cd;sfha mqfrda.dó ffjoH iÕrdj
ONLINE ISSUE
21 ldKavh 2015 - foieïn¾
re'150$-
wêl reêr mSvkh .ek Tn úfYaIfhka ie<ls<su;a úh hq;af;a wehs @ msgqj 08
iSks osklg lkak ;sfhkafka .a?ï 50hs' ,xldfj wms .a?ï 83la lkjd msgqj 42
wkjYH frdau bj;a lsÍug l%u f.dvhs msgqj 30
ISBN-1391 1341
9 7 7 13 91 13 400 1
rdcH Tiqi,a cd,h fld<U 01 63" i¾ ndfrdaka ch;s,l udj;" fld<U 01 ÿ'w$ *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 *elaia' 011-2447118
Available Diabetic Check Ups
oshjeähdj - ffjoH mrSlaIK PACKAGE I Optional Tests Tfí wjYH;djhg wkQj iïmQ¾K reêr mÍlaIdj (FBC) 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 foieïn¾ l<dmh
Email: health@asiri.lk 3
Contents
6
Breaking Health News
8
wêl reêr mSvkh .ek Tn úfYAIfhkau ie<ls,su;a úh hq;af;a wehs@
ffjoHjrhd fujr fm,.eiau
48
ful, mdi,a isiqka w;r m%p,s; uqjg iafm%a lr.kakd meKs îu j¾.h l=ulao@
50
ú¨fò lelal=u ksid mSvd ú|sk whg iykh'''
12 ore iïm;a wysñ hhs
wfmalaId w;ay< hqj, fj; wdorKSh ore iïm;a ;s<sK l< IVF ;dlaIKh
18
55 Tnf.a iqjh"
fkdo;a f;dr;=re
22 tosfkod we;eï l%shdldrlï j,ska miqj fjfiia wjOdkh fhduq l< hq;= frda.hls - ó WK
26 f,v frda. /ila u¾Okh
lrk ly l=vq ál jHxckhla ms<sfh, lsÍfïoS odkakg wu;l lrkak tmd'''
58
oeka wdid;añl;d mÍlaId lrk mÍlaIKhla ;sfnk nj Tn okakjdo@
96
m%ij fõokdjg nh we;eï l;=ka leue;s jk isfiaßhka ie;alu
100 iqÿlnr frda.h ksÜgdjg iqj
ksfrda.SNdjh iqrlsk jkiam;sh" ud<fò ffjoH fkú,a m%kdkaÿ YslaIK frday,
MRI mÍlaIKh .ek Tn
92
lrk u.la ;sfí'''
104 iodld,sl w÷r <`.d
yßu. orejkag lshd fokak''' Tjqka ldhslj fukau udkisljo Yla;su;a m%S;su;a orejka f,i /l.kak
64 mjqf,a wdydr fõ, i|yd WÑ; wdydr fï úosyg f;dard .ksuq
lrk zzwefiaa iqoZZ .ek ie<ls,su;a jkak
109 ,sx.sl úm¾hdi
.eyekqkag''' msßñkag''' isÿúh yelso @
113 ,iaiKg bkak leu;s ieug úl%udrÉÑ ksIAmdok
68 wjqreÿ 35 blaujq ,lajkakjqkaf.ka mfyka tla wfhl=g laIKsl urKhla
30 wkjYH frdau bj;a lsÍug l%u f.dvhs
32 cd;shu f,v lrjk
rildrlhla fjf<| fmdf<a'''
iEu újdyl ldka;djlau l< hq;=" mema mÍlaIKh
.;jq miq frda. ,laIK u;= lrjk nrjd frda.h
118 kSfrda.Sj È.=l,la Ôj;aùfï ryi 3 jk fldgi
77 jdykj,ska mdie,a hk
orejkag n,mdk fi!LH .eg¨ /ila
80 m%;scSjl m%;sfrdaOhg
38 Cooperate Health
84 lsß leáhd keK kqjKska
News
wdYajdi m%dYAjdifhys is; msysgqùu
72 frda.h je<|s ld,hla
37 ifï meyem;a nj os.=l,a wdrlaId lr.kakd yeá
114 m%dKhdu fkdfyd;a
120 ri .=K msß
uq¿;ekaf.hs ke;=ju neß fi!LHdrlaIlhd fmd,alsß
mdr lmk ys;=jlaldrlï
125 ksjfia f;;ukh
ksid;a Tn frda.S jkak mq¿jka
msß i;=g fodafr .,k ore iïm;la ùug kï'''
42 osklg lkak ;sfhkafk
.a?ï 50hs''' ,xldfj wms .a?ï 83la lkjd'''
44 fmKy¿ ms<sldjloS we;sjk
88 isrer mqrd k,shk woDIHudk i;=ka fidauj;Sf.a isrerg wdfõ fldfyduo@
127 .%Ska y¾n,a m%vlaÜia mqoa.,sl iud.fï kj ksIamdok l=Uqla Ieïmq
fï ,laIK .ek Tn oeKQj;ao @
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116
fmd,af;,a uydkqNdj iïmkak Ñls;ail r;akhls
2015 foieïn¾ l<dmh
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Editorial
l;= igyk
Editor's
Note
újdyhg fmr ;e,iSñhdj fmdfrdkaou .,md .kak ;e,iSñhdj kue;s frda.h we;s lsrSug iu;a jdylhka ck.yk ksheosfhka ishhg y;la muK isák nj fy<s fjkjd' ;e,iSñhdj b;d wjdikdjka; frda.hla' YÍrfha Tlaiscka mßjykh lrk ySfud.af,dìka kue;s fm%daàkh fï frda.Skag m%udKj;aj mj;skafka keye' fï whf.a YÍrfha r;= ffi, wld,fha ñhefokjd' YrSrfha jeäuk;a hlv jákd bkaøsh ;=< ;ekam;a ùula ;e,iSñhdj frda.Ska ;=< isÿfjkjd' fïjd bj;a lsÍug ñ, wêl T!IO ,nd.; hq;= fjkjd' idudkHfhka jhi udi ;=k - wjqreÿ tl yudr ;=< frda.hg k;=jQ orejka orejka ;e,iSñhdj frda. ,laIK m%lg lrkjd' fï orejkaf. ka jeä fofkl=g reêrh udihlg jrla muK mdrú,hkh l< hq;=hs' fï orejkaf.a l=i úYd,hs' YÍrh fli`.hs' wiaÓ ;=kShs' fï ksid weúoSu mjd ÿIalrhs' m%;sYla;slrKh;a wvqhs' fï ksid fjk;a frda. fndaùfï yelshdj ;sfnkjd' fï orejka fyd|ska /ln,d .;af;d;a wdhQI hï m%udKhla úkaokh l< yelshs' ke;skï jhi wjqreÿ úis .Kka j,oS ixl+,;d W;aikak ù ñh hd yelshs' ;e,iSñhdj iïnkaOfhka iudchg osh hq;= mKsúvhla ;sfnkjd' orejkag frda.h yefokafka ujf.a;a mshdf.a;a frda.ldrl cdk mej;Su u;hs' fofokdf.ka tla wfhla frda. jdylfhla jqKdg lula kE' orejkag ta ksid ;e,iSñhdj yefokafk kE' ta;a fofokdu jdylhka jqfKd;a orejka frda.hg k;= ùfï by< bvlvla ;sfhkjd' fï ksid ;uhs" újdyhg fmr ;reK ;reKshka f,a mÍlaIKhla fï fjkqfjka l< hq;= jkafka' Tn ;e,iSñhdj jdylfhl= kï ksielfhkau Tfí iylre ;e,iSñhdj jdylfhl= fkdùu jeo.;a fjkjd' f,a kEhka w;f¾ ;e,iSñhdj nyq,hs' fjfiiskau f,a kEhka újdy fkdfjkjd kï fyd|hs' th l< hq;a;lau kï f,a mÍlaIKhlska Tn fofokdf.a ;e,iSñhd fmdfrdkaou .,md .; hq;=hs' th fkd.e,fma kï fl;rï fõokdldÍ jqK;a u;= Wmosk orejka fjkqfjka fofokd fjka ùfï ksjeros ;SrKhu .; hq;=hs' Ndr; .=K;s,l - úOdhl l¾;D editor@waidyawaraya.com
The Pioneer Health & Medical Journal 21 ldKavh 2015 - 12 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 Web Administrator Dumindu Dissanayake 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
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No. 1
Breaking Health News
ffjoHjrhd mqj;a úuiqu
Breaking
Health News ffjoH m¾fhaIKdh;kh" ffjri frda. folla y÷kd.ekSfï ridhkd.dr myiqlï jeä lrhs Epstein- Barr Virus (EBV) Parvovirus B19 fld<U 8" ffjoH m¾fhaIKdh;kh úiska wNskjfhka ffjri frda. folla y÷kd. ekSfï m¾fhaIK myiqlï y÷kajd fok ,oS' Epstein- Barr Virus (EBV) yd Parvovirus B19 hkq fufia wNskjfhka y÷kajd ÿka ffjri ye|skSfï mÍlaIK oaú;ajhhs' ffjoH m¾fhaIKdh;kfha ffjri frda. úfYAI{ cQâ chuy uy;d fuu kjH mÍlaIK y÷kajd ÿkafka fï wdldrhgh' "Epstein- Barr Virus (EBV) lshkafk ;rula iq,nj ñksia jdifha mj;akd ffjrihla' fl< jeks YÍr ;r, ksid fï ffjrih YÍr.; jkakg mq¿jks' fndfyda fokdg l=vd ld,fhaoSu ffjrih YÍr.; 8
fjkjd' we;eful=g ie<lsh hq;= frda. ,laIKhla my< fjkafk kE' idudkH frda.hla úosygu fndfyda úg ikSm fjkjd' ie<lsh hq;= frda. ,laIKhla my< fjkafk .egjrhkag" jeäysáhkag' fldfydu jqK;a fï whg;a i;s 2-4lska frda.h iqj fjkjd'
ffjoH cQâ chuy b;ska" jrla fï ffjrih YÍr.; jqKdu wl%Shj YrSrfha mj;skjd' bkaøsh noaOhla lsÍuloS jf.a m%;sYla;sh w;sYhska ÿ¾j, jqK wjia:djloS fï ffjrih wdfh;a il%Sh fjkak mq¿jka' m%;sYla;sh ÿ¾j, lsÍu ms<sld frda.Skaf.a m%;sldr l%shdj,sfhaoS;a isoaO fjkjd' ta ksid
Tjqkag;a fï ffjrih h,s il%Sh fjkak mq¿jka' HIV wdidos;hkag;a fï ffjrih kej; il%Sh ùula fjkakg mq¿jka' fï Epstein- Barr Virus (EBV) ffjrih y÷kd.kakd iqúfYAIS mÍlaIKh óg fmr rdcH fi!LH wdh;khlska isÿ flrefK kE' fm!oa.,sl frday,a j,;a w;f,diail muKhs isÿ flrefK' fldfydu jqK;a ffjoH m¾fhaIKdh;kfha fï m¾fhaIK isÿ lsÍu wfma rfÜ nyq;rhla ck;djg úYd, fi;la w;am;a ùula' Parvovirus B19 mÍlaIKh kï fï rfÜ wdrïN flrefK m%:u j;djghs' Parvovirus B19 yS frda. ,laIK ne¨fjd;a mqxÑ m¿ oeóula" WKla" fidgq oshr .e,Sula yd ysfia lelal=ula wdoS jYfhka ;uhs tkafk' jvd;a iq,n orejka w;fr' wdfh ixl+,;djhla we;s lrkafk ke;sj frda.h iqj fjkjd'
ffjoHjrhd - udisl ffjoH iÕrdj
kuq;a ffjoH chuy mjik wdldrhg fï ffjrifha n,mEu jeäysáfhl=g we;s jqfKd;a ykaosm;a ta ksid bosfukak mq¿jka' r;= ffi, ksmoùu ;djld,slj wjysr lrkak mq¿jka' uj .¾NsKS ld,fha frda.h we;s jqfKd;a orejdg ixcdkSh ksrla;sh we;s fjkak mq¿jka' we;eï úg u< ore Wm;lg jqK;a fuh fya;= fjkjd' jvd iq,n fkdjqK;a fï Parvovirus B19 ffjrih .ek fjfiia wjOdkhla fhduq úh hq;af;a oEle;s ffi, weksñhdj wdoS r;= ffi, ksmoùfï fodaI" ms<sld" bkaøsh noaO lsÍu" HIV jf.a frda. ksid m%;sYla;slrK moaO;sh ÿ¾j, jqKdu m%pKavldÍ f,i W;aikak úh yels ksihs' wfma rfÜ w¿;au taâia jd¾;dj wfma rfÜ HIV/ AIDS frda.hg k;=j oekg cSj;aj isák ixLHdj 3600la muK jkafkah' fudjqkaf. ka nyq;rhla jhi wjq' 15-49 ldKavhg wh;a nj wkdjrKh ù ;sfí' 2014 j¾IfhaoS w¿;ska y÷kd.;a taâia frda.Ska ixLHdj 228ls' 2015 j¾Ifha uq,a udi kjh ;=< w¿;a tAâia frda.Ska 173 la wkdjrKh ù ;sfí' wfma rfÜ 2015 foieïn¾ l<dmh
jeäfhkau taâia frda.Ska cSj;a jkafka niakdysr m<df;ah' uq,skau wfma rfgka tAâia frda.sfhl= yuqjQfha 1987 j¾IfhaoSh' tod isg wo olajd y÷kd.;a taâia frda.S urK ixLHdj 357ls' 2013 j¾IfhaoS urKhg m;ajQ uq¿ taâia frda.Ska ixLHdj 93ls' fi!LH wud;HxYfha cd;sl STD/AIDS md,k jevigyk tlai;a cd;Skaf.a UNAIDS wdh;kfhao iyfhda.h we;sj ilia l< w¿;au jd¾;dj weiqf¾ by; f;dr;=re jd¾;d ù ;sfí' fï jd¾;dfõ jeäÿrg;a oelafjk wdldrhg fï rfgka jd¾;d jQ taâia frda.Skaf.ka ishhg 76lau jhi wjq' 15 g jeäh' fï taâia frda.Ska w;=ßka ishhg 76lau msßñkah' ishhg 80lg;a jeä fofkl=g fï r;s frda.h iïfm%aIKh jQfha úreoaO ,sx.slhka yd meje;ajQ iïfNda.hka fya;=fjks' iu,sx.sl weiqr yd fjk;a fya;= ksid ;j;a iq¿;rhlg frda.h je<|S ;sìK' ffjoH wOHdmkh i|yd jk ol=Kq wdishd;sl BMJ ;Hd.h ffjoH uOqjka;s osidkdhlg fld<U úYAj úoHd,fha fcHaIAG lÓldpd¾hjßhl iy lS¾;su;a wlaIs Y,H ffjoHjßhl
ffjoH uOqjka;S osidkdhl bkaoshdfõoS BMJ wdishdkq l,dmSh iïudkh ,nd.ksñka''' jk ffjoH uOqjka;S osidkdhl uy;añh ffjoH wOHdmkh i|yd jk British Medical Journal yS BMJ wdishdkq l,dmSh iïudkh oskdf.k isà' iïudk m%odkh miq.shod uqïndhs yS ,S,d fydag,fhaoS W;aijdldrfhka meje;ajqKQ w;r ffjoH uOqjka;S iajlSh iïudkh ,nd.;af;ah' wdishdkq Ydka;slr l,dmSh wlaIs ffjoH welvñfha zwlaIs ffjoH úoHdfõ ksr; ldka;dfjdaZ Wm lñgqfõ Y%S ,xldj ksfhdackh lrk weh 2013 j¾IfhaoS Y%S ,xld wlaIs úoHdhkfha f,alï OQrho bis,Sh' mYapd;a ffjoH Wmdê wdh;kfha wlaIs ffjoH úoHdj ms<sn|j wOHhk uKav,fha idudcsldjlo jk ffjoH uOqjka;S osidkdhl jD;a;Sh mßphlska hq;a lS¾;su;a ffjoHjßhl jYfhka wújdos;h' 9
Hypertension
wêl reêr mSvkh .ek Tn úfYAIfhkau ie<ls,su;a úh hq;af;a wehs@
wêl reêr mSvkh wêl reêr mSvkh .ek Tn úfYAIfhkau ie<ls,su;a úh hq;af;a wehs@ Wmfoia - yDo frda. ms<sn| úfYaI{ ffjoH rejka talkdhl
wêl f,iska fjfyiSu" ldhsl úvdjka " wmf.a reêr mSvkh by< kxjkafka ;djld,sljhs' fï ;;a;ajh ldhsl fjfyig isrer olajk idudkH m%;spdrhla muKhs' fï úvdldÍ ;;a;ajh blauKska myj h;au reêr mSvkh;a fmr mßÈu idudkH ;;a;ajhg m;afõ' kuq;a udkisl mSvdj - úvdj fuhg yd;amiskau fjkia' fndfyda úg udkisl mSvdj jeä ld,hla mj;S' tfiau tys§ by< hk wêl reêr mSvk ;;a;ajho udkisl úvdj myj hk ;=rdu mj;S' kq;k kd.ßl Ôjk rgdj kq;k kd.ßl rgdj fndfyda fofkl=g ksrka;rfhkau mSvdldÍ fjhs' tfy;a wm ta njla fkdfmkajd ;kshu is;ska ú| ord.ekSug ;e;a lrkafkuq' tfukau flaka;sh" ìh" m%Yak j,ska ñßlSu" hkdÈhg ks;r uqyqK fok whg l,a hdfï§ wêl reêr mSvkh
10
ffjoHjrhd - udisl ffjoH iÕrdj
je<fokakg yelshdj we;' mrïmrdfjka fyda wdrfhka wêreêr mSvkh we;súh yelsh' 1' uõmshkaf. ka flfkl=g" ifydaoßhlg fyda ifydaorfhl=g wêl reêr mSvkh we;akï th Tng;a wdrfhkau we;súh yelsh' 2' jeämqr ¨Kq lEfuka - wdydrfhys wvx.= jk ¨Kq wjidkfhaÈ reêrhg Wrd .kakjd' reêrfha ¨Kq m%udKh jeä jq úg reêrhg jeämqr c,h ord .ekSug isÿfõ' fuhska isÿjkafka yoj; úiska fmdïm l< hq;= ;r, mßudj jeä ùuhs' 3' fmdgeishï ,jK wvqfjka .ekSfuka fmdgEishï ,jK reêrfha wjYH m%udKhg jvd wvq jq úg fidaähï j,ska jk ydksh jeäjk njg úYajdihla ;sfnkjd' tfukau fmdgEishï j,g reêr mSvkh fl,skau wvq lsÍfï yelshdjl=;a ;sfnk nj y÷kdf.k ;sfnkjd'
2015 foieïn¾ l<dmh
4' wêl ;rndrej - YÍrh ;rndre jq úg yoj;g jeä reêr m%udKhla fmdïm lsÍug isÿfõ' jeämqr we;s fïoh reêr kd, we;=<; ;ekam;a ùu;a reêr mSvkh jeäùug fya;=jla fõ' idudkH yDoh
wêreêr mSvkh ihs; yDoh
fldaIsld >k Ndjhg m;a fjhs
wêl reêr mSvkh ksid yDofhys we;sjk fjkialï
tfukau flaka;sh" ìh" m%Yak j,ska ñßlSu" hkdÈhg ks;r uqyqK fok whg l,a hdfï§ wêl reêr mSvkh je<fokakg yelshdj we;' reêr mSvkh by< hdfïoS uq,skau we;sjk frda. ,laIK fudkjdo@ we;eï úg lsisu frda. ,laIKhla fkdue;s jkakgo mq¨jks' YÍrfha ie`.j isáñka wkfmalaIs; úm;lg uqyqKq fok ;=reu ;uka wêl reêr mSvkfhka fm¿Kq nj we;eï wh fkdokS'
11
Hypertension
wêl reêr mSvkh .ek Tn úfYAIfhkau ie<ls,su;a úh hq;af;a wehs@
fï ksid wêl reêr mSvkh we;s ke;s nj oek .ekSfï fyd|u l%uh jkafka reêr mSvkh uek ne,Suhs' wjqreÿ 40 g jvd jeä wh wjqreoaolg jrla j;a reêr mSvkh uek .ekSu b;du jeo.;a' th jeäjk ;;a;ajhlg m;afõ kï i;s follg jrla j;a uek ne,su l< hq;= fõ' ke;fyd;a udihlg jrla j;a reêr mSvkh uek.; hq;=h'
w|Ndjh
wxYNd.h yDohdndO
yoj;a wlrKsh
jl=.vq wlrKsh
5' fmkSfï wmyeÈ,s nj" oEia bÈßmi oe,la we;s f,iska oekSu' 6' È.gu mj;sk fia jßka jr we;sjk w; mh mK ke;slu' ksr;=reju reêr mSvkh uek ne,Sug wjYH jqjka 1' mjqf,a idudðlhska fyda ióm f,a {d;ska w;ßka lsysm fofkl=g fyda wêl reêr mSvkh" yDofrda." jl=.vq ÿn,;djhla mej;Su' 2' ÿïmdkhg weíneys jqjka yd wêl u;ameka mdkhg weíneysjqjka' 3' Wm;a md,k fm;s Ndú;d lrk ldka;djka'
wêl reêr mSvkh ksid we;sjk ydks
reêr mSvkh we;s úg meK ke.sh yels YÍßl ,laIK 1' Wfoa ld,fha fn,a, msgqmi by< m%foaYfha iy ysi uqyqfKys we;sjk ysiroh yd ysi lrleú,a,' 2' yqiau .ekSfï wmyiqj' 3' kdifhka f,a .e,Su' 4' wêl f,iska uq;%d hdu'
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tlajrla muKla reêr mSvkh uek ne,Sfuka reêr msSvkh we;snj ;yjqre fjkjdo@ uq,ajrg Tn reêr mSvkh uek ne¨ wjia:dfõ§ hï m%udKhlska Tfí reêr mSvkh by< f.dia ;snqK;a thg l,n, úh hq;= ke;' ffjoHjrhd - udisl ffjoH iÕrdj
wjqreÿ 40 g jvd jeä wh wjqreoaolg jrla j;a reêr mSvkh uek .ekSu b;du jeo.;a' th jeäjk ;;a;ajhlg m;afõ kï i;s follg jrla j;a uek ne,su l< hq;= fõ' ke;fyd;a udihlg jrla j;a reêr mSvkh uek.; hq;=h' wju jYfhka bÈß i;s foll fyda ;=kl ld,hla ;=<§ i;shlg jrla j;a h<s h<s;a reêr mSvkh uek ne,Su b;du jeo.;a fõ' tu iEu wjia:djlÈu reêr mSvkh tldldß f,iska by< uÜgul mj;skjd kï muKla Tn;a wêl reêr mSvkfhka fmf<kafkl= nj ks.ukh lrkak mq¨jks' wêl reêr mSvkh .ek fu;rï ie<ls<su;a úh hq;af;a wehs@ th ;ukag fkdoekqK;a fudfyd;la mdid ta u.ska Tfí wjhj j,g ydks isÿfjhs' th md,kh fkdl<fyd;a wêl reêr mSvkh u`.ska urKh jeks ìysiqKQ m%;sm,hkao wjidkfha we;súug mq¨jks' tu ksid ksis m%;sldrhka ,nd. ekSu ;=<ska fujeks wkfmalaIs; úm;la j<lajd .ekSug yelsh' wê reêr mSvkh ksid we;sjk ixl+,;d • reêr kd, u; fïoh ;ekam;a ùfuka tjd isyska ùfï wjodkula ;sfí' fuu fïo ;ekam;a ùfï l%shdj,sh blauka lrùug wêl reêr mSvkh fya;= fõ' fujka wjia:djl 2015 foieïn¾ l<dmh
reêr kd, ;=<ska reêrh .,d hdu ;j;a wmyiq jk ksid wêl reêr mSvkh ;j ;j;a jeä fõ' • wêl reêr mSvkhg m%;sldr fkdlsÍu reêr kd, isyska ùug fya;=jla fõ' wjidkfha§ reêr .,khg we;s ndOd ;j ;j;a jeäfõ' • yoj;g n,mEfuka yDohdndO we;sfõ' fud<fhys f,a kyr msmsß hdfuka wxYNd.h we;sfõ' • weiaj,g n,mEfuka wkaONdjh we;sfõ' jl=.vq moaO;shg ydks isÿùfuka jl=.vq wl%shùu isÿfõ' • b;du;a nrm;, wksIag m%;s:, f.k fok fuu frda.S ;;a;ajh ieye,a¨jg .; hq;=hhs is;Suo uq,djla fõ' igyk- wkqrdOd È,sks b,kafldaka'
13
Solutions for Infertility
IVF ;dlaIKh
ore iïm;a wysñ hhs wfmalaId w;ay< hqj, fj; wdorKSh ore iïm;a ;s<sK l< IVF ;dlaIKh ldka;djkS" jhi;a iu.u iS>%fhka orejka ,eîfï yelshdj wvq fjkjd''' fï ksid lrk fohla blauKska''' Wish Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr uy;d iu. l< idlÉPdjla jdm;a iEu m;s - m;skshlf.au W;a;Í;r n,dfmdfrd;a;=j ;uhs" ore iïm;' fokak fou,a,kaf.a cSú;h iqkaor lrkakg" <hdkaú; lr.kakg ú;rla fkdfjhs" cSú;hg wruqKla we;s lr.kakg;a orefjla'''' wjYHhs lshk is;sú,a, wmg Wreufhka ,enqKQ hy is;sú,a,la' ys; ;snqKg" W;aidyh ;snqKg orefjlaf. iyskh yefudagu tlfia u,a M, .ekafjkafka kE' we;eï fokd fï wruqK bgq lr.kakg úúO ffjoHjreka fidhdf.k hkjd" foajd, .dfka hkjd" úúO fnfy;a-fya;a" j;a ms<sfj;a isÿ lrkjd'
ú
ore iïm;a ,nd .ekSfï isyskh iM< lr .ekSug kQ;k ffjoH úoHdj msysgg tkafka fldfyduo @ ta i|yd wfma rfÜ we;s myiqlï 14
fudkjdo @ ore iïm;a fkdue;slfuka mSvd ú|sk wUq ieñhkg iykhla jkq msKsi fï ms<sn|j f;dr;=re oek .ekSug wm fï flaIa;%h ;=< úYd, mßphla we;s w;aoelSï nyq," ffjoHjrfhl= yuq jqKd' Tyq kqf.af.dv" Wvyuq,af,a Wish Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr uy;dhs' fï úÿyqre flafIA;%h ;=< wm we;slr.;a fodvu¿fõ jákd ixlaIsma;hla Tfí wjOdkhg'''' ore iïm;a ,nd. ekSfï .eg¿ iys; hqj, fj; ;ukaf.a orefjl= hk isyskh ienE lr.kq jia IVF ;dlaIKh wo úYd, jYfhka msysg fjkjd' fï IVF ;dlaIKh lshkafka l=ulao @ ta .ek fláfhka meyeos,s lsÍula lrkak mq¿jkao @ ldka;djf.a äïnhla mqreIfhl=f.a Y=l%dKQjla iu. YÍrfhka msg;"
ffjoHjrhd - udisl ffjoH iÕrdj
ldka;djf.a äïnhla mqreIfhl=f.a Y=l%dKQjla iu. YÍrfhka msg;" tkï''' .drhloS ixfiapkhg ,la lsÍu IVF ;dlaIKh hkqfjka oelaúh yelshs'
tkï''' ridhkd.drhloS ixfiapkhg ,la lsÍu IVF ;dlaIKh hkqfjka oelaúh yelshs' fï úosyg lD;%Su mßirhloS orejka ,nd.ekSug W;aiql jkafka iajdNdúlj ta ldrKh bIAG isoaO lr.ekSug wmyiq jQ úghs' úfYAIfhkau ksire;djh (Infertility) fuhg n,mdkjd' Tng olajkak mq¿jkao ksire;djhg hqj,la ,laùug ;sfnk fya;= fudkjdo lshd' @ ksire;djhg uQ,sl fya;= ;=kla oelafjkjd' 1' ldka;djf.a m%ckl .eg¿ 2' msßñkaf.a m%ckl .eg¿ 3' ksYAÑ; fya;=jla oelaúh fkdyels wjia:d ldka;djf.a m%ckl .eg¿ .;a úg M<odhS äïn ksmoùu wjysr ùug fya;= / ila ;sfnkjd' wef.a jhia.; ùu" Tima pl%h kshñ; mßos isÿ fkdùu" m%fõKsl .eg¿" úlsrKhg
2015 foieïn¾ l<dmh
15
Solutions for Infertility
IVF ;dlaIKh
IVF k< ore Wm;a l%shdj,sh ksire;djhg m%;sl¾uhla jYfhka fhdod.kakd fuu ;dlaIKfhaoS ujf.a äïn lsysmhla Y=l%dKq iu. YÍrhg mßndysrj ridhkd.dr ;;a;aj hgf;a ixfiapkh flf¾' fï ld¾hh id¾:l jQfjd;a tu hqla;dkqj ldka;djf.a .efnys ;ekam;a flf¾' wk;=rej isÿjkafka weh .eìKshlj ore meáhd l=i ;=< fudard jefvk iajdNdúl l%shdj,shhs' äïn fudapkh W;af;ackh lrKQ msKsi fydafudak ,nd fohs' mef,damSh kd,h
ridhkd.drhl" frdamk udOHhla ;=<oS äïn yd Y=l%dKQ ixfiapkhg ie,eiafõ'
l<,h ujf.a .¾NdIfha ;ekam;a flf¾' jeäuk;a fjf;d;a u;= m%fhdackh msKsi YS;Kh lr iqrlaIs; flf¾'
äïnfldaI
.¾NdIh
ldka;djf.a äïnfldaIfhka äïn lsysmhla bj;a lr.kq ,efí'
ixfiaÑ; îc meh 48la bkalshqfígrhl ;nkq ,efí'
ksrdjrKh ùu" mef,damSh kd,fha fodaI" fydafudakuh fodaI" tkafvdfuá%fhdaisia wdoS frda. wdoS jYfhka úYd, jmißhla wh;a lr.; yelshs' msßñkaf.a mS;DNdjh we;sùug ndOd we;s lrjk fya;= fudkjdo @ msßñkaf.a Y=l% Od;= w.h wju ùu uQ,sl jYfhka we;sjk fodaIhla' m%fõKsl fya;= ksid" wdidok ksid" úúO mßjyk fodaI ksid jf.au fydafudakuh wvq¨yq`vq;d ksid;a fuh isÿúh yelshs' Y=l%dKQ ixLHdj" pd,l;djh jf.au tajd kshñ; jHqyfhka hqla; ùu;a id¾:l ixfiapkhla flfryS n,mdk lreKQ' fï wdldrfhka ksYAÑ; fodaIhla msßñhdf. ka y÷kd.kakg fkdyels jqfKd;a f;jkqj lS ksYAÑ; fya;=jla oelaúh fkdyels wjia:djla fia i<ld m%;sldr ie,iqï flfrkjd' idM,H;djh ,nd.ekSug fï IVF m%;sldrh wdrïN lsÍug fmrd;=j fhdod.kakd fjk;a Ndú;djka ;sfnkjdo @ Tõ" fufyu wjia:d j,oS uq,skau ldka;djf.a 16
iajdNdúl wd¾;j pl%hg wkq.;j ire oskj,oS tlaùu uQ,sl jYfhka wkq.ukh lrkjd' ta yereKQ úg Intra Uterine Insemination (IUI) kue;s l%uho IVF ;dlaIKh fhdod. ekSug fmr W;aidy .; yelshs' IVF ;dlaIKh fhdod.ekSfïoS fuj<ï Ndú;hla isÿ fjkjdo @ fndfydauhla wjia:d j,oS iq,nj fuj<ï Ndú;hla isÿ jkafka kE' úÿyqre l%shdj,ska ridhkd.dr ;;a;aj j,oS ;uhs isÿ flfrkafka'
ffjoHjrhd - udisl ffjoH iÕrdj
kuq;a l<, wdrlaId lr ;eîu i|yd YS;kh lsÍu jf.a wruqKQ bIag lr.kak fjkjd' fï flafIA;%h ;=< fndfyda úg wkaùlaISh fufyhqï lrkakg isÿ fjkjd' kjH ;dlaIKh wkQj Embryoscope jeks WmlrK we;eï ffjoHjreka Ndú;d lrkjd" lghq;= jvd;a myiqfjka bgq lr .ekSu msKsi' fï lghq;= isÿ lr .ekSfï oS hqj,g frday,a.; jkakg isÿ fjkjdo @ lsisu wjia:djl frday,a.;j m%;sldr l%shdj,skag Ndckh jkakg isÿ jkafka kE' ldka;djf.ka äïnhla Wlyd .ekSfï l%shdj,sfhaoS muKla meh 2-3la ú;r k;r ù bkak isoaO fjkjd' IVF pl%hla lshkafka l=ulao @ • fuh m%;sldr mx;shla ye|skafjk kula' ke;akï woshr lsysmhlska hq;a l%shdj,shla y÷kajk úosyhs' • fuysoS uq,skau isÿ jkafka ldka;djf.a
2015 foieïn¾ l<dmh
äïnfldaIfhka äïn lsysmhla tljr ,nd .ekSug fydafudak YÍr.; lsÍuhs' • Y=l%dKq ksheoshla ,ndf.k tajd w;ßka jvd;a Yla;siïmkak Y=l%dKq f;dard.ekSula isoaO fjkjd' • úfYAI frdamk udOHhloS ridhkd.dr ;;a;aj hgf;a fï äïn yd Y=l%dKq ñY% lsÍula isÿ flfrkjd' fuh ICSI procedure f,i oelafjkjd' • úfYAI frdamk udOhh ;=<oS l<,h j¾Okh jk wdldrh osk 3-5 la hk;=re oskm;d mÍlaIdfjka miq fjkjd' • úYsIAG .=Kd;aul;d fmkajk l<, f;dardf.k fojk oskfhaoS" ;=kajk oskfhaoS fyda miajk oskfhaoS tajd ujf.a .¾NdIfha ;ekam;a lrkjd' ;ekam;a fkdlr b;sß jk l<,rEm j,g isÿ jkafka l=ulao @ fï wu;r l<, -296 0C WIAK;ajfha wêYS;k ;;a;aj hgf;a wdrlaId lrf.k wkd.;fha m%fhdackhg .ekSug ;nd.; yelshs' IVF l%shdj,shg Ndckh jk hqj, fj; Tn fok wjjdoh l=ulao @ fï m%;sldr l%shdj,sh isÿ ùug fmr;a" th isÿjk iufha;a ÿï mdkfhka yd u;ameka mdkfhka je<lsh hq;=hs' tfiau udkisl ix;dmhka fkdue;sj m%S;su;aj cSú;h .; lsÍu;a jeo.;a jkjd' fï l%shdj,shg Ndckh ùfïoS .;hq;= T!IO ms<sn|j ksrjq,a wjfndaOhla ,ndoSu ffjoHjrhdf.a hq;=lu jkjd' b;sß fldgi ,nk l,dmfhka n,dfmdfrd;a;= jkak'
ore iïm;a m%udo ùu iïnkaOfhka Tng we;sjk .eg¿ i|yd úuikak 077 3273 866" 011 2836 780 17
fodafr .,k ore fifkyi mqnqÿjd,kakg''' wjirhs'''' ore iïm;a m%udo ùu ksid ;j;a ,; úh hq;= kE' wm fj; tkak' Tfí .eg¿jg úi÷u wm fidhd fokakï'
ì%;dkHfha iqÿiqlï ,enQ idhksl úfYaI{ ffjoHjrfhl=f.a fiajh ,nd .ekSug 011 2836 788 ÿrl:k wxlhg wu;kak' wmf.a fiajdjka iuyrla • mqreI u|ire;d fodaI mßmQ¾K iudf,dapkh • ia;%S u|ire;d fodaI mßmQ¾K iudf,dapkh • .íid os.gu isÿùug m%;sldr • äïn ksIamdokfha fodaI • .¾NsKS;djfha ud¾f.damfoaYk ore iïm;a ,eîug wm wdh;kfhaoS isÿ lrk Wiia m%;sldr • Intrauterine insemination • IN-VITRO FERILIZATION (IVF) • Pre-implantation genetic diagnosis (PGD/PGS) • Intracytoplasmic sperm injection (ICSI) • Microepididymat and testicular sperm aspiration (MESA AND TESA) • Embryo/sperm freezing (vitrofication) • Egg freezing (vitrofication) • Social freezing • Assisted hatching • Blastocyst Transfer • FROZEN EMBRYO TRANSFER (FET) • Embryo donation program • Egg donation program • Becoming an egg donor • Fertility preservation .¾NsKS;djh iïnkaOfhka Tng we;sjk ´kEu .eg¿jloS wmf.a fiajh Tng ,nd.; yel'
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WISH Fertility & IVF Clinic No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda , Sri Lanka. Tel: 011 2836 780. 077 3273 866 E mail: wishiuiivf@gmail.com Web: wishiuiivf.com ffjoHjrhd - udisl ffjoH iÕrdj
2015 foie誰n他 l<dmh
19
Imaging Modalities
MRI mÍlaIKh .ek Tn fkdo;a f;dr;=re
MRI mÍlaIKh
MRI mÍlaIKh .ek Tn fkdo;a f;dr;=re
MRI ialEka iïnkaO jeo.;a lreKq lsysmhla
• MRI ialEka mÍlaIKh fõokd rys; mÍlaIKhls' • tlaia f¾ mÍlaIK j,oS" CT mÍlaIKfhaoS fuka fuysoS whkSlD; úlsrKh Wmfhda.S jkafka ke;' tfyhska ydks we;s fkdfõ' • f¾ukaâ veuähka kue;af;l= úiska m%:u jrg MRI ialEka hka;%h wkqidrfhka iuia; YÍr mßf,dalkhla isÿ lrKQ ,eîh' • MRI ialEka mÍlaIKfhaoS fhdod.kakd pqïnlh -459.67°F ;rï YS; WIAK;ajhl mej;sh hq;=h' • fuu wê YS;k ;;a;ajh mj;ajd .ekSug øj yS,shï fhdod.efka' • ysgf.k mÍlaIKhg Ndckh ùfuka frda.Skag we;sjk NS;sldj iukh l< yels kj ;df,a ialEka hka;% oeka fj<|fmdf<A mj;S' 20
ffjoHjrhd - udisl ffjoH iÕrdj
MRI mßf,dalkh ffjoH flafIA;%fha we;s lf<A kfjdaodjls' fï ksid YÍrdNHka;r m%;sìïn ;dlaIKfha úma,jldÍ fjkila isÿ jQfha YÍrhg ydkslr jQ whkSlD; úlsrKfhkao ñksiqka uqojd.ksñks'
MRI mÍlaIKhla hkq l=ulao @ úYd, pqïnlhla" .=jkaúÿ,s ;rx. yd mß.Kl ;dlaIKh weiqf¾ YÍr wNHka;r m%;sìïn ,nd.kakd m%;sìïn ;dlaIKhls' tlaia f¾ ;dlaIKh weiqf¾ m%;sìïn .ekSu iy CT mÍlaIK isÿ lsÍfïoS whkSlD; úlsrKh fhdod.kakd neúka tys hï cSj úoHd;aul wdmodjla we;s ùug bv ;sfí' tfy;a úlsrKh fhdod .ekSula MRI mÍlaIKh isÿlsÍfïoS isÿ jkafka ke;' MRI ;dlaIKh fhdod.ekSfï iïNjh f¾ukaâ veuähka kue;s uydpd¾hjrfhl= 1977 oS ialEka hka;%h ksmojk ,oS' fï m%:u MRI ialEka hka;%h wkqidrfhka iuia; YÍrh mßf,dalkhla isÿ lsÍug tod meh myl ld,hla .; úK' 2015 foieïn¾ l<dmh
MRI mßf,dalkh l%shd;aul jkafka flfiao@ wfma YrSrfha jeä jYfhka we;af;a c,hhs' tkï yhsv%cka yd Tlaiscka mrudKQh' fï mrudKQ uOHfha fm%dafgdakhlao mj;skafkah' fuys pqïnl .=Kdx. we;s ksid fjk;a pqïnl flfIA;%hlg ixfõoS jkafkah' wfma YÍrfha we;s c, wKQ we;af;a wúêu;ajh' kuq;a pqïnl flfIA;%hla wìuqjoS fï wKQ tl fm<lg weisfr;s' W;=r fyda ol=K jYfhka osYdNsuqL fj;s' fjk;a pqïnl flafIA;%hla n,meje;aùfïoS b;d l=vd iamkao ld,hloS ;=< jqj fï yhsv%cka mrudKQ iajlSh osYdj fjkia lr.kS' fmaKQj ¨yqj;a l< úg kej; ksoyia osYd j,g ieliSula fõ' mÍlaIKh ;=<oS f>daIdjla we;s jkafka fï l%shdj,sh ksidh'
21
Imaging Modalities
yhsv%cka wKQ yd Tlaiscka wKQ mdol lr.;a ixlS¾K l%shdj,shla weiqf¾ ,nd.kakd o;a; mß>klhg leùfuka tajd m%;sìïn njg m;aflf¾' MRI mßf,dalkh fhdod.kafka ljr frda. j,go@ MRI mßf,dalkh ffjoH flafIA;%fha we;s lf<A kfjdaodjls' fï ksid YÍrdNHka;r m%;sìïn ;dlaIKfha úma,jldÍ fjkila isÿ jQfha YÍrhg ydkslr jQ whkSlD; úlsrKfhkao ñksiqka uqojd.ksñks' MRI mßf,dalkh weiqf¾ y÷kd.kakd f,v frda. j,ska lsysmhla fufiah' • fud<h yd lfYAreldfõ we;sjk .eg¿ • YÍrfha úúO ia:dk j, we;sjk f.ä" fldaIaG yd wfkl=;a widudkH;d' • we;eï yDoh widudkH;d • wlaudj yd wfkl=;a WoÍh wjhj j, widudkH;d$frda.
22
MRI mÍlaIKh .ek Tn fkdo;a f;dr;=re
• *hsfn%dhsâ" tkafvdfuá%fhdaisia wdoS frda. • .¾NdIhsl widudkH;d • orejka fkdue;s ldka;djkaf.a idM,H;d fodaI
ysgf.k mÍlaIKhg Ndckh ùfuka frda.Skag we;sjk NS;sldj iukh l< yels kj ;df,a ialEka hka;% oeka fj<|fmdf<A mj;S' MRI mßf,dalkh iïnkaOfhka frda.Skag we;sjk m%Yak MRI mÍlaIKhla isÿ lsÍug fldmuK fõ,djla .; jkafkao @ YÍrfha mßf,dalkhg ,la lrkafka ljr fldgio @ .; hq;af;a ljr m%;sìïno @ fï wdoS idOl u; fj,dj fjkia jQj;a idudkHfhka úkdä 15-60 w;r ld,hla MRI mßf,dalkhlg .; fõ uf.a o;a msrjqula$fí%ia tlla uqfjys we;' ug MRI mßf,dalkhg Ndckh úh yelso@ Tng mÍlaIKhg Ndckh úh yel' kuq;a m%;síïnfha wod, fmfofiys wmeyeos,s;djhka we;súh yel' jeäÿr Wmfoia i|yd úlsrKfõoS ffjoHjrhd fyda úlsrK ;dlaIK{hd yuqjkak' MRI mßf,dalkh w;f¾ tu l=yrh ;=<oS ug tyd fuyd úh yelso@ fkdyel' Tn fï mÍlaIKh uq¿,af,au fkdfi,aù isáh hq;=h' Tfí isrer p,kh jQjfyd;a m%;sìïnh ks¾udKh ùu kshu wdldrfhka isÿ fkdfjhs' m%;sìïnh fnd| fjhs' fjfiiskau os.= fõ,djla .; fjk mÍlaIK j,oS ksfid,aukaj isàu úfYAIfhka jeo.;ah'
ffjoHjrhd - udisl ffjoH iÕrdj
MRI mrSlaIKhla isoq lsrSfïoS th kj;u mrïmrdfõ iy kj;u ;dlaIKfha MRI moaO;shlska isÿ lsrSfuka Tfí ffjoHuh wjYH;d myiqfjkau bgq lr.; yel'
Tfí MRI mÍlaIKh rd.u ,Sikaia frdayf,kau isÿ lr.; hq;af;a wehs @
iqúfYAIS jdishla''' rd.u ,Sikaia frdayf,ka MRI mrSlaIKhla lr.kakd úg Tng 25% jÜgula ysñ fõ'
,Sikaia frdayf,a ia:dms; kj;u vantage Elan MRI hka;%fha we;s woaù;Sh iqúfYAI;d úia;S¾K o;a; imhk iqmeyeos,s m%;sìïn kj;u mrïmrdfõ 1'5 Tesla Ultra - short Zero Boil ;dlaIKh ljr ÿIAlr jQ fyda mÍlaIKhloS is;e`.s o;a; msßmqka m%;sìïn imhhs' wdrlaIdj mdrkaO ridhk øjH Ndú;fhka f;drjuo jdysksl m%;sìïn imhhs' fuhska frda.shdf.a wdrlaIdj yd myiqj jvd;a idlaId;a lrhs' mßyrKh myiqhs iqúfYAIS" jeä oshqKQ lrk ,o M-Power interface u.ska Ndú;dj w;sYh iqug lr ;sfí' úúO mßphkayS ;dlaIKfõoSka ieu fokdgu ir< wOHhkhlska mQ¾K Odß;dfõ Wmdx. mßyrkhla iy;sl flf¾' frda.shdf.a iqjmyiqj Pianissimo sigma ;dlaIKh u;ska frda.shdg hka;%fhka tk Yíoh fnfyúka iqir lr ;sfí' jvd;a iqjmyiqj mrSlaIKhg Ndckh ùfï myiqlï i,id we;' Wmdx. Ndú;h myiqh' ish,a, frda.shdf.a myiqj Wfoidu l%shd;aul fõ'
,Sikaia fm!oa.,sl frday, 33" f;aj;a; mdr" rd.u ÿrl;k 2015 0112961300 foieïn¾ l<dmh
23
Leptospirosis
ó WK
tosfkod we;eï l%shdldrlï j,ska miqj fjfiia wjOdkh fhduq l< hq;= frda.hls - ó WK
úfkdao jkaokd .uka hk w;r we<" fÞ< .x.dj,ska kEfukq;a ó WK je<f|kak mq¿jka æ ldhsl frda. úfYaI{ ffjoH Wmq,a o is,ajd je<÷Kq uq,a Èkj,§u ksis m%;sldr fkd.;af;d;a wk;=reÞhl úh yels ó WK ms<sn|j jeä fofkla is;kafka ieye,a¨fjks' —wms l=Uqrej,g nyskafk kEfka' b;ska wmg fldfyduo ó WK yefokafk @˜ ó WK ms<sn| jeä fokl=f.a wdl,amh thhs' kuq;a ó WK kue;s frda.h t;rï ieye,a¨jg .; hq;a;la fkdfõ'
24
iam%sx yevhla .kakd ksid YÍrfha wiaila uq,a,la kEr lerls lerlS msyskd hdfï yelshdj fuu nelaàßhdjg ;sfnk w;r tA wkqj wlaudj" fud<h" yDoh jia;=j" fmKy¨" jl=.vq jeks b;d ÿIalr YÍrfha wê wdrlaIs; ia:dk lrd mjd nelaàßhdj .uka lrkafka ks±,af,auh'
ffjoHjrhd - udisl ffjoH iÕrdj
Tn;a fkdoeku we;s úh yels wjodkula Tng jeis c,h msß .ia fld<ka iys; úYd, bvul weúo hdug isÿ jqjfyd;a th b;du iajNdúl fohls' jkaokd fyda úfkdao .ukla hk w;ru. we<la fÞ<la .Õla ±l kdkakg is;=fKd;a tho w;sYhskau iajNdúl jQjls' kuq;a Tn wjOdkhg .;hq;= b;d jeo.;a lreKla ;sfí' l=Uqrlg neiSfuka miq Èk lsysmhlska yÈisfha WK yg .;a wjia:djl fiau by; lS wkaofï isoaêhlg uqyqK §fuka miq yÈisfha WK yg .;af;d;a Tn th ó WK ±hs iel lsÍu b;du;a jeo.;ah' thg fya;=j ó WK ksid Tfí Ôú;h urKfhka fl<jr ùug jqjo yelshdjka ;sfnk neúks'
flfia jqjo fvx.=j,g m%;sldr lsrSu t;rï wmyiq jkafka ke;' kuq;a ó WKg m%;sldr l< yelafla uq,a Èk lsysmh ;=< muKs' frda.h je<£ Èk myla muK jk úg isrer ;=< úYd, l=Kdgqjla ygf.k wjidkh'
kuq;a ñka woyia lrkafka by; lS wkaofï w;a±lSulg uqyqK fok ´kEu wjia:djl ó WK yg .ekSug yelshdjla ;sfnk nj fkdfõ' kuq;a Tn tjeks w;a±lSulg uqyqK § ^l=Uqrl neiSu" jeys c,h msß md¿ bvul weúo hdug isÿùu" we<la fÞ<la jeks ia:dkhg kEu jeks fohl§& Èklska follska ke;fyd;a Èk lsysmhlska leiai fiïm%;sYHdj jeks lsisu fjk;a ndysrj ±fkk ,laIKhla ke;sj WK yg .;af;d;a th ó WK njg iel lsÍu Tfí wdrlaIdj me;af;ka b;du;au jeo.;ah' fkd.e,fmk m%;sldrh fulhs WK yg .;a l, <Õu ;sfnk fjf<|ie,lska fõokd kdYl fm;s álla ñ,§ f.k th mdkh lr WK niskjd±hs úuis,af,ka isàu b;du;a myiq lreKls' tfiau <Õu ;sfnk äiafmkaißhlska fnfy;a /f.k
2015 foieïn¾ l<dmh
25
Leptospirosis
WK iqj lr .ekSugo wmyiqjla ke;' kuq;a fnfy;a fm;s folla î WK nisk f;la n,d isàfï h,amek .sh l%uh ó WK i|yd kï fldfy;au .e<fmkafka ke;' óg jir .Kklg by;§ ó WK ksid frday,a jdÜgq ;=< Èklg frda.Ska fo;=ka fofkl=j;a ñh.sh wjia:d ;sìKs' tl, iuyr l=Uqre j, iqÿ fldä oud ;snQ wkaouo wmg u;lh' WK yg .;a miq th ó WKuo hkak ;yjqre lsÍfï mÍlaIKhla idudkHfhka fkdue;' fuys§ isÿ lrkafka FBC ^Full Blood Count& kï b;d ir, reêr mÍlaIKhla muKs' frda. úksYaphg ridhkd.drhlska FBC mÍlaIKhla lrjd .kak fjkjd WK ye§ ;on, f,i weÕm; ßfokafka kï by;o i|yka l< mßÈ WK iu. fiïm%;sYHdj leiai jeks fohl=;a fkdue;s kï ffjoH ridhkd.drhlska FBC mÍlaIKhla lrjd
ó WK
f.k frday,g meñKsfhd;a fï WKg fya;=j fvx.= o ke;fyd;a ó WK o hkak ffjoHjrhdg jgyd .; yels jkq we;' fuhska woyia lrkafka leiaila" fiïm%;sYHdjla fkdue;sj ;on, f,i weÕm; ßfokafka fvx.= iy ó WK frda.hg muKla nj fkdfõ' tu ,laIK ;sfnk ;j;a frda. mj;shs' kuq;a nyq,j olskakg ,efnkafka fï ó WK frda.hhs'
ó WK we;s lrk úIîc ñksia isrerg m%fõY jk l%u 26
ffjoHjrhd - udisl ffjoH iÕrdj
flfia jqjo fvx.=j,g m%;sldr lsrSu t;rï wmyiq jkafka ke;' kuq;a ó WKg m%;sldr l< yelafla uq,a Èk lsysmh ;=< muKs' frda.h je<£ Èk myla muK jk úg isrer ;=< úYd, l=Kdgqjla ygf.k wjidkh' nelaàßhdjlska yg.kakd frda.h fó WK je<f|kafka nelaàßhdjlsks' f,magiajhsrd kñka fuu nelaàßhdj y÷kajhs' tksid fuu frda.h ffjoH úoHdfõ ^Leptospirosis& f,i ye¢kafjhs' f,magiamhsfrdaisia nelaàßhdj iam%sx tll yevhla .ks' wfma ll=f,a mshú weig fkdfmfkk ;rfï b;d l=vd iSÍulska jqjo fï nelaàßhdjg wfma YÍrh ;=<g ßx.d .; yelsh' iam%sx yevhla .kakd ksid YÍrfha wiaila uq,a,la kEr lerls lerlS msyskd hdfï yelshdj fuu nelaàßhdjg ;sfnk w;r tA wkqj wlaudj" fud<h" yDoh jia;=j" fmKy¨" jl=.vq jeks b;d ÿIalr YÍrfha wê wdrlaIs; ia:dk lrd mjd nelaàßhdj .uka lrkafka ks±,af,auh' fjk;a lsisÿ Ôúhl=g fufia .uka lsÍug mq¿jkalula ke;' wjidkfha by; ±lajQ wjhj tlsfkl ish,a, úkdY lr ±óug ;rug fï l=vd nelaàßhdjg yelshdjla we;'
ó WK we;s lrk mrfmdaIs;hd
2015 foieïn¾ l<dmh
uq,a Èk fol ;=k ;=<§ frday,lg we;=¿ jqjfyd;a Tn wdrlaIs;hs kuq;a Tn is;k ;rïu wjdikdjka; ke;' by; lS mßÈ WK ygf.k uq,a Èk fol ;=k ;=<§ rcfha frday,lg we;=¿ jqjfyd;a Tfí frda.h ó WK nj ldhsl frda. úfYaI{ ffjoHjrhl=g y÷kd.ekSu wmyiq fkdjkq we;' fï i|yd k.rno m%Odk frday,a iy fm!oa.,sl frday,a fidhd hñka m%;sldr m%udo jkakg bv yeÍu wkqjK luls' tfiau fuu frda.h i|yd nyq,j Ndú;d lrkq ,nk fmksis,ska T!IOh rcfha frday,aj, nyq,j ;sfnk ksid tys m%;sldr m%udo jkafka;a ke;' fmksis,ska u.ska fï úIîch b;d myiqfjka úkdY fjhs' tA wkqj ;=kafjks y;rfjks Èkh jk úg frda.shd iqj w;g yefrkq we;' ó WK m%;sldr ke;s frda.hla fkdfõ' l< hq;= tlu foh Tn úiska m%;sldr m%udo fkdlsÍuh' tA nj Tng ±ka jegyS we;ehs is;uq'
27
wdhq¾fõoh
f,v frda. /ila u¾Okh lrk ly l=vq
f,v frda. /ila u¾Okh lrk ly l=vq ál jHxckhla ms<sfh, lsÍfïoS odkakg wu;l lrkak tmd'''
ly j, ;sfnk zl¾lshqñkaZ lshk ridhkh ksid ;uhs fï jákdlï ish,a, ly j,g ,eî ;sfhkafka'
ly wfma jHxck rij;a lrk rildrlhla' w, fydoaog" mßmamq jHxckhg ú;rla fkdfjhs" wm msisk fldhs t<j¿jg;a" jHxckhg;a ly álla tl;= fjkafk ksrdhdifhka'
• YÍrh jeyefrkafk" wms jhig hkafk YÍrh ;=< ;sfnk uqla; LKavl l%shdj,sh n,.ekaùu ksid' ly th u¾Okh lrkjd' úgñka C úgñka E fï jhig hdfï l%shdj,sh wdmiaig yrjk uy;a jQ .=Khlska hqla;hs' oeka fidhdf.k ;sfnk wdldrhg fï úgñk jf.a wg .=Khl m%n,;djfhka ly by; úia;r l< ffi,Sh ydksh wju lrkjd'
ly úIîc kik njg w;s m%n, úYAjdihla ;sfnkjd' kuq;a úoHdj wo t;kska tyd .sh úYd, jákdlula ly j,g fokjd'
• YÍrfha m%odysl l%shdj,shla n,.ekaùfuka we;sjk f,v rdYshla ;sfnkjd' .eiag%hsáia" wd;rhsáia" uq;%d wdidok Bg ksoiqka' fï m%odysl l%shdj,sh wvmK lsÍug ly j, ;sfnk zl¾lshqñkaZ j,g mq¿jka' 28
ffjoHjrhd - udisl ffjoH iÕrdj
• ly wdidok j,g tfrysj l%shd;aul fjkjD' we;af;kau ly iajdNdúl úIîc kdYlhla' • fud<fha wjl%shdldÍ ;ekam;= ksid we;sjk fjkiaùula we,aIhsu¾ frda.hg fya;= fjkjd' fï wkQj ly m%;s îgd weuhsf,daâldrlhla jYfhkao l%shd lrkjd' fï ish,a,gu jvd jeo.;a jkafka fï bmerKs uq¿;ekaf.hs rildrlh ;=< ms<sld kdYl .=K mej;Suhs''' fjfiiskau wdka;%sl-.=o ms<sld md,kh lsÍfuys,d l¾lshqñka ridhkh olajkafka úYAñ; l%shdldß;ajhla' fï .ek ì%;dkHfha ffjoH i`.rdjl fufia oelafjkjd' ZZlSfudf;rms m%;sldrfhka myr t,a, fjkafk ¥ys;D ffi, j,g' tkï uQ,sl ms<sld ia:dkfhka mek k.sk mßjdr ffi, j,g' tfy;a l¾lshqñka kslafIAmK
2015 foieïn¾ l<dmh
m%;sldrfhka l=U ffi, f,i ye|skafjk ud;D ms<sld ffi, j,g fl,skau myr t,a, lrkjd' tajd úkdY lrkjd' lSfudf;rms m%;sldrh .ekSfuka we;sjk úúO ixl+,;d lsisjla fï l¾lshqñka m%;sldrh ksid we;s jkafka kE'zz
wdka;%sl-.=o ms<sld md,kh lsÍfuys,d l¾lshqñka ridhkh olajkafka úYAñ; l%shdldß;ajh ms<sno ieliqKq ,smsh wka;¾cd,h Tiafia lshùug fï Tiafia yelshdj we;'
http://www.greenmedinfo.com/blog/betterchemo-turmeric-kills-cancer-not-patients-1 ms<sld m%;sldrfhaoS l¾lshqñka idkaøKh Bg Tìk wdldrfhka ms<sffh, lr .kakd wdldrh fï jd¾;d j, jeä ÿrg;a oelafjkjd' wmg ;sfnkafka fmros. ixialD;sfhka fmdaIKh jQ b;d ksfrda.S wdydr isß;la' uq¿;eka f.hs l=¿nvq Ndck wg wkQjla jHdêka j,g jákd T!IO' Tfí fi!LH flfryS n,mdk Tfí wdydr fõ, ksfjfiaoSu ms<sfh, lr.kak' kshfmd;= w.g ;jrdf.k bi ouk ly l=vq ál" W¿yd,a" wn '''' l=¿nvq ál u.yßkak tmd' th Tn;a fkdoekSu Tfí;a Tfí wdorKShhkaf.a;a fi!LH uyd /ljf,la fia wdrlaId lrkjd' ly iqj lrk f,v iuyrla • .eiag%hsáia • wd;rhsáia • YÍrh úhm;a ùu • iu /<s jeàu • nelaàßhdkq wdidok • we,aIhsu¾ frda.h • wdka;%sl .=o ms<sld
zzffjoHjrhdZZ i`.rdfõ l¾;D Ndr; .=K;s,l
29
Heart Health
yosis yDohdndOj,g ,lajkakjqkaf.ka mfyka tla wfhl=g laIKsl urKhla
yosis yDohdndOj,g ,lajkakjqkaf.ka mfyka tla wfhl=g laIKsl urKhla yDo frda. úfYaI{ ffjoH kdu,a úchisxy Èjd wdydr f.k flá kskaola ,nd .ekSu i|yd we|g .sh wmf.a ys;j;l= wef|a ydkais jQ iekskau isyska fl¢ß,s y~la k.d we;s w;r bkamiq tljru ysi my;g lvd jeà ;sfí' Tyqf.a ìß| úuis,su;aj n,k úg Tyqf.a iajrEmh .ek iel is;S lE.eiSu ksid wi,ajeishka Tyqj frday,g /f.k .sho Tyq tA jkúg;a ñhf.dia isáfhah' fuf,i ysáyeáfha nia r:j," uyu.§ mjd ñksiqka ñh hdu úr, ;;a;ajhla fkdfõ' yDo frda.j,ska fmf<ñka isák wh fukau tfia fkd;snqKq wh mjd iuyr wjia:dj,§ fufia laIKslj urKhg m;a úh yelsh' fujeks urKj,g fndfyda úgu fya;= jkafka yDohdndOhs' m%n, yDohdndOhla we;sùfï§ laIKslj urKhg m;a ùug ;sfnk yelshdj 20]la muK fõ' fkdtfia kï yÈis yDohdndOj,g ,lajkakjqkaf.ka mfyka tlla laIKsl urKj,g m;afj;s'
30
ffjoHjrhd - udisl ffjoH iÕrdj
yDohdndOhla ke;s jqK;a yDoh wl¾uKH;djfhka fmf<k wh;a iuyr wjia:dj, fufia laIKslj urKhg m;a jkakg mq¿jk' laIKsl urKhla w;a lrúh yels ;j;a fya;= jla jkafka yDofha we;s jk hï hï ffjria wdidokhs' ufhdaldvhsáia ^Myocarditis& kñka y÷kajkafka fuhhs' tfiau cdk.; yDo frda. we;súg l=vd orejl=f.a jqj o fï ;;a;ajh we;súh yelsh' fï ish¨ wjia:dj,§ laIKslj urKh w;ajkafka tu frda.S ;;a;ajh u; yDo ßoaufha we;sjk ;on, jQ fjkialï fya;=fjks' fufia we;sjk ;on, fjkiaùï y÷kajkafka Ventricular fibrillation f,isks' fï ;;a;ajh we;s jQ úg yDofha l%shdldß;ajh laIKslj wek ysáhs' tfia ùu;a iu.u fud<h we;=¿ ish¨u bkaøshhka j,g reêr iemhqu k;r fjhs' 2015 foieïn¾ l<dmh
túg úkdä lsysmhla ;=< frda.shdf.a urKh isÿ úh yelsh'
yDohdndOhla ke;s jqK;a yDoh wl¾uKH;djfhka fmf<k wh;a iuyr wjia:dj, fufia laIKslj urKhg m;a jkakg mq¿jk'
fujeks wjia:djl§ jydu tA fudfydf;au frda.shdg lD;%su Yajikh ^Mouth to mouth breathing& ,nd foñka yDoh iïndykh lsÍu ;=<ska jyd frda.shdf.a yDo l%shdldß;ajh h<s we;s lr .; yelshs' tfia lsÍfuka miq jydu frda.shd frday,lg f.k hd hq;=fõ' fï ish¨ wjia:djka fiau laIKsl urKhla we;s lsÍug l,d;=rlska n,mdk ;j;a fya;=jla jkafka yDohdndOhla ksid yDo ì;a;s mqmqrd hduh' fï lskï wdldrfha fya;=jla ksid fyda laIKslj ysáyeáfha
mqoa.,hl= ñh hd yels uq;a tfia ñh hdug ksYaÑ; fya;=j wkdjrKh lr .; yels jkafka tu ñh .sh mqoa.,hdf.a isÿ lrk mYapd;a urK mÍlaIKhl§h' yDohdndOhla jeks ;;a;ajhla urK mßlaIKfha § myiqfjka y÷kd .; yelsh' frda.shd ñh .sfha yDofha wl¾uKH;djh ksid fyda wksl=;a fya;=jla ksido hkak;a fuys§ wkdjrKh lr .; yelsfõ' laIKslj we;s jk urKj,§ 90]lg;a jvd n,mdkafka yDofha we;sjk by; lS fya;+kah' rd;%S kskaog .sh flfkl= Wfoa n,k úg ñhf. dia we;skï tho laIKsl urKhla f,i ie,fla' kuq;a th fujeks fya;=jla u; fukau" jila úila YÍr.; ùu" ishÈú kid .ekSu jeks ´kEu fohla ksid isÿùugo yelshdj ;sfí' tAjd wkdjrKh jkafka fndfyda úgu mYapd;a urK mÍlaIKj,§ h' 31
Beauty
wkjYH frdau bj;a lsÍug l%u f.dvhs n,msáh uQ,sl frdayf,a p¾u frda. úfYaI{ ffjoH wcs;a lkakka.r fndfyda fokl=g mj;sk .eg¨jls" wkjYH frdau' fuu .eg¨j fndfyda úg ldka;d md¾Yajhg uqyqKmEug isÿjk fohls' fuh bj;a lsÍug úúO Wml%u fhdod .efka' wkjYH frdau nyq,j we;s úh yels YÍrfha ia:dk • Wvqf;d, • kslg • lïuq, • foll=,a • weÕs,s • fow;a
wkjYH frdau bj;a lsÍug l%u f.dvhs
wkjYH frdau we;sùug n,mdk fya;= • cdkuh fya;= we;eï T!IO j¾." ^iaàfrdhsâ" fydafudak fjkialï isÿ lrkq ,nk T!IO& • we;eï ldhsl frda. WÞyrKhla f,i Polycystic Ovarian Syndrome frda.h fkdfhl=;a l%u u.ska fuf,i we;sjk wkjYH frdau bj;a l< yel' flf,i fuu frdau bj;a l<o" fndfyda úg kej; jeùu isÿfõ'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
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fkdfhl=;a l%u u.ska wkjYH frdau bj;a l< yel' flf,i fuu frdau bj;a l<o" fndfyda úg kej; jeùu isÿfõ' fIaúka Shaving fuh YÍrfha iEu ia:dkhlgu iqÿiq fkdjk w;r ll=,a yd w;aj,g iqÿiq fõ' fuys§ fndfyda úg f¾irhla wdOdrfhka wkjYH frdau bj;a lsÍula isÿfõ' fIaúka lsÍfïoS we;sjk w;=re m%;sM, fuys§ fndfyda jg iu r¿ úh yel' lemSï wdÈh ksid ;=jd, we;s úh yel' we;eï úg tu fya;=j ksid ifuys l¿ meye ,m we;s fõ' frdau W.=,a,d ±óu Plucking fuh zÜùi¾Z ^Tweezing& lsÍu f,io y÷kajkq 2015 foieïn¾ l<dmh
,efí' fuh id¾:l l%uhla f,i y÷kajkafka Tng flia .ia lsysmhla muKla we;akï mu‚' Tnf.a weianeñ iE§ug fyda Tnf.a uqyqfKa wkjYH frdau .e<ùug iqÿiq fõ' lsis úfgl§ úYd, m%foaYhl frdau .e<ùug iqÿiq fkdfõ' frdau W.=,a,d ±óu w;=re m%;sM, • fõokdjla we;s fõ • iu we§ulg ,laúh yel • ifï le<e,a we;s fõ f,dau kdYl wdf,amk .e,aùu Depilatory Creams f,dau bj;a lrk wdf,amkhla ffjoH wkque;shlska f;drj ,nd.; yels fõ' fuu wdf,amk úúO m%udKhla fjf<|fmdf<a we;s uq;a tAjd tlsfklg fjkia fõ' tneúka Tn hula f;dard .ekSug m%:u tys wvx.= øjH ms<sn|j jk f,an,h lshjd Tfí iug .e<fmk wdf,amkh ksjerosj f;dard .kak' f,dau kdYl wdf,amk Ndú; lsÍfï§ tys wvx.= Wmfoia ms<smeÈh hq;=h' f,dau kdYl wdf,amk Ndú; lsÍfï§ we;s úh yels w;=re m%;sM< • iu ms<siaiSu • wdidok • wdid;añl;d we;s ùu bá Ndú;d lr frdau bj;a lrk m%;sldrh Hot Waxing fuh Tng ksjfia§u lr.; yels m%;sldrhls' Tn hï fyhslska ffjoH Wmfoia u; le<e,aj,g T!Iëh m%;sldr ^Retin - A jeks& Ndú; lrkafka kï fuf,i jelaia Ndú;h iqÿiq fkdfõ' jelaia lsÍfïoS Tnf.a ifï we;s fuu wkjYH frdau we§ulg ,la lr bj;a lrkq ,nhs' fndfyda ldka;djka fuh Wvqf;d< wdY%s; frdau bj;a lsÍug id¾:lj fhdod .kS'
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Monosodium glutamate
cd;shu f,v lrjk rildrlhla fjf<| fmdf<a'''
fuu ridhkslfha n,mEu iDcqju ñksid frda.shl= lsÍug odhl fkdjqKq;a frda.S ñksfil=f.a frda.h W;aikak lsÍug fya;=jk nj fmkS hhs'
cd;shu f,v lrjk rildrlhla fjf<| fmdf<a''' MSG ridhkslh
Wmfoia- tlai;a rdcOdksfha l%Svd ffjoH tallfha úfYAI{ ffjoH wix. úchr;ak wm l=vd l, isgu ,qKq rig jvd;a m%sh lrñka ¨KQ ri fhÿ úúOdldr wdydr j¾." ri j¾." wdydrhg .kafkuq' ;s;a; ri" weTq,a ri" lyg ri" meKs ri" jeks ri w;ßka m%Odk ;ekla .kakd ¨Kq rihg jeä fofkla m%sh lrkafka thska wdYla; lrjk wuq;=u rihla f.k fok ksihs' Èj mskdhk rihla f.k fok ¨Kq ri wdydrhg ,eî we;af;a flfiao@ tfukau th mßfNdackhg .kakd mqoa.,hkaf.a fi!LH ;;a;ajh flfia fõo@ miqld,Skj Tjqka l=uk frda. ;;a;ajhkag m;afõo@ hkak ms<sn|j .eg¨ rdYshla mek ke.S we;' Èj mskjk rih fj<|fmdf<a ;sfnk kqâ,ia j¾." áka lEu j¾." Öia j¾." ìialÜ j¾." úúO nhsÜia j¾." m%sh ckl wdydr j¾. fõ' fuu wdydr j, Èj mskjk rihla f.k fok fudfkd fidaähï .a¨fgdfïÜ hk ridhkslh wvx.=h' fudfkda fidaâhï .a¨fgdfïÜ ^MSG& 1860 j¾Ifha c¾uksfha úiq ridhk úoHdj ms<sn| úfYaI{hka .a¨fgdñla weisâ ms<sn|j mÍlaIK lr we;' tfukau ls%'j 1908 § cmka úoHd{hskao .a¨fgdñla weisâ iu. ne÷Kq 34
rildrl ms<sn| mßlaIK lr we;' ;jo tx.,ka;fha if¾ úYaj úoHd,fha m¾fhaIlhka lKavdhula fuhg wjqreÿ 40 lg fmr meKs ri ke;s ¨Kq ri" weTQ,a ri" ;s;a; ri" ñY% jqKq fudfkdfidaähï .a¨fgdfïÜ ^MSG& ms<sn|j y÷kdf.k we;' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
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1950 ka miq ñksid w;r ckm%sh jq tï' tia' Ô' ridkslh wvx.= wdydr m%Odk wdh;k myla uq,alrf.k ksIamdok jqfhah' tkï welaikaÜ ^Acsent& kï weußldkq wdh;kh" wÔfkdafgda ^Aginoto& kï cmka wdh;kh" fÜiaáka mjqv¾ ^Tasting powder& kï wefußldkq iud.u" iefidka ^Sazon& kï ksõfhda¾la iud.u" fjÜiska ^Vetsine& kï hqfrdamSh iud.u ta wdh;k my úh' fuu wdh;kj,g wu;rj f,dalh mqrd ;j;a fndfyda rgj,a MSG wvx.= ksIamdokh isÿlrhs' ta;a tajdfha úYajdikSh;ajh .eg¨ iy.;h' úúO wdydr jÜfgdare i|yd Ndú;d lsÍu' Èjg m%shckl f,i ±fkk fuu ridhkslh MSG - Ñkh" cmdkh" fldßhdj" jeks rgj,a w;f¾ úúO wdydr jÜfgdare i|yd Ndú;d lr we;' tkï iqma" uia" iagq" m<;=re i<do" hkdÈ wdydrhka ilia lsÍu i|yd Ndú;d lr we;af;a rildrlhla f,ih' 2015 foieïn¾ l<dmh
rildrhla f,i ilia lr" tl;= lr kj ksIamdok /ila fj<|fmd<g y÷kajd § we;' ;lald,s" Ñia" w, j¾." y;= j¾." iuyr t<j¿ yd m<;=re" t;rï meKs ri fyda weTq,a ri fkdue;s wdydr j, iajNdjfhkau MSG ridhkslh ;ekam;aj we;s nj fidhdf.k we;' mqxÑ meleÜ tlla f,i fyda fm;a;la f,i MSG ridhkslh meleÜ wdydr ;=< mqxÑ melÜ f,i fyda fm;a;la f,i wiqrd fj<| fmdf<a wf,ú lsÍu isÿfõ' ld¾h nyq, iudch laIKsl wdydr;a iu. tï'tia'cS' ridhkslh wvx.= wdydr j, rihg .scq ù we;' 35
Monosodium glutamate
cd;shu f,v lrjk rildrlhla fjf<| fmdf<a'''
fï wdldrhg ñksia mßfNdackhg tl;= jq tï'tia'ð' ridhksl wvx.= rildrl ms<sn|j wefußldfõ *qâ wekaâ v%.aia weâñksiafÜ%Ika ^Food and drugs administration& hk fi!LH kshduk ixúOdkh fufia i|yka lr ;sìks' zzfuu ridhkslfha n,mEu iDcqju ñksid frda.shl= lsÍug odhl fkdjqKq;a frda.S ñksfil=f.a frda.h W;aikak lsÍug fya;=jk nj fmkS hhsZZ
th ,dxlsh mßfNdackhg fohdldrhlska iïnkaOhs' • m<uq l%uh jkafka tï'tia'Ô wvx.= rildrl f.kajd .ekSuh' • fojekak" jkafka tï'tia'Ô wvx.= rildrl melÜ wdydr iu. mdßfNda.slhd w;g m;aùuh'
ks;shg wkqj tï'tia'Ô ridhkslh hï ri ldrlhg fyda wdydrhlg tl;= lr we;akï tu øjH wvx.= wdydr weiqrefï f,an,fha i|yka l< hq;=j we;' wm fj<|fmdf<a wf,ú jk mßfNdack øjHj, f,an,fha 29224220 fyda 621 f,i i|ykaj ;sìh hq;=h' fuu ixfla; olsk mdßfNda.slhd tï'tia'Ô ridhkslh iys; wdydr ñ,§ .ekSu fyda m%;slafIam lsÍu ish leue;a; wkqj isÿ lrhs' mdßfNda.slhkaf.a fkd±kqj;a lu ,xlSh iudch ;=< MSG ridhkslh wvx.= wdydr fyda tys ixfla;dxl yd tys we;s wys;lr m%;sM, ms<sn| mdßfNda.sl fndfyda msßila fkd±Kqj;ah' tu ksidu Èjg rihla f.kfok wdydr ñ,§ .ekSu;a l=vd orejdf.a isg jeäysá mqoa.,hska olajd tu wdydrj,g ±ä leue;a;la" laIKslj ilid .ekSug yels ksid;a" tjd ckm%sh wdydr ù yudrh' udihlg lkafÜk¾ 120 la muK tï'tia'Ô' ridhkslh wvx.= rildrl Y%S ,dxlslhska wdydrhg .kS Y%S ,xldfõ ck;djo udihlg wdydrhg .kakd' tï'tia'Ô ridhkslfha m%udKh lkafÜk¾ tlish úiails' 36
fuhg by; ld,hl§ fuu tï'tia'Ô ridhkslh wvx.= rildrl cmdkfhka furgg f.kajd we;' t;a wêl ñ, hk idOlh u; th Ökh" fldßhdj" bkaÿksishdj" jeks rgj,ska f.kajd .ekSuo j¾;udkfha § isÿfõ' tï'tia'Ô ridhkslh isrerg wys;lrh hï lsis frda.dndOhla je<§ug tï'tia'Ô fya;=jk nj iDcqju mejish fkdyelshs' Bg fya;= jkafka hï mqoa.,fhl= frda.S ù ñh.sh úg je<÷k frda.h fjk frda.hla ùuhs' tfy;a tu frda. dndOh j¾Okh ùug tï'tia'Ô ridhkslh
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fya;=jk nj b;d meyeÈ,sh' flfia fj;;a oekg isÿ lr we;s m¾fhaIK wkQj MSG újdodkaú; m¾fhaIK m%;sM< fmkajd we;s nj kï meyeos,sh' j¾I 2015 ckjdß 17 fjks Èk tx.,ka;h yd m%xYh tl;= ù ta*diaá wefiiaukaÜ ^Afasti Assesment& f,iska fi!LH ms<sn| ksl=;a flreKq jd¾;dj wkqj fïjd Ndú;fhka frda. j,g f.dÿre ùfï m%jK;djh jeä jk nj fmkajd § we;'
Y%S ,xldfõ ck;djo udihlg wdydrhg .kakd' tï'tia'Ô ridhkslfha m%udKh lkafÜk¾ tlish úiails'
2015 foieïn¾ l<dmh
fuu tï'tia'Ô ridhkslh iys; wdydr rihkag weíneys ùu ;=< jl=.vq" yDoh" iakdhq hk moaO;s wdY%s;j frda. we;sùfï m%jK;dj jeäh' tï'tia'Ô ridhkslh ld,hla YÍr.; ùu ;=<ska mqoa., isref¾ we;sjk fjkialï 1' ks;ru isrer úh<s iajNdjhla .ekSu' 2' wêl f,i oyäh msgùu' 3' udxYfmaYs j, fõokd we;sùu' 4' yDo iamkaokfha fjkialï we;s ùu' 5' ysfia lelal=u' 6' fn,af,ka Wv uqyqfKa wjg we;sjk fõokd' 7' Wrysia yd fn,a, ysßjeàu' 8' fmKye,af,a fõokd' 9' isrer wm%dKsl nj ±kSu' óg wu;rj Èhjeähdj" wêreêr mSvkh fldf,iagfrda,a jeks frda.dndOj,g ,lajq mqoa.,hka tï'tia'Ô ridhkslh wvx.= wdydr jeämqr .ekSu ;=<ska tu frda. W;aikak ùuo isÿúh yelsh' we;eï úg th urKfhkao fl<jr jk wjia:d we;'
37
Monosodium glutamate
cd;shu f,v lrjk rildrlhla fjf<| fmdf<a'''
ol=Kq wdishdfõ jeäu Èhjeähd frda.Ska isák rg Y%S ,xldjhs' Èhjeähdjg muKla fkdj reêr mSvkhg jeämqru fnfy;a .kakd rg;a Y%S ,xldjhs' ;reKhska w;r fldf,iagfrda,a iq,nj olakg ,efnk rg;a" wjqreÿ 16-22;a w;r ;reKshkaf.a fydafudak ^;hsfrdhsâ jeks& .eg¨ jeä rg;a f,i Y%S ,xldj kï ord we;' fï iïnkaO ;ju;a ks;S wKmk;a mkjd fkdue; 2014 j¾Ifha fmnrjdß udifha md¾,sfïka;=fõ§ ,xldjg f.kajk fujeks øjH 55la ;ykï lsÍu ms<sn| fhdackd bÈßm;a ù we;' tu fhdackdjg úúO j¾Kldrl" rildrl yd W;af;acl wka;¾ .;ù we;s w;r tu ;yku l%shd;aul jqfha ñksiqka wvqfjkau mßfNdackhg .kakd j¾. lsysmhla fjkqfjka muKS' ñksia isrerg wys;lr øjH ;ju;a mßfNdackh lrkafkuq ñksia isrerg wys;lr jq ridhksl øjH ishhg 40 la ishhg 50la w;r m%udKhla ;ju;a wms mßfNdackh lrñka isáuq' fï iïnkaOj isú,a iudch ;ju;a ksishdldr wkaoñka ±Kqula fkdue;slñka miqfjhs' fuu l%shdoduhka ksr;a;rfhkau l%shd;aul jqjfyd;a wdkd.; ore mrmqr frda.Ska jkq fkdwkqudkh' orejka frda.S ùug MSG ridhkslh iDcqju odhl fkdjqko bka ,efnk È.=ld,sSk m%;sM,h Nhdklh ' w¾O udkisl .eg¨ j,ska fmf<k <uqka fuhg fya;=j ù we;af;a ;r`.ldÍ wOHdmk rgdjka iu. orejka ±ä f,i udkisl wd;;shg m;aùuhs' fï jkúg ishhg 50g wêl <ud m%;sY;hla w¾O udkisl .eg¨j,ska fmf<k nj fidhdf.k we;'
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l%Svdjlg fhduq fkdjk yd <uqka iunr foaYsh wdydr fõ, bj; oud msá iys; CIKsl flá wdydr .ekSuo" fya;=jla ù we;' tys wjika m%;sM,h wêl ;rndrej" fldf,iagfrda,a fyda Èhjeähdj je<§uhs' fï ms<sn|j l< iudc iólaIKj,§ miq.sh jir 30 l ld,h ;=<" OdkH j¾." w¨;a m<;=re yd m<d j¾. wd§ foaYSh wdydr" orejkaf.ka .s,syS hdu orejkaf.a m%;sYla;slrKh wvqùug fya;=ù we;s nj ;yjqre ù we;' tjeks jd;djrKhl§ ldhslj yd udkislj <uhska MSG ridhkslfha n,mEfuka ;j ;j;a frda.S orejka jk nj fmkajd Èh yelsh' igyk- wkqrdOd È,sks b,xfldaka
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Skin care Tips
ifï meyem;a nj os.=l,a wdrlaId lr.kakd yeá
ifï meyem;a nj os.=l,a wdrlaId lr.kakd yeá
• ieu úgu iunr wdydr fõ,la ,nd .ekSu' • Èklg wjYH m%udKhg c,h mdkh lsÍu' ;sny we;s jk ;=re fkdisg c,h mdkh l< hq;= fõ' wju f,i Èklg c,h fnda;,a folla j;a mdkh l< hq;=h' • úúO j¾.j,ska hq;= t<j¿ yd m<;=re j¾. 5 la wju jYfhka wdydrhg Èkm;du tla lr .ekSu' fjr¿" fmar" udox" udix" f,dú" kñkx" ldurx." m<d j¾." w, j¾. tl;= lr .kak' • wõfõ hkúg ysia jeiqula fyda l=vhla Ndú; lrkak' ke;akï Tnf.a iug .e,fmk Sun Cream tlla .,ajd.kak' • YÍrh fyd¢ka wdjrKh jk we÷ï we£u u.ska ysre t<sfhska iu wdrlaId lr .; yel' uki ieye,a¨fjka i;=áka ;nd .kak' • wju jYfhka meh 6 laj;a iqjodhS kskaola ,nd .kak' ksjerÈj l%Sï j¾. wdf,am lr.kakd yeá • iu msßisÿ lr.;a ú.iu fudhsiaprhsiska lS%ï j¾.hla wdf,am l< hq;=h' ifï hï f;;ukhla ;sìh§u l%Sï j¾. wdf,am lsÍu u.ska th iug fyd¢ka Wrd .kS' 2015 foieïn¾ l<dmh
• l%Sï j¾. wdf,am lsÍfï§ my< isg by<g wdf,am l< hq;= fõ' ke;skï blauKska uqyqK t,a,d jeàug fya;= fõ' fïlawma Ndú;h ksjerosj Ndú;d lrkak nyq;rhla ldka;djka fïlawma Ndú; lsÍug jeä Wkkaÿjla olajhs' fïjd ksis f,i Ndú; fkdlsÍu fukau bj;a fkdlsÍu ksid fkdfhla wdldrfha ifï ,m" le<e,a" f.ä wdÈh u;= úh yel' È.ska È.gu tAjd ;Ügq f,i meje;Su ksid l=Kq ¥ú,s yd tl;= ù ifï .eg¨ we;s lrhs' idudkH fiaÿï ldrl fï i|yd iqÿiq fkdfõ' fï i|ydu ksmojd we;s ^fïla wma ßuQj¾& Make - up - Removers Ndú; l< hq;=h' 39
Cooperate Health News
mqj;a úuiqu
Cooperate
Health News mshhqre ms<sldfjka iqjh ,o ldka;djka fjkqfjka zwfmalaIdjl WodjlaZ werfUhs
mshhqre ms<sldjka ms<sn|j oekqj;a lrk miq.sh Tlaf;daïn¾ udifhaoS mshhqre ms<sldfjka iqjh ,o ldka;djka fjkqfjka úfYaI idhksl jevuq¿jla ZwfmalaIdjl WodjlaZhk kñka 2015 Tlaf;daïn¾ 27 jkod WoEik 8'00 isg oyj,a 12'00 olajd fld<U 05" we,aúá., udjf;a wxl 578 orK ia:dkfha msysá ,xld fydiamsÜ,aia Y%jKd. drfhaoS meje;aùug CAN-SUR-VIVETRUST lghq;= fhdod ;sìKs' mshhqre ms<sldjka ms<sn|j oekqj;a lrk fï wdldrfha jevuq¿jla i|yd ,xld fydiamsÜ,aia úiska
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ms<sld frda. úfYAI{ ffjoH ksfhdud,a fmf¾rd
myiqlï iemhQQfõ m<uq jrghs' fkdñf,a meje;afjk fuu idhksl jevuq¿j i|yd ms<sld úfYaI{ ffjoHjreka iy wksl=;a jD;a;Suh úfYaI{hska iyNd.s jQ w;r ,xld fydiamsÜ,aia mS't,a'iS' ys" ms<sld úfYaI{ Y,H ffjoH ksfhdaud,a fmf¾rd uy;d úiska fuu jevuq¿fõoS mshhqre ms<sldfjka iqjh ,o ldka;djkaf.a cSú;h iy iudch ;=< Tjqkaf.a ld¾hNdrh ms<sn|j oekqj;a lsrSula isÿflrsk'
fuu jevuq¿j iy CAN-SUR-VIVETRUST ms<sn|j woyia olajñka ms<sld úfYaI{ Y,H ffjoH ksfhdaud,a fmf¾rd uy;d fufia woyia oelaùh zfuu jevuq¿fõoS mshhqre ms<sldfjka iqjh ,o ldka;djka uqyqK fok m%Yak ms<sn|j l;d lrkjd' fuysoS" fuu ldka;djkag ;sfnk fkdfhl=;a YdrSrsl" udkisl" fmdaIKSh" jD;a;Suh iy wfkl=;a wkd.; iqjh iïnkaO .eg¨ úi|d .ekSu i|yd wjia:dj Wodfjkjd'
ffjoHjrhd - udisl ffjoH iÕrdj
ms<sld frda. úfYAI{ ffjoH jika; r;akdhl
iaj¾Kd u,a,jdrÉÑ uy;añh
jeäÿrg;a woyia olajñka ffjoH ksfhdaud,a fmf¾rd uy;d i|yka lf<a uq,a jevuq¿j fld<UoS meje;a jqjo bosrsfhaoS fujeks jevuq¿ .%dóh m%foaYo wdjrKh jk mrsos osjhsfka úúO m<d;aj, meje;aùug ie,iqï lr ;sfnk njhs' ms<sld frda.fhka iqjh ,o uQ,H yelshdj wvq fndfyda .%dóh ldka;djkag CANSUR-VIVE- TRUST" mqoa.,sl nexl=jla iïnkaO lr.ksñka iyfhda.h ,ndoSug ie,iqï lr we;ehso ffjoH ksfhdaud,a fmf¾rd uy;d mejiSh' mshhqre ms<sld frda. fhka iqjh ,o ldka;djkag f.!rjfhka hq;=j cSj;a ùug;a ta ms<sn|j Tjqkag iudch oekqj;a lsrSug ;rï ffO¾hla we;s lsrSug;a fuu.ska wfmalaId lrk nj ffjoH ksfhdaud,a fmf¾rd uy;d jeäÿrg;a lSh' 2015 foieïn¾ l<dmh
zms<sld frda.fhka iqjh ,o ldka;djkag iyfhda.h olajk fuu jevuq¿fõ jeo.;alu ,xld fydiamsÜ,aia y÷kd .;a;d' fï ksihs" fuh bosrshg /f.k hdug wms iyfhda.h ,ndfokafkaZ hkqfjka fuu jevuq¿j ms<sn|j woyia olajñka ,xld fydiamsÜ,aia mS't,a'iS' yS iNdm;s ffjoH ir;a mrKú;dk uy;d i|yka lf<ah' fuu jevuq¿jg iu.dój mshhqre ms<sld iqjlr .ekSu fjkqfjka tajd l,a;shd y÷kd.ekSfï iy thg wjYH ish¿u mrSlaIK lghq;= tlu ia:dkhloS isÿlr.; yels One-Stop Women’s Imaging Centre keu;s iqúfYaIS mrSlaIKd.drhla ,xld fydiamsÜ,aia mS't,a'iS' úiska wdrïN lsrSug iQodkï fõ' fuu m<uq jevuq¿j i|yd m%Odk
wdrdê; wuq;a;ka f,i ldka;d lghq;= weu;skS" pkaødkS nKavdr uy;añh;a" mshhqre ms<sld frda.fhka iqjh ,o ldka;djl jk iïudkkSh m%ùK ks<s iaj¾Kd u,a,jdrÉÑ uy;añh;a iyNd.s úh' 071 3161 616 hk ÿrl;k wxlh weu;Sfuka fuu jevuq¿fõ iy wkd.; jevuq¿ ms<sn| jeä úia;r ,nd.ekSug;a tajd i|yd ,shdmosxÑ ùug;a yelsh'
fndfyda wjia:d j,oS mshhqre ms<sldfjka iqjh ,o fujeks ldka;djkag ,efnk Wmfoia m%udKj;a fkdjk fyhska fkdfhl=;a wmyiq;d iy .eg¨ u; cSj;aùug Tjqkag isÿj we;' fï ksid" fuu frda.h kej;;a W;aikak jQ wjdikdjka; wjia:djkao jd¾;d ù ;sfí'
41
Cooperate Health News
mqj;a úuiqu
ldka;d lghq;= weue;skS pkaød nKavdr uy;añh
,xld fydiamsÜ,aia úiska kjH mshhqre ms<sld úuiqï fiajdjla One-Stop Women’s Imaging Centre keu;s iqúfYaIS mrSlaIKd.drhla <`.oSu Tfí fiajhg''' mshhqre ms<sld iqjlr .ekSu i|yd tajd l,a;shd y÷kd.ekSfï jeo.;alu wjfndaO lr.ksñka mshhqre ms<sld y÷kd.ekSfï mrSlaIK lghq;= iy wksl=;a jeo.;a mrSlaIK lghq;= tlu ia:dkhloS isÿlr.; yels One-Stop Women’s Imaging Centre keu;s iqúfYaIS mrSlaIKd.drhla ,xld fydiamsÜ,aia mS't,a'iS' úiska wdrïN lsrSug iQodkï fõ'
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fuu w;s kùk Fujifilm Amulet Innovality hka;%hg mshhqqre ms<sldjka b;du;a uq,a wjosfhaoS y÷kd .ekSfï ixfõoS;djh ;sfí'
One-Stop Women’s Imaging Centre keu;s fuu mrSlaIKd.drh w;s kùk äcsg,a uefuda.%Eï hka;%hlska iukaú; jk w;r fuhska frda.Skag isÿjk wmyiq;d wju jk w;r frda.Ska fj; uqodyrsk úlsrK m%udKho b;du;a wju fõ' ,xld fydiamsÜ,aia yS" fuu One-Stop Women’s Imaging Centre keu;s mrSlaIKd.drh ;=<oS frda.Skaf.a ryis;. Ndjh wdrlaId lrk
w;ru ish¿u w,ag%d ijqkaâ" uefuda.%e*s mrSlaIK" WmfoaYkh ,nd.ekSu fukau mrSlaIK l%shdj,Ska b;du;a myiqfjka tlu ia:dkhloS meh lsysmhla we;=<; isÿlr.; yelshs'Z hkqfjka fï ms<sn|j woyia olajñka ,xld fydiamsÜ,aia ys" úfYaI{ úlsrKfõoS ffjoH trx.d fmf¾rd uy;añh mejiqjdh' weh jeäÿrg;a i|yka lf<a mshhqre ms<sldjkaf. ka mSvd ú|sk ldka;djkag iqjmyiq fukau ld¾hlaIu w;s kùk mrSlaIK myiqlï" m%;sldr iy úfYaI{ fiajd fuu uOHia:dkfhka ,nd.; yels njhs'
ffjoHjrhd - udisl ffjoH iÕrdj
2015 foie誰n他 l<dmh
43
FOOD
osklg lkak ;sfhkafk .a?ï 50hs''' ,xldfj wms .a?ï 83la lkjd'''
iSks osklg lkak ;sfhkafk .a?ï 50hs''' ,xldfj wms .a?ï 83la lkjd''' iSks ksid wms f,v fjk yeá meKs rihg wm fndfyda fofkla leue;s uq;a iSks kï ÿßka ÿria l< hq;= wdydrhla lSfjd;a ksjerosh' iSks wfmka ÿ/ia lr.; hq;= wdydrhla jkafka wehs @ iSks j, lsisÿ fmdaIKhla ke; fm%daàk ke;" úgñk ke;" LKsc ,jK" úgñk fï fudkj;a iSks j, ke;' iSks wkqNjh wfma ffoksl le,ß wjYH;djfhka ishhg 10-20 blaujd .sh úg fmdaIK W!K;d we;s úh yelshs' fuh orejka frda.S lrjk fya;=jls' iSks wlaudfõ ;ekam;a ù n,mEï lrhs wm .kakd iSks .aÆfldaia yd mDlafgdaia f,i ir< iSks njg ì| fy,hs' mDlafgdaia jeä jYfhka reêr Odrdjg tlaùfïoS tajd wlaudfõ ;ekam;a fõ' fïfia l,la .; ùfuka wlaudfõ fïoh ;ekam;a ùug bv ie,fia' u;ameka fkdîj;a isfrdaisia wdoS frda. yefokakg fulS fïo ;ekam;= fya;= fõ' ia:q,;djh" yD;a frda." iy mßD;a;Sh frda. j,g u. i,ihs bkaishq,ska hkq YÍrfha b;d jeo.;a ld¾h Ndrhla bgq lrk fydafudakhls' reêrfha we;s iSks j,g mgl fj; .uka lsÍug fï bkaishq,ska fydafudakh WmldÍ fjhs' reêrfha wêl idkaøKfhka iSks meje;Su t;rï ys;lr ;;a;ajhla fkdfõ' thska bkaishq,ska fydafudakhg yrsyeá l%shd lsÍug ndOd meñfKhs' yD;a frda." fugfnd,sla iskafv%dï" ia:Q,;djh wdoS frda. /ila we;sùug hdka;%Kh n,.ekafjkafka fufiah'
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ffjoHjrhd - udisl ffjoH iÕrdj
oshjeähdj we;s ùug m%n, fya;=jla iSks u.ska we;s lrk w;sYh n,mEu fya;= fldg f.k fojk wdldrfha oshjeähdj we;s úh yelshs' w.akHdYfha yefok bkaishq,ska m%udKh m%udKj;a fkdùu fyda yefok bkaishq,ska Wmfhda.S;djfha ÿ¾j,;djhla fuysoS we;sjk w;r fojk wdldrfha oshjeähdj jeäysáhkg iq,nj je<f|k oshjeähdj wdldrh f,i ffjoHjreka y÷kajhs' ms<sld we;sùfï bvlv jeähs bkaishq,ska fydafudakh ffi,Sh uÜgfï l%ñl j¾Okhkag fya;= jk w;r tys we;sjk úp,H;djhka fï ffi,Sh hy meje;aug ydks lrhs' fï ksid ms<sld we;s ùfï wjodku by< hhs' iSks weíneysldrlhla nj okakjdo @ fud<fhka jeä jYfhka fvdmñka kï ridhkslh jEiaiSug iSks fya;= fjhs' fuys m%;sM<h jkafka Tn fkdoeKQj;au Tn iSks j,g weíneyshla we;s lr .ekSuhs' yD;a frda. j,g fya;= jk nj wkdjrKh fjhs oYl .Kkdjla ;siafia yDohdndO we;slrk pQos;hd njg m;aj isáfha ix;Dma; fïohhs' kuq;a wo ojfia kj pQos;fhla wkdjrKh fjñka ;sfí' ta iSks ì|fy<SfïoS we;sjk mDlafgdaiah'wOHhk j,g wkQj mDlafgdaia u.ska LDL yd g%hs.a,sirhsâ uÜgu jeä lrhs' reêrfha iSks w.hka by< kxjhs' Worfha ia:q,;djh we;s lrhs' fï wkQj wm ish¿ fokdu iSks wkqNjh yels muK iSud l< hq;=h' f,dal fi!LH ixúOdkh Wmfoia fok wdldrhg jevqKQ mqoa.,fhl= osklg .; hq;= iSks m%udKh .a?ï 50g wvq úh hq;=h' wfma cd;sl iSks m¾fhaIK wdh;kh olajk wdldrhg j¾Ihlg wfma rgjeisfhla iSks lsf,da 30la muK wkqNj lrhs' th .Kkh lr neÆ úg osklg .a?ï 83 ls' f,dal fi!LH ixúOdkh ks¾foaY lrk m%udKh w;sl%uKh lrñka wm iSks mdßfNdackh lrñka wfmau fi!LH wk;=f¾ fy<k njg fu losu idlaIshla fkdfõo @ 2015 foieïn¾ l<dmh
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Lung Cancer
fmKy¿ ms<sldjloS we;sjk fï ,laIK .ek Tn oeKQj;ao @
fmKy¿ ms<sldjloS we;sjk fï ,laIK .ek Tn oeKQj;ao @ ms<sld we;s lsÍug fya;= jk fohla fõ kï th ms<sldldrlhlehs (Carcinogen) wm y÷kajuq' oekg y÷kdf.k we;s úYd,;u ms<sldldrlh .ek Tn okakjdo @ ta wka ljrla fkdj b;d wka;rdhlr weíneysldrlhla fia ie<flk is.rÜgqjhs'
is.rÜ mdkh lsÍu ksid we;súh yels fmKy¿ ms<sldj iïnkaOfhka wm oeKQj;a fjuq' ÿïjeá WrK wh lrd tk wjodkula we;s ms<sldj idudkHfhka oreKQ >Kfha ms<sldjlehs ie<flk fmKy¿ ms<sldj w;sjk whf. ka ishhg 85lau ÿïjeá Wrkafkdah' fï wkQj fmKy¿ ms<sld we;sùug m%uqL fya;=j is.rÜ f,i ms<s. ekSug isÿfõ' fmKy¿ ms<sldj we;sùug n,mdk wjfYAI fya;= w;r mjq,a b;sydih" weianeiafgdaia jeks wjodkï iy.; ms<sldldrl j,g ksrdjrKh ùu" ÿ¾j, fmdaIKh wdoS fya;=kao n,mdhs' fï yereKQ úg is.rÜgqjla lfÜ fkd;enQ ishhg 17'9 lao fï ms<sldjg f.dÿre jk nj fmfkkakg ;sfí' fmKy¿ ms<sldj uq,a ld,fhaoS y÷kd .ekSu ÿIalrhs ishhg 40 lf.au ms<sldj ixlS¾K woshr j,g m;a ùfuka miqj muKla
46
ffjoHjrhd - udisl ffjoH iÕrdj
frda.h y÷kd.ekSug ,efí' hï fyhlska uq,a wjia:dfõoSu ms<sldj wkdjrKh lr.;fyd;a th jdikdjls' frda.shd fírd .ekSug ,efnk wjia:dj jeäh'
fmKy¿ ms<sldfõoS lgy`v ne/kaä jkafka tu ms<sldj iajrd,fha iakdhql l%shdldß;ajh we;s fmfoi wdl%uKh l< úgh'
ms<sldj ksfrda.S fmKy,a,
fmKy¿ ms<sldj
fmKy¿ ms<sldj uQ,sl frda. ,laIK fmKy¿ ms<sldj l,afõ,d we;sj y÷kd.kakg fï frda. ,laIK flfryS ie<ls<su;a fjkak' • l,a mj;akd leiai WK" Yajik wndO iu. we;sfjk leiai i;shla muK hk úg iqj fjhs' tfia fkdue;sj l,a w,a,k leiai Tfí úuis,a,g ,la úh hq;af;ah' • lysk iajNdjfha fjkila ;sfnkjdo @ .eUqre y`vla iu.ska leiai we;s fjkjdo @ leiai;a iu. f,a msgfjkjdo @
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.com 2015 foieïn¾ l<dmh
• yqiau .ekSu wmyiqo @ biair myiqfjka ke.s ;rmamq fm< k.sk úg y;shla oefkkjdo@ fmKy¿ ms<sldjla ksid Tfí Yajik ud¾.h wjysrhg ,la úh yel' tfiau fï ms<sldj ksid we;sjk oshrh Tfí mmq fmfofia ;ekam;a ù Yajikh wjysr l< yelsh' • weÿu weÿu jeks iajNdjhla fmKy¿ ms<sldfõoS we;súh yel' Yajik ud¾.h mgqùu" wjysr ùu yd m%odyhg m;a ùu ksid fï ;;a;ajh we;s fõ' 47
Lung Cancer
fmKy¿ ms<sldjloS we;sjk fï ,laIK .ek Tn oeKQj;ao @
weÿu fndfyda fya;= ksid flfkl=g we;s úh yel' fuhska iuyrla b;d ir< l%shdud¾. hlska iqj fõ' tfy;a we;eï úg fmKy¿ ms<sld ksido weÿu ;;a;jhla we;s úh yel' fï ksid y;shla we;s jQ úg ÿï mdkh lrk flfkla kï ta .ek úfYAIfhka ie<ls<su;a úh hq;=h' • lgy`v ne/kaä ùu fmKy¿ ms<sldfõoS lgy`v ne/kaä jkafka tu ms<sldj iajrd,fha iakdhql l%shdldß;ajh we;s fmfoi wdl%uKh l< úgh' fyïìßiaidjloS" W.=f¾ wdidokhloSo W.=r ne/kaä fjhs' tfy;a th i;shlska follska muK iqj fjhs' Tfí lgy`v fjkia nj Tng oefka kï th wka whg jQj oefkkafka kï th l,la w,a,d isákafka kï ta .ek ie<ls<su;a fjkak' • YÍrfha nr wvq ùu YÍrfha nr lsf,da .arEï 4-5 lska wvq ùu fmKy¿ ms<sldj ksid isÿúh yelsh' YÍrfha Yla;sh ms<sld ffi, úiska Wlyd .ekSu ksid fï nr wvqùu isÿfjhs'
uQ,sl ms<sld ia:dkh
• mmq fmfofia lelal=ula fmKy¿ ms<sldj ksid mmqfõ" Wrysia j, iy msgfldkafoa lelal=u we;súh yel' fï fõokdj tkafka ksYaÑ; ia:dkhlskaoehs ie<ls<su;a fjkak' th ishqï fõokdjla fyda nrm;, fõokdjla hk ljrla fyda úh yelsh' fmKy¿ ms<sldjloS mmq fmfofia fõokdj we;s jkafka úYd,s; jid .eá;s fya;=fjka úh yel'
uQ,sl ms<sld ia:dkh
ms<sldfõ me;sÍug yiq jqKQ jid .eá;s
fmKy¿ ms<sldj 48
ffjoHjrhd - udisl ffjoH iÕrdj
ke;akï mmq ì;a;shg" fmKy¿ wdia;rk fyda b<weg j,g ms<sldj me;sÍu ksid úh yel' • wiaÓ j,ska we;sjk fõokdj YÍrfha úúO ia:dk j,ska" úfYaIfhka msgfldkafoa we;sjk fõokdj' rd;%S ld,fhaoS fõokdj jeä fõ' Wrysia" w;a yd fn,a, osf.ao we;eïkag fï fõokdj we;súh yelsh' • ysiroh fmKy¿ ms<sld frda.Skaf.a ysiroh" we;eï úg th fud<hg me;sreKQ njg lrk b`.shls' iEu ms<sld frda.sfhl=f.au oaú;Shsl me;sÍï fud<fha we;s jkafka ke;' YÍrfha by< fldgfia reêrh yoj;g f.k hk reêr kd,h (superior vena cava) u; we;s flfrk mSvkh ksido we;eful=g ysiroh we;súh yel'
2015 foieïn¾ l<dmh
fmKy¿ ms<sldjla tlaia lsrK m%;sìïnhlska oelafjk whqre
fmKy¿ ms<sldj me;sÍfïoS we;sjk frda. ,laIK • wiaÓ" fY%daKsh wdY%s;j we;sjk fõokdj • iakdhql fjkialï ^ysiroh" w;a" mdo ysß jeàu" YÍrfha ;=,s;;djh ke;sùu" ysájk we;sjk wmiaudr ;;a;aj& fuh isÿjkafka ms<sldj fud<h yd iqIqïkdjg me;sÍu ksidfjks' • weia iy iu ly meye .ekaùu' fuh isÿjkafka ms<sldj wlaudjg me;sÍu ksidfjks' • YÍrfha hï ia:dkhl we;sjk .eá;a;la' fuh isÿjkafka ms<sldj iu iy jid j,g me;sÍu ksidfjks' fï tl tlla frda. ,laIK fndfyda úg we;sjkafka fjk;a fya;= ksidfjks' tfy;a Tn ÿï mdkh lrkafkla kï fuu iel iys; frda. ,laIK lsysmhla mj;skafka kï Tfí ffjoHjrhdg fmkaùu iqÿiqh' ula ksido @ Tn blauka jQjfyd;a Tn fjkqfjka fndfyda foa lsÍug ffjoH úoHdjg wk.s yelshdjla we;s neúks'
49
Conspiracy
ful, mdi,a isiqka w;r m%p,s; uqjg iafm%a lr.kakd meKs îu j¾.h l=ulao@
ful, mdi,a isiqka w;r m%p,s; uqjg iafm%a lr.kakd meKs îu j¾.h l=ulao@ l, meKs îu f,iska m%lg ;o meKs rilska hq;= îu j¾.hla mdi,a isiqka w;f¾ fnfyúka ckm%sh ù ;sfí' fuu mdk j¾.h fjk;a îu fnda;,a fuka uQäh lvd nghla wdOdrfhka fyda fnda;,h uqjg we, lr mdkh lrkakla fkdfõ' tys we;s úfYaI;ajhla jkafka mdkh uqj ;=<g iafm%a lr.; yels wkaoug ilid ;sîuhs'
fu
fï meKs îu j¾.h ckm%sh ùug fya;= fujeks úfYaIs; foaj,g ;reK orejka fnfyúka m%sh ùu" fuu îu j¾.fha ;sfnk wêl meKs rih" iafm%a fnda;,hla ksid ysia fnda;,h úfkdaoh msKsi fhdÞ .ekSug yels ùu jeks fya;= fukau fuys ñ, remsh,a úismyla ùuo fï meKs îu j¾.h fndfyda fihska ;reK msßi w;f¾ ckm%sh ùug fya;=ù ;sfí'
uef,aishdfjka iy Ökfhka wdkhkh lrkq ,nk fï meKs îu j¾.h ms<sn|j iudcfha úfYaI wjOdkhg ,laj we;' fya;=j fuh mdkh l< miq hï zu;a .;shlaZ we;s jk njg u;hla me;sr ;sîuh' u;a jk T!Iëh isrma j¾. we;=¿ fnfyda oE l,ska l,g mdi,a isiqka w;f¾ jHdma; jkq ±lsh yelsh' fï ksid iuyr tn÷ isrma j¾. wf,úh mjd ;ykï úh' fï mdk j¾. w;rg w¨;skau tlaù we;s mdkhla f,i iuyr foudmsfhda fuu meKs îu ms<sn| ±ä ìhlska l;d lr;s' tneúka fulS îu j¾.h ms<sn|j wm lreKq úuid isáfha wka;rdhlr T!IO md,l cd;sl uKav,fha iNdm;s ffjoH ks,x. iurisxy uy;d fj;sks' mÍlaIdjg ,la l<d" u;aøjH we;s nj kï fy<s jQfha kE'' ta;a fï meKs îu orejkag t;rï iqÿiq kE —±kg Ökfhka iy uef,aishdfjka wdkhkh lrk fï meKs îu fnda;,a Þy;rla idïm,a f,i ,ndf.k wka;rdhlr
50
ffjoHjrhd - udisl ffjoH iÕrdj
T!IO md,l cd;sl uKav,h u.ska tAjd úúO mÍlaIKj,g Ndckh l<d' kuq;a fïjdfha u;aldrl øjH wvx.= nj ;yjqre jQfha kE' tfia jqj;a iSks wvx.= fjk;a ridhk øjH we;s njg iel lrkak mq¿jka' kuq;a iajdNdúl ;;a;ajh hgf;a u;ajk lsisu fohla tys kE˜ ffjoH iurisxy fuys§ fjk;a woyila o u;= lf<ah' we;eï mdi,a isiqka w;r ryfia .xcd" uok fudaolh jeks u;aøjH .kakd isiqyqo isá;s' fujeks u;aøjHhla f.k tA iu. meKs îu fnda;,hla mdkh l< miq ;o u;a .;shla iajNdjfhkau we;sfõ' meKsj, wvx.= jkafka .aÆfldaiah' .aÆfldaia wKqjla u;aldrl ix>glhla iu. nef|a' th fõ.fhka nvje,aj,g Wrdf.k reêrh iu. uqiq ù blauKska fud<fha ffi, ;=<g wjfYdaIKh fjhs' fï ksid u;aøjH .;a flfkl= wêl meKs ri îula fyda lEula .;a úg u;aùfï fõ.h iS>%fhka jeäfjhs' tA wkqj ;o ksÈu; .;shla ±fkkq we;' 2015 foieïn¾ l<dmh
fï fya;=j u; meKs îu .;aúg u;a .;shla we;s jk njg rdjhla m%p,s; ùug yelshdj ;sfí' meKs îu u;aùu .ek ys;¿jla we;s lsÍug fya;=jla fï rdjh ksid tu meKs îu .;aúg u;ajk njg ±ä úYajdihla we;sù .xcd jeks u;aøjHhla Ndú;d fkdlrk isiqjl=o u;aùu i|yd meKs îu .; yelsh' túg thska u;ajk njg mj;sk úYajdih u; ;uka u;ajQ njg yeÕSula udkislj ±fkhs' uki olsk foag lh /jfgk yeá bkamiq udkislj ±fkk foa ldhsljo ±fkk njla tu mqoa.,hdg yefÕkq we;' tlu wdydrhla .;a lsysm fokl=f.ka tla whl=g nfâ lelal=ula we;s jqjfyd;a wfkla whgo tfia ±fkk wjia:d ;sfí' úfYaIfhka mdi,a isiqúhka w;r;a fkajdisld.dr" lïy,a wdÈfhys;a fujeks ;;a;ajhka iq,nj ±lsh yelsh' u;g f,d,a nj bÉPd Nx.;ajfha m%;sM<hla fuys§ ;j;a b;d jeo.;a lreKla ffjoH iurisxy biau;= lf<ah' tA mdi,a hk fhdjqka orejka u;a ùug fu;rï Wkkaÿ wehs hkakh' m%Odk fya;=j bÉPd Nx.;ajhhs' foudmshka mdi,a hjk ksid orefjda mdi,a h;s' Tjqkag mdi,a wOHdmkh ms<sn| úYajdihla ke;' Wfoag mdi,a f.dia ksjig meñfKkafka rd;%S w÷ro jegqKq miqjh' mdi,a úh .; lrkakg isÿj we;af;a / lshdjla lrk jeäysáhka yd iudkjh' tksid <ud úhla ke;' ,nk wOHdmkh ms<sn| fiau wOHdmkfhka miqj l=ula lrkafkao hkak .ek;a úYajdihla orejkag ke;' fï ;on, wd;;sh msgq olskakg u;ajk foaj,a flfryS fhduqùu wo jk úg iq,n ;;a;ajhla ù ;sfí' ÿïfld< wdY%s; ksIamdok ;reK isiqka w;f¾ ckm%sh ùuo fujeksu fohls'
cd;sl wka;rdhlr T!IO md,l uKav,fha iNdm;s ffjoH ks,x. iurisxy úiska l< meyeos,s lsrSula weiqrsks
51
Occupational Health
ú¨fò lelal=u ksid mSvd ú|sk whg iykh'''
ú¨fò lelal=u ksid mSvd ú|sk whg iykh'''
mÿu ã hdmd Dip OT, SROT(UK) 0714493560
we;euqkag we;s jk ú¨fò lelal=ula ;sfnkjd' fldhs ;rï m%;sl¾u fhÿj;a M<la kE''' ta;a fï lshk ú¨fò lelal=ug m%;sldr lrk wdldrh bkaf;arefjkau fï ,smsfhka oelafjkjd'
f,dl= fõokdjlao @ mqxÑ wudrejlao @ ú¨U hg fyda ú¨fò wiaÓhg Calf udxY fmaYsfha wela,Sia fgkavkh iújk ;ek yg.kakd fõokdjla f,i fï lelal=u ±fkkakg mgka .kakjd' fuh fndfyda úg ;ud wdndê; ;;a;ajhg m;a lrjkakg ;rï iu;a ldrKhla jk w;ru fï ksid ;ukaf.a idudkH Ôú;hg úYd, n,mEula t,a, úh yelshs' iuyrla ú¨fò lelal=ï b;d iq¿ ;;a;ajfha mj;sk w;r ál Èklska bfíu ke;sù hd yelshs' kuq;a iuyr whf.a fï ú¨fò fõokdj È.gu mj;sk w;r fï ksidu iaÓr wdndê; ;;a;ajhlg m;aùugo mq¿jk' wfma mdoh wiaÓ úisyhlska iukaú; jk w;r ñka ú¨fò wiaÓh (Calcaneous) úYd,;u wiaÓh fõ' wmf.a mh ilia ù we;af;a wef`.a uq¿ nr myiqfjka wiaÓ yd fmaYska u; ord isàug yelsjk whqßks'
52
ffjoHjrhd - udisl ffjoH iÕrdj
wela,Sia fgkavkh
ma,dkag *eishd kuA fldgi m%odyhg m;a ùfuka ú¿fò fõokdj we;s fõ
ma,dkag *eishd
ú¨U hg fyda ú¨fò wiaÓhg hg we;s udxY fmaYsfha wela,Sia fgkavkh iújk ;ek yg.kakd fõokdjla f,i fï lelal=u ±fkkakg mgka .kakjd'
ú¨fò fõokdj yg .ekSug fya;= úúO mdjyka Ndú;fha§ isÿjk jerÈ weúÈk rgdjka" wd;rhsáia frda.fhka fm,Su"úúO wdidokhka (Inflamations) YÍrfha m%;sYla;s lrk ls%hdj,sfha je/oaola" iakdhqj, wdndO ;;a;ajhla" ndysr n,mEï ksid mhg isÿjk úúO wk;=re ^Wodyrk( wela,Sia fgkavkfha bß;e,Sula fyda msmsÍula (Rupture), iuyr frda.S ;;a;ajhka" (Osteomyelitis) f.or-fodr wúfõlS ffoksl lghq;= ksid ia;S% mlaIh fuu wdndOhg keUqreùug we;s bvlv jeäh'
fuysoS isÿjkafka l=ulao@ ú¨fò wiaÓfha (Calcaneous) isg mdofha we`.s,s olajd Èfjk È.= wdjrKh ma,dkagd meIshd kñka y÷kajhs' fuu È.= wdjrkfha wdidok ;;a;ajhka ksid ;o .;shla we;sùu óg wdikak;u fya;=j fõ' tfiau fuu wiaÓfha iuyr ;ekaj, isÿjk wkjYH jeãï ksido fï fõokdj we;súh yel'
fuys§ we;sjk frda. ,laIK • ú¨U wjg bÈóu • ±ä fõokdj • ysß .;shla fyda hulska úáka úg wkskakd fia ±kSu 2015 foieïn¾ l<dmh
• WoEik wjÈjQ úg ú¨U u.ska úYd, fõokdjla ±kSu • mdoh my;g p,kh lsÍug (Dorsi flextion) wmyiqùu fï ,laIK È.gu mj;S kï iy weú§u fyda ke.S isàu wvqfldg isák wjia:dfõ;a wdndOh mj;S kï m%;sldr wjYHfhkau .; hq;=h'
ú¿f´ fõokdjg fN!; yd jD;a;Sh Ñls;ail m%;sldr lsÍu id¾:l m%;sldr l%uhls' fuhska we;eï úg iyuq,skau frda.h uq,sKQmqgd oeñh yel' thska frda.h uekúka md,khg k;= ùu m%dfhda.sl jYfhka oelsh yelalls'
53
Occupational Health
ú¨fò lelal=u ksid mSvd ú|sk whg iykh'''
le,aflakshï kï ú¿fò úYd,;u wiaÓfha háka we;sjk j¾Olhla ksido wäh ;shk úg ú¿U flfrka fõokdjla we;s úh yel
whsia mela fhoSu
ú¨fò fõokdj frda. ;;a;ajh ksishdldrj y÷kd.kafka flfiao@ YdÍßl mßlaIdjlska (Physical examination) frda. úksYaph lsßug mq¿jk'
fï i|yd isÿ lrk m%;sldr Ñls;aid m%;sldr fN!; fyda jD;a;Sh Ñls;aid m%;sldr u.ska fmaYsfha msysá È.= wdjrkfha iy wela,Sia 54
fgkavkfha we;s ;o .;sh wvqlr ls%hdldß;ajh myiq lr fohs' tfiau ll=f,a hg fldgfia wfkl=;a udxY fmaYska È.gu Yla;su;a f,i mj;ajdf.k hdula isÿ flf¾'
ffjoHjrhd - udisl ffjoH iÕrdj
wdOdrl WmlrK
ú¿fò fõokdjg lrk fN!;Ñls;aiSh m%;sl¾u
tfiau f.or fodr ksjerÈj jev lrk wdldrhka .ek ^ksjerÈ bßhõ Ndú;d fldg& frda.shd ±kqj;a lsßu tla tla ls%hdjka i|yd úúO myiq wdfoaYl l%u .ek ±kqj;a lsÍu' tfiau ú¨Ug wkjYH wkaoñka n,h megfjk tÈfkod ls%hdldrlï j,ska je<lSug Wmfoia ,nd§ tajdg wkqm%dma;sl l%u fhdod .ekSug lghq;= lsÍu hkdÈh fN!; fyda jD;a;Sh Ñls;ailhka úiska isÿ lrk w;r fï ksid frda.h fnfyúka md,kh lsÍula wfmalaId l< yel'
wdOdrl m;=re fhdod .ekSu (Splints) rd;S% ld,fha mhg me<§u ioyd wdOdrl m;=re (Splints) Ndú;d lsßu fuysoS isÿfõ' fuu.ska ma,dkagd meIshd wdjrkfha iy wela,Sia fgkavkfha ;o.;sh j<lajd th Èlalsßug (Stretch)WmldÍ fõ'
2015 foieïn¾ l<dmh
(Assistive devices) • mdjyka iu. ±óu i|yd wdOdrl WmlrK (Assistive devices) Ndú;h Wod( ú¨U i|yd fifrmamqjg fyda im;a;=jg iúl< yels iafmdkaÉ wdjrK is,sfldka fc,a mEâia wdÈhhs' • wdidokh jQ fldgi i|yd ;dmh iy fjk;a l%u u.ska iqjùfï ls%hdj,sh blauka lsßu • wdidokh jQ fldgi u; whsia mela ;eîu • wdidok ;;a;ajh je<elaùug iy fõokdj fkd±kSu i|yd T!IO" bkafclaIka Ndú;h
fuu f,aLlhd rd.u mqkre;a:dmk frdayf,a ysgmq jD;a;Sh Ñls;ail wêldÍ iy idhksl wëlaIl jYfhka lghq;= lrk ,o w;r f,dal jD;a;Sh Ñls;ail ix.ufha Y%S ,xld wkqm%dma;sl ksfhdað; yd YS% ,xld jD;a;ShfõoSkaf.a jD;a;Sh Ñls;ail ix.ufha f,alï Oqrho Wiq,hs' 55
56
ffjoHjrhd - udisl ffjoH iÕrdj
advertorial
Tnf.a iqjh" ksfrda.SNdjh iqrlsk jkiam;sh
Tnf.a iqjh" ksfrda.SNdjh iqrlsk jkiam;sh"
ud<fò ffjoH fkú,a m%kdkaÿ YslaIK frday,
yß; mßirhl msysgd we;s we|ka 1002 lska hq;a fkú,a m%kdkaÿ frdayf,a mQ¾Kld,Sk fiajfha kshq;= úfYAI{ ffjoHjreka 50lg wêl ixLHdjla isák w;r ldreKsl fukau w;s olaI fylo ld¾h uKav,hlao fuys fiajh lrhs' ldhsl frda. úfYAI{ ffjoHjre" <ud frda. úfYAI{ ffjoHjre" Y,H frda. úfYAI{ ffjoHjre" iakdhq frda. úfYAI{ ffjoHjre" wlaIs frda. úfYAI{ ffjoHjre" iudc frda. úfYAI{ ffjoHjre" W.=r lk yd kdih iïnkaO frda. úfYAI{ ffjoHjre" úl,dx. frda. úfYAI{ ffjoHjre wdoS iEu wxYhlu mdfya ffjoHjreka fuys fiajh lrkafkah'
y
ish¿ úfYAIs; tall tla jy<la hg ndysr m%;sldr tallhla (OPD)" Y,H ffjoH tallhla (Surgical Ward)" ud;D tallhla (Maternity Unit)" <ud frda. m%;sldr tallhla (Pediatric Ward)" udkisl frda. tallhla (Psychiatry Unit)" oka; Y,Hd.drhla (Dental Unit)" tkaviafldms tallhla (Endoscopy Unit)"
2015 foieïn¾ l<dmh
úlsrK wxYhla (Radiology Unit)" uefuda.%Eï tallhla (Mammogram Unit)" jl=.vq frda.Ska i|yd wjYH rla; ldkaÿlrK tallhla (Dialysis Unit) we;=¿j kùk myiqlï j,ska hq;a ridhkd.drhla we;=¿j w¿; Wmka ì<s|df.a isg úhm;a fcHaIaG mqrjeishka olajd wjYH ffjoH myiqlï fukau Tjqka i|yd wjYH ish¿u ffjoH m%;sldro fuysoS ,nd.; yel' wkd.;h Wfoid wdfhdackh''' foaYSh fi!LH lafIA;%fha wkd.;h fjkqfjka olaI jD;a;slhska ìys lsrSfï ld¾hfhao ksr; jk ffjoH fkú,a m%kdkaÿ YslaIK frday, u.ska wju ñ, .Kka hgf;a úfYAIs; fiajd / ila imhkq ,nhs' tla wfhla i|yd remsh,a 200$ jeks wju ñ, .Kka hgf;a úfYAI{ ffjoHjreka idhk lghq;= oskm;d mj;ajkq ,nhs' fuys we;s idhk w;ßka ldhsl frda. ms<sn|j idhkh" <ud frda. ms<sn|j idhkh" m%ij yd kdßfõo ms<sn| idhkh" wlaIs frda. ms<sn| idhkh" udkisl frda. ms<sn| idhkh" 57
advertorial
iudc frda. ms<sn|j idhkh mj;ajkq ,efí' wju ñ< .Kka - úYsIAG ;;a;ajfha fiajdjla jdÜgq we|la osklg wdydr" fyo yd ffjoH fiajho we;=<;aj rems' 200$ l wju ñ,lg hg;a fldg we;' mQ¾K ld,Sk úfYA{ ffjoHjreka 50lg wêl ixLHdjla fiajfha kshq;= fkú,a m%kdkaÿ frdayf,a ffjoHjreka frda.shd iïnkaO ;SrK .ekSfïoS lKavdhï ye`.Sulska hqla;j lghq;= lrKQ ,nhs'fï ksidu Tjqka .kakd ;SrK wfkl=;a frday,a yd ii|d n,k l< jvd;a ksjeros jk w;r úfYAI{ ffjoHjreka ksrka;rfhka frdayf,a /f|k neúka flá ld,hla ;=< tu ;SrKhkag t<öfï yelshdfjkao hqla;h' wmf.a iudc i;aldr j.lSu - f;dard.;a ck;djg fkdñf,a ffjoH myiqlï iudc i;aldr j.lSula f,iska os<s÷ mjq,aj, orejka i|yd fkdñf,a m%;sldr ,ndoSug zzálsß tallhZ kñka kùk myiqlï j,ska hqla; úfYAI tallhlao frday, ;=< l%shd;aulh' ta i|yd tu <uqkaf.a 58
Tnf.a iqjh" ksfrda.SNdjh iqrlsk jkiam;sh
fouõmshka frday,g meñKSfïoS .%du ks,OdÍ;=ud úiska iy;sl lrk ,o wdodhï iy;sl lrk ,o f,aLKhlao /f.k wd hq;= fõ' zzwreK¿ZZ - ufkda ffjoH tallh wfkl=;a fm!oa.,sl frday,a wNsnjd fuys boslr we;s zzwreK¿ZZ ufkda ffjoH tallh ksidfjka fuu frday, ;j;a iqúfYAIS ia:dkhla .kS' ldka;d yd msßñ fomd¾YAjhgu wdrlaIs; fkajdisl m%;sldr ,nd.; yels f,i jdÜgq ixlS¾K follskao hq;a wreK¿ tallh wfkl=;a jdÜgq ixlS¾K j,ska ÿria:j iy neyeßka we;=,a úh yels fia mj;S' fuu tallfha m%;sldr ,nk frda.Skaf.a fm!oa.,sl;ajh tu.ska wdrlaId fõ' idhk j,oS frda.Ska ksjerosj T!IO Ndú;d lrkjdo @ T!IO Ndú;dj fya;=fjka w;=re wdndO u;=ù we;ao@ udkisl ;;a;ajh hym;ao @ whym;ao @ hkak fidhd ne,Sulao isÿ lrKQ ,nhs' frda.Skaf.a miq.sh frda. jd¾;d iy j¾;udk frda.S ;;a;ajho i<ld n,kq ,efí' idhk j, úfYAI;ajh jkafkao thhs' kùK;u oka; ffjoH fiajdjla 2014 ckjdß ui 24 osk werö oka; Y,Hd.drfha oka; ffjoH idhkh fï jk úg i;sfha iEu osklu WoEik 9 isg iji 7 olajd;a bßod WoEik 9 isg iji 2 olajd;a l%shd;aul fõ' tysoS Tnf.a ish¿u oka;dndO i|yd m%;sldr ,nd.; yel' mqoa.,fhl= yg u;=jk ish¿u oka; .eg¿ i|yd ish¿u wdndê; jQ o;a i|yd ffjoH fkú,a m%kdkaÿ frdayf,a oka; Y,Hd.drh u.ska m%;sldr ,nd.; yel'tys fiajd ms<sn|j mejiqjfyd;a oka; úl,dx. tallh" uqL yKql úfYAI{ fiajh fukau ;j;a fiajdjka / ila fuysoS ,nd.; yel' frda.S myiqj ;ld nia fiajdjla frday,g meñfKk frda.Skaf.a myiqj ;ld fldÜgdj isg ud<fò yrd fkú,a m%kdkaÿ frday, olajd 336 nia fiajdjo l%shd;aulh' m%;sldr msKsi meñfKk frda.Ska yg Wiia fiajhla ,nd foñka Tjqka ;Dma;su;a lsÍu fkú,a m%kdkaÿ frdayf,a wruqKhs' ffjoHjrhd - udisl ffjoH iÕrdj
2015 foie誰n他 l<dmh
59
Parenting
orejka yeisrùfï ksjerÈ l%u .ek ±kqj;a fjuq
yßu. orejkag lshd fokak''' Tjqka ldhslj fukau udkisljo Yla;su;a m%S;su;a orejka f,i /l.kak orejka yeisrùfï ksjerÈ l%u .ek ±kqj;a fjuq úfYaI{ ufkda ffjoH .sydka wfíj¾Ok
<ud udkisl idhkj,§ yuqjk fndfyda orejka mÍlaId lsÍfï§ uekúka fmkS hk lreKla kï tA orejka fndfyda fofkl=u foudmshka úiska yiqrejk l%ufha we;s jerÈ ksid Tjqka ;=< p¾hd;aul .eg¨ we;s ù ;sfnk njh' tA wkqj orejkag m%;sldr lsÍug fmr Tjqkaf.a uõmshjrekag p¾hd;aul m%;sldr l< hq;= nj we;eï wjia:dj,§ wmg fyd¢ka fmkS hhs'
60
fouõmshka jQ m<shg orejka ksis f,i yiqrejd,sh yelshehs is;sh hq;= fkdfõ' wjdikdjlg wfma rfÜ fudk foag jevuq¿ ;snqK;a orejka ksis f,i yiqrejd,Su iïnkaO jevuq¿ olskakg ke;' ;snqK;a l,d;=rlsks' th mdrïmßlj ´kEu flkl=g bfíu ysñ jk fohla nj iudcfha ms<s.ekSuh' fï ksid lsisÿ <ud udkisl frda.hlska fkdfmf<k idudkH orejl= ksji ;=<§ foudmshka úiska yeisrúh hq;af;a flfiao hkak .ek wms idlÉPd lruq' wo ojfia fndfyda mjq,aj, uj mshd hk fofokdu ld¾h nyq, ksid orejka iu. .; lrkakg ,efnk ld,h iSñ;h' uQ,slu ldrKhla jkafka uõmsh fofokdu ld¾h nyq, kï wksjd¾hfhkau orejka iu. .; lsÍug Èklg meh Nd.hl ld,hla j;a fjka lr .ekSuh' idudkHfhka l=vd orejka ^wjqreÿ 12g ffjoHjrhd - udisl ffjoH iÕrdj
wvq& uõmshka iu. fi,a,ï lsÍug b;d leu;sh' tksid fï meh Nd.h Tjqka leu;s l%Svdjla i|yd fjka lr .ekSu WÑ; fõ' fuys§ jeo.;au foh orejdg ßis mßÈ fi,a,ï lsÍug bv §u ñi Tn orejdj fufyhùu fkdfõ' fudk l%Svdj lrkafka o hkak orejdg f;dard .ekSug bv fokak' orejdg ksfhda. lsÍfuka j<lskak' l%Svdj kshñ; ld,hlg iSud l< hq;= jqj;a l%Svdj md,kh l< hq;af;a orejd úiska nj i<lkak' tA meh Nd.h ;=< orejdj tu fi,a,ug Wkkaÿ lsÍu ñi orejdf.a jerÈ lshd mEfuka j<lskak' tA fjkqjg orejdf.a olaI;dj,§ m%Yxid lrkak' tfiau fujeks l%Svdjlska orejd hula bf.k .kSú hehs n,dfmdfrd;a;= fkdjkak' fuh mdvula lr fkdf.k ;kslru orejd iy uõmshka w;r
2015 foieïn¾ l<dmh
wjdikdjlg wfma rfÜ fudk foag jevuq¿ ;snqK;a orejka ksis f,i yiqrejd,Su iïnkaO jevuq¿ olskakg ke;' ;snqK;a l,d;=rlsks'
61
Parenting
orejka yeisrùfï ksjerÈ l%u .ek ±kqj;a fjuq
úfkdaohla u lr .kak' l%Svdj ;j;a mdvula ùfuka isÿ jkafka orejdg th tmd ùuh' orejd iu. l%Svd lrk úg Tn W;aidyfhka Èkqu lrd fkdhd hq;=h' Tn;a orejdf.a uÜgñka l%Svd lrkak' orejdg;a merÿu fiau Èkqu;a fokak' l%Svdj lsÍfï§ th úia;r m%pdrhla f,i lrkak' thska woyia llrkafka orejd l%Svdj lrk wdldrh úia;r lsÍfuka m%Yxidjg ,la lsÍuh' l%Svdj ;=<ska iqrx.kd f,dalhlg msúfikak' l=vd orefjda tn÷ foag fndfyda fihska m%sh lr;s' fuh orejdf.a ks¾udKd;aul yelshdj j¾Okh lsÍu msKsi;a fya;= fõ' tA meh Nd.h .; l< hq;= l%uhls' oeka wms orejdg hula kshu l< hq;= wdldrh .ek úuid n,uq' tx.,ka;fha jir ;=kla jhie;s tla orejl= n,kakg wd.ka;=lhl= tu ksjig meñK ;sìKs' wd.ka;=lhd orejdf.ka —Tfí ku fudllao@˜ hs úuid we;' —fvdakaÜ fcdaka˜ hkak orejdf.a ms<s;=r ù we;' tA orejd lrk lshk yeu foal§u uj orejdg jeämqru lshd we;af;a —Don’t John˜ ^tmd fcdaka& hkakh' tys§ uj ksrka;rfhka —fvdakaÜ fcdaka˜ hkqfjka l< mejiSu orejdf.a ukfiys ,shdmÈxÑ ù we;af;a —fvdakaÜ fcdaka˜ hkak ;ukaf.a ku f,isks' fuh b;d m%isoaO lshquls' is.aukaâ f*%dhsâf.a ñKsmsßhl f.a ÈhKshl jk ler,hska fmkS f*%dhsâ kue;s idhksl ufkda úoHd{jßh l,lg by;§ furgg meñfKk ,ÿj weh úiska uykqjr § meje;ajqKq ufkda úoHd jevuq¿jlg iyNd.s ùug ugo wjia:dj ,eìKs' fï jevuq¿jg iyNd.S
62
lr .kakd ,oafoa ufkda ffjoHjreka iy m%d:ñl mdi,a .=rejrekah' fuys§ iyNd.s jQjkag ;;a;amr 5lg weia jid .kakd f,i kshu l< ufkda úoHd{jßh —Don’t think of pink elephants˜ hkqfjka mejiqjdh' fuys woyi kï —frdai mdg w,s .ek ys;kak tmd˜ bkamiq —weia wßkakehs˜ lS ufkda úoHd{jßh —fudllao ys;=fj @˜ hkqfjka iyNd.s jQ msßi fj;ska úuiqjdh' tys§ 99]lau ÿka ms<s;=r jQfha —frdai mdg w,s .ek˜ hkakhs' fï ukqIHhkaf.a idudkH iajNdjhhs' ´kEu orejl=g jqjo hula tmd lsõfjd;a orejd lrkakg fm<fUkafkao tA foauh' th orejdf.a jrola fkdfõ' ksoiqkla f,i j;=r ùÿrejla w;g .;a orejdg —´l y,kak tmd˜ lshQ úg th y,d n,kakgu orejdg isf;hs' tA fjkqjg —ùÿrej mßiaiñka
ffjoHjrhd - udisl ffjoH iÕrdj
w,a, .kak˜ lSfuka orejd ;=< j;=r y,kakg jqjukdjla fkd±fkkq we;' tfiau hï orejl= —;Ügq lrkafk ke;=j Thd uf. lduf¾g tkak tmd˜ lshk úg ;Ügq fkdlr tA ldurhg hdug orejd ;=< l=;=y,hl=;a iu. ;on, wdYdjla we;sfõ' tA ksid tA foau lr ne,Sug orejd m%sh jkq we;' fuys§ l< hq;af;a —lduf¾g tkj kï ;Ügq lr, tkak˜ jeks fohla lSuh' orejka yev.eiaùfï § wkq.ukh l< hq;= jákd l%u lsysmhla .ek wms ±ka wjOdkh fhduq lruq' újrKd;aul meiiqu ^Descriptive Praise& m%Yxidj hkq ´kEu flfkl= b;d ±äj we¨ï lrkakls' l=vd orejl=f.a fm!reI ixj¾Okhg m%Yxidj b;d jeo.;ah' kuq;a l=vd orejl= fyd| fohla l< úg —Thd fyd| <ufhla˜ hehs lSu muKla m%udKj;a fkdfõ'
2015 foieïn¾ l<dmh
orejdg m%Yxid lsÍfï§ m%Yxid lrk fya;=j;a úia;r lr lsj hq;=h' túg ;udg fyd|hs lSfõ l=uk fya;=jlg o hkak orejd wjfndaO lr .kq we;' ;udj w.h lrk úg orejd ;=< wd;au wNsudkh jeäfõ' orejdf.a fyd| yeisÍu úia;r fldg tA fyd| yeisÍu ksid we;s jQ m%;sM,h;a w.h lrkak' ksoiqkla f,i —kx.s Thdj wjqiaikak yok fldg Thd u. wer, ysgmq tl fyd|hs' tA ksid Thd,d w;fr rkavqjla we;s ùu je<l=Kd' ug Thd .ek wdvïnrhs˜ hkqfjka úia;r lrk úg ;ud fld;rï fyd| flfklao hk wNsudkh orejd ;=< we;sù ;j ÿrg;a tjeks fyd| foa lsÍu i|yd fm<Uùula we;s jkq we;' wvhd,ï lsßu ^Labelling& orejkaj tla tla wdldrhg f,an,a lsÍfuka j<lskak' ksoiqkla f,i ks;r hï orejl=g —Thd uy fudavfhla' lsisu ms<sfj<la ke;s <ufhla˜ jeks fohla lshk úg th ks;r ks;ru weySu ksid l,la hk úg orejd ;ud fudavfhl= f,i ms<s.ekSug fm<fUhs' th orejdg b;d wys;lrh' orejl=f.a yeisÍu wkqj f,an,a lsÍu orejd ;=< wd;au wj;lafiarejla we;s lsÍu i|yd fya;=fjhs' orejl=f.a krl yeisÍula ÿgq úg th úia;r lrkak' —Thd fï lf<a fyd| jevla fkfï˜ hkqfjka tu krl yeisÍu úia;r lr lshd kej; tjeks foaj,a fkdlrkakg orejd ;=< yeÕSula we;s lrùu fyd|hs'
fujeks l%Svdjlska orejd hula bf.k .kSú hehs n,dfmdfrd;a;= fkdjkak' fuh mdvula lr fkdf.k ;kslru orejd iy uõmshka w;r úfkdaohla u lr .kak' l%Svdj ;j;a mdvula ùfuka isÿ jkafka orejdg th tmd ùuh'
63
Parenting
orejka yeisrùfï ksjerÈ l%u .ek ±kqj;a fjuq
ixikaokh lsÍu ^Comparing& <uhska ixikaokh lsÍu b;d krl fohls' wfma rfÜ fndfyda foudmshka is;kafka orejka ixikaokh lsÍu ;=<ska my< uÜgul isák orejd by<g .; yels njh' —n,kak Thdg lsisu jevla nE' kx.sg fyd|g mq¿jka' wehs Thdg neß kx.sg jf.a jev lrkak@˜ jeks ixikaokh lsÍï tlu mjqf,a orejka iïnkaOfhka mjd ujqmshka úiska lrkq olakg ,efí' fuhska ÿ¾j, orejd olaI ùug W;aidy lsÍu fjkqjg isÿjkafka ,Êcdjg m;a ùuh' ál l,la .; jk úg tA orejd ;ud wolaIhl= f,i ms<s.ekSug fm<fò' tlu mjqf,a orejka fofokl=f.a jqj;a olaI;d úúOh' tA wkqj zzThd olaI kE kx.s ;rï'''ZZ jeks fohla ks;r lshk úg wolaI orejd ;j ÿrg;a tu ;;a;ajhgu weo jefgkq we;' fujeks orejka ;ukaf.a uõmshkag ffjr lsÍug jqjo fm<ôh yelsh' fya;=j tu orejd ;=< ;ud iïnkaOfhka wj;lafiarejla we;s ùuh' orejdf.a .eg¨j,g ijka§u ufkda ffjoH idhkj,§ wmg yuqjk fndfyda orejka ;=<ska wm olsk fohla kï Tjqkg ;ukaf.a ÿl lshkakg flfkl= ke;s ùuh' orejdg lskï fyda m%Yakhla we;akï th m%ldY lrkakg wjia:dj fokak' orejdg Tfí wjOdkh fhduq lrkak' tA .eg¨jg Tn ms<s;=re fokakg W;aidy fkdlr tA ms<s;=r orejdgu ,nd.ekSug bv fokak' —Thdg fïlg fudllao lrkak mq¿jka orejdf. ka Tn fufia úuikak' we;eïúg Tng jvd fyd| ms<s;=rla orejd fuys§ ,ndÈh yelsh' orejdf.a úi÷u iqÿiq fkdfjhs kï muKla Tn tA i|yd bosßm;a jkak' wúfrdaO;d ±laùu ^Be consistent& orejka iïnkaOfhka hï kS;shla ksji ;=< mj;skafka kï mjqf,a ish¨ fokdu tu kS;sh orejka iïnkaOfhka l%shd;aul l< hq;=h'
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ksoiqkla f,i uj orejkag kS;s mkjd we;akï mshd f.or isákafka b;d iSñ; jQ ld,hla kï mshd tu kS;s tA whqßka l%shd;aul lrkakg Wkkaÿ fkdúh yelsh' túg orejka is;kafka uj b;d ier mreI whl= nj;a" mshd muKla ;ukag wdorh olajk nj;ah' tA wkqj uj flfryS ffjrhla we;s lr .kakd orejka mshdg muKla ióm ùug W;aidy orkq we;' orejka iïnkaOfhka ksfjiaj, mkjk kS;s fndfyda úgu lvkafka wdÉÑ,d iSh,dh' Tjqka tfia lrk úg orejka ;=< úkhla we;s lsÍu wiSreh' fujeks orejka fndfyda úg W;aidy orkafka foudmshkaf. ka bgqlr .kakg neß foaj,a wdÉÑ,d iSh,d ,jd bgq lrjd .kakgh' fuys i|yka lrk uQ,sl uQ,O¾u l%shd;aul lsÍug iEu ujl" mshl=u W;aiql úh hq;= w;r thska Yla;su;a ufkdaNdjhla we;s orefjl= odhdo ùu fkdje<elaúh yelalls'
ffjoHjrhd - udisl ffjoH iÕrdj
When a child starts learning, one discovery leads to another. Proper nutrition and parental stimulation help him turn every moment into a precious learning opportunity. Give Foundation to your child’s continuous learning with new Enfagrow A+ 360o PLUS – a clinically proven* formula that contains an exclusive blend of LCPUFA**, Prebiotics (PDX+GOS)***, and Beta-Glucan, to better prepare your child for learning. It also contains other key nutrients such as Choline, Zinc, Iodine, Iron, Vitamin B complex to support brain growth and well-rounded development for a child’s non-stop learning.
Rs. 1,330 upwards
*Li F, Jin X, Liu B, Zhuang W, Scalabrin D. Follow-up Formula Consumption in 3- to 4-Year-Olds and Respiratory Infections: An RCT. Pediatrics 2014. ** LCPUFA refers to Long chain Polyunsaturated Fatty acid, in this case docosahaxaenoic acid. ***GOS :Galacto-Oligosaccharides, PDX:Polydextrose
Marketed and Distributed by A. Baur & Co. (Pvt.) Ltd. No. 62 Jethawana Road Colombo 14 Tel: 0114 728766
2015 foieïn¾ l<dmh
65
Healthy Living
mjqf,a wdydr fõ, i|yd WÑ; wdydr fï úosyg f;dard .ksuq
fmdaIH .=Kfhka imsß fndcqkam;la i|yd Wmfoia
mjqf,a wdydr fõ, i|yd WÑ; wdydr fï úosyg f;dard .ksuq ffjoH m¾fhaIK wdh;kfha fmdaIK wxYfha m%cd ffjoH úfYaI{ f¾Kqld ch;siai mjq,a fi!LH ld¾hdxYfha m%cd ffjoH úfYAI{ wfhaId f,dl=nd,iqßh
fi!LHu;a wdydr fõ,la iy fmdaIKfha ÈhqKqjla iEu mjq,lgu ysñ ùug kï l< hq;= foa fndfydauhs' ;u ;uka fjfik m%foaYfhka u imhd.; yels úúO fmdaIHodhs wdydr f;dard .; hq;=hs
66
mjqf,a wdydr fõ,a ksis f,i ie,iqï lsÍu i|yd ir, fmdaIHodhS wdydr fõ,la ms<sn|j iy wdydr ñ, .Kka iy ;u m%foaYfhys ta ta jdrhg iq,n wdydr øjH ljf¾o wdÈh ms<sn|j oekSula fouõmshka i;=j ;sìh hq;=h'
ksjqâv iys; iy,a j, fl|s iys;hs' tajd osrjkafk fiñka' fiñka osrùfïoS f,a j,g iSks tl;= jkafka fiñka yd l%udKql+,jhs' r;= iy,ska ms<sfh, l< n;a j,ska mßjD;a;Sh l%shdj,shg ,efnkafka fkduo jQ msgqjy,la'
ffjoHjrhd - udisl ffjoH iÕrdj
fndfyda m%cdjka yS wdydr" c,h iy ld¾hhka iq,n fyda ¥,nùu" jdr-wjdr wkqj fjkiaùï j,g ,lafjhs' wd¾Ól fya;=ka iy .nvd lsÍfï ¥Ialr;d ksid iq¿ f.dùkag ;uka ksmojd .;a m%Odk wdydrh - OdkH jqjo wiajekak fk<d i;s lsysmhlg jvd ;nd .ekSug kqmq¿jk' Bg miqj B<`. wiajekak ,efnk ;=re Tjqka hefmkqfha m%foaYfha jefjk w," uqx" bß`.=" l=rlalka" t<j¿ fyda m<;=re j,sks' tfia ke;fyd;a ñ, § .kakd iy,a iy wdydr øjH lsysmhlsks' iuyr m%foaYj,g ud¿" lsß" fndaxÑ j¾. iy iuyr m<;=re o ,efnkafka jdrhlg muKs' ;uka i;= jq wdydr f;d. wjika jq úg iy f.dú lghq;= j,ska wdodhula fkd,efnk úg j.d fkdlrk lkakj, § iq¿ f.dùkaf.a iy f.dú ìïj, fiajh lrk lïlre mjq,a fmdaIK .eg¨j,g uqyqKq fo;s' tfukau kj wiajekak ,eîug fmr ld,h ukaofmdaIKh iy mdpkh wdY%s; frda. iq,n ld, mßÉfPaohla f,i ie<lSug mq¿jk' wjqreoafoa fuu ¥Ialr ld,h ;=< § m%foaYfhka imhd .; yels fmdaIHodhS wdydr f;dard .ekSu ms<sn| ±kqula uõjrekg we;akï" ish orejka w;r ukaofmdaIKh u;=ùu j<lajd,Sug Tjqkg mq¿jk' jdksc fnda. j.d lrk m%foaYj, fjfik mjq,a o wdydr fnda. j.d lsÍfuys ,d Wkka¥ l< hq;=h' tfiau fj<|fmdf<ka wjYH wdydr ñ, § .ekSu flfryS o mjq,aj, úfYAI wjOdkh fhduqùu wjYHh' wjqreoafoa úúO ld,j, § ks;ru fj<|fmd<g hdu ;=<ska ta ta ld,j,g iq,n jk wdydr ms<sn|jo o" wdydr ñ, .Kka ms<sn|jo jeo.;a f;dr;=re ,nd .ekSug mjq,a j,g wjia:dj ie,fihs' iy,a - wmf.a m%Odk wdydrh fndfyda mjq,a jeä leue;a;la olajk m%Odk wdydrh jkafka iy,ah' ksjfia §u w;sf¾l wdydr idod .ekSfï § ta i|yd iy,a fhdod .ekSu fhda. Hh'
2015 foieïn¾ l<dmh
l=vd orejkg bß`.= iy l=rlalka wdydrhg fokafka kï yels kï t<lsß fyda iu`. msiSu fyda wdydrhg §u fyda is¥ úh hq;=h'
lel=¿ iy,a ke;fyd;a ksjqâv iys; iy,a hkqfjka y÷kajkafka wvqfjka mdysk ,o iy,a j¾.hs' iy,a weg mdysk wjia:dfõ tys msg;skau ;sfnk ia:rh bj;a fjkjd' ta;a iu.u tys ;sfnk jákd fl|s fkdfyd;a ;ka;= m%udKho bj;a fjkjd' fï ksid fmdaIH .=Kh /l.kak kï iy,a fkdmdysk tlhs fyd|' jvd;a fmdaIH .=Kh we;s iy,a jYfhka fï wkQj ksjqâv iys; iy,a" r;=yd,a oelaúh yelshs'
67
Healthy Living
mjqf,a wdydr fõ, i|yd WÑ; wdydr fï úosyg f;dard .ksuq
iuyr m%foaYj, iy,aj,g jvd fmdaIHodhS ;;a;ajfhka Wiia l=rlalka o ;sfí' bß`.= iy l=rlalka úh,s l,dmhka yS j.d l< yels" mjqf,a wdydr fõ,g úúO;ajhla tla lsÍug iu;a OdkH j¾.hkah' flfia fj;;a l=vd orejkg bß`.= iy l=rlalka wdydrhg fokafka kï yels kï t<lsß fyda iu. msiSu fyda wdydrhg §u fyda is¥ úh hq;= h'
msh,s weg j,ska iemfhk Ydluh fm%daàk tlalr .kq ,nk m%udKh" wvx.= OdkH wdydrfha wkqmd;hg WÑ; kï" m%Odk OdkH wdydrh Ydluh fm%daàk ùu" i;a;ajuh fm%daàk ;rï u hym;ah'
mdka" fmd,a iïfnda, iy f;a fldamamhlska iukaú; ckm%sh wdydr fõ, fmdaIHodhS wdydr fõ,la kï fkdfõ' tfiau n;," uCoafCodlald jeks w, j¾. wdydrhg .; hQ;af;a o thg fld< t<j¿ iy lrj, fyda jeõ ud¿ fyda l=vd uq¥ ud¿ fyda w;ßka imhd .; yels ud¿ j¾.hla tla lsÍfuks'
m%udKj;a fmdaIKhla iemhSu iy;sl ùug kï msh<s weg j¾.hla fyda uia fyda ud¿ fyda we;=¿ m%Odk OdkH wdydrhla iu. tlaúh hq;=h' ksfji wjg iy .fï le,Ejg jefjk wdydrhg .; yels úúO fld< j¾. jeo.;a Lksc ,jK iy úgñka j,ska nyq,hs' fïjd ffoksl wdydr fõ,g imhd .ekSfuka iy tajd wdydrhg tla lr .ekSu ksid mjqf,a wdydr fõ,g jeh jk uqo, wvq lr .; yelsh' tu ksid mjqf,a wdydr fõ,g jeh jk uqo, wvq lr .ekSu g Woõ jk nj;a isys ;nd .ekSu jeo.;ah'
imhd .; yels yeu úfgl u wdydr fõ,g m<;=re tlalr .; hq;=uh' fujeks ixfhda.hla wdydr fõ, jvd;a fmdaIHodhS lsÍug iu;ah'
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mßmamq" uqxweg" rg lcQ iy ;, - fm%daàk" úgñk iy Lksc ,jK iemhqfuka fmdfydi;a w;r ljr m%Odk wdydrhla iu. fyda lÈu tl;=jla ùug iu;ah' rglcq iy ;," f;,a j,ska nyq,h' uql=Kqjekak" l;=reuqrex.d" ksú;s" lkal=ka" f.dgq fld< wd§ ;o fld< meye m<d j¾. iy jÜglald" jegfld¿" lerÜ iy oU, wd§ t<j¿ jeks fjk;a Ydluh wdydr úgñka iy Lksc ,jK w;sf¾l imhk jeo.;a ud¾.hkah' fï t<j¿ j¾. fndfyda úg f;,a fyda fmd,alsß fyda fhdod ilia lr .; hq;=h'
orejkaf.a Yla;s wjYH;d iïmQ¾K lsÍug f;,a yd fïo" fmd,a Ndú;d lruq fndfyda úg orejka ,nk wdydr fõ, Tjqkaf.a Yla;s wjYH;d imqrd,Sug ;rï Yla;s >k;ajfhka hqla; fkdùug bv ;sfí' wdydr fõf,a .=Kd;aulNdjh kxjd,Sug .; yels ,dNodhSu mshjr wdydr ms<sfh, lsÍu i|yd f;,a" fïo fyda fmd,a Ndú; lsßuh' fïoh wdydrh jvd;a rij;a lrhs' Yla;s >k;ajh by< kxjhs' ñY%Kh uD¥ lsÍfuka .s,Su myiq lrhs'
ffjoHjrhd - udisl ffjoH iÕrdj
2015 foie誰n他 l<dmh
69
Pap Smear
mema mÍlaIKh
wjqreÿ 35 blaujq iEu újdyl ldka;djlau l< hq;="
mema mÍlaIKh m%ij yd kdÍfõo ms<sn| úfYaI{ ffjoH m%Ydka; .xf.a vd l, b;du iqr;,a oeßhla f,io" ;reK úfha§ iqkaor ;reKShla f,io bkamiqj ohdnr iajdñ oshKshla" ujla f,iskao" weh .; lrk Ôú;h ld,fhka ld,hg úúO fjkialï j,g ,lafõ' YdÍßljo" ukiskao we;sjk fï fjialï u;ska úhm;a ùï we;sjk úg weh fjfiiskau wef.a fi!LHh iïnkaOfhka úYd, wjOdkhla oelaúh hq;=fõ'
l=
wehg we;súh yels úúO frda. ;¾ck w;f¾ .eíf., ms<sldj iïnkaOfhka úuiSula lruq' .eíf., ms<sldjla l,a;nd y÷kd .ekSug mema mÍlaIKhla l< hq;=fõ' mema mÍlaIKh f,iska y÷kajkafka l=ulao@ mema mÍlaIKh f,iska y÷kajkafka ldka;djkaf.a .eíf., wdY%s;j we;sjk ms<sld ;;a;ajhka y÷kd .ekSug isÿ flfrk mÍlaIKhhs'
70
ffjoHjrhd - udisl ffjoH iÕrdj
fuu mÍlaIKh isÿ lr.; hq;af;a wehs @ ldka;djka w;r iq,nj mj;sk ms<sld w;=ßka fuu ms<sldj fojeks jkafka mshhqre ms<sldjg muKs' ta ksid frda.h l,a;nd y÷kd. ekSu b;d jeo.;afõ '
ms<sldj y÷kd.; yels w;r ta i|yd b;d ir, mÍlaIKhlg muKla uqyqKq Èh hq;=hs' fuh l,a;nd y÷kd .ekSfuka ishhg 100la ms<sldfjka ñoSfï yelshdjlao mj;shs'
mef,damSh kd,
.eíf., ms<sldjg fya;= jkafka l=ulao@ .eíf., ms<sldj i|yd fya;= jkafka HPV keue;s ffjrihls' fuh yshquka memsf,daud ffjria hk kñkao y÷kajkq ,efí' fuu ffjrih wdidokh jkafka flfiao@ fuu ffjrih nyq,j we;sjkafka ,sx.sl jYfhka il%Sh ldka;djkagh' hï ldka;djla újdyl kï fyda ,sx.sl jYfhka il%Sh kï fuu ffjrihg f.dÿre ùfï jeä bvlvla mj;S' fuu frda.h y÷kd.ekSu jeo.;a jkafka wehs@ fuu frda. ;;a;ajh uq,slj y÷kd.; yelafla frda.h me;sß hkakg fmr bka je<lSughs' /ljrKh ,eîughs' tfiau jvd;a myiqfjka .eíf., 2015 foieïn¾ l<dmh
äïnfldaI .eí wd,sh
.¾NdIh
Transformation Zone
.eíf., fhdaks u. by< wka;h
ldka;d m%ckl moaO;sh
fuu mÍlaIKfha§ isÿ flfrkafka l=ulao@ fuys§ mÍlaIKhg fhduqjk ldka;djf.a fhdaks ud¾.h yryd we;=,a lrk WmlrKhla ud¾. fhka ,nd .kakd ffi, fldgila ùÿre lodjlg ,ndf.k ridhkd.drhla ;=<§ mÍlaId lrkq ,nhs' mema mÍlaIKh fõokdldÍo@ mema mÍlaIKh isÿ lrk wdldrh ksid ldka;djka ta ms<sn|j hï ìhlska miq fõ' kuq;a bka lsisÿ fõokdjla we;s fkdjk w;r tu mÍlaIKhg fhduq ùug ìhla we;s lr .; hq;= ke;' fujeks mÍlaIKhg fhduq jq muKskau ìh úh hq;=o@ ´kEu ldka;djla mema mÍlaIKhla l< muKska nhla we;s lr.; hq;= fkdfõ' kuq;a tu mÍlaIKfha§ HPV ffjrih ;sfnkjd hehs y÷kd .;fyd;a muKla ;rul wjOdkhlska lghq;= l< hq;= w;r fkdmudj ffjoH m%;sldr ,nd .ekSug fm<ôh hq;=hs'
71
Pap Smear
mema mÍlaIKh
mema mÍlaIKh isÿ l< hq;af;a jhi wjqreÿ lSfha§o@ jhi wjqreÿ 35 g miqj iEu újdyhg m;a ldka;djlau" tfia;a ke;akï ,sx.slj ilS%h iEu ldka;djlau fuu mÍlaIKhg fhduqúh hq;=hs' wfma rfܧ kï rcfha frday,l iqjkdÍ idhkhl§ fuu mÍlaIKh isÿ lr.; yelshs'
.eíf., ffcfõlaIdj .eíf.f,ka iQrd ,nd.kakd mgl kso¾Ylhla ridhkd.drfha mrSlaId fldg tys ffi,j, fjkialï we;af;aoehs fidhd n,kq ,efí' ,sf;dafgdñ ia:dms;fha frda.shd ;nd iafmlshq,ï kue;s WmlrKfhka mgl kso¾Ylh ,nd .kafkah' tu msysàfïoS .eíf., o¾Ykh jk wdldrh rEmfha oelafõ'
ksfrda.S .eí f.,la
ms<sldjlska wdidokh jQ .eíf.,la
mema ;ejreu mÍlaIKh
mema mÍlaIKhl§ zzkrl ffi,ZZ ;sfíoehs y÷kd .;fyd;a @ tfia krl ffi, ;sfnk njg y÷kd.; fyd;a l=vd Y,Hl¾uhla ud¾.fhka tajd bj;a lrkq ,nhs' fï i|yd ìhla we;s lr .; hq;= fkdjk w;r bÈßfha§ kej; je<£fï yelshdjo wju fõ'
72
mema mÍlaIKh tl j;djla muKla lr ne,Su m%udKj;ao@ tu mÍlaIKh tla j;djla muKla lsÍu m%udKj;a fkdfõ' úúO rgj, fuu mÍlaIKhg fhduqúh hq;= ld,iSudjka fjkia jk w;r ,dxlsl ldka;djka wju jYfhka jir 5lg j;djla mema mÍlaIKhg fhduqúh hq;=hs' we;af;kau frda.h l,a;nd y÷kd. ekSu b;d jeo.;a jk w;r ;;a;ajh nrm;< jqfjd;a iqjlsÍu wmyiqfõ' ta ksid l,a we;sj y÷kd f.k ishhg 100 la id¾:l m%;sldr fï i|yd ,ndÈh yelshs' igyk - wkqrdOd È,sks b,kafldaka
ffjoHjrhd - udisl ffjoH iÕrdj
2015 foie誰n他 l<dmh
73
1344
Filariasis
frda.h je<|s ld,hla .;jq miq frda. ,laIK u;= lrjk nrjd frda.h
frda.h je<|s ld,hla .;jq miq frda. ,laIK u;= lrjk nrjd frda.h Wmfoia - nrjd frda. u¾Ok jHdmdrfha jev n,k wOHlaI ffjoH ta t,a *Íâ nrjd frda. u¾Ok jHdmdrfha m%cd ldhsl frda. úfYAI{ ffjoH tia ã iquKfialr
Y%S ,xldfõ ;;a;ajh' Y%S ,xldfõ m<d;a ;=kl nrjd frda.h ksoka.;j we;' tkï" niakdysr" ol=K" iy jhU hk m<d;aj,h' fï m<d;a ;=kgu Èia;%slal 8la wh;a fõ' fuu m<d;aj, Ôj;ajk ck;djg nrjd frda.h we;sùfï wjodkula we;' m¾hka; nrjd u¾Ok tall ñka fld<U" .ïmy" l¿;r" l=reKE.," mq;a;,u" .d,a, iy ud;r hk Èia;%slal j, frda.Skaf.a m%;sldr myiqj msKsi m¾hka; nrjd u¾Ok tall we;'
lfha wx.úl,;djh we;s lrkq ,nk f,da frda. w;ßka nrjd frda.h m%Odk ;ekla .kS' tfukau nrjd frda.h ñksidg È.=ld,Sk úrEmNdjhka yd ÿn,;djhka we;s l< yels frda.hls' fuu frda.fhka frda.Ska ñh hkafka ke;s kuq;a È.=ld,Skj bÈuqKq w;a yd mdo wdÈh iys;j uq¿ ðú;hu f.jkakg isÿfõ' fujeks ;;a;ajhl isák wh iudchSh yd wd¾Ól " udkisl wmyiq;djhkag ,laùuo isÿfõ' nrjd - f,dal ;;a;ajh nrjd frda.h" f,dalfha ksj¾;k iy Wm ksj¾;k l,dmj,g wh;a rgj,a 81 l muK mj;sk w;r ñ,shk 120l muK ck;djlg frda.h wdidokh ù we;' ;jo ñ,shk 110 lg jeä ck;djlg fuh fi!LH ;¾ckhla ù we;s nj i|yka fõ' ol=K wdishd;sl rgj,a w;r Y%S ,xldj" ud,Èjhsk" bkaÈhdj" nx.,dfoaYh" ñhkaudrh" fkamd,h" bkaÿksiShdj" ;dhs,ka;h hk rgj, fuu frda.h mj;S' Y%S ,xldj iy ud,Èjhska hk
74
rgj, fuu frda.h my< uÜgul mj;S'
flfia fj;;a miq.sh jir lsysmh ;=< nrjd mj;sk wfkl=;a Èia;%slalj,g idfmalaIj .d,a, Èia;%slalfha nrjd frda.h wdidÈ; mqoa.,hskaf.a .Kk by< w.hl mj;sk nj iólaIK j,ska fmkS f.dia we;'
ffjoHjrhd - udisl ffjoH iÕrdj
frda. ,laIK my< jk f;la fkdisg jirlg jrlaj;a fuu f,a mÍlaIdjla ksfjia fj;g tk fi!LH ks,Odßka u.ska lr.kak' ke;fyd;a wdh;kj, ksYaÉ; Èkhkays meje;afjk rd;%s f,a mg, .kakd uOHia:dkhlÈ isÿlr .kak' nrjd frda.h fnda fjk wdldrh fuu frda.h uÿrejl= u.ska wka whg fnda fõ' nrjd ñksidf.a jid moaO;sh ;=< mrfmdaIs;hl= f,i Ôj;a jk Nematode j¾.fha l=vd mKqjl= úiska we;s lrk frda.S ;;a;ajhls' fuh uÿrejl= u.ska wka whg fnda fõ' Y%S ,xldfõoS oelsh yels mrfmdaIs; úfYAI Y%S ,xldfõ nrjd mrfmdaIs;hka foj¾.hla jd¾;d fõ' Wuchereria bancroftiyd Brugia malayi hkqfjks' ñka jeä jYfhka jd¾;d jkafka Wuchereria bancrofti keue;s j¾.h fõ'
Culex quinquefasciatus j¾.fha mßK; .eyekQ uÿrejka u.ska Wuchereria bancrofti mrfmdaIs;hkao Mansonia j¾.fha mßK; .eyekq uÿrejka u.ska Brugia malayi mrfmdaIs;hkao wdidokh we;s lrhs' fuu uÿrejka f,a Wrd fndkafka rd;%s ld,fha§h' Culex quinquefasciatus .eyekQ uÿrejd ì;a;r oukafka wmsßisÿ c,fhah' Wod- wmsßisÿ c,h tla /ia jk weysÍ .sh ldKQ" levqKq jeisls,s j,j,a" fmd,a f,,s j,j,a wdÈfhah' Mansonia j¾.fha .eyeKq uÿrejka ì;a;r oukafka ie,aùkshd" msiaáhd" cmka cnr wdÈ c,c me<á wdY%s;jhs' mßK; .eyekQ iy msßñ mrfmdaIs; mKqjka Ôj;ajkafka ñksidf.a jid moaO;sfhah • fuu mrfmdaIs; mKqjka jir 5-8
2015 foieïn¾ l<dmh
75
Filariasis
frda.h je<|s ld,hla .;jq miq frda. ,laIK u;= lrjk nrjd frda.h
• jdyl .eyekq uÿrejka f,a Wrd fndk úg CIQø mKQjka uÿrejka ;=<g hd yelshs' uÿrejd ;=<§ fï CIqø mKqjka L1, L2, L3 wjia:djkag m;afõ' .eyekq uÿrejka f,a Wrd fndk úg L3 wjia:dfõ mKQjka wm YÍrh ;=<g we;=,a fõ' L3 wjia:dfõ mKqjka ñksid ;=<g .eyekq $msßñ mKQjka njg m;afõ' jdyl .eyekq uÿrejka f,a Wrdîfuka miq fndfyda úg ksok ia:dk - ldurj, we;s frÈ yd we÷ï j, we|ka hg jid isáh yelsh'
nrjd mKqjd we;=,ajq ish¿ fokdgu frda. ,laIK my< jkafka ke; frda. ,laIK fmkakqï fkdl<;a kuq;a reêrfha CIqø mKqjka isáh yelsh' ;j;a wfhl=g jdyl uÿrejka u.ska frda.h fndaúh yelsh' tu ksid frda. ,laIK my< jk f;la fkdisg jirlg jrlaj;a fuu f,a mÍlaIdjla ksfjia fj;g tk fi!LH ks,Odßka u.ska lr.kak' ke;fyd;a wdh;k j, ksYaÑ; ÈkhkayS meje;afjk rd;%s f,a mg, .kakd uOHia:dkhloS isÿlr .kak'
Culex quinquefasciatus j¾.fha mßK; .eyekQ uÿrejka u.ska nrjd wdidokh we;s lrhs'
fuu mKqjka is oehs mÍlaId lsÍug uyck fi!LH fCIa;% ks,OdÍka úiska iy uyck fi!LH mÍlaIljreka úiska Tnf.ka rd;%s ld,fha§ jhia fNaohlska f;drj reêr mg, ,nd .ekSu fkdñ,fha isÿlrkjd' iuyr úg fuu ks,OdÍka Tnf.a ksfjia fj;gu meñfKa' Tjqkaf.a wkkH;djh ;yjqre lr Tng fï frda.h
ld,hla ñksidf.a jid moaO;sh ;=< Ôj;a jk nj fidhd f.k we;' • .eyekq iy msßñ mrfmdaIs; mKQjka tla ùfuka .eyekq mKQjka CIQø mKQjka úYd, m%udKhla we;s lrhs' fuu CIqø mKqjka ñksidf.a reêr ixirK moAO;shg tlafõ' fuu CIqø mKqjka È.ska uhsfl%dak 250- 300 muK jk w;r Ôú; ld,h udi 12 la muK fõ' • Èjd ld,fha § wNHka;r reêr moaO;sfha isák fuu CIqø mKqjka rd;%s ld,fha§ m¾hka; reêr moaO;shg meñfKa'
76
ffjoHjrhd - udisl ffjoH iÕrdj
jid wdY%s; nrjd frda.h - cSjk pl%h
wkdjrKh lsÍu iïnkaOfhka jeo.;a jk reêr mÍlaIdj isÿlr.; yelsh' we;eï wjia:dj,§ Tjqka rd;%S ld,fha§ hï ksYAÑ; uOHia:dkhloS f,a mg, ,nd .ekSu fkdñ,fha isÿ lrhs' f,a mg, .ekSu fi!LHdrlaIs;j isÿ lrk ksid thg Tn ìh úh hq;= ke;' ;jo fuu wdh;khkag iïnkaO lSg úoHd iyldrjreka úiska Tnf.a ksjig WoWiku meñK uÿrejka w,a,d f.k tu uÿrejka ;=< CIQÿ mKqjka fyda L1, L2, L3 wjia:d mrfmdaIs;hka isàoehs mÍlaIKd.dr j,§ mrSlaId lr n,hs'
2015 foieïn¾ l<dmh
nrjd frda.h uq,a wjia:d j,oSs oelsh yels frda. ,CIK 1 WK' 2 uia ms`vq j, fõokdj' 3 ifuys we;s jk fõokdldß r;= ,m' 4 jid m%Kd, j, wdidokh ^iug háka r;= mdáka Èiajk kd, /ila fuka jid m%Kd, oelsh yelsh&' 5 jid .%kaÓ j, bÈóu - m%Odk jYfhka lsys,s j, yd bls,s j, jid .%kaÓ bosóu' 77
Filariasis
frda.h je<|s ld,hla .;jq miq frda. ,laIK u;= lrjk nrjd frda.h
6 wdidÈ; wjhj wdY%s; b§óu yd fõokdj m%Odk jYfhka w;a" ll=,a" ikaê" mfhdaOr" jDIKfldaI jeks wjhj' Ⱦ> ld,Sk frda. ,CIK 1 mshhqre " o;a" ll=,a ikaê bosóu ^Lymphoedema& 2 l,a hdfïoS jßka jr" nelaàßhd wdidok ksid Wod - w,s ll=,a ^Elephantiasis& we;sùu' 3 mgl j, iajdNdúl ndysr fmkqu fjkia ù úrEms;d we;s úh yelsh' 4 msßñ whf.a jDIKfldaI jid ;r,h msÍu ksid úYd, úh yelsh' ^Hydrocoele& ffjoHjreka frda.Ska mÍCIdlr wjYH m%;sldr lrkq ,nhs' jDIKfldaI bÈó we;s wjia:dj,oS Tjqka jeäÿr m%;sldr i|yd fhduq lrkq ,nhs' fndfyda úg fuu m%;sldr wdh;khkag frda.Ska meñfKkafka §¾> ld,Sk frda. ,CIK we;sjQ úghs' tu wjia:dj,oS fndfyda úg Tjqka ;=< nrjd mKqjka fkdue;s neúka reêr mÍCIdjla lr frda.h yÿkd.; fkdyel' túg frda. ,CIK yd frda. b;sydih wkqj frda. ;;a;ajh ks¾Kh flf¾' l,d;=rlska iuyr whf.a jid moaO;sh iïnkaO fjk;a frda. ;;a;ajhka ksido nrjd frda.fhaoS fuka frda. ,CIK we;súh yel' fuu idhk j,§ wm bÈuqKq w;a$md iys; frda.Skagm%;sldr isÿ flfrKq we;' nrjd frda. md,kh frda.Ska i|yd m%;sldr lsÍu 1 frda.Ska y÷kd f.k m%;sldr lsÍu' 2 iuqy m%;sldr' jdyl md,kh 1 uÿrejka fndajk ia:dk ke;s lsÍu' 2 uÿre lSghka iy ms,jqka u¾Okh lsÍu'
78
uÿrejka oIaGkfhka je<lSu 1 uÿre oe,a Ndú;h' 2 uÿre úl¾IK Ndú;h' T!IO m%;sldr fï i|yd T!IO folla ;sfí DEC ^ vhsB;hs,a ldnuiSka isÜfÜ%Ü& Albendazole ^we,afnkavfida,a& l=uk fyda wdydrhla .ekSfuka miq T!IO ,nd .ekSfuka w;=re wdndO wju lr.; yelsh' fuu m%;sldr kqiqÿiq jk wh 1 jhi wjqreÿ 2g wvq <orejkag' 2 .eìKs uõjrekag' 3 wjqreÿ 2g wvq orejl=g lsßfok uõjrekag' 4 wdidOH frda.Skag' fi!LH wOHdmk ld¾hdxYfha meje;s uOH iïuka;%Khla weiqßks'
igyk wkqrdOd È,sks b,kafldaka
ffjoHjrhd - udisl ffjoH iÕrdj
Thought of the Month
jdykj,ska mdie,a hk orejkag n,mdk fi!LH .eg¨ /ila
jdykj,ska mdie,a hk orejkag n,mdk fi!LH .eg¨ /ila
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
yels;dla .fï mdif,ka .=Kd;aul wOHdmkhla ,nd.kakg ie,eiaùfuka Tfí orejd .=K kqjKska jefvkq we;' waidyawaraya.com
j;af;a.u ysgmq l,dm wOHdmk wOHlaI tia fla chj¾Ok úisks
.ïno m%foaYj, mjd uqo,la úhoï l< yels fndfyda fokd ;u orejka .fuka wE; k.r j, msysá mdie,a fj; heùu /,a,la f,i me;sr hñka mj;S' .ïno fndfyda mdi,a jeiS hdug fuh m%Odk fya;=jls¡
2015 foieïn¾ l<dmh
79
Thought of the Month
jdyk j,ska k.r lrd wefok l=vd orejkag n,mdk fi!LHuh .eg¿ .Kkdjls¡ m<uq jif¾ isg k.rfha mdie,a hk orejka iu`. mdi,a yqre jkq ;=re orejd iu`. uj fyda jeäysáhl= hdu wksjd¾h fjhs¡ k.rh orejdg kqyqre ùu k.rfha mj;sk jdyk ;onoh mdr yryd ly bß ueoska udre lsÍug yqre lsÍu fõ.fhka tk jdyk j,ska fíÍu thg fya;= lSmhls¡ k.r lrd hk l=vd orefjl= iu`. uj fyda jeäysáhl= hdfuka Tjqkaf.ao osk p¾hdj fjkia fjhs¡ uj /lshdjla lrhs kï .eg¿j ;jÿrg;a W.% fjhs¡ orejd wdmiq le|jdf.k taug kej; hd hq;=h¡ ke;akï mdi, wefrk ;=re /oS isáh hq;=h¡ fndfyda ;reK uõjreka jrog fm<fUk tla uQ,sl fya;=jla jkqfha orejd mdi,a wefrk ;=re mdi, wjg /oS isàug isÿ ùuhs¡
80
jdykj,ska mdie,a hk orejkag n,mdk fi!LH .eg¨ /ila
k.r lrd hk ñ, wvq l%uh jkqfha orejd iu`. uj niaßfhka mdi,g hdu yd tauhs¡ WoEik nia j, mdi,a orejka ksid wêl f;rmSula isÿ fjhs¡ iuyr úg fõ,djg kshñ; nia r:h fkd;snqKfyd;a B <`. nia r:h tk;=re /oS isg m%udoj hd hq;=h¡
fndfyda ;reK uõjreka jrog fm<fUk tla uQ,sl fya;=jla jkqfha orejd mdi,a wefrk ;=re mdi, wjg /oS isàug isÿ ùuhs¡
úhou jeä fojk l%uh jkafka l=vd <uqka .Kkdjla ;%Sfrdao r:j, mgjd mdi,a j,g heùuhs¡ tysoS oekg ;%S frdao r:j, .uka l< yels m%udKh kS;s u`.ska md,kh lr we;¡ iuyr úg wêl fõ.fhka hdu ÿïßh yria ud¾. yryd hdu jeks wjia:dj, ;%S frdao r: wk;=rg ,laúh yel¡ úhou jeä jvd;a ckm%sh l%uh mdi,a jEka r: u`.ska orejka k.rno mdi,aj,g heùuhs¡ tysoS bkaOk ñ, jeäùu jeks wjia:dj, udisl wh lsÍï jeä úh yel¡ tfukau jEka r:fha fiajlhka w;ska <uqka wmpdrj,g f.dÿre úh yel¡
ffjoHjrhd - udisl ffjoH iÕrdj
nia r:fhka .sh;a" mdi,a jEka ßfhka .sh;a l=vd orejkag n,mdk fmdÿ .eg¿ lSmhls¡ Woh ;o kskafoa isák orejka nf,ka wjos lr ,Eia;s l< hq;=h¡ fõ,dj .; jqjfyd;a orejd Wfoa wdydrh fkd.kS¡
nia r:fhka .sh;a" mdi,a jEka ßfhka .sh;a l=vd orejkag n,mdk fmdÿ .eg¿ lSmhls¡ Woh ;o kskafoa isák orejka nf,ka wjos lr ,Eia;s l< hq;=h¡ fõ,dj .; jqjfyd;a orejd Wfoa wdydrh fkd.kS¡ f.or Woh lEu ;snqK;a mqreoaola f,i fndfyda orefjda f.oroS lEu fkdl;s¡ oyj,a lEu mdi,a nE.h ;=< oukq ,efí¡ fndfyda by< mdi,aj, iïm%odhla f,i mdi,a wdmkYd,dj, we;af;a .eUqre f;f,a neo fidaia j¾. tl;= l, YÍrhg wys;lr lEu j¾.hs' f;a wdosh ta wdmkYd,d j, ke;¡ fudaia;rhla f,i hd¿jka wkqlrKh lsÍfuka îug isÿ jkqfha j¾Kl nyq,j fh¥ YÍrhg wys;lr isis,a îuhs¡ 2015 foieïn¾ l<dmh
iuyr <uqka f.oßka f.kd lEu álla ld wdmkYd,j,g ÿj;s¡ YÍrhg wys;lr flá lEu j¾. isis,a îu Ndú;d lr;s¡ th .egjr úh t<fUk úgu <uqka oreKq frda.dndO j,g f.dÿre lrùfï wdrïNhhs¡ k.rnoj mdie,a mka;shl isáh hq;= m%udKh blaujd ;onoh mj;S¡ tysoS ;onoh ksid orejdg wmsßisÿ jdhqj wd>%dKh flfrhs¡ kùk ú,dis;dfõ flá lEu yd isis,a îu u`.ska mdi,a orejka ;=< ia:q,;djh oshjeähdj jeks frda. nyq,j je<fohs¡ jvd;a iqÿiq ksjig lsÜgq .ïno mdi,l miajeks fY%aKsh olajd bf.kqug i,iajd yhjeks fY%aKsh i|yd <uhd wjYH kï k.rno mdi,lg heùuhs¡ th orejdg ;u wdrlaIdj yd j.lSu jegfyk jhila neúka Tyq ;ksj hdug taug túg yqrefjhs¡
81
conspiracy
mqxÑ wudrejg;a f,dl= fnfy;a
tfy;a m%;sÔjl T!IO mdúÉÉ lsÍfï§ ms<smeÈh hq;= Wmfoia yd lreKq ldrKd .ek fkdn,d fujeks T!IO Ndú;d lsÍfuka wo tu T!IO CIÿ Ôùkag m%;sfrdaëlrKhla f,ig ñksidg tfrys ù ;sfí' fï fya;=fjka wo fndfyda f,v frda. j,g m%;sldr lsÍu ÿ¾j, ù wl¾ukH ù ;sfí'
mqxÑ wudrejg;a f,dl= fnfy;a m%;scSjl m%;sfrdaOhg mdr lmk ys;=jlaldrlï Wmfoia- uyr.u cd;sl ms<sld wdh;kfha laIqøÔù úoHdj ms<sn| úfYaI{ ffjoH .S;sld mgne¢f.a Y%S chj¾Okmqr úYaj úoHd,fha T!IO úoHd wOHhk wxYfha uydpd¾h .S;d m%kdkaÿ ú,jqka WmlrK iy T!IO jHjia:dmk wêldßfha ysgmq wOHlaI ffjoH fyauka; fnkr.u miq.sh Y; j¾Ifha uq,a Nd.h muK jk úg fndfyda wl,a urK ñksiqkg isÿjQfha nelaàÍhd" ffjria" È,Sr u.ska we;s jq frda. ;;a;ajhka ksidh' fujeks fya;= ksid je<fok frda. j,g tjlg ksis T!IO m%;sldr fkd;snqKs' úúO T!IO u.ska fuu frda. i|yd l< m%;sldr u.ska we;eï wh iqjm;a jqy' frda.fha tkï" ffjrifha" nelaàßhdfõ" fyda È,Srfha nrm;,lu wkqj ;j;a iuyre fuu T!IO u.ska iqjm;a jqfha ke;' fï fya;=j ksidu m%;sldr lsÍfïoS ñh .shy' tu ksid 1928 j¾IfhaoS fujeks frda. i|yd b;d w.kd m%;sÔjlhla f,ig fmksis,ska T!IOh fidhd .kakd ,oS' thska b;d is>% f,i tjlg jHdma;j ;snq nelaàßhd" È,Sr frda. j,ska ñh .sh msßia wvq úh' fï ksidu zzfmksis,skaZZ fukau t;eka mgka Tiq f,i fhdod.;a m%;scSjl T!IO mD:q,j Ndú;d lsÍug ck;dj mgka .;af;ah'
82
tlu kñka ;;a;ajfhka nd, yd .=Kd;aul T!IO fj<|fmdf<a fndfyda ÈhqKq rgj, ck;dj m%;sÔjl T!IO hï l%shd;aul YslaIKhlska hqla;j Ⱦ> ld,Skj Ndú;d lr;s' kuq;a ÈhqKq fjñka mj;sk rgj,a uqyqK fok m%Yakhla jkafka ;;a;ajfhka nd, T!IO Ndú;h yd T!IO ksishdldrj Ndú;hg fkd.ekSu hk lreKqhs' b;d wúêu;a f,iska T!IO Ndú;h ksid wo jk úg fndfyda nelaàÍhd" È,Sr wdidok j,g tu w.kd T!IO Tfrd;a;= fkdfok
ffjoHjrhd - udisl ffjoH iÕrdj
;;a;ajhg m;aj ;sfí' tfiau tlu kñka ;;a;ajfhka nd, yd .=Kd;aul T!IO fj<ofmdf<a ;sîu;a fuu m%YAkh ;j;a m%n, ùug fya;=jla fõ'
we;euqka fmr ÈkhloS hï frda.hlg .;a T!IO frda.h iqj jQ miq bj;a fkdlr <`. ;nd .ks;s' bkamiq tjeksu frda.hla keje; iEÿKq úg fmr b;sß jQ T!IO .ekSug mqreÿ j isá;s' fuh b;du wys;lr ;;a;ajhls' fujeks mqreÿ j,ska YÍrhg b;d wys;lr n,mEï we;s fõ'
WodyrK jYfhka i|yka l<fyd;a wo todg jvd nyq,j olakg ,efnk fuksxcháia ^fudf<A WK& iafgmagfldlia úIîc i|yd ,nd ÿka m%;sÔjl fjk;a ir, frda. i|yd wkjYH f,ig Ndú;d lsÍug fm<öfuka tjeks m%n, nelaàÍhd kid,Sug fkdyels ;;a;ajhg m;aùfï m%;sM<hls' fï ksid oreKq f,i frda. j,§ flfkl=g wod< m%;sÔjl T!IOh §fuka th hgm;a fkdù frda.Shdf.a Ôú;h wjodkulg uqyqK mdhs' jkafIdÜ ffjoHjrekaf.a Wkaudoh hï flfkla iq¿ frda.S ;;a;ajhg m%;sldr .ekSug hk wjia:dj,oSs m%n, m%;sÔjlhla ,nd§
2015 foieïn¾ l<dmh
83
conspiracy
mqxÑ wudrejg;a f,dl= fnfy;a
b;d blaukska frda.h iqj lsÍug W;aidy lrk zfydr fodia;r,dZfukau uqo,a yUdhk Wkaudofhka miqfjk we;eï ffjoHjrekao l,d;=rlska iudcfha yuqùu fÄocklh'
fuh b;du wys;lr ;;a;ajhls' fujeks mqreÿ j,ska YÍrhg b;d wys;lr n,mEï we;s fõ'
fuu fjoHjreka fmdÿfõ zjka fIdÜZ f,ig ye¢kajqjfyd;a ksjerÈh' ta tl fnfy;a jäfhka frda.shd iqjm;a lsÍuhs' fï ffjoHjre fj; frda.Ska hkafka uy;a wdidfjks' zzwr fodia;r uy;a;hd <`.g .shdu tl fnfy;a fõf,ka mgia .d, f,fâ fyd| fjkjd'''ZZ fujeks úêhg fndfyda fokd fuu ffjoHjreka y÷kajk wdldrhhs ta'
fï jerÈ mqreÿ keje; fkdl< hq;=h' frda.hg T!IO f.k iqj jQ úg b;sß hï T!IOhla ;sfí kï th jydu bj;,kak'
jkafIdfÜ,d Tfí Ôú;h ì,s.kakd wdldrh Tn okakjdo@ zzwfmda thd <`.g hkak tmd''' f,fâ wvq fjkafka foierhla ú;r fnfy;a .;a;du''' talg;a tlal wr fodia;r uy;a;hd i,a,s .kafk;a wvqfjka' fõ,a folla fnfy;a .kak fldg f,fâ iqj fjkjd'ZZ kuq;a fujeks zjka fIdÜ,dZ Tfí Ôú;h fiñka fiñka .s, .kakd njj;a Tn fkdokS' fuu ffjoHjrekag ksoyia wOHdmkfha iy;slh ;sín;a uqo,a miqmi yUdhdfï wruqqfKka T!IO wirK frda.Ska yg ,ndfohs' fiïm%;sYHdj" leiai" yd fndfyda mdpk frda. i|yd m%;sÔjl T!IO wjYH ke;sjqj;a tajd kshu lr;s' fujeks iq¿ frda.S ;;a;ajhkag Èhr j¾. jeäfhka mdkh msKsi ,ndoSu iy úfõlSs nj b;d fhda.H fõ' kuq;a we;efula ffjoHjreka wkjYH f,ig T!IO kshu lr;s' fuhska jkafka wjYH frda.hloS tajd YÍrhg Tfrd;a;= fkd§uhs' tla frda.hlg .;a T!IO kej; .ekSu we;euqka fmr ÈkhloS hï frda.hlg .;a T!IO frda.h iqj jQ miq bj;a fkdlr <`. ;nd .ks;s' bkamiq tjeksu frda.hla keje; iEÿKq úg fmr b;sß jQ T!IO .ekSug mqreÿ j isá;s' 84
ksis ud;%djg T!IO fkd.ekSu hï frda.S ;;a;ajhlg T!IO .;a úg th zzojilg ;=ka jrla''ZZ zzy;r jrlaZZ .; hq;= hehs kshu lrk wjia:d ;sfí' fufia ffjoHjrhd kshu l<;a iuyr wh ojig zz;=ka jrlaZZ fjkqjg zzy;r jrlaZZ f,ig meh .Kk fkdn,d T!IO .ks;s' zzmeh wglg jrlaZZ hhs kshu l< fnfy; meh 8lg jrlau .; hq;=h' ojilg zzy;r jrlaZZ hhs kshu l< fyd;a meh yhlg jrla T!IOh .; hq;=h' fndfyda fokd lrkafka oji wdjrKh ùug u;la jQ jdr y;rla f,ig fyda ;=kla f,ig T!IO .ekSuhs' th b;du ydksodhlhs'
ffjoHjrhd - udisl ffjoH iÕrdj
thska isÿjkafka m%;scSjl T!IOh .;a úg hgm;a jq úIîch" nelaàßhdj fyda È,Srh B,`. meh yfha§ fyda wfÜ § fkd,enqK úg keje; ysi Tijd .ekSuhs' thska miq m%;sÔjl T!IOh .;a;;a frda.h iqj fkdfõ' túg frda.shd ys;kafka tu ffjoHjrhd f.a fnfy;a j,g fyda T!IO j,g frda.h iqj fkdjkafkah lshdh' túg th k;r lr keje; fjk;a ffjoHjreka fidhd hhs' T!IO udre lrhs' frda.h ixlS¾K lr .ekSug f;fïu l%shd;aul fjhs' B<`.g tu m%;sÔjl T!IOhg iqj fkdjkafka hhs is;d ffjoHjrhd fjk;a m%n, m%;scSjl T!IO kshu lrhs' kuq;a fu;k§ jro lr we;af;a Tnhs' thska ydks isÿjkafka Tnguhs' fuhg fya;=j jkafka ksis T!IO ksishdldrj fkd.ekSu;a" fkdie<ls,su;a nj ksid wkjYH ;j;a m%n, T!IO .ekSu;a ksidh' 2015 foieïn¾ l<dmh
ys;=uf;a m%;sÔjl T!IO .ekSu m%;sÔjl T!IO .; hq;af;a nelaàßhd" ffjria" fyda È,Sr wdidok i|ydh' kuq;a wfma iuyre o;a lelal=ula yeÿK;a m%n, m%;scSjl .kshs' zzTh lelal=ug wr *duisfhka lr,a álla .;a;du yßZZ fujeks foa mjiñka ;=jd, j,g o" fiu u;=ù leiai we;s jq úg§o ys;=uf;a m%;scSjl T!IO .kakd fldgia isá;s' wo *duis j,ska T!IO .ekSug ffjoH jÜfgdare wjYH jQj;a ;ju;a fuf,i T!IO ,nd .kakd wh ke;=jd fkdfõ' frda.shdu ;SrKh lrf.k T!IO .ekSu ;ukau ;ukag lr.kakd jHikhla nj ta wh fkdoks;s' th b;du;a wys;lrh' fï jerÈ ms<sfj;a ksid wo Tn muKla fkdj uq¿ uy;a iudchu uy;a jHikhg m;aj ;sfí' ta wjYHu frda.hg wjYH m%;sldr fkd.e<mSuhs' tmuKla fkdj b;du wdrlaIdldÍj ;snQ b;du .=Kodhs" T!IOh" nelaàßhdj" ffjrih" fyda È,Sr keiSug kshu l< T!IO wo ta ta frda.j,g tfrys ù ;sfí' ys;=uf;a T!IO .ekSfuka je<lSsu yd jerÈ ms<sfj;a j,ska ñ§u hï m%;sÔjlhla ksmoùug ta i|yd úúO m¾fhaIK lrñka tu ffjrih" nelaàßhdj" È,Srh keiSug wjYH wdldrfhka T!IO ie§h hq;=h' kuq;a wo tfia úIîc j,g úreoaOj ke.S isák ;j;a w¨;a úIîc .eko jd¾;d fõ' tjd fnfyúka iq,nj we;ehs ffjoH m¾fhaIlfhda mji;s' fï jro lr ;sfnkafka Tn wm ieu fokdf.au jeros fya;=fjks' fndfyda fokd ys;=uf;a m%;sÔjl T!IO .ekSfuka frda. ldrl nelaàßhd ta T!IO j,g úreoaOj ke.s isàfï l%shdj,shg bv ;s; ;eìh hq;=h' ta i|yd ys;=uf;a T!IO .ekSfuka je<lsh hq;=h' fi!LH wOHdmk ld¾hdxYfha§ meje;S foaYkhla weiqfrks'
igyk- wkqrdOd È,sks b,kafldaka 85
Happy Babies Learning More...
lsß leáhd keK kqjKska msß i;=g fodafr .,k ore iïm;la ùug kï'''
lsß leáhd keK kqjKska msß i;=g fodafr .,k ore iïm;la ùug kï''' Wmf;a isg f;jirla hk;=re orejdf.a fud<h l=¿.ekaùug Tfí iyfhda.h wjYHhs u ujlf.au" yeu msfhl=f.au wfmalaIdj ;ukaf.a orejd keK kqjKska msß mqrjeisfhl= njg m;a lsÍughs' fï i|yd w;a;sjdru jefgkafka orejd l=i ;=< .; lrk ld,fha isguh'
ye
86
orejd Wm; ,eîfuka miqj orejdf.a fud<h iS.%fhka jefvkafka uq,a jir ;=<oSh' kuq;a f;jirla muK hk ;=re fud<fha j¾Okh ;SrKd;aul fjhs' orejdf.a fud<h fõ.fhka jefvk jir ;=kla muK olajd ld,h ;=< orejdf.a fud<h l=¿ .ekaùug Tfnka ,eìh hq;af;a ljr iïudoulao @ fï ,smsh Bg ms<s;=re imhhs'
ffjoHjrhd - udisl ffjoH iÕrdj
lsßleá fud<hl wreuh''' Tfí lsßleáhd Wm; ,nk úg Tyqf.a fud<fha kshqfrdak ì,shk 100la muK mj;S' mis÷rka fj;ska ,efnk weiSu" oelSu" iam¾Yh" ri" iqj| wdosho thdldrfhka w;aoelSula f,iska ,eîug WmldÍ jkafka fï kshqfrdakhs' tfiau yDo iamkaokh" Yajikh" kskao" úúO Yío ke.Su''' fï wdoS ljr l%shdjla jQj isÿ lrkafka fud<ho iïnkaO lr.ksñks' fldákau fud<h YÍrfha ish¿ ld¾hhka iudfhdackh lrkakd fõ' ks¾udKYS,s;ajh" nqoaêh" mßl,amkh" ridiajdokh wdoS Wiia ks¾udKd;aul Ñka;djkaf.ka fyì ùug iïmQ¾Kfhkau fkdj fldgila fya;= jkafka l=¿.ekajQ fud<hhs' ke;fyd;a ndysr W;af;ack ,ndoSfuka uõjreka orejd fj; olajk fifkyihs' l=¿ .ekaúh hq;= <ore fud<h w; orejd fud<h yd iïnkaO uQ,sl wNHdihkayS fhfok uq;a ;ju;a we;af;a 2015 foieïn¾ l<dmh
jefvñka ;sfnk wmßK; fud<hls' iskemai hkqfjka ye|skafjk ixfõok cd,hka NdIdj" ;¾lkh" wdoS fndfyda lafIA;% úIfhys ixj¾Okh lr.; hq;=j ;sfí' ta yd iïnkaO fud<fha l,dmhka úúO l%shdldr;ï yryd l=¿ .ekaúh hq;=j ;sfí'
ixlS¾K jQ nqoaêuh l%shdj,shla uõmshka" orejdf.a ióm;uhka orejd yd úúO wdldrfhka l%shdldÍ iïnkaO;djhla mj;ajd.; hq;af;a fï ksidh' Tn okakjdo @ ksfrda.S w; orefjl= ;;amrhlg idudkHfhka fud<h yd iïnkaO;d ñ,shk folla muK we;slr .kS' jhi wjqreÿ ;=kla jk úg Tyq fyda weh á%,shk oyil muK kshqfrdakuh iïnkaO;d we;s lrf.k fnfyúka ixlS¾K jQ nqoaêuh l%shdj,shlg wj;S¾K ù yudrh' orefjl= fkdi<ld yeÍfuka isÿjk ydksh w;yer ouk ,o orejd yd t;rï wjOdkhla ,nd fkd.kakd orejdf.a fud<h l%shd lrkafka flfiao@ wmj NS;shg m;a lrjk ienEj jkafka
87
Happy Babies Learning More...
lsß leáhd keK kqjKska msß i;=g fodafr .,k ore iïm;la ùug kï'''
fï orejkaf.a fud<h yd we;s lr.kakd iakdhq iïnkaO;d fnfyúka wvd, jk njhs' ì| jefgk njhs' orejd n,d.kakd mqoa.,hd orejd iu. mj;akd iïnkaOh ÿ¾j, tlla kï fud<fhka fldaáfida,a kï ridhk øjH úYd, jYfhka jEiafik w;r tu.ska orejd flfrka W;amdo jk jákd kshqfrdak" iakdhq iïnkaO;d urKhg m;a fõ' Tfí w; orejd l%shdYS,S keKjf;l= njg m;a lrkakg woyia lrkjd kï Tno orefjl= ;rïu l=vd ld,hg hkak' is`.s;a;d yd fud<h l=¿.kajk l%shdldrlï j, fhfokak' fjfiiskau w;miq lsÍï" orejd fodïkia Ndjhg m;a lsÍï isÿ lrkak tmd' orejdf.a fud<h l=¿ .ekaùug uõmshkag l< yels foa • B<`.g lrk foa - yeuúgu l=;=y,h we;s lrjkak' orejdg wdydr fok fj,dj" fi,a,ï lrk fj,dj" ksod.kakd fj,dj wdosh ksYaÑ;j ilid .kak' orejd yeu úgu zB<`.g fjkafka fudllao @Z hk l=;=y,fhka miq fjhs' tla l%shdldrlul isg ;j;a l%shdldrlulg orejd udre lsÍu we;eï úg .eg¿ iy.; jk l%shdj,shls' ksYaÑ; ld,igykla ilia lr zB<`.g fjk foaZ .ek orejdg l=;=y,hla we;s lrkak' fkdukdmh ke;s lrf.k i;=áka uqyqK oSug uki ilikak' yenehs ld,igyka yeÿjdg oro`vq f,i thg orejd wkq.; lsÍug W;aidy .kak tmd' • iEu orefjl= ;=<u úYauhckl iqúfYAI;d mj;afkah' úYauhckl fm!oa.,sl;ajhla mj;skafkah' ta ksÍlaIKh lrkak' orejd is;e`.s l%shdj lrkakg Tyqg bv yßkak' thska tmd ùula fkdjk fia iSrefjka ud¾.h fjkia lsÍug Tng úplaIKYS,S {dKhla ;sìh hq;=h'' • orejd iu. l;d lrkak' fmd;a lshjkak' isxÿ lshkak' thska NdId {dKh j¾Okh jkjd muKla fkdj Tn;a orejd;a w;r wmQre mqoa., in|;djhlao we;s fõ' • orejd lrk iEu hym;a l%shdjlau miikak' 88
• Tfí ksfjfia orejdg .fõIKh lrkakg yd hula bf.k .kakg iqÿiq ia:dk ilia lrkak' t<suyfka tjka ia:dk j,g orejd /f.k hkak' thska orejdf.a ks¾udKd;aul Ñka;dj iy mßl,amkh l=¿. ekaúh yel' tfy;a lsis úfgl muK blaujd W;af;ack we;s lrkak tmd' orejd fjfyig m;a jk fia W.kakkakg" W;af;ack imhkakg ;e;a lrkak tmd' orejd /l n,d. kakd Tfío udkisl iunr;djh .ek is;kak' uõmshka jYfhka Tng;a ksis fmdaIKhla wjYHhs' kskaola wjYHhs' iudch yd hym;aj ixfhdackh ùula jf.au úfõlhlao cSú;hg wjYHhs' fï ksid Tno fï wjYH;d iïmQ¾K lr.kak' i;=áka isákak' i;=áka isák uõmshka iqjodhS i;=áka isák orejka i|yd uQ,sl wjYH;djhls'
fmhd¾ia fíì Happy Baby, Learning Centre fj;ska fuu ,smsh Wmqgd .kakd ,oS' ffjoHjrhd - udisl ffjoH iÕrdj
2015 foie誰n他 l<dmh
89
Delusional parasitosis
isrer mqrd k,shk woDIHudk i;=ka fidauj;Sf.a isrerg wdfõ fldfyduo@
isrer mqrd k,shk woDIHudk i;=ka fidauj;Sf.a isrerg wdfõ fldfyduo@ ldhsl frda. hla f,i osiafjk udkisl frda.h - mrfmdaIs; fudaydndOh úfYaI{ ufkda ffjoH reó rEnka uy;df.a jD;a;Sh w;a±lSula weiqfrks wjqreÿ ye;a;E myla muK jhie;s fidauj;S uy f.or ysáfh ;ksju''' fidauj;S f.a mqreIhd ñh mrf,dj .syska iEfyk l,la' mq;d msgrg' ÿj;a újdy fj,d fjku mÈxÑ fj,d ysáfha' yenehs tA uyf.or lsÜgqju ;kd.;a ksjil' ÿj ks;r fidauj;S .ek fidhd n,mq ksid fidauj;Sg uy f.or 90
ffjoHjrhd - udisl ffjoH iÕrdj
;kshu b£u tA ;rï .eg¨jla jqfKa kE' WKla tlal we;sjqKQ m%YAkhla Tfydu bkak w;fr fidauj;Sg uq;%d wudrejla yeÈ,d WK yg .;a;d' tAl uq;%d ysrùula ksid ÿj fidauj;Sj le|jf.k frday,g .shd' fidauj;Sj frdayf,a k;r lrf.k m%;sldr ,nd ÿkakd' fuys§ fidauj;Sf. uq;%d ud¾.hg uq;%d nghlao ^le;Sgrhla& iïnkaO lrkq ,enqjd' fï wdldrhg ,enqKq m%;sldrj,ska miqj fidauj;S iqjm;a jqKd' bkamiq uq;%d ngho bj;a l<d' uq;%d ngfhka úIîchla .syskao fldfyo @ frdayf,a k;r ù Èk lsysmhla tf,i m%;sldr ,nd iqj ù ksjig meñKsh;a uq;%d ngh iïnkaO lr ;snQ ia:dkfha fjkila fidauj;Sg ofkkakg mgka .;a;d' tA iu.u tA m%foaYfha leiSula we;s jqKd' —uq;%d ngfhka úIîchla
2015 foieïn¾ l<dmh
.syskao fldfyo ÿfõ˜ lsh,d fidauj;S ÿjg;a fï .ek meñKs,s l<d' B<Õ idhkh Èkfha ÿj fidauj;Sj frday,g tlalrf.k .syska ffjoHjrhl=g fmkakqjd' ffjoHjrhd fidauj;Sf. leiSu wvqjkakg m%;sldr kshu l<d' uq;%d ud¾.fhka i;=ka msgjkjd''' Èk lsysmhlg miq fidauj;Sf.a leiSu wvq jqK;a Bg miqj wehg ;u uq;%d ud¾.fhka i;=ka msgjk wdldrhla ±fkkakg jqKd' tA j;dfj;a ÿj fidauj;Sj le|jdf.k f.dia frdayf,a ffjoHjrhl=g fmkakqjd' —lsisu if;la kE' lik yskaohs tfyu fohla ±fkkafka˜ ffjoHjrhd fidauj;Sj mÍlaId lr n,d ms<s;=re ÿkakd' fidauj;S;a th ms<s.;a;d' kuq;a ;j ál ojila .; jk úg uq;%d ud¾. fhka msgjk i;=ka ll=,a fol Èf.a weúo hk wdldrhla fidauj;Sg ±fkkakg jqKd' weh ll=,a fol Èf.au oE; hjñka ne¨j;a w;g yiqjk lsisu if;la ysáfh kE' —uf. iug háka i;a;= hkj bjrhla kE˜ fidauj;S ÿjg meñKs,s l<d' ÿj fidauj;Sf. foll=,a w; .d ne¨j;a tjeks fohla wef.a w;g yiq jqfKa kE' —wïug ±fkk yeá fjkak we;s' ug kï tfyu fohla f;afrkafk kE˜ ÿj ujf.a meñKs,a, t;rï ie,ls,a,g ,la fkdlr ms<s;=re ÿkakd' mKqjka we;=¿ ù folkaj,ska msgfjkjd kuq;a fidauj;Sf. .eg¨j úif|k mdgla fmkqfK;a kE' fï úÈyg Èk lsysmhla wmyiqfjka .; l< fidauj;Sg isrer jfÜu mKqjka .uka lrk wdldrhla ofkkakg jqKd' 91
Delusional parasitosis
isrer mqrd k,shk woDIHudk i;=ka fidauj;Sf.a isrerg wdfõ fldfyduo@
fidauj;Sg ±kqfK mqÿu wmyiqjla jf.au ms<sl=,la' bkamiq fidauj;S ksÞ bkak úg láka mKqjka we;=¿ ù folkaj,ska msgfjk wdldrhla ±kS weh wef|ka ke.sÜgd' wehg kskao .sfhau kE' bkamiq fidauj;S rd;%shg ysáfh ksos j¾ð;jhs' —fïlg kï Th fí;a î, yßhkafk kE ÿfõ˜ fidauj;S Èk lsysmhla ;siafiau ÿjg lxfl¢ß .Ejd' Bg miafia ;uhs u<.sh m%dKldrfhla fm%a; wd;aful b|ka lror lrk nj idia;rhlg lshjqfKa' —lrkak fohla kE" Ydka;sl¾uhla j;a lr, n,uq˜ ÿj fhdackd l<d' tla fikiqrdÞ flïuqr Èkhl lrk ,o Ydka;sl¾uhg;a iEfyk uqo,la úhoï jqKd' kuq;a fidauj;Sf. lrof¾ tfyuuhs' w;=reoka jQ mKqfjda ±ka ÿjg;a lr lshd .kak fohla kE' fidauj;Sg ?g kskaol=;a kE' rd;%sh mqrd we| u; jdä ù isák fidauj;sS isref¾ k,shk mKqjka kshfmd;=j,ska fldks;a;ñka w,a,df.k fnda;,hlg ±ïud' tA miqÞ Wfoag ÿjg fmkakkak ys;df.khs' tA;a fnda;f,ag ouk mKqjka tflla j;a fnda;f,a kE' uQäh jid ;snQ fnda;,fhka Wkag msgfjkak úÈhla ke;s nj;a iy;slhs' —tAlfka ux lsõfj''' wïudf.a ukia.d;fka˜ ÿj fkdreiaik yçka lshd isáhd' w;a mdj, ±ka ;=jd, iu fldks;a; fldks;a;d mKqjka t<shg we§u ksid fidauj;Sf. w;a mdj, ±ka ;=jd,''' ál ojila hk fldg weÕ yeu;eku fï úÈyg ;=jd, yg .;a;d' neßu ;ek ;uhs wïudg fudlla yß ifï f,vla fjkak we;s lsh,d ÿj wkqudk lr weh ifï frda. ffjoHjrhl= fj; /f.k .sfha' ifï frda. ffjoHjrhd fidauj;Sg ifï frda.hla ke;s nj ;yjqre lrf.k weh udkisl frda. idhkhg fhduq l<d' 92
foays; N%dka;suh ;;a;ajhla fidauj;Sg ;u YÍrfhys i;=ka k,shk njla ±kqfK ienEjgu iu háka i;=ka .uka lsÍula ksid fkdfjhs' fuh udkisl wdndOhla' th y÷kajkafka mrfmdaIs; fudaydndOh ^Delusional parasitosis& f,iska' fud<fha we;sjk ridhksl fjkila ksid foays; N%dka;suh ^somatic hallucinations& ;;a;ajhla f,i iu hg i;=ka ÿjk wdldrhg oefkkak mgka .kakjd' fuh foays; N%dka;sh u; mokï ù we;sjQ mrfmdaIs; fudaydndOhhs' fuys§ ienEjgu i;=ka k,shkafk kE' fuh fudayhla muKhs' tkï jerÈ jegySula' iuyrekag mrfmdaIs; fudaydndOh ksid we;s jk ;on, udkisl mSvkh u; úYdo frda.h ^Depression& yg .ekSug;a yelshdj ;sfnkjd' T!IO m%;sldr u.ska fuh iïmQ¾Kfhkau iqj l< yelshs'
ffjoHjrhd - udisl ffjoH iÕrdj
2015 foie誰n他 l<dmh
93
Allergy
wdid;añl;d we;s ùug ;ekla fj,djla ke;'''
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'
94
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 foieïn¾ l<dmh
95
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'
96
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
l=reKE., § wvqu ñ,.kka hgf;a ridhkd.dr mÍlaIK ''' jhU m<df;a tlu iuQmldr frday," l=reKe., iuQmldr frday,a ridhkd.drfhaoS''' • ECHO Scaning tflda mÍlaIKh u.ska yojf;a iajrEmh" ta ;=< reêrh .uka lrk wdldrh fukau lmdg l%shdldß;ajh wdoS fndfyda úia;r oek.; yel' • LFT fmKy¿ l%shdldß;aj mÍlaIKh • Full Blood Check up mQ¾K YÍr mÍlaIKh • Chest X Ray mÍlaIKh • ECG mÍlaIK • Liver Function Test wlaudfõ l%shdldß;aj mÍlaIKh • Serum Creatinine jl=.vq l%shdldß;aj mÍlaIKh • Serum Blood Urea jl=.vq l%shdldß;aj mÍlaIKh • Lipid Profile fldf,iagfrda,a mÍlaIKh • Fasting Blood Sugar oshjeähdj je<|S ;sfíoehs oek.kakd" th md,kh ù we;soehs oek.kakd mÍlaIKh úfYAI{ ffjoHjrfhl=f.a wëlaIKh hgf;a rdcH yd fm!oa.,sl fiajfha kshq;= whg úfYAI meflachka pek,a lsÍu i|yd úuikak'''0372056765" 2056552" 2054070" 2054071"2222464" 2221638 iuQmldr frday, 303" fld<U mdr l=reKE., ÿrl:k 0372232242" 5670206" 2056760 2056215 *laia 037 2232242 E Mail: kch.hospital@gmail.com
2015 foieïn¾ l<dmh
97
Cesarean delivery
m%ij fõokdjg nh we;eï l;=ka leue;s jk isfiaßhka ie;alu
l,ska wjia:dfõ§ .íid ùïj,g ,lajQ fyda u< ore Wm;a isÿl< ldka;djkaf.a
m%ij fõokdjg nh we;eï l;=ka leue;s jk isfiaßhka ie;alu m%ij yd kdßfõo úfYaI{ ffjoH wd¾ tka Ô rdcmlaI
j¾;udkfha§ ;reK uõjreka jvd;a leue;a;la olajkafka isfiaßhka ie;alula u.ska ore m%iQ;sh isÿ lsÍugh' Bg fya;=j fndfyduhla ;reK ldka;djka m%iQ; fõokdjg ;on, ìhla ±laùuh' fm!oa.,sl frday,l ore m%iQ;sh isÿlrk úg tjekakla ish wNsu;h mßÈ b,a,d isáh yels jqj;a rcfha frday,aj, kï isfiaßhka ie;alula isÿlrkafka th tu ujg w;HjYH njg ffjoHuh fya;+ka u; y÷kd.;a miqjh' isfiaßhka ie;alula lsÍu i|yd n,mdk ujf.a fya;= Wi fi'ó' 145g ^Wi wä 4'9g jvd& wvq ldka;djla .¾NdIfha orejd úYd,j jeã we;s úfgl jhi ;siamy blaujQ ujla ;u l=¿÷,a orejd ìys lsÍfï§ tu orejd úYd,j jeã we;akï
98
újdy ù jir folla blaujd hk;=re;a ore iïm;la fkdmsysá ldka;djla .eí.;a miq tu ldka;dj isfiaßhka ie;alula b,a,d isá wjia:djl hï fyhlska tu ldka;dj idudkH l%uhg orejd m%iQ; lrkakg .sh wjia:djl m%iQ; ld,h È.= jqjfyd;a orejdg lsishï lrorhla isÿfõ hehs ìhla ±kqfKd;a wehg isfiaßhka ie;alula b,a,d isàfï yelshdj ksid l,ska foj;djla isfiaßhka ie;alula lr ;sfnk ujlg" l,ska tla wjia:djl muKla isfiaßhka ie;alula l< ujla kï tu ujf.a l=fia ys¢k fojk orejd nßka jeäj j¾Okh ù ke;akï iy fjk;a .eg¨ldÍ ;;a;ajhl=;a
ffjoHjrhd - udisl ffjoH iÕrdj
fkdue;s kï" weh idudkH ore m%iQ;shlg leu;s kï wef.a wNsu;h mßÈ idudkH ore m%iQ;shlg hd yelsh'
2' iïmQ¾Kfhkau isys ke;s lsÍu ;=<ska fldkafoa frda. ;;a;aj" reêrh leá .eiSfï ixl+,;d u;=úh yels wjia:dj, fld÷ wegj, úlD;s ;;a;ajhka mej;Su jeks ;;a;ajfhka fmf<k ldka;djkau isfiaßhka ie;alul§ iïmQ¾Kfhkau isys ke;s lsÍug isÿjkq we;'
.eìks iufha ujg wêreêr mSvkh b;d wêl ;;a;ajhl mej;Su isfiaßhka ie;alulg n,mdk orejdf.a fya;= orejd úYd, ùu yryg fyda ;Ügñka ys£u jeoEuy orejdg jvd my;ska msysàu orejdf.a fmlKsje, yÈisfha my;g jeàu m%iQ;sfha§ orejdf.a yDofha ßoauh wvqú hdu m%iQ;sfha§ jeoEuy ndf.g nqre,a ùu isfiaßhka ie;alula isÿlrk wdldrh fuu ie;alu l%u follg isÿl< yelsh' 1' fldkaog kslafIamKhla ud¾. fhka fnfy;la úo bfKka my< fldgi ysß jeÜgùu ;=<ska ^Spinal Anaesthesia& 2015 foieïn¾ l<dmh
ie;alu lr miq Èkh jk úg nekafâÊ .,jd frda.shd kEùu isÿfõ' ie;alu isÿlr udi tlyudrla .;jk ;=re nr tiùfuka je<lsh hq;=h'
99
Cesarean delivery
m%ij fõokdjg nh we;eï l;=ka leue;s jk isfiaßhka ie;alu
ie;alu isÿlrkafka há nfâ yria lemqula isÿlsÍfuks' l,ska isfiaßhka ie;alulg uqyqK ÿka ldka;djlf.a kï tu uq,a lemqu isÿl< ;ekska fï wjia:dfõ§ o lmd újr flf¾' bkamiq orejd msg;g .kq ,nhs' ie;alug .; jk ld,h meh Nd.hla muK fõ' bkamiq Worhg Èhfjk ueyqï oud uikq ,nhs' tksid miqj ueyqï lemSula wjYH ke;' isfiaßhka ie;alu isÿlsÍfuka wk;=rej ksjig .sh miq ujg WK" fhdaks ud¾. fhka Y%djh jeäfhka je.sÍu" hánv fldrùu jeks oE isÿjkafka kï ie;alu isÿl< ffjoHjrhdgu h<s fmkaùu i|yd frday,a.; ùu wjYHh'
isfiaßhka ie;alulska orefjl= m%iQ; flfrhs
ie;alfï ixl+,;d ie;alu isÿlrk wjia:dfõ§ reêrjykhla isÿùug wjldY we;' úIîc YÍr.; jqjfyd;a wdidok isÿùugo bvlvla we;' nvje,a" uq;%dYh" wfOdaud¾.h jeks bkaøshhka ;=jd, ùfï bvlvla we;eï wjia:dj, mj;S' 100
ie;alñka miqj Worh ;=<g f,a .e,Sug o yelshdjla ;sfí' fujeks ixl+,;d nyq,j isÿjk tAjd fkdfõ' kuq;a l,d;=rlska jqjo fujeks fohla isÿjkakg neßlula ke;' ie;alñka meh y;<sia wglg miqj frda.shdg ;u ksfjig hdug yelshdj we;' kùk l%uhg wkqj fuu ;=jd,h iqjùu i|yd ie;alñka meh úisy;rlg miqj nekafâÊ .,jd bj;a lr ;=jd,h jd;hg újD; lr ;eîu isÿfõ' túg iqjùu blaukah' isfiaßhka ie;alu lsÍu i|yd ysßjeÜgùfuka miq meh yhla bl=;a ùfuka wk;=rej l%u l%ufhka YdÍßl wmyiq;d wvq jkq we;' frda.shd mdk j¾. wdÈh .ekSu wdrïN l< hq;af;a fï ld,fha§h' Bg fmr frda.shdg tjekakla îug ie,eiajqjfyd;a jukh hdug jqj bv we;' ffjoHjrhd - udisl ffjoH iÕrdj
Y,Hd.drhl isÿ flfrk kùk isfiaßhka ie;alula
tfiau meh úisy;rlg miq frda.shdg fomhska weúo hdug bv i,iajkq ,nhs' ie;alug fmr m%;sÔjl T!IO ,nd fokafka wdidok we;sùu je<elaùugh' iuyr ffjoHjreka ie;alñka miqj;a m%;sÔjl kshu lrk wjia:d ;sfí' ie;alñka meh úisy;rla muK .;jk ;=re fõokd kdYl o ,nd fokq we;' ie;alu isÿlsÍfuka miq fomd m%dKj;a ùu i|yd fyd¢ka mdo fid,jk f,i Wmfoia ,ndfohs' túg meh nd.hlska muK miq frda.shdg fomhska weúo hdfï yelshdj ,efnkq we;' kuq;a th l< hq;af;a ffjoH Wmfoia u;h’ fya;=j we;eï úg frda.shdg la,dka;h we;s ùug bvla ;sfnk ksidh' ie;alu lr miq Èkh jk úg nekafâÊ .,jd frda.shd kEùu isÿfõ' ie;alu isÿlr udi tlyudrla .;jk ;=re nr tiùfuka je<lsh hq;=h' isfiaßhka ie;alulska miq kej; .eí .ekSug wjYH kï Bg jir follaj;a .;úh hq;=h' tf;la mjq,a ie,iqï l%uhla wkq.ukh l< hq;= fõ' wf;a je,ñgg Wäka iug háka ouk Jadelle kñka y÷kajk ma,diaála l+r myiq mjq,a ie,iqï l%uhls' tA yereKq úg mjq,a ie,iqï fm;s" Æmh jeks foaj,ao Ndú; l< yelsh' 2015 foieïn¾ l<dmh
isfiaßhka ie;alulska orefjl= m%iQ; lsÍfïoS fhdok lemqula
isfiaßhka ie;alulska miq kej; .eí .ekSug wjYH kï Bg jir follaj;a .;úh hq;=h' tf;la mjq,a ie,iqï l%uhla wkq. ukh l< hq;= fõ'
isfiaßhka ie;alu isÿlsÍfuka wk;=rej ksjig .sh miq ujg WK" fhdaks ud¾. fhka Y%djh jeäfhka je.sÍu" hánv fldrùu jeks oE isÿjkafka kï ie;alu isÿl< ffjoHjrhdgu h<s fmkaùu i|yd frday,a.; ùu wjYHh' 101
VITILIGO OPTIONAL TREATMENTS
iqÿlnr frda.h ksÜgdjg iqj lrk u.la ;sfí'''
iqÿlnr frda.h ksÜgdjg iqj lrk u.la ;sfí'''
fu,kska j¾Klh ifï ksIamdokh ùu wvq jk úg iqÿ lnr keu;s p¾u frda.h yg .kS' fuh ksÜgdjg iqj l< yels nj Tn okakjdo@
fï ta .ek úia;rhhs'''
ifï iajdNdúl meyeh fjkia ù YÍrfha iEu ;eklu l=vd m%udKfha iqÿ meye;s ,m fyda oo u;= ù th l%udKql+,j YÍrh mqrd me;sfrk ;;a;ajhg ziqÿlnr frda.hZ hehs mjikafkuq'
wdhq¾fõo fjolfuka iqÿlnr frda.hg ksÜgdjg iqjh ffjoH tka k*aiaãka" î'ta' fmardfoKsh úYaj úoHd,h p¾u frda. úfYaI{ Y%S ,xld wdhq¾fõo ffjoH uKav,h iy rcrg tlai;a mdrïmßl wdhq¾fõo ffjoH úoHd,h
iqÿ lnr yg.kafka fufyuhs tla tla rgl foaY.=Kh wkqj ifï meyeh fjkia fõ' wm w;ßka iuyre l¿ yd ;j;a iuyre ;f<¿ meyeh .ekSug fya;=j ù we;af;a wfma ifuys msysgd ;sfnk zfuf,dfkdihsgZ keu;s ffi, u.ska >%djh jk fu,kska keu;s j¾Klhhs' iug meyeh ,nd fokafka fuu j¾Klhhs' fu,kska j¾Klh ifï ksIamdokh ùu wvq jk úg iqÿ lnr keu;s p¾u frda.h yg .kS' rla;j¾Kfhka hq;= whg fu,kska wvqfjkao" l¿ meyefhka hq;= whg fu,kska jeäfhkao
102
ffjoHjrhd - udisl ffjoH iÕrdj
>%djh jk nj;a fuh wdfõkslj mej; tk kshduhla nj;a ffjoH úoHd;aul u;hhs' wo fndfyda whg udkisl johla ù we;s ifï meyem;a njg ydks lrk iqÿ lnr frda. hg bx.%Sis NdIdfjka VITILIGO ^úg,sf.da& hehs mjikq ,efí'
iqÿ lnr frda.h ksÜgdjg iqj lsÍug ngysr ffjoH úoHdj wiu;a jqjo mdrïmßl wdhq¾fõo ffjoH l%ufhka fuu frda.h ksÜgdjg iqj l< yelsh'
m¾hdh kdu /ila isoaOdhq¾fõofha§ iqÿ lnr hkqfjka fuh y÷kajkq ,nk w;r wmf.a merKs mqiafld< fmd;a j, ls,di" jdreK" ;dreK yd Yaj;S% hkqfjka fuh y÷kajd § we;'
2015 foieïn¾ l<dmh
iqÿ lnr frda.h ms<snoj ffjoHjre ±kqj;aj isáho kùk ffjoH úoHdj fuu frda.h we;s ùug fya;=j fidhdf.k th iqj lsÍug wfmdfydi;a ù we;' fuhg fya;= ù we;af;a kùk ffjoH úoHdfõ m%uqLhska nyq,j isák ngysr rgj,g fuu p¾u frda.fhka t;rï n,mEula isÿ ù fkdue;s ksidh' fNaohla kE''' ´kEu flfkl=g yefokak mq¿jka ÿmam;a fmdfydi;a fNaohlska f;drj ´kEu wfhl= fuu frda.hg f.dÿre úh yel' foaj Ydmhla ksid fuu frda.h je<fok nj iuyrekaf.a úYajdihhs' fi!LHiïmkak ñksiqkaf.a YÍr j,o ;rul iqÿ mq,a,s we;s ùug yelsh' ta .ek jydu fidhd fkdne¨jfyd;a ld,hdf.a wejEfuka f;d,a" weianeu" we`.s,s" ysi" w;amd" uqyqK hkd§ YÍrfha ish¿ fldgia j,g frda.h me;sf¾' fï frda.h ksid ;ejq,a .kakd wh fndfyduhs" wjosfhka bkak" csú; úkdY úh yelshs" frda.fhka fkdfjhs" is;a ;ejqf,ka fuu frda.fhka YÍrhg lsisÿ fõokdjla fyda wmyiq;djhla we;s fkdjqjo fuh hï lsis wvqmdvqjla f,i mej;Su je<elaúh fkdyel' YÍrfha ,iaik njg yd meyem;a njg ydks isÿ fõ' iqÿ lnr frda.fhka iuyre udkisl frda.Ska njgo m;a fõ' fï ksid iuyr wh Èú kid .ekSug mjd fm<fU;s' fujeks whf.a frda.S ;;a;ajh iy is;a fõokdj ksid frda.h me;sÍu W;aikak ùu isÿ fõ' tksid wkjYH ;ejq,a j,ska ñ§ i;=áka l,a .; lsÍu ;=,ska fuu frda.h md,kh lr .; yels fõ' újdyfhka miqj frda.h W;aikak jk l;dj fndrejla''' ;j;a jeros u; /ila ;sfhkjd iqÿ lnr frda.h fnda jk frda.hla njgo újdyfhka miqj frda.h me;sÍu W;aikak jk njgo mj;sk jerÈ u;hka ksid mjq,a cSú;ho wjq,a ù we;' i;a;lskau iqÿ lnr frda.h ms<sl=,a iy.; fnda fjk frda.hla fkdjk nj ish¿ fokdu ±k .; hq;= fõ'
103
VITILIGO OPTIONAL TREATMENTS
iqÿlnr frda.h ksÜgdjg iqj lrk u.la ;sfí'''
rla;j¾Kfhka hq;= whg fu,kska wvqfjkao" l¿ meyefhka hq;= whg fu,kska jeäfhkao >%djh jk nj;a fuh wdfõkslj mej; tk kshduhla nj;a ffjoH úoHd;aul u;hhs'
l,djej ksfji lr.;a mdrïmßl p¾u frda. fjoeÿfrla
wms frda.h ksÜgdjg iqj lrkjd'''' iqÿ lnr frda.h ksÜgdjg iqj lsÍug ngysr ffjoH úoHdj wiu;a jqjo mdrïmßl wdhq¾fõo ffjoH l%ufhka fuu frda.h ksÜgdjg iqj l< yelsh' iqÿ lnr frda.h we;s ùug fya;= jQ lreKq w;a±lSu ;=,ska iy ksishdldrj fidhd n,d m%Óldr lsÍu u.ska fuu frda.h iqj l< yelsh'
mqrd jir 15l isg wdhq¾fõo ffjoH l%u yd mdrïmßlj mej; Wreu jQ ffjoH l%u j, ksr;j isák fudyq wo jk úg wdhq¾fõo ffjoH l%ufha olaI ffjoHjrfhl= f,i iqÿ lnr fmd;= lnr jeks p¾u frda." ksoka.; frda. j,g m%Óldr lr wmuK frda.Ska iqjm;a lrkafkah'
YS% ,xldfõ iqÿ lnr frda.hg f.dÿre jQ oi oyia .Kkla jQ frda.Ska fjkqfjka ud fuu ffjoH;=ud yuq ùug ÿr neyer f.jd l,djej úcs;mqr .ïudkhg f.dia fuu ,smshg wjYH lreKq ldrKd fidhd .;af;a fuu frda.h iqj lr .ekSu i|yd úúO ffjoH l%u j, msysg m;d wirK ù we;s wh fjkqfjks' iqÿ lnr frda.h wdhq¾fõo yd mdrïmßl ffjoH l%u j,ska muKla iqj l< yelsh hkak fndfyda wh fkdokakd lreKla nj wm ffjoH;=ud ud yg mjihs' fudyq fmardfoKsh úYaj úoHd,fha WmdêOdßfhls' rcrg tlai;a mdrïmßl wdhq¾fõo ffjoH úoHd,fha iy Y%S ,xld wdhq¾fõo ffjoH úoHd,fha p¾u frda. ms<sno úfYaI{ ffjoH iy;sl m;a ,;a ffjoHjrfhls' ;jo Tyq Vissible Difference keue;s bka§h Wiia úoHd,fha p¾u frda. ms<sno WmdêOdßfhls' fudyq kñka tka k*aia§ka ffjoH;=udh'
iqÿ lnr foaj Ydmhla fkdfõ' th ksÜgdj iqj lr .; yel' oyia .Kkska jQ frda.Skaf.a iqjh m;d ffjoH;=udf.a ,smskh igyka lrñ' wdhqIA wdhq¾fõo flakaøh" wxl 82" ciañka ú,d" úcs;mqr" l,djej ÿrl:kh 025 2263 344 igyk wñ; úl%uwdrÉÑ
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ffjoHjrhd - udisl ffjoH iÕrdj
2015 foie誰n他 l<dmh
105
Cataract Surgery
iodld,sl w÷r <`.d lrk zzwefiaa iqoZZ .ek ie<ls,su;a jkak
iodld,sl w÷r <`.d lrk zzwefiaa iqoZZ .ek ie<ls,su;a jkak oeka kùk ie;alï ksid b;d fõ.fhka fmkSu kej; <`.d lr.; yelshs fld<U cd;sl weia frdayf,a m%cd ffjoH wfia, wfíër
wms wfma uq¿ Ôú; ld,h mqrdjgu f,dalh iqkaorj olskak leu;shs' f,dalh olskakg yels wmf.a wei b;d m%fõYfuka yd ie<ls,af,ka /l .; hq;= jákdu bkaøshhs' ñksia isref¾ ;sfnk jvd;au ixfõ§ wisßu;a bkaøsh jkafkao fï oEihs' ;sñrh fkdfyd;a wefia iqo we;sùu wefia ldph ;=<ska wei ;=<g wdf,dalh .uka lsÍfuka wm wjg we;s foa fyd¢ka fmfkhs' tfy;a wefia ldph oeä jQ miq" >k jq miq wdf,dalh .uka lsÍu wmyiq fõ' flfkl= jhig m;aùfï§ weia fmkSu iajNdjfhkau wvq ù hhs' wefia ldpfha l%shdldß;ajfha wvqùula isÿjkafka wefia ldpfha >klu jeä ù tys fmkSu fjkia lsÍfï yelshdj wvqùu fya;=fjks' wefia iqo we;s ùug n,mdk fya;=ka 1'jhia.; ùfï§ ñksia isref¾ we;sjk ridhksl fjkiaùu' ^jhi wjqreÿ 50-60
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ffjoHjrhd - udisl ffjoH iÕrdj
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hk ld,iSudjka ;=<§& Èh jeähdj yd merd;hsfrdhsâ frda.' úoahq;a pqïnl - uhsfl%dfõõ iy wfOdarla; lsrKhkag ksrdjrKh ùu' l¾udka; wk;=re ksid - weig myrla je§ wei ;=jd, ùfuka' we;eï ksoka.; frda.' ;reK úfha§ we;sjk yÈis wk;=re wêl ysre/ia j,g ksrdjrKh ùu' we;eï T!IO Ndú;h' udxYfmaYs ÿ¾j,;djh'
wefia iqo bj;a lsÍug nyq,j Ndú;d lrk ie;alu jkafkao fmflda ie;aluhs' b;d blauKska idudkH Ôú;hla ,eîu fuhg fya;=jhs' 2015 foieïn¾ l<dmh
idudkH ldph
;sñrhg fkdfyd;a wdjrkhg ,lajQ ldph
wefia iqo we;sjQ ldph iy ksfrda.S ldph
l=vd orejka w;r we;s jk wefia iqog fya;= 1' {d;s újdyhka ksid we;sjk cdk n,mEï' 2' .¾NKS iufha uq,a udi j,§ ujg c¾uka irïm je<|Su' 3' .¾NKS iufha wêl m%;sÔjl T!IO Ndú;h' wefia iqo md,kh l< yelso@ wefia iqo md,kh l< fkdyel' by; lS fya;=ka w;ßka we;eï fya;=ka j,ska je<lS isáhfyd;a wefia iqo we;sùu j<lajd .; yelsh' flfia fj;;a wefia iqo we;s jqjfyd;a iqo bj;a l< hq;af;a ie;alula isÿ lsÍfuks' uq,ska frda.h y÷kd.ekSu fjkod fmKqkq ;rï meyeÈ,s f,i fmkSu ke;s ù hhs' we;eï whg ysre t<sh ne,Su wmyiq fjhs' wefiys iqo fudark úg ;uka wi, ;sfnk foa y÷kd .ekSug fkdyels fõ' fï ;;a;ajh miqj uqyql=rd f.dia wjidkfha§ y÷kd .; yelafla w÷r;a wdf,dalh;a muKs' uq,skau tl weilg iqo weú;a bkamiqj wfkla weig me;sf¾' weig iqo we;sùu tlsfkldg fjkia fõ' fmkSfï ÿ¾j,lula fyda ÿr iy <`. l%u l%ufhka fmkSu wvqùu" iqÿ mdg oe,la fia oelSu" jeks foa we;akï m%udo fkdlr ffjoH m%;sldr i|yd fhuq úh hq;=hs'
107
Cataract Surgery
iodld,sl w÷r <`.d lrk zzwefiaa iqoZZ .ek ie<ls,su;a jkak
ie;alu jkafkao fmflda ie;aluhs' b;d blauKska idudkH Ôú;hla ,eîu fuhg fya;=jhs'
wefia iqo we;sjQ ldphl yd idudkH ldphl wNHka;r fmKqu
m%;sldr wefia iqo i|yd fhda.H m%;sldrh jkafka ie;alula isÿlr wefia iqo fldgi bj;a lsÍuhs' fuh ixlS¾K uÜgfï Y,Hl¾uhla fkdfjhs' b;d flá ld,hl§ fmkSu h:d ;;a;ajhg m;aúh yelsh' id¾j ks¾úkaokhla fjkqjg tu ia:dkh ysß jÜgjd ie;alu isÿ flf¾' iqo bj;a lsÍfï ie;alu oekg l%ufõohka folla hgf;a isÿ flf¾' Extra Capsular Surgery f,i tla Y,H l%ufõohla ye¢kafõ' fuu ie;alfï§ frda.shd idudkH ;;a;ajhg m;aùug udi ;=kl muK ld,hla .; l< hq;=hs' fmflda ^phaco surgery& kñka ye¢kafjk ie;alï úfYaIh wfkla l%ufõohhs' fuys§ isÿ lrkafka wefia ñ',s' 3 l muK jq l=vd isÿrla we;s lr ta ;=<ska we;=¿ flfrk úfYaIs; jq WmlrKhla u.ska iqÿ fldgi Èhlr bj;g f.k ldphla noaO lsÍuhs' fuys§ ueyqï oeóula isÿ fkdlrhs' tfiau wefia iqo bj;a lsÍug nyq,j Ndú;d lrk 108
jhig m;aùfï§ weia fmkSu iajNdjfhkau wvq ù hhs' wefia ldpfha l%shdldß;ajfha wvqùula isÿjkafka wefia ldpfha >klu jeä ù tys fmkSu fjkia lsÍfï yelshdj wvqùu fya;=fjks'
wefia ldphla ;ekam;a lsÍu fuu ie;alï foj¾. fhaoSu frda.shdf.a wei ;=< ldphla ;ekam;a lrhs' tla tla mqoa.,hdf.a wefia we;s ldph fjkia >klulska yd mßudKfhka hqla;hs' thg iß,k lD;s%u ffjoHjrhd - udisl ffjoH iÕrdj
fmflda ie;alu
ldph uekf.k o;a; /ialr bka miqj weig fhÈh hq;= ldph l=ulao hkak ffjoHjreka ;SrKh lrhs'
wefia iqo i|yd fhda.H m%;sldrh jkafka ie;alula isÿlr wefia iqo fldgi bj;a lsÍuhs' fuh ixlS¾K uÜgfï Y,Hl¾uhla fkdfjhs'
2015 foieïn¾ l<dmh
wefia iqo ie;alu .ek ÿ¾u;hka bj;a lr .kak iqo bj;a lsÍfï ie;alu iïnkaOj fndfyda fofkl= w;r we;s m%Odk ÿ¾u;hla jkafka ie;alñka miq úúO ixlS¾K;djhkag uqyqK §ula isÿùu fyda tÈfkod Ôú;fha idudkH lghq;= j,g ndOd ùula isÿfõh hkakhs' tfy;a fuu ie;alfuka miqj b;d ál ld,hl§ ;u tÈfkod lghq;= iqj myiq f,i isÿlsÍug ndOdjla we;s fkdjkq we;' weú§u" f.or fodr lghq;= lsÍu" rEmjdysks keröu" iakdkh fukau ;u fm!oa.,sl lghq;= j, fmr mßÈ kshq;= ùugo fuu ie;alu ndOdjla fkdfõ' úfYaIfhka fmaflda ie;alfï§ ueyqï oeóula fkdue;s ksid frda.Skag idudkH jevj, ksr; ùugo yelshdjla ,efí' igyk-wkqrdOd È,sks b,kafldaka'
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uqo,a f.ùug Wmfoia fplam;a j,ska f.ùu lrkafka kï fplam; zzfy,a;afjdÉ ,xld mqoa.,sl iud.uZZ kug ,shd f¾LKh fldg wm fj; túh hq;=hs' uqo,a weKjqï u.ska lrk f.ùï zzosh;,dj ;eme,a ld¾hd,fhkaZZ udre lr .ekSug túh hq;=hs' ´kEu ,xld nexl= YdLdjloS .sKQï wxl 9324332 fy,a;afjdÉ ,xld mqoa.,sl iud.u .sKQfï uqo,a ;ekam;a lsÍfukao Tfí odhl;ajh n,.kajd.; yelshs' ,xld nexl=jg uqo,a f.ùïoS uqo,a f.jk nexl= l=ú;dkaisfha Pdhdia: msgm;la iu. fuu l+mkh fyda Tfí ku" ,smskh iy ÿrl:k wxlh i|yka fjku ,smshla wmf.a wdh;kh fj; tùug ldreKsl jkak' odhl;ajh iïnkaO ish¿ úuiSï 0773149084 yd 0714133285 fj; fhduq lrkak ug ffjoHjrhd i`.rfõ odhl;ajh jirlg
udi yhlg
,nd fokak
ku# ,smskh# jD;a;Sh# ÿrl;k wxlh# uqo,a tjk l%uh# fplam;lska
uqo,a weKjqulska
oskh w;aik 110
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ffjoHjrhd - udisl ffjoH iÕrdj
Sexuality
,sx.sl úm¾hdi isÿúh .eyekqkag''' msßñkag''' isÿúh yelso @
,sx.sl úm¾hdi .eyekqkag''' msßñkag''' isÿúh yelso @ wjqreÿ wgl msßñ orejl=g ,sx. úm¾hdihla isÿù .eyekq orejl= njg m;a l< mqj;la l,lg by;§ udOH u.ska ±l .; yels úKs' fld<U 8 ßÊfõ wd¾hd <ud frdayf,a isÿ l< nj lshk fuu Y,Hl¾uh ms<sn|j wm lreKq úuid isáfha tu ffjoH lKavdhug wh;aj isá <ud úfYaI{ Y,H ffjoH wdkkao <udfyajf.a uy;d fj;sks' fuu orejdg Wm;skau ,sx. úm¾hdihla isÿù ;snqKdo @ we;af;kau kE' fï ,sx. úm¾hdihla fkdfõ' tA wkqj msßñ orejl= .eyekq orejl= njg m;a lsÍula fuys§ isÿ jqfKa kE' fï orejd ndysßka msßñ jf.a fmkqKg YÍr wNHka;rfhka .eyekq orefjla' ´kEu mqoa.,fhl=f.a .eyekq msßñ nj ;SrKh jkafka cdk u;' l<,hla uõ l=fia msysgk úgu tys .eyekq msßñ nj ;SrKh fjkjd' tA wkqj fï orejd .eyekq orefjla' foudmshkag tA nj fidhd .ekSug wmyiq jqfKa wehs @ fï orejdf.a msßñ orefjl=f.a fuka ,sxf.akaøsfhys YsIakh fldgi ;snqKd' kuq;a jDIK fldaI ;snqfKa keye' ishhg 95]la muK fï orejdf.a msßñ orefjl==f.a fmkqula ;snqfKa' kuq;a fï orejdf.a hï widudkH;djhla ;snqKq ksid uõmshka orejd ffjoHjrfhl=g fmkajd ;snqKd' idudkHfhka msßñ orejl= m%iQ; jk úg orejdf.a YÍr wNHka;rfha msysá jDIKfldaI msg;g meñfKkjd' fïl;a tjeks ;;a;ajhla
2015 foieïn¾ l<dmh
úh yelshs lshk wkqudkh wmg ;snqKd' fï wkqj orejd ialEka mÍlaIK wdÈhg Ndckh l<d' tys§ ;uhs orejdf.a YÍr wNHka;rfha ;snQ ia;%S wjhj moaO;sh y÷kd .ekSug yels jqfKa' fï jf.a ;;a;ajhla we;s jkafka wehs @ fuh b;d l,d;=rlska isÿ jk fohla úh fkdyelso@ fujeks foaj,a isÿ jkafka cdkj, we;s jk hï hï úm¾hdi u;hs' kuq;a fïl b;d úr, ;;a;ajhl=;a fkdfjhs' wfma rfÜ jirlg isÿjk ore Wm;a j,ska o< jYfhka mkaiShla muKu fujeks ;;a;ajhka iys; orejka nj fy<s ù ;sfnkjd' tA yeu orejl=u ie;alug Ndckh lrkjdo@ fï ;;a;ajh ms<sn|j iúia;rj olajkjd kï tAl fï úÈyg i|yka lrkak mq¿jka' fuu Y,Hl¾uhg Ndckh l< orejdf.a 95]la muK msßñfhl=f.a
111
Sexuality
orejl= ìys jQ .ukau fjoHjrfhl= tu orejdf.a ,sx.sl wjhj fyd¢ka mÍlaId lsÍu jeo.;a' kuq;a w¨; Wmka ì,s|l=f.a fï ;;a;ajh b;d iq¿fjka ;snqfKd;a ffjoHjrekagj;a tA nj y÷kd .ekSug fkdyels jk wjia:d ;sfnkjd'
,sx.sl úm¾hdi isÿúh .eyekqkag''' msßñkag''' isÿúh yelso @
ì,s|l=f.a fï ;;a;ajh b;d iq¿fjka ;snqfKd;a ffjoHjrekagj;a tA nj y÷kd .ekSug fkdyels jk wjia:d ;sfnkjd' uõmshkag jqK;a fï ;;a;ajh y÷kd .kak wmyiq fjkak mq¿jka' idudkHfhka tA fjki y÷kd .; yels m%lg ,laIK ;sfnkjdo@ iuyr msßñ orejkaf.a YsIaKh widudkH ;rug l=vd ùu" uq;%d my lsÍfï§ msßñ orejl=f.a kï th kshu ia:dkfhka msg fkdùu" .eyekq orejl=f.a kï ndysr ,sxf.akaøsh jeiqKq wdldrhla mej;Su wd§ ,laIK fuys§ olajkak mq¿jka'
yevrej ;snqKg iuyr orejkag fï wdldrhg úreoaO ,sx.slhkaf.a ,laIK msysgkafka wvqfjka' b;d iq¿fjka msysgk wh;a bkakjd' orejl= ìys jQ .ukau fjoHjrfhl= tu orejdf.a ,sx.sl wjhj fyd¢ka mÍlaId lsÍu jeo.;a' kuq;a w¨; Wmka 112
ffjoHjrhd - udisl ffjoH iÕrdj
fï úÈyg ,sxf.akaøsfha iq¿ iq¿ fjkialï mej;Sfï§ th y÷kd .kakg neß jqfKd;a tA orejka tf,iskau j¾Okh jkafkao@ tfyu isoaO fjkak mq¿jka' fï wkqj ndysßka mqrefIakaøsh hï muKlg msysgd wNHka;rfhka .eyekshla jk orejka msßñka jYfhkq;a" ndysßka ia;%S ,sxf.akaøsfhys yevyqrelï msysá wNHka;rh msßñhl= jk orejka ldka;djka f,iskq;a iudcfha Ôj;a jkjd' fï wh zzkmqxil ,sx.slhkaZZ jYfhka y÷kajkak mq¿jka' tA wkqj msßñka jYfhka Ôj;a jk wNHka;rh ldka;djla jk whf.a .uk ìuk l;d ny wd§ fndfyda ndysr ,laIK ldka;djlf.a f,iska mj;sk w;r ldka;djka jYfhka Ôj;a jk msßñkaf.a ndysr ,laIK msßñhl=f.a fuka mj;skjd' kuq;a fun÷ msßñka iudch ;=< lemS fmkqKg msßñhl= fuka Ôj;a jk ldka;djka iudch ;=< tf,i jeämqr lemS fmfkkafka kE' wfkl msßñhl= .eyekshla jf.a fmkSu wjudkhla f,i ie,l=Kdg .eyekshla msßñhl= jf.a ùu wjudkhla fjkafka kE' tn÷ msßñkag Tima ùu wdÈh isÿúh yelso@ Tõ" iuyrekaf.a b;d iq¿ jYfhka reêrh msg;g tkjd" msg;g kEú;a YÍrh we;=<; tl;= jqfKd;a ;on, Wor fõokdjla we;s ùu ksid tA ;eke;a;d ie;alulg Ndckh lrkakg isÿ úh yelshs'
ndysßka mqrefIakaøsh hï muKlg msysgd wNHka;rfhka .eyekshla jk orejka msßñka jYfhkq;a" ndysßka ia;%S ,sxf.akaøsfhys yevyqrelï msysá wNHka;rh msßñhl= jk orejka ldka;djka f,iskq;a iudcfha Ôj;a jkjd' fï wh kmqxil ,sx.slhka jYfhka y÷kajkak mq¿jka'
.eyekq orejl=f.a Tima wdrïN jkafka idudkHfhka wjqreÿ 11-14 jeks jhiaj,oS' fï jf.a fohla ;ukaf.a mq;=g isÿfjkjd kï ujg th ok.kak ,efnkafka keoao@ tA wkqj Tjqkag hï mshjrla .; fkdyelso@ fyd|hs tjeks wjia:djl§ uq,a jrg foudmshka ;ukaf.a mq;= msßñ orejl= fkdj .eyekq orejl= nj ±k .kakjd hehs is;uq' tA orejd;a ;ud .eyekshl f,i fuys§ y÷kd .kq we;s' kuq;a tA orejd kshu jYfhkau .eyekq orejl= njgu 2015 foieïn¾ l<dmh
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Sexuality
m;a lsÍu i|yd Y,Hl¾uhla lrkjd lshkafka nrm;, ;;a;ajhla' Y,Hl¾ufha nrm;,lu .ek fkfjhs ux fï l;d lrkafka' m<uq jeks ldrKh" tA orejd udkislj tmuK ld,hla yev. eiS ;sfnkafka msßñ orefjla úosyg' mdif,;a ñ;=rka w;r;a msßñhl= jYfhka Ôj;a ù tljru .eyekshl njg iudch ±k.;aa;u tA orejd iudchg uqyqK fokafka fldfyduo@ foudmshka iudchg uqyqK fokafka fldfyduo@ orejdf.a mdi," mka;sh fjkia lrkak fjkjd' Wmamekakh mjd fjkia lrkak fjkjd' tA i|yd wêlrKhg hkak;a isÿ fjkjd' fï ndysr ldrKd fiaru yuqfõ tA orejd udkislj wuq;=fjkau .eyekshl f,i yev.efikafka fldfyduo lsh,d is;d n,kak' tAl ;uhs nrm;,u ldrKdj' tA wkqj isoaO fjkafka tu ;;a;ajh iÕjd 114
,sx.sl úm¾hdi isÿúh .eyekqkag''' msßñkag''' isÿúh yelso @
.ksñka orejd tA ;;a;ajfhkau jeäysáfhl= njg m;a ùuhs' fï whg újdy Ôú;hla .; l< fkdyelso@ iuyrekag mq¿jka' kuq;a fufyu fohla ;sfnkjd' wNHka;rh msßñfhl= jQ ldka;djlg .¾NdIhla ke;s ksid Tima ùula fjkafka j;a újdy jqfKd;a orejl= ìys lrkakj;a fkdyelshs' tA jf.au ndysr msßñ ,sxf.akaøshla we;s wNHka;rh .eyekshl jQ msßñhl=g;a ldka;djla iu. újdy ùfuka wehg orejl= ,nd §fï yelshdjla kE' Tyq ;=< Y=l%dkq ksmojkafka ke;s ksihs' fldfydu jqK;a fndfyda úg fujeks msßñka kï újdy ùu b;d úr,hs' fuu ie;alu l< .eyekq orejdg ±ka idudkH .eyekq orejl= f,i ;ukaf.a Ôú;h f.k hdug yelshdj ;sfnkjdo@ iïmQ¾Kfhkau yelshdj ;sfnkjd' óg fmr;a wfma rfÜ fujeks Y,Hl¾u isÿ ù ;sfnkjd fkao@ fkdfhla jr tjeks Y,Hl¾u isÿ ù ;sfnkjd' fldmuK ffjoH lKavdhula óg iïnkaO jqKdo@ <ud Y,H ffjoHjreka y;rfokl= we;=¿ ffjoH lKavdhula' fï i|yd meh myl muK ld,hla .; jqKd' wjika jYfhka lshkak wNHka;r yd ndysr hk foflkau .eyekshl jQ wfhl=g wjYH kï msßñhl= jkakg;a" tn÷ msßñhl=g wjYH kï .eyekshl jkakg;a f,dalfha fjk rgl§ fyda Y,Hl¾uhla u.ska yelshdj ;sfnkjdo@ fldfydugj;a nE' ndysr wx.j,ska fjkila we;s l<;a uq¿ukskau tA ;;a;ajh fjkia lrkak lsisu flfkl=g nE' fya;=j ia;%S mqreI nj ;SrKh jkafk cdk u.ska ùuhs' cdk fjkia lrkafka fldfyduo@
ffjoHjrhd - udisl ffjoH iÕrdj
Advertorial
,iaiKg bkak leu;s ieug úl%udrÉÑ ksIAmdok
,iaiKg bkak leu;s ieug úl%udrÉÑ ksIAmdok rejiïm;
we;akï tajdo uld ouhs'weia jfÜ we;s l¿ meye .ekaùï bj;a lrtu m%foaYh uqyqfKA j¾Khg f.k taug wxckdf,amh losuhs'
i÷kaf;,a" t<`.sf;,a" ómeKS iy T<s|f;,a jeks iug fnfyúka ys;lr fi!uH T!IOj,ska mdrïmßl úl%udrÉÑ fjo mrmqf¾ ryia jÜfgdarejlg wkQj ksmojd we;' ks;sm;d wdf,am lsÍfuka m%shxlr iqkaor uqyqKla ysñfõ' iqkaor;ajh /lf.k os.= l,la mj;ajd .; yel' osjd rd;%S mdúÉÑhg fhda.Hhs' wõ rYAñfhka Tfí uqyqK ms<siaiSu j<lajhs' ish¿ ifï frda. iqj lrhs' fidnd oyfï i;aldrhs" ziqjiïm;Z'
flaIrdcskS ff;,h lSlsßosh" fk,a,s" jegfla" wr¿" r;=¿Kq" we;=¿ T!IO /ila Ndú;d lr úl%udrÉÑ ryia fnfy;a jÜfgdarejlg wkQj ksmojd we;' wl,g ysiflia meiSu" flia .e,ù hdu" ysiafydß" mSkia frda. jeksish¿ wefia" ysfia frda. kid iajdNdúl kS, jr<ila ,nd fohs'
fiõjkaos fldaudßld" iejekaord" fjksje,a.eg"ly" fldl=ïfmd;= wdoS Ydlidr Wmfhda.S lrf.k ksIamdokh lr we;' Tfí uqyqKg frdai u,a fm;a;l j¾Kh;a" isks÷j;a tlfia ,nd fohs' i÷ksld iqÿy÷ka" fldl=ï" kdu,a f¾Kq" iejekaord" ly" fjksje,a.eg" yd ómeKs hk iug fnfyúka ys;lr foaYSh T!IO j,ska ksIAmdokh lr we; Tfí uqyqfKa l=r<E" ish¿ wj meye .ekaùï" ,m" le<e,a bj;a lr iqisksÿ m%shukdm iula we;s lrhs' wxckdf,am fldl=ï" i÷ka" lia;=ß" ly" fjksje,a.eg" fldaudßld" iejekaord" iqj|fldÜgka wdoS Ydl idrfhka wxckdf,amh ksIamdokh lr we;' wõ rYañfhka" ¥ú,s j,ska iu wdrlaId lr frdaul+m yryd iug wys;lr n,mEï we;súh yels nelaàßhd j,ska wdrlaId lrk ishqï mg,hlao wxckdf,amfha wka;¾.;h' oskm;d Ndú;d lsÍfuka uqyqfKA le<e,a" ìì,s" iu bß ;e,Sï" iu yels,Sï" ,m" l¿ ;s;a" l=re,E fyda ÿ¾j¾K ùula
2015 foieïn¾ l<dmh
iqfõ.d mdrïmßl úl%udrÉÑ fjo mrmqf¾ wk¾.;u ksIAmdokhls iqfj.d'fldr<" há m;=,a me,Su" w¿yï" oo" fydß" ìì,s" bls,s leiSï" oyäh ìì,s" we;=¿ ifï frda. f;osklska iqj lrhs' oYl y;rl úYAjdih' úl%udrÉÑ ridhkd.dr ksIamdok i|yd ish¿ úuiSï úl%udrÉÑ ridhkd.drh je,sfõßh".ïmy ÿrl:kh - 033 2256 108
115
YOGA
m%dKhdu fkdfyd;a wdYajdi m%dYAjdifhys is; msysgqùu
fhda.S Ndjkd l%uh - 2 jk fldgi
m%dKhdu fkdfyd;a wdYajdi m%dYAjdifhys is; msysgqùu ymq;f,a tia'tï'ã fikúr;ak úisks' l, fhda. jHdhdu ms<sn|j we;af;a uy;a jQ Woafhda.hls' ld¾h nyq,;ajfhka wd;;shg m;aj isák j¾;udk iudchg fuys jákdlu fudkjg .e,fmk nj ye|skaùula jYfhka wm miq.sh l,dmfhka fmkajd ÿksuq'
fu
fuu ,smsh wm fj; tjQ ymq;f,a tia tï ã fifkúr;akhka fhda. Ndjkd l%uh ms<sn|j oelajQ mQ¾úldj Tngo jeo.;a fia ye`.S hk neúka tho fuys,d m< lruq' n,xf.dv wdkkao ffu;%sh yduqÿrejka fhda. mqyqKQ l< h;sjrhka .ek ;;a f,aLlhdg jod, foa''' n,xf.dv wdkkao ffu;%sh yduqÿrefjd tlal uf.a mqxÑ ldf, b|,u wdY%hla ;snqKd' ojilaod Wkakdkafi bkaoshdfj .syska wdj lshk wdrxÑhg uu;a n,kak .shd' mqxÑ ldf, b|,u uyk oï mqr, ry;a fjkak Wkakdkafig wdidjla ;snqKd' fmd;aj, lshk l%fïg fï jefâ wudre ksid bkaoshdjg .syska fhda.Ska yuqfj,d lugyka wrf.k ;uhs Wkajykafi OHdk ;;a;afjg meñKsfha' yenehs Wkakdkafiag OHdk ;sfhkj lshkafk;a kE'
116
tfyos j;=r álla b,a,.kak wi,ajeis fhda.S idOqjrfhla <`.g .shdu bfka ;sìÉp yrla w`.la weo, md;a;f¾g keuqj¿' md;a;f¾ msfrkak j;=r msrek¿' b;ska we;a; ´lhs' ;j f.dvla foaj,a ;sfhkjd l;d lrkak' fhda.sfhd l;d lrkafk wvqfjka¿' bx.%Sis" m%xY yd c¾uka NdId mrf;rg okak wh bkakj¿' wjqreÿ 300la ú;r úhm;a fhda.sfhd;a bkakj oelal¿' tl fhda.sfhla .djg .shdu lsõj¿ NdIdj okafk ke;s ksid ys;ska ys;kak" ux W;a;r fokakï lsh,' ysf;ka wymq yeu m%Yafklgu ys;sú,s j,ska ms<s;=re ,enqk¿' fïj fiaru lsõfj wdkkao ffu;%sh yduqÿrefjd' Wkakdkafi fndre lshkafk ke;s W;a;ufhla' l=Kav,sks fhda.fhys m%uqL m%dKhdu m%dKhdu - l=Kav,kS fhda.fhys m%uqLdx. hhs' bka isÿ flfrkafka l%udkql+,j wdYajdi m%dYajdi lsÍuhs' tu.ska Ñ;a; m%idoh ,efnk nj fhda.Skaf.a u;hhs'
ffjoHjrhd - udisl ffjoH iÕrdj
ñksidg wdydr fkdue;sj Èk .Kkdjla cSj;a úh yel' c,h fkdue;sj cSj;a úh yelafla Bg jvd wvq ld,hls' tfy;a fï yeug jvd zm%dK jdhqjZ jeo.;a fõ' wm fkd±kSu ksrka;r isÿ lrk wdYajdi m%dYajdih fkdue;sj wmg cSj;a úh yelafla úkdä lsysmhla muKs' fldákau wmg wdydrh fyda c,hg jvd wm yqiau .kakd msßisÿ jd;h jeo.;a fõ'
m%dKhdu iïnkaOfhka jk m%Odk moaO;s ;=k YÍrfha fld`ÿ wegfha jï miska we;af;a bvd kdähhs' tys ol=Kq miska we;af;a msx.,d kdähhs' uOHfhys msysgd we;af;a iqIqïkd kdähhs'
fuh l%udKql+,j is; tl`. lr .ksñka md,kh lsÍu zm%dKhduZ f,i ye|skaúh yel' m%dKhdu iïnkaOfhka jk m%Odk moaO;s ;=kla mj;S' tajd bvd" ms.,d" iqIqïkd hkqfjka kï lr we;'
m%dKhdu - l=Kav,kS fhda.fhys m%uqLdx.hhs' bka isÿ flfrkafka l%udkql+,j wdYajdi m%dYajdi lsÍuhs' tu.ska Ñ;a; m%idoh ,efnk nj fhda.Skaf.a u;hhs'
2015 foieïn¾ l<dmh
wm wdYajdi m%diajdifha fhfok úg fï bvd yd msx.,d kdä foflka ks;ru tlla l%shd;aul fõ' ksoiqkla f,i .;fyd;a jïmi kdia isÿfrka ál fj,djla yqiau .kakd w;r th úvdjg m;a jQ úg ol=Kqmi kdifhka yqiau .ekSu isÿ lrhs' fuh bfí isÿ jkakls' m%dKhdu fhda. wNHdih ksis f,i isÿ lsÍfï§ wjia:d ;=kla mj;S 1' wdYajdi ^mQrl& 2' úodrk ^l=ïNl& 3' m%ÉPok ^f¾pl& f,i fï wjia:d ye|skafõ'
117
YOGA
m%dKhdu fkdfyd;a wdYajdi m%dYAjdifhys is; msysgqùu
fuh ukd isys l,amkdfjka isÿ l<fyd;a kï wm idudkHfhka yqiau .kakd jdhq m%udKhg jvd jeä jdhq m%udKhla yqiau .ekSug wmg yels fõ' tfy;a we;a;u ;;a;ajh jkqfha wm ldg;a kdihla ;sfnk nj isysm;a jkqfha bis,sh fkdyels ÿ¾.kaOhla fyda iqj|la wfma kdihg ±kqKfyd;a muKs' kskafoA§ wm wjÈj isákjdg jvd wvqfjka wm yqiau .ekSu isÿfõ' wfma Yajik moaO;sh kskafoa§ bfí l%shd;aul jk w;r tu l%shdj,sh fud<h u.ska md,kh fõ' fufia Èjd ? fjkila ke;sj isÿ lrkq ,nk iajik l%shdj,sh lsishï ßoauhlg wkqj fufyhùu m%dKhdu kï jQ fhda. wNHdi l%ufha uQ,sl lghq;a; fõ'
n,kaf.dv wdkkao ffu;%Sh uyd kdhl iajdñkaøhka jykafia
bvd kdäh wdrïN jkqfha Tfí jï kdia mqvqfjks' msx.,d kdäh wdrïN jkqfha Tfí ol=Kq kdia mqvqfjks' fyd|ska jevqKq ksfrda.S ñksfil= tla úkdähloS ^;;amr yegl§& mfidf,dia jdrhla yqiau .ks;ehs Wml,amkh l<fyd;a Èklg 21"600 jdrhla yqiau by<g .kS' tn÷u jdr .Kkla yqiau msg lsÍug o fhofõ'
Èjd ? fjkila ke;sj isÿ lrkq ,nk iajik l%shdj,sh lsishï ßoauhlg wkqj fufyhùu m%dKhdu kï jQ fhda. wNHdi l%ufha uQ,sl lghq;a; fõ'
118
m%dKhdu wdrïNh Tn m%dKhdu fhda. wNHdih w;aú|skq leu;af;ys kï m<uqj l< hq;af;a fyd|ska uqyqK w;amd wdosh fidaod msrsisÿ ieye,a¨ we`ÿula we`o.ekSuh' fojkqj
ffjoHjrhd - udisl ffjoH iÕrdj
YÍrfha fld`ÿ wegfha jï miska we;af;a bvd kdähhs' tys ol=Kq miska we;af;a msx.,d kdähhs' uOHfhys msysgd we;af;a iqIqïkd kdähhs'
wd.ñl j;dj;a isÿl< hq;=h' bka miqj msrsisÿ jd;h ;sfnk ksial,xl .Dyhl fyda t<suyka ia:dkhl ish moaudikfhka fyda Tng iqj myiq fok fjk;a wdikhl isrer msysgqjd b`o.; hq;=h' fuys§ Tn Tfí fld÷kdráh iDcq f,i ;nd .ekSug j. n,d .; hq;= fõ' ±ka Tn m%dKhdu wNHdihg iQodkïh' ^fï ld¾h ioyd ksYaÑ; ia:dkhla ksYaÑ; fõ,djla fhdod .ekSu iqÿiqh'&
2015 foieïn¾ l<dmh
mQrl ol=Kq wf;a uymge.s,af,ka msx.,h fyj;a ol=Kq kdid mqvqj jid jï kdid mqvqfjka fiñka fiñka l%udKql+,j wjg mßirfha we;s msßisÿ jd;h wdiajdi lrkak' fuh fhda. Ydia;%fha § ye`Èkafjkafka zmQrlZ f,isks' l=ïNl blaì;s Tng yels muK fõ,djla weo.;a jd;h fmky¿ ;<, rojd .kak' fï wjia:dj zl=ïNlZ kñka ye`Èkafõ' ó<`.g Tn l< hq;af;a fifuka jï kdia mqvqj jid ol=Kq kdia mqvqfjka fuf;la fõ,d fmkye,af,a r`ojdf.k isá jd;h b;d fiñka msg lsÍuh' fufia udrefjka udrejg fuu l%shdj Tng wmyiqjla fkdjk mßoafoka isÿ l< hq;=h'
fhda.dik mj;ajd .kakd bßhõ ms<sn|j yd fhda. wNHdifha fhfokakkag w;am;a jk M< m%fhdack .ek ,nk l,dmfhka lshjkak
119
wdhq¾fõoh
kSfrda.Sj È.=l,la Ôj;aùfï ryi
kSfrda.Sj È.=l,la 03 fldgi Ôj;aùfï ryi rcfha ffjoH ks,OdÍ - iS;djl m%dfoaYSh iNdfõ wdhq¾fõo frdayf,a wdhq¾fõo ffjoH ta tï pß;a w;djqo (BAMS) úisks charithathauda@yahoo.com Tel: 071 850 1973
os.disrs ú|Sfï wruqK fmroers lr.;a ish,a ckS ckhd flfryS lreKdfjka bmerKs wdhq¾fõofhka Wlyd.;a ffokslj imqrd,sh hq;= j;a ms<sfj;a lsysmhla miq.sh l,dmfhka bosrsm;a lf<uq' fuu ,smsfha wjika fldgi fuf,i m%ldYhg m;a flf¾'
ff;, wNHx.h ojfia iqÿiq fõ,djlg Èkm;d YÍrfha f;,a .dkak' ysig iqÿiq f;,la oukak' j¾;udk ld¾h nyq, iudcfha fuh fldf;la ÿrg m%dfhda.sl o hkak .eg¨ u;=jk w;r ta i|yd Tn ,efnk iEu úglu f;,a wdf,am lsÍug j.n,d .kak' f;,a YÍrfha yd ysfia wdf,amfhka ,efnk .=K ±k.ekSfuka Tn fl;rï ld¾h nyq, jqj;a thg fhduqjkq we;' YÍrfha Èkm;d f;,a .Efuka YÍrh jhig hEu" iu /<s jeàu" Èrdhdu j<lhs' úvdj ke;s lrhs' YÍr mDIaÀh" ks¾u, fmkSu" yfï meyem;a nj we;s lrhs' wdhqI jeä lrhs' fyd¢ka kskao hdu isÿfõ' c, iakdkh >¾u l,dmSh rgl fjfik ksidu ksrka;rfhka iu u; ;ekam;a jk oyäh" l=Kq" ¥ú,s fidaod bj;a l< hq;=h' frda. ;;a;ajhka iy mßirfha isys,a iy
120
ffjoHjrhd - udisl ffjoH iÕrdj
jeis ;;a;aj ksid iakdkh isÿ lrk fõ,dj wdÈh uola iSreudre l<dg lï ke;'
ff;, wNHx. fhka YÍrh jhig hEu" iu /<s jeàu" Èrdhdu j<lhs' úvdj ke;s lrhs' YÍr mDIaÀh" ks¾u, fmkSu" yfï meyem;a nj we;s lrhs' wdhqI jeä lrhs' fyd¢ka kskao hdu isÿfõ' iakdkh lsÍu ksid" • w.aks §mkh" ukfia m%ikak;djh" wdhqI jeäùu" W;aidyh we;sfõ' n,h we;sfõ' YÍrh j¾Okh fõ' • leiSu" ±ú,a," fjfyi" oyäh" msmdidj" ;kaødj" ifï wmsßisÿ fldgia ke;sù hhs' • frda.S ;;a;ajj, § muKla WKq j;=r Ndú; lrkak'
2015 foieïn¾ l<dmh
kskao YÍrhg;a" ukig;a úfõlhla ,nd§u i|yd rd;%S ld,fha§ iqjodhS kskao wjYHfõ' meh 6-8 muK rd;%sfha § ksod.ekSu l< hq;a;ls' • fkdl,ays ksod.ekSu" wêl jYfhka ksod .ekSu iy fkdksod isàu kSfrda.S nj iy wdhqI úkdY lrk nj olajd we;' • frda.Skag" uy,a,kag" <orejkag iy jeämqr lh fjfyijd jev l< úg" rd;%sfha § ksÈ urd isák mqoa.,hkag" Wu;= frda.Skag oyj,a ld,fha ksod .ekSug wjir we;' • rd;%S ksÈ jerE ld,fhka wvla Èjd ld,fha ksod .ekSu ys;hs' fï wd§ f,i fndfyda lreKq ldrKd úYd, jYfhka úia;r lr we;suq;a fuu ,smsfhka b;d fláfhka tu úia;r idrdxY fldg Tng olajd we;' wo ojfia wm ÈhqKqhehs lshk iudcfha yDo frda." Èhjeähd" wêreêr mSvk" ms<sld" fldf,iagfrda,a" nv±ú,s j,ska mSvd ú|sk Woúh fld;rï isákjdo@ fuu ,smsfhys i|yka b;du ir, jQ zÈk p¾hdZ ms<sme§fuka kSfrda.Sj È.=l,la Ôj;aúh yelsh' w;S;fha isá ñksiqkaf.a b;d ir, jQ Èúfmfj; fuys i|yka jQ Èk p¾hd iuÕ .e,mqK ksid w;S; .eñhka kSfrda.S nj yd È.= wdhqI ksrdhdifhkau <Õd lr .kakd ,oS' jir fo;=ka oyila bmerKs fuu lreKq wog .e,fmk f,i u|la fjkia lr.ksñka fyda ms<smeÈh yelskï Tng;a ksrdhdifhkau kSfrda.Sj È.=l,la Ôj;aùug yelsh'
121
advertorial
fmd,alsß i;= uy`.= fmdaIKh
ri .=K msß uq¿;ekaf.hs ke;=ju neß fi!LHdrlaIlhd
fmd,alsß Y;j¾Idêl ld,hla uq¿,af,a wfma fmd,alsß wdydrhg .ekSfï isß; fi!LHiïmkak tllau jk nj m%;HlaIfhka ;yjqre fjhs ,alsß wmf.a wdydr fõ, iïmdokhg ke;sju neß wdkqmdkhls' fy< uq¿;ekaf.hs wdydr ms<sfh< lsÍug wjYHfhkau jeo.;a jk fmd,alsß wiSñ; fmdaIH .=Khla fukau frda. ksjdrK .=Khla we;s wdydrhla nj Tn okakjdo@
fmd
fmd,alsß i;= uy`.= fmdaIKh
fmd,alsß úYd, jYfhka úgñka yd LKsc ,jK j,ska fmdfydi;ah' hlv" le,aishï" fmdgEishï" ue.akSishï yd ;=;a;kd.ï hk LKsc fmd,alsß ;=< w;sYhska iq,nj mj;S' úgñka C yd úgñka E o ie<lsh hq;= m%udKhla fmd,alsß i;=j mj;S' fmd,alsß fldamamhl ^o< jYfhka .a?ï 240& ldfndayhsfâ%Ü .a?ï 13lao" ;ka;= .a?ï 5lao" fm%daàka .a?ï 5lao" ix;Dma; fïoh .a?ï 57lao wvx.=h' fï fmd,alsß fldamamhlska le,ß 552la ckkh fõ'fï wkqj fmd,alsß Yla;sh úYd, jYfhka ckkh lrk wdydrhla jYfhka ie<lsh hq;=h' fmd,alsß j, wvx.= fmdaIKh fmd,alsß fldamamhl m%udKhl my; fmdaIKh wka;¾.; fõ' úgñka C ñ'.%E' 6'7 úgñka E ñ'.%E' 0'2 úgñka K ñ'.%E' 1'8
122
ffjoHjrhd - udisl ffjoH iÕrdj
ksheiska uhsfl%d .%Eï 38'4 f*df,aÜ ñ'.%E' 0'1 úgñka B6 ñ'.%E' 0'1 ;hñka ñ'.%E'0'1 le,aishï ñ'.%E' 38'4 hlv ñ'.%E' 3'8 ue.akSishï ñ'.%E' 88'8 fmdgEishï ñ'.%E' 631 fmdiamria ñ'.%E' 24' ;=;a;kd.ï ñ'.%E' 1'6 ;U ñ'.%E' 0'6 fif,kshï uhsfl%d .%Eï 14'9 fmd,alsß j, we;s fïoh fi!LH iïmkak jkafka fï fya;=j ksidh fmd,alsß j, we;af;a ix;Dma; fïo wï,h ksid tajd fi!LHiïmkak fkdfõ hhs u;hla mj;S' kuq;a th ksjeros fkdfõ' fmd,alsß j, wKql ixhq;sh wkQj th iEoS we;af;a uOH odu iy flá odu fïo wï, j,sks' fïjdfha úfYAI;ajh kï fïoh jYfhka YÍrfha ;ekam;a fkdùuhs' tfia YÍrfha ;ekam;a fkdù flá odu yd uOH odu fïo wï,h jy jyd YÍrfha Yla;sh ksmoùug l%shd lrhs' fï wkQj fmd,alsß j, we;s fïoh YÍrh 2015 foieïn¾ l<dmh
;=< l%shd lrkafka YÍrhg hym;lau isÿ lrk wdldrhgh' fmd,alsß i;= idOkSh fmdaIK .=Kdx. fmd,alsß j, we;s fï .=Kh yereKQ úg ;j;a fndfyda fi!LHuh .=Kdx. /ila mj;S' tajd iuyrla u;= olajuq' • fmd,alsß i;=j we;s uQ,sl fïo wï,hla jkafka uyd n,iïmkak .=Ke;s f,daßla wï,hhs' f,daßla wï,h i;=j m%;scSjl" m%;sffjri fukau m%;s os,Sr .=Kdx. mj;akd neúka frda. /ila u¾Okhg fya;= fjhs' f,daßla wï,h u.ska m%;sYla;slrK moaO;sho Yla;su;a lrk ksid thskao frda. ksjdrKhg iïudoula ,efí'
Tn os.= fj,djla ysre odyhg ksrdjrKh ùfuka iu hï ms<siaiSulg ,lajQ flfkla kï fmd,alsß iaj,amhla we`. ;ejÍfuka fï wys;lr lsrKfhka we;sjQ n,mEfuka iu jyd m%lD;su;a lr.; yel'
• reêrfha wef,k iq¿ Ndjh mj;ajd .ekSug f,daßla wï,h Wmfhda.S lr.; yel' reêr Odrdj msßisÿ lrk ksid we;afrdialaf,frdaisia jeks reêr u. wjysr lsÍï j,ska jdyskS wdrlaId lr iqugj reêrh mßjykhg ñka wjia:djla ,efnhs' 123
advertorial
fmd,alsß w;sYhskau fi!LHiïmkak wdydr wdl,khls' th w;s uy;ajQ Ñls;ail .=Khlska hqla; jk w;r Ndú;fhka fi!LHuh m%;s,dN /ila w;am;a lr.; yels jkafkah'
fmd,alsß i;= uy`.= fmdaIKh
• YÍrfha ffi, wdmodjg ,la lrk uqla; LKavl hdka;%Kh uev mj;ajk n,j;a m%;sTlaisldrlhls" fmd,alsß' • cS¾Kl l%shdj,sh iqug lrhs' wdudYhsl jk" .eiag%hsáia wdoS frda. u¾Okh lsÍfï yelshdjlska hqla;h' • osklg wjYH lrk hlv j,ska ishhg 22la fmd,alsß fh¥ wdydr j,ska ,efnhs' fumuK jeä hlv uQ,dY%hla ksid hlv W!K;d ksrla;sh uev,Sug fmd,alsß WmldÍ fõ' • fmd,alsß iakdhq yd fmaYska bys,aj ;nd.ekSugo WmldÍ fõ' reêr mSvkh" reêr iSks fukau ikaê m%odyhka o md,kh lsÍug fya;= fõ' w¿;a hula fkdfõ''' mrïmrdKq.;j m%;HlaI lr.;a hy .=Kfhka imsßhs fmd,alsß w;S;fha isg fï rfÜ ck;dj ;u tosfkod jHxck ri lsÍug fhdod.;a
124
ffjoHjrhd - udisl ffjoH iÕrdj
ke;sju neß wdydr ix>glhhs' tod ck;dj ful, ;rï frda. j,ska mSvd úkafoa ke;' wê reêr mSvkh" fldf,iagfrda,a" reêr iSks tod wikakg ,enqfKA l,d;=rlsks' lh fjfyid jev l< ck;dj isyska Yla;su;a isrerlgo ysñlï lSfõh' fmd,alsß fukau fmd,af;,a o fi!LHiïmkak fkdjk njg u;jdohla me;srefKA miq.sh oYl lsysmh ;=<h' leßìhdkq rgj, iq,nj ksIamdokh flreKQ *dï f;,a j¾. ta oskj,u f;d. msáka foaYSh fj<|fmd< wdl%uKh lf<Ah' Y;j¾Idêl ld,hla uq¿,af,a mßyrkh l< fmd,alsß" fmd,af;,a iSud lsÍu;a iu.u fnda fkdjk frda. tkï oshjeähdj" yDo frda." wêreêr mSvkh wdoS frda. kej;;a wfma ck;dj f,v lf<Ah' fmd,alsß" fmd,af;,a m%;HlaI l< 2015 foieïn¾ l<dmh
fi!LHuh .=Kj;a njlska hqla; njg wo ngysr rgj, m¾fhaIlhkau idlaIs fohs' fï wkQj mrïmrdkq.; wfma fmd,a wdY%s; wdydr wdkqmdk fi!LHiïmkak nj wo m%;HlaIfhka mila lr.;a ienEjls' fmd,alsß iïnkaO jeo.;a f;dr;=re iuyrla • fmd,alsß W.=f¾ wdidok iukh lrk Tiqjls' • iu yd flaY l<HdKfha iq/l=ug fmd,a ke;sju neß ksid rEm,djKH flafIA;%fha oejeka;hka ;u ksIAmdok j, mokï øjH f,i fhdod.kafka fïjdh' • fmd,alsß m%;sTlaisldrl imsß øjHhls' jhig hdu md,kh lsÍug" weia fmkSu hym;a lsÍug" wiaÓ >k;ajh iúu;a lsÍug fï ksid fmd,alsß wkqNjfhka rel=,la ,efí' • kuq;a fmd,alsß j, by; lS .=K ,eîug kï Tn fmd,alsß Èhr Ndú;hg .; hq;=h' uq;%d iy jl=.vq frda. j,go Ñls;aiSh iykhla ,nd fohs' • fmd,alsß úYsIAG úgñka E m%Njhls'th Tfí iug fmdaIKhla ,en fohs' wo fndfydauhla .DyKshkag fmd,alsß w;ska ñßlSu lrorldÍ jevls' ld,h;a iu. hqoaOhl meg,S isák wo ld,fha .DyKshka ta i|yd wmQre úi÷ula fidhdf.k isà' ta hka;%dKqidrfhka fkdfyd;a íf,kav¾ lr fmd,alsß ,nd.ekSuhs' íf,kav¾ lsÍfïoS fmd,alsß j, ;sfnk jákdu fmdaIlhla jk ;ka;= leã hk nj Tn okakjdo @ fï ksid ;dlaIKhg wkql+, jQj;a íf,kav¾ lsÍu fmd,alsß úIfhys t;rï .=Kd;aul úi÷ula fkdjk nj wm is;ayS ;nd.; hq;=h' thg fyd|u úi÷u w;ska ñßld.;a fmd,alsß fyda úYAjdijka; fj<|kduhla yryd tk oshr fmd,alsß Ndú;d lsÍuh' 125
126
ffjoHjrhd - udisl ffjoH iÕrdj
hygeine
ksjfia f;;ukh ksid;a Tn frda.S jkak mq¿jka
ksjfia f;;ukh ksid;a Tn frda.S jkak mq¿jka <ud frda. úfYaI{ ffjoH wð;a wurisxy Tfí ksjfia lskï fyda j;=r ldkaÿjla ksid ì;a;s Èf.a my<g j;=r rErd jefgk wjia:d ;sfnkakg mq¿jk' fufia f;; /£ ;sfnk mqia w,a,d ;sfnk wkaouo Tng ±l .; yels jkq we;' mqia hkq È,Srh' Èh fifj,a ne÷Kq ì;a;sj, mjd Èh fifj,a u;= msg mqia iEfohs' mqia hkq laIqøÔù úfYaIhls' weig fmfkk l¿ meye;s mqia fukau weig fkdfmfkk mqia mjd f;;ukh we;s ;ekaj, yg .kq we;'
2015 foieïn¾ l<dmh
f;;ukh ksid frda.S jkafka fldfyduo@ wfma rg jeiai jeä rgls' jysk úg ksfjia j, jy,j,a j, j;=r ldkaÿùï isÿúh yelsh' tfiau j;=r gexlsj, o j;=r ldkaÿùï ;sfnkakg mq¿jk' kdk ldurj, c,h ksis f,i nei fkdhdu o ì;a;sj, f;;ukh yg .ekSug fya;=jls' f;;ukh iys; ì;a;s we;s ksjil Ôj;a ùu hkq wm f;;ukh iu. Ôj;a ùuhs' f;;ukh iys; ì;a;s we;s ksjil Ôj;a ùu ksidu weia leiSu" weiaj,ska l÷¿ .e,Su" W.=r leiSu" leiai iy fjk;a fiï frda." È.=ld,Skj mj;sk weÿu" ifï frda. wd§ jYfhka fiu wdY%s; frda. /ila yg .ekSfï yelshdj ;sfí'
127
hygeine
ksjfia f;;ukh ksid;a Tn frda.S jkak mq¿jka
fï ksid wm úúOdldr f,i frda.j,g Ndckh jk nj fuf;la Tn is;kakg ke;sj we;' kuq;a fï ksidu weia leiSu" weiaj,ska l÷¿ .e,Su" W.=r leiSu" leiai iy fjk;a fiï frda." È.=ld,Skj mj;sk weÿu" ifï frda. wd§ jYfhka fiu wdY%s; frda. /ila yg .ekSfï yelshdj ;sfí' È,Srj, meyeh l¿ mdg" fld< mdg" iqÿ mdg wd§ jYfhka wdldr lsysmhls' ì;a;sj,g wu;rj ks;r f;;aj mj;sk cfk,a iy fÞrj,a j,;a" f;; .;sh ks;r /£ mj;sk frÈ iy ldmÜ wdÈfha;a mqia iEfoa' fïjdhska f,v iEfok nj fkdokakd ksid wm fïjd;a iu. Ôj;a fjuq' ±kg fidhdf.k ;sfnk mßÈ wid;añl;djh ksid yg .kakd frda.j,g jeämqru n,mdkafka È,Srh' tksid frda.hla je<÷Kq miq m%;sldr .kakjdg jvd frda.j,ska wdrlaId ùu b;d jeo.;a fõ' túg T!IO .ekSug isÿùu ksid kdia;sjk uqo,a" ld,h iy frda. ksid yg .kakd ldhsl udkisl mSvdjo j<ld .ekSug yelshdj ,efnkq we;' È,Sr j<lajd .kafka fldfyduo@ ksjfia ;eka ;ekaj,ska j;=r ldkaÿ ùï isÿjkafka kï tAjd ms<silr lr .kak' Tfí ksji fyd¢ka kv;a;= lrkafka kï fujeks j;=r ldkaÿùï we;=¿ fndfyda foa isÿùu j<lskq we;' ldurj, ì;a;s yd kdk ldur úh<sj ;nd .kak' ysret<sh jefgk fia ldurj, cfk,a fukau kdk ldurj, ljq¿ o újr lr ;nkak' yeu úgu ksjfia cfka, újrj ;eìh hq;=h' tA msg;ska jd;h we;=<g tk wdldrhgh' túg tu ia:dk úh<s ù È,Sr o ueÍ hkq we;' È,Sr ygf.k ;sfnk ia:dk mÍlaId lrkak' tA wkqj f;; /÷k iskala tl hg" tA wjg ì;a;s" ldur ;=< yd msg; ì;a;s" cfk,aj, fl<jrj,a mÍlaId lr f;;ukh we;s ia:dk ;sfí kï tAjdg ksis úi÷ï ,nd fokak' iïmQ¾Kfhka jid ;sfnk .nvd ldur msßisÿ lrkak' tfia
128
msßisÿ lsÍfï§ ;j;a úfYaIfhka u;l ;nd .; hq;= fohla kï kdih yd uqLh wdjrKh jk fia uqL wdjrKhla me<| .ekSuhs' inka j;=rj,ska È,Sr úkdY lsÍug mq¿jk' tksid inka j;=rj,ska f;;ukh /£ ;sfnk ia:dk msßisÿ lsÍu iqÿiqh' tfia lrk úgo mqia weúiaiS tAjd wd>%dKh lsÍug isÿjk ksid uqL wdjrKhla me<£u jeo.;a fõ' mdúÉÑhg fkd. kakd ;=jd mdmsis wdÈh ;eka ;ekaj, fkdoud bj;a lrkak' tfia l< fkdyels kï iïmQ¾Kfhka jeish yels fmÜáhlg oukak' tfia jid ;nk úg mqia yeÿk;a Tng tAjd wd>%dKh ùug bvla ke;' lEu j¾. ;eka ;ekaj, úisù we;s úg;a tAjdfha mqia iEfohs' tfiau lEu j¾. ;ek ;ek /£u ksid ueiaika msÍ fjk;a f,v frda. o iE§ug wjldY we;s fyhska ksjfia ;ekska ;ek lEu jeks oE /£ fkdisák mßÈ msßisÿj ;nd .kak'
ffjoHjrhd - udisl ffjoH iÕrdj
advertorial
.%Ska y¾n,a m%vlaÜia mqoa.,sl iud.fï kj ksIamdok
l=Uqla Ieïmq
ishhg ishhla Ydlidr ksIAmdokhls' ysiflia .e,ù hdu j<lajd ysiflia fmdaIKh lrhs' ridhksl øjH j,ska f;drhs'
Gold Skin Cream ishhg ishhlau Ydlidr ksIamdokhls' l=re<E yd ifuys l¿ .;sh bj;a lrhs' iu meyem;a lrhs' weia jfÜ l¿ .;sho hhs' wdhq¾fõofha i|yka mßos r;a;rx fmdf<dfjka Wrd.kakd b;d jákd YdL úfYAI Wmfhda.S lrf.k fuu fnfy;a ksIAmdokh lr ;sfí' mdúÉÑ lr fjki jgyd .kak' uqyqKu,a oka;df,amh o;a j, lyg uekúka bj;a lrhs' uqL ms<sld j<lajhs' ;=,ais iqj| OQmh j¾Kl fyda lD;%Su iqj| j¾. wvx.= ke;'Yajik frda. iqj lrhs'jákd Ydl idr fnfy;a j¾. 18 la Wmfhda.S lrf.k ksIamdokh lr ;sfí' fvx.= uÿrejka m<jd yßhs' bkaoshdkqjkaf.a fi!Nd. Hh ixfla;j;a lrk ;=,ais YdLfha mxpdx.hu wvx.=h' flaY uQ, ;r,h w¿;ska ysifla we;sùug fukau ish¿ ysiflia wdY%s; .eg¿ j,g osj Tiqjla n÷h' ysiafydß" 2015 foieïn¾ l<dmh
l=Uqla Ieïmq
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