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ONLINE ISSUE
22 ldKavh 2016 - ckjdß
fmdä nnd,g;a wdydr wdid;añl fjkjdo@ msgqj 40
re'150$-
ñ, re' 1"330 isg by<g ISBN-1391 1341
ifuys wisßh msgqj 100
9 7 7 13 91 13 400 1
2016 ckjdß l<dmh
1
COINTENTS
ffjoHjrhd fujr fm,.eiau
6
Breaking Health News
56
8
;ksj isák úg yDohdndOhla je<÷fkd;a l< hq;af;a l=ulao@
iqj fjkafka ke;s fmdâvdf.a fiïm%;sYHdjg fï úosyg m%;sldr lruq
60
we;eï ldka;djkag ksjqka orejka ,eîfï bvlv jeähs
hlska ì%;dkH oeßhla iqjh ,nhs
64
15 Tng;a .s,Sfï wmyiq;d
;sfnkjdo @ tfia kï fï Wmfoia lshjkak
20 uÍkd ksmehqï h<s;a cd;sl iïudkhg
23 ie|E iufha cSú;h
fifkyiska ie,iqï lr.kak
71
fkdikaiqkao@
112 rka leáhdf.a m<uq wdydrh''''
wdid;añl fjkjdo@
yeuodu fi,a*s .kak ysf;kjdo @ tal f,vla''' f,fâ ku fi,a*hsáia
74
wdydr md,kh i|yd oeka iqúfYAIS oka;df,amhla'''
76
ore iïm;la m;k ldka;djl imqrd,sh hq;= uQ,sl wjYH;d
80
Tfí lsßleáhd oka; idhkhg yqre lrjk yeá
84
mkays|g f,d,a ne|s khsáxf.a,a oshKsh rdks fidau,;d ffjoHr;ak
48 ore iïm;a wysñ hhs
fkdfmfkk udkisl frda. ;=kla
kdih" f;d,a iy lkaj, wvqmdvq ilid .; yels kùk;u ffjoH l%u
108 ysiafydß ksid ys;ams;a
40 fmdä nnd,g;a wdydr
53 udkisl frda. fia
97
l< yels id¾:l m%;sldr l%u ;sfí
j;a;, fyaudia frdayf,ka fld÷weg fm< frda. i|yd úfYAI m%;sldr
73
wfmalaId w;ay< hqj, fj; wdorKSh ore iïm;a ;s<sK l< IVF ;dlaIKh
uefuda.%ms mÍlaIKhla isÿ lrk yeá
107 W÷f.dõjd lEu iqj
flfkl=g lEu îu fok yeá
hq;= msßila oskm;d .kakd fnfy;la ;hsfrdlaiska
94
,sx.sl p¾hd iïnkaOfhka wOHhkhla'''
ieñhdf.a u;ameka mdkh ksid Nd¾hdjka úYdo frda. hg ,laùu
36 vh,hsisia m%;sldr ,nk
46 ful, iudcfha ie<lsh
ú.a tlla ksjerosj Ndú;d lrkafka fldfyduo@
104 wfma rfÜ ck;djf.a
68
31 wdydr fõ,l wjYHfhkau ;sìh hq;= .=Kdx.
92
100 ifuys wisßh
uqyqKg i;aldrhla f,iska fukau m%;sldrhla f,iskq;a fmaI,a fhÈh yelshs
28 u;ameka ì|la f;df,a lg fkd.E whg;a yefok isfrdaisia
oshjeähd frda.Skag we;sjk wlaIs wdndO
116 m%dKhdu m%.=K
lsÍfuka f,!lsl cSú;h iemj;a fõ' W;=ï f,daflda;a;r osúhlgo u. ie,fia
119 iqjiïmkak cSú;hla .;
lsÍug KENT MINERAL RO c, fmrKhla ñ<oS .kak
120 yoj;a frda. j,ska ñoSug
wdhq¾fõofha mdr lshk yeá
127 .%Ska y¾n,a m%vlaÜia
mqoa.,sl iud.fï kj ksIamdok - l=Uqla Ieïmq
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3
EDITORIAL
l;= igyk
Editor's
Note
fï jif¾oS wfma rfgka fmKy¿" yoj;a noaOhla kQ;k ffjoH úoHdfõ ydialï w;r noaO lsrSï iqúfYAIS ia:dkhla .kakjd' noaO lsÍï i|yd fhdod.; hq;= by< ;dlaIKh yd tysoS meK k.sk wNsfhda. ksidfjkau noaO lsÍï flfryS fhduq jkafka úfYAI wjOdkhla' wfma rfÜ noaO lsÍï /ilau id¾:lj isÿ flfrkjd' wlaIs l=Ks; noaO lsÍï j,g wm f,dalfhau mrisÿhs' jl=.vq noaO lsÍï oeka wfma rfÜ iq,n ldrKhla' miq.shod wlaud noaO lsÍï j,;a id¾:lNdjh m%lg l<d' ta;a fï noaO lsÍï w;f¾ jvd;a ixlS¾K fmKy¿ yd yoj;a noaO lsÍug fï jir wjika jkakg yels fõh hk iqmqj; miq.shod wikakg ,enqKd' th ft;sydisl ;Skaÿjla .;a wjia:djla' fu iu.ska noaO lsÍï ;dlaIKfhys ysksfm;a;gu meñKSug wfma ffjoHjrekag yelshdj ,efnkjd' miq.shod lS¾;su;a yD;a Wria Y,H ffjoHjrfhla Y%S ,xldjg meñKshd" Tyq tx.,ka;fha ksõldi,a *S%uka frdayf,a yD;a fmKy¿ noaO lsÍï wdh;kfha wOHlaIjrhd' ì%;dkHfha noaO lsÍï iïnkaO by<u m¾fhaIlfhla' Tyqf.a meñKSu;a iu.u fï iïnkaOfhka ft;sydisl mshjr lsysmhlau .kq ,enqjd' Y%S ,xld yoj;a yd fmKy¿ noaO lsÍfï ix.uhla ia:dms; lrk ,o w;r m%ia;=; noaO lsÍï l%shd;aul lsÍu i|yd wjYH idOKSh mshjr rdYshlao .kq ,enqKd' ksõldi,a *S%uka frdayf,a ;dlaIKsl iyfhda.s;djfhka c.;a msßú;r wkQj wfmau frday,loS fï jif¾oSu yoj;a fmKy¿ noaO lsÍula isÿ lsÍfï Y%S ,xld fmKy¿ yd yoj;a noaO lsÍfï ix.ufha isyskhg wmf.a wdYs¾jdoh m< lruq' Ndr; .=K;s,l - úOdhl l¾;D
editor@waidyawaraya.lk 4
The Pioneer Health & Medical Journal 22 ldKavh 2016 - 01 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.lk WEBSITE: www.waidyawaraya.lk HOTLINE: 077 3149084
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2016 ckjdĂ&#x; l<dmh
5
BREAKING HEALTH NEWS
ffjoHjrhd mqj;a úuiqu
BREAKING
HEALTH NEWS 2017 j¾IfhaoS fvx.= WK frda.h j<lajk tkak;la tkjd''' fvx.= WK l,ska l,g ysi Tijk jix.;hla' we;eï flfkl=g fï frda.h udrdka;sl iajNdjhla .kakd ksidu fldhs ljqre;a fvx.= frda.hg nhhs' frda.h l<uKdlrKfhys,d wfma ffjoHjreka olajk wêIAGdkh yd olaIlu ksid frda.Ska fndfyda fofkl=f.a cSú; /l=K;a urKfha fiahd imqrd myùula m%dfhda.slj w;aolskak wiSrehs' fvx.= WK frda.fhka ñfokakg uÿrejka iïmQ¾Kfhkau j| lrkak mq¿jka lula kE' ta;a fï udrdka;sl wjodku we;s lrk frda. fhka ñfokak wka u.la ke;so @ tkak;lska / ljrKhla ,enqfjd;a'''@ wmg we;sjk fï is;sú,a, ffjoH m¾fhaIlhkag;a we;s jqfKA fndfyda l,l mgkauhs' fï ksidu f,dalfha fndfyda m¾fhaIlhka fï iïnkaOfhka oeä 6
Wkkaÿjla oelajQjd' fvx.= frda.hg tkak;la fiùfï ;r`.hl lS¾;su;a wdh;k ksr; jQjd lSfjd;a ksjeroshs' fï m¾fhaIK j,ska w;sYh id¾:l;ajhg m;a ;sfofkla isákjd' • m%xYh uQ,ia:dkh lr.;a Sanofi Pasteur wdh;kh • ì%;dkHfha NIH wdh;kh • Inviragen/Takeda. wdh;kh fvx.= frda.hg tkak;la ksmoùfïoS m¾fhaIlhka uQ,sl m%Yak lsysmhlg uqyqK mdkjd' fvx.= frda.h we;s lrk ffjri wdldr y;rla ;sfnkjd' Serotype 1"2"3" yd 4 jYfhka ye|skafjk ta wdldr ;=k tlsfklg fjkia' ta yeu tlgu iß,k tl tkak;la y÷kajdoSu wiSrehs' tfiau ffjri iïNjhla iys; fï frda.hg m%j¾Ol ud;%d y÷kajdoSfï;a (Booster Dose) .eg¿ ;sfnkjd' fï ish¿ .eg¿ wNsnjñka f,dalfha
m%:u fvx.= jelaiskh ksmojd ;sfnk nj oeka jd¾;d fjkjd' m¾fhaIK l%shdj,shlg ysñ 111 jk woshr;a id¾:l f,i ksud lr we;s fvx.= jelaiskh uq,skau w;ayod ne¨fka wdishdfõ njo jd¾;d fjkjd' wjq' 2-14 w;r jhia ldKAvfha orejka 6"000la fokdg fï tkakf;ka /ljrKh ,eî ;sfnkjd' Serotype 3 yd 4 i|yd ishhg 75l id¾:l;ajhlao" Serotype 1 i|yd ishhg 50l id¾:l;ajhlao" Serotype 2 i|yd ishhg 35l id¾:l;ajhlao jYfhkao ie<lsh hq;= id¾:l;ajhla fuu m¾fhaIK l%shdj,sfhysoS m¾fhaIlhka w;am;a lrf.k ;sfnkjd' fï wkQj fï tkak; ksid frday,a.; lsÍï" wNHka;r bkaøsh reêrjyk fukau cSú;hg wk;=reodhl ixl+,;d j,ska ñoS.;a iqjhla w;am;a jk nj m¾fhaIlhka jd¾;d lrkjd'
ffjoHjrhd - udisl ffjoH iÕrdj
fï wdldrhgu n%iS,h" fldf,dïìhdj" fydkavqrdia" fulaisfldaj yd mqj¾fgda ßflda wdoS ,;ska wefußldkq rgj, o jhi wjq' 9-16 w;f¾ orejka 20"000 lgo fï tkak; ,ndoS fvx.= frda. fhka ukd wdrlaIdjla ,efnk nj ;yjqre ù ;sfnkjd' fï wkQj iuia;hla jYfhka zfvx.= frda. hg tfrysj tkak;laZ hk ixl,amh h:d¾:hla njg m;a ù ;sfnk w;r 2017 j¾IfhaoS fvx.= frda.hg tfrys tkak; wf,ú lsÍug ksIAmdolhka n,dfmdfrd;a;= fjkjd' jeä úia;r wka;¾cd,h Tiafia lshùug fï Tiafia yelshdj we;'
http://ww.denguevaccines.org/newsevents/takeda-acquire-inviragen-inc http://innovations.clevelandclinic.org/ Summit-(1)/Top-10-Innovations/ Top-10-for-2015/Top-10-Articles/2Dengue-Vaccine.aspx#.VkXPkdIrKM8
,dxflah noaO lsÍï b;sydifha wkNsNjkSh fmKy¿ yoj;a noaOhg msUqrem;a ielfia Y%S ,xld yoj;a yd fmKy¿ noaO lsÍfï ix.uh miq.shod ia:dms; lsÍfuka miqj fï rfÜ m%:u fmKy¿ yd yoj;a noaO lsÍu isÿ lsÍug 2016 ckjdß l<dmh
oeka lghq;= iQodkï fjkjd' fï iïnkaOfhka Y%S ,xld yD;a yd Wria Y,H ffjoHjrekaf.a ix.uh we;=¿j ffjoH úoHdh;k /ila" fi!LH ffjoH wks,a ffjoH iaàjka iS wud;HxYh iu. wfíúl%u la,d¾la iyfhda.fhka lghq;= lrkjd' id¾:l lr.ekSug mq¿,a iyfhda.hla olajkjd' fï ld¾hfhaoS ;dlaIKsl fï iïnkaOfhka iyfhda.h ,ndfokafka mej;S idlÉPd j,oS uydì%;dkHfha ksõldi,a wjYH kS;suh m%;smdok *S%uka ffjoH wdh;khhs' ,ndoSug kS;sm;s hqjkack tys iïudkkSh yD;a úch;s,l uy;do lghq;= Wria Y,H ffjoHjrfhl= lrk njg m%ldY l<d' jk uydpd¾h iaàjka iS la,d¾la miq.shod fud<h urKhg iudrïNl lghq;= i|yd m;aùfuka ñhhk Y%S ,xldjg meñKshd' whf.ka fï i|yd wjYH l,la ksõldi,a *S%uka ffjoH wdh;kfha fiajh l< ßcafõ wd¾hd <ud frdayf,a yD;a Wia Y,H úfYAI{ ffjoH wks,a wfíúl%u uy;d fuu jHdmD;sh i|yd iajlSh odhl;ajh ,ndfokq we;' ,dxflah ffjoH lKvdhug wjYH ;dlaIKsl iyfhda.h ksõ ldi,a ffjoH wdh;kfhka ,nd. kq jia yD;a Wria Y,H úfYAI{ ffjoH jreK lreKd;s,l uy;d fï jk úgo lghq;= fhdodf.k ;sfí' fi!LH fiajd wOHlaI ckrd,a md,s; uySmd, uy;d fuu ldrKh
bkaøsh ,nd.kakd w;r ta iïnkaOfhka jk mkf;ao wjYH ixfYdaOk isÿ lsÍu flfryS wjOdkh fhduq ù ;sfí'
yDoh noaO lsÍug isÿjk wjia:d m%;sldr fkdlrk ,o ixcdkSh yDo frda." ldäfhdaufhdam;s" rEueál yDo frda." oshjeähdj" wêreêr mSvkh" ia:q,;djh" fldf,iagfrda,a" ÿï mdkh ksid we;sjk yDo frda.Ska fmKy¿ noaO lsÍug isÿjk wh weÿu" fn%dkalhsáia" isiaáia *hsfn%daisia" m,afudkß *hsfn%daisia" tïmsiSudj 7
HEART HEALTH
;ksj isák úg yDohdndOhla je<÷fkd;a l< hq;af;a l=ulao@
;ksj isák úg yDohdndOhla je<÷fkd;a l< hq;af;a l=ulao@ yÈisfhau wkfmalaIs; f,i rd;%s%fha ;on, mmqfõ lelal=ula we;s jqjfyd;a miqÞ myka jk;=re n,d ys£u b;d wjÞkïh yDo frda. úfYaI{ ffjoH kdu,a úchisxy
Èisfha flkl= ñh .sh l, —wehs ydÜ wegEla tllao@˜ hkqfjka flfkl= úuik ;rug wo yDohdndO je<£u b;du iq,n ;;a;ajhla ù we;' yDohdndOj, we;s Nhdkllu kï Bg fmr lsisÿ frda. ;;a;ajhla m< fkdlr" ksfrda.Sj ys¢k wh f,i fmfkk whl= jqjo ysáyeáfha je<f|k yDohdndOhla fya;=fjka ñh hdug jqj bvla mej;Suh' tfiau ´kEu ia:dkhl" ´kEu jevl fh§ ys¢k úg ´kEu fj,djl§ fukau kskafoa§ mjd yDohdndOhla je<£fï wjÞku ´kEu flkl= iïnkaOfhka mej;sh yelsh'
y
8
fï wkqj hï whl= ksjfia fyda fjk;a fld;ekl fyda ;ksj isák wjia:djl § yÈisfha yDohdndOhla je<|Sug nerslula ke;' l,ska yDohdndOhla je<£ fkd;snqKq whl=g fï fõokdj w¨;a w;a±lSuls' l,ska fï fõokdjg tlajrla fyda uqyqK § isá whl=g fuh ìhckl w;a±lSula fjhs' fmdÿfõ fï folu is;g úYd, ìhla iy uy;a wirK ye`.Sula okjkakla nj wuq;=fjka lsj hq;= ke;'
ksjfia fyda frda.shd <Õ weiam%Ska fm;s ;sfí kï weiam%Ska ñ,s .%Eï 300la muK jk fm;s m%udKhla Èj hg ;nd .ekSu iqÿiq fõ'
ffjoHjrhd - udisl ffjoH iÕrdj
yDohdndOhla hkq l=ulao @ yDo fmaYs j, fldgilg iïmQ¾K jYfhka fyda fldgila jYfhka f,a iemhSu wvqùu yDohdndOhla f,i oelafõ @ wdmodjg ,lajQ fmfoi yD;a fmaYs j,g jk reêr iemhqu ke;fyd;a lsÍgl reêr iemhqu ySk ùfuka yD;a fmaYs fldgila fuysoS wdmodjg m;a fõ'
uQ,sl frda. ,laIKh jkqfha ;on, f,i we;sjk mmqfõ lelal=uhs
fkdlshd isàu m<uqjk jrohs ;ksj isák wjia:djl úfYaIfhka rd;%sfha§ hï whl=g ;on, mmqfõ wudrejla je<÷fKa hehs is;uq' tjeks wjia:djl tA mqoa.,hd uq,skau is; fhduq lrkafka ;udg ±fkk fõokdj lskï wkaoulska fyda iukh lr .ekSugh' thg fya;= folla ;sfí' 2016 ckjdß l<dmh
´kEu YdÍßl fõokdjl§ uq,skau wm wfmalaId lrkafka —ál fj,djlska bfíu weß, hkafk ke;E˜ hkakhs' fofjks fya;=j kï mjqf,a ish¨ fokd ;o kskaol isák úg Tjqka wjÈ lsÍug ;sfnk wlue;a;h' kuq;a Tfí mmqfõ wdndOh iïnkaOfhka fufia wj;lafiarefjka is;Sfï wjdish Tnguh' fya;=j mmqfõ lelal=u yDohdndOhla ksid yg.kafka kï thska frday,g hdu m%udo ùu yd t;=<ska m%;sldr mud ù th Ôú;hg ;¾ckhla ùug jqj yelshdjla mej;Suh'
9
HEART HEALTH
;ksj isák úg yDohdndOhla je<÷fkd;a l< hq;af;a l=ulao@
m%udo jk ñks;a;=jla" ñks;a;=jla mdid wjodku jeä fjhs Tng ;on, mmqfõ lelal=ula fyda yDohdndOhla hehs wkqudk l< yels l=uk fyda frda. ,laIKhla u;= jqjfyd;a uq,skau l< hq;af;a ;ukag Woõjla .; yels ljr fyda whl=g yels blauKska ±kqï §uh' úfYaIfhka ksjfia uj fyda mshdg ke;fyd;a fjk;a jeäysáhl=g yÈisfhau
wkfmalaIs; f,i rd;%s%fha ;on, mmqfõ lelal=ula we;s jqjfyd;a miqÞ myka jk;=re n,d ys£u b;d wjÞkïh' ±ka fndfyda fokl= i;=j cx.u ÿrl:k ;sfí' tA wkqj ;ukaf.a flkl=g tA fudfydf;au ÿrl:k weu;=ula § fï ;;a;ajh okajd Wmfoila iy Wmldrhla me;Su l< hq;=h' th m%udo jk ñks;a;=jla mdid wjÞkuo Bg idfmalaIj ;j ;j;a by< hkq we;' blauKska frday,a.; lf<d;a mmqfõ lelal=ug fya;=j yDohdndOhlao hkak ksYaÑ;j ±k .ekSu i|yd wjYH mÍlaIK iy m%;sldro l< yelsfjhs' weiam%Ska fm;s fyd|hs fï yereKq úg ksjfia fyda frda.shd <Õ weiam%Ska fm;s ;sfí kï weiam%Ska ñ,s .%Eï 300la muK jk fm;s m%udKhla Èj hg ;nd .ekSu iqÿiqfõ'
yDohdndOhl wk;=re y`.jk ,laIK
lrleú,a,
mmqj fmfofia we;sjk mSvdldÍ .;sh
mmqfõ lelal=u
Yajik wmyiq;djh w;l fyda w;a foflau lelal=u" Wrm;a;" f.," yKq fyda Worfhka mek k.sk fõokdj
oyäh oeóu yd Tlaldrh mmqj ysr lrkjdla jeks .;sh yd mmqfõ fõokdj yqiau .ekSfï wmyiq;djh w;l fyda w;a foflau fõokdjmsgme;af;a" f.f,ys" yKqj, fyda Worfha we;sjk fõokdj
oeä úvdj fyda la,dka; .;sh
10
ffjoHjrhd - udisl ffjoH iÕrdj
yDohdndOhla je<÷kq frda.shl= jdykhlska f.k hdfï§ frda.shdg myiqu bßhõjlska jdykh ;=< ;nd.ekSu jeo.;a jk w;r th wij,a bßhõj úh hq;=h hkak ksYaphla ke;'
mQ¾j iQodku w;sYhska jeo.;a fujeks ;;a;ajhla yÈisfha Woa.; jqjfyd;a th b;d blaukska ±kqï Èh hq;af;a ldgo@ ;uka l< hq;af;a l=ulao@ we;=¿ jkafka l=uk frday,lgo@ frday,g hkafka l=uk l%uhgo@ frday,g /f.k hd hq;af;a fudkjdo@ hk lreKq ms<sn| uQ,sl wjfndaOhla frda.shdg ;sìh hq;=h' yDohdndOhla jeks yÈis ;;a;ajhl§ fï ms<sn|j is; is;d isáh fkdyelsh' 2016 ckjdß l<dmh
thska isÿ jkafka frday,g hdu m%udo ùuhs' ksoiqkla f,i ;ukaf.a ksjfia fyda /lshd ia:dkfha isg blaKskau hd yels myiqlï iys; frday, ms<sn| l,ska ;SrKh lr ;sîu jeo.;ah' tfiau frda.shd frday,g f.k hdu i|yd ksjfia jdykhla ;sfnkjdo@ jdykhla ;snqK;a th tA fudfydf;a ksjfia fkd;snqfKd;a B<Õg blauKskau hd yels jdykhla fidhd .kafka flfiao @ jeks fï ish,a, ms<sn|j frda.shdg fukau mjqf,a whg;a ±kqj;a Ndjhla ;sìh hq;= fjhs' frda.shd ±kg .kakd T!IO" frda. úksYaph ldâm;a” l,ska ,nd.;a ffjoH mÍlaIK jd¾;d" B'iS'cS' jd¾;d blauKskau .; yels mßÈ tlu ia:dkhl ;nd .; hq;=hs' yDohdndOhla je<÷kq frda.shl= jdykhlska f.k hdfï§ frda.shdg myiqu bßhõjlska jdykh ;=< ;nd.ekSu jeo.;a jk w;r th wij,a bßhõj úh hq;=h hkak ksYaphla ke;' 11
MILESTONE IN MEDICINE
m%pKAvldÍ ,shqflañhd frda.hlska ì%;dkH oeßhla iqjh ,nhs
Baby girl is first in the world to be treated with 'designer immune cells'
orefjl= f,isks' tfy;a orejdg udi ;=kla muK jk úg wehf.a yoj; fõ.fhka .efikakg .ekSu ksid weh frday,a.; lrk ,oS' wehg lsß îuo wmyiq jQ w;r iEu úgu widudkH f,i y`vkakgo úh' uq,skau ffjoHjreka is;=fõ idudkH nfâ lelal=ulafoda lshdh' kuq;a reêr mÍlaIK isÿ lsÍfuka miqj weh Acute lymphoblastic leukaemia (ALL) kï ,shqflañhd frda.fhka fmf<k nj fidhd.kq ,eìK'
m%pKAvldÍ ,shqflañhd frda.hlska ì%;dkH oeßhla iqjh ,nhs ,dxflah ffjoHjrfhl=;a m%;sldr lKavdhfï
ta;a iu.u orejd ,kavka kqjr Great Ormond Street Hospital frday, fj; f.k hk ,oS'
m%pKavldÍ ,shqflañhd frda.hlska fm¿Kq f,hs,d ßp¾âia kï oeßh kue;s m%;sldrfhka iqjh ,enQ m%:u oeßh ùfï jdikdj miq.shod ,enqjdh' fï jirla jhie;s oeßh ,kavkfha f.%AÜ ´ukaâ frdayf,a ;u frda.hg m%;sldr ,nñka isá w;r fhdod.;a ish¿ m%;sldr wid¾:l ùfuka miq oeßh ksfjig f.k hk f,i ffjoHjreka úiska fouõmshkaf.ka b,a,d isák ,oS' ore fmñka uqim;aj isá uõmshka ta b,a,Su ;on, f,i m%;slafIAm lrk ,o w;r b;sßj we;s ljr fyda m%;sldrhla ;u oshKsh fjkqfjka W;aidy lrk f,i ffjoHjreka fj;ska wheo isáfhah' Wm;ska f;uilg miq frda.S ,laIK fmkak,d''' f,hs,d Wm; ,enQfha lsf,da ;=kla nr ksfrda.S 12
<ud rla;fõo ffjoHjrfhl= jQ ffjoH iqcs;a iurisxy f,hs,df.a m%;sldr lKAvdhfï m%Odk ffjoHjrfhla GOSH frdayf,aoS orejdg m%;sldr l< ffjoHjreka w;r lemS fmfkk ffjoHjrfhla jQfha Y%S ,dxflah <ud rla;fõo
ffjoHjrhd - udisl ffjoH iÕrdj
ffjoHjrfhl= jQ ffjoH iqcs;a iurisxyh' 2011 j¾Ifha isg ksõ ldi,a frdayf,a fiajh lr 2014 fmnrjdßfha GOSH fj; meñKS fuu ffjoHjrhdf.a kuo Wla; fidhd. ekSu;a iu. f,dj mqrd mqj;a fjí wvú j, ixirkh fjkq fmksk'
oeßhg m%;sldr l< <ud rla;fõo ffjoHjrfhl= jQ ffjoH iqcs;a iurisxy
ffjoH iqcs;a iurisxy m%ldY lrk wdldrhg fï ,shqflañhdj ieÿKq frda.Ska iqjm;a ùfï wk.s yelshdjla ;sfí' tfy;a fuys m%pKavldÍ wdldrfhka iqjh ,nkafka orejka ishhg 25la muKh' m%;sldr /ila l<d" id¾:l;ajhla w;am;a jQfha kE flfia fj;;a f,hs,d fj; jydu lSfudf;rms m%;sldrh 2016 ckjdß l<dmh
,ndfok ,o w;r ydkshg m;a reêr ffi, fjkqjg ia:dms; lrKQ jia weg ñÿ¿ noaOhlao isÿ lrKQ ,eîh' flfia fj;;a fï m%;sldr foflkau f,hs,dg iqjh ie,iqfKA ke;' m%;sldrh id¾:l ùfuka miq GOSH frdayf,a wegñÿ¿ noaO lsÍfï wxYfha wOHlaI fmda,a fjhsia fufia m%ldY lf<Ah' zzwms óg fmr lsis flfkl=g fï m%;sldrh lr, ;snqfK kE' yeu fohlau yosisfha ;uhs isoaO jqfKA' wfkla ldrKh ;uhs wehg ;snqKq ms<sldj yßu m%pKavldßhs' fï ,enqKQ iqjh ydialula' we;af;kau th fï cdk bxcsfkare.; äihsk¾ bñhqka fi,a m%;sldrfhau ydialula ;uhs'ZZ kj n,dfmdfrd;a;= cks; l< Designer Immune Cells fï jk úg frday, ,shqflañhdjg m%;sldr msKsi fhdod.; yels cdk bxcsfkareuh w;ayod ne,Sul ksr; fjñka isáfha' Tjqka ms<sld ffi, kdYkh l< yels fjkia lrk ,o ffi, ldKAvhla y÷kdf.k isáhd' fïl óhkag w;ayod n,, ;snqfKa' óhkaf.a ms<sld iqjm;a jqKd' ta;a lsisu ukqIHfhl=g fï kj ffi, úfYAIh w;ayod n,, ;snqfK kE' fï kjH m%;sldr l%uh mokï ù we;af;a frda.shdf.a m%;sYla;s ffi, msg;g f.k tajdg YÍrfha ms<sld ffi, iu. igka lsÍug yelsjk wkaoug cdkuh fjkialï isÿ lsÍuhs' bkamiq tajd kej;;a YÍr.; lsÍuhs' wvudk mÍlaIKhla jqK;a uõmshka leue;a; ÿkakd fï .ek ßp¾âia orejdf.a uõmshkag oeKQï ÿkaku Tjqka fï m%;sldrh ;u oeßhg w;ayod n,kak leu;s jqKd' yenehs Tjqkag lsh, ;snqfK fïl l<dg id¾:l ùfï bvlv .ek iy;slhla fokak wudrehs lsh,' fldákau ta yeá n,dfmdfrd;a;=jla ;shd.kak tmd lshk ldrKh 13
MILESTONE IN MEDICINE
m%pKAvldÍ ,shqflañhd frda.hlska ì%;dkH oeßhla ijh ,nhs
Tjqkg ta;a;= .kak, ;snqK' ta;a b;ska .sf,kak hk ñksy msÿre .fy;a t,af,kjfka' fldfydu jqK;a fï m¾fhaIKd;aul m%;sldrh f,hs,d fj; isÿ lrkakg idrO¾u ms<sn|j lñgqfõ wkque;sh ,enqKd" ta ì%;dkHfha Ñls;ail md,k fr.=,dis j,g wkql+,j lghq;= lrk f,i Wmfoilao iu.ska' ys;=K yeá yd wka;sfï jqKQ yeá fï iqúfYAIS fnfyf; YrSrhg tkak;a lrkak ;snqfK ñ,s ,Sgrhhs' ta lshkafk ìxÿ lsysmhlafk' fï ñ,s ,Sgrh úkdä oyhla ;siafi ì<s÷ isrerg Wlyd.kak lghq;= fhÿjd' flfkl=g m%Yakhl=;a we;s fjkak we;s''' lSfudf;rms T!IO meleÜ .Kka ÿkak" .=Khla kE''' fï fnfy;a ìxÿfjka fudkj fjkako @ lsh,' n,dfmdfrd;a;=fj fmrksñ;s fï fnfy; id¾:l jqKd kï fnfy; tkak;a lr, i;s h;a fol;a we;=<; YrSrfhka mqxÑhg m¿ u;= ùula fjkak ´ks' oeka t<eUqfKa n,dfmdfrd;a;=fj fydardj''' úkdä" meh j,g;a" meh osk j,g;a fmr¿Kd' i;shla .shd lshuqfld' fojk i;sh ;SrKd;aulhs" fldhs fjf,a yß m¿ u;= jqfKd;a' yefudau n,dfmdfrd;a;= o,ajdf.k ysáhd' ta;a i;s fol;a lsisÿ fjkila ke;sju bl=;a fj,d wyjr jqKd' oeka b;ska fudkj lrkako @ m%;sldrh M,la jqfKA kE' yefudau ÿflka orej f.or hjkak wjYH lghq;= iïmdokh l<d' Th w;fros fkdys;+ fj,djl m¿jla u;=jqKd" Bg miafi fojekak''' Th úosyg orejdf.a fud<leá isrefrka iqn fmrksñ;s my< jqfKA uõmshkaf.a;a n,d isá ldf.a;a weia flfjks f;;a lrñka' mÍlaIKh id¾:lhs' fuh kï wisßu;a isÿùula''' b;d m%pKavldÍ f,a ms<sldjlska fõ,dikskau brKï .uka hkakg isá f,hs,d oeka fï m%;sldrhg Ndckh ù udi follau 14
fjkjd' frda.h kej; ke.sàula olskak kE' ;j;a udihlska wehg mQ¾K iqjh ,nd ksfjig hkakg wjia:djla ,efíú' fiiq ms<sld iïmQ¾Kfhka iqj lsÍug;a fhdod.; yelsoehs oeka mÍlaIK osh;a fj,d fuh yeu ldKAvhlu ,shqflañhd frda.Skag .e,fmk fnfy;la fkdfjhs' uyd ì%;dkHfha Acute lymphoblastic leukaemia frda.fhka fmf<k orejka 5-10 w;r m%udKhlg fï cdk bxcsfkare.; fnfy; id¾:lj fhdod.; yels fj;ehs ffjoH wxY u; m< lrkjd' tfiau fuu ;dlaIKh fiiq ms<sld iïmQ¾Kfhka iqj lsÍug fhdod.; yelso hkak iïnkaOfhka oeka m¾fhaIlhka úuis<su;a fjkjd' fuu m¾fhaIKh i|yd uQ,H myiqlï iemhQ m%xYfha Cellectis iud.u kj T!IOh iïnkaO idhksl m¾fhaIK 2016 uq,a udij,oS l%shd;aul lrkakg wfmalaId lr isákjd'
ffjoHjrhd - udisl ffjoH iÕrdj
DYSPHAGIA
Tng;a .s,Sfï wmyiq;d ;sfnkjdo @ tfia kï fï Wmfoia lshjkak
tfy;a fud<fha wdndOj, isg uqLh" W.=r" .,kd,h hk bkaøshkaf.a wdndO olajd jk úúO ;;a;ajhka hgf;a fuu .s,Sfï wmyiqj we;s úh yels nj W.=r" lk" kdih iy wlaud" Wor iy wka;% ms<sn| Y,H ffjoHjreka fmkajd fo;s' ±ka wms fuu .s,Sfï wmyiq;djhkag fya;= fudkjd±hs úuid n,uq'
Tng;a .s,Sfï wmyiq;d ;sfnkjdo @ tfia kï fï Wmfoia lshjkak úfYaI{ ffjoH Wmfoia weiqfrKs —ug fï ojiaj, uql=;au .s,skak neye' W.=f¾ ysr fjkjd˜ Ôú;fha lskï fyda ojil Tn fujekakla lsisjl=g lshd ;sfnkakg fyda wid ;sfnkakg mq¿jk' tfy;a tA i|yd n,mdk fya;= fudkjd±hs fndfyda úg Tn fkdokakjd úh yel' 2016 ckjdß l<dmh
uQ,sl fya;= fïjdhska tlla úh yelshs wd>d;uh ;;a;ajhka ksid yg.kakd iqiqïkdj wk;=rej,g ,lAùu yd tys w;=re wdndO" fmda,sfhda" md¾lskaika jeks iakdhq moaO;sh wdY%s; frda." .%iksldfõ úúO widudkH;d we;s ksid wdydr /£ .%iksh wjysr ùu" uqLfha" W.=f¾ yd .%iksldfõ we;s úh yels ms<sld j¾." úúO udkisl frda.S ;;a;ajhka fï i|yd m%Odk jYfhka fya;=fõ'
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DYSPHAGIA
Tng;a .s,Sfï wmyiq;d ;sfnkjdo @ tfia kï fï Wmfoia lshjkak
wdydr ms`v wmscsyaúldj Yajdikd,h wka;f>%da;h
.s,Sfï hdka;%Kh
;j;a fya;= /ila óg wu;rj .,kd,fha my< udxYfmaYsuh lmdgh újD; fkdùu ksid;a wdydr kej; W.=rg tAu isÿúh yel' tfukau jhia.; ùu;a iu. .,kd,fha udxY fmaYskaj, Yla;sh wvqùu ksid o wdydr .s,Sfï wmyiq;d we;s úh yel' .,kd,fha we;s jk mgq ùï" .,kd,fha we;s jk f.ä j¾. ksid o fuu ;;a;ajh yg .; yels nj ffjoHjre fmkajd fo;s' 16
.,kd,fha uia jeks wdydr fyda o;a we¢ jeks oE" l=vd <uqkaf.a fi,a,ï nvqj, lene,s yd ldis jeks foaj,a isrùu o óg n,mdk fya;=jls' .,kd,fha my< fldgfia we;sjk j<¨ ksid o .s,Sfï wmyiq;d yg.; yel' wdudYfha isg wdï,sl wdudYhsl hqIh .,kd,hg .,d tAu ksid tys mgl yels,Su o .s,Sfï wmyiq;d we;s lrjhs'
.,kd,fha my< udxYfmaYsuh lmdgh újD; fkdùu ksid;a wdydr kej; W.=rg tAu isÿúh yel' tfukau jhia .; ùu;a iu. .,kd,fha udxY fmaYskaj, Yla;sh wvqùu ksid o wdydr .s,Sfï wmyiq;d we;s úh yel'
ffjoHjrhd - udisl ffjoH iÕrdj
1
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wdydr ms`v by<ska we;s pl%msOdkh jeiS we;
;,af,ka kdia l=yrh wjysr fjhs
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osfjka uqL l=yrh wjysr fõ
pl%msOdkh wmscsyaúldfjka újr wka;f>%da;h fjhs iajrd,h u. wjysr lrhs
pl%msOdkh kej; jefihs
wyr ms`vla W.=frka my<g hkafka fufyuhs
iaflf,frdav¾ud frda.h iaflf,frdav¾ud ^Scleroderma& fuu frda.h ksid isref¾ fiiq bkaøshkaf.a fiau .,kd,fha o ì;a;s >k ;;a;ajhg m;a lrhs' tfukau .,kd,h my; fl<jr we;s lmdgh ,sys,a lrhs' fï ksid wdudYfha isg wdudYhsl hqI .,kd,hg we§ ths' tys we;s wdï,sl;djh ksid .,kd,h ms<siafia' óg wu;rj tA ms<sld i|yd
2016 ckjdß l<dmh
,nd fok úlsrK m%;sldr u.ska o .,kd,h ms<siaiSug yd tys ;=jd, yd le<e,a we;s lsÍug fya;= fõ' f.f,a iakdhq iy udxY fmaYsj, wdndO ksid o .s,Sfï wmyiq;d we;s úh yel'
.,kd,fha my< fldgfia we;sjk j<¨ ksid o .s,Sfï wmyiq;d yg.; yel' wdudYfha isg wdï,sl wdudYhsl hqIh .,kd,hg .,d tAu ksid tys mgl yels,Su o .s,Sfï wmyiq;d we;s lrjhs'
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DYSPHAGIA
.,kd,h ms<siaiSu úúO ridhksl øjH .s,Su ksid .,kd,h ms<siaiSfuka th mgq ùu ksid ^weisâ yd NIau j¾.& .,kd, ì;a;sfha we;sjk vhsj¾álHq,ï ^diverticulum& kue;s frda. ;;a;ajh óg fya;= fõ' fuu ;;a;ajhka ;=< wdydr tla/ia ùu ksid .,kd,h msg;ska f;rmSulg ,la ù wjysr úh yel' WmoxYh" md¾lskaika frda.h" fmda,sfhda" uhsia;Skshd f.%úia ^myasthenia gravis& kue;s frda. ksid o .s,Sfï wmyiq;d yg .; yel' .s,Sfï wmyiq;d ksid we;eï úg u;= ±lafjk frda. ,laIK o yg.; yel' Worfha fõokd" 18
Tng;a .s,Sfï wmyiq;d ;sfnkjdo @ tfia kï fï Wmfoia lshjkak
leiai" nvmmqj ±ú,a," Tlaldrh" jukh ^we;eï úg f,a jukh ùu o isÿfõ&' yqiau .ekSfï wmyiqj" YÍrfha nr wvqùu" lgg weUq,a rihla ±kSu' ffjoHjrekaf.a w;a±lSï wkqj fndfyda .s,Sfï wmyiq;djhka bfíu fyda m%;sldr .ekSfuka ke;s ù hd yel' kuq;a i;shlg jvd mj;sk fujeks ;;a;ajhla we;akï ffjoHjrfhl= yuqúh hq;=h' ms<sldjlao @ ielh ÿre lr .kak .s,Sfï wmyiq;djhla we;s jQ úg th ms<sldjla jeks fohla ksid we;s ù we;a±hs ielhla ´kEu wfhl=f.a isf;ys u;= úh yel' tfy;a tA i|yd we;af;a b;d iq¿ iïNdú;djls' kuqÿ Tnf.a tu ielh ÿre lr .; hq;=h' tfia fkdue;sj tu ielh È.ska È.gu meje;Su u; tjka ms<sld ;;a;ajhla fkdue;s jqjo bka we;s jk udkisl n,mEu ksid hypochondria hk udkisl frda. je<£fï hï bvla mj;s' tneúka uq,skau l< hq;af;a Tnf.a mjqf,a ffjoHjrhd fyda rcfha frday,l ndysr frda.S wxYfha ffjoHjrfhla yuq ùuh' Tyq Tnf.a frda. ,laIK úuid n,d uQ,sl mÍlaIK lsysmhla isÿlrkq we;' ke;fyd;a úfYaI{ ffjoHjrfhl= fj; fhduq lrkq we;' fuu úfYaI{ ffjoHjrhl= fj; fhduq flfrkqfha tu .s,Sfï wmyiqj ms<sn|j jeäÿrg;a .fõIKh l< hq;= kï muKs' ffjoHjrhd - udisl ffjoH iÕrdj
2016 ckjdß l<dmh
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ADVERTORIAL
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uÍkd ksmehqï h<s;a
cd;sl iïudkhg NMK iuqy jHdmdrfha iNdm;s uxcq, kdrdhk uy;df.a ixl,amhla u; 2009 jif¾§ ,xldjg y÷kajd ÿka zuÍkdZ miq.sh od ksudj ÿgq Slim Brand Exellence ys§ h<s;a iïudkhg md;% jQfha zuÍkdZ fjf<| kdufhys úYsIag;ajh ksidfjks' ishhg ishhla foaYSh ksIamdokhla jk zuÍkdZóg fmro iq¿ yd uOH mßudK jHdmdr wxYh hgf;a iïudkhg md;% jQ w;r fujr iq¿ yd uOH mßudK wxYhg jvd by< ;;a;ajhl ys|sñka B to B wxYfha iïudkhg md;% ùu lemS fmfkk lreKls'
1980 oYlfha isg fmd,af;,a j,g tfrysj mej;s ÿ¾u;hka ì| fy<ñka fmd,af;,aj, kshu m%;s,dN Y%S ,dxlslhkag ,nd§u i|yd y÷kajd ÿka zuÍkdZ fmd,af;,a fï jk úg Y%S ,dxflah .DyKshka muKla fkdj fydag,a" fílß ksIamdok wdh;k jeks ±jeka; mdßfNda.sl cd,hla úYajdijka;j Ndú; lrk ksIamdokhla njg m;aj we;' uÍkdys fuu .uk ms<sn|j woyia olajñka tys wf,ú wxY m%OdkS fvkais,a bkaøcs;a fmf¾rd uy;d zzwm ,nd .;a fï iïudkh ms<sn|j b;du i;=gqhs' foaYSh mdßfNda.slhd w;r wm ,nd we;s úYajdih fï iïudkh ,eîug m%Odk fya;=jla f,i ud olskjd' foaYSh;ajh w.hk" rgg ieneúkau wdorh lrk wmf.a l<ukdldr wOHCI;=ud jk uxcq, kdrdhk uy;dg ud uq,skau m%Kduh mqo lrkafka 2009 jif¾§ zuÍkdZ ,xldjg y÷kajd §u ms<sn|jhs' 20
ta jf.au udf.a yomsß m%Kduh wmf.a Yla;sh jk zuÍkdZ wf,ú n,ldhg mqo lrkjd' uÍkdys cd;sl wf,úl<ukdlre jk fyaud f;kakfldakag;a" B to B fjf<| lghq;= fydnjk ldkapk ,S,fiak;a" m%foaYSh wf,ú l<ukdlrejka we;=¿ zuÍkd n,ldhg;aZ uf.a m%Kduh ysñfjkjdZZ zzta ish,a,gu jvd wm flfrys úYajdih ;enQ ienE Y%S ,dxflah fjf<| kduhla f,i ffjoHjrhd - udisl ffjoH iÕrdj
zuÍkdZ wdorfhka je<|.;a ish¨u Y%S ,dxlsl .DyKshkag" fydag,a fCIa;%fha m%ùk iQmfõ§kag" fílß ysñhkag iy wfkl=;a ish¿u .kqfokqlrejkag ud yDohdx.uj ia;=;s jka; jkjdZZ fï jk úg foaYSh fjf<|fmd, muKla fkdj cd;Hka;r fjf<|fmd<o ch.ekaug zuÍkdZ fmd,af;,a ksIamdokhg yels ù we;af;a tys we;s Wiia ;;a;ajh ksidfjks' ta wkqj ISO 22000" HACPP" GMP hkd§ cd;Hka;r ;;a;aj iy;slhkaf. ka msÿï ,nd we;s zuÍkdZ ueo fmrÈ." hqfrdamh" wefußld tlai;a ckmoh jeks ±jeka; fjf<|fmd, ;=<o mdßfNda.slhd úYajdifhka je<|f.k ;sîu úfYaI;ajhls' Y%S ,xldfõ f;,a yd fïo ksIamdok wdh;k fndfyduhla úfoaYSh fyda nyq cd;sl iud.ï jk w;r m%uqL;u foaYh S iud.ula f,i N.M.K fyda,ä a x.aia wh;kh zuÍkdZ fmd,a f;,a ksIamdokh muKla fkdj uÍkd l=lska Ths,a" fidahd Ths,a" uÍkd ika*,j¾ Ths,a" uÍkd fldlkÜ ñ,ala" uÍkd ,hsÜ" uÍkd j¾cska Ths,a hkd§ ksIamdok /ila 2016 ckjdß l<dmh
uxcq, kdrdhk ^l<uKdldr wOHlaI NMK iuQy jHdmdrh&
fvkais,a bkaøcs;a fmf¾rd ^wf,ú wxY m%Odks &
furg fukau cd;Hka;r fjf<|fmd<go y÷kajd § we;' Bg wu;rj fydag,a yd fílß ksIamdokj,g wjYH ud.ßka yd wfkl=;a ksIamdok fjf<|fmd,o zuÍkdZ ch f.k we;' ksfrda.S fi!LH iïmkak mrmqrla ìys lsÍu f;aud lr.ksñka ksrka;rfhka ish jHdmdrfhys fhfok uÍkd ksIamdokhkaf.a kj;u ksIamdokh jk wvq fïofhka hq;a zuÍkd ,hsÜz iy ud.ßka i|yd wdfoaYlhla f,i Ndú; l< yels zuÍkd iafm%âZ orejkag fukau .DyKshkago myiq yd wk¾> ksIamdokhla jkq we;' idïm%odhsl fmd,a lsß ,nd .ekSfï l%ufõofha§ jirlg ñ,shk 2l muK fmd,a Ndú;hg .kakd w;r bka 40]la muK wmf;a hhs' .DyKshka úiska iajlSh ±;ska fmd,a ñßlSfuka 100]la fmd,a lsß ,nd .ekSug wmyiq ùu Bg fya;=jhs' wmf;a hk fmd,a m%udKh /l .ekSfï wáfhka ksIamdokh l< zuÍkdZ fmd,a lsß ksIamdokho tys ;j;a kjH yd iqúfYaIS ksIamdokhla f,i fmkajd Èh yelsh' fï wdldrfha foaYSh ksIamdokhka ;=<ska foia úfoia mdßfNda.slhkag ;;a;ajfhka Wiia úYajdiodhS ksIamdokhla ksrka;rfhka ;s<sK lrk N.M.K fyda,aäx.aia bÈßfha§ ;j ;j;a kj;u ksIamdokhka ;=<ska mdßfNda.slhdf.a wjYH;djka imqrd,kakg iQodkñka isà' ta ish¨ foa fjkqfjka fuf;la w;aje,a ne|f.k isák mdßfNda.slhkag zuÍkdZ m%Kduh ysñjk w;r ksfrda.S Yla;su;a rgla f.dvk.d .ekSug w;aje,a ne|.kakd f,ig ish¨ Y%S ,dxlslhkag wdrdOkd lr isà'
21
22
ffjoHjrhd - udisl ffjoH iÕrdj
ADJUSTMENT DISORDER
ie|E iufha cSú;h fifkyiska ie,iqï lr.kak
úY%du .shdg miafi fokak fouy,a,ka fkdfrdla fj,d''' ie|E iufha cSú;h fifkyiska ie,iqï lr.kak
wxf.dv cd;sl udkisl fi!LHh úoHdh;kfha ufkda ffjoH úfYaI{ lms, rKisxy weUq,afoksh uy;a;hd iy fkdakdf.a úY%du cSúf;a weUq,afoksh uy;d fm!oa.,sl wxYfha úOdhl fY%aKsfha /lshdjla lr,d oekg úY%dñlj isák wfhls' fudyqf.a ìß| iS;d;a úY%dñlj ksjfia fjfihs' úY%du .shdg miafia fokakdgu m%Yakhla we;s fj,d' iS;d weUq,afoksh uy;añhg yqiau .kak neß fjk wudrejla yefokjd' ieñhd f.or bkak fj,djg fï f,fâ jeähs' fuhdg ieñhd olskfldg nhla is;g tkjd' oefkkjd' yqiau .kak nE' fudk mÍlaIK l<;a ffjoHjre ks.ukh lf<a zzfrda.hla keye'''ZZ lsh,hs' ieñhdg ks;ru f;a yokak lshk tl;a iS;dg oeka oeka f,dl= lrorhla' ;j tl tl lEu j¾. yokak;a lshkjd' fïjdg iS;d leu;s keye' uu úY%du .;af;a fuhdg f;a yokako @ lsh,d fofokd w;r .egqï we;s lr.kakjd' ksjfia bkafka fï fokakd muKhs'
2016 ckjdß l<dmh
zzìß| uq,a ldf,a b|<u;a ug f;a tlla yo,d ÿkafka kE' <uhskaf. jev lghq;= lrñka isáhd ñila ud .ek fidhd ne,Sula lf<a kE'''ZZ ieñhd tfia mejiqj;a ta ld,fha fofokd w;r .egqï we;s fj,d kE' we;eï ieñhka orejkaf.a lghq;= ksid ;u ìßka|Ejrekaf.a l%shd l,dmhka yd iq¿ w;miq ùï t;rï .Kklg .;af;a kE' kuq;a fï úY%dñl fofokdf.a Ôú;h ;=< ks;ru .egqï we;s fj,d ;sfhkjd' ta ld,fha <uhskaf.a jev lsh,d oekaj;a uf.a jev ál" ux leu;s wdydr yo, ÿkakdu fudlo@ fï úÈhg ieñhd ìß|g fodia mjrkjd' ìß| Wfoa bokau f.a we;=,g fj,d bkakjd nK pek,a tlu odf.k nK wyf.k bkakjd' hd¿fjl=g tkak neye' iñ;s Yd,djlg hkafka keye' fjk;a .ukla hkafk;a keye' yßhg taldldß Ôú;hlg yqre fj,d' 23
ADJUSTMENT DISORDER
ie|E iufha cSú;h fifkyiska ie,iqï lr.kak
jvd;a jeo.;a jkafka úY%du ld,fha§ l=uk fyda jevodhs ld¾hhl kshe,Suhs' tu.ska úYd, udkisl iykhla ,efnk w;ru udkisl frda. j,g ,laùfï wjodku wvq fjkjd' ldhsl frda. j,g ,laùu wju fjkjd'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.lk 24
ffjoHjrhd - udisl ffjoH iÕrdj
ta ld,fha weTq,afoksh uy;aud foaYmd,khg;a iïnkaO fj,d ysgmq flfkla' hd¿fjda ´kE ;rï ysáhd' l%slÜ ueÉ tlla jroaokafka ke;=j n,kjd' oeka ìß| à'ù tl nÿ wrf.k nK wykjd' bjrhlau keye' fg,s kdgHhla j;a n,kafka keye' fï úêhg oeka fofokd w;r ks;ru wr.,''' fï m%YAk ÿr È. .sys,a,d oeka fokakdg fokakd fmkakkak neß ;ekg m%Yak fhÈ,d' ìß|f.a is;=ú<s''' úY%du .;a;du uf.ka jevla keye' Ôúf;a wruqKla keye' Ôúf;a mska oyï lr,d ñh hkjd lsh,d udkisl ;;a;ajfhka ;uhs ìß| b|,d ;sfhkafka' fï úoshg Èk .Kka udi .Kka ys;,d udkislj jeá,d ;sfhkafka' fuhd,g l< hq;= lsisu fohla keye' nK wykjd' tod fõ, flfia fyda iß lr .kakjd' fuh uE; hq.fha olskakg ,efnk idudÔh .eg¿jla' yqfol,dj fyd|la fkdfjhs fndfyda úg yqol,d ùu fokakd fouy,a,kagu Wyq,d .ekSu wudrehs' iudc wdY%hla fkdue;s ùu tla fya;=jla' orejka n,kak fkd,eîu;a tla fya;=jla' wks;a orefjd;a wE; m<d;a j, Ôj;afjkafka' fï ;;a;ajh kHIaÀl mjq,a tallfha mjq,a j, Ôj;a jk whf.a wjidk Nd.h f.ú, hkafka fï wkaoughs' jroao.;a; ;ek by;ska olajk ,o úY%dñl ieñhd iy ìß| tlaj Ôj;a ù ;sfnkafka orejka ksihs' fokakdf. kau wdorh wE;a fj,d uq,a ldf,a b|,u ieñhd ìß| tlsfkld fjkqfjka is;Su;a f,x.;=j b|Su;a isoaO fj,d keye' újdyfha uq,sl wruqKq ì¢,d .sys,a,d fofokd tlg ysáh;a fokakdu wd;aud¾:ldó fj,d' fofokdu udkisl .eg¿jlg m;a fj,d' fï whf.a Ôú; j, úfkdaodxY keye' iudc wdY%hla keye' /lshdj lr,d f.or weú,a,d' ksjfia lsisu jevlg l%shdldÍj iïnkaO fkdjq whhs'
2016 ckjdß l<dmh
kslrefka ld,h oeóu rdcldßhg muKla fhduq jq we;eï msßñka ksjdvq Èk j,g kslïu ld,h .; lrñka bkakjd'
fndfyda úg yqol,d ùu fokakd fouy,a,kagu Wyq,d .ekSu wudrehs' iudc wdY%hla fkdue;s ùu tla fya;=jla' orejka n,kak fkd,eîu;a tla fya;=jla'
fï whf.a úY%du Èúh jvd;a mSvdldÍhs' ta lsisu jevla lsßug yqrejla ke;slu ksihs' úY%du ,eîu ^.ekaùu& tljr ord .ekSug jeäfhkau wiSre fï whghs' i;sfha Èk mfyau rdcldßhla lr mqxÑ úfõlhlska iq¿ úfkdaohl=;a ,n,d ñ;=re ñ;=ßhkaf.a iud.uh iu`.ska fmdaIKh 25
ADJUSTMENT DISORDER
fj,d tlaúgu fï ish,a, kej;=fKd;a @ fï úosfha Ôú;hla .;fldg úY%du .ekSfuka miq isÿjkafka wjqreÿ ;sia .Kkla .; l< ñysß Ôú;h fjkia ùuhs' niaßfhka fyda ÿïßfhka fyda tfyu;a ke;skï ;udf.a fm!oa.,sl r:fhka ksjig weú,a,d WKqiqï f;a tlla î mqgqj u;g ù .; l< Ôú;h tljr fjkia ùu ord .kak nE' úY%du Ôú;hg wkq.; ùu fufia Ôú;h úY%du Èúhla i|yd yev .id.kakg neß jq úg th mSvkhla njg m;afjkjd' bkamiq kskao fkdhdu" ;ry hdu" w;aj, yd ll=,a j, oo" l=IAG iE§u" ysiroh wdÈ jYfhka úúO ,laIK yg .kakjd' fuu ;;a;ajh y÷kafka ADJUSTMENT DISORDER f,isks' fuu ;;a;ajh jeä jqjfyd;a úYdo frda. ;;a;ajhg m;afjkak mq¿jka'
ie|E iufha cSú;h fifkyiska ie,iqï lr.kak
úY%du hkakg fmr l< hq;= foaj,a .ek ie,iqï lr.kak úY%du .shdu fudlo lrkafka' fndfydau fj,djg ñksiaiqkag riaidj l<dg ;ukaf.a fm!oa.,sl Ôú;hla ;sìh hq;=hs' Ôú;h iunr úh hq;=hs' iudcYS,S lula wjYHhs' úfkdaodxY wjYHhs' {d;ska w;r ne£ï wjYHhhs' fï ish¨u foaj,a Ôú;hg wjYH fjkjd' fïjd Ôú;hg f.dvla jeo.;a' fï ish,a, imsfrk iudcYS,S úY%du osúhla ie,iqï lr.ekSu Tng;a jeo.;a fjkjd' úY%du .shdg miafia wjdikdjlg jf.a fï ñksiaiq fïjdg wjOdkh fhduq lrkafka keye' taldldß Ôjk rgdjlska Ôú;h f.jd oukjd' tal j<lajd .kak kï úY%du hkak l<ska ;ukaf.a Ôjk rgdj fjkia lr .kak ´fka' újdy cSúf;a ienE wre;;a iu.ska bosßh is;kak újdy Ôú;fha wruqKQ is;g .kak ´ks' ienE fifkyi" lreKdj" tlsfkld f;areï .ekSu jeäfhkau wjYH úY%du cSú;fhaoshs' fujeks ;;a;ajhka j,g ufkda ffjoH m%;sldr .ekSug WmfoaYkhka j,g hdug ie|E jhfia fokak fouy,a,ka fm<fUkjd wvqhs' fï .eg¿ yeu flfkl=gu yex.s,d ;sfhkak mq¿jka' jeä ld,hla fokakdgu tlg .; lrkak mq¿jka fjkjd úY%du Ôúf;a§ túg bjiSfuka tlsfkld flfryS ne|Su jeä lr .kak ´fka' udkisl iykh ,nd .ekSu jvd;a jeo.;a jkafka úY%du ld,fha§ l=uk fyda jevodhs ld¾hhl kshe,Suhs' tu.ska úYd, udkisl iykhla ,efnk w;ru udkisl frda. j,g ,laùfï wjodku wvq fjkjd' ldhsl frda. j,g ,laùu wju fjkjd' wfma rfÜ jeäysá mrïmrdfõ iqN idOkh i|yd lghq;= lsÍu rchl hq;=lula jk w;r wjdikdjg ta i|yd úfYaI jevms<sfj,la ;ju;a fï rfÜ olakg fkdue;' f,dalfha fndfyda rgj, jeäysá iqnidOkh fjkqfjka úYd, jev fldgila bgq lrñka Tjqkaj wdorfhka /l n,d .kakd nj isysm;a l< hq;=hs' igyk- wkqrdOd È,sks b,kafldaka'
26
ffjoHjrhd - udisl ffjoH iÕrdj
Xylitol wdrCIs; meKsrildrlh o;a w;r ysveia we;sùu j,lajhs
m%udKj;a l%shdldÍ *af,darhsâ o;a osrdhdu j,lajhs
iafg%dafnß
ños
fodvï
ñY% m<;=re
Rs. 260/UTN Trading Company (PVT) Ltd. No. 520C, Colombo Road, Kaduwela. 2016 ckjdß l<dmh Tel: 0112 537633 / 0774 775369
27
FATTY LIVER
u;ameka ì|la f;df,a lg fkd.E whg;a yefok isfrdaisia
wlaudfõ fïoh ;ekam;a ùug uq,a jk uQ,sl ldrKhla jkqfha u;ameka mdkhhs' tfy;a u;ameka mdkh fkdl<o wlaudfõ fïoh ;ekam;a ùu ful, iq,n jYfhka olakg ,efí' fldákau mqoa.,hka iEu ;sfofkl=f.ka tla wfhl=f.au mdfya wlaudfõ fïoh jeäh'
u;ameka ì|la f;df,a lg fkd.E whg;a yefok isfrdaisia wlaudfõ fïoh ;ekam;a ùfuka we;sjk frda.hla''' u;ameka mdkh lrk Woúh frda. rdYshlg jeä jYfhka ksrdjrkh fõ' isfrdaisia hkq tjka tla frda.hls' fndfyda fofkla isfrdaisia y÷kajkafka zzu;ameka mdkh lrkakkaf.a frda.hZZ jYfhks' tfy;a u;ameka fkdfndk who isfrdaisia frda.hg k;= fõ' wm fï .ek úuiSula lruq' wlaudj oelafjkafka YÍrfha úYd,;u bkaøshhla jYfhks' nfrka lsf,da tl yudrla muK jk th msysgd we;af;a uyd m%dÖrhg háka YÍrfha ol=Kq mig jkakh' wlaudj wdY%s;j frda. /ila we;s úh yel' bka tlla jkafka wlaudfõ jeämqr fïoh ;ekam;a ùuhs' wlaudfõ uq¿ nfrka idudkHfhka ishhg 5-10 w;r fïoh mj;S' tu w.hka blaujd fïoh ;ekam;a ùu zwlaudfõ fïoh ;ekam;a ùuZ fkdfyd;a Fatty Liver f,i ye|skafõ'
28
fufia wlaudfõ fïoh ;ekam;a ùug fya;= • YÍrfha wêl ia:q,;djh • oshjeähdj frda. fhka fm<Su • we;eï T!IO j¾. Ndú;dj • reêrfha ;sfnk fldf,iagfrda,a jeäùu • jhia.; ùu;a iu.u ks;ekskau fïoh ;ekam;a ùu wlaudfõ fïoh ;ekam;a ùfï m%;sM< fndfydauhla fokdg frda. ,laIKhla fyda frda.S iajNdjhla we;s fkdfõ' fymála iaáhfgdaisia f,i y÷kajkafka fï ;;a;ajhhs'
ffjoHjrhd - udisl ffjoH iÕrdj
wlaudj ydkshg m;a ùfï mshjr ksfrda.S wlaudj
fïoh iys; wlaudj
wlaudj u; fïoh ;ekam;a ùu ksid wlaudj fnfyúka úYd, fõ
wlaudj ;ka;=uh iajNdjhg m;aùu
le<e,aiy.; mgl wlaudfõ ;ekam;a fjhs
isfrdaishdj
j¾Okh jk iïnkaOl mgl u.ska wlaud ffi, úkdY lrhs
tfy;a we;euqkaf.a wlaud ffi, ;=< wdidok ;;a;ajhla we;s fjhs' fuh fkdka we,afldfyd,sla iaáhfgd fymghsáia NSAH kï frda.S ;;a;ajhla we;s fõ'
wlaudfõ fïoh ;ekam;a ùug tfrysj .;hq;= wdrlaIl mshjr fï ;;a;ajfhka ñoSug kï wlaudfõ fïo ;ekam;= jeä jYfhka mj;sk Woúh wu;r wdrlaIdjla we;s lr.; hq;= fõ' fjfiiskau iDcqju wlaudfõ fïoh wvq lrk T!IOhla fkdue;s ksid my; ldrKd flfryS wjOdkh fhduq lsÍu keKj;a l%shdjls'
fï iaáhfgdfymghsáia ;;a;ajh os.ska os.gu mej;Sfuka wlaud ffi, úkdY ù th isfrdaisia ;;a;ajh olajd j¾Okh fõ'
• u;ameka mdkh lrk flfkla kï u;ameka mdkfhka je<lsh hq;=h' • oshjeähd frda.sfhla kï iajlSh reêr iSks m%udKh md,kh lr.; hq;=h' • wêreêr mSvkfhka fmf<k flfkla kï reêr mSvkh md,kh lr.; hq;= fõ' • fïoh ;ekam;a ùu jeä lrk T!IO .kafka kï tajd k;r l< hq;= jkafkah' • t<j¿" m<;=re" fl|s iys; wdydr iy OdkH j¾. Ndú;hg fm<ôh hq;= fõ' • uia Ndú;h wju l< hq;= fõ' • ix;Dma; fïoh wvx.= f;,a Ndú;h iSud l< hq;= fõ' • fïoh iys; lsß Ndú;h wju l< hq;= fõ'
wêl ;rndrej iys; frda.Ska" fldf,iagfrda,a jeä frda.Ska" oshjeähd frda.Ska yd jhi wjq' 45 bl=;a jQ frda.Ska fï isfrdaisia frda.hg k;= ùfï bvlv jeäh'
2016 ckjdß l<dmh
29
FATTY LIVER
u;ameka ì|la f;df,a lg fkd.E whg;a yefok isfrdaisia
• ì;a;r lyuoh wvqfjka wkqNj l< hq;=h' • iSks Ndú;ho wvq l< hq;= fõ' • iqÿ mdka" iqÿ iy,a Ndú;h wju l< hq;=h' • jeämqr fldams mdkfhka wlaudjg wdrlaIdjla ,efí' • wlaudfõ fïoh osh lsÍug jHdhduh w;HjYHh' fï ksid oskm;d jHdhduhl fhoSu iqÿiqh'
fkdkawe,afldfyd,sla *eà ,Sj¾ äiSia
wlaudj u; fïoh ;ekam;a fjhs
fïoh u; m%;sm%odysl ;;a;ajhla iy le<e,a we;sùula isÿ fjhs'
fï wlaud mgl fjkqjg le<e,a iys; mgl ia:dms; fjhs
wlaudfõ fïoh ;ekam;a ùu oek.; yels mÍlaIK • wlaudj wdY%s; fjk;a frda. ;;a;ajhla fkdue;sj SGOT / SGPT w.hka by< hkafka kï thg fndfyda úg fya;=j jkqfha wlaudfõ fïoh ;ekam;a ùuhs' • fldf;la ÿrg wlaudfõ fïoh ;ekam;a ùula isÿù w;aoehs oek.ekSug w,ag%d ijqkaâ ialEka mÍlaIKh iqÿiqh' • CT yd MRI mÍlaIK j,skao wlaudfõ fïoh ;ekam;a ùu fidhd.; yel' • wlaudfõ ffi, l%shdldß;ajh fl;rï ÿrg fjkia ù ;sfíoehs y÷kd.ekSug ,sj¾ nfhdmais mÍlaIKh isÿ flf¾' ffjoH úoHdj ms<sn|j fcHaIaG lÓldpd¾h fmardfoksh YslaIK frdayf,a ldhsl frda. úfYAI{ ffjoH ;s,la ch,;a uy;df.a lreKQ oelajSula weiqrsKs
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ffjoHjrhd - udisl ffjoH iÕrdj
HEALTHY LIVING
wdydr fõ,l wjYHfhkau ;sìh hq;= .=Kdx.
fmdaIH .=Kfhka imsß fndcqkam;la i|yd Wmfoia
wdydr fõ,l wjYHfhkau ;sìh hq;= .=Kdx. 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 hy .=Kfhka imsß cSú;hla .; lsÍu i|yd .=Kj;a wdydr j,ska ,efnkafka wkqmfïh jQ iïudouls' Y%S ,dxflah wmf.a wdydr fõ, ilia lsÍfïoS ie<lsh hq;= uQ,sl ldrKd lsysmhla miq.sh l,dmfhka wm úia;r lf<uq' wdydr fõ,l wjYHfhkau ;sìh hq;= .=Kdx. ms<sn|j wm fujr l;dnyl fhfouq' iEu Èklu m<d" t<j¿ o yels iEu Èkl u m<;=re o wdydrh i|yd tlalr .; hq;=h úgñka iy Lksc ,jK YÍrh ;=< ixYaf,aIKh l< fkdyelsh' tajd wdydr fõ, ;=<ska u ,eìh hq;=h' ,eìh hq;= m%udKh b;d iq¿h' Èklg uhsfl%d.%Eï fyda ñ,s.%Eï fyda iaj,amhla muKs' tksid tajd CIqø-fmdaIl f,i ye|skafjhs' ;o fld< meye m<d j¾." fld< fyda ly meye m<;=re iy t<j¿ iy msh,s " úgñka ta" hlv iy wfkla úgñka iy LKc ,jK iemhSug iu;a fjhs' orejkaf.a j¾Okh i|yd;a m%;sYla;s moaO;sh kxjd,Su i|yd;a úgñka ta b;d jeo.;ah' úgñka ta orejdg ;Sj% frda. ;;a;ajhka f.ka wdrlaIdj iemhSug iy <ud úfha frda. je<§fuka is¥úh yels wl,a urK wvq lsÍug o iu;a fjhs' wkaONdjh je<elaùu i|yd úgñka ta u.ska bgqjk ld¾h Ndrh b;d jeo.;ah'
hlv hlv" orejkaf.a" .eìKs uõjrekaf.a iy lsß fok uõjrekaf.a wdydr fõ,a ;=< fndfyda úg b;d iSñ;j olakg ,efnk jeo.;a Lksc fmdaIlhls' ;o fld< meye;s m<d j¾. ;=< wvx.= hlv m%udKh ie<lsh hq;= ;rïh'
y;a ud¿j" l<jï m,d ue,a¨u" ñY% t<j¿ jHdxckh wd§ Wiia fmdaIK w.hlska iy wvq úhoulska ilia lr .; yels iïm%odhsl wdydr jÜfgdare fõ'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.lk 2016 ckjdß l<dmh
31
HEALTHY LIVING
wdydr fõ,l wjYHfhkau ;sìh hq;= .=Kdx.
fmd¥fõ i,lk l<" fld< fyda ly fyda meyeh ;o jQ ;rug t<j¿ iy m<;=rej, wvx.= úgñk iy Lksc ,jK w.hka o by< hhs' lEug .; yels le,Ejg jefjk me<Eá j¾. wdydrhg tlalr .ekSu Wkka¥ l< hq;=h' úúO fld< meye m<d j¾. /ila tlg tla l< ^Wod( l,jï m<d& m<d wdydrhla wdydrhg .ekSu jvd;a iq¥iQh'
YS% ,dxlsl wdydr fõf,a idïm%odhslj wvx.= jk ;o fld< meye m<d j¾. Ndú;h ;j ;j;a ffO¾hu;a l< hq;=h' m<d fld< j¾. ;=<ska wjfYdaIKh flfrk hlv m%udKh by< oeóug foys hqI fyda úgñka iS iq,nj fjk;a t<j¿ yd m<;=re tla lsÍfuka yels nj oek isàu jeo.;a h' úúO j¾.j, t<j¿" ;o fld< meye m<d j¾. iy m<;=re Èjhsk mqrd j.d flf¾' .ïnoj iuyr j¾.j, t<j¿ iy m<;=re wjqreoao mqrd u imhd .ekSug mq¿jk' le<Ejg jefjk wdydrhg .; yels fld< j¾." j.d l< fyda fj<| fmdf<ka ñ,g .; yels fyda m<d j¾. ;rug u fmdaIHdodhS ;;a;ajfhka by<h' 32
m<d fld< j¾. msisk úg fyda f;f,ka n|sk úg fyda uD¥ ù yels,s hhs' túg tajd myiqfjkau orejdf.a m%Odk ;,mhg ^le|" fld< le|j,g o& ñY%lr ojig lSm j;djla §ug mq¿jk' t<j¿ iy m<;=re wdydr fõ,g rih iy uD¥ iajNdjhla tla lrhs' mjqf,a iefjdu th w.h lr;s' iEu mjq,la u wdydr ms<sfh< lsÍfï § yeu úg u whãka ñY% ÆKq Ndú; l< hq;=h wdydr fõ,ska ,nd .kakd whãka m%udKh fkd iEySu ksid u;= jk yeu fokdu ffjoHjrhd - udisl ffjoH iÕrdj
okakd ,laIKh kï .,.Kavh ^jdhqf.ä& f,i ye|skafjk ;hsfrdhsâ .%kaÓh m%udKfhka úYd, ùfï ;;a;ajhhs' flfia fj;;a fuhg jvd jeo.;a tfia u oDIH fkdjk ;j;a ,laIK o mj;S' .¾NSKS ujla whäka W!K;djfhka fm<Su" ldhsl iy udkisl j¾Okfha .eg¨ iys; nj iy ìysß núka hq;a orefjl=g Wm; §fï wjodkula wehg we;s lrhs' whãka W!K;dj orejl=g ish uq¿ udkisl j¾Okh idlaId;a lr .ekSfï yelshdj wjodkug ,laùug mj;akd wjia:dj by< ouk nj weiSu mjd lK.dgqodhl lreKls' whãka W!K;dfõ m%;sM,h f,i we;s jk nqoaêuh yelshdjka wvq ùu fouõmshka iy .=rejreka hk fomsßig u fndfyda úg fidhd .ekSug mjd fkdyels fjhs' whãka ñY% ¨Kq ks;r Ndú;h ;=<ska whãka W!K;dj j<lajd,Sug mQ¿jk' iEu mjq,la u ;u m%foaYfha iq,n fmdaIHodhS wdydr øjH f;dard .; hq;=h fndfyda mjq,aj, wdydr rgdj iuyr úg b;d ir,h' tfia u taldldÍh' wdydr fõ,g úúO fmdaIl iemhSug iu;a fkdfhl=;a t<j¿ iy m<;=re iEu m%foaYhl u ck;djf.a wdydr fõf,ys wvx.= njg iy;sl ùug mj;akd fyd|u ud¾.h úúO;ajh wkq.ukh lsÍuhs' ;uka fjfik m%foaYfhka u fmdaIHodhS wdydr fnda. f;dard .ekSu" wvq ñ,g WÑ; wdydr fõ,la ilia lr .ekSu iy;sl lrhs' tfia u lsishï ld,hla ;=< § wdydr j¾. lSmhl ri oek .ekSug orejkag bv yeÍuo jeo.;a' úúO jq wdydr fõ,g j¾Kfhka iy rifhka tla lrk úúO;ajh jeäysáhkaf.a wdydr reÑh W;af;ackh lsÍug o iu;a fjhs' ta ta jdrfha § ;u m%foaYfha iq,n wdydr" wdydr fõ, i|yd f;dar .ekSu ;=<ska ld,hla .; jk úg wdydr fõ,a úúO;ajhla iy ukd 2016 ckjdß l<dmh
fmdaIKhla mjq,g ysñ lr .; yels fjhs' iEu mjq,la u udOH oekaùï j, oelafjk ish¨ wdydr fmdaIHodhl;ajfha Wiia njla fyda ;uka jeh lrk uqo,g iß,k fmdaIKuh w.hla ,nd fok njla fkd is;sh hq;=h ±kaùï fndfydauhl oelafjkafka ,dN ,eîfï fõ;kdfjka hq;a wdydr l¾udka;h u.ska ksmojk wdydrh' tajd mjqf,a wdydr fõ,g fkd.e,fmkjd muKla fkdj orejkag flfiaj;a iq¥iq o fkdfõ' fujeks wdydr j, ñ, o wêlh'
mdka" fmd,a iïfnda, iy f;a fldamamhlska iukaú; ckm%sh wdydr fõ, fmdaIHodhS wdydr fõ,la kï fkdfõ'
33
HEALTHY LIVING
wdydr fõ,l wjYHfhkau ;sìh hq;= .=Kdx.
oekaùï u.ska m%pdrKh jk wdydr wêl ñ, .Kka f.jd ñ, § .ekSu" wvq ñ,lg m%foaYfhka u imhd .; yels wdydr øjH fhdod ilia lr .ekSug ;snq fyd| wdydr fõ,la mjq,g wysñ lrhs' úhoug ;snq iSñ; uqo,a m%udKh jeh jkjd muKla fkdj tu ñ, § .ekSu mjq,g .=Kd;aul fyda m%udKd;aul fyda iEfyk wdydr fõ,la iemhSug o wiu;a fjhs' wdydr ñ, § .ekSu wjYH kï" tfia jeh lrk uqo,a fmdaIHodhS wdydr i|yd u jeh lsÍu jeo.;ah' jhi wjqre¥ tlla fyda Bg jeä fyda orejka i|yd mjqf,a wfkla wh i|yd f.fkk wdydrhkaf.ka u wdydr ilia lsÍu fyd| isß;ls' tfy;a l=vd orejka fjkqfjka wdydr fjk u msi .; hq;=h' WodyrKhla f,i yd,a msh,s" ly iy fld< meye t<j¿ iy m<d j¾. tlg oud zzlsß n;laZZ f,i ms<sfh, lr orejdg Èh yelsh' l=vd orejkaf.a wdudYfha m%udKh l=vd ksid mjqf,a wka wh fuka fkdj Tjqkag ks;r ks;r wdydr .ekSu wjYHh' tl j<|l wdydr j¾. lsysmhla tlg oud msi ilia lr .kakd wdydr fj<|fmdf<ka ñ,§ .kakd wdydrhg jvd fmdaIHodhl;ajfhka Wiiah' ta i|yd oeßh hq;= úhou o wvqh' iEu mjq,la u wdydr ms<sfh, lsÍfï § Wiia fmdaIK .=Kfhka hq;a iïm%odhsl ir, wdydr jÜfgdare Ndú; l< hq;=h Wod( y;a ud¿j" l<jï m<d ue,a¨u" úúO t<j¿ ñY% jHdcxkh& by< fmdaIKuh w.h hk fh¥u wdydr fõf,a fmdaIK ixhq;sfhka ±laùug iy wvq úhoulska m%udKj;a wdydr fõ,la ms<sfh, lr .ekSu i|yd úúO wdydr ixfhda. lsÍu is¥ l< hq;af;a flfia o hkak ±laùfï § fhfohs'
34
y;a ud¿j" l<jï m,d ue,a¨u" ñY% t<j¿ jHdxckh wd§ Wiia fmdaIK w.hlska iy wvq úhoulska ilia lr .; yels iïm%odhsl wdydr jÜfgdare .ek uõjreka ±k isá;s' wdydr ñ, § .ekSu i|yd w;e;s uqo,a m%udKh iSñ; jq úg ;uka jeh lrk uqo,ska mjq,a i|yd fyd|u wdydr ñ, § .ekSu jeo.;ah' fi!LH iy fmdaIK kxjd,Sug lghq;= lrk mqyqKq msßia iu. uq,sl fmdaIK wjYH;d i<ld .ekSu ms<sn|j l< idlÉPd j,ska ÈhqKq lr .;a ±kqu iy m%dfhda.sl w;a±lSï Ndú;h ;=<ska Yla;sh" fm%daàk" úgñk" LksP ,jK wjYH;d imqrd,k ,dNodhS wdydr f;dard .ekSug yelsjkq we;'
fi!LH wOHdmk ld¾hdxYfha meje;s udOH iïuka;%Khla weiqßks'
igyk- wkqrdOd È,sks b,xfldaka
ffjoHjrhd - udisl ffjoH iÕrdj
2016 ckjdß l<dmh
35
DIALYSIS PATIENT DIET
vh,hsisia m%;sldr ,nk flfkl=g lEu îu fok yeá
vh,hsisia m%;sldr ,nk flfkl=g lEu îu fok yeá
fï wjia:dfõ miqjk frda.shd" ;uka wkqNj lrk lEu" fndk îu ffjoH Wmfoia wkql+,ju .; hq;=h' ksoka.; jl=.vq wlrKshg m;a frda.sfhl=g iqÿiq wdydr fuys oelafõ'
Y%S ,xld cd;sl frdayf,a jl=.vq tallfha m%ldYKhla weiqßks Tfí jl=.vq j, l%shdldß;ajfha kej; h:d ;;a;ajhg m;a fkdl< yels f,i wvqjla we;s jQ úg th zksoka.; jl=.vq wlrKshZ f,i y÷kajuq' jl=.vq wl%Sh jQ úg isÿ lrk m%;sldr uQ,sl jYfhka fuysoS jl=.vq j,ska lrk ld¾hh fjk;a l%uhlska isÿ l< hq;=h' fï i|yd fhdod.kakd l%u folls' 1' vh,hsisia lsÍu 2' jl=.vq noaO lsßu
36
ksoka.; jl=.vq wlrKsh iys; frda.sfhl= wdydr .ekSfïoS wfmalaIs; wruqKQ • nys>%dù wmøjH ksIamdokh yels;dla wju lsÍu' • reêr mSvkh md,khg ,la lsÍu iy yDoh l%shdldß;ajh uekúka mj;ajd .ekSu'
ffjoHjrhd - udisl ffjoH iÕrdj
• ukaofmdaIKh j<lajd .ekSu' • miqld,Skj we;s úh yels wiaÓ frda. j<lajd .ekSu' • jeämqr ;r,h isrerg we;=¿ ùfuka ;r, /|Su fya;=fjka we;sjk Yajik wmyiqj iy bosudj je<elaùu' • khsg%cka m%udKh md,kh lsÍu iy vh,hsisia m%;sldrh ksid isrerg wysñ jk weuhsfkda wï, ^fm%daàka& kej; isrerg ,ndoSu' jl=.vq frda.sfhl= iSud l< hq;= wdydr • fm%daàk nyq,j we;s wdydr 2016 ckjdß l<dmh
• yrla uia" W!re uia" t¿ uia • biaika" l+ksiaika" ll=¿jka • lrj, • ì;a;r lyuo • fílka" fidfiacia fm%daàka cS¾Kfha w;=reM,hla f,i reêrhg hQßhd we;=¿ fõ' jl=.vq frda.Ska úiska th md,kh l< hq;=h' ¨Kq" fidaähï nyq, wdydr • lrj," ákaud¿ • y;=" fidaia j¾. • ¨KQ ri ìialÜ j¾." ámsáma • ieliQ wdydr • uduhsÜ" nhsÜ" ñlaiap¾ ¨Kq wêlj .ekSu ksid isref¾ c,h /|S bosudj we;sfõ' tu.ska reêr mSvkh jeä lrk w;r yDoh wvmK lrhs' tuksid fuu frda.Ska yels;dla ¨Kq wvqfjka fh¥ wdydru .; hq;=h'
37
DIALYSIS PATIENT DIET
vh,hsisia m%;sldr ,nk flfkl=g lEu îu fok yeá
fmdgEishï nyq, wdydr • ;eô,s" l=reïnd • m<;=re iy m<;=re hqI • foys" kdrx" fodvï" ños" flfi,a" ¥ßhka • ;lald,s" w¾;dm,a • cEï j¾. • fpdla,Ü" uhsf,da" ´j,aáka • úh<s m<;=re iy t<j¿
• osklg îug kshñ; c, m%udKh fnod fjka lrf.k mdkh lrkak' • iqma oshr wdydr j, we;s c, m%udKh o kshu lr we;s c, m%udKhg we;=<;ah'
fmdgEishï jeä ùfuka yDo fmaYshg ydks isÿfõ'
¨Kq wêlj .ekSu ksid isref¾ c,h /|S bosudj we;sfõ' tu.ska reêr mSvkh jeä lrk w;r yDoh wvmK lrhs' tuksid fuu frda.Ska yels;dla ¨Kq wvqfjka fh¥ wdydru .; hq;=h'
fmdiafmAÜ wvx.= wdydr • yrla uia" W!reuia we;=¿j ish¿u i;a;aj ksIamdok • fpdla,Ü • y;= • t<j¿" m<d j¾. wêfm%daàka wvx.= wdydrj, fmdiafmaÜ nyq,j mj;S' tajd jl=.vq u.ska YÍrfhka neyer fkdjk fyhska miqld,Skj wiaÓ frda. yg.kS' fïoh yd fldf,iagfrda,a wvx.= wdydr • fïoh jeä udxY j¾. • ì;a;r lyuoh • iïmQ¾K fhdoh iys; lsß • ll=¿jka" biaika • ng¾ c,h mdkh lsÍu ms<sn|j we;s iSudjka • Tn mdkh l< hq;= c, m%udKh Tng m%;sldr lrk ffjoHjrhd fok Wmfoia wkQj l< hq;a;ls' • msg lrk uq;%d m%udKhg wkqrEmj fndk c, m%udKh iSud l< hq;=h' msmdih jeä lsÍug fya;= jk neúka ¨KQ wvqfjka wdydrhg tla lr.kak'msmdih oefkk úg uqLh c,fhka f;ukak' • WKQiqï c,h mdkhg .kak' c,h mdkhg l=vd fldamam yd ùÿre fhdod.kak' 38
fuu ,sms fm< wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.lk ffjoHjrhd - udisl ffjoH iÕrdj
wdydr ms<sn|j ie<ls<su;a úh hq;= lreKQ • le,ß wjYH;djh imqrd.ekSug ldfndayhsfâ%Ü wvx.= wdydr jeämqr ,nd.; hq;=h' • uOqfïyfhka fmf<k frda.sfhl= kï msIaGh wvq wdydr fõ,la .; hq;=h' • wdydr wreÑh m%Odk frda. ,laIKhla neúka frda.shdg reÑh okjk f,i wdydrh ilid osh hq;=h'
2016 ckjdß l<dmh
Tnf.a reÑh wkqj hï m<;=rla f;dard.kak • wem,a osklg f.ä 1$2 fyda tlla • uex.=ia • mefmd,a l=vd lene,a,la • ños f.ä 5-6la muK • fodvï ìla myla muK • wU f.ä 1$2 la ie<ls<su;a úh hq;= úfYAI lreKq • t<j¿ msiSug fyda l=vd len,s j,g lmd WKQ osh uo fj,djla ;nd j;=r ñßld yer msi.kak' • fydos bj;a lr len,s wdydrhg .kak' • t<j¿ ;ïnd j;=r fmrd yer len,s wdydrhg .kak' • jdIAmfhka ;ïnd.;a wdydrfhka j<lskak' • ì;a;r i;shlg tlla muK .kak' • osklg lsß ùÿrejla fndkak' • ud¿" l=l=,a uia osklg l=vd lene,a,la .kak' • whsial%Sï" uqojk ,o lsß iq¿ jYfhka .kak'
39
TODDLER NUTRITION
fmdä nnd,g;a wdydr wdid;añl fjkjdo@
lsß leáhdf.a wdydr ilia lrk yeá iy wdid;añl;d meálsßh
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
fmdä nnd,g;a wdydr wdid;añl fjkjdo@
waidyawaraya.lk
yeu wdydrhlau yefudagu tl jf.a m;a;shï fjkafk kE' we;eful=g we;eï wdydr .;a;u m¿ odkjd' likjd' orefjd .;a;u we;eï fj,djg fndk lsrg;a nvt<sh hkak mq¿jks' fufyu jkafk ta wdydrh YÍrfhaoS wys;lr l%shdj,shl fhfok ksihs' fï ;;a;ajh wm wdid;añl;djhla f,i y÷kajkjd'
ckaufhkau wdid;añl;d iys; mjq,aj, orejka t<lsß" we;eï <ud lsßmsá j¾." ì;a;r iqÿ uoh" iuyr ud¨ j¾." fmdä;a;kag wdid;añl;d we;slrk wjia:d ;sìh yelsh' mqxÑ ore meáfhla Ôúf;a uq,a udi lSmh we;=<; wdydr wdY%s; wdid;añl;djhlg ,lajqfKd;a" ta fya;=fjka oo" weÿu yd fiï frda. jeks ;;a;aj nyq,j oelsh yelsh' ckaufhkau wdid;añl;d iys; mjq,aj, bmfok <orejkag" wdydr wdid;añl ùfï wjodku b;du;a jeäh' fï ksid tjeks wjodkula mj;sk l=vd <orefjl=g wdid;añlckl wdydr j¾. ,nd§fuka je<lS isàug uj oekqïj;a úh hq;=h' lsishï wdydrhla ,ndÿka miq fiu jeks ;;a;ajhla W;aikak ù kï" weÿu jeks ;;a;ajhla W;aikak ù kï" weÿu jeks 40
ffjoHjrhd - udisl ffjoH iÕrdj
;;a;ajhla we;sjQ nj oekqKs kï jydu ta wdydr kej; ,nd§u k;r lrkak' fï wdid;añl;d fndfyda úg ì;a;r iqÿ uoh we;=¿j iuyr ud¿ j¾." <ore lsßmsá j¾.j,g we;súh yels nj kej; j;djla Tng u;la lr fokafka ore meáhdf.a wdydr fõ, .ek jeämqr is;kakgh'
úêu;a fukau wjêu;a fnda;,a l< áka l< wdydr j¾. wdydr úúO;ajh fjkqfjka f;dard fkd.kak úfoaYhl isg meñfKkafkl= <orejka i|yd úfoaYj, ilia lr we;s áka wdydr fnda;,a wdydr jeä fyd|gh lshd Tfí orejdg ;E.s l< yelsh' kuq;a orejdg wd.ka;=l lD;s%u wdydr ,nd fokjdg jvd jvdu iqrlaIs; iajdNdúl wdydr ,nd§u b;du m%fhdackj;ah'
2016 ckjdß l<dmh
41
TODDLER NUTRITION
fmdä nnd,g;a wdydr wdid;añl fjkjdo@
iajdNdúl wdydr ,nd§u b;du m%fhdackj;a' iajdNdúl wdydr lshkafka .iska lvd.;a .uka m<;=re t<j¿ lshd is;k uõjre wm w;r isá;s' tajd iajdNdúl wdydr f,i iaÓrju mejish yels jqj;a fuys§ wm l;d lrkafka wuqfjka wdydrhg .; hq;= wdydr hk ixl,amfhka fkdfõ'
ckaufhkau wdid;añl;d iys; mjq,aj, bmfok <orejkag" wdydr wdid;añl ùfï wjodku b;du;a jeäh'
orejdg wu;r wdydr§u
orejkag wdid;añl;d we;slrk iq,n wdid;añl;dldrl wgla
l,a ;nd.kakg fhdo.kakd ridhksl øjH tl;= fkdlrk ,o" wdydrfha iajdNdúl;ajh /flk mßÈ b;d wvqfjka ieliq wdydr ^msi.;a& jYfhkqhs' tjeks iajdNdúl wdydr l=vd is`.s;a;dg wdid;añl;d we;s lrkakg bÈßm;a jkafka wvqfjks' flfia kuq;a is`.s;a;dg fok wu;r wdydr fõ,g jeä fmdaIKhla Wfoid fkdmsik ,o t<j¿ wuqfjka fh§u kï wkqu; l< fkdyels l%shdjls'
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orejdg wdydr §u wdrïN lrk ld,fha§u iuyr uõjrekag /lshdjg hkak isÿùu ful, nyq,ju oelsh yels .eg¨jls' lsß m%Yakh kï uõ lsß fodjd ;nd tu.ska úi¢h yelsh' kuq;a orejdf.a wdydrh wdydr ilia lsÍu yd ,nd§u b;du j.lSfuka l< yels wfhl=g mejßh hq;=h' wu;r wdydr §fï§ u;=jk m%Odku .eg¨j jkafka tajd ilia lsÍfï§ ksis fmdaIK .=Kh iys;j ilia lrkakg orejd n,d .kakd wh Wkkaÿjla fkdoelaùug we;s bvlvhs' tfukau úIîcj,ska f;drj ffjoHjrhd - udisl ffjoH iÕrdj
wdydr ieliSu" orejdf.a wdydr ,nd§fï l%shdj,sh mú;%j bgqlsÍug Wkkaÿ fkdùu;a isÿúh yel' orejdf.a wu;r wdydrh iu. úIîc YÍr.; jk udOHhla meje;shfyd;a orejd mdpkh jeks frda.j,go n÷kaùug bv mj;S' lsßmsá j¾. fnda;,a wdY%s;j ,nd fokakg fm<fTk ujqjrekag ;u orejd ks;r ks;r nfâ wudrej,g ,laùu jukh nv t<sfha hEu jeks .eg¨ u;=ùug fya;=j tu Ndck rn¾ iqmamqj ksis mßÈ msßisÿ fkdlsÍu yd lsßmsá j¾. orejdg wdid;añl ùu jeks fya;= ksid úh yelsh'
msßisÿnj iEu úgu orejdg wu;r wdydr ,ndfok Ndck fyd¢ka ;ïnd fidaod úIîc tla fkdjk mßÈ ;nñka" wdydr ilia lsÍfï§ o Wmßu f,i msßisÿ nj mj;ajd .ekSu mqxÑ meáhdg .=Kodhlh' fjf<|fmdf<a rdlalj, weia tyd fuyd ÿjñka wu;r fmdaIKhg Wmldr fydhk wïu,df.a wdorKSh uõ .=Khg fï Wml%uh Wmßu f,i fhdod .; yelsh'
orejdf.a wu;r wdydrh iu. úIîc YÍr.; jk udOHhla meje;shfyd;a orejd mdpkh jeks frda.j,go n÷kaùug bv mj;S'
msh<s j¾. wdydrhg tla lrk yeá weg leã ydks fkdjq uqx weg lõms" W¿÷ jeks OdkHhla f;dard .kak' fyd¢ka fidaod îc wxl=r wefok f;la tu weg j¾. meh 48 la muK j;=f¾ fmd`.jd ;nkak' bkamiqj fuu msh,s wõfõ úh<d u| .skafka ;rula neo .kak' fyd¢ka fidaod úh<d .;a jxf. ählska fyda úÿ,s wUrkhlska fï úh<s .sh msh,s" l=vq lr.kak' lg m<,a bial=remamq uqäh iys; fnda;,hlg ta ñY%Kh fyd¢ka wiqrd
2016 ckjdß l<dmh
43
TODDLER NUTRITION
fmdä nnd,g;a wdydr wdid;añl fjkjdo@
;nd f.k orejdf.a wdydr ms<sfh< lrk úg fï ñY%Kfhka f;a yekaola muK Bg tl;= lrkak' fï l%ufhka orejdf.a wdydrfõ,g me<ùug i,ik ,o msh<s j¾.j, wka;¾.; fmdaIl YÍrhg Wrd.ekSu myiq lrjhs' tys rih yd iqj| o fmdä;a;dg wdydr .ekSfï reÑh we;s lrjhs' mqxÑ meáhdf.a wudYh fï jhfia§ b;du l=vdh' ta ksid orejdg tla jrlg .; yelafla l=vd wdydr m%udKhla muKs'
m<uq n;a fõ, fï úosyg ilid.kak udi 6 ka wrUk m<uq n;a fõ, udi 8 f;la Èh hq;af;a fldmuK m%udKfhkao lsjfyd;a th fufia mejeish yelsh' msh,s j¾." ud¿" yd,aueiaika fyda uia" t<j¿" ;o fld< meye m<d j¾." ì;a;r lyuoh yd fjk;a oE l%ufhka tl;= lrñka wdydr fyd¢ka fmdä lr ilia lr .kak' th wdrïNfha§ mqrjd.;a fïi ye¢ 2la fyda 3la jrlg fokak' th l%ufhka f;a fldamam 1$2 lg fyda Bg jeä iaj,am m%udKhla jrlg m%udKd;aulj jeä lrkak' m%Odk fõ,a folla fyda ;=kla uõlsß fõ,a m%udKhla flá wdydr fõ,a tlla fyda folla orejdf.a leue;a; wkqj ,ndfokak'
udi 9 isg 11 olajd ld,fha§ fok wdydr fï úosyg ilid .kak udi 9 isg 11 olajd ld,fha§ fmrg jvd ;rul len,s isák f,i fmdä lrk ,o wdydr yd we`.s,s ;=vqj,ska lEug .; yels wdydr y÷kajd fokak' m%Odk wdydr fõ,a 3la fyda 4la uõlsß fõ,a orejdf.a leue;a; wkqjo flá wdydr fõ,a 1la fyda 2la f;a fldamam ;=ka ld,la muK jrlg ,ndfokak'
orejdg wd.ka;=l lD;s%u wdydr ,nd fokjdg jvd jvdu iqrlaIs; iajdNdúl wdydr ,nd§u b;du m%fhdackj;ah'
Tn;a iu.u .ekSug orejdg;a wdydr osh hq;= jhi udi 12 isg 23 olajd ld,fha mjqf,a wdydr fõf,ka wdydr fmdälr fyda >k iajNdjfhka wjYH mßÈ ,nd fokak' wdydr fõ,a ;=kla fyda 4la ujqlsß fõ,a leue;s ;rula orejdf.a leue;a; wkqj flá wdydr fõ,a 1la fyda 2la m%Odk wdydr fõ,g wu;rj ,ndfokak' fuúg kï f;a fldamam 1la fyda Bg jeä m%udKhla orejdg wjYH úh yelsh' fi!LH wOHdmk ld¾hdxYfha meje;s udOH iïuka;%Khla weiqßks igyk-wkqrdOd È,sks b,kafldaka'
44
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
2016 ckjdß l<dmh
45
PHARMACOPIA
ful, iudcfha ie<lsh hq;= msßila oskm;d .kakd fnfy;la ;hsfrdlaiska
ful, iudcfha ie<lsh hq;= msßila oskm;d .kakd fnfy;la
;hsfrdlaiska ó.uqj osia;%sla uy frdayf,a T!IOfõoS ;sirx.s w;=fldar, úisks
;hsfrdlaiska hkq l=ulao @ ;hsfrdlaiska hkq ;hsfrdhsâ .%kaÓfhka >%djh jk fydafudakhls' fuh Triiodothyronine (T3), Tetraiodothyronine (T4) hkqfjka wdldr folls' ;hsfrdlaiska fydafudakfhka bgq flfrk ld¾hh l=ulao @ fuh YÍrfha ish¿u mßjD;a;Sh l%shdj,Ska md,khg wjYHu fydafudakhls' fm%daàk ixYaf,aIKh" iakdhq l%shdldß;ajhg w;HjYH fydafudakhls' l=vd orejkaf.a YÍr j¾Okhg odhl fõ' YÍrhg ;hsfrdlaiska fydafudakh ,nd fok wjia:d fudkjdo@ • ;hsfrdhsâ .%kaÓh u.ska m%udKj;a f,i fulS 46
fydafudakh ksmoúh fkdyels wjia:d j,oS' • úúO fya;= ksid ;hsfrdhsâ .%kaÓh YÍrfhka bj;a l< wjia:d j,oS ;hsfrdlaiska YÍrhg ,nd fok wdldr fudkjdo@ fuh uqL ud¾.fhka fm;s jYfhka ,nd fohs' ffjoHjrhd úiska Tng ;hsfrdlaiska T!IOh ks¾foaY lrk l%shd ms<sfj, l=ulao@ • uq,skau reêrfha TSH uÜgu mÍlaId lsÍu u.ska ;hsfrdlaiska W!K;djhla we;aoehs ffjoHjrhd úiska mÍlaId flf¾' • tys m%;sM, wkQj W!K;djhla ;sfí kï .; hq;= ;hsfrdlaiska ud;%dj ffjoHjrhd úiska ;SrKh lrKQ ,nhs' • tu T!IO ud;%dj ,nd.kakd w;r;=r reêr mÍlaIK isÿ lsÍu u.ska ud;%dj ksjeros lr.; hq;=h' ta i|yd ksYAÑ; ld,dka;r j,oS TSH ffjoHjrhd - udisl ffjoH iÕrdj
mÍlaIKh kej; isÿ lrKQ ,efí' ;hsfrdlaiska T!IOh ksjerosj Ndú;d lrkafka flfiao @ • fuu T!IOh fyd|ska l%shd lrñka wfmalaIs; fydafudakuh m%;sM<h ,nd .ekSu i|yd ;hsfrdlaiska T!IOh WoEik ysianv mdkh l< hq;= fõ' T!IOh .ekSfuka mehl ld,hla hk f;la f;a mdkh lsÍu fyda WoEik wdydrh .ekSu fkdl< hq;=h' • ;hsfrdlaiska fydafudakh ,ndf.k meh y;rl ld,hla ;=< hlv" le,aishï wvx.= T!IO fyda m%;s wdï,sl T!IO Ndú;h fkdl< hq;=h' tu.ska T!IOh kshñ; mßos wjfYdaIKh ùug ndOd we;s fõ' • l=vd orejkag fm;s .s,Sug oSu ÿIalr ld¾hhla kï fm;a; oshlr c,h iu. fmùug yelshdj ;sfí' fuu ñY%Kh idod.;a jydu fmúh hq;= w;r os.= ld,hla 2016 ckjdß l<dmh
;nd.ekSfuka T!Iëh .=K ydks ùula isÿúh yel' • iEu osklu tlu fj,djloS T!IOh ,nd .ekSuo jeo.;a ldrKhls' T!IO Ndú;h ffjoH Wmfoia fkdue;sj ys;=uf;a keje;aùu" ud;%dj wvq fyda jeä lsÍu fkdl< hq;=h' th wys;lrh' • Tn fjk;a frda.hlg m%;sldr .ekSug ffjoHjrfhl= yuqjg hk úg ;hsfrdlaiska ,nd.kakd njg ffjoHjrhd oeKqj;a lsÍu jeo.;a fõ'
;hsfrdlaiska T!IOh ,nd .ekSfuka iajNdjfhka tu .%kaÓfhka ys`.mdvq jk fydafudakuh wjYH;djh tu T!IOfhka imqrd.ekSu wfmalaId lrhs' T!IO jYfhka ,nd fok ;hsfrdlaiska fydafudakh uekúka l%shd;aul ùug kï th ,nd.; hq;af;a WoEik ysianvh' bka miqj mehla muK hk ;=re WoEik f;a fldamamh fyda fkdî isáh hq;=h' wvqu ;rfï meh nd.hla j;a hk;=re lsisjla wdydr f,i fkd.; hq;=h'
.¾NsKS uõjreka" lsß fok uõjreka fuu T!IOh ,nd .ekSu iqÿiqo @ Tn ;hsfrdlaiska W!K;djh ksid fuu T!IOh Ndú;d lrkafka kï .¾NsKS ùug m%:u fï iïnkaOfhka ffjoHjrhd iu. idlÉPd lsÍu jvd;a iqÿiq fõ' .¾NsKS iuh ;=< ;hsfrdlaiska wjYH;djh jeä jk w;r ta wkQj T!IO ud;%dj fjkia l< hq;=h' lsis úfgk fuu fm;s .ekSu keje;aùu fkdl< hq;=h' fuu T!IOh .nvd lr.; hq;af;a flfiao@ ysre t<sh yd f;;ukfhka f;dr WIAK;ajh 20-25 0C w;r .nvd l< hq;=h' 47
SOLUTIONS FOR INFERTILITY
IVF ;dlaIKh
ore iïm;a wysñ hhs wfmalaId w;ay< hqj, fj; wdorKSh ore iïm;a ;s<sK l< IVF ;dlaIKh - fojk fldgi Wish Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr MBBS (Sri Lanka) MD (Gyn. & Obs - Infertility) China Pg. Dip. (Andrology) - Monash - OUSL Master of Clinical Embryology- (Monash, Australia) SLMC Reg. No. 20800
uy;d iu. l< idlÉPdjla IVF ;dlaIKh hkq ridhkd.dr l%shdj,shla' fuysoS fï lghq;= isoaO fjk ridhkd.drh ljr wdrlaIl úêúOdk j,ska hqla; úh hq;=o @ iEu ridhkd.drhlu uekúka ie,iqï l< úfYAIs; tall j,ska hqla; úh hq;=hs' ;;a;aj md,kh" ;;a;aj idlaId;aNdjh uQ,sldx.
iqúfYAIS ;;a;aj hgf;a äïn ú;rla fkdfjhs" Y=l%dKQ jqK;a wjqreÿ 10la fyda Bg;a jeä ld,hla iqrlaIs;j ;nd.; yelshs' uereKQ flfkl=f.a jqK;a jydu isÿ lrkjd kï Y=l%dKQ ;ekam;a lr.; yelshs' Y=l%dKq u;= m%fhdackh msKsi fï wdldrfhka oS¾> ld,hla wdrlaId lr.; yelshs' 48
úh hq;=hs' iEu l<,fõosfhlau mdfya ;u rdhkd.dr l%shd;aul ud¾f.damfoaYK l%shdj,shlg wkq.;j isÿ lrkjd' fï l<, ilia lsÍu i|yd ridhkd.drhl ks¾udKh lrk mßirh ujf.a .¾NdIhg fnfyúkau iudkhs' th tfiau úh hq;=hs' tfiau wdidok we;s ùfï wjodku Y=kH úh hq;=hs' l<, jefvkafk bkalshqfíg¾ j,' tajd fufyhùug úfYAI ksmqK;djhla" ie<ls,a,la wjYH fjkjd' ,nd.kakd äïn j, .=Kd;aul;djh ;yjqre lr.kafka flfiao @ l%shdj,sh wjika jQ miqj fldmuK îc m%udKhla l=fia ;ekam;a lrkjdo hkak ksYaph lr.kafka flfiao @ ldka;djf.a jhi" W;af;ack l%shdj,sh iy ridhkd.dr ;;a;aj j, isg ujf.a .¾NdIhg äïn
ffjoHjrhd - udisl ffjoH iÕrdj
udre lsÍfï l%shdj,sfha ld¾hlaIu;djh u; l<, îc j, .=Kd;aul;djh ;SrKh fjkjd' iuia; l%shdj,sfhau wruqK jvd;au .=Kd;aul ;;a;ajfhka Wiia äïn ujf.a l=i ;=< ;ekam;a lsÍuhs' ;ekam;a lrk äïn m%udKh ;SrKh lrkafka fya;= lsysmhla u;hs' ia:dms; lrk äïn j, .=Kd;aul;djh" hqj,f.a wjYH;djh jf.au fldmuK ixfiaÑ; îc ;sfnkjdo hk ldrKh;a fuysoS jeo.;a jkjd' äïn fldmuK ld,hla iqrlaIs;j ;nd.; yelso @ uereKQ flfkl=f.a Y=l%dKQ ,ndf.k tajd iqrlaIs; lr.; yelso @ iqúfYAIS ;;a;aj hgf;a äïn ú;rla fkdfjhs" Y=l%dKQ jqK;a wjqreÿ 10la fyda Bg;a jeä ld,hla iqrlaIs;j ;nd.; yelshs' uereKQ flfkl=f.a jqK;a jydu isÿ lrkjd kï Y=l%dKQ ;ekam;a lr.; yelshs' Y=l%dKq u;= m%fhdackh msKsi fï wdldrfhka oS¾> ld,hla wdrlaId lr.; yelshs' ixfiaÑ; îch ;ekam;a lsÍfuka miqj m<uq .¾NsKS mÍlaIKh (Pregnancy test) isÿ lrkafka fldmuK ld,hlskao @ l<,rEmh .¾NdIfha ;ekam;a lsÍfuka osk 14lg miq .¾NsKS mÍlaIKhla isÿ l< yelshs' weh fï l%shdj,sfhka wiu;a jqfKd;a'''' wehg kej;;a W;aidy l< yelso @ ta fldmuK ld,hlskao @ YS;kh l< äïn ;sfíkï tajd ;ekam;a l< yelshs' hï fyhlska kej;;a kjH pl%hla iïmQ¾K l< hq;= hhs ks¾foaY fõ kï leu;s jdr .Kkla" .=Kd;aul äïn ,efnk ;=re tho l< yelshs'
2016 ckjdß l<dmh
Y%S ,xldfõoS ore iïm;a ,eîfï fodaI iys; hqj, fj; IVF ;dlaIKhg Ndckh ùfï wjysrhla k;so @ lsisu ndOdjla kE' thg ks;Hdkql+, m%;smdok ;sfnkjd' tfiau úYAjdikSh;ajh yd ryiHNdjh wdrlaId lsÍug;a ffjoHjreka ne|S isákjd' fï yd iïnkaO iodpdrd;aul wjYH;d fudkjdo @ fï ld¾hhg iafõÉPdfjka tl`. jk njg ,sÅ;j tl`.;dj m< lsÍu jeo.;a' fuh mD:q, jYfhka ffjoH wdpdr O¾u Ndú;d fjk flafIA;%hla' fjk;a ldka;djlf.ka äïn ,nd.ekSu" (Donor embryo) flfkla fjkqfjka fjk;a ldka;djl ore .en oeÍu (surrogation)" 49
SOLUTIONS FOR INFERTILITY
IVF ;dlaIKh
w;ayod ne,Sula uq,a jrg isÿ jQfha ljodo @ uq,skau tx.,ka;fhaoS 1978 j¾IfhaoS' fï wdldrfhka Wmka oshKshf.a ku ¨ù n%jqka' wfma rfÜ uq,au orejd IVF ;dlaIKfha orejd ìys jQfha 1990 j¾IfhaoS'
f,dj m%:u k, oeßúh ¨ù n%jqkaf.a Wm; tod mqj;am;a u.ska jd¾;d l< whqre Wmosk orejdf.a ,sx.sl;ajh úuiSu (sex selection) ffjoH úoHdfõ iodpdrd;aul .eg¿ we;s fkdjk wdldrfhka úi|d.; hq;= m%Yak' fjk;a ldka;djl fï l%shdj,shg iïnkaO lr .ekSfïoS ,sx.sl frda." úfYAIfhka tAâia úIîc fkdue;s njg idlaId;a lr.; hq;= fjkjd' tmuKla fkdfjhs" ta wh hïlsis ld,hla hï tjka wjodkï iy.; frda.hla fõ kï th msg oeófï wjldY ,ndoSfï ld,hla (quarantine period) .; l< hq;= fjkjd' IVF ;dlaIKhg uq,k s u a k< ore Wm;la f,dalfha isÿ jQfha ljr j¾Ifhao@ Y%S ,xldfõ fujka 50
IVF ;dlaIKh weiqf¾ ore iïm;la ,nd. ekSu i|yd hk úhou fl;rïo @ o< jYfhka remsh,a ,laI myla muK jeh fjkjd' ta;a äïn yjqf,a fnod .ekSfï ;dlaIKhg wkq.; jqfKd;a fï úhou wvlskau wvq lr.; yelshs' fï l%shdj,sh ;=< msßjeh wvq lr.ksñka .=Kd;aul fiajdjla ,ndoSug kjH l%u y÷kajd oSug wm W;aiql fjñka isákjd' fï flafIA;%h ;=< kj y÷kajdoSï fudkjdo @ ICSI (Intracyto Plasmic Sperm injection) idfmalaIj kj l%uhla f,i fmkajd osh yelshs' fï ksid oeka ksire;djfhka fmf<k msßñkag;a ore iqr;,a ne,Sfï ffjoHjrhd - udisl ffjoH iÕrdj
wjia:djla Wod fjkjd' w¿;a ;df,a YS;k l%u miq.sh ld,h ;=< fï flafIA;%hg y÷kajd oS ;sfnkjd' ksoiqkla f,i Vitrification l%uh oelaúh yelshs jvd;a ksfrda.S orejka ìys lsÍug PGD (Pre Implantation Genetic Diagnosis) wdoS m%fõKsl mÍlaIK Wmfhda.S fjkjd' fï wdoS jYfhka fï flafIA;%fha Wiia kjH ;dlaIKhka ksn|ju Ndú;d fjkjd' fï kjH ;dlaIKh ,xldfõ Ndú;fha ;sfnkjdo @ PGD kue;s m%fõKsl 2016 ckjdß l<dmh
úuiqï ;dlaIKh yer wka ish,a,lau mdfya wfma rfÜ fhdod .kakd nj i;=áka lshkakg leu;shs' fï mÍlaIKh;a kqÿf¾oSu wfma rfÜ Ndú;d jkjd we;s' ore iïm;a fkdue;s hqj, fj; Tn fok mKsúvh l=ulao @ jhi;a iu.u ore iïm;a ,eîfï yelshdj iS>%fhka wvq fjkjd' fï ksid újdyfhka miq oS¾> ld,hla uq¿,af,a fjk;a Wmdhsl l%u wkq.ukh l<;a id¾:l;ajhla fkdue;s hqj, bkakjd kï fï IVF ;dlaIK jevigyklg fhduq jqfKd;a fyd|hs' fuu.ska Tfí wNs,dIh bgq lr.ekSfï wk.s bvlvla ;sfnkjd' uQ,H ÿIAlr;d ;sfhk whg äïn yjq,a jevigyklg odhl ùfuka ie<lsh hq;= uqo,la wvq lr.ekSug;a yelshdj ;sfnkjd' ore iïm;a m%udo ùu iïnkaOfhka Tng we;sjk .eg¿ i|yd úuikak 077 3273 866" 011 2836 780 51
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'
WISH Fertility & IVF Clinic
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No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda , Sri Lanka. Tel: 011 2836 780. 077 3273 866 E mail: wishiuiivf@gmail.com ffjoHjrhd - udisl ffjoH iÕrdj Web: wishiuiivf.com
MIND MATTER
udkisl frda. fia fkdfmfkk udkisl frda. ;=kla
udkisl frda. fia fkdfmfkk udkisl frda. ;=kla úfYaI{ ffjoH Wmfoia weiqßks w;S;hg idfmalaIj j;auka ck iudch ;=< udkisl frda. iïnkaO úfYaIs; ±kqula ;sfí' tfy;a Èú kid .ekSug ;e;a lsÍu" orejkaf.a wêl uqrKavq nj iy u;aøjH i|yd weíneysùu wdÈh udkisl frda. jYfhka ie<flkafka ke;' tfy;a fuu ;;a;ajhka ;=ku meyeÈ,s f,iu udkisl frda. jYfhka kï l< yels w;r fun÷ ;;a;ajhkaf.ka miqjkakjqka ksis ufkda ffjoH m%;sldr fj; fhduq l<fyd;a Tjqka tu wdmÞjkaf.ka .,jd .ekSug Tng o yelsjkq we;'
2016 ckjdß l<dmh
53
MIND MATTER
udkisl frda. fia fkdfmfkk udkisl frda. ;=kla
Èú kid .ekSug ;e;a lsÍu ^Deliberate Self harm& —ug kï ±ka Ôúf;;a tlal tmd fj,hs ;sfhkafka@˜ fndfyda fokl= ;u Ôú;fha w;Dma;su;a nj l,lsÍï iy.; nj wkHhkag mejiSug tfia mjikq wms fldf;l=;a wid we;af;uq' tfy;a iuyreka th jpkhg muKla iSud fkdfldg l%shdjg kexùug fjr ork wjia:d o ;sfí' fndfyda fõ,djg by; yeisÍug hul= fm<fUkafka m%Yak úi|d .ekSug we;s fkdyelshdj ksihs' is;du;d lghq;= fkdfldg wdfõ.Ys,Sj lghq;= lsÍu o fufia ùug n,mdk ;j;a fya;=jla úh yel' iuyr úg ;uka Èú kid .ksñka wkHhkag mdvula b.ekaúh yels hehs is;kafkda o wm w;r isá;s' fufia Èú kid .ekSug ;e;a l< fndfyda fokl= tu l%shdj iïnkaOfhka tA fudfydf;a ±ä lïmdjg;a miq;eú,a,g;a m;a fj;s' tfy;a fï iïnkaOfhka fndfyda fokl= fkdo;a lreKla o ;sfí' is;d u;du ;u Ôú;hg wk;=rla jk lghq;a;la isÿ lsÍu udkisl frda. hl ,laIKhla o úh yelsj ;sîuh' Èú kid .ekSï iy úYdo frda.h ^depression& w;f¾ Rcq iïnkaOhla we;s nj f,dj mqrd isÿ l< m¾fhaIKj,ska ikd: ù ;sfí' úi|d .ekSug wudre m%Yakhla ;sfí kï th úi£ug we;s fjk;a l%u .ek is;kak' jeäysáfhl=f.ka Wmfoila .kak' mkaif,a iajdóka jykafia iu. idlÉPd lrkak' ke;skï frday,g meñK ffjoHjrhd uqK. efikak' tfukau iEu m%Yakhlu iajrEmh ld,fhka ld,hg fjkia jk nj o jgyd .kak' ffjoHjrhd tA ;eke;a;dg udkisl frda. hla we;ehs is;hs kï frda.shd udkisl frda. idhkhg fhduq lrkq we;' ±kg f,dj mqrd Èú kid .ekSï j<lajk l%u iy Èú kid .ekSug 54
fm<öfï ;;a;ajhka ^suicide attempt& msgq olsk kùk l%u ;sfí' tfy;a tA w;ska Y%S ,xldj ;ju;a miqjkqfha b;d fkdÈhqKq m%d:ñl uÜgulh' miq.sh ld,fha ud;r m%foaYfha tla;rd ia:dkhlska lsysm fokl= jßka jr Èhg mek Èú kid .ekSï uq,afldg tu ia:dkfha wdrlaIs; jegla iú lrùug fhdackd jQ wjia:djla udOH u.ska m%ldY jQ wkaou wmg u;lh' w;Sidrhg wuqv .eiSu hkqfjka wmf.a me/kakka y÷kajk ,oafoa fujka úi÷ï úh hq;=h' u| wjOdk wê l%shdldÍ frda.h ^Attention Deficit Hyperactivity Disorder& u;=msáka ±ä wlSlrelula fia fmfkk fuh o udkisl frda.hls' th olakg ,efnkafka ,dnd< orejka fj;sks' úfYaIfhkau mdi,a hdu wdrïN lsÍu;a iu. frda. ,laIK fj; wjOdkh
ffjoHjrhd - udisl ffjoH iÕrdj
fhduqùu ±lsh yelsh' fuu frda.fha m%Odk ,laIK jkafka" • wêl l%shdldÍ .;sh • wjOdkh tl wruqKl ie,lsh hq;= ld,hla fhduq lrf.k isàug fkdyels lu • wdfõ.YS,S ùu • mdi,a lghq;= ksis mßÈ isÿ fkdlsÍu mdi,a .=re;=ud$.=re;=ñh fuu frda. ,laIK fndfyda fõ,djg ksÍlaIKh lr foudmshka ±kqj;a lrkq we;' T!IO m%;sldr u.ska b;d fyd¢ka frda.h md,kh lsÍug mq¿jk' tfy;a fujka ;;a;ajhla we;s jkqfha .%y wm, fyda wukqIH ne,aula ksid hehs is;ñka ksis úi÷ï lrd fhduqùu w;miq l< fyd;a m%Yakh Èfkka Èku W.% w;g yeßh yel' tksid Tnf.a orejdg;a by; frda. ,laIK we;skï mka;s Ndr .=re;=ñh iu. o idlÉPd lr ufkda ffjoH idhkhg meñK ffjoHjrhd uqK .efikak' túg orejd tu ;;a;ajfhka uqojd .ekSug ffjoHjre iu;a jkq we;' u;aøjH i|yd weíneysùu ^Substance Dependence& u;aøjH i|yd weíneys ùu krl mqreoaola fia fndfyda fokdg yeÕ=K o th o udkisl frda.hls' u;aøjH" ÿïjeá" .xcd wd§ ish,a, u;aøjHhkah' ffjoH m%;sldrj,ska by; u;aøjH i|yd weíneysùu b;d fyd¢ka md,kh l< yelsh' tfy;a tA ms<sn|j ksjerÈ ±kqula ;ju;a iudcfha jHdma; ù ke;' u;aøjHj,g weíneysh bÕs lrk ,laIK • fmr Ndú;d l< m%udKhg jvd ±ka jeämqr u;aøjH Ndú;d lsÍu • u;aøjH ,ndf.k ke;s úg th ,nd .ekSug we;s ±ä wjYH;dj • u;aøjH Ndú;h kj;d .ekSug fyda wvq lsÍug we;s fkdyelshdj • Ôú;fha wfkla ldrKd mfil ,d u;aøjH miq miu yUdhdu 2016 ckjdß l<dmh
• ;udg óg fmr i;=g ,nd ÿka lghq;= wu;l lr fyda kj;ajd tA fjkqjg o u;aøjH Ndú;d lsÍu • u;aøjH Ndú;fhka ;udf.a fi!LH msßfyk nj ±k ±ku ;j ÿrg;a tAjd Ndú;d lsÍu u;aøjH Ndú;d lrkakjqkag uq,§ by; frda. ,laIK ke;;a miqj flfuka by; ,laIK we;súh yel' ula ksido h;a u;aøjH ksid fud<fha ridhk øjH fjkia jk neúks' tksid u;aøjHj,g fhduq ù ys¢kakjqkaf.a j¾;udk ;;a;ajh flfia jqj;a Tjqka yels;dla blaukg ufkda ffjoHjrhl= fyda ufkda ffjoH idhkhla fj; fhduq l< hq;=h' fkdtfia kï tu frda.shdg fiau Tyqf.a mjqf,a ×;Skag;a fmdÿfõ uq¿ ck iudchg;a iqúi,a whym;la w;aúh yel'
55
RESPIRATORY DISEASES
fiïm%;sYHdj" y;sh iy weÿu
ffjrihlska yefok fiïm%;sYHdj orejkag ks;ru yefokafka ke;' udi 2 lska fyda 3 lska ;uhs th yefokafka'
fiïm%;sYHdj" y;sh iy weÿu iqj fjkafka ke;s fmdâvdf.a fiïm%;sYHdjg fï úosyg m%;sldr lruq Wmfoia - fnd/,a, ßÊfõ wd¾hd <ud frdayf,a fkajdisl <ud frda. úfYaI{ ffjoH wfkdaud wfí.=Kj¾Ok fiïm%;sYHdjla È.gu mj;skjd kï th fndfyda úg mSki ùug mq¿jka' fiïm%;sYHdj iajNdjhg wu;rj ;j;a frda. ,laIK lsysmhlau fï wjia:dfõoS orejdf.ka olskakg ,efnkjd' mSki lshkafka l=uk frda. ;;a;ajhlao@ fuh l=vd orejka w;r ks;r olskakg ,efnk frda.S ;;a;ajhls' kdifhka ks;ru fidgq Èhr .e,Sula isÿ fõ' ;j;a ,laIKhla" ks;r kdifha ysrùula fmfkkakg ;sîu' yÈisfha iEfok fiïm%;sYHdj fkfuhs" fuh ks;r ;sfhk fohla' úfYaIfhkau kdia l=yrh wjg ud¾.h m%odyhkag wdidokhlg fyda wid;añl;djhkag f.dÿre ùfuka mSki je<f|kjd' úúO wdid;añl;djhka ;sfhkjd" wid;añl;djhka ksid mSki we;s jq úg yg .kakd frda. ,laIK fudkjdo@ fndfyda fõ,djg mSki iEfokafka fkdfhla úêfha wid;añl;dj,ska j,ska' tl tl orejdg wkQj fï wdid;añl;dldrl fjkia fõ' iuyr whg lEu ksid" iuyrla whg ÿú,s wd>%dKh ùu ;=<ska" ke;akï iS;, iq<`.g" ;j;a orejkag kEjqjdu fiïm%;sYHdj yefokjd'
56
ffjrihlska yefok fiïm%;sYHdj orejkag ks;ru yefokafka ke;' udi 2 lska fyda 3 lska ;uhs th yefokafka' fldfydka yß fnda jqK;a yefokjd' kuq;a frda. ,laIK tl jf.a'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.lk
ffjoHjrhd - udisl ffjoH iÕrdj
kuq;a mSki iEfokafka tfyu fkfuhs' yeuodu fiïm%;sYHdj ;sfhkjd' fndfyda fj,djg Wfoa mdkaor ;sfhkjd' oj,a ld,hg wvq fjkjd' tfyu ke;sj rd;%s ld,hg ;sfhkak mq¨jka' tfyu;a ke;skï mSki ksid úIîc .sys,a,d meij,d kj;skak ke;sj È.= ld,hla ;sfhkak mq¿jka' fuu ;;a;ajh wjqreoaog jeä <uhskaf.a jeäùula fmkakqï lrkjd'
mSki yskaod weÿu yg.kafka keye' tlu ldKafâ frda.' mSki ;sfhk <ufhl=g weÿu ;sfhkak mq¨jka' iuyr <uhskag mSki ú;rla ;sfhkak mq¨jka' iuyr <uhskag mSki;a ;sfhkjd' weÿu;a ;sfhkjd'
2016 ckjdß l<dmh
wid;añl;djhka ksid kdifhka fidgq oshr .e,Su" weia leiSu" weia j,ska lª¿ .e,Su" kdih leiSu jeks frda. ,laIK fmkakqï lrkjd' fndfyda l=vd <uqka fndfyda úg fuu wid;añl;djhka ksid we;s jk frda. ,laIK ksid mSvdjg m;a fjkjd' l=uk fyda wdidokhl§ we;sjk frda. ,laIK ljf¾o@ kdih wjysr ùu yd .| iqj| fkdoekSu wdidokhl§ yg .kakd iq,n frda. ,laIKhs' fndfyda fõ,djg ÿú,s j, ke;akï mßirfha ;sfhk úI ÿï j,g" u,a f¾Kq j," i;=kaf.a f,dï j,g" we;eï fi,a,ï nvq j,g ^fgä fnhd& jeks foaj,a orejkaf.a wdidok ksid we;sjk mSkig m%n,j n,mdkjd'
57
RESPIRATORY DISEASES
fiïm%;sYHdj" y;sh iy weÿu
iuyr whg fidgq Èhr .,kjd muKhs' iuyr whg weia likjd' weia r;= fjkjd' l÷¿ .,kjd jeks ;;a;ajhka ;sfhkak mq¿jka' kuq;a fndfyda fõ,djg tlu frda. ,laIK u;= fjkjd' tl tl fya;= ksid yefok frda. ,laIK tlhs' l=vd orejkag ks;ru fiïm%;sYHdj yefokjd' fiïm%;sYHdfõ;a mSkfia;a fjki y÷kd .kafka flfiao@ fndfyda úg fiïm%;sYHdj yefokafka ffjria wdidok ksihs' fuh ojia follska ;=klska jdf.a blaukskau ikSm fjkjd' mSki yefok orejdg Wfoa ke.sák fj,dfõ isgu fidgq Èhr .,kjd' kEfjd;a yefokjd' ÿú,a,g .sfhd;a yefokjd' úúO wdydr j¾. lEjdu yefokjd' Wfoa ke.sgmq fõ,dfõ kdifha ysrùu ;sfhkjd' lsúiqï f.dvla tlmdrgu f.dia jeäfjkjd' fï ;;a;ajh È.gu ;sîu mSkia ;;a;ajhhs' frda.fha iajNdjh wkqj mSki mj;sk ld, iSudj fjkia fjkjdo@ fuh wfma rgg t;rïu n,mEula lrkafka keye' kuq;a fndfyda fõ,djg Wfoa mdkaor fuu frda.h W;aikak ùula" jeäùula fmkakqï lrkjd' ta;a oji mqrdu;a ;sfhkjd' ÿú,s ksid mSki yefok orefjla kï Wfoa mdkaor ú;rla fkfuhs oj,ag;a fï ;;a;ajh ;sfhkjd' iS;, yq<x ksid mSki yefok orefjla kï Wfoa mdkaor jeähs' oj,a fjkfldg wvq fj,d hkjd' kEjyu mSki yefok orefjla kï kdjmq .ukau ;sì,d lsúiqï f.dvla tl È.g .sys,a,d' jeäfj,d" ke;sfj,d hkjd' mSki iqj l< yelso@ fuh md,kh lrkak mq¿jka' md,kh lr f.k hoa§ <uhd f,dl= fjkfldg ishhg 75 muK fokdg wvq fj,d wvq fj,d hkjd' wjqreÿ 12-13 58
f,dal fi!LH ixúOdkfha 2025 b,lal mSkfiaoS yeuodu fiïm%;sYHdj ;sfhkjd' fndfyda fj,djg Wfoa mdkaor ;sfhkjd' oj,a ld,hg wvq fjkjd' tfyu ke;sj rd;%s ld,hg ;sfhkak mq¨jka'
jk úg we;af;kau th fndfydaúg wvq fj,d hkjd' mSki ;sfhk tl orejdg f,dl= .eg¿jla' mdi,a lghq;= yßhg lr.kak fkdyels ;;a;ajhla Wod fjkjd' §¾> ld,hla m%;sldr lsÍfuka fï ;;a;ajfha md,khla isÿfjkjd' mSki È.gu meje;=kfyd;a mSki ksid weÿu yg .kakjdo@ mSki yskaod weÿu yg.kafka keye' tlu
ffjoHjrhd - udisl ffjoH iÕrdj
ldKafâ frda.' mSki ;sfhk <ufhl=g weÿu ;sfhkak mq¨jka' iuyr <uhskag mSki ú;rla ;sfhkak mq¨jka' iuyr <uhskag mSki;a ;sfhkjd' weÿu;a ;sfhkjd' mSki lshk tl yeuodu ;sfhkj kï talg úIîc .syska meijkak mq¨jka' t;fldg È.gu ;sfhk mSki orejdg f,dl= .eg¨jla'
mSki md,kh lrkak mq¿jka' md,kh lr f.k hoa§ <uhd f,dl= fjkfldg ishhg 75 muK fokdg wvq fj,d wvq fj,d hkjd' wjqreÿ 12-13 jk úg we;af;kau th fndfydaúg wvq fj,d hkjd'
fï úIîc meijk .;shg wdjdu lK weiSu wvqfjkak mq¿jka' T¨fõ fiu ysrfjk .;shla tkak;a mq¨jka' lk meijk .;shla tkak;a mq¿jka' yeu orejdgu tfyu fjkafka keye' ál fofkl=g jdf.a ta jf.a ixl=,;djhka we;s fjkjd' mSki orejka w;r iq,no@ biairg jvd oeka iq,nhs' mSki orejka w;r j¾Okh jkafka mßir ÿIKh" lD;s%u ridhk j¾. yd wmú;% ÿu ksid iajik frda. nyq, ùfuka' mSkig m%;sÔjl wjYHo@ mSkig m%;sÔjl wjYH fjkafka keye' úIîc hla we;=,a fj,d ixl=,;djhla we;s jq úg m%;sÔjl wjYHhhs' ujqmshkag fok WmfoaYh l=ulao@ y;sh" mSki" l=IaG frda. fïjd tlu mjqf,a frda.hs' fujeks frda. ;;a;ajhka we;s mjq,a oekqj;a ùu b;d jeo.;a' iuyr <uhskag fmdäu ldf,a l=IaGh jf.a ;sfhkjd kï we;eï úg Tyqg fyda mjqf,a fjk;a flfkl=g y;sh jf.a yefokak mq¿jka' fï .ek ujqmshka oekqj;a ùu fyd|hs' igyk - wkqrdOd È,sks b,kafldaka
2016 ckjdß l<dmh
59
PREGNANCY
we;eï ldka;djkag ksjqka orejka ,eîfï bvlv jeähs
we;eï ldka;djkag
ksjqka orejka ,eîfï bvlv jeähs m%ij yd kdßfõo úfYaI{ ffjoH tia î tAlkdhl
lsh,d ±k .kak fndfyda ldka;djka Wkkaÿ fjkjd we;s' ksjqka orejka yg .kakd m%Odk l%u ksjqka orejka yg .kakd m%Odk l%u folhs' 1' tl äïnhla ixfiapkh ù th folg fn§ iEfok i¾j iu ksjqka orejka' fuh ffjoH úoHdfõ Uniovular twins hkqfjka ye¢kafjk w;r Identical twins hkqfjkao idudkHfhka jHjydr fjkjd'
ksjqka orejka ìysùu iq,n fohla fkdjQj;a ksjqka orejka fofofkl= ìysùu ÿ¾,N fohl=;a fkdfõ' tA jf.au fofofkl=g jeä m%udKhla ksjqka orejka ,eîu;a b|ysg fyda wikakg ,efnkjd' orejka lsysm fofkla ,nkak leu;s ujlg jqj;a ksjqka orejka ìys jQ l, tljr ì<s÷ka fofofkl= we;s ±ä lsÍu wmyiq ksid ldf.a fyda Woõ Wmldr .kakg isÿ fjkjd' tjeks flfkla ke;akï uj .eg¨ rdYshlg ueÈ fjkjd' fï ksid ksjqka orejka yg .kafk wehs 60
2' tljr äïn folla ksl=;a ù tA äïn fol Y=l%dKq folla iu. ixfiapkh ù iEfok fkdiu ksjqka orejka' fuh ffjoH úoHdfõ Binovular twins hkqfjka ye¢kafjkjd' idudkH jHjydrfha Ndú;d jkafka Non Identical twins f,iskqhs'
ffjoHjrhd - udisl ffjoH iÕrdj
l,d;=rlska wjia:djloS ixfiaÑ; äïnh ^ihsf.dgh& uq,a foi;shl ld,hloS l<,rEm folla f,i fjk fjku úlikh fjhs' túg fï N%eK i¾jiu ksjqka Monozygotic hkqfjka y÷kajhs' fï ihsf. dghla tfia fnoSug ,lajk ld,h wkQj ta tl tlla ihsf.dgh ;=< mg,hlaa iy jeoEuy ks¾iudKh fõ' ke;fyd;a fïjd yjqf,a fnod.kshs' fï fnoSu jvd;a m%udo ù isÿjqfKd;a foìä orejka we;súh yel
äïnhla Y=l%dKqjla iu. ixfiapkh jQ miq t;ek ñÈ fmdl=rla n÷ ffi, fmdl=rla yefokjd' fï ffi, fmdl=frka ;uhs w;a md wd§ jQ wx. ks¾udKh ù orejl= ielfikafka' fï ffi, fmdl=r iudk fldgia follg fn§ orejka fofofkl= f,i ks¾udKh fjkak;a mq¿jka' fï orejka tlu äïnhla folg fn§ yefok orejka ksid tlu cdk iys; tlu ,sx.fha orejka fjkjd' tA lshkafka tlaflda tA fofokd .eyekq orejka fofofkla' ke;akï msßñ orejka fofofkla' by; lS mßÈ ixfiapkh ù iEÿKq ffi, fmdl=r fldgia lSmhlg fnÿfKd;a tA fnÿKq m%udKhg wkqj iu ksjqka orejka ìys úh yelshs' tlu wd¾;j pl%hl§ tljr äïn folla ldka;djlg tlu wd¾;j pl%hl§ tljr äïn folla ksl=;a úh yels wjia:d ;sfnkjd' tA wkqj tA äïn folu Y=l%dKq folla iu. ixfiapkh jqfKd;a túg iEfokafk fkdiu ksjqka orejka nj by; i|yka l<d' fï orejka .eyekq orejka fofofkl= fyda msßñ orejka fofofkl= fyda tA;a ke;akï .eyekq orejl= iy msßñ orejl= jYfhka ìys úh yelshs' fï 2016 ckjdß l<dmh
orejka fofokd ;=< wr ;rï f,dl= iudklï kE' tlu wd¾;j pl%fha§ äïn lSmhla ksl=;a ù tA ish¨ äïn Y=l%dKq iu. ixfiapkh ùfuka tA m%udKhg wkqj fkdiu ksjqka orejka ìys ùfï wjldYhlao ;sfnkjd' ±kg ;sfnk jd¾;dj,g wkqj tla ore Wm;a wiQjlg ksjqka ore Wm;a tlla jYfhkqhs mj;skafka' ;=ka ksjqka orejka ,eîfï yelshdj Bg;a jvd úr,hs' isõ ksjqka mia ksjqka wd§ jYfhka ixLHdj ;j ;j;a jeä jk m%udKhg wkqj tjeks orejka ,eîfï iïNdú;djo 61
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we;eï ldka;djkag ksjqka orejka ,eîfï bvlv jeähs
l%ufhka wvq ù hkjd' kuq;a ksjqka orejka ,eîfï yelshdj w;S;hg jvd ±ka by< f.dia we;s njo i|yka l< hq;=hs' ksjqka orejka ful, jeä wehs @ ksjqka orejka yg .ekSu m%Odk jYfhka isÿjk l%u fol by; i|yka l<d' ksjqka orejka ye§ug n,mdk fya;= .ek ±ka úuid n,uq' fnoSu isÿfjk ld,h
fudre,dj
wfma rfÜ oka ldka;djkaf.a u| ireNdjh by< hñka ;sfnkjd' fuhg n,mdk fya;+ka fndfyduhs' tA w;r wOHdmk lghq;= wdÈh ksid m%udo ù újdy ùu" ks;r udkisl wd;;sfhka miq ùu" äïnfldaIj, ;sfnk úúOdldr frda. ;;a;ajhka" tkafvdfuá%fhdaisia frda.h" wkshï iïnkaO;d fmrg jvd jeä ùu ksid ,sx.dY%s; frda. ye§fï wjÞku by< f.dia ;sîu wdÈh m%Odk jYfhka ±laúh yelshs'
í,iafgdisiagh
frdams; í,iafgdisiagh
ia:dms; N%eKh
ksjqka orejka we;súh yels úúO wdldr
62
u| ireNdjh we;s úg tA ;;a;ajh ÿre lr .ekSu i|yd ffjoHjreka úiska äïn fudapkh W;af;ackh ùu i|yd T!IO ,nd§u isÿ fjkjd' fï T!IOj, w;=reM,hla f,i tl wd¾;j pl%hl§ ldka;djlg äïn folla fyda lSmhla ksl=;a ùfï yelshdjla ;sfnkjd' tksid tjeks ldka;djkag ksjqka orejka ,eîfï wjldYh;a jeähs'
ffjoHjrhd - udisl ffjoH iÕrdj
jhi jeä ldka;djkago ksjqka orejka yg .ekSfï iïNdú;dj jeä nj lsj hq;=hs'
ldka;djlg tlu wd¾;j pl%hl§ tljr äïn folla ksl=;a úh yels wjia:d ;sfnkjd' tA wkqj tA äïn folu Y=l%dKq folla iu. ixfiapkh jqfKd;a túg iEfokafk fkdiu ksjqka orejka'
tfiau ksjqka orejka yg .ekSug cdkuh n,mEul=;a ;sfnkjd' tA wkqj mjqf,a tjeks b;sydihla we;akï tjeks ldka;djlgo ksjqka orejka yg .; yelshs' wefußldj" tx.,ka;h jeks Okj;a rgj, ksjqka orejka yg .ekSug fndfyda úgu n,mdkafka orejka ke;s ldka;djka k< orejka ,nd .ekSu ksidhs' tA l%ufhaÈ l<, lsysmhla tljr ;ekam;a lrkafka tl l<,hlska fyda m%;sM, ,eìfï wfmalaIdfjkqhs' we;eï wjia:dj,§ tu l,, lsysmfhkau orejka yg .ekSu ksid ksjqka orejka ìysúh yelshs' wfma rfÜ fï ;;a;ajh t;rï olskakg ke;af;a k, orejka we;s lr .ekSu i|yd w;s úYd, uqo,la jeh lrkakg isÿjk ksidhs' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
ksjqka orejka ksid we;sjk .eg¿ lsysmhla' flfia jqjo ksjqka orejka yg .;a miq ore .en .íid ùfï yelshdj;a jeähs' wvq udfika m%iQ;s fõokd yg .ekSug bv lv jeä ksid wvq udfika m%iQ;sho isÿjkq we;s' túg ksjqka orejka frday,l <ore ldurhl r|jd ;nd m%;sldr lrkakg isÿ fjkjd' fï orejkag Wm;skau yefok wdndO;a jeähs' ujg;a orejkag;a ixl+,;d yg .ekSugo jeä wjldYhla ;sfnkjd' .eí.;a uq,a udi ;=fka§ wêl jukh;a yg .; yelshs' orejka fofofkl= l=i ;=< fmdaIKh lsÍug isÿ ùu ksid ujg f,a ysÕlu we;sùugo mq¿jka' orejka l=vd ksid ìys lsÍug myiq uq;a uj;a orejkq;a frda.S ùug jeä wjia:djla ;sfnkjd' .eìks iufha§ uj úfõlfhka miqùu fmdaIHÞhS wdydr .ekSu wdÈh o w;HjYHhs'
waidyawaraya.lk 2016 ckjdß l<dmh
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uqyqKg i;aldrhla f,iska fukau m%;sldrhla f,iskq;a fmaI,a fhÈh yelshs
uqyqKg i;aldrhla f,iska fukau m%;sldrhla f,iskq;a fmaI,a fhÈh yelshs f*aI,a fhÈh hq;af;a i;aldrhla f,iska o m%;sldrhla f,iska o hkak uq,skau wjfndaO lr .kak m%ùK rEm,djkH Ys,amskS jðrd f,dl=f.a
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f*aI,a hkq rEm,djkH flaI;%h ;=< w;sYh ckm%sh wxYhla fõ' fuu.ska ldka;djka wfmalaId lrkafka §ma;su;a ksfrda.S fmkqula iys; uqyqKls' flfia jqjo f*aI,a l%u follska isÿfõ' tlla kï uqyqKg lrkq ,nk i;aldrhla f,i;a" fojekak uqyqKg fhdok m%;sldrhla f,iska fõ' fï ksid lrkakka jdf,a f*aI,a fkdlr f*aI,a tlla Tng wjYH kï tys wruqK yd wjYH;djh Tn úiska wjfndaO lrf.k ;sìh hq;=h' fufia f*aI,a fhÈh hq;af;a i;aldrhla f,iska o m%;sldrhla f,iska o hkak uq,skau wjfndaO lrf.k bkamiq iu y÷kd .; hq;=fjhs' iu y÷kd .ekSfuka miq wÞ< iu i|yd .e<fmk ksIamdok o f;dard .ekSu wjYHhs' fuys§ iug b;du;au iqÿiq ksIamdok f;dard fkd.;fyd;a iug ydks isÿùfï m<uq ffjoHjrhd - udisl ffjoH iÕrdj
f*aI,a lr meh lsysmhla .; jk ;=re uqyqK msßisÿ fkdlsÍug;a wõfõ fkdhdug;a Èklg fojrla laf,kai¾ fh§ug;a fiajd,dNshd oekqj;a l< hq;= fõ'
mshjr t;ekska wdrïN úh yelsh' uqyqKg fhdok i;aldrh ms<sn|j wms uq,skau l;d lruq' i;aldrhla f,i lrkq ,nk f*aI,a tl i;aldrhla f,i lrkq ,nk f*aI,a tllska iug fmdaIKh" uqyqfKa iu u; we;s uereKq ffi, bj;a ùu" reêr .ukd .ukh l%uj;a ùu" udxY fmaYska Yla;su;a ùu" meyem;a njla ,eîu" 2016 ckjdß l<dmh
ks, W;af;ackh ùu" ifï úh<s fyda f;,a iys; nj md,kh ùu" iu u; we;s iqÿ yd l¿ ,m bj;a lsÍug yelsùu" ifï /<s iys; fmkqu wvqlr jhig hdfï fõ.h wju lsÍu jeks m%;s,dN ysñ fõ' idudkHfhka fujeks f*aI,a tlla uilg jrla muK lsÍu iqÿiqh' fun÷ f*aI,a tlla mshjfrka mshjr isÿ l< hq;=h'
tu mshjrhka jkafka laf,kai¾ lsÍu" fgdak¾ fh§u" ial%í lsÍu" iqÿ ,m l¿ ,m bj;a lsÍu" uidÊ lsÍu" mela tlla fh§u" wjidkfha msßisÿ uqyqK u; fgdak¾ wdf,am lr iqÿiq fudhsiaprhsi¾ j¾.hla fh§u iy msg;g hkafka kï ysre lsrKska wdrlaId ùu i|yd ika íf,dla l%Sï wdf,amh hk fïjdh' f*aI,a lsÍfï§ fukau bkamiqjo 65
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uqyqKg i;aldrhla f,iska fukau m%;sldrhla f,iskq;a fmaI,a fhÈh yelshs
jegqKq iu yd t,a,d jegqKq udxY fmaYs Yla;su;a lsÍu wd§ jQ úúO .eg¨j,g m%;sldrhla f,i f*aI,a fhdÞ .; yelsh' tA i|yd úúO wdf,amk fukau úúO WmlrK o Ndú; l< hq;= fõ' fiajdÞhlhdg ksjerÈ Wmfoia ,nd §u rEm,djkH Ys,amshdf.a $ Ys,amskshf.a j.lSuh' kej; meñKsh hq;= Èkh" fiajd ,dNshdf.a iug .e<fmk ksIamdok ms<sn| wjfndaOhla ,nd §u fuys§ isÿ l< hq;= w;r f*aI,a lr meh lsysmhla .; jk ;=re uqyqK msßisÿ fkdlsÍug;a wõfõ fkdhdug;a Èklg fojrla laf,kai¾ fh§ug;a fiajd,dNshd oekqj;a l< hq;= fõ' f*aI,a tlla m%;sldrhla f,i fh§u f*aI,a tlla m%;sldrhla f,i fh§u ms<sn|j ±ka wms úuid n,uq' fuys§ úh<s iug m%;sldr" f;,a iys; iug m%;sldr" ñY% iu i|yd m%;sldr" ueÈ úfha iu i|yd m%;sldr" ixfõ§ iu i|yd m%;sldr" ysret<sfhka ms<siaiqKq iy wjmeye .ekajqKq iug m%;sldr" /<s jegqKq iu yd t,a,d jegqKq udxY fmaYs Yla;su;a lsÍu wd§ jQ úúO .eg¨j,g m%;sldrhla f,i f*aI,a fhdÞ .; yelsh' tA i|yd úúO wdf,amk fukau úúO 66
WmlrK o Ndú; l< hq;= fõ' iïndykh b;d jeo.;a mshjrls f*aI,a lsÍfï§ iïndykh b;d jeo.;a mshjrls' udxYfmaYs msysgd we;s wdldrh wkqj iïndykh lsÍu wjYHh' ke;fyd;a miqlf,l§ uqyqfKa udxYfmaYs t,a,d jeàug bv ;sfí' m%;sldrhla f,i f*aI,a lsÍfï§ wÞ< m%;sldrh i|yd ial%í lsÍu" jdIam ^iaàï& we,a,Su" iïndykh hk lreKq wjYH;djh wkqj fjkia úh yelsh' ksoiqkla f,i wêl f,i l=re,E we;s uqyqKlg ial%í fh§u fkdl< hq;=h' tfiau úh<s iulg iaàï lsÍu iqÿiq fkdfõ' mela j¾. fh§fï§ o wjYH;dj wkqj iqÿiqu mela j¾.h f;dard .; hq;=h' fï wdldrfhka lreKq oek lrk f*aI,a tllska Tng uy;ajQ m%fhdackhla w;am;a jk nj oeka Tng mila jkjd we;'
ffjoHjrhd - udisl ffjoH iÕrdj
2016 ckjdß l<dmh
67
ADDICTION & FAMILY
ieñhdf.a u;ameka mdkh ksid Nd¾hdjka úYdo frda.hg ,laùu
ieñhdf.a u;ameka mdkh ksid Nd¾hdjka úYdo frda.hg ,laùu
ieñhkaf.a u;ameka mdkh ksid ìßka|Ejreka frda.S jkafka fldfyduo@ udkisl frda. úfYaI{ ffjoH .sydka wfíj¾Ok ;ukaf.a ieñhd u;ameka mdkh lsÍu lsisÿ ìß|la wkqu; lrkafka fkdfõ' b|ysg" l,d;=rlska u;ameka mdkh lsÍu iuyr Nd¾hdjka .eg¨jla fia fkdie,l=j;a oskm;d fyda i;shlg lsysm Èkla jqjo ieñhd u;ameka mdkh lrkafka kï ìß|la thg tfrys ùu iajNdjhls' fuysÈ uq,skau isÿjkafka ieñhdj fkdßiaiSu h' ijig f.or tk ieñhd iu. l;d lrkakg tÈfkÞ fndfyda foaj,a ìß|lg ;sfí' kuq;a Bg wjia:djla ke;s úg weh ;=< ;on, mSvkhla we;sfõ' tA wkqj ìß|g ieñhd flfrys fkdßiaiqula we;sùu iajNdúlh' wjidkfha isÿ jkafka ìß| fj;ska ieñhd m%;slafIam ùuh' ieñhdf.a fï ;;a;ajh È.ska os.gu mej;sfhd;a fkdßiaiqulska" m%;slafIam ùulska muKla kj;skafka ke;' th ±ä fldamhla" oafõIhla njg o fmrf<a' ieñhd u;ameka mdkh lr meñK ;ukag;a orejkag;a lsisÿ ldhsl ysxidjla fkdl< o fï ;;a;ajh ìß|lg ±ä udkisl mSvdjla ùu je<elaúh yels fkdfõ' 68
tA wkqj ìß|g ieñhdj tmd jkq we;' ldhsl iïfNda.h tmd fjhs fï tmd ùu ;=< ldka;djlg ieñhd iu. ldhsl tlaùï o tmd ùu isÿfõ' tlaùïj,§ msßñhl=g uQ,slj ±fkkafka ldhsl wjYH;djh jqj;a' ldka;djlg uQ,slj ±fkkafka yeÕSïj, wjYH;djhhs' iylre fj;ska ,nk iam¾Yh" wdorh" iylre ;ukag yoj;ska ióm ùu jeks oE ;=<ska ldka;djlg ldhslj tla ùu i|yd W;af;ackhla we;s fõ' kuq;a îu;alu ksid ieñhd tmd jQ ldka;djlg tlaùula ms<sn| yeÕSula fkdj we;sjkafka ieñhd olsk úg mjd ;ryls' fun÷ ;;a;ajhla ;=< ieñhd flfryS mej;sh hq;= f.!rjh o ySk ù hkq we;' orejka flfryS fldamh m< lrk wjia:d fujeks udkisl ;;a;ajhlg m;a ìß|lg yeu fohlau
ffjoHjrhd - udisl ffjoH iÕrdj
tmd fjhs' f.or fÞf¾ jev" orejkaf.a jev mjd lsÍug lsisÿ reÑhla ke;s jk w;r tA ish¨ foaj,a lrorhla fia yeÕS hd yelsh' fndfyda úg fuu ldka;djka fldamh msg lrkafka orejka fj;sks' orejka hula b,a¨j;a" y~k.d lE.iñka fi,a,ï l<;a tA yeu foalskau ;on, flaka;shla is;g ofkkq we;' we;eï úg fï fldamh u; orejkag iq¿ foalg mjd myr §ug jqj fm<fUhs' tfia myr ÿka miq is;g ;on, ÿlla miq;eú,a,la yg .kq we;' kuq;a tfia miq;eú,s jkúg m%udo ù jeäh' fmdä jevla l<;a ;on, f,i .;g úvdnr njla okSu o ;j;a ,laIKhla fõ' tfiau ms<sfj<g w¢kakg m,¢kakg .ukla ìukla hkakg mjd lsisÿ Wkkaÿjla leue;a;la we;s jkafka ke;'
2016 ckjdß l<dmh
msßñhdf.a îu;alu u; Nd¾hdjka fndfyda ldhsl iy udkisl mSvdjkag ,laùu isÿfjhs' kuq;a fï .ek l;d lrk" fidhd n,k flfkla ke;' we;eï úg È.=l,la fuf,i úYdo frda.hg lsisÿ m%;sldrhla ke;sj mej;Su ;=< tu Nd¾hdj ish Èú kid .ekSug jqj wjldYhla we;s fõ' 69
ADDICTION & FAMILY
ieñhdf.a u;ameka mdkh ksid Nd¾hdjka úYdo frda.hg ,laùu
tlaùïj,§ msßñhl=g uQ,slj ±fkkafka ldhsl wjYH;djh jqj;a' ldka;djlg uQ,slj ±fkkafka yeÕSïj, wjYH;djhhs' iylre fj;ska ,nk iam¾Yh" wdorh" iylre ;ukag yoj;ska ióm ùu jeks oE ;=<ska ldka;djlg ldhslj tla ùu i|yd W;af;ackhla we;s fõ'
úYdo frda.shl= njg m;ajk ìß|''' ieñhd tmd jk úg Tyqf.a ×;Ska mjd fkdßiaiSu B<Õg isÿjk ;;a;ajhls' tA wkqj ieñhdf.a ×;Ska iu. .egqï we;s lr .ekSug o fm<ôh yelsh' fï ;;a;ajh we;s jk úg tu ìß| úYdo frda.shl= njg m;aù ;sìh yelsh' ieñhdf.a u;ameka mdkh ksid Nd¾hdjka úYdo frda.hg ,laùu wfma rfÜ iq,nj ±lsh yels ;;a;ajhls' È.= ld,Skj u;ameka .ekSfuka msßñka ;=< we;sjk ,sx.sl fn,ySk;djh È.= ld,Skj u;ameka .kakd msßñka ;=< ,sx.sl fn,ySk;djh we;s ùuo ;j;a .eg¨jla fõ' fujeks ;;a;ajhla we;s msßñhl= ìß| ;udj m%;slafIam lsÍfï§ weh wka msßñka fj; hk njg iel lsÍu fndfyda úg isÿfjhs' fï ksid msßñhd ;=< ;on, ,sx.sl oafõIhla" ,sx.sl B¾IHdjla yg .kq we;' 70
fuh pathological hate fukau pathological jealousy jeks kïj,ska y÷kajkq ,nhs' fujeks ;;ajhlg m;a jQ msßñhl= ;u ìß|g udkisl ysxid meñKùug wu;rj ±ä ldhsl ysxidjka o muqKqjd,sh yelsh' fï wkqj n,k l< msßñhdf.a îu;alu u; Nd¾hdjka fndfyda ldhsl iy udkisl mSvdjkag ,laùu isÿfjhs' kuq;a fï .ek l;d lrk" fidhd n,k flfkla ke;' we;eï úg È.=l,la fuf,i úYdo frda.hg lsisÿ m%;sldrhla ke;sj mej;Su ;=< tu Nd¾hdj ish Èú kid .ekSug jqj wjldYhla we;s fõ' tA wkqj u;ameka mdkhg yqre jQ ieñhl= isák ìß|l ;=< by; lS ,laIK mj;skafka kï jyd ufkda ffjoH m%;sldr i|yd fhduq ùu b;du;a jeo.;ah'
ffjoHjrhd - udisl ffjoH iÕrdj
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j;a;, fyaudia frdayf,ka fld÷weg fm< frda. i|yd úfYAI m%;sldr
j;a;, fyaudia frdayf,ka fld÷weg fm< frda. i|yd úfYAI m%;sldr fld÷weg fm< wdY%s;j we;sjk fõokdjka Pain& f,dal ck.ykfhka fld ^Back ishhg 80la muK fokd cSú;fha ljr wjia:djloS fyda w;aú|s;s' wo ojfia fuh iudc ;;a;ajhla olajdu j¾Okh ù we;' fld÷weg fm< frda. t;rïu iq,nh' fuu iudc wjYH;dj uekúka y÷kd.;a j;a;, fyaudia frday, fld÷weg fm< wdY%s;j yg.kakd ish¿ wdldrfha frda.dndO i|yd wjYH lrk Y,Hl¾uo we;=¿j ish¿u idhksl m%;sldr kj wdldrfhka ,ndoSug mshjr f.k we;' fld÷weg fm< yd ta wdY%s;j we;sjk frda. ms<sn|j oeKQj;a lsÍu" y÷kd.ekSu iy fN!;Ñls;aikh fukau wLKav m%;sldr i|yd ck;dj oeKqj;a lsÍu ms<sn|j idhkh iEu i;shlu i÷od isg fikiqrdod olajd fm'j' 8'00 isg m'j' 2'00 olajd úl,dx. ffjoH wekagka j¾Kl=,iQßh uy;df.a wëlaIKh hgf;a meje;afõ'
2016 ckjdß l<dmh
fldkafoa lelal=u" fld÷weg fm< wdY%s;j we;s udxYfmaYs" wiaÓ" ikaê" ;ka;= yd iakdhqj,ska yg.kS' ;jo udxYfmaYs bÍu" weoSu yd fldkafo lelal=u we;sùug wdikaku m%Odk fya;=j fõ' fldkafoa lelal=u yd fld÷weg fm< wdY%s;j frda. j,ska mSvd ú|sk Tng;a oeka i;sfha i÷od isg fikiqrdod olajd j;a;, fyaudia frday, fj; f.dia úl,dx. ffjoH wekagka j¾Kl=,iQßh uy;d yuqù m%;sldr ,nd.; yel' 71
SUBSCRIBE NOW wm%udoSj" wjysrhlska f;drj ffjoHjrhd ksfjigu f.kajd .kak 2016 j¾Ih i|yd odhl;ajhla ,nd.kak ;emE, iy weiqreug;a iu.ska odhl;aj .dia;=j jirlg remsh,a 2400'00 ih uilg remsh,a 1200'00 Tn l< hq;af;a my; l+mkh mqrjd my; oelafjk ljr fyda myiq l%uhlska kshñ; uqo, wm fj; tùuhs wmf.a ,smskh
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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
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SELFITIS
yeuodu fi,a*s .kak ysf;kjdo @ tal f,vla'''
yeuodu fi,a*s .kak ysf;kjdo @ tal f,vla'''
f,fâ ku fi,a*hsáia fi,a*s fkdfyd;a ;udf.a PdhdrEmh ;ukau .ekSu wo f,dalh mqrd ckm%sh úfkdaodxYhla' fuh we;af;kau we;euqkag úfkdaodxYhlg jeä fïkshdjla njg;a m;aù ;sfnkjd' ojilg fi,a*s fol ;=kla .;af; ke;akï th yßhg wvqjla jf.hs' fï ksidfjkau wo fndfyda ÿrl:k iud.ï fi,a*s .ekSu fjkqfjkau úfYAIs; jk ÿrl:k udos,s mjd ksmojkjd' fi,a*s Wkaudoh .ek ffjoHjrekao oeka oeka l;dny lrkakg mgkaf.k' wefußldkq ufkda ffjoHjrekaf.a ix.uh olajk wdldrhg fuu fi,a*s .ekSug hï flfkla widudkH leue;a;la olajkjd kï th frda.hla f,i y÷kajkjd' thg Tjqka wmQre kulao fn!;Siau lr ;sfnkjd' ta Selfitis hkqfjkqhs' wefußldkq ufkda ffjoHjrekaf.a ix.uh fï fi,a*s .ekSfï Wkaudoh fkdfyd;a hkak f;jeoEreïj j¾.SlrKh lr;sfnkjd' Borderline Selfitis f,fâ wvqfjka ;sfhk wh fï ldKAvhg wh;a fjkjd' ojilg idudkHfhka f;j;djla iajlSh PdhdrEmh .ekSu iy tajd iudc cd, Tiafia m%o¾Ykh fkdlsÍu frda.fha ,laIK' Acute Selfitis B<`. woshr álla nrm;,hs' Tjqka ojilg ;=ka j;djla muK ;u PdhdrEmh .kakd w;r th iudc cd, fjí wvú j,go uqod yßkjd' Chronic Selfitis f,fâ jeäfhkau ;sfhk fkdfyd;a zwidOHZ wh f,i ie<flkafka fï ldKAvhg wh;a whhs' Tjqkag osklg fi,a*s yh y;la .kak ´ks ú;rla fkdfjhs" ta yeu PdhdrEmhlau iudc cd, Tiafia m%isoaO lrkak;a ´ks' b;ska Th úia;r lf<A fi,a*hsáia j, frda. ,laIK' Tng;a by; lS frda. ,laIK ;sfnkjd kï wou wod, wxYfha lghq;= lrk ^ufkda ffjoHjrfhl=& yuqù frda.hg m%;sldr ,nd.kakjd fyd|hs'
2016 ckjdß l<dmh
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wdydr md,kh i|yd oeka iqúfYAIS oka;df,amhla'''
md,khlska f;dr wdydr .ekSu j<lajd wdydrfha YslaYKhla we;s lsÍug oka;df,amhlg losu yelshdjla ;sfnk nj lsõfjd;a we;eï úg Tn uú;hg m;a fõú' ta;a we;a; kï thuehs'
wdydr md,kh i|yd oeka
iqúfYAIS oka;df,amhla''' White Glo - Crave Away o ojfia úúO lEu" îu j¾. /ila wmf.a ffoksl wdydr fõ,g tl;= ù we;' iSñ; wdydr-mdk rgdjlg yqreù isg wmg fuu úúO j¾Kj;a wdydr-mdk ksid tajd flfryS wdl¾YKh ks;ekskau we;sfõ' tajd ri ne,ug wm fm<ö isà'
w
fuh isÿjkafka nd," ;reK uy¿ ieu fokd ;=<u wdydr flfryS mj;akd wdYla;;djh ke;fyd;a tajd N=la;s ú|Sug we;s wdidj ksidh' olsk olsk wdydr wkqNjhg kï t;rï fj,djla .; jkafka ke;' tfy;a th tfiau l< hq;=o @ wm wdydr wkqNj l< hq;af;a hï lsis YslaIKhlgh' ta wdydr fl;rï wmg .e,fmao @ tajd wkqNjfhka YÍrhg wys;lr n,mEula isÿfõo @ fï .ek wm ie<ls<su;a úh hq;=uhs' md,khlska f;drj wdydr wkqNjfha m%;sM<hla f,i wêreêr mSvkh" oshjeähdj fukau YrSrh wêl jYfhka ia:q, ùuo isÿúh yels w;r fï ksid ;j;a frda. /ila mek ke.Sfï wjodkula we;s jk nj Tn okakjdo @ Tng uQ,slj ys;;a ta weiqf¾ lg;a md,kh lr.; yelskï fï wjodkï iy.; p¾hdfjka ñoS isákakg Tng;a yels fjkjd ksh;hs' fï jákd wruqK bIAG lr.; yels wmQ¾j l%uhla wm Tng y÷kajd fokakg leu;shs' 74
cd;Hka;r iïudk /ilska mqo ,o ´iafÜ%,shdfõ Barros Laboratories wdh;kh úiska oS¾> ld,hla ;siafia isÿlrk ,o m¾fhaIK j, m%;sM<hla jYfhka Wiiau ;;a;ajfha wuqøjH fhdod Wiia m%ñ;Ska hgf;a ´iafÜ%,shdkq oka;dh;kfha m%ñ;ska yd úêúOdk j,g wkql+,j fuu oka;df,amh y÷kajd oS ;sfí' c.;a iïudkkSh fydañfhdam;s ffjoH l%ufha T!Iëh wdkqmdk Wmfhda.S lr.ksñka ksIAmdokh lr we;s fuu oka;df,amh White Glo - Crave Away hkqfjka kï lr we;' fuu iqúfYAIS oka;df,amfhka o;a ueoSfuka Tfí
ffjoHjrhd - udisl ffjoH iÕrdj
uqLfha ishqï iakdhq Tiafia Tnf.a l=i msreKQ njg mKsúvhla iïfm%aYKh lrk w;r fï ksid wkjYH f,i l=i.sks we;sùu j<lajhs' tfiau wu;r lEu j,g we;sjk wêl reÑh" wdYla;;djh u¾Okh lrhs' White Glo - Crave AwayWhite Glo - Crave Away oka;df,amh Ndú;d lrk Tng ,efnk jdis / ils • o;aj, lyg me,a,ï bj;a lr uq;= fuka osÿ,k o;a fofm<la ,nd fohs' • uqLh wdrlaId lrhs' úÿreuia iqrlshs' uqLfha ÿ¾.kaOh ke;s lrhs'
White Glo - Crave Away mdúÉÑ lr osklg fojrla o;a ueoSfuka fuys we;s wdrlaIl mg,h Micro Wax Protection Shield u.ska os.=ld,Skj o;aj,g wdrlaIdj ,ndfoa'
• meKsri wdydr iy laIKsl wdydr .ekSug we;s jqjuKdj u.yrjhs' ia:Q,;djh fyj;a wêl ;rndrej md,kh lrhs' • oshjeähdj we;=¿j frda. /ilska Tnj wdrlaId lrhs' jhi wjq' yh isg ish¿ fokdgu White Glo - Crave Away oka;df,amh ks¾foaY lr ;sfí' fuh mdúÉÑ lr osklg fojrla o;a ueoSfuka fuys we;s wdrlaIl mg,h Micro Wax Protection Shield u.ska os.=ld,Skj o;aj,g wdrlaIdj ,ndfoa' tfiau wdydr md,khla we;slr isyska isrerla ,nd.ekSugo fuh uy`.= msgqjy,la jkafkah'
White Glo - Crave Away oka;df,amh fnodyßk Y%S ,xldfõ tlu ksfhdacs;dh;kh nefrdaia ,xld mqoa.,sl iud.uhs' fï ms<sn|j jeä úia;r oek.ekSug 0770037319 ÿrl:k wxlfhka úuikak'
2016 ckjdß l<dmh
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PREGNANCY A TO Z
ore iïm;la m;k ldka;djl imqrd,sh hq;= uQ,sl wjYH;d
.¾NsKS ujõjrekag wjYH jákd Wmfoia /f.k fï udifha isg werfUk úfYAIdx.h
ldka;djkS" Tn;a Tfí jákd .¾NsKS;djhg iQodkïo @ ore iïm;la m;k ldka;djl imqrd,sh hq;= uQ,sl wjYH;d ñyska;f,a rcrg úYAjúoHd,fha ffjoH mSGfha fcHaIaG lÓldpd¾h iy wkqrdOmqr YslaIK frdayf,a m%ij yd kdßfõo úfYAI{ ffjoH l=udr osidkdhl -MBBS,MD,MRCOG(UK)
Tn orefjla n,dfmdfrd;a;= jk ldka;djl kï Tnf.a fi!LH ;;a;ajh ksfrda.S ore Wm;la i|yd iDcqju n,mdk nj Tn okakjdo @ .¾NsKS;djh i|yd iQodkï lsÍfï úfYAI idhk wfma rfÜ ldka;djka Wfoid fkdmej;=k;a (Pre Pregnancy Counselling clinic) Tnf.a oeKQj;a ùu fi!LHiïmkak .¾NsKS;djhla i|yd w;sYhska ufydamldÍ jkq we;s' 76
úfYAIs; fi!LH .eg¿ fkdue;s ldka;djka .;hq;= mshjr Tn úfYAIs; fi!LH .eg¿ fkdue;s ujl kï Tng n,mj;ajk úfYAI .eg¿ fkdue;s jQj;a iuia;hla jYfhka Tfí fi!LH iïmkakNdjh by< kxjd.ekSu ore Wm;la wfmalaId lrk ldka;djlg jeo.;a jkjd'
.¾NsKS;djhlg fyd|u jhi .¾NsKS;djhlg jvd;au iqÿiq jhia ldKAvh fia ie<flkafka jhi wjq' 20-35 w;r jhfia ldka;djkah' kuq;a ful, iudcfha jeä jhia.;j .¾NsKS jk ldka;djkao wmg fndfyda olakg ,efnkjd'
fyd| YÍr nrlska hqla; ùu;a jeo.;a Tn fyd| YÍr nrlska hqla; ùu;a jeo.;a fjkjd' YÍr nr ys;lr w.hl ;sfnkjdo hkak úuik o¾Ylhla ;sfnkjd' th YÍr ialkaO o¾Ylh ffjoHjrhd - udisl ffjoH iÕrdj
hkqfjka oelafjkjd' orefjl= ìys lsÍu i|yd m%Yia; YÍr ialkaO o¾Ylfha mrdih 18'5-24'9 w;r fjkjd' YÍrfha ialkaO o¾Ylh ,nd. kafka Tfí nr lsf,da .a?ï j,ska ,ndf.k th Tfí Wfiys j¾.fhka fnoSfukqhs' fuysoS Wi óg¾ j,ska ,nd.; hq;= fjkjd'
fyd| fmdaIKhla ;sìh hq;=hs Tn m%udKj;a fmdaIKhla ,nk ldka;djl úh hq;=hs' fmdaIK W!K;d we;s jQjfyd;a th l=i fyd;a orejdgo n,mEula l< yels ksid iun, fmdaIKhla ,eîu;a odrl iïm;a;shla wfmalaIs; ldka;djlg fndfydau jeo.;a'
ùuo jeo.;a fjkjd' fï mÍlaIKfhaoS Tfí ffjoHjrhd úiska YÍr nr" reêr mSvkh" yDo iamkaok iS>%;djh wdosh mÍlaId lrKQ we;s' idudkH mshhqre mÍlaIKhlgo Tng Ndckh jug isÿfõú' fï f;dr;=re u.ska bosßfhaoS we;súh yels .¾N ixl+,;d u.yrjd .ekSug wjia:djla Wodjkq we;s'
úfYAIs; fi!LH .eg¿ we;s ldka;djka .;hq;= mshjr yefudau tl fia fi!LHiïmkak kE' we;eï ldka;djkag fkdfhla f,v frda. ;sfnkjd' tfyu jqK;a oreiïm;la ,nd.kakg wjldY ;sfnkjd' fudkjo ldka;djka w;r iq,n úfYAI frda. ;;a;aj' • oshjeähdj • wêreêr mSvkh • weÿu • ;hsfrdhsâ .%kaÓfha l%shdldß;ajh wvqùu fyda jeäùu • jl=.vq wdY%s; frda. • rla;ySk;djh • yDo frda. • ,sx.dY%s; frda. • wmiaudrh
ffjoHjrfhl= yuqù idudkH fi!LH mÍlaIKhlg Ndckh jkak fuu wjYH;d imqrd,Sug wu;rj Tfí ffjoHjrhd yuqù idudkH fi!LH mÍlaIKhlg Ndckh
2016 ckjdß l<dmh
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PREGNANCY A TO Z
ore iïm;la m;k ldka;djl imqrd,sh hq;= uQ,sl wjYH;d
Tfí ffjoHjrhdg Tn .¾NsKS;djh wfmalaId lrk nj mjikak by;ska úia;r l< fudkhïu fyda frda. hlska Tn fmf<kjd kï ta frda. ;;a;ajh .¾NsKS;djhg fmr md,kh lsÍu jeo.;a' fï ksid ta iïnkaOj Tn ffjoH m%;sldr ,nk úfYAI{ ffjoHjrhd yd mjid fmr iQodkula we;s lr .ekSfuka we;súh yels m%ij ixl+,;d fnfyúka wvq lr.ekSug yelshs' fuysoS Tng m%ijfõoS úfYaI{ ffjoHjrhdf.kao Wmfoia ,nd.ekSug wjia:dj ;sfnkjd'
frda.h md,kh l< hq;=hs" .¾NsKS;djhg wkQj fnfy;a ixfYdaOkh l< hq;= fjhs Tng we;s frda.h Wmßu jYfhka md,kh jQjfyd;a thska Tng iy orejdg we;súh yels ixl+,;d iy .¾NKS;djh ksid frda.S ;;a;ajhg we;sjk wys;lr n,mEu uekúka md,kh l< yels 78
ffjoHjrhd - udisl ffjoH iÕrdj
fjkjd' fï frda. md,khg ,la lr.ekSu b;du wjYHhs' tfiau fï frda. j,g Tn Ndú;d lrk T!IOo ixfYdaOkhlg ,la lsÍu wjYH jQjfyd;a tho ffjoH Wmfoia wkQj l< hq;=hs'
fmr .¾NsKS ;;a;aj ixl+,;d óg fmr Tn .¾NsKS jQ wjia:dj,oS oshjeähdj" wêreêr mSvkh" nr wvq orejka ìysùu wdoS lsishï ixl+,;djhla we;sjQfha kï" ta nj Tfí m%ijfõoS ffjoHjrhdg oekaúh hq;=uhs' fï ms<Sn|j oeKQj;a lsrSu ksid fujr ta ;;a;ajh uekúka l<uKdlrkh lr.ekSug wjia:djla Wod fjkjd'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.lk 2016 ckjdß l<dmh
iEu ldka;djlau .¾NsKS;djhg fmr wkq.ukh l< hq;= lreKQ f*da,sla wï, fm;s .ekSu wksjd¾hhs iEu .¾NskSNdjh wfmalaId lrk ujlau ms<Sis|.ekSula we;sùug fmr f*da,sla wï, fm;s ,nd.; hq;=hs' wvq ;rfï .eí .ekSug udihlg fmr fyda f*da,sla wï, fm;s ,nd.; hq;= jkjd' f*da,sla wï,h ,nd .ekSu ksid orejdg we;súh yels iqiqïkd wdY%s; frda. j,ska orejd wdrlaId fjkjd'
refn,a,d tkak; iïmQ¾K lr isáh hq;=hs refn,a,d WK .¾NsKS wjia:dfõoS ujlg je<÷fKd;a thska orejdg úYd, ydkshla isÿ fjkjd' uq,a udi ;=fkaoS kï ydksh jvd;a nrm;,hs' Tfí orejd ÿn,;d /ila iys; orefjl= fjkjdg Tn wlue;s fkao@ tfiakï .¾NsKS ùug fmr Tng refn,a,d tkakf;a /ljrKh ,eî ;sfnk njg iy;sl lr.kak' refn,a,d tkak; wfma ish¿u ldka;djkg ,ndoSu idlaId;a lrKQ msKsi fuh cd;sl m%;sYla;slrK jevigykg wka;¾.; lr ;sfnkjd' ta;a" fudkhï wdldrhlg fyda Tn refn,a,d tkak; ,ndf.k fkdue;skï .¾NsKS ùug uilg fmr fyda fï tkak; iïmQ¾K lr .ekSu iy;sl lr.kak' fï wdldrfhka fyd| fmdaIKhla" hym;a udkisl fi!LHhla jf.au fuys úia;r lrk ,o mQ¾j .¾NskS wjYH;djhkao Tfí orejd fjkqfjka Tn imqrd.; hq;=u fjkjd' fï wjYH;djhka imqrd.;a Tn oeka ore iïm;la ,eîug" ujlf.a WKQyqu Tfíu lsßleáhdg ,ndoSug iqÿiqhs'
u;= iïnkaOhs 79
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Tfí lsßleáhd oka; idhkhg yqre lrjk yeá
oka; ffjoHjrhd iu. i;=áka'''
Tfí lsßleáhd oka; idhkhg yqre lrjk yeá oUq,a, uQ,sl frdayf,a oka; Y,H ffjoH uyskao jksiqkaor úisks
ud f,dalh b;d iqkaorh' ñysßh' th mqoa.,fhl=f.a cSú;fha jeo.;au ld,mßÉfPaohlao jkafkah' l=vd ld,fhaoS <uqka ;=< we;sjk w;aoelSï miqld,Skj cSú;hg Okd;aul fukau iDKd;auljo n,mEï we;s lrhs'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
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isÕs;s f,dalh iqkaor ùu i|yd l=vd orejkaf.a fi!LH ;;a;ajh b;d jeo.;a ld¾hh Ndrhla isÿlrhs' <ud fi!LH .ek l;d lsÍfïoS uqL fi!LHhg ysñ jkafka woaù;Sh ia:dkhls'
flfuka msßfyk orejkaf.a uqL fi!LH ;;a;ajh oka; ffjoHjreka jißka jir ìys jQj;a wo ojfia <uqkaf.a cSjk rgdjka yd wdydr rgdjka cSú;hg ys;lr fkdjk ksid;a l=vd <uqkaf.a uqL fi!LHh msßfyñka mj;S' mdie,a <uqkaf.a uqL fi!LH ;;a;ajho t;rï iqNodhl uÜgul fkdmj;S' wjqreÿ 5 g wvq <uqkaf.a oka; fi!LH .ek fidhd ne,SfïoS o ;;a;ajh t;rï i;=gqodhl ke;' <uqkaf.a uqL fi!LH .ek Tjqkag ksis wjfndaOhla ke;' foudmshkag fukau <uqka /l n,d .kakd jeäysá whgo ta ms<sn|j t;rï wjfndaOhla fkdue;s nj fmfkkakg ;sfí' 80
waidyawaraya.lk
fujeks ldrKd j,ska fmkS hk lreKla jkafka l=vd <uqkaf.a uqL fi!LH .eg¿j <uqkaf.a fi!LH .eg¿ w;ßka m%Odk ;ekla .kakd njls'
wYAjhd mek.sh miq jid oefuk bia;d,h <uqkaf.a uqL fi!LH ÿ¾j, ù we;s nj foudmshka jgyd .ekSug fm<fUkafka o;a l=yr iEoS
ffjoHjrhd - udisl ffjoH iÕrdj
oka; idhkh orejdg m%shckl ia:dkhla lsrSfï j.lSu wm ch.; hq;a;ls'
fõokdj oekSug mgka .;a miqhs' fõokdj yg.;a miq <uqka NS;shg m;afj;s' ukao h;a" o;a fõokdjg we;s tlu úi÷u o; .,jd oeóu hehs foudmshka úiskao Tjqkaf.a uki ;=<g ldjeoaoSug W;aidy lrkq ,nk neúks' fï ksid <uqkaf.a oka; fi!LH .eg¿ ksrdlrKh lsÍug
2016 ckjdß l<dmh
foudmshkag fukau oka; ffjoHjrekag o uy;a mßY%uhla oeÍug isÿfõ' fõokdj ieÿK miq oka; Y,Hd.drh fj; <uqka /f.k hdu b;d ÿIalr ld¾hhls' oka; Y,Hd. drfha mj;sk mßirh .ek l=vd orejkag isys .ekafjk úg ys;g NS;shla yg .kS' fuu fya;=j ksid uqL fi!LH .eg¿ úioSfïoS foudmshka fukau oka; Y,H ffjoHjrekao uy;a wmyiq;djhg m;afõ'
orejdf.a m%:u oka; ffjoHjrhd yuqj <uqkaf.a m%:u oka; Y,H ffjoHjrhdf.a yuqùu iy m%;sldr ,nd .ekSfï l%shdj,sh uy;a 81
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Tfí lsßleáhd oka; idhkhg yqre lrjk yeá
mSvdldÍ isÿùula f,i w;a ÿgqjfyd;a osú we;s f;la uqL fi!LH .eg¿j i.jd ;nd .ekSug <uqka W;aidy lsÍu ksid ir, ;;a;ajfha we;s .eg¿ ixlS¾K woshrlg m;afõ' oka; Y,H ffjoHjrfhl= yuqùfï m%:u j;dj orejdg wñysß w;aoelSula ùu bka wk;=rej oka; Y,Hd.drhg hEug isÿjk wjia:d u.yeÍug fukau ;ud oka; Y,Hd.drh fj; /f.k hdu foudmshka miqng lsÍug o <uqka W;aidy .kS' fuh oka; ffjoH flafIA;%hg o úYd, n,mEula isÿlrhs'
wjfndaOfhka uqL oka; .eg¿ j<lajd .; yelshs fndfydauhla oka; fukau uqLfrda. wjfndaOfhka isàfuka j<lajd .; yels nj foudmshka wjfndaO lr fkd.ekSu ksidfjka orejdf.a uqL fi!LH ;;a;ajh ;j ;j;a ÿ¾j, ùug fya;=mdol fõ' lsßo;a lsysmhla uqLh ;=<g meñKs miq tkï jhi wjqreÿ tl muK jk úg oka; Y,Hd.drh fj; <orejd /f.k hd hq;= fõ' fuysoS m%;sldr ,ndoSu ms<sn| l,ska lsisu úoshlska <orejdf.a uki ;=<g woyia ,ndoSu isÿ fkdl< hq;= fõ' Wod (- oka; Y,Hd.drhg f.dia krla jQ o;a .,jd oeóu isÿlrk nj orejdg okajd fkdisáh hq;= fõ'
m%shckl mßirhl wv fydardjla l=vd <orejka úfkdaohg leu;sh' úfkdaockl ia:dkj,g hEugo fndfyda wh m%shlr;s' oka; Y,Hd.drho úfkdaockl ia:dkhla f,i ilid ;eîu oka; Y,H ffjoHjrhdf.a o ld¾hhls' l=vd <uqka i|yd úis;=re l%Svd NdKav" l=vd l;dkaor fmd;a" mdg mekai,a Y,Hd.drfha ;eîu iy uqLh mÍlaIdjg Ndckh l< miq l=vd fohla ;E.s l< yelsh' oka; Y,H ffjoHjrhd uqK .eiSfuka miqj <orejdg m%Yxid lr orejdf.a yeisÍu iïnkaOfhka l=vd ;E.a.la 82
,ndoSug foudmshkag lghq;= l< yelsh' tu.ska orejd osß .ekaùulg ,la ùfuka kej;;a oka; Y,Hd.drhg meñKSug leue;a;la we;sfõ' oka; Y,H ffjoHjrhdf.a m%:u yuqùu ñysß w;aoelSula ùug kï orejd uqLfrda. fkdue;s wjia:djl Wmfoia me;Su i|yd muKla oka; Y,H ffjoHjrhd yuqjg hd hq;= fõ' fuu wjia:dfõoS Wmfoia muKla ,efnk ksid <orejd NS;shg m;ajk lsisÿ fohla isÿfkdùu ksid <orejdg lsisu udkisl wmyiq;djhla isÿ fkdfõ' oka; Y,H ffjoHjrhd iy <orejka yuqjk m%:u j;dj <orejdg ñysß w;aoelSula ùu <uqkaf.a uqL fi!LH hym;a ùug fnfyúka n,mdk nj igyka lrñ'
fmhd¾ia fíì Happy Baby, Learning Centre fj;ska fuu ,smsh Wmqgd .kakd ,oS'
ffjoHjrhd - udisl ffjoH iÕrdj
2016 ckjdß l<dmh
83
BOOK REVIEW
mkays|g f,d,a ne|s khsáxf.a,a oshKsh rdks fidau,;d ffjoHr;ak
frdayf,ka weiqKq l;d'''
iu.h' wef.a iqmqreÿ ug is¿gq lúldr wdLHdKfhka" ri ú; fmdjd udOq¾h l;d l,djg mK fmdjñka rpkd l< zzfrdayf,ka weiqK l;dZZ w;sYhska rij;ah' fjfiiskau frdayf,aoS tosfkod wm uqyqKmdk ir< isoaêka jQj w;sYhska iqkaor is;=jï mgla fia fm<. iajd rpkd lsÍug wehg we;s ksi`. yelshdj fuhskao l=¿.ekaù ;sfí'
mkays|g f,d,a ne|s khsáxf.a,a oshKsh rdks fidau,;d ffjoHr;ak
fuu lD;sfha tk rij;a l:dx.hla Tnf.a riúkaokhg bosßm;a lruq
yosish l< úkakeysh
rdks fidau,;d ffjoHr;ak ffjoHjrhd mdGlhkg kï t;rï kqyqre pß;hla fkdfõ' wehf.a ri jEfyk mkaysf|ka rpkd jQ zzfyo fiajfha ril;dZZ lsysmhlau fuys óg fmro m<ù we;af;ah' ;siay;a jirl fyo fiajfhka bisUq ,nd ;u ms%h iajdñmqreIhd iu.ska úfõlS úY%du osúhla f.jk weh miq.shod kej;;a udOH w;r l;dnyg ,lajQfha wehf.a kj;u lD;sh zzfrdayf,ka weiqK l;dZZ fodrg jevqu;a 84
tod ndysr frda.Skaf.a wxYfha m%Odk fyosh jQfha ohdr;ak uy;añhhs' ndysr frda.S wxYhg frdayf,a ish¿u idhk we;=<;ah' tuksid ta ish¿u idhk j, jevlghq;= wëlaIKh Ndrj isáfhao wehhs' zzwfka úoHdZZ weh ud ÿgq úgu y`v ke.=jdh' ud fmd; w;aika lr ähqá ldurhg meñKshd muKs'
ffjoHjrhd - udisl ffjoH iÕrdj
zzwehs ñia @ZZzzwfka n,kak" wo wmg f.dvla k¾ia, wvqhs' fvkag,a tlg;a kE''' B'tka'à' tlg;a kE' ta uosjg ´'mS'ã' bkafclaIka rEï tlg;a tlaflfkla wvqhs'ZZ
b;sß jev weröu i|yd uf.a iydh wfmalaId lrhs' wo ug kshñ;j we;af;a frda.Skaf.a ;=jd,j, ueyqï lmk ldurfha fiajh lsÍugh'
zzb;ska ñia uu fudlo lrkafka' Th Tlafldauf.au jev ug l<ElsheZZ iskdjlska hq;=j ud lSjo wef.a uqyqfKA lkiai¿ fmkqu fjkia jQfha ke;' ke;s k¾ia,d ujkako @
oeka ug isÿù we;af;a ;=ka me;a;l jev lrkakgh' wr idhk folu we;af;a by< ud,fha jï fl<jrg jkakg uqyqK,dh' ndysr frda.S wxYh my< ;Ügqfõh' <`. wy, my<l ;snqfKA kï fï jev ish,a, f,fyisfhkau bgq l< yelsj ;snqKs'
B'tka'à' tfla jev lrk iqúkS;d f.or oyila lror ueo flfia fyda jevg tk flfkls' weh ksUq,a ore fofokd ;ud jev weÍ tk;=re wi, f.orl kj;ajd n,d. ekSug i,iajd we;' oka; idhkfha Y%Su;S wo ;ju;a meñK ke;af;a l=ula fyda jeo.;au lreKla ksid úh yelsh' frdayf,a tosfkod jev fyoshkaf.a ys`.h u; l,a oeóu fyda jev keje;aùu l< fkdyelsh' wfkl=;a idhkj,go" ndysr frda.Skaf.a wxYfha ish¿u ldur j,go fyoshka isák kuqÿ ohdr;ak uy;añh 2016 ckjdß l<dmh
zzwr fokak tkl,a Thdg neß fjhso fvkag,a" B'tka'à' la,sksla fol lj¾ lrkak @ ldurj, nvq f,aia;s lr, wdju we;s' mqreÿ wefgkavkaÜia,fk bkafk'''ZZ
zzfïlfk" ta foflau wefgkavkaÜ, bkakjfk' Thd fndia .dj álla fmkS ysáhu we;s'" wr fokak tkl,a'''ZZ zzta fokak wdfj ke;akx''@ZZ zzwdfj ke;a;x b;sx la,skala jykak lsh,he" fïg%kag lsh, ldjyß b,a,.uq'ZZ
uf.a ú,dih ÿgq wE ;j;a m%Yak fkdlr ud j;a;ï lr.;a;dh' uu ÿjf.k f.dia fjdIA fíiug jukh lrkakg ùñ' fl;rï jukh l<o wyjrla ke;' jukh lrk jdrhla mdid kyfhka" láka fmK .,df.k ths' álla fmkS ysáfhd;a fyd|g ysà' uu blauka lr oka; idhkhg .sfhñ' fyd| fj,djg tys jev lrk isßu,a iy ;kQcd ldur iQodkï lr ish¿u WmlrK ms<sfj<lg ilid ;snqfKah' isßu,a jir .Kkdjlau tys fiajh lr we;s ksid fyoshl tk;=re m%Yakhla fkdue;sj jev lrf.k hdug yelshdj we;' ta ksid uu (E.NT.) lk" kdih" W.=r idhkhg .sfhñ' 85
BOOK REVIEW
mkays|g f,d,a ne|s khsáxf.a,a oshKsh rdks fidau,;d ffjoHr;ak
iaj¾Kd ish¿ frda.Skaf.a ldâm;a ,shd Tjqka fkdïur ms<sfj<g jdälrjd isá kuqÿ WmlrK iQodkï lr ;snqfKA ke;' tfy;a iafgr,hsirh nqnq¿ ouñka ;snqfKAh' zzwo wfma ñiS tkafk keoao ñiS @ZZ wE ud miqmiska meñK weiqfõ ud wjYH WmlrK w,audßh yer t;=<ska jkaoSh l< WmlrK Ndck msg;g .kakd úgh' zzwo thd álla mrlal= fjhs' wehs iaj¾Kd" nvq ,Eia;s lf<A ke;af;a'''ZZ ud lshd lg .kakg;a fmrZZwfka ñiS" wfma ñiS lsh, ;sfhkjdfka zzthd tal lr.kakï - ug lrkak tmd lsh,ZZ yeuodu nvq ,Eia;s lrkafk wfma ñiSu ;udZZ hS lSjdh' zzyd tal;a tfyuo @ZZ uu jeä hula lshkakg fkd.sfhñ' uu ug u;l we;s yeáfhka yd iaj¾Kdf.ka wid oek.;a yeáfhka ffjoHjrhdg frda.Ska ne,Sug wjYH WmlrK ilid fg%d,s ms<sfh, lf<ñ' úfYAI{ ffjoH foajmqr uy;aud ldurhg we;=¿ jQfha yßhgu fï fj,dfõh' Tyq tljru ne,qfõ ljodj;a ke;sj fg%d,s follg WmlrK iQodkï lr we;s wdldrhhs' zzfï fudlo @ fï la,sksla lnâj, ;sfnk nvq fiaru fg%d,sj,'''@ ZZ Tyqf.a uqj`.g iskdjla ke.sK'zzwd" fï w¿;a ñiS flfklafk'''flda wo wfma ñiS @ZZ iaj¾Kd Tyqg ;ud we| isák we÷u wdjrKh jk fia fld< meye f,da.= .jqu we|.ekSug Woõ lrñka ms<s;=re fohs' zzwo wfma ñiS álla mrlal=hs" i¾'''ZZ zz ux ´'mS'ã' tflka i¾' ñia iqúkS;d tklï uu fï nvq ,Eia;s lf<A'ZZ uu ud w;ska hïlsis m%udo fodaIhla ù we;skï ta i|yd ksoyig lreKQ bosßm;a lrkakg ùñ' zz ñia tfykï hkak" fuÉpr nvq f.dvla kï ´ks fjkafk kE' ´ke lrk fohla ux iaj¾Kf.ka b,a, .kakïZZ Tyq fl;rï hym;a uy;aufhlao @ Tyqg ia;+;s lr uu ldurfhka msgù mäfm< niskakg ùñ' ohdr;ak uy;añh ud fidhd meñfKñka isáhdh' 86
zzwkak wr fokak hka;x weú;a' lduf¾ weªï udre lrkj' Thdf. jev ;ud f.dv.eys, ;sfhkafka' ux wdmq f,âvqkag fkdïur oS, jdä lrj, ;sín' lSmfofklaf. ueyqï lemqj' yosis taj fkfõfk' Thd Wfoag ld,;a kE fkao @ .syska ld, tkak'ZZ zzkE ñia ux jev bjr lr,u .syska lkjd'ZZ zztmd <ufhd" Thd oeka la,sksla follu jev lr,fk bkafk' ysianv Tfydu jev lrkak fyd| kE' wms f,dl=jg fi!LH wjjdo fokj" Wfoa lEfu jeo.;alu .ek" ta;a wms jev lrkafk nv.skafk'ZZ weh lSfõ wm Wfoa y;g fmd; w;aika lr jev mgka .;a úg f;a tlla j;a îug fj,djla fkdf.k tl os.g jev lrf.k hk nj okakd ksidh' b;d w¨hu isg fmda,sug tlajk f,vqka ;j ;j;a m%udo lrkakg iqÿiq fkdjk neúka wms tfia uqjg osh ì|la fyda fkdf.k jev wjika lrkakg mqreÿj isáuq' uu blauka lr Woh lEu .kakg mgka .;sñ' f.oßka T;df.k wd n;auq, läuqäfha .s,oud wjikaj iskala tl <`.g f.dia w; fidaod fïih u; jQ wjqkai wiQfõ j;=r fnda;,h Tijd ffjoHjrhd - udisl ffjoH iÕrdj
.;sñ' fnda;,h w÷re meye;sh' th tijQ úg nr wvq nj oeKQks' ug l,ska wdydr .;a wh j;=r fndkakg we;' fldamamhla fidhd .kakg mjd fkdkej;S uu th Tijd we, lrf.k tysjQ foh nf.k îf.k .sfhñ'
we`.s,a, osla lf<ñ' weh fnda;,h yrjd ne¨jdh' tys jQ f,an,h ud olskafkao oekah' zzfudkjo" fï ieõf,daka fnda;f,afk''' Thd tajo ìõfj''' @ ZZ l,n,fha ud j;=r hhs is;d îf.k f.dia ;snqfKA ieõf,daka ñY%Khhs' fjkod j;=r W;=rjd ieõf,daka ñY%Kh ilia l< miq th f.k f.dia ;eìh hq;af;a fnfy;a ouk ldurfhah' wo th f.k f.dia ;nkakg ldg fyda wu;l ù we;' j;=r fnda;,ho ta wi<u ;snqKs' foflau f,an,a w,jd ;snqKQ kuqÿ uf.a yosish jeälug tajd ÿgq fõ ke;'
nqÿ wïfuda" fï fudkjo fï''' wuq;=u crd ryla''' uu fnda;,h fïih u; ;enqjd fkdfõ" w; yeßfhñ' .s,sk ,o foh nv o`.,ñka W.=reg wdfõh' uf.a kyfhka láka fmK oukakg úh' fyd| fj,djg ruKS ldurhg we;=,a jQjdh'
oeka nvg .sh j;=ro jev lrkakg mgkaf.k we;' ug oeka jeisls,s hkakg jqjuKdh' yeu me;a;lskau oshr msgjkakgo mgka .kS' iEfyk muK jukh;a" nfâ,sh;a .sh miq ug u| iykhla oeKQks' tfy;a we`.m; wm%dKsl jQ ug jev lrkakg yelshdj;a ;snqfKA ke;' ta jßka jr Worh l<Ujñka ieõf,daka ñY%Kh fome;af;kau t<shg tk ksidh' ta ú;rla kï uoehs''' @ taj t<shg tk ief¾g fome;af;kau fmK j,ska msfrhs' oyj,a jk ;=re uu úfõl ldurhg ù isáfhñ' flfuka iqjh ,o kuqÿ ieu fokdf.a iuÉp,hg ,lajQ uu lsisfjl=g;a uqyqK fkdoS ie`.ù isáfhñ'
zzwehs fï @ZZ uf.a ú,dih ÿgq wE ;j;a m%Yak fkdlr ud j;a;ï lr.;a;dh' uu ÿjf.k f.dia fjdIA fíiug jukh lrkakg ùñ' fl;rï jukh l<o wyjrla ke;' jukh lrk jdrhla mdid kyfhka" láka fmK .,df.k ths' l÷¿ j.=rejñka" fydgq iQrñka uu isrere.; ish¿u foh msg;g .kakg ;e;a lf<ñ' ta w;f¾ lsisjl= f.dia ohdr;ak uy;añh le|jdf.k wdõh' wE ud oel weia Wv bkaojd .;a;dh' zzwdfka''' fudlo úoHd" Thdg fï jqfKA'''ZZ uu wr fnda;,hg 2016 ckjdß l<dmh
zzieõf,dka ìõjhska Th ;rñka .sfha" fjk;a jila fyu ìõj kï Thd wo fldfyao @ZZ zztalg W;a;f¾ fldÉpr f,aiso @ tlafld jdÜgqfj we|la Wv" ke;akï ñkS lduf¾'''ZZ zzlula kE" f,vd u,;a nv iqoao fj,dfk" fuhdf. kï wdfh fydaokak fohla b;sß fj,d ke;sj we;s' îmqj yeu me;af;kau t<shg wdjfk'''ZZ ñ;=ßfhda ug jfoa .i;s' yosish l< úkakeyshl ;ru''' fuu l:dx.h nª l;d /ila imsß lD;sh Tng my; ,smskfhka ñ,oS .; yel' fmdf;a ku zzfrdayf,ka weiqK l;dZZ f,aLlhd fidau,;d ffjoHr;ak fnodyeÍu iqri fmd;a ueÿr" 617" urodk mdr fld<U 10 ÿrl:k 2694230 ñ, remsh,a 275'00
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DIABETIC EFFECTS
oshjeähd frda.Skag we;sjk wlaIs wdndO
oshjeähd frda.Skag we;sjk wlaIs wdndO fõ,dikska y÷kd fkd.;af;d;a m%;sldr lsÍu wmyiqhs wjidk m%;sM<h wkaONdjhg m;a ùu o úh yelshs n oshjeähdfjka fmf<kafka kï ks;s Tfí weia mÍlaId lsÍu l< hq;a;ls' reêrfha iSks jeäùu wefia frda. /ila we;s lsÍug fya;=jk nj Tn oek.; hq;=h' jhi wjq' 20-74 w;r jhia ldKavfha ck;djf.a wkaO;djhg oshjeähdj uQ,sl fya;=jla nj Tn okakjdo@
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Tfí weiaj, fnd|ùula oel.kakg ,enqfKd;a th Tfí reêr iSks uÜgu jeäjQ nj lshdmdk ,laIKhla úh yelsh' oshjeähdj ksid uQ,sl jYfhka weiaj, we;sjk wdndO oshjeähdj ksid uQ,sl jYfhka weiaj, we;sjk wdndO ;=kls' • wefia iqo fkdfyd;a ;sñrh • .aÆfldaudj • fráfkdm;s wefia iqo fkdfyd;a ;sñrh iy oshjeähdj wefia iqo hkq idudkHfhka iqmeyeos,sj ;sìh hq;= wefia ldph oe,la ne|Su jeks j<dl=,a iy.; ;;a;ajhlg m;aùuhs' wefia iqo ´kEu flfkl=g we;súh yelsh' oshjeähd frda.Skag fï ;;a;ajh jvd;a blauKska we;sùu úfYAI;ajhls' 88
Tng wefia iqo we;s úg wdf,dalh uekúka kdNs.; lsÍug fkdyels ùu ksid wefia ldpfha w÷re m%foaYhla we;sfõ' fï ksid jia;=jla meyeos,sj oelSfï wjia:dj wysñ fõ' oshjeähd frda.sfhl=g túg jia;=jla úoHdudk jkafka ;o os,siSula iys;jh' ke;akï fnd| jQ ú,isks' wefia iqo ie;alfïoS isÿ lrkafka fï ldph bj;a lr ta fjkqjg lD;%su ldphla fkf;ys ia:dms; lsÍuh' .aÆfldaudj iy oshjeähdj wefia ixirkh jk oshrh uekúka nei hdula ke;súg th u.ska wefiys wNHka;r mSvkh jeä lrhs' fuh .aÆfldaudj jYfhka ye|skafõ' fï ksid wefia iakdhq yd reêrjdyskS wdmodjg m;aù wefia fmkSug ydks isÿúh yelshs' .aÆfldaudfõ jvd;au iq,n wdldrh jk Open-angle glaucoma frda.hg m%;sldr ffjoHjrhd - udisl ffjoH iÕrdj
msKsi wefia ;sfnk ;r,h bj;a lsÍu yereKQ úg w¿;ska ksIAmdokh ùuo wvd, lr.ekSu isÿ l< hq;=h' fï ld¾hhka folu T!IO m%;sldr j,ska imqrd.; yelsh' fï frda.fhaoS weig úYd, ydkshla jk ;=re" wefia fmkSu ie<lsh hq;= muK wvqjk ;=re frda. ,laIK m%lg fkdlsÍu frda.shdg uy;a wjdishls' we;eï iq¿;rhla wjia:dj,oS ysiroh" wefia fõokdj" fmkSu fnd|ùu" wefika l÷¿ .e,Su wdoS ,laIK fmkSu wvqùug wu;rj we;súh yel'
wefia iqo hkq idudkHfhka iqmeyeos,sj ;sìh hq;= wefia ldph oe,la ne|Su jeks j<dl=,a iy.; ;;a;ajhlg m;aùuhs' wefia iqo ´kEu flfkl=g we;súh yelsh' oshjeähd frda.Skag fï ;;a;ajh jvd;a blauKska we;sùu úfYAI;ajhls'
fuu frda.Ska Wfoid lrk m%;sldr rdYshls' úfYAIs; Eye Drops j¾. oeóu" f,ai¾ m%;sldrh" T!IO yd Y,Hl¾u fï w;r fõ' Y,Hl¾uh;a" f,ai¾ m%;sldrh;a lrkafka wefia ;r,h bj;a lsÍu wruqKQ lr.ksñks' oshjeähd frda.Ska fï fofk;a wkaONdjhg ,la lrk frda.fhka wdrlaId ùug jirla mqrd 2016 ckjdß l<dmh
89
f;aud rpkh
oshjeähd frda.Skag we;sjk wlaIs wdndO
fráfkdm;s ;;a;jh fõ,dikska y÷kd fkd.;fyd;a m%;sldr lsÍu wiSreh' th Tfí weia wkaO lsÍug fya;= jkq we;' wlaIs mÍlaIKhla wlaIs ffjoHjrfhl= fj;ska lr.ekSu iqÿiqh' oshjeähd frda.Ska yg Neovascular glaucoma kñka ye|skafjk úfYAIs; .aÆfldaudj j¾.hlao we;sùug mq¿jk' fuysoS wefia j¾Kj;a l,dmh" l¿ bx.sßhdfõ reêrjdyskS úfYAIhla w¿;ska we;s jkafkah' fuu.ska wefiys ;r,h msg;g .,dhdu wjysr lrhs' fuh wei ;=< mSvkh jeä lsÍug fya;= fõ' fuhg m%;sldr jYfhka reêrjdyskS wvq lsÍug f,ai¾ m%;sldrh isÿ lrKQ ,efí' vhfnála fráfkdm;s wefia ldphg m%fõY jk wdf,dalfhka m%;sìïnhla ks¾udKh lsÍug fya;=jk iqúfYAIS ffi, j,ska ks¾ñ; wlaIs fldgils" oDIAÀú;dkh' oDIAÀú;dkfha m%;sìïnh iEoSfuka miqj fï oDYH f;dr;=re oDIAÀl iakdhqj Tiafia fud<hg iïfm%aYKh lr ta Tiafia jia;=jla ÿgqjdh hk ixfõokh we;s lrhs' vhfnála fráfkdm;s hkq reêrjdyskS wdY%s;j we;sjk wlaIs fodaIhls'fï reêrjdyskS msmsÍfuka" wdmodjg m;aùfuka fulS vhfnála fráfkdm;s ;;a;ajh we;sfõ' th "microvascular complication." kñka ye|skafjhs' oshjeähd frda.Ska yg we;sjk jl=.vq wdmodjg m;aùu iy iakdhq ÿ¾j, ù ixfõokh fkdue;s ùuo microvascular complications f,iu ffjoH úoHdfõ oelafõ' yDohdndO yd wd>d;h wdosh úia;r macrovascular complications fjkafka f,igh' 90
fráfkdm;s ;;a;jh fõ,dikska y÷kd fkd.;fyd;a m%;sldr lsÍu wiSreh' th Tfí weia wkaO lsÍug fya;= jkq we;' fï nrm;, wlaIs wjodku wvq lr.ekSug we;s fyd|u úi÷u Tfí reêr iSks uÜgu md,kh lr.ekSuh'
oshjeähd frda.Ska wlaIs wdndO j,g ,laùfï wjodku fnfyúka jeäh' yefok wlaIs wdndO Tn wkaONdjhg ,la lsÍfï wjodkulao f.k ths' fï ksid hï wjodkula fõ kï th l,a h,a we;sj y÷kdf.k kshñ; ms<shï fhoSu myiq jkq msKsi wvq ;rfï jirlg j;djla j;a wlaIs ffjoHjrfhl= yuqùu w;miq fkdlr l< hq;a;ls'
ffjoHjrhd - udisl ffjoH iÕrdj
2016 ckjdĂ&#x; l<dmh
91
1344 Durdans Helpline
WIGS FOR GLAMOUR
ú.a tlla ksjerosj Ndú;d lrkafka fldfyduo@ m%ùK rEm,djkH YS,amskS k§ld fmf¾rd
ú.a tlla ksjerosj Ndú;d lrkafka fldfyduo@
fma merKs idys;H lD;sj, ,<kdjkaf.a flaY l,dmh .ek fudk ;rï j¾Kkd lr,d ;sfhkjdo@ flaY l<HdKh ;uhs" ,,kdjkaf.a wdvïnrh' ljr ,,kdjla jQj;a ;u fldKAvh ,iaiKg ;nd.kakg leu;shs'
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kuq;a ;ukaf.a flia l<U b;d wvq iajNdjhla fmkajk úg ;ukaf.a is;g wvq lula tfyu ke;akï rEmhg wvqlula lsh, ys;df.k isák we;efula fokd ú.a Ndú;hg fm<fUkjd' kuq;a fuh wjfndaOhlska f;drj isÿ l<fyd;a w,xldr fmkqula biau;= ùu fjkqjg isÿjkqfha fkd.e,fmk wj,iaikla biau;= ùuhs' Tn iyNd.s jk W;aij wjia:dj l=uk fõ,djl meje;afjkafka oehs ie<ls,su;a jkak' Tn iyNd.s jk W;aij wjia:dj meje;afjkafka osjd ld,fhao" rd;%S 92
ffjoHjrhd - udisl ffjoH iÕrdj
ld,fhao hkak ms<sn|j fukau tys iajNdjh ms<sn|j;a ie<ls,su;a ùu fuys§ b;d jeo.;a fõ' Bg wu;rj uqyqfKa yevh iy iajNdúl fliaj, iajNdjh ms<sn|jo wm ie<ls,su;a úh hq;=hs' ux., W;aijhlg iqÿiq ysiflia ú,dis;djla WmkaÈk idohla jeks ir, W;aij wjia:djlg iqÿiq fkdjk nj wjfndaO lr.; hq;=h' tfiau rd;%S W;aij wjia:djla i|yd iyNd.s jkafka kï ;udg we;af;a flá fldKavhla kï ú.a Ndú;d lsÍfï§ wdl¾YkSh nj jeälr fmkaùug flia ;Sre j¾K .ekajq ú.a tlla Ndú;d lsÍu ydkshla fkdfõ' th wo fndfyda ÿrg ld,Sk ú,dis;djla jk kuqÿ fuysoS iajNdúl flia fldgiao f.k ú.a tfla we;s j¾Kj,g iudk wdldrhg fjkia fkdjk whqßka .,md .ekSug Tn ie<ls,su;aùuo b;d jeo.;a fõ' tla tla wh ;=< we;af;a Tjqkg wdfõKsl jQ iajNdjhls' 2016 ckjdß l<dmh
tfy;a .eg¿ u;=jkqfha ksis wdldrhg fï fjki wjfndaO lr fkd.kakd úghs' we;eï wfhl=f.a uqyqfKA we;af;a .eñ iqkaor;ajhla úh yelsh' túg wm ie<ls,su;a úh hq;af;a tu iqkaor;ajh u;=jk ú.a tlla Ndú;d lsÍu muKs' wehg lsisfia;a .e,msh fkdyels ú.a tlla Ndú;d lrñka wehf.a we;s iqkaor;ajh yd;amiskau fjkia lsÍu fkdfõ' tf,i fkd.e,fmk wdldrfha ú,dis;d fh§ug W;aidy .ekSfuka jkqfha fndfyda fokdf.a Wmydihg yd ydiHhg ,laùuhs' tneúka ;udf.a we;s iqkaor;ajh u;=lrk wdldrfha ú.a tlla f;drd .ekSu l< hq;=h' ld,Sk fudaia;rh fuh hhs lshñka" ;udg fkd.e,fmk ú.a Ndú;d lsÍu lsisfia;a fkdl< hq;=h' ú.a tlla ksjerÈj Ndú;d lsÍfuka ;udf.a fm!reIh jeälr ukd fmkqula ,nd fohs' ú.a tlla ksjerÈj Ndú;d lsÍu ;=<ska ;udf.a fm!reI;ajh jeälr fmkaùug o bjy,a fjhs' ú.a tflys we;ss msßisÿ nj iy iajNdúl fmkqu ms<sn|jo ie,ls,su;a ùu b;d jeo.;a fõ' th b;du;a wmsßisÿ ;;a;ajhl mj;S kï fndfydaúg th Tnf.a fm!reIhg ydkshla jkq we;' tneúka" ú.a Ndú;hg fmr th iajNdúl fldKavhg iudk njla fmkajkafkao hkak ms<sn|j ie<ls,su;a úh hq;=h' tjd wmsßisÿ ;;a;ajfha mj;S kï l,ska Ieïmq oud fidaod fõ,d ksisf,i mSrdf.k ;sîu wksjd¾h lreKls' ú.a tlla Ndú;d lsÍfï§ we;sjk ;j;a jdishla jkqfha fldKavd fudaia;r i|yd hk ld,h b;d flá ùuhs' tfiau W;aij wjia:djlg iyNd.sjk Tng fjfyilska f;drj b;du;a ieye,a¨fjka flá ld,hla ;=< iqodkï ù ta i|yd iyNd.s ùug wjia:dj ,efí' igyk- wkqrdOd È,sks b,kafldaka 93
MAMMOGRAPHY
uefuda.%ms mÍlaIKhla isÿ lrk yeá
How to perform a mammography
uefuda.%ms mÍlaIKhla isÿ lrk yeá
uefuda.%ms hkq mshhqre wdY%s;j we;s frda. y÷kd.kakd tlaia lsrK Wmfhda.S lr.kakd ;dlaIKhls' mshhqre wdY%s;j isÿ lrk iajhx mshhqre mÍlaIdj ldka;djka úiska udiiam;d isÿ lrKQ ,nhs' ffjoHjrfhl= úiska idhksljo mshhqre mÍlaId lr tys we;s hï widudkH;djhla fjf;d;a y÷kd.; yel' kuq;a w;g yiqùu uQ,sl lr.kakd fuu mÍlaIdfõoS fuka fkdj Bg fndfyda ld,hlg fmr mshhqre wdY%s;j ffi,Sh fjkialï isÿjk wjia:dfõoSu uefuda.%Eï mÍlaIKfhka mshhqre wdY%s;j we;sjk fjkialï y÷kd.ekSug wjia:djla ie,iSu fuu mÍlaIKfha we;s úfYAI;ajhhs' idudkHfhka ldKav foll ldka;djka Wfoid uefuda.%Eï mÍlaIKh isÿ lrKQ ,efí' Screening mammography mshhqre wdY%s;j frda.S ;;a;ajhla fkdue;sj wdrlaIl Wml%uhla jYfhka uefuda.%ms mÍlaIKhg Ndckh lsÍu fuysoS isÿfõ' idudkHfhka iajhx mshhqre mÍlaIKhla udihlg jrla isÿ lr.ekSu iEu ldka;djlgu ks¾foaY flfrhs' ta yereKQ úg jd¾Islj fï ldka;djka ffjoHjrfhl=" 94
ffjoHjrhd - udisl ffjoH iÕrdj
fi!LH fiajd imhkafkl= fj;ska ;u mshhqre mÍlaIdjla isÿ lr .ekSuo fuys wx.hls' wjq' 40 blaujQ ldka;djkag fok ,o ld, wka;rhla ;=< wdrlaIdj msKsi fuu mÍlaIKhg Ndckh ùug Wmfoia fokq ,efí' fuu mÍlaIKfhaoS mshhqre hq.,fhys m%;sìïn fol ne.ska ,nd.ekSu idudkHfhka isÿ lrKQ ,efí' Diagnostic mammography fuysoS mÍlaIKhg Ndckh lrkafka mshhqre wdY%s;j hï meñKs,s ;sfnk ldka;djkah' mshhqre mÍlaIK l%shdj,skaysoS iel iys; ksÍlaIK j,g md;% jQ ldka;djka" mshhqre wdY%s; lelal=ula" fjkia hula w;g yiqùula" ;kmqvq j,ska >%djh .e,Sula wdoS jYfhka ljr fyda frda.S ;;a;ajhla m%lg lrk ldka;djka fuysoS mÍlaIKhg Ndckh flf¾' mshhqre ms<sldjla je<|Sfuka mshhqr fyda bka fldgila bj;a l< ldka;djkaf.a 2016 ckjdß l<dmh
mÍlaIKo fï hg;g .efka' fuysoS me;slv folg jeä m%;sìïn ixLHdjla .ekSu idudkHfhka isÿfõ' uefuda.%ms mrSlaIKhlg Ndckh úh hq;= ms<sfj, • óg fmr Tn uefuda.%ms mrslaIKhlg fyda fjk hï mshhqre wdY%s; mÍlaIKhlg nªka jqks kï thg wod,j Tn ika;lfha we;s ish¿u jd¾;d /f.k taug wu;l fkdlrkak' • Tfí bfkka Wv m%foaYh fï mÍlaIKfhaoS we÷ï bj;a lsÍug isÿfõ' thg iß,k fia idhla fyda í,õihla fyda fjkhï lE,s fofla we÷ulska ieriS mÍlaIKhg hkak' nridr wdNrK me<| hdfuka j<lskak' • mqhr" iq.kaOldrl ^fikaÜ&" l%Sï fï wdoS lsisjla fkd.,ajd hdu iqÿiqh' tajdhska uefuda.%ms mÍlaIKfha ;;a;ajh úYsIaG wdldrfhka mj;ajd .ekSug ndOd we;sfõ' • mshhqre jvd;au uDÿj we;s oskfhl mÍlaIKhg f;dard.; hq;=h' idudkHfhka Tima ùfuka i;shl wejEfuka mshhqre j, uqÿ .;sh wvqfõ' fï i|yd jvd;a WÑ; jkafka Tima ùug i;shlg fmr yd Tima ùu isÿjk ld,hhs' uefuda.%ms mÍlaIKhl we;s úfYAI;ajh jkqfha ms<slduh ;;a;ajhla wef;d;a th b;d fõ,dikska y÷kd.ekSug ,efnk wjia:djhs' fuysoS l,a h,a we;sj kshñ; wdrlaIl mshjr .ekSug wjia:djla ,efnk ksid myiqfjkau m%;sldr lsÍugo wef.a cSú;h fírd.ekSugo yelshdj ,efí' uefuda.%Eï mÍlaIKhg Ndckh lrk wdldrh uq,skau weh bfKka Wv we÷ï bj;a lrKQ ,efí' fï mÍlaIKhg Tnj Ndckh lrjkq ,nkafka úlsrK ;dlaIKfõoS ks,Odßkshl úisks' fuhska Tng is;e`.s f,i mÍlaIKhg Ndckh ùug iqÿiq mßirhla Wodfõ' Tnj hka;%h mfil isg.kakg i,iajd jrlg tl ne.ska mshhqr wod, ia:dms;fha ;nkq ,efí' jvd;au wjYH m%;sìïn ,nd.; yels jk fia fï msysgqùu lrk w;r bkamiq fmv,hla weiqf¾ mshhqr iu;,lrkhlg ,la flf¾' 95
MAMMOGRAPHY
fufia mshhqr ;,hla u; iu;,khg ,la lsÍfuka mshhqre mgl taldldrj;a isyska ia:rhla f,i;a m%;sìïn.; lsÍug myiqjla we;s fõ' tfiau taldldÍj ffi, me;sÍfuka úlsrK Odrdj mQ¾K Wmfhda.S;djhg ,lafõ' fï ish,af,kau wruqKQ lr.kafka jvd;a meyeos,s m%;sìïnhla ,nd.ekSuhs' úYd, fõokdjla we;s fõ hhs wksh; ìhla mshhqr f;rmSulg ,la jqKdg thska wmyiq;djhla ñi bis,sh fkdyels fõokdjla we;s fkdfõ' tfy;a we;eï ldka;djka fuhg m%;spdr olajkafka ;rula ÿIAlr wdldrhlgh' Tjqka fï fya;=j ksidu mÍlaIKh u.yßk wjia:d mjd ksÍlaIKh fõ' flfia jQj;a Mammopad hkqfjka ye|skafjk mshhqre iq/lsj f;rmqug ,la lrk fuj,ulao ;sfnk w;r oeka fndfyda uefuda.%ms mÍlaIK j,oS fuu Mammopad Ndú;d l< yel' ful, ;dlaIKh oshqKQhs kshñ; ia:dms;fha Tnj ;eîfuka miqj úlsrK ;dlaIK{jßh Tfnka kslau f.dia m%;sìïn ,nd.ekSfï ld¾hfha ksr; fjhs' ful, iq,nj we;af;a wxls; ;dlaIKfhka (Digital) l%shd;aul jk uefuda.%Eï hka;%h' fï ksid ,nd.;a m%;sìïnh ta wjia:dfõoSu ;srfha osiafõ' th ÿ¾j, fyda wid¾:l m%;sìïnhla kï th ta wjia:dfõoSu ksjeros lsÍfï yelshdjo ,efí' idudkHfhka wxls; ;dlaIKh fhdod.ekSfïoS úkdä 5-10lska mÍlaIKhla wjika l< yel' wu;r m%;sïn ,nd.kakd wjia:d j,oS muKla ld,h ;rula jeäfhka ñvx.= fõ' fuu mÍlaIKfhka ,nd.;a m%;sìïn mÍlaId lrñka jd¾;dj imhkafka úlsrKfõoS úfYAI{jrfhl= úisks'
96
uefuda.%ms mÍlaIKhla isÿ lrk yeá
wdisß Y,H frdayf,ka uefuda.%Eï mÍlaIKhla isÿ lr.kakd Tng''' mshhqre mrSlaId lsrSfï uefuda.%ï ;dlaIKfha wiuiu mßmQ¾K mÍlaIdjla i|yd wdisß Y,H frday, fj; msh k.kak' iqmeyeos,s jvd;a iúia;rd;aul" jvd;a ksrjoH ;%sudK m%;sìïn Tiafia b;d uq,a wjia:dfõ mj;sk b;du l=vd ms<sld ffi,h mjd yiqlr.ekSug iu;a fgdafudaiska;isia ;dlaIKh fuysoS Tn Wfoid n,.ekafjhs' fï Wiia ;dlaIKh wdisß frdayf,a ia:dms; lrk ,oafoa osjhsfka m%:u j;djgh' fuu fgdafudaiskaf;aisia ;dlaIKh Ndú;d lsÍfï we;s iqúfYAIS jdis • idudkH uefuda.%Eï mÍlaIkhlg jvd fõ.j;ah" fõokdj wvqh" jvd;a ksrjoHh' • ia:rfhka ia:rhg msßlaiñka ;%sudKrEmS m%;sìïn ,ndfok ksid ie`.j we;s ms<sld ffi, fjf;d;a tajdo yiqlr fohs' • fhdod.kakd úlsrK ud;%dj ;=fkka follau wvqh'
ffjoHjrhd - udisl ffjoH iÕrdj
PLASTIC SURGERY
kdih" f;d,a iy lkaj, wvqmdvq ilid .; yels kùk;u ffjoH l%u
kdih" f;d,a iy lkaj, wvqmdvq ilid .; yels kùk;u ffjoH l%u wdl¾IKSh fmKqula ,nd .ekSug rcfha frday,a j,ska lr.; yels ma,diaála ie;alï úfYaI{ ma,diaála Y,H ffjoH i;sYa úfÊudkak
uqyqfKa fyda isref¾ ndysrg fmfkk úúO wvqmdvq ilid .ekSug rEm,djkH ie;alï ;=<ska yelshdj we;' fun÷ w;s kùk ma,diaála iy rEm,djkH ie;alï ±ka f,dalfha fndfyda fihska ÈhqKq ksid fujeks foaj,a wo nyq, jYfhkau isÿ flf¾' ldka;djka fiau msßñkao fïjd flfryS keUqre ùfuys m%.;shlao ±ka ±lsh yelsh' wms wo kdih" lka" f;d,aj, fmkqu iqkaor lr.ekSu i|yd l< yels ie;alï ms<sn|j úuid n,uq' 2016 ckjdß l<dmh
97
PLASTIC SURGERY
f;d,a fm;sj,o fjkialï lsÍug rEm,djkH ie;alïj,ska yelshdj ;sfí' Wvq f;d, uqyqKg fkd.e<fmk mßÈ úYd, f,i msysgd ;sîu" Wvq f;d, bÈßhg fkrd tAu" f;d,aj, m%udKh úYd, ùu fyda wkjYH ;rug l=vdj msysàu jeks ;;a;ajhkaj,§ f;d,aj, wdl¾IŒh nj ke;sù hhs'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.lk
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kdih" f;d,a iy lkaj, wvqmdvq ilid .; yels kùk;u ffjoH l%u
kdifha iy f;d,aj, ie;alï ful, ldka;djka w;r b;du;a m%p,s;h' fldiafuála rhsfkdma,diaá ^Cosmetic Rhinoplasty& kñka y÷kajkafka kdih i|yd isÿ lrkq ,nk ie;aluhs' kdifha mrisÿ wvqmdvq wmg Wm;ska ,eî we;s kdifha úúO wvqmdvq mej;sh yelsh' ke;fyd;a yÈis wk;=rla jeks foalg uqyqK §u ksid kdifha wj,iaik fmkqula mj;skakg mq¿jk' kdifha msysàfï wvqmdvq w;r kdih wkjYH f,i bÈßhg fkrd fyda biaiS ;sîu" kdih me;,sj my;aj msysàu" kdifha m<, jeäùu wdÈh nyq,j ±lsh yels tAjdh' uqyqKg .e<fmk wdl¾YŒh kdihla ,nd .ekSug rEm,djkH ie;alï u.ska yelshdj ;sfí' fuh tu mqoa.,hdf.au isref¾ mgl ,ndf.k tu.ska l< yels fiau lD;%su bïma,dkaÜ tlla ±óu ;=<skq;a isÿ l< yelsh' fufia kdih ieliSu ;=<ska ,eìh yels wu;r jdishla jkafka kdifha yqiau .ekSfï wjysr;d wdÈh ;sfí kï tho tA wjia:dfõ§ h:d ;;a;ajhg m;a lrjd .; yels ùuhs' fujeks wvqmdvq ilid .ekSu i|yd rEm,djkH ma,diaála ie;alï rcfha frday,aj, ma,diaála Y,H ffjoH tAll u.ska isÿ lr .; yelsh'
lkaj, wvqmdvq ilia lsÍu tfiau lka fm;s iy lkaj, wvqmdvq ilia lsÍugo rEm,djkH ie;alï u.ska yelshdj ;sfí' fuh y÷kajkafka Tfgda ma,diaá ^Oto plasty& f,isks' lkafm;s iu. lk bÈßhg fkrd tAu ksid lka wj,iaik f,i úYd, ù fmkSu ilia lsÍu fujeks tla l%uhls' l=vd orejl=f.a fun÷ ;;a;ajhla mj;S kï ma,diaála Y,H ffjoHjrhl=g fmkajd th ilia lr .ekSu iqÿiqh' ke;fyd;a orejd mdi,a hk úg fiiq orejkaf.a Wiq¿ úiq¿ j,g ,laúh yelsh' th orejdg udkislj o wys;lr f,i n,mEug bv ;sfí' fun÷ wvqmdvq rcfha frday,aj,ska lr .; yelsfõ' orejd mdi,a hdu wdrïN lsÍug fmr tn÷ foaj,a ilia lsÍu hym;ah' rEm,djkH yd iïnkaO ffjoHjrhd - udisl ffjoH iÕrdj
foaj,a rcfha frday,aj,ska Tng ,nd.; fkdyels jqj;a by; lS wkaofï úúO wvqmdvq ;ukag wjYH mßÈ rcfha frday,l ma,diaála Y,H ffjoH tAllfhka bgq lrjd .; yelsh'
ie;alug fmr
ie;alug miq
wvqmdvq mj;sk kdifha fjkialï we;s lsÍu
ie;alug fmr
ie;alug miq
lka fm;s j, wvqmdvq ilia lsÍu
ie;alug fmr
ie;alug miq
f;d,aj, fmkqu fjkialr .ekSug fïoh msrùu 2016 ckjdß l<dmh
f;d,a fm;sj, fjkialï lsÍug rEm,djkH ie;alï f;d,a fm;sj,o fjkialï lsÍug rEm,djkH ie;alïj,ska yelshdj ;sfí' Wvq f;d, uqyqKg fkd.e<fmk mßÈ úYd, f,i msysgd ;sîu" Wvq f;d, bÈßhg fkrd tAu" f;d,aj, m%udKh úYd, ùu fyda wkjYH ;rug l=vdj msysàu jeks ;;a;ajhkaj,§ f;d,aj, wdl¾IŒh nj ke;sù hhs' fujeks f;d,aj, fmkqu fjkialr .; yels l%u rdYshla ;sfí' iuyr úg th iq¿ bkafclaIka m%;sldrhla úh yelsh' bkafclaIka m%;sldrh laIKslj ,nd .; yels uq;a m%;sM,h È.=ld,Sk fkdjk ksid kej; th ,nd fokakg isÿfõ' idudkHfhka jirlg jrla muK tu bkafclaIka ,nd§u m%udKj;ah' tA yer fuhg iaÓr l%uhla jkafka fïoh msrùfï ^fat grafting& l%uhhs'f;df,a m%udKh jvd;a wvq kï Bg;a jvd iqúfYaI ie;alï ;sfí' tu.ska f;d,g wdl¾YŒh fmkqula ysñ jkq we;'
99
BEAUTY
ifuys wisßh
ifuys wisßh n,msáh uQ,sl frdayf,a p¾u frda. úfYaI{ ffjoH wcs;a lkakka.r
i
u /l.kakg Wkkaÿjla olajk fldhs ljqre;a ifuys iajNdjh .ek hï oeKQula ,nd.ekSu fnfyúka jeo.;a'
iu m%Odk f,iu fldgia y;rlg fnod ±laúh yel' 1' idudkH iu 2' f;,a wêl iu 3' úh<s iu 4' ixfõ§ iu we;euqkaf.a iu fmdÿfõ .;a l< by; i|yka fldgia lsysmhl tl;=jla f,io .; yel' wmf.a ifï j¾.h ldf,ka ld,hgo fjkia úh yel' WodyrKhla f,i ;reK úfha miq jqjo idudkH iula ;sîfuka jhig .sh fmkqula ksrdhdifhkau ,efí' Tnf.a iu fudk jf.ao @ Tnf.a iu by; i|yka l< l=uk j¾.hlg wh;a ±hs ±k.; yels ir, mÍlaIKhla fõ' fyd¢ka msßisÿ ù rd;%s kskaog hkak' WoEik msìÿkq úg 100
áIQ lvodishla f.k iïmQ¾K uqyqK jefik wdldrhg ;nd fyd¢ka ;o lr uqyqfKka bj;a lrkak' Tnf.a w; we;s áIQ fld<h f;,a meye;s kï f;,a iys; iulao" kyh" kslg" k<, m%foaY muKla f;,a meye;s kï idudkH iulao" f;,a meyehla ke;skï úh<s iulao f,i myiqfjka ir,j y÷kd.; yel' ifï j¾.h ;SrKh lrk fya;= • ifï mj;sk f;;ukh ^ifï iqjmyiqj fukau kuHYS,S;ajh we;s ùug idOl jk fya;=jhs'& • ifï mj;sk fïo m%udKh ^ifï msreKq" ffjoHjrhd - udisl ffjoH iÕrdj
meyem;a fukau iqug iajNdjh we;s lrkafka fï idOlhhs'& idudkH iula fï jf.hs Normal Skin Type • fuh iajNdjfhka uOHia: Ndjhla Wiq,k w;r jeämqr úh<s fyda f;,a iys; fkdfõ' • fujeks iula wvqmdvq wju fyda wvqmdvq fkdue;s iula f,i ms<s.kq ,nhs' • idudkH ixfõ§ njlska hqla; fõ' • frdau l+m b;du;a wju f,i fmfka' • fyd| ldka;su;a fmkqula iug Wreu fõ' idudkH iu iajNdjh Combination Skin Type fuys§ ifï we;eï ia:dk úh<s úh yels w;r ;j;a ia:dk tA yd iudkj f;,a iys; úh yel' kdih" k<, yd kslg m%foaYh f;,a meyeùu;a" uqyqfKa wfkla m%foaY úh<s núka hqla; ùu;a úfYaI;ajhls' nyq;rhlg idudkH iula ;sîu u.ska úúOdldr jQ ydks isÿùï wju ùfï jdish ,efí' 2016 ckjdß l<dmh
idudkH ifï ,laIK • í,elafyâia ^Black Heads& we;s ùu • nyq;rhla ifï isÿre ;sîu • meyeÈ,s iula ;sîu
Tfí iu ixfõ§ nfjka jeä kï tA yd iu. m%;sl%shd lrkq ,nk øjH y÷kd .ekSug W;aidy orkak' túg Tng tjeks øjHj,ska iug jk ydksh wju lr .; yelsfõ'
úh<s iu fï jf.hs Dry Skin Type úh<s ifï ,laIK • r;= meye me,a,ï we;s ùu • jeämqr fkdfmfkk isÿre ;sîu • kuHYS,S;ajh wju ùu • fyd¢ka fmfkk bß jeämqr meje;Su úh<s iula ysre t<shg ksrdjrKh ùfï§ isÿjk ydks • ifï bß ;e¨Kq iajNdjhla .ekSu • fmd;= .e,ù hdu • iu leiSu • ;o ±ú,a,la we;s ùu Tnf.a iu ±ä úh<s njla f.k we;akï Tnf.a iu r¿ úh yelshs' fldrfmd;= we;s úh yelshs' úfYaIfhkau w;aj," weÕs,sj, fukau ll=,aj, fïjd we;s úh yelshs' úh<s iula we;s ùug fya;= • mdrïmßl fya;= ^cdkuh fya;=& • jhig hdu • fydafudak fjkialï • ld,.=‚l úm¾hdi ^iq<x" ysret<sh yd iS;,& • mdrcïnQ, lsrK j,g ksrka;rfhka ksrdjrKh ùu • oä riakh
101
BEAUTY
ifuys wisßh
• §¾>ld,Sk WKq j;=r Ndú;h • fkdfhl=;a inka" rEm,djKH fuka fiaÿïldrlhka Ndú;h • we;eï T!IO Ndú;h ksid
;rul Wmldrhla ,efnkq we;' • ksr;=reju ysret<shg hdfï§ ysret<sfhka iu wdrlaId lr.; yels wdf,amkhla Ndú; lrkak' Tn Ndú; lrkq ,nk wdf,amkfha UVA yd UVB lsrK u.ska wdrlaId úh yels wdf,amkhla mej;Su jeo.;a fõ'
f;,a iys; iula fï jf.hs Oily Skin Type f;,a iys; ifï ,laIK • úYd, isÿre we;s ùu • w÷re iajNdjhla .ekSu • í,ela fyâia" l=re<E fukau ,m le<e,a we;s ùu f;,a iys; iu ldf,ka ldf,g jir mqrdu fjkia úh yel'
• ÿïmdkfhka j<lskak'
f;,a iys; iula we;s ùug fya;= • jeäúh meñŒu jeks fydafudak fjkia ùï ksid • wd;;sh • jeämqr riakh fyda f;;ukhg uqyqK §u
• ksr;=reju msmdih ±kSug m%:u wjYH m%udKhg c,h mdkh lrkak'
f;,a iys; iu /l .; hq;= wdldrh • jeämqr oyäh oukjd kï muKla Èklg fojrla muK uqyqK fia§u • uDÿ inka j¾.hla muKla Ndú; lsßu • lsisÿ úfgl§ uqyqK ;Èka we;s,a,Sula fkdlsÍu • l=re<E we,a,Su" leãu fyda ñßlSu fkdlsÍu
• fyd¢ka YÍrh msßisÿ lr ;nd .kak' • lsisu wjia:djl wdf,amkhka iu. kskaog fkdhkak'
ixfõ§ iula fï jf.hs Sensitive Skin Type Tfí iu ixfõ§ nfjka jeä kï tA yd iu. m%;sl%shd lrkq ,nk øjH y÷kd .ekSug W;aidy orkak' túg Tng tjeks øjHj,ska iug jk ydksh wju lr .; yelsfõ' Tfí iu fkdfhl=;a fya;+ka j,g ixfõ§ jqK;a úfYaIs; wdf,amkhka u.ska iu wdrlaId lr .; yelsfõ' ixfõ§ ifï ±lsh yels frda. • r;ameye ùu • leiSu • ±ú,a, • úh<s iajNdjh
• Tnf.a iu fyd| f;;uklska ;nd .ekSug fudhsiaprhsiska l%Sï tlla Ndú; lrkak' • iEu úgu iunr wdydr fõô,la .kak' • Èkm;d fld< meye t<j¿ yd m<;=re wdydrhg .kak'
iu wdrlaId lr .ekSug fufyu lrkak Tnf.a iu l=uk j¾.fha jqjo my; wdldrhg lghq;= lsÍfuka th wdrlaId lr .ekSug hï 102
ffjoHjrhd - udisl ffjoH iÕrdj
2016 ckjdß l<dmh
103
THE INTEGRATED BIOLOGICAL BEHAVIOURAL SURVEY
wfma rfÜ ck;djf.a ,sx.sl p¾hd iïnkaOfhka wOHhkhla'''
wfma rfÜ ck;djf.a ,sx.sl p¾hd iïnkaOfhka wOHhkhla''' ,sx.sl Y%ñlhka fidhd hk jeä fofkla fldkavï m<|skjd wfma rfÜ ,sx.sl Y%ñlhka ,sx.dY%s;j fndajk frda. j,g ,laùfï bvlv idudkH ck;dj yd ii|k l, kj .=Khlska jeänj cd;sl ,sx.dY%sj iïfm%aIKh jk frda. yd taâia md,k jevigyk (National STD & AIDS Control Programme (NSACP) m%ldY lrhs' fï nj wkdjrKh jQfha ;;a wdh;kh hkqfjka isÿ lrk ,o wOHhkhlsks' wfkl=;a rgj,a yd ixixokh lrk l< wfma rfÜ ,sx.sl Y%ñlhka w;r HIV ffjrih wdidokh ùfï m%;sY;h ishhg 104
ffjoHjrhd - udisl ffjoH iÕrdj
9la ;rï wvq w.hla .kq ,enQj;a wfma rfÜ idudkH HIV wdidokh ùfï 0'1 wvq m%;sY;d;aul ixLHdjg wkQj fuh jeä wjodkula m%lg lrk nj cd;sl ,sx. dY%s;j iïfm%aIKh jk frda. yd taâia md,k jevigyfka wOHlaI ffjoH isisr ,shkf.a m%ldY lrhs' wfma rfÜ jeäu ,sx.sl Y%ñlhka m%udKhla isákafka fld<U osia;%slalfha''' wfma rfÜ jeäu ,sx.sl Y%ñlhka m%udKhla isákafka fld<U osia;%slalfhah' miq.sh jir ;=< ,shdmosxÑ jQ ,sx.dY%s;j iïfm%aIKh jk frda. iïnkaOj osjhsfka m%Odk frday,a j, ia:dms; idhk j, kj frda.Ska ms<sn|j úuiSfïoS jeäu frda.Ska m%udKhla ,shdmosxÑ ù we;af;a cd;sl frdayf,a ia:dms; uOHu idhkfhah' ó<`.g ms<sfj,ska l¿fndaú," l=reKE., iy rd.u hk STD idhk j, wkql%ufhka jeä frda.Ska ,shdmosxÑ ù ;sfí' wfma rfÜ m%Odk frday,a wdY%s;j ,sx.dY%s; frda. idhk ;syla fï jk úg l%shd;aul fõ' 2016 ckjdß l<dmh
,sx.dY%s; frda. idhk j,g meñfKkafka wjodkï iy.; p¾hd iys; mqoa.,hka muKla fkdfõ' kj /lshd wjia:d ,nd.ekSfïoS" .¾NsKSNdjhg m;a ùfïoS fï ,sx.dY%s; mÍlaIK b,a,d isák ksid tjka who ,sx.dY%s; frda. idhkhg meñfKA' flfia fj;;a l¿fndaú," fld<U yd rd.u wdoS m%Odk frday,a wdY%s; idhk j,g reêr mÍlaIK j,g meñfKk whf.ka ishhg 60la muK ,sx. dY%s; frda. j,g m%;sldr msKsi meñfKkakka nj wkdjrKh ù ;sfí' fï wOHhkhg wkqj miq.sh ld,fha HIV YÍr.;j ;sfnk njg jd¾;d jqKq frda.skaf.ka ishhg 40g jeä m%udKhlaa úfoaYhkaf.a isg furgg meñKqkq Woúhhs' fï whf.ka nyq;rhla msßñkah' oeKQj;aj fyda fkdoeKQj;aj fï ffjri iu.ska meñKQkq fï wh ,sx.sl iyjdifhaoS fldkavï me<|Sula isÿ fkdjqfKd;a Tjqkaf.ka iajlSh ,sx.sl yjq,alrejkag HIV ffjrih YrSr.; ùfï by< wjodkula mj;sk nj ffjoH isisr ,shkf.a mjihs' flfia kuq;a fï rfÜ ,sx.sl Y%ñlhka fidhd hk msßñkaf.ka ishhg 90la ;rï nyq;rhla ,sx.sl ld¾hfhaoS fldkavï m<|sk njo fï wOHhkfhka fy<sù ;sfí' ,sx.dY%s; frda. fï rfÜ jix.;hla ;rï me;sr fkdhdug fï wdrlaIdldÍ yeisÍu m%n,j msgqjy,la ù we;s nj fmfka' ,sx.dY%s; frda. je<elaùfï idhk u.ska fkdñ,fha fldkavï''' ,sx.dY%s; frda. je<elaùfï idhk u.ska jirlg ñ,shk foll muK fldkavu ksl=;a lsÍula isÿ jk w;r rg mqrdu Bg úYd, b,a¨ulao ;sfí' hï wfhl=g fuu fldkavu ,nd.; hq;= kï <`.u msysà ,sx.dY%s; frda. idhkhg f.dia tajd fkdñ,fha ,nd.; yel' fuu fiajh ,sx.dY%s; frda. mej;Su l,dmfha fiiq rgj,g idfmalaIj my; uÜgul mj;ajd .ekSug bjy,a ù we;s neõ fmfka' ngysr rgj, kï ldka;d fldkavu j,g we;af;a b;d úYd, b,a¨uls' kuq;a fïjdfha wêl ñ, ksid tajdg wfma rfÜ we;s b,a¨u wju uÜgul mj;S' 105
THE INTEGRATED BIOLOGICAL BEHAVIOURAL SURVEY
wfma rfÜ ck;djf.a ,sx.sl p¾hd iïnkaOfhka wOHhkhla'''
oeKQj;a lsÍfï jevigyka /ila cd;sl ,sx.dY%s;j iïfm%aIKh jk frda. yd taâia md,k jevigyk u.ska oeKQj;a lsÍï jevigyka" wOHdmksl jevigyka mj;ajñka ck;dj w;f¾ ,sx.dY%s;j fndajk frda. wju uÜgul mj;ajd. ekSug meiish hq;= W;aidyhl ksr; fjhs'
,sx.sl Y%ñlhka" ,sx.sl Y%ñlhkaf.a fiajd ,nd.kakd wh ksr;=reju wjodkug ,lafõ' ta yefrkakg iu,sx.slhka" tkak;a lgq yjqf,a fhdodf.k mßyrkh lsÍuo tAâia frda.h je<|Sug úi,a wjodkula f.k fohs'
fï i|yd jd¾Islj remsh,a ñ,shk 300la muK jeh lrk w;r bka ishhg 60la rcfhkao b;sßh tAâia" laIh frda.h iy uef,arshd ms<sn|j f.da,Sh wruqof,kao iemfha' wfma rfÜ tAâia frda.Ska fjkqfjka b;d úYsIAG frda.S i;aldr jevigyklao cd;sl ,sx.dY%s;j iïfm%aIKh jk frda. yd taâia md,k jevigyk u.ska n,.kajd ;sfí' fï hgf;a frda.shdf.a frda. ;;a;ajh wkQj m<uq fm<" fojk fm< yd f;fjks fm< jYfhka m%;sldr" T!IO iemfha' oekg idhk u.ska isÿlrk fiajdjkag my; wx. we;=<;a fõ' • frda.Ska y÷kd.ekSu • idhksl frda. ks¾Kl lghq;= • m%;sldr • wOHdmksl $oeKQj;a lsÍï jevigyka • WmfoaYK fiajd • fldkavï fnodyeÍu tAâia frda.h ,xldfõ j¾;udk ;;a;ajh wfma rfÜ uq,skau tAâia frda.sfhl= jd¾;d jQfha 1986 j¾IfhaoSh' ta úfoaYslfhls' kuq;a wo fï frda.h uq¿ukskau mdfya me;sfrkafka tu ffjri wdidokh jQ wfmau rfÜ frda.Skaf.ks' wkdrlaIs; f,i ,sx.slj yeisÍu ksid wfkla whg frda.h iïfm%aYKh fõ' tAâia frda.sfhl= uq,a wjia:dfõ fmkajk frda. ,laIK • rd;%S ld,fhaoS WK .ekSu • YrSr nr wvqùu • jid .eá;s bosóu • ifuys m¿ oeóu • osfjys iqÿ ldrula ne|Su • mdpkh 106
bosß oelau oekg idudkHfhka mj;akd tla osia;%slalhlg we;s tla idhkh bosß ld,fhaoS idhk uOHia:dk folla olajd jeälsÍug mshjr .kakjd we;' fndfyda ;reKhka w;f¾ fuu ,sx.sluh ldrKd flfryS we;af;a wvq wjfndaOhls' oeKQj;a lsÍï" wOHdmksl jevigyka yryd rfgys fï iïnkaO idlaIr;djh by< kexùfï jevigyka m%j¾Okh flfryS bosßha jeä ie<ls,a,la fhduq jkq we;'
fï iïnkaOfhka Tng we;sjk .eg¿ úi|d.ekSu i|yd 0112695183 wxlfhka úuiSï l< yel' ffjoHjrhd - udisl ffjoH iÕrdj
wdhq¾fõoh
W÷f.dõjd lEu iqj l< yels id¾:l m%;sldr l%u ;sfí
W÷f.dõjd lEu iqj l< yels id¾:l m%;sldr l%u ;sfí bkaø¨makh wdhq¾fõo ffjoH Wmfoia weiqfrKs
jdldr whqßka ysiflia ye,S hdu fmdÿ iudch y÷kajkafka W÷f.dõjka lEu f,isks' fuys§ W÷f.dõjd hkqfjka lsishï Ôúhl= fkdue;s w;r wdhq¾fõohg wkqj fufia ysiflia .e,ùu isÿjkafka reêrh wmsßisÿ ùu fya;=fjks' fuu frda.h fkd;ld yeßfhd;a isÿjkafka È.ska È.gu flia .e,ù f.dia wjidkfha ;Üg ysila Wreu ùuhs' wdhq¾fõofha bkaø¨makh kñka y÷kajk fï frda.hg id¾:l m%;sldr l%u we;' tys§ flia yef,k ia:dkhg lrk m%;sldr fiau rla; fodaI iukh lrk m%;sldr o l< hq;= fjhs'
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2016 ckjdß l<dmh
W÷f.dõjka lEu iqj lr .ekSu i|yd ksjfia§ Tng u lr .; yels m%;sldr lsysmhla my; ±lafõ' 1' ufkdaiS, l=vq ^isxy, fnfy;a fj<|ie,a j,ska ñ,§ .; yelsh& foys weUq,ska wUrd flia .e,ù .sh ia:dkj, .,ajkak' 2' yS/iai hqI j,ska kshÕ,d w, wUrd flia ye¨kq ia:dkj, wdf,am lrkak' yS/iai hqI fidhd .ekSug wmyiq kï kshÕ,d w, foys hqIj,ska wUrd .dkak' 3' cdmd, weg ;,d th ;, f;,aj,ska lldrjd ksjqKq miq ysiflia ye¨kq ;ekaj, .,ajkak' fuu m%;sldr tl È.gu udi 2-3 la lrk w;f¾ ffjoHjrhl= fj;ska rla; fodaI iukh i|yd o m%;sldr ,nd .; hq;=h' tA wkqj fuu frda.h iqj l< yelsfõ' 107
DANDRUFF REMEDIES
ysiafydß ksid ys;ams;a fkdikaiqkao@ ysiafydß j,ska j<lsk u. ysiafydrs lrorldrS frda.hla f,i ie<fla' ysiafydrs we;s úg wj,laIKla ysfia we;s fõ' th flfkla ;=< f;fï wmsrsisÿh hk woyio jHx.fhka cks; fkdlrkafkao fkdfõ' fï ksidfjkau ysiafydß we;sjQ úg thska yels;dla blauKska ñoSug ljqre;a leu;sh' tfia leue;a; ;snqKdg blauKska thska ñoSu myiq ldrKhla fkdfõ' wmf.a wruqK ysiafydß j,ska ñoSug Tng iydh ùuh'
108
ysif a ydß ksid ys;m a ; s a fkdikaik q o a @
mk we;s hula fkdfõ" ta .e,ù hk iuhs ysfiys ,e.=ï .kakd Wl=Kka fuka ysiafydß icSù fkdfõ' ysfika .e,ù hk p¾u fldgia fufia ysiafydß hk ku ,nhs' uq,a wjêfha mshú weiskqÿ olskakg fkdyels ;rï l=vd uq;a l,la hk úg ysifla w;f¾ rgd uefjk f,i ysiafydß we;sjk wjia:do ke;af;a fkdfõ'
ffjoHjrhd - udisl ffjoH iÕrdj
ysiafydß u¾Okh lsÍu i|yd úfYaIfhka l%shd;aul jk Ieïmq j¾. fj<|fmdf<A we;' fïjd l,la .e,aùfuka fï ysiafydß lrorfhka ñoSug Tng wjia:djla Wodfõ' ysiafydß we;sjkafka yosisfha fkdfõ' l%ñl l%shdj,shl m%;sM<hla jYfhka we;sjk ysiafydß uev,Sugo hï ld,hla .; fõ' ysiafydß u¾Okh jQj;a ta i|yd fhdod.;a Ieïmq j¾.h Tn ;j;a ld,hla uq¿,af,a .e,aúh hq;= jkafka fï ksidh'
2016 ckjdß l<dmh
ysfia;a YrSrfha;a ysiafydß • ysiafydß lSjdg ysfia yereKQ fldg YÍrfha fjk;a ia:dk j,o ysiafydß we;s úh yel' • ysi iy uqyqK ysfia kï ifuys fmd;= .e,ùula isÿfõ' weysneu" weia msydgq" kdifha fome;a;" kdifha Wv ysiafydß ksid wjysr jkakg mq¿jk' iqÿ fyda l¿ meye .ekaù l=vq fyda fmd;= f,i osiafõ' leiSfïoS l=vq f,i .e,fjhs' • mmqfõ bosßmi yd msfÜ Wv fldgi leiSu" r;ameye .ekaùu yd fmd;= .e,ùu isÿúh yel' • jvd;a W.% f,i we;s ùfïoS lsys,s j, iy mshhqre hg jeks oyäh tl;= jk ia:dk j, iu leiSu iy r;= meye .ekaùu isÿúh yel' ysfia we;sjk iq,n ysiafydß wdldrhg m%;sldr • ysiafydß bj;a lsÍug ksIAmdokh lrk ,o Ieïmq yd os,Sr kdYl ysiafydß bj;a lsÍfï iajNdjfhka hqla;h' iqÿiq Ieïmq j¾.hla i;s lsysmhla uq¿,af,a mdúÉÑ lrkak' • Ieïmq ysi .e,aùfïoS flia w;ßka ysia ln, iam¾Y jk fia iïndykh l< hq;=h' .e,ajQ Ieïmq úkdä oyhla muK ;sfnkakg yer fidaod yßkak' oskla yer oskla fï Ieïmq mdúÉÑ lrkak' • ysiafydß iqj jQ jydu Ieïmq bj;a fkdl< hq;=h' bka wk;=rejo i;shlg jrla folla tu Ieïmq j¾.hu fhdod.kak' ysiafydß we;s ùug fya;= fmfkkakg fkd;snqKdg wfma YÍrfha iu ld,fhka ld,hg w¿;a fjkjd' merKs ffi, jhig .shdu w¿;a ffi, ta ;ek .kakjd' idudkHfhka fï isÿùu udihlg jrla muK isÿ fjkjd' ysiafydß ;sfhk whf. isÿjkafka merKs ifuys fldgia bj;a jkakg fmr kj ffi, we;s ùuhs' fldákau fï whf.a w¿;a ffi, ksIAmdokh fõ.j;aj isoaO fjkjd' 109
DANDRUFF REMEDIES
ysif a ydß ksid ys;m a ; s a fkdikaik q o a @
tys m%;sM<hla f,i ysiafydß iq,nj olakg ,efnkjd' ysiafydß j¾Okh lrjk idOl • ysfiys wmsßisÿ Ndjh ksid ysiafydß we;s fjkak mq¿jks' ta;a yefudaf.au ysiafydß we;sùfï fya;=j wmsßisÿ nju;a fkdfjhs' ta fldfydu jqK;a ysi oskm;d fidaod msßisÿ lsÍu ysiafydß u¾Okhg fyd| ms<shula' • ysfia iam¾Y jk úúO ridhk j¾."ier ridhk fh¥ fyhd fc,a" fyhd vhs ysfia ifuys fi!LH wk;=f¾ fy<kjd' fï ksido ysiafydß we;s fjkakg mq¿jka' • udkisl wd;;sh - ysf;a ÿla lror ;sfhk úg" wiykfhka cSj;a fjk úg ta ksido fï úosfya wlr;eín j,g ,la fjkakg mq¿jka' • wdydr isß; - ¨KQ" l=¿nvq" iSks jf.a wdydr jeämqr .kakd whg jf.au u;ameka mdkhg yqrejQ whg;a ysiafydß we;sùfï m%jK;djh jeä nj y÷kdf.k ;sfnkjd' u<noaOh je<elaùug W;aiql úh hq;=hs'
ysfia wmsrsisÿNdjh ysiafydß we;sùug tla fya;=jls
110
ysiafydß j,g lrk m%;sldr • flia iy ysfiys iu iEu úgu msßisÿj ;nd.kak' tu.ska oyäh" úIøjH fukau ñh.sh ffi, wdosh bj;a fõ' • oskm;d l%udKql+,j ysi mSrkak' ñh.sh ffi, bj;aùu yereKQ úg fuhska ysia lnf,a reêr iemhquo W;af;ackh lrkjd' • ysfiys iu oskm;d iïndykh lrkak' oskm;d ysi mSÍug fmr yd miqj jYfhka fojrla fï iïndykh isÿ lrkak' fuhskq;a ysfiys reêr iemhqu iqir fjkjd' flia fyd|ska j¾Okh fjkjd' • oskm;d iaj,am fõ,djla ysi u; m;s; jk fia iQ¾hdf,dalh ,eîuo jeo.;a lreKls' .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha fcHaIAG l:sldpd¾h wdpd¾h tia tï tia iurfldaka uy;df.a lreKQ oelaùula weiqßKs
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
2016 ckjdß l<dmh
111
wdhq¾fõoh
rka leáhdf.a m<uq wdydrh''''
rka leáhdf.a m<uq wdydrh'''' orejd Wmka uq,a osk lsysmfhaoS muKla ,efnk kjia;kH i;aldrh le,Ksh úYaj úoHd,hSh .ïmy úl%udrÉÉ wdhq¾fõo úoHdh;kfha lÓldpdßKs ffjoH tÉ' ta' f¾KQld m%sho¾YksS fmf¾rd úisks
mqxÑ meáhdf.a ymkalï jeä fjkafka uõ lsß;a tlal''''''' zzwïudZZ hk W;a;Í;r jok iEu ñksfil= úiskau y`vk.d lshkakls' <ore uqúka iqfldu, f,i zzwïudZZ hk wdorKsh jok wikakg iEu ujlau fl;rï wdYdjlska n,d isákafkao@ fifkyfia W,am; jq ^wïud& uj ;u reêrh lsrg yrjd orejdf.a uqj l=i mqrjd,kafka fï wdorKsh nj ksidu fkdfõo@ f,dal iïu;hg wkqj orefjl= fuf,dj t<sh ÿgq miq m%:u wdydrh f,i uõlsß mdkh lsÍu Tyqf.a fyda wehf.a whs;sjdislula fukau th iEu ujlf.au hq;=lulao fjkjd' ujla úiska ;u orejdg ,ndÈh yels W;=ïu odhdo thu fjkjd' uq,au lsrs - kjia;kH - l=ulao @ ore m%iq;sfhka miq uq,a Èk lsysmh ;=<§ mshhqre j,ska jEiafik lsß wdhq¾fõofha
112
ffjoHjrhd - udisl ffjoH iÕrdj
y÷kajkafka zzkjia;kHZZ ^mshqI& f,ihs' kùk ffjoH úoHdkql=,j fuu lsß fldf,iag%ï ^Colostrum& f,i y÷kajkq ,nkjd' th ly meye;s Wl= ,dgq jeks >%djhls' fuu lsfrys w¨; Wmka orejdg wjYH wdydr" fmdaIKh" úgñka" frda. j,ska wrlaId ùug wjYH Yla;sh ^m%;sYla;slrKh& yd orejdg wjYH ;rï c,h hk ish,a,u wvx.= fjkjd' kjia;kH j, we;s ke;s oE fldf,iag%ï fiiq uõlsß j,g jvd udxYckl mod¾: ^fm%daàk& j,ska fmdfydi;ah' ,smsv ^ff;, mod¾:& yd iSks ^.a¨fldaia& m%udKh wvqh' fuu lsfrys we;s ;j;a úfYaI;ajhla jkafka <ore úfhys miqld,Skj we;súh yels wdydr Èrùu iïnkaOj mek kef.k wdndO fukau fjk;a ÔjdKQ ^nelaàßhd& ksid fndajk frda. j,g ,laùfï bvlv wju lsÍuhs' 2016 ckjdß l<dmh
.eìKs ld,fha wjidk i;s lsysmh ;=< yd m%iq;sfhka miq uq,a Èk 2-3 ;=<§ ksmofjk fuu zzkjia;kHZZ ore m%iq;sfhka miq i;shl muK ld,hla mqrd jEiaiSu isÿfjkjd' bkamiqj idudkH uõlsß jEiaiSu wdrïN fjkjd' fldf,iag%ï" m%udKfhka iaj,amhla jqj;a tys we;s .=Kh wiSñ;h' fuu fya;=j ksid m%ijfhka miq uj fl;rï wmyiq;dj,ska fm¿ko fuu kjia;kH flfia fyda orejdg ,nd§u l< hq;=hs' ys;¿ neyer,kak" ienEj ms<s.kak orejd bm§ uq,a i;shl muK ld,hla hkf;la lsß ksmoùfï wvqjla fmfkkafka fldf,iag%ï >%djh ùu ;rula ÿIalr jk ksihs' fuu ksid fï ld,h ;=< lsisÿ whqrlska ;udg lsß m%udKj;a mßÈ ke;ehs hk is;=ú,a, uj fyda weh iu`. iómj fjfikakka fkdis;sh hq;=h' kjia;kH m%udKfhka b;d w,amhs' jEiaiSu ÿIalrhs' kuq;a jákdlñka b;d by<hs' kjia;kH i;= uy`.= fmdaIKh kjia;kH jEiaiSu wjika jq miq l%ufhka kshu uõlsß my, fjkjd' th wkql%ufhka fïÍugo m;afjkjd' idudkH uõlsfrys udxickl Od;= ^fm%daàk& ishhg 1'25 lao ff;, mod¾: ^,smsv& 3'5 lao Y¾lrd ^iSks& 7'5 lao mj;skjd' uõlsßj, w;a;¾.;jk iEu mod¾:hlau fumßoafoka ixfhda. ù ks¾udKh ù we;af;a <orejdf.a mßmdl - hka;%h ^wdydr ud¾.hg& wkjYH ysßyerhla isÿ fkdfldg myiqfjka Èrùug;a bkamiq fmdaIH mod¾: ukdj isrerg wjfYdaIKh ùug;a yels mßoafoks' uq,a udi yh mqrdjgu uõlsrs uõlsfrys LKsc yd f,day we;af;a ishhg 0'2la ;rï b;d iq¿ m%udKhls' fuh úfYaIfhkau u;l ;nd.; hq;= jeo.;a lreKls' fï ksid yhfjks udifhka muK miq tu f,day m%udKh orejdf.a ldhsl ixj¾Okhg m%udKj;a fkdfõ' tu ld,h jk úg wu;r wdydr j,g fhduq 113
wdhq¾fõoh
rka leáhdf.a m<uq wdydrh''''
l< hq;= jkafka tfyhsks' fï wkqj Ôú;fha uq,a yh udih ;=< orejdf.a m%Odku wdydrh jkafka uõlsßh'
úh hq;=h' uõlsß §u orejdg fukau ujgo tlfia jeo.;a fõ' m<uqj <orejd flfrys uõlsfrka ,efnk m%fhdackh úuid ne,Su jákjd'
.ila jqj;a w;=m;r úysÿkq oejeka; jDlaIhla ùug tys îc iufha isg thg ,ndfok c,h" fmdfydr wd§ fmdaIKh n,mdhs' ksis fmdaIKhla fkd,ofyd;a tu .fia jeãu nd,ùu ueÍhdu isÿfjhs' orefjl= iïnkaOfhka fï ;;a;ajh ta mßoafokau n,mdkjd' fuu ksid orefjl=f.a uq,drïNh jk uõ l=fika fuf,dj t<sh ÿgq fudfydf;a isg jeãfï l%shdj,sh ksis mßÈ isÿùug <orejdf.a fmdaIKh b;du jeo.;a fjkjd' woshr ;=klska hq;a <ud ld,h wdhq¾fõo o¾Ykhg wkqj orejl=f.a <ud ld,h wÈhr ;=klska úia;r lr ;sfí' fuu j¾.SlrKhg mokï ù we;af;a fmdaIK kHdhhkah'
01
laIsrm ld,h Wmf;a isg wjqreoaola olajd ld,h lsfrka muKla fmdaIKh jk ksid orejd laIsrm f,i y÷kajhs'
02
laISr wkakdo ld,h wjqreÿ 1isg wjqreÿ 2 olajd ld,h' fuu ld,fha§ orejd i|yd lsß fukau fjk;a wu;r wdydr o ,ndfoñka Tyqf.a fmdaIKh jeä l< hq;=h'
03
wkakdo ld,h wjqreÿ 2 ka miq orejdf.a <ud ld,h' fï ld,h ;=<§ orejd úúO fmdaIK lsÍu wjYHhs'
wo ojfia mdpkh yd Yajik moaO;sfha we;sjk wdidok ksid iEu Èklu mdfya <orejka 3000 ;a 4000;a w;r m%udKhla ñys;,fhka iuq.kakjd' fï wjdikdjka; ;;a;ajhg n,mdk uq,sl fya;=j orejkag uõlsß fkd,eî hduhs'
<ud ld,fha fmdaIK j;ams<sfj;a foi n,k l, l=vd orejd m<uq wjqreoao uõlsfrka muKla fmdaIKh l< hq;= nj meyeÈ<s fõ' ta wkqj orejdf.a tlu ys;lr wdydrh uõlsß 114
ffjoHjrhd - udisl ffjoH iÕrdj
uõlsfrka fmdaIKh ,nk orejd ksfrda.Sh uõlsß fyd¢ka ,efnk orejd ish Èúh uq¿,af,au hym;a jdikd .=Kfhka ksfrda.Sj isàfï Nd.H Wodfjkjd' iudcfha fY%aIaG" Wodr ñksiqkaf.a ùrjrhkaf.ka <ud ld,h ms<sn| úuid ne,Sfï§ Tjqkag b;d fyd¢ka uõlsß ,eî ;sîu yd ujf.a wdorh ,eî ;sîu fmfkkakg ;sfnkjd'
uõlsß fyd¢ka ,efnk orejd ish Èúh uq¿,af,au hym;a jdikd .=Kfhka ksfrda.Sj isàfï Nd.H Wodfjkjd'
uõlsfrka ldhsl j¾Okh muKla fkdj ujf.a msfhdjqre iu. jeä fõ,djla .; lrk orejdf.a udkisl j¾Okho 2016 ckjdß l<dmh
b;d ÈhqKq uÜgulg f.k tk nj mf¾fhaIK j,ska fy<sù ;sfnkjd' ksfrda.S <ud úhla ysñjkafka fyd¢ka uõlsß fndk orejdghs' tkï uj úiska ;ud ;=< mj;akd frda.j,ska wdrlaId ùfï yelshdj ^m%;sYla;s& uõlsß yryd orejdg m%odkh lrkjd' uõlsß ÿka orejkg wdydr ud¾. fha fukau Yajik ud¾.fha wdidok iEfokafka wvqfjks' wo ojfia mdpkh yd Yajik moaO;sfha we;sjk wdidok ksid iEu Èklu mdfya <orejka 3000 ;a 4000;a w;r m%udKhla ñys;,fhka iuq.kakjd' fï wjdikdjka; ;;a;ajhg n,mdk uq,sl fya;=j orejkag uõlsß fkd,eî hduhs' <orejdf.a wdydrh" §rùu iïnkaOfhka yd YÍrfha ks¾udKh yd l%shdldß;ajh iïnkaO mj;sk wjYH;djhkag iqÿiq f,i uõlsß fidnd oyñkau ks¾udKh ù we;s wdldrh wm uú; lrjk iq¿ fkdfjo @ igyk - wkqrdOd È,sks b,xfldaka 115
YOGA
m%dKhdu m%.=K lsÍfuka f,!lsl cSú;h iemj;a fõ' W;=ï f,daflda;a;r osúhlgo u. ie,fia
m%dKhdu wNHdih isÿ lrk úg yqiau msg lsÍfï§ Tfí Worh yelsf,kq njla ±fkkq we;' yqiau .ekSfï§ Worh msïfnk njla ±fKkq we;'
fhda.S Ndjkd l%uh ^wjidk& fldgi
m%dKhdu m%.=K lsÍfuka f,!lsl cSú;h iemj;a fõ' W;=ï f,daflda;a;r osúhlgo u. ie,fia ymq;f,a tia'tï'ã fikúr;ak úisks'
fhda
. jHdhdu ms<sn|j uQ,sl wjfndaOhla ,ndfokq jia iïmdokh l< ;;a ,smsfha wjika fldgi fujr m%ldYhg m;a flf¾'
isys nqoaêfhka hq;=j Ñ;a; tAld.%;djho jvjd .; hq;= wdrïNfha§ wdOqkslhd úiska wdYAjdi - m%daYajdih mia jrla muK l< hq;= neõ m;`â[ac,S fhda. o¾YKfhys olajd ;sfí' fï yer wdYajdi ioyd ;;amr folla .; lf<a kï th r|jd .ekSug ;;amr wgla .; l< hq;= njo lshd ;sfí' oEi mshdf.k b;du;a isys nqoaêfhka hq;=j is; wka lreKq fj; fkdhjd fuu ld¾hh flfrySu fhdojñka Ñ;a; tAld.%;djho jvjd .; hq;=h' yqiau .ekSu yd r|jd .ekSu yd r|jd.;a yqiau b;d fiñka msg lsÍu hk ld¾hhka flfrySu is; ksrka;rju rojdf.k wLKavju fuu 116
wdkdmdk i;s Ndjkdjg fnfyúka iudkh fuu fhda. wNHdih nqÿ oyfï b.ekafjk wdkdmdk i;s Ndjkdjg fnfyúka iudkh' fuu wNHdifhys fhfokakd idudkH ñksiqkg jvd ld¾hlaIu fõ' jvd meyem;a fmkqulska hq;= fõ' fya;=j Tyq fiiaikg jvd jeä wdYajdY m%dYajdY ld¾hfha§ jeä Tlaiscka m%udKhla ;u isrerg wjfYdaIKh lr .ekSug iu;a ùuh' fhda. wNHdifha fhfokakkag w;ajk jdis È.ska È.gu fuu fhda. wNHdifha fhfokakkag b;d fifuka jqjo §¾>ld,Skj w;ajk jdis /ils'
ffjoHjrhd - udisl ffjoH iÕrdj
kSfrda.S iïm; bka m%Odk fõ' ñksia isf;ys yg .kakd B¾YHd" fl%daO" ffjr wd§ múgq is;=ú,s uki mqrd mj;sk úg we;s jk wêl reêr mSvkh" reêr Ys; ùu wdÈfha isg yDohdndO" ms<sld wd§ úi,a mrdihl f,v frda. /ila ñka j<ld.; yelsh' fhda.dikh Tn fuu fhda. wNHdih m%.=K lsÍu ioyd m;audikh jeks wdikhla f;dard .kafka kï Tfí isrer tu wdikfha msysgqùuo b;d fiuka ukd ixhuhlska isÿ l< hq;=h' l=i ;K fyda l=vd fuÜghla fyda iñka l< m;alvhla t<d msßisÿ ia:dkhl jdä úh hq;=hs' ^fuh m;[ac,S iDIs olajd we;s wdldrhhs& msysgqjd .kakd bßhõj bÈßhg fomd úysÿjd blaì;s fifuka ol=Kq mdoh ;ud foig kud l%ufhka jï l,jfhys uq,g ;nd .; hq;=h' kej; jï 2016 ckjdß l<dmh
117
YOGA
m%dKhdu m%.=K lsÍfuka f,!lsl cSú;h iemj;a fõ' W;=ï f,daflda;a;r osúhlgo u. ie,fia
m%dKhdu wNHdifhys fhfokakd idudkH ñksiqkg jvd ld¾hlaIu fõ' jvd meyem;a fmkqulska hq;= fõ' fya;=j Tyq fiiaikg jvd jeä wdYajdY m%dYajdY ld¾hfha§ jeä Tlaiscka m%udKhla ;u isrerg wjfYdaIKh lr .ekSug iu;a ùuh'
mdoho l,ska lS mßÈ ;ud foig fifuka kud ol=Kq l,jfhys uq,g ;nkak' ±ka Tfí isrer yd f.,o ysio tlu iDcq ir< f¾Ldjl msysgqjd .; hq;=h' fow;a fooK u; ;eìh hq;=h' fuu wdik bßhõfjka isá úg mqoa., rEmh moauhlg iudk fõ' Wvqrej msysá fom;=,a m;auhl fm;s fuka Èia fõ' fuu wdikfhka b`o l< hq;= wNHdih wjika jQ miq b;du;a fifuka yl=,k ,o md os. yer mshú ;;a;ajhg m;a úh hq;=h' wdOqkslhdg uq,a wjia:dfõ fuu bßhõfjka isàfïoS w;a md ikaê wdosh ysßjeàu wdosh isÿ jqko yqrejQ úg os.= ld,hla myiqfjka /|S isáh yelsh' N.j;a .S;dfõ i|yk iuxldh YSfrda.%Sj Odrhka; prx iaÒrx ix fm%laIH kdisld.%x iajhx osYaYjkjf,dalhx m%Ydkak;d;aud ú.;ys¾ n%yaupdÍ j% f; iaÓ; : uk: ixhuH uÉÑ;af;d hqla; wdiS; u;amr:
lh isri yd .%Sjh iujo" wp,j o orñka iaÓrj iajlSh kdifhys w. fl,jr foiu n,d wka osidjla fkdn,d n%yaupdÍ j%;fhys msysá ;eke;a;dg Nh fkdoefka' Ydka; jQ wd;auhla we;s fõ' wd;auh Ydka; jQ úg uki oukh fõ' túg zixhu is;Z my< fõ' 118
fï fhda. wNHdi .ek N.j;a .S;dfjys ioykaj we;s wdldrhhs' lreKq flfia jqjo fhda. wNHdi ksis WmfoaYljrfhl=f.a WmfoaYKh u; isÿ lsÍu jvd;a iqÿiqh' fhda. wNHdi,dNshd oeyeñfhl= úh hq;=h' fï uQ,sl lreKQ ldrKd wjfndaO lrf.k ksis u.fmkaùulao ,nñka fhda. wNHdihkayS fhoSfuka cSú;hg mru laIdka;shla ,efnk w;r th hym;a mrf,dj cSú;hlgo oSmkhlau i,ikafkah'
ffjoHjrhd - udisl ffjoH iÕrdj
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c,fha wvx.= ù we;s *f,darhsâ" hlv" ner f,day" wdiksla" leâñhï iy riosh jeks úI ridhKsl øjH úúO frda. j,g fya;= jk ksid ñksia isrerg lsisfia;a iqÿiq ke;' 2016 ckjdß l<dmh
c,fha oshù we;s *af,darhsâ" hlv" ner f,day yd wdiksla jeks ish¿ ridhKsl øjH iy úIîc ish,a,lau mdfya flkaÜ c, fmrKfhka ukdj msßisÿ lrhs' flkaÜ c, fmrKfhka osklg msßisÿ c,h ,Sg¾ 75la ,nd.ekSfï yelshdj mj;S' tu c, fmrKfhka ksjfia mdkSh c, wjYH;djh iy wdydr msiSug wjYH jk c, m%udKh imqrd.ekSug fyd|gu m%udKj;a fõ'
flkaÜ c, fmrKfhka ,ndfok iqmsßisÿ c,h jvd;a iqjiïmkak cSú;hla .;lsÍug WmldÍ fõ' wmsßisÿ c,h Ndú;d lsÍu u.ska YrSrhg we;sjk wys;lr n,mEï wju lr.ekSug flkaÜ c, fmrKh ksid yelsfõ' óg wu;rj o;aj, wjmeye .ekaùï" jeks ;;a;ajhka u.yrjd .ekSugo bjy,a fõ' c,fha we;s lsjq,a iajNdjh iy *af,darhsâ idkaøKh msßmyÿ lr iqmsßisÿ c,h ,nd foa' Kent Mineral Ro c, fmrKh cd;Hka;r m%ñ;sj,g wkql+,j ksIamdokh lr we;s neúka fuu.ska c,h ukdj iqmsßisÿlrkh jk njg iy;sl lr we;' ta i|yd ,eî we;s iy;slh iy .Dyia: mdkSh c,h msßisÿlrKh ms<sn|j ,eî we;s ISO 9001 - 2008 cd;Hka;r iïudk /i ksuejqfuys úYsIAG;ajh jvd;a ;yjqre lrhs' Tn;a 70 jirl ck yo okQ fikaÜ weka;kSia iuQy jHdmdrh úiska y÷kajd fok Kent c, fmrKhla mdúÉÑ lr Tn mdkh lrk c,fha .=Kd;aulNdjh ishhg ishhla ksjeros lr.kak' 119
wdhq¾fõoh
yoj;a frda. j,ska ñoSug wdhq¾fõofha mdr lshk yeá
wdhq¾fõofha oelafjk yoj;a frda.
yoj;a frda. j,ska ñoSug wdhq¾fõofha mdr lshk yeá yïnkaf;dg pu,a rdcmlaI wdhq¾fõo m¾fhaIK frdayf,a ldhsl frda. ffjoH wkqr úfcafialr úisks yoj;a frda. ful, b;d iq,nh' tajdhska ñoSug iEu flfkl=u mdfya W;aiql úh hq;=h' ful, iq,n jQj;a w;S;fha fujka frda. j, t;rï jeäùula wo ojfia fuka olakg fkd,eìK' ta tod wmf.a mQ¾j.dóka i;= jQ ukd wdydr yd úyrK isß;a fya;=fjks' yoj;a frda. j,ska ñoSug imqrd,sh hq;= j;a ms<sfj;a .ek fï ,smsfhka oelafõ' yDo frda. j,g fya;= • b;d wê W!IaK wdydr .ekSu • b;d nr wdydr .ekSu • wdydr fkdosrjd isáhoS kej; wdydr .ekSu • wNs;d;c - mmqjg myrla t,,a ùu • fõ.OdrKS • ÿïmdkh lrkakka • jeämqr f;,a iy fïoh wvx.= wdydr .ekSu • wêl is;a ;ejq, • l,n,ldÍ osú fmfj;la .; lrkakka • oshjeähdfjka fmf<kakka • jHdhdu wdoS uykais ù jeä fkdlrk wh • ffjrS yd fl%daO is;a we;s jQjka • wê reêr mSvkfhka fmf<kakka
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ffjoHjrhd - udisl ffjoH iÕrdj
• Wm;skau úúO cdkj, ixl+,;d ksid • wêl fYdalh iy ìh ksid • iSudj blaujd i;=g jeä jQ úg • úúO frda.j, tl;=jl m%;sM,hla f,i • wêl ;rndrej • reêr.; fïoh wêl ùu • udkisl mSvkh iy fkdikaiqka;djh • rdcldßuh ld¾hd,j, isÿjk udkisl wd;;sh wdhq¾fõohg wkQj yDo frda. úúO wdldrfhka W;amdo jkafkah' fï ta ms<sn|j úia;rhls'
wdudYfhka 1$3la >k wdydro wudYfhka 1$3 la c,h yd fjk;a mdk j¾.o b;sß 1$3 ysiajo ;sfnk whqßka wdydr .ekSu jeo.;ah¡
jd;fhka Wmka yDo frda.fhys ,laIK • yDoh woskakdla fuka fõokdj • boslgq j,ska wkskakdla fuka fõokdj • w`vqjlska w,a,kakdla fuka fõokdj • lsh;lska brkakdla fuka fõokdj • yDoh mqmqrkakdla fuka fõokdj • yDoh fmdrjlska m,kakdla fuka fõokdj hk ,laIK f.k foa ms;a;c yDo frda. ,laIK • wêl msmdih • W!IaK nj • uo oeú,a, • uqLfha úh<s nj iy f>daIdj • Wrkakdla fuka oeú,a, • isys ke;s ùu • wêl oyäh je.sÍu 2016 ckjdß l<dmh
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wdhq¾fõoh
yoj;a frda. j,ska ñoSug wdhq¾fõofha mdr lshk yeá
fiï.; yDo frda. ,laIK • we`.m; nrùu • yojf;a ;p .;sh • ri je.sÍu • lEu wreÑh • nv.skak wvqnj N%iau yDo frda. • yDoh bosóu • l¨ ÿUqre mdáka weia we;s nj • lEu wreÑh óg wu;rj fjk;a fuys i|yka fkdjk ,laIKo we;súh yel yDohdndOhloS oefkk frda. ,laIK yDohdndOhloS oefkk fõokdj mmqfõ fõokdjla hehs uQ,slj i|yka l< yels uq;a uq,ska i|yka l< mßos iEu mmqfõ fõokdjlau yDohdndO ksid we;s fjkafka ke;¡ mmqfõ u;=msg we;s ifï fõokdj" uiams`vqj, fõokdj" b< wegj, fõokdj" fmkye,af,ka maÆrdfjka we;sjk fõokd mmqfõ fõokd f,i wmg oefka¡
b;du hym;a iajdhq jHdhduh kï weúoSuhs¡ tl ie;mqula úkdä 12lska weúosh hq;=hs¡ osklg meh 1$2 la weúoafod;a th m%udKj;ah¡ i;shlg osk 3-4 la weúoafod;a m%udKj;ah¡ weúoSu jkdyS cSjk p¾hdfõ fldgila njg m;alr .;fyd;a uekú¡
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yDohdndOhloS oefkk fõokdjka • mmqfõ ueo fõokdj úkdä lsysmhla mj;sk w;r fuu fõokdj mmqj f;rmkjd fuka oefka¡ uyd nrla ;sfnkjd jeks fõokdjls¡ • jï w; my,g fyda ylal foig fyda úysoS hk fõokdj fuu fõokdj msg me;af;a Wrm;= weg fol w;rgo osj hd yelsh¡ • nfâ oeú,a, fuka fjokdj we;sfõ¡ fuysoS frda. ,laIK lsysmhlao we;súh yelsh tkï - wêl oyäh oeóu - jukh yd Tlaldrh - mmqfõ .eiau - ysi lrleú,a, - yqiau .ekSfï wmyiqj • wêl fjfyi ùfïoS la,dka; iajNdjh we;sùuo y;sh we;sùuo wu;r frda. ,laIK we;súh yel • iuyrekag yDohdndOhloS oefkkafka mmqfõ fõokdj fkdj nfâ oeú,a,h¡ we;eï ffjoHjrhd - udisl ffjoH iÕrdj
whg wmyiqj oefkkafka fn,af,a fya há yKqfõ muKs¡ ;j;a whg fõokdj oefkkqfha Wrm;a weg fol w;r fld÷ weg fmfoisks¡ ta ksid yDohdndOhl uq,skau we;s jkafka mmqfõ fõokdj hehs fkdis;sh hq;=hs¡ yDohdndO yg.kafka flfiao@ uQ,slu l%shdj jk yDoh uq¿ isrergu reêrh fmdïm lrk n,d.drhhs¡ w;s úYd, fida;ia j,ska uq¿ YÍrh mqrdu Tlaiscka reêrh yd fmdaIH fldgia ffi, j,g Od;= j,g ,nd foa¡ fuu fida;ia wjfrdaOl;djh yDo frda. j,g uQ,slu fya;=jhs¡ yDoh isref¾ ;j;a cSù wjhjhls¡ thgo cSjh /l .eksu i|yd reêrh iemhqula wjYH fjhs¡
^l=vd jdyskS& wjfrdaOl;djfhka yDohg reêr iemhSu wvd, ùu ksid yDofha tla fldgila ñh hEu fyda w¾O jYfhka ñh hEu" ñh .sh fmaYsh we;s ia:dkfha kej;;a ;ka;= mgl ;ekam;a ù le<,la yg .kS¡ reêr kd, ì;a;s >k jk fya;= tu ia:dkfha fmaYs j¾Okh fkdjk ksid yDofha we;s reêrh fmdïm lsÍugo we;s Yla;sh ySk ù hhs¡ tkï b;d l=vd reêr jdyskS u; fïo ;ekam;a ùu" úúO ,jK j¾. ;ekam;a ùu" wdu rih ;ekam;a ùu fya;=fjka reêr kd, ì;a;s >k fõ¡ fï ksid kuHYS,S;ajh wvq fõ¡ b,diaála ;;a;ajh wvq fõ¡ kd, mgqùu ksid kd,j, wefok iajNdjh wvqùu ksid reêr mSvkh jeä fõ¡ fï ksid yDohg wêl f,i fjfyig m;a ùug isÿfõ¡ ulaksido h;a uq¿ YÍrhg wjYH Tlaiscka yd fmdaIKSh fldgia imhk m%Odk n,d.drh yDoh ùuhs¡ fida;ia wjfrdaOl;djh fya;=fjka uq¿ YÍrhg Od;= fmdaIKh wvq lrhs¡ fï ksid úúO ixl+,;d we;súh yelsh¡ yDo frda. j<lajd .ekSug iqÿiq wej;=ï mej;=ï 1¡ udkisl iqjh 2¡ jHdhdu 3¡ wdydr weúoSu fldhs ldg;a iqÿiq fi!LHiïmkak jHdhduhls
yDohgo reêr iemfhkafka m%Odk reêr kd, follsks¡ ld,hla ;siafia yDoh ;=< we;s reêr kd, j, ì;a;sfha wduh ;ekam;a ùfuka ¥Is; jQ ri Od;=j fikiqka 2016 ckjdß l<dmh
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wdhq¾fõoh
yoj;a frda. j,ska ñoSug wdhq¾fõofha mdr lshk yeá
1¡ udkisl iqjh • Ndjkd lsÍu • O¾ufhys yeisÍu • iudc hycSjkh • ffu;%S lsÍu • iskyuqiq uqyqKska isàu • ffjrh B¾IHdj fl%daOh w;ayeÍu • udkisl mSvkh wvqjk whqßka jev lsÍu • l,afõ,d we;sj ;ukaf.a rdcldßh bgqlsÍu • bjiSu mqreÿ lsÍu • O¾uh weiSu • ir, cSjk ú,dYhla we;s lsÍu • iduQysl;ajh yd i;=g fnod .ekSu • ;ud fuka wkawh .ek is;Su • kuHYS,s;ajh yd ldreKsl Ndjh • w,xldr f,i f.j;a;la ks¾udKh lsÍu • u,a j.dj • iqr;,a uiqka iy iqr;,a i;=ka we;s lsÍu • orejka iqr;,a lsÍu • mjqf,a idudcslhka iu`. iqyoj idlÉPd lsÍu yd iycSjkh • meh 5-6 laj;a fyd| ksikai, mßirhl ksod .ekSu • WoEik 4-5 w;r wjos ùu • rd;%S wdydrfhka meh follska miq ksod .ekSu osjd ld,fhaoS ksod fkd.ekSu 2¡ jHdhdu jHdhdu .ek úfYaI jYfhkau is;g .; hq;= ke;;a ;udg whs;s ffoksl jev lghq;= yd rdcldßuh wjia:d ksis mßos bgq lsÍu u.ska fyd| jHdhduhla ,efí¡ • úkdä 10la mäfm<l ke.Su iy neiSu • úkdä 20la ksji msßisÿ lsÍu iy fros fiaoSu • úkdä 20la wdydr msiSu • úkdä 20la kegqïj, fhoSu • weúoSu - b;du hym;a iajdhq jHdhduh kï weúoSuhs¡ tl ie;mqula úkdä 12lska weúosh hq;=hs¡ osklg meh 1$2 la weúoafod;a th m%udKj;ah¡ i;shlg osk 3-4 la weúoafod;a 124
m%udKj;ah¡ weúoSu jkdyS cSjk p¾hdfõ fldgila njg m;alr .;fyd;a uekú¡ fndfyda whg weúoSu i|yd fjka lsÍug ld, fõ,djla fkdue;¡ ld¾hd,fha úÿ,s fidamdkh Ndú;d fkdfldg mäfm< Ndú;d lrkak¡ fj<|ie,a ;u wjYH;djhg úúO ia:dkj,g flá ÿr hd hq;= úg jdyk Ndú;d fkdlr ta ÿr weúof.k hkak¡ nia kej;=ï 2-3 la jeks ÿr m%udK mhska .uka lrkak¡ • tl jrlg jeäfhka jHdhdufha fkdfhosh hq;=h¡ hï jHdhduhla lrk úg idudkH f,i l;dny l< yels kï ta jHdhdu uÜgu iqÿiqhs¡ • msyskSu" idmamq ijdß j, fhoSu" f.j;= jev" iq¿ jYfhka f.j;a;la iEoSu" w;=.Eu" cfk,a fodrj,a msi oeóu" ul=¿oe,a leãu" ms`.ka fldamam fiaoSu" ksji w,xlrKh jeks lreKq ldrKd
ffjoHjrhd - udisl ffjoH iÕrdj
jHdhdu hg;g .; yel¡ wdydr .ekSug Wmfoia wms oskm;d wdydr .kakd úg my; i|yka lreKq .ek ie<ls,su;a ùu ish¿ f,v frda. j,ska ñoSug fya;= ldrKd fõ¡ • wdudYfhka 1$3la >k wdydro wudYfhka 1$3 la c,h yd fjk;a mdk j¾.o b;sß 1$3 ysiajo ;sfnk whqßka wdydr .ekSu jeo.;ah¡ • wdydr ud;%dj ms<sn| ie<ls,su;a jkak¡ wê ud;%dj YÍrh ;rndre we;s lrhs¡ ySk ud;%dj YÍrh ÿ¾j, lrhs¡ • nv.skak we;s úg muKla wdydr .kak' • .;a wdydrhla osrùug fmr kej; wdydr fkd.kak' • fkd.e<fmk wdydr tlg .ekSfuka j<lskak' • wid;auH wdydr" osrùug wmyiq wdydr .ekSfuka j<lskak' • fyd|ska meiqKq 2016 ckjdß l<dmh
msßisÿ" ri" .kaO" j¾K" fmkqu" iajNdjh iy ukd fmkqula iys; jQ wdydrh .kak¡ w¿;a wdydr úh hq;=hs¡ lDóka ydks fkdlrk ,o wdydr .kak¡ • wdydr .kakd úg fyd| YslaIKhla" fyd| mßirhla" ksYaYío;djhla" m%shukdmj ,nd .ekSuo l< hq;=h' • wu;r lEula .ksoaoS mjd l=i.sks fõ,djg muKla .kak' • ueá Ndck j, wdydr msi.ekSfuka YÍrhg úI øjH we;=¿ fkdfõ¡
t<j¿" m<;=re wkqNjh fi!LHhg w;sYhska ys;lrh
yDohdndO ksjdrKh i|yd fhda.H úúO wdydrmdk • iqÿ¿Kq • fo¿ï • neì," iqÿÆKq ;eïnQ j;=r Tiq meka tlla f,i îu • mefmd,a • wuq mefmd,a iqÿ¿Kq;a iu. jHxckh • bÿKq flfi,a f.ähla oskm;d .ekSu • je,a fodvï fld< ue,a¨u • lrmsxpd fld< ue,a¨u" lrmsxpd fld< le| • W¿yd,a" f.drld" l=re`ÿ" ishU,d" fudr" 125
wdhq¾fõoh
yoj;a frda. j,ska ñoSug wdhq¾fõofha mdr lshk yeá
t<j¿ j,g jeämqr fhdod .ekSu • ySx fndaúáhd fld< le| fld< ue,a¨u • fmdf<dia • rKjrd u,a ;ïnd îu • fk,a,s f.ä wuqfjka wdydrhg .ekSu • wegj¾. uqx weg$ljqms$fidahd$mßmamq$lv, yDohdndO j,ska je<lS isàug fï Wmfoia ms<smoskak • ÿïîu iïmQ¾Kfhka w;ayßkak • wêl ¨Kq wdydr .ekSfuka j<lskak • Öia ng¾ ud.ßka jeks fïo iys; wdydr .ekSu wvq lrkak • wvq fmd,a m%udKhla f.k jeämqr j;=r oud ñßld wdydrhg .kak' • wegud¿" n,hd" biaid" oe,a,d" fl,j,a,d" ieuka jeks W!IaKfhka wêl ud¿ wdydrhg .ekSfuka isàu • ì;a;r lyuoh yDo frda.Skag iqÿiq ke; • w,s.egfmaro yDo frda.Skag iqÿiq ke; ÿqisß;a fia .efkk mqreÿ j,ska wE;a úh hq;=h
yDohdndO i|yd wk;=reldrl idOl • ÿïîu • wêl fïo wkqNjh • ia:q,;djh • wêl reêr mSvkh • oshjeähdj • oS¾>ld,Sk udkisl wiykh • ldhsl jHdhdu wvqùu • ckau m%fõKsh
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ÿïjeá bÍu • ÿïjeá bÍu iïmQ¾Kfhkau kj;d oeñh hq;=h ^jeisls<s fkdhhs$kskao fkdhhs' fndre fya;= mjiñka tlla folla fyda bÍu jrols& • wkqka ÿïjeá Wrk ldurhl mjd fkdisáh hq;= h¡ wkqka m%dYajdi lrk ÿï ;udgo wdYajdi lrkakg isÿjk neúks ^fuh wl%sh ÿïmdkh kï fõ& • fmryka ;=vq fh¥ is.rÜ bÍu idudkH is.rÜ bß,a, ;rïu wk;=re iys;h¡ • is.rÜ muKla fkdj wfkla ÿï bß,so kj;d oeóu m%{df.daprh' îä iïnkaOfhka fuh jvd;a i;H kuq;a iqreÜgq wdosho kj;d oeóug Wmfoia fokq ,efí' • ÿïfld< úlSfuka wj.=K isÿfõ oehs ielhla mj;skd kuq;a nq,;a úfgka ÿïfld< o bj;a lsÍu kqjKg yqre fjhs¡ • ÿïl=vq bß,a,o keje;aúh hq;=h¡ ffjoHjrhd - udisl ffjoH iÕrdj
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