Waidyawaraya April 2016 Online by Doctor Magazine

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ONLINE ISSUE

22 ldKavh 2016 - wfm%a,a

wvq jhiska jeäúh m;a jkafka wehs @ msgqj 22 orejka fkd,efnk ldka;d fya;=''' msgqj 67 oshjeähdj ksid wefia we;sjk wdndO'''

re'150$-

msgqj 80

ISBN-1391 1341

9 7 7 13 91 13 400 1

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CONTENTS

fmd,s;ska ma,diaála oejgqï fhÿ wdydr uhsfl%dfõõ lrkak tmd

10 yoj;la ke;sj foi;shla

44 m%ckl fi!LHhh .eg¿ 100la

b`.=re oS, ñrsia .kak tmd''' b`.=re ld, kSfrda.S fjkak

iqÿÆKQ - .=Kj;a fnfy;ls

fgdhs,Ü tfla jeros wdldrhg jdä ùfuka isÿjk w;s Nhdkl wk;=rla

ÿïmdkfhka cSú;h úkdY lr.;a frda.sfhla

fyoshf.a iajdñmqreIhdf. is;sú<s

uqyqfKA .,ajk wdf,amk isrerg;a .e,aùu iqÿiqo@

46 m%S;s mjq,g w¿;a idudcslhka fofofkla

cSj;a jQ ñksfila'''

14 ord .ekSfï Yla;sh w;ska

48 lerfmd;a;ka jix.;hg ms<shï fhdok yeá

ldka;dj msßñhdg jvd bÈßfhka isákafka wehs@

50 me,a,ï .efyk ;rug bÿKq flfi,a m%n, ms<sldkdYlhla'''

18 lfka ;sfnk l<d÷re .ek Tn fkdo;a foa

19 fn,a, weueÜá fj,do @

52 wfma ù'mS'

úY%dñl udKav,sl fyos rdks ffjoHr;ak fi,a,fyajdf.a fyo cSú;fha u;l fmdf;a msgq w;ßka'''

;;amr oyfhka th iqj lr.kak mq¿jka'''

20 ksis f,i md,kh lr.kafka

kï weÿug ìh úh hq;= kE'''

57 jeõ ud¿j;a ¥IKh fj,d''' 22 oeka ldf,a we;eï oeßúhka wvq jhiska jeäúh m;a jkafka wehs @

100 wfma ld,fha uy;a 60 ue,a¨ï" m;a;= yd fnfy;a

f;,a w;f¾ isÿ flfrk wfma úYañ; levqï-ì÷ï fjolu

29 f,ai¾ ;=jlal= yd f,ai¾

Odrd t,a, jk lsisu fi,a,ï nvqjla orejkag fokak tmd'''

30 fyhd vhs j, ms<sldldrl ridhk mkaodyla muK ;sfnkjd'''

32 ore iïm;a ie,fik fya;= lsysmhla'''

107 Breaking Health News 64 lsreï ñKqï Ydia;%fhka

frda. iqjh iok i,ik yeá

66 mqxÑ fohla''' b;d jeo.;a

39 we;sj;a neß ke;sj;a neß fldf,iagfrda,a

iqj ryia

114 wmg wd.ka;=l jeäysá ffjoHfõoh .ek y÷kajdoSula'''

67 orejka ,eîug ndOd we;s lrjk ldka;d fya;= .ek oek.kak

38 iSks wkqNjfhka yels;dla

wE;a fjuq''' Y%S ,xld oshjeähd ix.uh wk;=re y`.jhs

108 ;Ügï yevh lshk 110 fgksia t,afnda

mdvula jukh wdhdifhka kj;ajkak tmd'''

35 uefuda.%ms mÍlaIKhla isÿ lrk yeá

;¾ckhla jQ ms<sldj msgqolsuq

119 fy< wjqreÿ ux.,Hfha'''

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

msg.eiau tkak;

oshjeähdj ksid we;sjk wlaIs wdndO

ksfrda.S wdydr isßf;a zuÍkdZ i<l=K

123 jpk oyilska lshkak neß foa lshk ùäfhda l:dx.

124 Wor uÜgq

.%Ska y¾n,a fïo yrK pQ¾Kh

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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2016 wfma%,a l<dmh

Editor's

Note

l=,shdmsáfhka weiqKq kskaod iy wj,do''' zzwysxil orefjl=g tAâia je<|S we;ehs hk ielhla ksid bf.k .kak mdi, wysñ fjhs'''ZZ fï mqj; oeka wfma rfÜ muKla fkdj uq¿ uy;a f,dalfhau wjOdkhg ,la jQjls' thska Y%S ,xldfõ wNsudkhg we;s jQfha uy;a le<,ls' ta isÿùfï fm<.eiau .ek kej; kej;;a l;d l< hq;= ke;' tfy;a fï isÿùu úuxikd¾:fhka wmg l;d lrkakg muKla fkdj ys;kakg" fndfyda foa .ek kej;;a i<ld n,kakg losu wjia:djla ,nd oS ;sfí' taâia hkq f,dju NS;shg m;a l< Nhdkl frda.hls' fï ksidfjkau fi!LH n,Odßka miq.sh oYl lsysmh uq¿,af,au fï frda.h .ek fndfyda fihska ck;dj oeKqj;a lf<ah' iEu j¾Ihlu foieïn¾ m<uq fjksod f,dal tAâia oskhhs' ta ;odikakfhaoS fï frda.h me;sfrk wdldrh" fkdme;sfrk wdldrh .ek oeKqj;a lsÍï rdYshla flfrhs' taâia oskfha fuf;la jvd;au mq¿,a f,i m%p,s; f;audj jQfha zztaâia frda.Skag kskaod meñKùu yd fjkialï lsÍfuka j<lsuqZZ (Avoid Stigma and discrimination) hkakhs' ta;a tAâia ffjrih YÍr.; jkafka;a ke;sj yhla y;rla fkdf;afrk wirK lsß imamfhla ;uka jeksu jQ orejka msßilf.a uõmshkaf.ka" wOHdmk ks,Odßkaf.ka" foaYmd,{hkaf.ka ,o kskaod wmjdo <f;;a we;a;kaf.a weia flfjks f;;a lrjk iq¿h'

fï frda.h iS>%fhka f,dalfha me;sr .sh jljdkqjloS tx.,ka;fha Tgqkak ysñ vhkd l=ursh ta wjdikdj;a frda.fhka wirKNdjhg m;ajQ frda.Ska ikiñka" frda.S orejka welfha ;nd iqr;,a l< wdldrh ;ju;a wmg u;l ;sfí' tAâia frda.sfhl= lsisu wjia:djl fldka l< hq;= fkdfõ' orefjl=g HIV ffjrih YrSr.; ù ;snqKo ta orejdf.a ish¿u wjYH;d fjkialulska f;drj lsÍug iudch ne|S isà' wfma rfÜoSo wfma taâia frda.Ska fï rfÜ ffjoHjreka" fi!LH fiajlhka úiska n,d.kafka buy;a lreKdfjks' ztaâia u¾Ok jHdmdrhZ fukau fulS wruqK yd ne÷KQ iafõPAPd ixúOdk lsysmhla fï frda.Ska /l n,d.kakg fjfyfik wdldrh b;d m%YxikSh fõ' tjka ukqIH;ajhg jákdlula tl;= lrk idOKSh l%shdldrlï weiqf¾ l=,shdmsáfha orjd wNsuqj l=,shdmsáfha wOHdmk n,OdÍka lghq;= l< wdldrh kskaodiy.;h'

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The Pioneer Health & Medical Journal 22 ldKavh 2016 - 04 l,dmh

EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka MANAGING EDITOR Amitha Wickramarachchi

fï ish,a, yuqfõ wmg m%Yakhla mek k.S' wfma rg ol=Kq wdishdfõ úYsIaG;u fi!LH o¾Yl ysñ Y%S ,xldjhs' fï rfÜ idlaIr;djh ishhg 92 ls' cSú;dfmalaIdj by<h' fndfyda frda." jix.; fï rfgka uq,sKqmqgd ;sfí' ta;a l=,shdmsáfha orejd iïnkaOfhka .ula l%shd l< wdldrh wkQj" fï rfÜ wOHdmk n,Odßka l%shd l< wdldrh wkQj wfma rg oYl .Kkdjla ;siafia l%shd;aul l< fi!LH oeKqj;a lsÍï .`.g lemQ bksfoda hhs fkdisf;kafkao @ ¥m;a udkisl;ajh ;=< wfma we;euqkaf.a wd;aud¾:ldñ;ajhg kï wmuK w.hla ,eî we;s nj meyeos,sh' Ndr; .=K;s,l - úOdhl l¾;D editor@waidyawaraya.lk

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 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.lk WEBSITE: www.waidyawaraya.lk HOTLINE: 077 3149084

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2016 wfma%,a l<dmh

MICROWAVE COOKING HEALTH CONCERNS

fmd,s;ska ma,diaála oejgqï fhÿ wdydr uhsfl%dfõõ lrkak tmd

,kaÉ ISÜ j, t;= wdydr" fmd,s;ska ma,diaála oejgqï fhÿ wdydr uhsfl%dfõõ lrkak tmd o fndfyda fokd ;ukaf. n;am; T;kafk z,kaÉ ISÜZ j,ska' n;a ál lkak .kak fj,djg yS;,hs kï uhsfl%dfõõ wjka tflka tal r;a lr.kak mqreoaol=;a wm fndfyda fokd w;f¾ ;sfnkjd' n;am; ú;rla fkdfjhs" wms tosfkod wdydrhg .kak fndfyda foaj,a r;a lr.kak uhsfl%dfõõ wjka tl fhdod .kakjd' nyq;rhla fokd fï uhsfl%dfõõ wjka tflka lrk foa wdydr r;a lrk tl'''

fï wdydr uhsfl%dfõõ tflka r;a lrk tl oe,s msysfhka lsß lkj jf.a jevla' ljodj;a fmd,s;ska ojgk j, t;+ wdydr" ma,diaála lkafÜk¾ j, oeuQ wdydr uhsfl%dfõõ lrkak fyd| kE' thska we;sjk fi!LHuh wjodku oek.;af;d;a Tn th ljrodj;a lrkafk;a kE' th t;rïu Nhdklhs' wfma fï ,smsfha wruqK hï flfkla fï Nhdkl mqreoafoa fhfokjd kï ta whg wk;=re ye`. ùu' y;=frl=gj;a fï wjNdú;hg bv fokak tmd''' ta mKsúvh uQ,skau;a fok .uka wm oeka fuys úoHd;aul moku u|lg úuiuq' ma,diaála lsh, ;ks øjHhla kE uq,skau wm fï zzma,diaálaZZ hkqfjka yªkajk øjH úuiuq' ma,diaála lsh, ;ks øjHhla ke' th ldnksl yd wldnksl øjH j, ixl,kfhka yeÿKq fohla' tys uQ,sl jYfhka ixfhda. folla ;sfnkjd' Bisphenol-A (BPA) ;o >klula ma,diaála j,g ,nd fokak

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WmldÍ fjkjd' Phthalates uDÿ njla" kuHYS,S njla ma,diaála j, we;s lrkak WmldÍ fjkjd

wdydr uhsfl%dfõõ tflka r;a lrk tl oe,s msysfhka lsß lkj jf.a jevla' ljodj;a fmd,s;ska ojgk j, t;+ wdydr" ma,diaála lkafÜk¾ j, oeuQ wdydr uhsfl%dfõõ lrkak fyd| kE' thska we;sjk fi!LHuh wjodku oek.;af;d;a Tn th ljrodj;a lrkafk;a kE' th t;rïu Nhdklhs'

fï ma,diaála ks¾udKh lsÍug uQ,sl jk øjH folu ks¾Kd, .%kaÓ wjysrl “endocrine disrupters." jYfhka 2016 wfma%,a l<dmh

ye|skafjkjd' wfma YÍrfha fydafudak j, l%shdldß;ajh wvmK lsÍug ;sfnk m%n, yelshdj ;uhs tu.ska úia;r jkafka' ma,diaála j, we;s phthalates j,g .¾NKS uõjreka ksrdjrKh ùfuka fkdfïrE ore Wm;a we;s úh yelshs' tfiau Wmosk orejkag p¾hd;aul .eg¿ we;s lsÍugo fya;= úh yelshs' tfiau fï ridhkfha foay.;j we;sjk wj l%shdldß;ajh ksid wêreêr mSvkh we;s lsÍug;a" oshjeähdj we;s ùfï wjodku by< kexùug;a fya;= jk nj y÷kdf.k ;sfnkjd' ma,diaála lkafÜk¾ia j, we;s wfkla ridhkh ;uhs bisphenol-A (BPA) thg iudk ;j;a wdldr /ilao ;sfnkjd' ta B, C, E, F, G, M. P, PH, TMC yd Z wdoS jYfhka' wfma fydafudakuh l%shdj,ska wjysr lrkjd fïjd m%uqL ks¾Kd, .%kaÓ wjysrl jYfhka y÷kdf.k ;sfnkjd' fjfiiskau .¾NKS l<, flfryS fïjdfha l%shdldß;ajh fnfyúka ixfõoshs' ta yereKq úg .¾NKS ldka;djka" orejka" jeäysáhka ljr jhfia flfkl=g jQj;a fï bisphenol-A wys;lr n,mEï we;s lrjk nj fy<sorõ ù ;sfnkjd' isrerg we;sjk wys;lr n,mEu widudkH ,sx.sl fjkialï we;sùu" kshñ; l, jhia t<öug fmr jeä úh m;a ùu" ia:k .%kaÓ widudkH f,i j¾Okh" Tima ùu wdY%s; widudkH;d" u|ire nj fkdfyd;a oreiïm;a ySk ùu mqriaÓ;s ms<sld ffi, W;af;ackh ùu" mqriaÓ;s .%kaÓh bosóu" Y=l%dKQ ksIamdokh wvd, ùu wdosh fï ksid we;súh yelshs' ms<sld we;s lrkjd fhdod.kakd ojgkfha iajNdjh wkQj fuysoS we;s úh yels wdmodj fjkia fjkjd' Öia wdosh ojgd we;s fld< j, ;sfnkafka fmd,sjhskhs,a laf,darhsâ' tfiau fïjd ksIamdokfhaoS vfhdlaiska kue;s ridhkho ksmofjkjd' fï folu ms<sldldrl f,i ie<flkjd' 7

MICROWAVE COOKING HEALTH CONCERNS

fmd,s;ska ma,diaála oejgqï fhÿ wdydr uhsfl%dfõõ lrkak tmd

iaghsfrdf*daï wdydr n÷ka" ì;a;r wiqrK iy ;j;a wdydr /|õï /il iaghsfrka kue;s ridhkh ;sfnkjd' ms<sld m¾fhaIK cd;Hka;r tackaish fï iaghsfrka ms<sldldrlhla f,i j¾. lr ;sfnkjd' wm tosfkod Ndú;hg .kakd ma,diaála j¾. ishhg 70lg fydafudak j, l%shdldß;ajh wiu;=,s; lsÍug mq¿jka' uhsfl%dfõõ wjka j, wdydr ;eîug iqÿiq Ndck uhsfl%dfõõ wjka j, wdydr ;eîug iqÿiq Ndck ;sfnkjd' tajd muKla uhsfl%dfõõ W÷kaj, Ndú;hg .ekSug wm keKj;a úh hq;=hs' fjfiiskau wo fj<|fmdf,a uhsfl%dfõõ Ndú;hg iqÿiq hhs kï l< Ndck j,ska muKla ta ld¾h bIaG lr.ekSug wm W;aiql úh hq;=hs' fï uhsfl%dfõõ wjka j,g ys;lr Ndck ieliSug fhdod.kafka wdrlaIs; ridhkhs' Diisononyl phthalate (DINP) yd diisodecyl phthalate (DIDP) fhdodf.k ksIamdokh lrk Ndck uhsfl%dfõõ lghq;= i|yd wdrlaIdldÍ nj y÷kdf.k ;sfnkjd' tajdhska ;dmkh lrk ,o wdydr .ekSfuka fi!LHhg lsisÿ Wmøjhla isÿ jkafka kE' wo we;eï ma,diaála Ndck “microwave-safe" o hk kdufhka wf,ú jkjd' ta;a ma,diaála kï ljrla j;a “microwave-safe" jkafka kE' úfYaIfhkau ma,diaála ;dmkhg ,la ùfïoS vfhdlaiska ksoyia fjkjd' fï vfhdlaiska ñksiqkag b;d wys;lrhs' fï ksid ieìúkau fujka fj<|fmd< ks¾foaYhka u; r|d mej;Suo ;rula wmyiq ldrKhla uhsfl%dfõõ Ndú;dj .ek fojrla ys;kak ld,h weú;a @ uhsfl%dfõõ ;dlaIKfhaoS wdydr j, we;s c, wKQ by< ixLHd;hloS wkqkdo fjkjd' (Resonance) thska ;o WKqiqï jdIamhla cks; ù thska wdydr wxY= ;dmkhg ,la flfrkjd' fï mßj¾;kfhaoS wdydr j, ridhkh fjkiaùulg ,la flfrkjd' wfkla ldrKh ;uhs wdydr r;aùu wdydr wxY= úIfhys taldldÍ jkafka;a kE' fï ksid uhsfl%dfõõ 8

W÷fkka lrk we;eï msiSï wiïmQ¾Khs' fï lreKQ ish,a, .;a;u uhsfl%dfõõ W÷ka Ndú;h fl;rï iqÿiqo hkak .ek kej; is;d n,kak isÿ fjkjd' uhsfl%dfõõ W÷fkka wdydr msiSfïoS wdrlaIdj msKsi Tn l< hq;= foa • ,kaÉ ISÜ j, t;= wdydr lsisjla uhsfl%dfõõ lrkak tmd' • we;eï wdydr ojgk j, fmd,s;ska" ma,diaála ;sfnkjd' taj;a uhsfl%dfõõ lrkak fyd| kE' • j;=r fnda;,a" wn ;ejreï" Öia" fuhdfkhsia fï wdoS wdydr /ila wiqrd ;sfnkafk fï uhsfl%dfõõ lsÍu kqiqÿiq ojgk j, fï ksid ojgk j, fh¥ wdydr uhsfl%dfõõ lsÍfuka ñfokak' • uhsfl%dfõõ W÷fkka wdydr r;a lsÍfïoS" msiSfïoS “microwave-safe" mhsfrlaia n÷ka muKla fhdod.kak'

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2016 wfma%,a l<dmh

THE BEATLESS HEART

yoj;la ke;sj foi;shla cSj;a jQ ñksfila'''

lr lshd.kak neß ;eklg ffjoHjreka m;a jqKd' jhi 55 lvbu miq lrk wjia:dfõoS fl%.a Æúiaf.a yoj; l%shdldß;ajh iïmQ¾Kfhkau wvd, fjkak Tkak" fukak wjia:djla t<eUqkd' ffjoHjreka lshk úosyg fl%.a Æúiag ;jÿrg;a cSj;a fjkak ,efnkafk meh 12la muKhs'

yoj;la ke;sj foi;shla cSj;a jQ ñksfila''' ukqIhfhl=g yoj;la ke;sj cSj;a fjkak mq¿jkao @ Tn thg fok ms<s;=r ksielhs" ksYaÑ;hs' W;a;rh zzneyeZZ hkakhs''' ta;a yoj;la ke;sj i;s folla cSj;a jqKq ukqIHfhla .ek wefursldfõ fglaidia j,ska jd¾;d fjkjd' we;af;kau Tyqg yoj;la ;snqKd' ta;a ta yoj; ;jÿrg;a mdúÉÑ lrkak neß ;rugu wvmK jqKdu Tyqf.a cSú;h mj;ajd .kak yoj; bj;a lrkak ffjoHjrekag isÿ jqKd''' fï ta ms<sn|j l;djhs' fl%.a Æúia wjdikdjka; frda.hlg uqyqK ÿkakd' idudkHfhka fm%daàk lshkafk c,fha oshfjk ixlS¾K mod¾:hla' YÍrfha úúO fm%daàk ;sfnkjd' ta;a ta fm%daàk YÍrhg ys;lr ld¾hhl ;uhs ksr; fjkafk' tla;rd f,vla ;sfnkjd" tys ku Amyloidosis' fuysoS YÍrfha ;sfnk fm%daàk c,fha osh fjkjd fjkqjg tajd ;ekam;= f,i wjhj j, ia:dk.; fjkjd' túg ta wjhj j,g ksis mßos l%shd;aul fjkak nE' fl%.a Æúiag;a isoaO jqfKA fï fm%daàk YÍrfha úúO ia:dk j, ;ekam;a ùfuka ÿla ú|skak'

fï ie;alfuka miafi ¨úia fl%.a idudkH ;;a;ajhg m;a jqKd' yenehs iamkao fjkak yoj;la kE' iafg;iafldamh ;sh, n,kak Yíohla wefykafk kE' ECG .kak mq¿jka' yenehs kef.ñka nisñka wef|k m%ia:drhla fjkqjg *a,eÜ ,hska tlla ;uhs ECG tfla ;sfhkafka'

fl%.a Æúia fï wjdikdjka; Amyloidosis frda. fhka fm¿kd' Tyqf.a jeä jYfhkau fm%daàk ;ekam;a jqfKa yojf;a' uq,a wjia:dfõ hï hï m%;sl¾uhka fhÿj;a tkak tkaku fm%daàk ;ekam;a ùu jeä jqKd' wka;sugu lsisjla 10

ffjoHjrhd - udisl ffjoH iÕrdj

yoj;la ke;sj cSj;a jQ frda.shd fï jk úg fglaidia yDo wdh;kfha fiajh l< Dr. Billy Cohn yd Dr. Bud Frazier kï m¾fhaIlhka fom<la yDoh fkdue;sj wkjr;fhka reêrh .,d hk Wml%uhla Tiafia cSú;h mj;ajdf.k hk l%uhla jiq megjqka fhdodf.k id¾:lj w;ayod n,d ;snqfKa' uq,skau l< w;ayod ne,Su id¾:l lr.kak ;j;a wjia:d 38loS fï l%uh w;ayod ne¨jd' th fnfyúka id¾:lj ;snqKd' fï wkQj fï ffjoHjreka fofokd fuu yoj; bj;a

2016 wfma%,a l<dmh

lr ta fjkqjg oaù ud¾. iDcq reêr fmdïmhla yryd reêrh mßjdr wjhj j,g reêrh ixirkh lsÍfï l%uh fl%.a Æúia fjkqfjkao fhdod.ekSug fhdackd l<d' thg fl%.a Æúia f.a mjqf,a Woúh ukdmh m%ldY lf<A thska kej;;a úYAjdihla fyda we;s lr.; yels ksihs' j;=fr .yf.k hkfldg wms msÿre .fy;a t,af,kjfk' 2011 ud¾;= udi fï brKï iy.; oskfhaoS jy jyd fl%.a Æúia Y,Hl¾uhg .;a;d' fglaidia yDo wdh;kfha ffjoHjreka úiska yoj; bj;a lr wkjr; reêr mßjylh ia:dk.; l<d' lshkak i;=gqhs" fï ie;alfuka miafi ¨úia fl%.a idudkH ;;a;ajhg m;a jqKd' yenehs iamkao fjkak yoj;la kE' iafg;iafldamh ;sh, n,kak Yíohla wefykafk kE' ECG .kak mq¿jka' yenehs kef.ñka nisñka wef|k m%ia:drhla fjkqjg *a,eÜ ,hska tlla ;uhs ECG tfla ;sfhkafka'

THE BEATLESS HEART

yoj;la ke;sj foi;shla cSj;a jQ ñksfila'''

ydialula n÷ jQ yoj; bj;a lr cSú;h mj;ajd.kakd Wml%uh y÷kajd ÿka ffjoHjreka fofokd

yoj; fjkqjg fl%.a Æúiag iúl< oaùud¾. Wmdx.h 12

fï ie;alfuka miafi frda.shdg i;s folla cSj;a fjkak jrï ,enqK' frda.shd urKhg m;a jQfha yoj; fjkqjg ia:dk.; l< wkjr; reêr mßjdylfha fodaIhla ksid fkdfjhs' ta jk úg fl%.a ¨úiaf.a frda.h tkï ;SrKd;aul wjhj j, fm%daàk ;ekam;a ùu fjk;a wjhjo wl¾ukH lr ;snqKd' fldfydu jqK;a yoj;la ke;sj" úkdählg ;;amr 72la muK .efyk yoj;l Yíohla" ydjla yQjla ke;sj i;s follau cSj;a jQ wmQ¾j ñksid f,i fl%.a Æúia b;sydi.; jqKd'

fl%.a Æúiaf.a yoj; bj;a lrk ie;alu n,kak https://goo.gl/RCekOh

ffjoHjrhd - udisl ffjoH iÕrdj

2016 wfma%,a l<dmh

MALE VS FEMALE

ord .ekSfï Yla;sh w;ska ldka;dj msßñhdg jvd bÈßfhka isákafka wehs@

ord .ekSfï Yla;sh w;ska ldka;dj msßñhdg jvd bÈßfhka isákafka wehs@ ufkda úoHd{ wdpd¾h OfkaIa lreKdkdhl u;ameka mdkh lrk msßñka oy fofkl=f.ka —Tn u;ameka mdkh lrkafk wehs@˜ lshk m%Yakh weiqfjd;a Tjqka Bg úúO fya;= olajkak mq¿jka' fï w;ßka jeä fofkla ke;fyd;a lSm fofklaj;a lsj yels fmdÿ ms<s;=rla jkafka —m%Yak wu;l lrkak˜ lshk tlhs' —fufyu lshk msßñkaf. Nd¾hdjkaf.ka fï .ek úuid ne¨fjd;a ug ;shk m%Yakj, yeáhg uu wrlal= fndkj kï .=oulaj;a fndkak fjhs˜ lshkjdg lsisu ielhla kE' kuq;a jdikdjlg ;ukaf.a m%Yak wu;l lrkak u;ameka .=oula ;shd ìxÿjlaj;a f;d,.dk ldka;djka wfma iudch ;=< fndfyda úg oel .kak ,efnkafk kE'

ffjoHjrhd - udisl ffjoH iÕrdj

ord.ekSfï yelshdfjka bosßfhka bkafka .eyeksho @ msßñhdo @ tfyu kï msßñkag jvd m%Yak ord .ekSfï yelshdj ldka;dj ;=< jeäo@ Ôj úoHd;aulj ldka;djlg fõokdj i|yd ixfõ§Ndjh wvqhs' ta wehg udi kjhla orejl= l=i ;=< ord isàug iy m%iQ; lsÍug wjYH Yla;sh mj;ajd .ekSug fidnd oyfukau ysñ lr§ ;sfnk fohla' fï ord isàfï yelshdj .eyekq <uhl=g mqxÑ ldf, b|kau bfíu mqreÿ mqyqKq fjkjd' idudkHfhka f.orl ´kEu ldka;djla tl jr tl jevlg jeäh lrkjd' ksoiqkla úÈyg .;af;d;a Wfoa mdkaor yd,a ál jHxck ál <sfma ;sh,d tajd n,k .uka we÷ï uÈkak" orejka mdi,a hdug iQodkï lrkak" f.or idudðlhkag Wfoa f;a ms<sfh< lrkak ldka;djlg mq¿jka' .eyekq orejl=g mqxÑ 2016 wfma%,a l<dmh

ldf, b|kau fï jev jeäysáfhd yqre lrkjd' úfYaIfhka yqre lf<a ke;;a tajd w;aoelSfukau bfíu yqre ùu isÿ fjkjd' fï ;;a;ajhg uqyqK fok ldka;djlg ;ukaf.a m%Yakhla .ek ys; ys;d <; fjkak ld,hla ,efnkafk kE' ldka;djla l=vd ldf,§u ord .ekSfï yelshdj ,nkakg m%n,ju n,mdk ldrKdjla ;uhs ta' ieñhdg fudlla yß m%Yakhla t<UqKdu ìß|g;a ta fõokdj ;Èkau oefkkjd' kuq;a wehg ;sfnk ord .ekSfï yelshdj ksid ;ukaf.a ÿl ordf.k ieñhdf.a ÿl ksùu i|yd lghq;= lsÍug;a wehg mq¿jkalu ;sfnkjd'

ldka;dj msßñhdg jvd bosßfhka isákafka fï ksihs fï úÈyg ord .ekSfï yelshdj jeä ÈhqKq fjkak tl fya;=jla ;uhs ldka;djkag Ñ;a; fõ. fnod .ekSug yels ùu' ksoiqkla f,i lsishï mjqf,a m%Yakhl§ ieñhd ;enEreulg ù u;ameka f;d, .dñka l,amkd lrk úg ìß| ;ukag ys;j;a wh iu. ta m%Yakh l;d lrkjd' tys§ úi÷ula ,enqK;a ke;;a Ñ;a; fõ. fnod .ekSu ksid hï ieye,a¨jla we;s fjkjd' tksid m%Yakhla we;s jqKdu msßñkag jvd ldka;djka ;=< tlsfkldg Woõ Wmldr lr .ekSfï yelshdjo jeä nj lsj hq;=hs' ldka;djlg msßñkag jvd ord .ekSfï yelshdjla ;sfnkjd kï ldka;djla msßñhl=f. ka /ljrKhla n,dfmdfrd;a;= jkafk wehs lsh, flfkl= wykak mq¿jka' msßñfhla lshkafk yeu úgu ldka;djlg jvd ldh Yla;sfhka jeä flfkla' tksid wfma iudch ;=< msßñkaf.ka ldka;djkag fjk n,mEu jeähs' ieñhl= isák ldka;djlg tu ieñhdf.ka /ljrKhla ;sfnk njg iudch ;=< ms<s.ekSula we;s ksid tjeks ldka;djlg 15

MALE VS FEMALE

ord .ekSfï Yla;sh w;ska ldka;dj msßñhdg jvd bÈßfhka isákafka wehs@

msgia;r msßñka idudkHfhka n,mEï lrkakg fm<fUkafk kE' kuq;a ieñhd Èlalido jQ fyda ieñhd úfoaY.; jQ fyda ieñhd ñh.sh ldka;djlg n,mEï lsÍu i|yd msßñka úúOdldr iajrEmj,ska bÈßm;a fjkjd' tksid ldka;djlg msßñhl= ys£u f,dl= udkisl /ljrKhlao fjkjd'

hula ord .ekSu i|yd ldhsl Yla;sh jf.au udkisl Yla;shla wjYHhs' we;af;kau ord .ekSfï yelshdj Wfoid udkisl Yla;sfhka ,efnkafk úYd, msájy,la' fmdÿfõ ne¨ju udkisl Yla;sh ldka;djkag jeämqr ;sfnkjd'

hdr 300

msßñhl=g ldka;djlf.ka úYd, /ljrKhla ,efnkjd kuq;a ta ;;a;ajh tfyu jqKdg fndfyda úg ksjila ;=< msßñhl=g /ljrKh fokafk ldka;djhs' ;ukaf. ieñhdf. f,vg ÿlg msysg jkafk" Tyqg wdydr ms,sfh< lr fokafk" we÷ï me<÷ï fidaod ueo fokafk" Tyq krl mqreÿj,ska uqojd .kak W;aidy lrkafk fï ish,a,u bgq lr fokafk ìß|' ta wkqj mjq, ;=< msßñhl=g ldka;djlf.ka úYd, /ljrKhla ,efnkjd'

ie;mqï 12-15

ffjoHjrhd - udisl ffjoH iÕrdj

msßñka fjku;a" ldka;djka fjku;a .;a l, fï fomsßif. ka ldh Yla;sh jeä msßñkag' ta msßñkaf. udxY fmaYs wdÈh ilia ù ;sfnk iajNdjh ksid' ta jqK;a ldka;djlg jvd msßñkag ord .ekSfï Yla;sh wvqùug fya;=j Bg ldhsl Yla;sh muKlau m%udKj;a fkdjk ksihs' hula ord .ekSu i|yd ldhsl Yla;sh jf.au udkisl Yla;shla wjYHhs' we;af;kau ord .ekSfï yelshdj Wfoid udkisl Yla;sfhka ,efnkafk úYd, msájy,la' fmdÿfõ ne¨ju udkisl Yla;sh ldka;djkag jeämqr ;sfnkjd'

c¾uksfha isÿ l< iólaIKh f.k ÿka wkdjrK ldka;djl i;= Yla;sh yd ord .ekSfï yelshdj ms<sn|j l,lg by;§ c¾uksfha isÿ l< iólaIKhlska fï wdldrhg lreKq olajd ;snqKd' ta wkqj ldka;dj wYajhdg;a msßñhd Ögdg;a Wmud flreKd' Ögd hkq f.dvìu fõ.fhka ÿjk i;a;ajhdhs'

2016 wfma%,a l<dmh

Ögd iy wYajhdf.a WodyrKh kuq;a Ögdg tf,i f.dvìu fõ.fhka Èúh yelaf;a hdr ;=kaiShla jeks ÿrla muKhs' tfy;a wYajhdg idudkH fõ.hlska ie;mqï 12 - 15 la muK Èúh yelshs' ta wkqj .eyeksh .,dhk Yla;sh ^Constant energy& we;s whl= f,iskq;a msßñhd yÈisfha mdúÉÑ l< yels Yla;sh ^Burst of energy& iys; whl= f,iskq;a y÷kajd § ;snqKd' ,sìhdkq kdhl l¾k,a .vd*s ;ukaf.a wdrlaIlhka jYfhka ;ndf.k isáfha ludkafvdajßhka nj jd¾;d fjkjd' Bg fya;= fudkjdo hkak .ek úúO u; ;sìh yels jqj;a l¾k,a .vd*s mjid ;sfnkafka b,lalhg fjä ;eîug we;s yelshdj w;ska ldka;dj bÈßfhka isákq fiau msßñhl=g jeä úYajdih ;eìh yelafla;a ldka;djla fj; njhs' ldka;dj wka;su fudfyd; olajdu msßñhd rlskakg bÈßm;a jk úÈfya udkisl Yla;shlska hq;= nj ;uhs l¾k,a .vd*s thska wjOdrKh lr ;sfnkak' fuhska woyia lrkafk msßñhl=g lsisjla ord .kak nE lshk tl fkdfõ' iudcdkqfhdackfhaoS ldka;djlg ta Yla;sh jeämqr oS ;sfnkjd' kuq;a iuyrekaf.a u;h jkafk mqxÑ foag;a .eyekqka l÷¿ i,kafk ord .ekSug ;sfnk fkdyelshdj yskao lsh,hs' kuq;a fïl jerÈ u;hla' l÷¿ i,kafka ÿlg' tu.ska ;ukaf.a ÿl mylr .ekSug iudcdkqfhdackfha§ Tjqkag wjia:dj ,eî ;sfnkjd' kuq;a ÿlg l÷¿ i,ñka jqj;a ish¨ fõokd ordf.k' ´kEu foalg uqyqK fokak ldka;djlg ;sfnk udkisl Yla;sh fndfyda by<hs'

EAR WAX QUESTIONED

lfka ;sfnk l<d÷re .ek Tn fkdo;a foa

;jÿrg;a lk wNHka;rhg hdugo fuh fya;= jkjd' fï ksid lk ßoSu" wdidokhg ,laùu jeks wka;rdhlrS m%;sM< we;súh yelshs'

l<d÷re ksmofjkafka lfkys ljr fldgiskao @ lfkys wNHka;rfha wjidk ;=fkka foll md¾Yajh l=yrhla jYfhka ;sfí' fï l=yrfha we;s úfYAI .%kaÓhlska l<d÷re ksIAmdokh jkafkah'

l<d÷re bj;a lrk wdydr iemSï l%shdj,sh

lfka ;sfnk l<d÷re .ek Tn fkdo;a foa wdydr iemSfï l%shdj,sh ksid lfka l<d÷re bfíu bj;a jk nj Tn okakjdo @ l<d÷re lfkys iqjfi; uekúka wdrlaId lsÍug WmldÍ fjhs' l<d÷re we;s úg ¥ú,a," l=Kq iy l=vd i;=ka lfkys ishqï fldgia fj; m%fõY ùu j<lajhs' tfiau lk wdidokhg ,laùfï bvlvo fuhska je<fla'

lfkys l<d÷re bj;a lsÍug fldÜka nâia we;=,a lsÍfï wjodku ljrdldro @ ;shqKq WmlrK" fldÜka nâia wdosh lkg m%fõY lsÍfuka lfkys we;s ishqï wiaÓhla jk lka fnrh ydkshg ,la fjkjd' lfkys l<d÷re 18

l<d÷re bj;a ùu iajhxl%Shj isÿjk l%shdj ks;ru mdfya isÿ lrhs' ta wdydr iemSfï l%shdjhs' fï wdydr iemSu ksid lk wNHka;rfha we;s mrK l<d÷re msg;g meñfKhs' bkamiq tajd úh<s Ndjhg m;aù wm;a fkdoekSu lfkka bj;afõ' lfka l<d÷re bj;aùu wfma wdhdifhka lrk ueosy;aùula wjYH fkdjk l%shdj,shls'

ffjoHjrhd - udisl ffjoH iÕrdj

RELIEF FOR STIFF NECK

fn,a, weueÜá fj,do @

fn,a, weueÜá fj,do @ ;;amr oyfhka th iqj lr.kak mq¿jka''' my; ùäfhdaj n,kak''' fn,a, weueÜá fjk tl wm ld w;r;a iq,n w;aoelSula' fkdfhla fya;= ksid fn,a, yrjkak neßj wiSñ; fõokdjlska Tn;a mSvd ú|skak mq¿jka' ksod.ekSfïoS we;sjk wjNdú;djka" wêl wd;;sh" oeä iS;, wdoS úúO fya;= ksid fn,a, weueÜá fjkjd' ljr fya;=jla ksid fn,a, weueÜá jQK;a fuhska we;sjk fõokdfjka" wmyiq;djfhka ñfokak" n,kak my; l%shdldrlu Tn;a Tfí ióm;ufhl=f.a Woõfjka lrkak' thska ,efnk úYañ; iykh w;aú|skak'

https://goo.gl/GX2dIk 2016 wfma%,a l<dmh

RESPIRATORY DISEASE SURVEILLANCE

ksis f,i md,kh lr.kafka kï weÿug ìh úh hq;= kE'''

ksis f,i md,kh lr.kafka kï weÿug ìh úh hq;= kE''' Yajik frda. úfYaI{ ffjoH tYdka;a fmf¾rd

f,dalh mqrdu Èfkka Èk by< hk fnda fkdjk frda. .Khg wh;a tla frda.hla jkafka weÿuhs' Yajik ud¾.fha wdidokhla ksid yg .kakd weÿu ksÜgdjg iqj l< fkdyels uq;a ukdj m%;sldr .ekSu ;=<ska md,kh lr .; yelsh'

ffjoHjrhd - udisl ffjoH iÕrdj

weÿu frda.h fyd¢ka md,kh ùug kï th uq,a ld,fha§u y÷kd f.k m%;sldr wdrïN l< hq;=fõ' fuu frda.fha § isÿjkafka l=ula fyda fya;=jla u; we;sjk wid;añl;djhla ksid Yajdikd,sldj, we;=¨ ì;a;s m%Þyh ùfuka tu ud¾. mgq ù jd;h .uka lsÍug wmyiq ;;a;ajhla we;s ùuhs' fuh iq¿fjka wdrïN ù th fkd;ld yer ys£u ksid l%u l%ufhka ;Sõr ,laIK u;= ùuh' ;;a;ajh ;on, f,i W;aikak jqjfyd;a urKh mjd w;a lr §ug ;rï fï frda.h n,j;a nj jgyd .; hq;= fõ' weÿu frda.h i|yd ±ka kùk;u T!IO ;sfí' uqLh u.ska ,nd .kakd T!IOj,g jvd Rcqju fmky¨j,g bkafya,¾ u.ska ,nd fok T!IO frda.h iukh lsÍu jvd fõ.j;a lrjhs' kuq;a weÿu ys;=uf;a m%;sldr .; hq;= frda. hla fkdfõ' fuh Yajikh iïnkaO frda. hla neúka l%uj;aj m%;sldr .ksñka md,kh lr .; hq;=h' fya;=j weÿu ´kEu fudfyd;l udrdka;sl ;;a;ajhg meñŒug wjldY ;sfnk ksidh' tksid weÿu frda.fha uQ,sl ,laIK u;=jk úgu th y÷kd.ekSu w;HjYHh' weÿu uQ,sl ,laIK tu uQ,sl ,laIK w;ßka m%Odk;u ,laIK lsysmhla fufia ±laúh yelsh' • jßkajr we;sjk yqiau .ekSfï wmyiqj • mmqfõ rdxrEx Yíohla ±kSu • leiai • mmqfõ ;o .;shla ±kSu • fujeks ,laIKhka ksid rd;%sfha § kskafoka wjÈ ùu weÿu frda. ,laIK u;=ùug fukau th W;aikak lsÍug n,mdk fya;= • fiïm%;sYHdj jeks Yajik frda. mej;Su • u,aj, mrd. 2016 wfma%,a l<dmh

• iuyr È,Sr j¾. • ÿu • ¥ú,s uelald • nQ,a iys; mq¿ka msrjQ fi,a,ï nvq • lerfmd;a;kaf.a u< • ñh.sh lerfmd;a;kaf.a fldgia • iuyr iqj| ldrl j¾. • iuyr T!IO j¾. • iqr;,a i;=kaf.a f,dï kuq;a úfYaIfhka lsjhq;a;la ;sfí' iEu weÿu frda.shl=gu by; lS foaj,a ish,a,u w.=K jkafka ke;' tla whl=g weÿu frda.h we;s lrjk fya;=ldrlhla ;j;a flfkl=g weÿu yg .ekSug lsisfia;a n, fkdmdkq we;' ksoiqkla f,i hï weÿu frda.shl=g iqr;,a i;=kaf.a f,dï wid;añl úh yels jqj;a iqr;,a i;=ka ksid tjeks lsisÿ n,mEula we;s fkdjk wh nyq,j isá;s' l< hq;= jkafka ;udg weÿu frda. ;;a;ajh biau;= jk fyda jeä lrjk idOl y÷kd f.k thska je<lS ys£uh' 21

EARLY PUBERTY

oeka ldf,a we;eï oeßúhka wvq jhiska jeäúh m;a jkafka wehs @

Early Puberty: Causes and Consequences

oeka ldf,a we;eï oeßúhka wvq jhiska jeäúh m;a jkafka wehs @ kùk iudcfha wm mßyrkh lrk fndfyda øjH wm fkdoeKqj;auju wfma ,sx.sl fydafudak j, meje;au fjkia lrkjd

fï ldf, iudch uqyqKmdk tla;rd fmdÿ m%Yakhla ;sfhkjd' oeßhka wvq jhiska jeäúh m;a ùu' wjqreÿ oyhla j;a fjkak l,ska" fï ixisoaê .ek yßhdldr wjfndaOhla j;a tkak l,ska iuyr úg wjqreÿ yf;aos" wfÜos ;ukaf. orejd jeäúh m;a jqKdu uõmshka úYd, .eg¿jlg uqyqK mdkjd' uõmshka ú;rla fkdfjhs" fï .eg¿j .ek ffjoH m¾fhaIlhkao jo fjkjd' fufyu fjkafk wehs @ fï ixisoaêh wef.a fi!LHhg n,mdkafk fldfyduo @ fuh l,a oeñh fkdyels ;;a;ajhlao @ fï úosyg úoaj;=ka fï m%Yakh .ek .eUqßka idlÉPd lrkjd' fõ,dikska jeäúh m;aùu iïnkaOfhka ld,Sk m¾fhaIK weiqf¾ fï ,smsh ilia flfrkjd' kshñ; ld,h t<öug fmr jeäúh m;aùu ffjoH úoHd;aulj

ffjoHjrhd - udisl ffjoH iÕrdj

y÷kajkafka Precocious puberty hkqfjka' wvq jhiska jeäúh m;aùu .ek l;d lrkafk jeäúh m;afjk kshñ; jhila ;sfhk ksidfk' 19 jk Y;j¾IfhaoS idudkHfhka oeßúhlf.a jeäúh m;afjk jhi wjqreÿ 15 wdikakfha foda,kh jqKd' ful, idudkHfhka wjqreÿ 12 jgd fï jeäúh m;aùfï jhi foda,kh fjkjd' jhi wjqreÿ oyh bl=;a ù jeäúh m;aùu iajdNdúlhs' ta;a .eg¿j ;sfhkafka wjq' oyhg;a l,ska jeäúh m;aùu' jeäúh m;afjkak l,ska YÍrfha fjkialï isÿ fjkjd' mshhqre wdY%s;j we;sjk fjkialï (breast budding)" ryi`. wi, frdau jefjkakg mgka .ekSu''' (Premature pubarche) fï mQ¾j ksñ;s we;s fjkafk jeäúh m;aùu wdikakfhaoS' fï ,laIK my< fjkúg th jeäúh m;aùfï wdikak wjêhla f,i ie<flkjd' 2016 wfma%,a l<dmh

19 jk Y;j¾IfhaoS idudkHfhka oeßúhlf.a jeäúh m;afjk jhi wjqreÿ 15 wdikakfha foda,kh jqKd' ful, idudkHfhka wjqreÿ 12 jgd fï jeäúh m;aùfï jhi foda,kh fjkjd' jhi wjqreÿ oyh bl=;a ù jeäúh m;aùu iajdNdúlhs' ta;a .eg¿j ;sfhkafka wjq' oyhg;a l,ska jeäúh m;aùu'

fï ld,fha wjq' 7" 8 yd 9 jf.a ld, j,oS oeßhka fï oaú;Shsl ,sx.sl ,laIK my< lsÍu iq,nhs' Pediatrics kue;s ffjoH i`.rdj fï iïnkaOfhka iuld,Sk f,dal ;;a;ajh fmkajd fokjd' iqÿ iula iys; orejka ishhg 7-10la" wdishdkq iïNjhla iys; orejka ishhg 2la iy ysiameksla iïNjhla iys; orejka ishhg 15la fï wvq jhiska jeäúh m;aùu kue;s w;aoelSu ,nkjd' fï ffjoH i`.rdjg wkQj wdishdkq orejka w;r wvq jhiska jeäúh m;aùu ;rula idfmalaIj wvqhs' ta;a wm iudchla f,i ,nk w;aoelSï wkQj lshkak mq¿jka" ,dxlsl iudcfha;a fï .eg¿j úYd, jYfhka ;sfnkjd' fõ,dikska jeäúh m;aùfuka oeßhl .eg¿ rdYshlg uqyqK mdkjd' tajd udkisl yd p¾hd;aul jYfhka uQ,sl jYfhka fojeoEreïj j¾.SlrKh k< yelshs' • wd;au úYajdih m¿ÿ ùu • wd;;sl iajNdjh • fmdaIK .eg¿ • lkHdNdjh wjodkug ,laùu fï w;=ßka .eg¿ lsysmhla' 23

EARLY PUBERTY

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l,afõ,d we;sj jeäúh m;aùug bjy,a jk lreKq fõ,dikska jeäúh m;aùug mdol jk lreKq iïnkaOfhka meyeos,s lsÍï /ila ;sfnkjd' kuq;a ta ish,a, w;ßka tla m%n, fya;=jla u;= fjkjd' ta ;uhs Biag%cka kue;s ldka;djlf.a ffcj l%shdj,ska yd ine|S m%uqL fydafudakh flfryS n,mEï lrk ridhKsl j, l%shdldß;ajh' fï wjl,al%shdfõ tfyu;a ke;akï iajdNdúl ,sx.sl fydafudakj,g n,y;aldrlï lsÍfï fhfok ridhksl øjH ful, úoHdfj oshqKqj;a iu. fnfyúka iq,nhs' wm iam¾Y lrk iEu biõjlu fï ridhk wmg iam¾Y fjkjd' wm lk fndk fndfyda wdydr-mdk tlal fï ridhk YÍr.; fjkjd' fïjd wmf.a ffcj l%shdj,ska Wvq hál=re lsÍug fya;= jk nj wo úoHd{hka m%n,j úYajdi lrkjd' l,d;=rlska wjia:djloS fud<fha we;sjk f.ä" Y,Hl¾uhla fud<fha isÿ lsÍu wdoS fya;=ka ksido wvq jhiska jeäúh m;a fjkjd' we;af;kau fujd ffjoHuh fya;=' tajd myiqfjka ffjoHjreka yg y÷kd.; yelshs'

iajdNdúl ,sx.sl fydafudak j,g n,mEï lrk ridhk fudkjdo @ Bisphenol A (BPA), fuf,i y÷kd.;a wfma iajdNdúl fydafudak l%shdldß;ajh fjkia lrk iq,n mdßißl ¥Ilhla' ma,diaála" áka" oka; ms/jqï wdosfha BPA ;sfnkjd' iqm¾ ud¾lÜ tflka nvqjla .;a;u ksl=;a lrk hdka;%sl ,ÿmf;a ;ska; j,;a BPA ;sfhkjd' fuh l%shdldß;ajfhka Biag%cka fydafudakhg iudkhs' fï ridhkhla YÍr.; jqKdu th Biag%cka fydafudakh jf.au l%shd lrkak mgka .kakjd' tfyhska th synthetic estrogen tlla jYfhkao y÷kajkjd'

tla;rd m¾fhaIKhlska y÷kdf.k ;sfnkjd ful, w¿;ska Wmosk orejkaf.a fmlKsfha reêrh mÍlaId lrk úg ishhg 90la fokdf. reêrfha fï BPA ;sfnkjd' fï f,daflg w¿f;ka ìysfjk fldgu jqK;a fï úosyg ;uhs ukqIHhka mdßißl ¥IKhg ,la fjkafk' Washington Post mqj;am; olajk wkaoug w¿f;kau Wmosk oremeáfhla .;af;d;a Tyq fï BPA we;=¿j ridhk 230lska muK ¥IKhg ,la fjkjd' fï úosfya úYd, ridhksl l=Kq lkaolska w¿; Wmka orefjla" yefok orefjla ¥IKhg ,la jqKdu taflka fudk úosfya m%;sM< w;aú|skak fjhso lsh, ksYaph jYfhka lshkak fudk c.f;l=g j;a nE' fjfiiskau uõl=i ;=<oS fï fudk ridhkfhka jqK;a we;s jk n,mEu ;SrKd;aulhs' fï úosyg jeäúh m;afjk jhi tkak

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tkak wvq fjkak fï ridhKsl ¥IKh m%n, idOlhla jk nj kï meyeos,shs'

YrSr l%shdldß;ajh wjysr fjkjd' wvq jhfika jeäúh m;aùu fuys tla m%;sM<hla muKhs' ;j;a fndfyda wys;lr fjkialï fï ridhk ksid YÍrh ;=< n,.ekafjkjd'

BPA fujka tla ridhkhla muKhs' ;j;a fndfyda ridhk ;sfnkjd' fïjd w;ßka phthalates kï ridhkh .ek;a úoHd{hka jeä jYfhka l;dny lrkjd' ma,diaála j,g kuHYS,S;djh ,nd fokak fuh fhdod.kakjd' polyvinyl chloride (PVC) j, phthalates ;sfhkjd'fmr ieliQ wdydr wiqrk jeä yßhl phthalates ;sfhkjd' Ij¾ l¾Üka" äg¾ckaÜ" fi,a,ï nvq" rE iq/ l=ï ksmehqï" fka,a fmd,sIa" fyhd iafm%a" Ieïmq" f*%.arkaiia fï úosyg Tn wo ldf,a Ndú;hg .kak" wo ldf, jeäfhkau m%sh lrk fndfydauhla øjH j, fï úI phthalates ;sfnkjd' fïjd Tfí fydafudak l%shdldß;ajh fjkia lrkjd' fï ridhk;a fydafudak jf.a yeisfrkak .kakjd' thska ffcj l%shdj,ska uq,d fj,d iajdNdúl

fï wdldrhg ydkslr l%shdj,shl fhfok ;j;a ridhk folla fï jk úg y÷kdf.k ;sfnkjd' PCBs and DDE fï ridhk øjH DDT úfhdackfha w;=re m%;sM<hla úosyg mßirhg uqod yefrkjd' fïjd ksielfhkau wmf.a ,sx.sl fydafudak w;ruka lr ffcj l%shdj,ska fjkia lsÍug fya;= jk nj m¾fhaIKd;aulj Tmamq ù yudrhs' fkdwef,k n÷ka (non-stick cookware) ksIamdokfhaoS fhdod.kakd Perfluorooctanoic acid (PFOA) wh;a jkafkao fï wk;=reodhl ridhk wka;¾.; ksIamdok ldKavhguh'

2016 wfma%,a l<dmh

fï ridhk Tfí ms<sld yd yDoh frda. we;s ùfï wjodkuo jeä lrkjd hï ridhkhla Tfí m%ckk j¾Okfha fõ.h fjkia lsÍug n,mEula we;s lrkafka kï tu ridhkhg fydafudak ixfõoS fjk;a j¾Ol ld¾hhka j,go n,mEï lrkakg yelshdj ;sfnkjd'

fõ,dikska jeäúh m;a ùu fõ,dikska m%lg lrkjd' tfy;a fï fydafudak wjysrl ksid we;sjk wfkl=;a fi!LHuh wjodkï tfia blauka jkafka kE' jir .Kkdjla áflka ál YÍrfha uq,a neif.k frda.hla u;=jk wjia:dj jk úg lsisjla lr.kak neß muKg wm wirK fjkjd'

EARLY PUBERTY

oeka ldf,a we;eï oeßúhka wvq jhiska jeäúh m;a jkafka wehs @

ksoiqkla jYfhka mshhqre ms<sld je<÷Kq frda.Ska w;=ßka ishhg 99lf.au paraben esters kï ridhkh ;sfnk nj m¾fhaIlhka lKavdhula fy<sorõ lrf.k ;sfnkjd' paraben esters j, YÍrh ;=< l%shdldß;ajh Biag%cka fydafudakfha l%shdldß;ajhg fnfyúka iudkhs' Biag%cka fydafudakh jeäúh m;aùug jf.au wfkl=;a ,sx.sl woshr j,g;a n,mdk fydafudakhla' tys isÿjk fjkialï mshhqre ms<sld iïnkaOfhkao fya;= úh yelshs' paraben esters iq,nj ;sfnk f.orfodr NdKAv lsysmhla my; oelafjkjd' • ä´vrkaÜ • wekaám¾iamsrkaÜ ^oyäh wjysrl& • Ieïmq iy lkaäIk¾ia • o;a fnfy;a • fldiafuálaia • T!IO • wdydr wdl,k

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

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úoHd{hka úiska uE; ld,fhaoS fï fõ,dikska jeäúh m;aùu fukau fydafudak wdY%s; ms<sldjka we;s lrjk ;j;a pQos;fhla y÷kd.kq ,enqjd' Tn uú;hg m;afõú" fï wkdjrKfhka' ta ;uhs f,day' mdßfNda.sl NdKav ish oyia .Kkdjla ksIamdokhg wfkal úO f,day j¾. fhdod.kakjd' lsßmsá áka tfla isg Tfí cSú;drlaIdjg ksIamdokh lrk tkakf;a mjd we;eï f,day ;sfnkjd' fï f,day YÍrfha ffi,Sh Biag%cka m%;s.%dyl j,g nef|kjd' tfia ffi,Sh uÜgfuka iïnkaO jk fï lD;%Su ridhk YÍrfha ffjoHjrhd - udisl ffjoH iÕrdj

fN!;fõoSh Biag%cka fia l%shdlrñka iajdNdúl fN!;fõoSh Biag%cka ;=<s;;djh úkdY lrkjd' Biag%cka fia l%shd lsÍug uQ,drïNh imhk f,day lsysmhla my; oelafjkjd' • we¿ñkshï • wekaáuks • wdfikhsÜ • fíßhï • leâñhï • fl%dañhï • fldafnda,aÜ • ;U • Bhï • riosh • ksl,a • áka • jekafâÜ

úoHd{hka úiska uE; ld,fhaoS fï fõ,dikska jeäúh m;aùu fukau fydafudak wdY%; s ms<l s djka we;s lrjk ;j;a pQo; s fhla y÷kd. kq ,enqjd' Tn uú;hg m;afõú" fï wkdjrKfhka' ta ;uhs f,day'

2016 wfma%,a l<dmh

ì%;dkHfha fi!LH wêldÍka iyfhda.S;djfhka isÿ l< m¾fhaIKhlg wkQj Tfí uq;%d j, muK blaujd BPA fYaI ;sfnkjd kï Tn yDoh.; frda. j,g k;= ùfï wjodku jeähs' l=i fyd;a ld,fha uj fï BPA j,g jeä jYfhka ksrdjrKh jqfKd;a wef.a l=i ;=< jefvk orejdf.a j¾Kfoay wdmodjg ,laúh yelshs' we;eï úg .íid isÿ ùug" ke;fyd;a cSú; ld,h uq¿,af,au jkaos f.jkakg isÿjk m%fõKsl wvq¨yq`vq;djhlg fuh fya;=jla fjkakg;a neß lula kE' fuys n,mEu orejkag;a ;sfnkjd' jeäysáhkag;a ;sfnkjd' wys;lr M<úmdl j,ska ñfokakg iuf;la kE' mqreIhkaf.a Y=l%dKQ w.h my; jeàu" oeßhka kï fõ,dikska jeäúh m;a ùu" orejkaf.a ia:k .%kaÓ wê W;af;ackhg ,laùu" m%ckl pl%h wvd, ùu" äïnfldaI l%shdldß;ajh ÿ¾j, ùu" ia:q,;djh" ms<sld wdoS frda. /ilg ful, wm jgd ksn| ixirkh jk NdKav j, we;s BPA fya;= fjkjd' fï fydafudak j, l%shdldß;ajh wkqlrKh lrk OQ,l ridhk ksid we;sjk fõ,dikska jeäúh m;aùu yereKq úg ;j;a fndfyda ydks .ek úia;rhla l<d' fõ,dikska jeäúh m;a ùu fõ,dikska m%lg lrkjd' tfy;a wfkl=;a fi!LHuh wjodkï tfia blauka jkafka kE' jir .Kkdjla áflka ál YÍrfha uq,a neif.k frda.hla u;=jk wjia:dj jk úg lsisjla lr.kak neß muKg wm wirK fjkjd'

iulh wdikakfha rgj, osßhka jeäúh m;a jkafka ;rula m%udo fj,d''' wefußldfõ ñÑ.ka iriúfha m¾fhaIlhka msßila úiska wmQre wkdjrKhla isÿ lrKQ ,enqjd' fï m¾fhaIKhg wkQj O%ej wdikakfha orejka jeä úh m;a fjk ld,hg jvd iulh wdikakfha fjfik orejka jeäúh m;a ùug wjqreÿ folla muK jeäfhka .; lrkjd' iulh wdikakfhao orejka ysre odyhg iq,nj 27

EARLY PUBERTY

oeka ldf,a we;eï oeßúhka wvq jhiska jeäúh m;a jkafka wehs @

,la fjkjd' WoEik ysre rYañfha úgñka ã ;sfnkjd' fï ã úgñk jeäúh m;aùu iqÿiq jhfiaoSu isÿ lsÍug kshduk ld¾hhl ksr; fjkjd' Tn fõ,dikska jeäúh m;a jqfKd;a Biag%cka fydafudakhg fõ,dikskau ksrdjrKh fjkjd' th mshhqre ms<sldj we;=¿j we;eï ms<sld we;sùfï wjodku jeä lrk idOlhla' ta yereKq úg úgñka ã W!K;djho ms<sld j,g" yDoh frda. j,g w; jkk idOlhla f,i y÷kdf.k ;sfnkjd' Biag%cka ksIamdokh jkafka;a" ixÑ; jkafka;a mgl wdY%h lrf.khs' ia:q, ùu fï ksid Biag%cka ;=<s;;djh ì|fy<k idOlhla f,i y÷kdf.k ;sfnkjd' ta yereKq úg orejkaf.a wd;;sh;a l,afõ,d we;sj jeäúh m;aùug fya;=jla fjkjd' uõmshka fjkajQ mjq,a j, orejka blauKska jeä úh m;aùu wm olsk iudc idOlhla'

wjodkfuka ñfokakg l< hq;af;a l=ulao @ fï øjH iq,nj wm w;r .ejfikjd' k| wmg ydks f.k fokjd' fuhska ñfokak l< hq;af;a l=ulao @ tosfkod cSú;fha wm fi!LH iïmkak mqreÿ j,g wkq.; úh hq;= fjkjd' • iEu wjia:djlu keKj;aj wdydr f;dard. kak' fnfy;a .eiQ" lDñkdYl" j,a me<Eá kdYl fh¥ wdydr j,ska yels;dla wE;a jkak' ta fjkqjg fï jiúI fkdfh¥ wdydr j,g yqre fjkak' ldnksl fmdfydr fhdod j.dl< wdydr iqÿiqhs' ;ukaf.a f.j;af;a yels úosyg wdrlaIs;j wdydr ksIamdokhg W;aiql jkak' • fmr ieliQ wdydr" hdka;%slj ojgk j, fh¥ wdydr j,ska wE;ajkak' • Tfí wdydr" mdk j¾. ma,diaála fnda;,a j, wiqrkak tmd' ùÿre fyda ueá n÷ka wdoS 28

úl,am j,g fhduq jkak' • fkdwef,k n÷ka mßyrkfhka wE;a fjkak' • msßisÿldrl" fYdaOl f.orfodr tosfkod msßisÿ lsÍï j,g fhdod. kakjd fjkqjg wfma iïm%odhsl msßisÿldrl j,g fhduq fjkak' • Ieïmq" gQ;afmaiaÜ" oyäh wjysrl" fldiafuála w¿;a ;df,a ksIamdok j,ska wE;a fjkak' ta fjkqjg merKs mdrïmßl ksIamdok j,g fhduq fjkak' • f*%Iak¾ia" *%eíßla fid*aÜk¾ia" iq.kaOldrl Ndú;fhka j<lskak' kùk mkakfha fï yeu ksIamdokhlgu bmerKs wdfoaYlhla fidhd.ekSu wmyiq ldrKhla fkdfõ' • ksfji yeoSfïoS weianeiafgdaia" Bhï iq,n fmakaÜ fukau úks,a ksIamdok j,ska yels muK wE;aj yß; ñ;=re f.dvke.s,s ksIamdok j,g fhduq fjkak'

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f,ai¾ ;=jlal= yd f,ai¾ Odrd t,a, jk lsisu fi,a,ï nvqjla orejkag fokak tmd'''

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f,ai¾ ;=jlal= yd f,ai¾ Odrd t,a, jk lsisu fi,a,ï nvqjla orejkag fokak tmd''' tajd weia úkdY lrkjd'''

orejka i;=gg m;a lrjkak jf.au Tjqkaf.a Ñka;k Yla;sh" ks¾udKd;aul yelshdj jvjkak;a fi,a,ï nvq WmldÍ fjkjd' wkdosu;a ld,hl isgu fi,a,ï nvq ksIamdolhka fï .ek fjfiiskau ie<ls<su;a jqKd' ta;a oeka tk we;eï fi,a,ï nvq fï wruqfKka iïmQ¾Kfhkau neyerj ;sîu wjdikdjla' fï yhla y;rla fkdf;afrk orejka úkdYhg m;a lrjk fi,a,ï nvqjla .ek weia wrjk l;djla' fï rEmfha bkafk 14 yeúßos orefjla' lsisÿ ÿlla wka;rdjla ke;sj i;=áka yeä oeä jqKq fï orejf. weia yosisfhau ÿ¾j, jqKd' weia j, fmkSu wvq jqKd' uõmshka orejd wlaIs ffjoHjrfhl=g fmkajQjd' wlaIs ffjoHjrhd orejd fyd|ska mÍlaId l<d' fï ;sfhkafk mÍlaIKfhka ,nd.;a orejdf.a wlaIs wNHka;rfha m%;sìïn' fï igyka j,g wkQj orejdf.a wefia fmkSu ishhg 75lskau ÿ¾j, fj,d' fmfkkafk ishhg 25hs' f,ai¾ j,g ms<siais,d lsh,hs ffjoHjreka lshkafk'

2016 wfma%,a l<dmh

wefiys uelshq,dj lshk b;du ixfõoS fldgi ms<siais,d' lkakdä oeófuka ;shd Y,Hl¾uhla l<;a fufyu jqKdu kej; fmkSu ,nd.kak neye' ;j;a fohla' orejf.a oDIAÀfha ydkshg m;afj,d ;sfhkafka uOH.; fmKqu' th ;uhs ßh meoùfïoS wjYH fjkafk' hula mÍlaIdldÍj ne,SfïoS wjYH jkafka;a uOH.; fmKqu' tl t,a,fha hula foi ne,Sug wjYH jkafka;a uOH.; fmKQu' fï úosfya ishqï fmKqula i|yd wjYH fjk oDIAÀ mßph fï orejdf.ka ke;s fjkak fya;=j fudllao okakjdo @ f,ai¾ Odrdjka ksl=;a lrk fi,a,ï nvq osYd.; lsÍu ksid weig isÿ jqKQ ydksh' wo f,ai¾ Odrd ksl=;a lrk fi,a,ï nvq úYd, jYfhka orejka w;r .ejfikjd' fïjd wei jeks isref¾ ixfõoS ia:dk j,g orejka t,a, lr.kafk fkdf;areï lughs' ta;a thska úYd, ydkshla orejdg isÿ fjkak mq¿jka' fï ksid Tfí ksfjfia;a fujka fi,a,ï nvq ;sfnkjd kï tajd orejdf.ka wE;a lrkak' th orejd fjkqfjka Tng l< yels fyd|u mß;Hd.hhs' 29

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fyhd vhs j, ms<sldldrl ridhk mkaodyla muK ;sfnkjd'''

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fyhd vhs

kafv iqÿ lr.kak zzfyhd vhsZZ .dk isß; wo .eyekq msßñ ld w;r;a iq,nhs' iEu ldka;djka ;=ka fofklaf.ka tla wfhlau fyhd vhs wdf,am lr.kakjd' iEu msßñka oy fofklaf.ka tla wfhlau fyhd vhs wdf,am lr.kakjd'

fld

fï fyhd vhs iïnkaOfhka óg ld,hl isgu t;rï fyd| u;hka m¾fhaIlhka w;ska bosßm;a jqfKa kE' úfYaIfhkau fyhd vhs m%n, wdid;añl;dldrlhla jYfhka m%isoaOhs' ffjoHjrhd - udisl ffjoH iÕrdj

wfma rfÜ b;d wdorKSh .dhsldjl ;u úfoaY ixpdrhloS wdf,am l< fyhd vhs j¾.hla ksid wehg cSú;fhka jkaos f.jkak jqKq wdldrh wehg wdorh l< rfÜ ck;dj m%lïmkhg m;a lrjkjd'

wfma rfÜ b;d wdorKSh .dhsldjl ;u úfoaY ixpdrhloS wdf,am l< fyhd vhs j¾.hla ksid wehg cSú;fhka jkaos f.jkak jqKq wdldrh wehg wdorh l< rfÜ ck;dj m%lïmkhg m;a lrjkjd' fyhd vhs iïnkaOfhka ;j;a we`. ls,sfmd,d hk fidhd.ekSula ;j;a m¾fhaIlhka msßila wkdjrKh lrkjd' ,Sâia k.rfha Green 2016 wfma%,a l<dmh

Chemicals kï iud. ul m¾fhaIlhka lKavdhula lshk úosyg fï Green Chemicals j, ms<sldldrl ridhk j¾. mkaoyila muK ;sfnkjd' fï wh ;j;a jeo.;a wkdjrKhla lrkjd' fï Hair Dye j, oaú;Shsl weók kï ixfhda.hla ;sfnkjd' fyhd vhs wdf,am l<du fï weókh osk" i;s" udi fkdfjhs wjqreÿ .Kkdjla ysfia ;sfnkjd' iu yryd we;=<g;a hkjd' fï weók wfma iudcfha iq,nj ;sfnk is.rÜ ÿu yd m%;sl%shd fjkjd' thska N-nitrosamine kue;s b;d úIckl ridhkhla ksmojkjd' th oeä wdid;añl;djhka we;s lrkjd' rEm ,djKHd.dr j, ;sfnk ñ, wêl fyhd vhs j,ska jqK;a mx.= fmarejla fkdue;sj fï OQ,l m%;sl%shdj isÿ fjkak mq¿jka lsh, fï m¾fhaIlhka jeä ÿrg;a m%ldY lr isákjd'

INFERTILITY

ore iïm;a ie,fik fya;= lsysmhla'''

keyefka˜ lshk yeÕSu ldka;djg udkisl mSvdjla njg m;a fjkjd' tA jf.au —ug orefjla fkd,efnhso okafk kE˜ lshk ìh ksid;a udkisl mSvkh yg .kakjd' fï udkisl mSvkh ksid YÍrfha fldaáfida,a" weä%k,ska" tkafvd*ska jeks fydafudak jeämqr >%djh ùu ;=<ska ms<sis| .ekSug ndOd we;s fjkjd'

lsisÿ m%;sldrhla ke;sj;a ld,hlg miq oreM, we;súh yelshs ore iïm;a ie,fik fya;= lsysmhla''' m%ij yd kdßfõo úfYaI{ ffjoH wd¾ tka Ô rdcmlaI újdy ù jir .Kkla hk ;=re;a uõ moúh ,nkak fkdyels jk iuyr ldka;djka ysá yeáfhau lsisÿ m%;sldrhla fkdlru .¾NŒ ;;a;ajhg m;ajk wjia:djka .ek fkdfhla úg wmg wikakg ,efnkjd' fufyu fjkafk fldfyduo lshk tl iuyrekag m%Yakhla jqK;a fïlg fya;= lSmhla ;sfnkjd' tfukau fï wjia:djka wiajdNdúl fya;= tfyu;a fkdfjhs' /lshdj ksid fofokdg fjkaj Ôj;a jkakg isÿ ùu fuu fya;=j ksid wUq ieñhkag ks;r tl;= ùfï wjia:dj wysñj hkjd' Tjqka tl;= jk Èk fndfyda úg ìß|f.a ire ld,h fkdúh yelshs' túg orejl= ms<sis£fï wjia:dj u. yeÍ hkjd' fufia È.= ld,hla fjka fjkaj jdih l< fofokl= kej; jir .Kklg miq ia:dk udreùï ,nd tlg jdih lsÍu wdrïN l< miq orejl= ms<sis¢h yelshs' udkisl mSvkh orejl= ms<sn|j leue;af;ka miqjk ld,fha§ ms<sis| .ekSula isÿ fkdjqfKd;a —ug orefjla 32

tA jf.au udkisl mSvkh we;s úg fud<fha yhsfmd;e,uih kï fldgi yryd we;s jk n,mEu u; o äïn msg fkdù ;sìh yelshs' fï wkqj udkisl mSvkh ÿre jk úúO foaj,a flfrys fhduq ùu ;=<ska fï whg tu ndOdjka ke;s ù orejl= ms<sis| .eksu isÿ fjkjd' m%ckk moaO;sfhys frda. tkafvdfuá%fhdaisia frda.h iy fY%daKsfha wdidok ;;a;ajhla jk mS'whs'ã' frda.h hk frda. fol ksid

ffjoHjrhd - udisl ffjoH iÕrdj

È.= ld,hla fjka fjkaj jdih l< fofokl= kej; jir .Kklg miq ia:dk udreùï ,nd tlg jdih lsÍu wdrïN l< miq orejl= ms<sis¢h yelshs'

2016 wfma%,a l<dmh

INFERTILITY

ore iïm;a ie,fik fya;= lsysmhla'''

mef,damSh kd, Worfha ì;a;sfha we,S ;sìh yelshs' túg mef,damSh kd, ksoyfia p,kh ùu isÿ fkdjk ksid äïnfldaIfhka msg jk äïn wiq,d .ekSfï yelshdj ke;s ù hkjd' fï fya;=j;a ldka;djlg orejl= ms<sis| .ekSu m%udo ùug n,mdkjd' kuq;a äïnfldaIfhka msg jk äïn Worh ;=<g jeà Worh ;=< ksoyfia ießird fujeks we¨Kq mef,damSh kd,hla ;=<g we;=,a ùfï wjldYh l,d;=rlska mj;skjd' túg Y=l%dKqjla yd ixfiapkhla isÿ jqfKd;a orejl= ms<sis| .kakjd' ld,hla orejl= ke;sj ys| ysá yeáfha ms<sis| .ekSula we;s ùug fuho tl fya;=jla' fuysÈ orejd idudkH mßoafokau j¾Okh jk njo lsj hq;=hs'

udkisl mSvkh ÿre jk úúO foaj,a flfrys fhduq ùu ;=<ska fï whg tu ndOdjka ke;s ù orejl= ms<sis| .eksu isÿ fjkjd'

ieñhdf.a Ôjk rgdj fjkia ùu wêl f,i fjfyiSu" ks;r ;og hg we÷ï we| isàu" ÿïmdkhg weíneys ùu jeks fya;= u; msßñkaf.a Y=l%dKq m%;sY;h wvq úh yelshs' túg;a ldka;djg orejl= ms<sis£ug ndOd we;sfjkjd' fï ;;a;ajhkaf.ka ñ§ ieñhd ieye,a¨ ðjk rgdjlg yqre ùu ;=<ska Y=l%dkq m%;sY;h jeä úh yelshs' uq,§ orejl= fkd,eî miqj ms<sis| .ekSula we;s jkakg fuho tla fya;=jla' újdyh mrK jk úg wUq ieñ in|;d wvq ù hdu fuh ´kEu hqj<la w;r iajNdúlj isÿjk ;;a;ajhla' tA wkqj uq,a ld,fha§ ks;r ks;r

tla jqK;a miqj tla ùu wvq jk ksid uq,a ld,fha orejl= ms<sis| fkd.;af;d;a miqj th isÿùu j<lskakg neßlula kE' kuq;a tfia b|ysg jk tlaùu jqj;a ldka;djf.a ire ld,fha§ isÿ jqfKd;a ore .enla yg .; yelshs' oreM, ke;s ùug wÞ< mÍlaIKj,ska miqj l,d;=rlska .eí .ekSu fuu mÍlaIK w;r ;sfnk ,emfrdiafldms iy tÉ' iS' Ô' hk tAjdfhys § vhs j¾. .¾NdIhg heùu ;=<ska tu ud¾.fha we;s wjysr;d bj;a lsÍu isÿ fjkjd' iuyrekag tfia lsÍfuka miq fjk m%;sldrhla fkdlru ore ms<sis£ula yg .kakjd' újdy ù jir .Kkla blau .sh;a oreM, fkd,o ldka;djlg lsisÿ m%;sldrhla fkdlr ysá yeáfha ore ms<sis| .ekSula isÿ úh yels fya;= ;uhs fï'

ffjoHjrhd - udisl ffjoH iÕrdj

MAMMOGRAPHY

uefuda.%ms mÍlaIKhla isÿ lrk yeá

How to perform a mammography

uefuda.%ms mÍlaIKhla isÿ lrk yeá

uefuda.%ms hkq mshhqre wdY%s;j we;s frda. y÷kd.ekSug Wmfhda.S lr.kakd tlaia lsrK ;dlaIKhls' mshhqre wdY%s;j isÿ lrk iajhx mshhqre mÍlaIdj ldka;djka úiska udiam;d isÿ lrKQ ,nhs' ffjoHjrfhl= úiska idhksljo mshhqre mÍlaId lr tys we;s hï widudkH;djhla fjf;d;a tysoSo y÷kd.; yel' kuq;a w;g yiqùu uQ,sl lr.kakd fuu mÍlaIdfõoS fuka fkdj Bg fndfyda ld,hlg fmr mshhqre wdY%s;j ffi,Sh fjkialï isÿjk wjia:dfõoSu uefuda.%Eï mÍlaIKfhka mshhqre wdY%s;j we;sjk fjkialï y÷kd.ekSug wjia:djla ie,iSu fuu mÍlaIKfha we;s úfYAI;ajhhs' idudkHfhka ldKav foll ldka;djka Wfoid uefuda.%Eï mÍlaIKh isÿ lrKQ ,efí' Screening mammography mshhqre wdY%s;j frda.S ;;a;ajhla fkdue;sj wdrlaIl Wml%uhla jYfhka uefuda.%ms mÍlaIKhg Ndckh lsÍu fuysoS isÿfõ' idudkHfhka iajhx mshhqre mÍlaIKhla udihlg jrla isÿ lr.ekSu iEu ldka;djlgu ks¾foaY flfrhs' ta yereKQ úg jd¾Islj fï ldka;djka ffjoHjrfhl=" 2016 wfma%,a l<dmh

MAMMOGRAPHY

fi!LH fiajd imhkafkl= fj;ska ;u mshhqre mÍlaIdjla isÿ lr .ekSuo fuys wx.hls' wjq' 40 blaujQ ldka;djkag fok ,o ld, wka;rhla ;=< wdrlaIdj msKsi fuu mÍlaIKhg Ndckh ùug Wmfoia fokq ,efí' fuu mÍlaIKfhaoS mshhqre hq.,fhys m%;sìïn fol ne.ska ,nd.ekSu idudkHfhka isÿ lrKQ ,efí' Diagnostic mammography fuysoS mÍlaIKhg Ndckh lrkafka mshhqre wdY%s;j hï meñKs,s ;sfnk ldka;djkah' mshhqre mÍlaIK l%shdj,shkaysoS iel iys; ksÍlaIK j,g md;% jQ ldka;djka" mshhqre wdY%s; lelal=ula" fjkia hula w;g yiqùula" ;kmqvq j,ska >%djh .e,Sula wdoS jYfhka ljr fyda frda.S ;;a;ajhla m%lg lrk ldka;djka fuysoS mÍlaIKhg Ndckh flf¾' mshhqre ms<sldjla je<|Sfuka mshhqr fyda bka fldgila bj;a l< 36

uefuda.%ms mÍlaIKhla isÿ lrk yeá

ldka;djkaf.a mÍlaIKo fï hg;g .efka' fuysoS me;slv folg jeä m%;sìïn ixLHdjla .ekSu idudkHfhka isÿfõ' uefuda.%ms mrSlaIKhlg Ndckh úh hq;= ms<sfj, • óg fmr Tn uefuda.%ms mrslaIKhlg fyda fjk hï mshhqre wdY%s; mÍlaIKhlg nªka jqks kï thg wod,j Tn ika;lfha we;s ish¿u jd¾;d /f.k taug wu;l fkdlrkak' • Tfí bfkka Wv m%foaYh fï mÍlaIKfhaoS we÷ï bj;a lsÍug isÿfõ' thg iß,k fia idhla fyda í,õihla fyda fjkhï lE,s fofla we÷ulska ieriS mÍlaIKhg hkak' nridr wdNrK me<| hdfuka j<lskak' • mqhr" iq.kaOldrl ^fikaÜ&" l%Sï fï wdoS lsisjla fkd.,ajd hdu iqÿiqh' tajdhska uefuda.%ms mÍlaIKfha ;;a;ajh úYsIaG wdldrfhka mj;ajd .ekSug ndOd we;sfõ' • mshhqre jvd;au uDÿj we;s oskfhl mÍlaIKhg f;dard.; hq;=h' idudkHfhka Tima ùfuka i;shl wejEfuka mshhqre j, uqÿ .;sh wvqfõ' fï i|yd jvd;a WÑ; jkafka Tima ùug i;shlg fmr fyda Tima ùu isÿjk ld,hhs' uefuda.%ms mÍlaIKhl we;s úfYAI;ajh jkqfha ms<slduh ;;a;ajhla wef;d;a th b;d blauKska y÷kd.ekSug ,efnk wjia:djhs' fuysoS l,a we;sj kshñ; wdrlaIl mshjr .ekSug wjia:djla ,efnk ksid myiqfjkau m%;sldr lsÍugo Tnf.a cSú;h fírd.ekSugo yelshdj ,efí' uefuda.%Eï mÍlaIKhg Ndckh lrk wdldrh fï mÍlaIKhg Tnj Ndckh lrjkq ,nkafka úlsrK ;dlaIKfõoS ks,Odßkshl úisks' fuhska Tng wmyiq;djhlska f;drj mÍlaIKhg Ndckh ùug iqÿiq mßirhla Wodfõ' fuysoS Tng Wvqlh ksrdjrKh lsÍug isÿfõ' Tnj hka;%h mfil isg.kakg i,iajd jrlg tl ne.ska mshhqr wod, ia:dms;fha ;nkq ,efí' jvd;au wjYH m%;sìïn ,nd.; yels jk fia fï msysgqùu lrk w;r bkamiq fmv,hla u.ska mshhqr f;rmSulg ,la flf¾' fufia mshhqr ;,hla u; f;rmSulg ,la lsÍfuka ffjoHjrhd - udisl ffjoH iÕrdj

mshhqre mgl taldldrj;a isyska ia:rhla f,i;a m%;sìïn.; lsÍug yels fõ' tfiau taldldÍj ffi, me;sÍfuka úlsrK Odrdj mQ¾K Wmfhda.S;djhg ,lafõ' fï ish,af,kau wruqKQ lr.kafka jvd;a meyeos,s m%;sìïnhla ,nd.ekSuhs' úYd, fõokdjla we;s fõ hhs wksh; ìhla mshhqr f;rmSulg ,la jqKdg thska wmyiq;djhla ñi bis,sh fkdyels fõokdjla we;s fkdfõ' tfy;a we;eï ldka;djka fuhg m%;spdr olajkafka ;rula ÿIAlr wdldrhlgh' Tjqka fï fya;=j ksidu mÍlaIKh u.yßk wjia:d mjd ksÍlaIKh fõ' flfia jQj;a Mammopad hkqfjka ye|skafjk mshhqre f;rmSfï wmyiq;djhka wju lrfok fuj,ulao Ndú;fha ;sfí' Tnf.a uefuda.%ms mÍlaIKj,oS fuu Mammopad Ndú;h i|yd b,a,Sula lsÍug wu;r .dia;=jlg hg;aj Tng wjia:dj ;sfí' ful, ;dlaIKh oshqKQhs kshñ; ia:dms;fha Tnj ;eîfuka miqj úlsrK ;dlaIKfõosksh Tfnka kslau f.dia m%;sìïn ,nd.ekSfï ld¾hfha ksr; fjhs' ful, iq,nj we;af;a wxls; ;dlaIKfhka (Digital) l%shd;aul jk uefuda.%Eï hka;%hs' fï ksid ,nd.;a m%;sìïnh ta wjia:dfõoSu ;srfha osiafõ' th ÿ¾j, fyda wid¾:l m%;sìïnhla kï th ta wjia:dfõoSu ksjeros lsÍfï yelshdjo ,efí' idudkHfhka wxls; ;dlaIKh fhdod.ekSfïoS úkdä 5-10lska mÍlaIKhla wjika l< yel' wu;r m%;sïn ,nd.kakd wjia:d j,oS muKla ld,h ;rula jeäfhka ñvx.= fõ' fuu mÍlaIKfhka ,nd.;a m%;sìïn mÍlaId lrñka jd¾;dj imhkafka úlsrKfõoS úfYAI{jrfhl= úisks'

wdisß Y,H frdayf,ka uefuda.%Eï mÍlaIKhla isÿ lr.kakd Tng''' mshhqre mrSlaId lsrSfï uefuda.%ï ;dlaIKfha wiuiu mßmQ¾K mÍlaIdjla i|yd wdisß Y,H frday, fj; msh k.kak' iqmeyeos,s jvd;a iúia;rd;aul" jvd;a ksrjoH ;%sudK m%;sìïn Tiafia b;d uq,a wjia:dfõ mj;sk b;du l=vd ms<sld ffi,h mjd yiqlr. ekSug iu;a fgdafudaiska;isia ;dlaIKh fuysoS Tn Wfoid n,.ekafjhs' fï Wiia ;dlaIKh wdisß Y,H frdayf,a ia:dms; lrk ,oafoa osjhsfka m%:u j;djgh' fuu fgdafudaiskaf;aisia ;dlaIKh Ndú;d lsÍfï we;s iqúfYAIS jdis • idudkH uefuda.%Eï mÍlaIkhlg jvd fõ.j;ah" fõokdj wvqh" jvd;a ksjerosh' • ia:rfhka ia:rhg msßlaiñka ;%sudKrEmS m%;sìïn ,ndfok ksid ie`.j we;s ms<sld ffi, fjf;d;a tajdo yiqlr .kS' • fhdod.kakd úlsrK ud;%dj ;=fkka follau wvqh' ish¿u uefuda.%ms mÍlaIK wê úfNaok jev ksfla;khloS (High Resolution Work Station) úlsrKfõoS úfYaI{ ffjoHjßhl úiska mÍlaId lsÍfuka wk;=rej jd¾;d ,nd.ekSfï myiqlu wdisß Y,H frday,g meñfKk Tng ysñ fõ' úuiSï wdisß Y,H frday, mSt,aiS 21" lsßuKav, udj;" fld<U 5 ÿrl:k 0114 524 400 ^os.=j 1108$1118& *elaia 0114 516 608

37 2016 wfma%,a l<dmh

37 ffjoHjrhd - udisl ffjoH iÕrdj

THE REAL FACE OF THE SUGAR

iSks wkqNjfhka yels;dla wE;a fjuq'''

iSks j,ska jk ydksh;a ksfldáka j,ska jk ydksh;a tl jf.hs'''

iSks wkqNjfhka yels;dla wE;a fjuq''' Y%S ,xld oshjeähd ix.uh wk;=re y`.jhs' wfma rfÜ ck;djf.a iSks mdßfNdackh wk;=reodhl f,i jeä fjñka ;sfí' f,dal fi!LH ixúOdkh ks¾foaY lrk wdldrhg mqoa.,fhl=f.a ojilg .kakd iSks m%udKh ye|s mylg jvd wvq úh hq;=h' flfia fj;;a wfma fndfyda fokd ojilg iSks ye|s kjhla muK wkqNj lrk nj y÷kdf.k ;sfí' fï fndfyda fokd iSks wkqNj lrkafka jeä jYfhka f;a iy fldams iu.sks' meKs ri wdydr ks;r .ekSug yqre jQjkaf.a ffoksl iSks mdßfNdackh óg;a jvd by<h' wfma rfÜ oshjeähdj frda.Ska ixLHdj oeka ,laI y;,sylg wêlh' oshjeähdj hkq isref¾ iEu bkaøshlgu wys;lr f,i n,mj;ajk Nhdkl frda.hls' yDohdndO" wxYNd.h" mdo bj;a lrkakg isÿùu" wlaIs frda. yd jl=. vq frda. oshjeähdj ksid we;sjk ;j;a frda. iuyrls' f,dalfha iEu ;;amr yhlgu jrla flfkla oshjeähdfjka fuf,dj yer hkafkah' fjfiiskau ;reK ld,fhaoSu oeka oeka fndfyda fokd oshjeähdjg f.dÿre ùfï m%jK;djh olakg ,efí' fï ms<sn|j fjfiia wjOdkhla olajk zYS%s ,xld oshjeähd ix.uhZ oshjeähdj fï rfÜ ck;djf.a iSks Ndú;dj wvq lsÍfï cd;sl jevigykla flfryS iajlSh wjOdkh fhduq lr ;sfí' is.rÜ îfuka ms<sld" yDohdndO we;sjk njg jk rEml ksrEmk is.rÜ meleÜgqfõ fhoSu wfma rfÜ wksjd¾hh' ta wdldrfhkau iSks wkqNjfhkao fi!LH wjodkï /ila we;sjk nj oelaùfï 38

zrEml ksrEmk fhoSuZ iqÿiq hhs Y%S ,xld oshjeähd ix.uh rchg fhdackd lrhs' fkdjeïn¾ 14 oskg fhfok f,dal oshjeähd oskh yd iu.dój fï jir mqrd ck;djf.a iSks Ndú;h wju lsÍfï jevigyka n,.ekaùug Y%s ,xld oshjeähd ix.uh wfmalaId lrhs' osjhsfka m%uqL wjkay,a iyfhda.s;djfhka fï iSks j,ska ck;dj wE;a lsÍfï úfYaI jevigyka n,.ekaùugo Y%S ,xld oshjeähd ix.uh wfmalaId lrhs' iSks u.ska ñksia iqjfi;g jk ydksh ÿïjeá j, we;s ksfldáka ksid jk ydkshg iu jk nj úoaj;=ka fmkajd fok w;r thskau iSks fl;rï wE;a l< hq;= fohlao hkak meyeos,s fõ'

https://goo.gl/hCMxK2

ffjoHjrhd - udisl ffjoH iÕrdj

A PROUD PRESANTATION OF THE NUTRITION SOCIETY OF SRI LANKA

we;sj;a neß ke;sj;a neß fldf,iagfrda,a

Y%S ,xld fmdaIKfõoSkaf.a ix.uh u.ska bosßm;a lrk fmdaIK ,sms iuqÉph

we;sj;a neß ke;sj;a neß fldf,iagfrda,a keKj;a Ndú;dfjka frda. j,ska ñfokak mq¿jka''' Y%S ,xld jhU úYaj úoHd,hSh jHjydßl fmdaIK wOHhkdxYfha fmdaIKfõoskS l=i,d ÿ,dks osidkdhl

wo iudcfha fndfyda fofkla zzfldf,iagfrda,aZZ hk jpkhg mjd wiSñ; ìhla olajkjd' th tfiau úh hq;a;lao @ ienúkau fldf,iagfrda,a ljr wdldrfha l%shdldß;ajhla isrer úIfhys we;s lr;ao @ fï iïnkaOfhka we;s wfkal úO ñ;Hd u; neyer,d fldf,iagfrda,a iïnkaOfhka Tn oeKqj;a úh hq;= lreKq Tfí wjOdkhg ,la lsÍug fï ,smsfhka W;aidyhla .kq we;' fldf,iagfrda,a hkq l=ulao @ fldf,iagfrda,a hkq fláfhka oelajQjfyd;a fïo j¾.hls' wm .kakd wdydr j,ska yereKq úg YÍrh úiskao fldf,iagfrda,a ksmojkq ,efí' wm wdydrhg .kakd lsß" lsß ksIamdok" i;a;aj wdydr" l=l=,a uia yd wfkl=;a r;a meye;s uia j¾. j,ska iDcqju isrerg fldf,iagfrda,a ,efnk w;r wm wdydr msKsi .kakd ix;Dma; fïoh yd g%dkaia fïoh Wmfhda.S lrf.k wlaudfjkao ie<lsh hq;= fldf,iagfrda,a m%udKhla ksmofjkafkah' fldf,iagfrda,a iEu úgu krl fohlao @ fldf,iagfrda,a iEu úgu wys;lr l%shdj,shl fhfokafka ke;' wfma YÍrhg jeo.;a jk fydafudak ksIAmdokhg" ms;a hqI ksIamdokhg" ffi, j, msg; m%djrK ksmoùug wdoS jYfhka fldf,iagfrda,a j,ska isÿ flfrk ys;lr lD;H /ila fõ' fldf,iagfrda,a fkdue;s jQjd kï YÍrhg w;HjYH fï ld¾hhka isÿ lsÍu .eg¿jla jkafkah' .eg¿j we;af;a fï fldf,iagfrda,a iSudj blaujd YÍrfha ixÑ; ùuh' túg .eg¿ rdYshla meK k.S' fldf,iagfrda,a uÜgu ;sìh hq;= idudkH w.h blaujd hdu wêfldf,iagfrda,a;djh fyj;a Hypercholesterolemia f,i ksrela;s fjhs'

2016 wfma%,a l<dmh

A PROUD PRESANTATION OF THE NUTRITION SOCIETY OF SRI LANKA

we;sj;a neß ke;sj;a neß fldf,iagfrda,a

reêr.; fldf,iagfrda,a w.h ks¾Kh lrkafka flfiao @ Tfí f,a idïm,hla mÍlaId lsÍfuka" reêr uia;= ,smsv mÍlaIKhla isÿ lsÍfuka (Serum Lipid Profile) Tfí iuia; reêr fldf,iagfrda,a m%udKh fukau LDL fkdfyd;a Low Density Lipoprotein, HDL fkdfyd;a High Density Lipoprotein w.hka oek.; yelsh' tys iïu; idudkH w.hka my; j.=fjys oelafõ' fhda.H uÜgu

;rula jeä

wjodkï iy.;

fldf,iagfrda,a

200g wvq

200-239

240g jeä

LDL

60-130

130-159

160-189

HDL

35-49

35g wvq

g%hs.a,sirhsv

150g wvq

150-199

200- 499

LDL kñka ye|skafjk wys;lr fldf,iagfrda,a iy HDL kñka ye|skafjk ys;lr fldf,iagfrda,a hkqfjka fldf,iagfrda,a m%Odk jYfhka j¾. follg fnfohs' LDL uÜgu" g%hs.a,sirhsâ uÜgu jeä iy HDL uÜgu wvq mqoa.,hska yDohdndO" wekachskd" wd>d;" lsÍgl Ouks wjysr ùï jeks frda. j,g f.dÿre ùfï jeä m%jK;djhla olajhs' reêrfha wêl fldf,iagfrda,a uÜgula mej;Su ksid Atherosclerosis kñka ye|skafjk fïo ;ekam;a ùfuka Ysrd ì;a;s oeä ùfï ;;a;ajh ksid yDohdndO yd wxYNd.h jeks wd>d; ;;a;ajhla we;sùfï wjodkula mj;S'

ffjoHjrhd - udisl ffjoH iÕrdj

wêreêr fldf,iagfrda,a i|yd fhdod.kakd m%;sldr fudkjdo @ Tfí reêr fldf,iagfrda,a iy fyda g%hs.a,sirhsv w.hka by< uÜgul mj;akd nj y÷kd. kq ,enqjfyd;a m<uq woshr f,i wdydr u.ska yd úêu;a jHdhdu u.ska fuh md,kh lsÍug W;aiql jk w;r ffjoHjrhdf.a frda. úksYaphg wkQj T!IO kshu lrKq ,nhs' fndfyda úg uQ,sl wjia:dfõoS wdydr md,kh yd jHdhdu j,ska muKla ;;a;ajh md,kh lsÍug yelshdjla ,efnk w;r wjYH wjia:dj,oS T!IOo ,nd foñka fï ;;a;ajh md,khg ,la lsÍu isÿ flf¾' tla jrla fyda fldf,iagfrda,a w.h by< .sh úg th kej; idudkH ;;a;ajhg m;a l< yelso @ fi!LHiïmkak iun, wdydr rgdjla yd úêu;a jHdhdu ud,djla mj;ajdf.k hdu Tiafia f,i 2016 wfma%,a l<dmh

wdydr rgdj fjkia lsÍu yd jHdhdu u.ska wêl fldf,iagfrda,a ys;lr uÜgulg m;a lr.; yels fõ' reêrfha fldf,iagfrda,a$,smsv w.hka widudkH f,i by< hdug n,mdk lreKq fudkjdo @ • jhi • ia;%S $ mqreINdjh • mjqf,a frda. b;sydih • wúêu;a wdydr rgdj • jHdhdu u|lu • ÿï mdkh • ia:q,;djh • wêl u;ameka mdkhg yqreùu • oshjeähdj" wêl reêr mSvkh jeks fnda fkdjk frda. je<|S ;sîu wêreêr fldf,iagfrda,a iy wêreêr ,smsv md,kh i|yd wdydr f;dard .kafka flfiao @ wdydrhg .kakd fïo m%udKh iy tajdfha .=Kd;aulNdjh ms<sn|j ie<ls<su;a fjkak'

• Tn osklg mßfNdackh lrk Yla;s m%udKfhka (Total Calorie Energy) ishhg 23360la muKla fïofhka iukaú; jk mßos fïo f;dard .kak' • wdydrfha wvx.= ix;Dma; fïoh (Saturated Fatty Acid) yd g%dkaia fïoh u.ska YÍr.; fldf,iagfrda,a w.h" LDL w.h yd g%hs.a,sirhsv w.hka by< ouk w;r osklg ,nd.kakd uq¿ Yla;s m%udKfhka ix;Dma; fïofhka ,nd.kakd Yla;sh ishhg 7 g jvd wvqfjkq;a" g%dkaia fïoh ishhg 1 g jvd wvqfjkq;a ,efnk f,i wdydr f;dard.; hq;=h' • fï i|yd r;= meye;s uia j¾." .eUqre f;f,a nosk ,o wdydr j¾. yels ;dla wju l< hq;=h' tfukau l=lSia" l%el¾ia" flala j¾. yd f*%kaÉ *%hsia jeks u| jYfhka yhsv%ckSlrKh 41

A PROUD PRESANTATION OF THE NUTRITION SOCIETY OF SRI LANKA

we;sj;a neß ke;sj;a neß fldf,iagfrda,a

lrk ,o t<j¿ f;,a wvx.= wdydr j, g%dkaia fïoh wvx.= neúka tajdo iSud l< hq;=h' • Tfí ffoksl fïo Ndú;h by; olajk ,o m%udK j,g iSud l< hq;= fyhska yels ;rï .eUqre f;f,a nosk ,o wdydr flá lEu" ng¾" ud.ßka" Öia" uqojdmq lsß jeks wêl f;,a iys; wdydr iSud l< hq;=h' • wix;Dma; fïohka jk MUFA iy PUFA u.ska wys;lr fldf,iagfrda,a jk LDL uÜgu wvqlr ys;lr fldf,iagfrda,a jk HDL jeä lr.; yelsh' fï i|yd T,sõ f;,a" lefkda,d f;,a" fidahd f;,a" lcq" rglcq" rg fldÜgka wdoS Ydl wdydro" ieuka" uelr,a" l=ïn,djka" idäka iy yqre,a,ka jeks udxY wdydr jeämqr wdydrhg tlalr .ekSu ys;lrh' • kuq;a Tn ;rndre kï ys;lr f;,a j¾. jQjo wdydrhg tlalr .ekSfïoS m%fõYï úh hq;=h' ´kEu f;,a j¾.hlska Tfí YÍr nr by< hdfï wjodkula mj;S'

wdydr u.ska ,efnk fldf,iagfrda,a m%udKh iSud lrkak' wdydr u.ska ,nd.kakd fldf,iagfrda,a m%udKh osklg ñ,s .a?ï 300 g jvd wvq lrkak' fl|s iys; wdydr jeämqr wdydrhg tla lr.kak' fl|s Ydl wdydr j, iq,nj mj;S' fuu fl|s u.ska fldf,iagfrda,a YÍrfhka bj;a lsÍu isÿ lrhs' tfukau YÍr nr md,khgo ys;lrh' fï i|yd wvqu ;rfï osklg t<j¿ j¾. ;=kla j;a m<;=re j¾. folla j;a l=reÜg iys; OdkH j¾." rks, fNda. jeämqr wdydrhg tla lr.kak' ¨Kq Ndú;h yels;dla wju lrkak ¨Kq Ndú;h wju lsÍu i|yd lEu fïifha we;s ¨Kq biskh bj;a lrkak' yels iEu úfgloSu ksfjfiaoS yod.;a

wdydr wkqNj lrkak' msáka wdydr .ekSu iSud lrkak' laIKsl wdydr Ndú;dj wju lrkak' iEu úgu wdydr ojgkh mÍlaId lr (Sadium, Salt) wvq wdydr f;dard.kak'

ÿïmdkh k;r lrkak ÿïmdkh ksid ys;lr fldf,iagfrda,a (HDL) wvq lrk w;r ;ka;=jdyskS úIu;d we;s lrk neúka ÿïmdkh iïmQ¾Kfhkau k;r l< hq;=h'

wêl u;ameka Ndú;h k;r l< hq;=h'

wdydr j¾. neoSfïoS f;,a tla jrla muKla Ndú;d l< hq;=h'

8'iEu úgu Tfí YÍr ialkaO o¾Ylh 18'523 Kg/m-2 w;r mj;ajd .ekSu b;d jeo.;ah'

ffjoHjrhd - udisl ffjoH iÕrdj

wê reêr fldf,iagfrda,a we;sùu rglcq" lcq" w,sfmar jeks wdydr .ekSu kqiqÿiqo @ lcq" rglcq iy w,sfmar jeks wdydr j, wvx.= jkafka wix;Dma; fïoh neúka tu wdydr u.ska reêr.; LDL w.h wvq lrk neúka tajd YÍrhg ys;lrh' wêfldf,iagfrda,a;djh we;s frda.Ska ì;a;r iy ud¿ .ekSu kqiqÿiqo @ oekg isÿlr we;s m¾fhaIK u.ska ì;a;r YÍr.; fldf,iagfrda,a w.hg n,mEula fkdlrk nj fmkajd oS we;' ud¿ j¾. wdydrhg .ekSu b;d iqÿiqh' thska YÍr.; fldf,iagfrda,a w.h wvq lrhs' ud¿ j¾. j, ^ieuka" uelr,a" l=ïn,dfjda" yqre,a,d& Tfu.d 3 fïo wï,h iq,nj wvx.= neúka th YÍr.; fldf,iagfrda,a flfryS ys;lrj n,mdhs' reêr.; fldf,iagfrda,a md,kh flfryS jeo.;a jk lreKq lsysmhla • iEuúgu wdydr f,an,h lshjkak' fuhska fldf,iagfrda,a" g%dkaia fïoh" ix;Dma; fïoh wvq wdydr f;dard.; yelsh' • r;= meye;s uia" iïmQ¾K fhdoh iys; lsß iy lsß ksIamdok fjkqjg ud¿" fhdoh rys; fyda wvq fïoh iys; lsß ksIamdok f;dard. kak' 2016 wfma%,a l<dmh

• .eUqre f;f,a nosk ,o wdydr iSud lrkak' .eUqre f;f,a nosk úg iEuúgu fmd,af;,a fhdod.kak' • m<;=re" t<j¿ jeämqr wdydrhg tla lr.kak' • oskm;d uOHu m%udKfha jHdhduj, fhfokak' úkdä 2040 muK' iïnkaëlrKh Y%S ,xld jhU úYaj úoHd,fha jHjydßl fmdaIK wOHhkdxYfha fcHaIAG lÓldpd¾h" wxY m%Odks wdpd¾h wfkdaud pkaøfialr uy;añh

SEX Q & A

m%ckl fi!LHhh .eg¿ 100la

Q&A

m%ckl fi!LHhh

.eg¿ 100la jhi wjq' 19ka by<g ia;%S - mqreI m%cKl fi!LHh ms<sn|j f;dr;=re iuqÉPh

,sx.sl;ajh yd m%ckk fi!LHhh wo ojfia mq¿,aj ixjdohg n÷ka jk uehls' wfma ;=reKQ mrmqrg we;sjk m%Yak w,,d Y%S ,xld mjq,a ixúOdk ix.ufha ffjoH wOHlaIjrfhl= jQ ffjoH Y%shdks niakdhl uy;añh iy ffjoH m%shdo is,ajd uy;añh úiska ieliQ m%Yak 100l fmd;a msxfpka f;dard.;a m%Yak lsysmhla fujr;a m%ldYhg m;a flf¾'

ia;%S m%ckl moaO;sh iqo hdu wikSmhlao @

jeäúh meñKSu;a iu. fydafudak l%shdldß;ajh ksid wd¾;j pl%fha we;sjk fjkiaùula ziqo hduZ f,i oelafõ' fuh ÿ`.|la fyda meyehla fkdue;s oshr iajNdjhla .kS' leiSula we;s fkdfõ' Tima pl%fha wjia:d wkQj oshr iajNdjh wvq jeä fõ' fuh wikSmhla 44

fkdfõ' fuysoS YÍrfha flÜgqùula isÿ jkafka ke;' msßisÿj isàu muKla wjYH fõ' kuq;a leiSula" ÿ.|la fyda meyefha fjkila úfYaIfhkau reêr ñY% kï ffjoH Wmfoia ,nd.; hq;=h' .eíf., ms<sld l,a;shd y÷kd.; yelso @

Tõ" mema mÍlaIKh u.ska l,a;shd y÷kd. ekSfuka ms<sld wjia:djg fmr ffi,j, we;sjk fjkiaùï y÷kdf.k"

l,a;shd m%;sldr lsÍfuka .eíf., ms<sld j<lajd .ekSug mq¿jk' .¾NdIfha f.ä we;sùu j|Ndjhg fya;= jkafkao @

tu f.ä (Fibroid) úfYaIfhkau .¾NdIfha úfYaIfhkau we;=¿ ia:rhg iómj yeÿfKd;a u|ire nj j|Ndjh" j|Ndjh we;s úh yel' ms<sis|.ekSula we;s jQjfyd;a ixl+,;d we;s úh yel'

ffjoHjrhd - udisl ffjoH iÕrdj

ia:q,;djh we;s úg u|irNdjh we;s úh yelso @

Tima pl%hla yßhgu osk 28la iïmQ¾K úh hq;=o @

Tõ" tfia isÿ úh yel'

ke;' osk 28g wvq fyda jeä ld,hlskao Tima ùu isÿ úh yel' fuh fndfyda úg frda.hla fkdfõ'

wd¾;j folla w;rueo ld,fhaoS nfâ lelal=ula we;s jkafka wehs @

äïn fudapkh ùfïoS tjeks fõokdjla we;s fõ' wd¾;jh fkdfyd;a Tima ùu isÿjk whqre myokak' ia;%S äïnfldaIhla ;=< äïnhla osk 14l muK ld,hla ;=< úlikh ù tu äïnh uqod yeÍfuka miq ixfiapkh jQfjd;a iEfok l<,h ms<s. ekSu i|yd .¾NdIh we;=,a ì;a;sh u; mg, ks¾udKh lrhs' uqod yefrk äïnh ixfiapkhla isÿ fkdjQjfyd;a bka ;j;a osk 14lg miq tu mg, .e,fõ' tu mgl fldgia reêrh iu. fhdaks ud¾.h Tiafia msg flf¾' fuh wd¾;jh fkdfyd;a Tima ùuhs' tla wd¾;j pl%hla weröu;a iu.u B<`. äïnh úlikho wdrïN fõ'

2016 wfma%,a l<dmh

m<uq Tima ùfïoS fõokdjla we;s jkafkao @

we;s úh yel' hï fõokdjla we;s jQjo we;af;kau th idudkH ;;a;ajhla jk ksid ta .ek jo úh hq;= ke;' jeäúh m;a ùfuka miqj B<`. Tima ùu isÿ jkafka udi .Kkla m%udo ù jkakg mq¿jk' óg fya;=j l=ulao @

wd¾;j pl%h isÿ lsÍug wjYH jk fydafudak j, pl%Sh Ndjh ia:dms; fkdùu fuhg fya;= jkafkah' Tima isÿ ùug fmr mshhqre ßfokafka wehs @

fuh isÿ jkafka fydafudak idkaøKfha jk fjkialï fya;=fjks' fuh idudkHfhka os.ska os.gu mj;S kï

yd thska oeä wmyiq;djhla we;s jkafka kï ffjoH Wmfoia ,nd.kak' we;eï úg Tima ùu udi 3-4lg jrla isÿfõ' thg fya;= fudkjdo @

Timaùu isÿ jkafka ,sx.sl fydafudak j, l%shdldß;ajh fya;=fjks' ;reK ld,fhaoS Timaùu wl%uj;a úh yelsh' YdÍßl j¾Okh;a iu. idudkHfhka fuu l%shdj,sh l%uj;a fõ' ;j;a iuyr úg iajdNdúl fya;=ka ksid;a we;eï frda. ;;a;aj ksid;a Tima ùu wl%uj;a ùu" m%udo ùu fyda k;r ùu isÿ úh yel' Tima ùu wl%uj;a jk tjka fya;= iuyrla my; oelafõ' • udkisl mSvkh • frda.S ùu • foaY.=Ksl fjkiaùï • ,sx.sl fydafudak" ;hsfrdhsv fydafudak wdosfha wiu;=<s;;djhka • YÍrfha nr jeäùu

ADVERTORIAL

m%S;s mjq,g w¿;a idudcslhka fofofkla

ú|.kak' m%S;s iu. m%S;su;a ùug iEu hqj,lgu yels jkq we;'

m%S;s mjq,g w¿;a idudcslhka fofofkla Yl yhlg jeä ld,hla Y%S ,dxlsl ck;djf.a úYajdih oskd .ksñka mjq,a ie,iqu" ,sx.sl yd m%ckl fi!LHh ms<sn|j oeKqj;a lsÍfï iy fiajd ,ndoSfï m%uqL;u ld¾hNdrhg odhl;ajh ,ndoS we;s Y%S ,xld mjq,a ixúOdk ix.ufha lS¾;su;a fj<| ikakduhls zzm%S;sZ'

m%S;s fydÜ iy m%S;s l+,a ksIamdokh lrKq ,nkafka uef,aishdfõ Karex Indtries u.sks' ISO 4074-2014 cd;Hka;r m%ñ;shg iy ASTM D3492 2014 tlai;a ckmofha m%ñ;shg wkql+, fuu fldkavï ksIamdokh lr we;' cd;sl T!IO kshduk wêldßfha ,shdmosxÑ lr we;' Y%S ,xld mjq,a ixúOdk ix.uh m%S;s kduh y÷kajd fokafka 1973 oSh' t;eka mgka ck;d m%idoh" úYajdih oskd.;a m%S;s ;j;a os.= ld,hla ck;dj w;r /f|kq we;'

m%S;s iy m%S;s iqm¾ fldkavï kdu w;rg zzm%S;s fydÜZZ iy zzm%S;s l+,aZZ fldkavï kdu tlaùsu iu. m%S;s mjqf,a idudcslhka ixLHdj isõfofkl= njg m;a úh' m%S;s mjqf,a m%S;shg muKla fkdj úYajdih oskd.;a mjq,a ie,iqï l%uhls' m%S;s mjqf,a w¿;a idudcslhkaf.a úfYaI;d oek .ekSug fndfyda msßila ksielju m%sh lrKq we;' m%S;s fydÜ WKqiqu oefkk ,sysisldrl fc,a iys;h' m%S;s l+,a isis,i oefkk ,sysisldrl fc,a iys;h' WKqiqu;a - isis,i;a úúO;ajfhka

ffjoH ks¾foaYh m%S;s fydÜ iy m%S;s l+,a fldkavufhka Ndú;fhka ,sx.slj iïfm%aYKh jk frda. fndaùfuka je<lSu iy mjq,a ie,iqï l%uhla f,i wdYajdockl w;aoelSula ,nd. ekSug fofokdgu yelsfõ'

ffjoHjrhd - udisl ffjoH iÕrdj

fofokdf.au iqj myiqj Bis .a,hsâ äf,a Bis .a,hsâ äf,a (Easy Glide Delay) iafkayl fc,a Ndú;fhka tlaùuloS fofokdf.au úkaokhg ld,h ,nd fohs' fuys we;s fnkafidflaka fc,a rys; c,fha osh fjk iafkaylhls' Bis .a,hsâ äf,a ksIamdokh lrKq ,nkafka uef,aishdfõ Karex Indñtries u.sks' Y%S ,xldj ;=< fnodyeÍu Y%S ,xld mjq,a ixúOdk ix.uh úiska isÿ lrKq ,nhs'

l,n, ke;s úkaokhlg - Bis .a,hsâ äf,a ffjoH ks¾foaYh blauKska Od;= msgùfï ;;a;ajhla we;akï fuu ,sysisldrlh Ndú;fhka T!IO j,ska f;drj ;Dma;su;a os.=ld,Sk ,sx.sl wdYajdohla ,nd.; yel' 2016 wfma%,a l<dmh

PEST CONTROL

lerfmd;a;ka jix.;hg ms<shï fhdok yeá

lerfmd;a;ka ksid úúO Yajik frda. we;súh yelshs

lerfmd;a;ka jix.;hg ms<shï fhdok yeá <ud frda. úfYaI{ ffjoH wð;a wurisxy

lerfmd;a;ka b;du lrorldÍ i;=ka úfYaIhla nj wuq;=fjka lsj hq;= ke;' fndfyda fofkl= okafka lerfmd;a;ka isref¾ iam¾Y ùfuka ifï frda. we;súh yels nj muKs' kuq;a lerfmd;a;d ksid Bg jvd fndfyda fi!LH .eg¨ mek k.sk nj i|yka l< hq;=fõ' weÿu" mSki" weia leiSu" ifï we;sjk leisï frda. fï w;r m%Odk ;ekla .kS' lerfmd;a;d ksid wm frda.S jkafka fldfyduo@ lerfmd;a;kaf.a YÍr fldgia" wfma mshú weig yß yeá fkdfmfkk Wf.a u< uq;%d wdÈh jd;hg uqiq ùu isÿfõ' fïjd mßirfha laIqø wxY= f,i mj;sk w;r wdYajdi jd;h u.ska tajd wfma YÍrhg we;=¿ jkq we;' fuh fndfyda fofkla fkdis;k ;;a;ajhls' kuq;a wfma rfÜ lerfmd;a;ka ksid yg .kakd Yajik frda. ^weÿu" 48

mSki wd§ jQ& nyq,j mj;sk nj meyeÈ,sj wkdjrKh ù we;s ;;a;ajhls' tksid b;du ie,ls,su;a úh hq;a;la jkafka Tfí ksjfia lerfmd;a;ka fnda ùug ;sfnk bvlv wyqrd oeóuhs' lerfmd;a;ka fndajk wkaou fï i;=ka Ôj;a jkafka f;;ukh iys; iy w÷re iys; ia:dkj,h' ta wkqj iskala hg" ms`.ka kjk ia:dkj," mekaá% lnâ we;=<;" f;;ukh iys; ì;a;s fldgiaj, wd§ jYfhka lerfmd;a;dg ie`.ù isáh yels w÷re yd f;;ukh iys; mßirhl W! jdih lrkq we;' ta wkqj lerfmd;a;ka j| lrkakg kï fï lshQ ia:dk úh<sj yd msßisÿj ;nd .ekSu;a tjeks ia:dkj,g wdf,dalh ,efnkakg ie,eiaùu;a b;d jeo.;a fõ' w;= .Ejdg uos" lEu lE ia:dkh fudma lf<A ke;akï lerfmd;a;ka tkjd lerfmd;a;d wdydrhg .kafka wm lkq ,nk wdydrj,ska jefgk fldgia iy lvodis jeks oEh' Tn .kakd ffjoHjrhd - udisl ffjoH iÕrdj

wdydr lsis úfgl;a lerfmd;a;kag we;=¿ úh fkdyels jk mßÈ fyd¢ka jid ;nkak' wdydr .ekSfï§ ksjfia ;eka ;ekaj, ys| .ekSfuka je<lsh hq;=h' b;d iq¿ wdydr fldgia mjd f.;=< ;eka ;ekaj, jeàfuka lrfmd;a;ka ta ;ekaj,g meñKSu ksid ksjfia iEu ;eku lerfmd;a;ka myiqfjka fnda fjhs' tneúka mjqf,a ish¨ fokdu tlu ;ekl ys| wdydr .ekSu b;d jeo.;a jk w;r wdydr f.k wjika jQ iekska tu ia:dkh msßisÿ l< hq;=h' fuys§ o úfYaIfhka lsj hq;a;la ;sfí' lEu f.k wjika jQ miq ìu w;=. Efuka muKla ish¨ lEu fldgia bj;a jkafka ke;' w;=. Efï§ fukau mhg mE.Su ksido weig fkdfmfkk l=vd fldgia ìu /f|a' fïjd lEugo lerfmd;af;da meñfK;s' tksid wdydr .ekSfuka miq tu ia:dkh w;=.d bkamiq fudma lrkak' lEu fïiho fyd¢ka msi oeófuka miq f;; iafmdkaÊ lene,a,lska h<s msi oeóu l< hq;=hs' túg b÷,a iyuq,skau bj;a fõ'

2016 wfma%,a l<dmh

iskala tl wi, ;nk j,x lrfmd;a;ka fnda lrk ia:dk wdydr .ekSfuka miq ms`.ka fukau wdydr msiQ j<x o miqj fia§u msKsi iskala tl wi, ;nd hdu iuyr .DyKshkaf.a mqreoaols' fujeks Ndck lerfmd;a;kag frdla ùug f;da;ekakla jk w;r fldfya fyda isg Wka meñK tajd ;=<g je§ tu b÷,a wkqNj lrkq we;' bkamiq uq¿;ekaf.hs iskala tl wdikakfha Wkag myiqfjka /¢h yels ia:dk ;=< fjfiñka Wkaf.a j¾.hd fnda lrkakg mgka .kS' ta wkqj lerfmd;a;ka fnda ù we;af;a Tfíu fkdie,ls,a, ksid nj Tng meyeÈ,s jkq we;ehs is;uq' hï whqrlska Tng wdydr .;a ms`.ka iy wdydr oeuQ yd msiQ Ndck;a ta wjia:dfõ§ fidaod oeóug wjldYhla fkdue;s kï fiaÈh yels fj,dj tk;=re tajd lerfmd;a;kag jeish fkdyels mßÈ l=ula fyda f,dl= Ndckhla ;=<g oud b;d fyd¢ka jid ;nkak' ksjfia ì;a;sj," úfYaIfhka uq¿;ekaf.hs ì;a;sj, levqKq ì÷kq ;eka ;sfí kï tajd yels whqßka ms<silr lr .kak' fya;=j tjeks ia:dk o lerfmd;a;ka ish jdiia:dk i|yd f;dard .kakd neúks' fmd;am;a wdY%s;j o lerfmd;a;ka nyq,j fnda fjhs' tksid lerfmd;a;kag fmd;am;a wdl%uKh l< fkdyels jk mßÈ tajdo lnâ ;=<g fyda fmÜáj, oud fyd¢ka jid ;nkak' lerfmd;a;ka j| lsÍu i|yd úúO ridhk øjH ;sfí' fï w;r lmqre fnda, wd§ fkdfhl=;a w;afnfy;a j¾. o iuyre fhdod .ks;s' w;afnfy;a ñksiqkag úI fkdúh yels uq;a ridhk øjH Ndú;h yels ;dla wju lsÍu iqÿiq jkafka thska w;=re wdndO we;s ùug wjldYh ;sfnk ksidh' tneúka by; oelajQ mßÈ lerfmd;a;ka fndaùu je<elaùu i|yd jk Wmfoia ms<smeo thskq;a Tng lerfmd;a;kaf.a .ykh uq¿ukskau j| lr .ekSug fkdyels jqjfyd;a muKla ridhk øjH wju jYfhka Ndú;d lsÍu l< yelsh' tys§ fodr cfk,a újr lrk ,o újD; ia:dkj, tjeks iafm%a j¾. fh§u iqÿiqh' tA tajd wd>%dKh ùu kqiqÿiq neúks' 49

EAT RIPE BANANAS WITH DARK SPOTS

me,a,ï .efyk ;rug bÿKq flfi,a m%n, ms<sldkdYlhla'''

What Happens With Your Body When You Eat Ripe Bananas with Dark Spots?

me,a,ï .efyk ;rug bÿKq flfi,a m%n, ms<sldkdYlhla'''

thska YÍrfha widudkH wdldrhg ffi, fnoSï we;sùu j<lajkjd

flfi,a - wm w;r jvd;au iq,n" iqñysß m<;=r .ek Tn fkdokakd w;sYh jákd ldrKhla lshkakhs fï iQodku' flfi,a wm lkak jvd;a leu;s idudkH uÜgug bÿku' th ;j;a álla bos, l,a .shdu fmd;af; mq,a,s mq,a,s yefokjd' ta mq,a,s ÿUqre mdgla .kakjd' tfyu jqKdu jeä fofkla lrkafk flfi,a f.äh m%;slafIam lrk tl''' flfi,a f.äh iïmQ¾Kfhkau bfokfldg tys b;d n,.;= ridhkhla ksIamdokh fjkjd' tafl ku TNF ( Tumor Necrosis Factor) fï úosyg bÿKq flfi,a f.äh ;=<" tys we;s TNF ( Tumor Necrosis Factor) j, úYd, jYfhka ms<sld kdYl n,hla ;sfnkjd'

flfi,a j, ;sfnk n,.= fmdaIK .=Kdx. oek.kak fï ùäfhdaj n,kak' https://youtu.be/ ruGB10zBtQg?t=2 50

ffjoHjrhd - udisl ffjoH iÕrdj

fï .ek uq,skau m¾fhaIK lf<a cmdkfha úoHd{hka' miqld,Skj ;j;a wh tl;= jqKd' fï yefudau flfi,a f.äh w;sYhska bÿKu thg ,efnk ms<sld kdYl .=Kh .ek wújdofhka ms<s.kakjd' fuys ;sfnk ms<sldkdYl .=Kh flfi,a f.äh bfok m%udKhg iudkqmd;slhs' jeäfhka bÿfKd;a jeäfhka ms<sldldrl ffi, u¾Okh fjkjd' ´kEu m<;=rla bfok úg tys fmdaIK .=Kh fjkia fjkjd' flfi,a f.ähla bfok úg tys ;sfnk tkaihsu u.ska msIagh ir< iSks njg m;a lrkjd' fï wjia:dfõoS flfi,a f.äfha m%;sTlaisldrl Wmßu w.h jd¾;d fjkjd' ta w;ska n,k úg;a Tn wdydrhg .; hq;af;a jeäfhka bÿKq flfi,a f.ähhs' cmdk úoHd{hka msßila úiska bÿKq m<;=re lsysmhl fmdaIH .=Kh iïnkaOfhka wOHhkhl ksr; jqKd' flfi,a" ños" wem,a" flduvq" 2016 wfma%,a l<dmh

wkakdis" fmhd¾ia wdoS jYfhka' boSug ,laùfuka miq fyd|u YÍrlaIl .=Kdx. m%lg lrk m<;=r ùfï f.!rjh oskqfj;a flfi,a f.ähhs' flfi,a wkqNjfhka wka ish¿ m<;=re wNsnjd Yafõ;dKq uÜgu jeä lrkjd' YÍrfha m%;sYla;slrKh jeä lrkjd' ta jf.auhs TNF ( Tumor Necrosis Factor) ridhkh iq,nj jEiafik ksid ms<sld j,skq;a wdrlaIdj ie,fikjd' wuq flfi,a f.ählg idfmalaIj ÿUqre mq,a,s fmfkk ;rug bÿKq flfi,a f.ähl TNF ( Tumor Necrosis Factor) wg .=Khlska jeähs' TNF( Tumor Necrosis Factor) hkq m%;sYla;slrK moaO;shg wh;a we;eï ffi, wdY%h lrf.k ksmofjk ihsfgdflakhla' fuys we;s úfYaI;ajh jkafka wfkla ffi, j,g ys;lr n,mEï lsÍug we;s yelshdjhs' ksoiqkla f,i isrerg wys;lr ffi, ksIamdokhg we;s yelshdj TNF( Tumor Necrosis Factor) ksid je<flkjd' m¾fhaIlhka fï wdldrfhka l%shd;aul jk flfi,a f.äfha wdrlaIl l%shdj,sh ;jÿrg;a meyeos,s lrkjd' fï bÿKq flfi,a f.äfha l%shdldrs;ajh ms<sld frda.Skag Ysrd.;j ,ndfok m%;sYla;slrK W;af;aclhla jk Tiqjla jk f,kaákka j,g iudkhs' zzojilg fyd|ska bÿKq flfi,a f.ä folla lkak' th Tfí wdrlaIdjg uy;a fia WmldÍ fjkjd'ZZ flfi,a f.äfha n,.; ms<sldkdYl yelshdj .ek úia;r lrk m¾fhaIlfhla tf,i Wmfoia fokjd' flfi,a f.ähla osklg jrla fyda wkqNj l< hq;af;a wehs @ • udkisl iúu;aNdjh mj;ajd .ekSug WmldÍ jk firfgdkska ridhkh jEiaiSu W;af;ackh lrk á%mafgdmEka yd úgñka B6 j,ska wkQkhs' • fmdgEishï iq,nhs' fï ksid Tfí reêr mSvkh ys;lr uÜgul mj;ajd .kshs' • fud<hg wdydrhls' nqoaêh jvjhs' • yDohdndO wjodku wju lrhs' • wiaÓ iúu;a lrhs' • rla;ySk;djhg wk.s úi÷uls' 51

CREATIVE WORK

wfma ù'mS'

wfma ù'mS' úY%dñl udKav,sl fyos rdks ffjoHr;ak fi,a,fyajdf.a fyo cSú;fha u;l fmdf;a msgq w;ßka''' f;a jdÜgqfõ m%Odk fyosh jQfha lreKd;s,l uy;añhhs' th úfYaI{ ffjoH ,Skia o is,ajd uy;d Ndrfha mej;S msßñ ffjoH jdÜgqjls' jdÜgqfõ fiajh l< fyoshka udo iu. wg fofkls' wm ljqre;a m<uq m;aùï ,en w¿f;kau meñKS wh jQ w;r" m%Odkshd jQ lreKd;s,l uy;añh nexl= l<uKdlrefjl=f.a ìß| fukau l=vd orejka fofofkl=f.a ujlo jQjdh'

b;d lreKdjka; ldka;djl jQ weh" ;u kugu .e,fmk fia ldyg;a lreKdjka; úh' weh wmg ujl fukau jeäuy¿ fidhqßhl n÷ jQjdh' jdÜgqfõoS wm uqyqK ÿka rdcldß m%Yak j,g muKla fkdj" wmf.a fm!oa.,sl cSú;fha hï hï .eg¿o wm ksrdlrKh lr.;af;a wehf.a ÿrolakd nqoaêh yd cSú; w;aoelSïj,g msx isÿjkakgh' ffjoH ,Skia o is,ajd uy;d iu. jdÜgq ixpdrhg hdug wm fndfyda fia leu;s ùuq' ta Tyq frda.shdf.ka frda.shdg tu ;;a;ajhka ms<sn|j lreKq wmgo lshd fok ksidh' zzwo ljqo fjdaâ rjqkaâ fg%d,sh ,Eia;s lrkafkZZ lreKd;s,l uy;añh wihs' weh oskm;d wfma ähqá igyk ,shhs' zzl=udß

ffjoHjrhd - udisl ffjoH iÕrdj

fuäiska fokak' moaug mq¿jkafk bkafclaIka fokak' fmksis,ska we,¾csla kEfk' cskd Th iafmisuka" yd ljqo ud;a tlal fndiaf. fjdaâ rjqkaâ tkafk''' ZZ zzuu''' uuZZ bkak lSm fokdu" mfya mka;sfh <uhskaf.a m%Yakhla weiQ l, fuka w;a Tijd ika lr;s' zzfiaru, .syska nEfka' úoHd tkak' wo wms fokak huq' fl,af,d fmdr lld tkafk fndia tlal fjdaâ rjqkaâ lrkak' fndiq;a yß leu;s fjhs' wehs b;ska ;reK fl,af,du rxpqjla yskao' fï kdls ud;a tlal jf.a fkfjhsfka'''@ZZ zzwfma ñia fldfykao okafk kE kdls fj,d ;sfhkafk' ñia wms ldg;a jvd ,iaikhs'ZZ cskd lg oeïudh' ueos úho miq lr isák wfma fndia ;ju wújdylh' Tyq ;reK ld,fha fyoshl yd fm%au iïnkaO;djhla meje;ajQ nj;a tfy;a weh Tyqg nQÜ tl oS fjk flfkl= yd újdy jQ nj;a wmg tfyka fufyka wikakg ,eìK' zzb;ska" fndiag 2016 wfma%,a l<dmh

k¾ia, fmkakkak neß ld,hlao ;snqKdZZ ta .ek oek isá lreKd;s,l uy;añh lSjdh' zzoeka taj fj,d ld,hlau fjkjfk' oeka b;sx tfyu wfrdajla kï kEZZ zzfndia yrs leu;shs" fyd|g bf.k .kak whg' wms fudkj yrs okafk ke;s fohla weyqju wf.ag lsh, fokj' Thd,g;a fyd|hs fï jf.a jdÜgqjlg jegqK tl" w¿;a msgu'''ZZ zzñia oeka fndiaf. ;;;ajh fkdau,a kï wmg fõlkaishla ke;s fjhso @ZZ l=udß ysá .uka wm ljqre;a fkdis;+ m%Yakhla weiqjdh' lreKd;s,l uy;añhf.a iskdj lka fol wi,g hk ;=reu úyso ;snK q 's zzmq¿jka kï ug fudlo @ g%hs lr, n,k tlfk' yenehs fndia kï ? jegqKq jf,a oj,a jefgk tlla kE'ZZ fï úys¿ ;y¿ ueo ojfia fufyjr id¾:lj wjika lsÍug wmg yels úh' zzfïg%ka ug fï me`.sß fl,af,d álla oS,' b;ska ux tmdhe uqx ál mßiaiï lrkak' ta ú;rla kï uoE' uqxg u.=,a fydhkak fjkafk;a ugu ;ud'ZZ

zzwdfka ñia talg kï lror fjkak tmd' wms tal lr.kakï' fkao úoHd'ZZ uu iskdjlska wehf.a ms<s;=r ikd: lf<ñ' wfma fndia yßu fyd|hs' Tyqf.a jdÜgq mÍlaIdj i;shlg osk folls' ta w;r;=f¾ oskm;d frda.Ska mÍlaIdj isÿ lrKQ ,nhs' wr úfYAI osk foflaoS wgg mgka .kakd frda.S mÍlaIdj yji fol jk ;=re;a wyjr jkafka ke;' f;a tlla îug mjd fj,djla ke;' Tyqg bjikakg neß lreK jQfha ;reK frda.Ska ñh hduh' jhi mkfyka my< frda.sfhl= ñh .shfyd;a Tyq ta .ek ydr ydr fydhd n,kakg W;aiql fjhs' frda.shd jdÜgqjg we;=¿ fj;aoS ;snqKQ frda. ,laIK" l< m%;sldr" wjidk osk ,ndÿka m%;sldr muKla fkdj ñh.sh osk ähqá isá ffjoHjrhd" fyoshka muKla fkdj Wmia:dhlhka .ek mjd úuis<su;aj fidhd n,hs' 53

CREATIVE WORK

wfma ù'mS'

frda. ;;a;ajh" tfjf,a ähqá isá ffjoHjrhdg oekajQ fj,dj muKla fkdj mKsúvh hejQ flda,a fmd;o f.kajd osk jljdkq" fj,dj,a iys;j ish,a, uekúka mÍlaId lr n,hs' Tyq frda.shdg uekúka m%;sldr ,enqKq njg iEySulg m;a jkafka ish,a, fyd|ska isÿj ;sfh;aoS;a fuu urKh j<lajd .kakg fkdyels jQjdh hk mYa;dmh iu.sks' wfma frdayf,a B'iS'cS' ,nd.kakd ks,Odßhd jQ r.=kdokag jev lsÍug kshñ; ;ekla ;snqfKA ke;' Tyq uq,a oskj, ndysr frda.Skaf.a wxYfha fl<jrl jQ ldurhl isg jev lrf.k .sfhah' tfy;a jeä l,la Tyqg tfia bkakg yels jQfha ke;' ndysr frda.S wxYhg meñfKk wmuK frda.Ska tys ;ono ù fmda,sï .eiS n,d isáhoS Tjqka wiafika B'iS'cS' .ekSug /f.k hk frda.Ska f.a frdao mqgq" fg%d,s hkdosh ksid t;ek we;sjQfha l,n,ldÍ mßirhls' frda.Skaf. ka fukau ndysr frda.S wxYfha ffjoHjrekaf. kao md,kdêldßhg fodaIdfrdamk t,a, ùfuka wk;=rej Tyq t;ekska bj;a lr iqÿiq fiajd ia:dkhl ia:dk.; lsÍug ffjoH wêldÍjrhd n,j;a fjfyila .;af;ah' Tyq ta i|yd iqÿiq ;ekla y÷kd.ekSug mejiQfhao r.=kdokaguh' r.=kdoka uq¿ frdayf,au weúo ta i|yd iqÿiq hhs yef`.k ia:dk lsysmhla .ek okajd isáho tajdgo hï hï úfrdaO;d u;= úh' Tyq wjidkfhaoS k;r jQfha yf;a jdÜgqfõ mfilh' Tyq uq,skau meñKS fj,dfõ fcHaIaG fyoshka lsisjl= isáfha ke;' ud iu. uf.au lKavdhfï l=iqï fifkúr;ak jdÜgqfõ fiajh lrñka isáfhah' zzn,kak ñia' ug jev lrkAk rEï tlla kEfk' ZZ Tyq leäÉp isxyf,ka wm iu. l;d lf<ah' zzug yrs jefâ ;ud jqKd' B'is'cS' ueiska tl;a tlalu uu wjqÜ'ZZ

Tyqg ysf;a yeáhg lshjkakg yer wm Tyq foi n,d isáfhuq' jeäh Wi uy; ke;s Tyq mdie,a isiqfjl=f.a fmKqu orhs' ysi ukdj f;,a .d mSrd we;' bka ishqï iqj|lao jykh fõ' ndn¾ idmamqj, fldKavh lemQ úg iafm%a lrk iqj| oshrhl iq.kaOh jekak' isyska Wvq /jq, fou< Ñ;%mghl k¿fjl=f.a fuks' ÿUqre yd r;= bß jegqKq l%Sï mdg lóifha os. w;a je<ñgg tk;=re kjd ;snqfKah' ye| isá l,sifï jïmi idlal=jlska Tyqf.a uqo,a miqïìfha fl<jrlao u;=ù fmfka' nihl hkafka kï th .eglmkafkl=g wk.s wjia:djls' zzfï Tlafldgu ldur ;sfh;aos Thdg ú;rla fudlo rEï tlla ke;af;'''@ Th;a fldfydu yß fyd| tlla b,a,.kak'ZZ l=iqï lg oeïudh' zztal ;ud" yeuodu ug rEï kEZZ

ffjoHjrhd - udisl ffjoH iÕrdj

ug ysá .uka wfma jdÜgqfõ fl<jrl msysà .nvd ldurh .ek isysm;a úh' Bg hdno ldurh levqKq frdao mqgq" ,Snvq hkdoS ,Üg f,dÜg j,ska msÍ ;snqfKah' r.=g fyd| úys¿jla l< hq;= hhs ug is;sK'

zzwfma jdÜgqfj kï fIdala ldurhla ;sfhkjd'ZZ uu lSfjñ' l=iqï ud foi lg werf.k n,d isáhdh' zzta fldfy ;sfhk ldurhlao @ZZ wE weiqfõ uy;a úu;sfhks' wehg ms<s;=re fkdÿka uu zztkak r.=ZZ hS Tyq le|jdf.k jdÜgqfj fl<jrgu .sfhñ' .nvd ldurh h;=re ,d ;snqfKah' tys h;=re ñisia lreKd;s,l fj;h' Bg hdnoj ;snQ ldurh ÿgq r.=f.a weia uy;a úh' zzyß fIdalafk fï lduf¾ZZ

zzfïl wia lr, .;a;u yß fIdala ;ud" Thdg b;ska jeäh nvq;a kEfk' B'iS'cS' ueIska tlhs" we|hs" fïfihs mqgq 2016 wfma%,a l<dmh

foll=hs ú;rfk' fyd|g bvlv ;sfhkj fufl' ;j ´ke kï lnâ tlla ke;akï rdlalhla jqK;a ;shd .;a;els'ZZ zzThdg f.dvla ;Ekalaia'''ZZr.=kdoka fudfyd;la fyda m%udo fkdù msgj .sfhah' zzfï Thd we;a;guo thdg Tfydu lsõfj @ f,dl= ñiaf.ka wykafkj;a ke;sj'ZZ l=iqï lshhs' zzTh hkag we;af; tï'tia'g ^ffjoH wêldß& lshkak fjkak we;s' oeka fudlo lrkafk @ ñksy .shd fkfjhs" b.s¨Kd jf.hs'''ZZ zzfudk msiaiqo''' ´j Th ;rï blauKg fjk foaj,aheZZ jeäÿr fkdis;d ud l< fofhys nrm;,lu ug f;areï .sfha ke;' flfia fj;;a fuh wo fyg isÿjk fohla fkdfõ hhs uu is; ikid .;sñ' fyg wksoaod jk úg m%Odk fyosh meñfKkakg kshñ;h' túg tys wjika ;SrKh .kafka wehhs' weh kï lsis úfgl;a r.=g fï ldurh fkdfok nj uf.a is; ug b`.s lrhs' flfia fyda ldgj;a widOdrKhla fkdù fï m%Yakh fyd|ska bgq fkdù fï m%Yakh fyd|ska úif|ajd hS uu n,dfmdfrd;a;= iy.;j isáfhñ' tfy;a" miqod ñisia lreKd;s,lg l,ska jdÜgqjg lvd ì|f.k wdfõ ù'mS'h'

zzljqo" wo k¾ia bkapd¾caZZ Tyq ähqá ldurhg fl,skau meñK tys wiqkla uy y`v k.d ;ud fj; weo .ksñka weish' tosk ud;a" cskd iy úu,d;a Wfoa jrefõ ähqá isá kuq;a bkapd¾ca flfkla lSug ;rï jQ f,dlaflla wm w;r fkdùh' ta wm ;sfokdu tlu lKavdhul jQ ksidh' ù'mS'f.a m%Yakhg ms<s;=re osh fkdyelsj wms uqyqfKka uqyqK n,d.;suq' Tyq fu;rï 55

CREATIVE WORK

wfma ù'mS'

l,n,hg m;a wjia:djla wm óg fmr oel fkd;snqfKka wmf.ao is;a le<ôK'

zzljqo" ñiag¾ r.=kdokag fufyg tkak lsh, lsõfj'ZZ Tyq fõ.fhka weiSh' Tyqf.a fldamhg fya;=j oeka meyeos,sh' r.= Bfhau l%shd;aul jkakg we;' r.= Tyqf.a nvq uqÜgq oeka oeka fuydg f.fkkq we;ehs uu we;ska fmfkkakg jq fldßfvdaj fooio n,ñka .efyñka isáfhñ' wfmka ms<s;=re ke;s jQ ksid Tyqf.a fldamh ksù .shdla n÷ úh' zzñia, fyd|g ys;d.kak' fu;ekg B'iS'cS' frfldaäiaÜ flfkla f.k;a ;sfhkafk fldfyduo @ uq¿ frdayf,au f,âvq frdao mqgqj, fg%d,s ;shdf.k fï jdÜgqj myq lrf.k wr fl<jf¾u ;sfhk lduf¾g hkak jqfKd;a fldfydu ;sfhaúo @ wfkl fï fuäl,a fjdaâ tlla'

fldfydugj;a jdÜgqjl whsfkka j;a mqgq" fg%d,s f.kshkfldg f,âvqkag fudk ;rï lrorhlao @ wksl fï ydÜ fmaIkaÜia,d" fm;säka" fuda*ska oS, friaÜ tfla ;shk f,âvq'ZZ isÿj ;snqfKa fuhhs' yf;a jdÜgqfjka ldurhla ,eîu .ek w;sYh i;=gg m;a r.= todu Tyqg ldurhla ,enqKq nj ffjoH wêldÍjrhdg oeKqï oS we;' bkamiq úh hq;=u mßos ta mqj; wfma ù'mS'g oek.kakg ,eìK' tfjf,au Bg úreoaO;ajh m%ldY l< Tyq bkamiq jdÜgqjg meñKsfha fï ksfhda.h ÿka n,j;d ljqoehs fidhd oek.ekSugh'

zzuu tal .ek tÉpr ys;=fj kE i¾' thd ldurhla fydhkak lsh, wfma jdÜgqjg wdju uu kslug lsõfj'''ZZ uu lshd isáfhñ'

ke.S wdfhah' zzug lula kE" thdj f.k;a ;shkak ´f.d,a,kag TÉprgu ´ks kï ux tï'tia g lshkakï'˜

zzwmsg ´ks lula kE i¾'''ZZ wms tldjkaj lSfjuq' Tyq kej;o iskdiqfKah' zzwehs tfykï ta wysxilhg tkak lsh, fndre lf<a'''' Tyq ta ál lSfõ bx.sßisfhks' "So why did you deceive that innoocent man'ZZ r.=kdokag h<s wm fj; taug jqjuKdjla fkdùh' ;j ;j ;eka fidhkakgo jqjuKdjla fkdùh' ta Tyqg iaÓr ia:dkhla w¿f;kau f.dvkexùug ffjoH wêldÍjrhd lghq;= werUQ ksidh'

*diaÜ mí,sIska iud.u úiska m%ldYhg m;a lrjk ,o zzfrdayf,ka weiqKQ l;dZZ lD;sfhka Wmqgd .kakd ,oS' úuiqï - 2682223

zzwd''' tfyuo @'''ZZ ù'mS' Wmydih uqiq ne,aula ud fj; fy<Sh' Tyqf.a uqyqfKa u| iskdjla

ffjoHjrhd - udisl ffjoH iÕrdj

BEWARE OF EATINGTILAPIA

jeõ ud¿j;a ¥IKh fj,d''' wmg ;sfnk fyd|u fm%daàk m%Njh jeõ ud¿ j, úúO ¥Is; ridhk /ila ;r jáka uqyqo ;snqK;a wfma rfÜ u;aiH iïm; ;ju;a wfma mdßfNdackhg m%udKj;a jkafka kE' fï ksidfjkau ñßosh ëjr l¾udka;h osß.ekaùu os.gu isÿ fjkjd' ñßosh ëjr l¾udka;fhaos j.d lrk ud¿ idudkH jyf¾oS y÷kajkafka jeõ ud¿ hkqfjka' tajd zcmka fldr,sZ hkqfjkao y÷kajkjd'

wm%sldfjka weú;a fï rfÜ uq,anei.;a cmka fldr,s cmka fldr,s lSjdg fï ud¿ ,xldjg wdfj wm%sldfjka' ta 1952 j¾IfhaoS' úYd, wiajekakla .; yels ùu;a fjfiiskau rij;a wdydrhla ùu;a ksid cmka fldr,s fkdfyd;a jeõ ud¿ wfma rfÜ fndfydu ckm%sh jqKd' cmka fldr,s lSjdg fï ñßosh ud¿ y÷kajk mD:q, kduh ;uhs ;s,dmshd lshkafk' ;s,dmshd fmdaIH .=Kfhka b;d by< wdydrhla' ;s,dmshd fmdaIH .=Kfhka by<hs ;s,dmshd wk.s fm%daàk uQ,dY%hla' ldka;djlg idudkHfhka osklg fm%daàk .a?ï 46la ´ks' msßñfhl=g wjYH fm%daàk m%udKh Bg äx.la jeähs' .arEï 56la muK' idudkHfhka jrlg wkqNj lrk ud¿ lE,a,lska fï ffoksl fm%daàk wjYH;djfhka yß wvlau iïmQ¾K lr.kak mq¿jks' wfkla jeo.;a ldrKh ;uhs" ;s,dmshd j, ;sfhkafka le,ß w.h wvq fm%daàk' fïjd fi!LHhg b;du;a ys;lrhs' úgñka î 12 yd fmdgEishï jf.au ;j;a jákd fmdaIl /ila ;s,dmshd ud¿ j, ;sfnkjd' 2016 wfma%,a l<dmh

jeõ ud¿j;a ¥IKh fj,d'''

ta;a oeka fï ud¿kaf.a YÍr mßir ¥IKhg yiqfj,d''' ta;a fï ;s,dmshd iïnkaOfhka oeka oeka fmdaIKfõoSka w;f¾ hï wfrdardjla we;sù ;sfnkjd' ;s,dmshd iajdNdúlju c,dYj, jefjkjd kï .eg¿jla kE' ta;a fï ud¿ f.dúm<j, j.d lrk tajfk' fï úosyg j.d lsÍfïoS ud¿ j, fmdaIK .=Kh wNsnjd wys;lr úI fldgia ud¿ j,g tl;= jk njhs fï m¾fhaIlhka wkdjrKh lrkafka' Tjqka lshk yeáhg f.dúm<j, jjk ;s,dmshd ud¿ lsysmdldrhlska ¥IKh fjkjd' fï ud¿ wkqNj lsÍfuka wmg fi!LH .eg¿ rdYsshla we;s fjkjd' m,sfndaOkdYl yd m%;scSjl j,ska ;s,dmshd ¥IKh fjkjd ud¿ f.dúm<j, ud¿ .ykh w;sYhska jeähs' b;ska myiqfjka fï ud¿ka frda. j,g ,la fjkak mq¿jka ksid úIîc kdYl fokjd' 57

BEWARE OF EATINGTILAPIA

thska jk m%;scSjl T!IO ¥IKh tlla' wfkla ldrKh ;uhs fï úosfya f.dúm,l úúO m,sfndaO wdl%uK we;s fjkak mq¿jka ksid m,sfndaOkdYl;a c,dYhg tl;= lrkjd' fïjd ud¿kaf. isrere ;=< ;ekam;a fjkjd' ud¿ wkqNjfhaoS fï ridhk wfma YÍrfh;a fmr<s lrkak mq¿jka'

iajdNdúl c,dY j, we;s oeä jk ud¿ka yd iei|SfïoS ;s,dmshd ud¿ f.dúm< j, ldnKsl ¥Il oi .=Khlska muK jeä nj fy<sorõ ù ;sfnkjd'

jeõ ud¿j;a ¥IKh fj,d'''

YÍrh ;=< m%odysl ;;a;ajhka we;s lrkak bv ;sfnkjd fïl kj;u fy<sorõjla' wm úúO frda. ksid m%odysl ;;a;ajhkag uqyqK mdkjd' weÿu" ykaosm;a frda." yoj;a wdndO óg WodyrK' fï m%odysl ;;a;ajhka jeä lrkakg f.dúm< j, jjk ;s,dmshd ud¿ fya;= jk nj fy<sorõ ù ;sfnkjd' f.dúm< ud¿ j, fïo ixhq;sfha fjkila iajdNdúlj c,dY j, jefvk ;s,dmshdjka yd ii|k l< f.dúm<j, ;s,dmshdjka fi!LHiïmkak nfjka wvqhs' f.dúm< ud¿kaf.a fm%daàk m%udKh;a wvqhs' ys;lr fïohla fia ie<flk Tfu.d - 3 fïo wï,h;a idfmalaIj wvqhs' idudkHfhka YÍrhg ys;lr fïo wï, úfYaI folla ;sfnkjd' Tfu.d -3 yd Tfu.d 6 hkqfjka' fïjdfha ys;lr iunr;djhla ;=<ska ;uhs wmg fmdaIK jdishla ,efnkafka' j.d lrk ;s,dmshd ud¿ j, fï iunr;djh .s,syS hdfuka iDKd;aul n, mEula we;s fjkak bv ;sfnk nj m¾fhaIlhka wkdjrKh lrf.k ;sfnkjd' ms<sldldrl ldnKsl ¥Il oy .=Khlska jeähs iajdNdúl c,dY j, we;s oeä jk ud¿ka yd iei|SfïoS ;s,dmshd ud¿ f.dúm< j, ldnKsl ¥Il oi .=Khlska muK jeä nj fy<sorõ ù ;sfnkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

iajdNdúlj c,dY j, jefvk ;s,dmshdjka yd ii|k l< f.dúm<j, ;s,dmshdjka fi!LHiïmkak nfjka wvqhs' f.dúm< ud¿kaf.a fm%daàk m%udKh;a wvqhs' ys;lr fïohla fia ie<flk Tfu.d - 3 fïo wï,h;a idfmalaIj wvqhs'

vfhdlaiska vfhdlaiska lshkafk úI ridhkhla' th YÍrfha idudkH l%shdldß;ajhg wys;lr n,mEï lrkjd' th YÍrfha ms<sld we;s lrjkak;a wjl,a l%shdldß;ajhl fhfokjd' iajdNdúl c,dYj, ;s,dmshd ud¿kaf.a ;sfnk

2016 wfma%,a l<dmh

vfhdlaiska m%udKh ne¨ju ta jf.a 11 .=Khla muK f.dúm< ;s,dmshdjkaf.a isref¾ ;sfhkjd' wms ys;uq" hï flfkl= yg hïlsis vfhdlaiska m%udKhla YÍr.; jqKd lsh,' thska nd.hla isrefrka neyer jkak;a wjqreÿ 7-11 w;r ld,hla .; fjkjd' fï wkQj Tng meyeos,s fjkj we;s vfhdlaiska lshkafk Nhdkl" f,fyisfhka YÍrfhka neyer fkdjk ridhkhla' oeka ;s,dmshd ud¿;a f,v fj,d''' fï úosyg n,k úg ;s,dmshd ud¿ wdydrhg .kak úg ta .ek fomdrla ys;kak ´ks' iajdNdúl c,dY j, jevqKq ;s,dmshd ud¿ fyd|hs' fi!LHdrlaIs;hs' ta;a ñksiaiq f.dúm< j, fï ud¿ka we;s lsÍfïoS fhdok úúO ridhk øjH" fí;afya;a ksid oeka ;s,dmshdjkq;a f,v fj,d' ta ud¿ lEju wms;a f,v fjkjd' wjidkfhaoS tys jkaosh;a ñkaiqka jk wmgu f.jkak isÿ fjkjd' 59

wdhq¾fõoh

ue,a¨ï" m;a;= yd fnfy;a f;,a w;f¾ isÿ flfrk wfma úYañ; levqï-ì÷ï fjolu

ue,a¨ï" m;a;= yd fnfy;a f;,a w;f¾ isÿ flfrk wfma úYañ; levqï-ì÷ï fjolu ffjoH ta'tï' pß;a w;djqo BAMS – University of Colombo (Reg. No. 11559) Certificate Course of Korean Acupuncture (A.137) National Teaching Hospital of Ayurveda Sri Lanka rcfha ffjoH ks,OdÍ - iS;djl m%dfoaYSh iNdj charithathauda@yahoo.com/ www.acusl.com 071 850 1973 Y%S ,dxlslhka jk wmg jir oyia .Kkl isg mej; tk f,dj úYauhg m;a l< levqï-ì÷ï fjolula Wreu ùu wfma jdikdjls' wiaÓhla levqKq úg th meh ;=klska iú lrk fyda meh wglska iú lrk fyda meh ;sylska iú lrk fyda Èk ;=klska iú lrk fyda ,sm ;enQ n; b;sfrk úg iújk ^n; b;sfrk ikaêh& wd§ f,i b;d flá l,lska iú lrk T!IO wm i;=j we;' foaYSh fjolfï fukau wdhq¾fõo .%ka:j, o levqï-ìÿï fjolu .ek úYd, jYfhka lreKq i|ykaj we;' b;d fláfhka tu lreKq lsysmhla muKla Tn yuqfõ ;eîug leue;af;ñ'

ffjoHjrhd - udisl ffjoH iÕrdj

wdhq¾fõo fjolug wkQj ì|Sï iy wjikaê ùï wdhq¾fõo fjolfï levqï-ìÿï zN.akZ f,i y÷kajhs' ldKav N.ak - tkï wiaá leã hduhs' m%Odk wdldr 12 ls' ikaê uqla;h - ikaê mekSu' m%Odk wdldrh 6ls' ikaê uqla;h fyj;a ikaê mekSu ikaê uqla;h fyj;a ikaê mekSfï wdldr frda. ,CIK wd§ úia;r iys;j uekúka j¾. lr olajd we;' Wod # W;amsIaGh" ú.a,sIaGh" új¾;slh" wO#CIsma;h" w;sCIsma;h" ;S¾hla CIsma;h ldKav N.ak fyj;a wiaÓ leã hdu ldKav N.ak fyj;a wiaÓ leã hk wdldrh wkqj fjk fjku úia;r iys;j olajd we;' Wod # l¾lgl N.akh" w.aj l¾YKh pQ¾Kslh ^wiaÓ lene,s j,g leãhdu& mdákh ^wiaÓ yryg msmsÍ hdu& óg wu;r j W¨lal=j" flàu" weueÜáh" ;e,au" ^wNHka;r ;e,au" ndysr ;e,au& f,i o wjia:d olajd we;' tajdfhao j¾.j,g fnoñka fjk fjku úia;r úYd, jYfhka fmd;mf;a i|yka fjhs' tajdg lrk m%;sldro fj; fjk u úia;r lr we;'

nd, iy ;reK whf.a wiaÓ iú jkjdg jvd jhiska jeä uy¨ whf.a wiaÓ iúùug ld,h jeämqr .; fõ' fï ksidu uy¨ wh jeàï wd§ wk;=rej,ska wdrlaId jk f,i f.or fodr mßirh ilid §u b;d jeo.;a fõ'

2016 wfma%,a l<dmh

wdhq¾fõoh

ue,a¨ï" m;a;= yd fnfy;a f;,a w;f¾ isÿ flfrk wfma úYañ; levqï-ì÷ï fjolu

wdhq¾fõo ffjoHjrhdg wiaÓ leã hdula ÿgq úg th idhkslj mÍCId lr n,d th l=uk wdldrfha N.akhlao hkak fidhd .; yel' fï wkqj Tyq ta i|yd l=uk ms<shï fhdokjdo hkak ksYaph lr m%;sldr wrUhs' wdhq¾fõo uQ,sl .%ka:hla jk iqY%e; ixys;dfõ levqï-ìÿï fjolu .ek uekúka úia;r lr ;sfnk w;r thska b;d iq¿ fldgila Tng bÈßm;a lsÍug ug is;a úh' —myr je§fuka keyeh we;=<g msúiS .shfyd;a # Yd,dldjlaa kdih ;=< fhdod" by<g Wiaid" weo jQ keyeh iDcq fldg" yqiau fy<Su - .ekSu Wfoid uqL folla we;s k,hla kdid mqghkayS msúijkafkah' blaì;s frÈ máj,ska fj<d T!IO fiajkh lrkafkah'ZZ iqY%e; ixys;dj – N.ak Ñls;aid óg wjqreÿ fooyilg fmr ,shjqKq m%;sldr l%u mqÿu iy.; fkdfõ o@ ì÷Kq wiaÓhla iqj jk yeá idudkHfhka wiaÓhla ì£ .sh úg th iqj ùug n,mdk lreKq i<ld n,uq'

wdhq¾fõofha i|yka jkqfha uOqr" wï," ,jK" lgq" ;sla;" laIdh hk ish¨u rihka wvx.= wdydr ,nd .; hq;= njhs' ngysr ffjoH úoHdjo wiaÓ ì÷Kq wfhl= hym;a fmdaIKhla mj;ajd .ekSfï jeo.;alu wjOdrKh lr ;sfí'

• ì÷Kq wiaÓhla fldgia fol wE;ska msysgùu th iqjùug ndOdjla f,i i<lk neúka wiaÓ fldgia fol ;snqKq wdldrhg ,x lr wE;a fkdjk f,i nkaOk fh§u isÿl< hq;=h' tfuka u tu ia:dkh fkdfi,afjk f,i ;eìh hq;=hs' fï i|yd wdhq¾fõo ffjoH l%ufha § fkdfhla øjH j,ska idod .;a m;=re ;nd ne§u isÿ lrhs' • wiaÓ ìÿKq mqoa.,hdf.a jhi wkQj wiaÓ iú ùug hk ld,h ;SrKh lrhs' nd, iy ;reK whf.a wiaÓ iú jkjdg jvd jhiska jeä uy¨ whf.a wiaÓ iúùug ld,h jeämqr .; fõ' fï ksidu uy¨ wh jeàï wd§ wk;=rej,ska wdrlaId jk f,i f.or fodr mßirh ilid §u b;d jeo.;a fõ' Wod # .,a fifj, iys; ,siaik ia:dk iqoao mú;% lsÍu" jeisls<s hdfï § w,a,df.k hdug wdOdrhl ì;a;sj, iúlr ;sîu' • fmdaIHodhS wdydr fõ,la ,nd §u' fuh wdhq¾fõofha

ffjoHjrhd - udisl ffjoH iÕrdj

i|yka jkqfha uOqr" wï," ,jK" lgq" ;sla;" laIdh hk ish¨u rihka wvx.= wdydr ,nd .; hq;= njhs' kùk úoHdjg wkqj o wiaÓ ìÿKq mqoa.,hkag le,aishï" úgñka D" úgñka C wd§ f,i le,aishï iys; fmdaIHodhS wdydr fõ,la ,nd §u ks¾foaY lrhs' ^l;=reuqx.d" yd,aueiaika" t<lsß wd§ wdydrj, jeämqr le,aishï wvx.= fõ' úgñka j¾. t<j¿ m<;=rej, wvx.= fõ& ue,a¨ï" m;a;=" f;,a j¾. weiqf¾ ì÷Kq wiaÓ iqj lrk yeá óg wu;r j wdhq¾fõofha wkkH N.ak m%;sldrh f,i wm i<lkafka leã fjka ù .sh wiaÓ tlg ;nd m;=re ;nd fkdfi,afjk f,i ilid thg ;nd n¢k ue,a¨ï" m;a;=" f;,a j¾. wd§ T!IOhkah' fuu T!IO ksid wiaÓ iú ùfï YS>%;dj b;du;a by< hhs' uq,ska lS mßÈ meh ;=klska ^;=ka mE ykaÈh& ;sia mE ykaÈh ^meh 30 lska&" n;a b;sfrk ykaÈh ^n;la ,sm ;nd th 2016 wfma%,a l<dmh

b;sÍug hk ld,fha § wiaÓh ikaêùfï& wd§ f,i b;d flá l,lska wiaÓ iújk w;r wdhq¾fõo ffjoHjreka úiska ±kg;a fuu T!IO nyq, jYfhka Ndú; lrñka mj;S' • wiaÓhla lefvk wdldrh wkqj;a th iqjùfï ld,h r|d mj;shs' tkï wiaÓfha msmsÍula muKla isÿ ù we;ao @ wiaÓ len,sj,g l=vq ù we;ao @ m;=re .e, ù we;ao @ hk f,ih' jeros f,i iú jQ wiaÓ kej; ilik wdldrh óg wu;r j wdhq¾fõ o ikaê fjolfï § leã jeros f,i iú jQ wiaÓ kej; ilik wdldrh o b;d jeo.;a fõ' fuys§ jerÈ f,i iú jQ wiaÓj,g T!IO ne| nqre,a lr kej; kshñ; f,i ilid kej; wiaÓ iú jk T!IO ne§u isÿ lrkq ,efí' ld¾h nyq, j¾;udk iudcfha wiaÓhla leãhdu ksid udi ;=k y;rla tla;eka ù isàu ksid frda.Shdg isÿ jk wd¾Ól fuka u udkisl mSvkh ffjoHjre f,i wm fyd|dldrju y÷kk neúka levqï-ì÷ï" mekSï" ;e,Sï" flàï wdÈh isÿ jQ úg blauKska iqj ùu i|yd wdhq¾fõo m%;sldr fj; fhduqùu b;du;a kqjKg yqrejk w;r iqÿiqlï ,;a wdhq¾fõo ffjoHjrfhl== fj; fhduq ùug j.d n,d.ekSu o b;du jeo.;a fõ'

wfma merKs fjolï úialï

lsreï ñKqï Ydia;%fhka frda. iqjh iok i,ik yeá

lsreï ñKqï Ydia;%fhka frda. iqjh iok i,ik yeá ffjoHjrhd mdGlhka fj; lrk iqúfYAIS fy<sorõj ymq;f,a tia' tï' ã' fifkúr;ak úisks

ir ish .Kklg fmr wfma me/kakka Ndú;d l< mqÿu iy.; lsreï ñKQï Ydia;%h .ek i|yka m;abre lsysmhl úia;r iaj,amhla miq.sh osfkl mßYS,kh lrkakg wjia:djla ug ,eìK' tu iaj,am úia;rh wkQj fuu Ydia;%h Wmfhda.S lrf.k frda." jHdê wdosh Tiq Ndú;djla fkdue;sj iqjm;a l< yelsh'

tfukau wejeis kï kshñ; ññ wkQj n;a jeks foa lsrd wkqNjhg ,nd oSfuka ksfrda.S ñksfila frda.sfhl= njgo m;a l< yelsh' fuu igyfka we;s úia;r j,g wkQj brÜfÜ ixLHdfjka Tiq uekSfuka ,efnk M< úmdl ;dur >DISka úiska olajd we;s njo T;af;a ixLHdfjka uksk lsrK fohska jk M, úmdl kdro >DISka úiska olajd we;s njo i|yka fõ' fuu úYañ; Ydia;%fhka i;=rka ñ;=rka lsÍugo" ñ;=rka i;=rka lsÍugo" .j uySIdoSka" w,s we;=ka ;u ji`.hg .ekSu i|yd lsrd osh hq;= ;Kfld< wdosfhyso .Kka ññ oelafõ' wlSlre uqrKavq

mqoa.,hka yslauùu" ksfjfia iduh" iu.sh we;s lsÍug" u;g .scq jQjka bka uqojd .ekSug úril jQjka iu.s lsÍu" frda. we;s lsÍu yd ke;s lsÍu wdoS jYfhka hym;a foa fukau whym;a foao tlu fmd;lska bosßm;a lsÍu ksid miq lf,loS fuu Ydia;%h .ek ,shejqKq fmd;m; úkdY lf<Ao hkak wmeyeos,sh' fuys úia;r jk f;dr;=re wkQj .sf;,a" ómeKs" ¨KQ" W!reuia" u;ameka wdosho lsrd uek fok l%u mj;S' rd wdoS uoHmdk j¾. wksis ññ j,ska uek ÿka úg khs" fmdf,dx wdoSkaf.a úI we;s jk njo fuysu i|yka fõ' fï flfia jQjo oekg wmg yuqù we;s m;abre lsysmfha i|yka úia;r wkQj .j uySIdoka ;ukaf.a ji`.hg .ekSu i|yd Tjqka lEug ßis fohla f.k m,x wghs" l,x y;rhs" ;, weg yhhs" wuq weg yhhs" ù weg yhhs" uoáh weg yhhs" lsrd lEug osh hq;= nj i|yka fõ' fï wdldrhg frda. iqj ùug kshu lr we;s n;a lsrd lEug oSfï ms<sfj, úia;r lr we;af;a fufiah'

ffjoHjrhd - udisl ffjoH iÕrdj

YÍr.; úI bj;a lsÍug m,x ;=kg ;=x l<|la fhd ;,ska kjh uoáh i;l=;a úh;a tlhs wuq weg tfld<i fojka n;a lsrd uq,a úi ke;s

okafka .kafka .kafka jkafka

c,h lsrd uek frda.Skg fok wdldrh fuys my; i|yka jkqfha ksis muKg c,h lsrd uek frda.Skg fok wdldrh .ek úYañ; lsreï ñKQï Ydia;%fha i|ykaje we;s m%;sldr úêhls'

ù f.ä y;hs uoáh kjhla ;, weg ;syhs ;=ka l<|hs tf, ;kaks y;hs tlalu ,doS ;=ka fodia kid f,v iqj fjhs oek

.kafka iskafka mkafka .kafka

brÜfÜ ixLHdfjka Tiq uekSfuka ,efnk M< úmdl ;dur >DISka úiska olajd we;s njo T;af;a ixLHdfjka uksk lsrK fohska jk M, úmdl kdro >DISka úiska olajd ;sfí'

fï fmdf;ys oelafjk ;j;a úia;rhla fun÷h'

m,x i;rg l<÷ka fol / úfhka i;r uoáh wgl=;a fhd ;,ska oyh wuq weg fol n;a fhd fojka lkag rg yer hhs Wu;=

f.k ok ok fhk

hym;a foag fukau whym;a foag fuu Ydia;%h Ndú;d lsÍug yelshdjla mj;sk neúka fuu flafIA;%hg wod, fmd;am;a wka ika;l fkdlsÍug wfma me/kakka l,amkd lsÍu ksid fï jk úg wm w;ßka fuu Ydia;%h ms<sn|j oeKqu úkdY ù we;s njla fmfka' wE; w;S;fha úiQ il= ni okakjqka w;r muKla Ndú;d jQ fï úfYAIs; Ydia;%h uykqjr hq.fhaoS muK fy< nig mßj¾;kh lr we;s nj fuys tk NdId ú,difhkau is;sh yel' .Ks; l%uhla u; mokï jQ Ydia;%h frda. we;s lrhs - ke;s lrhs f,dj mqrd úisÍ we;s úúO ixialD;Skag wh;a ñksiqka úiska f.dvk.d .kakd ,o ta ta rgj,g wkkH jQ foaYSh ffjoH l%uhka w;r frda. j,g Tiq rys;j lrk m%;sldro ;sfí' Ökfha m%lg Ök lgq Ñls;aidj o tnkaols' thg Tiq fhoSula fkdue;' fuu lsreï ñKQï Ydia;%ho tnkaols' fuu l%ufõo folgu mdol ù we;af;a .Ks; l%uhls' wmg wm%lg jQjo fuu Ydia;%h .ek okakd 2016 wfma%,a l<dmh

fndfyda fokd isákq we;ehs úYajdi l< yelsh' flfia jQjo wfma merKs fjolu wdoS foa .ek Wkkaÿjla olajkakka fuf;la fun÷ Ydia;%hla wfma rfÜ Ndú;d jQ j.la fkdoek isáhd úh hq;=h' oekg wmg yuqù we;af;a mqiafld<m;a bre foll muK úia;r iaj,amhla muKs' tys i|yka f;dr;=re mdol lr.ksñka fuu úia;r Wlyd .kakd ,oS' wm úiska fuu iïmQ¾K mqia;lh fidhd .ekSug n,j;a W;aidyhla fh¥jo fuf;la ta m%h;akh id¾:l jQfha ke;' 65

THINK TWICE

mqxÑ fohla''' b;d jeo.;a mdvula jukh wdhdifhka kj;ajkak tmd'''

mqxÑ fohla''' b;d jeo.;a mdvula

jukh wdhdifhka kj;ajkak tmd'''

miq.shod wjqreÿ 16l ;reKfhla b;d wjdikdjka; f,i ksos hyfkaoS ñh .sfhah' fï Tyq ñh hdug fya;=jhs' fï ;reKhd ksod.kafka ish ifydaorhdo iu.sks' tod rd;%sfha Tyqg lsishï Tlaldr .;shla we;s úh' iaj,am fj,djlska Tyqg jukh hkakg yok njo oeKqfkah' Tyq jyd wef|ka ìug mekafkah' iajlSh fidfydhqrd fuh ÿgqfõh''' zzu,a,s''' lg w,a,f.k ÿj, nd;arEï tlg ÿjkak'''ZZ u,A,S wdhdifhka fow;a uqjg f.k 66

jyd nd;areï tl foig osõfõh'ZZ tysoS isÿjQ wjdikdjka; isÿùu fufiah' wirK ;reKhd wdhdifhka jukh ysr lr.kakg .;a W;aidyfhaoS jukh uqjg meñK th iajrd,hg msúiqfKah' fudkhïu fyda fohla wm yqiau ngh f,i lshk iajrd,hg msúiSu b;d wjodkï iy.;h' tlajru fï iajrd,hg msúiqKq juk modih ksid iefklska yqiau ysrù ;reKhd yosis urKhlg m;a úh' ldf.a fyda n, lsÍulg fyda iafõÉPdfjka fyda wm;a fujka juk je<elaùug W;aidy lruq' ldmÜ tl" we| fyda ldurh wdrlaId lr .ekSfï wruqKska wdhdifhka jukh je<elaùug W;aidy oeÍu ydkslr muKla fkdfõ' th w;sYh udrdka;slo jkafkah' 16 yeúßos ;reKhd wmg lshdoS cSú;fhka kslau .sh mdvu thhs'

ffjoHjrhd - udisl ffjoH iÕrdj

FEMALE INFERTILITY

ia;%S u|ireNdjh

orejka ,eîug ndOd we;s lrjk ldka;d fya;= .ek oek.kak Wish Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr MBBS (Sri Lanka) MD (Gyn. & Obs - Infertility) China Pg. Dip. (Andrology) - Monash - OUSL Master of Clinical Embryology- (Monash, Australia) SLMC Reg. No. 20800

uy;d iu. l< idlÉPdjla m miq.sh l,dmfhka orejka fkd,eîug n,mdk mqreI uQ,sl fya;= .ek l;dnyl fhÿKd' ta wdldrfhkau fujr ore iïm;a m%udo lrk ldka;d fya;= .ek úia;r lrkjd'

oreiïm;la i|yd iïmQ¾K úh hq;= ldrKd ldka;djl .¾NKshl ùug kï lreKq lsysmhla iïmQ¾K úh hq;=hs' fukak ta lreKq''' • ldka;djf.a äïnfldaI j, äïn ksIamdokh ù tajd jrlg tlla ne.ska ksoyia úh hq;=hs' äïnfudapkh (Ovulation) hkqfjka ye|skafjk fï l%shdj,sh .ek Tn oeka lreKq /ila okakjd' • Tfí iylre i;=j ksfrda.S Y=l% fudapkhla isÿúh hq;=hs' ksfrda.S Y=l% Od;= .ek wm miq.sh l,dmfhka l;dny l<d' • Tfí ire oskj,oS fofokdf.a ldhsl tlaùu isÿúh hq;=hs' • äïn iy Y=l%dKQ tl;= jkafka mef,damSh kd,fhaoS' ndOd rys; mef,damSh kd, fukau fï îch j¾Okh ùug myiqj i,ik .¾NdIh ndOdjlska f;drj ta ld¾hh bgq l< hq;=hs'

2016 wfma%,a l<dmh

ixfiapkfha wisßu;a isÿùu uq,skau äïnfldaI hq.,fhka tllska mßK; äïnhla fudapkh fjkjd' mef,damSh kd,h ta äïnh .%yKh lr.kakjd' Y=l%dKQ .eíf.," .¾NdIh yryd mef,damSh kd,h fj; meñfKkjd' tysoS äïnh yd Y=l%dKqj ixfiapkhù ta hqla;dkqj .¾NdIh fj; meñK j¾Okh msKsi ,e.=ï .kakjd' ldka;djl .eí fkd.ekafjk fya;= ldka;djl ore iïm;a fkd,nk fya;= /ila ;sfnkjd' wm ta .ek l;d lruq' äïn fudapkh yd iïnkaO .eg¿ ksire;djh we;s ùug n,mdk fya;= w;ßka ishhg 25lg muK fya;= jkafka äïn fudapkh yd iïnkaO fodaIhs' fuh

FEMALE INFERTILITY

ia;%S u|ireNdjh

fydafudakuh n,.ekaùulska isÿjk ld¾hhla' fjfiiskau yhsfmd;e,uifha yd msáhqgß .%kaÓfha fydafudak wvq¨yq`vq;djhla ksid äïn fudapk l%shdj,shg ndOd meñfKkak mq¿jka' fkdtfia kï äïnfldaI.;j we;sjk jHqyd;aul fodaIhla fjkak;a mq¿jka' wm fï tl tlla ;;a;ajhka ú.%y lr n,uq' • Polycystic ovary syndrome (PCOS) fï frda.h ksid yhsfmd;e,uifha" msáhqgß .%kaÓfha jf.au äïnfldaI wdY%s;j ixlS¾K fjkialï we;s fjkak mq¿jka' fuysoS tajdhska ksl=;a lrk fydafudak j, fjkialï we;sù äïnfudapkh ksishdldrj isÿ lsÍug ndOd meñfKkjd' fï frda.h we;s ldka;djkag bkaishq,ska m%;sfrdaOhla we;sù oshjeähd jeks ;;a;ajhlao myiqfjka we;s fjkak mq¿jka' uqyqfKa" YÍrfha yeu ;eku frdau yefokjd' l=re<E;a yefokjd' • yhsfmd;e,uifha l%shdldß;ajh ì|jeàu Hypothalamic dysfunction iEu udihlu Tima ùu ksishdldrj isÿùug fydafudak foll l%shdldß;ajh n,mdkjd' f*da,sl,a iaáñhqf,aIka fydafudakh (FSH) 68

iy ¨ákhsiska fydafudakh (LH)' folu >%djh fjkafk msáhqgß .%kaÓfhka' wêl wd;;sl ;;a;ajhka" nr w;sYhska jeäùu" nr w;sYhska wvqùu fuysoS yhsfmd;e,uifha l%shdldß;ajh wvd, lrkak fya;= úh yelshs' Tima >%djh wl%uj;a ùu fyda Tima l%shdj,sh fldfydugj;a isÿ fkdùu fï wjl%shdldß;ajh fmkakqï lrk m%Odk ,laIK' • Premature ovarian insufficiency iajhx m%;sYla;slrK fodaIhla ksid

ffjoHjrhd - udisl ffjoH iÕrdj

we;sjk jeros ix{djla óg fya;= fjkjd' fuysoS äïnfldaI j, ;sfnk mgl myr lEulg ,laù mßK;shg m;a jkakg fmr äïn úkdY ùula" ñheoSula isoaO fjkjd' fuh m%fõKsl .eg¿jla f,i isoaO fjkak;a mq¿jka' ms<sld j,oS .kak lSfudf;rms m%;sldrfha m%;sM<hla úosyg fjkak;a mq¿jka' • fm%d,elaáka >%djh by< hdu

tkafvdfuá%fhdaisia we;s úg Tima ùfïoS wêl fõokdjla f.k fokjd' ta jf.au wUqieñ in|;d j,oS;a fõokdj we;s fjkjd' frda.h y÷kd.; yelafla ,emriafldms mÍlaIKhlska' ialEka tllska hïlsis b`.shla muKla ,nd.; yelshs'

2016 wfma%,a l<dmh

fm%d,elaáka >%djh muK blaujd jeä jqKdu Biag%cka >%djhg ndOd meñfKkjd' uQ,sl jYfhka fuhg fya;= jkafk msáhqgß .%kaÓfh fodaIhla' Tn .kak lsishï fnfy;la ksid fyda fjkhï ndysr n,mEula ksi;a fujka ;;a;ajhla we;súh yelshs' mef,damSh kd,fha we;sjk fodaI mef,damSh kd,fha we;sjk fodaI ksid;a .eí .ekSï j,g ndOd isÿ fjkak mq¿jks' mef,damSh kd,h wjysr jQ úg Y=l%dKqj ta Tiafia meñKSug ndOd meñfKkjd' fuysoS wu;l fkdl< hq;= b;d jeo.;a ;j;a .ukla ;sfnkjd' ixfiaÑ; hqla;dkqj .¾NdIh n,d hk tl''' wjysr jQ mef,damSh kd,h fï lghq;= j,g ndOd f.k tkjd' mef,damSh kd,h wjysr ùug n,mdk fya;= • fY%daKs wdidokh Pelvic inflammatory disease uQ,sl jYfhka óg n,mdkafk la,eñähd" f.dfkdaßhd jf.a ,sx.dY%s; wdidok' Wm;a md,k Wml%u ksishdldrj ia:dms; fkdlsÍu" kS;s úfrdaë .íidjka jf.au .eíf., wdY%s;j isÿ lrk ie;alï ksid;a fufyu fjkak mq¿jka' Tima ld,fhaoS ,sx.sl iïnkaO;d meje;aùfukq;a fuh isÿ fjkak mq¿jka' t;fldg úIîc j,g m%fõY fjkak ;sfhk bv m%ia:dj jeähsfk' • l,ska wjia:d j,oS isÿlr ;sfnk Y,Hl¾u;a fuhg n,mEula we;s lrkak mq¿jka' úfYaIfhkau kd, .¾N ms<sis|Sï (ectopic pregnancy) ksid isÿ lrk ie;alï' • wfma rfÜ t;rïu iq,n ke;s jqK;a Pelvic tuberculosis kue;s frda.S ;;a;ajho mef,damSh kd,j, iqug Ndjh ke;s lrkjd'

FEMALE INFERTILITY

tkafvdfuá%fhdaishdj Tima reêrh lsishï fya;=jla ksid Wvq w;g .uka lr Wor l=yrhg we;=,a ù Wor l=yrh ;=< f,a leá iy we,Sï we;s lrkjd' we;eï fj,djg Worl=yrfha nvje,a wdY%s;j .¾NdI ì;a;shg iudk isú Wm;skau msysgkjd' fï wdldrfhka Wor l=yrhg f,a .uka lsÍï ksid we;sjk we,Sï fya;=fldg f.k tkafvdfuá%fhdaisia we;s fjkjd' tkafvdfuá%fhdaisia we;s úg Tima ùfïoS wêl fõokdjla f.k fokjd' ta jf.au wUqieñ in|;d j,oS;a fõokdj we;s fjkjd' frda.h y÷kd.; yelafla ,emriafldms mÍlaIKhlska' ialEka tllska hïlsis b`.shla muKla ,nd.; yelshs' .¾NdIfha we;sjk jHqyd;aul fodaI Wmf;aoSu we;sjk fï fodaI ksid .enla fkdmsysgk wjia:d ;sfnkjd'

ia;%S u|ireNdjh

.eíf.f,a we;sjk jHqyd;aul fodaI • .eíf., widudkH f,i mgqùu .eí .ekSug ndOdjla' • we;eï fj,djg .eíf.f,ys ksmofjk >%djh Y=l%dKq j,g msyskd hdug ;rï iqÿiq fkdjk wjia:do ;sfnkjd' fya;=jla oelaúh fkdyels .eg¿ m%;sikaêhg n,mdk .eg¿ j,ska ;=fkka tlla mqreI uQ,slhs' ;=fkka tlla ia;%S uq,slhs' we;eï fj,djg lshkak fodaIhla kE' ta;a .eí .ekSula we;s fjkafk kE' tfyu fodaI;a ;=fkka tllau ;sfnkjd' ta .ek;a oek isàu jeo.;a fjkjd' ore iïm;la m%d¾:kd lrñka jirla muK .;ù;a m%;sikaêhla fkd,enqKq úg lsishï .eg¿jla fõfoda hhs fidhd n,kjd' ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx.uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï lafIA;%fha m<mqreÿ wfma jD;a;Sh iydh ,nd oSug wm b;d leue;af;ka isáuq' wmg l;d lrkak' fukak wfma wxlh ( 077 972 8799 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a;mdr mrK fldÜgdj mdr Wvyuq,a, kqf.af.dv

ldka;djka fjkqfjka isÿ lrk mÍlaIK ms<sn|j wm ,nk l,dmfhka l;d lruq'

ffjoHjrhd - udisl ffjoH iÕrdj

fodafr .,k ore fifkyi mqnqÿjd,kakg''' wjirhs'''' ore iïm;a m%udo ùu ksid ;j;a ,; úh hq;= kE' wm fj; tkak' Tfí .eg¿jg úi÷u wm fidhd fokakï

ì%;dkHfha iqÿiqlï ,enQ idhksl úfYaI{ ffjoHjrfhl=f.a fiajh ,nd .ekSug 011 2836 788 ÿrl:k wxlhg wu;kak'

ore iïm;a ,eîug wm wdh;kfhaoS isÿ lrk Wiia m%;sldr • Intrauterine insemination • IN-VITRO FERILIZATION (IVF) • Pre-implantation genetic diagnosis (PGD/PGS) • Intracytoplasmic sperm injection (ICSI) • Microepididymat and testicular sperm aspiration (MESA AND TESA) • Embryo/sperm freezing (vitrofication) • Egg freezing (vitrofication) • Social freezing • Assisted hatching • Blastocyst Transfer • FROZEN EMBRYO TRANSFER (FET) • Embryo donation program • Egg donation program • Becoming an egg donor • Fertility preservation .¾NsKS;djh iïnkaOfhka Tng we;sjk ´kEu .eg¿jloS wmf.a fiajh Tng ,nd.; yel'

WISH Fertility & IVF Clinic

2016 wfma%,a l<dmh

No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda , Sri Lanka. Tel: 077 9728 799, 077 3273 866 E mail: wishiuiivf@gmail.com 71 Web: wishiuiivf.com

AD-MIRE Creative

wmf.a fiajdjka iuyrla • mqreI u|ire;d fodaI mßmQ¾K iudf,dapkh • ia;%S u|ire;d fodaI mßmQ¾K iudf,dapkh • .íid os.gu isÿùug m%;sldr • äïn ksIamdokfha fodaI • .¾NsKS;djfha ud¾f.damfoaYk

WARNING

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

;reKlu /l.kak uiamsvq jvjkak .kakd we;eï T!IO Nhdkl m%;sM, we;s l< yelshs ffjoH .sIdka; oikdhl ;ukaf.a ;reK fmkqu È.= l,la mj;ajd .ekSug ´kEu ldka;djla leu;shs' tA fjkqfjka Tjqka úúO wdf,amk yd úgñka j¾. Ndú;d lsÍu ful, iq,n f,iu isÿjkakla' ldka;djka fujeks foa Ndú;d lrk w;f¾ ,sx.sl ÿn,;d u. yrjd,k iy W;af;ack jeä lrjk T!IO flfryS ful, msßñka ;=< jeä b,a¨ula we;s njo jd¾;d fjkjd' ldka;djkaf.a iu /,s jeàu yd tA wkqj úhm;a fmkqula Èiaùu jeks oE Ôj 72

úoHd;aulj n,k úg frda. ;;a;ajhla fkdfõ' th fidnd oyfï kshduhhs' ms<sfj,hs' kuq;a uy¿ jkakg leu;s ldka;djka fï f,dalfha we;ehs is;kakg nE' ,dNodhS jHdmdrh ck;dj fkdu. hjkjd fï wjYH;djhka b,lal lr .ksñka f,dj úúO T!IO yd rEm,djkH øjH ksIamdok iud.ï ;reK fmkqu wdrlaId lr .; yels wdf,amk j¾." T!IO yd úgñka wdÈh jeä jeäfhka ksmojkjd' fïjdg f,dj mqrd we;af;a w;sYh by< b,a¨ula' fuh we;af;kau uy;a ,dNodhS jHdmdrhla' wm l,ska i|yka l< wdldrhg ful, msßñka ;=< ,sx.sl ÿn,;d we;s ùug tl fya;=jla jkafka nyq,j mj;sk udkisl úvdj yd wd;;shhs' /lshd me;af;ka ne¨fjd;a jegqm

fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;' waidyawaraya.lk ffjoHjrhd - udisl ffjoH iÕrdj

m%udKj;a fkdùu" iaÓrNdjh ms<sn| .eg¨ jeks fkdfhl=;a m%Yak ;sfnkjd' wfkla w;g wfma rfÜ ck;djg Ôj;a ùug iß,k jegqmla ;ukaf.a /lshdj ;=<ska ,efnkafk b;du;au iq¿ msßilg ú;rhs' fï ksid ;uka lrk /lshdjg wu;rj Ôj;a ùug wjYH uQ,sl wjYH;d iïmdokh lr .ekSu i|yd ;j;a wu;r wdÞhï ud¾. fidhd .kak jeä msßilg isÿù ;sfnkjd'

2016 wfma%,a l<dmh

WARNING

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

wmg wo ld,fha we;s wd¾Ól m%Yak ueo fi!LHh ;¾ckhg ,lafjk yeá /lshdfõ m%Yak Th wdldrfhka mj;soa§" f.or fÞfr;a ;j fkdfhl=;a m%Yak' tA w;r orejkaf. wOHdmk lghq;= ms<sn| m%Yak" iuyrekag f.j,a l=,S m%Yak" ojiska oji by< hk ,hsÜ ì,a" j;=r ì,a" .Eia ñ, wd§ fulS fkdlS ish¨u foa ksid mqÿudldr úÈyg wfma rfÜ idudkH ck;djf.a udkisl wd;;sh jeks ;;a;ajhka by< hñka mj;skjd' fï ksid we;s jk úúO ldhsl" udkisl w¾nqo flfkl=f.a ,sx.sl Ôú;hgo we;s lrkafka úYd, n,mEula' wfkla w;g ;reK jhfiaoS ksis wd¾Ól ;;a;ajhla i,id .ekSug fndfyda msßñkag ;sfnk wjia:d wvqhs' tAlg;a fya;=j /lshdjla ke;slu fyda ;uka lrk /lshdjg m%udKj;a jegqmla fkd,eîuhs' fï ksid msßñkag ;ukaf.a újdyh ojiska oji l,a oukakg isÿ fjkjd' ksis jhfiaoS újdy jkakg fkd,enqKq úg udkisl n,mEu u; ,sx.sl ÿn,;d we;s úh yels w;r wfkla w;g Tjqka jerÈ ,sx.sl p¾hdjkag keUqre ùfï jeä wjldYhl=;a ;sfnkjd' kS;Hdkql+,j ;ukaf.a wjYH;d bgq lr .ekSug fkdyels jk úg wiïu; yd YsIag iudch ms<sfkd.;a l%u Tiafia ldhsl i;=gla ,eîug fjr ±Íu ñksia iajNdjh' fïjdhska we;s jk udkisl n,mEu yd mSvkh wjidkfha ,sx.sl ÿn,;djla olajd hdug myiq wjldYhla ;sfnk nj lsj hq;=hs' flfia jqjo wm jeks rgj, ;sfnk fujeks .eg¨ f,dj T!IO iud.ïj,g uqo,a wdlr njg myiqfjkau m;a lr.kak yelshdj ,eî ;sfnkjd' tA ksid fïjd Tjqkaf.a m%Odk b,lalhkqhs' wjodkï iy.; ,sx.sl W;af;ackh T!IO fï wkqj msßñkaf.a ,sx.sl W;af;ackh jeä lrjk yd ÿn,;d ÿre lrk T!IO fukau

ffjoHjrhd - udisl ffjoH iÕrdj

rEm,djkH ms<sn| T!IO wdf,amk wdÈho úYd, jYfhka wfma rgg fkdfhl=;a iud.ï u.ska f.kajkq ,nkjd' fïjd fndfyduhla ,shdmÈxÑ l< T!IO fkdfjhs' iuyr tAjd f.kajkafk wdhq¾fõo yd iajNdúl Ydlidr jeks fkdfhl=;a f,an,a hgf;a' iQlaIau f,i furgg ßx.d fjf<|fmd< wdl%uKh lr ;sfnk fï T!IO lsisÿ ffjoH ks¾foaYhlska f;drj ^over the counter l%uhg& kï lshd *duisj,ska ,nd .ekSfï yelshdjo ;sfnkjd' mdßfNda.slhka fkdu. hjñka ksoyfia wf,ú jk wka;rdhlr T!IO wka;rdhlr T!IO úêúOdk mk; hgf;a iuyr T!IO j¾. úfYaI{ ffjoHjrekg ñi idudkH ffjoHjrhl=gj;a ks¾foaY l< fkdyelshs' tAjd *duisj,ska ñ,§ .; yelafla úfYAI{ ffjoHjrhl=f.a ks¾foaYh u; muKhs' kuq;a fujeks T!IO kduj,g iudk kï j,ska hq;= T!IO j¾. ±ka fjf<|fmdf<a we;s w;r we;eï úg úfYaI{ ffjoHjreka mjd fï fjf<|kdu wkqj fkdu. hk wjia:d ;sfnkjd' fun÷ T!IO ms<sn| lsisÿ ksjerÈ ;lafiarejla l< yels wdh;k wfma rfÜ kE' 2016 wfma%,a l<dmh

iuyr ngysr T!IO j¾. w;r w;=re wdndO jeä T!IO ;sfnkjd' fujeks T!IO ffjoHjreka frda.Skag ks¾foaY lrkafka frda.fha ;;a;ajh yd w;=re wdndO ms<sn|j ;=,kh lr w;=re wdndOj,g jvd frda. ;;a;ajh m%n, kï muKhs' kuq;a fjf<|fmdf<a ffjoH ks¾foaYhlska f;drj ñ,§ .; yels ,sx.sl ÿn,;d ke;s lrk nj lshk ;reK fmkqu wdrlaId lr fok nj lshk fkdfhl=;a T!IO iïnkaOfhka tjeks iSudjka lsisjla kE' tAjdhska u;= isÿ úh yels w;=re 75

WARNING

wdndO ms<sn|j ±k .; yels l%uhl=;a kE' tA tAjdfhys we;s ridhksl ixhq;sh ms<sn|j fidhd ne,Sug l%uhla fkd;sîu ksihs' fïjdfha wvx.= úia;r m;%sldj,j;a m%udKj;a úia;r kE' ia:q,;djhg T!IO ñ,oS .kakg fmr wms ia:q,Ndjh .ek n,uq' fïl ia;%S mqreI fomsßigu n,md ;sfnk f,dl= m%Yakhla jqj;a msßñkag jvd ia:q,Ndjh .ek <;efjkafka;a" th ke;s lrf.k isyska jkakg W;aidy lrkafka;a ldka;djkqhs' iuyrekag ia:q,Ndjh m%Yakhla ù ;sfnk w;f¾ iuyr ;reKshkag wêl fliÕ nj;a m%Yakhla' flfia jqj;a fï folgu iß,k T!IO ±ka fjf<|fmdf<a ;sfnkjd' ngysr ffjoH úoHdjg wkqj iuyr frda.j,g ñi iEu frda.hlgu m%;sldr keye jf.au iEu frda.hlgu m%;sldr wjYH jkafka;a kE' ia:q,Ndjh ms<sn|ju ie,l=jfyd;a jHdhdu ke;slu yd msá" f;,a iy meKsri

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

wdydr jeä jeäfhka .ekSu fya;=fjkao iuyreka uy;a fjkjd' ;j;a iuyr wh uy;a jkafka YrSrh ;rndre lrjk lsishï frda.hla ksidhs' fuysoS fojkqj lS lreKg T!IO kshu lsrSu ffjoHjreka úiska isÿ l<;a uq,ska lS ldrKhg T!IO we;af;a kE' ta i|yd l< yelafla jHdhdu .ksñka wdydr md,kh lsrSuhs' —weÕ flÜgq lrk fnfy;a˜ kuq;a wo wfma rfÜ ´kEu flfkl=g *duishlg .syska —weÕ flÜgq lrk fnfy;a˜ hehs mjid ñ,§ .ekSfï yelshdj ;sfnkjd' fïjdhska miqjg we;s úh yels wys;lr m%;súmdl .ek fï wysxil ck;djg ±kqula kE' tA .ek ±kqj;a úh yels l%uhl=;a kE' wka;sfï tAjdfha w;=re M, jYfhka úúOdldr frda.dndO Þhdo lrf.k ÿlaú¢kak Tjqkg isÿ fjkjd' úgñka E ys;=uf;ag .ekSfuka fjk foa rEimqj úhm;a ùu md,kh lsÍu i|yd ±ka ldka;djka nyq, f,iu Ndú;d lrk úgñka E .ek n,uq' fuh fïofha Èhjk úgñka j¾.hla ksid wêl f,i .ekSu ;=<ska isÿjkafka YÍrh wjYH m%udKhg ,nd .;a miq b;sßjk fldgi isrer ;=<u ;ekam;a ùuhs' c,fha Èhjk úgñka kï jeäfhka .kakd m%udKh uq;%d iu. isreßka neyer ù hkjd' kuq;a fïofha Èhjk úgñkaj, jeämqr we;s m%udKh YÍrfhau ;ekam;a jQ miq tAjd bj;a lrkakg nE' wka;sfï tAjd wêl f,i ;ekam;a ùfuka úúOdldr f,v frda. j,g f.dÿre ùu isÿ fjkjd' tksid úgñka .; hq;af;a ffjoH ks¾foaYh u; muKla nj Tng wjOdrKh lrkjd' wjqreÿ 18" 20 jeks jhiaj, ;reKhka fndfyda fofkla ;ukaf.a uiamsvq j¾Okh lr .kak leu;shs' fïl tA jhfia we;eï ;reKhka ;=< we;s iajNdúl wsYdjla' fï ksidu udxYfmaYs j¾Okh lrk úgñka iy lsßmsá j¾. fjf<|fmdf<a ;sfnkjd' fï iuyr lsßmsá .%E'200l muK mqxÑ melÜgqjla .%E'400l idudkH lsßmsá melÜgqjlg jvd yh .=Khla ;rï ñf,ka jeähs'

ffjoHjrhd - udisl ffjoH iÕrdj

udxYfmaYs j¾Ol T!IO fïjdhska udxYfmaYska msïì,d tk nj we;a;' kuq;a tjeks m%;sM,hla blaukska w;a jkafka fldfyduo@ udxYfmaYska fõ.fhka j¾Okh lrjk fydafudak j¾. fuu lsßmsá iy T!IO j, wvx.=hs' kuq;a fï fydafudak ksid wfma YÍrfha wka;rdid¾. moaO;sfha iu;=,s; nj ì£ hkjd' fidndoyug tfrys ùfï M<úmdl ´kEu fohla fidnd oyu wmg ysñ lr § ;sfnkafk wmg wjYH m%udKhghs' wm tAjd wfma ´kE tmdlï j,g wkqj fjkia lrkakg hdu ;=<ska wmg ,efnk o~qjï fndfyda úg wmg Tfr;a;= fkdfok tAjd úh yelshs' fuys we;s krlu m%;sM,h kï wjqreÿ 20" 22 jeks ld,j,§ .kakd fujeks T!IO yd wdydr øjH ksid ,efnk wys;lr m%;súmdl Tng ú¢kak fjkafk wjqreÿ 40" 45 ú;r fjkfldg ùuhs' kuq;a tA ldf, fjkfldg wjqreÿ úis.Kkaj,§ Ndú;d l< wr T!IO yd wdydr .ek Tng u;lhl=;a kE' u;l ;snqK;a —tAjd wrka wjqreÿ úiailg;a jeäfka' ±ka fldfyduo tAjfha m%;súmdl ,efnkafk˜ hkqfjka Tn th wj×dfjka neyer lrkak mq¿jka' YrSrhg lrk wfrdardjka YrSrh u;l ;shd .kakjd Tng tAjd u;l ke;s jqKdg YÍrhg tAjd u;lhs' Tn tAjd wj×dfjka neyer l<dg YÍrhg tA tllaj;a úys¿ jkafka kE' tAa wkqj Tn Tfí YÍrh ;=<g ,nd ÿka yeu fyd| yd krl foalu m%;sM, YÍrh Tng wu;l fkdlru ,nd fokjd' krl foaj,a jeä jeäfhka Tn YÍrhg fok úg tAjd ord.kak neß iSudjl§ Tnj ;j ÿrg;a ksfrda.Sj ;nkakg Tfí bkaøshhkag fkdyels fjkjd' tys B<Õ mshjr jkafka Tn ;=<ska úúO frda. ,laIK u;= ùuhs' B<Õg Tn frda.sfhla' ±ka iuyr úg Tn m%udo jeä fjkak;a mq¿jka'

2016 wfma%,a l<dmh

Tn fkdoekSu yoj;a frda.sfhl= lrk T!IO udxYfmaYs j¾Okh i|yd fok fydafudakuh T!IO yd wdydru wms WÞyrKhlg .ksuq' fïjdhska j¾Okh jkafka w;a md wdÈfha udxY fmaYs muKlau fkdfjhs' wfma yDoh jia;=j;a udxYfmaYs j,ska iEÿK bkaøshhla' Tn .;a fydafudak ksid tys udxYfmaYso j¾Okh ù yDoh jia;=j úYd, fjkjd' muKg jvd yDofha udxYfmaYs úYd, ùfuka l,la .; jk úg yDofha udxYfmaYs wvmK ùula isÿfjkjd' tA wkqj wjqreÿ .Kklg miqj Tn fkd±kSu yDo frda.sfhla fj,d' lK.dgqjg lreK ffjoH ks¾foaYj,ska f;drj .kakd fujeks oE .ek fidhd n,kakg lsisjl=;a fkdue;s ùuhs' wfma rfÜ T!IO m%;sm;a;shla yokak rch l%shd lrkafka kï fï ;;a;ajhka y÷kd f.k úêu;a l%shd ud¾.hla .; yels fjkjd' tAl rcfha hq;=lula' j.lSula' tfia fkdjqfKd;a wfma rfÜ ck.ykfhka b;d úYd, m%udKhla kqÿre wkd.;fha§u frda.Ska ùu j<lajkak ,efnkafka kE'

PHARMACOPIA

udrdka;sl msg.eiau frda.fhka wdrlaId ùug ,nd fok msg.eiau tkak; Tetanus Toxoid ó.uqj osia;%sla uy frdayf,a T!IOfõoS ;sirx.S w;=fldar,

msg.eiau tkak;

fuu nelaàßhdj u.ska msg.eiau frda.h we;s lrkafka flfiao @ fuu nelaàßhdj YÍrhg w;sYhska ydkslr W.% úIla ksmojk w;r tajd wfma isref¾ iakdhq moaO;sh u; l%shd;aul fjñka iakdhq l%shdldß;ajh wvmK lrhs' fuu tkak; ksIamdokh lrkafka flfiao @ fuh we¿ñkshï Wrd. kakd øj jelaiskhls' iqÿmeye Suspension tlla wdldrfhka mj;S'

Tn hï wk;=rla ksid ;=jd, ,enQ wjia:djla isysm;a lrkak' m%;sldr msKsi ffjoHjrfhl= uqK .eiSug .sh úg ;=jd,h msßisÿ lr fnfy;a oeóug wu;rj tkak;lao ,nd ÿkakd u;l we;s' l=vd orejkag fukau .¾NKS uõjrekago wjia:d lsysmhloSu msg.eiau tkak; ,nd fokjd Tng isysm;a lr.; yelshs' msg.eiau kue;s udrdka;sl frda.fhka Tnj .,jd .ekSug fok fï msg. eiau tkak; ksid ienúkau cSú; iq/flkjd' wm msg.eiau frda.h .ek;a thg ,nd fok msg.eiau tkak; .ek;a wjfndaOhla ,nd.ksuq' msg.eiau frda.h we;s jkafka flfiao @ fuh Clostridium tetani kï ks¾jdhq nelaàßhdj ksid we;sjk w;s uy;a ìhlre frda.hls'

msg.eiau tkak; Ndú;d lrk wjia:d fudkjdo @ • ish¿ jhia ldKav j, msg.eiau frda.h je<elaùug • kj ckaóh fkdfyd;a w¿; Wmka ì<s÷ka fï frda. fhka wdrlaId jk m%;sYla;shla we;s lsÍug Tetanus Toxoid wvx.= tkak;a fudkjdo @ • ;%s;aj tkak; (DTP) • mxp ixhqc tkak; (Pentavelant) DTP, Hib, Hep B • äma;Sßhd iy jeäysá msg.eiau tkak; (aTd) • msg.eiau tkak; wfma rfÜ fuu ffjoHjrhd - udisl ffjoH iÕrdj

wdldr ish,a, iq,nj Ndú;d jk w;r Bg fjkia ñY%K wdldr j,skao msg.eiau tkak; Ndú;d fõ' wk;=rla isÿjQ wjia:djloS msg.eiau tkak; ,nd fokafka flfiao @ m%:u tkak;a ud;%dj tu wjia:dfõoSu ,nd fok w;r fojk ud;%dj i;s yhlg miqj yd ;=kajk ud;%dj udi yhlg miqj ,nd fohs' Tn wjika jrg msg.eiau tkak; ,nd.;a oskh" ld,h ms<sn|j ffjoHjrhd oeKqj;a lsÍfuka Tng tkak;a l< hq;= ud;%d ms<sn|j ;SrKh lsÍug ffjoHjrhdg jvd myiq jkafkah' tfiau l=vd orefjl= iïnkaOfhka ;SrK .ekSfïoS cd;sl m%;sYla;slrK jevms<sfj, hgf;a orejdg ,ndÿka tkak;a ms<sn|j ffjoHjrhd oeKqj;a l< hq;=h' imhd we;s <ud j¾Ol igyka fmdf;a tkak; úoSfuka miq igykla fhdokq we;' cd;sl m%;sYla;slrK jevigyk hgf;a l=vd orefjl=g msg.eiau frda.h i|yd 2016 wfma%,a l<dmh

m%;sYla;slrKh ,efnk wjia:d fudkjdo @ • mxp ixhqc tkak; (DTP - Hep B - Hib) udi 2"4"6 • ;%s;aj tkak; (DTP) udi 18 • oaú;aj tkak; (DT) udi 18 • jeäysá äma;Sßhd" msg.eiau tkak; (aTd) wjq' 10-15 .¾NsKS uõjreka i|yd msg.eiau tkak; ,nd fokafka flfiao @ • m<uq .¾NKS wjia:dfõoS i;s 12lg miqj tkak;a m<uq ud;%dj ,ndfok w;r tu oskfha isg i;s 6-8 w;r ld,fhaoS fojk ud;%dj ,nd.; hq;=h' • miq .¾NKS wjia:d j,oS tla tkak;a ud;%djla muKla ,ndoSu isÿ lrhs' fï ms<sn|j idhk wjia:dj,oS ffjoHjrhd úiska uõjreka oeKqj;a lrk w;r .¾NKS Ndj w;r mr;rh fjkia jk wjia:d j,oS tkak;a ,ndoSu fjkia úh yelsh' fuu tkak;a ,nd.kakd wjia:dj,oS ie<ls<su;a úh hq;= lreKq fudkjdo @ • Tn hï T!IOhla" wdydrhla fyda tkak;la i|yd wdid;añl;d ,;aIK m%lg lr we;akï ta nj fkdmels,j ffjoHjrhdg okajkak' • tkak; ,ndfok wjia:dfõ Tn hïlsis frda. hlska fmf<kafka kï ta nj ffjoHjrdg okajd Tyq oeKqj;a lrkak' • l=vd orejka i|yd tkak;a lsÍfïoS orejdf.a jhi" nr yd frda.S ;;a;aj ms<sn|j ffjoHjrhd oeKqj;a lrkak' • tkak;a lsÍfuka miqj u| WK .;shla we;sùu iajdNdúlh' ta i|yd ksjeros merisgfuda,a ud;%dj Ndú;d lrkak' • tkak;a lsÍfuka miq ;o WK" ifuys ,m we;sùu" m¿ oeóu" wêl f,i oyäh oeóu" fkdikaiqka nj" la,dka; .;sh jeks frda. ,laIK my< jqjfyd;a frda.shd jydu <`.u ;sfnk frday, fj; f.k hkak' • óg wu;rj tkak; ,ndÿka ffjoHjrhd" fi!LH ld¾h uKav,h Tng ,ndfok Wmfoia ms<smoskak'

EYE CARE

oshjeähdj ksid we;sjk wlaIs wdndO

oshjeähdj ksid we;sjk wlaIs wdndO ffjoH Wmfoia wkQj frda.h md,kh lr.;af;d;a oshjeähdj wdY%s; ixl+,;d fndfyda fihska j<lajd .; yelshs wlaIs Y,H úfYaI{ ffjoH tï tia wur;=x. úisks oshjeähdj fya;=fldg f.k wefia l%shdldß;ajfhys úúO fjkialï yg.kS' fï .ek wm oeKqj;a fjuq'

j¾;k fodaI iSks wvq jeä jk úg wefiys fmkSfï ;djld,sl fjkialï we;sfõ' fïjd j¾;k fodaI (Refractive errors) hkqfjka ye|skafõ' wm olsk jia;=j ksishdldrj wefiys kdNs.; fkdùfuka we;sjk fodaI zj¾;k fodaIZ f,i oelafõ' iSks jeäjk úg ÿr we;s jia;=ka meyeos,sj oelsh yels fkdfõ' fmkSu fnd| fõ' tfiau iSks wvqjk úg wmeyeos,s jkafka <`.ska we;s jia;+ka meyeos,sj oelSfï yelshdjhs' fï wdldrfhka wefya fmKqu iïnkaO .eg¿ j,g uqyqKmdk oshjeähd frda.Ska we;eï wjia:d j,oS reêr iSks md,khlg ,lajQ úgo wefya fmKqu ÿ¾j, jk njg meñKs<s lr;s' fujka j¾;k fodaI weia lKakdähla me<|Sfuka ksjeros lr.; yelshs' wou Tfí wlaIs ffjoHjrhd yuqù mÍlaIdjla lrf.k iqÿiq lKakdähla ks¾foaY lr.kak' 80

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oshjeähdj ksid wefia iqo fõ,dikska we;súh yelshs wefia iqo (Cataract) hkq wefia ldph fkdfyd;a wm olsk jia;=j kdNs.; jk ia:dkh wdY%s;j yg.kakd fodaIhls' fuysoS wm n,k rEmfhys meyeos,s nj ke;sù n,k jia;=fjys j<dl=<la jeks iajNdjhla wmeyeos,s" fnd| iajNdjhla oeÍu isÿfjhs' fuhg m%;sl¾uh jYfhka fï fodaI iys; ldph bj;a lr lD;%Su ldphla wefia ;ekam;a lsÍu isÿ flf¾' oshjeähdj we;s úg fï wefia iqo we;s ùfï m%jK;djh jeäh' tfiau wefia iqo ;;a;ajh blauKska j¾Okh ùulao isÿ jkafkah' oshjeähd wlaIs wdndOh fuh Diabetic Retinopathy hkqfjka ye|sskafjk frda. ;;a;ajhhs' wm oDIaÀ ú;dkh .ek idudkH jyf¾oS y÷kajkafka zwefya isúhZ hkqfjks' wefya isúfha we;sjk .eg¿ j,g l,g fõ,djg ms<shï 2016 wfma%,a l<dmh

fkdfhoSfuka wei wkaO úh yel' oshjeähd frda.Skaf.a wefya isúh fkdfyd;a oDIaÀ ú;dkh wk;=rg ,laùfï bvlv jeäh' ly,mh leurdjl fiahd mg,h jf.ahs oDIaÀ ú;dkh wefya msgqmig fjkakg msysgd we;s wjhjhls' tys ueo fldgi ly ,mh (macula) kï fldgihs' weila leurdjg iudk lf<d;a oDIaÀ ú;dkh leurdfõ fiahd mg,hhs' wm hula foi n,k úg tys m%;sìïnhla oDIaÀ ú;dkfha ;ekam;a fjhs' ta hál=re iajrEmfhks' thska wk;=rej fud<h wdY%s; iakdhql l%shdj,shla n,.ekaù fmkSu kue;s ixfõokh kshudldrfhka wmg w;aú|skakg i,iajhs' Blood ocular barrier ÿ¾j, fjkjd wefia f,a kyr ieliS we;af;a hï úfYaIs; wdldrhlgh' oDIaÀ ú;dkhg wjYH lrk fmdaIKh ,ndoSug iu;a fï f,a kyr j, isg oDIaÀ ú;dkhg reêr iemhqu ,nd fokafka Blood ocular barrier kï mdr.uH mg,hla" ndOlhla yrydh' oshjeähd frda.Skaf.a fï Blood ocular barrier tl l%u l%ufhka ÿ¾j, fjhs' tys m%;sM<hla jYfhka f,a j, ;sfhk f;,a" j;=r wdosh oDIaÀ ú;dkhg ldkaÿ fjhs' oDIaÀ ú;dkfha úh<s nj yeuúgu jeo.;a''' oDIaÀ ú;dkh iEu úgu ;sìh hq;af;a úh<s iajrEmhlsks' th wms íf,dáka fmam¾ tll ksoiqklska myod.kakg W;aidy lruq' mdúÉÑ fkdl< íf,dáka fmam¾ tlla úh<sh' f;; hula ta u; iam¾Y jQ úg ta f;; íf,dáka fmam¾ tlg Wrd.kS' thska tys úh<s iajNdjh ke;sfõ' md,kh fkdl< oshjeähd frda.Skaf.a wefia oDIaÀ ú;dkfhao úh<s Ndjh ke;sjkafka fï wdldrfhks' fufia oDIaÀ ú;dkfha yqremqreÿ úh<sNdjh ke;sùfuka l%udKql+,j wefia fmKqu ÿ¾j, jkafkah'

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wfma ishqï fmKqug" j¾K ye|skSug WmldÍ jk ly ,mh wm zly ,mhZ hkqfjka wmf.a y÷kajk ishqï fmKqug WmldÍ jk oDIaÀ ú;dkfha we;s ;j;a fldgilgo fï ksid n,mEula we;s jkafkah' ly ,mh ishqï fmKqug fukau jia;=jl we;s j¾K thdldrfhka .%yKhgo Woõ jk fldgihs' ;r, ldkaÿ ùuloS ly ,mh bosóulg ,laù wE; isák flfkla y÷kd. ekSug we;s yelshdj" wl=re lshùug we;s yelshdj wdosh ySk lrhs' ly ,mh fufia ÿr fmKqu yd j¾K m%;s.%yKhg WmldÍ fj;aoS oDIAÀ ú;dkfha wjfYaI fldgia wjg fmKqu fkdfyd;a yd;ami ksÍlaIKhgo" w÷f¾ jia;= oelSugo WmldÍ fjhs' oshjeähdj ksid fï l%shd iEu tllgu mdfya ydks isÿúh yel' fkdjeo.;a reêrjdyskS we;sùfuka isÿjk wk;=rla oDIaÀ ú;dkh bosófïoS uq,skau isÿ jkafka ishqï f,a kyr wjysr ùuhs' fuys m%;sM<hla f,i oDIaÀ ú;dkfha ffi, j,g Tlaiscka jdhqj m%udKj;aj iemfhkafka ke;' fï ksid oDIaÀ ú;dkfha jHqyd;aul fjkila isÿjk w;r th Neovascularization jYfhka ye|skafõ' fï ksid kj jdyskS w¿;ska we;sjk w;r kj mgl úfYaI ìys ùulao isÿfõ' wNskjfhka we;sjk fï jdyskS yd mgl j, we;s úfYAI;ajhla jkafka tajd Yla;sfhka ÿ¾j, ùuhs' reêr jdyskS mqmqrd f,a .e,Sï isÿ úh yelshs' mgl kï yels,S hd yelshs' fuys we;s úNùh wjodku jkafka fï wdldrfhka oDIAGÀú;dkh ÿ¾j, ù th .e,ù hdug (Retinal detachment) we;s wjodkuh' fojeoEreï jQ wk;=rl .;s fidnd oshjeähd wlaIs wdndOh uQ,sl jYfhka fojeoEreïh' 82

oshjeähdj ksid we;sjk wlaIs wdndO

. Non-Proliferative Diabetic Retinopathy 2. Proliferative Diabetic Retinopathy Non-Proliferative Diabetic Retinopathy ;;a;ajh wvq wjodkula iys; wk;=r uQ,sl wjia:dfõ ixl+,;djhls' fuysoS oDIaÀú;dkfha we;s ishqï reêr kd, j,ska reêrh ldkaÿ ùula isÿfjhs' tys m%;sM<hla jYfhka oDIaÀú;dkh bosóu iy ta u; ;ekam;= we;sùu fkdje<elaúh yelalls' fuu ;;a;ajhg m;a frda.Ska i|yd m%Odk m%;sldrh jkafka f,ai¾ lsrK we,a,Suhs' weye ;=<g T!IOhla tkak;a lsÍuo isÿ lrKq ,nhs' fï m%;sldr j,ska id¾:l;ajhla w;am;a lr.ekSu ÿIalr jQ úg Trans pars plana vitrectomy kï Y,Hl¾uhla u.ska fï fodaIh ksjeros flf¾'

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ixl+,;d wjia:dj oDIaÀú;dkh u; w¿;ska reêrjdyskS yd mgl we;sùu Proliferative retinopathy hkqfjka ye|skafjhs'

f,ai¾ lsÍu ksid oDIaÀú;dkfha we;s mgl >k ùula isÿ fõ' túg ta ia:dkfha we;af;a cSù ffi, fjkqjg wcSù ffi, modihls' tys cSù .;a ,laIK fkdue;' f,ai¾ lsÍfuka oDIaÀ ú;dkfha isÿjk fuu l%shdj,sh Panretinal photocoagulation kñka ye|skafõ'

oDIaÀú;dkh u; w¿;ska reêrjdyskS yd mgl we;s jQ úg lrk m%;sldr 1' f,ai¾ lsÍu fuysoS uQ,sl jYfhka isÿ lrkafka f,ai¾ m%;sldrhhs' f,ai¾ lsÍu ie<flkafka Destructive Procedure tlla jYfhks' fuysoS m%ia;=; ia:dkfha ffi, úYd, ixLHdjla f,ai¾ loïnhla u.ska úkdY lrKQ ,nhs' túg tu ia:dkfha ;sfnk iuia; ffi, ixLHdfõ wvqùula isÿjk ksid ;sfnk wvq mßudjlska hqla; wï,lr ke;fyd;a Tlaiscka jdhq m%udKh fYaI ù ;sfnk ffi, j, kshñ; l%shdldß;ajhg m%udKj;a jkafkah'

f,ai¾ lsÍfuka fmkSu wvq fjkjdo @ fï wdldrhg f,ai¾ lsÍfuka hï ffi, m%udKhla wl¾ukH lsÍu ksid fmKqug ie<lsh hq;= ydkshla isÿjkafka ke;' ta;a f,ai¾ m%;sldrh ;rula jeä jYfhka isÿ lsÍfïoS kï yd;ami fmKqfï" fome;a; ne,Sfï ÿ¾j,;djhka we;súh yel'

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2' kslafIamk m%;sldrh uqod yefrk ridhk WodiSk lrkakg T!IO kslafIamkh lsÍu ;j;a m%;sl¾uhls' 3' Y,Hl¾uh wefia ;sfnk ;r,hg (vitreous) ñY% ù we;s reêrh bj;a lr fmkSu iqmeyeos,s lrKq msKsi fhdod.kakd fuu Y,Hl¾uh y÷kajkafka Trans pars plana vitrectomy (TPPV hkqfjks'

oDIaÀ ú;dkh wdrlaId lr .ekSug .;hq;= mshjr oDIaÀú;dkhg we;sjk wdmodj,ska j<lskafka flfiao @ oDIaÀú;dkh wdmod j,g ,la jkafka uQ,sl jYfhka Tnf.a iuia; fi!LH msßySug ,laùfuks' fï ksid my; mshjr .ekSu ;=<ska fï wjodku fnfyúka wvq lr.; yel' 1' YÍrfha reêr iSks uÜgu uekúka md,kh lr.kak' 2' YÍrfha fldf,iagfrda,a w.hka iEu úgu ys;lr mrdihl mj;ajd .kak' 3' reêr mSvkh ys;lr mrdihl mj;ajd .kak'

EYE CARE

jirlg j;djla j;a wlaIs ffjoHjrfhl= yuq ùu wksjd¾hhs oshjeähdfjka mSvd ú|sk mqoa.,hka jirlg j;djla j;a wlaIs ffjoHjrfhl= yuqúh hq;=h' th wdrlaIdfõ uQ,sl mshjrla jYfhks'' hï fyhlska wlaIs ffjoHjrhd úiska tu ld,iSudj ;jÿrg;a flá lrKq ,enqfjd;a" Tyq fok Wmfoia wkQj Tfí ffjoH yuqj ie,iqï lr.; hq;= fõ' wlaIs ffjoHjrfhl= jYfhka uf.a w;aoelSu os.= ld,hla ;siafia frda.Ska weiqre lsÍfuka ud ,o w;aoelSulao fuysoS Tng ikaksfõokh lsÍu iqÿiq hhs isf;a' ud okakd iuyr Woúh wjqreÿ ;syla ;siamyla ;siafia oshjeähd frda.Skah' tfy;a fï wh b;d fyd| fmkSulska hqla; fj;s' lsisÿ wlaIs wjodkulao Tjqkg fmfkkakg ke;' tys ryi l=ulao @ fï whf.a hy meje;auhs' Tjqka oshjeähdj md,kh lrkakg fyd|ska ffjoHjreka fok Wmfoia ms<smos;s' wdydr YslaIKh" kshñ; ffjoH mÍlaIK Tiafia ish¿ wNsfhda. ch.kakg Tjqka iu;aj isá;s' ta ksjeros YslaIKhl" hy meje;aul wreuhhs' iSks jeä jqKq uq,a wjia:dfõoSu l%shd;aul jkak YÍrfha iSks jeä jqKdg fndfyda fofkla ta .ek uq,a wjia:dfõu jo fjkafka ke;' Tyq frda. 84

oshjeähdj ksid we;sjk wlaIs wdndO

md,khlg wjYH mshjr .kafka hïlsis .eg¿jla meK ke.=Kq úgh' túg .eg¿j n,.ekaù wjikah' túgo hula l< yelsh' hï id¾:l;ajhlao w;am;a lr.; yelsh' tfy;a túg we;s lr.kakd md,kh" uq,skau we;s lr.kakd frda. md,kh muK id¾:l tlla fkdfõ' YslaIKfhka cSú;h ch .ksuq fï ksid oshjeähdj md,kh lr.kakg;a" ta ksid miqld,Skh we;sjk wf;darla ke;s w;jrhkaf. ka ñoSug;a fok ffjoHjrhd ,ndfok Wmfoia uq,a wjia:dfõoSu ms<smeosh hq;=h' frda.h uev meje;aùfuys,d hïlsis YslaIKhla we;s lr.; hq;=h' fï ms<sfj;a Tiafia Tng id¾:lj oshjeähdj frda.h md,kh lsÍug losu wjia:djla ysñ jkafkah' th Tn mK fukau iq/lsh hq;= fofk;a hq.,o rlaId lrfok fya;=jlau fkdjkafkao @

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ms<sld u¾Okfhys,d b`.=re oi oyia jdrhla lSfudf;rms j,g jvd m%;sM<odhlhs b`.=re oS, ñrsia .kak tmd''' b`.=re ld, kSfrda.S fjkak ms<sld u¾Okhg fhdod .kakd Tiq j,g zlSfudf;rms T!IOZ lshkjd' lSfudf;rms T!IO j,ska ms<sld ffi, úkdY lrk ksid lSfudf;rms m%;sldrh wo fõ.fhka me;sr hk ms<sld u¾Okhg f,dalh mqrd Ndú;d fjkjd' fï lSfudf;rms T!IO j,g;a jvd oi oyia .=Khla m%n, iajdNdúl uq¿;ekaf.hs w;afnfy;la .ek úfYaI fy<sorõjla lrkakhs fï iQodku' b`.=re - uq¿;ekaf.hs iq,nj olakg ,efnk w;a fnfy;la' nfâ lelal=ula yeÿKu uq,skau fok fï uq¿;ekaf.hs w;a fnfy; f;a fldamamfha ri" .=K jeä lrkjd' ÿx f;,a n;g" rij;a wdydr wkqmdk j,g ke;sju neß b`.=re ms<sld u¾Okfhys,d w;s m%n, lSfudf;rms T!IO j,g;a jvd m%n,j ms<sld u¾Okfhys fhfok nj m¾fhaIlhka fidhdf.k ;sfnkjd' b`.=re fï lSfudf;rms T!IO j,g jvd 10"000 jdrhla m%;sM<odhlhs''' ld¾hlaIuhs''' fï ms<sn|j kùK úoHd;aul fidhd.ekSï flfryS wm u|lg úuis<su;a fjuq' ms<sld u¾Okfhys,d b`.=re fcda¾cshd úYaj úoHd,fha m¾fhaIlhka msßila 86

úiska óhka fhdod .ksñka isÿ lrk ,o m¾fhaIKhlg wkQj b`.=re hqI u.ska mqriaÓ;s ms<sld j, m%udKh ishhg 56lska wvq lrjk nj fy<sorù ù ;sfí' b`.=re j,g m%n, m%;sm%odysl .=Khla fukau m%;sTlaisldrl .=Khlao ;sfnk nj fuysoS wkdjrKh jQ ;j;a ldrKhla úh' ykaosm;a frda." weÿu wdoshg fya;= jkafka YÍrfha we;sjk fï m%odysl W;aikak ùïh' jhig hdu" ffi, mßydksh wdosh u¾Okhg m%;sTlaisldrl iu;a fjhs' lS¾;su;a ffjoH m¾fhaIK i`.rdjla jk PLoS b`.=re iïnkaOfhka ;j;a wmQ¾j wkdjrKhla isÿ lrhs' b`.=re j, we;s 6-shogaol kï ridhkslh ms<sld ffi, flfryS m%n, n,mEula isÿ lrk nj fï wkdjrKhhs' fjfiiskau mshhqre ms<sld frda.Ska iïnkaOfhka lrk ,o m¾fhaIK j,ska fï nj fy<sorõ ù ;sfí' 6-shogaol hkq

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b`.=re j,g ,dlaIKsl zier .;shZ ,ndfok iqúfYaIS il%Sh ridhkhhs' ms<sld n, .kajk ud;D ffi, j, l%shdldß;ajh ms<sld YÍrfha we;s lsÍug fya;= jkafka ud;D ffi, hkqfjka ye|skafjk l=U ffi, úfYaIhls' fï ud;D ffi, u.ska úúO ms<sld we;s lrjk ¥ys;D ffi, ksIamdokh lrhs' fï ¥ys;D ffi, u.ska w¾nqoldrl ckmo (tumor colony) we;s lrhs' iuia; ms<sldfjka fï l=U ffi, j, jmißh ishhg 1-2la muKla jk kuqÿ fuys l%shdldß;ajh w;sYhska ;SrKd;aul fõ'

fld,kshla we;s lsÍugo mq¿jk' Tfí YÍrh ;=< ms<sldjla n,.ekaùug we;s bvlv weysÍug we;s tlu l%uh jkafka fï w¾nqohla ;=< tumor wka;¾.; ù ;sfnk fï l=U ffi, úkdY lsÍuhs' b`.=re j, ,dlaIKsl lgql rih we;s lrjk fï 6-shogaol iqúfYaIS ridhkh fï ms<sld we;s lrjk l=U ffi, uev meje;aùfuys,d wk¾>" wkNsNjkSh fufyjrl fhfok nj m¾fhaIK j,ska fy<sorõ ù ;sfí' b`.=re úh<Sfuka miqj Ndú;fhaoS fyda WIaK;ajhg ,la lsÍfïoS fï ridhKslh il%Sh Ndjhg m;a jkafkah'

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fï l=U ffi,j,g iajhx w¿;ajeähdfõ fhfokakg yelsh' fjk;a wdldr j,g úfYaIKh jkakg yelsh' lSfudf;rms wdoS m%;sldr j,g hï m%;sfrdaaOhla we;s jkafka kï Bgo pQos;hd fï l=U ffi,uh' ffi, úfNaokh ù ;j;a ;efkl ysxil ffi, 2016 wfma%,a l<dmh

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b`.=re j, ,dlaIKsl lgql rih we;s lrjk fï 6-shogaol iqúfYaIS ridhkh fï ms<sld we;s lrjk l=U ffi, uev meje;aùfuys,d wk¾>" wkNsNjkSh fufyjrl fhfok nj m¾fhaIK j,ska fy<sorõ ù ;sfí'

ksfrda.S ffi, wdrlaId lrñka ms<sldj úkdY lrkjd lSfudf;rms m%;sldrh u.ska b,lal lrkafka ms<sld ffi,hs' tfy;a mßjdr ydkslr fkdjk ffi,o hï m%udKhla fï m%;sldrh ksid úkdY ù hhs' tfy;a b`.=re ms<sld frda.sfhl=g ,nd oSfïoS tfia wjfYaI ffi, úkdY ùula isÿ fkdfõ' ms<sld ffi, yUd f.dia tajd flfryS m%pKavldÍ fufyhqul fhfok w;f¾ wysxil ksfrda.S ffi, j,g lsishïu fyda wys;lr wdprKhla we;s fkdlsÍu b`.=re j, úfYaI;ajhls' oi oyia .=Khla m%;HlaI m%;sM< mshhqre ms<sld flfryS b`.=re j, l%shdldß;ajh úuiSfïoS mshhqre ms<sld ffi, j, ffi, pl%h flfryS n,mj;ajhs' tys m%;sM<h jkafka ffi,h iDcqju úkdYhg m;a lsÍuhs' 88

fuhska ms<sld ffi, ie,iqïiy.; úkdYhlg fhduq flfrhs' taxol hkq mshhqre ms<sld frda.Ska yg ,nd fok m%n," mD:q, lSfudf;rms Tiqjls' fï Tiqjg jvd b`.=re 10"000 .=Khlska ms<sldldrl l=U ffi, úkkdY lsÍug odhl jk nj úoH{hka fidhdf.k ;sfí' fuh we;af;kau wo hq.fha úoHd{hka mjd uú;hg m;a l< fidhd.ekSuls' wmg ms<sldj iqj lr.ekSug jqjuKdh' ta .ek újdohla ke;' kuq;a ms<sldj iqj ù b;sß cSú; ld,h f,fvla ù .; lsÍuo wjdikdjls' kuq;a b`.=re" ly jeks uq¿;ekaf. hs T!IO tjka w;=re wdka;rdhla isÿ fkdlr fujka Nhdkl frda. j,g ms<shï i,ik nj fmfkkakg ;sfí' l< hq;af;a fïjd wirK ms<sld frda.Ska hym; Wfoid Ndú;hg .; yels jk wdldrfhka úÿyqre m¾fhaIK n,.ekaùuh'

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• flia .ia fmdaIKh lrhs • ms<sld we;sùu j<lajhs • ys;lr YÍr nrla mj;ajd .ekSug WmldÍ fjhs • wêreêr mSvkh md,kh lrhs • m%;sYla;slrK moaO;sh Yla;su;a lrhs

iqÿÆKQ - .=Kj;a fnfy;ls

iqÿÆKQ ixl+,;d lsisjla ke;s .=K rdYshla isrerg ,ndfok wdydrhla f,i y÷kajkafka wehs @ • iqÿÆKq reêrfha fldf,iagfrda,a wvq lrhs' • iqÿÆKq ms<sld /ila u¾Okh lrhs • iqÿÆKq fiïm%;sYHdj iy WKg T!IOhls • iqÿÆKq YÍrfha cS¾Kl l%shdj,sh iqir lrhs • iqÿÆKq reêrfha iSks uÜgu wvq lrhs • iqÿÆKq <h wdidok j,g m%;sl¾uhls • iqÿÆKq wk.s m%;sTlaisldrlhls' ;=reKQ nj /l fohs' • iqÿÆKq m%;scSjl .=Kfhka hqla;h • iqÿÆKq m%;sm%odysl .=Kfhka hqla;h • iqÿÆKq m%;sYla;slrK moaO;sh ;sr lrhs mefmd,a .=Khs - Tn iqrlshs • yDo frda. j,ska Tn iqrlshs • cS¾Kl l%shdj,sh iqir lrhs • wefia fmkSu hym;a lrhs • wd;rhsáia frda.hg iykh i,ihs • ifï j¾Kh meyem;a lrhs

2016 wfma%,a l<dmh

fkdrg m<;=rla jQj;a mefmd,a ;rug iq,n wem,a lEfuka Tng w;ajk jdis • ish¿u ms<sld u¾Okh lsÍfï .=Kfhka hqla;h' • oshjeähdj we;s ùfï bvlv wiqrhs • fldf,iagfrda,a wvq lrhs • yoj; ksfrda.S lrhs • ms;a;dY .,a we;sùu j<lajhs • mdpkhg;a" u<noaOhg;a .=Khs • we,aIhsu¾ frda.h Tfnka wE;a lrhs • mdlskaika frda.fhka Tn wE;a lrhs • iqÿjka o;a fofm,la ,nd fohs

POINT TO PONDER

fgdhs,Ü tfla jeros wdldrhg jdä ùfuka isÿjk w;s Nhdkl wk;=rla

m w;r bkak b;du ál fofkla w;r ;sfhk w;s Nhdkl mqreoaola .ek;a tys we;s ìysiqKq wjodku .ek;a Tnj oeKqj;a lrkak fï igyk fhdod .kakjd'

n,kak fï PdhdrEm osyd' miai me;a; uq¿ukskau ;=jd, jqKq fï wk;=r isÿ jqfKA fldfyduo lsh, okakjdo @ fgdhs,Ü hk úg jeros úosyg b|.ekSfuka' fgdhs,Ü tflaos wms b|.kak úosyla ;sfnkjd' fldfudâ mshk u; miaid me;a; ;sfhk úosyg" fldákau mqgqjl jdä fjkj jf.a fldfudâ tfl;a b|.kak ´ks' ta;a we;eï fokd miaid me;a; fjkqjg ll=,a fol fldfudâ mshfk ;nkjd' fïl jeä fokd lrkafk mshfk j;=r ;sfhk

ksid''' we;eï wh fkdoeKqj;alug;a fï úosyg b|.kakjd' uyckhd .ejfik ia:dk j, fï jeros wdldrfha b|.ekSï iq,nhs' wfma frday,a j,g tk frda.Ska osyd n,mqjdu fuh úr, ldrKhl=la fkdfjhs' fufyu jdä jqKdu fldfudâ tl lefvkak ;sfhk yelshdj jeähs' wehs" nr mshfk taldldÍj me;sfrkafk kEfk' fï ksid fldfudâ tl levqfKd;a miai me;a; firñla j,g midre lrf.k hkjd' thska we;sjk fõokdj wiSñ;hs' yefok ;=jd,h b;d .eUqrehs' fuh b;d Nhdkl wk;=rla' ta .ek ys;d. kak mjd wudrehs' fï ksid jeros wdldrhg fgdhs,Ü tfla jdä fjkak tmd' thska we;sjk wk;=r Tfí cSú;h iodld,slj wl¾ukH lrkak jqK;a fya;= fjkak mq¿jka' ffjoHjrhd - udisl ffjoH iÕrdj

2016 wfma%,a l<dmh

fkdlshQ l;dj

ÿïmdkfhka cSú;h úkdY lr.;a frda.sfhla

we;eï frda." frda.Ska yuqjkafka fyda ke;' fï ksid fmd;aj, we;s rEm n,d fyda l,d;=rlska wjia:djl ksjeros m%;sldr wysñ ùfuka yuqjk frda.sfhl= weiqf¾ ta .ek bf.k .kakg wmg isÿù ;sfí'

ffjoH YsIH cSú;fha w;aoelSï Tn fj; f.k tk kj;u úfYaIdx.h

ÿïmdkfhka cSú;h úkdY lr.;a frda.sfhla wiSrefjka yqiau fy<k frda.shd bosßfha fm< .eiqKq wm ms<sfj,ska Tyqf.a we;ehs lshk ÿ¾,N fmKy¿ j, frda.S ;;a;ajhla mÍlaId lrkakg jQfhuq' ud isáfha wjidkhgh' wfkl=;a ifydaor ffjoH isiqka Tyqj mÍlaId lr yudr jk ;=re ud bjis,af,ka n,d isáfhñ' fo;=ka fofkl= frda.shd mÍlaId lr n,d yudr jk úgu Tyq uy;a fjfyilg m;ajQ nj fmkS .sfhah' kuq;a fï .; jkafka wmf.a wjidk mia udihhs' fudyq uekúka mÍlaId lr thska ,nd.kakd oeKqfuka osfkl ud fj; meñfKk frda.Ska iqjm;a lsÍu ug jD;a;Sfhka mejÍ we;s ld¾hhhs' óg jir ishhlg fmr mej;S fndfyda udrdka;sl frda. j,g wo jk úg ngysr ffjoH úoHdj úiska úi÷ï ,ndoS ;sfí' taâia jeks oreKq >kfha frda. yereKq úg wfkl=;a frda. fndfydauhla uekúka iqj lrkakg wfma ffjoH úoHdj iu;ah' oeka tAâia frda.sfhl=f.a jQj cSú;h t;rï ÿlaÅ;hla jkafkao ke;' m%;s ffjri T!IO Tyqf.a n,dfmdfrd;a;= fjkilg ,la lr ;sfí' ol=Kq wdishdfõ jvd;a oshqKq fi!LH fiajhlg ysñlï lshk wms óg oYl follg muK by;oS wfma mQ¾j.dóka ÿgq 92

osjhsfka lS¾;su;a ffjoH úoHd,hl wjika jif¾ isiqfjla úiska iajlSh w;aoelSï weiqf¾ iïmdokh lrk ,oS'

YslaIK frday,lg we;=,a jk iEu frda.sfhlau we;=,ajk wjia:dfõoSu fuh ffjoH wOHdmkh yodrk isiqka isák frday,la nj;a Tyq fyda weh b.ekaùfï lghq;= i|ydo fhdod.ekSug bv ;sfnk nj;a oeKqïoSula lrKq

ffjoHjrhd - udisl ffjoH iÕrdj

,nhs' kuq;a ffjoH úoHdfõ wdpdrO¾u j,g wkQj frda.sfhl= mÍlaId lsÍug kï tu frda.shdf.a wjirh ,nd.; hq;= fõ' úkdä oyhlg muK miq uf.a jdrh meñKsfhah' Tyqj mÍlaId lrkjdo @ ;SrKhla .; fkdyelsj u|la ud Tyq foi n,d isáfhñ' jeyeÍ .sh fli`. isrerlska fyì Tyq jhiska wjqreÿ 60la

2016 wfma%,a l<dmh

blaujd .sh fihls' jdhqf.da,fha we;s Tlaiscka m%;sY;h Tyqf.a idudkH YÍr wjYH;djhkg m%udKj;a fkdjQ ksidfjka Tlaiscka is,skavrhlska iemfhk jdhqfjka ;u Yajikh mj;ajd .ekSug Tyq m%h;akhl fhoS isáfhah' Yajik mSvdjlg m;aj isá fudyq idudkH mqoa.,fhla yqiau .kakjd fuka fo.=Khl muK fõ.hlska yqiau

.;a ksid Tyqf.a fmKy¿ tla jrloS imqrd m%idrKh jQ njla fmKqfka kE' iuia;hla jYfhka Tyqf.a Yajik m%h;akh wid¾:lhs' jeä m%;sY;hlska hq;a ndysr wï,lr iemhqu fkdjkakg Tyqg idudkH ;;a;aj hgf;a osú .eg .id.ekSug mjd wiSreh' zzuy;a;hd'''ZZ l,amkd f,dúka ud kej; mshú isyshg f.k tkafka wka

fkdlshQ l;dj

ljrl=j;a fkdfõ''' ta Tyquh' Tlaiscka uqj jeiau u|la my<g f.k Tyq ud foi fk;a fhdud n,d isà' zzuy;a;hd udj n,kafk keoao @ ZZ zzoeka Thdg wmyiq we;s fkao @ yefudau ne¨jfk' uu miafi fj,djl tkakïZZ Tyqg u|la biamdiqjla ,nd fokakg uu ;SrKh lf<ñ' kej; yjia hdufha weú;a f,vd n,kak neßhe''' zzkE uy;a;fhd" uy;a;h;a n,kak' wdfh n,kak fj,djla ,efnk tlla kEfk ZZ zzlula keoao @ Z uu fo.sähdfjka hqla;j úuiSñZZ zzn,kak uy;a;fhda'''ZZ Tyq kej;;a wï,lr uqj jeiau uqjg oud .;af;ah' idudkHfhka mqyqKq jk ffjoHjreka jYfhka ´kEu moaO;shla mÍlaIdfõoS th ms<sfj,g lrk l%uhla we;' uq,skau wjfYaI mÍlaIK isÿlr fjo k,dfjka 94

ÿïmdkfhka cSú;h úkdY lr.;a frda.sfhla

jir .Kkdjla ;siafia wêl jYfhka ÿïmdkh fya;= fldgf.k we;sjQ Yajik moaO;sfha frda.hlska Tyq mSvd ú|skafkah'

mÍlaId lrkafka wjidkhgh' kuq;a fuysoS frda.shdg we;sjk wmyiq;d fya;=fjka iïmQ¾K mámdáfhka neyer ù k,dfjka muKla Tyqj mÍlaId lf<ñ'

zzta ldf, wmg fï krl mqreoafo wdoskj .ek lshkak flfkla ysáfh kE' ckm%sh uy;a;=re yefudau ÿï mdkh lrd' Ñ;%máhla n,kak .sh;a k¨j fndfydu yevg is.rÜ î, ÿï frdgq msg lrkjd' taj wf,ú lrk fldïmeks f.dvla Yla;su;a' wms;a b;ska ta wh ;uhs ùrfhd lr.;af;' wo b;ska tafl m<úmdl ú|skjd'''ZZ Tyq lshkakg jQfha uy;a ixfõ.hlsks' zztal we;a;' wo kï ÿïjeá fldïmeks f.dvla ÿ¾j,hs' oeka is.rÜ meleÜ tfla rEmuh wjjdohla ;sfnkjd' ÿï îju ú|skak fjk M< úmdl .ek .kak ñksiaiq oeKqj;a lrkjd' wjqreÿ 21g wvq whg oeka is.rÜ wf,ú lrkafk;a kE' m%isoaO ia:dk j, ÿï

ffjoHjrhd - udisl ffjoH iÕrdj

îu jrola' th ;ykï lr,hs ;sfhkafk' rEmjdysksfh Ñ;%máj, ÿïfndk o¾Yk tlal wjodkï ix{d m< lrkjd' fï ksid wo bkak ;reK mrmqr ÿï mdkhg fhduq fjkak ;sfhk bvlv f.dvla wvqhs' ZZ zzmÍlaId lrkak ÿkakg fndfydu ia;+;shs' oeka álla uykais;a we;s fkao @ZZ zzfrda.sfhla úosyg ug lr.kak mq¿jka f,dl=u msk fïl ;uhs uy;a;fhda'''ZZ zzta lsõfj@ZZ zzta uy;a;h, jf.a bf.k .kak fodia;r uy;a;=rekag uf.ka hula bf.k .kak fok tl' uy;a;h uf.a mmqj ish j;djla w;.d, ;Ügq lr," k,dj ;sh," n,, bf.k .kak foaj,a fyg tk ;j;a ux jf.a wirK f,fvl=g Woõ lrkak m%fhdackhla fjkj kï ug lr.kak mq¿jka Bg jeä mskla kE'ZZ

2016 wfma%,a l<dmh

zzuu ;j;a jeä ld,hla cSj;a fjk tlla kE uy;a;fhda''' wms uefrk ñksiaiq' yeu fohlau kdia;s lrmq tl ñila uu cSúf;a yïn lrmq fohla kE' ta;a wo Tn;=uka, uf.ka hula bf.k .;a; kï ug fyg ksoyfia uefrkak mq¿jkaaZZ zzl;d lrkakg ndysr wï,lr iemhqu bj;a lrf.k isá ksid Tyqf.a reêr.; Tlaiscka m%;sY;h ishhg 95l fõ.fhka my; jefgñka ;snQ nj Tyqg iïnkaO lr ;snQ ksÍlaIK ;srfha wk;=re y`.jkakg mgka .;a;d' ud jydu Tyqg uqj wdjrKh m<|d wï,lr iemhqu iïnkaO l<d' zzfrday,g tk fndfydauhla frda.Skag wmj fmfkkafka lrorhla úosyg' kuq;a wmg wjYH;djhla ;sfnkjd' bosßfhaos ffjoHjreka úosyg jev lrk fldg wfma .=rejre oeka lrkj jf.au fyd| fiajhla frda.Skag ,nd fok tl' tal Thd losug f;areï wrf.k

;sfnkjd' ug talg yßu i;=gqhs' we;a;u lshkjd kï Thdf. ka wmsg" fu;ek bkak wfkla frda.Skag jqK;a bf.k.kak fndfydau jákd foaj,a ;sfhkjd'ZZ zzwms wo Thdf. ka f.dvla foaj,a bf.k .;a;d' mÍlaId lr, n,kak ÿkakg fndfydau ia;+;shsZZ miqjok fï frda.shd mSvd ú|sñka isáfha Chronic Obstructive Pulmonary Disease kue;s Yajik frda.fhks' wêl ÿï mdkh uQ,sl fya;=j jk fuu frda.h jir .Kkdjla ;iafia l%ñlj j¾Okh jk ;;a;Ajhls' oS¾> ld,hla ;siafia ÿïmdkhg ksrdjrKh jk ksid fmKy¿ mgl úkdY ù hhs' fï ksid leiai" Yajik moaO;sh wdY%s; fjk;a frda. we;sùug we;s bvlv jeähs' fuh kej; ms<silr l< fkdyels ;;a;ajhla' wjika ld,fhaoS cSú;h mj;ajd .ekSug wï,lr iemhqula wjYH fjkafka fï ksihs' 95

SOUL OF THE HUSBAND OF THE NURSE

fyoshf.a iajdñmqreIhdf. is;sú<s

fyoshf.a

iajdñmqreIhdf. is;sú<s Wfoa hkfldg k<, bU, ;=re,a lrka t<shg neye, w; jkkak kqU kE f.a fodrlv''' ug;a l,ska kqU ke.sg, l=iaisfha Wh," msy, ysñosßfhu jevg hkj mfya nia tl w,a,kak''' t<sh jefgkfldg udi kjfh fmdä tld w`vkjd lsß b,a,, f,dl= mq;d fudkaáfidaßhg hkak ,Eia;s lr, n;a lg lg ljk fldg ud;a lld" wïu .ek wdorh áflka ál wvq fjkj mqxÑ fnd<|lug' fmdä mq;d uy f.org ndroS," f,dl= mq;d fudkaáfidaß od, Tmsia tlg .syska ne¨ju fjko jf.auhs" r;= br háka wiaika lrkj neKqï wy wy fndidf.ka''' yjig ´*a fj,d uykais ù f.or .syska fmdä Wka kdj, ?g fudkd yß r;a lrkj fmdä WKq;a k,j,'' ? y;g ´*a fj,d f.or tkak nia wvqhs lsh, u. os.g flda,a lf¾ mqxÑ tjqka ksos lr lr ? wgg kjhg kqU f.or tkfldg fmdä Wka ksos hig'''

n;a lgla folla ld Wka osyd n, n,d uykaishg ksohs kqU''' fmdahla bßodjla ksjdvqjla ug ;snqKg kqUg tfyu kE lsh, ug f;afrkjd r;a;rx ia,Smska fâ tfl;a jev lrkj iagd*a uoshs lsh, u.=,lg" u< f.orlg hkafk uu ú;rhs ;kshu ta .shdu Wka wykj u.=,lg" urfKlg ke;s ta riaidj fudllgo lsh,''' ÿlla kE r;a;rfka''' wdvïnrhs kqU .ek fndfydu''' jdÜgqfõ jev jeä ojig uykaishg f.or wdju jeämqru ;ry msg lrkafk uf.a msáka msgjqka ys;kj we;s wms f.jkafk lreuhla lsh, ksos jr," ÿla ú|, cSú;hu lem lr, cSú;;a tlal kqU lrk riaidj ta msku we;s kqUg ksjka hkak wm;a w`v.yf.k i;a;lskau wmg;a mska kqU iu. ksjka hkak wika; uOqrx.

ffjoHjrhd - udisl ffjoH iÕrdj

2016 wfma%,a l<dmh

BEAUTY

uqyqfKA .,ajk wdf,amk isrerg;a .e,aùu iqÿiqo@

rej .ek úuik ,<Kdjg'''

uqyqfKA .,ajk wdf,amk isrerg;a .e,aùu iqÿiqo@ rEm,djKH Ys,amskS k§ld fmf¾rd 98

ffjoHjrhd - udisl ffjoH iÕrdj

Tfí iqkaor isrer" jvd;a meyem;a lr .kakd wkaou .ek l:d lsÍfï§ ta i|yd Ndú;d flfrk wf,amk .ek;a l:d fkdlru isákakg neye' ;u rej iïm; ,iaik lr .kak" wdl¾IKSh lr.kak Wkkaÿ jk hqj;shka jeä fofkla wdf,am j¾. Ndú;d lrkakg jeä keUqre;djhla olajk ksihs' wdf,amk Ndú;h flfryS jeä fofkla olajk fuu Wkkaÿj ksidu wo fkdfhl=;a wdldrfha wdf,amk j¾. fjf<| fmdf<ys ckm%sh fjñka ;sfí' fuyso hqj;shka yd ldka;djka jeä fofkla wdf,am f;dard .kafka ifuys meyem;a nj iy wdl¾YKSh fmkqula u;=lr .ekSughs' wo fndfyda fokd fj<o ±kaùïj, ÿgq muKskau úúO wdf,amk j¾. Ndú;d lsÍug keTqre jk w;r th ;ukag ysñj we;s ifï iajNdjh wkqj f;dard .ekSug keUqre;djhla olajkafka b;du;a wvqfjka' tfia ys;=uf;a wdf,amk .e,aùu ;=<ska iug lsis÷ m%fhdackhla we;s fkdfõ' iug .e,fmk wdf,amk f;dard fkd.ekSfuka fyda iu .ek fkdi,ld isàfuka jk wys;lr m%;sM, jkafka ifï l=re,E widok we;s ùu fyda iu wêl f,i úh<Su iy /,S jeàuhs' uqyqK iug jvd r¿ iajNdjhla .kakd neúka uqyqKg .,ajk wdf,am isrerg .e,aùu ;=<ska wmg lsis÷ m%;sM,hla ,nd.; fkdyel' uqyqKg jqjo uqyqfKA ifï iajNdjh wkqj wdf,amkhla f;dard .; hq;=h' wf,amkhla Ndú; l< hq;af;a th wfma iug wjYH kï muKhs' th;a uekúka wjOdkhg .kak' wkjYH f,i wdf,amk Ndú; lsÍu fi!LHdrlaIs; Ndú;hla kï fkdfõ' úh<s iu" f;,a iys; iu" ñY% iu iy ixfõ§ iu hkqfjka ifï iajNdjh wkqj j¾. l< yelsh' Tn ixfõÈ iula we;s we;s wfhl= kï" úfYaIfhkau ridhksl øjH rys; wdf,amk Ndú;d lsÍug ie<ls,su;a jkak' fya;=j iuyr wdf,amk ksid we;eï whg wdid;añl;d jeks ;;a;ajhla we;s úh yels neúks' 2016 wfma%,a l<dmh

fï wh ffjoHjrfhl=f.a Wmfoia ,nd wdf,amk Ndú;d lrkafka kï jvd;a iqÿiq fõ' Tfí iu fudk jf.ao @ fï úosyg iu y÷kd.kak Tng iqÿiq wdf,amk j¾.h f;dard .ekSug fmr Tnf.a ifï iajNdjh ksjfia§ y÷kd .ekSug l%uhls fï' Tn rd;%s kskaog fmr uqyqK fyd|ska fidaod msßisÿlr lsis÷ l%Sï j¾.hla wdf,amk fkdlr kskaog hkak' Wfoa wjÈ jq miq w¨;a áIq tlla f.k kyh iy lïuq,a u; ;nd ;o lrkak' áIq tfla f;,a wêl f,i ;ejÍ we;akï th f;,a iys; iula f,i;a" áIq tl w¨;au iajNdjfhka fmdäjqK mdrj,a muKla we;akï úh<s iula f,i;a ;srKh l< yelsh' fï fol w;r ;;a;ajhl áIq tl mj;S kï Tng we;af;a idudkH iuls'

ieliqu - wkqrdOd b,kafldaka

PERSPECTIVE - WORLD CANCER DAY 2016

f,dal ms<sld frda.Skaf.a oskh fmnrjdß 4

wfma ld,fha uy;a ;¾ckhla jQ ms<sldj msgqolsuq m%cd fi!LH úfYAI{ ffjoH ms<sld u¾Ok jevigyfka ffjoH iqrdca fmf¾rd

Y%S ,xldfõ ms<sld u¾Okfhys,d cd;sl ms<sld u¾Ok jevigyfkys ld¾h Ndrh fï rfÜ ck;djf.a fi!LHh wk;=f¾ fy<k m%Odk idOlhla njg zms<sldjZ m;aj ;sfí' miq.sh ld,h uq¿,af,a ms<sld y÷kd.ekSfï l%u fukau ms<sld j,g lrk m%;sldro uy;a

100

mqkreohlg ,la jQjo wfma rfÜ ms<sld frda.Skaf.a ixLHdfõ jeäùula ñi wvqùula olakg ,enqfKA ke;' fï miqìu ;=< Y%S ,xldfõ ms<sld frda.fha yeisÍu" frda. ksjdrK Wmdh ud¾. ms<sn|j l;dnyl fhoSug wm n,dfmdfrd;a;= jkafkuq' fi!LH wud;HxYfha ms<sld u¾Ok jevigyk fjkqfjka m%cd úfYAI{ ffjoH iqrdca fmf¾rd iu. lefrd,a wef,daishia meje;ajQ iïuqL idlÉPdfjka fï ,smsh iïmdokh fõ'

ffjoHjrhd - udisl ffjoH iÕrdj

fmnrjdß 4 - zf,dal ms<sld frda.Skaf.a oskhZ jYfhka ie<flkjd' fï oskfha we;s jeo.;alu l=ulao @ ms<sld je<elaùu" l,a fj,d we;sj ms<sld y÷kd.ekSu" ms<sld frda.Skaf.a cSú;h jvd iqjmyiq lsÍu jeks wruqKQ /ila fjkqfjka taldhkj lemjQ ixúOdk" wdh;k /ila ;u wruqKQ idOkfhys,d lghq;= lsÍug fï oskh msgqjy,la lr.kakjd' ms<sld u¾Okfhys,d rch úYd, m%h;akhla orkjd' ta;a fï ikao¾Nh ;=< jQj;a ms<sldj fõ.fhka ck iudcfha me;sfrkjd' jeä jeäfhka frda.Ska jd¾;d fjkjd' ó g fya;=j l=ulao @ wfma rfÜ ú;rla fkdfjhs" f,dalh mqrdu ms<sld frda.Ska jeäùug uQ,sl ldrKhla jkafka fi!LHiïmkak fkdjk cSjk rgdj' ¥IKh jQ mßirh' ta yereKQ úg ful, ñksiqka jeä wdhqI m%udKhla N=la;s ú|skjd' fï jhia.; ùfï l%shdj,sfhaoS jhig hkak hkak ms<sld we;s fjkjd;a jeähs' th;a tla fya;=jla' biairg jvd ms<sld l,a fõ,d we;sj ms<sld y÷kd. kakd l%ufõo o oshqKQ fj,d ;sfhkjd' ta ksid wkdjrKh fkdù ;snqKq ms<sld frda.Ska jeä jYfhka wkdjrKh fjkjd' wo ms<sld m%;sldrfõoh oshqKqhs' fï ksid m%;sldr m;d tk frda.Skaf.ao jeäùula jd¾;d fjkjd' yenehs tfyu jqK;a m%;sldr ,nkak l,a urK msßilao bkakjd' fuh kï nrm;, ;;a;ajhla' fndfyda fokd Y,Hl¾u j,g nhhs' ta ksid l,a odkjd' mjqf,a wd¾Ólh fufyhjk flkd ms<sldjlg ,la jqKdu Tyq wirK fjkjd' fujka wjia:dj,oS;a m%;sldr m%;slafIAm lrk wjia:d wmg yuqù ;sfnkjd' ms<sld u¾Okfhys,d cd;sl ms<sld u¾Ok jevigyfkys (NCCP) ld¾hNdrh l=ulao @ fï rfÜ ms<sld u¾Okh iy md,kh Wfoid lemjqKQ cd;sl uÜgfï m%Odk wdh;kh

2016 wfma%,a l<dmh

cd;sl u¾Ok jevigykhs' (NCCP) fuu wdh;kh ta iïnkaOfhka m%;sm;a;s iïmdokh" WmfoaYK fiajd l%shd;aul lsÍu" we.hqï lsÍu" fukau ms<sld iïnkaOfhka wjosu;a úmru" ms<sld iïnkaOfhka m¾fhaIK isÿ lsÍfïoS Bg iydh ùu jeks mq¿,a jmißhl ld¾hNdrhla bgq lrkjd' wm wdh;kh mjq,a fi!LH ld¾hdxYh" fnda fkdjk frda. tallh jeks cd;sl uÜgfï fi!LHdh;k iu. iïnkaêlrkhl fhfokjd' wfma rfÜ ms<sld m%;sldr uOHia:dk iu. iyfhda.fhka lghq;= lrkjd' m<d;a fi!LH wud;HxY iu. iïnkaêlrkh fjkjd' fï wdldrfhka ms<sld u¾Okh iïnkaOfhka Bg odhl jk fiiq wdh;k iu. mq¿,a uÜgfï iïnkaêlrkhla cd;sl ms<sld u¾Ok jevigyk mj;ajkjd'

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PERSPECTIVE - WORLD CANCER DAY 2016

f,dal ms<sld frda.Skaf.a oskh fmnrjdß 4

nj lsj hq;=hs' fnda fkdjk frda. ms<sn|j ffjoH ks,OdÍ (MO/ NCD)" fi!LH ffjoH ks,OdÍ (MOH) wdoS ffjoHjrekaf.a iïnkaêlrKh;a wm fuysoS ,nd .kakjd'

mjq,a fi!LH ld¾hdxYfha iïnkaëlrKfhka osjhsk mqrd iqj kdß idhk 983la l%shd;aul fjkjd' jhi wjqreÿ 35 blaujQ ldka;djka fï ia:dk j,g .syska fi!LH mÍlaIdjla isÿ lr.; yelshs' fï iqjkdß idhk j,oS;a iajhx mshhqre mÍlaIdjla isÿ lrk wdldrh W.kajkjd' idhksl mshhqre mÍlaIK ffjoHjreka úiska isÿ lrkjd'

Tn wdh;kfhka iemfhk fiajd iïnkaOfhka úia;rhla lrkak mq¿jkao @ wmg je<f|k ms<sld ish,a, ie<l=fjd;a ksjeros fi!LHuh wej;=ï - mej;=ï Tiafia ta jf.au wm cSj;ajk mßirh fi!LHiïmkak lsÍu Tiafia fï ms<sld j,ska ;=fkka tllau kj;ajkak mq¿jka' fï iïnkaOfhka cd;sl uÜgfuka WmfoaYd;aul yd oeKqj;a lsÍï jevigyka wm osh;a lrkjd' fuysoS wm fi!LH wdh;k jf.au" wd.ñl ixúOdk" wOHdmk wud;HxYh" isú,a ixúOdk jeks fi!LH yd iïnkaO fkdjk wdh;k iu. jQj;a iyfhda. fhka lghq;= lrkjd' udOH m%pdrKhkayS ksr; fjkjd' iqj iïmkak cSú;hla .; lrk yeá b.ekaùu iïnkaOfhka fi!LH wOHdmk fuj,ï y÷kajd fokjd' .=rejreka jeks iudch mqyqKq l< yels mqoa.,hka mqyqKQ lsÍï isÿ lrkjd' fi!LHiïmkak cSú;hla .; lsÍug wjjdo fokak wd.ñl kdhlhkag fjfiia n,mEula lrkak mq¿jka' cd;sl ms<sld u¾Ok jevigyk fi!LH wud;HxYfha fnda fkdjk frda. tallh yd taldnoaOj oSm jHdma;j fi!LHiïmkak cSú;hla .; lrk yeá iïnkaOfhka ck;djg lreKq lshkak w;aje,a ne|.kakjd' fuysoS osia;%sla uÜgfuka wms osia;%sla fi!LH fiajd wOHlaIjrekaf.a iyfhda.h;a ,nd.kakd

102

ms<sld y÷kd.ekSu i|yd Tn wdh;kfhka isÿlrk fiajdjka fudkjdo @ kdrdfyakamsg wm ms<sld l,a fõ,d we;sj y÷kd.ekSfï úfYAI idhkhla mj;ajkjd' i÷od isg isl=rdod olajd fmrjre 8'30 isg miajre y;r olajd fï fiajdj l%shd;aulhs' ldka;djka ;u mshhqre mÍlaId l< hq;af;a flfiao hkak .ek wm fuysoS ldka;djka oeKqj;a lrkjd' ta yereKq úg idhksl mshhqre mÍlaIK isÿ lsÍu" ms<sld iïnkaOfhka isÿ lrk uefuda.%msl m%;sìïn we.hSu" .eíf., ms<sld iïnkaO mema mÍlaIKh" kdßfõo ffjoHjrfhl= úiska tu wruqKskau bgq

ffjoHjrhd - udisl ffjoH iÕrdj

lrk fld,afmdiafldms we.hSu fuysoS isÿ lrkjd' oka; ffjoHjrfhl=f.a fiajho fuysoS ,efnkjd' uqL mÍlaIdfjka fï ksid uqL ms<sld y÷kd.; yelshs' wjfYaI ms<sld iïnkaOfhka isÿ lrk mÍlaId ksid fï uOHia:dkhg meñKSfuka hïlsis wjodkula" ielhla ;sfnkjd kï th y÷kdf.k kshñ; wdrlaIl Wmdhud¾. .; yelshs' fï yereKQ úg wo ms<sld l,a;shd y÷kd.ekSfï uOHia:dk rgmqrd ;sfnkjd' iqj kdß idhk" uqL i!LH idhk" mshhqre idhk ;sfnkjd' oaú;Shsl jYfhka uQ,sl frday,a" osia;%sla frday,a jf.au ;D;shsl jYfhka m<d;ano uy frday,a yd YslaIK frday,a u.ska wfma rfÜ ck;djg ljr ms<sldjla jQj;a y÷kd.ekSfï myiqlï ,ndoS ;sfnkjd' mjq,a fi!LH ld¾hdxYfha iïnkaëlrKfhka osjhsk mqrd iqj kdß idhk 983la l%shd;aul fjkjd' jhi wjqreÿ 35 blaujQ ldka;djka fï ia:dk j,g .syska fi!LH mÍlaIdjla isÿ lr.; yelshs' fï iqjkdß idhk j,oS;a iajhx mshhqre mÍlaIdjla isÿ lrk wdldrh W.kajkjd' idhksl mshhqre mÍlaIK ffjoHjreka úiska isÿ lrkjd' ta yereKQ úg mema mÍlaIK i|yd kso¾Yl ,nd.ekSu isÿ

2016 wfma%,a l<dmh

lrkjd' fï iqjkdß idhk fi!LH ffjoH ks,Odß fldÜGdY uÜgñka l%shd;aul fjkjd' ta yereKQ úg cx.u idhk" m%cd yd ld¾hd, uÜgfukao fï fiajdjka ,nd. ekSug fi!LH ffjoH ks,OdÍ yryd yelshdj ;sfnkjd' ldka;djkag úfYAI mshhqre idhk cd;sl frday," uyr.u ms<sldh;kh" uykqjr yd l=reKE., YslaIK frday,aj, meje;afjkjd' uqL ms<sld y÷kd. ekSfï idhk ms<sn|j hula mejish yelso @ wfma rfÜ frday,a moaO;sfha ish¿u

103

PERSPECTIVE - WORLD CANCER DAY 2016

oka; idhk j,ska uqL ms<sld y÷kd.ekSfï mÍlaIK isÿ lrkjd' ms<sld njg m;aùug bv ;sfnk uqLfha fjkialï Oral Potentially Malignant Disorders (OPMD) fuysoS l,a fõ,d we;sj y÷kd.kakjd' fï ksid nq,;a lk" yqKQ" ÿïfld<" ndnq,a" îvd jeks wjodkï iy.; iemSï lrk wh fï idhkhlg f.dia ;u uqLh mÍlaId lr.ekSu iqÿiqhs' fï fiajd ish,a, fkdñ,fha ck;djg ie,fikjdo @ ms<sld je<elaùu i|yd rcfhka osh;a lrk ish¿u WmfoaYK fiajdjka jf.au m%;sldr ,nd fokafka fkdñ,fha' fï wkQj ksfrda.S cSjk p¾hd idhk" iqj kdß idhk" oka; idhk" mshhqre ms<sld idhk fï ish,a, frda.Skag fiajdj i,ikafka frda.Skaf.ka lsisÿ uqo,la wh lr fkdf.khs' uyr.u ms<sldh;kh

104

f,dal ms<sld frda.Skaf.a oskh fmnrjdß 4

we;=¿ ish¿ rcfha ms<sld m%;sldr wxY lghq;= lrkafka;a fkdñ,fhahs' Tn wdh;kh l%shd;aul jkafka rcfha wruqo,a j,ska muKlao @ wmg uQ,sl jYfhka rcfha whjeh weia;fïka;= u.ska m%;smdok ,efnkjd'ta yereKQ úg f,dal fi!LH ixúOdkfhka m%odk ,efnkjd' ms<sld m¾fhaIK i|yd jk cd;Hka;r tackaish (IARC) wfma we;eï l%shdldrlï i|yd uQ,H m%;smdok imhkjd' tfiau f,dal fi!LH ixúOdkh iy wka;¾cd;sl mrudKQl Yla;s wêldßh iyfhda.s;djfhka l%shd;aul jk wruqo,lskq;a wmg wdOdr ,efnkjd' fï wh l%shd;aul lrk Programme of Action for Cancer Therapy (PACT) kï jHdmD;shlska ms<sld frda.Skaf.a m%;sldr fiajd oshqKQ lsÍug yd jev Odß;dj by< kexùug uQ,HdOdr ie,fikjd'

ffjoHjrhd - udisl ffjoH iÕrdj

fi!LH wud;HxYh ms<sld frda. u¾Okfhys,d jk b,lal imqrd .ekSug f.k we;s l%shdud¾. ljf¾o @ 2015 foieïn¾ 29 fjksod fi!LH yd foaYSh ffjoH wud;HxYh ms<sld je<elaùu yd md,kh lsÍfuys,d cd;sl m%;sm;a;s yd Wmdhsl l%shdud¾. iïnkaOfhka flgqïm;la iïu; l<d' ‘A country with a low incidence of preventable cancers and high survival rates with good quality of life and minimal disabilities & suffering from effects of cancers. uQf,damdhsl jYfhka rch fï flgqïmf;ys msysgd iajlSh osYdK;sh ms<sld frda. u¾Okfhys,d l%shd;aul jkjd we;s' fï wruqKQ uqÿka muqKqjd .ekSfuys,d .kakd l%shdud¾. ljf¾o @ fï wruqKQ uqÿkam;a lr.ekSug oekgu;a mshjr rdYshla f.k ;sfnkjd' uOHu rch" m<d;a fi!LH wêldÍka" isú,a ixúOdk fukau m%cdjo fï i|yd yjq,a lrf.k ;sfnkjd' cd;sl uÜfuka ms<sld ms<sn|j oeKQj;a lsÍfï jevigyka oeka l%shd;aul fjkjd' fi!LH ld¾h uKav," isú,a ixúOdk l%shdldÍka" iafõPAPd fiajlhka" mdie,a .=rejreka" rcfha fiajlhka" fm!oa.,sl wxYh fï frda.h iïnkaOfhka" tajdhska je<lSug .; hq;= l%shdud¾. iïnkaOfhka oeKQj;a lrkjd' m%d:ñl jYfhka ms<sld je<elaùu iïnkaOfhka wOHdmksl jevigyka fukau" ms<sld uq,a wjia:dfõ yªkd.ekSu iïnkaO jevigyka fi!LH ffjoH ks,OdÍ fldÜGdY uÜgfuka (MOH) yd frday,a uÜgfuka l%shd;aul flfrkjd' iqj kdß idhk u.ska ldka;djkaf.a ms<sld wjodku mÍlaId lsÍu id¾:lj isÿ flfrkjd' ta wkQj Tjqka myiqfjka iqj l< yels woshr j,oS m%;sldr j,g fhduq lsÍug wjia:djla ie,fikjd' ms<sld ms<sn|j frda.Ska oeKQj;a lsÍfï ;j;a jákd wruqKla

2016 wfma%,a l<dmh

;uhs" fï frda.hg k;= jQjka iudcfha hï mSvkhlg" w.;shlg m;a fjkj kï th je<elaùu' wjYH flfkla ms<sld u¾Ok jevigykg l;d lrkafka fldfyduo @ th msysgd we;af;a fldfyao @ ms<sld u¾Ok jevigyfka mßmd,k tallh msysgd we;af;a kdrdfyakamsghs' kdrdfyakamsg" uyck fi!LH ixlS¾Kfha ìï uyf,a fuu wdh;kfha ;dlaIKsl tallh msysgqjd ;sfnkjd' frdgß iudch u.ska ,o wkq.%yhlska wm ms<sld l,a;nd y÷kd.kakd fiajdjla mj;ajd f.k hkjd' th kdrdfyakamsg fjku ia:dkhl msysgqjd ;sfnkjd' wjYH ´kEu flfkl=g wfma f;dr;=re" jeäÿr úia;r ,nd.kak ÿrl:k wxlhla ;sfnkjd" th 0112368627 hs'

105

PERSPECTIVE - WORLD CANCER DAY 2016

f,dal ms<sld frda.Skaf.a oskh fmnrjdß 4

ms<sld wk;=re y`.jk ,laIK 7

jeisls<s hdfï uQ;%d lsÍfï p¾hd rgdfõ jkila

iqj fkdjk ;=jd,hla mej;Su

widudkH reêr jykhla" >%djhla we;sùu'

>k ùula fyda tjeks fjkialula mshhqre j, fyda fjkhï ;ekl we;sùu'

.s,Sfï wmyiq;djhla we;sùu'

bkakkaf.a fjkila we;s ùu

l,a mj;akd leiai' lgyfâ fjkia ùu

msßñkag we;sjk wfkl=;a ms<sld w;r fmKy¿" .,kd,h" wka;% ms<sld yd ,sïfmdaud m%Odk ;ekla .kS' • wfma rfÜ ldka;djka w;r jvd;au iq,n ms<sldj jkafka mshhqre ms<sldjhs' .eíf.," ;hsfrdhsâ .%kaÓh äïnfldaI yd .,kd,fha yg.kakd ms<sldo ldka;djka w;r jeäfhka jd¾;d fõ'

zzwmg mq¿jka" ug mq¿jkaZZ f,dal ms<sld oskfha f;audj

fuh ms<sld we;sùfï ksiel fya;=jla fia fkdie<l=k;a iel yer .ekSu msKsi ffjoHjrfhl= yuqùu wdrlaIdj msKsi jeo.;a fõ'

Vital Statistics • wfma rfÜ ms<sld frda.Ska m%udK ms<sn|j f;dr;=re kv;A;= lrk f,aLKhla fõ' th Cancer Registry kñka ye|skafõ' thg wkQj 2008 j¾Ifha jd¾;d jQ ms<sld frda.Skaf.a ixLHdj 11"163 ls' th 2015 j¾Ih jk úg 13"890 olajd jeä ù ;sfí' • wfma rfÜ ms<sld we;s ùfï bvlv Crude incidence rate of cancer ,laIhlg 82'6ls' • msßñka w;r jvd;a iq,n ms<sldj uqL ms<sldjhs'

106

fujr f,dal ms<sld oskfha f;audj jkafka" zzwmg mq¿jka" ug mq¿jkaZZ hkakhs' we;af;kau fuh oeka jir ;=kla mqrdjgu fkdlvjd fhdod. kakd ,o f;audjo jkafkah' f,dalhg Woa.;j we;s ms<sld me;sr hdfï wjodku my lrKQ msKsi ;ks ;ksj;a" iduQyslj;a lghq;= l< hq;af;ah hkak fuu f;audfjka .uH fjhs'

ffjoHjrhd - udisl ffjoH iÕrdj

fï wruqK Wfoid m%cdjla jYfhkao" mjq,a tallhla jYfhkao" ;ks ;ks mqoa.,hka jYfhkao isÿl< yels ueosy;aùu wjOdrKh lrk w;r m%d:ñl jYfhka ms<sld je<elaùug .kakd mshjr" l,afõ,d we;sj y÷kd.ekSu" úêu;a m%;sldr j,g fhduq ùu fukau ms<sld frda.Ska flfryS iukd;aul m%;sldr isÿ lsÍu

fukau Tjqkg ms<sirkla ùugo iudch oeKQj;a lsÍu ms<sld oskfha uqLH mrud¾:h jkafkah'

BREAKING

HEALTH NEWS cd;sl úI f;dr;=re uOHia:dkfhka wOHdmksl jákdlula iys; osk o¾Ykhla • uÿre fldhs,a tll ÿu is.rÜ 100l ÿug;a jvd úI iys;h' • ma,diaála yd fmd,s;ska ms<siaiSfuka udrdka;sl frda. we;súh yel' • w;a;k Ydlfha fldgia YÍr.; jQ úg udkisl úlD;s;djhka we;sfõ' 2016 wfma%,a l<dmh

fujka osú iqrlsk jákd fi!LH mKsúv rdYshla wka;¾.; wmQ¾j osk o¾Ykhla cd;sl úI f;dr;=re uOHia:dkfhka miq.shod t<soelaùh' fï rfÜ ck;djf.a fi!LH wdrlaId lsÍug w;sYhska bjy,a jk fi!LH mKsúv wka;¾.; fuu osk o¾YKh o¾YkSh ksudjlska hqla;h' fï osk o¾YKh ,nd.ekSug leu;s

whg cd;sl frdayf,a cd;sl úI f;dr;=re uOHia:dkhg meñK th ,nd.; yels nj;a m<uqj meñfKkakdg m<uqj fok moku hgf;a f;oSug lghq;= fhdod we;s nj;a cd;sl úI f;dr;=re uOHia:dkfha m%Odks úfYaI{ ffjoH jreK .=K;s,l uy;d m%ldY lf<ah' fï iïnkaO úuiSï 01122686143 wxlfhka l< yel'

107

WHAT THE SHAPE OF YOUR BUTT

This Is What The Shape Of Your Butt Has To Say About Your Health úYd, ;Ügï ;sfnkjd kï Tn ksfrda.shs" tfiau th Tfí nqoaêu;a nj;a jeä lrkjd'''

;Ügï yevh lshk iqj ryia ;Ügï m%foaYh yqfola iuia;hla jYfhka .;a l, YÍrfha t;rï jeo.eïula fkdfmkajk fldgila ;uhs' ta;a fï ;Ügï m%foaYh Tfí fi!LHh .ek hï b`.s ,ndoSfuys,d iu;a nj jd¾;d ù ;sfnkjd' ;Ügï m%foaYh ksueù ;sfnkafka fmaYs ldKAv ;=klska' tajd .aÆQgia fmaYs f,i oelafjkjd'

;Ügï yevh lshk iqj ryia

.aÆgia uelaisuia ;ud mYapd;aNd.fha mßudj jeä lrk fmaYsh' b`. wdikakfhka .aÆgia óähia fmaYsho ta fmaYs fol w;f¾ .aÆgia ñksuia fmaYsho msysgd ;sfnkjd' YÍrfha fïoh ;ekam;a jk wdldrh ie<l+ úg uQ,sl jYfhka fïoh ;ekam;a jk wdldr folla ;sfnkjd' tlla ;uhs Worfha fïoh ;ekam;a ùu' th fyd| kE' thska yDo frda. jf.a .eg¿ we;s fjkjd' wfkl wm fï lshk ;Ügï j, fïoh ;ekam;a ùu ksid fi!LH wjodkula we;s fjkafka kE' ldka;djkaf.a fydafudak ksid wef.a ;Ügï wdY%s;j fïoh ;ekam;a ùu jeähs' thska ks;ekskau wehg / ljrKhla ie,fikjd' ;j;a ldrKhla úYd, ;Ügï we;s whf.a fldf,iagfrda,a fndfyda úg ksfrda.S uÜgul ;sfnk nj;a wkdjrKh fjkjd' tfiau fï whg oshjeähdj yd yDo frda. we;s ùfï wjodku wvq njo oelafjkjd' ;Ügï j, fïoh ;ekam;a ùug Tfu.d -3 fïo wï,h

108

ffjoHjrhd - udisl ffjoH iÕrdj

wjYHhs' fï ;Ügï wdY%s; fïoh ;ekam;a jk whf.a fud<fha l%shdldß;ajh;a fyd| uÜgulska isÿ fjkjd' ta wh idudkHfhka nqoaê uÜgfuka iqúfYAI;d fmkajkq oelsh yelshs' fï nj Tlaia*â iriúfha uydpd¾h fldkaiagkaáfkdaia uefkdf,dfmdaf,dia m%uqL m¾fhaIlhka lKavdhula m%ldY lr isákjd'

j,g jHdhdu ,ndoSfuka fï whf.a YÍrh jvd;a ksfrda.S lr.ekSug wjia:djla ;sfnkjd'

ta yereKq úg ;Ügï j, yevh wkQj fi!LH ;;a;ajh fmrhSula flfrkjd' ta fï úosyghs y;/ia yevh fï whf.a bk wdY%s; fïoh ;rula jeähs' .aÆgia fmaIs t;rï Yla;su;a ùula t;rï olakg kE' .aÆgia fmaYs

V yeve;s ;Ügï jhig hk úg fndfyda ldka;djkaf.a ;Ügï .kakd yevh fuhhs' my;ska we;s fïoh fjk;a wjhj lrd mßjykh ùfuka fï yevh ,efnkjd' fï yevh flfia fj;;a yoj; iqjfi; úIfhys hï wjodkula we;s lrjk yevhla nj;a jd¾;d fjkjd'

2016 wfma%,a l<dmh

rjqï yevh fuh ksfrda.S yd fi!LHiïmkak yevhla fia ie<flkjd' .aÆgia fmaYs j, by< ia:rfha talrdYS jk fïoh u.ska fï yevh we;s lrkjd' fï whg wjYH kï yevh wvq lr.ekSug iq¿ jHdhdu iEfykjd' yoj; yevh fuh ;uhs jvd;a w,xldrj;a ;Ügï wdldrh' jeä jYfhka fïoh my;g fjkakg talrdYS fjkjd' fï yevhg ;Ügï ;sfnk úg l,jd wdY%s;jo fïoh iq,nj ;ekam;a úh yelshs' ldka;djka jhig hk úg fï fïoh blauKska osh fjkjd'

fï ´kEu yevhla orK ;Ügï jHdhdu u.ska iúu;a yd kuHYS,S lr.; yels nj;a wm wu;l fkdl< hq;=hs'

109

OCCUPATIONAL MEDICINE

Tennis Elbow hkqfjka ye|skafjk je<ñfÜ we;sjk fõokdj

fgksia l%Svdj fkdl<;a Tng;a Tennis Elbow we;súh yel rd.u mqkre;a:dmk frdayf,a ysgmq jD;a;Sh Ñls;ail wêldÍ iy idhksl wëlaIl" f,dal jD;a;Sh Ñls;ail ix.ufha Y%S ,xld ksfhdað;" YS% ,xld jD;a;ShfõoSkaf.a jD;a;Sh Ñls;ail ix.ufha f,alï mÿu ã hdmd Dip OT, SROT(UK)

fgksia t,afnda

fuhg m%Odk;u fya;=j jkafka wf;a udxY fmaYska (Arm, Forearm, Hand) wjYH m%udKhg jvd jeäfhka Ndú;d lsßuhs' fï ksid oeßh fkdyels fõokdjla wf;a je<ñg wdY%s; m%foaYfha yg.kS' fuu ;;a;ajh fgksia t,afnda kñka ye|skajqj;a fï l%Svdfõ fh§u muKlau wdndOh we;sùug m%Odk fya;=j fkdjk w;r fgksia lS%vlhka jeäfofkl= fï wdndOhg f.dÿre ùu ksid fukñka y÷kajd we;' je<ñg msg; m%foaYfha we;s udxYfmaYs yd LKavrd j,g laIKslj isojk ydks fï wdndOhg fya;=jk w;r wf;a (forearm) udxYfmaYs yd LKavrd wia:shg iïnkaO jk ia:dkh myiqfjka fï wk;=rg f.dÿre fõ' fuu ia:dkh (lateral epicondyle) kï jk w;r wdndê; ia:dkh wdndê; ;;a;ajh lateral epicondylitis kï fõ' tfiau je<ñg we;=,a fldgfia

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ffjoHjrhd - udisl ffjoH iÕrdj

fufia isÿùu medial epicondyitis kï jk w;r ndyqj jeämqr Ndú;h fya;=fjka je<ñg miqmi fldgfiao fï wk;=ru isÿúh yel' frda. ,laIK • je<ñg msg; m%foaYfha fõokdj l%u l%ufhka we;s ù jeä ùug mgka .ekSu' • fõokdj tljr we;s ù jeä ùu' • hula w;ska .%yKh lsÍfï§ ñßlSfï§" ord.; fkdyels fõokdjla yg .ekSu' • ueKslalgqj ikaêhg hï n,hla we;sjk ls%hdldrlï j, fhÿkq úg" fõokdj yg .ekSu' ksoiqkla jYfhka f.orfodr WmlrK Ndú;fha§" uQä mshka újD; lsÍfï§" o;a nqreiqj" msysh" .Eremamqj jeks tl È.gu tlu wdldrhg w,a,d f.k isák l=vd WmlrK Ndú;d lrk úg fï fõokdj oeäj we;sfõ'

2016 wfma%,a l<dmh

fuu wdndê; ;;a;ajhg f.dÿre jkafka ljqrekao@ jhi 30-50 w;r§ fï wdndOhg f,fyisfhkau f.dÿre úh yels w;r ta ta whf.a ffoksl ls%hdldrlï u; ´kEu jhil§ fï wdndOh we;s úh yel' úfYaIfhka tlu úêfha ls%hdldlrï j, tl È.gu ksr; jk úg fuu ;;a;ajhg f.dÿre ùug we;s bvlv jeä fõ'

ksoiqkla jYfhka úis le;s Ndú;d fldg bvï t<s fmfy<s lrkakka (Land Scapars) ksjdi ld¾hd, msßisÿ lrkakshka" jvq ldrñlhka" .ia iy or lemSfï fhfokakka" WmlrK tl,ia lsÍfï ls%hdj,sfha fhfokakka (Assembly type workers) fgksia ls%vlhka" f.d,a*a l%Svlhka" mkaÿ hjkakka fï frda.hg Ndckh jkjd jeäh'

111

OCCUPATIONAL MEDICINE

fgksia t,afnda

Tennis Elbowwdndê; ;;a;ajh y÷kd.kafka flfiao@ fuh f,a mÍlaIdjlska fyda X- lsrK mÍlaIdjlska fndfyda úg y÷kd.; fkdyels w;r Tn m%ldY lrk frda. ,laIK ;=<ska iy tu ia:dkh meyeÈ<sj YdÍßl mÍlaIdjg ,la lsÍu ;=<ska y÷kd.; yelsh' tfiau fuu Wmøjhg ksjerÈj m%;sldr lsÍu ;=<ska wndOh iïmQ¾Kfhkau iqjlr .; yelsh' Tennis Elbow iqjlr .; yelafla flfiao@ • lelal=u iy m%odyh (Inflammation) j<lajd .ekSu u.ska" tkï fõokdj yg.kakd ´kEu ls%hdldrlula jydu keje;aùu iy m%;sm%ody (Anti Inflammatory) fnfy;a fm;s ,nd .ekSu' • tu m%foaYh u; whsia ;eîfuka • fõokdj l%ufhka wvqjk úg je<ñg m%foaYh ;=< we;s udxYfmaYska iy LKavrd we§ug ,la lsÍfï iy Yla;su;a lsÍfï jHdhdu ;=<ska fï i|yd fN!; iy jD;a;Sh Ñls;ail m%;sldr w;HjYH fõ' • tfiau fõokdj we;sfjk ls%hdldrlula fjf;d;a jyd keje;aùu u.ska • tfiau wdndOh iqjm;a lr .ekSug fukau iqjm;a ùfuka miqj kej; thg f.dÿre fkdù isàug my; i|yka ls%hdud¾. wkq.ukh l< hq;= fõ' hï ls%hdldrlul fhfok úg ta i|yd WÑ; fi!LHdkql+, WmlrK iy isoaOdka; ^tu ls%hdldrlfï fhfok ms<sfj, (Ergonomics) Ndú;d l< hq;= fõ' fï i|yd wjYHfhkau jD;a;Sh Ñls;ail jrfhl=f.a iydh wjYH fõ' • wkqj¾;s; WmlrK Ndú;d lsÍu' Using (Adaptive devices) ksjerÈ Wmfoia wkqj ls%hdldrlï j, fh§u'

112

• tfiau fgksia t,afnda Straps kï jQ wdOdrl m;=r (Splint) Ndú;d lsÍu • hula ;Èka .%yKh lrk ls%hdldrlï iy tl È.g ueKslalgqj ikaêh Ndú;d jk ls%hdldlrï j,ska je<lS wdfoaYl l%u Ndú;h • tfiau fõokdj yg .kakd ls%hdldlrï .ek wjOdkfhka isàu' Tennis Elbow iqj ùfï m%jK;djh 90]-95] w;r m%;sY;hla iqjùug mj;sk w;r b;=re fjk meyeÈ<s iqjhla ,nd.; fkdyels wh i|yd ie;alï j,g Ndckh úh hq;= fõ' fuhska ;=jd, ù we;s udxYfmaYs yd LKavrd w¿;ajeähd (Repair) lsÍï j,g Ndckh fõ'

fuu f,aLlhd rd.u" lvj; mdf¾ UDA land yS m<uq uyf,a wxl 78 wdfi;a fuäl,a i¾úia hk ia:dkfhaoS yuqúh yel' ÿrl:k wxlh 0714493560 ffjoHjrhd - udisl ffjoH iÕrdj

2016 wfma%,a l<dmh

113

ELDERLY CARE MEDICINE

wmg wd.ka;=l jeäysá ffjoHfõoh .ek y÷kajdoSula'''

cSú;fha ie|E iuh .; lrk uõmshka yg wdrlaIdj" /ljrKh i,ik ffjoHjrhd ljqo @ wmg wd.ka;=l jeäysá ffjoHfõoh .ek y÷kajdoSula''' jeäysá ffjoHfõoh úfYaI{ ffjoH pkaok Y%S lklr;ak

jeäysáhkaf.a wikSm j,g m%;sldr lrkak ffjoH úoHdfõ fjkuu YdLdjla ;sfnkjd' ta .ek wm hï;dla úia;r miq.sh l,dmfhka oek.;a;d' Geriatrician yd Geriatric Medicine fï cSú;fha ie|E iuh f.jk fcHaIAG mqrjeishkaf.a fi!LH ;;a;ajh uekúka fidhd n,kak" wjYH lrk fyd|u m%;sldrh ,nd fokak" m%;sl¾uh i,ikak úfYaIs; mYapd;a fjoH wOHdmkhla ,enQ úfYaI{ ffjoHjreka lKavdhula bkakjd' ta wh Geriatrician jreka hkqfjka y÷kajkjd' ta jf.auhs b;d mq¿,a jmißhla .kakd" ie|E úfha wfma wdorKShhkaf.a cSjk ;;a;ajh by< kexùug w;sYhska bjy,a jkakd jQ fï úIh YdLdj Geriatric Medicine hkqfjka f,dalfhau m%p,s;hs' ;rula nridr jpkhla ksid;a jpkfha mßiudma; w¾:h i<ld n,ñka wm fï úIh YdLdj wmg yqre mqreÿ wdldrhg Elderly Care Medicine hkqfjka y÷kajd fokak leu;shs'

114

.;g ÿla fok ldhsl frda. wo ld,fha jeäysáhka úYd, ixLHdjla wiSñ;j cSú;fha ie|E iufha mek k.sk .eg¿ j,g uqyqK mdkjd' jhig wdfõKsl frda. ksid flfkla mSvd ú|skjd' oshjeähdj" yDo frda." wiaÓ frda." ykaosm;a frda.''' wdoS jYfhka''' úfYaIs; ;;a;aj ;sfhkak;a mq¿jkafk' flfkla bkak mq¿jka nhsmdia ie;alulg fhuq fj,d iqjh ,nñka isák' tfyu ke;akï fm!reI .%kaÓfha ie;alula" ldka;djka w;r ykaosm;a frda. nyq,hs" we;eï fj,djg uq;%d md,khla ke;slu jf.a .eg¿ j,g uqyqK mdkak isoaO fjkjd' ms<sld yeÿKq wh bkakjd" ;j;a wfkal úO frda. jeäysá jhfiaoS uyd fmdÿ idOlhla lsõfjd;a th jeros kE'

ffjoHjrhd - udisl ffjoH iÕrdj

ys;g ÿla fok ÿla fida iqiqï frda. tl me;a;lska' uki mSvdjg m;a lrjk .eg¿;a fï ld,fhaoS iq,nhs' ;ukaf. iajdñ mqreIhd" Nd¾hdj ñh hdu" orejka oS.;, fokak neßùu" orejkaf.a flfkys<slï" wd¾Ól .eg¿" fmr ;snQ iudch" iudc ms<s. ekSu jhig .shdu ,efnkafk kE' wfkla ldrKh ;uhs iajNdjfhkau uy¿ 2016 wfma%,a l<dmh

úfhaoS idxldj" úIdoh" äfukaIshdj jf.a .eg¿ jeäfhka u;= fjkak mq¿jka' fï ksid we;af;kau jeäysáfhl=g m%;sldr lrk úg fmkajk frda.hla fjku ;sfhkjd' Tyq fkdlshd ,;efjk l;djl=;a we;eï úg ;sfhkak mq¿jka' jeäysáhka Wfoid ixúOdkd;aul m%;sldr l%uhla fï ksid jeäysáfhl=g úfYaIfhka ie,iqï l< ixúOdkd;aul m%;sldr l%uhla wjYHhs' th wjYH nj wo f,dalfhau ms<s.ekSula njg m;a fj,d yudrhs' fï cSú;fha ie|E iuh .; lrk wdorKShhka Wfoid isÿ lrk jeäysá fjolu .eUqßka ms<s.ekSulg ,la fj,d ;sfnkjd' fï úfYaIs; jQ m%;sldrh uekúka ,nd fokak kï jeäysáhd <`.ska weiqre lrkak fjkjd' 115

ELDERLY CARE MEDICINE

wmg wd.ka;=l jeäysá ffjoHfõoh .ek y÷kajdoSula'''

Tyqg weyqïlka fokak ´ks' Tyq flfryS fyd|ska wjOdkh fhduq lrkak ´ks' frda. b;sydih uekúka mÍlaId lrkak ´k' w¿;a meñKs<s ;sfnkjd kï ta .ek;a úuikak ´ks' fudkjo fï wdorKShhd fjkqfjka l< yels foaj,a' u.yeÍ ;snk ffjoH mÍlaIK m%;sldr fudkjdo @ ld fj;o Tyq jeäÿr mÍlaIK i|yd fhduq l< hq;af;a'''@

cSú;fha M<odhS;djh" .=Kd;aulNdjh jeä lsÍu;a ffjoHjrhdf.a wNsu;d¾:hhs'

Geriatrician ffjoHjrfhlaf.a lemùu fï úosyg wx.iïmQ¾K" ;=<kd;aul fidhdne,Sula Geriatrician flfkla ;u frda.shd fjkqfjka isÿ lrkjd' thg fnfyúka ld,h wjYHhs" bjiSu wjYHhs" jD;a;ShNdjh wjYHhs' lreKdj" ohdj" jf.a udkqISh .=Kdx.;a fkdwvqju ;sìh hq;=hs' frda.shd yd ffjoHjrhd w;f¾ ukd iïnkaO;djhla fï Tiafia we;s fjkjd' <ne|shdjla" úYajdihla we;s fjkjd' ta úYajdih" ñ;%;ajh Tiafia wdorKSh jeäysáhkaf.a fi!LH .eg¿ yels muKska úi|d oSu;a ta Tiafia Tjqkaf.a

jhia.; jQ uõmshkaf.a keKj;a orejkag mKsúvhla fï mKsúvh wm ,nd fokafk uõmshkaf.a w.h okakd wdorKSh orejkaghs' Tnj Wia uy;a lrkak" wOHdmkh ,nd fokak" cSú;h yßu.g .kak Tfí wdorKSh uõmshka Tfí fijke,a, jqKd' Tn Yla;su;a fjklï Tjqka Tnj w;ayeßfh kE''' Tng wd ish¿ wNsfhda. j,oS Tjqka bkaøÇ,hla fia fkdie,S ysáh fkao @ ta ud;D iafkayh' mS;D iafkayh' th .eUqrehs' wmßñ;hs' osfkl cSú;h wjika jk f;la ujmshka fï iafkayh" wdorh orejka fjkqfjka ,nd fokjd' ta;a tod Yla;s iïmkakj isá uõmshka Tn jeäysáhka jk úg jhig hkjd' wn, ÿn, fjkjd' f,v frda. j,g ,la fjkjd' .f;a iúh ú;rla fkdfjhs ysf;a iúh" wd;au úYajdih mjd .s,sfykjd'

116

ffjoHjrhd - udisl ffjoH iÕrdj

fï fj,djg ljqo <`.ska bkak ´ks' orejka''' Tjqka Tjqkaf.a cSú;hu lem lf<a Tn fjkqfjka' oeka Tng Tkqkg m%;sWmldr lrkak ld,h t<ô,d' Elderly Care Medicine Tfí uõmshkaf.a cSú; fjkia lrkjd fï wdorKSh uõmshkaf.a ie|E iufha cSú; jvd;a meyeir lrkak" kSfrda.S lrkak wo ffjoH úoHdfõ wkqyila ;sfnkjd' Elderly Care Medicine Tfí uõmshkaf.a cSú; j, Tn fkdis;+ Okd;aul fjkila isÿ lsÍug iu;a' we;af;kau uõmshkag fyd|u foa ,ndoSug fï jeäysáhkaf.a fjolu iu;a' cSú;fha ie|E iuh f.jk Tfí uj mshd Geriatrician flfkl=g fhduq lsÍu Tyqf.a" wehf.a cSú;fha yerjqï ,laIhla fjkjd' thska ie|E iuh jvd;a ixúOdkd;aul lr.kakg Tjqka WmldÍ fjkjd' Tjqkaf.a wdrlaIdjg" /ljrKhg Tn m;a fjkjd' jhig hkúg 2016 wfma%,a l<dmh

Tfí uõmshka yg jvd;au fyd| ffjoH Wmfoia ,nd.kak wjYH kï Tn hd hq;af;a ta ms<sn|j úfYAI{ ffjoHjrfhla jk Geriatrician flfkla yuqjghs' fld<U 2 kjf,dal frdayf,a oeka m%:u j;djg fcHaIaG mqrjeishka i|yd ffjoH idhkhla meje;afjkjd' cSú;fha ie|E iuh .; lrk Tfí wdorKsh uj" mshdf.a frda.dndO ish,a, úuiqug ,la lrñka Tyqf.a" wehf.a bosß wkd.;h jvd;a fi!LH iïmkakj .; lsÍug ie,iqï lsÍu fuysoS isÿ fjkjd' we;sjk ldhsl" udkisl .eg¿" Tjqka uqyqK mdk wNsfhda." wjodkï idOl losug újrKh lrñka Tfí wdorKShhka i|yd ,ndosh yels úYsIAG;u fi!LH m%;s,dN w;am;a lr.ekSug fuysoS wjia:djla ie,fikjd' jeä úia;r oek.ekSug wu;kak

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fy< wjqreÿ ux.,Hfha''' ksfrda.S wdydr isßf;a zuÍkdZ i<l=K

fy< wjqreÿ ux.,Hfha''' ksfrda.S wdydr isßf;a zuÍkdZ i<l=K nlaufya wisßh;a iu.ska fy< wdydr isß;g uÍkd fmd,af;,a" fmd,alsß iy wfkl=;a ksIamdok nlaufya t<efUkafka fy<fha uyd w¿;a wjqreÿ ux.,Hhhs' ÿjd orejka w¿;a i¿ms<s ;E.sfnda. wrf.k ;u wdorKSh uõmshka neye olskakg hkafka;a" iyf,a {d;Ska yd fyd|ys; yqjudre lr.ksñka i;r os.aNd.fha kE .uka hkafka;a fï nlaufya w¿;a wjqreÿ ux.,HfhoShs' mqxÑ orejkaf.a i;=g jvjk fï wjqreÿ ld,h''' f,dl= l=vd fNaohlska f;drj fldhs ljqre;a uy;a wfmalaIdfjka n,d ys|sk wfma rfÜ W;al¾Ij;a W;aij iuhhs' W;aij iufha lEuîu j,g ,efnkafka uq,a ;ekls' fjfiiskau w¿;a wjqreÿ lEu fïih wfma Ñrd.; fy< isß;g wKQj ms<sfh, jk foaYSh wdydr j,ska yev .ekafjhs' lejqï" fldlsia" w;sri" lsßfgdms" w.a.,d" wdiañ''' fï wdoS fndfyda wdydr fy< ,,kdjka úiska ilia lrkafka ish {d;s ysff;ISka fj; fkdmsßfy,d ix.%y lsÍugh' wdydr ms<sfh, lsÍfïoS fi!LHiïmkakj tajd ms<sfh, lsÍu w;sYhska jeo.;ah' úfYaIfhkau wdydr ksid frda.SjQ iudchla isák ful, wm wdydr ksid nrm;, .eg¿ j,g uqyqK md isáuq' orejkaf.a ia:q,;djh" jeäysáhkaf.a oshjeähdj" wêreêrmSvkh wdoS fnda fkdjk 2016 wfma%,a l<dmh

frda. j,g ,laùu wo iudcfha olakg ,efnk ldrKhls' fï ksid wfma wej;=ï mej;=ï" wdydr isß; iEu úgu fi!LHiïmkak lsÍu wmf.a j.lSuls' fjfiiskau ;sridr ksfrda.S njla fjkqfjka fï wdfhdackh wm l< hq;af;auh' wjqreÿ isßh fyd|ska ú|.kakd wfma ck;dj wjqreÿ ldf,g l< t<s niskd wdydro iSudjlska f;drj wkqNjhgo leue;a;la olajhs' ta;a fmr wfma uq;=ka ñ;a;ka ta wmg wkkH jQ wdydr i;=áka wkqNj lf<da| iajlSh wdfrda.Hho ta wdydr j,skau idod.;ay' kuq;a oeka tfia fkdfõ" wfma wdydr isß;g n,y;aldrfhka tl;= jQ wdydr ¥Il ksid wfma mrïmrdj f,v frda. j,g jeä jeäfhka f.dÿre fj;s' fï .ek wjfndaOhla we;af;da fj<|fmdf<a we;s .=Kd;aufhka by<" fi!LHiïmkak jQ wdydru mdßfNdackh 119

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msKsi f;dard.ks;s' fy< isß;g wdydr ms<sfh, lsÍfïoS fi!LHiïmkakj wdydr ms<sfh, lsÍug zuÍkd ksIamdokZ ta i|yd fhdod.kakd f,i wm Tng fhdackd lruq' thska Tfí wdorKShhkaf.a" iqjfi; wdrlaId lr.; yelsfõ' w;sYhska fi!LHiïmkak ksIamdok l%shdj,shla Tiafia Tn fj; tk Wiia ;;a;ajfha uÍkd ksIAmdok Tfí iqjfi; wdrlaId lrhs' wjqreÿ iufha úYajdijka; wdydr isß;la yd uÍkd ksIamdok fm<la oeka fj<|fmd<g ksl=;a lr ;sfí' uÍkd fmd,af;,a lejqï" w;sri iEoSfïoS fmd,af;,a by< WIaK;ajhkag m;afõ' fufia by< WIaK;ajhkag m;aùfïoS fmd,af;,a j, ridhKsl fjkialï isÿ fkdúh hq;=h' kuq;a wjdikdj kï m%ñ;sfhka hqla; fkdjk fmd,af;,a by< WIaK;ajfhaoS TlaislrKh ù 120

fy< wjqreÿ ux.,Hfha''' ksfrda.S wdydr isßf;a zuÍkdZ i<l=K

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