M,h ,nd .ekSug mq¿jk¡ tfia ke;fyd;a th kslrefKa uqo,a jeh lsrSuls¡

ffjoHjrhd - udisl ffjoH iÕrdj

my; j.=j foi ne,Sfïos tla lsls<s ì;a;rhlska ,efnk fmdaIKh .ekSug wdikak jYfhka jgq ì;a;r 05 la muK wdydrhg .; hq;=h' fldf,iagfrda,a wdydrhg .ekSu iSud lsrSu wjYH wfhl=g jgq ì;a;r 1-2 l lEu m%udKj;a fõ' ì;a;r j, wvx.= fmdaIH mod¾: wvx.= øjHh Yla;s mø¾:h- le,rs fm%daàka fïoh ika;Dma; fïo wï, fldf,iagfrda,a flda,ska hlv ue.akSishï fldm¾ whäka iskala fidaähï fmdiamria fmdgEishï

lsls<s ì;a;r 78 .%Eï 6'25-iqÿ uofha .%Eï 3'5 ly uofha .%Eï 2'7 .%Eï 5'01-iqÿ uofha .%Eï 0 ly uofha .%Eï 5'1 .%Eï 4'33-iqÿ uofha .%Eï 0 ly uofha .%Eï 4'33 ñ,s .%Eï 213-224 uhsfl%d.%Eï 215 ñ,s.%Eï 6'72 iqÿ uoh ñ,s.%Eï 0'01 ly uoh ñ,s.%Eï 6'59 ñ,s.%Eï 5 iqÿ uoh ñ,s.%Eï 4 ly uoh ñ,s.%Eï 1 ñ,s .%Eï 0'007 ñ,s .%Eï 0'024 ñ,s .%Eï 0'55 ñ,s.%Eï 63 iqÿ uoh ñ,s.%Eï 55 ly uoh ñ,s.%Eï 07 -

jgq ì;a;r 15 .%Eï 1 .%Eï 0'998 .%Eï 0'32 ñ,s .%Eï 75 uhsfld%.%Eï 5'6 ñ,s .%Eï 0'329 ñ,s .%Eï 1'2 ñ,s .%Eï 0 ñ,s .%Eï 0'1 ñ,s .%Eï 2'9 ñ,s .%Eï 20'3 ñ,s .%Eï 11'9

reêr.; fldf,iagfrda,a md,kh lrhs' lsls<s ì;a;r reêr.; fldf,iagfrda,a wêl mqoa.,fhl=g iqÿiq hehs úuid ne,Su jeo.;a' ksfrda.s mqoa.,fhl=g osklg wjYH fldf,iagfrda,a m%udKh ñ,s .%Eï 300 la muK fõ' lsls<s ì;a;rhl fldf,iagfrda,a ñ,s .%Eï 224 la muK wvx.= fõ' ì;a;rh;a iu. wfkl=la fldf,iagfrda,a wvx.= wdydr m%udKhla wdydrhg .kafka 2015 wfma%,a l<dmh

FOOD

isrerg .=K fok ì;a;r

ffokslj ,efnk fldf,iagfrda,a m%udKh blaujd hhs¡ túg mqoa.,hd osklg wjYH m%udKh blaujd fldf,iagfrda,a wdydrhg .ekSula isÿ fú' ksfrda.s fi!LHu;a cSú;hla i|yd f,aj, fldf,iagfrda,a uÜgu md,kh lr .ekSu jeo.;a fõ' tfia fldf,iagfrda,a uÜgu md,kh lr .ekSfuka reêrkd< ;=< ^Ouks& fldf,iagfrda,a ;eïm;a ùug bvlv iEfok ia:dk ^paque & iEoSu j<lajd yDohdndO j<lajhs' ksfrda.s mqoa.,fhl=f.a reêr.;j ;sìh hq;= fldf,iagfrda,a m%udKh Tyq lk wdydr u; rod mj;S' oekg mj;sk u; wkqj wdydruh fldf,iagfrda,a u.ska reêrfha fldf,iagfrda,a jeä lrk m%udKh ms<sno m%Yakhla we;' fndfyda úoHd{hska úYajdi lrkafka ika;Dma; iy g%dkaia fïo wï, ^Trans Fatty acids & j,ska f,aj, fldf,iagfrda,a jeä ùug jeä n,mEula we;s njhs' lrk ,o fndafyd m¾fhaIK j,g wkqj fmkS hkafka ì;a;r u.ska reêr .; fldfiagfrda,a m%udKh lemS fmfkk wkaoñka jeä fkdjk njhs¡ ì;a;r hkq fldf,iagfrda,a wêl wdydrhls¡ m¾fhaIlhka fidhd f.k we;af;a reêr.; fldf,iagfrda,a j,ska 1$3 la wdydruh m%Njhkaf.ka ,efnk w;r b;srs 2$3 YrSrh ;=<s oS ika;Dma; fïo j,ska ksmojk njhs¡ tu ksid ika;Dma; fïoh isref¾ fldf,iagfrda,a jeä ùug úYd, idOlhla fõ¡ tla idudkH m%udKfha ì;a;rhlska ksfrda.s wfhl=g oskh ,eìh hq;= fldf,iagfrda,a m%udKh ,nd .; yel¡ ì;a;r lEug leu;s whg fldf,iagfrda,a wvqfjka .ekSug wjYH kï iqÿ uoh muKla wdydrhg .kak' ì;a;r iqÿ uofha b;d jákd fm%daàka /ila wka;¾.; fõ¡ tneúka ì;a;r iqÿ uoh oskm;d wydrhg .ekSu ksfrda.s mqoa.,fhl=g .=Kodhl fõ' reêr.; fldf,iagfrda,a by< mqoa.,fhl= wfkl=;a fldf,iagfrda,a jeä lrk wdydrj,ska j<lskjd kï osklg osklg ì;a;rhla lEu m%Yakhla fkdjk njg úoHd{hska fmkajd fohs' tfukau ì;a;rfha ly uofha wêl fldf,iagfrda,a m%udKhla wvx.= nj;a by; ioyka mrsos ì;a;rhl wvx.= m%;sTlaisldrl m%udKh b;d by< ixLHdjla mj;sk neúka tajd YrSrh ;=< yDohdndO je<elaùug l%shdldrS fõ' by; ldrKd foi ne,Sfïos ì;a;r wdydrhg .ekSu reêr.; 58

fldf,iagfrda,a m%udKh by< kxjk m%Odk idOlhla fkdjk njg ie<lsh yelsh' lEug .ekSu ioyd ì;a;r ilid .kafka flfiao ´kEu wdydrhla fmdaIK .=Kfhka b;d by< w.hl ;snqK;a tu fmdaIK .=Kh /flk mrsos wdydr ioyd ms<sfh, fkdl<fyd;a th m%;sM,odhl fkdjkq we;¡ ì;a;rhla wdydrhg .ekSug jvd;a iqÿiqu l%uh jkafka fydoska ;ïnd wdydrhg .ekSuhs' tfy;a ì;a;rhla wêlj ;eïîug Ndckh jqjfyd;a tys wvx.= hlv YrSrhg wjfYdaIKh lsrSug fkdyels ;;a;ajhlg m;a fõ¡ thg fya;=j kï f*ria ;;a;ajfhka wjfYdaIKh l< hq;= hlv Yrsrhg wjfYdaIKh l< fkdyels f*rsla ;;a;ajhg m;a fõ¡ tys oS Wjukdjg jvd ;eïnqKq ì;a;rhl l¿ ;s;a f,ig oel.; yelafla tu isrerg wjfYdaIKh l< fkdyels wjia:djhs' ì;a;rj, wvx.= fmdaIl mod¾: j,g úreoaOj l%shd lrk

ffjoHjrhd - udisl ffjoH iÕrdj

m%;sfmdaIl mod¾: wka;¾.; fõ' fïjd ì;a;r iqÿ uofha wvx.= fõ¡ ly uofha nfhdáka kï jákd fmdaIl mod¾:h wka;¾ .;fõ' iqoq uofha Avidine kue;s m%;sfmdaIl mod¾:h wvx.= fõ' ì;a;r Tï,Ü jYfhka fyda ì;a;r iqÿ uoh yd ly uoh ñY% lr wdydrhg .;fyda;a Adiane kue;s m%;sfmdaIl mod¾:h ly uofha wvx.= nfhdáka kue;s weñfkda wï,h wjfYdaIKhg ndOd muqKqjhs' tneúka iqÿ uoh yd ly uoh tlg ñY% lr msi .ekSu kqiqoiqqhs' .ï l=l=¿ ì;a;r yd *dï l=l=¿ ì;a;r w;r fmdaIKuh w;ska úfYaI fjkila fkdue;' ì;a;r rem,djkHhg n,mdkafka fldfyduo ì;a;r j, fif,kshï kue;s Lksc ,jKh úYd, m%udKhla wka;¾.; fõ¡ th jhig hEu;a iuÕ we;sjk jhia.; fmkqu wvq lsrSug WmldrS jk Lksc ,jkhls¡ nfhdáka kue;s mod¾:h ^úgñka D5& ì;a;r ly uofha wka;¾.; 2015 wfma%,a l<dmh

jk w;r th fliaj, j¾Kh iy kshfmd;= j¾Okhg b;d jeo.;a fõ¡ fuu cSj mod¾:h YrSr ffi, j¾Okh ioyd;a" YrSrhg w;HjYH fïo wï, YrSrh ;=< ksmoùug;a" weñfkda wï, mrsjD;a;shg;a b;d jeo.;a fõ¡ tneúka ifï ksfrda.s nj meyem;a nj /l .ekSug o fuh fnfyúka jeo.;a fõ¡ ,shqáka ^Ieutin& iy ishdieka;ska ^Zeaxanthin& ly uofha lymdg ,nd oSug Wmldrs jk fmdaIl mod¾: fõ' fïjd uÕska wefiys mg,j, wys;lr ffi, ^wka;(Lkav uqL& ksid we;súh yels ydks j<lajhs¡ tfukau jhig hEu;a iu. we;sjk weia fmkSfï ¥¾j,;djhka u.yrjd .ekSug ì;a;r j, wvx.= fuu cSj mod¾: b;d jeo.;a fõ¡ isrer yev ùug;a Wmldrsa fõ f,is;Ska kï w;HjYH fïo wï,h ì;a;r j, wvx.= jk w;r th YrSrfha nr wvqlr isref¾ yevh mj;ajd .ekSug Wmldrs fõ' tfukau reêrfha fldf,iagfrda,a uÜgu md,kh lrhs ms;a;dY .,a iEoSu j<lajhs' fud<fha l%shd j¾Okh lrhs' isref¾ wkjYH f,ig fïo ;eïm;a ùu wvqlrhs' m%ckl moaO;Ska j, l%shdj ukdj isÿ lrhs' flda,ska kï fmdaIl mø¾:h ì;a;r ly uofha jeämqr wka;¾.; fõ' YrSr ffi,j, l%shdldrs;ajhg flda,ska b;d wjYH jk w;r fud<fha l%shdldrS;ajh j¾Okh lrhs' flda,Ska ld,sk m%ody ;;a;ajhka wvq lrk w;r .s,ka mqoq.,fhl=g osklg wjYH flda,ska m%udKh ì;a;rhlska ,nd .; yel' tfukau reêr mSvkh md,kh lSrSug;a" reêr leá .eisu j<lajd .ekSug;a jl% wdldrfhka flda,ska kue;s ix>glh WmldrS fõ' fldKavh iqÿq meye .ekaùu je<elaùug;a" ysifliaj, ukd l¿ meyehla we;s lr ysiflia .e,ù hdu j<lajd .ekSug;a ì;a;r iqÿ uofha wvx.= fmdaIK mø¾: b;d .=Kodhl fõ' ì;a;r ly uoh rEm,dpkHhg b;du;a jeo.;a fõ' fuh ómeKs iuÕ ñY% lr uqyqfKA wdf,am lr uDÿj uqyqK ksjeros msrsueoSfuka iug meyem;a njla fukau ukd fmdaIkhla ,nd fohs'

ffjoHjrhd - udisl ffjoH iÕrdj

ADVERTORIAL

fmd,af;,a - úixjdoh

iun, wdydr fõ,lg f;,a j, we;s jeo.;alu kdrdfyakamsg fmd,sia frdayf,a wdydr iy fmdaIKfõoS tka tï tia fyÜáf.or oH úoHd yd fmdaIK úoHd m¾fhaIK j, i|yka jk mßÈ f,dal ffj ck.ykfhka úYd, m%;sY;hla fnda fkdjk frda. ;;a;ajhkg f.dÿre fjñka mj;S' fï wkqj úYd, f,i ðjk rgdj wdY%s;j uOHidr iy ÿïmdkh

fmd,af;,a - úixjdoh

yereKq fldg uq,sl jYfhka yDofrd." jl=.vq wdYs%; frda." wd>d;h" ms<sld frda. jeks udrdka;sl frda. lrd .uka lsrSu kj;ajd,Su ms<sn| l;sldj;la f.dvkeÕS we;' fï i|yd uq,slju n,mdk frda. uq, ;;a;ajhka jkqfha wêl reêrmsvkh" isref¾ fldf,iagfrda,a uÜgu by< hdu" reêrfha iSks uÜgu by< hdu" ;rndrelu yd fmdaIK W!K;d ^wêfmdaIKh iy W!K;d fmdaIKh& fõ' fuu udrdka;sl frda. iy thg .uka lrk ud¾.h weyssrSug kï ksjerÈ iun, wdydr fõ,la Èkm;d ,nd.; hq;= fõ' fuysoS msIaG Od;=j ^ldfndayhsfâ%Ü& OdkH j¾." rks, l=,hg wh;a weg j¾." kejqï t,j¿ iy m<;=re" lsß" fïoh yd c,h Tfí wyrjgg we;=<;a úh hq;=h' isrerg wjYH fmdaIl m%udK isrerg wjYH Yla;sh m%udKh 50

2015 wfma%,a l<dmh

ADVERTORIAL

% - 60 % la muK msIaG Od;=fjkao 15% - 20% la w;r m%udKhla fm%daáka u.ska 25 % - 30 % la w;r m%udKhla fïoh u.ska o jeäysá wfhl=g ,nd .; hq;= fõ' fuu fmdaIK m%udKhka jhia ldKav" ðjkrgdj iy frda.s ;;a;ajhka wkqj fjkia fõ' fndfyda úg wm jeä Yla;s m%udKhla msIaG Od;=fjka ,nd .ekSug keUqre ù isák w;r" fm%daáka w,am jYfhkao" f;,a Ndú;d lsßfïoS ;udf.a fi!LHhg jeä wjOdkhla fhduqlrk msßi w;r iuyrla f;,aj,g we;s nh ksid f;,a wjujo" ta ms<sn|j ie,ls,a,la fhduq fkdlrk wh wdydrj,g bka ,efnk rihg uq,sl;ajh foñka wêlj f;,a iys; wdydrj,g fhduqùulao olakg we;' fl¢ iys; wdydr wkqNjh wvqhs ta w;r;=r fl¢ iys; wdydr iy úgñka yd LKsc ,jK wvx.= 62

fmd,af;,a - úixjdoh

t<j¿ yd m<;=re j¾. wju jYfhka Ndú;hg fhduqù ;sfí' tfyhska fïoh .ek ±kqj;a lsÍu jvd;a fhda. Hfõ hehs is;ñ' mqj;am;aj, iy ,smsf,aLk j, jeämqru lshùug ,efnkafka t<j¿ m<;=re iy OdkH j¾. .ek ksidh' fïoh isrerg w;HjYHhs ñksia isrerg wjYH Yla;sfhka 25% - 30% la ,nd .ekSug;a tu.ska isrerg wjYH fïofha Èhjk úgñka j¾. jk úgñkaA A, D, E, K wdÈh Wrd .ekSu i|yd fïoh w;HjYH jk nj wms oksuq' Y%S ,dxlslhka jk wmg wkdÈu;a ld,hl isg Yla;sh jYfhka f;,a ,nd .ekSug yelsjkafka fmd,a yd fmd,a wdYs%; ksIamdok j,sks' 1920-1930 ld, mßÉfþoj,oS yDofrda. iïnkaOj ffjoH úoHdjg ful, yd ii|k l, ;snqKQ oeKQu w,amh' wfma ck;dj mrïmrdfjkau fmd,af;,a j,g yqre jQ w;r ta iïnkaOfhka Tjqkg lsisÿ l=l=ila jQfha ke;'fï ld,fha yDo frda.o iq,nj ;snqKQ njg b;sydih idlaIs orkafka ke;' yDo frda. iq,nj olakg ,efnkafka ful,h'

fmd,af;,a ;rndrelu wvqlr.ekSug;a" we,aIhsu¾" äfukaIshd jeks frda. we;s fkdùug;a" l%shd;aul jkafkah'

ffjoHjrhd - udisl ffjoH iÕrdj

fuu frda.skaf.a jHdma;sh jeäùu;a iuÕu T!IO iud.ï úiska ñ,shk .Kka uqo,a jehlr m¾fhaIK isÿlr fldf,iafg%da,a wvq lsßfï T!IO j¾. fidhd .ksñka T!Iêh m%;sldrj,g fndfyda ÿrg keTqre fjñka mj;S' ful, yDofrda.S iq,n ùug lreKQ rdYshla n,mdhs' udkisl wd;;sh" jHdhdu fkdue;s ùu" fkdmsg fmr¿Kq wdydr isß; ta w;r jkafkah' Bg fmd,af;¨;a fya;=jlao@ fuysos wm isrerg Yla;sh jYfhka ,nd .kakd 25%-30% la jk f;,a m%udKhgu fodia mejßh yelso@ fmd,a f.äfha úYd, fmdaIKhla fmd,af.ählska ,efnk f;,a m%udKh 20%– 21%la muK fõ' fmd,a f.ähla Èklg Ndú;d lsßfuka mjq,lg ,efnk *hsn¾$fl|s m%udKh iy wfkl=;a fmdaIK mod¾:hka w;suy;ah' fmd,af;,a hkq wdydr msiSfïÈ .DyKshlg w;HjYH øjhhls' fï wkqj n,k l, .DyKshlg u;=jk m%Yak .Kkdjls' ;u mjqf,a wh ksfrda.sj ;nd .ekSug kï fmd,a mdúÉÑh iïnkaOj ±ka ±ka we;sjk u;su;dka;r wkqj uq¿;ekaf.hska th bj;a lrkjdo@ keoao@ hkak bka uq,sl fõ' kuq;a orejl= jeäúhg m;ajk úg f;,aj,ska ,nd .; hq;= Yla;s m%udKh 35%o blaujk nj ks¾foaY j, i|yka fõ'

2015 wfma%,a l<dmh

;j w;lska n,k úg mjq,l isák wjqreÿ 40 blaujd hk jeäysáfhl=g ,nd .; hq;= f;,a m%udKh 25% olajd my< uÜgula fjhs' tfyhska f;,aj,ska ,nd .; hq;= fïoh yd Yla;sh ñksia isrerg w;HjYH fõ' fï lreKq ldrK wkqj woyia jkafka fmd,a yd fmd,af;,a f.org w;HjYH mdrsfNdack NdKavhla njhs' fmd,af;,a ksIamdokh lrk l%uh tys .=Kd;auhg n,mdhs fmd,af;,a j, .=Kd;aul Ndjhg fmd,a .i jefvk mi" mßirho n,mdhs' tfiau f;,a is| .ekSug wjYH fldmamrd .kakd fmd,a o kshñ; f,i meiqKq f.ä úh hq;=hs' ta wkqjo ,nd .kakd fmd,af;,a j, ixhq;sh fjkia fõ' fmd,af;,a ieliSfï l%shdj,sfhaoSo fkdfhl=;a wmøjHhka Bg tlaùu fkdryils'

ADVERTORIAL

fmd,af.ählska ,efnk f;,a m%udKh 20%– 21%la muK fõ' fmd,a f.ähla Èklg Ndú;d lsßfuka mjq,lg ,efnk *hsn¾$fl|s m%udKh iy wfkl=;a fmdaIK mod¾:hka w;suy;ah'

by; lreKQ fmd,af;,a j, .=K;aulNdjhg f,dl= ;¾ckhla we;sùu m¾fhaIK j,ska Tmamq ù yudrh' ta wkqj kshñ; m%ñ;shlska hq;a fmd,af;,a ,nd .ekSu i|yd fldmamrd hï WIaK;ajhlg r;alr ksiaidrKh lr.; hq;=h' fuysoS tu WIaK;ajh180o C jvd wvqkï thska fmd,af;,a ,ndf.k th Bleech fkdlrkafka kï fmd,af;,a j, .=K;aulNdjh 64

fmd,af;,a - úixjdoh

/flk w;r th f;,a j, rifhka (Flavor) iyiqjÈka (Aroma) o ;yqjrefõ' yDo frda. we;s fkdlrk fïo wï, /ila fmd,af;,a j, we;s ixhq;sh foi n,k úg fndfyda m¾fhaIK j, i|yka jkafka th ix;Dma; fïo iys; yDo frda.ldrl we;s lrk fïo j¾.hla f,ih' kuq;a fmd,af;,a j, we;s ridhksl ixhq;sh foi n,k úg tys we;s f,daßla ^Lauric& wï,h" uOHu odu g%hs.a,sirhsv(Medium Chain Triglyceride - MCT)" lemaÍka ^Caprin) yd lemafrdhsâ ^Caproid) wï, fuu yDofrda. ldrl .Khg wh;a fkdjk nj m¾fhaIK j,ska ikd: lr we;' úfYaIfhka yDofrda. we;s lsÍug odhl jkafka reêrfha LDL uÜgu jeä lsßug odhl jk i;aj fïo wï, iy kshñ; wdldrfhka ksis m%ñ;shlska f;dr ;DK j¾. .jhskag ,ndoSfuka ,nd .kakd lsßj, we;s fïofha ixhq;shhs' uy`.= .=Ke;s f,daßla weisâ kshñ; m%ñ;slrKhlg wkqj lsisu ridhksl øjhla fkdfhdod WIaK;ajh 1800C wvqj ,nd .kakd f;,a j, uOHu odu g%hs.a,sirhsv ^ MCT& ixfhda.hla jk f,daßla weisâ ixfhda.h 83% blaujd hk nj m¾fhaIK o;a; úYaf,aIKfhka ;yjqre ù we;' fï wkqj fmd,af;,a j, we;s fuu m%Odk ridhksl ix>glfhka wm m%fhdack .; hq;=h' fmd,af;,a ;rndrelu wvqlr.ekSug;a" we,aIhsu¾" äfukaIshd jeks frda. we;s fkdùug;a" m%;sðjl" m%;sffjria" wdldrfhka l%shd;aul jk whqre ms<snoj bÈß ,smsj,oS idlÉPd lsÍug n,dfmdfrd;a;= fjuq'

ffjoHjrhd - udisl ffjoH iÕrdj

2015 wfma%,a l<dmh

ACCIDANTAL INJURIES

l=vd orejkag ure le|úh yels wdydrmdk msg W.=f¾ hdu

msg W.=f¾ hdu hkq l=ulao@ l=ula fyda wd.ka;=l fohla ksid Yajik ud¾.h wjysr ùu ^choking& f,i fuh ir,j ±laúh yelsh' fï isrùu w¾O jYfhka fyda mQ¾K W.=r lk kdih ms<sn| úfYaI{ ffjoH jYfhka o isÿùug tA'î' lsßok mq¿jk' miq.sh jif¾ nq,;aisxy, m%foaYfha wjqreÿ ´kEu fohla fuf,i folla jhie;s ±ßhl ;%sfmdaI ysrùu ksid isrúh yelsh' ñhf.dia ;sìKs' fï ±ßhg ;%sfmdaI ysr ù kuq;a nyq,ju l=vd ;snqfKa uj ;%sfmdaI ljñka isáh§h' bkamiq orejkaf.a isrjkafka frday,g we;=<;a l<o ±ßh ñh .shdh' rglcq" ishU,d weg" lEula ysrùu wm idudkH jHjydrfha fjr¿" rUqgka iy y÷kajkafka —msg W.=f¾ hdu˜ f,isks' fi,a,ï nvqj, l=vd len,s jeksoEh' fujeks foa fndfyda úgu nyq,ju l=vd orejkaf.a

isrjkafka rglcq" ishU,d weg" fjr¿" rUqgka iy fi,a,ï nvqj, l=vd len,s jeksoEh' isrjkafka w¾O jYfhka fkdj mQ¾K jYfhks' lsß isrù ì,s÷ka ñh hk wjia:d .eko l,d;=rlska fyda wikakg ,efí' orejl= y~ñka isák wjia:djl" fi,a,ï lrñka ys¢k úfgl jeks orejdf.a wjOdkhla ke;s YÍrh fi,fjk 66

ffjoHjrhd - udisl ffjoH iÕrdj

wjia:djl lsß fmùfuka fufia lsß isrúh yelsh' tfiau jdykhl .uka lsÍfï§ lsß fmdjk úgo fi,ùu ksid lsß isrùug yelshdjla ;sfí' idudkHfhka tjeks mdk j¾. ysrfjf;d;a th w¾O jYfhka jk isrùuls' orejl=f.a Yajik ud¾.fha hula isr jQ nj y÷kd .kafka flfiao@ orejdg l;d lsÍu" lE.eiSu jeks oE wmyiq ùu" yqiau .ekSfï wmyiqjla we;s ùu" we;eï úg tljr ;o leiaila yg .ekSu" fn,a, oE;ska nÞf.k leySu ^fuh jeämqru ±lsh yelafla jevqkq mqoa.,hka ;=<h& nyq,j ±lsh yels ,laIK fõ' yqiau .ekSu b;d wmyiq kï la,dka;h" YÍrh ks,a meyeùu" isys ke;s ùu we;eï úg urKho isÿúh yelsh' hula isrjQ úg l< hq;af;a l=ulao@ fuys§ frday,g f.k hkúg m%udo jeä

2015 wfma%,a l<dmh

frda.shdg leiai we;s jkafka kï leiaig Wkkaÿ lrjkak' fya;=j leiai iu.ska ysr jQ foh msg;g ùis ùug yelshdj ;sfnk neúks' lysk úg msfÜ by< ueo fldgig w,af,ka mia yh j;djlaj;a ;Ügq lrkak'

úug mq¿jk' frda.shdg leiai we;s jkafka kï leiaig Wkkaÿ lrjkak' fya;=j leiai iu.ska ysr jQ foh msg;g ùis ùug yelshdj ;sfnk neúks' lysk úg msfÜ by< ueo fldgig w,af,ka mia yh j;djlaj;a ;Ügq lrkak' fufia ;Ügq lsÍfï§ ;où ;sfnk fldgia bys,a ùu ksid leiai;a iu.u isrù ;snQ foh msg;g hkq we;' tfiau Worh Wvg f;rmSuo l< yelsh' ksjfia ;ksj isák jeäysá flkl=g fuf,i isrùula jqjfyd;a mqgqjl wekaog nfâ Wv m%foaYh ;Èka f;rmSu l< yelsh' uqLfhka isr jQ foh .; yels kï W.=rg weÕs,a, oud tfia .ekSu iqÿiqfõ' hula isr jQ jydu by; lS m%:udOdr isÿlr m%;sM,hla ke;akï b;du;a blauKska <Õu ;sfnk frday,lg /f.k hdu l< hq;=h'

SNIPPET

flÜgq fjk tl ys;k ;rï lÊcla fkdfjhs

flÜgq fjk tl ys;k ;rï lÊcla fkdfjhs flÜgq fjkak kï ojilg le,ß 500la j;a wdydr wvq lrkak ´ks lsh,hs nyq;rhla fokd ys;kafk' zzta;a tAl jerÈ u;hla' le,ß 100 la ojilg wvq l<;a iEfyk id¾:l m%;sM,hla .kak mq¿jka'ZZ weußldfõ YdÍßl fhda.H;d yd fmdaIKfõ§ ljqkai,h mjikjd' fï jerÈ u;h ms<sn|j Tjqka ±kqj;a jqfka ÿrl:k u.ska rgmqrd l< ióCIKhlska' jhi wjq'18-40 w;r 1044 fofklaf. ka ishhg 90lau ia:Q,Ndjh wvqlr. ekSu wiSre nrm;, ldrKhla f,ighs ie,l=fõ'

fï m¾fhaIlhka flÜgqfjkak wjYH whg 50$50 kñka jev igykla y÷kajd fokjd' zzflÜgq fjkak kï ojilg le,ß 100la wvq lsÍfuka úYd, msgqjy,la ,efnk nj lSjdfka' th ;j;a myiq lsÍuhs wfma wruqK' lEu md,kh lsÍu f.dvla wudre kï le,ß 50l ú;rla lEu wvq lrkak' b;sß mky wvqlrkak weúo,'ZZ fï m¾fhaIKhg iyNd.SjQ whf.ka le,ß 100l Yla;sh ojkak fldmuK fõ,djla ye,afï ÿjkak ´kso weyqju jeäfokd lSfõ meh nd.hla lsh,' kE'''' tAl jerÈhs úkdä 10la Èùfukau le,ß 50la wvq fjkjd' fïl wdrïNh' ojig úkdä 10la ÿj, pqÜgla lEu wvq lf<d;a Yla;sh le,ß 100la wvq fjkjd' m%;sM, úYañ;hs' Bg miafi Tng mq¿jks tA Tiafia fuh ;jÿrg;a bÈßhg f.k hkak' ;jÿrg;a lEu wvq lrkak' n,kak Tn;a fï úÈyg ia:Q,;djh ms<sn|j fmdg jroaod.;a; flfklao@ tfykï fï ir, WmfoaYh Tng;a iqj Tjoklau fõú'

ffjoHjrhd - udisl ffjoH iÕrdj

WOMEN

wE flfrka we;sjk Y%dj fhdaks u`. Y%dj jEySu f,vla fkdfõ¡ tfy;a tys idudkH iajNdjh ord .ekSug;a widudkH jQ úfgl m%;sldr ,eîug;a ta ms<sn|j wjfndaOhla wjYHfhkau ;sìh hq;=h¡ úúO Y%%dj .eí f.f,ka" fhdaks ì;a;s j,ska jf.au fhdaks u`. we;s n¾f;da,shka .%kaÓ j,skq;a Y%dj jEiafikjd¡ fï Y%dj .,k m%udK pl%Shj fjkia fjkjd¡ wd¾:j pl%h mqrdu ta jf.au mqoa.,hdf. ka mqoa.,hdg;a fjkia fjkjd¡ w;sYhskau idudkH jk fï Y%dj je.sÍï ffjoH úoHd;aulj leucorrhoea hkqfjka y÷kajkjd¡ Sticky Whitish Vaginal discharge hkqfjka th ffjoH .%ka:j, ir,j wre;a oelafjkjd¡ isxy, ffjoH mdßNdIsl YíofldaIhg wkqj Yafõ;ß;h fkdfyd;a ,shqfldaßhdj f,i oelafjk fuu Y%djh tys jpkfha w¾:fhkau iqÿ meyeh;a wef,k iq`M nj;a orkjd¡ Y%dj isÿ flfrk fufyh ,sx.sl b÷rkaf.ka ksmofjk Y%dj úYd, fufyhla bgq lrkjd¡ Tn okakjd neyeßka újD; bkaøshla jk fhdaks Tiafia úúO úIîc we;=,aúh yelshs¡ m<uq fldgu fuu Y%dj u`.ska úIîc wNHka;r ,sxf.akaøsh ;=<g hEu j<lajkjd¡ fojekak ,sxf.akaøsh i;= mßKdóh ld¾hNdrh ta ;uhs ,sx.sl tlaùu ;=,ska kj cSú;hlg moku ie,iSu mqreIhdf.a ckfkaøsh Tiafia msúfik Y=l%dKq mef,damSh kd, fj; f.k hk m%jdylhd fï iafkayl .=Kfhka hq;a ,sx.sl Y%djhs¡

wE flfrka we;sjk Y%dj

ly meyefhka hq;a ;=kS Y%djhla .e,Su g%hsfldfudkdia wdidokh .ek b`.shls¡ Wl= iqÿ meye Y%djh ;%Ia kue;s os,Srhla ksid we;sjk wdidokfha ,laIKhla úh yel¡ reêrh iys; ÿUqre meye Y%dj wNHka;r reêr jykhla oelaúh yel¡ th fndfyda ÿrg .eíf., Ldokh ùfï fyda jkhl b`.shla úh yels uq;a l,d;=rlska .¾NdIfha ms<sld ksido reêrh Y%dj u`.ska msgfjhs¡ fï ksid tjeks ldka;djka jyd ffjoH Wmfoia me;sh hq;= h¡ wk;=reodhl jhia iSudj f,i wjqreÿ 4060 ie,fla¡ úksúo fmfkk iq`M lsß meyehg yqre ,sx.sl Y%dj jrojd frda.hlehs fkd.; hq;= h¡ iqÿ meyehg yqre ly meye f;;a ùula hg we÷fï ;sîu iajdNdúlh¡ th ksfrda.S b÷rka ;=,ska jEfyk Y%djhla jYfhka o; hq;= h¡

wk;=re w`.jk wjia:d meyefhka fjkia ÿ`.| iys; Y%dj ,sxf.akaøsh j, wdidokhla lshdmdhs¡ tfiau Y%dj ksl=;a ùfïoS fõokdldÍ njla oefka kï th wdidos; ;;a;ajhls¡

2015 wfma%,a l<dmh

UTERO-VAGINAL PROLAPSE

.¾NdIh my;aùu ms<sn| Tn ±k.; hq;= lreKq álla

Utero/Vaginal prolapse

.¾NdIh my;aùu ms<sn| Tn ±k.; hq;= lreKq álla m%ij yd kdßfõo ffjoH iqrx. fyÜám;srK .¾NdIh my;a ùu ^Utero/Vaginal prolapse& ldka;djka ;=< iq,nj mj;sk ;;a;ajhls' 90]lg;a jvd fï ;;a;ajh we;s jkafka wd¾;jyrKfhka miqj jeäysá ldka;djkagh' jeä wjÞkula mj;skafka orejka ìys l< ldka;djkagh' .¾NdIh my;a ùug iq,n fya;= wd¾;jyrKfhka miq" tkï Tima pl%h k;r ùfuka miqj ldka;djkaf.a Biag%cka fydafudakh b;du wvqfjkjd' fï fya;=j u; udxY fmaYs laISK ùu isÿfjkjd' fuf,i wd¾;jyrKfhka miq fydafudak fjkialï isÿùu ^m%Odk jYfhka Biag%cka fydafudakh b;d wvq uÜgulg hEu& iy .¾NdIh Tijd ;nd f.k ys£ug WmldÍ jk udxY fmaYs ldka;djka úhm;a jk úg ÿ¾j, ùu hk fï lreKq ;uhs .¾NdIh my;a ùug fndfyda úgu fya;= jkafk' wjodku jeäfhka orkafkda idudkH wkaoug ore m%iQ;Ska isÿl< uõjrekg .¾NdIh my;a ùfï wjÞku jeähs' tA jf.au orejka lsysm fofkla ìysl< uõjrekag;a fï iïnkaOfhka wjÞkula mj;skjd' tfia jQ muKskau wjÞku ;sfnk yeu ldka;djlgu .¾NdIh my;a ùfï ;;a;ajh we;sjkafk;aa kE' tA ksid ;uhs fuh 90]la muK ldka;djkag we;s úh yels ;;a;ajhla nj by; i|yka lf<a'

m%iQ;sfhaoS ixl+,;d we;s jQ uõjrekag;a wjodkula ore m%iQ;Ska isÿùfï§ úúO ixl+,;d we;s jQ uõjrekaf.a;a miqld,Skj .¾NdIh my;a ùfï ;;a;ajh we;s jkak mq¿jka' fuys§ ixl+,;d hkqfjka ±lajQfha m%iQ;sfha§ w~q Ndú;d lsÍu" jel=ï m%ijh" nr jeä orejka ìysùu wdÈhhs' fï yereKq úg weÿu frda.h jeks fiï frda. ksis f,i md,kh fkdlsÍu ksid È.= ld,Skj leiai mj;sk ldka;djkaf.a;a .¾NdIh my;a jkakg mq¿jka' tl È.g È.= l,la lysk úg Worh ;=< msvkh jeä fjkjd' túg Worfha udxY fmaYs ÿ¾j, ia:dkj,ska Worh ;=< ;sfnk foaj,a msg;g meñKsh yelshs' fhdaks ud¾.fhka l=vd f.ähla wdldrhg msg;g tkafka tA úÈyghs'

ffjoHjrhd - udisl ffjoH iÕrdj

ldka;d m%cKflakaøsh

.¾NdIh uq;%dYh

me;s fmKqu

fY%daKs mdou fmaYs j,ska jer .ekajqKQ uq;%dY újrh

fld÷weg fm<

.=o ud¾.h .=oh

uq;%d ud¾.h fhdaksh

uq;%dYh" .¾NdIh yd .=oh mdofuka fY%daKs mdou fmaYs j,ska jer .ekaù we;

weÿu frda.h jeks fiï frda. ksis f,i md,kh fkdlsÍu ksid È.= ld,Skj leiai mj;sk ldka;djkaf.a;a .¾NdIh my;a jkakg mq¿jka'

.¾NdIh bÈßfhka ;sfnkafk uq;%dYh' .¾NdIhg msgqmiska wfOdaud¾.h msysgd ;sfnkjd' .¾NdIh my;a jk úg tA iu.u wfOda ud¾.fha fldgilao fhdaks ud¾.h ;=<g fkrd tkjd' th yßhg ne¨ula jf.a' th mÍlaId lrk ffjoHjrfhl=g myiqfjka fidhd .kak mq¿jka'

fY%daksh wjg udxY fmaYs ÿ¾j, ùu ksid;a''' tfiau b;d l,d;=rlska iuyrekaf. Wm;skau fY%daksh wjg udxYfmaYs ÿ¾j, fjkak mq¿jka' túg;a .¾NdIh my;a ùu isÿfjkjd'

lsúiqï hk úg" lysk úg uq;%d iaj,amhla msgùu uq,ald,fha§ ±lsh yelshs' tfiau lsúiqï hk úg lysk úg fukau fndfyda fj,djla isgf.k isák úg;a ;guk úg;a fhdaks ud¾.h yryd f.ähla fuka msg;g tkq ±kSu" ,sx.slj tl;= ùu wmyiq ùu" msg fldkafoa iy ;=káfha lelal=u" fhdaks ud¾.h ;=<ska l=vd fldgila msg;g meñK ;sîu ksid uq;%d iy u< my lsÍu wmyiq ùu" fuys§ miqj we;s jk .eg¨ f,i ±laúh yelshs'

2015 wfma%,a l<dmh

.¾NdIh my;a ùu ksid frda.shdg we;sjk .eg¨ .¾NdIh my;a ùu ksid frda.shdg we;sjk .eg¨ fudkjdo hkak oka wms úuid n,uq'

UTERO-VAGINAL PROLAPSE

.¾NdIh my;aùu ms<sn| Tn ±k.; hq;= lreKq álla

frda.shdf.a ;sfnkafka iq¿ my;a ùulao" ke;akï fhdaks ud¾.h yryd fldgila msg;g meñK ;sfío hkak fuys§ fidhd n,d tA wkqj m%;sldr kshu l< hq;= fjkjd' fuhska ;sfnk wmyiq;d;a" frda.shd ie;alula lsÍug iqÿiq jhil miqjkafkao hkak;a m%ij yd kdßfõo úfYaI{ ffjoHjrfhl= fj; .sh úg§ fidhd nef,kjd'

j<,a,la fhdod md;a jqKQ .¾NdIh jer .kajk wdldrh uq;%dYh .¾NdIh j<,a,

fhdaksh

.=o ud¾.h

.¾NdIh my;aùu i|yd we;s m%;sl¾u frda. ;;a;ajh mj;skafka uq,au ld,fha kï Bg wÞ< jHdhdu ^Pelvic Floor Exercises& isÿ l< hq;=hs' fuu.ska .¾NdIh wjg udxY fmaYS iúu;a fjkjd' kuq;a fuh uq,au ld,fha§ ñi miqj frda. ;;a;ajh j¾Okh ù fhdaks ud¾. fhka f.ähla fuka msg;g meñKs miq jHdhdu lsÍfuka m%;sM,hla ,nkak wmyiqhs' fojk l%uh .¾NdIh biaiS isák mßÈ fhdaks ud¾.h yryd j<,a,la ^Ring Pessary& ±óuhs' ie;alula lsÍug wlue;s whg;a" ie;alula lsÍug fkdyels jhia.; whg;a fï l%uh Ndú;d lrkjd' kuq;a fuh 100] id¾:l kE' j<,a, udi ;=fkka ;=kg fyda yfhka yhg

ffjoHjrhd ,jd udre lrjd .; hq;=hs' tl È.g j<,a, ;sfhkakg yeßfhd;a th uiaj, we,Su ksid msg;g .ekSu wmyiq fjkjd' wjika m%;sl¾uh ie;alula u.ska .¾NdIh bj;a lsÍuhs' fuh fhdaks ud¾.h yryd lrk ie;alula ^vaginal hysterectomy and repair& .¾NdIh my;aùu isÿ jkafka orejka ,enQ ldka;djkag nj by; i|yka l<d' orejka ìys fkdl< ldka;djkag fï ;;a;ajh l,d;=rlska we;s úh yelshs' tjeks whg fuh yg .kafka Wm;skau Worfha udxY fmaYs ÿ¾j, kï fyda ld,hla È.ska È.gu leiai mej;Sfï m%;sM,hla f,ihs' flfia jqj;a fuh m%ij yd kdßfõo ffjoHjrhl= fj;ska iqj l< yels frda. ;;a;ajhla'

ffjoHjrhd - udisl ffjoH iÕrdj

PELVIC FLOOR EXERCISE

fY%daKs mdou ;sr lrk jHdhdu lrkafka fufyuhs

Pelvic Floor Exercises fY%daKs mdou ;sr lrk jHdhdu lrkafka fufyuhs

fY%daKs mdou ;sr lrk jHdhdu ffjoHjreka úiska ks¾foaY lrk wjia:d folla ;sfí' we;eï ldka;djkag ;u wkqoeKQulska f;drj uQ;%d my ùfï w;aoelSu we;' fï whg fulS lS.,a jHdhdu hkqfjkao y÷kajk fY%daKs mdou ;sr lrk jHdhdu iqÿiqh' wfkla ldKAvh jkqfha fï ,smsfha i|yka mrsos .¾NdIh my;a ùfï frda.h we;s ldka;djkag tys uq,a wjia:dfõ fhdok ms<shula jYfhks' ngysr rgj, ldka;djka ldu iïfNda.fhaoS ;u m%S;sh" m%y¾Yh jvjd .ekSu msKSio wkjr;fhka fï jHdhdufha fhoS fY%daKs mdou fmaIs ;sr lr.kakd nj jd¾;d ù ;sfí' fY%daKs mdou fmaYs ;sfnk ;ek fuu jHdhduh ksjerosj isÿ lsÍfukau wfmalaIs; m%;sM<h ,efnk ksid ta fmaYs ;sfnk ;ek ms<sn|j Tng fyd| wjfndaOhla mej;sh hq;=h' fï fmaYs ;sfnkafka ia;%s wjhj ;=kl mdou fkdfyd;a wäfhah' tajd kï uq;%dYh" .¾NdIh yd .=o ud¾.hhs' fï wjhj háka ;sfnñka

2015 wfma%,a l<dmh

tlS wjhj Yla;su;a lsÍu fY%daKs mdou fmaYs j,g mejÍ we;s ld¾hhhs' oelsh fkdyels uq;a fY%daKs mdou fmaYs j, jHdhduh Tng oefkkakg lsÍug yels fõ' ta i|yd l%u folla ;sfí' Tn mdo u|la fomig f.k mqgqjl jdäù isákak' Tng wfOdajd;hla msgfjkakg hk úg Tn th je<elaùug h;a; orKd úg l%shd;aul jkafka fï fY%daKs mdou fmaYs f.dKQQjhs' flfia fj;;a fï W;aidyh oeÍfïoS Tfí ;Ügï yd mdo p,kh fkdlsÍug Tn W;aidyj;a úh hq;=hs' fï fmaYs l%shd;aul ùu ye|sKSug ;j;a ksoiqkla jQ jHdhduhla ;sfí' Tng uq;%d msgùu isÿjk wjia:djla isyshg k.d.kak' laIKfhka ta uq;%d msgùu je<elAùug Tng isÿù ;sfí' túg wkdhdifhka Tn orK W;aidyfhaoS jer .ekafjkafkao fY%daKs 73

PELVIC FLOOR EXERCISE

fY%daKs mdou ;sr lrk jHdhdu lrkafka fufyuhs

mdou fmaYs h' kuq;a fuysoS uq,ska W;aidyhg jvd fjkia ia:dkhlska fmaYs jer .ekafjk ksid wNHdi lsÍfïoS fï jHdhdu foflysu udrefjka udrejg fhoSu iqÿiqh'

jHdhduh isÿ lsÍug Wmfoia • iEu osklu Tn jHdhduh isÿ l< hq;=h' • jdä ù" ysgf.k fyda ksod isák bßhõfjka jHdhduh l< yelsh' oKsia u|la fomig lr.; hq;=h' oeka fiñka fY%daKs mdou fmaYs jer .kajkak' my olajd .Kka lrkak' fiñka bys,a lrkak' fuh jdr myla j;a tl os.g lrkak' fuh slow pull-ups f,i ye|skafõ' • oeka fï jHdhduhu fõ.fhka lrkak' tho mia j;djla j;a l< hq;=h' fuh fast pull-ups f,i ye|skafõ' • slow pull-ups yd fast pull-ups oeka úkdä myla ;=< kej; isÿ lrkak' 74

• jrlg úkdä my ne.ska ojilg f;jrla jla l< hq;=h' osklg jdr 5-6 l< yels kï w.fkah' • jdä ù" ysgf.k yd os.dõ jYfhka bßhõ fjkia lrñka lS.,a jHdhdufha ksr; jkak' • l%ufhka fmaYs jer .ekafjk úg myg .Kka lrk f;la isàu oyhg .Kka lrk f;la w,a,d isáh yels jkafkah' • fï fmaYs jer .ekaùfï jHdhdufha fhfok w;f¾ fjk;a fmaYs Wfoid jHdhdu fkdl< hq;=h' • fjk;a l%shd j, fhfok w;f¾o fï fmaYs ;sr lsÍfï wNHdihkayS fhoSug mqreoaola we;s lr.kak' Wod' ÿrl:kfhka l;d lsÍu' • i;s lsysmhla fuu jHdhdufha fhoSfuka fmaYs Yla;su;a jkjd Tngu ta;a;= hkq we;'

ffjoHjrhd - udisl ffjoH iÕrdj

NUTRITION

l=l=,auia wo ld,fha fmdaIH .=KodhS f;aÍuls r;=uia j,ska wE;a ùug fuh wk.s úl,amhls wdydr mßfNdackfhaoS fjfiiskau .; hq;= .=Kj;A wdydr iïnkaOfhka wo l;sldj;la we;s ù ;sfí' fjfiiskau ful, ysi Tijd we;s fnda fkdjk frda. - tkï wêreêr mSvkh" oshjeähdj" ms<sld wdoshg fkdmsg fmr¿KQ wdydr isß;o n,mdk nj fmkS f.dia we;s ksid Tn wdydr f;dard .ekSfïoS todg;a jvd ie<ls<su;a ùu l< hq;a;ls'

2015 wfma%,a l<dmh

l=l=,auia

l=l=,a uia wo ck;djf.a ckm%sh wdydr f;aÍuls' tajd i;= fmdaIH .=Kh" jvd;a keKj;a wdldrfhka tajd ms<sfh, lsÍug wjYH Wmfoia fï ,smsfhka iemfha' fyd| .=Kd;aul nfjka hqla; fm%daàk fm%daàk m%Njhka f;dard .ekSfïoS fmdaIKfõoSka Wmfoia fokafka by< .=Kd;auhlska hqla; jk fm%daàk Tfí f;aÍu lr.; hq;= njhs' l=l=,a uia j, we;af;a fulS by< .=Kd;aufhka hqla; jk fm%daàkh' l=l=,a uia j, we;s fm%daàk j, w;HjYH weuhsfkda wï, wgla mj;S' wm wdydr .ekSfïoS fm%daàk hï m%udKhla ;sìh hq;= jkafkah' kj ffi, W;amdokhg" mj;sk ffi, w¿;ajeähdjg iy kv;a;= lsÍug fï fm%daàka WmldÍ jkafkah' YÍrfha wfkal tkaihsu ksIAmdokhgo uQ,sl jk wdydr mod¾:h fm%daàkhs' úfYAIfhkau jefvk 75

NUTRITION

jhfia orejkg ;u YÍr ld¾hhka i|yd m%udKj;a fm%daàk m%udKhla ffokslj ,eìh hq;af;ah' fï ld¾hhka i|yd WmldÍ jk .=Kd;aufhka by< fm%daàk m%Njhla f,i fmdaIKfõoSka l=l=,a uia i<l;s' l=l=,a uia j, we;s fïo m%udKh wvqhs idfmalaIj l=l=,a uia j, we;s fïo m%udKh wvqh' fuys m%Odk jYfhka wvx.= jkafka wix;Dma; ldKAvfha fïohhs' fï ksid yDoh.; frda. wjodku wju lrhs' fï ksid .j uia" W!re uia wdoS wys;lr fïoh iys; r;= uia .kakjd fjkqjg l=l=,a uia wkqNjh fyd| fmdaIHodhS wdrlaIdldÍ úl,amhls' fï yereKQ úg l=l=,a uia j, b;d jákd fmdaIH mod¾: /ila ;sfnk w;r tajdhska lsysmhla muKla Tfí oeKQu msKsi u;= olajuq' fif,kshï ms<sld u¾Okfhys Wmld¾ jk wxY= ud;% fmdaIlhla 76

l=l=,auia

jYfhka fif,kshï i<lk w;r l=l=,a uia j, fif,kshï nyq,j wka;¾.; jkafkah' ms<sld u¾Okh yereKQ úg fif,kshï i;= ;j;a .=Kdx. /ils' m%odysl frda. j,ska /ljrKh ie,iSu" iakdhq frda. yd yDo frda. j,ska wdrlaIdj ie,iSu fif,kshï i;= ;j;a .=Kdx. jkafkah' fif,kshï m%;sTlaisldrlhla jk w;r iS yd B hk úgñka j, l%shdldß;ajh jer .ekaùugo fya;= jkafkah' l=l=,auia mSßishl m%udKhl fi,skshï uhsfl%d.a?ï 24 la mj;sk w;r th ffoksl fi,skshï wjYH;djfhka ishhg 44l m%udKhls' úgñka B6 fkdfyd;a mhsßfvdlaiska l=l=,auia j, we;s úgñka B6 wdydr mßjD;a;Sh flfryS fnfyúkau bjy,a jk nj mejfia' fuh bkaishq,ska ksIamdokh flfrySo" iakdhq moaO;sfha ukd l%shdldß;ajh flfrySo wjYHfhkau iïudoï jk úgñkhls' l=l=,auia tla mSßishl ffokslj wjYH jk úgñka B6 m%udKfhka ishhg 40 lau iïmQ¾K fõ' úgñka B3 fkdfyd;a ksheiska wm .kakd wdydr j, we;s ldfndayhsfâ%g Yla;sh njg mßj¾;kh lrKQ msKSi;a YrSrfha ffi, j, iqjfi; mj;ajd .ekSu msKsi;a iïudoï jk úgñkh fuhhs' ksheiska fkdfyd;a j, fldf,iagfrda,a my; fy<Sfï .=Kdx.hlao we;' oskm;d wjYH flfrk ksheiska j,ska ishhg 84 la ;rï by< m%udKhla l=l=,auia mSßishlska ,nd.; yel' l=l=,auia j, fïoh;a" le,ß m%udKh;a jeäfhkau we;af;a ifuysh' l=l=,auia iu .a?ï 100l fïoh .arEï 41l m%udKhla mj;sk w;r Yla;sh le,ß 454la mj;S' fï ksid fndcqkamf;ys .=Kj;a nj fidhk Tn fï iu bj;,d wjfYAI fldgia wdydrhg .ekSu jvd;a keKe;s lreKls' ffjoH pñkao fm%au;s,l úisks ffjoHjrhd - udisl ffjoH iÕrdj

2015 wfma%,a l<dmh

MIND MATTER

l=vd orejkag fmr wd;auh .ek m%ldY lsÍfï yelshdjla kE

l=vd orejka mqk¾Njh mejiSfï úoHd;aul miqìu fïlhs'''

l=vd orejkag fmr wd;auh .ek m%ldY lsÍfï yelshdjla kE udkisl frda. úfYaI{ ffjoH rEñ rEnka —wfma ;d;a;g tA ojiaj, ;snqK l¿ mdg ld¾ tlla' udjhs wïujhs kx.sjhs ld¾ tfla Þf.k wfma ;d;a;d .uka .shd' wfma f.a <Õ we<la .,d f.k .shd' kx.shs udhs fmd,a lgqj,g ud¿ we,a¨jd˜

l=vd orejka fujeks úia;r lshk úg tAjd orejd Ôj;a jk mßirhg jvd fjkia kï j¾;udk Ôú;hg mgyeks kï jeäysáhka tA iïnkaOfhka jeä wjOdkhla fhduq lrkjd' fya;=j orejd fuf,i ljÞj;a oel ke;s mßirhla iy fjkia wkaofï f;dr;=re mjikafka fmr Njhla iïnkaOfhka hehs Tjqka ;=< wkqudkhla we;s ùu ksihs' l=vd orejkag fufia Ôj;a jk mßirhg jvd fjkia foaj,a ms<sn|j weyska ÿgq wdldrfhka p;=r f,i mjikakg yels jkafka fldfyduo@ ienEjgu tA fmrNjh ms<sn| u;lhlao@ idudkHfhka l=vd orejka f,i i<lkafka jhi wjqreÿ fÞ<yg wvq orejkqhs' fï w;ßkq;a fuu ;;a;ajh n,mdkafka jhi wjqreÿ myg wvq orejkaghs' fï jhiaj, orejka úúO foaj,a mjikjd' tAjd fndfyda úg tllg tlla iïnkaO ke;s tAjd' fï jhiaj, miqjk orejkaf.a fud<fhys we;s NdId uOHia:dkh" u;lh ffjoHjrhd - udisl ffjoH iÕrdj

yd iïnkaO fud<fhys fldgia jk yhsfmd;e,uih" uia;sIal ndyslh jeks tAjdfhys iS>% j¾Okhla we;s fjkjd' orejdf.a ukig w¨;ska we;=,a jk foaj,a fujeks ia:dkj, ;ekam;a fjkjd' fud<fha fï fldgia jhi wjqreÿ fÞ<y muK jk ;=reu j¾Okh fjkjd' tA ld,fha§ Tjqka ;ud wik olsk foaj,a wfkla wh yd fnÞ yÞ .ekSu lrkjd' l=vd orejkaf.a is;aj, fndfyda l,ams; foaj,a uefjkjd' kuq;a fud<fhys fldgia ;ju j¾Okh fjñka mj;sk ksid Tjqkag fufia uefjk foaj,a j, ienEj iy fndrej fjka lr y÷kd .kakg nE' tA ksid l=vd orejka is;kafka ;ukaf.a isf;a uefjk yeufoau ienE foaj,a úÈhghs'

fuh ;jÿrg;a meyeÈ,s lr .ksuq' Tfí l=vd orejd lsishï fg,s kdgHhla foi uy;a jqjuKdjlska n,d isákafka hehs is;kak' t;=<ska olsk mßirh jf.au we;eï isoaê orejdf.a isf;a ;Èkau igyka fjkjd' bkamiq ;ud tjeks ia:dkhl isá njla orejdg yefÕkak mq¿jka' tA wkqj orejd ;ud tn÷ mßirhl isá wdldrhg b;d fyd¢ka tA .ek úia;r lrkak fm<fUkjd' kuq;a orejd tÈfkÞ Ôj;a jk mßirhg iy orejd tlalrf.k .sh ia:dkhl mßirhg jvd fjkia fohla .ek fufia mjik úg foudmshka is;kafka th orejd fmr wd;auh m%ldY lsÍula f,ihs' hï úÈhlska orejd fufia úúO foaj,a lshk úg jeäysáhl= úiska ;j ;j;a ydr ydrd tA .ek weiqfjd;a orejdo ;udg yefÕk ;j;a fkdfhl=;a foaj,a tAjdg tl;= lr mejeish yelshs' kuq;a tA ;ud rEmjdysksfhka weiq ÿgq foaj,a ke;fyd;a jeäysáhl= lshk úg wid isá foaj,a weiqßka ukfia uejqKq l,ams; f,i fjkalr y÷kd .ekSug yelshdjla orejdg kE' tA wkqj jeäysáhka th fmr Njh mejiSula f,i jrojd jgyd .kakjd' tA jf.au fuys ;j;a me;a;la ;sfnkjd' tlu fohla .ek h<s h<s;a l;d lrkq wefik úg;a tlu fohla .ek orejdf.ka kej; kej; úuik úg;a we;a;gu tjekakla isÿjQ njg orejdf.a ukig ;Èkau ±fkkakg mgka .kakjd' bkamiq orejd t;eka isg l;d lrkafka tA foh ;ukag isÿjQ wdldrhghs'

2015 wfma%,a l<dmh

ksoiqkla f,i wij,a ojfia wij,d l=ula fyda w;jrhla lf<ao hkqfjka l=vd orefjl=f.ka úuiqfjd;a uq,§ orejd zzkEZZ hkqfjka ms<s;=re Èh yelshs' kuq;a kej; kej;;a tA .eku úuik úg we;a;gu ;udg tn÷ fohla isÿjQ nj orejdg yefÕkakg mq¿jka' tA wkqj ;udg tu mqoa.,hd fj;ska tu ld,iSudfõ§ tn÷ w;jrhla isÿjQ njg oä úYajdihla orejd ;=< we;sù th isf;a ;ekam;a fjkjd' l=vd orejka fmr wd;auh mejeiSu f,i jeäysáhka jrojd jgyd .kafka Tjqkaf.a fud<h j¾Okh jk wjêfha Tjqka wik olsk foaj,a weiqßka Tjqka lshk tAjdhs' tÈfkÞ wik olsk foaj,a ukig we;=¿ jQ miq tys we;s ienEj yd jHdc;ajh y÷kd .kakg ;rï orejdf.a fud<h j¾Okh ù ke;s ksid fufia wuq;= wuq;= foaj,a orejd mjik nj oka Tng meyeÈ,s we;s' orejd tAjd ;udgu isÿjQ foaj,a hkqfjka jrojd jgyd .kakjd' tA ñi l=vd orejkag fmr wd;auh .ek m%ldY lsÍfï yelshdjla kE'

PHARMACOPIA

m%;scSjl meáálsßh úuiuq

Antibiotics

we;sj;a neß ke;sj;a neß m%;scSjl m%;scSjl meáálsßh úuiuq ñksia b;sydih mqrdu ËqøÔú wdidokhka ñksidg úk l<d' tfy;a f,vfrda. we;s lrkakg mshú weig fkdfmfkk ËqøÔúka fya;=ldrl jk nj jgyd .kakg ñksidg l,amdka;rhla .; jqKd' ;j;a lf,l frda.hg fya;=j ËqøÔú wdidokhla nj jgydf.ku thg tfrysj igka joskakg iqÿiq T!IO fkd;snqKq ksid ñksid h<s;a wirK jqkd' .ï-okjQ msáka úkdY jqKd' b;sydifha .uka u. fjkia lrk fY%aIaG fidhd.ekSï isÿ jkafka we;eï úg wyïfnka ke;skï w;ajeroSï j,ska' m%;sÔjl j, fidhd.ekSu;a tjeks l:dka;rhla' 1928 jif¾ tla;rd oskl ;u m¾fhaIKd.drfha nelaàßhd frdamk ksheos mÍËd lrñka isá wef,laiekav¾ *af,ñka f.a ksÍËKhg yiqjqfka wreu mqÿu isÿùula' lsishï w;miq ùulska nelaàßhd frdamK ksheos ;=<g we;=¨ ù j¾Okh jQ os,Srhla ta wjg nelaàßhdjkaf.a j¾Okh j<ld ;snqkd' ËqøÔú wdidokhkag tfrysj igka joskakg ffjoH úoHdj ikakoaO l, m%;sÔjl ìysjqfka tu wyUq fidhd.ekSfï m%;sM,hla jYfhka'

ffjoHjrhd - udisl ffjoH iÕrdj

m%;sÔjl hkq fudkjdo@ tajd l%shdlrkafka flfiao@ tjdhska Wmßu M, fk,d.kakg inqoaêlj Ndú;d l, yelafla flfiao@ m%;sÔjl m%;sfrdaOh hkq l=ulao@ wo fï úfYaIdx.h jkafka fuu lreKq ms<sn|j úuid ne,Sughs'

m%;sÔjl hkq fudkjdo@ hï ËqøÔú ldKavhla u.ska ksmojk fjk;a ËqøÔú ldKavhla jkid ouk ke;fyd;a fjk;a ËqøÔú ldKavhl j¾Okh yd .=Kkh j<lk ridhkslhka m%;sÔjl f,iska ye|skaúh yelshs' tfy;a wo ojfia ridhkslj ixYaf,aIKh l< T!IO mjd fuu ldKavhg we;=<;a lr ;sfí' ir<j i|yka l<fyd;a m%;sÔjl Ndú;d lrkafka nelaàßhd keu;s ËqøÔú ldKavh u.ska isÿjk wdidokhkag m%;sldr lsÍughs' wm mshú weiska olsk f,dalfha ffcj úúO;ajh iqúYd,hs'

2015 wfma%,a l<dmh

wm wjg mßirh ie<l=j;a i;aj yd Ydl úfYaI fldmuK oelsh yelso@ úúO úfYaI j, Ydl yd i;=ka ish oyia .Kklska mshú weig yiqjk iÔú f,dalh iukaú; jkjd fiau weig fkdfmfkk ËqøÔú f,dalh ks¾udKh jkafka;a úfYaI ish oyia .Kklska' fï fudfydf;a wmf.a úuiqug ,lajk nelaàßhdjkaf.a úúO;ajh jqj;a t;rïu úYd,hs' úúO wdidok j,g fya;=jk nelaàßhd úfYaI tlsfklg fjkia ksid ´kEu nelaàßhd wdidokhlg ´kEu m%;sÔjhlska m%;sldr l< fkdyelshs' hï m%;sÔjlhla ljr mrdihl wdidok j,g tfrysj l%shdldßo hkak m%;sÔjl mrdih keu;s idOlh u.ska úia;r flf¾' fï wkqj we;eï m%;sÔjlhka i;=j mq¿,a mrdihl wdidokj,g tfrysj l%shd lsÍfï yelshdj mj;sk w;r (Broad Spectrum) we;eï m%;sÔjlhl tu yelshdj mgq mrdihlg iSudfõ' (Narrow Spectrum) WÞyrKhla f,i weïmsis,ska (Ampicillin) wefudlaisis,ska (Amoxicillin) jeks T!IO mq¿,a mrdihl l%shdldß;ajhla iys; fõ' úúO wdidok i|yd tlsfklg fjkia m%;sÔjl Ndú;d jkafka;a tlu wdidokhg m%;sÔjl jYfhka fhdod.; yels m%;sldr tllg jeä .Kkla mj;skafka;a ukaoehs oeka Tng .eg¿jla fkdjkq we;'

m%;sÔjl l%shdldÍ jkafka flfiao@ ´kEu m%;sÔjl m%;sldrlhl b,lalh jkafka frda.shdg ydkshla isÿfkdfldg frda.ldrl nelaàßhd úkdY lsÍuhs' úúO m%;sÔjlhka fuu b,lalh imqrd .kafka fjkia hdka;%k u.ska tkï''''''' • nelaàßhdjkaf.a ffi, ì;a;sh ixYaf,aIKh ùu je<lSu' • nelaàßhdjka ;=< fm%daàka ixYaf,aIKh ksfYaOkh lsÍu' • ma,diau mg,h ydks isÿ lsÍu' • kHIaÀl wï, mßjD;a;shg ndOd we;s lsÍu hkdos l%u j,ska' 81

PHARMACOPIA

m%;sÔjl hkq fldalg;a ff;,hla fkdfõ'''''' m%;sÔjl ;rï jeros Ndú;hg ,lajk T!IO ldKavhla ;j;a fkdue;s ;rï' iq,nj olakg ,efnk wdidokhka nelaàßhd wdidok njg;a m%;sÔjl hkq w;sYhska wdrËdldÍ T!IO njg;a uq,anei.;a jeros úYajdih ksid wkjYH f,iska m%;sÔjl ks¾foaY flfrk yd Ndú;d flfrk wjia:d úr, keye' we;eï úgl isÿjkafka frda.ldrl nelaàßhd úfYaI y÷kdf.k ke;'

wid;añl;dj (Allergy) we;eï m%;sÔjl ldKavj, iq,n w;=re wdndOhla'

idudkHfhka fmksis,ska (penicillin) Ndú;d lrkakka w;ßka ishhg 10 muK iq¿ jYfhka fyda wid;añl;djhkag f.dÿre fõ' bka 0'02] g muK oreKq ;;a;ajfha m%;sl%shd (Anaphylactic reactions) we;s jkakg bv we;' fmksis,ska ldKavfha ish¿u T!IO j,g fmdÿ wKql jHqyhka mj;sk ksid tla fmksis,ska j¾.hlg wid;añl m%;sl%shd olajk mqoa.,hl= wfkla fmksis,ska j¾.h i|ydo wid;añlùfï keUqrejla mj;S' Ampicilli - A - oxicilli Cloxucilli jeks T!IO wh;a jkafkao fmksis,ska ldKavhghs'

m%;scSjl meáálsßh úuiuq

;jo fmksis,ska ldKavfha T!IO j,g wdid;añl;d olajk iEu mqoa.,hka ishhla w;ßkau oi fofkl= Cephalosporin ldKavfha T!IO j,go wid;añl m%;sl%shd olajhs' ffjoH ks¾foaY rys;j m%;sÔjl m%;sldr j,g fhduqjk msßi;a ie<lsh hq;= ;rï' úfgl funÿ wjia:dj, m%;sldr ke;;a bfí iqjfjk frda.hla iqjlsÍfï fyd| kduh m%;sÔjlhg ,efnkjd' WodyrKhla f,i iq,nj olakg ,efnk leiai fiïm%;sYHdj jeks frda. ;;a;ajhka m%;sÔjl m%;sldr ,ndosh hq;= wjia:d fkdfõ' hï wdidok frda. hlg ys;=uf;a m%;sÔjl m%;sldr werUqjfyd;a ta u.ska we;eï úg frda.h ke;skï .e,fmk T!IO y÷kd .ekSug isÿ lrk ridhkd. dr mÍËK j,g n,mEï we;s lrkjd' ;jo m%;sÔjlj, w;=re wdndO ksid frda.h ;j;a

ffjoHjrhd - udisl ffjoH iÕrdj

wm%ikak ;;a;ajhg fmrf,kakg bv we;s w;r fï ksid m,mqreÿ ffjoHjrhl=g jqj;a frda.h ksYaÑ;j ks¾Kh lsÍug ndOd we;s fjkjd' tfy;a''''''' fï ish,a,gu jvd kqiqÿiq jkqfha ksrka;r m%;sÔjl j,g m%;sfrdaê nelaàßhd ldKav ìysùuhs'

flfkl= ieye,a¨fldg ys;=j;a ienE ffjoHjrhl= m%;sÔjl m%;sldrhlg fhduq jkafka mshjr .Kkdjlska' m%;sÔjlhla ks¾foaY lsÍug m%:u ffjoHjrhdf.a úuiqug ,lajk lreKq /ils tkï''''' • wdidokh nelaàßhd wdidokhlao @ • tfiakï wdidokhg n,mE nelaàßhd úfYaIh l=ulao @ • tu nelaàßhd úfYaIh ifya;=lj wkqudk l< yelso @

2015 wfma%,a l<dmh

• ke;fyd;a ridhkd.dr mÍËK u.ska y÷kd.; hq;=o @ • ridhkd.dr jd¾;d ,efnkakg fmr m%;sÔjl m%;sldr wrUkjdo @ • frda.hg fya;= jQ nelaàßhdj ixfõoS jkafka ljr T!IO j,go @ ^we;eï úg fï i|yd m%;sÔjl ixfõoS;d mÍËKhla wjYH fõ'& • tu T!IO w;ßka frda.shdg jvd;a .e,fmk T!IOh l=ulao @ ^fuu f;dard .ekSug frda.shdf.a jhi fN!;fõoSh ;;ajhka we;eï T!IO j,g olajk wid;añl;d wdoS lreKq /ila ie,ls,a,g n÷ka lrhs'& ffjoHjrhl= fkdjk mqoa.,hl= ;=< fuu ;SrK .ekSfï oekqu yd wjfndaOh fkdue;s ksid m%;sÔjl ffjoH ks¾foaY u; muKlau Ndú;d l< hq;= fõ'

m%;sÔjl yd m%;sfrdaOh m%;sÔjl u.ska tajdg ixfõoS nelaàßhd jqj;a i|ygu ch .kakg ffjoH úoHdj iu;a ù keye' jßka jr m%;sÔjl yuqfõ mrdch jqj;a jvd Yla;su;a iajrEmhlska ysi Tijkakg nelaàßhdjka iu;a jkjd' m%;sfrdaê nelaáßhd úfYaI u.ska m%;sÔjl j,g ixfõoS nelaàßhd úia:dmkh ùu ksid l,la hï wdidokhlg tfrysj id¾:lj fhdod.;a m%;sÔjlhla ld,h;a iu. wid¾:l jkakg mq¿jka' b;ska m%;sÔjl yuqfõ fkdie,S isákakg fuu nelaàßhd m%;sfrdaê jkafka flfiao @

fõ.j;a mrïmrd wka;rhla nelaáßhdjkaf.a tla mrïmrdjlska B<Õ mrïmrdj we;sùug .;jk ld,h (Generation time) idfmaËj b;d fláhs' we;eï úg th ñks;a;= lsysmhla muKhs' fï ksid fudjqka ;=< mßirhg yev .eiSfï yelshdj fõ.j;a' m%;sÔjl m%;sldrfhaoS m%;sÔjl j,g ixfõoS 83

PHARMACOPIA

m%;scSjl meáálsßh úuiuq

nelaàßhd os.ska os.gu úkdY jk w;r tajdg m%;sfrdaê jk nelaàßhd iajNdúl jrkh u.ska mßirhg WÑ;hska fia f;dard .ekSula isÿ fjkjd' fuu m%;sfrdaê;djhg fya;=jk cdk tla nelaàßhdjlska ;j;a nelaàßhdjlg iïfm%aYkh lsÍfï úúO l%u mj;sk ksid m%;sfrdaO;dj fõ.fhka me;sr hkjd' l,la id¾:l m%;sÔjhla f,i nyq,j fhdod.;a Tetracycline kue;s T!IOhg ixfõoS jq fndfyda nelaàßhd ldKav fï jk úg tu T!IOhg m%;sfrdaë ù ;sîu" m%;sÔjl m%;sfrdaOhg losu WodyrKhla'

wúpdrd;aul Ndú;h ksid fndfyda m%;sÔjlhkag m%;sfrdaë nelaàßhd ldKav ìysù fyda ìysfjñka mj;sk nj úoaj;=ka mjikjd' ksielju fï ksid m%;sÔjl Ndú;h inqoaêlj isÿúh hq;=hs' hï m%;sÔjlhla Ndú;d l< hq;af;a tu m%;sldrh wjYH lrk fudfydf;au muKhs' tfiau iq¿ wdidokhlg mjd" jvd oreKq wdidok j,g fhdod .kakd we;eï m%;sÔjl Ndú;d lsÍu wkqu; l< fkdyelshs' we;af;kau fï ksid isÿjk wjdish iq¿ mgq keye' fya;=j ta u.ska tu m%;sÔjl m%;sldrhu wjYH jk oreKq wdidokhloS tys j,x.=Ndjh ySk ù hdug bvlv we;s ùuhs' m%;sÔjl Ndú;d lsÍfïoS miqj i|yka lrk Wmfoia wkqj Ndú;d lsÍu;a wkjYH f,i m%;sÔjl Ndú;d fkdfldg Ndú;d iSud lsÍu;a m%;sfrdaê nelaàßhd ldKav ìysùu je<lSug uy;a msgqjy,la fjhs'

ffjoHjrhd - udisl ffjoH iÕrdj

m%;sÔjl T!IO Ndú;d lsÍug Wmfoia m%;sÔjl T!IO Ndú;d lsÍfïoS my; Wmfoia ms<smoskak' m%;sldrfha iM,;djhg;a m%;sfrdaê nelaàßhd ldKav ìysùu je,lSug;a th w;aje,ls' • ksjeros ud;%dj ksjeros ld, mr;rh we;sj Ndú;d lrkak' WodyrKhla f,i meh 6 lg jrla ,nd .; hq;= T!IOhla iudk ld, mr;r rys;j osklg y;r jrla .ekSu iqÿiq fkdfõ' • Wmfoia ,nd oS we;s mßos lEug fmr fyda miqj ,nd. kak' wdudYfha wdydr ;sîu fndfyda m%;sÔjl j, wjfYdaIKh wld¾HËu lrhs' fï ksid tajd wju jYfhka lEug meh Nd.hlg fmr ,nd.; hq;=hs'

2015 wfma%,a l<dmh

• Tn T!IO Ndú;d lrk w;r;=r frda. ,ËK ;=ksù .sh;a iïmQ¾K ks¾foaYs; ld,hgu T!IO Ndú;d lrkak' ke;fyd;a hgm;a jQ frda.h h<s u;=ùug;a l,ska Ndú; l< T!IO fojk j;dfõ m%;sfrdaO jkakg;a bvlv ;sfí' • T!IO u.ska we;súh yels w;=re wdndO ms<sn|j wid oekqj;a jkak' frda. ,ËK j, isÿjk n,dfmdfrd;a;= fkdjQ fjkila w;=re wdndO ksid jkakg mq¿jk' • T!IO Ndú;d lrk w;r ;=r m¿ ke.Sula" leiSula" bosóula isÿjqjfyd;a jydu T!IO kj;d ffjoHjrhd fj; fhduq jkak' • m%;sÔjl iu. iu.dój Ndú;d fkdl< hq;= T!IO yd wdydr ms<sn|j wid oekqj;a jkak' ffjoH Wmfoia rys;j m%;sÔjl Ndú;fhka j,lskak' • Tn hï lsis T!IOhlg fyda T!IO ldKavhlg wdid;añl;djla olajkafka kï ta nj Tfí ffjoHjrhdg mjikak' • hï frda.hlg ,ndÿka m%;sldrh wid¾:l ùu ksid kej; j;djla tu ffjoHjrhd fj; fyda fjk;a ffjoHjrhl= fj; fhduq jkafka kï" l,ska j;dfõ Tng ,ndÿka T!IO ms<sn|j ffjoHjrhdg mjikak' wms l;d lf<a m%;sÔjl .ek wxY= ud;%hla muKhs' iEu T!IOhlgu wÞ, w;=re wdndO yd wjodku fuu T!IO ldKavhg;a fmdÿhs' ta .eku jqk;a fndfyda foa l;dl, yelshs' tfy;a tod fuod;=r bgql, fufyh wka ish¨ T!IO ldKav wNsnjd hk ;rï'

T!IOfõ§ f.dams l%sIdka; o is,ajd

ZOONOSIS

iqkL n<,a f,dï ksid wmg frda. we;s fjkjdo@

iqkL n<,a f,dï ksid wmg frda. we;s fjkjdo@ m%cd úfYaI{ ffjoH wdßhfiak hQ .uf.a ,a,kaf.a iy n<¨kaf.a f,dïj,g fndfyda ñksiqka ;=< we;af;a mqÿudldr ìhls' fï nh n<¨ka flfrys jeämqr olskakg ,efnkafka n,a,kag jvd n<¨ka f.;=< .ejiSu jeä ksidh' tfiau Wka fndfyda úgu ìu isákjdg jvd Wvl ke. isàu m%sh lrk i;aj fldÜGdYhls' tA wkqj mqgqjla jeks fohla ;snqfKd;a ydïmq;=kag l,ska tys b|.kafka n<,dh' wfkl n<,d yeu úgu ;ukaf.a ksjfia ñksia idudðlhkaf.a fomfha ;u isrer we;s,a,Su m%sh lrhs' fï iEu fohlgu wkqj n,k l, n,a,kag jvd n<¨kaf.a f,dï ñksiqkag iam¾Y ùu jeäh' fï wkqj n<,a f,duj,ska úúOdldr frda. ^Zoonosis& je<f|a hehs ñksiaiq úYajdi lr;s’

usksia weiqfrys jir myf<dia oyil b;sydihla n,a,ka iy n<¨ka ñksia weiqfrys Ôj;a jkafka wol" Bfhal isg fkdfõ' tA jf.au jir fo;=ka iShl jeks ld,hl mgka o fkdfõ' ñksiqka YsIagdpdr .; ùug fmr jkfha Ôj;a jQ ovhï hq.fha§;a fï i;a;aj fofldÜGdih ñksia weiqf¾ isáhy' óg jir y;a oyilg muK fmr ñir YsIaGdpdrfhys n<,d foaj;ajfhka ie,l+ i;l= njg mqrd úoHd;aul idlaIs u.ska ikd: ù ;sfí' n,a,kaf.a w;S;h Bg;a wE;g Èjhhs' tA wkqj óg jir fÞf<diaoyia y;aish mkyl ld,hl isgu wfma rfÜ n,a,d ñksid weiqf¾ ys¢hs’ f,dalh .ek ie,l=fjd;a n,a,df.a w;S;h jir myf<dia oyils'

ñksidg jvd;a ióm ;sßika i;=ka jkafka;a fï fofokdh' tA .DydY%s; i;=ka f,i jeämqru ñksia jdifhys ys¢kafka Tjqka fofokd ksidh' fï wkqj n¨ f,dï iy n<,a f,dï Th ;rugu ñksiqkag úI iys; kï fï ;rï ld,hla fï i;aj foj¾.h yd ñksidg tlaj Ôj;a jkakg yels jkafka ke;' tlaflda ñksid ksid Wka j|fjkq we;' ke;akï Wka ksid ñksiqka j|fjkq we;' mrsiudma; fi!LHiïmkak nj Wfoid f,dal fi!LH ixúOdkh ñksidf.a fi!LH f,i i,lkafka ldhsl fi!LH muKla fkdfõ' ldhsl fukau udkisl yd iudÔh fi!LH hk ;=ku óg wh;ah' fï ;=fkka tlla fyda msßySu hkq ñksid frda.S ùuh' tA wkqj f,dal fi!LH ixúOdkh mjikafka fï ;=ku ukdj mj;ajd .ekSu iïnkaOfhka n,a,ka n<¨ka jeks iqr;,a i;=kaf.ka ñksidg

ffjoHjrhd - udisl ffjoH iÕrdj

úYd, msájy,la ,efnk njh' tfia kï fï i;=ka ksid ñksidg frda. fnda jkafka flfiao@ Wkaf.ka frda. fndajk wjia:d ;sfí' kuq;a f,dïj,ska kï fkdfõ' tfia kï tA ljr wkaoulgo@ c,NS;sld frda.fhka je<lSu i|yd l,g fj,djg tkak;a lrkak m%Odku frda.h jkafka fï i;=ka foj¾. hu ksid fndaúh yels c,NS;sld fyj;a f¾îia ^Rabies& frda. hhs' kuq;a c,NS;sld frda.h fï i;=kag je<£u j<lajk tkak;a ;sfí' tA wkqj tkak;a ,nd § fï i;=ka tu frda.h je<£fuka uqojd .; yels w;r túg ñksiqkag th je<£uo j<lajd .; yelsh' n<¨kaf.a f,dï ñksia YÍrh we;=<g .uka lf<d;a tA i|yd we;s tlu l%uh jkafka wdydr iu. ñY% ù uqLh yryd we;=,a ùuh' kuq;a th frda. hla je<£ug ;rï ldrKdjla fkdfõ' ukao b|ysg wm fkd±kqj;aju f,dï 2015 wfma%,a l<dmh

.ila lejqfKd;a ñi f,dï lsf,da .Kkla ;nd .%Eï .Kklaj;a wmg fkd±fkk mßos wfma YÍrhg we;=,a ùug yelshdjla ke;s neúks' ñksiqka úYajdi lrk wkaoug n<,a f,dï fyda n¨ f,dï wfma kdifhka Yajdi kd,hg we;=,a ù tA Tiafia .uka lrkafka ke;' kdihg Th jeks flkaola we;=,a jqfKd;a th wksjd¾hfhkau wmg ±fka' tA wkqj lsúiqï wdÈh msg lsÍu ;=<ska YÍrh W;aidy orkafka tu ud¾.hg we;=,a jQ fuu wd.ka;=l øjH m,jd yeÍugh'

n<¨kaf.a f,dï ñksia YÍrh we;=<g .uka lf<d;a tA i|yd we;s tlu l%uh jkafka wdydr iu. ñY% ù uqLh yryd we;=,a ùuh' kuq;a th frda.hla je<£ug ;rï ldrKdjla fkdfõ'

ZOONOSIS

iqkL n<,a f,dï ksid wmg frda. we;s fjkjdo@

weÿu frda.Ska m%fõYfuka'' n<,df.ka fndaúh yels fjk;a iqúfYaI frda. hla ke;' kuq;a weÿu frda.shl=g we;eï úg tu frda. ;;a;ajh u;=lsÍu i|yd fyda jeä ÈhqKq lsÍu i|yd n<,df.a YÍrfhka jd;hg tl;= jk l=vq úfYaIhla fya;=úh yelsh' idudkHfhka n<,d msßisÿj ys£ug m%sh lrk if;ls' W! ks;ru ;ukaf.a fl<j,ska YÍrh msßisÿ lrkafka tA ksidh' fufia f,dïj, fl< .EjqKq miq tu fl< f,dï u; ;ekam;a ù fõ,S hhs' n<,d Wf.a YÍrh lik wjia:dj, tu fõ¨kq oE l=vq f,iska jd;hg tl;= fõ' weÿu frda.shl=g b;d l,d;=rlska fï l=vq wd>%dKh ùu u; weÿu biau;= úh yelsh' kuq;a fuh yeu weÿu frda.shl= i|ydu n,mdk ;;a;ajhla fkdjk w;r n<¨kaf.ka ksl=;a jk fuu l=vq úfYaIhg jvd ¥ú,s" u,aj, mrd." iS;, mßirh jeks fjk;a úúO oE j,ska weÿu frda.h biau;= ùug ;sfnk wjldYh b;d jeäh' tA wkqj ne¨j;a n<,d ksid weÿu frda.h biau;= ùu b;d l,d;=rlska we;s jk ;;a;ajhls' tho iuyrekag ñi yefudagu n,mdk ;;a;ajhla fkdfõ' wfkl weÿu frda.h ì,s÷kag je<f|kafka o ke;' weÿu yg .kafka jhi wjqreÿ ;=k blau jQ orejkagh'

u;l ;nd .kak' Tfí ÿl ;=kS lsÍu i|yd W! fjkqfjka Tng jeh jqKq fohla ke;' ukao Tfí n;amf;a Tn b;sß lrk b÷,a ál W!g Wf.a nv mqrjd.kaakg m%udKj;a jk ksidh'

mKq frda. n,a,ka iy n<¨ka ksid we;eï úg mKq frda. fnda jk wjia:d;a ;sfí' kuq;a fï mKqjka fjk;a mKqjka fuka ñksidf.a wdydr ud¾.h Èf.a .uka lrkafka ke;' tA fjkqjg iu we;=<; ;ekam;a fõ' tys m%;sM,h jkafka iu leiSuh' mKqleú,a, hkqfjka .ïuqka mjikafka fï ;;a;ajhgh' fuh m%;sldr u.ska ksÜgdjg iqj l< yelsh' n,a,ka n<¨ka jeks iqr;,a i;=ka ksid ñksiqkg we;s jk jdis óg jvd fndfydah' ±ka wms tA .ek fidhd n,uq' is; iqjm;a lrhs Tfí is; fndfyda fihska ÿlg" wiykhg" mSvdjg m;aj we;s wjia:djl Tfí iqr;,a n,a,dg fyda n<,dg wdorh olajkak' W! fmr<d Tng olajk f,ka.;= m%;spdrh Tfí is;a mSvdj ;=kS lrkakg iu;a jkq we;' tfia;a ke;akï fuf,i

ffjoHjrhd - udisl ffjoH iÕrdj

isf;a wd;;shla we;s wjia:djl fudfyd;lg kej;S Tfí iqr;,a n<,d ;ksj fyda Wf.a j¾.fha tll= iu. ke;fyd;a fi,a,ï nvqjla iu. fl<s fi,a,fï fhfok wdldrh n,d ys¢kak' th Tfí is; wuq;=u m%fndaOhlska yd m%fudaohlska mqrjd ,kakg iu;a jkq we;' u;l ;nd .kak' Tfí ÿl ;=kS lsÍu i|yd W! fjkqfjka Tng jeh jqKq fohla ke;' ukao Tfí n;amf;a Tn b;sß lrk b÷,a ál W!g Wf.a nv mqrjd.kaakg m%udKj;a jk ksidh' Tng W! fjkqfjka úhoï jkafka Wf.a tkak;a iy wikSm jQ l, fí;afya;a i|yd muKs' W!g ksjfia fjku ldurhla we|la fjka lrkakg jqjukd;a ke;' <ne|s ñ;%hd Tn fjk;a flfkl=g nekafkd;a Tyq $ weh Tn yd wukdm fjhs' wka ljqre;a fkdj Tfíu orejd mjd Tn nekafkd;a Tn yd WrK jkq we;'

2015 wfma%,a l<dmh

kuq;a fï i;=ka tfia fkdfõ' Tn flaka;sfhka md myrla t,a, l< miqj jqjo kej; Tnf.a flaka;s ksù Tn W!g wdofrka l;d lf<d;a W! Tfí <Õg tkafka lsisÿ WrK njla m< fkdlr h' tksid ñksiqka fuka fï i;=ka Tnj m%fldamhg m;a lrkafka ke;' Tn Wkaj m%;slafIaam l<;a Wka ljÞj;a Tnj m%;slafIam lrkafkaj;a Tng olajk fifkyi wvqlr oukafkaj;a ke;' tA wkqj n,k úg ñksiqkaf. ka ,nkjdg jvd ;sridr jQ fifkyila Tn wdorh lrk iqr;,a i;df.ka Tng yeuÞu;a ,nd.kakg mq¿jk' Tn álla W!g wdorh lr n,kak' W! Tng f.dvla wdorh lrkq we;' Guide dogs ÈhqKq rgj, ck;dj fï i;=kg b;d by<ska i<l;s' Tjqyq úfYaIfhka n,a,kaj wkaO ñksiqkag u. fmkajkakka ^Guide dogs& f,i fhdÞ .kakd w;r yrl=ka neg¨jka jeks i;=ka wdrlaId lsÍu i|yd o fhdÞ .ks;s' tfiau ÈhqKq rgj, orejka ;reK úhg t<ö foudmshka yer .sh miq Tjqka ;ukaf.a md¿j uld .ekSu msKsi fndfyda úg lrkafka n,a,ka n<¨ka we;s±ä lsÍuh' úfYaIfhka fufia ;ks jQ hqj<lf.a ìß|$ieñhd o ñh.sh miq" Ôj;aj isák wfkla mqoa.,hd ;=< we;s jk empty nest syndrome kue;s wdndOh j<lajd .kakg iqr;,a i;=ka ksid úYd, yelshdjla ,efí' tksid n,a,ka n<¨ka wmg f,ka.;= kEoEhka ñi wmg úk lrk i;=rka fkdfõ' Wkaj ksjiska t<jd ±óu fkdlrkak' Wkag wdorh f,ka.;=lu olajkak' W! Tfí isf;a i;=g iekiqu j¾Okh ùug fndfyda foa fokq we;' Tfí l=vd orejd i;=ka weiqrg m;a lrkak' tu orejd wkd.;fha§ wdorh lreKdj wkqlïmdj y÷kk ixfõ§ is;la we;s mqoa.,hl= njg m;a ùug fuhu fyd| msájy,la jkq we;'

SHARED DEATH EXPERIENCES

ksfrda.S wh w;aú¢k urKdikak w;a±lSï

ksfrda.S wh w;aú¢k urKdikak w;a±lSï wfkHdkH urKdikak w;aoelSï ms<sn|j meyeos,s lsÍula yDo frda. úfYaI{ ffjoH kdu,a úchisxy wfkHdkH urKdikak w;a±lSï fyj;a shared death experiences flkl= urKdikak wjia:dfõ ,o yels urKdikak w;a±lSï ^near death experiences& j,g jvd iïmQ¾Kfhkau fjkiah' urKdikak mqoa.,hdf.a ióm;uhka ,nk w;aoelSula fï w;a±lSï we;s jkafka ñhhk fyda urKdikak ;;a;ajhg m;a jk mqoa.,hdg fkdfõ' tA mqoa.,hd ñhhkq olsk Tyqf.a$ wehf.a wdorŒh ×;shdg fyda fjk;a ióm;uhkagh' urKdikak w;a±lSï ,nk mqoa.,hd tA wjia:dfõ frda.Sj je;sr isáh;a" fuu wfkHdkH urKdikak w;aoelSï ,nkakd tA fudfydf;a hym;a YÍr fi!LHhlska miqjk wfhls' tA ;eke;a;df.a$;eke;a;shf.a fud<h" yDoh iy Yajik moaO;sh we;=¿ ish¨u bkaøshhka idudkH f,i l%shdldÍj mj;shs' fujeks w;a±lSï t;rï nyq,j jd¾;d fkdjqK;a fujeks isoaëka ms<sn| fidhd n,k úg th ;u ys;j;a flkl= ñh hk wjia:dfõ t;ek isák fndfyda fokl= ,nk w;a±lSula nj jgyd .ekSu wiSre fkdjkq we;' ;reKshl ú|s wmQ¾j w;aoelSu tla;rd ;reKshla widOH ;;a;ajfha miqjk ;u ujf.a we| wi, ìu jdäù isáhdh' fufia isák w;r u|fj,djlska wehg fmkS .sfha 90

l÷lr fmfoil msysá b;du;a w÷re WoHdkhl" fuhg fmr ñh.sh wef.a kekaod ;u uj tkf;la oE; os.= lrf.k n,d isák njh' bkamiq kekaod uj fj; meñK weh oE;ska je<| .;a w;r bka wk;=rej ujf.a w;ska w,a,d f.k fofokdu tlaj fndfyda ÿr wE;lg .uka lrkq fuu ;reKsh ÿgqjdh' fuu w;aoelSï ks¾jpkh jk yeá fujeks wfkHdkH urKdikak w;aoelSï idkqlïms; urKdikak w;a±lSï ^Empathic N.D.E.& f,iska fukau ixhqla; urKdikak w;a±lSï ^Conjoint N.D.E.& f,iska o y÷kajhs' fufia úúO mqoa.,hka ,nk urKdikak w;a±lSïj, m%Odk ,laIK lsysmhla ;sfí' fuhska tlla kï Tjqka úiska ñhhk mqoa.,hdf.a wd;auh tA ;eke;a;df.a isreßka kslau hk whqre oelSuh' rkajka fyda w¨ meyehg yqre f.da,dldr j,dl=,la jeks fohla ñhhk ffjoHjrhd - udisl ffjoH iÕrdj

mqoa.,hdf.a isref¾ by< fldgiska kslau hk wdldrhla oelSu fndfyda fofkla w;aú| we;s fohls' iudk;d w;aoelSï ;j;a iuyr wh ñhhk mqoa.,hdf.a isrerg iudk" kuq;a úksúo fmfkk m%;sudjla jeks fohla Tyqf.a$wef.a isreßka kslau hkq ±l we;' flfkl= ñh hk wjia:dfõ Tyq <Õska isák" Tyqg ys;j;a whl=g ±ksh yels ;j;a wfkHdkH urKdikak w;a±lSula kï ;uka o ;u isreßka ñ§ ñhhk ;u ys;j;d iu. wdf,dalhla we;s ;ekla foig hï ÿrla .uka fldg wdmiq meñK h<s ;u isrerg we;=,a ùuhs' fufia wfkHdkH urKdikak w;a±lSï úúO mqoa.,hka úúO whqßka w;aú¢h yelsh' ñhhk mqoa.,hd iy ;uka isák ldurfha cHdñ;sl m%udKh fjkia ùu fun÷ iuyreka ±l we;s ;j;a wfkHdkH urKdikak w;a±lSuls' tfia 2015 wfma%,a l<dmh

fjkia jk cHdñ;sl ;;a;ajh wm idudkHfhka f,!lsl jia;=jla úia;r lrk oaùudk fyda ;%sudk ;;a;ajhlg jvd iïmQ¾Kfhkau fjkia" jpkfhka úia;r l< fkdyels ;;a;ajhls' fï wkqj iuyr wjia:dj,§ yß y;/ia ldurh mqkS,hl yevfhka jqjo Èiaúh yelsh'

ñhhk mqoa.,hl= ,nk urKdikak w;a±lSï fukau ñhhk mqoa.,hl= <Õ isák flkl= ,nk fuu urKdikak w;a±lSï o úoHd;aulj ikd: l< fkdyels fohla f,i ye¢kaúh yelsh' ñhhk mqoa.,hl= ,nk urKdikak w;a±lSï fukau ñhhk mqoa.,hl= <Õ isák flkl= ,nk fuu urKdikak w;a±lSï o úoHd;aulj ikd: l< fkdyels fohla f,i ye¢kaúh yelsh' fndfyda úg tys§ úh yelafla ldhslj ksfrda.S jqj;a ;uka wdorh lrk ;ukaf.a ióm;uhl=f.a ñhhdu ksid ±ä udkisl jHdl+, ;;a;ajhg m;a jk flkl= w;aú¢k N%dka;suh ^Hallucination& ;;a;ajh ksid fujeks wfkHdkH w;a±lSï ,eìh yels njhs'

SHARED DEATH EXPERIENCES

ksfrda.S wh w;aú¢k urKdikak w;a±lSï

w;a±lSï ish,a, tljr we;s fkdjk w;r fuhska iuyr tAjd muKla Tjqka w;aú¢kq ,efí' l,d;=rlska wjia:djl ñhhk mqoa.,hdf.a we| wi, fkdisáh;a wE;l isák Tyqg wdorh lrk ys;j;au whl= jqjo fujeks wfkHdkH urKdikak w;a±lSï ,nkakg mq¿jk'

iquOqr jQ ix.S;hla flkl= ñhhk fudfydf;a Tyq iu. isák iuyrekag jpkfhka úia;r l< fkdyels ;rï iquOqr jQ ix.S;hlg ijka §ug bv ,eî we;' th fld;rï w,xldr ±hs úia;r lsÍug mjd Tjqka wfmdfydi;ah' ;j;a wh ú| we;s wfkHdkH urKdikak w;a±lSula jkafka hï mqqoa.,hl= ñhhk wjia:dfõ ldurh tlajru wdf,dalhlskao wdorfhkao msÍ hk njla Tyqf.a ys;j;=ka ±lSuhs' kuq;a fï wdf,dalh ienE wdf,dalhla fkdj tu wjia:dfõ§ laIKfhka ldurh mqrd me;sr .sh widudkH wdf,dalhla nj Tjqkg jegyS we;' u<jqka irK w;aoelSï wfkHdkH urKdikak w;a±lSï ,nk iuyr fofkla" ;u ys;j;a mqoa.,hd ñhhk wjia:dfõ§ Tyqg ys;j;aj isá Tyqg wdorh l<" kuq;a Bg fmr ñh.sh whf.a wd;auhka tu ldurh ;=<g we;=,a jkq ±l ;sfí' cSjk w;aoelSï flkl= ñhhk fudfydf;a tu mqoa.,hd Ôú; ld,h ;=<§ uqyqK ÿka Ôjk w;a±lSï Ñ;%mghl fuka fmfkkakg mgka .;a nj tu mqoa.,hd <Õska weiqre l< Tyqf.a ióm;uhka ol we;' by; úia;r lrk ,o" ish¨u wfkHdkH urKdikak w;a±lSï ,nk yeu fokdgu tA 92

úoHd;aulj ks¾jpkh lsÍfï wmyiqjla ñhhk mqoa.,hl= ,nk urKdikak w;a±lSï fukau ñhhk mqoa.,hl= <Õ isák flkl= ,nk fuu urKdikak w;a±lSï o úoHd;aulj ikd: l< fkdyels fohla f,i ye¢kaúh yelsh' fndfyda úg tys§ úh yelafla ldhslj ksfrda.S jqj;a ;uka wdorh lrk ;ukaf.a ióm;uhl=f.a ñhhdu ksid ±ä udkisl jHdl+, ;;a;ajhg m;a jk flkl= w;aú¢k N%dka;suh ^Hallucination& ;;a;ajh ksid fujeks wfkHdkH w;a±lSï ,eìh yels njhs'

ffjoHjrhd - udisl ffjoH iÕrdj

CARE... /ljrKh

Tn iqrlsk ffjoH mÍlaIK oeka je,a,j;af;a frdah,a fydiamsÜ,a fj;ska''' WELL WOMAN HEALTH SCREENING

 ffjoH b;sydih úuiSu (Medical history examination)  YÍr ialkaO o¾Ylh (BMI)  oDIAÀ mÍlaIKh (Distant vision)  mQ¾K reêr mÍlaIKh (FBC)  ESR reêr mÍlaIKh  reêr iSks mÍlaIKh (RBC)  wlaud reêr mÍlaIKh (SGPT/SGOT)  ;hsfrdhsâ .%ka:s mÍlaIKh (TSH)  mema ^.eíf.,& mÍlaIKh (PAP Test)  iïmQ¾K uq;%d mÍlaIKh (UFR)  u< kso¾Yl mÍlaIKh (Stool FR, Occult Blood )  ECG mÍlaIKh  mmqfõ úlsrK mÍlaIKh (Chest X Ray)  fY%daKsfha ialEka mÍlaIKh  kdßfõod;aul yuqj

RS. 7,500/-

ffjoH ks,Odßfhl= úiska ish¿u jd¾;d iudf,dapkhg ,la flf¾'

frdah,a fydiamsÜ,a bgq lrk fiajd iuyrla  24 meh l%shd;aul (OPD)  24 meh l%shd;aul Tiqi,  24 meh l%shd;aul ridhkd.drh  úfYaI{ ffjoHjreka yuqj (Channel Consultation)  B pek,ska fiajh (E Channeling)  kùk Y,Hd.drh  iQ;sld myiqlï  frda.S fkajdisl myiqlï  ICU ^oeä Wmia:dk fiajd&  tkafvdiafldms  ialEka mÍlaIK (USS)  CTG  fi!LH mÍlaIK (Medical Health Check up)  .s,ka r: fiajd  oka; iy uqL Y,Hl¾u  äcsg,a tlaia f¾ ;j;a fndfyda myiqlï''' 2015 wfma%,a l<dmh

Royal Hospital (Pvt) Ltd # 62, W.A.Silva Mawatha, Wellawatta, Colombo - 06, Sri Lanka. Hot Line - 0094 - 11-2559268 General - 0094 - 112586581/2584212/259756 Fax : 0094 - 11-2597698 E-mail : manager@ royalhospitals.com

DENTAL CARE

Bridging The Gap With Dental Bridges

kùk oka; ffjoH úoHdfõ ydialï

oka; md,ï oka; Y,H ffjoH pkaok .ckdhl BDS MSc, IAO (Orth.)

oka; md,ï

.x`.djla fomi jk k.r folla hd lrk md,ula ;ekSfuka fndfyda msßilg úmq, m%fhdack ,efnk nj ms<s.;a lreKls' tfukau wysñjq o;a j,g idudkH" idïm%odhsl o;a we|s fjkqjg tu b;sßj we;s o;a hd flfrñka iaÓrj iúlrkq ,nk oka; md,ï j,skao (Dental Bridges) fi!LHuh wxYfhka fukau YÍrd,xldrh .ek ie<lSfï§ úmq, m%fhdack w;afjhs' wjYH;djh u;= fõ idudkH o;a we|s Ndú;d lsrSfï§ tajd leã hk wjia:do" mqoa.,hd jhia .; ùfï§ úÿreuia j, mgl yelsf,k neúka o;a we|s fi,ùu" nqre,aùuo" we;eï wjia:dj,§ o;a we|s bj;g úisùu ksid wj{djg ,laùug isÿùu jeks foa isÿjk w;r fuu kùk Dental Bridge l%ufha§ tjka wjdis iy.; ;;a;ajhla lsisfia;au ±lsh fkdyelshs'

ffjoHjrhd - udisl ffjoH iÕrdj

we;eï úfYaI W;aij wjia:dj,§ wêl îu;alu ksid o;a we|s o iu. jukh isÿùfuka we;sjq wmyiq;d iy ,cacdjg ,laùï ms<sn| f;dr;=re mqj;am;aj,o i|yka úh' ^uOHidr mdkh YÍr fi!LHhg fukau uqL fi!LHhgo b;d wys;lr w;r thska ,efnk oyil=;a tlla wjdis w;r by; i|yka lreKqo ±laúh yelsh'& ±ka wm fuu M,odhS zziaÓr o;a we|sZZ Dental Bridge ms<sn| u|la lreKq úuid n,uq' ld¾ñl úma,jfhka miqj ngysr rgj, úYd, wd¾Ól j¾Okhla we;s úh' tu ksid ñksiqka úYd, f,i ld¾h nyq, jq w;r t;=<ska ilia lrk ,o wdydr" iSks$meKs ri wêl f,i wvx.= w;=re wdydr (snacks) Ndú;hg .kakg mqreÿ úh' túg hqfrdamd rgj, ñksiqkaf.a o;a wêl f,i Èrd hdug mgka .kS' flá ld,hl§ o;a b;d úYd, jYfhka 2015 wfma%,a l<dmh

.,jd bj;a lsÍu (extractions) isÿjkq w;r lD;%Su o;a iú lsrSfï l%u t;rï jeä ÈhqKq ke;s ksid;a .,jd kej; iú l< yels o;a we|s (Removable dentures) iúlsÍfï l%uh m%p,s; úh' kùk hq.fha o;a lD;%suj iú lsÍfï l%u iy tys ;dlaIKh úYd, ÈhqKqjg ,la úh' oka; Y,H úoHd - tod iy wo oka; fi!LH ms<sn|j Wkkaÿj iy wOHdmk m%ia:d jeä jq ksid b;d úYd, jYfhka o;a W.=,a,d ±óu ±ka t;rï isÿ fkdfjhs' kùk iudch o;la wysñ ùu fyda idïm%odhslj lD;%Suj o;a ±óugo t;rï leu;a;la fkdolajk w;r th uqyqK wj,iaik ùula f,io i<lhs'

wysñ jQ o;

hdno o;a

oka; md,ï

oka; md,ï ia:dk.; lsÍu 95

DENTAL CARE

oka; md,ï

tu ksid ñksiqka jv jvd;a uqo,a yd ld,h úhoï lr ;sfnk o;a wdrlaId lr .ekSug;a ^iakdhq msrùu jeks& iajNdúl o;a j,g iudk ^.e,ùu iy kej; iú lsrSu jeks lrorldß ls%hdj,ska f;dr& o;a we|s iúlr.ekSug leu;a;la olajhs' oka; wêfrdamK (Dental Implant) meñKSug l,ska fï i|yd ;snqKq iqÿiqu l%uh dental bridge iy post crown ^oka; YS¾Ih& iúlsÍuh' ±ka wm dental bridge ms<sn|j uola lreKq úuid n,uq' fuys§ wysñ jq o;la fyda o;a lSmhla fjkqjg lD;%su o;a .e,ùug wjYH fkdjk mßÈ iú lsrSu isÿ flfrhs' ta i|yd wdfoaYl o;a iúlrk ysvig fomiska we;s ia:r o;a 2 la fyda lSmhla wdOdr fldgf.k tu o;aj,g wdfoaYl o;a md,ula f,i iú lsrSu isÿ flfrhs' oka; md,u wk.s fidhd.ekSuls fuu wdfoaYl o;a ksmojd we;af;a f,dayuh iels,a,lska yd th wdjrKh lr we;s fmdaisf,aka ljrhlsks' fuys f,dayuh iels,af,ka Yla;sh ,ndfohs' fmdaisf,aka ia:rfhka jvd m%sh ukdm fmkqula $iajNdúl fmkqula ,ndfohs' fuys f,day i|yd l,ska Ndú;d lrk ,oafoa r;a;rka jqjo ±ka Co, Cr ^fldfnda,aÜ iy fl%dañhï f,day ñY%Khla& Ndú;d lrhs' fuu l%uh idfmalaIj ñ, wêl neúka óg jvd ñ, wvq wuqøjH fhdodf.k Dental Bridge idokq ,nk wjia:d o we;' iuyr wjia:dj, § fuu l%uh ;djld,sl Bridge l%uhla f,io §¾>ld,Sk Dental Bridge l%uhla f,io Ndú;d lrhs' fï wjia:dfõ§ o;a ie§u i|yd Ndú;d lrkafka Acrilgec ma,diaála jeks Resin tlla' fï l%ufha§;a f,day l+rla u.ska fuu wdfoaYl o; fyda o;a fomi we;s ia:sr o;aj,g iïnkaO flfrhs'

fuys§ o;a 2-3 iú lrkafka kï wêfrdamK rys;j o o;a 4 la fyda Bg jvd iú lrkafka kï wêfrdamK iys;j o m%;sl¾uh lrkq ,nhs' fuys wêfrdamK hkqfjka yeÈkafjkafka lD;%suj iúlrkq ,nk of;ys wdOdrh i|yd o;a;diaÓhg iúlrkq ,nk jHqyhkah' fï ms<sn|j wm óg by; ,smshlskao úia;r lf<uq' fuu.ska Dental Bridge yS iúYla;sh iy l,ameje;au jeä flfrhs' oka; md,ï iSud fuu ;dlaIKfha§ fomi we;s ia:sr o;aj, fi!LHh b;d jeo.;a fjhs' tu o;aj, fi!LHh ÿ¾j, kï fyda tajd fi,fjhs kï wdfoaYl o;aj,g wys;lr f,i n,mEug yelsh' ula ksido h;a hï fya;=jlska tu fomi we;s o;a bj;a lsrSug isÿjqjfyd;a wdfoaYl o;a o bj;a lsÍug isÿjk ksidh' idudkH o;a wekaola ie§ug Ndú;hg .kafka ma,diaála j,g iudk Acrilic Resin kïjq

ffjoHjrhd - udisl ffjoH iÕrdj

nyq wjhjlhla' fuh t;rï by, Yla;su;a uÜgul fkdmj;S' tu ksid fïjd leãï ì`Èï j,g ,laù w¿;ajeähd lsrSï j,g ,la lsÍug fyda kj o;a we`È ±óug isÿúh yelshs' wdydr yemsfï§ we;sjk >¾IKh ksid f.ùï j,go ,laúh yelshs' kuq;a Bridge tll f,dayuh iels,a,la we;s ksid iúYla;sh w;ska b;du by,h' fï wkqj ne,Sfï§ Dental Bridge j, idïm%odhsl o;a wekaolg jvd my; i|yka jdis we;' 1' Yla;sh w;ska by, jkafka tys f,dayuh iels,a,la we;s ksidh' 2' fmdaisf,aka ljrhla we;s ksid idudkH o;lg fndfyda ÿrg iudkhs' 3' fuys§ iúlrkq ,nk o;aj, ;,a,la ke;s ksid l:d lsÍfï§ wdydr wkqNjfha§ úfYaI yqreùula wjYH ke;' 4' tfukau tf,i ;,a,la fkdue;s ksid ri ±kSfï§

2015 wfma%,a l<dmh

iajNdúl ;;a;ajhg wdikak fjhs' 5' ks;r .,jd iqoaO lsÍsug wjYH ke;s neúka úfYaI kv;a;=jla wjYH fkdfjhs' tfukau fuu lD;su o;a .,jd ;eîula wjYH fkdjk ksid úIîc we;=¿ùula isÿ fkdfjhs' 6' fuh o;a iaÓrju iúlrk ksid nqre,a ùula isÿ fkdfjhs' tneúka idudkH o;a we|s fuka leiailÈ úisùula" jukh ±ófï§ t,shg úisùula W.=f¾ ysrùula isÿ fkdfjhs' fuu ì%ca oud we;s úg ie,ls,a,g .; hq;= úfYaI lreKq ( 1' o;a w;r ;=r msßissÿ lsÍu i|yd Wkkaÿ úh hq;=h' (Interdental cleaning) fï i|yd úfYaIs; n%Ia j¾. we;' 2' oka; ffjoHjrhd úiska ks¾foaY l<úg wjYH lrk uqL fYdaOl Ndú;d lrkak' udi 06 lg jrla j;a oka; ffjoHjrhd ,jd o;a mÍlaId lr.kak' Dental Bridge uE; ld,Sk w;S;h fujeks Dental Bridge fyda thg iudk jHqyhla uq,skau olakg ,eî we;af;a fuhg jir 2600 lg muK fmr mqrdK frdau YsIaGdpdrfhaÈ nj b;sydifha i|yka fjhs' tys§ f,dayhla f,i r;a;rka Ndú;d lr we;' tfukau bÈßmi iajNdúl o;a bj;a lr r;a;rka o;a iúlrk l%uhlao Ndú;fha mej;=k nj fy<s fjhs' tjka l%u ldka;djla úfYaIfhkau Ndú;d l< w;r th Tjqkaf.a iudc$ wd¾:sl ;;a;ajfhys ms<sìUqjla f,i i,lk ,§' r;a;rka l¾udka; j,g olaI frdaudkq YsIaOdpdrfhka miqj we;sjqKq Ök YsIaGdpdrfhys§ ms`.ka ueáj,ska lrk l¾udka; (porcelain) m%p,s; ùu ksid ì%ca i|yd o tu fmdisf,aka Ndú;d lrk ,§' wmf.a fuu kj ;dlaIK hq.fha§o Ndú;d lrkqfha fmdaisf,aka j,ska idok ,o jeäÈhqKq l, ì%ca j¾.hkah'

idlÉPd lf<a - Ydka; fyhshka;=vqj 97

CHEST X - RAY

IMAGING

w;s iq,n úlsrK mÍlaIdj

CHEST X - RAY úlsrK m%;sìïn tallhla ;=< jvd;au iq,nj isÿlrk mÍlaIKh ljfrla o@ ffjoH lafIa;%h ;=< ish¿ fokdu okakd wdldrhg ta Chest X-ray fkdfyd;a mmqj úlsrK mÍlaIdjg ,la lsÍuhs¡ úlsrK mÍlaIK úYd, m%udKhla w;f¾ jvd;au iq,n úlsrK mÍlaIKh Chest X-ray ms<sn|j wo wfma úuiqï wei fhduq lruq¡

úlsrK m%;sìïn ,nd.kafka ta ms<sn|j ukd mqyqKqjla ,o úlsrK ;dlaIK{hka úisks¡ wju ydkshla jk wdldrhg yd Wmßu m%;s,dNhla frda.shdg ,efnk wdldrhg fï ld¾hh ksu lsÍu Tyqf.a j.lSuhs¡

ffjoHjrhd - udisl ffjoH iÕrdj

mmqfõ úlsrK PdhdrEm jvd;a iq,n úlsrK mÍlaIdjla njg m;ajQfha flfiao@ mmqfõ Chest X-ray tlla .ekSfuka wm úúO m%ia;+ka úuiqug ,la flfrhs¡ th yDoh jia;=j wdY%s;j ,nd.kakd úlsrK m%;sìïNhhs¡ fmky¿ wdY%s;j ,nd.kakd úlsrK m%;sìïnh jkafkao Chest X-ray mÍlaIdjhs¡ ta yereKq úg fï w;sYh jeo.;a b÷rka jg lr.;a wiaÓ /ila Chest X-ray jmißhg wh;a fõ¡ cS¾Kl wjhj j, uq,a Nd.h tkï .,kd,h úuiSu wh;ajkafkao Chest X-ray wdY%s;jhs¡ fï wdoS jYfhka Ndú; /ilg Wmfhda.S ùu ksid Chest X-ray mÍlaIKh b;d iq,nh¡ fmKy¿ wdY%s; widudkH;d ye|skSug • ;r, msÍu ksõfudakshdj fn%dkalhsáia we÷u yd ms<sld fldaIaG wdosh • yDoh wdY%s; wiudkH;d ye|skSug 2015 wfma%,a l<dmh

• yDoh wdY%s; ;r, (pericardial effusion) yDoh úYd, ùu (enlarged heart) yDo wlrKSh (Heart failure) yDofha wiudkH ldh jHÉfPaoh (Abnormal anatomy) • wiaÓ.; widudkH;d N.ak msmsÍï ye|skSug mÍlaIKh i|yd iQodkï jkafka flfiao@ fuu mÍlaIKh i|yd úfYaI ms<sfh, ùula wjYH fkdfõ¡ úlsrK tallfhaoS Tfí f., me<os ud," w;a j, j<¨" ysfia fldKav lgq" la,sma wdosh ;sfí kï bj;a l< hq;=h¡ Wvqlh we÷ï bj;a lr úlsrK wxYfhka ,ndfok fnd;a;ï ke;s lmq we÷ï we`.,d .; hq;=h¡ m%;sìïnh .ekSug isáh hq;= bßhõj Tfí mmqj wdOdrl /|jqul iam¾Y jk fia hka;%hg msgqmd isáh hq;=hs¡ oE;a bfkys ;nd Wrysia mq¿,a jkfia fow;a fomig úodrKh l< hq;=hs¡ kslg isria wdOdrlfha ;nd.; hq;=hs¡ Tng úlsrK ud;%dj ksrdjrKh lrk ksfïIfha Yajikh u|lg k;r lr.kakd f,i Wmfoia fokq we;¡ th isÿ lrkafka m<uqj .eUqre yqiaula by<g weo ta jd;h fmky`M ;=< isrlr .ksñks¡ (Deep inspiration) úlsrK ;dlaIK{hd tu úOdkh ,ndÿka miq Bg wkq.;j yqiau uolg kj;ajd B<`. ksfïIfhaoS Yajikh mj;ajd .kak¡ jeo.;a # Chest X-ray m%;sìïnfha fmky¿ jvd;a meyeos<sj o¾YKh lsÍug fï Yajikh ksfïIhlg w;aysgqùu wjYH fõ¡ X lsrK u;ska m%;sìïnh ksmofjk yeá Tn ia:dk.; ù úlsrK m%jdyhg fhduq jQ l,a yS Tfí isrer u;ska ta yryd PdhdrEm ;yvqjla olajd X lsrK .uka lrhs¡ fmky¿ u;ska lsrK m%jdykh lsÍfïoS Wria l=yrh ;=< tlsfklg fjkia >k;aj j,ska hq;a wjhj yryd fï úlsrK wjfYdaIKh lr.kafka úúO m%udK j,sks¡ tu wjhj j,ska Wrd.kakd úlsrK m%udKho msglrk úlsrK m%udKo 99

IMAGING

tlsfklg fjkia h¡ úlsrK ;yvqj u; m%;sìïnh we;s fjkafka fï fjkialï i<ld n,ñks¡ wjidkfhaoS idudkH PdhdrEmhla iqoaO lrk wdldrhg iudk wdldrhlska iqoaO lr ffjoHjrhdg fhduq flf¾¡ mmqfõ úúO m%lafIamK jvd;a iq,n mmqfõ PdhdrEmh Chest Xray antero posterior fõ¡ ta yereKq úg wjYH fldgi wkqj PA Left lateral, right latereal, oblique, Apical wdoS tlsfklg fjkia me;slv olajk m%;sìïn f,i ,nd.; yel¡ úlsrK m%;sìïn ,nd.kafka ta ms<sn|j ukd mqyqKqjla ,o úlsrK ;dlaIK{hka úisks¡ wju ydkshla jk wdldrhg yd Wmßu m%;s,dNhla frda.shdg ,efnk wdldrhg fï ld¾hh ksu lsÍu Tyqf.a j.lSuhs¡ wfma rfÜ fï iïnkaO ffk;sl m%;smdok mrudKql Yla;s wêldßh u.ska mj;ajdf.k hhs¡ úlsrK m%;sìïn jd¾;d lrkafka fï iïnkaO úYsIaG m%udKsl oeKqu fyì jkafka úlsrKfõoS ffjoHjrhdghs¡ ta yereKq úg ldhsl frda. ffjoHjreka we;=¿j iqÿiqlï ,;a ffjoHjrekag ksÍlaIKh lr m%;sldr ie,iqï l< yelsh¡

100

CHEST X - RAY

úlsrK mÍlaIKj, ioa wruqK úlsrK mÍlaIK hkq wka;rdhldÍ úlsrK Ndú;d lr isÿ lrk mÍlaIK wdldrhls¡ thg ksrdjrKh jk frda.shd hï wjodkulg ,laùu neyer l< fkdyelalls¡ tfiau ta yiqrejk yd tu wxYj, fiajh lrk who hï wjodkulg ,la fõ¡ hï frda.sfhl= úlsrK mÍlaIdjg ,la lsÍfïoS bka Tyqg we;sjk wjodku blaujd tu mÍlaIkh isÿlr ta Tiafia Tyqf.a frda.h iqj lsÍfuka Tyqg ,efnk m%;s,dNh jeäkï tu mÍlaIKh hqla;s idOdrKh¡ ´kEu úlsrK mÍlaIdjla isÿlrkafka fï wruqK fmroeß lr.ksñks¡ fï ksid frda.sfhl= jYfhka hï mÍlaIdjg fhduq ùug ks¾foaY l< úg tu ks¾foaYh ,efnkafka ksjeros ;efklska kï th isÿ lsÍug Wlg,S fkdúh hq;=h¡

ffjoHjrhd - udisl ffjoH iÕrdj

RHESUS FACTOR

iajdñmqreIhdf.a yd Nd¾hdjf.a reêrh fkd.e,msfuka we;sjk

ßiia wjq, lsfklg mriamr reêr idOl ;sfnk úg ,efnk orejdo ßiia Ok fyda ßiia iDK hk ljr reêrhla jqj ysñlr .ekSfï bvlv mj;S¡

uj ßiia iDK ù orejd ßiia Ok jqjfyd;a we;af;a fkd.e,mSula uq;a úfYaI wjia:dj,oS ñi orejdf.a reêrh ujg mßjykh fkdfõ¡ túg ujf.a isrerg orejdf.a ßiia iDK reêrh uqyqKa fkdfõ¡ fï reêr j¾. fol ñY% jkafka orejd m%iQ; lrk wjia:dfõoSh¡ fï wdldrfhka ßiia Ok yd ßiia iDK reêrh ñY% ùula fjf;d;a th ixfõoSlrKhls' (Sensitization) fï wkqj reêrfha fkd.e,mSï m<uq orejdg fkdn,mdk nj lsj hq;= h¡

tfia kuq;a m%ijh isÿjk wjia:dfõoS ßiia Ok reêrh ujf.a isrerg tl;= fjhs¡ túg Bg tfrysj ujf.a isrer ;=< m%;sfoay iEfohs¡ tajd Anti- D f,i ye|ska fõ¡ kej;;a j;djla fï ldka;dj .eí.;a úg Wmosk orejd ßiia Ok jk l,ayS fï ujf.a isrer ;=< we;s m%;sfoay wirK l<,fha reêrh ì| oud orejdf.a r;= ffi, úkdY lrhs¡ orejd kSrla;shg" YÍrh lyùug ,la fjhs¡ fujka orejl= y÷kajkafka ßiia orefjl= jYfhks¡ fujka orejka fírd .ekSug we;s tlu l%uh jkafka l%ufhka fuu orejdf.a isrer ;=< we;s reêrh 2015 wfma%,a l<dmh

ßiia wjq,

bj;a lr ta fjkqjg tosßjdolï ke;s reêrh ,ndoSuhs¡ fï l%shdj,sh exchange transfusion f,i ye|skafjhs¡ fï ujf.a reêrh yd orejdf.a reêrh w;r we;s tosßjdoslu k;r lrkafka flfiao@ ujf.a isrer ;=< ;sfnk Anti - D m%;sfoay úkdY l< yels kï orejdf.a r;= ffi, úkdY ùula ke;¡ Tn óg fmro wid we;s frda.ï keue;s fnfy; isÿ lrkafka fï ld¾hhhs¡ orejdf.a yd ujf.a reêrh ixfõoSlrKh ù meh 72 la we;=<; frda.ï ,ndosh hq;=h¡ th m%udo ù ,nd ÿkak;a m,la ke;¡ .eí.;a miq .íidjla reêr jykhla isÿ jqj;a frda.ï ,nd osh hq;= jkafka o ujf.a reêrh ixfõoslrKh jk neúks¡ wfma iuyr frday,aj, wjYH .eìks ud;djkag fï frda.ï tkak; ore m%iQ;shg fmr i;s 28 yd i;s 32 hk wjia:dj,oS ,nd fohs¡ frda.ï ñ, wêl tkak;ls¡ ta ksid nyq;rhla fokd th ,nd fokafka m%iQ;sfhka fmr tla j;djls¡ 101

SNIPPET

wef.a l;dj fy<slrk ri ryi

l=re,E yefokak j;=r - fmdfydr

l=re,E we;sùug fya;=ldrl jk idOl • iu >¾IKhg ,lafjk wd.ka;=l øjH ^fy,auÜ f;dmams wdÈh& • Make -up ±óu • we;eï T!IO j¾. ^wmiaudrhg yd úYdohg .kakd T!IO úfYaIhs&' • jeäúh m;aùfï§" udifha Tima pl%fha úúO jljdkq j,oS we;sjk fydafudakuh n,meï • Wm;a md,k fm;s .ekSfï§ keje;aùfï§ we;sjk fydafudakuh fjkialï • l=re,E ms<sn|j mjq,a b;sydih

l=re,E f,vla fkdfjhs' ysßyerhla' we;euqka jo fjk f,iska kï th j; lu,g wj,laIKhla' t;a cSú;fha NHd.Hjka; jq fh!jfkdaoh t<efUk úg l=re,E tlla folla fyda we;s fkdjkjd kï th mqÿuhla' l=re,E lshkafka fudkjdo@ wfma ifï f;,a iys; .%kaÓ ;sfnkjd' thska ksmofjk øjH Sebum jeämqr tla /ia ù ta l+m j, uqød fjk øjHh ;uhs Tfí uf.a l;d nfyaoSs zzl=re,EZZ lshkafka' bÈka fuhg flfkl=f.a fm!oa.,sl iajia:Hh wkqj l=Kq" nelaàßhd§ cSjdKq tla fjkak;a mq¿jks' j.djla id¾:l fjkak kï j;=r ´ks' fmdfydr ´ks' id;a;=j ´ks' l=re,E uqyqfKa j.dfjkakwm wkjYH f,i ie<l=j;a - we;eï øjH j;=r fmdfydr jf.a l%shd lrkjd' ta .ek ±k isàfuka" yels mshjr fõ kï tajd fkdmudj .ekSfuka fï l=re,E we;sùu md,kh lrkak mq¿jks'

102

ffjoHjrhd - udisl ffjoH iÕrdj

LABORATORY TESTS

Medical Laboratory Tests

Full Blood Count mÍlaIdj ridhkd.dr ld¾ñl úoHd{ wd¾¡ta¡ã¡à¡ m%sho¾YkS úisks

Full Blood Count mÍlaIdfõoS reêrfha ksYaÑ; mßudjl wvx.= ffi,uh ix>gl jk r;= reêr ffi," iqÿ reêr ffi," reêr mÜáld ixLHdfõ m%udKh .Kkh lsÍula yd reêrfha ksYaÑ; mßudjl wvx.= jk ysfuda.af,daìka m%udKh uekSula isÿ flf¾¡ fuu .Kkh lsÍu ir, WmlrK fhdodf.k iïm%odhdkql+,j (Manual methods) fyda iajhxl%Shj l%shd lrk hka;% ud¾.fhka (Automatic system) isÿl< yel¡

2015 wfma%,a l<dmh

Full Blood Count mÍlaIdj

fuu mÍlaIKh i|yd wod< mqoa.,hdf.a fmr iQodkï ùu wkjYH jk w;r ojfia ´kEu fõ,djl ,nd.kakd reêr idïm,hla reêrh leá fkd.efik ridhk øjHhla ^Wod# E.D.T.A. Ethylenediamine tetra acetic acid) wvx.= Ndckhlg tl;= lr fyd|ska ñY% lrkq ,efí¡ fuu úfYaIs; ridhk øjH u`.ska reêrh leá fkd.eiS idïm,h m¾fhaIKhg Ndckh lrk ;=re ldur WIaK;ajfha ;nd.; yel¡ Full blood Count mÍlaIdfõoS ,nd.kakd o;a; White blood cell count (WBC) ksYaÑ; reêr mßudjl wvx.= iqÿ reêr ffi, ^Yafõ;dKq& ixLHdjhs¡ ksfrda.S mqoa.,hkaf.a ia;%S mqreI Ndjh wkqj jhi wkqj Yafõ;dKq ixLHd mrdifha iq`M fjkialï oelsh yels kuq;a th o< jYfhka 6000/mm - 11000/ mm Differential count reêrfha wvx.= úúO iqÿ reêr ffi, j¾.j, ^kshqfg%d*S," 103

Full Blood Count mÍlaIdj

LABORATORY TESTS

bfhdisfkd*s," ,sïfmdihsg& m%;sY;h .Kkh lsÍu wksùlaIh Ndú;fhka fyda iajhxl%Sh hka;% u`.ska isÿ flf¾¡ ksfrda.S mqoa.,fhl=f.a fuu w.hka wdikak jYfhka N 54% L 42% E 02% M 01% B 01%

ysfuda.af,daìka r;= reêr ffi, j, wvx.= fm%daàkhla jk w;r th YÍrfha Tlaiscka mßjykhg Woõ fõ¡ msßñ # 13¡0-16¡5] ldka;d # 11¡5 -14] Pack Cell Volume (PEV) Haemotocrit fuysoS reêrfha r;= reêr ffi,j, mßudj iïmQ¾K reêr mßudfõ m%;sY;hla f,i olajhs¡ fuys idudkH w.h ia;%s mqreI Ndjh wkqj iq¿ fjkiaùï fmkakqï lrhs¡ ksfrda.S mqreIfhl=f.a fuu w.h 38 -48] .kakd w;r ksfrda.S ia;%shlf.a 36 - 46] m%udKhla fõ¡

fuu w.hkaf.a ksfrda.S úp,Hhka fjkia úh yel¡

Mean Cell Volume (MCV) fuysoS PCV w.h yd RBC Count w.hka Wmfhda.S fldg f.k r;= reêr ffi,hl idudkH mßudj (average volume) .Kkh lsÍu isÿ lrhs¡

Red Cell Count (RBC) fuh ksYaÑ; reêr mßudjl wvx.= r;= reêr ffi, ixLHdjhs¡ ksfrda.S mqoa.,fhl=f.a r;= reêr ffi, .Kk o< jYfhka

Mean Cell Haemoglobin (MCHC) ksYaÑ; r;= reêr ffi, mßudjl wvx.= ysfud.af,daîka m%udKfha idudkH fuysoS .Kkh flf¾¡ fï i|yd ksYaÑ; reêr mßudjl wvx.= ysfud.af,daîka m%udKh yd PCV yS w.h Wmfhda.S fldg .efka¡

msßñ # 4.2-5.5 x 1012// 3.75.0 x 1012// ldka;d # 4.2-5.5 x 1012// 3.75.0 x 1012// Haemoglobin (HB) fuh ksYaÑ; reêr mßudjl wvx.= jk ysfuda.af,daìka m%udKhhs¡ 104

Platelet count ksYaÑ; reêr mßudjl wvx.= reêr mÜáld ixLHdjhs¡ reêr mÜáld reêr leá.eiSu i|yd iqúfYaIS ld¾hhla bgq lrhs¡ ksfrda.S mqoa.,fhl=f.a reêrfha reêr mÜáld ixLHdj 150000-400000/cmm w.hla .kakd w;r th 150-400 x 109/L f,io oelaúh yel¡ MCH (Mean Cell Haemoglobin) r;= reêr ffi,hl wvx.= ysfuda.af,daîka m%udKfha uOHkH w.h fõ¡ fuh wdikak jYfhka 28-35 Pg w;r fõ¡

ffjoHjrhd - udisl ffjoH iÕrdj

wdhq¾fõoh

ueá''' ùÿre''' whsia wdosh wkqNjh'''

le<Ksh úYAj úoHd,hSh" hlal," .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha bosßm;a lsÍuls'

wfma we;euqka ;=< we;s f,duq oeye .kajk wdydr mqreÿ ueá''' ùÿre''' whsia wdosh wkqNjh''' hlal, le,Ksh úYajúoHd,hSh .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha ffjoH î m’ wd¾ fmf¾rd úisks

wdydr hkq i;a;ajhd f.a Ôú;h mj;ajd .ekSu i|yd w;HdjYH idOlhls' wdhq¾fõohg wkqj mxpN+; j,ska ks¾udKh jQ YÍrh fmdaIKh lsÍug mdxpfN!;sl jQ yd Iâ rifhka imsß wdydr fõ,la ,nd .; hq;= jk w;r fuu ixl,amh kQ;kfha ldfndyhsfâ%Ü" fm%daàk" fïo" úgñka yd Lksc ,jK j,ska hqla; iun, wdydr fõ,la f,i olajhs' wdydr .ekSfï uQ,sl mrud¾:h Ôú;h mj;ajd .ekSu jqj o YÍrh mskùu o wdydr .ekSfï l%shdj,sh ;=< .eí ù mj;S' hï úfgl wdydrh tys uQ,sl mrud¾:h fkdj w;=re mrud¾: muKla bgq lrhs kï th wdydr f;dard .ekSfï yd mßfNdackfha .eg¿ldÍ ;;a;ajhla ksid Woa.; jQjla nj is;sh yelsh' lsis÷ fmdaIK .=Khla tla fkdlrk wdydr fkdjk øjH ñksid f.a wdydr mqreÿ wdY%s;

2015 wfma%,a l<dmh

105

wdhq¾fõoh

ueá''' ùÿre''' whsia wdosh wkqNjh'''

.eg¿ldÍ ;;a;aj rdYshla w;=ßka by; >Kfhys ,d .efkk ;;a;ajhla jkafka" YÍrhg lsis÷ fmdaIK .=Khla tla fkdlrk —wdydr fkdjk øjH˜ wdydr f,i mßfNdackh lsÍuhs' fuh kùkj —Pica˜ f,i ye¢kafõ' Pica hkq wdydr fkdjk øjH wdydrhg .kakd wjia:d /ila i|yd fmdÿ fhÿu ls' Pica pica hkq fmd,alsÑ j¾.fha mËsfhl= i|yd fhfok úoHd;aul kduh jk w;r tu mËshd ;ud wjg we;s fndfyda oE wdydr f,i .ekSu ksid fuu ;;a;ajhg Pica hk fhÿu fhÿKd úh yel' Pica ;;a;ajh yd mdKavq frda.h wdydr fkdjk øjH f,i mia" ueá" ùÿre" whsia" ixialrKh fkdlrk ,o ;sßÕ= msá" ,S wdÈh wdydrhg .ekSu ±laõh yelsh' fuys§ whsia yer fndfyda øjH úh<s" l=vq jYfhka mj;S' tla jrla fyda fojrla" w;miq ùulska fuu øjH YÍr.; ùu Pica ;;a;ajh fkdfõ' idhkslj y÷kd.ekSug fuu ;;a;ajh uilg jeä ld,hla wLKavj mej;sh hq;= w;r fuu øjH mqoa.,hd úiska oekqj;aj wdydrhg .ekSu isÿ úh hq;=h' os.= ld,hla ;siafia Pica ;;a;ajh mdKavq frda.h fyda rla; ySk;djh ksid we;s jk ,ËKhla f,i ie<lsks' i;H jYfhkau wdydr fkdjk øjH wdydrhg .kakd mqoa.,hka f.a reêr.; ysfud.af,dìka idkaøKh my< uÜgul mj;S' fuu ;;a;ajh jeämqr ±lsh yels jkafka ueá wdydrhg .kakd mqoa.,hka ;=<h' kuq;a fuu ;;a;ajh ueá wdydrhg .ekSug fmr isg mej;sfha o ke;fyd;a ueá wdydrhg .ekSu ksid we;s jQfha o hkak .eg¿ iy.;h' fuu ;;a;ajh rla;ySk;djhla ksid we;s jQjla nj ksjerÈju ikd: lsÍug m%udKj;a mÍËKd;aul o;a; fkdue;' wdydr fkdjk øjH wdydrhg .kakd mqoa.,hka iuyfrl=g hlv yd fjk;a Lksc mod¾: ,nd §fuka fuu ;;a;ajh hï ;rula ÿrg u.yeÍula olakg ,efí' kuq;a m%;sldr ,eîfuka miqj o msá" ueá fyda w¾;dm,a f,,s wdydrhg .ekSug fm<fUk frda.Ska nyq,h' 106

.eìks uõjre iy l=vd orejka ;=< jeä''' .eìks uõjre iy l=vd orejka ;=< fuu ;;a;ajhg keUqre ùfï jeä m%jK;djhla olakg ,efí' wdydr fkdjk øjH wdydrhg .ekSu f,dalfha fndfyda rgj, olakg ,efnk ;;a;ajhla jk w;r flkahdj" gekaidkshdj jeks wms%ldkq uydoaùmhg wh;a rgj, fuu ;;a;ajh iq,nh' fuu mqoa.,hka ueá" ;sßÕ= msá" whsia hkdÈh lEug fm<fUkafka l=i.skak fyda YÍrfha mj;sk fmdaIK W!K;djhla u.yrjd .ekSu i|ydu fkdfõ' tu mqoa.,hkag wkqj tu øjH wd>%dKh rih iy Èjg ±fkk ixfõokh fjk;a wdydr j,ska Tjqkag ,nd .; fkdyel' Tjqka wdydrhla ri ú¢k wdldrhgu fuu wdydr fkdjk øjH ri ú£ug mqreÿù isà'

ffjoHjrhd - udisl ffjoH iÕrdj

weíneys ùula''' rla;ySk;djh i|yd m%;sldr ,enqjo frda.Ska ;=< fuu ;;a;ajh fkdkeiS È.gu mej;Su ±lsh yelsh' fuh wdydr fkdjk øjH i|yd weíneys ùula f,i ±laúh yelsh' WodyrKhla f,i mia yd ueá lEug fm<fUk mqoa.,hska ´kEu ueá j¾.hla wdydrhg fkd.kakd w;r ;ud jvd;a m%sh lrk ueá j¾.h fidhd fndfyda ÿr .uka lrhs' wdydrhg .; yels ueá j¾. úúO rgj,a j, fj<|m<j,a j, úlsKSug we;s w;r ueá wdydrhg .kakd mqoa.,hka úiska tajd ñ< § .ekSu o ±lsh yelsh' fydafuda yeì,sia udkj hq.fha idlaIs fuu ;;a;ajh w;S;fha issg ñksid ;=< ±lsh yelalls' m%d.a ft;sydisl hq.fha Ôj;a jQ fydafuda yeì,sia udkjhd Ôj;a jQ m%foaY wdYs%;j tu m%foaYhg wdfõksl fkdjq ueá yuq ù we;s w;r ta ms<sn|j m< ù we;ss u; w;=ßka 2015 wfma%,a l<dmh

fydafuda yeì,sia udkjhska w;ro ueá wkqNjh mej;S we;s njg u;hls' fuu ueá j¾.h j¾;udkfha o ñksiqka úiska wdydrhg .kq ,nk ueá j¾.hls' m%:u ,sÅ; idËs - wdhq¾fõofhka ueá lEu ms<sn| m%:u ,sÅ; idËs yuq jkafka wdhq¾fõofhks' ueá wdydrhg .ekSu ksid miqld,Skj mdKavq frda.hg f.dÿre jk nj wdhq¾fõofha olajd we;' wdhq¾fõofha uQ,.%ka:hla jk prl ixys;dj" ueá wdydrhg .ekSu ksid —uD;aNËc mdKavq frda.h˜ we;s jk nj olajd we;' wdhq¾fõo uQ,sl .%ka:hla jk iqY%e; ixys;dfjys ñksid úiska ueá wdydrhg .ekSu mdKavq frda.h we;s ùug fya;=jla f,i i|yka fldg ;sfí' miqld,Skj ysfmdl%áia we;=¿ fjk;a úoaj;=ka fuu ;;a;ajh ms<sn|j jd¾;d lr we;' óg wu;rj foaY ixpdrlhska yd .fõYlhka úiska fjk;a rgj, ;ud ÿgq wdydr mqreÿ w;r ueá wdydrhg .ekSu olajd we;' we;sjk .eg¿ /ils''' ueá wdydrhg .ekSu ùÿre iy fjk;a ;shqKq oE wdydrhg .ekSu ;rï fi!LH ;¾ckhla we;s fkdl<o wêlj mßfNdackh ksid úúO .eg¿ldß ;;a;aj we;s úh yelsh' fuu øjH mßfNdackh lsÍu ksid we;s jk m%Odk fi!LH .eg¿ kï fmdaIK W!K;djh iy kSrla;sh" oka; .eg¿" ls%ñ frda." u<noaOh iy wdydr ud¾.fha we;s jk wjfrdaO ;;a;aj fõ' ueá fyda fjk;a wdydr fkdjk øjH wdydrhg .kakd mqoa.,hka i|yd m%;sldr f,i hlv le,aishï iy iskala ,nd §u l< yelsh' tu m%;sldr j,g m%;spdr fkdolajk frda.Ska i|yd WmfoaYkh Tjqka Ôj;a jk mßirh fjkia fldg tu øjH ,nd .; fkdyels mßirhlg fhduq lsÍu isÿ l< yelsh' mßirh fjkia lsÍu iuyr mqoa.,hka i|yd id¾:l m%;sM, w;a lr § we;'

107

CUSTOM

f;a fldamamhl ry n,uq

fn,su,a fldamamfha isg f;a fldamamh olajd meka mji ixis|Sfï fy< úldYh'''

f;a fldamamhl ry n,uq j;af;a.u ysgmq l,dm wOHdmk wOHlaI tia fla chj¾Ok wfma m%Odk wdydr fõ,a ;=kg wu;r jYfhka flá lEula we;sj fyda ke;sj osklg ;=ka y;r j;djla f;a mdkh lsÍu jeäfokdf.a mqreoaohs¡ w;S;fha wkqrdOmqr hq.fha mgka fixlv., hq.h olajd merKs isxy,hd mqreÿj isáfha msßisÿ c,h mdkhhs¡ b|ysg fn,su,a" fld;a;u,a,s" bruqiq" rKjrd T!Iëh mdk j¾. Ndú;d úh¡ fndfyda úg NslaIQkaf.a .s,kami i|yd mkai,g f.k .sfha fn,su,a" rKjrd jeks mdkhkah¡ uq,a ldf,a mdk isß; fndfyda úg úh<s l,dmfha wE; jkaokd .uka hoaoS ls;=,a yl=re iu. fuu mdk j¾. wf,ú lrk fjf<| l=á yuqfjhs¡ we;eï úg T!Iëh mdkhla f,i wifudao.ï mdkh isÿ úh¡ uOHu m<df;a yi,l lsÜgqj wifudao.ï nyq,j jjk zwifudao.ï hdhZ keue;s .ïudkhla we;¡ fldams j.dj jHdma; jQ ld,h fldams j.dj uq,skau ,xldjg mqreÿ lf,a ,kafoaiSka h¡ fldams úYd, j.djla f,i Wvrg mqrd jHdma; lf<a 1932 ka miq bx.%SiSkah¡ 18401870 ,xldfõ fldams j.dfõ oshqKqu hq.h úh¡ rfÜ m%isoaO uxudj;a" ÿïßh ud¾." fld<U jrdh wdrïN jQfha fldams rg heùu wruqKq fldg f.kh¡ tl, ,dxlslhka w;r fldams mdkh me;sr hdug úh¡ 108

miq lf,l fydag,a njg m;a jQ l=vd fldams lv m%isoaO mdrj,aj, tod m%Odk jdykh jQfha .e,ah¡ ;ks f.dkd wosk nrnd.h" f.dka fokakd n|sk nr lr;a;h fldams m%jdyKfhaoS nyq,j uq,oS Ndú;d úh¡ fï .e,a ks;r kj;ajd rd;%S kjd;eka .kakd ia:dk wdY%s;j tkï .d,a wdY%s;j fldams lv uq,skau ìys úh¡ tajdfha yd,s msáj,ska iE¥ wdmam" msÜgq yl=re iu. WKq WKq fldams .e,alrejka m%sh l<y¡ ,xldfõ miql, oshqKq jQ fydag,aj, <ore wjosh fï l=vd fldams lvh¡ fldams j.dj jekfi;aoS f;a j.dj yeñ,shd jeiageiaä%laia os,Sr frda.h ksid 1870ka miq fldams j.dj úkdY jkakg úh¡ bkamiq wo;a we;s f;a" rn¾" fmd,a" fldfldajd j.dj wdrïN úh¡ fï wkqj f;a j.dj we/ö oekg wjqreÿ 150la muK fjhs¡ uq,au f;a j.dj werUqfka ¨,al÷r j;= hdfhks¡ b;d wvq ñ<g f;a

ffjoHjrhd - udisl ffjoH iÕrdj

.e,a ks;r kj;ajd rd;%S kjd;eka .kakd ia:dk wdY%s;j tkï .d,a wdY%s;j fldams lv uq,skau ìys úh¡ tajdfha yd,s msáj,ska iE¥ wdmam" msÜgq yl=re iu. WKq WKq fldams .e,alrejka m%sh l<y¡ ,xldfõ miql, oshqKq jQ fydag,aj, <ore wjosh fï l=vd fldams lvh¡ i|yd l÷lr le<E ìï ,ndoSu" wvq ñ,g lïlrejka fjkqfjka ol=Kq bkaoSh øúvhka f.kajd .ekSu iu. f;a j.dj mq¿,a úh¡ wfma f;a j.dj wmkhkh b,lal fldg.;a tlls¡ hqfrdamSh rgj,a ueo fmros. yd wE; fmros. rgj,a wfma m%Odk f;a .eKqïlrejka h¡ iqÿ cd;slhska f;a j;=j,g ie,l+fha

2015 wfma%,a l<dmh

oeä lem lsÍulsks¡ by<u Wmßu wiajekak i|yd TjqyQ l%uj;a j f;a j;= kv;a;= l<y¡ bx.%SiSka wkqlrKh l< ,dxlsl uOHu mka;sfha Okj;=ka .ïj, f;a j.dj wdrïN l<y¡ f;a j.dj me;sÍu iu. wfma cSú;fha fldgila n÷ jQ f;a me<h wmg yqre úh¡ f;a mex osk osk jeä jeäfha''' f;a mdkfhka YÍrh m%fndaOu;a fjhs¡ l=i.skak ksfjhs¡ fjfyi ksjd,hs¡ f;a iu. flá lEula we;sj fyda ke;sj iuyr úg t<lsß" msálsß ñY%lr iSks iu. f;a mdkh flfrhs¡ fndfyda úg kùk mrmqr w;r f;a mdkh wvqfjñka mj;S¡ ta fjkqjg YÍrhg wys;lr úúO j¾Kl ñY% isis,a îu mdkh me;sr hhs¡ fj<| m%pdrKh iu. fï isÿ fjhs¡ th kùk ú,dis;djla f,i ;reK mrmqr w;r 109

CUSTOM

f;a fldamamhl ry n,uq

nyqcd;sl iud.ï nf,ka m;=rejd yßhs¡ by<u fmf<a orejka hk we;eï mdie,a j, f;a fkdue; tys we;af;a úúO j¾Kl ñY% lD;%Su isis,a îuhs¡ f;a l¾udka;fha j;auk ;;a;ajh wo wfma rg ndysr f,dalhg by<u m%ñ;sh we;s f;a wmkhkh lrk rgla f,i kula oskdf.k we;¡ tfy;a msßisÿ f;afld< mdkh i|yd ysñlu ,efnkq fï b;d w;f,diailg muKls¡ • m%ñ;sfhka by< msßisÿ melÜ l< f;a ñf,ka wêlh • iudcfha my< uÜgïj,g tajd ñ<oS .ekSu wiSreh • f;aj,g úúO øjH tl;= lsÍfuka tys lyg jeä lrk l+g fjf<÷ka isà' ta i|yd YÍrhg wys;lr foa nyq,j fhdod .efka¡ • wêl ier lDñkdYl" j,a kdYl f;a .ia j,g fhdok neúka ta úI m;%j,g Wrd we;¡ • f;a ilia lr .ekSu i|yd Ndú;d lrk c,h mú;% úh hq;= h¡

rfÜ ku le<e,a lrkafkda''' rfÜ úYd, jHdmdrhla f,i f;a lïy,aj,ska neyer lrk f;a .iaj,g fmdfydr f,i kej; fhdok iaùmska kñka y÷kajk nd, li< f;a lïy,aj,ska fydfrka wvq ñ,g f.k m%jdyKh fldg tajd fmd,d" msßisÿ lr wõfõ fõ,d vhsj¾. yd jeks,d jeks iqj|j¾. fhdod fjf<÷ka u.ska tajd idudkH ckhdg wf,ú lrk cdjdru nyq,j isÿ fjhs¡ wm uqo,a f.jd ,nd.kafka fufia fõÆ iqj| lejQ li, f;a nj ñ,oS .kakd fndfyda fokd fkdoks;s¡ li, f;a jHdmdrhg ta i|ydu fhfok jHdmdrslhska msßila fukau m%dfoaYSh uÜgfï foaYmd,lhska o fj;s¡ fï wkqj wm fndk f;a fldamamh YÍrhg jila úIla ke;s wvq ñ,g .; yels nd, f;a fjkqjg f.daks fyda f;a fmÜáj, nyd úl=Kk f;a fld, fjkqjg uola ñ< jeäjqj;a fyd| f;afld< l=vd melÜ fyda ñ,oS f.k mdkh lsÍu jvd;a iqÿiqh¡

110

ffjoHjrhd - udisl ffjoH iÕrdj

SNIPPET

ÿll ie`.j.;a jdish

ÿll ie`.j.;a jdish lK.dgqodhl jq;a" ÿlanr jq;a isÿùï j,g wm ldg;a uqyqK mdkakg isÿ fjkjd' thhs f,dal iajNdjh' we;euqka fï isÿùï isys.kajñka ÿla ;ejq,a ú`Èñka yq,a,ñka jeä ld,hla .; lrkjd' th mq¿jka blauKska wu;l lssÍug W;aidy lrk wh;a bkakjd' fï whf.ka m<uqj lS ;ejq,a m%;Hdjf,dalkfha fhfokakka ;u fud<h wkqf,dau m%;sf,dau jYfhka l%shd lrkjd' ta Tiafia isÿùu ;=< leá jq iuia: l%shdj,sh úYaf,aIKhg ,la fjkjd' we;af;kau th fud<hg jHdhduhls' fï ksid fud<h ksrjq,a fjk w;r miqld,Skj dementia jeks ;;a;aj j,g ,laùug we;s bvlv wvq flfrkjd' w`vkakg'' fod~kakg ymka Woúh;a wm w;r tugj;a' tfyu wdfõ. YS,S fkdù ienE m%;Hdjf,dalkhl fhfokjd kï ÿlanr isÿùul jqj;a hym;a m%;sM,hla ,nd.; yels nj fï wkqj meyeÈ,shs' fï iïnkaO úfYaI m¾fhaIK jd¾;djla miq.shod wefußldfõ Ñldf.da kqjr mej;S cd;Hka;r we,aIhsu¾ iïfï,kfha§ Wla; m¾fhaIlhka bÈßm;a l<d'

2015 wfma%,a l<dmh

111

Tiq;=re .=K

úYañ; .=Ke;s lrmsxpd

le<Ksh úYAj úoHd,hSh" hlal," .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha bosßm;a lsÍuls'

n,Kq .=K iqj| leájqK''' bj;,k lrmsxpdjl ;sfnk'''

úYañ; .=Ke;s lrmsxpd hlal, le,Ksh úYajúoHd,hSh .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha ffjoH mS à ksixi,d m;srK

n;a mf;ys ri-.=K jvk lrmsxpd hkq uyÕ= jQ fy< Tiqjls' lrmsxpd fld<hla mjd bj; ±óu wkqjK l%shdjls' wdydr fõ, rij;a lr .ekqug lrmsxpd fld< fol ;=kla tl;= lsÍug .DyKshka wu;l fkdlr;s' wdydr ms<sfh, lsÍfï§ lrmsxpd tla lsÍfuka tys rih" iqj| fuka u wdydr reÑh jeãu muKla fkdj YÍr fi!LHh /l .ekSu i|yd bjy,a jk jákd T!Iëh .=K o ,efnk nj Tn okakjd o@ wuq fld< fuka u úh<s fld< j, o iqj|;a .=Kh;a tl fia''' Murraya koenigii kï jQ WoaNso úoHd;aul kï ork Rutaceae l=,hg wh;a lrmsxpd Ydlh ksfjia wi< l=vd .ila f,i j.d flf¾' tfuka u w¿ meye;s l|lska iukaú; jk w;r w;= fn§ mj;S' m;% fld< meye;sh' wuq fld< fuka u úh<s fld< j, o iqj|;a .=Kh;a tlfia mj;S'

112

ffjoHjrhd - udisl ffjoH iÕrdj

ta wkqj lrmsxpd úúO jQ frda. wjia:d fndfyduhla i|yd m%;HË T!IOhla f,i Ndú;d l< yelsh' • yDoh yd reêr kd, iïnkaO frda. • wlaud.; frda. • wdydr Ô¾K moaO;sh iïnkaO frda. • úI YÍr.; jQ wjia:d j,§ • uOqfïy frda. wjia:dfõ§ • wl,g ysiflia meiSu reêr kd,hka ys wNHka;r ì;a;s j, ;ekam;a jk fïoh Èh lr yßhs fuys § lrmsxpd úúO whqßka wdydrhg tla lr .; yelsh' WoEik wdydrh i|yd lrmsxpd fld< le| b;d w.fkah' tu.ska wdydr Ô¾Kh myiq lrhs' reêr.; fïo wêl;djh ^Hyperlipidaemia& wju lrhs' fuys§ lrmsxpd" iqÿ¿Ekq" .ïñßia tlaj f.k whsia j;=r oud wUrd idod .kq ,nk m,amh wdydr fõ,a iuÕ .ekSu fï i|yd lÈu ms<shuls' lrmsxpd 2015 wfma%,a l<dmh

u.ska wdydr Ô¾Kfhka miq fïo wï, YÍrhg Wrd .ekSu wju lrhs' tfuka u ld¾hËu f,i fi%da;ia fYdaOkhla isÿ lrk neúka reêr kd,hka ys wNHka;r ì;a;s j, ;ekam;a jk fïoh Èh lr yeÍu isÿ lrhs' tu.ska reêr kd, moaO;sh iïmQ¾Kfhkau msßisÿ lrk w;r yDoh fj; reêrh imhk lsÍgl Ouks j, mjd ne|S we;s fïoh Èh lr yeÍu u.ska yDoa frda. iE§u j<ld,hs' w;s ia:q,;dj j<lhs' WordndO iqj lrhs' fix.ud, frda.Skag o WoEik lrmsxpd le| mdkh b;d fhda.Hh' wlaud mgl h:d ;;a;ajhg m;a fõ wlaud .; ms<sld" fix.ud,h" wNs>d; wd§ wlaud.; frda. i|yd o lrmsxpd hkq m%;HË T!IOhls' wlaudfõ fïoh ;ekam;a ùu ksid tys mg, bÈóu ^Fatty liver& isÿjk wjia:dfõ § lrmsxpd fld< isyskaj wUrd Èkm;d wdydrhg .ekSfuka wlaud mgl h:d ;;a;ajhg m;a ùu isÿfõ' wêreêr mSvkh ^High blood pressure& wjia:dfõ§ lrmsxpd o¿ iïfnda,h uyÕ= Tiqjls' lrmsxpd fld< hqI" foys hqI yd iSks iuÕ ñY% lr mdkh i|yd ,nd §u .¾NKS juk" Tlaldr j<lajd .ekSu i|yd jQ iqúfYaIS T!IOhls'

WoEik wdydrh i|yd lrmsxpd fld< le| b;d w.fkah' tu.ska wdydr Ô¾Kh myiq lrhs' reêr.; fïo wêl;djhwju lrhs' uDÿ úf¾pk .=Kh ksid u<noaOhg w;aÿgqjhs wcS¾K" wreÑ" w.aksudkaoHh" Wor Y+, wjia:d j,§ lrmsxpd fld< úh<d l=vqlr ;ïnd .;a j;=r îug §u b;d .=KÞhlh' wdhq¾fõo u;dkql+, j lrmsxpd Ydlh i;= §mk mdpk 113

Tiq;=re .=K

.=Kh ksid wdydr cS¾Kh ksis f,i isÿlrk w;r wka;% ud¾.fha fjfik ÔjdKq kid,Su o isÿ lrhs' tfukau lrmsxpd i;= uDÿ úf¾pk .=Kh ksid u<noaO;d ÿre lr,hs' ;j o mdpkh" w;Sidrh jeks frda. wjia:djkays § lrmsxpd o¿" ó meKs iuÕ ñY% lr §u b;d w.kd w;a fnfy;ls' i¾m úI YÍr .; jQ wjia:d j,§ lrmsxpd fld< le| lrmsxpd i;= úI kdYl .=Kh ksid i¾m úI YÍr .; jQ wjia:d j,§ lrmsxpd fld< le| msi §u w;S;fha isg u mejf;kakls' i¾m úI i|yd lrmsxpd fld< hqI" ySká yd,a iuÕ le| msi .sf;,a iaj,amhla oud mdkh i|yd ,nd §u fï i|yd lÈu ksoiqkls' wlaudj i;= úI kdYk l%shdj o fuu.ska by< kxjhs' tfukau u[af[dlald jHxckhla f,i ms<sfh< lsÍfï § ;ïnd j;=r bj;a lsÍula wjYH fkdjkqfha ta i|yd fhdok ñßia" ;=kmy yd tla j fhdok lrmsxpd" ly wd§h u.ska úI .;sh iïmQ¾Kfhka u wfydais ù hk ksidh' úI iys; lDñ oIaghkays § lrmsxpd f.ä hqI foys hqI yd ñY% lr oIag ia:dkfha wdf,amfhka bÈuqu" leiSu wd§ ,ËK u. yrjd .; yelsh'

úYañ; .=Ke;s lrmsxpd

uOqfïy frda.Ska i|yd lrmsxpd uOqfïy frda.Ska i|yd lrmsxpd wUrd wdydrhg .ekSu reêr.; .aÆfldaia uÜgu md,kh lsÍu i|yd lÈu Tiqjls' tfuka u m%fõKs.; uOqfïyh i|yd Èkm;d WoEik lrmsxpd fld< 10 l m%udKh udi ;=kla wdydrhg tla lr .ekSfuka j<lajd .; yelsh' ysi flia W;af;ackh lrhs Èkm;d lrmsxpd fld< jeä m%udKhla wdydrh fj; tla lr .ekSfuka wl,g ysi flia meiSu j<lajd .; yel' tfuka u lrmsxpd fld< iuÕ lldrjk ,o fmd,af;,a ysi flia uQ,hka fmdaIKh lr ysi flia j¾Okh W;af;ackh lrhs' hfula Èkm;d lrmsxpd b;s foll m%udKh wdydrhg .;fyd;a th ksfrda.S Èúhlg ux fm; jkq fkdwkqudkh'

114

ffjoHjrhd - udisl ffjoH iÕrdj

ADVERTORIAL

ks;r ks;rleiai" fiïm%;sYHdj Tng;a je<f|kjdo @

ks;r ks;rleiai" fiïm%;sYHdj Tng;a je<f|kjdo @ úi÷u Imedco Coriander f;a wm ld,h;a iu.u fjkia fjkjd' f,v frda.;a ta jf.au jeä fjkjd' fldmuK oshqKQ ;dlaIKhla wm i;=j ;snqK;a f,vfrda. j,g tfrysj igka lsÍu álla wmyiqhs' thg fya;=j ish¿ fokdf.au m%;sYla;sh tl jf.a fkdjk ksihs'

W'is'ñ, 360/-

2015 wfma%,a l<dmh

W'is'ñ, 360/-

fld;a;u,a,s hkq YÍrfha m%;sYla;sh jeä l< yels jákd T!IOhls' óg wu;rj fld;a;u,a,s" b`.=re" lrouqx.=" lrdnqkeá hkdoS ixfhda. l¿ f;a iu. tlg leá fldg.;a Imedco Coriander f;a Ndú;d lsÍu u.ska • YÍr m%;sYla;sh jeä oshqKQ lsÍu • oshjeähd frda.h md,kh • w¾Yia yd mKQ frda. md,kh • wï, ms;a; md,kh (Gastritis)

W'is'ñ, 360/-

115

ADVERTORIAL

by; i|yka l< frda. fndfydauhlg ms<s;=r tla meleÜgqjla ;=< wka;¾.; fjhs' l=vd iefYA meleÜgq ;=< wka;¾.; fldg we;s fuu ñY%Kh ld¾hd,hl jev lrK flfkl=g mjd b;d myiqfjka WKQc,h iaj,amhla (100 ml) Ndú;d fldg idod.; yel'

l=re÷ yd l¿ f;a idrh imsß f;a j¾.hla jk Imedco Cinnamon Tea oskm;d Ndú;d lsÍfuka Tng;a wjodkïld¾ frda. /ilska wdrlaId úh yel'

ks;r ks;rleiai" fiïm%;sYHdj Tng;a je<f|kjdo @

fldf,iagfrda,a" yDohdndO jeks frda. Tng;a ;sfío @ úi÷u Imedco Garcinia f;a Garcinia fkdfyd;a f.drld hkq fldf,iagfrda,a" yDohdndO iy ;rndrelu jeks .eg¿ i|yd b;d id¾:l w;a fnfy;ls' w;S; mdrïmßl ffjoHl¾u j,oS f.drld fhdodf.k we;s w;r tu.ska my; i|yka frda. ;;a;aj we;sùu j<lajd.; yel' • fldf,iagfrda,a md,kh • yDohdndO we;sùfï wjodku wvq lsÍu • ;rndrelu md,kh • ffjri wdidok we;sùu je<elaùu • úhm;a ùfï ,laIK we;sùu m%udo lsÍu fujeks ;;a;aj i|yd id¾:l úi÷ï ,ndfok Imedco Garcinia Tea Tnf.a wdydr fõ,g miq ,nd.ekSfuka frda. wjodkï j,g fkdìhj igka lsÍug Tng yelshdj ,efnhs' Imedco Cinnamon Tea l=re÷ yd l¿ f;a idrh imsß f;a j¾.hla jk Imedco Cinnamon Tea oskm;d Ndú;d lsÍfuka Tng;a wjodkïld¾ frda. /ilska wdrlaId úh yel' l=re÷ j, úfYAI;ajh • YÍr m%;sYla;sh jeä lrhs' • o;a lelal=ï j,oS fõokd kdYlhla f,i l%shd lrhs' • YAjik wdidok j,ska wdrlaId lrhs' kSfrda.S osúhlg Imedco jeä úia;r i|yd úuikak' 0719 524 400$ 0702 020 905 $0702 020 906 ksIAmdokh TEASTAR CEYLON (PVT) LTD fnodyerSu IMEDCO (PVT) LTD www.teastarceylon.com

116

ffjoHjrhd - udisl ffjoH iÕrdj

2015 wfma%,a l<dmh

117

SNIPPET

i¾m oIaGkhl§ Tn úiska fkdl< hq;= foa

tjeks foaj,g bv fkdÈh hq;=h' tu.ska Nhdkl fmky¨ wdidok yd lka ìysß ùu we;s úh yelsh'

i¾m oIaGkhl§ Tn úiska fkdl< hq;= foa 1' oIaG l< ia:dkh lemSu fyda uqLh ;nd bÍu fkdl< hq;=h' i¾mhska úI we;=¨ lrk úgoS b;d .eUqrg th úÈk ksid tu úI uqLh wdOdrfhka bÍfuka bj;a l< fkdyelsh' m<mqreÿ ke;s ;eke;a;ka tu ia:dkh lemSug hdfïÈ reêr kd, iakdhq iy udxY fmaYs lmd ±ñh yelshs' tu.ska f,a .e,Sfï§ yd th wdidokhg ,laùfuka ;;a;ajh jvd oreKq w;g yeÍug bv we;' 2' i¾m úIg m%:udOdr §fï§ wf;ys fyda ll=f,ys f,a .uk k;r jkfia ;sßx.hla ne|Su újdohg ;=vq ÿka lreKls' jerÈ f,i n|sk ,o ;sßx. hlska hym;lg jvd ydks isÿ ùug bv we;s ksid tu l%uh ks¾foaY l< fkdyel' 3' fldkaäia iaMál ^fmdgEishï m¾uex.fkaÜa& ;=jd,h isÿjq ia:dkfha fkd;eìh hq;=h' tu.ska mgl ;j;a úkdY úh yelsh' 4' kdih ;=<ska f;,a jeks foa we;=,a lrkq ,nk kiak jeks m%;sldr l%u Nhdkl úh yels w;r" 118

5' uOHidrh i¾m úI YÍr.;ùug Wojq lrk ksid tajd mdkh i|yd fkdÈh hq;=h' 6' fmdgEishï ,jK nyq, jYfhka we;s ;eô,s" l=reïnd yd m<;=re hqI jeks ± fkdÈh hq;=h' tajd §fuka i¾m úI ksid jl=.vqj,g úh yels ydks ;jÿrg;a jeäúh yel' 7' úfYaIfhka jeo.;a jkafka Tn m%:udOdr fokakd f,i l,n, fkdú isàuh' frda.shdg wys;lr lsisjla lsÍug fm<fUkak tmd' fuu lreKq ms<sn|j wjOdkh fhduq lsrSu ksfrda.s Èúhla m;k ieug tlfia jeo.;a jkq we;'

ffjoHjrhd - udisl ffjoH iÕrdj

NUTRITION

mqxÑ ,sf|a j;=r .=Khs

mqxÑ ,sf|a j;=r .=Khs ;eô,s wk¾.;u iafmda¾Ü ä%kala tlla wfma rfÜ fndfyda m%foaY j, jefjk ;eô,s .ia j, M,h zz;eô,sZZ fudk ;rï jákd mdkhla o@ my; f;dr;=re Tn uú;hg m;a lrjkq fkdwkqudkh'

2015 wfma%,a l<dmh

119

 ;eô,s j;=r iajNdúl Isotonic Beverage mdkhls' tys ixhq;sh wm isref¾ mj;akd Isotonic ixhq;shg fnfyúka iudkh'  1941 - 45 ld,fha mej;s meis*sla hqoaOfha§ fome;af;au ;=jd, ,;a fid,aodÿjkg ;eô,s ,nd§fuka Emergency Plasma Transfusion m%;sldrh isÿ jqfkah' bka wmuk ñksia Ôú; /l=fkah'  ;eô,s j;=r iïmQ¾K fhdoh iys; msálsß j,g jvd fmdaIHodhS fõ' tys fldf,diagfrda,a ke;' fïoh o ke;'  ;eô,s j;=r j, fodvï ùÿrejlg jeä fmdaIKhla mj;S' mj;akd le,ß m%udKh fodvï ùorejlg jvd wvqh'  ;eô,s j;=r <ore lsßmsá j,g;a jvd Wiiah' uõlsß j, ;sfnk f,daßla wï,h ;eô,s j;=r j,o mj;S'  ;eô,s j;=r iajNdjfhkau ÔjdKqyß;hs' ta ksid úIîc isrere.; jkafka ke;'  ;eô,s j;=r j, úYd, jYfhka fmdgEishï ;sfí' ^299mg)  Sport Drink yd fndfyda Energy Drink j, tu w.h 117mg g jeä fkdfõ'  ;eô,s j;=r j, fidaähï we;af;a wvqfjks' (25mg) Sport Drink j, fidaähï 41mg yd Energy Drink j, fidaähï 200mg ;sfí'  ;eô,s j;=r j, laf,darhsv úYd, m%udKhla 118mg ;sfí' Sports Drink j, laf,darhsv we;af;a 39mg muKs'  ;eô,s j;=r j, iajNdúl iSks 5mg ;sfí' Sports yd Energy Drink j, fjkia lrk ,o iSks 10-25mg w;r m%udKhla ;sfí' wmf.a ie,ls,a, ksn| fhduqjkafka lfvka ñ,§ .kakd mdk j¾. fj;h' tfy;a ksi`.fhkau iajdNdúl" iajNdjfhkau msßisÿ" iajdNdúl iSks" ¨Kq yd úgñka j,ska muKla ieÿï,;a mqxÑ ,sf|a ;eô,s mdkh fudk ;rï jákd mdkhlao@ 120

ksfrda.S flia l,Ula i|yd Wmfoia  Tfí flia f;,a iys;o @ ke;fyd;a ysiafydß ;sfnkjdo @ oskm;d ysiflia fidaokak'  i;aldr l<" úh<s iy jhia.; Woúhf.a ysiflia ksr;=re fiaoSu wjYH ke;'  Tfí ysiflia j,g iß,k Ieïmq j¾.hla muKla mdúÉÑ lrkak'  IEïmq fhosh hq;af;a ysfiys iugh' flia j,g fkdfõ' flia u; Ieumq msßueoaoSfuka ysiflia jefgkakg .kS' th ysiflia ;=kS lrhs'  iEu Ieïmq id;a;=jlskau miqj lkaäIk¾ .,ajkak' tajd ysiflia u b,lal lr .,ajkak'  Tn mäsyskqu j, fhfokakla kï msyskSfïoS tlla fhdod. kak' msyskkag we;s Ieïmq mdúÉÑhg yqre jkak'

- The American Academy of Dermatology Guidelines

ffjoHjrhd - udisl ffjoH iÕrdj

ADVERTORIAL

.=rej;a; j,õfõ .%Ska y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula'''

flaI uQ, ;r,h ksfrda.slu W;=ïu iem; hehs wms ksrka;r mjid isákafka kslugu fkdfõ' frda.s wjia:djl oS wmg ú|skakg isÿjk ÿla .eyeg" lror ndOl fndfydah' úúO ffjoH l%u yryd ksrka;r frda. iqjlr .ekSfï m%h;akhl kshef<k wm ;rÕldÍ cSjk rgdjlg yqre ù isákafkuq' ta ksidfjkau idïm%odhsl wdhq¾fõo ffjoH l%uh u.ska frda. iqjlr .ekSug fm<fUkafka b;du iSñ; msßils' wmg Wreu jQ wdhq¾fõo l%uh ;jÿrg;a bosßhg f.k hñka f,djg hym;lau isÿ lsÍu wNsfhda.hla njg m;aù we;'

flaI uQ, ;r,h

fï fya;=fjkau wfma rfÜ ,laI ixLHd; msßila uqyqK md isgk wNd.H iïmkak frda.s ;;a;ajhlg iaÓridr úiªï fidhd .sh bisjrfhl= nª ñksfil= fidhd hdughs wmf.a fï W;aidyh'

fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

waidyawaraya.com

2015 wfma%,a l<dmh

121

ADVERTORIAL

rfÜ iqm;, kula we;s iS' ta' ch;s,l Tyqf.a uq;a;dh' yslalvqfõ Y%s iqux., ysñmdKka uq;a;df.a udud flfkls' fmardfoKsh úYAjúoHd,fha mqia;ld,h ;=< ngysr ffjoH úoHdj ms<sn| ,shejqKQ fmd;a mßYS,kh lrk w;r;=r ;u j,õfõ mrïmrd .Kkla ;siafia wdrCId lrkakg ;ekam;a lr ;snQ mqia;lo Tyq uekúka mßYS,kh lrñka oeä wêIAGdkfhka ;u b,lalh fj; mshk. kakg úh' Tyq iaÒr jYfhkau wfma rgg lS¾;shla f.akjd' úYAj úoHd, wOHdmkho l%ufhka w;miq l< Tyq fõ.fhka ;u mÍCIK fcHda;sIHo Wmfhda.S lr .ksñka oshqKQ l<ehs wm iuÕ mjid isáfha' tu mÍCIK j,go Ndckh jQfha Tyquh' w;s úYd, uqo,la jeh lsÍug isÿ jQ wjia:d j, hï hï miq.dó isÿùï isÿjqKo ffojfha ydialulska fuka 2005 jif¾ f,d;/hs oskqï 122

flaI uQ, ;r,h

weoSfï ,xldfõ m%:u fldaám;shd ùfï Nd.Hho ;u mjq,g Wreu ùu ksid b;du;a id¾:l f,i Tyqg ;u b,lal lrd <Õd jkakg yels úh' Tyqf.a fidhd .ekSu wkqju fïoh iy ms; jeäjqjfyd;a flaI kd,sld isÿre jeiS hk neúka flia j,g iemfhk reêrh k;r ù ;Ügh mEfohs' Bg ms<shï o ;u T!IOh ;=<ska imhd f,a .ukd.ukh h:d ;;a;ajhg m;a lrùugo ;u mÍCIK j,g wkqj ta i|yd T!IO 21 fhdod .ekSu ;=< fï T!IO wo id¾:l m%;sM, ,ndwe;' tu ksid Tyqf.a fï fidhd .ekSu flaI uQ, ;r,h kñka kï lr we;' Worh wvq lrkakg" l=re,E iqj lrkakg yd ;j;a wk.s wdhq¾fõoSh ksIAmdok /ila''' .%Ska y¾n,a iud.fï wfkl=;a ksIamdok ;=,ais iq| OQmh j¾Kl" lD;%Su iqj| fkdue;s wdkqmdk 18 l iqj| OQmh uqyqKu,a oka;df,amh o;a j, lyg bj;a lrhs" uqL ms<sld j<lajhs' Wor uÜgq Worh wvq lr jeä nr wvq lrhs' 100] la iajNdúlhs' Gold Skin l=re<E fyd|lr meyem;a nj ,ndfohs' Herbal Black Hair .E ieKska iqÿ flia l¿ jk ^;djld,slj& fiaoSug wjYH ke;s 100] la jk iajNdúl flia l¿ lrkhls' .%Ska y¾n,a m%vlaÜia mqoa.,sl iud.u .=rej;a; j,õj" óáhdf.dv ÿrl:k 077 5507381 *elaia 091 4944082 E Mail gherbalproducts@gmail.com hairforboldheads.blogspot.com

ffjoHjrhd - udisl ffjoH iÕrdj

flaYuQ, ;r,h iy .%Ska y¾n,a wfkl=;a ksIamdok ,nd.; yels osjhsk mqrd Tiqi,a iuyrla ffjoH lreKd ^wdhq¾'& .d,a, 0776165705 ffjoH .d,a,f.a ^wdhq¾'& yslalvqj 0719657897 ffjoH iqcSjkS úl%uisxy ^wdhq¾'& háhkaf;dg 0362270437 ffjoH oSmsld iQßhwdrÉÑ noafo.u 0711539432 ffjoH l=udß lreKdr;ak ^wdhq¾'& .ïfmd, 0814485534 fca'ã' isßudk ^wdhq¾'& wúiaidfj,a, 0773678335 ffjoH pkaok Whl=udr je,sfõßh ^wdhq¾'& 0777063034 ffjoH ví'ta'tia'úodkwdrÉÑ ^wdhq¾'& fk¿j 0716272745 ffjoH bkaosl m%kdkaÿ ^wdhq¾'& j;a;, 0712019811 ffjoH ik;a m%shka; ^wdhq¾'& we,amsáh 0724500864 fnd/,a, isxy, wdhq¾fõo Tiqi, fjdaâ maf,aia mdr uykqjr fndaj;a; T!IOd,h" fld<U ùosh l=reKE., o ksõ *duis merl=ïnd ùosh" cSjka; Tiqi, .d,a, hqkhsgâ *dud" tlai;a Tiqy, ud;r hqkhsgâ *dud" fldgqf.dv Tiqy, l¿;r hqkhsgâ *dud" lgql=rekao" uqksr;ak" ÿïßhm< mdr nKavdrfj, iriú Tiqi, lelsrdj ßá., Tiqi, r;akmqr nqoaêl *duis nia kej;=ïm< wi, mdkÿr Woh T!IOd,h" uy ùosh ;,j;=f.dv Ydks *duish l<,af.dv yxosh uyr.u kkaok Tiqi," yhsf,j,a mdr kqf.af.dv úch Tiqi, kdj, mdr kkaok Tiqy," mrK leianEj mdr lsßn;af.dv isxy, fnfy;a nvq fj<|ie, kqjr mdr" udfld, mdr vj; iq,,s; Tiqi," fffjoH .`.nv cdwe, iuka Tiqy,"iqcSj Tiqy, ó.uqj ,xld *duish" w,shußlald¾ wkqrdOmqrh t,a î fla T!IOd,h udlÜ fmfoi

fmdf<dkakrej cSjl T!IOd,h" ,xld fuäl,a lÿrefj, wïmdr iïm;a Tiqy, ys`.=rlaf.dv iïm;a Tiqy, uyshx.kh cSjdkkao Tiqy, uyjej Wcs;a iafgda¾ia y,dj; mdr nÿ,a, wókd wdhq¾fõo Tiqy, my< ùosh lsß|sje, iqks,a Tiqy, msgfldgqj" noafoa.u iagda¾ia" u,aj;a; mdr fldïm[a[ ùosh ksu,a fmf¾rd 0777955934 lvqfj, lvqfj, fuäl,aia ms<shkao, l=udrisxy Tiqi, iqm¾ udlÜ wxl 1 lE.,a, lE.,a, T!IOd,h uy ùosh" iriaj;S Tiqi, ud;f,a ridla wdhq¾fõoh fldáldj;a; ykaosh Wodr Tiqy, fydaud.u .=Kisß Tiqy, n,xf.dv Y%S fi;a isxy, fnfy;a lfâ ;dkdhu wi, rd.u ;s,l Tiqi, rdc.sßh ú,aika wdhq¾fõo Tiqy, fmd,a.yfj, fmd,a.yfj, Tiqy, lgqneoao ld¾ñl ixj¾Ok uKAv,h fj<|ie, u;=.u isxy, fnfy;a nvq lfâ nÿr,sh osuq;= *duish fydrK j,amsg Tiqy," fikag%,a *duish fldÜgdj iqfj,akd Tiqy, jdoaÿj iriaj;S Tiqy, w¿;a.u ,skafka wdhq¾fõo Tiqy, n;a;ruq,a, úmq, Tiqy, kqjrt<sh úydkd wdhq¾fõoh" HERO Tiqi, ;x.,a, YHdkq *duish je,s.u lfrda,sia mq;%fhda ÿïßhfmd< mdr .ïmy biqr *duish" Tref;dg mdr" .hdka tackaisia ñKQjkaf.dv Ydka;s Tiqi, wxf.dv isxy, fnfy;a nvq fj<|ie, fudKrd., ,laisß *duish" hibiqre uq,af,aßhdj Drug City Tiqi,

ksIAmdokh .%Ska y¾n,a m%vlaÜia fm!oa.,sl iud.u" .=rej;a; j,õj" ñáhdf.dv fg,s ( 077-5507381 *elaia( 0914944082 ,s'm' wxlh PV 70430 2015 wfma%,a l<dmh

123

ACUPRESSURE

j¾K Ñls;aidj

COLOUR THERAPY oyia jirla w;S;fhA mej;=Kd''' ;j;a oyia jirla mj;skjd'''

fuh jvd;a fyd|ska wjfndaO lr .ekSug kï Tng fï YrSrfha mj;akd pl% iïnkaOfhka wjfndaOhla mej;sh hq;=h'

j¾K Ñls;aidj l¿fndaú, Ök lgq ffjoH idhkfha ffjoH wOHlaI ffjoH m%idoa foaYm%sh úisks

¾K Ñls;aidj óg jir oyia .Kkdjlg fmr isg wo olajd mej; tk Ñls;aidjls' ÿrd;S;fha Wiia ffjoHl¾uhka mej;S Bcsma;=j" Ökh iy bkaoshdfõ fï j¾K Ñls;aidj weiqf¾ frda. iqjm;a lr ;sfí'

j¾K Ñls;aidfõoS uQ,sl jYfhka fhdod.kafka YÍrfha mj;afka hhs úYAjdi lrk pl% y;la foaÿkafka ima; j¾Khkag .,md .ekSfuks' fï wdldrfhka j¾K weiqf¾ frda. iqjm;a lsÍfuys fhfok Ñls;ailhka j¾K Ñls;ailhka (Chromatherapists) f,i ye|skafõ' j¾K Ñls;aidj mQ¾j ye|skaùu wdf,dalh ;rx. wdldrfhka .uka lrk nj Tn okafkah' tla tla j¾Khg we;af;a Bg iqúfYAIS jQ ;rx. wdhduhls' j¾K Ñls;ailhka fï ima; j¾Khkaf.ka tl tlla jQ j¾Kh YÍrfha Bg ,dlaIKsl jQ lïmkhka flfryS wkqhd; jk nj fmkajhs' 124

Yla;s ïÜgï j,ska msß isref¾ we;s pl% y; zpl%Z hkafkys ixialD;sl NdIdfjka wre; frdaoh hkakhs' YÍrfha mj;akd ,dlaIKsl Yla;s uOHia:dkhla pl%hla hkqfjka ye|skafõ' tjka pl% y;la yÍrfha mj;skafkah' tajd mj;skafka fld÷ weg fm< fkdfyd;a YÍrfha uOHkHh flakaø lr.ksñks' pl% iïnkaO merKSu i|yk jkafka fõo .%ka: j,h' óg fnfyúka iudk pl% úia;r lsÍula Ök lgq Ñls;aidfõo jk w;r hqfoõjkao ^lnd,d& óg iudk úia;r lsÍula lr ;sfí' tlu YÍR.; wosis n,hla iïnkaOfhka fï wdldrfhka f,dalfha úúO fmfoia j, fjfik ck;dj iudk wdldrfhka fmkajd oSu uú;h okjk lreKls' YÍrfha iqjfi;

ffjoHjrhd - udisl ffjoH iÕrdj

mj;ajd .ekSu i|yd fï pl% yf;ysu Yla;s ixirKh wjYH jk w;r mdofï isg ysi olajd;a t;ekska iqr f,dalhg;a iqrf,dalfha isg ysi yd mdou yryd uy fmdf<djg;a fï pl% j,g wdfõKsl Yla;Ska ixirKh jkafkah' fuys wfkla f;areu kï pl% i;= Yla;sh osYd foflysu ixirKh jk njhs'

wdf,dalh ;rx. wdldrfhka .uka lrk nj Tn okafkah' tla tla j¾Khg we;af;a Bg iqúfYAIS jQ ;rx. wdhduhls' j¾K Ñls;ailhka fï ima; j¾Khkaf. ka tl tlla jQ j¾Kh YÍrfha Bg ,dlaIKsl jQ lïmkhka flfryS wkqhd; jk nj fmkajhs'

2015 wfma%,a l<dmh

pl% y; m<uqjk pl%h - ryi`. yd .=oh w;f¾ msysghs' mdou pl%h ^Root Chakra& f,io y÷kajhs' uyfmdf<dj" wdrlaIdj iy moku fkdfyd;a msysgqùu flfryS n,mj;ajk pl%hhs' m%drïNl ld¾hhka i|ydo úNjH;do n,mj;ajkafka fï m<uq pl%fhah' fojk pl%h - bls<shg iudka;rj msysgk fojk pl%h ^Groin Chakra& f,i y÷kajhs' ,sx.sl;ajh" ks¾udKYS,s;ajh iy mqoa., iïnkaO;d flfryS l%shd lrk pl%h fuhhs' fuu pl%fha Yla;s úNjh wvqùu tfyhska tlS iïnkaO;d j,g .eg¿ we;s lrhs' fuys l%shdldß;ajh Ökfha hsx yd hex kHdh wkQjo .,md.; yel' zzTng mqreI Yla;Skao ia;%S Yla;Skao wvq jeä jYfhka mj;akd w;r Tn ksueù we;af;a tajdfha ixl,khla jYfhksZZ hkak tys wre;hs' f;jk pl%h - f;jk pl%h ia:dk.; ù we;s ia:dkh rEmigyfka n,kak' th wfmalaId l=¿.ekafjk ia:dkh f,i wre;a oelafõ' isõjk pl%h - yoj; yryd msysgk fï pl%h wdorh flfryS n,mj;ajk pl%hhs' yojf;ys ol=Kq me;a; yojf;a mqreI me;a;hs' th wkkHhka flfryS W;=rd hk wdorhg fya;= fjhs' jï me;a; yojf;a ia;%S me;a; f,i oelafõ' fuhska wdorh èjks; flfrkafka wka whg fkdfõ ;ukaguh' miajk pl%h - W.=r we;s ia:dkfha msysghs' y`v iy ikaksfõokhg n,mj;ajk pl%h f,i oelafõ' ihjk pl%h - Tfí f;jKei msysà ia:dkhhs' oDIAÀhg fukau ld,hg wh;a ia:dkhhs' i;ajk pl%h - uqÿK; pl%h f,io oelafjhs' ysi uqÿfKA msysgk pl%h fuh fõ' iqrmqrh yd iïnkaO;d mj;ajk ia:dkh f,i ie<flK fuu pl%h isysl,amkdjgo n,mdk ia:dkhhs' 125

ACUPRESSURE

j¾K Ñls;aidj

fuu pl%j, Yla;sh ySk ùu i<ld n,ñka frda. j,g m%;sldr lsÍu w;S;fha isÿ úh' j¾K Ñls;aidfõ moku j¾Kdj,sfha ;sfnk ima; j¾Khka YÍrfha ;sfnk pl% y;g tlsfklla wkqhd; fjhs' mqoa.,hdf.a udkisl Ndjhka yd YÍr ,laIK úuiñka ta ;=<s;;djh ì|jegqKQ pl%h iúu;a lsÍug f;dard .kakd ,o j¾Khka fhdod .ksñka m%;sldr lsÍu j¾K Ñls;ailhdf.a ld¾hhhs' Ñls;aidj n,.kajk wdldrh j¾K Ñls;aidj lsysm wdldrhlska l%shd;aul l< yel' wjYH lrk j¾Kfha i¿ ms<s f;dard.;a ia:dk j,g me<|ùu fuys ir<u wdldrhhs' j¾K wdf,dal úfudapl YÍrfha f;dard.;a ia:dkj,g kdNs.; lsÍu ;j;a udos,shls' úúO j¾K j, ødjK fnda;,a wl=fm%aI¾ ia:dk fkdfyd;a f;dard.;a l,¾mkalap¾ ia:dk j,g iam¾Y lrùu ;j;a m%;sldrhls' ta yereKQ úg fï wdldrfhkau tlS ks, ia:dk j,g úÿ,s mkaoï wdf,dalh osYd.; lsÍuo isÿ flf¾'

YÍrfha pl% y; 126

yojf;ys ol=Kq me;a; yojf;a mqreI me;a;hs' th wkkHhka flfryS W;=rd hk wdorhg fya;= fjhs' jï me;a; yojf;a ia;%S me;a; f,i oelafõ' fuhska wdorh èjks; flfrkafka wka whg fkdfõ ;ukaguh' j¾K we;s lrk fjkialï - idlaIs j¾K - wmf.a ye`.Sï yd YÍr iqjfi; flfryS n,mEï lrk njg úoHd;aul f,dalfha idlaIs yuq ù ;sfí' frdn¾Ü f.h¾â kï wefußldkq úoHd{fhl= 1958 oS m¾fhaIKhl ksr; fjñka r;= j¾Kh wm fkdßiaiqïiy.; lrjk njo" ks,a meyeh wmj iqjm;a lrjk njo fidhd.;af;ah' ;jÿr;a f.h¾â isÿ lrk ,o wOHhk j,ska wdydr reÑ-

ffjoHjrhd - udisl ffjoH iÕrdj

wreÑhg" reêr mSvkhg fukau m%pKavldÍ yeisÍug fk; .efgk j¾K fya;= jk nj fmkajd ÿkafkah' fglaidia j, isrlrejkg frdai meye weªï ,ndoSug tys md,lhka ;SrKh lf<Ah' Bg fya;=j jYfhka Tjqka fmkajd ÿkafka frdai meyeh m%pKavldß;ajh uev,k .=Khlska hqla; njhs' ufkda frda. ffjoHjrfhl= jQ bka.%â fld,skaia fmkajd ÿka mßos j¾K Ñls;aidj ksielfhkau Yla;s uÜgï yd .Kqfokqjl ksr; fjhs' wfma YÍrh iEoS we;af;a mrudKQ j,sks' fï mrudKQ j, we;s Yla;s uÜgï j,g j¾K W;af;ack imhhs' fï ksid úfgl wia:djr fjñka ;=<s;;djh ì| oeóug;a úfgl ;=<s;;djh wdrlaId lr .ksñka YÍrfha iqjfi; wdrlaId lroSug;a j¾K j,g yelshdjla we;'

2015 wfma%,a l<dmh

w;S;fha j¾K Ñls;aid Ndú;d l%s' mQ 1550 ;rï we; b;sydifha merKS Bcsma;=fõ j¾K Ñls;aidj fhdod.;a nj memsria f,aLK j, i|ykaj ;sfí' merKs Ök f,aLKj,o ta yd iudku j¾K Ndú;hka iqjm;a lrùfuys,d fhdod.;a neõ i|yka fõ' j¾K Ñls;aidj mq¿,a f,i fhdod.;af;a 20 jk Y;j¾IfhaoSh' uelaia ¨I¾ kï Ñls;ailfhla Lüscher-Colour-Diagnostic test kï mÍlaIKhla ks¾udKh lf<Ah' flfkl=g ;uka leu;s wdldrhg j¾K .,mkakg bv oS ta weiqf¾ iajlSh ufkdaNdj yd frda. ms<sn|j fm/ hSfï l%uhla Tyq y÷kajd ÿkafkah' cqka uela,sfhdâ kï j¾K Ñls;ailhd fufia lshhs' zz<ore" <ud" jeäysá fldhs ldg;a j¾K Ñls;aidfjka ;u cSú;hg wdf,dalhla tl;= lr.; yelshs' ksjerosj fhdod.;af;d;a j¾K Ñls;aidj fida <;ejq,a" kskao fkdhfdï isg ksoka.; frda." nrm;, frda. fï wdoS ish¿ frda. j,gu wmßñ; iykhla ,nd.; yels Ñls;aidjlsZZ jir oyia .Kkdjl isg mej; tk j¾K Ñls;aidj tys ish¿ úNùh .=Kdx.hka iu.ska ;j;a jir oyia .Kkdjla fkdkeiS mj;sk nj úYAjdih' 127

PdhdrEm ir; a fyÜáf.a

ffjoH

m%idoa foaYm%sh

Ök lgq ffjoH m%;l s dr lrk 128 yeá

l¿fndaú, Ök lgq ffjoH idhkh o is,ajd mdr" l¿fndaú, E Mail: vpdeshapriya@gmail.com www.kalubovilaacupuncture.com

Hot Line:ffjoHjrhd 0714 -299 udisl 777 ffjoH iÕrdj

New Subscription

2015 Now On Special Offer!!!

Postage Handling Fee Packaging Fee

Only Rs. 150/ fndfyda fokdf.a b,a,Su u; fuu oSukdj ud¾;= 15 f;la oS¾> lr we;'

cd;sfha mqfrda.dó ffjoH i`.rdj

ffjoHjrhd oeka Tfí ksfjigu''''

tu ñ,gu''''' ;emE,g wu;r f.ùula fkdue;sj'''' i`.rdj ñ,oS .ekSu i|yd my; l+mkh mqrjd tjkak' ke;fyd;a tys i|yka wdldrhg ilia l< whÿïm;la tjkak

jd¾Isl odhl;aj uqo, re' 1800'00 f.ùï l< hq;= ms<sfj, uqo,a weKjqï ZZwf,ú l<uKdlre" fy,a;afjdÉ ,xld mqoa.,sl iud.uZZ f,i i|yka lr f.jk ;eme,a ld¾hd,h osh;,dj f,i i|yka lrkak fplam;a zzfy,a;afjdÉ ,xld mqoa.,sl iud.uZZ kug ,shd f¾LKh lr tu fplam; wm fj; tjkak ,xld nexl=j u.ska .sKQï.; lsÍu fy,a;afjdÉ ,xld mqoa.,sl iud.u ,xld nexl=fõ wxl 9324332 .sKQï wxlhg wod, uqo, ;ekam;a lr f.ùï m;%sldfõ Pdhdia: msgm; i`.rdj túh hq;= ku yd ,smskh iu.ska wm fj; tjkak' fy,a;afjdÉ ,xld mqoa.,sl iud.u 132$4" úydrlef,a" osh;,dj ÿrl:k 0572229040$0773149084 ku''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''uhd$ñh$fufkúh ,smskh''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ÿrl:k wxlh ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' úoahq;a ,smskh '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' Tfí /lshdj ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 2015 wfma%,a l<dmh

131

132

ffjoHjrhd - udisl ffjoH iÕrdj