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budIs m%ldYkhls

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cd;sfha mqfrda.dó ffjoH iÕrdj

21 ldKavh | 2015 - uehs

waidyawaraya.com

ISBN-1391 1341

9 7 7 13 91 13 400 1 2015 uehs l<dmh

ffjoHjrhd - udisl ffjoH iÕrdj

w;sYhskau ksjeros''' iqjmyiqfjka isÿ lr.; yels''' mßmQ¾K''' uefuda.%Eï udos,sh wjidkfhaoS Tfí fiajhg tlajQ j.hs''' iqmeyeos,s" jvd;a iúia;rd;aul" jvd ksrjoH ;%sudK m%;sìïn ;=<ska b;d uq,a wjia:dfõ mj;sk b;du l=vd ms<sld ffi,h mjd yiqlr fok fgdafudiskaf;isia ;dlaIKfhka n,.ekajqKQ wxls; uefuda.%Eï fiajdj wdisß Y,H frday, osjhsfka m%:u jrg ,dxflah ldka;djka fj; oeka y÷kajd oS ;sfí'

wxls; fgdafudiskaf;isia uefuda.%Eï mÍlaIKfha jdis idudkH uefuda.%Eï mÍlaIKhlg jvd fõ.j;ah" fõokdj wvqh" jvd;a ksrjoHh' ia:rfhka ia:rh msßlaiñka ;%sudKrEmS m%;sìïn ,nd fok ksid ie`.j we;s ms<sld ffi, fjf;d;a tajdo yiqlr .kshs' idudkH uefuda.%Eï mÍlaIKhloS fhdod.kakd úlsrK ud;%dfjka ;=fkka follau wvq fõ'

wdisß Y,H frday, mSt,aiS" 21" lsßuKAv, udj;" kdrdfyakamsg" fld<U 5 ÿrl:k 0114 524 400 ^os.=j 1108$1114& *elaia 0114 516 608 www.asirihospitals.com Email: info@asiri.lk 2015 uehs l<dmh

Cointents

Breaking Health News

ÿï mdkh yd wêl u;ameka mdkh nvjef,a yd .=o ud¾.fha ms<sld we;sùug m%n, fya;=jls

ffjoHjrhd fujr fm,.eiau

98 ore m%iQ;shla i|yd frday,a

51 Tfí mqxÑ orejdg;a .eiag%hsáiao@

13 medgadget 14 u;ameka mdkhg

weíneysjqjka bka uqojd .; yelshs

.;jk Tng m%ij yd kdßfõo úfYaI{ Wmfoia

54 f;aud rpkh nd, ikaosfhau u,ajr jkafka wehs@

102 orejdf.a miq mßyrkh

i|yd''' lsß ksmoùu wdrlaId lr.kq i|yd''' uõlsß fodjd .kafka flfiao@

64 Tn;a Tfí iylre .ek

wksjdrf;a iel lrkjdo@

67 wka;¾ cd;sl uÜgfï ffjoH ;dlaIKfhka mrsmQ¾K rd.u n%jqkaia frday,

70 ´kEu flfkl=g" ´kEu

jhilg jf.au ´KEu wjYH;djhlg;a iß,k úosyg mjq,a ie,iqï l%u ;sfnkjd

106 fmd,af;,a .=Kfhka wfkl=;a f;,a j¾. wNsnjd hkafka fufyuhs

111 ikaêm;a fõokdfjka

wiaÓ m%odyfhka Tn;a mSvd ú|skjdo@

76 yoj;a iqrlsk uy`.= Tiqj - iageák .ek we;s ;;= oek.kak

116 Y%S ,xldfjka

cd;Hka;r fj<|fmd<g ksl=;a jQ tlu wdhq¾fõo ksIamdokh m%dKcSj T!IOh

80 leiaig fok isrma j¾. 26 weÿu jeks ksoka.; frda.

i|yd ffjoH Wmfoia wkqj È.= ld,Skj m%;sldr .ekSu b;d jeo.;a'''

34 wfma rfÜ uef,aßhdj oeka

wvqhs' ta;a ielhla kï jydu reêr mÍlaIKhla lr.kak

38 fnda fkdjk frda. j,ska

isÿjk urK wvq lr .ksuq

Cough Syrup

83 jvd myiqfjka yd ksjerosj uefuda mÍlaIK isÿ lrk äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKh oeka wdisß Y,H frdayf,ka ,nd.; yelshs

86 .eí.;a miq m<uq udi ;=fka§ we;s jk .eg¨

42 jhi wjqreÿ 1-6 w;r

89 .eìks iufha uqL fi!LHh

46 ks;ru nfâ wudre we;s

92 .eìKs ujg iqÿiq wej;=ï

orejkaf.a fmdaIKh yd l%shdldrlï

orejkag flfi,a" fhda.Ü .=Khs'''

.ek;a wjOdkh fhduq l< hq;=hs

mej;=ï

120 wfma merKs

ffjoHl¾ufha tk ufkda ffjoH m%;sldr

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

126 tosfkod cSú;hg Acupressure

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c,NS;sldj yefokak fmr /flkakhs fï Tjoka

2015 uehs l<dmh

Editorial

l;= igyk

Editor's

Note

fyg oji fjkqfjka wo ie,iqï we;s lr .ksuq rdcH wxYfha yd fm!oa.,sl wxYfha hk m%Odk Odrd folu i<ld ne,SfïoS wfma rfÜ fi!LH fjkqfjka lrk iuia; wdfhdackh ishhg 3'2 ls' fuh fjk;a wdldrhlska oelajQjfyd;a tla mqoa.,fhl=f.a iqjfi; fjkqfjka jirlg jeh lrk uqo, remsh,a 9000l muK m%udKhls' f,dal fi!LH ixúOdkh fuu wkdjrKh lsÍfïoS fm!oa.,sl wxYho i<ld n,k ,o fyhskao" wfma rfÜ ;rula oshqKQ jQ fm!oa.,sl iqj fiajdjla mj;akd fyhskao ksoyia fi!LH fiajdj ;=< tla mqrjeisfhl= fjkqfjka lrk wdfhdackh ie<lSfïoS wmg ,efnkqfha óg jvd fndfyda my< w.hls' f,dal fi!LH ixúOdkh wfma iqj fiajdj ms<sn|j orkafka fi!LH wxYhg fhdok wdfhdack idfmalaIj wvq jQj;a oshqKQ rgj, muKgu Wiia fi!LH o¾Yl mj;akd rgla jYfhks' fuys ie`.j.;a wre; kï wfma rfÜ fi!LH fiajdfõ by< .=Kd;auhla we;sùug isÿl< fhojqï wm%udKj;a njhs' flfia fj;;a fï fhojqï l<uKdlrKh lrñka by< iqj m%ñ;ska m%lg lsÍug iu;a ùu iïnkaOfhka fï ks,OdÍ ;ka;%fha olaI;djhla ;sìh hq;=h' Tjqkg ck;djf.a wdpdrh ysñ fõ' tfukau ,ndfok fi!LH mKsúv j,g wkq.; fjñka tajd l%shd;aul lrñka fuys úYd,;u mx.=lrejka jkqfha fï rfÜ ck;djuh' fï rfÜ ck;dj ;=< fi!LH yd iïnkaOfhka we;s ixfõoS;djh ksidfjka fu rfÜ l%shd;aul lrk ,o fndfyda fi!LH jHdmD;s by< m%;sM< ,nd ÿkafkah' flfia fj;;a fnda fkdjk frda. wo wfma ck;djg úYd, ;¾ckhla fjñka ;sfí' fïjdg jeä jeäfhka ck;dj ,la ùfï f;areu kï bosßfhaoS fi!LH i|yd hk úhou óg jvd fndfyda jeä jk njhs' fï ksid ;=kal,a oelaulska hqla;j fi!LH i|yd rch fhdojk uqo, óg jvd by< kxjkafka kï th ck;djf.a wkd.; iqrlaIs;Ndjh fjkqfjka lrk wdfhdackhlau jkq we;' Ndr; .=K;s,l - úOdhl l¾;D bharata.gunathilaka@gmail.com 0773149084/ 0714133285 4

The Pioneer Health & Medical Journal 21 ldKavh 2015 - 05 l,dmh

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

ffjoHjrhd - udisl ffjoH iÕrdj

2015 uehs l<dmh

Breaking Health News

ffjoHjrhd mqj;a úuiqu

Breaking

Health News oshjeähd frda.Skaf.a msIAG Od;= wjfYdaIKh wvq lrk l%uhla Y%S ,dxflah YsIHfhl=f.a m¾fhaIKhla u,am, .ekafjhs oshjeähdjg fya;= jk m%Odk wdydr ix>glhla jk msIAG Od;= YÍrhg wjfYdaIKh ùu wju lsÍfï l%uhla Y%S ,xld ridhk úoHd wdh;kfha YsIHfhl= jk iqodys¾ fcañia kue;s YsIHfhl= úiska fidhdf.k ;sfí' n;a msiSfïoS fmd,af;,a iaj,amhla oud n; u|la ksjqKQ miq wdydrhg .ekSfïoS msIAG Od;= YÍrhg wjfYdaIKh ùu wju jkafkah hkak Tyqf.a ksÍlaIKhhs' fuu m¾fhaIKfha WmfoaYljrhd 6

jYfhka l%shd l< ridhk úoHd{ mqIAmrdcd ;jrdid fï ms<sn|j lreKQ olajñka wefußldkQ ridhk úoHd ix.uho fuu m%;sM< miid we;ehs m%ldY lf<Ah' fuu m¾fhaIKh i|yd iy,a úfYAI 40 la muK fhdodf.k we;'

,dÿre frda.h kej; ysi Tijhs rcfha frday,a j,ska m%;sldr f.k ksÜgdjg iqj lr.kak ,dÿre frda.h kej; ysi Tijd ;sfí' miq.sh jir oyhl ld,h ;=< iEu jirlu mdfya Y%S ,xldfjka w¿;ska ,dÿre frda.Ska 2000la muK yuqù ;sfí' ñka jeäu frda.Ska ixLHdjla jd¾;d jQfha

niakdysr m<df;ks' tu ixLHdj 931 la fõ' 2014 j¾IfhaoS fld<U osia;%slalfhka ,dÿre frda.Ska 464 fofkla yuqù ;sfí' ,dÿre frda.h fndajkafka Mycobacteriumlepre kï nelaàßhdjla u.sks' YÍr.; jQ muKska ,dÿre je<f|kafka ke;' tu nelaàßhdjg tfrysj YrSrh olajk m%;sYla;sh ÿ¾j, jQ úg frda.h je<f|a' we;eï úg fuu nelaàßhdj jir oyhl muK ld,hla YÍrfha ie`.j mej; miqld,Skj u;=úh yel' ,dÿre frda.h ksÜgdjg iqj l< yels frda.hls' Y%S ,xldfõ ish¿u m%Odk frday,aj, p¾u idhk u.ska ,dÿre frda.h i|yd fkdñ,fha m%;sldr ,nd.; yel'

ffjoHjrhd - udisl ffjoH iÕrdj

tu m%;sldr fm!oa.,sl wxYfha fkdue;s w;r ish¿u m%;sldr f,dal fi!LH ixúOdk jHdmD;shla hgf;a rcfha frday,a yrydu isÿflf¾'

mshhqre ms<sld j<lajk w¿;a j¾.fha fn%ishrhla ks¾udKh ù ;sfnkjd'

iT Bra kñka ye|skafjk fuu fn%ishrh m<|sk úg mshhqre j, uiams`vq f;rmSug ,lajk w;r th wys;lr ffi, we;sjSu wffO¾h lrkjd' tfiau fuu ;sirmg we|SfïoS mshhqre wNHka;rfha fjk;a f.ä we;sùu" jdhqf.ä we;sùuo je<elaúh yelsnj ksIAmdolhka m%ldY lr isákjd'

cmdkfhka ffjoH WmlrK mß;Hd.hla cmdk rch úiska remsh,a ñ,shk 610 la jákd ffjoH WmlrK f;d.hla miq.shod Y%S ,xld

2015 uehs l<dmh

rchg mß;Hd. lrKQ ,eîh' fuhg w,ag%d ijqkaâ ialEkska hka;% ishhla yd ICU Monitor 100la we;=<;a úh' cmdk ;dkdm;s fkdnqysfgda fydfnda úisak fi!LH wud;H rdcs; fiakdr;ak fj; ks, jYfhka fuu mß;Hd.h isÿ lrKQ ,eîh'

fï oskj, mj;sk bka*a,qfjkaid frda.h .ek wkjYH ìhla we;s lr.kak tmd -jix.; frda. tallfha wOHlaIsld ffjoH mnd m,syjvk

Y%S ,xldfõ fï oskj, mj;sk bka*a,qfjkaid frda.h wkjYH f,i ìh úh hq;= YAjik frda.hla fkdj Yajik moaO;shg we;sjk ffjri wdidokhla muKla jQj;a ta ms<sn|j ck;dj oeKQj;a ùu jeo.;a

nj jix.; frda. tallfha wOHlaIsld ffjoH mnd m,syjvk uy;añh m%ldY l<dh' Y%S ,xldfõ mj;skafka H3N2 ffjrih fya;=fjka we;sjk bka*a,qfjkaid frda.h nj;a WK" ysiroh" we`.m; fõokdj" W.=f¾ wudrej" leiai" kdifhka fidgq oshr .e,Su iy we;eï úg mdpkh fuys frda. ,laIK fõ' Y%S ,xldfõ frday,aj, ndysr frda.S wxY j,g jirlg meñfKk frda.Skaf.ka ishhg 10la Yajik wdidok iys; frda.Ska jk w;r Tjqkaf.ka ishhg 2la bka*a,qfjkaid frda.Ska nj;a jdÜgqj,g we;=,a lrk frda.Skaf. ka ishhg 3la o bka*a,qfjkaid frda.Ska jk nj wOHlaIjßh jeäÿrg;a m%ldY l<dh' ixl+,;d u;= fkdjQjfyd;a osk 4-5 w;r ld,hloS frda.h iqj fõ' frda.h je<÷KQ whg oshr j¾. jeämqr ,ndoSu" merisgfuda,a jeks T!IO yd úfõlh wjYH fõ' 7

Prevention

ÿï mdkh yd wêl u;ameka mdkh nvjef,a yd .=o ud¾.fha ms<sld we;sùug m%n, fya;=jls fld<U ffjoH mSGfha Y,H ffjoH mSGfha uydpd¾h kkaofoaj iurfialr ffjoH kùka úfcafialr ixjdo igyk - kd,l Èidkdhl

mqoa.,fhl= ;u csú; ld,h ;=< weiSug wleu;su joka w;r ms<sldjla je<|S we;ehs weiSu m%uqL;djfhkau we;ehs ud lsjfyd;a th w;sfYdala;shla fkdjkq we;' w;S;fha isg wo olajdu ms<sld frda.h ms<sn|j ck;dj ;=< we;af;a ±ä nhls' kuq;a" we;eï ms<sld j¾. uq,a wjia:dfõ§u y`ÿkdf.k ksis m%;sldr l<fyd;a id¾:l m%;sM, ,nd.; yels nj fndfyda fofkl= fkdokS' tneúka ta ms<sn|j idlÉPd lsÍu iudc fufyjrla fukau ld,Sk wjYH;djhla f,io ye|skaúh yel' mqoa.,fhl= ;u csú; ld,h ;=< weiSug wleu;su joka w;r ms<sldjla je<|S we;ehs weiSu m%uqL;djfhkau we;ehs ud lsjfyd;a th w;sfYdala;shla fkdjkq we;' w;S;fha isg wo olajdu ms<sld frda.h ms<sn|j ck;dj ;=< 8

ÿï mdkh yd wêl u;ameka mdkh

we;af;a ±ä nhls' kuq;a" we;eï ms<sld j¾. uq,a wjia:dfõ§u y`ÿkdf.k ksis m%;sldr l<fyd;a id¾:l m%;sM, ,nd.; yels nj fndfyda fofkl= fkdokS' tneúka ta ms<sn|j idlÉPd lsÍu iudc fufyjrla fukau ld,Sk wjYH;djhla f,io ye|skaúh yel' wfma YÍrh ie§ ;sfnkafka ffi, j,sks' ms<sfj,lg yd rgdjlg fn§u ffi,j, idudkH ms<sfj,hs' iuyr fõ,djg úúO fya;= ksid fï ms<sfj, yd rgdj hk folu fjkia ùu isÿfõ' tjeks úfgl§ fnfok ffi, md,khlska f;drj wl%uj;aj jeãu ms<sldjla f,ig y`ÿkajkq ,efí' ñksia isref¾ ms<sld we;sjk ia:dk wkqj;a" ms<sldfõ ffi, j¾.h wkqj;a ms<sld j¾. rdYshlau fï jk úg;a ffjoH úoHdj y`ÿkdf.k ;sfí' tjeks oyia .Kkla jq ms<sld úfYaI w;ßka fmdÿ uyck;djg b;d jeo.;a jk ms<sld ffjoHjrhd - udisl ffjoH iÕrdj

úfYaIhla jk zzuy nvje, yd .=o ud¾.h wdY%s;j we;sjk ms<sldZZ ms<sn|j Tnj ±kqj;a lsÍug wm woyia lf<uq' mdGl Tn fjkqfjkau ta i|yd jvd;a iqÿiq ffjoHjrhl= yuqùug wm ;SrKh lf<uq' fld<U ffjoH mSGfha" Y,H ffjoH tallfha uydpd¾h kkaofoaj iurfialr uy;df.a Wmfoia yd u`. fmkaùu u; Y,H ffjoH tallfha ffjoH kùka úfcafldaka uy;d ,ndÿka fï f;dr;=re Tngo jeo.;a jkq fkdwkqudkh' uydka;%h iy .=o ud¾.h wdY%s; ms<sldjla hkq l=ulao@ fuu ms<sldfõ§ isÿjkafka ydkslr ms<sld ffi, uydka;%fha iy .=o ud¾.fha j¾Okh ùuls' fuu ms<sldj nyq,ju we;sjkafka" • uydka;%fha jïmi fldgi • is.afudhsâ uydka;%h • .=o ud¾.h hk ia:dkj,h'

2015 uehs l<dmh

wmf.a ffi, ;=< ;sfnk cdk j, isÿjk fjkialï fuu frda.h we;sùug n,mEula we;s lrk nj ffjoHjreka fidhdf.k we;' fuu ms<sldj idudkHfhka mrïmrdfjka mrïmrdjg .uka lrk frda.hla fkdfõ' tfy;a uydka;%fha yg.kakd we;eï cdk.; ;;a;ajhka ksid fuu ms<sld tlu mjqf,a whg we;súh yel' 9

Prevention

ÿï mdkh yd wêl u;ameka mdkh

fuu ms<sldj me;sfrkafka flfiao@ uydka;%h iy .=o ud¾.h wdY%s; ms<sldj wdrïN jkafka uydka;%fha ì;a;sfha we;=,; mglfhks' fuh ld,h;a iu. uydka;%fha wfkl=;a mgl yryd me;sr f.dia isref¾ hdno wfkl=;a wjhj j,go me;sÍ hd yel' ms<sld ffi, jid jdySkS yryd me;sÍfuka isref¾ jid .eá;s ;=<go me;sr hd yel' tfukau reêrh yryd me;sr hk ms<sld ffi," wlaudj" fmky¨ iy fud<h wd§ YÍrfha wfkl=;a wNHhka;r bkaøShhka j,go me;sr hd yel' fuh we;sùug fya;= fudkjdo@ wmf.a ffi, ;=< ;sfnk cdk j, isÿjk fjkialï fuu frda.h we;sùug n,mEula we;s lrk nj ffjoHjreka fidhdf.k we;' fuu ms<sldj idudkHfhka mrïmrdfjka mrïmrdjg .uka lrk frda.hla fkdfõ' tfy;a uydka;%fha yg.kakd we;eï cdk.; ;;a;ajhka ksid fuu ms<sld tlu mjqf,a whg we;súh yel' fuhg wu;rj my; idOl we;akï flfkl=g uydka;%h iy .=o ud¾.h wdY%s; ms<sld je<§ug jeä keUqre;djhla mj;S' • nvjef,a fmd,sma ;;a;aj ;sîu • wêl f;,a iys; wdydr .ekSu • ;ka;=uh ^fl|s iys;& wdydr wvqfjka .ekSu • ÿïmdkh iy wêl f,i u;ameka mdkh • wêl f,i ;rndre ùu iy YdÍßl jHdhdu uo nj • mjqf,a {d;Skag uydka;%h yd .=o ud¾.h wdY%s; ms<sld ;sîu • w,aif¾áõ fld,hsáia fyda fl%dakaia jeks frda. ;;a;aj mej;Su fuhska ñ§u i|yd l=ula l< hq;=o@ • wêl f;,a iys; wdydr Ndú;h wju lrkak • yels ;rï nyq,j fl|s iys; wdydr 10

jk t<j¿" m<;=re iy OdkH j¾. Tnf.a wdydr fõ,g tl;= lr .kak' • ÿïîu iy u;ameka mdkh kj;ajkak • ;rndre fkdù isàug j. n,d. kak • ks;sm;d jHdhdï j, ksr; jkak • Tnf.a mjqf,a {d;Skag fuu ms<sldj je<|S we;akï" blaukska ffjoHjrhd yuqù wod, mÍlaIK j,g Ndckh jkak' fuu ms<sldfõ frda. ,laIK fudkjdo@ fuu ms<sldfõ frda. ,laIK ms<sn| ±kqj;a ùu th l,ska y`ÿkd.ekSug b;d jeo.;ah' frda.fha uq,au wjêfha lsisÿ frda. ,laIKhla my< fkdùug bv we;' jeisls<s hdfï isÿjk wl%uj;a nj yd nv lelal=u hk ,laIK fuu ms<sldj je<|S we;s nj fmkakqï lrk wk;=re ye`.ùï úh yel'

ffjoHjrhd - udisl ffjoH iÕrdj

tkuq;a fujeks frda. ,laIK Nhdkl ke;ehs is;d fkdi,ld yeÍu nyq,ju issÿfõ' túg frda.h yÿkd .ekSu m%udo ùug bv we;' Tng;a by; i|yka ,laIK ;sfío@ by; i|yka ,laIK ieuúgu nrm;, frda.S ;;a;ajhl fmrksñ;s fkdfõ' tfy;a jhi jeäùu;a iu. by; i|yka ,laIK .ek fyd| wjOdkhlska miq ùu b;d jeo.;a fõ' fuu ms<sldj y÷kd. kafka flfiao@ fï i|yd iïmq¾K uydka;%hu mÍlaId lsÍu isÿ l< hq;=h' fï i|yd mÍlaIK lsysmhla l< yel' 1' fíßhï tkSud mÍlaIKh fuh X lsrK mÍlaIKhls' .=o ud¾.hg we;=,a lrk l=vd nghl wdOdrfhka lsß meye;s Èhrhla ^fíßhï iys; Èhrhla& uydka;%hg we;=,a lsÍfuka wk;=rej X lsrK PdhdrEm .kq ,efí' 2015 uehs l<dmh

2' fldf,dfkdiafldms mÍlaIKh tla fl,jrl leurdjla iys; isyska fg,iafldamhla frda.shdf.a .=o ud¾.fhka we;=,a fldg uydka;%fha wNHka;rh rEmjdyskS ;srhlska ne,Su fuys§ isÿ flf¾' wu;r mÍlaIK - iSà (CT) iy tï wd¾ whs ialEka (MRI) mßlaIK ^m%Odk jYfhkau ms<sldfõ me;sÍu fiùu i|yd& fï i|yd we;s m%;sldr l%u fudkjdo@ uydka;%h iy .=o ud¾.h wdY%s; ms<sldj uq,a ld,fha§ y`ÿkd.;fyd;a Y,Hl¾uhlska ms<sldjg Ndckh ù we;akï" Y,Hl¾u j,g wu;rj • úlsrK iy • ms<sld kdYl T!IO o wjYH jkq we;' Y,Hl¾u fuu ms<sldj i|yd uQ,slu iy jeo.;au m%;sldr l%uh fuhhs' frda.shdg isÿlrk ksYaÑ; Y,Hl¾uh l=ulao hkak ;srKh jkafka ms<sldj msysgd we;s ia:dkh" tu wjia:dfõ th fl;rï j¾Okh ù we;a±hs hkak u; iy wfkl==;a ixl+,;d ;sîu u;hs' fuu Y,Hl¾u j,§ ms<sldj,g wu;rj Bg hdno ksfrda.S mgl fldgilao lmd bj;a flf¾' bka miqj uydka;%fha b;sßjk fofl,jr tlg iïnkaO flf¾' ms<sldjg wdikakfha we;s jid .eá;s bj;afldg tajdfha ms<sld ffi, we;a±hs mÍlaId lr ne,Suo Y,Hl¾ufhka miq isÿ flf¾' ms<sldj .=o ud¾.fha msysgd we;súg" 1' wekaáßh¾ ßfilaYka (AR) 2' weífvdñfkd fmßksh,a ßfilaYka (APR) hk Y,Hl¾u foflka tlla idudkHfhka isÿ flf¾' 11

Prevention

ÿï mdkh yd wêl u;ameka mdkh

wekaàßh¾ ßfilaYka (AR) fuh idudkHfhka isÿ lrkafka .=o ud¾. fha by< fl<jf¾ iy ueo msysgd we;s ms<sld i|ydhs' fuu Y,Hl¾ufha§ wka;%fha lemq fl<jrj,a fol tlsfklg iïnkaO flf¾' fuhska miq frda.shdg fldf,diagñhla wjYH fkdfõ' weífvdñfkda fmßksh,a ßfilaYka (APR) fuu Y,Hl¾uh isÿ lrkafka .=o ud¾.fha my< fldgfia ms<sldjla we;s frda.Skagh' .=o ud¾.h iy .=oh iïmq¾Kfhkau bj;a flfrk ksid frda.shdf.a u<my neyer lsÍug isÿjkafka Y,Hl¾ufha§ idok fldf,diagñhla u.sks' ms<sldfõ uq,sl m%;sldr j,ska miq Tn l=ula l< hq;=o@ uq,sl m%;sldr wjika lsÍfuka miqjo wksjd¾fhkau wkq.ukh l< hq;= mshjr lsysmhls' m%;sldr j,g l,ska ;snq frda. ,laIK j, jeäùula" tf,iu mej;Sula fyda l,ska fkd;snqKq w¿;a frda. ,laIK u;=ùula isÿ jqjfyd;a jydu ffjoHjrhd yuqúh hq;=h' ;jo fuu ld,fha§ ffjoHjrhd u.ska isÿlrk mÍlaId lsÍu yereKqq úg hï wu;r mÍlaIK lsysmhlg ,laùugo frda.shdg isÿfõ' fuu`.ska ms<sldfõ kej; j¾Okhla we;a±hs fidhd ne,Su isÿ flf¾' tuksid uq,sl m%;sldr wjika lrk iEu frda.sfhl=u fuu mÍlaIK i|yd iyNd.sùu b;d jeo.;ah' fuf,i isÿ lrk mÍlaIK w;r fldf,dfkdiafldms iy iS B ta CEA reêr mÍlaIKh m%Odk ;ekla .kS'

iS B ta (CEA) hkq uydka;%h iy .=o ud¾.h wdY%s; ms<sld iys; frda.Skaf.a f,a j, by< idkaøK j,ska olakg ,efnk ix>glhls' tuksid uq,sl m%;sldr j,ska miq" by< CEA m%udKhla kej; f,a j, olakg ,enqkfyd;a ms<sldj kej; u;=ùul fmr ksñ;s fmkakqï flf¾' tu.ska b;d blaukska wod< m%;sldr i|yd frda.shd fhduq lsÍug yelshdj ,efí' kSfrda.s Èúhla .; lsÍu ÿmam;a fmdfydi;a fNaohlska f;drj wm ieu fokdf.au wruqKls'' wdfrda.Hd mrud,dNd hkqfjka nqÿrcdKka jykafia mjd jodf,a ta ksiduh' wfma ksfrda.S Èúhg ydks lr.kafkao fndfyda úg wm úiskauh' hym;a p¾hd rgdjla wkq.ukh lsÍfuka fndfyda ydkslr ;;a;ajhkaf.ka ñ§ fi!LHdrlaIs; Èúhla .; lsÍug Tngo yelsjkq ksielh'

ffjoHjrhd - udisl ffjoH iÕrdj

medgadget

fjo f,djg úÿf,dfjka

med GadgetS oreKq yDohdndOhlÈ frda.sfhl= urKfhka .,jd .eksug bjy,a jk Ambulance Drone oreKq yDohdndOhlÈ frda.sfhl= urKfhka .,jd .eksug bjy,a jk WmlrKhls External Defibrillator. kuq;a yÈis wjia:djlÈ fujka WmlrKfhla fidhd .eksu ;rula wiSre lreKla. tu ksidu frda.shdf.a Èúh wysñ úu fndfyda l,ys isÿjkjd. kuq;a fuhg ms,shula f,i fyda,ka;fha TU Delft University YsIfhl= úiska wmqre fv%dak hd;%djla ks¾udKh lr ;sfnkjd. tys ;=,u wka;¾.;j

2015 uehs l<dmh

Automatic external defibrillator WmlrKhla mj;sk ksid TskEu yÈis wjia:djlÈ frda.shd fj; ñks;a;= lsysmhlÈ ,.d ú tu csú;h fírd .eksug yels fjkjd.

https://www.youtube. com/watch?v=yrEI4bezWc

Addiction

u;ameka mdkhg weíneysjqjka bka uqojd .; yelshs

u;ameka mdkhg weíneysjqjka bka uqojd .; yelshs u;ameka .kakd whg bka ñoSug we;s wjia:d Wmfoia - ufkda ffjoH úfYaI{ lms, rKisxy wxf.dv cd;sl udkisl fi!LH úoHdh;kh

u;ameka wfma merKs ixialD;shg wh;a fohla kï fkdfõ' flfia fyda ngysr rgj,ska meñKs fuu u;ameka fï jkúg wmg úfYaI wjia:dj,§ ke;=ju neß fohla ù we;s nj fmfkkakg ;sfí' iuyreka u;ameka fndkafka b;d l,d;=rlska idohla u`.=,a f.hla jeks wjia:dj,§ muKs' kuq;a fuf,i mgka f.k ál l,lska m%Yakldß u;ameka mdkh ^Problematic drinking & olajd hdug bv ;sfí' úfkdaohg" uykaishg" m%Yakj,ska ñ§ug wd§ jYfhka u;ameka f.k miqj th m%YakldÍ u;ameka mdkhla njg m;a ù wk;=rej weíneysùu olajd ¥r È. hk wh iudcfha iq,n fõ' ms<s.;a u;h idudkHfhka ms<s.;a u;h jkafka msßñhl= kï i;shlg tall 24 lg jvd u;ameka .ekSu fkdl< hq;= njh' Bg jvd .ekSu ldhsl yd udkisl

ffjoHjrhd - udisl ffjoH iÕrdj

jYfhkao m%Yak we;s lrjkafkah' idudkHfhka u;ameka fnda;,hla hkq tall 30-40 w;r m%udKhls' ta wkqj i;shlg flkl= mdkh lrkjd kï l< hq;af;a fnda;,a 1$2l muK m%udKhls' ta;a tl ojilska fkdfõ'

u;ameka fldhs wdldrhlskajka wkqu; l< fkdyelsh' bka ;ud ldhsl yd udkisl jYfhkao msrsfyoaoS mjqf,a úkdYho we;s fjhs' yeu w;skau úkdYhu is¥ lrk u;ameka j,ska ta fudfydf;a ,nk ;djld,sl i;=g yereKq fldg wjidkfha b;sß jkafka iodld,sl miq;eú,a, muKs'

úoHd;aul u;h jkafka fuh fyñka fyñka i;sh ;=< fn§ hd hq;= njh' kuq;a ñka woyia lrkafka u;ameka îu iq¥iQ njla fkdfõ' u;ameka fldhs wdldrhlskajka wkqu; l< fkdyelsh' bka ;ud ldhsl yd udkisl jYfhkao msrsfyoaoS mjqf,a úkdYho we;s fjhs' yeu w;skau úkdYhu is¥ lrk u;ameka j,ska ta fudfydf;a ,nk ;djld,sl i;=g yereKq fldg wjidkfha b;sß jkafka iodld,sl miq;eú,a, muKs' tall jYfhka wm by; oelajqfha ngysr úoHd;aul u;hhs' Tjqka Th tall .ek ;elSula l<dg wfma rfÜ whg kï u;ameka fndk úg fudk tallhlaj;a ke;' yels;dla u;ameka m%udKhla l=ig oud .ekSu fndfyda fofkl=f.a wNsm%dhhs' weíneys ùug fmr mshjrla .kak u;ameka lsishï úfYaI wjia:djl§ .kakd ;eke;a;df.a B<`. mshjr jkafka fndfyda úg m%YAkhla .eg¨jla Woa.; jq úg u;ameka mdkh lsÍuhs' bkamiq is; l,n, jq úfgl;a Tjqka fidhkafka u;amekah' fï ;;a;ajhg tk úg flkl= Bg weíneys ù fkdue;' kuq;a fï ;;a;ajh miq lrk úg ta ;eke;a;d ks;r u;ameka mdkh lrk flkl= ù yudrh' ta wkqj fyf;u ydkslr wkaoñka u;ameka mdkh lrkakg fm<UqKq wfhls' fï ksid wêreêr mSvkh we;s jkakg mq¿jk' .eiag%hsáia frda.h yg .ekSug mq¿jk' iudc iy wd¾Ól .eg¿ we;s ùug mq¿jk' ;j;a álla l,a.; jk úg wlaudjg iq¿ iq¿ ydks we;s úh yelsh' weíneys ùu fï ;;a;ajhka tlla fyda lSmhla jqj mj;soa§;a ta ;eke;a;d u;amekaj,ska fkdñfokafka kï B<`.g is¥jkafka Tyq u;amekg weíneys ùuh'

2015 uehs l<dmh

Addiction

u;ameka mdkhg weíneysjqjka bka uqojd .; yelshs

weíneys ùu hkq u;ameka ke;sj cSú;h mj;ajdf.k hdu wiSre ùuhs' ta wkqj Wfoag wjÈ jq miq jev m, lrkakg kï u;ameka álla wjYH fjhs' u;ameka ke;akï lsis¥ is;=ú,a,la Tyqg kef.kafka ke;' fndfyda úg u;ameka ke;sj kskao fkdtk ksid ksod .kakg;a u;ameka wjYH fjhs' yeu fudfyd;lu ta mqoa.,hdg oefkk is;=ú,a, jkqfha u;ameka ke;akï lsisjla l< fkdyels njhs' YÍrfha uoHidr uÜgu my< nisk úg Tyq ;=< u;ameka ms<sn| ;on, wdidjla u;= fjhs' tfiau u;ameka ke;sjq l, úruk ,CIK my< ùu is¥fõ' tkï wiykh"l,n,ldÍ nj" ìh" ;ry hdu jeks udkisl ,CIK yd w;mh fjõ,Su oyäh oeóu jeks ldhsl ,CIKhkah' tfukau u;amekg weíneys jq flkl=g ojiska ojiu .; hq;= u;ameka m%udKho jeä fjhs'

u;amekaj,g ;Èka weíneys jq wh u;ameka tljr keje;aùu hym;a fkdfõ' th l< hq;af;a ffjoH Wmfoia u;h' weíneys jq whg u;ameka ke;sjq miq we;sjk úruk ,CIK md,kh lsÍug T!Iëh m%;sldr Èh hq;=fõ' isfrdaisia frda.h yg .ekSu YÍrfha u;ameka bj;a lsÍu i|yd wlaudfõ tkaihsuj, l%shdldß;ajh jeä jkq we;' tfia jeä jk úg wlaudfõ f;,a ;ekam;a ùu jeä fjhs' ^Fatty liver& f;, ;ekam;a ùu jeä jk úg wlaudfõ wid;añl;djhka we;s úh yel' ^Alcohoic Hepatitis& fï ;;a;ajh mj;sk úg;a u;ameka k;r lf<a ke;akï B<`.g is¥ jkafka isfrdaisia frda.h yg .ekSuh'

ffjoHjrhd - udisl ffjoH iÕrdj

wm rfÜ isfrdaisia frda.h we;s ùug uq,slu fya;=j jkafka u;amekah' isfrdaisia frda.h yg .;a úg tkak tkaku wlaudjg ydks meñfKhs' YÍr Yla;sh ySk ùu" f,a .ukd.ukh fjkia ùu" f,a leá .eiSu wvqùu f,a jukh jeks ,CIK fï wkqj we;sù frda.shd urKhg m;ajkq we;' wlaudj wl%shùu yd fjk;a frda. ;;a;ajhka wfma rfÜ wlaudj iïnkaO frda.j,ska ishhg 98 lau u;ameka ksid we;sjq ;;a;ajhkah' furg úYd, urK ixLHdjla u;ameka ksid we;s fjhs' Bg wu;rj .,kd,h wdY%s; frda." wdudYh wdY%s; frda." Bg;a jvd ne?reï ;;a;ajhla jq fud<fha udkisl ;;a;ajh úlD;s ùu" u;lh ke;sùu ^Amnesia& wia:dk ielh' ^Delusioal Disordes& N%dka;s ^Hallucination& iy fjk;a ihsfldaish .Kfha udkisl frda.;a u;lh ke;sùfï ;;a;ajh ;j;a ;Èka j¾Okh 2015 uehs l<dmh

ùula ^Dementia& is¥ jkq we;' tmuKla fkdfõ u;ameka ksid ,sx.sl ¥n,;d o we;s fõ' yDoh jia;=fõ frda. u;ameka ksid we;sjk ;j;a frda. úfYaIhls' fldákau u;ameka j,ska isref¾ ish¨u bkaøshkag ydks meñfKkq we;' u;ameka j,g weíneys jq whg bka ñosug l< hq;af;a l=ulao@ zzwrlal= ke;=j ug lsis .;shla kE wrlal= ke;akï fudk úfkdaohlao@ZZ jeks fohla hï flfkl=g yef`.kafka kï tys woyi jkafka Tyq u;amekaj,g weíneys ùf.k hk njhs' ta wjia:dfõ§ u;ameka k;r l<fyd;a by; ;;a;ajhka we;sùu j<lajd .; yelsh' ;ukag ;ksj fuh k;r lr .; fkdyels kï ffjoHjrhl=f.a iydh ,nd .ekSu b;d jeo.;ah' u;amekaj,g ;Èka weíneys jq wh u;ameka tljr keje;aùu hym;a fkdfõ' th l< hq;af;a ffjoH Wmfoia u;h' weíneys jq whg u;ameka ke;sjq miq we;sjk úruk ,CIK md,kh lsÍug T!Iëh m%;sldr Èh hq;=fõ' bkamiq u;ameka j,ska iïmq¾Kfhka ñ§ug ;j ¥rg;a m%;sldr lsÍu wjYHh' tajd w;r T!Iëh iy ufkda Ñls;ail m%;sldro fõ' u;ameka ms<sn| wdYdj wvq lsÍu i|yd ufkda ffjoH m%;sldr o ;sfí' iuyre udkisl wd;;sh" .%ia;sh" iudc NS;sldj" úYdoh jeks udkisl wdndê; ;;a;ajhka u;o u;amekaj,g fhduq ù miqj Bg weíneys fj;s' tjeks whg tu wdndOdhg m%;sldr l< miq u;ameka flfrys f,d,a nj ¥re l< yelsh' fï wkqj n,k úg u;ameka j,g ljr fyda wdldrhlg fhduqù we;akï bka ;ksju ñ§ug wmyiq kï ffjoH Wmfoia u; wjYH m%;sldr ,nd f.k ñ§u" yeu w;skau hym;a jkafkah' igyk - wkqrdOd È,sks b,kafldaka

Rabies Precaution

c,NS;sldj yefokak fmr /flkakhs fï Tjoka

c,NS;sldj yefokak fmr /flkakhs fï Tjoka zzc,NS;sldjZZ fyj;a idudkH jHjydrfha zzmsiaiq n¨ frda.hZZ kñka y`ÿkajk frda.h ms<sn|j Tn wid we;sjdg ielhla ke;' úfYaIfhkau Tn ksjfia iqr;,hg we;slrk n,a,ka" n<¨ka jeks i;=kaf.ka fï frda.h jeämqru me;sfrk ksid fï ms<sn|j ±k isàu b;d jeo.;a fõ' c,NS;sldj udrdka;sl frda.hls' úfYaI{ ffjoH Tud,d úu,r;ak iu. l< idlÉPdjla weiqßKs ,NS;sld frda. ,laIK my< ù Èk 10-14 la we;=<; wksjd¾fhkau urKhg m;aùu je<laùug fuf;la T!IOhla fidhdf.k ke;' ta wkqj zztaâiaZZ frda.hg;a jvd oreKq njo lsj yel' fï frda.h jeämqru je<fokafka n,a,ka ksid kï n,a,ka ish,a, urd±óu óg we;s fyd|u úl,amh fka±hs flfkl=g is;sh yel' ta whqßka fï frda.h md,kh lsÍug W;aidy .kakd rgj,a ke;=jdu fkdfõ' tfy;a th lsisÿ id¾:l m%;sl¾uhla fkdfõ' zzj.lSfuka hq;=j iqr;,a i;=ka we;s lsÍuZZ yd m%cdjf.a ie<ls,su;aNdjh by< uÜgul mj;ajd .ekSfuka fï frda.h we;sùu''' je<§u md,kh l< yel' 2007 jif¾ iema;eïn¾ 08 Èk isg

ffjoHjrhd - udisl ffjoH iÕrdj

f,dalfha m%:u jrg zzf,dal c,NS;sld ÈkhZZ ieuÍu yd ta wdY%s; ±kqj;a lsÍfï jevigyka l%shd;aul lsÍu ta ms<sn|j f,dal m%cdjf.a wjOdkh fmrg jvd jeäù we;s nj fmfka' zzc,NS;sldjZZ ms<sn|j l:d lsÍfï§ Y%S ,dxlsl wmg wksjd¾fhkau u;lhg kef.k ia:dkhls fld<U ffjoH m¾fhaIKdh;kfha riN wxYh' f,dal fi!LH ixúOdkfha wkqu; Y%S ,xldfõ c,NS;sld m¾fhaIK uOHia:dkh jkafkao thhs' (WHO Reference Centre for Rabis) tys wxY m%Odks úfYaI{ ffjoH Tud,d úu,r;ak uy;añh fï frda.h je<elaùfï ,d buy;a ld¾hNdrhla bgqlrk fuu flfIa;%fha wmg isák m%udKsl úoaj;=ka w;f¾ by<skau ±lafjk ;eke;a;shhs' wêl ld¾h nyq,;djh ;=< jqjo zzffjoHjrhdZZ mdGl Tn fjkqfjka weh jeo.;a f;dr;=re /ila f.k yer mEfõ fuu mKsúvh m%cdj fj; f.k hdfï wjYH;djho ie<ls,a,g .ksñks' c,NSS;sldj ffjrihla u.ska iEfok frda.hls' fï ffjrih /ífvda ffjri (Rhabdo) mjq,g wh;a RNA ffjrihls' fuu ffjrih YÍr.; jq úg iakdhq moaO;shg ixõ§ ùu ksid b;d Nhdkl ;;a;ajhla we;s fõ' yeuúg§u iakdhq moaO;sh yd iïnkaO frda. ,laIK fmkajkq ,efí' by; lS frda. ldrl ffjrihu fjä WKavhl yevhla ;sfnk w;r" jfÜg ,smsv" fm%daàk iys; wdjrKhla ;sfí' c,NS;sldj je<`ÿkfyd;a ta i|yd lsisÿ m%;sldrhla fuf;la f,dj lsisu rgl fkdue;s neúka frda. ,laIK my<ù Èk 10-14 la we;=<; frda.shdf.a urKh wksjd¾fhka isÿfõ' c,NS;sldj fl,skau ñksiqkag je<fok frda.hla fkdfõ' th i;=kag je<fok frda.hls' ñksidgo tjeks if;l=f.ka fï ffjrih YÍr.; jqjfyd;a yd ksis m%;sldr fkd.;fyd;a fï frda.h je<f`oa' mßirfha WIaK;ajh wkqj ;u isref¾ WIaK;ajh fjkia lr fkd.kakd fyj;a 2015 uehs l<dmh

wp,;dmS i;=kag fï frda.h je<fok w;r" bkq;a wp,;dmS laIsrmdhs .Khg jefgk i;=kag fï frda.h m%Odk jYfhka je<f|a' fuh n,a,kag muKla je<f|k ksid fuh msiaiq n¨ frda.h f,i m%p,s; ù we;' fï wkqj c,NS;sldj fyj;a c,hg we;s ìh nyq,ju je<f|k wp,;dmS laIsrmdhs i;=ka f,i n,a,ka" n<¨ka" uq.áhka" fyda;Uqjka" W.=vqjka" j÷rka" yrla" t¿jka" l,jeoaoka" kßhka" W!re óhka wdÈ i;=ka m%Odk jYfhka ±laúh yel' f.j,aj, isák óhka imdlEfï nyq,j ±l.; yels jqj;a fuf;la tu i;=kaf.ka c,NS;sldj je<f|k nj fidhdf.k ke;' whdf,a hk i;=kaf. ka nyq,ju fndajk fuu frda.h i;=kag je<f|k frda.hla jqjo" frda.h iys; if;l= kSfrda.S ñksil= imd lEjfyd;a tu ffjrih ñksidgo we;=,a úh yel' th ñksidg frda.h je<fok tla m%Odk l%uhls' 19

Rabies Precaution

c,NS;sldj yefokak fmr /flkakhs fï Tjoka

c,NS;sld ffjrih jeämqru wka;¾.; jkafka by; i|yka l< i;=ka f.a fÄgfha ^fl<& h' Bg wu;rj" lsß" lÿ¿" uq;%d" ,sx.sl Y%djj,o ffjrih hï m%;sY;hlska wka;¾.; ù we;' kuq;a reêrfha fyda wiqÑ ^u<&j, fï ffjrih ;sfnk nj fuf;la Tmamq ù ke;'

ksfrda.S mqoa.,fhl=g we;=,a úh yel' Bg wu;rj msg;g ksrdjrKh ù ;sfnk uqLh" kdih" weia jeks Yaf,aIau, mg, iys; wjhjhlg c,NS;sldj je<|S we;s if;l=f.a fl< jegqfKd;a" tfia;a ke;akï wfma ;=jd,fha ^wdjrKh lr ke;s& f,j lEfjd;a tjeks úfgl§o frda. ldrlh YÍr.; úh yel'

frda. ,laIK wkQj m%fNao frda. ,laIK wkqj c,NS;sldfõ m%fNao folla ±l.; yel' 1' úhre msiaiqj fuys§ i;d kshu msiaiq n,a,l= f,i yeisf¾' weia r;= lrf.k fiu y,df.k" láka f,a fmrdf.k isák w;r" ffjrih YÍr .; jqjkaf.a 80] lg muK we;af;a fuu úhre msiaiqjhs' 2' f.d¿ msiaiqj fuys§ i;d imd lkafka ke;' o`.,kafkao ke;' w; mh wm%dKslj wÿre ia:dkhl .=,s ù ksodf.k isà' W.=f¾ udxY fmaYs wl%sh jk ksid W.=f¾ lgqjla ysr ù we;s wdldrhla fmkajhs' lEu .ekSu m%;slafIam lrhs' uq,a wjia:dfõ§ fuh l=uk frda.S ;;a;ajhla±hs is;d .ekSuo wmyiqh' ffjrih YÍr.; jqjkaf.ka 20] lg muK fï frda. ;;a;ajh ±l .; yels" w;r fuho b;du;a wjodkï ;;a;ajhls' frda. ,laIK my< ù ^fï wdldr foflau& idudkHfhka Èk 10-14 la ;=< if;l= jqj;a" ñksil= jqj;a urKhg m;aùu wksjd¾fhka isÿfõ'

ksfrda.S mqoa.,fhl=g c,NS;sldj je<fokafka fldfyduo@ wfma iu b;d wk.s wdjrKhla f,i ye|skaúh yel' úúOdldr úIîc wfma isref¾ wNHka;rhg we;=,aùu je<elaùu wfma iu u.ska isÿlrk m%Odk ld¾hhls' c,NS;sldj je<ÿk if;l= imdlEu;a" iSßula ^tkï fuys§ ifï leãula w;HjYHhs& u.ska m%Odk f,i ffjrih 20

fujeks if;l= kEùu" iqr;,a lsÍfï§ fyda fl< fyda uq;%d fyda mE.=K úgl§ frda. ldrlh YÍr .; ùula jkafka ke;' kuq;a fï wjia:dj,§ ;udf.a isref¾ iu leã ke;s njg ;ud ;=< iEySula ;sìh hq;=h' tfukau weia jeks mgl noaO lsÍul§ yer fjk;a wjia:djl§ ñksfil=f.ka ñksil=g fuu ffjrih fnda jq njla o fuf;la jd¾;d ù ke;' c,NS;sld ffjrifha îfc!IK iuho b;d jeo.;afõ' tkï ffjrih YÍr.;

ffjoHjrhd - udisl ffjoH iÕrdj

ù frda. ,laIK fmkaùug .;jk ld,h we;eï úg i;shlg jvd wvqúh yels w;r" we;eï úg jirlg jvd jeäùugo yel' fï mq¿,a mrdih ksid hï ksrdjrKhla isÿ jqjfyd;a jvd;a úuis,su;a ùug isÿ fõ' idudkHfhka Èk 30- Èk 90la muK ld,h zzîfc!IK iuhZZ f,i ie,fla' ÈhqKq rgj, le,E i;=kag nyq,j fï frda.h je<`ÿko" wdishd;sl rgj, Bg wu;rj ksfjfia we;slrk i;=kago whdf,a hk i;=kaf.ka fndaùfï bv ;sfí'

ke;;a frda. ,laIK my< jk uq,a wjia:dfõ idudkH WK .;shla jeks ;;a;ajhla iu`.o frda. ,laIK ±l .; yel' wjidk wjia:dj ^urKh& olajdu frda.Skaf.a isysh fyd|ska ;sfnk ksid b;du;au wjdikdjka; urKhla f,ig tjeks frda.sfhl=f.a urKh ±laúh yelsh' úfYaIfhkau l=vd <uhska" ;reK mrmqr fï i|yd nyq,ju f.dÿrejk ksid rgl ixj¾Okh flfryS we;s jkafka oreKq n,mEuls' i;d imd lE ;=jd,h iqj jqj;a" ta wi, ysßjeàu" lelal=u we;sùu" ta ia:dkh wm%dKsl ùu wd§ ;;a;ajhka" fud<fha wdidok we;súh yelsùu" udxY fmaIs wl%sh ùu úfYaIfhkau W.=f¾ udxY fmaYs wl%sh ù Yíoh msgùu wmyiq ùu" w;mh wm%dKsl ùu wd§ frda. ,laIK nyq,ju ±l .; yel' ^urKdikak ùu&

ksfrda.S wfhl=g c, NS;sldj je<|S we;a±hs ±k.kafka fldfyduo@ ñksfil=f.a by;ska ±lajq ,laIK yd iudk ,laIK ±l.; yel' úfYaIfhkau iq<x we;s úfgl" úÿ,s mxldjla wi, isák úg yqiau .ekSfï wmyiq;djh wdÈh ±l .; yels w;r iakdhq moaO;sh yd iïnkaO úfYaI frda. ,laIK ±l .kakg 2015 uehs l<dmh

n¨ megjl= bm§ i;s 06la ;=<§;a" kej; udi 03la .;jq úg§;a" bkamiq iEu jirla mdid;a c,NS;sld tkak; ,nd§u w;sYh jeo.;a lreKls'

Rabies Precaution

c,NS;sldj yefokak fmr /flkakhs fï Tjoka

iel iys; i;l= imd lEfï§ wkq.ukh l< hq;= l%shdud¾. frda.h je<ÿKfyd;a m%;sldr ke;' kuq;a if;l= imd lE ú.i my; mshjrhka wkq.ukh lsÍfuka frda.h je<|Su j<lajd .ekSug yel' • ;=jd,h msßisÿ c,fhka inka .d fydÈka úkdä 10 la muK jydu fidaokak' • ;=jd,fhka ;j ÿrg;a reêrh msgfõ kï frda.shd frday,a .; lrk ;=re msßisÿ frÈ lene,lska ;=jd,h fyd|ska .eg.ikak' • jydu <`.u frday,g /f.k f.dia ffjoH Wmfoia ,nd.kak' fkdñf,a ,ndfok tkak;a iEu frday,lu mdfya we;' fuysoS imd lEu oreKq imdlEula kï ffjoHjrhd ;=jd,h mÍlaId lr n,d f¾ìia m%;sfoay wvx.= tkak;la ;=jd,hg ,ndfoa' fï i|yd idudkHfhka meh folla muK frday,a .;ù isàug isÿjk w;r bka wk;=rej c,NS;sld ksjdrK tkak;a ,ndfoa' th tkak;a ud,djls' ta ksid tkak;a ,nd.ekSug ldâmf;ys ,ndfok Wmfoia mßÈ kshñ; Èkj,§ tkak;a ,nd.ekSu b;d jeo.;ah' tu.ska id¾:l f,i frda. wjodkfuka ñÈh yel' • imdlEu iq¿ tlla kï c,NS;sld ksjdrK tkak;a ud,dj muKla ,ndfok w;r wod, mÍlaIKj,§ imd lE i;dg frda.h ;snqfka kï muKla tkak;a ud,dj È.gu ,nd.; hq;=h'

c,NS;sldj ±hs ksYaÑ;ju fidhd.; yels mÍlaIK fudkjdo@

iqmÍlaIdldÍj úuish hq;=h' ^we;eï úg flfkl= n,a,d urd ±óug yels ksid& ñh f.dia fud<h l=Kq ùug fmr tkï meh 8-10 la we;=<; ysi fjkalr Èhr ldkaÿ fkdjk Ndckhl oud fld<U ffjoH m¾fhaIKdh;kh fj; fyda ±kg ta i|ydu msysgqjd we;s ;j;a idhk 02la jk lrdmsáh YSlaIK frday, fj; fyda fmardfoKsh mY=ffjo úoHd,h fj; hd hq;=h' ysi /f.k taug meh 8-10 lg jvd ld,hla .; fõ kï whsiaj, nyd yels blauKska wod, uOHia:dkh fj; f.k hd hq;=h' fld<U ffjoH m¾fhaIKdh;kfha kï meh 24 u fï i|yd úfYaI wxYhla újD;j mj;S' fufia ysi /f.k tafï§ n,a,dg tkak;la ,nd§ ;sfí kï tu tkak;a ldâm; /f.k taug yelskï mÍlaIK lghq;= i|yd th úYd, myiqjla jkq we;'

imd lE i;d úfYaIfhkau jeämqru imd lkafka n,a,ka hehs Wml,amkh l<fyd;a n,a,d Èk 14la we;=<; ñh hkafkao hkak jvd;a 22

ffjoHjrhd - udisl ffjoH iÕrdj

fuys§ m%ia;=; ysi wdY%s; m%Odk mÍlaIK folla isÿ lrkq ,efí' 1' äfrlaÜ iañh¾ (Direct Smear) mÍlaIKh fuys§ fud<fha ishqï mglhla wkaùlaI lodjlg oud Bg j¾Kl fhdod fka.¾foay ms<sn`oj (Negrebodies) mÍlaId lrkq ,efí' mÍlaIK jd¾;dj Ok (+) (positive) kï meh 24la we;=<; mÍlaIK jd¾;dj ,nd foa' iuyrúg fuu mÍlaIKfha§ i;dg c,NS;sldj fkdue;s kï fyda i;d ñh hEug fmr >d;kh lr we;akï m%;sM, fkdfmkaúh yel' 2' ikd: lsÍfï mÍlaIKh FAT fuys§ c,NS;sldj m%;sfoay ckl (Rabies Antigen) ;sfío hkak mÍlaId lrk w;r" tys m%;sM,h Ok (+) (Positive) kï idïm,h ,eî meh 48 la we;=<; wod, mÍlaIK jd¾;dj imhhs' iDK (-) (Negative) kï ;jÿrg;a m%;sldr wjYH ke;' 2015 uehs l<dmh

fuys ±lafjkafka f,dj iïudkkSh úoHd{fhl= jQ ¨ù mdiap¾ c,Ns;sld frda.hg tkak;la fidhd.kq msKsi m¾fhaIK j, ksr; jQ wjia:djls' jirlg ffjoH m¾fhaIKdh;khg frda.h iys; hhs iel lrk ,o i;=kaf.a T¿ 1500 muK ,efnk w;r bka 50] la muK c,NS;sldj je<`ÿk i;=ka nj mÍlaIK wkqj Tmamq ù ;sfí' tf,i c,NS;sldj ffjri iys; i;=kaf.a 85] muKu n,a,kah'

c,NS;sld frda.h yd iïnkaO ixLHd f,aLK yd ffjoH m¾fhaIK wdh;kfha riN wxYfha ld¾h Ndrh • idudkHfhka c,NS;sldj hhs iel flfrk i;=kaf.a ysia 1500 la muK jirlg ffjoH m¾fhaIKdh;khg ,efnk w;r bka 50] la muK c,NS;sldj je<`ÿk i;=ka nj mÍlaIK wkqj Tmamq ù ;sfí' tf,i c,NS;sldj ffjri iys; i;=kaf.a 85] muKu n,a,ka jk w;r" Bg wu;rj n<,a¨" yrl=ka" uq.á yd l, jeoaoka i|yka l< yel' • c,NS;sldj je<|S ñh hdu ms<sn|j ixLHdf,aLK mÍlaId lsÍfï§ 1970 oYlfha 23

Rabies Precaution

c,NS;sldj yefokak fmr /flkakhs fï Tjoka

uq,a Nd.fha urK 300 la muK;a" 1990 uq,a Nd.fhaa urK 150 la muK jd¾;d ù we;s w;r uE; ld,Sk ixLHd f,aLK i,ld ne,Sfï§ 2005 urK 55 la" 2006 urK 73la 2007 urK 56 la f,i jd¾;d ù ;sfí' ±kqj;a lsÍfï jevigyka yd Y%S ,xldfõ frday,aj,ska ,ndfok m%;sldrj, .=Kd;aulNdjh by< ksid w;S;hg jvd j¾;udkfha urK ixLHdj md,kh jqjo ;ju;a jirlg oreKq imdlEï fya;=fjka mqoa.,hka 2000la muK frday,a.; ùu olakg ,efí' • c,NS;sld tkak;a i|yd fi!LH wud;HdxYh jirlg ñ,shk 200-250 la muK jeh lrhs' fï tkak; msgráka f.kajk w;r" b;d ñ, wêlh' fuu tkak; rcfha frday,aj,ska fkdñ,fha ,ndfohs • ffjoH m¾fhaIK wdh;kh" c,NS;sldj ksjdrKh i|yd f,dal fi!LH ixúOdkh wkqu; lr we;s Y%S ,xldfõ m%Od;u rdcH wdh;kh hs' fï iïnkaOj fi!LH ld¾h uKav, mqyqKq lsÍï" ±kqj;a lsÍï yd Wmfoia ,nd§u isÿlrk w;r" iEu i;sfha Èklu Wfoa 8 isg iji 04 jk ;=re;a fikiqrdod" bßod yd rcfha ksjdvq Èkj, fm'j' 8'00 isg oj,a 12'00 jk;=re;a úfYaIfhka mqyqKq l< ffjoHjreka iys; úfYaI tallhlao msysgqjd we;s w;r ´kEu mqoa.,fhl=g tu.ska fkdñf,a wjYH Wmfoia yd m%;sldr ,nd.; yel' Bg wu;rj tkak;a yd iïnkaO úúO md¾Yjhkag we;sjk .eg¿ ksrdlrKh lsÍuo fuu wdh;kfhka isÿfõ'

c,NS;sld frda.h iïnkaOfhka my; lreKq ldrKd;a Tng jeo.;a jkq we; • lsishï fyda frday,l mqoa.,fhl= c,NSs;sldj hehs iel lsÍulska ñh .shfyd;a tu mqoa.,hd mYapd;a urK mÍlaIKhlg fhduq l< hq;= w;r" tu udkj fud<h ffjoH m¾fhaIdh;kh fj; jeäÿr mÍlaIK i|yd ,ndÈh hq;=h' ukao @

c,NS;sldj hehs iel l<o fjk;a iakdhq frda.hla ksid frda.shd ñh hdugo yelshdj we;s fyhsks' fuf,i ñh.sh whf.ka 75] muK c,NS;sldj ksid ñh .sh nj Tmamq ù we;s ;sfí' fi!LH wud;HdxYh u.ska úfYaIs; pl%f,aLhla u.ska fuf,i udkj fud< ffjoH m¾fhaIKdh;kh fj; tjk f,i ish¨u frday,a n,Odßka ±kqj;a lr ;sfí' • n,a,ka" n<¨ka jeks i;=ka wmf.a iqr;¨ka fukau wmf.a wdrlaIlhkao fj;s' kuq;a wmf.au fkdie<ls,a, ksid Tjqka ksid wmf.a urKho isÿúh yel' ta ksid j.lSfuka hq;=j iqr;,a i;=ka we;s lsÍug iEu mqoa.,fhl=u fm<ôh hq;=h' whdf,a hEug" i;=kag bv fkdÈh hq;=h' imdlk if;la kï lgl,shdjla ±óu

ffjoHjrhd - udisl ffjoH iÕrdj

fyda ne| ;eîu l< hq;=h' • fi!LH wud;HdxYh" ffjoH m¾fhaIK wdh;kh" i;aj ksIamdok fomd¾;fïka;=j" rdcH fkdjk wdh;k yd tlaj whdf,a hk iqkLhka tkak;a lsÍfï úfYaI jev ms<sfj,lao fï jk úg wrUd ;sfí' tla jrla if;l= imd lE úg fok tkak;a ud,dj uq¿ cssú; ld,hgu j,x.= fkdjk nj ;Èkau u;l ;nd .; hq;= lreKls' kuq;a ,ndfok tkak;a ldâm; iqrlaIs;j ;nd .; hq;= w;r kej; jrla if;l= imd lE úfgl§ yelskï tu i;dg ,nd§ ;sfnk tkak;a ms<sn| igyka lr we;s ldâ m;o iu`. frday,g meñKsh hq;=h' • Tfí cSú;fha wdrlaIdjg;a" iudcfha fiiq m%cdjf.a wdrlaIdjg;a" tfukau ;u iqr;,a i;df.a wdrlaIdj msKsi;a n,a,kag" 2015 uehs l<dmh

n<¨kag ksis mßÈ tkak;a ,nd§u wmf.a j.lSuls' idudkHfhka n¨ megjl= bm§ i;s 06la ;=<§;a" kej; udi 03la .;jq úg§;a" bkamiq iEu jirla mdid;a c,NS;sld tkak; ,nd§u w;sYh jeo.;a lreKls' • lsis úfgl;a whdf,a hk i;=ka fyda le,E i;=ka ;u ksfjig /f.k fkdhEu" iqr;,a fkdlssÍuo jeo.;a nj u;l ;nd .; hq;=h' Tn Tnf.a hq;=lu ksis mßÈ bgq lrkafka kï" j.lSfuka hq;=j iqr;,a i;=ka we;s lrkafka kï i;=kagj;a" ñksidgj;a lsisod ydkshla fkdjkq we;' • Tn iqr;,hg we;s lrk i;=kaf.ka wkjYH mßÈ megjqka ,nd fkdf.k Tjqkaj jkaOHdlrK ie;alïj,g Ndckh lsÍu;a" ,efnk megjqka mdi,a" mkai,a wd§hg f.k f.dia fkd±óug;a lghq;= lsÍu m%cdjf.a j.lSulao jkafkah' c,NS;sldj fyda ta i|yd ,ndfok tkak;a ms<sn|j fyda Tngo .eg¿jla u;=jkafka kï my; ,smskfhka yd ÿrl:k wxlhkaf.ka ta i|yd Tngo Wmfoia fkdñ,fhau ,nd .; yel' ,smskh (- ffjoH m¾fhaIK wdh;kh" fld<U 08 ÿrl:k wxlh (- 011 2693532$3$4 0112698660 ixjdo igyk kd,l Èidkdhl

^úfYaI{ ffjoH Tud,d úu,r;ak uy;añh iu. óg l,lg fmr zzffjoHjrhdZZ i`.rdj l< idlÉPdjla weiqßKs&

March 5, World Asthma Day

uehs 6 g fhfok cd;Hka;r weÿu Èkh

weÿu jeks ksoka.; frda. i|yd ffjoH Wmfoia wkqj È.= ld,Skj m%;sldr .ekSu b;d jeo.;a''' Yajik frda. úfYAI{ ffjoH wñ; m%kdkaÿ

uehs 6 g fhfok cd;Hka;r weÿu Èkh fjkqfjks wo iudcfha mj;sk frda. w;ßka iq,n frda.hla f,ig zzweÿu frda.hZZ ye|skaùu w;sYfhdala;shla fkdfõ' ta ;rugu th iudcfha iq<nj olakg ,efnk frda.hls' fï frda.h yd thg fhdok m%;sldr l%u iïnkaOj iudcfha uq,a nei.;a ñ;Hd u; o /ila mj;sk ksid fuys ienE ;;a;ajh yd ksis mrsÈs m%;sldr ,nd .kafka flfiao hkak ±k .ekSu;a ieugu tlfia m%fhdackj;a jkq ksielh' úfYaIfhkau zzcd;Hka;r weÿu ÈkhZZ fhfok uehs udifha fï ms<sn|j idlÉPd lsÍu jvd;a M,odhS jkq we;' i;a;lskau fï frda.hg Tn ìh úh hq;= ke;' weÿu kej;" kej; we;s úh yels kuqÿ ta .ek ksis wjfndaOhla isàfuka idudkH Èú fmfj;la .; l< yel' uq,ska lS mßÈ weÿu frda.h iq,n iudc .eg¿jla njg m;a ù we;' j¾;udkfha f,dj mqrd weÿu frda.Ska ñ,shk 300 lg jeä ixLHdjla we;s nj ie<flk w;r" wfma rfÜu ñ,shkhlg jeä m%udKhla frda.Ska we;s njg y`ÿkdf.k ;sfí' idudkHfhka <uqkaf.ka 25] la" jeäysáhka.ka 10] la muKo weÿu 26

frda.fhka mSvd ú|sk njg fi!LH wxY wkdjrKh lrk w;r miq.sh jir 10l muK ld, iSudj ;=< f,dj mqrd fuu frda.h 50] lska muK jeäù we;' fï i|yd úúO fya;= n,md we;s w;r" ta fya;= idOl y÷kd. ekSu ;=<ska bÈßfha§ frda.Skaf.a m%;sY;h wvqlr .ekSug yelsjkq ksielh' weÿu frda.Skaf.a m%;sY;h tjka uÜgula ;snqKo" fï i|yd b;d Wiia m%ñ;sfha T!IO wm rfÜo Ndú;d jk ksid frda.Skag ;u frda. ;;a;ajh ukdj md,kh lr .ekSfï yelshdj mj;S" weÿu lshkafka l=ulao@ weÿu frda.h yqiau .ekSfï wmyiqj we;s lrk" Yajik moaO;sh wdY%s; frda. hls' wm yqiau .kakd úg ndysr mßirfha we;s jd;h wmf.a fmky¨ ;=<g f.k tau i|yd Wmldr jk .il w;= ßls,s fuka fn§ hk ishqï jQ kd, moaO;shlsks' ksSfrda.S mqoa.,fhl=f.a

ffjoHjrhd - udisl ffjoH iÕrdj

fuu kd,j, we;=,; l=yrh lsis÷ wjysrhlska f;drj mj;S' kuq;a weÿu frda.hg f.dÿre jQfjl=f.a ta frda.Skag úfYaIs; jQ fya;= ksid fuu kd, moaO;sh mßirfha we;s fkdfhl=;a idOl j,g b;du;a ixfõ§ njla fmkajhs' fï fya;=fjka fuu kd,j, ì;a;sh bÈóu" fiu ^Yaf,aIau,& ksmoùu isÿfõ' fï ksid fulS kd,j, we;=<; l=yrh mgqùu isÿfõ' fujeks mgqkd, ;=<ska jdhq yqjudrej wmyiq fõ' fï ksid weÿfï frda. ,CIK j,g fya;=fõ' ta wkqj m%Odk jYfhka weÿu frda.fhaÈS • Yajdi kd,j, wNHka;rfha mgqùu • Yaf,aIau,fha bÈóu • Yajdikd,j, wê l%shdldß;ajh hk l%shdj,skaf.a tl;=jla ksid §¾> ld,hla mqrdjg mj;sk yqiau .ekSfï wmyiq;djh $ y;sh we;sùu isÿfõ'

2015 uehs l<dmh

weÿu frda. ,CIK m%Odk jYfhka my; frda. ,CIK ±l.; yel' fï ,CIK fndfyda úg WoEik yd rd;%S ld,hkays§ frda.Skaf.a olakg ,efí' • yqiau .ekSfï wmyiq;djh $ y;sh • mmqfõ ;o .;sh • ldhsl l%shdldrlï iSud ùu • fiu iys; leiai fyda úh<s leiai • yqiau .ekSfï§" msg lsÍfï§ ksl=;a jk rdx rEx Yíoh fu frda. ,CIK jeä lrjk idOl /ila mj;S' fnfyda úg ta ta ;;a;ajhka frda.Ska w;a ±lSfukau ±k .kS' iuyr frda.Skag frda. ,CIK ks;r ke;s w;r" wjqreoafoa hï ld,hlg fyda frda.h W;aikak lrjk idOlhkag ksrdjrKh jQ úg muKla frda. ,CIK fmkaùu olakg ,efí' 27

March 5, World Asthma Day

uehs 6 g fhfok cd;Hka;r weÿu Èkh

we;eï úg fuu frda. ,CIK weÿu frda.hgu úfYaIs; jQ tajdo fkdfõ' yDo frda." ÿïmdkh yd wdidok ksido fï ,CIK we;súh ye;' weÿu frda.h W;aikak ùug bjy,a úh yels idOl w;r" nelaàßhd yd ffjria wdidok" is.rÜ" r:jdyk ÿu" wêl ÿú,a, fyda iS;, " udkisl wd;;sh" i;=ka yd we;eï T!IO j¾. wdosh fmkajd Èh yel' fuu frda.h W;aikak lrk idOl m%Odk jYfhka fldgia follg fnod ±laúh yel' • úi¾ck (Allergens) • úi¾ck fkdjk idOl (Non Allergense) uq,ska ±lajQ ¥ú,s j, csj;a jk l=vd wkaùlaISh lDñfhl= jk ÿú,s uelald" lerfmd;a;ka jeks lDñhka" u,aj, mrd." f;;ukh iys; ;ekaj, jefjk È,Sr" n,a,ka" n<¨ka wd§ i;=kaf.a f,dï" fl< wdÈh;a " we;eï wdydr rildrl øjH" j¾Kl jeks foaj,a úi¾ck idOl fldgig wh;a jk w;r" fN!;sl idOl jk foaY.=Ksl fjkiaùï" is.rÜ" jdyk ÿï wdÈh úi¾ck fkdjk idOl .Khg wh;a fõ' fuys§ jeo.;a jkqfha fuu ;;a;ajhka ;udf.a cSús;hg n,mdk wdldrh ms<sn|j ffjoHjreka iu. idlÉPd lsßuhs' y;sh" uykaish" fiu ;;a;ajhkao weÿu frda.huo@ fuu ;;a;ajhka fndfyda fjk;a frda. fya;=fjkao we;s úh yel' frda.shd mjik f;dr;=re wkqj" frda.S ,CIK W;aikak lrk idOl wkqj frda. ks.ukhlg taug ffjoHjrekag mq¿jks' fï ksid ta i|yd fndfyda úg úfYaI mÍCIKo wjYH fkdfõ' weÿu frda.Ska m%Odk jYfhka fldgia follg fnosh yel'

1' <ud ld,fha§ we;sjk weÿu frda.S ;;a;ajh fï ;;a;ajh i|yd mdrïmßl fya;=o n,mdkq ,efí' fndfyda úg l=vd <orejka nyq, jYfhka fï ;;a;ajhg f.dÿre jk nj fi!LH ld¾h uKAv, ixLHd f,aLK wkqj meyeos,sj m%lY l< yel' ujg fyda mshdg weÿu fyda ta yd iïnkaO wdid;añl;d jk mSki" oo" jeks frda. we;akï orejdgo fndfyda úg weÿu frda.h iE§fï wjodkula ;sfí' mdrïmßl fya;= j,g wu;rj" .¾NkS ld,h ;=<§ yd <ore ld,h ;=<§;a orejd jefvk mßirfha we;s fkdfhl=;a idOlo frda.S ;;ajh we;sùu flfryS n,mdkq ,efí' ^Wod ( is.rÜ ÿu" jdyk ÿu& 2&' jeäysá úfhaÈ we;sjk weÿu frda.S ;;a;ajh <ud ld,fha§ we;sjk weÿu ;;a;ajh" fndfyda úg jhi;a iuÕ ^wjq' 12-14 muK jk úg& iqj ùu olakg ,efí' tfy;a ixLHd ffjoHjrhd - udisl ffjoH iÕrdj

f,aLk wkqj fuf,i ksÜgdjg iqjjkafka 50] l muK m%;sY;hls' kuq;a lsis÷ fmr b;sydihla fkdue;sjo jeäysáfhl=g ;u cSú;fha ´kEu wjêhl§ frda.h we;súh yel' ta i|yd ksYaÑ; fya;=jla fuf;la y÷kdf.k ke;' weÿu frda.ho wêl reêr mSvkh" Èhjeähdj jeks ksOka.; frda.hls' fï ksid frda. ;;a;ajh ukd md,khla i`oyd ffjoH Wmfoia wkqj È.=ld,Sk m%;sldr ,nd.ekSu b;d jeo.;a fõ' mSki (Allergic rhinitis) ; oo (Ecz ema) nv" mmqfõ ±ú,a, (Gastritis) jeks frda. weÿu frda.Skag je<|Sug jeä m%jK;djhla mj;S' weÿu frda.Skag we;sjk mSki ;;a;ajfha§ lsúiqï hdu" weia" W.=r leiSu" fiu meg,Su jeks frda. ,CIK u;=fõ' kuq;a fï ;;a;ajhka T!IO u.ska fyd|ska md,kh l< yel' 2015 uehs l<dmh

kSfrda.S mqoa.,fhl=f.a yd weÿu iys; mqoa.,fhl=f.a Yajdikd,Sld wkaùlaISh ksrEmKhls weÿu ksid cSú;hg ;¾ckhla úh yels wjia:d 1' weÿu W;aikak jQ wjia:djkays§ Tn" iykodhS .Kfha T!IO .;a úg frda. ,CIK meh lsysmhlaj;a md,kh ù ;sìh hq;=h' fuh isÿ fkdù meh lsysmhlg j;djla j;a iykodhS T!IO wjYH fõ kï th wjodkï ;;a;ajhls' 2' l:d lsßfï wmyiq;djhla we;s fõ kï jpk WÉpdrKh lsÍu" jdlH iïmQ¾K lsÍu wmyiqkï fuho wjodkï ;;a;ajhls' 3' rd;%sfha kskaog weÿu frda.h ksid ndOd we;s fõ kï" WoEik frda. ,CIK W;aikak ú Tn wjÈfõ kï fuho wjodkï ;;a;ajhls' fujeks úfglÈ jydu ffjoH Wmfoia ,nd .; hq;=h'

March 5, World Asthma Day

uehs 6 g fhfok cd;Hka;r weÿu Èkh

weÿu i|yd we;s m%;sldr l%u fudkjdo@ fï i|yd Ndú;d lrk T!IO j¾. m%Odk jYfhka fohdldr fõ'

2' weÿu i|yd iykh i,iajk T!IO ^iykodhS T!IO& Relievers fuu.ska frda. ,CIK my< jQ úg Yajik ud¾.fha we;s jQ mgqùu ksjerÈ .ekSu myiq lrkq ,efí' fm;s" isrma fyda bkafya,¾ f,i fï T!IO .; yels w;r" bkafya,¾ Ndú;fhka .kakd ,o kï úkdä 02-03 lska muK frda. ,CIK wvq ù hkq ,efí'

1&' weÿu j<lajk T!IO ^ksjdrk T!IO& Preventers fï T!IO u.ska Yajdikd, j, we;s bÈuqu" wê ixfõ§;djh wvq lrhs' fuu.ska weÿu frda. ,CIK md,kh lrk w;r cSú;hg weÿu W;aikak ùu ksid we;sjk wjodku wvq lrhs' fuu T!IO iafgfrdhsv T!IO ldKavhg wh;a jk w;r" tajd frda.shdf.a fmky¨ ;=<g we;=,a lsÍug fyd|u l%uh bkafya,¾ Ndú;hhs' fuu T!IO ÿula ke;fyd;a jdIamhla f,io bkafya,hrla u.ska ,ndÈh yel' fuys§ wjOdrKh l< hq;= b;d jeo.;a lreKla we;' tkï we;eï frda.Ska fï T!IO mdúÉÑh flá l,lska k;r lr oukq ,efí' th b;d wys;lr lreKls' frda.shd frda. ,CIK ke;sjqjo" ksjdrK j¾.fha T!IO ks;sm;d ,nd.; hq;=h' fuhg fya;=j T!IO ksid frda. ,CIK fyd|ska md,kh ù ;snqKo" iajdYkd, j, we;s wê ixfõ§ nj ;j;a ld,hla tfia mj;sk ksidh' fï ;;a;ajh ksid ;djld,slj frda. ,CIK md,kh jQjo ^kd,j, ixfõ§ nj ksid& ndysr iOl u; kej; frda. ,CIK my< úh yel' ta ksid ffjoH Wmfoia u; ks;sm;d m%;sldr .; hq;=h' ;jo fuu T!IO u.ska CIKsl iykhla fkd,efí' fï ;;a;ajh fkdokakd ksido fndfyda úg frda.Ska w;ru. m%;sldr k;r lrkq olakg ,efí' fï T!IO " bkafya,¾ m<uq jrg .ekSfï§ frda. ,CIK md,kh ùu i`oydo i;s 1-2 la w;r ld,hla .kakd ksid fnfy;a j,ska .=Khla ke;ehs is;d frda.Ska wffO¾hu;a fkdúh hq;=h'

kuq;a fuu T!IO .;a miq;a frda. ,CIK ;sfí kï jydu ffjoH Wmfoia .; hq;=h' fndfyda úg frda.Ska CIKsl m%;sM, ,nd .ekSu i|yd fuu iykodhS T!IO muKla .ekSug fm<fò' kuq;a frda. je<elaùfï l%shdj i|yd fuu iykodhS T!IO j,ska m%;sM,hla fkdue;s w;r" È.=ld,Skj .ekSuo ydksodhl úh yel' fuu T!IO .s,sk fm;s fyda bkafya,¾ f,i ,nd.; yel' kuq;a bkafya,¾ Ndú;fha§ T!IO fl<skau Yajik

ffjoHjrhd - udisl ffjoH iÕrdj

moaO;shg ,nfok ksid we;sjk w;=re wdndO wju fõ' bkafya,¾ Ndú;d lrk wdldrh tys j¾.h wkqj fjkiajk w;r" th ,nd e.kSfï§ Ndú;h i|yd Wmfoia ffjoHjrekaf.ka yd T!IOfõ§kaf. ka ,nd.; yel' bkafya,¾ Ndú;h .s,sk fm;s Ndú;hg jvd iqÿiq jvd;a ld¾hCIu m%;sldr l%uhhs' frda.shdg wjYH ksjdrK .Kfha T!IO ud;%dj yd .; hq;= jdr .Kk ffjoHjrhd ta ta frda.shdf.a frda. ,CIK wkqj ;SrKh lrkq ,efí' tu ksid wl%uj;aj ksjdrK T!IO .ekSfuka frda. ,CIK md,kh lr .ekSug .;jk ld,h yd uqo,a jeäúh yel' tu ksidu iEu frda.sfhlau ksis ud;%dfjka" i|yka lrk ,o jdr .Kkg ksjdrK T!IO .ekSu w;HjYH lreKla fõ'

2015 uehs l<dmh

weÿu frda. ;;a;ajh md,kh ù we;a±hs ;SrKh lrkafka flfiao@ Tfí frda. ;;a;ajh ;Sj%;djhg iß,k mrsÈ ffjoHjrhd ksjdrK T!IO kshu lr we;akï" Tn tu T!IO Wmfoia mßÈ .kafka kï" my; i|yka ;;a;ajfha Tn isáh hq;=h' 1' WoEik wjÈ jk úg weÿfï frda. ,CIK jk y;sh" uykaish leiai" mmqfõ ;o .;sh wdÈh fkd;sìh hq;=h' 2' rd;%S ld,fha fyda WoEik kskaog weÿfï frda. ,CIK ksid ndOd fkdúh hq;=h' 3' tÈfkod lghq;=" /lshdj ndOdjlska f;drj lr.; yels úh hq;=h' 4' iykodhS T!IO i;shlg foj;djlg jvd wvqfjka wjYH úh hq;=h' 4' yÈis m%;sldr i|yd ffjoHjreka yuq ù frday,a.; ùu isÿ fkdúh hq;=h' Tn fï ;;a;ajfha isáho ksjdrK .Kfha T!IO ;jÿrg;a .ekSu w;HjYH fõ' weÿu frda.h yd m%;sldr iïnkaO jerÈ úYajdi yd u; fudkjdo@ 1' lsßmsá j¾. j,ska fiu u;= fõ hehs fndfyda fokd úYajdi lr;s' fï i|yd úoHd;aul mokula ke;' lsßmsá j, we;s fN!;sl iajNdjhla jk Wl= .;sh ksid fuh W.=f¾ ;ekam;a jQ úg fndfyda weÿu frda.Ska fuh fiu ne|Sula f,ig jrojd f;areï .kS' lsßmsá j¾. udre lsÍu fyda t¿ lsß mdkh lsÍfuka úfYaI jdishla fkd,efí' 2' uõ lsß§fuka <orejka weÿu frda.fhka wdrCId fõ' 3' wdydr ksid frda. ,CIK u;=jkafka 2] la muK b;d iq¿ msßilgh' kuq;a weÿu frda.Ska 60] lg jdv jeä m%udKhla wdydr ksid weÿu we;sjkjd 31

March 5, World Asthma Day

hehs jerÈ u;hl isà' weÿu md,kh ù we;s úg hï wdydrhla f.k meh lSmhlska weÿu frda. ,CIK u;=jkafka kï tu wdydr .ekSfuka je<lsh hq;=h' 4' úÿ,s mxld Ndú;d lsßu jrola ke;' kuq;a úÿ,s mxldj ldurh yels ;dla ¥ú,af,ka f;drj ;nd.; hq;=h' 5' YdÍßlj fjfyiSfï§ weÿu frda. ,CIK u;=úh yel' kuq;a fuh fya;=fjka lsis úfgl Ydßßl l%shdldrlï iSud fkdl< hq;=h' ksis mßÈ ksjdrK T!IO yd wjY mßos iykodhS T!IO .ekSfuka fuu ;;a;ajhka uÕyrjd .; yel' jHdhdu lsÍug fmr weÕ WKqiqï lsÍfï jHdhdu l< hq;=h' wjYH kï jHdhdu lsÍug fmr iykodhS T!IO .; yel' bkafya,rhg fyda thg fhdok T!IO j,g weíneys ùula lsis úfgl isÿ fkdfõ' ta ksid ffjoHjrhd kshu lrk bkafya,rh Ndú;hg lsis÷ wdldrhl ìhla we;slr.; hq;= ke;' .¾NKS ujlg jQjo Ndú;d l< yel' weÿu i|yd ksis ffjoH Wmfoia u; T!IO .ekSfuka frda.Skag we;s jdis 1' frda. ,CIK md,kh ùu fya;=fjka tÈfkod ksjfia lghq;=" /lshdj" mdi,a wOHdmk lghq;= jeks oE ndOdjlska f;drj lr.; yel' 2' frda.h ksishdldrj md,kh fkdùu fya;=fjka cSú;hg t,a,úh yels ;¾ck" yÈis m%;sldr i|yd frday,a.; úh hq;= wjia:d wju fõ' 3' frda.S ;;a;ajh ukdj md,kh ú we;s ksid" frday,a j, ndysr frda.S wxY fm!oa.,sl m%;sldr i|yd jehjk uqo,a b;sß lr .; yel'

uehs 6 g fhfok cd;Hka;r weÿu Èkh

4' frda.h md,kh ù we;s úg Ydßßl l%shdldrlï lsÍfï we;s yelshdj ksid Tnf.a cSj;h jvd;a M,odhSlj yd ;Dma;su;aj .; l< yelsh' 5' frda.h md,khla fkdue;s jQ úg Tn .kakd wdydr" iakdkh lsÍu jeks oE flfrys we;s iSudjka fndfyda ÿrg wvqlr.; yel' fï ksid ksis m%;sldr ks;sm;d .ekSu w;HjYH lreK th fm!oa.,sl fukau iudc wjYH;djhls' fi!LH wxY Y%S ,dxlSh ck;djf.a fi!LH uÜgu by< kexùfuys,d f.k hk ±jeka; ioald¾hhg yels muKska lrkq ,nk uyÕ= Wmldrlhls' w;aje,ls' tf,i ksis mßÈ T!IO .ekSu" weÿu ukdj md,kh lr.; yels frda.hls' weÿu ch.; yels frda.hls' ta i|yd m%n,j wjYH jkafka frda.shdf.a lemùu yd wêIaGdkh muKs'

idlÉPd fldg ilia lf<a kd,l Èidkdhl ffjoHjrhd - udisl ffjoH iÕrdj

2015 uehs l<dmh

wd>d; ;;ajhl uQ,sl frda. ,laIK jk uqyqfKa me;a;l mK ke;s ùu" lg me;a;g weoùu" w;la fyda ll=,la mKke;s ùu yd l:dfõ fjkila we;s ùu jeks ,laIK my, jq jydu frday, fj; /f.k wd hq;=h' fuu m%;sldr l%uh frda. ,laIK my, ú meh 03la we;=,; ,nd Èh hq;=h' tu.ska úYd, jYfhka isÿúh yels wn,;d j,ska frda.shd wdrlaId fõ' CT /MRI jeks myiqlï j,ska imsß úfYaI{ ffjoHjreka" fN!; Ñls;ailhka wdoS iduqysl lKavdhulska ieÿï ,;a v¾vkaia frdayf,a yDo iy iakdhq ffjoH tAllh meh 24 mqrd Tn i|yd fkdu| fiajhla ,nd oSug ieÈ meyeÈ issá'

v¾vkaia frday, úiska fud<fha reêr kd, ;=, isrfjk f,a leá úiqrejd yßk kj m%;sldr l%uhla yÿkajd § we;' iuqy m%;sldr l%uhla jk fuu m%;sldrh rtPA (Tissue Plasminogen Activator Treatment) kï fõ'

wd>d;h (Stroke) hkq fud<fha tla m%foaYhl yÈisfha reêr iemhqu wvd, ùuhs' wd>d;h we;sùug n,mdk m%Odk fya;= folls' reêr kd, wjysr ùu (Ischaemic Stroke) iy reêr kd, msmsÍulska fud<hg reêrh ldkaÿ ùuhs' (Haemorrhagic Stroke)

1544 u.ska v¾vkaia frday, wu;kak

Malaria Surveillance

wfma rfÜ uef,aßhdj oeka wvqhs

kSfrda.S ;eke;a;do frda.sfhl= njg m;a fõ'

ta;a ielhla kï jydu reêr mÍlaIKhla lr.kak m%;sldr ud,dj iïmQ¾K lsÍfuka frda.h ksÜgdjg iqjlr .; yelshs Èjhsfka úh<s l,dmSh m%foaYj, §¾> ld,hla ;siafia uef,aßhd frda.h nyq,j olakg ;snqKs' fuu m%foaYj, Y%S ,dxlSh ck.yKfhka 2$3 la muK cSj;ajk w;r Tjqkag uef,aßhd frda.h je<|Sfï jeä wjodkula we;' fi!LH fomd¾;fïka;= yd uef,aßhd u¾Ok jHdmdrfha wm%;sy; W;aidyh iy ffO¾hh ksid wo Y%S ,xldfõ mqoa.,fhl= uef,aßhd frda.fhka ñh hkafka b;du;a l,d;=rlsks' tfia jqjo uef,aßhd frda.h je<÷k úg tu frda.Skaf.a fi!LH ;;a;ajh b;d ¥¾j, jk w;r tÈfkod lghQ;= lsÍfï yelshdj wvqjkjd we;' fuu ;;a;ajh È.= l,la meje;Su ksid uef,aßhd frda.fhka flfkl=f.a fi!LHhg muKla fkdj wd¾Ólhgo ;o n, mSvdjla we;s flf¾' uef,aßhdj ye|skaùu mrfmdaIs;fhl= u.ska we;sfjk frda.hls' uef,aßhdj je<÷k flfkl=g wefkda*S,Sia lshq,sisfIaisia keue;s u¥re j¾.hla oIaG l< úg wef`.a isák mrfmdaIs;hd u¥rejdf.a isrer ;=<g we;=,aùfuka Èk 12 lg muK miq tu u¥rejd ksfrda.S wfhl=g oIaG l< úg tu ;eke;a;df.a isrerg mrfmdaIs;hd we;=,a fõ' tu ;eke;a;df.a isrer ;=< mrfmdaIs;hd jeãu ksid Èk 14 lg miq

mrfmdaIs;hkaf.a kï 1 ma,eiafudaähï jhsjelaia 2 ma,eiafudaähï me,aismdrï me,aismdrï hk mrfmdaIs; úfYAI foj¾.hla YS% ,xldfõ we;' u¥rejdf.a ku wefkda*s,Sia lshq,sisfIaiSia u¥re ì;a;r ^Èk 1-2& olajd - lSg wjia:dj ^Èk 5-10 olajd& ^Èk 1-2 olajd& ms,jd wjia:dj ^i;s 4 la muK& jevqkq u¥rejd ñksidf.a iy .jhd jeks i;=kaf.ka f,a Wrd fndk fuu u¥rejd fndajkafka" msßis¥ ksYAp, fyda fiñka .,dhk fyd|ska ysret<sh jefgk c,fhah' uef,aßhdj tla whl=f.ka ;j;a whl=g fndajkafka u¥rejl= u.sks jirl§ f,dal ck.ykfhka ñ,shk 350-500 w;r m%udKhla uef,aßhd frda.hg f.d¥re jk w;r ñ,shk tlla

ffjoHjrhd - udisl ffjoH iÕrdj

muK frda.fhka ñh hhs' uef,aßhdj nyq,j mj;sk rglg fyda m%foaYhlg hk whg frda.h je<|Sfï wjodkula mj;S' óg fmr wjia:djl uef,aßhd frda.h je<§ ;snqKo kej; jrla je<|sh yelsh' uef,aßhdj mj;sk rglg we;=¿ ù i;shl isg" tjeks rglska msgù udi lSmhla olajd ld,hla ;=< frda. ,CIK u;= úh yelsh'

u¥re oIagkfhka wdrCId ùu;a" uef,aßhd frda.fhka je<lS isàug .; hq;= T!IO ,nd.ekSu;a u.ska uef,aßhd frda.h je<|Su wju lr .; yelsh' uef,aßhd frda. iqj lsßu i|yd T!IO yels blauKska ,nd .; hq;= w;r m%;sldr ud,dj iïmQ¾K lsÍfuka frda.h ksÜgdjg iqjlr .; yelsh' ish¨ m%;sldr ´kEu rcfha frday,lska fkdñf,a ,nd.; yelsh' uef,aßhd frda.fhka je<lS isàug .; 2015 uehs l<dmh

hq;= T!IO uef,aßhd u¾Ok jHdmdrfha m%Odk ld¾hd,fhka fyda nKavdrkdhl cd;Hka;r .=jkaf;dgqmf,a ffjoH uOHia:dkfhka ,nd .; yelsh' bkaÈhdj" fkamd,h iy yhsá ixpdrlhska i|yd uef,aßhd frda.fhka je<lS isàug .; hq;= T!IO by; ia:dk j,g wu;rj Tng <`.u we;s m%dfoaYSh uef,aßhd ld¾hd,fhka ,nd .; yelsh' furgg we;=¿ ùfï§ WmfoiaTn uef,aßhd iq,n rgl ixpdrh lf<A kï nKavdrkdhl cd;Hka;r .=jka f;dgqmf,a ffjoH uOHia:dkh fj; Tnf.a reêr ì÷jla ,nd § uef,aßhd frda.h je<§ we;a±hs mÍlaId lrjd .kak' uef,aßhdj nyq,j mj;sk rgj,awe*a.ksia:dkh" nx.,dfoaYh" N+;dkh" fndÜiajdkd" n%iS,h" >dkd" yhsá" bkaÈhdj" flkahdj" ,hsîßhdj" uev.ialrh" fudieïìla" 35

Malaria Surveillance

fkamd,h" khsPSßhdj" rejekavdj" isfhrd,sfhdaka" ol=Kq wm%sldj" iqvdkh" fgdaf.da" W.kavdj" gekaidkshdj" isïndífõ

idudkHfhka olakg ,efnk uef,aßhd frda. ,CIK m%Odk frda. ,CIKh kï YÍrh YS;lr" fjõ,d WK .ekSu iy miqj oyäh oud WK nei hduhs' fndfydaúg ojila yer ojila we`. fjõ,d WK u;=ùu is¥fõ' wu;r frda. ,CIK • ysiroh • we`.m; fõokdj • jukh uef,aßhd frda.Skag w;=re wdndO we;sùu ma,eiafudaähï *e,aismdrï úfYAIhg wh;a mrfmdaIs;hkaf.ka uef,aßhdj je<÷k úg frda.Ska iq¿ ixLHdjlg fudf<a uef,aßhdj wd§ Nhdkl w;=re wdndO we;súh yelsh' Tn m%foaYfha uef,aßhd frda.h me;sÍu j<lajd .; yelafla flfiao@ • uef,aßhd frda.sSka blauKSka y÷kdf.k m%;sldr lsÍu' • uef,aßhd frda.h fnda lrk jdyl u¥rejka ^jevqKq u¥rejka yd lSghska& úkdY lsÍu' • u¥rejka oIaG lsÍug Ndckh ùu je<elaùu'

wfma rfÜ uef,aßhdj oeka wvqhs

• yels wjia:dj,§ uef,aßhd jdyl u¥rejka fndajk ia:dk ke;s lsÍu' WoyrK- w;ayer oeuq ueKsla m;,a f.dv lsÍu" u¥rejka fndajk ;ekaj, lSg NlaIl u;aiHhka we;s lsrSu' uef,aßhd frda. u¾Okh i|yd Tng iydh úh yelafla flfiao@ • Tng uef,aßhd frda.h we;aoehs iel kï yels blauKska ffjoH wjjdo yd m%;sldr ,nd.kak' • Tnf.a ksji msysgd we;s m%foaYfha hï lsis wjia:djl§ uef,arshd u¾Okh i|yd lDñkdYl biSu l%shd;aul l<fyd;a Tnf.a ksjfiys lDñkdYl biSug Tjqkg bv fokak' my; i|yka l%u Wmfhda.S lr.ekSfuka u¥rejka oIaG lsÍfuka Tn iy Tfí mjqf,a wh wdrCId lr.ekSug mshjr .kak' • u¥re oe,la mdúÉÑ lsÍu' ffjoHjrhd - udisl ffjoH iÕrdj

• ksji ;=<g u¥rejka we;=,aùu' je<elaùug u¥re;,d" fldfydT wdoS Ydl j, fld< mdúÉÑhg f.k ¥ï we,a,Su' • isref¾ weªï j,ska wdjrKh fkdjk ia:dk j, me`.sßf;,a wdf,am lsÍu' • uef,aßhd u¥rejka fndaùu is¥fõ hehs is;sh yels ia:dkj, .mams" k,y|hka jeks ud¿jka fnda lsÍu'

my; i|yka whyg uef,aßhd frda.h je<÷kfyd;a frda. ;;a;ajh jvd;a n,mdk ksid Tjqkaj úfYaIfhkau uef,aßhd frda.fhka wdrCId lr .ekSu jeo.;ah' • jhi wjq' 5 g wvq <uhska • .¾NKs uõjreka fuu frda.fhka wdrCId lr.; hq;= w;r ta i|yd m%cdj oeKqj;a ùu b;du jeo.;a'

Wmfoia- uef,aßhd u¾ok jHdmdrfha wOHCIl ld¾hd,h u.ska meje;ajq udOH iïuka;%Kh weiqßks' igyk-wkqrdOd È,sks b,kafldaka

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

Non communicable Diseases

fnda fkdjk frda. j,ska isÿjk urK wvq lr .ksuq

fnda fkdjk frda. j,ska isÿjk urK wvq lr .ksuq jHdhdu iïnkaOfhka cd;sl m%;sm;a;shla we;af;a f,dalfha rgj,a 56l muKhs f,dal fi!LH ixúOdkfha WmfoaYl ffjoH Ydka;s fukaäia iu. lrK idlÉPdjla uQ,sl jYfhka wjOdkhg fhduqjk fnda fkdjk frda. fudkjdo@ yDo frda." ms<sld" ;Sj% Yajik frda. yd oshjeähdj fï hg;g .efkkjd' m%Odk jYfhka fya;= ;=kla u; fï frda. ms<sn|j fjfiia wjOdkhla fhduq ù ;sfnkjd' wxl tl fï frda. ish,a, .;a l< th iuia; frda. j,ska iEfyk jmißhla .kakjd' fojekak" ÿïfld< Ndú;h" uoHidr mdkh jf.au jHdhdu u|lu jf.a ldrKd tlal;a fï frda. iïnkaOhs' f;jekak fï frda. j,ska we;sjk wjodku my; fy,Sug jeä msßjehla ke;s l%u Ndú;d lsÍfï;a yelshdjla ;sfnkjd' fnda fkdjk frda. j,ska f,dalfha fldmuK urK isoaO fjkjdo @ 2012 j¾Ifha isoaO jqKQ urK m%udKh ñ,shk 38la' fuhska ñ,shk 16lau jhi wjq' 70 iïmQ¾K ùug fmr isÿjQ urK' fï urK wm i<lkafka jhia.; ùug fmr isÿjQ urK (premature category) úosyghs' fï úosyg fnda fkdjk frda. j,ska fõ,dikska ñksiqka urKhg m;aùu j<lajd.; fkdyelso@ fï urK fndfydauhla tlaflda l,a oud.; yelshs' ke;fyd;a j<lajd.; yelshs' 38

rchla ;u ck;djf.a wjodkï iy.; p¾hdjka wffO¾h l< hq;=hs' ÿïmdkh" uoHidr mdkh" ldhsl l=iS;Ndjh" whym;a wdydr mqreÿ wffO¾h lrk mshjr j,g rchka t<ôh hq;=hs'

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

waidyawaraya.com

ffjoHjrhd - udisl ffjoH iÕrdj

f,dalfha wvq wdodhï ,nk rgj, iy uOH wdodhï ,nk rgj, isÿjk fnda fkdjk frda. j,ska we;sjk wvq jhia urK biqreu;a rgj,a yd ixikaokh lsÍfïoS oel.; yels idOKSh ,laIK ljf¾o@ 2012 j¾Ifha isÿjQ urK ñ,shk 16ka ishhg 82 lau isoaO jqfKA fï ÿ.S yd uOH wdodhï ,nk rgj,' ta wkQj ngysr rgj,g idfmalaIj meyeos,s jYfhkau fuh ÿmam;a rgj, m%Yakhla nj meyeos,shs' fuhg fya;= /ila uQ,sl jYfhka n,mdkjd' m<uqjekak fï rgj, wjodkï iy.; idOl krl úosyg n, .ekafjkjd' ÿ.S yd uOH m%udK wd¾Ólhla we;s rgj,a iuia;hla jYfhka .;a úg Tjqkg frday,a myiqlï ,nd.ekSfï ÿIlr;d ;sfnkjd' we;eï úg frda. y÷kd.kafka ie<lsh hq;= m%udohlska' wjodkï iy.; idOl uev,kakiúu;a m%;sm;a;suh hdka;%Khla fkdùu;a ;j;a fya;=jla' 2015 uehs l<dmh

oshqKQ fjñka mj;sk rgj, iy uOH wdodhï ,nk rgj, wdidok fya;=fjka isÿjk urK wNsnjd fnda fkdjk frda. ksid urK we;s fjkjdo @ we;af;kau' fï ;;a;ajhg l%ufhka <`.d fjkjd ú;rla fkdfjhs th f,dalh mqrdu m%jK;djh njg;a m;a fjkjd' fnda fkdjk frda. j,ska we;sjk wvq jhia urK j<lajd .ekSug rchlg .; yels m%;sm;a;suh mshjr ljf¾o@ rchla ;u ck;djf.a wjodkï iy.; p¾hdjka wffO¾h l< hq;=hs' ÿïmdkh" uoHidr mdkh" ldhsl l=iS;Ndjh" whym;a wdydr mqreÿ wffO¾h lrk mshjr j,g rchka t<ôh hq;=hs' ÿïfld< iïnkaOfhka kï nÿ by< kexùu" ÿïfld< m%pdrKh ;ykï lsÍu fuysoS .; yels 39

Non communicable Diseases

fnda fkdjk frda. j,ska isÿjk urK wvq lr .ksuq

mshjr jkjd' uoHidr wffO¾h lsÍug;a fujka idOKSh mshjr .; yelshs' myiqfjka ,nd .ekSug we;s m%fõYh wE;a lsÍu' úfYAIfhka ;=reKQ mrmqrg'' fï w;r jkjd' .=Kj;a wdydr .ekSug wm ck;dj osß.ekaúh hq;=hs' tajd ñ,oS .ekSug we;s m%ia:d jeä l< hq;=hs' wm okakjd t<j¿ yd m<;=re osklg mia j;djla .; hq;=hs' thg m%ia:d we;s lsÍfuka ck;dj ;=< fyd| wdydr mqreÿ we;s fjkjd' wo fndfyda fokd msáka wdydr .ekSfï reÑl;ajhla olajkjd' kuq;a wdmkYd,dj, ;sfnk wdydr j, f;,a jeähs' ¨KQ jeähs' le,ß jeähs' wm lrkak ´ks fïjd wffO¾h lsÍu' tu.ska ck;djf.a wjodkï iy.; p¾hdjka md,khlg ,l al< hq;=hs' wfkla ldrKh ;uhs' fyd| fi!LH fiajdjla ck;djg ie,iSu' fndfyda rgj,a wjOdkh fhduq lrkafka frday,a uÜgfï yd ;D;Sh uÜgfï fi!LH fiajd m%j¾Okhg muKhs' kuq;a jvd;a jeo.;a jkafka m%d:ñl fi!LH ixrlaIKhg' fõ,dikska frda. y÷kd.ekSug' wmg lshkak mq¿jkao f,dal fi!LH ixúOdkfha WHO f.da,Sh fnda fkdjk frda. je<elaùfï b,lal kjh 9 global NCD targets iïnkaOfhka hula' fuys uQ,slu wruqK ;uhs 2025 j¾Ih jk úg fnda fkdjk frda. ksid isÿjk wvq jhia urK ishhg 25 lska wvq lr .ekSu' wm fuysoS mdol lr.kafka 2012 ixLHdf,aLK'' ta yereKQ úg wjodkï iy.; p¾hd y;rla iïnkaOfhka wm b,lal y;rla ,ndf.k ;sfnkjd' oekg ;sfnk uoHidr Ndú;h f,dalfhka ishhg 10 lska wvq lsÍu tlla" wfkl ÿïfld< Ndú;h ishhg 30 lska wvq lsÍu" ck;djf.a YdÍßl l%shdldß;ajh ^jHdhdu& ishhg 10 lska by< kexùu" ¨KQ Ndú;h ishhg 30 lska wvq lsÍu' 40

f,dal fi!LH ixúOdkfha 2025 b,lal oekg ;sfnk uoHidr Ndú;h f,dalfhka ishhg 10 lska wvq lsÍu tlla" wfkl ÿïfld< Ndú;h ishhg 30 lska wvq lsÍu" ck;djf.a YdÍßl l%shdldß;ajh ^jHdhdu& ishhg 10 lska by< kexùu" ¨KQ Ndú;h ishhg 30 lska wvq lsÍu'

wmg ;j;a jákd b,lal folla fjkjd' tlla ;uhs" oekg isák wêreêr mSvk frda.Ska 2025 oS ishhg 25lska wvq lsÍu' oshjeähdj iïnkAOfhka kï fï mj;sk ixLHdj wvq lsÍu b;d wiSre lghq;a;la' fï ksis wfma b,lalh jkafka

ffjoHjrhd - udisl ffjoH iÕrdj

oekg isák frda.Ska ixLHdj óg;a jvd jeä fkdùug j. n,d.ekSuhs' yDohdndO iy wxYNd.h frda.Ska wvq lsÍu iïnkaOfhkq;a fuys,d b,lal ;sfnkjd' fuysoS jeä wjodkula ;sfnk wh y÷kdf.k Tjqkag wjYH m%d:ñl m%;sldr ,ndoSu jeo.;a jkjd' frda.Skaf.a yDohdndO je<|Sfï iuia; wjodku y÷kd.ekSfuka miqj fuu mQ¾j wdrlaIK l%shdud¾. .; yelshs' wfkla ldrKh ;uhs T!IO yd ffjoH ;dlaIKh iq,n lsÍu' 2025 jk úg wjYH lrK uQ,sl T!IO yd ;dlaIKhkayS ishhg 80l ck;djlg fi; ie,iSfï b,lalhla fï hg;g .efkkjd' f,dalfha rgj,a fï b,lal wìuqj l%shdldß;ajh l=ulao@ idudcsl;ajh orK rgj,a úuiSfïoS uQ,sl jYfhka oshqKQjla olskak ,efnkafka oshqKQ rgj,hs' oshqKQ fjñka mj;akd rgj,a ie<l+ úg rgj,a 2015 uehs l<dmh

lsysmhl m%.;shla ;sfnkjd' ta;a nyq;rhla tfia oshqKQjla fmkajkafk kE' uoHidr wffO¾h lsÍu iïnkaOfhka cd;sl m%;sm;a;s j,g wkq.;j we;af;a idudcsl rgj,a 109ka 52la muKhs' ÿïfld< wffO¾hg m;a lsÍu .ek cd;sl m%;sm;a;s iïmdokh lr we;af;a rgj,a 69la muKhs' ldhsl l%shdldß;ajh tkï jHdhdu iïnkaOfhkq;a ;;a;ajh tf,iuhs' rgj,a 56l muKhs ck;djf.a jHdhdu osß.ekaùu iïnkaOfhka cd;sl m%;sm;a;s l%shd;aul jkafka' iuia;hla jYfhka .;a;u idudcsl rgj,a j,ska iq¿;rhla muKla b,lal j,g <`.d fjñka isákjd' kuq;a nyq;rhla tfyu kE' fndfydauhla rgj,g iïm;a j, ys`.;djhla ;sfnkjd' ta;a wm y÷kajd oS ;sfnkjd ck;djf.a fi!LH fjkqfjka myiqfjka l< yels ueosy;aùï 14la' fï ueosy;aùï 14u l%shd;aul lrkak rglg by< kxjkak ;sfnkafk fi!LH i|yd lrk jeh ;j;a tla mqoa.,fhla fjkqfjka fvd,rhlska jeä lsÍu muKhs' Dr Shanthi Mendis MBBS, MD, FRCP, FACC is Senior Adviser, Prevention and Management of Noncommunicable Diseases in World Health Organization (WHO), Geneva, Switzerland. She is a Fellow of the Royal College of Physicians of London and Edinburgh and of the American College of Cardiology. Prior to joining WHO she practiced clinical medicine in UK, USA and Sri Lanka.

Nutrition

jhi wjqreÿ 1-6 w;r orejkaf.a fmdaIKh yd l%shdldrlï

jhi wjqreÿ 1-6 w;r orejkaf.a fmdaIKh yd l%shdldrlï l=reKE., YslaIK frdayf,a ffjoH kd,l rKisxy úisks fí lsßleáhdf.a u;= oji fjkqfjka Yla;su;a wä;d,ula oeñh hq;af;a Tyq mqxÑ ikaosfhah' fï ld,fhaoS iúu;aj ouk wdrïNl moku u;ska Tyqf.a fyda wehf.a u;= wkd.;hu Yla;su;a jkq we;' orejkaf.a fmdaIKh iïnkaOfhkao tfiauh' YdÍßl l%shdldrlï iïnkaOfhkao tfiauh' jhi wjq' 1-6 ;SrKd;aul cSjk u. uq,a mshjr ;nk Tfí lsßleáhdf.a fmdaIKh iïnkaOfhka" l%shdldrlï iïnkaOfhka ie<ls<su;a úh hq;= lreKQ flfryS fï ,smsfhka Tfí wjOdkh fhduq lruq'

m<uqj orejdf.a wdrlaIdj .ek ys;kak • Tfí orejdg lfÜ lEu ;ndf.k ÿjkak" weúoskak fukau ihkfha os.dù isákak fokak tmd' • jhi wjq' y;rg wvq orejkag lEu fmdä lr fokak' isrùfï wjodkula f.k fok >k øjH orejdf.a uqjg ,x lrkak tmd'

<orejka yd fmr mdie,a úfha orejkag wdydr oSfïoS ie<ls<su;a úh hq;= lreKQ • Tjqkaf.a wdydr fõ, m%shckl yd úfkdaockl wjia:djla njg m;a lrùu Tn i;= j.lSuls' fï lEu fok wjia:dfõoS iqr;,a i;=ka" rEmjdysksh yd mß>Klh fj; wjOdkh fhduq fkdlrùug j. n,d.kak' • ojfia tlu fõ,djlg wdydr .ekSug orejka leu;sh' Tyqg m%Odk wdydr fõ,a ;=kla 42

yd flá lEu fõ,a ;=kla muK ie,iqï lrkak' ta fj,djgu wdydr ,ndfokak' • fï wdydr fõ,g .=KodhS wdydr muKla tl;= lrkak' fldmuK wdydr .; hq;=o @ th ;SrKh lrkafka Tn fkdfõ" orejdhs' • yels muK orejdg fok wdydrh mjqf,a wdydrh njg m;a lr.kak' orejd fjkqfjka muKla úfYAI wdydr ms<sfh< lsÍu yels;dla wffO¾h lrkak' • wdydr fõ,a w;r;=r m%udKj;a c,h mßudjla orejdg mdkh lsÍug i,iajkak' • tl jrlg tl wdydrhla jk fia orejdg wdydr ,nd fokak' wdydr fndfydauhla tlg ñY% lsÍfuka j<lskak' • wdydr .kakd orejd miikak' orejd .kakd wdydr iïnkaOfhka lsisu fj,djl orejd wffO¾hhg m;a jk l;d fkdlshkak'

ffjoHjrhd - udisl ffjoH iÕrdj

lEu leùfï hqoaOhg fufyu iQodkï fjkak orejka wdydr .kafka úfkdaoh i,id. ksñks' Tyqg is;e `.s mßos wdydr .kakg i,iajkak' fuysoS ye|s fjk;a WmlrK ßis fia Ndú;d lrhs' thg iQodkï jkak' wka ia:dk j, .Efjk wdydr bj;a lsÍug msßisÿ lsÍfï froslvla <`. ;nd.kak' orejdg wdydr msiSfïoS Bg WmldÍ fjkakg wjYH kï Bg bv i,ikak' ye|s .dkak" wkkak" iqoaO lrkak'''' fï wdoS ydkslr fkdjk uq¿;ekaf.hs l%shd j, fhfokakg bv yßkak' th orejdg wdydr .ekSug W;af;ack imhhs'

orejdg msßkeñh hq;= wdydr fõ,a .Kk fukau fõ,l wvx.= úh hq;= m%udK orejdf.a jhi;a" YdÍßl l%shdldß;ajh;a" tfukau orejd fl;rï fõ.fhka jefvkafkao hkak;a u; r|d mj;S'

lrKQ msKsi orejdg úgñka D ksYAÑ; m%udKhla wjYH fõ' Tfí orejdg m%udKj;a ;rï whäka mod¾: ,efnkafkao hkak ffjoHjrhd ,jd ;yjqre lr.kak'

furg ¨KQ whäkslrKh lr we;s ksid thska orejdg wjYH ffoksl whäka wjYH;dj iïmQ¾K fõ' wiaÓ iúu;a

l%shdldÍ" jefvk jhfia orejka Yla;sh jeäfhka jeh lrhs' Tjqkg wjYH lrk Yla;s wjYH;d imqrd,kq msKsi ks;r wdydr .ekSfï wjYH;d u;=fõ' m%Odk wdydr fõ,a w;rg .kakd fï flá lEu .ek fouõmshka fjfiiska ie<ls<su;a úh hq;= fõ'

2015 uehs l<dmh

orejdg fok flá lEu ms<sn|j Wmfoia

Nutrition

jhi wjqreÿ 1-6 w;r orejkaf.a fmdaIKh yd l%shdldrlï

fmdaIKSh .=Kfhka imsß flá lEu f,i lsß" l=vd m<;=re len,s" wuqfjka lE yels t<j¿ len,s" úh<s m<;=re" flacq" fhda.Ü" lel¾ia" msiQ ì;a;r" iSks tl;= fkdl< OdkH ,nd.; yel' meKsri flá lEu YrSrhg le,ß w.hka tl;= lrK uq;a tajdfha fmdaIKSh .=Khka we;af;a b;d u| jYfhks' fï flá lEuo osh hq;af;a kshñ; fj,djloSh' flá lEu úYd, m%udK j,ska fkdosh hq;= w;r tajd m%Odk wdydr fõ,a j,g jvd;a lsÜgqj ,ndoSuo iqÿiq fkdfõ'

orejkag t<j¿ yd m<;=re wkqNjh osß .kajkak lerÜ" iqlsks" msms[a[d" flfi,a" wdoS wuqfjka osh yels wdydr orejkag b;d iqÿiqh' m<;=re msßkeófïoS kejqï foaYSh m<;=re rihg orejd yqre lrkak' tajd fmdaIK .=Kfhka wKQk jk w;r jeä l,a ;nd.ekSug úúO wdl,k fhdod ke;s ksid jvd;a fi!LHdrlaIs;h'

orejdf.a w;=remi orejkg iEu wdydr fj,lgu w;=remila msßkeóu wjYH fkdfõ' idudkHfhka m%Odk wdydrhg jvd w;=remig ys; weoS hkjd jeäh' fu ksid w;=remi msßkeófïoS m%Odk wdydrfha fldgila f,iu ye`.S hk fia orejdg w;=remi msßkukak' w;=remi f,i m<;=re" liagâ" mqäka jeks fmdaIKSh w;=remiu msßkeóug j.n,d.kak' whsial%Sï" flala wdosfhys rihg orejd wdYla; lsÍu iqÿiq fkdfõ'

o;a krla ùfuka orejka l=vd ld,fha isgu wdrlaId lr .ksuq

orejdg iqfjka jefvkakg jHdhdu;a wjYHhs orejkag iEu osfklu YÍrhg jHdhduhla ,eìh hq;=h' th orejdf.a YdÍßl fl!Y,Hh by< kxjkjd muKla fkdfõ''' u;= oskfhao jHdhduh ffoksl l%shdldrlï j, fldgila lr .ekSug Tyqg WmldÍ jkafkah' wdrlaIs; fmfoil orejdg ÿjkakg" mkskakg fukau fnda, yUd hkakg fukau yels wjia:d j,oS msyskkakg osßu;a lrkak' jeys oskj," t<suyka l%Svd l< fkdyels wjia:d j, .Dyia: l%Svd mqreÿ lrkak' rEmjdyskS iy mß>kl l%Svd keröu Wmßu osklg meh 1-2 lg iSud lrkak'

ó<`. l,dmfhka l%Svd lrk Woúhf.a fmdaIK wjYH;d

fndfyda orejka jirla imsÍfïoS fnda;,fhka lsß îfï mqreoafoka ñfohs' tfia fkdjk orejka jirl wejEfuka lsß fnda;,h;a iu.u ksod.ekSfï mqreoafoka uqojd.ekSu fouõmshkaf.a b,lalhla úh hq;=h' Wfoa wdydrfhka miqj yd rd;%S wdydrfhka miqj orejkaf.a o;a fyd|ska msßisÿ l< hq;=h' iSks" meKsri wdosh lEfuka miqj wvq ;rfï fyd|ska j;=frka j;a uqj fidaod yeßh hq;=h'

ffjoHjrhd - udisl ffjoH iÕrdj

2015 uehs l<dmh

Child Nutrition

ks;ru nfâ wudre we;s orejkag flfi,a" fhda.Ü .=Khs'''

ks;ru nfâ wudre we;s orejkag flfi,a" fhda.Ü .=Khs''' úúO fya;= u; we;sjk nfâ reodjka .ek ú.%yhla Wmfoia-<ud frda. ms<sn| úfYaI{ ffjoH §md,a fmf¾rd

ordndO fyda Worh wdY%s;j we;sjk fõokd" lelal=ï orejka uqyqK fok iq,n fi!LH .eg¨jla f,i ye|skaùu ksjerÈh' fï ta ms<sn|j újrKhls'

nfâ wudrejloS fmkakqï flfrk uq,sl frda. ,laIK lsysmhlau we;' jukh hdu" nv msmqu" nv nqre,g hdu" u<noaOh yd Bg wu;rj nfâ lelal=uo we;s úh yel' fix. ud,h yd WKikaksmd;h jeks frda. ksido nfâ lelal=ï we;s úh yels w;r ta nj ;yjqre lr.; yelafla ffjoHjrfhl= úiska isÿ lrk ridhkd.dr mÍlaIKhla u.sks'

orejka fõokdj fmkakqï lrkafka ye`ãfuka by; i|yka frda. ,laIK ms<sn|j jeäysáhkag mejiSug fkdyels orejka ;u wêl fõokdj fmkakqï lrkafka ye`ãfuks' orejd ks;r ks;r fõokdfjka y`vhs kï tu orejdg WordndOhla we;ehs iel l< yelsh' wdydr ud¾.h ;=< we;sjk ´kEu wdidokhl§ nv nqre,g hdu yd nfâ lelal=ula yg.kS' 46

úIîc wdydr ud¾. hg we;=¿ jkafka wm .kakd wdydr mdk u.skah' fï ksid orejka we;s uõjrekg osh hq;= uQ,sl WmfoaYh jkafka Tfí lsßleáhdg fok wdydr yeu úgu msßisÿlfuka mßmQ¾K úh hq;= njhs'

wdudYfha wdï,sl iajNdjh Worh wdY%s;j we;sjk ;j;a frda. ndO lsysmhlau we;' bka m%Odk;u frda.S ;;a;ajh jkafka wdudYfha wdï,sl iajNdjhhs' wdï,sl iajNdjh jeä jq úg is¥jkafka .eiag%hsá%ia jeks frda. ;;aa;ajhla we;s ù orejdf.a wdudYh wdY%s; ;=jd, we;sùuh' fuys§o orejl= Worh wdY%s;j we;sjk fõokdfjka mSvd ú§ug bv we;' l=vdwka;%fha iy uydwka;%fha we;sfjk .eg¿ jqjo WordndOhla f,i orefjl= fj;ska fmkakqï lrhs' wdydr fkdÈrjk iajNdjhla fmkakqï l< úgo tho WordndOhl ,laIK fmkakqï lrhs' ffjoHjrhd - udisl ffjoH iÕrdj

fndfyda úg wdudYh wdYs%;j we;sjk ffjria wdidokhlg miqj orejl=g lsßjeks wdydr fkdÈrjk iajNdjhla u;=fõ' túg orejd wiykhg m;aù" Worh bÈó u< nqre,g my ù lsß W.=rg tk iajNdjhla o fmkakqï flf¾'

orejl= fld< meyehg ms; jukh lrhs kï" th jyd m%;sldr l< hq;= frda. ;;a;ajhls' tys§ orejd yels ú.i ffjoHjrfhl= fj; fhduq l< hq;=h'

WordndOhl uq,sl frda. ,laIK l=vd orefjl=g nvt<sh hdug lreKq lsysmhlau fya;=fõ' lsishï ffjria" nelaàßhd wdidokhla ksid Worfha we;sjk fõokdj;a iu.u orejkag nqre,g u<my msgùu is¥fjhs' orejl= fld< meyehg ms; jukh lrhs kï" th jyd m%;sldr l< hq;= frda. ;;a;ajhls' tys§ orejd yels ú.i ffjoHjrfhl= fj; fhduq l< hq;=h' orejdg fok ,o wdydr j,ska fldgila fyda îug ¥ka lsßj,ska fldgila jukh lf<a kï ta ms<sn|j t;rï ìhg m;aùu wkjYHh'

2015 uehs l<dmh

Child Nutrition

ks;ru nfâ wudre we;s orejkag flfi,a" fhda.Ü .=Khs'''

fld< meyefhka ms; jukh lsßu

wdudYh" wka;% wdY%s;j we;sjk wdndO

orejl= fld< meyefhka ms; jukh lf<a kï thg fya;=j orejdf.a wdydr ud¾.fha wjysr;djhla nj is;sh yelsh' wdydr ud¾.h wjysr ùug wdydr ud¾.h weUÍu fya;=úh yelsh' tjeks wjia:djl orejdg u<my msg fkdùuo is¥úh yelsh'

b;d l,d;=rlska orejkaf.a wdudYh yd wka;% wdY%s;j we;sjk ms<sld ;;a;ajhkao WordndO f,i fmkakqï l< yelsh' tfukau wêl WK we;s ù Worfha wêl fõokdjla we;sfõ' we;eï úfgl th ksõfudakshd ;;a;ajhla ksid we;s jkakla úh yelsh' fuh b;d úr, ;;a;ajhls'

WKavql mqÉp wdidokh fuu frda.h fmkakqï flfrkafkao WordndOhla f,isks' fuu frda.S ;;a;aj fndfyda úg we;s fjkafka jhi wjqre¥ oyh muK blaujq miqjh' fuu frda.fha§ úfYAI frda. ,laIK lsysmhlau fmkakqï flf¾' m<uqj fmlKsh jfÜg lelal=ula we;s ù tu lelal=u ol=Kq me;a;g .uka lrhs' Worh we,a,Sug mjd orejd fuys§ bv fokafka ke;' orejka weúÈk úg keñ" keó weúÈk iajNdjhla fuys§ fmkakqï l< yels w;r wêl Worfha fõokdjla we;sùu fuys iajNdjhhs'

orejkag je<fok Èhjeähd ;;a;ajh

mKq frda. mKqfrda. ksido orejkag WordndO u;=fõ' fuys§ uq,sl jkafka jg mKqiy fldl=mKq wdidok ksid we;sjk wdidokhkah' úfYAIfhkau jgmKqjd Worh ;=< we;s lrk wdidokh ksid nv msmSu" wcS¾Kh jeks frda. ,laIK we;sfõ'

orejdf.a Worfha lelal=ula iu. b;du ¥.|ska hq;=j u< úYd, m%udKhla msgfjhs kï tho wdudYfha wdidokhla ksid we;sjk frda.S ;;a;ajhla úh yelsh'

l=vd orejkag je<f|k Èhjeähd frda.h ksido frda.h W;aikak jq úgo Worfha lelal=ula we;súh yelsh' oshjeähd frda.fhka uõmshka fmf<kafka kï ;u orejkaf.a Èhjeähd frda.S ;;a;ajh ms<sn|j wjOdkhlska miqúh hq;af;a ta ksidh' tjeks orejl= zzuf.a nv ßfokjdZZ hhs" lshñka y`vk úg tu nfâ wudrejg fld;rï m%;sldr l<o m,la fkdfõ' orejdf.a Èhjeähd

ffjoHjrhd - udisl ffjoH iÕrdj

;;a;ajh W;aikak jk f;la m%;sldr lsÍu mud jqjfyd;a th nrm;, ;;a;ajhls'

u< mÍlaId lsÍu orefjl=g WordndOhla we;sjq úg tu frda.fha iajNdjh y÷kd .ekSu i|yd m¾fhaIKd.dr uÜgñka fukau ksjfia§o orejdf.a u< mÍlaIdlr ne,Su jeo.;ah' orejdf.a u< foi ndysßka ksÍlaIKh l< úg l¿ meyefhka r;= meyefhka fyda fld< meyefhka fmfka kï" u< iu. reêrh msgfõ kï ta ms<sn|j úfYaI wjOdkhla fhduq l< hq;=h' nelaàßhd wdidokhla ksid by; frda. ,laIK fmkakqï lrkjd úh yelsh' weónd wdidokfha§ wêl f,i Worfha lelal=u iu. reêrh iq¿ jYfhka msgfõ' túg u, msgjkafka >k iajNdjfhks'

WordndOhls' fuho úfYAI wjOdkhla fhduq l< hq;= frda.S ;;a;ajhla fõ' orejdf.a Worfha lelal=ula iu. b;du ¥.|ska hq;=j u< úYd, m%udKhla msgfjhs kï th wdudYfha wdidokhla ksid we;sjk frda.S ;;a;ajhla úh yelsh' fuhg fya;= jkaf.a weïnd jeks laIqø cSú úfYAIhls'

nfâ lelal=ug m%;sldr orefjl= yg WordndOhla we;sjq úg wmg ksjfia l< yels m%;sldr lSmhlau we;' m<uqj orejdf.a WordndOfha iajNdjh ms<sn|j úuis,su;a úh hq;=h' orejdg WK we;s ù jukh msglr u< Èhr fuka msg lrkafka kï tu u< iy jukfha úfYaI fjkila ¥`.|la ke;skï th ir, WordndOhla úh yelsh' tu wjia:dfõ§ orejd úc,kfhka uqojd .ekSu i|yd zzcSjkSZZ ksis mrsos ilid îug Èh yelsh'

l,la ;siafia orejl= Worfha lelal=ulska fmf<hs kï" u< iu. fiu msgfõ kï tho ;rula úr, 2015 uehs l<dmh

Child Nutrition

ks;ru nfâ wudre we;s orejkag flfi,a" fhda.Ü .=Khs'''

tfia ke;akï orejdg neossyd,a le| orejdg ,nd Èh yelsh' orejdg È.gu nv t,sh hhs kï flfi,a f.ähla foys fyda fodvï hqI îug §u jvd;au iq¥iQh' tjd fokafka orejd úc,kfhka j<lajd .ekSugh'

flfi,a wdydrhg §u nv nqre,g hk úg flfi,a wdydrhg §u b;d iq¥iqhs' mefmd,a" fld<j¾. yd fmd,af;,a fh¥ wdydr j¾. orejdg §u w.=Kh' tfiau nv nqre,g hk orefjl=g fhda.Ü b;d fyd| ys;lr wdydrhls' kuq;a orejdg lsß Èrjkafka ke;skï fhda.Ü fyda lsß wdydr lsisjla ,nd§u iq¥iq ke;'

orejl=f.a nv nqre,g hdu je<elaùu fkdl< hq;=h u< iu. WordndOhg wh;a úIîch YÍrfhka bj;a lr yeÍu isÿjk ksid u< msgùu fyd|h'

u<noaOh u<noaOh ksid we;sjk WordndO t;rï Nhdkl ke;' tys§ orejdg fyd|ska c,h ,nd§" fld< j¾. jeämqr wdydrhg ,ndoS" orejdg ksoyfia fi,a,ï lsÍug wjia:dj ,ndoSu jeo.;ah' wefmkaäihsáia frda.h ksid Worfha lelal=ula orefjl=g we;sjqfha kï jydu Y,Hl¾uhla u.ska thg m%;sldr l< hq;=hs' orejdf.a u< nqre,g msgfjhs" orejd .;a wdydr jukh lrhs kï WK ke;akï th Nhdkl ;;a;ajhla ksid we;sjq WordndOhla fkdfõ' kuq;a u< j, fjkila fkdue;sj orejd Worfha fõokdj ksid lE .ihs kï jydu ffjoH Wmfoia m;kak'

tfukau orejd fld< meyefhka jukh lrhs kï" u< fkdhhs kï lsis¥ wdydrhla fkd§ orejd úfYaI{ ffjoHjrfhl= fj; fhduq l< hq;=fõ' tfia wdydr§u kqiq¥iq jkafka wjYH kï orejdg yÈis Y,Hl¾uhla is¥ lsÍug jqjo is¥úh yels ksidh' orejdg WordndOhla je<§ m%;sldr lrkjdg jvd tu wdndOhg f.d¥re fkdù ;nd .ekSu b;du jeo.;ah' ta i|yd uj orejdg wdydr ljkafka kï b;d fyd|ska oE;a msßis¥ lr orejdg leùu" orejd ;ksju lkafka kï oE;a kshñ; mßÈ msßis¥ lrf.k wdydr .ekSug orejd mqre¥ lsÍu fukau orejdg ks;r WKqlr ksjd.;a c,h mdkhg ,nd§uo iq¥iqh' oE;a msßis¥ lr wdydr .ekSu u.ska fndfyda ir, WordndO j,ska je<lS isàug yelshdj we;' igyk- wkqrdOd È,sks b,kafldaka

ffjoHjrhd - udisl ffjoH iÕrdj

Gastritis in Children

Tfí mqxÑ orejdg;a .eiag%hsáiao@ l=vd orejkag we;s jk .eiag%hsáia frda.h''' Wmfoia - <ud frda. ms<sn| úfYaI{ ffjoH §md,a fmf¾rd jeäysáhkag je<fok iq,n frda.hla jkqfha .eiag%hsáia frda. ;;a;ajhhs' wm cSj;ajk mßirh" udkisl ;;a;ajh fukau wdydr rgdjo fuu frda.h i|yd we;s lrkafka oeä n,mEula' fuu frda.h l=vd orejkago je<f|kakg mq¨jk'

Tfí mqxÑ orejdg;a .eiag%hsáiao@

ujf.a wdydr rgdj orejd l=i ;=< isáh§;a" orejd ìysùfuka miqj;a ujf.a wdydr rgdj fï i|yd lsis¥ n,mEula we;s fkdlrhs' ujqlsß Wrdfndk b;du ì<s÷ jhfia orejkag mjd je<f|k fï frda.h j¾;udkfha nyq,j me;sr hk fnda fkdjk frda.hla f,i ie<flkjd' orejkag je<f|k .eiag%hsáia frda.h y÷kd .ekSu ;rula wmyiqhs' thg fya;=j orejkag ;u frda.S ;;a;ajfha ,laIK ffjoHjrhdg fyda ujqmshkag meyeÈ,sj mejiSug fkdyels ùuhs' fï frda.fha§ we;sfjk fjkialï ms<sn|j orejkag meyeÈ,s f,i lreKq ±laùug fkdyelshs' Tjqkag ksjerÈj frda. ,laIK ±laùug fkdyelshs' Tjqkag ksjerÈj frda. ,laIK mejiSug yelshdjla fkdue;s jqj;a Tjqka mjik hï hï foa wkqj orejdg we;s frda. ;;a;ajh ms<sn|j hï b`.shla ,nd.; yelshs'

2015 uehs l<dmh

Gastritis in Children

Tfí mqxÑ orejdg;a .eiag%hsáiao@

wdydr ud¾.fha nelaàßhd wdidok wdydr ud¾.fha nelaàßhd fyda jhsria wdidokhla ksid fuu frda.S ;;a;ajh we;súh yelshs' l=vd wka;%fha yd uyd wka;%fha wdidokh ùu;a wdudYfha wdidokh ;;a;ajhla fï i|yd m%n, f,i n,mdkjd' fuys§ orejd Worfha jïmi fõokdj yd mmqfõ fõokdj jeks frda.S ,laIKj,ska fm<sh yelsh' nv nqre,a fldg u<my msgùu jukh iy WK orejd flfrka oel.; yels ;j;a frda. ,laIK lSmhla'

m%;sldr m%;scsSjl T!IO ,nd §u l< hq;= fõ' nelaàÍhd wdidokhl§ m%;scSjl wjYHu fjkjd' ta yereKq úg t<j¿ yd m<;=re jeä jYfhka wdydrhg oSu l< hq;=h'

orejd .kakd lEu kej; kej; W.=rg tau lEu wreÑh mmqfõ ueo fmfofia fõokdj jeks frda.S ;;a;ajhkao fuysoS fmkakqï flf¾'

orejd jdäù isák iy ksod isák bßhõ fjkia lsÍuo orejdg hï iykhla f.k foa' .,kd,fha p.H mÍlaIdjla wdudYhg fyda l=vdwka;%hg fyda uydwka;%hg" fhduq lrk tkafvdiafldms mÍlaIdj u.skq;a frda. ks¾Kh l< yelshs'

orejdf.a mmqfõ fõokdj ksid fndfyda úg ujqmshka orejdg yDo frda.S ;;a;ajhla hehs is;d ìhg m;ajk wjia:do wm oel ;sfnkjd' kuq;a fï ;;a;ajh we;sfjkafka yDoh jia;=fõ fodaIhla ksid fkdfjhs' l=vd l< isgu lsrs W.=rg meñKs orejka .eiag%hsáia je<§fï bvlv jeähs' orejkaf.a nr wvq ùu" u,dksl nj fukau f,a wvqluo .eiag%hsáia frda.h ksid we;sfõ' orejdg l=vd ld,fha isgu .eiag%hsáia frda.h je<§fï bvlv mj;S' fndfydaúg orejdg ks;ru hï hï fõokdjka mj;sk nj mjihs' .eiag%hsáia frda.fha§ weisâ .;sh W.=rg tu fï fya;=fjka .,kd,fha úúO wdidok ;;a;aj we;s fõ' fï wdidok ksid uQ,sl jYfhka W.=r oeú,a, jeks ;;a;ajhka we;sfõ' orejd ksod.;a úg lsß fyda fjk;a foa W.=rg tfï bvlv .eiag%hsáia iys; orejka flfrka oel.; yelshs' tfukau l=vdu orejka lsis÷ fya;=jla fkdue;sj y`vkafka kï tho .eiag%hsáia ksid we;sjk fõokdjka fya;=fjka úh yelshs'

fujeks ;;a;ajhkag hd hq;af;a uq,sl m%;sldr j,ska orejdg hï iqjhla fkd,efnkafka kï muKhs' flfia fj;;a .eiag%hsáia frda.h i|yd ffjoH m%;sldr we;' fï i|yd ujqmshka ìhùug wjYH ke;' igyk- wkqrdOd È,sks b,kafldaka

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 uehs 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

Theme

nd, ikaosfhau u,ajr jkafka wehs@ u;su;dka;r ueoska'''

nd, ikaosfhau u,ajr jkafka wehs@

—mqxÑ <oeßhla jeäúh meñKs,d˜ ;ju;a fl<sf,d,a <ud ld,hlg Wreu lshk oeßhl f,dl= <ufhla jqKq njls¡ —wfka wfmdhs oeka ldf, fï foaj,a fjk úosy¡ Th wvq jhiska jeäúh m;a fjk tl oeka ks;r ks;r wykak ,efnkjd¡ ´lg fya;=j oeka ldf, lkfndk foaj,a ;uhs¡˜ fï ixjdohg tfyu;a u;hla tl;= fjkjd¡ yhla y;rla fkdf;afrk ikaêfha u,ajr ùu wo ld,fha ks;r wikakg ,efnk isoaêhla¡ oeßhl jeäúh meñfKk —idOdrK jhila˜ ;sfnkjd¡ tfy;a ta jhi t<öug;a fmr oeßhl jeäúh meñKSu boysg wikakg ,efnkjd¡ óg ld,hlg fmrd;=j mqxÑ orejkag úfYaIfhkau oeßúhkag —fn%dhs,¾ l=l=,a uia˜ ,nd fkdoSfï /,a,la wm w;ru ;snqKd¡ —Th l=l=,a¨ osk 45lska f,dl= lrkafk fydafudak oS,¡ b;ska taj wkqNj l<du

ffjoHjrhd - udisl ffjoH iÕrdj

Th jf.a w,l,xÑ isÿ fjkjd˜ ;gq ,eî mshdieÆ wdrxÑh thhs¡ fï u;su;dka;r we;a;o@ oeßhka fï wdldrhg fõ,dikska jeäúh m;ajkafka wehs@ fï iïnkaOfhka ixjdohl fhoSug wm woyia lrkjd¡ jeäúh m;aùu l%ñlj isÿjk l%shdj,shla¡ th idudkHfhka werfUkafka oeßhf.a wgjk Wmkaoskfhka miqjhs¡ kuq;a jhi wjqreÿ 8 jkakg;a fmr fï l%shdj,sh wdrïN fjkjd kï th oeßúh fõ,dikska jeäúh m;aùulska wjika ùfï jeä bvla ;sfnkjd¡ fï ;;a;ajh ffjoH úoHdfõ Precocious puberty f,i ye|skafjkjd¡ Puberty hkq jeäúh m;aùu nj Tn okakjd¡ precocious hkq widudkH f,i fõ,dikska hk wre;a fjkjd¡ Precocious puberty hkak ,;ska niska jQ Pubertas Praecox hkafkka ì|S wdjls¡

2015 uehs l<dmh

ñksia wmf.a cSú;fha j¾OkSh wjia:d /ils¡ kjckau <orejd bkamiqj flfuka <ud f,dalhg mshux lrkjd¡ <ud úfhka miq t<fUkafka .egjr úhhs¡ <ufhl= kdUr .egjrfhl= .eyekq oeßúhl kï <ñiaishl= jk wjêh Tyqf.a$ wehf.a cSú;fha b;d ;SrKd;aul wjia:djla jkjd fiau th ffcj úoHd;aul jYfhkao w;sYh ;SrKd;aul ld,hla njhs ffjoHjrekaf.a woyi¡ bkamiq l%u l%ufhka Tyq$weh m;ajkafka jeäysáfhl= njghs¡ jeäysá iufha isg ie|E iuhg wj;S¾K jkafka cSú;fha wjmi ld, mßÉfPaoh iksgqyka lrñka¡ oeßúhka kshñ; l, jhia t<eöug fmr u,ajr ùu wmf.a m%ia;=; ud;Dldj fjhs¡ uq,a fjkialï we;sjk ld,h wisßu;a cSj úoHd;aul l%shdj,shl yosis fjkiaùu úuxikh lsÍug kï m<uqj kshñ; l, jhia j,oS ta isÿjk wldrh ms<sn|j wjfndaOhla wmg ;sìh hq;=h¡ idudkHfhka oeßhl jeäúh m;ajkafka 8-17 w;r ld,fhaoSh¡ msßu orejkao fï ikd;k l%shdj,shg we;=,;a jk uq;a Tjqkaf.a ta neõ .eyekq orejkaf.a ;rï ixúê;j úoHdudk fkdfõ¡ tfiau jeäúh m;a jQ úg Tima ùu .eyekqkaf.a — i<l=Kla˜ uq;a tjka i<l=Kla msßñka úIfhys we;af;a kE¡ u,ajrùu fkdfyd;a jeäúh m;aùu f,i wm y÷kajkafka m<uqjrg wehg udi Y+oaêh fkdfyd;a Timaùu we;s ùuhs¡ u,ajr ùfï woshr -5 m<uq woshr jhi wjqreÿ 8-11 lKaKdäfhka isrer foi ne¨j;a Tng lsisÿ fjkila oefkkafka keye¡ tfy;a Tfí isrer wNHka;rfha fjkialï isÿfjhs¡ äïn ;rula úYd, fjhs¡ fydafudak iuyrla n,.ekaùug ierfihs¡

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nd, ikaosfhau u,ajr jkafka wehs@

fojk woshr jhi wjqreÿ 8-14 Tfí mmqj u|la tiù fmfka¡ mshhqre wxl=r fkrd ths¡ Tfí isref¾ fïo ixÑ; ùu werfUhs¡ fY%daKsh wi, fïo jeäfhka ;ekam;a fjhs¡ iquqÿ iDcq ryi`. frdau oelafjhs¡ f;jk woshr jhi wjqreÿ 9-15 mshhqre wxl=r ;ju;a jefvhs¡ Tn Wiska jefvhs¡ ryi`. frda. ;rula jeäh¡ wj¾K Y%djhla jEiaiSug mq`Mjk¡ Tfí hg we÷ï f;;a jqfjd;a th <`.oS jeäúh m;ajk njg ,l=Kla úh yelshs¡ isjqjk woshr wjreÿ 10-16 ;kmqvq wjg fjfiia meyehla we;' ^taßfhda,dj& lsys,a, hg frdau we;sfjhs¡ ryi`. frdau ;%sfldaKdldr jmißhl msysghs¡ fï ld,fha Tfí ye`.=ï mjd Ndjd;aul fjhs¡ fï Tn u,ajrhg wdikak ld,hhs¡ miajk woshr wjqreÿ 12-19 oeka Tn mßmQ¾K hqj;shls¡ msßmqka mfhdaOr" jevqKq ryi`. ta ms<sn| i<l=Kqh¡ Tima ùu ;rula wl%uj;a úh yelsh¡ kuq;a th miqj ksjeros úh yel¡

jeäúh m;aùfïoS fndfyda úg ;u fouõmshkag ta ixisoaêh isÿ jQ wdldrh wkq.ukh flfrk njla fmfkkjd¡ fndfyda úg uj jeäúh m;a ld,hg wdikak jhia ldKavhloS oshKsho jeäúh m;aùu oelsh yelshs¡

ffjoHjrhd - udisl ffjoH iÕrdj

Tima pl%h il%Sh ùu weh orejka jeoSfï mßKdóh ia;%S fufyjrg iQodkïh hk ix{dj ,nd fohs¡ kuq;a m%:u Tima ùu jkf;la YÍrh ;=< ld,hla ;siafia b;d ixlS¾K l%shdoduhla isÿ fõ¡ tys wdrïNh jir lsysmhla wE;g osfjkakls¡ .eyekq orefjl=f.a kï fuu l%shdoduh wdrïN jkafka mshhqre iaj,am jYfhka úYd, ùfuks¡ ta yereKq úg lsys,af,a ryi`. j, frdau jeùuo oaú;Shsl ,sx.sl ,laIK my< jk ld,fhaoS tkï uq,au udia Y=oaêhg fmr jir lsysmhl isg wkql%ufhka we;súh yelsh¡ ^msßñkaf.a kï fï jeäúh m;ajk jhi wjqreÿ 10-18 úh yelsh¡& fï ld,h ;=, ljr fyda ld, mßÉfPaohl jeäúh m;aùu idudkH ms<sfj,hs¡ we;efula m%udoh ms<sn|j úlafIdam fjkjd¡ tfy;a fï m%udoh wkd.;fhaoS lsisÿ wys;lr úm;a;shlg fya;=jla fkdfjhs¡

2015 uehs l<dmh

jeäúh m;aùfïoS fndfyda úg ;u fouõmshkag ta ixisoaêh isÿ jQ wdldrh wkq.ukh flfrk njla fmfkkjd¡ fndfyda úg uj jeäúh m;a ld,hg wdikak jhia ldKavhloS oshKsho jeäúh m;aùu oelsh yelshs¡ ta yereKq úg YÍr m%udKh yd fuys miqj úia;r lrkq ,nk mdßißl fya;=kao jeäúh m;aùug n,mj;ajkjd úh yelshs¡ jeäúh m;aùu iïnkaO cSj úoHd;aul j¾.Slrk jeäúh m;aùu iïnkaO jHdl+, ;;a;aj úuiSfïoS tys idudkH ms<sfj, ms<sn|j wjfndaOhla ,nd.; hq;= fjkjd¡ jeäúh m;aùu iïnkaO ud¾f.damfoaYk m%ldYhg m;alr oekg wjqreÿ 30la muK fjkjd¡ ta ì%;dkHfha wkd: ksjdihl jdih l< .eyekq orejka 200la ixLHdjla —u,ajr ùfï rgd˜ wOHhkhlg ,la lsÍfuka (Marshal and Tunner - 1969) tfiau miqld,Skj <ud frda. ffjoHjreka jeäúh m;aùu woshrj,g j¾.SlrKh ,la lsÍula lrkq ,enqjd¡ ta wkqj jeäúh m;aùu yd iene|s YÍr jeãu m%Odk jYfhka wjia:d follg j¾.SlrKh l< yelshs¡ tys uq,a wjia:dj t<efUkafka oeßhlf.a jhi wjqreÿ 6-8 w;r ld,fhaoSh¡ cSú; ld,hgu u;l ysák j¾Ok woshr folla ;sfnkjd¡'' weâßk,a .%kaÓh n,.ekaù uq,ajrg Adrenal androgen fydfudakh i%djh ù YÍrh hï msìoSulg ,laùu fï ld,fhaoS isoaO fjkjd¡ ta ksidfjkau th Adrenarche f,i ye|skafjkjd¡ bkamiqj YÍrh iS.% j¾Okhlg ,laùu frdaul+m m%idrKh ùu frdau jeãu isÿ fjkjd¡ Gonadarche f,i y÷kajk fuu j¾Ok woshf¾oSo ,sxf.akaøsh j, j¾Okhla isoaO jkafka kE¡ bka miqj ienE ,sxf.akaøsh wdY%s; fjki 57

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nd, ikaosfhau u,ajr jkafka wehs@

yg.kakjd¡ th uq,skau fudf<a yhsfmd;e,uia .%kaÓh yd ieneos hdka;%khla¡ th ;=< Gonadotropin releasing hormone (GnRH) u`.ska ;j;a fydafudak folla Y%djh lsÍug úOdk ksl=;a lrkjd¡ tajd kï jYfhka Follicle Stimulating Hormone (FSH), Luteinzing Hormone (LH) jYfhka oelaúh yelshs¡ fuu oaù;Shsl fydafudak osú;ajh o fud<fha msáhqáß .%kaÒfhau mj;skakla¡ by; fmdÿ ixisoaêh bka wk;=rej orejdf.a ,sx.s;ajh wkqj fjkia fjkjd¡ msßñ orefjl= kï by; FSH, LH fydafudak reêrh Tiafia jDIK fldaI j,g .uka lrkjd¡ jDIK fldaI j,oS fï fydafudak Y=l%dKq yd fgiagiagfrdaka fydafudak ksmoùug wjYH miqìu i,ikjd¡ .eyekq orejka iïnkaOfhka kï fï fydafudak ;u il%Sh fufyjr bgq lrkafka äïnfldaI j,oS¡ Wmka od isgu wmßk;j wl%Shj ;sfnk oyia .Kkla äïn w;f¾ tlska tl wkql%ñlj mßk; lr uqod yefrk l%shdj,shg —.%Ska,hsÜ tl˜ ksl=;a lrkafka fï FSH/LH fydafudk j, úOdkh ,eîfuka¡ YÍrfha fï fjkiaùï .ek oeKqj;a fjuq¡ ta yereKq úg iq,,s; ia;%S fydafudakh Biag%cka ksIamdokhgo wjYH miqìu fï wd.ukh;a iu`.u ie,fikjd¡ fndfydauhla oeßúhkaf.a ,sx.sl mßK;sh ,eîfï m<uq ix{dj mshhqre j¾Okh ùuhs¡ mshhqre jeãfïoS fï orejkag ;u mshhqrej, mqxÑ uDÿ .eg iajNdjhla oefkkjd¡ th tla me;a;l iy miqj fome;af;au úh yelshs¡ tfiau ryi`. jglr.;a keñ jglrf.k bka msg;ska ler,s .eiqKq uDÿ frdau j¾Okhla o oelsh yelshs¡ bka miqj Bg iudk f,iska lsys,s j,o frdau u;=fjkjd¡

hqj;shlf.a mshhqre j, wkql%ufhka we;sjk fjkialï

ffjoHjrhd - udisl ffjoH iÕrdj

wm m%fõiï l< hq;af;a fn%dhs,¾ l=l=,a uia lEfuka blaukska u,ajr ùug kshujQ wfma oeßhka .ek muKo@ wm mßirh fj,d.;a ridhksl ¥IH ldrl fya;= fldgf.k wm ukq j. f;fïu — fn%dhs,¾ l=l=,ka˜ ika;;shla ùfï wNsfhda. ho wmg wo we;sj ;sfí¡

,dlaIKsl fjkialï wdrïN ù jirlska follska fkdi<ld y< fkdyels ie<lsh hq;= YÍr fjkialï isoaO fjkjd¡ YÍrfha fïo ;ekam;= ùu jvd;a oelsh yelafla mshhqre Wl=< yd l,jd wdY%s;jhs¡ w;a mdo j,o ie<lsh hq;= j¾Okhla fï ld,fhaoS oelsh yelshs¡ bka wk;=rej wfmalaIs; cSj úoHd;aul ixisoaêh —u,ajrùu˜ fï wkql%ufhka miqj ljr fyda fudfyd;l we;s úh yelshs¡ u,ajr ùu kshñ; ld,hg fmr isÿ jkafka wehs@ thg fya;= fudkjdo@ fï ms<sn|j .eUqßka i<ld ne,SfïoS Bg mdol fya;= /ila y÷kdf.k ;sfí¡ ieflúka .;a úg tajd fufiah • ia:q,;djh • iudc fya;= • ridhksl ^mdßißl& ksrdjrK uy; n,mdk yeá idudkH ,sx.sl l%shdldÍ;ajhla i|yd YÍrfha ixÑ;j mj;akd fïoh wjYH fõ¡ fï isrer ;=< fïo ffi,j, f,maàka kï ridhksl øjHhla jEiafia¡ hï orefjl=f.a fïo ffi,j, ffi, m%udKh jeä kï weh ks;e;skau jeä mßudjl f,maàka uqod yßhs¡ fï uqod yefrk f,maàka weiqf¾ oaú;Shsl ,sx.sl j¾Okh W;af;ackh lrk nj m¾fhaIK j,ska fy<sù ;sfí¡ wfkla w;r oeßúhl jeäúh m;ajQ miqj wehf.a iS>% nr jeäùula o isoaO fõ¡ fï wkqj nr jeäùfuka u,ajr ùu blauka ùu;a u,ajr ùu blauka ùfuka nr jeäùu blauka ùu;a hk ixisoaëka folu isÿ fõ¡ orejka ia:q, ùu wfma ld,fha úYd, iudc .eg`Mjls¡ ful, wka ljrodg;a jvd <ud oshjeähd frda.Ska uqK .efia¡ wvqfjka we`. fjfyiSu" f;,a neÿï yd laIKsl wddyr lEu" rEmjdysksh orejd ;rndre lrhs¡ th fõ,dikska u,ajr ùug u`. i,ik njo y÷kdf.k ;sfí¡

2015 uehs l<dmh

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iudcuh idOl uj u,ajr jQ jhi wehf.a oshKshf.a u,ajr ùugo idOlhla nj wm fmkajd ÿkafkuq¡ ta yereKq úg orejd wd;;sl mßirhl úiSfïoS wef.a u,ajr ùu jvd;a blaukska isÿúh yel¡ tla;rd wOHhkhl m%;aM, j,g wkqj oeßhf.a mshd fkdue;s úg mshd yer fjk;a msßñfhl=f.a /ljrKh ,nk úg ta orejka blauKska u,ajr ùfï m%jK;djhla ;sfí¡ Ellis and Garber 2000 mÍlaIK o;a; wkqj fkdj wmf.a oekqu wkqjo ful, iq,n udOH mdol ,sx.sl o¾Yko orejdf.a ,sx.sl mßK;sh fõ,dikska we;s lsÍug mdol ù ;sfí¡ ridhksl ¥Il wo wfma mrmqf¾ idM,H;djh fkdfyd;a ore iïm;a ,eîfï yelshdj fõ.fhka my, nei hhs¡ ridhksl øjH fya;=fldg f.k ñka fmr lsisod fkd;snqk frda. /ilao wmg Wreu ù ;sfí¡ wm w;r óg l,lg fmr m%p,s; jQ fn%dhs,¾ uia lEfuka blaukska u,ajr jk u;ho fï flakaøSh .eg¿j yd noaOh¡ wm m%fõiï l< hq;af;a fn%dhs,¾ l=l=,a uia lEfuka blaukska u,ajr ùug kshujQ wfma oeßhka .ek muKo@ wm mßirh fj,d.;a ridhksl ¥IH ldrl fya;= fldgf.k wm ukq j. f;fïu — fn%dhs,¾ l=l=,ka˜ ika;;shla ùfï wNsfhda.ho wmg wo we;sj ;sfí¡ fï ridhksl ¥IH ldrl fya;= fldgf.k wfma ks¾Kd, .%kaÓj,g jk n,mEu;a ta fya;= fldgf.k wfma mßKdóh l%shdj,shg iuia: fi!LHhg we;sjk n,mEu;a fl;rï o h;a wE fï ms<sn|j .eUqßka fidhdn,k úoHd;aul lafIa;%hla o ìys ù ;sfí th wm Science of Endocrine Disruption f,i y÷kajuq¡ wo ojfia wm úiska Ndú;d lrk ixfhda. / ila ,sx.sl iafgfrdhsv fydafudak l%shdldß;ajh ÿ¾j, yd fjkia lrk nj fy,sorõ ù ;sfí¡ wo iq,nj Ndú;d jk ma,diaála fuj,ï j, b;d Nhdkl ridhk øjH folla ;sfí¡ 60

nd, ikaosfhau u,ajr jkafka wehs@

Nonylphenol, Bisphenol -A ish`Mu ma,diaála ksIamdokj,g fhdod fkd.;a;;a tys Ndú;h wmg úr, fkdfõ¡ ta wm tosfkod Ndú;hg .kakd fYdaOl ldrl j, yd m,sfndaOkdYl j, fïjd mj;sk fyhsks¡ Bisphenol -A hkq fmd,sldnfkaÜ ma,diaála j, ;ekqï tallhls¡ l=vd orejka fndkakg j;=r f.k hk fnd;,fha isg uq`M;ekaf.hs myiqjg wdydr .nvd lrk ma,diaála weiqreu olajd fndfyda ma,diaála NdKav ksmojd we;af;a fmd,sldnfkaÜ ma,diaála j,sks¡ ta yereKq úg m<sfndaOkdYl ksIamdokfhaoS o Bisphenol -A fhdod .kS¡ Phthalates hkq ma,diaála j, kuHYS,s;djh ,ndoSug tla lrk ridhkslhls¡ fndfyda fi,a,ï nvqj, lEu fmÜá j, ma,diaála fuj,ï j, fïjd we;¡

ffjoHjrhd - udisl ffjoH iÕrdj

orejka jefvk iufhaoS fï ridhkh wvx.= øjHj,g ksrdjrKh ùfuka wys;lr n,mEula Tjqkag we;sjk neõ uq,ajrg y÷kd.;af;a 1990 oYlfhaoSh¡ 2000 j¾IfhaoS fuys ;j;a Nhdkl wj.=Khla fy<sorõ úh¡ tkï oreiïm;a m;k iufhaoS Phthalate j,g idM,H;djhg ie<lsh hq;= ydks isÿl< yels njhs¡ fíla,hsÜ fkdfyd;a Bisphenol -F kï øjHh kQ;k ma,diaál j, ixrplhls¡ ta ;=< Biag%cka .;s.=K we;¡ lD;%Su ,sx.sl fydafudak Ndú;fha wjmi ms<sn|j ful, m%n, ikaksfõokhla we;s nj wm wu;l

2015 uehs l<dmh

fkdl< hq;= h¡ Phthalates hkq cosmetics l¾udka;fhao ke;sju neß wkqmdkhls¡ jrla Puerto Rico keue;s m%foaYfha mqxÑ oeßhkaf.a mshhqre widudkH f,i j¾Okh jk njla ffjoHjrekag jd¾;d úh¡ ta ms<sn|j isÿ lrk ,o m¾fhaIKj,oS by; Phthalates kï ridhkh úYd, jYfhka mj;akd nj wkdjrKh úh¡ u,ajr ùu blauka ùfï wjodku@ .eyekq orejkaf.a YÍrfha j¾Okh ;=< wehf.a wjika Wig jeo.;a ia:dkhla ysñ fjhs¡ wOHhkj,g wkqj u,ajrg blauKska isÿ jqj;a bka Wig n,mEula ke;¡ tfiau Tjqkaf.a j¾OkSh ;;a;ajhka kshñ; mßos isÿjk njo fy<sorõ ú ;sfí¡ oekg y÷kdf.k ;sfnk tla os.=ld,Sk wjodkula fõ¡ tkï fï wh w;ßka fldgilg mshhqre ms<sld je<|Sfï jeä wjodkula ;sfnk njhs¡ m%Yakfha ;j;a me;a;la o ;sfí¡ u,ajr ùfï ix{d nd, úfhaoSu m%lg l,;a ta whf.a u,ajr ùu Wml,amkh l< ;rï blauKska isÿ fkdùugo bvla we;¡ fï ldKavhgo tu mshhqre ms<sld wjodku tl fia ;sfío hkak ms<snoj úuis,su;a úh hq;=h¡ wjodku by<

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nd, ikaosfhau u,ajr jkafka wehs@

hdu hkq frda.hg k;=ùula fkdfõ¡ fõ,dikska y÷kd.;fyd;a mshhqre ms<sld iqjlsÍfï úYsIaG yelshdjla ;sfí¡ fï ksid kshñ; l, jhia imsreKq úg wod, y÷kd.ekSfï mÍlaIKj,g ^iajhx mshhqre mÍlaIdj" uefuda.%ems & fmkS isáfuka fï wjodku wju lr.; yel¡ blaukska u,ajr ùu nrm;, ldhsl udkisl .eg¿j,g orejd weo oeóug we;s yelshdj uõmshka uekúka jgyd .; hq;=h¡ óg fmr i|yka l<dla fuka wehg fmrg;a jvd jeäfhka fouõmshkaf.a we,au ne,au wjYH fõ¡ wehf.a isÿfjñka mj;sk ldhsl udkisl fjkiaùfïoS ta ;;a;aj j,g Tfrd;a;= oSug Tnf.a ldreKsl iyfhda.h u`.fmkaùu yd /ljrKh wjYHu fõ¡ fï orejkag jvd;a jeäfhka wjOdkh wdorh yd wdrlaIdj ,ndosh hq;=j ;sfí¡ wfkla w;g fï wjmi f;dr;=re uQ,dY% wmg ,enqfKa ngysr rgj,sks¡ Tjqkaf.a iudc cSú;h wmg jvd fnfyúka fjkia tlls¡ uj;a ÿj;a orejd;a foudmshkq;a w;r ne|Sï iúu;a kï wfma ixialD;sl yrhka ;ju;a wm rlaId lrkjd kï fï ;;a;ajhka wmg wod, fkdfõ¡

oeßúhl hqj;shl fjoaoS ldhslj fndfyda fjkialï we;s jkafkah

blaukska u,ajr ùu nrm;, ldhsl udkisl .eg¿j,g orejd weo oeóug we;s yelshdj uõmshka uekúka jgyd .; hq;=h¡ óg fmr i|yka l<dla fuka wehg fmrg;a jvd jeäfhka fouõmshkaf.a we,au ne,au wjYH fõ¡ wehf.a isÿfjñka mj;sk ldhsl udkisl fjkiaùfïoS ta ;;a;aj j,g Tfrd;a;= oSug Tnf.a ldreKsl iyfhda.h u`.fmkaùu yd /ljrKh wjYHu fõ¡

ffjoHjrhd - udisl ffjoH iÕrdj

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

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m%;sldr m%;sldr l< hq;af;a l=ulgo@ nd, ld,fhaoSu oaù;shsl ,sx.sl ,laIK my< lrk úg fõ,dikska u,ajr ùu je<elaùug T!IO ,ndoSula ffjoHjreka isÿ flf¾' oeßh ;u Wmßu Wig <`.d ùug blauka u,ajrùu ndOdjla fõh hkak T!IO oSug tla idOdrKSlrKhls¡ weh udkislj fï ;;a;ajh ms<s.ekSug fudark f;la u,ajr ùu m%udo lsÍugo fnfy;a oSfï wruqKls¡ fï ;;a;ajh mdol jQ jHqyd;aul wvq¨yq`vq;djhla fõ kï thg m%;sldr iemhsh hq;=hs¡ f;jeks ldrKh m%n, fya;=jla uq;a m<uq yd fojk ldrKh t;rï

2015 uehs l<dmh

jeo.ïulg we;ehs ie<flkafka ke;¡ u,ajr ùu iïnkaOfhka" oaù;Shsl ,sx.sl ,laIK my< ùu iïnkaOfhka óg fmr m%ldY l<dla fuka ;ju;a wm fhdod .kafka óg 40 jirlg muK fmr orejka 200 la muKla fhdodf.k isÿl< wOHhkhla wkqidrfhka ms<f s h, l< ud¾f.damfoaYkhls¡ fï iïnkaOj .eUqre úfõpkhla ffjoHjreka w;f¾ f.dvkef.oaoS Lowson Wilkins Pediatric Endocrine Society kï jD;a;Sh wOHhk ksfhdackh l, úÿyqre jD;a;Sh ffjoH úfYaI{hka lKavdhu wefußldj mqrd oeßhka 17"000la fhdodf.k mq¨,a mÍlaIKhla 1990 oYlh w.Nd.fhaoS isÿ lrk ,oS¡ (Herman Giddens, etal-1997) tys m¾fhaIK jd¾;dj Pediatrics kï Jouríl of the American Academy of Pediatrics i`.rdfõ m< lrk ,oS¡ f,dj mqrd ffjoH flafIAa;%h ;=< úoaj;=kaf.a wdl¾Ykh fkdu|j oskd.;a tu m¾fhaIK jd¾;djg wkqj b;d oreKq f,i wvq jhiska fï yosis u,ajrùfï ,laIK fmkajkafka ke;skï oerjkag fuf,i Hormone Shots ,ndoSfï wjYH;djhla ke;¡ fï jd¾;dfjka tf;la mej;s Normal/Abnormal hk ;;a;aj kej; iudf,dapkhg ,la lr kj ud¾f.damfoaYK y÷kajd oS ;sfí¡ kuq;a fï orejka uqyqKmdk udkisl ;;a;aj ms<sn|j .eUqßka yeoEÍug;a ta wkqj wjYH WmfoaYk iemhSug;a fhdackd ù ;sfí¡ ta yereKq úg nd, ld,fhaoS u,ajr ùu ksid miqld,Skj we;súh yels mshhqre ms<sld yd wfkl=;a ms<sld ms<sn|j mßiudma; m¾fhaIK l%shdj,shl fhoSfï jeo.;alu fï Herman Giddens jd¾;dj u.ska wjOdrKh lr ;sfí¡ Ndr; .=K;s,l úisks

Sexual jealousy

,sx.sl B¾IHfõ .;s fidnd

Tn;a Tfí iylre .ek wksjdrf;a iel lrkjdo@ ,sx.sl B¾IHfõ .;s fidnd Wmfoia - ufkda ffjoH úfYaI{ lms, rKisxy wxf.dv cd;sl udkisl fi!LH úoHdh;kh zzux lsisu jrola fkdl<;a uf.a fkdakg udj yßu ielhs' fï ksid wms w;fr ks;ru wv onr mjd we;s fjkjd' ux lEj;a ìõj;a ielhs' we÷ula wekao;a ielhs' .ukla .sh;a ielhs' fldákau ux riaidjg .shdu;a t;kg ojig y;a wg j;dfj fg,sf*daka flda,aia fokjd' fuhd yskao ux f,dl= mSvdjla ú|skafk'ZZ fï ud yuqjg meñKs tl ieñhl=f.a ueisú,a,ls' fujeks lreKq lshdf.k ufkda ffjoHjreka fj; tk msßñka fukau ldka;djkao iq¿mgq fkdfõ' fmïj;=ka fmïj;shka w;r" wUq ieñhka w;r fï wdldrhg fya;=jla ke;sj iel we;s jkafka l=ula ksidoehs wms úuid ne,Su jeo.;a' mßKdóh l%shdj,shl ie`.j.;a wre; nqoaê uÜgñka Wiia cSúka ;reK úfha§ ;u megjqka wdrCId lr .ekSu i|yd hqj<la jYfhka tlg cSj;a ùu is¥fõ' fuh ukqIHhka w;r o wE; w;S;fha isgu is¥ jQjls' úúO f.da;% ixialD;sj,;a tfiauh' hqj<la f,i tlaj orejka yodf.k mjq,la jYfhka tlg cSj;a ùu kshduhls" iajNdjfhka mej; tkakls' YsIagdpdrfha ÈhqKqj;a iu. újdyh lshk foh ñksiqka ;=< we;s úh'

lsis¥ f,ilska j;a ;u fmïj;d wka l;=ka fj; hkjdg fmïj;shla leu;s jkafka ke;' wUq ieñhkq;a tfiauh' fï wkqj ;ukaf.a iylre$iyldßh fjk;a flkl=g ióm ùfï§ B¾IHdjla we;sfõ' fuh ,sx.sl B¾IHdjhs'

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

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ffjoHjrhd - udisl ffjoH iÕrdj

idudkHfhka ,sx.sl iïnkaO;d we;s úh hq;af;a tu hqj< w;rh' újdyhg l,ska fmï lrk iufha isgu fmïj;d ;u fmïj;sh ;udg muKla ysñúh hq;= njg i<lhs' fmïj;sh;a tfiauh' lsis¥ f,ilska j;a ;u fmïj;d wka l;=ka fj; hkjdg fmïj;shla leu;s jkafka ke;' wUq ieñhkq;a tfiauh' fï wkqj ;ukaf.a iylre$iyldßh fjk;a flkl=g ióm ùfï§ B¾IHdjla we;sfõ' fuh ,sx.sl B¾IHdjhs' ^Sexual jealousy& fï ;;a;ajh ´kEu flkl= ;=< mj;shs' th álla mj;skafka kï th idudkHh' kuq;a iuyrekaf.a fï idudkH ;;a;ajh wNsnjd hkq olakg ,efí' wm fj; uq,ska i|yka l< isoaêh;a tjekakls' flkl= ;u iylre$iyldßh jeämqr iel lrkjd kï ks;r ks;ru m%Yak lrkjd kï" wfkla ;eke;a;dg ysßyerhla jk wdldrhg fidhd n,kjd kï th ,sx.sl B¾IHdjhs' 2015 uehs l<dmh

Sexual jealousy

,sx.sl B¾IHfõ .;s fidnd

fudjqkg isÿ lrk m%;sldr u.ska wia:dk ielh ke;sù hhs' ;ry hdu o wvqfõ' m%;sldr iu. WmfoaYkh o wjYHh'

j¾;udk f,dalh ;=< ldka;djka iy msrsñka b;d iómj weiqre lrkakg is¥fõ' tjeks ;;a;ajhla u; iylre" iyldßh f;areula ke;sj iel lrkafka kï" hk tk ;eka .ek wkjYH f,i m%Yak lrkafka kï" weiqre lrk wh .ek ks;r fiú,af,a isákafka kï" cx.u ¥rl:kh Èkm;d mÍCId lrkafka kï" tu ;;a;ajhg ufkda ffjoH m%;sldr l< hq;=h' ;ukaf.a wvqmdvq ;sfnk wh ;=<;a" ;uka .ek úYAjdih wvq wh ;=<;a l=vd l, mgka w;aolsk ,o lror wdÈh u;;a" fï B¾IHdj jeäùu is¥fõ' u;amekaj,g weíneys jq wh ;=<;a fï ;;a;ajh jeä jYfhka oel .; yelsh' ,sx.sl B¾IHdj we;sùug fya;=kab;du l,d;=rlska ihsfldaiSh udkisl frda. hgf;a;a fï ;;a;ajh we;s fõ' túg th fudayhla ^Delusion& f,i yg .kshs' fï wh ;u iylreg$iyldßhg fjk;a wkshï iïnkaO;d we;s nj ;rfha úYAjdi lr;s' wúYajdi l< yels lsisu idOlhla ke;s jqj;a iq¿ iq¿ foaj,a fyda idOl jYfhka f.k w¾:l:kh lrkq we;' iylre$iyldßhf.a jrola w,a,d .kakg Tyqg$wehg fkdoefkk fia miqmiska hdu" ld¾hd,hg ks;r weu;=ï §u" ¥rl:k ì,am;a mÍCId lsÍu" ksjig meñKs miq nvquqÜgq we÷ï me<÷ï" úfYaIfhka hg we÷ï mÍCId lsÍu" ,sx.sl wjhj mÍCId lsÍu

jeks oE fuu B¾IHdj fya;=fjka Tjqka fj;ska is¥fõ' ;;a;ajh ;j;a W.% kï b;d oreKq wkaoñka m%Yak lsÍu" mdfmdÉpdrKh lrk ;;a;ajhg tk;=reu mSvkhla we;s lsÍu jeks oE is¥ lrkq we;' fuh wfkla ;eke;a;dg úYd, johls' mSvkhls' tksid wjq,a úhjq,a wv onr rdYshla mjq,a cSú;h ;=< we;s jkq we;' fuys m%;sM,hla f,i iylre jeämqr u;ameka mdkhg;a fhduq jkakg bv ;sfí' ffjoH m%;sldr fujeks uÜgulg tk úg ufkda ffjoH m%;sldr ,eîu w;HjYHh' fudjqkg isÿ lrk m%;sldr u.ska wia:dk ielh ke;sù hhs' ;ry hdu o wvqfõ' m%;sldr iu. WmfoaYkh o wjYHh' ;;a;ajh b;du ;og we;s fjkakg fmr ufkda ffjoH m%;sldr ,eîu w;HjYH fõ'

igyk-wkqrdOd È,sks b,kafldaka

ffjoHjrhd - udisl ffjoH iÕrdj

Advertorial

wka;¾ cd;sl uÜgfï ffjoH ;dlaIKfhka mrsmQ¾K rd.u n%jqkaia frday,

wka;¾ cd;sl uÜgfï ffjoH ;dlaIKfhka mrsmQ¾K

rd.u n%jqkaia frday, Y%S ,xldfõ fm!oa.,sl frday,a flafIa;%hg tlajQ w;sYh kùk frday, jk n%jqkaia frday, fidhd .sh zzffjoHjrhdZZ i`.rdj tys wOHlaI$m%Odk úOdhl ks,OdÍ ffjoH icSj kdrxf.dv uy;d yuqù l< idlÉPdfõ f;dard.;a f;dr;=re wka;¾.; igykl=hs fï'

fm!oa.,sl frday,a flafIa;%fha jir .Kkdjl mßmd,k w;aoelSï we;s ´iafÜ%,shdkq frday,a m%ñ;slrK wdh;kfha cd;Hka;r frday,a wëlaIlhl=o jk ffjoHjrfhl= jk icSj kdrxf.dv uy;d iu`. m%ùK ffjoH uvq.,a, iy jD;a;Sh m<mqreÿ ld¾h uKav,hla hgf;a fiajdjka ,ndfok rd.u n%jqkaia frday, fm!oa.,sl frday,a flafIa;%hg imeñKs kj;u frday,hs¡ n%jqkaia frday,a cd,fha wdrïNl f;da;ekak jYfhka rd.u k.rh f;dard .ekSug fya;+ka ljf¾o@ uq,skau mjikak ´k n%jqkaia iuQy jHdmdrh jir 140l wNsudkj;a úYajdihl Wreuh iu.hs uq,au frday, rd.u újD; lrkafka¡ fld<U k.rh .;af;d;a úYsIaG .Kfha fm!oa.,sl frday,a rdYshlau ;sfhkjd¡ kuq;a .ïmy osia;%slalh ms<sn|j l:d lf<d;a fujeks frday,l wjYH;djh b;du;a oeäj ;sfnk njhs wmf.a úYajdih¡ ta iu.u rd.u k.rh ;uhs fï i|yd b;du;a iqÿiq ia:dkh f,i wm f;dard .;af;a¡ fudlo rd.u k.rh .ïmy osia;%slalfha ;ju;a jeä oshqKq úh hq;= k.rhla f,ihs ;sfhkafka¡

2015 uehs l<dmh

Advertorial

fujeks frday,la ksid bosßfhaoS rd.u k.rh óg jvd f.dvla oshqKq ùug msgqjy,la fjhs lshd wm úYajdi lrkjd¡ ffjoH ;dlaIKh iïnkaOfhka" myiqlï ms<sn|j l:d lf<d;a úYd, frda.Ska msßila oskm;d fndfyda wiSre;d uOHfha frda. ks¾Kh i|yd fld<U ;odikakhg msg;aj hkjd¡ fuu frda.Skag .ïmy osia;%slalh ;=<oSu tu myiqlï ,ndoSu wfma n%jqkaia frdayf,ka oeka isÿ fjkjd¡ j¾;udkfha we;s úYsIaG .Kfha frday,a iu`. iei|SfïoS n%jqkaia frdayf,a we;s iqúfYaIS myiqlï fudkjdo@ n%jqkaia frday, .ek i|yka lrk úg wms;a tu úYsIaG .Kfha fm!oa.,sl frday,a yd iudkj ksielfhka .; yels wka;¾ cd;sl uÜgfï ffjoH ;dlaIKh w;ska há;, myiqlï w;ska wx. iïmQ¾K frday,la¡ wmf.a Y,Hd.dr" oeäi;aldr tall" yosis m%;sldr tallh CT iy MRI myiqlï tkafvdiafldms" 68

wka;¾ cd;sl uÜgfï ffjoH ;dlaIKfhka mrsmQ¾K rd.u n%jqkaia frday,

,emfrdaiafldms myiqlï" ffjoH ridhkd.dr myiqlï wdoS ish¨ fohlau wka;¾cd;sl uÜgfuka mj;skjd¡ oekgu;a wms ´iafÜ%,shdkq wka;¾ cd;sl frday,a m%ñ;slrK jev ms<fj,lg hdug msUqrem;a iliñka isákjd¡ fuu lreKq ldrKd ieioSfïoS wms wka;¾ cd;sl uÜgfï ffjoH ;dlaIKfhka oshqKq wx. iïmQ¾K frday,la rd.u k.rfhaoS ìys lr,d ;shkjd¡ ;j;a úfYaIs; ldrKhla mejish hq;=hs¡ j¾;udkfha ck;dj ;=< úYd, l;sldj;la ;sfnkjd fm!oa.,sl frday,aj, .dia;= ms<sn|j¡ úfYaIfhkau wms frda.shdf.a me;af;a isg ta ms<sn|j ie<ls,su;aj fíohlska f;drj ieugu oeßh yels ñ,lg fuu fiajdjka ,ndoSug úfYaIfhka n,dfmdfrd;a;= fjkjd¡

wmf.a Y,Hd.dr" oeäi;aldr tall" yosis m%;sldr tallh CT iy MRI myiqlï tkafvdiafldms" ,emfrdaiafldms myiqlï" ffjoH ridhkd.dr myiqlï wdoS ish¨ fohlau wka;¾cd;sl uÜgfuka mj;skjd¡

ffjoHjrhd - udisl ffjoH iÕrdj

j¾;udkfha fujeks frday,la kv;a;= lsÍfïoS we;sjk .eg¿j,g Tn,d uqyqKfok wdldrh ms<sn|j oekqj;a lf<d;a''' wfma b;sydih .;af;d;a n%jqkaia jHdmdrh jir 140 la mqrdjg b;du;au id¾:lj Y%S ,xldfõ jHdmdßl flafIa;%fha /oS isàuu Tfí meKhg ms<s;=rla¡ n%jqkaia iuQy jHdmdrh .;af;d;a jHdmdr rdYshlau fuys ;sfnkjd¡ uQ,Huh w;ska b;du;a Yla;su;a jHdmdr /ila fuhg we;=,;a¡ wms ;uhs w¨;au idudcslhd¡ wfma fuu jHdmdr ish,a,u w¨;a idudcslhdg Woõ lrkjd¡ th n%jqkaia jHdmdrhg ysñ iqúfYaIS ,laIKhla¡ wfma wdh;k ;sfhkjd f;dr;=re ;dlaIKhg iïnkaOj¡ ;j;a wdh;k ;sfnkjd udkj iïm;a l<ukdlrKhg iïnkaOj¡ fj<| m%j¾Okhg iïnkaOj yd fydag,a jHdmdrj,g iïnkaOj¡ fï iefjdu wmsg Woõ lrkjd¡ b;ska wmg tl frday,la fkfuhs ;j;a frday,a rdYshlau bosßhg mj;ajdf.k hdug yelshdj ;sfnkjd¡

wms frda.shdf.a me;af;a isg ta ms<sn|j ie<ls,su;aj fíohlska f;drj ieugu oeßh yels ñ,lg fuu fiajdjka ,ndoSug úfYaIfhka n,dfmdfrd;a;= fjkjd¡ Tn frdayf,a we;s myiqlï .ek úia;r lf,d;a úfYaI{ ffjoH yuqùï" ndysr m%;sldr wxYh" meh 24 yosis m%;sldr wxYh" meh 24 Tiqi,a fiajh" meh 24 ridhkd.dr fiajdj" tlaiaf¾ iy US ialEka fiajdj" CT iy MRI ialEka myiqlï" tfldaldäfhda.%e*s" jHdhdï ECG, oka; ffjoH wxYh" fN!; Ñls;aidj" fkajdisl m%;sldr fiajdj" oeä i;aldr tallh" tkafvdiafldms" Y,Hd. dr" ,emfrdiafldams Y,Hl¾u" iQ;sld. dr" <ore oeä i;aldr tallh" fi!LH ffjoH mÍlaIK" m%;sYla;slrK fiajd" mjq,a ie,iqï fiajd¡ n%jqkaia frday, rd.u 011-5714714 igyk # wñ; úl%uwdrÉÑ

2015 uehs l<dmh

Family Planing

mjq,a ie,iqï udos,s iïnkaO ixlaIsma; ú.%yhla

´kEu flfkl=g" ´kEu jhilg jf.au ´KEu wjYH;djhlg;a iß,k úosyg mjq,a ie,iqï l%u ;sfnkjd

mjq,a ie,iqï udos,s iïnkaO ixlaIsma; ú.%yhla Wmfoia- mjq,a fi!LH ld¾hdxYfha m%cd ffjoH úfYaI{ ffjoH f,dIdka uqKisxy ;u j¾.hdf.a wkd.; meje;au iy;sl lsÍu i|yd kj mrïmrdjla we;s l< hq;=fõ' fuh iEu i;aj fldÜGdYhla ;=<u ±lsh yelsjk ikd;k l%shdj,shla' i;aj f,dalh ;=< fuu l%shdj,sh ke;akï m%ckl ls%hdj,sh is¥ùu md,kh lrk iajNdúl foaj,ao mj;shs' tfy;a ñksid ish ,sx.sl;ajh" m%ckk l%shdj,sh i|yd muKla iSud fkdlr .=Kd;aul cSú;hlg wjYH fjk;a w;sYh ixfõ§ m%fõYhka fj;go fhduq lrk neúka m%ckkh bfígu is¥ùug bv fkd§ th ñksia ixy;sfha hy meje;au Wfoid fufyhjkq ,nk ld¾hhla njg m;a lr we;af;ah' zzie,iqï iy.; mjq,laZZ hkafkka woyia lrkq ,enqfõ mjqf,a wkd.; wjYH;d idlaId;a lrk mßÈ orejka ,eîuh' fuu ;;a;ajh wmg zzwfmalaIs; idM,H;djhZZ f,i w¾: újrKh l< yelsh'

wkjYH ore ms<sis|Sï j<lajdñka fyd| mr;rhla iys; ;ukag wjYH orejka ixLHdj ,nd .ekSu i|yd hqj<g wjia:dj i,id§u wfmalaIs; idM,H;djh fõ' wkjYH ore ms<sis§ï j<lajdñka fyd| mr;rhla iys; orejka Wreu lr .ekSug we;s l%u wm idlÉPd lruq' ore ms<sis|Sula i|yd iq¥iq ld,h iy wjia:d .eyekq <ufhl= jeäúhg m;ajk iufha isgu" tkï jhi wjqre¥ 10-13 § ;rï ,dnd, jhfia§ jqj ore ms<sis|Sula we;sùfï wjia:d mj;shs' tfy;a uj iy orejd hk fom<f.a u hymeje;au fi!LHhhs' cSú; iq/lSu Wfoid m<uq ore ms<sis|Su ldka;djf.a jhi wjqre¥ 20 muK jk ;=re mud lsÍu fnfyúka jeo.;ah'

ffjoHjrhd - udisl ffjoH iÕrdj

ffjoH úoHd;aulj fujeks jhia jljdkqjla olajd ore ms<sis|Sï mud lsÍfï jeo.;alu olajkafka orejl= ,eîug ;rï oeßh" hqj;sh ;ju;a ldhsl jYfhka fukau udkisl jYfhkao jeã fïrE ;;a;ajhkag m;aj fkdisák neúks' tfyhskau weh ore ms<sis§u fya;= fldg cSú;h wjodkug ,laùfï wjodkulao mj;shs' tfiau wehg ore m%ijh wiSre ùfï wjodkulao mj;shs' tmuKla fkdj wehg ms<sisf|k orejd Wm;a nr wvq orejl= f,i Wm; ,eîug jeä bvla mj;shs' ore Wm;ska miqjo orejka fjkqfjka wksjd¾hfhkau is¥úh hq;= uõlsß §u" /l n,d .ekSu i|yd jk l,afõ,d .;jk ixlS¾K l%shdj,sh Èkm;d is¥lsÍug ;rï udkisl lemùula weh f.a úfkdaodiajdohg nr ieye,a,q fhdjqka is; ;=< fkdmej;Sugo bv we;' jhi jir 20 la jk ;=re m<uq ore ms<sis|Su mud lsÍu i|yd jk úoHd;aul 2015 uehs l<dmh

ms<s.ekSug miqìï jq fya;= ldrKd tfiah' wjqreÿ 35 g fmr mjq, iïmQ¾K lr.; yels kï fyd|hs ujq-ore hymeje;au" fi!LH iy osúiq/l=u .ek wjOdkh fhduq lrk úoaj;=ka fmkajd fok ;j;a jeo.;a lreKla kï ldka;djla ish jhi wjqre¥ 30-35 blaujd hdug fmr ;u mjq,g wjYH orejka ixLHdj ,nd mjq, iïmq¾K lr .ekSuh' iajdñmQreIhd iy ìß| idlÉPdfjka m<uq orejd ,efnk ld,h;a" ;ukag wjYH orejd ,efnk ld,h;a" ;ukag wjYH orejka ixLHdj;a" ms<sn|j fï tl`.;ajhlg meñKSu wjYHh'

Family Planing

mjq,a ie,iqï udos,s iïnkaO ixlaIsma; ú.%yhla

wfmalaIs; idM,H;djh Wreu lr .ekSu i|yd mjq,a ie,iqï l%u Ndú;h uy;afia WmldÍ fjhs' fuys§ ;uka f;dard .kakd mjq,a ie,iqï l%uh ;ukaf.a ldhsl ;;a;ajhg yd m%ckl wjYH;djhg .e<fmkakla úh hq;=h' wjYH u`. fmkaùu mjq,a fi!LH fiajd ks,Odßksh" uyck fi!LH mÍlaIl yd uyck fi!LH fyo fidfydhqßh" iy fi!LH ffjoH ks,OdÍ uy;au uy;aóka" mjqf,a ffjoHjrhd we;=¿ ffjoH jrekaf.ka o ,nd .ekSug mq¿jk'

mjq,a ie,iqï .s,sk fm;s Ndú; lrkqfha flfia o@ meleÜgqjl wvx.= fm;s 28 Èklg fm;a; ne.ska Èkm;d fkdlvjd .; hq;=fõ' tl melÜgqjla wjidkfha§ wfkla melÜgqjlska fm;s .ekSu wdrïN lr fkdlvjd È.gu lrf.k hd hq;=h'

wfmalaIs; idM,H;djh idlaId;a lr .ekSfï§ wTq ieñ hqj< ;u wjYH;djh fyd|ska ks.ukh lr .; hq;=h' wjYH jkafka flá ld,Sk mjq,a ie,iqï l%uhla o tfia ke;skï È.= ld,Sk mjq,a ie,iqï l%uhlao hkak m<uq f;aÍï úh hq;=h' tfiau ;u m%ckk iufha ;u wfmalaId wkqjo f;dard .; yels mjqf,a ie,iqï l%u .Kkdjla mj;shs' wms tu l%u ljf¾oehs fidhd n,uq'

m<uq jk wjYH;djh w¨;a újdy jq hqj<lg ore ms<sis§u mud lr .ekSu fuys§ Ndú;d l< yels kùk úoHd;aul mjq,a ie,iqï l%u folls' tajd kï mjq,a ie,iqï .s,sk fm;s Ndú;h fyda fldkavu Ndú;h'

mjq,a ie,iqï .s,sk fm;s mjq,a ie,iqï .s,sk fm;s th l=ula o@ Biag%cka yd fm%dfciagfrdaka keue;s iajNdúl ia;%S fyda¾fudak j,g iudk øjHhla .s,sk fm;s j, wvx.=h mjq,a ie,iqï .s,sk fm;s l%shd lrkafka flfia o@ äïn fïÍu yd msgùu je<elaùu

mjq,a ie,iqï .s,sk fm;s Ndú;fhaoS w;ajk fjk;a jdis fudkjd o@ orefjl= wjYH jq wjia:dfõ§ fm;s .ekSu k;r lsÍfuka udi lsysmhla ;=< ms<sis§ula we;s lr .; yelshs' mjq,a ie,iqï fm;s .ekSu ksid Tima pl%h l%uj;a ùu" yd ta yd iïnkaO fjk;a wl%ñl;d iukh ùu" reêrh .,k m%udKh wvqùu" .eí f.< ms<sld iy wdidok we;sùu wvq lsÍu jeks m%fhdacko ysñfõ'

mjq,a ie,iqï .s,sk fm;s id¾:l;ajh fldmuKla o@ ksis f,i Ndú;d lsÍfï§ id¾:l;ajh ishhg 99 lg jvd by<h' 72

ffjoHjrhd - udisl ffjoH iÕrdj

fldkavuh fldkavuh" th l=ula o@ mqreIhdf.a YsIaKh iïmq¾Kfhka jefik fia m<|sk rn¾ fldmqjls'

myiqfjka ,nd.; yelsh' taâia we;=¿ ,sx.%dYs;j fndajk frda.o j<lajd .ekSug Woõ fjhs'

fldkavuh l%shd lrkafka flfia o@ Y=l% ;r,h fhdaks ud¾.hg fkdjeà fldkavuh ;=< tl;= jk ksid Y=l%dKq ^mqreI îc& äïnh ^ia;%S îc& iu. tlaùu je<flhs' fldkavuh id¾:l;ajh fldmuK o@ ksis f,i Ndú;d lsÍfï§ id¾:l;ajh ishhg 99 lg jvd by<h' fldkavuh Ndú;d lrkqfha flfia o@ ixi¾.fha§ fhdaks ud¾.fha§ yd iam¾Y ùug m%:u m%dKj;a jq YsIaAKh iïmq¾Kfhka jeiS hk fia fldkavuh me<§u hq;=fõ' fldkavuh Ndú;fhaoS w;ajk fjk;a jdis fudkjdo@ ffjoH wkque;shla wjYh fkdfõ' 2015 uehs l<dmh

fojk wjYH;djh orejka w;r mr;rhla ,nd .ekSu' fuys§ mjq,a ie,iqï .s,sk fm;s yd fldKavu Ndú;h fukau" kslafIAmK ,nd .ekSu" wka;¾ .¾NdI ;ekam;=j ^whs'hq'ä& Ndú;h hk l%u w;ßka tllao f;dard .ekSfï wjia:dj ysñfjhs'

kslafIAmK kslafIAmK ^bkafclaIka ,nd .ekSu& th l=ula o@ fm%dfciagfrdaka kï ia;%S fyda¾fudakhg iudk øjHhla kslafIAmK ;=< wvx.=h' kslafIAmK l%shd lrkafka flfia o@ äïn fïÍu yd msgùu j<lajk ksid ms<sis| .ekSula is¥ fkdfõ'

Family Planing

mjq,a ie,iqï udos,s iïnkaO ixlaIsma; ú.%yhla

kslafIAmK Ndú;d lrkqfha flfia o@ Èk 90 ^udi 3lg& jrla fkdlvjd kslafIAmK ,nd .; hq;= fjhs'

bïma,dkaÜ ;ekam;=j bïma,dkaÜ ;ekam;=j th l=ula o@ fm%dfciagfrdaka kï ia;%S fyda¾fudakhg iudk øjHhla fuu lr, ;=< wvx.=h'

kslafIAmK w;ajk fjk;a jdis fudkjd o@ Ndú;h myiqh' orefjla wjYH jq úg kslafIamK .ekSu k;r lsÍfuka udi lsysmhlg miq ore ms<sis|Sula we;s lr .; yelshs'

bïma,dkaÜ l%shd lrkafka flfia o@ äïn fïÍu yd msgùu j<lajk ksid ms<sis| .ekSula is¥ fkdfõ'

wka;¾ .¾NdI ;ekam;=j wka;¾ .¾NdI ;ekam;=j me<|Su - th l=ulao@ ;T o`.rhla iys; l=vd ma,diaála ksmehquls' wka;¾ .¾NdI ;ekam;=j l%shd lrkafka flfiao@ wka;¾ .¾NdI ;ekam;=j .¾NdIh ;=< ;sîu u.ska Y=l%dKq ia;%S m%ckk ud¾.h ;=< is¥ lrk .uk wvd, lrhs' äïnh yd Y=l%dKqj ixfiapkh ùu j<lajhs' wka;¾ .¾NdI ;ekam;=j id¾:l;ajh fldmuK o@ id¾:l;ajh ishhg 98 la muK fõ' wka;¾ .¾NdI ;ekam;=j Ndú;d lrkqfha flfia o@ ia;%shf.a .¾NdIh ;=< fuh ;ekam;a lrkq ,nhs' w;ajk fjk;a jdis fudkjd o@ tla w;a;¾ .¾NdI ;ekam;=jla u.ska wjqre¥ 10l ld,hla ms<sis§u j,lajhs' orejl= wjYH jqjfyd;a th bj;a lrjd .ekSug mq¨jk'

f;jk wjYH;djh oS¾> ld, jYfhka n,mdk ;djld,sl mjq,a ie,iqï l%uhla fj; fhduq ùu' fï i|yd Tng §¾>ld,Sk n,mEula l< yels ;djld,sl mjq,a ie,iqï l%u folla Ndú; l< yelsh'

bïma,dkaÜ id¾:l;ajh fldmuK o@ id¾:l;ajh ishhg 99la muK fõ' bïma,dkaÜ Ndú; lrkqfha flfia o@ ia;%Shf.a ndyqfõ iug háka l=vd lr,la f,i ;ekam;a flf¾' bïma,dkaÜ Ndú;fhaoS w;ajk fjk;a jdis fudkjd o@ wjqre¥ 3lau ore ms<sis|Su m%udo lsÍug iu;ah' ta w;r;=r orefjla wjYH kï ;ekam;=j bj;a lr .; yelsh'

ffjoHjrhd - udisl ffjoH iÕrdj

isjqjk wjYH;djh

áhqfnla;ñ id¾:l;ajh ishhg 99'5 la muK fõ'

;j¥rg;a orejka fkd,efnk fia mjq,a ie,iqï l%uhla Ndú;h' fujeks l%uhla ms<s.ekSug m<uq ;u mjq, i|yd wjYH me;= ish¿ orejka ,en Tjqka fi!LHu;aj j¾Okh jk nj ;yjqre lr .;af;a kï uekú'

áhqfnla;ñ Ndú;d lrkqfha flfiao@ kdNshg my<ska ysß jÜgjd ifuys iq¿ lemqula lsÍfuka miq *ef,amSh kd< wjysr lrkq ,efí'

áhqfnla;ï ^t,a'wd¾'à& yd jdfila;ï f,i ye|skafjk ia;%S mqreI jkaOHdlrK ie;alulska miq h<s tu ;;a;ajka wdmiq yerùula is¥ l< fkdyel'

áhqfnla;ñ áhqfnla;ñ" th l=ula o@ äïnfldaIfhka uqod yßk äïnh .¾NdIh fj; f.k hk *ef,damsh kd< wjysr lsÍu' áhqfnla;ñ l%shd lrkafka flfia o@ *ef,damSh kd< wjysr lr ;sfnk ksid Y=ldKq yd äïnh tlaùu je<flhs'

2015 uehs l<dmh

áhqfnla;ñ Ndú;fhka w;ajk fjk;a jdis fudkjd o@ kej; ms<sis| .ekSula is¥ fkdjk nj okakd ksid ,sx.sl cSú;h jvd;a m%S;su;a ùu miq úmrulska wjYH fkdfõ'

jdfila;ñ jdfila;ñ" th l=ula o@ jDIK j, isg Y=l%dKq f.k hk Y=l% kd< wjysr lsÍu jdfila;ñ l%shd lrkafka flfia o@ Y=l% kd< wjysr lr ;sfnk ksid msgjk Y=l% ;r,fha Y=l%dKq wvx.= fkdfõ' jdfila;ñ id¾:l;ajh fldmuK o@ id¾:l;ajh ishhg 99 la muK fõ' jdfila;ñ Ndú;d lrkqfha flfia o @ jDIK fldaIj, fome;af;a ifuys l=vd lemqula lsÍfuka Y=l% kd< wjysr lrkq ,efí' jdfila;ñ Ndú;fhka w;ajk fjk;a jdis fudkjd o@ kej; ms<sis| .ekSula .ek ielhla fkdue;s ksid ,sx.sl cSú;h jvd;a m%S;su;afõ' wfmalaIs; idM,H;dj id¾:l lr .ekSu hkq ;u is;e;s wkqj yd ;u iïm;a j,g .e,fmk wkaoug ;u mjq,g wjYH orejka ixLHdj" ujf.a iy orejkaf.a fi!LHhg ys;lr mßÈ iy mjqf,a hym; we;sjk mßÈ ,nd .ekSfï yelshdj" Wreu lr .ekSu f,i ie<lsh hq;=h' th orejka we;=¿ mjqf,a ish¨ fokdf.au hym;g yd fi!LHhg fya;=jkq we;' igyk- wkqrdOd È,sks b,kafldaka' 75

Pharmacopia

iageák .ek we;s ;;= oek.kak

yoj;a iqrlsk uy`.= Tiqj - iageák .ek we;s ;;= oek.kak

iageáka T!IO .; hq;af;a ljqreka úiskao @ Tfí isref¾ ;sfnk fldf,iagfrda,a mÍlaId lsÍug Tn l< hq;af;a ir< mÍlaIdjls' meh 14 l ld,hla rd;%S wdydr .ekSfuka miq ksrdydrj isg miq osk f,a idïm,hla ridhkd.drhg f.dia ,nd oSfuka Tng fldf,iagfrda,a mÍlaId lrk Lipid Profile mÍlaIKh isÿlr .; yel' fuu mÍlaIKfhaoS LDL fkdfyd;a krl fldf,iagfrda,a w.h iSudj blaujd jeä kï Tng yDohdndOhla we;s ùfï wjodkula ;sfí' fuu mÍlaIKfhka g%hs.a,sirhsâ fyd| fldf,iagfrda,a yd krl fldf,iagfrda,a w;r wkqmd;h fukau fyd| fldf,iagfrda,a w.ho fjk fjku jd¾;dfjka ,nd fohs' fï iuia; jd¾;dj ksÍlaIKfhka Tn iageáka T!IO .; hq;=o hkak ;SrKh lrKQ ,nkafka Tfí ffjoHjrhdh' fï ;SrKh .ekSfïoS ffjoHjrhd úiska

reêrfha jeä jYfhka we;s fldf,iagfrda,a uÜgu my; fy<Sug fhdod.kakd ckm%sh T!IO ldKAvh iageáka Statin fõ' fufia iageáka ,nd.ekSfuka yDohdndO iy wxYNd.h we;sùfï wjodku ie<lsh hq;= muKlska wvq fõ' m¾fhaIK j,ska fy<sorõ ù we;s wdldrhg fufia iageáka T!IOh .ekSu ksid yDohdndO we;sùu" wd>d;h fukau fï frda. ksid urKhg m;aùu mjd ishhg 25-35 w;r w.hlska my; jefÜ' fï wkQj iageáka osú iqrlsk wdrlaIl Tiqjla njg újdohla ke;'

ffjoHjrhd - udisl ffjoH iÕrdj

iageáka u.ska krl fldf,iagfrda,a LDL yd Total cholesterol w.hka my; fy<kq ,nhs' ta;a iu.u g%hs.a,sißhsv uÜgu wvq lrk w;r fyd| fldf,iagfrda,a f,i ie<flK HDL w.h jeä lrhs' hï wjysr;djhla kyr j, we;s ù ;sfí kï tajdo ms<silr lsÍug iageáka T!IO iu;a fjhs'

ÿïmdkh" uoHidr mdkh wdoS Tfí wjodkï iy.; p¾hdjka ms<sn|j fukau jhio i<ld n,Kq we;' HDL cholesterol jeäùu fyd|h' HDL cholesterol reêrkd,j, fldf,iagfrda,a ;ekam;a ùu je<elaùug l%shd lrhs' tfiau HDL u.ska, LDL cholesterol reêrfhka bj;a lr tajd wlaudj fj; f.k hdugo l%shd lrhs' iageáka T!IO YrSrh ;=< l%shd;aul jkafka flfiao @ fldf,iagfrda,a W;amdokhg fya;=jk wlaudfõ tkaihsu fuysoS wjysr lsÍula isÿfõ' reêrfha jeäuk;a we;s fldf,iagfrda,a kd, j, ;ekam;a ù tajd wjysr lsÍfï wjodkula we;' fï wjysr ùï wjidkfha reêr kd, isyska lsÍug yd tajd jvd;a oDV lsÍug fya;= fjhs' fuys m%;sM<hla f,i yDohdndO yd wd>d; wdoS ;;a;ajhka we;s úh yel' iageáka u.ska krl fldf,iagfrda,a LDL yd Total cholesterol w.hka my; fy<kq ,nhs' ta;a iu.u g%hs.a,sißhsv uÜgu wvq lrk w;r fyd| fldf,iagfrda,a f,i ie<flK HDL w.h jeä lrhs' hï wjysr;djhla kyr j, we;s ù ;sfí kï tajdo ms<silr lsÍug iageáka T!IO iu;a fjhs' fuu T!IO .kakd w;f¾ ksfrda.S cSjk wej;=ï mej;=ï mqyqKQ lsÍfuka fï iageáka T!IO j, ld¾hlaIu;djh ;jÿrg;a by< kxjd.; yel' fuysoS Tn my; ldrKd flfryS úfYAIfhka ie<ls<Su;a úh hq;=h' • iu;=,s; yoj;g ys;e;s wdydrhla wkqNj lrkak' • ks;s jHdhdu j, ksr; jkak' • uoHidr yd ÿï mdkfhka j<lskakg W;aiql jkak'

2015 uehs l<dmh

Pharmacopia

iageák .ek we;s ;;= oek.kak

iageáka T!IO j, ixl+,;d ;sfnkjdo@ fndfydauhla fokd .eg¿jlska f;drj id¾:l f,i iageáka T!IO j,g wkq.; fj;s' ál fofkl=g muKla ixl+,;d we;s úh yel' iageáka .ekSfïoS l,d;=rlska flfkl=g we;súh yels ixl+,;d fufiah' • ysiroh • kskao fkdhdu • iu r;ameye .ekSu • fmaYs ÿn,;djh" fõokdj (myalgia) • ksosnr .;sh • fjõ,k .;sh • Tlaldrh iy jukh • WorfhA flKavd fmr,Su • wfOda jd;h msgùu • mdpkh • u<noaOh • m¿ oeóu

fuu T!IO .kakd w;f¾ ksfrda.S cSjk wej;=ï mej;=ï mqyqKQ lsÍfuka fï iageáka T!IO j, ld¾hlaIu;djh ;jÿrg;a by< kxjd.; yel'

ffjoHjrhd - udisl ffjoH iÕrdj

iageáka .ekSu ksid we;eï úg iaurKfha wvq¨yq`vq;djhla we;súh yel' ufkda jHdl+,;djhlao l,d;=rlska flfkl=g we;s úh yel' reêrfha iSks uÜgu jeäùu we;súh yels ;j;a ixl+,;djhla fjhs' Tn .kakd wfkl=;a T!IO yd wka;¾ l%shd lrk neúka iageáka T!IO .ekSfïoS Tn ,nd. äkakd wfkl=;a T!IO .ek ffjoHjrhd oeKQj;a lrkak' iageáka T!IO .ekSfïoS fjfiiska wjOdkh fhduq l< hq;= ixl+,;d ljf¾o @ iageáka .ekSfïoS b;d l,d;=rlska we;sjk tfy;a úNùh jYfhka uy;a wjodkula we;s ixl+,;d lsysmhlao we;' ta .ek Tn oeKQj;a úh hq;=h' Myositis hkqfjka ye|skafjk fmaYs.; m%odysl ;;a;ajh we;eï úg fmaYs wdmodjlg u. i,ihs' Tn iageáka iu.u fjk;a T!IOhla .ekSfïoS ie<ls<su;a úh hq;=h' 2015 uehs l<dmh

ksoiqkla jYfhka Fibrate kñka ye|skafjk wfkl=;a fldf,iagfrda,a wvq lrk T!IOhla ,nd.ekSfïoS fmaYs j,g jk ydksh iageáka ú;rla .ekSfïoS jk ydkshg jvd úYd, jYfhka jeä úh yel' fmaYs.; tkaihsuhla jk CPK, or creatine kinase by< w.hka jd¾;d lrñka fmaYs fõokdj" fmaYs.; m%odyh we;s úh yel' t;rï iq,n fkdjqK;a fuu ;;a;ajhg m;ajQ úg iqjh ,eîug ie<lsh hq;= ld,hla .; fjhs' Rhabdomyolysis wiSudka;sl f,i fmaYs wdmodjg m;aùu yd m%odyhg m;aùu fukñka ye|skafjhs' fuysoS iuia; YÍrfhau fmaYs ÿ¾j, jk w;r fõokdldÍ o fõ' b;d úYd, jYfhka wdmodjg ,lajQ fmaYs j,ska fuysoS fm%daàkhla ksl=;a jk w;r tajd reêrh Tiafia jl=.vq j,g f.dia jl=.vqo ydkshg ,la lsÍfï bvla ;sfí' iageáka Ndú;h ksid fufia fmaYs wdmodjg m;aj we;sjk w;=reM, l<uKdlrKhg f.dia wjidkfhaoS jl=.vq o ydkshg m;aùug mq¿jk' jdikdjg Rhabdomyolysis b;d l,d;=rlska olakg ,efnk frda.hls' iageáka T!IO .kakd 10000 l ksheoshla .;fyd;a Rhabdomyolysis ;;a;ajhg ,la ùfï wjodku we;af;a tla wfhl=g muKs' iageáka T!IO .ekSfïoS wjOdkhg fhduq l< hq;= wjodkï iy.; ix{d iageáka T!IO .kakd Tng fmaYs.; fõokdjla" ykaosm;a fõokdjla tajdfha ÿn,;djhla oefkkafka kï Bg ksYAÑ; fya;=jla wkqudk lsÍu wmyiq kï ffjoHjrhd yuq úh hq;=h' .¾NsKS ldka;djka iageáka T!IO .ekSu iqÿiq fkdfõ' tfiau wlaudfõ frda. ;sfí kï Tjqkao iageáka T!IO .ekSu iqÿiq ke;'

Pharmacopia

leiaig fok isrma j¾.

Cough Syrup ó.uqj osia;%sla uy frdayf,a T!IOfõoS ;sirx.s w;=fldar< úisks —leiai˜ wms ish¿ fokdg ks;r je<f|k iq,n frda.S ;;a;ajhla¡ Yajik ud¾. hg we;=¿ jk wd.ka;=l øjH bj;a lsÍug YÍrh úiska we;s lrk m%;sl%shdjla f,i - leiai ye|skaúh yelsh¡ úúO frda. ;;a;aj ksid leiai we;súh yelsh¡ Yajik ud¾.fha we;sjk ffjria yd nelaàßhd wdidok ksid fiïm%;sYHdj WK iu. leiai we;súh yelsh¡ tfiau úúO wdid;añl;d ksid we;sjk weÿu jeks frda. ;;a;aj j,oS o leiai we;s fõ¡ fujeks frda. ,laIK we;s jQ úg wms ffjoHjrfhl= fj; fhduq jqjfyd;a T!IO j¾. lSmhla iu`. —leiaig fndk meKS˜ j¾. ffjoHjrhd ks¾foaY lrhs¡ tfiau fndfyda frda.Ska o —leiaig fndk meKs˜ ks¾foaY lrk f,i ffjoHjrhdf.ka b,a,d isáhs¡ fï leiaig fndk meKs fudkjdo@ tajdfha wvx.= T!IO fudkjdo hkak ms<sn|j wms oekqj;a ùu jeo.;a fõ¡ —leiaig fndk meKs˜ hkq fudkjdo@ fuu T!IO leiai iqj lsÍug wjYH T!IO ldKav tlla fyda lSmhla wvx.= lr úúO rifhka fyda j¾Kfhka fj<|fmd<g tk Syrup j¾. fõ¡

ffjoHjrhd - udisl ffjoH iÕrdj

fïjdfha nyq,j wvx.= jk T!IO yd tu T!IO leiai iqj lsÍug l%shd;aul jkafka flfiao@ T!IO ldKavh

T!IOh

leiai iqj lsÍug l%shd;aul jk wdldrh

m%ksysiageñk Antihistamins

Chlorphenamin maleate Triprolidine Hydrochloride

leiai we;sùug fya;=jk wdid;añl;d ;;aj iqj lrhs¡

Beta agonist

Salbutamol

fïjd bronchodialaters f,i y÷kajk w;r Yajik ud¾.fha wjysr;d wju lrhs¡

Terbutaline Sulphate

Bromohexin Hydrochloride Phenylephrin Hydrochloride Ambroxol Hydrochloride

kdih ysrùu je<elaùug fhdod.kS

Guaifenesin

mmqfõ ;o .;sh wvq lr leiai myiq lrhs

Narcotics

Codein

fud<fha leiai we;s lrk ia:dk iu. l%shd lr leiai we;s lsÍu ksfYaOkh lrhs¡

fuu T!IO wêl ud;%dj,ska Ndú;d lsÍfuka urKh mjd isÿ úh yelsh¡

fuu T!IO frda.Ska Ndú;d l< hq;af;a flfiao@ fuu ish¿ T!IO ffjoH ks¾foaY iys;j muKla Ndú;d l< hq;=h¡ fuu T!IO wf,ú l< yelafla o ffjoHjrfhl=f.a m%f,aLk m;%hla (Prescription) i|yd muKs¡

Nasal decongestion

ck;dj w;r fuu T!IO jeros f,i Ndú;d jk wjia:d fudkjdo@ ffjoH ks¾foaY rys;j Cough Syrup Ndú;d fkdl< hq;=h tla jrla Ndú;fhka miq b;sß jk T!IO kej; frda.S jQ wjia:djloS Ndú;d fkdl< hq;=h¡ 2015 uehs l<dmh

Pharmacopia

leiaig fok isrma j¾.

l=vd orejka i|yd fuu T!IO Ndú;fhaoS jeäysá wëlaIKh wksjd¾h fõ¡

frda. iqj fkdùfï wjodkulg ,la úh yelsh¡ wê ud;%d j,ska fuu T!IO Ndú;d lsÍfuka jl=.vq" wlaudj wdoS jeo.;a bkaøshkag ydks isÿ úh yels w;r we;eï úg urKh mjd isÿúh yelsh¡ —u;aøjH˜ f,i fuu T!IO Ndú;d lsÍu ksid kS;s mk;a u`.ska fïjd iSud lsÍug isÿ fõ¡ fï ksid frda.Skag fuu T!!I!O ,nd .ekSu o ;rula wiSre fõ¡

Cough syrup —u;a øjH˜ f,i Ndú;d l< yelso@ fuh iudcfha me;sr hk jeros u;hls¡ fuu Syrup j, wvx.= jk ksødckl m%;sysiageñk ldKavfha T!IO yd b;d wju idkaøKhlska we;s Codein ksid fïjd —u;aøjH˜ f,i Ndú;d lsÍug iudcfha we;eï fldgia fm<ö isà¡ fufia fuu T!IO wêl ud;%dj,ska Ndú;d lsÍfuka urKh mjd isÿ úh yelsh¡ fuh b;d Nhdkl iudc Wjÿrla jk w;r fufia jeros f,i fuu T!IO Ndú;d lsÍu Ndú;h i|yd fjk;a mqoa.,hka fm<Uùu fukau m%f,aLk m;% rys;j Tiqie,a u.ska fuu T!IO ksl=;a lsÍu o`vqjï ,eìh yels jrols¡

uola is;kak''' chough syrup ksis mßos Ndú;h ms<sn| frda.Ska oekqj;a lsÍu fi!LH jD;a;shla f,i wm ieuf.a j.lSu fõ¡ ta ms<sn| ffjoHjreka" T!IOfõoSka fukau frda.Ska o ie<ls,su;a úh hq;=h¡ m%f,aLk m;% rys;j fuu TI!O ksl=;a lsÍu jrols¡ tneúka fuu T!IO jeros f,i Ndú;h k;r lsÍu yd iqNdú;h i|yd fhduq ùu wm ieu i;= iudc j.lSuls¡

fuu T!IO jeros f,i Ndú;d lsÍfuka isÿ jk ydks fudkjdo@ fufia ksrka;rfhka ffjoH ks¾foaY rys;j fuu T!IO Ndú;d lsÍfuka miqld,Skj 82

ffjoHjrhd - udisl ffjoH iÕrdj

Advertorial

uefuda mÍlaIK isÿ lrk äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKh

jvd myiqfjka yd ksjerosj uefuda mÍlaIK isÿ lrk äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKh oeka wdisß Y,H frdayf,ka ,nd.; yelshs mshhqre ms<sld wjodku wka ljrodg;a jvd ful, olakg ,efí' jeä jeäfhka ldka;djka mshhqre ms<sld j,g f.dÿre ùu wfma hq.fha fÄojdplhls' mshhqre ms<sld l,a fõ,d we;sj y÷kd.kakg ,enqfKd;a th iïmQ¾Kfhkau mdfya iqj lr .ekSug yelsùu fl;rï f,dl= fohlao@ mshhqre ms<sld l,sska y÷kd.;af;d;a iqj lr.; yelshs mshhqre ms<sld fõ,dikska y÷kd.ekSfï wjia:d folla mj;S' tlla l< hq;af;a ldka;djuh' udifha tla oskla fhdodf.k iajhx mshhqre mÍlaIKh isÿ lrñka mshhqre j, we;sjk fjkialï ye|skSu mqyqKqj;a iu.u wehgu isÿ l< yel' wfkla jvd;a úÿyqre mÍlaIKh Tn frday,g f.dia isÿ lr.; hq;a;ls' mshhqre j, wNHka;r mgl ksÍlaIKh lrñka tajdfha ishqï fjkialï weiqf¾ mshhqre j, fjkialï y÷kd.kakd mÍlaIdj y÷kajkafka zuefuda.%ms mÍlaIKhZ hkqfjks' 2015 uehs l<dmh

óg oYl lsysmhl isg uefuda.%ï mÍlaIKh ldka;djkaf.a mshhqre ms<sld y÷kd .ekSug uy;ajQ fufyhla bgq lrk w;r wo fuu äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKfha b;d kùk Ndú;hka ksid todg;a jvd myiqfjka" jvd;a uq,a wjia:dfõu mshhqre mgl fjkialï y÷kd.ekSug wjia:dj ie,iS ;sfí' oekg fld<U 5" lsßuKav, udjf;a wdisß Y,H frdayf,a uefuda.%ï mÍlaIK i|yd fhdod.kakd äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKh weiqf¾ jvd fõ.fhka" jvd ksrjoHj mshhqre ms<sld y÷kd.kakd whqre fu;eka isg wms oek .ksuq' 83

Advertorial

uefuda mÍlaIK isÿ lrk äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKh

äcsg,a fgdafudiskaf;isia fjki fuhhs äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKh idudkH uefuda.%ï mÍlaIKhlg jvd jeä f;dr;=re ,nd fohs' mmqfõ idudkH tlaia lsrK m%;sìïnhlg jvd iS'à' m%;sìïnhla jeä f;dr;=re fokjdg th iudk l< yel' jD;a;hla yd fnda,hla .ek is;kak' jD;a;h' oaúudkh' tfy;a fnda,h tfia fkdfõ' Bg ;%sudKrEmS njla fkdfyd;a .eUqrlao ;sfí' fï wdldrfha meyeos,s fjkila äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKfha ;sfí'

äcsg,a fgdafudiskaf;isia udos,sfha uefuda.%Eï hka;%h

iïm%odhsl uefuda.%ms mÍlaIKfha iSud uefuda.%ms mÍlaIKhla isÿ lsÍfïoS iEu mshhqrlu tlaia lsrK m%;sìïn folla .kq ,nhs' Wv isg my<g iy tla me;a;l isg wfkla me;a;g jYfhks' fuysoS mshhqr imqrd bj;g weo ùÿre mDIAG folla u; iïmSvkhg fkdfyd;a hï f;rmSSulg ,la lrhs' fuh isÿ lrkafka mshhqr fyd|ska m%;sìïn.; lrKQ mssKsih' idudkH uefuda.%ms mÍlaIKhloS m%;sìïnh igyka lrkafka fiahdmg,hlh' äcsg,a uefuda.%ms mÍlaIKhloS th mß>Klfha igyka fjhs' úlsrKfõoS úfYAI{ ffjoHjrhd th msßlaid jd¾;dj imhhs' uefuda.%ï mÍlaIKhla fndfyda f;dr;=re imhk nj ienEjls' kuq;a fuu mÍlaIKh isÿ lsÍfïoS hï iSudldÍ idOl .Kkdjla n,.ekafõ'

ffjoHjrhd - udisl ffjoH iÕrdj

iSudldÍ idOl fkdfyd;a .eg¿ fuu mÍlaIKhg ldka;djka Ndckh lsÍfïoS mshhqre ;oska f;rmSu ldka;djg hï wmyiq;djhla we;s lrhs' we;eï ldka;djka fï ;;a;ajhg uqyqK fokafka b;du;a wiSrefjks' fï f;rmSï l%shdj,sfhaoS we;eï úg mshhqre mgl tl Wv tl msysghs' fufia tl Wv tl msysgk mgl weiqf¾ we;eï úg ms<sldldrl ffi, ;sî u`. yeÍfï hï bvlao we;' idudkH uefuda.%eï mÍlaIKhloS wm ,nd.kafka mshhqre yd;ami leá lr.;a tla m%;sìïnhls' Wv isg my<g tla m%;sìïnhlao" tla me;a;l isg wfkla me;a;g wfkla m%;sìïnho jYfhks' fuh yßhg jkka;rhl fl<jrl isg jkka;rh we;=f,a isák l=re,af,l= fidhkjd jeks ldßhls'

2015 uehs l<dmh

w;s kùk äcsg,a fgdafudiskaf;isia ;dlaIKh äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKfhaoS by; oelajQ ish¿u iSudldÍ idOl u. yefrhs' th mshhqf¾ úúO fldaK j,ska m%;sìïn nyqúO m%udKhla ,nd.kakd ksid mshhqr yd;ami b;d iSrefjka mÍlaId lsÍug úlsrKfõoshdg wjia:dj ie,fihs' mshhqr ia:dk.; lrkafka iïm%odhsl uefuda.%ï mÍlaIKfhaoS wdldrfhka uq;a tjka wmyiqjla we;s lrk f;rmSï j,g ldka;dj ,la lrkafka ke;' fuh fndfyda ldka;djkag mÍlaIKhg Ndckh ùfïoS uy;a wiajeis,a,la f.k fohs' iqmeyeos,s m%;sìïn äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKfhaoS tlaia lsrK k,h pdmhla fia N%uKh fjñka ;;amr y;la jeks ld,hla ;=<oS m%;sìïn 11la muK ,nd fohs'fï m%;sìïn wk;=rej mß>Kl.;j .nvd fjhs' wjidkfhaoS iqmeyeos,s" jvd;a iúia;rd;aul ;%sudK m%;sìïn f,i ,nd.; yel' fï wdldrfhka iïm%odhsl uefuda.%Eï ;laIKh u. yßñka ìysjQ äcsg,a fgdafudiskaf;isia uefuda.%ms ;dlaIKh weiqf¾ m%;sìïn ,nd.kakd frday,a ;ju;a we;af;a f,dalfha w;f,diaila muKh' tfia n,k l< fld<U 5" lsßuKAv, udjf;a wdisß Y,H frdayf,aoS Tng ta myiqlu fkdwvqju ,nd.; yels ùu Y%S ,dxlsl ldka;d mrmqf¾u Nd.Hhla jkafkah'

Pregnancy

.eí.;a miq m<uq udi ;=fka§ we;s jk .eg¨

.eí.;a miq m<uq udi ;=fka§ we;s jk .eg¨ m%ij yd kdßfõo úfYaI{ ffjoH Oïñl is,ajd

.eìkss ldka;djlg fndfyda jeo.;a jk ldrKhla ms<sn|j wo wms idlÉPd lruq' b;du jeo.;a foh kï ore .eng Èk ilia lsÍuh' wjika Tima ùu weiqre lrf.k wij,a Èkfha orejd ìysjk njg Èk ilia lsÍu kssjerÈ l%uhla fkdfõ' tksid m<uq udi ;=k we;=<; ialEka mÍlaIKhla lsÍu u.ska Èk ksYaph lr.ekSu oeka isÿfõ' tneúka ;udg orejl= ms<sis| we;ehs wkqudkhla we;sjQ .ukau m%ij yd kdßfõo úfYaI{ fffjoHjrhl= yuqùu jeo.;ah' th miq lf<d;a ksis mßÈ Èk ilid .ekSu wiSre jk w;r túg orejd ,efnk Èkh iïnkaOfhka .eg¨ u;==úh yelsh'

.eí.;a uq,a ld,fha jukh fufia jukh hkafka fndfyda úgu .eí.;a miq uq,a udi ;=k ;=<§h' jukh hdu iïnkaOfhka mj;sk tla wkqudk woyila fõ' th fufiah' 86

ffjoHjrhd - udisl ffjoH iÕrdj

jukh hdu jvd;a jeä kï ffjoH Wmfoia u; tA i|yd we;s T!IO Ndú;d l< hq;=h' tAjd ujg wys;lr jkafka ke;' T!IO j,skq;a jukh md,kh l< fkdyels kï frday,lg we;=<;a lr fia,hska u.ska T!IO ,nd Èh yelsh'

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

waidyawaraya.com

2015 uehs l<dmh

.enla yg .;a miq tu l<,fha wjhj ks¾udKh jkafka m<uq udi ;=k ;=<§h' .aÆfldaia wêl mßirhla tu l%shdj,shg iqÿiq fkdfõ' tA wkqj .en úiska jukh msg lr yßkq we;' tfiau lEu wreÑho .en úiskau isÿ lrkq ,nk fjkialïh' tu ld,h ;=< .eìks ujg nf,ka lEu §ug W;aidy lsÍu fkdl< hq;=h' l=vd l=vd fldgia jYfhka jßkajr lEu §u u.ska jukh hdu md,kh lr .; yelsfõ' m%sh lrk mdk j¾.hla jßkajr îug fokak' tljr jeämqr m%udKhla îu ;=<ska jukh hdug yels ksid jrlg f;a yekaola fyda fïi yekaol muK m%udKhla jßkajr mdkh lsÍug §u iqÿiqfõ' jukh hdu jvd;a jeä kï ffjoH Wmfoia u; tA i|yd we;s T!IO Ndú;d l< hq;=h' tAjd ujg wys;lr jkafka ke;' T!IO j,skq;a jukh md,kh l< fkdyels kï frday,lg we;=<;a lr fia,hska u.ska T!IO ,nd Èh yelsh' fufia frday,lg f.k hd hq;= wjia:d kï tÈfkÞ jevlghq;= lr .ekSug fkdyels ;rug jukh hdu" nr tkak tkaku wvqùu" uq;%d hdu wvqùu jeks úc,kSh ,laIK my< jQ úgh' fuu jukh hdu udi ;=fkka miq fndfyda úgu k;r fõ' th os.gu mj;skafka l,d;=rlska ldka;djlg muKs'

.eìks iufha uq;%d wdidok .¾NkS iufha fydafudakj, jeäùu u; uq;%dkd, iy uq;%dYh m<,a ùu isÿfõ' tksid uq;%d r|d mj;sk m%udKh jeäh' túg uq;%d wdidok myiqfjkau yg .; yelsh' tys ,laIK jkafka uq;%d ±ú,a, há nfâ fõokdj wdÈhhs' fuu uq;%d wdidok jl=.vq olajdu me;sÍug jqj wjldY ;sfí' túg we,mf;a fõokdj" fjõ,d WK .ekSu jeks ,laIK yg.kq we;' fïjdg frday,l k;r ù m%;sldr .ekSu wjYHh'

Pregnancy

.eí.;a miq m<uq udi ;=fka§ we;s jk .eg¨

orejl= ms<sis|f.k we;s njg wkqudkhla we;s jQ jydu m%ij yd kdßfõo úfYaI{ ffjoHjrhl= yuqùu b;d jeo.;a jkafka l<,h ;sfnkafka .¾NdIfhau o hkak y÷kd .ekSugo tu.ska yelsjk ksidh'

orejl= ,efnkakg isák úg uq;%d iïmQ¾K mÍlaIK Urine full report – U.F.R. iy uq;%d frdamK mÍlaIK ^Urine Culture Test& lr .ekSu wksjd¾h fõ' iuyrekag uq;%d wdidok ;sfnk úg th f;afrkafka ke;' ^Asymptomatic Bacteria& fuu ;;a;ajfha§ uq;%dYh úIîc ;sfnk njo fkd±kS hhs' kuq;a wdidokh ksid .íid ùfï m%jK;djh jeäh' tA wkqj by; lS uq;%d mÍlaIK fol u.ska uq;%d wdidok ;sfí kï y÷kd .; yelsfõ' túg m%;sÔjl T!IO ,nd §fuka frda. ;;a;ajh iqj lsÍug mq¿jk' 88

.¾NdIfhka msg; l<,h msysàu Ectopic pregnancy kñka y÷kajk fï ;;a;ajh ujlg b;d wjÞkï jQjls' fuys iajNdjh kï l<,h .¾NdIfhka msg; msysàuh' fuys§ jeämqru msysgkafka mef,damSh kd,h ;=<h' tA ;=< l<,h j¾Okh ùu ksid kd,h msmsrefjd;a tys reêr jykhla ùfuka ujg wk;=rla ùug we;s yelshdj jeäh' tksid orejl= ms<sis|f.k we;s njg wkqudkhla we;s jQ jydu m%ij yd kdßfõo úfYaI{ ffjoHjrhl= yuqùu b;d jeo.;a jkafka l<,h ;sfnkafka .¾NdIfhau o hkak y÷kd .ekSugo tu.ska yelsjk ksidh' wm fï ±lajQfha ldka;d Tng b;d jeo.;a jk f;dr;=re j,ska iq¿ m%udKhla muKs' fuh Tng jvd;a m%fhdackhla fõh hkak wmf.a úYajdihhs'

ffjoHjrhd - udisl ffjoH iÕrdj

Oral Health

.eìks iufha uqL fi!LHh .ek;a wjOdkh fhduq l< hq;=hs

.eìks iufha uqL fi!LHh .ek;a wjOdkh fhduq l< hq;=hs m%cd oka; úfYaI{ ffjoH ks,ka; r;akdhl .eìks ujl .kakd wdydr" wef.a is;=ï me;=ï l%shdldrlï jeks yeu fohlau l=fia isák orejdg n,mdk nj Tn okakjd' tfiau .eìks ujf.a o;a frda.;a orejdg n,mdk nj we;eï úg Tn fkdokakjd we;s' tksid .eìks ujla ;ukaf.a ldhsl fi!LHh jf.au uqL fi!LHh;a fyd¢ka /l.ekSu jeo.;a'

.eìks ujf.a uqL fi!LHhg n,mdk m%Odk lreKq ;=kla ;sfnkjd' 1' YÍrfha we;sjk fydafudak wiu;=,s;;djh 2' ks;r we;sjk Tlaldr .;sh iy jukh 3' wdydr rgdfõ fjkialï oeka wms fï tlsfkl lreKq uqL fi!LHhg n,mdkafka fldfyduo lshd úuid n,uq' fydafudak wiu;=,s;;djh fydafudak wiu;=,s;;djh úÿreuiaj, mglhg n,mEu ksid úÿreuia bÈó r;=ùu" úÿreuiaj, fõokdj iy f,a .e,Su jeks ;;a;ajhka we;sjkak mq¿jka' Tlaldrh iy jukh .eìks iufha uq,a ld,h ;=< WoEik jukh iy Tlaldrh we;sùu idudkH ;;a;ajhla' fï ksid wdudYhsl hqI uqL l=yrh ;=<g meñfKkjd' túg uqLfha wdï,sl;dj tljru jeä fjkjd'

2015 uehs l<dmh

Oral Health

.eìks iufha uqL fi!LHh .ek;a wjOdkh fhduq l< hq;=hs

fï ksid of;a tkeu,h Èhùulg ,laùfï wjldYh ;sfnkjd' wdydr rgdfõ fjkialï fï ld,h ;=< .eìks ujqjreka weUq,a rie;s wdydr .ekSug jeäfhka fm<fUkjd' tA jf.au uqLfha ks;r mj;sk wm%sh .;sh ksid meKs îu .ekSugo jeäfhka fhduq fjkjd' fï fya;= ksido uqLfha wdï,sl;djh jeäfjkjd' tho oka; úLdokh we;sùug fya;=jla fjkjd' orejdf.a uqL fi!LHhg ujf.a uqL fi!LH jeo.;a jkafka fldfyduo@ ±kg úoHd;auljo ikd: ù mj;sk u;hla jkafka úÿreuia frda.j,ska fmf<k ujla .eí.;a l< fkdfïrE fyda wvq Wm;a nr iys; orejl= ìysùug yelshdjla ;sfnk njhs' tfiau o;a Èrdhdu fndajk frda. ;;a;ajhla njo uE; ld,Sk oka; ffjoH m¾fhaIK u.ska fy<s ù ;sfnkjd'

uq,a ld,fha § orejd jeämqru weiqre lrkafka uj' flfia jqj;a ks;r jeäysáhka orejd ism .kakd úg tu.ska orejdf.a uqLhg nelaàßhd we;=¿ úh yelshs'

w¨; Wmka orejl=f.a uqLfha ;r,h ;=< oka; jHikhg fya;=ldrl jk nelaàßhd j¾. kE' tAjd orejkaf.a uqLhg we;=¿ jkafka úfYaIfhka orejdf.a Wmf;a isg uq,a wjqreÿ ;=k olajd ld,h ;=< orejd <Õskau weiqre lrk whf. ka nj tu mÍlaIK jd¾;d u.ska ;jÿrg;a meyeÈ,s fjkjd' orejdf.a uqLhg nelaàßhd we;=¿jk ;j;a l%uhla jkafka orejdg ljk yekafokau uj;a wdydrj, ri ne,Suhs' tu yekao fkdfidaÞ orejdg ljk úg nelaàßhd myiqfjkau orejdf.a uqLhg we;=¿ jkq we;s' fï wkqj .eìks ujlf.a o;a osrdhdu mj;skafka kï ,efnk orejdg o tA ;;a;ajh blauKskau yg .ekSug yelshdj ;sfnkjd' tksid orejdf.a uqL fi!LHh /l .kakg kï .eìks ujo ;u o;a Èrdhdu md,kh lrf.k ksfrda.S uqL fi!LHhla mj;ajd .; hq;=hs'

ffjoHjrhd - udisl ffjoH iÕrdj

.eìks ujla ksfrda.S uqL fi!LHhla mj;ajd .kafka flfiao@ kqÿre ld,fha .eìkshl ùug n,dfmdfrd;a;= jk ldka;djla .¾NŒ ùug fmr oka; ffjoHjrhl= yuq ù uqL fi!LH mÍlaId lrjd f.k o;a osrd hdu ;sfí kï tho md,kh lr .ekSu jeo.;a'

2015 uehs l<dmh

±kgu;a Tn .eìks ujla kï Tfí ffjoHjrhdf.a ks¾foaYh u; Tfí o;a frda.j,g iqÿiq m%;sldr .ekSfï jrola kE' .eìks iufha § Tfí uqL fi!LH .eg¨j,g my; wdldrfhka Tng ms<shï fhÈh yelsh • Tlaldrh iy jukh hdfuka miq uqLfha wdï,sl;djh ke;s ù hdu msKsi fyd¢ka lg fidaokak' ke;akï j;=r álla fndkak' tfia fia§fuka miq yels kï *af,darhsâ iys; oka;df,amhla weÕs,a,g f.k o;a u; hdka;ug ;jrd .kak' • WoEik o;a uÈk úg Tlaldrh we;s jkafka kï Èjd ld,fha o;a ue§u lrkak' • ks;ru fkdfhl=;a foaj,a wdydrhg .kakd neúka osklg ;=kajrlaj;a o;a uÈkak' o;a ueÈh hq;af;a l=vd ysila iy uDÿ fl¢ we;s o;a nqreiqjlskqhs' tfiau ue§u i|yd *af,darhsâ wvx.= oka;df,amhla f;dard .kak' • o;aj, ne£ ;sfnk oka; m:h bj;a ùu i|yd ksjerÈ ms<sfj,g fyd¢ka o;a ueosh hq;=hs' tfiau o;a yd úÿreuia w;r Þrho fyd¢ka uÈkak' • weUq,a rie;s wdydrhla .;a miq fyd¢ka lg fidaokak/ ke;akï j;=r álla fndkak' • meKs îu mdkh yels ;dla iSud lr tA fjkqjg m<;=re wdydrhg .kak' • orejdf.a;a ujf.a;a ksfrda.S fi!LH msKsi t<j¿ m<d" m<;=re jeks oE wdydrhg tl;= lr .kak' • ore .eng i;s yhla .; jQ miq orejdf.a o;a jeãu wdrïN jk ksid ks;r le,aishï wvx.= wdydr fyd¢ka .kak' l=vd ud¿ iy m<d j¾. fuys§ ukd fmdaIKhla Tng ,nd fokq we;s' • orejdg ljk fmdjk yekao fldamamh fjka lr ;nkak' thska Tn fyda mjqf,a lsisjl=j;a wdydr .ekSu fkdl< hq;=hs'

Pregnancy

.eìKs ujg iqÿiq wej;=ï mej;=ï

yoj;a frda." fud<fha j¾Okfha wvqmdvq ñka m%Odk ;ekla .kakjd' fujeks ;;a;ajhkaf. ka orejd wdrlaId lr .ekSug refn,a,d tkak; ksis ld,hg ,nd .ekSu b;du jeo.;a'

.eìKs ujg iqÿiq wej;=ï mej;=ï .eìKshl jk Tn wjOdkhg .; hq;= ffjoHuh fkdjk ldrKd'''

iuyr ldka;djka újdy Èúhg we;=<;a jqj;a mjq,a cSú;h" ,sx.sl in|;d yd tajdhska mek k.sk .eg¨ .ek lsisjla fkdokS' wUqieñ ùug fmr fofokdgu wUq ieñ in|;dj" orejka ms<sis| .ekSu" wd¾;j pl%h" Wm;a md,kh .ek idudkH oekqula fyda ;sîu b;du jeo.;a'

.eí .;a; ojfia b|,d fï yeu lreKla .eku fyd|g ys;kak' ke;akï lror we;afjkafka Tnguhs''' Wmfoia-mjq,a fi!LH ks<OdrSkS wud,s chr;a;' m%ùK rEm,djKH Ys,amsks - i|ud,s msßia ^Sera's loungs& me,j;a; ore iïm;lg ysñlï lSug ,eîu wUqieñ hqj<lg ysñjk uy;q jQ jdikdjla' tu jdikdfõ wdf,dalh jeäfjkafka bm¥Kq orejd iEu w;skau kSfrda.S jq úgh' ta i|yd uq,sl moku jefgkafka uj .eìKshl f,i isák ld,fha wdrlaId jk wdldrh wkqjhs' .eìKshla ùu ksid lEu-îu" hEu-Bu" wej;=ïmej;=ï" f,v-frda. hk iEu wx.hlskau wdrlaId úh hq;= wkaou .ek l,amkdldÍ úh hq;=h' tfia jqjfyd;a wehg kSfrda.S ore iïm;l ysñlu ,eîug wiSrejla jkafka keye' refn,a,d tkak; újdyhg fmr isgu iEu ldka;djlau ore m%iq;sfha§ jeo.;a f,i ie<lsh hq;= lreKq lsysmhlau ;sfnkjd' .¾NKs iufha refn,a,d je<§fuka orejdg oreKq úlD;s;d we;sfjkak mq¨jka' orejd wkaOùu" Y%jKdndO we;sùu"

iqyo nj /l.kak Tn /lshdjla lrk .eìKs ujla kï /lshd ia:dkfha wh iu. iqyoj isákak' Tn .eìKshl jq nj mjikak' Tng myiq ia:dkhlg udreùu" fjk;a úIhhlg" b;d myiq ld¾hhl fh§ug fuhska bv m%ia:dj ,efí'

ffjoHjrhd - udisl ffjoH iÕrdj

ks;ru udkisl kSfrda.s nj /l.kak .eìKs ldka;djka wksjd¾hfhkau udkisl iykfhka" i;=áka isàu wjYH fõ' .eí .ekSfï§;a .eí.;a miq m%ijfha§;a fndfyda wmyiq;d wju lr.kak yels jkafka udkisl kSfrda.S nj iq/lSSfukah'

T!IOhla fyda wdf,amkhla ffjoH Wmfoia fkdue;sj .ekSu iq¥iQ keye'

.eìKs ujf.a orejd uekúka jefvkafka fuu úfõlh ksidhs' úfYaIfhkau fmr .íid ùu is¥ jq ujlg úfõlh b;d jeo.;ah'

udkisl wd;;sh jeks ;;a;ajhla ksid Tng;a lsishï .eg¨jla mj;S kï .eí .ekSug fmr udkisl frda. ms<sn| ffjoHjrhl= yuqù Wmfoia .ekSu b;du iq¥iqhs' T!IO yd wf,amk mdúÉÑh iq¥iqo@' ldka;djla ujla ùug n,dfmdfrd;a;= jkafka kï wkjYH f,i T!IO .ekSu" fya;=jla rys;j úgñka mdúÉÑ lsÍu yd úúO wdf,amk mdúÉÑho iq¥iq keye' tajd k;r l< hq;=hs' ore ms<sis| .ekSug udi ;=klg fmr f*da,sla wï, fm;s .ekSug mgka .kak ´kE' fjk;a lsisu 2015 uehs l<dmh

Pregnancy

.eìKs ujg iqÿiq wej;=ï mej;=ï

frda.hla we;akï T!IO .ekSu k;r lrkakg wjYHo@ .¾NKS ld,h ;=< wmiaudrh jeks frda.hlska fmf<kjd kï È.gu T!IO .; hq;=hs' tfiau tu frda.h md,kh jk ;=re ms<siso .ekSulska je<lSu jvd;a iq¥iqhs' fuys,d ffjoH Wmfoia ,nd .ekSu b;du jeo.;a' we÷u frda.S ldka;djla kï È.gu T!IO .; hq;=fõ' fuu T!IO .ekSu;a .¾NKS ùug .eg¨jla fkdfõ' fuu frda.h i|yd Ndú;d l< hq;af;a Inhaler T!IOhs' tajd .¾NKS ld,fha§ È.gu .; hq;=fõ' yoj;a frda. we;s ldka;djka .¾NKs ùu ;=< wk;=reodhl njla n, .ekafjkjd' .eí .ekSug fmr ffjoH Wmfoia ,nd .ekSu iq¥iqhs' wêl reêr mSvkh ;reK úfha§u fuu frda.h md,kh lr .ekSug mq¨jka' .¾NKs ld,fha§ wêl reêr mSvkh we;sjqjfyd;a ta i|yd .kakd T!IO m%fõYfuka ffjoHjrhd úiska f;dard fokq we;s' udkisl wdndO j,ska fmf<k ldka;djka .eí .ekSu iq¥iq fkdfõ' ¥r .uka hdu yels ;rï wvq lrkak .eìKs uj .¾NKS ld,fha ¥r .uka hdu fkdl< hq;=h' fuu ld,fha§ weh idudkH cSú;fhaoSg jvd blauKska fjfyig m;afõ' fï ld,fha ;ukag yqre mqre¥ idudkH .uka jqjo w;HjYH;djhla ke;akï yels ;rï wvq l< hq;=h' tfiau fuu ld,fha§ jdykhlska jqjo lvqf;d¨ we;s" udj;aj, os.= fõ,djla .uka lsÍu iq¥iq ke;' fmr .íid ùu is¥jqfha kï ¥r .uka hdu yels ;rï wvq lrkak' tfiau fudag¾ ihsl,a w;a g%elag¾ yd nia r:j, .uka hdu yels ;rï wvq lrkak' 94

fï ld,fhaoS ¥r .uka hdfïoS uq;%d my fkdlr jeä ld,hla bkakg is¥jk ksid;a c,h ksis f,i mdkh lsÍu is¥fkdjk ksid;a .eíks ujg uq;%d wdidok j,g f.d¥re ùfï wjia:dj jeäfõ' tu ksid .¾NKs ld,fha ¥r hdu yels ;rï wvq lrkak' /lshdjg hk .¾NsKs ujla kï /lshdjg hk .eìKs ujla kï iqmqre¥ f,i jdykj, hkafkao@ ke;akï fm!oa.,sl jdykhl hkafkao@ fï .ek Tn l,amkdldÍ úh hq;=h' tu .eìKs ujg tla jrla fyda reêrh myùula is¥ jqjfyd;a ffjoH Wmfoia mßÈ /lshdjg hdu f;dard .kak' .eiafiñka jdykj, hdu orejdg wk;=reodhlhs' .eìKs ujg úfúlh wjYHhs .eìKs ujf.a orejd uekúka jefvkafka fuu úfõlh ksidhs' úfYaIfhkau fmr .íid ùu is¥ jq ujlg úfõlh b;d jeo.;ah' wêl reêr

ffjoHjrhd - udisl ffjoH iÕrdj

mSvkh" jeoEuy my;ska msysàu jeks frda. ;;a;aj we;s ujqjrekao orejd l=i ;=< jeãu nd,ùu we;s uõjrekao m%udKj;a fia úfõl .; hq;=hs' ore.en ;=< W,an ;r,h ^Èhr nE.h& wêl kï Èhr msgùula we;súh yels neúka tu uõjrekao úfõl .ekSu b;d jeo.;a' .eìKs ujg jHdhdu wjYH wehs @ .eìKs iufha w. udij,§ jHdhdu w;HjYH fõ' jHdhdu u.ska fY%daKsfha fmaYs Yla;sula jk w;r th ore m%iq;sh myiq lrhs' fï i|yd jvd fyd|u jHdhduh weú§uhs'

.eiSula ;snqfKd;a yd B<. jdrfha .eìkshl jq miq wêl f,i kyr .eg.eiSu we;s jqjfyd;a ujg Tìk fïia j¾." T!IO j¾. ,nd Èh hq;=hs' fomdj, reêr .eg .eiSu j<lajd .kak mq¨jka' fuf,i reêr leg fmky¿ j, ysrùfuka laIKslj urKh mjd is¥úh yelsh' ;rndre yd jeämqr úfõlh .kakd wh w;ro fuu ;;a;ajh ny¨h'

fmr .íid ùu is¥jqfha kï ¥r .uka hdu yels ;rï wvq lrkak' tfiau fudag¾ ihsl,a w;a g%elag¾ yd nia r:j, .uka hdu yels ;rï wvq lrkak'

weú§u ksid l=ifha isák orejdf.a ysi my;a jk w;r wu;r Yla;sh weú§ug jeh jk ksid b;d úYd, orejka yïn fjkafka ke;' kyr .eg .eiSu fyda kyrj, reêrh leá .eiSu Ysrdj, reêr leá 2015 uehs l<dmh

Pregnancy

.eìKs ujg iqÿiq wej;=ï mej;=ï

.eìKs ujla Wv we÷ï fukau hg we÷ï yeuúgu ms<sfj<lg mj;ajd .ekSu jeo.;a' breKq jerys,s ù .sh we÷ï lsisfia;a w|skak tmd' yÈis wjia:djl§ frday,a.; ùug mjd bv we;s neúka Tn f;dard.kakd we÷ï ms%hukdm bÈßmiska újD; l< yels tajd úh hq;=h'

we÷u ms<sn| jvd;a ie,ls,su;a jkak .eìKs ujlg jvd;a iq¥iq jkafka lmq ñY%s; froafoka ksu l< ieye,a¨ we÷ïh' ,d meye;s j¾Kfhka hqla; we÷ï we|Sug iEu úgu W;aidy .ekSu l< hq;=hs' lsis úfgl;a isrer úfYAIfhkau Worh" mshhqre ;ojk fia we÷ï we|Su iQ¥iq keye' th orejdf.a jeãug ndOd we;s lrkjd' tfiau ia;k .%kaÓ j, ^mshhqre j,& laIsr ^lsß& W;amdokhg ndOd muqKqjkjd' .¾NKs iufha udi my miqfj;au lsß tÍu wdrïN fjkjd' fuu ld,fha§ mshhqre úYd, ùu yd tajdfha msreKq iajNdjh we;sfjkjd' fuu wjYH lrk j¾Okhg bv ,nd §u;a tajd m%fõYfuka wdrlaId lr .ekSu;a i|yd ieye,a¨ we÷ï we§u b;du wjYHhhs'

.eìKs ujlf.a we÷ï ,d meyeùu b;du jeo.;a' tfia jeo.;a jkafka lsishï fhdaks >%djhla we;s jqjfyd;a tys meyeh y÷kd .ekSug myiq ùughs' úfYAIfhkau reêrh ñY%s; fhdaks >%djhla we;sjq wjia:djl th .¾N >%djhl fmr ksñ;a;la úh yels neúka ieu úgu ,d meye;s we÷ï we÷ï we| isàu jvd;a jeo.;a l¿ j¾Kfhka hq;= we÷ï we÷u iq¥iq ke; foaY.=Kh wkqj we÷ï weÈh hq;=hs' we;eï is,ala jeks we÷ï j,ska YÍrfha wdid;añl;djhla we;s fjkak mq¨jka' wmf.a ffjoHjrhd - udisl ffjoH iÕrdj

YÍrhg .e,fmkafka ke;s ksul< we÷ï we÷fï§ YÍrhg ysrfjk .;shla oefkkjd kï" tjeks we÷ï iq¥iq keye' tfiau l¿ j¾Kfhka hq;= we÷ï we§u;a iq¥iq fkdfõ' fuhg wu;rj ;ukaf.a ysiflia .ek yeuúgu ie<ls,su;a úh hq;=hs' ysig f;,a oud fyd|ska ysi mSrd ;nd .ekSu jeo.;a' kshfmd;= b;d fldgg lmd .ekSu iq¥iqhs' kshfmd;= ks;ru msßis¥j ;nd .; hq;=hs' uqyqK fjkia ùu fydafudak j, fjkiaùu ksid we;eï úg .eìKs ldka;djkaf.a yu ms<siaiqKq iajNdjhla .kakjd' fj<|fmdf<a ;sfnk yeu wdf,amKhlau fuhg m%;sldr lshd wdf,am lsÍu iq¥iq keye' fï ld,h ;=<§ wdf,amk f;dard .ekSu ffjoH Wmfoia wkqj muKla l< hq;=hs' vhs lsÍu iuyr .eìKs uõjrekag cdkuh 2015 uehs l<dmh

n,mEï ksid b;d wvq jhia uÜgï j,§ fldKavh b§ug mgka .kakjd' ta ld,h ;=<§ È.gu vhs lr,d ;sfhk ksid' iuyr uõjreka ys;kjd .eìKs iufha jqj;a vhs l,dg jrola fkdfjhs lsh,d vhs lrkjd' fï vhsj, ;sfnkafka ridhksl j¾. ta jf.au iug wys;lr wefudakshd j¾. fïjd l=fia isák orejdg miqld,Skj n,mEï we;sfjkak mq¨jka' tu ksid udi 9- 10 la jf.a ld,hla vhs fkdlr isáh;a iqkaor;ajhg ndOdjla fjkafka keye' weysneu weysneu ilia lsÍfï§ iuyr ffjoHjre mjikafka fuh l=i ;=< isák orejdg n,mdk njhs' fuu ld,h ;=<§ weysneu ilia lsÍu ;=<ska je<lS isàu fyd|hs' iug .e,fmk whqßka idudkH fïla wma tlla oeóu ydkshla fkdfõ' .¾NKS ld,h ;=<§ fn,a," je<ñg l¿ fjkjd' fï jf.a wjia:djkaj,oS tl tl l%Sï j¾. Ndú;h iq¥iq keye' frdau l=m jqj;a .e,ùu iq¥iQ fkdfõ' ksh wdf,amk frday,g hkúg§ m%iq; ld,h ,x fjk úg kshfmd;= wdf,amkh iq¥iQ fkdfõ' ksh wdf,amk .e,aùu b;d nrm;, je/oaols' ksh wdf,amk .e,aùu ksid .eìKS uj frdayf,a§ orejd ,efnkak ,xjq úg m%iq;d.drfha§ ffjoHjreka uy;a wmyiq;djhlg m;afjkjd'fï ksid ujf.a kshfmd;=j, j¾Kh" ksÍlaIKh lsÍug fkdyels fjkjd' hï fya;=jlg fyda uj ks,ameye .ekajqjfyd;a kshfmd;=j, j¾Kh yßhg n,d. kak fkdyels fjkjd' tu ksid tu ld,hg lsis f,ilska kshfmd;= j¾K .kajkak tmd' wfma YÍrfha iajNdjh ksh f;d,aj, iajNdjh n,kak neß fjkjd' idlÉPd igyk - wkqrdOd È,sks b,kafldaka 97

Pregnancy

ore m%iQ;shla i|yd frday,a .;jk Tng m%ij yd kdßfõo úfYaI{ Wmfoia

wkjYH ìhla we;s lr fkd.ekSu

ore m%iQ;shla i|yd frday,a .;jk Tng m%ij yd kdßfõo úfYaI{ Wmfoia

frdayf,a§ isÿjk foa ms<sn| Tng uQ,sl wjfndaOhla ;sìh hq;=h' Tn jdÜgqjg we;=¿ úh hq;af;a we|la n,dfmdfrd;a;=fjkau fkdfõ' rcfha frday,aj, ;sfnk ;onoh fya;= fldg f.k by; lS frda. ;;a;aj we;s whg we|la ,nd §fï§ m%uqL;djh ysñ fjhs'

m%ij yd kdßfõo úfYaI{ ffjoH wd¾ tka Ô rdcmlaI m<uq ore m%iQ;shg iQÞkñka isák ´kEu .eìks ujl ;=< ;on, ìhla" pls;hla" fkdikaiqka lula we;s ùu iajNdúl ;;a;ajhls' orejl= ìys lr w;a±lSula fkd;sîu fiau m%iQ;sfha§ we;sjk fõokdj iy úúO ixl+,;d ms<sn| we;s ìh jeks oE fuhg m%Odk jYfhka fya;=fõ'

.eìks ujla frday,a .; lrk fya;= .eìks ujla frday,a .; lrk fya;= lsysmhla ;sfí' • Èk .Kka iïmQ¾K ù idudkH wdldrhg ore m%iQ;sh isÿùu i|yd • isfiaßhka ie;alu lsÍug wjYH nj ffjoHjrhd úiska ;SrKh l< miq ta i|yd • wêl reêr mSvkh" .¾N Èhjeähdj" reêr jykh" ;r, msgùu" orejdf.a j¾Okh wvqùu" ;on, Wor fõokdj jeks fya;=jla we;s jQ úg wd§ jYfhks' fuys§ idlÉPd lrkafka idudkH ore m%iQ;shla i|yd .eìks ujla frday,a .; ùu iïnkaOjhs' fuys§ wm wjOdkh fhduq lrkafka rcfha frday,lg we;=¿ ùu ms<sn|j nj úfYaIfhka i|yka l< hq;=h'

fï ksid we|la ke;s jqKd lshd Tn wd;;shla we;s lr .; hq;= ke;' Tn frday,a.; jkafka udi oyhla ;siafia Tfí l=i ;=< we;s ±ä fjñka ys¢k orejdf.a uqyqK n,kakgh' w¨;a idudðlhd Tfí mjq,g tl;= lr .kakgh' Tfí m%Odk i;=g úh hq;af;a thhs' tA i;=g is; ord .;a úg ndysr wksl=;a .eg¨ Tng wu;l l< yels jkq we;'

ffjoHjreka we;=¿ frday,a ld¾h uKav,hg Tfí iyfhda.h ,nd§u Tnj mÍlaId lsÍug ffjoHjrhdg iyfhda.h ,nd

ffjoHjrhd - udisl ffjoH iÕrdj

fokak' ffjoHjreka fiau fyÈhka" mjq,a fi!LH fiaúldjka we;=¿ wksl=;a ld¾h uKav,h ys¢kafka Tng Woõ lsÍu i|yd njg iqnjd§ yeÕSï we;s lr .kak' tA wh ukd w;a±lSï we;s msßils' w;a±lSï wvq wh fujeks Ndr¥r ld¾hhka i|yd rcfha frday,aj, idudkHfhka fhdokafka ke;' w;S;fha ks;ru frda.Skag neKjÈk fiajl msßia rcfha frday,aj, isáh;a ±ka tjeks wh wvqh' tA ksid Tfí orejdj fuf,djg cks; lr,Su i|yd Tng Woõ lrkakg ie§ meye§ isák Tjqkg Tfí me;af;ka osh yels iyfhda.h Wmßufhka ,nd fokak'

2015 uehs l<dmh

isfiaßhka ie;alula i|yd n, lrkak tmd fndfyda ldka;djka ;=< m%iQ; fõokdj ms<sn|j we;af;a ±ä ìhls' tA ksidu jdÜgqjg we;=¿ jQ fudfydf;a mgka isfiaßhka ie;alula isÿ lrk f,i b,a,ñka ffjoHjrhdg lror lrk uõjre j¾;udkfha fndfyda fj;s' 99

Pregnancy

ore m%iQ;shla i|yd frday,a .;jk Tng m%ij yd kdßfõo úfYaI{ Wmfoia

kuq;a uj b,a,d isá m<shg isfiaßhka ie;alï lsÍu rcfha frday,aj, idudkHfhka isÿ fkdfõ' thg tla;rd l%shd mámdáhla we;' fya;= rys;j isfiaßhka ie;alï isÿ lrkafka ke;' idudkH m%iQ;sh hï .eìks ujlg iqÿiq nj m%ij yd kdßfõo úfYaI{ ffjoHjrhd úiska ;SrKh lf<a kï Tn thg iQÞkï úh hq;=h' isfiaßhka tlla wjYH nj lshñka lror lrkakg hdfï§ m%iQ;sh ;j;a jHdl+, ùu isÿfjhs' tksid Tn ujl ùug ±ä wdidjlska miqjk ldka;djl f,i m%iQ;s fõokdjg Tn uqyqK osh hq;=h'

m%iQ;sh fõokdldÍ fkdùu i|yd T!IO w;S;fha fuka fkdj j¾;udkfha m%iQ;s fõokdj wju lsÍu i|yd m%iQ; fõokd wdrïN jk wjia:dfõ§u ±ka fm;sãka kue;s T!IO .eìks ujg fokq ,efí' fuh rcfha iEu frday,lu mj;sk w;r fï T!IOh ksid m%iQ;sfha§ we;sjk fõokdj wvqjkq we;' 100

w;S;fha fuka fkdj j¾;udkfha m%iQ;s fõokdj wju lsÍu i|yd m%iQ; fõokd wdrïN jk wjia:dfõ§u ±ka fm;sãka kue;s T!IO .eìks ujg fokq ,efí'

f;dard .;a ore m%iQ;sj,g muKla m%iQ; fõokd ke;slsÍug tmsähqr,a l%uh Ndú;d flf¾' kuq;a fuh iEu rcfha frday,lu fkdue;''

m%iQ; fõokd mudùu kshñ; Èkj,§ ujg m%iQ; fõokd we;s fkdjqjfyd;a fhdaks ud¾.ähg T!IO fyda isyska rn¾ nghla we;=,alsÍu ;=<ska fõokdj we;s lsÍug lghq;= fh§u isÿfõ' fuh ìh úh hq;= ;;ajhla fkdfõ' fõokdj we;s jQ miq iQ;sld.drhg uj /f.k hkq we;' iQ;sld.drh ;=< idudkHfhka meh 10-12l muK ld,hla orejd ìysjkafkao hkak .ek mÍlaIdfjka ys¢kq we;' .eíf., l%ufhka újr jkafka kï idudkH ore m%iQ;shla n,dfmdfrd;a;= úh yelsh' kuq;a ffjoHjrhd úiska ;SrKh l< ld, iSudj blaujd .shfyd;a tkï m%udo jqjfyd;a isfiaßhka ie;alula lsÍug isÿúh yelsh' tksid wkjYH ìhla we;s lr.; hq;= fkdfõ' m%iQ;s fõokdj wdrïN jQ fõ,dj" .eíf.< újr jk wdldrh" orejdf.a ysi my;g tk wkaou" orejdf.a yDofha Yíoh hk fï ish¨ fohu fuys§ ksÍlaIKh flf¾' fïjdfha hï .eg¨ iy.; ;;a;ajhla we;s nj fmkqfKd;a isfiaßhka ie;alula isÿlrkq we;' tksid ore m%iQ;sh hkq w;S;fha ;rï Nhdkl w;a±lSula f,i fldfy;au ie,lsh hq;= fkdfõ'

ffjoHjrhd - udisl ffjoH iÕrdj

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

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

101

Feed

uõlsß fodjd .kafka flfiao@

) orejd fyda uj oeä f,i wikSm ù ^lsß oSug fkdyels ùu& lsß Wrd fkdfndk úg lsß ksIAmdokh wdrCId lr .ekSug" lsß fodjd wial< hq;= fõ' ke;fyd;a mshhqr ysia fkdjk úg lsß ksmoùu wvqúh yel'

orejdf.a miq mßyrkh i|yd''' lsß ksmoùu wdrlaId lr.kq i|yd'''

uõlsß fodjd .kafka flfiao@ ffjoH wfkdaud ch;s,l uõlsß foùu hkq l=ulao@ orejdg uõlsß idudkH f,i Wrd îug fyda ujg" orejdg lsß oSug fkdyels úg fjk;a wdldrhlg mshhqfrka lsß bj;a lsÍu" uõlsß foùu f,i yªkajhs' uõlsß foùug isÿjkafka l=uk wjia:djkayso@ ) kshñ; oskg fmr Wm; ,o fyda b;d nr wvq" lsß Wrd îug fkdyels orejkag fmùu i|yd ^fudjqkag uq,a oskj,oS lsß Wrd îug Yla;shla ke;& ) lsß ;o jQ úg orejdg mshhqr w,a,d .ekSug wmyiq fõ' túg orejd ksjerosj mshhqr iïnkaO lrùug kï lsß iaj,amhla fodjd mshhqf¾ l¿ fldgi uDÿ l< hq;=fõ' ) rdcldß lrk ujlg rdcldß fõ,dfõoS orejd fmdaIKh i|yd rdcldßhg hdug fmr lsß foúh hq;= fõ' ) tfukau rdcldßhg .sh ujf.a lsß wvqùu je<elaùug rdcldß fõ,dfõoS meh 3 lg jrla j;a lsß foúh hq;= fõ' mshhqr ks;r ks;r ysia jQfha ke;skï tys lsß ksmoùu wvq fõ' ) .s¨kq ;kmqvq we;s uõjrekaf.ka orejd lsß Wrd îug mqreÿ jk ;=re Tjqkg uq,a osk lSmfhaoS lsß fodjd fmúh hq;= fõ'

102

mshhqf¾oS lsß we;af;a fldyso@ mshhqr fldgia 15- 16 lska muK iukaú; fõ' ta ieu fldgilu lsß ksmojk ffi, we;s w;r tajd kd, u.ska ;k mqvqjg iïnkaO fõ' fuu kd, ;k mqvqfjka msg;g újD; ùug fmr ;k uv,g tfia ke;fyd;a mshhqf¾ l¿ fldgi hgoS úYd, ù lsß tl;= jk fldgila njg m;afõ' bkamiq kej; th l=vdù isÿre f,i ;k mqvqfjka msg;g újD; fõ'

ffjoHjrhd - udisl ffjoH iÕrdj

mshhqrl yrialv yd oslalv rEm igyfka oelafjk wdldrhg ;kmqvqj jvd l¿ meye;s fldgila we;' th weßfhda,dj ^;kuv,& jYfhka yªkajkq ,efí' orejdg îug fukau fodjd.; yels jkafkao fuu l¿ fldgig ^weßfhda,djg& háka tl;= jk lsß muKs' lsß fodjd .ekSug kï" lsß iEfok .%kaÓj, isg tu lsß my<g .,d wd hq;= fõ' idudkHfhka fuh isÿjkafka orejd lsß Wrk úgh' Tn orejdg lsß fok ujla kï" m<uqj orejdg lsß Wrd fndkakg oS fojkqj wfkla mshhqfrka yd m<uq mshhqfrka lsß fodjd .kak' orejd lsß Wrd ìõ miq lsß my<g .,d tk ksid lsß foùug myiq fõ' tfia ke;fyd;a lsß foùug fmr lsß my<g .,d tau myiq lsÍug my; i|yka l%shdldrlï isÿ lrkak'

2015 uehs l<dmh

) WKQj;=frka mshhqr ;jkak ) Tnf.a we`.s,s ;=vq j,ska" ;kmqvqj frda,a lrkak' ke;fyd;a uDÿj bosßhg woskak ) we`.s,s ;=vq j,ska mshhqr ;k mqvqj foig uDÿj msßuoskak ) Tnf.a w;ñg fud<jd mshhqr ;k mqvqj foig uDÿj f;rmkak fuúgo orejd lsß fndkjd fuka mshhqr W;af;ackh ù lsß ;k uv, foig .,d taú' túg fodjd .ekSu myiq fõ' lsß foùu Ndckhla ilid .ekSu lsß foùug lg m<,a Ndckhla Ndú;d l< hq;= fõ' th fyd|ska inka fhdod fidaod W;=rk j;=f¾ úkdä 10 la ;ïnd .kak' fï i|yd fj<|fmdf,a wvq ñ,g .; yels iafÜka,ia iaá,a fldamam Ndú;d l< yel' fuu fldamamfha lg jid .ekSug mshkla we;akï th jvd;a fyd|h'

103

Feed

uõlsß fodjd .kafka flfiao@

lsß fodjd .kakd wkaou ) w;ska lsß foùu b;d myiq fõ' m<uqj inka .d oE;a fyd|ska fidaod .kak' ) rEm igyfka we;s mßos Tnf.a udmg we`.s,a, weßfhda,djg ^mshhqf¾ l¿ fldgi& mshhqf¾ iu" yuqjk ;ek ;nkak' Tnf.a fojeks we`.s,a, uymg we`.s,a,g m%;súreoaOj isák fia ;nkak' tkï we`.s,s fol w;f¾ mshhqf¾ l¿ fldgi w,a,d .kak' ) mmqj foig we`.s,s fol uo f,i f;rmkak ) udmg we`.s,a,;a fojk we`.s,a,;a ^on/.s,a,& w;f¾ ;kuv, f;rmkak' ksoyia lrkak' kej;;a f;rmkak' ksoyia lrkak' ) m<uqj lsß ìxÿj jEiafia' bkamiq lsß .,d tau wrUhs' ke;akï bosßhg úoshs' ) ksishdldrj lsß .,d tau wvqjk ;=re fufia f;rmkak' ksoyia lrkak ) bkamiq wfkla mshhqrg hkak' tys lsß jEiaiSu wvq jk úg kej;;a uq,a mshhqrg tkak' fuf,i fodjd.; yelafla mshhqf¾ tla me;a;l we;s lsß muKs' ) rEm igyfka olajd we;s mßos uymg we`.s,af,ka yd fojeks we`.s,af,ka mshhqf¾ me;so w,ajd.kak' mshhqf¾ fome;af;a lsßo fï wdldrhg fodjd .kak

uq,a osk j,oS yßhdldrj l%uh mqreÿ jkak' l%uh mqreÿ jk ;=re fuh b;du;a wmyiq lghq;a;la fia Tng jegfyaú' kuq;a th wmyiq ke;' ) idudkHfhka lsß fodjd .ekSug úkdä 20-25 la muK .;fõ ) lsß foùu fõokdldÍ fkdfõ' th fõokdldÍ kï l%uh ksjeros fkdfõ' ) ;k mqvqj weoSfuka fyda f;rmSfuka lsß fodjd.; fkdyel ) mshhqr by< isg my<g f;rmSfuka fyda msßueoSfukao lsß fodjd.; fkdyel tfiau lsß foùu i|yd fmdïm (Breast Pums) Ndú;d lsÍu t;rï iqÿiq ke;' tu fmdïm we;=<; úIîc kshudldrj úkdY lsÍugo fkdyel' tfukau w;ska lsß fojkjdg jvd fmdïmh Ndú;d lsÍu Tng fõokdldÍ fõ'

104

ffjoHjrhd - udisl ffjoH iÕrdj

Tn osklg lS jrla lsß foúh hq;=o@ ore Wm;ska uq,a osk j,oS Tnf.a orejd <ore ldurfha isà kï osjd ld,fhaoS meh 3lg jrlao" rd;%sfhaoS fojrlao lsß foúh hq;=fõ' rdcldßhg hk ujg lsß ksmoùu fyd|ska wdrCId lr .ekSug kï" rdcldß fõ,dfõoS meh 3lg jrla j;a lsß foúh hq;= w;r" rd;%shg orejdg lsß Wrd îug osh hq;= fõ' ke;fyd;a" wehf.a lsß m%udKh blauKska wvqù hd yel' Tn ksjiska neyerj isák úg" orejdf.a fmdaIKh i|yd lsß fodjkafka kï orejd lsß ìú ú.i tu mshhqf¾ b;sß lsß m%udKho wfkla mshhqfrkao lsß fodjd /ial< hq;=fõ' lsß ksIAmdokh wdrCId lr .ekSug kï mshhqr ysiaùu w;HjYH fõ'

2015 uehs l<dmh

fodjd .kakd lsß .nvd lrkafka flfiao@ fï i|yd fyd|ska W;=rk j;=f¾ úkdä 10 la ;ïnd .;a lg jeish yels Ndckhla Ndú;d l< hq;= fõ' ) ldur WIAK;ajfha meh 6 la lsß .nvd lr ;nd.; yel' ) Ys;lrKfha idudkH fldgfia meh 24 la lsß .nvd l< yel ) wêYs;lrKfha udi 3la lssß .nvd lr ;nd.; yel YS;lrKfha ;enQ lsß orejdg fmùug fmr WKQiqï l< hq;=fõ' kuq;a lsis úgl;a ,sml ;nd r;a fkdl< hq;=fõ' u|la WKQiqï j;=f¾ lsß Ndckh .s,ajd WKqiquq l< hq;= fõ' fodjd.;a lsßj, rifha fyda .=Kfha lsisu fjkila ke;' fodjd.;a lsß orejdg fmdjkafka flfiao@ fldamamhla fyda yekaola Ndú;d lr orejdg lsß fmdjkak' lsisúfgl;a fnda;,a iQmamq Ndú;d lrkak tmd' orejd iQmamqfjka lsß îug mqreÿ jqjfyd;a mshhqr Wrkak ue,s fõ'

Wmqgd .ekSu mjq,a fi!LH ld¾hdxYfha uõlsß fodjd.kafka flfiao@ m%ldYKh

105

Controversy

fmd,af;,a .=Kfhka wfkl=;a f;,a j¾. wNsnjd hkafka fufyuhs

fmd,af;,a

.=Kfhka

wfkl=;a f;,a j¾. wNsnjd hkafka fufyuhs fmd,af;,a YrSrhg Wrd.ekSfïoS bkaøsh fjfyig m;aùula lrkafka kE ffjoH pñkao fm%au;s,l úisks wo f,dalfha f;,a j¾. iïnkaOfhka we;af;a úixjdohls' l,ska l,g úúO f;,a j¾. y÷kajd fohs' l,la hk úg tajdfha wj.=K fy<s fjhs' kej;;a mrK isß;u fyd| hhs lshhs' fï ixo¾Nh ;=< wo f,dalh mqrdu fmd,af;,a iïnkaOfhka mq¿,a l;sldj;la we;s ù ;sfí' ta wf;darla ke;s f;,a j¾. w;f¾ fmd,af;,a j, uy;ajQ fmdaIKSh .=Kh iïnkaOfhks' cS¾Kl moaO;sh iqir lrñka YrSrhg Wrd .kshs fmd,af;,a j, we;s uOHu odu fïo wï, (MCFAs) wfkl=;a fïohg jvd fjk;a wdldrfhka YÍrhg Wrd.kakd nj m¾fhaIK j,ska fy<s ù ;sfí' uOHu odu fïo wï, YrSrhg Wrd .ekSfïoS os.= odu fïo wï, (LCFAs) j,g jvd ld¾hlaIuj YÍrhg wjfYdaIKh fjhs' tajd YÍrh ;=<oS ì| fy<Sug wjYH lrkafka wvq Yla;shls' wvq tkaihsu Ndú;djls' wjfYdaIK l%shdj,sfhaoS cS¾Kl moaO;shgo" fjfiiskau w.akHdYhgo t;rï nrla fkdoS th isoaO flfrhs'

106

fmd,af;,a j, we;s uOHu odu fïo wï, (MCFAs) wfkl=;a fïohg jvd fjk;a wdldrfhka YÍrhg Wrd. kakd nj m¾fhaIK j,ska fy<s ù ;sfí' uOHu odu fïo wï, YrSrhg Wrd .ekSfïoS os.= odu fïo wï, (LCFAs) j,g jvd ld¾hlaIuj YÍrhg wjfYdaIKh fjhs'

ffjoHjrhd - udisl ffjoH iÕrdj

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

waidyawaraya.com

2015 uehs l<dmh

YÍrfha nr wvq lsÍug WmldÍ fjhs fï wOHhkfhaoS jeo.;a wkdjrKhla isÿ flßK' i;s fod<yla mqrd fmd,af;,a wka;¾.; fmdaIK mod¾: ,ndÿka ldka;djka ksheoshlf.a YÍr ialkaO o¾Ylh" bK jg m%udKh ie<lsh hq;= wvq uÜgulg m;a úh' krl fldf,iagfrda,a f,i ie<flK LDL ixhq;sh reêrfhys wvq jQ w;r fyd| fldf,iagfrda,a ixhq;sh (HDL) by< kexùula isÿ ù ;sìK' fï m%;sM< úYAf,aYKh lrñka tlS m¾fhaIlhka" fmd,af;,a YrSr nr wvq lsÍug oskm;d .; yels f;,a j¾.hla f,i ks¾foaY lrKQ ,eîh' 107

Controversy

fmd,af;,a .=Kfhka wfkl=;a f;,a j¾. wNsnjd hkafka fufyuhs

wdydr msiskakg fyd| f;,a fudkjdo@ Tn wdydr msiSug .; hq;= fi!LHdrlaIs; f;,a j¾. fudkjdo @ ljrla jQj;a tys ;sìh hq;=u .=Kdx.hla jkafka by< WIAK;aj j,g tu f;,a m;aùfïoS ridhKsl fjkialï ta ;=< fkdúh hq;=h' by< WIaK;aj j,oS f;,a j, iajNdjh TlaislrKh ùuhs' fuys m%;sM<h jkqfõ OQ,l ^úI& úfYAI fukau krl fldf,iagfrda,a (LDL) uqod yeÍuhs' fï OQ,l yd fldf,iagfrda,a j,ska ñoSug bkamiq YÍrh ;=<ska l%shdj,shla n,.ekaúh hq;=h' ke;akï m%;sM<h jkafka Tn frda.sfhl= njg m;a ùuhs' fmd,af;,a iïnkaOfhka ie<l+ úg th imqrd ix;Dma; fïo ldKAvhg wh;a f;,a úfYAIhla jkafkah' tys wre; jkafka by< WIAK;aj j,oS ì| fy<Sulg ,la fkdjk njhs' fmd,af;,a wjYHfhkau fi!LH iïmkak jk w;r Tfí wdydr losug rij;a lsÍfï ksi`. yelshdjlskao hqla;h'

108

fmd,a lsß j, we;af;a wvq fïo m%udKhls' YÍrfha nr md,kh lsÍug fmd,af;,a iqÿiq jkafka tfyhsks' mßjD;a;Sh l%shdj,sfhaoS fmd,af;,a wfkl=;a ish¿u f;,a j¾. j,g jvd fõ.j;ah' fmd,af;,a reêr.; fïoh md,khgo fya;= fjhs'

ffjoHjrhd - udisl ffjoH iÕrdj

fïo m%udKh wvqhs fmd,a lsß j, we;af;a wvq fïo m%udKhls' YÍrfha nr md,kh lsÍug fmd,af;,a iqÿiq jkafka tfyhsks' mßjD;a;Sh l%shdj,sfhaoS fmd,af;,a wfkl=;a ish¿u f;,a j¾. j,g jvd fõ.j;ah' fmd,af;,a reêr.; fïoh md,khgo fya;= fjhs' fmd,af;,a j, jeä jYfhka we;af;a óg l,ska m%ldY l<dla fuka uOHu odu fïo wï,h' fïjd YÍrh ;=< myiqfjka mßjykh jk w;r wfkl=;a ydkslr fïoh bj;a lsÍug fmd,af;,a WmldÍ jkafkah' fmd,af;,a j, úYd, m%;sTlaisldrl .=Khla mj;S' kshu wdldrfhka ms<sfh< lsÍfuka miqj jir .Kkdjl wejEfuka jqjo TlaislrKhla isÿ fkdfõ' úYd, fmdaIKSh .=Khla fmd,af;,a Tfí m%;sYla;slrKh by< kxjhs' ta ;=< ffjri" os,Sr" nelaàßhd fukau fjk;a mrfmdaIs; wdidok uev,Sfï losu yelshdjla ;sfí' fmd,af;,a j, uy`.= fmdaIKSh jákdlula we;' ta ;=< úgñK" LKsc ,jK" weuhsfkda wï," fukau jákd fl|s;s fmdaIKSh jYfhka wka;¾.;h' ta yerqKQ úg le,aishï" fmdgEishï" ue.akSishï" úoahq;a úÉfPaoH wdosh úYd, jYfhka wka;¾.;h' fmd,af;,a j, fï wdldrfhka fndfyda jákdlï we;;a tys .=Kd;aulNdjh iq/flkafka kshñ; wdldrhg ksIAmdok l%shdj,sh isÿ jQjfyd;a muKs' tfia fkdjQjfyd;a kshñ; ksIAmdok m%ñ;Ska fj; wkq.; fkdjQjfyd;a fï jákdlï Tng ,nd .ekSu W.ygh' tu ksid mdßfNda.slhska jYfhka ksjeros m%ñ;sfhka ksmojQ fmd,af;,au fj<|fmdf<ka ñ,oS .ekSug Tn W;aiql úh hq;=h'

2015 uehs l<dmh

109

110

ffjoHjrhd - udisl ffjoH iÕrdj

Artheritis

ikaêm;a fõokdfjka wiaÓ m%odyfhka Tn;a mSvd ú|skjdo@

OSTEOARTRITIS ikaêm;a fõokdfjka wiaÓ m%odyfhka Tn;a mSvd ú|skjdo@ à¡tï¡tka¡ fu;a;dkkao M.S.L.S.P, S.R.P. (U.K.) wêldÍ fN!;Ñls;ail úisks

wd;rhsáia (Artheritis) fkdfyd;a ikaê m%odyh kñka woyia jkafka ñksia isref¾ ikaê (Joints) udxY fmaYs (Muscleses) nkaOkS (Ligaments) iy mgl (Tissues) flfryS n,mdk úYd, m%udKhl m%Yak yd .eg¿ wdjrKh lsÍug fhfok úYd, l=vhla (Umbrella term) jeks mohls¡ kùk ffjoH úoHdj u`.ska fujeks ikaê m%ody m%fNao 40 la muK oekg y÷kdf.k we;¡ fuu m%fNao w;=ßka Osteoarthritis/ Degenerative Arthritis/ Degenerative joint disease/ Osteoarthrosis/ Cervical Spondylosis/ Lumbar Spondylosis f,i bx.%Sis NdIdfjkao jd; wudre$ ikaêm;a fõokdj$rla;jd;h$ wdu jd;h$ fn,af,a fõokdj$ là jd;h$ f,i úúO wjia:dj,oS isxy, NdIdfjkao y÷kajk wiaÓ m%odyhg iïnkaO

2015 uehs l<dmh

111

Artheritis

frda.S ;;a;ajhka yd m%;sldr ms<sn|j fuysoS i<ld nef,a¡ m%d:ñl yd oaù;Shsl jYfhka yg.kakd wiaÓ m%odyh ienúkau m%odyuh ;;a;ajhla (Inflammatory diseaes) fkdjqko ikaê yd ta wdY%s; mgl tkï ikaêh (joint) ikaê fldmqj (Joint capsule) ikaê fldmqj we;=,; msysá wiaÓ fldgia u;=msg ldáf,ac wdjrKh (Articular cartilage) iy ldáf,aca fldgiaj,ska wdjrKh jQ wiaÓ fl<jr (Subchondral bone) ish,a,g hdka;%sluh ;;a;ajhlg ,laùu ^Wod# we;s,a,Su$ .eàu yd nr oeÍu& fya;=fjka we;sjk frda.S ;;a;ajhls¡ frda. ,laIK fudkjdo@ • fõokdj (Pain) • oro`vq wkuH yd ;o .;sh (Stiffness) • bosóu (Swelling) • úlD;sùu (detormity) • l%shdldrlï ^keùu os.yeÍu& wvmK ùu (Loss of ability to move) 112

ikaêm;a fõokdfjka wiaÓ m%odyfhka Tn;a mSvd ú|skjdo@

• w;ska ;o l< úg we;sjk fõokdj (tenderness) • ikaêh we;=,; oshr tl;= ùu (Joint effusion)

fujeks frda.Skag m%;sldr lsÍfïoS frda. ,laIK yd fõokdj wvq lsÍug fukau wkd.; ydks wju lsÍu yd je<elaùu wruqKq lr.kS¡

wiaÓ m%odyh we;sjkafka flfiao@ ldáf,acj,g f;mq,a oSfï Yla;sh ^m%;Hia:;dj - Suppliness & we;s ksid jrla keù weoS .sho h:d ;;a;ajhg meñKSfï yelshdj mj;S¡ jhia.; ùu;a iu. tlS yelshdj ÿ¾j, jk w;r fmroS fuka weoSï yd .eiaiSï j,g Tfrd;a;= oSfï Yla;sh ySk fjhs¡ os.= l,la fujeks ikaêhla l%shd lrùu ksid ldáf,ac Ldokh ù ldáf,achg háka msysá wiaÓ fldgia (subchondral bone) ksrdjrKh fjhs¡ jvd;a ;on, f,i mdúÉÑ lrk ikaêhloS tlS ldáf,ac muKla fkdj háka msysá wiaÓ fldgia mjd Ldokhg ,la fõ¡ ikaêh iliaùfïoS ta jgd ks¾udKh ù we;s u,a,la jeks wjldYfha (joint capsule) iafkayl (Lubricant) jYfhka l%shd lrk ,isld ;r,h (Synovial fluid) msÍ mj;S¡ iuyr wjia:dj,oS ldáf,acfhka leã .e,ù .sh fldgia ishqï len,s jYfhka fuu ,isld ;r,h iu. ñY%j mdfjñka mj;S¡ túg ikaêh l%shd lrùu ;j;a ÿIalr jkq we;¡ fuu wjia:dj olajd frda.h j¾Okh jqjfyd;a YÍrfha iajhx m%;sldr wxYh ffjoHjrhd - udisl ffjoH iÕrdj

l%shd;aul ù ikaêfha jeäfhka nr jefgk fldgfiys Odrl jeä lsÍug W;aidy lrhs¡ fuu l%shdj,sfhaoS nkaOkS iy ikaê fldmqj wiaÓhg iïnkaOjk iSudfõoS wuq;=fjka fkÍï$ fkrE (spurs/osteophytes ) yg .efka¡ fld÷ weg fmf<ys wiaÓ m%ody ;;a;ajhloS fn,a, wdY%s;j (Cervical spandylosis) i¾jhsl,a iafmdkaäf,daiska kñka o là lfYareld$ ;=káh$ msgfldkao wdY%s;j ,ïn¾ iafmdkaäf,daisia kñkao y÷kajkq ,efí¡ fuf,i lfYareldfjys fkrE yg.;a úg YÍrh úiskau lrk ,o m%;sldrh tu mqoa.,hdg wdndOhla njg m;ajkq we;¡ wiaÓ m%odyh je<f|kafka úhm;a whg muKla o@ th tfia fkdjk w;r úhm;a ieufokdgu wiaÓ m%odyh je<fokafka o ke;¡ my; i|yka mqoa.,hskag wiaÓ m%odyh je<|Sfï m%jK;djh by< uÜgul mj;S¡ • wiaÓ u; yd ldáf,ac u; f;mq,aoSfï Yla;sh ySk wh¡ • uOqfïyh$oshjeähdj we;s wh • ia:q,;djfhka fmf<k wh • rEueál ikaê m%odyh jeks ld,Sk m%odyhka we;s wh • ikaêh ;=,g úIîc we;=¨ jQ b;sydihla we;s wh • fjk;a frda. ;;a;a;ajhka we;s wh Wod# Alkaptonuria, Marfan syndrome, Wlilson’s disease, Ehlers-Danlos Syndrom • wiaÓ N.akhl miq m%;sM,hla f,i m%;sldr ljf¾o@ wiaÓ m%odyhg iïnkaO fjkialï fyda frda. ,laIK we;s jQ muKska fï ieu fokdu m%;sldr m;d ffjoHjrfhl= fyda fjk;a fi!LH jD;a;slfhl= fidhd hkafka ke;¡ wiaÓ m%odyhg

2015 uehs l<dmh

iïnkaO fjkialï isÿj we;s ikaê tosfkod l%shdldrlï j,oSo" ksji wdY%s; isÿjk iuyr wk;=rej,oSo" iuyr l%Svdj, fhoSfïoSo ;j ;j;a ydks odhl ;;a;ajhlg m;aùu je<elaúh fkdyel¡ wiaÓ m%odyh jhig hEu iu. jeä j¾Okh fjñka bosßhg hk frda.S ;;a;ajhls¡ tksidu fujeks frda.Skag m%;sldr lsÍfïoS frda. ,laIK yd fõokdj wvq lsÍug fukau wkd.; ydks wju lsÍu yd je<elaùu wruqKq lr.kS¡ fujeks frda.Ska i|yd fndfyda úg ks¾foaY flfrkqfha fõokdkdYl T!IO iy iaáfrdhsv fkdjk m%;sm%odyl T!IO (NSAIDSNon steroidal Anti Intlamma Tory Drugs) j¾.hs¡ frda.h l<uKdlrKh lr .ekSfïoS fuu T!IO WmdldÍ jqj;a oS¾. ld,hla Ndú;d

113

Artheritis

lsÍfuka fkdfhl=;a ixl+,;d we;súh yel¡ wiaÓ m%odyhg m%;sldr T!IO j,g muKla iSud fkdfõ¡ T!IO j,g wu;rj ta yd iu.dój hk jHdhdu" úfõlh" wkjYH isrer nr wvq lr.ekSu" myiqj f.fkk Ys,amSh l%u ikaêh wdrlaId lsÍu i|yd úfYaI WmlrK Ndú;h hk lreKq rdYshla we;¡ b;du;a nrm;, f,i ydks jQ ikaê we;s jeäysáhka i|yd ie;alï u`.ska lD;%Su ikaê fhoSu o isÿ flf¾¡ fndfyda úg frda.Ska fjk;a úl,am m%;sldr m;d fhduqjk w;r T!IO iu`. tjka úl,am m%;sldr m;d hEu iq,nh¡ fuysoS fyd|u úl,amh fN!;Ñls;aid m%;sldrhhs¡ Tfí frda.h ms<sn| ukd oekqula yd wjfndaOhla we;s iqÿiqlï ,;a mqyqKq fN!;Ñls;ailjrfhl= fï i|yd yuqùu b;d jeo.;a fõ¡

114

ikaêm;a fõokdfjka wiaÓ m%odyfhka Tn;a mSvd ú|skjdo@

b;du;a nrm;, f,i ydks jQ ikaê we;s jeäysáhka i|yd ie;alï u`.ska lD;%Su ikaê fhoSu o isÿ flf¾¡

fï i|yd iqÿiq fN!;Ñls;aid m%;sldr fudkjdo@ fN!;Ñls;ailjrhd úiska m<uqj frda.S ;;a;ajh ms<sn| we.hSulg ,la flfrkq we;¡ ta wkqj ie<iqï flfrk m%;sldr l%u w;ßka iuyrla my; i|yka fõ¡ • ikaêh ixp,kh Joint Mobilisation • jHdhdu mka;sh Exercise prescription • úoHq;a m%;sldrh Electrotherapy Wod# IRR/ TENS/ IFT • c, Ñls;aidj fkdfyd;a c,fha flfrk jHdhdu • wdOdrl WmlrK yd m;=re Ndú;h • frda.fha l<ukdlrKh lr .ekSu i|yd wjYH wOHdmkh ,ndoSu

ffjoHjrhd - udisl ffjoH iÕrdj

wdidos; ;;a;ajhlg m;aúh yel¡ wiaÓ m%odyh os.=ld,Skj l<ukdlrKh lsÍfïoS kej; kej;;a ikaêh ;Sj% wdidos; ;;a;ajhlg m;aùu j<lajd .; hq;=h¡ tfia fkdue;sj jßka jr Tfí ffjoHjrhd fyda fN!;Ñls;aijrhd fj; hEu fyd| ms<s;=rla fkdfõ¡ wjdikdjg isÿ jkafkao fuhhs¡ fN!;Ñls;aid m%;sldrj, wruqKq ljf¾o@ • fõokdj wvq lsÍu • ikaêj, p,k mrdih ^p,k wvúh& jeä oshqKq lsÍu • ikaêh wdY%s; udxYfmaYs lÜg, iúu;a lsÍu • ;jÿrg;a ydks isÿùï j<lajd .ekSu • úfYaI WmlrK Ndú;fhaoS Wmfoia oSu fN!;Ñls;aid m%;sldr ,ndoSfuka frda.S mqoa.,hdu Tyqf.a wehf.a tosfkod l%shdldrlï frda.S ;;a;ajhka hgf;a myiqfjka lr.ekSug;a ;jÿrg;a isÿúh yels ydksh wju lr .ekSug;a yels fõ¡ úfYaIs; jQ jHdhduj, fhoSfuka frda.shdf.a isref¾ nr wvq lr.ekSfuka ikaê tlg fhfok f;rmqu wvqlr.; yel¡ ^Wod# oKysia wdY%s; frda.S ;;a;ajfhaoS& fuu`.ska frda. ,laIK wvq lr .ekSug flfrk n,mEu b;d by<h¡ frda.shdf.a ikaê fõokdj wvq ù ikaê l%shdldß;ajh kej; ,enqKq miqj w¿;a ;;a;ajh os.gu mj;ajd .ekSu i|yd hï wdldrhl jev ms<sfj,la wdrïN lsÍu w;HjYH fõ¡ tfia fkdl<fyd;a bosß ld,fhaoS kej;;a ikaêh ;Sj% 2015 uehs l<dmh

fndfyda frda.Ska fõokdj wvq jQ úg m%;sldr kj;d ouk w;r fN!;Ñls;i a ljrhdf. ka ksjerosj os.gu m%;sldr ,nd fkd.kS¡ ksjfiaoSu os.ug l< yels jHdhdu mka;shla lsÍfuka kej; kej;;a wdidos; ùu j<lajd .; yels w;r i;s 4-6 w;r ld,fhaoS Tfí fN!;Ñls;ailjrhd úiska ikaêh wjg udxY fmaYska iúu;a lr .ekSug ikaêfha p,k wvúh mj;ajd .ekSug;a wjYH jHhdu Tng ,nd fokq we;¡

115

Advertorial

m%dKcSj T!IOh

Y%S ,xldfjka cd;Hka;r fj<|fmd<g ksl=;a jQ tlu wdhq¾fõo ksIamdokh

m%dKcSj T!IOh wdh;kh yryd isÿ lrkq ,nhs¡

foaYSh T!IO ksIamdokhla ngysr rglska T!IOhla f,i ms<s.ekSu b;d ÿIalr ldrKhls¡ ta i|yd tu T!IOh mÍlaIK /ilg Ndckh lrkq ,nk w;r tysoS mÍlaIK lvbï /ila miq lsÍug o isÿ fõ¡ tfukau jir .Kkdjla ,nd isàugo úYd, uqo,a iïNdrhla jeh lsÍug o isÿùuo úYd, wNsfhda.hls¡

úfoia fj<|fmd< ch.;a fy< T!IO tu ish¨ wNsfhda.hka chf.k Y%S ,xldfjka cd;Hdka;r fj<|fmd, ch.;a fi;aiqj wdhq¾fõo ksIamdokd.drh ksmojk —m%dKcSj T!IOh˜ wefußldfõ wdydr yd T!IO wêldßfha ,shdmosxÑ iy;slh hgf;a 100] lau wdydruh mdkhla jYfhka f,dalh mqrdu fnodyeÍug ks¾foaY lr we;¡ fuys fnod yeÍu wefußldkq iud.ula jk Sun Industries 116

jir oyia .Kkla bmerKs uykqjr hq.fha i`. mrïmrdjlska mej; tk T!IO jÜfgdarejlg wkqj ilik —m%dKcSj˜ T!IOh ms<sn|j ffjoHjrhd i`.rdjg lreKq fufia mjikafka rgla oskQ f,djla oskQ m%dKdNsir ffjoHjrfhl= jk cSjk Y+Í iqcSj ú;dkf.a ffjoH;=udhs¡

j. {dKdf,dal iajdókajykafia wkqo;a oeKQu mrd¾: fiajkh msKsi bosßhgu''' fld<U iriúfhka foaYSh ffjoH úoHdj ms<sn|j Wmdêh ,nd.;a fu;=ud tl, isá foaYSh ffjoH úoHdj ms<sn|j yi, oekqulska hq;= jQ j. {dKdf,dal fjo iajdóka jykafiaf.ka ffjoHjrhd - udisl ffjoH iÕrdj

foaYSh ffjoH Y%dia;%h ms<sn|j ;j ÿrg;a yodrd we;¡ j. {dKdf,dal iajdókajykafia foaYSh ffjoH úoHdj keue;s wUf¾ osf,k lkl ;rejla n÷ >DIsjrfhl= ù we;¡ fuu fjo ysñ kuf.a tlu yd olaI;u f.da,hd ù we;af;a ffjoH iqcSj ú;dkf.a uy;dh¡ fuu T!IO jÜfgdarej j. {dKdf,al iajdóka jykafiaf.ka fu;=ud ,o uy`.= odhdohls¡ wdhq¾fõo T!IO

mqfrda.dï h;sjrhdkka j. {dKdf,dal fjo iajdóka jykafia

j¾. 200la muK wka;¾.;j ilik ,o fuu —m%dKcSj˜ T!IOfhka ñksia m%cdjg ,ndfokakd jQ iqj iykh w;suy;ah¡ b;d j.lSfuka ckhdf.a ys;iqj msKsi .=re yduqÿrejka jykafiaf.a wjjdo WmfoaYhkag wkqj kshñ; m%ñ;Skag wkql+,j b;du msßisÿj fuu T!IO ksIamdok l%shdj,sh isÿ lrkq ,nkafkah¡ —m%dKcSj˜ T!IOh ksmojkq ,nkafka ISO 9001 ;;a;aj iy;slh ,;a ksIamdokd.drhla ;=<h¡

T!IO ksIAmdok l%shdj,sh iqúfYAIShs ,Sg¾ 2400 lska hq;a iqÿ hläka ks¾udKh lrk ,o gexls wkql%ñlj fidaod fõ,d len,s lrk ,o T!IO fhdodf.k lIdh ilia lr.kq ,nkafka fuu gexls ;=,h¡ bka wk;=rej úfYaI l%ufõohkag wkql+,j —m%dKcSj˜ T!IOh ksIamdokh lrkq ,nkafkao fuu gexls wdY%h lrf.kh¡ u, fkdnefok fuu iqÿ hläka ksujQ gexls muKla fhdod .ekSug fya;=j f,i ffjoH;=uka i|yka lrkafka ;U fyda fjk;a f,day iu. fuu —m%dKcSj˜ T!IOh m%;sl%shd lsÍfuka isrerg ydkslr øjH ks¾udKh ùu j<lajd .ekSug njhs¡ tfukau fuu ksIamdokd.drh ;=< oelsh yels ;j;a úfYaI;ajhla jkafka iliqrejï f,i or fhdod.ksñka .skaor bj; fkdhk wdldrfhka ilia lrk ,o ffjoH;=ukaf.a ks¾udKhla jk W÷ka úfYaIhhs¡ fuu W÷ka fkdkj;ajd .skaor fhdoñka udi 4 1$2 lg wêl ld,hla —m%dKcSj˜ T!IOh ksIamdokh lsÍfï ls%hdj,sh isÿ lrhs¡

frda. /ilg iykh —m%dKcSj˜ T!IOh u.ska oshjeähdj fyj;a uOqfïyh md,kh" bka we;sjk w;=re wndO je<lSu" wêreêr mSvkh md,kh" iakdhq frda." wxYNd." we÷u" mSki" ifï frda." ykaosm;a reod" w¾Yia" N.kaor" wï,ms;a;" jl=.vq frda." uq;%d.,a" wlaud.; frda." wêl ;rndrej" ish¿ ikaê.; frda. wdoS frda. úYd, ixLdjla je<elaùug;a iqÿiq wdldrfhka —m%dKcSj˜ T!IOh ilia lr we;¡

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isák frda.Skag fuu —m%dKcSj˜ T!IOh Ndú;fhka tu frda. ;;a;ajhka u.yrjdf.k iqj iykh ,nd.; yels nj fidhdf.k we;s nj ffjoH;=ud jeäÿrg;a mejiSh¡

rgj,a /il frda.S i;aldrh msKsi

j;auka mqkreofha ks¾ud;D ffjoH iqcSj ú;dkf.a uy;d fuh wdydruh mdkhla f,io fhdod.; yel¡ tfukau lemsï" iSÍï" ;=jd, ùï i|yd ndysr wdf,amkhla jYfkao" wl,g ysiflia meiSï" .e,ùï md,khg;a fuu T!IOh iqÿiq nj ffjoH iqcSj ú;dkf.a uy;d mjihs¡

ngysr T!IO iu.o mdúÉÑ l< yelshs fuys we;s ;j;a iqúfYaIS ;;a;ajhla jkafka ngysr T!IO mdúÉÑ lrk ´kEu frda.sfhl=g fuu T!IOh mdúÉÑ lsÍug we;s yelshdjhs¡ fuh mdkfhaoS lsisÿ w;=re wdndê; ;;a;ajhla we;s fkdfõ¡ tla mÍlaIKhla u.ska —nhsmdia˜ ie;alu isÿlsÍug ks¾foaYs;j 118

—m%dKcSj˜ T!IOh ;=< YÍrhg wys;lr úI ridhksl øjH" nerf,day" uOHidr" iSks" ËqøcSùka" lD;s%u j¾Kl" rildrl fkdue;s njg wefußldkq yd Y%S ,dxflah úoHd.dr m¾fhaIK u.ska iy;sl lr we;¡ wefußldj" b;d,sh" ´iafÜ%,shdj" uef,aishdj" cmdkh we;=`M rgj,a 10l fuu T!IOh fnod yßkq ,nhs¡

ng,kafoa fi;aiqj wdhq¾fõo frday, ffjoH iqcSj ú;kdf.a uy;d mj;ajdf.k hkq ,nk ng,kao fi;aiqj wdhq¾fõo frday, Y%S ,dxlSh ck;djf.a fukau úfoaYSh ixpdrlhska ygo tlfia iqjiykh i,ik i;aldruh wdhq¾fõo ffjoH uOHia:dkhls¡ fuys úfYaI mxpl¾u tallhlao mj;S¡ tysoS ;eú,s" wNHx." kiHl¾u" úf¾l l¾u" jia;s l¾u" YSfrda Odrd" i¾jdx. Odrd wdoS m%;sldr l%uhkao isÿ lrhs¡ ms<sld frda.Ska" yDo frda.Ska" ikaê.; frda.Ska wdoS fulS fkdlS ish¿u frda. i|yd fu;=ud m%;sldr lrkq ,nhs¡ fu;=ud fj; meñfKk l=vd orejkag yd wdndê; rKúrejkag lsisÿ uqÿ,la whlsÍulska f;drj m%;sldr ,ndoSu fu;=udf.a iqúfYaIS isß;ls¡ fu;=ud iEu uilu fmdf<dkakrefõ jl=.vq frda.Ska fjkqfjka ffjoH idhkhla mj;ajdf.k hkq ,nk w;r ;u fm!oa.,sl Ok mß;Hd.fhka tu frda.Skag fnfy;a T!IO yd —m%dKcSj˜ T!IOh fkdñf,a ,ndoSug lghq;= lrhs¡ ,smskh fi;aiqj wdhq¾fõo frday, fkd 258119 úydr udj; ng,kao mdr udfld< ol=K 011-2962008$ 011-2964023 ffjoHjrhd - udisl ffjoH iÕrdj

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History of the World Medicine

ufkda ffjoH m%;sldr

wfma merKs ffjoHl¾ufha tk

ufkda ffjoH m%;sldr ymq;f,a tia¡tï¡ã¡ fifkúr;ak úisks fï rfÜ udkjhdf.a meje;au ñka jir ;sia oyilg;a jvd wE; w;S;hlg osj hk nj ;yjqre ù we;af;a mqrd úoHd;aul leKSï j,ska ,o idOl wkqjh¡ lreKq tfia kï fï rfÜ uq,au mqrjeishka jQ isxy, cd;sfha isß;a úß;a" fjofyolï wdosh o jir ;sia oyila ;siafia fï ìfï cSj;a ùfuka ,o w;aoelSï iïNdrhl m%;sM, f,i ye|skaúh yelsh¡ kQ;kfha ngysr úoaj;=ka úiska f.dvk.k ,o ufkda úoHdj kï jQ úIhhla meje;sho wE; w;S;fha oS ngysr rgj, mjd tn÷ úIhhla jHjydrfha fkdmej;sks¡ tjka miqìul wfma merKs isxy, fjolfï ufkda frda. jHdëka i|yd msysgjQfha foaYSh hd;=l¾u wdoshhs¡ fïjd fmdÿfõ y÷kajkq ,enQfõ zzux;r .=relïZZ lshdhs¡ fïjd wo kùk úoHdjg wkqj zz;srYaÖk úoHdZZ f,i .¾ys;j we;eï wh yqjd oelajqjo wE; w;S;fha isá wfma we;a;ka udkisl frda. iukh lsÍug fhdod .;af;a o fï .¾ys; uka;r .=relïh¡

120

ffjoHjrhd - udisl ffjoH iÕrdj

oekg jig y;a wg iShhlg fmr wfma ck iudcfha idlaIr;djh meje;sfha wog jvd fndfyda miq. dó ;;a;ajhlh¡ úfYaIfhkau .eyekq orejkag jeäÿr wOHdmkhla ,ndoSug tl, isá idudkH ckhd Wkkaÿjla oelajQfha o ke;¡ .eyekq orejkag b.ekaùfï iSudj jQfha hdka;ug fnfy;a iSÜgqjla lshjd .eKSfï ,Sùfï udhsu f;lah¡ f,vla jQ úg fjfola fidhdf.k iEfyk ÿrla md .uKska hd hq;= jQ tl, jk .ykh wêl jQfhka jk i;=kao wêl úh¡ fndfya úg .uka ìuka hdug ;snQ ud¾. wämdrj,a j,g iSud jQ neúka i¾mhska jeks i;=kaf.ka mjd isÿúh yels wk;=re nyq, hq.hla úh¡ fï ksid u tl, .ïnoj isá f.ú,sfhda kEug .sh;a or leãug le,hg .sh;a lsysm fofkl= tlaj hdu isß;la lrf.k isáhy¡ l=vd orejkag" ;reKshkag" ldka;djkag wfõ,dfõ ;ksj .uka ìuka ;ykï úh¡

2015 uehs l<dmh

wo kùk úoHdjg wkqj zzux;r .=relïZZ - zz;srYaÖk úoHdZZ f,i .¾ys;j we;eï wh yqjd oelajqjo wE; w;S;fha isá wfma we;a;ka udkisl frda. iukh lsÍug fhdod .;af;a o fï .¾ys; uka;r .=relïh¡ oskla .eñ l;=ka lsysm fofkl= tlaù ijia jrefõ or f.k tau i|yd wi, jQ jk ,eyenlg .sfhah¡ tlsfkldg úys¿ ;y¿ lr.ksñkao rfÜ f;dfÜ ´m¥m fodvñka o úfkdao fjñka neoaog .sh fï ldka;d msßia le,hg jeo yels ;rï or tl;= lroaoS tla l;lf.a ll=, osf.a lgqiail= osj .sfha h¡ lgqiaid ;u ll=, osf.a l,jh f;lau osj hkq ÿgq weh ìhm;a jQjd h¡ ñka l,n, jQ weh ìhg m;aj we|sj; WKd oud lE .ikakg jQjd h¡ weh;a iu`. .sh fhfy<sfhda weh jglrf.k ìhùug fya;=j úuiqjo ,ecacdj ksidu wE lsisjla fkdlSjdh¡ wêl f,i ìhg m;aj isá weh isys u| .;shla mE neúka fiiafida tl;=j wehj ish ksjig werÆjdh¡ fï isoaêfhka miq tosk rd;%sfhaoS isg weh isysfkka ìh jkakg;a ;ukaf.a nv ßfok nj lshñka lE .ikakg;a úh¡ wef.a foudmshka miq osku .fï fjouy;d yuqjkakg .sfha ;u oshKshg yosisfha je<÷Kq fï frda.hg ksis fya;=jla o fkdo;a ksidh¡ úhm;a fjouy;d wehj fyd|ska mÍlaId l<o ldhsl jYfhka lsisÿ frda.S ;;a;ajhla fidhd.; fkdyels úh¡ fï ksid Tyq lf<a mjqf,a idudcslhska bj;g hjd úia;r úuiSuhs¡ ìfhkq;a wiykfhkq;a isá weh ;ukaf.a Worhg lef,a isá lgqiail= ßx.df.k we;s nj;a W! fï jk úg Worh ;=< o`.,ñka isák nj;a lshd isáhdh¡ lgqiail=g ll=,la osf.a meñK isrerg ßx.d .eKSug lsisÿ bvla fkdue;s nj fjo uy;d ;d¾lslj wehg lreKq meyeos,s lr ÿkak o kQ.;a weh fjouy;df.a lSu ms<s.eKSug ue<s jQjd h¡ uehg we;s weneoaosh fyd| yeá f;areï .;a fjouy;d fnfy;a ;=Kavqjla ,shd wef.a foudmshka fj; oS tys i|yka wdldrhg fnfy;a le|la idok 121

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f,i;a ta w;ru jyd hleÿfrla le|jdf.k tk f,i;a okajd isáhdh¡ ál fõ,djla .; jk úg hleÿrdo frda.shdf.a ksjig meñK fjouy;d uqK.eiqks¡ Tyq hlÿrd iu`. álla wE;g f.diq i;rlka uka;%Khl ksr; ù wdmiq f,vd mÍlaId lsÍug meñKshy¡ hleÿrd frda.shd foi n,d wehg lef,aoS hlaI osIaáhla jeà we;s nj;a fndfyda úg hlaI osIaÀ i;=kaf.a fõYfhka meñfKk nj;a frda.shdg meyeos,s lr fï i|yd iq¿ hd;=l¾uhla l< hq;= nj lshd isáfhah¡ ìh m;aj isá kQ.;a l;g fjodf.a ;¾lhg jvd hlÿrdf.a ìhckl úia;r .ek isf;a úYajdihla we;súh¡ tosku wjg jeishkaf.ao iydh we;sj wef.a ksjfia hd;= l¾uhla meje;aùug wejeis lghq;= fhÿks¡ hleÿrd tk úg Tyq ksjfia isgu ms<sfh, lrf.k wd úfYaI u,a nq,;a ;Ügqjla o /f.k wdfõh¡ rd;%sh wdrïN ùu;a iu.u hleÿrdf.a hd;= l¾uh we/ôks¡ iqj| ÿï" u,a" m<;=re wdosfhka hq;= mQcdjkaf.ka we/ô hd; l¾uh miqosk t<sjk hduh f;lau meje;sfha h¡ fï j;a ms<sfj;a wjidkfhaoS hleÿrd úiska ish ksjfia isg úfYaIfhkau ms<sfh, lrf.k w u,a nq,;a ;gqj frda.shdf.a fomd ,`. ;nd frda.shdf.a fomd iy u,a nq,;a ;Ügqjo tljr jefik fia iqÿ froaolska jid wjika hd.h wdrïN lf<ah¡ hd.h werö ál fõ,djla hk úg hleÿrdf.a iydhg meñKs isá wdjf;ajlrejl= ldg;a fkdfmfKk f,i úfYaI u,a nq,;a ;gqfõ fuf;la jid ;snQ fldgila bj;a lf<ah¡ meh .Kkdjla ;siafia isr.; lr isá lgqiail= u,a nq,;a ;gqfjka bj;g ú;a jyd mek hkakg ;e;a l<o ta i|yd jQ tlu u`. jQfha wi, isá frda.shdf.a fomd muKS¡ lgqiaid frda.shdf.a ll=,la osf.a fõ.fhka nv.df.k hk úg frda.shd ìhm;a j kej;;a lE .ikakg jQjdh¡ ñka ìhg m;a lgqiaid kej; wdmiq ll=, osf.au meñK ìu osf.a ÿj f.dia ie`.ù .sfhah¡ fujr frda.shd oel ;snqfka lgqiaid ;u ll=,la osf.a t<shg tk wdldrh muKS¡ fuf;la l,la ;u Worfha ie`.ù isá lgqiaid hleÿrdf.a hd;= l¾ufha n, uysufhka 122

h,s bj;g tkakg we;ehs wE ;rfhau úYajdi lrkakg jQjd h¡ fï isoaêfhka miqj hleÿrdf.a hd;=l¾uh blauKska wjika jQ w;r frda.S ;reKshf.a frda. ;;a;ajh o tf;lskau ksudjg m;aù ;snqks¡ weh we;eï úfgl l=vd ld,fha oS ;u jeäysáhka fj;ska lgqiail= w,sfhl=f.a fyd`vje, osf.a ßx.d .sh nj lshefjk <ud l;dj wid ;snqKd úh yelsh¡ .fï fjo uy;d fuu frda.shdf.a h:d ;;a;ajh f;areï f.k Bg iqÿiqu ms<shï fhoSu ksid Nskafkdakaudoh kñka ful, ye|skafjk udkisl frda.S ;;a;ajfhka w;a ñfokakg wehg yels úh¡ wfma me/kafkda udkisl ^udhï frda.& frda. i|yd fnfy;a fhÿfõ wju jYfhks¡ .f;a f,vg fí;a ;snqK;a ysf;a f,vg fí;a ke;ehs me/kafkda mejiqfõ tneúks¡

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

flaI uQ, ;r,h

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

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rfÜ iqm;, kula we;s iS' ta' ch;s,l Tyqf.a uq;a;dh' yslalvqfõ Y%s iqux., ysñmdKka uq;a;df.a udud flfkls' fmardfoKsh úYAjúoHd,fha mqia;ld,h ;=< ngysr ffjoH úoHdj ms<sn| ,shejqKQ fmd;a mßYS,kh lrk w;r;=r ;u j,õfõ mrïmrd .Kkla ;siafia wdrCId lrkakg ;ekam;a lr ;snQ mqia;lo Tyq uekúka mßYS,kh lrñka oeä wêIAGdkfhka ;u b,lalh fj; mshk. kakg úh' Tyq iaÒr jYfhkau wfma rgg lS¾;shla f.akjd' úYAj úoHd, wOHdmkho l%ufhka w;miq l< Tyq fõ.fhka ;u mÍCIK fcHda;sIHo Wmfhda.S lr .ksñka oshqKQ l<ehs wm iuÕ mjid isáfha' tu mÍCIK j,go Ndckh jQfha Tyquh' w;s úYd, uqo,la jeh lsÍug isÿ jQ wjia:d j, hï hï miq.dó isÿùï isÿjqKo ffojfha ydialulska fuka 2005 jif¾ f,d;/hs oskqï 124

flaI uQ, ;r,h

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

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125

tosfkod cSú;hg Acupressure

Acupressure

tosfkod cSú;hg Acupressure

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Ök iïm%odhsl fjolug wkQj fußähk hkq YrSrfha Yla;s m%jdyhka f.k hk m%Odk ud¾. fõ' ixLHdfjka fußähk 12la fõ' fï tl tlla fußähk wdrïN jkafka we`.s,s ;=vq j,sks' tajd fud<hg iDcq iïnkaOhla orK w;r tl tlla fußähk YÍrfha úúO wjhj yd b÷rkag iïnkaO fõ'

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ks, f;rmqula fhdok wdldrh úúO frda.''' fõokd i|yd wl=fm%I¾ fjolu fhdod.kakd wdldrh ms<sn|j úia;r flfrk ,sms ud,djlg fujr uq,skau ks, f;rmqula fhdok" we;s lrk wdldrh .ek úia;r lruq' ks, ia:dkhla f;rmSug ,la lrkafka flfiao @ jvd;a M<odhS jkafka uDÿj fhdok f;rmquhs" mSvkhhs' fuysoS uymg`.s,a," fiiq we`.s,s" w;a," wf;a me;a;la wdoS jYfhka f;rmqu we;s lsÍug úúO ia:dk fhdod.; yel' l%ufhka fhdok f;rmqfï ;Sj%;djh jeä l< hq;= w;r ñks;a;= .Kkdjla p,khla fhdokafka ke;sj thdldrfhkau f;rmqfï mj;ajd.; hq;=h' 2015 uehs l<dmh

tfy;a tla ks, ia:dkhlg fl;rï f;rmqula fhosh hq;=o hkak tla tla flkdg ta f;rmSfïoS fl;rï ord.; yelso hkak u; o ;SrKh l< hq;a;ls' úúO ks, ia:dk f;rmSfïoS YÍrhg oefkkafka úúOdldrjh' iuyrla ia:dk f;rmSfïoS iq¿ fõokdjla fyda oeä fõokdjla jYfhka úúO ;Sj%;djfha fõokd we;s fõ' fï fhdok f;rmqu úYd, fõokdjla we;s jk mßoafoka osh hq;a;la fkdfõ' m%dfhda.slj fmaYs úYd,j ;sfnk ia:q, whg ;rula jeä f;rmqula we;s l< hq;=h' oeä fõokdjla f;rmqfïoS oefka kï fõokdj;a" bka ,efnk iekiqu;a w;rueo ;;a;ajhla olajd f;rmqu bys,a l< hq;=h' f;rmSfïoS b;d oeä fõokdjla oefka kï ta ia:dkhg wl=fm%I¾ m%;sldrh fkdl< hq;=h' hï ;efkl f;rmqula fhdok úg tu ia:dkh fkdj fjk;a ;efkl fõokdjla oefkkafka kï tu ks, ia:dkfhka WoaoSmkh jk bkaøshhla fia th ie<lsh yelsh' f;rmqu fkdfyd;a wl=fm%I¾ Ñls;aidfjka miq u| WKQiqï j;=r ùÿrejla folla mdkh < hq;=h' tfia lsÍfuka YÍrfha we;s úI øjH YÍrfhka neyer lsÍug wjldY ie,fia' Tng yDoh frda.hla fyda fjk hï cSú;hg ;¾ckhla we;s lrk frda.hlska fmf<kafk kï wl=fm%I¾ isÿ lsÍug fmr ffjoH Wmfoia ,nd .; hq;=h'

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