March 2015 waidyawaraya online by Doctor Magazine

ONLINE ISSUE

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21 ldKavh 2015 - ud¾;=

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2015 ud¾;= l<dmh

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Well Woman Health Check 2015 cd;Hka;r ldka;d oskh fjkqfjka Asiri Well Women úfYaI ldka;d fi!LHh meflach

mQ¾K yDo frda. iïnkaO iudf,dapkhla iu.ska

Wi iy nr uekSu oDIAÀh uekSu iïmQ¾k reêr mÍlaIKh (FBC) ESR mÍlaIKh

wfkl=;a mÍlaIK fldf,iagfrda,a mÍlaIKh (Lipid Profile) Total Protein Gamma GT mÍlaIKh wlaud mÍlaIKh SGOT/SGPT/Alkaline Phosphates

jl=.vq mÍlaIKh (Serum Creatinine) ksrdydr reêr mÍlaIKh (FBS) wdydr .ekSfuka miq reêr iSks mÍlaIKh (Post Prandial Blood Sugar)

Uric Acid mÍlaIKh ;hsfrdhsâ l%shdldß;ajh mÍlaIKh (TSH)

uefuda.%Eï mÍlaIKh isÿ lrkafka jhi wjq' 40 blaujQ ldka;djka i|ydh' mema mÍlaIKh jhi wjq' 20-60 w;r ldka;djka Wfoid ks¾foaY flf¾' .¾NdIh bj;a lsÍfï ie;alug Ndckh jQ ldka;djka Wfoid mema mÍlaIKh isÿ fkdflf¾' Optional Tng wjYH kï ffjoH m%fõKsl úoHd{fhl= u.ska mshhqre ms<sld iïnkaO m%fõKsl mÍlaIKhlao isÿ lr.; yel' ffjoHjrfhl= úiska jd¾;d iudf,dapkh isÿ flf¾' AD-MIRE Creative 2015

Urine Full Report & Occult Blood

úlsrKfõoS jd¾;dj iu.ska mmqfõ tlaia lsrK mÍlaIKh ECG mÍlaIKh iïmQ¾K ldhsl mÍlaIdjla Worfha ialEka mÍlaIKh mshhqre ms<sld iïnkaO uefuda.%Eï mÍlaIKh .eíf., ms<sld iïnkaO mema mÍlaIKh Y%jK mÍlaIKh tflda mÍlaIKh jHdhdu ECG mÍlaIKh kdßfõoSh ffjoH yuqjla

Asiri Surgical Hospital Wellness Centre wdisß fj,akia fikag¾ ffjoH mrSlaIK i|yd úuikak ÿrl:k: 011 45427818" 011 4542819" 011 452400 os.=j: 2603 *elaia: 011 4626439 wdisß Y,H frday, mSt,aiS" 21" lsßuKav, udj;" fld<T 5 www.asirihospitals.com 2015 ud¾;= l<dmh

Email: health@asiri.lk 1

Cointents

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10 .íid kS;sh ,sys,a l< hq;=o@

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106 u;ameka fkdîj;a isfrdaisia

yefokak mq¿jks

109 ñksia j. iqjm;a lrjk

16 medgadget

jákd fnfy;a fidhd uyfmdf<dj mSrk fufyhqula

fjo f,djg úÿf,dfjka

18 fldkao yd fn,a, wdY%s; fõokd msgqoelSfï myiq uxfm;a'''

112 mq;suq;a; NsIcac

22 tl È.gu tlu fnfy;a

mdúÉÑ lsÍfuka ke;s f,v we;s fjkjdo@

24 fyd,auka wj;dr Ñ;%má

keröfuka orejka udkisl f,vqka úh yelshs

28 Theme Story oka;df,am .ek Tn oek.; hq;= lreKQ

31 orejkaf.a o;a wdrlaId lsÍug fouõmshka l< hq;af;a fïjdh''''

35 lg .| .eiSu 38 o;a yd úÿreuia iqjfi;

116 t<j¿ j, we;s iqúfYAIS .=K

ldm,a gk,a frda.h

118

76 o`.ldr mdie,a <ud úhg ksis fmdaIKh

fid÷re rejlg wdhq¾fõo ridhkh

82 wdydr .kakd ljqre;a

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86 msßñfhl= ùug ySk uejQ ksfrdaId'''

90 weh osú iqrlsk ffjoH mÍlaIK

meK úi÷u

123 .=rej;a; j,õfõ .%Ska

46 ksjerosj o;a uosk wdldrh

y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula''' flaI uQ, ;r,h

48 o;a Floss lrk whqre ksjerosj bf.k.kak

50 iu,sx.sl weiqrg f,d,a ùu 54 ;ju;a f,dalfhka laIh

lr.kq neß laIh frda.h

58 uqL ms<sldj

126 fidrhsisia frda.hg

Ök lgq Ñls;aidj

ms<sld frda.Ska yg iykh f.k tk ms<sld iyk m%;sldrh

102 uq,a ld,fhau ms<sld ,laIK y÷kd .; yels fmÜ iS à ialEka

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2015 ud他;= l<dmh

Editorial

l;= igyk

Editor's

Note

uqL fi!LH oskfha iqmqj;''' zzf,dal uqL fi!LH oskhZZ ud¾;= 20 oskg fhoS ;sfí' f,dj mqrd fi!LHhg ,eos ck;dj fuu oskh flakaø lr.;a oeKQj;a ùfï jevigyka iEu jirlu mj;aj;s' óg jir lsysmhlg fmr fuu jákd oskh fmroeß lrf.k oeKQj;aùfï jevigyka wfma rfÜo mej;=Ko tajd wLKavj bosßhg f.k hdug fkdyels ùu wNd.Hiïmkak ;;a;ajhls' flfia fj;;a zzffjoHjrhdZZ i`.rdj fï m%cdj fj; hï mKsúvhla ,ndoSug we;s wjia:dj u. yßkafka ke;' fujr l,dmfhka oka; iqjfi; yd ine|S w;sYh jeo.;a lreKQ /ila Tn fj; f.k tkafka ta j.lSu fmroeß lr.ksñks' wfma f,dal ck;djf.ka ishhg 90lau cSú;fha ljr lf,l fyda uqL frda.hlska mSvd ú| ;sfí' wfma rfÜ ;;a;ajh fuhgo u|;a Tíng f.dia ;sfí' wfma rfÜ úYd, ixLHdjl orejka oka; fi!LH fkfryS olajk wvq ie<ls,a, ksid úúO uqL frda. j,g uqyqK fo;s' jeäysá ck;dj w;ro úúO uqL fi!LH m%Yak we;' osklg fojrla o;a ueoSu fyda lrk wh isákafka lSfhka lShlao@ ;ju;a ie<lsh hq;= ck ixLHdjla nq,;a úgg fm<eö isà' fï ksid ir< uqL fi!LH m%Yak yereKQ úg uqL ms<sld wdosfhkao úYd, ;¾ckhla wm rgg t,a, ù we;' fï wKQj uqL fi!LH iq/lSu iïnkaOfhka uekúka ixúê; oeKQj;a lsÍfï jevigyka ud,djl wjYH;djh wo meK ke.S ;sfí' fjfiiskau iuia; m%cdju fukau iuia; .eg¿o wdjrKh jk oeKQj;a lsÍfï jevigykla n,.ekaùu wo ld,Sk m%uqL;djhla njg m;aj ;sfí' Ndr; .=K;s,l - úOdhl l¾;D bharata.gunathilaka@gmail.com 0773149084/ 0714133285

The Pioneer Health & Medical Journal 21 ldKavh 2015 - 03 l,dmh

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

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2015 ud他;= l<dmh

Breaking Health News

ffjoHjrhd mqj;a úuiqu

Breaking

Health News Three parent Babies fouõ-msfhda hq.h wre;a .kajñka uõka fofofkl= iy mshl=g odj orejka bmoùu kS;s.; fjhs fouõmsfhda''' r;a;rka fouõmsfhd''' fï wm uõmshka wduka;%Kh lrk úosyhs' orefjl=g uõmshka ñila fouõmshka fldyskao @ fouõ lsõfjd;a uõka fofofkls' tl msfhls' ta wkQj fouõmshka hkak jeros fhÿulao úh yel' flfia fj;;a fyg oskfha Wmosk we;eï orejkag uõka fofofkl= isáfhd;a th uqidjla fkdfõ' ta fldfyduo lshd fï mqj;ska ikd: lr.kak' mqoa.,hka ;=ka fofofkl=f.a cdk uqyqka lrñka orefjl= ìys lrjk Threeperson in-vitro fertilization (IVF), l%uh ore iïm;a we;s lr.ekSfuys,d w;ayod n,k m%:u rg njg ì%;dkH m;aùug hhs' 6

fï i|yd jk wK mk;a miq.shod iïu; jQ w;r fuhg fhdod. kafka Mitochondrial donation kï l%uhls' uhsfgdfldkaä%hd frda. uhsfgdfldkaä%hd hkq ffi,hl meje;aug wjYH ridhKsl Yla;sh .nvd ù we;s ia:dkhhs' uhsfgdfldkaä%hdkq iïNjhla iys; frda. ujlf.ka orejkg me;sr hhs' uhsfgdfldkaä%hdfõ we;s cdk l=vd ixLHdjl cdk úlD; ùu Bg fya;=jhs'

uhsfgdfldkaä%hd IVF ;dlaIKfha mshjr fuysoS ldka;djka fofofkl=f.a äïn fhdod.efka' flfkla uj jk w;r wfkla ;eke;a;sh odhl äïnh ,nd fokakshhs' tla wfhl=f.a äïnfha kHIAÀh ,ndf.k wfkla äïnfha ihsfgdma,diaufha ;ekam;a flf¾' fï fojekafka o kHIAÀh bj;a lr we;suq;a tys uhsfgdfldkaä%hdkq DNA mj;S' bkamiq fï fouqyqka îch mshdf. ka ,nd.;a Y=l%dKQ

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iu. ixfiapkh flf¾' wdndê; uhsfgdfldkaä%hdj we;s äïnfhka tu uhsfgdfldkaä%hdj bj;a lsÍu fuys wruqKhs'

flfia fj;;a fuu.ska l<,h ydkshg m;a ùula jk nj;a tu.ska úYd, iodpdrd;aul ydkshla ks¾udKh njg;a fuu l%uhg úreoaO wd.ñl lKavdhï yd fjk;a ixúOdk fpdaokd lr;s' fuysoS ìysjk orejdf.a f.fkdauh i<lK l< orejdf.a f.fkdaufhka ishhg 99lau ;u fouõmshkaf.ka Wreu jk nj;a ishhg 1 la ;rï w,am ixLHdjla muKla odhl äïnfhka Wreu jk nj;a fï ksid orejdf.a ud;D-mS;D ysñlu iq/ flk nj;a Bg mlaI jQfjda mji;s' fldf,iagfrda,a wvq lrk w,s.egfmar osklg w,s.egfmar f.äh ne.ska wkqNj lsÍfuka Tnf.a YÍrfha jeä fldf,iagfrda,a uÜgu ksfrda.S uÜgulg f.k wd yels nj wefußldkq 2015 ud¾;= l<dmh

yDo ix.uh m%ldY lr isà' w,s.egfmar j, fïoh we;suq;a tajd jefgkafka hym;a fïo ldKAvhgh' fï ksid fldf,iagfrda,a wvq lsÍu yereKQ úg yoj;g ys;e;s fndfyda oE fuu.ska isÿjk ksid w,s.egfmar wkqNjh iqÿiq nj tlS m¾fhaIlhkaf.a ks¾foaYhhs' f;,a jeä ksid w,s.egfmar wkqNjh kqiqÿiq hk u;hla wfma ñksiqka w;r ;sfí' tu idjoH u;h neyer,Sug fï wefußldkq yDo ix.ufha wkdjrKh iu;a jkq we;'

oshjeähd wjodku jeä fjkjd' ydj¾â ffjoH úoHd,fha iydh uydpd¾h flrska uhsl,aia m%uqL úoaj;=ka lKavdhula isÿ lrk ,o m¾fhaIKhlg wkQj oeka fï meKsîu oskm;d fndk oersúhka ;j;a Nhdkl wk;=rlg uqyqK fokjd' ta ;uhs fõ,dikska jeäúh m;aùu' fï wdldrfhka fõ,dikska jeäúh m;aùu fya;=fjka oeßhka mshhqre ms<sld wjodkug jeä jYfhka ,la fjkjd'

yeuod meKs îu fndk oeßúhka fõ,dikska jeäúh m;aùfï wjodkula orejka meKsri îu oskm;d mdkh lsÍu oeka wfma rfg;a fouõmshkag;a úi|. kak ners fma%fy<sldjla fj,d' meKs îu ìõju orejka uy;a fjkjd" 7

Breaking Health News

fï ksid orejka yels;dla meKSîu îfuka wE;a lrk f,il;a fjfiiskau mqreoaola f,i meKsîu mdkfhka orejka wE;a lrk f,i;a m¾fhaIlhka wk;=re y`.jkjd' fca;a;=ldr msßñka wd;aud¾:ldñhs wOHhkhlska ikd: fjhs wdl¾YKSh YrSrhla we;s fca;a;=ldr msßñka ;rula w;aud¾:fhka hqla; nj;a Tjqka wka wh yd mhqre mdidkï we;slr .ekSfïoS lreKdj;a fkdjk njg;a ldka;djka w;f¾ u;hla ;sfnkjd' fï u;h ksjeros nj m¾fhaIKhlska ikd: ù ;sfnkjd' ,kavkfha nDk,a iriúfha iïudks; uydpd¾h uhsl,a m%hsia m%uqL m¾fhaIlhka lKavdhula úiska msßñka 63la fhdodf.k isÿ l< m¾fhaIKhlska fï wdl¾YKSh YrSrhla we;s msßñka wka wh yd lghq;= lsÍfïoS ;rula wd;aud¾:ldó .;s.=K fmkakqï lrk nj idlaId;a jqKd' YÍr fmKqu yd wdl,am w;r in|;djhla y÷kd.ekSfï wruqK fmroeß lr.;a m%:u wOHhkh jYfhkao fuu wOHhkh b;sydi.; fjkjd' Source: journal Evolutionary Psychology. 8

ffjoHjrhd mqj;a úuiqu

f,vla .ek hula''' Spinal Stenosis ;Ügï yd mdo j, fõokdj we;s lrjk f,fâ

Spinal Stenosis kï ;;a;ajfhaoS fldkafoa my; fldgi mgq jkafkah tys m%;sM<hla jYfhka ta ;=<ska .uka lrk iakdhq j,g n,mEï we;s jkafkah' fuysoS ;Ügï wdY%s;j iy mdo j,ska bjish fkdyels fõokdjla we;s fjhs' we;eful=g fldkafoa wudrejo we;súh yels uq;a iEu fokdgu fldkafoa wudrej we;s fkdfõ' we;sjk fõokdfõ úfYAI;ajh jkafka ljr fyda jevl ksr; jk úg fõokdjo jeä ùuhs' Tn bosßhg keù isák úg fõokdj wvq jkafkah' fï frda. ;;a;ajh iSà mÍlaIKhlska ksielfhka y÷kd.; yels w;r iakdhq u; we;sjk f;rmSu ¨yqj;a lrk äfldïfm%Ika kï Y,Hl¾uhla u.ska frda.h iqjm;a l< yel'

ffjoHjrhd - udisl ffjoH iÕrdj

2015 ud他;= l<dmh

Abortion controversy

.íid kS;sh ,sys,a l< hq;=o@

.íid kS;sh ,sys,a l< hq;=o@ mshd iy fidfydhqrd w;ska ¥IKh jQ hqj;shka fofokl=f.a w;a±lSï weiqfrka .íidj ms<sn| kej; is;kakg m%fõYhla udkisl frda. úfYaI{ ffjoH .sydka wfíj¾Ok wfma rfÜ ldka;djlg .íidjla isÿlr .ekSug kS;sfhka ysñlu we;af;a tu ore.en ksid wef.a Ôú;hg wk;=rla úh yels njg ffjoHjreka úiska ks.ukh lrkq ,en we;s wjia:djl§ muKs' tA yer fjk lsisu fya;=jlg .íidjla isÿlr .ekSug wm rfÜ ldka;djlg kS;sfhka bvla ke;' md¾,sfïka;=jg f.k wd fhdackdj kuq;a fï kS;sfhys ixfYdaOk we;s lsÍfï fhdackdjla 2012 jif¾ § tjlg <ud ixj¾Ok yd ldka;d lghq;= wud;H ;siai lr,sheoao uy;d md¾,sfïka;=jg bosßm;a lr th iNd iïu; o úh' tfia jqjo l=ula fyda fya;=jla u; bkamiq tu fhdackdj hg .sfhah' wud;Hjrhd fuys§ bÈßm;a lr ;snQ fhdackdjg wkqj jhi wjqreÿ oy wgg wvq ±ßhla ia;%S ¥Ilhka fj;ska w;jrhlg ,laj .eí .ekSu" ;ukaf.a mjqf,au idudðlfhl= ^mshd fyda ifydaorfhl=& fj;ska w;jrhlg ,laj ;reKshl .eí.ekSu" úlD;s widudkH;d iys; orejl= ^congenital abnormalities& nj ialEka mÍlaIK u.ska ;yjqre jQ orejl= ùu hk lreKq u; .íidjla isÿlsÍug kS;sfhka bv ,nd Èh hq;=h hkak ±laúKs'

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wo ojig wkqj lr,sheoao wud;Hjrhdf.a fuu fhdackdfjys we;s jeo.;alu myiqfjka wu;l l< fkdyels nj wmg jegfykafka udkisl frda. úfYaI{ ffjoHjreka jYfhka wmg yuqjk úúO ;rd;srïj," wújdyl iy <dnd, .eìks uõjreka olsk úg§h'

kS;sfhys ixfYdaOk we;s lsÍfï fhdackdjla 2012 jif¾ § tjlg <ud ixj¾Ok yd ldka;d lghq;= wud;H ;siai lr,sheoao uy;d md¾,sfïka;=jg bosßm;a lr th iNd iïu; o úh' tfia jqjo l=ula fyda fya;=jla u; bkamiq tu fhdackdj hg .sfhah'

2015 ud¾;= l<dmh

oyy;afjks úfha .eìKshf.a l;dj óg jir lsysmhlg Wv§ oyy;afjks úfha miq jQ ihuia .eìks ujla wmf.a jdÜgqjg tjd ;snqfKa m%ij yd kdßfõo úfYaI{ ffjoHjrhl= úisks' lsysm j;djlau ishÈú kid .ekSug ;e;a ord ;snQ tu ;reKsh oreKq f,i úYdo ^depression& frda.fhka fm¿Kdh' ud;f,a Èia;%slalfha b;d ÿIalr .ïudkhl Ôj;a jQ wehg isáfha foudmshka yereKq úg tlu jeäuy,a fidfydhqfrl= muKs' Tyq tjlg jhi wjqreÿ úis foll muK ;reKfhls' kuq;a wjdikdjg Tyq ukao udkisl mqoa.,fhl= úh' fudjqka Ôj;a jQfha b;d ÿIalr le,Eno .ïudkhlh' wdohï ud¾.h jQfha le,fha fyakla j.d lsÍuhs' ukao udkisl ;reKhl= jQ fï mjqf,a msßñ orejd lsisÿ wOHdmkhla ,o whl= fkdjQ w;r ;reKsh b;d ÿla uykaisfhka wOHdmk lghq;= lr idudkH fm< Wiia f,iskau iu;aj isáhdh' kuq;a weh W.;a mdif,a Wiia fm< mka;s fkdmeje;aúKs' tneúka Wiia fm, i|yd weh lsf,daóg¾ myl yhl ÿrla f.jd k.rfha mdi,lg hdugo

Abortion controversy

.íid kS;sh ,sys,a l< hq;=o@

iQÞkñka isáhdh' Wiia fm< mka;s mgka .kakd ;=re weh isáfha ksjfiah' tA fyafka wiajekak fk<k ld,hhs' wiajekak fk<kakg uj;a mshd;a fyakg .sfha wi, ksjfia yqka jeäysá hqj<o iu.sks' —oj,ag lEu Whdf.k fyakg jfrka ÿfõ˜ ksjiska msg jkakg fmr uj ÈhKshg mejeiqjdh' ksjfia isáfha fuu hqj;sh iy wef.a fidhqrd muKs' flfia fyda tÈk fidhqrd ;u ke.Ksh ¥IKh lf<ah' th jrola hehs Tyqf.a fud<hg fkdjegfykakg we;' tneúka —WU fïl ldgj;a lshkafk tfyu kE˜ hkqfjka Tyq ke.Kshg ;¾ckh lf<a;a ke;' l=ula fyda tA fudfydf;a we;sjQ wdfõ.hla u; th l< fyf;u bkamiq j.la ke;sj isáfhah' fuu ;reKsh ;ukag w;ajQ brKu ms<sn|j lsisjl=gj;a lSfõ ke;' tA ish ukaoudkisl fidhqrdg myr § ksjiska mkakd oudú hehs wef.a isf;a lïmdjla we;sjQ ksidh' flfia fyda fï isoaêh ù fouila muK .; úh' ;reKsh flfrka WoEik Tlaldrh iy jukh jeks úúO ,laIK m< jkakg mgka .;af;ah' uj ÈhKsh legqj <Õu ;snQ frday,g .shdh' uq;%d mÍlaIKhla u.ska ;yjqre jQfha weh .eíf.k we;s njhs' ;reKsh tjlg oyy;afjks úfha miq jQ ksid;a" wújdyl ksid;a weh ud;f,a uy frday,g fhduq lr ;sìKs' fï ;reKsh ;ukag w;a jQ brKu ms<sn| fldf;la lïmdjg m;aù isáfha±hs lsjfyd;a weh ;on, f,i udkisl wjmSvkhg ,laj osú kid .ekSug lsysm jrlau W;aidy ±rejdh' kuq;a jeäysáhka weh flfryS wei .idf.k isá ksidu wef.a Ôú;h fíßKs' bkamiq weh frdayf,a udkisl frda. jdÜgqfõ r|jdf.k ore .eng n,fkdmdk úYdo úfrdaë T!IO ,nd fokakg ffjoHjrekag isÿ jQfha wef.a Ôú;fha wdrlaIdj ms<sn|j i,lñks'

ksis l,a t<ô miq weh orejd m%iQ; l<dh' tA orejdf.a ysi widudkH f,i l=vd ^Microcephaly& jQ w;r w;a folo widudkH úh' tla w;l weÕs,s y;la ;sìKs' wfkla wf;a weÕs,s ;=kls' yDo lmdgj,o widudkH;d mej;sfhah' tA frda.S ì,s|d uilg;a jeä l,la frdayf,a fkdfïrE <ore tAllfha r|jdf.k m%;sldr ,nd§ug isÿjQ w;r bkamiq ì,s|df.a uj;a" wdÉÑ iy iShd;a ì,s|d /f.k ;u .ïudkhg .sfha flfia fyda ì,s|d yÞ jvd .kakg ;SrKh lrf.kh' fï jk úg ;reKshf.a fidhqrd tu .ïudkfha ñksiqkaf.a wfkal úO frdia mfrdiaj,g wekqï neKqï j,g ,lafjñka isáfha Tyq ;ukaf.au ke.Kshg lr ;snQ wmrdOh ksidh' ì,s|d /f.k .ug meñKsh;a .ïuqkaf.a Wiq¿ úiq¿ yd wekqïmo ksid ;reKshg fukau uõmshkag;a .fï /£u wmyiq úh'

ffjoHjrhd - udisl ffjoH iÕrdj

wka;sfï Tjqyq .u yer hdug ;SrKh l<y' Tjqka .fuka msg ùug fmrÞ rd;%sfha fidhqrd f., je,,df.k ish osú ydks lr .;af;ah' Th i|yka lf<a wmg ,enqKq fndfyda w;a±lSï w;ßka tl isoaêhls' wms ;j;a isoaêhla .ksuq'

fï ;reKsh ;ukag w;a jQ brKu ms<sn| fldf;la lïmdjg m;aù isáfha±hs lsjfyd;a weh ;on, f,i udkisl wjmSvkhg ,laj osú kid .ekSug lsysm jrlau W;aidy ±rejdh' kuq;a jeäysáhka weh flfryS wei .idf.k isá ksidu wef.a Ôú;h fíßKs'

2015 ud¾;= l<dmh

m;sl=,h wysñ jQ j;= oeßh j;=lr m%foaYhl oyy;r yeúßÈ hqj;shla wêlrK úfYaI{ ffjoHjrhd úiska wmf.a jdÜgqjg fhduq lr ;snqfKa weh mYapd;a jHik wd;;s wdndOfhka ^Post traumatic stress disorder& fmf<kafka±hs mÍlaId lr jd¾;djla ,nd .ekSu msKsih' fï hqj;sho lsysm jrlau ish Èú kid .ekSug W;aidy ord we;' weh wêlrK úfYaI{ ffjoHjrhd fj; fhduqlr ;snqfKa fmd,Sishhs' fï hqj;shf.a uj f;a j;=j, jev l< w;r mshd lf<a uj ÿla ú| Wmhd .kakd uqo,ska fldgila n,y;aldrfhka b,a,d f.k Wfoa isg ? fjk ;=re u;ameka mdkh lsÍuhs' fï hqj;sh ksjfia wiSñ; lror ndOl uOHfha jqjo wOHdmk lghq;= olaI f,i lrf.k .shdh' weh tA jk úg W.;af;a wgfjks fY%aKsfhah' uj j;af;a jevg .sh tla Èkhl fyd|gu u;a ù ksjig meñKs mshd ÈhKsh we|g ;nd ,Kqj,ska ;o fldg ne| weh ¥IKh lf<ah' —f;da fïl .ek wïudg lsjfjd;a ±k .kska ux urkafk f;daj fkfï f;df. wïujhs'˜ msshd ish ÈhKsh ¥IKh lr wjidkfha tf,i ;¾ckho lr ;sìKs' udihla yudrla .; úh' fï hqj;shg ;on, há nfâ lelal=ula iy uq;%d msg lsÍfï wmyiqjla we;súh' tA yereKq fldg Woh ld,fha mj;sk jukh jeks ,laIKo wehg ;sìKs' ffjoHjrhdg fuu ±ßhf.a frda. ,laIK ms<sn| lsishï ielhla we;sù Tyq weh ;ksj f.k m%Yak lrkakg úh' wjidkfha weh ish¨ úia;r ffjoHjrhdg fy<s lr isáhdh' tA fudfydf;au uj le|jd isÿù we;s foh ffjoHjrhd úiska ujg fy<s lrkq ,eìKs' uj bka fld;rï lïmdjg m;ajQfhao h;a weh ÈhKsh;a /f.k fl<skau .sfha ksjig fkdj fmd,Sishgh' wehj mÍlaId lr jd¾;djla 13

Abortion controversy

.íid kS;sh ,sys,a l< hq;=o@

,nd fok f,i fmd,Sish wêlrK úfYaI{ ffjoHjrhdg ksfhda. lrkafka bka miqjh' fï hqj;sho ish mshd ksid .eíf.k ;sìKs' weh fï isoaêfhka fudk ;rï lïmkhlg m;aj isáfhao h;a wehg ksÞ.;a úg isysfkka muKla fkdj wjÈj isáh§;a ish mshd l< wmrdOh ueú ueù fmfkkakg úh' tA w;ru Tyq ish uEKshkaj urd ouk wkaouo wef.a ukfia ks;r ks;r wef|ñka ;sìKs' ñka weh uy;a ìhg m;ajQjdh' tA wkqj jfrl weh ysá yeáfhau lE .ikakg jQ w;r ;j;a úfgl wkaoukao jQ whqfrka ìhm;a uqyqKska n,d.;a w; n,d isákakg jQjdh' wehg rd;%shg kskao .sfha ke;' hdka;ug kskao hd f.k tk úg;a fmkqfKa tu isyskhuh' lEu reÑh ke;a;gu ke;s ù ;sìKs' lsishï fÄockl fyda ìysiqKq wjia:djlg uqyqK fokakg isÿjQ wfhl=g fuf,i ks;r ks;ru kskafoka fukau wjÈj isáh§;a ;ukag isÿjQ foh tA fudfydf;a o isÿjk wkaoñka ±kSu" th oEia bÈßmsg ueù fmkSu jeks oE isÿúh yelsh' tA wkqj ;uka tu isoaêh ;=< kej; kej;;a Ôj;ajk wdldrhla ^reliving& ±fkkq we;' fuh by; lS mYapd;a jHik wd;;s wdndOh kï udkisl frda.fhys ,laIKhls' fujeks ;j;a fndfyda w;a±lSï udkisl frda. úfYaI{ ffjoHjreka f,i wm i;=j we;;a fï isÿùï fol ms<sn|j muKla i<ld ne¨fjd;a fuys§ fuu hqj;shka fofokd fjkqfjka .; yels idOdrK mshjr l=ula úh yelso@ m<uq isoaêfha hqj;sh ;u ukao udkisl fidhqrd w;ska ¥IKhg ,laù frda.S wdndê; orefjl= ìys l<dh' jhi wjqreÿ Þyf;a § ujl jkakg isÿùfï fÄockl ;;a;ajhg wu;rj wvq ;rñka wef.a orejd" orejka ke;s udmsh hqj<lg orelug yÞ .ekSu i|yd mjrd fokakgj;a wehg yelshdjla fkd;sìKs' tA tjeks frda.S wdndê; orejl= Ndr .kakd flfkl= ke;s ksidh' fojk isoaêfha hqj;sh .eí .;af;a ish mshd w;sks'

jhi wjqreÿ wy wgg wvq ;reKshlg újdy ùfï wjirhla wm rfÜ kS;shg wkqj fkdue;s jqj;a tjeks ;reKshla ish fmïj;d iu. leue;af;kau ldhslj tlaù .eí .;af;d;a th fjku lreKls' kuq;a by; lS wdldrfha wmrdOhlg hï .eyekq orejl=g ,lajkakg isÿ jqjfyd;a wehg isÿjk wjukaj,g wu;rj weh ìys lrk orejdg je<¢h yels ixcdkkSh wdndO fldf;l=;a fjhs' fun÷ w;sYhska idOdrK jQ fya;+ka u; tjeks isoaëkaj,g uqyqK ÿka ldka;djka Wfoid fyda .íid kS;sh ,sys,a l< hq;=o keoao hkak Tn úiska h<s h<s;a is;d ne,sh hq;= hehs is;ñ'

ffjoHjrhd - udisl ffjoH iÕrdj

World-Class Healthcare

Accident & Emergency Service A fully equiped Accident & Emergency service with an experienced team ready to serve any medical emergency

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Ambulance Service Fast response to emergency calls by deploying our purpose-built ambulances with state-of-the-art remote access patient monitoring systems to stabilise critical patients and provide advise from the hospital to the medical staff in the ambulance. (0) 11 2 564 566

Radiology Our radiology and imaging diagnostic facilities with an emphasis placed on accuracy and efficiency offers the most sophisticated imaging techniques. MRI, CT, Ultrasound scanning, X-Ray and state-of-the-art mammography procedures could be obtained.

Pharmacy Friendly and qualified staff to dispense your medication promptly and accurately whilst ensuring quality standards .

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Laboratory Service Accurate & Reliable laboratory investigation results are generated using barcode technology for precise identification. Home visits available.

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Doctor Consultation Our team of General Practitioners at your service for initial screening and relavent guidence (0) 11 575 576

(0) 11 3 46 346/356 * Terms and Conditions Apply

2015 ud他;= l<dmh

medgadget

fjo f,djg úÿf,dfjka

med GadgetS l=vd meflachl iafg;iafldamhla WIaK udkhlhla we;=,;a lr we;s CliniCloud Mobile Medical Kit weußldfõ le,sf*da¾kshd m%dka;fha ieka *%ekaisiafldaj, iy ´iafÜ%,shdfõ ue,afnda¾ka k.rfha ld¾hd, msysgd we;s wNskj iud.ula jk CliniCloud. iaud¾Ü f*daka iu. Ndú;d l< yels ffjoH k<djWKlgqj hk Wla; ixl,kh miq.sh Èk fy<soelajqfhah. fuys ffjoH k<dj we;af;kau iaud¾Ü cx.u ÿrl:khg USB flan,hla u.ska iïnkao lrkq ,nk me;,s ldphls. th isref¾ ;eìh hq;af;a fld;eko hk u. fmkaùuo fuu uDÿldx.h ,nd fohs.

túg ,nk iamkaO ix{d ÿrl:kfha u;lfha r|jd .kq ,nk w;r miqj th úfYaI{ úYaf,aIKh i|yd ffjoHjrfhl=g CIKslj heúh yel. WIaK udkh /yeka rys; jk w;r th íÆgQ;a u.ska ÿrl:kh yd iïnkaO flf¾ fuu WKlgqfõ we;s úfYaI;ajh kï th isrefrys ;eîu wjYH fkdùuhs. WIaK;ajh ±k .ekSu msKsi fuh isrerg iómhg f.k tau muKla m%udKj;a fjhs.

www.youtube.com/ watch?v=J8DfPZt9ESI

ffjoHjrhd - udisl ffjoH iÕrdj

whs-mEâ i|yd iBrailler fn%hs,s lS mEâ uQÿldx.h Smart Braille Keyboard geí,Ü j¾.fha mß>Klj, fn%hs,s l%uhg ghsma lsÍu myiq lrk ksoyia wema uDÿldx.hla weußldfõ iagEkaf*daâ iy ksõ fulaisflda m%dka; úYaj úoHd,fha l=vd bxðfkare lKavdhula fidhd f.k we;. idïm%odhsl fn%hs,s h;=re,shkj, oEi fkdfmfkk whg Ndú;d l< yels mßÈ tla tla weÕs,a,g fjka lrk ,o fnd;a;ï ;sfí. tkuq;a kùk udÈ,sfha geí,Ü mß>Klj, we;s iquqÿ me;,s ;srfha we;s weÕs,sj,g ixfõÈ fkdjk fnd;a;ï hkq oDYHdndO we;a;jqkag m%fhdackj;a fkdjk ;dCIKhls. ±ka fuu .eg¿jg úi÷ula ,eî we;. we.ss,s ;sfnk ;ekaj,g wod, fnd;a;ï iajxl%Shj ia:dk.; lsÍu Wla; lKavdhu úiska ks¾udKh lr we;s iBrailler kï jk fuu uDÿldx.fha úfYaI;ajhhs.

2015 ud¾;= l<dmh

m<uqfjka iBrailler Ndú;d lrkakka ghsma lsÍug fmr ;u we.s,s ish,a, mß>Kl ;srfha ;nd tu we.s,s ;sfnk ia:dk uDÿldx. fha u;lfha OdrKh jkakg ie,eiaúh hq;=hs. we.s,s ;nk ia:dk fjkia lsÍug wjYH kï Ndú;d lrkakd l< hq;af;a ish we.s,s ish,a, ;srfhka bj;a lr kej;;a tys m;s; lsÍuhs. ;srfha we.s,a,la ;nd lerleùu u.ska .+.a,a fjí msgqj újD;

lsÍu. ;srfha we;s fiú,s m%;sM, lgy~la u.ska ±kaùu jeks úfYaIdx.o fuhg we;=,;ah. f,dj úúO fn%hs,s m%ñ;Ska iy úúO NdIdj, fn%hs,s fydaä fukau úoHd;aul yd .Ks;uh f*daueg .Kkjdla we;s fyhska thska fndfydauhlg wkql+, jk mßÈ iBrailler ksujd ;sîu úfYaI;ajhls. ±kg wem,a whs-mEâ i|yd iTunes yryd iBrailler fkdñf,a vjqkaf,daâ lr .; yelshs.

www.ibrailler.com wka;¾cd,h weiqfrks mrsj¾;khH.M.M i,Sï ixialrKhm%Yxi Èidkdhl

Chronic Pain Management

fldkao yd fn,a, wdY%s; fõokd msgqoelSfï myiq uxfm;a'''

fldkao yd fn,a, wdY%s; fõokd msgqoelSfï myiq uxfm;a''' ldhsl frda. yd ksoka.; fõokd úfYaI{ ffjoH frdays; chuy fld÷weg fm< wdY%s; fõokdjka nyq,j wm w;aolsk ;;a;ajhls' fuys§ fld÷weg fm< wdY%s; fõokdjka i|yd fõokdjg muKlau fkdj thg uq,ajk frda.hgo m%;sldr l< hq;= fõ' 18

ffjoHjrhd - udisl ffjoH iÕrdj

tfia fkdue;sj tu fõokdj msgq±lsh fkdyel' ^WÞ( Tiaáfhdafmdfrdaisia Osteoporosis frda. ;;a;ajh& we;eï úg fujeks fõokdjka ms<sld jeks oreKq frda. ;;ajhka jqjo úh yels ksid tjeks foa .ek wjfndaOhla we;s ffjoHjrhl=f. ka Wmfoia ,nd.ekSu fhda.H fjhs' kuq;a wo fndfyda fofkl= fï iïnkaOfhka ngysr ffjoH m%;sldr ke;ehs hk jerÈ u;fha isg úl,am iy .=ma; m%;sldr flfryS fhduq jkq fmfkhs' we;eï úg th udrdka;sl ùug o mq¿jk' nyq;rhla oreKq .Kfha frda. fkdfõ''' flfia kuq;a ishhg wkQjlg jeäuk;a jQ fld÷ weg fm< wdY%s; frda. oreKq .Kfha frda. fkdjk w;r fld÷weg fm< wdY%s; we;s uDÿ mgl udxYfmaYs" ikaê" wiaÓ iy tA w;r we;s ;eá ^DISC& j, we§ï" ì£ï" ÈÍï iy udxY fmaYs ;oùï ksid yg.kq ,nkakls'

2015 ud¾;= l<dmh

fndfyda úg fuhska tla mglhlg ydks meñfKk úg tA wjg we;s wfkl=;a mglhkaf. ka o fõokdj yg .kS' WÞyrKhla f,i fld÷ weg w;r we;s ;eáhlg ^DISC& ydks isÿjQ úg tu ;eáfhkao" ta wjg we;s ikaê ^Joints& j,skao" fld÷ weg fm< wdjrKh lrk udxYfmaYs ;oùfukao fõokdjka ckkh jkq we;'

Y,Hl¾u fyda fjk;a ueÈy;aùï wdÈh wjYH jkafka YÍrfha hï fldgil ysß jeàula" mK ke;sùula fyda tA yd iïnkaOj we;sjk u,my fyda uq;%dlsÍfï wmyiqjla we;s jQ úgl muKs' tfia fkdue;sj fõokdj muKla we;s úgl úYd, jYfhka uqo,a jehlr tfia flfrk Y,Hl¾uj,ska 40]la olajd wid¾:l Y,Hl¾u njg m;afõ' iháld iuyr wjia:dj,§ fuu ;eá fld÷ weg fm< ;=< .uka .kakd iakdhq u; we;slrk f;rmqu ksid fld÷ weg fm< isg ndyq ^LIMBS& olajd úÿ,shla fuka we§hk fõokdjla we;sfõ' fldkafoa isg mdo olajd wefok fujka fõokdjla Tn fyd¢ka wid we;s iháld ^SCIATICA& kï ;;a;ajhhs' Y,Hl¾u iq,n fkdfõ fujeks fõokdjkaf.ka 90] muKu udihla jeks ld,hla ;=< ksis l<ukdlrKhlska iqjm;a lr.; yelsh' fï i|yd fõokd kdYl T!IO" fN!; Ñls;ail l%u iy ksjerÈ YÍr bßhõ bjy,a fõ' Y,Hl¾u fyda fjk;a ueÈy;aùï wdÈh wjYH jkafka YÍrfha hï fldgil ysß jeàula" mK ke;sùula fyda tA yd iïnkaOj we;sjk u,my fyda uq;%dlsÍfï wmyiqjla we;s 19

Chronic Pain Management

fldkao yd fn,a, wdY%s; fõokd msgqoelSfï myiq uxfm;a'''

jQ úgl muKs' tfia fkdue;sj fõokdj muKla we;s úgl úYd, jYfhka uqo,a jehlr tfia flfrk Y,Hl¾uj,ska 40]la olajd wid¾:l Y,Hl¾u ^Failed Spinal Surgeries& njg m;afõ' fuh f,dalfha ÈhqKq rgj,g mjd fmdÿ ;;a;ajhls' frda.Ska mqkre;a:dmkh lrk wdldrh flfia fj;;a ksis m%;sldr fkd,nd ksoka.; ùug ^udi 3la muK& bvyeÍfuka fld÷ wegfm< wdY%s;j ^fn,af,a iy fldkafoa& we;sjk fõokdjka ksÜgdjgu iqjlsÍu b;d wmyiq ld¾hhls' oreKq >Kfha fkdjk yd Y,Hl¾uhla m%;HlaIju wjYH fkdjk fujka frda.Ska mqkre;a:dmkh lrk wdldrh ±ka i,ld n,uq' fuf;la fuu ,sms fmf<ys úia;r l< wdldrhg Y,Hl¾uhka ks¾foaY fkdflf¾ kï" wfkl=;a ksoka.; fõokdjka fuka" fõokdj md,kh lsÍu ^ksÜgdjgu iqj lsÍug wmyiq nj jgyd.; hq;=h& i|yd T!IO" jHdhdu fN!; Ñls;ail l%u" wfkl=;a ueÈy;aùu Interventional Pain Procedure (IPP) hk l%ufõohkaf.ka tlla fyda lSmhla tlúg Ndú;d l< yelsh' Interventional Pain Procedure fuhska fld÷ weg fm< wdY%s; we;s uDÿ mgl$udxYfmaYs" ikaê" wiaÓ iy tA w;r we;s ;eá ^DISC& hk ish,a, i|yd Interventional Pain Procedure (IPP) l%u lsysmhla tljr isÿlsÍug isÿjk wjia:d o mj;S' WÞyrK jYfhka 1' udxYfmaYs i|yd Trigger Point Injection lsÍu 2' fld÷ weg fm< wdY%s; ikaê i|yd T!IO j¾. kslafIamKh lsÍu fyda ikaê fj; fõokd /f.k hk iakdhq ysßjeàu

3' wiaÓ i|yd wiaÓ nÞu ^tkak;a lsÍu iy tA w;r we;s ;eá ^DISC& i|yd ysßjeàfuka muKla tu ;eá bj;a lsÍu ^Dekompressor Discectomy& 4' iakdhq f;rmS we;súg tA fj; hï T!IO kslafIamK ,nd§u ^Transforaminal Injections& wd§ fndfyda l%u fjka jYfhka fukau tAldnoaOj o isÿl< yelsh' flfia fj;;a fuu m%;sl¾u wúpdrj;aj fkdfldg ^Blind Procedures& Live X Ray ^Fluroscopy& fyda w,ag%d ijqkaâ ^Ultrasound& ksÍlaIKh hgf;a isÿlsÍfuka muKla id¾:l m%;sM< ,nd .; yels fõ’' fuu l%fudamdhka fõokd frda. ms<sn| W.;a iy m<mqreÿ ffjoHjrhl=f.a u.fmkaùfuka isÿfõ kï fldkao iy fn,a, wdY%s; ksoka.; fõokd frda.j,ska ;j;a ÿlaú£ug wjYH jkafka ke;'

ffjoHjrhd - udisl ffjoH iÕrdj

Care... /ljrKh

Tn iqrlsk ffjoH mÍlaIK oeka je,a,j;af;a frdah,a fydiamsÜ,a fj;ska''' Well Woman Health Screening

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

Rs. 7,500/-

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

frdah,a fydiamsÜ,a bgq lrk fiajd iuyrla  24 meh l%shd;aul (OPD)  24 meh l%shd;aul Tiqi,  24 meh l%shd;aul ridhkd.drh  úfYaI{ ffjoHjreka yuqj (Channel Consultation)  B pek,ska fiajh (E Channeling)  kùk Y,Hd.drh  iQ;sld myiqlï  frda.S fkajdisl myiqlï  ICU ^oeä Wmia:dk fiajd&  tkafvdiafldms  ialEka mÍlaIK (USS)  CTG  fi!LH mÍlaIK (Medical Health Check up)  .s,ka r: fiajd  oka; iy uqL Y,Hl¾u  äcsg,a tlaia f¾ ;j;a fndfyda myiqlï''' 2015 ud¾;= l<dmh

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

Insight

tl È.gu tlu fnfy;a mdúÉÑ lsÍfuka ke;s f,v we;s fjkjdo@

tl È.gu tlu fnfy;a mdúÉÑ lsÍfuka ke;s f,v we;s fjkjdo@ yDo frda. úfYaI{ ffjoH kdu,a úchisxy Èkla yÈisfha yuqjQ uf.a merKs ys;jf;l= ug fufia mejiqjd' —uf.a kekaoïud <Õ§ ke;s jqKdfka˜ —yÈisfhuo@˜ —yÈisfhu;a fkfï''' thdg Èhjeähdj ;snqKd' wjqreÿ úis .dKla tAlg fí;a wrka ;shkjd' wka;sfï jl=.vq krla fj,d uereKd' tl È.g Èhjeähdjg fí;a .;a;u jl=.vq krla fjkj¨ fkao@˜ ñ;%hd uf.ka weyqjd' —thd tl È.g oshjeähdjg fí;a .;a;= ksid ;uhs thdg tA f,fâ;a tlal wjqreÿ úis .dKla Ôj;a fjkak mq¿jka jqfKa' neß fj,dj;a thd ál ojila fí;a wrka k;r l<d kï Èhjeähdj yeÈ,d wjqreÿ oyhla hkak;a l,ska thdg jl=.vq wudre tkak ;snqK˜ ud lSúg ñ;=rd ksy~ jqKd' fï j¾;udkfha iuyreka ;=< ;sfnk jerÈ u;hla' wms ±ka fï .ek úuid n,uq' 22

Ôú; ld,h mqrdu we;eï frda. i|yd T!IO .; hq;af;a tu frda. ksid miqjg we;s úúOdldr ixl+,;d u.yrjd .ekSu i|ydhs' fï ixl+,;d Ôú; ld,h mqrdu Tn T;am,j ;nkakg" tla;eka lrkakg ke;fyd;a yÈis urKhla w;a lr §ug ;rï m%n, tAjd úh yelshs'

ffjoHjrhd - udisl ffjoH iÕrdj

kd kd f,v kd kd m%;sldr wmg je<f|k we;eï frda.j,g T!IO wjYH jkafka kE' ál l,la we| úfõlh ^Bed rest& .ekSu jeks m%;sl¾u u.ska tAjd iqj fjkjd' ;j;a iuyr frda.j,g m%;sldr .ekSfuka ksÜgdjg iqj l< yelshs' fï w;r ;j;a frda. i|yd Ôú; ld,h mqrdu T!IO m%;sldr .; hq;=hs' óg WÞyrK f,i Èhjeähdj" wêl reêr mSvkh" reêrfha fldf,iagfrda,a idkaøKh jeäùu wdÈh olajkakg mq¿jka' fufia Ôú; ld,h mqrdu fuu frda. i|yd T!IO .; hq;af;a tu frda. ksid miqjg we;s úúOdldr ixl+,;d u.yrjd .ekSu i|ydhs' fï ixl+,;d Ôú; ld,h mqrdu Tn T;am,j ;nkakg" tla;eka lrkakg ke;fyd;a yÈis urKhla w;a lr §ug ;rï m%n, tAjd úh yelshs' frda.h È.ska È.gu m%;sldr .ksñka ukdj md,kh l< hq;= jkafka tA ksidhs'

2015 ud¾;= l<dmh

frda. iajNdjh wkQj kshu flfrk fnfy;a fï frda.j,§ iuyr frda.Skag jßka jr T!IO udre lr fok w;r ;j;a iuyr frda.Skag tlu T!IOh §¾> ld,hla ,nd .kakd f,i ffjoHjreka úiska kshu lrkq ,nkjd' fï wdldrhg ffjoHjreka úiska ;SrKh lrkafka tA tA frda.shdf.a frda. iajNdjhg wkqjhs' tneúka frda.Ska fï ms<sn| l=l=ila we;s lr .; hq;= kE' tlu T!IOh È.= l,la .kak ìhhs o@ kuq;a tlu T!IOh §¾> ld,hla .ekSug iuyr frda.Ska ìh fjkjd' tA tlu T!IOh È.= l,la .kakd úg jl=.vq ÿ¾j, ùu" wlaudfõ frda. we;s úh yels njg ;sfnk jerÈ úYajdih ksihs' iqÿiqlï ,;a ffjoHjrhl=f.a ksis wëlaIKh hgf;a fuu T!IO ,nd .;af;a kï lsisfia;au fujeks ;;a;ajhla we;s jkafka kE' fukak tys ienEj''' idudkHfhka tlu T!IOh È.ska È.gu ,nd fokafka tu T!IOh tA frda.shdf.a YÍrh ;=< fyd¢ka l%shdldÍ jk nj ffjoHjrhdg jegyqKq úghs' fyd¢ka l%shdldÍ ùu hkq tu T!IOh ksid f,i ,nd .ekSfuka frda. ;;a;ajh ukdj md,kh ùu iy frda.shdg lsisÿ w;=re wdndOhla tu.ska isÿ fkdùuhs' fï ksid tlu T!IOh È.gu .ekSug ffjoHjrhd kshu lrkafka kï Bg lsisfia;a frda.shd ìh úh hq;= kE' kuq;a fufia ìh jk frda.Ska we;eï úg T!IO mdúÉÑ lsÍu k;r lr ±óu fyda fjk;a ffjoHjreka lrd hk wkaou wmg wikakg ,efnkjd' kuq;a fuh lsisfia;a ys;lr ;;a;ajhla fkdfjhs' Èhjeähdj we;=¿ fun÷ Ôú; ld,h mqrd m%;sldr .ksñka md,kh l< hq;= frda.j,g ksis m%;sldr .ksñka" wdydr md,kh lrñka" Yßrfha nr o wvqlr f.k Ôj;a úh yels kï jl=.vq krla ùu wd§ fkdfhl=;a ixl+,;dj,ska fíÍ È.= l,la Ôj;a ùu wiSre jkafka kE'

Child Mind

fyd,auka wj;dr Ñ;%má keröfuka orejka udkisl f,vqka úh yelshs

fyd,auka wj;dr Ñ;%má keröfuka orejka udkisl f,vqka úh yelshs wjqreÿ fÞ<yg wvq orejkag tjeks Ñ;%mg n,kakg bv fkd§ j<lajd,sh hq;= fya;= fukak udkisl frda. úfYaI{ ffjoH .sydka wfíj¾Ok fyd,auka wj;dr ms<sn| l;d mqj;a /.;a ìhlre Ñ;%mg ^Horror Films& keröu f,dl= l=vd fndfyda fofkl= uy;a wdidjla olajk úfkdaÞxYhls' úfYaIfhka fhdjqka úfha miqjk fndfyda fokd l=;=y,h okjk fun÷ fyd,auka Ñ;%mg keröug uy;a Wkkaÿjla olajk nj fmkS hhs' tA tu jhfia§ l=;=y,h okjk iq¿ foa yUd hdug Tjqka ;=< mj;sk fm<Uùu ksid úh yelsh' kuq;a ffjoHjreka kï fmkajd fokafka l=vd l, fyd,auka wj;dr l;d /.;a ìhlre Ñ;%mg krUk orejkaf.ka 25]la jeäysáhka jQ miqj;a tys §¾>ld,Sk n,mEï j,ska mSvd ú¢k njhs' fï Bg tla ksoiqkls'

iqrx.f. iqkaor fkdjQ l;dj iqrx. fÞf<dia yeúßÈ mdi,a isiqfjls' uE;l isg iqrx. rd;%sfha ySfkka nhù lE.id wjÈ fjhs' Èk fol ;=kla msg msgu jdf.a fufia isÿjQ w;r bkamiq Tyq w÷r jefgk úg ;u ldurhg hdu mjd m%;slafIam lrkakg úh' tmuKla fkdj w÷r jefgk úg Tyq isáfha uj miqmiuh' iqrx. bkamiq ksÞ .;af;ao uj iu.h' tfy;a uj iu. ksÞ.;a úg§;a Tyq isysfkka ìh ù lE.eiSu k;r jQfha ke;' ySfkka ú;a nh lrjk iShd fuys§ Tyq lshd isáfha Bg i;s follg by;§ ñh.sh ;ukaf.a iShd ySfkka ú;a ;udj nj lrk njhs' ;j;a Èk lsysmhla .;jk úg iqrx. w÷r jeàf.k tk úg fjõ,kakg mgka .;a w;r tA fufydf;a yDo iamkaokh o fõ.j;a úh'

ffjoHjrhd - udisl ffjoH iÕrdj

Tyq ujg lSfõ iShd jf<ka ke.sg meñfKkq ;udg fmfkk nj;a" iShd iqÿ we÷ñka ieriS isák nj;a ;udj urkakg tk nj;ah' ;udj uq,skau urd oud bkamiq f.or tlsfkldjo urd ouk njg iShd isysfkka meñK ;udg mjik nj iqrx. ujg lshd isáfha y~ñks' ffjoH m%;sldr j,g fhduq flfrhs bka foi;shlg fmr ñh.sh iqrx.f.a iShd j< oud ;snqfKa Tjqkaf.au j;a; fl<jf¾h' iqrx. we;eï iekaoE hduhkayS tA j< foi n,d isák úg iShd jf<a mia w;ßka ke.sg ;ud foig tk whqre Tyqg o¾Ykh úh' tA fj,djg Tyq lrkafka lE .idf.k uj fj; osùuh' iqrx.f.a ish¨ ,laIK wkqj m<jqfKa Tyq udkisl frda.hlska fmf<k whl= úh yels njhs' bkamiq ffjoH m%;sldr .ekSug frday,g .sh wjia:dfõ iqrx.j <ud jdÜgqfõ k;r

2015 ud¾;= l<dmh

lrkakg isÿjQ w;r t;ekska udkisl frda. jdÜgqjg udre lr ;sìKs'

wjqreÿ oyhg wvq" úfYaIfhka wjqreÿ my" yh jeks jhiaj, miqjk orejkaf.a <ud ukig ±fkkafka ;uka n,k yeufohlau ienEjla f,isks' th udhdjla nj l=vd orejka fkdokakd ksid Tjqyq th ish Ôú;hg wdfoaY lr .ks;s'

Child Mind

fyd,auka wj;dr Ñ;%má keröfuka orejka udkisl f,vqka úh yelshs

fy<sorõ jQ w;S; l;dj iqrx.g úúO Yío weiSu" rEm fmkSu jeks N%dka;s ,laIK my< jQ w;r Tyqf.a wfkl=;a ,laIKo wkqj n,k úg Tyqg nrm;< udkisl frda.hla we;s nj neÆ ne,aug wjfndaO lr.; yels úh' kuq;a iqrx. iu. È.ska È.gu l;d lsÍfï§ fy<s lr.; yels jQfha Bg yd;amiskau fjkia fohls' iqrx.g Bg jir ;=klg muK fmr" tkï jhi wjqreÿ kjfha§ muK wyUq f,i wj;dr l;d iys; Ñ;%mghla ±l .ekSug wjia:dj ,eìK' tys l;d mqj;g wkqj ksjil frda.S ù ys¢k uy¨ mqoa.,hl= tla yekaoE hduhl ñh hhs' Tyq ñhf.dia i;shlg muK miq ñysoka l< jf<ka ke.sg ;ud l,ska Ôj;a jQ ksjig meñfKhs' túg Tyq isákafka l,ska isá idudkH we÷ñka fkdj iqÿ we÷ñka ieriSf.kh' tfiau ukqIH fõYhlao fkd;sìKs' tfia meñfKk Tyq f.or flfkl=f.a fn,af,ka w,a,df.k —WU, ug fnfy;a lf<a kE' ug ie<l=fj kE''' udj uefrkak weßhd' ux WU, Tlafldf.kau m,s.kakjd˜ lshñka ojiska ojiu f.or tla tlaflkdj /f.k hñka urd ;ud isák jf<au ;ekam;a lrhs' tfia f., ñßld urK wkaou mjd tu Ñ;%mgfha os. yefrhs' Ñ;%mgfha ;%dih ysf;a uq,a nei .kS fï Ñ;%mgh iqrx.f.a is;g Tyqg;a fkd±kSu ;Èkau ldje§ ;sìKs' uq,a Èkj,§ Tyqg álla nh ±kqK;a miqj th hgm;a ù .sh w;r h<s th biau;= jQfha Tyqf.a iShd ñh hdfuka miqjh' iqrx.f.a iShd ld,hla wxYNd. frda. fhka tla;eka ù isá w;r tA ld,h ;=< Tyqg id;a;= imamdhï lf<a iqrx.f.a ujh' iShdg;a iq¿ foag mjd ;ry hhs' túg Tyq lE.eiqfõ iqrx.f.a ujgh' kuq;a uj iShdg fkdi,ld isáfha ke;'

tfia jqjo iShd ñh.sh miq iqrx.f.a ;u há isf;a ieÕù ;snQ wj;dr Ñ;%mgh h<s;a ukfia biau;= úh' ;ukaf.a iShdg uj fldhs;rï ie<l=j;a Tyq wef|a je;sr ys¢ñka ks;ru iq¿ foag mjd flaka;sfhka lE.eiQ ieá iqrx.f.a u;lhg ke.sKs' iShd;a jf<ka ke.sg ú;a ;udj;a uõmshkaj;a urd oudú hehs wksh; ìhla iqrx.f.a is;g ±ksKs' bkamiq Tyqg th isysfkkao fmfkkakg mgka .;af;ah' tA fj,djg iqrx. lE.id wjos úh' iShd ñysoka lr ;snqfKa ;ukaf.au j;af;a fl<jf¾ ksid tA me;a; n,k úg iqrx.g iShd jf<ka ke.sg tk wdldrhlaa fmksKs' Tyq bkamiq ks;ru isáfha ±ä ìhlsks' fujka Ñ;%mg orejkaf.a is;aj, we;s lrk n,mEu m%n,hs by; lS wdldrfhaa Ñ;%mghla ^Horror Film& krUk jeäysáhl= th ienEjla fkdjk ffjoHjrhd - udisl ffjoH iÕrdj

nj;aa" udhdjla nj;a okakd ksid tjeks foaj,a keröfuka tA fudfyd;g isf;a .eiaula we;s jqj;a miqj th wu;l lr oukq we;' kuq;a l=vd orejkag tfia fkdfõ' wjqreÿ oyhg wvq" úfYaIfhka wjqreÿ my" yh jeks jhiaj, miqjk orejkaf.a <ud ukig ±fkkafka ;uka n,k yeufohlau ienEjla f,isks' th udhdjla nj l=vd orejka fkdokakd ksid Tjqyq th ish Ôú;hg wdfoaY lr .ks;s' isysk f,dalh iy h:d¾:h isysk f,dalh iy h:d¾:h w;r iSudj l=vd orejkag fjka lr .ekSfï yelshdjla ke;' tA iSudj tu jhiaj,§ fnd|ù mj;shs' tksid fï orejdo ;u iShdf.a urKfhka miqj Tyq Bg jir fol ;=klg fmr ÿgq wj;dr Ñ;%mgh ms<sn| u;lh wdfoaY lr f.k ;sìKs' l=vd orejka isákafka ks;ru iqrx.kd f,dalj,h' foaj;djka iqrx.kdjka hl=ka uka;rldßhka fï ish,a, Tjqkg ienE foaj,ah' tksid tA jhfia§ olsk Ñ;%mg orejd ienEjla f,iu is;kq úkd tAjd leurd bosßfha lrk ,o ujdmEï nj wjfndaO lr.kakg Tjqkaf.a uki <má jeäh' wj;dr Ñ;%mg ksid l=vd orejkag we;sjk laIKsl n,mEï wj;dr Ñ;%mg ksid l=vd orejkag we;sjk n,mEu fowdldrfõ' tA laIKsl n,mEï iy l,a mj;sk n,mEï jYfhks' laIKsl n,mEï j,§ ìhù lE.eiSu" w;amd fjõ,Su" oyäh je.sÍu" yDo iamkaokh fõ.j;a ùu" kskao hdu wvqùu" kskafoka nh ùu" Ñ;%mgfha ÿgq foaj,a iy ia:dkj,g iudk foaj,a fukau ia:dko u.yeÍu" ks;r yeéu" úfYaIfhka w÷r jefgk úg uj fyda jeäysáhl= wi,skau isàu wdÈh ±laùug mq¿jk' wj;dr Ñ;%mg ksid l=vd orejkag we;sjk os.=ld,Sk n,mEï È.=ld,Sk n,mEï w;r ldxid ,laIK ^Anxiety symptoms& tkï fkdikaiqka nj" wdfõ.YS,S 2015 ud¾;= l<dmh

nj" m%pKavldÍ .;s" l,n, lsÍu wdÈh iy kskao wvqùu" tu isoaêh ks;r wfkla wh iu. mejiSug fm<öu" ^fuhska n,dfmdfrd;a;= jkafka ;ukaf.a isf;a mj;ssk ìh wvqlr .ekSu jqj;a thska ìh wvq fkdfõ'& ìhlre isysk fmkSu" kskafoka ;s.eiaiS weyeÍu jeks oE ±laúh yelsh' idudkHfhka l=vd ld,fha§ wj;dr l;d iys; ìhlre Ñ;%mg olsk orejkaf.ka 25]lgu jeäysá jQ miqj;a tys §¾>ld,Sk n,mEï mj;sk nj wkdjrKh ù ;sfí' tneúka wjqreÿ fÞ<ylg wvq orejkag tjeks Ñ;%mg n,kakg bv fkd§ j<lajd,sh hq;=h' úfYaIfhka wjqreÿ yhg wvq orejkag fujeks Ñ;%mg keröfuka jeä n,mEula we;s jk nj ikd: ù ;sfí' fï .ek jeäysáhka wjOdkfhka isàu orejkaf.a udkisl fi!LHh /l .ekSfï§ jeo.;a ldrKhla jkq we;'

Theme Story

oka;df,am .ek Tn oek.; hq;= lreKQ

oka;df,am .ek Tn oek.; hq;= lreKQ Fluoride, Tar tar control, Whitening, Tooth paste for Sensitive teeth

ud¾;= 20

f,dal uqL fi!LH oskh

oka;df,am fj<|fmd< ;=< wo úúO kdu hgf;a ksIAmdos; oka;df,am ;sfí' Fluoride, Tar-tar control yd Whitening wdoS jYfhks' iuia;hla jYfhka oka;df,am j, wka;¾.;h .eko fï tl tflys we;s fjki .eko Tng wjfndaOhla ;sìh hq;af;auh' fmaiaÜ" fc,a yd mjqv¾ iajrEmfhka fj<|fmdf<a oka;df,am we;' fï iEu oka;df,am j¾.hlgu fmdÿfõ my; .=Kdx. we;=<;ah' ² Abrasive agents wdydr" nelaàßhd iy me,a,ï j¾. bj;a lsÍug fhdod.efka' le,aishï ldnfkaÜ yd is,sflaÜ fï i|yd fhdod.efka' ² Flavoring jvd m%ikak rihla we;s lsÍug fhdok øjHhls'ielßka fï wruqKska ksIAmdokfhaoS tl;= lrhs' iq,nj fhdod.kakd ñkaÜ ri yereKQ úg l=re÷ rih"foys rih yd nn,a .ï ri mjd fï i|yd fhdod.efka' ² Humectants wdf,amkfha f;;ukh r|jd. ekSug fhdod.kakd ridhkhhs' fndfyda úg fï i|yd fhdod.kafka .a,sifrda,ah' ² Thickeners oka;df,amfha wdfgdamh fkdfyd;a >klu rlaId lsÍug fhdod.kakd ridhkhhs' ² Detergents fYdaOl .=Kdx.h we;s lrhs' fï i|yd fndfyda úg fhdod.kafka fidaähï f,daß,a i,af*aÜh

*af,darhsâ oka;df,am oka;df,amhla ñ,oS .kakd úg Tn fjfiiskau úuish hq;af;a tys *af,darhsâ we;af;ao hkakhs' *af,darhsâ hkq iajdNdúlj mDÓúfha olakg ,efnk LKschls' oka;df,am j,g *af,darhsâ tl;= lsÍfuka o;a osrdhdu iy l=yr we;sùu ie<lsh hq;= muKlska wvqjk nj m¾fhaIKd;aulj fy<sorõ ù we;' o;a j, we;s nelaàßhdjka fmdaIKh ,nkafka wdydr wkqNjfhka miqj uqLfha fYAIjk iSks yd msIAGfhks' fïksid we;sjk wï,lrfhka fohdldrfhlska *af,darhsâ uqojd. kS' m<uqj *af,darhsâ oka; tku,h Yla;su;a lrhs' túg wï,j,g tku,a m%ydrhg ,la l< fkdyel'

ffjoHjrhd - udisl ffjoH iÕrdj

ta yereKQ úg *af,darhsâ u.ska tkï remineralizing uQ,sl wjia:dfõ osrdm;ajk fldgia kej; ilia lsÍfï yelshdjlskao hqla;h' *af,darhsâ oka;df,am mdúÉÑ lsÍfuka uqLhg *af,darhsâ j,ska /ljrKhla ie,fik nj Tng;a idlaId;a lr.; yel' iuyr úg Tn fjfik m%foaYh j;=r j, m%udKj;a *af,darhsâ wka;¾.;hla ;sfnkjd úh yel' kuq;a úoaj;a u;h kï tfia jQjo tys kshu /ljrKh ,eîug kï Tn *af,darhsâ wvx.= oka;df,amhlau mdúÉÑ l< hq;= njhs' Tartar Control Toothpaste wm yeu fokdf.au o;aj, nelaàßhdjkaf.ka ieÿï,;a oka;m: kï ia:rhla we;' fïjd ksishdldrj bj;a lrKQ fkd,eîfuka tajd >KSNjkh ù gd¾-gd¾ kï oDV øjHhla njg m;a fõ' fï myiqfjka bj;a 2015 ud¾;= l<dmh

iqkaor iskyjla''' th iEu flfkl=f.au m%d¾:Khla''' flmuK m%d¾:Kd l<;a we;eful=g th wiqkaor isyskhla''' iqkaor iskyjlg kï oika olajd iskyj ;sìh hq;=uhs' fï ksihs" Tn Tfí o;a uekúka wdrlaId lr.; hq;af;a'''' ksjeros o;a nqreiqjlska ksjeros l%uhg wvq ;rfï osklg fomdrla j;a o;a ueoSu fyd| iqkaor iskyjla iod /l.ekSug uQ,sl mshjrhs' 29

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oka;df,am .ek Tn oek.; hq;= lreKQ

l< fkdyels gd¾-gd¾ Tfí o;a yd úÿreuia ;=< ia:dms; fõ' tfia mej;Sfï m%;sM<h jkqfha úÿreuia frda.h' fï gd¾-gd¾ ;ekam;a ùu j<lajk oka;df,am fj<|fmdf<A mj;sk w;r tajd Tartar Control Toothpaste hkqfjka ye|skafõ' tajdfha fulS gd¾ gd¾ bj;a lrk úfYAI ridhk wka;¾.;h' tajd w;r mhsfrdfmdiafmaÜ yd iskala isÜf¾Ü wvx.=h' ta yereKQ úg we;eï ksIAmdokj, g%hslaf,daidka kue;s m%;scSjlhlao mj;S' fï iefulu mdfya *af,darhsâo mej;Su úfYAI;ajhls' ixfõoS o;aj,g .e,fmk oka;df,am WKq j;=r álla" iS; hula iam¾Y jQ iefklska ysßjefgk o;a wm ixfõoS o;a jYfhka y÷kajuq' fï o;a j,go tlS ixfõoS nj wvq lrk iqúfYAIS oka;df,am fj<|fmdf<A ;sfí' tajdfha we;s úfYAI;ajh kï tu oka;df,am j,g fmdgEishï khsfÜ%Ü fyda iafg%dkaáhï laf,darhsâ wvx.= ùuhs' fuu iqúfYAIS ixfhda. wvx.= oka;df,am i;s y;rl muK ld,hla Ndú;d lsÍfuka o;aj, ixfõoS nj iukh lr.; yel'

Whitening Toothpaste msßisÿ fkdfyd;a Wmßu iqola ,ndfok o;afnfy;a fukñka ye|skafõ' fuu oka;df,am j, úrxcl wvx.= fkdfõ' ta fjkqjg o; fmd,sIA lrk Abrasive particles wvx.= fõ' jpkfha mßiudma; w¾:fhkau fuu.ska o; ySÍulg ,la ùula isÿ úh yelshdjlao mj;sk neúka os.=ld,Skj ueoSug kqiqÿiqh' kuq;a m¾fhaIK j,ska fuu.ska of;a tku,hg ydkshla isÿ fkdjk nj ;yjqre lrf.k ;sfí' iuyr úg Tn fjfik m%foaYh j;=r j, m%udKj;a *af,darhsâ wka;¾.;hla ;sfnkjd úh yel' kuq;a úoaj;a u;h kï tfia jQjo tys kshu /ljrKh ,eîug kï Tn *af,darhsâ wvx.= oka;df,amhlau mdúÉÑ l< hq;= njhs'

ffjoHjrhd - udisl ffjoH iÕrdj

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orejkaf.a o;a wdrlaId lsÍug fouõmshka l< hq;af;a fïjdh''''

orejkaf.a o;a wdrlaId lsÍug fouõmshka l< hq;af;a fïjdh'''' uyr.u uqL fi!LH wdh;kfha uqL frda. ksjdrK wxYfha úfYAI{ oka; Y,H ffjoH m%ikak chfialr <ud úfha isgu orejkaf.a uqL fi!LH wdrlaId lr .ekSug kï ta ms<sn|j jeäysáhka oeKqj;a ùu b;du jeo.;a' mdie,a orejka w;r mj;sk nyq,;u frda. w;r oka;dndOhka .kafka m%Odk ;ekls' mdie,a orejkag oka; m%;sldr ,nd.; yelafla flfiao@ jhi wjqreÿ 13 olajd mdie,a <uqkag wjYH uq,sl m%;sldr ,ndoSu i|yd mdie,a oka; Ñls;ailjrshkaf.a fiajh mdie,a uÜgñka ,nd .; yelsh' jeäÿr m%;sldr wjYH orejka oka; ffjoHjreka fj; fhduq lrkq ,nkjd' fuhg wu;rj wjqreÿ 13g jeä orejka i|yd we;eï mdie,a j,g oka; ffjoHjreka wkqhqla; lr ;sfnkjd' fï myiqlï ke;s mdi,l orejka fõ kï Tjqkg ta myiqlï ,nd.ekSu i|yd <`.u we;s rcfha frday,g hdug isÿ fjkjd' lsß o;la krla ùfuka miq th .,jd bj;a fkdlf<a kï miqj tk iaÓr o;g bka n,mEula isÿ fjkjdo@ l=vd orefjl=g u;=jk lsßo;a úiaiu wdrlaId lr .ekSu b;d jeo.;a' lsß o;a jeà u;=jk iaÓr o;aj,g kshñ; ia:dkfhka u;=ùug u`. fmkaùu lrkafka lsß o;a u.sks' l=uk fyda

2015 ud¾;= l<dmh

ud¾;= 20

f,dal uqL fi!LH oskh

fya;=jla u; lsß o; krla ù fõokdldÍ ;;a;ajhla we;s jq úg mjd tajd /l .ekSug kùk m%;sldr l%u wo ojfia ;sfnkjd' lsß o;a ye<Sug fmr .e,jq úg tu ia:dkhg meñKsug kshñ; iaÓr o; i|yd we;s bvlv weysß hhs' tu`.ska oka; úlD;s ;;a;aj mjd we;s úh yelsh' l=vd orejdf.a o;a ue§ug l=vd nqreiqjla o" uqx weghl ;ru *af,darhsâ iys; oka;df,amhlao Ndú;h iqÿiqh'

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orejkaf.a o;a wdrlaId lsÍug fouõmshka l< hq;af;a fïjdh''''

l=vd orejkaf.a o;a ue§u l< hq;= ksjerÈ l%uh l=ulao@ l=vd orejkag f;afrkjd wvqhs' l=vd orejka o;a ueoSug osß.ekaúh hq;af;a fouõmshka úiskqhs' WoEik yd rd;%s kskaog fmr o;a ue§ug orejd yqre l< hq;=hs' úfYaIfhkau jhi wjqreÿ y; wgla hk ;=re orejd Wkkaÿ l< hq;=h' l=vd orejdf.a o;a ue§ug l=vd nqreiqjla o" uqx weghl ;ru *af,darhsâ iys; oka;df,amhlao Ndú;h iqÿiqh'

lsß o;a ye<Sug fmr .e,jq úg tu ia:dkhg meñKsug kshñ; iaÓr o; i|yd we;s bvlv weysß hhs' tu`.ska oka; úlD;s ;;a;aj mjd we;s úh yelsh'

nqreiqjg oka;df,am oeóug fmr th fidaod j;=r bj;ajk ;=re nqreiqj .id .ekSfuka orejdf.a lgg tk fl< m%udKh wvq lr .; yelsh' tu`.ska <uhd o;a fnfy;a iys; fl< .s<Su j<lajd .; yelsh' lfÜ we;s ish¿u o;a msßisÿ lr .ekSu b;du jeo.;a fõ' o;a ue§fuka miqj o;a fnfy;a ish,a, bj;a jk wdldrhg ;Èka lg fia§u fkdl< hq;=h'

ffjoHjrhd - udisl ffjoH iÕrdj

<orefjl=f.a o;a msßisÿ l< hq;af;a flfiao@ idudkHfhka <orefjl=f.a lsß o;a u;= ùu udi 6 l§ isÿjk w;r ,xldfõ <orejkaf.a fuh udi 8-9 olajd we;eï wjia:dj,oS m%udo ùu isÿúh yelsh' m<uq lsß o; u;= jq Èk mgkau o;a msßisÿ lsÍu wdrïN l< hq;=hs' fï i|yd we`.s,a,g m<|sk nqreiqjla fyda b;d l=vd ysila iys; nqreiqjla fhdod.; yelsh' tfia fkdue;s kï msßisÿ frÈ lene,a,la ta i|yd Ndú;d l< yelsh' oka;df,am Ndú;h uq,skau wjYH fkdjk w;r orejd fidaok wjia:dj,oS orejd i;=áka isák wjia:djloS o;a msßisÿ lsÍu wdrïN l< yelsh' orejdf.a lfgys o;a y;rla u;= jq miq l=vd <uqka i|yd Ndú;d lrk o;a nqreiqjla Ndú;d lrkak' <uhdg fl< .eiSug yels ld,h jk úg nqreiqfõ fl|s j, hka;ï .Efjk mßÈ *af,darhsâ iys; oka;df,am fhdod Èklg fojrla o;a ueoSu isÿ l< hq;=h' <uhdg wjqreÿ ;=k miq úg uqx weghl m%udKhg oka;df,Am nqreiqj u; fhdod .kak' mdie,a orejka w;r oka; jHikh jeähs wjqreÿ myla jk úg mdie,a <uqkaf.ka ishhg 65 l f.au lsß o;a Èrd f.dia we;s nj cd;sl uqL fi!LH iólaIKfhka fidhdf.k we;' fï i|yd m%Odk jYfhkau n,mdkafka orejkaf.a jerÈ iy.; uqL fi!LH mqreÿ yd wdydr rgdjkah' *af,darhsâ iys; oka;d f,am Ndú;h;a iu. orejkaf.a oka; jHikh w;S;hg jvd hï ;rula ÿrg wvqù we;;a th <ud ld,fha§ nyq,ju oelsh yels frda.S ;;a;ajhhs

foujqmshka úiska orejkag uq< isgu ksjerÈ wdydr mqreÿ we;s l< hq;=h' orejdg meKsri wdydr §fuka miq lg fia§u u.ska o;aÈrd hdu je<lS h;ehs we;eï uõjreka úYAjdY l<;a th jerÈ u;hls' tfukau md,khlska hqla;j meKs ri m%Odk wdydr fõ,lg miqj muKla ,nd Èh hq;= w;r fuho Èkm;d mqreoaola f,i fkdl< hq;=h' meKs ri wdydr fjkqjg kejqï t<j¿" m<;=re fukau fhda.Ü" Ñia jeks lsß wdydr j¾. yd weg j¾.o orejdg ,nd§fuka oka; fi!LH fukau YÍr fi!LH /l .ekSugo odhl fõ' igyk-wkqrdOd È,sks b,kafldaka

úfYAIfhkau fgd*s fpdla,Ü j¾." wd§ ish¿u meKsri wdydr" ìialÜ j¾." laIKsl wdydr yd isis,a îu j¾. <uqkag ks;r ks;r ,nd §fuka o;a Èrdhdfï ;;a;ajh jeäfõ' tu ksid 2015 ud¾;= l<dmh

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Tfí iskyfõ wdrïNh

iqfodaiqÿ o;a fofm<la ysñ whg ysf;a nhla ke;sj ,iaiKg yskdfjkak jrï ,efnkjd' Tn fl;rï ld,hla yev jev fjkak .; l<;a zzTfí iskyjZZ fjkqfjka fl;rï ld,hla .; lrkjo @ merKs lshuKla ;sfnkjd' zz iskdiS ;r fjkakZZ lshd' iskyjg jhia fNAohla kE' th ta ;rïu m%shcklhs' m%ikakhs' ysf;a ielhla ke;sj ,iaiKg yskd fjkak kï Tnf.a o;a wvq ;rfïA ojilg fojrla j;a fyd| nqreiqjlska msßisÿ lr.; hq;=hs' fyd| nqreiqjla .ek mjik úg zzfvkagdZZ nqreiqjg ysñ jkafka m<uq ia:dkhhs' cd;Hka;r m%ñ;Skag wkql+,j fi!LH wud;HxYfha wkque;sh we;sj SLSiy;slh hgf;a vd¾,s nÜ,¾ iud.u úiska Tn fj; ;s<sK lrk zzfvkagdZZ o;anqreiqj Y%S ,xldfõ nd," ;reK" uy¿ ieug .e,fmk fia wdrlaId iys;j ksIAmdokh lr we;' Tn mdúÉÑ lrkafka zzfvkagdZZ o;a nqreiqjlaa th Tfí iskyfõ wdrïNhhs' 34

ffjoHjrhd - udisl ffjoH iÕrdj

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lg .| .eiSu

ud¾;= 20

f,dal uqL fi!LH oskh

lg .| .eiSu iudc ysßyerhla jQ frda.hls oka; Y,H úfYaI{ ffjoH ysrka; fõrf.dv zzwfmda''' thd <`. b|ka l;d lrkak neye lfÜ .|''ZZ fujka l;d Tn;a wid we;sjd iel ke;s' wo iudcfha fndfyda fofkl=g ;sfhk m%Yakhla zzlg .| .eiSuZZ' fudkjd i`.jdf.k ;sín;a lg .| .eiSu kï i`.jdf.k isàug neye' m%Yakfha nrm;,lu;a thuuehs' 2015 ud¾;= l<dmh

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lg .| .eiSu

biair ldf, kï fyd|g b`.=remsh,s" jidjdis od,d nq,;a úgla ym," lg .| .eiSu ke;s lr .;a; .fï wEfhd ysáhd' ±ka .fï whg;a nq,;aúg fjkqjg pqúka.ï ljk ld,hlafk ;sfhkafka' fï <`.§ ojil ux., W;aijhlg .shdu wfma merKs ñ;=frla yuqjqKd' wd .sh f;dr;=re úuikak <`.g .shdu ;uhs lfÜ .| oekqfk' t;ek ysgmq lsysm fofklau fkdßiaiqï lñka n,, wE; fïihlg .shd' we;a;gu ,ecacdjg m;ajqfKA merKs ñ;=rg;a jeäh uuuhs' fï wdoS w;aoelSï ksidfjka lg .| .eiSu .ek Y,H úfYaI{ ffjoH ysrka; fõrf.dv uy;df. ka wm úuiqula l<d' fï Tyq jD;a;Shfõosfhl= jYfhka wmg m< l< woyiqhs' uqLh ÿ`.o yukakg fya;=jla ;sfhkj o@ ÿ`.o yeóug m%Odk fya;=ka ;=kla ;sfhkjd' ;j;a fya;=ka /ilao ;sfnkjd' hï hï frda. ;;a;ajhka uQ,sl fya;=jla fjkjd' YaajYk ud¾. fha we;eï frda.S ;;a;ajhka fuhg n,mdkjd' wdudY.; frda. ;;a;ajhka yd È.=ld,Sk u<noaOh jeks ;;a;ajhka f;jeks fya;=j f,i olajkak mq¨jka' fuhg wu;rj hlv yd úgñka W!K;djhka we;sùu" ùÿreuiaj, we;s fkdfhl=;a frda.S ;;a;ajhka" Èrd.sh o;aj, wdydr fldgia ysrùu" ksid tajd m,a ùfuka" we;eful= lD;%su o;a me<| isáñka tu o;aj, ne÷Kq wdydr m,aùu" tajd ksis wkaoñka msßisÿ fkdlsÍu ksid;a" ÿ.o yeóu isÿúh yelshs' fï wdldrfha ÿ.| yeóu isÿùu je<laúh fkdyelshs' lfÜ ;=jd, we;sjq úg;a" wdidok ;;a;ajhka we;s ùu ksid;a" ksishdldrj uqLh msßisÿ fkdlsÍu jeks fya;= ksid;a ;jÿrg;a fï frda. ;;a;ajh olskak mq¨jka'

idudkHfhka lfÜ ;=jd,hla meh y;<sia wglg miqj iqj ùug mgka .kakjd' tfia fkdù ;=jd,h iqjfkdù ;sîu fyda jK ùug fya;= jkafka Èhjeähdj jeks frda. ;;a;ajhka ;sîôuh' fï ;;a;ajhg úgñka î iy hlv W!K;djho n,mEula we;s lrkjd' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

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ffjoHjrhd - udisl ffjoH iÕrdj

jhil mqoa.,hskaf.a o;a we|S f.ù ;sîu ksid lfÜ Wv iy hg yKqj, ;sfhk Wi m%udKh wvqùu ksid tu wvqùu fya;=fjka lg fldfKa ysveila we;sfj,d t;ek fl< tl;= ù miqj wdidokh ùug mgka .kS'

uqLh ÿ.| yeóug iajYk ud¾.fha frda. ;;a;ajhka n,mdkjo@ iajYk ud¾.fha ;sfnk fkdfhl=;a wdidok ksid jf.au wêl ÿïmdkh ksid;a fmkye,af,a fiu we;s fjkjd' ld,hla fï fiu ;sîfuka tajd krla fjkjd' ta jdf.au wudY.; frda. ;;a;ajhka ksid yg.kakdjq .eiag%hsá%ia ;;a;ajh ksid;a uqLfhka ÿ.| yeóu isÿfjkjd' we;euqkaf.a lg jkùu olakg ,efnkafka ljr lreKla ksido@ lgfldK jk ùu m%;sYla;s lrK W!K;djh fmkajk ,laIKhla' fuhg uQ,sl fya;=j jkafka lg fldfka fl< /§ ;sîu fya;= fldgf.k tajd l%ufhka wdidokh ùuhs' idudkHfhka lfÜ ;=jd,hla meh y;<sia wglg miqj iqj ùug mgka .kakjd' tfia fkdù ;=jd,h iqjfkdù ;sîu fyda jK ùug fya;= jkafka Èhjeähdj jeks frda. ;;a;ajhka ;sîuh' fï ;;a;ajhg úgñka î iy hlv W!K;djho n,mEula we;s lrkjd'

2015 ud¾;= l<dmh

lfÜ jK we;sùug fya;=jk ;j;a fndfyda frda. ;;a;ajhka ;sfnkjd' ffjria wdidok" ifï frda." wdydr ud¾.fha frda." tÉ'whs'ù'$taâia jeks frda. ;;a;ajhkao fuys,d i|yka l< yelsh' flfia fj;;a ksjerÈ uqL fi!LH isß;a wkq.ukh lsÍfuka yd by; i|yka ;;a;ajhka ;sfíoehs ksÍlaIKh lr tajdg ksis m%;sldr .ekSu Tfí uqL fi!LH /l.ekSug l< hq;= fyd|u ms<shu fõ'

idlÉPd lf<a wkqrdOd È,sks b,kafldaka

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o;a yd úÿreuia iqjfi; meK úi÷u

o;a yd úÿreuia iqjfi; meK úi÷u o;a Èrdhdu yÈisfha isÿjk fohla fkdfjhs uyr.u uqL fi!LH wdh;kfha uqL frda. ksjdrK wxYfha úfYAI{ oka; Y,H ffjoH m%ikak chfialr o;a Èrdhdu isÿfjkafka uqLfha È ksmojk wï, ksidh' mKqjka úiska ld oeóu hkqfjka i|yka jqj;a fu;kÈ o;a lk mKqfjla ke;' kuq;a fuu wï, j¾. ksmoùfï yelshdj we;s nelaàßhdjka úYd, ixLHdjla uqLfha fjfik nj kï Tn o; hq;a;ls'

ud¾;= 20

f,dal uqL fi!LH oskh

o;a mKqjka lEu isÿjkafka flfiao@ wm tÈfkod ,nd .kakd wdydrj, isks yd msIaGh nyq,j wvx.= fõ' fuu iSks iy msIAGh u; lfÜ ;sfnk o;a Èrd hdug fya;=jk nelaàßhd ls%hd lsÍu u`.ska ,elaála wï,h ksIamdokh fõ' fï ,elaála wï,h u.skA o;aj, we;s le,aishï bj;a ùula isÿfjkjd' fuf,i È.ska È.gu le,aishï bj;a jq miq of;ys Yla;su;a Ndjh wvqfõ' uq,È fuh iqÿ ,mhla f,i osia jqj;a miqj l%u l%ufhka l=yrhla we;sfõ' fuu l%shdj,shg ál ld,hla .;fjkjd' oka; jHikh tfyu ke;skï zzo;a mKqjka lEuZZ f,i ye|skafjkafkA fuhhs'

ffjoHjrhd - udisl ffjoH iÕrdj

o;a ue§fï § we;eï whf.a úÿreuiska f,a .e,Su isÿfjkafka wehs@ ùÿre uiska f,a .e,Sug fya;=j úÿreui nelaàßhd wdidokhg ,laùuhs' ,laI ixLd; nelaàßhdjka úiska ksmojkq ,nk wmøjH yd úIøjH u.ska úÿreufiys fuysoS m%ody ;;a;ajhla we;sfjkjd' ùÿreui bÈóu" r;=ùu" f,a .e,Su" yd yevh fjkia ùu isÿjkafka ùÿreuia m%odyfha ,laIK f,ihs' oka; m: ^o;a ue,shï& u; miq ld,Skj le,aishï ;ekam;a ùfuka >k jq ue,shï njg m;ajk w;r tjd o;a ue§fuka bj;a fkdfõ' fïjd of;a uq, jfÜg we,S mj;S' nqreiqjlska fïjd bj;a l< fkdyel' fuu ue,shï ksid ùÿreuia muKla fkdj o; iú ù we;s ;ka;=" mgl yd wiaÓ j,go ydks meñfKa' fuysÈ o; fi,ùulgo bv we;'

2015 ud¾;= l<dmh

fuhg wu;rj úÿreuiska f,a .e,Sug úgñka W!K;djho n,mdhs' wmiaudrh i|yd Ndú;d lrk T!IO È¾> ld,Skj .ekSu ksido úÿreufika reêrh .e,sh yelshs' ùÿreuig isÿjk wk;=re fukau ,shqflañhd jeks reêr.; frda.o fï i|yd fya;=úh yelsh' .¾NKs iufha § we;eï ujqjrekag ùÿreuia m%odyh nyq,ju oelsh yelsh' thg fya;=j jkafka wehf.a fydafudak j, we;sjk fjkialï ksidh' ùÿreuia frda.h md,kh lsÍu mßoka; mgl wdY%s; frda. f,iska ye|ska fjkafka o;a iú ù we;s mglh iy o;a uq,a jgd we;s mßjdr mgl j, we;súh yels wdidok ;;a;ajhhs' fuu ldKavfha frda. j¾. folla ;sfnk w;r tlla úÿreuia wdidokhhs' wfkla frda.h jkafka o;a iúùug wdOdr jk mgl j, wdidokhhs' iajNdúlju ´kEu flfkl=f.a o;a iys; uqLhl fuu frda. foflka tlla fyda ;sìh yelsh' kuq;a we;eï wh fujeks frda.hla ;udg ;sfnkafka oehs fkdoek isàfuka frda.h md,kh fkdlr isáhs' túg tu wdidokh jHdma; fjkafka tys we;s ;sj%r;djh jeä lrjñks' l%udKql=,j o;a msßisÿ lsÍu mßoka; mgl frda. md,kh lrk WmlrKh we;af;a Tn wf;a ÿßkah' th zzo;a nqreiqjZZ kñka wm y÷kajk w;r fï i|yd f;dard.; hq;af;a ysi l=vd" iquqÿ fl| iys; o;a nqreiqjls' o;a nqreiqfõ fl|s úÿreui foig wxYl 45la muK wdk; ^we,lr& jrlg o;a 2-3la yiqjk f,i bÈßhg yd miqmig f.k hd hq;=hs' bka miq of;ys ymk mDIaGh foig ue§u l< hq;=hs' wm hula ,shk úg mEkg nrfok m%udKhgu o;a uÈk úg o nqreiqjg ndr§u m%udKj;ah'

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o;a yd úÿreuia iqjfi; meK úi÷u

ue§u l< hq;af;a Wvq wekafoa o;a by< isg my<g;a hg wekafoa o;a my< isg by<g;a jk f,i nqreiqfõ fl|s f.k hñks' ksjerÈ wdldrhg Èklg fojrla o;a ue§fuka ùÿreuia frda.h md,kh lr .; yelsh' o;a msßisÿ lsÍu i|yd úúO l=vq j¾. iy ¨Kq Ndú;h iqÿiqo@ o;a msßiqÿ lsßu i|yd Ndú;d lrk l=vq j¾. yd ¨Kq ksid o;a iSß hd yels neúka fujeks øjH j,ska o;a ue§u isÿ fkdl< hq;=h' o;a msßisÿ lsßu i|yd Ndú;d l< hq;af;a *af,darhsâ iys; oka;df,amhs'

o;a lelal=u yg.kafka o;la krla ùfuka muKlao@ o;a lelal=u we;sùug fya;=ka rdYshla n,mdhs' oka; jHik ^o;a Èrdhdu& Bg m%Odk fya;=jhs' iSks iys; msIaGh u; jefvk we;eï nelaàßhd úiska ksmojkq ,nk ,elaála wï,h o;l le,aisNjkh ù we;s tku,h iy o;a;skh u; l%shd lsÍu ksid o;a Èrdhdu isÿfõ' uq,§ o;a Èrdhdfuka o;a ysß jefgk w;r miqj of;a ueo fldgi jq iakdhq wvx.= l,al l=yrh olajd o; Èrdhdfuka oeä fõokdjla we;sfõ' fuhg wu;rj ùÿreuia frda.h ksido o;aj, fõokdjla we;sfõ' fuu frda. ;;a;aj folu ksid we;sjk ierj f.ä fya;=fjka ;o fõokdjla fukau o;a wdY%s; mgl yd uqyqK b§óulg ,laúh yelsh'

ffjoHjrhd - udisl ffjoH iÕrdj

fuhg wu;rj o; u;=msg jq tku,h f.ù hdug ,la ùfuka o;a ysß jeàug fukau o;aj, fõokdjla we;s ùugo yelsh' we;eï úg oka;uh fkdjk tfy;a o;a j,g hdnoj we;s jdhq fldagrl m%odyh" ^sinusitis& iy l,d;=rlska we;sjk kshqr,acShdj jeks ;;a;ajhka we;eï úg o;a lelal=u f,i jrojd jgyd.; yelsh' o;a lelal=u iukh lr.; yels m%;sldr ;sfío@ o;a" lelal=u we;s úg jvd;a iqÿiq jkafka oka; ffjoHjrfhl=f.a Wmfoia wkqj m%;sldr ,nd .ekSuhs' ffjoHjrhd úiska frda.shd mÍlaId lsÍfuka wk;=rej l=uk wdldrfha frda. hla ±hs ;srKh lsÍfuka miqj iqÿiq m%;sldrhla kshu lrhs' tfy;a we;eï wh f.or§ w;a fnfy;a f,i fhdod .kakd we;eï foaj,a j,ska o;aj,g yd ta wdY%s; mgl j,g ydkshla isÿúh yelsh' 2015 ud¾;= l<dmh

wjYH fjkaafka kï ffjoH Wmfoia j,ska f;drj .; yelafla fõokd kdYlhla muKs' kuq;a fõokdj md,kh lr.; yels fõokd kdYl o; wi,u ;eîu fkdl< hq;=h' tfiau fõokdj fok o; wi, fyda tu me;a; bÈóu fukau uqLh újD; lsÍug fkdyels ùu w;a ú|skakg isÿfjhs' fuu ;;a;ajh fkajdisl m%;sldr ,nd .ekSu olajd ÿrÈ. hd yelshs' o;a lelal=u ksid we;sfjk wdndO fõokdj f.k fok o;la È¾> ld,hla uqLfha ;sfí kï tu o; msysgd we;s me;af;ka wdydr iemSu iSudfõ' ld,hla iu`. wdydr ymkakg Ndú;d fkdlrk me;af;a o;a w;r jeämqr oka; wYañh nef|k w;r tu o;a Èrd hdu iy tu o;aj, mßoka; mgl frda. we;sùu ^o;auq,a Èhùu& fõ.j;a fõ' tl me;a;lska muKla yemSu ksid ld,hlg miqj Wvq ykqj há ykqjg iïnkaO jk wiaÓ ikaêfha l,a mj;akd wdndO we;sfõ' tfiau tl o;l we;sjk fõokdj i|yd kshñ; fõ,djg m%;sldr fkd.ekSu ksid tu o; iu`. msysgd we;s wfkla o;a mjd úkdY ù uqLh ÿ.o yuk ;;a;ajhg m;aúh yelshs' o;l fõokdj oefkk úg fndfyda whg wjYH lrkafka tu o; .,jd .ekSughs' kuq;a ffjoHjrfhl=f.a ;SrKh u; tu o; iakdhq mSrúulg iqÿiq ;;a;ajhl mj;S kï tjeks m%;sl¾uhla i|yd fhduq úh yelsh' iakdhq msrjqu iakdhq msrjqula f,i woyia lrkafka o;l wdidokhg ,lajq csù mglh jk l,al l=yrh ;=< ;sfnk ydkshg m;ajq iakdhq yd reêr flaIkd,sld bj;a lr tu l=yrh úIîP j,g we;=¨ úh fkdyels fia uqødlr ;eîuhs'

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o;a yd úÿreuia iqjfi; meK úi÷u

iakdhq msrjqula u.ska o;la m%;sia:dmkh lr .ekSfuka jdis /ila ysñ fõ' .,jd oeóug kshñ;j ;snq o;la lfÜ r|jd .ekSug ,eîu f,dl=u jdishls' o;la .,jd bj;a lf<d;a lfÜ ;sfnk wfkla o;a w;r ysoeia we;s fjkjd' ta iu.u o;a fmf<a msysàu wl%ujj;a fõ' o;a w;r we;sjk ysoeiaj, wdydr len,s /|Su fya;=fjka b;sß o;a Èrdhduo fõ.j;a fõ' id¾:l iakdhq msrjqul Wmldrfhka m%;sia:dmkh lrk ,o o;la uq¿ csú; ld,h mqrdjgu lsis÷ ixl=,;djhlska f;drj ;nd .ekSug yelsh' o;la .e,ùu o; mßlaId lr n,d .,jd oeóug isÿjk nj ffjoHjrhd mjikafka kï tu o; fyda fldgi bj;a lr oeóuhs fyd|u mshjr jkafka' tfia fkdue;s kï ta yd iïnkaOj w;=re wdndO / ilg uqyqK §ug isÿfõ' o;la .e,ùfuka miq ms<smeÈh hq;= Wmfoia o;la .e,jq miqj tu ia:dkfhka reêr jykhla isÿúh yels ksid wju jYfhka meh 1$2 la hk ;=re mq¿ka lene,a,la tu ia:dkhg ;nd ;Èka imdf.k isáh hq;=hs'

tfukau meh 24la hk ;=re WKqiqï fukau YS;, wdydrmdk .ekSfuka je<lS isáh hq;= w;r fl< .eiSuo fkdl< hq;=hs' fuhg fya;=j o; .e,jq ia:dkfha iEÿkq f,a leáh bj;aùu j<lajd .; hq;= ksidh' tfia bj;a jqjfyd;a ;on, fõokdjla we;sùu fukau ;=jd,h iqjùu m%udo ùugo mq¿jka' tfukau o; .e,jq ia:dkfha yKql wiaÓ fldgia Èjg r¿jg oefkhs' tu ksid Èj oeóu fkdl< hq;=hs' Èk lsysmhlg miqj fuu yKql wiaÓ fldgia Èhù hdfuka yd th u;=msáka ùÿreui j¾Okh ùfuka fuu r¿ nj ke;sù hd yel' yÈis wk;=rla ksid o;la leä we;s wjia:djl l< hq;= foa o; levqKq ia:dkh wkqj m%;sldr fjkia fõ' of;a l,al l=yrh f;la leã fkd.sh úg idudkH msrjqula l< yels w;r o; uq, muKla b;sß jkfia o; leã

ffjoHjrhd - udisl ffjoH iÕrdj

.sh wjia:djl§ mjd iakdhq msrjqula lr.ekSfuka o; fírd .; yelsh' fuys§ lD;%suj idok ,o o;la uq,g iúlsßu jeks kùk oka; Y,H m%;sldr l%u fï jk úg mj;s' wk;=rl§ .e,ù .sfha iaÓr o;la kï iy th msßisÿ kï ;udg yels muKska th keje; yl= wegfha wod< ia:dkfhau iú lsÍug W;aidyjka; fjkak' bkamiq l< hq;= jkafka jydu oka; ffjoHjrfhl= fj; fhduq ùuhs' tfia fkdue;s kï msßisÿ l=vd n÷klg fl< .eiSug i,iajd .e,jqK o; ta ;=<g nyd jydu oka; ffjoHjrfhl= fj; fhduq fjkak' .e,jqK of;ys uq, fldgi we,a,Su fkdl< hq;=hs' o; whsia fyda c,h ;=< nyd,Su;a o; c,fhka fia§u;a fkdl< hq;=hs' tfia lsÍfuka of;ys uq, wdY%s; jq icSù fldgia ueÍ hd yelsh'

2015 ud¾;= l<dmh

lD;%su o;a ld i|ydo@ .e,jq o; fjkqjg tu ia:dkhg .,jd bj;a l< yels lDøsu o;a fukau iaÓr jYfhka iúl< yels lD;%su o;a oeóu isÿl< yelsh' o;a iaÓr jYfhka iú l< yels l%u w;r ykq wiaÓhgu iú lsÍu ^implant& fukau fomi jq iajNdúl o;a j,g iú lsßu ^bridge& hk wdldr j,g isÿ l< yelsh' uqLh we;=<; Èfõ iy f;d,a fl<jr jßkajr fõokdldß ;=jd, yg .ekSu iuyr whf.a jßka jr yg .kakd fï ;=jd, zzwma;ia jKZZ aphthous ulcers fyj;a wd;;s jKùug mq¨jk' ta i|yd úúO jq fya;= n,mdhs' f;d,aj, há me;af;a uqLh m;=f,a iy lïuq, we;=¿ me;af;a ta ;=jd, yg.; yelsh' fuu ;=jd, we;súug n,mdk ksjerÈu fya;=jla fidhdf.k ke;;a úgñka Lksc ,jK W!K;d Bg fya;= úh yelshs' tfia ke;skï ffjria wdidokhla ùugo mq¨jks' ;=jd, j,ska we;sjk fõokdj iukh lsÍug wdf,amk iy fõokd kdYl T!IOhla ffjoH Wmfoia wkqj ,nd.; hq;=hs' Èhjeähdj" wêl reêr mSvkh yd yDohdndOj,g ,la jq frda.Ska o;a .e,ùu iqÿiq o@ Èhjeähdj je<È we;s whf.a o;a jHikhg ,laùu;a" ùÿreuia frda. we;s ùu;a jeä keTqr jla ;sfnkjd' wê reêr mSvkh" yDohdndO j,g ,lajq frda.Skao o;la .e,ùfï § wod< frda. i|yd m%;sldr .kakd ffjoHjrhd f.ka fukau oka; Y,H ffjoHjrhdf.ao iydh ,nd.; hq;=h' jHikhg m;ajq o;la bj;a flfrkafka tu frda. md,kh lsÍfuka miqjhs' fuu frda.Ska oka; fi!LH /l .ekSu ms,sn|j jvd;a Wkkaÿ úh hq;=hs' 43

Theme Story

o;a yd úÿreuia iqjfi; meK úi÷u

fõ,lg miqj .ekSug muKla iSud l< hq;=hs' ta fjkqjg yels muK m<;=re j¾. wkqNj lrkafka kï b;d iqÿiqhs' o;a j,ska fnda;,a uqä jeksfoa werSug mqreÿ ù isákafka kï tho o;aj,g b;d ydkslrhs' o;a lelal=u" ùÿreuiska f,a .e,Su fyda uqLfhka ÿ¾.kaOh jykh fõ kï oka; Y,H ffjoHjrfhl= yuqù m%;sldr .ekSu jeo.;a'

uqLfha yg.kakd jK ms<sldjl fmr ksñ;so@ uqLfha yg.kakd wd;;s jK lsis úfgl ms<sld njg m;a fkdfõ' tjd Èk lsysmhlska iqjfõ' uqL ms<sldjl fmr ksñ;s f,i mq¾j uqL ms<sld ,laIK fmkakqï l< yelsh' ms<sldjla ie§ug fmr tu ia:dkfha we;sjk iqÿ meye;s fyda r;= meye;s ,m fuu ,laIK fõ' fuu ;;a;ajhkag uq,a wjia:dfõ §u m%;sldr lf<a kï ms<sld njg m;aùu j<lajd .; yelsh' uqLfha ms<sldjla jkafka È.= l,la mj;sk iqjfkdjk ;=jd,hla fyda f.ähls' uqL ms<sldjg m%Odk fya;=j jkafka nq,;a úg iEmSu" ÿïmdkh iy u;ameka Ndú;hhs' uqL fi!LH wdrlaIdlr .; yels hym;a mqreÿ o;a isÿre w;r isrjqKq wdydr len,s .ekSug yeÜgd lgq" we,afmfk;s" wd§ foa Ndú;d lsÍu b;d wys;lrhs' ta fjkqjg ^maf,dia& keue;s kq,a fyda wka;¾ oka; nqreiqjla Ndú;d lsÍu jvd;a iqÿiqhs' tfukau fpdl,Ü" fgd*s" mekSîu wd§ iSks wvx.= wdydr-mdk Èkm;d wdydrhg fkd.kak' b|ysg .kakd úg mjd m%Odk wdydr 44

uqLfha frda.S ;;a;ajhla fkd;snqKo jirlg jrla j;a mjqf,a oka; Y,H ffjoHjrhd ,jd uqLh mÍlaId lr .ekSfuka ukd uqL fi!LHhla mj;ajd f.k hd yelshs' ;ukaf.a uqLh yd o;a wdY%s;j we;s úúOdldr frda.dndO ms<sn|j ;ukag úksYaph l< fkdyels ùu Bg m%Odk fya;=jhs'

igyk - wkqrdOd È,ssks b,kafldaka ffjoHjrhd - udisl ffjoH iÕrdj

2015 ud他;= l<dmh

Theme Story

ksjerosj o;a uosk wdldrh

úÿreuig wxYl 45 l wdk;shla isák fia o;a nqreiqj msysgqjd.kak'

o;a nqreiqj bosßmig yd msgqmig flá ÿr p,kh lrkak'

msg me;a;" we;=,a me;a; iy ymk u;=msg mDIAGo uoskak' bosßmi o;aj, we;=,a me;a; msßisÿ l< yels jk fia rEmfha wdldrhg nqreiqj fufyhjkak

wjidkfha osjo uoskak' th nelaàßhd bj;a lr kejqï iqiqula f.koSug WmldÍ jkafkah'

ffjoHjrhd - udisl ffjoH iÕrdj

• osklg wju jYfhka fomdrla o;a uoskak' wdydr .ekSfuka miqj fukau rd;%S kskaog fmr o;a uoskak' yelskï osjd wdydrfhka miqjo o;a uoskak' tfiau meKsri lEfuka miq o;a ueosh yels kï jvd;a w.fkah' ks;sm;d o;a ueoSfuka oka; m: (Plaques) we;sùu j<lS' rd;%S kskao hkq nelaàßhd j¾Okhg úYd, ld,hls' fï ksid kskaog fmr o;a ueoSu mqreoaola lr.kak'

• bosßmi o;a ú;rla fkdfõ" Tfí o;a ish,a,u uekúka ueoSug is;g .; hq;=fõ' o;aj, fome;a;o u;=msgo uekúka ueosh hq;=h'

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

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• jrlg úkdä 2-3la j;a o;a ueosh hq;=h'

úêu;aj ueoSfï mshjr wkq.ukh lrk úg fï ld,h ta i|yd ksi`.fhkau jeh fjhs'

• uDÿ fl|s iys; o;a nqreiq o;a ueoSug mdúÉÑ lrkak' tfiau tajd iEu udi ;=klg jrlau udre lrkak'

Wvq wekafoa iy há wekafoa o;aj, we;=<; yd msg; mDIAGhka jD;a;dldrj uoskak

2015 ud¾;= l<dmh

Wvq iy hg wekafoa wdydr ymk o;a u;=msg mDIAG bosßhg yd msgqmig uoskak

úÿreufya isg o;a uqÿk flá isria p,khkaf.ka uoskak' bkamiqj tu u;=msgu jD;a;dldrj uoskak'

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o;a Floss lrk whqre ksjerosj bf.k.kak

w`.,a 18l muK Floss kQ,la fhdodf.k th fome;a; ueo`.s,s j, ojgd.kak

m%ikak iqiqula ysñ lr .ekSug Tfí osjo uekúka msßisÿ lr.; hq;= jkafkah' ukd o;a fom<la i|yd ysñlï lSug o;a ueoSu iy Floss lsÍu muKla m%udKj;a fkdfõ' Tn wkqNj lrk wdydr" Tn fndk îu j¾.o m%fõYfuka f;dard.ekSu l< hq;= fõ'

• bosßhg yd miqmigo Floss kQ, f.k hkak' Wv yd my<o Floss kQ, f.k hkak' th uqLfha msgqmi o;a w;ro msßisÿ lsÍugo fhdod.; hq;= fõ'

• o;a w;r isrjk wdydr len,s wdosh bj;a lsÍug ;sfnk fyd|u l%uh Floss lsÍuhs' nqreiqjg hd fkdyels ;eka msßisÿ lsÍug yels ùu fuys we;s úfYAI;ajhhs' o;a w;r iy úÿreuia msßisÿ lsÍug osklg jrla Tn;a Floss kQ, Ndú;d lrkak'

ffjoHjrhd - udisl ffjoH iÕrdj

2015 ud他;= l<dmh

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Homosexuality Explained

iu,sx.sl weiqrg f,d,a ùu frda.hlao@

iu,sx.sl weiqrg f,d,a ùu frda.hlao@ ufkda Ñls;ail iqrx. wurfldaka fï ldka;djf.a jhi wjqreÿ ;sia folls' weh wm lrd meñfKk úg ysáfha oeä udkisl lïmkhlsks' úYdo ^Depression& ;;a;ajhlska mjd weh fmf<ñka isák wkaou jeäÿrg;a l;d ny lsÍfï§ jgyd .; yels úh' —ug Ôúf;a ke;s lr .kak;a lSm j;djlau ys;=Kd' tAlg;a ug nhla oekqKq yskaohs ux fufyu wdfj˜ weh lshdf.k .sfha fYdald,dmhl iajrEmfhks' 50

ffjoHjrhd - udisl ffjoH iÕrdj

wef.a l;dj —we;a;u lshkakï' uu f,iaìhka flfkla' ux wykafk fudllao tAfl ;shk jro lsh,hs' ug lsisu úosylskaj;a msßñfhlaa .ek yeÕSula we;s fjkafk kE' b;ska ux fldfyduo nf,ka tA yeÕSï we;s lr .kafk' uf. ys; uu u rjÜgf.k we;s jefâ fudllao@ tAl;a ug mSvdjla ñila iykhla fjkafk kEfka˜ fï ldka;dj úia;r l< wkaoug weh iu,sx.sl;ajhg keUqre jQ wfhls' fï olajd jßka jr fmïj;shka lsysm fofkl= weiqre lr we;s weh wjika jrg ;u fmïj;ssh f,i f;dard f.k ;snqfKa iqrEmS hqj;shls' weh iu. ks;r wdofrka l;d ny lsÍu" wehg flá mKsúv heùu fuu ldka;dj ksrka;rfhka isÿ l<dh' hqj;shf.a foudmshkag ;u ÈhKsh fmïj;l= weiqre lrk njg bj jeáks' fmïj;d úiska tjd ;snQ wdorh jEfyk flá mKsúv lsysmhla o Tjqkaf.a w;gu yiq úh' ÈhKshf.a fmïj;d ljq±hs úmrï l< neÆ miq Tjqkaf.a ysi .sks .;af;ah' ;u ÈhKsh fm%aufhka ne£ ;sfnkafka ldka;djl iu. nj ±k .ekSfuka uy;a fia fldamhg m;a jQ Tjqyq tu ldka;djf.a ksjigu f.dia wehg myr §fuka muKla fkdkej;S u. hk tk wjia:djl l=Kq ì;a;rj,ska mjd oud .eiQy' fï isoaêfhka miq fmïj;sho wef. ka ÿria jQ w;r tA fõokdj;a" mjqf,a whf. ka fukau .fï wi,ajdiSkaf.ka mjd ú¢kakg isÿjQ ±ä wjudkhka u; wehg Ôú;h tmd úh' uq¿ .u mqrd muKla fkdj wy, .ïj,o weh uy;a wYS,dpdr wYslaIs; .eyekshl f,i yxjvq .eisks' mjqf,a wh weh ksjiska msgux lf<a uq¿ mjq,gu úYd, ,Êcdjla jQ ksidh' fï ±lajQfha iu,sx.sl;ajhg keUqre jQ ldka;djl .ekh' kuq;a ia;%S mqreI fomlaIfhau wh w;r iu,sx.sl;ajhg keUqre jQfjda isá;s' iu,sx.sl;ajh hkq iÞpdr úfrdaë fohlao hkak;a" iuyreka fujeks foaj,aj,g k;= jkafka wehso hkak;a úuid ne,sh hq;=h'

2015 ud¾;= l<dmh

iu,sx.sl wdl¾Ykh ´kEu orejl= jeäúh m;ajQ miq isÿjk fydafudak fjkialï fya;=fjka ,sx.sl;ajh flfrys wdl¾Ykhla we;sfõ' fuys§ jeä jYfhkau ,sx.sl wdl¾Ykh we;s jkafka úreoaO ,sx.slhka flfrysh' kuq;a l,d;=rlska ;ukaf.a ,sx.sl;ajhg iudk flfkla flfryS fuu wdl¾Ykh we;s ùug mq¿jk' iu,sx.sl wdl¾Ykh hkq thhs' weíneyshdjla fkdfõ''' fuh frda.hlao fkdfõ fuys widudkH;djhla ke;s kuqÿ iudch fuh olskafka b;du;a krl" my;a" kskaÈ; weíneyshdjla f,isks' flfia jqjo fï iïnkaOfhka lrk ,o fidhd .ekSïj,§ ;yjqre ù ;sfnkafka iu,sx.sl wdl¾Ykh hkq weíneyshdjla fkdjk njh' tfiau fuh frda.hlao fkdfõ' kuq;a iudch ;ju;a iu,sx.sl ne£ï ms<s fkd.kakd ksid by; lS isoaêfha fuka fï ;;ajhg m;a jQjka iudch ;=<ska oeä mSvkhg ,lafõ' 51

Homosexuality Explained

iu,sx.sl weiqrg f,d,a ùu frda.hlao@

.eUqre ne|Sula iu,sx.sl;ajhg keUqre jQ msßñhl= fyda ldka;djla ;ukaf.a j¾.fhau whl= weiqre lsÍfuka wfmalaId lrkafka ,sx.sl i;=gla ,eîu muKlau fkdfõ' ienúkau .eyekshl yd msßñhl= w;r we;sjk wdorh" n÷u wdorhla iy f,dl= udkisl ne£ula Tjqkag ;ukaf.a tu iu,sx.sl iylre $ iyldßh ^partner& flfryS we;sfõ' fï ;;a;ajhg keUqre jQ whl=g úreoaO ,sx.slhl= flfryS tn÷ yeÕSï we;s fkdjk w;r úreoaO ,sx.slhl= flfryS we;súh hq;= wdorh yd ne£u we;sjkafka iu,sx.slhl= flfrysh' kuq;a iudch fuh ms<s fkd.kakd ksid úYd, mSvkhlg ,lajk fï wh tksidu úYdo frda.hg n÷ka ùug o jeä yelshdjla ;sfí' we;euqka fï frda. ;;a;ajh u; ish Èú kid .ekSu o isÿ fõ' iu,sx.sl;ajhg keUqre jQ msßñhl= fyda ldka;djl úiska wjk; lr.kakd iu,sx.sl iylre$iyldßh o fï ksid wksjd¾hfhkau iu,sx.sl;ajhgu keUqre jk flfkl= njg m;ajk wjia:d wvqh' wms fuh ;j ÿrg;a fuf,i meyeÈ,s lr .ksuq'

hqj;shf.a foudmshkag ;u ÈhKsh fmïj;l= weiqre lrk njg bj jeáks' fmïj;d úiska tjd ;snQ wdorh jEfyk flá mKsúv lsysmhla o Tjqkaf.a w;gu yiq úh' ÈhKshf.a fmïj;d ljq±hs úmrï l< neÆ miq Tjqkaf.a ysi .sks .;af;ah' ;u ÈhKsh fm%aufhka ne£ ;sfnkafka ldka;djl iu. nj ±k .ekSfuka Tjqka uy;a fi fldamhg m;a jQy'

yiq jkafkda ljqrekao@ ir, f¾Ldjla we| tys fofl<jr A iy B f,i kï lrkak' yß ueo c f,iska ,l=Kq lrkak' A ia:dkfha isákafka úreoaO ,sx.sl md¾Yjh hehs is;uq' tkï úreoaO ,sx.slhka flfryS muKla wdl¾YKh we;sjk idudkH msßñka iy ldka;djkah' B ia:dkfha iu,sx.sl;ajhg keUqre jQ wh isákafka hehs is;kak' c ia:dkfha isákafka fï fomd¾Yjhgu keUqre úh yels whhs' tA wkqj c ia:dkfha whg úreoaO ,sx.slhka fiau iu,sx.slhka iu. o ne£ï we;s lr .; yelsh' kuq;a A iy c w;r isák fldgig ne£ï we;s lr .; yelafla úreoaO ,sx.slhka iu. muKs' B iy c w;r isák fldgi iu,sx.slhka flfryS f,d,a jkq we;' idudkH wkaoug mjq,a .; lsÍfï yelshdj fï wkqj iu,sx.sl;ajhg keUqre jQ hï ldka;djl fyda msßñhl= ;ukaf.a ,sx.sl iyldßh fyda iylre f,i

ffjoHjrhd - udisl ffjoH iÕrdj

f;dard .kakd ;eke;a;sh" ke;fyd;a ;eke;a;d c fldgfia isák flfkla kï tA mqoa.,hdg iu,sx.slhka fiau úreoaO ,sx.slhka iu. o ne£ï we;s lr .ekSfï yelshdj we;' tA wkqj tA ldka;djg fyda msßñhdg úreoaO ,sx.slfhl= iu. újdy ù idudkH wkaoug mjq,a .; lsÍfï yelshdj mj;shs' kuq;a iu,sx.sl msßñhdf.a fyda ldka;djf.a weiqrg m;a jQfha c iy B w;r isák flfkla kï tu ,sx.sl iylreg úreoaO ,sx.slhl= iu. weiqrg m;a ùu iy tjeks whl= yd újdy Ôú;hla .; lsÍu wmyiqh' foore msfhlaf.a l;dj tla foore mshl= wm fj; meñKsfha ;ud iu,sx.sl;ajhg o keUqre jQ whl= nj mjid tu ;;a;ajfhka ñ§ug Wmldr jk f,i b,a,ñks' Tyq iu. l;d ny lsÍfï§ jegyqfka Tyqg ldka;djka iu. fukau msßñka iu. o fkdfjkia f,i ,sx.sl ne£ï we;s lr.; yels njh' fï wkqj Tyq by; lS mßÈ c ia:dkfha isák flfkls' Tyq ;uka okakd y÷kk ;reKhl= iu. iu,sx.sl weiqrla f.dv k.d f.k ;sìKs' kuq;a Tyqg ìß| iu.o ldhslj tl;= jkakg" mjq,a Ôú;h fyd¢ka mj;ajd f.k hdug fkdyels jQfha ke;' flfia fyda miqlf,l ìß| fï ms<sn|j ±kf.k Tyqj ms<sl=,a lrkakg;a" ±ä f,i wmydi lrñka Tyq úYd, wmrdOhla lrk whl= f,i yqjd olajkakg;a ùu ksid Tyqg ìß| tmd úh' tys m%;sM,h jQfha Tyq iu,sx.sl iylre fj;u k;= ùuh' neßu ;ek ìß| fuh Tyqf.a mjqf,a whg o mjid Tyqf.ka Èlalido ùug ;SrKh l< ksid úYd, ,Êcdjlg;a kskaÞ wmydij,g;a ,la ùu u;ska Tyqg iu,sx.sl weiqfrka ñ§ug jqjukd úh' Tyq wm fj; meñKsfha idudkH ;;a;ajhg m;aùug Wmldr b,a,ñks' fufia c fldgfia isák whg idudkH ;;a;ajhg m;a ùug jqjukdj we;s jk uq;a" B fldgfia isák wh ;u leue;af;ka ñ§ug fndfydaúgu iQodkï ke;' thg fya;=j Tjqkg úreoaO ,sx.slhl=

2015 ud¾;= l<dmh

flfryS wdorhla iy ,sx.sl ne£ula we;s lr .ekSug fkdyels ùuh' iu,sx.sl weiqrg keUqre jQ whl=g bka ñ§fï jqjukdjla we;akï muKla ufkda Ñls;ailjrhl=g tA i|yd Wmldr l< yelsh' kuq;a tjeks whl=f.a iu,sx.sl wdl¾YKh nf,ka fjkia lsÍug Ñls;ailjrhl=g whs;shla ke;' l=vd ld,fha fyda kj fhdjqka úfhaa § hul= m<uqjrg ,sx.sl W;af;ackhla ,enqfõ iu,sx.slhl= fj;ska kï miqj tA me;a;gu keUqre ùug hï yelshdjla ;sfí' kuq;a th yeu úgu tfia jkafka ke;s nj o lsh hq;=h' tfiau iu,sx.sl;ajhg keUqre ùu i|yd fydafudakj, n,mEula o ;sìh yelsh' flfia fyda iu,sx.sl;ajhg keUqre ùu udkisl widudkH;djhla f,i fyda frda.hla f,i ufkda úoHdjj;a ufkda ffjoH úoHdjj;a ms<s fkd.kS' th tla tla mqoa.,hdf.a leue;a;h'

24, March - World TB Day

;ju;a f,dalfhka laIh lr.kq neß laIh frda.h

ud¾;= 24 oskg fhfok f,dal laIh frda. oskh ksñ;af;ks

;ju;a f,dalfhka laIh lr.kq neß laIh frda.h laIh frda.h hkq l=ulao @ laIh frda.h hkq Mycobacterium tuberculosis kue;s neis,ih u.ska we;sjk frda.hls' ta yereKQ úg uhsfldnelaàßhï ldKavhg wh;a wfkl=;a nelaàßhdjka ksido laIh frda.h we;s ùug yelshdj ;sfí' fndfyda wjia:dj,oS laIh frda.h ksid wdidokhg ,la jkafka fmKy¿h (Pulmonary TB) laIh frda.h YÍrfha wfkl=;a fldgia j,go n,mEï we;s l< yel' (Extra pulmonary TB)

;j flfkl=g laIh frda.h je<f|k yeá laIh frda.h ksid fmKy¿ wdidokhg ,lajQ m%;sldr fkd,nk flfklaf. ka ;j;a flfkl=g fï frda.h fnda úh yels jkafkah' frda.shd lysk" lsúisk yd iskdfik úg neis,h wvx.= cSjdKQ jd;hg ì|s;s jYfhka tl;= jkafkah' ksfrda.S mqoa.,fhl= fï ì|s;s wd>%dKh lsÍfuka laIh frda.hl= ùug bvla we;af;ah' idudkHfhka m%;sldr fkd,nk frda.sfhl= jirl ld,hla ;=< ksfrda.S mqoa.,hka 10-15 lg frda.h fnda lrhs' fï yereKQ úg Extra pulmonary TB ;;a;ajfhaoS wka whg frda.h fnda lsÍfï yelshdj wvqh' laIh frda.h fnda jkafka ldgo @ neis,i wvx.= îcdKq YÍr.; jQjla yefudagu frda.h fnda jkafka ke;' cSú; ld,h ;=< frda.h fndajkafka ck.ykfhka ishhg 10 lg muKs' fndaùfï wjodku nyq,j we;af;a my; whgh'

ffjoHjrhd - udisl ffjoH iÕrdj

² frda.Ska yd iómfha isák wh ² orejka ² jeäysáhka ² oshjeähd frda.Ska ² iafgfrdhsv T!IO .kakd wh ² lSfudf;rms wdoS m%;sYla;slrK moaO;sh ÿ¾j, lrk T!IO .kakd wh ² tAâia frda.Ska ² u;ameka u;aøjH Ndú;hg weíneys jQjka ² fmdaIKh wvq wh ² m%udKj;a wdf,dalh" jd;d>%h fkdue;s ckdlS¾K m%foaY j, fjfik wh laIh frda.h - frda. ,laIK ² i;s follg jeä ld,hla mj;akd leiai ² ta iu. f,a msgùu" yqiau .ekSfï wmyiqj" mmqfõ lelal=u ² rd;%S ld,fhaoS oyäh oeóu ² WK .ekSu ² wdydr wreÑh ² úvdj iy nr wvq ùu wjfYAI ia:dk j, we;sjk laIh frda.fhaoS (Extra pulmonary TB) ta ia:dkh wkQj we;sjk ixl+,;d fjkia úh yel' rd;%S ld,fhaoS oyäh oeóu" WK .ekSu" wdydr wreÑh fmdÿ frda. ,laIK jkafkah'

2015 ud¾;= l<dmh

frda.h y÷kd .ekSu fiu mg, mÍlaIdjla u.ska uQ,slj isÿ flf¾' ta yereKQ úg fiu mg, frdamk mÍlaIKh fukau mmqfõ tlaia lsrK mÍlaIKho iydh lr.efka' laIh frda.h iqj lr.; yelso@ ksielfhkau mq¿jk' ta i|yd Tn l< hq;af;a udi yhla fkdlvjd" fkdjrojd" u. fkdyer fokq ,nk fnfy;a ta ms<sfj,gu .ekSuhs' thska Tng ksÜgdjgu laIh frda.h iqj lr.; yelsh' kshñ; mßos fok ,o m%;sldrh fkd.;fyd;a jkafka l=ulao@ túg laIh frda. neis,h fokq ,nk fnfy;a j,g m%;sM< ,nd fokq we;' frda.h jvd ne?rï wählg m;a fõ ' th Multi Drug resistant TB (MDRTB) f,i ye|skafjk wjia:djhs' tu T!IO jvd Wiia T!IO jeä ld,hla oSug isÿ fjhs' jeh jk uqo,o wêlh'

24, March - World TB Day

;ju;a f,dalfhka laIh lr.kq neß laIh frda.h

laIh frda.h i|yd jk fvdÜ m%;sldrh Directly Observed Treatment (DOT) hkq l=ulao @ laIh frda.h l<uKdlrKfhys,d f,dal fi!LH ixúOdkfhyso ks¾foaYh ,enQ M<odhS m%;sldrh fï DOT m%;sldrhhs' fuysoS frda.shd fnfy;a fm;s ,nd.; hq;af;a mqyqKQ fi!LH ld¾h uKAv, idudcslfhl= bosßmsgoSh' frda.shd kshu T!IOh kshñ; ud;%dfjka yd kshñ; ld, wka;rfhaoS ,nd.ekSu fuu.ska ;yjqre jkafkah' laIh frda.h m%;sldrj,sfha uq,a i;s lsysmfhaoSu frda. ,laIK fndfyda úg wvqfõ' fuysoS ,o m%;sM<fhka iEySug m;aj frda.shd b;sß ld,fha fnfy;a .ekSu w; yeßfhd;a fyda ´kEjg tmdjg bkamiq fnfy;a .;af;d;a óg fmr lSjdla fuka we;sjkafka Nhdkl ;;a;ajhls' fuysoS myiqfjka lvd.; fkdyels frda. ;;a;ajhlg frda.h mßj¾;kh jk w;r bkamiq frda.fhka ñoSug buy;a mßY%uhla oeÍug isÿjkq we;' fi!LH fiajlfhl= idlaIs lr.;a T!IO .ekSula (DOT) laIh frda.hg y÷kajd we;af;a ta fjkqfjks'

laIh frda.h ie<ls,a, b,a,d isák frda.hla ² laIh frda.h ÿ.SNdjh yd iDcq in|;d mj;ajk frdaa.hls' ² f,dalfhka ;=fkka mx.=jla laIh frda.h wdidos;hka fõ' ² 2012 oS kj laIh frda.Ska ñ,shk 8'6la jd¾;d úh' jirlg ,laI oyhla laIh frda.h ksid ñh hhs' laIh frda.h ,xldfõ ;;a;ajh ² j¾Ihlg frda.Ska 9000-10"000 frda.Ska m%udKhla jd¾;d jkafkah' ² 2013 j¾IfhaoS frda.Ska 9406 la jd¾;d úh' ² fï whf.ka 4423 lf.a fiu mg, wdidos; úh' ñka woyia jkqfha Tjqka wka whg frda.h fnda lrk ldKAvfha njhs' ² fï whf.ka mfyka tlla fld<U osia;%slalfhks' ckdlS¾K m%foaY j,ska nyq,j frda.Ska jd¾;d úh'

ffjoHjrhd - udisl ffjoH iÕrdj

2015 ud他;= l<dmh

Oral Cancer

uqL ms<sldj y÷kd.ekSu iy je<elaùu' m%;sldr lsÍu iy frda.Ska /l n,d.ekSu oka; Y,H ffjoH uyskao jksiqkaor úisks f,dalfha ms<sld frda.Skaf.a ixLHdj ie<lsh hq;= m%udKhlska jeäfjñka mj;S' YS% ,xldfõ ;;ajho tfiau fõ' fï w;ßka uqL ms<sld frda.Skaf.a ixLHdjo iS>%fhka jeä ù we;s w;r uqL ms<sldj YS% ,xdlsl msßñ ms<sld frda.Ska w;r m<uq ;ek .kS' YS% ,dxlsl ms<sld frda.Ska w;r w;ßka 13'3 ] la uqL ms<sld fõ'

uqL ms<sldj

úúO wys;lr cSjk rgdjkays m%;sM,hla f,i je<f|k uqL ms<l s d frda.k S g a m%;sldr lsÍu i|yd wjYH T!IO Y,Hl¾u yd úlsrK m%;sldr fjkqfjka rchg w;s úYd, úhoula orkakg isÿj we;' rchg muKla fkdj mqoa.,sljo frda.Ska /ln,d .ekSug" úfYaI m%;sldr i|yd frday,a fj; hdï Bï i|yd iy iuyr mÍlaIK i|yd úhoï oeÍug isÿfõ' mjqf,a wdodhï Wmhk mqoa.,hdg fuh isÿù we;akï wd¾Ólh lvd jefÜ' tmuKla fkdj mjqf,a iqnjd§ udkisl ;;ajh ì| jeàugo bjy,a fõ'

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

waidyawaraya.com

ffjoHjrhd - udisl ffjoH iÕrdj

uqL ms<sld frda.Skaf.ka 70] la muK fidhdf.k we;af;a fukau fidhd.efkñka mj;skqfha ms<sldj l,a.;ùfuka miqj ksidfjka frda.shdf.a cSú;fha .=Kd;aul Ndjh jeäÈhqKq jkafka b;d w,am jYfhks' ta ksid fi!LH wud;HdxYh cd;sl ms<sld u¾Ok fiajd cd,h yryd uqL ms<sld ksjdrK jevigyka l%shd;aul lrñka oekqu ck;dj w;rg f.k hñka isà' YÍr wNHka;rfha we;sjk ms<sld l,ska y÷kd.ekSu b;d wiSrejk w;r th y÷kd.; yelsjkafka frda. ,laIK fmkakqï lsÍfuka miqjh' ta jkúg ms<sldj hï ;rulg me;sÍ ;sîu" YÍr wNHka;rfha we;s ms<sld md,kh lsÍfï m%Odk .eg¨jhs'

2015 ud¾;= l<dmh

tfy;a fndfyduhla uqL ms<sld l,ska y÷kd.; yels w;r tajd ms<sn|j ukd wjfndaOfhka miqjkafka kï uq¿ukskau mdfya j<lajd .ekSugo yelsfõ' kuq;a wog;a uqL ms<sld frda.Ska frday,a.; jkafka ms<sldj me;sÍ iqjl< fkdyels wjêhl§ ùu b;du lK.dgqodhl lreKls' oUq,a, frdayf,a oka; uqL iy yKql Y,H tallhg jd¾;d ù we;s frda.Ska i<ld ne,Sfï§o ;;a;ajh tfiau fõ' jd¾;d ù we;s frda.Skaf.ka 99] la muKu jd¾;d ù we;af;a ms<sld ,laIK W;aikak ùfuka miqjhs' fuu wjia:dfõ mj;sk ms<sld j,g m%;sldr lsÍfï oS ffjoHjreka b;d wiSre;d j,g m;afõ' uqL ms<sldfjka je<lSug we;s u. jkafka thg fya;= mdol jk ldrKdj,ska wE;aùu iy ck;dj oekqj;a lr tajdhska wE;a lsÍuhs'

idudkHfhka fjk;a ms<sld fuka fkdj uqL ms<sld we;sùug fmr uqLh ;=< fjkiaùï fmkakqï lrk w;r tu fjkiaùï mQ¾j ms<sld ,laIK kñka ye|skafõ' fuu mQ¾j ms<sld mj;sk wjia:dfõa§ y÷kd.ekSfuka wkd.;fha§ ms<sld we;sùu md,kh l< yelsh' YS% ,xldfõ 2002 - 2003 cd;sl uqL fi!LH iólaIKhg wkqj wjqreÿ 35 g jeä jeäysá ck.ykfha mQ¾j ms<sld m%jK ;djh 3'4] la fõ'

Oral Cancer

uqL ms<sldj

ms<sldjlg fmr mj;sk mQ¾j ms<sld fmr ms<sldj jeämqru wdrïN jkqfha uqLh ;=< we;s wdjrK isúh u;=msáh' ksfrda.S mqoa.,fhl=f.a fuu isúh frdai meyefhka hqla; jk w;r fuh uqL Yaf,aIau, mg,h f,i ye|skafõ' uqLfha ms<sldjla iE§ug fmr iEfyk ld,hla ;siafia Yaf,aIau, mg,fha iuyr fjkiaùï isÿjk nj fndfyda fihska fmkS f.dia we;' fuu fjkiaùï mQ¾j ms<sld ,laIK f,i y÷kajhs' kuq;a iuyr ms<sld mQ¾j ms<sld ,laIK j,ska f;drj fl<skau we;sjk wjia:d we;' mQ¾j uqL ms<sld ,laIK 1. uqLh ;=< r;=mdg u;=msgla we;s m%foaY' 2. widudkH oeú,a,la iu. we;sjk f;d,a iy uqL Yaf,aIau,fha iqÿ ùula fyda r;= ùula' 3. uqLh ;=< biau;= ù fmfkk iqÿ <m' fïjd fõokdjla fkdue;s w;r myiqfjka bj;a l< fkdyelsh' 4. uqLh ;=< iqÿ fyda r;= .eá;s iys; <m' 5. Èj keófï iy uqLh újD; lsÍfï wmyiqlï ^uqL Yaf,aIau, *hsfn%daishdj&'

1. uqLh ;=< r;= <m iy r;= meye;s u;=msgla we;s m%foaY' Êrythroleukoplakia& fuh l,d;=rlska uqLfha olakg ,efnk ;;a;ajhla jqj;a ms<sldjla njg m;aùfï jeä yelshdjla mj;S' fuys§ r;=mdg ú,aö jeks <m m%foaY jfÜg iqÿ mdg m%foaY uqL Yaf,aIau,h ;=< olakg ,efí' 2. widudkH oeú,a,la iu. we;sjk f;d,a iy uqL Yaf,aIau,fha iqÿ ùula fyda r¿ ùula' fuh uqL Yaf,aIau, *hsfn%daishdj f,io y÷kajhs' Ôral Submucous Fibrosis& YS% ,xldj ;=< mqjla Ndú;h jeäùu ksid fuu ;;ajh jeäfjñka mj;S'

ffjoHjrhd - udisl ffjoH iÕrdj

fuys§ ;reK jhfia miqjk nq,;a" mqjla yemSug mqreÿ ù we;s wh w;r jeä jYfhka olakg ,efí' ;jo jeäuy,a wh nq,;a úgg mqjla Ndú;d lrk úg wjqreÿ 2" 3 jhia j, <orejka mjd tajd È.=ld,Skj yemSu ksidfjka uqL Yaf,aIau, *hsfn%daishdjg f.dÿre ù we;s nj iólaIK j,ska fy,sù we;' ta w;ru mdi,a hk jhia j, miqjk <uqka ndnq,a" îvd" jqäld hk kï j,ska ye|skafjk mqjla melÜ Ndú; lsÍug mqreÿ ùfuka YS% ,xldj ;=< ;j ;j;a fuh jeäùug fya;= ù we;' fuh b;d Nhdkl ;;a;ajhls' uqL Yaf,aIau, *hsfn%daishdj uq,a wjia:dfõ§u y÷kd.; hq;=uh' ukao h;a tu frda.S ;;a;ajh ksid miq ld,Skj we;sjk uqLh újD; lsÍfï wmyiq nj iqj lsÍu b;d wmyiq fõ'

2015 ud¾;= l<dmh

Oral Submucous Fibrosis fuu frda.fha wdrïNl ,laIK 1. widudkH f,i uqLfha oeú,a,la yg .ekSu' b;d iq¿ ñßia m%udKhla iys; wdydrhla .;a úg widudkH f,i oeú,a,la yg .kS' 2. uqL wdia;rKh l%u l%ufhka b;d ;o iajNdjhla .ekSu' ^Leathery& 3. Wvq iy há f;d,aj, uqL Yaf,aIau,h iqÿue,s ùu hlv W!K;djh ksid o uqL Yaf,aIau,h isÿ úh yelsh' fuh ffjoHjreka hlv W!K;djhla f,i jrojd jgyd .; yelsh' tfy;a oka; Y,H ffjoHjrekag ukd mqyqKqjla iy yelshdjla we;s ksid fuh myiqfjka y`ÿkd .; yelsh'

Oral Cancer

hlv W!K;djh

uqL Yaf,aIau, *hsfn%daishdj frda.fha miqj we;sjk frda. ,laIK' 1. uqLh újD; lsÍfï wmyiqj 2. l:d lsÍfï wmyiqj 3. osj frda,a lsÍfï iy bosßhg oeófï wmyiqj 4. ;ka;= >K ùu ksid Yaf,aYau,h ;=< odr we;s ù ;sîu' ^Fibrous band&

uqL ms<sldj

uqL ms<sldjla je<ÿkq frda.sfhl= my; i`oyka ,laIK tlla fyda lsysmhla fmkakqï lrhs' 1. uqLfha widudkH j¾Okhla mej;Su'

2. ms<sld we;s m%foaYfha o;a fi,ùu'

fuu ;;a;ajh uqL ms<sldjla njg m;a ùfï yelshdj 7'6 ] ls' Y%S ,xldj ;=< fuu m%jK;djh wjqreÿ 35 g jeä ck.ykfhka 1000 lg 4 la muK fõ' uqLh újD; lsÍfï wmyiqlu we;s uqL Yaf,aIau, *hsfn%daishdj je<`ÿkq frda.Sfhla 3. uqLfha ÿ¾.kaOh 4. f;d,a yssß jeàu' 5. uqLfha i;s 2-3 lg jvd mj;sk iqj fkdjk ;=jd,hla 6. uqLh ;=< úfYaIfhka yl= m%foaY j, .eUqre újr we;s ùu' uqLfha ´kEu ia:dkhl ms<sld yg .ekSug mq¿jk' tu ms<sldj uqLh ;=< iqj fkdjk ;=jd,hla f,i o oelsh yelsh'

ffjoHjrhd - udisl ffjoH iÕrdj

7. YÍrfha nr wvq ùu" ÿ¾j,lï yd wdydr yemSfï wmyiq;d we;s ùu' ÿï mdkh uqL ms<sld iy mQ¾j uqL ms<sld we;s ùug n,mdk m%Odk fya;= f,i ÿïmdkh" nq,;a úg iemSu" uOHidr Ndú;h" wl%uj;a iy iun, fkdjk wdydr rgd ffjri iy os,Sr wdidok" ÿ¾j, uqL fi!LHhka mj;ajd .ekSu wdosh i`oyka l< yel' ÿïfld< ÿfuys wvx.= ;dr kñka y`ÿkajk øjHh ridhksl øjH .Kkdjlf.a ñY%Khls' fnkafidlhsßka" fmd,sihsla,sla wefrdaueála yhsfv%dldnka" khsfg%dfidweóka" îgdkeka;,sla leâñhï yd ksl,a" 2015 ud¾;= l<dmh

wdiksla" fl%dañhï ;drj, wvx.= ridhksl øjHhkaf.ka iuyfrls' fuys wvx.= ridhksl øjHhkaf.ka muK ms<sld ckl nj fidhdf.k we;' fïjd YÍr wNHdihka;rfha fndfyda ia:dkj, ms<sldjka we;s lrhs' nq,;a úg iu`. ÿïfld< ymk úg ms<sld ckl 28 la muKksoyia jk nj m¾fhaIK j,ska fy<s ù we;' nq,;a úg iemSu nq,;a fld<fha ms,sld ckl ke;s kuq;a nq,;a o`vq" u,a iy lr,a j, we;s ie*afrda,a kue;s *Sfkda,a j¾.h ms<sld ldrlhla úh yels nj iuyr mÍlaIK j,ska fmkajd oS we;' tfy;a Y%S ,dxlsl ck;dj nq,;a fld<fha fofl<jr ;vd lEug mqreÿ ù we;s ksid tu n,mEu isÿ fkdfõ' nq,;a úg iemSu Y%S ,xldfõ iïm%odhdkQl+, pdß;% l%u yd ne`oS mj;sk w;r .%dóh iy j;=lrfha uq,anei.sh mqreoaola f,i mj;S' 2003 isÿ lrk ,o cd;sl uqL fi!LH iólaIKhlg wkqj jhi 35-44 whf.ka 34] nq,;a úg iemSug mqreÿ ù we;s w;r wjqreÿ 65 g jeä wh 47'7] nq,;a úg iemSug mqreÿ ù we;' ;jo" 2008 inr.uq m<df;a isÿ lrk ,o iólaIKhlg wkqj wjqreÿ 30 g jeä ck.ykfhka 53'7] la oskm;d nq,;aúg iemSug mqreÿ ù we;' 63

Oral Cancer

uqL ms<sldj

by; i`oyka l< wdldrhg ÿïfld< nq,;a iu`. imk úg Tobacco Specific Nitrosoamine (TSN) f,i y`ÿkdf.k we;s ms<sld ckl 28 la ksoyia jk nj;a iemSfï l%shdj,sfha oS mrudKql O2 ksoyia ùu ksid cdk úlD;s ùfuka ^Mutation of a Gene& widudkH ffi, úfNaokhla ms<sldjla njg j¾Okh fõ'

mqjla Ndú;h mqjla .fia ckauh Y%S ,xldj iy uef,aishd rgj, isÿj we;s ksid Y%S ,xldj we;=¿ ol=Kq wdishd;sl rgj, nq,;aúg iu`. mqjla iemSu mqreoaola ù we;' jir 2000 oS wka;¾cd;sl mqjla iuq¿jla ì%;dkHfha oS mj;ajd we;' tysoS wkdjrKh ù we;af;a f,dal ck.ykfhka 10] - 20] la muK m%udKhla tkï ñ,shk 600 l m%udKhla nq,;a iu`. mqjla iemSug mqreÿ ù we;s njls' mqjla iemSug weíneys jk nj;a tys wvx.= ix>gl .xcd" wìka" uOHidr j, we;s ix>gl j,g weíneys jk wdldrhg weíneys jk nj 2014 wf.daia;= udifha mqjla iy ÿïmdkfhka fkdjk ÿïfld< Ndú;h iy uqL ms<sld ms<sn|j uykqjr meje;ajQ wka;¾cd;sl iuq¿fõ§ 64

f,djgu fy<slrk ,§' fuu iuq¿j i|yd foaYSh fukau úfoaYSh úoaj;ayq /ila iyNd.S jQy' ta w;r uqL iy ykql ms<sld ms<sn| m¾fhaIK úYd, ixLdjla isÿlr f,dal fi!LH ixúOdkfhka o uqL ms<sld ms<sn| úfYaI{fhl= f,i lghq;= lrk uydpd¾h iuka j¾Kl=,iQßh ffjoH;=uka YS% ,xldfõ uqL ms<sld iy ykql iy fn,af,ka by< fldgia j, ms<sld ms<sn| m¾fhaIK isÿlrk fmardfoKsh úYaj úoHd,fha oka; ffjoH mSGfha jHdêfõ§ wxYfha uydpd¾h ví,sõ'tï' ;s,lr;ak uy;d cd;sl ms<sld u¾Ok jevigyfka fiajfha kshq;= rgmqrd ck;dj ms<sld ms<sn| fukau ms<sld ldrl ms<sn|j oekqj;a lrñka YS% ,dxlsl ck;dj uqL ms<sldfjka wE;a lsÍug oejeka; fufyjrl fhfok m%cd oka; Y,H úfYaI{ ffjoH fyauka; wurisxy uy;d uydpd¾h

ffjoHjrhd - udisl ffjoH iÕrdj

ldf,da f*dkafiald uy;d" oka; uqL iy ykql Y,H úfYaI{ ffjoHjreka ms<sld frda. ms<sn| úfYaI{ ffjoHjreka YS% ,dxlsl oka; Y,H ffjoHjreka úYd, ixLHdjla tu iuq¿jg foaYSh úoaj;=ka jYfhka iyNd.S jQy' bka§h uydpd¾hh mkaldca p;=¾fõ§" bka§h uydpd¾h m%ldYa .=ma;d we;¿ úfoaYSh úoaj;=ka lsysmfofkla tu iuq¿jg iyNd.S jQy' tys§ Tjqka ish,a,u y~ k.d lshkakg W;aidy lf<a uqL iy ykql ms<sldj idodf.k thg ms<shï fhdokjdg jvd th j<lajd .ekSug W;aidy lsÍu jvd;au nqoaêu;a fukau wd¾Ól w;skao jdis fok l%shdj,shla njhs' fuu iuq¿fõ foaYlhka w;ßka ud jvd;a is;a.;a m%ldY folls'

ukiska úuiSfï§ fmkS.sh m%Odk fohla jQfha tÈk frda.Skaf.a idïm, j, ms<sld ffi< úYd, ixLHdjla oel ;snqK njls' tkï frda.Ska úYd, ixLHdjla uqL ms<sld iy ykql ms<sld we;s njg ;yjqre lsÍug isÿjk nj i`oyka lrñ' —frda.Skaf.a idïm, j, ms<sld ffi, fkdoel isá ojig ud udkislj b;d ;Dma;sfhka miqjkafkñ' uu bosßhg ud frda.Skaf.a idïm, j, ms<sld ffi, fkdoelSug m%d¾:kd lrñ'˜ uydpd¾h ví,sõ'tï' ;s,lr;ak uy;df.a fuu m%ldYh oka; uqL iy ykql Y,H ffjoHjreka ish¿ fokdu;a ish¿ oka; Y,H ffjoHjreka wkqu; lrkjdg lsisu ielhla ke;' tfukau bkaoSh uydpd¾h mkaldca p;=¾fõoS o m%ldY lf<a ms<sld frda.Ska oelSu ;ud m%sh fkdlrk nj;akuq;a ;ud ms<sld frda.Ska ÿgq úg Tjqkag m%;sldr lsÍug m%udo fkdjk nj;a h' tfy;a fï fjfyilr ld¾hfhka ksoyia ùug kï oka; Y,H ffjoHjreka tlg tlaù tlai;aj ck;djg úYd, fiajhla lsÍug woshka lr .; hq;= njls'

—WoEik ld¾hd,hg msúi jev mgka.;a miq" Èkh wjidkfha§ ud b;d w;Dma;slr udkisl;ajfhka miqjkafkuq'˜ fï ldrKh ms<sn|

flfia fj;;a mqjla ksid ms<sld we;sjk nj fndfyda fofkla fkdokS' uqL ms<sldjg m%Odk jYfhkau fya;= jkafka yqKq nj jeros f,i jgydf.k we;' idudkH ck;dj muKla fkdj Y%S ,dxlsl W.;=ka iy mQcH mlaIfha úfYaIfhka iajdókajykafia,d mjd mqjla uqL iy ykql ms<sld we;s ùug m%Odk fya;=fjka nj

2015 ud¾;= l<dmh

fuysoS tosk /iaù isá ish¿ oka; Y,H ffjoHjreka tlfy<d m%;s{djla ÿks' oka; Y,H ffjoHjrekag jvd jeo.;a jkafka Tjqkaf.a cSú;h wjikoS fN!;sl iïm;a j,g jvd Tjqka ck;djg l< fiajh fldmuK o hkak muKla njhs' fufia oka; Y,H ffjoHjrekaf.a tlaùu Y%S ,xldfjka uqL iy ykql ms<sldj rfgka ;=rka lsÍug uy;a msgqjy,la jkjdg lsisÿ ielhla fkdue;'

Oral Cancer

uqL ms<sldj

Y%S ,xldfõ mdi,a hk jhfia <uqka úYd, jYfhka ndnq,a" îvd jeks mqjla melÜ iemSug weíneys fjñka mj;S' fuksid uqL Yaf,aIau, *hsfn%daishdj ;reK whf.a olakg ,eîug ÿ¾,N fkdjk ldrKhla f,i fmfka' ;jo nq,;a úg ksid o;aj, nef`ok lyg iy ÿïmdkfhka o;aj, we;sjk j¾K .ekaùu myiqfjka oka; Y,H ffjoHjrekag y`ÿkd.; yelsh' úfYaIfhka mdie,a ffjoH mÍlaIK isÿ lrk Y%S ,xldfõ m%cd iy jeäysá oka; idhkj, kshq;= oka; Y,H ffjoHjreka wvqu ;rñka udi 06 lg j;djla fyda <uqka mÍlaId lr fuu j¾K .ekaùï we;akï ta ms<sn`o lreKq úuid n,d wjYH WmfoaYk ,nd oSfuka uQ,sl wjia:dfõoSu fuu wys;lr mqreÿ j,ska Tjqka wE;a lsÍug fya;=mdol fõ' tfiau fuu wys;lr mqreÿ ùug mdi,a <uqkaf.a ÿ¾j, fm!¾I;ajhla tkï" —fmdrla ùug˜ orK W;aidyhl m%;sM,hla fyda ;ukaf.a isf;a ke;s i;=gla ,nd.ekSug orK W;aidyhl m%;sM,hla úhyels nj udf.a yeÕSuhs' tuksid fï ms<sn|j wjOdkh fhduqlr udkisl .eg¿ we;s mdi,a <uqka fm!¾I;ajfha .eg¿ mj;sk wh ^Personality& udkisl WmfoaYkh i|yd o fhduq lrùu o wmf.a j.lSuls' ;jo mqjla Ndú;h ksid YÍrfha fjk;a wdndO o we;s fõ' mqjla j, we;s we,afldf,dhsâ u.ska weíneysùu we;s we,afldf,dhsâ u.ska weíneysùu we;s l< yels w;r kj;u mÍlaIKj,g wkqj oshjeähdj" ia:Q,Ndjh yd yDohdndO we;s ùug yelshdj we;s nj ikd: lrhs'

uOHidr Ndú;h uOHidr Ndú;h o uqL ms<sldj we;sùug n,mdk m%Odk fya;+ka w;r we;' ngysr rgj, jeämqr fofkla uOHidr Ndú;hg mqreÿ ù we;s ksid uqL iy .,kd,fha ^Oral and Oropharyngeal& ms<sld nyq,j we;s ùug fya;= mdol ù we;' uOHidrj, ridhksl ixhq;sh foi ne,SfïoS my; i`oyka ix>gl wvx.=j we;' 1. t;fkda,a CH2OH 2. c,h H2O 3. jdIam jk rildrl Volatile Flavor Compounds 4. jdIamYS,S fkdjk øjH

nq,;a úg iu`. Ndú;d lrk yqKq uqL Yaf,aIau,h iSÍulg ,la lrk ksid ÿïfld< iy mqjlaj, wvx.= ms<sld ckl ridhksl ixfhda. uqL Yaf,aIau,h yryd we;=¿ ùug Woõ lrk w;r mqjla yqKq j,ska ,nd fok NdIañl udOHfha oS ffi,j, cdk úlD;s;d we;s lrñka Tlaiscka wKql mrudKq ksoyia lsÍug bjy,a jk nj ikd: ù we;' 66

fndfyda fofkl=f. ka uOHidr Ndú;h ms<sn`oj úuiSfïoS mjikqfha —uu wrlal= mdúÉÑ fkdlrk nj;a" ìh¾ iy úials j¾. muKla mdúÉÑ lrk nj;a h'˜ fuh fndfyda wh uy;a Wcdrefjka m%ldY lr;s' kuq;a iuyr ìh¾ iy úials j¾.

ffjoHjrhd - udisl ffjoH iÕrdj

j, N – Nitrosodiethylamine ms<sld cklh óg wu;rj iuyr úials j¾. j, we;s Polycycline aromatic hydrocarbons ms<sld ckl fõ'

fuksid iuyr ìh¾ iy úials j¾. ms<sld we;s ùug bjy,a jk nj hqfrdamd rgj, lrk ,o mÍlaIK j,ska fmkajd oS we;' kuq;a wm rfgys we;s wrlal= j¾. fujka mÍlaIK j,g n`ÿka ù fkdue;' tksid wrlal=j,g jvd ìh¾ mdúÉÑ lrk Woúh ;;a;ajfhka Wiia nj;a" Tjqkag wrlal= ^uOHidr j,ska& ,efnk wys;lr m%;sM, j,ska wE;aùug yels hehs is;d isàu ms<sn`oj ;jÿrg;a i,ld ne,sh hq;= nj is;g .; hq;=h' ms<sld iEoSug uOHidr bjy,a jk whqre 1. uOHidr YÍrhg we;=¿ jQ miq YÍrfhys mßjD;a;Sh l%shdj,Skag Ndckh ùfï oS weisge,aäyhsâ hk ridhksl ksmo fõ' fuh wlaudfõoS;a wmsßisÿ uqLhla ;=<;a ksIamdokh fõ' 2. idudkHfhka YÍrfha lsishï cdk úlD;s;djhla isÿ jQ úg iajNdúlju ta úlD; jQ cdk ms<silr lsÍfï yelshdjla mj;S' uOHidr Ndú;fha§uOHidr j,ska úlD;s jQ cdk kej; ms<silr lsÍu kj;d ouhs' 3. ;jo uOHidr uqLfha mj;sk úg uqL 2015 ud¾;= l<dmh

Yaf,aIau,fha ,smsv wdjrKh uOHidr u.ska Èhlr yeÍu ksid ms<sld>kl Wrd.ekSu myiq lrhs' 4. úgñk jeks úfYaIfhka B úgñk jeks fmdaIK W!k;d we;sùfuka o ms<sld ix>gl myiqfjka we;=,aùug yelshdj we;sfõ' 5. t;fkda,a mqoa., YÍrfha m%;sYla;slrK moaO;sfha wvq ¨yqvqlï we;sùug o n,mdhs' m%;sYla;slrK moaO;sfha hï hdka;%Khla u.ska tla;rd m%udKhlg ms<sld ffi, .s, oeófï yelshdjla mj;S' tu yelshdj t;fkda,a ksid ì|jefÜ' fï fya;=j ms<sld we;sùug bjy,a jk njg fidhdf.k we;' 6. wdydr iuia:hla jYfhka .;aúg ish¨u ms<sld j¾. we;sùug iuyr wdydr j, wvx.= ridhksl øjHhka o n,mkd nj fidhdf.k we;' 67

Oral Cancer

uqL ms<sldj

ms<sld we;s ùug 20] - 30] muK n,mEula wdydr j,ska we;s nj ie,hs' ;jo wdydr j, wvx.= iuyr fmdaIH mod¾:hkaf.a W!K;djhka o fya;=ldrl jk nj iólaIK j,ska fy<s ù we;' úgók jk A,C,D,E hkdosh ms<sld j,ska wdrlaId ùug WmldÍ fõ' ;jo Lycopenes keue;s ridhkslh ms<sld j,ska wdrlaId lsÍug bjy,a úh yels nj fidhdf.k we;s w;r th nyq,j ;lald,s j, wvx.= fõ' ;jo" f;a j, we;s fmd,s*Sfkd,a ^Polyphenols& j,g ms<sld j,ska wdrlaId lsÍug yelshdjla we;' iuyr wdydr j, rih iy w,xldrh jeä lsÍu i`oyd idhï j¾. Ndú;d lrk w;r fïjdfha wvx.= ridhksl øjH ms<sld ckl nj mÍlaIK j,ska fidhdf.k we;' ., kd<fha ms<sldjla

hlv W!K;djfha oS uqL Yaf,aIau,fha ;=kS ùula isÿjk w;r fuh uqLfha iy ., kd<fha ms<sld we;s ùu flfrys n,mdhs' 7. ffjri yd È,Sr wdidok uqLfha wmsßisÿNdjh yd ms<sld w;r iDcq iïnkaO;djhla we;s nj mÍlaIK j,ska fy<s ù we;' 68

uf.a oka; ffjoH cSú;fha iEfyk fofkl=f.a uqL ms<sld m%udKhla oel we;s w;r ta ish¿u frda.Skaf.a uqL fi!LH b;du ÿ¾j,h' úÿreuia frda. j,ska nyq,hs' uqLh mqrd >k jQ ue,shï uqL ÿ¾.kaOh nq,;a lyg" is.rÜ lyg Tjqka ;=< lemS fmfkk f,i olakg ,enqK fukau ksrka;rfhka olakg ,efnk ,laIKhka fõ' uqLh ÿ¾j, jQ úg ks;r wdidok j,g ,la ùfï keUqre;djhla we;' ffjri iy os,Sr wdidok úfYaIfhka yshquka meõf,daud ^HPV& iy túiaghska nd ffjrih o ^EBV& W,af,da.ï úfYaIhla jQ os,Sr o uqL ms<sld we;s ùu flfrys n,mdhs' fudkhï fya;=jla ksid fyda ms<sldjla fyda mQ¾j ms<slduh ;;a;ajhla we;s jqjfyd;a th Tyqf.a fyda wehf.a cSú;fha wjidkh o@ tu frda.Skag oreKq Y,Hl¾u isÿlr Tjqkaf.a uqyqKq" uqLh úlD;sldr Tjqkaf.a

ffjoHjrhd - udisl ffjoH iÕrdj

iudcuh miqìu úkdYlr oeóug Y,H ffjoHjreka n,d isà o@ fujeks wY=NjdoS udkisl miqìul frda.Ska miqjk ksid m%;sldr .ekSug frday,a lrd meñKSu ms<sn`o pls;hlska isà' ta ksid frda.shd frda.h W;aikak jk f;la ksjfia ld,h .;lr lsisÿ m%;sldr l%uhlska iqj lsÍug wmyiq jQ úg frday,g meñK m%;sldr wfmalaId lr;s' fuysoS m%;sldr wid¾:l jQ úg Tjqka ks.ukh lrkqfha uqL ms<sldjg m%;sldr ke; hkak hs' mQ¾j ms<slduh ;;a;aj wjia:dfú oS isÿ lrk m%;sldr 1. frda.shd ms<sld ldrl j,ska wE;a lsrùu' 2. mQ¾j uqL ms<sld i`oyd m%Odk jyfhka n,mdk ÿïfld<" mqjla" yqKq iy uOHidr j,ska iïmQ¾Kfhkau frda.shd wE;a l< hq;=h'

2015 ud¾;= l<dmh

uQ,sl wjia:dfõ ms<sldjla

miq wjia:dfõ mj;sk ms<sldjla

• ms<sldfõ iajNdjh" iajNdjh" úYd,;ajh iy j¾Okh jk iS>%;djh wkqj m%;sldr ;SrKh lrkq ,nk w;r uq,a wjia:dfõ mQ¾j ms<sldjla kï ms<sld ldrl j,ska wE;a lrjd ks;r ks;r tys ;;a;ajh ksÍlaIKh lsÍu m%udKj;a fõ' fuh ms<sldjg yefrk ;;a;ajhla mj;S kï b;d blaukska m%;sldr ,nd oSug hqyqiq¿ ùu ksid frda.h me;sÍu md,kh lr .; yel' tfy;a fuu ms<sld ldrl j,g weíneys jQ mqoa.,hska .,jd .ekSu ixlS¾K jQ l%shdj,shls' fï i`oyd udkisl WmfoaYkhla o wjYH fjhs' ufkda ffjoHjreka iy udkisl WmfoaYlhska fj;ska Tjqka fhduqlr uki mqkre;a;dmkh l< hq;= fõ' iuyr frda.Ska ms<sldjla ;sî whska lr;;a kej;;a tu krl mqreÿj, fhoSug wjia:d fhdod .kS' fuh isÿ jkqfha Tjqkaf.a uki ksis f,i ilia lsÍug wiu;a ùu ksidfjka úh yel' fuh Tjqkaf.a fm!rI;ajfha ÿ¾j,;djhka ksidfjka ÿïmdkh u;ameka mdkh jeks l%shdjkag weíneys ùug fya;= jQjd úh yelsh' fuksid Tjqkaf.a ÿ¾j, jQ fm!reIh ^Personality& Tjqkag wjYHlrk miqìu ilia lr oSu oka; ffjoHjrekaf.a iy uqL ykql Y,H úfYaI{ ffjoHjrekaa iy ms<sld frda. ms<sn`o úfYaI{ ffjoHjrekaf.a o j.lSula iy hq;=lula o jkafka h' 69

Oral Cancer

uqL ms<sldjla ;sî bj;a lsÍu mqoa.,fhl=f.a idudkH cSú;fha isÿ lrk l%shdldrlï j,g lsisÿ ndOdjla fkdue;' Wod(- újdy fkdù isák mqoa.,fhl= kï Tyqh fyda wehg újdy csú;hg we;=¿ ù orejka ,en idudkH cSú;hla .; lsÍug ms<sldjla ;sî Y,Hl¾uhla lr ;sîu ndOdjla fkdfõ' flfia fj;;a Tjqkaf.a frda.S ;;a;ajh wkqu; lr Y=NjdoS udkisl miqìulska m%S;su;a cSú;hla w;alr oSug Woõ ùu wm ieuf.a j.lSu iy hq;=lu o jkafka h' ms<sld ffY,Hl¾u

uqL ms<sldj

• ;jo ÿïmdkh" u;ameka mdkh iy nq,;a úg iemSug mqreÿ fkdjQ ck;dj iy <uqka fïjdhska wE;aj ;nd .ekSfï j.lSu wm ish¿ fokdgu mejÍ ;sfí' ks;r ks;r fuu wys;lr mqreÿj, wys;lr n,mEu ms<sld we;s ùu ms<sn`oj Tjqkag oelSug" weiSug ie,eiaúh hq;=h' tfia lsÍfuka tjka oE ms<sn`oj Tjqfkdjqka ;=< úYd, NS;shla yg .ekSfuka tajdhska w;añoSug fya;= mdol fõ' tfukau úfYaIfhka mdie,a <uqka wksjd¾hfhkau frda.hla we;;a ke;;a oka; ffjoH mÍlaIK j,g Ndckh l< hq;=h' fuh wvqu ;rñka udi 06 lg jrla isÿ l< hq;=h' jhi wjqreÿ 15 ka by< <uqka kï udi 3 lg jrla mÍlaIK j,g fhduq lrùu isÿ lsÍu ;=<ska jvd hym;a m%;sM, ,nd.; yels nj udf.a úYajdih hs'

ffjoHjrhd - udisl ffjoH iÕrdj

o;aj, mdg fjia ùu ;=<ka oka; Y,H ffjoHjrekag tu fjkia ùu nq,;a úg iemSu ksid o" ÿï mdkh lsÍu ksid o hkak ms<snòj o< woyila .; yelsh' túg wod< foudmshka leòjd fï ms<snò wjjdo ,nd oSfuka iy uqL ms<sld ms<snò mqj;am;a" i`.rd" rEm rduq fmkaùu ;=<ska wys;lr mqreÿ j,g weíneysùu k;r lr oeñh yelshs' úfYaIfhka Y%S ,xldfõ msysgqjd we;s m%cd oka; idhk j, iy jeäysá fhdjqka oka; idhkj, fiajfha kshq;= oka; Y,H ffjoHjreka j.lSfuka iy b;d ´kElñka n,d isg WmfoaYk iòyd n,d isà' uqL ms<sldfjka f;dr Y%S ,dxlslhka isákq oelSu cd;sl ms<sld u¾Ok jev igyfka ffjoH fyauka; wurisxy uy;d m%uqL ld¾hh uKav,fha fiajfha kshq;= ish¿ fokdf.a fukau ta yd iïnkaOj lghq;= isÿ lrk ish¿ fokdf.au m%d¾:kdh o fõ'

2015 ud¾;= l<dmh

úfYaIfhka fuu ,smsh ilia lsÍfï oS cd;sl ms<sld u¾Ok jev igyfka úfYaI{ ffjoH fyauka; wurisxy uy;df.a foaYk" woyia ms<sld w;afmd;a j, wvx.= lreKq Wmfhda.S lr .;a w;r PdhdrEm ,nd .ekSfï oS jõkshdj osia;%sla uy frdayf,a oka;" uqL iy ykql Y,H úfYaI{ ffjoH rxcka u,a,jwdrÉÑ uy;d isÿ l< Y,Hl¾u wdOdr lr .;a njo" tfiau wka;¾cd,h u.ska o f;dr;=re ,nd .;a njo fuysoS i`oyka lrñ'

Surgery

úáka úg Tfí oE;a ysßjefgkjd kï fï ,smsh lshjkak

ldm,a gk,a frda.h ldhsl frda. úfYaI{ ffjoH Wmq,a o is,ajd w; ysß jeàu ldka;djka ;=< nyq,j olskakg ,efnk ;;a;ajhls' fuh we;eï úg iajNdúl ;;a;ajhla ksid úh yels w;r iuyr ysßjeàï isÿjkafka hï hï frda.j, ,laIK f,iskqhs' ysß jeàu w;aj,g muKla isÿ fkdjk ;;a;ajhla jqK;a wms fï l;d lrkakg hkafka w;aj, isÿjk ysß jeàï isÿjk tla;rd frda. ;;a;ajhla ms<sn|jhs'

ldm,a gk,a frda.h

w;la hg lrf.k fndfyda fj,djla isáfhd;a w; ysß jefgkjd' fï ;;a;ajh we;s jkafka iakdhqjla we§ula fyda ;o ùula ksihs' fïl iajNdúl ;;a;ajhla' tA jf.au ll=,la msg ll=,la oudf.k isák úg iy foll=,a kudf.k ìu jdä ù isák úg ll=,la ysß jeàu;a idudkHhs' ldm,a gk,a frda.h kuq;a w; Èf.a by<g fõokdjla iu. ysß jeàu .uka lr rd;%S kskaog hk úg fukau Wfoa wjÈ jk úg;a tA wdldrhgu fõokdj iy ysß jeàu meje;Su iuyr wh ;=< olakg ,efnk ,laIKhla' tA jf.au nifha t,a,S hk úg jf.au fudag¾ ihsl,hla meof.k hk úg;a msßñ whg fï úÈfha ;;a;ajhla we;s jk wjia:d Tn wid we;’' fuh kï frda.S ;;a;ajhla' th y÷kajkafka ldm,a gk,a frda.h ^Carpal tunnel Syndrome& f,iskqhs'

ffjoHjrhd - udisl ffjoH iÕrdj

oeka wms fï ldm,a gk,a frda.h ms<sn|j iúia;rj úuid n,uq' frda.h u;= lrk .eg¿ w; jev lrùug Tng wjYH jQ úg tu mKsjqvh fud<fha isg w;a lrd /f.k wd hq;=hs' fuu mKsjqvh úÿ,shla f,i fõ.fhka /f.k wd hq;=hs' fuu mKsjqvh úÿ,shla f,i fõ.fhka /f.k tkafka iakdhq u.skqhs' iakdhq yßhgu lsjfyd;a úÿ,sh laIKslj /f.k hk f,dl= jhrhla jf.a fohla'

fï ysßjeàu uq,skau yg .kafka rd;%shg iy Wfoag' ksis m%;sldrhla fkd,enqfKd;a th È.gu mj;skjd' iakdhq mÍlaIKhla u.ska ldm,a gk,a frda.h y÷kd.; yelshs'

2015 ud¾;= l<dmh

wfma ixlS¾K iakdhq l%shdldß;ajh wf;a iakdhq .ek úuid n,k úg by; lS mßÈ f,dl= jh¾ jeks m%Odk iakdhq y;rla w;a ;=< msysgd ;sfnkjd' tA ;=< l=vd fl¢ j¾. folla mj;sk w;r ñka tla j¾.hla fud<fha mKsjqv /f.k YÍrfha wjYH ;eka lrd .uka lrkjd' wfkla fl¢ j¾.h fud<hg mKsjqv /f.k tAuhs isÿ lrkafka' ksoiqkla f,i Tfí w; hï ;ekl jÈkjd hehs is;kak' tfia jeÿKq njg mKsjqvh jydu wÞ< iakdhq fl¢ j¾.h u.ska fud<h ;=<g /f.k hkjd' fï ld¾hhka isÿ jkafka ys;kak;a neß ;rï fõ.hlska' w; tfia jeÿKq miq th wmg ±fkkafka fud<h úiska mKsjqv /f.k tk iakdhq u.ska wmg tA nj oekajQ miqjhs' ìï f.h ;=< hdka;%Kh jgyd .ksuq w; ysß jeàug fya;= ldrl jk ;j;a iakdhqjla w; Èf.a weú;a ueKslalgqj <Õska weÕs,s foig hkjd' fï iakdhq folg ksoyfia w;a fol osf.a tkakg yelshdj ;snqK;a ueKslalgqj ;=<§ th .uka lrkafka ìï f.hla jeks fohla ;=<skqhs' tA ìï f.h iE§ ;sfnkafka .,a leg jeks weg wgla jg ùfuka' fï weg ìïf.h m;=f,a iy fome;af;a rjqug msysgd ;sfnkjd' ìï f.hs jy, iE§ ;sfnkafka Flexer retinaculum kï jQ Yla;su;a froaola jeks fldgilska' wm Èkm;d lrk úúOdldr jev lghq;=j,§ ksr;=reju w; ueKslalgqj <Õska keùu iy È. yeÍu isÿfjkjd' fï wjia:dj,§ ìï f.h ;=< we;s iakdhqj bÈßmig iy miqmig we§u;a ;,a¨ùu;a isÿjk nj Tn fkdokakjd we;s' úfYaIfhkau fmd,a .Eu" frÈ fia§u jeks l%shdj,§ ueKslalgqj m%foaYfha fooÍula we;s fjkjd' w;aj,ska lrk f.or fÞf¾ jev tosfkÞ jeämqru lrkafka ldka;djhs' ldka;djka tf,i ks;r w;a kjñka È.yßñka f.or fÞf¾ jev lrk ksid ueKslalgqj m%foaYfha fooÍu jeäfhka isÿfjkjd' fï fooÍfï wjika m%;sM,h iakdhqj bÈóulg ,laùuhs' fï ìïf.h ;=< ;sfnkafka tA iakdhqj 73

Surgery

ldm,a gk,a frda.h

muKla fkdfjhs' tys ;j;a foaj,a ;sfnkjd' iakdhqj bÈuqKq úg t;ek bvlv ms<sn| .eg¨jla u;=fjkjd' tksid iakdhqj bÈfuk úg tu ia:dkfha ;oùula isÿjk w;r w; ysß jefgkafka tA ksihs'

iakdhqj f;rmqug ,la jk yeá fï ysßjeàu uq,skau yg .kafka rd;%shg iy Wfoag' ksis m%;sldrhla fkd,enqfKd;a th È.gu mj;skjd' iakdhq mÍlaIKhla u.ska ldm,a gk,a frda.h y÷kd.; yelshs' ;djld,sl iykhla fï i|yd tla m%;sl¾uhla jkafka w; fjfyi lrjk l%shdj, fh§u yels ;rï iSud lsÍuhs' tfiau Èk lsysmhla tl È.gu rd;%S ld,fha§ w; ueKslalgqj <Õska msg me;a;g keù isák mßos fldÜghlg w; .eg .id ;eîfukao ;djld,sl iykhla ,nd.; yelshs'

úfYaIfhkau fmd,a .Eu" frÈ fia§u jeks l%shdj,§ ueKslalgqj m%foaYfha fooÍula we;s fjkjd' w;aj,ska lrk f.or fÞf¾ jev tosfkÞ jeämqru lrkafka ldka;djhs' ldka;djka tf,i ks;r w;a kjñka È.yßñka f.or fÞf¾ jev lrk ksid ueKslalgqj m%foaYfha fooÍu jeäfhka isÿfjkjd' fï fooÍfï wjika m%;sM,h iakdhqj bÈóulg ,laùuhs'

ffjoHjrhd - udisl ffjoH iÕrdj

kshñ; m%;sldr fkd,enqKQ w;g jk foa

ldm,a gk,a frda.hg lrk ie;alul oiqkla m%;sldr ;sfnkjd ldm,a gk,a frda.hg m%;sldr ;sfnkjd' kuq;a thska iqjm;a fkdjqfKd;a ueKslalgqj m%foaYh ysß jÜgjd l< yels iq¿ Y,Hl¾uhla ;sfnkjd' tu.ska frda.h iqjlr .; yelshs' Y,Hl¾uhla l< hq;= wjia:djl th fkdlr isáfhd;a iakdhqj È.ska È.gu ;o ùu isÿjk w;r tys wjika m%;sM,h jkafka udmg weÕs,a, uq, ;sfnk wmg fmfkk mßos msg;g fkrd ;sfnk uiams~qj iïmQ¾Kfhkau Èhù hduhs'

2015 ud¾;= l<dmh

túg tu fkÍu ke;sj hk w;r wmg wjYH mßos udmgweÕs,a, bÈßhg ñi fome;a;g keùug fkdyels fjkjd' bkamiq udmg weÕs,af,ka l< yels fndfyda foj,a l< fkdyels ùuhs isÿjkafka' iakdhq fyda ldhsl ffjoH úfYaI{jrhl=j yuqúh hq;=h fï frda.h fjk;a frda.dndO ksido yg.kakg mq¿jka' th ffjoHjrfhl=g myiqfjka y÷kd.; yelshs' frda.h .ek uq,skau ie<ls,su;a ù m%;sldr .ekSfuka fujeks lrorj,g uqyqK§ug isÿjkafka kE' iakdhq fyda ldhsl ffjoH úfYaI{jrhl=j yuqúh hq;=hs'

Nutrition

o`.ldr mdie,a <ud úhg ksis fmdaIKh

o`.ldr mdie,a <ud úhg ksis fmdaIKh Y%S ,xld jhU úYaj úoHd,fha jHjydßl fmdaIK wOHkdxYfha wxY m%Odk" fcHaIaG lÓldpd¾h wdpd¾h wfkdaud pkaøfialr úisks wjqreÿ 6-12 w;r jhia ldKavhg mdie,a úfha iy fmr fhdjqka úfha miqjk orejka we;=,;a fõ¡ mqoa., cSjk pl%h ;=< fuu wjêho fi!LH iy fmdaIK wjYH;d iïnkaOfhka úfYaI; ld, mrdihla f,i ie<lsh yel¡ <ore iy fmr mdie,a jhia ldKavh fuka iS.% j¾Okh fkdfmkajqjo fhdjqka úhg md ;eîfïoS isÿjk ldhsl yd udkisl wNsfhda. j,g fmr iQodkula f,i fiñka jqjo talldÍ f,i ldhsl udkisl iy {dK j¾Okh isÿ fõ¡ orejkaf.a idudcSh fjkialï we;sjk wjêh fïlhs mdie,a úfha orejka jvd;a mq¿,a jQ idudcSh ;;a;aj j,g uqyqK oSug iQodkï jk jhia ldKavh fõ¡ fmr mdie,aj,g;a ksfjfia mjq,a idudcslhkag;a iSud jQ Tjqkaf.a f,dalh jvd;a úIuldÍ w;aoelSï ,nd .ekSug;a wOHhkh lrk iuh f,i fuu hq.h ye|skaúh yelsh¡ fuu ld,h ;=<oS w;am;a lr.kakd wdydr iy YdÍßl l%shdldß;ajh ms<sn| mqreÿ Tjqkaf.a j¾;udk fukau jeäysáhka f,i wkd.; fi!LHh ;;a;ajhka flfrySo n,mdkq we;¡

iy wfkl=;a WmfoaYljreka hy¿jka fmdÿ udOH yryd iïfm%aYKh jk úúO woyia fukau fj<| oekaùï iy m%pdrd;aul jevigyka j, wka;¾.;h jeks ndysr n,mEïo iDcq f,i fyda jl% wdldrfhka odhl fõ¡ l%u l%ufhka mq¿,a jkakd jQ ksoyia mßirh ;=<oS ksjiska msg; .kakd wdydr fõ,a .Kk wfkl=;a flá w;rueos wdydr j¾. ,nd.ekSu mdie,a úfha orejka w;r m%p,s; fõ¡ ksoiqkla f,i meief,ka msg;oS fNdackd.drj,ska iy mosl wdydr fj<÷kaf.ka úúO wdydr ñ,oS .ekSu oelaúh yelsh¡ tneúka ksjeros wdydr f;dard.ekSu iy l%shdldÍ f,i cSj;aùfï jeo.;alu jeäysáhka úiska orejka oekqj;a lsÍu l< hq;= fõ¡

keKj;aj f;dard.; hq;= fmdaIK wjYH;d orejkaf.a mjq,a mßirh" Tjqkaf.a wdydr iy cSjk rgdj ms<sn|j mqreÿ j,g m%Odk jYfhka n,mdkq we;¡ tmuKla fkdj .=rejre 76

ffjoHjrhd - udisl ffjoH iÕrdj

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

waidyawaraya.com

iS>%fhka jefvk lhg fjkia jk wdydr wjYH;d ;jÿrg;a fuu jhia ldKavfha úfYaI;ajh ms<sn| ie<lsfïoS ksis fmdaIKfha wjYH;djh b;du;a jeo.;a nj fmkS hhs¡ tkï mdie,a úfha miqjk orejkaf.a YÍrfha udxYfmaYs j, Yla;sh" pd,l l%shd iïnkaëlrK yelshdj iy YdÍßl yd udkisl m%n,;djh l%udkql+,j jeä oshqKq fõ¡ tneúka fuu jhia ldKavfha miqjk orejka jvd ixlS¾K l%shdldÍ w;aoelSï .%yKh lr .ekSug yelshdjla olajhs¡ k¾;kh" úúO l%Svdjka csïkdiaála l%Svdj jeks l%shdldrlï j, fhoSug yels fõ¡ thg wu;rj ;u Yla;sh ms<sn|j úYajdih" ;ukag l< yels foa ms<sn| wNsudkh iy tajd lsÍfï yelshdjo fuu wjêfhaoS w;am;a lr.kS¡ tfiau jvd;a ld¾hlaIu f,i uki tald.% lsÍfï yelshdj ksid tljr ld¾hhka lsysmhla lsÍugo Tjqka olaI fõ¡ b;du;a l%shdYS,S" cSjk wjêhl miqjk mdie,a úfha orejka yg úúO;ajfhka hq;= wdydr fõ,a ,ndoSu jeo.;a fõ¡ tu`.ska m%Yia: ldhsl

2015 ud¾;= l<dmh

Nutrition

o`.ldr mdie,a <ud úhg ksis fmdaIKh

j¾Okh i|yd wjYH jk Yla;sh" fm%daàk" ldfndayhsfâ%Ü" ,smsv" úgñk iy Lksc ,jK ,nd.; yel¡ fmdaIK wjYH;d imqrd.ekSfï hy u. orejkaf.a l%shdYS,S uÜgu iy YÍr m%udKh wkqj tla tla orejdf.a Yla;s wjYH;djh fjkia úh yel¡ tneúka fuu orejkaf.a le,ß wjYH;djh .Kkh lsÍfïoS orejdf.a .eyekq" msßñ nj jhi" Wi-nr iy ldhsl l%shdldÍ uÜgu ie,ls,a,g .kq ,nhs¡ fuu jhia ldKavfha orejkaf.a fm%daàk wjYH;djh osklg YÍr nr ls'.a' 1 lg .a?ï 0'95 la muK fõ' weuhsfkda wï, ish,a,u imsfrk whqßka úúO fm%daàk wvx.= uQ,dY% wdydr fõ,g tl;= lr .ekSug j. n,d.; hq;= fõ¡ Lksc ,jK flfryS úfYaI wjOdkhla fhduq lsÍu jeo.;a uia ud¿" lsß" ì;a;r jeks i;a;aj fm%daàk uQ,dY% fiau mßmamq" lv," lõms" uqxweg jeks udI fNda." y;= iy wfkl=;a fm%daàkj,ska .yk jQ wdyro tl;= l< yel¡ wdydr msrñvh u.ska olajd we;s mßos osklg wju jYfhka t<j¿ iy m<;=re ms<s.ekaùï 5la j;a wdydrfõ,g tl;= lr.; hq;= fõ¡ tu.ska wjYH;djh imsfrk whqßka Lksc ,jK iy úgñk ,nd.; yel¡ tfia kuqÿ hlv iskala iy le,aishï jeks m%Odk wjYH Lksc ,jK flfryS úfYaI wjOdkhla fhduq lsÍu jeo.;ah¡ hlv iy iskala YÍr j¾Okh i|ydo le,aishï m%Yia: wiaÓ ialkaOhla ,nd.ekSu i|yd o jeo.;a fõ¡

orejkaf.a l%u l%ufhka mq¿,a jkakd jQ ksoyia mßirh ;=<oS ksjiska msg; .kakd wdydr fõ,a .Kk wfkl=;a flá w;rueos wdydr j¾. ,nd.ekSu mdie,a úfha orejka w;r m%p,s; fõ¡ ksoiqkla f,i meief,ka msg;oS fNdackd.drj,ska iy mosl wdydr fj<÷kaf.ka úúO wdydr ñ,oS .ekSu oelaúh yelsh¡

mdie,a úfha orejka úúO fmdaIK .eg¿ j,g uqyqK fohs¡ hlv W!K;dj" ukaofmdaIKh" o;a l=yr we;sùu jeks ixl+,;d o fuu jhfia miqjk orejka w;r oelsh yels fõ¡ fmdaIK ixl%dka;shl miqjk Y%S ,xldfõ fuu jhfia orejka w;r wvq nr fukau wênr ;;a;ajhkao oelsh yel¡

ffjoHjrhd - udisl ffjoH iÕrdj

wvq jHdhdu uOHfha jeä meKsri yd f;,a f.fkk ydksh úfYaIfhkau kd.ÍlrKh jQ mßirhla ;=< wvq YdÍßl jHdhdu ,nk w;r;=f¾oS ks;r wêl iSks ¨Kq fh¥ wdydr .ekSu fukau .eUqre f;f,a n|sk ,o lÜ,Ü" meáia" frda,aia" ifudaid jeks lEu j¾. nyq, jYfhka mßfNdackh wênr ;;a;aj we;sùug fya;= fõ¡ tmuKla fkdj wêl f,i wdydr m%udK md,khlska f;drj .ekSu fukau YÍrfha yevh ms<sn|j ie<ls,su;a ùu ksid wjYH m%udKhg;a jvd b;d wvqfjka wdydr .ekSu jeks úúO ixl+,;d o fuu jhia ldKavfha orejka w;r oel .; yels fõ¡ tneúka ksis fmdaIK ;;a;ajhla mj;ajd .ekSu i|yd ksjeros wdydr mqreÿ ùu;a jeo.;a fõ¡ tu.ska wkd.; jeäysáfhla f,i ms<sld" ;rndrej oshjeähdj yDo frda. we;=¿ úúO fnda fkdjk frda. ;;a;aj j,ska ñoSfï jdikdjo w;aúosh yel¡ 2015 ud¾;= l<dmh

.=Kj;a wdydr .ek oeKQj;a lsÍu jeo.;a fuu orejka yg wdydr ms<sn|j ksis oekqu ,ndoSu jeäysáhka úiska j.lSulska l< hq;= ld¾hhls¡ tfiau fuysoS jeäysáhka orejkayg l%shdfjkao wdo¾Yhla úh hq;=h¡ fuu wjêfhaoS .%yKh lr.kakd oeKqu iy w;aoelSï f.dkqj wkd.; jeäysá Tjqka yg uQ,sl wä;d,uls¡ orejkag ir, wdydr j¾. úfYaIfhkau t,j¿ i,do" m<;=re i,do jeks oE ms,sfh, lsÍug wjldY ie,iSu¡ wdydr .ekSfï fõ,dj ;=<oS ms`.kafldamam msßisÿ lsÍu wdydr fïih ieliSu jeks l%shd j,g orejka tl;=lr .ekSu orejka yg wdydr ms<sn|j m%dfhda.sl orekqula ,ndoSug fhdod.; yels ir, wjia:d lsysmhls¡ tfiau fujeks l%shdldrlï mjq, ;<, orejkaf.a wdl,am j¾Okhgo bjy,a fõ¡

b;du;a l%shdYS,S" cSjk wjêhl miqjk mdie,a úfha orejka yg úúO;ajfhka hq;= wdydr fõ,a ,ndoSu jeo.;a fõ¡

Nutricare

o`.ldr mdie,a <ud úhg ksis fmdaIKh

ksfjfia ms<sfh, lrk wdydr wkqNjhg orejd yqre lruq orejka wdydr ms,sn|j olajk yeisÍu flfrys úúO whqßka n,mEï we;s fõ¡ úfYaIfhkau mdie,a úfha orejka ksjiska msg;oS .kakd wdydr fõ,a .Kk újO fya;= u; fjkia úh yel¡ úIh mßndysr l%shdldrlï j, fhoSu wdosh ksid fndfydauhla orejka wdydr ñ,oS .ekSug fm<fò¡ fuysoS ksjiska ms<sfh, lr.kakd ,o wdydr fõ,la ,nd .ekSug yels ùu orejkaf.a fmdaIK ;;a;ajh flfryS hym;a f,i n,mdhs¡ orejkaf.a wdydr ñ,oS .kakd wjia:dj,oS ksjeros f;dard .ekSï lsÍug wjYH jk ud¾f.damfoaYkh fouõmsh jeäysáhka úiska orejkag ,ndoSu b;d jeo.;ah¡ mjqf,a idudcslhka tlg tl;= ù wdydr .ekSfï jeo.;alu b;du;a ld¾h nyq, cSú; f.jk ujqmshka fukau orejka o tlg tl;= ù wdydr wkqNj lsÍu j¾;udkfha b;du;a wiSre lghq;a;la njg m;afjñka ;sfí¡ tfia kuqÿ mdie,a úfha orejkaf.a ksjeros wdydr mqreÿ wdydr 80

f;dard.ekSu fiau ksis fmdaIK wjYH;d .,md oSu i|yd mjqf,a idudcslhka tlg tl;= ù wdydr .ekSug ksrka;r W;aidyhl fhoSu b;du jeo.;a nj ie<lsh hq;= h¡ orejka weiqre lrk iu jhia ldKav j, n,mEï j,g fuu jhia mrdifha orejka myiqfjka f.dÿre fõ¡ tneúka uõmshkaf.a ksjeros ud¾f.damfoaYkh wdydr m%udKd;aulj iy .=Kd;aulj f;dard .ekSug w;HdjYH fõ¡ ,nk l,dmfhka .¾NsKS iuhg iqúfYAIS jQ wdydr wjYH;d

ffjoHjrhd - udisl ffjoH iÕrdj

2015 ud他;= l<dmh

Nutrition Basics

wdydr .kakd ljqre;a oek.; hq;= wjfYdaIl oeKqu

wdydr yd Yla;sh le,ß w.fhka ksrEmKh jk wdydrj, wka;¾.; Yla;sh

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

waidyawaraya.com

iífí i;a:d wdydrÜGs;sld ish¿ i;ajfhda wdydrfhka hefm;s' th cSj;a ùug ke;sju neßh' wm wdydr .kafka l=i .skak ksjd .ekSugh' wdydrfha we;af;a ta m%fhdackh muKlao@ wdydr ms<sn| Tn fuf;la udhsï fkdl< f;dr;=re /ila fï ,smsfhka bosßm;a flf¾' wm wdydrhg .kakd ish¿ oE''' Wfoag lk frdáh" mdka lE,a," fmd,a iïfnda,h" osjd l, nqosk ri uiqjqf,ka msreKq n;a mSßish" w;=remig .kakd m<;=re i,doh" whsia l%Sï fldamamh''' rd;%S wdydrhg .kakd Ök *%hsâ rhsia tl' tfyu ke;akï fld;a;= frdáh" b|swdmam uq,' fï fldhs wdydrh .;a;;a tajdfha m%Odk m%fNao folla we;' uy fmdaIl yd CIqø fmdaIl hkqfjka' uyd fmdaIl Macronutrients hkqfjka o CIqø fmdaIl Micronutrients hkqfjka o ye|skafõ' ksfrda.S ldhsl j¾Okhla i|yd uyd fmdaIl ,nd.; hq;af;a CIqø fmdaIl j,g idfmaCIj úYd, m%udK j,sks' fï m%udK wm .kakd iEu wdydr fõ,lu moku ia:dms; lrhs' th isrer flf¾o n,mj;ajkafka úi,a ld¾hlg iïudoï fjñks' YÍrfha ish¿u lD;H i|yd wjYH Yla;sh imhkafka fï uyd fmdaIlhs' 82

ffjoHjrhd - udisl ffjoH iÕrdj

CIqø fmdaIl b;d iq¿ m%udK j,ska YÍrhg wjYH jk neõ ienEjls' tfy;a" fï zziq¿ m%udKhZZ YÍrhg fl;rï jeo.;ao h;a tho ke;s jqfKd;a YÍrh lsisfia;a ksfrda.S jkafka ke;' kshñ; mßos l%shd;aul jkafkao ke;' tfyhska uyd fmdaIl fukau CIqø fmdaIlo YÍrhg kS;s ,eìh hq;=h' hq;=uh'

uyd fmdaIl ldKavhg wh;a wdydr isjq jeoEreïj j¾.SlrKh flf¾'

• • • •

fïoh ldfndayhsfâ%Ü fm%daàk ;ka;=uh øjH jYfhks

wm .kakd iEu wdydrhlu fï ish,a, iq¿ jYfhka fyda wka;¾.; fõ' fï wka;¾.;h wkQj tajdfha Wmfhda.S;dj imhd .; hq;=fõ' úgñk yd LKsc ,jKo i;a;ajfhl=f.a meje;aug wjYHh' ñksia wmg o th tfiauh' wmg tajd úYd, jYfhka wjYH fkdfõ' tajd iq¿ m%udKhla neÕska ,eîu ksis YÍr l%shdldß;ajhg fukau meje;augo iEfya' tfyhskau tajd CIqø fmdaIl (Micronutrients) f,i fmdaIK úoHdfõ úia;r flf¾' CIqø fmdaIl b;d iq¿ m%udK j,ska YÍrhg wjYH jk neõ ienEjls' tfy;a" fï zziq¿ m%udKhZZ YÍrhg fl;rï jeo.;ao h;a tho ke;s jqfKd;a 2015 ud¾;= l<dmh

Nutrition Basics

wdydr .kakd ljqre;a oek.; hq;= wjfYdaIl oeKqu

YÍrh lsisfia;a ksfrda.S jkafka ke;' kshñ; mßos l%shd;aul jkafkao ke;' tfyhska uyd fmdaIl fukau CIqø fmdaIlo YÍrhg kS;s ,eìh hq;=h' hq;=uh' wm fuf;la i|yka lf<a YÍr j¾Okhg wdydr j, we;s wjYH;djhhs' YÍrfha j¾Okh yereKq úg YÍrfha úúO ld¾hhka i|yd wjYH Yla;sh W;amdokh jkafka o wm .kakd wdydr j,ssks' fudkjo YÍrh úiska isÿflfrk ld¾hhka @ wm toskod cSú;fha hï ksYaÑ; ld¾hhla isÿlruq' wjosùu" uqj fodjd" isrer lsi yudr lr WoEik wdydr ms<sfh, lsÍu' ÿjd-orejka mdie,a heùu' wm /lshdjlg hdu' wm lrk /lshdjo úfõl fjfyilr tlla jkakg mq¿jk' fï ish¿ oE isÿlrkakg wjYH jkafka Yla;shhs' ta Yla;sh wmg ,efnkafka wm .kakd wdydr cS¾Kh ù Yla;s m%Njhla fia ixÑ; ùfuks' by; úia;r lrk ,o ld¾hhka yereKq úg ;j;a wm fkdoekSu isrer wNHka;rfha isoaO flfrk úYd, ld¾h Ndrhla i|ydo wm .kakd wdydr j,ska ckh jk Yla;sh jeh fjhs' uú; fkdjkak' we;af;kau fï wm oeKqj;aj isÿ lrk Yla;s oykhka wNsnjd hñka wm isrer ojd,k uq¿ Yla;s Odß;dfjka nyq;rhlau jeh jkafka ud fï lshkakg hk zzYÍr wNHka;r l%shdj,SkaZZ i|ydhs' wm Yajik ld¾hh i|ydo úYd, Yla;shla jehfjhs' yDo iamkaokh wf;darla fkdue;sj" bisUqjla fkdue;sj isoaO lsÍug o ;j;a úYd, Yla;s m%udKhla jeh fjhs' wm YÍrh iEu úgu hï foay WIAK;ajhla orhs' ta WIAK;ajh W;amdokh yd kv;a;=jg o jeh jkafka wm wdydr j,skau ,nd.kakd Yla;shhs' fufyu n,k úg ;j;a fudk ;rï YÍrNHka;r wm oeKqj;a Ndjhlska f;drj isÿjk lD;H ;sfío@ ta ish,a,u fkdñ,fha isÿfj;ehs fuf;la is;d isáh;a ta ish,af,au nr meK orkafka wm tosfkod wkqNj lrk wdydru nj lsj hq;a;lauh'

fï YÍr wNHka;rfha wú[a{Kslj isÿjk l%shdj,ska iïmdokh lrKq msKsi wjYH wju Yla;sh zzmdoia: mßjD;a;Sh iS>%;djhZZ (Basal Metabolic Rate - BMR) f,i ye|skafõ' Basal Metabolic Rate (BMR) is your baseline rate of metabolism measured when the body is at rest. Tng" Tfí isrerg wjYH Yla;s m%udKh tlsfkldg wkQj fjkia jk w;r th ;Skaÿ lrk idOl /ila fõ' Tfí jhi" ia;%S $ mqreI Ndjh" Tfí YÍrh oji mqrd fjfik wdldrh" fmaYs ialkaOh" YÍr WIAK;ajh fukau ;j;a idOl /ilao Bg n,mdhs' Tn jefvk orefjlao@ lh fjfyid jev lrkjdo@ .¾NKS ldka;djlao@ mqxÑ orefjl=g uõ lsß fokjdo@ Tn Tima oskj, .; lrk ldka;djlao@ wikSmhlska fmf<kjdo@ Tn fldhs ;rï meh .Kkla rd;%sfha ksod. kakjdo@ fï wdoS ;j;a

ffjoHjrhd - udisl ffjoH iÕrdj

fndfyda idOl u; Tfí YÍrfha Yla;s wjYH;djh (Energy Requirment) ;SrKh fõ'

• flfuka ySkjk fmaYs ialkaOhla orK fyhska úhm;a mqrjeishkaf.a o BMR w.h wvqh'tfyhskau ;=reKq úfha muK Yla;s wjYH;djhla uy¿ úfhaoS mek k.skafka ke;'

mdoia: mßjD;a;Sh iS>%;djh Yajikh" yDo iamkaokh jeks wksjd¾h YdÍßl ld¾hhka bgq lsÍu msKsi wjYH Yla;s m%udKh Basal Metabolic Rate kï fõ'

úúO l%shdldÍ uÜgï j,oS wjYH jk Yla;s wjYH;d ^le,ß& - wef|A isák" b;du;a l=iS; cSú;hla .; lrk mqoa.,fhl=g osklg YÍr nr lsf,da .a?uhlg le,ß 25 la - b;d ir< ffoksl l%h s dj,ska j, fhfokakkaf.a YÍr nr lsf,da .a?uhlg le,ß 30 la - idudkHfhka lh fjfyijd jev lrk mqo. a ,fhla $ksis jHdhdu j, fhfok mqo. a ,hl=f.a YÍr nr lsf,da .a?uhlg le,ß 35 la - lh oeä f,i fjfyfik /lshdj, fhfokakka$u,, l%v S lhka" lïlrejka fukau wdmodjlska iqjh ,nk frda.k S a YÍr nr lsf,da .a?uhlg le,ß 40 la

BMR w.h yd ine|s jeo.;a lreKq lsysmhla

• BMR jeäu w.hla .kafka orejkaf.ah' th jhi wjqreÿ 10 muK bl=;ajQ miq orejkaf.a fmaYs ialkaOh jeãu;a iuÕ wvqjkakg mgka .kS' • msßñkaf.a BMR w.h jeäh' ^tfyhska msßñkag jeä le,ß m%udKhla wjYHfõ'& • .eyekqkaf.a BMR w.h idfmaCIj wvqh' ^.eyekqkaf.a le,ß wjYH;djh wvqnj thska mila lr .kakjd we;'& 2015 ud¾;= l<dmh

Yla;sh yd le,ß w.hka wdY%s; oeKqu Tn ,nd.kakd wdydr Tiafia isrer ksmojk Yla;sh uksk tallh le,ß (Calories) kï fõ' le,ß 1 l w.hla hkq b;d iq¿ Yla;s m%udKhls' tfiau úYd, Yla;s w.hka lsf,da le,ß (Kilocalories) j,ska ukskq ,efí' lsf,da le,ß 1 la hkq le,ß 1000 ls' fuh fl;rï Yla;s m%udKhla o h;a j;=r lsf,da .a?ï tll WIaK;ajh fikaáf.%aâ wxYl 1 lska by< kexùug le,ß 1000 la fkdfyd;a lsf,da le,ß 1 la wjYH flf¾' ^we;eï úg Yla;s w.hka lsf,da cQ,a j,skao imhk wjia:do fõ' fuh we;eï wdydr ojgk j, oelsh yelalls' lsf,da cQ,a (Kilojoules) j,ska hï fyhlska w.hla olajd ;snqfKd;a th mßj¾;kh jkafka fufiah' le,ß 1 } lsf,da cq,a 4'184

Gender Identity Disorder

Gender identity disorder

msßñfhl= ùug ySk uejQ ksfrdaIdg k;rjkakg isÿ jqfKa udkisl frdayf,a''' udkisl frda. úfYaI{ ffjoH wkqrdO we,af,fmd,f.a jD;a;Sh w;a±lSula weiqßks tla;rd T!IO j¾.hla wêud;%djlska mdkh fldg ish Èú kid .ekSug ;e;al< ;reKfhla frday,a .; lsÍfuka miq uQ,sl ffjoH m%;sldrj,ska wk;=rej udkisl frda. jdÜgqjg fhduq lr ;snqKd' msßñfhla @ o @ fï mqoa.,hd wjqreÿ úiail wfhla' Tyqf.a ldâmf;a ku i|ykaj ;snqfKa uq,a wl=re folla iu. jdi.uhs' uq,a wl=re j,ska lshefjk Tyqf.a ku ms<sn|j úfYaI{ ufkda ffjoHjrhd úuiqjd' tys§ Tyq lSfõ ldka;djlf.a kula' óg wu;rj Tyq msßñhl= fuka r¿ y~lska l;d l<;a Tyqf.a .uk ìuk ;=<ska iy ;j;a úúO bßhõ ;=<ska m< jQfha ldka;d iajrEmhla' kuq;a Tyq we| isáfha msßñhl= fuka l,siu iy lñihhs' me<| ;snqfKa;a msßñ mdjyka hq.<la' ish Èú kid .ekSug ;e;a l< fya;=j ms<sn| ffjoHjrhd Tyqf.ka úuid isáhd' .Ekq <ufhla tlal tf*hd¾ tlla —.Ekq <ufhla tlal uf. tf*hd¾ tlla ;snqKd' tA;a tA .¾,af. fouõmsfhd ug wlue;s jqKq ksid .¾,a fjkia jqKd' ug thd ke;=j Ôj;a ùula .ek ys;kakj;a nE' tAlhs ux 86

msßñfhl= ùug ySk uejQ ksfrdaId'''

Ôúf;a ke;s lr.kak ys;=fj˜ ;reKhd lSfõ ÿlauqiqj' fldfydu jqK;a ffjoHjrhdg fï ;reKhd ms<sn| ielhla ;snqKd' tA wkqj ffjoHjrhd úiska Tyq mÍlaId lr n,oa§ fï ;reKhl= fkdj ;reKshl nj wkdjrKh lr.; yels jqKd' fmïj;sh w;yer f.dia ;snqfKa;a fï mqoa.,hd ;reKshl nj wdrxÑ ùu ksihs' ;reKsh wkdjrKh fjhs fï ;reKsh ksfrdaId" idudkH mjq,l tlu orejd wehhs' ksfrdaIdf.a jhi wjqreÿ fÞ<yla muK jk úg weh ks;ru m%sh lf<a msßñhl= fuka w¢kakghs' weh rEm,djkHd.drhlska ;u fldKavh;a msßñhl= n÷ju b;d flá jk fia lmd .;a;d'

ffjoHjrhd - udisl ffjoH iÕrdj

.Ekq <ufhla tlal uf. tf*hd¾ tlla ;snqKd' tA;a tA .¾,af. fouõmsfhd ug wlue;s jqKq ksid .¾,a fjkia jqKd' ug thd ke;=j Ôj;a ùula .ek ys;kakj;a nE' tAlhs ux Ôúf;a ke;s lr.kak ys;=fj

2015 ud¾;= l<dmh

Gender Identity Disorder

msßñfhl= ùug ySk uejQ ksfrdaId'''

weh wOHdmkh ,enqfõ ñY% mdi,l' fï ksid weh ñ;=re ù isáfha iu jhfia msßñ <uhska iu.hs' fi,a,ï lf<a;a Tjqka tlal' ks;ru —fld,a,ka msßjrd.;a fl,a,la˜ hkqfjka weh .=rejrekaf.a mjd wm%idohg ,laj isáhd' ks;r msßñ <uhska iu. lrg lr .ejiSu iïnkaOfhka úfrdaOh olaj,d .=rejreka ksfrdaIdg lsysm jrlau wjjdo lr ;snqK;a weh tA lsisjla ;elSug ,la lf<a kE' jeäúh m;aùu yd bkslaì;s''' wjqreÿ Þy;f¾§ ksfrdaId jeäúh m;a jqKd' fï ms<sn|j ksfrdaIdf. ;snqfK ;on, wlue;a;la' ;ud msßñhl= nj;a" jer§ulska .eyekq YÍrhla ,eî we;s nj;a ;Èkau úYajdi l< weh msßñhl= ùug ±äj wêIaGdk lr .;a;d' idudkH fm< úNd.ho wiu;a jQ ksfrdaId bkamiq ksjiska mek .sfha msßñhl= f,i fmkS isáñka iudcfha Ôj;a ùfï wfmalaIdj we;sjhs' lïlre riaidjl fhÿKQ ;reKsh ksfrdaId meñKsfha fld<Ug' /lshdjla fidhñka tfy fufya weúoao;a wehg /lshdjla fidhd .ekSu wmyiq jQfha wef.a jhi oy wgg wvq ùu ksihs' fï fya;=j ksid h<s f.or meñKsh;a weh È.gu Ôj;a jQfha msßñhl= f,iskauhs' fï ksid ks;ru jf.a weh foudmshkaf.a;a fodaI o¾Ykhg ,la jqKd' l,la .;jk úg ksfrdaIdg tla;rd m%isoaO wdh;khl lïlre /lshdjla ,enqKd' tys§;a weh fmkS isáfha msßñhl= f,iskqhs' ku f,i Ndú; lf<a uq,a kï fofla uq,a wl=re fol iu. jdi.uhs' ,sx.sl weiqrlg fmd<Ujd .ekSfï W;aidyhla tlg jev lrk wfkla lïlrejkq;a ksfrdaId msßñ flfkl= f,iskqhs ±k isáfh' msßñka iu. tlaù yß yßhg jev l<;a ksfrdaIdf.a .eyekq ,laIKo uq¿ukskau ke;sù f.dia ;snqfK 88

fï whg úreoaO ,sx.slhl= ùfï ;on, jqjukdjla ;snqK;a Tjqkaf.a ia;%S$mqreINdjh iïmQ¾Kfhka fjkia lrkak nE' l,la .; jQ miqj we;eï úg kej; uq,ska ;snQ ia;%S ,laIK we;s lr .kak leue;a;la we;s fjkakg;a neßlula ke;s ksid tAjd frda.shdg myÞ § mßiaiñka ;SrK .; hq;= fjkjd'

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

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ffjoHjrhd - udisl ffjoH iÕrdj

weh msßñhl= nj is;d weh ,sx.sl weiqrlg fmd<Ujd .kak fiiq msßñka jßka jr W;aidy ord ;snqKd' kuq;a ;ud msßñfhla hk yeÕSu ±äj is; ord isá ksfrdaIdg msßñka iïnkaOfhka ,sx.sl yeÕSï we;sjQfha kE' tA ksid weh tA msßñkaj u.yeßhd'

kE' weh msßñhl= nj is;d weh ,sx.sl weiqrlg fmd<Ujd .kak fiiq msßñka jßka jr W;aidy ord ;snqKd' kuq;a ;ud msßñfhla hk yeÕSu ±äj is; ord isá ksfrdaIdg msßñka iïnkaOfhka ,sx.sl yeÕSï we;sjQfha kE' tA ksid weh tA msßñkaj u.yeßhd' wdorhla''' fï ld,fha§ ;uhs wehg tla ;reKshl uqK .efikafk' weh ms<sn| ksfrdaIdf.a isf;a wdorhla we;s jqKd' th iu,sx.sl wdorhla fkdfõ' fya;=j weh tlfy,du úYajdi lf<a ;ud msßñfhla lsh,uhs' flfia jqj;a ksfrdaId ;u fmïj;sh iu. ldhsl iïnkaO;d we;slr .;af; kE' túg ;udf.a .eyekq wx. fmïj;shg fy<s fõú hehs ksfrdaId ìh jqKd' kdßfõo ffjoHjrhd yuqù .¾NdIh bj;a lr .ekSfï W;aidyhla''' bkamiq weh m%ij yd kdßfõo ffjoHjrhl= yuq jqKd' tA ;u .¾NdIh bj;alr ,sxf.akaøsho fjkia lr .; yelso hkak fidhd n,kakghs' wehg úfYaIfhka .¾NdIh bj;alr .ekSug f,dl= jqjukdjla ;snqKd' tA udislj isÿjk Tima ùu k;r lr oukakghs' kuq;a kdßfõo úfYaI{ ffjoHjrhd thg tlÕ jqfKa kE' fï w;r ;uhs ksfrdaIdf.a fmïj;shg weh .eyekq flfkla nj wdrxÑ ù ;snqfKa'

2015 ud¾;= l<dmh

Transsexualism kï udkisl wdndOh ksfrdaIdg ;snqfK udkisl wdndOhla' fuh y÷kajkafka g%dkaiafilaIqj,siï ^Transsexualism& f,iska' ia;%S mqreI Ndjh y÷kd .; fkdyels frda.h ^Gender identity disorder& kñka ;sfnk udkisl frda. ldKavhg wh;a tla frda.hla jkafka fuhhs' fï ;;a;ajh we;s jkafka YÍrfha mj;sk fodaIhla ksid fkdfjhs' fuh udkisl wdndOhla' Bg ufkda ffjoH m%;sldr ,eìh hq;=hs' ksfrdaIdg;a ;ju ufkda ffjoH m%;sldr ,nd fokjd' fï whg úreoaO ,sx.slhl= ùfï ;on, jqjukdjla ;snqK;a Tjqkaf.a ia;%S$mqreINdjh iïmQ¾Kfhka fjkia lrkak nE' l,la .; jQ miqj we;eï úg kej; uq,ska ;snQ ia;%S ,laIK we;s lr .kak leue;a;la we;s fjkakg;a neßlula ke;s ksid tAjd frda.shdg myÞ § mßiaiñka ;SrK .; hq;= fjkjd' 89

Health Check

weh osú iqrlsk ffjoH mÍlaIK

fuu ,smsh Tn fj; bosßm;a lrkafka fld<U 5" lsßuKAv, udjf;a" wdisß Y,H frdayf,a Asiri Wellness Centre ^wdisß fj,akia fikag¾& u.sks

Well Woman Check weh osú iqrlsk ffjoH mÍlaIK fi!LHuh wka;rdhkaf.ka ldka;djka cSú; iqrlsk ffjoH mÍlaIK ms<sn|j wjOdkh fhduq lrkak wo ojfia wmj ksn| fm<k f,v frda. ;¾ck rdYshls' thska wfma ldka;d mrmqr fj; we;sjk wNsfhda.o / ils' fï ksid ldka;djka fuu fi!LHuh ;¾ck j,ska ñoSug wjYH oeKqfuka ikakoaO úh hq;=h'' iajlSh fi!LHh ms<sn|j jeä ie<ls,a,la oelaúh hq;=h' jd¾Islj kshñ; ffjoH mÍlaIKhlg Ndckh ùfuka fï Wjÿßka ñoSfï iEfyk wjia:djla ,efí' fï ,smsh ldka;djl ;u iqjfi; flfryS ksrka;rfhka wjOdkh fhduq l< hq;= wdldrh ms<sn|j jákd Wmfoia /ila imhhs'

ffjoHjrhd - udisl ffjoH iÕrdj

Well Woman Check iqj kdß ffjoH mÍlaIK ldka;djlf.a ffjoH mÍlaIKhl wx. lsysmhls' mema ;ejreu mÍlaIKhlao wka;¾.; fm,aúla mÍlaIKh idhksl mshhqre mÍlaIKh uefuda.%ms mÍlaIKh ,smsâ fm%d*hs,a mÍlaIKh reêr iSks mÍlaIKh uq;%d mÍlaIKh fï yereKQ úg my; mÍlaIKho Bg we;=,;a úh hq;=h jl=.vq mÍlaIKh wlaud mÍlaIKh ;hsfrdhsâ .%kaÓ l%shdldß;aj mÍlaIKh mmqfõ tlaia f¾ jd¾;dj WoÍh w,ag%d ijqkaâ mÍlaIKh Tiaáfhdafmdfrdaisia mÍlaIKh wdka;%sl yd .=o ms<sld úuiqu wlaIs mÍlaIKh fï yereKQ úg wef.a fmdaIK wjYH;d ms<sn|j" jHdhdu yd udkisl iqjfi; iïnkaOfhka iudf,dapkhl fhoSuo jeo.;a fõ' fuys tk we;eï úuiqï$mÍlaIK wef.a jhi u; r|d mj;S' we;eï úg m%;sikaêh je<elaùu" mjq, ie,iqï lsÍu wdoS ldrKd .eko fuu ffjoH mÍlaIKfhaoS we.hSug wjia:dj ie,fia' wef.a Yla;sh fuysoS fjfiiskau ldka;djg osh hq;= mKsúv lsysmhla fõ' ;ukaf.a fi!LHh ;;a;ajh ;ukaf.a md,khg .; hq;=h' tfiau we;eï ldrKd wkjYH f,i ffjoHuh oDIAÀ fldaKfhka úuiSuo wd;;sl ;;a;aj we;s lrhs' wd¾;jwNdjh" ,sx.sl .eg¿ yd idudkH cSú;fha wd;;sl ;;a;ajhkag uqyqK oSug fndfyda ldka;djkag ;udf.a yelshdju m%udKj;ah' 2015 ud¾;= l<dmh

ldka;djkag jeä wjodkula we;s f,v frda. yDo frda. yd wxYNd.h ^wd>d;h& wo ñksiqka urKhg m;a jk m%Odk fya;= folls' ienúkau ldka;djka fï fya;= foflka msßñkag jvd ñhefohs' ta yereKQ úg oshjeähdj iy ta ksid yg.kakd ixl+,;d ksido wfma ldka;djka ie<lsh hq;= ixLHdjla fuf,dúka iuq.kakd nj fy<sorõ ù ;sfí' wfma ld,fha ldka;djkag ms<sld f.k tk ;¾ckh 2005 j¾Ifha ixLHdf,aLK msßlaik úg ms<sldj ldka;djkag urK jfrka;=j f.fkk fojk m%Odk fya;=j njg m;aj ;sfí' fuysoS ldka;djkag je<f|k m%Odk ms<sld j¾. ;=kls' mshhqre ms<sldj .eíf., ms<sldj .,kd,fha ms<sldj mshhqre ms<sldj uefuda.%ms jeks mÍlaIK wdrïN ùu;a iu.u mshhqre ms<sld fõ,dikska 91

Health Check

y÷kd.ekSfï wjia:dj ie,iqKs' fï ksid miq.sh ld,h ;=< mshhqre ms<sld frda.Ska /ilf.a cSú; úYd, jYfhka fírd .ekSug wjia:djla w;am;a jqKs' flfia fj;;a mshhqre ms<sldj ;ju;a ldka;djka w;r iq,nu ms<sldj njg m;aj ;sfí'

weh osú iqrlsk ffjoH mÍlaIK

njg m;aù ;sfí' nq,;a iemSfï krl mqreoao ksid .,kd,fha ms<sld f;jk ia:dkhg meñK ;sfí'

Asiri Wellness Centre ldka;djka Wfoid lrk mÍlaIK wdisß Y,H frdayf,a ffjoH mÍlaIK u.ska ldka;djkaf.a u;=jg meñKsh yels nrm;, frda. wjodkï ;;a;aj uekúka úu¾Ykh lrhs' yDo frda. wjodku" wxYNd.h je<|Sfï wjodku" oshjeähdj" ms<sld wdosh bosßhg Tfí cSú;hg fl;rï wjodkula f.k tkafkao hkak ms<sn|j fuysoS úuis,su;a fjhs' ms<sld iïnkaOfhka úuiSfïoS Mammogram, Pap smear, Tumour markes hk mÍlaIK isÿ lrk w;r tu.ska tajd we;s ùfï ;ukaf.a fi!LHh ;;a;ajh wjodku l,a fõ,d we;sj y÷kd. ;ukaf.a md,khg .; ekSug wjia:djla Wod fõ'

hq;=h' tfiau we;eï ldrKd wkjYH f,i ffjoHuh oDIAÀ fldaKfhka úuiSuo wd;;sl ;;a;aj we;s lrhs' wd¾;jwNdjh" ,sx.sl .eg¿ yd idudkH cSú;fha wd;;sl ;;a;ajhkag uqyqK oSug fndfyda ldka;djkag ;udf.a yelshdju m%udKj;ah'

.eíf., ms<sldj .eíf., ms<sldj ishhg ishhlau j<lajd.; yels ms<sldjls' tfy;a .eíf., ms<sld wfma ldka;djka w;f¾ fojk ia:dkhg jd¾;d jk ms<sldj 92

ffjoHjrhd - udisl ffjoH iÕrdj

mshhqre mÍlaIKh mshhqre ms<sld ful, nyq,h' ldka;djka kj fofklaf.ka tla wfhl= ljr wjia:djloS fyda óg k;= jk nj fy<sorõ ù ;sfí' jhi wjq' 50 bl=;a ùu;a iu.u fï frda.Ska jvd;a jeäfhka yuq fõ' mshhqre mÍlaIKfha wruqK jkafka mshhqre ms<sldfõ frda. ,laIK u;= ùug ;nd" hka;ï j;a yiq fkdjk uQ,sl wjia:dfõoSu th y÷kdf.k frda.h uev meje;aùuhs' uefuda.%ms kï úlsrK mÍlaIKh fï lghq;af;aoS m%Odk N=ñldjla isÿ lrhs' uq,a wjia:dfõoS mshhqre ms<sldj y÷kd.;af;d;a Tng ie;alulska mshhqr bj;a fkdlr isàfï wjia:djo ,nd.; yel' tfiau iïmQ¾Kfhka wjodku neyer lsÍugo mq¿jk' jhi wjq' 4070 jhia ldKAvfha iEu ldka;djlu uefuda.%ms mÍlaIKh jir 2-3 lg jrla lr .ekSu iqÿiqh' tfiau my; ldKAv j,g Tn wh;a kï fï mÍlaIKh ie,eiaula we;sj bgq lr .ekSug Tn W;aiql úh hq;=h' l,ska mshhqre ms<sld jlg k;= jQ wh ;=reKQ úfhaoS mshhqre ms<sldjlg k;= jQ ióm {d;sfhl= ^uj" ifydaoßhl& isà kï mshhqre ms<sld je<|Sug fya;= jk cdkhl ysñ ldßhla kï' fndfyda ldka;djka ;ukaf.a cdk.; f;dr;=re okafka ke;' flfia fj;;a fuh ye|skSfï m%fõKsl mÍlaIK wjYH kï isÿ lr .ekSfï myiqlï oeka ;sfí' .eíf., ;ejreu mÍlaIdj Pap smear .¾NdIfha my;skau we;af;a .eí f.,hs'th .¾NdI .%Sjh f,io y÷kajhs'mÍlaIKhloS flfrkafka fï .%Sjfha we;s ffi, kso¾Ylhla 2015 ud¾;= l<dmh

iQrd wrf.k ridhkd.drfhaoS mÍlaIKhg ,la lsÍuhs' .eíf., ms<sldjla we;s jk j. fï mÍlaIKfhaoS b;d fõ,dikska y÷kd. ekSug yels ùu jdishls' tfiau tfia y÷kd.;fyd;a id¾:lj m%;sldr lsÍugo yels fõ' .eíf., mÍlaIKh ms<sld mÍlaIKhla fkdfõ' wkaùlaIShj widudkH;djhla y÷kd.;a;;a th ms<sld njg m;aùug fmr jHqyhla fyhska mQ¾fjdamdhka .; hq;= ;;a;ajhla f,i ie<flkakls' .eíf., mÍlaIK kej; isÿ lsÍfï wjYH;djh jhi wjq' 25-49 jhia ldKavfha ,sx.slj l%shdldÍ ldka;djka iEu jir ;=klg jrla isÿ lr.; hq;=h' jhi wjq' 50-64 iEu jir mylg jrla isÿ lr.; hq;=h'

Health Check

weh osú iqrlsk ffjoH mÍlaIK

jhi wjq' 65 oS Routine Screening k;r flf¾' flfia fj;;a my; ;;a;aj ;sfí kï weh ;j ÿrg;a mema mÍlaIKhg ,la úh hq;=h' .eíf., ;ejreu mÍlaIKh wjqreÿ 50 isg fkdl< ldka;djka uE;loS lrk ,o mema ;ejreu mÍlaIKhloS widudkH m%;sM< oelaùu

úúO fya;= u; ms<sldjla mej;sh;a ;ksju Tumour markers mj;skafkao ke;' fndfyda Tumour markers yefokafka YÍrrfhau fi, j,sks' tfiau ms<sld ffi, j,ska mek k.sk Tumour markers o mj;S' we;eï úg ms<sldjla fkdue;sj jQjo ksYaÑ; Tumour markers yuqùugo mq¿jk' tfiau ms<sldjla ;snqK;a th Tumour markers Tiafia ie<lsh hq;= muKlska fkdfmkajk wjia:do we;'

óg l,ska widudkH jd¾;d m%ldYhg m;a ù kï th ksjeros jk ;=re mema ;ejreu mÍlaIKh ks¾foaY lrk wjia:d j,oS lr.; hq;= fõ'

fndfyda úg ms<sld frda. ksOdk mÍlaIKhla jYfhka Ndú;d fkdlrhs' fndfyda úg iq,nj isÿ lrkafka ffcfõlaId (Biopsy) mÍlaIKhla isÿ lr ,nd .kakd m%;sM<hs' fuu mÍlaIK ms<sldjlehs iel lrk l,ayS wdOdrl mÍlaIKhla jYfhka Tumour marker mrSlaIK isÿ lrKQ ,nhs' CA 125 Tumour marker u.ska äïnfldaI ms<sld ms<sn|j m%n, b`.shla ,nd.; yel' fï wdldrhgu CEA Tumour markers u.ska nvje,a j, we;s úh yels ms<sld iïnkaOfhka b`.s ,nd.; yel'

Tumour markers mÍlaIK ms<sldjla mj;akd úg YÍrfha yuqjk øjH úfYAIhla Tumour markers jYfhka ye|skafõ' th tlaflda tlS ms<sld ffi,fhau ksIAmdokhls' ke;fyd;a tu ms<sldj fya;=fldg f.k YÍrh Bg tosßj isÿ lrk m%;sl%shdjloS ksmofjk ffcj øjHhla úh yelsh' úúO j¾.fha Tumour markers oekg y÷kdf.k ;sfí' 94

fï ;;a;ajh ;=< ffjoHjreka úiska Tumour markers jYfhka fhdod.kakd mÍlaIK we;af;a w;f,diails' tla;rd ksYaÑ; Tumour marker tll uÜgu$ w.h ne,SfïoS ffjoHjrhd úiska tu frda.shdf.a mQ¾j frda. b;sydih" idhkslj lrk mÍlaIK fukau wfkl=;a ridhkd.dr yd m%;sìïn mÍlaIKo iudf,dapkhg ,la lrhs'

wlaud ms<sld fm/hSu i|yd Alpha fetoprotein (AFP) kï Tumour marker mÍlaIKh fhdod. kS' AFP uÜgu wjfYAI wlaud.; frda. i|yd o ;rula by< hhs' kuq;a tu by< hdu muK blaujd isÿ fj;aoS ffjoHjreka th wlaud ms<sldjla iïnkaOfhka jk b`.s lsÍula f,i i<ld bosß l%fudamdhka ie,iqï lrhs'

ffjoH k;dId mSßia B Sc (USA) BM (UK) MRCP (UK) FRCP (Edin) ilia lf<A Ndr; .=K;s,l

ffjoHjrhd - udisl ffjoH iÕrdj

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

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

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

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

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

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

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

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

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

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

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

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

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

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

ISO iy;sl ,;a rdcH T!IO kS;s.; ixia:dfõ ;;a;aj ridhkd.drfha ;;a;aj mÍlaIdjkag ,la jk Wiia ;;a;ajfha" wdrlaIdldß" m%;HlaI T!IO SPC kñkau b,a,kak'

Y%S ,xld rdcH T!IO kS;s.; ixia:dj" 75" YS%u;a ndfrdka ch;s,l udj;" fld<U 01' ÿ'l' 011- 2320356-9 2015 ud¾;= l<dmh *elaia' 011-2447118

Mercy Initiative Palliative Care

ms<sld frda.Ska yg iykh f.k tk ms<sld iyk m%;sldrh

ms<sld frda.Ska yg iykh f.k tk ms<sld iyk m%;sldrh ms<sld frda. úfYaI{ ffjoH Idu .=K;s,l úisks jl< fkdyels frda.sfhl= yuqjQ úg oeka wmg l< yels lsisjla ke;ehs lshd ksjig heùu lsisúfgl;a isÿ fkdl< hq;=h¡ iqjl< fkdyels frda. hla iqjlsÍug wmg yelshdj fkdue;s kuq;a tu frda.h ksid frda.shdj mSvdjg m;alrk fndfyda frda. ,laIK md,kh lr frda.shdg iykh ,`.dlroSug yelshdj ;sfí¡

fmr lsisod fkd;snQ f,i zziyk m%;sldrhZZ Palliative Care i|yd mq¿,a wdjrKhl wjYH;djh j¾;udkfha u;=ù we;¡ f,dj mqrd w¿;ska y÷kd.kakd ms<sld frda.Ska m%udKh osfkka osk by< hñka mj;sk w;r iïm;a wjuhl mj;sk wjia:djkaySoS zziyk m%;sldrhZZ Tjqka i|yd jk m%;sldrfha m%Odku wx.hla njg m;a fõ¡ fnfydAuhla rgj, iïmQ¾K ck.ykfhka jhia.; jQjkaf.a fldgi iS>%fhka j¾Okhlg ,lajk w;r l%ufhka krl w;r yefrk iy iqjl< fkdyels frda. i|yd oekg ,ndfok Wjgefkys wjYH;dj l%ufhka jeäjkq we;¡ ldg;a l< yels foa uQ,sl frda. ,laIK md,kh iy idl<H Wmldrh (holistic support) ñ, wêl fkdjkakdla fukau ta i|yd oeä úfYaI{ oekqula we;s mqoa.,hkaf.a

ffjoHjrhd - udisl ffjoH iÕrdj

wjYH;djlao fkdue;¡ flfia fj;;a iyk m%;sldrh ia:dms;j we;s fi!LH moaO;shla iy .Dy uQ,sl Wjgeka (Home base care) jevigyka ia:dms; rgj, mjd by; lreKq .ek we;s oeKqu iy wjOdkh fndfyda úg wvq nj fmfka¡ iyk m%;sldrh i|yd wjYH lrk T!IO j, we;s ys`. lug hï muKlg fuys wmjdoh megfjk kuq;a iEu ;rd;srulu fi!LH fiajlhka ;=< iyk m%;sldrh .ek ;sìh hq;= uQ,sl oekqfï we;s nrm;, wvqmdvqluo" ixksfõok l=i,;djka .ek we;s úYajdifha u| njo uQ,sl frda. ,laIK md,kh i|yd jQ Ys,amSh l%uhka ms<sn|j jQ wvq oekqu o fnfyúka n,md we;¡ we;eï wjia:djkaySoS iyk m%;sldrfha wjYH;djka imqrd,Sug ´kE lrk fuj,ï j, wvqmdvqlï .ek is;Sfuka m%cdfõ iy fi!LH fiajlhkaf.a hï wffO¾hu;a njla we;s l< yelsh¡ by; wvqmdvqlï u.yrjd ffO¾hu;a f,i iyk m%;sldrfha ksr; ùug hï w;aje,la ,ndoSu fuu ,smsfha uQ,sl wruqK fjhs¡ hula lruq''' fuu.ska myiqlï wvq wjia:djka ySoS iyk m%;sldrh tosfkod lrf.k hkq ,nk m%;sldr l%ufõohkag taldnoaO lsÍug fi!LH fiajlhkag bv m%ia:dj i,id fokq ,efí¡ zzhula l< yelshZZ hk Okd;aul m%fõYh u`.ska úfYaI{ mqyqKqjlska f;drj jqjo m%cdfõ wfkl=;a fldgia j,o iyfhda.fhka oekg mj;sk m%cd iy fi!LH moaO;sh ;=< jvd hym;a uQ,sl iyk m%;sldrhla ,ndosh yels nj fmkajd fohs¡ mQ;s.;a;;siai ysñku frda.d;=r jQ fudfydf;a nqÿka jykafia msysg fjhs iyk m%;sldrh ol=Kq wdishd;slhka jk wm yg wh;a fohlau jkafkah¡ f,dõ;=rd 2015 ud¾;= l<dmh

nqÿrcdKka jykafia mQ;s.;a;;siai ysñku frda.d;=r jQ fudfydf;a Wkajykafiag ;uka jykafia úiska u Wjgeka lr iyk m%;sldrh ,ndoS fhda .s,dkx WmÜfGfyhsh - fida ux WmÜGfyhsh hkqfjka hfula .s,kqkag Wmia:dk lrkafka kï fyf;u ;ukajykafiag ^nqÿrcdKka jykafiag& Wmia:dk lsÍula yd iudk hehs mejiSfuka iyk m%;sldrh fld;rï W;=ï l%shdjla jkafkao hkak jir oyia .Kklg m%:u jod, fial¡ iykfhka hq;=j urKhg uqyqK oSfï leue;a; iy;sl lruq fviauka gqgQ w.ro.=re ;=ud 2005 jif¾oS m%ldYhg m;al< mßos fuh we;a; jYfhkau ñysu; ish¿ fokdgu n,mdk m%Yakhls¡ zzwms ish,af,dau wmf.a cSú; j,g iy wm úiska wdorh lrkakkaf.a cSú; j,go wdorh lrkafkuq¡ ;jo 97

Mercy Initiative Palliative Care

ms<sld frda.Ska yg iykh f.k tk ms<sld iyk m%;sldrh

tajd iduldó f,i iy iekis,af,ka wjidkh f;la .; lsÍug leue;af;uq¡ZZ hkafkkao iEu ñkssfil=u iykfhka hq;=j ;u urKh f;la cSj;a ùug we;s leue;a; m%ldY lrk ,oS¡ iyk m%;sldrh wre;a oelafjhs f,dal fi!LH ixúOdkfha w¾:l;khg wkqj iyk m%;sldrh jkdyS wfkalúO m%Yakj,g uqyqK fok frda.Ska Tjqkaf.a mjq,aj, wh iy frda.Skag Wjgeka lrkakkaf.a cSú;j, .=Kd;aul nj jeä oshqKq lsÍug .kakd jeo.;a m%fõYhls¡ w;S;fha oerE u;hg wkqj kï fuh oS¾>ld,Skj cSú;j,g ;¾ckhla t,a, lrkq ,nk frda. iy iqjl< fkdyels frda.S ;;a;ajhka i|yd muKla iSud jqjo j¾;udkfha ish¿u frda.Ska i|yd fhda.H nj fï i|yd Wkkaÿjla olajk úoaj;=kaf.a ms<s.ekSu fjhs¡

nqÿrcdKka jykafia úiska mq;s.;a;;siai f;reka jykafiag .s,fkdamia:dk lsÍu

frda.S ;;a;ajhka ksid ldhsl udkisl wdOHd;añl iy iudchSh jYfhka isÿúh yels mSvdjka l,a;nd y÷kd.ekSu;a ksr;=reju tajd ;lafiarejlg ,la lsÍu;a wjYH ;ekayS m%;sldr iy ms<shï lsÍu;a tajd yels ;rï j<ld,Sug lghq;= lsÍu;a u.ska tajdfhka mSvd ú|skakkag iykh ,ndoSula fuysoS isÿ flf¾¡ iyk m%;sldrh fõokdj iy wfkl=;a ÿlg m;alsÍug iu;a frda. ,laIKhkaf.ka uqojd .ekSu isÿlrkq ,nk w;r frda.shdf.a iy Tyqf.a mjq,aj, whf.a;a Wjgeka lrkakkaf.a;a cSú;j, jákdlu ;yjqre lrk w;ru iqjl< fkdyels frda.Skaf.a tu frda.S ;;a;ajh ksid isÿjk urKh idudkH l%shdj,shla f,i i,lkq ,nhs¡ tjeks jQ urKhla blauka lsÍu fyda m%udo lsÍu fuu m%;sldrfha wruqK fkdfõ¡ iyk m%;sldrh ksid urKh wE;a jk wjia:d flfia fj;;a we;eï wjia:dj,oS fuu m%;sldrfha we;s n,j;alu ksidu n,dfmdfrd;a;= jQ ld,hg jvd jeä ld,hla frda.shd cSj;ajkq oel.; yelsh¡ fláfhka mjif;d;a iyk m%;sldrh ;=< fyd|ska cSj;aùu iy fyd|ska urKhg uqyqK oSu hk lreKq folu wka;¾.; fjhs¡ tkï fuysoS frda.shd cSj;ajk iEu osklgu frda.shdf.a cSú;hg kslïu kslka

ffjoHjrhd - udisl ffjoH iÕrdj

ysia osk .Kkla tla lsÍula isÿ fkdfõ¡ fuu ne?reï ld¾hh isÿ lsÍfïoS frda.shdf.a ldhsl m%YaK j,g fukau udkisl wdOHd;añl iy iudchSh hk me;slvj,a ish,a,u .ek wjOdkh fhduq lrkq ,efí¡ fuysoS frda.shdg urKh f;la idudkH l%shdldÍ cSú;hla .; lsÍu i|yd wjYH lrk wdOdrl l%ufõohka imhd fokq ,efí¡ wjika lghq;= lrk ld,h ;=,oS;a wjYH kï bka miqj;a id¾:lj tajdg uqyqK oSug wjYH lrk Wojq fuu.ska ,ndfokq we;¡ fuu l%shdoduh id¾:l lr.ekSu i|yd iduQysl m%fõYhla isÿlrkq ,nk w;r fuu lKavdhug iyk m%;sldr úfYaI{ ffjoHjre" iyk m%;sldr fyo ks,Odßkshka" mQcH mlaIfha W;=uka" iudc fiajlhka" fN!;fõoSka fmdaIKfõoSka" T!IOfõoSka" WmfoaYlhka" iafõÉPd fiajlhska" m%cd fi!LH ks,OdÍka iy ;j;a fndfyda msßia we;=,;a fjhs¡ fõokdiy.; urK j¾I 2007 oS ñ,shk 7lg jvd jeä msßila ms<sld ksid ñhf.dia ;snqks¡ ta jif¾ taâia ksid ñh.sh m%udKh ñ,shk 2ls¡ Wvqÿjk ,o ms<sld iy taâia frda.h iys; frda.Skaf.ka 70] lg;a jvd jeä msßila fõokdj ksid mSvd ú|skq ,efí¡ ix.Kkhkag wkqj f,dj mqrd ñ,shk 100lg jvd jeä uksiqka m%udKhla uQ,sl iyk m%Óldrh ,eìh hq;=j isá;s¡ frda.Skaf.a cSú;j, .=Kd;aul nj oshqKq lsÍu fuysoS iyk m%;sldrfha taldhk wruqK jkqfha fuu frda.Skaf.a cSú;j, .=Kd;aul nj oshqKq lsÍuhs¡ frda. iqj lsÍu i|yd lrkq ,nk m%;sldrhkag iyk m%;sldrfhka lsisÿ ndOdjla ke;¡ flfia fj;;a iqjl< fkdyels frda.Ska ie<lSfïoS Tjqkag cSj;aùug we;s ld,h osk .Kkla fyda udi .Kkla fyda jir .Kkla fyda úh yels kuq;a tu ld,h yels ;rï iykfhka yd w¾:j;a f,i .;lsÍug yelshdj ,ndoSu fuu m%;sldrfha wruqKhs¡

2015 ud¾;= l<dmh

fvó isis,s fidakavia kQ;k iyk m%;sldr l%ufõofha ks¾ud;D jk fvó isis,s fidakavia f.a jpkhg wkqj Tn wmg jeo.;ah¡ ukao" Tn Tn jk ksidh¡ Tn Tnf.a cSú;fha wjika fudfyd; f;la wmg jeo.;a w;r Tnf.a urKh iykfhka hq;a tlla lr,Sug Wojq lrkjd muKla fkdj ta urKh f;la iykfhka cSj;a ùug Tng yelshdj ,ndoSug wmsg l<yels ish,a,u wms Tn fjkqfjka lrkafkuq¡ iqjl< fkdyels frda.sfhl= yuqjQ úg oeka wmg l< yels lsisjla ke;ehs lshd ksjig heùu lsisúfgl;a isÿ fkdl< hq;=h¡ iqjl< 99

Mercy Initiative Palliative Care

fkdyels frda. hla iqjlsÍug wmg yelshdj fkdue;s kuq;a tu frda.h ksid frda.shdj mSvdjg m;alrk fndfyda frda. ,laIK ^fõokdj" jukh" úvdj" u<noaOh yqiau.ekSfï wmyiqj jeks& md,kh lr frda.shdg iykh ,`.dlroSug yelshdj ;sfí¡ frda.h ksid urKhg m;ajQjkaf.a úfhdajh ksid we;sjk fõokdj bj;g .ekSug yelshdjla wmg fkdue;s kuq;a thska fYdalhg m;ajQjka w;a fkdyer isg Tjqkaf.a fYdalh fnod.ekSu ;=<ska Tjqkag iykhla ie,iSug yelshdj we;¡ frda.Skaf.a ish¿u m%Yak i|yd ms<s;=re wm i;= fkdjk kuq;a Tjqkaf.a m%Yakj,g fyd|ska weyqïlkaoSug wmg yelshdj we;¡ ienúkau ish,a,u lsÍug lsisfjl=g yelshdjla ke;¡ kuq;a lsisjla fkdlsÍu Bg ms<s;=r fkdfõ¡

ms<sld frda.Ska yg iykh f.k tk ms<sld iyk m%;sldrh

th ;ju;a .eínr wjosfha miqfjhs¡ kuq;a iyk m%;sldrh kï orejd ìys lsÍu b;d blauKska isÿjkq we;¡ kQ;k iyk m%;sldrh .ek udf.a Wkkaÿj ,sh,kakg mgka .;af;a ms<sld frda. úfYaI{ ffjoH mqyqKj i|yd tx.,ka;hg .sh wjia:dfõoS ,o úfõlS fõ,djka ;=< iyk m%;sldrh ms<sn|j wu;rj yeoEÍug jdikdjlg ug wjldYh ,enqks¡ ish,a,u lsÍug lsisfjl=g yelshdjla ke;¡ kuq;a lsisjla fkdlsÍu Bg ms<s;=r fkdfõ¡

,xldjg kQ;k iyk m%;sldrh w¿;a fohls¡ fláfhka lshf;d;a 100

ffjoHjrhd - udisl ffjoH iÕrdj

Wvqÿjk ,o ms<sld iy taâia frda.h iys; frda.Skaf.ka 70] lg;a jvd jeä msßila fõokdj ksid mSvd ú|skq ,efí¡ ix.Kkhkag wkqj f,dj mqrd ñ,shk 100lg jvd jeä uksiqka m%udKhla uQ,sl iyk m%Óldrh ,eìh hq;=j isá;s¡

wfma rfÜ iyk m%;sldrfha kfjdaohla 2010 jif¾ ms<sld frda. úfYaI{ ffjoHjrfhl= f,i uq,a m;aùu ,nd nÿ,a, uy frdayf,a jevlrk wjêfhaoS fï iïnkaOfhka úfYaI jevms<sfj,j,a /ila wrUk ,oS¡ wk;=rej ,o ia:dk udrefjka miq uvl,mqj YslaIK frdayf,a jev ndr .ekSfuka wk;=rej iyk m%;sldrh kef.kysr m<d; ;=< ia:dms; lsÍu i|yd lghq;= wrUk ,oS¡ fuys m%;sM,hla f,i udf.a b,a,Su mßos rdcH fkdjk ixúOdkhla jk {dKï mokfï uQ,Huh wkq.%yfhka iqjl< fkdyels ms<sld frda.Ska i|yd iqj myiqj i,ik .s,dk .sukay,a ;=kla boslsÍu wrUk ,oS¡ ñka m<uqjekak wïmdr uy frdayf,a tys wOHlaI ffjoH ,xld chisxy uy;df.a mQ¾K iyfhda.h u;;a fojekak uvl,mqj YslaIK frdayf,a tys wOHlaI ffjoH bírdf,ífí uy;df.a mQ¾K iyfhda.h u;;a ;=kajekak ;%sl=Kdu,h uy frdayf,a tys wOHlaIl ffjoH m%ldIa rdfcakaøka uy;df.a mQ¾K iyfhda.h u;;a bosjkq we;¡ wdl,amuh fjkilg tlafjuq fï iïnkaOfhka wod< osia;%slal ;=fka osidm;s ;=uka,df.a;a tu ld¾h uKav,fha;a ish¿u fi!LH fiajd ks,OdÍkaf.a;a mQ¾K iyfhda.h ,eîu úfYaI;ajhls¡ fuu.ska iqjl< fkdyels ms<sld frda.Ska i|yd iqj myiqj imhd fok w;r th iyk m%;sldr l%shdodufha m<uq woshr jk w;r fojk woshr hgf;a tu frday,a

2015 ud¾;= l<dmh

;=kgu iyk m%;sldr tall ,nd.ekSug woyia lrk w;r tu`.ska iqjl< yels ms<sld frda.Skag mjd iyk m%;sldrh ,nd.ekSug yels fjhs¡ fïjdfha we;s úfYaI;ajh jkqfha fuu ish¿u tall rcfha fi!LH fomd¾;fïka;=j hgf;a l%shd;aul jk tall njg m;aùuhs¡ kef.kysr m<df;a we;sjk fuu l%shdoduh ;=<ska iyk m%;sldrh iïnkaOfhka kj m%;srEmhla osjhsk ;=< f.dvkef.kq we;ehs wfmalaId lrkq ,efí¡ fuh fifuka iy l%udkql+,j wdrïN jk úYd, jevms<sj,l wdrïNhls¡ ,smsh wjika lsÍug bkaoshdkq wd;afudamfoaYkhla fhdod.ekSu WÑ; hehs yef`.a¡ zzTng w,sfhl= lkakg wjYH lrk úg th mgka.; hq;af;a fld;kskaoehs ;SrKh lr wk;=rej áflka ál úáka úg lEug mgka .; hq;=h¡ZZ

101

Health technology

uq,a ld,fhau ms<sld ,laIK y÷kd .; yels fmÜ iS à ialEka

PET CT Scanning

uq,a ld,fhau ms<sld ,laIK y÷kd .; yels fmÜ iS à ialEka fld<U cd;sl frdayf,a úlsrKfõ§ úfYaI{ ffjoH m%idoa o is,ajd tlaia f¾ yd iSà ialEka mÍlaIK lshkafka wmg t;rï kqyqre foaj,a fkdfjhs' úúO frda.dndO y÷kd.ekSu i|yd ffjoHjreka ksrka;rfhkau fujeks mÍlaIK i|yd frda.Skaj fhduq lrkjd'

102

fï wdldrhg wfma rgg w¨;skau meñK we;s ialEka mÍlaIK hka;%hla ;uhs fmÜ iSà ialEka hka;%h' ^PET CT scan& fuys§ PET hkqfjka fláfhka i|yka lr we;;a th ±lafjkafka positron Emission Tomogram hkqfjka'

ffjoHjrhd - udisl ffjoH iÕrdj

fmÜ ialEka iy iSà ialEka hka;% fol ;=<u ;sfnk o;a; tl;= lrf.k''' wfma rfÜ fmÜ hka;%h fuf;la Ndú;d fkdjqK;a fï mÍlaIKh f,dalfha fndfyda rgj, ffjoH mÍlaIK i|yd fhdÞ .kakjd' fmÜ iSà ialEka hka;%h ks¾udKh ù ;sfnkafka —fmÜ˜ ialEka iy iSà ialEka hka;% fol ;=<u ;sfnk o;a; tl;= lrf.khs' fï ksidu fuh b;d ÈhqKq ;dlaIKsl ;;a;ajfhka hq;=hs' fmÜ iSà ialEka mÍlaIKh i|yd .eud lsrK Wmfhda.S lr .kakjd tlaia f¾ mÍlaIK i|yd tlaia lsrK Ndú;d jk whqßka fmÜ iSà ialEka mÍlaIKh i|yd;a tla;rd lsrK úfYaIhla Ndú;d flfrkjd' fuh y÷kajkafka —.eud˜ lsrK kñka' fuhska tlaia lsrKj,ska YÍrhg fjk ydksh isÿ fjkafka kE' .eud lsrK ksmojkafka wia:dhS uQ,øjH u.ska' wia:dhS uQ,øjH lshkafka fudkjdo lshk tl úoHdj yÞrk isiq isiqúhka okakjd'

fmÜ ialEka m%;sìïn

fmÜ ialEka hka;%hla 2015 ud¾;= l<dmh

103

Health technology

uq,a ld,fhau ms<sld ,laIK y÷kd .; yels fmÜ iS à ialEka

fmÜ iy iSà ialEka hk folu tl;= lr ìyslr we;s fuu w;s kùk;u ialEka mÍlaIK úfYaIh u.ska ms<sldjla YÍrfha fld;ekl jevqK;a myiqfjka fidhd .; yelshs'

Reagent tlla YÍr.; lrkjd fuu ialEka mÍlaIKfha§ frda.shd meh 6la ksrdydrj ys| meñKsh hq;= w;r bkamiq frdayf,a§ bkafclaIka ud¾.fhka FDG (Fluro Deoxy Glucose) kñka y÷kajk øjHhla ^Reagent& YÍr.; lrkjd' th YÍr.; lr mehlg miqjhs frda.shd fuu ialEka mÍlaIKhg Ndckh lsÍu isÿjkafka' fuu mÍlaIKh u.ska YÍrfha ´kEu ia:dkhl ms<sld ffi, jefvkjd kï th uq,a wjêfhau y÷kd.; yelsùu tys we;s úfYaI;ajhhs' tA jf.au ms<sld ffi, ;sfnk ia:dkh yßhgu ksYaÑ;j y÷kd.kakg;a fmÜ iSà ialEka mÍlaIKh u.ska yelshdj ;sfnkjd' idudkHfhka YÍrfha wksl=;a ffi,j,g jvd ms<sld ffi,j, l%shdldß;ajh fjkia' tfukau tu ffi,j, l%shdldÍ;ajh jeähs' fmÜ iSà ialEka mÍlaIKfha§ bkafclaIka ud¾.fhka YÍr.; lrk FDG øjfha wvx.= .aÆfldaia wksl=;a ffi,j,g jvd blauKska ms<sld ffi, úiska Wrd.kq ,nkjd' tA wkqj ms<sldj j¾Okh jkafka YÍrfha fld;eko hkak fjk;a ialEka mÍlaIKj,g jvd fuhska meyeÈ,sj y÷kd. ekSug yelshdj ,efnkjd'

th myiqfjka fidhd .; yels fjkjd' flfia kuq;a f,dalfha jeämqru fmÜ iSà ialEka mÍlaIKh fhdÞ .kafka ms<sldjka fidhd ne,Su i|ydhs' th uq,au wjêfha y÷kd.ekSu ;=<ska frda.h fndfyda úgu iqjlr .ekSfï yelshdj ,efnkjd' ysfia isg oKysi olajd jk iïmQ¾K YÍrhu fuys§ mÍlaIdjg ,la flfrk w;r by; lS wdldrhg FDG øj YÍr.; lsÍfuka mehlg miqj frda.shdj ialEka mÍlaIKhlg ,la lrkjd' bkamiq mÍlaIKh i|yd ;j;a meh Nd.hl muK ld,hla ;uhs .; jkafka' flfia fyda fuu mÍlaIKh wfma rgg ;ju w¨;a' tA jf.au fuu mÍlaIKh isÿlr .ekSu i|yd frda.sfhl= remsh,a ,laIhl muK uqo,la jeh l< hq;= fjkjd'

Ouks wjysr;d;a y÷kd.; yels fuu mÍlaIKfhka y÷kd.; yelafla ms<sld muKla fkdfjhs' YÍrfha hï Oukshl f,a leáhla isr ùfuka wjysr ù ;snqKq fudfyd;l 104

ffjoHjrhd - udisl ffjoH iÕrdj

2015 ud他;= l<dmh

105

Liver Health

u;ameka fkdîj;a isfrdaisia yefokak mq¿jks

wlaudj f,v fjk yeá

u;ameka fkdîj;a isfrdaisia yefokak mq¿jks ldhsl frda. úfYaI{ ffjoH Wmq,a o is,ajd Tng lsisu f,vla ke;ehs lshd Tn is;kj we;s' tA;a f,v iy wudre lshkafka folla nj Tn jgyd .; hq;=hs' Tng ±fkkafka YÍrfha wudrelï ;sfnk úghs' fudku wudrejlaj;a ke;sj f,v wfma YÍrh ;=< ieÕù mej;sh yelshs' YÍrfhys hï fohla jerÈ ms<sfj,lg isÿfjñka mj;skafka kï th f,vla yeáhg i<lkak mq¿jka' fujeks f,v uq,§ Tng YdÍßl wudrejla f,i fkd±kqK;a miq lf,l th úúO wudre f,i msg;g u;=úh yelshs' wm fï l;d lrkakg hkafka;a Worh ;=< ieÕù mej; miq lf,l Tng m%ydrhla t,a, l< yels frda.S ;;a;ajhl=hs' wlaudfõ wêl f,i f;,a ;ekam;a ùu ksid we;sjk fuu frda.S ;;a;ajh NASH (Non alcoholic steato hepatitis) kñka y÷kajkjd' ;j;a ir,j lsjfyd;a u;ameka fkd.kakd flfkl=g jqjo yg .; yels wlaudfõ frda. ;;a;ajhla' wm .kakd wdydr" wdydr ud¾.h ;=< Èrjd tyss ish¨ fmdaIK fldgia bkamiq /f.k tkafka wlaudj fj;hs' fuh msysgd ;sfnkafka Worfhaa Wv fldgfia ol=Kq mig jkakghs' wlaudj idudkHfhka ls'.%E' 1'5 muK nrlska hq;=hs' ;sßika i;=kaf.a kï mSl=ÿ hkqfjka y÷kajkafka fuu wlaudjhs' 106

wlaudj lshkafka tla;rd .nvdjla' wdydrj,ska wfma YÍrhg ,efnk fmdaIK fldgia YÍrfha mdúÉÑhg wjYH ;rug .ekSfuka miq jeämqr b;sß jk tAjd fuu wlaudj ;=< ;ekam;a fjkjd' fuh fatty liver kñka y÷kajkjd' wdydr ,nd .ekSu os.ska È.gu isÿfjoa§ th mdúÉÑh wvq kï È.ska È.gu tu jeä fldgia wlaudj ;=< ;ekam;a fjkjd' tys m%;sM,h jkafka l,la .; jk úg wlaudj bÈóuhs' fuys§ f;,a jeä lu ksidu f;,a jeämqr we;s m%udKh bj;g ±óu i|yd wlaudj hï igkl ksr; fjkjd' tA igfka w;=re m%;sM,h jkafka wlaudj álska ál úkdYh lrd <Õd ùuhs' fï ;;a;ajhg tk úg wlaudj ;=< ;sfnk SGPT kï tkaihsu j¾.h wlaudfjka bj;a ù f,a j,g tl;= fjkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

wlaudfõ we;sjk úúO f,v

f,a j, SGPT m%udKh f,a mÍlaIKhla lr uek ne¨fjd;a th by< f.dia ;sfnk wdldrh jgyd .kak mq¿jka' fï ;;a;ajh we;s flfkl=f.a wlaudfõ iajNdjh È.= l,la ;siafia fkdlvjd u;ameka mdkh l< flfkl=f.a wlaudfõ iajNdjh n÷ fjkjd' tkï .,la fuka ;o njg m;ajQ wlaudjla' isfrdaisia ^cirrhosis& kñka y÷kajkafka fï frda. ;;a;ajhhs'

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

waidyawaraya.com

isfrdaisia yefokafk u;ameka mdkh lrk whg lsh,hs jeä fofkla ys;d bkafk' kuq;a Ôúf;ag u;ameka fmdola f;d, fkd.E flfkl=g jqj;a isfrdaisia yefokak mq¿jka nj ±ka Tng meyeÈ,s we;sfka'

2015 ud¾;= l<dmh

107

Liver Health

u;ameka fkdîj;a isfrdaisia yefokak mq¿jks

yels;dla f;,a wdydr wvq lrkak' f;,a wdydr ksid Tfí YÍrfha fldf,iagfrda,a ;ekam;aùfuka Tng yDohdndO jeks wjÞkï iy.; frda.j,g mjd ,lajkakg isÿjk nj Tn okakjdfka'

fï ;;a;ajhg m;ajQ miq l< yels foa b;d iSñ;hs' bka tydg isÿjkafka nv f,dl= ùu" ll=,a bosóu;a wjidkfha f,a jukh" isys uq¾cd ùu jeks foaj¨hs' wlaudfõ f;,a ;ekam;a ùfï frda.h ygf.k th isfrdaisia olajd hdug .;jk ld,h È.=hs' tAa ksid wlaudfõ f;,a ;ekam;a ù ;sfnk nj w,ag%d ijqkaâ ialEka mÍlaIKhlska wkdjrKh lr.;a miq tA nj ffjoHjrhd wjOdrKh l<;a fndfyda fofkla th .Kklg .kafk kE' isfrdaisia yefokafk u;ameka mdkh lrk whg lsh,hs jeä fofkla ys;d bkafk' kuq;a Ôúf;ag u;ameka fmdola f;d, fkd.E flfkl=g jqj;a isfrdaisia yefokak mq¿jka nj ±ka Tng meyeÈ,s we;sfka' fujeks frda.hla yg .ekSfuka je<lS ys£ug kï Tn l< hq;af;a fudkjdo@

Tn okakjdfka' tA jf.au Tfí YÍrfha nr md,kh lr .kak' ;rndre luo f,v frda. /ilg w; jkkakla nj wuq;=fjka fkdlSj;a Tn okakjd' tA wkqj fi!LH iïmkak wdydr rgdjlg yqreùfuka u;ameka fkd.kakd whg jqj;a wkd.;fha isfrdaisia je<£ug ;sfnk wjodku msgq olskak yels fjkjd'

yels;dla f;,a wdydr wvq lrkak'f;,a wdydr ksid Tfí YÍrfha fldf,iagfrda,a ;ekam;aùfuka Tng yDohdndO jeks wjÞkï iy.; frda.j,g mjd ,lajkakg isÿjk nj 108

ffjoHjrhd - udisl ffjoH iÕrdj

Focus

ñksia j. iqjm;a lrjk jákd fnfy;a fidhd uyfmdf<dj mSrk fufyhqula

ñksia j. iqjm;a lrjk jákd fnfy;a fidhd uyfmdf<dj mSrk fufyhqula f,dalh mqrd ck;djg mx.=lrejka jkakg b,a,Sula''' Drugs From Dirt: a citizen science project f,dalh b;d úYd, ;ekla' wmsg f,dalfha yeu wiaila uq,a,lgu hkak nE' tal ksid uydoaùm mfyau ck;djf.ka wm b,a,d ysákjd" wmg Woõ lrkak lsh,ZZ fï frdlaf*,¾ iriúh yd wkqnoaO úoHd{hka lKAvdhula f,dalfhka l< wdhdpkhla' tafl miqìï l;dj ;uhs oeka wms Thf.d,a,kag lshkak ierfikafk' kj T!IO fiùfï fkd;s;a wdYdj T!IO ksIAmdokh wo f,dj mqrd m%p,s; l¾udka;hla' fuys jmißh yßu úYd,hs' tl tl wdldr j,ska m¾fhaIlhka wmg ´ks fnfy;a imhd.kakjd' ta;a úoHd{hka mjik wdldrhg ngysr ffjoH úoHdfõ ;j;a úi|d.; hq;= m%YAk rdYshla ;sfnkjd' ;sfnk T!IO j,g jvd m%;sM<odhS fnfy;a rdYshla y÷kajd oSfï fkd;s;a wdYdjlska wo ojfia úoHHd{hka fmf<kjd' mdIdKSN+;j ie`.j.;a úYAñ; T!IO fidhd frdlaf*,¾ úoHd{hka W;aidyhl frdlaf*,¾ úoHd{hka úYAjdi lrk wdldrhg wfma fmdf<fj mdIdKSN+;j úYAñ; fnfy;a ;sfhkjd' taj we;eï Nhdkl f,vfrda. j,g osjHdT!IO fjkjd' fï <`.oS N+.; mia 2015 ud¾;= l<dmh

idïm,hlska b;d jákd m%;scSjl T!IOhla fidhd. kak ,enqKQ wjia:dj WodyrKhla muKhs' Drugs From Dirt fjí wvúh frdlaf*,¾ úoHd{hkag wjYH jqKd f,dalh mqrd fndfyda fokdf. iyNd.s;ajh fï w¿;a jHdhduhg k;= lr.kak' ta ksidfjkau Tjqka Drugs From Dirt hkqfjka fjí wvúhla wdrïN l<d' wruqK jqfKA uydoaùm mfyau Woúh w;f¾ fnfy;a idr mia idïm, tl;= lr .ekSu' le,E j," fjr< ;Srhkaf.a jf.au ldka;dr j, mjd mia wjqiaik fï úoHd{hka Tng;a iajlSh fjí wvúhg msúi Sign up ù fï jHdhduhg tl;= fjk f,i wdrdOkd lrkjd' Tjqkg f,dalfha iEu m%foaYhlskau yjq,alrejka wjYHhs' fjfiiskau .,a.=yd" ¥m;a fukau j;=r W,am;a wi<ska ksheos imhd fok f,i b,a,d isákjd' fï ia:dk j, isák nelaàßhdjka uy`.= T!Iëh .=Ke;s øjH i`.jd isá;ehs úoHd{hka iel m< lrkjd'

109

Focus

ñksia j. iqjm;a lrjk jákd fnfy;a fidhd uyfmdf<dj mSrk fufyhqula

oekgu;a úmq, M< fk,df.k''' fï jHdmD;sfha m¾fhaIlfhl= jk wdpd¾h ishka n%eâ îîiS m%jD;a;s fiajhg m%ldYhla lrñka lshd isáfha ;uka ika;lfha fuf;la ;sfnk kso¾Yl 185ka jQj úYAñ; wkdjrKhka isÿ lsÍug iu;aj ;sfnk njhs' fï idïm, fhdodf.k ffjoH úoHdjg w;sYhska iïudoï jk jHq;amkak ,nd.ekSug ;uka iu;a jQ nj;a ta wkQj jHdmD;sh mq¿,a lsÍug ;SrKh l< nj;ah'

frdlaf*,¾ úoHd{hka úYAjdi lrk wdldrhg wfma fmdf<fj mdIdKSN+;j úYAñ; fnfy;a ;sfhkjd' taj we;eï Nhdkl f,vfrda. j,g osjHdT!IO fjkjd' fï <`.oS N+.; mia idïm,hlska b;d jákd m%;scSjl T!IOhla fidhd. kak ,enqKQ wjia:dj WodyrKhla muKhs

Epoxamicin ksõfulaisfldafõ WKQiqï W,am;la wdikakfha ;sî fidhd.;a mdxY= idïm,hl ms<sld T!IO /ila ksmojk uQ,sl ixfhda.h jk Epoxamicin y÷kd.;af;a uE;loSh'

110

ffjoHjrhd - udisl ffjoH iÕrdj

we,ialdfõ iSj¾â l÷jeáh wdikakfha fï úf,ka oekgu;a jákd mdxY= kso¾Yl ,ndf.k we;'

iafg%mafgduhsiska m%;scSjlhg wkqrEmS Streptomyces lividans

Bleomycin fï wdldrfhka n%iS,fhka fidhd.kakd ,o mdxY= idïm,hl ;j;a jákd ms<sld T!IOhla jk Bleomycin yS jHq;amkakhla fia Ndú;d l< yels T!IOhl cdk y÷kd.kakd ,oS' Rifamycin T!IO m%;sfrdaë laIh frda.hg fhdod .kakd Rifamycin kï T!IOhg iudk .=K fmkajk ridhk wefußldfõ ksß;os. m%foaYfhka ,nd. kakd mdxY= idïm,hl ;sî fidhd.kakd ,oS' wo wm Ndú;d lrk fndfyd T!IO Wlyd.kafka uv f.dvj,sks' fmksis,ska yd jekaflduhsiska hk m%;scSjl Bg WodyrK jkafkah'

fkdj f,dalhu idlaIs lrf.k fï m¾fhaIK osh;a lsÍug Tjqka iQodkïh' fï m¾fhaIK Tiafia f,dalh jvd;a iqkaor jdiia:dkhla''' frda ìfhka úhqla; f,dalhla jkq oelSfï isysk ;sfí' jvd;a jeo.;a jkafka fï wfmalaIdjhs'

uv mSrd ,nd.kakd mdxY= fldgia flfryS wo frdlf*,¾ úoHd{hka ;nd we;s wfmalaId wyi Wigh' Tjqka i¾jY=Njdosh' ;ksju

2015 ud¾;= l<dmh

111

wdhq¾fõoh

mq;suq;a; NsIcac

YdLH jxYslhka fj;ska nqoaO jxYslhka fkdyd;a uy i`.rejK fj; odhdo jQ bmerKS fnfy;

úúO jQ mqoa.,hska / ilska iukaú; jQ ix> iudch ;=< ksis úkh mj;ajdf.k hdu i|yd tl, nqÿka jykafia úúOdldr kS;s Í;s mekjQy¡

mq;suq;a; NsIcac

úld, fNdackfhka je<lSfï kshuh ysre wjrg hdug fmr wdydr .ekSu - ñka woyia lf<a iEu NslaIqjlau ysre uqÿka ùug fmr Woh yd osjd wdydrh j<|d wjika úh hq;= njh¡ oyj,a 12ka miq ysre wjrg hdu isÿjk w;r t;eka isg miqosk Wofha ysre kef.k ;=re lsisÿ úld, fNdackhla fkd.; hq;= njh¡ ta wkqj NslaIQka jykafia,dg rd;%S fNdackh .ekSu wlem úh¡

ymq;f,a tia tï ã fifkúr;ak úisks wm cSj;ajk iudch úúO;ajfhka hqla;h¡ w;S;h flfia jqjo j¾;udkfha wo wm .;lrkafka nyq jd¾.sl" nyq ixialD;sl" nyq wd.ñl iudchla iduQysl cSú;hls¡ wfma ck cSú;hg wmg ksrka;rj yqre mqreÿ jQ wdydr rgdjg jvd fjkia jQ wdydr wej;=ï mej;=ï iu. cSj;aúug wo isÿj we;¡ wmg wdfõKsl jir oyia .Kkla ;siafia mej;s wdydr rgdj yd wej;=ï mej;=ï rgdj wo jk úg fjkia ùf.k hhs¡ fï ksidu wfma ckiudcfha úúO frda. dndOhkag f.dÿre jQjka fndfydah¡ .eiaá%la fyj;a wï, ms;a;h" oshjeähdj" wêl ia:q,Ndjh" yoj;a frda." wlaIs frda." wl,g ysiflia meiSu" Wor wdndO" kskao fkdhdu" wdydr cS¾K moaO;sfha úlD;s;d wdoS fnda fkdjk frda. /ilg wmg uqyqK fokakg isÿ ù we;¡ woska jir fooyia yhiShhlg fmr''' wo wm w;aú|sk fuu ;;a;ajhu woska jir fooyia yhiShhlg fmr fn!oaO ix>hd jykafia,dgo w;a ú|skakg isÿ úh¡ nqÿkajykafia ish wkq. dñlhka f,i iiqfka meúoao ,ndÿka úúO cd;Skag wh;a" úúO cSjk rgdjka wkqj cSj;a jQ" úúO l=, j,g wh;a úúO jhiaj,ska hq;= jQ wOHdmkfhkao 112

f.ms<sfj<ska ms`vq is`.d jeãfï kshuh nqqÿkaf.a ;j;a kS;shla jQfha oskm;d f.ms,sj,ska ms`vqis`.d ,nd.kakd wdydrfhka hemsh hq;=h hkakhs¡ nqÿka jykafia jod, fuu kshuhg wkqj nyq úúO;ajfhka hq;= bkaoSh ck iudcfha f.ms,sfj,ska ms`vqis`.d jev NslaIQka úiska ,nd.kakd ,o odkh o úúO;ajfhka

ffjoHjrhd - udisl ffjoH iÕrdj

hq;= úh¡ ñksiqka uy;a ne;sfhka hq;=j NslaIQka jykafia,dg oka ms<s.ekajQ kuqÿ tajd ish,a,u m;H wdydrhka fkdùh¡ fufia ieoeyej;=ka úiska ,efnk ri uijq¿ fukau wm;H lgql jQ wdydrhkaf.kao m;H-wm;H nj fyda ri kSri wdosh .ek fyda fkdi<ld wkqNj lsÍugo nqÿka jykafia Wmfoia ÿka neúka ix>hd jykafia,dg isÿ jQfha ieoeyej;=ka ms<s.kajk odkh m;H wm;H fNaohlska f;drj je<|Sughs¡ NslaIQka jykafia,d o fï nqoaO kshuhg wkqj os.ska os.gu fuu wdydr ms<sfj; wkq.ukh l<y¡ ál l,la hkúg fndfyda NslaIQka jykafia,d wdydr wm;H ùfuka we;sjQ úúO frda. ;;a;ajhkag f.dÿre jkakg úh¡

NslaIQkag wdydr wm;H ùu ksid we;sjQ frda. ;;a;ajfhka ñoSu i|yd jir ish oyia .Kkla ;siafia ;u mrmqf¾ rdclShhka úiska muKla u ryis.;j Ndú;d l< rdclSh ryia Tiq ms<sfh, lr.kakd wdldrh ish`Mu NslaIQka jykafia,dg lshd oS tu fnfy;a NslaIQ Öjrh orK ;dla l,a lv fkdfldg oskm;d je<|sh hq;= njg o kS;shla meKúh¡

NslaIQka uqyqK ÿka wiSre;d ri-.=K" m;H-wm;H nj;a fkdi<ld ,efnk wdldrhg oka ms<sf.k je<|Su ksid fndfyda NslaIQka jykafia,d wjmeye iula we;a;ka úh¡ we;euqka ia:q, jQ w;r we;euqka lDY jkakg úh¡ we;eï NslaIQka jykafia,d fiï frda. j,skao" reêr.; wdndO j,skao fmf<kakg úh¡ wdydr úI ùu cS¾K wdndO wdosh fukau ;=kafodia lsmSu ksid we;sjQ frda.dndOhka /ilska fm¿Kq fuu NslaIQka jykafia,d ;uka jykafia,dg nqÿka jykafia wkqoek jod, wdydr ms<sfj; ksid frda.S jkakg isÿ jQ nj tla osfkl nqÿka jykafiag ie<lr isáh y¡ 2015 ud¾;= l<dmh

113

wdhq¾fõoh

mq;suq;a; NsIcac

YdlH jxYslhka iq/ls ryi wm ljqre;a okakd mßos f.!;u nqÿka jykafia hkq W;a;r Ndr;fha úiQ bmerKs rc jxYhlska mej; tk W;=fuls¡ ;u f.da;%hg wh;a YdlH jxYfha laI;%sh rdclShhkaf.ka mej; tk f.!;u isoaOd¾:hka .sys l, ;u mrmqrg wdfõKSl jQ rdclSh wej;=ï mej;=ï wdosh mqreÿ mqyqKq l< wfhl= úh¡ fï rdclShfhda fndfyda úg wdydrhg .;af;a ;u oeis oiqka úiska ms<sfh, lr fok ,o rdclSh fndcqkah¡

mq;suq;a; NsIcac fïlhs tod nqÿka jykafia úiska ish¿u ix>hd jykafia,dg osú we;s f;la fyj;a NslaIq Öjrh orK f;la Wfoa yji lv fkdlr je<|sh hq;= njg kshu l< mq;suq;a; NsIcach kï jQ udye`.s ryia Tiqj idod.kakd wdldrh úkh msglfha i|yka lr we;s wdldrh fufiah¡

oeisoiqka úiska ;u wdydrh ms<sfh, lrk ksidu fuu rdclShfhda wdydr nqoSfïoS we;súh yels úIùï wdosh iukh lrùug iqÿiq jQ fnfy;a j¾. o ryis.;ju Ndú;d lsÍug yqreù isáhy¡ fï neõ isysm;a jQ nqÿka jykafia ish NslaIQkag wdydr wm;H ùu ksid we;sjQ frda. ;;a;ajfhka ñoSu i|yd jir ish oyia .Kkla ;siafia ;u mrmqf¾ rdclShhka úiska muKla u ryis.;j Ndú;d l< rdclSh ryia Tiq ms<sfh, lr.kakd wdldrh ish`Mu NslaIQka jykafia,dg lshd oS tu fnfy;a NslaIQ Öjrh orK ;dla l,a lv fkdfldg oskm;d je<|sh hq;= njg o kS;shla meKúh¡ rdclShhkagu wkkH jq ryia fnfy; úkh msglfha md,s niska zzmq;suq;a; NsIcacZZ kñka y÷kajd we;s fuu rdclShhkagu wkkH jq ryia fnfy; t;eka isg ix>hd jykafia,d úiska nqoaO kshuh lv fkdlr oskm;d j,|kkag jQ w;r tu ud ye`.s Tiqfõ n,fhka bkamiq lsisu NslaIqjlg wm;H wdydr je<|Su ksidfjka we;sjk lsisÿ frda. ;;a;ajhla fkdje,÷ks¡ fuu fnfy; ksrka;rj je<|Su ksid NslaIQkag wdydr wreÑh" kskao fkdhdu" fydß" oo" l=IaG we;sùu wdydr cS¾K moaO;sfha wdndO" mxp bkaøshka iïnkaOfhka jk úúO wdndO" ;=ka fodia lsmSfuka we;sjk frda. wdoS ish¿ jHëkaf.ka wdrlaIdj ,enqk w;r fnfy; je<|Su ksid we`. meyem;a ù rEm fYdaNdj m%sh ukdm jkakg úh¡ mdKavq frda." wE,suE,s ÿn, .;sh wdosho ;=rka ù wdydr cS¾Kh hym;a ùu ksid NslaIQka jykafia,d mshlre rEm fidandj we;a;ka njg m;aúh¡ 114

zzfyd|ska jevqkq msßñ t< .jfhl=f.ka Wfoa mdkaor msglrk uq;%d f.k thg wr¿ oud i;shla fmd`.jd" i;shla mjfka úh,d tu wr¿ pQ¾K lr tu pQ¾Khg ómeKs yd .sf;,a uqiqlr oskm;d Wfoa yji t,ngq m%udKfha .=,sh ne.ska WKq meka iu`. mdkh lsÍu nqoaO kshuh úh¡ZZ fuu nqoaO kshuh lv fkdlr ms<smosk NslaIQka jykafia,d woo iaj,am jYfhka fyda isák w;r Wkajykafia,dg lsisÿ frda.dndOhla f,fyisfhka fkdje<f|k nj fmK Sf.dia we;¡

ffjoHjrhd - udisl ffjoH iÕrdj

wdosh .e,aùug fmr iuia; isref¾u ksfrda.S nj mj;ajdf.k hdu jeo.;ah¡ fya;=j frda. mSvdosfhka hq;= we;a;ka tu mSvdldÍ ish¿u frda.hkaf.ka iqj fkdù rEm,dmkH i|yd ms<shï fhoSu .`.g lmd oeuQ bks jeks jk neúks¡ .syshkago iqÿiqhs úkh msglfha i|yka mßos fuu mq;suq;a; fnfy; ksis mßos ilia lrf.k Ndú;d lrk .syshkao isà¡ .sys meúos ldg;a iqÿiq jQ fuu fnfy; je<|Sfuka wmg ndysrj oelsh yels m%n,;u ldrKh jkqfha isref¾ iu meyem;a ùuh¡ oskm;d úI u;ameka .kakd whg fukau úúO lD;%su rildrl yd j¾Kldrl fh¥ wdydr ksrka;ju nqoskakka i|yd fuu fnfy; Ndú;h jvd iqÿiqh¡ fuys úfYaI;ajh jkqfha fnfy;a Tiq fuka fõ,la folla îfuka w;aú|sh yels m%;sm,hla oel.; fkdyels ùuhs¡ fuu udye`.s rdclsh fnfy; udi lSmhla fkdlvjd j<|k úg iu meyem;a ùu" iqj kskaola ,eîu" WordndO" f,a úIùï wdosfhka ñoSu wdoS m%;sM, w;aúosh yel¡ l¿ meye;s iula we;s wfhla jqjo fnfy; fkdlvjd udi lsysmhla j<|k úg iu meyem;ajk wdldrh w;aú|sh yelsh¡ wm%ikak rihla iqj|la jykh fkdfõ¡ wdydr rgdj ixlr ùu ksid we;sjk frda. jHdëka ish,a, iukh lsÍu i|yd YdlH jxYsl rc orejka muKlau Ndú;d l< fuu mq;suq;a; fnfy; ms,sfh, lsÍfïoS f.da uq;%fhys mqrd i;shla wr¿ fmd`.jd miqj mjfka úh,d .; hq;= jqjo fuu fnfy; ms<sfh, lr wjika jQ úg bka lsisÿ ÿ`.ola fyda wm%ikak rihla iqj|la jykh fkdfõ¡ oskm;d fkdlvjd .ekSug yels m%ikak rihlska hq;=h¡ iu ldka;su;a meyem;a njlg m;alsÍu i|yd fuu fnfy; b;du iqÿiqh¡ rej w,xldr f,i mj;ajdf.k hdu i|yd ndysßka úúO wdf,amk 2015 ud¾;= l<dmh

ukd f,i l=i.sks we;sùu mxp bkaøshkaf.a ;SlaIK nj nys>%dùh lghq;= wdhdihlska f;drj bgqlr.; yelsùu fukau iqjm;a kskaola ,eîu ksfrda.S isrerlska isÿúh hq;=h¡ nqÿka jod, fuu mq;suq;a; fnfy; wm ldg;a Ndú;h iqÿiqh¡ fnda fkdjk frda. nyq, f,i me;sr hk j;auka ,dxlSh ck iudcfha we;a;kag iajlSh rE imqj /l .ksñka ksÿla kSfrda.S osú fmfj;la f.k hEu i|yd fuu nqoaO NdIs; mq;suq;a; fnfy; Ndú;h mqreÿ jkafka kï wêl ñ,la jehlr iqj lr.; hq;= jk f,ôv frda. ioygu md,kh lr.ksñka cSj;a ùu i|yd ÿla ú|sk f,v frda. /ilska ksoyia úh yelsh¡

115

Nutricare

t<j¿ j, ie`.jqk Tn fkdo;a úYañ; frda. iqj lsÍfï .=K Y%S ,xld jhU úYaj úoHd,fha jHjydßl fmdaIK wOHhk wxYfha fca¡ta¡ ud,sld i|ud,s úisks —wdfrda.Hd mrud ,dNd˜ - ksfrda.Slu mru ,dNhhs¡ jhia fíohlska f;drj fuf,dj fjfik iEu mqoa.,fhl=f.au m%Odk wNs,dYh fi!LH iïmkak ksfrda.S osú fmfj;la .; lsÍuhs¡

t<j¿ j, we;s iqúfYAIS .=K

t<j¿ j, we;s iqúfYAIS .=K wdydr fõ,g úúO;ajfhla tla lrk t<j¿ úgñk ^úfYaIfhka úgñka ta" î yd iS& yd LKsc ,jK jeks w;HdjYH fmdaIH mod¾: rdYshlska iukaú; fõ¡ Bg wu;rj frda. ldrl j,ska Tnj wdrlaId l< yels úfYaIs; ridhksl ixfhd. rdYshla t<j¿ j, wvx.= fõ¡ *Sfkda," g¾msfkdhsv" we,alf,dhsv yd i,a*¾ wvx.= ixfhda. f,i fuu ridhksl ixfhda. ixhq;sh yd l%shdldß;ajh wkqj j¾. rdYshlg fnod oelaúh yelsh¡

mqoa.,fhl=f.a ksfrda.Slu i|yd n,mdk lreKq rdYshls¡ ta w;r wdydr yd wdydr mqreÿ m%Odk ;ekla .kS¡ Tnf.a iEu wdydr fõ,lau iun, wdydr fõ,la njg m;alr .ekSu ksfrda.S osú fmfj;lg Tn ;nk m<uq mshjr fõ¡ t<j¿ hkq iun, wdydr fõ,l w;HjYH ix>glhla fõ¡ oskm;d wju jYfhka t<j¿ j¾. myla wdydr fõ,g tla lr .ekSu újOdldrfha frda. rdYshlska wdrlaId ùug Tng WmldÍ fõ¡ t<j¿ j, iQúfYAIS jQ .=K 116

fuu tla tla ixfhda.h yDo frda." oshjeähdj" wêreêr mSvkh yd ms<sld wdoS oreKq frda.S ;;a;ajhka we;sùu md,kh lsÍfï yelshdjkaf. ka hqla; fõ¡ Bg wu;rj YÍrfha m%;sYla;sh jeä oshqKq lr lIqø cSù wdidok je,elaùfï yd wys;lr reêr fld,iagfrda,a ffjoHjrhd - udisl ffjoH iÕrdj

m%udKh wvq lsÍfï yelshdjkaf.kao iukaú; fõ¡ wiydh .=K iys; tjeks t<j¿ lsysmhla yd tajdfha .=K ms<sn|j my;ska i<ld n,uq¡ lerÜ • yDo frda. j<lajhs • wdka;%sl ms<sld j<lajhs lerÜ j, mj;sk fmd,sweig,ska kï ixfhda.h wkjYH reêr leá .eiSï yd wka;%fha ;=jd, yg.ekSï j<lajhs¡ tu.ska ms<sfj,ska yDo frda. iy wdka;%sl ms<sld je<elaùug lghq;= lrhs¡ f.dajd • fmky¿" wdudYh" uyd nvje,a yd .=o ud¾.fha ms<sld we;sùfï wjodku wju lrhs¡ f.dajd j, mj;sk .aÆfldaia fkdaf,aï kï ixfhda.h wdydr ms<sfh, lsÍfïoS ì| jeà kj ixfhda.hla ksmojhs¡ fuu kj ixfhda.h my; 2015 ud¾;= l<dmh

i|yka .=K j,ska hqla; fõ¡ ms<sldldrl j,g tfrysj l%shd lsÍu" nelaàßhd yd ffjria wdoS laIqø cSúkag tfrysj l%shdlsÍu yd ms<sld we;s ùug fya;=jk ffi, j,g reêrh imhk reêr jdyskS ksmoùu je<elaùu' fuu .=Khkaf.a iuia; n,mEu u.ska wjidkfhaos f.dajd j,g ms<sld kdYl .=Kh ,nd foa¡ îÜ ^r;= w,& • yDoh yd reêrjdysKS moaO;sh wdY%s; frda. wju lrhs¡ • jhia.; ùfï ,laIK fmkaùu mud lrhs¡ îÜ j, we;s leráfkdhsv jeks m%;sTlaisldrl ixfhda. u.ska wkjYH reêr leá.eiSï yd reêr kd, j, fïo ;ekam;a ùu wju lrhs¡ tfiau ksfrda.S iula mj;ajdf.k hdug Woõ lsÍu u.ska Tfí ;reK nj /l fohs¡

ksú;s • jhia.; ùu iu. we;sjk my; ixl+,;d wju lrhs • wefia fmkSu wvq ùu • fud<fha l%shdldß;ajh wvq ùu • fud<fha reêr kd, j, reêr leá ysrùu ksid we;súh yels wd>d;Sh ;;a;ajh • ms<sld j,ska wdrlaId lrhs ksú;sj, wvx.= jk mSfkd,sl wï, yd leráfkdhsv hk m%;sTlaisldrl ixfhda. u.ska thg by; i|yka cSj .=Khka wdfrdamKh lr we;¡ 117

wdhq¾fõoh

ridhk ffjoH l%uh

fid÷re rejlg wdhq¾fõo ridhkh le<Ksh úYaj úoHd,hSh .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha wdhq¾fõo ffjoH idrx.d fiarisxy BAMS (Hons.) úisks iajNdjO¾ufha uy`.= odhdohla f,i zfid÷re rejl WreuhZ ie<lSug mq`Mjk¡ Wmf;aoSu fldhs ldg;a úúO uÜgfuka Wreu lrkq ,nk iqkaor;ajh ieuodu /l.ekSug iy ;j;a Tmq kexùug Tnf.a Wkkaÿj iy W;aidyh wjYHhs¡

118

fid÷re rejlg wdhq¾fõo ridhkh

ifï meyeh" oSma;sh" oEfia ldka;sh" ysiflia j, oSma;sh wdoS úúO rEm,djKH mrdihkayS l=uk ;rd;srul Tn isáh;a Tng fid÷re rejla ysñlr .; yels fõ¡ wdhq¾fõoh - f,ig tla jpkhlska ye|skajQj;a ridhk ;ka;%h ke;fyd;a ridhk ffjoH l%uh fid÷re rejl Wreuh ,ndfok iqúfYaIS ffjoH l%uhls¡ wdhq¾fõoh f,i y÷kajkafka ridhk wdoS ffjoH l%u wkq wgl tl;=jhs¡ wdhq¾fõoh bkaoshdfõ Wm; ,nd miqj ,xldfõ foaYSh rgdjlg yqrej w;aje,a ne|.;a ffjoH l%uhls¡ wo muKla fkdj wE; w;S;fha oS o bkaoshdfõ reje;s fh!jkshkag m%isoaO nj oksuq¡ tksidu úúO wjia:dj,oS wfma rfÜ rcjreka" bkaoSh l=udßldjka irK mdjd .kq ,eîh¡ bkaoshdkqjkaf.a osk p¾hdjg tla jQ wdhq¾fõo ridhk ms<sfj;a fid÷re rejla i|yd wms;a l:d nyl fhfouq' ffjoHjrhd - udisl ffjoH iÕrdj

ridhk ffjoH l%ufhka ,efnkafka fudkjdo@ oS¾>udhq# iauD;sx fïOdudfrda.Hx ;reKx jh# m%Ndj¾Kd iajfr!od¾Hhx foafyakaøSh uf,daohx jdla Y=oaêx m%K;sx ldka;sx ,nf;a kd ridhkd;a ,dfNda mdfhdayS Yiakdkdï ridoSkdx ridhkï 1¡ oS¾>dhqI - 2¡ iauD;s - 3¡ fïOd 4¡ wdfrda.H - 5¡ m%Nd - 6¡ j¾K - 7¡ iaj¾h - 8¡ jdla Y=oaê - 9¡ ;reK jhi 10¡ foay - 11¡ ldka;s -

os.=l,a ksfrda.Sj cSj;aùug ,efí jhia.;ùu iu. we;sjk wu;l ùu iy ySkjk nqoaêh kej; f.dvk.hs ksfrda.S osúhla ,efí ,m le<e,a rys;j mQ¾K njla ,efí meyem;a iula ,nd foa meyeos,s y`v iu. ñysß jpkh m%ldYhg yels fõ ;reKhl=g fuka rej yelshdj nqoaêh /lfohs bkaøsh n,h YÍr Yla;Shys iy mieÿrkaf.a úhm;a fkdùuhs wdl¾IKSh fmkquhs

;reKHh os.=l,a /loSu - bgq u;=rls by; lreKq w;r w;sYh jeo.;a lreKla fõ¡ th ;reKHh os.=l,a /loSuhs¡ cSú;fha iqkaoru wjêh ;reK ld,hhs¡ tf,iu ;udg ysñ Wmßu iqkaor;ajh ,efnkafkao fï ld,fha oSh¡ tmuKla fkdj YÍr n,fhka nqoaêfhka iy yelshdfjkao ysKs fm;a;gu k.sk ld,hls ;reK úh¡ ieuodgu fid÷re rejl Wreuh ,nkakg kï ;dreKHh /l.; hq;=h¡ ridhk ffjoH l%uh fkdfyd;a ridhk ;ka;%h l,a mj;akd fid÷re rej ,ndfokafka th Tng we;=,dka;fhkau ,ndfok ;dreKHfha i;aldrhka ksihs¡

2015 ud¾;= l<dmh

frda.j,g wm ks;ru uqyqK fokafkuq' tu frda. j,ska ch .ekSug isrer Yla;su;a ùu ;=< wld,fha ;reK nj .s,sySu j<ld,hs¡ tfukau jhia.; õ úg ;reK ld,fhaoS fuka jevm, lsÍug fkdyels fõ¡ weia fmkSu" lka weiSu wdoS mie÷rka wdY%s; yelshdjka ÿ¾j, fõ¡ tmuKla fkdj u;lh iy nqoaêh wvq fõ¡ fid÷re rej iq/l=u ;reK nj /l.ekSu - YÍr Yla;sh" mie÷rkaf.a yelshdj iy nqoaêh os.=l,a mj;ajd.ekSfï tlu u.hs¡ ;reK nfjys tla m%Odk ixfla;hla jkafka Tnf.a fid÷re rejhs¡ tys wvqjla fkdjkakg úhm;a hehs lsisfjl= fkdlshkq we;¡ fid÷re rejla muKla úhm;a fkdù mj;ajd.ekSu fkdl< yelalls¡ tneúka by; úia;r lrk ,o wx.o we;=<;a mQ¾K ;reK njla iu. Tn ksfrda.S" oS>dhQ ,nk cSú;hla .ek is;kak¡

119

wdhq¾fõoh

fid÷re rejlg wdhq¾fõo ridhkh

fid÷re refjka yß wvlg;a jvd Wiq,kafka iu hehs kSfjd;a ksjeroshs¡ tksidu j¾;udkfha fndfyda rEm,djKH i;aldr iu weiqre lrñka isÿ flfrkjd¡ ridhk ffjoH l%ufhys my; lreKq ;=k iu iïnkaOj w;HdjYH nj mejfia' tajd kï" 1¡ m%Nd 2¡ j¾K 3¡ ldka;s j¾K Tnf.a ifuys o by; lreKq ;=k wvq jeä jYfhka mj;S¡ j¾;udkfha ifuys j¾Kh .ek muKla l:d lsÍu úYd, wvqmdvqjls¡ iajNdj O¾uh úiska Tng odhdo lrk ,o j¾Khla we;¡ th Tng jvd;a .e,fmk j¾Kh nj wu;l fkdlrkak¡ Tnf.a meyeh fjkia lr.ekSu fkdj th jvd;a Tmj;a lr.ekSuhs jeo.;a jkqfha¡ m%Ndj m%Ndj ke;fyd;a Tnf.a iug mQ¾K njla ,nd. kak ,m" le<e,a" l=re,E wdoS iu weiqre lrk .eg¨ u.yeÍfuka ifuys fld;ek;a tlfia meyem;a lr.; hq;=hs¡

120

ldka;sh ;jÿrg;a i÷ fuka osÿ,k fmkqula i|yd ifuys ksjeros f;;ukhla iy ksjeros wd;;shla we;s lr.kak¡ ldka;sh hkq thhs¡ tu.ska iug ,efnkafka oSma;shls¡ m%Nd" j¾K" ldka;s ;%s;ajfhys iómnj Tng fid÷re rejla ysñ lrkq we;¡ we;=,dka;fhkau Tng ,ndfok wdhq¾fõo ridhk i;aldrh os.=l,a mj;S¡ tfukau ksfrda.S oS¾. osúhla ,nd foa¡ th wmQre ine|shdjls¡ ridhk ffjoH i;aldr m%;sldr Tng ndysr iy wNHka;r hk fowdldrfhkau ,nd fok w;r th tosfkod p¾hd rgdjg tlalr .; yels myiq ffjoH i;aldrhls¡ iug muKla fkdjk úvdnr isrerg;a i;aldrhla jk wdhq¾fõo ridhk i;aldrh osú u`.g wre;la tla lrhs¡

ffjoHjrhd - udisl ffjoH iÕrdj

2015 ud他;= l<dmh

121

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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 ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 122

ffjoHjrhd - udisl ffjoH iÕrdj

advertorial

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

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

flaI uQ, ;r,h

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