November Waidyawaraya 2015 Online

Page 1

budIs m%ldYkhls

21 ldKavh 2015 - fkdjeïn¾

cd;sfha mqfrda.dó ffjoH iÕrdj

re'150$-

oshjeähdj úfYAI w;sf¾lh msgqj 12

orejka w;r ksis mr;rhla ;nd.; hq;af;a fufyuhs msgqj 104

fhda. jHdhdu u.ska iqjm;a osúhla msgqj 124

ISBN-1391 1341

9 7 7 13 91 13 400 1



WELL MAN HEALTH CHECK isÿ lrk mÍlaIK General Profile

fldf,iagfrda,a mÍlaIKh (Lipid profile) wlaud mÍlaIKh (Total Protein) jl=.vq mÍlaIKh (Blood Urea) ksrdydr reêr mÍlaIKh (FBS) hQßla wï, mÍlaIKh (Uric Acid) .eud GT wlaud mÍlaIKh (Liver Function)

iïmQ¾K ldhsl mÍlaIKhla iy ldhsl frda. ffjoHjrfhl= úiska lrk m%;sM< iudf,dapkhla

YÍrfha Wi iy nr uekSu oDIAÀ mÍlaIKh ÿr mÍlaIdj iïmQ¾K reêr mÍlaIKh (FBC) iïmQ¾K uq;%d mÍlaIKh (UFR) mmqfõ úlsrK mÍlaIKh iy tys úlsrKfõoS jd¾;dj Worfha w,ag%dijqkaâ mÍlaIKh ECG mÍlaIKh SGOT/SGPT mÍlaIKh Alkaline Phosphatase jl=.vq mÍlaIKh Serum Creatinine jl=.vq mÍlaIKh Y%jK mÍlaIKh PSA mqriaÓ;s ms<sld mÍlaIKh

mqriaÓ;s ms<sld mÍlaIKh isÿ lrkafka jhi wjq 40 bl=;a jQ msrsñka i|yd muKs wjYH;dj wkQj isÿlr.; yels wfkl=;a mrSlaIK

TSH fydafudak mÍlaIKh ^;hsfrdhsâ l%shdldß;ajh úuiSu& wdydr .ekSfuka miqj lrk reêr mÍlaIKh (PPBS) ESR reêr mÍlaIKh u< (Stool) mÍlaIKh mdo ixfõoS;djh (Seмitometer) uekSu tflda mÍlaIKh jHdhdu ECG mÍlaIKh

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


Cointents Breaking Health News

8

frda. i|yd w¨;ska fnfy;a ksmojkafka fufyuhs

12 f;aud rpkh oshjeähdj md,kh lruq cSú;h i;=áka .; lruq 16 ksis fmdaIKh ;=<ska

oshjeähdj md,kh lruq

48

IMEDCO f,djla ri

50

medgadget

100 lreKq ksjeros f,i

f;areï fkd.ekSu ksid wld,fha o;a wysñ úh yels fldagrl m%odyh

ne,Q wfma .=Kh

fjo f,djg úÿf,dfjka

52

104 orejka w;r ksis

mr;rhla ;nd .; hq;af;a fufyuhs

fkdjeïn¾ 8 c.;a úlsrKf,aLK oskh

109 fm!reI wdndO we;s

orejkaf.a fldamh md,kh lrkafka fldfyduo@

54 l=vd orejkaf.a leu reÑh wvq lrjk fya;=

22 oshjeähdj iy bkaishq,ska kslafIamK

23 oshjeähdj frda.Ska .kakd

58 w;g jo fok f,fâ ldm,a gk,a iskafv%daï

63 fyd| ys;;a iu.ska iqj

iïm; /f.k fodßka fodrg tk rcfha mjq,a fi!LH fiajd ks,Odßksh

fnfy;a j¾.

24 .aÆfldógrfhka ;uka

úiskau reêr iSks uÜgu mÍlaId lr.ekSu

28 l=re`ÿ mdkh Èúhg

iudcfha lemS fmfkk flfkla fjkak''' ñfokakg f,dj ms<s.;a ksfldáka wdOdrl m%;sldr .ek oek.kak

75 mshhqre ms<sld l,a ;shd

y÷kd .;af;d;a iqj l< yelshs

81 ujf.a n,mEu ksid foijka ìysrs jQ újdyl mqf;la

foaYsh wdydr

84 40 oshjeähdj iïnkaO w¿;a f;dr;=re

44 ,iaiKg bkak leu;s ieug úl%udrÉÑ ksIAmdok

45 .ïmy je,sfõßh úl%udrÉÑ ridhkd.dr ksIamdok

46

CIC frâ ndiau;S iy,a

oshjeähd frda.Skag losug .e,fmk iy,ls

fmd,af;,a uydkqNdj iïmkak Ñls;ail r;akhls

68 is.rÜgqfõ W.=f,ka

frda.h úia;r jk yeá'''

38 oshjeähd frda.S Tng iqÿiq

wjYH;djh iïmQ¾K lsÍug uia wkqNjh wjYHuo @

116

65 ,,kd jreKd

ksfrda.Su;a m%fndaOhla

32 wdhq¾fõofha oshjeähdj

114 YÍrfha fm%daàka

WELL MAN HEALTH CHECK

wdhq wfmalaIdj wvqfjka we;af;a;a msrsñkaghs

88 os.disrs f.fkk kejqï f;a isrs; fld;a;u,a,s f;a

89 /lshd ia:dkj,

ldka;djkag isÿjk ,sx.sl w;jr yd wkshï iïnkaO;d

95 reuefgdhsâ wd;rhsáia

120 kSfrda.Sj È.=l,la Ôj;aùfï ryi 2 jk fldgi

122 .%Ska y¾n,a m%vlaÜia mqoa.,sl iud.fï kj ksIamdok l=Uqla Ieïmq

124 fhda. jHdhdu u.ska iqjm;a osúhla fhda. wNHdi .ek újrKhla

The contents of this publication may not reproduced in whole or part in any form without the written consent of the publisher. The opinions expressed in WAIDYAWARAYA are those of the writers and not necessarily endorsed by the publisher.

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www.waidyawaraya.com

6

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Editorial

l;= igyk

Editor's

Note

iqj fiajdjg cd;sl wd¾Ólfha ysñ úh hq;= ;ek ;j fkdfnda l,lska Y%S ,xldj by< ueos wdodhï ,nk rgla jYfhka j¾.SlrKh fjkq we;' wdodhï fnoSfï úYd, úIu;djhla ;snqK;a wfma rfÜ tal mqoa., wdodhu miq.sh j¾I lsysmh ;=< fndfyda fihska jeä ù ;sfí' wfma rfÜ fi!LH fiajdjg fjka lrk uqo, iïnkaOfhka újrKhla isÿ lsÍfï wjYH;djh u;=j ;sfí' 2013 jif¾oS o< foaYSh ksIAmdos;fhka fi!LHh YS¾Ihg fjka lrKQ ,en we;af;a ishhg 3'24ls' oekg mj;akd ueos wdodhï j¾.SlrKhg wh;a rgj, fi!LHhg fjkalrk uqof,a idudkHh 4'25ls' tkhska n,k úg fï rfÜ ck;djf.a fi!LHhg fjka lrk uqo, m%udKj;a fkdfõ' wm by< ueos wdodhï ,nk úg fi!LHhg fjka lrk uqo, ;j;a jeä úh hq;=h' idudkHfhka by< ueos wdodhï ,nk rgla o¾YSh jYfhka fi!LH fiajhg cd;sl wdodhfuka ishhg 6'28la jeh lrhs' by< ueos wdodhï ,nk rgj, tal mqoa., fi!LH i;aldr i|yd fvd,¾ 465la jeh lr;aoS wfma rfÜ tla mqoa.,fhl=f.a fi!LHh i|yd fhdojk uqo, wefußldkq fvd,¾ 102 lg jeä fkdfõ' fï wKQj fnda fkdjk frda. u;ska wo ojfia fi!LH fiajdjg mek ke.S we;s wNsfhda.hg ms<shï fhdokq jia fi!LH i|yd fhdojk uqo, jeä lsÍu m%;sm;a;s iïmdolhkaf.a" rg lrjk we;a;kaf.a j.lSu jkq we;' wfma rfÜ nyq;rhla fokd iajlSh fi!LH fiajdjka msßuid.kafka rdcH ksoyia iqj fiajdfjks' frday,a l¾udka;fhka ishhg 73 lg ysñlï lshkafka rdcH frday,a moaO;shhs' rfÜ iuia; frday,a we|ka j,ska ishhg 90lau ysñlï lshkafka iuia; frday,a moaO;shhs' fï rfÜ iqj o¾Yl iïudkkSh f.!rjhka wm rgg w;am;a lr ÿkak;a fyg ojfia wm uqyqK mdk wNsfhda. hka ms<sn|j wmg wjfndaOhla ;sìh hq;=h' cd;sl whjeh md¾,sfïka;=jg bosßm;a jk fï fkdjeïn¾ udifha wfma wkd.; iqj oelau idl,Hfhkau Y=NjdoS jkq we;ehs wm m%d¾:kd lruq' Ndr; .=K;s,l - úOdhl l¾;D editor@waidyawaraya.com

The Pioneer Health & Medical Journal 21 ldKavh 2015 - 11 l,dmh

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

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ffjoHjrhd - udisl ffjoH iÕrdj


rdcH Tiqi,a cd,h fld<U 01 63" i¾ ndfrdaka ch;s,l udj;" fld<U 01 ÿ'w$ *e'w 011-2328046 fld<U 07 255" O¾umd, udj; fld<U 07 ÿ'w 011 2672293 *e'w 011 2694716 fld<U 04 85" .d¨ mdr" fld<U 04 ÿ'w$ *e' w 011-2587128 011-2559531 kqf.af.dv 151" tia ã tia chisxy udj;" kqf.af.dv ÿ'w$ *e'w 011 2856641 kqjr 14ta" ,ud.dr udj;" kqjr ÿ'w$ *e'w 081 2225175 ñkqjkaf.dv merKs hQ iS f.dvke.s,a, fld<U mdr" ñkqjkaf.dv ÿ'w$ *e'w 011 2295120 .d,a, 61 ta" jlaje,a, mdr" .d,a, ÿ'w$ *e'w 091 2234726 mdkÿr 159" tï'mS'iS'tia f.dvke.s,a, .d¨ mdr" mdkÿr ÿ'w$ *e'w 038 2234767 r;akmqr 32" kkaod t,a,dj, udj; r;akmqr ÿ'w$ *e'w 045 2223014 wúiaidfõ,a, 40" niakej;=ïm, wúiaidfõ,a, ÿ'w$ *e'w 036 2222501 nÿ,a, iS'ví'B f.dvke.s,a, nKavdrfj, udj;" nÿ,a, ÿ'w$ *e'w 055 2229837

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

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

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

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

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

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

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

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

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

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

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

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


Breaking Health News

mqj;a wgqjdj

Breaking

Health News 2015 jif¾ ffjoH úoHdj i|yd jk fkdafn,a ;Hd.h úoHd{hka ;sfofkl=g

2015 jif¾ ffjoH úoHdj i|yd jk fkdafn,a ;Hd.h úoHd{hka ;sfofkl=g fnoS f.dia ;sfí'

fuu ;Hd.fhka wvla iu iuj fnoS .sfha ú,shï iS leïmafn,a iy if;daIs Tuqrd kï úoaj;=ka fofokdgh' ta jgmKqjka ksid we;sjk wdidokhlg

leïmafn,a

6

tfrysj fidhd.;a kj;u m%;sldrhla fya;=fjks' uef,aßhdjg kjH m%;sldrhla wkdjrKh lr.;a hQhQ gQ fj;o fujr fkdafn,a ;Hd.h ysñ jQ w;r uq¿ uqo,ska wvlgu weh ysñlï lshkakSh' ú,shï iS leïmafní whsßIA cd;sl mrfmdaIs;fõosfhls' cmka cd;sl if;daIs Tuqrd iu. yjqf,a fkdafn,a ;Hd.

Tuqrd

hg ysñlï lSfõ River blindness yd Lymphatic filariasis hk frda. j,g id¾:l Tiqjla jQ Ivermectin Tiqj fidhd .eKSu fjkqfjks' Ök cd;sl úoHd{fhl= jQ hQhQ gQ fj; fujr fkdafn,a nqyquk ysñ jQfha id¾:l f,i uef,aßhd frda.h u¾Okh lsÍug wo ojfia fhdod .kakd Tiqjla jQ Artemisinin fidhd. ekSu fjkqfjks'

hQhQgQ

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wkd.;fha frda.''' frda.Ska''' jeä fjhs fm!oa.,sl frday,a j,g jev jeäfõ'''

- z*sÉ f¾ákaiaZ wdh;kh

Y%S ,xldfõ fm!oa.,sl ffjoH lafIA;%h bosß ld,fhaoS Yla;su;a yd ;sridr oshqKQjla w;am;a lr.kq we;ehs cd;Hka;r Kh fY%aKs.; lsÍfï wdh;khla jkz*sÉ f¾ákaiaZ wdh;kh m%ldY lrhs' furg fm!oa.,sl wxYfha frday,aj,g flá ld,hloS l,a mj;akd j¾Okhla w;am;a lr .ekSug wjYHck.yk ixhq;shla ks¾udKh ù we;ehs z*sÉ f¾ákaiaZ ksl=;a l< kj;u jd¾;dfõ oelafjhs' 2015 fkdjeïn¾ l<dmh

jeäysá ck.ykh fõ.fhka j¾Okh jk rgj,a w;ßka Y%S ,xldjo bosßfhka isák nj;a 2014 jif¾ ck.yk jd¾;d wkQj wjqreÿ 65g jeä ck.ykh ishhg 9la njo jd¾;d fõ' th 2030 jk úg fo.=K jkq we;ehso" 2040 jk úg wjq' 60 g jeä ck.ykh 24'1 jkq we;ehso 2012 ck yd ksjdi ix.Kk jd¾;dfõ oelafjhs' 2012 jif¾ isÿjQ urK j,ska ishhg 71lau ksoka.; yd fnda fkdjk frda. ;;a;aj j,ska isÿjQ nj;a jeäysá ck.ykfhka ishhg 25la oekgu;a wêreêr mSvkfhka mSvd ú|sk nj;a z*sÉ f¾ákaiaZ wdh;kh lreKQ olajhs'

2050 muK jk úg jeäysá ck.ykfhka ishhg 50la muK oshjeähdfjka mSvd ú|skq we;ehso tu wdh;kh fm/hSï lr isà' ffjoH ixpdrl l%uh j¾Okh ùu;a" jeäysá ck.ykh jeä ùu;a Tjqka fndfyda f,v frda. j,ska mSvd ú|Su;a ksid ffjoH m%;sldr j,g fhduq ùfï m%jK;djh jeä ùfuka" fkajdisl m%;sldr iy ixlS¾K yd Wiia m%;sldr l%u j, j¾Okhla we;s ù fm!oa.,sl ffjoH wxY j,g ys;lr wdfhdack jgdmsgdjla we;sjkq we;ehs z*sÉ f¾ákaiaZ wdh;kh fmkajd fohs'

7


Know Your Drugs

frda. i|yd w¨;ska fnfy;a ksmojkafka fufyuhs

;jo tu T!IOh YÍrh ;=<§ m%;sl%shdjg ,laúh yels tkaihsu j¾. iy wfkl=;a ridhksl øjH iu. flfrk m%;sl%shd ridhkd.dr ;=<§ mÍlaId lr ne,Suo isÿfõ'

frda. i|yd w¨;ska fnfy;a ksmojkafka fufyuhs yDo frda. úfYaI{ ffjoH kdu,a úchisxy

Èk folla ;=< fvx.= frda.h iqjm;a l< yels T!IOhla Y%S ,dxlSh ffjoHjßhl fidhd.;a mqj;lg miq.sh ld,fha wm rfÜ úoHq;a iy uqøs; udOHj,ska úfYaI ;ekla ysñúh' Èhjeähdj iy tAâia ksÜgdjg iqj flfrk T!IO furáka fidhd .ekqKq mqj;aj,g óg l,lg fmr udOH u.ska fun÷ m%pdrhla ,eî ;snQ whqre wmg u;lh' úoHdkql+,j T!IOhla ksmoùfï§ iy th id¾:lj;a" wdrlaIdldÍ f,i;a f,v frda.j,g m%;sldr i|yd fhdÞ .ekSfï§ Ndú;d lrk iïu; l%ufõohla ;sfí' wdhq¾fõo T!IO iïnkaOfhka fuu ;;a;ajh fuf,iskau n, fkdmdkafka th jir oyia .Kkla w;S;hg osj hk ms<s.;a T!IO jÜfgdare iys; Ydia;%hla neúks' tfy;a wdhq¾fõo m¾fhaIK iïnkaOfhka o u;= ±lafjk l%ufõoh Ndú;d lsÍu jeo.;a jkq we;' mQ¾j idhksl mÍlaIK hï T!IOhla ksmoùu u.ska hï frda.hlg m%;sldr l< yels hehs úúO fya;= u; hul=g yeÕS hd yelsh' m<uqj tA i|yd uQ,sl mÍlaIK isÿ lsÍu u.ska tu T!IOh ksmoùu wdrïN l< hq;=h' th m<uq mshjrh' fuh mQ¾j idhksl mÍlaIK ^Preclinical test& f,i ye¢kafõ' fndfyda úg ridhkd.dr ;=<§ isÿ flfrk fuu mÍlaIK u.ska tu frda.hg tfrysj ke.S isàug n,mdk T!IOfha ridhksl l%shdldrs;ajh iy wKql jHqyh y÷kd .ekSu isÿfjhs' 8

óhka fhdodf.k uq,au m¾fhaIK fujeks ngysr ffjoH úoHd;aul fyda wdhq¾fõ§h fyda mÍlaIK i|yd mß.Kl we;=¿ úúO ;dlaIKsl fuj,ï Wmfhda.S lr.; yelsh' ngysr T!IO iïnkaOfhka fndfyda wjia:dj,§ m<uqj tu T!IO óhka jeks i;=kag ,nd §u u.ska ^Animal experiment& T!IOfha hï úfYaIs; njla we;akï tA njo" T!IOh i;aj YÍrhla ;=< l%shdldÍ jk wdldrho" wys;lr m%;sM,o fidhd ne,sh yelsh' w¨;ska ksmojk T!IOhla uq,skau ukqIHhkag ,nd fokafka fulS mQ¾j ridhksl mÍlaIK u.ska hï m%udKhl id¾:l m%;sM, ,enqKq miqh'

ffjoHjrhd - udisl ffjoH iÕrdj


tu T!IOh ukqIHhkag ,nd fok m%:u wjia:dfõ§ uq,skau th fokafka iafõÉPdfjka bÈßm;a jk ksfrda.S mqoa.,hka 20-80;a w;r ixLHdjlgh' fuhska n,dfmdfrd;a;= jkafka ñksia isrer ;=< T!IOfha l%shdldß;ajh ms<sn| wOHhkh lsÍu iy tu T!IOh ñksia isrerg úI ke;s nj iy;sl lr .ekSuh' tA uQ,sl mshjrh'

úoHdkql+,j T!IOhla ksmoùfï§ iy th id¾:lj;a" wdrlaIdldÍ f,i;a f,v frda.j,g m%;sldr i|yd fhdÞ .ekSfï§ Ndú;d lrk iïu; l%ufõohla ;sfí' fojk mshjf¾oS mÍlaId lrk frda.Ska ixLHdj jeä lrkjd fojk mshjr jkafka T!IOh tu frda. ;;a;ajh we;s frda.Ska 100-300 w;r m%udKhlg ,nd §uh' fuys§ m%Odk jYfhkau wOHhkh lrkafka tu frda. ;;a;ajh iqj lsÍug T!IOhg we;s yelshdj mÍlaId lr ne,Su iy T!IO ud;%dj tla tla jhia ldKavhg wkqj ;SrKh lr .ekSuh' ;=kajeks mshj¾oS tl fldgilg zfndre fm;sZ fokjd bkamiq ;=kajk mshjrh' tys§ frda.Ska 1000 - 3000 w;r m%udKhlg T!IOh ,nd§fuka mq¿,a mÍlaIK isÿ flf¾' fuys§ frda.Ska fldgia follg fnÞ tla fldgilg T!IOh ,nd fok w;r wfkla fldgig tu T!IOhg yeu w;skau iudk jQ kuq;a msá jeks øjHhlska ;kk ,o lsisÿ T!Iëh .=Khla ke;s ^Placebo& øjHhla ,nd fohs' fï nj tu T!IOh mdkh lrk lsisjl=j;a okafka ke;' f,fí iqj jqfKA fnfy;a ksido @ ke;akï bfíguo @ fuf,i ,nd ÿka miq T!IO ,ndÿka lKavdhug T!IOh ksid ienE f,iu m%;sM,hla 2015 fkdjeïn¾ l<dmh

,efí±hs mÍlaIdlr n,kq we;' fufia lrkafka fndfyduhla frda. lsisÿ T!IOhla ke;;a bfíu iqj ùug yelshdjla ;sfnk ksidh' ksoiqkla f,i fvx.= jeks udrdka;sl frda. mjd lsisÿ T!IOhla ke;sj iqj úh yelsh' thg fya;=j frda.j,g Tfrd;a;= §u i|yd YÍrh ;=< mj;sk m%;sYla;slrK yelshdjh' tneúka frda.shdg frda.h iqj jqfKa T!IOh ksido ke;skï bfíuo hkak ksYaph lr .ekSu i|yd T!IO ,nd ÿka lKavdhu" tu T!IOh ,nd fkdÿka frda.S lKavdhu;a iu. ixikaokh lr ne,Su jeo.;ah' fuys§ tu frda.Skag ,nd okafka T!IOho tfia;a ke;akï T!Iëh .=Kh ke;s fm;a;o hkak .ek fidhd nef,a' fuh ;j;a fï wdldrhg ksoiqkla u.ska meyeos,s l< yelsh' merfigfuda,a .ekSfuka ysiroh iqj fõ' merfigfuda,a fkd.;a;;a ysiro iqj úh yelsh' fuh Tmamq lrkafka flfiao@

9


Know Your Drugs

ishhl lKavdhula f.k thska wyUq f,i mky ne.ska fldgia follg fjka lf<a hehs is;uq' tl fldgilg ienE merfigfuda,a T!IOh ,nd § wfkla fldgig merfigfuda,aj,g iEu w;skau iudk jQ kuq;a lsisÿ T!Iëh .=Khla ke;s msáj,ska ye¥ fm;a;la ,nd fokq we;' mehlg muK miq ysi lelal=u ;sfío hkak úuid neÆ úg merfigfuda,a T!IOh ,nd.;a mkia fokdf. ka y;<sia mia fofkl=g muK ysi lelal=u iqj ù ;sfnkq we;' merfigfuda,aj,g iudk jHdc fm;a; ÿka mkia fokd f.kq;a úismylg muK ysi lelal=u iqj ù ;sìh yelsh' fï wkqj merfigfuda,aj,ska ysiroh iqj jk nj ks.ukh l< yelsfõ'

oaúwKaO mÍlaIK Uiafia i¾j;% ;;a;aj fujeks mÍlaIKhlska ,efnk m%;sM, jvd;a idOdrK f,i ,nd .ekSu i|yd T!IO ,ndfok lKavdhï folgu tl yd iudk fmkqu we;s fm;s ,nd 10

frda. i|yd w¨;ska fnfy;a ksmojkafka fufyuhs

§u u.ska T!IO ,efnkafka ldgo fkd,efnkafka ldgo hkak frda.shdg fiau frda.shdg m%;sldr lrk ffjoHjrhdgo fkd±kqj;aj isÿ flfrkq we;' tneúka fuh y÷kajkafka oaúwKaO mÍlaIKh ^double blind trial& hkqfjks' ;jo T!IOh ,nd §ug f;dard .kakd lKavdhu iy T!Iëh .=Kh ke;s tA yd iudk fm;s ,nd §ug f;dard .kakd lKavdhu tlu msßila ;=<ska wyUq f,i fjka lr .ekSfuka lKavdhï foflau iudk frda. ,laIK ;sfnk frda.Ska ys£u wfmalaId flf¾' túg mÍlaIKfha m%;sM, jvd;a idOdrK f,i ,nd .; yels jkq we;' w¨;ska ksmojk T!IOhla lsishï frda.hlg m%;sldr f,i Ndú;d lsÍu iqÿiqhehs úoHd;aulj ikd: lrkafka fujeks mÍlaIKj,ska miqjh' tfia ikd: jQ miq T!IOh fjf<|fmd<g ksl=;a lsÍu msKsi th ksmojQ mqoa.,hdg fyda iud.ug T!IOh ,shdmÈxÑh i|yd wjir ,efnkq we;' ffjoHjrhd - udisl ffjoH iÕrdj


iqj fijkl isis,i kqjr mdr" l<f.äfyafka we,a*d frday, • B iS cS myiqlï E C G • w,ag%d ijqkaâ ialEka ULTRA SOUND SCAN • äcsg,a tlaiaf¾ myiqlï X RAY • tflda mÍlaIK ECO • yDo frda. mÍlaIK CARDIOLOGY • jl=.vq frda.Ska i|yd reêr ldkaÿlrK tallh HAEMODIALYSIS • kùk mßmQ¾K Y,Hd.dr myiqlï THEATRE • oeä i;aldr tall ICU • 24 meh újD; *duis PHARMACY • kùk ridhkd.dr fiajh LABORATORY • .s,ka r: fiajdj • 24 meh ndysr m%;sldr tallh • ffjoH Wmfoia ,ndoSu • yosis m%;sldr tallh • idudkH ie;alï • ksfjig meñK m%;sldr ,ndoSfï tallh • úfYAI{ ffjoH fiajh • cx.u ffjoH fiajh • mjq,a ie,iqï fiajd iy fi!LH wOHdmkh • oshjeähd frda.Skaf.a mdo iq/lSfï úfYAI fiajh • m%cd i;aldr fiajd

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f;aud rpkh

oshjeähdj md,kh lruq - cSú;h i;=áka .; lruq

frda.Ska ixLHdfõ iS>% jeäùula fmkakqï l<;a oshjeähd frda. wjodku wju lsÍug .;hq;= mshjr j, j¾Okhla fkdfõ' oshjeähdj hkq l=ulao @ oshjeähdj hkq fnda fkdjk frda.hls' fuysoS frda.shdf.a reêr.; iSks uÜgu idudkH mej;sh hq;= w.hg jvd by< w.hla .kS'

c.;a oshjeähd oskh - fkdjeïn¾ 14

oshjeähdj md,kh lruq cSú;h i;=áka .; lruq ldhsl frda. yd ks¾kd, frda. úfYAI{ ffjoH jreK .=K;s,l

ksfrda.S wfhl=f.a ksrdydr reêr iSks uÜgu 70-110 mg/dL w;r w.hl mj;S' iSks hkq isrerg wjYH Yla;sh ksmoùu i|yd fhdod.kakd bkaOkhhs'

ld¾ólrKh yd kd.ÍlrKh ksid wo ojfia ñksia cSjk rgdj w;sYhska ixlS¾K ù ;sfí' wdydr rgdj fukau tosfkod l%shdldrlï flfrySo tys n,mEï we;sù ;sfí' fï ksid oshjeähdj" wêreêr mSvkh" yDo frda." ms<sld wdoS fnda fkdjk frda. w;sYhska iq,n ù ;sfí' uq,a ld,fha tla;rd iudc me<eka;shla w;r muKla meje;S fï frda. wo jk úg uq¿ uy;a iudcfhau ms<s,hla fia me;sr hdu uy;a wjdikdjls' fnda fkdjk frda. je<÷Kq miq iqj lsÍu W.ygh' fï ksid wm úiska l< hq;af;a frda.h we;sùfuka je<lSu;a" frda.h je<|S wfhla fõ kï ixl+,;d" we;súh yels Wmøj yels;dla wju lr.ekSu;ah' Y%S ,xld oshjeähd ix.ufha wkdjrKhkag wkQj wmf.a ;reK mrmqr b;d iS>%fhka oshjeähd frda.hg k;= fjñka isà' 2009 j¾Ih jk úg ishhg 9lajQ oshjeähd frda.Ska m%;sY;h 2014 jk úg ishhg 16la olajd by< kexù ;sfí'

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idudkHfhka Tnf.a isrer u.ska Tn .kakd wdydrfha we;s msIaguh ix>gl .aÆfldaia kï iSks j¾.h njg ì| fy<hs' tu iSks reêrhg tl;= fõ' fuu iSks YÍrfha mgl" ffi, ;=<g we;=¿ ù oykh ùfuka Yla;sh ksmojhs' w.akHdYfha ksmofjk bkaishq,ska kue;s fydfudakh ffi, j,g iSks j,g we;=¿ ùug WmldÍ fjhs'

ffjoHjrhd - udisl ffjoH iÕrdj


reêr.; iSks uÜgu by< hdug fya;= reêr.; iSks uÜgu by< hdug uQ,sl fya;= ;=kls' 1' w.akHdYfha ffi, úkdY ùu ksid bkaishq,ska fydafudakh >%djh fkdùu' 2' w.akHdYfha fi, j,ska m%udKj;a f,i bkaishq,ska >%djh fkdùu' 3' ffi, j,ska bkaishq,ska j,g olajk m%;sfrdaOh ksid .aÆfldaia ffi, ;=<g we;=¿ fkdù reêrfhau mej;Su' 2015 fkdjeïn¾ l<dmh

oshjeähdj wdldr oshjeähdj m%Odk jYfhka wdldr folls' 1' m<uq j¾.fha oshjeähdj (Type 1 Diabetes) 2' fojk j¾.fha oshjeähdj (Type 11 Diabetes) 13


f;aud rpkh

oshjeähdj md,kh lruq - cSú;h i;=áka .; lruq

m<uq j¾.fha oshjeähdj l=vd <uqka w;r nyq,h' ;reK yd jeäysá jhfia Woúh w;r iq,nj olakg ,efnkafka fojk j¾.fha oshjeähdjhs' fuhg wu;rj .¾NsKS wjêfhaoS y÷kd.kakd oshjeähdj (Gestational Diabetes) ;;a;ajhlao mj;S' ore m%iQ;sfhka miqj fuu oshjeähdj fndfyda úg iqj jk w;r miqld,Skj fï ldka;djkg fojk j¾.fha oshjeähdj we;sùfï wjodkula mj;S'

f,dj mqrd nyq, jYfhka olakg ,efnkafka fojk wdldrfha oshjeähdjhs'

fojk wdldrfha oshjeähdj f,dj mqrd nyq, jYfhka olakg ,efnkafka fojk wdldrfha oshjeähdjhs' fuu frda.Skaf.a bkaishq,ska uÜgu by< hdug bkaishq,ska j,g ffi, olajk m%;sfrdaOh (Insulin Resistance) fyda ksmojk bkaishq,ska m%udKh m%udKj;a fkdùu uQ,sl jYfhka fya;= fjhs' fudjqkaf.a reêr iSks uÜgu md,kh i|yd fnfy;a fm;s mdúÉÑh" cSjk rgdfõ fjkialï isÿ lsÍu yd bkaishq,ska tkak;a lsÍu isÿfõ' reêr iSks - isrerg lrk ydks isref¾ ffi, j,g we;=¿ fkdù reêr.;j bkaishq,ska mej;Su ksid uQ,sl jYfhka .eg¿ folla meK k.S' 1' Tn fl;rï wdydr .;a;;a Tnf.a isref¾ ffi, wjYH ;rï Yla;sh ksmojkafka ke;' tu ksid isref¾ nr wvq fjhs' Tn blauKska fjfyig m;aùuo isÿfõ' 2' os.=ld,Skj reêr.; iSks uÜgu by< w.hl mej;Su ksid Tfí weia" jl=.vq" iakdhq" yoj; wdoS bkaøshhkag ydks isÿúh yel' reêr.; iSks uÜgu" reêr mSvkh iy reêr.; fldf,iagfrda,a kshñ; uÜgul mj;ajd .ekSu ;=<ska by; .eg¿ j,ska ñoSug fyda tajd l,a oud .ekSug mq¿jk'

14

ffjoHjrhd - udisl ffjoH iÕrdj


fojk wdldrfha oshjeähdj b;d fiñka j¾Okh jk ;;a;ajhls' yeoSf.k tk úg y÷kd.ekSu i|yd fjfiia ,laIK fkdue;' oshjeähdj frda.h we;sùfïoS my; ,laIK we;súh yel' fuu ,sms fm< wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

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• wêl msmdih • wêl wdydr reÑh • fjfyilr nj • wêlj" úfYAIfhkau rd;%S ld,fhaoS uq;%d msgùu • fmkSu fnd| ùu • iqj fkdjk ;=jd, oshjeähdj y÷kd.ekSu i|yd isÿ lrk mÍlaIK • ksrdydr reêr iSks mÍlaIdj (Fasting Blood Sugar) • .a,hsfldisf,agâ ysfud.af,dìka mÍlaIdj (HbA1C) • ´r,a .aÆfldaia fgd,rkaia mÍlaIdj (OGTT) oshjeähdj we;sùfï wjodkï idOl • Wig iß,k nrg jvd nr jeäùu bK jg m%udKh fnfyúka jeä ùu msßñkaf.a bK jg m%udKh fi'ó' 90$w`.,a 35g wvq úh hq;=h' ldka;djkaf.a fi'ó'80$w`.,a 32 g wvq úh hq;=h' • wjq' 25g jeäùu • ol=Kq wdishd;sl iïNjhla ;sîu' • mjqf,a ióm {d;sfhl=g oshjeähdj ;sîu' • wêreêr mSvkh" yDo frda. je<|Su' • .¾NKS ld,h ;=< oshjeähdj je<|Su fyda ls'.%E' 4'5 g jeä orefjl= m%iQ; lsÍu' • udkisl frda.hlska fm,Su' oshjeähdj j<lajd .kafka flfiao@ • ksjeros wdydr md,kh' • jHdhdu yd YdÍßsl l%shdldrlï j¾Okh lsÍu' • kshñ; T!IO kshñ; ud;%djg .ekSu' • udkisl iunr;djh mj;ajd .ekSu' ieliqu uOqId úfcaisxy

2015 fkdjeïn¾ l<dmh

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f;aud rpkh

ksis fmdaIKh ;=<ska oshjeähdj md,kh lruq

ksis fmdaIKh ;=<ska oshjeähdj md,kh lruq oshjeähd frda.sfhl=f.a wdydr isß; ;,j;=f.dv fyaudia frdayf,a wdydr yd fmdaIKfõoskS uOqId úfcaisxy RD (SL) RN (SL) BSc. Food Science & Nutrition (Hons.)

c.;a oshjeähd oskh fkdjeïn¾ 14

oshjeähdj frda.sfhl= ksjerosj wdydr .; hq;af;a flfiao@ ;ud leu;s whqßka ri uijq,a msß wdydr fõ,la .ekSug ,eîu fldhs ldg;a i;=gls' kuq;a fndfyda oshjeähd frda.SyQ wdydr md,kh ms<sn|j ksis oeKQula fkdue;sùu ksid taldlÍ úúO;ajhlska f;dr wdydr rgdjlg yqre ù isà' tneúka TjqyQ wdydr .ekSfuka we;sjk udkisl i;=g fkd,n;s' oshjeähdj frda.fhka fmf<k Tn wdydr .ekSfïoS m%Odk lreKQ ;=kla iïnkaOfhka wjOdkh fhduq l< hq;=h' 1' ,nd.kakd wdydr j¾.h 2' ,nd.kakd wdydr m%udKh 3' wdydr ,nd.kakd fõ,dj

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ffjoHjrhd - udisl ffjoH iÕrdj


oshjeähdj frda.Ska wdydr .ekSfïoS tu wdydrh ;uka ,nd.kakd fm;s iy bkaishq,ska ud;%djkag .e,fmk f,i wod, fõ,djkaysoS ,nd.; hq;=h' iuyr oshjeähd frda.Ska fnfy;a fndk ksid ´kEu wdydrhla" ´kEu m%udKhlska .;yels hhs is;;s'fuh jeros u;hls' iuyr frda.Ska ;uka leu;s wdydr jeä m%udK j,ska f.k fnfy;a ud;%dj jeälr îug mqreÿ ù isá;s' fujka jeros mqreÿ ksid oshjeähdj wdY%s; ixl+,;d u;=ùfï wjodku jeäh' wdydr md,kfhaoS iqÿiqlï ,;a wdydr yd fmdaIKfõosfhl=f.ka Wmfoia ,nd.ekSu u.ska Tng oshjeähdj wdY%s; ixl+,;d wju jk mßos wdydr ie,iqula (Diet Plan) wdrïN l< yelsh' ksjerosj wdydr fõ,a ie,iqï lr.ekSu u.ska Tng reêr iSks m%udKh" reêr mSvkh" reêr.; fldf,iagfrda,a wdosh 2015 fkdjeïn¾ l<dmh

md,kh lr.; yelsjkjd fukau tu.ska Tfí isref¾ nr ys;lr uÜgul mj;ajd .ekSugo wjia:dj ie,fia' fi!LHiïmkak wdydr rgdjla''' fi!LHiïmkak wdydr rgdjla hkq yDo frda." wd>d;h wdoS ixl+,;d we;sùug we;s bvlv wju jk mßos ie,iqï l< wdydr rgdjls' ksjerosj wdydr md,kh lsÍfïoS my; wdydr ldKAv ish,a,u ksfhdackh jk mßos Tnf.a ffoksl wdydr-mdk f;dard.; hq;=h' fuysoS iEu oskhloSu tla wdydr ldKAvhlska tla wdydrhla j;a wvq ;rfï ksfhdackh úh hq;=h' • ksjqâv iys; OdkHuh wdydr • t<j¿ yd m<d j¾. • m<;=re • udI fnda. ^lv," lõms" uqxweg" mßmamq wdosh& • lsß iy lsß wdY%s; ksIAmdok ^fïo rys;" wvqfïo& • iu bj;a l< l=l=,a uia" ud¿" ì;a;r" lrj, • f;,a iy fïoh

wêl reêr mSvkh iy oshjeähdj wêl reêr mSvkfhka fmf<k wh" idudkHfhka 140$90 Tífnka hk reêr mSvkhla jd¾;d lrk Woúh w;=ßka ishhg 70la j;a wêreêr mSvkh md,kh lrk T!IO Ndú;d lrhs' wêreêr mSvkfhka fmf<k who oshjeähdfjka fmf<k wh m;ajk ixl+,;d j,g m;a ùfï bvlv jeäh' fjfiiskau wlaIs frda." jl=.vq wdndO wdoshg Ndckh ùug reêr mSvkh jeä ùuo fya;=jla jkafkah'

17


f;aud rpkh

ksis fmdaIKh ;=<ska oshjeähdj md,kh lruq

fï lshkakg hkafka ;j;a ldrKhls' ojfia reêr iSks m%udKh ys;=jlaldr f,i by< hk wjia:djla .ek Tn oeKQj;ao @ ys;kak" WoEik Tfí reêr iSks uÜgu by< hkjdo@ ijig úiaflda;=jla wkqNj lr f;a fldamamhla îfïoS Tfí reêr iSks uÜgu by< hkjdo @ fï .ek wjfndaOhla ;sîu;a Tfí reêr iSks l<uKdlrKhg Tng w;sYhska jeo.;a jkafkah' fï .ek woyila we;sj th u.yrjd .kakg Tfí ffjoHjrhdf.ao iyfhda.h we;sj l%shd lrkafka kï Tn fï w;;shkafka ojfia jeäu reêr iSks úp,Hhla we;sjk wjia:dj md,kh lsÍughs'

fuysoS uQ,sl jYfhka isÿ l< hq;af;a wm tf;la .;a wdydr yd tajdfha m%udK iqÿiq mßos fjkia lr tajd ojfia kshñ; ld,hla ;=< ,nd.ekSuhs' ksoiqkla f,i idudkHfhka ,nd. kakd msá iys; wdydr m%udKh wvqlr t<j¿ iy m<d j¾. jeämqr wdydrhg .ekSu l< yel' fuysoS Tn idudkHfhka ,nd. kakd msá iys; wdydr wvqlr t<j¿ iy m<d j¾. jeämqr wdydrhg .; yel' óg wu;rj Tn m%Odk wdydr fõ,a ;=k muKla wdydr .ekSug mqrqÿ jQ wfhla kï m%Odk wdydr fõ,a ;=kg .kakd wdydr m%udKh u|la wvqlr l=vd m%udK j,ska w;=re wdydr fõ,a 2-3la ,nd .kak'

oskm;d .kakd wdydrfha hy fjkila''' fi!LHu;a wdydr rgdjlg yqre jQfha kï thska mjqf,a ish¿ fokdgu uy`.= jdishla w;am;a jkafkah' túg oshjeähd frda.Skag;a mjqf,a fiiq idudcslhka iu.u wdydr .ekSug yels jkafkah' wfkla idudcslhkgo ksfrda.S iqjfi; <`.d lr.; yel' oshjeähdj frda.Ska wdydr .ekSfïoS wêl wd;;shla" ìhla .; hq;=o fkdjkafkah'

m%Odk wdydr fõ,a fnod.ekSfïoS wkq. ukh l< yels ir< l%uhla • ;ïnmq ydf,a n;a" b|swdmam" msÜgq" wdmam" f;dafia wdoS msá iys; wdydr • msá rys; t<j¿ yd m<d j¾. • uia" ud¿" ì;a;r

Tfí reêr iSks by< hk rgdj oek.kakg yels kï th oshjeähdj md,khg jeo.;a Tn lk fndk foa yd Tnf.a YdÍßl l%shdldß;ajh ukdj mj;ajd .ekSu ;=<ska Tnf.a reêr iSks m%udKh md,kh lr.; yels nj oshjeähdfjka fmf<k Tng m%;HlaI jQ ldrKhls' ta yereKQ úg Tn fndk lef*aka m%udKh" Tfí wd;;s uÜgu wdosho reêr iSks m%udKh flfryS n,mj;ajhs'

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ffjoHjrhd - udisl ffjoH iÕrdj


1' Tnf.a wdydr ms`.dfka ueoska yryg brla w|skak'tla nd.hla folg fnokak' oeka Tnf.a ms`.dk fldgia ;=klg fnod we;' 2' úYd,;u fldgig msá rys; t<j¿ fnod .kak' t<j¿" jHxck" i<do" m<d j¾." ;ïnmq t<j¿" msms[a{d" lerÜ" fndaxÑ" ,Slaia" ¿Kq" .¾lska" ud¿ñßia" ;lald,s" fldys," flfi,auqj" uqrex.d" uql+KQjekak" f.dgqfld<" lxl=x wdosh' 3' l=vd fldgia foflka tllg OdkH iy msá iys; wdydr fnod.kak' fuysoS ksjqâv iys; OdkH f;dard .ekSu l< hq;a;ls' Wod' ;ïnmq iyf,a n;a" b|swdmam" msÜgq" kQâ,aia" meiagd" uelfrdaks" f;dafi" frdà" n;," lv," ljqms" uqxweg wdosh'

2015 fkdjeïn¾ l<dmh

4' Tnf.a wfkla l=vd fldgig fm%daàkuh wdydr tla lr.kak' Wod' iu bj;a l< l=l=,a uia" id,hd" yqre,a,d" yd,aueiaid" n,hd" fl<j,a,d" ud¿" ì;a;r" fgd*q 5' m<;=rla fyda lsß wdY%s; ksIamdokhlafyda fï folu Tnf.a wdydr ie,iqfï mßos ,nd.kak' 6' ;,f;,a" T,sõf;,a" iQßhldka; f;,a" fidahdf;,a wdosh b;d l=vd m%udK j,ska tl;= lr.kak' fuhg wu;rj i<do i|yd lcq j¾." ;, weg" w,s.egfmar tl;= lr.; yelsh' 7' Tnf.a wdydr fõ, iïmQ¾K lr.ekSu i|yd wvq Yla;s mdk j¾. jk c,h" iSks rys; f;a fyda fldams mdkh l< yel' oshjeähd frda.fhka fmf<k Tn yels ;rï je<lS isáh hq;= wdydr • ksjqâv bj;a l< iy,a iy ta wdY%s; ksIamdok • iqÿ mdka msá ^ksjqâv bj;a lrk ,o ;sß`.= msá& j,ska idok ,o wdydr j¾." ^mrdá" ì;a;r frdá" nksia" iqÿmdka" ìialÜ wdosh'''& • fldia" fo,a" u[af[dlald wdoS msá iys; wdydr • fmaiaá%" frda,aia" lÜ,Ü" meáia jeks flá lEu j¾. • yl=re" iSks" meKs yd ta wdY%s; ksIAmdok ^jg,mamka" mqäx" cEï wdosh& • laIKsl kQâ,aia • meKs ri ìialÜ" l%Sï ìialÜ" whsisx wdosh • m<;=re hqI" meKsîu" fldaäh,a wdosh • fuda,aÜ wvx.= mdk • ri l< lsß yd lsß wdY%s; ksIamdok • Yla;sckl mdk j¾. • yrlauia" W!re uia" t¿ uia wdoS r;= uia j¾. • fidfiacia" yeï" fílka wdoS ilia lrk ,o uia wdY%s; ksIamdok 19


f;aud rpkh

ksis fmdaIKh ;=<ska oshjeähdj md,kh lruq

• .eUqre f;f,a nosk ,o wdydr j¾. ^nosk ,o uia" ud¿" jfâ" lÜ,Ü" uqrelal=" w, fm;s& oshjeähdj md,kh i|yd jHdhdu iy ldhsl l%shdldrlï msgqjy,la jkafka flfiao @ • bkaishq,ska j,g ffi, olajk m%;sfrdaOh fojk wdldrfha oshjeähdj i|yd fya;= jkafkah' YÍrfha wêl f,i fïoh ;ekam;a ù we;s úg bkaishq,ska m%;sfrdaOh jeä fõ' fuu ;;a;ajh u.yrjd .ekSu i|yd;a" YÍrfha nr md,kh lsÍu i|yd;a jHdhdu yd YdÍßl l%shdldrlï jeo.;a jkafkah' • fujeks frda.Skag jHdhdu f,i fõ.fhka weúoSu" msyskSu" nhsisl,a meoSu" neâñkagka l%Svdfõ fhoSu wdosh l< yel' Tn" Wig iß,k nrlska hqla; kï ñks;a;= 30-45 w;r ld,hlao" nr jeä kï osklg meh 1- meh tl yudrl ld,hlao osklg jHdhdu l< hq;=h' i;shlg osk 4-5 muK ld,hla j;a jHdhdu lsÍu reêr iSks md,kh i|yd jeo.;a fõ' • jHdhdu lsÍfïoS reêr iSks uÜgu fnfyúka wvqjk frda.Ska ffjoHjrhdf.ka$ fmdaIKfõoshdf.ka reêr iSks uÜgu wdrlaIs;j mj;ajd .kakd wdldrh .ek Wmfoia ,nd.; hq;=h' • oshjeähdj frda.Ska jHdhdu j, fhoSu yereKQ úg tosfkod lghq;= j,oS YÍrh uekúka fjfyi lsÍug W;aiql úh hq;=h' my; Wmfoia ms<smoskak' • úÿ,s fidamdkh fjkqjg ;rmamq fm< Ndú;d lrkak'flá .uka ;%Sù,rfhka" nifhka" fudag¾ ihsl,fhka fkdj mhska weúof.k hkak' • jev lrk w;r;=r mehlg jrla muK wiqkska ke.sg u|la weúoskak'

20

• ksfjfia isáhoS w;ska fros fiaoSu" w;=.Eu" fmdf<dj weuoSu" we÷ï ueoSu wdoS lghq;= Tn úiskau isÿ lrkak' fï wdldrhg wej;=ï mej;=ï yev.iajd .ekSu u.ska ldhsl l%shdldrlï jeì lsÍu u.ska YÍrfha ffi, bkaishq,sk j,g olajk m%;sfrdaOh wvq lr.; yel' fuh reêr.; iSks uÜgu wvq lr.ekSug WmldÍ fõ' T!IO l,g fõ,djg .ekSu" ksjeros wdydr isß; iy jHdhdu j,g wu;rj udkisl iunr;djh mj;ajd .ekSuo oshjeähd frda.sfhl=g jeo.;a õ' fmd;am;a lshùu" ix.S;h" Ndjkdj" wd.ñl lghq;= j, fhoSu u.ska Tfí uki ieye,a¨ lr.kak' th reêr.; iSks ïggfï laIKsl fjkiaùï md,kh lrhs' reêr iSks w.hka ksh; uÜgul mj;ajd .ksñka" oshjeähd;a" tys ixl+,;d;a md,kh lsÍug fuh msgqjy,la fjhs'

ffjoHjrhd - udisl ffjoH iÕrdj



f;aud rpkh

oshjeähdj iy bkaishq,ska kslafIamK

oshjeähdj iy bkaishq,ska kslafIamK oshjeähdj frda.Skaf.ka we;eful=g tkak;a fkfyd;a kslafIamK wdldrfhka bkaishq,ska ,ndoSug isÿfjhs' fï wh úfYAIfhka oeK.; hq;= lreKQ lsysmhla my; oelafõ' • bkaishq,ska u.ska reêr iSks uÜgu my; fy<kq ,nhs' tu.ska Tfí reêr iSks uÜgu md,khg ,la jkq we;' • ffjoHjrhd úiska Tng kshu l< bkaishq,ska j¾.h muKlau úoskak' • bkaishq,ska yu hgg úoskak' ta i|yd l,j m%foaYh" kdNsh m%foaYh" ;Ügï m%foaYh fyda wf;a by< m%foaYh Ndú;d lrkak' • bkaishq,ska úoSug kshñ; isßxch fyda mEk Ndú;d lrkak' • Wfoa" oj,a yd rd;%S m%Odk wdydr fõ,a ;=kg úkdä 15-30lg fmr bkaishq,ska úoskak' • bkaishq,ska kshu l< m%udKhg jvd .;a;d kï iy wdydr wvqfjka .;a;d kï fyda n,dfmdfrd;a;= jQjdg jeäfhka jHdhdufha fhÿkd kï wjuOqrla;h we;s ù la,dka;h yd isys uq¾Pdj we;súh yel'

c.;a oshjeähd oskh fkdjeïn¾ 14

• l,amkdj wvqùu" oyäh oeóu" yDoh fõ.fhka .eySu we;s jQjfyd;a .aÆfldaia wyqrla fyda meKsri lEula wdydrhg .kak' bkamiq Tfí ffjoHjrhd jydu yuqjkak'Tn úo.kakd bkaishq,ska m%udKh wvq lsÍug isÿúh yelshs' • ffjoH Wmfoia fkdue;sj lsis osfkl bkaishq,ska úo.ekSu kj;ajkak tmd' Tng wdydr wreÑh fyda jukh we;s jQjfyd;a jydu ffjoHjrhd yuqù Wmfoia ,nd.kak' • Tn oshjeähdfjka fmf<k nj oelafjk ldâm; ks;r <`. ;nd.kak' úfYaI{ ffjoH wdßhfiak hQ .uf.a úiska rÑ; zzug oshjeähdj oeka iqjhsZZ lD;sfhka Wmqgd .kakd ,oS'

22

ffjoHjrhd - udisl ffjoH iÕrdj


f;aud rpkh

oshjeähdj frda.Ska .kakd fnfy;a j¾.

c.;a oshjeähd oskh fkdjeïn¾ 14

oshjeähdj frda.Ska .kakd fnfy;a j¾. T!IOh

l%shd;aul jk wdldrh

we;súh yels ixl+,;d

i,af*dks,ahQßhd

jeäfhka bkaishq,ska >%djh lrKQ msKsi we,osj W;af;ackh lrhs

reêrfha .aÆfldaia uÜgu wvqùu" wdydr reÑh by< hdu ksid YÍrh ;rndre ùu

ì.=wkhsâ ^fuÜf*dñka&

mj;akd bkaishq,ska j, ld¾hlaIu;djh wvq lrhs

nfâ reodj" nfâ .Eia" mdpkh

we,amd.aÆfldisfâia m%;s.%dyl ^wldfndia&

msIagh iys; wdydr cS¾Kh m%udo lsÍu' fuu.ska reêrhg .aÆfldaia uqod yeÍu jvd;a fifuka isÿ fjhs'

nv krla ùu" mdpkh" nfâ .Eia

;hfid,säfkäfhdka ^fg%d.a,sfgfidka&

bkaishq,ska m%;sfrdaOh wvq lrñka .aÆfldaia" fïoh" fïoh uÜgu wvq lrhs'

fuysoS wjuOqrla;h we;s fjkafka wfkl=;a T!IO ,nd .;af;d;a muKs' we;eï úg ldud,dj we;sfõ'

2015 fkdjeïn¾ l<dmh

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f;aud rpkh

.aÆfldógrfhka ;uka úiskau reêr iSks uÜgu mÍlaId lr.ekSu

.aÆfldógrfhka ;uka úiskau reêr iSks uÜgu mÍlaId lr.ekSu

c.;a oshjeähd oskh fkdjeïn¾ 14

Tn úiska oek.; hq;= jeo.;a lreKq lsysmhla úfYAI{ ffjoH wdßhfiak hQ .uf.a wo ojfia oshjeähd frda.Ska fndfydauhla fokd reêr iSks uekSug reêr .a¨fldógrhla .ekSug W;aiql jkq fmfka' fï ,smsh .a¨fldaógrfha jeo.;alu iy th Ndú;d lsÍfïoS oeK.; hq;= jeo.;a lreKQ /ila iïnkaOfhka mdGlhkg wjfndaOhla ,nd fokq msKsi fõ' oshjeähd m%;sldrfha jeo.;au fidhd.ekSu ;uhs bkaishq,ska fydafudakh fidhd.ekSu' B<`.g jeo.;au fidhe.ekSu ;uhs reêr iSks uïgu fidhd .ekSu i|yd .aÆfldógrh ksIAmdokh lsÍu' oshjeähd frda.sfhl=g iqjhla ,nd.; yelafla wdydr md,kh" jHdhdu iy T!IO Ndú;h u.ska' b;ska fï lshk ldrKd ksis wdldrfhka YÍrh ;=< l%shd;aul fjkjdo hkak oek .ekSug reêr iSks uÜgu uek ne,Su wjYH fjkjd'

f,dalfha oshqKq rgj, oshjeähdfjka fmf<k yeu flfkl=gu .a¨fldógrhla Ndú;d lsÍug Wmfoia fokjd' lreKQ lsysmhla ksid wm jeks rgj, tjka ld¾hhla m%dfhda.slj isÿ lsÍu wmyiqhs' tlla fuhg jeh lrk uqo,' Ndú;d lsÍug wjfndaOhla fkdue;s ùu;a m%Odk .eg¿jla' ÿmam;alu yd kQ.;alu f,i fï ;;a;ajh oelaúh yelshs'

wdydr .ekSug fmr" wdydr .ekSfuka miq" jHdhduhg fmr yd miq m%;sldr .ekSug fmr yd miq fyda fjk;a frda.S ;;a;ajhla we;s jQ úfgloS úkdähla folla we;=<; ;ukaf.a reêrfha

24

ffjoHjrhd - udisl ffjoH iÕrdj


.aÆfldaia uÜgu n,d.kak yels kï fl;rï jákjdo@ l=vd le,alshqf,agrhla ;rï jQ idlal=fõ oudf.k hd yels .aÆfldógrh u.ska ta lghq;a;" ksfjfiaoS" ld¾hd,fhaoS ke;fyd;a ÿrneyer .ukla hk úg jdykh ;=<oS mjd .aÆfldógrhla ;sfnkjd kï Tngu lr.kak mq¿jks' ta;a wfma jeä fofkl=g fï kùk myiqlu ,nd.kak yelshdjla keye' w;ñg ys`.lu ksid' wm fï .ek;a oeKj;a ùu b;du jeo.;a' mq¿jka whg bka m%fhdackhla ,nd.kak th uy;a Wmldrhla fõú' Tn reêr iSks mÍlaIdjla lrkjd kï 1' tu mÍlaIKh lrkafka ukaoehs oek.; hq;=hs' 2' mÍlaIdj lrk wdldrh ms<sn|j oS we;s Wmfoia ms<smeosh hq;=hs' 3' YdÍßl wdndOhlska fkdfm<sh hq;=hs' 2015 fkdjeïn¾ l<dmh

.a¨fldógrhlska reêrfha iSks uÜgu uek n,kafka fldfyduo@ úIîcyrKh lrk ,o úfYAI lgqjla fyda ,ekaiÜ (Lancet) tlla u.ska we`.s,af,a fl<jr isÿre lr f,a ìxÿjla ,ndf.k th Tng ,ndoS we;s mÍlaIK máfha (Test Strip) wod, ia:dkhg fyda .aÆfldógrfha we;s ixfõoS mEvh (Sensor Pad) u;g fyda oukak' reêrfha we;s .aÆfldaia m%udKhg wkQj mÍlaIK máfha fyda ixfõoS mEvfha j¾Kh fjkia jk nj Tng fmfkaú' kshñ; ld,h .;jQ miq mÍlaIK máh u; we;s reêrh íf,dáka fmamrhla u.ska bj;a lr .a,Qfldaia ógrhg we;=,a lrkak' ^.aÆfldaia ógrfha we;s ixfõoS mEvh u;g reêr ìxÿj fy¿jd kï tfia l< hq;= ke;'& ;;amr lsysmhla .;jQ miq  Tfí reêrfha ;snQ .aÆfldaia m%udKh .aÆfldaia ógrfha msysà l=vd ;srfha osiafõú' f,dalfha oshqKq rgj, oshjeähdfjka fmf<k yeu flfkl=gu .a¨fldógrhla Ndú;d lsÍug Wmfoia fokjd' lreKQ lsysmhla ksid wm jeks rgj, tjka ld¾hhla m%dfhda.slj isÿ lsÍu wmyiqhs' tlla fuhg jeh lrk uqo,' Ndú;d lsÍug wjfndaOhla fkdue;s ùu;a m%Odk .eg¿jla' ÿmam;alu yd kQ.;alu f,i fï ;;a;ajh oelaúh yelshs' tlu T!IO ud;%dj oskm;d .;a;;a YÍrfha mj;sk frda.S ;;a;ajhkg wkQj" .;a wdydr j¾. wkQj" lrk jev lghq;= yd bka ,efnk jHdhduh wkQj reêr .aÆfldaia m%udKh wvq jeä fjkak mq¿jka' i;shlg fyda uilg jrla muKla reêr iSks m%udKh uekSfuka reêr iSks m%udKh oskm;d fjkia jk wdldrh ms<sn|j jegySula ,nd.; fkdyels nj oeka Tng jegfykjdfka' bkaishq,ska kslafIamk ,nd.kakd wh yels kï reêr.a¨fldógr Ndú;d lsÍu b;d jeo.;a' 25


f;aud rpkh

.aÆfldógrfhka ;uka úiskau reêr iSks uÜgu mÍlaId lr.ekSu

bkaishq,ska kslafIamk ,nd.kakd wh yels kï reêr.a¨fldógr Ndú;d lsÍu b;d jeo.;a'

bkaishq,ska j¾.h udre lrk úg fyda ud;%dj fjkia lrk úg fyda ks;r ks;r .aÆfldaia uÜgu mÍlaId lsÍu jeo.;a' fofjks j¾.fha oshjeähdfjka fmf<k" T!IO fm;s Ndú;d lrk wh <`.;a yels kï .a¨fldógrhla ;sîu jeo.;a' oshjeähd fm;s Ndú;d lsÍu ksid reêrfha iSks uÜgu my; niS kï iq¿ ld,hla ;=< .a¨fldógrfhka ta nj y÷kd.kakg mq¿jks'

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ksfjfiaoS .aÆfldógrh Ndú;d lsÍu - Wmfoia

• w;a fidaod msßisÿ fldg msioud úh<sj ;nd.; hq;=h' • reêr iSks uksk má nyd we;s Ndckfha i<l=Kq lr we;s l,a bl=;a ùï oskh mÍlaId lrkak' l,a bl=;a ù we;akï mdúÉÑ lrkak tmd' • .a¨fldógrh ksjerosj l%shd lrkjdoehs n,kak' oS we;s Wmfoia ksjerosj lshjkak' tys negß ld, fõ,djg udre lrkak' • máh u;g oeóu i|yd m%udKj;a reêr m%udKhla we`.s,a, úo ,nd. kak' • m;%sldfõ ,ndoS we;s Wmfoia j,g wkQj kshñ; fõ,djg reêrh máh u;g oud .aÆfldógrh l%shdlrjkak' reêrh máh u;g ;ejÍ we;s ld,iSudj wvq fyda jeä jQjfyd;a m%;sM< fjkia jkakg mq¿jk' • reêr .aÆfldaia uÜgu yeu úgu oskh iy fj,dj iys;j fmd;l igyka lr ;nkak' idhkhg .shúg Tfí ffjoHjrhdg fmkajkak' ffjoHjrhd - udisl ffjoH iÕrdj



cinnamon therapeutic value

l=re`ÿ mdkh Èúhg ksfrda.Su;a m%fndaOhla

l=re`ÿ mdkh Èúhg ksfrda.Su;a m%fndaOhla Èhjeähd frda.Skaf.a reêr iSks hdulhla f,i l%shd lrhs l=re`ÿ wfma ,dxflah uq¿;ekaf.hs wog;a ke;sju neß iajNdúl rildrlhls' f,dalfha l=re`ÿ wjYH;djfhka jeä m%udKhla ksIamdokh lrkafka;a Y%S,xldjh' tkuq;a ,xldfõ fkdj" l=re`ÿ ful, ngysr rgj, mqj;a ujkafkl= njg m;aj ;sfnkafka tys we;s wñ, T!IO .=K fya;=fjks' fuys my; ±lafjkafka l=re`ÿ j, we;s .=Kdx. ms<sn`oj ngysr m¾fhaIlfhl=f.a igykl mßj¾;khls'

l=re`ÿ j, wka;¾.; il%Sh ridhk l=re`ÿ j,g T!Iëh .=Kdx.hka ,ndfok ridhk fudkjdo@ fï iïnkaOfhka miq.sh ld,h ;=< ngysr rgj, uekúka m¾fhaIK isÿ lrk ,o w;r ta weiqfrka lreKq rdYshla w¨;ska wkdjrKh lrf.k we;' l=re`ÿ j, iajdNdúl jdIamYS,S ixfhda.hla mj;akd w;r th úYaf,aIKh lsÍfï§ ta ;=< jákd ridhk øjH lsysmhla we;s nj fidhdf.k we;' bhqcsfkda,a iy iskue,aäyhsâ hk ridhkslhka ta w;=ßka m%Odkh' l=re`ÿfmd;af;a we;s T!Iëh .=Khka fmdgEishï" le,aishï" ue.akSishï" hlv" ;=ka;kd.ï yd uex. kSia hk fmdaIl l=re`ÿ fmd;af;a wka;¾.;h' Ñls;ail T!IOhla wdydr wreÑh" nv mqrjd ±óu" Tlaldrh" wcS¾Kh wd§ wjia:d j,§ T!IOhla f,i ^ wkqmdkhla & fhdod .kS' Ök" fldßhd yd reishd iïm%odhsl

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ffjoHjrhd - udisl ffjoH iÕrdj


ffjoH l%u j, l=re`ÿ T!IOh wkqmdkhla f,i fhdod .kakd njg fndfyda idlaIs we;' iSks j,g tfrysj l=re÷ l=re`ÿ reêr iSks hdulhla f,i l%shd lrhs' ojilg l=re`ÿ .a?ï 1"3"6 la jYfhka Èk 40la l=re`ÿ ,nd §fuka Èhjeähd frda.Skaf.a reêr iSks uÜgu ishhg 18-29 w;r m%udKhlska wvq jQ nj my; mÍlaIKfhka ks.ukh lr we;' Blumentthoolm, Glodberg A, Brinck mannj (eds ), Herbal Medicine, expanded commission E mono draphs,Newton,MA, Integrative Medicine Communications. m%;HlaI jQ m¾fhaIK m%;sM< uE; ld,fha§ Èhjeähd frda.Ska 79la fhdodf.k (PlaceboControlled, Double blind Study ) ;j;a m¾fhaIKhla isÿ lr we;' fuys§ tla lKavdhulg l=re`ÿ .a?ï 3l m%udK 2015 fkdjeïn¾ l<dmh

wka;¾.; j;=rla" wfkla lKavdhug T!Iëh .=Khla fkdue;s j;=rlao Èk 40 l ld,hla mqrd Èkm;d ,nd fok ,È'Èk 40l m¾fhaIK ld, iSudj wjidkfha ieuf.a reêrfha iSks wka;¾.;h mÍlaId lrk ,oS' l=re`ÿ ksiaidrlh ,nd ÿka frda.Skaf.a reêr.; iSks uÜgu ishhg 10'3 lska wvq ù we;s nj ks.ukh úh' l=re`ÿ yoj;g b;du;a .=Khs by; mÍlaIKfha§ tu l=re`ÿ ksiaidrlh ^mdkh& Èk 60la mqrdjg ,nd § ,nd ÿka m%;sm,h jkafka YÍr.; g%hs.a,sirhsâ uÜgu ishhg 23-30 olajd úYd, m%udKhlska my; nei we;s njhs'

l=re`ÿ ksiaidrlh ,nd ÿka frda.Skaf.a reêr.; iSks uÜgu ishhg wvq flfrk nj mrafhaIK u.ska ;yjqre ù ;sfí'

tfiau LDL fkdfyd;a krl fldf,iagfrda,a uÜgu ishhg 7-27 olajd m%;sY;hlskao iïmQ¾K fldf,iagfrda,a m%udKh ishhg 12-26 olajd m%udKhlska my; nei we;s njhs' l=re`ÿ YÍrfha fïoh oykh lrhs Ziegenfuss etal kï wOHhkhl§ l=re`ÿ YÍrfha fïoh oykh lrk nj uekúka Tmamq lr we;' 29


cinnamon therapeutic value

l=re`ÿ mdkh Èúhg ksfrda.Su;a m%fndaOhla

;jo wdydr ud¾. fha iqkuH;djh we;s lsÍugo l=re`ÿ mdkh iyh fjhs' l=re`ÿ wdydrhg .ekSfuka wyru. ldrahlaIu;djh we;s lrhs' (Increasing gastrointestinal enzyme secretions) j¾;udkfha ffjoH úoHdjg we;s úYd,;u .eg¨j f,i we;af;a fnda fkdjk frda. j,g ck;dj jeä jeäfhka f.dÿre ùuhs' úúO ridhk wkqmd; jYfhka fhdod f.k T!IO ksmojqj;a tu`.ska ys;+ ;rug m%;sm, ,nd .ekSug yelso hk j. l=l=ils'

l=re`ÿ j, iajdNdúl jdIamYS,S ixfhda. hla mj;akd w;r th úYaf,aIKh lsÍfï§ ta ;=< jákd ridhk øjH lsysmhla we;s nj fidhdf.k we;'

l=re`ÿ YÍrh jhig hdu md,kh lrhs l=re`ÿ j, Polyphenol keu;s ridhkslh m%n,j we;s ksid fuh m%n, m%;sTlaisldrlhla f,i l%shd lrkq ,efí' uqla;LKavl u.ska ffi,Sh uÜgfuka YÍrhg lrk ydks je<elaùug fuu Polyphenol ridhkh WmldÍ fõ' fï ksid ;=reKq fmkqu /l .ekSug l=re`ÿ mdkh bjy,a fõ' l=re`ÿ j, we;s Cinnamaldehyde ridhkh ksid YÍrfha f,a ;=kS lsÍfï yelshdj jeä lrhs' fï ksid reêr kd, wjysr ùu" wxYNd.h we;s ùu l=re`ÿ ksid j<lajkq ,efí' 30

fï ksid iajdNdúl ;=re T!IO flfrys fmr fkdjQ wdldrhg m¾fhaIlhka fhduq ù we;' tneúka l=re`ÿ j, we;s uy;a T!Iëh .=Kh jeä jeäfhka wm mdkh lrkafka kï fyg oji fi!LHuh jYfhka wm bÈßfhka isákq we;' Ndr; .=K;s,l (Gene Bruno, MS,MHS rÑ; ,smh s la weiqfrKs&

ffjoHjrhd - udisl ffjoH iÕrdj



f;aud rpkh

uOqfïyh .;s fidnd'''

uOqfïyh .;s fidnd''' wdhq¾fõofha oshjeähdj frda.h úia;r jk yeá''' yïnkaf;dg pu,a rdcmlaI wdhq¾fõo m¾fhaIK frdayf,a ldhsl frda. ffjoH wkqr úfcafialr úisks

32

c.;a oshjeähd oskh fkdjeïn¾ 14

• wfma rfÜ jHdma;j

we;s fnda fkdjk jix.; frda. .Khg wh;a m%Odk;u frda.hla jkafka oshjeähdjh¡ wdhq¾fõofha zzuOqfïyhZZ f,i fuh y÷kajhs¡ iqjl< fkdyels uyd frda. wgla wdhq¾fõofha olajd we;¡ fï wfgka tlla jkafkao oshjeähdjhs¡ • oshjeähd frda.h lsisÿ ,laIKhla fkdfmkajd os.= ld,hla isrer ;=< ksy`vj mj;shs¡ fï ksid zzksy`v urejdZZ hk kuo Ndú;d lrhs¡ • f,dal ck.ykfhka ñ,shk 246la oshjeähdj frda. fhka fmf<k w;r 2025 jk úg fuu ixLHdj ñ,shk 380 olajd j¾Okh jk nj oelafõ' ffjoHjrhd - udisl ffjoH iÕrdj


fï jk úg Y%S ,xldfõ ñ,shk 2la muK frda.Ska isák w;r oshjeähdj iEoSfï wjodkula iys; frda.Ska ;j;a ñ,shk 2la muK isák nj;a o;a; yd úYaf,aIK l< úg fmkS hhs¡ • f,dalfha iEu ;;amr 5lg jrla oshjeähdj frda.sfhl= ìysjk w;r jirlg ñ,shk 7lg jeä m%udKhla kj oshjeähd frda.Ska jd¾;d jk njixLHd f,aLK wkQj fmkS hhs' • oshjeähdjg m%Odku fya;=j jkafka msá yd iSks wêl lEu wdydrhg .ekSu yd jHdhdï fkd,eîuhs¡

reêr iSks yd ue.akSishï idOlh reêr iSks hdukhg ue.akSishï j,ska ,efnkafka wkQmfïh jQ iïudouls' Tfí reêr.; iSks uÜgu by< kexfjkjd kï" Tn yeu úgu mdfya f;fyÜgqfjka isák wfhla kï Tn fl;rï wdydr wkqNj l<;a we;eï úg Tn ue.akSishï W!K;djhlska fmf<kjd jkakg;a mq¿jk' fï .ek iel yer oek.ekSug fï ldrKdj iïnkaOfhka Tfí ffjoHjrhd iu. idlÉPd lrkak'

b;du hym;a iajdhq jHdhduh kï weúoSuhs¡ tl ie;mqula úkdä 12lska weúoao hq;=h¡ osklg meh 1$2la weúoaofyd;a th m%udKj;ah¡ i;shg osk 3-4 la weúoafod;a m%udKj;ah¡

2015 fkdjeïn¾ l<dmh

33


f;aud rpkh

uOqfïyh .;s fidnd'''

• kj;u jd¾;d j,g wkqj ,xldfõ oshjeähdj

frda.Ska ixLHdj m%;sY;d;aulj 10]ls¡ ;jo mQ¾j oshjeähd ;;a;ajfha isákakka ixLHdjo 11]ls iïmQ¾Kfhka n,oaos 21]la muK oshjeähd frda.ska isák njg weia;fïka;= lr we;¡ fjk;a úosylg lsjfyd;a iEu mqoa.,hka miafofkl=f.ka tla wfhl=gu oshjeähdj we;s njg ie,fla¡ wms is;uq wfma fyg oji .ek wfma wdydr ffoksl fukau jHdhdu udkisl iqj;dj .eko wjOdkh fhduq fldg oshjeähd frda. iqjh iy frda.h fkdje<|S isàfï u`. olsuq¡

oshjeähd frda.hg fya;= • w.akHdYh ksis f,i l%shdldÍ fkdùu iy bkaishq,ska fydafudakh ksmoùu fkdùu fyda ;sfnk bkaishq,ska j, l%shdldß;ajh wvqùu fyda bkaishq,ska m%udKj;a f,i ksmoùug fkdyelshdjhs¡ • we`.m; fkdfjfyijd jeäfhka ksod .ekSuo oSlsß" uia" ud¿ wêl fNdackh" w¨;a ydf,a n;a lEuo" meKs ri jeä lEu j¾.o" wêl msá iys; wdydr .ekSu • fl%daO lsÍu" ffjr lsÍu" fkdokakd fya;= • wdydr osrùug fmr kej; kej; wdydr .ekSu óg wu;rj • udkisl wd;;sh • udkisl fkdikaiqka;djh • cdkuh fya;= • uj yd mshdg oshjeähdj iEoSu • úúO T!IO j¾. tl os.g Ndú;h

wdhq¾fõo ffjoH úoHdfõ m%fïy frda. 20la olajd we;¡ ksis l,g ksis ms<shï fkdlrk iq¿ frda.Skaf.a ish¿u m%fïy frda. l,a hEfïoS 34

uOqfïy ^iSks iys;& njg meñfK;s¡ túg ksYapfhkau widOH fj;s¡ wdydr .ekSfï jeros mqreÿ" jrla wdydr .;aúg th osrùug;a fmr ks;r ks;r flá wdydr .ekSu" lD;S%u rildrl" j¾Kldrl wdydr" wêl meKsri ri wdydr" meKs îu j¾." wêl msá wdydr" udkisl .eg¿" úúO wdydr ms<sn| jeros m%pdrK oekaùï yUd hdu yd ;ukaf.a myiqj wdoS fya;= fuhg n,mdhs¡ oshjeähd frda. ,laIK • rd;%shg kskaog .sh úg ks;r ks;r uq;%d lsÍug wjYH ùu • wêl msmdih" ysfia nr.;sh • f;d,-lg úh<Su • YÍr ysßh yd we`.s,s ;=vq ysßjeàu yd lgq wkskjd n÷ oekSu • weiaj, w÷re iajNdjh" lerleú,a," úvdj" uykaish" WodiSk nj • ryiH m%foaY leiSu yd oshr iajNdjh

ffjoHjrhd - udisl ffjoH iÕrdj


• we`.s,slre leiSu • YÍr odyh yd wêl

WKqiqï .;sh • ;=jd, blauKska iqj

fkdùu • uqLhg ks;r meKs

ri oekSu • flá ld,hla ;=<

flÜgq ùu • mdo j, oeú,a, • YÍrfha leiSï

;=jd, oeóu oshjeähdj ksÜgdjg iqjlrkak neßo uyd frda. wfgka tlla ksid oshjeähdj frda.h ksÜgdjg iqjlrkak neye' ta;a Tn wffO¾hhg m;aúh hq;= keye¡ fudlo oshjeähdj ksÜgdjg iqjlrkak neß kuq;a oshjeähdj Tng ´k úosyg md,kh lrkakg yels ùuhs¡ y;=frla jqK;a wjfndaO lr .;a;yu ta y;=relug fya;=j oekf.k Bg ms<shï l<du ;jÿrg;a y;=relï lrkak neßfjkjd¡ Tyqg ñ;=frl= fjkak isoaO fjkjd¡ wkak ta úosyg oshjeähdj osyd tosß is;lska n,kafka ke;sj frda.h iu`. iycSjkhla f.dvk`.d .kak¡ 2015 fkdjeïn¾ l<dmh

oshjeähd frda.h md,kh l< hq;= wdldrh 1' wdydr 2' jHdhdu ;%súO YslaId 3' udkisl iqjh iqÿiq wdydr • r;= lel=¿ n;a • ;ïnmq ksjqvq ydf,a n;a • l=rlalka ;,m" msÜgq" le|" W÷ msá wdydr" fufkaß" nv bß`.=" ljqms" uqx weg fïjdfha ;ka;= m%udKh jeä ksid YÍrhg Wrd.ekSug hk ld,h jeähs¡ tu ksid iSks uÜgu laIKslj jeä fkdfõ¡ ;jo fïjdfha îcj, msg; fmd;a;la ;sfnk neúka YÍrhg wjYH úgñka ,efnk neúka oshjeähdfõ w;=re wdndO jk ysßho iqj ùug n,mdhs¡ t<j¿ j¾. lrú," ;,k ngq" uqrex.d" flfi,afudg" fldys, w," fldys, o¿" jïngq" f.dajd" ,Slaia" jegfld¿" mf;da," ;=Ulrú," oU," fndaxÑ" uElr,a" y;=j¾." ud¿ñßia" fmdf<dia" ÆKq fld<" msms[a[d" fidahd" nKavlald" ;síngq" iqÿ¿Kq" uqrex.dfld<" rKjrd m<d j¾. uql=Kqjekak" f.dgqfld<" lxl=x" je,afmfk," u[af[dlald fld<" idrK" l;=reuqrex.d wdoS ´kEu m<d j¾.hla l=¿nvq j¾. W¿yd,a" fld;a;u,a,s" udÿre" ySxÿre" l=re`ÿ" lrmsxpd" iqÿ¿Kq" .ïñßia" ishU,d" ly" tkid,a" lrdUqkeá m<;=re j¾. fo¿ï" fmar" wem,a" fmhd¾ia" wfkdaod" fodvï$foys" fk,a,s" ños" kdrx" wkakdis" mefmd,a" ,djq¿" je,afodvï" osjq,a 35


f;aud rpkh

uOqfïyh .;s fidnd'''

msyskSu" idmamq ijdß j, fhoSu" f.j;= jev" iq¿ jYfhka f.j;a;la iEoSu" w;=.Eu" cfk,a fodrj,a msi oeóu ul=¿oe,a leãu" ms`. ka fldamam fiaoSu jeks lreKq ldrKd iq¿ jHdhdu hg;g .; yel¡

Tiqmeka rKjrd u,a" fn,su,a" bruqiq" fmd,am,d" fld;a;u,a,s" f;afld, oshjeähd i|yd úfYaIs; jQ .ia j¾. l=Uqla fmd;=" wÜálald fmd;=" fld;,ysUqgq" fldfydU fld< hqI" fldfydU fmd;"= fk,a,s" rils|" uianeoao jHdhdu jHdhdu .ek úfYaI jYfhkau is;g .; hq;= ke;;a ;udg whs;s ffoksl jev lghq;= yd rdcldßuh wjia:d ksis mßos bgq lsÍu u.ska fyd| jHdhduhla ,efí¡ • úkdä • úkdä • úkdä • úkdä

10la mäfm<l ke.Su iy neiSu 20la ksji msßisÿ lsÍu iy fros fiaoSu 20la wdydr msiSu 20 kegqï j, fhoSu

weúoSu wk.s jHdhduhls b;du hym;a iajdhq jHdhduh kï weúoSuhs¡ tl ie;mqula úkdä 12lska weúoao hq;=h¡ osklg meh 1$2la weúoaofyd;a th m%udKj;ah¡ i;shg osk 3-4 la weúoafod;a m%udKj;ah¡ weúoSu jkdyS cSjk p¾hdfõ fldgila njg m;alr .;fyd;a uekú¡ fndfyda whg weúoSu i|yd fjka lsÍug ld, fõ,dfjla fkdue;¡ ld¾hd,fha úÿ,s fidamdkh Ndú;d fkdfldg mäfm< Ndú;d lrkak¡ fj<|ie,g" ;u wjYH;djhkag" úúO ia:dkj,g fláÿr hd hq;= úg jdyk Ndú;d fkdlr ta ÿr weúof.k hkak¡ niakej;=ï 2-3la jeks ÿr m%udKj,a mhska .uka lrkak¡ tl jrlg jeä jHdhduhl fkdfhosh hq;=h¡ hï jHdhduhla lrk úg idudkH f,i l;dndy l< yels kï ta jHdhdu uÜgu iqÿiqh¡

36

udkisl iqjh • udkisl wd;;sh wvqjk whqßka ;u jev fldgia ie,iqï lsÍu • wo ;sfnk jefâ wou lsÍu" fygg l,a fkdoeóu • rdcldß wdh;kh ;=< ijkaoSfï yelshdj • wdh;kh ;=< iqyoYS,S wfkHdkH iqyo;djh • iskyuqiq uqyqKska lghq;= lsÍu • Ndjkd lsÍu • idlÉPdj" iïuka;%Kh" iïuq;sh u.ska ld¾hhka bgq lsÍu • fõ,djg jev lsÍu • ;u iSudj blaujd jev fldgia Ndr fkd.ekSu • ;u ld¾h uKav,h ;Dma;su;a lr .ekSu yd Tjqkaj we.hSu • ;ry fkd.ekSu

ffjoHjrhd - udisl ffjoH iÕrdj


• iycSjkh

f.dvke.Su • fõ,djg l,ska jev

wdrïN lsÍu oshjeähd frda.h j<lajd .ekSug kï fkd.; hq;= wdydr mqäka" fpdla,Ü" flala" whsiska" flala" meKs îu j¾." .aÆfldaia" yl=re" meKs" rgb|s" idudkH iSks" lejqï" w;sri" fodais" cEï" ng¾" fc,s" fidaia" uOHidr j¾." iïmQ¾K fhdoh iys; lsß" Öia" ng¾" fodfod,a" ì;a;r lyuoh" uialÜ" nQkaos" mdkamsá j,ska ;ekQ iy úúO j¾.fha iSks iys;j ieliQ wdydr" whsial%Sï jg,mamka hkdosh' iSudl< hq;= wdydr ^b;du l,d;=rlska .;hq;= wdydr& w¾;dm,a" n;," u[af[dlald w," r;= w," mßmamq" lsß msá" wU" weUq,a flfi,a oshjeähdj i|yd úfYaIs; jQ fy< fld< ue,a¨ï j¾. • fldamam fld< ue,a¨u • f;nq fld< ue,a¨u • l;=re uqrex.d fld< ue,a¨u 2015 fkdjeïn¾ l<dmh

• úúO m<d j¾. ñY%K ue,a¨u • lrú, o¿ ue,a¨u • lrmsxpd fld< ue,a¨u

crd" urK jHdê wdosh w;S;fhaoS f,dj olakg ,enqfKa jhi wjqreÿ 60 blaujd .sh miqh¡ tfy;a wo jhi wjqreÿ 40 muK jk úg fm!reI;aj ydksh" mlaId>d;" oDIaÀ ydksh jeks fndfyda frda. olakg ,efí¡ mdi,a orejkao oshjeähd frda.hg f.dÿrej isà¡ ta ksid jeo.;a jkafka m%;sldrhg jvd frda. j<lajd .ekSu fõ¡ wfma rfÜ jefjk wfma OdkH wfma t<j¿ yd m<;=re wmg foaYid;auH fõ¡ th ta ta l,dmhg wfõKsl we;eï frda. ;;a;aj ÿre lsÍugo WmldÍ fõ¡ ffjoH wkqr úfcafialr oshjeähd frda.Ska yg id¾:lj m%;sldr lrk foaYSh ffjoHjrfhls' ta yereKQ úg yDo frda." wêreêr mSvkh" mlaId>d; yd mxpl¾u m%;sldr iïnkaOfhkao ukd mßphla we;s fuu ffjoHjrhd my; ia:dkj,oS Tng m%;sldr i|yd yuqúh yel'

ffjoH m%;sldr ,nd.; yels ia:dk reyqKQ fuäflhd" ;siai mdr" rkak" ;x.,a, 047 2226 206 ,xld pek,ska fikag¾" nÿ,a, uy frday, bosßmsg" nÿ,a, 055 2228 155 iriú Tiqi," nKavdrfj, 057 2223 545 Y%S isoaOd¾: Tiqi," je,a,jdh 055 2274 895 reyqKQ fuäflhd" w.=Kfld,me,eiai 047 2226 206

37


f;aud rpkh

oshjeähd frda.S Tng iqÿiq foaYsh wdydr

oshjeähd frda.S Tng iqÿiq foaYsh wdydr oshjeähdj md,khg fyd|u fy< wdydr isß; yïnkaf;dg pu,a rdcmlaI wdhq¾fõo m¾fhaIK frdayf,a ldhsl frda. ffjoH wkqr úfcafialr úisks oshjeähd frda.h md,khg iqÿiq fyd|u wdydr f;daard .ekSug wm hd hq;af;a wmf.au bmerKs wdydr isß;gh' fy< wdydr isßf;a i|yka jk reêr iSks m%udKo uekúka md,kh lrk wdydr .ek úia;rhla fuys oelafõ' ukd f,i ixúOdkh lr.;a wdydr isß;la wkq.ukh lrkak • oshjeähd frda.Skag kshu lrkq ,nk wdydr jÜfgdarej jkdyS idudkH YÍr fi!LHh i|yd ldg;a m%fhdackj;a jkq ,nk wdydr jÜfgdarejls¡ jeäfhka we;af;a meKs ri fkdlEu hq;= njg lrk ks¾foaY muKs¡ • wdydrhg wu;rj oshjeähd frda.Ska jHdhdu l< hq;=hs¡ ;rndrej wvql< hq;=hs¡ f;,a wvq wdydr .; hq;=hs¡ • oshjeähdj i|yd wkqu; lrk md,k wdydr ie,eiafï uQ,sl wxl lsysmhls¡ iSks iys; wdydr fkd.ekSu" msIaGh iy jeä flos m%udKhlska hqla; wdydr .ekSu' • wvq le,ß iy wvq fïo m%udK j,ska hqla; wdydr .ekSu' • Wfoa 4-5 ;a w;r wjos ù fyd| msßisÿ u| WKqiqï j;=r ùÿrejla îu' • ;u YÍrh msßisÿ ù wd.ñl j;dj;a j, fhoSu' • Wfoag fld< le| ùÿrejla îu'

38

c.;a oshjeähd oskh fkdjeïn¾ 14

• wdydr rgd ms<sn|

i;sfha osk 7 úúO j¾. j, wdydr yqjudre lr.; yel' • fld< le| f,i lrmsxpd le|" f.dgqfld< le|" je,afmfk," yEfnda fld< le|" fmd,am,d fld< le|" uql=Kqjekak úúO ñY%K fld< le|' • Wfoa wdydrh f,i r;=ydf,a n;a" uqx weg" l=rlalka frdaà" msÜgq" ;,m" fufkaß" nvbß`.=" lv," ;Km;a" ljqms' • Wfoa wdydrh iu. fmd,a iïn,hla" fld< ue,a¨ula' ^uqlK = j q ekak$lxl=x$ l;=reuqrex.$ rKjrd$ f;nq$yEfnda$ trn÷$ lrmsxpd wdoS fld< j¾. Ndú;d l< yel&

ffjoHjrhd - udisl ffjoH iÕrdj


• W¿yd,a" iqÿ ÆKq"

l=re÷" lrmsxpd jeämqr ouk ,o lsß fydoaola fyda jHdxckhla nKavlal$lrú,$ jïngq$;,k ngq$jegfld¿$ mf;da,$ fndaxÑ$oU,$ wjr$ud`Mñßia$ fkdaflda,a$ ÆKq fld<$ f.dajd$ ,Slaia$uqx weg$fidahd$ msms[a[d$flfi,a uqj$fldys, w,$fldys, o¿$fk¿ï w,$fmdf<dia$oU,$ uE$lerï$ksú;s • Wfoa 10g f;a fndk fõ,djg bruqiq mdkh$ fn,su,a$ f;a$rKjrd$ b`.=re fld;a;u,a,s$ fjksje,a.eg jeks mdk j¾. Ndú;d l< yel¡ • osjd wdydrh # r;= lel=¿ ydf,a n;a$fld< mdg yd fl|s iys; t<j¿$fld< ue,a¨ula$i,dohla$ ud¿jla .; yel¡ • m<;=re f,i# fmar$fodvï$ fk,a,s$fo¿ï$ fmhdia$ flfi,af.ä 1la$ 2015 fkdjeïn¾ l<dmh

mefmd,a$ wfkdaod$ l=vd wU ;Srejla$ wkakdis lE,a,la$úúO .Kfha m<;=re Ndú;d l< yel • iji 3g # f;a fndk fõ,djg l=rlalka frdáhla$l=rlalka l%el¾ tlla jeks ieye,a¨ wdydrhla iu. by; olajk T!Iëh mdk Ndú;d l< yel • i;shg jrla fojrla my; i|yka wdydrh iq¿ m%udKj,ska .; yel¡ lerÜ$r;= w,$jÜglal$mßmamq$fo,a$ lsß w,$uhsfhdlald$w¾;dm,a jeks wdydr oshjeähdjg iqÿiq foaYSh T!Iëh Ydluh wdydr • ue,a¨ï j¾. - fldajlal fld<$f;nq$ jÜglal$lrú, o¿$j,a fld;a;u,a,s$rKjrd$fldamamka fld<$weU/,a,d o¿$,d fldia o¿$lrmsxpd fld<$t<ngq fld<$;eïfíßh fld<$l;=re uqrex.$idrK wdoS fld< j¾. Ndú;d l< yel • T!Iëh jHdxck -uqx weg$wlalmdk fld<$ wÜálal f.ä$flfi,a nv$lrú,$;s;a; ;síngq$fldaudßld$iqÿÆKq$´¨ ng jHxckh • OdkH j¾. -ySkáyd,a$r;= lel=¿ yd,a$ l=rlalka$nv bß`.=$;Kyd,a$W`ÿ$nd¾,s • T!Iëh mdk j¾. ksosl=ïnd ;ïnd j;=r îu$ rKjrd u,a$ neì, uq,a$bruqiq$fn,su,a$ fld;a;u,a,s$fmd,am,d$ fjksje,a.eg$fk,a,s rils| • oshjeähd frda.Skag ks;r wdrlaIdj imhk T!IO me<Eá yd .ia wÜálald$fldfydU$wr¿$ nq¿$fk,a,s$rils|$l=Uqla$neì,$ ìxfldfydU$fjksje,a$ foajodr$ iqÿ y÷ka$b`.sks$ ly$udoï$ fld;, ysUqgq$ uianeoao$je,auog$f,d;aiqUq,a$fldajlal

39


f;aud rpkh

jevigyka

wdh;k j,g rcfhao jeä iyfhda.hla ysñ úh hq;=j ;sfí'

oshjeähdj iïnkaO w¿;a f;dr;=re oshjeähd frda.h je<elaùug rch yd iafõÉPd ixúOdk l%shd;aul lrk jevigyka oshjeähdj je<÷fKd;a th iqj lr.; yels frda.hla fkdfõ' th md,kh l< yels" md,kh l< hq;= frda.hla nj kï ienEjls' wdydr" weje;=ï meje;=ï Tiafia flfkl=g oshjeähdj wjodku k;r lr.; yel' wvq ;rfï l,aoud.; yel' tfia jQjfyd;a thu ch.%yKhls' oshjeähdjg w; jkk wjodkï iy.; fldgiaj, cSjK p¾hdjka hym;a lsÍug ta ms<sn|j wjfndaOhla ck;djg ,ndoSu ld,Sk wjYH;djhls' miq.sh ld,h ;=< fi!LH wud;HxYfha fnda fkdjk frda. tallh oshjeähdjo we;=¿j wfkl=;a fnda fkdjk frda. iïnkaOfhka ck;dj oeKQj;a lsÍug bgq l< fufyh m%Yxid lghq;=h' wfma rfÜ oshjeähdj frda.h uev,Su iïnkaOfhka ck;dj oeKQj;a lrk" ta fjkqfjka úYd, ld¾h Ndrhla bgq lrk iafõÉPd ixúOdkhla jYfhka cd;sl oshjeähd uOHia:dkh ye|skaúh yel' rdc.sßh" irK udjf;a wxl 50 ia:dkfha ia:dms; cd;sl oshjeähd uOHia:dkh frda.S m%;sldr fukau" frda. ksjdrK wOHdmk jevigyka meje;aùu" WmfoaYl;aj fiajd wdoS fiajdjka /ila bgq lrhs' rfÜ ck;dj wk;=f¾ fy<ñka rfÜ wd¾Ólho Ldokh lrk oshjeähdj jeksfrda. iïnkaOfhka ck;dj iún, .kajk fujka

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oshjeähd frda.Skaf.a ffi, l%shdldß;ajh mqk¾ckkhg CoQ10 oshjeähdfõoS we;sjk uQ,sl .eg¿jla jkqfha ffi, j,g l%shd lsÍu msKsi wjYH Yla;sh wvq ùuhs' fï ffi,Sh Yla;s ckk wjYH;djh wvmK ùu ksid oshjeähd frda.shd idudkHfhka lDY Ndjhgo m;a jkafkah' Coenzyme Q 10 - CoQ10 hkqfjka ye|skafjkafka úgñka j,g iudk mod¾:hls' m%;sTlaisldrlhla jk CoQ10 ffi, j,g Yla;sh bmoùug ufydamldÍ jkafkah' uia yd uqyqÿ wdydr j, CoQ10 iq¿ jYfhka wka;¾.; jk w;r fuys Wiia l%shdldß;ajhla ,nd. ekSfï wruqKska CoQ10 ixfhda. lemaishq, jYfhka fj<|fmdf<a wf,ú jkq olakg ,efí' fuys reêr iSks wvq lsÍfï yelshdjla ke;s w;r tys

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ld¾hlaIu;djh ld,h úiska úNd. l< hq;=j ;sfí' ldfndayhsfâ%g jeä wdydro @ fm%daàk jeä wdydro @ wdydrhla ,nd.ekSfuka miqj reêrfha iSks m%udKh by< hdula isÿ jkafkah' ljr wdldrfha wdydr fõ,la .ekSfuka jvd fõ.fhka reêr.; iSks m%udKh by< hkafkao @ fï nj fy<sorõ lr .ekSu msKsi tlai;a ckmofha ñiQß úYaj úoHd,fha m¾fhaIlhka lKavdhula l%shd lrk ,oS' WoEik idudkH ;;a;ajfha md;rihla jhi wjq' 21-55 ldKavfha oshjeähd frda.Ska ksheos follg wkqNj lrkakg ie,eiaùh' tla ldKAvhla fï WoEik wdydr fõf,ka ldfndayhsfâ%Ü jeä wdydr jgla .ekSug Wmfoia fok ,oS' wfkla ldKAvhg ,nd fok ,oafoa fm%daàk wêl wdydrh' fm%daàk wêl wdydr ,nd.;a whf.a reêr

reêr mSvkh wvq lsÍug Tngu .; yels mshjr /ils' wdydrhg tla lr.kakd ¨Kq m%udKh wvq lr.kak'fmdgEishï wka;¾.; wdydr jeämqr wkqNj lrkak' uoHidr yd ÿï mdkfhka j<lskak' ys;lr YÍr nrla mj;ajd .kak' cSjk p¾hdfõ fjkila isÿ lsÍfuka Tng Tfí reêr mSvkh md,kh lsÍug rel=,la ,efnKq we;'

iSks by< kexùu isÿjQfha wvqfjks' ldfndayhsfâ%Ü jeä jYfhka wka;¾.; wdydr fõ,la .kakd ,o whf.a iSks jeäùu ;rula jeäfhka olakg ,eìK' oshjeähd frda.Skaf.a A1c1 reêr mÍlaIKh ld,hla uq¿,af,a Tfí reêr iSks m%udKh wvqfjka mj;ajd .ekSu" tkï md,khg ,la lr .ekSu" Tfí jl=.vq" iakdhq" weia wdoS oshjeähd ;¾ckhg ,lajk fiiq bkaøshhkaf.a wdrlaIdj msKsi fõ' tfiau fï ksid yDohdndOhla" wxYNd.h wdoS yosis ;;a;aj j,g ,laùfï wjodkuo ie<lsh hq;= muKlska wvq lrhs' fï ksid reêrfha os.=ld,Sk iSks l%shdldß;ajh md,khg ,la lr .ekSu jeo.;ah' tfiau ta nj A1c1 mÍlaIKfhka ld,Skj idlaId;a lr.ekSuo jeo.;ah' A1c1 w.h tla wxlhlska wvq

2015 fkdjeïn¾ l<dmh

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f;aud rpkh

*%hsâ rhsia fyda Ök lEu wdydr fõ,lska miqj Tfí reêr iSks m%udKh fnfyúka by< hkjd' iqÿ iy,a" wêl fïoh" udxY, wdydr fukau ¨Kq j,ska iukaú; fï Ök lEu reêr iSks md,khg kï fldfy;au iqÿiq kE'

ùfuka jQjo Tng úYd, wdrlaIdjla ,efí' ksoiqkla f,i A1c1 w.h 8 isg 7 g wvQ jQjd hhs is;kak' thska Tfí weia j,g" jl=.vq" iakdhq j,g wdmodjg ,laùfï bvlv ishhg y;,sylska muK wvqfõ' Tn oshjeähd frda.sfhla kï Tfí reêr iSks ks;r ks;r mÍlaIdjg ,la lrf.k Tn tys wdrlaIdj ,nd.; hq;af;ah' tfiau l,ska l,g A1c1 mÍlaIKho isÿlr.; hq;=h' thska mÍlaId lrkafka Tfí r;= reêrdKQ j,g fldmuK .aÆfldaia ne|S ;sfnkafkao hkakhs' idudkHfhka A1c1 w.h 7g wvq úh hq;af;ah' fuu w.h jeä kï A1c1 mÍlaIKh iEu udi ;=klg jrlau isÿ lr.kak' ta wkQj reêr iSks uÜgu wvq lr .ekSug W;aiql jkak'

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jevigyka

oshjeähdj ksid yg.kakd oS¾>ld,Sk ixl+,;d weia fráfkdm;s" uelshqf,dm;s" iqo" jmrh lka ìysß nj jl=.vq fkmafrdm;s" jl=.vq wlrKsh" ksoka.; mhf,dfk*rhsáia iakdhq isref¾ fl<jr iakdhq ÿ¾j, ùu" fmaYs ÿ¾j,;d yDoh yDohg f,a .uk wvqùu" yDo wlrKsh ll=,a reêr kd, ysrùu fud<h wxYNd.h" reêr leá ysrùu fyda resr kd, msmsÍu mdo ;=jd," wdidok" l=K ùu" w;amd lmd bj;a lsÍug isÿùu iu ysßjeàu" f;,a oshùu" jeyereKQ iajNdjhla we;sùu wiaÓ ykaos frda." wd;rhsáia

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,iaiKg bkak leu;s ieug úl%udrÉÑ ksIAmdok

,iaiKg bkak leu;s ieug úl%udrÉÑ ksIAmdok rejiïm;

we;akï tajdo uld ouhs'weia jfÜ we;s l¿ meye .ekaùï bj;a lrtu m%foaYh uqyqfKA j¾Khg f.k taug wxckdf,amh losuhs'

i÷kaf;,a" t<`.sf;,a" ómeKS iy T<s|f;,a jeks iug fnfyúka ys;lr fi!uH T!IOj,ska mdrïmßl úl%udrÉÑ fjo mrmqf¾ ryia jÜfgdarejlg wkQj ksmojd we;' ks;sm;d wdf,am lsÍfuka m%shxlr iqkaor uqyqKla ysñfõ' iqkaor;ajh /lf.k os.= l,la mj;ajd .; yel' osjd rd;%S mdúÉÑhg fhda.Hhs' wõ rYAñfhka Tfí uqyqK ms<siaiSu j<lajhs' ish¿ ifï frda. iqj lrhs' fidnd oyfï i;aldrhs" ziqjiïm;Z'

flaIrdcskS ff;,h lSlsßosh" fk,a,s" jegfla" wr¿" r;=¿Kq" we;=¿ T!IO /ila Ndú;d lr úl%udrÉÑ ryia fnfy;a jÜfgdarejlg wkQj ksmojd we;' wl,g ysiflia meiSu" flia .e,ù hdu" ysiafydß" mSkia frda. jeksish¿ wefia" ysfia frda. kid iajdNdúl kS, jr<ila ,nd fohs'

fiõjkaos fldaudßld" iejekaord" fjksje,a.eg"ly" fldl=ïfmd;= wdoS Ydlidr Wmfhda.S lrf.k ksIamdokh lr we;' Tfí uqyqKg frdai u,a fm;a;l j¾Kh;a" isks÷j;a tlfia ,nd fohs' i÷ksld iqÿy÷ka" fldl=ï" kdu,a f¾Kq" iejekaord" ly" fjksje,a.eg" yd ómeKs hk iug fnfyúka ys;lr foaYSh T!IO j,ska ksIAmdokh lr we; Tfí uqyqfKa l=r<E" ish¿ wj meye .ekaùï" ,m" le<e,a bj;a lr iqisksÿ m%shukdm iula we;s lrhs' wxckdf,am fldl=ï" i÷ka" lia;=ß" ly" fjksje,a.eg" fldaudßld" iejekaord" iqj|fldÜgka wdoS Ydl idrfhka wxckdf,amh ksIamdokh lr we;' wõ rYañfhka" ¥ú,s j,ska iu wdrlaId lr frdaul+m yryd iug wys;lr n,mEï we;súh yels nelaàßhd j,ska wdrlaId lrk ishqï mg,hlao wxckdf,amfha wka;¾.;h' oskm;d Ndú;d lsÍfuka uqyqfKA le<e,a" ìì,s" iu bß ;e,Sï" iu yels,Sï" ,m" l¿ ;s;a" l=re,E fyda ÿ¾j¾K ùula

iqfõ.d mdrïmßl úl%udrÉÑ fjo mrmqf¾ wk¾.;u ksIAmdokhls iqfj.d'fldr<" há m;=,a me,Su" w¿yï" oo" fydß" ìì,s" bls,s leiSï" oyäh ìì,s" we;=¿ ifï frda. f;osklska iqj lrhs' oYl y;rl úYAjdih' úl%udrÉÑ ridhkd.dr ksIamdok i|yd ish¿ úuiSï úl%udrÉÑ ridhkd.drh je,sfõßh".ïmy ÿrl:kh - 033 2256 108


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.ïmy je,sfõßh úl%udrÉÑ ridhkd.dr ksIamdok

40 jirl wk.sNjkSh úYajdih .ïmy je,sfõßh úl%udrÉÑ ridhkd.dr ksIamdok 1972 jif¾ ;dlaIK l%ufõo fkdue;s ld,fha oEf;a Yla;sfhka foaYSh T!IO j¾. lmd fldgd wUrd mdrïmßl úl%udrÉÑ fjo mrmqf¾ ryia jÜfgdare fhdod ilia lr Y%S ,dxlsl Tn fjkqfjka ,nd ÿka .ïmy je,sfõßh úl%udrÉÑ ridhkd.dr ksIamdok j¾;udkfha Wiia ;dlaIK Ndú;d fldg ish¨ m%ñ;Skag wkql+,j Y%S ,xld wdhq¾fõo fomd¾;fïka;=fõ wkque;sfhka oeka osjhsk mqrd ish¨u isxy, fnfy;a wf,úie,a j,ska iy *duis j,ska ñ<oS .ekSug wjia:dj Wodlr we;' Tfí úYajdih tod fuka wo;a tf,iskau iqrlsñka Wiia ;;a;ajfha ksIamdok /ila úl%udrÉÑ ridhkd.drh y`ÿkajdoS we;' ish¨u oshjeähd frda.Ska i`oyd úl%udrÉÑ oshjeähd iqjh 100 % u foaYSh Ydlidr jk l=Uqlafmd;=" udoï fmd;=" bruqiq" fld;,ysUqgq uq,a" rKjrd u,a" wr¿" nq¿" wÜálald fmd;= we;=¨ mdrïmßl úl%udrÉÑ fjo mrmqf¾ ryia jÜfgdarejlska ksmojd we;' oshjeähd frda.Ska osklg ;=ka jrla wu;r T!IOhla jYfhka jYfhka mdúÉÑ lsÍfuka reêr.; iSks uÜgu md,kh lr ksfrda.S mqoa.,fhl= ùug u. mdohs' foaYSh wdhq¾fõo Tiq ksid w;=re wdndO we;s fkdlrhs' úl%udrÉÑ mdjÜgd ;,a iQlsß meKsh l=vd orejkag;a jeäysáhkag;a tl fia .=Kodhl fuu meKsh mqrdK foaYSh T!IO ixfhda.hls' Yajdikd,fha iy fmky¿j, fiu wjfrdaë ùu j<lajhs' l,a.; jQ leiai" fiïm%;sYHdj" mSki weÿu jeks frda. j,g b;d .=Kodhlhs'

ieÿï,;a fuu ff;,h ykaosm;a fõokd" ysßjeàï" w;=,a m;=,a bosuqï" ;=káfha fõokd" uia ms`vq fmr,Sï" W¿lal=" weuÜá i`oyd fukau ysiroh" lsúiqï hdu" kdih ysr ùu" fiïm%;sYHdj jeks wjia:dj,oS fuu udye`.s f;, .e,aùfuka laIKsl iqjhla ,nd .; yel' úl%udrÉÑ ´r,a flhd uqL fidaokh wr¿" nq¿" lrdUqkeá" je,aó" mqjla uq,a" l;=rems," tkid,a we;=`: T!Iëh Ydlidr /il ixfhda.fhka fuu uqL fidaokh ksmojd we;' o;a uq,a oshùu" úÿreuiska f,a ierj .e,Su" o;a ysßjeàï lelal=ï yd ks;r mj;sk uqL ÿ¾.kaOh jeks uqL frda. /ila yd uqL fi!LH /loS oji mqrd uqL kejqïj ;nhs' osklg fojrla Wfoa rd;S% kskaog fmr uqLh fidaokak' oYl y;rl úYAjdih' úl%udrÉÑ ridhkd.dr ksIamdok i|yd ish¿ úuiSï úl%udrÉÑ ridhkd.drh je,sfõßh

úl%udrÉÑ uyd n, ykaosrdc ff;,h mdrïmßl úl%udrÉÑ fjo mrmqf¾ ryia jÜfgdarejlg wkqj foaYSh T!IO ixfhda.hlska 2015 fkdjeïn¾ l<dmh

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CIC frâ ndiau;S iy,a oshjeähd frda.Skag losug .e,fmk iy,ls

CIC frâ ndiau;S iy,a oshjeähd frda.Skag losug .e,fmk iy,ls wvq .a,hsisñla w.hla iys; CIC frâ ndiau;S iy,a f;dard.ekSfuka w;ajk m%fhdack • reêr iSks iy bkaishq,ska ukdj md,kh lrhs' tu.ska YÍrfha bkaishq,ska wjYH;djh wvq fjhs' • YÍrfha Yla;s uÜgï uekúka md,kh fjhs' YrSrh wvq GI w.hla iys; wdydr cS¾Kh lrkafka fyñks' fï ksid l%shdldÍ fmaYs j,g wkjr; Yla;s iemhqula iy;sl lrhs' • oshjeähdj" yDo frda." ms;a;dY frda. yd mshhqre ms<sld wdosh we;sùu j<lajhs' wvq .a,hsisñla w.hla iys; wdydr j, wdydruh ;ka;= m%udKho jeäh' • oshjeähdj je<÷KQ frda.Skaf.a .aÆfldaia yd ,smsv uÜgu m%j¾Okh lsÍug wvq .a,hsisñla w.hla iys; wdydr WmldÍ fõ' • YÍrfha fyd| fldf,iagfrda,a uÜgu by< kxjhs' krl fldf,iagfrda,a uÜgu my; fy<hs' yoj;a frda. wjodku fï ksid wvq fjhs' • wvq .a,hsisñla w.hla iys; wdydr .ekSfuka wdydr reÑh wvqfjhs' bkaishq,ska m%;sfrdaOh we;sùfï wjodkuo neyer fjhs' fï ksid ia:q,;djh wvq fjhs' • wvq fõ.hlska YÍrhg Wrd.kakd ldfndayhsfâÜ u.ska fmaYs j,g ksh; Yla;s m%udK ,efnhs' l%Svd fl!Y,Hh yd ord.ekSfï yelshdj j¾Okhg fuh bjy,a fjhs' CIC frâ ndiau;S iy,a j, fmdaIKSh .=Kdx. • mQ¾K OdkHuh wdydrhls'' .a,hsisñla ixÑ;h wvq w.hla .kS' • wdydruh ;ka;= j,ska b;d by< fmdaIH .=Khla we;' • *e,efjdkhsv" wekaf;dihkska ‘ m%;sTlaisldrl wdoS mhsfgdridhk wvx.=h' • leâñhï" Bhï wdiksla wdoS jYfhka jQ ner f,day wvx.= ke;' 46

• r;= ndiau;S iy,a iajNdjfhkau r;= mdg jk w;r tfia jkafka iyf,ys wvx.= mSfkda,sla ridhk yd wekaf;dihkska fya;=fjks'

idhkslj ;yjqre lrk ,o fmdaIK .=Kfhka wkQk iy,la jk CICfrâ ndiau;S iy,a wkQNjfhka oshjeähd frda.Skaf.a reêr iSks uekúka md,khg WmldÍ fjhs' th fldf,iagfrda,a wvq lsÍugo" ia:q,;djh md,kh lsÍugo WmldÍ jkafkah' tfiau wfma rfÜ Ndú;d jk wjfYaI ndiau;S iy,a j,g jvd m%;T s lail s drlhla jk mSfkda,l s ixfhda. fnfyúka by, ixhq;h s la CIC frâ ndiau;S iyf,ys we;'

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f,djla ri ne,Q wfma .=Kh

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medgadget

fjo f,djg úÿf,dfjka

med GadgetS igyk ÿñÿ Èidkdhl Glooko Èhjeähd l<ukdlrK moaO;sh Android Ndú;hg uq,mqrhs reêrfha iSks m%udKh ms<sno o;a; l<ukdlrKh lsÍu i|yd Tnf.a iaud¾Ü cx.u ÿrl:khg Tnf.a .a¨fldaia ógrh iïnkaO lsÍug yelsjk fia Glooko úiska tys Èhjeähd l<ukdlrK moaO;shl Android wkqjdoh ksl=;a lr ;sfí. fuu moaO;sh ál ld,hl isg Apple iOS WmlrK i|yd ,nd .; yelsj mej;s w;r oeka wjidkfha Android moaO;sh i|yd iemhSug mshjr f.k we;. Android i|yd Glooko FDA wkque;sh ,nd f.k we;. oekg .a¨fldaia óg¾ 24la yd Android WmlrK 16la i|yd th wkql+,jk w;r bÈßfha§ ;j;j;a WmlrK i|yd myiqlu yÿkajd§ug ie,iqï lr we;. iOS fukau flan,h i|yd fvd,¾ 39l uqo,la f.jd th ,nd.; hq;=

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w;r Google Play store fj;ska fuu app tl fkdñ<fhau nd.; l< yelsh. fuu MeterSync flan,h cx.u ÿrl;kfha ´äfhda cela tl ^Audio Jack& yd .a¨fldaia ógrfha we;s ta yd iudku fmdaÜ tlg ^Port& iïnkaO lrkak. uhsfl%d USB iïnkaOlhla iys; óg¾ i|yd flan,h u; jk w;sf¾l USB tlla imhhs. flan,h iïnkaO lsÍfuka miq Tnf.a Android WmlrKh u;g reêr .a¨fldaia uÜgu lshùï nd.;. l< yels w;r t;eka isg Tng .a¨fldaia ógr tll fyda lsysmhl lshùï tla ld,dkql%uKsl f,d.afmd;lska ne,sh yelsh. Ôjk rgd miqìï igyka ^,nd. kakd wdydr$Ndú; lrk T!IO$jHdhdu iy fjk;a fi!LHdY%s; lghq;=& iu. o;a; újrKh l< yels w;r fi!LHh fiajd imhkakka iu. yqjudre lsÍu. fyda Tka,hska ne,sh yelsh. Glooko m%Odk úOdhl ks<OdÍ ßla we,aáka.¾ iu. idlÉPd l< Mobi Health News wkqj wdh;kfha È.= ld,Sk wruqK flan,h iïmQ¾Kfhka bj;a lr /yeka rys;j .a¨fldaia ógr í¨gQ;a yryd iaud¾Ü cx.u ÿrl:kh

yd iïnkaO lsÍuhs. kuq;a tu l%shdj,sh i|yd f;jk md¾Yjh. óg ;ju;a iQodkï ke;. fï w;r Glooko ógrhg ma,.a l< miqj /yeka rys;j iaud¾Ü cx.u ÿrl:khg iïnkaO jk WmlrKhla ksmoùu isÿlrñka mj;s. fuu iud.u ,nk jif¾ § fuu ksIamdokh ksl=;a lsÍug n,dfmdfrd;a;= fjhs. fukak Android j,ska Glooko Ndú;d lek wdldrh ish¿ mshjr iys;j fmkajk WmfoaYkd;aul ùäfhdaj.

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fkdjeïn¾ 8 c.;a úlsrKf,aLK oskh

fkdjeïn¾ 8 c.;a úlsrKf,aLK oskh ffjoH úoHdfõ wdYap¾hu;a fidhd.ekSu tlaia lsrKfha fidhd.ekSu wkqiaurKh flfrhs ,afy,aï fldkarâ frdkaÜcka ^1845-

ú 1923& c¾uksfha jQ¾ian¾.a k.rfha

úiQ tu kñka jQ hq;a iriúfha fiajh l< iïudkkSh fN!;sl{fhls'

lef;dav lsrK fhdodf.k úúO m¾fhaIK j, ksr; jQ fuu úoaj;d fï ffofjdam.; oskh tkï 1895 fkdjeïn¾ 8 jk osk lef;dav lsrK ùÿrejla yryd iïfm%aIKh lrñka m¾fhaIK isÿ lr;aoS ta wi, ;snQ ridhksl ;srhl os,siSula we;sjkq ksÍlaIKh lrk ,oS' wêl fjda,aàh;djhla hgf;a l=vd úÿ,s Odrdjla iemhSfïoS Tyq tod ksÍlaIKh lf<A ffjoH úoHdfõ wmßñ; oeKQï iïNdrhlg uq,ajQ tlaia lsrKhhs'

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

waidyawaraya.com

tlaia lsrKh fidhd.;a uydpd¾h ú,afy,aï fldkarâ frdakaÜcka

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ffjoHjrhd - udisl ffjoH iÕrdj


úlsrK YÍrhg ydkslrh' kuq;a ta nj th fidhd.;a uq,a ld,fha lsisjl= oek isáfha ke;' fï fiahdrefjka oelafjkafka tlaia lsrKh y÷kd.;a uq,a ld,fhau tlaia f¾ cks; lrKQ msKsi ieliQ hka;%hls' zlDlaia áhqíZ f,i ye|skajQ fuu hka;%fha ;srh u; w; ;nñka ydkslr úlsrKh YÍr.; lr.kakd jQ wdldrh fï fiahdrefjka oelafõ'

fkdokakdjQ ljr fyda fohla úia;r lsÍfïoS fhdokakd jQ ztlaiaZ kue;s tod frdkaaÜcka fh¥ wd{; mofhkau fï lsrKh wog;a zztlaia lsrKhZZ hkqfjkau ye|skafõ' fkdokakdjQ ljr fyda fohla úia;r lsÍfïoS fhdokakd jQ ztlaiaZ kue;s tod frdkaaÜcka fh¥ wd{; mofhkau fï lsrKh wog;a zztlaia lsrKhZZ hkqfjkau ye|skafõ' wo ffjoH úoHdfõ fmruqKQ n,weKsh fia ie<flK m%;sìïnfõoh (Imaging) uQ,sl jYfhkau mokï ù we;af;a fï fidhd.ekSu u;sks' tlaia lsrKfha wdNdIh ,nd.;a wxls; ;dlaIKh" iSà ialekrh wdoS m%;sìïn ;dlaIKhka fkdjkakg ful, f,v frda. y÷kd .ekSu fu;rï myiq fkdjkakg ;snqKS' ffjoH úoHdj yereKQ úg" l¾udka;" wNHjldY úoHdj wo fu;rï Wiia ;;a;ajhlg meK we;af;a tlaia lsrK j, Wmfhda.S;djh ksidfjks' fï ish,a,gu uq, msreKQ tod wyïnfhka jQ fidhd.ekSu isÿ jQ oskh - fkdjeïn¾ 8 zcd;Hka;r úlsrKf,aLK oskhZ fia ie<flkafka fï iqúfYAIS úoHd;aul mrïmrdfõ iodorkSh mqfrda.dñhd jQ uydpd¾h ú,afy,aï fldkarâ fj; iodorKSh f.!rjhla fjñks' 2015 fkdjeïn¾ l<dmh

fuh f,dj m%:u ffjoHuh úlsrK fiahdrejhs' 1895 foieïn¾ 22 osk ú,afy,aï fldkarâ frdakaÜcka .;a fuu m%;sìïnfha ysñldßh wef.a m%sh Nd¾hdj wekd n¾;dh' fuu uq,a msgm; 1891 ckjdß 1 osk ¨âúla fikav¾ fN!;sl úoHd wdh;khg uydpd¾hjrhd úiska Ndr fok ,oS'

53


Toddler

l=vd orejkaf.a leu reÑh wvq lrjk fya;=

l=vd orejkaf.a

lEu reÑh wvq lrjk fya;= <ud frda. úfYaI{ ffjoH wð;a wurisxy <ud frda. iïnkaO ffjoHjreka fj; foudmshka jeämqru bÈßm;a lrk .eg¨jla jkafka ;udf.a l=vd orejd wdydr m%;slafIam lrk njhs' fï ksid orejdg iqÿiq úgñka j¾.hla ,shd fokakehs b,a,Sï lrk foudmshka fndfydah'

tfia;a ke;akï iqÿiq lsßmsá j¾.hla ,shd fok f,i b,a,d isák uõjreo isá;s' ;j;a uõjre lEu reÑh jeä lrk T!IO j¾. b,a,d isá;s' tfia jqjo l=vd orejkaf.a lEu reÑh jeä lrkakg fï lsisjla úi÷ï jkafka ke;'

orejkaf.a wdydr .ekSu iïnkaO m%Yak fndfyda úg uOHu mdka;slhkaf.a .eg¨jls' lEu j¾. ´kE ;rï ;sfnk úg;a orejka lEu .kafka f;dard fírd f.kh' l=vd orejka wdydr m%;slafIam lrkafka kï ffjoHjreka uq,skau wjOdkh fhduq lrkafka orejdf.a nr j¾Okh ms<sn|jh' iEu l=vd orejl=gu rch u.ska fi!LH j¾Ok igyka fmd;la ,nd§u isÿfõ' úáka úg orejd <Õu

54

ffjoHjrhd - udisl ffjoH iÕrdj


;sfnk idhkhg /f.k f.dia fyda nr lsrd ffjoHjrhd ,jd fuys igyka lr .; hq;=h' orejdf.a nr iïnkaO lskï fyda .eg¨jla ;sfío hkak tu.ska ±k.; yelsh' l=vd orejka wdydr ±äju m%;slafIam lrk fya;= lsysmhla we;' frda.S ùu m<fjks lreK kï frda.S ùuhs' WK" fiïm%;sYHdj" fjk;a wdidok" y;sh jeks úúO fya;= u; orejkag leu wreÑh we;súh yelsh' tjeks wjia:dj, orejd lEu m%;slafIam lsÍu ms<sn|j l,n, fkdù yels ;dla oshr wdydr j¾. ,nd §u l< hq;=fõ' fï Èhr wdydr w;r iqma" fodvï hqI" fjk;a m<;=re hqI j¾." le| jeks foa úfYaIs;h' wikSm jQ úg >k wdydr .ekSu wmyiq jk ksid Èhr wdydr §u ;=<ska orejdf.a l=i.sks ksjd .; yelsh' tfiau orejdf.a frda.h blauKska iqjùug;a Èhr wdydr j¾. WmldÍ fõ' frda.S 2015 fkdjeïn¾ l<dmh

;;a;ajh y÷kdf.k thg m%;sldr ,nd § iqj jQ miq orejd h<s wdydr .ekSug fm<fUkq we;' orejdf.a lEu reÑh h<s we;sùu msKsi orejdg lEug leu;s fohla ,nd§u jeo.;a fjhs' Ôjk rgdfõ fjkialï iuyr wjia:dj,§ fyd¢ka lEu .ksñka isá l=vd orejl= Èk lsysmhla wdydr m%;slafIam lsÍug mq¿jk' tjeks fohla Ôjk rgdfõ fjkialï ksido isÿúh yelsh' tkï ksjfia W;aijhla mej;Su" f.j,a udre lsÍu jeks ´kEu fohla Ôjk rgdfõ fjkialï hg;g .; yelsh'

È.=ld,Skj wdydr fkdf.k ys£u iuyr l=vd orejka Èklg tl fõ,laj;a yßyeá fkd.kakd nj uõjre mji;s' fujeks fohla mjik úg ffjoHjrhd wjOdkh fhduq lrkafka orejdf.a nr j¾Ok igyka fmd; flfrysh' tys§ nr j¾Okfha m%Yakhla ke;skï orejd .kakd wdydr orejdg m%udKj;a nj fndfyda úgu ks.ukh l< yelsh' kuq;a foudmshka fpdaokd lrkafkau orejd lsisÿ wdydrhla fkd.kakd njhs' ffjoHjrekag fndfyda wjia:dj, uõmshka bÈßm;a lrk .eg¨j jkafkao fuhuh' we;eï wjia:dj, fuh mjqf,a f,dl= m%Yakhla njg m;ajk wjia:do ;sfí' 55


Toddler

l=vd orejkaf.a leu reÑh wvq lrjk fya;=

fuys§ foudmshkag ;sfnk .eg¨j orejd foudmshkag jqjukd foa fkdld ys£uh' iuyr orejkag w¨f;ka lEula ÿka úg th Èk lsysmhla wdydrhg f.k miqj m%;slafIam l< yelsh' túg uõjre tA ms<sn|j l,n,hg m;afj;s' kuq;a tA iuyre orejkaf.a iajNdjhhs' lsishï w¨;a wdydrhla Èk lsysmhla .;a úg Tjqkag tmd jk w;r bkamiq th m%;slafIam lsÍu frda.hla fyda fjk;a wdndOhla fkdfõ' ;j;a iuyre orejka w¨;a fohla ÿka úg th m%;slafIam lrkq we;' tA wkqj tn÷ orejka wdydrhg .kafka ;ukag yqremqreÿ foaj,a muKs' fuho idudkH ;;a;ajhla ñi frda.hla fkdfõ' orejkaf.a wdydr .ekSu iïnkaO m%Yak fndfyda úg uOHu mdka;slhkaf.a .eg¨jls' lEu j¾. ´kE ;rï ;sfnk úg;a orejka lEu .kafka f;dard fírd f.kh' ±ka fndfyda ksfjiaj, YS;lrK ;sfí' fjf<|fmdf<a úúOdldr wdydr j¾.o we;s w;r fï w;r msiQ wdydro oelsh yelsh' YS;lrKj, fï fkdfhl=;a wdydr .nvd lr ;enQ úg orejd ;ukag ysf;k ysf;k úg fïjd wdydrhg .kq we;' fï wdydr .ekSu f.or msiQ wdydr .kakjdg jvd myiqh' orejka fïjdfhys rihgo blaukskau m%sh jkq we;' fya;=j fï fndfyda wdydr j¾. meKs ri ùuh' fujeks wdydr ks;r .kakd orejl= n;a iy jHxck j¾. m%;slafIam lsÍug fm<ôh yelsh' fuf,i l=vd wdydr fõ,a ießka ief¾g .kakd úg l=i.sks ke;s ù hdu iajNdjhls' kuq;a ìialÜ" fhda.Ü" fpdl,Ü jeks fun÷ wdydr ;=<ska orejl=g mßmQ¾K wdydr fõ,lska ,efnk fmdaIH .=Kh ysñ fkdfõ' tksid ksjfia tjeks laIKsl wdydr j¾. .nvd lsÍfuka yels;dla je<lsh hq;=fjhs' orejl=g m%Odk wdydr fõ,a ;=k muKla ,nd fokak' ießka ief¾g lEu §fuka orejdf.a l=i.sks ke;sùu ksid m%Odk wdydr fõ,a u.yßkq we;' 56

iuyr uõjreka orejd m%Odk wdydr fõ,la m%;slafIam l< úg fjk;a flá wdydrhla fyda lsß idÞ fokafka orejd nv.skafka hehs lshñks' bkamiq orejd m%Odk wdydr fõ,a m%;slafIam lsÍu mqreoaola lr.kS' tA ;udg meKs ri leú,a,la" fhda.Ü tlla" lsß tlla jeks fohla n;a fjkqjg ,efnk ksidh' tksid orejd m%Odk wdydr fõ,la m%;slafIam lf<d;a meh nd.hlska muK miq h<s thu ljkakg W;aidy lsÍu ñi flá wdydrhla §u fkdl< hq;=h' fufia lsÍfuka ;udg n;au ñi fjk;a fohla fkd,efnk nj túg orejd jgyd .kq we;' wuq;a;ka ksjig meñfKk úgo úúO wdydr j¾. l=vd orejkag /f.k ths' fpdl,Ü" ìialÜ jeks meKs ri wvx.= wdydr j¾. orejdf. ka wE;a lr ;nkak' m%Odk wdydr fõ,a ;=k fkdjrojdu orejdg fokak'

ffjoHjrhd - udisl ffjoH iÕrdj



Occupational Health

w;g jo fok f,fâ ldm,a gk,a iskafv%daï

w;g jo fok f,fâ

ldm,a gk,a iskafv%daï

mÿu ã hdmd Dip OT, SROT(UK) ÿl - 0714493560 ueksla lgqj ikaêfha (Wrist Joint) we;s ;ka;=uh wdjrKfhka idok (Wrist Band) l=vd ysvei ;=<ska w;a,g tk óähka iakdhqj (Medium Nerve) .uka flf¾' fuys§ úúO fya;+ka ksid tu óähka iakdhqj f;rmSug Ndckh úh yel' fï fya;=fjka iakdhqj iïnkaê; fldgia msysá w;af,a iy we`.s,sj, ysßjeàï" lelal=ï" bÈóï wd§ ,laIK my,fõ' fuh zldm,a gk,a iskafv%daïZ kï fõ' ^ldm,a gk,a iy,laIh&

fï ;;a;ajh we;sùug fya;= • reufgdhsâ we;rhsáia" Èhjeähdj" ;hsfrdhsâ .%kaÓfha W!K;djhka wd§ frda. ;;a;ajhka • .¾NKSNdjh • w;af,a we;=,; we;sjk úúO j¾Okh jk .eá;s wdÈh • w;af,a l=vd wiaÓ j,g isÿjk wk;=re • w;af,a wiaÓj, wkjYH jeãï (Spars) • jhi;a iu. w;af,a mglj, we;sfjk idudkH f.ùï iy bÍhdï tfiau fuh ksr;=reju w;a ls%hdldß;ajfha fh§u yd iïnkaê; frda. hla f,i úfYaIfhka ye|skaúh yel' tkï ueKsla lgqj ikaêh my,g kefuk whqßka tl È.g jev lsÍfuka' • w; lïmkh jk (Vibration) wdldrfha ls%hdldrlï j, fh§u

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ffjoHjrhd - udisl ffjoH iÕrdj


• wmyiq bßhõjlska (Awkward Position) w; ;ndf.k fndfyda fõ,djla jevlsßu

fuu ;;a;ajhg f.dÿreùfï bvlv jeä lrhs' fï ksidu wm rfÜ ffokslj f.or fodr jevlghq;= j, fhfok .Dykshka" l¾udka;Yd,d wdÈfha w;aj,ska ishqï ld¾hhka j, fhfokakka" ueySï f.;Sï" rEm,djkH lghq;= j, Èkm;d fhfokakshka w;r wdndOhg f.dÿre ùfï wjodku jeä jYfhka mj;S' tfiau jhi 40-60;a w;r ia;S% mlaIho Tima ùu kej;Su" estrogen jeks fydafudak ,nd. ekSu wdoS fya;= u; wdndê; ;;a;ajhg m;aùfï bvlv jeäh'

2015 fkdjeïn¾ l<dmh

frda. ,laIK(• fuys§ wf;a ±kSu wvqù hdu" ysß.;sh" fõokdj wd§ ,laIK yg.kS' fï ksidu rd;S%fha§ kskaog ndOd meñKSï ksr;=reju isÿfõ' tfiau wf;a ueKsla lgqj ikaêh kud fyda we`.s,s kud hula we,a,Sfï§ fõokdj jeäúh yel'

• ;jo Wfoa wjÈjQ úg iuyr we`.s,sj, ;o .;shla" ysß .;shla we;súh yel' we.s,s j, iudfhdacl;djh (Co-ordination) ke;sùu" uymgwe`.s,a, jgd we;s udxY fmaYSkaf.a ÿ¾j, ùï (Atrophy) ±lsh yel'

59


Occupational Health

w;g jo fok f,fâ ldm,a gk,a iskafv%daï

frda. úksYaph • frda. b;sydih .ek úuiSfuka ^frda. ,laIK" Èkm;d lrk jevlghq;= ljf¾o hkak& • wf;a fõokdj" ysßh" wdÈh we;s ;eka Èiafjk mßÈ is;shï .; lsÍfuka (Mapping) • YdÍßl mÍlaIKfhka (Physical Examination) w;a folu Yla;sh w;ska ixikaokh lsÍu" fõokd lelal=ï" ysßjefgk m%foaY .ek ±k.ekSu wdÈh ;=<ska ;jÿrg;a l< yels mÍlaIK(iakdhq mßlaIK - ñähka iakdhqj iïnkaOfhka X f¾ PdhdrEm u.ska - l,ska w;a,g isÿjk wk;=re wiaÓ N.akhka fyda wiaÓ mekSï (Dislocation) wiaÒkaf.a jeämqr j¾Okh ùï wdÈh ;sfío hkak' w,ag%d ijqkaâ - óähka iakdhqfõ m%udKh .ek ±k.ekSfuka

• jD;a;sh Ñls;aid iy fN!;Ñls;aid m%;sldr l%u u.ska Yla;sh iy kuH;djh r‘ojd .ekSfï jHdhdï" ls%hdldrlï j, fh§u

MRI mÍlaIK - óähka iakdhqfõ bÈóula ;sfío" ldm,a gk,a fyj;a ueKsla lgqfõ ysvefia mgqùula ;sfío hkak fï fya;=fjka f,a .ukd.ukhg ndOd isÿù we;ao hkak' idudkH f,a mÍlaIK - fuu.ska ;hsfrdhsâ W!K;djhla" reufgdhsâ wd;rhsáia" Èhjeähdj fyda fjk;a frda.S ;;a;ajhka we;a±hs hkak .ek' m%;sldr • uQ,sl fi!LH .ek ie<ls,su;a ùu" ^isref¾ nr" ÿïîu" wd;rhsáia" Èhjeähdj wd§ frda.S ;;a;ajhka md,kh lr .ekSu& • ksjfia§ frda. ,laIK jeä lrk wdldrfha ls%hdldrlï j, fh§fuka yels;dla ÿrg je<lSu ^ueKslalgqj ikaêfhka kefuk" úYd, n,h fhdojk fyda tl È.gu tlu ls%hdfõ fhfok& 60

• fõokdj wvq lsßug iy ndyqj úfõlSj ;eîu u.ska widokh iqj w;g m;alsÍu iy óähka iakdhqjg ±ßug isÿjk f;rmqu wvqlsÍug wdOdrl m;=re me<|Su

ffjoHjrhd - udisl ffjoH iÕrdj


(Splints) rd;%sfha§ m,Èk wdOdrl m;=re (Night Splints) Ndú;h'

• w;a, u; whsia m%;sldr • w;a, ioyd wefok iq¿ ls%hdldrlï (Stretching Activities) j, fh§u

• T!IO m%;sldr iy tkak;a (injection) fuu.ska fõokdj wvqlsÍug iy wdidokh iukh lsÍu lrhs'

• by; ish¨u m%;sldr j,ska iykhla fkd,efí kï Y,Hl¾uhlg Ndckh lsÍu'

fuu f,aLlhd rd.u mqkre;a:dmk frdayf,a ysgmq jD;a;Sh Ñls;ail wêldÍ iy idhksl wëlaIl jYfhka lghq;= lr we;'

• frda.shdf.a ±kg mj;sk frda.S ;;a;ajhg .e,fmk mßÈ tÈfkod jev lghq;= lrk wdldrh .ek Wmfoia ,nd§u iy tu ls%hdj,s mqyqKq lsÍu' iuyr ls%hdjka i|yd fjk;a wdfoaYl ls%hd y÷kajd§u fyda wdOdrl WmlrK (Assistive Devices) ,nd§u' 2015 fkdjeïn¾ l<dmh

f,dal jD;a;Sh Ñls;ail ix.uh i|yd Y%S ,xld wkqm%dma;sl ksfhdað;OQrh orK w;r YS% ,xld jD;a;ShfõoSkaf.a jD;a;Sh Ñls;ail ix.ufha f,alï OQrho Wiq,hs

61


l=reKE., § wvqu ñ,.kka hgf;a ridhkd.dr mÍlaIK ''' jhU m<df;a tlu iuQmldr frday," l=reKe., iuQmldr frday,a ridhkd.drfhaoS''' • ECHO Scaning tflda mÍlaIKh u.ska yojf;a iajrEmh" ta ;=< reêrh .uka lrk wdldrh fukau lmdg l%shdldß;ajh wdoS fndfyda úia;r oek.; yel' • LFT fmKy¿ l%shdldß;aj mÍlaIKh • Full Blood Check up mQ¾K YÍr mÍlaIKh • Chest X Ray mÍlaIKh • ECG mÍlaIK • Liver Function Test wlaudfõ l%shdldß;aj mÍlaIKh • Serum Creatinine jl=.vq l%shdldß;aj mÍlaIKh • Serum Blood Urea jl=.vq l%shdldß;aj mÍlaIKh • Lipid Profile fldf,iagfrda,a mÍlaIKh • Fasting Blood Sugar oshjeähdj je<|S ;sfíoehs oek.kakd" th md,kh ù we;soehs oek.kakd mÍlaIKh úfYAI{ ffjoHjrfhl=f.a wëlaIKh hgf;a rdcH yd fm!oa.,sl fiajfha kshq;= whg úfYAI meflachka pek,a lsÍu i|yd úuikak'''0372056765" 2056552" 2054070" 2054071"2222464" 2221638 iuQmldr frday, 303" fld<U mdr l=reKE., ÿrl:k 0372232242" 5670206" 2056760 2056215 *laia 037 2232242 E Mail: kch.hospital@gmail.com


Happy Baby Learning Centre

rcfha mjq,a fi!LH fiajd ks,Odßksh

fyd| ys;;a iu.ska iqj iïm; /f.k fodßka fodrg tk

rcfha mjq,a fi!LH fiajd ks,Odßksh fifkyi mokfï úOdhl wOHlaIsld mjq,a fi!LH ks,Odßks YHdu,S m;srf.a úisks

oshqKQ fjñka mj;sk rgj, fi!LH fiajdjka w;=ßka Y%S ,xldfõ fi!LH fiajdjg ysñ jkafka woaù;Sh jQ ia:dkhls' fodßka fodrg f.dia cd;sfha uõjreka yd orejkaf.a fi!LH ;;a;ajh úuik" Tjqka iqj iïm; iqrlsk mjq,a fi!LH fiajd ks,Odßksh imhk fiajdj fï Wiia fi!LH ;;a;ajh idlaId;a lr.Kq jia idOKSh ld¾hNdrhla bgq lrk nj wújdodkaú;h' yeu .ulau" yeu mjq,lau wdjrKh jk fiajdjla''' wfma rfÜ ck.ykfhka 2000-5000 w;r ck fldÜGdYhlg tla mjq,a fi!LH fiajd ks,Odßkshla ne.ska isà' ksfjigu meñK fm!oa.,sl uÜgfuka fiajd ie,iSu fudjqkf.a úfYAI;ajhla jk w;r Bg wu;rj úia;D; fiajd /ila i,iñka Y%S ,xldfõ mjq,a fi!LH fiajdj fï jk úg úúOdx.SlrKh ù ;sfí' bgq flfrk fiajdjka iuyrla • wjqreÿ myg wvq orefjl= isák fyda orefjl= ,eîug bv we;s jhfia miqjk újdyl ldka;djla isák mjq,la zidM<H;d mjq,laZ f,i wre;a oelafõ' újdyl hqj,la idM<H;d f,aLKfhys ,shdmosxÑ lsÍfuys isg orejd 2015 fkdjeïn¾ l<dmh

fhdjqka úhg t<efUk f;la iEu ujlgu iy orefjl=gu rcfhka iemfhk ish¿ uQ,sl fi!LH fiajd iemfhkafka mjq,a fi!LH fiajd ks,Odßksh yrydh' .Dy msúiSï yd mjq,a fi!LH idhk yryd fuu fiajd weh imhkakSh' • orefjl= ,eîu mud lsÍu" orejka ke;s whg orejka ,nd .ekSug WmfoaYK fiajd iemhSu" mjq,a ixúOdk Wmfoia" mjq,a ixúOdk WmlrK ^fldkavï" Æm" .s,sk fm;s" tkak;a" ;ekam;=" yosis Wm;a md,k fm;s''' & ,ndoSu' • .¾NsKS ld,fhaoS fmdaIKh we;=¿j ish¿u wod, Wmfoia" w;sf¾l fmdaIl ^;%sfmdaI&" tkak;a yd úgñk ish,a, ,ndoSu" 63


Happy Baby Learning Centre

ffjoH mÍlaIK" ridhkd.dr mÍlaIK yd ffjoH yuq i|yd Wmfoia ,ndoSu' • ffjoH yuqjlg hk úg ffjoHjrhdg myiqjla jk f,i úfYAIfhka ieliQ zuõ ldâm;Z ,nd. ekSfuka ´kEu rcfha fyda fm!oa.,sl frday,lg hk úg uy;a myiqjla we;s fjhs' rcfha frday,lg hdfïoS kï fuu zuõ ldâm;Z wksjd¾h lr ;sfí' • ore m%iQ;sfhka miq ksfjig meñKs ú.i mjq,a fi!LH fiajd ks,Odßkshg oekaùfuka orejdf.a;a" ujf.a;a fi!LH iïnkaO Ndrldr;ajh wehg mejfrhs' tysoS w¿;a orejdf.a;a" ujf.a;a fi!LH ;;a;ajh .Dy msúiqï lsysmhla Tiafia fidhd n,k w;r w¿;a ujlg m<uq orejd m%iQ; lsÍfuka miqj ksfjigu meñK ,nd fok fuu fiajdj uy`.= iykhls'

rcfha mjq,a fi!LH fiajd ks,Odßksh

yd ffjoH Wmfoia wjYH wjia:d y÷kdf.k fhduq lsÍu wehf.ka isÿjk fiajdjkah' m%iQ;sfhka miqo ujg w;sf¾l fmdaIKh yd úgñk ,nd foa' • kjckauhdf.a isg fmr mdie,a úh olajd orejd f.afi!LHh ms<sn|j .Dy msúiqï Tiafia fiajd imhhs' Wmfoia ,ndfohs' fhduq lsÍï isÿ lrhs' • rcfha m%;sYla;slrK Wmf,aLKhg wh;a ish¿ m%;sYla;slrK tkak;a fï úfYAIs; mqyqKQjla ,enQ mjq,a fi!LH fiajd ks,Odßksh fj;ska Tng ,nd.; yelsh' Tn orejdg fm!oa.,sl wxYfhka tkak;a ñ,oS f.k ÿkak;a Tng ´kEu úfgl rcfhka fkdñ,fha iemfhk tkak;ao wjYH úfgl ,nd.; yel' th Tfí orejdf.a whs;shls' • nr wvq orejka i|yd w;sf¾l fmdaIl ^;%sfmdaI& yd úfYAI fmdaIl j¾. fkdñ,fha ,ndfohs' • jhi wjqreÿ 35 bl=;ajQ ldka;djkag zziqj kdß idhkZZ meje;aùu yd mema mÍlaIK isÿ lr.ekSug fhduq lsÍu isÿ lrKQ ,nhs'

• uõlsß oSu iy orejdf.a idudkH" widudkH ,laIK y÷kd.ekSu" yosis wjia:d y÷kd.ekSu

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ffjoHjrhd - udisl ffjoH iÕrdj


Beauty

,,kd jreKd iudcfha lemS fmfkk flfkla fjkak'''

rej iqrlsk WmfoaY Wmfoia-fm!reI;aj j¾Ok yd iudc wdpdrO¾u ms<sn|j m%ùK WmfoaYsld fkrxckS chfialr ms yefudau ,iaikg bkakg leu;shs' wka wh w;f¾ lemS fmfkñka iudcfha ms<s.ekSug ,lafjkjd kï" fl;rï fyd|o@ yeu fokdgu ,iaikg bkakg mq¿jka' ta .ek úuis,su;aj fudkjdo lrkak ´k" fldfyduo bkak ´k" lsh, fydh, ne¨fjd;a wmg;a iudcfha lemS fmfkk flfkla fjkak mq¿jka'

w

2015 fkdjeïn¾ l<dmh

,,kd jreKd

fndfyda fofkl= is;kafka ,iaik uqyqKla muKla ;sîu m%udKj;a lsh,d' we;af;kau th jerÈ jegySula' ,iaikg flfkl=f.a fmkqu" bßhõ" is;=ï-me;=ï wd§ ish¨ foau tl;= fjkjd' ndysr fmkqu .ek meyeÈ,s lrkjd kï thg ysfia isg fom;=, olajdu ie<ls<su;alu wh;a fjkjd' msßisÿlu wxl tl''' wo we;eful= yeu úgu ysi" iu uekúka msßisÿj ;nd.; hq;= nj okafka keye' ysfiys tl;= jk oyäh l=Kq bj;a lf<a ke;akï ysiflia ;=jd, wdÈh we;sjkak mq¿jka' tu ksid ;u flia j¾.hg .e<fmk Ieïmq j¾.hla f;dard .; hq;= fjkjd' iEu Ieïmq fnda;,hlgu th iqÿiq jkafka l=uk j¾.fha ysiflia j,g±hs i|yka fjkjd' ta wkqj f;dard .kakjd ñila fkd.e,fmk Ieïmq j¾.hlska ysifliaj,g hym;la isÿjkafka keye' tfukau udihlg 65


Beauty

,,kd jreKd

ierhlaj;a flia w. lmd ±óu ysifliaj, j¾Okhg WmldÍ fjkjd' tfukau ueÈ jhig tau;a iu.u ysiflia ;=kS ù isyska njla fmkakqï lrkjd' fldKavh fldmuK Èla jqj;a isyska kï th Tfí fmkqug ,iaikla f.k fokafka keye' fldKavh ;rula fldgg lemSfuka ysifla j,g msreKq fmkqula we;s fjkjd' oyosh ÿ.| - fuh;a flfkl=f.a ,iaikg ndOdjla ;j;a fndfyda fofkl=g ;sfhk m%Yakhla jkafka oyÈh ÿ.|hs' fuh;a flfkl=f.a ,iaikg ndOdjla' fndfyda fofkl= is;kafka fuu ÿ.| we;sùug fya;=j isrer ;=< we;s wmú;% foa bj;a jk ksid njhs' fï ÿ.| we;sùu j<lajkak neye lsh,hs' kuq;a fuys§ isÿjkafka th fkdfõ' ta ms<sn|j wjfndaOhla ;sîu b;d jeo.;a'

WoEik fukau rd;%S kskaog fmr;a o;a msßisÿ l< hq;= w;r iEu lEu fõ,lgu miq o;a msßisÿ l< yels kï th jvd iqÿiqhs'

wfma uq¿ isreßkau oyÈh msgfjkjd' fuu oyÈh ÿ.|la keye' fuu oyÈh jdIam fj,d isrefrka bj;a fjkjd' kuq;a wms wfma w;a" w¢k we÷u .ek ieuúgu ie<ls,su;a fjkak ´ks' Tn w¢k we÷ï ieuúgu fidaod msßisÿ l< hq;= we÷ï úh hq;=hs' lsys,s fmfoi fyd¢ka fia§ ke;akï tu we÷ï j,skao ÿ.| yukak mgka .kakjd' fuys|S flfkl=f.a oyosh ÿ.| iEu úgu ±fkkafka ;ukag fkdfõ' ;ud wjg isák whghs'

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ffjoHjrhd - udisl ffjoH iÕrdj


• iEu úgu lsys,af,a frdau l+m bj;alr ;sìh hq;=hs' • Èkm;d wju jYfhka we`. fia§uj;a l< hq;= fõ' • we`. fiaoSfïoS lsys,s fmfoig fojrla inka oud msßisÿ l< hq;=hs' miqj fuys f;; ud;a;= lr fyd| äfhdavrkaÜ j¾.hla lsys,s fmfoi mqrd wdf,am l< hq;=h' fuys § oyÈh .e,Su ;djld,sj kej;Sula isÿfjhs' • we÷ï weÈh hq;af;a Bg ál fj,djlg miqjhs' w¢k we÷u .ek ieuúgu ie,ls,su;a fjkak Tn w¢k we÷ï ieuúgu fidaod msßiqÿ l< hq;= we÷ï úh hq;=hs' Tnf.a we÷ï j, lsys,s fmfoi fyd¢ka fia§ ke;akï tu we÷ï j,skao ÿ.| keñh yels nj u;l ;nd .; hq;= fõ' äfhdavrkaÜ j¾.hla wdf,am lsÍu isrerg ydks lr fkdfõ' äfhdavrkaÜ - Tng wjYH ke;s fõ,djg fidaod bj;a l< yels w;r fï u.ska ojfia meh 24 mqrdjgu Tnj oyÈh ÿ`.f|ka uqojk nj u;l ;nd .kak' ,iaik iqkaor iskyj wNrKhls B<`.g Tn ie,ls,su;a úh hq;af;a Tfí o;a ms<sn|jhs' ,iaik iskyj iEu flfkl=g u wdNrKhla' kuq;a Tfí o;a wj meye .ekaù we;akï th Tfí fmkqug ndOdjls' WoEik fukau rd;%S kskaog fmr;a o;a msßisÿ l< hq;= w;r iEu lEu fõ,lgu miq o;a msßisÿ l< yels kï th jvd iqÿiqhs' ta i|yd oka; ffjoHjrfhl=f.a msysg m;kak Tng isÿfõú' rcfha frday,lska fuh fkdñ,fha lr .; yelshs' ,iaik o;a fom< flfkl=g wdNrKhla nj u;l ;nd .kak'

mqreoaola' ta jf.a wka wh Tng ms<sl=,a lsÍula fuu.ska isÿfõ' kshfmd;= yemSug fya;=j fndfyda úg udkisl m%Yakhla úh yelshs' tfia kï Tng úYAjdi flfkl= ke;fyd;a ta iïnkaO ffjoHjrfhl= iu. idlÉPd lsÍfuka tu .eg¨j úi|d .; hq;=hs' iuyre ú,dis;djla f,i kshfmd;= W,a lr ;sîu ksid ks;ru msßisÿ lsÍï l< hq;=h' ke;fyd;a úIîc /£ug we;s yelshdj jeä ksid flá f,i lemq kshfmd;= jvd;a iqÿiqhs' kshfmd;= wdf,amk lsÍfï§ mjd úúO jq ú,dis;d ;sfí';ukag .e<fmk j¾Kh yd we÷fï j¾Kh wkqj kshfmd;= wdf,amk l< hq;=hs' igyk - wkqrdOd È,sks b,kafldaka

w;a yd mdoj, kshfmd;= msßisÿj ;nd .ekSu Tfí kshfmd;= fld;rï ÿrg msßisÿjg yd ,iaikg ;nd .kakjdo@ iuyre ks;ru kshfmd;= ym ymd bkakg leu;shs' fuh krl 2015 fkdjeïn¾ l<dmh

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NRT

is.rÜgqfõ W.=f,ka ñfokakg f,dj ms<s.;a ksfldáka wdOdrl m%;sldr .ek oek.kak

Nicotine Replacement Therapy (NRT) is.rÜgqfõ W.=f,ka ñfokakg f,dj ms<s.;a ksfldáka wdOdrl m%;sldr .ek oek.kak f,dal fi!LH ixúOdkh fï m%;sldr ms<s.ekSug ,la lr ;sfnkjd u;aøjH j,g weíneys ùï .ek oskm;d wikakg ,efí' f,dj jvd;au fõ.fhka me;sr hk weíneysldrlh ksfldáka h' fï ta ms<sn|j;a thska ñfokakg .; yels Wmdhud¾. .ek;a w;sYhska m%fhdackj;a jQ lreKQ j,ska iukaú; igykls' is.rÜ ÿïfld< j, ;sfnk" wd>%dkfhka jyd reêr Odrdjg tl;= jk m%n, weíneysldrlhla f,i zksfldákaZ ye|skaúh yel' is.rÜ ks;sm;d mdkh lrk jeä fofkla ksfldáka j,g weíneys jQjka lsjfyd;a th i;Hhls'

wfma rfÜ jvd;au ckm%h s m%;l s dr udos,h s ksfldáka f,dfikaciah

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úruK ,laIK we;sfjk yeá Tn mqreoaola f,i is.rÜ mdkh lrkafkla kï reêrfha ;sfnk ksfldáka idkaøKh my; jegqKQ úg Tfí isrerg" ukig wmyiq;djhka /ila we;sfõ' l,n,ldÍ .;sh"is; tl`.j mj;ajd .ekSug fkdyels ùu" fõokdldÍ nj" lrleú,a," u<noaOh fukau is.rÜgqjla mdkh lf<d;a fyd|hs hk ye`.Su ta w;r fõ' fuysoS Tfí wjYH;djh iïmQ¾K fkdjqfKd;a ta oefkk wudrelï o jeäfõ' meh 24 la muK .;jk úg th Wmßu wmyiq;djhla lrd <`.d fjhs' ffjoHjrhd - udisl ffjoH iÕrdj


fï w,l,xÑh wm úruK ,laIK fkfyd;a (Withdrawal Symptoms) f,i y÷kajuq' is.rÜ fndk iEu ;=ka fofklaf. ka fofofkl=gu fï krl mqreoafoka ñfokakg fyd|gu jqjuKdh' kuq;a weíneysh b;d Nhdkl fohla ksidfjkau Tjqkag th l< fkdyelalls' fï whg ndysrj Wmldr lsÍfuka fï Nhdkl mqreoafoka .,jd.; yel' ksfldáka wdfoaYl m%;sldrh fkdfyd;a Nicotine Replacement Therapy (NRT) msysgg tkafka fï ksfldáka j,g weíneys jQjka bka .,jd .ekSugh' ksfldáka wdfoaYl m%;sldrh .ek ye|skaùula ÿïmdkh fkdlrñka reêr Odrdjg ksfldáka ,efnkakg ie,eiaùu ñka isÿfõ' oaù;shslj fhdod. kakd fï Wml%u j,ska fi!LHuh wjodkula we;s fkdjk w;r weíneysh bj;a lsÍfuka miq fuu 2015 fkdjeïn¾ l<dmh

m%;sldrh wjika l< yel' f,dal fi!LH ixúOdkh u.ska wkqu; lr we;s ksfldáka wdfoaYl m%;sldr udos,s myla mj;S' • Nicotine Lozenges • Nicotine Patch • Nicotine Gum • Nicotine Nasal spray • NicotineInhalers is.rÜ fndk iEu ;=ka fofklaf.ka fofofkl=gu fï krl mqreoafoka ñfokakg fyd|gu jqjuKdh' kuq;a weíneysh b;d Nhdkl fohla ksidfjkau Tjqkag th l< fkdyelalls' fï whg ndysrj Wmldr lsÍfuka fï Nhdkl mqreoafoka .,jd.; yel'

Nicotine lozenges ksfldáka wdfoaYl m%;sl¾u w;f¾ ;j;a ld¾hlaIu yd m%;sM<odhl m%;sl¾uhla jkafka ksfldáka f,dfikaciah' fïjd ffjoH ks¾foaYhlska f;drj Ndú;d l< yelsh' ksfldáka .ï wdldrhgu f,dfikacia o ud;%d follska fj<|fmdf<A wf,úhg;sfí' ta 2mg 69


NRT

is.rÜgqfõ W.=f,ka ñfokakg f,dj ms<s.;a ksfldáka wdOdrl m%;sldr .ek oek.kak

yd 4mg jYfhks' WoEik wjos ùfuka miqj fldmuK fj,djlska uq,a is.rÜgqj îug wjYH jkafkao hk ldrKh u; ud;%dj ;SrKh flfrhs' f,dfikacia ,nd fokafka i;s fod<yl jevigykla jYfhks' uq,a i;s yh ;=< iEu meh 1-2 lg jrlau f,dfikacia tlls' bkamiqj 7 isg 9 i;sh olajd fï f,dfikacia tl meh 2-4 ld, wka;rhloS ,nd fohs' wjidk i;s 1012 ld,h ;=< meh 4-8 ld, wka;rhlg 7 isg 9 i;sh olajd f,dfikacia tl ne.ska ,nd fohs' fï wdldrfhka ixúê;j wvq lrf.k hdu ksid wjidkfha id¾:l f,i ksfldáka weíneysh ;=rka l< yel' f,dfikacia .ekSug ñks;a;= 15lg fmr mdk j¾. .ekSu k;r l< hq;=h' we;eï mdk j¾. fï f,dfikacia j, kshñ; l%shdldß;ajhg ndOd we;s lrk neúks' ;o rileú,a,la fia fïjd ;oska yemsh hq;= fkdfõ' .s,Suo iqÿiq ke;' fiñka úlSu muKla iEfya' meh yhl ld,hla ;=< f,dfikacia mylg jvd fkd.; hq;=h' osklg .; hq;= Wmßu f,dfikacia m%udKh úiails' i;s 12l ld,hla muKla fïjd .; hq;=h' ;jÿrg;a f,dn we;sfõ kï ffjoHjrfhl= yuqù Wmfoia ,nd. kak' tfiau is.rÜ mdkh lrk úg fyda fjk;a ksfldáka wdfoaYlhla ,nd.kakd úg fï f,dfikacia fkd.; hq;=h' .ekSfïoS l,d;=rlska flfkl=g we;súh yels ixl+,;d w;r kskaog ndOd we;sùu" Tlaldrh" yslaldj" leiai" W.=rg tk .;sh" ysiroh oelaúh yel' Nicotine Patch fuh iu u; w,jk meÉ tlls' meÉ tfla ksfldáka wka;¾.; jk w;r tys isg reêr Odrdjg ksfldáka tl;= ù úruk ,laIK we;s fkdjkakg j. n,d.kS' meÉ tfla we;af;a 70

ksYAÑ; ksfldáka ud;%djls' meh 16 la l%shd;aul jk meÉ fiau meh 24 la l%shd;aul jk meÉ mj;S' uq,skau jeä ud;%djl isg ud;%dj wvq lrñka f.dia wjidkfha m%;sldrh kj;ajkakg ,efnhs' ysñosß WoEik fj,djl YÍrfha t;rï frdau ke;s ia:dkhl meÉ tl we,úh hq;=h' bKg Wäka" f.,g my<ska ia:dkhla fu i|yd f;dard.efka' wefußldfõ wdydr yd T!IO wêldßh fuu meÉ tl Wmßu udi 3-5 ld,hla Ndú;d lsÍu wdrlaIdldÍ njg Wmfoia oS ;sfí' Ndú;fhaoS we;eï ixl+,;d we;euqkag we;s úh yels neúka ffjoH ks¾foaY yd ud¾f.damfoaYKh

ffjoHjrhd - udisl ffjoH iÕrdj


u; Ndú;h iqÿiqh' we;súh yels tjka ixl+,;d iuyrla kï iu r;ameye .ekSu" leiSu" ysiroh" Tlaldrh" uiams`vq fõokdj" yoj; .eiau jeäùu wdoshhs' we;eï udos,s i|yd ffjoH ks¾foaYh wksjd¾h lr ;sfí' Nicotine Gum fuh fõ.fhka l%shd;aul jk zksfldáka wdfoaYl m%;sldrhlaZ jYfhka y÷kajd fohs' pqúx .ï wdldrhg lfÜ rejd .ekSfuka uqLfha YAf,aYu, Tiafia reêr Odrdjg tl;= fjhs'

isáh hq;=h' bkamiq kej;;a .ï tl úlkakg jqjuKdh' fï wdldrhg úkdä 20-30 la muK isÿ lsßfuka miq th bj;,sh yel' wdydr fyda mdk j¾. .ekSu fuys we;s ksfldáka Wrd .ekSug ndOd lrk neúka ksfldáka .ï Ndú;hg úkdä 15 lg fmr lsisÿ wdydrhla" mdkhla fkd.; hq;=h' tfiau .ï tl uqfjys ;sfnk ld,h uq¿,af,ao lsisjla wkqNjh fyda mdkh fkdl< hq;=h' .ï tfla ud;%dj ;SrKh lrkksYaÑ; idOl we;' tajd w;r osklg is.rÜ lShla fndkjdo@ wjos jQ ú.iska is.reÜgqjla îu wjYH lrkjdo@ ÿï mdkh lsÍu ;ykï iSud ;=<oS mjd fndkakg fm<fUkjdo @ wdoS lreKQ fidhd nef,hs' ksfldáka .ï Ndú;h i|ydo iSud we;' .; hq;= Wmßu m%udKh 24 fkdblauúh hq;=h' i;s 6-12 lg ks¾foaY flf¾' Wmßu Ndú; ld,h udi yhls' fuho ud;%dj wvq lrñka weíneysh k;r lsÍfuka miq wjidkfha m%;sldrh bj;a l< yel' lgg wñrila oekSu" W.=r leiSu" uqLfha jk" Tlaldrh" yoj; .eiau jeäùu wdoS ixl+,;d we;eful=g we;s úh yel' ld,hla hk úg fï .ï tlg flfkl= mqreÿ úh yel' Tyq is.rÜgqfjka fï .ï tlg udre ùug fuysoS lghq;= lrhs' os.= ld,Sk mqreÿ ùu (Long-term dependence) fuys we;s wjdishls'

fï .ï tl uq,skau thg wdfõKsl rih tk ;=re úlkakg jqjuKdh' rih uqjg oeKQkq miq tu rih bjr jk f;la ksfid,aufka 2015 fkdjeïn¾ l<dmh

Nasal spray kdislj fhdok iafm%a tlla jYfhka l%shd lrk ksid fõ.fhka ksfldáka reêr.; fjhs' fuh Ndú;d l< yelafla ffjoH m%f,aLK m;%hla u;" tkï ffjoH b,a,Sula u; muKh' Nasal spray úruK ,laIK (Withdrawal symptoms) iefklska ke;s lrhs' th flfkl=f.a is.rÜgqjg we;s wdYla;h k;r 71


NRT

is.rÜgqfõ W.=f,ka ñfokakg f,dj ms<s.;a ksfldáka wdOdrl m%;sldr .ek oek.kak

lsÍug fõ.j;a l%uhls' ÿï mdkh lrkakka fï Nasal spray tlg leu;sh' th Ndú;ho myiqh'

Nasal spray Ndú;d lsÍfïoS we;sjk Tn fkdis;k wjodkula .eko lsj hq;=h' Ndú;fhka miqj tajd neyer,SfïoS orefjl=g yiq jqfKd;a" f.or we;s lrk iqr;f,l=g yiq jqfKd;a tajd hï fyhlska YÍr.; jqjfyd;a úYd, wjodkula we;s l< yels ksfldáka ud;%djla ta ;=< wka;¾.; fõ'

flfia kuq;a fuysoSo wfhla ÿï mdkfhka je<lS fï Nasal spray tl Ndú;hg jeä leue;a;la oelaúh yel' fuu Nasal spray Ndú;d l< hq;af;a th Tng wjYH lrk ;dla muKs' Tfí ÿïjeáhg we;s weíneysh wjika lrk f;la muKs' wefußldkq wdydr yd T!IO wêldßh fuu Nasal spray udi ;=kla i|yd wdrlaIs; nj olajk w;r Wmßu udi yhlska miq Ndú;fhka bj;a úh hq;= nj m%ldY lrhs'

72

Ndú;fhaoSo we;eful=g ixl+,;d we;súh yel' tajd w;r kdifha wmyiq;djh" fidgq oshr .e,Su" lsuqyqï hdu" W.=fr wmyiq;djh" leiai oelaúh yel' flfia fj;;a weÿu" wdid;añl;d" fldaGrl .eg¿" nasal polyps ;sfí kï fuu l%uh fjkqjg fjk;a ksfldáka wdfoaYl l%uhla kshu lrKQ we;' Nasal spray Ndú;d lsÍfïoS we;sjk Tn fkdis;k wjodkula .eko lsj hq;=h' Ndú;fhka miqj tajd neyer,SfïoS orefjl=g yiq jqfKd;a" f.or we;s lrk iqr;f,l=g yiq jqfKd;a tajd hï fyhlska YÍr.; jqjfyd;a úYd, wjodkula we;s l< yels ksfldáka ud;%djla ta ;=< wka;¾.; fõ' uqLfha" wefia ishqï Yaf,aYu, j, iam¾Y jQjfyd;a ;;a;ajh Nhdklh' YrSrfha .EjqfKd;a fyd|ska fidaody, hq;=h' ìug jegqfKd;a tajd bj;a lsÍug ffjoHjrhd - udisl ffjoH iÕrdj


fmr rn¾ w;ajeiqula j; me<|sh hq;=h' jeä úia;r i|yd úI f;dr;=re uOHia:dkfhka úuikak' Nicotine Inhalers fïjdo ,nd.; yelafla ffjoH ks¾foaYhla u; muKls' fuh we;=f,a ldÜf¾chla we;s isyska áhqnhls' th yßhg lfÜ ;nd.; yels fldgio iys; ;rula uy; is.rÜgqjla jeksh' Tn fï bkafya,rh Wrk úg ksfldáka jdIAmh YrSr.; jkafkah' Tn Wrk wfkl=;a bkafya,¾ j, we;af;a T!IOh' ksfldáka bkafya,rh brE iekska tk ksfldáka uqLhg wj;S¾K ù iefklska reêr Odrdjg Wrd.kS' osklg ks¾foaYs; ud;%dj jkqfha ldÜf¾c 4-20 w;r m%udKhls' uq,skau Ndú;fhaoS flfkl=g we;súh yels ixl+,;d lsysmhla fõ' leiai" W.=f¾ yd uqLfha wmyiq;djhla oekSu" Worfha lelal=u ta w;r fõ' 2015 fkdjeïn¾ l<dmh

ksfldáka wdfoaYl m%;sl¾u w;f¾ ;j;a ld¾hlaIu yd m%;sM<odhl m%;sl¾uhla jkafka ksfldáka f,dfikaciah' fïjd ffjoH ks¾foaYhlska f;drj Ndú;d l< yelsh'

fuho m%fõYfuka mßyrkh l< hq;af;a jeroSulska fyda orefjl=g yiqjqjfyd;a úis lrk ,o ldÜf¾chl jQjo wk;=reodhl uÜgfï ksfldáka m%udKhla we;s ksidh' fuysoS uqLh" weia yd iu wdosh oreKQ f,i wdmodjg ,la úh yels ksid mßyrKfhka miqj neyr,Su m%fõYfuka l< hq;a;ls' ksfldáka wdfoaYl m%;sl¾u w;ßka bkafya,¾ ;rula ñf,ka wêlh'

ÿïmdkh ksid we;sjk weíneysfhka ñoSug ks¾foaYs; by; úia;r lrk ,o wdfoaYl m%;sldrl úi÷ï w;frka lsysmhla muKla wfma rfÜ Ndú;d jkafkah'

73



Surveillance

mshhqre ms<sld wjodkï ,laIK

f,dj mQrd isák ñksiqka ms<sld .ek ys;kafka yßu ìh ckl úÈhghs' ms<sldjla yeÿKg miafia wdfha fudkjo b;ska lrkak b;sß fj,d ;sfhkafka lsh,d b;du fõokdldÍ ye`.sfuka hq;=jhs Tjqka isákafka' we;eï wh fnfy;a .kak;a ue,slula olajkjd' kuq;a l,a;shd y÷kd.;fyd;a fï ms<sld ;;a;ajfhka Tng ñfokakg mq¿jka'

mshhqre ms<sld l,a ;shd y÷kd .;af;d;a iqj l< yelshs mshhqre ms<sld wjodkï ,laIK cd;sl ms<sld u¾Ok jevigyka wOHlaIsld ffjoH kS,ukS mrK.u m%cd úfYaI{ ffjoH Ñrka;sld ú;dk 2015 fkdjeïn¾ l<dmh

ms<sldjla hkq l=ulao@ wm isref¾ bkaøshhka iE§ we;s l=vdu tallh ffi, fõ' fï ffi, idudkH ;;a;ajh hgf;a fn§u u.ska ixLHdfjka jeäùu isÿfõ' fï l%shdj,sh u.ska l%udkql=,j YÍrfha mgl yd bkaøsh jeãu yd w¨;ajeähd lsÍu is¥fõ' hï hï frda.S ;;a;aj ksid fuu l%udkql=, ffi, fn§ug ndOd meñKsh yelshs' wl%uj;a md,kfhka f;dr ffi, j¾Okh yd fn§u fya;=fjka w¾nqohla ^f.ähla& yg.; yelshs' fï 75


Surveillance

w¾nqo ms<sld fkdjk ^wysxil& j¾Okhla fyda ms<slduh j¾Okhla fyda úh yelsh' fuu ,laIK oek.;fyd;a Tn jydu ffjoHjrhd yuqjkak' 1' u< fyda uq;%d my lsÍfï § fjkila' 2' iqj fkdù l,a mej;=K ;=jd,hla' 3' widudkH Y%djhla fyda reêr jykhla' 4' mshhqfrys fyda fjk;a ia:dkhl >kùula fyda .eá;a;la' 5' .s,Sfï wmyiqjla fyda iqj fkdjk wcSrKhla' 6' bkafkl=f.a fyda ,mhl fjkila' 7' l,a mj;sk leiaila fyda lgyf`vys fjkila' fï ,laIK yg.;fyd;a Tfí ffjoHjrhd uqK .eiS jeäÿr mÍlaId lrjd .kak' 1 mshhqrej, oelsh yels widudkH;d' 2 uE;l§ we;s jq mshhqrej, yevfha fjkiaùula fyda meyeÈ,s wiïñ;sl njla' 76

mshhqre ms<sld wjodkï ,laIK

3 mshhqrej, .eá;a;la fyda bÈóula' 4 iu u;=msg oohla jeks ;=jd,hla' 5 fodvï f,,a,l u;=msg jeks ifï fjkia ùula' 6 ;kmqvqfõ .s,S hdula fyda fjkila' 7 mshhqre j, .eiaula' 8 ;k mqvqfjka lsß fkdjk fjk;a >%dj msgùula'

04

01 mshhqre iuñ;slj ;sfío @

w;g yiqjk .eá;s fõo' ;k mqvqfõ j, .eiSula fyda ;k mqvqfõ iDcqNdjfha fjkila fõo @

02

05

bosßhg keó ;kmqvq mÍlaId lrkak' tys yevfha" fmKqfï wiudk njla fõo @

fjfiiskau tla mshhqrl we;=<g .s¨KQ iajNdjhla olakg ,efío@

03 ;k mqvqj uDÿj ñßlkak' hï >%djhla .,d thso@ ;k mqvqfõ W;af;ackfhaoS tajd iDcq jkafkao @

mshhqre foflysu;a" 06 lsys,a, m%foaYfha;a hï lsis .eá;a;la" mshhqre ;kmqvq j, j, .eiSula widudkH f,i w;g oekSula fõo @ uekúka msßlaikak'

iajhx mshhqre mÍlaIKh

ffjoHjrhd - udisl ffjoH iÕrdj


mshhqre ms<sldjla we;sùfï jeä wjodku' 1' mjqf,a uj fyda fidhqßhlg mshhqre ms<sldjla iE§ ;sfnkjd kï' 2' mshhqre frda. fmr b;sydihla iys; ldka;djka' 3' orejka ke;s ldka;djka' 4' m<uq ore m%iq;sh wjqreÿ 35g miqj isÿjQ ldka;djka' 5' wvq jhiska ^tkï wjqreÿ 11g fmr& jeä úhg m;ajQ ldka;djka' 6' jhia.; ù ^tkï wjqreÿ 11g fmr& jeäúhg m;ajQ ldka;djka' 7' ffjoH Wmfoiaj,ska f;drj Biag%cka fydafudakhg §¾>ld,Skj ksrdjrKh jq ldka;djka' 8' YÍrfha wêl ;rndre nj fyda wd¾;jyrKfhka miq nr jeä jQ ldka;djka'

jeros Ôjk rgdo wjodkï idOlhla 1 wêl fïo iys; wdydr wkqNj lsÍu' 2 t<j¿" m<;=re wkqNjh wvqùu' 3 YdÍßl jHdhdu wvqùu' 4 ia:q, nj ^úfYAIfhka w¾;jyrKhg miq ia:q, ldka;djka& 5 u;ameka mdkhg weíneys ùu' 6 ÿïmdkhg weíneys ùu'

mshhqre fyda lsys,a, m%foaYfha w¿;ska yiqjk .eá;a;la fyda fjk;a >k jQ iajNdjhla'

;kmqvqfõ .s,d neiSula fyda fjkhï fjkialula mshhqf¾" taßfhda,dfõ fyda ;kmqvqfõ ifuys meyeh fjkiaùula'

mshhqf¾ yevfhys fyda m%udKfha fjkila

;kmqvqfjka bfí >%djh msgùula

mshhqf¾ we;sjk fï fjkialï .ek ie<ls<su;a fjkak

2015 fkdjeïn¾ l<dmh

77


Surveillance

mshhqre ms<sld wjodkï ,laIK

mshhqre ms<sldj l,a;shd y÷kd .kak' fï i|yd Ndú; jk mÍlaIdjka jkafka" 1 iajhx mshhqre mÍlaIdj ishhg 90 muK fï whqßka fidhd.; yel' 2 ffjoHjrhl= ,jd mÍlaId lr.ekSu' uefuda.%e*s mÍlaIdj wvq úlsrK x lsrK weiqre lr.;a m%;sìïnhla ,nd .ksñka isÿlrk fuu mÍlaIdj u.ska w;g yiq fkdjk ;rug l=vd mshhqre ms<sld y÷kd .; yel' iajhx mshqre mÍlaIdj iajhx- mshhqre mÍlaIdj hkq ;ud úiskau mshhqre mÍlaId lr.ekSuhs' jhi wjqreÿ 20g jeä kï iEu ldka;djla úiskau udislj ;u mshhqre mÍlaId lsÍuks¾foaY l< yel' Tima pl%h ;=< mshhqfrys iq¿ iq¿ fjkiaùï idudkHfhka isÿúh yels neúka mshhqre mÍlaIdj - udislj Tima ùu ksuùfuka 78

mshhqre ms<sld fõ,dikska y÷kd.kakd uefuda.%ï mÍlaIKh

i;shlg miq ;u mshhqre mÍlaId lr.; hq;=hs' Tima k;r jQ ldka;djka kï iEu udihlu ksYaÑ; Èkhla ;u mshhqre mÍlaIdj lr.ekSu i|yd fhdod.; yel' iEu .eá;a;lgu ìhfjkak tmd' mshhqre j, olakg ,efnk .eá;s j,ska ishhg wkqjlau wysxil .eá;sh' kùk ;dlaIKhg b;d myiqfjkau tu .eá;af;a f.äh wysxil nj b;d fyd¢ka ksÍlaIKh l< yelsh' ffjoHjrhl= yuqjq miq @ Tyq Tfí mshhqfrys yg.;a fjki ms<sn|j;a ta yd iïnkaO jeo.;a fjk;a úuiSï isÿ lrk w;r bkamiq Tnj iïmq¾K YdÍßl ffjoHjrhd - udisl ffjoH iÕrdj


mÍlaIdjlg ,la lrkq we;' tu.ska Tyqg Tnf.a frda. ;;a;ajh wysxil ;;a;ajhlao" ke;skï iel iys; ;;a;ajhlao hkak ;SrKh lsÍug yelshdjla ,efnk w;r ielyer .ekSu i|yd jeäÿr mÍlaIK lsÍug iuyr úg wjYH úh yel' fï i|yd mÍlAIK lsysmhla Ndú; fõ' uefuda.%e*s mÍlaIdjla iuyr úg wjYH úh yelsh' mshhqre w,ag%dijqkaâ" ialEka mÍlaIdfjkao mshhqre wd%s; fjkialï iïnkaOfhka fndfyda f;dr;=re ,nd.; yel' idhksl mshhqre mshhqre mÍlaIdj • ffjoHjrfhl=" uyck fi!LH fyÈ fidfydhqßhka" fyo ks,Odßkshla fyda mjqf,a fi!LH fiajd ks,Odßkshl ^mqyqKq fi!LH ks,Odßfhl=& isÿlrk mshhqre mÍlaIdjhs' • jhi wjqreÿ 20-40 olajd ldka;djka jir 3lg jrlao" wjqreÿ 40 blaujq ldka;djka jirlg jrlao fuu mÍlaIdj isÿlr .; hq;=h' • hï ldka;djlf.a f,a {;sfhl= wjqreÿ 40 msÍug fmr mshhqre ms<sldjka iE§ we;akï tu ldka;dj i|yd {;shdg mshhqre ms<sldj je<÷K jir 5 lg fmr isg jirlg jrla idhksl mshhqre mÍlaIdj isÿ lr.; hq;=h' uefuda.%e*s mÍlaIdj • tlaia lsrK wvq ud;%djla fhdodf.k ,nd. kakd tlaia lsrK cdhdrEmhls' • fuu.ska w;g yiq fkdjk m%udKfha b;d l=vd .eá;s y÷kd .; yel' • wjqreÿ 50 g jeä fyda mshhqre ms<sld wjodkï idOl iys; ldka;djka fuu mÍlaIKhg fhduq flf¾' • wjqreÿ 35 g wvq ;reK ldka;djkaf.a mshhqre ms<sld y÷kd .ekSfï§ uefuda.%e*s mÍlAIKhg jvd w,ag%dijqkaâ ialEka mÍlaIKh jvd;a fhda.Hh' • uefuda.%e*s mÍlaIKfha wjYH;djh 2015 fkdjeïn¾ l<dmh

;SrKh lrkafka ffjoHjrhdhs' mshhqrej, widudkH;djhla y÷kd .;fyd;a' 1' Tfí m%foaYfha iqjkdß idhkh fj;' 2' Tfí m%foaYfha iqjÈú idhkh fj;' 3' Tfí mjqf,a ffjoHjrhd fj;' 4' rcfha fyda fm!oa.,sl frday,l ffjoHjrfhl= fj;' 5' Tng wdikak msysá frdayf,a Y,H ffjoH mshhqre idhkh fj;' 6' ms<sld l,ska y÷kd .ekSfï idhkh fj; fkdmudj hkak' jeä úia;r ,nd.ekSu i|yd ,smskh cd;sl ms<sld u¾Ok jevigyk fkd'516 we,aúá., udj;" kdrdfyakamsg' ÿrl:k wxlh0113159227

igyk- wkqrdOd È,sks b,xfldaka

79



Dissociative Disorder

ujf.a n,mEu ksid foijka ìysrs jQ újdyl mqf;la

ujf.a n,mEu ksid foijka ìysrs jQ újdyl mqf;la ú>gkdndOh - .;s fidnd ufkda úoHd WmfoaYsld f;acdks nq,;aj;a;f.a jD;a;Sh w;a±lSula weiqßks .=Kfiak wjqreÿ y;<sia myla muK jhia jqKq fore msfhls' iaÓr /lshdjla fkdl< .=Kfiak wdodhula fidhd.;af;a ;u jeäuy,a fidhqrdf.a is,a,r fjf<|if,a jev lghq;= lrñkqhs' lsisu frda.dndOhla fkd;snqKq .=Kfiak lsisfia;a fkdis;+ ú,iska tla;rd Èkfhl Tyqf.a lka weiSu ysá wäfhau uq¿ukskau k;r jqKd' fuh .=Kfiakf.a ìß|g" mjqf,a whg jf.au .=Kfiakg j;a lsisfia;au f;areï .kakg neß jqfKa .=Kfiak yÈisfha frda.d;=rj isáfhaj;a ke;s ksihs' lk wi,gu ù lE.eiqj;a .=Kfiakg fkdweiqkq ksid Tyqg hula lshkakg kï th lvÞishl igyka l< hq;= jqKd' fï ksid mjqf,a wh úYd, lrorhlg uqyqK ÿkakd' ffjoHjrfhl= fj; fhduq l<;a''' @ .=Kfiakf.a ifydaorhdg jHdmdrhg .=Kfiakf.a Woõ .ekSu;a fï ksid úYd, .eg¨jla jqK;a ish nd, fidhqrdg msgqmdkak ;rï Tyq .=Kul= jqfKa kE' Tyq .=Kfiakj úfYaI{ ffjoHjreka lsysm fofkla fj;u wjia:d lsysmhl§u f.dia fmkajqj;a .=Kfiakf.a lka fkdweiSug wÞ< lsisÿ ldhsl wdndOhla fkdue;s nj ;uhs ikd: jqfKa' 2015 fkdjeïn¾ l<dmh

ufkda ffjoHjrfhl=f.a úu¾YKh bkamiq .=Kfiakj ufkda ffjoHjrhl= fj; fhduq flreKd' tysÈ .=Kfiakf.a frda.hg uq,a jQ f;dr;=re fidhd .ekSu i|yd Tyqf. ka m%Yak úuikakg isÿ jQfha lvÞishl igyka lsÍfukqhs' bkamiq Tyq ufkda Ñls;ail m%;sldr i|yd fhduq lrkq ,enqjd' tA .=Kfiakg ;sfnkafka ú>gkdndOh ^Dissociative Disorder& nj ;yjqre ùu ksihs' fya;=j wkdjrKh fõ''' .=Kfiak fndfydu wysxil mqoa.,fhla' Tyqf.a ìß|;a" foorejkq;a iu. Tyq jdih lf<a ;ukaf.a uy f.or tla fldgilhs' th iEfyk f,dl= f.hla' tA f.oru wfkla fldgfia .=Kfiakf.a fidhqßh wef.a ieñhd iy orejkq;a Ôj;a jqKd' .=Kfiakf.a uj 81


Dissociative Disorder

.=Kfiak Tyqf.a ìß| iu. iómj jdä ù i;=áka l;d ny lrkq olskakg uj lsisfia;a m%sh lf<a kE' tA fj,djg weh t;ekg meñK .=Kfiakf.a ìß|f.a is; ßfok mßÈ .=Kfiakg lE.ykafka Tjqkag ,eÊcd isf;k mßÈhs'

82

ujf.a n,mEu ksid foijka ìysrs jQ újdyl mqf;la

isáfha .=Kfiakf.a fldgfiau ;snQ tla ldurhl' Tyqf.a mshd ñh .syska' jeäuy,a fidhqrd fjk;a ksjila idÞf.k uy f.oßka fjkaj mÈxÑ ù isáhd' ujf.a wKilg hg;ajQ wirK mjq,la fï f.or n,meje;ajqfKa ujf.a wKilhs' kuq;a tA wKil .=Kfiakf.a ke.Kshg;a wef.a ieñhdg;a n,mEfõ kE' Tjqkaf.a mjq,a Ôú;hg w; fmdjkak W;aidy fkdl< uj tA fjkqjg .=Kfiakf.a mjq, ;=< isÿ jk yeu fohlgu weÕs,s .eiqjd' .=Kfiakf.a orejka mjd ;ukag jqjukd úÈhg yÞ jvd .ekSuhs tu ldka;djf.a wruqK jqfKa' .=Kfiak Tyqf.a ìß| iu. iómj jdä ù i;=áka l;d ny lrkq olskakg uj lsisfia;a m%sh lf<a kE' tA fj,djg weh t;ekg meñK .=Kfiakf.a ìß|f.a is; ßfok mßÈ .=Kfiakg lE.ykafka Tjqkag ,eÊcd isf;k mßÈhs' ffjoHjrhd - udisl ffjoH iÕrdj


—Bfha fmf¾Þ lido ne|mq tjqka jf.a fldu, lr lr bkafk WU,g fjk jev keoao wr fld,a,d lfâ ;kshu kyskjd' WU, fu;k .Eksj yqr;,a lrkjd˜

.=Kfiak ;u ujf.a l%shd l,dmhka iy weKqï neKqï ksid úYd, is;a mSvdjlska Ôj;a jqKd' wka;sfï tA mSvkh msg;g wdfõ Tyqf.a foijka ìysß ùula f,iskqhs'

udkqISh in|;d j,g;a ndOd wdjd tjeks joka .=Kfiakf.a ujf.a uqúka msg jqKd' we;af;kau .=Kfiak j;a Tyqf.a ìß|j;a idudkH úÈyg mqgq foll jeä fj,d l;d lrñka isákq ÿgqj;a uj fujeks lgql ,eÊcd isf;k joka lshk úg .=Kfiak jf.au ìß|;a úYd, wmyiqjlg m;a jqKd' fï ksid ujg fmfkkakg l;d ny lsÍu mjd Tjqka fofokd w;yer ±uqjd' Èkla .=Kfiakf.a ìß|g WK iE§ weh ksÞ .;af;a f.or fÞf¾ jevla lsÍug mjd úYd, wmyiqjla ±kqKq ksihs' .=Kfiak tÞ l=iaishg je§ mßmamq fydoaola yeÿjd' tA fj,dfju Tjqkaf.a l=iaishg meñKs uj .=Kfiakg uy yhsfhka neK jeÿfka —.Eksg mlal,slï lrk fudavhd˜ lshñkqhs' wirKhd" wikSm jqfKA fufyuhs .=Kfiakg ujf.a fï reÿre joka iy yeisÍï ord ys£u wiSre jqKd' tA jf.au l,l isgu Tyq ksjfia ;ukaf.a fldgi ;u kug ,shd fok f,i ujf.ka l< b,a,Sïo weh ;=Ügqjlg .Kka .;af;a kE' fï ish¨u foaj,a ksid .=Kfiak ±ä is;a fõokdjlska l,amkd lrñka isáh§ Èkla .=Kfiakf.a lka weisu tljru wek ysáhd' Tyqg ±kqfKa ;u lka fok uq¿ukskau w.=,a 2015 fkdjeïn¾ l<dmh

jeà .sh wdldrfhkqhs' Tyqg wjg mßirfha lsisjla weiqfka kE' orejka ;d;af;a lshk nj fmkqK;a tA y~ hka;ñkaj;a fkdwefik úg .=Kfiakf.a weia foflka l÷¿ lvd f.k jegqKd' Bg miqjhs Tyq ffjoH m%;sldr i|yd f.k .sfha' ;ju;a frda. ldrlfhka mSvd @ .=Kfiak ;u ujf.a l%shd l,dmhka iy weKqï neKqï ksid úYd, is;a mSvdjlska Ôj;a jqfKa' wka;sfï tA mSvkh msg;g wdfõ Tyqf.a foijka ìysß ùula f,iskqhs' fï i|yd È.gu Tyqg Ñls;ail m%;sldr ,nd ÿkak;a thska uq¿ukskau iqjh ,eîu wiSre ù ;sfnkafka Tyqg foijka fkdweiSu frda.hg Ñls;ail m%;sldr ,nd §fï§ uj úYd, ndOdjla ù ;sfnk ksihs' .=Kfiakf.a uj kï is;kafka Tyqg fï foa isÿjqfKa ìß|f.a ld,lKaKslug lsh,hs' 83


advertorial

wdhq wfmalaIdj wvqfjka we;af;a;a msrsñkaghs

WELL MAN HEALTH CHECK .eyekqka msßñka w;f¾ msßñka nrm;, cSú; wjodkï j,g ,laùfï bvlv jeähs

wdhq wfmalaIdj wvqfjka we;af;a;a msrsñkaghs msßñka i|yd ffjoH mÍlaIK

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ffjoHjrhd - udisl ffjoH iÕrdj


iqje;s msßñ ffjoH mÍlaIKh Tng wjYH wehs @ ffjoHuh jYfhka ful, we;sjk m%YAk w;r uQ,sl .eg¿jla jkafka idudkH ffjoH yuq" ke;fyd;a zzf,vla yeÿKQ úg .kak fnfy;a ál'''ZZ Tnf.a iuia; iqjfi; idlaId;a lrKQ msKsi fl;rï jeo.;a jkafkao hkakhs' Tfí jhi" ia;%s - mqreINdjh" Tfí fm!oa.,sl yd mjqf,a ffjoHuh b;sydih wdoS ldrKd u; zfuäl,a fpla-wma tllaZ ke;fyd;a ffjoH mÍlaIKhla isÿ lr.ekSfï wjYH;djh ks;ekskau u;= jkafkah' wdisß Y,H frday, úiska ie,iqï l< Well Man Check ^iqje;s msßñ ffjoH mÍlaIKh& myiqfjka m%;sldr .; yels" j<lajd .; yels frda. tfia j<lajd .ekSug wjia:djla i,ihs' fndfyda úg l,a fõ,d we;sj y÷kd. ekSfuka nrm;, ixl+,;d j,g m;a ùfï wjodku myù hhs' fï msßñka i|ydu jQ ffjoH mÍlaIKh oshjeähdj" fldf,iagfrda,a" jl=.vq .eg¿ yd wlaud .eg¿ y÷kd.ekSfï reêr mÍlaIK j,skao ms<sld fukau ms;a;dY yd jl=.vq .,a y÷kd.ekSfï w,ag%d ijqkaâ ialEka mÍlaIKhlskao hqla;h' fï ialEka mÍlaIKfhkau Tfí mqriaÓ;s .%kaÓ m%udKho" uq;%d /|Sfï yelshdjo úuis,a,g ,la lrhs'

msßñka Tjqka i|ydu jQ ffjoH mÍlaIKhlg fhduq úh hq;af;a wehs @ msßñka fndfyda úg ldka;djkag jvd cSú; wjodku f.fkk frda. Wjÿre j,g ,laùfï wjodku l=vd ld,fha mgka uy¿ úh olajdu jeäh' we;af;kau msßñkag jvd ldka;djkaf.a iuia;h ksfrda.Sh' cSú;hg n,j;a ;¾ckhla f.k tk yDohdndO" wxYNd.hg msßñka ,lajkjd jeäh' msßñkag yefok mqriaÓ;s ms<sldj fukau fmKy¿ yd wdka;%sl ms<sld j,go jeä jYfhka k;= jkafkda msßñkah' wdhq wfmalaIdj .;a;o msßñka urKhg m;aùfï

2015 fkdjeïn¾ l<dmh

idudkHh .eyekqkag jvd mia wjqreoaola bosßfhks'

msßñka i|yd ks¾foaY Tn ksÿlska ksfrda.Sj isákafkl= jqjo ir< ie,eiaula Tnf.a bosß cSú;hg mQ¾K /ljrkhla i,ihs' msßñkag we;s nrm;,u fi!LH ;¾ck uekúka y÷kdf.k ;sfí' tajd fmdÿh' l,a h,a we;sj ms<shï fhÿfjd;a myiqfjka j<lajd.; yelsh'

yD;a frda. msßñkag we;s nrm;,u fi!LH ;¾ckh jkafka reêr kd, >k ùfuka we;sjk wef;frdialaf,frdisia kue;s frda.hhs' f,dalh mqrd msßñ-. eyekq fomd¾YAjfhau urK isÿjk m<uq yd fojk fya;= fol fï uq,a lr.;a yDohdndO iy wxYNd.hhs' fuysoS fldf,iagfrda,a ;ekam;= yDofha iy fud<fha kyr wjysr lrhs' fï leá;a; wjidkfha reêr

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advertorial

leá;a;la njg m;aù reêr .ukd.ukh wjysr lr yoj; fyda fud<h wdoS jákd bkaøsh fldgilg jk reêr iemhqu wvd, lrhs' th yDohdndOhla fyda wd>d;h we;sùug mQ¾jfhka jk yev .eiSuhs' Tfí fldf,iagfrda,a mÍlaId lsÍu jir 25 isg wdrïN lrkak' fldf,iagfrda,a yd reêr mSvkh by< w.hla .kS kï th md,kh lsÍug W;aiql jkak' ÿïmdkfhka w;añfokak'

wdhq wfmalaIdj wvqfjka we;af;a;a msrsñkaghs

myiqfjka me;sr hhs' frda. ,laIK m%lg lsÍug fmr" úlsrK mÍlaIKhlg fyda yiqjk ld,hg fudaÿ ùug fmr th wjfYAI bkaøsh j,g me;sr hkafkah' fï ksid fmKy¿ ms<sldjla idudkHfhka y÷kd.kakd wjia:dj jk úg th me;sr f.disks' m%;sldr Tfrd;a;= fok woshr bl=;a fj,dh'

Tn ;ju;a ÿï fndkafklao @ Tfí jhi ljrla jQj;a ÿï mdkfhka ñoSfuka fmKy¿ ms<sld wjodku fndfyda fihska wvq lr.; yel'

mqriaÓ;s ms<sldj ldka;djkag fujka .%kaÓhla fkdue;s ksid wjYHfhkau fuh msßñkagu ,dlaIKsl jQ .eg¿jls' YsIAKhg msgqmiska jQ fukñka ye|skafjk j,akÜ f.ähl m%udKfha .%kaÓfha ldßh jkqfha Y=l% Od;= fudapkfhaoS wjYH lrk iafkaykh ,ndoSuhs' flfkl= úhm;a j;au fï fm!reI .%kaÓfha wdndO we;s fõ'

ojilg úkdä 30la jla jk fia i;sfha jeä osk .Kkdjla jHdhdu lrkak' fndcqkam;g jeäfhka t<j¿ yd m<;=re tl;= lr.kak' ix;Dma; yd g%dkaia fïofhka yels;dla j<lskak'

ms<sld fmKy¿ ms<sldj fmKy¿ ms<sldj Nhdkl iajrEmhla .kakd ms<sldjls' th m%pKavldÍh' 86

ffjoHjrhd - udisl ffjoH iÕrdj


msßñka w;r jvd;au iq,n ms<sldj mqriaÓ;s ms<sldjhs' idudkHfhka mqreIhkaf.ka yfhka tllau fï ms<sldjg k;= jk nj mejfia' tfy;a ñh hkafka ;siamfyka tlls' flfia fj;;a mqriaÓ;s ms<sld we;s ùfï by< wjodkula ;sfnk nj uqidjla fkdfõ' .a,jqia fhdod .=o ud¾.hg we`.s,a, m%fõY lr isÿ lrk Digital Rectal Exam u.ska idhkslj iel lghq;= frda.Ska y÷kd.; yel' PSA fkdfyd;a Prostate Specific Antigen kue;s reêr mÍlaIKho fï ms<sldj iïnkaOfhka b`.s imhkafkah'

oshjeähdj fuh ksy`v wjodkuls' fndfyda úg ld,hla ;siafia reêrfhys jeä iSks w.hka jd¾;d ù wjidkfha oshjeähd reêr iSks uÜgug <`.d jkafkah' wêl msmdidj" rd;%S lsysm jrla uq;%d msgùu wdoS ,laIK flfrka isÿ lrk reêr mÍlaIKhlska uq,a jrg oshjeähdj y÷kd .kS' reêrfha mj;akd jeäuk;a iSks reêrjdyskS j,g" iakdhq j,g wdmod we;s lrkafkah' fldákau jeä reêr iSks fïjdg;a weia" jl=. vq wdoshgla ydks isÿ lrhs' yDohdndO" wd>d;h" wkaONdjh" jl=.vq wl%Sh ùu" mdo lmkakg isÿùu oshjeähd frda.Ska w;r iq,nh'

ùula olakg ,enqKs' jHdhdu u|lu" jeros wdydr isß;a" wêl udkisl wd;;sh" uoHidr" ÿïmdkh wdoS fndfyda lreKQ fïjdg fya;= mdol úh' fï ;;a;ajfha f.dÿrla njg m;a fkdjkq msKSi kss;s úuis,a, jeo.;a fõ' fjfiiskau jd¾Islj isÿ lrk ffjoH mÍlaIK hï wjodkula fõ kï ta l,a fõ,d we;sj y÷kdf.k wjYH ms<shï fhoSug WmldÍ jkafkah' ffjoH mÍlaIK ksielfhkau Tfí cSú;hg iqrlaIdjla jk nj wm Tng fok mKsúvhhs'

ia:q,;djh" wd;;sh iy fi!LHiïmkak fkdjk cSjk rgdj oshjeähdjg w; jkhs' ia:q, ;;a;ajhg m;a wh fjfiiskau oshjeähd wjodkfuka ñfokq msKsi ;u nr md,kh lsÍug W;aiql úh hq;=h' iqN mKsúvh jkafka ojilg ñks;a;= 30 l jHdhduhl fhoSfuka oshjeähdj we;sùfï wjodku ishhg 50 lska muK my; fy<sh yels njhs' miq.sh ld,h uq¿,af,a wfma rfÜ oshjeähdjo we;=¿j wêreêr mSvkh" wxYNd.h" ms<sld wdoS fnda fkdjk frda. j, úYd, W;aikak

2015 fkdjeïn¾ l<dmh

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advertorial

os.disrs f.fkk kejqï f;a isrs; fld;a;u,a,s f;a

os.disrs f.fkk kejqï f;a isrs;

fld;a;u,a,s f;a Coriandrum Satium ^fldrshkav%ï ieáhqï& hk úoHd;aul kdufhka y÷kajk fld;a;u,a,s T!IOh ms<sn|j uq,skau b;sydifha jd¾;d jkafka oekg wjqreÿ 700 lg muK fmrh' tu úrdcudk w;S;fha mgka wo jk ;=re fld;a;u,a,s" T!Iëh YdL w;r uq,a ;ek f.k jecfò' m¾fhaIK j,g wkQj wo wmg iq,nj je<f|k uQ,sl frda. jYfhka .eiag%hsáia iy oshjeähdj ye|skaúh yel' zzwdfrda.Hd mrud ,dNdZZ - ksfrda.Sj isàu wm ldf.a;a n,dfmdfrd;a;=jhs' iajdNdúl fld;a;u,a,s iy ,xldfõ by< l÷lrfha f;a iy uOHu l÷lrfha f;a m¾fhaIK .Kkdjla lr fidhd.;a úfYAI iïñY%Kfhka ksmojk zzfld;a;u,a, f;aZZ oshjeähdj iy .eiag%hsáia we;=¿ frda. 22la md,kh lrhs' f;a mdkh lsÍu .eiag%hsáia we;s whg wys;lr uq;a fld;a;u,a,s uqiq jQ f;a mdkh lsÍfuka .eiag%hsáia ksÜgdjg iqjlr .ekSug WmldÍ ùu fuu ksIAmdokfha iqúfYAIS jQ ydialuls' tmuKla fkdj" • l=i.sks j¾Okh lrùug • wdydr osrùu myiq lsÍug • uq;%d fyd|ska msg lsÍug • fiï frda. j,ska je<lSug • reêr.; fldf,iagfrda,a md,khg • wêl ;rndrej md,khg • ms<sld u¾Okhg • bkaishq,ska >%djh l%uj;a lr oshjeähdj md,kh lsÍug

fld;a;u,a,s f;a mdúÉÑ lr ksfrda.S lfï wisßh w;a ú|skak' osklg ;=ka jrla mdkh lsÍfuka flá l,loSu id¾:l m%;sM< ,nd.; yel' iS t,a mS bkagkeIk,a mqoa.,sl iud.u 965" 2$2" fojk uy, mSM,aia ,Sisx f.dvke.s,a, kqjr mdr fjouq,a," le<Ksh Tel 011 5938 939, 011 2907 925 E -mail info@clpint.com Web:www.clpint.com

88

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Sexual harassment

ldka;d ysxikh wfma rfÜ Tvq ÿjd .syska'''

ldka;d ysxikh wfma rfÜ Tvq ÿjd .syska'''

/lshd ia:dkj, ldka;djkag isÿjk ,sx.sl w;jr yd wkshï iïnkaO;d m%ùK iudc úoHd{ c.;a je,a,j;a; újdyhla m¨ÿ ùug fnfyúkau fya;= jk ;;a;ajhla jkafka wkshï iïnkaO;dh' /lshd ia:dkj,§ ldka;djka wkshï iïnkaO;d we;s lr .ekSug fm,öu yd Tjqka ,sx.sl w;jrj,g ,laùu ms<sn| mq¿,a úuiqula fuu ,smsh ;=<ska idlÉPd flf¾' i,a,d,fhl=jQ wdh;k m%Odksfhl=g f.dÿre jQ ldka;dj ud cd;sl <udrlaIl wêldßfha iNdm;s jYfhka lghq;= l< ld,fha ug <uhskaf.a jf.au ldka;djkaf.a .eg¨j,g;a ijka§ug iy úi÷ï ,nd§ug isÿ jqKd' tA tl isoaêhlg wkqj rdcHdh;khl /lshdjl kshq;= jQ tla;rd ldka;djlg tysu fiajh l< tla mqoa.,hl=f. ka fndfyda fihska n,meï ;snqKd' Tyq foaYmd,k{hl=f.a msysfgka tu wdh;khg /lshdjg meñKs Wiia ks,Odßhl= ksid fï ldka;djg Tyqf.a n,mEï ms<sn|j lsisjl=g meñKs,s lsÍfï yelshdjla ;snqfK;a kE' flfia fyda Tyq yels;dla u.yßñka ;ukaf.a rdcldßh lrk w;f¾ wef.a ieñhd yÈisfhau yDohdndOhlska ñh.shd'

fndfyda ldka;djkag ;ukaf.a ld¾hd,fha§ jk fujeks n,mEï ieñhdg lshkak Yla;shla kE' Tyq wkjYH lrorhlg megf,kakg ;sfnk yelshdj jf.au iuyr msßñ fï jf.a foaj,a weiqjg miafi ìß|j iel lrkak fm<öu óg n,mdk m%Odk fya;='

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

waidyawaraya.com

2015 fkdjeïn¾ l<dmh

89


Sexual harassment

ldka;d ysxikh wfma rfÜ Tvq ÿjd .syska'''

fï ;rï úYd, lïmkhla we;s lrjk isoaêhlg uqyqK § isák w;f¾ jqj;a wr ;eke;a;df.a n,mEï wehg wvq jqfKa kE' wka;sfï Tyq lSfõ Tyq iu. weiqrlg fkdmeñKshfyd;a Tyqf.a ys;j;a foaYmd,k{hd ,jd wef.a /lshdj ke;s lrk njhs' ieñhdf.a /ljrKh;a ke;sj .sh wehg /lshdj wysñ ùu lshkafk lnf,ka <smg jeàula" thska weh jf.au wef.a orejkq;a wirK fjkjd' wka;sfï ieñhd ñhf.dia udi ;=kla .;fjkakg;a fmru wehg Tyq iu. ,sx.sl iïnkaO;djlg t<fUkak isÿ jqKd' fï ;eke;a;dg wjYH jQfha weh yd fm%au iïnkaO;djlg t<fUkakg fyda wehg ms<sirKla jkakg fkdfjhs' wjYH úfgl§ ;u ,sx.sl wjYH;d imqrd .ekSu i|yd NdKavhla f,i weh mdúÉÑ 90

ffjoHjrhd - udisl ffjoH iÕrdj


lrkakghs' fuys§ ;ukaf.a ieñhd ñhf.dia b;du flá l,lska Tyqg fu;rï m%n, fødaySlula lrkakg isÿ ùu .ek fï ldka;dj ;o n, f,i udkisl mSvkhlg ,laj isáhd' fï isoaêh .ek wms u|la is;d n,uq' fï ldka;djf.a me;af;ka ne¨fjd;a tjeks jerÈ foalg fhduq jqfKa ;o n, f,i udkisl wirKùulg ,laj isá ksihs' kuq;a fuu whq;= iïnkaO;djh .ek ±k .kakd iudch weh foi n,kafka fldfyduo @ zukqiaihd ueß,d udi ;=kla hkak;a l,ska tA .Eks fjk ñksfylaj w,a,d .;a;d' fudk ;rï l=,mamqjla we;s o fï .Eksg@Z z´l tA ukqiaihd uefrkak l,ska b|,d mgka .;a;= fohla fjkak we;s' fyd|g ysgmq wr ukqiaihg Th yosisfha ydÜ wegEla tlla wdfj;a Th ysf;a wudrejgo ljqo okafk@Z ´l ;uhs wfma iudch ;=< ldka;djkag ysñ ù ;sfnk ;;a;ajh'

uE;l isg we;s ù ;sfnk ;j;a m%jK;djhla jkafka fï wdldrhg ldka;djka úúO ;eka j,g /f.k f.dia Tjqka yd ldhsl iïnkaO;d mj;ajd ;ukaf.a ÿrl:kfha leurdfjka wef.a ksrej; ùäfhda .; lsÍu'

2015 fkdjeïn¾ l<dmh

mqreIdêm;Hh mj;sk iudchla hqfrdamShhka ksoyia fjf<| l,dm we;s lrkak ,xldj" bkaÈhdj" mdlsia;dkh jeks rgj,a f;dard .kak m%n, fya;=jla jqfKa wdishd;sl ldka;dj ;=< ;sfnk lSlrelu yd bjiSfuka jev lsÍfï yelshdjhs' fï rgj, ;sfhkafka mqreIdêm;Hh mj;sk iudchla' tA wkqj msßñhd" fyd¢ka neßkï .=áneg § fyda .eyeksh ;ukag wjk; lr f.k hgy;a my;aj ;shdf.k bkak nj hqfrdamShhkag mjd ryila fkdfjhs' wfma fmdÿ iudc u;h ù ;sfnkafka ldka;dj msßñhdf.a hg;a mqrjeisfhl= yeáhghs' tAl mrïmrdfjka mrïmrdjg ldka;djlf.ao uki ;=< ;ekam;a ù mj;sk ;;a;ajhla' ieñhdf.a neKqï bjikak neßj hï ldka;djla ishÈú kid .;a;dhehs is;kak' fï wyk flfkla zyßu fudav .Ekshlafk''' 91


Sexual harassment

ñksyd nekakd lsh,d ish Èú kid .kakjo@Z lsh,d wehgu fodia lshhs' fï urKh iïnkaOfhka kS;sh bÈßfha idlaIs fok úg ieñhd zux fmdâvla fÞia lsõjd ;uhs tA;a tAl Ôú;h ke;s lr .kak ;rï fohla fkfõ' ux lShgj;a ys;=fõ kE thd Th mqxÑ jpkhlg tfyu fohla lr .kS lsh,dZ hkqfjka fndfydu ieye,a¨ jpk álla lshdú' kuq;a .eUqßka úuid ne¨fjd;a fï ldka;dj §¾> ld,hla ;siafia ieñhdf. ka úYd, jYfhka mSvdjlg ,la fj,d neßu ;ek§ Th jf.a úkdYhla lr .;a nj meyeÈ,s fõú' kuq;a tAjd .ek fidhkak lsis flfkla wfma rfÜ kE' ld¾hd,j, ne¨j;a Th ;;a;ajhu ;uhs' Wiia ;k;=rlg m;aj isák ldka;djla hgf;a jev lrk msßñka wef.a uQKg zuevïZ lsh,d l;d l<dg weh Èyd n,kafka jmr weyska'

92

ldka;d ysxikh wfma rfÜ Tvq ÿjd .syska'''

fï ksid fjk fudl=;a lrkak neß kï wef.a jerÈ" we÷ï me<÷ï j, wvqmdvqjla W¨mam,d olajñka wehj ke;s ;ek wmydi lrkakg iskdfikakg fm<fòú' ldka;djkaf.a wfma rfÜ iudc cSúf;a jHdl+,hs wfma rfÜ ldka;djkag we÷ula wekao;a msßñfhla .ek ys;kak fjkjd' zfï we÷u wekaou msßu fudk úÈyg uf.a Èyd n,hs o@Z hkqfjka ldka;djlg ys;d n,kak fjkafka we÷u Èyd n,,d tys iajrEmh wkqj weh krl .eyekshl jYfhka u;hla f.dvk.kakg fï iudcfha msßñka idyisl ù we;s ksihs' jpkfhka isÿ flfrk ,sx.sl ysxik wfma rfÜ ld¾hd,j, ldka;djkag w;a ú¢kak isÿ jk ,sx.sl ysxikhka b;d by< w.hla .kakjd' ys;j;a ldka;djka fofokl= fyda lSm fofkl= tlaj ,sx.sl lreKq .ek idlÉPd l<;a wfma rfÜ ldka;djka msßñka iu. ,sx.sl foaj,a idlÉPd lrkafka kE' tfyu foaj,a isÿ jqfKd;a tAl l,d;=rlska fjk fohla' kuq;a ldka;djka fujeks foaj,a j,g wlue;s nj ±k oek;a iuyr msßñ ldka;djka bkak ;ek ,sx.sl lreKq .ek y~k.d l;d lrñka weh wmyiqjg m;a lsrSu ld¾hd,j, iq,Nj isÿ jk fohla' fuh ldka;djlg jdÑlj isÿ lrk ysxikhla' ldka;djlaa ksjfia§ ;u ieñhd w;ska ldhslj fyda udkislj fyda fï fowdldrfhkau fyda ysxikhg ,la jqK;a th Tjqka miqj iu:hlg m;a lr .; yelshs' kuq;a ld¾hd,hl ;sfnkafka kS;suh rduqjla' tA ;;a;ajh u; ;ukag lskï fyda n,mEula ld¾hd,fha fjk;a msßñfhl=f.ka isÿ jqfKd;a tA fjkqfjka hï l%shdud¾.hla .kak ldka;djlg yelshdjla ;sfhkakg ´k' tA;a wfma rfÜ tA kS;suh rduqj wNsnjd ke.S isákafka iudc u;jdoh' th Tng ;j ÿrg;a meyeÈ,s lr fokak mq¨jka fï úÈyg'''

ffjoHjrhd - udisl ffjoH iÕrdj


wkshï iïnkaO;d f,i u;=msáka fmfKk ,sx.sl ysxik ld¾hd,j, újdyl msßñka yd újdyl ldka;djka w;f¾ we;sjk wiïu; iïnkaO;d .ek ne¨fjd;a fndfyda ldka;djka fïjdg keUqre fjkafka msßñkaf.a n,mEï u;' úfYaIfhka ;ukaf.a m%Odkshd fyda fjk;a by< ks,Odßfhla whq;= n,mEï lrk fldg fuys uq,skau i|yka l< isoaêfha§ fuka ;ukaf.a /lshdj /l.ekSug" flfkys<slï j,ska f;drj /lshdj lrf.k hdug fndfyda ldka;djka tu n,mEïj,g hgfjkjd' fïjd wkshï iïnkaO;d f,i u;=msáka fmkqKg we;a;gu ldka;djkag isÿ jk ,sx.sl ysxik' b;ska ldgo fïjd .ek meñKs,s lrkafka @ ieñhdg lshkak Yla;shla kE'' ieñhdg;a jix fjkjd fndfyda ldka;djkag ;ukaf.a ld¾hd,fha§ jk fujeks n,mEï ieñhdg lshkak Yla;shla kE' Tyq wkjYH lrorhlg megf,kakg ;sfnk yelshdj jf.au iuyr msßñ fï jf.a foaj,a weiqjg miafi ìß|j iel lrkak fm<öu óg n,mdk m%Odk fya;=' tjeks ieñhka Bg miafia ìß| f.or tkak álla m%udo jqK;a" w¨;ska we÷ula wekao;a" ksjdvq ojig w;sld, fiajhg .sh;a iellrkak fm<fUkjd' fuys§ tA ldka;dj ld¾hd,h ;=<§ jf.au f.or§;a wirK fjkjd' 2015 fkdjeïn¾ l<dmh

w¿;au ;df,a nyqúO ,sx.sl ysxikhla uE;l isg we;s ù ;sfnk ;j;a m%jK;djhla jkafka fï wdldrhg ldka;djka úúO ;eka j,g /f.k f.dia Tjqka yd ldhsl iïnkaO;d mj;ajd ;ukaf.a ÿrl:kfha leurdfjka wef.a ksrej; ùäfhda .; lsÍu' bka miq tA ùäfhda mgh wef.a ieñhdg fyda mjqf,a whg ke;fyd;a fjk;a msßia w;f¾ hjk nj mjiñka weh ;jÿrg;a udkislj wirK lr jrog fmd<Ujd .kakjd' tA jf.au tu ùäfhda mgh ñ;=rkag fmkajkakg;a fï fndfyda msßñ wu;l lrkafka kE' thska weh ;jÿrg;a ¥IKh ùuhs isÿ jkafka' kdls úfia" f.g;a Wfia''' iuyr ld¾hd,j, úY%du hkakg Tkak fukak jhfia bkak msßñka ;reK ldka;djkag whq;= n,mEï lrkq ±lsh yelshs' fï msßñkag fndfyda úgu újdyl orejka mjd bkakjd' fï iuyreka ;reKshlg tjeks n,mEula lrdú lshd 93


Sexual harassment

ySfklskaj;a ys;kak neß ;rï fndfydu iÞpdriïmkak wh úÈyg ;uhs iudch yuqfõ fmkS isákafk' neß fj,dj;a Tyqg wr ;reKsh wjk; jqfKd;a wfkla wh lshkafk zjhil ñksfyl=gj;a bkak fokak neß ;rï mqÿu .dhla tA .Eksg kï ;sfhkafk' wr ;dmifhla jf.a bkak ñksyj;a jrog fmd<Ujd .;a;dZ jeks foaj¨hs' tA ;reKsh Tyqg wjk; jqfKa ke;akï ;udf.a mrdch ksid we;s jQ ,Êcdj jid .kak tA msßñhd lshkafk ztAls fï jhil ugj;a bkak fokafk ke;=j uf. miafika tkak mgka .;a;dZ jeks wyi fmdf<dj kqyq,k l;dj¨hs' fï wdldrhg ldka;djka iïnkaOfhka yeu ;ekl§u l%shd;aul jkafk msßñhdg jdisÞhl iudc u;hla' kS;sh yuqjg tkafk b;du;a iq¿ m%udKhla ldka;djkag isÿjk ,sx.sl w;jr kS;sh yuqjg tkafk b;du;a iq¿ m%udKhla' 94

ldka;d ysxikh wfma rfÜ Tvq ÿjd .syska'''

Bg jvd w;s úYd, m%udKhla ksy~ w;jr jYfhka isÿfjkjd' úfYaIfhka ld¾hd,hl m%Odkshd n,mEï lrk jg ldka;djla Bg wjk; fkdjqfKd;a Tyq ;u fldamh msg lrkafk fjk fjk l%uj,g' rdcldßfha§ iq¿ wvqmdvqjla weh w;ska iso jqK;a m%isoaêfha nek je§u" weh bÈßm;a lrk ,smsf.dkq bj;g úis lsÍu jeks úúO foa lrñka weh fiiq wh bÈßfhau uy;a mSvdjg m;a lrkjd' fuys§ Tyqf.a fldamhg fya;=j wef.a w;ska jQ wvqmdvq f,i msg;g fmkqK;a tys ieÕù ;sfnkafk ;ukaf.a fhdackdj m%;slafIam lsÍu ksid we;s jQ oafõIhhs' fïjd;a ldka;djkag fjk w;jr' tA;a fï iïnkaOfhka Tjqka ldg meñKs,s lrkako @ hï lsis úosylska meñKs,s lf<d;a wka;sfï f.or hkak fjkafk;a wehguhs' ldhsl frda. j,g;a" udkisl wdndO j,g;a fï mSvdj fya;=jla wjidkfha fujeks fndfyda ldka;djka udkisl wdndOj,g jf.au ldhsl fya;= fkdue;sj udkisl n,mEu u; yg.kakd ldhsl frda.j,g ^Psychosomatic Disorders& f.dÿre fjkjd' ks;r yefok ysiroh" ñf.%aka jeks frda. fuf,i udkisl mSvdj ksid nyq,j ldka;djkag je<f|k frda. ;;a;ajhkqhs' udkisl n,mEu u; yg.kakd neúka fïjdg ldhsl ffjoH m%;sldr l<dg iqj jkafk;a kE' uQ,sl fya;=j bj;a fkdlr ldhslj m%;sldr lsÍfuka muKla fï frda. iqj l< fkdyelshs' wka;sfï fï udkisl mSvdjka ksid wê reêr mSvkh jeks frda.o ldka;djkag myiqfjkau je<f|kjd' ldka;dj lshkafk ujla" wehg uq¿ msßñ ixy;sfhau lreKdj iyfhda.h ,eìh hq;=hs lshk wdl,amh iudch ;=< we;s fjk ;dla l,au fï mSvdj,ska ldka;djlg ñ§u wmyiq fõú' th b;du fÄockl ;;a;ajhla'

ffjoHjrhd - udisl ffjoH iÕrdj


arthritis

wd;rhsáia frda.h

reuefgdhsâ wd;rhsáia fõ,dikska m%;sl¾u fhdod .ekSfuka wjr ,laIK /ila uev,sh yelshs tlai;a rdcOdksfha l%Svd ffjoH tallfha úfYAI{ ffjoH wix. úfcar;ak iq.sh l,dm j,ska fmdÿfõ wm wd;rhsáia ldKAvfha frda. ms<sn|j lreKQ bosßm;a lf<uqq' fujr wmf.a W;aidyh jeä jYfhkau frda.Ska mSvd ú|sk reuefgdhsâ wd;rhsáia frda.h ms<sn|j ixlaIsma; jQ meyeos,s lsÍula i|ydh'

m

reuefgdhsâ wd;rhsáia hkqfjka ye|skafjkafka mqoa.,hka os.= ld,Skj mSvd ú|sk frda.hls'

fõokdj" bosóu yd oro`vq ùu jYfhka ikaê wdY%s;j fjkialï /ilau fuysoS we;s jkafkah' frda.hg jeä jYfhka k;= jkafka ldka;d md¾YAjhhs' jeä jYfhkau reuefgdhsâ wd;rhsáia frda.hg k;= jkafka w;a" mdo iy ueKslalgqj wdoS m%foaYhs' kuq;a fjk;a ia:dk j,o ikaê wdY%s;j reuefgdhsâ wd;rhsáia yg.; yelsh' hï ld,hlg frda.h W;aikak ùu;a we;eï ld,j,oS t;rï fõokdjla fkdoekSu;a fï frda. fha ;j;a iajNdjhls' fï wvq jeä jk ld, ljrlaoehs l,ska oek.kakg frda.shdg ,efnkafka ke;' kuq;a ie,eiaulg wkQj m%;sldr .ekSfuka fï W;aikak ùï m%udKh wvq lr.; yel' ffjoHjrhd yuqùug hd hq;= wjia:dj fuhhs Tn ykaosm;a wdY%s; frda. ;a;a;ajhla yg.;a ú.iu ffjoHjrhd uqK

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.eish hq;=h' tysoS reêr mÍlaIK yd ;j;a frda. ks¾Kh l%u yuqfõ Tfí frda.h ksjerosj y÷kd.kq we;' wjYH jQjfyd;a úfAYI{ Wmfoia j,g fhduq lrKQ we;' reuefgdhsâ wd;rhsáia frda.h uekúka md,kh lsÍug fõ,dikska frda.h y÷kd .ekSfï idOlh úYd, Wmldrhla fjhs' úfYAIfhkau ikaêh wdmodjg ,laù frda.h W;aikak fkdjkq msKSi l,a h,a we;sj kshñ; m%;sldr i,id.; hq;= jkafkah' reuefgdhsâ wd;rhsáia frda.h we;s jkafka fldfyduo@ reuefgdhsâ wd;rhsáia frda.h ziajhx m%;sYla;slrK frda.hlaZ f,iska ie<fla' fuys wre; jkafkaa idudkHfhka YÍrfha wdidok wjia:d uev meje;aùug l%shd;aul jk m%;sYla;slrK moaO;sh Tfí tlS ikaê j,go jeros 96

jeä jYfhkau reuefgdhsâ wd;rhsáia frda.hg k;= jkafka w;a" mdo iy ueKslalgqj wdoS m%foaYhs'

uelafrdfmac" ,sïfmdihsg yd kshqfg%dms, wdoS m%;sYla;sl ffi, reuefgdhsâ wd;rhsáia frda.fhaoS m%odysl ihsfgdlsk" m%;sl%shdldÍ wï,lr yd khsg%ck úfYAI ksIAmdokh lrhs

ix{djla u; myr oSuhs' tfia myr lEfuka fuu ikaê bosuqug" oro`vq ùug iy fõokd f.k oSug l%shd lrhs' ld,hla ;siafia ikaêh fj; tk tosßjdoslï ksid ikaêh" ldáf,ac yd wiaÓ wdmodjg ,la fjhs' fï wdmoduh ;;a;ajh osß.kajk idOl iïnkaOfhka ksYAph meyeos,s lsÍula fkdue;' ldka;djl ùu" mjqf,a f,a{d;Ska fuu frda.hg ,laùu iy ÿï mdkh jeks idOl reuefgdhsâ wd;rhsáia osß.kajk nj fmfkkakg ;sfí' reuefgdhsâ wd;rhsáia frda.hg md;% jkafkda ljryqo@ ´kEu wjia:djl ´kEu flfkl=g reuefgdhsâ wd;rhsáia frda.h je<|sh yel' jhi wjq' 40ffjoHjrhd - udisl ffjoH iÕrdj


arthritis

wd;rhsáia frda.h

50 oS frda.h fnfyúka je<f|;s' msßñkag jvd ldka;djka reuefgdhsâ wd;rhsáia frda.hg k;= ùfï bvlv f;.=Khlska jeäh' fuu frda.hg m%;sldr lrkafka fldfyduo@ fuu frda.h ksÜgdjg iqj lsÍula fkdue;' óg fmr i|yka l<dla fuka fõ,dikska .kakd m%;sldr ksid frda.h W;aikak ùï fukau wiaÓh Ldokh ùï" jvd;a ne?reï f,i jk úrEm ùï wdosh j<lajd.; yel' tfiau uekúka md,kh lr.;a frda.h idudkH osú fmj;lg u. i,ikafkah'

,isld mg,h >kùu ,isld ;r,h ldáf,ac Ldokh ùuñ

reuefgdhsâ wd;rhsáia frda.hg md;% jQ wf;ys ikaêhla

frda. m%;sldr l%u T!IO m%;sldrh fõokd iukhg;a" we;súh yels W;aikak ùï uev,Sug;a os.=ld,Sk jYfhka fhdod.efka' wdOdrl Ñls;ail l%u fN!;Ñls;aidj" jD;a;Sh Ñls;aidj wdoS wdOdrl m%;sldr ksid frda.h b;d id¾:lj md,kh l< yel' jvd;a il%Sh osú fmj;lg fï Ñls;aidjka bjy,a jkafkah'

2015 fkdjeïn¾ l<dmh

Y,Hl¾u ikaê wdmodjg m;a jQ úg tajd ms<silr lrKQ msKsi Y,Hl¾u isÿ lrKQ ,efí' we;s úh yels ixl+,;d reuefgdhsâ wd;rhsáia frda.h ksid fjk;a ixl+,;d" frda. we;súh yel' fïjdhska iuyrla cSú;hg ;¾ck f.k tk ie<lsh hq;= tajd neúka tajdhska wdrlaId ùug m%;sl¾u fhosh hq;= fõ' ldm,a gk,a iy,laIKh" fmKy¿" yDoh" weia wdY%s; m%ody ;;a;aj" yDohdndO yd wd>d;ho ta w;r fõ' reuefgdhsâ wd;rhsáia frda.h uekúka md,khg ,la lsÍfuka fuu ixl+,;d wju uÜgul mj;ajd .ekSug bv ie,fikafkah'

idlÉPdjla weiqßKs

97



w¾cqkd Ths,a my; i|yka *duis j,ska ñ,oS .; yel wf,ú ksfhdacs; cd,fhka fldgila fld<U 2 hQkshka flñiaÜ 2692532 je,a,j;a; YG *duis 2360270 j;a;, fy,a;a & .af,da *duis 2931996 fldgfyak frdah,a *duis ó.uqj ,xld *duis 0312233737 uyndf.a rd.u *duis 2951012 r;akmqr SJB Tiqi, 0718040721 r;akmqr .ïmy wdhq¾fõo Tiqy, 0777916639 lE.,a, lE.,a, *duis 0777351133 ms<su;,dj .ïmy wdhq¾fõo *duis 0776286381 uykqjr fndaj;a; wdhq¾fõo 0814949088 uykqjr ch,xld 0727616271 l=reKE., .=,dï fudysoSka 0713266805 l=reKE., cSjka; Tiqi, 0779844110 udj;.u iskdï fuäflhd¾ 07137367287 wkqrdOmqr LBK wdhq¾fõo *duis 0252220320 rdc.sßh ú,aika *duis 2886653 fudrgqj Ydka fuäl,a 2646964 .d,a, l%siag,a *duis 0912234762 fn,sw;a; ffjoH úu,isß 0779020668 l¿;r ksõ *duis 0342222558 mdkÿr ksõ jreK *duis 0385670583 mdkÿr jreK *duis 0382236328 kqjrt<sh NE *duis kqjrt<sh fi,ajd *duis nKavdrfj, wiSia *duis nÿ,a, úIka *duis ms<shkao, fyÜáwdrÉÑ *duis uyr.u isá *duis 2837086 fldÜgdj MAS *duis fydaud.u fydaud.u *duis 2855460 wúiaidfõ,a, ksõisá *duis 077402059 weye<shf.dv wdfrda.Hd *duis 0363796850 me,auvq,a, fufg%d *duis weô,smsáh .ïmy isoaOdhq¾fõo 0713896964 lsßn;af.dv ,xld *duis 0112912732 lvj; pkaok Tiqi, hlal, wkqr *duis ksÜgUqj fikag%,a *duis 0718564706 jrldfmd, jrldfmd< *duis 0352267413 w,õj isisr *duis 0718334847 ksIAmdokh iy fnodyeÍu ABBANA International (Pvt.) Ltd. 27” Y%S úl%u udj;” j;a;, úuiSï 0778521688$0773665497$0112949269


Maxillay Sinusits

o;a lelal=u ksid jrosk wjia:djla'''

lreKq ksjeros f,i f;areï fkd.ekSu ksid wld,fha o;a wysñ úh yels fldagrl m%odyh

1' frda. úksYaph (Diagnosis) 2' fojkqjo frda. úksYaph (Diagnosis) 3' f;jkqjo frda. úksYaph (Diagnosis)

o;a lelal=u ksid jrosk wjia:djla'''

P.A.P. fcdaima Y,H ffjoH;=uka wo cSj;=ka w;r fkdue;s jQj;a t;=uka mejiQ w;sYh jeo.;a joka ud is; we;=<gu ls|d nei we;''

Maxillay Sinusits oUq,a, uQ,sl frdayf,a oka; Y,H ffjoH uyskao jksiqkaor úisks

ffjoH úoHdj hkq iïmQ¾Kfhkau frda.shd mjik frda. ,laIK iy frda.shd mÍlaId lsÍfuka fukau ffjoHjrhdf.a oekqu tl;= lr wjYH jQjfyd;a úfYaI mÍlaIK Wmfhda.S lrf.k Wod (- X lsrK PdhdrEm" reêr mÍlaIK (PBS, PPBS , HbA1C ) ksjeros frda. úksYaph u; mokï jQ úoHdjls' ;jo ffjoHjrhd ksjeros frda. úksYaphla (Diagnose) lsÍug wfmdfydi;a jQjfyd;a bosß lghq;= ish,a,u wid¾:l jkq fkdwkqudkh' fuu ,smsh ilia lsÍfïos uf.a u;lh ud úYaj úoHd,fhaoS wOHdmkh ,nd .;a ld,h fj; weoS hhs' tl, idudkH Y,H ffjoH úoHdj ms<sn| oekqu ,ndÿka Y,H ffjoH P.A.P. fcdaima ffjoH;=uka ks;r mjik jokla ;snqKs' Tyqf.au jpk j,ska lsjfyd;a ffjoH úoHdfõ m%Odk wx. ;=kls'

100

oka; Y,H ffjoH úoHdjo Bg fjkia fkdjQ ffjoH úoHdjla fõ' tho ffjoH úoHdfõu fldgils' tfia kï frda. úksYaph oka; Y,H ffjoH úoHdjgo fmdÿjq ldrKhls' kQ;k oka; Y,H ffjoHjreka uqLh" o;a" uqyqK" fn,A, iy ykq wdY%s; frda. ms<sn|j lghq;= lrhs' mqoa.,hl=f.a YÍrfha w;sYh jeo.;a jQ m%foaYhka ms<sn| .kqfokq lrk oka; Y,H ffjoHjrekag frda. ksOdkh fiùu b;d w;HjYHjQ ixlS¾K jQ l%shdoduhls' ffjoHjrhd - udisl ffjoH iÕrdj


tfy;a Y%S ,xldfõ oka; Y,H ffjoHjrekag isÿ ù we;af;a frda.shd úiska frda. ksOdkh fijQ ;;a;ajhlg" frda.shd úiskau ;SrKh lrkq ,enQ m%;sldrhg wjOdkh fhduqlr wjYH lghq;= i,idoSuhs' Y%S ,xldfõ oka; ffjoH flaIa;%fha frda. iy Y%S ,dxlslhskaf.a uqL fi!LH ;;a;ajh by< kexùu .ek ie<lSfïoS tfia ùu t;rï iqNodhl ;;a;ajhla fkdfõ' Y%S ,xldj ;=< fl;rï oka; Y,H ffjoHjreka fiajh l<o idudkH ck;dj oka; Y,H ffjoHjreka iy oka; Y,H ffjoH úoHdj flfryS olajk wdl,amh fjkia fkdjkafka kï oka; ffjoH flaIa;%h Y%S ,xldj ;=< oshqKqjla we;s ùug ;j;a fndfyda l,la .;ùu je<elaúh fkdyel' frda.sfhl= Wvq wekafoa o;la .e,ùug lshd meñKshfyd;a o; .,jkafka ukaoehs úuid isáh hq;=fõ' túg frda.shd fõokdj ksid hehs mejiqjfyd;a fõokdj meñKsfha fudk fya;=fjkaoehs fiùu w;HjYH fohls' Wvq wekafoa mqriapd¾jl (Premolar) iy pd¾jl o;aj, we;sjk fõokdj (Molar) yeuúgu (Pulpitihs) o;a ;=<skau we;sjk fõokdjla fkdfõ' wm iEu fofkl=f.au YÍrfha uqyqK m%foaYfha wiaÓ we;=<; ysia wjldY mj;S' ^ysia l=yr& tu l=yr fldagrl f,i y÷kajhs'

fïjd Para nasal sinuses f,i y÷kajhs' tajd kï" 1' Maxillary Sinuses 2' Frontal Sinuses 3' Ethmoidal Sinuses 4' Sphinoidal Sinuses fïjdhska úYd,u fldagrl jkafka Maxillary Sinuses h' Maxillary Sinuses

fldagrl

idudkHfhka fuu ihskiia j, isÿre mj;S' fuys iEfok fiu (Mucous) bfígu bj;afõ' tfy;a Maxillary Sinuses tl foi ne,SfïoS th msróvdldrh'

(Sinuses)

thska iEfok øjH bj;a lsÍug we;s isÿr tys m;=f,a fkdmj;S' fuu isÿr by<ska mj;S' fï ksid fldagrlh ;=< iEfok øjH (Mucous) bj;aùu

ysfiys we;s fldagrl 2015 fkdjeïn¾ l<dmh

101


Maxillay Sinusits

ksis wdldrfhka isÿ fkdùu ksid tu l=yrh ;=<u tl;= fõ' Histology ^mgl ieleiau&

tu ksid we;sjk f;rmqu o;aj,g oekSfuka fõokdj yg .kS' o;a j, fõokdj oefkk ksid th o;aj, fõokdjla f,i frda.shd jrojd jgyd .kS' of;a fõokdjla hehs uq,djQ frda.Ska o; .<jd ouk f,i ffjoHjrhdg n,lr isá;s'

102

o;a lelal=u ksid jrosk wjia:djla'''

frda. ks¾Kh jeroSu ksid fõokdj iukhlg m;a fkdù h,s h,s;a ;=jd,hlg we`.s,s oud ne,Sfuka o;a uq,a b;sß ù we;soehs fidh;s' ta ksid ;=jd,h mEÍfuka th os.= ld,Sk fõokdjla njg m;afõ' ta wjia:dfõoS hdno o;aj,g fõokdj we;s jqjfyd;a hdno o;a .,jd oeóug frda.Ska fm<öu je<elaúh fkdyel' fï fya;= ksidfjka fndfyda fofkl=f.a o;a wysñ fjñka mj;S' (Sinusitis) fldagrl m%odyh ksid wld,fha o;a wysñ lr.;a frda.Ska oskm;d idhkj,g jd¾;d fõ& o;la wld,fha wysñùu mqoa.,fhl=f.a cSjk rgdjg fl,skau n,mEï fkdl,;a jl%j Tjqkaf.a fm!reIhg n,mEï we;s lrhs' fuu Maxillary Sinusitis ;;a;ajh OM View Skull X lsrK PdhdrEm ,nd .ekSfuka jgyd .; yel'

ffjoHjrhd - udisl ffjoH iÕrdj


Maxillary Sinusitis frda.sfhl=f.a X lsrK PdhdrEmh'

ksfrda.S mqoa.,fhl=f.a Skull X lsrK PdhdrEmh

uqLh wdY%s; m%foaY j, fõokdjka yg .ekSug úYd, fya;= rdYshla n,mdhs' 1' o;a ;=<skau we;sjk fõokdj' 2' mßoka; frda.' 3' Maxillary Sinusitis 4' iakdhq .; wdndO' 5' yl= weg j, mj;sk frda.S ;;a;ajhka' 6' uqLh iy fn,af,a fÄG .%kaÓ j, we;sjk fÄg .,a' 7' yDohdndO' 8' fud<fha f.ä (CP angle, Tumours)

2015 fkdjeïn¾ l<dmh

ysusosrs mdkaor iy Wohjrefõ fldagßl m%odyh we;s fõ' iuyr úg uqyqfKa nr .;sh we;s fõ' jukh fyda jukh hdug jeks oekSula mj;S' lrleú,a,o we;sfõ' uqyqfKa nr .;sh fujeks frda. ,laIK iu. of;a fõokdjla we;s jkafka kï m<uqj o; .,jd oeóug W;aiql fkdúh hq;=hs' Wvq wekafoa fõokdjla yg .ekqfKd;a frda. úksYaph lsÍug Tfí oka; Y,H ffjoHjrhdg fyda oka;" uqL yd uqyqK m%foaY ms<sn| úfYaI{ ffjoHjrhdg bvoSu Tfí hq;=luls' ke;fyd;a fuysoS frda.shd ffjoHjrhd ùug hdu b;du;a Nhdkl fukau oka; Y,H ffjoH úoHdj flfryS mqoa.,hskaf.a wY=NjdoS wdl,am jeäùug fnfyúkau n,mdhs' fõokdjg fya;=j Maxillary Sinusitis hehs ffjoHjrhd ;srKh lrkq ,enqjfyd;a Bg wod< uQ,sl m%;sldr isÿlr úfYaI{ ffjoHjrhd fj; frda.shd fhduq lrkq ,nhs' os.= ld,Skj mj;sk fldagrl m%odyh" Yajik frda. iïnkaO úfYaI{ ffjoHjreka fukau W.=r$lk$kdih ms<sn| úfYaI{ ffjoHjrekaf.a wjOdkhg fhduqùfuka frda.Ska iqjm;a fõ' 103


Parenting

orejka w;r ksis mr;rhla ;nd .; hq;af;a fufyuhs

orejka w;r ksis mr;rhla ;nd .; hq;af;a fufyuhs m%ij yd kdßfõo úfYaI{ ffjoH tï ã mS .=Kr;ak

iuyr ujqjreka jir tlla folla jf.a mr;rhla ;ndf.k orejka lsysm fofkl= ìyslrk wjia:d wm ±l ;sfnkjd' ;j;a iuyr ujqjreka m<uq orejd ,eî jir wgla" oyhla muK .;jQ miqj fojk orejl= .ek is;kjd' fï wdldrhg orejka tlsfkld w;r we;s mr;rh fndfyda fihska wvq jeäjk ;;a;ajhka ;=< ujqjrekag isÿjk úúO ixl=,;d ms<sn|j .eg¨ iy.; ;;a;ajhla we;s fjkjd' tA jf.au fï ;;a;ajh orejkaf.a me;af;ka ne¨j;a t;rï ys;lr kE' tfiakï orejka w;r mr;rh wvqùu ksid we;sjk .eg¨ fudkjdo @ fï ;;a;ajh msg msgu orejka ,eîu jYfhka ;j;a úÈhlg y÷kajkak mq¿jka' Tiaáfhdafmdfrdaisia jeks frda. yg.ekSfï wjodku idudkHfhka orejl= ujql=i ;=< isáh§ le,aishï .%Eï 20-30l muK m%udKhla orejdf.a jeãu i|yd wjYH fjkjd' orejd fuh ,nd.kafka ujf.a wiaÓj,ska' fujeks ia:dkj, ;uhs le,aishï hlv jeks Lksc ,jK .nvd ù mj;skafka'

104

ffjoHjrhd - udisl ffjoH iÕrdj


orejd ujq l=i ;=< isák ld,fha§;a" fuf,djg ìysjQ miqj ujqlsß Èfï§;a ujf.ka úYd, le,aishï m%udKhla orejdf.a YÍrhg we§hdu isÿfjkjd' wdmiq ujf.a YÍrfha Lksc ,jK .nvdj, tAjd h:d ;;a;ajhg m;ajkakg jir ;=k y;rl ld,hlaj;a .; fjkjd' fï wkqj msg msgu orejka ,eîfuka .nvdj, Lksc ,jK ;ekam;a ùug ld,hla ,efnkafk kE' tA wkqj ujg Tiaáfhdafmdfrdaisia jeks frda. yg.ekSfï wjodku jeä fjkjd'

ujg .eìks iufha wêl reêr mSvkh yg.;af;d;a B<Õ .eí .ekSïj,§;a wêl reêr mSvkh yg.ekSfï m%jK;djh jeä fjkjd'

wêl reêr mSvkh ujg .eìks iufha wêl reêr mSvkh yg.;af;d;a B<Õ .eí .ekSïj,§;a wêl reêr mSvkh yg.ekSfï m%jK;djh jeä fjkjd' fï wkqj msg msgu orejka ìyslrk ujlg È.ska È.gu wêl reêr mSvkh yg .ekSfï yelshdj u; miqld,Skj blauKskau wêl reêr mSvkh yg.; yelshs' fï ;;a;ajh ksid YÍrhg we;s jk wys;lr m%;sM,o jeähs' Èhjeähdj ujg .eìks iufha Èhjeähdj yg.;fyd;a B<Õ .eí .ekSïj,§ oshjeähdj Bg;a jvd jeäfhka yg.ekSfï wjodku ;sfnkjd' tA wkqj tl <Õ orejka ìyslrk ujlg oshjeähdj o ks;r ks;r blauKska yg .ekSfï yelshdj jeä w;r" ueÈ jhig hkúg os.ska È.gu Èhjeähd ;;a;ajh mej;Sug bvlvla mj;skjd'

2015 fkdjeïn¾ l<dmh

105


Parenting

orejka w;r ksis mr;rhla ;nd .; hq;af;a fufyuhs

jhi ;siamy blaujQ ldka;djla .eí .ekSfï§ orejd ;=< úúO ixl+,;d we;súh yelshs

;rndre ùu .eìks ujlg lEu reÑh jeähs' tAjf.au ore m%iQ;sfhka miqj lsß fok ujlgo jeä jeäfhka l=i.sks we;sùu ksid ks;r ks;r wdydr .ekSug fm,fUkjd' tA wkqj msg msgu orejka ,efnk ujla fuf,i ks;r ks;r wdydr .ekSug fm<öu u; blauKska ;rndre úh yelshs' ;rndre ùu hkq wêl reêr mSvkh" Èhjeähdj jeks frda. /ilg uq,la' orejkaf.a jhia mr;rh wvqjk úg ujg orejka ìyslsÍu myiqhs' fya;=j fhdaks ud¾.fha udxYfmaYs wdÈh nqre,a ù mej;Su ksihs' kuq;a orejkaf.a nr wvqjkak mq¿jka' tA jf.au jeäuy,a orejka .ek fidhd n,kakg" Tjqkag wdorh olajkakg ujg ld, fõ,dj ke;sfjkjd' fïl <Õ <Õ orejka ,eîfï§ orejkag isÿjk wjdishla'

106

ffjoHjrhd - udisl ffjoH iÕrdj


Worfha udxY fmaYs ÿ¾j, ùu <Õ <Õ orejka ,eîfï§ fukau miafjks ore Wm;ska miq kej; orejka ìys lsÍfï§ ujf.a Worfha udxY fmaYs ÿ¾j, fjkak mq¿jks' tAjd ore Wm;ska miq h:d ;;a;ajhg m;aùug fmru kej; .eí .ekSu ksid Worfha ì;a;sj, Yla;su;aNdjh wvqfjkjd' fï ksid Worh my;a fjkak mq¿jka' Worfha ì;a;s Yla;su;a ke;s ksid <Õ <Õ orejka ,eîfuA§ fukau jeäfhka orejka ,eîfï§ o orejd .¾NdIfha yryg isáh yelshs' túg isfiaßhka ie;alula u.ska fyda w~q Ndú; lr orejd ìyslsÍug isÿfjkjd' .¾NdIh ixfldapkh ùu wvq ùu tA jf.au <Õ <Õ orejka ,eîfï§ fukau orejka jeäfhka ,eîfï§ o .¾NdIfha ì;a;s by; lS mßo Yla;su;a núka wvq ksid .¾NdIh ixfldapkh ùu

2015 fkdjeïn¾ l<dmh

wvqfjkjd' fï ksid ujg wêl reêr jykhla we;sjkakg mq¨jka' orejka w;r ksis mr;rh we;slr.kafka fldfyduo@ idudkHfhka ´kEu ujlg m<uq .¾NKS wjia:dfõ§ we;sjk ixl+,;d jeähs' fofjks wjia:dfõ§ th Bg jvd wvqfjkjd' kuq;a miafjks ore Wm;ska miq ;j;a orejka ìyslsÍfï§ ixl+,;d b;du;a jeäfjkjd' flfia jqj;a m<uq orejd ,eî B<Õ orejd wjqreÿ wglg fyda Bg;a miqj ìys lsÍfï§ m<uq .¾NŒ wjia:dfõ§ jf.au ixl+,;d we;sfjkjd' fuys§ .¾NŒ" m%ij yd miq m%ij ^m%iQ;sfhka miq& hk wjia:d ;=fka§u ixl+,;d yg.; yelshs' fï jf.a f,dl= mr;rhla we;sj ìysjk orejka nßkao jeäjkak mq¿jka' tA jf.au fndfydaúg fujeks wjia:dj,§ isfiaßhka ie;alï u.ska orejka ìyslsÍugo isÿfjkjd' jhi ;siamy blaujQ ldka;djla .eí .ekSfï§ orejd ;=< úúO ixl+,;d we;súh yels nj fndfyda fofkla okakd lreKla' tA jf.au m<uq orejd jhi úis" ;sia .Kkaj,§ ìyslr fojk orjd i|yd jhi y;<sy blaujd .eí .ekSfï§;a tu orejd ;=< tn÷ ixl+,;d yg.ekSug wjldY ;sfnkjd' fï wkqj n,k úg jhia mr;rh wvqfjka tl <Õ orejka ìyslsÍu fukau orejka w;r mr;rh wjqreÿ wg blauùuo ujg jf.au orejdg;a ys;lr ;;a;ajhla fkdfjhs' fï wkqj orejka fo;=ka fofkla ,enqK;a tA yeu orejl= w;ru wjqreÿ 4-5 jeks mr;rhla ;sîu ujf.a YÍr fi!LHhg jf.au orejkago b;d hym;a fjkjd'

107


1344


Conduct disorder

fm!reI wdndO we;s orejkaf.a fldamh md,kh lrkafka fldfyduo@

fm!reI wdndO we;s orejkaf.a fldamh md,kh lrkafka fldfyduo@ úfYaI{ ufkda ffjoH .sydka wfíj¾Ok ksjfia isák fnfyúka yS,E iqr;,a n,a,df.a lkafm;af;a w.ska fldgila lmd ±uQ wjqreÿ y;l msßñ orejl= Tyqf.a ujqmshka wmf.a ufkda ffjoH idhkhg /f.k wdfõh' tu iqr;,a n,a,d mY= ffjoHjrhl= fj; f.k f.dia lk ueiQ kuqÿ fï orejd l< wlSlre jev yd oÕldrlï wiSñ; jQ ksid Tjqka fufia orejd ufkda ffjoH idhkhg tlalrf.k ú;a ;sìKs' tA fuu yeisßïj,g fya;=j udkisl frda.hla±hs ok .kakgh'

2015 fkdjeïn¾ l<dmh

wm wo l;d lrkakg hkafka;a fï ,laIK we;s udkisl wdndOhla ms<sn|jh' yeisÍï iy p¾hd rgdjkayS úIu;d hkqfjka ±laúh yels fï udkisl wdndOh ufkda ffjoH úoHdfõ y÷kajkafka Conduct disorder hkqfjks' fuh je<f|k udkisl wdndOhls' uq,skau y÷kd.; yels jkafka wjqreÿ 6"7 jeks jhiaj,§h' fuys m%Odk jYfhka oelsh yels frda. ,laIK ;=kls' tA m%pKavldÍ uqrKavq yeisÍï" lshk foag m%;súreoaO foau lsÍu iy i;a;aj ysxikhhs' uq,skau fï yeisßï orejka ;=<ska m< jkafka ;u ksjfia§h' fndfyda m%pKav yeisÍï m< lrk fï orefjda jeäysáhka hula lS úg thg m%;súreoaO foau lsÍfuka f,dl= i;=gla ,n;s' i;=kag leu;s uq;a Tjqka i;=gla úkaokhla ,nkafka tu i;=kag ysßyer lsÍfuks' tfia ysßyer lroa§ i;=ka 109


Conduct disorder

fõokdfjka lE.ik úg Tjqkaf.a i;=g ;j ;j;a jeäfõ' f.or we;s lrk n<,df.a j,s.h fl<jrg .sks ;enQ msßñ orejkao wmg yuqù ;sfí' i;=ka fm<Su" jO§u we;eï úg ueÍu mjd fujeks <uhs lr;s’ by; lS orejdo fujeksu wfhls' Conduct disorder kue;s frda.fhys m%Odk ,laIK ;=k fïjd jqj;a ;j Wm m%Odk ,laIK o .Kkdjla ;sfí' fï orejka b;du wlSlreh' l,yldÍh' úkdYldÍ jev lsÍug b;du;a m%sh lr;s' tA wkqj nvq fmd<fõ .ikakg" ;ukaf.a fmd;a-m;a mdi,a WmlrK we÷ï mjd .sks ;nkakg Tjqka leu;sh' fjf<|fmd<g .sh l, ÿgq ÿgq foa b,a,d lror lrk Tjqka th /f.k fok ;=reu uymdf¾ b|f.k lE.ikakg jqjo fm<fUkq we;' wêl f,i ;ry hdu iy wka whf.a wjOdkh Èkd .ekSug tA

110

fm!reI wdndO we;s orejkaf.a fldamh md,kh lrkafka fldfyduo@

wdldrfhka yeisÍu fujeks orejka ;=< m%n,j lemS fmfkhs' Conduct disorder we;s orejkag tu ,laIK meyeÈ,sj y÷kd .kakg ,efnk wjqreÿ 6-7 jeks ld,j,§u ufkda ffjoH m%;sldr ,nd fkdÿkafkd;a frda.h ;j ÿrg;a jHdma; ùu isÿfõ' tA wkqj wjqreÿ 12" 13" 14 jeks jhiaj,g tk úg fidrlï lrkakg;a" fndre lrkakg;a ^ldhsl yd jdÑl m%pKav;ajh& fmf<fUkq we;'

fï frda.h we;s .eyekq orefjda ,sx.sl yeisÍï flfrys jeä Wkkaÿjla olaj;s' fujeks jhiaj,§ msßñka yd tlaù hqj;shka .eí .kakd úg fndfyda úg fÞia ;nkafka msßñkag jqj;a we;eï úg tA .eyekq <uhskag fï frda.h ;sîu u; Tjqka tA ;;a;ajhg fhduq jk wjia:d ;sìh yels nj wu;l l< hq;= ke;'

fujeks ,laIK olakg ,efnkafka uq,skau ksjfia§uh' miqj th mdi,g;a jHdma; fõ' mdi,a fkdhd lef,a mkskafka fndfyda úg fun÷ orejkah' lsisÿ j.lSula .ekSu fudjqkg wiSre jk w;r ks;ru yeisfrkafka wkqkag ysßyerhla jk wkaough' wfkla wh .ek ;elSula lrkafka ke;' is;kafka ;uka .eku muKs' fï frda.h we;s orejka fndfyda úg wjqreÿ 13" 14 jks jhiaj,§ u;ameka" u;aøjHj,g weíneys úh yelsh' ffjoHjrhd - udisl ffjoH iÕrdj


Conduct disorder ia;%S mqreI fomlaIhgu je<f|a' by; lS ,laIK jeämqru ±lsh yelafla msßñ <uhska ;=<h' .eyekq <uhskaf.a m%pKavldÍ yeisÍï wvq kuq;a wfkla wh jpkj,ska ßoùug Tjqka fm<fUkq we;' tA wkqj fnfyúka is; ßfok foaj,a wfkla whg lshd Tjqka fm<kakg y~jkakg fï frda.h we;s .eyekq <uhska fm,fUkq we;'

fujeks ,laIK olakg ,efnkafka uq,skau ksjfia§uh' miqj th mdi,g;a jHdma; fõ' mdi,a fkdhd lef,a mkskafka fndfyda úg fun÷ orejkah'

tfiau fï frda.h we;s .eyekq orefjda ,sx.sl yeisÍï flfryS jeä Wkkaÿjla olaj;s' wjqreÿ 13" 14" 15 jeks jhiaj,§ ksjiska mek hdug fm<fUk .eyekq <uhska ;=< we;eï úg fï frda. ,laIK meje;sh yelsh' fujeks jhiaj,§ msßñka yd tlaù hqj;shka .eí .kakd úg fndfyda úg fÞia ;nkafka msßñkag jqj;a we;eï úg tA .eyekq <uhskag fï frda.h ;sîu u; Tjqka tA ;;a;ajhg fhduq jk wjia:d ;sìh yels nj wu;l l< hq;= ke;' frda.h we;s jSug fya;= Conduct disorder yg .ekSug n,mdk fya;= ldrl 2015 fkdjeïn¾ l<dmh

1' mßir idOl orejd bmfok yd ye§ jefvk mßirh fï frda. ;;a;ajh we;s ùu i|yd fnfyúkau n,mdkq we;' oßø;djfhka fmf<k" wkdrlaIs; yd ia:djr fkdjk mjq,aj, orejka fun÷ frda.j,g ,laùfï myiq yelshdjla ;sfí' 2' orejka yok jvk wdldrh wdorhla fmkajkafka ke;sj ±ä kS;sÍ;s hgf;a l=vd l, isg yok jvk orejkao fï udkisl frda. hg f.dÿre úh yelsh' 3' cdkuh idOl mshd u;amekaj,g weíneys jQ whl=ùu" mshd fm!reI;aj wdndOhlska fm<Su jeks fya;= u; tjeks mshl=f.a orejkago fï frda.h ye§fï m%jK;djhla ;sfí'

111


Conduct disorder

4' l=vd l, fud<hg myrla je§u jeàu ksid fud<fha m¿ÿ ^damage& we;sùu" wmiaudr frda.hg f.dÿre ùu jeks fya;+ka u;o Conduct disorder yg .ekSug wjldYh we;' fï frda.hg uq,§ fyd¢ka m%;sldr fkd,enqfKd;a ;reK jhig tk úg th ;j;a j¾Okh ù iudc úfrdaë fm!reI wdndOh ^Antisocial personality disorder& yg .kq we;' iudc úfrdaë fm!reI wdndOh we;s ´kEu flfkla <ud úfha§ by; lS frda. hg ,la jQfjda fj;s' yeisÍï rgd iy p¾hd rgdj, fodaI iys; frda. ;;a;ajh ksis f,i y÷kdf.k ufkda ffjoH m%;sldr lf<d;a wkd.;fha§ iudc úfrdaë fm!reI wdndOh yg .ekSfuka je<lSfï yelshdj ;sfí' fï frda.hg fndfyda úgu we;af;a T!IO m%;sldrj,g jvd p¾hd;aul m%;sldrh' kuq;a 112

fm!reI wdndO we;s orejkaf.a fldamh md,kh lrkafka fldfyduo@

T!IO m%;sldr Èhhq;= wjia:do ;sfí' fuys§ ujqmshka ifydaor ifydaoßhka muKla fkdj mdif,a .=rejrhd mjd f.kajd ilÉPd lrkakg isÿúh yelsh' yeisÍï iy fm!reI wdndO we;s orejkag wêl fldamh md,kh lsÍu wiSreh' tfiau ;ukaf.a foujqmshka jeäysáhka .=rejreka jeks wh lshk foaj,a Tjqkaf.a bßhõ wjfndaO lr .ekSfï yelshdjla fï orejkaag fkdue;' ksoiqkla f,i uj orejdf.a krl yeisÍula .ek fldamfhka isáfhd;a orejd is;kafka uj ;udj urd oukakg W;aidy lrk njls' .=rejrhd wjjdohla f,i fodia lsõfjd;a .=rejrhd ;udg úreoaOj jev lrk nj fï frda.fhka fmf<k orejkaf.a woyih' fï fya;=ka u; .=rejrhd flfryso oafõIhla we;s lr .kq we;' fufia wksla whf.a bßhõ yeisÍï wdÈh .ek jerÈ whqßka jgyd .kakd fï orejka yeu úgu is;kafka ;ud ksjerÈ njh' fldamh md,kh lsÍug Ñls;ail m%;sldr fukau we;eïúg T!Iëh m%;sldro §ug isÿúh yelsh' m%;sldr ,nd §u ;=<ska fï orejkag wkd.;fha iudc úfrdaë fm!reI we;sùu j<lshs' fï orejkag ;sfnk f,dl=u .eg¨j ;uka wjg isák wh f;areï .ekSug we;s wmyiqjhs' Tjqkaf.a yeisÍï jvd;a m%pKavldÍ jkafka tksidh' fuu m%;sldr l%u w;r ;j;a úfYaI m%;sldrhla jkqfha foudmshka .=rejreka orejdg ier jer lsÍulska f;drj ióm ù ;ukag wjYH foa orejdg jeä l,n,hla ke;sj fyñka mejeiSuhs' orejdf.a l,yldÍ yeisÍula we;s úg tys jro fyd¢ka meyeÈ,s lr fokak' tA fj,djg orejd yuqfõ m%fldamldÍ fkdjkak' Tn wdfõ.YS,S ùu fuys§ flfiaj;a iqÿiq fkdjk nj ;rfhau isys ;nd .kak'

ffjoHjrhd - udisl ffjoH iÕrdj



Food for thought

YÍrfha fm%daàka wjYH;djh iïmQ¾K lsÍug uia wkqNjh wjYHuo @

YÍrfha fm%daàka wjYH;djh iïmQ¾K lsÍug uia wkqNjh wjYHuo @ ffjoH ;kQId foajkdh.ï úisks

fm%daàka ms<sn| u;dka;r iy tajdfha ienEj fm%daàka hkq YÍrhg w;HjYH wdydr j,ska ,nd .kakd ix>glhls' ud¿" uia" ì;a;r" lsß wdos i;a;ajuh wdydr fm%daàka i|yd WodyrK f,ig oelaúh yelsh' ;jo ;o fld< meye;s t<j¿" rks, fNda. jk wvq jYfhka mdysk ,o OdkH o fm%daàka wvx.= wdydr i|yd WodyrK fõ'

fm%daàka hkq YÍrhg w;HjYH wdydr j,ska ,nd .kakd ix>glhls' ud¿" uia" ì;a;r" lsß wdos i;a;ajuh wdydr fm%daàka i|yd WodyrK f,ig oelaúh yelsh' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;' waidyawaraya.com 114

ffjoHjrhd - udisl ffjoH iÕrdj


fndfyda Y%S ,dxlsl .eñhka w;r mj;sk u;hla kï uia" ud¿" lsß" ì;a;r wdosh wkqNj lsÍu fndfyda fnda fkdjk frda. j,g fya;=jlah hkakhs' flfia fj;;a ud¨ j, mj;sk fïo wï, YÍrhg ys;lr tajd njg oeka úoHd{fhda fidhdf.k ;sfí' ulaksido h;a" Omega-3, EPA, DHA hk fïo wï, ud¨ j, nyq,j mej;Suhs' fuu fïo wï, u.ska YÍrfha mj;sk wys;lr fïo wï, hdukhg odhl fjhs' tmuKla fkdj fuu.ska ndysr frda.ldrl j,g uqyqK oSug we;s yelshdj jeä lrhs' ;jo wêreêr mSvkh" oshjeähdj" yDohdndO we;s lsÍug we;s wjodkuo wvq lrhs'

i;ajuh wdydr u.ska ,nd .kakd fm%daàk fndfyda úg w;HjYH weuhsfkda wï, ish,a,f.kau ix;Dma; fjhs' 2015 fkdjeïn¾ l<dmh

uia j,g wêl weíneysh kï fyd| kE uia" lsß" ì;a;r wdosh wdydrhg .ekSu ksid YÍr fi!LHhg wys;lr n,mEula we;s jkafka tajd wêl f,i wdydrhg .ekSug weíneys ùu ksidh' flfia fj;;a m%udKj;a mßos .kakd wdydr wkqNjhg .ekSu u.ska lsisÿ whym;la isÿ fkdfõ' Ydluh wdydr j, wvx.= fm%daàka u.ska fndfyda úg ,efnkafka m%udKj;a fkdjk fm%daàk m%udKhla fukau tu fm%daàk j, fndfyda úg w;HjYH weuhsfkda wï, ish,a,lau fkdue;sh' w;HjYH weuhsfkda wï, hkq YÍrhg ndysßka ,nd.; hq;= YÍrfha ksmoúh fkdyels weuhsfkda wï,hla fõ' kuq;a i;ajuh wdydr u.ska ,nd .kakd fm%daàk fndfyda úg w;HjYH weuhsfkda wï, ish,a,f.kau ix;Dma; fjhs' tfukau tajdfha mj;sk fm%daàk YÍrhg wjfYdaIK yelshdjo by<h' ks¾udxYslhkag úl,am wdydr we; flfia fj;;a ks¾udxYsl mqoa.,hka by; wdydr wkqNj fkdlrhs' fï ksid fj<|fmdf<ys mj;sk le,aishï wka;¾.; lrk ,o wdydr" yd úúO m<d j¾. wkqNjh u.ska ffoksl le,aishï wjYH;djh imqrd .ekSug yelsfõ' ;jo weg j¾. Almonds, Sesame, Walnuts& wdydrhg .ekSu u.skao Tng wjYH le,aishï ,nd.; yelsh' flfia fj;;a Ydl wdY%s; wdydr u.ska ,nd .kakd le,aishï j, wjfYdaIK yelshdj" i;aj wdydr j,ska ,efnk le,aishï j, wjfYdaIK yelshdjg jvd hï;dla ÿrg wvqh' 115


Coconut values explained

fmd,af;,a j,ska ie,fik fi!LHuh m%;s,dN

fmd,af;,a uydkqNdj iïmkak Ñls;ail r;akhls

wmo we;=¿j bkaoshdkq ,,kdjka flia i;aldrlhla f,i fmd,af;,a mD:q,j fhdod.kS' uqo,a oS fjkuu lkaäIk¾ fkd.;a;dg wmg we;s fyd|u lkaäIkrh fmd,af;,ah'

fmd,af;,a j,ska ie,fik fi!LHuh m%;s,dN fmd

,af;,a ms<sn|j fndfyda lreKQ wm miq.sh ld,h uq¿,af,a bosßm;a lf<uq'

fjfiiskau w;sYhskau wdrlaIdldÍ jQo" fi!LHiïmkak jQo fmd,af;,a fjkqjg wdkhkh l< wjfYAI f;,a j¾. ,dxflah ck iudch ;=< ia:dms; lsÍug .;a m%h;akh yuqfõ Y;j¾Idêlj" mrïmrd .Kkdjla uq¿,af,a fy<hdf.a iúh" ksfrda.S nj ie¥ fmd,af;,a flfryS jm/iska n,k lreKQ ldrKd ielfi;aoS taa ;=< ksi`.fhka we;s fmdaIKSh .=Kdx. /ila fmkajd fokakg wm .;a m%h;akhls ta' fmd,af;,a j, we;af;a wdydruh .=Kdx. muKlau fkdfõ' th wkqo;a iqúfYAIS T!IOhla jYfhka wo ojfiao uekúka uq,a neif.k ;sfnk w;r fmd,af;,a weiqf¾ mj;akd Ñls;ail .=Kdx. lsysmhla fï ,smsfhka úia;r flf¾' fmd,af;,a - wk.s YS¾I i;aldrlhls fmd,af;,a Tfí ysig .e,aúh yels wk.s;u iajdNdúl i;aldrhls' ysifla >kj jefjkakg fmd,af;,a lghq;= lrhs' tfiau os,sfik jr<ila we;sùugo fmd,af;,a .Eu fya;= fõ' flia .fia fm%daàk laIh ùug ms<shula f,i fmd,af;,a y÷kdf.k ;sfí'

116

flia.fiys jk ydks mQrkh lsÍugo fmd,af;,a fhdod. kS' fmd,af;,a u.ska fï flia.fia ydks mQrkhg wjYH fm%daàk imhhs' fmd,af;,a j,ska ks;s T¿j iïndykh lsÍfuka ysiafidß u¾Okh fjhs' Tfí ysi fl;rï úh<s tlla jQjo fmd,af;,a .Eug ks;s yqre ù isákafka kï Wl=Kka yd f,a`äka ysfia me,moshï jkafka ke;'

uqo,a oS fjkuu lkaäIk¾ fkd.;a;dg wmg we;s fyd|u lkaäIkrh fmd,af;,ah'

ffjoHjrhd - udisl ffjoH iÕrdj


yDoh frda. uev,Sug fmd,af;,a fmd,af;,a wkqNjfhka yDo frda. j,g w; jkkafkah hk jeros u;hla miq.sh ld,h ;=< úYd, jYfhka ck;dj w;r m%p,s; úh' fmd,af;,a j, úYd, jYfhka ix;Dma; fïoh wka;¾.; ùu fï ñ;Hdjg fya;= jQjd úh yelsh' ienúkau fmd,af;,a hkq yoj;g ñ;=re f;,a j¾.hls' fmd,af;,a j,ska ishhg 50lau wka;¾.; jkafka yoj;g ñ;=re f,daßla wï,fhks' fï f,daßla wï,h fldf,iagfrda,a uÜgu my; fy<Sug WmldÍ fjhs' fm%I¾ tl md,kh lrhs'

iu u; fmd,af;,a l%shd lrk yeá iu iïndykhg jvd;a WÑ;u f;,a j¾.hla f,i fmd,af;,a y÷kajd osh yelsh' th úh<s iula iys; ysio we;=¿j ´kEu iulg .e,fmk losu f;;ukldrlhls' iq,nj iï id;a;=fõoS Ndú;d jk LKscuh f;,a j¾. j,oS we;sjk ixl+,;d fmd,af;,a Ndú;fhaoS lsis úfgl we;s jkafka ke;' iu úh<s Ndjhg m;aùu" fmd;= .e,ùu fmd,af;,a ksid we;s fkdfõ'

t<j¿ f;,a j, we;s ix;Dma; fïoh YÍrh ;=< we;s lrk hdka;%Kh fuka wys;lr hdka;%Khla fmd,af;,a ksid n,.ekafjkafka ke;' th ydkslr LDL fldf,iagfrda,a uÜgu uev,Sug l%shd lrhs' reêrjdyskS wdmodjg m;a ùfuka we;sjk wef;%dlaf,frdisia ;;a;ajh j<lajd,hs'

2015 fkdjeïn¾ l<dmh

117


Coconut values explained

fmd,af;,a j,ska ie,fik fi!LHuh m%;s,dN

iu úhm;a ùfïoS we;sjk fkdje<elaúh yels l%shdj,shla jk iu /<s jeàu yd t,a,d jeàu je<elaùug fmd,af;,a j,ska lrk iï id;a;=j fya;= jkafkah' fmd;=lnr" fydß yd v¾ughsáia wdoS wfkal p¾udndO j,ska w;añoSug fmd,af;,a fya;= jkafkah' fï wdoS úia;D; .=Kdx. ksid inka" l%Sï j¾. yd f,daIka ksIamdokfhaoS ke;sju neß wuqøjHhla jkafka fmd,af;,a h' jhia.; ùug fmr ifuys we;sjk wfkal jeyeÍï je<elaùug iï id;a;=jla f,i fhdod. kakd úúO fj<| ksIamdok j, m%uqL ix>glhla f,i fmd,af;,a l%shd lrk nj okafka lS fokdo@ YÍr nr wvq lsÍug fmd,af;,a YÍr nr wvq lsÍug fmd,af;,a wk.s úi÷uls' tys wvx.= flá yd uOH odu fïo wï, YÍrfha jeäuk;a nr md,kh lsÍug lghq;= lrhs' .kakd wdydr uekúka osrùug fmd,af;,a fya;= jk w;r ;hsfrdhsâ .%kaÓho we;=¿j ks¾Kd, .%kaÓ l%shdldß;ajh iqir lrhs' YÍrfha mßjD;a;Sh l%shdj,sh jeä lsÍfuka w.akHdYhg we;sjk wu;r mSvdjla fõ kï th iukh lrhs' ta wkQj YÍrfha le,ß oykh jeä lrhs' ia:q,;djfhka isák whg fï ksid bka ñoSug wjia:djla ie,fia' oskm;d fmd,af;,a Ndú;hg .kakd ir< cSú;hlg ysñlï lshk ck;dj w;r ia:q, Woúh olakg ,efnkafka l,d;=rlsks' m%;sYla;slrK moaO;sh ;sr lsÍug fmd,af;,a j,ska ,efnk iïudou fmd,af;,a j, we;s m%;suhsfl%daî ,smsv" m%;scSjl yd m%;sffjri .=Kdx. ksid m%;sYla;slrK moaO;shg fnfyúka m%;sM<odhl fõ'

118

iu úhm;a ùfïoS we;sjk fkdje<elaúh yels l%shdj,shla jk iu /<s jeàu yd t,a,d jeàu je<elaùug fmd,af;,a j,ska lrk iï id;a;=j fya;= jkafkah'

fudfkdf,daßla wï,h njg mßj¾;kh jk f,daßla wï,h nelaàßhd" ffjri yd wfkl=;a OQ,l øjH uev,Sug w;sYhskau ys;lr l%shdj,shl ksr; fõ' ,siaàßhd fudfkdihsfgdcsk" ye,sfldnelag¾ mhsf,daß wdoS nelaàßhdjka fukau .sh¾ähd ,eïí,shd wdoS ydksodhl fm%dfgdfidajdjka uev,Sugo fmd,af;,a fya;= fjhs'

ffjoHjrhd - udisl ffjoH iÕrdj



wdhq¾fõoh

kSfrda.Sj È.=l,la Ôj;aùfï ryi

kSfrda.Sj È.=l,la 02 fldgi Ôj;aùfï ryi rcfha ffjoH ks,OdÍ - iS;djl m%dfoaYSh iNdfõ wdhq¾fõo frdayf,a wdhq¾fõo ffjoH ta tï pß;a w;djqo (BAMS) úisks charithathauda@yahoo.com Tel: 071 850 1973

kSfrda.S j È.=l,la Ôj;aùug u. lshk wdhqI jeä lrfok Ydia;%h fkdfyd;a wdhq¾fõohg wkQj wm oskm;d imsßh hq;= j;a ms<sfj;a lsysmhla miq.sh l,dmfhka úia;r lf<uq' wdhq¾fõo u;dkql+,j wdydrh ilid.kakd wdydrh fujr úia;r flfrKq we;'

wdydr wdhq¾fõofha wdydr iïnkaOj b;d .eUqßka yd úYd, jYfhka lreKq olajd we;' wdydr ksid YÍrfha meyem;a nj" iqkaor nj" jeä wdhqI" kSfrda.S iu" isref¾ m%udKj;a nj" i;=g" mqIaáu;a nj" YÍrfha n,h" nqoaêu;a nj ,nd fok nj i|yka fõ' kuq;a j¾;udkfha wms úYd, uqo,la jeh lr ,nd.kafka ;=<s; iy ksjerÈ wdydr fõ,la fkdjk nj Tn okakjdo@ wdhq¾fõo ixl,amhg wkqj ldhsl yd udkisl j¾Okhla we;s l< yels wdydrh ;=<s; wdydrhla f,i;a tu ;=<s; wdydrh" wdydrfha ri u.ska ir,j y÷kd.; yels wdldrh;a úia;rd;aulj olajd we;' wdydrj, Iâ rih 1' uOqr ri – OdkH" w,j¾. wdÈh 2' wï, ri – m<;=re" wU" ;lald,s" weU/,a,d" ishU,d" foys" f.drld 3' ,jK ri - ¨Kq" yd,aueiaika" ud¿ 4' lgq ri – l=¿nvq

120

ffjoHjrhd - udisl ffjoH iÕrdj


5' ;s;a; ri – w.=K fld<" wifudao.ï" uql=Kqjekak" ksú;s ^;s;a; rie;s m<d j¾.& 6' CIdh ri – t<j¿ j¾.

1/4 ysia fldgi

zos.= l,la ksfrda.Sj cSj;a ùfï ryiZ wjidk fldgi ,nk l,dmfhka n,dfmdfrd;a;= jkak' —tal ridfNHdfida fo!¾n,H ldrKï˜ tlu rihla ksr;=rej fiajk lsÍfuka isrer ÿ¾j, lrhs – prl ixys;dj hym;a fmdaIKhla yd ukd fi!LH ;;a;ajhla mj;ajdf.k hdu i|yd fuu ri yhu YÍrhg wjYH fõ' tfiaue tlu rifhka hq;= wdydr ks;r ks;r wdydrhg .ekSu fi!LHhg wys;lr nj olajd we;' wdydrfha ud;%dj fufia úh hq;=hs wm wdydr fl;rï m%udKhla wdydrhg .; hq;= o@ fuhg wm wdydr ud;%dj f,i y÷kajhs' 2015 fkdjeïn¾ l<dmh

1$2 wdydr

1/4 c,h

wdudYh mqoa.,fhl= tla fõ,lg .; hq;= wdydr ud;%dj jhi" YÍrh yd uki fjfyik m%udKh" wdydr Èrùfï Yla;sh jeks úúO idOl u; fjkia fõ' wdydr ud;%dj 1' wdudYfhka yß wvla wdydrfhka o 2' b;sßfhka yß wvla c,fhka o 3' b;sß fldgi ysiaj o mej;sh hq;= nj olajd ;sfnkjd' wdydr .;a;d we;so @ kshñ; ud;%djg wdydr.;a nj wm jgyd .kakd wdldrh 1' muK blaujd l=i mqrjd fkd±óu' 2' oE,jr mSvdjka we;s fkdùu' 3' Worfha nr .;shla fkd±kSu' 4' b÷ï-ysgqï" ksod.ekSu" .uka lsÍu" yqiau .ekSu hk l%shdj, § wmyiq;djhla we;s fkdùu u.sks'

wdydr .ekSu .ek bmerKs Wmfoia óg wu;rj my; lreKq o wdydrh .ek bmerKs wdhq¾fõo .%ka:j, olajd we;' 1' l=i.sks ke;súg wdydr fkd.kak' 2' l=i.sks we;súg wdydr .kak' 3' .;a wdydrhla Ô¾Kh ùug m%:u kej; wdydr fkd.kak' 4' tlsfklg fkd.e,fmk wdydr tlg .ekSfuka j<lskak' 5' wdid;auh wdydr .ekSfuka j<lskak' 6' fyd¢ka fkdmeiqKq wdydr .ekSfuka j<lskak' 7' frda. ;;a;ajj,§ .e,fmk wdydr .ek ie,ls,su;a jkak' 8' wdydr .kakd úg YsCIKhla we;s lr .kak' 121


advertorial

l=Uqla Ieïmq

.%Ska y¾n,a m%vlaÜia mqoa.,sl iud.fï kj ksIamdok

l=Uqla Ieïmq

ishhg ishhla Ydlidr ksIAmdokhls' ysiflia .e,ù hdu j<lajd ysiflia fmdaIKh lrhs' ridhksl øjH j,ska f;drhs'

Gold Skin Cream ishhg ishhlau Ydlidr ksIamdokhls' l=re<E yd ifuys l¿ .;sh bj;a lrhs' iu meyem;a lrhs' weia jfÜ l¿ .;sho hhs' wdhq¾fõofha i|yka mßos r;a;rx fmdf<dfjka Wrd.kakd b;d jákd YdL úfYAI Wmfhda.S lrf.k fuu fnfy;a ksIAmdokh lr ;sfí' mdúÉÑ lr fjki jgyd .kak' uqyqKu,a oka;df,amh o;a j, lyg uekúka bj;a lrhs' uqL ms<sld j<lajhs' ;=,ais iqj| OQmh j¾Kl fyda lD;%Su iqj| j¾. wvx.= ke;'Yajik frda. iqj lrhs'jákd Ydl idr fnfy;a j¾. 18 la Wmfhda.S lrf.k ksIamdokh lr ;sfí' fvx.= uÿrejka m<jd yßhs' bkaoshdkqjkaf.a fi!Nd. Hh ixfla;j;a lrk ;=,ais YdLfha mxpdx.hu wvx.=h' flaY uQ, ;r,h w¿;ska ysifla we;sùug fukau ish¿ ysiflia wdY%s; .eg¿ j,g osj Tiqjla n÷h' ysiafydß" 122

ysiflia hdu" ysiflia kej; tau m%udo ùu" flia leãu j<lajhs' flia l¿ .;sh jeä lrhs' Herbal Black Hair vhs j¾.hla fkdfõ' vhs j, wj.=Khkaf. ka ñoS flia meyeh jvjd .ekSug is;k nqoaêu;=kaf.a f;aÍuhs' ishhg ishhlau Ydlidr fuh uekúka iqÿ flia l¿ lrhs' .E iekska l¿ fõ' fiaoSu wjYH ke;' iaj,amhla .Eu m%udKj;ah' Active Malt ishhg ishhla Ydl idr ksIamdokhls' f,dl= l=vd ldg;a fmdaIH fuda,aÜ tlls' iSks j¾." meKs ri wvx.= ke;' ikaê wudre iqj lr wiaÓ Yla;su;a lrhs' .%Ska y¾n,a m%vlaÜia fm!oa.,sl iud.u" .=rej;a; j,õj" ñáhdf.dv fg,s ( 077-5507381 *elaia( 0914944082 ,s'm' wxlh PV 70430 E-mail: gherbalproducts@ gmail.com Web hairforbold heads.blogspot.com

ffjoHjrhd - udisl ffjoH iÕrdj


flaYuQ, ;r,h iy .%Ska y¾n,a wfkl=;a ksIamdok ,nd.; yels osjhsk mqrd Tiqi,a iuyrla ffjoH lreKd ^wdhq¾'& .d,a, 0776165705 ffjoH .d,a,f.a ^wdhq¾'& yslalvqj 0719657897 ffjoH iqcSjkS úl%uisxy ^wdhq¾'& háhkaf;dg 0362270437 ffjoH oSmsld iQßhwdrÉÑ noafo.u 0711539432 ffjoH l=udß lreKdr;ak ^wdhq¾'& .ïfmd, 0814485534 fca'ã' isßudk ^wdhq¾'& wúiaidfj,a, 0773678335 ffjoH fm%aur;ak w,õj 0773778399 ffjoH pkaok Whl=udr je,sfõßh ^wdhq¾'& 0777063034 ffjoH ví'ta'tia'úodkwdrÉÑ ^wdhq¾'& fk¿j 0716272745 ffjoH bkaosl m%kdkaÿ ^wdhq¾'& j;a;, 0712019811 ffjoH ik;a m%shka; ^wdhq¾'& we,amsáh 0724500864 fnd/,a, isxy, wdhq¾fõo Tiqi, fjdaâ maf,aia mdr uykqjr fndaj;a; T!IOd,h" fld<U ùosh l=reKE., o ksõ *duis merl=ïnd ùosh" cSjka; Tiqi, .d,a, hqkhsgâ *dud" tlai;a Tiqy, ud;r hqkhsgâ *dud" fldgqf.dv Tiqy, l¿;r hqkhsgâ *dud" lgql=rekao" uqksr;ak" ÿïßhm< mdr nKavdrfj, iriú Tiqi, lelsrdj ßá., Tiqi, r;akmqr nqoaêl *duis nia kej;=ïm< wi, mdkÿr Woh T!IOd,h" uy ùosh ;,j;=f.dv Ydks *duish l<,af.dv yxosh uyr.u kkaok Tiqi," yhsf,j,a mdr kqf.af.dv úch Tiqi, kdj, mdr kkaok Tiqy," mrK leianEj mdr lsßn;af.dv isxy, fnfy;a nvq fj<|ie, kqjr mdr" udfld, mdr vj; iq,,s; Tiqi," fffjoH .`.nv cdwe, iuka Tiqy,"iqcSj Tiqy, ó.uqj ,xld *duish" w,shußlald¾ wkqrdOmqrh t,a î fla T!IOd,h udlÜ fmfoi fmdf<dkakrej cSjl T!IOd,h" ,xld fuäl,a lÿrefj,

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

ksIAmdokh .%Ska y¾n,a m%vlaÜia fm!oa.,sl iud.u" .=rej;a; j,õj" ñáhdf.dv fg,s ( 077-5507381 *elaia( 0914944082 ,s'm' wxlh PV 70430


YOGA

fhda.s wNHdi j, fhfokakd oeyeñfhl= úh hq;=uehs

fhda. jHdhdu u.ska iqjm;a osúhla fhda. wNHdi .ek újrKhla

fhda.s wNHdi j, fhfokakd oeyeñfhl= úh hq;=uehs ymq;f,a tia'tï'ã fikúr;ak úisks'

kaoshdfõ w.ue;s kf¾kaø fudaä miq.shod iajlSh rgjeishka ish¿ fokdgu fhda. wNHdi j, fhfok f,i b,a,Sula lf<Ah' thska fkdkej;=KQ oeyeñ w.%dud;H jrhd f;fïu Bg uq,a ù fhda. jHdma; lsÍfï jevigyklgo uq,a úh' oeka l=ÿ uy;a f,dalfhau fhda. .ek kj l;dnyla we;s ù ;sfí' ixlS¾K f,dalfha wd;;sl ;;a;ajhka iukh lr cSú;fha .=Kd;aul wvqmdvqlï imqrd,Sug fhda. ljqre;a cSú;hg tla lr.; hq;= wNHdihls'

b

l%s'mQ' 1000-5000 w;r ld,fha ìysjkakg we;ehs ie<flk fhda. Ydia;%h .ek meyeÈ,s lrñka ,shk ,o m%:u .%ka:h f,i ie<flkafka uyd Ndr;fha úiQ m;[ac,S uyiDIs úiska rpkd lrk ,o m;[ac,S fhda. o¾YKh kï jQ lD;shhs' l=Kav,kS Yla;sh ñksia isref¾ mj;sk wiSñ; Yla;sh 124

ffjoHjrhd - udisl ffjoH iÕrdj


ie`.j we;af;a ysfia isg my<g úys§ we;s fld`ÿ weg fmf<a wjika mqrel wdikakfhys nj;a tys orK ,d.;a i¾mfhl= ish jd,êh ^j,s.h& uqúka f.k bkakd wdldrhg fuu Yla;sh orK .eiS mj;sk nj;a m;[ac,S fhda. o¾YKfhys úia;r lr ;sfí' fuu Yla;sh orK ,d.;a i¾mfhl=f.a ú,difhka ie`.j mj;sk neúka Bg fhda.Ska zl=Kav,kS Yla;shZ hhs jHjydr l<y' is; ^fud<h& tla wruqKl msysgqjñka Ndjkdfõ fh§fuka" ´kEu wfhl=g fuu l=Kav,kS Yla;sh wjêlr .; yelsh' fhda.Ska úiska ish isref¾ iajNdjfhkau ie`.j mj;akd l=Kav,kS Yla;sh wjê lsÍu ioyd uki fukau .;o ksi,j ;nd .ksñka tla;ekaj flfrk È.=ld,Sk iudê.; ùfï§ ndysr isrerg ksis jHdhduhla fkd,eîfuka jk 2015 fkdjeïn¾ l<dmh

wys;lr ;;a;ajfhka ñ§u ioyd Tjqkgu wdfõksl jQ jHdhdu l%uhla ìyslr .kakd ,oS' miq l,l§ fhda.Ska ish OHdk mQ¾jl p¾hd úê ms<sfj;la f,i f.dvk`.d.;a fuu wmQ¾j p¾hd rgdj ^fhda. wNHdi úê& ksid Ñ;a; tald.%;djh wLKav f,i mj;ajdf.k hdu myiq jkakg úh' nUhla muK jQ isrefrka f,dalh oelSu ñksia is; taldldÍ f,i md,kh lsÍfuka úúOdldr w;a±lSï ,o fhda.Ska ta ;=<ska úYauhckl foa lrkakgo yelshdj ,nd .;ay' nUhla ;rï Wia jQ ñksia isrer ;=, uq¿ úYajhu ±lSfï wiSñ; n,hla we;s nj Tjqka úYajdi l<y'

Tn wm ieu fofkl= ;=<u mj;sk fuu ie`.jqKq Yla;sh u;=lr .ekSu ioyd is; tl`. lrñka Ndjkd l< hq;=h' ta ioyd is; fukau .;o ksis f,i iQodkï l< hq;= jk w;r ndysr jYfhka mj;akd .; kuHYS,S f,i yiqrejd .ksñka ñksia isrer wNHka;rfha mj;sk ishqï wjhj j,g mjd jHdhdu u`.ska Yla;sh ,nd Èh hq;= fõ' fuh ngysßka wm y`ÿkd.;a ir, YdÍßl jHdhdï j,g jvd fnfyúka jeä ÈhqKq jQ wjia:djls' ngysßka wm y÷kd.;a ir, YdÍßl jHdhdï u.ska ñksia isref¾ wNHka;r bkaøshka flfryS jk n,h b;du;a wjuh' tfy;a ffjÈlhska wkq.ukh lrk fhda. jHdhdï j,§ ñksia isref¾ wNHka;rfha we;s wmg w; fmúh 125


YOGA

fhda.s wNHdi j, fhfokakd oeyeñfhl= úh hq;=uehs

fkdyels ishqï wjhj /ila Woa§mkh lsÍug wjldY ie,fia' uq,a wjêfha§ fhda. jHdhdï ks¾udKh lr.;a W;a;r Ndr;Sh fhda.Ska th Ndú;hg .;af;a wdOHd;añl lghq;= i`oyd mQ¾j lD;Hhla jYfhka ndysr isrer iQodkï lsÍfï l%fudamdhla jYfhks' is; ÈhqKq lr .ekSug fmr ta ioyd ieye,a¨ f,i isrer yd tys wNHka;r bkaøshhka yev .iaid .ekSu fuys wruqK úh' f;jeoEreï fhda. wNHdi fhda. mqyqKqfõ m%Odk fldgia ;=kls' m%dKhdu" wdik" m%:Hydr hkq ta ;%s;ajhhs' m%dK hdu hkq iajik md,khhs' wdik hkq isref¾ bßhõ md,khhs' tkï YS¾Idik" moaudik wd§ jYfhka fhda. Ydia;%fha meñfKk úúO bßhõ ^fhda. dik& wkqj isrer msysgqjd .ekSuhs' m%:Hdydr hkq ndysr wruqKq flfrka bkaøshka wE;a lr ;nd .ekSuh' fndfyda úg fhda.Ska Wfoa iji iQ¾h kuialdrfha fhfoa' fuu fhda. Ydia;%h fkdokakd wfhl=g fmkS hkafka w;sYhskau .%duH fyda fkdÈhqKq f.da;%sl kQ.;a wNspdr úêhla f,ih' tfy;a fuu wNspdr úêfhka fN!;sl ñksia isref¾ wNHka;r bkaøshhka /ilg ukd jHdhduhla ,efí' fhda.S jHdhduhg fmr cSú;h oeyeñ lr .kak' thhs uq,a fmdf;a mdvu''' fï jk úg fndfyda mqj;am;a yd i`.rd wdÈfh;a we;eï úgl úoHq;a udOHhka u`.skq;a fhda. jHdhdï u`.ska ñksia isrer yevlr .; yels njg;a we;eï frda. ksjdrKh lr .; yels njg;a lshd isáho fkdlshk lreKlao ;sfí' tkï Tn l=uK lreKla uqÿkam;a lr .ekSfï wfmalaIdfjka fhda. mqyqKqj ,enqjo bka ksis m< m%fhdack ,nkakg kï m<uqj Tn oeyeñ ù isáh hq;= njh'

126

fhda.shdf.a ioa cSjk l%uh fhda.shd hym;a Ydka; .=Kfhka hq;= wd;au oukfhka hq;= úh hq;=h' wêIaGdk mQ¾jlj ffO¾h iïmkakj fjfyi uykaish fkdn,d lghq;= lrk" oafõYh yd ffjrh fkdue;af;l= úh hq;=h' fhda.shd hkq wysxidjd§ ffu;%S iy.; is;=ú,s we;s ks¾udxY wdydr .kakd ;eke;af;ls' fï wkqj Tn Tfí rej isyska f,i yev. ekaùug" ;reK nj /l.ekSug fyda Èhjeähdj" reêr.; fïoh md,kh lsÍug fyda fjk;a frda. ;;a;ajhlska ñ§ug fhda. wNHdi m%.=K lrkafka kï bka id¾:l M, ,nkakg by;ska ioyka lr we;s wdldrfha fhda.sfhl= fj; ;sìh hq;= iqÿiqlï imqrd ;sìh hq;=h'

ffjr" fl%daO is;a we;sj uia udxY wkqNj lrñka fhda. wNHdihkayS fl;rï id¾:l ffjoHjrhd - udisl ffjoH iÕrdj


f,i ksr; jqjo bka Tng ishhg iShl id¾:l m%;sm,hla ,nd.; fkdyelsh' nd," ;reK" uy¿ ljr úhl isák wfhl=g jqjo fhda. jHdhdï j, fh§fuka ksfrda.S isrerla ,nd .; yelafla ksjerÈ .=re WmfoaY ,nñka l%udKql+,j mqyqKq jqjfyd;a muKs' <ud úfha§u fhda. wNHdi j,g yqre lrKq ,nk orejka jeäysáhka njg m;ajk úg u;ameka fyda ÿïjeá fyda u;aøjH wdÈhg weíneys jQfha b;d úr, jYfhks'

Tn úhm;a ùu fyda isref¾ wêl ia:Q,;ajh ksid fyda iSrefjka isgf.k isg l%ufhka bÈßhg keó okysia fkdkud Tfí oE;a j,ska Tfí fomd j, msysá uymge`.s,s iam¾Y lsÍug wmyiq úh yelsh' tfy;a uq,§ wmyiqfjka jqjo tu bßhõjg ;rula fyda wdikak f,i isàug Tng yels jkq we;'

<ud úfha§u fhda. wNHdi j,g yqre lrKq ,nk orejka jeäysáhka njg m;ajk úg u;ameka fyda ÿïjeá fyda u;aøjH wdÈhg weíneys jQfha b;d úr, jYfhks'

úhm;a Woúhg fhda. wdik úhm;a jQjkag Tjqkaf.a wkuH isrer fhda.dik j,g wkql+,j yev. id .ekSu i`oyd bjiSfuka lghq;= l< hq;=h' fï fhda. dikhl kshñ; bßhõfjys ksis f,iu msysgqùug tlajru fkdyels jqjo wod, wdikfha wdikaku msysàu ±lafjk bßhõjl msysàfuka wNHdihkays fhÈh yel'

2015 fkdjeïn¾ l<dmh

127


YOGA

fhda.s wNHdi j, fhfokakd oeyeñfhl= úh hq;=uehs

fuu l%shdj wmyiqfjka jqjo È.ska È.gu lsÍug W;aidy l< úg l,l§ fuh Tng b;d myiq lghq;a;la jkq we;' ta ioyd Tng wjeis jkqfha miq fkdnisk W;aidyh yd Wkkaÿj muKs' fhda. wNHdi m%.=K lsÍfï§ úúOdldrfha fhda. dik wkqj Tfí isref¾ yev.iajd mj;ajdf.k hdu bjis,af,ka yd wkjr; W;aidyfhka l< hq;=fõ' m,mqreÿ fhda.Ska fhda.dik j, fhfok wdldrh ±l ta wkqj tlajr fhda.dik j, fh§ug W;aidy lsÍu wk;=re iys; úh yelsh' fhda. flfryS Wkkaÿ jk wdOqkslhd ks;ru l%u l%ufhka fhda.dik mqyqKqj ,en.; hq;=h' kqyqre wfhl=g ;u isrer kuHYS,S f,i tlajru yeisrúh fkdyel'

fhda. jHdhdu i|yd ojfia ksYaÑ; fj,djla yd ksYaÑ; ia:dkhla fjkalr .; hq;=h' ffoksl cSú;fha wksjd¾h wx.hla f,i i,ld fhda. wNHdihka ys ksr;ùu isÿ l< hq;=h'

frda. j,ska iqjh ,o yelshs úúO frda. ;;a;ajhkaf.ka ñ§ug;a isyska ksfrda.S isrerla ,nd .ekSu ioyd;a fhda. jHdhdï j, fhfokakka ±k isáh hq;= tla m%Odk ldrKhla jkqfha T!IO u.ska flfrk m%;sldr fuka fï u.ska blauka m%;sM, fkd,efnk njh' tfy;a fhda. wNHdi m%.=K lsÍfuka §¾. ld,Skj hym;a m%;sM, ,eìh yelsh' wêl reêr mSvkh jeks we;eï frda. ;;a;ajhka ioyd ks¾foaYs; m%dKhdu jeks fhda. l%u u.ska blauka iqjhla ,eìh yelsh'

128

ojfia ksYaÑ; fj,djla yd ksYaÑ; ia:dkhla fjkalr .kak l=uK mrud¾:hlska jqjo fhda. wNHdihka m%.=K lrkafka kï ta i|yd ojfia ksYaÑ; fj,djla yd ksYaÑ; ia:dkhla fjkalr .; hq;=h' ffoksl cSú;fha wksjd¾h wx.hla f,i i,ld fhda. wNHdihka ys ksr;ùu isÿ l< hq;=h' fï yer wúêu;a f,i;a wl%uj;a f,i;a ysf;k ysf;k fj,dj,a j,§ fhda. wNHdihkays ksr; ùfuka Tng ksis m%;sM,hla lsisod ,eìh fkdyel' ú,dis;djg fkdj fhda. Ydia;%h ms<sno wp, úYajdih we;sj ksis .=re WmfoaY wkqj wLkav f,i fhda. jHdhdu yd Bg wod, p¾hdjka j, fhfokafka kï jvd;a iqÿiqh' fu;a lreKd .=Kfhka hqla; jQo uia" udxY yd u;ameka" u;aøjH" ÿïjeá wdÈfha weiqfrka f;dr jQo úIudpdr wej;=ï mej;=ï yd fl%daO" ffjr wd§ whym;a is;sú,s j,ska f;drjQ ldg jqjo fhda. jHdhdï yd Ndjkd l%u u.ska id¾:l m%;sM, ,o yelsh'

,nk l,dmfhka l=Kv,sks fhda.fhys m%uqL m%dKhduhg mQ¾úldjla ffjoHjrhd - udisl ffjoH iÕrdj




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