ONLINE ISSUE
21 ldKavh 2015 - cqks
cd;sfha mqfrda.dó ffjoH iÕrdj
re'150$-
waidyawaraya.com
ISBN-1391 1341
9 7 7 13 91 13 400 1 2015 cQks l<dmh
1
2
ffjoHjrhd - udisl ffjoH iÕrdj
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 cQks l<dmh
1
Cointents Breaking Health News
8
fvx.= frda.h .ek iel we;s úg frda.sfhl= lghq;= l< hq;= wdldrh
f;aud rpkh
lsß wdydr w;r wkNsNjkSh
101 wdydrh fhda.Ü
52 nrm;, fkdjk j¾.fha
Èhjeähdjla ke;' ´kEu j¾.hla nrm;,hs''' tfia kï Tn .kakd wdydr .ek jvd;a ie,ls,su;a jkak'''
15 oj,a fod<yg fmr j;=r
ù¥re yhla mdkh lrkak
18 wêl f,i Tima fõokdj
64 o;a osrdhdu j<lajk
22 lk fndk fldhsfoa;a m%ÓM,
68 ikaêm;a fõokdfjka wiaÓ
we;sùug fya;= iy m%;sldr
36 wñ, .=K iok fmd,af;,a
m%odyfhka Tn;a mSvd ú|skjdo@
73 Ndjkdfjka yDo frda.j,g iykhla
75 wm .kakd wdydr j,g YÍrh ;=<oS isÿjk foa
41 mjqf,a wfhla jhi wjq'
mkyg fmr jl=.vq wdndOhlska ñh .shd kï mjqf,a fiiq wh;a wjosfhka isàu jeo.;a'''
45
78 pd,aia l=ure yd vhkd l=ußhf.a orefjla wefußldfõ'''
fmdaIKh ldfndayhsfâ%g wjYH;d
116 Tn .kakd iajdNdúl
Èúhlg'''
92 Tfí orejd <ud wmpdrj,ska
hhs lshk rEm,djKH ksIAmdok yenEjgu iajdNdúlo @
120 foaj n,fhka f,v iqjlsÍu
97 n,df.khs''' ysirohla
lshkafk frda. ,laIKhla
48 wdisß iqj;d uOHia:dkh
wdhq¾fõofha lshkafka fufyuhsæ
mSvk ;;a;ajh ksisf,i md,kh lr.ekSu i|yd WmldÍ jk ksjeros wdydr mqreÿ
83 l%Svlhkaf.a uQ,sl
uqÞ .kakg kï''' fouõmshka lshúh hq;=u ,smshls
106 yDo frda. .ek
109 Tnf.a wêl reêr
88 ¥ïîfuka ñoS.;a iqjodhs ydÿ''' ism.ekSï ksid jdis /ila ,fnkjd''' ta;a WKQiqï ism.ekSï ksidfjka oi ,laI ixLHd; nelaàßhdjka Tfí uqfõ ,e.=ï .kakjd
uõlsß .ek oek isáh hq;=u foaj,a
*af,darhsâ
fok úosyg lkafk" fndkafk fufyuhs'''
32 lïuq,a.dh
103
58 Tng Èhjeähdjo@
99
ñh.sh ×;Ska wdrEV ùu fnfy;a n,fhka iqjm;a fjhs
126 .=rej;a; j,õfõ .%Ska y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula''' flaI uQ, ;r,h
The contents of this publication may not reproduced in whole or part in any form without the written consent of the publisher. The opinions expressed in WAIDYAWARAYA are those of the writers and not necessarily endorsed by the publisher.
2
ffjoHjrhd - udisl ffjoH iÕrdj
www.waidyawaraya.com
6
ffjoHjrhd fujr fm,.eiau
2015 cQks l<dmh
3
Editorial
l;= igyk
Editor's
Note
wka;¾cd,fhka f,v frda. j,g fnfy;a fiùu Nhdkl l%shdjla
wo fndfyda fokdf.a cSú;fhaoS ie<lsh hq;= ld,hla .; fjkafka wka;¾cd,h;a iu.h' tys jrola ke;' kuq;a wka;¾cd,fhka fi!LHuh úi÷ï fiùug f.dia fndfyda wh fmdg jroaod .kakd nj fmfka' ffjoH wxYfha oeKSula ke;s idudkH mqoa.,fhl=g úYAjdiodhS ffjoH fjí wvú ms<sn|j wjfndaOhla ke;' fndfyda fokd frda. hla .ek fijqï hka;%fhka úuik úg uq,gu tkqfha zzúlsmsähdZZ fjí wvúhhs' tys wvx.= ffjoH f;dr;=re j,ska oyfhka kjhlau fodaI iy.; nj wkdjrKh lrkAfka frdn¾Ü yeiaá kï wefußldfõ leïman,a iriúfha m¾fhaIlfhls' zzúlsmsähd fjí wvúh ´kEu fflfkl=g ixialrKh l< yelshs' tu ksid tys i|yka ,sms úYd, ixLHdjlf.a woyia j, tluq;=jla' fjfiiskau fi!LH flafIA;%fhaoS fuhska msysg ,eîu ;u fi!LH wk;=f¾ fy<Sula' fï ksid frda.hla we;s jqKdu l,g fõ,djg m%;sldrhla fkdf.k wk;=f¾ jegqKq úYd, ixLHdjla bkakjd'aZZ frdn¾Ü yeiaá mjikjd' wka;¾cd,fha fi!LH fjí wvú mßYS,kh lsÍfï jrola kE' thska miqìï oeKQula ,efnkj' tfy;a frda.hla we;s jqKdu lrkakg ;sfnk fyd|u foa ;uhs" Tfí mjqf,a ffjoHjrhd iïuqL ù Bg ksis m%;sldr ,nd .ekSu' wo wfma rfg;a fndfyda fokd f,v frda. j,g wka;¾cd,fhka Wmfoia ,nd.kak keUqre ù isákjd' wka;¾cd,h ffjoHjrekg wdfoaYlhla fkdfjhs' wka;¾cd,hg Tfí frda.h iïnkaOj ksis frda. ksOdkhla fokak iu;aNdjhla kE' ta mßph ;sfnkafka ffjoHjrekag muKhs' oeKSula fkdue;s ffjoHjreka fkdjk wh f,fv;a ;SrKh lr" fnfy;=;a ;SrKh lrkak hdu b;du;a wkqjK l%shdjla' fï ksid inqoaêlj wka;¾cd,h Ndú;d lrkak' frda. .ek úuikak' tfy;a lsis úfgl ffjoHjrhdf.a ld¾hh wka;¾cd,h Tiafia bgq lr.kakg hkak tmd' Ndr; .=K;s,l - úOdhl l¾;D bharata.gunathilaka@gmail.com
4
The Pioneer Health & Medical Journal 21 ldKavh 2015 - 06 l,dmh
Editor In - Chief Bharata Gunathilaka Founder Editorial Consultant Late. K.M. Gunathilaka Feature Associates Dr. Sanath Senanayaka Dr. Chaminda Premathilaka Dr. Nalaka Ranasingha Chandrani Rathnayaka (Nursing Officer) R.A.D.T. Priyadarshani (MLT) Prasanna Dissanayaka (Occupational Therapist) Sahan Siriwardhana (Pharmacist) Dinesh Priyal Darshana (Radiologic Technologist) Shamal Indika (Nuclear Medical Technologist) Shamali Pathirage S.M.D. Senevirathne Anuradha Dilini Ilankoon CREATIVE PRODUCTION AD-MIRE Creative Business Editor Amitha Wickramarachchi dapw1234@yahoo.com 0778150270 | 0717622760 Type Setting Chathurika Sandamali Printing/Circulation Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda. WAIDYAWARAYA is a intellectual property of Healthwatch Publications Viharakele,Diyatalawa. Tel: 057 22 29040 | Fax: 057 22 29040 E-mail: info@waidyawaraya.com WEBSITE: www.waidyawaraya.com HOTLINE: 077 3149084
ffjoHjrhd - udisl ffjoH iÕrdj
2015 cQks l<dmh
5
Breaking Health News
ffjoHjrhd mqj;a úuiqu
Breaking
Health News Solo Robotic Assisted Surgery ,xldfõ m%:u frdfnda wdOdrl Y,Hl¾uh Y%S chj¾Okmqr frdayf,ka fï rfÜ isÿ lrk ,o frdfnda Wmldrh ,nd.;a m%:u Y,Hl¾uh miq.shod Y%S chj¾Okmqr frdayf,aoS id¾:l f,i ksudjg m;aúh' fuh isÿ flrefKA krlajQ jl=.vqjla bj;a lsÍu fjkqfjks' frda.shd id¾:l f,i Y,Hl¾uhg Ndckh ù osk lsysmhlska ;u uykqjr msysà ksfjigo msg;aj hdu úfYAI;ajhls' Y,Hl¾uh isÿ l< wdldrh ms<sn|j udOH fj; woyia
6
oelajQ m%Odk fu!;% frda. úfYAI{ ffjoH ksfrdaIka fifkúr;ak oelajQ woyia j, ixlaIsma;h fufiah' fï iqúfYAIS Wmdx.h frdfnda w;la' th Soloassist 11 hkqfjka kï ,enQ ishqï Wmdx.hla' w`.,a nd.hl ú;r isÿrlska ;uhs fï Wmdx.h YÍr wNHka;rfha wjYH ;ekg m%fõY lrkafka' th iSrejg m%fõY lrkafka
tajdfha ùäfhda PdhdrEmo ,nd foñka' tu oiqka wkQj Y,H ffjoHjrhdg mß>kl l%Svd j,g fhdod .kakjd jeks fcdahs iaála tlla u.ska Wmdx.h ia:dk.; l< yelshs' ;j;a tjeksu isÿre ;=kla fhdod ta Tiafia Y,H Wmdx. wjYH ;ekg f.k hkjd' iïm%odhsl Y,Hl¾u j,oS we;sjk ixl+,;d fï frdfnda Y,Hl¾u
ffjoHjrhd - udisl ffjoH iÕrdj
ksid wju fjkjd' fhdok lemqï flgqï wjuhs' jl=.vq iïnkaO Y,Hl¾u yereKQ úg .,a bj;a lsÍu" mqriaÓ;s .%kaÓ Y,Hl¾u jf.au Wria yd kdßfõoSh Y,Hl¾u i|yd;a wo f,dalh mqrd fï frdfnda Wmldr lr.;a Y,Hl¾u isÿ lrkjd' Soloassist 11 c¾uksfha ksIamdokhla' fuu Wmlrk j, ,dxflah ksfhdacs;hka jYfhka tud*d¾ud wdh;kh lghq;= lrkjd' zzY%S chj¾Okmqr frdayf,ka ,dxflah ck;dj fj; msßkuk wkNsNjkSh fiajdjla''ZZ fufia kshkafka Y%S chj¾Okmqr frdayf,a wOHlaI ffjoH tia fifkúr;akhs'
wfma rfÜ merisgfuda,a úIõï úYd, m%udKhla Ndú;h iSud lrjk úêúOdk y÷kajd oSu iqÿiqhs 2015 cQks l<dmh
47 lau merisgfuda,a úIùï jYfhka jd¾;d jqfKa fï l;dfõ i;H;djh idlaId;a lrñka'
zzwfma rfÜ T!IO úIùï j,ska jeä yßhlau merisgfuda,a úIùï' fuh úYd, jYfhka jeä fjñka mj;sk m%jK;djhla fjñka ;sfnkjd' ck;djg ´ksu fj<|ie,lska ys;+ yeáhg merisgfuda,a ñ,oS .kak mq¿jka' we;eï fj,djg wdfõ.hla wjyu" úIdoh jf.a udkisl wiudk;d ;sfhk úg we;eï fokd w;s ud;%dfjka fï fnfy;a .kakjd'ZZ fld<U cd;sl úI f;dr;=re uOHia:dkfha wêm;s" ldhsl frda. úfYAI{ ffjoH jreK .=K;s,l tfia m%ldY lrhs' miq.sh ckjdß udifha isg ud¾;= udih olajd jd¾;d jqKQ T!IO úIùï j,ska ishhg
merisgfuda,a w;sud;%j úIùu ksid wlaudj nrm;, f,i wl%Sh jkakg mq¿jka' we;eï úg fuh udrdka;sl ;;a;aj we;s lrkjd' fffjoH jreK .=K;s,l mjik wdldrhg hqfrdamSh rgj, ys;+ ;rï merisgfuda,a ñ,oS .kak nE' Wmßu fokafk fm;s 10-12 l mela tlla ú;rhs' wfma rfÜ fm;s ishhl fmÜáhla jqK;a ´ks ;eklska ñ,oS .kak mq¿jks' fï ksid fï T!IOh wkdrlaIs; f,i ixirKh jk ;;a;ajhla fmfkkakg ;sfnkjd' zzfï ;;a;ajh fjkia jk úêúOdk f.k wd hq;=hs' Ndú;djg fuhsg jvd iSud udhSï meKùfuka fï úI ùï j<lajd .kak yels fõú'ZZ ffjoH jreK .=K;s,l jeä ÿrg;a wjOdrKh lr isákjd'
7
Dengue Epidemic
udrdka;sl fvx.=j,g ;s; ;nuq
udrdka;sl fvx.=j,g ;s; ;nuq
fvx.= frda.h .ek iel we;s úg frda.sfhl= lghq;= l< hq;= wdldrh
tfukau f,dal ck.ykfhka >¾u l,dmSh rgj, ì,shk 2'5 la muK fuu frda.h je<§fï wjodkug ,laù ;sfnkjd'
úfYaI{ ffjoH yis; ;sfiard fvx.= hkq ffjrihla u.ska we;s lrkq ,nk frda.hls' fvx.= ffjrih YÍr.; jq wfhl= fndfyda úg frda. ,laIK fkdfmkajhs' fvx.= frda. ,laIK u;=jqjfyd;a th idudkH WK ;;a;ajh fukau fvx.= WK ^Dengue fever - DF& fvx.= rla;md; WK ^Dengue Haemorrhagic Fever - DHF& iy widukH fvx.= WK ;;a;ajh ^b;d l,d;=rlska& we;s úh yelsh' f,dalfha fvx.= ;;a;ajh f,dal fi!LH ixúOdkfha ixLHd f,aLK wkqj rgj,a 106 l frda.Ska jd¾;d fõ' úfYaIfhkau >¾u l,dmSh rgj, frda.Ska ixLHdj jeäfjñka mj;S' oekg jd¾;d ù we;s f;dr;=re j,g wkqj Ys; l,dmSh rgj," wefußldj yd ´iafÜ%,shdj jeks rgj,a jd¾Islj ñ,shk 80;a 100;a w;r frda.Ska ixLHdjla jd¾;d ù we;' ta w;f¾ frda. ,laIK fmkakqï fkdlrk frda.ska ñ,shk 390 la jd¾;d fjk njlao i|yka fõ' flfia fj;;a fvx.= frda. ,laIK fmkakqï fkdlr jqjo frda.h je<§ug bv we;s neúka fuh f,dalh mqrdu we;s uyck fi!LH m%YaKhls'
8
wmg ióm rgla jk isx.mamqrefõ muKla 2014- ckjdß ui isg frda.Ska 22"000 la muK jd¾;d jqKd' uef,aishdfõ ckjdß udifha isg fmnrjdß udih olajd muKla frda.ska 26"200la muK jd¾;d jqKd' fuhska isÿjQ urK ixLHdj 67 ls' fufia n,k úg ixj¾Okh jq rgj,a muKla fkdj f,dalfha fndfyda rgj, fvx.= frda.h jix.; ;;a;ajhla njg m;a ù we;' ,xldfõ j¾;udk ;;a;ajh wfma rfÜ fï ckjdß udfia isg frda.Ska 10"353 la jd¾;d ù we;s w;r isÿjQ urK
ffjoHjrhd - udisl ffjoH iÕrdj
ixLHdj 20 ls' kuq;a miq.sh j¾Ij,g jvd urK ixLHdj idfmalaIj wvqùula fmkakqï lrhs' fvx.= frda.h fndajkafka flfiao@ fvx.= frda.h we;s lrk ffjrih Bäia j¾.fha .eyekq u¥rejka u.ska m;=rejhs' fuu u¥rejkag ffjrih we;=¿ jkafka fvx.= ffjrih YÍr.;jq mqoa.,fhl= oIag lsÍfuks' fvx.= frda.h iE§fï wjodku we;af;a ld ygo@ wdidÈ; fvx.= u¥rejl= oIag lrk ´kEu mqoa.,fhl=g fvx.= frda.h iE§fï wjodkula mj;S' ;jo mqoa.,fhl= f.a jhi yd m%;sYla;slrKh u; frda.fha iajNdjh fjkia úh yelsh' WK frda.h iE¥k úg th fvx.= úh yels njg iel l< hq;af;a wehs@ fvx.= frda.h idudkH iq¿ WK fukau rla;md; WK ^DHF& jeks wjodkï wjia:dj,go m;aúh 2015 cQks l<dmh
fvx.= frda.Skag m%;sldr lsrSfï§ jvd;a jeo.;a jkafka wjodkï wjia:djg m;ajk frda.Ska blauKska y÷kd.ekSuhs' ^Wod- fvx.= rla;md; WK" wdidudkH fvx.= WK& ta i|yd WK iE§ Èk 2 lg miqj lrkq ,nk iïmq¾K reêr mßlaIdj ^FBC- Full Blood Count& jvd;a m%fhdackj;a fõ'
9
Dengue Epidemic
udrdka;sl fvx.=j,g ;s; ;nuq
yelsh' fuu wjodkï wjia:d uq,a wjêfha§ idudkH WfKka fjkalr y÷kd .ekSu wmyiqfõ' idudkH WK ;;a;ajh blauKska iqj jk w;r wjodkï wjia:d j,§ frday,a.;j m%;sldr ,eìh hq;=h' tneúka wjodkï wjia:d blauKska y÷kd.ekSug fvx.= WfKys frda. ,laIK ms<sn|j wjOdkfhka isáh hq;=fõ' Tng je<|S we;af;a fvx.= WKo@ WK iu. my; frda. ,laIK mj;S kï Tng fvx.= frda.h ;sìh yels njg iel l< hq;=h' 1 ysiroh yd weia hg fõokdj 2 uiams`vq yd ikaê fõokdj 3 Tialdrh yd jukh 4 ifuys r;= meye ,m yg .ekSu 5 reêrjyk ;;a;ajhka by; frda. ,laIK we;akï ffjoHjrhl= fj; fhduqùu wjYH fõ' Tn fvx.= nyq, m%foaYhl jdih lsÍu yd wjg fvx.= frda.ska jd¾;d ùu fï ielh jvd;a ;yjqre lsÍug fya;= fõ'
keKj;aj" iduQyslj mßirh /l.ekSfuka fï wjodkfuka Tng iEfyk muK ñosh yelsh'
fvx.= frda.h ksYaph lrkafka flfiao@ fvx.= frda.Skag m%;sldr lsrSfï§ jvd;a jeo.;a jkafka wjodkï wjia:djg m;ajk frda.Ska blauKska y÷kd .ekSuhs' ^Wod- fvx.= rla;md; WK" wdidudkH fvx.= WK& ta i|yd WK iE§ Èk 2 lg miqj lrkq ,nk iïmq¾K reêr mßlaIdj ^FBC- Full Blood Count& jvd;a m%fhdackj;a fõ' fvx.= ffjrih YÍr .;j we;s nj ;yjqre lsÍu i|yd lrkq ,nk NSI yd fvx.= m%;sfoay mÍlaIdjka u.ska fvx.= WK ^DF& yd fvx.= rla;md; WK ^DHF& fjkalr y÷kd .; fkdyelsh' fvx.= frda.h lsysmjrla ieÈh yelso@ fvx.= ffjrihg m%fNao y;rla we;' hï mqoa.,fhl= fvx.= frda.hg jrla f.d¥re jq úg m%;sYla;sh we;s jkafka tla m%fNaohlg muKla neúka Tyqg kej; wksl=;a m%fNao u.ska wdidokh úh yelsh'
10
ffjoHjrhd - udisl ffjoH iÕrdj
;jo kej; jrla fvx.= frda.h ie§fï§ tu mqoa.,hd fvx.= rla;md; ;;a;ajhg m;aùfï m%jK;djh ^úfYAIfhka fojk wjia:dfõ& jeä fõ' fvx.= WK je<÷k úg ksjfia§ m%;sldr l< yelso@ fvx.= ffjrih YÍr.; jk fndfyda frda.Ska idudkH WK ;;a;ajhla fmkakqï lrhs' tneúka fyd|ska úfõl .ekSu yd ffjoHjrhd úiska Èk 2 lg miq mÍlaIdj fldg frda.shd frday,a .; l< hq;= nj ;SrKh l<fyd;a ta wdldrfhka l%shd l< hq;= fõ' fvx.= rla;md; WK ^DHF& hkq l=ulao@ fvx.= rla;md; WK" fvx.= frda.S ;;a;ajfha we;súh yels wjodkï wjia:djls' WK;a iu. we;sjk wksl=;a frda. ,laIK fndfyda ¥rg idudkH fvx.= WKg iudk jk neúka fvx.= rla;md; frda.Ska fvx.= WK frda.Ska f.ka fjkalr y÷kd .ekSu uq,a wjêfha myiq fkdfõ' 2015 cQks l<dmh
tys§ WK nei hdu;a iu. m%Odk ,laIKh jk reêrjdyskS j,ska msgjk ^úfYaIfhka ma¨rd mg, w;rg yd Wor l=yrhg& ma,diaud ;r,h ldka¥ ùu is¥fõ' fuh idudkHfhka WK iE§ 3 jk Èk fyda Bg miqj is¥jk w;r reêr mÍlaId ^FBC& j, fjkialï u.ska y÷kd.; yelsh' fufia fkdoekqj;a lñka È.gu ma,diaudj ldka¥ ùu u.ska lïmk wjia:djg m;aúh yelsh' we;eï frda.Ska lïmk wjia:djg m;aùug fmr wjodkï ,laIK fmkakqï lrhs' tneúka fuu wjodkï ,laIK ms<sn|j wjodkfhka isàu jeo.;a fõ'
fvx.= ffjrihg m%fNao y;rla we;' hï mqoa.,fhl= fvx.= frda.hg jrla f.d¥re jq úg m%;sYla;sh we;s jkafka tla m%fNaohlg muKla neúka Tyqg kej; wksl=;a m%fNao u.ska wdidokh úh yelsh'
fvx.= frda.sfhl=f.a wjodkï ,laIK fudkjdo@ Worfha we;sjk ;on, fõokdj fkdkj;ajd jukh mej;Su wêl ksÈu; nj$fkdikaiqka nj$wm%dKsl nj reêr jykh ùu ^ú¥reufika" kyfhka" ¥Uqre meye jukh yd l¿ meye u<my msgùu& meh 6 lg jvd jeä ld,hla uq;%d my fkdùu fyda msgjk uq;%d m%udKh wvqùu' wjodkï ,laIK fkdue;sjo frday,a .; úh hq;= mqoa.,ska ljqrekao@ .¾NKS uõjreka wê nr iys; frda.Ska wjqre¥ tlg wvq <orejka yd jeäysá mqoa.,hska ksoka.; frda.Ska ^Èhjeähdj" we¥u" jl=. vq wl¾ukH ùu" reêrh iïnkaO frda.S ;;a;ajhka& 11
Dengue Epidemic
udrdka;sl fvx.=j,g ;s; ;nuq
T!IO$iaáfrdhsâ ^steroids& Ndú;fhka fvx.= ksid we;s reêr jykh ùfï ;;a;ajhka W.% úh yelsh'
WK we;s úg l=ula l< hq;=o@ fjfyilr lghq;= j,ska neyer ù fyd|ska úfõl .kak' WK md,kh lsÍug kshñ; ud;%dfjka kshñ; ld, iSudj ;=< merisgfuda,a T!IOh ,nd fokak ^Wmßu ud;%dfjka 60mg/kg/24h fõ&' ;Èka WK mj;S kï msßis¥ frÈ lvla WKqiqï c,fhka fmd`.jd frda.shdf.a YÍrhg ;eùu is¥ lrkak' fõokdkdYl T!IO$Non Steroidal Anti Inflammatory Drugs (NSAIDS) ldKavfha T!IO yd iaà frdhsâ ^steroids& Ndú;fhka j<lskak' ieye,a¨ fmdaIHodhs wydr fõ,la ,nd.kak' WK mj;sk ld,h ;=< u¥re oIaG lsÍfuka yels;dla m%fõiï jkak'' WK mj;sk ld,h ;=< Ndú; l< hq;= wdydr fudkjdo@ WK yd jukh ksid we;sjk úc,k ;;a;ajfhka ñ§ug wjYH m%udKhg Èhr j¾. mdkh lrkak" ;eô,s j;=r" le|" lsß" cSjkS jeks uqL ic,k mdkh ^Oral Rehydration Solution-ORS& m<;=re hqI jvd;a iq¥iqh' <uqkag .a¨fldaia jeks iSks iys; Èhr l=vd m%udK ksr;=rej ,nd fokak frda.shd leu;s wdldrfhka jrlg l=vd m%udK ne.ska w¾O >k" ieye,a¨ wdydr fõ,a lsysmhla ,nd fokak' f;,a iys; wdydr .ekSfuka j<lskak' wNHka;r reêr jyk ;;a;ajhka ^r;=$¥Uqre meye jukh yd l¿ meye u< my& y÷kd .ekSu wmyiq jk neúka r;= $¥Uqre meye wdydr yd Èhr j¾. .ekSfuka j<lskak' WK mj;sk wjia:dfõ NSAIDS Ndú; fkdl< hq;af;a wehs@ fuf*fkñla weisâ ^Mefenemic acid&" bìhqfm%df*ka^Ibuprofen&" vhslaf,df*kela ^Diclofenac& jeks Non Steroidal Anti Inflammatory Drugs (NSAIDs) ldKavfha 12
fvx.= frda.Skag we;súh yels ixl=,;d fudkjo@ idudkH fvx.= WK frda.Skag ixl=,;d we;sùfï wjodkï wju fõ' fvx.= rla;md; WK yd widudkH fvx.= jeks wjodkï wjia:d j,g m;ajk frda.Skaf.ka iq¿ msßilg jl=.vq yd wlaudj wl¾ukH ùu" fud<hg is¥jk n,mEu jeks ixl=,;d we;s ù l,d;=rlska urKh mjd is¥úh yelsh' mud fkdù ksis m%;sldr j,g fhduq ùfuka fujeks ;;ajhka wju lr .; yel fvx.= frda.h we;s úg u¥rejka oIag lsÍfuka wdrlaId úh hq;= jkafka wehs@ fvx.= u¥rejd oIag l< miq ffjrih frda.shdf.a YÍrh ;=< j¾Okh jk w;r tu ld,h ;=< lsisÿ frda. ,laIKhla fkdfmkajhs' fuu
ffjoHjrhd - udisl ffjoH iÕrdj
ìfc!IK iuh Èk 3-14 w;r ld,hla mj;S' bka miqj we;sjkafka WK wjêh jk w;r th Èk 2-10 w;r ld,hla mj;S' fuu ld,h ;=< fvx.= ffjrih frda.shdf.a reêrh ;=< mj;sk neúka u¥rejl= oIag l<fyd;a ffjrih u¥rejd ;=<g we;=¿ jk w;r tu.ska fjk;a mqoa.,hska yg ffjrih we;=¿ ù frda.h me;sßh yelsh'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.com
2015 cQks l<dmh
uÿre .ykhg tfrysj .; yels l%shdud¾. WK;a iu. we;sjk wksl=;a frda. ,laIK fndfyda ¥rg idudkH fvx.= WKg iudk jk neúka fvx.= rla;md; frda.Ska fvx.= WK frda.Ska f.ka fjkalr y÷kd .ekSu uq,a wjêfha myiq fkdfõ'
fvx.= u¥rejka fndajk ia:dk fudkjdo@ bj;,k ma,diaála" ueá yd f,day n÷ka" úis;=re u,a n÷ka" ner,a" l=re¿ kdk ;gdl" j;=r gexls" YS;lrK ;eá" bj;,k gh¾" úh,s fmd,a fldaïn yd jeys msys,s jeks ñksiqka úiska we;s lrkq ,nk c,h /f|k ia:dk j, fuu u¥rejka ì;a;r ouhs' ;jo fn%dñ,shd" wkakdis m;% w;ro" .ia fnk jeks iajNdúl c,h /f|k ia:dk j,o fvx.= u¥rejka fndafõ' jeäysá u¥rejka ksjiska msgjk fukau ksfjia we;=<; w÷re ia:dk j, /oS isáh yelsh'
13
Dengue Epidemic
udrdka;sl fvx.=j,g ;s; ;nuq
u¥re oIag lsÍï j,ska je<flkafka flfiao@ w;a md fyd|ska wdjrKh jk mßÈ we÷ï w|skak' u¥re oe,la hg úfõlSj isákak' me`.sß f;,a wdoS u¥re úl¾Il Ndú; lrkak' fvx.= u¥rejka fndaùu j<lajkafka flfiao@ bj;,k ma,diaála" ù¥re n÷ka" fnda;,a" áka
wdÈh m%;spl%SlrKh i|yd fhduq lrkak' wksl=;a n÷ka u¥rejka fnda fkdjk f,i úkdY lrkak' jeys msys,sj, ysrù we;s fld< frdvq bj;a lr ks;r msßis¥ lrkak' j;=r tla/ia jk ia:dk" ,sx" gexls" u¥rejkag hd fkdyels f,i oe,a fhdod wdjrKh lrkak' ksrka;rfhka" i;shg jrla f.j;a; yd f.;=< fyd|ska mßlaId lr u¥rejka fndaúh yels ia:dk bj;a lrkak' jeo.;a WK iukhg merisgfuda,a yer fjk;a fõokd
kdYl T!IO Ndú;hg .kak tmd WK wjia:djl§ ms<smeÈh hq;= fuu lreKq .ek oeKqj;a fjkak Tn WK md,kh lsÍu i|yd Ndú;d l< hq;af;a zzmerisgfuda,a ZZT!IOh muKs' fvx.= WK iukh lsÍu i|yd fu*kñla weisâ (Mefenemic Acid) " bìhqfm%df*ka" (IBUPROFEN) vhslaf,df*kela (Diclofenac) jeks NSAIDs ldKavfha T!IO .ekSu ksid Nhdkl ixl+,;d we;sùfï wjodkula mj;S' by; i|yka NSAIDs ldKavfha T!IO lsisu wdldrhlska" fm;s$Èhr f,i uqLfhka" .=o ud¾. fhka fyda kslafIamk ^tkak;a& f,i Ndú;hg fkd.; hq;=h'
14
fvx.= frda.fha ixl+,;d je<elaùug .; yels mshjr NSAIDs j¾.fha T!IO WK iE§ Èkfhaj;a .ekSu iq¥iq fkdfõ' merisgfuda,a .kakd w;r;=r NSAIDs T!IO tl ud;%djla fyda .ekSu iq¥iQ fkdfõ' ;o WK we;s úg§ mjd NSAIDs T!IO tl ud;%djlaj;a .ekSu iq¥iQ fkdfõ' merisgfuda,a j,g wdid;añl jqjo NSAIDs .ekSu iq¥iQ fkdfõ' orejkag WK j,smamqj je<elaùug lsisu wdldrhlska NSAIDs ,nd §u iq¥iq fkdfõ' ksis ffjoH Wmfoia ,nd f.k ixl+,;d wju fldg iïmQ¾K iqjh ,nd.kak' igyk -wkqrdOd È,sks b,kafldaka fi!LH wOHdmk ld¾hdxYfha meje;S udOH iïuka;%Khla weiqßKs'
ffjoHjrhd - udisl ffjoH iÕrdj
Hydration
oj,a fod<yg fmr j;=r ù¥re yhla mdkh lrkak
oj,a fod<yg fmr j;=r ù¥re yhla mdkh lrkak j;=r îug msmdih oefkk ;=re isàfuka fud<fha l%shdldß;ajh wvqfõ''' Wmfoia-tlai;a rdcOdksfha l%Svd ffjoH tallfha úfYaI{ ffjoH wix. úchr;ak fma YÍrfha jákd b÷rka" yoj;" fud<h hk fï ish¿u foa j,ska ishhg 70 la muK iE§ we;af;a c,fhka nj Tn okakjdo@ j;=rg lsisu wdfoaYlhla ;ju;a fidhd f.k keye' th lsisod lrkak;a neß fohla nj ilaiqola fia meyeos,shs'
w
we;eï wh msmdihg fuda,aÜ lsß" jf.au fjk;a meKs îu Ndú;hg mqre¥ jqj;a th j;=rg wdfoaYlhla fkdjk nj isys;nd .; hq;=hs' we;af;kau fuysoS isÿjkafka msmdidj iq¿ ld,hlg i`.jd" kej; jeäfhka msmdih we;s lsÍula' YÍrfha WKqiqu md,khg;a wdydr cS¾K moaO;shfha l%shdldß;ajhg;a c,h w;HjYHu idOlhls' fï ksidu c,h mdkh lsÍfï ksis mqre¥ .ek Tn wjOdkh fhduql< hq;=h' Èklg j;=r ù¥re wgla mdkh lrkak j;=r mdkh lsÍfï mqreoao l=vd l< isgu we;s lr.; hq;=h' tfia ksis wkaoñka j;=r mdkh fkdlsÍfuka cSú;hg wjodkï ;;a;ajhka we;sùug fya;=úh yelsh' úfYaIfhkau wm Wfoa mdkaoru wjÈjq iefkka j;=r ù¥rejla ^250ml& mdkh lsÍu ;=<ska uq¿ ojiu m%fndaOu;a jkq we;'
2015 cQks l<dmh
15
Hydration
oj,a fod<yg fmr j;=r ù¥re yhla mdkh lrkak
;o wõfõ jdyk ;=< fukau jdhqiólrK ldurj,o úúO WIaK;ajhka mj;S' kuq;a tu WIaK;aj hgf;a fnda;,aj, c,h .nvd lr ;eîu fi!LHdrlaIs; fkdfõ' lsß fjkqjg j;=r wo ojfia fndfyda fokd yqre ù isákafka f;a fyda fldams iu. ñY%lr.;a lsß ù¥rejla jeks W;af;ackSh mdkhlska oji wdrïN lsÍugh' tfy;a fï fjkqjg wju jYfhka j;=r ,sg¾ 1$2 isrer fmdaIKh lr .ekSu jvd;a jeo.;a fõ' fï i|yd jvd;a iq¥iq jkafka we,a c,hg jvd W;=rejd ksjd.;a j;=r ù¥rejls' th úIîP j,ska f;dr isreru isis,a lrjk fyd|u mdkhls'
16
j;=r fnda;,a ld¾h nyq, cSú;hla f.jk fndfyda fofkla c,h mdkh lsÍug mqre¥j isáh;a j;=r fnda;,a weiqrk ms<sn| we;af;a wvq oekSuls' fndfyda wh bj; oeñh hq;= ma,diaála fnda;,a j, j;=r oud Ys;lrKhl ;nhs' ;o wõfõ jdyk ;=< fukau jdhqiólrK ldurj,o úúO WIaK;ajhka mj;S' kuq;a tu WIaK;aj hgf;a fnda;,aj, c,h .nvd lr ;eîu fi!LHdrlaIs; fkdfõ' úfYaIfhkau ma,diaála j;=r fnda;,a tlajrla Ndú;d lsÍfuka miqj bj;a lsÍug lghq;= lrkak' fï fjkqjg fyd| m%ñ;shla iys; ;rula ñ, wêl fnda;,hla Ndú;hg .kak'
ffjoHjrhd - udisl ffjoH iÕrdj
f.or § mdkh i|yd .kakd j;=r ;eîug jvd;a iq¥iq jkafka ueá j,ska iE¥ .=ref,a;a;=jls' tu.ska j;=r j, kshñ; WIaK;ajh jf.au kshñ; LKsc ,jK ixhq;sho mj;ajd f.k hhs'
.=ref,a;a;=j jvd;au iq¥iqhs f.or § mdkh i|yd .kakd j;=r ;eîug jvd;a iq¥iq jkafka ueá j,ska iE¥ .=ref,a;a;=jls' tu.ska j;=r j, kshñ; WIaK;ajh jf.au kshñ; LKsc ,jK ixhq;sho mj;ajd f.k hhs' fi!LH wud;HxYh u.ska ^m%ñ;s iy;sl ,;a j;=r fnda;,a& wkque;sh ,;a j;=r fnda;,a j¾. 40 la muK y÷kajd § we;' kuq;a wo úúO kï j,ska fnda;,a j¾. 400 la muK fj<|fmdf<A oel .ekSug yelsh' fj<o fmdf<a we;s Tn ñ,g .kakd j;=r fnda;,a .ek úuis,su;a jkak' tu j;=r fnda;,a m%ñ;s iy;sl ,;a j;=r fnda;,a ±hs mÍlaId lr n,kak' ;sny we;sùug fmr j;=r fndkak mqreÿ fjkak fndfyda fofkla j;=r îug mqre¥j isákafka msmdihla oeKqk úg§h' kuq;a wm j;=r mdkh l< hq;= jkafka msmdih we;sùug fmrh' tu ksid j;=r îug ksis fõ,djla ;nd .ekSug wjYH fkdfõ' Tng ´kEu fõ,djl j;=r mdkh l< yelsh' WodyrKhla jYfhka l=vd orefjla wïud f.ka j;=r b,a,d isákafka msmdih ksid kï tu fudfydf;aÈ orejkaf.a fud<fha l%shdldß;ajh ishhg wglskao yDo iamkaokh jeäùu ishhg oy;=klskao jl=.vqj, ls%hldß;ajh ishhg myf<djlskao wvqjk nj ffjoH úoHd;aulj ;yjqre ù ;sfí'
2015 cQks l<dmh
oj,a 12 g fmr j;=r fldamam myla yhlaj;a mdkh lrkak' j;=r fldamam yhlaj;a Èklg mdkh lsÍug Tn yqreúh hq;=h' rd;s% kskaog hdug fmr jeämqr j;=r mdkh lsÍu iq¥iq ke;' j;=r mdkh lsÍfï mqreoao l=vd orejkaf.a kSfrda.Slug fya;=fõ' l=vd orejka wksjd¾hfhkau j;=r fldamam yhla Èklg mdkh l< hq;=h' l%Svd lsÍfuka miqj" fyda hï ld¾hhl ksr; ùfuka miqj msmdih ksùug meKSîu fyda flda,d úfYAI mdkh lsÍug yqreùu wys; lrhs' Èhjeähdj je<§ we;s frda.Skag Èklg mdkh l< hq;= j;=r m%udKh ms<sn| ffjoHjrekaf. ka Wmfoia ,nd .ekSu jeo.;ah' igyk- wkqrdOd È,sks b,kafldaka
17
Femina
wêl f,i Tima fõokdj we;sùug fya;= iy m%;sldr
wêl f,i Tima fõokdj we;sùug fya;= iy m%;sldr m%ij yd kdßfõo úfYaI{ ffjoH Oïñl is,ajd uyr hqj;shkag fukau újdyl i ldka;djkag mjd Tima ùu ms<sn|j isysm;a jk úg;a we;s jkafka ;on, ìhls' thg fya;=j Tjqka Tima Èkj,§ w;a ú¢k ;on, nfâ lelal=u iy fõokdjhs' iuyrekg fuh fld;rï ±äj ±fkkafka ±hs lsjfyd;a Tima Èkj, wêl Wor fõokdj iu. la,dka; ùu" jukh jeks ,laIK mjd we;s fõ'
18
fufia iuyr ldka;djkag Tima Èkj, wêl fõokdjla yg .kafka wehs@ udia Y=oaêh mj;sk Èkj, iuyrekag ;on, fõokdjla ±fkk w;r ;j;a iuyrekag fõokdj ±fkkafka iq¿ jYfhks' fï i|yd fya;= lSmhla n,mdhs' fydafudakj, fjkialï .¾NdIfhys fydafudak j¾. rdYshla ;sfí' tla fydafudak j¾.hlska isÿ flfrk ld¾hh jkafka .¾NdIfha reêr kd,sldj, reêrh .e,Su jeä lsÍuh' ;j;a fydafudak j¾.hla reêrh .e,Su wvq lrkq we;' flfia jqjo reêrh .,kafka ;=jd, yg .ekSu ksidh' tA wkqj .¾NdIfha f,a .e,Sï isÿ jk ia:dkj, we;s jk ;=jd, h<s w¨;ajeähd lrk ridhksl j¾. o .¾NdIfhau msysgd ;sfí' fm%diag.a,ekaäka ^Prostaglandin& hkq fï wdldrhg l%shdldÍ jk ridhksl øjHhls' ffjoHjrhd - udisl ffjoH iÕrdj
fuhska iuyr fm%diag.a,ekaäka j¾. fõokdj lelal=u jeä lrk w;r" fï Èkj, tA ridhksl øjH jeä jqfKd;a wksjd¾hfhka tu ldka;djg Tima Èkj,g ;on, lelal=ula yg .kq we;' lelal=u wvq lrk fm%diag.a,ekaäka jeä jqfKd;a Tima Èkj, fõokdj we;s jkafka iq¿ jYfhks' reêrh leá f,i msgùu .¾NdIfhka Tima reêrh øj wdldrfhka msg jkafka kï th bfíu .,d hkq we;' tfia .,d hdfï§ fõokdjla fkd±fka' kuq;a iuyr whf.a reêrh øjj,g jvd leá f,i msg fõ' fufia reêr leá msg jk úg tAjd msg;g ;,a¨ lsÍu i|yd .¾NdIhg wuq;= wdhdihla orkakg isÿ jkq we;' idudkHfhka .¾NdIh ;=< we;s reêrh msg jkafka .¾NdIh yelsf,ñka È. yefrñka isÿlrk l%shdj,shla
2015 cQks l<dmh
f,isks' by; wdldrhg leá f,i reêrh msg ùfï§ jeämqr wdhdihla orkakg kï jeäfhka ixfldapkh úh hq;=h' tfia jeäfhka ixfldapkh ùfï§ lelal=ula yg .kq we;' tA wkqj Tima ùfï§ reêr leá f,i msg jk ldka;djkag;a ;on, nfâ lelal=ula yg .ekSu isÿfõ'
Tima fõokdjg .kakd T!IOj, fyd|u ld¾hlaIu;djh mj;skafka Tima ùug fmr .ekSfuks'
fufia Tima Èkj, lelal=u yg .ekSu tla tla ldka;djg ±fkk wdldrho fjkiah' tfiau tlu lreKlg jqj;a ldka;djka fofokl= m%;spdr olajk wdldrhkq;a fjkiah' tA wkqj iuyrekag fï Èkj, Wiq,d .; fkdyels ;rfï wêl lelal=u ksid jukh hdu" la,dka; ùu jeks ,laIK jqjo yg .ekSug mq¿jk' iuyr ldka;djkag iq¿ fõokdjla fyda lsis;a fõokdjla fkd±ksh yelsh' orejl= ìys jQ miq Tima fõokdj fkd±kS hdu fyda wvq ùu isÿ úh yelso@ tu u;h ishhg iShlau i;H fkdfõ' orejl= ìys jQ miq ldka;djlf.a .¾NdIh uq,ska ;snQ ;;a;ajhg m;a jkafka ke;' th .¾NŒNdjhla ;snQ .¾NdIhla ksidh' tA wkqj .¾NdIfha ia:rj, fjkialï we;s fõ' tu fjkialïj, iajNdjh wkqj Tima ùfï§ lelal=u wvq jkakg fyda jeä jkakg fyda fõokdj ;snQ mßoafokau mj;skakg fyda yelshdj we;'
19
Femina
wêl f,i Tima fõokdj we;sùug fya;= iy m%;sldr
lelal=u ke;s lrk m%;sldr úê fyd|u T!IO jkafka by; lS fm%diag.a,ekaäkaj, iu;=,s;Ndjh fjkia lrk T!IO j¾.h' tu.ska lelal=u wvq lrk fm%diag.a,ekaäka jeälr lelal=u jeä lrk fm%diag.a,ekaäka wvq lrkq we;' fuu T!IO ldKavh y÷kajkafka Non-Steroidal Antiinflammatory Drugs f,isks' fï ldKavh wh;a jk T!IO j¾. lsysmhla f,i bìhqfm%df*aka" bkafvdfu;iSka" fu*kñla weisâ jeks oE olajkakg mq¿jk' B<Õ ldKavh jkafka f,a j, leá .efik m%udKh wvq lrk T!IO j¾.hs' fïjd Antifibrinolytic Drugs jYfhka ye¢kafjhs' fï ldKav foflau T!IOj,ska msgjk f,a m%udKh wvq lrk w;r tA wkqj f,a msgjk Èk .Kko wvqjkq we;' m%Odk jYfhka ,nd fokafka fï ldKav folg wh;a T!IO jk w;r fï yer merisgfuda,a jeks fõokd kdYl o fï i|yd fhdÞ .; yelsh'
Tima ùfï§ yg .kakd fõokdj ;ukaf.a tÈfkÞ lghq;=j,g ndOdjla jkafka kï yd Tfí Ôú;hg ndOdjla kï by; lS T!IOhla ffjoH Wmfoia u; Tima jk ld,hg ,nd .ekSu iqÿiqh' fuys§ úfYaIfhka i|yka l< hq;a;la ;sfí' fuu T!IOj, fyd|u ld¾hlaIu;djh mj;skafka Tima ùug fmr .ekSfuks' túg T!IOj, idkaøkh;a f,a j, mj;shs' f,a j, T!IO idkaøkh tla;rd uÜgulg meñŒu i|yd T!IO ud;%d lsysmhla ^jdr lsysmhl§& mdúÉÑ lr ;sìh hq;=hs' T!IOfha m%;sM, ,efnkafka túgh' Tima ùug fmr tu ,laIK ;ukag ±fkkakg mgka .kakd úgu T!IO mdúÉÑh wdrïN lf<d;a kshu m%;sM, ,eìh yels fjhs' kuq;a Tima reêrh msgjk ;=re tys uq,a ,laIK my< fkdjk ldka;djlg fuys§ l< yels fohla
20
ffjoHjrhd - udisl ffjoH iÕrdj
ke;' tA wkqj wehg T!IO Ndú;d lrkakg jkafka Tima isÿùfuka miqjh' tys§ wr ;rïu id¾:l m%;sM, ,efnkafka ke;' fï yereKq úg Wm;a md,k fm;s .ekSu ;=<ska msg jk f,a m%udKh wvq l< yelsh' f,a m%udKh wvq kï lelal=u;a wvqh' äfmdafm%dfõrd Wm;a md,k tkak; u.ska o Tima ùu k;r lr .; yelsh' udia Y=oaêh k;r lrk úfYaIs; l%u fuu.ska flfrkafka .¾NdIh we;=<; ia:rh ;=kS lsÍu fyda úkdY lsÍuh’' Levonogestrel releasing intra uterine system kñka y÷kajk m<uq l%uh .ek wms uq,skau l;d lruq' fuh tla;rd ma,diaála fldhs,a úfYaIhls' tys nf|ys isúhla ;sfí' th T!IO .,ajk ,o isúhls' Levonogestrel hkq tu T!IOhhs'
2015 cQks l<dmh
tu fldhs,a tl u.ska .¾NdIfha l=yrh ;=<g álska ál tlS T!IOh jir myla ;siafia uqÞ yeÍu isÿ flf¾' tu.ska isÿjkafka .¾NdIh we;=<; ia:rh ;=kS ùuh' túg Tima ùfï§ uqÞ yßk f,a m%udKh wvqfõ' tksid lelal=uo wvq jkq we;' fï l%uh isÿ lrkafka orejka ,enQ uõrekagh' fuh Wm;a md,k l%uhla o fõ' fulS fldhs,a j¾.fhys ñ, wêlh' B<Õ l%uh kï .¾NdIh we;=<; ia:rh lmd bj;a lsÍuh' Trans cervical resection of endometrium kï jQ fuh Y,Hl¾uhls' wjYH ;rug orejka ,enQ ldka;djka i|yd muKla fuh isÿ flf¾' fuu Y,Hl¾ufhka miqj we;eï úg kej; orejl= fkd,efnkakg mq¿jk' kuq;a Wm;a md,k l%uhla f,i 100] lau id¾:l ke;' l,d;=rlska iq¿ jYfhka Tima isÿùug o bv ;sfí' .¾NdIhg ne¨ula we;=¿ lsÍu ;j;a l%uhls' Thermal Balloon kñka y÷kajk fuu ne¨u r;a lsÍu ;=<ska .¾NdIh we;=<; ia:rh úkdY lsÍu isÿfõ' f,ai¾ lsrK" uhsfl%da lsrK wdÈfhka .¾NdIh we;=<; ia:rh ms<siaiSu o ;j;a l%uhla fõ' fï ish¨ l%u Ndú;d lrkafka wjYH muKg orejka ,nd mjq, iïmQ¾K l< ldka;djkagh' Tima ùfï§ wêl fõokdj we;s lrk ;j;a wjia:djla ;sfí' orejka ,eîu fyda l,d;=rlska fjk;a fya;=jla u; .¾NdIfha we;=<; ia:rh ^tkafvdfuá%hï& .¾NdIfha udxY fmaYs wiaig ld je§u u; Tima ùfï§ .¾NdIfha we;=<; jf.au udxY fmaYsj,g;a f,a .e,Su isÿfõ' fuys§ Tima jk úg wêl lelal=ula ofkkq we;' tfiau fï whf.a .¾NdI úYd, ùula o ±lsh yelsh' fï ;;a;ajh tla m%;sldrhla jkafka by; ±lajQ L.R.I.U.S. ^ma,diaála Ths,a& l%uhhs' th we;eï úg id¾:l úh yelsh' tfia fkdjqfKd;a ie;alulska .¾NdIh bj;a lsÍug isÿfõ'
21
Nutrition
lk fndk fldhsfoa;a m%ÓM, fok úosyg lkafk" fndkafk fufyuhs'''
wyr isß; iqir lrk Wmfoia
lk fndk fldhsfoa;a m%ÓM, fok úosyg lkafk" fndkafk fufyuhs''' biair ldf,a l;djg lsõfõ zzoek fj<odu" fkdoek f.dú;ekZZ lsh,d' ta lshuk isysm;a lrjk /lshdjg;a jvd cSú;hg n,mdk ldrKhla ;uhs fï idlÉPd lrkakg hkafka' ta ;ud wfma wdydr isß;'
22
ffjoHjrhd - udisl ffjoH iÕrdj
wdydr .ekSu;a oekf.k lrkakg ´ks' l=i'''lg''' ;snqKg wm lk fndk oE YÍrhg Tfrd;a;= fok úosyg f;dard fírd .kak m%{djla ;sfnkak ´ks lsh,d Tn fï f;dr;=re lshùfuka miq f;areï .kSú' YÍrh jefvkakg" f,v frda. j,ska wdrCId fjkakg .=Kj;a fmdaIHodhS wdydr .ekSug oekqï f;areï we;s yeu flfklau fm<fUkjd' wvq ;rfï tf,i W;aidyhl j;a fhfokjd' ta;a" ta wdydr j, ;sfnk ish¿ fmdaIH mod¾: wfma YÍr j,g Wrd .kakjdo hkak ms<sn|j W.;a iudch mjd t;rï wjOdkhla fhduq lrkafka kE' fuh ieneúkau nrm;, ;;a;ajhla' wdydr j,ska ,efnk fmdaIHodhS fldgi YÍrhg Wrd .ekSug hï hï wjYH;d iïmQ¾K úh hq;=h' fmdaIH fldgia reêr.; ùu flfryS idOl lsysmhla n,mdkjd'
T!IO j, wvx.= m%;s wï, ^Antacids& ksido le,aishï Wrd .ekSu wvmK fjhs' m%;s wï, ksid l=vd wka;%fha Ph w.h fjkia lrhs' tys m%;sM,hla f,i f*da,sla wï,h iy úgñka B12 Wrd .ekSu wvq jkq olakg ;sfí'
x wfma cS¾Kl moaO;sfha ld¾hCIu l%shdldß;ajh x mqoa., cSjk rgdj x T!IO Ndú;h x fi!LH .eg¿ x jhi x wdydrfha iajNdjh ^wuqfjka$msisk ,o$w¾O jYfhka msisk ,o''' wdoS jYfhka& x iqúfYAI l%uhla uÕska hï fmdaIlhla fjku .kafkao hkak ^úgñka" LKsc ,jK ''' wdosh fjku .ekSu& wm fï iïnkaOfhka fldhs ldg;a jeo.;a jk lreKQ lsysmhla wo idlÉPd lrkjd' fmdaIK mod¾: j, m%udKh wdydrh wkqj fjkia jk j. wdydr cS¾KfhaoS wod, fmdaIl fldgia isrerg Wrd .ekSu t;rï myiqfjka isÿjkakla fkdjk nj fmdaIKfõoSka mjikjd' ^ksoiqk - úgñka 2015 cQks l<dmh
23
Nutrition
yd Lksc ,jK wvx.= yeu wdydrhlau tajd tlu m%udK j,ska Wrd .ekSu l< fkdyelshs' ^Bioavailability& fuh wdydrfhka wdydrhg fjkia' fmdaIlhla YÍrhg Wrd .ekSu isÿ lrk wdldrh wdydrfhka wdydrhg fjkia jkafka ta ksihs' ñksidf.a fmdaIK wjYH;d ia:dkh wkqj fjkia fkdfjhs' wdydr mqreÿ yd wdydr myiqfjka ,nd .; yels nj ;ekska ;ekg fjkia fjhs' ksoiqk - fndfyda ngysr rgj, Ndú;d lrk wdydr j, isrerg Wrd .; yels hlv ^ySï- Heme& fm%daàk wvx.= fjhs' uia j,ska hlv wjfYdaIKh ùu ishhg 20] isg 25] muK fjhs' Ydl j,ska ,efnk wdydr j,ska hlv Wrd .kafka ishhg 2]- 8] muK iq¿ m%udKhlsks' fya;=j tajdfha hlv mj;skafka ySï fkdjk fm%daàk f,i ùuhs' fï ksid mqoa.,fhl=g ks¾foaYs; hlv m%udKh ráka rgg;a" 24
lk fndk fldhsfoa;a m%ÓM, fok úosyg lkafk" fndkafk fufyuhs'''
m%foaYfhka m%foaYhg;a fjkia fjhs' lekvdj jeks rgl fjfikafkl=g osklg hlv 14mg lao bkaoshdkq jeisfhl=g 32mg lao jYfhka wkqu; lr we;af;a by; fya;=j ksihs' hlv jvd fyd|ska Wrd .kakd wdydr uia j¾.hs Ydl wdydr j, we;s ySï fkdjk hlv j, jeä jYfhka hlv ,jK wvx.= fjhs' tajd osh ù we;s m%udKh wkqj l=vd nvjef,a by< fldgfiaoS YÍrhg Wrd .efkhs' uia" ud¿" l=l=,auia wdoS i;a;aj fm%daàk wvx.= wdydr j,ska ySï fkdjk (non - heme) hlv Wrd .ekSu lsß" Öia ì;a;r jeks oE wvx.= tu m%udKfhkau wdydr fõ,lska Wrd.kakd hlv fuka isõ .=Khla jeäh' ys`.mdvq uev,ñka rih .=Kh tla lrk wydr mqreÿ iïmQ¾Kfhka weg j,ska iEoS OdkH wdydrhlska iy rks, fnda. jeämqr we;s wdydrhlska hlv Wrd .ekSu wvqh' tfy;a iaj,amhla fyda ySï hlv ,efnk ^i;a;aj fm%daàk& wdydrhla lEu fõ,g tla lsÍfuka tu wdydr j,ska hlv wjfYdaIKh ùu ie<lsh hq;= f,i jeäfjhs' Wïn,lv fhoSu mßmamq" fndaxÑ" jeks jHdxck j,g;a f.dgqfld< iïfnda,hg;a Wïn,lv fhoSu wmf.a merKs iïm%odhls' ta by; oelajQ Wml%uh m%dfhda.slj fh¥ wdldrhg ksoiqkls' foys oeóu hlv Wrd .ekSu jeä l< yels ;j l%uhla jkafka úgñka C ^weiafldìla wï,h& wdydrhg tla lsÍuhs' hlv osh jQ ;;a;ajfhka mj;ajd .ekSug zúgñka iSZ WmldÍ fjhs' fï ksid wdydrhg foys tla lsÍu;a m%Odk wdydr fõ,lska miqj fodvï mdkh lsÍu;a hlv Wrd.ekSu myiq lrjk Wml%uhls'
ffjoHjrhd - udisl ffjoH iÕrdj
t<lsß" uõlsß hlv ,nd oSfï fyd|u l%uhla f,i t<lsß fyda uõlsß iqÿiq fkdfõ' tfy;a uõlsßj, we;s wuq hlv m%udKh úgñka tla fkdl< t<lsß j,g jvd fyd|ska <orejka wjfYdaIKh lr .kshs' fï ksid wu;r úgñka fkdoeuQ t<lsß fndk <orejkag jvd uõlsß fndk <orejkag hlv W!K;d we;s fkdfjhs'
hym;a wdydr .e,mSï x ue.akSishï we;s úg úgñka B ^;hñka& myiqfjka Wrd .ekSug yels ;;a;ajhg (biologicaly active) m;a fjhs' x fmdaiamria u.ska úgñka B Wrd .ekSu ;j;a jeä lrhs' x wdydr j, we;s ;U j,ska ishhg 30] la muK YÍrhg Wrd .efkhs' úúO wï, u.ska ^úgñka wdoS& th ;j;a jeä lrhs' x fif,akshï yd úgñka E tlsfkl w;r wjfYdaIKhg Wmldß fjhs' tlla W!K úg wfkl bosßm;aùuo fuys úfYaI;ajhls' x ff;f,daohla we;akï ^f;,a iys; ødjKhla& th úgñka A wjfYdaIKh jeä ùug fya;=jls' x úgñka D le,aishï wjfYdaIKh lrhs' tfiau úgñka D l=vd wka;% j,oS ue.akSishï Wrd .ekSu myiq lrjhs' 2015 cQks l<dmh
wuq wdydr msisk ,o wdydr j,g jvd jeä fmdaIll m%udKhla Wrd.; yels hehs ie,fla' ukao" msiSfïoS wêl WIAK;ajhg ,la ùu;a" jeä mSvkhlg yiq ùu;a ksid iuyr fmdaIl úkdY ù hk neúks' fuu ;;a;ajh iEu wdydrhla i|ydu tl fia i;H fkdjk njo ie<lsh hq;=h'
25
Nutrition
WoEik 7'3010'00 ;a w;r ld,h ;=< oS iEfyk fj,djla ysre t<shg újD; jk ñksia iu uÕska úgñka D wjfYdaIKh lrjhs' tfy;a" ysre t<sfha isàu;a" bkamiq kEu" msyskSu" uÕska kshñ; mßos wjfYdaIKh ùu th wvd, lrjhs'
lk fndk fldhsfoa;a m%ÓM, fok úosyg lkafk" fndkafk fufyuhs'''
x le,aishï Wrd .ekSug ms; ;sìh hq;= w;r" hï m%udKhlg ^wêlj fkdfõ' fïoho ;sìh hq;=h' le,aishï Wrd.; yelafla ødjH ;;a;ajhka we;s úg muKs' x wdudYfha we;s yhsfv%dlaf,dßla wï,h" weiafldìla wï,h ^úgñka C&" isá%la wï,h ^úgñka C& iy .a,hsiska ^Glycine& yd ,hsiska ^Lycine& jeks weñfkda wï,o le,aishï oshùu myiq lrhs' lsßj, we;s ,elafgdaia kï iSks j¾.h ksid lsßj, we;s le,aih s ï wjfYdaIKh myiq fjhs' fmdaIl Wrd .ekSu wvqlrk fmdaIl tla fmdaIlhla wêlj .ekSu ksid ;j;a fmdaIlhla Wrd .ekSu wvqùug fya;j = k wjia:do wdydr j, ;sìh yelsh's ksoiqk(- le,aih s ï jeämqr .;a úg hlv" fmdiamria" ue.aki S h s ï" iskl a "a yd uex.kSia Wrd .ekSu wvqfjhs' tfiau wêlj le,aih s ï .ekSu úgñka K ieoSug;a tys wjfYdaIKhg;a ydks lrhs' fï ;j;a ksoiqkls' x fmdiamria nyq,j we;s uia" OdkH" weg j¾. w¾;dm,a iy isi, s a îu fyda fjk;a ksIm a dos; wdydr jeks fmdiamria ixfhda. tla l< wdydr jeämqr .ekSfuka le,aih s ï Wrd .eksu wvq fjhs' x wldnksl hlv úgñka E j,g jeg ne|sh's wldnksl hlv wka;j % ,oS úgñka E iuÕ tla ù úgñka wl%h s lrjhs' wldnksl hlv fmdaIl tla l< OdkH" fmdaIl w.h jeä l< msá j, yd Lksc imhk T!IO j, wvx.= fõ' x le,aih s ï" ;U" f*da,l s a wï,h" hlv iy mhsfÜÜia (Phytates) wvx.= wdydr jeämqr .ekSfuka iskl a a wjfYdaIKh wvq fjhs' x iskl a a fyda le,aih s ï jeämqr .ekSu ;U wjfYdaI Khg ndOdjls' fud,síäkï iuÕ i,af*AÜ tla ù ^ixfhda. ù& mej;Suo ;U wjfYDaIKh wjysr lrhs'
26
ffjoHjrhd - udisl ffjoH iÕrdj
x fl|s iys; wdydr jeämqqr .;a úg wdydr j, we;s le,aishï Wrd .ekSu wvmK fjhs' x fndfyda Ydl wdydr" j, iajNdúlju we;s Tlaiaf,aÜ yd mhsfÜg ksid le,aishï yd iskala wjfYdaIKh wvq lrhs' x f;a" fldams" flda,d îu fyda fidahd ksid hlv wjfYdaIKh wju fjhs' x jeämqr iSks Ndú;d lsÍu ksid le,aishï Wrd .ekSu wvqfjhs' uq;%d uÕska fl%dañhï msg lrhs'
lef*Aka yd geksla f;a" flda,d îu" fldams wdosfha wvx.= lef*Aka yd geksla ridhkh fya;=fjka le,aishï" ue.akSishï" fmdiamria" fmdgEishï" uoHidr iy fidaähï Wrd .ekSu wvq lrhs' tajd uq;%d iuÕ fuu Lksch msg lr yßhs'
x úgñka E wêl wdydr .;a úg fyda tajd fjkuu wêlj .;a úg fyda úgñka K Wrd .ekSu wvq lrhs' f,a leá .eiSug WmldÍ jk úgñka K ys id¾:l;ajho ySk lrhs'
mßirfha nyq, úgñkhla WoEik 7'30- 10'00 ;a w;r ld,h ;=< oS iEfyk fj,djla ysre t<shg újD; jk ñksia iu uÕska úgñka D wjfYdaIKh lrjhs' tfy;a" ysre t<sfha isàu;a" bkamiq kEu" msyskSu" uÕska kshñ; mßos wjfYdaIKh ùu th wvd, lrjhs' i;=ka ,nd .kakd wdydr yd úgñka D tla l< lD;su wdydr j,skao úgñka D ,efnhs' tjeks wu;r fmdaIH mOd¾: j,ska úgñka D fyd|ska Wrd .kShs' 2015 cQks l<dmh
27
Nutrition
uOHidr ksid we;s jk ydksh fmdaIK W!K;d j,g fnfyúkau fya;=jkakls uOHidr' l=vd wka;% j, YAf,aIAu, mg,hg ydks isÿùu Bg fya;=jhs' uOHidr w;s úg l=vd wka;%fha l%shdldÍ;ajh ÿ¾j, fõ' túg ;hñka ^úgñka B& yd f*da,sla wï,h Wrd .ekSu ÿ¾j, fjhs' tfiau rhsfnda*Af,aúka" ksheiSka" msßfvdlaiska wdoS úgñka ^B& j¾.o" úgñka B12 o weiafldìla wï,ho fïo wï,o iuÕ úoHQ;a úÉfPAok l%Shdjlska ì|S hdu uOHidr ksid isÿ fõ' ÿïmdkh úk lrkafka fufyuhs le,aishï wjfYdaIKh wvq lrjhs' tfiau le,aishï ire b;d fmdaIHodhS wdydr .;a úg tajdfha we;s le,aishï ksIAm%fhdackj;a fjhs' udkisl n,mEï udkislj we;s jk le<öïo ldhslj wdfõ.ldÍ f,i lghq;= lsÍuo le,aishï Wrd .ekSu 28
lk fndk fldhsfoa;a m%ÓM, fok úosyg lkafk" fndkafk fufyuhs'''
ksfIAOkh lrhs' fï ksid l=vd wka;%fhaoS le,aishï úYd, m%udKhla wmf;a hhs' udkisl mSvd j,ska yd lK.dgqfjka isák úg wdydr uÕska .kakd le,aishï fuka fo.=Khla u, uÕska msg lrjhs' tfiau yosis udkisl mSvd ksid weiafldìla wï,h o wmf;a hhs' T!IO j, n,mEu fmdaIl mod¾: Wrd .ekSu ÿ¾j, lsÍug;a we;eï tajd Wrd .ekSug yd fmdaIl mod¾: wødjH lsÍug;a Ph w.h fjkia lsÍug;a we;eï T!IO n,mEï lrk ,o fmkS f.dia ;sfí' T!IO wdydr j,g n,mdk yeá jÜfgdarejlska f;drj ,nd .kakd T!IO lsysmhla .ek úfYAIfhka i|yka l< hq;=h' u,noaOhg iykhla f,i Ndú;d lrk ñkr,a Ths,a ^mermska f;,a& úgñka A,D,E,K iy îgd lefrdáka wdosh fïofha oshfjk úgñka wjfYdaIKhg wjysr;d we;s lrhs' ^fuh m¾fhaIK uÕska ;yjqre Tmamq lr ;sfí& m¾fhaIK j,g wkqj úgñka A úYd, m%udKhla iuÕ ñkr,a Ths,a ,nd ÿka úg úgñka A ñkr,a Ths,a ;=< osh ù Wrd.; fkdyels ;;a;ajhg m;a fõ' bka miq tajd u, iuÕ msgfjhs' îgd lefrdákao fuf,i ñkr,a Ths,a ys oshù wjfYdaIKh lsÍug fkdyels ;;a;ajhg m;a fõ' fjk;a úf¾l ksido ^Laxatives& le,aishï yd úgñka D Wrd .ekSug ndOd fjhs' ue.akSishï yd we¨ñkshï yhsfvdlaihsâ T!IO j, wvx.= m%;s wï, ^Antacids& ksido le,aishï Wrd .ekSu wvmK fjhs' m%;s wï, ksid l=vd wka;%fha Ph w.h fjkia lrhs' tys m%;sM,hla f,i f*da,sla wï,h iy úgñka B12 Wrd .ekSu wvq jkq olakg ;sfí' jÜfgdare.; T!IO j, n,mEu jÜfgdarejlg wkqj ksl=;a lrk T!IO ^Prescripition Drugs) ksid x fmdaIl wjfYdaIKh ÿ¾j, ùu ffjoHjrhd - udisl ffjoH iÕrdj
x .=Kdx. fjkia ùu x fmdaIl wøjH lsÍu" ph w.h fjkia lsÍu wdosh isÿ úh yelsh' tjeks fjkialï j, m%;sM,hla f,i cS¾Kh wek ysàu fyda fmdaIH mod¾: wjfYdaIKh lrk mgl j, l%shdldß;ajh ÿ¾j, ùu isÿ fjhs' túg ukao wjfYdaIK ^Malabsorption& ;;a;ajh we;s fjhs' fi!LH .eg¿ x iuyr f,v frda.o fmdaIl øjH wjfYdaIKh wvq lsÍug fyda m%udo lsÍug n,mdhs' ^ksoiqk(- frda.sfhl=f.a f,a j, úgñka A uÜgu wvq jQ úg úgñka A wjfYdaIKho Bg iu.dój wvq fjhs& x wdfõKSl u, noaOh ksido úgñka A yd lefrdáka wjfYdaIKh ÿ¾j, fjhs' weiafldìla wï,h ^úgñka B& l=vd wka;%h uÕska wjfYdaIKh lr .kakd kuq;a ie,afudfk,a,d" B- fld,hs ^Escherichia coli& jeks wdydr úIùï we;s lrk frda. ldrl ksid úgñka C úkdY fjhs' x cS¾Kl moaO;sfha .eg¿ we;s frda.Skaf.a YÍr j, isák tjeks frda.ldrl ksid úgñka C Wrd.ekSu j<ld,hs'
x wdudYhsl frda. we;s frda.Skaf.a rhsfndmaf,aúka wjfYdaIKh fyd|ska isÿ fkdfjhs' fuu úgñkh wka;%fhaoS wjfYdaIKh jk kuq;a th Wrd .ekSug yhsfv%dlaf,daßla wï,h w;HjYH fjhs'
ta ksid fujeks frda.Skag tkak;a uÕska rhsfndmaf,aúka ,nd fohs' tajd .%yksfhaoS yd l=vd wka;%hg f.dia t;ekoS wjfYdaIKh fjhs' tfy;a rhsfndmaf,aúka fndfyda m%udKhla uyd wka;%fhaoS yd jl=.vq j,ska úkdY fõ'
x l=vd wka;%fha widudkH ;;a;aj hgf;a tkï mdpkh jeks frda. we;s úg úgñka C wêlj ;snqfKd;a Wrd .ekSu wmyiq fõ' x wdudIhsl hqI ;=< m%udKj;aj yhsfv%dlaf,daßla wï,h ke;s frda.Skaf.ao úgñka C Wrd .ekSu ÿ¾j, fõ' x fïoh wjfYdaIKh ÿ¾j, jk ´kEu fi!LH ;;a;ajhla hgf;a ^fix.ud,h wdoS ''& úgñka A yd lefrdáka wjfYdaIKh ÿ¾j, lrhs'
2015 cQks l<dmh
29
Nutrition
x ms;a hqIj, we;s ÿ¾j,;d ksid wka;%fha ms; wvq ùfuka fyda iajNdjfhka ms; wvq mqoa.,hskaf.a fyda wjysr;d fix.ud,h ^Obstructive jaundice& we;s úg fyda ms;a.,a" ms<sld fyda ms;a; m%kd,fha úgñka K Wrd .ekSu wvqfjhs' x jhi fmdaIH mod¾: Wrd .ekSug ;SrKd;aul idOlhla f,i l%shd lrhs' u< mÍCIKhlska fy<sjk mßos <orejkaf.a úgñka A wjfYdaIKh b;du;a ÿ¾j, nj;a" jeäysáhkaf.a wjfYdaIKh isÿ jk nj;a ;yjqre ù ;sfí'
lk fndk fldhsfoa;a m%ÓM, fok úosyg lkafk" fndkafk fufyuhs'''
x <orejkaf.a yd <uhskaf.a lefrdáka Wrd .ekSu;a" mßj¾;kh lsÍu;a b;d wvq nj meyeos<s ù ;sfí'
<uhskaf.a cS¾Kl moaO;sh mdr.uH;dj ^Permeability& ph w.hka ixl%uK ld,h ^Transit time& iy tkaihsu l%shdldÍ;ajh hk fïjd jeäysáhkag jvd fjkia fjhs' tlS idOl ;=<s;j mej;Su fyda tfia fkdùu u; <ud fmdaIH mod¾: wjfYdaIKh ;SrKh fjhs'
x tla tla jhia ld, iSud j,oS YÍrfha wjYH;d j,g wkqj le,aishï wjfYdaIKfha fjkialï we;s fõ'
YÍrhg le,aishï wjYH;djh wvq kï wka;%fhaoS Wrd .kafkao wvqfjks' jefvk ld,h" .¾NkS ld,fhaoS yd lsßfok ld,fhaoS le,aishï wjYH;djh wêl jkakd fiau wjfYdaIKho wêl fjhs'
x tfukau hlv wjfYdaIKho ld,h wkqj fjkia fjhs iy ia;%skaf.a .nvd lr we;s hlv wvq jQ úg wdka;%sl YAf,aIAu,h ^Intestinal mucosa& uÕska wu;r hlv ,nd .kshs' túg Wrd .kakd hlv m%udKh jeäfjhs' x by< uÜgï j,ska hlv .nvd ù we;s mqreIhskaf.a yd wd¾;jyrKh jQ ia;%skaf.a hlv Wrd .ekSfï m%;sY;h wvqfjhs' tuÕska wêl f,i hlv ;ekam;a ùu je<flhs' x uy¿ whf.a wka;% j,oS úgñka B12 le,aishï yd fjk;a fmdaIl Wrd .ekSu wm jhig hdu;a iuÕ fndcqka cS¾Kl moaO;s j, l%shdldÍ;ajh ;reK iuhg jvd wvq ld¾hCIu;djhlska isÿ fõ'
30
ffjoHjrhd - udisl ffjoH iÕrdj
i;=ka ,nd .kakd wdydr yd úgñka D tla l< lD;su wdydr j,skao úgñka D ,efnhs' tjeks wu;r fmdaIH mOd¾: j,ska úgñka D fyd|ska Wrd .kShs'
flfia jqjo" l=i.skak i|yd wdydr .ekSu wjYH;djh jqjo ;u ;ukaf.a YÍrj, we;s ;;a;ajhka jgydf.k fyda fmdaIKfõoSkaf.a Wmfoia mßos wdydr ,nd.; yels kï th Tfí isrer os.= ld,hla ksfrda.Sj mj;ajd .ekSug fya;=jla jkq we;' msisk ,o yd wuq wdydr wkqNjfhka jeä jdis f.k foa wuq wdydr msisk ,o wdydr j,g jvd jeä fmdaIll m%udKhla Wrd.; yels hehs ie,fla' ukao" msiSfïoS wêl WIAK;ajhg ,la ùu;a" jeä mSvkhlg yiq ùu;a ksid iuyr fmdaIl úkdY ù hk neúks' fuu ;;a;ajh iEu wdydrhla i|ydu tl fia i;H fkdjk njo ie<lsh hq;=h' we;eï wuq wdydr j, wvx.= m%;sfmdaIH mod¾: ^Anti- nutrients& msiSfïoS wl%sh ;;a;ajhg m;a jk neúka mOd¾: Wrd .ekSug yels wdldrhlg ^Nutrients& m;a fjhs'
2015 cQks l<dmh
Consumer Research ys ixialdrl ìhá%ia tï ykag¾ uy;añhf.a zzHow well we Absorb NutrientsZZ kï ,smsh weiqßka Y%S ,xld m%ñ;s wdh;kfha tia' tï' iurkdhl uy;d ,shQ ,smh s la mdol lr .kakd ,oS'
31
Mumps
lïuq,a.dh
1000 w;r ixLHdjla jd¾;d fõ' tf,i u iEu wjqre¥ 2-5 ld,hlg u jrla jix.; ;;a;ajhla ^outbreak& we;s úh yelsh' WIaKdêl rgj, wjqreoafoa ´kE u ld,hl fuu frda.h we;s úh yels w;r" YS; rgj, YS; iy jika; iD;=j, § frda.h m%Odk jYfhka me;sf¾'
lïuq,a.dh <ud ld,fha ìysß njg fya;=jla iodld,sl j|Ndjh we;s jkafka l,d;=rlska'' tkak;a ksid ful, frda.Skaf.a wvqùula ;sfnkjd''' lïuq,a.dh frda.h ffjrihla ksid we;s jk frda.hls' fuu frda.h m%Odk jYfhka <uhskag je<f|k w;r" wjqre¥ 5- 9;a w;r orejka w;r nyq,j olakg ,efí' tkuq;a fuu frda.h iuyr úg jeäysáhkago je<|sh yels w;r" iuyr ixl=,;d jeäysá frda.Ska ;=< jeämqr olakg ,efí' lïuq,a.dh tkak; f,dalfha Ndú;d lsÍug mgka .;af;a 1960 j¾Ihg fmrh' ta jk úg lïuq,a.dh frda.h f,dalfha iEu m%foaYhlu mdfya me;sr mej;=Ks' f,dalfha fndfyda m%foaYj, jd¾Isl j iEu 100"000l ck.yKhlg frda.Ska 100-
32
frda.h je<f|k wdldrh lïuq,a.dh frda.h ñksidg muKla je<f|k frda.hls' fuh frda.sfhl=f.ka ksfrda.S mqoa.,hl=g wdidokh úh yelafla mQoa.,hl=f.a Yajik ud¾.fha by< fldgfia we;s ì|s;s wdidokh ùu fyda frda.shd iu. ióm iïnkaO;djla meje;aùu fyda ksidh' îfc!IK iuh îfc!IK iuh Èk 16 isg 18 olajd jk w;r" i;s 2-4 olajd jqj o fjkia úh yelsh'
ffjoHjrhd - udisl ffjoH iÕrdj
frda. ,laIK lïuq,a.dh frda.h idudkHfhka <ud ld,fha we;s jk b;d iq¿ frda. ,laIK fmkajk frda.hls' lïuq,a.dh frda.fha uq,sl frda. ,laIK jkqfha úfYAIs; fkdjq ^non specific symptoms& frda. ,laIK we;s ùuh' we`.m; fõokd" T¨j lelal=u" fmaYsj, lelal=u" WK ^low grade fever& fï w;r fõ' uQ,sl jYfhka fÄg .%kaÒj, wdidok fuu frda.fha § m%Odk jYfhka fÄg .%kaÒj, wdidokh we;s fõ' uq,sl frda. ,laIK we;s ùfuka tla Èklg miq tla me;a;l fyda fome;af;au mefrdáâ .%kaÒ bÈñh yelsh' fuhg wu;r j ishhg 10la muK frda.Skaf.a wfkl=;a fÄg .%kaÒ o bÈóu is¥fõ' i;shlg miq WK iy fÄg .%kaÒj, bÈuqu ke;s ù hk w;r" hïlsis ixl=,;d jla we;s fkdjqKfyd;a frda.h iqj fõ' frda.Skaf.ka ishhg 30 lg muK úfYaIs; fkdjQ frda. ,laIK we;s ùu ^non specific symptoms& fyda lsis u frda. ,laIKhla we;s fkdùu is¥úh yelsh' wjqre¥ 2lg jvd wvq orejka f.a fndfyda úg lsis u frda. ,laIKhla we;s fkdfõ' fuu frda.h i|yd u úfYAIs; jq m%;sldr fkdue;' lïuq,a.dh frda.h je<|Sug Èk follg fmr isg frda.h je<|Sfuka Èk 9la olajd ld,hla ;=< frda.shl=f.ka ksfrda.S whl=g frda.h fndaúh yelsh' we;súh yels ixl+,;d lïuq,a.dh frda.h je<ªKq úg idudkHfhka b;d iq¿ frda. ,laIK fmkajk w;r" úfYaIs; m%;sldr fkdue;sj iqjjk kuq;a ^lïuq,a.dh frda.h je<|Sug Èk follg fmr isg frda.h je<|Sfuka Èk 9la olajd ld,hla ;=<
2015 cQks l<dmh
frda.shl=f.ka ksfrda.S whl=g frda.h fndaúh yelsh' (Self limiting& iuyr úg ixl+,;d olakg ,efí' frda.Ska 10"000lg muK tla whl= urKhg m;aúh yels w;r" ishhg 15 lg muK fud<fha WK ^Meningitis& we;s úh yelsh' frda.Skaf. ka ishhg 0'02-0'3 lg muK tkafi*,hsáia frda.h (Mumps encephalitis& je<|sh yels nj jd¾;d ù we;' fuu ixl=,;d we;s ùu ksid urKh we;s ùu b;d wvq jqjo" tu frda.Skaf.a mK ke;s ùu iakdhq l%shd fkd lsßu ^cranial nerva paralysis&" jeks iodld,sl wdndê; ;;a;aj we;s úh yelsh' lïuq,a.dh frda.h ksid frda.Ska 100"000lg 5 fokl=g muK ìysß nj we;sjk neúka <ud ld,fha ìysß nj we;s ùug fuu frda.h m%Odk fya;=jla fõ' fh!jk úh miqlr we;s ;reKhkaf. ka ishhg 20 lf.a muK jDIKfldaIj, wdidok ^orchitis& 33
Mumps
lïuq,a.dh
we;s úh yels w;r tf,i wdidÈ; jkakkaf.ka ishhg 20l muK jDIKfldaI fol u wdidokh úh yelsh'
yelsh' tkuq;a .¾NkS iufha frda.h je<|Su fya;=fjka l<,hg n,mEï we;s jk nj fidhdf.k fkdue;'
frda.h je<f|k whf.ka ishhg 4lg muK w.akHdYfha wdidok ^pancreatitis& we;s úh yelsh' lïuq,a.dh frda.h tla jrla je<÷Kq úg cSú; ld,h mqrd mj;sk wdrlaIdjla ,efnk kuq;a" lsysm jrla lïuq,a.dh fuu frda.fha § frda.h je<÷Kq wjia:d o m%Odk jYfhka fÄg jd¾;d ù we;'
.%kaÒj, wdidokh we;s fõ' uq,sl frda. ,laIK we;s ùfuka tla Èklg miq tla me;a;l fyda fome;af;au mefrdáâ .%kaÒ bÈñh yelsh'
tfia kuq;a lïuq,a.dh frda.fhka jDIKfldaI wdidokh ùu fya;=fjka iodld,sl j|Ndjh we;s úh yelafla b;du;a l,d;=rlsks' .¾NKS iufha uq,a ld,fha yeÿfKd;a .íid ùfï wjodkula ;sfhkjd .¾NKS iufha m%:u i;s 12 ;=< § lïuq,a. dh frda.h je<÷Kq úg ishhg 25 l f.a muK .íid is¥úh 34
frda.h je<elaùug .;hq;= mshjr lïuq,a.dh frda.h je<elaùu i|yd .=Kd;aulNdjfhka hq;= yd wdrlaIs; icsù wvmK lrk ,o tkak;la 1960 j¾Ifha isg Ndú;fha we;' iuyr rgj, fuu tkak; cd;sl m%;sYla;slrK jevigyk hgf;a ,nd fok w;r" tkak;a wdjrKh by< uÜgul we;s rgj, fu u.ska lïuq,a.dh frda.Ska we;s ùu úYd, f,i wvq lr .ekSug yels ù we;' lïuq,a.dh frda.h §¾> ld,Skj j<lajd .ekSu i|yd tkak;a ud;%d 2 la ,nd Èh hq;=h' tkak;a fok ms<sfj, Y%S ,xldfõ cd;sl m%;sYla;slrK jevigyk hgf;a 2011 j¾Ifha isg lïuq,a.dh tkak; ,nd fokq ,efí' ta wkqj udi 12 iïmq¾K jq úg tï'tï'wd¾ ^MMR& tkakf;a m<uq jk ud;%dj;a" wjqre¥ 3 iïmq¾K jq úg tï'tï'wd¾ tkakf;a fojk ud;%dj;a ,nd fokq ,efí' tkak;a .nvd l< hq;= wdldrh ish¨ u icSù wvmK lrk ,o lïuq,a.dh wvx.= tkak;a fikaáf.a%â wxYl Ok 2;a Ok 8 ;a w;r .nvd lsrSu yd m%jdykh lsrSu l< ffjoHjrhd - udisl ffjoH iÕrdj
hq;=h' fuh icsù tkak;la jk neúka wêYS;kh ùfuka .=Kd;aulNdjhg ydkshla is¥ fkdfõ fuu tkak; wdf,dalhg ksrdjrKh fkdúh hq;=h' lïuq,a.dh tkak; ;ks tkak;la f,i fyda irïm" lïuq,a.dh" refn,a,d tkak; ^ MMR tkak;& f,i fyda ,nd .; yelsh' lïuq,a. dh tkak; wvx.= tkak; wê YS; úh<s tkak; neúka l=vla ^powder& jYfhka mj;S' tu tkak;a ,nd §ug fmr ksIamdolhd úiska wkqu; lr we;s wod< ødjlh fhdod kej; ilia lr.; ^reconstitution& hq;=h' kej; ilia lr.;a tkak;a l=mams whsia leg iu. .efgñka fikaáf.a%â wxYl Ok 2;a Ok 8;a w;r WIaK;aj mrdihl ;eìh hq;=h' tu tkak; meh 6 la we;=<; Ndú; l< hq;= w;r" tkak; idhkh wjidkfha § fyda meh 6 lg miq fyda bj; ±ñh hq;=h' fuu tkak; ,nd Èh hq;af;a wka;¾ p¾óhj ^subcutaneous& h' tkak;a ksid we;s jk w;=re wdndO úr,hs lïuq,a.dh je<elaùug Ndú; lrk tkak;a ksid we;s jk w;=re wdndO úr, jk w;r" tajd b;d iq¿ w;=re wdndO fõ' tkak; ,nd ¥ka ia:dkfha we;s jk ±ú,a, iy bÈuqug wu;rj b;d nyq,j ±lsh yels w;=re wdndO jkqfha mefrdáâ .%kaÓfha we;s jk wdidokh ^parotitis& iy b;d wvq w.hlska mj;sk WKh' ^low grade fever& b;du;a l,d;=rlska lka weiSu wvqùu iy jDIK fldaIj, wdidokh o jd¾;d ù we;' fud<fha WK ^aseptic meningitis& we;s ùu b;d úYd, mrdihla ;=< jd¾;d ù we;' ^tkak;a ud;% 400lg tl frda.shl= muK isg tkak;a ud;% 500"000 lg tl frda.shl= olajd&' idudkHfhka fud<fha WK we;sjkafka tkak; ,nd § i;s 2-3 l ld,hlg miqjh'
2015 cQks l<dmh
tkak;a fkdÈh hq;= wjia:d wfkla tkak;a i|yd jk tkak;a fkdÈh hq;= wjia:d fuu tkak;go wod< fõ' wfkl=;a icsù wvmK lrk ,o tkak;a fuka fuu tkak; o W.% m%;sYla;s W!K;d ;;a;ajhkaf. ka fmf<k whg ,nd fkdÈh hq;=h' .¾NKS iufha È lïuq,a.dh tkak; ,nd §fuka l<,hg ydks is¥jk njg jd¾;d fkdjqKo lïuq,a.dh tkak; .¾NKS iufha § ,nd fkdÈh hq;=h' fuu tkakf;ys wvx.= ksfhdauhsiska ^neomycin& yd fc,áka ^gelatine& jeks øjHj,g wid;añl;dj olajk whg o fuu tkak; ,nd fkdÈh hq;=h' Wmfoia-fi!LH wud;HxYfha jix.; frda. úoHd wxYfhys meje;s cd;sl m%;sYla;slrK jevigyk weiqßKs igyk- wkqrdOd È,sks b,kafldaka
35
Advertorial
wñ, .=K iok fmd,af;,a
wñ, .=K iok fmd,af;,a th w;sYh jákd fnfy;la f,io iq,nj Ndú;d jkafkah wf;ka ñßlSfïoS 40] muK fmd,a wmf;a hk nj Tn okakjdo@ l=reKE., YslaIK frdayf,a ffjoH kd,l rKisxy úisks fmd,alsß wo fndfyda fokdf.a wdydr ri lrk uq¿;ekaf.hs ke;sju neß wdkqmdkhls' ke;sju neß uq;a fmd,alsß j,g fï id uy;a jQ fmdaIKSh .=Khla" m%;sldrd;aul yelshdjla ;sfnk nj Tn we;eï úg fkdokakjd we;' fmd,alsß i;= jQ fï id uy;a jQ .=Kdx. j,ska fldgila fï ,smsfhka úia;r flfrKq we;'
36
ffjoHjrhd - udisl ffjoH iÕrdj
fmd,a lsß" úgñka yd LKsc ,jK j,ska w;sYhskau fmdfydi;ah' hlv" le,aishï" fmdgEishï" ue.akSishï yd iskala hk YÍrhg w;sYhska wjYH jk fmdaIl j,ska fmd,alsß fmdfyi;ah' ta yereKQ úg úgñka A yd úgñka E o ie<lsh hq;= m%udKhlska iukaú;h' fmd,alsß fldamamhl ^.a?ï 240& my; fmdaIK ix>gl ;sfí' ldfndayhsfâ%Ü .a?ï 13 ;ka;= .a?ï 5 fm%daàka .a?ï 5 fïoh .a?ï 57 Yla;sh le,ß 552 la fuhska W;amdokh l< yel' fï wkQj fmd,alsß j, fïoh;a Yla;sh;a hyñka ;sfnk nj meyeos,s fõ' fmdaIK úoHd;aulj n,k úg fmd,alsß fldamamhl we;s wjfYAI fmdaIKh fufiah' úgñka C ñ,s .a?ï 6'7 úgñka E ñ,s .a?ï 0'4 úgñka K ñ,s .a?ï 0'2 ksheiska ñ,s .a?ï 1'8 f*daf,aÜ uhsfl%d .a?ï 38'4 úgñka B6 ñ,s .a?ï 0'1 ;hñka ñ,s .a?ï 0'1 le,aishï ñ,s .a?ï 38'4 hlv ñ,s .a?ï 3'8 ue.akSishï ñ,s .a?ï 88'8 fmdgEishï ñ,s .a?ï 631 fmdiamria ñ,s .a?ï 240 iskala ñ,s .a?ï 1'6 uex.kSia ñ,s .a?ï2'2 fldm¾ ñ,s .a?ï 0'6 fif,kshï ñ,s .a?ï 14'9
,nd .ekSug Wmfhda.S ùuhs' fï yereKQ úg fi!LH iïmkak cSú;hlg w;sYhska ufydamldÍ jk fmdaIl /ila fmd,alsß j, wvx.= fõ'
fmd,alsß isref¾ wdydr cS¾Kh iqug lrhs fjfiiskau wdudYhsl jk iy .eiag%hsáia iukh lsÍu i|yd fmd,alsß ys;lrh' fmd,alsß i;= m%;sTlaisldrl .=Kh ksid iu úhm;a ùu l,a oud.; yel' tfiau wefia fmkSu iqir lr .ekSugo" wiaÓ iúhgo WmldÍ fjhs'
fmd,alsß w;sYhska fmdaIKSh jQ wdydrhls fmd,alsß i;= iqúfYAIS ldrKhla jkafka tys flá yd uOHu odu ix;Dma; fïoh ;rula jeäfhka mej;Suhs' fïjdfha iajNdjh kï foayfha ;ekam;a fkdù YÍrhg wjYH Yla;sh 2015 cQks l<dmh
37
Advertorial
wñ, .=K iok fmd,af;,a
fmd,alsß i;= uy`.= f,daßla wï,h fmd,alsß i;= uy`.= fmdaIlh f,daßla wï,h lsõfjd;a jrola fkdfõ' f,daßla wï,h i;=j m%;scSù" m%;sos,Sr yd m%;sffjri .=Kdx. uy;a f,i mj;sk w;r f,daßla wï,h u.ska m%;sYla;slrK moaO;sh ;sr lr wmj f,v frda. j,ska wdrlaId lsÍug bka wjia:dj Wod fõ' f,daßla wï,h u.ska reêr kd, j, m%;Hia;;djh jeä lrk w;r tajd msßisÿj ;nd.ekSugo odhl;ajhla olajhs'fï ksid yDoh wjysr ùï je<elaùug f,daßla wï,h i;= fï .=Kdx.h jeo.;a fjhs' YÍrh úhm;a ùu j<lajhs fmd,alsß j, we;s ;j;a .=Kdx.hla jkafka YÍrhg úk lrk uqla; LKAvl hdka;%Kh úkdY lrk m%;sTlaisldrl .=Kdx.hhs' fï ksid ms<sld jeks frda. je<|Sfï wjodkug wdrlaIdjla ie,fik w;r YÍrh ;=reKQ Ndjfhka mj;ajd .ekSug WmldÍ fjhs' wdydr cS¾Kl moaO;sh flfryS we;s n,mEu fmd,alsß isref¾ wdydr cS¾Kho iqug lrhs fjfiiskau wdudYhsl jk iy .eiag%hsáia iukh lsÍu i|yd fmd,alsß .ekSu ys;lrh' hlv W!K;djhg fmd,alsß j,ska ms<shï fmd,alsß .ekSfuka Tn úiska imqrd.; hq;= ffoksl hlv wjYH;djfhka ishhg 22la iïmQ¾K fjhs' fu;rï by< hlv m%udKhla fmd,alsß u.ska imqrd,Su ksid hlv W!K;djh ksid we;sjk weksñhdjg fmd,alsß fyd| úi÷uls' m%;sldrd;aul m%;s,dN /ila fï yereKQ úg fmd,alsß iakdhq l%shdldß;ajh ld¾hlaIu lsÍug;a fmaYs l%shdldß;ajh iqug lsÍug;a" reêr iSks wvq lsÍu iy wê reêr mSvkhg;a ykaosm;a lelal=ï j,ska iykh ,nd.ekSug;a fya;= jk nj m¾fhaIKd;aulj fy<sorõ ù ;sfí' 38
fmd,a íf,kav¾ lsÍfuka tys we;s ;ka;= úkdY fõ' wf;ka ñßlSfuka tys ixÑ; lsß m%udKfhka ishhg 40la wmf;a hhs'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.com
ffjoHjrhd - udisl ffjoH iÕrdj
fuf,i n,k úg fmd,alsß oskm;d wm wdydr ms<sfh, lsÍu msKsi ,nd.kakd uq¿;ekaf.hs iq,n wdkqmdkhla uq;a tys fldmuK fmdaIKSh .=Khla ;sfnkjdo @ fldmuK jQ frda. j,g m%;sldrd;aul iykhla ,nd fokjdo @ fmd,alsß iïnkaOfhka m%fhdackj;a lreKQ wdhq¾fõofha yd iïm%odhsl ffjoHl¾u j, fukau ngysr m¾fhaIK j,skao fmd,alsß iïnkaOfhka wkqo;a lreKQ rdYshla wkdjrKh ù ;sfí' óg fmro i|yka l< wdldrhg fmd,alsß i;=j úgñk" LKsc ,jK iy úoahq;a úÉfPaoH /ilau wvx.= fõ' ,elafgdaia bkafgda,rkaia kue;s i;a;aj laISr wdid;añl jk whg fuh wdydr j,g tl;= lrk úl,amhls' W.=f¾ wdidok j,g fmd,alsß .ekSfuka iykhla we;s fõ' Tfí iug yd ysifla j,g fmd,alsß j, fmdaIKh fnfyúka ys;e;sh' fï ksidfjkau lS¾;su;a rEm,djKH ksIAmdolhka ;u ksIAmdok j, mdol øjH f,i fmd,alsß Ndú;d lrhs' fmd,alsß i;= m%;sTlaisldrl .=Kh ksid iu úhm;a ùu l,a oud.; yel' tfiau wefia fmkSu iqir lr .ekSugo" wiaÓ iúhgo WmldÍ fjhs' fmd,alsß nv úf¾plhla jYfhka fhdod.kakd wjia:do fõ' uq;%d.; iy jl=.vq frda. j,g m%;sldrhla f,i fmd,alsß fhdod .kshs'
2015 cQks l<dmh
wo ojfia ld¾h nyq, cSú;hla .; lrk .DyKshka fmd,a.Eu" ñßlSu wdoS lghq;= j,g fnfyúka fj,dj ñvx.= jk ksid fndfyda úg fmd,alsß íf,kav¾ lsÍug fm<fò' fmd,a íf,kav¾ lsÍfuka tys we;s ;ka;= úkdY fõ' wf;ka ñßlSfuka tys ixÑ; lsß m%udKfhka ishhg 40la wmf;a hhs' fï ksid msá l< fmd,alsß Ndú;hg fndfyda fokd fm<fò' tfy;a msá lsß f,i tajd ieliSug r;a lsÍfïoS tys we;s .=Kdx. lsysmhla úkdY fjhs' fï ish,a,g ms<s;=rla f,i áka l< iajdNdúl fmd,alsß Ndú;d l< yel' 39
40
ffjoHjrhd - udisl ffjoH iÕrdj
Alert
jl=.vq wdndO we;slrjk fya;=
jl=.vq wdndO we;slrjk fya;=
mjqf,a wfhla jhi wjq' mkyg fmr jl=.vq wdndOhlska ñh .shd kï mjqf,a fiiq wh;a wjosfhka isàu jeo.;a''' jl=.vq frda. ms<sn| úfYaI{ ffjoH pQ,d fyar;a
2015 cQks l<dmh
jl=.vq wdndO wo ojfia wfma fi!LH ;¾ckhla' fndfyda m<d;a j, jl=.vq frda.Ska úYd, jYfhka jd¾;d fjkjd' fï ;;a;ajh hgf;a jl=. vq wdndO we;sùug n,mdk fya;= ms<sn|j úmrï lsÍu ld,Sk wjYH;djhla' ldka;djka iy l=vd orejka w;r nyq,j we;s uq;%d meiùï jl=.vq wdndO we;sùu i|yd n,mdk tla
41
Alert
frda. ;;a;ajhla f,i jl=.vq wdidok fyj;a meiùï fya;= úh yelshs' fufia meijkqfha uq;%d ud¾.hg úI îc we;=¿ ùfuka" tksid uq;%d ud¾.hg úI îc we;=¿ úh yels l%u fudkjd±hs Tn ±k isàu b;d jeo.;a' uq;%d msg jk isÿr jgd ks;ru úIîc /£ ;sfnkak mq¿jks' tfiau ldka;djkaf.a kï wfOda ud¾. fha isÿfrys u, ksid ;sìh yels úIîc;a" uq;%d msgjk isÿr ;=<ska uq;%dYh lrd .uka l< yelshs' tfiau u, my lr fidaok úg;a iuyr úg tu úIîc ldka;djlf.a uq;%d isÿfrys ;ejßh yelshs' Bg fya;=j ldka;djkaf.a uq;%dYfha ndysr fl<jr isÿr yd wfOda ud¾.fha isÿr b;d iómj msysgd ;sîuhs'
ks;r ks;ru l=vd orejl=f.a uq;%d ud¾.hg úIîc we;=¿ ù tys wdidok we;s fjkjd kï Bg fya;=j uq;%d ud¾.fha j¾Okfhys lsishï fodaIhla o úh yelshs' tneúka tjka orejl= ffjoHjrhl=f.a ukd mÍlaIKhg ,la lsÍu b;du;au jeo.;a'
tfiau Wm;skau uq;%d ud¾.fha j¾Okfhys lsishï jrola ;sfnkjd kï úI îc j,g tu uq;%d ud¾.h ;=< myiqfjkau /£ isàfï wjldYh ,efnkjd' túg uq;%dYfha wdidok b;d myiqfjka je<f|kjd' tfiau úfYaIfhka wújdyl l;=kg jvd újdyl ldka;djkag uq;%d wdidok we;sùfï bvlv jeähs' Bg fya;=j ldhsl in|;dj,§ ldka;djkaf.a uq;%d ud¾.hg úIîc we;=¿ ùug we;s myiq yelshdjhs' msßñkaf.a mqrefIakaøsfhys msg; 42
jl=.vq wdndO we;slrjk fya;=
úIîc /£ ;sfnkak mq¿jka' tfiau ldhsl l%shdj,sh isÿjk wjia:dfõ§ mqreI ,sx.h fhdaks ud¾.h ;=< f;rmSulg ,lafjkjd' fï fudfydf;a§ mqrefIakaøsh jgd ;sìh yels úIîc myiqfjkau fhdaks ud¾.fha ndysr isÿr jgd ;ekam;a fjkjd' ldka;djkaf.a uq;%d msgjk isÿr wi,skau Bg u|la my<ska fhdaks isÿr msysgd ;sîu fya;=fjka fmr lS mßos ;ekam;a jk úIîc myiqfjkau uq;%dYh lrd hd yelshs' l=vd orejka w;f¾ oelsh yels uq;%d meiùï ldka;djkag idfmalaIj l=vd orejka ;=<;a fuu uq;%d meiùï nyq,j mj;skjd' l=vd orejkaf.a" úfYaIfhkau <orejkaf.a" u, j,skq;a ks;r tu m%foaYh wmú;% ùfï yelshdj ;sfnkjd' túg b;d blaukskau uq;%d ud¾.hg úIîc hd yelshs' tu ksid ffjoHjrhd - udisl ffjoH iÕrdj
l=vd <uhskaf.a tu m%foaY m%fõYñka fidaÞ ks;ru mú;%j ;nd .; hq;=hs' ks;r ks;ru l=vd orejl=f.a uq;%d ud¾.hg úIîc we;=¿ ù tys wdidok we;s fjkjd kï Bg fya;=j uq;%d ud¾.fha j¾Okfhys lsishï fodaIhla o úh yelshs' tneúka tjka orejl= ffjoHjrhl=f.a ukd mÍlaIKhg ,la lsÍu b;du;au jeo.;a' tmuKla fkdfjhs l=vd orejka fiau jeäysáhka o uq;%d wdidok we;s jQ úg uekúka ffjoH m%;sldr ,nd th iïmQ¾Kfhkau iqjlr .; hq;=hs' tfia ke;sj th fkdi,ld yeÍu ;=<ska bÈß ld,fha§ jl=.vq wdidok we;sùug fnfyúkau bvlv ie,fikjd' È,Sr wdidok ksid jl=.vq wdndO yg.; yelso@ tA jf.au ,sxf.akaøsh wdY%s;j je<f|k lekaävd jeks È,Sr wdidok ksid;a uq;%d wdidok fukau jl=. vq wdndO;a we;s úh yelshs' 2015 cQks l<dmh
tn÷ È,Sr wdidok ksid;a uq;%dYfha frda. we;s fjkak mq¿jka' kuq;a tfia jkafka YÍrfha m%;sYla;sh wvq whg úfYaIfhka .eìKs ldka;djkag' Èhjeähdj" ms<sld jeks frda. we;s whg È,Sr wdidok ksid uq;%dYfha wudre we;s fjkjd' flfia kuq;a È,Sr wdidok ksid uq;%dYfha wudre yg.;a;dg os,Sr wdidok ksid jl=.vq wdndO we;sjkafka l,d;=rlska' idudkHfhka jl=.vq wdndO we;sjkafka nelaàßhd u.ska' fiïf.ä iy fydrs ksid;a jl=.vq wdndO fndfyda fofkla fkdoek isáh;a fiïf.ä ksid;a jl=.vqj, bosóula we;sjkakg bv ;sfnkjd' fiïf.ä muKla fkdfjhs Tn fyd¢kau okakd y÷kk ifï frda.hla jQ fydß ksid;a jl=.vq bÈfukakg mq¿jka' kuq;a fuh isÿjkafka uq;%dYhg úIîc hdu ksid we;sjk uq;%d wdidok u.ska kï fkdfjhs' fiï f.ä je<f|kafka W.=rg úIîchla we;=,aùu ksihs' fydß yg .kafka iug úIîchla we;=¿ ùu ksihs' fujeks foaj,a je<f|k úg tfia je<÷Kq frda.shdf.a YÍrfhys tu úIîc úkdY lsÍu i|yd m%;sYla;shla we;sfjkjd' fuu m%;sYla;sh fldhs ;rï n,j;a o lsõfjd;a thska YÍrfha wksla wjhjj,g;a wys;lr n,mEï isÿjkakg mq¿jka' fldfydu jqK;a by; lS m%;sYla;sh ksid jeäfhkau wys;lr n,mEï we;s jkafka jl=.vqj,ghs' fuh y÷kajkafka jlalÞkh ^Nephritis& hk kñka' fuh je<f|kafka ks;r ks;r fiïf.ä fukau ks;r fydß je<f|k whgh' kuq;a th ks;r fiïf.ä yd fydß we;sjk yeu fokdgu isÿjk fohla lsh,d jrojd jgyd .kak;a tmd' idudkHfhka fydß jeks foaj,a ksid jlalÞkh ^Nephritis& je<£u jhi 18ka my< whghs jeämqru ;sfnkafka' 43
Alert
kuq;a fï foflkau jlalÞkh ^Nephritis& je<£u jeäysá whg;a isÿúh yels nj wu;l lrkak tmd' fiïf.ä iy fydß ksid we;sjk jlalÞkfha frda. ,laIK ye¢k .ekSu myiqhs' idudkHfhka fydß we;s ù i;s 2la blau .sh miq tA jf.au fiï f.ä iqj ù i;s 2lska muK miq Wfoag wjÈjk úg uqyqK bÈó ;sfnkak mq¿jka' iuyr úg oj,a jk úg bÈóu wvq fjkak;a mq¿jka' È.gu mj;skak;a bv ;sfnkjd' mdo bÈfukjd' uq;%d f;a lygj, meyefhka msgfjkjd'fun÷ ,laIK mj;skafka kï jydu ffjoHjrhl= yuqúh hq;=hs' wdydr mdk ksid;a jl=.vq frda. yg.; yels njg hï hï mÍlaIK u.ska ikd: ù ;sfnkjd' ±kg wfma rfÜ kï tA jf.a fohla olskak kE' kuq;a wm%sldj jeks rgj, wdydrhg .kq ,nk iuyr me<Eá j¾.j,ska jl=.vq wdndO we;sjk nj fidhd f.k ;sfnkjd' mrïmrd.; jl=.vq wdndO jl=.vq wdndO mrïmrdkq.;j we;s úh yels njg fmdÿ u;hla ;sfnkjd' kuq;a yeu jl=.vq wdndOhlau fkdfjhs' fuh isÿjkafka cdk u.ska ^Polycystic Kidney Disease& kue;s jl=.vq frda.h mrïmrdkq.;j we;s fjkjd' óg wu;rj ;j;a frda. lsysmhla ;shkjd" kuq;a tAjd b;du;au l,d;=rlska isÿjkafka' fldfydu jqK;a fuys§ isÿjkafka jl=.vq álka ál krla fj,d jl=.vqj, ;sfnk mgl nqnq¿ jf.a ùuhs' fuys frda. ,laIK jkafka reêr mSvkh jeäùu" uq;%d iu. reêrh msgùu wdÈhhs' wjqreÿ 30ka miqj 30-40;a w;r ld,fha§ fï jf.a frda. ,laIK we;s úh yelshs' 44
jl=.vq wdndO we;slrjk fya;=
mrïmrdkq.;j we;sjk fun÷ jl=. vq frda. j<lajkak nE' kuq;a fuhska woyia lrkafka mjqf,a mshdg fujeks mrïmrdkq.;j hd yels jl=.vq frda.hla je<£ ;snqfKa kï tu frda.h Tyqf.a orejka ish¨ fokdgu je<¢h yelshs hkqfjka fkdfõ' kuq;a orejka ish¨ fokdgu fkdjqK;a isák orejkaf.ka Nd.hl m%udKhlgj;a fuh je<£ug myiqfjkau yelshdjla ;sfnk nj kï lsj hq;=hs' tneúka mjqf,a flfkl=g jl=.vq wudrejla ;sfnkjd kï tfiau jl=.vq wdndOhla ksid mjqf,a wfhl= jhi wjqreÿ mkylg fmr ñh .shd kï ;ukag;a jl=.vq wdndOhla ;sfnkjd o hkak mÍlaId lr n,d ±k.ekSu b;du;au jeo.;a' jhi wjqreÿ 20-25 w;r ld,fha§ fufia ffjoHjrhl= ,jd mÍlaId lrjd .; hq;=hs'
ffjoHjrhd - udisl ffjoH iÕrdj
Kissing
ydÿ''' ism.ekSï ksid jdis /ila ,fnkjd'''
One of Life's Sweetest Pleasures Kissing ydÿ''' ism.ekSï ksid jdis /ila ,fnkjd''' ta;a WKQiqï ism.ekSï ksidfjka oi ,laI ixLHd; nelaàßhdjka Tfí uqfõ ,e.=ï .kakjd ism .ekSï j,oS isrerg we;sjk n,mEu .ek wjOdkh fhduq fõ'''
ism .ekSu - udkjhka w;f¾ we;s ;j;a iqúfYAIS p¾hdjla' th fofofkl= w;f¾ w;sYh fm!oa.,sl l%shdjla jk ldrKhlao jkuq;a iEu úgu th tfiau;a fkdfjhs' ism .ekSu fofofjl= w;r ñ;%;ajfha iqyo;djfha WKQiqï ixfla;hla fukau we;eï úg wkqrd.S ne|Sul uq,a mshjro fjkjd' fï wkQj ism.ekSï úIfhys we;s f;areï buy;a mrdihla .kakd nj meyeos,shs' flfia fj;;a udkj wm w;r iqúfYAIS fuu ism. ekSfï l%shdj,sh wmg iqúfYAIS m%;s,dN / ilao we;s lrk nj Tn okakjdo @ fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.com
2015 cQks l<dmh
45
Kissing
ydÿ''' ism.ekSï ksid jdis /ila ,fnkjd'''
Tfí reêr mSvkh wvq lrkjd ism .ekSu fya;=fldgf.k reêrjdyskS úia;drkh fjkjd' th reêr mSvkh my; jeàug fya;=jla'
Tnj i;=áka ;nk fydafudak uqojd yßhs Tnf.a is; i;=áka ;nkakg fud<fhka jEfyk fydafudak lsysmhl n,mEu bjy,a fjkjd' fjfiiskau fud<fhka jEfyk firfgdkska" fvdmñka yd Tlaisfgdiska fydafudak ;uhs Tfí is; i;=áka ;nkafka' ism .ekSu ksid fï fydafudak jeäfhka >%djh fjkjd' m%;sM<h Tfí isf;ys i;=g ?|Suhs'
flKavd fmr<Sï yd ysfia reodjka ke;s lrkjd fuho reêrjdyskS úia;drKh ùfï u m%;sM<hla' ysireodj yereKQ úg ldka;djkaf.a Tima fõokd iukhgo fuh fya;=jla'
fuhska Tlaisfgdiska fydafudakh .ek jeä hula lsj hq;=uhs' Tn wkqrd.fha neªKQ úg" ldhsl iïfNda.fha fhfok úg >%djh jk fï fydaafudakh y÷kajkafka zzwdorfha fydafudakhZZ hk kñka' ism .ekSula isÿ jk úg;a fï Tlaisfgdiska fydafudakfha l%shdldß;ajh wkqrd.S fudfyd;lg fydafudak yeisÍug iudk f,i yeisfrkjd'
o;a osrdm;a ùu j<lajkjd isÿjkafka fuhhs' ism .ekSuloS úYd, jYfhka fÄGh >%djh ùu jeä fjkjd' th o;a j, l=yr idok oka; m: fidaod yßkjd' túg o;a osrdm;a ùfï bvlv wju fjkjd' fï o;aj, l=yr idok nelaàßhdjka ism .ekSuloS flfkl=f. ka ;j flfkl=g me;sr hd yelshs' th wj.=Khla' ujf.a ism .ekSu ksid ujf.a uqLfha ;sfnk l=yr idok nelaàßhdjka orejdf.a uqLh ;=<;a ,e.=ï .kakjd' 46
uqj ;=< ;sfnk ishqï mg, Tiafia fydafudak j,g .uka lsÍug yels nj Tn okakjdo @ uqjg uqj ;nd lrk ism .ekSuloS mqreIhkag ;ud ;=< ksi`.fhka we;s fgiagiagfrdak fydafudak wehf.a uqj ;=<g;a bka miqj reêr Odrdjg;a tla l< yels nj mejfikjd' fï ksid weeh ;=< wkqrd.S is;=ú<s wjosùula isÿúh yelshs'
le,ß Yla;sh jeh fjhs idudkHfhka ism .ekSuloS le,ß 8-16 w;r Yla;shla jeh jk nj Tn okakjdo@ ism .ekSu - Tn i;=áka ;eîug WmldÍ fjhs Wfoa mdkaor jevg hk úg m%shhdf.ka ,efnk WKQiqï ydÿj Tyqf.a tosfkod jev ld¾hlaIuj lsÍug fya;=jla fjhs' ydÿfjka jev werUq wh
ffjoHjrhd - udisl ffjoH iÕrdj
jeäfhka wdodhï bmehQ njo" jefvys jvd id¾:l jQ njo ksÍlaIKh ù ;sfí' m%;sYla;slrK moaO;sh ;sr lrhs ism .ekSula lsisosfkl iDKd;aul ye`.Sula we;s lrkafka ke;' th Ndúl jYfhka we;s lrk Okd;aul ye`.=ï Tiafia m%;sYla;slrK moaO;sh iúu;a lr f,v-frda. j,ska Tnj wdrlaId lrk nj Tn okakjdo@ fm!oa.,sl ne|Sï ;sridr lrhs ydÿjla flfrka we;s lr .kakd ne|Su jvd;a iúu;ah' iaÓridrh' fofofkl= w;r we;sjk ñ;%YS,S ne|Sul jqj yerjqï ,laIh ydÿjla ùug fndfyda ÿrg mq¨jk'
ydÿj tlsfkld w;r ne|Sï ;sridr lrk uq;a'''
wkqrd.S ydÿjlska ñ,shk 80la nelaàßhd yqjudre fjkjd ydÿjla fl;rï Okd;aul jQ n,mEula wm fj; we;s lrkjdo hkak fï lreKQ j,ska Tng meyeos,s jkakg we;s' flfia kuq;a ism .ekSu ;=< wm ljqrew;a okakd mßos fjk;a wka;hla o ;sfnkjd' ta ;uhs wkqrd.S ydÿ ,sx.sl ld¾hhkayS uQ,sl mshjrla úh yels nj' fï iïnkaOfhkao fndfyda u;dka;r úoHd;aul f,dalfha ;sfnkjd' uqjg uqj ;nd yqjudre lr.kakd ;;amr oyhl wkqrd.S ydÿjlska ñ,shk 80la nelaàßhd yqjudre úh yels nj''' úYAjdi lrkak;a wudre uq;a fuh i;H ldrKhla nj Microbiome i`.rdfõ i|yka fjkjd' 2015 cQks l<dmh
hqj, 21la fhdodf.k Tjqka w;f¾ yqjudre jQ ydÿ j,ska miq Tjqka fÄGh ridhkd. drfhaoS úYAf,aYKh flreKd' idudkHfhka wmf.a uqLfha nelaàßhd úfYAI 700la muK ,e.=ï .kakjd' tajdhska folla muKla fuu mÍlaIKhg m%ia;=; jqKd' idudkHfhka ,elafgdneis,ia nelaàßhdj idudkH uqjl mj;skafka ishhg 0'15 l m%udKhla' wfkla wOHhkhg fhdod.;a nelaàßhdj nhs*fvdnelaàßhdj uqjl orkafka ishhg 1'5l jmißhla ;;amr 10l wkqrd.S ydÿjlska miq ,elafgdneis,i .ykh ishhg 0'54 olajdo nhs*fvdnelaàßhdj ishhg 0'49 olajdo jeäù ;snqKd' fï .Kkh lsÍï wkQj ydÿjloS tlsfkld w;r yqjudre jk nelaàßhd ixLHdj oi,laI 80 blaujkjd'
47
Advertorial
wdisß iqj;d uOHia:dkh
Tfí''' wdisß Tnf.a wdorKShkaf.a''' iqj;d ffjoH fiajd imhkakd uOHia:dkh f,v ÿla kï ke;af;a osjhsfkau woaù;Sh ldgo @ ta;a we;eï f,v frda. Tfí wdh;ksl ffjoH cSú;hg uy;a n,mEï we;s lrhs''' fiajd imhkakd wkd.;hu úkdY lrhs' oreu,a,ka" ù we;s nj iajlSh iylre" iyldßh iu.ska Tn okakjdo @ i;=áka .; lsÍu cSú;fha mru wNs,dIh lr.;a wm Tjqkaf.a mru Okh" ksfrda.S Ndjh fjkqfjka lrk fufyjr l=ulao @ wdfhdackh l=ulao @ wm okakjd Tn ld¾h nyq, nj''' Tng fï .ek .eUqßka fidhd n,kakg yelshdjla o fkdue;s nj''' kuq;a Tn;a" Tfí wdorKShhka iefjdu;a wdorfhka /l n,df.k Tjqkaf.a ksfrda.S Ndjh iïnkaOfhka fidhd n,kakg Tn fjkqfjka ljqreka fyda isákjd kï''' ;sia jirl ^30& Tfí idvïnr fi!LH iïmdolhd" wdisß
48
ffjoHjrhd - udisl ffjoH iÕrdj
frday,a iuQyh úiska fld<U 5" lsßuKAv, udjf;a ia:dms; lr we;s wdisß Y,H frdayf,a zzwdisß iqj;d uOHia:dkh ZZ Tn;a" Tfí wdorKShhkq;a iq/lsj /l n,d. kakg lemjQ woaù;Sh wdh;khla nj Tn okakjdo @
wdisß iqj;d uOHia:dkh msysgd we;af;a fld<U 5" lsßuKAv, udjf;a wdisß Y,H frday,a mßY%fhauh' tkuqÿ frdayf,a mßirfhka ñoS.;a ìï uyf,a iqúfYAIS w,xldr mßY%hl ia:dms; lr we;s w;r th b;d iqkaor ye`.=uka cks; lrjk wdkkaokSh jgdmsgdjlska hqla;h'
2015 cQks l<dmh
yi< ld¾h uKav,hl iqyoYS,S fiajdj óg jir oyhlg fmr wrïN lrk ,o wdisß iqj;d idhkh b;d yi, oeKQula yd w;aoelSï we;s ffjoH ld¾h uKAv,hl fijfKA Tnf.a ish¿ ffjoHuh wjYH;d imqrd ie,fik mßos ie,iqï lrk ,ÿj f,v-frda. we;s ù Tn f,v we|g jefgkakg l,ska tajd ksjerosj y÷kdf.k mQ¾j l%shdud¾. Tiafia Tnj iqrlaIs; lsÍug mshjr .kakd nj Tn okakjdo @ fuu wdisß iqj;d uOHia:dkh yS fiajdj ,eìh yelafla Tng;a Tfí wdorKShkq;a jYfhka mjqf,a idudcslhkag muKla fkdfõ''' osjhsfka lS¾;su;a wdh;k ;u ld¾h uKav, Wfoid úfYAIfhka ie,iqï l< ffjoH meflac fj;ska ,nd .efka' jd¾Islj ,ndfok ffjoH mÍlaIK i|yd wo osjhsfka jvd;au ckm%sh ia:dkh wdisß iqj;d uOHia:dkh u nj rfÜ ms<s.;a u;hhs' iud.ï yd fm!oa.,sl wdh;k i|yd fjfiiska ie,iqï l< ffjoH mÍlaIK meflac ksfrda.su;a fiajlhka iEu úgu wdh;khlg iïm;ls' Employee's Health - Your company's wealth fiajlhkaf.a iqjfi; Tnf.a wdh;kfha mru Okhhs' fuh wdisß iqj;d uOHia:dkh ;u bgq jok njg m;a lrf.k ;sfí' fï wruqK idlaId;a lrf.k ;u jHdmdr wNs,dIhka bgq lr.kq jia osjhsfka lS¾;su;a wdh;k úYd, ixLdjla wdisß iqj;d uOHia:dkh ;u fiajlhkaf.a fi!LHuh yjq,alrejd jYfhka f;dardf.k ;sfí' wdisß iqj;d uOHia:dkh fuu wdh;ksl fi!LH úi÷ï yjq,alrejd jYfhka f;dard.ekSfïoS wdh;kfha fiajlhkaf.a fiajd iajNdjh yd Tjqkg wdfõKsl fi!LH .eg¿ wOHhkh fldg jvd;a .e,fmk meflac y÷kajd fohs' fï jvd;au .e,fmk úiªï ,ndoSu - fï fËa;%h ;=< mqfrda.dóhd jYfhka wdisß iqj;d uOHia:dkh Tijd ;eîug fya;= ù ;sfí'
49
Advertorial
wdisß iqj;d uOHia:dkh
Tnu meñK wdisß iqj;d uOHia:dkfha iqúfYAI;d y÷kd.kak wdisß iqj;d uOHia:dkh msysgd we;af;a fld<U 5" lsßuKAv, udjf;a wdisß Y,H frday,a mßY%fhauh' tkuqÿ frdayf,a mßirfhka ñoS.;a ìï uyf,a iqúfYAIS w,xldr mßY%hl ia:dms; lr we;s w;r th b;d iqkaor ye`.=uka cks; lrjk wdkkaokSh jgdmsgdjlska hqla;h' Tfí wjYH;djh yd is;e`.s mßos f;dard.; yels ffjoH mÍlaIK meflac /ila mj;sk w;r remsh,a 3905 isg by<g olajd mrdihl ñ< .Kka j,ska wNsu;h mßos f;dard.; yel' osjd wdydr úfõlfhaoS mj;ajk fi!LHuh foaYK wdh;ksl ld¾h uKav, i|yd fi!LH ;;a;ajh uekúka mj;ajd .ekSu iïnkaOfhka wOHdmksl jevuq¿ meje;aùu wdisß iqj;d uOHia:dkh isÿ lrk ;j;a fiajdjls'
wdisß iqj;d uOHia:dkh fuu wdh;ksl fi!LH úi÷ï yjq,alrejd jYfhka f;dard.ekSfïoS wdh;kfha fiajlhkaf.a fiajd iajNdjh yd Tjqkg wdfõKsl fi!LH .eg¿ wOHhkh fldg jvd;a .e,fmk meflac y÷kajd fohs' fï jvd;au .e,fmk úiªï ,ndoSu fï fËA;%h ;=< mqfrda.dóhd jYfhka wdisß iqj;d uOHia:dkh Tijd ;eîug fya;= ù ;sfí' m%ùK ffjoHjreka úiska yd úfYAI ld¾h uKav, úiska osjd ld,fhaoS mj;ajk fuu fi!LH jevuq¿ j,oS ldhsl fukau udkisl hymeje;au Wfoid .;hq;= l%shdud¾.
50
ffjoHjrhd - udisl ffjoH iÕrdj
iïnkaOfhka fiajlhka uekúka oeKQj;a lrkafkah' tfiau wjYH;djh wkQj cx.u fi!LH idhk meje;aùuo lrKQ ,efí' fiajd ia:dkfhaoSu reêr mÍlaIK isÿ lsÍu iy mÍlaIK jd¾;d wdh;kh fj;u iemhSug fuysoS lghq;= iïmdokh lrKQ ,efí' wjYHfhka WÑ; mÍlaIK isÿ lsÍug lemùu fuu uOHia:dkfhka isÿ lrk mÍlaIK ms<sn|j wm l< úuiSuloS woyia oelajQ iuQy wf,ú l<uKdldr oir;a fyÜáwdrÉÑ uy;d wmg fjfiiskau meyeos,s lf<A mqoa., wjYH;d wkQj ie,iqï l< ffjoH mÍlaIK j, jeo.;aluhs' meh .Kkdjla tl os.gu mß.Klhla wi< isáñka lghq;= lrk flfkl=g mß>kl oDYH iy,laIKh (Computer Vision Syndrome) úuik mÍlaIKhla isÿ lsÍu w;HjYH jkafkah' tfiau wê ixLHd; Yíoh mj;sk mßirhl ;u /lshdfõ ksr; 2015 cQks l<dmh
fiajlhka Y%jK mÍlaIKhlg ,la lsÍu w;sYhska jeo.;a jkafkah' fï wdldrfhka fiajd mßirh yd lrk jD;a;Sh wkQj ie,iqï l< ffjoH mÍlaIK j,g Tnj Ndckh lrñka jvd;a id¾:l ffjoH úuiqulg Tnj fhduq lsÍu wdisß iqj;d uOHia:dkh yS wNs,dIhhs' úfoaY.; ùuloS wjYH fm!oaa.,sl ffjoH Wmfoia Tn úfoaY.; ùulg iQodkïj .; hq;= ffjoH Wmfoia iemhSu wmf.a ;j;a fiajdjls' Tn oekg ,nd.kakd T!IO''' tajd fjkia l< hq;=o @ ke;fyd;a úfoaYhkaysoS tajd ,nd .ekSug ud¾f.damfoaYk" bosßh i|yd ;u fi!LH ;;a;ajh mßos cSú;h ie,iqï lsÍug woyia lrkafka kï wdisß iqj;d uOHia:dkh fj; msh k.kak' Tn /f.k hd hq;= T!IO fukau wu;r ffjoH ks¾foaYo uekúka ,ndoSug wdisß iqj;d uOHia:dkh ffjoHjreka lghq;= fhdokq we;' wiuiu jQ fiajd imhkakd fï wdldrfhka wka lsisÿ fi!LH wdh;khlg iu l, fkdyels wiuiu jQ fiajdjla iajlSh fiajd,dNSkag ,nd fohs' mq¿,a jmißhl ridhkd.dr fiajd cd,h" úYsIAG;u yd m<mqreÿ ld¾h uKAv,h yd kùk;u frda. ksOdk m¾fhaIK fuj<ï iu.ska fuu fiajdj ,nd fokafka w;sYh idOdrK ñ,lgh' ksfrda.S nj wmf.a W;=ïu iïm;hs' Tfí;a" Tn wdorKShkaf.a;a" Tfí wdh;kfha;a''' wdoS jYfhka ish¿ fokdf.au ffjoH mÍlaIK i|yd;a Tnf.a fyg ojfia hym; Wfoid;a Tn f;dard.; hq;= fi!LH fiajd imhkakd wdisß iqj;d uOHia:dkh njg újdohla ke;'
51
Theme
oshjeähdj
oshjeähdj nrm;, fkdjk j¾.fha Èhjeähdjla ke;' ´kEu j¾.hla nrm;,hs''' ol=Kq fld<U l¿fndaú, YslaIK frdayf,a Èhjeähd iy wka;rdid¾>" ks¾Kd, .%kaÓ frda. ms<sn| úfYaI{ ffjoH WÈ; nq¨.ymsáh Èhjeähdj hk jpkh weiqKq weis,af,kau wmf.a is;a fõokdjg m;aùu iajNdúlhs' we;eï frday,aj, fkajdisl m%Òldr .kakd frda.Ska foi ne,Sfï§ Tjqka ú| ord.kakd ÿlaL fõokdjka iy udkisl mSvdjka b;du;a fYdapkShhs' i;H jYfhkau fuh wm fkdoekqj;aju wm fj;g fyñka fyñka ,xfjk ksy`v udrfhls' Èhjeähdj - f,dal ;;a;ajh f,dal ck.ykfhka iEu ;;amr oyhl§u tla wfhl= Èhjeähdj ksid ñh hhs' fofofkl= Èhjeähd frda.Ska f,i y÷kd.efka' jd¾Islj n,k úg ñ,shk y;l muK ck.ykhla Èhjeähdjg f.dÿre fõ' fï w;r <uqka 70"000 l m%udKhla Èhjeähd frda.hg jd¾Islj f.dÿre fõ' fujeks ;;a;ajhla f,dj mqrd Woa.; ù ;sìh§ fuu frda.h ksid mq¾K jYfhka mSvd ú¢kakka fjkqfjka ;j;a fldgilao mSvd ú¢hs' ta Tjqkaf.a <`.u {;ska iy ys; ñ;=rkah' 21 fjks Y; j¾Ifha jvd;au ixlS¾K fi!LH .eg¨ w;ßka tlla jkafka fï Èhjeähdjhs Èhjeähdj hkq l=ulao@ ñksia isref¾ we;s w.akHdYfhka >%djh jk bkaishq,ska kï fydafudakfha W!K;djh fyda >%djh jk bkaishq,ska isrer u.ska l%uj;a f,i Wmfhda.S lr .ekSfï fkdyelshdjhs'
52
ffjoHjrhd - udisl ffjoH iÕrdj
bkaishq,skaj, l%shdldß;ajh reêrfha we;s .a¨fldaia ^iSks& ffi, ;=< l%shdldß;ajh i|yd w;HjYH fjhs' bkaishq,ska W!K;djfhka isÿjkafka reêrfha ^.a¨fldaia& iSks uÜgu by< hduhs' tu wêl reêr iSks uÜgu Ⱦ> ld,Skj mej;Sfuka isref¾ m%Odk wjhj yd moaO;s wl¾ukH;djhg m;afõ' w.akHdYfha ksmojk bkaishq,ska fydafudakh" úúO fya;=ka u; wvqfjka iE§u fyda th ksishdldrj l%shd fkdlsÍfï fya;=j u; Èhjeähdj yg .ekSug mq¨jks' iuyr wjia:dj, w.akHdYfha we;sjk hï hï frda.S ;;a;ajhkao fuhg ;j;a tla fya;=jla fõ' bkaishq,ska isrer ;=< wjYH m%udKhg ksmofkdùfï fya;=j u;o" bkaishq,ska isrer ;=< ksmojqj;a th l%udkql=,j l%shd fkdlsÍfï fya;=j u;o frda.h yg .ekSu is¥fõ'
<uqka m%Odk jYfhkau f.dÿrejkafka m<uq j¾.fha Èhjeähd j¾.hghs' fofjks j¾.fha Èhjeähdjg f.dÿre jk <uqka yd ;reKhkaf.a m%jK;djho tkuq;a jeäfjñka mj;S'
cdkuh úm¾hdihka ke;fyd;a m%fõKs idOl fuu frda.hg hï n,mEula we;s lrhs' YÍrfha nr m%udKh yd wdydr rgdj;a mßirh;a" n,mEï we;s lrk wfkla idOlhka fõ' m%:u oshjeähd j¾.h y÷kd .ksuq fuysoS isÿjkafka w.akHdYh ;=< bkaishq,ska ksmojk ffi, úkdY ùuhs' fuu j¾.fha frda.ska i|yd wksjd¾hfhkau bkaishq,ska ndysrj ,nd.ekSu l< hq;= fõ' fuh iq,Nj olakg ,efnkafka l=vd <uqka iy ;reKhka w;rh' 2015 cQks l<dmh
53
Theme
fojeks j¾.fha Èhjeähdj >%djh jk bkaishq,ska m%udKh ksishdldrj Wmfhda.S lr .ekSug we;s fkdyelshdj fï j¾.hg wh;a fõ' fuu frda.Ska yg ksis jHdhdu" ksjerÈ wdydr-mdk yd T!IO u.ska frda.S ;;a;ajh fndfyda ÿrg md,kh lr.; yelsh' tfy;a miqld,Skj Tjqkgo m%;sldr f,i bkaishq,ska wjYH úh yelsh' Èhjeähd frda.Skaf.ka ishhg 90 la muK fuu j¾.hg wh;a fõ' Èhjeähdj ixl+,;d j<lajd.ekSu jeo.;a .a¨fldaia mßjD;a;sh ^.a¨fldaia Yla;sh njg fmr,Su& l%shdj,sh isÿlsÍug YÍrh wiu;a jq úg YÍrfha wfkla we;s jeo.;a jq l%shdj,shka lsysmhlu wvd, ùfï ,CIK lsysmhlau my< fjhs' iuyr úg fuhska cSú;h wk;=f¾ fy,k m%Óm, w;aú£ug isÿfjhs' ñksiqkag Èhjeähdj we;sjk ixl=,;djhka j<lajd .ekSu b;du jeo.;a' ixl=,;djhka yg.;a;dg miqj tajdg m%Óldr lsÍu úêu;a ie,eiaulg wkqj l< hq;=hs'
54
oshjeähdj
Èhjeähd frda.fhys ,CIK uq;%d msg lrk jdr .Kk jeäùu wêl f,i l=i.sks oekSu widudkH f,i isref¾ nr wvqùu wêl f;fyÜgqj yd wêl WodiSkNdjh Tlaldrh yd jukh Worfha fõokdj we;sùu w;a yd mdoj, we;sjk ysÍjeàu fmkSfï úIu;d ks;r ks;r we;sjk wdidok yd ;=jd, iqj ùug l,a.; ùu reêrjdysks moaO;shg;a iakdhqj,g;a ydks lsÍu fya;=fjka reêr.ukd.ukh iy iam¾Yh keue;s ixfõok ÿ¾j, ùu is¥fjhs' tu ksid fkdoekqj;aju mdofha isÿjk iq¿ isÍula mjd meiùu fya;=fjka úYd, ;=jd,hla njg m;aùug bv ;sfí' fuh b;d Nhdkl ;;a;ajhls' ú.i m%Óldr fkd.ekSu fya;=fjka mdofhka fldgila lmd bj;a lsÍugo isÿfõ' ffjoHjrhd - udisl ffjoH iÕrdj
Èhjeähdj È.=ld,Skj l%udkql=,j md,kh l< hq;= frda.S ;;a;ajhls' yDoh wdY%s; frda.dndO yDohg yd reêr kd,j,g ydksùu ksid yDohdndO iy wd>d; ^wxYNd.h& jeks ;;a;ajhka we;sfõ' fuysoS jvd;a jeo.;a lreK jkafka idudkH frda.Skag fuka fkdj Èhjeähd frda.Skayg yDohdndO frda. ,CIK uekúka fmkakqï fkdlsÍuhs' fõokdjla fkdue;sj yDohdndOhla je<£fï wjodku fuys we;s úfYaI;ajhls' idudkHfhka yDohdndOhla tkúg mmqfõ ;on, fõokd" fn,a, iy w; Èf.a we;sjk ;on, fõokdjla we;sfõ' tfy;a ta lsisjla fujeks frda.sfhl=g fkdoefka' tu ksid yDohdndOhla ;snqKdoehs hkakj;a fï frda.shd iy mjqf,a wh fkdoek isáh yelsh' fuh b;du nrm;, ;;a;ajhls'
2015 cQks l<dmh
jl=.vq wdY%s; frda.dndO jl=.vqfõ msysgd we;s .=Éýld kñka ye¢kafjk l=vd bkaøsld rdYshla we;' f,a j, we;s wmøjH fmrd wia lrkafka fïlS l=vd bkaøsld u.sks' hym;a fi!LHhla mj;ajd .ekSug" YÍrhg wjYH jeo.;a øjHhka bj;a ù hdu j<lajkafkao jl=.vqfõ we;s fï .=Éýld u.sks' fuu l=vd bkaøsldj, msysgd we;s ishqï f,a kyr Èhjeähd frda.h ksid ydkshg m;afõ' fuu fya;=ka ksid jl=.vq wl¾ukH ùu olajd me;sr hdu is¥úh yelsh' iakdhq wdY%s; frda.dndOhka iakdhq ydksh Èhjeähdfõ fmd¥ jHdl=,;ajhls' ta reêr iSks m%udKh wêl ùu ksid we;s jk jHdl=,;ajhls' reêr iSks m%udKh wêl ùu yd iakdhq j,g fmdaIKh imhk reêr flaIkd,sld j,g ydks meñKSfukq;a fuu whym;a fjkiaùu we;sfõ'
w.akHdYfha ksmojk bkaishq,ska fydafudakh" úúO fya;=ka u; wvqfjka iE§u fyda th ksishdldrj l%shd fkdlsÍfï fya;=j u; Èhjeähdj yg .ekSug mq¨jks'
55
Theme
iakdhq udxY yeisrùu iy ye`.Sï W;amdokh md,kh lrkakd jq ndysr iakdhqj,g n,mEu jYfhka fuh fohdldrj we;súh yel'
f,dalfha wkaONdjh we;sùug m%Odk fya;=jla ù we;af;a Èhjeähd frda.hhs' Èhjeähdj ksid oDIaÀ ú;dkfha we;s l=vd f,a kyr-ì;a;s ;=kSùfuka iy leã hdfuka wefia wNHka;r jg msgdfõ f,a ldkaÿ ùug mgka .kS'
ñka m%:u j¾.fha iakdhq frda. jvd;a fmdÿhs' tajd n,mdkafka w;a iy mdoj,ghs' uq,slj ix{dj jkafka w;a-md-j, ysßjeàu iy k,shk iajNdjh jeks jßkajr tk fõokdjkah' miqj iam¾Yh" fõokdj fyda WIaK;ajh oek .ekSfï Y;a;sh myj hhs' fï ;;a;ajh Woa.; jq úg yfï we;sjk ;=jd, fyda wk;=re ishqï fõokd lsisjla fkdoefka' fõ.fhka ;=jd, we;sùu ksid isref¾ uia l=Kqùu mjd we;sfõ' túg w;a-md-j, fldgia bj;a lsÍu jeks ;;a;ajhka we;súh yelsh'
56
oshjeähdj
wCIs frda.dndO f,dalfha wkaONdjh we;sùug m%Odk fya;=jla ù we;af;a Èhjeähd frda. hhs' Èhjeähdj ksid oDIaÀ ú;dkfha we;s l=vd f,a kyrì;a;s ;=kSùfuka iy leã hdfuka wefia wNHka;r jg msgdfõ f,a ldkaÿ ùug mgka .kS' fuh zzoDIaÀú;dk f,a .,khZZ kñka ye¢kafõ wefia ishqï fldgiaj,g ydks meñKSfuka wkaONdjhgo m;aúh yelsh' ck.ykfhka ishhg 41'8 l wkaONdjhg fya;=j md,kh fkdl< Èhjeähdjhs' ixl=,;d j,lajd .ekSug lghq;= lruq frda.h uq,a wjêfhau y÷kd.ekSu m%Óldrh i|yd b;du jeo.;a fõ' ksjerÈ cSjk rgdjlg yqreùu" iun, wdydr .ekSu" isref¾ nr md,kh lr .ekSu" iy jHdhduo b;du jeo.;a' .a¨fldaia uÜgu mÍCId lr n,d reêr iSks uÜgu fyd¢ka md,kh lr .ekSu l< hq;=h'
ffjoHjrhd - udisl ffjoH iÕrdj
reêr fldf,iagfrda,a wvq lr.ekSuo" reêr mSvkh md,kh lr .ekSuo l< hq;=h' weú§fuka yd fjfyiS YdÍßl l%shdldrlïj, fh§fuka fofjks j¾.fha Èhjeähdj je<£fï wjodku iEfyk ÿrg wvqlr.; yelsh' i;sfha jeäu Èk .Kkla fyda ke;skï iEu Èkl§u wvqu ;rfï úkdä 30 laj;a jHdhdï lsÍug yelskï Tng fuu frda.h md,kh lr.kak mq¨jks' weú§u Tng fyd|u jvd;au iqrCIs; fukau úhou wvq jHdhduh nj i<lkak'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
Èhjeähdjg f.dÿreùug we;s wjodkï wjia:djka fudkjo@ ;rndre nj" isref¾ nr jeäùu" jHdhdu uolu" md,khlska f;drj wdydr .ekSu" reêr mSvkh jeäùu" reêr fldf,daiagfrda,a uÜgu by< hdu <`.u f,a kEhka Èhjeähd frda.fhka fm<Su" .¾NKS iufha Èhjeähdj je<|S isàu' Èhjeähdj yd <uqka <uqka m%Odk jYfhkau f.dÿrejkafka m<uq j¾.fha Èhjeähd j¾.hghs' fofjks j¾.fha Èhjeähdjg f.dÿre jk <uqka yd ;reKhkaf.a m%jK;djho tkuq;a jeäfjñka mj;S' fï whf.a kq;k Èú meje;afï whym;a rgdj iy l,n,ldÍ iajNdjh tfukau udkisl mSvkho fndfyda¥rg oshjeähdjg n,md we;' oshjeähdfjka je<lSug .; yels l%shdud¾. fudkjdo@ ksjerÈ wdydr ms<sfj;a wkq.ukh lsÍfuka" wêl msIaGuh yd fïo wdydr md,khlska hq;=j .ekSu" wêl meKsri wdydrmdk md,khlska hq;=j .ekSu" Èkm;d ir, jHdhdïj, fh§u" udkisl mSvkhlska f;dr l%shdYS,S Âú;hla .;lsÍu ;=<ska fuu frda.fhka ñÈh yelsh'
ie<lsh hq;=hs''' Tng je<|S ;sfnkafka fudk j¾.fha Èhjeähdjla jqj;a Tnf.a reêr iSks uÜgu .ek mßiaiï ù b;d iqmÍCIdldÍj" ksÍCIKh lrñka th md,kh lr.kakjd kï bÈßfha§ we;súh yels fjk;a fi!LH .eg¿ wju lr.ekSug Tng mq¨jks'
igyk- wkqrdOd È,sks b,kafldaka waidyawaraya.com
2015 cQks l<dmh
57
Theme
oshjeähdj
ys;lr fõ' fmd,sIa fkdl< yd iqÿ fyda r;= l=reÜg iys; iy,a .=Kodhl fõ' udxY fnda. w;ßka lõms" lv," uqxweg wdydrhg .; yelsh' Y=oaO l< ;sß.= mssá ^mdka msá& Èhjeähd" frda.h i|yd iqÿiq fkdfõ' mdka" nksia j¾." mdka msáj,ska ilia l< fyda l,jï lr idok ,o b¢wdmam" frdá" msÜgq" f;dafi" ìialÜ j¾. iy flala j¾. yels ;dla Ndú;fhka je<lsh hq;=hs'
Tng Èhjeähdjo@ tfia kï Tn .kakd wdydr .ek jvd;a ie,ls,su;a jkak''' ms%hxjod wurfialr fmdaIKfõ§Ks Èhjeähd frda.h wo f,dalfha m%Odk fi!LH .eg¨j njg m;afjñka ;sfí''' fndfyda úg olakg ,efnkafka jhi wjqreÿ 40 ka miq we;sjk Èhjeähd ;;a;ajhls' fuh y÷kajkafka fojk j¾.fha Èhjeähdj kñks' muK blaujd wdydr .ekSu" YÍrfha nr jeäùu" m%udKj;a f,i jHdhdï j, fkdfh§u yd wdrhg hdu" m%Odk fya;= uq,a lrf.k fuu Èhjeähd ;;a;ajh we;sfõ' wfma ys;lr wdydr rgdj y÷kd .ksuq uq,sl jYfhka Èhjeähd frda.h wdydrmdk iu. ne£ mj;s' frda.h je<|S we;s neõ uq,skau oek.;a úg m<uqj l< hq;af;a frda.shdf.a wdydr rgdj iqÿiq f,i ilia lr .ekSuh' YÍr ialkaO o¾Ylh ^BODY MASS INDEX fyj;a BMI& 18'5-25 w.hkayS mj;ajd .ekSu jvd iqÿiqh' frda.shdg ;sìh hq;= nr m%udKh ;SrKh lr udihlg jrla uekSfuka iqÿiq nr mj;ajd .kafka oehs ie<ls,su;a ùu fuysoS oshjeähd frda.shd fjkqfjka l< hq;a;ls' msá wdydr Yla;sh ,nd.ekSug iqÿiq msIaGuh wdydr jkafka l=reÜg iys; OdkH j¾. fõ' ;eïnQ kdvq" ndiau;s jeks iy,a j¾. lel=¿ iy,a j,g jvd 58
tfy;a by; i|yka wdydr j¾.hka yd,amsá" wdgd msá" ^Y=oaO fkdl< ;sß.= msá& Wÿ msá j,ska idodf.k Ndú;d l< yelsh' tfia fujeks wdydr jqjo t<j¿ jHdxck iu. wdydrhg .ekSu ksid reêrfha iSks uÜgu Ys>% f,i by< hdu md,kh lrhs' u`Coaf[dlald" n;," fldia" fo,a jeks msá iys; wdydr jqjo l=vd m%udKj,ska wdydrhg tl;= lr .ekSu l< yelsh'
ffjoHjrhd - udisl ffjoH iÕrdj
iun, fndcqkla - f.k fohs iekiqula'''
fm%daák iys; wdydr fm%daàk iys; wdydr YÍrhg w;HjYHhs' uia j¾." ud¿" lsß" iy lsß ksIamdok" udxY fNda." fidahd" lrj," yd,aueiaika" ì;a;r" rglcq" y;=" jeks wdydr j, fm%daàk nyq,h' iunr wdydr fõ,la i|yd fhduqùu l< hq;a;ls f;,a fldgia bj;a l< uia" ud¿ .%Eï 30 muK fyda yd,aueiaika 7-8 fofkl= fyda ì;a;rhla" fidahd" y;= fyda udxY 2015 cQks l<dmh
fnda. jHdxckhg tl;= lr .ekSu l< yelsh' Èhjeähdj iu. jl=.vq frda.hlska fmf<kafkl= kï fm%daàk wdydr Ndú;hg fmdaIKfõÈfhl=f.ka Wmfoia ,nd .ekSu jvd iqÿiq fõ' fïoh wvq lsß fyda lsß wdydr Ndú;h jvd iqÿiqhs' f;,a iy fïoh iys; wdydr Èhjeähd frda.h fjkqfjka Ndú;d l< hq;= f;,a yd fïo iys; wdydr ms<sn| ie<ls<su;a úh hq;=h' frda.shd ;rndre fyda yDofrda. yd wê fldf,iagfrda,a fkdue;s wfhl= kï idudkH f;,a m%udKhla Ndú;d l< yel' Èklg tla wfhl=g ^jvd l%shdYS,s fkdjk ;rndre fkdjk& .DyKshlg fmd,a f.ählska 1$5 muK iu. f;,a f;a ye¢ 2-4 wdydr i|yd Ndú;d l< yelsh' iqßhldka;" nv bß.=" fidahd jeks f;,a j¾. jvd;a iqÿiq f;,a j¾. fõ' *dï f;,a" fmd,a f;,a t;rïu iqÿiq fkdfõ' 59
Theme
iqÿ fyda r;= iSks" meKs yl=re yd tajd fhdÿ wdydr Ndú;h lsisfia;au iqÿiq fkdfõ' meKs rila wjYHu kï iSks fjkqjg Ndú;d l< yels fjk;a rildrl Ndú;d l< yelsh' tfy;a wdydrj, iajNdúlj we;s rihkag yqreùu jvd jeo.;ah' fuysoS t<j¿ f;,a hkqfjka i|yka jk f;,a j¾. fj<|fmdf<a nyq,j olakg ,efí' YS% ,xldfõ tjeks f;,a j¾.j, wvx.= jkafka fndfyda úg *dï lrk f;,a o hkak ms<sn| ie<ls,su;a úh hq;af;a tys jeä jYfhka ix;Dma; fïoh wvx.= jk neúks' fhdoh" fïo iys; lsß wdydr" uia j¾. j, wvx.= f;,a iy iï fldgia" yels ;rï Ndú;fhka j<lskak' t<j¿- iEu wdydr fõ,la i|ydu msá wvq t<j¿ fïi ye¢ 3 la j;a tlalr .ekSu b;d iqÿiqhs'
oshjeähdj
m<dj¾.$i,do- iEu wdydr fõ,la iu. fïi ye¢ 3 la j;a tlalr .kak' m<;=re- ;rul b÷Kq ´kEu m<;=re j¾.hla wdydrhg .; yels kuq;a jrlg tla j¾.hla wdydrhg .kak' tfiau wdydr fõ,lg miq ta iu.u wêl msá iys; fyda meKs ri m<;=re j¾. ^flfi,a" wU" Èjq,a jeks& wdydrhg fkd. kak' fk,a,s fodvï" kdrx" fmar jeks m<;=rla wdydr .;a ú.iu .; yelsh' iSks iqÿ fyda r;= iSks" meKs yl=re yd tajd fhdÿ wdydr Ndú;h lsisfia;au iqÿiq fkdfõ' meKs rila wjYHu kï iSks fjkqjg Ndú;d l< yels fjk;a rildrl Ndú;d l< yelsh' tfy;a wdydrj, iajNdúlj we;s rihkag yqreùu jvd jeo.;ah' úgñka yd ks¾Tlaisldrl ^Antioxidents& iajNdúl wdydr wvq
60
ffjoHjrhd - udisl ffjoH iÕrdj
ilia lsÍï u.ska ^Cooking and Processing& kejqïj mßfNdackhg .ekSu úgñka fm;s j¾. .ekSug jvd iqÿiqh' ¨Kq Ndú;h iSud lrkak wdydrhg ¨Kq fhÈfï§ wjuj Ndú;d lrkak' Èklg mqoa.,fhl=g wjYH jkafka f;a yekaolg;a ^5g& jvd wvq ¨Kq m%udKhls' u;ameka yd uOHidr tmd Èhjeähd frda.Skag u;ameka Ndú;h iqÿiq fkdfõ' meKs îu j¾." wêlj fïrE ;eô,s j;=r mdkh fkdlrkak'
lsisjla fkdld isàu fkdj m<;=rla" fhda.Ü tlla" n%Eka lEl¾ jeks ìialÜ tlla fyda folla lsß fyda lyg f;a fldamamhla" ;eïnq t<j¿ iqma fldamamhla jeks flá wdydrhla ,nd .ekSuh' Èklg wjYH Èhr m%udKh Èklg Èhr j;=r f;a iy fjk;a îu we;=¿j ^fn,su,a iy rKjrd jeks& ,Sg¾ 1'5-2la w;r m%udKhla wjYH fõ'
t<j¿ f;,a hkqfjka i|yka jk f;,a j¾. fj<|fmdf<a nyq,j olakg ,efí' YS% ,xldfõ tjeks f;,a j¾.j, wvx.= jkafka fndfyda úg *dï lrk f;,a o hkak ms<sn| ie<ls,su;a úh hq;af;a tys jeä jYfhka ix;Dma; fïo wvx.= jk neúks'
wdydr .ekSfï§ úúO;ajfhlska hq;=j wdydr .ekSu Èklg t<j¿ iy m<;=re wdydr fldgia 5 la j;a mßfNdackhg .kak' osklg 400 g l muK wdydr iEfya' kshñ; fõ,djg l=i.skak ksfjk mßÈ t<j¿ j¾. tl;= lr wdydrhg .kak' b;du jeo.;a jkafka m%Odk wdydr fõ,a w;r;=r 2015 cQks l<dmh
61
Theme
oshjeähdj
reêrfha iSks uÜgu wvq lrk wdydr ks;ru Tfí f;aÍu lr.kak
reêrfha iSks uÜgu wvq lrk wdydr fufia ±laúh yel fhdoh rys; lsß" Wod- fhda.Ü" fidahd" ljqms" lv," uqxweg" mßmamq" uElr,a" l=reÜg iys; OdkH" nd¾,s " l=rlalka" kqâ,aia" uelfrdaks ;ïnk ,o iy,a - f,dl= iy È. weg iys; úh hq;=hs' ish¿u m<d j¾." rglcq w¨;a t<j¿" m<;=re" fodvï" flduvq" .ia,nq" flfi,a" fmhdia" fk,a,s" fjr¿" weUre,a,' fkd.; hq;= wdydr iSks" yl=re" meKs" meKS ri îu j¾. iy iSks
tl;= lrk ,o m<;=re îu mqäx" jg,mamka" whsial%Sï" iSks" meKs fyda
yl=re fhdod idok ,o w;=remi j¾. fpdla,Ü" cEï" fc,s" meKs ri ìialÜ j¾."
nksia" frdaia mdka" flala" meáia" frda,aia we;=¿ lEu j¾. t<`.s f;,a" ng¾" Öia j¾. fuda,agâ mdk j¾. iy Wl= l< lsß yrla uia" W!re uia" mSl=¥" fidfiacia" fílka j¾. wêl ¨Kq iys; wdydr j¾. jk wÉpdre"iqma leg iy wfkl=;a ¨KQ fhdod ixrCIKh lrk ,o wdydr j¾. bß`.= msá fyda ;sß.= msá j,ska idok ,o iSßh,a j¾. iy liagâ msá Èhjeähd frda.sfhl= wdydr .kakd úg reêrfha iSks uÜgu b;d blauKska by< fkdhk wdydr j¾. wdydr .ekSug j.n,d .; hq;=hs' tu ksid Èhjeähd frda.sfhl= wdydr .kakd úg fufia reêrfha iSks uÜgu by< my< hk wdydr j¾. ms<sn|j wjfndaOhla we;s lr.; hq;=hs'
isrma j¾. rgb¢" úh,s ñÈ jeks m<;=re j¾. iy ákaj,
weiqrk ,o m<;=re mdka msá j,ska idok ,o lEu j¾. - mdka" 62
igyk- wkqrdOd È,sks b,kafldaka
ffjoHjrhd - udisl ffjoH iÕrdj
2015 cQks l<dmh
63
wd>d; ;;ajhl uQ,sl frda. ,laIK jk uqyqfKa me;a;l mK ke;s ùu" lg me;a;g weoùu" w;la fyda ll=,la mKke;s ùu yd l:dfõ fjkila we;s ùu jeks ,laIK my, jq jydu frday, fj; /f.k wd hq;=h' fuu m%;sldr l%uh frda. ,laIK my, ú meh 03la we;=,; ,nd Èh hq;=h' tu.ska úYd, jYfhka isÿúh yels wn,;d j,ska frda.shd wdrlaId fõ' CT /MRI jeks myiqlï j,ska imsß úfYaI{ ffjoHjreka" fN!; Ñls;ailhka wdoS iduqysl lKavdhulska ieÿï ,;a v¾vkaia frdayf,a yDo iy iakdhq ffjoH tAllh meh 24 mqrd Tn i|yd fkdu| fiajhla ,nd oSug ieÈ meyeÈ issá'
v¾vkaia frday, úiska fud<fha reêr kd, ;=, isrfjk f,a leá úiqrejd yßk kj m%;sldr l%uhla yÿkajd § we;' iuqy m%;sldr l%uhla jk fuu m%;sldrh rtPA (Tissue Plasminogen Activator Treatment) kï fõ'
wd>d;h (Stroke) hkq fud<fha tla m%foaYhl yÈisfha reêr iemhqu wvd, ùuhs' wd>d;h we;sùug n,mdk m%Odk fya;= folls' reêr kd, wjysr ùu (Ischaemic Stroke) iy reêr kd, msmsÍulska fud<hg reêrh ldkaÿ ùuhs' (Haemorrhagic Stroke)
1544 u.ska v¾vkaia frday, wu;kak
oka; iqjfi;
o;a osrdhdu j<lajk *af,darhsâ
wegh ;=< j¾Okh fõ' fuu ld,h ;=< *af,darhsâ YÍrhg tl;= ùfuka o;g ,efnk Yla;shg wu;rj o; u;=msg we;s fkÍï j, .eUqre njo wvq lrhs' tu.ska o;a Èrdhdu we;s lrk nelaàÍhdjka f,fyisfhka ue§fuka bj;a lr.; yelsh'
o;a osrdhdu j<lajk *af,darhsâ úfYaI{ o;a; Y,H ffjoH m%ikak chfialr uqL frda. ksjdrK wxYh" uqL fi!LH wdh;khuyr.u *af,darhsâ hkq l=ulao@ *af,darhsâ wmf.a YÍrhg ,efnkafka wm .kakd wdydr yd c,h Tiafiah' wm .kakd wdydr-mdk w;ßka f;a yd uqyq¥ ud¿j, úfYaIfhkau uqyq¥ ud¿ lgqj, *af,darhsâ jeä jYfhka wka;¾.; fõ' *af,daáka hkq fld< meyehlska hq;a; jdhqjls' tys wêl l%shdldrS nj ksid fndfyda úg th we;af;a *af,darhsâ whk f,i fjk;a ix>glhla yd iïnkaOjhs' N+.; c,fha mj;sk *af,darhsâ j, idkaøKh m%foaYfhka m%foaYhg fjkia fõ' Y%S ,xldj ;=< N+.; c,fha *af,darhsâ idkaøKh wêlj mj;sk Èia;%slal w;ßka ud;f,a" wkqrdOmqrh yd r;akmqr Èia;%slal m%uqL ;ekla .kS' *af,darhsâ whk le,aishï whk j,g we;s jeä leue;a; ksidfjkau wmf.a YÍrfha fuu ix>glh msysgd we;af;a wia:s yd o;a j,g iïnkaOjhs' *af,darhsâ oka; fi!LHhg Wmldr jkafka flfiao@ *af,darhsâ of;a bkeu,h Yla;su;a lrhs' tu.ska o;a Èrd hdug fmr th j<lajd .; yelsh' wm mdkh lrk c,fha c, fldgia ñ,shkhlg *af,darhsâ fldgia 0'7 isg 1'2 olajd meje;Su ;=<ska o;a j,g Wmßu Yla;shla ,efnkjd' jhi wjqre¥ wgg wvq <uhskaf.a iaÓr o;a yl= 64
o;a uqLh ;=<g u;=jQ miq Èrdhdu md,kh lsÍu i|yd reêrh yryd meñfKk *af,darhsâ j,g jvd o; u;=msg mj;sk *af,darhsâ b;du;a jeo.;a fõ' tu.ska w,q;ska o;a l=yr we;sùu je<fla' tfukau oekgu;a Èrd.sh o;a ;jÿrg;a Èrd hdu j<lajd .ekSugo *af,darhsâ WmldÍ fõ' o;a Èrd hdfï uq,sl wjia:dj jq iq¥ ,m u; *af,darhsâ wdf,am lsÍfuka o; keje; h:d ;;a;ajhg m;alr .; yelsh' o; u;=msg *af,darhsâ wdf,dam l< yels l%u ;sfnkjd o@ fï i|yd ;u ksjfia§ Ndú;d l< yelafla oka;df,am
ffjoHjrhd - udisl ffjoH iÕrdj
yd uqL fidaok Èhrhs' fuhg wu;rj oka; ffjoHjrfhl= úiska o;a Èrdhdfï wjodku jeä mQoa.,hkg wdf,am lrk fjk;a úfYaI l%u we;' *af,darhsâ fc,a yd *af,dArhsâ jdksIa o o; u;=msg wdf,am lrkq ,nhs' fuu fc,a yd *af,darhsâ idkaøKh oka;df,am yd uqL fidaok Èhrj, wvx.= *af,darhsâ idkaøKhg jvd b;du wêlh
j,ska hq;a oka;df,am wo jkúg fj<fmdf,a § oelsh yelsh' kuq;a oka;df,amh fldgia ñ,shkhlg *af,darhsâ fldgia oyila tla lsÍu ;=<ska o;a j,g jeä wdrlaIdjla ,efnhs' tu ksid *af,darhsâ ksid we;sjk w;=re wdndOo wju lr.; yelsh' kuq;a jeä idkaøKfhka hq;a oka;df,am Ndú;d l< hq;af;a oka; ffjoHjrfhl=f.a ks¾foaYh u; muKs'
oka;df,amhlg *af,darhsâ ix>glh uq,skau tl;= lrk ,oafoa 1950 j¾IfhaoSh' ,xldfõ kï *f,darhsâ iys; oka;df,am uq,skau Ndú;d jqfha 1980 j¾Ifha ueo Nd.fhah'
*af,darhsâ iys; oka;df,am Ndú;d lsÍu wmf.a o;a wdrlaId lr .ekSu i|yd WmldÍ jk myiqu ud¾.h jkafka *af,darhsâ wvx.= oka;df,am Ndú;hg .ekSuhs' oka;df,amhlg *af,darhsâ ix>glh uq,skau tl;= lrk ,oafoa 1950 j¾IfhaoSh' ,xldfõ kï *f,darhsâ iys; oka;df,am uq,skau Ndú;d jqfha 1980 j¾Ifha ueo Nd.fhah' úúO idkaøK 2015 cQks l<dmh
*af,darhsâ tla l< oka;df,am Tfí o;a j,g buy;a /ljrKhla i,ihs
65
oka; iqjfi;
*af,darhsâ idkaøKh wêl jq úg jvd oreKq *af,dafrdaishd ;;a;ajhla oelsh yels w;r fuys§ o;a ;o ¥Tqre meyehla oel.; yels fõ'
o;a osrdhdu j<lajk *af,darhsâ
l=vd orejka i|yd oka;df,am Ndú;h orejdg fl< .eiSug yelsjk f;la oka;df,am Ndú;h mud l< yelsh' jhi wjqre¥ 2g wvq <ufhl=g oka;df,am b;du;a iaj,amhla Ndú;d l< hq;= w;r wjqre¥ fol;a my;a w;r orefjl=g lv, weghla ;rï oka;df,am mqudKhla iEfya' <uhskag oka;df,am .s,Su j<lajd .; yelso@ orejkaf.a yl= wegh ;=< o;a j¾Okh jk ld,h ;=< tu orejka oka;df,am .s,Sfuka w;=re wdndO we;súh yelsh' fï ksid oka;df,am .s,Su flfia fyda j<lajd.; hq;=h' orefjl= o;a ue§u fouõmshkaf.a fyda jeäysáfhl=f.a wëlaIKh hgf;a is¥úh hq;= ld¾hhls' o;a ue§fuka miqj fl< .eiSug orefjl= uq, isgu mQre¥ l< hq;=h'
66
ffjoHjrhd - udisl ffjoH iÕrdj
fï i|yd mjqf,a iefjdu tl;= ù o;a ue§u yd bka miqj msg;g fl< .id orejdg fmkaùu b;du;a jeo.;a fõ' óg wu;rj l< hq;af;a orejdg wju oka;df,am m%udKhla fhdod o;a ue§uhs' tfukau o;a ue§u Èklg fojrlg iSud lsÍu ;=<ska orejka úiska .s,skq ,nk oka;df,am m%udKh md,kh lr .; yelsh'
j¾Okh fõ' fuu ld,h ;=< jeä idkaøKfhka hq;a *af,darhsâ YÍr.; ùfuka fuu ix>glh of;a ixhq;shg tla ùfï yelshdjla we;' fuf,i *af,darhsâ jeämqr tl;= ùfuka oka; *af,dafrdishd ;;a;ajh we;sfõ' *af,darhsâ wêl c,h mdkh lsÍfuka fukau" Ⱦ> ld,hla *af,darhsâ wêl oka;df,am fyda fjk;a øjHhla .s,Sfuka fuu ;;a;ajh we;súh yelsh' oka; *af,dafrdaishdj hkq l=ulao@ kshñ; *af,darhsâ m%udKhla YÍr.; ùfuka of;a meyefha fjkia lula olakg fkd,efí' kuq;a kshñ; m%udKhg jeäfhka *af,darhsâ YÍrhg we;=¿ ùfuka of;a meyefha fjkialula oelsh yelsh' uq,sl wjia:dfõo o;aj, iq¥ me,a,ï oelsh yelsh' fuh fndfyda úg ;ks o;lg isSud fkdù uqLfha fomig msysá o;aj, oelsh yelsh'
orejka o;a ue§ug Ndú;d lrk o;a nQreiqj c,fhka fidaod fyd|ska úh,d .;a miqj oka;df,am thg oeófuka lg ;=< we;sjk fl< m%udKh wju lr .; yelsh' tu.ska oka;df,am .s,Su iSudfõ' orejkag yiq fkdjk fia oka;d f,am wiqrd ;eîuo jeo.;ah'
*af,darhsâ idkaøKh wêl jq úg jvd oreKq *af,dafrdaishd ;;a;ajhla oelsh yels w;r fuys§ o;a ;o ¥Tqre meyehla oel.; yels fõ' fuhg wu;rj o;a leã hdulgo ,laúh yelsh'
jeä idkaøKfhka hq;a *af,darhsâ YÍr.; ùfuka we;sjk w;=re wdndO orejkaf.a ia:sr o;a jhi wg muK jk f;la yl= weg ;=<
igyk- wkqrdOd È,sks b,xfldaka'
2015 cQks l<dmh
f.dfrdaiq oka;df,amhlska ue§fuka fyda f.dfrdaiq o;a nqreiqjla Ndú;fhka fuu ;o meyeh bj;a l< fkdyelsh' tfukau w`.=re je,s fyda ¨Kq Ndú;fhka o;a ueoSo fuhg ms<shula fkdfõ' fuf,i o;aj, meyefha fjkialula we;sjq úg oka; ffjoHjrfhl= ,jd jydu ksis Wmfoia fyda m%;sldr ,nd .ekSu l< hq;=h'
67
OSTEOARTRITIS
ikaêm;a fõokdfjka wiaÓ m%odyfhka Tn;a mSvd ú|skjdo@
OSTEOARTRITIS
ikaêm;a fõokdfjka wiaÓ m%odyfhka Tn;a mSvd ú|skjdo@ à¡tï¡tka¡ fu;a;dkkao M.S.L.S.P, S.R.P. (U.K.) wêldÍ fN!;Ñls;ail úisks ;rhsáia (Artheritis) fkdfyd;a ikaê m%odyh kñka woyia jkafka ñksia isref¾ ikaê (Joints) udxY fmaYs (Muscleses) nkaOkS (Ligaments) iy mgl (Tissues) flfryS n,mdk úYd, m%udKhl m%Yak yd .eg¿ wdjrKh lsÍug fhfok úYd, l=vhla (Umbrella term) jeks mohls¡ kùk ffjoH úoHdj u`.ska fujeks ikaê m%ody m%fNao 40 la muK oekg y÷kdf.k we;¡
wd
fuu m%fNao w;=ßka Osteoarthritis/ Degenerative Arthritis/ Degenerative joint disease/ Osteoarthrosis/ Cervical Spondylosis/ Lumbar Spondylosis f,i bx.%Sis NdIdfjkao jd; wudre$ ikaêm;a fõokdj$rla;jd;h$ wdu jd;h$ fn,af,a fõokdj$ là jd;h$ f,i úúO wjia:dj,oS isxy, NdIdfjkao y÷kajk wiaÓ m%odyhg iïnkaO frda.S ;;a;ajhka yd m%;sldr ms<sn|j fuysoS i<ld nef,a¡ m%d:ñl yd oaù;Shsl jYfhka yg.kakd wiaÓ m%odyh ienúkau m%odyuh ;;a;ajhla (Inflammatory diseaes) fkdjqko ikaê yd ta wdY%s; mgl tkï ikaêh (joint) ikaê fldmqj (Joint capsule) ikaê fldmqj we;=,; msysá
68
wiaÓ fldgia u;=msg ldáf,ac wdjrKh (Articular cartilage) iy ldáf,aca fldgiaj,ska wdjrKh jQ wiaÓ fl<jr (Subchondral bone) ish,a,g hdka;%sluh ;;a;ajhlg ,laùu ^Wod# we;s,a,Su$ .eàu yd nr oeÍu& fya;=fjka we;sjk frda.S ;;a;ajhls¡ frda. ,laIK fudkjdo@ • fõokdj (Pain) • oro`vq wkuH yd ;o .;sh (Stiffness) • bosóu (Swelling) • úlD;sùu (detormity) • l%shdldrlï ^keùu os.yeÍu& wvmK ùu (Loss of ability to move) • w;ska ;o l< úg we;sjk fõokdj (tenderness) • ikaêh we;=,; oshr tl;= ùu (Joint effusion) wiaÓ m%odyh we;sjkafka flfiao@ ldáf,acj,g f;mq,a oSfï Yla;sh ^m%;Hia:;dj Suppliness & we;s ksid jrla keù weoS .sho h:d ;;a;ajhg ffjoHjrhd - udisl ffjoH iÕrdj
meñKSfï yelshdj mj;S¡ jhia.; ùu;a iu. tlS yelshdj ÿ¾j, jk w;r fmroS fuka weoSï yd .eiaiSï j,g Tfrd;a;= oSfï Yla;sh ySk fjhs¡ os.= l,la fujeks ikaêhla l%shd lrùu ksid ldáf,ac Ldokh ù ldáf,achg háka msysá wiaÓ fldgia (subchondral bone) ksrdjrKh fjhs¡ jvd;a ;on, f,i mdúÉÑ lrk ikaêhloS tlS ldáf,ac muKla fkdj háka msysá wiaÓ fldgia mjd Ldokhg ,la fõ¡
fujeks frda.Skag m%;sldr lsÍfïoS frda. ,laIK yd fõokdj wvq lsÍug fukau wkd.; ydks wju lsÍu yd je<elaùu wruqKq lr.kS¡
ikaêh iliaùfïoS ta jgd ks¾udKh ù we;s u,a,la jeks wjldYfha (joint capsule) iafkayl (Lubricant) jYfhka l%shd lrk ,isld ;r,h (Synovial fluid) msÍ mj;S¡ iuyr wjia:dj,oS ldáf,acfhka leã .e,ù .sh fldgia ishqï len,s jYfhka fuu ,isld ;r,h iu. ñY%j mdfjñka mj;S¡ túg ikaêh l%shd lrùu ;j;a ÿIalr jkq we;¡
2015 cQks l<dmh
69
OSTEOARTRITIS
ikaêm;a fõokdfjka wiaÓ m%odyfhka Tn;a mSvd ú|skjdo@
b;du;a nrm;, f,i ydks jQ ikaê we;s jeäysáhka i|yd ie;alï u`.ska lD;%Su ikaê fhoSu o isÿ flf¾¡
fuu wjia:dj olajd frda.h j¾Okh jqjfyd;a YÍrfha iajhx m%;sldr wxYh l%shd;aul ù ikaêfha jeäfhka nr jefgk fldgfiys Odrl jeä lsÍug W;aidy lrhs¡ fuu l%shdj,sfhaoS nkaOkS iy ikaê fldmqj wiaÓhg iïnkaOjk iSudfõoS wuq;=fjka fkÍï$ fkrE (spurs/ osteophytes ) yg .efka¡ fld÷ weg fmf<ys wiaÓ m%ody ;;a;ajhloS fn,a, wdY%s;j (Cervical spandylosis) i¾jhsl,a iafmdkaäf,daiska kñka o là lfYareld$ ;=káh$ msgfldkao wdY%s;j ,ïn¾ iafmdkaäf,daisia kñkao y÷kajkq ,efí¡ fuf,i lfYareldfjys fkrE yg.;a úg YÍrh úiskau lrk ,o m%;sldrh tu mqoa.,hdg wdndOhla njg m;ajkq we;¡ wiaÓ m%odyh je<f|kafka úhm;a whg muKla o@ th tfia fkdjk w;r úhm;a ieufokdgu wiaÓ m%odyh je<fokafka o ke;¡ my; i|yka mqoa.,hskag wiaÓ m%odyh je<|Sfï m%jK;djh by< uÜgul mj;S¡ • wiaÓ u; yd ldáf,ac u; f;mq,aoSfï Yla;sh ySk wh¡ • uOqfïyh$oshjeähdj we;s wh • ia:q,;djfhka fmf<k wh • rEueál ikaê m%odyh jeks ld,Sk m%odyhka we;s wh • ikaêh ;=,g úIîc we;=¨ jQ b;sydihla we;s wh • fjk;a frda. ;;a;a;ajhka we;s wh Wod# Alkaptonuria, Marfan syndrome, Wlilson’s disease, Ehlers-Danlos Syndrom 70
• wiaÓ N.akhl miq m%;sM,hla f,i m%;sldr ljf¾o@ wiaÓ m%odyhg iïnkaO fjkialï fyda frda. ,laIK we;s jQ muKska fï ieu fokdu m%;sldr m;d ffjoHjrfhl= fyda fjk;a fi!LH jD;a;slfhl= fidhd hkafka ke;¡ wiaÓ m%odyhg iïnkaO fjkialï isÿj we;s ikaê tosfkod l%shdldrlï j,oSo" ksji wdY%s; isÿjk iuyr wk;=rej,oSo" iuyr l%Svdj, fhoSfïoSo ;j ;j;a ydks odhl ;;a;ajhlg m;aùu je<elaúh fkdyel¡ wiaÓ m%odyh jhig hEu iu. jeä j¾Okh fjñka bosßhg hk frda.S ;;a;ajhls¡ tksidu fujeks frda.Skag m%;sldr lsÍfïoS frda. ,laIK yd fõokdj wvq lsÍug fukau wkd.; ydks wju lsÍu yd je<elaùu wruqKq lr.kS¡ fujeks frda.Ska i|yd fndfyda úg ks¾foaY flfrkqfha fõokdkdYl T!IO ffjoHjrhd - udisl ffjoH iÕrdj
iy iaáfrdhsv fkdjk m%;sm%odyl T!IO (NSAIDSNon steroidal Anti Intlamma Tory Drugs) j¾.hs¡ frda.h l<uKdlrKh lr .ekSfïoS fuu T!IO WmdldÍ jqj;a oS¾. ld,hla Ndú;d lsÍfuka fkdfhl=;a ixl+,;d we;súh yel¡ wiaÓ m%odyhg m%;sldr T!IO j,g muKla iSud fkdfõ¡ T!IO j,g wu;rj ta yd iu.dój hk jHdhdu" úfõlh" wkjYH isrer nr wvq lr.ekSu" myiqj f.fkk Ys,amSh l%u ikaêh wdrlaId lsÍu i|yd úfYaI WmlrK Ndú;h hk lreKq rdYshla we;¡ b;du;a nrm;, f,i ydks jQ ikaê we;s jeäysáhka i|yd ie;alï u`.ska lD;%Su ikaê fhoSu o isÿ flf¾¡
m%;sldrhhs¡ Tfí frda.h ms<sn| ukd oekqula yd wjfndaOhla we;s iqÿiqlï ,;a mqyqKq fN!;Ñls;ailjrfhl= fï i|yd yuqùu b;d jeo.;a fõ¡ fï i|yd iqÿiq fN!;Ñls;aid m%;sldr fudkjdo@ fN!;Ñls;ailjrhd úiska m<uqj frda.S ;;a;ajh ms<sn| we.hSulg ,la flfrkq we;¡ ta wkqj ie<iqï flfrk m%;sldr l%u w;ßka iuyrla my; i|yka fõ¡ • ikaêh ixp,kh Joint Mobilisation • jHdhdu mka;sh Exercise prescription • úoHq;a m%;sldrh Electrotherapy Wod# IRR/ TENS/ IFT • c, Ñls;aidj fkdfyd;a c,fha flfrk jHdhdu • wdOdrl WmlrK yd m;=re Ndú;h • frda.fha l<ukdlrKh lr .ekSu i|yd wjYH wOHdmkh ,ndoSu
fndfyda úg frda.Ska fjk;a úl,am m%;sldr m;d fhduqjk w;r T!IO iu`. tjka úl,am m%;sldr m;d hEu iq,nh¡ fuysoS fyd|u úl,amh fN!;Ñls;aid 2015 cQks l<dmh
71
OSTEOARTRITIS
ikaêm;a fõokdfjka wiaÓ m%odyfhka Tn;a mSvd ú|skjdo@
fN!;Ñls;aid m%;sldr ,ndoSfuka frda.S mqoa.,hdu Tyqf.a wehf.a tosfkod l%shdldrlï frda.S ;;a;ajhka hgf;a myiqfjka lr.ekSug;a ;jÿrg;a isÿúh yels ydksh wju lr .ekSug;a yels fõ¡
fN!;Ñls;aid m%;sldrj, wruqKq ljf¾o@ • fõokdj wvq lsÍu • ikaêj, p,k mrdih ^p,k wvúh & jeä oshqKq lsÍu • ikaêh wdY%s; udxYfmaYs lÜg, iúu;a lsÍu • ;jÿrg;a ydks isÿùï j<lajd .ekSu • úfYaI WmlrK Ndú;fhaoS Wmfoia oSu fN!;Ñls;aid m%;sldr ,ndoSfuka frda.S mqoa.,hdu Tyqf.a wehf.a tosfkod l%shdldrlï frda.S ;;a;ajhka hgf;a myiqfjka lr.ekSug;a ;jÿrg;a isÿúh yels ydksh wju lr .ekSug;a yels fõ¡ úfYaIs; jQ jHdhduj, fhoSfuka frda.shdf.a isref¾ nr wvq lr.ekSfuka ikaê tlg fhfok f;rmqu wvqlr.; yel¡ ^Wod# oKysia wdY%s; frda.S ;;a;ajfhaoS& fuu`.ska frda. ,laIK wvq lr .ekSug flfrk n,mEu b;d by<h¡ frda.shdf.a ikaê fõokdj wvq ù ikaê l%shdldß;ajh kej; ,enqKq miqj w¿;a ;;a;ajh os.gu mj;ajd .ekSu i|yd hï wdldrhl jev ms<sfj,la wdrïN lsÍu w;HjYH fõ¡ tfia fkdl<fyd;a bosß ld,fhaoS kej;;a ikaêh ;Sj% wdidos; ;;a;ajhlg m;aúh yel¡
72
wiaÓ m%odyh os.=ld,Skj l<ukdlrKh lsÍfïoS kej; kej;;a ikaêh ;Sj% wdidos; ;;a;ajhlg m;aùu j<lajd .; hq;=h¡ tfia fkdue;sj jßka jr Tfí ffjoHjrhd fyda fN!;Ñls;aijrhd fj; hEu fyd| ms<s;=rla fkdfõ¡ wjdikdjg isÿ jkafkao fuhhs¡ fndfyda frda.Ska fõokdj wvq jQ úg m%;sldr kj;d ouk w;r fN!;Ñls;i a ljrhdf. ka ksjerosj os.gu m%;sldr ,nd fkd.kS¡ ksjfiaoSu os.ug l< yels jHdhdu mka;shla lsÍfuka kej; kej;;a wdidos; ùu j<lajd .; yels w;r i;s 4-6 w;r ld,fhaoS Tfí fN!;Ñls;ailjrhd úiska ikaêh wjg udxY fmaYska iúu;a lr .ekSug ikaêfha p,k wvúh mj;ajd .ekSug;a wjYH jHhdu Tng ,nd fokq we;¡
ffjoHjrhd - udisl ffjoH iÕrdj
Tranquility
Ndjkdfjka yDo frda.j,g iykhla yEohdndO" wxYNd. wjodku Ndjkdfjka yrs wvlska wvqfõ ffu;%S Ndjkdj lsÍfuka wêl ;ryj wvq fõ''' wdkdmdk i;sh ksid is; ;ekam;a fõ''' yDo frda. úfYaI{ ffjoH kdu,a úchisxy ; tlÕ lr .ekSug bjy,a jk b;du;a jeo.;a fohla jkafka Ndjkdjhs' fï ksidu úfYaIfhka yoj;a frda.Ska yDohdndO" wxYNd. frda.h wdÈh ksid ñh hdug ;sfnk yelshdj 50]lska muK wvq jk nj wefußldfõ úiafldkaiska úYaj úoHd,fha lrk ,o m¾fhaIK u.ska ikd: ù ;sfí'
is
2015 cQks l<dmh
Ndjkdfjka yDo frda.j,g iykhla
idudkHfhka Èklg úkdä myf<djla muK is; ;ekam;aj ;nd .ekSu i|yd wdkdmdki;s Ndjkdj lsÍu yoj;a frda.Skag m%;sM,Þhlh' óg wu;rj ffu;%S Ndjkdj lsÍfuka wêl ;ryj wvq lr .ekSug yelshdj ,efí'
73
Tranquility
tu m¾fhaIK i|yd Wmfhda.S lrf.k we;af;a ^Transcendental Meditation& kï jQ yskaÿ wd.ñl Ndjkd l%uhla jqj;a fn!oaOhka f,i wm ks;r Wmfhda.S lr .kakd wdkdmdki;sh iy ffu;%S Ndjkdj,ska o tu m%;sM, ,nd .; yels nj ms<s.;a u;hls' yDo frda. j<lajd .ekSu i|yd fndfyda úg bjy,a jkafka iu: Ndjkd l%uhs' tys§ is; tlÕ lrf.k" tl wruqKla flfryS mj;ajd .ekSug yels jk ksid uki ,sys,a ùula isÿjk w;r is; tl wruqKl mj;ajd .ekSugo yelshdj ,efí' fï ;=<ska ,efnk m%;sM, yDohdndO j<lajd .ekSug fnfyúkau bjy,a jk w;r T!IO iy Ndjkdj hk folu uekúka Ndú;hg .kakd frda.shl=g b;du;au fyd| m%;sM, ,nd .ekSfï yelshdj ksielju ysñfõ'
74
Ndjkdfjka yDo frda.j,g iykhla
Ndjkdfjka fu;rï fyd| m%;sM, ,eîug uQ,slu fya;=j tu wjia:dfõ is;g wksl=;a is;=ú,s we;=¿ fkdù is; msßisÿj mej;Suhs' wksl=;a wjia:dj,§ wfma ukig ksrka;rfhka úúO is;=ú,s .,d tk w;r tAjd fyd| fukau krl is;=ú,so fõ' fï ish¨ is;=ú,s ksid wjidkfha isÿjkafka wfma ukig wd;;shla we;sùuhs' Ndjkdj ksid is; tlÕ lr .ekSfï§ is; tl wruqKl r|jd .ekSug yels jk ksid udkisl wd;;sh ;=kS ù hk w;r wfma ksfrda.SNdjh j¾Okh lrjk ridhksl l%shdldß;ajhla fï ksid fud<fhys we;sfõ' tys§ reêrhg Y%djh jk úúO ridhksl øjH isrer mqrdu .uka lsÍu ksid yDo iamkaok jdr .Kk wvqùu" reêr mSvkh wvqùu" reêr kd< úia:drkh ùu iy udkisl yd YdÍßl iqj;djhla we;s ùu isÿfõ' óg wu;rj Ndjkdj ksid ldxidj ^Anxiety&" úYdoh ^Depression& iy udkisl wd;;sh ^Stress& wvqùu isÿ fõ' by; ish¨u fya;= ksid ksrka;rfhka Ndjkd lrk whg yoj;a frda. we;s ùug ;sfnk yelshdj b;du;au wvqh' idudkHfhka Èklg úkdä myf<djla muK is; ;ekam;aj ;nd .ekSu i|yd wdkdmdki;s Ndjkdj lsÍu yoj;a frda.Skag m%;sM,Þhlh' óg wu;rj ffu;%S Ndjkdj lsÍfuka wêl ;ryj wvq lr .ekSug yelshdj ,efí' ffu;%S Ndjkdj jeãu ;=<ska ish¨ i;ajhka flfrys lreKdjla my< fõ' lreKdjka; is;=ú,s we;s jk úg ;ry jeks fl%daOh" oafõIh jeks mSvdldÍ is;=ú,s yg .kafka ke;' fï wkqj isf;a ;ry wvq lr .ekSug fyd|u l%uh ffu;%S Ndjkdj jeãuhs' fuu.ska Tfí yoj; ksfrda.S ùu isÿfõ'
ffjoHjrhd - udisl ffjoH iÕrdj
Nutrition Basics
wm .kakd wdydr j,g YÍrh ;=<oS isÿjk foa
wm .kakd wdydr j,g YÍrh ;=<oS isÿjk foa wm .kakd wdydr YÍrhg Wrd.kafka tajd cS¾Kh lr.; yels udOHhla njg mßj¾;kh ùfuka miqjh' tfia fkdù n;-n;a f,io" t¿ uia - t¿ uia f,io" wem,a - wem,a f,io wdoS jYfhka Wrd .ekSula isÿ fkdfõ' fuysoS wm .kakd wdydr cS¾Kl hqI iuÕ ñY% ù l=vd wxY= njg ì| fy<Sula isÿfõ' fm%daàk fuysoS weuhsfkda wï,h njg m;afõ' fïoh - fïo wï, njg m;afõ'.a,sifrda,a yd ldfndayhsfâ%g ir< iSks njg m;afõ' úgñk yd LKsc ,jK kej; ì| fy,Sula isÿ fkdù ta wdldrfhkau YÍrhg Wrd .kS' wlaudfõ ksmojk ms;a hqI j, l%shdldß;ajh fya;= fldg f.k fïoh l=vd wka;%j,g Wrd.kS' w.akHdYhsl hqI j,ska cS¾Kh lrkafka ldfndayhsfâ%ghs' tfiau fm%daàk yd fïoh cS¾Kl l%shdj,shg o th iyNd.s fjhs' 2015 cQks l<dmh
wdydr len,s ì| fy<Sfuka ksmojk fYaIl øjH reêr oyrg tl;= jkafka wka;% ì;a;s Tiafiah' cS¾Kl moaO;sh yryd .uka lroaoS ;j;a fldgila cS¾Kh fkdù b;sß fõ' ta b;sßh nys>%dùh øjH f,i .=o ud¾.h Tiafia neyer flfrhs'
75
Nutrition Basics
uqLfhka werö .,kd,h" wdudYh yd wka;% Tiafia .=oh olajd osfjk fmaYsuh kd,hls' tla tla ;efkys cS¾Kl wjYH;dj fmroeßj fjkia fõ' wlaudj" w.akHdYh yd ms;a;dYh jeks m¾hdh wjhj cS¾Kl l%shdj,shg wdOdrl fiajdjka bgq lrhs'
wm .kakd wdydr j,g YÍrh ;=<oS isÿjk foa
uqLh; wdydr cS¾Kl l%shdj,sfha m%:u mshjr n,.ekafjkafka uqLfhks' o;a" osj yd yKq Wmfhda.s lr .ksñka isÿjk yemSfï l%shdj,sh uÕska wdydr fN!;slj ì| fy,Sula isÿ flf¾'tysoS fÄgh Wmldrl fiajdjl ksr; fjhs' wmscsyaúldj; wdydr .s,sk úg Yajdikd,sldj iajhxl%Shj jefihs' ta wmscsyaúldj m;%h; l%shdldß;ajh n,.ekaùfuks' wka;f>%da;h; W.=f¾ we;s udxYuh kd,hls' ms`vqq ms`vq jYfhka ßoauhdkql+,j wdydr wdudYh fj; f.k hhs' tu l%shdj,sh isÿjk ßoauhdkql+, wdldrh l%udl=xpkh kñ' wdudYh; fuys wdydr meh myla muK mj;S' wdudYsl hqI yd ñY% ù m,amhla iEfohs' wdydrj, ;sfnk nelaàrshd wdï,sl wdudY hqI j,ska úkdY flfrhs' tfiau jEfyk tkaihsu Wmfhda.S lrf.k fm%daàk fldgia weuhsfkda wï,h njg mßj¾;kh fjhs' fuhska bosßhg hk wdydr ms`vq Chyme f,i ye|skafõ' tajd wka;%j,g hk .ukg ierfihs' ms;a;dYh ; wlaudfõ ksmofjk ms;a hqIh fuys .nvd fõ' wdydr wKq ì| fy<kq msKsi wka;%j,g ms;a hqI uqod yßhs' w.akHdYh; cS¾Kl hqI wka;%j,g uqod yefrhs' fÄG .%kaÓ ; fÄG .%kaÓ hq., ;=kla uqLfha mj;S' tajdhska jEfyk fÄGh ;=< we;s weuhsf,aia kï tkaihsuh uÕska wdydr f;;a lrk w;r ;jÿrg;a ì| fy,Sula isÿlrhs' wlaudj ; YÍrdNHka;rfha we;s úYd,;u wjhjhhs' iEu osklu mdfya ,Sgr 2 l muK cS¾Kl hqI yd ms; ksmojhs' A1D1E yd K hk úgñk ixÑ; lr .ekSu wlaudfõ ;j;a ld¾hhls'
76
ffjoHjrhd - udisl ffjoH iÕrdj
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
www.waidyawaraya.com/ nutition/article.php
l=vd wka;%; .%yKsh" Y=kHdka;%h yd ¨gksh hk fldgia ;=fkka iukaú; os.= kd,hls' fuysoS wdydr cS¾Kl hqI yd fmdaIl iuÕ ;jÿrg;a ñY% ùu;a isÿfjhs' fndfyda úgñk yd LKsc,jk reêrhg tlajk bkaøShhhs' uydka;%h; l=vd wka;%j,ska miq wdydr m%úIaG jk ia:dkh nelaàßhd .ykhka fjfihs' tajd uÕska uqodyßk fmdaIl yd c,h wjfYdaIKh fjhs' .=oh ; wmdkfhka u< fldgia msg lsÍug fmr tla /ia jk ia:dkh' wmdkh ; .=o ud¾.fha ndysrg újD; fldgi cS¾Kl moaO;sh ; uqLfhka werö .,kd,h" wdudYh yd wka;% Tiafia .=oh olajd osfjk fmaYsuh kd,hls' tla tla ;efkys cS¾Kl wjYH;dj fmroeßj fjkia fõ' wlaudj" w.akHdYh yd ms;a;dYh jeks m¾hdh wjhj cS¾Kl l%shdj,shg wdOdrl fiajdjka bgq lrhs' wm lk fndk iEu fohlau wmf.a fmdaIK ;;a;ajh flfryS n,mj;ajk nj lsj hq;=h' lsisÿ tla wdydrhla wmg wjYH ish¿ fmdaIK ix>gl imqrdoSula isÿ fkdfõ' fï ksid wdydr wkqNjfha oS úúOdx.SlrKhla isÿùu wjYH fõ' 2015 cQks l<dmh
we;eï wdydr j,g ;j;a wdydr ixfhda. ùfuka fmdAIK ;;a;ajh (Nutrient Quality) m%j¾Okh ùula isÿfõ' ksoiqkla f,i úgñka C idr wdydrhla we;s ;ek hlv wvx.= wdydrhla o ,nd.;af;d;a tu hlv b;d fyd|ska isrerg wjfYdaIKh fjhs' ieu wdydrhlu mdfya c,h úúO m%udKhkaf.ka wka;¾.; fõ' we;eï t<j¿ yd m<;=rej, úYd, jYfhka c,ho wvx.=h' tajd isref¾ c, wjYH;d úYd, jYfhka lrk ksid t<j¿ m<;=re wkqNjfhka we;sjkafka úYd, jdishls' 77
The Globe
pd,aia l=ure yd vhkd l=ußhf.a orefjla wefußldfõ'''
pd,aia l=ure yd vhkd l=ußhf.a orefjla wefußldfõ'''
wef.a jhi 33hs'''
fmkqfuka vhkd l=ußhf.a lmdmq m¿j jf.hs''' pd,aia l=ure wehj uqK .efykak;a .syska''' The Globe i`.rdj wkdjrKh lrk rc mjqf,a w¿;au f;dr;=re''' ì%;dkHfha rc mjq, w;S;fha fukau ful,o WKQ lejqï fia wf,ú jk mqj;a j,g f;da;ekakls' óg l,lg fmr fojk t<sfin;a /cskf.a mq;Kqjka jk pd,aia l=ure;a wehf.a w;sk; .;a iqrEmS vhkd l=ußh;a uejQ mqj;a lkaordjg iu l< yels mqj;a uejQ mjq,la wmg u;l ke;' oeka ta ;ek f.k we;af;a Tjqkaf.a wdorKSh fogq mq;Kqjka jk ú,shï l=ureh' Tyqf.a iqrEmS m%shïìldj flaÜ l=ußhh' uE;oS fï hqj,g ,enqKq oshKsh g kï ;eîfïoS Tjqkaf.a wdorKSh ñ;a;Ksh vhkdf.a ku isysm;a lrjkq jia t<sfin;a vhkd lefrd,a ujqkaÜneÜka úkaâi¾ hk ku ,oaoSh' fï is`.s;a;sh .ek ;snQ wjOdkh mrhñka oeka pd,aia-vhkd iïnkaOfhka úYAuh okjk merKs l;djla lr<shg meñK ;sfí' fï fofokdf.a iqcd; oshKshla wm%isoaêfha wefußldfõ m%;Hka; k.rhl jdih lrk nj fï mqj;hs' th uq,ajrg f,dalh yuqfõ ;enqfõ wefußldfõ m<jk The Globe kue;s i`.rdjla u.sks'
78
t;eka mgka jßka jr fï ie`.j.;a pd,aia vhkd oshKsh ms<sn|j jßka jr mqj;a m< lsÍug The Globe i`.rdj W;aiql jQfhah' fï l;dj ienEjla kï th rc mjq, yd iïnkaO ;j;a tla isÿùula muKla fkdfõ' oekg t<sfifn;a uyrdcskshf.ka miqj lsÍghg isák Wreulaldrhd f.a mq;KQjka pd¾,aia l=ureh' bkslaì;s Wreuh ysñ jkafka Tyqf.a jeäuy¿ mq;a ú,shï l=urekagh' fï wkdjrKh jQ oshKsh pd,aia - vhkd iqcd; orefjla kï ksielfhkau isyiqfka Wreuh pd,aia l=uref. ka miq ysñ jkafka wehgh' fï wkQj weh ms<sn|j wkdjrKh iïnkaOfhka fï jk úg f,dalfhau fk;a fhduq ù ;sfí' mqj;a uejQ fï oshKsh iïnkaO úia;r The Globe kue;s i`.rdjg wkQj fm<.efikafka fufiah' pd,aia l=ureka ;u iqrEmS fmïj;sh vhkd iafmkai¾ iu.ska w;sk; .kakd nj oekaùfuka ffjoHjrhd - udisl ffjoH iÕrdj
miqj thg fojk t<sfin;a /cskf.a wjirh kslïu ysñ jQfha ke;' fm<m;" jxYh" yevrej" wOHdmkh wdoS ldrKd yereKQ úg vhkd l=ußhg ;u isyiqkg ysñlrefjla ,nd osh yelso hkakg úuiSug wjYH úh' weh fuysoS rdclSh ffjoHjreka le|jd pd,aia - vhkd fom<f.au idM,H;djh mÍlaId lsÍug Wmfoia ,nd ÿkafkah' bkamiqj pd,aia l=uref.a Y=l%dKq;a tjlg 19 úfha miqjQ vhkd l=ußhf.a äïn;a ,ndf.k tajd ridhkd.dr ;;a;aj hgf;a ixfiapkh ùug ie,eiaúk' ldf.;a ioh i;=g we;s lrñka tajd id¾:lj ixfiapkh jQ w;r pd,aia vhkd fom<u uõmsh jrï ,o yels hqj,la nj nlsxyeï ud<s. hg jd¾;d flßK' bkamiqj Wlyd.;a îc j,g l< hq;= foa iïnkaOfhka ffjoHjreka ryia Wmfoia me;=fõh' ud<s.fha Wmfoi jQfha tajd ish,a, úkdY lrk f,ihs' Wmfoia mßos ;u ld¾hh bgq lsÍug fmr tu msßfia isá tla ffjoHjrfhla ryfiau w;sYh jeros" iodpdr úfrdaë fufyhqula osh;a lf<ah' vhkd l=ußhf.ka Wlyd.;a äïnhla fukau pd,aia l=uref.a Y=l%dKQ idïm,hlao fidrlï lf<Ah' bka fkdkej;=KQ Tyq tajd ridhkd.dr ;;a;aj hgf;a
fuys i|yka idrdf.a PdhdrEmh .ek úúO udOH fndfyda u; m< lrhs' flfia j;=ÿ weh vhkd l=ußhg fl;rï kï iudko @ 2015 cQks l<dmh
ixfiapkh isÿ lrñka cSj hqla;dkqjla ,nd .;af;ah' bka miq ;u ìß|go fkdokajd" fkdtfia kï fjk;a wjYH;djhla bgq lrk uqjdfjka tajd wehf.a l=fia ;ekam;a lf<Ah' fkdfnda osklskau weh .eìKshl jk ,laIK my< úh' ksis jhia .en ord wjik ffjoHjrhdf.a Nd¾hdj ;u l=i fyd;a pd,aia-vhkd hqj,f.a orejd ìys lf<Ah' 1981 Tlaf;dan¾ udifha Wmka fï oshKsh idrd hk ku ,oaoSh' fï ish,a, ryfia thdldrfhka isÿ fj;aoS f,djla idlaIs lr.ksñka lsre< ysñ pd,aia l=urd iy iqrEmS vhkd iafmkai¾ l=ußh 1981 cq,s 29 osk újdy úh' idrd oeßh we;s oeä jQfha fï lsisjla fkdoekh' iuyr úg weh m%iQ;sh isÿl< uEKshkao fï lsis;a fkdo;a;d úh yelsh' bka jir 16 lg miq wkfmalaIs; yosis wk;=rlska fuu ffjoHjrhd;a wef.a ìß|;a hk fofokdu f,dúka iuq .;af;a idrd fufkúh f,dalfha ;ks lrñks' 79
The Globe
pd,aia l=ure yd vhkd l=ußhf.a orefjla wefußldfõ'''
fouõmshkaf.a wkfmalaIs; úfhdaúka wirK jQ idrd wef.a uõmshkaf.a w;S; u;l igyka iaurKhg wNsreÑhla oelajQjdh' weh mshdf.a oskfmd;a úuikafka ta wruqKsks' fuysoS ;udf.a W;am;a;sh iïnkaO i;Hh ta oskfmd;a yryd idrd oek.;a;dh' fuhska uy;a m%lïmkhg m;a idrd ta iïnkaOfhka jeä úia;r oek .ekSfï W;aidyhl fhoSfïoS wehg ,enqfKA ;¾ckdx.=,sh' ìh jeoaoSïh' ta ;u ÿrl:kh yrydh' vhkd l=ußho wìryia f,i ñh .sh nj lshjd ;snQ ksid fï lreKQ wkdjrKh jQjfyd;a ;ukag;a ;u cSú;fhka jkaos f.jkakg isÿfõ hhs weh ìh .;a;dh' fï wKQj ;SrKhla .;a idrd ldg;a fydrd wefußldjg mek.;a;dh' wefußldfõ ksõ bka.a,kaâ kï m%;Hka; k.rhl ryfia cSj;a jkakg weh ;SrKh lf<A fï lgql w;aoelSï j,ska wk;=rejh'
idrd oelSfuka pd,aia l=ureka m%lïmkhg m;ajQ njo weh fmKqñka t;rïu vhkd l=ußhg ióm jQ njo The Globe i`.rdj m%ldY lr ;snqKs' fï yuqfõoS idrd l=ußh ;ukaf.a DNA mÍlaIKhla isÿ lr ;u uõmshka y÷kd .ekSug Wmldr lrk f,i pd,aia l=uref. ka wdhdpkh l< njo thg iqNjdoS m%;spdrhla fkdjQ neúka weh fldamfhka pd,aia l=ure yg mßNj l< njo jd¾;d fõ' zzTn ;uhs uf.a wïu uerefj'' Tn ;uhs vhkd l=ußh uerefjZZ hkqfjka weh fldamfhka m%ldY l< njo mejfia'
The Globe i`.rdj 2014 foieïn¾ udifhaoS fï l;dj uq,a jrg f,dalh yuqfõ ;enqfõh' vhkd l=ußhf.a lmdmq m¿j jka iqrEmS ;reKshlf.a PdhdrEmfhka tys uq,a msgqj irid ;snqKs' kuq;a tfia m<jQfha vhkd l=ußhf.a rEm fidNdj weiqf¾ isÿl< fldïmshqg¾ cs,audÜ tllska ilia l< jHdc PdhdrEmhla nj m%lg fâ,sfï,a mqj;am; jd¾;d lrkakSh' flfia fj;;a Tgqkak ysñ ú,shï l=urego fï jd¾;dfõ we;a; ke;a; oek .ekSug wjYH jQ nj The Globe i`.rdj jd¾;d lrkafkah' fï wkQj tlajru ;ud idrd yuq fkdù ;u .eìKS Nd¾hdj flaÜ l=ußh" idrd yuqùug hejQ nj;a ú,shï-flaÜ fom<f.a wefußldkq ixpdrhloS fuu yuqj ryfia isÿ jQ nj;a mejfia' weh oelSfuka flaÜ l=ußh uú;hg m;a jQ njo wehg vhkdf.a yevyqrelï thdldrju ;snQ nj;a jd¾;d fõ' tmuKla fkdj miq.shod wefußldfõ isÿ l< ixpdrhloS pd¾,aia l=ure;a Tyqf.a Nd¾hdj leñ,d l=ußh;a idrd ne,Sug fl;apqls m%foaYhg meñKs nj The Globe i`.rdj 2015 wfm%a,a 13 l,dmfhka jd¾;d lf<Ah'
80
fï ish¿ mqj;a iïnkaOfhka ;ju;a nlsxyeï ud<s.h lsisÿ m%ldYhla isÿlr ke;' flfia fj;;a l;dj nrm;,h' fuys i|yka ldrKd i;Hhla kï th uq¿ uy;a ì%;dkHfhau foaYmd,k wkd.;hg fï isoaêh lrKQ we;ehs is;sh yels n,mEu iq¿mgq fkdfõ'
ffjoHjrhd - udisl ffjoH iÕrdj
2015 cQks l<dmh
81
New Subscription
2015 Now On Special Offer!!!
No
Postage Handling Fee Packaging Fee
Only Rs. 150/ fndfyda fokdf.a b,a,Su u; fuu oSukdj ud¾;= 15 f;la oS¾> lr we;'
cd;sfha mqfrda.dó ffjoH i`.rdj
ffjoHjrhd oeka Tfí ksfjigu''''
tu ñ,gu''''' ;emE,g wu;r f.ùula fkdue;sj'''' i`.rdj ñ,oS .ekSu i|yd my; l+mkh mqrjd tjkak' ke;fyd;a tys i|yka wdldrhg ilia l< whÿïm;la tjkak
jd¾Isl odhl;aj uqo, re' 1800'00 f.ùï l< hq;= ms<sfj, uqo,a weKjqï ZZwf,ú l<uKdlre" fy,a;afjdÉ ,xld mqoa.,sl iud.uZZ f,i i|yka lr f.jk ;eme,a ld¾hd,h osh;,dj f,i i|yka lrkak fplam;a zzfy,a;afjdÉ ,xld mqoa.,sl iud.uZZ kug ,shd f¾LKh lr tu fplam; wm fj; tjkak ,xld nexl=j u.ska .sKQï.; lsÍu fy,a;afjdÉ ,xld mqoa.,sl iud.u ,xld nexl=fõ wxl 9324332 .sKQï wxlhg wod, uqo, ;ekam;a lr f.ùï m;%sldfõ Pdhdia: msgm; i`.rdj túh hq;= ku yd ,smskh iu.ska wm fj; tjkak' fy,a;afjdÉ ,xld mqoa.,sl iud.u 132$4" úydrlef,a" osh;,dj ÿrl:k 0572229040$0773149084 ku''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''uhd$ñh$fufkúh ,smskh''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ÿrl:k wxlh ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' úoahq;a ,smskh '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' Tfí /lshdj ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 82
ffjoHjrhd - udisl ffjoH iÕrdj
sport health
l%Svlhkaf.a fmdaIKh l%Svlhkaf.a uQ,sl fmdaIKh ldfndayhsfâ%g wjYH;d rd.u YslaIK frdayf,a ffjoH pñkao fm%au;s,l fyd| fi!LH ;;a;ajhla mj;ajd.ekSu i|yd fyd| fmdaIKfhka ,efnk msgqjy, ukd fia m%;HlaI jQjls' l%Svlhka i|yd wjYH lrk fmdaIKho fï isoaOdka;h ;=<gu wh;a jkakls'
2015 83 cQks l<dmh
l%Svlhkaf.a fmdaIKh
wjfYAI úúO ldKAv w;r l%Svlhka Wfoid fjfiiskau jeo.;a jk fmdaIK wjYH;d ms<sn|j fuu ,smsfhka úia;r flfrKq we;' Tn u<, l%Svlfhl= jkakg mq¿jk' ke;fyd;a i;s wka;fha hï l%Svdjl ksr; jk wfhla jkakg mq¿jk' ke;fyd;a oskm;d jHhdufha fhfokafkl= jkakg mq¿jk' fï ljr ldKAvhg Tn wh;a jQj;a wdydrh Tnf.a l%Svd fl!Y,Hhg n,mdk nj meyeos,shs'
ffjoHjrhd - udisl ffjoH iÕrdj 83
sport health
l%Svlfhl=f.a uQ,sl mqyqKQùï wdydr wjYH;d uQ,sl mqyqKQùï wdydr fõ, my; wjYH;djhka ;Dma; lrkakla úh hq;=hs mqyqKQùï iy
jHdhdu i|yd wjYH Yla;sh yd fmdaIKh imqrd,kakla úh hq;=hs' OdkH" t<j¿" m<;=r" fm%daàk iy fïoh hk w;HjYH fldgia j,ska wdydr fõ, iukaú; úh hq;=hs' YrSrfha m%Yia; nr yd fïo ixÑ; mj;ajd .ekSug m%udKj;a jk wdydr iemhqula úh hq;=hs' jHdhduhg fmr" jHdhduh w;r;=r yd jHdhdufhka miq Wmßu ic,khla imqrd,sh hq;=hs' l%Svlhdf.a fláld,Sk yd os.= ld,Sk fi!LH wdrlaId lrk wdydr iemhqula ,eìh hq;=hs'
84
l%Svlhkaf.a fmdaIKh
l%Svlhkaf.a wdydr fõ, fuh idudkHfhka ksfrda.S idudkH mqoa.,fhl=g ks¾foaY lrk wdydr iemhqu u jkafkah' tu wdydr fjf,ys ixhq;sh my; mßos ùu iqÿiqh' ldfndayhsfâ%g m%udKh ishhg 55 blauúh hq;=h' ishhg 12-15 w;r fm%daàk ixhq;shla ;sìh hq;=h' ,efnk fïo m%udKh ishhg 30 fkdblauúh hq;=h' idudkHfhka osklg úkdä 60-90 blaujk wdhdildÍ jHdhdu''' l%Svd wNHdi j, fhfok Woúhf.a ldfndayhsfâ%g j,ska ,efnk odhl;ajh iuia; wdydr fõf,ka ishhg 6570 blauùu iqÿiqh' m%dfhda.sl jYfhka fujka o< woyila ,nd ÿkak;a jvd ksjeros jkafka YÍr nr lsf,da .a?uhlg fok ldfndayhsfâ%g" fm%daàk yd fïo m%udKh jYfhka wre;a oelaùuhs' l%Svlhka ;udg wjYH fïoh f;dard.ekSfïoS tajd ys;lr ldKAvfha fïoh úh hq;=h' tfiau ìialÜ" flala" fmaiaá% yd Ñma wdosh ks;r wkqNjh kqiqÿiqh' ldfndayhsfâg yd jHdhdu wdydr cS¾KfhaoS .kakd ish¿u ldfndayhsfâ%g" YÍrfha m%d:ñl Yla;s uQ,dY%h jk iSks njg m;afõ' fï .aÆfldaia .a,hsfldcka njg mßj¾;kh ù wlaudfõ;a" fmaYs mgl j,;a ;ekam;a jkafkah' jHdhdu isÿùfïoS wod, fmaYs yd wfkl=;a YÍr fldgia i|yd wjYH Yla;sh njg m;a jkafka fï ixÑ;hhs' fï ixÑ;h uekúka mj;ajd .ekSug l%Svlhka wê ldfndayhsfâ%g wdydr .ekSu iqÿiqh' hï l%Svlfhla ;uka .kakd ldfndayhsfâ%g wdydr m%udKh iSud lrkafka kï iajlSh uekúka biõj l%Svd lsÍfï yelshdjg iSud mekfjkafkah'
ffjoHjrhd - udisl ffjoH iÕrdj
YÍrfha Yla;sh njg mßj¾;kh lsÍu msKsi m%udKj;a .a,hsfldcka ixÑ; wvq ldfndayhsfâ%Ü wdydrh ksid fkd,efnk neúks' fuys m%;sM,h jkafka YÍr.; fm%daàk ^fmaYs& ì| jeàuhs' fufia YrSr fldgia ì| jeàfuka YÍrh ksrdhdifhkau úúO frda. yd wdidok j,go ksrdjrKh jkafkah'
wvq .a,hsisñla w.hla iys; wdydr jHdhduhg$ biõjg fmr .ekSfuka YÍrfha ;sridr Yla;s uqod yeÍula we;s l< yels nj fï flafIA;%fha m%ùKhkaf.a u;hhs'
YrSrhg Yla;sh i,ikq jia yd mqkre;a:dmkh msKsi ldfndayhsfâ%Ü wjYHfhkau ;sìh hq;a;ls' j¾;udk l%Svlfhl=f.a ldfndayhsfâ%g wjYH;d úuiSfïoS" th l%Svlhdf.a l%Svd lrk ld,h" l%Svd lrk m%udKh iy jdr .Kk u; ;SrKh jkakls'fuysoS l%Svlhd f;dard.; hq;af;a msßmyÿ fkdl< tkï wY=oaO ldfndayhsfâ%gh' 2015 cQks l<dmh
l%Svlfhl= ksr; jk l%Svd ld,h wkQj wjYH ldfndayhsfâ%Ü m%udKh my; olajd we;' osklg meh nd.hlg wvqfjka isÿ lrk wvq uÜgfï jHdhdu Light intensity exercise - 3–5 g/ kg/day osklg mehla muK jk fia isÿ lrk uOHu uÜgfï jHdhdu Moderate intensity exercise 5–7 g/kg/day ord isàu m%.=K lrk osklg meh 1-3 olajd isÿ lrk jHdhdu Endurance exercise - 6–10 g/ kg/day ord isàu w;sYhska m%.=K lrk osklg meh 4 g jeä ld,hla .; lrñka lrk lrk jHdhdu - Extreme endurance exercise 8–12 g/ kg/day l%Svd fl!Y,Hh iy .a,hsisñla o¾Ylh .a,hsisñla o¾Ylh (Glycaemic index - GI) u.ska hï wdydrhl fl;rï m%udKhl 85
sport health
ldfndayhsfâ%g ;ssfnkafkao hkak yd tajd fl;rï fõ.hlska reêrhg Wrd.kafkao hkak oelafõ' fï .a,hsisñla o¾Ylh l%Svd fmdaIKfha ie<lsh hq;= jákdlula iys; wx.hla njg m;a ù ;sfí' wvq .a,hsisñla w.hla iys; wdydr jHdhduhg$ biõjg fmr .ekSfuka YÍrfha ;sridr Yla;s uqod yeÍula we;s l< yels nj fï flafIA;%fha m%ùKhkaf.a u;hhs' tfiau l%Svd biõj jHdhduh isÿlrk wjia:dfõoS by< .a,hsisñla w.hla iys; wdydr ks¾foaY fjhs' tu.ska Wmßu yelshdj" fl!Y,Hh l%Svlhdg we;s lr .ekSug WmldÍ jk nj úoaj;=kaf.a u;hhs' flfia fj;;a l%Svd biõfõ wkkH fmdaIK wjYH;d iSrefjka l%Svdjg wkQj l%Svlhdf.a fm!oa.,sl wjYH;djhka wkQj iSrefjka ie,iqï lr.; hq;a;la nj o; hq;=h' 86
l%Svlhkaf.a fmdaIKh
biõj meje;aùug fmr .kakd wdydrh l%Svlfhl= iajlSh biõj meje;aùug fmr .kakd wdydrh tu biõfõ ld¾hlaIu;djh Wfoid fjfiia jákdlula we;s nj y÷kdf.k ;sfí' meh y;rlg muK fmr l%Svlhd wê ldfndayhsfâ%Ü wdydr fõ,la .; hq;= w;r biõjg meh follg fmr l=vd iakela tlla .ekSfï jrola fkdfõ' kuq;a we;euqkag fï wdikakfha ,nd.kakd wdydr fõ, iDKd;aul n,mEula we;s lrk wjia:do fõ' f;,a fyda fm%daàk wêl wdydr fõ,la biõj wdikakfha .ekSfuka cS¾Kl .eg¿ u;= l< yels neúka wdydr f;dard.ekSfïoS Tn ie<ls<su;a úh hq;=h' biõjg fmr .kakd wdydr fõ, ldfndayhsfâ%g uQ,sl wdydr fõ,lau úh hq;=h' jHdhduh w;r;=r fmdaIKh ñks;a;= 60 g jeä l%svd jevigykloS reêrfha iSks w.hka uekúka mj;ajd .ekSug;a" úvdj ixis|ùug;a l=vd wdydrhla .ekSug isÿ fõ' kuq;a fuu wdydrho ldfndayhsfâ%g uQ,sl tllau úh hq;a;ls' kQ;k ks¾foaY j, oelafjkafka fï wdydrh ldfndayhsfâ%Ü .a?ï 30-60 ùu m%udKj;a jk njhs' mQ¾jfhka .; hq;= wdydro jHhduh fyda biõj w;r;=r .; hq;= wdydro kshñ; mßos ,nd .ekSu l%Svd biõj flfryS ksh; n,mEula we;s lrhs' m%udKj;a ic,khla uq¿ uy;a ld,h mqrdu mj;ajd .; hq;= w;r fï i|yd iafmda¾Ü ä%kala" ;kql lrk ,o m<;=re hqI fyda c,h iqÿiqh' osklg meh y;rlg jvd l%Svd biõ i|yd lh fjfyi lrjk wh i|yd mehlg ldfndayhsfâ%g .a?ï 90 ne.ska ks¾foaY flf¾' jHdhdufhka miqj fmdaIKh jeh jQ .a,hsfldcka i|yd m%;smQrkh lsÍula ñka woyia flf¾' ldfndayhsfâ%g wdydr yd ;r,h ,nd.ekSu ñka woyia flf¾' uq,a meh we;=<; uOHu m%udKfha isg by< .a,hsisñla w.hla olajd wdydr iqÿiqh' ,nk l,dmfhka l%Svlfhl=f.a fm%daàk yd w;sf¾l wdydr wjYH;d ffjoHjrhd - udisl ffjoH iÕrdj
2015 cQks l<dmh
87
Addiction
¥ïmdkh yd ms<sld ¥ïîfuka ñoS.;a iqjodhs Èúhlg''' 88
¥ïmdkh yd ms<sld
Tn okakjdo@ ¥ïîu fya;=fjka we;sjk frda.dndO ksid iEu ;;amr 5-6 lg jrla hï mqoa.,hl= ñh hk nj''' ;reK úfha isg jir 20la fkdlvjd ¥ïmdkh lsÍu ;=<ska wdhq ld,h jir 25lska wvqjk nj''' wêl reêr mSvkh" yDohdndO" ms<sld wd§ nrm;, frda.dndOj,g ,lajk nj''' fmky¿ ms<sld " uqL yd W.=r wdY%s; ms<sld" fu!;% ,sx.sl moaO;sh wdY%s; ms<sld iE§fï wjodku jeäjk nj''' ,sx.sl fn,ySk;dj" j|Ndjh yd iakdhq ¥¾j,;djhka we;sjk nj''' fydafudak Y%djh ùu jeäùu u.ska yDofha l%shdldß;ajh yd kdä jeàu fõ.j;a ùu we;sjk nj''' yqiau .ekSu fõ.j;a ùu we;sjk nj'''
ffjoHjrhd - udisl ffjoH iÕrdj
¥ïîfï §¾> ld,Sk n,mEï lsÍgl Ouks isyska ùu u.ska yDohdndO we;sùu iajik moaO;sfha l%shdldß;ajh wvq ùu fud<hg reêrh imhk reêr kd, wjysrùu u.ska fud<fha wNHka;r f,a .e,Sï we;s ù tu.ska wxYNd. frda.h we;sùu jhig jvd jeä fmkqula f.k§u ksh" o;a" ¥¾j¾K ùu
wl%Sh ¥ïmdkh .ek Tn okakjdo@ ¥ïmdkh lrkq ,nk ;eke;a;d muKla fkdj Tyq weiqf¾ isák ìß|" ¥ orejka" wi,ajdiSka ish¿ fokdu ¥ïîfï n,mEï j,g ,lafõ' l=vd orejka we¥u frda.h wd§ YajikdndO j,g ,laùu yd ¥ïmdkh lrkq ,nkafkl= wi, isák .eìks ud;djlg wvq nr Wm;a yd úúO wdndO iys; orejka ,eîfï jev wjodkula we;sfõ' ¥ïîfuka je<lSug u.la ;sfnkjdo@ ¥ïîu k;r lsÍug wêIaGdk lr .kak' ta i|yd" Tnf.a Wmka Èkh" orefjl=f.a Wmka Èkh fyda fjk;a úfYaIs; Èkhla f;dard .kak' ta i|yd fmr iqodkula ;sìh hq;=hs' fuu ;SrKh l%shd;aul lrùu Tng ;ksju fyda Tfí ys;j;=ka lKavdhula iu. tl;= ù fyda is¥l< yelsh'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;' waidyawaraya.com
2015 cQks l<dmh
89
Addiction
¥ïmdkh yd ms<sld
Tn my; i|yka lreKq ;Èka is;g .kak jvd ksfrda.S Èúhla i|yd ¥ïmdkh w;ayßkak' yDohdndO we;sùfï wjodku wvqlr .kak' ms<sld we;sùfï wjodkfuka u. yeÍug lghq;= lrkak' ;u orejkag wdo¾Yhla ùugo uqo,a b;sß lr.ekSugo fï ksid yelsfõ' fï .ek;a is;kak''' Tnf.a ;SrKh .ek iaÒridr is;=ú,a,lska miqjQj;a" b|ysg is./Ügqjla o,ajd .;a;dg jrola ke;ehs fkdis;kak' Tn ¥ïmdkh k;r l< wfhla hehs is;ñka iajhx idvïnr njlska ks;r miqjkak' is./Ügqjla o,ajd .ekSfï wdYdjka we;s jq ú.i Tn oeka ¥ïmdkh w;ay, wfhla nj is;kak' Tnf.a is; md,kh lr .ekSug ffO¾hu;a jkak' is./Ü ñ,§ .ekSug fhdok uqo,a tl;= lrkak' tu uqo,ska ¥ïmdkh w;ay, uq,a Èkh" uq,a i;sh" uq,a udih" jir wjidkfha Tng jákd hula ñ,hg f.k i;=gq jkak' ms<sld ms<sn| iel l< hq;= ix{d 7 ls 1' iqj fkdjk ;=jd,hla' 2' mshhqre j, fyda wka ;efkl .eghla fyda >k úula' 3' wiajdNdúl f,a jykhla' 4' .eghl" l¿ ,m fyda bkafkl=f.a fjkia ùula' 5' l,a mj;sk wcS¾K fyda .s,Sfï wmyiqjla' 6' l,a mj;akd lgy`v fjkiaùula fyda leiai' 7' u< myùfï" uq;%d msgùfï fjkila fyda tu.ska f,a msgùu'
90
¥ïmdkh lrkq ,nk ;eke;a;d muKla fkdj Tyq weiqf¾ isák ìß|" ¥ orejka" wi,ajdiSka ish¿ fokdu ¥ïîfï n,mEï j,g ,lafõ' l=vd orejka we¥u frda.h wd§ YajikdndO j,g ,laùu yd ¥ïmdkh lrkq ,nkafkl= wi, isák .eìks ud;djlg wvq nr Wm;a yd úúO wdndO iys; orejka ,eîfï jev wjodkula we;sfõ'
¥ïîug weíneys jqjdg miq" th w;a yeÍu myiq ke;' tfy;a fï .ek is;kak' yDo frda. j,ska ñ¥kQ cSú;hla' ms<sld wk;=ßka ñ§ug u.la' ffjoHjrhd - udisl ffjoH iÕrdj
orejka wi< ÿïmdkfhka orejdg lrk y;=relfï ;ru Tn okakjdo @
Tnf.a ;SrKh .ek iaÒridr is;=ú,a,lska miqjQj;a" b|ysg is./Ügqjla o,ajd .;a;dg jrola ke;ehs fkdis;kak'
i;=áka" iemj;a Èúhla f.ùug ;sridr
ld,hla ,efí' isys ;nd.kak wdydr i|yd jeämqr t<j¿" m<;=re iy OdkH j¾. wkqNj lrkak' fïo wêl wdydr iy uia j¾. wkqNjh wvq lrkak' ;u YÍrh ksfrda.Sj ;nd .kak' u;ameka" u;aøjH .ekSfuka j<lskak' ie'hq - iEu uilg jrlau fojk i;sfha bßod Èk Y%S ,xld ms<sld ix.ï uq,ia:dkfha § fkdñf,a meje;afjk idhkhg meñK Tnf.a mÍlaIdjka is¥ lr .; yelsh' Wmfoia- fi!LH wOHdmk ld¾hdxYfha meje;s udOH iïuka;%Khla weiqßKs' igyk- wkqrdOd È,sks b,xfldaka
2015 cQks l<dmh
91
Care
Tfí orejd <ud wmpdrj,ska uqÞ .kakg kï'''
Tfí orejd <ud wmpdrj,ska uqÞ .kakg kï''' fouõmshka lshúh hq;=u ,smshls fld<U úYaj úoHd,fha iudc úoHd wOHhkdxYfha fcHIaG lÓldpd¾h c.;a je,a,j;a; wfma rfÜ ck.yKfhka ñ,shk y;rl muK fldgila <uhskah' <uhska hkqfjka i<lkafka wjqreÿ oy wgg wvq whh' <uhl=g l=ula fyda jrola lrorhla isÿ jQ úg tu jerÈlrejka fidhd Tjqkg o~qjï meñKùu l< hq;= nj ienEh' kuq;a fuys§ <uhdg isÿ jQ jro iïnkaOfhka foudmshka we;=¿ jeäysáhka o hï m%udKhlg j.lsj hq;=h' thg fya;=j orejka .ek fidhd ne,Sfï j.lSfuka ujqmshkag jeäysáhkag uq¿ukskau ksoyia úh fkdyels ùuh' mjq,lg orejka uy f.dvla ke;' we;af;a fo;=ka fofkla fyda mylg wvq m%udKhls' tA orejka .ek uq, isgu fidhd n,d lghq;= lrkakg yelshdjla jeäysáhkag ;sìh hq;=h' tfia fkdlr <uhl=g isÿjk jrol§ yeu úgu jrolregu fÞia mjrd ujqmshkag w; fidaÞ .ekSu l< yels fkdfõ' —wmg yeu fj,dfju <uhf. miafika bkak mq¿jkao@ wms riaidj,aj,g hkafk keoao@˜ hkqfjka fuys§ Tn úuish yelsh'
foudmshka /lshdjka l<;a orejkaf.a weiqfrka wE;a fkdù ys£u m<uq ldrKdjhs' ksjig meñKs miq orejka iu. .; lrkakg fjfyiSu iy yeu úgu orejkag lhska fukau ukiska o ióm ùu u;ska orejka ;=< we;s úh yels iq¿ fjkila mjd ujqmshkag wjfndaO lr .ekSu myiq fõ' tA wkqj ;u mq;=f.a lk me,S ;snqfKd;a th jeàula ksid isÿjQ njg orejd lsõj;a ienEjgu th isÿjQfha jeàu ksido ke;fyd;a lsisjl=f.a myr§ula u.ska o hkak Tng wkqudk lr .ekSu wmyiq fkdjkq we;' tjeks wjfndaOhla Tng orejd ms<sn|j we;s lr .; yels jkafka orejd iïnkaO yeu fohla .eku Tng jegySula ;sfnk úg muKs' tu jegySu kslka ,efnkafka ke;' th ,efnkafka orejd Wmka Þ isgu tlfia iómj weiqre lsÍu ;=<sks'
ienEh''' Tn lshk Th l;dj;a ksjerÈh' wms ±ka tA ms<sn|j meyeos,s lsÍula lr .ksuq' 92
ffjoHjrhd - udisl ffjoH iÕrdj
orejl=g lEu îu" we÷ï me<÷ï" wOHdmkh hk fï iEu fohlau imqrd ,Sug olajk Wkkaÿju orejdg ldhslj udkislj ióm ùu i|yd o ujqmshka ±ßh hq;=h'
2015 cQks l<dmh
93
Care
Tfí orejd <ud wmpdrj,ska uqÞ .kakg kï'''
Ôú;h .ek lsisÿ nrla m;,la fkd±fkk kj fh!jk úfha§ we;s lr .kakd fm%au iïnkaO;d ksid fndfyda .eyekq orejka ,sx.sl wmfhdackhg ,laùu ful, nyq,j isÿfõ' ud <udrlaIl wêldßfha iNdm;sj isáh§ l,la ;siafia fmïj;d w;ska ,sx.sl wmfhdackhg ,la fjñka isá myf<dia yeúßÈ mdi,a isiqúhl iu. l;dny lsÍug yels úh' tys§ weh fujeks l;djla lSjdh' —uf.a hd¿fjd Tlafldgu fndahs f*kaâia,d bkakjd' ug ú;rhs ysáfh ke;af;''' tA yskao tAl f,dl= wvqmdvqjla lsh, hd¿fjd lsõjd' ug;a ys;=Kd tAl we;a; lsh,d' uu Wfoag biafldaf, tk ;%Sù,¾ tfla v%hsj¾ tlal uf.a iïnkaOhla we;s jqfKa Bg miafi' hd¿fjd ug fïlg f.dvla Woõ l<d˜ wka;sfï Tyq fï hqj;shj fydag,a ldurj,g mjd tlalr f.k .sh;a ujqmshka ydxlúishla ±k isáfha ke;' Tjqka ;u ÈhKshg isÿù we;s úkdYh ±k .;af;a iEfyk ld,hla .; jQ miqjh'
94
fuh b;d wjdikdjka; ;;a;ajhls' ÈhKshka ;u foudmshkag fkd±fkk fia weiqre lrkq ,nk fmïj;=ka fj;ska .eí .ekSu" Tjqka fj;ska urKhg m;aùu" ishÈú kid .ekSu jeks lsisfia;a mshjd .; fkdyels ydkshla isÿ jQjdg miqj uõmshka ;u ÈhKshkaf.a lshqï flreï ±k .kafka kï th ujqmshkaf.a wvqmdvqjls' ud Y%S ,xld úfoaY fiajd kshqla;s ld¾hdxYfha iNdm;sj isá iufha wjqreÿ oywgj;a iïmQ¾K ke;s iqrEmS
ffjoHjrhd - udisl ffjoH iÕrdj
hqj;shla ueofmrÈ. .Dyfiaúld jD;a;sh i|yd hdug W;aidy oroa§ ug yuqúh' fï hqj;shg isxy, WÉpdrKh wmyiqh' bx.%Sis NdIdj fyd¢ka yeisrúh yelsh' wef.a ndysr iajrEmh wkqj weh by< iudcfha hqj;shl nj meyeÈ,s jqKs' tA ldrKdj;a" weh wjqreÿ oywgg wvq flkl= ùu;a u; ud È.ska È.gu f;dr;=re úuid ne¨fõ fï ;;a;ajhg weh meñŒu msKsi mokï jQ miqìï ldrKd ±k .kakgh' weh b;d Okj;a udmsh fofokl=g isá tlu orejdh' wef.a mshd hqfrdamSh rgl Wiia /lshdjla lrhs' uj ,xldfõ isáh;a wjqreoaolg ;=ka y;r j;djlau ieñhd isák rgg f.dia uila yudrla .; lr wdmiq meñfKhs' ÈhKsh;a /f.k fï uj ieñhd isák rfÜu mÈxÑhg fkd.sfha ÈhKsh hqfrdamSh ixialD;shg wkqj we;s±ä jkq ±lSug ;snQ fkdleue;a; ksidh'
2015 cQks l<dmh
<ud wmpdr ms<sn|j l;d lrk úg wm jeämqru wjOdkh fhduq lrkafka .eyekq orejkag isÿjk ,sx.sl wmfhdack ms<sn|jh' kuq;a msßñ orejkag o b;d nyq, f,iu úúOdldr wmfhdack isÿfõ' úfYaIfhka ol=fKa uqyqÿnv m%foaYfha msßñ <ud .Ksld jHdmdrh b;d by< uÜgulska jHdma; ù meje;Su fuhg tla WÞyrKhla muKs'
fï ÈhKsh Tjqkaf.au orejl= fkdfõ' Tjqkag orejka fkdisàu u; orelug yÞ .;a wfhls' kuq;a Tjqkag isá tlu orejd weh ksid Tjqyq fï ±ßhj ;ukaf.au orejl= fuka i,ld wdorh l< w;r lsisÿ fjkila ±lajQfha o ke;' tfiau wehg miqjg is;a wudre we;s fkdùu msKsi weh orelug yÞ .;a whl= nj uq,a ld,fha§u fkdiÕjd mjid ;sìKs' jirlg jrla fkdjrojdu mdi,a ksjdvq ld,fha§ fï ±ßh mshd isák rgg f.k hdug o Tjqka wu;l lf<a ke;' kuq;a by; lS fya;=j u; Tjqyq oshKsh tA rfÜ È.ska È.gu ;nd .ekSug wlue;s jQy'
95
Care
Tfí orejd <ud wmpdrj,ska uqÞ .kakg kï'''
fï ±ßh n,d .kakg ;reK fufyldßhla isáhdh' weh o ;rula ÿrg bx.%Sis NdIdj yeisrúh yels ldka;djl jQ w;r wehg by< jegqmla f.ùug o ±ßhf.a ujqmshka miqnEfõ ke;'
jdikdjlg fï ±ßhg ,sx.sl wmfhdackhla isÿù ;snqfKa ke;s kuq;a thg fnfyúkau wjldY ;snQ nj wu;l fkdl< hq;=h' miqj fï uj ÈhKsh o /f.k ieñhd isák rfÜ mÈxÑhg .shdh'
fuu fufyldßhg fmïj;l= isáfhah' Tyq o fuu ksjig ks;r ks;r wdj .sh w;r fï ±ßhg o fmïj;l= isàfï jeo.;alu ms<sn|j mdvu ks;r ks;r m%.=K lrkakg fufyldßh wu;l lf<a ke;' wjidkfha ±ßhg fufyldßhf.a ueosy;a ùfuka fmïj;l= ,eìKs' tA ;%sfrdao r: ßheÿfrls' jdikdjg oßh Tyq w;ska ¥IKh fkdjqK;a ysf;a yeáhg wef.ka ;E.s fnda. ñ, uqo,a wdÈh ,nd .kakg Tyqg fuu.ska wjldY ,eìKs' fï w;r fuu fufyldßh ;j;a fohla l<dh' tkï ±ßh orelug yÞ.;a flkl= neúka ujqmshka wehg ksis wdorhla fkdolajk njg tA;a;= .ekaùuh' ujqmshka oeßh tA rgg f.k f.dia ;nd fkdf.k fuys oud hkafka tA ksid nj fufyldßh ±rshg ;Èkau wjOdrKh l<dh' ;udg ujqmshka wdof¾ ke;s njla uq,§ ms<sfkd.;a;o fufyldßh tA nj h<s h<s;a wjOdrKh lroa§ weh tAjd ms<s. kakg fhduq jQfha ksrdhdifhks' flfia fyda ujqmshkaf.ka ñ§ ueofmrÈ. rgl .Dy fiaúld jD;a;shg hkakg ±ßh kïud .ekSug fufyldßh iu;a jQjdh' bkamiq fufyldßhg o ksjiska msgù hd yelsh' kslkau fkdfõ' jákd lshk foaj¨;a w; .d f.kh' fmd,Sisfhka m%Yak lf<d;a jákd lshk oE /f.k ÈhKsh ksjiska mek f.dia we;s nj lshd weÕ fírd .kakg mq¿jk' jdikdjg ÈhKsh wmg yuq úh' weh oeä /ljrK iys; ia:dkhg k;r lr uj ,xldjg f.kajd .ekSug wms lghq;= lf<uq' oshKsh ÿgq fudfydf;a uj ÈhKsh je<|f.k y~ñka úuiqfõ —wehs mqf;a Thd fufyu fohla lrkak yeÿfõ@ wms Thdg fï ;rï wdof¾ lroa§@ fudllao mqf;a wfmka Thdg jqKq jro@˜ hkakhs' ujf.a mekhg ÈhKshg ms<s;=re ;snqfKa ke;' 96
tksid orejl=g lEu îu" we÷ï me<÷ï" wOHdmkh hk fï iEu fohlau imqrd ,Sug olajk Wkkaÿju orejdg ldhslj udkislj ióm ùu i|yd o ujqmshka ±ßh hq;=h' tfia ióm ùu ;=<ska orejdf.a úYajdih Èkd .;a l< orejd ujqmshkag tÈfkÞ isÿjk iEu fohla .eku mjikakg Wkkaÿ jkq we;' kuq;a wfma foudmshka lrkq ,nk f,dl= jrola ;sfí' tkï udOH ;=<ska fldhs ;rï fun÷ wmrdO .ek ÿgqj;a lsfhõj;a ;udf.a orejdg;a tn÷ wjÞkula ;sìh yels nj fudfyd;lgj;a fkdis;Suh' uf.a orejdg yer wksla ´kEu orejl=g fujeks oE úh yelsh hkqfjka fndfyda foudmshka ;=< mj;sk wkaO úYajdih orejkaf.a whym; msKsi fya;=jk nj ujqmshka ±äj isys ;nd .; hq;=h'
ffjoHjrhd - udisl ffjoH iÕrdj
Headache causes
n,df.khs''' ysirohla lshkafk frda. ,laIKhla
n,df.khs''' ysirohla lshkafk frda. ,laIKhla iakdhq frda. úfYaI{ ffjoH ks¨mq,a fmf¾rd fma Ôú;h ;=< wm jeämqru w;a±l ;sfnk ldhsl fõokdjla jkafka ysirohhs' ysiroh lshkafk frda.hla fkdfjhs' frda. ,laIKhla' yßhg WK jf.a' WK;a frda.hl ,laIKhla ñi frda.hla fkdfjhs' fvx.= frda.h" WK ikaksmd;h wd§ jYfhka jQ ´kEu frda.hla ksid WK yg .; yelshs'
w
2015 cQks l<dmh
WK yg .;a fya;=jg m%;sldr l< úg WK iqj fjkjd jf.a ysiroh yg .;a fya;=jg m%;sldr l< úg ysiroh o iqj fjkjd' ysiroh we;s jk fya;= úúOdldrhs' weiaj, fÞdaI" lkaj, fÞdaI" o;aj, fÞdaI" fldaGrl wdY%s;j we;sjk fiu ^fldaGrl& m%Þyh fyj;a Sinusitis ñka iuyrla'
97
Headache causes
fï ish,a, uqyqK wdY%s; wjhj' fï yereKq úg ysiroh we;s jkakg uqyqfKka mßndysr fjk;a lreKq;a /ila n,mdkjd' fud<fha f.ä" fud<fha kyrj, fodaI" fud<fhys uia;sIal iqIqïkd ;r,fha mSvkh jeä ùu" fukskachsáia frda.h" ñ.af¾ka frda.h wdÈh ;j;a fya;=ka f,i olajkak mq¿jka' wêl reêr mSvkh ;sîu;a ysiroh we;s ùug fya;=jla' kuq;a wd;;s ysiroh ^Tension headache& .ek ie<l=fjd;a thg ldhsl fya;=jla n,mdkafka kE' thg fya;=j udkisl ixiqka nj" i;=g ke;s ùuhs' hï frda.sfhl= ;udg ysiroh we;s nj lshñka ffjoHjrhl= fj; .sh úg fï fya;= yeu tlla .eku ffjoHjrhdf.a wjOdkh fhduq fjkjd' tA ksid frda.shdf.a frda. ,laIK jf.au frda. b;sydih ms<sn|j;a ffjoHjrhd ie<ls,a,g ,lalrkjd' iuyr frda.Ska is;kafka ysfia ialEka mÍlaId lf<d;a ysirohg fya;=j fidhd .; yels njhs' tA wkqj ialEka mÍlaIdjla lrjd f.k tys jd¾;djla /f.ku ffjoHjrhd yuqjk frda.Skq;a isákjd' kuq;a 98
n,df.khs''' ysirohla lshkafk frda. ,laIKhla
fud<fhys ialEka mÍlaIK l< muKska ysirohg fya;= fidhd .kak nE' tA ksid ialEka mÍlaIKhla wjYH kï tA ialEka mÍlaIKh l=ulao lshk tl ;SrKh lrkafka ffjoHjrhdhs' ke;fyd;a th Tfí uqo,a wmf;a hdula úh yelshs' ksoiqkla .;fyd;a ysi lelal=ug fud<fha ialEka mÍlaIKhla l<dg tu mÍlaIKhg fud<fha f,a kyr yiq jkafka kE' f,a kyr ne,Su i|yd fjk;a ialEka mÍlaIK l< hq;=hs' .e,fmk mÍlaIK ñi wfklajd isÿ lsÍu uqo,a ld,h wmf;a heùula iuyre fud<fha tlaia-f¾ mÍlaIK u.ska ysirohg fya;= fidhd .; yels nj is;kjd' kuq;a tlaia-f¾ tlg yiq jkafka ysialn, yd tA wdY%s; weg muKhs' tys we;=<; we;s fud<h thska fmfkkafka kE' fud<h fmfkkakg kï ialEka mÍlaIdjla l< hq;=hs' tA iS'à' iy tï'wd¾'whs' ialEka mÍlaIKhs' fï w;ßkq;a iS'à' ialEka mÍlaIKhlg;a jvd úia;r ±k.; yelafla tï'wd¾'whs' ialEka mÍlaIKfhkqhs' kuq;a iS'à' ialEka fyda tï'wd¾'whs' ialEka mÍlaIKhla l< muKskq;a ysi lelal=ug fya;= fidhkak nE' fud<fha f,a kyr .ek n,kakg kï tA ialEka mÍlaIK yßhkafk kE' tA i|yd iS'à' wekaðfhda.%Eï fyda tï'wd¾'whs' wekaðfhda.%Eï mÍlaIKhla lrkakg isÿ fjkjd' ysirohl§ ffjoHjrhl= yuqúh hq;= wjia:d fudkjdo@ rd;%sfha kskafoka ysi lelal=u ye§ wjÈùu" wjÈj isáh§ lysk úg lsúiqï hk úg y~ k.d iskdfik úg tljru ysiroh we;sùu" idudkH wkaoñka isák úg tljru ysig fmd,a,lska myr ÿka wdldrfhka ysiroh we;sùu ^úfYaIfhka ysi msgqmi tjeks fõokdjla ±kSu&" ysi lelal=u iu. isys l,amkdj wvq ù f.k hk nj ±kSu" ysiroh iu. WK ;sîu' fujeks ,laIKj,ska tlla fyda we;skï mjqf,a ffjoHjrhd yuqùu iqÿiqhs' tfiau ysi lelal=ul§ fõokd kdYl f.k Èklska wvq jqfKa ke;akï túgo mjqf,a ffjoHjrhd yuqúh hq;=hs' bka miq Tng jeä ÿrg;a m%;sldr .; hq;= ;;a;ajhla ;sfí kï iqÿiq ffjoHjrhl=g fhduq lrdú' ffjoHjrhd - udisl ffjoH iÕrdj
Paranoid Psychosia
ñh.sh ×;Ska wdrEV ùu fnfy;a n,fhka iqjm;a fjhs
Paranoid Psychosia
ñh.sh ×;Ska wdrEV ùu fnfy;a n,fhka iqjm;a fjhs úfYaI{ ufkda ffjoH ví,sõ tA t,a úl%uisxy uy;df.a jD;a;Sh w;a±lSula weiqrsKs
hi wjqreÿ ye;a;E y;la jqK;a úu,dj;S ud;dj ;ukaf.a jevlghq;= ;uka úiskau lr.; yels" ;ksj .uka ìuka hd yels ksfrda.Su;a flfkla' wef.a orejka mia fokdu fyd¢ka W.;a" iudcfha ms<s.;a /lshdj, kshq;= whhs' úu,dj;Sg uqKqmqre" ñKsmsßhkq;a fof<dia fofkla bkakjd' weh Ôj;a jqfKa uyf. oruhs' tA jk úg uy f.or weh;a iu. mÈxÑ fj,d isáfh nd, oshKsh" wef.a ieñhd iy orejkqhs'
j
Ôú;fha ikaOHd Nd.h ieye,a¨fjka .; l< úu,dj;S Èkm;du jdf.a ijia hdufha mkai,g hdu;a mqreoaola f,i lrf.k .shd' u<.sh m%dKldrhka iu. m<ys,õjla fï úÈyg orejkag j;a lsis lrorhla ke;sj ;ukaf.a jevm, ;ksj lr.ksñka fyd¢ka 2015 cQks l<dmh
Ôj;a jQ úu,dj;S ysáyeáfha wuq;= wuq;= foaj,a lshkak mgka .;a;d' ;ukag u<.sh m%dKldrhka ks;r ks;ru Tjqkaf.a f,dalhg tk f,i lshñka l;d lrk nj weh lshkakg jqKd' tA m%dKldrhka w;r wef.a ñh.sh ieñhd" jeäuy,a fidhqßh jf.au weh ;reK úfha isáh§ ñh.sh wef.a uj jf.au óg jir ;sylg muK Wv§ ñh.sh mshdKkao isák nj úu,dj;S mejiqjd' ñh.sh wh úu,dj;Sg wejá,s lrhs Tjqka ish¨ fokdu tlg Ôj;a jk nj;a ;ukag;a ±ka fï f,dafl isáhd we;s lshñka Tjqka <Õg tk f,i weúá,s lrk nj;a weh lshd isáhd' úu,dj;Sg ñh.sh whf.a lgy~j,a weiqfKa weh ksÞ isáh§ isysfkka fkdfjhs' wjÈj isák Èjd ld,fha ;udg tjeks u<.sh ×;Skaf.a lgy~j,a wefik nj úu,dj;S mjioa§ wef.a ÈhKsh ;=<o yg .;af;a f,dl= ìhla' úu,dj;Sg kskao hdu;a wvq jqKd' weh Èjd l, mqgqjla u; jdäù isák úg ljqfoda msgqmiska 99
Paranoid Psychosia
ñh.sh ×;Ska wdrEV ùu fnfy;a n,fhka iqjm;a fjhs
ys| ;u f., ñßlkakg W;aidy lrk njlao úu,dj;Sg ±kqKd' weh tA fj,djg lE .eiqfõ — wfka ÿfõ ug kï uqka bkak fokafka kE' fldfydu yß udj wrka hkakuhs yokafka˜ lshñkqhs' tA w;ru ;udg ñkS l=Kq .| ±fkk njlao úu,dj;S jßka jru lshd isáhd' fjk lrkakg lsisu fohla ke;s ;ek ujf.a Ôú;h u<.sh m%dKldrhka úiska /f.k hdú hk ìh ksidu ÈhKsh" mjqf,a wfkla ifydaor ifydaoßhka iu. o idlÉPd lr ksjfia f,dl= f;dú,hla isÿ l<d' ffjoH m%;sldr j,g fhduq fjhs ál ojila fyd¢ka isáh;a úu,dj;Sg fmr ;snQ ;;a;ajh Bg;a jvd lsysm .=Khlska jeäù ±fkkakg jqfKa mjqf,a ish¨ fokdu wkaoukao lrjñkqhs' fjkÞ fukau u<.sh ×;Ska ;ukag l;d lsÍu" ljqfoda ;ukaf.a f., ñßlkakg ;e;a lsÍu wdÈhg wu;rj ;ukaf.a ldurfha úfYaIs; leurd iúlr we;s nj;a ;uka lrk lshk ish¨ foaj,a wi,ajdiSka ksÍlaIKh lrk nj;a úu,dj;S lshd isáhd' ujf.a fï ;;a;ajh ÿre lr .ekSu i|yd l=ula l< hq;=±hs mjqf,a orejka idlÉPd lrk w;f¾ weh ufkda ffjoHjrfhl=gj;a fmkajd n,uq±hs fhdackd lf<a ±k W.;a jeäysáfhl=hs' úu,dj;Sj udkisl frda. jdÜgqjg le|jd f.k tkafka tA wkqjhs' úu,dj;Sg ;snqfKa merfkdhsâ ihsfldaishdj ^Paranoid Psychosis& kñka y÷kajk udkisl wdndOhhs' wfma YÍrfha iakdhq tlsfkl w;f¾ hï bvla mj;skjd' tA ksid fud<fha tla iakdhqjl isg wfkla iakdhqjg mKsjqv f.k hkafka kshqfrda g%dkaiañg¾ Neuro transmitter kñka y÷kajk ridhksl øjHh u.skqhs' lsishï fya;=jla we;sj fyda ke;sj fï ridhksl øjHj, wiu;=,s;;djhka we;s fjkak mq¿jka' wmg yefok fndfyda ldhsl yd udkisl frda.j,g ndysr fya;= n,mdkak;a mq¿jka' n,fkdmdkak;a mq¿jka' fndfydauhla frda. yefokakg cdkuh fya;= ;uhs jeämqru n,mdkafka' th udkisl frda.j,g jf.au Èhjeähdj" wêreêr mSvkh" 100
wid;añl;djh" fldf,iagfrda,a wêl ùu" ms<sld jf.a fndfyda frda.j,g n,mdk fohla' tmuKla fkdfjhs" ishÈú kid .ekSïj,g;a cdkuh fya;= n,mdk nj uE;l§ lrk ,o m¾fhaIK u.ska wkdjrKh ù ;sfnkjd' fï cdkuh fya;= wfma YÍrfha hgm;a ù ;sî lsishï fya;= idOl u; th Wvg u;= jkak mq¿jka' túg wmg tu frda. biau;= fjkjd' tA jf.au lsisu cdkuh fya;=jla fyda fjk;a ndysr idOlhla ke;sj;a wmg úúO ldhsl yd udkisl frda. je<f|kjd' fï úhm;a ldka;djg;a tf,i fud<fha ridhksl øjH wiu;=,s;;djhla u; fud<hg jerÈ mKsjqv ,eîu ksid by; lS mßÈ ñh.sh wh l;d lrk wdldrhla wefikakg ±fkkakg jqKd' merfkdhsâ ihsfldaishdj lshkafka T!IO m%;sldrj,skau muKla myiqfjka iqj l< yels udkisl wdndOhla' fï ldka;djg;a tf,i m%;sldr lr ±ka weh iqjm;a ù ys¢kjd'
ffjoHjrhd - udisl ffjoH iÕrdj
Nutrition
lsß wdydr w;r wkNsNjkSh wdydrh fhda.Ü
lsß wdydr w;r wkNsNjkSh wdydrh fhda.Ü ojilg fhda.Ü fldamamhla ne.ska wkqNjfhka Tng fi!LHuh m%;s,dN /ila w;a fjkjd wo fhda.Ü b;d ckm%sh wdydrhla jg m;aj ;sfí' iqmsß idmamq ixlS¾K j, lsß ksIAmdok wxYfha jeäfhkau olskakg we;af;a úúO ikakdufha fhda.Üh' idudkHfhka lsß j,ska ksmojQ flacq wdosh .kakg hï;dla ìhla mdßfNda.slhka fmkakqï l<;a fhda.Ü m%p,s;j we;af;a fi!LHiïmkak laISr ksIAmdokhla jYfhks'
2015 cQks l<dmh
fhda.Ü yokakg .kafka lsßhs' tfiakï lsfrys we;s fïoh fhda.Ü j,o wka;¾.; úh hq;=h' ta tfiauh iïm%odhsl fhda.Ü fldamamhl .arEï 9 l muK i;a;aj fm%daàka m%udKhla ;sfí' ta yereKQ úg le,aishï" úgñka B2" úgñka B12" fmdgEishï yd ue.akSishï hyñka fhda.Ü j, ;sfnk fmdaIlhka fõ' kuq;a fhda.Ü wiuiu fi!LHiïmkak wdydrhla njg m;aj ;sfnkafka fï lsisjla ksid kï fkdfõ' Bg fya;=j tys we;s fm%danfhdálaiah' fm%danfhdálaia hkq nelaàßhdjls' th wdydr cS¾K moaO;shg w;sYhska ysff;IS nelaàßhdjla jYfhka fmdaIK f,dalfha osÿ,kafkah' fï fm%danfhdálaia ksid fhda.Ü j,g b;d úYd, fmdaIKSh jákdlula ,eî ;sfnk w;r ta tl tlla fhda.Ü .=K oeka úia;rd;aulj olajuq'
101
Nutrition
fhda.Ü wdydrud¾. moaO;sfha hy meje;aug fya;= fjhs' fhda.Ü ksid iukh jk frda. rdYshls' th u<noaOhg fyd|hs' mdpkh ;sfnkjd kï thg;a fyd|hs' ,elafgdaia bkafgd,rkaia" bkaf*f,afïgß nj,a äiSia yd wdka;%sl ms<sld u¾Okhg;a fhda.Ü WmldÍ fjhs' m%;sYla;slrK moaO;sh iúu;a lrk fhda.Ü fhda.Ü j, we;s fm%danfhdála uqyqka m%;sYla;slrK moaO;sh Yla;su;a lrhs fhda.Ü j, we;s fm%danfhdála uqyqka ldka;djkaf.a fhdaksu. wdidok o u¾Okh lrhs" fhda.Ü j, we;s fm%danfhdála uqyqka wkqNjfhka Tiaáfhdafmdfrdaishdj md,khg ,la fjhs' fhda.Ü j, we;s fm%danfhdála uqyqka wkqNjfhka wêreêr mSvkh md,khg ,lafjhs' fhda.Ü j, we;s fm%danfhdála uqyqka wkqNjfhka l=i msreKQ fihla oefkk ksid thska wdydr md,khla we;s fjhs'
102
lsß wdydr w;r wkNsNjkSh wdydrh fhda.Ü
oskm;d fhda.Ü tlla wdydrhg .ekSfuka ,nd.; yels fjk;a jdis • Tiaáfhdafmdfrdaisia j,ska wdrlaId úh yel' fhda.Ü j, iEfyk muK le,aishï yd úgñka ã wvx.= fõ¡ fïjdhska Tiaáfhdafmdfrdaisia frda.h iEoSfuka je<lsh yel¡ ´kEu jhil mqoa.,fhl=f.a YÍrfha wiaÓ osrdhEu j<lajd .ekSug fhda.Ü u.ska uy`.= iïudoula ,efí¡ • wêreêr mSvk wjodku wvqlrkq ,efí¡ iamd[a[fha úYaj úoHd,hl Wmdê wfmalIlhska jir 2la mqrd isÿlrkq ,enQ mÍlaIKhlg wkqj oskm;d fhda.Ü wdydrhg tlalr .ekSu ksid wêreêr mSvkh je<oSfï wjodku ie<lsh hq;= uÜgulska wvq jk nj ;yjqre úh¡ • nvje,a Yla;su;a lrkq ,nhs' nvje,a wdY%s;j iEfok fkdfhl=;a f,v frda. /ila fõ' mdpkh mhsf,dnelaàßhd wdidok" uyd wdka;%sl ms<sld u<noaOh jeks frda.dndOhka je<|Sfï iïNdú;djh wvqlrkq ,nhs¡ • fhdaks ud¾.fha we;sjk wdidok j<lajhs¡ lekaävd yd os,Sr u`.ska isÿjk wdidokhkag oshjeähdj iys; ldka;djka nyq,j uqyqK fokq ,efí¡ fhda.Ü oskm;du wdydrhg .ekSu u.ska fuu ;;a;ajh md,kh lr.; yel¡ • YÍrfha nr wvqlrkq ,efí¡ Tn fhda.Ü wdydrhg .ekSu u.ska YÍrfha le,ß m%udKh ie<lsh hq;= uÜgulska wvqlr .; yel¡ • Tnj fiïm%;sYHdfjka wdrlaId lrkq ,efí Tnf.a m%;sYla;slrK moaO;sh Yla;su;a lsÍu oskm;du fhda.Ü fldamamhla ne.ska .ekSu u.ska isÿ fõ¡ tysoS YÍrhg wys;lr nelaàßhd" ffjria we;=¿ùu ksid we;sjk frda.dndOhka md,khg úYd, fufyhla fhda.Ü j,ska isÿ flf¾'
ffjoHjrhd - udisl ffjoH iÕrdj
Feed
uõlsß .ek oek isáh hq;=u foaj,a <ud frda. ms<sn| úfYaI{ ffjoH bIdks frdâß.= úisks
uõlsß .ek oek isáh hq;=u foaj,a
iEu orejl=gu ish¨u fmdaIKhkaf. ka iukaú; jQ iqÿiqu" wk.s;u wdydrh jkafka uõlsßh¡ orejl= bmoS meh 1$2la we;=<; isg ih uila hk ;=re uõlsß muKla orejdf.a ksis fmdaIKhg WÑ; fõ¡ fyd|u fldf,iag%ï orejdg uy`.= wdrlaIdjla imhhs m<uq lsß fyj;a fld,iag%ï hkq orejdg u. fkdyer osh hq;=u fohls¡ fuh ly meyehg yqre Wl= øjHhls¡ fld,iag%ï fndfyda m%udKhla tfrkafka ke;s w;r fuh orejdg b;du;a jeo.;a fõ¡ we;eï uõjre fuf,i Y%djh jk lsß krla ù we;ehs is;d bj;a lr;s¡ kuq;a fuu fldf,iag%ï u`.ska orejdg fyd| m%;sYla;slrKhla we;s lrkq ,nhs¡ tu.ska orejd fkdfhl=;a frda.hkag f.dÿreùu j<lajd,hs¡
2015 cQks l<dmh
103
Feed
orejdg m%udKj;aj uõlsß ,efnk nj Tnu iel yer.kak uõlsß tfrkafka orejd lsß fndk m%udKh wkqj ksid ;ukag lsß ke;ehs fyda orejdg lsß we;s fõoehs hkqfjka wkjYH ìhla Wmojd fkd.; hq;=hs¡ idudkHfhka udifhka udihg orejdf.a nr uek ne,Su isÿ lrkq ,nhs¡ tysoS orejdf.a nr Wm;a nrg idfmalaIj wvqù hd kï orejdg uõlsß uos ù we;s njg wkqudk l< yel¡ ke;skï uõlsß muKla orejd fndk ld,fhaoS tkï uq,a udi yh ;=<oS orejd osklg jdr yhlg jvd uq;%d lrhs kï orejdg m%udKj;a ;rï uõlsß ,efnk nj ikd: fõ¡ orejdg wjYH lsß m%udKh orejdf.kau wykak mq¿jks uõlsß ,ndoSu i|yd ld,h;a m%udKh;a wjYH fkdfõ¡ idudkHfhka orejd b,a,k jdr .Kkla uõlsß ,nd fokak¡ orejdf.a l=i msfrk ;=re 104
uõlsß .ek oek isáh hq;=u foaj,a
orejd idudkHfhka mshhqr w;a fkdyÍ¡ tfia fkdue;sj orejd mshhqr w,a,df.ku ksohs kï thska orejdf.a l=i msÍ fkdue;s nj w`.jkq ,efí¡ tjka wjia:dj,oS orejdf.a lk fyda hám;=, ls;s ljd weyerjd lsßoSu l< hq;= fõ¡ Bg wu;rj wvq nr orejl=g kï idudkHfhka meh follg jrla lsß osh hq;= fõ¡ orejdg lsß oSfïoS tlajrloS ol=Kq mshhqfrka lsß ÿkafka kï B<`. jdrfhaoS jï mshhqfrka ,ndosh hq;=h¡ ksjqka orejkag fokakg;a ujf.a lsß m%udKj;a ksjqka orejkag uõlsß m%udKj;a fõ¡ ukao h;a uõlsß fndkak fndkak tfrk m%udKh;a jeäfõ¡ tneúka uõlsß ksjqka orejka yg m%udKj;a fkdfõ hehs is;Su ñ:Hdjls¡ ujf.a msßisÿlu w;HjYHhs idudkHfhka ujla osklg jrla iakdkh lr w¨;a msßisÿ we÷ñka ieriS isáh hq;=h¡ hï fyhlska ksjiska msg;g f.dia meñKs úgloS muKla orejdg lsß oSug m%:u mshhqre fiaoSu m%udKj;a fõ¡ lsß fok iEu úgu mshhqre fiaoSu wjYH fkdfõ¡ uõlsß fok msysàu orejdg lsß fok wdldrh tlsfkl uõjrekag fjkia fõ¡ tkï ujg myiq bßhõjla f;dard.; hq;=h¡ orejdf.a kdih ;kmqvqj uÜgug f.k ujf.a mmqj yd orejdf.a mmqj .efgk mßos <xlr .kak¡ ;kmqvqj orejdf.a fof;df,a iam¾Y jk úgoS orejd uqLh újr lrhs¡ túg orejdf.a uqLh ;=<g ;k mqvqfõ l¿ meye;s fldgi iïmQ¾Kfhkau we;=¿ lrkak¡
fldf,iag%ï u`.ska orejdg fyd| m%;sYla;slrKhla we;s lrkq ,nhs¡ tu.ska orejd fkdfhl=;a frda.hkag f.dÿreùu j<lajd,hs¡
ffjoHjrhd - udisl ffjoH iÕrdj
túg b;d fyd|ska orejdg lsß îug yels fõ¡ fkdtfia kï ;k mqvqj ;=jd, ù ksis f,i lsß Wrdîug orejdg fkdyels ùu ksid uj;a orejd;a hk fofokdu oeä fõokdjg wiykhg m;a fõ¡
ujlg tfrk uõlsß ksjqka orejka yg m%udKj;a fkdfõ hehs is;Su ñ:Hdjls¡ lsß fndkak fndkak lsß tfrk ksid ta tfrk lsß orejka fofokdgu fyd|gu m%udKj;ah'
uõlsß mshhqre j, msreKq wjia:d j, l< hq;= foa''' we;eï úg uõlsß mshhqrej, msreKq wjia:dj,oS bfíu .,dhEu isÿ fõ¡ fuu ksid uõjreka we;eï úg oeä wmyiq;dj,g m;a fõ¡ tjeks wjia:dj,oS fjf<|fmdf<a we;s fn%iaÜ mEâ Ndú;d l< yel¡ kuq;a fuu fn%iaÜ mEâ Ndú;d lsÍfïoS fyd|ska fidaod fõ,d Ndú;h iqÿiq fõ¡ uõlsß oSfïoS orejka iemSu jeks fya;+ka ksid ujf.a mshhqr ;=jd, úh yelsh¡ tjeks 2015 cQks l<dmh
wjia:dj,oS tu mshhqfrka uõlsß oSu keje;aùu fkdl< hq;=h¡ T,sõ f;,a wdf,am lsÍu u.ska mshhqf¾ ;=jd,h iqj lr.; yels jk w;r fuu ;=jd, blaukskau bfíu iqj ù hkq we;¡ uõlsß >k jqKdo @ uõlsß >kùula isÿjqjfyd;a riakh we;s ;=jdhla jeks fros lvlska ;eùu isÿl< yel¡ bkamiq fodjd bj;a lsÍu l< yel¡ lsß tÍu kj;sk fyda wvqjk wjia:do we;¡ tkï uõlsß iEoSug YÍrfha fydfudakhka bjy,a fõ¡ hï fyhlska fuu fyda¾fudakj, hï fjkiaùula jqjfyd;a fuf,i lsß tÍu wvqùu fyda kej;Su isÿúh yel¡ túg tu ;;a;ajh h:d ;;a;ajhg m;alsÍug ujg T!IO ,ndfok w;r tfia fkdue;s jQ úg orejdg w;sf¾l wdydrj,g yqrelrkq ,nhs¡ igyk wudhd .=Kfialr 105
wdhq¾fõoh
yDo frda. .ek wdhq¾fõofha lshkafka fufyuhsæ
yDo frda. .ek wdhq¾fõofha lshkafka fufyuhsæ wdhq¾fõo úfYaI{ ffjoH mS ú;drK yDo frda. .ek wms l;d lrkafk ngysr ffjoH úoHdjg wkql+,jh' kuq;a wdhq¾fõofh;a yDo frda. .ek fjkuu fldgila ;sfnkjd' m%lg wdhq¾fõo .%ka:hla jk prl ixys;dfjys yDofrda. iïnkaOj §¾> jYfhka ±lafjkjd' yDo frda. yg.ekSug n,mdk fya;= /ila tys wvx.=hs' tAjd oelajkafka my; wdldrhghs'
fõ. OdrKh wm úiska ±ßh hq;= fõ. iy fkd±ßh hq;= fõ. jYfhka fldgia folla ;sfnkjd' fuys§ ±ßh hq;= fõ. jkafka fldamh" oafõYh jeks foah' fkd±ßh hq;= fõ. tkï md,kh lrf.k ;o lrf.k fkdisáh hq;= fõ. f,i u, uq;%d mylsÍfï wjYH;djh" leiai" lsúiqï wd§ foaj,a olajkak mq¿jka' u, uq;%d mylsÍfï wjYH;djh .ek ie<l=jfyd;a fïjd msg fkdlr ks;r ordf.k isàug yqreùu ;=<ska YÍr l%shdldß;ajfha fjkialï we;s fjkjd' u, msg fkdlr ord ys£fuka wdydr Èrùfï fodaI we;sù nv.skak fjkia fjkjd' u, msg fkdù ;sìh§ kej; kej; wm wdydr .kakd úg tA ish,a, tl;=ù YÍrh ;=< m,a ùfuka isÿjkafka oeä úIla isrer ;=< ks¾udKh ùuhs' wduh kñka wdhq¾fõofha y÷kajkafka YÍrh
106
ffjoHjrhd - udisl ffjoH iÕrdj
;=< we;sjk fuu úIhs' fï wduh YÍrh mqrd .uka l< yelshs' fuu.ska YÍrh fmdaIKh lrk kd, moaO;s wjysr lsÍu isÿfjkjd' fuh wdhq¾fõofha olajkafka fY%da;ia wjfrdaOh f,isks' YÍrh mqrd reêrh .uka lrk kd,j, ^rla; jy fY%da;ia& fuu wduh /f|kak mq¿jka' túg tAjd wjysr fjkjd' fï wduh yDofha f,dl= l=vd reêr kd,j, ;ekam;a ùfuka tu kd, wjysr ù wjidkfha msmsÍu isÿúh yelshs' fud<fha ishqï flaY kd,sldjla fï úÈyg mqmqrd .sfhd;a mlaId>dh; frda. ^wxYNd.h& yg .kakjd' yDofha lsÍgl Ouks" yDohg iïnkaO jE,a hk fï yeu fohlau wduh ksid wjysr úh yelshs' tys m%;sM,h jkafka tAjd ksis f,i l%shd fkdlsÍfuka tys wjika m%;sM,h f,i yDo frda. yg.ekSuhs' 2015 cQks l<dmh
reêr kd," yDohg iïnkaO kd, iy lmdg j, l%shdldß;ajh ÿ¾j, lsÍug fyda k;r lsÍug;a wduh fya;= fjkjd' fïjd ld,hla ;siafia mej;Sfuys wjidk m%;sM,h yDo frda. yg.ekSug u.mE§uhs'
fïoh fïoh hkq ksis f,i fkdÈrjk ,o ffi, mod¾:hla' wms fyd¢ka wdydr .ksñka YÍrhg lsisÿ jHdhduhla ke;sj isák úg tu wdydrj,ska ,efnk Yla;sh jeh ùug u.la ke;sj hkjd' túg isÿjkafka YÍrhg wjYH m%udKh oykh lr.;a miq b;sß jk Yla;sh YÍrh ;=< ;ekam;a ùuhs' fïjd ;ekam;a jkafka fïoh f,isks' tA jf.au wêl f,i f;,a wvx.= wdydr .ekSu" f;f,ka ieliQ flá wdydr ks;r Ndú;h hk fïjdhskq;a YÍrfha f;,a ;ekam;a fjkjd' fïjdhska reêr kd, wjysr jk nj ´kEu flfkla okakd m%lg ldrKhla' Od;= mßj¾ckh wm .kakd wdydr ksis f,i Ô¾Kh jQ úg th ima; Od;= ^Od;= y;la& f,i ielfikjd' fufia Od;= mßj¾ckh ksis f,i isÿ fkdjqfKd;a tys§ wdu wjia:d ks¾udKh fjkjd' tu wduh tA yd iïnkaO kd, moaO;s wjysr lrkak mq¿jka' fïoh ^f;,a& yßyeá Ô¾Kh fkdùu u; th isrer mqrd ixirKh ù yDoh iy iïnkaO kd, moaO;s wjysr fjkjd'
107
wdhq¾fõoh
yDo frda. .ek wdhq¾fõofha lshkafka fufyuhsæ
ks;r ks;r fujeks ;;a;ajhka mej;Su yd nfâ wÔ¾K ;;a;ajhka fya;=fjka úúO jQ wdu wjia:djka ks¾udKh ùu isÿjkq we;s'
yDofha wrla f.k ;sfnkafk;a ´cia Od;=jhs' yDofha l%shdldß;ajh fufyhjkafka ´cia Od;=j úiska' ´cia msßySu hkq yDofha l%shdldß;ajh msßySuhs'
reêr kd," yDohg iïnkaO kd, iy lmdg j, l%shdldß;ajh ÿ¾j, lsÍug fyda k;r lsÍug;a wduh fya;= fjkjd' fïjd ld,hla ;siafia mej;Sfuys wjidk m%;sM,h yDo frda. yg.ekSug u.mE§uhs' udkisl wiykh ;on, udkisl wiykh" wd;;sh" ÿla lïlfgd¨ j,g ks;r ks;r ,lajk flfkl=g wdydr wreÑh" kskao fkdhdu jeks ;;a;ajhka we;s fjkjd' yß yeá wdydr fkd.ekSu u<noaOhg fya;=jla' u<noaOh ksid wduh ks¾udKh fjkjd' th wm by; o i|yka l<d'
yDo frda. j<lajkafka fldfyduo@ by;ska ±lajQfha yDo frda. we;sùu i|yd n,mdk m%Odk lreKq lSmhla'
wd;;sh lshkafk ir, udkisl mSvdjla' fï ksid ks;r l,amkd lsÍu" ksÈ jeÍu jeks foaj,a yg.kafka bfíuhs' fuhskao wduh ks¾udKh ùug Þhl;ajhla ,efnkjd' tfiau wd;;sh ksid isref¾ ridhksl fjkialï we;s fjkjd' fï ksido wduh yg .kakjd' uoHidr Ndú;h uoHidr ksid isref¾ ;%sfodaI ^jd;" ms;a;" lM& fldamùu isÿfjkjd' úfYaIfhka jd; fodaI ksid Od;= laIh fjkjd' fï ksid YÍrfha fmdaIKh wvd, fjkjd' túg isÿjkafka isrer lDI ùuhs' th reêr kd,j,g n,md tAjd wjysrùu isÿlrkjd' tA jf.au reêrkd, yels,Sugo fuh fya;=jla' uoHfha ^uoHidr& úúO .=K oyhla wdhq¾fõoh olajd ;sfnkjd' fï .=K u.ska isÿlrkafka YÍrfha ´cia Od;=j mq¿iaid ±óuhs' ´cia hkq YÍrfha WÉp;u Od;= iajNdjhhs' wfma YÍrhg m%dKj;a njla ,efnkafka fï ´cia Od;=j ksihs'
108
tA wkqj wduh we;s lsÍug n,mdk by; ±lajQ fya;+ka j<lajd .ekSu fyda md,kh lr.ekSu yDo frda.j,ska je<lSug w;HjYH fjkjd' tA jf.au isref¾ mj;sk fodaI iuyka lr.ekSug mxpl¾u jeks fYdaOk m%;sldr jßkajr isÿlsÍu;a jeo.;a' fïjd ksid fY%da;ia uDÿ njg m;aù wjfrdaO ÿreù hkjd' YÍrfha ish¨ bkaøshkays l%shdldß;ajh h:d mßÈ mj;ajd .kakg WmldÍ fjkjd' fuho yDo frda. j<lajd .ekSug Woõjla i,ikjd'
ffjoHjrhd - udisl ffjoH iÕrdj
Nutrition
fmdaIKhhs - Tnhs
fmdaIKhhs - Tnhs 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' 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 iïìnkaêlrKh lrKq ,nkafka ;;a ix.ufha iuf,alï yd jhU úYaj úoHd,fha jHjydßl fmdaIK wxYfha wxY m%Odk wdpd¾h wfkdaud pkaøfialr úisks'
Tnf.a wêl reêr mSvk ;;a;ajh ksisf,i md,kh lr.ekSu i|yd WmldÍ jk ksjeros wdydr mqreÿ ud,fò ffjoH fkú,a m%kdkaÿ Y%S ,xld reishdkq ñ;%;aj YslaIK frdayf,a fmdaIKfõoskS os,als iqfmaIa,d fmf¾rd úisks 2015 cQks l<dmh
wm rfÜ isÿlrk ,o kj;u m¾fhaIK j,g wkqj Y%S ,dxlSh jeäysá ck.ykfhka wdikak jYfhka 1$3 la muK wêl reêr mSvkh keue;s frda.S ;;a;ajfhka fmf<k njg fidhdf.k we;¡ reêr mSvkh hkq reêr jdyskS ;=< .,d hk reêrh u.ska tu jdyskS u; we;s lrkq ,nk mSvkhhs¡ ksfrda.S mqoa.,fhl=f.a reêr mSvkh 120 mmHg/80mmHg hk w.fha mej;sh hq;=hs¡ lsishï mqoa.,hl=f.a wdxl+p reêr mSvkh 140 mmHg g;a úia:dr reêr mSvkh 90 mmHg hk w.hg;a jvd jeäfhka mj;S kï th wêl reêr mSvk ;;a;ajhla f,i y÷kajkq ,nhs¡ wêl reêr mSvkhg n,mdk fya;= wêl reêr mSvk ;;a;ajhla we;sùug n,mE yels m%Odk idOl wdldr folls¡ tajd kï md,kh l< yels idOl yd md,kh l< fkdyels idOl hkakhs¡ ta w;=ßka wêl ;rndrej" 109
Nutrition
oshjeähdj" reêr.; fldf,diagfrda,a uÜgu by< hdu" u;ameka yd ÿïjeá Ndú;h yd YdÍßl l%shdldrlï u| nj md,kh l< yels idOl f,i;a mrïmrdfjka mej; tk cdkuh ;;a;ajhka" jhia.; ùu" ia;%S mqreI nj" ¨Kq i|yd we;s wêl ixfõos;djh md,kh l< fkdyels idOl f,i;a i,lkq ,efí¡
fmdaIKhhs - Tnhs
01¡ Tnf.a ffoksl wdydr fõ,g mdysk ,o OdkH j¾. fjkqjg l=reÜg$ksjqâv iys; OdkH j¾.;a lv," lõms" uqxweg yd fidahd jeks rks, fNda.;a yels;dla tlalr.kak¡ • n;a msiSfïoS mdysk ,o iïnd yd,a fjkqjg r;= lel=¿ fyda r;= kdvq yd,a j¾.hla Ndú;d lsÍu • b|swdmam" msÜgq" frdá jeks wdydr ilia lsÍfïoS mdka msá fyda iqÿ yd,a msá fjkqjg r;= yd,a msá" l=rlalka msá yd wdgd msá jeks msá j¾. Ndú;d lsÍu
wêreêr mSvkh md,khg .kakd wdydr-mdkdosfhka ,efnkafka wkqmfïh iïudouls
wêl reêr mSvkh ksis T!IO Ndú;fhka yd ukd wdydr md,khlska md,kh lr.; hq;= frda.S ;;a;ajhls¡ tfia fkdl<fyd;a oS¾>ld,Skj mj;akd wêl reêr mSvk ;;a;ajh yoj;a frda." wd>d; yd jl=.vq wdndO jeks ixlS¾K frda.dndO we;slsÍug fya;= úh yel¡ tu ksid ksis wdydr md,khla i|yd Tn wkq.ukh l< hq;= ksjeros wdydr mqreÿ my; mßos fõ¡
110
ffjoHjrhd - udisl ffjoH iÕrdj
• lv," lõms" uqxweg" mßmamq yd fidahd jeks rks, fNda. tla m%Odk wdydr fõ,la f,i jHdxckhla f,i fyda wu;r fõ,la f,i oskm;d wdydr fõ,g tl;= lr.kak¡ • lcq fyda rglcq ^lnf,a nosk ,o fyda wjka lrk ,o& wu;r wdydrhla f,i fyda m%Odk wdydr fõ,la iu. ñY% lr wdydrhg tlalr .; yel¡ wju jYfhka i;shg osk 4-5la j;a fïjd wdydrhg .ekSu fhda.H fõ¡ by; OdkH j¾. wêl reêrmSvkh md,kh i|yd Woõ jk fmdgEishï yd ue.akSishï jeks LKsc ,jK j,skq;a fl|s j,skq;a nyq, ksid tu.ska Tnf.a wêl reêr mSvk ;;a;ajh ksis wdldrj md,kh lsÍug yelshdj ,efí¡ 02¡ Tnf.a ffoksl wdydr fõ,g wju jYfhka 2 jrla m<;=re;a 3 jrla t,j¿;a tl;= lr.kak¡ • osklg 2 jrla w;=remila f,i fyda wu;r wdydrhla f,i úúO j¾.fha m<;=re tlalr .kak m<;=r jrlg wdydrhg .; hq;= m%udKh w,s.egfmar 1$2 fmar ^úYd,& 1$2 flfi,a ^l=vd& 01 osjq,a ^úYd,& 1$2 fn,s ^úYd,& 1$2 .ia,nq l=vd ;Srejla • t,j¿ yd m<d j¾. Tnf.a m%Odk wdydr fõ,a ;=kgu jHdxckhla f,i fyda m%Odk wdydr fõ,lg ñY% lr tlalr .kak m<d j¾. yd i,do ^wuqfjka& mSßis fldamam 01 Whk ,o t,j¿ mSßis fldamm a 1 1$2 ^tla jrlg mSßis fldamam 1$2 ne.ska&
2015 cQks l<dmh
Tnf.a n;a ms`.dkg oud.kakd t,j¿ m%udKh l%ufhka jeä lrñka by; m%udKhg ,`.dùug W;aidy lrkak¡ túg Tn osklg wdydrfhka ,nd.; hq;= fl|s m%udKh iïmQ¾K lr.; yels jk w;ru reêr mSvkh md,kh i|yd Woõ jk fmdgEishï Lksc ,jKho jeä jYfhka ,nd.ekSug yelshdj ,efí¡ 03¡ lsß yd ta wdY%s; ksYamdok Ndú;fhaoS iïmQ¾Kfhka f;,a bj;alrk ,o fyda f;,a wju lsß wdydr f;dard .ekSu jvd fhda.H fõ¡ • lsß yd lsß wvx.= wdydr osklg 2 jrla j;a wdydrhg tlalr .ekSu iqÿiq fõ¡ fhdoh rys;$wju lsßmsá fyda oshr lsß fhdoh wju fhda.Ü yd ólsß fuu.ska Tnf.a ffoksl le,aishï Lksc ,jKfha wjYH;djh imqrd,sh yels w;r th wêl 111
Nutrition
reêr mSvk ;;a;ajh md,kh i|ydo WmldÍ fõ¡ fhdoh rys; fyda wju lsß wdydr Ndú;h u.ska YÍrfha wys;lr fldf,diagfrda,a uÜgu by< kexùug fya;=ldrl jk ix;Dma; fïo wï, yd fldf,diagfrda,a YÍr.; fkdjk ksid tu.skao wêl reêr mSvk ;;a;ajh md,khg rel=,la fõ¡ 04¡ uia ud¿ j¾. wdydrhg .ekSfïoS yrlauia Wre uia yd t¿uia jeks ix;Dma; fïoh wêl uia j¾. fjkqjg l=l=,a uia jeks ^iu bj;a lrk ,o& uia j¾.hla fyda l=vd ud¿ ^yd,aueiafid id,hd yqre,a,d& jeks ud¿ j¾. f;dar d.ekSu iqÿiq fõ¡ • l=l=,auia iu bj;alr wdydrhg .ekSfuka tys we;s YÍrhg wys;lr f;,a bj;a lsÍug yelshdj ,efí¡
fmdaIKhhs - Tnhs
• yd,aueiafid" id,fhd" yqre,af,d jeks l=vd ud¿ yd ieuka fudar ud¿ jeks úYd, ud¿j, wvx.= YÍrhg ys;lr Tfï.d 3 fïo wï, u.ska reêrfha wka;¾.; wys;lr fldf,diagfrda,a m%udKh wvqlrk ksid wêl reêr mSvk ;;a;ajh md,kh lsÍug WmldÍ fõ¡
fhdoh rys; fyda wju lsß wdydr Ndú;h u.ska YÍrfha wys;lr fldf,diagfrda,a uÜgu by< kexùug fya;=ldrl jk ix;Dma; fïo wï, yd fldf,diagfrda,a YÍr.; fkdjk ksid tu.skao wêl reêr mSvk ;;a;ajh md,khg rel=,la fõ¡ 05¡ .eUqre f;f,a nosk ,o wdydr ^Wod( neomq uia ud¿$Ñmaia$ nhsÜia j¾.& fIdaàiaÜ ^frda,aia$ meáia$fmaiaá%& *%hsârhsia" fld;a;=" Öia" ng¾ yd udcßka jeks f;,a nyq,j wvx.= wdydr Ndú;h yels;dla iSud lrkak¡ • fuu wdydrj, wvx.= fldf,diagfrda,a" ix;Dma; fïo wï, yd g%dkaia fïo wï, u.ska YÍrfha we;s wys;lr fldf,diagfrda,a uÜgu by< kxjk ksid wêl reêr mSvk ;;a;ajh ksis wdldrj md,khg wmyiq fõ¡ • ng¾ yd udcßka fjkqjg tal wix;Dma; fïo wï, nyq, uDÿ udcßka j¾.hla Ndú;d lsÍu iqÿiq fõ¡ ^Wod( lefkda,d& • uia yd ud¿ j¾. .eUqre f;f,a noskjd fjkqjg fílska fyda .%s,ska jeks f;,a wjuj Ndú;d jk l%ufõo Ndú;dlr tajd rij;aj ms<sfh, lr.ekSug mqreÿ jkak¡
112
ffjoHjrhd - udisl ffjoH iÕrdj
• uia" ud¿ yd t,j¿ msi.ekSfïoS f;ïmrdÿ lrkjd fjkqjg fmd,alsß muKla oud jHxckhla f,i fyda ue,a¨ï yd i,do f,i ilia lsÍug W;aidy lrkak¡ 06¡ flala" fgd*S" fpdl,Ü" whsial%Sï" meKsîu yd m<;=re îu jeks wêl meKsri wdydr wkqNjh yd mdkh yels;dla wju lrkak¡ • wêl meKsri wdydr fjkqjg m<;=rla wkqNjh;a" meKs îu mdkh fjkqjg;a c,h" f;a j;=r" fhdoh rys; lsß" fn,su,a" fld<le|" nd¾,s j;=r fyda ;eô,s j;=r jeks YÍrhg ys;lr îu j¾.hla Ndú;hg;a yqre jkak¡
wêl reêr mSvkh ksis T!IO Ndú;fhka yd ukd wdydr md,khlska md,kh lr.; hq;= frda.S ;;a;ajhls¡ tfia fkdl<fyd;a oS¾>ld,Skj mj;akd wêl reêr mSvk ;;a;ajh yoj;a frda." wd>d; yd jl=.vq wdndO jeks ixlS¾K frda.dndO we;slsÍug fya;= úh yel¡ 07¡ Tng osklg wdydrhg .efkk ¨Kq ^fidaähï laf,darhsâ& m%udKh .%Eï 5 lg fkdjeä jk fia tkï wdikak jYfhka f;a ye|s 1la muK m%udKhlg iSud lr.kak¡ • fuf,i ¨Kq Ndú;h iSud lsÍu i|yd m<uqj my; i|yka ¨Kq b;d nyq,j wvx.= wdydr wkqNjh yels;dla wvq lrkak¡ - fmdmafldaka" nhsÜia j¾. ¨Kq oud ilia lrk ,o lcq yd rglcq ¨Kq oud ilia lrk ,o 2015 cQks l<dmh
ìialÜ" ámsáma yd fmdgefgda Ñmaia - ilia lrk ,o wdydr ^ákaud¿" óÜ fnda,aia" *sIa fnda,aia" fidfiacia" yeï" fílka& - *%%hsâ rhsia" fld;a;= jeks wjkay,a j, ilia lrk ,o wdydr - iqmaleg" Öia yd laIKsl kQâ,aia - fidaia j¾." Ñ,sfmaiaÜ pÜks j¾." - uduhsÜ" fpdl,Ü" wÉpdre • ksjfiaoS Tn úiska ms<sfh, lrkq ,nk wdydr i|yd tlalrk ¨Kq m%udKh ms<sn|j úfYaI wjOdkhla fhduq lrkak¡ - jHdxck i|yd msiSug fmr ¨Kq tla fkdlr msiSfuka miqj ¨Kq b;d iaj,amhla muKla tla lrkak¡ - n;a msiSfïoS ¨Kq Ndú;fhka f;drj n;a msiSug mqreoq jkak¡
113
Nutrition
fmdaIKhhs - Tnhs
- wdydr msi.ekSfïoS ¨Kq wju lr .ïñßia" iqÿÆKq" ÆKq" wuqñßia yd wfkl=;a ;=kmy Ndú;fhka wdydrfha rih jeä lr.kak¡ • áka lrk yd ilia lrk ,o uia" ud¿ ksIamdok fjkqjg kejqï uia yd ud¿ Ndú;hg yqre jkak¡ fuf,i Tng ffokslj wdydrhg .efkk fidaähï Lksc ,jKfha m%udKh wju lsÍu reêr mSvkh md,khg yd reêrjdyskS úia:drh lsÍug Woõ fõ¡
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
wêl meKsri wdydr fjkqjg m<;=rla wkqNjh;a" meKs îu mdkh fjkqjg;a c,h" f;a j;=r" fhdoh rys; lsß" fn,su,a" fld<le|" nd¾,s j;=r fyda ;eô,s j;=r jeks YÍrhg ys;lr îu j¾.hla Ndú;hg;a yqre jkak¡
08¡ Tnf.a ffoksl wdydr fõ, m%Odk fõ,a 3 lg muKla iSud fkdlr l=vd m%udKfha wdydr fõ,a 6 lg fyda 7 lg fnod wdydr .ekSug yqre jkak¡ • tkï Tfí ffoksl wdydr fõ,g m%Odk wdydr fõ,a ;=kg wu;rj wu;r wdydr fõ,a 3 la fyda 4 la tlalr .kak¡
waidyawaraya.com
114
• wdydr fõ,a u.yeÍfuka j<lskak¡
ffjoHjrhd - udisl ffjoH iÕrdj
09¡ Tn fj<|fmdf,ka weiqreïlrk ,o wdydr ñ,os .ekSug fmr tys we;s f,an,h lshjd ne,Sfï mqreoao we;slr .kak¡ • tu f,dan,fhys we;s fmdaIK ix>gl hk fldgi lshùfuka tu wdydrfha wvx.= f;,a m%udKh ¨Kq yd iSks m%udKh ms<sn|j woyila Tng ,nd.; yels fõ¡ • wvx.= øjH fldgi lshùfuka tys wka;¾.; øjH ms<sn|jo woyila ,nd.; yels fõ¡ • fuh Tng iqÿiq ksjeros wdydrh f;dard.ekSug WmldÍ fõ¡ 10¡ ÿï mdkh yd u;ameka Ndú;h hk Tnf.a fi!L!Hhg wys;lr mqreÿj,ska yels;dla bj;a jkak¡
ksjeros fõ,djg T!IO .kak jHdhdu ud,djlg wkq.; jkak
2015 115 cQks l<dmh
11¡ osklg wju jYfhka ñks;a;= 30la j;a uOHia: fõ.fhka isÿlrk iajdhq l%shdldrlul ksr; ùug W;aidy lrkak¡ • uOHia: fõ.fhka weúoSu nhsisl,a meoSu WoHdkfha jevlghq;= j, kshe,Su¡ by; i|yka lrk ,o ish¨ wdydr mqreÿ wkq.ukh lrñka YdÍßl l%shdldrlï j, ksr;ùu ;=<ska Tnf.a YÍrfha nro ksis f,i md,kh lsÍug yelshdj ,efí¡ ksjeros wdydr md,kh wêl reêr mSvk ;;a;ajh md,khg fl,skau Woõ jkjd fiau ta i|yd Ndú;d lrk T!IOj, ld¾hlaIu;djh by< kexùugo WmldÍ fõ¡ fï ish¿ foa áflka ál Tnf.a ffoksl cSú;fha mqreÿ njg m;a lr.ksñka ksfrda.S osúhla .; lsÍug yelshdj ,nd.kak¡
115
Beauty
iajdNdúl rEm,djkH ksIamdok iy m%ñ;slrKh
Tn .kakd iajdNdúl hhs lshk rEm,djKH ksIAmdok yenEjgu iajdNdúlo @ iajdNdúl rEm,djkH ksIamdok iy m%ñ;slrKh iajdNdúl wuqøjH ke;fyd;a YdL idrfhka ksIamdokh lrKq ,nk rEm,djkH ksIamdok ioyd ljodg;a jvd jeä b,a¨ula f,dalfha fï jk úg we;s ù ;sfí' .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha ffjoH idrx.d fiarisxy (DAMS Hons.) úisks Tn okakd mßoafoka rEm,djkH ksIamdok lD;%Su ridhk øjH fhdod .ksñkao iajdNdúl wuqøjH fhdod .ksñkao isÿ l< yelsh' lD;%Su ridhk wuqøjH Ndú;h ;=<ska isÿjk w;=re Wmøj f,dalfhys thg we;s b,a¨u ì| oud we;' .yje, w;r bmoS bka fmdaIKh fjñka wjq jeis iq<xyS rlaIdj" /ljrKh ,nk ñksidg mQ¾K /ljrKhla ;udf.a iqkaor;ajhg .yje<g ,ndosh yels njg úYajdih f.dv ke.S we;' lD;%Su rE iq/l=ï wNsnjd hk iajdNdúl rE iq/l=ï iajdNdúl wuqøjH b;d wE; w;S;fhaoS ldka;djkaf.a iqkaor;ajh i`oyd úúO wdldrfhka Ndú;d l< nj w;S; ckm%jdo iy uQ,dY% idlaIs f.k ths' miqj flá ld,Sk m%;sM, i|yd ngysr rgj,ska y÷kajd ÿka lD;S%u øjH iu. iajdNdúl wuqøjH hgm;a jqjo kej;;a iajdNdúl (Organic) øjH fj; iqúfYaIS 116
wjOdkhla ,eî we;' tmuKla fkdj wo iuyr rEm,djkH ksIamdok ioyd .kakd wuqøjHo ridhk øjH fhoSfuka f;drj j.d lr .kS' wo wmf.a jeros u;hla jkafka YdL idr u.ska ksmojd we;ehs lshQ iekska tys ishhg 100 lau wvx.= jkafka tu T!Iëh YdLh njhs' th tfia fkdfõ' YdLhla fyda m<;=rla ;j;a c,h fyda we,afldfyd,a fyda tjeks udOHhla wdOdr lr .ksñka wjYH lrk ix>gl lSmhla muKla úi%djKh lr .ekSfuka fndfyda YdLidr ksIamdok isÿ lr we;' iajdNdúl uq;a''' fï ienEj y÷kd.kak iajdNdúl rEm,djkH ksIamdok ;j;a mshjrla bosrshg hñka lsisÿ ksiaidrK l%uhla Ndú;d fkdlr iajdNdúl wuqøjH tf,iskau Tng bosrsm;a lrk wjia:do we;' tjeks ksIamdok l%Sï " IeïmQ jeks øjH ,nd .;a iekska Ndú;d lsrSug wmyiqh' tajd Wmfoia ffjoHjrhd - udisl ffjoH iÕrdj
wkqj ;j;a øjHh;a iu`. ñY% lr Ndú;d l< hq;=h' by; l=uk wdldrhlska jqjo m%ñ;sfhka hq;a fi!LHdrlaIs; ksIamdokhla fjf<|fmd<g bosßm;a l< hq;=h' iajdNdúl wuqøjH fhdod .ksñka ksIamdokh lrk ,o rEm,djkH ksIamdok i|yd wo f,dalfha ksis m%ñ;slrkhla isÿ lsÍug wka;¾cd;sl bosßm;a ùula we;' iy;sllrKhla we;'ta wkqj ksjeros f,i iajdNdúl ksIamdokhla isÿ lsÍfïoS my; lreKq jeo.;ah' iajdNdúl rE iq?l=ï j, ;sfnk iqúfYAIS .=Kdx. 1' iajdNdúl ksIamdokhka isÿ lsÍu i|yd YdLuh wuqøjH" i;=ka u`.ska ,nd fok ksIamdok" fmdf<dfjka ,nd .kakd LKsc øjH fhdod .ekSug yelsh' YdL wuqøjH iq,n jk w;r kï lrKq ,nk ksjerosu YdL j¾.h fiiq wmøjH 2015 cQks l<dmh
117
Beauty
rys;j msßisÿ f,i fhdod.; hq;=h' i;=ka u`.ska ,nd fok lsß" ómeKs" uq;= wdoS ksIamdok wuqøjH jYfhka fhosh yels jk w;r i;aj fïoh" i;aj ffi, wdoS øjH fuysoS fkdfhosh hq;=h' fmdf<dfjka fidhd .kakd LKsc j¾." ,jK j¾. lsysmhla muKla fhdod ksIamdok isÿ l< yelsh' 2' ksIamdok l%shdj,sh ksjeros ;;a;aj hgf;a isÿ l< hq;=h' iajdNdúl ksIamdok isÿ lsÍfïoS ksis f,i ;;a;aj md,kh isÿ l< hq;= w;r iajNdúl wuqøjHhkays wNHka;r ix>Gl j, iajrEmhg ydks fkdl< hq;=h' WodyrK f,ig c,h" YdLuh we,afldfyd,a" YdL fïoh yd f;,a" .a,sißka j¾. fhdod .ekSug yelshdj mj;S' ;jÿrg;a ksIamdokfhaoS iajdNdúl f,ig tkaihsu iy 118
iajdNdúl rEm,djkH ksIamdok iy m%ñ;slrKh
laIqø cSù l%shdldrlï isÿ ùug ie,ish yelsh' kuq;a lD;%Su f,i TlaislrKh" yhsv%ckSlrKh" iy fjk;a ridhksl l%shdldrlï fhdod .ksñka fïofhys" f;,a j," bá" iSks j, wdoS fldgia j, iajrEmh fjkia lsÍu iqÿiq fkdfõ' 3' iajdNdúl ksIamdok i|yd Ndú;d l< fkdyels foa • j¾Kldrl ^lD;%Su& • iqjldrl ^lD;%Su& • is,slka j¾. • mer*ska bá fyda fmfg%da,shï ksIamdok • Ethoxylated
iajdNdúl rEm,djkH ñ,oS .ekSfïoS tajdg oS we;s iy;sl yd ikakdu fyd|ska ksÍlaIKh lr ñ,oS .kak
ffjoHjrhd - udisl ffjoH iÕrdj
4' l,a;nd .ekSfï øjH fhdod.; hq;=u kï my; foa Ndú;h ydkslr fkdfõ' • Benzolic acid • Salicylic Acid • Sorbic Acid • Benzil Alcohol • De hydro acitic Acid 5' iqj|ldrl fhoSu ISO 5235 hgf;a úia;r jk iajdNdúl uQ,dY%hlska ,nd .kakd øjH fhdod .; yelsh' 6' Radioactive irradiation wuqøjH fyda ksIamdok lsisÿ f,ilska Ionizing Radiation lsÍu fkdl< hq;=h' fuf,i ksis f,i isÿ lrk ,o iajdNdúl rEm,djkH ksIamdok ksis m%ñ;sfhka hq;=oehs ñ,oS .kakd Tng y÷kd.; yels jkafka tys we;s iy;sl lsÍï (Certification) wkqjh' ta wkqj my; iy;sl lsÍï we;s oehs n,kak'
iajdNdúl rE iq/l=ï ms<s.;a y÷kajdoSï 1' wka;¾cd;sl iajdNdúl rEm,djkH ksIamdok ksjeros f,i isÿ lr we;akï BIDH kï c¾udkq wka;¾cd;sl iy;slh ,nd.; yelsh' tu iy;slh by< m%ñ;shlska hq;= ksIamdok f,djg bosßm;a lrhs' 2' hqfrdamd rgj,a úiska i;=kg wdrlaIdj /ljrKh iemhSu i|yd tu ksIamdok i;=ka fhdod .ksñka m¾fhaIK mj;ajd fkdue;s njg;a i;=kaf.a fldgia fhdod f.k ksmojd fkdue;s njg;a ;yjqre lrk ixfla; y÷kajd oS we;' th wúysxidj w.hk Tng jeo.;a fõ'
2015 cQks l<dmh
3' ishhg 100 la YdL ksiaidrl fhdodf.k we;s njg bosßm;a lrk fndfyda ixfla; we;' wo iuyr rEm,djkH ksIamdok ioyd .kakd wuqøjHo ridhk øjH fhoSfuka f;drj j.d lr .kS' wo wmf.a jeros u;hla jkafka YdL idr u.ska ksmojd we;ehs lshQ iekska tys ishhg 100 lau wvx.= jkafka tu T!Iëh YdLh njhs' th tfia fkdfõ' f,dalh iajdNdúl rEm,djkH ksIamdok ;j;a mshjrla bosrshg hñka lsisÿ ksiaidrK l%uhla Ndú;d fkdlr iajdNdúl wuqøjH tf,iskau Tng bosrsm;a lrk wjia:do we;'
119
i;H iy udhdj
foaj n,fhka f,v iqjlsÍu
foaj n,fhka f,v iqjlsÍu i;H iy udhdj y÷kd.ksuq ymq;f,a tia' tï ã fifkúr;ak
¨ l,siula yd iqÿ lñihla we|f.k l=reihla w;ska ord.;a ueosúfha ñksil= wêlrKfha ú;a;s l+vqfõ isgf.k isà¡ wêlrKfha ks,Odßfhl= fj;ska meñKs,a, bosßm;a flreKs¡
l
bka lshejqfka fuu mqoa.,hd l=vd oeßúhlg wudkqIsl f,i l< myroSula .ekhs¡ úksYaphdikdrEVj isá úksiqre jßh ú;a;slref.a ysfia isg fomd olajd uy;a ´kElñka ne,aula fy¨jdh¡ ta jk úg;a ú;a;slref.a .; isyska oyäh /,a,lska f;; nßhïj ;snqKs¡ —;uqkag mdiag¾ flfkla yeáhg fmkS b|,d hlal= t,jkak f,v iqj lrkak mq`Mjka¡ ta;a ñksiqkag myr fokak fldfy;au yelshdjla kE f;arekdo@˜ —tfyuhs iajdókS˜ orefjl=g myr ÿka mdiag¾jrhd l=vd oeßhlg jeiS we;s hlaIfhl= t,jkakg fuu mdiag¾jrhd wef.a jhi .ekj;a fkd;ld ;on, f,i myroSu ksid wef.a lka weiSu ke;a;gu ke;sù f.disks¡ fï nj W;a;Í;r
120
wêlrKh bosßfha úia;r lrñka meñKs,af,a kS;s{hd f.kyer mE ;¾l ú;¾l widf.k isá mdiag¾jrhd .efykakg úh¡ tu oeßh fuu mdiag¾ jrhdf.a myroSu fya;=fjka iodld,sl wdndê;hl= ù we;¡ tf<dj fjfik i¾j n,OdÍ foúhkaf.a fudf,dj ksfhdacs;hd lv;=rdjlska oEia jidf.k fmd;;a ;=,dj;a oE;ska /f.k ke.S isák hqla;sfha yd idOdrK;ajfha foj`.kf.a Y=oaO N+ñh jQ wêlrKfha oS pQos;fhl=j wirK fjoaoS wr i¾jn,OdÍ foúhd Tyqf.a ukqf,dj ksfhdacs;hd w;yer f.disks¡ by; i|yka lf<a hlaIfhl= t,ùug tla;rd wd.ñl ksldhl mQcljrfhl= l=vd oeßhlg wudkqIsl f,i myr oSu ksid weh ìysß njg m;aùfï fÄokSh ldrKhla iïnkaOfhka wêlrKfhka hqla;sh yd idOdrKh me;+ wjia:djl úia;rhls¡
ffjoHjrhd - udisl ffjoH iÕrdj
wfma rfÜ we;a;kag ngysr fjolu yereKq úg foaYSh fjolu o" Öklgq Ñls;aidj o" ri fjolï o" fydañfhdam;s fjolï o wdoS jYfhka úl,am frda. ksjdrK l%ufõo / ila mj;S¡ we;eï ffjoH l%uhlg iqj lsÍug fkdyels frda. ;;a;ajhla fjk;a l%uhlska b;d myiqfjka iqjlr .ekSfï wjia:dj wfma rfÜ we;a;kag we;¡
2015 cQks l<dmh
i¾j n,OdÍ hehs lshk foúhkaf.a ksfhdacs;hd wêlrKh bosßfha .efykakg jka l, ta lshk i¾jn,OdÍ foúhkaf.a n, mrdl%ufha yevrej is;d.ekSu wm ldg;a t;rï wmyiq fkdfõ¡ wka wruqKq uq,a lr.;a wd.ñl jHdmdr uE; ld,fha wfma rfÜ .ï kshï .ï mqrd me;sÍ .sh ,dxlslhska wkHd.ï j,g yrjd .eKSfï ixúOdkd;aul jHdmdr /ila osh;aj ;snqks¡ fuu jHdmdr u.ska m;=rejd yßk ,o we;eï wd.ñl u;jdohkag wkqj ñksidg je<f\k f,v frda. i|yd ffjoH m%;sldr .eKSu hkq ñksid uejQ i¾j n,OdÍ foúhka jykafiag úreoaOj hduls¡ ish¿ frda. iqj lsÍug i¾jn,OdÍ foúhka jykafiag yelshdj ;sfí¡ fuu uQ,O¾ujdoS wd.fï mQclhska fyj;a mdiag¾,d úáka úg /iaùï ;nñka hd{d u.ska frda. iqj lsÍfï wdl¾YKSh foaj fufyhhka mj;ajñka ÿmam;a wirK fn!oaOhska yd yska¥ka ;u wd.ug yrjd .ekSfï ld¾hfhys ksr; fõ¡ fudjqkaf.a weoys,a, ms<s.kakd ldg jqjo uqo,a yd fjk;a wd¾Ól m%;s,dNhka o iemfha¡ wvq wodhï ,nk iudc ms<s.ekSula ke;s wka; wirK ÿ.S ÿmam;=ka nqre;= msáka fuu hd{d uOHia:dk lrd weoS hkafka ta u.ska ;ukag lsishï wdldrhl iudc ms<s.ekSula fyda wd¾Ól jdishla fyda ,efnk neúks¡ kQ;k úoHd;aul .fõIK j,g mska isÿjkakg úYajh fyda mD;=úh fyda tys fjfik ñksiqka we;=`M fiiq i;ajfhdao lsishï i¾jn,OdÍ foúfhl=f.a ueùula fkdjk nj mila ù ;sfí¡ f,dalh uejQfha i¾jn,OdÍ foúhka kï tu foúhka ldf.a ljqo@ bkafka fldfyao @ fï i¾j n,OdÍ foúhd ueõfõ ljqrekao@ jeks m%Yak j,go ms<s.; yels ms<s;=re ,eìh hq;=h¡ wyi" fmdf<dj" bry|" ;drld yd fkdfhl=;a cSùka iu. ñksid o fiiq i;=ka o uejQ nj lshk fï i¾jn,OdÍ foúhkago tfrysj i;=frla isà¡ ta hlaIhdhs¡ fï;rï n,.;= i¾j n,OdÍ foúhkag tfrysj
121
i;H iy udhdj
hlaIhd lghq;= lrkafka kï foúhka ;rugu fï lshk hlaIhd o n,.;= wfhla úh hq;=h¡ f,vÿla j,oS msysgg wd wNspdr úêwE; w;S;fha isgu wfma rfÜ me/kakka f,v frda. je<ÿk úg hd;=l¾u lsÍug;a .%y wm, we;akï tajd iukh ùug .%ymQcd yd fndaêmQcd wdosh isÿ l< w;r fi;alú lshùu fi;a msß;a lshùu frda.h blauKska iqjlrfok f,i foúhkaf.ka msysg b,a,d ndrydr ùu jeks lghq;= j,g mqreÿj isáfhdah¡ wog;a wfma iudcfha nyq;rhla fuu idïm%odhsl isß;a úß;a wkq.ukh lr;s¡ wfma ckiudcfha fujeks j;a ms,sfj;a isÿ lrkqfha frda.shdg wjeis ksis ffjoH m%;sldr lrk w;rh¡ merKs isxy, fjolug wkqj widOH frda.Skag flfrk fjolu frda.shd ñhhk ;=reu w;a fkdyeßh hq;=h¡ ñka woyia flrefKa wjika fudfydf;a fyda frda.shdf.a fmr mska n,hlska fyda urKfhka .e,ùug yelshdj we;ehs hk wp, úYajdihhs¡ frda.sfhl=f.a frda. ;;a;ajh iqj lsÍug foúhkag hd{dlr c,h fmdola muKla fmdjd ish,a, foúhkag ndr oS kslï isàfï mqreoaola wfma ixialD;sh ;=< fkdue;¡ uQ,O¾ujdoS we;eï wd.ñl ixúOdk j, wosis yia; tfy;a f,dalfha b;du;a oshqKq hehs iïu; rgj, l%shd;aul jk uQ,O¾ujdoS we;eï wd.ñl ixúOdk wfma rfÜ ÿ.S ÿmam;=ka Tjqkaf.a wd.ug yrjd .ekSug fvd,¾ fldaá .Kka úhoï lr;s¡ hd{dfjka frda. iqj lsÍfï wd.ñl ixo¾YK rg mqrd ;ekska ;ek meje;afjkqfha ta wkqj hs¡ iqj jQ frda.Ska we;a;lao @ fujeks hd{dfjka frda. iqjm;a lrk ixúOdk Tjqkaf.a foaj.e;sjrekaf.a hd{d n,fhka iqjm;a jQjka f,i bosßm;a lrk idlaIskao we;eï úg mokï úrys;h¡ úúO frda.Ska ishhla muK jQ ksheoshla f.k Tjqkaf.a frda. iqjlr fok f,i fnfy;a fkdoS hd{d lsÍfuka miq wyUq f,i
122
foaj n,fhka f,v iqjlsÍu
fnfy;a n,fhka frda.Skaf. ka ishhg wkQkuhlau iqjm;a flfrk ngysr fjolu lrk frday,a j,ska yd wdhq¾fõo fjolu lrk frday,a j,ska isÿjk foa ydialula f,i ms<s. kakg fndfyda fokd ue,sùu wfma rfÜ we;a;kaf.a wúpdr nqoaêfha jmißh m%o¾Ykh lrk losu ksoiqkls¡
frda.Ska lsysm fofkl= iqjhla ,o nj lshkq we;¡ tjekakka mÍlaId l< úg fmKS hkqfha Tjqkag ldhsl frda. ;;a;ajhka fkdj udkisl frda. ;;a;ajhka ;sî
ffjoHjrhd - udisl ffjoH iÕrdj
we;s njh¡ ix.S; jdokh iys; .S;sld .dhkfhka hq;= jQ fuu wdl¾YKSh wd.ñl hd{d fufyhhka u`.ska we;a;gu isÿjkqfha frda.Ska fudaykhg m;a lsÍuhs¡ fudaykfhka frda. iqjl< yelso@ .eg¿j ù we;af;a fudaykfhka frda. iqjl< yelso@ hkakhs¡ fudayk m%;sldr u.ska we;eï udkisl frda. j,g id¾:l ms<shï fhosh yelsh¡ ta udkisl frda.Ska i|ydhs¡ oreKq f,i ms<sldjla fyda fjk;a ldhsl frda.hla je<eÿkq frda.sfhl= bka iqjl< fkdyel¡ tfy;a frda.shd fudaykhg m;a lr Tyqg je<|S we;s ms<sld ;;a;aj fyda mj;sk ldhsl frda. ;;A;ajh iqj jQ njg ukig ye`.ùfuka miq msfhú ;;a;ajhg m;a jQ l, frda.shdf.a isf;ys ;uka frda.sfhl= fkdjk wdldrfha is;sú,a,la we;s fõ¡ túg ienúkau frda.shdf.a isref¾ ms<sldjla fyda fjk;a ldhsl frda. ;;a;ajhla ;snqko th frda.shdg fkdoefka¡
2015 cQks l<dmh
fujeks wjia:d j,oS frda.shd ;uka iqjm;a jQ nj úYajdi l<o ienúkau isÿjkqfha isref¾ we;s ms<sldj fyda ldhsl frda. ;;a;aj fjkod fukau ksoyfia j¾Okh fjñka mej;Suhs¡ ldhsl frda.hla we;s frda.sfhl= fudaykhg m;al< úg frda.shdf.a is;ska frda. ;;a;ajh we;eï úg fõokd wdosh myj .sho fN!;slj isrer ;=< frda.h mj;S¡ tfy;a ta nj frda.shdg fkdoefka¡ ñka isÿjkqfha frda.shd tu frda.h W;aikak ùfukau ál l,lska ñh hduhs¡ miq.sh ld,hl fï rfÜ fmdÿ ck udOHhka flfryS hï wdldrhl jdrKhla l%shd;aul fjñka mej;sks¡ fkdks, jYfhka jQ fï jdrKh ksid ck;djg we;a; f;dr;=re mejiSug udOHhkag ;snQ wjia:dj wysñ úh¡ fuu ßla;h msrùu i|yd we;eï ckudOH wdh;k fhdod.;af;a .=ma; wNjH oE ms<sn| f;dr;=re mqk mqkd ck;dj fj; bosßm;a lsÍuhs¡ foaj úYajdi" .=ma; n,fhka frda. iqj lsÍu jeks ldrKd fï ksid jeäfhka iudc.; jkakg úh¡ is;+ me;+ iïm;a ,nd.kakg úhoula lemùula ke;sj ;ukag je<|S we;s frda. myiqfjka iqjlr .kakg fod¿lkao msß;a mekaj, n,h msysg lr.kakg ld,ho Y%uho Okho jeh l< ñksiqka fndfydah¡ l,lg fmr óje,a,dfõ wreu mqÿu ydialï we;s nj lsjQ fndaêh wo yqol,djg m;aj f.disks¡ uE;l isg l;r.u leì,s;a; jkdka;rfha isák isjqmdjqkag ;u ffoksl osú fmfj; mjd mj;ajdf.k hdug wiSre ;;ajhla ks¾udKh ù ;sfí¡ foaj n,fhka frda.Ska oyilg tla wfhl=g isÿjk iqjm;a ùu ydialula f,i m%p,s; fjoaoS fnfy;a n,fhka frda.Skaf.ka ishhg wkQkuhlau iqjm;a flfrk ngysr fjolu lrk frday,a j,ska yd wdhq¾fõo fjolu lrk frday,a j,ska isÿjk foa ydialula f,i ms<s.kakg fndfyda fokd ue,sùu wfma rfÜ we;a;kaf.a wúpdr nqoaêfha jmißh m%o¾Ykh lrk losu ksoiqkls¡
123
i;H iy udhdj
foaj n,fhka f,v iqjlsÍu
fï jk úg wfma rfÜ cSj;a jk ckhd fiiq rgj, jeishkag jvd jdikdjka;h¡ we;eï oshqKq hqfrdamSh rgj, ckhdg f,vla jQ úg th iqjm;a lr .ekSug we;af;a ngysr fjolu muKs¡ tu rgj, jl,am ffjoH l%u fkdue;¡ b;d oshqKq hehs lshk ngysr fjolu fukau f,dj we;s wka iEu ffjoH l%uhlgu hï wdldrhl iSud udhsï mj;S¡ we;eï ffjoH l%u ;=< we;eï frda. iqj lsÍug yelshdjla fkdue;¡ wfma rfÜ we;a;kag ngysr fjolu yereKq úg foaYSh fjolu o" Öklgq Ñls;aidj o" ri fjolï o" fydañfhdam;s fjolï o wdoS jYfhka úl,am frda. ksjdrK l%ufõo /ila mj;S¡ we;eï ffjoH l%uhlg iqj lsÍug fkdyels frda. ;;a;ajhla fjk;a l%uhlska b;d myiqfjka iqjlr .ekSfï wjia:dj wfma rfÜ we;a;kag we;¡ foaj msysg m;k w;r fkdj,yd ffjoH m%;sldr o ,nd fokafka kï''' @ fu;rï úl,am fyolï /ila mj;soaoS hqfrdamShhka uqo,a oS m%pdrKh lrk we;eï uQ,O¾ujdoS wd.ï je<| .ksñka frda. iqj lr .ekSug m%;sldr fkdlr foúhkag muKla hd{d lsÍug ;rï wfma rfÜ we;euqka w{dK ùu lK.dgqjg lreKls¡ idOH widOH ljr frda. ;;a;ajhlg jqjo fjolula fkdlr foúhkag hd{d lsÍu t;rï hym;a lreKla fkdfõ¡ wp, f,i foaj úYajdih we;akï Tn l< hq;af;a frda. sfhl= iqjm;a lsÍu i|yd foaj msysg m;k w;r fkdj,yd ffjoH m%;sldr o ,ndoSuhs¡ fï yer ñh hñka isák frda.sfhl=g lsisÿ ffjoH m%;sldrhla fkdlr flf;la foúhkag hd{d l<o tu frda.shd f.dv.; fkdyelsh¡ foaj hd{d jeks myiq ir< m%d:ñl l%u u`.ska frda. iqjlr .ekSug we;euqka fm<efUkafka wehs@ iudc NS;sldj jeks ySkudk frda. ;;a;ajhka we;s wh fndfyda úg ffjoHjrfhl= yuqfõ ;u frda. ;;a;ajh mejiSug wlue;s úh yel¡ fnfy;a j¾. Ndú;hg wlue;s fyda kqyqre wh" Y,Hl¾u jeks foa .ek wksh; ìhla olajkakka" ksjiska msgia;r wd.ka;=l mßirhg ìhla olajkakka" wêl ,ecacdj ksid fjk;a flfkl=g ;u frda. ;;a;aj 124
fy<slsÍug wleue;s wh" wkqkaf.a woyia ms<s fkd.kakd we;a;ka" foúhka flfryS yd woDYHudK n,fõ. flfryS wêl úYajdih we;a;ka jeks fndfyda msßila hd{dfjka frda. iqj lr .eKsug fm<fUkq oelsh yelsh¡ fï wh w;r w{dKhka fukau hï muKlg W.;=ka o isà¡ mqyqÿka ñksiqka jQ wm ldg;a fmdÿfõ je<efok fkdfhl=;a frda. jHdëka i|yd iqÿiq jQ m%;sldr l%u o ´kE ;rï ;sfí¡ ljr frda. ;;a;ajhlg jqjo ksis ffjoH m%;sldr ,eìh hq;=h¡ tu m%;sldr ngysr fjolfukau úh hq;= hehs kshuhla o ke;¡ l=uk fyda fjolula lrk w;f¾ frda.shdf.a Ñ;a; ffO¾hh jeãu i|yd wd.ñl j;dj;a lsÍu blauka iqjh i|yd foaj wdYs¾jdoh me;Su jrola fkdfõ¡ fï .ek;a ys;kak .%y wm, wdosh we;ehs isf;kafka kï tajd iukh ùu i|yd ksis mqo ms<sfj;a meje;aùuo wys;lr lreKla fkdfõ¡ ^myq . s h ld,fha wfma rfÜ fcHda;sI{hskaf.a we;eï l%shd
ffjoHjrhd - udisl ffjoH iÕrdj
l,dmhka o ie<ls,a,g .Ksñka ueosy;a f,i lghq;= lsÍu kqjKg yqreh& tfy;a hleÿrkag" mQclhskag" foajd, lmqjkag hd{dldr c, ì|la muKla frda.shdg fndkakg oS frda. iqj l< yelskï f,dj mqrd yeu rglu osjd ? l%shd;aul jk frday,a yd fnfy;a Yd,d jid fkdoud mj;ajdf.k hkafka l=uk fya;=jla ksidoe hs hkak wm is;d ne,sh hq;= h¡
we;eï úfgl wiSñ; wd.ñl Nla;sh o udkisl frda.S ;;a;ajhla ùug bv ;sfí¡ nqÿ oyñka fmdaIs; jQ ,dxlSh wmg jvd;a .e,fmkafka nqÿka jykafia jod, ueÿï ms<sfj;hs¡ foaj hd{dfjka frda. iqjlrk mdiag¾jre lssisfjla fï rfÜ ms<s.;a ffjoH uKav,hla bosßfha ish hd{dfõ n,h fmkakd fkdue;¡ Ñ;a; n,fhka" úYaj n,fhka fyda fjk;a .=ma; n,hlska ydialï fmkajk wfhl= yelskï úoaj;a úksiqre uvq,a,la bosßfha ihkhsâ lr,la ymd ld ;uka i;= iqúfYaIS n,h fmkakd fokafka kï ldg;a jeo.;a jkq we;¡ j;sldkqfõ jev jdih lrk iqfoda;=ï mdma jykafiago fjka jQ úfYaI ffjoH ld¾h uKav,hla isà¡ mqyqÿka wmg f,v ÿlloS fjoeÿrka yefrkakg fjk msysgg tk flfkla ke;¡
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 cQks l<dmh
125
advertorial
.=rej;a; j,õfõ .%Ska y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula'''
flaI uQ, ;r,h ksfrda.slu W;=ïu iem; hehs wms ksrka;r mjid isákafka kslugu fkdfõ' frda.s wjia:djl oS wmg ú|skakg isÿjk ÿla .eyeg" lror ndOl fndfydah' úúO ffjoH l%u yryd ksrka;r frda. iqjlr .ekSfï m%h;akhl kshef<k wm ;rÕldÍ cSjk rgdjlg yqre ù isákafkuq' ta ksidfjkau idïm%odhsl wdhq¾fõo ffjoH l%uh u.ska frda. iqjlr .ekSug fm<fUkafka b;du iSñ; msßils' wmg Wreu jQ wdhq¾fõo l%uh ;jÿrg;a bosßhg f.k hñka f,djg hym;lau isÿ lsÍu wNsfhda.hla njg m;aù we;'
flaI uQ, ;r,h
fï fya;=fjkau wfma rfÜ ,laI ixLHd; msßila uqyqK md isgk wNd.H iïmkak frda.s ;;a;ajhlg iaÓridr úiªï fidhd .sh bisjrfhl= nª ñksfil= fidhd hdughs wmf.a fï W;aidyh' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.com
126
ffjoHjrhd - udisl ffjoH iÕrdj
advertorial
rfÜ iqm;, kula we;s iS' ta' ch;s,l Tyqf.a uq;a;dh' yslalvqfõ Y%s iqux., ysñmdKka uq;a;df.a udud flfkls' fmardfoKsh úYAjúoHd,fha mqia;ld,h ;=< ngysr ffjoH úoHdj ms<sn| ,shejqKQ fmd;a mßYS,kh lrk w;r;=r ;u j,õfõ mrïmrd .Kkla ;siafia wdrCId lrkakg ;ekam;a lr ;snQ mqia;lo Tyq uekúka mßYS,kh lrñka oeä wêIAGdkfhka ;u b,lalh fj; mshk. kakg úh' Tyq iaÒr jYfhkau wfma rgg lS¾;shla f.akjd' úYAj úoHd, wOHdmkho l%ufhka w;miq l< Tyq fõ.fhka ;u mÍCIK fcHda;sIHo Wmfhda.S lr .ksñka oshqKQ l<ehs wm iuÕ mjid isáfha' tu mÍCIK j,go Ndckh jQfha Tyquh' w;s úYd, uqo,la jeh lsÍug isÿ jQ wjia:d j, hï hï miq.dó isÿùï isÿjqKo ffojfha ydialulska fuka 2005 jif¾ f,d;/hs oskqï 2015 cQks 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
127
flaYuQ, ;r,h iy .%Ska y¾n,a wfkl=;a ksIamdok ,nd.; yels osjhsk mqrd Tiqi,a iuyrla ffjoH lreKd ^wdhq¾'& .d,a, 0776165705 ffjoH .d,a,f.a ^wdhq¾'& yslalvqj 0719657897 ffjoH iqcSjkS úl%uisxy ^wdhq¾'& háhkaf;dg 0362270437 ffjoH oSmsld iQßhwdrÉÑ noafo.u 0711539432 ffjoH l=udß lreKdr;ak ^wdhq¾'& .ïfmd, 0814485534 fca'ã' isßudk ^wdhq¾'& wúiaidfj,a, 0773678335 ffjoH pkaok Whl=udr je,sfõßh ^wdhq¾'& 0777063034 ffjoH ví'ta'tia'úodkwdrÉÑ ^wdhq¾'& fk¿j 0716272745 ffjoH bkaosl m%kdkaÿ ^wdhq¾'& j;a;, 0712019811 ffjoH ik;a m%shka; ^wdhq¾'& we,amsáh 0724500864 fnd/,a, isxy, wdhq¾fõo Tiqi, fjdaâ maf,aia mdr uykqjr fndaj;a; T!IOd,h" fld<U ùosh l=reKE., o ksõ *duis merl=ïnd ùosh" cSjka; Tiqi, .d,a, hqkhsgâ *dud" tlai;a Tiqy, ud;r hqkhsgâ *dud" fldgqf.dv Tiqy, l¿;r hqkhsgâ *dud" lgql=rekao" uqksr;ak" ÿïßhm< mdr nKavdrfj, iriú Tiqi, lelsrdj ßá., Tiqi, r;akmqr nqoaêl *duis nia kej;=ïm< wi, mdkÿr Woh T!IOd,h" uy ùosh ;,j;=f.dv Ydks *duish l<,af.dv yxosh uyr.u kkaok Tiqi," yhsf,j,a mdr kqf.af.dv úch Tiqi, kdj, mdr kkaok Tiqy," mrK leianEj mdr lsßn;af.dv isxy, fnfy;a nvq fj<|ie, kqjr mdr" udfld, mdr vj; iq,,s; Tiqi," fffjoH .`.nv cdwe, iuka Tiqy,"iqcSj Tiqy, ó.uqj ,xld *duish" w,shußlald¾ wkqrdOmqrh t,a î fla T!IOd,h udlÜ fmfoi
fmdf<dkakrej cSjl T!IOd,h" ,xld fuäl,a lÿrefj, wïmdr iïm;a Tiqy, ys`.=rlaf.dv iïm;a Tiqy, uyshx.kh cSjdkkao Tiqy, uyjej Wcs;a iafgda¾ia y,dj; mdr nÿ,a, wókd wdhq¾fõo Tiqy, my< ùosh lsß|sje, iqks,a Tiqy, msgfldgqj" noafoa.u iagda¾ia" u,aj;a; mdr fldïm[a[ ùosh ksu,a fmf¾rd 0777955934 lvqfj, lvqfj, fuäl,aia ms<shkao, l=udrisxy Tiqi, iqm¾ udlÜ wxl 1 lE.,a, lE.,a, T!IOd,h uy ùosh" iriaj;S Tiqi, ud;f,a ridla wdhq¾fõoh fldáldj;a; ykaosh Wodr Tiqy, fydaud.u .=Kisß Tiqy, n,xf.dv Y%S fi;a isxy, fnfy;a lfâ ;dkdhu wi, rd.u ;s,l Tiqi, rdc.sßh ú,aika wdhq¾fõo Tiqy, fmd,a.yfj, fmd,a.yfj, Tiqy, lgqneoao ld¾ñl ixj¾Ok uKAv,h fj<|ie, u;=.u isxy, fnfy;a nvq lfâ nÿr,sh osuq;= *duish fydrK j,amsg Tiqy," fikag%,a *duish fldÜgdj iqfj,akd Tiqy, jdoaÿj iriaj;S Tiqy, w¿;a.u ,skafka wdhq¾fõo Tiqy, n;a;ruq,a, úmq, Tiqy, kqjrt<sh úydkd wdhq¾fõoh" HERO Tiqi, ;x.,a, YHdkq *duish je,s.u lfrda,sia mq;%fhda ÿïßhfmd< mdr .ïmy biqr *duish" Tref;dg mdr" .hdka tackaisia ñKQjkaf.dv Ydka;s Tiqi, wxf.dv isxy, fnfy;a nvq fj<|ie, fudKrd., ,laisß *duish" hibiqre uq,af,aßhdj Drug City Tiqi,
ksIAmdokh .%Ska y¾n,a m%vlaÜia fm!oa.,sl iud.u" .=rej;a; j,õj" ñáhdf.dv fg,s ( 077-5507381 *elaia( 0914944082 ,s'm' wxlh PV 70430 128
ffjoHjrhd - udisl ffjoH iÕrdj
2015 cQks l<dmh
129
0778150270
Contact Amitha on
For Advertisements:
waidyawaraya.com
AD-MIRE Creative 2015
Sri Lanka
Health Portal in
No. 1
130
ffjoHjrhd - udisl ffjoH iÕrdj