July 2015 waidyawaraya online by Doctor Magazine

ONLINE ISSUE

21 ldKavh 2015 - cQ,s

cd;sfha mqfrda.dó ffjoH iÕrdj

re'150$ISBN-1391 1341

9 7 7 13 91 13 400 1 waidyawaraya.com

2015 cQ,s l<dmh

wdisß Y,H frday, Tn fjkqfjka msrskuk fiajdjka Services

fi!LH mrSlaIK (Health Check up) iqj mqreI idhkh (Well man clinic) oshjeähd idhkh (Diabetic clinic) yoj; iqjfi; idhkh (Heart health clinic) fmdaIK WmfoaYK (Diatery habits) fN!;Ñls;aidj (Physiotherapy) frda.S mqkre;a:dmk fiajd (Rehabilitation) m%fõKsl WmfoaYK fiajd (Genetic consultation) l%Svd Ñls;aidj (Sports therapy) wdisß wlaIs uOHia:dkfha wlaIs iq/l=u (Eye care by Asiri Eye centre) jD;a;Sh Ñls;aidj (Occupational health) iqjnr osúhlg WmfoaYK fiajd (Counselling for happier life) udkisl fiajd wOHhk (Psychological assesment) ,sx.sl yd m%cKl fi!LHh (Sexual & reproductive health) wdid;añl;d i|yd p¾u mÍlaIK (Skin prick tests for allergies) úhm;a msßñka i|yd m%;sldr (Andropause for aging men) fouõmshNdjh iïnkaO iqjfi; (Parenting) <ud bf.Kqï ÿ¾j,;d m%;sl¾u (Children learning disabilities) cx.u ffjoH fiajdjka (Mobile health services)

b;d kùk ridhkd.dr fiajdjl iyfhda.s;ajh;a iu.ska''' frda. je<elaùu iïnkaO fjfiia wjOdkh fhduq lrñkaukd w;aoelSï yd iqÿiqlï iys; ld¾h uKav,hl iqmßlaIdj

wdisß Y,H frday, mSt,aiS" 21" lsßuKAv, udj;" kdrdfyakamsg" fld<U 5 Tel : 0114524400 Ext: 2603 or Direct Lines: 0114542818 & 0114542819 Fax No: 4626439 www.asirihospitals.com Email: info@asiri.lk

2015 cQ,s l<dmh

Cointents Breaking Health News

48 kej;;a me;sr hk

92 orejkag u<noaOh we;aoehs

52 iudc m%pKav;ajh by<

95 kS;s úfrdaê .íidjka

y÷kd.; yels frda. ,laIK fukak'''

ó WK

11 fï oskj, rgmqrd me;sr hk ffjri wCIs m%odyh fyj;a weia f,v

kxjk udkisl fya;= ±k.ksuq

14 ´kEu jhil wfhl=g

je<Èh yels bka*a¨fjkaid frda.h urKSh ;¾ck we;s lrkjdo'@

16 ;e,iSñhd fmdfrdkaou .e,mqfka ke;akï fudk ;rï wdofrka ysáh;a újdy fjkak tmd'''

ldka;djkaf.a brKu fjkia l< yelshs

56 we,aIhsu¾ frda.h

jhia.; jk úg yg .kakd wu;l ùfï frda.h

61 .eìKs iuh ;=< uqL frda. we;sùfï jeä wjodkula

fl!Y,Hhlg l%Svlfhl= wdydr .; hq;= ms<sfj,

110 jeäysáhka fmdaIK

67 ysirofha wfkal m%fNAo'''

ks;r yefok ysiroh .ek Tn ±k.; hq;= lreKq álla

.=Kfhka imsß wdydr .ekSug W;aiql úh hq;=h

70 Tn;a ;djld,slj Tima k;r

114 f;a fldams fldhsfl;a

lsÍug fnfy;a fndkjdo@ thska is¥jk n,mEu .ek okakjdo@

27 Tfí orejdf.a nr .ek Tn

74 y÷kd fkd.;a CIh

30 j¾Ifha ueo Nd.fha fï

78 orefjd ìialÜ lkak yß

Tfí fi!LH mrSlaIKh isÿ lsrSug Tìk ld,hhs

34 mshhqre ms<sld u¾Okh i|yd fmdaIKSh m%fõYhla'''

42 wefia mSvkh fkdoeKQj;aju jeäùu .aÆfldaud wkaONdjhg fya;=jhs

ys;=uf;a wdydr md,kh lrkak tmd we;eï whf.a jeros wdydr mqreÿ ksid fjk w,l,xÑ

105 ukd l%Svd Tima fõokdj iukh lr.; yels ux'''

oeK.; hq;= lreKq

fõokdfjka ñfouq

102 flÜgq fjkak ys;,d —ydÜ wegEla˜ j<lajd .kafka fldfyduo@

64 fhdjqka úfha§u we;sjk

w¨; Wmka orejkag we;sjk .eg¿

100 Tiaáfhda wd;rhsáia

;sfhk" lma .ymq il%Sh ridhkh lef*aka

116 isrerg .=Kodhl

frda.ska - y÷kd .ksuq iEug m%;sldr lruq - iqjh iouq

fmdaIH .=Kfhka wkQk fmd,af;,a

120 ysiflia iqÿ ùug

wdihs" ta;a ìialÜ t;rï fyd| wdydrhla kï fkdfjhs

fnfy;a le| j¾." wdf.,am iy ysig odk .=Kj;a f;,a j¾.

81 weíneysldrl fõokd kdYlh Tramadol

84 kùk äcsg,a úlsrK

122 flfi,a fldf<A n;a'''

fk¿ï fldf<A n;a" lekao fldf<A ye,m'''

m%;sìïn .ek oeKQj;a fjuq

88 orejkaf. WK

Tng lshk foa'''

126 ;Ügh uÜgq lrk wfmau fidhd .ekSula''' flaI uQ, ;r,h

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2015 cQ,s l<dmh

Editorial

l;= igyk

Editor's

Note

fï oskj, rgmqr me;sr hk AH1N1fkdfyd;a bka*a¨fjkaid frda.h fï oskj, rgmqr me;sr hk AH1N1fkdfyd;a bka*a¨fjkaid frda.h iïnkaOfhka rfÜu wjOdkh ,laù ;sfí' fi!LH wxY úiska fï jk úg;a kshñ; Wmfoia ksl=;a lrk ,o w;r fuys iajNdjh iïnkaOfhka isÿ lr we;s oeKQj;a lsÍï iïnkaOfhka ck;djf.a wjOdkh fjfiiskau fhduq úh hq;=h' .¾NsKS ldka;djlg AH1N1 je<÷fKd;a ta iïnkaOfhka oeä ie<ls,a, fhduq l< hq;= nj jix.; úoHd wdh;kfha wOHlaIsld úfYAI{ ffjoH mnd m<syjvk uy;añh m%ldY lrhs' iel l< hq;= frda.sfhl= meh 48 la we;=<; iqj w;g m;a fkdjqfKd;a jeäÿr ffjoH Wmfoia ,nd.; hq;= nj weh lshd isákakSh' .¾NsKS uõjreka yereKq úg jhi wjq' 60 blaujQ frda.Ska" jhi wjq' folg wvq orejka" oshjeähdj" yDo frda. wdoshg ,lajQ frda.Ska fuu frda.hg ,laùfuka ksõfudakshdj jeks ixl+,;d j,g ,la ùfï jeä bvlvla ;sfnk nj ffjoHjreka fmkajd fohs' frda.fha ,dlaIKsl ,laIK lsysmhla we;' WK" fjõ,Su" w;mh - YÍr.; fõokdj" úh<s leiai" wdydr wreÑh" fiïm%;sYHdj" W.=r ßoSu" lsúiqï hdu idudkH frda. ,laIK w;r fõ' oekg fuu frda.h y÷kd.ekSug ;sfnk kjH yd ld¾hlaIu jQ mÍlaIKh jkafka PCR mÍlaIKhhs' th fnd/,af,a ffjoH m¾fhaIKdh;kfhka isÿlr.; yel' fuu frda.h ì|s;s Tiafia mßirfhka fnda ùug yels ùu ksid blauKska frda.h me;sr hhs' idudkHfhka frda.sfhl= lysk" lsúisk úg frda.ldrl úIîc wä myla ;rï ÿrg iïfm%aIkh úh yelsh' fï ksid wjfYAI whg frda.h fndaùug we;s bvlv wju lr.ekSu iudcfhau fmdÿ j.lSulao jkafkah' Ndr; .=K;s,l - úOdhl l¾;D bharata.gunathilaka@gmail.com

The Pioneer Health & Medical Journal 21 ldKavh 2015 - 07 l,dmh

Editor In - Chief Bharata Gunathilaka Founder Editorial Consultant Late. K.M. Gunathilaka Feature Associates Dr. Sanath Senanayaka Dr. Chaminda Premathilaka Dr. Nalaka Ranasingha Chandrani Rathnayaka (Nursing Officer) R.A.D.T. Priyadarshani (MLT) Prasanna Dissanayaka (Occupational Therapist) Sahan Siriwardhana (Pharmacist) Dinesh Priyal Darshana (Radiologic Technologist) Shamal Indika (Nuclear Medical Technologist) Shamali Pathirage S.M.D. Senevirathne Anuradha Dilini Ilankoon CREATIVE PRODUCTION AD-MIRE Creative Business Editor Amitha Wickramarachchi dapw1234@yahoo.com 0778150270 | 0717622760 Type Setting Chathurika Sandamali Printing/Circulation Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda. WAIDYAWARAYA is a intellectual property of Healthwatch Publications Viharakele,Diyatalawa. Tel: 057 22 29040 | Fax: 057 22 29040 E-mail: info@waidyawaraya.com WEBSITE: www.waidyawaraya.com HOTLINE: 077 3149084

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2015 cQ,s l<dmh

0778150270

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Sri Lanka

Health Portal in

No. 1

Breaking Health News

ffjoHjrhd mqj;a úuiqu

Breaking

Health News m;, oshjeähdj Tiqj fuÜf*dñka .aÆfldaud u¾Okhg''' fuÜf*dñka oshjeähdj frda.hg fok m%uqL T!IOhhs' fuu T!IOh .ekSfuka we;sjk iqúfYAIS m%;s,dNhla .ek kj wOHhkhlska ikd: fjhs' ta iodld,sl wkaONdjhg fya;=jk .a¨fldaud frda.fhka ñoSug fuÜf*dñka fya;= jk njhs' fulS wOhkhg wkQj jir oyhl ld,hla fuÜf*dñka .ekSu ksid fuÜf*dñka fkd. kakd ldKAvh yd iei|SfïoS .aÆfldaud frda.h we;s ùfï yelshdj ishhg 25 lska wvqjk njhs' f,dalh mqrd wkaONdjh we;sùfï fya;= w;ßka .aÆfldaudj m%Odk fya;=jhs' ^.aÆfldaudj iïnkaOfhka úfYAI ,smshla fuu l,dmfha 6

we;'& úfYAIfhkau ueos jhfiaoS yd jhia.; ùfïoS .aÆfldaudj we;sùfï jeä wjodkula we;' frda.h uqyql=rd .shmiq y÷kd.ekSu ksid fndfyda fofkl=g ksis m%;sldrhla lsÍfï yelshdj u. yeÍ hhs' fuu wOHhkh isÿ lrk ,oafoa wefußldfõ ñÑ.ka iriúfha uydpd¾h cq,shd ßp¾âia m%uqL m¾fhaIlhka lKavdhula úisks' fuÜf*dñka fokafka oshjeähd frda.Skagh' fuu T!Ioh ,ndoSfïoS ffjoHjrfhl=f.a ióm wëlaIKh isÿfjhs' th

oshjeähdj fkdue;s frda.Skag ks¾foaY fkdflf¾' flfia fj;;a .aÆfldaudj frda.h we;s fkdùug fuÜf*dñka j,ska ,efnk iïudou .ek wjOdkh fjfiiska fhduq lrk m¾fhaIlhka fï m¾fhaIK ;j;a bosßhg f.k hñka .aÆfldaud frda.hg Tìk kj jHq;amkakhla flfryS oeka wjOdkh fhduq lrñka isà' fuu kj fidhd .ekSu iònkaOfhka f;dr;=re uehs 28 osk JAMA Ophthalmology i`.rdfõ m< úh'

ffjoHjrhd - udisl ffjoH iÕrdj

fkdwef,k n÷ka j, wdydr msi.ekSfuka ke;s f,v''' ÿla lror f.dvhs''' biair ueá j<x j, wdydr msiQ wm oeka fndfyda úg Ndú;d lrkafka f,dayuh n÷kah' ke;fyd;a ñY% f,dayfhka ieliQ fkdwef,k n÷kah' wo ojfia wdydr msiSug Ndú;d lrk we;eï n÷ka fi!LHdrlaIs; fkdfõ' we;eï n÷ka flfiaj;a wdydr msiSug iqÿiq fkdfõ' fkdwef,k n÷ka fhdodf.k wdydr msiSfïoS wm uqyqK fok fi!LH wjodku .ek fï ,smsfhka úia;r flf¾' fï j, we;af;a polyand perfluoroalkyl hk ridhkhs' fïjd by< WIAK;aj j,oS úI uqodyßk w;r ta ridhk uQ,sl jYfhka YrSrhg;a mßirhg;a w;sYhska ydkslrh' fkdwef,k n÷kaj, we;s fuu il%Sh ridhk fmdÿfõ PFAS hk kñka ye|skafõ' OQ,l;djhla fïjdg f.k tkafka fïjdfha we;s fluorine mrudKqhs' óg fmr fkdwef,k n÷ka ksIAmdokfhaoS fhdod.;af;a os.= 2015 cQ,s l<dmh

odu perfluorinated ridhkhhs' flfia fj;;a c.;a uÜgfuka iafõÉPdfjka we;s lr.kakd ,o iïuq;shlg wkQj fï os.= odu fjkqjg fláodu perfluorinated wo ojfia fkdwef,k n÷ka ksIAmdokfhaoS fhdod .ekqK;a ie<lsh hq;= fi!LH wjodkula fmdÿfõ fï ksid;a we;s fõ' fkdwef,k n÷kla r;a ùfïoS PFOA fkdfyd;a perfluorooctanoic acid mßirhg uqod yefrhs' os.= odu u.ska fi!LH m%Yak rdYshla we;s fjk w;r ;hsfrdhsâ .eg¿" ldka;djkaf.a jkaOHdNdjh fukau jákd bkaøsh ydkshg m;aùu ta w;ßka m%Odk fõ' tlai;a ckmo mßir wêldßh perfluorinated ixfhda. y÷kajkafka ms<sldldrl jYfhks' m¾fhaIK j,g wkQj jrla YÍr.;jQ miq fï YÍrfhka bj;a ùug iEfyk oS¾> ld,hla .;fõ' úoHd{hkg wKQj YÍr.;jQ perfluorinated ixfhda. m%udKhla fõ kï th yß wvlska wvq ùug isjq jirla .;fõ' ta w;r w¿;a

YÍr.; jQjfyd;a fïjdfha n,mEfuka YÍrhg we;s jkafka uy;a w,l,xÑhls' wo ld,fha Ndú;d jk flá odu perfluorinated ixfhda. ksid .íid we;sùfï wjodku 16 .=Khlska by< kexù ;sfí' m¾fhaIlhka lshk wdldrhg fkdwef,k n÷kla úkdä myl ld,hla WKQiqï lsÍfïoS mjd wk;=reodhl úI uqodyeÍula isÿfõ' fïjdfha we;s wdf,amkh 464 F0 oS ì|fy<Sulg ,lajk w;r 680 F0 WIAK;ajfhaoS OQ,l jdhq yhla mßirhg uqod yf¾' tajdhska folla ms<sld we;s lsÍug fya;= jk jdhqka fõ'

Nivolumab fmKy¿ ms<sld frda.Skaf.a n,dfmdfrd;a;=fõ Tiqj fmKy¿ ms<sld frda.Skaf.a n,dfmdfrd;a;= by< kxjk T!IOhla .ek iqmqj;hs fï''' ms<sld w;frka fmKy¿ ms<sldj ye|skafjkafka ìhlre ms<sldjla jYfhks' f,dj mqrd ñ,shk 1'6 la fokd 7

Breaking Health News

jd¾Islj fmKy¿ ms<sldfjka ñh h;s' mqoa.,hka 582la fhdodf.k w;ayod n,kq ,enQ kj Tiqjl f;dr;=re miq.shod wefußldkq idhksl ms<sld ix.uhg bosßm;a flreKQ w;r fï jk úg tys jeo.;alu f,dj mqrd l;dnyg ,laù ;sfí' fmKy¿ ms<sld frda.Ska fndfyda úg y÷kd.kq ,nkafka ms<sldj hï ld,hla ryfia Tvqÿjd .sh miqjh' ÿïmdkh fmKy¿ ms<sldjg m%uqL fya;=jla jk w;r fï ÿïmdkh lrkakka Y,Hl¾u j,g fhduq lsÍfïoSo úúO wNsfhda. mek k.S' Tfí YÍrfha m%;sYla;slrK moaO;sh ieliS we;af;a wdidokldrl iu. igka lsÍugh' tfy;a ms<sld jeks ;;a;ajhla we;s jQ úg tajd YrSr fldgia j,go m%ydr t,a, lrkafkah' tfy;a ms<sld ffi, kï jvd;a olaIh' tajd wiSre ;;;ajhka hgf;ao osú /l.ekSug úfgl Yla;siïmkak fj;s' tfy;a ms<sld u.ska PD-L1 kï úfYAIs; fm%daàkhla ksmojk w;r tys 8

ffjoHjrhd mqj;a úuiqu

ldßh jkqfha tajdg m%ydr t,a, lrk jákd m%;sYla;slrK moaO;shg m%;s m%ydr t,a, lsÍuhs' ms<sld ffi, u.ska m%;sYla;slrK moaO;sh b,lal lrf.k t,a, lrk fuu m%;s m%ydrh u¾Okh lrk Tiqjls fï l;djg m%ia;=; jk Nivolumab. th fï YÍrfha u¾uia:dk iqrlsk ksid "Checkpoint inhibitors" hkqfjkao y÷kajkakg tys ksIamdolhka lghq;= lrk ,oS' fmKy¿ ms<sld j,ska T;am, jQ frda.Skag fuu kj T!IOh ,ndoSug m¾fhaIlhka l%shd lrk ,oS' idudkHfhka ;j;a udi 9'4 l wdhq wfmalaIdjla mj;S hhs wkqudk lrk ,o frda.Ska fuu kj T!IOh ksid udi 12'2 l wdhq ld,hla cSú;h .; lrk ,oS' we;eï frda.Ska wkfmalaIs; by< wdhq wfmalaIdjla olajk ,oS' jeä jYfhka ms<sld ffi, u; PD-L1 l%shd;aul jQ frda.Skaf.a wdhq wfmalaIdj udi 19'4 la úh'

w;r iamd[a{fha ueâßâ iriúfha ¨ù meia taßia m%ldY lf<A Nivolumab fmKy¿ ms<sld m%;sldrfõofha ikaêia:dkhla njhs' ,kavka úYAj úoHd,hSh ms<sldh;kfha wdpd¾h udáka f*diag¾ BBC .=jkaúÿ,shg m%ldYhla lrñka lshd isáfha fmKy¿ ms<sld j,g m%;sldr lrk whqre iïnkaOfhka fuu m¾fhaIKh wdf,dalhla imhk njhs' fmKy¿ m%;sldr l%shdj,sfhys wiu;a jk frda.Skag Nivolumab úl,amhla jk nj Tyq jeäÿrg;a m%ldY lrkakg wu;l fkdlf<ah' flfia kuQ;a fuu kj T!IOh .ekSfuka we;sjk oS¾> ld,Sk .eg¿ iïnkaOfhka ;jÿrg;a m¾fhaIK isÿ l< hq;= nj Tiqj y÷kajd foñka m¾fhaIlhka m%ldY lf<ah'

Bristol-Myers Squibb iud.u fuu o;a; bosßm;a lrk ,o ffjoHjrhd - udisl ffjoH iÕrdj

News

isõos. iqjfi; kjl ffjoHjrekag yosis m%;sldr mqyqKqjla fi!LH yd foaYSh ffjoH wud;HxYh hgf;a mj;sk frday,a fj; n|jd.kq ,nk kjl ffjoHjreka i|yd yosis m%;sldr mqyqKqjla ,ndoSug fi!LH yd foaYSh ffjoH wud;HxYh lghq;= lr ;sfí' yosis wk;=rloS frday,a.; jk frda.Skag wjYH ffjoH m%;sldr fiajdjka yd i;aldr fiajdjka úêu;aj yd läkñka ie,iSfï wruqK we;sj fuu jevigyk l%shd;aul lsÍug fi!LH yd foaYSh ffjoH wud;HxYh mshjr f.k we;' fï wkQj iSudjdisl mqyqKqj ,eîug kshñ; ffjoH WmdêOdÍka i|yd 2015 cQ,s l<dmh

isõos. iqjfi;

mqyqKQ lsÍï ßcafõ wd¾hd <ud frday," lrdmsáh ffjoH mSGh" fmardfoKsh ffjoH mSGh" hdmkh yd rcrg ffjoH mSG flakaø lr.ksñka miq.shod meje;aúK' frda.Ska we;=<;a lsÍfuka wk;=rej we;sjk m%udohka u.yer läkñka m%;sldr lsÍug wjYH mßph ie,iSu fuu jevigyfka m%Odk wruqKhs'

.ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha fufyhqï ;k;=re fjkia fjhs .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;khg kj wOHlaIjrfhla iy l<uKdlrk uKav,hla m;alr ;sfí' mßmd,k lghq;= ms<sn|j m%ùKfhl= iy rdc.sßh wdhq¾fõo úoHdh;kfha ysgmq wOHlaIjrfhl=jQ uydpd¾h chka; je,sys| wdh;kfha wNskj wOHlaIjrhd jYfhka lghq;= lrKQ

we;' l<uKdlrK uKav, idudcslhka fufiah' uydpd¾h tia cS iurisxy" le<Ksh úYAj úoHd,fha fcHIAG uydpd¾h t,a wd¾ chfialr" .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha ks¾ud;D mKaä; úl%udrÉÑ fjo uy;df.a mq;%hd jk úkhldka; úl%udrÉÑ" ffjoH ;drl m%idoa fyajdú;drK" ffjoH nqoaêl ,shkf.a" jr,;a .KldêldÍ w;=, rKùr" ysgmq wud;HxY f,alïjreka jk ksu,a nKAvdr" iS ud,shoao iy fcHIAG kS;s{ pQ,d nKavdr'

ol=Kq wdishdkq l,dmh ;=< lS¾;su;a fyo mqyqKq Ndú;dj ,xld fydiamsÜ,a fj;ska''' ,xld fydiamsÜ,a mSt,aiS wdh;kh wdishdkq l,dmh ;=< lS¾;su;a fyo mqyqKq wdh;khla f,i ol=Kq wdishdkq l,dmfha rgj, f.!rjdorh oskdf.k ;sfí' ud,osjhsk 9

News

iriúh 2008 jif¾ isg fi!LH mSGfha fyo mqyqKQj i|yd ,xld fydiamsÜ,a iud.u f;dardf.k we;s w;r iSfi,aIa" ñhkaudrh iy nx.a,d foaYh hk rgj,ao isiq fyos yd Wiia fyo mdGud,d i|yd ,xld fydiamsÜ,a iud.u yd w;aje,a ne|.ekSug fï jk úg lghq;= iïmdokh lrñka isà' ,xld fydiamsÜ,a mSt,aiS wdh;kh fyo mqyqKqfõ úYsIaG uQ,sldx. wkqhñka wo ojig WÑ; fyo jD;a;slhska ìys lsÍug olajk lemùu ol=Kq wdishdkq l,dmh ;=< fyo mqyqKQfõ ikakduhla ùug fya;=jhs'

taâia frda.Skag Tiqjla fidhd.;a rÅ; os,aIdka isiqjdg ì%;dkH w.ue;s fâúâ leurkaf. ka úoHd;aul iïfï,khg iyNd.s ùug wdrdOkhla bkaÿkSishdfõ cl¾;dyS miq.shod mej;S úoHd jHdmD;s 10

isõos. iqjfi;

T,sïmshdâ (ISPRO) 2015 ;r`.fhka rka molalula ,enQ rÅ; os,aIdka udf,ajk ;reK isiqjdg f,dal ;reK úoHd{hkaf.a iufï,khg (WAYS) iyNd.s ùug ì%;dkH w.ue;s fâúâ leurkaf. ka úfYAI wdrdOkhla ,eî ;sfí' fuu iïfï,kh ixúOdkh lrkafka f,dalfha úYsIaG;u úYajúoHd, iyfhda.s;djfhks' rÅ; os,aIdka rkamolalu oskQfõ tAâia frda.h iqj lsÍug Tiqjla fidhd. ekSu fjkqfjks' rgj,a 31 l ;r`.lrejka 180l muK msßila wNsnjñka rÅ; fuu

ch.%yKh iksgqyka lrKQ ,enqfõh' taâia frda.h we;s lrk ffjrifha ffi, tlsfkl iïnkaO ùu je<elaùug kefkda ;dlaIKh fhdod. ksñka rÅ; fuu fidhd.ekSu lf<Ah' flfia fj;;a fï iïnkaOfhka jeäÿr mÍlaIK isÿ lsÍu wjYH nj ,dxflah ;reK úoHd{hd m%ldY lf<Ah' óg fmr 2014 jif¾o fuu olaI YsIH m¾fhaIlhd ISPRO ;r`.hg bosßm;a ù ,shqflañhd frda.h uev,Sug iu;a jk .%Ska à i;= .=Kdx.hla y÷kajd fok ,oS'

ffjoHjrhd - udisl ffjoH iÕrdj

Attention

fï oskj, rgmqrd me;sr hk ffjri wCIs m%odyh fyj;a

weia f,v

ffjoH wfia, wfí§r m%cd wCIs ffjoH fld<T weia frday, fï Èkj, ,xldj mqrd me;sr hk zzweia f,vZZ fyj;a ffjria wCIs m%odyh b;d blauKska me;sr hkakla fkdfyd;a iS>%fhka fndajkakla nj fmfkkakg ;sfí' fï tu frda.fha iajNdjh ms<sn|j uQ,sl meyeos,s lsÍuls' fuu frda.h ffjrihla ksid we;s jkakla jk neúka fï frda.fhka je<lsfï l%ufõohka oek isàu b;d jeo.;ah' fuu ffjrih me;sÍ hkafka wCIs m%odyh we;s frda.sfhl=f.ks' fuu ffjrih weig we;=¿ jq úg b;d blauKska frda. ,laIK fmkakqï lr weia f,v fyj;a weia reodj tfia;a ke;akï weia wudrej we;s lrhs'

2015 cQ,s l<dmh

weia f,v

frda.sfhl= jdykj, fyda fik. nyq,j .ejfik ia:dkj, .ejiSfuka yd w,a,k foaj, úIîc ;ejÍ ;sfí' th ksfrda.S flfkl=f.a wf;a .eù ;sî weia we,a,Sfuka b;d blaukg weia frda.h fndaúh yelsh'

Attention

fõokdj" je,s leg oeïudla fuka we;sjk flùu" u| WK .;sh" wdf,alh ne,Sfï wmyiq;djh" weia mshka bÈóu oel. kakg ,efí'

frda.h fndajkafka fufyuhs ffjri wlaIs m%odyfha m%Odku ,laIKh jkafka ln" l÷¿ .e,Suh' túg frda.shdg oefkk wmyiq;djh ksid ks;r ks;r weia lihs' weia msi ouhs' wefia ks;ru fuu úI ìch ;ejÍ ;sfí" tjeks flfkl= fmd¥ jdykj, fyda fik. nyq,j .ejfik ia:dkj, .ejiSfuka yd Tyq fyda weh w,a,k foaj, úIîc ;ejÍ ;sfí' th ksfrda.S flfkl=f.a wf;a .eù ;sî weia we,a,Sfuka b;d blaukg weia frda.h fndaúh yelsh' 12

weia f,v

tfukau" leiai yd lsúiqï u.ska o jd;hg tl;= jk ì¢;s j,skao frda.h fndafõ' frda. ,laIK weia frda.fha m%Odk ,laIKh jkafka weia r;=ùuh' bkamiqj l÷¿ yd ln .e,Su" Wfoa ke.sák úg ln .e,Su ksid weia we,S ;sîu" fõokdj" je,s leg oeïudla fuka we;sjk flùu" u| WK .;sh" wdf,dalh ne,Sfï wmyiq;djh" weia mshka bÈóu oel.kakg ,efí' iuyr úg" wefika hï f,a .e,Sula jqjo isÿúh yelsh' fuu frda. ,laIK Èk 5-7 la muK ld,hla mej;sh yelsh' frda.fhka je<ls isàug Wmfoia jvd;a jeo.;a jkafka frda.h iEÈfuka je<lS isàuhs' weia frda.fhka je<lS isàug kï fmdÿ ia:dk j,§ weia we,a,Sfuka je<ls isàu" weia f,v we;ehs okakd fyda iel ysf;k frda.ska yd tlg iómh weiqre fkdlsÍu" frda.shd mßyrK lrk fldÜg" ;=jd wdÈh Ndú;d lsÍfuka je<lSu' fujeks foa mdúÉÑhg .ekSfuka frda.h blaukgu fndafõ'

ffjoHjrhd - udisl ffjoH iÕrdj

fmdÿfõ fm!oa.,sl msßisÿNdjh wdrlaId lr .ekSu b;du jeo.;afõ'

weia frda.fha m%Odk ,laIKh jkafka weia r;=ùuh' bkamiqj l÷¿ yd ln .e,Su" Wfoa ke.sák úg ln .e,Su ksid weia we,S ;sîu" kshñ; m%;sldr isÿ l<fyd;a i;shla .;jq miq h:d ;;a;ajhg m;a fõ'

frda.Ska fï Wmfoia ms<smoskak 1' weia frda.h je<È we;s wh fik. .ejfik ia:dkj, .ejiSfuka je<lS isákak' 2' fiajd ia:dkhg fyda mdie,g fkdf.dia Èk 5-7 la muK ld,hla ksjfia fjku /§ isákak' 3' weia frda.h je<ÿKQ úg mjd b;d msßisÿj isákak' 4' Èkm;d iakdkh lsÍu b;d jeo.;afõ' Tn fik. .ejfik ia:dkhlg .sfhd;a 1' Tn fmdÿ jdykhl .uka lr /lshdjg fyda mdie,a hkafka kï fyda .ukla .sfhd;a meñKs ú.iu w;a inka od fidaokak' 2' ks;r úiîckdYl msßisÿ ldrl Èhrhla w;a nE.fha ;ndf.k w;a msioukak' 3' weia we,a,Sfuka j<lskak'

nelaàßhd wdidok we;s ùu je<elaùug m%;scjl T!IO ìxÿ fuka fh§ug idudkHfhka kshu lrkq ,nhs' ¬ idudkHfhka i;shla ;=<§ iqjjk fuu ;;a;ajh jeä Èkla mj;skafka kï kej;;a wlaIs idhkhlg meñK weia fmkajd .; hq;=h' ¬ fuu frda.fhka miqj iuyr fofkl=g wefia l¨ bx.sßhdjg n,mdk fjk;a frda.hla we;sjk ksihs' ¬ frda.h je<ÿkq úg l< hq;af;a ffjoH Wmfoia ,nd .ekSuhs' igyk-wkqrdOd È,sks b,xfldaka

weia frda.hg m%;sldr ¬ kshñ; m%;sldr isÿ l<fyd;a i;shla .;jq miq h:d ;;a;ajhg m;a fõ' fuhg ffjria frda.hla ksid úfYAI m%;sldrhla fkdue;' 2015 cQ,s l<dmh

Attention

A H1N1

fï oskj, rg mqrd me;sr hk ck;dj ìhm;a l< WK frda.h

´kEu jhil wfhl=g je<Èh yels bka*a¨fjkaid frda.h urKSh ;¾ck we;s lrkjdo'@

bka*a¨fjkaid j¾. .Kkdjla we;s w;r A-B-C kñka jk ffjria ldKav lsysmhla fya;=fjka fï ldKAv lsysmh we;s fõ' fï ffjria ldKav w;r A H1N1keue;s ffjrih ;rula Ndhdkl ;;a;ajhla .kakd ffjria tlls'

jix.; frda. úoHd wxYfha jix.; frda. úfYAI{ ffjoH mnd m,syjvk' ffjoH m¾fhaIK wdh;kfha úfYAI{ ffjoH cqä chudkak' ldi,a frdayf,a m%ij yd kdßfõo úfYAI{ ffjoH hQ ã mS r;akdhl' A H1N1 fkdfyd;a bka*a¨fjkaid frda.h fï jk úg jix.; ;;a;ajhla olajd jHdma; ù we;s neúka frda.fha iajNdjh ms<sn|j wjosfhka isàu;a frda.h je<ÿK úg ksis m%;sldr fj; fhduqùu;a" úfõl .ekSu iy fik`. nyq, ia:dkj,g hdfuka je<lS isàu;a fhda.H fõ'

wfkl=;a bka*a¨fjkaid ffjria j¾. j,ska je<fokafka idudkHfhka Èk fol ;=klska iqj jk fiïm%;sYHdj iy WKh' kuq;a A H1N1 ;;a;ajh Bg jvd yd;amiskau fjkia ;;a;ajhls' úúO bka*a¨fjkaid

ffjoHjrhd - udisl ffjoH iÕrdj

j¾.j,ska udrdka;sl ;;a;ajh lrd wm f.k hkafka fï A H1N1 ffjrihhs' bka*a¨fjkaidj y÷kd .ksuq YAjik moaO;sh wdYs%;j je<fok ffjria frda.hla jk A H1N1 Yajik wdidokh ksid fiïm%;sYHdj" leiai" W.=f¾ wmyiqj" WK" we`.mf;a wudrej" jeks frda. ,laIK fmkakqï lrhs' A H1N1 ffjrih jdhqf.da,fha idudkH mßirh ;=< meh 2-7 olajd ld,hla mj;skjd' tneúka ´kEu flfkl=g ´kEu wjia:djl je<Èh yelsh' A H1N1 ffjrih Yajik ud¾.fhka isrerg we;=,ajQ úg fmkakqï lrkafka idudkH WK" fiïm%;sYHdj" W.=r ßoSu" lsúiqï hdu wd§ idudkH frda. ,laIKhs' kuq;a fuh A H1N1 bka*a¨fjkaid ;;aa;ajhla oehs frda.shdg fjkalr y÷kd.; fkdyel' 2015 cQ,s l<dmh

idudkH fiïm%;sYHd ;;a;ajhla Èk fol ;=klska iqj w;g yefrk kuqÿ A H1N1 bka*a¨fjkaid ;;a;ajh tfia jkafka ke;' Èk lsysmhla hk úg ;;a;ajh ne?reï w;g m;a ù" WK jeã ù" ta iu.u leiai we;sfõ' leiai" wêl f,i jeäùu jeks ixl=,;d we;sùu ;=<ska fuh H1N1 oehs iel u;= lr.; yelsjkafkah'

ffjria ldKav w;r A H1N1keue;s ffjrih ;rula Ndhdkl ;;a;ajhla .kakd ffjria tlls' úúO bka*a¨fjkaid j¾.j,ska udrdka;sl ;;a;ajh lrd wm f.k hkafka fï A H1N1 ffjrihhs' yeu fokdgu urdka;sl ;;a;ajhla we;s fkdfõ je<÷k iEu fokdgu ixl=,;d u;=ù udrdka;sl ;;a;ajhla H1N1 ksid we;s jkafka ke;' we;eï wfhl=g muKla frda.h W;aikak w;g yef¾' frda.h W;aikak ùug fya;= jkafka m%;sYla;sh ySkùuhs' úfYaIfhkau l=vd orejka yd uy¨ jhfia wh" Èhjeähdj" jl=.vq" ms<sld" wd§ 15

Attention

A H1N1

frda.Skag úfYAIfhkau Èk 3-4 lska miqj leiai jeäúh yelsh' túg fmky¨ j, fiu ;ekam;a ù yqiau .ekSfï wmyiq;djhlg frda.shd m;afõ' m%;sYla;sh wju mqoa.,hskag fmky¿ lrd fuu ffjrih .uka lrñka ksõfudakshd ;;a;ajh we;s lrhs' idudkHfhka ksõfudakshdj je<f|kafka nelaàßhd wdidokhlsks' kuq;a ffjria wdidokhlska ksõfudakshd je<fok wjia:d lsysmhla we;' tjdhska tlla jkafka A H1N1 ffjrihhs' bka*a¨fjkaid frda. b;sydih bka*a¨fjkaid frda. ;;a;ajh uq,skau y÷kd.;af;a 2009 jif¾È fulaisfldafõÈh' ffjrih y÷kd .ekSfuka miqj frda.hg f.dÿre jq ck;dj ñ,shk y;ls' fuu frda.h tjlg tlúgu y÷kd .ekSug fkdyels ùfuka f,dj mqrd ñ,shk .Kkla frda.d;=r úh' fuh uy;a wdkafoda,khlg yd fi!LH lafIa;%fha jeä l;d nyg ,la jQ lreKla úh' frda.h blauKska me;sr hdug uq,sl fya;=j jqfha fï frda.h ms<sn|j ck;djf.a fkdoekqj;aùuhs' bka*a¨fjkaid frda.fha nrm;, ;;a;ajh jkafka b;d blaukska ffjrih ñksid w;r me;sr hduhs' wfma rg ;=< uq¿ jir mqrdu jßkajr frda.Ska jd¾;d fõ' ffjrih jeämqr jHdma; jk ld,iSudjla y÷kdf.k fkdue;' frda.h j<lajd .ekSug .; hq;= mshjr frda.h oekg je<|S fkdue;s wh ta ms<sn|j oeKqj;a lsÍu jeo.;a fõ' 1' fmdÿ ckhd nyq,j .ejfik ia:dkj,g hdfuka yd wkjYH .uka hEfuka j<lskak' 2' yels;dla ¥rg fmdÿ m%jdyk fiajdjka Ndú;h wju lrkak' frda.S jQ wh wka whf. ka wE;aù isákak'

3' inka .,ajd msßisÿ c,fhka oE;a fidaod.kak' 4' WK iu. frda. ,laIK je<ÿk .¾NKS ldka;djka ksjiska msg; fkdhkak' 5' lsúiqï yßk úg fyda leiai we;sjQ úg kdih yd uqL wdjrKhla me<e| isákak' 5' leiail§ fyda lsúiqul§ f,akaiqjlska fyda áIq lvodishlska kdih yd uqLh wdjrKh lr.kak' 6' ks;ru oE;aj,ska uqj yd kdih we,a,Sfuka j<lskak' 7' frda. ,laIK ;sfí kï ffjoH m%;sldr .kak' 8' Ndú;d l< áIq lvodis li, n÷klg oukak' f,akaiq ks;r fidaod úh,d .kak' .¾NKS uõjrekag úfYAI Wmfoia bka*a¨fjkaid ffjrih .¾NKS uõjrekag wys;lr m%;sM, we;s lrjkakg fya;= fõ' .¾NKS ld,h ;=<§

ffjoHjrhd - udisl ffjoH iÕrdj

m%;sYla;sh wvq njla fmkakqï lrk ksid fï frda.j,g f.dÿre ùfï jeä wjodkula mj;S' frda.h je<ÿKq .¾NKS uõjref.a fmky¿j, mßudj wvqfõ' Worh úYd, ùu;a iu. YajYk moaO;shg .eg¿ldß ;;a;ajhla we;sùug mq¿jka' .¾NKs uõjrekag bka*a¨fjkaid frda.h je<ÿkfyd;a W.% frda.S ;;a;ajhka fyda urKh isÿúh yels wjodkï wêl ldKavhla f,i j¾.SlrKh fjhs' tu ksid ta ms<sn|j wjOdkfhka isàu w;sYh jeo.;a fõ' wjodku by< wh 1' .¾NKS uõjreka 2' jhi wjqreÿ 2g wvq <uqka 3' jhi wjqreÿ 65g jeä mqoa.,hska 4' we÷u jeks YAjik frda." Èhjeähdj yd l,a mj;sk frda. ;;a;ajhkaf. ka fmf<k frda.Ska 5' m%;sYla;slrKh ySk jQ frda.Ska ^Wodms<sld" md,kh fkdl< Èhjeähdj" yDo frda. yd jl=. vq frda.Ska& 2015 cQ,s l<dmh

fhdod.; yels wdrlaIl Wmdhud¾.

A H1N1 fndajk l%uh l:d lrk úg" lysk úg" msgjk fl< ì¢;s j, fuu ffjrih wvx.= fõ' tu ffjrih flfkl=f.a kdifhka uqLfhka we;=¿ ù Yajik moaO;sfha wdidokhla we;s lrhs' fndfyda fofkl=g fuh YÍr.;ù Èk 3 la fyda i;shla we;=<; § frda. ,laIK my< fõ' m%;sYla;sh YÍrfha we;s wfhl=g frda. fndaùula we;s fkdfõ' m%Óldr • bka*a¨fjkaid iel iys; frda.Ska ish¿ fokd jeä myiqlï iys; frday,a j,g udre lr heùu wjYH fkdfõ' • kuq;a frda.S ;;a;ajh Wiaikak fõ hehs is;sh yels frda.sfhl= fõ kï oeä i;aldr tall myiqlï iys; frday,lg heùu iqÿiq fõ' • fuu frda.Skaf.a kdifhka iy W.=frka .kakd fiu mg, mÍlaIdjg ,la flfrk w;r ffjria kshqfudakshd ;;a;ajhla kï frday,a.; lr wjYH m%;sldr wdrïN flf¾'

Attention

A H1N1

hdu" l%Svd lsÍu" nr jev lsÍu wdÈfhka f;drj úfõl .; hq;=hs' • ffjria frda. je<÷k úg idudkHfhka ffjrihg isrefrka bj;aùug fyd| m%;sYla;shla ;sìh hq;=h' • meh 24-48 muK úfõlfhka isàu ffjrih isrefrka neyerùug WmldÍ fõ'

• fmky¿ j, ffjria ;;a;ajhla ;sfnk nj mÍlaIK j,ska ksYAph lr.; yelafla X ray mÍlaIdjla u.sks' m%;sYla;sh wju mqoa.,hkag fmky¿ lrd fuu ffjrih .uka lrk ksid ksõfudakshd ;;a;ajh Wodfõ' jhia.; jqjka" l=vd orejka" ms<sld" Èhjeähdj " wlaud" jl=. vq" jeks frda.Ska fukau ksoka.; frda. j,ska fmf<k Woúhgo ;;a;ajh ne?/ï w;g yeÍug bv we;' • tu ksid WK fiïm%;sYHdj je<÷kfyd;a ffjoHjrfhl= f.ka m%;sldr f.k we| õfõlfhka isàu w;HjYH fõ' /lshdjg hdu" ffoksl jev lghq;=j, fh§u" mdie,a 18

A H1N1 ffjrihg m%;sYla;slrK tkak;la o we;' kuq;a th ñf,ka wêlhs' uq¿ iudcfha isák ish¨ fokdgu tkak;a lsÍu isÿ fkdfõ' kuq;a l=vd orejkag" .¾NKs ud;djkag" jhia.; whg fuu m%;sYla;s tkak; ,nd§u l< yelsh'

igyk - wkqrdOd È,sks b,kafldaka' fi!LH wOHdmk ld¾hdxYfha meje;s udOH iïuka;%Khla weiqßKs'

ffjoHjrhd - udisl ffjoH iÕrdj

Thalassemia

;e,isSñhdj - udrdka;sl frda.hls

rfÜ wkd.; wNsjDoaêh m;k iEu mqrjeisfhl=f.au hq;=lu úh hq;af;a ksfrda.S ore iïm;la iudchg rgg ohdo lsÍuhs' Tnf.a fid÷re fyg Èkh w÷re fkdjkakg - hq. Èúhg msúfikakg fmr f,a - ì|la mÍCId lr n,kak' Tn ;e,iSñhd jdylfhla oehs iel yer oek.ekSu Tnf.a j.lSuls'

;e,iSñhd fmdfrdkaou .e,mqfka ke;akï fudk ;rï wdofrka ysáh;a újdy fjkak tmd''' Wmfoia - <ud frda. ms<sn| úfYaI{ ffjoH fcHIaG lÓldpd¾h r;akdhl tï' uqÈhkafia zz kj hqj<la f,i - hq. Èú .ufka .súid .kakg fmr ;j tl fudfyd;la - bjiuq i;=áka ii|uq wms tl f,a ì¥jla ksfïYhla ;=< ¥lla fkdjkakg fkdujkakg u;= ,;eú,a,la'ZZ

fudfyd;la is;kak" Tn ;e,iSñhd jdylfhla kï" Tn újdy .súi .kakd iyldßh fyda iylrejd;a fkdoekSu ;e,iSñhd jdylfhla jqfjd;a Tn fofokdgu w;ajkakd jq brKu ;e,iSñhd frda.s orefjl= ,eîuhs' ;e,iSñhd fmdfrdkaou ;e,iSñhd fmfrdkaou .e,mSu hkq reêr mÍCIdjla lr újdyfmalaIs; fofokdf.ka tla wfhl= fyda ;e,iSñhd jdylfhl= fkdjk nj ;yjqre lr .ekSuhs' fouõmshkaf.ka tla wfhl= fyda jdylfhl=

2015 cQ,s l<dmh

Thalassemia

;e,isSñhdj - udrdka;sl frda.hls

fkdjqKd kï orejdg ;e,iSñhdj iE§ug lsisu fya;=jla ke;' ieu úgu ;e,iSñhd hqj,lg WmÈkafka ;e,iSñhd frda.S orefjls' tu ksid újdyhg fmr ;e,iSñhd frda.h ;sfíoehs reêr mÍCIdjla lsÍfuka fï Nhdkl ;;a;ajfhka ñÈh yelsh' fï ,smsh uq¿,af,au wm Tng ,ndfok mKsúvh thhs'

wjidkfha we;súh yelshs' fufia ùug fya;=j kï isref¾ wjhj j, hlv ;ekam;a ùuhs' ;jo w.akHdYh" msáhqgßh jeks fyda¾fudak ksmojk .%kaÓj, o hlv ;ekam;a ùu ksid tu wjhjhkaf.a l%shdldß;ajho wvd, fõ'

;e,iSñhd frda.h ;e,iSñhd frda.h je<Èh yelafla ;e,iSñhd jdylhka fofofkl=f.a tlaùfuka WmÈk orefjl=g muKhs' ksfrda.S idudkH wfhl=f.a r;= reêrdKqjl wdhq ld,h udi 4 la muK fõ' ;e,iSñhd frda.sfhl=f.a r;= reêrdKqjl wdhq ld,h udihls' ;e,iSñhd frda.h lshkafka wfma reêrfha ;sfnk r;= reêrdKq ìf|k frda.S ;;a;ajhls' r;= reêrdKq r;= meyehla .kafka tys ;sfnk ysfud.af,dìka ksihs' fuu ysfud. af,dìkaj, we;s .af,daìka keue;s fm%daàkh ksmoùu wvd, ùu ksid r;= reêrdKq ì|Su is¥fjhs' frda.Ska fndfyda fofkl=f.a frda. ,CIK uq,a jir ;=<§ fmkakQï flf¾' r;= reêrdKq ì÷Kq miq tu orejd iq¥ue,s fjhs' ly meyehg m;afjhs' j¾Okh wvd, fõ' l%shdYS,s;ajh wvqfõ' iuyr úg lsß Wrd fndkakg mjd fkdyelsj y;sh jeks frda. iEfoa' ;e,iSñhd frda.h udrdka;sl frda.hls ;e,iSñhd frda.S orefjl=f.a r;= reêrdKq ì|Shdu ksid wlaudj yd ma,Sydj b§ñug m;afõ' tu ksid Worh bÈßhg fkrd tau is¥fõ' weg ñ¥¿ mQ¿,a ù uqyqfKa yevrej fjkia fõ' uqyQfKa úlD;s;d u;=fjhs' jdikdjlg fuka fuu úlD;s;d wju lrk T!IO oeka fidhdf.k we;' frda.h ksid l%ufhka yDoh jia;=jg yd wlaudjg nrm;, ydks is¥ lrñka isfrdaisia jeks Nhdkl frda.o 20

Tn újdyùug isákjd kï m%udo fkdù ;e,iSñhd jdylfhlaoehs Tnf.a reêrh mÍCId lr n,d .ekSu Tn i;= j.lSula fõ'

hlv msáhqgß .%kaÓfha ;ekam;a ùfuka YÍR j¾Okh wvd, fjhs' w.akHdYfha hlv ;ekam;a ùfuka Èhjeähdjg f.d¥re fõ' ;e,iSñhd frda.Ska jeä fofkla Èhjeähdjg f.d¥re ùfuka ñh hhs' wiaÓj, hlv ;ekam;a ùfukaTiaáfhdafmdfrdaisia frda.ho je<fohs'

ffjoHjrhd - udisl ffjoH iÕrdj

iEu .%kaÓhlu hlv ;ekam;a ùfuka tajd wl¾ukH ù frda.S orejd ñh hhs'

frda.fhka je<lSu i|yd we;s tlu úi÷u jkafka ;e,iSñhd jdylhka fofofkl= w;r is¥jk újdyhla je<elaùuhs'

;e,iSñhdg we;sjkafka flfiao@ wmf.a YÍrfha yevrej iy l%shdldß;ajh jeks foa ;SrKh jkafka fouõmshkaf.ka wmg Wreujk cdk u.sks' YÍrfha we;s r;= reêrdKqj, widudkH ;;a;ajhka ksid isref¾ yg.kakd ksrla;sh" ;e,iSñhdj f,i ye|skafõ' fuh m%fõKs.; frda.hla ksid ;e,iSñhd frda.Ska fofofkl= w;r is¥jk újdyhlska WmÈk orejkag uyd ;e,iSñhdj yg.; yelsh' (Major thalassemia) 2015 cQ,s l<dmh

orefjl= ms<sis| .ekSfï§ isÿjkafka ujf.a iy mshdf.a cdk fldgia noaO ùuhs' tfukau YÍrfha r;= reêrdKQ ;=< we;s .af,daìka fm%daàkh iEfokafka;a fouõmshkaf.ka ,efnk .af,daìka cdk taldnoaO ùfuks' ;e,iSñhdj iEfokafka widudkH .af,daìka cdk fya;=fõks' fouõmshkaf.a reêrfha we;s widudkH ^jdyl& ;;a;ajhka ksid orejkag fuu frda.h we;s lrhs' Tn ;e,iSñhd jdylfhl= fkdfõ kï ;e,iSñhd jdylfhl= fyda frda.sfhl= iu. újdy jqjo Tng ;e,iSñhd frda.S orefjla ìys fkdfõ' uj iy mshd hk fofokdgu widudkH ;e,iSñhd cdk Wreu jq úg Tjqkaf.ka ìysjk iuyr orejka ;e,iSñhd frda.ska fõ' frda.h md,kh l< yelafla flfiao@ taâia frda.h" Èhjeähd" fukau ;e,iSñhd frda. ho md,kh l< yelsh' tfy;a T!IO u.ska ksÜgdjg iqj l< fkdyelsh' ;e,iSñhd frda.sfhl= ks;r ks;r reêrh ,ndfoñka iy r;= reêrdKq ì|S hdfuka tl;= jk hlv - wjhjj, yd wiaÒj, ;ekam;a ùu j<lajk T!IO ,nd §fuka frda.h ksishdldrj md,kh l< hq;=hs' m%;sldr ksishdldrj fkd,enqfkd;a b;d wvq jhfia§u frda.shd ñh hdug mq¿jks' m%;sldr fkdf.k ;e,iSñhd frda.sfhl= wjqre¥ úiailg ^20& jvd jeäfhka cSj;a fkdfõ' ;e,iSñhd frda.sfhl=g lrk m%;sldr i|yd rcfhka b;d úYd, úhoula o oeÍug is¥fõ' jirlg ;e,iSñhd frda.s <ufhl= fjkqfjka rchg ,CI 4 1$2- ,CI 6 w;r m%udKhl úhoula oeÍug is¥fõ' jeäysáfhl= fjkqfjka ,CI oyhlg ^10& jvd jeä m%udKhlao jehfjhs'

Thalassemia

;e,isSñhdj - udrdka;sl frda.hls

frda.h je<elaùu i|yd l< hq;af;a l=ulao@ frda.fhka je<lSu i|yd we;s tlu úi÷u jkafka ;e,iSñhd jdylhka fofofkl= w;r is¥jk újdyhla je<elaùuhs' fuys§ mek k.sk m%Odk m%Yakh jkafka ;e,iSñhd jdylhka ljqrekao@ hkakhs' ;e,iSñhd jdylfhl=f.a ;;a;ajh ´kEu mqrjeisfhl=g ;sìh yelsh' iq¿ ;e,iSñhd jdylfhl= nj lsisfjl=g wkqudk l< fkdyel' th ksjerÈj oek.ekSu i|yd reêr mÍCIKhla lsÍu w;HjYH fõ'

oekg wm rfÜ rcfha frday,a u.ska ;e,iSñhd frda.S ;;a;ajh y÷kd .ekSu i|yd mÍCIK is¥ flf¾' frda. jdylhka f,i y÷kd.kakd whg zzfrdai meye;s ldâ m;laoZZ ksfrda.S whg zz fld< meye;s ldâ m;laoZZ,nd fohs' fï i|yd lsishï uqo,la wh lrkq fkd,efí'

újdy ùfï§ m<uqj fmdfrdkaoï ne,ssSu újdy ùfï§ ta i|yd fmdfrdkaoï ne,Su yd úfYaI .e,mSï mÍCId lsÍu ieufokdu mdfya wo ojfia;a lrk úfYaI lghq;a;ls' ta wdldrfhkau ;ud ;e,iSñhd jdylfhlaoehs reêr mÍCIdjla lsÍuo úfYAIfhkau wjYH fõ' wdorfhka ne|S isák fmïj;a hqj<la jqj;a fï ms<sn|j oekqj;a ù idlÉPd ud¾.hg msúi <`.u we;s rcfha frday,lska reêr mÍCIdjla lr .ekSu b;du jeo.;a' fuysÈ tla wfhl= ;e,iSñhd jdylfhl= ùu újdyhg lsis¥ ndOdjla we;s fkdfõ' kuq;a fofokdu ;e,iSñhd jdylhka jqjfyd;a Tjqkag odj WmÈk orejka uyd ;e,iSñhd frda.Ska fõ' frda.h y÷kd .ekSug fmr reêr mÍCIKh frdaa.h y÷kd .ekSug fmr lrk ir, reêr mßCIKfha§ reêrfha hlv m%udKh wvqoehs mÍCId lr n,hs' tfy;a reêrfha hlv wvqjkafka ;e,iSñhdj ksid muKlau fkdfõ' fjk;a frda. ;;a;ajhkao ta flfrys n,mEï we;s flfrhs' ksrla;sh hlv wvqùug n,mdk m%Odk fya;=jla fõ' túg ffjoHjrhd úiska hlv fm;s ,nd oSfuka miq udi 3 la l,a .; ùfuka - kej; reêr mÍCIKhlg Ndckh flf¾'

úfYAI - frdai meye;s ldâ m;la we;s flfkl= újdy úh hq;af;aa fld< meye;s ldâ m;la we;s wfhl= iu. muKhs' ;e,iSñhd frda.h i|yd mÍCIK meje;afjk yd f;dr;=re ,ndfok úfYaI uOHia:dk yd ¥rl:k wxlhka ;e,iSñhd iyk mshi - 21-22 jdÜgqj ffjoH mSGh W;=re fld<U YsCIK frday," rd.u - ÿrl:k wxl 0112959642 cd;sl ;e,iSñhd uOHia:dkh - YsCIK frday, - l=reKE., ÿrl:k wxl 0372222261-62

igyk - wkqrdOd È,sks b,kafldaka'

ffjoHjrhd - udisl ffjoH iÕrdj

2015 cQ,s l<dmh

Child Care

w¨; Wmka orejkag we;sjk .eg¿ <ud frda. úfYaI{ ffjoH bIdks frdâß.= w¨; Wmka orejkag we;sjk .eg¨úúOdldrh' tlsfklg fjkiah' tf,i we;súh yels .eg¨ lSmhla fujr Tfí wjOdkhg ,la lruq'

w¨; Wmka orejd

r; ìì,s orejd bmoS osk 2 fyda 5la we;=<; oS we;sjk r;a meye;s ìì,s —r; ìì,s˜ hkqfjka y÷kajkq ,nhs¡ iuyr ìì,s ierj msreKq ìì,s njg m;aúh yels uq;a l,n, ùu wkjYH fõ¡ fïjd i;s folla muK jk úg bfíu iqj fõ¡ ks;r u<my msgùu fuysoS orejd uõlsß fndk iEu jdrhla mdidu u<my ùu idudkH fohls¡ osklg 10-12 j;djla jqjo u, iq¿ m%udKhkaf. ka msgúh yel¡ ueá jeks iqÿ meyefhka ^lsß >kùula f,i& u, msgjQfha kï ffjoH Wmfoia me;sh hq;= w;r oskla u< msg fkdjQfha hehs l,n, úh hq;= ke;¡ idudkHfhka lsßfndk orejl=f.a msgjQ u< mßmamq fuka osia fõ¡ th;a idudkH fohls¡ wdydr ÿka w¨; wdydr osrùulg ,la fkdù tf,iu msgfõ¡ lerÜ len,s" mefmd,a len,s lEug ÿka úg tu meyefhka tf,igu len,s f,i msgùu fuh idudkH fohls¡

ffjoHjrhd - udisl ffjoH iÕrdj

ysfia bosóula fuu ;;a;ajh ysia ln,g msáka iug we;=<;ska we;sjk reêrh tla/ia ùuls¡ b;d wmyiq m%ij ;;a;ajhkaySoS fuh we;s úh yel¡ fuh bfíu iqjjk w;r m%;sldr wjYH fkdfõ¡ iqjùug i;shla fyda folla .;úh yels w;r l,d;=rlska l,a.; úh yel¡ lsisÿ wjia:djloS ;eùu fkdl< hq;=h¡ f., tla milg muKla yrjdf.k isàu fuh b;d wmyiq m%ij ;;a;ajhloS fn,af,a udxYfmaYska ;=jd, ùu ksid isÿ fõ¡ fï i|yd f.,g jHdhdu ,ndoSu wjYH jk w;r ffjoH m%;sldrhka i|yd fhduqúh hq;=h¡ blaldj fuh b;du;a idudkH ;;a;ajhls¡ kuq;a fuh uõjrekag úYd, .eg¿jls¡ we;eï orejka blaldj mej;s úgoS mjd lsß Wrd fndhs¡ we;euqka tf,i fkdlrhs¡ blaldj ;sfnk úgoS nf,ka lsß j;=r jeks oshr ,ndoSu wkjYH fõ¡ 2015 cQ,s l<dmh

blaldfõoS orejdf.a fmKy¿j, hï j¾Okhla isÿ fõ hkak we;eï ffjoHjrekaf.a u;hhs¡ ysfia riakhla mej;Su l=vd orejkaf.a ysfia oeä riakhla ks;ru mj;S¡ fï ms<sn|j uõjreka fndfyda úg l,n,hg m;a fõ¡ fuys m%Odku fya;=j jkafka YÍrfha WIaKh msgùuhs¡ tkï <orefjl=f.a ysfia m%udKh ie<lSfïoS uq`M YÍrfhka 1$3l m%udKhls¡ ta ksid WKla ke;s wjia:dj,oS mjd orejdf.a YÍrfha riakh msgjkafka ysfika ùu idudkH ;;a;ajhls¡ orejdf.a ysig wêlj oyäh oeóuo idudkH fohls¡ tneúka ysi r;aùu fyda oyäh oeóu ms<sn|j ìh úh hq;= fkdfõ¡

blaldj - fuh b;du;a idudkH ;;a;ajhls¡ kuq;a fuh uõjrekag úYd, .eg¿jls¡ yqiau .ekSfïoS Yíohla msgùu ì<s÷ka yqiau .kakd úg Yíohla ksl=;a fõ¡ fuh bmoS osk 2-3 hk úg olakg ,efí¡ fuh Wm;skau iajrd,fha we;sjk ÿ¾j,;djhls¡ fuh wjqreÿ 1-2 hk úgoS u.yeÍ hhs¡ orejd w`vk úg ksok úg l%shdYS,S jk úg l,n, jQ úg jeämqr wefia¡ fiïm%;sYHdj we;s jQ úg fuu ;;a;ajh W.% fõ¡ fuu wjia:dfõoS ffjoH Wmfoia me;sh hq;= h¡ kdih w;amd j, weo weÍu l=vd orejkaf.a kdih uq, Wvg weoSu fomd" fow;a yS weo weÍug hdu;a ysi w;.d yß.eiaùu jeks oE mdrïmßlj mej; tk isß;ah¡ kuq;a fïjd M, rys;h¡ fuf,i l<;a fkdl<;a orejka jefv;au j¾Okh isÿ fõ¡

Child Care

msßñ orejkaf.a fldaIhl we;sjk bosuqu jDIKfldaI my;a ùu Wm;skau isÿúh yels ;;a;ajhls¡ fldaI jgd isúhla j;=r ;r,hla we;¡ fuh wjqreoaola muK jk úgoS u.yeÍ hkq we;¡ Bg miq;a mj;S kï Y,Hl¾uhla isÿ lsÍu wjYH fõ¡ .eyekq orejkaf.a fhdaks ud¾.fhka reêrh msgùu bmoS osk lsysmhla hk úgoS fuu ;;a;ajh oelsh yel¡ fuh ìhùug fyda m%;sldr i|yd hEug wjYH fkdfõ¡ fuh ujf.a fydafudakj, n,mEu ksid isÿ flf¾¡ fuu ;;a;ajh blauKska u.yeÍ hkq we;¡ f;,a j, l=vd ì<s÷kaf.a ysfia uqÿfka fuu tî .sh j<la wdldrhg mj;sk ia:dkhla msysghs¡ fuh idudkH jHjydrfha zf;,a j<Z f,i y÷kajkq ,efí¡ fndfyda úg uõjreka fuu f;,a j< wdY%s;j w;.Eug mjd ìhla mj;S¡ kuq;a fuu ia:dkh w;.Efuka orejdg ydkshla isÿ fkdfõ¡ fuh orejdf.a j¾Okh iu.u jhi wjqreÿ tlyudrla muK jk úgoS jeiS hhs¡

w¨; Wmka orejd

orejd kskafoka .eiaiSu fuh idudkH ;;a;ajhls¡ orejd jrla fojrla muK fuf,i kskafoka .efya¡ fndfyda úg túg orejdf.a we`.g w; ;enQ úg th idudkH fõ¡ fuu ;;a;ajh j,smamqj fkdjk w;r widudkH .eiaula ksrka;rfhka fõ kï ffjoHjrfhl= yuqjkak¡ y¾kshd ì<s÷kaf.a fmlKsje, ;snQ ia:dkh tkï kdNsh fldgi bosßhg fkrd tau we;eï ì<s÷kaf.a oelsh yel¡ fuh fmlKsjef,a y¾kshd ;;a;ajhls¡ óg m%;sldr wjYH fkdfõ¡ kdNshg Wäka lsishla ;nd th ;o jk f,i bkg máhla we;eï uõjreka n|s;s¡ fuh wkjYH l%shdjls¡ wdudYh wdjrKh jk udxYfmaYska orejd ìysjk úg ksis f,i j¾Okh fkdùu fuhg fya;=jhs¡ wjqreoaola jk úgoS fuh idudkH fõ¡

igyk wudhd .=Kfialr 26

ffjoHjrhd - udisl ffjoH iÕrdj

Child Care

Tfí orejdf.a nr .ek Tn oeK.; hq;= lreKq

Tfí orejdf.a nr .ek Tn oeK.; hq;= lreKq <ud frda. ms<sn| úfYaI{ ffjoH bIdks frdâß.= úisks w¨; Wmka lsß leáhdf.a jeãu ms<sn| fldf;l=;a ie<ls,su;a jqj;a orejkaf.a nr ms<sn| fndfyda .eg¨ we;súh yel¡ fï orejkaf.a nr m%Yak .ek Tng ud¾f.damfoaYkhls'

Wm;a nr hkq l=ulao@ orejl= ìys ùfïoS wju f,i orejdf.a nr ls¡.%E¡ 2¡5 ;sìh hq;=h¡ fuh iïu;hla fia fndfyda úg ie<l=jo idudkHfhka ksfrda.S fyd|ska jevqKq fmdaIKh ksis mßos jk fyd| Wm;a nrla f,i y÷kajkq ,nkafka ls¡.%E¡ 3¡2-3¡5 w;r nrls¡ orejl= wvq nßka hq;=j Wmka úgoS Tjqka b;d blauKska f,vfrda. j,g f.dÿre úh yel¡ wê nr fyj;a nr jeä orejka we;eï úg orejl=f.a Wm;a nr ls¡.%E¡ 4-4¡5 olajd by< hEu wê nr ore Wm;a f,i kï flf¾¡ fuysoS orejd neÆ ne,aug mjd úYd, fõ¡ wênr orejkag we;súh yels .eg¿ • meh 48l ld,hla ;=< orejdf.a reêrfha iSks m%udKh md,kh lsÍu b;du;a wiSre úh yel¡ fujeks we;eï wjia:dj,oS orejdg bkaishq,ska mjd oSug isÿ fõ¡ • orejdg *sÜ tl we;sùu • fuu orejkaf.a YÍrfha wjhjhka mjd úYd, ùu • jeämqr lsß îug wjYH ùu

2015 cQ,s l<dmh

fuf,i wê nr orejka we;sùug m%Odk f,i fya;=úh yelafla uj .¾NKS wjia:dfõoS oshjeähd ;;a;ajfhka fm<Suhs¡ Bg wu;rj oshjeähdj md,kh fkdlsÍfuka orejd nßka jeäùug fya;= fõ¡ wvqnr ore Wm;a we;sùug fya;= •fmdaIKh fndfyda úg ldka;djka .eí.;a wjia:dfõoS muKla ;ukaf.a fmdaIKh ms<sn| b;du;a ie<ls,su;a fõ¡ kuq;a isÿúh hq;af;a th fkdfõ¡ .eyekq orejka úfYaIfhka jhi wjqreÿ 12-15 ld,fha mgka ksis fmdaIKhla mj;ajd.; hq;=hs¡ ukao @ tu ld,fha isgu mj;akd jQ fmdaIKh ksfrda.S ksis nr ore Wm;la i|yd fnfyúka bjy,a jk neúks¡ tf,iu .¾NKS wjia:dfõoS b;d fyd| iun, wdydr fõ,la ,nd. ekSu u.skao orejdf.a Wm;a nr fyd| Wm;a nrla ,nd .ekSug bjy,a fõ¡

Child Care

Tfí orejdf.a nr .ek Tn oeK.; hq;= lreKq

orejl=f.a nr jeämqr jeäùu;a jeämqr wvqùu;a iqÿiq fkdfõ¡ th mej;sh hq;af;a Wm;a nrg idfmalaIj nj uõjreka u;lfha ;nd.; hq;=h¡

ffjoHjrhd - udisl ffjoH iÕrdj

wvq nr Wm;a we;sùug fya;= • uj wê reêr mSvkfhka fm<Su • yoj;a frda.j,ska fm<Su • uj .¾NKS wjia:dj,oS u;ameka yd ÿïjeá mdkh lsÍu • wkjYH T!IO Ndú;h • we;eï úg ksjqkakq fyda Bg jeä ore msßila tljr ord isàu w¨; Wmka orejl=f.a nr jeäjk wdldrh bmoS m<uq udifhaoS idudkHfhka orejl=f.a nr jeä úh hq;= h¡ orejkaf.a <ore igyka fmdf;a we;s nr j.=fõ fuh b;du;a meyeos<sj oelsh yelsh¡ Wm;a nr udi 4 1$2 la we;=<; oS fo.=Khla by< hk w;r orejdg wjqreoaola msfrk úgoS f;.=Khla nr jeäúh hq;=h¡ nr igyka j.=fõ orejdf.a nr igyka jk ia:dkh wkqj nr jeäùu fyd|o keoao hk j. ksYaÑ;j mejish fkdyel¡ Wm;a nrg idfmalaIj orejdf.a nr jeäùu isÿfõ kï th fyd| j¾Okhla f,i .; yel¡ orejdf.a j¾Okh nd,ùug fya;= • uõlsß oSfï wvqmdvqlï fuysoS we;eï wjia:dj,oS orejdg uõlsß bÍfï .eg¨ fukau uõlsß oSfï .eg¨ mek ke.sh yel¡ ksis f,i ;k mqvqjg orejdf.a uqLh ;=<g fkdhEu jeks fya;= ksid orejdg wjYH lsß fkd,eîfuka orejdf.a j¾Okh nd, úh yel¡ • orejd wdidokhkag f.dÿre ùu • orejd wu;r wdydr m%;slafIam lsÍu • oreKq frda.S wjia:dj,oS

2015 cQ,s l<dmh

j¾Okh nd, ùfïoS .; yels l%shd ud¾. • uõlsß oSfï .eg¨ wjia:dj,oS kï orejdg uõlsß osh hq;= wdldrh ms<sn|j uj oekqj;a lrkq ,efí¡ • uõlsß uos wjia:dj,oS lsßmsá fyda wu;r wdydr j,g orejd fhduqlrkq ,efí¡ • úgñka j¾. ,ndfokq ,efí fuysoS wvq udifhka Wmka orejkag fukau wvq nr orejkag úgñka yd hlv ,ndfokq ,efí orejl=f.a nr jeämqr jeäùu;a jeämqr wvqùu;a iqÿiq fkdfõ¡ th mej;sh hq;af;a Wm;a nrg idfmalaIj nj uõjreka u;lfha ;nd.; hq;=h¡ fuh wkjYH f,i .eg¨jla we;slr .; hq;= wjia:djla fkdfõ¡

igyk wudhd .=Kfialr

Advertorial

wdisß iqj;d uOHia:dkh

j¾Ifha ueo Nd.fha fï Tfí fi!LH mrSlaIKh isÿ lsrSug Tìk ld,hhs ld,h flfuka flfuka f.ù f.dia wm jif¾ uOHhg msúi isáuq" wm úfkdaofhka ld,h .; lr;aoS ld,h f.fjkafka wiqre ieksks" ld,h fu;rï fõ.fhka f.ùf.k h;aoS Tn úkdähla kej;S" Tfí ta ish¿ wdYajdohka bosßhg;a /l.kq jia Tfí isrer fhfylska l%shd;aul fjkjdoehs úuiSula l<do @ Tfí jákd ld,fhka u|la Tfí fi!LH mÍlaIdj fjkqfjka ñvx.= lrkak" úh hq;a;dla mßoafokau Tfí YÍrfha b÷rka ish,a, hym;aj l%shd;aul jk njg iel yer oek.kak"

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

waidyawaraya.com

ffjoHjrhd - udisl ffjoH iÕrdj

wdisß iqj;d uOHia:dkfha jrejl ld,hla .; lsÍfuka cSú;fha fï uy.= wdfhdackh Tn;a w;a ú|skak" fï fi!LH we.hSu ;=< Tng hï lsis fmdÿ fi!LHuh fjkialula mj;skafkao hkak oek.; yels jkq we;" Tfí reêr mSvkh" Tfí nr md,kh" wd;;s l<uKdlrKh" kskao wdY%s; .eg¿" Tfí bßhõ wdY%s; .eg¿" reêr iSks" fldf,iagfrda,a wdoS iEu fmdÿ wxYhla flfrySu ie<ls,a, fhduq lrKQ we;" hïlsis ie<lsh hq;= fi!LHuh .eg¿jla wkdjrKh lr.;af;d;a ta iïnkaO úfYAI{ Wmfoia i|yd Tnj fhduq lrKQ we;" Tfí fi!LHh" YdÍßl fhda.H;djh iy cSjk p¾hdjka iïnkaOfhka Tng ,ndosh yels iaj¾Kuh Wmfoia rdYshla wmg ;sfí"

2015 cQ,s l<dmh

Tnf.a wdh;khg" ixúOdkhg fjfiiskau .e,fmk fia úfYAIfhka ilia lrk fi!LH meflac ,ndoSug wmg mq¿jk" wfma úfYAI{ yu. fkaùu hgf;a Tfí fiajlhska iqrlaIs;j wdrlaId lsÍug fï iqúfYAISj ilia lrk fi!LH meflac bjy,a jkq we;" fï iqúfYAIS fi!LH m%;s,dNhka u;ska Tnf.a cSú;fha jákdlu ú|.kak" Tn;a fkdmudj wm fj; jrejl ld,hla .; lrkak tkak" fkdtfia kï wmg ÿrl:k weu;=ula ,ndoS wmf.a cx.u ffjoH fiajdj Tnf.a f.a fodrlvgu f.kajd .kak" Tnf.a ish¿u mÍlaIK Tfí ksfjfia isgu lrjd .kak"

cSjk p¾hd b,lal mÍlaId lr.kak Tnf.a ish¿u ffjoH jd¾;d iudf,dapkh lrñka ksfrda.Sj jvd;a i;=áka cSú;h .; lrKQ msKsi Tng ksjeros u.fmkaùu yd wjYH kï m%;sldro iemfhkq we;" Tnf.a cSú;h yd fi,a,ï lrkak tmd" ld,h fhdod.kak" wjYH fjkialï fkdj,yd isÿ lr.kak"

Tnf.a wd;;s uÜgu mÍlaId lr.kak Tfí wd;;s ;;a;ajh ksjerosj mÍlaId l< yels kùk;u l;dlaIKh wm i;=h" fï mÍlaIdjg Ndckh ùfuka wk;=rej th iukh lsÍugo Tng wmf.a u.fmkaùu ,efnkq we;"

Tfí wdydrh yd fmdaIK ;;a;ajh mÍlaId lr.kak Tn wdydr .kakd ms<sfj, ksjeroso@ Tnf.a wdydr isß; mÍlaId lr th iïmQ¾Kfhka iudf,dapkh lsÍug wmg wjia:djla fokak" Tfí wdydr rgdfõ m%n,;d yd ÿ¾j,;d Tngu wjfndaO lr.ekSug i,iajñka Tfí hym; Wfoid Tn l< hq;= fjkialï ms<sn|j Tng wfma úfYAI{ Wmfoia ,efnKq we;"

Advertorial

wdisß iqj;d uOHia:dkh

Tfí fldf,diagfrda,a mÍlaId lr.kak Tfí yDoh Tfí jákd wjhjhls" iq¿ fjkialï lsysmhlg wkq.; ùfuka Tng Tfí jákd yDoh ksfrda.Sj ;nd .ekSug yels jkq we;" we.s,a, úoSfuka (Random Blood Suger) muKla isÿ lrk ir< mÍlaIKhlska Tfí fldf,iagfrda,a uÜgu ksjerosj mÍlaId lsÍug wm lghq;= lrk w;r iq¿ fjkialï lsysmhla Tnf.a wdydrfha yd YdÍßl fhda.H;djfha we;s lsÍfuka fï fldf,diagfrda,a jeäùfï wjodkfuka Tnj uqojd .ekSug wm lghq;= lrKQ we;"

oshjeähdj mÍlaId lr.kak Tnf.a YÍrhg w;Hka;fhkau ydks lsÍug oshjeähdj fya;= úh yel" ir< reêr yd uq;%d mÍlaIKhlska Tnf.a reêr iSks uÜgu uek ne,sh yel" jeo.;a jkafka jHdhdu rgdfõ" fmdaIKfha 32

iy wfma tosfkod l%shdldrlï j, iq¿ fjkialï Tiafia fï iSks md,khg wmg Tng u. fmkaùug yels ùuhs"

Tfí bßhõ mÍlaId lr.kak fldkafoa lelal=ï kï wo ojfia úr, fkdfõ" tfy;a Tfí fldkafoa wudrejg m%;sldr lsÍfïoS jeo.;a jkafka os.= ld,Skj fï wudrelï uq,sKqmqgd cSj;a ùuhs" wm Tnf.a bßhõ ms<sn|j úuis<su;a jk w;r ksfjfiaoS yd rdcldÍ ia:dkfhaoS Okd;aulj ksfrda.S bßhõ mj;ajd .ekSug Wmldrhlao jkafkuq"

Tnf.a YdÍßl fhda.H;djh mÍlaId lr.kak Tnf.a mÍlaIK m%;sM< iudf,dapkfhka yd Tn yd iïuqLj wm Tn yd lrk idlÉPdfjka miqj wm Tnf.a YdÍßl fhda.H;djh we.hSug ,la lruq" wmf.a fN!;fõo{hd" Tnf.a wdydr j," jHdhdufha muKla fkdj Tnf.a tosfkod mej;=ï j,o we;s lr.; hq;= fjkialï .ek Tng wjYH Wmfoia iemfhkq we;" ffjoHjrhd - udisl ffjoH iÕrdj

2015 cQ,s l<dmh

Nutrition

mshhqre ms<sld u¾Okh i|yd fmdaIKSh m%fõYhla'''

18 fofkl= muK mshhqre ms<sldfjka fmf<k w;r wo ojfiaaoS fuu ixLHdj iEu ldka;djka 100"000lgu 25 fofkl= muK jk f;la j¾Okh ù we;¡

Tng .e,fmk fmdaIKh fmdaIKh wmf.a iqjfi; flfryS fjfiiskau n,mdkakls' tfiau wm .; lrk jhia iSudj wkQj" wmf.a l%shdldrlï wkQj fukau wmf.a fi!LH ;;a;ajh wkQjo fmdaIK wjYH;d fjkia fjhs' wêl reêr mSvkh" yoj;a frda." oshjeähdj fukau jl=.vq wdndOhla we;s úg wm .; hq;= wdydr tllg tlla fjkiah'

wfkl=;a ms<sldjkag idfmalaIj mshhqre ms<sldj iqjl< yels j¾.fha tlla jqjo fi!LH fomd¾;fïka;=fõ jd¾;djkag wkqj iEu osk 4 lgu tla Y%S ,dxlsl ldka;djla fyda fï iïnkaO fya;=jlska cSú;laIhg m;a fõ¡ fï fya;=fjkau id¾:l ms<sld u¾Okhla i|yd mshhqre ms<sldj l,a;shd y÷kd.ekSï iy ksis m%;sldr i|yd fhduq ùfï jeo.;alu ms<sn|j ckudOH iy lafIa;%fha m%ùKhka úiska ksrka;rfhka oekqj;a lsÍï isÿ flfrkq ,efí¡

fï tla tla wjia:d úIfhys wm wkq.ukh l< hq;= fmdaIK rgdjka fjfiiska olajñka jákd ,sms fm<la Y%S ,xld fmdaIK ix.ufha odhl;ajfhka fï l,dmfha isg wdrïN flfrkq we;' fuu ,sms fm< Y%S ,xld fmdaIK ix.uh fjkqfjka iïnkaêlrKh lrKq ,nkafka ;;a ix.ufha iuf,alï yd jhU úYaj úoHd,fha jHjydßl fmdaIK wxYfha wxY m%Odk wdpd¾h wfkdaud pkaøfialr úisks'

mshhqre ms<sld u¾Okh i|yd fmdaIKSh m%fõYhla''' mshhqre ms<sld frda.Skaf.a wdydr fõ, ilia úh hq;af;a fufyuhs Y%S ,xld jhU úYaj úoHd,fha jHjydßl fmdaIK wOHkdxYfha cSjloS fyÜáwdrÉÑ hhqre ms<sldj f,dalfha fukau wfma rfÜo ldka;djka w;r iq,n;u ms<sld j¾.hhs¡ Y%S ,xld cd;sl ms<sld u¾Ok jevigyka ixLHd f,aLK j,g wkqj 2005 jif¾oS iEu Y%S ,dxlsl ldka;djka 100"000lska

fuu oekqj;a lsÍï b;d hqyqi¿Mj isÿ flreKo ms<sld u¾Okfhys ,d b;d jeo.;a jk ms<sld frda.Skaf.a fmdaIKh by< kexùu flfryS wka rgj,g idfmalaIj wm rfgys wvq wjOdkhla mej;Su lK.dgqjg lreKls¡

ffjoHjrhd - udisl ffjoH iÕrdj

mshhqre ms<sld u¾Okh flfryS fmdaIKh ;SrKd;aul jkafka wehs@ kj;u m¾fhaIK wkqj iEu ms<sld wdY%s; urK 5 lskau tla urKhla i|yd j.lsj hq;= jkafka ms<sldj fkdj tu`.ska we;sjk oeä ukaofmdaIK ;;a;ajhhs¡ m%d:ñl wjêfha mshhqre ms<sld frda.Ska fndfyda úg fuu ;;a;ajh w;a fkdú|S¡ kuq;a Tvq ÿjk ,o mshhqre ms<sld frda.Ska 20-50] ;a w;r m%udKhla fuu ;;a;ajhg ,la fõ¡

frda.shdf.a fmdaIK ;;a;ajh ksis f,i iqrlaIs; fkdùu ksid isrer oeä f,i ÿ¾j, ù hd yel¡ tu.ska ms<sldjg tfrysj igka jeoSug Yßrhg we;s iajNdúl yelshdj ySk jk w;r ms<sld u¾Okhg Ndú;d flfrk oeä m%;sldr l%u i|yd Tfrd;a;= oSfï yelshdjo iS>%fhka wvq fõ¡ ksis fmdaIKh ksis wjia:dfõoS ,ndoSu u`.ska jvd id¾:lj m%;sldrh i|yd uqyqK oSug;a m%;ldrfhys w;=re wdndO wju lr .ekSug;a yelshdj ,efí¡ ;jo isref¾ iajdNdúl m%;sYla;slrK moaO;sh iún, .ekaùu u`.ska ms<sld ffi, j,g tfrysj id¾:lj igka jeoSug;a m%;sldr u`.ska jvd blauka iqjhla ,eîug;a frda.shd iu;a fõ¡ m%;sldr ,eîfuka miqjo oS¾> ld,Skj iqÿiq fmdaIK ms<sfj;l msysàu ms<sldfõ oaú;Shsl wjëka we;sùu j<lajd .ekSug ukd w;aje,la imhhs¡

mshhqre ms<sldjlska fmf<k nj idhkslj ;yjqre ùu ienúkau fõokdldÍ w;aoelSuls¡ fï iu`. we;sjk udkisl iy idudcSh mSvkh ldhsl mSvkhg jvd oreKq úh yel¡

2015 cQ,s l<dmh

Nutrition

mshhqre ms<sld u¾Okh i|yd fmdaIKSh m%fõYhla'''

mshhqre ms<sld u¾Okhg fmdaIKh msysg lr.kakd yeá frda.sfhl= i|yd WÑ; fmdaIK m%;sldrh ;SrKh lsÍug jeo.;a jk lreKq .Kkdjla mj;S¡ fï w;=ßka frda.shdf.a jhi" ms<sldfõ wjêh" j;auka fmdaIK ;;a;ajh" ,nd.kakd m%;sldr" tajdfhys w;=re wdndO hk lreKq jvd jeo.;a fõ¡ fuu idOl l=uk f,iska fjkia jqjo m%d:ñl mshhqre ms<sld y÷kd.ekSul isg oreKq oaú;Shsl j¾Okhla fya;=fjka iyk m%;sldrh ,nk frda.sfhl= olajd fmdaIK m%;sldrfhka ,eìh yels m%fhdack fndfydauhls¡ mshhqre ms<sldjlska fmf<k nj idhkslj ;yjqre ùu ienúkau fõokdldÍ w;aoelSuls¡ fï iu`. we;sjk udkisl iy idudcSh mSvkh ldhsl mSvkhg jvd oreKq úh yel¡ flfia jqjo fï ish,af,a m%;sM,hla f,i wdydr wreÑh kqreiakd .;sh le<Uqkq udkisl;ajh u; wdydr m%;slafIam lsÍu jeks lreKq u; ksis f,i wdydr fkd.ekSu iq,nj isÿúh yel¡ ta wkqj mshhqre ms<sld we;=¿ wfkl=;a ish¿u ms<sld frda.Skaf.a fmdaIK ;;a;ajh msßySu wdrïN jkqfha m%;sldr weröug;a fmrd;=jh¡ fuu fmdaIK ;;a;ajh my< jeàu m%;sldr id¾:l;ajh iy cSjk ;;a;ajfha .=Kd;aul nj flfryS oeä n,mEula t,a, lrhs¡ tneúka fmdaIK m%Óldrh werôh hq;af;a ms<sldj y÷kd.;a uq,a wjêfha isguh¡

fuu ld, iSudfõoS jvd jeo.;a jkafka ksis fõ,djg u.yeÍfuka f;drj ish¿u wdydr fõ,a ,nd .ekSuhs¡ iEu úgu iun, wdydr fõ,la ,nd. ekSug W;aiy l< hq;= w;r fjkodg jvd by< .=Kd;aul núka hq;= fm%daàka m%Njhka ^uia" ud¿" lsß" ì;a;r" lrj," yd,aueiaika" fidahd fndaxÑ& wdydrhg tlalr .ekSu jeo.;a fõ¡ fndfyda úg mshhqre ms<sld frda.Skag ,ndfok m<uq m%;sldrh jkqfha ie;alula wdOdrfhka ms<sld ffi, fyda ms<sldj wka;¾.; jk mshhqr iïmQ¾Kfhka bj;a lsÍuhs¡ fuh úYd, mßudKfha ie;alula fkdjQjo tysoS reêr jykhla iy ie;alï ;=jd,hla we;s fõ¡ ;=jd,h blauKska iqj ùug;a isÿúh yels wdidok j<lajd .ekSug;a jeo.;a jk m%;sYla;sh iúu;a lsÍu wdrïN úh hq;af;a ms<sldj y÷kd. ekSfï wjia:dfõ isguh¡ kj;u m¾fhaIK jd¾;d j,g wkqj fmr ie;alï fmdaIK m%;sldrh

ffjoHjrhd - udisl ffjoH iÕrdj

u`.ska ie;alï wdY%s; wdidok wjodku fukau ie;alfuka miq frday,a.;j isáh hq;= ld,ho wju lr.; yel¡

kj;u m¾fhaIK wkqj iEu ms<sld wdY%s; urK 5 lskau tla urKhla i|yd j.lsj hq;= jkafka ms<sldj fkdj tu`.ska we;sjk oeä ukaofmdaIK ;;a;ajhhs¡

fmr ie;alï fmdaIK i;aldrh idhksl frda. ksYaph;a ie;alu;a w;r fndfyda úg mj;skafka flá ld,iSudjls¡ kuq;a jvd;a jeo.;a jkafka fuu ld, iSudj we;=,; Wmßu fmdaIK uÜgula ,`.dlr .ekSfuka ie;alu i|yd isrer iQodkï lsÍuhs¡ oskm;d m%Odk wdydr fõ,a 3 iy w;rueos flá wdydr fõ,a 2 u`. fkdyer ,nd.; hq;=h¡ 2015 cQ,s l<dmh

m%Odk wdydr fõ,a i|yd tosfkod Ndú;d lrk idudkH wdydr ,nd.; yel' ^Wod' n;a" boswdmam" msÜgq" frdà" OdkH j¾." wdmam& fuysoS o wdydrfha wvx.= .=Kd;aul fm%daàk m%udKh by< kexùu wjYH fõ¡ mshhqre ms<sldj y÷kd.ekSu;a iu`. we;eï frda.Ska tla j¾u ks¾udxY wdydr rgdjkag yqre fõ¡ kuq;a fmr isg uia udxY wkqNj l< wfhl=g fuh t;rï kqjKg yqre f;dard.ekSula fkdfõ¡ bosßld,fha ie;alulg iy wfkl=;a oeä m%;sldr l%uhkag uqyqK oSug frda.Skag isÿjk neúka i;aj fm%daàka u`.ska ,efnk fmdaIKh jvd jeo.;a fõ¡ fuu by< .=Kd;aul núka hq;= i;aj fm%daàk j, wvx.= jk .aÆgeñka wd¾cskska jeks weuhsfkda wï, frda.shdf.a m%;sYla;slrK moaO;sh iúu;a lsÍfï ,d m%fhdackj;a fõ¡ ;jo fï i|yd úgñka ta" B iy iS nyq, jYfhka wjYH jk neúka oskm;d yels iEu m%Odk wdydr fõ,lgu t<j¿ yd m<d j¾. Wmßufhka tlalr .kak¡ w;=remi f,i fyda flá wdydr j¾. f,i oskm;d m<;=re j¾. 2la j;a wdydrhg .; hq;=h¡ m<;=re i,do kejqï m<;=re hqI" fhda.Ü" iõle|" nd¾,s j;=r" t<j¿ iqma" fmdaIHodhS w.a.,d" t<j¿" ud¿" msrjqï iys; iekaâúÉ frda.shd i|yd iqÿiq flá lEu j¾. fõ¡ m%;sYla;sldrl fmdaIldx. yd fm%daàk wvx.= fj<|fmdf<a we;s msá lsß j¾. Ndú;h w;HdYH fkdjQjo frda.shdg ish tosfkod wdydr fmdaIHodhS f,i ilid .; fkdyels kï tjka lsß j¾.hla Ndú;h wkqu; l< yel¡ fuysoS iqÿiq lsß j¾.hla f;dard .ekSu iy tys ud;%dj ;SrKh lsÍu fmdaIKh ms<sn| oekqj;a wfhl= úiska isÿ fõ kï f.jk uqo,g jeä m%;s,dNhla ,nd.; yel¡ ie;alfuka miq wjêfha fmdaIKh fuu ld,fhaoS fmdaIK wjYH;djh fmr ie;alï wjêfha fmdaIK wjYH;djkagu fndfyda ÿrg iudk fõ¡ ;=jd,h iqjm;a ùug iy kj mgl j¾Okh i|yd wu;r fm%daàk wjYH;djla we;s

Nutrition

mshhqre ms<sld u¾Okh i|yd fmdaIKSh m%fõYhla'''

fõ¡ tneúka fmr f,iskau .=Kd;aul nfjka hq;= fm%daàk wdydr f;dard.; hq;=h¡ flfia jqjo ie;alu wdY%s; w;=re wdndOhla f,i we;eï frda.Skag wdydr wreÑh jeks ;;a;ajhka we;súh yel¡ fuysoS m%Odk yd w;rueos f,i ksis fõ,djg wdydr .ekSug fkdyels kï flá lEu fõ,a 6-8 muk oji mqrd ,ndoSu isÿ l< yel¡ flfia jqjo tu l=vd wdydr j,ska mjd frda.shdf.a by< .sh Yla;s yd fm%daàk wjYH;d imqrd,sh hq;= fõ¡ tfia fkdyels we;eï úg fujka frda.Skag ;djld,sl f,i w;sf¾l fmdaIKh imhk msá j¾.hla Ndú;h m%fhdackj;a fõ¡ ie;alug fmr frda.shd oshjeähd frda.sfhl= f,i y÷kdf.k ;sìKs kï reêr.; iSks m%udKh md,kh flfryS fuu ld, iSudfõoS jeä wjOdkhla fhduq úh hq;=h¡ ;=jd,h wdidokh ùu je<elSug;a blauKska iqjm;a ùug;a th w;HdjYH lreKls¡ ridhksl m%;sldrh ,nk w;r;=r fmdaIKh iq/lSu mshhqre ms<sld frda.Ska ie;alfuka wk;=rej fndfyda úg fhduq flfrkqfha ridhksl m%;sldrh i|ydh¡ fuu`.ska isÿ flfrkqfha isref¾ we;s b;d fõ.fhka úNdckh jk ffi, úfYaIs; ridhk øjH u`.ska u¾Okh lsÍuhs¡ ms<sld ffi, fujka ffi, úfYaIhla jk neúka ridhksl m%;sldrh ms<sld ffi, u¾Okh i|yd iq,nj fhdod.kS¡ kuq;a fuu`.ska isref¾ we;s wfkl=;a fõ.fhka úNdckh jk isrerg ys;lr ffi, j¾. j, l%shdldß;ajh o wvmK flf¾¡ uqL wdia;rK ffi, yd wdydr ud¾. wdia;rK ffi, fufia ydkshg ,lajk m%Odk ffi, j¾.hs¡ fï fya;=fjka iy fjk;a wdY%s; fya;= idOl u; ridhksl m%;sldrh ms<sld frda.Ska úiska ,nk mSvdldÍ w;=re wdndO nyq,;u m%;sldr l%uhhs¡ w;=re wdndO nyq, jqjo m%;sldrfha id¾:l;ajh fya;=fjka jvd jeo.;a jkqfha th m%;slafIam lsÍu fkdj we;súh yels w;=re wdndO id¾:l f,i u`.yrjd .ekSuhs¡

w;=re wdndO fuu w;=re wdndO w;r fmdaIK ;;a;ajhg wys;lr f,i n,mEï we;s flfrk idOl jkqfha wdydr wreÑh" oeä fjfyi" jukh iy Tlaldrh wdydrfha ri fjkiaùu" u<noaOh iy we;eï úg we;súh yels oshruh f,i u,my ùuh¡ fuu w;=re wdndO ish,a,u iEu frda.sfhl=ugu tl f,i fmdÿ fkdjk w;r m%;sldr wdrïNfhaoS uyd fmdaIK ;;;ajhlska hq;= jQ we;eï frda.Ska fndfyda úg fuu w;=re wdndO rys;j ish ridhksl m%;sldrh iïmQ¾K lsÍug iu;a fõ¡ ridhksl m%;ldrfhaoS we;sjk w;=re wdndO u.yrjd .ekSu wdydr wreÑh frda.Ska w;r iq,nj olakg ,efí¡ wdydr m%;slafIam lsÍu fya;=fjka frda.shdf.a isrer ÿ¾j, ù ridhksl m%;sldrhkag Ndú;d flfrk n,j;a ridhkslhka isrerg ord.; fkdyels wjia:d we;súh yel¡ fï fya;=fjka we;eï

ffjoHjrhd - udisl ffjoH iÕrdj

úg m%;sldr w;ru`. kj;d oeóug mjd isÿ fõ¡ fuu ;;a;ajh u`.yrjd .ekSug fmdaIK m%;sldrh u`.ska úúO Wml%u Ndú;d l< yel¡ fuu frda.Ska yg fmr fuka ksis fõ,djg m%Odk wdydr yd w;=re wdydr ,nd.ekSu ÿIalr fõ¡ ta fjkqjg l=vd flá ld,Sk wdydr fõ,a .Kkdjla oji mqrd jßka jr ^meh 1 1$2 -2 jrla& ,ndoSu fhda.H fõ¡

frda.shdf.a fmdaIK wjYH;d by< neúka fuu flá wdydr fõ,a jqjo by< Yla;s ckl wdydr úh hq;=h¡ frda.S ùug fmr leue;af;ka .;a wdydr j¾. ms<s.ekaùu laIKslj ,ndosh yels flá lEu ks;r ,`. ;nd .ekSu ^Ñmaia" ìialÜ" fpdl,Ü whsial%Sï" fhda.Ü" frdaiaÜ l< lv," lcq& wkq. ukh l< yels iuyfrla Wmdh ud¾. fõ¡ wdydr .ekSug fmr weúoSu jeks l=vd YdÍßl jHdhduhl ksr; ùu úYd,;u wdydr fõ, l=i.sks jeäu wjia:dfõoS ,ndoSu jeks l%shdud¾. u`.ska wdydr m%;slafIam lsÍu ksid isÿjk fmdaIKh ÿ¾j, ùu ;rula ÿrg u`.yrjd .; yel¡ mjqf,a m%sh;u idudcslhka iu`. tlaj wdydr .ekSug ie,eiaùuo wdydrh flfryS we;s Woafhda.h j¾Okh lsÍug iu;a fõ¡

m%;sldr ,eîfuka miqjo oS¾> ld,Skj iqÿiq fmdaIK ms<sfj;l msysàu ms<sldfõ oaú;Shsl wjëka we;sùu j<lajd .ekSug ukd w;aje,la imhhs¡

2015 cQ,s l<dmh

Nutrition

mshhqre ms<sld u¾Okh i|yd fmdaIKSh m%fõYhla'''

;jo wdydrfõ,a w;r;=r le,ß nyq, úúO mdk j¾. Ndú;h ^m<;=re hqI ril< lsß j¾. ñ,alafIala& YS; l< wdydr yd w;=remi ms<s. ekaùï fuu ld,iSudj ;=< frda.Skaf.a Yla;s yd fmdaIK wjYH;d imqrd,Sug fhdod.; yels ir, Wml%u fõ¡ flfia jqjo j;=r yd fl|s m%udKh nyq, wuq i<do t<j¿ j¾. wdosh ,ndoSu fuu ld,iSudfõoS jvd fhda.H fkdfõ¡ tu`.ska frda.shdf.a l=ig blauKska msreKq iajNdjhla we;s flfrkd neúka fuu ld,fhaoS jvd jeo.;a jkafka fi!LH iïmkak wdydr muKla .ekSu fkdj yels;dla Yla;sh laIKsl wdydr j,ska fyda frda.shdg ,nd oSuh foys hqI" fodvï hqI" fk,a,s" ños jeks weUq,a rie;s m<;=re ks;r f;d,.Eu nosk ,o OdkH j¾. ñßia fyda fiajß rie;s ìialÜ j¾. ks;r iemSu b;d meKsri ;shqKq iqj|e;s wdydr j¾. Ndú;fhka je<lSu jeks lreKq u`.ska jukh yd Tlaldr iajNdjh u.yrjd .; yel¡ ridhksl m%;sldrh ,nk iuyrla frda.Skag wdydr j, we;s ¨Kq iy iSks ri fkdoekS hdu fyda tu ri j¾. udreù oekSu jeks ixl+,;d o we;súh yel¡ ;jo iuyfrl=g uqLfhka ks;r f,dayuh fyda ;s;a; ri oekSu isÿúh yel¡ fuh fndfydaúg ridhksl m%;sldrh fya;=fjka uqLfha we;s fõ.fhka úNkckh jk ffi, j, ridhksl l%shdldrlï wjq,a ùu u; isÿúh yel¡ fujka wjia:djka ySoS wdydr .ekSug fmr yd miq fidavd j;=frka lg fiaoSu" YS; l< wdydr Ndú;h" foys .ïñßia úkdlsß jeks rildrl Ndú;h" hï;dla ÿrlg frda.shdf.a wdydr reÑh jvjkakg iu;a fõ¡ kuq;a uqL wdia;rKfha ;=jd, ygf.k we;akï by; oela jQ rildrl Ndú;h fõokdldÍ úh yel¡ flfia jqjo fuu ;;a;ajh m%;sldrfhka osk 3-4 lg miq fndfyda úg u`.yeÍ hkq we;¡

u<noaOh oshr f,i u,my ùu fyda fuu ;;a;ajhka folu jßka jr we;sùu ridhksl m%;sldrfha ;j;a tla iq,N w;=re wdndOhls¡ u<noaOh we;s frda.Ska .ia,nq ños úh<s ños rg b|s jeks m<;=re wdydrhg .ekSu u| riakfhka hq;= mdk j¾. Ndú;hg .ekSu lv, lõms uqxweg jeks fl|s iys; fmdaIHodhS wdydr .ekSu m%fhdackj;a fõ¡ l%shdldÍ ùu u`.ska uydwka;%fha fmaYs W;af;ackh l< yels neúka yels iEu úgu frda.shdg l%shdldÍ ùu i|yd osß.ekAùï jeo.;ah¡ wêlj oshr f,i u<myùfï ;;a;ajho fndfyda frda.Ska úiska w;aolsk iq,n w;=re wdndOhls¡ fuu fya;=fjka frda.shd úc,khg ,laùu;a tu`.ska isref¾ ffcj ridhksl l%shd wvd, ùu jeks ;;a;ajhla mjd we;súh yel¡ jukh iu`. fuu ;;a;ajh we;s fõ kï úc,kh ùfï iS>%;djh jvd by< hd yel¡ fuu frda.Ska yels ;dla oshr j¾. mdkh l< hq;=h¡ kuq;a oshr

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f,i c,h muKla Ndú;h u`.ska isref¾ ,jK idkaøKh wvqùu wjOdkï iy.; fõ¡ tneúka frda.shdg ,ndfok oshr j¾." cSjkS" ;eô,s j;=r" m<;=re hqI" iqma j¾." le| j¾. jeks ,jK j,ska .yk oshr j¾. úh hq;= h¡ mshhqre ms<sld frda.Ska we;eï úg úlsrK m%;sldrhgo fhduq flfrk w;r tu`.ska we;sjk w;=re wdndO ridhksl m%;sldrhg idfmalaIj b;d iaj,amhla fõ¡

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

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mshhqre ms<sld u¾Okh i|yd oS¾> ld,Sk fmdaIK w;aje, id¾:lj ie;alu ksujd ridhksl úlsrK m%;sldrh wjika l< miq fndfyda mshhqre ms<sld 2015 cQ,s l<dmh

frda.Ska ish idudkH osú fmfj;a .; lsÍug jdikdjka; fõ¡ kuq;a fuu wjêfhys mjd ms<sld ffi, kej; u;=ùfï wjodku wju lr.ekSu fi!LH iïmkak wdydr yd cSjk rgdjla mj;ajd .; hq;= h¡ m%;sldr ,nk iufha Tn ;rndre lñka fm¨k wfhl= kï m%;sldrfhka miq t<fUk fuu iufhaoS l%u l%ufhka foay nr wvqlr.ekSug m%uqLia:dkhla ,ndosh hq;=h¡ Wig iß,k ksis nr mj;ajdf.k hdu" iun, wdydr fõ,la ,nd.ekSu iy wêl f;,a ¨Kq ñßia fh¥ lD;Su wdydr j,ska je,lSug m%fõiï úh hq;=h¡ ;jo osklg wju jYfhka t<j¿ yd m<;=re j¾. 5la j;a wdydrhg tlalr .ekSu oskm;d YdÍßl jHdhdu j, ksr; ùu fnfyúka jeo.;a fõ¡ tfukau oshjeähdj" wêreêr mSvkh fldf,iagfrda,a jeks ;;a;aj mj;S kï ta i|yd .e,fmk ksis wdydr md,k rgdjla wkq.ukh l< hq;=h¡ mshhqre ms<sldj u¾Okh i|yd ksis fmdaIK w;aje,la iemhSu frda. y÷kd.ekSfï isg osúh mqrdjgu isÿúh hq;a;ls¡ flfia jqjo tla tla frda.shd ie<lSfïoS fuu ;;a;ajhka úúO f,i fjkia úh yels w;r ;u ;;a;ajh fm!oa.,slj i<ld n,d jvd;a .e,fmk fmdaIK m%;sldrhlg fhduq úh yels kï th b;d m%fhdackj;a fõ¡ by; lreKq ie<lSfïoS ksis fmdaIK w;aje< mshhqre ms<sld u¾OkfhaoS w;HdjYH wx.hla jk nj ukd fldg meyeos,s fõ¡ ms<sld ffi, u¾Okh i|yd isrer isÿ lrk igfkaoS T!IO m%;sldr wism;lg iul, yels kï fmdaIK m%;sldrh frda.shd iqrlsk wdrlaIl m<sylg Wmud l< yel¡ fuu wdhqO foflkau ukdfldg ikakoaO ù kï ms<sld ffi, u¾Ok igk jvd id¾:lj isÿ l< yelalls¡

Eye Care

fk;= w| lrjk .a,qfldaud frda.h y÷kd.ksuq

.a¨fldaud frda.fha nrm;,u ldrKh jkafka frda.hg f.dÿre ù wefia fmkSu wvq ùuhs' tfy;a frda.shdg fuh fkdoefkhs' tfia fmkqu wvq ;;a;ajhg m;ajk úg frda.fha nrm;,u wjia:dj frda.shd fkdoekqj;aju miq lrñka isáhs' tu ;;a;ajhg meñKSug l,skau frda.h j<lajd .ekSu l< hq;=h' tfia fkdue;sj kej; fmkqu ,nd.eksug fkdyelsh'

wefia mSvkh fkdoeKQj;aju jeäùu .aÆfldaud wkaONdjhg fya;=jhs fld<T wCIs frdayf,a wCIs Y,H úfYaI{ ffjoH ux.,d .uf.a wkaONdjh - ljr kï jQ ìhlre ;;a;ajhlao@ th wmf.a cSú; w.dOhg ,la lrjkakls' wkaONdjhg fya;= jkakd jQ uQ,sl frda.hla .ek úia;r fï ,smsfhka bosßm;a jkafkah'

.a¨fldaud frda.h fndfyda úg je<f|kafka jhi wjqre¥ 40 ka miqj ùu úfYAI;ajhls' fuhg fya;=j wefia reêr mSvkh jeä ùuhs'

weia wkaO lrk .a¨fldaud y÷kd.ksuq mqoa.,fhl= ksy`vju fkdoekqj;aju wkaONdjg m;a lrk .a¨fldaud frda.h nrm;, frda.s ;;a;ajhls' fuu frda.h ksid wkaO jqjfyd;a kej; fmkqu ,nd.; fkdyelshs' tfy;a wfma rfÜ fndfyda fokd zwefia iqoZ ksid fmkqu ke;s jk nj ñi z.aÆfldaudZ kï frda.hla ;sfnk njj;a fkdoks;s' .a¨fldaud frda.h fndfyda úg je<f|kafka jhi wjqre¥ 40 ka miqj ùu úfYAI;ajhls' fuhg fya;=j wefia reêr mSvkh jeä ùuhs' fuh jhi 40 ka miq ia;%S mqreI fNaohlska f;drj ´kEu flfkl=g je<§ug yelshs'

y;<sia we¢ßh we;s ùu jhi wjqreÿ 40 ka miq fndfyda mqoa.,hskag y;<sia we¢ßh we;s fõ' tu jhig fmkqfï wvq njla

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we;s ù kï lKakdä me<£u l< hq;= fõ' tfia lKakdä me<£ug fmr iqÿiq wlaIs ffjoHjrfhl= ,jd wefia mSvkh uek weia mÍlaId lr.; hq;=h'

whg frda.h je<¢ we;akï mjqf,a wka whg frda.h je<£fï wjodku ishhg 40 lska jeähs'

.a¨fldaud frda. hg f.dÿre ùfï jeä wjodkula we;s mqoa.,hka

• Èhjeähd frda.sfhl= kï tu frda.h ksis f,i md,kh fkdlr isáfuka fuu frda.hg f.dÿre ùfï jeä wjodkula mj;S'

• mjqf,a wfhl=g .a¨fldaud frda.h ;sfí kï" uj mshd ifydaor ifydaorshka jeks

• ÿr fkdfmkSu ksid lKaKdä me<| isákafka kï ta whg jhi wjqreÿ 40 ka miq fuu frda.h g

f.dÿre úh helsh' • hï wk;=rla fyda wefia ;e,Sula jqfKd;a th m%;sldr j,ska iqj jqj;a jhi wjqreÿ 40 miq fuu frda.h .ek ie<ls,su;a úh hq;=h' tjeks wh úfYaIfhkau wefia mSvkh uek ne,sh hq;=h' • jhi wjqreÿ 40 miq jirlg jrla j;a wefia mSvkh ne,sh hq;= nj u;l ;nd.kak'

.aÆfldaudj we;s jk yeá 2015 cQ,s l<dmh

Eye Care

fk;= w| lrjk .a,qfldaud frda.h y÷kd.ksuq

.aÆfldaud frda.hg f.d¥re ùfuka wefia fmkSu wvq ù hkafka b;d fiñks fuysoS frda.shdf.a wefia fmkSu wvq ù hkafka fome;af;a isgh' tfia fmkSu wvq ù hk úg y÷kd .ekSu wmyiq fõ' frda.h frda.shdg oefkkafka frda.h ksidu wefia iakdhq wdndO we;s jq miqjh' ta ksid jhi wjqreÿ 40 miq jir follg jrla wefia mSvkh uekSu b;du jeo.;a fõ' tfiau wjqreÿ 70 g miq udi 6 lg jrla j;a wefia mSvkh ueksh hq;=h' wefia mSvkh ne,Su" weia mÍlaId lrkafka flfiao@ iEu rcfha frday,lu mj;ajk wCIs idhkj, fuu mÍslaIdj fkdñ,fha lrkq ,efí' fuysÈ lrkafka wefia mSvkh uekSuhs' wefia mSvkh uekSu m<mqreÿ wlaIs Y,H ffjoHjrfhl= úiska l< hq;=h'

• tfy;a kshñ; f,i T!IO weig oeófuka yd ksis ffjoH m%;sldr u.ska Tng fmkqu idudkH f,ig uq¿ cSú; ld,h mqrdjg ;nd.; yelsh' fuu frda.hg m%;sldr" T!IO oeóuhs

ksfrda.S wfhl=f.a wefia mSvkh idudkH ;;a;ajfha mj;sk ksfrda.s wfhl=f.a wefia mSvkh riÈh ñ,s óg¾ 21 g jvd wvqh' tjeks wfhl=f.a wCIs iakdhqfõ fjkialï fkdue;'

• Wfoa-iji fyda tla jrla ^ffjoHjrhd wkqu; l, mßÈ& T!IO ìxÿ ne.ska weia folg Èkm;d wksjd¾hfhka oeóu l< hq;= fõ' udihlg jrla idhklg hdu b;du jeo.;ah' wjYH m%;sldr ,nd.; hq;af;a ffjoH idhk j,skau muKhs'

riÈh ñ,sóg¾ 22 g jvd jeä 26 g wvq kï ta whg wCIs iakdhqfõ .a¨fldaud fjkialï ;sîug fyda fkdue;s ùug bv ;sfí' fujeks mqoa.,hka kej;;a mÍlaId l< hq;= fõ' • fujeks whg ialEka mÍlaIdjla lrkq ,efí' tfia wefia mrdih uekSu ^VISUAL FIELDS& l¿ bx.sßhdfõ >klu ^CCT& uekSu lrkq ,efí' tu.ska Tng .a¨fldaud frda. ;;a;ajh ;sfío@ fkdue;so@ hkak iaÓrju oek.; yelsh' • tjeks flfkl=g .a¨fldaud ke;s hehs ks.ukh jqj;a tu wh kej; udi yhlg jrlaj;a weia mÍlaId lr .ekSu jeo.;a fõ'

• fujeks wh cSú;dka;h olajd fnfy;a oeñh hq;= fõ' w;miqùulska fnfy;a oeóu k;r fkdl< hq;=h' frda. hg f.d¥re jq miq iqjl< fkdyelsh'

fuu frda.hg f.dÿre jqjfyd;a ie;alula l, hq;=uo@ • fuu frda.hg f.dÿre jq miq

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ie;alula l< hq;=h' iuyreka w;r jerÈ u;hla mj;s' tfiau ie;alñka iïmq¾K iqjh ,efnkafka hhso iuyre is;hs' kuq;a th tfia fkdfõ' • wefia iqo ie;alulska ke;s l< yelsh' tfy;a fuu frda.hg tjeks m%;sldr l<;a fmr mßÈ fmkqu fkd,efí' fuu frda.hg ie;alu lrkafka b;d iq¿ msßilgh' ksis f,i T!IO Ndú;fhka iïmq¾Kfhkau frda.h md,kh l< yelsh' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

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2015 cQ,s l<dmh

orefjl= ìys jq miq orejd jefvk f;la fkdfïre <ore tallhg ouhs' tysÈ orejdg m%;sldr lrk úg wlaIsj, ishqï reêrkd, mqmqrd hdug bv ;sfí' tu ksid fkdfïre <orefjl= ìys l, ujla ta .ek oekqj;a úh hq;=h'

weÿu iy yoj;a frda. we;s whg T!IO oeóu wmyiqhs' fuu frda. je<È we;s wh T!IO oeóu wmyiqh' tu T!IO j,g we÷u jeä úh yelsh' ta ksid tjeks frda.Sskag úfYaI T!IO ;sfí' tajd ñ, wêlh' Èkm;d mdúÉÑ lsÍu wmyiqhs' tjeks whg ie;alu lrk wjia:d ;sfí'

Eye Care

fk;= w| lrjk .a,qfldaud frda.h y÷kd.ksuq

fndfyda úg fuu frda.h fkdoek ;sîfuka wefia m%Odk iakdhq ¥¾j, fõ' túg lsis¥ T!IOhla fyda ie;alulska fmkqu ,nd.; fkdyelshs' túg frda.shd iïmq¾Kfhkau wkaO fõ' tjeks wjdikdjka; ;;a;ajhlg m;a jqjfyd;a f,dalfha lsisu T!IOhlska fmkqu ,eìh fkdyelshs'

mjqf,a wfhl=g .a¨fldaud frda.h ;sfí kï" uj mshd ifydaor ifydaorshka jeks whg frda.h je<¢ we;akï mjqf,a wka whg frda.h je<£fï wjodku ishhg 40 lska jeähs'

.aÆfldaud frda.sfhl= f,dalh olsk wdldrh

fkdoekSu wkaO Ndjhg m;afjk fuu frda.h .ek ie<ls,su;a jkak' • jhi wjqre¥ 40 miq ´kEu flfkla wefia mSvkh mÍlaId lr.kak' hï wjodkï iys; wfhl= kï ffjoH Wmfoia u; kej; mÍlaId lr T!IO ,nd .ekSfuka jeäysá úfhaÈ wkaO Ndjhg m;aùfuka je<lsh yelsh' • l=vd orejka ,laI y;rla wCIs wdndO j,ska fmf<hs' • wfma rfÜ l=vd orejkaf.ka ,laI y;rla wlaIs wdndO j,ska fmf<hs' thska 15"000 la wkaO Ndjhg m;aj isá;s' th b;du wNd.H ;;a;ajhls' orejd f,dalh foi ne,Sug;a fmru uq¿ f,dju orejdg wysñj hhs' 46

• wvq jhiska orefjl= ìysùu;a wlaIs frda. hlg f.dÿre ùug m%Odk fya;=jla fõ' Bg fya;=j wvq jhiska ìys ùu ksidu fkdfõ' fkdfïre orefjl= ìys ùu ksid lrk m%;sldr fya;=fjks' <ore tallhg oeóu orefjl= ìys jq miq orejd jefvk f;la fkdfïre <ore tallhg ouhs' tysÈ orejdg m%;sldr lrk úg wlaIsj, ishqï reêrkd, mqmqrd hdug bv ;sfí' tu ksid fkdfïre <orefjl= ìys l, ujla ta .ek oekqj;a úh hq;=h' th ffjoH tallfha jro fkdfõ' fkdfïre <orejd ;nk tallfha§ isÿjk ;;a;ajhls' l=vd orejkaf.a wCIs frda. yd wkaO Ndjhg fuh;a tla fya;=jla ù ;sfí' .¾NKS ujla ksis ld,fhaÈ ore m%iq;sh isÿ lr ksfrda.S orefjl= ,nd.ekSug lghq;= lsÍu b;du jeo.;a jkafka fï wdoS fya;= ksidh'

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ffjoHjrhd oeka Tfí ksfjigu''''

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

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

leptospirosis Surveillance

kej;;a me;sr hk ó WK f,mafgdiamhsfrdaisia frda.h leptospirosis Surveillance

wdrlaIdjg .; hq;= mshjr f,mafgdiamhsfrdaisia frda.h f,dj mqrd yuq jQjo ksj¾;k m%foaY ;=< jvd;a nyq,j yuqfõ' fuh f,mafgdiamhsrd kï jHdêckl nelaàßhdj u.ska we;s lrkq ,nk fndajk frda.hls' fuu nelaàßhdj lDka;lhska" f.dúfmd< i;=ka" iqkLhka yd le<Eno laISrmdhska jeks i;=kaf.a jl=.vq ;=< iajdNdúlj yuqfõ' f,mafgdiamhsrd nelaàßhdj iDcqqj fyda jl%dldrj i;=kaf. ka ñksidg iïfm%aIKh fõ' tksid fuh ksielfhkau i;=ka u.ska fndajk frda.hls' f,mafgdiamhsfrdaisia frda.fha b;sydih 1886 § ú,aia keue;s úoHd{hd úiska fuu frda.h m%:ufhkau idhksl jYfhka y÷kdf.k we;' 1907 § f,mafgdia mhsfrdaisia frda.h y÷kd f.k we;af;a fj,a WK" Wla lmkakkaf.a WK" uv f.dfydre WK jYfhks' 1915 § frda. ldrl nelaàßhdj y÷kd .kakd ,§'

kej;;a me;sr hk - ó WK

Y%S ,xldfõ uq,ajrg frda.h jd¾;d ù we;af;a 1959 § r;akmqr" rd.u" l¿;r" fld<T" fudKrd., yd ud;r wd§ m%foaY j,sks' 1996 jk úg hdmkh" fmdf<dkakrej" jjqkshdj" mq;a;,u" kqjrt<sh wd§ m%foaYj,skao frda.Ska jd¾;d úh' 1991-1996 ld,h' ;=<§ l%ufhka frda.Ska jd¾;dùu by< f.dia we;' 1995 § fudKrd., m%foaYh wdY%s;j jix.; ;;a;ajhla u;=úh' tu wjia:dfõ§ jd¾;d jq frda.Ska ixLHdj 173 muK úh'

ffjoHjrhd - udisl ffjoH iÕrdj

±kg .ïmy" lE.,a," fudrKrd.," mq;a;,u" l=reKE.," wkqrdOmqr Èia;%slal j,ska jeämqr frda.Ska jd¾;d fõ' l=Uqre j.djg ìu ilia lrk wjêfha§ yd wiajkq lmd .kakd wjêfha§ frda.Ska ixLHdj by< hdula fmkakqï flf¾' m%Odk jYfhka fuu frda.h i;=ka w;r me;sfrk ñksid wyTq f,i f.d¥re jk frda.hla f,i fidhdf.k we;' f,mafgdiamhsfrdaisia we;s lrk frdfa. ldrlhd f,mafgdiamhsfrdaisia hkq úfYAIfhka óhkao" wYajhska" .jhka" jeks f.dúm< i;=kao w;r me;sr hk frda.hla jqjo wyUq f,i ñksidg o je<f|k WK frda.hls' fuys frda. ldrlh f,mafgdiamhsrd blagfrdafyufrcsfha ^Leptospira Icterohaemorrhagiae& kñka ye|kafjk iamhsfrdlSÜia j¾.fha nelaàÍhd úfYAIhls'

2015 cQ,s l<dmh

frda. ldrlh YÍr.; jqjo fkdfmkajd isàug jQj yels njo fidhdf.k we;' fj,a WK" ó WK" Wla lmkakkaf.a WK" wd§ jYfhka úúO rgj, úúO kï j,ska y÷kdf.k we;' f,mafgdiamhsfrdaisia frda.h by; i|yka lrk ,o i;=kaf.a uq;%dj, cSj;ajk nelaàßhdjka ñksiqkaf.a ifuys we;sjk lemSï iSÍï jeks iu is¥reùï yd YAf,aIAu, mg, ;=<ska YÍr.; ùfuka ñksidg frda.h je<f|a' tfy;a ñksidf. ka ñksidg frda.h fndaùula is¥jkafka ke;'

1907 § f,mafgdia mhsfrdaisia frda.h y÷kd f.k we;af;a fj,a WK" Wla lmkakkaf.a WK" uv f.dfydre WK jYfhks'

f,mafgdiamhsfrdaisia frda.h y÷kd.kafka flfiao@ f,mafgdiamhsfrdaisia frda.h y÷kd .ekSug idhksl ,CIK yd frda. b;sydih fnfyúka bjy,a jk ksid my; i|yka wjodkï lKavdhï ms<sn|j wjOdkh fhduq lsÍu jeo.;ah' wjodku jeä fï whghs''' • f.dùka • we, fod, j,ska iakdkh lrk wh • i;a;aj f.dúm,j, mú;% lrk wh • we, fõ,s wdÈh mú;% lrk wh

leptospirosis Surveillance

kej;;a me;sr hk - ó WK

• ñßÈh êjr ld¾ñlhska • c< k, moAO;s wdY%s;j jev lrk fiajlhka • ikakoaO n,ld j, fiajlhska ^fufyhqï lghq;=j,§& • ovhfï hk wh • ldKq moaO;s msßis¥ lrk wh • c,h /¢ msÜgksj," uv j.=re yd l=Uqrej, l%Svd lrk <uhska frda.shd bÈßm;a lrk frda. ,CIK ms<sn|j i<ld ne,Su o frda.h y÷kd .ekSug bjy,a fõ frda. ,laIK • ;o WK • ;o ysiroh • wêl uiams`vq fõokdj • ykaÈ lelal=u • weia r;=ùu • jukh • wêl f;fyÜgqj fujeks frda. ,CIK iys; frda.Skaf.a f;dr;=re úuiSu frda.h y÷kd .ekSug jvd;a m%fhdackj;a fõ' frda.shd mÍCIdjg ,lalsÍfï§ my; i|yka ,CIK ±lsh yelsh • jid .eá;s bÈóu • weia" ksh iy iu lyùu • ma,Sydj" wlaudj bÈóu • ifï ,m we;sùu wdidÈ; frda.Skaf.ka nyq;rhla iqjfjk w;r ishhg 10 - 15 ishhg w;r ixLHdjlg ixl=,;d we;sfõ' ixl=,;d • wlaudj wl¾uKH ùu • yDoh wlrKh ùu • jl=.vq wlrKh ùu • rla;md; ;;a;ajhka • fud<hg we;sjk n,mEï 50

fuysoS fukskachsáia frda. ,CIK wd§ jYfhka YÍrfha m%Odk bkaøShkag n,mEï we;sfõ' fuhska wlaudj yd jl=.vq j, frda. ,CIK iq,nj ±lsh yels w;r f,mafgdiamhsfrdaisia frda.hg f.d¥re jkakkaf.ka fldgila urKhg m;aùuo is¥fõ' frda. úksYaph lsÍfï ridhkd.dr mÍCIK • WBC/DC jeäùu úfYAIfhka kshqfg%da*s,a jeäùu' • ESR jeäùu • uq;%d mßCIdfõ § r;= ffi, we,aìhqñka ^ALBUMIN& yd BILE ±lsh yel' frda.h ;yjqre lsÍu i|yd wkq.ukh lrk l%ufõoh • f,a" uq;%d uia;sIal iqIqïkd ;r,h frdamk mÍlaIKh ^Culture& u.ska úIîc y÷kdf.k frda.h ;yjqre l< yelsh' • óg wu;rj reêrfha m%;sfoay mÍCId lsÍfukao frda.h ;yjqre l< yelsh'

ffjoHjrhd - udisl ffjoH iÕrdj

f,mafgdiamhsfrdaisia frda.h je<elaùu yd md,kh f,mafgdiamhsfrdaisia frda.h je<laùu i|yd óhka fndaùu yd wdidÈ; óhkaf.a uq;%d iu. msgjk úIîcj,ska mqoa.,hska wdidokh ùu je<elaùu i|yd wjYH mshjr .; hq;= fõ' .; yels mshjr • l=Uqre f.dú;eka jev mgka .ekSug fmr ^wju jYfhka i;shlgj;a fmr& óhka fndaùug bv we;s jgmsgdj t<sfmfy<s lr l=Kq li< mq¨iaid ±óu' • f.dú;eka mgka .ekSug fmr l=Uqre" ,sheÈj, tla /ia ù ;sfnk c,h nei hdug ie,eiaùu • j.d ìïj, fndajk óhka úkdYlr iïm%odhsl l%u fyda ridhksl ó kdYl fh§fuka óhkaf.a fndaùu ke;s lsÍu' • l=Uqre j, yd P,h .,d fkdnisk we, fod, wdÈfhka uqyqKlg fia§fuka je<lSu'

2015 cQ,s l<dmh

• isref¾ lemSï jeks ;=jd, we;s wjia:dj, l=Uqre f.dú;eka jevj, fh§fuka iy j.=re ìï wdY%s;j fhfok jev lghq;= j,ska je<lS isàu' • isref¾ lemSï jeks ;=jd, we;s wjia:dj, l=Uqre f.dú;eka jevj, fh§fuka iy j.=re ìï wdY%s;j fhfok jev lghq;= j,ska je<lS isàu' • ll=,aj, me,Sï" isÍï fyda ;=jd, yels;dla ÿrg j;=frys f;; mfiys$ufvys jefvys fh§fuka j<lskak' ;=jd, c,hg iam¾Y fkjk fia ;nd .; hq;=hs' • yels iEu úgu tl;= ù we;s c,fhys fyda ufvys jevj, fhfok úg Wi rn¾ im;a;= ^nqÜia& me<£u jvd;a iqÿiqh' • úfYaIfhka l=Uqre f.dú;eka wdrïN lsÍug fmr ffjoH Wmfoia ,nd .ekSu' f,mafgdiamhsfrdaisia hhs wkqudk lrk frda.sfhl= .; hq;= wdrlaIl mshjr • ó WK hhs iel iys; WK frda.Ska jydu m%;sldr i|yd rcfha frday,lg we;=<;a ùu' • frda. b;sydih meyeÈ,sj ffjoHjrhdg ±kaùu' Wod- l=Uqre fyda uv j.=re wdY%s;j jev lghq;= l< nj' • uOHidr .ekSfuka je<lSu' ie<lsh hq;=hs l,a ;shd frda. ,CK y¥kdf.k ffjoH m%;sldrj,g fhduq ùfuka ixl=,;dj,ska f;drj frda.h iïmq¾Kfhka iqjl< yelsh' Wmfoia- .ïmy ksfhdacH m<d;a fi!LH fiajd wOHCI ld¾hd,h u.ska meje;a jq foaYKhla weiqßKs igyk - wkqrdOd b,kafldaka

Mind Matter

iudc m%pKav;ajh by< kxjk udkisl fya;= ±k.ksuq

fïjdfhys fnd;a;ula ;o l< muKska f,dalfha ;sfnk oreKqu wmrdO fukau wêl f,i ldu rih Woa§mkh lrk p,k o¾Yk o n,d .ekSfï myiqj ,eî we;' jeäysáhkag fïjd kerUqjdg Tjqka ;=< wuq;= l=¿.ekaùula we;s fkdfõ' kuq;a kj fhdjqka orejka fïjd jeäysáhkag fydrd ;ukaf.a ldurfha fÞr jidf.k krUk úg Tjqkag isÿjkafka l=ulao@ Tjqka ;=< ;on, lïmkhla iu. lduh ±äf,i l=¿.ekaùula isÿùuh'

iudc m%pKav;ajh by< kxjk udkisl fya;= ±k.ksuq úfYaI{ ufkda ffjoHjrhl=f.a foaYkhla weiqßKs o ld,fha we;euqka fl;rï Nhdkl f,i m%pKav;ajh uqod yrskjdo h;a we;eï isÿùï f,duq oeye .kajk iq¿h' ñksiqka" ñksiqkaj >d;kh lrkakg fï ;rï f,dl= fm<Uùula we;s lrjk wmrdOj,g ufkda úoHd;aul fya;= fudkjd±hs fndfyda fofkla fkdoks;s' fï ta .ek úoaj;a u; oelaùuls'

wo f,dalh ;dlaIKh w;ska b;du;au ÈhqKq h' kuq;a Bg iudka;rj wdOHd;añl ÈhqKqjla ke;' fuh jvd;a ksjerosj lsjfyd;a" ;dlaIK ÈhqKqj by< hk fõ.fhka wdOHd;añl ÈhqKqj my< nisñka ;sfí' fujeks ;;a;ajhl m%;sM,h jkqfha wmrdO jeäùuh' ;dlaIKfha fï mj;sk fõ.j;a oshqKqj u; ;j fkdfnda l,lska kshfmd;a;la wiafia iÕjdf.k ;j flfkl=g fjä ;eìh yels iQlaIu wdhqOhla jqK;a ksmojkakg neßlula ke;' kuq;a tjekakla isÿ jqfKd;a tA ÈhqKqj .ek wmg i;=gq jkakg mq¿jkao@ ;dlaIKsl oshqKQj;a iu.u jeäjk ´kE tmdlï ;dlaIKh ÈhqKq jk úg ñksiqkag uqo,a wjYH;djh jeä jeäfhka ±fkhs' wdOHd;añl ÈhqKqj o msßyS we;s ksid ñksiqka fuys§ uqo,a Wfoid fldka;%d;a f.k ñkS urkakg mjd fm<fUkq we;' th ±kgu;a mj;sk ;;a;ajhls' óg wu;rj ;dlaIKfha oshqKqj ksid fi,shq,¾ ÿrl:kh" fg,súIkh iy mß.Klh hk 52

msgdr .,k úlD;s ldudYdjka wmrdO j,g fya;= fjhs wkqrd.h iy m%pKav;ajh wfma há isf;a ieÕù ;sfnk yeÕSï foj¾.hls' le,;Sula ke;sj ksi,j mj;sk fïjd by; lS wdldrfha o¾Yk ±lSu u.ska le,e;a;S Wvg u;= jkakg ;;amr lSmhla jqjo m%udKj;ah' bkamiq isÿ fkdúh yelsfohla ke;' ñksiqkaf.a wdOHd;auh msßyS mj;sk fï

ffjoHjrhd - udisl ffjoH iÕrdj

wo ojfia ;dlaIK ÈhqKqj by< hk fõ.fhka wdOHd;añl ÈhqKqj my< nisñka ;sfí' fujeks ;;a;ajhl m%;sM,h jkqfha wmrdO jeäùuh'

ld,fha by; lS wdldrhg lsisÿ md,khlska f;drj há isf;a mj;sk yeÕSï le,e;a;S Wvg u;=ùu ksid isÿjk úkdYhka wms j¾;udkfha w;aú¢ñka isáuq' wOHdmkfha jrola''' fujeks fÄokSh ;;a;ajhka j<lajd,Sug ;sfnk tla mshjrla jkafka mdi, ;=<§ l%uj;a wd.ñl wOHdmkhla ,nd §uh' w;S;fha lSfõ —W.; ukd Ys,amhuhs u;= /flkd˜ hkqfjks' kuq;a ±ka th —u;= /flkd Ys,amhuhs W.; ukd˜ hkqfjka fjkia jk ;;a;ajhg m;aj ;sfí' tA /lshd b,lal fldg wOHdmkh ,nd §u i|yd orejka fhduq lrk ksidh' fï ksid b;sydih

2015 cQ,s l<dmh

iy wd.u jeks úIhka ms<sn| Wkkaÿj oeka orejka fj;ska ÿria ù ;sfí' wd.u jYfhka oeka fndfyda úg udOH u.ska mjd wikakg olskakg ,efnkafka ñ:Hdjh' tA wkqj wd.u mjd we;eï wjia:dj, wdOHd;auh oshqKq ùug jvd msßySug fhduq lrjk ;;a;ajhg m;aj we;' rEm fmÜáh lrk kmqr ukqIHhka jerÈ me;a;g fhduqùu i|yd n,mdk ;j;a fohla f,i rEmjdyskS m%idx.sl fg,s kdgH ±laúh yelsh' m%idx.sl fg,s kdgHhl yeu fldgilau wjika jkafka wd;;sh uqÞ yeÍug —Tkak fukak˜ wjia:dfõh' ;jÿrg;a lsõfjd;a lsishï Woafõ.lr wjia:djlska tÈkg kshñ; fldgi ksudfjhs' túg krUkakdf.a isf;a tA fudfydf;a ó<Õg fudlla fjhso@ hk is;=ú,a, u; we;s jQ wd;;sh uqÞ yßkakg bvla fkd,eî hhs' tys m%;sM,h jkafka

Mind Matter

iudc m%pKav;ajh by< kxjk udkisl fya;= ±k.ksuq

wd;;sh jeä ùuh' fuh o ñksiqka ;=< wd;;s jeä lrjk lreKla jk w;r wd;;s jeä jk úg th uqÞ yeÍu whym;a l%u u.ska isÿ lrkakg hdfuka tA mqoa.,hdg fukau iudchg;a ydks isÿúh yelsh'

;dlaIKfha fï mj;sk fõ.j;a oshqKqj u; ;j fkdfnda l,lska kshfmd;a;la wiafia iÕjdf.k ;j flfkl=g fjä ;eìh yels iQlaIu wdhqOhla jqK;a ksmojkakg neßlula ke;'

wkqlrK >d;k udOH u.ska isÿ lrk ;j;a ydkshla kï wmrdO jd¾;d lsÍuh' tjeks foa ks;r udOH u.ska olsk flfkl= th wkqlrKh lrkakg fm,ôh yelsh' fïjd wkqlrK >d;k ^Copycat Murders& kñka ye¢kafõ' tl m%foaYhla ;=< tlu wdldrfha ñkS uereï isÿjkakg fuh o tla fya;=jls' fuh uE; ld,fhaoS isÿjQ lyj;af;a fldgfl;fka >d;kj,g;a hï muKlska fyda wÞ< úh yel' iudc wdl,amj, ,sys,a njla" fjkia njla we;s ùu;a ñkS uereï nyq,j isÿùu flfrys n,mEï we;s lrhs' wm fndfyda úg fkdis;=j;a ;onoh we;s ia:dkj, o oreKq l%shd isÿùu jeäh' wêl ;onoh we;s kd.ßl m%foaYj, jdih lrk úgo Ôjk úhou by< hdfï§ wmrdOj,g fm<öug ;sfnk yelshdj jeäjkq we;' úfYaIfhka Ôjk úhou by< hk úg ;u wUqorejka l=i.skafka ;eìh fkdyels ksid ñksiqka wmrdOj,g fm<fUkq we;' 54

u;ameka yd u;aøjHo ñksiqka wmrdOj,g fmd<Ujk ;j;a m%n, fya;=jls' bÉPd Nx.;ajh wmrdO lsÍu i|yd fhduqjkakg Nx.;ajh o ±äj n,mdhs' fuh iEu lafIa;%hla ;=<u mj;skakls' ;r`. ldß;ajh jeä ksid merÿKq md¾Yajh bÉPd Nx.;ajhg m;aùu iajNdjhhs' mdi,a wOHdmkh" Wiia wOHdmkh" / lshd fï wd§ jYfhka jQ iEu ;eklu wo mj;skafka bÉPd Nx.;ajhuh'

ffjoHjrhd - udisl ffjoH iÕrdj

w;S;fha lSfõ —W.; ukd Ys,amhuhs u;= /flkd˜ hkqfjks' kuq;a ±ka th —u;= /flkd Ys,amhuhs W.; ukd˜ hkqfjka fjkia jk ;;a;ajhg m;aj ;sfí'

bÉPd Nx.;ajh ksid wd;;s jeäfõ' túg udxYfmaYs ;o ù myr§ï wdÈhg fm<fUkq we;' wd;;s jeä ia:dkj,g wdhqO f.k hdfuka úYd, ydks isÿjkafka fï ksidh' ksoiqkla f,i Pkao uOHia:dk" fm<md,s wdÈh ±laúh yelsh' fujeks ;ekaj, ;on, f,ig bÉPdNx.;ajh iy wd;;s mj;shs' tfiau bÉPd Nx.;ajh ksid biau;= jk ;j;a ;;a;ajhla jkafka pKav;djhhs' fuys§ tAldldÍ yeisÍï rgdjlao ^Stereo type& oelsh 2015 cQ,s l<dmh

yelsh' ksoiqkla f,i fldamfhka hula fõ.fhka tl È.g lrf.k hdu olajkakg mq¿jk' tl mqoa.,hl=g y;<sia fmd<lg msysfhka wek urd ±uQ mqoa.,hl= ms<sn|j miq.sh ld,fha mqj;am;aj, m<ù ;sìKs' fï pKav;djh u; we;s jQ tAlldÍ yeisÍïh' idudkHfhka ñksfyl= urd oukakg y;<sia j;djla msysfhka wekSu wjYH fkdfõ' th tl jrlskau l< yelalls' kuq;a tjeks úfgl tA mqoa.,hdg ;ukaj md,kh lr .ekSu wiSreh' fï wdldrhg ful, we;s ù ;sfnk tlu wdldrfha ñkSuereï isÿ lsÍug ñksiqka fm<ôh yels úúO fya;= úia;r lrkakg mq¿jk' ;dlaIKsl oshqKqjg iudkj wdOHd;añl .=K j.djla isÿ fkdjqfKd;a wkd.;fha óg jvd ìysiqKq ñkSuereï isÿùu je<elaúh fkdyels fjhs'

Alzheimer Disease

we,aIhsu¾ frda.h jhia.; jk úg yg .kakd wu;l ùfï frda.h frda.Ska oeka ld,fha ;rula jeähs''' ufkda ffjoH idlÉPdjla weiqßKs jhia.; jk úg wu;l ùï nyq,j isÿùu idudkH ;;a;ajhls' uQ,sl jYfhka fuhg fya;=j jhia.; ùfï§ fud<fha ffi, jeyeÍuh' flfia jqjo wu;l ùu m%Odk ,laIKhla f,i ±lsh yels jhia.; ùfï§ we;s jk úúO udkisl wdndO ;sfí' fuhska tlla jkafka we,aIhsu¾ frda.hhs' ^Alzheimer Disease& 1907 jif¾ we,aIhsu¾ kï ffjoHjrhl= úiska jd¾;d lrk ,o fuu frda.h u;lhg m%n, f,iska ydks muqKqjkq ,nk udkisl wdndOhls' jhi 70 miq l< whg jeämqr je<£fï m%jK;djhla we;s we,aIhsu¾ frda.h jeä jYfhka je<f|kafka msßñkag jvd ldka;djkagh' nqoaêh" u;lh iy fm!reIh ydkshg ,la lrhs we,aIhsu¾ frda.h ksid mqoa.,hl=f.a nqoaêh" u;lh iy fm!reIh hk ;=kgu ydks meñfKa' kuq;a isysh ^Conscious& ke;sj hkafka ke;' nqoaêh" u;lh yd fm!reIh ySk jk Ñ;a; úlafIamh fyj;a äfukaIshdj ^Dementia& uy¨ úfha§ nyq,j we;sjk frda. ;;a;ajhla fõ' äfukaIshdjg wh;a frda. /ila we;s w;r bka tlla jkafka we,aIhsu¾ frda.hhs' 56

we,aIhsu¾ frda.h

fuh jhi wjqreÿ 70ka miq wdrïN jk nj by; lSfjuq' jhi l%ufhka jeäjk úg frda.h je<£fï yelshdj ;j;a jeäfõ' we,aIhsu¾ frda.h je<£ jir wgla muK jk úg frda.shd ñh hkq we;' we,aIhsu¾ frda.shl=g fjk;a YdÍßl frda. yg.;a l< we,aIhsu¾ frda. ;;a;ajh ;j;a W;aikak ù nrm;, ;;a;ajhla yg .ekSug jqjo yelshdj ;sfí' we,aIhsu¾ frda.h wdrïN jk wdldrh úuid n,uq uq,skau we;s jkafka iq¿ iq¿ wu;l ùïh' fuys§ wE; w;S;fha foaj,a u;l ;sfnk w;r wu;l jkafka uE; u;lhhs' ksoiqkla .ksuq' we,aIhsu¾ frda.h je<÷Kq úhm;a ujla ;u mq;l= Ndrfha isáhdh' mq;=f.a ìß| ujg Wfoa wdydrh § weh wdydrh wkqNj lr ál fj,djlg miq wi,ajeis ksjil isák tu ujf.a ÈhKsh meñK —wïud Wfoag ffjoHjrhd - udisl ffjoH iÕrdj

lEjo@˜ hehs úuiqfõ wef.a iqj ÿla úuikq msKsih' túg —;j ug uql=;a yïn jqfKa keye <ufhda˜ hkqfjka uj W;a;r § ;sfí' túg —whsfhda fuÉpr oj,a fj,d wïudg ;du Wfoa lEu ÿkafk keoao@˜ hs lshñka ÈhKsh kEkd iu. WrK ù ;sfí' ujf.a ms<s;=frka kEkd uy;a fia fldam ù fï oeka állg biafi,a,d Wfoag lEfj fndre lsh lshd f.or fï ke;s m%Yak we;s lrkakuhs yokafk˜ hkqfjka fÞia k.d ;sfí' kuq;a tA uj tjeks W;a;rhla §ug fya;=j weh we,aIhsu¾ frda.fhka fm<Su fya;=fldg f.k uE; w;S;h wu;l ùu ksid nj f,a,sh fukau ÈhKsh;a ±k isg ke;'

jqj;a frda. ;;a;ajh jeäùfï wjldYh ;sfí' ;uka bkafka fldfyo hkak fudjqkg wu;l úh yelsh'

jhi 70 miq l< whg jeämqr je<£fï m%jK;djhla we;s we,aIhsu¾ frda.h jeä jYfhka je<f|kafka msßñkag jvd ldka;djkagh'

kqmqreÿ mßirfhaoS frda.h W;aikak ùula fuu frda.shl= kqmqreÿ mßirhlg .sh úg frda.h ;j;a jeäfõ' th fld;rïo lsjfyd;a fuf;la l,la ;uka Ôj;a jQ uyf.or w;yer orefjl=f.a f.or mosxÑhg hdug isÿ 2015 cQ,s l<dmh

Alzheimer Disease

we,aIhsu¾ frda.h

widudkH p¾hd rgd we;eï úg we,aIhsu¾ frda.Ska wkjYH i;=áka isák w;r ;j;a wjia:dj,§ wkjYH ÿllska isákq we;' yeisÍï fjkia fjhs' isf;a wiykh we;sfõ' wruqKla ke;sj iajhxl%Shj fuka Tfya weúo hdug fm<fUhs' iuyr we,aIhsu¾ frda.Ska ;=< pKav iajNdjhla m<úh yelsh' uq;%d md,kh wmyiq ù ;uka ksok we| u;u uq;%d msg ùugo mq¿jk' wdydr .ekSfï mqreÿ fjkia fõ' tA wkqj wdydr .kakd fj,dj fjkia ùu" fjkÞ lk foaj,a fkdld isàu" fjkÞ fkdlk foaj,a lkakg fm<öu jeks oE isÿ úh yelsh'

we,aIhsu¾ frda.shl=g fjk;a YdÍßl frda. yg.;a l< we,aIhsu¾ frda. ;;a;ajh ;j;a W;aikak ù nrm;, ;;a;ajhla yg .ekSug jqjo yelshdj ;sfí'

fm!reI ,laIK woykakg neß ;rug fjkia fõ' l;dj wuq;= jkq we;' Ñ;a;fõ. md,kh wiSre fjhs' ;ksj iskdfikakg" fya;=jla ke;sj y~kakg fm<ôh yelsh' l;dfõ§ tlu jpkh kej; kej; lshk w;r iuyre tl jdlHhlska nd.hla fyda jdlH LKavhla fyda ks;r lshñka isákakg fm<fU;s' ;j;a wh jpkhlska nd.hla ks;r ks;r lsh yelsh' ,sùu" lshùu tfyu msákau wvqù hk w;r levm;la <Õ jdäù isák úg fmfkk ;ukaf.a rEmh mjd fkdy÷kk ;;a;ajhg m;afõ' tA wkqj ;udf.a rej wksfll=hehs is;d oji mqrd jqj levm; bÈßhg ù tA rej foi n,df.k ;ksj l;d lsÍu" iskdiSu" yeéu wdÈh isÿúh yelsh'

we,aIhsu¾ frda.h yg .ekSug fya;= fuys§ fud<fha u;=msg we;s ¥ir øjH ^grey matters& ál ál úkdY ù tAjdfha fl¢" isÿre wdÈh iEfoa' fud<fha l=yr uy;a ù fud<h yelsf,hs' mdrïmßlj" tkï cdk u.ska fï frda.h yg .ekSfï yelshdj fndfyda ÿrgu ;sfí' wfma j¾Kfoay iE§ ;sfnkafka cdk u.sks' j¾Kfoay 46la we;s w;r fuhska 21 jk j¾Kfoayh fï whf.a idudkH flfkl=f.a ;sfnk wdldrhg jvd widudkHh' fï whf.a fud<fha ndyslfha we;s gdjQ ^tau& kue;s fm%daàkhla ksid fï mßj¾;kh u.ska fuh y÷kd.; yelsh' we¨ñkshï Ndckj, lEu msi wdydrhg .ekSu ksid fï frda.h yefok njg iuyreka ;=< u;hla we;;a th úoHd;aulj yßyeá ;yjqre jQ fohla fkdfõ' fï frda. hg T!IO m%;sldr we;' kuq;a 100]lau frda.h iqj lsÍu l< fkdyelsh'

ffjoHjrhd - udisl ffjoH iÕrdj

Heart Attack

—ydÜ wegEla˜ j<lajd .kafka fldfyduo@

Heart Attack

—ydÜ wegEla˜ j<lajd .kafka fldfyduo@ yDo frda. úfYaI{ ffjoH kdu,a úchisxy zzydÜ wegElaZZ hkq wmg fyd¢ka yqre mqreÿ jpkhls' ydÜ wegEla ^Heart Attack& fyj;a yDohdndO wmg ±ka nyq,j wikakg ,efnk w;r jeäu yÈis urK ixLHdjla isÿjk m%Odk fya;=jla f,i o ydÜ wegEla fmkajd §ug mq¿jk' idudkH jHjydrfha fuh zzydÜ wegElaZZ jqjo ffjoH úoHdfõ fï ;;a;ajh y÷kajkafka Myocardial Infaction -MI f,isks' ydÜ wegEla tlla lshkafka l=ulao@ yDofha l%shdldß;ajh i|yd reêrh f.k tk reêr kd<hl ^lsÍgl Oukshl& isÿjk laIKsl wjysr;djhla ksid yDofha hï fldgilg reêrh fkd,eî hdfuka tu fldgi 2015 cQ,s l<dmh

Heart Attack

ydkshg m;afõ' yDohdndOhla hkq tu ;;a;ajhhs' fuys§ yDohjia;=fõ iajNdjh .ek Tn ;=< hï wjfndaOhla ;sîu b;d jeo.;a fjhs' yDohjia;=j hkq wm ujf.a l=fia ms<sis| i;s oyhl muK ld,fha § isg l%shdldÍ ùu wdrïN ù uõ l=fika fuf,djg ìysj ukqIHhl= f,i Ôj;aù ñh hk ;=reu;a fkdlvjd l%shdldÍ jk bkaøshls' m%Odk jYfhka yDofhka flfrkafka uq¿ YÍrh mqrdu reêrh fmdïm lsÍuh' tfia fmdïm flfrk reêrfhka YÍrfha ish¨ wjhjhka iy bkaøshhkaj,g wjYH flfrk Tlaiscka" .aÆfldaia we;=¿ wksl=;a w;HjYH fmdaIH øjH /f.k hk w;r tu bkaøshka ;=< ksmofjk wmøjH tu ia:dkj,ska bj;a lr jl=.vq" wlaudj iy fmKy¨ jeks wmøjH neyer lrk bkaøshka fj; /f.k tAuo isÿfjhs' fufia fkdlvjd l%shd;aul 60

—ydÜ wegEla˜ j<lajd .kafka fldfyduo@

ùu i|yd yDohg wjYH Tlaiscka iy wksl=;a fmdaIH øjH imhkafka lsÍgl Ouks u.sks' idudkHfhka wm kslka isák úg yDoh jia;=j u.ska wfma YÍrhg tla úkdähla ;=< fmdïm lrk reêr m%udKh o< jYfhka ,Sg¾ myla muK fõ' jHdhdï lsÍu jeks YÍrh uykais lrjk wjia:dj,§ th úkdähg ,Sg¾ wgla muK jkq we;' tmuK reêr m%udKhla fmdïm lrk yDoh jia;=jg ;ukaf.a wjYH;djhka i|yd reêrh imhkafka lsÍgl Ouks úisks' fï lsÍgl Ouksj, ì;a;sfha fldf,iagfrda,a ;ekam;a jqfKd;a tys we;=<; wjysr jkakg mq¿jk' ir,j lsjfyd;a j;=r mhsmamhl we;=,a me;af;a ¨Kq ne£u fuks' túg ¨Kq ;Ügq ksid j;=r ksis mßÈ .,d hdug ndOd meñfKhs' fufia lsÍgl Ouks wjysr ù we;s ;ekl f,a leáhla ysr jqfKd;a tu reêr kd<fha f,a iemhqu laIKslj wjysr jk w;r yDohdndOhla we;sùu hkq thhs' yeu ydÜ wegEla tllau udrdka;slo@ yeu ydÜ wegEla tllau udrdka;sl ke;' kuq;a yDohdndO iïnkaOfhka fujeks úia;rhla olajkakg isÿfõ' oreKq yDohdndOhla je<÷Kq whf.ka 20]la muK frday,lg /f.k hdug fmr laIKslj ñh hdfï yelshdj ;sfí' ;j;a 5]la muK frday,g /f.k f.dia tu yDohdndOhg m%;sldr lrk w;r;=r tlS frda. ;;a;ajh ksid yg .kakd ixl+,;d fya;=fjka ñh hkq we;' fï wkqj lsj yelafla oreKq yDohdndOhla je<÷Kq yeu isõ fofkl=f.kau tla whl= ñh hdug yels njh' yDohdndOhla yels blauKska y÷kdf.k m%;sldr mgka.; hq;af;a fï ksidh'

ffjoHjrhd - udisl ffjoH iÕrdj

Dental Care in Pregnancy

.eìKs iuh ;=< uqL frda. we;sùfï jeä wjodkula

.eìKs iuh ;=< uqL frda. we;sùfï jeä wjodkula .eìKs ujlg ,dlaIKsl p¾hd u;ska fï ;;a;ajh we;s fjkjd''' oka; úfYAI{ ffjoH wd¾'ã'tka'iS' ldka;s ud;D;ajh - ldka;djl ;u Èúh ;=< ,nk Wiiau moúhhs' ujql=i ;=< jefvk orejdg ksis fmdaIKh ,nd foñka ksis wdrlaIdj ,ndfok iEu ujlau m;kafka ksfrda.S nqoaêu;a orefjls'

.en fudard ore m%iq;sh isÿjk f;la weh ujk isysk wkka;h' wm%udKh' weh úÈk ÿla .eyego wkka;h' ta w;f¾ weh ;u .en rlaId lrf.k ksfrda.S ore iòm;la ,nd.kakg orK ;e; mdrñ;djlau fkdjkafkao @ uq,a udih lsysmh ;=< Tlaldrh iy jukh uq,a udih lsysmh ;=< Tlaldrh iy jukh fndfyda .eìKs ujqjrekag we;s fmdÿ ,laIKhls' tys m%;sm,h jkafka wehg iqmqreÿ wdydr-mdk .ekSu wmyiq ùuhs' fï ksid ffoksl lghq;= idudkH whqßka lrf.k hdu wmyiqh'

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

waidyawaraya.com

2015 cQ,s l<dmh

Dental Care in Pregnancy

orejd fjkqfjka fldf;la wmyiq;d uOHfha jqjo weh wdydr .ekSug W;aidy orhs' tfy;a Tlaldrh iy jukh wehf.a fuu W;aidyh fndfyda úg wid¾:l lrjhs'

úÿreui bÈó" r;= ù iuyr úg fõokdj f.k fohs' o;a uÈk úg f,a .,hs' fõokdfjka f,a .,k úÿreuila we;s whg o;a ue§ug ;j ;j;a ue<s lrhs' .eìKs iufha uq,a ld,fha wef.a p¾hdj fujeks wjia:dj,§ flá wdydr fõ,a ksr;=reju .ekSug ffjoHjreka Wmfoia ,ndfohs' Tlaldr .;sh ksid lg ;=< we;s jk wm%ikak;djh ksidu weUq,a ri m<;=re j,g m%sh lrhs' ñÈ" wU" fk,a,s" fjr¿" lgqf,dú" weUre,a,d yd fmar jeks foa j,g weh jeä m%sh njla olajhs' 62

.eìKs iuh ;=< uqL frda. we;sùfï jeä wjodkula

;ud .kakd wdydr-mdk ;udg jvd orejd fjkqjkau .; hq;= neúka Tlaldr .;sh ;sìh§u jqjo l=i ;=<g oud .kakd wdydr Èrjd isrerg Wrd .kakd f;la wdrlaId lr .ekSug weh úúO W;aidyhka .kS' Tlaldrh jeä lrjk fya;= Wfoa o;a ue§u" oka;df,am j, ;sfnk iqúfYaIS rih iuyr .eìKs ujg Tlaldr ;;a;ajh jeä lrjhs' tneúka weh o;a ueoSug jvd l=i ;=<g oud.;a wdydr wdrlaId lr .ekSug jeä fjfyila .kS' tneúka weh o;a nqreiqfjka o;a ueoSu fjkqjg we`.s,af,ka o;a ueoSu" oka;df,am fkdue;sj o;a ueoSu" ke;fyd;a lg fiaoSug muKla o;a ueoSu" iSud lsÍu isÿlsÍug h;a; orK wjia:d fõ' fuf;la úia;r l< fï ish¨ lreKq ldrKd j, m%;sM,h jkafka lg ;=< ue,shï ksr;=reju iE§uhs' ue,shï ksjerÈj iy ksr;=rej bj;a lsÍfï wjYH;djho wehf.ka .s,sfya' fujeks ;;a;ajhlg uqyqK fok .eìKs uj ksrdhdifhka úÿreuia frda.hg f.dÿre fõ'

úÿreui bÈó" r;= ù iuyr úg fõokdj f.k fohs' o;a uÈk úg f,a .,hs' fõokdfjka f,a .,k úÿreuila we;s whg o;a ue§ug ;j ;j;a ue<s lrhs' Èk" i;s fjñka" i;s udi fjñka .eìks uj úÿreuia frda.hg fuf,i f.dÿre fjhs' ffjoHjrhd - udisl ffjoH iÕrdj

weUq,a ri wdydr ksid ;;a;ajh ;j;a ne?reï úh yelshs fuu ld,h ;=< weUq,a ri wdydr j,g m%sh lrk wehg Tlaldr wjia:d j,§ msgjk jukh ksido lg ;=< weTq,a ri mßirh" o;a Èrd hdfï frda. fha wjodku ;j ;j;a jeä lrjhs' tneúka .eìKsh o;a Èrd hdfï frda.hg ,laùfïo jeä m%jK;djhla olajhs' tfy;a ore m%iq;shg wdikak ld,fha§ fyda ore m%iq;sfhka iaj,am l,lg miq bjish fkdyels oka;dndOhla ;sîu wehf.a ldhsl fi!LHhg fukau udkisl fi!LHhgo úúO n,mEï we;s lrjhs' tmuKla fkdj orejdgo fuu n,mEu wkshï f,i n,mEï we;s lrjhs'

iEu hqj;shlau újdyhg fmr /lf.k wd uqL fi!LHh .eìKs iuh ;=<o tf,iu /l.; hq;=h'

Wmoskakg isák orejdgo uj ksid oka;dndO wjodkula fuu ish¿ ;;a;aj j,ska weh wdrlaId lr.; hq;=hs' tmuKla fkdj m%;sldrj,§ oka; nelaàßhd <ore uqjg yqjudre úh yels neõ ffjoH úfYAI{ u;hhs' tys m%;sM,h jkafka uj ksid kQmka orejdo kqÿre wkd.;fha§u oka; jHik frda.hg jeä m%jK;djhla oelajSuhs' iEu .eìKshlu uq,a udi lsysmh ;=< oka; mÍlaIKhlg ,la jkak tneúka iEu hqj;shlau újdyhg fmr /lf.k wd uqL fi!LHh .eìKs iuh ;=<o tf,iu /l.; hq;=h' tfy;a we;eï .eìKs nj uqL frda.j,g wjodkï ;;a;ajhla ksid fuu ld,h

2015 cQ,s l<dmh

;=< wju jYfhka ojilg tla jrla fyda ksjerÈj o;a ue,shï ish,a, bj;a jk fia *af,darhsâ iys; o;a;df,amhlska o;a ueÈh hq;=h' Tlaldrfhka miq fyd|ska lg fidaod oeñh hq;=hs' úÿreuiska f,a .e,Sula fyda úÿreuiska fõokdjla oekqkfyd;a jyd oka; m%;sldr i|yd fhduq úh hq;=h' uqL frda.hla we;;a" ke;;a .eìKs iufha uq,a udi lsysmh ;=< oka; ffjoHjrfhl= ,jd uqL mÍlaIdjla isÿlrjd f.k wjYH m%;sldr iy Wmfoia ,nd.; hq;=hs' fuf,i .eìKs iuh ;=< .eìKsh ;u uqL fi!LHh wdrlaId lr .ekSfuka ;udg muKla fkdj fyg WmÈk ì<s|df.a o;a /l .ekSug wjYH ksis Wmfoia ,ndoSu ;=<ska mjqf,a uqL fi!LH m%j¾Okh lr.; yelshs'

igyk wkqrdOd È,sks b,kafldaka'

wdhq¾fõoSh j;a ms<sfj;a

fhdjqka úfha§u we;sjk Tima fõokdj iukh lr.; yels ux'''

fhdjqka úfha§u we;sjk Tima fõokdj iukh lr.; yels ux''' ffjoH fca'tï'ta chiqkaor fl!udrNH;H yd ia;%S frda. wOHhkdxYh .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kh le<Ksh úYaj úoHd,h

ud;D;ajh ms<sn|j uq,au ix{dj jkafka fhdjqka úfha§ we;sjk wd¾:jh weröuhs' fufia iajNdúlju we;sjk wd¾;j pl%h oYl ;=klg;a jvd jeä ld,hla mqrd l%shdldÍj mj;S' ta w;r ld,h ;=< .eí.ekSul § fyda hï frda.dndOhl§ yefrkakg th kshñ; mßÈ uilg tla jrla muKla is¥fjhs'

fuh idudkH iajNdúl l%shdj,shla jqjo wd¾;j fõokdj ksid úúO mSvdjkag m;ajk ldka;djka .ek ksrka;rj wikakg ,efí' iEu ldka;djka oyfofkl= w;ßka y;a fofkl= Tima fõokdfjka mSvd ú|sk nj;a" bka ldka;djla b;d ;on, f,i mSvdjg m;ajk nj;a fï ms<sn|j is¥l< wOHhkh l§ ;yjqre ù we;' wd¾;jh ksid we;sjk wmyiq;djhka Wor fõokdjkag muKla iSud fkdjk mSvdldÍ ;;a;ajhka ysiroh" l,jdj, yd fomdj, fõokdj" la,dka;h jeks ;;a;ajhkag mjd uqyqK fohs' fndfyda úg fuu wd¾;j fõokdjka iq,nj we;sjkafka jeäúh m;ajq uq,a ld,fha isák ÈhKshka" újdy fkdjq ;reK jhfia ldka;djkagh' fndfyda ldka;djka fuu fõokd uev mj;ajd f.k tÈfkod jev lghq;=j, ksr; jqj;a

ffjoHjrhd - udisl ffjoH iÕrdj

we;eï whg wd¾;jh mj;sk Èk lsysmh udifha wiSreu Èk njg m;afõ' wdhq¾fõo ffjoH l%uh wkqj fhdok m%;sl¾u ldka;djka f.a fuu fõokdldÍ ;;a;ajh lIag wd¾;j ke;fyd;a lIag rcia hkqfjka wdhq¾fõo ffjoH l%uhg wkqj ye|skafjhs' wd¾;j ld,fha§ iq¿ jYfhka we;sjk Wor fõokd" fldkafoa fõokdj idudkH fõokdjla fõ' thg fya;=jkafka .¾NdIfha we;s jk ixfldapk yd m%idrK l%shdj,shhs'

fuu fõokdjka reêrh msgùu weröug Èklg fyda Èk follg muK fmr§ we;s ù wd¾;jh werUqK miqj iqjfõ'

iEu ldka;djka oyfofkl= w;ßka y;a fofkl= Tima fõokdfjka mSvd ú|sk nj;a" bka ldka;djla b;d ;on, f,i mSvdjg m;ajk nj;a fï ms<sn|j is¥l< wOHhkh l§ ;yjqre ù we;'

tfy;a wd¾;jh mj;sk ld,fha§ thska ;on, f,i mSvd ú|k ldka;djka ta ms<sn|j ie<ls,su;a ùu w;HjYH fõ' Bg fya;=j jkafka m%ckk moaO;sh wdY%s; fjk;a frda.s ;;a;ajhl frda. ,laIKhla f,i wêl wd¾;j fõokd jYfhka la,dka;h" jukh jeks frda. ;;a;ajhka we;s úh yels ùuhs' tfukau wm úiska tÈfkod cSú;fha§ jerÈ wej;=ï mej;=ï is¥ lsÍu ksid;a fujeks wmyiq;d j,g wmg

.¾NdI ixfldapk yd m%idrK ksid wd¾;j iufha fldkafoa fõokdjla" wmyiq;djhla we;sùu iajdNdúlh

2015 cQ,s l<dmh

wdhq¾fõoSh j;a ms<sfj;a

fhdjqka úfha§u we;sjk Tima fõokdj iukh lr.; yels ux'''

uqyQKq §ug is¥fõ' tu ksid m%:ufhkau ta ms<sn|j wjOdkh fhduq lsÍu jeo.;a' udkisl ¥¾j,;d mej;Su fõokdjkag n,mdkjd udkisl ¥¾j,;d mej;Su;a wiykldÍ udkisl mSvdjka mej;Su;a fuhg m%Odk jYfhka n,mdhs' ta ksid ksrjq,a ukila mj;ajdf.k hdu ;=<skao fuu fõokdjkag lsishï iykhla ,efí' fuhg wu;rj tÈfkod wdydrhg .kakd wdydrmdk ms<sn|j;a jeä wjOdkhla fhduq l< hq;=hs' wd¾;jh mj;sk ld,fha muKla fkdj ksr;=reju fmdaIHodhs iun, wdydr fõ,la ,nd.ekSu ldka;djkag w;HjYH fõ' rla;ySk;djh jeks ;;a;ajhka j<lajd .ekSu jeo.;a wdydr fõ,lg fld<mdg t<j¿" m<d j¾." OdkH j¾." w, j¾." fukau kejqï m<;=rla wksjd¾hfhkau .; hq;=h' ksjerÈ fmdaIHodhS wdydr fõ,la ,nd .ekSu ;=<ska rla;ySk;djh we;sùu je<fla' tfukau wd¾:j iufha we;s jk wmyiq;d j,g iykhla ,efí' fufia w;HjYH wdydr ,nd.kakd w;ru wkjYH f,i myiqjg ,nd .kakd flá wdydr j¾. ^short eats& laIKsl wdydr ^lnstant food& j,skao je<lS isáh hq;=h' lD;s%u wdydr yd îu j¾. fukau" wkakdis" wÉpdre" wn" ;lald,s" biafida" ±,af,d" n,ud¨ jeks WIaKdêl wdydr j¾. j,skq;a yels ;rï wE;a ùu b;du iq¥iqhs' wêlj mj;sk u<noaOh wêlj mj;sk u<noaOh ksid;a wd¾;j fõokd W.%ùu is¥fõ' tneúka u< noaOh mj;skjd kï th ¥relr .ekSu;a w;HjYH lreKla fõ' fl|s iys; wdydr ,nd .ekSu iEu wdydr fõ,lgu m<;=re tl;= lr .ekSu" c,h jeämqr mdkh lsÍu fukau m%udKj;a jHhdu u.ska u<noaOh ¥relr .ekSug yelshdj ,efí' 66

fuhg wu;rj m%udKj;a jd;dY%hla ,eî msßis¥ mßirhl cSj;a ùu" wjYH muKg úfõlh ,nd .ekSu wd§ lreKq ms<smeÈu;a jeo.;a fõ' os.= ld,Sk oreKQ wd¾;j fõokdj fjk;a frda.hl frda. ,laIKhl=;a úh yelshs È.= ld,hla ;siafia oreKq wd¾;j fõokdj,ska mSvd úÈk ldka;djla kï tfukau by; i|yka l< wej;=ï -mej;=ï j,ska iykhla ,eîug fkdyels jkafka kï" ta ms<sn| ie<ls,su;a ùu b;d jeo.;a' l,ahdfï § nrm;, úh yels w;=re wdndO we;súh yels fjk;a frda. ;;a;ajhl frda. ,laIKhla f,iskao ;on, f,i wd¾;j fõokd we;súh yelsh'tu ksid ksis mßÈ ffjoH Wmfoia yd ffjoH m%;sldr ,nd .ekSu b;d jeo.;a fõ' igyk- wkqrdOd È,sks b,kafldaka'

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Headache

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ysirofha wfkal m%fNAo''' ks;r yefok ysiroh .ek Tn ±k.; hq;= lreKq álla ldhsl frda. úfYaI{ ffjoH Wmq,a o is,ajd

ysiroh fkdyeÿkq flfkla fï f,dafl ke;s ;rï''' wm w;r nyq,j ;sfnk frda. ,laIKh jjkafk;a ysirohhs' tksid fï fudfydf;a Tng ysirohla fkd;snqK;a fldhs fudfyd;l fyda fuh yg .; yelshs' fuys§ l< hq;= foa .ek ±k .ekSu fï ksid fyd|hs' ihsfkdihsáia ksÈ ueÍu" mskakg yiqùu" fiïm%;sYHdj" mSki fya;= fldg f.k ysfia fiu ;oùu ks;r olakg ,efnk ;;a;ajhla' Tfí k<,g w; ;nd n,k úg Tfí w;g yiqjkafka ysialn, kï wiaÓhhs' tu ysialn, ;=< kdihg Wäka fïi ,dÉpq jeks l=yr lsysmhla ;sfnkjd' tu l=yr ;=< ksr;=re we;sjk f;;ukh ng jeks kd< lsysmhla osf.a kdih ;=<g meñKsh hq;=hs' fïjd wjysr ùu ksid fiu ;oùfuka ±ä ysirohla yg .; yelshs' ihsfkdihsáia kñka y÷kajkafka fï ysirohhs' fuh m%;sldr u.ska iqj l< yelshs' 2015 cQ,s l<dmh

Headache

ks;r yefok ysiroh .ek Tn ±k.; hq;= lreKq álla

frda. ;;a;ajh we;s úh yelshs' fuh ñ.af¾ka ;uhs ñ.af¾ka lsh,d Ôú;hg wk;=rla ysfia f,a kyrj,ska y÷kajkafk' fuh lsÍug bv we;s nejka o ysiroh yg.kakg lsisÿ jevla lr.; jyd frday,a .; úh mq¿jka' fuho fkdyels ;rug wêl hq;=hs' ks;r olakg ,efnk ysirohla jk frda. ;;a;ajhla' tljru ;;a;ajhla' óg fukskachsáia f,a kyr yels,Su ksid m%;HlaI m%;sldr ±ka ysirohg bkafclaIka wuq;= foaj,a Tfí oEia ;sfnkjd' m%;sldr wjYHhs bÈßfha fmkSug mgka ysiroh iu. .kakjd' iuyrekag WK" isysl,amkdj weia bÈßfha .uka fjkiaùu lrk úÿ,s t<s fud<fha tfia ke;akï ;o wkaOldrhla" w÷re fnda," mdg ysirohloS Tn uq,skau mdg t<s jeks fkdfhl=;a l< hq;af;a Tfí mjqf,a foaj,a ffjoHjrhd fj; hduhs' Èiajkq we;s' miqj wjYH kï ldhsl frda. bkamiqj úfYa I{ ffjoHjrfhl= fj; isÿjkafka yels¨kq fhduqúh yelshs' f,a kyr tlajru È. yeÍuhs' fuh ±ä ysirohla wdjrKj,g njg m;a jk w;r úIîchla Bg l< yels lsisjla we;=,aùula úh kE' fuys§ Tn l=uk Ôú;hg yelshs' ffjoHjrhl= ia:dkhl isáh;a Tng wk;=rla úh yels úiska frda. ,laIK ksÞ .ekSug isÿjkq ysirohla mÍlaId lr fuh we;s' fndfyda úg fud<fha we;=f<a y÷kd .; hq;=hs' fuu oeä ysiroh kyrhla msmsÍul§;a blauKska W;aikak wjika jkafka jukh b;d oä ysirohla úh yels fï frda. ±ófukqhs' ;reK tlajru yg .kakjd' ;;a;ajh fukskachsáia jhfia iy ueoúfha fuh fldhs;rï kñka y÷kajkjd' th whg je<¢h yels ;Èka ofkkafka bfí iqj jkafk kE' fujeks ;;a;ajhla ±hs lsjfyd;a ysig bkafclaIka m%;sldr ksid ;udf.a tÈfkÞ fmd,a,lska .eiqjdla wksjd¾hhs' tksid jevlghq;= mjd n÷ yeÕSula Tng tjeks frda. ,laIK w;miq fjkjd' fï 68

ffjoHjrhd - udisl ffjoH iÕrdj

úúO ysirohkaysoS fõokdj oefkk m%foaY

yg .;a úg frday,a .;ùu b;du;au iqÿiqhs' fud<h ;=< f.ähla fyda ierj f.ähla ysirohla wdrïN ù th l%ufhka W;aikak jkafka kï we;eï úg fud<h ;=< f.ähla fyda ierj f.ähla ùug neßlula kE' tjeks ;;a;ajhla kï Y,Hl¾uhlg fhduq úh hq;=hs' uq,skau Tfí mjqf,a ffjoHjrhd yuqfjkak óg wu;rj o;a" weia" lka" fn,af,a fld÷ weg wdY%s; frda. fndfydauhla ksid;a ysiroh yg.kak mq¿jka' fuys§ frda.Ska lrkafka Tjqkg f;afrk ;rug 2015 cQ,s l<dmh

iakdhq" weia fyda W.=r" lk" kdih iïnkaO úfYaI{ ffjoHjrfhl= fj; hduhs' kuq;a fuh Tn is;df.k isá wkaofï frda.hla fkdfjhs kï tu ffjoHjrhdf.a iSudjkag yiqfkdùugo mq¿jka' tksid Tn l< hq;af;a uq,skau Tfí mjqf,a ffjoHjrhd fj; hduhs' miqj wjYH kï ldhsl frda. úfYaI{ ffjoHjrfhl= fj; fhduqúh yelshs' tu ffjoHjrhdg wh;a iSudjgo mgyeks kï wÞ< ia:dkh fj; fhduq lsÍu bkamiqj isÿjkq we;s' by; ±lajQ l=uk fya;=jla u; ysiroh yg f.k we;s±hs

Tngu ffjoHjrhdf. ka wid ±k.kakg mq¿jka' ysirofha m%udKh u; tys nrm;<lu ;SrKh l< fkdyelshs' ksoiqkla f,i fud<fha f.ähla jeks ;;a;ajhla uq,§ ysirohla muKla jkakg mq¿jka' fud<h wjg wdjrKhg úIîchla we;=,aùu" fud<h ;=< f,a kyrhla msmsÍu jeks fï ´kEu fohla i|yd frda. ,laIK mÍlaId lr reêr mÍlaIK" tlaia-f¾" ialEka wd§ ish¨u mÍlaIK lr frda.h y÷kdf.k ksjerÈ m%;sldrh ,nd.ekSfï myiqj frday,a ;=< ;sfnkjd'

Sports Medicine

Tn;a ;djld,slj Tima k;r lsÍug fnfy;a fndkjdo@

Tn;a ;djld,slj Tima k;r lsÍug fnfy;a fndkjdo@ thska is¥jk n,mEu .ek okakjdo@

ksis wdydr" ksjeros jHdhdu cSú;h fi!LHiïmkak wdldrfhka ;nd .ekSug n,mdkjd tlai;a rdcOdksfha lS%vd ffjoH tallfha úfYaI{ ffjoH wix. úchr;ak úisks ka;djla ;u cSú;fha ,nk iqkaoru" W;=ïu moúh ujq moúhhs' fï W;alDIAG jQ moúhg osfkl m;ajk weh" wehf.a fmdaIKh yd kSfrda.S nj ms<sn|j ks;ru ie<ls,su;au isáh hq;=hs'

fuhg jir 30-35 lg fmr 87(1 f,i ;snq ldka;djkaf.a j|Ndjh wo jk úg 18(1 olajd by< ke. we;s njla fmfkkakg ;sfnkjd' wkd.; mrmqr iajlSh wkd.; mßKdóh l%shdj,sh úIfhys wjodkug ,laù we;s ;ru iïnkaOfhka ;j;a idlaIs l=ug@ fuhg n,md we;s fya;= jkafka úúO jerÈ wdydr rgd" udkisl wd;;sh fukau f,v frda. hs' w;S;fha§ iEu mjq,lgu wvqu jYfhka orejka wg fofkla fyda kj fofkla isáhy' wo jk úg tl orefjla yod.kak;a ujqjre úfYaI{ ffjoHjreka f.ka wf;darla ke;sj Wmfoia ,nd .kshs'

úúO ksIAmdok wdh;kj, fj<o oekaùï ksidu ldka;djka ñ:Hdjkag yiqjk wjia:d fndfydauhs fj<|fmdf<a ;sfnk we;eï i;a;aj wdydrj, msßmqka nj jeä lsÍug úúO fydafudak j¾. Ndú;d lrhs' fn%dhs,¾ l=l=,a uia fï w;ßka m%Odkhs' úúO fj<o kdu hgf;a wm ñ,§ .kakd fuu udYxj, we;af;a msg Tmh muKs' fuys ienE fmdaIKh we;af;a wju uÜgulh' fuu i;a;ajhka uia i|ydu ksmojk ksid wêlj fydafudak j¾. ú§fuka j¾Okh lsÍu fuhg fya;=fjhs' fuu l=l=¿ megjqka Èk 35-40 jeks ld,hl§ blauKska j¾Okh lr .ekSu i|yd úúO lD;%Su fydafudak j¾. Ndú;d lrhs' Tjqkaf.ka keje; l=l=¿ mrïmrdjla n,dfmdfrd;a;= fkdjk ksid uia i|ydu úIh lr .kshs' fïjdfha .=K;aul Ndjh fnfyúka wvqh' fudjqka fï wdldrhg ffjoHjrhd - udisl ffjoH iÕrdj

j¾Okh lrkafka o Tjqkaf.a fydafudak Yla;sh ishhg ìka¥j ^ishhg 0& njg m;alrñks'

we;eï uõjre fukau ÈhKshkao ;ukaf.a úNd.h" l%Svd W;aij yd k¾;k ;r`." úfYAI W;aij wjia:d j,g iyNd.s jk úg Tima pl%h l,aoeóug T!IO .kakd wji:djka we;' fujeks foa wdydrhg .ekSfuka is¥fjkafka l=ulao@ úfYaIfhka u jeäúhg m;a jQ yd fkdjQ oershkaf.a fydafudakj, cSj .=Khgo wys;lr n,mEï we;s lrjhs' l=vd úfhysoSu jeäúhg m;a ùu fukau orem, wvqùuo fï ksid w;afjk wksgq m%;sM<h' fidfiacia j¾. yd uia" ud¿" lsß ì;a;r wêlj wdydrhg .ekSu kqiQ¥iQ jkafka fï ksidh'

Tima pl%h l,a oeuSug fnfy;a mdúÉÑ lsÍu t;rï keKe;s l%shdjla fkdfõ'''

2015 cQ,s l<dmh

w;S;fha § kï fujeks wdydr j¾. ,nd.kafka úfYAI W;aij wjia:djl§ muKs' kuq;a oeka oeka Èkm;du yeu ksjilu jdf.a fujeks wdydrj,g orejka fukau jeäysáhkao mqre¥j isàu lk.dgqjg lreKla fõ' flfia fj;;a" wkd.; mrmQr frda.S yd j|Ndjhg m;alsÍug fya;=ka jk fujeks wdydr j¾. yels;dla wE;alr ;eîug uõjreka úfYaIfhkau j.n,d .; hq;=h' Tima pl%hg ndOd we;eï ;reKshka yd ldka;djka ;ukaf.a myiqj yd wjYH;djh muKla is;ñka Tjqka ,nd .kakd we;eï T!IO fi!LHhg wys;lr f,i n,mEug mQ¿jk' we;eï uõjre fukau ÈhKshkao ;ukaf.a úNd.h" l%Svd W;aij yd k¾;k ;r`." úfYAI W;aij wjia:d j,g iyNd.s jk úg Tima pl%h l,aoeóug T!IO .kakd wji:djka we;'

Sports Medicine

Tn;a ;djld,slj Tima k;r lsÍug fnfy;a fndkjdo@

fuhska is¥jkafka udislj l%ñlj is¥jk Tima l%shdj,sh úlD;s lsÍuhs' fuu T!IOj, n,mEfuka we;eï úg fydafudak Yla;su;a Ndjh ySk ùugo bvla ;sfí' miqld,Skj ldka;djkaf.a ore M, ySk ùugo n,mdkafka o fujeks fya;=kauh' oreM, wysñùfuka mjq,a cSú; foordhEug;a fï fya;=ka n,md we;' fuu ksid ta fudfydf;a myiqj .ek ys;ñka Tfí YÍrfha iajNdúl l%shdj,shg ndOdjk lsis¥ T!IOhla .ekSfuka j<lskak' tfia jqjfyd;a tys wksgq M, w;a ú|skakg is¥jkafka Tnguh'

we`. yev lr.kak" nr wvq lr.kak úêu;a f,i jHdhdu j,ksr; fjkak

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

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jHdhduhg ksis Wmfoia ,nd .kak  we`. yevlr.kak"

nr wvq lr.kak lshñka jHdhdug Wkka¥ fjk fndfyda fofkla blauka jHdhdu l%uj,g hdu iq¥iq fkdfõ'  tljr úYd, nr m%udKhla wvqùu;a YÍrhg t;rïu iqjodhl fkdfõ' fuh is¥l< hq;af;a l%udkql+,jh'  Tn ys;=uf;a ldhj¾Ok uOHia:dk ^Gym& j,g f.dia jHdhdï

ffjoHjrhd - udisl ffjoH iÕrdj

j, ksr; jkafka kï fï .ek fojrla is;d ne,sh hq;=h' we;eï wh weiaÓj, mj;sk ¥¾j;d ksid fyda YÍrfha wêl nr wvq lr .ekSug fukau isref¾ wx. yevlr .ekSug;a fujka ia:dkj,g fhduq fõ'  fï wdldrhg Tfí wjYH;d úúO jk ksid ta i|yd jq úfYaI jHdhdï l%u mj;sk njo Tn o; hq;=h'

iqÿiqlï ,;a jHdhdu WmfoaYljrfhl= f.a Wmfoia u; fuu jHdhdu is¥ lsÍu jvd;a jeo.;a' jerÈ bßhõj,ska jHdhdï lsÍu ;=<ska YÍrhg ydks is¥ùug bv we;'

 Tng fï ms<sn| ksis oeKqula fkdue;s nj

ksidu Tn jerÈ wdldrfha jHdhdïj, fhoSug mq¨jk' tu ksid iqÿiqlï ,;a jHdhdu WmfoaYl jrfhl=f.a Wmfoia u; fuu jHdhdu is¥ lsÍu jvd;a jeo.;a' jerÈ bßhõj,ska jHdhdï lsÍu ;=<ska YÍrhg ydks is¥ùug bv we;'

fmdaIK w;sf¾l ,nd .; hq;=uo@ fï jk úg fj<|fmdf<a úúO fj<| kdu hgf;a tk fmdaIK w;sf¾l /ila wmg oel.; yelsh' YÍrfha nr wvq lsÍug yd iu meyem;a ùug hhs lshñka fuu T!IO ñ,§ .kafka kï fï .ek jvd;a ie<ls,su;a úh hq;=h' Tng fujeks úgñka ñkr,a yd f;a j¾. mdkh lsÍfuka YÍrh isyska ù Yla;su;a njla oekqKo miqld,Skj oreM, wysñ ùug mjd fï we;efula fya;=úh yelsh' fï fya;=ka ksid yeu úgu nr wvq lr.eksug yd isyska isrerla we;s lr .ekSug W;aidy .; hq;af;a ksis ffjoH Wmfoia u;u l%shd lrñks' igyk- wkqrdOd È,sks b,xfldaka

2015 cQ,s l<dmh

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ldi frda.h fkdfyd;a laIh frda.h

y÷kd fkd.;a CIh frda.ska - y÷kd .ksuq iEug m%;sldr lruq iqjh iouq ffjoH úfYaI{ iqo;a iurùr m%cd ksfhdacH wOHlaI" CIh frda. u¾Ok yd <h frda. ms<sn| cd;sl jevigyk' Yajik frda. ms<sn| úfYAI{ ffjoH úfYaI{ ffjoH tIdka;a fmf¾rd ol=Kq fld<T YslaIK frday, l¿fndaú,' uq,a wjêfha ñksiqkaf.a úYajdih jqfha CIh frda.h fukau wfkl=;a frdaa. je<f|kafka

74 74

ldi frda.h fkdfyd;a laIh frda.h

wmsßis¥ jd;h ksid njhs' tfy;a miqld,Skj frda. fndaùug fya;=j laIqø cSúka njg u;hla f.dv ke.=Ks' 1882 ud¾;= ui 24 jk Èk c¾udkq cd;sl úoHd{fhl=jq frdnÜ fldla úiska CIh frda. ldrl laIqø cSúhd y÷kd.ekSu ffjoH lafIa;%fha úma,jldß fidhd .ekSula úh' uu fidhd .ekSu wkqiaurKh lrKq jia iEu jirlu ud¾;= 24 fjksod zzf,dal CIh frda. ÈkhZZ jYfhka kï lr we;' 2013 j¾Ifha laIh frda.h f,dal ;;a;ajh ñ,shk 9la frda.Ska f,i m%;sldr wdrïN lr we;' tfukau ñ,shk 1'5la CIh frda.fhka ñh f.dia we;' fuhska 3"60000la HIV wdidÈ;hskah' fï w;ßka 5"10000 l urK ldka;d urK fõ' fï wh wjqre¥ 1544 ;a w;r whhs' fï ixLHdfjka 18"0000 la HIV wdidÈ;hskah'

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¬ <uqka 550"000la CIh frda.Ska njg m;aj we;s w;r fuhska <uqka 80"000la muK CIh frda.h ksid ñh f.dia we;' ¬ MDR TB frda.Ska .Kk 4"80"000 ls' fuhska 210"000 TB urK f,i i|yka fõ' ¬ H IV/AIDS frda.h wdidÈ;hska f.ka 1$3 l m%udKhla CIh frda.Ska f,io y÷kdf.k we;' ¬ 1990-2013 j¾Ih olajd CIh frda. urK m%;sY;h ishhg 45 lska muK wvq ù we;'

CIh frda.h hkq HIV/AIDS j,ska miqj jeãu ixLHdjla cSú; ydks jk fndajk jix.; frda. hls' CIh frda.Skaf.a ishhg 95 lau isákafka wvq yd uOHu wdodhï ,nk ixj¾Okh fjñka mj;sk rgj,hs' 2015 cQ,s l<dmh

¬ 2000-2013 j¾Ihka w;r ld,fha CIh frda.Ska ñ,shk 37la frda.fhka iïmq¾K iqjh ,nd we;' fuu ;;a;ajh we;sjqfha kj m%;sldr l%uh y÷kajd §fuka miqjh' Y%S ,xldfõ ;;a;ajh ¬ 2013 jif¾§ CIh frda.Ska 9"500lg wdikak m%udKhla y÷kdf.k m%;sldr wdrïN lr we;' ¬ 2014 jif¾§ y÷kd.;a uq¿ frda.Ska ixLHdj 9473 ls' thska ishhg 24'7 lau fld<T Èia;slalfhks' ishhg 11'3la .ïmy Èia;%slalfhks' ishhg 7'1 la uykqjr Èia;slalfhka jd¾;d ù we;' uq¿ niakdysr m<df;ka jd¾;d jk frda.Ska m%udKh ishhg 42'7ls' ¬ iEu 10 fofkl=f.kau tla wfhl= fld<T k.r iNd n, m%foaYh ;=< cSj;a ùu iqúfYaIs lreKls' CIh frda.fha j;auka ;;ajh CIh frda.h hkq HIV/AIDS j,ska miqj jeãu ixLHdjla cSú; ydks jk fndajk jix.; frda.h jYfhka jd¾;d ù ;sfí' CIh frda.Skaf.a ishhg 95 lau isákafka wvq yd uOHu wdodhï ,nk ixj¾Okh fjñka mj;sk rgj,hs' y÷kd fkd.;a frda. wdidÈ; 4"000lg wdikak msßila iudcfha frda.h m;=rjñka isák njg oekg lr we;s mÍlaIK j,ska fmkS f.dia we;' flfia fj;;a fudjqka y÷kd .ekSu yd m%;sldr lsÍu wmg we;s iqúfYAISu wNsfhda.h fõ' fï ksidfjkau fujr zf,dal laIh frda. oskfhaZ f;audj njg m;a jQfhao fï zzy÷kd fkd.;a frda.Ska wkdjrKh lr .ekSuhs'ZZ CIh frda.fha ,laIK CIh frda.fha m%Odku ,laIKh jkafka i;s follg jvd mj;sk leiaihs' lEu wreÑh" flÜgq ùu" isref¾ nr wvq ùu" yjia ld,fha mj;sk u| WK" rd;s%hg wêl f,i oyäh oeóu" wêl f;fyÜgqj" y;sh" mmqfõ fõokdj 75

Tuberculosis in sri lanka

ldi frda.h fkdfyd;a laIh frda.h

iu. fiu iu. f,a msgùu CIh frda.fha m%Odk frda. ,laIK fõ'

wdidokh is¥jq muKskau flfkl= frda.sfhl= fkdfõ wm isref¾ we;s m%;sYla;s l%shdj,sh u.ska fuu úIîch wvmK lr frda.h je<§u j<lajkq ,efí' kuq;a CIh frda. wdidokh is¥ù wjqre¥ .Kkdjla .;ù fyda frda.h biau;= ùug bv we;'

frda.h je<§u i|yd wjodkï idOl ¥ïmdkh" u;ameka mdkh" u;aøjHj,g weíneysùu" YÍrfha m%;sYla;sh ¥¾j, lrk ffjria wdidokh" È.= ld,Skj iaàfrdhsv ldKavhg wh;a T!IO Ndú;h" Èhjeähd frda.h ksoka.; jl=.vq frdaa.h" ms<sld frda.ska w;f¾ frda.h je<|Sfï jeä bvlvla mj;S' frda.hg jeäfhka k;= jkafkda isrf.j, isrlrejka w;r yd ukaofmdaIKfhka fmf<k wh w;ro CIh frda.h nyq,j oelsh yelsh' fndfyda isrlrejka CIh frda.h i|yd fya;=jk u;ameka" u;aøjH yd ¥ïmdkhg weíneysùu fuhg fya;=jhs' uy¿ ksjdi" wkd: ksjdi" jeks ia:dkj, cSj;a fjk whgo kd.ßl me,am;a iy uqvqlal= ksjdij, cSj;a fjk whgo frda.h je<§fï jeä wjodkula we;'

uy¿ ksjdi" wkd: ksjdi" jeks ia:dkj, cSj;a fjk whgo kd.ßl me,am;a iy uqvqlal= ksjdij, cSj;a fjk whgo frda.h je<§fï jeä wjodkula we;'

CIh frda.h je<¥Kq flfkla È¾> ld,hla tlu ksjfia cSj;a jqfha kï fyda tlu ia:dkhl /lshdj lrk who CIh frda.h je<§fï jeä wjodkula we;s wh f,i y÷kd f.k we;' tu frda.Skaf.a ióm wdY%s;hska w;r CIh frda. ,laIK ;sfí oehs mÍlaId lr ne,Su b;d jeo.;afõ' laIh frda.h fndajk wdldrh CIh frda.h flfkl=f.ka ;j;a flfkl=g fndajkafka tu úIîch iys; jd;h wdYajdi lsrSu u.sks' fiu iu. CIh frda. úIîch msgjk CIh frda.sfhl= lysk úg lsúiqï hjk úg" l:d lrk úg" CIh frda. úIîch iys; l=vd ì|s;s mßirhg tlafõ' ;j;a wfhl= tu ì|s;s wdYajdi l<fyd;a CIh frda.h nelaàßhdj tu mqoa.,hdf.a fmKy¿ ;=<g we;=¿ fõ'

CIh frda.h m%Odk jYfhkau tkï ishhg 80 lgu je<fokafka fmky¿ j,g kuq;a Yßrfha fjk;a ´kEu mglhl frda.h we;sùug yelshdj we;' jid .eá;sj," wiaÓ iy

ffjoHjrhd - udisl ffjoH iÕrdj

ikaêj," wka;%fha" jl=.vqj, fud<fha iy ifï mjd CIh frda.h we;súh yelsh' frda. ks¾Kh f,dalfha iq,nju Ndú;d jkafka fiu mg, mÍlaIdjhs' frda.sfhl=f.ka ,nd. kakd fiu kso¾Ylhla u.ska idod.kakd fiu mg, wkaùlaIhla ;=<ska ne,Sfuka CIh frda. ldrl nelaàßhdj y÷kd .ekSu is¥lrhs' ;j;a mÍlaIKhla jkafka tlaia lsrK PdhdrEm .ekSuhs' fiu mg, frdamkho ^Sputum culture& fndfyda l,l isg fhdod.kakd frda. ks¾Kh mßlaIKhls'

óg wu;rj uE;l§ f,djg y÷kajd ¥ka tlaiam¾Ü mÍlaIKh ^Xpert MTB/RIF& CIh frda. ldrlh úYajdikSh frda. úksYAph l%uhls'

laIh frda.hg m%;sldr CIh frda.h m%;sldr l< yels" iïmq¾Kfhka iqj l<yels fndajk frda.hls' udi 6la fkdlvjd kshñ; T!IO kshñ; m%udKfhka .ekSu wkqu; m%;sldr l%uhhs' T!IO j¾. y;rla ixhqla; lsÍfuka idod.;a fnfy;a fm;s ksmoùu ksid jrlg .; hq;= T!IO fm;s m%udKh 3-4 lg iSud fõ'

kuq;a CIh frda. wdidokh is¥ù wjqre¥ .Kkdjla .;jQ miqo frda.h biau;= ùug bv we;'

m%;sldr lsÍu jvd;a id¾:l lsÍu yd fkdljvd ,nd .ekSu i|yd iDcq ksÍlaIK m%;sldr l%uh ^Directly Observed Treatment Short-course DOTS& y÷kajd § we;' fuyoSÈ ta ms<sn|j mqyqKqj ,enq fi!LH fiajlfhla fyda iudcfha ms<s.;a yels m%oa.,fhla u.ska frda.shdg Èkm;d T!IO ,nd §u is¥ lrhs'

Wmfoia - fi!LH wOHdmk ld¾hdxYh meje;ajq udOH iïuka;%Khla weiqßKs igyk- wkqrdOd È,sks b,xfldaka 2015 cQ,s l<dmh

Nutrition

isref¾ nr wvqlr .ekSug - n;a fkdld ìialÜ lEu - iq¥iQ o@

orefjd ìialÜ lkak yß wdihs" ta;a ìialÜ t;rï fyd| wdydrhla kï fkdfjhs isref¾ nr wvqlr .ekSug - n;a fkdld ìialÜ lEu - iq¥iQ o@ wmf.a Èj ks;e;skau fhduqjkafka rij;a wdydrj, ri n,kakhs' meKs rifhka hqla; úúO j¾.fha ìialÜ j, ri n,kak l=vd" ;reK" uy¿ ljqre;a leu;shs' meKsri" l%Sïri" fpdla,Ü ri" l%siam%s hk ridldr j,ska wkqk jq úúO j¾.fha rildrl fhdod .ksñka ksIamdokh lrk ìialÜ j¾. wo fj<o fmdf,a iq,nj olakg ,efí'

fï we;eï ìialÜ j, T!Iëh nj i|yka l<o ìialÜ lr - lr .d yefmoaoS kï Èjg oefkkafka rildrl j, ñysß rih muKhs' isref¾ nr wvqlr .ekSug ìialÜ @ wms ish¿ fokd lEug wdYdjla olajk ìialÜj,ska isrerg lsis¥ ydkshla is¥ fkdjk nj fnfyda fokdf.a úYAjdihhs' 78

we;eï wh isref¾ nr wvq lr.; yels fyd|u l%uh n;a wdydrhg fkdf.k ìialÜ tlla" folla lEu hhs is;hs' we;euqka n;a fõ, u`. yrjd .ekSu i|yd ìialÜ melÜ tllau wdydrhg .kS' i;a;lskau fuu l%ufhka YÍrfha nr wvq fõúo@ fï ms<sn|j oeKqj;a jkak wm ks;r wdydrhg .;a;o" ìialÜ j¾. wmf.a isrerg t;rï fhda.H fkdjkafkah' ìialÜ idokafka msá yels;dla ¥rg úh<s njg m;a lsÍfuks' l%el¾ ìialÜ tll idudkH mdka fm;a;l ;sfnk msIaGh m%udKhg;a jvd msIaGh wvx.= fõ' ìialÜ 4la fyda 5la jrlg lEfjd;a thska YÍrhg mdka fm;s y;rla muK wdydrhg .kakjd muK jeämqr le,ß m%udKhla ,efí' fuh .Kkh lf<d;a lsf,da le,ß 275la muK fõ' mqreoaola jYfhka hï ld,hla ;siafia fuh lf<d;a thska Worh w`.,a 1'5la muK jeä fõ'

ffjoHjrhd - udisl ffjoH iÕrdj

fuu le,ß m%udKh oykh lr .ekSug fyd|ska oyäh ouk fia wm iEfyk muK fj,djla weúÈh hq;=hs'

iskS iys; ìialÜ j¾. wdydrhg .ekSfï§ fï ;;a;ajh ;j;a nrm;, fõ' ;udg Èhjeähdj yefoaù hk ìhg iskS lEfuka je<l=Ko ìialÜ lEfuka isks YÍrhg tl;= jk nj fyd|ska u;l ;nd .; hq;=h' tneúka we`. flÜgq fõ hehs is;d ìialÜ wdydrhg .kakd wh ;udgu oeä whym;la is¥lr .kS'

ìialÜ 4la fyda 5la jrlg lEfjd;a thska YÍrhg mdka fm;s y;rla muK wdydrhg .kakjd muK jeämqr le,ß m%udKhla ,efí' fuh .Kkh lf<d;a lsf,da le,ß 275la muK fõ'

orejka jeä m%sh;djhla oelajQj;a @ orejka ìialÜ lEug b;d m%sh lrk nj wms fyd|ska okakd lreKls' kuq;a tfia ieuodu orejkag ìialÜ lEug §u iq¥iQ fkdfõ' orejd lEug leu;s jqj;a ìialÜ melÜjqjlau lkakg §u t;rï fhda.H fkdfõ'

rd;%s wdydr fõ,g mdka fm;s folla fyda tlla ;ïnd .;a t<j¿ iy ud¿ iu. wdydrhg .kakd úg thska fmdaIK .=Khla yd Yla;shla wmg ,enqKo isref¾ nr wvq lr .ekSug úl,amhla f,i .kakd ìialÜ j,ska wfma nr fo.=K f;.=K fõ' thska fmdaIK .=Khlao fkd,efí' 2015 cQ,s l<dmh

kuq;a ks;r fofjf,a fi,a,ï lrk ¥j-mek weúÈk ld¾hY+r orejkag kï ìialÜ lsysmhla oSfï jrola ke;' tu orejka ìialÜ j,ska ,nd .kakd isks m%udKh fyda le,ß m%udKh ¥j mek weúÈk úg oykh jk neúks' kuq;a wo olakg ,efnk ;;a;ajh kï Bg yd;amiskau fjkiah' mdi,g Wfoag tk orejd ksjig meñKs miq oj,a wdydr f.k tl ;ek jdä ù úúO rEmjdysks kd,sld Tiafia m%pdrh jk ldgqka krT;s' 79

Nutrition

isref¾ nr wvqlr .ekSug - n;a fkdld ìialÜ lEu - iq¥iQ o@

wdydr" Yßrfha oykh lrùug kï jeämqr Yla;sh fhdod fi,a,ï lsÍu" Èùu" jHdhdu lsÍu wdoS l%shdldrlï is¥ l< hq;=h' tfia fkdue;s kï f.or fodf¾ lghq;= jk" msá flàu" ñ¥,a w;=.Eu" l=Uqre jev" j;=msá j, jev''' jeks lh fjfyi lrk jev j, fhÈh hq;=h' túg wm .kakd wdydr oykh ù wkjYH m%udKhla isref¾ ;ekam;a fkdfõ'

lsisu l%Svdjl fyda fi,a,ulg fhduq fkdjk fï orejka ùäfhda l%Svd kï wmQrejg krU;s' orejka w;sf¾l mka;sj,g iyNd.s fjhs' rd;%shg mdi,a fmd;aj, jev lr fjfyig m;aj kskaog hhs' fujeks orejka meKs ri fukau ìialÜ j¾. wdydrhg .ekSfuka Tjqkaf.a isref¾ fïoh ;ekam;a fjhs' orefjl=g Èklg lsf,da le,ß 2500 l Yla;shla wjYH fõ' jeäysáfhl=g lsf,da le,ß 1500la wjYHh' kuq;a wo ojfia wfma cSjk rgdj ieliS we;s wkaou wkqj n,k úg orejka fukau jeäysáhka o fï Yla;s m%udKhka blaujd wdydr wkqNj lrhs' wm .kakd wdydr YÍrfhaÍ l%uj;aj oykh ùug kï''' @ wm wdydr f.k tl;ek jdä ù isáfhd;a fyda lïue,slug ksodf.k isáfhd;a l%uj;a f,i oykh jkafka ke;' 80

È.ska È.gu nyq, jYfhka wdydr .ekSfuka fïoh ksid ia:q,;djh we;s fõ' ia:q,;djh fnda fkdjk frda. jk Èhjeähdj" yDofrda." ms<sld" wêreêr" mSvkh" isfrdaisia jeks frda.j,g u. mdohs' tneúka isref¾ nr yeuúgu wvq lr.kakg hhs lshñka n;a fkdld ìialÜ jeämqr wdydrhg .ekSu kï wkqjk luls'

cd;sl fmdaIK oskh ksñ;af;ka fi!LH wOHdmk ld¾hdxYfha mej;S foaYkhla weiqßKs' igyk - wkqrdOd È,sks b,kafldaka'

ffjoHjrhd - udisl ffjoH iÕrdj

Pharmacopia

weíneysldrl fõokd kdYlh Tramadol Tramadol hkq fõokd kdYlhls¡ tys úfYaI;ajh kï ñksid úiska lD;%%Suj ksmojk ,oaola (Synthetic) ùuhs¡ ridhkslj th 4-pheylpiperdine analogue kdufhka y÷kajhs¡ fuu ridhkslh fnfy;la jYfhka .ekSfïoS uq¿ uy;a isref¾u we;sjk fõokdj,g iykh i,ihs¡ th isÿjkafka flfiao@ th fud<fha fõokd m%;s.%yl m%;s.%ykh lrhs (opiod receptor) túg fõokdj ms<sn|j lsisÿ ixfõokhla oefkkafka ke;¡ fud¾*ska kï T!IOho isrer ;=< we;s lrkafka Bg fnfyúka iudk jQ n,mEuls¡ Morphine fukau Tramadol o fï ksid Opiod kï ldKavhg wh;a fõ¡ iuia:hla jYfhka .;a l, fï ;=< hï weíneys lsÍfï (adduction) lsÍfï .=Kdx.hla we;¡ tfiau T!IO i;= ixl+,;d T!IO wka;¾ l%shd wdosh we;sùfï úNjhlska hqla;h¡ fï wkqj ffjoH 2015 cQ,s l<dmh

weíneysldrl fõokd kdYlh

Wmfoia u; muKla ,ndoSug ks¾foaY flf¾¡ jydu isrerg uqodyefrk .=Kfhka hq;a (immediate release) fm;s ñ,s.%Eï 50la f,i fukau l%ñlj isrerg uqod yefrk (extended release) 100, 200, 300 mg fm;s f,io wka;¾ Ysrd wka;¾ fmaIs kslafIamk f,io fuu T!IOh ,nd.ekSug ;sfí¡ T!IOh ks¾foaY lrk wjia:d Tramadol u.ska ie<lsh hq;= fõokd iy lelal=ï iys; ;;a;ajhka (moderate to moderately severe pain) iukh lrhs¡ úfYaIfhkau iakdhq 81

Pharmacopia

yryd we;sjk fõokd (neuralgia) i|yd fï T!IOh Ndú;d lrk wjia:d fõ¡ ta yereKq úg ixldj yd úYdoh we;s úg Tramadol ,ndfok wjia:d ;sfí¡ (It has action GABAergic noradrenelgic and specifically serotonergic systems)

Morphine fukau Tramadol o fï ksid Opiod kï ldKavhg wh;a fõ¡ iuia:hla jYfhka .;a l, fï ;=< hï weíneys lsÍfï (addiction) lsÍfï .=Kdx.hla we;¡

T!IOh ,ndfok ud;%dj fõokd iukh i|yd fï T!IOh ,ndfokafka 50-100 ñ,s.%Eï meh 4-6 lg jrla ne.sks¡ ojilg ,ndfok Wmßu ud;%dj ñ,s.%Eï 400

weíneysldrl fõokd kdYlh

blaujd fkdhhs¡ isrerg fyd|ska Tfrd;a;= fokq msKsi (tolerance) wdrïN lrkafka ñ,s.%Eï 25 ud;%dj,sks¡ tfiau osk ;=klg jrla ne.ska ñ,s.%Eï 25 ne.ska ud;%dj by< oeñh yel¡ bka miqj ñ,s.%Eï 50 ne.ska by< kexùu wjYH kï isÿ l< yel¡ fï wdydr iu. fyda fkdue;sj ,nd.; yel¡ fjk;a T!IO iu. Tramadol we;s lr.kakd wka;¾l%shd Drug interactions we;eï Tiqj, l%shdldß;ajh my; fy,k Tiqjls¡ quinidine isÿ lrkafka fuys l%shdldß;ajh m%j¾Okh lsÍuls¡ Monoamine oxidase inhibition ldKavhg wh;a T!IO fukau SSRI f,i ye|skafjk selective serotonin inhibitor iu. Tramadol .ekSfïoS lïmkh jeks yosis wjia:d Wodúh yels neúka ta ms<sn|j úfYaIfhka ie<ls,su;a úh hq;=h¡ Tramadol iu. Anaesthetics, Narcotics, Hypnotics fukau uOHidr .ekSfuka uOH iakdhq Yajik moaO;s W;af;ackh lrhs¡ fï ish¨ ldrKd mila lrfok i;Hhla ;sfí¡ tkï Tramadol iEu úgu ffjoHjrfhl=f.a m%f,aLkhla Tiafia T!IOfha idOdrkSlrKhla fkdue;sj lsisÿ úgl ,nd fkd.; hq;= T!IOhla jk njhs¡ ixl+,;d Adverse side effects iuia;hla jYfhka .;a l, fuh wju ixl+,;d olajk T!IOhls¡ wfkla jeo.;a lreK kï th we;sjk ixl+,;d jqjo flfuka wvqù hk transient >khg wh;a ùuhs¡ jvd;a iq,nj we;súh yels ixl+,;d Tlaldrh" jukh" ysfia weïu" lrleú,a," ksødckl iajNdjh yd u<noaOhhs¡ úr, f,i oelsh yels ixl+,;d leiSu" oyäh oeóu" f;d,lg úhf,k iajNdjh" m¿ ke.Su" nqre,g nv t<sh hdu" oelSug we;sjk ndOd ffjoHjrhd - udisl ffjoH iÕrdj

.¾NKSNdjfhaoS .¾NKSNdjfhaoS Tramadol ,nd. ekSfuka we;súh yels Wmøj ;sfío hkak ;ju;a m%;HlaI fldg ikd: ù fkdue;¡ lsßfok uõjrekag fï T!IOh ,ndoSu iïnkaOfhkao ,eî we;s f;dr;=re wiïmQ¾Kh¡ Tramadol weíneyshg mdr lshk T!IOhla óg fmr i|yka l<dla fuka Tramadol u.ska hï weíneysùula we;s lsÍfï bvlv ;sfí¡ (Mass induce

2015 cQ,s l<dmh

psychologicl and physical dependence of the morphine type) flfia kuq;a fuh fud¾*Ska muK oeä f,i weíneysh we;slrk j.la jd¾;d ù ke;¡ isÿ lrk ,o wOHhk Tiafiao tys weíneys lrk .=Kdx. f,i ikd: lr ke;¡ fï ksid úúO rgj,a Tramadol iïnkaOfhka mj;ajk j¾.SlrKh ;rula úúO fõ¡ ksoiqkla f,i ´iafÜ%,shdfõ opiod ldKavhg wh;a md,l T!IO (controlled drugs) wh;a jkafka Schedule 8 ldKavhghs¡ kuq;a Tramadol ks¾foaY flfrkafka m%f,aLKhla bosßm;a lsÍfuka (Prescription only) muKla ,nd.; yels T!IO wf,ú lrk Schedule 4 ldKavhghs¡ wefußldfõo Bg iudk ;;a;ajhla hgf;a Tramadol wf,ú flf¾¡ opiod analgesics wh;a jk US DEA Wmf,aLkhg Tramadol we;=<;alr ke;¡

RADIOGRAPHY

kùk äcsg,a úlsrK m%;sìïn .ek oeKQj;a fjuq

kùk äcsg,a úlsrK m%;sìïn .ek oeKQj;a fjuq m%;sìïnh is;e``.s mßos ixialrKh l< yelshs jvd iqmeyeos,s m%;sìïn ,nd.; yelshs Digital Imaging Vs Patient Dose úlsrK ;dCIKfõ§ ÈfkaIa m%sh,a o¾Yk dpdarshana@yahoo.com

kùk ;dCIKh f,dalfha ish¿u me;slv wdl%uKh lrkjd fiau ffjoH úoHdjo b;du mq¿,a whqßka w;sl%ukh lr we;' tys§ äcsg,alrKh hk ixl,amh ffjoH úoHdfõ fndfyda jHjydrhka i|yd fhdod .ekSu wo ojfia iq,n lreKls' fï w;ßka úlsrK ;dCIK l%ufõo b;du;a fõ.fhka äcsg,alrKh ù we;' iïm%odhsl úlsrK m%;sìïnlrKh frda. ks¾Kh i|yd fhdod .ekSu wo ojfia l%ufhka wNdjhg hk w;r äcsg,a ;dCIKh úlsrK m%;sìïnlrKfha .%yKhg ,laj we;' äcsg,a X-Ray jYfhka úlsrK mÍCIK b,a¨ï lsÍu;a wo ojfia iq,n Ndú;hls' äcsg,a tlaiaf¾ mÍCIK hkq l=ulao@ fuys§ úlsrK mÍCIK isÿlsÍu idudkH X lsrK hka;%h u.ska isÿfõ' tfy;a tu YÍrh yryd f.dia ksl=;a jk tlaia lsrK u.ska m%;sìïnhla ,nd .ekSfï l%shdj,shg äcsg,a ;dCIKh iïnkaO lsÍula fuys§

ffjoHjrhd - udisl ffjoH iÕrdj

isÿfõ' fuu äcsg,alrkh m%Odk ;dCIK wdldr follg wo ojfia Ndú;d jkq oelsh yel' Digital Medical Imaging

D R (DDR /IDR)

Computed Radiography mß>kl wdY%s; úlsrKfõoh

Digital Radiography iDcq äcsg,alrKh

Y%S ,xldfõ nyq,ju Ndú;djkqfha CR fyj;a mß>kl wdY%s; úlsrK PdhdrEmlrkhhs' iDcq äcsg,alrkh we;eï ffjoH wdh;khkays Ndú;d jqj;a th ;ju;a m%p,s; fkdù we;af;a ta i|yd wêl m%d.aOk úhoula ±Íug isÿùuhs' úlsrK mÍCIK i|yd äcsg,a ;dCIKh fhdod .ekSug fu;rï keUqrejla wehs@ äcsg,a PdhdrEmhla hkq mß>kl o;a;hls' th mslafi,a( Pixel) kïjQ uQ,sl tall u.ska ksrEms;hs' idudkH PdhdrEmlrkfha§ (Photography) Ndú;d jQ fiahdmg, ridhksl øjH u.ska msßmyÿ lsÍu (Chemical Processing) jeksjQ l%shdj,shla úlsrK PdhdrEm ixj¾Okfha§ o w;S;fha Ndú;d úh' th w÷re ldurhl§ 2015 cQ,s l<dmh

isÿlrk ridhksl l%shdj,shla úh' we;a; jYfhkau äcsg,alrKh u.ska fuu ridhksl mg, msßmyÿ lsÍu imqrd bj;a lr ;sfí' ta fjkqjg b;d myiqfjka yeisrúh yels mß>Kl o;a;hla njg úlsrK u.ska ,nd.;a m%;sìïnh m;a lsÍula fuys§ isÿfõ' fuh úlsrK ;dCIK ks,Odßhdg fukau frda.shdgo uy;a myiqjla ù we;' mß>klh u; f.dvkef.k PdhdrEmh b;d myiqfjka yeisrùug yels ùu;a we;eï foa myiqfjka fjkia lsÍug yelsùu;a ´kEu wjia:djl§ myiqfjka kej; ,nd .ekSug;a yelsùu fuys we;s iqúfYaIS;d fõ' äcsg,alrKh yd úlsrK ud;%dj idïm%odhsl úlsrK l%ufõofha§ úlsrK PdhdrEmfha .=Kd;aulNdjh i|yd ksjrÈ jQ úlsrK ud;%d ,nd§u w;HdjYH lreKla úh' wêlud;%d

ksjerÈ oDIH l,dmh ^ir, f¾Çh m%foaYh&

m%udKj;a fkdjk ud;%d

Characteristic curve for screen/film radiography

RADIOGRAPHY

kùk äcsg,a úlsrK m%;sìïn .ek oeKQj;a fjuq

tfy;a äcsg,a úlsrK Pdhd rEm i|yd ksjrÈujQ úlsrK ud;%d ,nd§u w;HdjYH fkdjkqfha tys we;s mq`M,a oDIH mrdihksidh'(Wide Dynamic Range)

ir, f¾Ldj mq¿,a mrdihl§ ksjerÈ oDIH rEm ,nd.ekSfï yelshdj

Characteristic curve for digital radiography

äcsg,a úlsrK ;dlaIKfha§ wvq úlsrK ud;%djl§ úlsrK PdhdrEmfha ;rul fyda .=Kd;aulNdjfha wvqjla olakg ,enqko frda.shdg ,ndfok úlsrK ud;%dj fldmuK jeä jqjo th úlsrK PdhdrEmfha .=Kd;aul Ndjhg ydkshla fkdfõ' äcsg,a úlsrK l%ufõofha we;s Wide Dynamic Range fyj;a mq¨,a úlsrK ud;%d i|yd ksjerÈ ;;a;ajfha oDIH rEmhka ,nd§u ;dCIKfõ§ka yg uy;a wiajeis,a,la ù we;' Different exposures and different images in convectional radiography

Different exposures but almost same images in digital radiogrphy

ffjoHjrhd - udisl ffjoH iÕrdj

iEu úlsrK mÍCIKhlau idOdrKSlrkh úh hq;=h' tkï úlsrK mÍCIK u.ska Tng ,efnk m%fhdackh tu.ska Tng isÿ úh yels ydkshg jvd jeä úh hq;=h' úfYaIfhkau äcsg,a ;dCIKh u.ska aúlsrK ud;%d wjNdú;h ms<sn| Tn ±kqj;a úh hq;=h'

äcsg,alrKfha wjNdú; kùk ;dCIKh .=Kd;aulNdjh yd myiqj ;dCIKfõÈhdg ,nd § ;sfí' tfy;a Tyq th ksjrÈj Ndú;d lrkjdo hkak we;a; jYfhkau .eg¨jls' wêl úlsrK ud;%d frda.shdyg ,ndÿkako PdhdrEmfha .=Kd;aulNdjhg th ydkshla fkdùu ksidu fndfyda ;dCIKfõ§yq wjYH ud;%djg jvd

2015 cQ,s l<dmh

m%udKfhka jeä úlsrK ud;%djkag frda.shdj ,lalsÍu wmg iq,nj ±lsh yel' óg wu;rj úlsrKhg ,laúh hq;= YÍr fldgig jvd jeä m%foaYhla úlsrKhg ,la lsÍuo iq,nj ±lsh yel' mß>klh u.ska äcsg,a PdhdrEmh ixialrKhg ,la l< yels neúka frda.shdf.a wkjYH YÍr fldgia mjd úlsrKhg ,laù we;s nj ;dCIK Ys,amshd yg ñi fjk lsisfjl=g ±k.ekSug mjd fkdyels ù we;' we;a; jYfhkau frda.shd fï ms<sn|j ±kqj;a ke;' frda.Ska wkjYH f,i úlsrKhg ,lalsÍu jrols' úlsrK wdrCIKfha uQ,sl isoaOdka;hla jk (ALARA principle) ksjerÈ úlsrK ud;%d Ndú;h hk Í;sh ì| fy,Suls' Tfí úlsrK ;dCIK ks,Odßhd ±kqj;ao@ wo ojfia fndfyda ;dCIKfõoSka äcsg,a ;dCIKh úlsrK mÍCIKh i|yd Ndú;d l< o Tjqka yg tys fN!;sl úoHd;aul l%shdj,sh yd kHdhd;aul ±kqu m%udKj;aj we;s ±hs hkak .eg¨ iy.;h' iEu úlsrK mÍCIKhlau idOdrKSlrkh úh hq;=h' tkï úlsrK mÍCIK u.ska Tng ,efnk m%fhdackh tu.ska Tng isÿ úh yels ydkshg jvd jeä úh hq;=h' úfYaIfhkau äcsg,a ;dCIKh u.ska aúlsrK ud;%d wjNdú;h ms<sn| Tn ±kqj;a úh hq;=h' fuu úlsrK wksis Ndú;h kS;s u.ska je<elaùu wmyiqh' Tnj wkjYH úlsrKfhka wE;a lr ksjrÈ Wiia frda.S ks¾Kh yelshdfjka hq;= úlsrK m%;sìïn ,nd§fï j.lSï Tnf.a úlsrK ;dCIK ks,Odßhdg we;' úlsrK mÍCIKh i|yd äcsg,a ;dCIKh iu. Tnj wkjYH úlsrKhg ,laùfï wjodku jeäù we;' tfy;a Tnf.a úlsrK ;dCIK ks,Odßhd äcsg,aúlsrK ;dCIKfha isoaOdka; yd m%dfhda.slj th l%shdjg kxjkafkla kï Tn jvd;a iqrCIs;h' Tng merKs idïm%odhsl úlsrK l%ufõohka u.ska ,nd.;a úlsrK m%;sìïnhkag jvd Wiia .=Kd;aul úlsrK PdhdrEm kùk äcsg,a ;dCIKh Ndú;d lr úlsrK ukd ksjerÈ Ndú;h u.ska ,nd§ug ±kqj;a ffjoH wdpdr O¾u w.hk iqÿiqlï ,;a úlsrK ;dCIK ks,Odßhd W;aiql jk nj fkdwkqudkh'

Child Care

orejkaf. WK Tng lshk foa'''

riosh l| uq¿ukskau WIaK;ajudkfha my< WK ne,Sug m%:u ;sìh hq;=h¡ ke;fyd;a ,nd.kakd tallfha ksjerosNdjhg ydks isÿ fõ¡ wju jYfhka fuu WIaK;ajudkfhka WK ne,SuloS WIaK;ajudkh úkdä 2la j;a wod, ia:dkfha ;eìh hq;= fõ¡

orejkaf. WK Tng lshk foa''' l¿fndaú, YslaIK frdayf,a <ud frda. úfYaI{ ffjoH ufkdaÍ .uf.a

WK hkq flfkl=f.a YÍrfha mej;sh hq;= WIaK;ajhg jvd YÍrfha WIaK;ajh by< hEuhs¡ fuh frda. hla fkdjk w;r frda.hl hï lsis ,laIKhla f,i fmkajd oSu b;du;a jeo.;a fõ¡

ixLHdxl WIaK;ajudkh fuh Ndú;h b;du;a myiq fõ¡ ´kEu flfkl=g b;du;a myiqfjka ksjerosj WK uek.; yels l%uhls¡

WK we;sùug fya;= WK we;sùug m%Odku fya;=j f,i oelaúh yelafla wdidokhla ksid YÍrfha WIaK;ajh by< hduhs¡ fuysoS nelaàßhd ffjria jeks fya;+ka m%Odk fõ¡ fuhg wu;rj l=vd orejkaf.a mßjD;a;Sh l%shdj,sfha hï fodaIhla ksido WK we;súh yel¡ WK oek.; yels wdldr w;S;fhaoS uõjreka fndfya úg ;ukaf.a w;a, orejdf.a k<,g fyda fn,a,g w; ;nd orejdf.a WK ne,Sug mqreÿ ù isá;s¡ kuq;a fuh id¾:l l%uhla fkdfõ¡ ukao@ orejdf.a WK n,k wjia:dfõoS ujf.a oE;a iS;, ù ;snqKfyd;a WK f,i jrojd jgyd.; yels neúks¡ WK ne,Sug Ndú; lrk uQ,sl úêu;a l%u folls • riosh WIaK;ajudkfhka ne,Su • ixLHdxl WIaK;ajudkfhka ne,Su riosh WIaK;ajudkh fuu WIaK;ajudkfhka WK ne,SfïoS ksjeros f,iu ne,sh hq;= w;r fuu udkh Ndú;d lsÍug ksjeros yelshdjla ;sìh hq;=h¡ fuys we;s 88

WK n,k ia:dk idudkHfhka ´kEu flfkl=f.a WK ne,Sug iqÿiq jkafka lsys,a, hgg WIaK;ajudkh ;eîfuks¡ fuysoS ksjerosj myiqfjka WK ueKsh yel¡ ta yereKQ úg WIaK;ajudkh osjhg ;nd WK ne,Su isÿl< yel¡ kuq;a fuu l%uh ish,a,kagu iqÿiq fkdfõ¡ fjfiiskau"

ffjoHjrhd - udisl ffjoH iÕrdj

tlu WIaK;ajudkh cSjdkqyrKh fkdlr Ndú; lsÍu u.ska fjk;a frda. fndaúh yel¡ fï ksid úfYAIfhka osjhg ;nd WK ne,SfïoS WKlgqj fyd|ska cSjdKQyrkh ù ;sìh hq;=uh' WK ne,Sug m%:u fkdl< hq;= foa • we`. uykais ù fi,a,ï lsÍfuka miq WK ne,Su iqÿiq fkdfõ • WKq oshrhla îfuka miq osj hg ;nd WK ne,Su fkdl< hq;= fõ¡ YÍrfha idudkH WIaK;ajh idudkHfhka orejl=f.a fyda jeäysá mqoa.,hl=f.a mej;sh hq;= WIaK;ajhla we;¡ WIaK;ajh *erkayhsÜ j,ska fyda fi,aishia wxYlj,ska uekSu isÿ lrkq ,nhs¡ idudkH WIaK;ajh f,i .Kkh lrkq ,nkafka 37 0C fyda 98¡4 0F kuq;a hï fyhlska b;du;a oeä WKqiqï fõ,djloS fyda jeämqr we÷ï we`.,d ;nk wjia:djloS 2015 cQ,s l<dmh

idudkHfhka ´kEu flfkl=f.a WK ne,Sug iqÿiq jkafka lsys,a, hgg WIaK;ajudkh ;eîfuks¡ fuysoS ksjerosj myiqfjka WK ueKsh yel¡

Child Care

WIaK;ajh idudkH m%udKhg jvd 0¡5 lska by< hd yel¡ fuh l,n, úh hq;= wjia:djla fkdj idudkH wjia:djls¡ WK we;sjk iajNdjhka WK úúOdldr wdldrhg we;súh yel' • ;o riakh iys;j WK ;sîu • WK Wfoag fyda yjig muKla ;sîu • tl os.g osk 2-3 la WK mej;Su • we`. iS;, lr WK .ekSu • .eys .eyS WK .ekSu ;o WK fyda .eys .eyS WK .kafka wehs@ YÍrh ;=<g úIîchla fyda ndysr n,mEula we;sjQ úg thg úreoaOj m%;sl%shd lsÍu i|yd YÍrfha WIaK;ajh by< hdula isÿ fõ¡ fuu.ska úIîc úkdY lsÍug YÍrh W;aidy orhs¡ fujeks wjia:dj,oS oeä WIaK;ajhla iys;j WK .kS¡ Bg wu;rj WIaK;ajh jeä lsÍu i|yd udxYfmaYskaf.a l%shdldÍ;ajh jeä lrkq ,nhs¡ túg YÍrh .eySulg ,la fõ¡ ;jo YÍrfha WIaK;ajh jeälsÍu i|yd yfï we;s reêrkd,j,g reêr iemhSu wvq lsÍu isÿlrkq ,nhs¡ túg YÍrh iS;, ùug mgka .kS¡ tneúka YÍrh iS;, lrñka WK .ekSu isÿ fõ¡

orejkaf. WK Tng lshk foa'''

orejl=g WK .ekqk úg l< hq;= foa • orejl=g WK iEÿKq ú.i Tyqf.a ;o we÷ï bj;a lr ieye,a¨ we÷ula wekaoúh hq;=hs¡ • úÿ,s mxldjla u.ska fyd|ska isis,a ùug ;eìh hq;=hs¡ • YÍrfha bls,s" lsys,s yd fn,a, fome;a; f;óu l< hq;= fõ¡ fuh isÿ lsÍfïoS lsisÿ wjia:djl whsia j;=r Ndú;d fkdl< hq;= fõ¡ tu.ska YÍrfha msg; iS;, ù WK nei .shdla fuka oekqKo YÍrh we;=,; WK tf,iu mj;S¡ tu ksid iqÿiq l%uh jkafka idudkH c,fhka fros lvla fmd`.jd f;; ud;a;= lsÍu fõ¡ • ´älaf,daka yd c,fhka fmd`.jd froslvla ;eîu u.sskq;a fmr f,iu YÍrh u;=msg isis,a ùu isÿ fõ¡ tneúka fuu l%uh u`.ska jdishla fyda ydkshla isÿ fkdfõ¡ • merisgfuda,a muKla ,ndoSu l< hq;=h' ffjoHjrhd - udisl ffjoH iÕrdj

orejdg merisgfuda,a ,ndosh hq;= wdldrh wfma rfÜ fvx.= frda.h nyq,j mj;sk neúka wksjd¾hfhkau orejl=g WK je<÷kfyd;a ,ndosh hq;af;a merisgfuda,a muKls¡ fuh ,ndosh hq;= jkafka orejdf.a nr wkqjh¡ fï ms<sn|j úia;r ksjeros wdldrhg merisgfuda,a fnda;,fha i|yka lr we;¡ fuu T!IOh meh 6lg jrla jdr 4la muKla ,ndosh hq;= h¡ WK j,smamqj we;sùu orejl=g udi 6 isg wjqreÿ 5;a w;r jhia iSudj ;=< WK j,smamqj we;súh yel¡ WK j,smamqj WK ye÷k m<uq meh 24 we;=<; we;súh yels ;;a;ajhls¡ flfia jqjo WK j,smamqj 99¡9] fkdiEfok w;r iEfok orejkaf.a;a jhi wjqreÿ 6-7 jk úgoS iqj ù hkq we;¡ WK j,smamqj iEÿk úgoS oEia Wvf. dia isys ke;s ùu isÿ fõ¡ túg orejd jï we,hg yrjd ;eîu l< hq;= fõ¡ fuf,i 2015 cQ,s l<dmh

isÿ lrkafka fiu isrùula isÿ fkdùugh¡

wfma rfÜ fvx.= frda.h nyq,j mj;sk neúka wksjd¾hfhkau orejl=g WK je<÷kqfyd;a ,ndosh hq;af;a merisgfuda,aÜ muKls¡ fuh ,ndosh hq;= jkafka orejdf.a nr wkqjh¡

WK we;s jQ úg ie<lsh hq;= lreKq WK frda.h je<÷Kq wjia:djloS ie<ls,su;a úh hq;= lreKq lsysmhla fõ¡ • orejl=g kï ffjoH wkque;shlska f;drj ys;=uf;a weiam%Ska fyda tu j¾.fha T!IO ,nd fkdosh hq;= fõ¡ orejdg fvx.= frda.h Tn fkdoek ;snqfkd;a Tn ,ndfok T!IOhka ksidu fvx.= rla;md; ;;a;ajhg m;aj oreKq úh yel¡ • udi 6g wvq orejl=g WK we;akï" lsß Wrd fkdfndhs kï blauKskau frday,la lrd hd hq;=h¡ • wdydr ms<sn| jo fkdoS leu;s wdydrhla fokak¡ yels yeu úgu mdk j¾. îug fokak¡ ^;eô,s" c,h" nd¾,s" iqma" cSjkS& • lsisÿ wjia:djl r;= ÿUqre meyehg yqre îu j¾. îug fkdfokak¡ yosisfha j;a jukh .shfyd;a reêrh;a ta iu. hkafka oehs ksjerosj oek.ekSu fï ksid wmyiq fõ¡ • T!IO îug ÿka .uka jukh .shfyd;a kej; T!IO ,ndoSu iqÿiq fõ¡ jukh fnfy;a î ál fõ,djlska miqj .shfyd;a tf,i isÿ lsÍu iqÿiq fkdfõ¡

igyk wudhd .=Kfialr

Constipation

orejka w;r we;s u<noaOh

orejkag u<noaOh we;aoehs y÷kd.; yels frda. ,laIK fukak''' <ud frda. ms<sn| úfYAI{ ffjoH §md,a fmf¾rd' orejka fndfyda fihska mSvd úÈk frda.s ;;a;ajhla f,i u<noaOh yeÈkaúh yelshs' u<noaOh iys; orefjl= b;du wmyiqldÍ f,i isák w;r u fndfydag fya;=jla fkdue;sju ks;r ks;r we`ãu lrhs' we;eï úg W;am;a;sfha isgu fuu frda.S ;;a;ajh úúO fya;=ka ksid orefjl=g we;súh yelshs' wdydr ud¾.fha .eg¿ ;sfíoehs y÷kd .kak''' frda.S ;;a;ajh y÷kd .ekSfuka miq úúO m%;sldr i|yd orejd fhduql< hq;=fõ' wdydr yd m%;sldr u`.ska frda.S ;;a;ajh iqjlr .; yels jqj;a frda.S ;;a;ajh W;aikak ù we;akï fyda Wmf;a§u wdydr ud¾.fha .eg¿ ;sfíoehs fidhd ne,sh hq;=h' tfia ;sfí kï ta i|yd Y,H m%;sldro l< hq;= wjia:d ;sfí' orejkag we;sjk u<my msg lsÍfï wmyiq;djh u<noaOh yeáhg wm y÷kajkafka u<my msglsÍfï wmyiq;djhhs' fuh ´kEu orefjl=g Wmf;aoSu;a bka miqj;a we;s úh yelshs'

ffjoHjrhd - udisl ffjoH iÕrdj

orefjl= bm§ meh 24la hkakg fmr u<my lsÍu l< hq;=hs' meh 24 la hkakg fmr orejd u<my fkdlrkafka kï tu orejd frda.S ;;a;ajhlska fmf<a' fujeks orejka wdydr ud¾.fha hg fldgfia we;s iakdhqj, wdndO ;;a;ajh ksid u<my msg lsÍug ndOd lrhs' fuys§ orejd Y,H ffjoHjrfhl= fj; fhduq l< hq;=h'

orefjl= bm§ meh 24la hkakg fmr u<my lsÍu l< hq;=hs' meh 24 la hkakg fmr orejd u<my fkdlrkafka kï tu orejd frda.S ;;a;ajhlska fmf<a'

orefjl=g Èk y;lg ierhla j;a u< my msgúh hq;=hs' orefjl= Èk y;la .; ùfuka miqj;a u<my msg fkdlrkafka kï th u<noaOh fya;=fjka úh yelshs' tfy;a ujqlsß muKla fndk orefjl= kï Èklg lSm jdrhla u<my msg lrkjd' ta i|yd ujqjreka ìh úh hq;= fkdfõ' orejdg l=vd l< isgu u<my lsßug yqre lrjkak orejd l=vd l, isgu u<my lsÍug yqre lrùu uõmshkaf.a hq;=luls' tfukau th w;sYhskau jeo.;a fõ' flfia fj;;a orejd u<my msg lsÍfïoS wmyiq;djhlska fmf<kjd kï u<my msg lsÍfïÈ orejd w`vkakg mgka .kshs' tfiau iEu Èklu orejd u<my msg l<;a orejd wmyiqfjka u<my msglrkafka kï tho u< noaOh ksid úh yelsh' 2015 cQ,s l<dmh

Constipation

orejka w;r we;s u<noaOh

;hsfrdhslaiska fydafudakh wvqùu ksid;a u<noaOh we;sfõ' wdydr ud¾.fha we;sfjk .eg¿ ksid;a u<noaOh we;sfõ'

.=Kodhlhs' kuq;a flfi,a f.ä u< noaOh jeä lrjhs' tu ksid flfi,a f.ä Èfï§ ujqjre jeä ie<ls,a,la oelaúh hq;=h'

we;eï úg wdydr ud¾.fha we;sjk ;=jd, ksid" iy u<my msg lsÍfï wmyiqj ksid .=o ud¾. fha brSï iy ;=jd, we;s ù f,a jykhlao isÿúh yelshs'

flfia fj;;a orejd u<my msg lsÍfïoS wmyiq;djhlska fmf<kjd kï u<my msg lsÍfïÈ orejd w`vkakg mgka .kshs' tfiau iEu Èklu orejd u<my msg l<;a orejd wmyiqfjka u<my msglrkafka kï tho u< noaOh ksid úh yelsh'

u<noaOh msgq olskak" orejkag Èhr wdydr jeämqr fokak u<noaOh iys; orejkag Èhr wdydr jeämqr Èh hq;=hs' tfiau úúO j¾.fha m<;=re - hqI jYfhka Èkm;d wdydrhg tlal< hq;=fõ' m<;=re w;ßka .ia,nq u<noaOhg b;du 94

fndfyda úg orejkag jHdhdï wvqùu ksid;a u<noaOh we;sfõ' fuu ksid bv we;s iEu fudfyd;lu orejkag l%Svd lsÍug bvÈh hq;=h' flfia fj;;a T!IO u`.ska u<noaOh iqj fkdjkafka kï tjeks orejkag wjYH ffjoH m%;sldr ,ndÈh hq;=h' u<noaOh iys; orefjl=f.a ,laIK Worfha fõokdj" u<my lsÍfï§ oeä fjfyila .ekSu" u<my lsÍfï jdr .Kk wvqùu" wdydr reÑh wvqùu" Worfha msmqu" Worh we,a¨ úg .,a jeks hula wiqùu" u<my lsÍfï§ reêrh msgùu" wdydr ud¾.fha ;=jd, we;sùu jeks ,laIK oelsh yelsh'

igyk -wkqrdOd os,sks b,kafldaka ffjoHjrhd - udisl ffjoH iÕrdj

Abortion

kS;s úfrdaê .íidjka ldka;djkaf.a brKu fjkia l< yelshs .íidjla ksid wirK ldka;djl ñh hd yels ux f.dvhs''' m%ij yd kdßfõo úfYaI{ ffjoH tia' î' tAlkdhl ldka;djka úúO fya;= u; .íidjka isÿ lr.kakjd' fndfyda úg fufia lrkafka fkdlr neßlug' kuq;a fï wdldrhg isÿjk .íidj, úúO ixl+,;d mj;sk nj Tjqka jeä fofkla okafka keye' tfukau tjeks w;a±lSulg uqyqK ÿka ldka;djlg bka wk;=rej Ôú;hg uqyqK fokafka flfiao hkak .ekj;a t;rï w;a±lSula keye' úfYaIfhkau .íidj lshkafka wfma rfÜ kS;s úfrdaë fohla ksid .íidjla isÿ lr .kakd ldka;djka tA i|yd kS;s úfrdaë .íid uOHia:dkj, Woõ Wmldr ,nd.kakjd' fïjdhska isÿúh yels ixl+,;d" w;=re wdndO wdÈh b;d by<hs' ksis oeKQula ke;s wh''' kshñ; mßirhla ke;s ia:dk fndfydaúg kS;s úfrdaë .íidjla isÿ lrkafka ffjoH úoHdj ms<sn|j t;rï ±kSula yd m<mqreoaola we;s wh fkdfjhs' tfukau fuu ia:dkj, úIîcyrKh l< iqÿiq mßirhla ks¾udKh ù keye' tA jf.au l<,hla

2015 cQ,s l<dmh

kS;s úfrdaê .íidjka

.íidjlg ,la lrkjd kï th l< hq;af;a l<,hg i;s oyhla ùug fmrhs' kuq;a fujeks ;ekaj, Bg jvd j¾Okh jQ l<,hla mjd .íidjg ,la lrkjd' fï ksid m%ia;=; ldka;djg isÿ úh yels ydksh b;d jeähs' ujf.a fõokdj .ek fkdis;d lrk foa .íidjla isÿ lsÍfï§ ujg fõokdj we;sùu j<lajd,Sug isys ke;s lsÍu wjYHhs' kuq;a fujeks ia:dkj, ujf.a fõokdj .ek ie<ls,a,la fkdolajd weh mshú isysfhka isáh§u .íidj isÿ lrkjd' fuys§ tu ldka;djg wêl fõokdjla ±fkkq jf.au tu fõokdj ksid ujf.a .eíf.f,a iakdhq W;af;ackh ùu isÿ ù yDo iamkaokh áflka ál wvq jkakg;a mgka .kakjd' hï fyhlska fufia yDo iamkaokh wvq jQ wjika wjia:dfõ§ yDoh k;r jqfKd;a tys m%;sM,h f,i ldka;dj ñh hkjd'

Abortion

kS;s úfrdaê .íidjka

YÍrfha fjk;a ia:dkj, fõokdjla we;s jk úg isÿ jkafka yDo iamkaokh jeä ùuhs' kuq;a fuys§ isÿjkafka fõokdj jeälug yDo iamkaok fõ.h wvq ùu' tA .eíf.f,a iakdhq msysàu wkqjhs' fï ;;a;ajh l<,fha uq,au wjia:dfõ fukau ;rula jevqKq miq .íid lsÍul§;a isÿúh yelshs' wêl f,i reêr jykhla isÿ ù uj ñh hdug bv ;sfnkjd fojk wjÞkï ;;a;ajh jkafka .íidfjka miq wêl f,i reêr jykhla isÿ ù uj ñh hdug ;sfnk yelshdjhs' .íidjla isÿ jQ fudfydf;au .¾NdIh ixfldapkh fjñka ^yelsf,ñka& tys we;=<; ;sfnk b;sß jQ fldgia msg;g oukakg W;aidy lrkjd' kuq;a .¾NdIhg fï ld¾h 100]lau lsÍu wmyiq úh yelshs' tA wkqj .¾NdIh ;=< fldgia b;sß ùu ;=<ska ujf.a fhdaks ud¾. fhka fndfyda fihska 96

fndfydaúg kS;s úfrdaë .íidjla isÿ lrkafka ffjoH úoHdj ms<sn|j t;rï ±kSula yd m<mqreoaola we;s wh fkdfjhs' tfukau fuu ia:dkj, úIîcyrKh l< iqÿiq mßirhla ks¾udKh ù keye'

ffjoHjrhd - udisl ffjoH iÕrdj

reêrh msg jkakg mq¿jka' wêlj reêrh msg ùula isÿ jQ úg;a tu ldka;dj ñh hdug bv ;sfnkjd' wfma rfÜ ud;D urK w;r fofjks ;ekg meñK ;sfnkafka fufia kS;s úfrdaë .íidjka ksid isÿjk urKhs' l<,hg ydks lrk úosy fun÷ .íid uOHia:dk fndfyda úgu úIîcyrKh l< ;eka fkdfjhs' ffjoH úoHdj .ek ±kqula ke;s mqoa.,hka úiska .íid isÿ lsÍfï§ Tjqka lrkafka l<,h jgd we;s l<,jdßl mglj,g ;=jd, isÿlr .¾N;r,h bj;a lsÍuhs' l<,fha wdrlaIdjg ;sfnk .¾N;r,h bj;a l< miq .¾NdIh yelsf,k w;r l<,hg f,a iemhSu wek ysàu ;=<ska l<,h ñh hkjd' l<,h ñh .sh miq l=i ;=< orejd jeãu isÿ fkdjqK;a l<,fha fldgia" jeoEuy fldgia" l<,jdßl mgl fldgia wdÈh .¾NdIh ;=< b;sß úh yelshs' fïjd nelaàßhdj,g f;da;ekakla' fï" úIîc ksid ujg jk yosh tA wkqj úIîcyrKh fkdl< tu ia:dkfha we;s nelaàßhd fukau l<,h i|yd fhdÞ .;a ÔjdkqyrKh fkdl< WmlrK u; we;s nelaàßhdjkao b;d myiqfjka ujf.a .¾NdIhg we;=,a ù tu ia:dk wdidokh ùu isÿ fjkjd' tfiau fhdaks ud¾.h wfOda ud¾.hg wdikakfha msysgd we;s ksid tys úIîc;a myiqfjkau fhdaks ud¾.h yryd .¾NdIhg we;=,a fjkjd' fimaáiSñhd we;s jqfKd;a cSú;h wjodkfï''' fuu udOH ;=< nelaàßhd j¾Okh b;d fõ.fhka isÿùfï m%;sM,h f,i .íidj isÿ ù Èk ;=kla .; jk úg uj ;=< úúO frda. ,laIK my< úh yelshs' úIîc reêr ud¾. hg uqiq ù YÍrh mqrdu .uka lsÍu ;=<ska we;s jk fï ;;a;ajh fimaáiSñhd ^Septicemia& kñka y÷kajkjd' tys frda. ,laIK wêl 2015 cQ,s l<dmh

nfâ lelal=u" ;o WK" fhdaks ud¾.h Tiafia ierj ñY% f,a msgùu" ;o wefÕa mf;a fõokdj wdÈhhs' frda. ,laIK yg.;a uq,au wjia:dfõ frday,lg meñKsfhd;a frda.shdf.a Ôú;h fírd .ekSug yels fjkjd' kS;sh ksid frday,g hkak fm<fUkafk wka;sug wudre jqKdu''' kuq;a wjdikdj jkafka wfma rfÜ kS;s úfrdaë .íidjla lrf.k frday,a .; jQ miq frday, u.ska lrkafka frda.shd ms<sn| fmd,Sishg ±kqï §uhs' .fyka jegqKq ñksyg f.dkd wekSula jk fï ;;a;ajhg ìh ùu ksid l=uk frda. ;;a;ajhla we;s jqK;a wka;su fudfydf;a neßu ;ek ;uhs .íidjla isÿ lr .;a ldka;djla frday,lg meñfKkafka' tA wkqj tA ldka;djg Ôj;a ùug ,efnk wjldYh ySk jkakgá mq¿jka' .íidjla isÿ lr.;a ldka;djla frday,g 97

Abortion

we;=,a jqKdu jdÜgqfõ jev lrk wh;a weh Èyd n,kafka wj×fjka' fïl;a tn÷ ldka;djla frday,g meñKSu i|yd miqneiSug fya;=jla' fï ;;a;ajhka jyd fjkia úh hq;=hs' l=uk fya;=jla u; jqj;a ldka;djla .íidjla lr .kafka kï weh frda.shl= f,i i<ld Wmldr lsÍu tA wjia:dfõ yeáhg b;d jeo.;a fjkjd' nvje,aj, we;s jk fimaáiSñhd kS;s úfrdaë .íidjka ksid yg.; yels ;j;a frda. ;;a;ajhla jkafka nvje,aj, we;s jk fimaáiSñhd ^Bowel Gangrene& ;;a;ajhhs' .íidfõ§ l<,hg iy l<,jdßl mglj,g ;=jd, lsÍfï§ l,d;=rlska nvje,a" uq;%dYh jeks wjhjj,g;a ;=jd, jkak mq¿jka' fufia nvje,a ;=jd, jqfKd;a u<" wdudY 98

kS;s úfrdaê .íidjka

l=yrhg meñK nvje,aj, fimaáiSñhd yg .; yelshs' tA jf.au jl=.vqj, uq;%d ye§u k;r ùu ^Acute Renal Failure& isÿ jqfKd;a uq;%d msg fkdùu u; frda.shdg widOH jkak mq¿jka'

.íidjla isÿ lsÍfï§ ujg fõokdj we;sùu j<lajd,Sug isys ke;s lsÍu wjYHhs' kuq;a fujeks ia:dkj, ujf.a fõokdj .ek ie<ls,a,la fkdolajd weh mshú isysfhka isáh§u .íidj isÿ lrkjd'

reêrh leá fkd.eiSfï ;;a;ajh D.I.C. kñka y÷kajk reêrh leá fkd.eiSfï ;;a;ajh yg.;fyd;a reêr jykh ùu k;r lr .ekSug fkdyels fjkjd' idudkH reêr jykhla k;r lr .kakg yels jqfKd;a D.I.C. ;;a;ajh yg.;af;d;a reêrh leá .eiSu isÿ fkdùu u; reêrjykh kj;d .ekSug fkdyels fjkjd' fujeks frda.shl=f.a Ôú;h fírd .ekSu wudre ld¾hhla' fïjd ;uhs jqjukdfjka kS;s úfrdaë f,i lr .kakd .íid u.ska we;s jk oreKq ixl+,;d jkafka' fïjd yeu fokdgu tlfia we;sjkafka kE' fujeks f,dl= ixl+,;d isÿ fkdjqK;a m%n,j isÿ úh yels óg jvd fjkia ixl+,;d ;sfnkjd' ffjoHjrhd - udisl ffjoH iÕrdj

l=uk fya;=jla u; jqj;a ldka;djla .íidjla lr .kafka kï weh frda.shl= f,i i,ld Wmldr lsÍu tA wjia:dfõ yeáhg b;d jeo.;a fjkjd'

orefjl= fkd,o ldka;djla .íidjla lr .ekSu ;=<ska mef,damSh kd<j,g ydks isÿ jqfKd;a kej; orefjl= ye§fï yelshdj wvq ùu fuys we;s tla Nhdkl ;;a;ajhla' tfiau mef,damSh kd<h ;=< iy tys jfÜg ;sfnk ffi,j,g ydks jqfKd;a thg úIîc we;=,a ùu ksid tAjd wjysr ùug mq¿jks' fuu wjysr ùu iïmQ¾Kfhka isÿ jqfKd;a orejl= yg .kafka ke;sj hkjd' ndf.g wjysr jqfKd;a .¾NdIfhka msg; orejka yg .kakg ^Ectopic Pregnancy& mq¿jka' tys§ ujg wêl nfâ

2015 cQ,s l<dmh

lelal=ula we;s jk w;r jyd frday,.; lr ie;alulska mef,damSh kd<h bj;a lsÍu isÿ l< hq;=hs' hï fyhlska frday,g f.k tAug m%udo ùu ksid mef,damSh kd<h msmsrefjd;a úYd, f,a jykhla isÿ ù YÍrh ;=< f,a tl;=ù uj ñh hk wjia:d tfyu;a ;sfnkjd' fujeks ixl+,;d ñi .íidjka lsÍu ksid wdndê; orejka ìysùu isÿ jkafka kE' kuq;a by; lS ydks isÿ jqfKd;a kej; orejl= ye§fï yelshdj wvq jkakg mq¿jka' wfma rfÜ fudku fya;=jla ksidj;a jhi wjqreÿ 18g fmr foudmshkaf.a leue;af;kaj;a újdy jkakg kS;sfhka wjir fkd§u w;Sidrhg wuqvh .eiSu yd iudk fohla' fï ksidu fujeks kS;s úfrdaë .íidjka iy tjeks .íid ksid isÿjk ud;D urK by< hdu wreuhla fkdfjhs'

Pain Management

Tiaáfhda wd;rhsáia fõokdfjka ñfouq

3' frda.shd mqkre;a:dmkh ^Rehabilitation& lr iudc.; lsÍu fõ'

iafgfrdhsv j¾. fuka fkdj ´fidaka jdhqj ikaê ;=<g tkak;a lsÍfï§ ikaê wdidokh ùfï yelshdj wvqhs

frda.Skag isÿ lrk úúO m%;sldr fuhska frda.hg m%;sldr lsÍu ms<sn|j ±kgu;a Tng jegyS we;=jdg iel ke;' fuhska uQ,slu jkafka Wig iß,k nrla mj;ajd .ekSuhs' fojeks ldrKdj jeämqr weú§u ^úfYaIfhka mä& iy isgf.k isàu iSud lsÍuhs' ;=kajk ldrKdj mdoj, ikaêj,g nr jeàu wvqjk fia w;a jdrejla" ierháhla Ndú;d lsÍuhs' Bg wu;rj ldáf,ac kej; jeãug wjYH hï fmdaIH mÞ¾: ^Glucosamine & Chondroitin& ,ndÈh yelsh' flfia fj;;a ikaêj, we;sjk wêl mSvkh bj;a jk ;=re ^offloading of joints& fuu lsisÿ wfkl=;a m%;sl¾uhlska m%;sM, ,efnkafka ke;' wfkla jeo.;a lreK jkafka ikaêj, iu;=,s;Ndjh ^stability& r|jd .ekSuhs'

ldhsl frda. yd ksoka.; fõokd úfYaI{ ffjoH frdays; chuy mdo wdY%s; ikaêj, we;sjk wd;rhsáia frda.j,ska iq,nju olsk Tiaáfhda wd;rhsáia ^Lower Limb Degenerative ^Osteo Arthritis& ;;a;ajh we;s jkafka nr Wiq,k mdo wdY%s; ikaê ;=< we;s uDÿ mgl ^Cartilage& f.ùug ,lajQ úgh' fufia isÿjkafka widudkH f,i tu jHqyhka u;g mSvkhla jeàu ^Abnormal Loading of Joints& ksidfjks' .=re;ajdl¾IKh ksid ikaê u;g we;sjk n,mEu .=re;ajdl¾IKh .ek Tn wid we;ehs is;uq' th lsf,da.%Eï 10la muK fõ' tu ksid Tn isgf.k isák úg Tnf.a nr fuka 10 .=Khl mSvkhla Tnf.a ikaêu; megfõ' WÞyrKhla f,i Tfí nr Wig iß,k nrg lsf,da 10la jeä kï ^10 x 10& lsf,da 100l wu;r mSvkhla Tnf.a ikaêu; we;sfõ' fï ksid b;d iq¿ nr jeäùulska mjd fuu ;;a;ajhka u;=úh yelsh' flfia fj;;a wfkl=;a wd;rhsáia frda.o ^WÞ( reuefgdhsâ wd;rhsáia& fufia wdrïN úh yels neúka ±k W.;a ffjoHjrhl= yuqù frda.h ks¾Kh lr.ekSu b;d jeo.;a fõ' frda.h iukh lrk ux fuu frda.h l<ukdlrKh lsÍfï§o wfkl=;a ksoka.; fõokd frda. l<ukdlrKh lsÍfï j;a ms<sfj;au wkq.ukh flf¾' tAjd kï" 1' frda.hg m%;sldr lsÍu 2' fõokdj md,kh lsÍu

100

ffjoHjrhd - udisl ffjoH iÕrdj

uQ,slu jkafka Wig iß,k nrla mj;ajd .ekSuhs' fojeks ldrKdj jeämqr weú§u iy isgf.k isàu iSud lsÍuhs' flfia fj;;a ikaêj, we;sjk wêl mSvkh bj;a jk ;=refuu lsisÿ wfkl=;a m%;sl¾uhlska m%;sM, ,efnkafka ke;'

2015 cQ,s l<dmh

fï i|yd úúO m<|kdjka ^Braces like knee supports& yd fN!;Ñls;ail l%u fhdÞ .efka' fõokd kdYkfha kj;u Ndú;dj - ´fidaka fõokd md,kh i|yd úúO fõokd kdYl fnfy;a j¾. Ndú;d l< yelsh' Bg wu;rj §¾> ld,Sk fõokd iukh i|yd hï m%lafIamKhka wÞ< ikaê ;=<g fhduq l< yelsh' fï i|yd iq,nju iafgfrdhsv ^Depo Steroid& Ndú;d l<;a wm idhkfha ±kg jeämqru Ndú; lrkafka ´fidaka jdhqjhs Ôzone) iafgfrdhsv j¾. fuka fkdj ´fidaka jdhqj ikaê ;=<g tkak;a lsÍfï§ ikaê wdidokh ùfï yelshdj wvqh' fojkqj ´fidaka jdhqj ksid iafgfrdhsv j¾.j,ska we;sjk w;=re wdndO we;sjkafkao ke;' fuhska uQ,sl jkafka iafgfrdhsv j¾. ksid ikaê wjg wiaÒka osrdhduhs' ^Periarticular Osteoporosis& fï ksid miq lf,l lD;%su ikaê ±óu wdÈho ^Joint Replacement& wmyiq úh yelsh' fN!;Ñls;aidjg;a" jD;a;Sh Ñls;aidjg;a jeä j.lSula ñka wu;rj iuyr úoHq;a ;rx. ^Pulse Radio Frequency Ablation& u.skao §¾> ld,Sk fõokd iukh lsÍfï wjldY we;' flfia fj;;a fujeks jhi;a iu. we;sjk f.ùhdï ^Degenerative Diseases& j,g iaÓr úi÷u kï ^Regenerative therapy& mqk¾ckkh lsÍfï m%;sl¾u fõ' fuhska f.ù hk ikaê Ôsteoarthritis& i|yd hï ridhk øjH kslafIamK fhdÞ.; yelsh' wms ±kg;a bka iuyr foa wm idhkj, isÿlruq' frda.shd mqkre;a:dmkh ^Rehabilitation& lr iudc.; lsÍu wjidk iy .eUqreu l¾;jHhhs' tA i|yd ^Physiotherapy& iy Ôccupational therapy& tAll fj; úYd, ld¾hNdrhla iy j.lSula mejÍ we;' wfkl=;a ksoka.; fõokd ;;a;ajhkaf.ka fukau fuu frda. ;;a;ajhkaf.kao ;jÿrg;a ÿlaú£ug wjYH ke;' fya;=j T!IOj,ska f;drj lrkq ,nk m%;sldrj,ska fïjd iqj l< yels neúks'

101

Diet

flÜgq fjkak ys;,d ys;=uf;a wdydr md,kh lrkak tmd

flÜgq fjkak ys;,d ys;=uf;a wdydr md,kh lrkak tmd we;eï whf.a jeros wdydr mqreÿ ksid fjk w,l,xÑ úfYaI{ ffjoH wix. úfcar;ak úisks

wdydr md,kh (Diet) wo iq,nj l;dnyg ,lajk ud;Dldjla¡ flfia jqjo wdydr md,kh ys;=ukdfmg isÿlsÍu úYd, m%Yak /il uQ,drïNh úh yels nj Tn ;rfha u;l ;nd .; hq;a;ls' wdydr md,kh lsÍug m%:u ms<s.;a iqÿiqlï ,;a m<mqreÿ fmdaIKfõosfhl=f.a Wmfoia ,nd.ekSu b;du;a jeo.;a fõ¡ Tn tf,i wdydr md,kh lsÍug iQodkï jkafkla fyda oekgu;a wdydr md,kh isÿlrkafkla fï wdydr .ek oekisáh hq;= lreKq lsysmhls¡ • m<;=rej,ska muKla hemSu we;eï mqoa.,hka WoEik fyda rd;%S wdydrh i|yd .ia,nq flfi,a jeks m<;=re j¾. muKla tla lr.kq ,efí¡ fuu.ska YÍrhg ,eìh hq;= úgñka yd Lksc j¾. ,eîu wvq jk w;r by; m<;=rej, nyq, úgñka iS YÍrhg

102

ffjoHjrhd - udisl ffjoH iÕrdj

jeä ù YÍrfha we;eï moaO;Skaj,g ydksúh yel¡ • wdydr fõ,a m%udKh wm m%Odk wdydr fõ,a ;=klg yqre ù we;s i;a;aj fldgils¡ fuu wdydr fõ,a ;=ku fjkqjg we;euqka c,hg yqre mdkSh j¾. .ekSug fm<ö isà¡ tkï le|" iqma fukau m<;=re îu j¾. ta fõ' fujeks oshr j¾. muKlau wdydrhg .ekSu ksid jl=. vqj,ska ks;ru j;=r fmÍu fya;=fjka we;súh yels frda. dndO j,g fudjqka f.dÿre úh yel¡ • YÍr Yla;sh j¾Okh lsÍu we;eï mqoa.,hska YÍr Yla;sh j¾Okh lsÍfï wruqKska we;eï Yla;sckl mdk j¾. fukau uoHidr j¾.o îug .kS¡ fuu.ska fudjqkaf.a m%Odk wdydrfõ,ao u.yeÍ hd yel¡ wjidkfhaoS fuu îu j¾.j,g weíneys ùuo 2015 cQ,s l<dmh

wdydr md,kh lsÍug m%:u ms<s.;a iqÿiqlï ,;a m<mqreÿ ffjoHjrfhl=f.ka fyda fmdaIKfõosfhl=f.a Wmfoia ,nd.ekSu b;du;a jeo.;a fõ¡

fudjqka fkdoekqj;aju isÿ fõ¡ fuf,i ,nd .kq ,nk Yla;s cklmdk j¾. YÍrhg wys;lr fõ¡ fuf,i uoHidr Ndú; lrñka m%Odk wdydr fõ,a u.yer isàfuka miqld,Skj fkdfhl=;a frda.dndO j,g f.dÿre úh yel¡ • laIKsl wdydr wdydr md,kh lsÍfï mqreoaola f,i we;euqka m%Odk wdydr fõ,a u.yer ta fjkqjg ìialÜ" Ñmaia j¾.j,g weíneys fõ¡ fuh fndfyda f,i wjodkï iy.; Ndú;djls¡ Ñmaia j¾. j,ska YÍrhg wêl ¨Kq m%udKhla ,efnk w;r ìialÜj,ska YÍrhg lsisÿ fmdaIKhla fkd,efí¡ wm rfÜ ´kEu wjia:djlg ìialÜ uq,a ;ek .kakd uq;a wka rgj, ìialÜ i|yd t;rï b,a¨ula fkd,efnk njo o; hq;=h' l=i.sks wjia:dj,oS ldfndayhsfâ%Ü wjYH jqjo ìialÜ jeks fohska th fkd,eî hhs¡ <uqkaf.a kï ksis fmdaIKh fkd,nd nv msÍ hdula muKla jkq we;¡ wjidkfhaoS oshjeähdj jeks Nhdkl frda.hkag f.dÿre úh yel¡ • osklg whäka m%udKh ñksil=g osklg wjYH jk whäka imsß ¨Kq m%udKhla we;¡ tkï th f;a ye|s 1la muKS¡ flfia fj;;a kùk iudcfha laIKsl wdydr Ñmaia j¾. jeks wdydrhkag weíneys ùu ksid m%udKh blaujd ¨Kq m%udKhla YÍrhg ,efí¡ fï ksid wêreêr mSvkh jqjo myiqfjka iEosh yel¡ 103

Diet

flÜgq fjkak ys;,d ys;=uf;a wdydr md,kh lrkak tmd

fn%dhs,¾ l=l=¿uia wdosh oskm;d wdydrhg tlalr .ekSu ksid fkdfhla wdldrfha w;=re wdndOhka /ilg myiqfjka f.dÿre úh yel¡ ,xldfõ kï osk 35g;a m%:u l=l=,ka uia lrkq ,efí¡

• msIag wdydr n;a" w," frdà" mdka" fld;a;= jeks ldfndayhsfâ%Ü nyq, wdydrhka lsis f,ilj;a YÍrhg iqÿiq fkdfõ¡ osklg wmf.a YÍrhg msIagh wjYH jkafka 50] - 65] w;r m%udKhls¡ fuh we;eï úg wdishd;sl rgl kï 60] - 80] w;r m%udKhla olajd j¾Okh fõ¡ fuf,i msIagh wêl wdydrhka .ekSug YÍrh weíneys úh yels w;r fuu wdydrhka u.ska YÍrhg iSks f;a ye|s 14-15 laj;a YÍrhg ,efnk fyhska miqld,Skj oshjeähd ;;a;ajh we;súh yel¡ • udxY wdydr fn%dhs,¾ l=l=¿uia wdosh oskm;d wdydrhg tlalr .ekSu ksid fkdfhla wdldrfha w;=re wdndOhka /ilg myiqfjka f.dÿre úh yel¡ fuu l=l=<kag fydafudak wêl m%udKhla ,ndfokq ,nk neúkq;a osk 55-60 la we;=<; fudjqkaf.a uia ,nd.kakd neúkq;a frda. /ilg fuh fya;= úh yel¡ ,xldfõ kï osk 35g;a m%:u fudjqka uia lrkq ,efí¡ fuf,i wêl fydafudakuh wdydr .ekSu ksid wkd.;fhaoS u|ireNdjh orejka blauKska jeäúh meñKSu jeks fydafudakuh n,mEï we;súh yel¡ • l%Svlhkaf.a wdydr rgdj ke;sjQ Yla;sh kej; ,nd.ekSu i|yd we;eï l%Svlhka Yla;s ckl mdk j¾." msá j¾.j,g weíneys fõ¡ kuq;a wdydr u.ska ,nd.kq ,nk Yla;sfha yd fuu mdk j¾.j,ska ,efnk Yla;sh;a w;r fjkila fkdfõ¡ 104

fuu mdk j¾. mdi,a orejka w;r;a m%lg jk w;r fuu.ska wjqreÿ 3540 muK jk úgoS YÍrfha ÿ¾j,;d ,sx.sl ÿ¾j,;d we;súh yel¡ • wdydr fõ,a md,kh wm m%Odk wdydr fõ,a 3 la .; hq;= uq;a we;euqka th ys;=uf;a kj;d ouhs¡ fuu.ska wjYH fmdaIKh fkd,eî f.dia .eiag%hsáia" nvje,a ;=jd, ùu" jukh" ysiroh jeks frda. we;súh yel¡ • t<j¿ muKla wdydrhg .ekSu t<j¿ muKla wdydrhg .kakd mqoa.,hska fndfydaúg tlu j¾.fha t<j¿ j¾. lsysmhlg muKla yqreù isà¡ lerÜ" îÜ" fndaxÑ ta w;r ckm%sh fõ¡ fuu.ska YÍrhg ,efnkafka tlu j¾.fha úgñka yd Lksc ,jK ùu .eg¨jls¡ wjYH wfkl=;a úgñka" fm%daàka j¾. fkd,eî hdfuka m%;sYla;sfha .eg¨ we;súh yel¡

ffjoHjrhd - udisl ffjoH iÕrdj

Sport Health

ukd l%Svd fl!Y,Hhlg l%Svlfhl= wdydr .; hq;= ms<sfj,

ukd l%Svd fl!Y,Hhlg l%Svlfhl= wdydr .; hq;= ms<sfj, l%Svlfhl=f.a fm%daàk wjYH;d l%Svlfhl=f.a úgñk yd Lksc ,jK wjYH;d l%Svlfhl=f.a c, wjYH;d rd.u YslaIK frdayf,a ffjoH pñkao fm%au;s,l úisks

2015 cQ,s l<dmh

l%Svdj ;=<ska fi!LHiïmkak cSú;hla" hym;a wkd.;hla lrd msh ke.Sug W;aidy lrk osßh ;reK ;reKshka wo fndfyda isá;s' iajlSh wNsu;d¾:idOk fhys,d hym;a wdydr fõ,l wjYH;djh wm miq.sh l,dmfhka wjOdrKh lf<uq' fjfiiskau l%Svlfhl=f.a wdydr fõf,ys w;HjYH ix>glh fia ie<flk ldfndayhsfâ%g .ek wm tu ,smsfhka iúia;rd;aulj l;dnyl ksr; jQfhuq'fujr wmf.a ixjdoh wjfYAI fmdaIK wjYH;d j,g f.k huq'

105

Sport Health

ukd l%Svd fl!Y,Hhlg l%Svlfhl= wdydr .; hq;= ms<sfj,

mqyqKQjkafkl=f.a wdydr fõf,ys fm%daàk wdydr fjfiia jeo.;alula orhs' th mqyqKQfjka miq l%Svlhdg YÍrh mqkre;a:dmkhg iy w¿;ajeähdjg WmldÍ jkafkah' l%Svlfhl= ,nd.kakd ldfndayhsfâ%g wêl wdydr fõ, fndfyda ÿrg fm%daàk wjYH;d j,go úi÷ula imhkafka ta i|yd l%Svlhka f;dard. kakd wdydr j, ^Wod yhs iSßh,a & fm%daàk wjYH;do ;Dma; lrk ksidh'

^fï wkQj lsf,da .a?ï 60 la nr mqoa.,fhl=g ojilg .; hq;= fm%daàk m%udKh .a?ï 45-60 w;r m%udKhls'

l%Svlfhl=f.a fm%daàk wjYH;d l%Svlfhl= i|yd ks¾foaY lrk ffoksl fm%daàk m%udKh" idudkHfhka mqoa.,fhl=g wjYH ffoksl fm%daàk wjYH;djhg jvd jeä jkafka b;d iaj,am jYfhks' WodyrKhla f,i" idudkHfhka mqoa.,fhl= i|yd osklg wjYH flfrk fm%daàk m%udKh f,i ie<flkafka YÍr nr lsf,da .arEuhlg fm%daàk .a?ï 0'8-1'0 jYfhks'

l%Svlhka weuhsfkda wï, mod¾: w;sf¾lj ,nd.ekSu u<, l%Svdj, fhfok iy oeä fjfyila wjYH jk jHdhdu j, ksr; jk fndfyda l%Svlhka wu;r fm%daàk fyda weuhsfkda wï, mod¾: .ekSfuka ;u l%Svd fl!Y,Hfha jeä ùula jkq we;ehs úYAjdi lr;s' kuq;a ienEj kï w;sYh nyq;rhlg wjYH ffoksl fm%daàk m%udKh iun,j ,nd.kakd ;u fndcqkamf;kau iïmQ¾K njhs'

106

oeä wd;;suh fkdjk (Non-endurance events) l%Svd j, ksr; jk wh - idudkHfhka osklg ñks;a;= 45-60 muK jHdhdu j, ksr; jk wh ojilg .; hq;= fm%daàk m%udKh YÍr nr lsf,da .arEuhlg fm%daàk .a?ï 1'0-1'2 jYfhks' ord.ekSu wjYHfhkau b,a,d isák (Endurance events and strength events) l%Svd j, ksr; jk nr bis,Su wdoS l%Svdj, ksr; jk wh idudkHfhka osklg mehlg jeä ld,hla jHdhdu j, ksr; jk úg ojilg .; hq;= fm%daàk m%udKh YÍr nr lsf,da .arEuhlg fm%daàk .a?ï 1'2-1'7 jYfhka jeä l< hq;=h' fmdaIK úoHd;aul wOHhk j,g wkQj fndfyda l%Svlhka úfYAI wu;r fmdaIKhlska f;drj fï wjYH lrk fm%daàk wjYH;djh imqrd.kakd nj fmfka'

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

ffjoHjrhd - udisl ffjoH iÕrdj

l%Svlfhl= i|yd ks¾foaY lrk ffoksl fm%daàk m%udKh" idudkHfhka mqoa.,fhl=g wjYH ffoksl fm%daàk wjYH;djhg jvd jeä jkafka b;d iaj,am jYfhks'

2015 cQ,s l<dmh

107

Sport Health

;jÿrg;a m¾fhaIK lsÍu wjYH jQjo wê fm%daàk wdydr fõ,l kq.=K rdYshla we;s nj wo ojfia ms<s.;a u;hhs' ta w;r my; lreKQ Tfí wjdishg mj;sKq we;' • jl=.vq flfryS wys;lr wkaoñka n,mEu • YÍr nr jeä ùu • fm%daàk flfryS we;sjk wdYla; nj ksid OdkH" m<;=re" t<j¿ wdoS wfkl=;a wdydr ix>gl j, uy`.= fmdaIKh ke;s ùu úgñk yd LKsc ,jK ukdj ie,iqï lrk ,o wdydr fõ,la u.ska l%Svlfhl=f.a uQ,sl úgñka yd LKsc ,jK wjYH;d imqrd iïmQ¾K flf¾' w;sf¾l jYfhka .kakd úgñk" LKsc ,jK wjYH fjkafka hlv W!K;djh" le,aishï W!K;djh jYfhka y÷kd.;a W!K;djhla Tng mj;skjd kï muKh' tfiau úgñk yd LKsc ,jK wê ud;%d j,ska ,nd oSfuka l%Svd yelshdjka jeäjk nj y÷kdf.k fkdue;' 108

ukd l%Svd fl!Y,Hhlg l%Svlfhl= wdydr .; hq;= ms<sfj,

fuysoS úfYAIfhka l%Svlhkg osh hq;= wjjdohla ;sfí' m<mqreÿ ffjoHjrfhl=f.a ks¾foaYhlska f;drj lsisu úfgl úgñk yd LKsc ,jK ,nd fkd.; hq;=h' th wjodkï iy.; mqreoaola fia w;sYhska ie<flK w;r wdydrfha hï W!K;djhla fõ kï ffokslj ,nd.kakd wdydrfha isÿ lrk fjkialï Tiafiau tu W!K;djh imqrd.; yelsh'

l%Svlhkaf.a c, wjYH;d l%Svlfhl= úc,khg m;aùu iajlSh l%Svdfõ wfmalaIs; uÜgï lrd <`.dùug Tyqg ndOdjls' fï úc,kh iSudj blaujd .sh l,ayS frda.shdf.a ;=<s;;djh ì|Sfuka Tyq weo jefgkakg;a" we;eï úg urKhg m;a jkakg;a bv ;sfí' l%Svdjg fmr" l%Svdj lrk w;r;=r yd l%Svdfjka miq c,h mdkh lsÍu l%Svlfhl=g w;sYhskau jeo.;a jkafka fï ksidh' lsisfjl= j;=r fndkakg ;sny tk;=re isàu jrols' we;af;kau th l< hq;af;a ;sny we;s fjkakg fmr isgh' fjfiiskau" úkdä 60 lg jeä ld,hla biõfõ ksr; ùug isÿjk l%Svd" oeä wdhdihla fhosh hq;= l%Svd fukau oeä WKQiqï ;;a;aj j,oS lrk l%Svd j,oS Tn m%udKj;a ic,khla mj;ajd.; hq;=h' flKavd fmr<Sï j,g Salt tablets Ndú;d lsÍu oeka ks¾foaY lrKQ fkd,efí' fmaYs fmr<Sï j,g" flKavd fmr<Sï j,g ienE fya;=j fmaYs mgl j,g fidaähï ys`.mdvq ùu fkdfõ' thg;a fya;=j c,h W!K;djhla we;s ùuh' os.= fõ,djla mj;sk flKavd fmr<Sï iskala yd ue.akSishï W!K;djfha m%;sM<hls'

ffjoHjrhd - udisl ffjoH iÕrdj

2015 cQ,s l<dmh

109

Geriatric Nutrition

jeäysáhka fmdaIK .=Kfhka imsß wdydr .ekSug W;aiql úh hq;=h

jeäysáhka fmdaIK .=Kfhka imsß wdydr .ekSug W;aiql úh hq;=h jhia.; jq jeäysákaf.a ukd fi!LH meje;au yd wdydr w;r meyeÈ,s jq iïnkaO;djla we;' hï mqoa.,hl= jhia.; ùfï§ we;sjk úúO YdÍßl yd udkisl fjkialï tu mqoa.,hdf.a fmdaIK ;;a;ajh flfryS n,mEï we;s lrhs' YÍrh lDI ùu" yd mßjD;a;Sh fõ.h wvq ùu" wdydr reÑfha we;sjk fjkialï" wdydr Èrùu yd YÍrhg wjfYdaIK ùfï ¥¾j,;d hkd§ fya;= fudjqka f.a fmdaIK ;;ajhg n,mEï we;s l< yelsh'

110

ish¿ wdydr ldKav j,g wh;a úúO wdydr j¾. f;dard .ekSu i|yd úfYaIfhka wjOdkh fhduql< hq;=h'

wêfmdaIKh iy ukaofmdaIKh jeäysá úfha§ we;sjk úúO frda.S ;;a;aj ksid fmdaIK W!K;djhka we;sfõ' fï ish¿ fya;= jeäysáhkaf.a ukaofmdaIKhg fya;= fõ' wêfmdaIKho jeäysáhka ;=< mj;sk nyq, fmdaIK .eg¿jla jk w;r thg fya;=j wvq YdÍßl l%shdldrlï fyda jeämqr wdydr mßfNdackh fõ' jhia.; úfha miqjk jeäysáhka ukaofmdaIKhg f.¥reùu myiqfjka is¥úh yels fohla ksid Tjqkaf.a wdydr ms<sn| jeä wjOdkhla fhduq l< hq;=h'

ffjoHjrhd - udisl ffjoH iÕrdj

jeäysáhkaf.a fmdaIK wjYH;d l%shdYS,S fkdjk jeäysáhkaf.a Yla;s wjYH;djh jhia .; ùu;a iu. wvqfõ' tfy;a" fm%daàka" úgñka ^;hïka" rhsfnd*af,aúka" úgñka î 12" f*da,sla wï,h" úgñka ã iy iS & iy LKsP ,jK ^hlv yd le,aishï& j, wjYH;djh fkdfjkiaj mj;S' jeäysáhka wdydrh i|yd f;dard.; hq;af;a fmdaIK .=Kfhka imssß wdydrh' tkï ish¿ fmdaIl nyq,j we;s yd le,ß wvq wdydr fõ' jhia.; jeäysáhka wê nr yd ;rndre ùug we;s yelshdj by< uÜgul mj;sk ksid Tjqka Yla;sckl wdydr mßfNdackh ms<sn|j ie<ls<su;a úh hq;=h' Èkm;d úúO;ajfhka hq;= wdydr f;dard .ekSu u.ska jeäysáhkag wjYH úúO fmdaIl wjYH;d ,nd .ekSug mq¿jk' fyd| fi!LH ;;a;ajhla mj;ajd .ekSu i|yd m%udKj;a f,i Èhr mdkho wjYH fõ' 2015 cQ,s l<dmh

wdydr .ekSfïoS fï ne|Sï ;sr lr.ekSugo wjia:dj i,id.; hq;=h

úgñka yd Lksc ,jK" mßmQrl ^lD;%su úgñka" fm;s" isrma yd w;sf¾l fmdaIl& iuyr jeäysáhka úiska m%udKj;a f,i wdydr fkd.ekSu ksid we;s jk fmdaIK W!K;djh mßmqrl úgñka yd LKsP ,jK ,nd §fuka iïmQ¾K l< yelsh' fuu mßmQrl úgñka yd LKsc ,jK ffjoH Wmfoia u; ,nd Èh hq;= fõ' jhia.; jeäysáhka i|yd ksjerÈ wdydr mQre¥ wdydr reÑh wvq ùu;a" wdydr iemSug uqLfha o;a fkd;sîu;a" wdydr YÍrhg wjfYdaIKh ùu wdld¾hlaIu ùu;a" úúO j¾. j,g wh;a wdydr ks;r wdydr fõf,ys wvx.= fkdùu;a hk lreKq fya;= fldg f.k YÍrhg wjYH fmdaIKh fkd,eî hdu is¥ fõ' 111

Geriatric Nutrition

jeäysáhka fmdaIK .=Kfhka imsß wdydr .ekSug W;aiql úh hq;=h

wdydr uD¥ f,i yd f;ïmrd¥ lsÍu jeks úúO l%u j,g ms<fh, lr .ekSfuka fuu ;;a;ajh j<ld .; yelsh' ish¿ wdydr ldKav j,g wh;a úúO wdydr j¾. f;dard .ekSu i|yd úfYaIfhka wjOdkh fhduql< hq;=h' fuu wjÈfha miqjk wh w;r" m%udKj;a f,i wdydr fkd.ekSu;a" wdydrfhys m%udKj;a f,i ;ka;= yd fl|s iys; wdydr wvx.= fkdùu;a" c,h fyda Èhruh mdkhka .ekSu wvQùu;a" ls%hdldrlï wvqùu;a hk fya;= ksid u<noaOh nyq,j olakg we;' fuu ;;a;ajfhka ñ§u i|yd ;ka;= iys; wdydr .ekSu ^fkdmdysk ,o OdkH" m<;=re" t<j¿ iy msh,s&" jeämqr c,h mdkh lsÍu iy YdÍßl l%shdldrlïj, fh§u jeä l< hq;=h' nv úf¾l T!IO Ndú;d l< hq;af;a ffjoH Wmfoia u; muKs' Tiaáfhdafmdfrdaisia ^le,aishï W!K;djh ksid is¥jk wiaÓ ;=kS ùu& wiaÓ ;=kS ùu yd ì|S hdfï wjodku jhia .; ùu;a iu. jeä fõ' wd¾;yrKfhka miq ldka;djka fuu frda.S ;;a;ajhg f.d¥reùfï jeä keTqre;djhla olajhs' fujeks whf.a wiaÓ myiqfjka ìf`ok w;r" YÍrhg ,nd. kakd le,aishï m%udKh tljr jeälsÍu ;=<ska wiaÓ h:d ;;a;ajhg m;a l< fkyelsh' tfy;a ;j ¥rg;a wiaÓ ;=kS ùu j<lajd .ekSu i|yd le,aishï nyq, wdydr jk yd,aueiaika" l=vd ud¿ka" lsß" lsß j,ska idok wdydr m%udKj;a f,i wdydrhg tl;= lr.; hq;= w;r" l%shdYS,s ùu u.ska wiaÓ ;j¥rg;a Yla;su;aj mj;ajd .;yelsh' rla;ySk;djh rla;ySk;djh jeäysáhka w;r mj;sk m%Odk fmdaIK .eg¿jls' hlv nyq, wdydr jk uia" ud¿" lrj," msh,s j¾." ;o fld< meye;s m<d j¾. yd f*da,sla wï,h nyq, wdydr jk msh,s yd weg j¾." m<;=re ;o fld< meye;s t<j¿ iy m<d j¾. Èkm;d wdydrhg .; hq;=h'

112

ffjoHjrhd - udisl ffjoH iÕrdj

fmdaIK .=Kfhka imsß ldKav yhgu wh;a wdydr yd mdk j¾. jeäysáhka i|yd mßfNdackhg iq¥iq w;r" wêl fïoh wvx.= wdydr" iSks yd ¨Kq tl;= l, wdydr Ndú;h iSud l< hq;=h'

fi!LHu;a wdydr fmdaIK .=Kfhka imsß ldKav yhgu wh;a wdydr yd mdk j¾. jeäysáhka i|yd mßfNdackhg iq¥iq w;r" wêl fïoh wvx.= wdydr" iSks yd ¨Kq tl;= l, wdydr Ndú;h iSud l< hq;=h' kshñ; ld, mr;rhlska yd ksis m%udK j,ska wdydr .ekSu fhda.H jk w;r" wdydr fõ,a u`.yeÍu is¥fkdl< hq;=h' wdydr reÑh wvq ùuo is¥fõ' 2015 cQ,s l<dmh

wdydr reÑh wvq jeäysáhka i|yd" f;ïmrd¥ lsÍu jeks úúO l%u u.ska wdydrh rij;a l< yels w;r" thska iemfhk Yla;s m%udKho jeä lr .; yel' fujeks wdydr ,nd §u u.ska Tjqkaf.a nr wvq ùuo j<lajd .; yel' jeämqr Èhr j¾. mdkhg ,nd§u iq¥iq w;r Èklg j;=r ù¥re 6 isg 8 olajd m%udKhla ,nd Èh hq;=h' wê nr ;;a;aj j<lajd .ekSu i|yd msá iys; wdydr j, m%udKh" iSks iy fïoh wvx.= wdydr ,nd §u iSud l< hq;= w;r" ta fjkqjg t<j¿" m<;=re" msh,s yd weg j¾. yd ud¿ ,nd §uo" uOHia: jYfhka uia" lsß iy ì;a;r ,nd §uo is¥l< hq;=h' uoHidr Ndú;h iq¥iq fkdjk w;r ¥ïmdkfhkao je<lSu u.ska ksfrda.S fi!LH iïmkak Èúhla mj;ajd .; yelsh' YdÍßl l%shdldrlï yd cSjk rgdj ks;r YdÍßl l%shdldrlïj, fh§u ;=<ska jhia.; úfha§ we;sjk fndfydauhla .eg¿ wvqlr.; yelsh' YdÍßl l%shdldrïj, fkdlvjd ksr; ùu ;=<ska hym;a jq YdÍßl yd udkisl meje;aula ,`.dldr .; yels w;r" l%shdYS,s cSjk rgdj u.ska wiaÓ ;=kS ùu udxYfmaYs ¥¾j, ùu j<lajd .; yel' ;jo YdÍßl l%shdldrlï j, jeämqr fh§u u.ska ;rndrej" Èhjeähdj" yDofrda. jeks cSjk rgdj iu. ne|S mj;sk fndfydauhla f,v frda. iE§fï wjodkuo wvqlr .; yelsh' ;jo l%shdYS,S ùu u.ska m%oa.,hdf.a iudc iy iïnkaO;d jeä fõ' tfukau mßfNdackh lrk wdydr m%udKh iSud lsÍugo wjYH fkdfõ' tu.ska wdydr u.ska ,nd.kakd ish¿ fmdaIl wvqjla fkue;sj ,nd .ekSugo yelsfõ'

fi!LH wOHdmk ld¾hdxYfha meje;ajq foaYkhla weiqßKs

113

Caffeine effects

lef*aka .ek Tn fkdokak lreKq

Caffeine effects f;a fldams fldhsfl;a ;sfhk" lma .ymq il%Sh ridhkh lef*aka

jHdhduhla lrkak fmr lef*aka wvx.= mdkhla .ekSfuka ord.ekSfï yelshdj jeä fjkjd' fjfyi wvq fjkjd' fõokdj;a ie<lsh hq;= muKlska wvq fjkjd'

lef*aka .ek Tn fkdokak lreKq wfma rfÜ jeishka ojilg f;a fldamam fol ;=kla j;a fndkjd' f;a j, ;sfnk m%Odk ridhk øjHh lef*aka' f;a yereKq úg fldams j,;a lef*aka fnfyúka ;sfnkjd' f;a yd fldams ;uhs wfma rfÜ ckm%shu mdk' ta lshkafka wm lef*aka j,g weíneys jQ cd;shla' lef*aka f,dj y÷kd.;a m%n, W;af;aclhla' ta yereKq úg lef*aka j, ;j;a úúO y÷kd.;a .=Kdx. /ila ;sfnkjd' fyd| krl folu uqiq jQ lef*aka ms<sn|j Tfí oeKQu ksï j<¨ mq¨,a lrkakhs fï W;aidyh'

114

 ojilg f;a fldamam

y;rla mdkh lsÍfuka mdlskaika frda.h we;sùfï bvlv yß wvlska my; fy<kakg mq¿jks' mdlskaika frda.h we;s lsÍug fya;=jk fvddmñka wKQ u¾Okh lsÍug lef*aka iu;a'  we,aIhsu¾ frda.h yefokafka amyloid-beta kï leá;a;lska fud<fha úúO wjysr ùï we;s jqKdu''' fïjdfha l%ñl l%shdldß;ajfhka ffjoHjrhd - udisl ffjoH iÕrdj

we,aIhsu¾ frda.h yefokjd' m¾fhaIK j,ska fy<sorõ ù ;sfnkjd" lef*aka j, ;sfnk weäfkdiska u.ska fï amyloid-beta kï OQ,lfha l%shdldß;ajh wvmK lrk nj' ta ksid we,aIhsu¾ wjodku lef*aka mdk j¾. .kak whf.a ie<lsh hq;= muKlska wvqhs'  jHdhduhla lrkak fmr lef*aka wvx.= mdkhla .ekSfuka ord.ekSfï yelshdj jeä fjkjd' fjfyi wvq fjkjd' fõokdj;a ie<lsh hq;= muKlska wvq fjkjd' fõokdj yd fjfyilr nj wdoS ixfõok we;s lrk mKsúv fud<hdg hdu lef*aka ksid wffO¾h flfrkjd'

f;a ìõj;a''' fldams ìõj;a Wfoag ta .ukau jf.a jeisl, s h s g hkak fjk nj Tn;a w;aoelSfukau okakjdfka' we;a;''' lef*aka fyd| nv úf¾plhla'

 lef*aka mdkh lsÍfuka flá ld,Skj reêr

mSvkh by< kexfjk nj American Journal of Clinical Nutrition i`.rdj m%ldY lrkjd' Tn;a wê reêr mSvkfhka fmf<kjd kï wêl lef*aka j,ska wE;aùu jeo.;a'  mqoa.,hka 83"000la fhdodf.k isÿ lrk ,o wOHhkhlg wkQj lef*aka idr mdk j¾. ks;r .ekSfuka wxYNd. wjodku iq¿ jYfhka wvq jk nj fy<sorõ ù ;sfnkjd' 2015 cQ,s l<dmh

 lef*aka fyd| nr

wvq lrk f;aÍula fkdfjhs' ta ú;rla fkdfjhs" jeämqr .;af;d;a lef*aka ksid fldaáfida,a >%djh by< hdfuka YÍr nr by< hdfï wjodkul=;a ;sfnkjd'  f;a ìõj;a''' fldams ìõj;a Wfoag ta .ukau jf.a jeisls,shg hkak fjk nj Tn;a w;aoelSfukau okakjdfka' we;a;''' lef*aka fyd| nv úf¾plhla'  lef*aka fyd| m%;sTlaisldrlhla' m%;sTlaisldrl j,ska ms<sld wju lsÍu we;=¿j jdis úYd, m%udKhla w;am;a fjkjd'  lef*aka fnfy;la jYfhkq;a y÷kajkak mq¿jks' wfkla fnfy;a jf.auhs''' lef*aka jqK;a jeäfhka ìõfjd;a úúO ixl+,;d we;s fjkak mq¿jka' fï ksid hï mqoa.,fhl= osklg lef*aka wr.; hq;= Wmßu ud;%dj ñ,s .a?ï 500hs' Bg jeäh nE' 115

Advertorial

isrerg .=Kodhl fmdaIH .=Kfhka wkQk fmd,af;,a

isrerg .=Kodhl fmdaIH .=Kfhka wkQk fmd,af;,a fmd,af;,a by< kxjkafka fyd| hhs ie<flk HDL fldf,iagfrda,a ixhq;shhs l=reKE., YslaIK frdayf,a ffjoH kd,l rKisxy úisks

fmd,a f.äfha uoh úh<d" wUrd ,nd .kakd fmd,af;,a ol=Kq yd w.aksos. wdishd;sl rgj, wdydr msiSfïoS fhdod .kakd w;sYh ckm%shu f;,a j¾.hhs¡ T!IO ksIamdokfhaoS yd mdrïmrsl ffjoH lghq;=j,oS o fmd,af;,a Ndú; flfrkafka ta i;= T!Iëh .=Kh ksiduh¡ fmd,af;,a j, ishhg 85]lg;a jvd ix;Dma; fïoh wvx.= jk w;r Lauric acid kï fïo wï,h fya;=fjka fmd,af;,a ñfok úg iqÿ meyefhka hq;= Wl= øjHhla njg m;a fõ¡ w¨;ska ys|. kakd ,o fmd,af;,a ,d ly meyehlska fukau kejqï rihlska o hqla; fõ¡ 250c ldur WIaK;ajhloS 0¡917-0¡919la olajd idfmalaI >K;ajhlska hq;= fmd,af;,a 251263 olajd iMKSlrK w.hlska hqla; fõ¡ ys;lr fldf,iagfrda,a uÜgu jeä lrhs fmd,af;,a Yla;sh nyq,j wvx.=

116

ffjoHjrhd - udisl ffjoH iÕrdj

wdydrhls¡ fmd,a .%Eï 100lska le,rs 884l Yla;s m%udKhla isrerg ,efí¡ blauKska reêrhg wjfYdaIKh jk fïo wï, Yla;s oykh wju lrk ksid reêrfha wvx.= ys;lr fldf,iagfrda,a uÜgu jeä lsrSuo fmd,a f;,a mdrsfNdackfhaoS isÿ fõ¡ fmd,af;,a YÍrfha m%;sYla;slrKh by< kxjhs fmd,af;,a mdrsfNdackh ksid Tn fkdis;k wdldrfha fi!LHuh m%;s,dNo Tng w;am;a jkafkah' ffjri yd os,Sr wdidokj,g tfrysj YrSrfha m%;sYla;slrKh by< kexùu tjka jákd m%;s,dNhls' wdydr cS¾K moaO;sfha mj;sk wys;lr Ëqø cSùka yd mrfmdaIs;hka wju lrk ksid fmd,af;,a wkqNjfhka nv msmSu" Wor fõokd fukau wdydr osrùfï wmyiq;do wju jkafkah'

2015 cQ,s l<dmh

msrsisÿ fmd,af;,a ks;sm;d isref¾ yd flia l<fò .e,aùfuka meyem;a iula yd ksfrda.S flia l<Ula Wreu lr .ekSug yels nj Tn okakjdo @ fmd,af;,a ifuys iïnkaOl mgl Yla;su;a lrk ksid iu /<s jeàu yd t,a,d jeàu fjhs' ;j;a jdis f.dvhs YrSrfha ksis ls%hdldrs;ajh flfryS fmd,a f;,a olajk odhl;ajh iq¿mgq fkdfõ¡ ;hsfrdhsâ .%ka:sfha ksis ls%hdldrs;ajhg fukau reêrfha iSks uÜgu md,khg o fmd,af;,a iu;ah' YrSrfha mrsjD;a;Sh l%shdj,sh uekúka mj;ajd .ekSu" ord .ekSfï yelshdj jeä oshqKq lsrSu fukau fïofha oshjk úgñka j¾. YrSrhg Wrd .ekSugo fmd,af;,a WmldrS jk nj Tn okakjdo @ by< hkafka fyd| fldf,iagfrda,a j, w.hhs fmd,af;,a mrsfNdackfhka reêrfha fldf,iagfrda,a uÜgu by< hk nj ienEjls¡ kuq;a tu.ska Tfí YrSr fi!LHhg lsis÷ ydkshla isÿ fkdjkafka fufia by< hdu isÿ jkafka HDL fyj;a YÍrhg ys;lr fldf,iagfrda,a j, jk neúks¡ tfukau ;hsfrdhsâ .%ka:sfha ls%hdldrs;ajh jeä oshqKq lsrSu fya;=fjkao reêrfha wys;lr fldf,iagfrda,a m%udKh md,kh ùula isÿ fõ¡ fï wkQj fldf,iagfrd,a j, fyd| idOlh''' tkï HDL fldf,iagfrd,a muKla jeä lsÍu ksid fmd,af;,a fldf,iagfrd,a we;s lrjk fohla f,i .ekSu jrojd jgyd .ekauls' rEmd,xlrKhg fmd,af;,a ldka;djka ;u rEmh ms<sn|j b;d ie<ls,su;ah¡ meyem;a ksfrda.S iulg yd flia l<Ulg

117

Advertorial

isrerg .=Kodhl fmdaIH .=Kfhka wkQk fmd,af;,a

ysñlï lSug ´kEu leue;a;la fkdolajkafka ljqrekao @ msrsisÿ fmd,af;,a ks;sm;d isref¾ yd flia l<fò .e,aùfuka meyem;a iula yd ksfrda.S flia l<Ula Wreu lr .ekSug yels nj Tn okakjdo @ fmd,af;,a ifuys iïnkaOl mgl Yla;su;a lrk ksid iu /<s jeàu yd t,a,d jeàu fjhs' fï wkQj msrsisÿ fmd,af;,a rEmd,xlrKfhyso ufy!IOhla jeksh'

kuq;a fmd,af;,a j, we;s uOHu odu fïo wï,h fldf,iagfrda,a flfryS iDKd;aulj n,mdk nj m¾fhaIK j,ska ;yjqre ù ;sfí' fï wKQj fkdfhl=;a wdldr j,ska fj<|fmd<g tk wjfYAI f;,a j¾. j,g jvd fmd,af;,a wdydrhg .ekSu fi!LHiïmkak nj lsj yel' ta yereKQ úg tu fmd,af;,a j, we;s uOHu odu fïo wï,h ;=< m%n, m%;scSù" m%;sffjri .=Kdx. o mj;S'

fmd,af;,a ia:q,;djhg wk.s úi÷uls ffokslj j¾cska fldlkÜ Ths,a (Virgin Coconut Oil) ye¢ folla muK wdydrhg .ekSfuka ia:Q,;djh wvqjk nj úfoaYlhska lr we;s mÍËK uÕska Tmamq ù we;' ^ffokslj j¾cska fldlkÜ Ths,a Virgin Coconut Oil f;dard .ekSfï§ ksjerÈj ksIamdokh lrkq ,nk f;,a j¾.hla ,nd .ekSug j. n,d .; hq;=h'& fmd,af;,a j, we;s fïoh fmd,af;,a j, we;s fïoh iy f;,a j, ixhq;sh;a uQ,sl jYfhka wfkla wdydr j, mßoafokauh' fuyso fïoh;a" f;¨;a ieÿï ,nkafka fïo wï,j,sks fatty acids' fïjd fohdldrhlska j¾.SlrKh fjhs' tlla tajdfha ix;Dma;;djh wkQjh' tkï" Monounsaturated, and Polyunsaturated wdoS jYfhks' wfkla j¾.SlrKh mokï ù we;af;a tajdfha we;s wKQl úYd,;ajh fkdfyd;a tajdfha we;s ldnka odufha os. wkQjh'

—wdfrda.Hd mrud ,dNd ika;=Üà mrux Okx˜ hk nqÿ jofka i;H;dj uekúka mila jkafka jeros wdydr mqreÿ fndfyda f,v frda. j,g fya;=jk ksidfjks' ksfrda.S nj;a i;=g;a /l .ekSug oskm;d msrsisÿ fmd,af;,a wmf.a wdydr fõ,g tla lr .ekSu wm ldg;a wmyiq fkdfõ¡

iEu fïo wï,hlau os.= ldnka oduhlg iïnkaO jQ flá odu fïo wï, (SCFA), uOHu odu fïo wï, (MCFA) fyda os.= odu fïo wï, (LCFA) hk tllska iukaú;h' fïjdhska fmd,af;,a j, we;af;a uOHu odu fïo wï,h medium-chain triglycerides (MCT)' wm wdydrhg .kakd fïoh iy f;,a j,ska ishhg 98 lau os.= odu fïo wï, j,ska iukaú; hhs ie<fla'

118

ixjdo igyk fhIsld iurfldaka

ffjoHjrhd - udisl ffjoH iÕrdj

2015 cQ,s l<dmh

119

wdhq¾fõoh

ysiflia iqÿ ùug fnfy;a

le| j¾." wdf.,am iy ysig odk .=Kj;a f;,a j¾. wdpd¾h" wdhq¾fõo ffjoH" N+Ika ufyaIa w;=r,sh

120

ysiflia iqÿ ùug fnfy;a

rE imqj .ek Wkkaÿ jk iEu flfklau ;u fldKavhg úfYaI ie<ls,a,la olaj;s' fldKavh isref¾ meyeh" jhi wdrCId lrñka" jvd ;reK fmkqula Tn fj; f.k ths' tkuqÿ flia jhig hEug fmr iqÿùu wo iudcfha nyq,j oel .; yels ;;a;ajhls'

ffjoHjrhd - udisl ffjoH iÕrdj

ysiflia iEoS ;sfnkafka u;= msgg fmfkk j¾Kl iys; flkao iy tys m;=f,a we;s f*d,sl,h ^l+mh& u.sks' iEu f*d,sl,a tlla ;=<u j¾Kl ffi, wvx.= fõ' tu j¾Kl ffi, u.ska fu,kska kï ridhksl øjH ksmojkq ,nhs' isref¾ meyeh fukau ysi flia j, meyeho we;s lrkqfha fu,kska u.sks' fu,kska u.ska msg;g fmfkk flkafoa j¾Kh l¿" ÿTqre fyda r;= f,i fmkakqï lrhs' ysiflia j, j¾K ;o mdg fyda j¾Kj;ao hkak ;srKh jkqfha fu,kska j¾Klh ksihs' ;o l¨ ysi flia we;s whf.a fu,kska j¾Klh jeä mqr msysgd ;sfí' ,d meye;s ysi flia we;s whf.a fu,kska j¾Klh wvqhs' wm jhig hk úg f*d,sl,a we;=f,a we;s j¾Kl ffi, l%ufhka ueÍ hkq we;' túg ysi flia j, mj;sk l¿ j¾Klh ßoS meyehg yeÍ th j¾Okh iu. ÿTqre yd iqÿ meyehla .ks'

bka miq j¾Kl ffi, ueÍ .sh miq ysiflia iïmq¾Kfhkau iqÿ meyehla .ks' ysiflia iqÿùug m%;sldr le| j¾. f.dgqfld," fudkrl=vqïìh" bruqiq" uq.=Kqjekak" ls lsßÈh" yd;jdßh" fmd,am,d" lrmsxpd" ¨kqú, hk ñka l=ula fyda le| j¾.hla mdkh lsÍu iqÿiqh' wfkl=;a m%;sldr • foysfld< hqI" foys hqI" fmd,a lsß wõfjka r;a lr kEug mehlg fmr ysfiys wdf,am lsÍu' • ÿïue,a, fld< c,h iu. wTrd kEug mehlg fmr ysfiys wdf,am lsÍu' • fmdl=re jou,a c,h iu. wTrd kEug mehlg fmr ysfiys wdf,am lsÍu' • ks,a wjßh fld< hqI kEug mehlg fmr ysfiys wdf,am lsÍu' • fjr¿ fld< hqI j,ska ysi fia§u' • r;a u,a lel=¿ l=vq fmd,a lsß iu. ñY% lr wdf,am lsÍu' • wuq fk,a,s foys hqI iu. ñY% lr wdf,am lsÍu' ysig oeñh yels f;,a j¾. • ;, f;,a • ksId§ f;,a • ksß.=KavhdÈ f;,a • mdGdÈ f;,a • ;, f;,a j,g ksl fld, hqI oud r;a lr is|.;a f;,a wdf,am lsÍu' • ;, f;,a j,g ls lsßÈh fld, hqI oud r;a lr iso .;a f;,a wdf,am lsÍu' • wl,g ysi flia meiSu ioyd rd;%s ld,fha kEu" wêl Ys; j;=r yd WKq j;=r kEu fya;= jk neúka rd;%s ld,fhaÈ fkdkE isáh hq;=h' ;jo wl,g ysi flia hEu ioyd le,aishï W!K;djho m%n, f,i fya;=jla fjhs' tu ksid le,AAishï nyq, mqxÑ ud¿ yd yd,aueiaika jeks wdydro ks;r .; hq;=h'

igyk- wkqrdOd os,sks b,kafldaka 2015 cQ,s l<dmh

121

wfma bmerKs wdydr - úyrK

flfi,a fldf<A n;a''' fk¿ï fldf<A n;a" lekao fldf<A ye,m'''

wfma bmerKs wdydr - úyrK

flfi,a fldf<A n;a''' fk¿ï fldf<A n;a" lekao fldf<A ye,m''' tod wfma merKs wdydr t;Sfï l%u wog;a kejqï njla fmkajhs¡'' j;af;a.u ysgmq l,dm wOHdmk wOHlaI tia¡ fla¡ chj¾Ok úisks

ydr msiSu" wdydr wkqNjh yd wdydr neyer f.k hdu tod wfma merKs iudcfha mßir ys;ldó l%u wkqj isÿ úh¡ osk .Kkla wE; jkaokdfõ .sh jkaokd kv ;udg wjYH yd,a" t<j¿ ud¿" ¨Kq ñßia /f.k hdu isß; úh¡

bkamiq fï jkaokd kv" .ia hg" wïn,ï j, kej;S iduQysl f,i f.k .sh øjH Whd msyd f.k lEy¡ ta ksid tod .uka ud¾. wi< ;ekska ;ek u.Skag kej;Sug" .suka yeÍug wïn,ï úh¡ wïn,ï" we< <sx" fmdl=Kq bosù ;snqKs¡ u.Skaf.a wjYH;djh i|yd fndfyda merKs ksfjia bosßmsg msx;d,shla ;nd ;snqKs¡

122

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

waidyawaraya.com

w;S; j. m, Tiafia''' tod jkaokd .uka .sh wh l,a ;nd.; yels leú,s fmú<s f.k .shy¡ tfia f.k .sh ckm%sh w;=remi jQfha w.a.,dh' —iuk, yE,a,˜ lúfmd; wkqj jkaokdlrejka Y%S mdo ke.SfïoS w.a.,d we;=¿ leú,s f.k .sh nj oelafjhs¡ tfiau tod rcqka" m%N+ka" .eñhka mdf¾ u`.f;dg hk u.Skaf.a l=i.sks ksùu i|yd okaoSu mskalula fia i<ld we;¡ merKs .%ka:j, wdydrmdk oka osh hq;= wh f,i ÿ.S" u.S hdplhka olajd we;¡ fï wkqj wE; .ukaj, yqfol,dj .sh u.Skaf.a l=i.skak ksùug wdydroSu .eñfhda ;u hq;=lula fia ie<l+y¡ 17jk ishjfia ffjoHjrhd - udisl ffjoH iÕrdj

—iuk, yE,a,˜ lúfmd; wkqj jkaokdlrejka Y%S mdo ke.SfïoS w.a.,d we;=¿ leú,s f.k .sh nj oelafjhs¡

2015 cQ,s l<dmh

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wfma bmerKs wdydr - úyrK

,xldfõ úiQ frdnÜ fkdlaia ;u .%ka:fha lshk mßos tod Wvrg .ïj, újD; f,i isrlr isá isrlrejka /ln,d .ekSu" Tjqka wdydr b,a,d hk úg wdydr oSu .ïuqkaf.a j.lSula úh¡ úfYaIfhka wE; jkaokd .uka hk úg" kE .uka hk úg ,dxlslfhda we;eï msiQ wdydr leú,s fmú<s /f.k .shy¡ isßi`. fnda l;dfõ ÿ.shd .uk msg;ajQfha n;a uq,la ne|f.kh¡ isßi`.fnda ;mia;=ud ÿgq u.shd fm/;a; fldg Tyqg n;a uqf,ka fldgila ms<s. kajd we;¡ mqjla fld<fha n;a uq, ldjka;siai rcq lsmqKq l," .euqKq l=ure fld;auf,ag m,d wdfõ úydruydfoaúh ilia lr ÿka n;a uq,;a /f.khs¡ tod fufia n;a leú,s j¾. f.k hkúg nyq,j Ndú;d lf,a fmd;a; bj;a lr.;a mqjla fld<j,h¡ mqjla fld<fha n;a uq, ne|.;a úg krla fkdù kejqï núka ;nd .; yel¡ wuq;= rihla o tl;= lrhs¡ 124

flfi,a fldf<A n;a''' fk¿ï fldf<A n;a" lekao fldf<A ye,m'''

flfi,a fld<fha n;a uq, fndfyda úg mqjla fld<h fukau nyq, f,i flfi,a fld< wdydr f.k hdfïoS Ndú;d úh¡ .skaofrka ;jd.;a flfi,a fld<j, t;+ n;a m%KS; rihla tl;= lrk w;r wuq;= rihlao tl;= lf<ah¡ øúv fNdack Yd,dj, wog;a flfi,a fld<fha fn¥ n;a''' bx.%Sis cd;sl fâõ ,shQ —Wvrg úia;rh˜ wkqj tod Wvrg rcjre meÿrl jdä ù rka uKavmamhl flfi,a fld< t,d tla tla wdydr j¾. fjk fjku wdydrhg .;a nj lshhs¡ n;g miq leú,s m<;=re fnÿfõ w¿;ska ilia l< flfi,a fld< j,ghs¡ wo;a n%dyauK iïm%odh wkqj ilia jQ yskaÿ øúv fNdack Yd,dj, oskm;d flfi,a fld< wE;ska lmdf.k lvj,g /f.k t;s' fk¿ï fld<fha n;am; fï yer fk¿ï fld< lEu .ekSfïoS nyq,j Ndú;d úh¡ l=Uqre jevj,oS jÜá j,g tÆ fk¿ï fld<j, n;a ud`M fnodoSu nyq,j isÿ úh¡ wo;a iïm%odhsl iS iEï j,oS fk¿ï fld< nyq,j Ndú;d fjhs¡ rcrg isg /f.k tk fk¿ï fld< wo;a k.rno fydag,aj,g ñ,oS .efkhs¡

ffjoHjrhd - udisl ffjoH iÕrdj

wdydr t;SfïoS yd ms<sfh, lsÍfïoS úYd, f,i jevqKq lekao fld< tod Ndú;d úh¡ ta fld< lvd fyd|ska msi oud ye,m ilia lf<a lekao fld<j,hs¡ wo;a flfi,a fld<" fk¿ï fld<j, t;+ n;a m%isoaO fydag,aj, wf,úhg we;af;a tys we;s kejqï nj wdydrj, rih iqj`o bka jeä lrk neúks¡ wo ojfia t;=ï Ndú;'''' uE; l< wdydr t;SfïoS fmd,s;ska ojgk nyq,j Ndú;d fjhs¡ bka osrd fkdhk fmd,s;ska Ndú;dj mßirhg fnfyúka wys;lrh¡ ta ksid fmd,s;ska wdydr t;Sfuka miq úkdY l< yels mßos fndfyda

ilia lsÍu flfryS úoaj;a wjOdkh fhduq ù we;' uE; l< fmd,s;ska fjkqjg ßcsf*daï fmÜáj, n;a wf,ú lsÍu iq,nj isÿ fjhs¡ WKqfjka fn¥ n;a yd ud¿j,g ßcsf*daï fmÜáj, we;s úI fldgia Wrd .ekSu isÿ fjhs¡ ta ksid w;S;fha wm Ndú;d l< iïm%odhsl wdydr ojgk Ndú;h wog;a iqÿiq h¡

jhU m,df;a tlu iuqmldr frday, l=reKE., iuqmldr frday, fj;ska" yDohdx.u i;aldrh ''' iykodhS iqjh''' • fkajdisl m%;sldr ,eîug iqj myiq ldur • ndysr frda.S m%;sldr ^yÈis m%;sldr iys;j& • Channeling fiajdj ^jdyk keje;aùfï myiqj iu`.& • myiqlï iys; Waiting area • ridhkd.dr fiajdj ^ÈhqKq ;dlaIKsl WmlrK u`.ska úfYaIs; meflac /ila& • T!IO wf,úh ^rdcH U!IO kS;s.; ixia:dfõ jr,;a wf,ú ksfhdacl;ajh& • 24 meh fiajh • Y,Hd.drh ^kùk myiqlï iys;j iSi¾ ie;alï i|yd iqúfYAIS meflach& • X-Ray, Scanning yd CT Scanning myiqlï • .s,ka r: fiajdj ^iqyoYS,S ld¾h uKav,hl fiajdj iu`.& iuqmldr frday, wxl 303" fld<U mdr l=reKE., ÿrl:k weu;=ï frday, #- 037-2222464" 2221638" 2056765" 2056552 ld¾hd,h #- 037-2232242" 2056760" 2056215" 5670206 *elaia #- 037-2232242 Email #- kch.hospital@gmail.com 2015 cQ,s l<dmh

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

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

flaI uQ, ;r,h

fï fya;=fjkau wfma rfÜ ,laI ixLHd; msßila uqyqK md isgk wNd.H iïmkak frda.s ;;a;ajhlg iaÓridr úiªï fidhd .sh bisjrfhl= nª ñksfil= fidhd hdughs wmf.a fï W;aidyh' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

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126

ffjoHjrhd - udisl ffjoH iÕrdj

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rfÜ iqm;, kula we;s iS' ta' ch;s,l Tyqf.a uq;a;dh' yslalvqfõ Y%s iqux., ysñmdKka uq;a;df.a udud flfkls' fmardfoKsh úYAjúoHd,fha mqia;ld,h ;=< ngysr ffjoH úoHdj ms<sn| ,shejqKQ fmd;a mßYS,kh lrk w;r;=r ;u j,õfõ mrïmrd .Kkla ;siafia wdrCId lrkakg ;ekam;a lr ;snQ mqia;lo Tyq uekúka mßYS,kh lrñka oeä wêIAGdkfhka ;u b,lalh fj; mshk. kakg úh' Tyq iaÒr jYfhkau wfma rgg lS¾;shla f.akjd' úYAj úoHd, wOHdmkho l%ufhka w;miq l< Tyq fõ.fhka ;u mÍCIK fcHda;sIHo Wmfhda.S lr .ksñka oshqKQ l<ehs wm iuÕ mjid isáfha' tu mÍCIK j,go Ndckh jQfha Tyquh' w;s úYd, uqo,la jeh lsÍug isÿ jQ wjia:d j, hï hï miq.dó isÿùï isÿjqKo ffojfha ydialulska fuka 2005 jif¾ f,d;/hs oskqï 2015 cQ,s l<dmh

flaI uQ, ;r,h

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

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

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

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Tng ie<lsh hq;= udisl wdodhula Wmhd.ekSfï wjia:djla f.!rjKSh úY%dñl mqrjeishkg" /lshd wfmalaIlhkag wNsudkfhka hq;=j udislj wu;r wdodhula ,eìh yels f.!rjKSh jHdmD;shls

ffjoHjrhd i`.rdfõ odhl;aj ksfhdacs; ;k;=r jir 20l wLKAv b;sydihla we;s osjhsfka m%:u ffjoH i`.rdj osia;%sla uÜgñka m%p,s; lrñka fodßka fodr .ejfik i`.rdjla f,i m%p,s; lsÍfï wNs,dIhla wm fj; mj;S' fuu wruqK bIaG lr.ekSu i|yd iudcfha nqyquka ,nk f.!rjKSh mqrjeishka" lemùfuka lghq;= lsÍfuka b,lal lrd <`.dùug h;a; orK mqoa.,hska fj; fuhska wdrdOkd flf¾' ie<lsh hq;= udisl wdodhula iy;sl flfrk w;r wêIAGdkYS,Sj lemùfuka lghq;= lsÍfuka Tng Tnf.a wfmalaIs; wdodhï b<lal lrd <`.dùug yelshdj ;sfí' fï ms<sn|j Wkkaÿjla olajk wh ;uka úiska ilia lrk ,o whÿïm;la {d;Ska fkdjk Tn .ek iy;sl úh yels fofofkl=f.a kï yd ÿrl:k wxlhkao iys;j my; ,smsKhg fyda wmf.a my; úoahq;a ,smskhg tjk f,i okajñ' fï iïnkaOfhka jeäÿr úia;r 0773149084 ÿrl:khg weu;Sfuka ,nd.; yel' Executive Editor Healthwatch Lanka Private Limited 132/4, Diyatalawa