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2016 fmnrjdß l<dmh
1
CONTENTS
6
Breaking Health News
8
yoj;a ii, l< ufkda úoHd foaYKhla
10 fudnhs,a f*daka" mß.Kl" jeks ;dlaIKsl fuj,ï weiaj,g ydkslro@
14 Tn tla;eka lrñka cSú;h wl¾uKH lsÍugo úfgl iu;a''''
20 jHdhdu lsÍfï§ jeämqr c,h mdkh lsÍu wys;lr wehs @
24 WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh'''
ffjoHjrhd fujr fm,.eiau
59
cSú;hl wjika fudfyd; .ek oeKqj;a fjuq
64
cSú;h ksfrda.S lrk wfma mdrïmßl iy,a j, .=K
68
Tn i;=áka mdkh lrk meKs îu j¾. fi!LH iïmkako@
72
mka;s ldurh ;=<§ orejkag ys;e;s ienE .=rejrhl= f,i yev.efikafka fldfyduo@
104
108 fomdj,g iqkaor;ajh iy
78
isrerg myiqjla f.k fok - fmälshq
111 wk;=rla isÿ jQ úg tu wjia:dfõ fõokdjla fkdoefkkafka wehs@
.eìks iufha § kqiqÿiq wehs@
82
120 Y%S ,xldfõ m%:u j;djg jd; m;a;=j wdhq¾fõo ksIamdokhla f,i fj<|fmd<g'''
34 wêlj fldam .ekSu udkisl
w;=re wdndOj,ska f;drhs
42 Tiaáfhdam;s iy yS,skam;s
ffjoH l%u ,xldjg y÷kajd ÿka kepqr,a nela fy,a;a frday,
45 lsßleáhd >k wdydr j,g yqre lrjk yeá
oyiafjks k< orejd fï jif¾ Wmoskjd'''
116 we;eï wdydr j¾.
¥ orejka fm!reI wdndOj,g ,la úh yelshs
38 weÿug ,ndfok WrK fnfy;a
114 ,xld fydiamsÜ,ayS
.¾NsKS iuhg we;s wNsfhda.
31 Tfí ;reK jhfia miqjk
frda.hlao@
újdyh kSri fjk fya;=
rd;%sfha ksÞ .kakd jgmsgdj;a Yajik frda.j,g n,mdk nj okakjdo@
122
86
Wrysia wdY%s; fõokdjkaf.a .;s fidnd'''
91
jeros mshhqr bj;a lsÍu ksid ldka;djlg ;u mshhqre folu wysñ fõ
94
reêrh ;=kS lrk osú iq/ls Tiqjls WARFARIN
96
wkdrlaIs; .íid ksid ñ,sk jk cSú; iqrlaIs; lsÍfï wo ojfia iudc j.lSu
51 rdcldÍ cSú;fha m<uqfjks
ldka;djka cSú;fha ie|E iufha uqyqK mE hq;= wd¾;jNdjh
oji'''
126 .=rej;a; j,õfõ .%Ska
y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula''' flaI uQ, ;r,h
The contents of this publication may not reproduced in whole or part in any form without the written consent of the publisher.The opinions expressed in WAIDYAWARAYA are those of the writers and not necessarily endorsed by the publisher.
2
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waidyawaraya.lk
57 mjq,a /ila wdf,dalu;a l< kjf,dal idM,H;d uOHia:dkh m<uq oYlhg md ;nhs
2016 fmnrjdß l<dmh
3
EDITORIAL
l;= igyk
Editor's
Note
ßh wk;=re oeka fndfydu jeähs''' wm l=ula lruqo @ hqo ìh" ler<s flda,y, NS;sh tod fuka wo fkdue;s uq;a wo ojfia uyu. .uka lsrSfïoS kï wmg oefkk NS;shla fõ' tfyka fufyka j.la úNd.hla fkdue;sj yria lrk jdyk" wêl fõ.fhka .uka lrk jdyk fukau ud¾. kS;s lv lrñka wmÍlaIdfjka .uka lrk jdyk ksid wo YslaIKhla we;sj uyu. .uka lrk moslhka mjd wkdrlaIdjg jefÜ' fuh wo rgl ck;djla jYfhka wm ish¿ fokdu uqyqK mdk .eg¿jls' miq.shod r:jdyk fmd,Sish úiska ksl=;a lrk ,o f;dr;=re j,g wkQj miq.sh j¾Ih ;=<oS uyu. wk;=re ksid ñh.sh m%udKh 2"722ls' fï ñh.sh whf.ka 814la fudag¾ ihsl,fhka .uka l< wh fõ' 183la fudag¾ nhsisl,fha msgqmi .uka lrk ,o whh' ßhÿrka 198ls' ihsl,alrejka 250ls' u.Ska 480ls' mdf¾ .uka l< mqoa.,hka 814ls' 2014 j¾Ihg idfmalaIj n,k l< 2015 j¾IfhaoS wk;=re j, jeäùula m%lg fjhs' 2014 j¾IfhaoS urKhg m;ajQ 732la jQ fudag¾ ihsl,alrejka ixLHdj 2015 oS 814la olajd jeäù ;sfí' 2014oS uyu. .uka l<jqka 391la ud¾. wk;=re ksid ñheÿKq w;r th miq.sh jif¾oS 486la olajd jeäù we;' fuhskao ud¾. wk;=re ixLHdj tkak tkaku md,kh l< fkdyels w.hlg m;ajk nj fmfkkakg ;sfnhs' fï wdldrfhka ud¾. wk;=re by< kexùug uQ,sl jYfhkau n,mdkafka wmÍlaIdldÍ ßh Odjkhhs' fmd,sia fomd¾;fïka;=fõ ksÍlaIK j,g wkQj jeros me;af;ka biair lrkakg W;aidy oeÍu" ix{d oelaùula fkdlr jdykh yerùu" fõ.fhka ßh Odjkh" u;ameka î ßh Odjkh lsÍu wdoS lreKq /ila fï wk;=re isÿùug fya;= ù ;sfí' úfYaIfhkau cx.u ÿrl:kfhka l;d lrñka ßh Odjkh lsÍfï mqreoao ksido úYd, wk;=re ixLHdjla ful, isÿjk nj fmd,sia fomd¾;fïka;=j wkdjrKh lrhs' fudag¾ r: wk;=re wo wm ish¿ fokd uqyqK mdk úYd, wNsfhda.hls' fuhska ñoSug kï kS;s Í;s muKlau m%udKj;a fkdfõ' YslaIKfhka hqla;j ;u l,alsßhdjka mj;ajd fkd.ekSu fï ;¾ckhg fya;=jla jk fyhska YslaIKfhka hqla;j ;u cSú; yeviú lr.ekSfuka fuhska ñoSug wkqmfïh msgqjy,la ,efnk nj fkdlshdu neßh'
The Pioneer Health & Medical Journal 22 ldKavh 2016 - 02 l,dmh
EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka FEATURE ASSOCIATES Dr. Sanath Senanayaka Dr. Chaminda Premathilaka Dr. Nalaka Ranasingha Chandrani Rathnayaka (Nursing Officer) R.A.D.T. Priyadarshani (MLT) Prasanna Dissanayaka (Occupational Therapist) Sahan Siriwardhana (Pharmacist) Dinesh Priyal Darshana (Radiologic Technologist) Shamal Indika (Nuclear Medical Technologist) Shamali Pathirage S.M.D. Senevirathne Anuradha Dilini Ilankoon CREATIVE PRODUCTION AD-MIRE Creative WEB ADMINISTRATOR Dumindu Dissanayake BUSINESS EDITOR Amitha Wickramarachchi dapw1234@yahoo.com 0778150270 | 0717622760 TYPE SETTING Chathurika Sandamali PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda. WAIDYAWARAYA is a intellectual property of Healthwatch Publications Viharakele, Diyatalawa. TEL: 057 22 29040 | FAX: 057 22 29040 E-MAIL: info@waidyawaraya.lk WEBSITE: www.waidyawaraya.lk HOTLINE: 077 3149084
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4
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uqo,a f.ùug Wmfoia fplam;a j,ska f.ùu lrkafka kï fplam; zzfy,a;afjdÉ ,xld mqoa.,sl iud.uZZ kug ,shd f¾LKh fldg wm fj; túh hq;=hs' uqo,a weKjqï u.ska lrk f.ùï zzosh;,dj ;eme,a ld¾hd,fhkaZZ udre lr .ekSug túh hq;=hs' ´kEu ,xld nexl= YdLdjloS .sKQï wxl 9324332 fy,a;afjdÉ ,xld mqoa.,sl iud.u .sKQfï uqo,a ;ekam;a lsÍfukao Tfí odhl;ajh n,.kajd.; yelshs' ,xld nexl=jg uqo,a f.ùïoS uqo,a f.jk nexl= l=ú;dkaisfha Pdhdia: msgm;la iu. fuu l+mkh fyda Tfí ku" ,smskh iy ÿrl:k wxlh i|yka fjku ,smshla wmf.a wdh;kh fj; tùug ldreKsl jkak' odhl;ajh iïnkaO ish¿ úuiSï 0773149084 yd 0714133285 fj; fhduq lrkak ug ffjoHjrhd i`.rfõ odhl;ajh jirlg
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oskh w;aik
2016 fmnrjdß l<dmh
nexl= ;ekam;a
5
BREAKING HEALTH NEWS
ffjoHjrhd mqj;a úuiqu
BREAKING
HEALTH NEWS wfma rfÜ Wm;a md,k fldmq Ndú;fha j¾Okhla''' miq.sh jir úiail muK ld,h ;=<oS wfma rfÜ Wm;a md,k fldmq Ndú;h ishhg úiailska by< f.dia we;ehs wkdjrKh fõ' ishhg 1'9la jQ Wm;a md,k fldmq Ndú;d lrkakka ixLHdj ishhg yh olajd by< kexù ;sfnk nj jeäÿrg;a jd¾;d fõ'
fldkavï Ndú;dj iïnkaOfhka miq.sh jif¾oS wOHhkhla wdrïN flreKq w;r tajd" Ndú;dj" m%fõYh" oeKqj;a lsÍu wdosh fuysoS i<ld ne¨Kq nj fi!LH wud;HxY wdrxÑ ud¾. m%ldY lrhs' wkdrlaIs; ,sx.sl in|;d u.ska HIV ffjrih jHdma;sh je<elaùug f,dj we;s id¾:lu l%uh f,i wkdjrKh ù we;af;a 6
fldkavï fyj;a Wm;a md,k fldmqh' 2015 jir wjidkh jk úg Y%S ,xldfõ taâia wdidos;hka 2241la wkdjrKh ù ;sfí' taâia frda.Ska 557la jd¾;d ù we;' jeäu HIV wdidos;hka jd¾;d jQ jhia iSudj wjq' 25-49 w;rh' iylrejd Wm;a md,k fldmq Ndú;d lrk ldka;djkag jvd tajd Ndú;d fkdlrk iylrejka isák ldka;djkag tAâia je<|Sfï wjodku ishhg 30lska jeäjk nj wkdjrKh ù ;sfí' wkdrlaIs;Ndjfhka je<lSu i|yd fldKavï fyj;a Wm;a md,k fldmq Ndú;h ms<sn|j ud¾f.damfoaYK we;=<;a lD;shla taâia frda. ksjdrK tallh u.ska miq.shod m%ldYhg m;a lrk ,oS'
;e,iSñhd frda.Ska fjkqfjka kdúl yuqodfjka kslafIAmk hka;% ;e,iSñhd frda.Ska i|yd Y%S ,xld kdúl yuqodj u.ska ksIAmdokh lrk ,o ;e,iSñhd kslafIAmK hka;% fnodoSu miq.shod fi!LH wud;Hjrhdf.a m%Odk;ajfhka isÿ flßK' ;e,iSñhd frda.h fya;=fjka reêrfha wvx.= hlv YÍrfha úúO bkaøshj, tla/ia jk w;r kej; kej; reêrh ,nd .ekSfïoS fï ;;a;ajh ;jÿrg;a j¾Okh fõ' fï jeäuk;a hlv bj;a lsÍug fujka hka;% ;e,iSñhd frda.Ska yg wjYH fõ' kdúl yuqodfõ iudc iqNidOk jHdmD;sh hgf;a fuu hka;% ksIAmdokh lr fkdñ,fha rcfha frday,a fj; fnod yeÍu w.h l< hq;= iudc ioa Ndú;djls' ffjoHjrhd - udisl ffjoH iÕrdj
fld<U" l=reKE.," wkqrdOmqr" uvl,mqj" fudKrd.," mq;a;,u yd wïmdr wdoSs osia;%slal j, ;e,iSñhd frda.Skaf.a mßyrKh i|yd fï fviamrd,a kslafIAmK hka;% ,nd fokq we;' ish leue;af;kau fmdg jroaod .kakd wfma rfÜ ldka;dfjda 2015 jif¾ m<uq udi 11 ;=< ia;%S ¥IK meñKs,s
OVULATION FACTS äïnhla äïnfldaIfhka msgfjkafka fufyuhs ldka;djlf.a äïn fldaIfhka äïnhla msgjk fudfyd;l .;a b;d ÿ¾,N PdhdrEmhla fuys oelafõ' äïnfldaI
2016 fmnrjdß l<dmh
1854la ;uka fj; ,enqKQ nj Y%S ,xld fmd,Sish i|yka lrkjd' úfYAI;ajhla jkafka fï meñKs,s j,ska ishhg 80lau leue;af;ka isÿjQ ,sx.sl tlaùï njhs' fmd,sia m%ldYl iyldr fmd,sia wêldÍ rejka .=Kfialr uy;d udOH yuqjloS fï nj m%ldY l<d' wfma rfÜ kS;shg wkQj jhi wjq' 16g wvq ;eke;a;shla ish
bj;a lsÍfï ie;alulg Ndckh lsÍug ldka;djl Y,Hd.drhg f.k Worh fPaokh lr äïnfldaIh mdod.;a fudfydf;a fï úr, isÿùu PdhdrEm.; lsÍug ffjoHjrfhl=g yelsù ;sfí'
leue;af;kau mqreIfhl= iu. ,sx.slj tla jQjo th ia;%S ¥IKhla jYfhka ie<flkjd' flfia fj;;a ldka;d jhi wjq' 16g jeä kï ia;%S ¥IKhla jkafka mqreIfhl= úiska weh iu. n,y;aldrfhka ,sx.slj tla jQjfyd;a muKhs'
äïn fudapkh iïnkaO Tn oek.; hq;= lreKq • äïnhla äïnfldaIfhka msgjQ miq meh 12-24l ld,hl cSjhla Bg ysñ fõ' • tla jrlg ksl=;a jkafka tla äïnhla muKs' B<`. äïnh kej; msgùug wd¾;jhla kej;;a iïmQ¾K úh hq;= jkafkah' • f,v frda." wd;;sh u; äïn fudapkh isÿjk oskh fjkia úh yel' • äïnh fudapkh jk oskfhaoS we;eï ldka;djkg f,a ìxÿjla fhdaks uf.ka meñfKhs' • äïnhla fudapkh ùfuka miq th ixfiapkhlg iQodkï ùug ;j;a osk 6-12l ld,hla .; jkafkah' • iEu ldka;djlu Wmoskafka ,laI ixLHd; äïn iycfhkau Wreu lr.ksñks' fïid úYd, m%udKhlska mßK;shg m;aj fudapkh jkafka 400l muK iq¿ m%udKhls' • wd¾;j reêrh my fkdjqK;a äïn fudapkh isÿ úh yel' • we;eï úg ldka;djkg äïn fudapkh isÿjk oskfhao Worfha ta wdikakfhka iaj,am fõokdjla we;súh yel' 7
STORY
yoj;a ii, l< ufkda úoHd foaYKhla
yoj;a ii, l< ufkda úoHd foaYKhla ta jeäysáhka i|yd jQ ufkda úoHd mx;shls' YsIH YsIHdjka wfmalaIdfjka isáfha ;u yo ne|.;a wmQ¾j .=re;=ñh tosk mx;shg tkf;lah' weh kshñ; fj,djg meñKshdh' zzwo wms mqxÑ l%Svdjla lruq ''''ZZ YsIH YsIHdjkaf.a l=;=y,h weúiaiqks' zzljqo" leue;af;ka bosßm;a fjkafka''' @
ó<`.g .=re;=ñh ;j;a wkjYH y;r fofkl= ulkakg kshu l<dh' uq,skau myiqfjka l<;a oeka oeeka wehg fuh ;rula ÿIalr ldrKhla fjñka ;sìK' wef.a w;ska ueflk kï j, wehg wdikak ne|Sï ;sfnkjd úh yelsh'
.=re;=ñh lgy`v wjos l<dh'''
wjidkfhaoS jhsÜfndaâ tfla b;sß jQfha kï y;rla muKs' gdkshdf.a uj" mshd" iajdñmqreIhd yd tlu orejdf.a kï ta w;rúh'
zzfyd|hs gdkshd" Tfí cSú;fha Tng jvd;au jeo.;a jk 30 fokdf. kï Th jhsÜfndaâ tfla ,shkak'''ZZ
zzgdkshd" oeka ;j;a kï folla bj;a lrkak'ZZ
weh tl fm<g kï ,shdf.k hkakSh' mjqf,a idudcslhka" kEoEhka" ñ;=re ñ;=ßhka" wi,ajdiSkaf.a kï ta w;r úh'
weh wirK úh' l÷¿ leg wE fofk;ska lvd ye¨Kdh' fohshfka" uu fldfyduo" fï jefâ ;jÿrg;a lrf.k hkafk''' fuh ;jÿrg;a l%Svdjla fkdjk j. wehg ye`.S .shdh'
ZZ weh mx;sh isidrd ne,aula fy<ñka úuiqjdh' gdkshd" w; biaiqfõ wef.a bosßm;aùfï .=Kdx.h m%lg lrñks'
zzTng t;rï jeo.;a fkdjk ;=ka fofklaf. kï oeka ulkak'ZZ weh" t;rï ;elSula fkdlr wi,ajdiSka ;sfofkl=f.a kï ;=klau uld oeuqjdh' zzoeka ;j;a kï myla ulkakfld" Tng ta ;rï wjYH hhs ysf;kafk ke;s''ZZ' weh ;j;a kï myla uld oeuQfha wkdhdifhks' ñ;=re ñ;=ßhka fukau ;j;a okakd y÷kk lSm fofklaf.a kï ta w;r úh' 8
flfia kuq;a úOdkh l%shd;aul l< hq;=h' weh b;d fiñka ;u wdorKSh uõmshkaf.a
ffjoHjrhd - udisl ffjoH iÕrdj
kï fol uld oeuqjdh' zzlreKdlr, ;j;a kula bj;a lrkak'ZZ weh yhsfhka y`vd jegqKdh' ;u wdorKSh iajdñmqreIhdf.a iy tlu orejdf.a kï jhsÜfndaâ tfla úh'
fï f,dafl cSú;hla ÿkak" mqxÑ ldf, b|ka lkak" fndkak ÿkak" b.ekajQjd''' yßu. fmkakd ÿkakd''' @ Thdg ´kskï fjkska iajdñ mqreIfhla fydhd.kak mq¿jka' ta;a wïu" ;d;a;d''' @ZZ mx;sh óhg msïndla jeksh' ksYAYío;djh ì|sh hq;af;a wm l;d kdhsldj" gdkshdhs' weh ;u lgy`v wjos l<dh'
weh uy yhsfhka ye`vqjdh''' wehg ;j;a ÿr hd fkdyelsh' weh wirKj .=rejßh foi n,d isáhdh' zzkula bj;a lrkak gdkshd"ZZ weh lf<A úOdkhls' fjjq,k oE;ska bls ì÷ï iajrh uy ye`vqula fj;aoS weh ;u tlu orejdf.a ku bj;a lr y`vñka wiqk fj; msh ke.=jdh' l%Svdj tfia wjika úh' oeka we;af;a iudf,dapkhhs' .=rejßh gdkshd m%Yak lrkakg jQjdh' zzwehs" Tn uõmshka bj;a lf<A @ Tng 2016 fmnrjdß l<dmh
zzojil uf.a fouõmsfhd udj od, hkjd" ug;a l,skau''' uu fldhs ;rï wdorh l<;a uf.a mq;;a uf.a <`. ;shd.kak nE' Tyq bf.k.kak ´ks" ojil újdyhla lrf.k mjq,la mgka .kak ´ks'''uf.a cSú;h wjidk jk ;=re ÿl iem fnod.kak ud <`. bkak tlu flkd uf.a iajdñmqreIhd ú;rhs'ZZ tlaflkd" fokakd ne.ska uq¿ mx;shu ke.S isáfhah' ye`.Sïnrj isá wfhla ksfïIhlg ta wu;l lr fow;a tla lr w;a fmdf,diula ÿkafkah' mx;sh wjosu;a úh' cSú;fha ta ienEj isysm;a l< ;u iyDohd fjkqfjka fiiq whf.ao w;afmdf<dika y`äka mx;sh rdj m%;srdj ÿkafkah'
yeuúgu ;ukaf.a wdorKSh iylrejd" iyldßh ;u wd;auh lr.kak' ffojh Tn fofokd tla l< uq;a ta ne|Sï tald;añl lr.; hq;af;a Tfí úYAjdifhks" wdorfhks' 9
VISION
fudnhs,a f*daka" mß.Kl" jeks ;dlaIKsl fuj,ï weiaj,g ydkslro@
tlu ÿrla fyda tlu ;ekla foi fndfyda fõ,djla n,d isàu oEia fjfyig m;a lrk bßhõjls' fudnhs,a f*daka" mß.Kl" jeks ;dlaIKsl fuj,ï weiaj,g ydkslro@ wlaIs úfYaI{ ffjoH l,dfoaú Ysjfhda.kdoka wlaIs úfYaI{ ffjoH uqÈ;d l=,;=x. kEu flfkl=g weiaj, jßka jr úh<s .;shla oekSu" rEm fnd|ù fmkSu" fjfyilr oekSu idudkHhhs' tfy;a th È.gu mj;skjd kï fndfyda úg fya;=j frda.hla úh yelshs'
´
j¾;udkfha oefia fmkSu fidrd .kakd m%Odk y;=rd njg m;a j isákafka mß.Klhhs' tfukau cx.u ÿrl:kh jeks wmg ke;=j neß ;dlaIKsl fuj,ï ksido fofk;a j, fi!LHhg wNsfhda. we;s fjhs' fïjd wfma oEia blauKskau fjfyig m;alrñka weia frda.S lsÍug bjy,a fjhs' mß>Klh foi È.= fõ,djla n,d isáu ñksia wei iE§ we;af;a óg¾ yhla muK ÿßka ;sfnk øjH ne,Sug jvd;a iqÿiq f,ihs' jvd;a
10
.=jkska hdfï§ oeia úh<sug ;sfnk bv jeähs' ffjoH Wmfoia mßÈ oeiaj, úh<s nj we;sùu je<laùug ms<shï fhdokak' msyskqï ;gdlhg isúldp me,|f.k nyskak tmd' <`. we;s foa ne,Sfï§ wefia udxYfmaYska j,g jeä fjfyila" jeä wdhdihla oeÍug isÿfõ' jvd <`. we;s foa n,k wo ojfia iq,n ;dlaIKsl fuj<ï jk mß.Klh yd cx.u ÿrl:kh ksid oEia blauKska úvdjg m;afõ' mß.Klfha mdol wdf,dalho oEia blauKska fjfyig m;a lrhs' wefia fjfyi lsisÿ wlaIs frda.hla we;s lrk njg lsisu idlaIshla ke;' tfy;a ks;r ks;r mß.Klh Ndú; lrk wh
ffjoHjrhd - udisl ffjoH iÕrdj
fnd| ù fmkSu" ÿr wE; fohla keröu wiSre ùu" ysiroh jeks .eg¿ we;s ùu .ek ksrka;rfhkau ueisú<s k.hs'
ck.yKfhka fo,laIhlg muK f,dj oelSfï jdikdj wysñ ù ;sfnkjd' jeä fokd wkaO ù we;af;a wefia iqo ksidh'
fmKqu iqir lrk wdydr isß; weia kSfrda.S ùug wdydro n,mdk w;r ta i|yd fyd|u wdydr lsysmhla u;= oelafõ'
weia fjfyi fkdlr mß.Klh Ndú;d lrkafka flfiao@ iq¾hdf,dalh fyda úÿ,s n,anfha wdf,dalh uqyqKg fyda mß.Klhg jefgkjd oehs n,kak' túg weiaj,g oefkk fjfyi jeä fõ' wdf,dalh weig m;s; fkdjk fia mß.Klh Ndú;d lsÍug Tn keKj;a úh hq;=h' 1' mß.Kl ;Srh jvd;a uqyqKg ,xùu iqÿiq ke;' mß.Klh weia uÜgñka fyda Bg ;rula wvqfjka fyda ;nd .ekSu iqÿiqhs' 2' mß.Klfha Èma;su;a Ndjh wvq lr.kak' 3' jßka jr mß.Klfhka oEia bj;a lr ÿr we;s fohla foi n,kak' 4' fnd|ù fmkSu" ysiroh jeks fi!LH .eg¿ mj;skjd kï' jydu wlaIs ffjoHjrfhl= fj; fhduq ù fuhg fya;=jla ;sfíoehs úuikak' 2016 fmnrjdß l<dmh
• ;o fld< meye;s m<d j¾.' • ´fï.d 3 fïo wï,h wvx.= ;, jeks weg j¾." fjda,akÜ jeks weg j¾.' • rglcq" iqßhldkal weg" ÑlamSia jeks weg j¾.' • ng¾ wdukaâia" úÜ c¾ï' • lerÜ" n;," jÜglald" jeks úgñka nyq, wdydr' • .ia,nq wU jeks m<;=re j¾.' • fodvï" kdrx weUq,a rie;s m<;=re ^úgñka iS wvx.=& 11
VISION
fudnhs,a f*daka" mß.Kl" jeks ;dlaIKsl fuj,ï weiaj,g ydkslro@
jirlg jrla weia mÍlaId lr.kak jirlg jrla j;a oEia mßlaId lrkak' úfYaIfhka jhi wjqreÿ 40 g jeä kï wlaIs mÍlaIdj b;du jeo.;a' jhi;a iu. we;sjk wefia iqo" .af,dafldaud jeks ;;a;aj fõ,dikska ye|sk ms<shï fhoSug fï weia mÍlaIdj bjy,a jk nj Tn okakjdo @ weia iqrlaIdjg rkajka Wmfoia fm<la 1' wlaIs ffjoHjrhd fj; hk Tn Tfí fi!LH b;sydih olajkak' 2' wêl reêr mSvkh" Èhjeähdj jeks frda. we;akï ta nj fkdj,yd mjikak' 3' úfõl fõ,djkaj,§ lrk foa .ek oekqj;a lrkak' 4' ksjfia yd ld¾hd,fha jd;h isis,aj ;nd. kak' 5'iqr;,a i;=ka ksok ldurj, fkd.kak' ^f,dïj, ;ejreK foaj,a wid;añl úh yelshs' 6' ridhksl øjHiu. lghq;= lsÍfï§ wdrlaIs; lKAkdä m<Èkak' 7' inka yd fiaÿïldrlhla weiaj,g jegqKq úg ñks;a;= 10-15 la fia,hska j,ska fidaokak' oEia msßisÿ fõ' oEia j,g iykhla fkd,efí kï wlaIs ffjoHjrfhl= uqK .efykak'
mrs.Klfhka jev lsrSfï 20$20 kS;sh ms<smoskak oji mqrdu mß.Klfhka jev lsÍfï§ 20-20 kS;sh wkq.ukh lsÍug wu;l fkdlrkak' iEu ñks;a;= 20 lg jrlau wvq jYfhka ;;amr 20 la fjk;l n,kak' fmd;a lshùu jeks wei <x lrf.k lrk l%shdjl§ o tu ms<sfj;u wkq. ukh lrkak' lshjk úg fyda mß.Klfha jev lrk úg ks;r weismsh .ikak' ks;r weismsh .eiSfuka wefiys f;;ukh iq/fla' weig ydkslr øjH bj;a fõ' 12
iu fukau wei o ysre lsrKska /l .kak ysref.ka m;s; jk mdrcïnq, lsrK" wefia iqo" weia jhia.;ùu" blauka lrhs' UVA ishhg ishhlau we;s wõ lKaKdähla m,¢kak' <ud úfha isgu mdrcïnq, lsrKj,ska oeia /l .; hq;=hs' .=jkska hdfï§ oeia úh<sug ;sfnk bv jeähs' ffjoH Wmfoia mßÈ oeiaj, úh<s nj we;sùu je<laùug ms<shï fhdokak' msyskqï ;gdlhg isúldp me,|f.k nyskak tmd' ysiroh iy wlaIs .eg¨ ysiroh we;s ùug úúO fya;= n,mdkjd' weia fmkSu iïnkaO .eg¨;a ysirohg fya;= fõ' ffjoHjrhdg ysiroh .ek mejiSfï§ l=uk fõ,djl§ ysiroh iefoaoehs mjikak' wefia l÷¿ msÍu weia mshkaj, iq¿ wdidok ;;a;ajhloS fufia weia j,ska l÷¿ .e,Su isÿúh ffjoHjrhd - udisl ffjoH iÕrdj
yelshs' we;eï T!IO" úúO fi!LH ;;a;aj" mßir idOl ksid ^jdhq iólrK" iq<`. jeks & weia wvjka ù ksod .ekSu ksid weia úh<Su ksido oeiaj, l÷¿ msfrkak mq¿jka' iq¿ wdid;añl;d ksid o fufia isÿfõ' weig ndysr fohla jeàu wefika l÷¿ .e,Sug ;j;a fya;=jla' fuh ffjoH Wmfoia me;sh hq;= ;;a;ajhls' weia r;= ùu weia r;=ùu o fyd| fohla fkdfjhs' fuys§ wei lid r;= fõ' l÷¿ ln .,d weia mshka bÈfï' ysre t<sh ne,Sug wiSre fõ' meh 24 - 75 ka frda.h j¾Okh ù Èk foll jeks flá ld,hla fyda i;s ;=kla mej;sh yelshs' hym;a fi!LH mqreÿ frda.h j<lajd .; yels fyd|u l%uhhs' frda.S mqoa.,hl=f.a úIîc ;u we`.s,sj, ;ejÍu j<lajd .ekSug inka .d oe;a msßisÿj ;nd .kak' weia r;=ùug ffjoHjrhd m%;sÔjl T!IO m%;sldr f,i ,nd fokq we;' wfma rfÜ oDIAÀ frda. ;;a;ajh ,xldfõ ck.yKfhka ydr ,laIhlg wêl msßila fmkSu wvqlñka mSvd ú¢hs' ta w;r oDIaá fodaI" .af,dafldaud" vhfnála fráfkdm;s iy wkaO;djh iq,nhs' ck.yKfhka fo,laIhlg muK f,dj oelSfï jdikdj wysñ ù ;sfnkjd' jeä fokd wkaO ù we;af;a wefia iqo ksidh' ,xldfõ jeäysá ck.ykh jeä fjñka mj;sk ksid jhia.;ùu;a iu. we;sjk wlaIs fodaI" wefia iqo" .af,dafldaud" Èhjeähd fráfkdm;s ;;a;ajhg uqyqKmEu jeä fjñka mj;s' wefia iqo wkaONdjhg fya;=jk m%Odk frda.S ;;a;ajh jk wefia iqfoys frda. ,laIK f,i rEm fnd| ù fmkSu" wdf,dalhg wei jeä jYfhka ixfõ§ ùu" rd;%shg fmkSu wvqùu" j¾Kj;a mdg wj mdg ù ly mdg ù fmkSu oelsh yel' fï ;;a;ajhg ysref.a mdrcïnq, lsrK" ÿïmdkh" 2016 fmnrjdß l<dmh
Èhjeähdj" mjqf,a ldg fyda frda.h ;sîu fya;= fõ' frda.h ÿrÈ. fkdhd y÷kdf.k myiqfjka m%;sldr l< yelshs' .af,dafldaud mrïmrdkq.;j Wreu úh yels wlaIs frda. ;;a;ajhls' l,g fõ,djg y÷kdf.k m%;sldr fkdlf<d;a iaÓrju wkaO úh yelshs' fndfyda úg frda. ,laIKhla ke;sj frda.h we;sjk ksid y;<sia we¢ßfha§ lKaKdä i|yd mÍlaIdjg jk úg .af,dafldaud i|yd mÍlaId lr.ekSuo w;HjYHhs' jhi wjqreÿ y;<syg jeäùu" ÿr fkdfmkSu" Èhjeähdj" weiaj,g nrm;< ;=jd, isÿùu" iaàfrdhsv T!IO È.= l,la Ndú; lsÍu" wêl reêr mSvkh ;sîu .af,dafldaud we;sùfï wjodku by< kxjhs' igyk - wkqrdOd È,sks b,kafldaka'
13
STROKE
Tn tla;eka lrñka cSú;h wl¾uKH lsÍugo úfgl iu;a''''
wxYNd.h fyj;a wd>d;h
Tn tla;eka lrñka cSú;h wl¾uKH lsÍugo úfgl iu;a'''' uq,skau l< hq;= m<uq foh jkafka <`.u we;s frday, fj;g blaukskau meñKsuhs'
wxYNd.h f,iska Tn y÷kk wd>d;h frda.h urK wkqmd;slh w;skao fofjks jkafka yDo frda. yd ms<sldj,g muKs' fldákau wxYNd.h fï jk úg iq,n frda.hlaj ;sfí'
Y%S chj¾Okmqr uy frdayf,a iakdhq frda. úfYaI{ ffjoH y¾I .=Kfialr 14
ffjoHjrhd - udisl ffjoH iÕrdj
Tn wl¾uKH;djhg m;a lrk frda. w;ßka m%Odk frda. ;;a;ajhla jkafka wxYNd.h keue;s frda. ;;a;ajhhs' u< uq;%d mjd Tfí wkqoekqulsska f;drj isÿjk ;;a;ajhl" bÈß Ôú; ld,hu we|la u; tla;eka jq frda.sfhl=j isákakg Tng isÿ jqjfyd;a" th Tn Ôú;fha ,nk wNd.Hiïmkaku brKu jkq ksh;h' wxYNd.h f,iska Tn y÷kk wd>d;h ^Stroke& frda. ;;a;ajh urK wkqmd;slh w;skao fofjks jkafka yDo frda. yd ms<sldj,g muKs' fldákau wxYNd.h fï jk úg iq,n frda.hlaj ;sfí'
2016 fmnrjdß l<dmh
wd>d;h fud<h wdY%s;j we;sjk frda. ;;a;ajhls wfma isref¾ uq¿ foay l%shdldß;ajhu hdukh lrk fud<hg fkdlvjdu wjYH m%udKhg reêrh iemhSu w;HjYH fõ' tys l%shdldß;ajhg wjYH jk Tlaiscka iy .a¨fldaia iemfhkafka reêrh yrydh' yDofhka fmdïm lrk uq¿ reêr m%udKfhka ishhg 15 l m%udKhla iy iuia; foayhu mßfNdackh lrk Tlaiscka m%udKfhka ishhg 20l m%udKhla iemfhkafka fud<hg fõ' hï fya;=jla u; fud<hg wjYH m%udKhg reêr iemhqu fkd,eî hdu ksid we;s jk frda. ;;a;ajhla f,i wd>d;h yeÈkaúh yelshs' fuh uq,sl jYfhka fohdldrhlska we;súh yelsh' 1 fud<hg reêrh imhk Oukshl we;sjk wjysr;d ksid we;s jk wd>d;h ^lschaemic stroke& kï fõ' 2 fud<hg reêrh imhk Oukshl msmsÍula ksid wNHka;r reêr jykhla yg.ekSu fya;=fjka we;s jk wd>d;h ^Haemorrhagic stroke& kï fõ'
15
STROKE
Tn tla;eka lrñka cSú;h wl¾uKH lsÍugo úfgl iu;a''''
ñks;a;= lsysmhlska fyda reêrh fkd,eîu u.ska fud<fha iakdhq wêl m%udKhla ñh hd yelsh' m%udo ùu u.ska ;j ;j;a iakdhq ffi,j,g ydks meñKSu isÿ fõ'
;j;a wdldrhla wjysr;d ksid we;s wd>d;h ^Thrombotic stroke& fud<hg reêrh imhk wfOdalaI Ouksj, ^Carotid arterles& we;frdaud ;ekam;a ùu ksid Ouks isyskaj f.dia tys reêr leáhla isrùu ksid fud<hg reêr iemhqu wvd, úh yels fõ' fjk;a ;efkl we;s f,a leáhla fud<fha isrùfukao wxYNd.h we;s úh yelshs ;jo fud<hg reêrh imhk Ouks j,ska mßndysrj fodaIfha we;s fjk;a Oukshl fyda yDofha fyda we;sjk reêr leghla" tfia fkdue;s kï" wd.ka;=l wxY=jla reêr Odrj Tiafia fud<hg reêr imhk Oukshlg meñK" tys isrùu ksido wxYNd. ;;a;ajh we;súh yelsh' fuu ;;a;ajh Embotic Stroke hkqfjka ye|skafõ' ishhg 80 la muK nyq,ju we;sjk wd>d; ;;a;ajh fuf,iska we;s jk wd>d;hhs' wNHka;r reêr jykh ksid we;sjk wd>d;h Tn wêl reêr mSvkfhka fmf<hs kï iy Tn th yßyeá md,kh fkdlrhs kï fuf,i wjodkula we;sùug we;s bvlv jeäh' ksjerÈ wdydr rgdj;a" ksis mßÈ jHdhdu ,eîu;a" l%udkql=,j T!IO .ekSu;a Tn uekúka l< hq;=h' reêrh kd, ;=<ska .uka lrk úg tu.ska kd, ì;a;s u; we;s lrk f;rmqu jeäfõ' 16
fud<hg reêrh imhk reêr kd,j, we;s ÿ¾j, ia:dk j,§ tu kd, msmsß f.dia fud<h ;=< reêr jdykhla we;súh yelsfõ' fuu.ska fud<fha we;s ffi,j,g fl<skau ydks meñfKhs' bkamiqj Tlaiscka iy .a¨fldaia fkdue;s ùu ksido iakdhq ffi,j,g ydks f.k fohs' iakdhq ffi,j, ñh hdu u;ska we;sjk ydkshla''' fud<fha iakdhq ffi, j,g iemhqu wvd, jQ miq tu Yla;sh ksmoùfï l%shdj,sh wvmK fõ' Yla;sh u; mokï jq whk iu;=,s;dj tu.ska ì| jeà iakdhq ffi,fha whk wiu;=,s;;djhla yg .kS' fï iu.ska iakdhq ffi,h ì| fy<k tkaihsu l%shdldÍ fõ' iakdhq ffi,j, ñh hdu fuf,iska isÿfõ' YÍrfha fndfydauhla wfkla ffi, fuka fkdj iakdhq ffi, w;sYfhkau úfYaIKh jq ffi, ksidu ffjoHjrhd - udisl ffjoH iÕrdj
tu ffi,j,g hï ydkshla isÿ jqjfyd;a th kej; ksjerÈ lrùu b;du;a wmyiq fõ' wxYNd.h y÷kd.kafka flfiao@ 1' tlajru Tfí YÍrfha uqyqK yd w;mh wdoS bkaøshhkayS ixfõok fkdoekS hdu' 2' yÈisfhau Tfí w; mh j, we;sjk mK ke;sùu' fuh fndfyda úg YÍrfha tla wxYhl muKla we;súh yel' 3' tla weil fyda weia foflau oDIaÀh laIKslj wysñj hdu' 4' weú§ug tlajru wmyiqùu" lrleú,a, YÍrfha iunr;dj fkdue;sj hdu' 5' tlajru l,amkdj fkdue;s ùu' 6' l:d lsÍug fkdyels ùu" f;areï .ekSug wmyiq ùu' 7' Ôú;fha lsisod fkdoekqKq ord.; fkdyels ;on, ysiroh' 8' jukh yd Tlaldrh we;sùu' 9' isys l,amkdj fkdue;s ùu' 2016 fmnrjdß l<dmh
fuu frda. ,laIK we;sùu fud<hg isÿjq ydksfha m%udKh" ydks isÿ jq ia:dkh iy ydksh isÿ ùug n,mE fya;=j u; fjkia fõ' fujeks frda. ,laIK u;= jqjfyd;a l< hq;af;a l=ulao@ uq,skau l< hq;= m<uq foh jkafka <`.u we;s frday, fj;g blaukskau meñKsuhs' ñks;a;= lsysmhlska fyda reêrh fkd,eîu u.ska fud<fha iakdhq wêl m%udKhla ñh hd yelsh' m%udo ùu u.ska ;j ;j;a iakdhq ffi,j,g ydks meñKSu isÿ fõ' frda. ,laIK we;s ùu ñks;a;= lsysmhl isg Èk .Kkla olajd úh yels fõ' kuq;a Tfí wm%udoh" fkdmudj ffjoH wëlaIKhg m;a lrùu Tng we;s lrjk ydksh wju lrjhs' ;djld,slj we;sjk wvmK ùula we;eï wjia:dj, wd>d;h we;s nj Tng y`.jk frda. ,laIK Tng we;sù keje; Tn m%lD;s ;;a;ajhg m;aúh yelsh' fï frda. ;;a;ajh Transient lschaemic Attack (TIA) f,iska ye¢kafõ' fud<hg reêrh iemfhk reêr kd,hl ;djld,sl wjysr;djla fya;= fldgf.k fuu ;;a;ajh we;sfõ' fuysoS ie<lsh hq;= ydkshla isÿ fkdjQjo wkd.;fha § keje; j;djla fï whqßka reêr iemhqug wjysr;d we;sj wd>d;hg f.dÿrej YÍrh wxYNd. ;;a;ajhg m;a lrjk wjodkula we;s nj th Tng lshdmdhs' tfia fyhska fï wjia:dfõ§ frday,la lrd msh k.d ffjoH Wmfoia ,nd.ekSu ;=<ska u;=jg wd yels wjodkula wju lsÍug wjia:dj ie,fia' fud<fha j.;=. YÍrh md,kh lrk uOH iakdhq moaO;sfha uq,sl;ajh f.k lghq;= lrk fud<h m%Odk fldgia mylg fnod oelaúh yelsfõ' 17
STROKE
Tn tla;eka lrñka cSú;h wl¾uKH lsÍugo úfgl iu;a''''
1' jï iy ol=Kq uia;sIal ^Cerebrum& 2' wkquia;sIal ^Cerebellum& 3' ueo fud<h ^Mid brain& 4' jefrda,s fia;=j ^pons& 5' iqY=ïkd Ys¾Ilh ^Medulla Oblongata & uia;sIalh uia;sIalh fldgia y;rlg fnod oelaúh yelsh' 1' ,d,dg LKaäldj ^Frontal lobe& 2' md¾YaÑ; LKaäldj ^ parietal lobe& 3' YxLl LKaäldj ^Temporal lobe& 4' md¾YaÑl wmr lmd, LKaäldj ^Occipital lobe& uq,sl jYfhka fud<fha tla me;a;la YÍrfha Bg m%;súreoaO osYdfõ l%shdj,s md,kh lrhs' fuu fud<fha tla tla fldgi Bg ksYaÑ; wdfõKsl ld¾hhkag wkqrEmSj mj;S' tu ksid reêrh iemhSu wvd,j fud<hg ydks ùu ksid ta ydksjQ fldgi u.ska isÿlrk ld¾hh bgq lsÍug YÍrhg fkdyels fõ' ydks jQ m%udKh iy ydksjQ fldgi u; we;sjk frda. ,laIK úúOdldr fõ' we;eï wjia:djl th laIKsl urKhlska mjd fl<jr úh yelsh' wd>d;h we;sùu md,kh l< yelso@ wfkl=;a frda.j,g jvd wd>d;h oreKQ jkafka tu.ska fud<hg isÿjQ ydksh keje; idudkH ;;a;ajhg .ekSug yelshdjla fkdue;s ùu ksidh' tu ksid tu frda.h je<§ug we;s yelshdj wju lsÍug Tng .; yels iEu mshjrlau .ekSu b;du jeo.;ah' fud<hg ydks jQjdhska wk;=rej Tn wxYNd. ;;a;ajfhka fmf<ñka we| u; is;a fõokdfjka isáh§ fï ms<sn|j is;Sfuka lsis÷ m<la ke;'
18
wm%udoSj wd>d;h je<§ug Tng we;s wjodku ÿre lr,Sug Tn l%shd l< hq;=h' tfia fkdue;sj Tfí l%shd l,dmhka wjYH mßÈ fjkia fkdlsÍfuka" Tn wxYNd. ;;a;ajhg meñKsh fyd;a" thska ldhsl yd udkisl jYfhka mSvd ú¢kafka Tn muKlau fkdfõ' Tfí mjqf,a ish¿u idudðlhkao" Tn ksid mSvd ú¢kq we;' ´kEu jhil mqoa.,fhl=g wd>d;h je<§fï wjodku we;' jhi;a iu. wd>d;h we;s ùfï wjodku jeäfõ' jhi wjqreÿ 55 ka wk;=rej jeä jk iEu jir 10 lg wjodku fo.=K fõ' fndfyda úg we;s jk frda.s ;;a;aj j,ska ;=fkka follau we;s jkafka jhi wjqreÿ 65 jeä msßig jQjo ´kEu jhil mqoa.,fhl=g wd>d;h je<§fï wjodku we;' igyk - wkqrdOd È,sks b,kafldaka
ffjoHjrhd - udisl ffjoH iÕrdj
2016 fmnrjdß l<dmh
19
SPORTS HEALTH
jHdhdu lsÍfï§ jeämqr c,h mdkh lsÍu wys;lr wehs @
jHdhdu lsÍfï§ jeämqr c,h mdkh lsÍu wys;lr wehs @
msßisÿ c,h wfma YÍrhg ys;lru mdkhhs' ffjoH u;h ù ;sfnkafka jevqKq mqoa.,hl= Èklg c,h ,Sg¾ y;rla fyda Bg jeäfhka mdkh lsÍu YÍrfha wka;¾ l%shdj,shg iy jl=.vqj, l%shdldß;ajhg b;d ys;lr njh' c,h mdkh lsÍu fl;rï ys;lr jqjo c,h mdkh iSud l< hq;= wjia:djka ms<sn|jo ffjoHjre Wmfoia fo;s' bka tlla jkafka jHdhdu lrk w;r;=r c,h mdkh lsÍuhs' fï iïnkaOfhka la,sksl,a c¾k,a T*a iafmda¾Üia i`.rdj úiska m< lr ;snQ ,smshlg wkqj jHdhdufhys fhfok w;r ;=r muKg jvd c,h mdkh lsÍu we;eï úg Ôú;hg mjd wk;=reodhl úh yelsh' jHdhdu lrk úg isreßka wêl f,i oyäh msgùu isÿfõ' túg wêl msmdihla oekSu iajNdúl ;;a;ajhls' kuq;a jHdhdu lrk w;r;=r§ msmdih ksidu jeä jeäfhka c,h mdkh lrk úg tu c,h oyäh f,i jeä jeäfhka msgjkakg mgka .kq we;' fuh fkdlvjd isÿjqj fyd;a isref¾ ffi, úc,kh ùfï yelshdj ;sfí' ´kEu mqoa.,hl=f.a isref¾ l%shdldß;ajhg wjYH m%udKhg fidaähï isrer ;=< .vnd ù mj;s' oyäh iu. fidaähï msg jk w;r jeämqr oyäh ouk úg fidaähï o jeäfhka msgù hhs' ta wkqj jHdhdï lrk úg jeäfhka c,h mdkh lsÍfï§ oyäh o jeäfhka msg ùu hkq ta iu. fidaähï o jeä jeäfhka msg ùuhs'
20
fufia jHdhdï lsÍfï§ c,h jeäfhka mdkh lrk úg oyäh o ;j ;j;a msg ùfï§ isÿ jkafka isrer ;=< .vnd ù we;s fidaähï m%udKh l%u l%ufhka wvq ùuhs' hï fyhlska isref¾ mej;s hq;= m%udKhg jvd fidaähï wvq jqj fyd;a tu mqoa.,hd isys úi{ ùfï wjodkula mj;S' fujeks mqoa.,hl=g l< yels fyd|u m%;sldrh f,i la,sksl,a c¾k,a T*a iafmda¾Üia fuäiska i`.rdj olajkafka idudkH m%udKhg jvd ;=ka .=Khla muK fia,hska ,nd §uh ' fï yereKq úg jHdhdu .kakd w;r ;=r wêl f,i c,h mdkh lsÍu ksid jl=.vqj,ska c,h fmÍfï fõ.h iSud fjhs' fï ksid tu l%shdj,sh wek ysàfuka isÿjkafka isref¾ wNHka;r bkaøshhkaj,g c,h Wrd .ekSug mgka .ekSuh' fufia bkaøshhkaj,g c,h jeä jeäfhka Wrd
ffjoHjrhd - udisl ffjoH iÕrdj
2002 jif¾ weußldfõ fjdIsxgkfha mej;s ueßka fldamaia uer;ka ;r`.dj,sfhys§ ;r`.lrejka ody;r fokl= ñh .sh w;r fuys§ lrk ,o mÍlaIKj,§ wkdjrKh jQfha Tjqka ;r.dj,sh w;r;=r § we;sjQ wêl msmdih fya;=fjka wêlj c,h mdkh lrk ,o njhs'
2016 fmnrjdß l<dmh
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SPORTS HEALTH
jHdhdu lsÍfï§ jeämqr c,h mdkh lsÍu wys;lr wehs @
jHdhdu lrk w;r;=r oyäh f,i isreßka msg jk c,h h<s isrerg ,eìh hq;= ksid mehlg jrla c,h ñ,s ,Sg¾ 500lg wvq m%udKhla muKla mdkh lsÍu iqÿiq njhs'
.;a miq tys wjika m%;sM,h jkafka tu bkaøshhka bÈóug ,la ùuhs' fï whqßka fud<h mjd bÈóug bv we;s w;r fud<h bÈóu fldaud ;;a;ajh olajd j¾Okh jkq we;' 2002 jif¾ weußldfõ fjdIsxgkfha mej;s ueßka fldamaia uer;ka ;r`.dj,sfhys§ ;r`. 22
lrejka ody;r fokl= ñh .sh w;r fuys§ lrk ,o mÍlaIKj,§ wkdjrKh jQfha Tjqka ;r.dj,sh w;r;=r § we;sjQ wêl msmdih fya;=fjka wêlj c,h mdkh lrk ,o njhs' fï fya;=fjka isref¾ fidaähï m%udKh b;d iS>%fhka my< neiSu" wNHka;r bkaøshhka bÈuqug ,laùu jeks
;;a;ajhka fï yÈis urK i|yd n,md ;sìKs' ffjoH m¾fhaIlhkaf.a u;h jkafka jHdhdu lrk w;r;=r oyäh f,i isreßka msg jk c,h h<s isrerg ,eìh hq;= ksid mehlg jrla c,h ñ,s ,Sg¾ 500lg wvq m%udKhla muKla mdkh lsÍu iqÿiq njhs'
ffjoHjrhd - udisl ffjoH iÕrdj
2016 fmnrjdß l<dmh
23
INFERTILITY
WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh'''
jhi okafku ke;sj f.ú, .shd'''
újdm;a fjk úg m%udohs''' ta;a ;efjkak tmd ore iïm;la ysñ lr.kak wms Tng iydh fjkjd
idudcslhka flfryS we;s j.lSï''' fï wdldrfhka we;s úúO cSú; wNsfhda. u; újdyhla lr.kakg isÿjkafka iEfyk muK m%udo fj,dh' túg ore iAUm;a ,eîfï .eg¿ ksrdhdifhkau mE<fodßka we;=,a jkafkah'
WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh''' 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 o ojfia ;reK mrïmrdj fmdÿfõ uqyqK mdk fÄojdplhla fõ' Ujqka wOHdmkh imqrd,Sug fndfyda ld,hla .; lr;s' tys jrola ke;' kuq;a jro we;af;a ukqIHfhl= jYfhka wOHdmkh yereKq úg cSú;fhao hï hï idOkSh fjkialï isÿùuo wjYH uq;a ta i|yd ld,hla ñvx.= lsÍug fï fndfyda fokd wiu;a ùuhs' uQ,sl wOHdmk b,lal imsreKq miq B<`.g kHdhm;%.; jkafka fyd| /lshdjls' /lshdfõ iajNdjh" wd¾Ól b,lal" mjqf,a
w
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wm úiska Tnj oeKqj;a lr we;s wdldrhg orejka ,eîfï yelshdj fõ.fhka jhi;a iu.u ySk fjhs' jeäu n,mEu we;af;a ldka;djkagh' msßñkao fï ffcj úoHd;aul kshduhg wkq.; fkdfjkjd fkdfõ' jhig hdu;a iu.u orejka ms<sis|Sfï .eg¿ u;= fjkjd ldka;djlf.a orefjl= m%iQ; lsÍfï iaj¾Kuh jhia mßÉfPaoh jhi wjqreÿ 35
ffjoHjrhd - udisl ffjoH iÕrdj
muK olajdh' uQ,sl jYfhka orefjl= ms<sis|. ekSfï yelshdj jhi wjq' 35 muK blaujQ úg wvqfõ' weh jhig hk úg fï u|ire;djho Bg iudkqmd;slj jeäfõ' fï wdldrhgu mqreIhkaf.ao ckl yelshdj jhi wjq' 45ka muK miq ie<lsh hq;= uÜgulska wvqfõ' ta yereKQ úg jhia.;j ore iïm;a ,eîug hdfïoS we;sjk ore iïm;o ixlS¾K jkafkah' oshjeähdj" wêreêr mSvkh" ixl+,;d iys; ms<sis|Sï wdoS jYfhks' fï ksid kshñ; l, jhi imeñKs l< újdm;a ùu flfrySo wfma mrïmrdjka ys;kjd kï fyd|h'
jhi wjqreÿ 40 bl=;a jQ ldka;djl iajdNdúlj .eí .ekSfï yelshdj udihloS ishhg myla fyda Bg;a wvq w.hla orK nj jd¾;d fõ'
2016 fmnrjdß l<dmh
jhig .sh;a ;dlaIKh ore iïm;a ,eîug msysgg tk nj Tn okakjdo @ u|ireNdjh ksid ore iïm;a isyskh ojfika oji l,a hk hqj;sm;Skaf.a wfmalaIdjka mqnqÿjd,Sug kQ;k idM,H;d ;dlaIKh iu;a ù ;sfí' fï ksid iuyr úg fï ffjoH úoHd;aul oshqKQj fkd;snqKd kï isyskhlau jkakg ;snQ orefjl=f.a WKQiqu ,nkakg wo fndfyda hqj, iu;a ù ;sîu Tjqkaf.a jdikdjls' jhi wjq' 50-55 bl=;a jQ ldka;djkgo" jhi wjq' 60 bl=;ajQ msßñkago fï ksid wdorKSh uõjreka ùfï" fifkfynr mshjreka ùfï wjia:dj wo ojfia ysñùu fudk ;rï ch.%yKhlao @ jdikdjlao @ ckl îc j, .=Kd;aulNdjh fidhk mÍlaIK jhia.;jQ ldka;djlf.a fukau mqreIfhl=f.a ckl îc j, m%udKh yd tajdfha .=Kd;aulNdjh .ek oek.ekSug ;sfnk mÍlaIK fudkjdo @ 25
INFERTILITY
WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh'''
mÍlaIK lsysmhlau ;sfnkjd' wjYH;djh wkQj ffjoH ks¾foaY hgf;a isÿ lrk fï mÍlaIK my; wdldrhg olajkakg mq¿jka' • Sperm mucus penetration test • Post coital test • Hyaline binding assay • Cassa test • Acrosome reaction testing • Anti sperm antibody testing • Sperm viability testing • Tests of Zona binding • Assesment of ROS • Sperm proteomicsm mqreIhkaf.a jhi wjq' 40-45 bl=;ajQ úg Tjqkaf.a Y=l%dKQ j, we;s DNA j, fjkialï we;sùfuka (DNA fragmentation) orejka ,eîfï yelshdj ySk fõ' ke;fyd;a wx.úl, jQ orejka we;sùfï wjodkulao mj;S' fï wjodkï folu uekúka y÷kd.ekSfï mÍlaIK l%ufõohkao oeka oshqKQ ù ;sfí' ldka;djkaf.a yd msßñkaf.a ckldKQ l%shdldÍ jkafka fjkia wdldrhlghs orejka ìys lsÍug fya;= jk ore îc iïnkaOfhka ldka;djkaf.a yd msßñka w;r iqúfYAIS fjkialula ;sfí' ldka;djkag ;ukaf.a ika;lfha we;s ckl îc fkdfyd;a äïn Wreu jkafka ;uka uõl=i bkakd iufha isguh' uõl=i ;=<oS ñ,shk 6-7la jYfhka mj;akd W!ihsg fkdfyd;a îc ffi, m%udKh Wmf;aoS ñ,shk 1-2la olajd wvq fjhs' fuh ;jÿrg;a laIh fjñka oeßúhl jeäúh m;ajk úg mj;akd îc ffi, m%udKh ,laI ;=kla muK olajd wvq fjhs' Tn okakd wdldrhg fï îc tl tlla osk 28lg jrla mßK;j ixfiapkh i|yd iqÿiqlï ,nñka äïnfldaIfhaoS msg fjhs' wm wd¾;jh f,i y÷kajkafka fï isoaêhhs' ;u m%cKl wjêh ;=< ldka;djl fï wdldrfhka äïn 400la muK ixfiapkhg iqÿiqlï ,nd foñka msg lrhs' 26
m%udo ù ckkh jk Y=l%dKQ mqreIfhl=f.a Y=l%dKq kñka ye|skafjk ckl îc j, l%shdldrs;ajh Bg imqrd fjkiah' l=i ;=< isák msßñ orefjl=g fyda Wmka miq jeä úh m;ajk f;la msßñ orefjl=g ckl îc mj;skafka ke;' Tyq jeäúh m;aùfuka miqj ksrka;rfhkau Y=l%dKq ksmofjhs' Y=l%dKq ffi, ksmofjkafka jDIkfldaI ;=<oSh' Y=l%dKq ffi,hla mßK;shg m;a fjkafka fïÍfuks' wmsjDIKh kï ia:dkfhaoS isÿjk fï l%shdj,shg idudkHfhka i;s 2-3 l ld,hla .;fõ' wmsjDIKfha ia:dk.; jk Y=l%dKq ffi, Od;= fudapkhloS fudapkh ùug iQodkñka isà' iEu Od;= fudapkhloSu fï Y=l%dKq úúO fmdaIl yd ;r, iu. uqyqka ùula isÿfõ' fïjd uQ,sl jYfhka meñfKkafka mqriaÓ;s .%kaÓfhka iy Y=l% wdYhsYsld j,sks'
ffjoHjrhd - udisl ffjoH iÕrdj
fi!LH iïmkak mqreIfhla tla jrlg fudapkh lrk Y=l%dKq ;r,hl Y=l%dKq ffi, ñ,shk 40l isg ì,shk 1'2l m%udKhla mj;skafkah' idudkHfhka msßñfhl= iajlSh cSú; ld,h ;=< ì,shk 525l muK Y=l%dKq ksmojkafkah' tfiau udihlg ì,shkhl j;a Y=l%dKq msg lrkafkah'
foayh ;=<oS ñi ndysr mßirhg ksrdjrkh jQ iekska Y=l%dKq j, cSj ld,h úkdY fõ' idudkHfhka YÍrfhka msg;g meñKS Y=l%dKq j,g úkdä 20-30 lg jvd mej;sh fkdyel'
jhig .sh;a ore iïm;la ,eîu oeka yqÿ isyskhlau fkdfõ'''
ldka;djlf.a îc m%udKh ySk jk yeá ldka;djlf.a jhi;a iu. wvqjk îc m%udKh uekSu i|yd úfYAI jQ l%u mj;S' ldka;djlf.a jhi wef.a Wreu îc m%udKh iïnkaOfhka wk.s;u o¾Ylhhs' kuq;a weh l=vd ikaosfhaoS ,nd. kakd fmdaIKh" weh ,nd.;a úúO T!IO yd ;j;a úúO idOl u; wehg fYAI jk ia;%S îc m%udKh ;SrKh jkafkah' fyd|ska fmdaIKh ,eîu .eyekq orefjl=g w;sYhskau jeo.;a jkafkao fï ksidh' äïn fïÍug ,nd.kakd T!IO Clomiphene citrate ld,dka;rhla .ekSfukao îc ixLHdjg n,mEula fõ' ialEka mÍlaIK u.ska äïnfldaIj, m%udKh ;SrKh lsÍu;a (Ovarian Diameter) äïnfldaI ;=< reêr Odjkh .Kkh lsÍu;a fukau äïnfldaI ;=< we;s îc m%udKh .Kkh lsÍu;a (Antral follicle
2016 fmnrjdß l<dmh
27
INFERTILITY
WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh'''
count) u.ska ldka;djlg ;ukaf.a îc u.ska orefjl= yod .ekSug ;sfnk yelshdj ;lafiare lr.;a yel'
jhia.; wUq ieñhka i|yd IVF ;dlaIKfha iqúfYAIS Ndú; jhia.;ùu ksid fyda ;ukaf.a ckl îc wvqùu ksid fyda fudkhï fya;=jla ksid fyda îc we;s fkdùu ksid we;sjk .eg¿jgo ms<shula ;sfí' fjk;a flfkl=f.a äïn ,nd.ekSfï (Donor egg) fï l%uho w;sYhska ckm%shh'
îc m%udKfha iM,;djh úuik fjfiia mÍlaIK úfYaIs; jQ reêr mÍlaIK lsysmhla u.ska fï yelshdj ;jÿrg;a we.hSug ,la lrk w;r ta úia;D; reêr mÍlaIK my; mßosh' • D3 FSH • E2 Levels • Anti mullerian hormone (AMH) • Inhibin A/B levels • Clomiphene changine levels (CCH) kùk úoHdj u.ska y÷kdf.k ;sfnk DHEA kue;s T!IOh ldka;djkaf.a îc m%udKh yd tys .=Kd;aul;djh flfryS w;sYh jeo.;a fufyjrla bgq lrk nj wkdjrKh ù ;sfí' IVF ;dlaIKfhaoS Ndú;d jk PGD (Peri implantation Genetic Diagnose) kue;s l%uh u.ska cdk fjkia jQ îc j,ska iEfok úlD;s jQ l<, y÷kd.ekSfï yelshdj ksid ksfrda.S orefjlau yod.ekSfï wjia:dj Tng Wreuh' IVF k< ore fufyhqul uQ,sl woshr
28
fuysoS äïnh ,nd. kafka jhi wjq' 35g wvq orejka isák ldka;djlf.ks' th iffiapkh lrkafka ridhkd.drfhah' ta wdldrfhka idod /l n,d.kakd hqla;dkqj iSrefjka orejka ke;s ldka;djf.a l=i ;=< ;ekam;a lrKQ ,nhs' fuh y÷kajkafka odhl l<, l%uh fkdfyd;a Donor Embryo Method hkqfjks' fuysoS ksjqka fyda nyq ore Wm;a we;sùfïo yelshdjla ;sîu fï wUq ieñhkg m%S;sckl ldrKhls'
ffjoHjrhd - udisl ffjoH iÕrdj
mqreIhkaf.a jhi wjq' 40-45 bl=;ajQ úg Tjqkaf.a Y=l%dKQ j, we;s DNA j, fjkialï we;sùfuka orejka ,eîfï yelshdj ySk fõ' ke;fyd;a wx.úl, jQ orejka we;sùfï wjodkulao mj;S' fï wjodkï folu uekúka y÷kd.ekSfï mÍlaIK l%ufõohkao oeka oshqKQ ù ;sfí' fjk;a ldka;djlf.a l=ifha ;ukaf.au orefjla" Surrogate Pregnancy we;eï ldka;djllg we;sjk .eg¿j jkqfha orefjl= yod .ekSug fkdyels jHqyd;aul fodaI j,ska .¾NdIh hqla; ùuhs' kùK idM,H;d ;dlaIKh kï úYAuhcklh' fujka wirK ldka;djka ;j;a ldreKsl ldka;djf.a l=ifha ;u orejd úlikh lrñka ore Wm;la ,nd oSugo fï ;dlaIKh ;=< wjldY we;' orejd Wmka miq ks;HdKQl+,j ;ukaf.a orefjl= jYfhka yod .ekSug .súi .ksñka ;j;a ldka;djlf.a l=ifha ;ukf.a orejd ìys lsÍu Surrogate Pregnancy hkqfjka ye|skafjhs' fjk;a flfkl=f.a Y=l%dKQ j,ska ;ukaf.au orefjla fï wdldrfhkau ;ukaf.a Y=l%dKQ ffi,j, fodaI we;s úg ;j;a f;dard.kakd msßñfhl=f.a Y=l%dKQ fhdodf.k mS;D;ajfha jrm%idoh ysñ lr .ekSfï Wodyrko wm iudcfhau ;sfí' l=i ;=< jefvkafka ksfrda.S orefjlao fidhk mÍlaIK fï wdldrfhka úoHdfõ wkqyiska Wmosk orejkaf.a kSfrda.SNdjh ms<sn|j wUq ieñhka ks;r ;efjhs' jo fjhs' ta;a ksfrda.S orefjl=f.a m%iQ;sh fõ,dikskau idlaId;a lsÍugo fï kjH idM<H;d ;dlaIKhka iu;a nj Tn okakjdo @ l<,h l=i ;=< ;ekam;a lsÍug fmr tys ksfrda.S 2016 fmnrjdß l<dmh
nj úuik úÿyqre ;dlaIKhka fukau ;ekam;a l<,hla i;s 10l muK wejEfuka fhfylska jefvkjdo hkak úuik ;dlaIKhkao wo ojfia wm fj; mj;S' jhia.; jQj;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 flafIA;%fha m<mqreÿ wfma jD;a;Sh iydh ,nd oSug wm b;d leue;af;ka isáuq' wmg l;d lrkak' fukak wfma wxlh 0779728799 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a;mdr mrK fldÜgdj mdr Wvyuq,a, kqf.af.dv 29
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' 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 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
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No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda , Sri Lanka. Tel: 011 2836 780. 077 3273 866 E mail: wishiuiivf@gmail.com ffjoHjrhd - udisl ffjoH iÕrdj Web: wishiuiivf.com
BORDER LINE PERSONALITY DISORDER
Tfí ;reK jhfia miqjk ¥ orejka fm!reI wdndOj,g ,la úh yelshs
Tfí ;reK jhfia miqjk ¥ orejka fm!reI wdndOj,g ,la úh yelshs úfYaI{ ufkda ffjoHjrhl= iu. l< idlÉPdjla weiqßKs wjqreÿ oy wgl hqj;shla rcfha frday,l ldhsl frda. jdÜgqjlska wm fj; fhduq lr ;snqKd' tA wehg lsishï udkisl wdndOhla ;sfío hkak fidhd n,kakghs' fï hqj;sh frday,a.; lr ;snqfKa ish Èú kid .ekSfï wruqKska tla;rd fm;s j¾.hla wê ud;%djlska Ndú;d lsÍu ksihs' fï hqj;shg isáfha uj mshd yereKq úg wehg jvd fojirlska jeäuy,a whshd flfkla muKhs' mshd lf<a lïlre /lshdjla' .rd jeàug wdikak Tjqkaf.a ksji fjkqjg w¨;a ksjila ;kd .ekSfï wruqKska uj jir follg úfoaY .; jqKd' weh úfoaY.; jk úg ÈhKshf.a jhi wjqreÿ fÞ<yhs' fï mshd îug weíneys jQ wfhla' cSú;fha uq,a fÄojdplh uj wjqreÿ follska wdmiq wdj;a f.hs jev hka;ug mgka wrka uq,a wÈhfrka tydg f.dia fkd;snqKq ksid weh fojk jrg;a úfoaY .; jqKd' fufia ujf.a fidhd ne,Su ke;s jk úg fï orejkaf.a Ôú; fhduq jqfKa;a wkaOldrhguhs' wka;sfï mshdf.au ñ;=rl= w;ska fï ±ßh ¥IKhg ,la jqKd' tjlg wef.a jhi wjqreÿ Þihhs' 2016 fmnrjdß l<dmh
fï isoaêhg uqyqK ÿka Þ mgka weh wêl m%fldamldÍ yeisÍï m< lrkakg jqKd' mshd olsk úg wef.a isf;a ueú ueù fmfkkakg jqfKa Tyqf.a ñ;=rl= w;ska ;udg jQ w;jrhhs' fï ld,fha§ weh ;%sfrdao r: ßheÿrl= iu. fm%au iïnkaOhla we;s lr .;a;d' Tyq wehg wdofrka l;d lrk úg" fkdfhl=;a ;E.s fnda. wrka fok úg wef.a is;g ±kqfKa mqÿudldr i;=gla' Ôúf;a tmuK ld,hlg weh tjeks wdorŒh l;d nyla ldf.kaj;a ,n,d ;snqfKa kE' uj úfoaY .; ùu" mshd fyda ifydaorhdf.a ksis wdorhla" / ljrKhla fkd,eîu jeks fya;+ka u; f,dl= ysia njlska" wkdrlaIs; yeÕSulska Ôj;a jqKq wehg fmïj;df.a fï yeisÍï iy l;d ny uy furla ;rug jákd fohla jqKd' ;reKhd wehg ldhsl iïnkaO;djhlg t<öug fhdackd lf<a fï w;r;=r§hs' 31
BORDER LINE PERSONALITY DISORDER
Tfí ;reK jhfia miqjk ¥ orejka fm!reI wdndOj,g ,la úh yelshs
;ukag jQ w;jrh fya;=fjka wef.a isf;a ldhsl iïnkaO;d ms<sn|j ±ä ms<sl=,a iy.; yeÕSula mej;sh;a Tyq ;ud iu. wukdm ù ;ud yerhdú hk ìh ksid weh Tyqg bv § ksy~ jqKd' kej;;a wirK fjhs kuq;a fï ;reKsh ks;r ;ukag ÿrl:k weu;=ï foñka yuqjkakg tkakehs n, lsÍu" ish¨ jev lghq;= mfil ;nd ;uka <Õu .; lrk f,i weúá,s lsÍu jeks ;;a;ajhka u; ;reKhdg weh lrorhla f,i ±fkkakg mgka .;a;d' Tyq wehj u. yßkak jqfKa Bg miqjhs' Tyq ;udf.a ÿrl:k weu;=ïj,g ms<s;=re fkd§u" ;ud uqK .efikakg tk nj lshñka kEú;a ys£u jeks lreKq u; Tyq ;udf.ka fjka jkakg iQÞkï jk nj ;reKshg jegyqKd' weh fm;s iEfyk m%udKhla .s, ±uqfõ bkamiqj;a ;reKhd ;udg wjk; fõ hehs wfmalaIdfjkqhs'
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ffjoHjrhd - udisl ffjoH iÕrdj
fï ;reKshg ;snqfKa udhsï fm!reI;aj wdndOh ^Border Line personality disorder& keu;s ;;a;ajhhs' fï wdndOh uQ,slju olskakg ,efnkafka wjqreÿ 15-25 jeks jhia iSudfõÈ wia:djr pß; ,laIK m< lsÍuhs' ih jeoEreï jQ frda. iajNdj fuys uQ,sl frda. ,laIK yhla mj;skjd' 1' ;ud ms<sn| úlD;s m%;srEmhla we;sùu' tkï ;ud l=uk wdldrfha flfklao hk jegySu fkd;sîuhs' 2' wka wh iu. ;Sj% iïnkaO;d meje;aùu wmyiq ùu' wdorh we;=¿ yeu fohlau muK blaujd wêl f,i fmïj;df.ka n,dfmdfrd;a;= jk úg fmïj;dg;a ál l,lskau tu ;reKshj tmd fjkjd' ;reKshg;a ;uka wfmalaId lrk foh fkd,efnk úg fmïj;dj tmd fjkjd' 3' ;udg ióm wh ;uka yer oud hdú hehs ks;r ìfhka miq ùu" fï ;;a;ajh ksid ks;ru fmïj;df.a wefÕa ±jfgñka isákakg ks;r Tyq yd l;d lrkakg fm<ôh yelshs' bkamiq fï ;;a;ajh fmïj;dg lrorhla njg m;a fjkjd' 4' ish Èú ydks lr .ekSfï woyia m%ldY lsÍu' 5' Ôúf;a ks;r ysia njla md¿jla ±kSu' 6' wêl wdfõ.YS,S pß; ,laIK m< lsÍu' idudkHfhka udhsï fm!reI wdndOh nyq,j mj;skafka .eyekq orejka w;rhs' fkdu`.g hk orejka w;r fï udkisl iajNdjh iq,nhs wvq jhiska fm%au iïnkaO;d we;s lrf.k ,sx.sl iïnkaO;d j,g mjd fhduq jk ;reKshkaf.a <ud ld,h foi ne¨fjd;a Tjqka l=vd l, isg ksis uõmsh wdorhla" /ljrKhla 2016 fmnrjdß l<dmh
fkd,o fndfyda fihska ldhsl yd udkisl ysxikj,g ,la jQ wh nj meyeÈ,s fjkjd' fulS udkisl ;;a;ajh ksid Tjqka ish Èú kid .ekSug fukau wmrdO isÿ lsÍug jqj;a fm<ôh yelshs' kuq;a Tjqkaf.a tjeks jrolg kS;sfhka o~qjï ,nd §u ñi Tjqkaf.a udkisl ;;a;ajhg m%;sldr ,eîu fndfyda úgu wvqhs' wvq jhiska .Ksld jD;a;shg" u;al=vq wdÈhg fhduqjk ;reKshka w;r mjd fndfyda úg fuu fm!reI;aj wdndOh mj;sk nj wkdjrKh lr.; yelshs' orejl=f.a fm!reIh j¾Okh jk <ud úfha § uõmshkaf.a wdorh /ljrKh ksis f,i ,eìh hq;=hs' tfia fkdjk úg tjeks orejka úfYaIfhka .eyekq <uhska fujeks fm!reI wdndOj,g ,la ùfï jeä yelshdjla mj;sk nj jgyd .; hq;=hs'
33
ANGER
wêlj fldam .ekSu udkisl frda.hlao@
wêlj fldam .ekSu udkisl frda.hlao@ udkisl frda. úfYaI{ ffjoH reó rEnka
ÿl" i;=g jeks oE jf.au fldamh;a ñksia wdfõ.hls' ndysr mßirfha ;sfnk fldamh we;s lrjk foaj,a ksid fukau udkisl mSvkh Woafõ.lr f,i msg lsÍula f,iskao wmg fldamh we;s fjhs' ´kEu flkl= ;=< fldam ùu wvq jeä f,iska mj;shs' kuq;a is;g fldamhla wd ieKska wm th tA whqßkau msg lrkafka ke;' fldamh idOdrKo" fldam jqfKd;a we;s úh yels m%;sM, fudkjdo @ jeks lreKq .ek is;d wms fldamh hï muKlg fyda md,kh lr .ksuq' tfia lsÍug W;aidyhl fhfouq' ;ryfõ .;s fidnd''' kuq;a iuyrekag is;g fldamhla meñKs úg th md,kh lr .ekSu wmyiqh' lE.eiSu" nvquqÜgq fmdf<dfõ .eiSu fukau iuyre fldamh msg lr .kafka ;ukagu ydks muqKqjd .ksñks' fufia ;ukagu ydks muqKqjd .kakd úúO fm!reI wdndO o ;sfí' iSudia: fm!reI wdndOh ^Border Line Personality Disorder& fuhg WÞyrKhls' tu wdndOh we;s úg§ ;ry jeks wdõ. md,kh lr .; fkdyels w;r tA fudfydf;a Bg l=ula fyda ±ä m%;spdrhla olajd bkamiqj tys wd§kj .ek is;kq we;' iudc úfrdaë fm!reI we;s whgo wfkla whf.a yeÕSï wjfndaO lr .ekSug fkdyels ùu u; blaukskau ;ry hdu isÿfõ' 34
we;eï whg ;ukaf.au wdfõ. md,kh lr .; fkdyelsh' fuh impulse control disorder f,iska y÷kajhs' fujeks whg o ;ry .sh úg md,kh lr.; fkdyels jkq we;' wê ;hsfrdhsv;djh ksid;a ;ryj we;s fjkjd wêl f,i ;ry hdug n,mdk ldhsl fya;=jla jkafka wê ;hsfrdhsv;djhhs ^Hyper thyroidissm& tjeks wjia:dj,§ ;hsfrdhsâ .%kaÓfha wêl%shdldÍ;ajh ksid ;ry hdu tys m%;sM,hla f,i we;s jkq we;'
Tng ks;r ks;r ;ry weúiafikafka kï ;ry hdu l=uk fya;=jla u; we;s jkafka ±hs ±k .ekSug udkisl frda. ffjoHjrfhl= fj; hdu iqÿiqh'
ffjoHjrhd - udisl ffjoH iÕrdj
2016 fmnrjdß l<dmh
35
ANGER
wêlj fldam .ekSu udkisl frda.hlao@
fï frda.h ffjoH mÍlaIK u.ska y÷kdf.k m%;sldr ,nd §fuka h:d ;;a;ajhg m;a l< yelsh'
Nskafkdakaudoh jeks oreKq frda.j,§;a ;ry hdu ,laIKhla f,i we;s jkq we;'
Nskafkdakaudoh jeks oreKq frda.j,§;a ;ry hdu ,laIKhla f,i we;s jkq we;'
mrïmrdfjka tk ;ryla iuyrekag ;ry hdu mrïmrdfjka o we;sfõ' jeäysáhka ks;r ;ry .kakd wh kï th ks;r olsk orejkag;a bfíu tA ;;a;ajh yqre ùu thg fya;=jhs' wfkla wh md,kh lrkakg leu;s foa ,nd .kakg Wml%uhla f,i Tjqka fuh fhdÞ .; yelsh'ß
úYdofhaoS;a ;ryj we;s fjkjd óg wu;rj úYdo frda.fha§ flfkla l;d l<;a th lrorhla f,i ±fkkq we;' ndysr Yío lfGdar f,i wefik w;r fï ish¨u foaj,a ksid ;ry hdu fukau ;ry md,kh lr .ekSuo wmyiq fõ' fï whg ;ry .sh;a miqj úYd, f,i miq;efjhs' bkamiq ;ukaf.a Ôú;h .eku l,lsÍula we;sfõ' fuh iuyr úYdo frda.Skag jßka jr we;s jk w;r ;j;a whg È.gu mj;S' úYdo frda.hg ;ry hdu fukau i;=g ke;sùu" l,lsÍu" lEu wreÑh" kskao fkdhdu wdÈh;a ,laIK jYfhka mj;skq we;' újdyhg l,ska úYdo frda.h hka;ug ;snQ flfkl=g újdyfhka miqj th jeä fjkakg;a mq¿jk' 36
;ry hdu l=uk fya;=jla u; we;s jkafka ±hs ±k .ekSug udkisl frda. ffjoHjrfhl= fj; hdu iqÿiqh' kuq;a by; lS mßos ldhsl frda.hla ksid;a ;ry we;s ùug mq¿jk' frda.h y÷kd.;a miq m%;sldr ,nd .ekSfuka fï ;;a;ajh iqj l< yelsh' m%;sldrj,g wu;rj ;ry hdu md,kh lsÍug WmfoaYk o jeo.;a fjhs'
ffjoHjrhd - udisl ffjoH iÕrdj
2016 fmnrjdß l<dmh
37
ASTHMA RELIEF
weÿug ,ndfok WrK fnfy;a w;=re wdndOj,ska f;drhs
weÿug ,ndfok WrK fnfy;a w;=re wdndOj,ska f;drhs <h frda. úfYaI{ ffjoH lS¾;s .=Kfialr
weÿu frda.h we;s lrjk idOl j,ska bj;a ù isàfuka weÿu frda.h iqjlr .; yels hehs fuf;la meje;s úYAjdifhka fï jk úg úoHd{hka yd ffjoHjreka neyerj hñka isákjd' Bg fya;=j fï jk f;la tjeks l%shdud¾. j,ska bj;aùu ksidu weÿu frda.h iqj jQ njg ie<lsh hq;= uÜgfï idOl fkdue;s ùuhs' flfia fj;;a weÿu frda.h md,kh lr .ekSu i|yd ksis wdldrhg ffjoHjreka ,ndfok T!IO Ndú;h b;du jeo.;a fõ' ngysr ffjoH l%uhg wkqj uq,sl jYfhka T!IO j¾. folla Ndú;d flf¾ Yajdi kd, ;oùu" bÈóu ksid weÿu we;sfõ' Yajdikd, bÈóu k;r lsÍu i|yd m<uqj T!IO ,nd §u isÿ flf¾' fï Yajdikd, bÈfuk úg tu kd, jfÜ ;sfnk udxY fmaYs ixfldapkh fõ' fmaYs ixfldapkh ùu ksid Yajdi kd, ;j;a ;oùu isÿfõ'
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ffjoHjrhd - udisl ffjoH iÕrdj
fmaYsj, ixfldapkh k;r lsÍu i|yd Yajdikd,h úia;drl T!IO ,nd fohs' fï j¾.fha T!IO j,ska blauka iykhla ,ndfok ksid frda.Ska fï T!IO j,g jeä leue;a;la olaj;s' Yajdikd, úia;drl T!IO f,i ie,aìhqgfuda,a" fjkag,ska" weiag,ska" ;sfhd*s,ska j¾.fha T!IO Ndú;d lrk w;r fï u.ska läkï iykhla ,efí' kuq;a Tn fjfiiskau wjfndaO lr.; hq;= lreKla jkafka fïjd u.ska we;s fjkafka ;djld,sl iykhla muKla njh' T!IO È.=ld,Skj ,nd.ekSu weÿu frda.sfhla ;u frda.h uekúka md,khg ,la lr .ekSug wfmalaId lrkafka kï Yajdikd, bÈóu k;r lrk T!IO È.=ld,Skj ,nd .; hq;=fõ' fuu T!IO .ekSfï§ i;s folla muK .;jk úg frda.shdf.a y;sh md,kh fõ' fuu ksid Yajdi kd, bÈóu 2016 fmnrjdß l<dmh
k;r lrjk fnfy;a weÿu frda.Ska ksjerÈ wdldrhg ,nd .ekSu b;d jeo.;a fõ' iaàfrdhsâ j¾.fha T!IO u.ska Yajdikd, bÈuqu k;r flf¾' fm%âksfidf,daka j¾.fha T!IO fm;s yeáhg È.= ld,Skj ,nd fkd.; hq;=hs' fudkaá,shqldia j¾.fha T!IO Yajdikd, bÈóu k;r lsÍug ,nd ÿkak;a fïjd iaàfrdhsâ ;rï m%n, ke;'
weÿu frda.sfhla WrK fnfy;a ,nd.ekSfï§ uqLfha fnfy;a jeä m%udKhla b;sß fõ' fï ksid fnfy;a bÍfuka miq W.=r iy uqLh b;d fyd¢ka fidaod oeñh hq;=hs'
T!IO ,nd fok woshqreju uQ,sl jYfhka fm;s yd Èhr jYfhka iy ÿudr jYfhka T!IO frda.shdg ,ndfohs' fm;s yd Èhr jYfhka fï T!IO ,nd§fïÈ wjdis /ila we;sfõ' fm;s yd Èhr jYfhka T!IO .ekSfïÈ tu T!IO Worhg f.dia t;ekska YÍrhg wjfYdaIK ù bka miq T!IO reêrh iu. tlaù YÍrh mqrdu me;sf¾' fï isÿùu ksid m%Odk jYfhka m%;sldr wjYH jk fmky,a,g wjYH T!IO ,efnkafka b;du iq¿ m%udKhla muKhs' kuq;a fï ;;a;ajh ;ju;a wfma frda.Ska fndfyda fofkla wjfndaO lrf.k ke;s njla fmkS hhs' fuu ksid ;j;a frda.Ska fndfyda fofkla fm;s fyda meKs jYfhka we;s T!IO i|yd jeä leue;a;la olaj;s' 39
ASTHMA RELIEF
weÿug ,ndfok WrK fnfy;a w;=re wdndOj,ska f;drhs
fmky,a,g m%;sldr lsÍfï§ fï .ek ie<ls<su;a fjkak fmky,a,g m%;sldr lsÍfï§ úfYaIs; jq jdisodhs ;;a;ajhla ;sfí' fmky,a, wjg jd;hg ksrdjrKh ù ;sfí' yqiau .kakd yeu úgu tu ;;a;ajh olakg ,efí' fï bfíu m%fõY jk jdhqj;a iu." tkï yqiau iu. hula we;=¨ lsÍu u.ska fmky,a,g jEhulska f;drj T!IO ,nd Èh yels fõ'
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
weÿu frda.hg m%;sldr ,nd §fï § fï jdish m%fhdackhg .; yels fõ' fï ksid ÿudrh u.sska fmky,a,g m%;sldr ,nd§fï§ läkñka T!IO ,eîu ksid jeä jdis iy.; ;;a;ajhla we;sfõ'
waidyawaraya.lk
ÿudrhla yeáhg m%;sldr ,nd §fï§ T!IO b;du iq¿ m%udKhla ,nd§u ;j;a jdishls' weÿu W;aikak jq frda.sfhl=g ÿudrh we,a,Su u`.ska läkï iqjhla ,efnkafka fï jdis iy.; ;;a;ajh ksihs'
fm;s yd Èhr jYfhka T!IO .ekSfïÈ tu T!IO Worhg f.dia t;ekska YÍrhg wjfYdaIK ù bka miq T!IO reêrh iu. tlaù YÍrh mqrdu me;sf¾' fï isÿùu ksid m%Odk jYfhka m%;sldr wjYH jk fmky,a,g wjYH T!IO ,efnkafka b;du iq¿ m%udKhla muKhs'
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uqLh fia§u weÿu frda.sfhla WrK fnfy;a ,nd.ekSfï§ uqLfha fnfy;a jeä m%udKhla b;sß fõ' fï ksid fnfy;a bÍfuka miq W.=r iy uqLh b;d fyd¢ka fidaod oeñh hq;=hs' tfiau fkdjkafka kï W.=f¾ fnfy;a /§ ;sîu ksid miq ld,Skj W.=f¾ widok we;s fõ' miqld,Skj W.=r nerekaä ùu yd W.=r leiSu jeks ;;a;ajhka we;s fõ' w;=re wdndO weÿu frda.hg T!IO f,i fm;s yd Èhr j¾. .ekSug frda.Ska leue;a;la oelajqj;a tjdhska w;=re wdndO /ila we;sfõ' kuq;a WrK fnfy;a Ndú;h w;=re wdndO we;s fkdjk m%;sldr l%uhls'
ffjoHjrhd - udisl ffjoH iÕrdj
WrK fnfy;a lr,a yd ÿudr f,i ,nd .; yelsh' fï j¾. folu fjkila olakg fkd,efí' ÿudrh f,i T!IO ,nd §fï§ úúO l%u Wmfhda.S lr .kS' úfYaIfhkau jhil whg yd l=vd orejkag WrK fnfy;a ,nd§u i|yd úfYAI Wml%u Ndú;d flf¾' fkdìhq,hsia lsÍu fï l%uhg jvd fjkia fõ' tys§ T!IO ud;%dj jeä jYfhka ,ndfoa WrK fnfy;a j,§ Yajdikd, úia;drl fnfy;a fndfyda úg olakg ,efnkafka ks,a meyefhkqhs' 2016 fmnrjdß l<dmh
Yajdikd, bÈuqu k;r lsÍu i|yd ,ndfok fnfy;a fndfyda úg olakg ,efnkafka ¥Tqre fyda .=remdg tfia;a ke;a;ï r;= meyefhkqhs' fï wdldrfha T!IO .ekSfuka läkï iykhla weÿu frda.Skag ,efnkjd' weÿu frda.h ksÜgdjg iqj l< fkdyels jqj;a md,kh lsÍu l< yels fõ' we;eï whg ld,hla ;siafia weÿu md,kh lr .ekSu ksidu ksÜgdjg iqj jk wjia:d olakg ;sfí' jeo.;a Wmfoila weÿu frda.Ska fndfyda fofkl=g mSki frda.S ;;a;ajho olakg ,efí' fuu ksid tjeks frda.Skag kdihg oeóug fkai,a iaàfrdhsâ j¾.fha T!IOhla ,ndfohs' fuu T!IOh È.=ld,Skj Ndú;d l< hq;= fõ' kuq;a kdih bÈuqj k;r lsÍug ,ndfok fkai,a äfldkafciag¾ j¾.fha T!IO È.= ld,Skj fkd.; hq;=hs' fï j¾.fha T!IO È.=l,a Ndú;h ksid kdifhka .`o iqj`o oekSu k;r fõ'
igyk-wkqrdOd È,sks b,kafldaka' idlÉcdjla weiqßKs'
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ADVERTORIAL
Tiaáfhdam;s iy yS,skam;s ffjoH l%u ,xldjg y÷kajd ÿka kepqr,a nela fy,a;a frday,
Tiaáfhdam;s iy yS,skam;s ffjoH l%u ,xldjg y÷kajd ÿka
kepqr,a nela fy,a;a frday, Y,Hl¾u fkdue;sj iqjh iok c.;a jHdma; m%;sldr l%uhla tx.,ka;h we;=¿j ngysr rgj,a /il m%p,s; Tiaáfhdam;s iy yS,skam;s ffjoH l%uh muqjrg ,xldjg y÷kajd oSfï f.!rjh ysñ jkafka m%ùK ffjoHjrfhl= jk uydpd¾h id.r lreKd;s,l uy;dgh'
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fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.lk
fld÷weg fm< wdY%s;j mj;akd iEu frda.hla i|ydu wjYH m%;sldr ,nd fok m%;sldr l%uhla jk Tiaáfhdam;s iy yS,skam;s ffjoH l%uh yryd fï jk úg frda.Ska fndfyda
ffjoHjrhd - udisl ffjoH iÕrdj
fofkl= iqj lsÍug uydpd¾h id.r lreKd;s,l uy;d iu;aj we;' tx.,ka;fha m%p,s; Tiaáfhdam;s ffjoH l%uh tx.,ka;fha mj;sk Tiaáfhdam;s iy yS,skam;s m%;sldr l%ufõoh we;s ,xldfõ tlu ksfhdacs; wdh;kh jk kepqr,a nela fy,a;aZZ frday, uydpd¾h id.r lreKd;s,l uy;d úiska ud,fò" w;=re.sßh m%foaYfha wdrïN lrk ,oafoa ;=káh wdndO" ikaê wudre we;=¿ frda. /ilska mSvd ú|sk furg ck;djf.a ys; iqj msKsih' ie;alï j,ska f;drj fldkao wdY%s; ish¿u frda. iïmQ¾Kfhkau iqj lsÍug fuu ffjoH l%uh iu;ah' fld÷weg fm< iïnkaO ish¿u frda." ysfia frda." ykaos fõokd" wiaÓ frda." ysßjeàï" i|ñÿ¿ yd lfYareld fjkiaùï" wiaÓ ;oùï" iakdhq f;rmSï" udkisl wd;;sh" me;s l=oh" 2016 fmnrjdß l<dmh
mdlskaika" wxYNd.h we;=¿ ish¿u iakdhq frda. fuu woaù;Sh ffjoH l%uh yryd iqj lsÍfï yelshdj mj;S' wfma rfÜ frda.Ska úYd, ixLHdjlg oekgu;a m%;sldr l<d fï jk úg ,xldfõ úYd, msßila fuu iqúfYAIS ffjoH l%uh yryd iïmQ¾Kfhkau tlS frda. i|yd iqjh ,ndf.k we;s w;r iqj jQ fndfyda fofkl= w;r foaYmd,{hka" NslaIQka jykafia" ckm%sh l,dlrejka fukau furg ngysr ffjoH l%ufha kshef,k ffjoHjrekaf.a ióm {d;Skao fj;s'
Tiaáfhdam;s iy yS,skam;s ffjoH l%uh iu. ngysr ffjoH úoHdjo w;aje,a ne|.kakd f,dj m<uq wjia:dj <`.oSu Tng fï rfÜoS w;aú|skakg yels jkq we;'
ngysr ffjoH l%ufha .eg¿ u;=jk ;eka mjd úi|ñka frda.shdg iïmQ¾K iqjhla ,ndfok fuu woaù;Sh m%;sldr l%ufha mj;sk iqúfYaI;ajh jkafka wiaÓ frda. yd iakdhq frda. j,g Y,Hl¾u j,ska f;drj ndysr m%;sldr l%uhla Ndú;d lsÍuhs' lemqï flgqï fkdue;sj fldkao wdY%s; ´kEu frda.hla iïmQ¾Kfhkau iqj lsÍug iu;a fuu ffjoH l%uh yryd udxY fmaYska nqre,a lsÍu u.ska m%ùK m<mqreoao iys; ffjoHjreka úiska iqIqïkdj yryd m%;sldr lsÍfï id¾:l m%;sldr l%uhla wkq.ukh lrhs'
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Tiaáfhdam;s iy yS,skam;s ffjoH l%u ,xldjg y÷kajd ÿka kepqr,a nela fy,a;a frday,
w;=re wdndO kE''' ys;ldó ffjoH l%uhla wia:dk.;j mj;sk ldáf,ac kej;;a h:d ;;a;ajhg m;a lsÍfï ukd yelshdjla we;s Tiaáfhdam;s iy yS,skam;s ffjoH l%uh yryd lsisÿ úI T!IO mdkhla ,nd fkdfok nj uydpd¾h id.r lreKd;s,l uy;d mjikafka wNsudkfhks' wfmzzkepqr,a fy,a;aZZ nela frdayf,a ksmqK;ajfhka hq;a úfYAI{ ffjoHjreka fiajh lrkjd' m%;sldr lrk w;r;=r ksod.ekSfï" b|.ekSfï" weúoSfï wdosfha ksjeros bßhõ wm frda.shdg W.kajkjd' wm frda.shdg YdÍrslj" udkislj" wOHdmkslj iy wOHd;añlj ksfrda.S lsÍfï l%ufõohlg oeKqj;a lrkjd' wfma ffjoH l%ufha w;=re wdndO kE' fï jk úg ,xldfõ úYd, msßila fuu ffjoH l%uh yryd iqjhla ,nd isàu ug úYd, i;=gla'ZZ uydpd¾h id.r lreKd;s,l wm iu. m%ldY l<d' Y,H ffjoh ks,x. fmf¾rd uy;d we;=¿ m%ùK ffjoHjreka /ilf.a m%;sldr j,ska frda.Ska iqjm;a lsÍfï oejeka; i;a ld¾hhl ksr; jk zzkepqr,a nela fy,a;azz frday, ;=< bosßfhaoS ngysr ffjoH l%ufõoho we;=<;a lr .ksñka 44
ish¿u frda. j,g m%;sldr lsÍfï l%ufõohla ilia lrk njo uydpd¾h id.r lreKd;s,l i|yka lrhs' th fï jk úg idlÉPd uÜgfï mj;sk w;r Tiaáfhdam;s iy yS,skam;s ffjoH l%uh iu. ngysr ffjoH úoHdjo w;aje,a ne|.kakd f,dj m<uq wjia:dj fuh jkq we;' ksrka;rfhka iudc i;aldrl fiajdjkaf.ao fhfok zkepqr,a nela fy,a;aZZ fï rfÜ iudc.; wjYH;djhka flfrySo w;sYhska ixfõoS jkafkah' fï ffjoH l%uh .ek ixjdohla oekgu;a werö ;sfnk w;r ta ms<sn|j jeä úia;r www. nationalbackhealth service.co.uk fjí wvúfhka ,nd.; yel' ffjoHjrhd - udisl ffjoH iÕrdj
WEANING TRAINING FOR THE INFANT
lsßleáhd >k wdydr j,g yqre lrjk yeá
lsßleáhd >k wdydr j,g yqre lrjk yeá meKs ri lEuîu ksid orejka f.a wdydr reÑh ke;s fjkjd <ud frda. úfYAI{ ffjoH §md,a fmf¾rd
bmÿk fudfydf;a isg ujq lsß fndk orefjl=g udi yhla muK jk úg ujf.a lsß muKla m%udKj;a fkdfjhs' udi yhl orejdf.a jeãug wjYH fmdaIl fldgia uõ lsßj, wx.iïmq¾Kj wvx.=j fkd;sîu Bg fya;=jhs' tu ksid uõ lsßj,g muKla iSud ù isá ore meáhdf.a wdydr fõ,g >k wdydro tla lsÍu fï jhfiaoS wksjd¾hfhka l< hq;af;a ta ksidhs' jhi wjqreÿ folla jk;=reu orejdg uõ lsß Èh hq;= kuq;a m%Odk ;ek Èh hq;af;a >k wdydr j,ghs' isks yd ,qKq wvx.= wdydr l=vd orejkg fkdosh hq;=h miq ld,fhaoS we;súh yels wêl reêr mSvkhg ¨Kq n,mdhs' isks yd ¨KQ flfryS l=vd l< isgu we;sjk reÑh wju lr .ekSu b;du jeo.;a' isks yd ¨Kq flfrys we;s jk reÑh wm tjd Ndú;hg .ekSu ksidu isÿjkakls' fïjdg orejd yqre lrùu mud lrk ;rug orejd ta kq.=K wdydr j,ska wE;a lsÍu myiq fjhs' ienúkau" l=vd orejkaag wêl ¨Kq rih yd meKs ri mqreÿ lsÍu kqjKg yqre keye' 2016 fmnrjdß l<dmh
fyd¢ka fmdä lrk ,o msiq t<j¿" uia" ud¿ orejdf.a wdydrhg tla l< yelsh' w;=remi i|yd meKs ri wdydr fjkqjg m<;=re hqI §ug yqre lr .kak' >k wdydr mgka .; hq;af;a udi yh blauhdu;a iu.uhs w;S;fha § idudkHfhka orejdg >k wdydr §u wdrïN lrKQ ,enQfha wjqreoaola muK .;jQ miqjh' tfy;a miq lf,l ;rk ,o mÍlaIK weiqfrka uq,a udi yh blau hdu;a iu. >k wdydr mqreÿ lsÍfuka id¾:l m%;s:, ,efnk nj wOHhkh lr we;' thgo fya;= lsysmhla we;' tu jhia iSudj ;=< orejd w¿;a wdydr j,g yqre lsÍu jvd myiqh' lsß j,skau fmdaIKh fjkjdg jvd orejdg úúO wdydr j¾. §u ksid úúO fmdaIK jákdlï we;s ñY% wdydrfhka jeä m%fhdackhla ,efí'
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WEANING TRAINING FOR THE INFANT
02
wkjYH mrsos kshñ; jhilg l,ska >k wdydr msßkeóu t;rï iqÿiq ke;' udi ;=kla muK .; fjk f;la wjYH ish¨u fmdaIK wjYH;d ujqlsß u.ska imhd .; yelshs' fï ld,h ;=< uõlsß muKlau oSug Tn bgd.; hq;=h'
lsßleáhd >k wdydr j,g yqre lrjk yeá
m<uqj lsß fõ, § miqj >k wdydr fokak' álla yqrejQ úg m<uqj >k wdydr § miqj lsß fõ,la §u wdrïN l< yelshs'
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>k wdydr ì<s|dg leùu i|yd yekaola Ndú;d l< yelshs' fndfyda úg fïi yekao jqjo ì<s|df.a uqjg m<,a jeäh' b;d l=vd yekaola fï i|yd Ndú;d l< yelsh' tfiau tjdfha .eTQr jeä jq úg ish,a,u uqLhg .ekSug orejdg wmyiqh' tneúka Bg;a l=vd fkd.eUqre yekaola ta i|yd fhdod.ekSu iqÿiqh'
03
mqxÑ jhfia § wdydr ud¾. moaO;sho msIaGh iys; wdydr i|yd ieliS fkdue;s neúka wdydrhg .kq ,nk wdydr j,ska jeä m%udKhla ta whqßkau u< fia msg;g meñfKa' flfia fj;;a ks;ru u< my jk ì<s÷kag kï >k wdydr §u ál ld,hla mud lsßu jeo.;a fõ' lsß j,g muKla yqreù we;s ì<|dg tljru >k wdydr §ug .sh úg orejka ;=< hï le<UqK iajNdjhla we;s fõ' tneúka orejd thg fyd¢ka yqre jk ;=re 46
ffjoHjrhd - udisl ffjoH iÕrdj
<orejdg Èh yels >k wdydr j¾. OdkH oekg fjf<|fmdf<ys msá l< OdkH ñY%K we;' tajd laIKslj ms<sfh, l< yelsh' w¨;ska >k wdydr j,g mqreÿ lrk ì<÷kag jvd;a yqre rih jk lsß rih ,efnk mßÈ tajdfjys lsßo ñY% lr we;s neúka tajdg yqre lsßu myiqh' tfiau /lshd i|yd hk uõjrekag myiqfjka tajd ms<sfh, lr.ekSugo mq¨jks' uqxweg" lv," mßmamq" nd¾,s" bß`.= wdÈ OdkH ñY% wdydr fufia fj<|fmdf<a we;' ish¿ OdkH j¾. fyd¢ka ;ïnd fmdä lr Èh hq;=h' m<;=re fndfyda úg m<;=re j, we;s m%KS; rih ksid m<;=re lEug orefjda m%sh lr;s' tu m<;=re fyd¢ka fmdälr yekaolska leùu b;d iqÿiqhs' ´kEu wdydr fõ,lg miqj m<;=re Èh yelsh' fok jdr .Kk orejdf.a reÑhg wkqj ilid .; yelsh' tfukau fok m%udKho Èfkka Èk jeä l< yelsh'
flfi,a f.ä Èh hq;af;a fyd¢ka bÿKq miqjh' .Eremamqjlska tajd b;d fyd¢ka fmdälr >k nj wvq lsßug lsß iaj,amhlao ñY% lr §u ;=<ska orejd thg m%sh;djhla Wmojhs' u,noaOh we;s orejkag fn,s iy .ia,nq b;d ys;lrh' t<j¿ ì<sod m<;=re yd OdkH j,g yqrejQ úg t<j¿ j,g mqreÿ l< yelshs' w¾;dm,a" n;," r;= w," fndaxÑ" lerÜ" jeks t<j¿ yd wdydr ;ïnd fmdälr .;a miq orejdg Èh yelshs'
fyd¢ka fmdä lrk ,o msiq t<j¿" uia" ud¿ orejdf.a wdydrhg tla l< yelsh' w;=remi i|yd meKs ri wdydr fjkqjg m<;=re hqI §ug yqre lr .kak'
2016 fmnrjdß l<dmh
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WEANING TRAINING FOR THE INFANT
lsßleáhd >k wdydr j,g yqre lrjk yeá
iSks yd ¨KQ flfryS l=vd l< isgu we;sjk reÑh wju lr .ekSu b;du jeo.;a' isks yd ¨Kq flfrys we;s jk reÑh wm tjd Ndú;hg .ekSu ksidu isÿjkakls' fïjdg orejd yqre lrùu mud lrk ;rug orejd ta kq.=K wdydr j,ska wE;a lsÍu myiq fjhs' orejka tla tla t<j¿ j,g olajk leue;a; úúOh' m<uqfjkau t<j¿ j,g orejd yqre lrk úg orefjl=f.a u<j, fkdÈr jq t<j¿ fldgia ;sfí' u<j, nqre,a njla fyda Yaf,aIau, .;shla fkdue;s kï È.gu t<j¿ oSu l< yelshs'
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oskm;du ì;a;rhla ne.ska oSu iqÿiqhs ì;a;r ly uofha hlv wvx.=hs' fuh b;d fmdaIH .=Kfhka imsß wdydrhls' yh udihla muK blau jq úg ì<sodf.a j¾Okh >S.% ksid wjYH jk r;= reêrdKq ffi, m%udKh o b;d wêlh' tneúka w¨;a r;= reêrdKq ffi, ksmoùug hlv wjYH fõ' lsßj, hlv fkdue;s w;r wfkla wdydr øjH j,o hlv we;af;a w,am jYfhks' tu ksid fuu jhfia orejkag Èkm;du ì;a;rhla uo jYfhka ;ïnd fyda iïm%¾K jYfhka fyda ;ïnd fmdälr §u l< yelshs' igyk- wkqrdOd È,sks b,kafldaka' ffjoHjrhd - udisl ffjoH iÕrdj
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*Li F, Jin X, Liu B, Zhuang W, Scalabrin D. Follow-up Formula Consumption in 3- to 4-Year-Olds and Respiratory Infections: An RCT. Pediatrics 2014. ** LCPUFA refers to Long chain Polyunsaturated Fatty acid, in this case docosahaxaenoic acid. ***GOS :Galacto-Oligosaccharides, PDX:Polydextrose
Marketed and Distributed by A. Baur & Co. (Pvt.) Ltd. No. 62 Jethawana Road Colombo 14 Tel: 0114 728766
2016 fmnrjdß l<dmh
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50 foieïn¾ l<dmh 2015
ffjoHjrhd - udisl ffjoH iÕrdj 5
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HEALTH PORTAL IN
NO. 1
CREATIVE WORK
rdcldÍ cSú;fha m<uqfjks oji'''
rdcldÍ cSú;fha m<uqfjks oji''' úY%dñl udKav,sl fyos rdks ffjoHr;ak fi,a,fyajdf.a fyo cSú;fha u;l fmdf;a msgq w;rska''' o YsIHdjl f,i ;=ka jirl mqyqKqj wjika l< uu udKav,sl fyoshl f,i m<uq m;aùu ,osñ' ta wkqrdOmqr uy frday,gh' m;aùfï ,smsh fïg%ka w;g oS wehf.a ld¾hd,fha yev jev n,ñka isáfhñ' hdno ldurfha ;j;a tjeksu jQ ld¾hd,hls' tys jQ fïihla fj; ,smsldßkshl ys|f.k jefvys fhoS isáhdh' oekaùï mqjrefõ fkl oekaùï w,jd ;snqKs' frday,a iqNidOl ix.uh úiska mj;ajk ,o fj<|fmd<la" ix.S; m%ix.hla yd fyoshkaf.a jevuq¿jla ms<sn|j yd jl=.vq noaOhlg wdOdr b,a,ñka ,shQ ,smshlao we;=¿j ffjjdrk oekaùï ta w;r úh' fïg%ka uf.a úia;r fmd;a j,g we;=¿ lr wjika fjñka ;sìK' fudk úosfya jdÜgqjl ug jev lrkakg ,efíoehs hk l=;=y,fhka yd pls;fhka ud n,d isáfhñ'
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zzwfka n,kak" fïg%ka" ug wo ;kshuhs jev lrkak fj,d ;sfhkafka' ñisia fifkúr;ak wo weíikaÜ' wo jdÜgqj;a f.dvla fyú'ZZ kyfhka y`vdf.k fodr m¿ fol újr lrñka fyoshla fïg%ka bosßfha my< jQjdh' zz ljqo b;ska Thdg fokafk @ n,uq fjk ljqre yß fjk jdÜgqjlska .kak mq¿jkao lsh, ZZ fïg%ka fyoshkaf.a kï ,l=Kq lrk fmd; f.kajdf.k tys 2016 fmnrjdß l<dmh
51
CREATIVE WORK
Wv isg my<g;a bkamiq B<`. msgqj;a fmr<kakg jQjdh' zwfka" uka okafk kE''' yeu jdÜgqjlu bkafk fokakhs - ke;akï tla flkhs' ux ne¨fj neß fj,dj;a ;=ka fofkla bkak ;ekla ;sfhkjdo lsh,ZZ wehg B<`.g tlajku fmKqfka udh' zz wd'' fukak Thdg fyd| tlaflfkla' wmg wo w¿f;kau wdjd'''ZZ weh ud foi úuis<su;aj n,d iqyo iskdjla mEjdh' uuo ms<s;=re iskdjla mEfjñ' zztfykï fïg%ka" ux fuhdj tlalka hkako @ZZ wm fofokd wehf.a jdÜgqjg wdfjuq' th y;f¾ jdÜgqjhs' jdÜgqj ÿgq jku ud wkaÿka l+ka¥ka jqfhñ' ffjoH ldka;d jdÜgqjla jq tys tosk frda.ska y;,sia y;r fofkla isák nj weh lsõjdh' ;sfnk we|ka .Kk ;sia folls' we|ka .Kkg mukla fkdj we| hgo" fldrsfvdafõ meÿre t<df.ko" nxl= u;o frda.syq je;sr isáhy' wfhla isáfha mÍlaIK wef|ysh' u,a,sld ùrisxy 52
rdcldÍ cSú;fha m<uqfjks oji'''
fufkúh jk weh ud le|jdf.k f.dia jdÜgqfõ iEu wyq uq,a,lau fmkakd ug úia;r lshd ÿkakdh' fï ähqá rEï tl''' fï iafgda rEï tl''' fï mekaá%h" fï jdÜgqfõ uq,a we|ka j, ydÜ fmaIkaÜ,d''' ál ál tydg hk úg WK f,âvq" weÿu f,âvq''' fgdhs,Ü fma<sh lsÜgqj vhßhd f,âvq''' je/kavdfj" ljqre;a l,jfï''' jeäfhkau bkafk jhil wh''' ykaosm;a reodj" talaia wekaâ fmakaia''' nvq ;sfhk ;eka n,d.kak' yosishlg fjk jdÜgq j,g ÿjkak ´ks kE''' fï whsia lema" WKq j;=r fnda;,a''' fia,hska''' fvlaiafg%daia''' whs'ù fiÜia fiaru ms<sfj,g ;nd ;sfnk ldurh újD; l< weh tys tla tla ;Ügqfõ ;ekam;a lr we;s WmlrK fmkajQjdh' ienEjgu th yßu ms<sfj,g tu WmlrK j, kï yd fkdïur .id" w; os.= l< udkfha .; yels wkaoug ukdj ilia lr ;snqKs'
ffjoH ldka;d jdÜgqjla jq tys tosk frda.ska y;,sia y;r fofkla isák nj weh lsõjdh' ;sfnk we|ka .Kk ;sia folls' we|ka .Kkg mukla fkdj we| hgo" fldrsfvdafõ meÿre t<df. ko" nxl= u;o frda.syq je;sr isáhy' wfhla isáfha mÍlaIK wef|ysh'
tod ta jdÜgqfõ ähqá isáfha wm fofokd muKs' frda.Skag fnfy;a oSu" fnfy;a úoSu wdoS ish¿u j;a ms<sfj;a lrk wdldrh weh ug lshd ÿkakdh' fydard lsysmhla hk úg ugo jdÜgqj álla mqreÿ ;ekla jkakg úh' frda.Skao" fiaúldjkao w¿f;kau meñKS ug mE iqyo;ajh ug úYd, ffO¾hhla úh' tfy;a uf.a is; jev lf<A wo
ffjoHjrhd - udisl ffjoH iÕrdj
uf.a ähqá Is*aÜ tl flfia fõo hk ixldfjks' ish,a, ;SrKh jkafka ùrisxy fufkúhf.a woyi wkQjh' ug ta .ek jeämqr is; fjfyi lrkakg bv fkd;nd weh ug l;d l<dh' zzñia Thd" wo Tka tl lrkak'ZZ ta lshkafka weh tfld<yg osjd wdydr i|yd f.dia oyj,a fod<yg jdÜgqjg meñfKhs' weh meñKs miq ud jdÜgqj ndroS oyj,a fod<yg lEug hd hq;=h' weh ;ksj iji ;=k jk ;=re fiajh l< hq;=h' ud meñKsh hq;= jkafka iji ;=kgh' túg weh ojfia fiajh ksud lr msgj hk w;r ud ;=fka isg y; jk ;=re" ta lshkafka rd;%S fyosh y;g meñfKk ;=re ;ksju jdÜgqj n,d.; hq;=h' rd;%S fiajh ? yf;a isg Wfoa y; olajdh' ug wo ;ksju yji ;=fka isg y; olajd fiajh lsÍug isÿùu ud is;g ìh f.k ÿkafkah' jeäfhkau tfia jQfha jdÜgqj fl<jf¾ b;d widOH jQ uy¿ frda.S l;la isá ksidh' zzTh ñiS" fmdfidka ojiaj, tk u. weßÉp jkaokdldrfhla yß ys;, f.k;a w;rux lrmq jhil kE flfkla yß fjkak ´ke' jkaokd ldf,g fufyu f,âvq yßhg fï jdÜgq j, bkakjd' mdfr Tfya jeá, ysáhu ljqre;a fl,skau f.k;a odkafk biamsß;df,g' Th f,vdg yß isys l,amkdjla kE' yß tv%ia tllaj;a kEfk' wev%ia tl wykfldg;a tl tl kï lshkjd' b;ska fldfyduo" kEoEhskag j;a okajkafka @ZZ jdÜgqfõ Wmia:dhsldfjda lSy'
uy¿ frda.S l; weia jl=gq lr f.kuh' weh fkdkj;ajdu fl|sß .dhs' ysá.uka fl|sßh kj;ajk weh weia wer tl me;a;la foiu n,d isáhs' h<s fl|sßh mgka .kS' fia,hska oshr ìxÿfjka ìxÿj wef.a kyrje,a lrd wefohs'
2016 fmnrjdß l<dmh
uy¿ frda.S l; weia jl=gq lr f.kuh' weh fkdkj;ajdu fl|sß .dhs' ysá.uka fl|sßh kj;ajk weh weia wer tl me;a;la foiu n,d isáhs' h<s fl|sßh mgka .kS' fia,hska oshr ìxÿfjka ìxÿj wef.a kyrje,a lrd wefohs' jdÜgqfõ fiajl uKav,h weh msßisÿ fldg fyd| we÷ï wkaojd ljd" fmdjd /l n,d.kS' tfy;a ál ojil isg weh lEu lkafkau ke;' oshr wdydr mjd .; fkdyqKq ;ek Ysrd u.ska oshr YÍr.; lrhs' tfy;a wef.a ;;a;ajh wjodkïh' fldhs fjf,a fuf,dj yer hd oehs lshKQ neßh' iji ;=kg uu kej; fiajh Ndr.;sñ' ùrisxy fufkúh ug y; jk ;=re l< hq;= foa lshhs' zzyji" fvdlag¾ ths' ta wdju wr wudre f,vd fmkajkak' ù'mS';a tkak mq¿jka' Thd w¿;ska nj thd,g f;afrkjfka' jeäh fudlj;a wyk tlla kE' okak úosyg W;a;r fokak' v%.aia tfyu we;s fjkak ;sfhkjd' wo ksõ weâñIkq;a keyefk' bkak f,âvq ál n,df.k bkak' wd 53
CREATIVE WORK
wo Tkaflda,a fvdlag Y%SOrka'ZZ fuf;lau uf.a is; fjfyig m;a l< .eg¿j uu weh bosrsfha ;enqfjñ'
rdcldÍ cSú;fha m<uqfjks oji'''
ffjoH Y%SOrka le|ùñ' ta Tyq ÿgq uq,au j;djhs' uq,skau Tyq uf.a fomd isg mdodka;h olajd .eUqre úuiqï ne,aula fy¿fõh' zzñia ux oel,u kE'''' w¿;skao fuydg wdfj'''@zz z zTõ fvdlag¾ ux wohs wdfj'''ZZ
zzñia" wr wudre f,vd'''ZZ
zzl,ska fldfyo jev lf<A @ZZ
zzTõ" b;sx'''@ZZ
zzfldfyj;a kE''' fï uf.a m<jeks m;aùu'ZZ
zzthdg'''ZZ uu jpk .s,.;sñ
Tyq frda.S l; mÍlaId lr n,d weh ñh.sh nj iy;sl lf<ah' bkamiq ähqá ldurfha fïih fj; meñK Wmia:dhsldjka ,jd f.kajd.;a jdÜgqfõ urK iy;sl fmd;o" ndysr frda.S wxYfhka f.kajd.;a ;j;a fmd;lao hkdoS
ùrisxy fufkúhg ldrKh f;areï .shd fiah' zzthdg fï álg fudkj;a fjkafk kE <ufhd''' Wk;a b;ska okakjfk Bg miafi lrkak ´ks jev ál'''ZZ jev okafk kE lshd ijq;a;= jkakg ug neßh' tfyhska ish,a, okakd nj w`.jñka u| iskdjlska hq;=j wehg iuq ÿksñ' yji y;g rd;%S fyosh meñfKk ;=re uu n,d isáfhñ' ta jk ;=re jdÜgqfõ lsisu f,fvla ñh hkakg tmd hhs is;ska foúhka heoafoñ' tfy;a" ta ish¿ m%d¾:kd ksIam%N lrñka wr widOH l; fuf,dj jdih w;a yeßhdh' uu jydu ÿrnkkfhka 54
jYfhka ish¿ ,shlshú,s jev wjika lf<Ah' zzTkak ñia oeka fiaru yß' Thd w¿;skau wdj yskao fufya jev yßhgu okafk ke;sj we;sfk' ñksh yok yeá okakjd fkao @ZZ zzTõ" fvdlag¾'''ZZ zzfldhs biamsß;df,;a tlu úosyg ;ud jev' ñksh msßisÿ lr," we÷ï wkaoj," ge.a tl .y, jy, ;sfhkj' ´j¾ish¾f.ka fmd; f.kakf.k tafl;a ,sh, tydg oeKqï fokj' ñksh meh follg miafi fudapßhg hjkj' fufy jevlrk fï wefgkavkaÜia,g ´j fyd|g mqreÿhs' thd, ta ál lrhs'ZZ uu lD;fõoSj Tyq foi n,d isáfhñ' ta ish¿ foh Tyqf.a Wmfoia wkQj yßyeá bgq l< yels úh' jev Ndr.;a m<uq oskfhaoSu uf.a ähqá fj,dfõoS frda.sfhla ñh .sfhah' miqosk ähqá wd .ukau ùrisxy fufkúh lSfõ" zzTkak jiafodia bjrhs'ZZ lshdh'
ffjoHjrhd - udisl ffjoH iÕrdj
t<UqKq fojk oskh tu jdÜgqjg w¿;ska frda.Ska we;=¿ lrk oskh úh' wo fudflka fudlla fõoehs uu f;daka;=jdfjka isáfhñ' to;a ud yd rdcldßfha fhoS isáfha ùrisxy fufkúh muKls' weh to;a ug zzTka tllaZZ lrkakg lSjdh' ta iji ;=fka isg y; jk ;=reh' ueisú,a,lska f;drj uu th bjiqfjñ' w¿;a msg iSksh¾ia, fudkj lSj;a th bjish hq;=h' lSlre úh hq;=h' wfkl ùrisxy fufkúh uf.a by< ks,Odßhdh'
zzuy;a;h blauKg tkakï lSj" ug fmd; wrka hkak lSj'''ZZ
tod w¿;ska jdÜgqjg wdfõ" WK" leiai" ykaosm;a reodj we;s úhm;a frda.Skah' wjg l=vd frday,aj,ska udrelr tjk frda.Ska ñi ie<lsh hq;= frda.dndOhla ;snQ lsisfjl= tod jdÜgqjg wdfõ ke;' uu Wfoa jrefõ jevlr oyj, lEug f.dia iji ;=kg h<s jdÜgqjg meñKsfhñ' túg ùrisxy fufkúh jdÜgqfõ frda.sfhl= fj; keUqre ù lsishï fohla lrñka isáhdh' zzñia fuhdg" álla fyd| kE''' fuhdj fyd|g Tíi¾õ lrkak' yji fjdaâ rjqkaâ tflaos u;l we;sj fvdlag¾g fmkajkak' wd" wo Tkaflda,a bkafk fvdlag¾ chùr'''ZZ
zzwehs @ZZ
uu wehf.ka jdÜgqj ndrf.k iqmqreÿ f,i jev ksu lrñka isáfhñ' iji fnfy;a fg%d,sh ;,a¨ lrf.k jdÜgqj ueoska frda.Skag fnfy;a foñka hoaoS wr ùrisxy fufkúh úfYAIfhka i|yka l< frda.S l;f.a ;;a;ajh t;rï yß ke;s nj ug jegysKs' weh ÿn,j wirKj isáhdh' t;rï ÿn, wfhl= fj; Woõjg flfkla fyda mjqf,a flfkla fkd;kshg isáfha ke;' uu jydu wef.a kdä" Yajikh yd reêr mSvkh mÍlaId lf<ñ' reêr mSvkh my< nei ;snqfKah' weh jydu ffjoHjrhdg fmkaúh hq;= nj oeKqkq fyhska weu;=ï rdcldß fmd; f.k ffjoH chùr fj; ta nj ,shd oekaùñ' Tyq tk;=re uu frda.S l;g iqj myiqj i,iñka weh wi< /|S isáfhñ' weu;=ï fmd; /f.k .sh fiajlhd kej; ud bosßfha fmkS isáfhah' zzfudlo" chùr uy;a;h lsõfj isßfiak @ZZ 2016 fmnrjdß l<dmh
zzwïfuda" chùr uy;a;ho wo ähqá'''ZZ ud <`.u isá fiaúldj jk fïßfkdakd oE;a whd .;a;dh'
zzyßu ier uy;a;h ñiSZZ uu ud ,shQ igyk kej; jrla lshjd ne¨fõ tys lsishï jrola we;ao lshdh' udKav,sl fyoshl f,i j.lSfuka ;enQ tu igyk ffjoHjrfhl= le|ùu msKsi ud ,shQ m<uq igyk úh' Tyq th lshjQ njg w;aikla fhdod ;snqKs' wfkla msgqj n,kakg ug wjYH;djhla fkdúk' lsisod oel ke;s fvdlag¾ chùr ljr wkaofï mqoa.,fhl=oehs is;ñka ud ;rula úms<sirj isáfhñ' Tyq hhs ug wkqudkfhka oeKqkq mqoa.,fhl= fldßfvdarfha blauka .uKska meñKsfhah' uu kej;;a j;djla weu;=ï fmd; fmr¿fjñ' fuf;la ud kqÿgq fï msgqj ud igyk ;enQ 55
CREATIVE WORK
fld<fha wfkla msgqfõ úh' Tyq ;ud meñfKk ;=re l< hq;= foh tys i|yka úK' frda.shdf.a we| md foiska tiùu" whs' ù' ä%ma tlla mgka .ekSu wdosh .ek Wmfoia tys ;snqKs' fohshfka''' ud ta j.la okafka oekah' jydu Wmia:dhsldj le|jQ uu wehf.ao Woõfjka ta ish,a, blauKg ksu lf<ñ' chùr uy;d jdggqjg we;=¿ jk úg Tyq Wmfoia oS ;snQ mßosu wjYH uQ,sl m%;sldr mgkaf.k ;snqKs' ud wkqudk l< f,igu Tyq f.dfrdaiq fmKqulska fukau ukd fm!reIhlskao hq;= mqoa.,fhl= úh' jeä yskdjla fyda l;djla fyda ke;' fl,skau wm iu. frda.shdf.a we| fj; f.dia weh msßlaid n,d h,s fïih fj; ys|f.k álÜmf;ys ;j;a T!IO ,shQ Tyq th ud fj; os.= lf<Ah' zzñia w¿f;kao @ZZ Tyq úuis<su;aj ud foi n,hs'
rdcldÍ cSú;fha m<uqfjks oji'''
zr;akmqrZZ zzyAï''' fï m<fjks m;aùuo @ZZ zzTõ fvdlag¾" uu Bfha wdfj'''ZZ iïuqL mÍlaIKh tfia ksud úh' jdÜgqfjka msgj hdug fmr Tyq ug kej;o l;d lf<Ah' zzñia" Thd jev l< yeá fyd|hs''' f,fvl=g wudre jqKdu ta nj ú;rla okaj, uos''' f,vdf. ;;a;ajh úia;r we;sj wmg ,sh, tjkj kï" wms tk;=re l< hq;= foa .ek wmg ,sh, tjkak myiq fjkjd' oeka n,kak Thd f,vdf.a í,â fm%I¾ tl .ek;a ,sh, ;snqK ksid ug v%.aia ,sh, tjkak myiq jqKd' iuyrla k¾ia, Tfydu lrkafk kE' Patients condition unsatisfactory lsh, ;uhs tjkafk' uu tkfldg Thd yq`.la yßh lr, ;snqK' talu ;uhs fjkak ´ks' Th jf.au biairyg;a jev ál lrf.k hkak'ZZ fï m%Yxidj tod uf.a yo m;a,gu ldjeosK' th ug uy;a ffO¾hhla úh' Tyq jeks uy;aufhl=f. ka Tjeks fyd|la wid.kakg ,eîu uf.a n,j;a i;=gg fya;= úh' fuh miq ld,hloS uf.a rdcldß cSú;hg fnfyúka n,mEfõh' ta m%ixidj yd m%S;sh ud fj; ,ndoSug uq,ajQ wirK frda.S ldka;dj ud tod fiajd lksiu wjika lrkakg iaj,am fj,djla ;sìhoS ish wjika yqiau fmdo jd ;,hg uqiq l<dh' wehf.a uD; YÍrh kshudldrfhka ilia lrk ,oafoao ud úiskauh' ;=kajeks ojig;a uf.a jia fodia heúug lsishï frda.sfhl= isáfha ke;' ta uf.a rdcldß cSú;fha f;jeks oskfhaoS mefmd, iEoSfuka fudaÿ jQ iqka iy,a ìcqjg fuka f.ä;a iu.u ksjdvqjl=;a ,ndoS f.org msg;a lr yeÍug md,kdêldrh .;a ;SrKh fya;=fjks'
zzTõ fvdlag¾ZZ
*diaÜ mí,sIska iud.u úiska m%ldYhg m;a lrjk ,o zzfrdayf,ka weiqKQ l;dZZ lD;sfhka Wmqgd .kakd ,oS'
zzyaï''' fudk tka'à'tia' tflao @ZZ z
úuiqï - 2682223
56
ffjoHjrhd - udisl ffjoH iÕrdj
ADVERTORIAL
mjq,a /ila wdf,dalu;a l< kjf,dal idM,H;d uOHia:dkh m<uq oYlhg md ;nhs
mjq,a /ila wdf,dalu;a l< kjf,dal idM,H;d uOHia:dkh m<uq oYlhg md ;nhs w;s kùk fnkaÉ - fgdma bkalshqfígr ;dlaIKh oeka wm <`. YS% ,xldfõ ore iïm;a ke;s oïm;Ska yg orejl= ms<sis| .ekSu i|yd iyh ùug lemjqKq kjf,dal idM,H;d uOHia:dkfha uy`.= fiajdjg jir 10 la iïmQ¾K ù we;' kej; kej;;a orejl= ms<sis| .ekSu wid¾:l ù we;s wh fjkqfjka m%;sYla;s mrSlaIKh isÿlr,Su i|yd wod, m%;sldr imhk frday,a w;rska kjf,dal
2016 fmnrjdß l<dmh
frday, m%Odk ia:dkhla ysñ lrf.k we;¡ tfiau IVF / ICSI m%;sldrj, by<u id¾:l;ajh ,nd§u i|yd" Invicell" ^bkaúfi,a & keu;s w;s kùk fnkaÉ fgdma bkalshqfígrh Wmfhda.S lr .kakd osjhsfkA we;ss tlu ia:dkh o fuu uOHia:dkhhs' ridhkd.drfha isÿúh yels fodaI j<lajd .ekSug ish¿ idïm, ffjoHjrhd" l<, úoHd{hd iy fyosh hk ;sfokdf.au wëlaIKhg ,la lrñka ish¿ ksheos i`oyd ;s%;aj idlaIs (Triple 57
ADVERTORIAL
mjq,a /ila wdf,dalu;a l< kjf,dal idM,H;d uOHia:dkh m<uq oYlhg md ;nhs
Witnessing) l%uh Ndú;d lrkq ,efí' ms<sis|.ekSfï fodaI blaujd hk úÿyqre ;dlaIKh .¾NKSNdjh hkq ueùfuys we;s by<u wdYap¾hhls' f.da,Sh jYfhka .;a l< iEu újdyl hqj, 6 lska tla hqj,la orejl= ms<sis| .ekSfï .eg¿jg uqyqK foa' äïn fudapkfhaoS mj;sk fodaI" mef,damSh kd,hkays wjysr;d" Y=l%dKq j, mj;sk widudkH;d fyda by; fya;+ka lsysmhla mej;Su ksid;a widr nj we;s úh yel' u|ireNdjh i|yd oekg mj;sk ir, m%;sldr l%uhla jk IUI m%;sldrfhaoS fnfy;a fm;s Ndú; lr äïn fïrSu iy fudapkh W;af;ackh lrkq ,nk w;r idkaø msrsñ Y=l%dKq ldka;djf.a .¾NdIh ;=< ;ekam;a lsrSu isÿ lrkq ,nhs' fuu m%;sldr l%uh iqqÿiq jkafka idudkH mef,damSh kd, iys; idudkH fyda ir, Y=l%dKq .eg¿ 58
iys; mqoa.,hkagh' ydkshg m;a jQ mef,damSh kd,hla$kd, iys; ldka;djkag iy lemS fmfkk Y=l%dKq widudkH;d j,ska hq;= mqreI mlaIhg we;s fyd|u m%;sldr l%uh jkafka ridhkd.dr ixfiapkh fyj;a idudkH NdIdfõ ye|skafjk k< ore l%uhhs'
kej; kej;;a orejl= ms<sis| .ekSu wid¾:l ù we;s wh fjkqfjka m%;sYla;s mrSlaIKh isÿlr,Su i|yd wod, m%;sldr imhk frday,a w;rska kjf,dal frday, m%Odk ia:dkhla ysñ lrf.k we;¡
ridhkd.dr ixfiapkfha úYsIaG msßú;r wkqhñka''' ridhkd.dr ixfiapkfhys wruqK jkafka äïn iy Y=l%dKq Wmfhda.S lr .ksñka ridhkd. drhla ;=< l<, ks¾udKh lr m%Yia; uÜgfï we;s l<,hla .¾NdIh ;=< ;ekam;a lsrSuhs' fndfyda úg ixfiapkh i|yd tla äïnhla ;=<g ;ks Y=l%dKqjla we;=¿ lr l<, iEoSu" wka;¾ ihsfgdma,diaóh Y=l%dKq kslafIamKh kñka y÷kajkq ,nhs' flá ld,hlska ysßyerhlska f;drj m%;sldr j,g fhduq ùfï myiqlï fï olajd cd;Hka;r jd¾;d fmkajd oS we;af;a k<ore (IVF) iy wka;¾ ihsfgdma,diaóh Y=l%dKq kslafmaIKh (ICSI) ;=<ska ìysjk ì<s÷ka iajdNdúlj ms<sis| .kakd ì<s÷ka fiau ksfrda.S njhs' IVF m%;sldrh ,nd .kakd ldka;djka frday,a.; ùu" we|g ù úfõl .ekSu fyda / lshdjg fkdf.dia isàu lsisfia;au wjYH ke;' fuu m%;sldrh i|yd i;s 5-6 l ld, iSudjla ;=< 6 jrla muK frday, fj; hdu m%udKj;ah' fuu ls%hdj,shg wjYH tkak;a ;ud úiskau isÿ lr .ekSug yelsh' ffjoHjrhd - udisl ffjoH iÕrdj
ADDICTION
bkak ysáka f.hla fÞrlaj;a ke;s jqK;a
udihlg remsh,a ,CIhl u;al=vq Wrk .eyekshlf.a l;djla u;aøjHj,g weíneysjQjkaf.a fÄojdplfhka ì|la
cSú;hl wjika fudfyd; .ek oeKqj;a fjuq
;u ÈhKsh;a mq;=;a ieñhdg Ndr fldg frdaysŒ ueofmrÈ. .Dy fiajhg .sfha orejka ÿla ú¢kq ;j;a n,d bkakg neßu ;ekh' frdaysŒf.a ieñhdg yßyux wdÞhula fkd;sîu fï jHik yeu tllgu uq, úh' tfy;a frdaysŒg ueofmrÈ. /lshdj lrkakg ,enqfKa jirl=;a udi folla jeks ld,hla muKs' tA jk úg ;=ka yeúßÈj isá wef.a nd, mq;= ks;r ks;r wikSm jk nj mjid wehg ,xldjg tkakehs ieñhd n, lsÍu thg fya;=j úh' wka;sfï ;ud Wmhd.;a uqo,skau álÜm; idÞf.k frdaysŒg ,xldjg tkakg isÿ úKs' u;g;a ÿrdpdrhg;a cSú;h Wlia l< .eyeksh frdaysŒf.a orejdg ;snqfKa weÿu frda. hhs' orejd <ud frdayf,a k;r lrf.k iEfyk l,la m%;sldr ,nd § kej; weh orejd;a /f.k meñKsfha
2016 fmnrjdß l<dmh
59
ADDICTION
;U fÞhs;=jla ke;s f.orlgh' ±ka kej; wehg ueofmrÈ. /lshdjg hdug;a neßh' tA wikSfmka fmf<k l=vd mq;= ;ks lr hdug fkdyels neúks' wirKj" fudkjd lrkak±hs l,amkd lrñka uy mdf¾ weúo .sh frdaysŒ wka;sfï k;r jqfKa zfydag,hlZh' th zfydag,hlaZ lshd msg;ska ye¢kajQjdg we;=<;ska th fydag,hla fkdj .Ksld ksjdihls' Ôj;a jkakg l< yels fjk lsisjla .ek is;d.kakg fkdyels jQ l, weh orejka ;u ujg Ndrfldg .Ksld jD;a;sfhys fhÿfka thska ,efnk uqo,ska orejkag lkak fndkak fokakgh' fuf,i ;uka weiqrg tk mqoa.,hka ksid fndfyda .Ksldfjda ÿïmdkhg iy u;ameka Ndú;hgo yqre fj;s' frdaysŒg jqfK;a thuh' —is.rÜ tfyu fndkafk keoao@˜ lshñka tla ;reKhl=
60
cSú;hl wjika fudfyd; .ek oeKqj;a fjuq
ÿka is./Ügqjla ksid weh ÿïmdkhg yqre jQjdh' —wrlal= álla .kake˜hs ;j;a .kqfokqlrejl= lS wjia:djl weh Bg;a tlÕ jqKdh'
fuhd ud;a tlal iïnkaOhla we;s lr .kak leu;shs lshk fldgu ux fuhdg lsõjd ux l=vq .ykjd" ä%kalaia .kakjd" khsÜ la,í hkjd lsh,d' thd tAjd tllgj;a wlue;s jqfKa kE' ±ka ud;a tlal hd¿ jqKdg miafia lshkj ug tA fiaru w;awßkak¨' frdaysŒ fï /lshdfjka hyñka uqo,a Wmhd ;sìK' wjidkfha weh fyfrdhskaj,g yqre jQfha tA jk úg weh isá kjd;efka fiiq .Ksldjkao Bg yqre ù isá ksidh' m<uqfjks ojfia Tjqka th ÿkafka —W.=rla î,d n,mx˜ lshñk' is;g ±kqKq fudlla foda wuq;= i;=g ksidu frdaysŒ fofjks ojfia;a th .;a;dh’ wka;sug i;shla folla hk úg frdaysŒg ;u YÍrfha ±ä flfv;a;= .;shla ±fkkakg úh' tA YdÍßl wmyiq;dj u.yrskakg wehg iqÿiqu Tiqj f,i ±kqfKa u;al=vqh' tA wmyiqj u.yerefKa u;al=vq álla brejdg miqj muKs' ±ka frdaysŒf.a foorejka újdylh' ty;a jir úiailg wdikak ld,hla ;siafia WrK u;al=vqj,ska wehg wE;a jkakg fkdyels ù we;'
ffjoHjrhd - udisl ffjoH iÕrdj
—Th u< crdj î, wmg ,eÊc lrkak ,Eia;s fjkak tmd' ´l k;r lrkj kï ndr .kakï˜ orefjda wehg kS;s Í;s ou;s' tfy;a frdaysŒg ñka .e,ùug is;la ke;' —ug WU, .djg tkak ´k kE' wdj;a ux fïl kj;a;kafk;a kE' tA wef.a ms<s;=rhs' ;u u;al=vq Ndú;h .ek frdaysŒ lshkafka fuf,ih' —l=vq .eyqju mqÿu ikSmhla ±fkkjd' tA;a meh fol ;=kla hkfldg tA ikSfm jf.a fo;=ka .=Khlg;a jeä mqÿu wudrejla ±fkkak mgka .kakjd' tA wudrej hkak kï wdfh;a l=vq fndkaku ´fk' tfyu ke;akï tA ±fkk wdurej bjikak neye˜ frdaysŒ mjik wkaoug wehg fï whqßka Èklg fyfrdhska melÜ ;=k y;rlaj;a ´kE fjhs' tA tl l=vq melÜgqjl ñ, remsh,a oyils' tA wkqj weh u;al=vq i|yd Èklg jeh lrk uqo, remsh,a ;=kaoyila" ydr oyila muK fjhs' udihlg hk úhou remsh,a ,laIhlg wdikakh' rd;%S ld,hg .Ksld jD;a;sfha fh§ uqo,a Wmhk frdaysŒ Èjd ld,fha tA uqo,a úhoï lrkafka u;al=vq Ndú;hghs' tA yer lEula îula .ek fyda fjk;a jqjukd tmdlula .ek wehg jeä yeÕSula ke;' u;aøjH .ekSfïoS YÍrhg we;sjk n,mEu fïlhs u;aøjH .ekSfï § isÿjk fï ;;a;ajh .ek wm úfYaI{ ufkda ffjoH reó rEnka uy;df.kao lreKq úuiqfjuq' tA fuu iudc fÄojdplfha ienE ÿ#Å; nj .ek jvd;a meyeÈ,s Ñ;%hla ,nd .kakgh' —wmg i;=g ±fkkafka wfma fud<fha tkafvd*ska jeks ridhksl øjH l%shd;aul jQ úghs' wm m%sh lrk mqoa.,hl= ÿgqj;a" leu;s wdydrhla .;a;;a fï ´kEu fohl§ tu ridhksl øjHh iajNdúl f,i l%shd;aul ù wmg i;=g 2016 fmnrjdß l<dmh
okjkjd' u;al=vq ksid;a fï wdldrhg fuu ridhkslh l%shd;aul ù i;=gla ±fkk kuq;a tys we;s Nhdkl ;;a;ajh jkafka i;=g ,nd .ekSu i|yd .; hq;= u;al=vq m%udKh Èfkka osku jeä lrkakg isÿ ùuhs' tA wkqj uq,a ojfia .;a m%udKh fofjks ojfia .;a úg uq,ska ,enQ i;=g ±fkkafka kE' tA ksid th .; hq;= m%udKh tkak tkaku jeä lrkakg isÿfjkjd' fï wkqj tA mqoa.,hdg u;al=vq ke;sju neß fjk ;;a;ajhg m;a fjkjd˜ ffjoH reó rEnka uy;d úia;r lf<ah' fufia weíneys ùu jeä jk úg wÞ< mqoa.,hd u;aøjH .kafka fmr ,enQ wdYajdoh ú¢kakg fkdfõ' fï ;;a;ajhg tk úg i;=g wdYajdoh fjkqjg ±fkkafka th fkd,eîu ksid we;s jk wêl YdÍßl wmyiq;djkah' ;on, ldhsl fõokdj" jukh jeks oE fï w;ßka m%Odk nj Tyq mjihs' 61
ADDICTION
bkamiq Tjqkaf.a i;=g ,nd .ekSu i|yd jk wfkla ish¨u l%u wvmK fõ' u;al=vq u;u hefmk ;;a;ajhg m;ajk Tjqka ish¨ iudc iïnkaO;d" úfkdaÞxY" lEu îu wd§ ish,a, wu;l lr fuhu ish Ôú;fha tlu wruqK lr.kS' u;al=vq ñ, wêl ksid tAjd ñ,§ .ekSug wjYH uqo,a fidhd .ekSug fuf;la fkdl< ´kEu my;a l%shdjlg jqj fï wh fm<ôh yelsh' mx;s fkdf.dia u;aøjH .ekSug weíneys jQ mdie,a isiqjd jhi wjqreÿ oykjhla jQ mdi,a isiqjl= jrla Tyqf.a foudmshka úiska ufkda ffjoH idhkhlg le|jd f.k ú;a ;sìKs' Tyq l,ska b;d Wkkaÿfjka wOHdmk lghq;= l< w;r miqj ks;r yqfol,dj isákakg;a" ldurhgu ù isákakg;a fm<ö ;sìKs' Tyq uq,§ rEmjdysksh keröug mqreÿj isáh;a tA i|yd ;snQ Wkkaÿjo ke;a;gu ke;sù 62
cSú;hl wjika fudfyd; .ek oeKqj;a fjuq
.sfhah' wvqu ;rñka Tyq ;u mß.Klh l%shd;aul lrkakgj;a lsisÿ whqrlska fhduq ù ;snqfKa ke;' fï fjkig fya;= fidhd ne,Sfï § wkdjrKh jQfha fï fh!jkhd u;al=vqj,g weíneys ù we;s njhs' tA i|yd Tyqg ñ;=rka lKavdhula isák njo ±k .kakg ,eìK' uõmshkaf.a ysi .sks .;af;a ;u mq;= áhqIka mka;sj,g udiam;d uqo,a b,a,d.;a;;a udi .Kklska áhqIka mka;shlg mh ;ndj;a ke;s nj ±k .kakd úgh' wka;sfï Tyqg iEfyk l,la ufkda ffjoH m%;sldr ,nd fokakg isÿúh'
u;g f,d,a jQ ;reKshl iu. wdorhla ;j;a ;reKhl= ufkda ffjoHjrhl= fj; meñKsfha ;u rEu;a fmïj;sho iu.h' idudkHfhka fuys§ ´kEu flkl=g isf;kafka fmïj;d u;al=vq .kakd ksid fmïj;sh Tyq ufkda ffjoHjrhd fj; legqj tkakg we;s njh' kuq;a fuys§ isÿj ;snqfKa tys wfkla me;a;h' u;al=vqj,g weíneys ù isáfha tu rEu;a ;reKshhs' —fuhd ud;a tlal iïnkaOhla we;s lr .kak leu;shs lshk fldgu ux fuhdg lsõjd ux l=vq .ykjd" ä%kalaia .kakjd" khsÜ la,í hkjd lsh,d' thd tAjd tllgj;a wlue;s jqfKa kE' ±ka ud;a tlal hd¿ jqKdg miafia lshkj ug tA fiaru w;awßkak¨' ux lsõjd zug tAjd w; wßkak nE Thdg ´k kï udj w; wßkakZ lsh,d' tA;a fuhd tAlg leu;s kE˜ fmïj;sh ufkda ffjoHjrhd bÈßfha lSfõ Tjeks l;djls' —ug fuhdj wu;l lrkak nE fvdlag¾' ux fuhdg yß wdofrhs' fldfydu yß fuhdf.a fï mqreÿ kj;a;, fokak˜ ;reKhd ne.Em;a jkakg úh'
ffjoHjrhd - udisl ffjoH iÕrdj
weíneys ùu jeä jk úg wÞ< mqoa.,hd u;aøjH .kafka fmr ,enQ wdYajdoh ú¢kakg fkdfõ' fï ;;a;ajhg tk úg i;=g wdYajdoh fjkqjg ±fkkafka th fkd,eîu ksid we;s jk wêl YdÍßl wmyiq;djkah'
weíneysfhka we;sjk úkakeyshla''' fïjdg weíneys jQ whl= ;uka i;= ´kEu fohla fï fjkqfjka lem lrkakg iQÞkïh' u;aøjHj,g weíneys jQjl=g th È.ska È.gu .ekSug fkdyels jQ úg úúOdldr YdÍßl wmyiq;d we;sfjhs' uq¿ YÍrfhau ±fkk ord.; fkdyels ;on, fõokdj" udxYfmaYS ;o ùu" wêl ysiroh" jukh" u, msgjk jdr .Kk jeäùu" Èhr f,iska u,my ùu" l÷¿ iy fidgq Èhr je.sÍu" ;udg ;udju md,kh lr .; fkdyels l,n, .;sh fï wmyiq;d w;r m%Odk fjhs' tksid fuu fõokdj ke;s lr .ekSug u;aøjH fidhd hdug fukau we;eï úg Ôú;h ke;s lr .ekSug jqjo fudjqka fm<ôh yelsh' flfia fyda u;aøjH .ekSu k;r lr isáh;a" kej; tAjd úl=Kk wh yuq jQ úg h<s;a tAjd .kakg fm<fUkq fiau" fïjd wf,ú lrkakkao ;u .kqfokqlrejka fuhska bj;a jQ úg ;ukag isÿjk mdvqj ms<sn|j i,ld jrla folla fkdñf,a Tjqkag u;al=vq ,nd § kej; Tjqka fï i|yd fmd<Ujd .ekSuo isÿfõ'
2016 fmnrjdß l<dmh
u;aøjH ksid Rcqju YdÍßl wdndO we;s fkdfõ' kuq;a fjk;a ldhsl frda. yg .;a úg tA ms<sn|j fkdi,ld ys£u u; kshqfudakshdj wd§ jQ fjk;a wdidok ksid ñh hdug ;sfnk yelshdj jeäh' u;al=vq Yajik ud¾. fhka ^bÍfuka& .kakd wh fiau bkafclaIka lgq ud¾.fhka .kakd who isá;s' fufia bkafclaIka lgq ud¾. fhka .kafka fndfyda úg lKavdhula jYfhka ksid tAâia fukau fymghsáia î jeks frda. fnda ùug ;sfnk wjÞku jeä njo ie,lsh hq;=h' wm fuu ,smsfhys wvx.= fuu lreKq bÈßm;a lf<a Èfkka Èk ìysiqKq nQj,a,l= fuka ;reK mrmqr we;=¿ ck iudch ì,a,g .ksñka me;sfrk u;a Wjÿfrka ish¨ fokd .,jd .ekSu wo hq.fha jeo.;au iudc ld¾hhla njg m;aj we;s ksidh'
63
HEALTHY LIFE
cSú;h ksfrda.S lrk wfma mdrïmßl iy,a j, .=K
cSú;h ksfrda.S lrk wfma mdrïmßl iy,a j, .=K
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
r;a meye iyf,a we; .=K fuf,fia''' mqrd úoHd;aul lekSï isÿ lsrSfuys ksr; uydpd¾h rdca fidaufoaj miq.sh ld,fha n,kaf.dv b¨lal=Uqf¾ úfYaI lekSul ksr; jQ w;r tys fi'ó 50-150 w;r .eUqre ia:rhl lekSï j,ska bmerKs n,kaf.dv wdoS jdiSka mßyrkh l< iy,a" N+.; wiaÓ fldgia yd Tjqka mßyrKh l< fjk;a wdkqmdk idïm, tl;= lr.;af;ah' fï øjH mßyrkh l< jljdkqj ksYaph lr .ekSu Tyqf.a B<`. wruqK jQfhka tu idïm, wefußldjg hjk ,oS' wefußldfõ w;s kùk m¾fhaIKd.drloS ldnka 14 ld, ks¾Kh l%uh wkqidrfhka tajdfha jhi wkdjrKh lr.kakd ,oS' mqÿuhls' tajdfhys óg jir 6000lg fmr wfma wdos jdiSka wkqNj l< nf;ys fYaI mj;sk nj y÷kd.kakd ,oS' fuh iqúfYAIS wkdjrKhla jkafka wm iß lrk n; wjqreÿ 6000la ;rï wE; w;S;hl Ndú;d jqKQ njg fuhska uq,a jrg fy<sorõ ùuhs'
64
waidyawaraya.lk
f.dv-uv foflysu ksmefhk iyf,a tlsfklg fjkia T!Iëh .=K mj;akd nj prl ixys;dj bmerKs ffjoH .%ka:h rpkd l< uyd¾IS mjid ;sfí'
ffjoHjrhd - udisl ffjoH iÕrdj
w;S;fha ckm%jdo f.k tk nf;ys mqrdKh úch l=ure furgg f.dv nisk úg wfma bmerKs rgjdiS f.da;%slhkao iajlSh m%Odk wdydrh f,i f.k we;af;a iy,ah' uyskaod. ukhg;a fmr isá osjhsfka l=Uqre j.dj irejg flreKQ nj uyd jxYfha i|yka fjkjd' mKavqldNh l=udrhdg md,s l=ußh yuqù ;sfnkafkao meiqKQ l=Uqrl ne; lmd md.d .kakd wjia:djloSh' bmerKs ,xldfõ ù j¾. ;=ka oyila" ydr oyila ;rï m%udKhla ;snqKQ nj i|yka fjkjd' thskau m<d;g wkQj" foaY.=Khg wkQj úúO ù m%fNao ilia lsÍug bmerKs ,dxlslhdg ;snqKQ {dKh m%lg lrkjd' fy< l=i imsrE bmerKs ù j¾. f.daknre ù" jl ù" fmdl=re ù" iQÿre ù" f,alï iïnd ù" yeg m÷re ù" nd,lyr ukd ù" uq;= iïnd ù" yrukdù" oïmdg f.dv ù" nd, l=re¿ ù" f,alï iïnd" r;a l=Kav ù" iqÿ uvh,a ù" rka lE ù" iqrka .sreia" iqrpkshï ù" r;aye,a ù" l=re¿ ;=v ù" iqj|e,a mÉpfmreud,a" uvkjd? wdoS jYfhka oyia .Kkla jQ fï ù j¾. w;ßka wo wmg wúÉÑkakj Wreu ù we;af;a fldgila muKs' bmerKs wdhq¾fõo uQ, .%ka: iyf,a fmdaIKh jkhs f.dv-uv foflysu ksmefhk iyf,a tlsfklg fjkia T!Iëh .=K mj;akd nj prl ixys;dj bmerKs ffjoH .%ka:h rpkd l< uyd¾IS mjid ;sfí' wfma bmerKs iyf,a wk¾> T!Iëh .=Kh iïnkaOfhka iqY%e; wdhq¾fõo uQ, .%ka:fha i|yka jkafka fï wdldrfhks' udù oshjeähdj" ia:q,;djh" u<noaOh md,khg iqÿiqh' ldh Yla;sh jvjhs'
2016 fmnrjdß l<dmh
iqj|e,a YÍr j¾Okhg iqÿiqh' lgy`v ñysß lrhs' nys>%dùh l%shd uekúka md,kh lrhs' l¿ ySká u<noaOhg m%;sldr fjhs' YÍr.; úI u¾Okh lrhs' YÍr Yla;sh j¾Okh lrhs' r;aoe,a YÍrh ieye,a¨ lrhs' isis,a lrhs' nys>%dùh l%shd mj;ajd .ekSug WmldÍ fjhs' iu ksfrda.S lrhs' fmdlald,s ù oshjeähdj" iakdhq frda. yd ifï frda. i|yd iqÿiqh' YÍrfha WKQiqu jeä lrhs' uq;%d uekúka msg lsÍug WmldÍ fjhs' yegod ù u<noaOh ÿre lrhs' YÍrfha iDcq nj we;s lrhs' uvkjd¿ oshjeähdj" jd;" ms;a yd fiï frda. j,g iqÿiqhs' isjq jeoEreï jQ w;S;fha ù j¾.SlrKh w;S;fha j.d l< oyia ixLHd; ù j¾. uQ,sl jYfhka isõ 65
HEALTHY LIFE
cSú;h ksfrda.S lrk wfma mdrïmßl iy,a j, .=K
jeoEreïj j¾. l< nj fmfka' bka m<uqjekak zzf.dv ùZZh' tajd j.d lrkafka j¾Id c,fhks'zzWvrg ùZZ we,auKaä ùZZ yd zzl÷ ùZZ wdoS jYfhka fï zzf.dv ùZZ j¾.SlrKh jqfKA tajd j.d lrk m%foaY mdol lr.ksñks'
uõjrekag ks¾foaY lr ;sfí' l¿ nd, ù" mÉpfmreud,a" r;a iqj|e,a iy l¿ ySkeá j, m%;sTlaisldrl .=K hyñka mj;S' ta ksid ful, ck;dj w;r uy;a jHikhlaj we;s yDo frda. iy ms<sld wdosh uev,Sug by; yd,a iqÿiq hhs jeä ÿrg;a ks¾foaY fõ'
wyia osfhka j.d lrk fyaka j, jemsfrk ù j¾. fofjks ldKAvhg wh;a úh' tajd zzwe,a ùZZ kñka ye|skaúk' zzwe,a ydf,a n;aZZ lsß fok uõjrekag yd ì<s÷kag b;d .=Kodhlh hk u;hla tod iudc.;j ;sìK' j¾Idj wvq lkak j, jmqrk udi ;=k ;=k yudf¾ ù zznd, ùZZ kñka ye|skaúk' isjq jk j¾.h zud ùZZ h'fïjd wêlj c,h mj;sk l=Uqre j, j.d lrk ù j¾.hs' mQoskakg udi yhla .; jQj;a zzud ùZZ n; fnfyúka nrh' fï ksid wkqNj l< yelafla iaj,amhls' f,fyisfhka ms¿Kq fkdfjhs' fmdaIK Yla;sfhka fukau jdcSlrK .=Kfhkao wkQkh'
fï m¾fhaIKfhaoS .a,hsisñla w.h wvq ksid oshjeähd frda.Skag ys;e;s mdrïmßl iy,a j¾. lsysmhlao i|ykaj we;' tajd kï iqj|e,a" uiqrka" oslaù" f.daknre wdoS mdrïmßl iy,a j¾.hs'
foaYSh iy,a w;r jdcSlrK .=Kfhka hq;= n,iïmkak iy,a j¾.o /ila úh' iqj|e,a" r;a we,a" l¿ ySká" udù iy l=re¿ ;=vfïjdg WodyrKh' ld¾ñl ;dlaIK wdh;kfha m¾fhaIKhlska fy<s jQ ryia ld¾ñl ;dlaIK wdh;kh" lDIsl¾u fomd¾ iu. tlaj miq.sh ld,fha foaYSh mdrïmßl iy,a j¾. 25la ms<sn|j m¾fhaIK meje;aùh' tys m%;sM< 2011 j¾IfhaoS m%ldYhg m;a flßK' Bg wkQj l¿ nd, ù" mÉpfmreud,a" oyk," r;= ySkeá" lÜgukac,a iy r;e,a hk iy,a j¾. j, jeä hlv iy fm%daàka m%udKhla wka;¾.; neúka fïjd by< fmdaIK .=Kfhka hqla; nj oelafõ' tfiau fïjd hlv W!K;djhg ms<shï f,io fhdod.; yels nj jd¾;dfõ i|ykah' fjfiiskau fïjd .¾NsKS iy lsß fok 66
fï ish,af,ka uekúka m%;HlaI jkafka wfma mdrïmßl iy,a úfYAI ñksidf.a fi!LH m%j¾Okhg fl;rï úYd, odhl;ajhla olajkafkao hk j.hs' m¾fhaIK jd¾;d weiqßKs YdLH wurfialr
ffjoHjrhd - udisl ffjoH iÕrdj
2016 fmnrjdß l<dmh
67
BEVERAGE HEALTH
Tn i;=áka mdkh lrk meKs îu j¾. fi!LH iïmkako@
th tfia jqjo fïjd ksid je<¢h yels úúOdldr frda. ;sfí' tA .ek ±kqj;a ùu Tng m%fhdackj;a jkq we;' we;eï ridhk øjH ms<sld ldrl nj ñi fïjd ksid yg .kakd fjk;a frda. we;s nj Tn fuf;la fkd±k ys¢kakg mq¿jk' kuq;a lD;%su wdydr iy mdk j¾.j, wvx.= ridhk øjH fya;= fldgf.k wid;añl;d ^Allergy&" Yajik frda." mSki" weÿu jeks ;;a;ajhka yg .kakd nj úoHd;aulj ;yjqre ù ;sfí' wdydr iy îu j¾.j,g msáka we;=¿ lrk lD;%su ridhk øjH fudkjd±hs wms n,uq'
Tn i;=áka mdkh lrk meKs îu j¾. fi!LH iïmkako@
01
<ud frda. úfYaI{ ffjoH wð;a wurisxy wm msmdihg fjf<|fmdf<ka ñ,§ f.k mdkh lrk fndfyda mdk j¾.j, fiau yÈisfha blauKska ieliSu i|yd fjf<|fmd<ska ñ,§ .kakd fndfyda wdydr øjHj, lD;%su ridhk øjH wvx.= nj fndfyda fofkla okakd ldrKhls' kuq;a wjdikdjg wmg tAjdhska iyuq,ska ñ§fï yelshdjla j¾;udk Ôjk rgdj ;=< ke;' 68
rildrl fïjd we;=,a lrkafka rih we;s lsÍu i|ydh' ksoiqkla f,i fÞvï rih we;s mdkhla .ek ie,l=jfyd;a fïjdfhys 100]lau iajNdúl fÞvï wvx.= fkdfõ' hï muKlg iajNdúl fÞvï ;sìh yels uq;a jeämqru
ffjoHjrhd - udisl ffjoH iÕrdj
we;af;a fÞvï rih iys; ridhk øjHhss'
02
j¾Kldrl fuu.ska wfmalaId lrkafka meyeh we;s lsÍuhs' ksoiqkla f,i fÞvï rie;s mdkhla .eku ie,l=jfyd;a tys ;eô,s meyeh ,nd .ekSug msáka j¾Kldrl tl;= lsÍu isÿfjhs' fïjdfhyso ridhk øjH wvx.=h'
03
l,a ;nd .kakd øjH idudkHfhka m<;=re hqI l,a ;nd .kafka kï th tfia ;nd .; yelafla iSudiys; ld,hls' kuq;a Bg jvd jeä ld,hla ;nd .ekSu i|yd l,a ;nd .kakd lD;%su ridhk øjH ndysßka tl;= lsÍug isÿfjhs'
øjHh muKla m%udKj;a fkdfõ' jvd;a fyd¢ka meyeÈ,s lf<d;a WÞyrKhla f,i ;lald,s fidaia .ksuq' ;lald,s fidaia fnda;,h we, l< úg tys we;s >k øjuh .;sh ;lald,sj,ska muKla ,nd .ekSu wiSre fjhs' tA wkqj tu wdydrfha iajNdjh ^>k fyda Èhruh& we;s lsÍu i|yd msáka ridhk øjH tl;= l< hq;=fjhs' fufia n,k l, Tn fjf<|fmd<ska ñ,§ .kq ,nk tla laIKsl wdydr j¾.hl fyda mdk j¾.hl ridhk øjH lShla kï wvx.=±hs is;d n,kak' fïjdhska we;s jkafka ms<sld frda. muKla fkdfõ' tÈfkÞ Ôú;fha idudkH frda. we;s lsÍfï yelshdj fuu ridhk øjH i;=j we;'
fun÷ ridhk øjH ksid we;sjk wys;lr m%;súmdlj,ska tlla f,i l,d;=rlska oreKq frda. ;;a;aj we;súh yel' fndfyda úgu we;s jkafka iq¿ frda. ;;a;ajhka fõ' tkï ;ukag frda.hla we;s nj yeÕ=k;a thg fya;=j l=ula±hs is;d .kakg frda.shdg wmyiq jk wdldrfha frda. ;;a;ajhkah'
04
wdydrfha iajNdjh we;s lsÍu i|yd ouk øjH ksoiqkla f,i wms fidaia j¾. ms<sn|j n,uq' fuu fidaiaj, we;s je.sfrk .;sh ,nd .ekSug wÞ< 2016 fmnrjdß l<dmh
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;' waidyawaraya.lk
69
BEVERAGE HEALTH
Tn i;=áka mdkh lrk meKs îu j¾. fi!LH iïmkako@
fudfkdfidaähï .a¨gfïÜ ^Monosodium glutamate& fndkafidfÜÜ ^Bensotate& m%Odkh' fïjdhska ÿria ùug kï laIKslj ilia l< yels wdydr iy mdk j¾. ldnfkagâ îu j¾. wdÈfhka yels;dla ÿre úh hq;=h'
kS;s Í;s we;;a Tnf.a úuis,a,o wjYHh ujeks ridhk øjH lsisjla we;=¿ fkdlr wdydr iy mdk j¾. ksIamdokh lsÍu wiSre nj ienEh' tksidu tA tla tla øjHhka we;=¿ l< yels m%udKh iïnkaO kS;s Í;s ;sfí' tfiau we;=<;a l< hq;= fkdl< hq;= øjH iïnkaO kS;so mj;S' kuq;a ;uka ñ,§ .kakd wdydrfhys fyda mdk j¾.fhys ;sfnkafka wkqu; l< ridhk øjHhkao @ tAjd wkqu; lr we;s uÜgug mj;So @ jeks lreKq .ek ±k .; yels ksYaÑ; l%ufõohla wfma rfÜ md¾fNda.slhkag fkdue;' tjeks kS;so wfma rfÜ ke;' tfiau we;eï ridhk øjH ;uka ,nd .kakd wdydr mdkj, ;sfío hkak mdßfNda.slhkag ±k .ekSug wjldY fkdue;' fya;=j tA iuyr ridhk øjH tu wdydrfha ojgkfhys fyda úia;r mf;ys ±lafjkafka ixfla; wxlhlsks' iuyr fujeks wvx.= øjH ojgkfhys wxlhla u.ska muKla olajd ;sfnkafka fïjd ms<sn|j ±k .ekSug mdßfNda.slhdg we;s whs;sho Wÿrd .ksñks' iq,nj .eg¿ we;s lrk ridhk øjH lD;%su ridhk øjH w;ßka jvd;au fi!LH .eg¨ we;s lrúh yels tAjd w;r i,a*hsÜ ^Sulfite& weiam¾fÜï ^Aspartame& merdfnka ^Paraban& 70
óg wu;rj iSks wvx.= ^meKs ri& mdk j¾. wêl f,i .ekSu ksid YÍrfha nr jeä ùuo isÿfõ' tA tAjdfhys wkjYH le,ß nyq,j wvx.= ksidh' óg wu;rj Èhjeähd frda.h yg .ekSugo fujeks meKs ri mdk j¾. n,mdk w;r Èhjeähdj" yDohdndO yg .ekSugo m%Odk jYfhka fya;=fõ' wfkla úfYaIu lreK jkafka l=uk wdydrhla ñ,§ .;a;;a Bg fmr tys f,an,h fyd¢ka lshjd ne,Suh' tA wkqj Tng iqÿiq kqiqÿiq tAjd ms<sn|j jegySula we;s lr .ekSu wmyiq fkdjkq we;'
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2016 fmnrjdß l<dmh
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TEACHER ROLE
mka;s ldurh ;=<§ orejkag ys;e;s ienE .=rejrhl= f,i yev.efikafka fldfyduo@
mka;s ldurh ;=<§ orejkag ys;e;s ienE .=rejrhl= f,i yev.efikafka fldfyduo@
fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'
waidyawaraya.lk
uydpd¾h ,laIauka ch;s,l
o ld,fha foudmshka .; lrkafka ±ä ld¾hnyq, Ôú;hla' tA ksid orejka mdi,a jEka r:hlska heùu;a" orejdf.a wOHdmkhg wjYH oE iïmdokh lr§u;a yereKq úg ;ukaf.a orejkaf.a m%.;sh iy ÿ¾j,;d ms<sn| .=rejreka iu. idlÉPd lsÍu fndfydaúg isÿjkafka kE'
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jirlg jrla mdif,a foudmshka i|yd meje;afjk /iaùfï§ muKhs iuyr foudmshkag .=rejrhd yuqjkafk' tA wjia:dfõ§ fmdÿfõ orejka .ek foudmshka iu. idlÉPd lsÍu .=rejrhd fj;ska isÿjk w;r hï orefjl=f.a úfYaI wjYH;djhla fmkqfKd;a tu foudmshka mdi,g le|jd orejd ms<sn|j fm!oa.,slj l;d lsÍug .=rejreka mshjr .kakjd' orejdf.a mdif,a fouõmshka jka .=rejreka mdif,a isák ld,h ;=< orejka iu. Rcq l%shdldß;ajhla mj;ajkafka .=rejrhdhs' tA ksid orejl=f.a Ndrldr;ajh iïnkaO j.lSula meyeÈ,sju .=rejrhkag ;sfnkjd' fïl ms<s.;a 72
kS;shla' f.oßka msgfj,d orefjla mdi,g meñŒfuka miq Ndrldr;ajhg iïnkaO j.lSu .=rejreka i;=hs' tA ksid ;uhs orejl= mdi,g we;=,a jqKdg miafi msg;g hdug wjir fkdfokafka' mdif,a f.aÜgqj mjd jid oukafk;a tA ksihs' fldákau wjirhla ke;sj msgia;r lsisjl=g mdi,g we;=,aùug mjd bv keye' we;a;gu fï yeufohlau lrkafk orejdf.a Ndrldr;ajh ms<sn| j.lSula mdi,g ;sfnk ksihs' orejka jerÈ l< úg lsishï o~qjula mekùfï mjd l%uj;a
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njla ;sfhkak ´fk' o~qju fokjd kï tA fudfydf;au Èh hq;=hs' th l,a oud miqj o~qjï lf<d;a th o~qjula f,i fkdj m<s.ekSula f,i orejdg jqj;a isf;kak mq¿jka' .=rejrhdf.a hy .=Kdx. mka;shl isák ish¨ orejka fudk w;skaj;a iudk uÜgul 2016 fmnrjdß l<dmh
.=rejre jeä ie,ls,a,la ±laúh hq;af;a ÿ¾j, orejkaghs' Tjqkaf.a foudmshka iu. .=rejrhd jeä iïnkaO;djhla mj;ajd .ekSu;a jeo.;a' tA tu orejka ÿ¾j, ;;a;ajfhka uqojd .ekSu i|ydhs' 73
TEACHER ROLE
mka;s ldurh ;=<§ orejkag ys;e;s ienE .=rejrhl= f,i yev.efikafka fldfyduo@
kE' Tjqkaf.a yelshdjka úúO uÜgïj,ska hq;=hs' tA wkqj idOk uÜgu fjkia' úúO ÿ¾j,;d jf.au úúO olaI;d ;sfnk orejkq;a isákjd' tA ksid orejka fjka jYfhka y÷kd .ekSu .=rejrhl=f. j.lSu' tA wkqj ÿ¾j,;d iys; orejka fjkqfjka úfYaI fohla l< hq;=hs' fïjd iuyre olskafk we;eï orejka fjkqfjka .=rejre ,nd fok úfYaI jrm%ido yeáhg' kuq;a fï tjekakla fkdfjhs' fujeks orejkaf.a foudmshka le|jd fï orejka .ek idlÉPd lsÍu .=rejrekaf.a j.lSu' yeu orefjlau lsishï iudk uÜgulg f.k tAug yeu .=rejrfhl=u lghq;= l< hq;=hs' .=rejrekag fm!oa.,slj ;E.s fnda. oSu iqÿiq kE iuyr foudmshka .=rejreka iu. úfYaI iïnkaO;d mj;ajkjd' tA wkqj .=rejrekag ;E.s fnda. wrka Tjqkaf.a f.j,aj,g hkjd' fïl fldfy;au hym;a fohla fkdfjhs' ;ukaf.a orejdg jeä hym;la w;alr §fï
wruqKska foudmshka lrk fï l%shdjka ksid fiiq orejkag f,dl= wk¾:hla isÿfjkjd' fya;=j .=rejrhd;a ukqIHfhla ksid tu orejdg úfYaI ie,ls,a,la olajkakg fm<öu ksid' .=rejrekag wkjYH f,i ;E.s fnda. wdÈh msßkeóu wkqu; l< fkdyels fiau" úfYaI fya;=jla ke;sj Tjqka tjeks foa Ndr.ekSu o wkqu; lrkak neye' mka;sfha iuyr orejkag jeä ie<ls,s olajk úg fiiq orejka bÉPdNx.;ajhg m;aùu isÿfjkjd' tA ksid .=rejre jeä ie,ls,a,la ±laúh hq;af;a ÿ¾j, orejkaghs' Tjqkaf.a foudmshka iu. .=rejrhd jeä iïnkaO;djhla mj;ajd .ekSu;a jeo.;a' tA tu orejka ÿ¾j, ;;a;ajfhka uqojd .ekSu i|ydhs' tAl .=rejrhl= i;= j.lSula' ;j;a .=rejreka lrk úYd, je/oaola ;uhs orejl= ÿ¾j,
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ffjoHjrhd - udisl ffjoH iÕrdj
kï wij,a Wmldrl mka;shg hk f,i foudmshkag Wmfoia §u' Wmldrl mka;sj,g hjkak kï .=rejre fudlgo@ tA jf.au ;j;a .=rejre mdi,a fõ,dfjka miq ;u ksjfia fyda fjkhï ia:dkhl Wmldrl mka;s mj;ajñka ;ukaf.a mka;sfha isiqkg uqo,a f.jd Bg iyNd.s jk f,i wkshï wdldrj,ska Wkkaÿ lrjkjd' fïl b;du;au jerÈ iy ,Êcd iy.; fohla' iuyr .=rejre fumuKlska fkdkej;S ;ukaf.a áhqIka mka;shg fkdtk orejkag mdif,a lsisÿ ndysr l%shdldrlulg iyNd.s lr fkd.ekSu we;=¿ úúOdldrfha flkys,slï o lrkjd' orejd fldkafjkq olskakg wlue;s uõmshka fï mka;sj,g orejka hjkafka fkdlr neßlughs' yDohx.u in|;djhla orejl=f.a Ôú;hg ;Èkau n,mdkafka foudmshka' B<Õg 2016 fmnrjdß l<dmh
.=rejreka' mdi,a ld,h ;=< orejl=f.a yeufoalgu isákafk .=rejrhd' tA ksid .=rejreka ;ukaf.a YsIH YsIHdjkaf. lrorhl§ Tjqka <Õ bkak foudmshka jf.a yeÕSula orejka ;=< we;sjk wdldrfha yeisÍï rgdjla mj;ajd .; hq;=hs'
ks;r ;ukaf.a orejdf.a mka;sfha .=rejrhd iu. iïnkaO;djhla mj;ajd .kakd ujqmshkag orejdf.a fkdksis yeisÍula we;akï uq,a ld,fhau th y÷kd.ekSug wjia:dj ,efnkjd' ks;r ;ukaf.a orejdf.a mka;sfha .=rejrhd iu. iïnkaO;djhla mj;ajd .kakd ujqmshkag orejdf.a fkdksis yeisÍula we;akï uq,a ld,fhau th y÷kd .ekSug wjia:dj ,efnkjd' ;ud jgd tjeks wdrlaIdjla Yla;su;aj mj;sk nj ±k .kakd orejdo fkdukd lghq;= flfrys fhduqùu wvqhs' ujqmshka iy .=rejreka w;r iïnkaOhla ke;akï orejdg jerÈ jev lrkak myiq fjkjd' kuq;a fïl .=rejrekag ks;r ;E.s fnda. hjk wdldrfha iïnkaO;djhla fkdjk njo isys;nd .; hq;=hs' orejka uekúka y÷kd.ekSu;a ta wkQj ms<Shï fhoSu;a jeo.;a iuyr orejka ;ukaf.a mjqf,a .eg¨ jeksoE ksid ks;r l,amkd lsÍu" fkdßiaiqï iy.;ùu jeks ,laIK m< lrkjd' tA jf.au iuyr orejkaf.a uq, isgu mj;sk ÿ¾j,;djhla ksid fyda fjk;a .eg¨jla u; Tjqkaf.a idOk uÜgu 75
TEACHER ROLE
mka;s ldurh ;=<§ orejkag ys;e;s ienE .=rejrhl= f,i yev.efikafka fldfyduo@
wvqhs' .=rejre iu. iïnkaO ù ys¢k ujqmshkag fïjd y÷kd .ekSug yelsjk fiau tjeks orejka WmfoaYk m%;sldr wdÈhg fhduq lsÍu myiq fjkjd' tu.ska tA orejd jeà isák ;;a;ajfhka myiqfjka uqojd .; yelshs' idudkHfhka hï orejl= iïnkaO .eg¨jla .=rejrhdg we;akï zlreKdlr meñK ud yuqjkakZ jeks fohla orejdf.a fmdf;au ,shd foudmshka w;g m;alsÍfï l%uhla mj;skjd' tA jf.au orejd iïnkaO .eg¨jla ujqmshkag we;súg .=rejrhd yuqùug;a tu l%uhu wkq.ukh lrkakg yelskï th b;du;au jeo.;a' orejl=f.a is;g ;on, wd;;shla we;s jk ldrKdj,g orejd ;ukaf.a f.or§" mdif,a§ jf.au u.f;dfܧ;a uqyqK Èh yelshs' fï jf.a wd;;sj,ska orejdg f.dvtAug yels jkafka ujqmshka yd .=rejrhd w;r meyeÈ,s ikaksfõokhla ;snqfKd;a muKhs' ish,a wjYH;d i,ik .=rejreka fyd¢ka b.ekajQ muKska .=rejrhdf.a j.lSï wjika jkafk kE' tA jf.au ish¨ wvqmdvq iïmQ¾K lr kshu fj,djg orejd mdi,g hejQ muKska foudmshkaf. j.lSï ksud jkafk;a kE' orejdf.a ÿ¾j,;djhka u. yrjk w;f¾ olaI;d ;jÿrg;a Tma kexùu" tA i|yd Tjqkg ;sfnk ndOl iy wksl=;a .eg¨ .ek fidhd n,d ms<shï fh§u" f.or fukau mdif,a;a orejdg ukd f,i wdrlaIdj /ljrKh ;sîu hk fï yeufohlau ujqmshka iy .=rejreka fj;ska orejl=g bgqúh hq;= fjkjd' 76
orejd wkd.;fha hym;a mqrjeishl= ùfï moku jefgkafk <ud úfhaoS' tA ksid fï yeufoal§u uQ,sl jkafka foudmshka yd .=rejrhd w;r fkdìf|k iïnkaO;djhhs' fuhska woyia lrkafk ks;r ÿrl:k weu;=ï foñka orejd .ek úuiSu fkdfjhs' tfyu jqfKd;a tAl .=rejehdg f,dl= ysirohla njg m;afõú' tjeks iSudj blaujd .sh ;;a;ajhla fkdj wjYH yeu úfglu .=rejrhd yd iïnkaOùug yels miqìula ilid .ekSu l< hq;=hs' tA i|yd .=rejrhdf.a iydh b;du jeo.;a fjkjd' fïl fomd¾Yajfhkau bgqúh hq;= hq;=lula yd j.lSula'
ffjoHjrhd - udisl ffjoH iÕrdj
2016 fmnrjdß l<dmh
77
PREGNANCY
.¾NsKS iuhg we;s wNsfhda.
.¾NsKS iuhg we;s wNsfhda.
jhi jeä ujqjreka wjqreÿ 35 lg miqj ujlg m<uq ore m%iq;sh isÿ lsÍu ;rula ÿrg wmyiq úh yelsh' Bg m%Odk fya;=j jkafka fujeks ujqjrekaf.a Wl=,a weg ikaê fudard jeã we;s ksid m%iq;sfhka tjd wjYH mßÈ fkd we§uhs'
wjodku jeä .eìKs ujqjreka y÷kd.ksuq m%ij yd kdßfõo úfYAI{ ffjoH w¾'tka'Ô rdcmlaI
ujq l=i orefjl= ms<sis| .ekSu w;sYh jeo.;a ixisoaêhls' kSfrda.S ore iïm;lg ysñlï lSug ,eîu" wUq-ieñ hqj,lg ysñjk úfYAI jdikdjka; ;;a;ajhls' th jvd;a id¾:l jkafka WmÈk orejd f,v frda. j,ska f;dr kSfrda.S orejl= jqjfyd;a muKs' tu ;;a;ajh ,nd .ekSu i|yd ta wdY%s; lreKq ldrKd .ek ukd wjfndaOhla ,nd ;sîu b;du jeo.;a jkafkah' jhi wvq ujqjreka wo ojfia jhi wjqreÿ 13 muK jhfia oeßhkao .eìKs uõjrekaf.a idhk j,oS olskakg ,efí' jhi wjqreÿ 18g wvq ujlg fndfyda .eg¨ we;sfõ' Bg m%Odk fya;=j ujf.a j¾Okh ;ju;a jeäysá uÜgug meñK fkd;sîuh' jhi wjqreÿ 18 g wvqkï wef.a YÍr j¾Okhg;a fmdaIKh wjYHh' l=i ;=< isák orejdgo fmdaIKh wjYH fõ' úfYaIfhkau lsj hq;af;a wehf.a Wl=,a wegh wdoS wiaÓ fï jhfiaoS m%udKj;aj fudard ke;s njhs' tu ksid ore m%iq;sho b;d wmyiqh' ;jo" m%Stla,eïmishdj fyj;a .¾N úI frda.hg f.dÿre ùfï wjodkuo jeäh' fujeks uõjreka úfYaI{ idhk j,g fhduq lsÍu l< hq;=h' 78
jeä jhia ldKAvfha ujqjrekag" Èhjeähdj" ksrla;sh" wê reêr mSvkh jeks frda. ;;a;aj je<§ug we;s m%jK;djh jeäfõ' fujeks ujqjrekag ukao udkisl orejka ìysùug we;s yelshdjo wjfYAI uõjrekag jvd ;rula jeä fõ' Wi wvq ujqjreka fikaá óg¾ 145 la fyda Bg jvd Wi wvq ujqjrekaf.a Wl=,a weg m%udKfhka mgqùu fyj;a fY%daKsfha mgqùu fndfyda ÿrg olakg ,efí' fuu ;;a;ajh fya;=fjka m%iq;shg ndOd meñKSug we;eï úg bv ;sfí'
ffjoHjrhd - udisl ffjoH iÕrdj
úfYAIfhkau l=ifha j¾Okh jk orejd úYd, kï fuu ;;a;ajh ;j;a oreKq w;g yef¾' Wi wvqlu ksid we;sjk tu wjodku l,a ;shd y÷kd.; yelshs' tu ksid .¾NsKS ujlf.a Wi uekSu b;d jeo.;a fõ' .eg¿jla we;sjk ,l=Kq fmfkkakg ;sfí kï fuu uõjreka ie;alula isÿ lsÍug myiqlï we;s frday,la fj; fhduq flf¾' nr wvq ujqjreka wvq nr mqudKhla we;s ujla hkq YÍr ialkaO o¾Ylh ^BMT& 20 g wvq ujls' nr wvq ujla yd ksrla;sfhka miqjk uõjrekag .eg¨ rdYshla ;sfí' ks;r ks;r .íid ùu" orejd ksrla;sfhka fm<Su" orejd l=i ;=< ñhhEu" wvq udifhka ore Wm;a isÿùu" nr wvq orejka ìysùu we;s úh yels .eg¿ iuyrls' wvq nr yd ksrla;sfhka fmf<k ujqjrekag m%iq;sfha§ wk;=re isÿùfï wjia:djo jeäh' 2016 fmnrjdß l<dmh
jhi wjq' ;sia my blaujQ jhia ldKAvfha ujqjrekag" Èhjeähdj" ksrla;sh" wê reêr mSvkh jeks frda. ;;a;aj je<§ug we;s m%jK;djh jeäfõ' fujeks ujqjrekag ukao udkisl orejka ìysùug we;s yelshdjo wjfYAI uõjrekag jvd ;rula jeä fõ'
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PREGNANCY
.¾NsKS iuhg we;s wNsfhda.
wvq nr we;s uj uq,skau y÷kdf.k wehg wjYH fmdaIK Wmfoia yd fjk;a m%;sldr ,nd Èh hq;=h' tfia m%;sldr yd Wmfoia ,nd§fuka wehg yd wef.a orejdg we;s úh yels wk;=re l,a ;nd j<lajd .ekSug yelshdj ,efí' uy; iy Worh jeäfhka we;s ujqjreka YÍr ialkaO o¾Ylh ^BMI& 25 g jeä ùu fyda ia:q,;djh 30 g jeäùu ujg fukau orejdgo ydks lrhs' ujg wê reêr mSvkh yd Èhjeähdj je<§fï m%jK;djho thska jeä lrhs' nr jeä yd ia:q, ujqjrekag ore m%iq;sfha§ wiSre;d we;sfõ' tjeks ujla ie;alulg Ndckh lsÍfï§ o ixl=,;d wêlh' fujeks ujlg w`vq Ndú;d lrk m%iq;sho b;du;a wiSreh'
nr jeä yd ia:q, ujqjrekag ore m%iq;sfha§ wiSre;d we;sfõ' tjeks ujla ie;alulg Ndckh lsÍfï§ o ixl=,;d wêlh' fujeks ujlg w`vq Ndú;d lrk m%iq;sho b;du;a wiSreh'
fujeks uõjrekaf.a orejkao fndfyda úg úYd, jk neúka ore m%iq;sh .eg¿ldÍ ;;a;ajhla fõ' Tjqkao úfYaI{ ffjoH myiqlï ;sfnk frday,lg we;=<;a l< hq;=h' orejdf.a j¾Okh nd,jQ ujqjreka N%EKhdf.a nr jeäùu tldldrju isÿ fkdfõ' uq,a i;s 20 olajd b;d fiñka N%EKhdf.a nr jeäjk w;r Bg miq fõ.fhka jeä ùu isÿfõ' N%EKfha jeäu nr tl;= jkafka wjidk udi ;=k ;=<§h' idudkHfhka ;sìh hq;= l=i ;=< orejdf.a nr N%EKhdf.a nr jeäùu fufiah' i;s 11 § .%Eï 8la muK o i;s 20 § .%Eï 200 lao i;s 28 l§ .%Eï 1000 lao i;s 36 l§ .%Eï 2500 la jYfhka o nr ;sìh hq;=h' N%EKfha j¾Okhg n,mdk lreKq 1' m%fõKs idOl mshdf.a Wi yd
80
ffjoHjrhd - udisl ffjoH iÕrdj
ujf.a Wi wd§ lreKq N%EKhdf.a nr jeäùug n,mdhs' 2' ujf.a cSj úoHd;aul idOl' 3' ujlf.a .eí .ekSug fmr ;snq nr .eí .ekSug fmr ujf.a ;snqKq nr jeä kï N%EKhdf.a o nr jeä fõ' tfukau nr jeä ùu wvq ujlf.a orejdf.a jeãu;a wvqfõ' .eìKs ujlf.a idudkH nr jeäùu uq,a i;s 20gu isÿúh hq;af;a lsf,da .%Eï 2'5 -3'0 ;a w;rh' B<`. i;s 20 § lsf,da .%Eï 7-9 la w;r úh hq;=h' ta wkqj uq¿ nr jeäùu .¾NKs ld,fhaoSu isÿúh hq;af;a lsf,da .%Eï 1012 ;a w;rh' ujf.a jhi jeäjk úg orejdf.a Wm;a nr l%ufhka wvqfõ' ujg bmÿk orejka ixLHdj jeäjk úg § kej; .eí .kakd orejkaf.a Wm;a nr wvqfõ' ujf.a fmdaIKh l=i ;=<
2016 fmnrjdß l<dmh
orejdf.a Wm;a nr ;srKh lsÍug n,mdhs' jeoEufya l%shdldß;ajh ;SrKd;aulhs orejdf.a j¾Okhg jeoEuy fnfyúkau n,mdhs' tfy;a fuh ujf.a frda. fndfydauhlau ksid wvqúh yelsh' tkï ujf.a wêreêr mSvkh" ujf.a ksrla;sh" ksjqka orejka .eíf.k isàu" jeoEufya yd fmlsKs jef,a úlD;s;d" uj ÿïîu" jeks lreKq ksid jeoEufya l%shdldß;ajh wvq ù orejkaf.a j¾Okhg n,mdhs' N%EKfha Ôj úoHd;aul idOl N%EKfha fydafudak wdY%s; frda. ;;a;ajhka j¾Okhg n,mdhs' N%EKfha yd wjg widok N%EKfha yd wjg wdidok N%EKfha j¾Okh wvqlrhs' fï yer ujf.a Èhjeähdj jeks fya;= ksid o N%EKfha j¾Okh wêl fõ' ujg wêreêr mSvkh we;sùu ksid N%EKhdg reêr .uk wvq ù N%EKfha jeãu nd,fõ' N%EKhdg je<fok fkdfhdl=;a widok ksid N%EKhd l=vd fõ' refn,a,d jeks ffjri fï i|yd fnfyúka n,mdhs' N%EKfha j¾Okh wvd, ùug n,mdk wfkl=;a fya;= ujf.a ukao fmdaIKh orejdf.a N%EKfha j¾Okh wvqùug fnfyúka fya;= fõ' È<s÷lu" kq.;alu" ksid /lshdjla fkdue;slu" ksis mßoss wdydr mdk fkd,eîu" wmsßisÿ c,h mdkh" wdidok jeäùu" mjq,a ie,iqula fkdue;s lu ksid <`. <`. orejka ,eîu" fmdaIKh ÿ¾j, ùu wd§ fya;=ka .Kkdjla N%EKhdf.a j¾Okhg n,mdhs' ksis f,i idhkj,g fkdhdu;a mq¾j m%ij ixrlaIKh fkd,eîu;a N%EKhdf.a N%EKfha wvq j¾Okhg n,mdk fya;=ka fõ' igyk - wkqrdOd È,sks b,xfldaka' 81
RESPIRATORY HEALTH
rd;%sfha ksÞ .kakd jgmsgdj;a Yajik frda.j,g n,mdk nj okakjdo@
rd;%sfha ksÞ .kakd jgmsgdj;a Yajik frda.j,g n,mdk nj okakjdo@ <ud frda. úfYaI{ ffjoH wð;a wurisxy
frda.S jQ l, fnfy;a .ekSug Wkkaÿ ùu ñi frda. je<elaùu i|yd wm .kakd Wkkaÿj w,amh' Tn tA ms<sn|j ±kqj;a kï fndfyda frda.j,ska Tng fiau mjqf,a whg;a wdrlaId ù isàug yelshdj ,efnkq we;' ksjfia msysàu" th idÞ ;sfnk wdldrh" wNHka;r ;;a;ajh jeks foaj,a frda.j,g n,mdkafka fldfyduo@ hkak ms<sn|j wms l;d lruq' j¾;udkfha ffjoHjreka fj; meñfKk frda.Ska w;ßka 90]lg;a jvd isákafka Yajik frda.j,ska fmf<k whhs' l=vd orejka ms<sn|j ne¨fjd;a th Bg;a jvd jeä w.hla .kS' Yajik frda. je<£u iïnkaOfhka ksjfia iajNdjh" úfYaIfhka jd;dY%h n,mdhs' ksjil 82
cfk,a msysáh hq;af;a msáka we;=<g jd;dY%h .,d tk mßÈh' ldurfha j¾. wä m%udKfhka 1$8la ;ruj;a wju jYfhka cfka, ;sìh hq;=fõ' tA wkqj j¾. wä ishhl ldurhla kï j¾. wä wglaj;a cfka, ;sîu wjYHh' rd;%shg ksfjiaj, fodrj,a fuka cfka,o ish,a, jid ;eîu ±ka wfma isß;h' fÞrj,a fyd¢ka jid ;eîu w;HjYH jqj;a cfka, jeiSu tfia wjYHu ke;' kuq;a ±ka th m%Odk fya;= folla u; w;HjYH ;;a;ajhla njg m;aù ;sfí' m%Odku fya;=j fidr i;=re ìhhs' fojekak uÿrejka f.;=<g rsx.d .ekSu je<elaùuhs' flfia jqjo rd;%shg ldurhl ish¨ cfka, iïmQ¾Kfhkau jid ±uQ úg ldurh ;=< wd¾ø;djh jeäfõ' tfiau ldnkavfhdlaihsâ jdhqjo jeä jkq we;' Bg wu;rj ¥ú,s ldurh ;=< we;akï tAjdo we;=f<au /£ mj;shs' fndfyda fofkla úYajdi
ffjoHjrhd - udisl ffjoH iÕrdj
l=vd orefjda rd;%shg meh wgla muK ksÞ .ks;s' tA wkqj jfÜg jik ,o ^wdjD;& ldurhl lsysm fofkla ksÞ .ekSu ;=<ska ldurh ;=< wd¾ø;djh fiau ldnkavfhdlaihsâ jdhqjo jeäfjhs'
lrkafka ldurh ;=< úÿ,s mxldjla l%shd;aul l< úg ish¨ m%Yak wjika jk njh' kuq;a úÿ,s mxldjlska isÿ jkafka ldurfha we;=<; ;sfnk jd;h we;=f<au lrleùuhs' th msg;g hdula isÿ fkdjk ksid wd¾ø;djh ms<sn| .eg¨jgj;a" ldnkavfhdlaihsâ jeäùu iïnkaO .eg¨jgj;a th úi÷ula jkafka ke;' cfk,a ;sîu jeo.;a jkafka tksidh' ldurfha fÞr újr lr ;eîu ksid ldurhg msáka jd;h meñfKk njg iuyre úYajdi lr;s' kuq;a fÞrlska we;=¨ jkafka f.;=<u we;s jd;hhs' msáka jd;h f.;=<g tkakg kï th cfka, yryd meñKsh hq;=fõ' 2016 fmnrjdß l<dmh
l=vd orefjda rd;%shg meh wgla muK ksÞ .ks;s' orejka ksÞ .kafka fndfyda úgu foudmshka iu.h' tA wkqj jfÜg jik ,o ^wdjD;& ldurhl lsysm fofkla ksÞ .ekSu ;=<ska by;o lS mßÈ ldurh ;=<
wd¾ø;djh fiau ldnkavfhdlaihsâ jdhqjo jeäfjhs' tksid fujeks ldurj, ksÞ .kakd orejkag fukau jeäysáhkag mjd Yajik frda. yg .ekSu wreuhla fkdfõ' cfka, újr lr ksÞ .;fyd;a fidr i;=rka 83
RESPIRATORY HEALTH
rd;%sfha ksÞ .kakd jgmsgdj;a Yajik frda.j,g n,mdk nj okakjdo@
we;=¨fõ hehs ìhla ±fkkafka kï cfka,j,g hlv .%s,a fh§u WÑ;u mshjrhs' ksji iE§fï§u fujeks fohla lr .ekSu fhda.H fõ' uÿrejka we;=¨ùu j<ld,Sug fudialsfgda fuia ^Mosquito mesh& cfka,j,g iú l< yelsh' ke;fyd;a we|g uÿre ±,a oud ksÞ .ekSu iqÿiq fõ'
uÿre fldhs,a ÿu ksid Yajik frda. yg .ekSu iq,n ;;a;ajhls' tksid uÿre fldhs,a o,ajkafka kï wksjd¾hfhkau cfka, újD;j ;eîug mshjr .kak' ldurfha fÞr cfk,a jid iuyre uÿre fldhs,a o,ajd ksod .ks;s' fuhska m%Yak ;j;a jeäfõ' uÿre fldhs,a ÿu ksid Yajik frda. yg .ekSu iq,n ;;a;ajhls' tksid uÿre fldhs,a o,ajkafka kï wksjd¾hfhkau cfka, újD;j ;eîug mshjr .kak' 84
idudkH ms<s.;a u;h wkqj tla whl=g ksÞ .ekSu i|yd ;sìh hq;= bv m%udKh j¾. wä mkyls' l=vd ldurhl lsysm fofklag ksÞ .ekSug isÿ jkafka kï we;=<; jd;h msg;g;a" msg; jd;h we;=<g;a yqjudre úh hq;=h' tA i|yd jd;h Wrd .ekSfï tlafida¾iaÜ úÿ,s mxldjla ldurfha ì;a;shg iú lsÍu l< yelsh' tu.ska we;=<; ;sfnk wmsßisÿ jd;h msg;g hjd msg;ska msßisÿ jd;h f.;=<g .,d tkq we;' fuh úYd, f,i uqo,a jeh jk l%uhla fkdfõ' uqo,a yo,a we;s flkl=g kï jdhq iólrK ^Air conditioner& hka;%hla iúlr .; yelsh' tfiau rd;%sh mqrd jdhq iólrK hg ksÞ .ekSfuka úúOdldr wdndO yg.; yelsh hkak iuyrekaf.a u;h jqj;a th tfia jkafka ke;' idudkH jd;fha WIaK;ajhu ^fi'26x - fi'27x& jdhq iólrK hka;%fhka ,nd .kafka kï lsisÿ w.=KÞhl ;;a;ajhla we;s fkdfõ'
ffjoHjrhd - udisl ffjoH iÕrdj
ffjoHjrhd rg jg lr ne|s ksfhdacs; cd,h zzffjoHjrhdZZ wf,úhg ;nd we;s osjhsk mqrd ld.s,aia wf,úcd,h fldgqj nKavdrfj, iafÜm,a ùosh uykqjr uyr.u lsßn;af.dv kqf.af.dv nqla isá uefciaála isá ó.uqj rdc.sßh fndr,eia.uqj mdkÿr .ïmy cdwe, kdj, fld,a¨msáh ;sôß.iahdh fldgfyak lE.,a, lgq.iaf;dg wúiaidfõ,a, wïn,kaf.dv fldgfyak fldÜgdj nÿ,a, fldf,dkakdj fougf.dv .,alsiai STC fjkakmamqj fydaud.u jrldfmd, weô,smsáh n,kaf.dv l|dk lgqneoao nqlaisá iSÿj urodk jjqkshdj ñkqjkaf.dv l¿;r oslaje,a, wïn,kaf;dg oUq,a, wl=rK w;a;säh ;%Sl=Kdu,h l=Kavidf,a fldÉÑlfâ ñßydk kqf.af.dv 2 uyr.u 2 mdkÿr 2 weye,shf.dv mems,shdk lvj; 2 w;=re.sßh l=,shdmsáh nKavdr.u l¿;r W;=r je,sfõßh mkaksmsáh o¾.d k.rh fndal=kaor uvl,mqj n;a;ruq,a, leianEj wïmdr ud,fò 2 fudKrd., fldáldj;a; vqma,sflaIka hlal, we;=,afldaÜfÜ cdwe, 2 l,m¿jdj cdj;a; ukapkaf;davqjdh ;sydßh uksmdhs wlalfrhsm;a; jdßhfmd, .f,afj, fkdßia lek,a lÿrefj, .d,a, fjdaâ fmfoi ;,j;=f.dv fudrgqj mrK mdr lgq.iaf;dg 2 o¿.u zzffjoHjrhdZZ wf,úhg ;nd we;s osjhsk mqrd wd¾msflda wf,úcd,h n;a;ruq,a, fndr,eia.uqj foysj, yhsâmdla fldak¾ lsßn;af.dv kdúkak ó.uqj j;a;, ms<shkao, .ïmy fjk;a wf,ú ia:dk budIs m%ldYlfhda mqj;am;a iud.fï osjhsk mqrd ish¿u mqj;am;a wf,ú ksfhdacs;hkaf.ka tï' ã' .=Kfiak iy iud.u ish¿u YdLd iriú fmd;ay, ish¿u YdLd fy,a;a.dâ *duis ish¿u YdLd hqkshka flñiaÜ iy osjhsfka m%Odk fmf<A Tiqi,a fj;ska 2016 fmnrjdß l<dmh
85
PAIN RELIEF
Wrysia wdY%s; fõokdjkaf.a .;s fidnd'''
Wrysia wdY%s; fõokdjkaf.a .;s fidnd'''
Wrysfia fõokdj bjikak neye''' tlai;a rdcOdksfha l%Svd ffjoH tallfha úfYaI{ ffjoH wix. úchr;ak
Wrysfika wdrïN ù jï w; Èf.a Èfjk fõokdj yDohdndOhl ,laIKhla úh yels nj fndfyda fofkla is;;s' tu ksid wfkla fõokdjkag jvd Wrysfia fõokdj flfryS wjOdkh fhduq lsÍu b;d jeo.;ah' Wrysia jgd we;s ßÿu fuhg fya;=j Wrysia ikaêfha fyda ta wjg udxYfmaYs wiaÓ nkaOk" LKavrd" wdY%s;j we;sjk .eg¨ldÍ ;;a;ajhls' fndfyda úg w; fyda Wrysia l%shd lrjk úg fõokdj oreKq fõ' yDo frda." ms;a;dYfha frda. ;;a;ajhka jeä fn,a,g" mmqjg fyda Worhg" n,mdk frda. .Kkdjlg w; fyda Wrysia fõokdj fya;= fõ' Wrysia fõokdj iq,nj we;sjk fõokdjls' b;d ixlS¾K wdlD;shlska f.dv ke.=Kq Wrysi" isref¾ jvd;a fyd¢ka myiqfjka l%shdlrúh yels ikaêhhs' fï myiqfjka l%shdlrùfï
86
ffjoHjrhd - udisl ffjoH iÕrdj
yelshdj ksidu th ia:djr ikaêhla fkdfõ' ksoyfia lrleùug we;s fï yelshdj ksid Wrysig ydks ùug ;sfnk bvlvo jeähs' Wrysi l%shdldß;ajhg ikaê y;rla iydh olajhs'
ksoyfia lrleùug we;s fï yelshdj ksid Wrysig ydks ùug ;sfnk bvlvo jeähs'
Wrysfia fõokdjg fya;= jk lreKq rdYshls' tajdhska jvd;a iq,n fya;=ka fïjdh' 1 je,ñg" w;" fn,a, jeks ;ekaj, we;sjk fõokdj Wrysi fõokdj f,iska oefkk wjia:d ;sfí' 2 udxYfmaYs bÍu Wrysi fõokdjg m;a lrjk lreKls'
2016 fmnrjdß l<dmh
3 Wrysia ;oùu^frozen shoulder& f*%daika fIda,av¾ fuh jvd;a iq,n Èhjeähd frda.Ska w;rhs' 4 l%Svd lsÍfï§ we;sjk wdndO 5 yÈis wk;=re fõokdj nrm;< ke;akï fï úosyg l%shd lrkak''' ;ukagu fõokdj iukh lsÍfï Wml%u wkq.ukh l< yelsh' • merisgfuda,a jeks fõokd kdYlhla .kak' • fõokdj oreKq jk f,i l%shd lrjkafka ke;sj Wrysia õfõlSj ;nd .kak' • whsia mela tlla ñks;a;= 15 fyda 20 la Èklg lsysm jrla ;eîu m%;sm,odhlhs' fï lsisÿ whqrlska iykhla ke;akï ffjoH Wmfoia me;Sug isÿfõ' úfYAIfhkau WKqiqï njla ta wdY%s;j we;sfõ kï jydu ffjoH Wmfoia me;sh hq;=h'
wk;=rlska miqj kï jyd l< hq;= foa • wk;=rlska miqj Wrysia ikaêj, widudkH Ndjhla fmfkkakg ;sfí kï • wiaÓ fyda LKavrd fmfkkkakg ;sfí kï • Wrysia l%shd lrùu wiSrE kï • we;=,;ska fõokdjla oefkkjd kï laIKslju bÈóula we;s jqjd kï • reêrh jykh jkjd kï fudfyd;la fyda mud fkdlr m%;sldr me;sh hq;=hs' yDohdndOhl fmrksñ;s yqiau .ekSfï wmyiqjla" mmqfõ ;o .;shla iu. Wrysfia fõokdjla we;s jqjd kï th yDohdndOhl fmr ksñ;a;la úh yelshs' tu ksid yels blauKska frday,a .;ùu b;d jeo.;ah' Tendinopathy LKavrd m%odyhg m;a fkdù bÈfukafkao ke;sj Wrysia wjg we;s udxYfmaYs muKg 87
PAIN RELIEF
Wrysia wdY%s; fõokdjkaf.a .;s fidnd'''
f;rfmk fia je;sr isák úg fõokdj W.%fõ' LKavrd bÍ we;s fõokd ú¢kakkaf.a Wrysia udxY fmaYso ÿ¾j,h' fndfyda úg fujeks ;;a;aj j,§ ndysr mÍlaIdfjka fyda wNHka;r tlaia f¾ PdhdrEm u.ska fya;=j fidhd nef,a' fndfyda Wrysia fõokdjka úfõlh;a iu. bfíu iqjm;a fõ' tfy;a iïmq¾Kfhka iqj ùu i|yd we;eï úg udi .Kkla .;fõ'
jvd l%shd lrùu fya;= lrf.k fgkaäfkdam;s ^Tendinopathy& ;;a;ajh yg .kshs' Tendinitis tfukau lKavrd m%odyhg m;a jqK úg iy bÈuqKq úg fgkaäkhsáia ^Tendinitis& f,i y÷kajhs' fuu ;;a;ajhka folgu muK jvd Wrysia udYfmaYs l%shd lrùu iy ysig Wäka w;a Tijd f.k lrk l%shdldrlï n,mdhs' 88
LKavrd bÍhdu o fõokdjg ;j;a fya;=jls jeä n,hla fhdod fõ.fhka Wrysi l%shd lrùu ksid;a ld,hla mqrd LKavrd Ndú;d lsÍfuka f.ù hdu isÿùu ksid;a LKavrd bÍ hdfuka fõokdj we;sfõ'
yqiau .ekSfï wmyiqjla" mmqfõ ;o .;shla iu. Wrysfia fõokdjla we;s jqjd kï th yDohdndOhl fmr ksñ;a;la úh yelshs'
fgkaäfkdam;s iy fgkaäkhsáia ;;a;ajhkays§ Wrysia uqÿk jgd iy wf;a by< fldgfia fõokdjla oefkhs' w;a l%shd lrk úg" Wrysia
blauka iqjh i|yd l< hq;= foa • Wrysia úfõlSj ;nkak' • Wrysig mSvdldÍ lsis÷ l%shdldrlul fkdfhfokak' ffjoHjrhd - udisl ffjoH iÕrdj
• ysig Wäka ysig msgqmiska w; tiùu jeks foa fkdlrkak' • w;a my<g fhduq lrf.k isákak'
fndfyda Wrysia fõokdjka úfõlh;a iu. bfíu iqjm;a fõ' tfy;a iïmq¾K fhka iqj ùu i|yd we;eï úg udi .Kkla .;fõ'
1 isrerg iómj isrerg bÈßfhka ;nd.kak' 2 fifuka w;a l%shd lrúh yels kï tfia lrkak' 3 nr øjH tiùfuka j<lskak' LKavrd wdÈh bÍ we;akï thg T!Iëh yd fN!;Ñls;ail m%;sldr ;sfí' úYd, f,iska udxifmaYS LKavrd bÍ we;s' úg ie;alulska ms<shï lsÍug isÿfõ' jrla fõokdj we;sjq miq keje; fõokdj we;sùu j<lajkafka flfiao@ fï i|yd Wrysia udxifmaYs iúu;a 2016 fmnrjdß l<dmh
lrk jHdhdu Wmldr fõ' ffjoHjrhdf. ka" fyÈhf.ka fN!;Ñls;ailf.ka fï i|yd Wmfoia ,nd .; yelshs' 1 Wrysia i|yd jHdhdu lrk úg WKQiqï c,fhka iakdkh lr Wrysia WKqiqï lr.kak' Wrysia fmfoi iïndykh lrkak' 2 fifuka wrUd l%u l%ufhka jHdhdu jeä lrkak' 3 ;shqKq fõokdjla we;s jq úg jHdhdu lsÍu k;r lrkak' ffjoH Wmfoia m;kak' fõokd - wmyiq;d wvq fkdfõ kï ffjoHjrhd ie;alulska fyda tkak;a T!IO u.ska m%;sldr lrkq we;' úhm;a jQ wh jeämqr l%shdldrïj, fhÿk úg iuyre úhm;a jk úg ysig Wäka w; Tijd lrk l%shdldrlïj, jeämqr fhÿKq úg wf;a by< fldgfia Wrysfia bÈß fldgfia fõokdjla we;s fõ' fuh y÷kajkafka nhsfimaia fgkaäfkdam;s ^Biceps tendinopathy& f,ihs' fõokdj rd;%sfha§ W.% fõ'
hula tiùfï§" ;,a¨ lsÍfï§ ysig Wäka w; tiùfï§ fõokdj jeäfõ' wjqreÿ 60 g jeä ldka;djka ikaê f.ù hdfuka iy bÍ hdfuka Wrysi wdY%s;j we;s jk Tiaáfhdaa wd;rhsáia ;;a;ajfha§o Wrysia fõokd iq,nhs' fï w;aoekSu ,nk frda.Ska w;r jeä m%;sY;hla isákafka jhi wjqreÿ yegg jeä ldka;djkah' Wrysia wdY%s;j l,lg fmr jq ;=jd,hla miq ld,Skj Tiaáfhda wd;rhsáia we;s ùug fya;= úh yelshs' .af,fkdayhqur,a Tiaáfhda wd;¾hsáia glenohumeral osteoarthrtis fuu frda. ;;a;ajfhka mSvd ú¢kakkaf.a Wrysia fõokdj yd ;o .;sh ld,hla mqrd f.dvkef.kakls' l%shdldÍ jq úg fõokdj jeä fõ' úfõlfhka isák úg fõokdj wvqh' rd;%sfha§ fõokdj ±fka' l,a we;sj m%;sldr .ekSfuka Wrysia fõokdjg iykhla ,o yelsh' igyk - wkqrdOd È,sks b,kafldaka 89
90
ffjoHjrhd - udisl ffjoH iÕrdj
DIALOGUE
jeros mshhqr bj;a lsÍu ksid ldka;djlg ;u mshhqre folu wysñ fõ
jeros mshhqr bj;a lsÍu ksid ldka;djlg ;u mshhqre folu wysñ fõ ffjoHuh w;miqùï yd jD;a;Sh ioaNdjh
jï mshjqf¾ ms<sld ffi, ;sfnk nj wkdjrKh ùfuka th me;sÍ f.dia m%ia;=; ldka;djf.a cSú;h wkdrlaIs; jk njg ffjoHjreka oeKqï ÿka ksid foore ujla miq.shod ol=fKA m%Odk frday,lg we;=<;a jQfha ;u jï mshhqr bj;a lsrSfï Y,Hl¾uhg Ndckh ùfï wruqKsks' mQ¾j mÍlaIK /ila isÿlr Y,Hl¾uhg uqyqK oSug we;s iqÿiqlï mÍlaId lr neÆ ffjoHjreka kshñ; oskfha ldka;dj Y,Hd.drhg we;=,a lrKQ ,enqjdh' ks¾úkaokh lsÍfuka miq weh kej;;a weyerefKA Y,Hl¾uh wyjr ùfuka miqjh' iekiqul fiahdjlao ysf;ys /f|oaoS weh ;u bj;a l< mshhqr fj; ne,aula fy¿jdh' wf|dauehs" frda.S mshhqr tf,iu ;sfhoaoS bj;a lr we;af;a ol=Kq mshhqrhs' weh úlaIsma;fhka y`v ke.=jdh' ffjoHjreka fukau ld¾h uKav,ho weh jgd frdla jQfõh' isÿ fkdúh hq;a;la isÿj ;sfí' wehf.a frda.S mshhqr fjkqjg ksfrda.S mshhqr iïmq¾Kfhkau bj;a lr ;sfí' 2016 fmnrjdß l<dmh
ldka;dj ie;alï follg Ndckh fjhs fï isÿùfuka miqj fï ffofjdam.; ldka;dj ;j;a ie;alulg fkdfnda osklskau ,la jQjdh' ta wehf.a cSú;hg ;¾ckhla f.k foñka ms<sld ffi, fudaÿ fjñka ;snQ wef.a jï mshhqr bj;a lsÍu fjkqfjks' fï wkQj wirK ldka;dj ;u cSú;fha ffofjdam.; ikaêia:dkhloS ie;alï follgu ,la jQjdh' weh mmq;=r jid.;a mshhqre folu wysñjo ;sfí' fï iïnkaOfhka fmd,sia mÍlaIKhlao fomd¾;fïka;= mÍlaIKhlao fï jk úg isÿfjñka ;snqK;a ffjoHjrekaf.a jD;a;Sh whs;sjdislï fjkqfjka fmkS isák j.lsj hq;= jD;a;Sh iñ;shl Wiia ks,Odßfhla fï iïnkaOfhka wuq;=u wdldrfha u;hlao m%ldY lr ;sfí' jrola isÿj ke;s nj ffjoH ix.ï ks,Odßfhla m%ldY lrhs fï ks,Odßhdf.a m%ldYhg wkQj ldka;djf.a ol=KQ mshhqr bj;a lrKQ ,enQfha jeroSulska
91
DIALOGUE
fkdfõ' jï mshhqr bj;a lsÍu i|yd isÿ lrKQ ,enQ mÍlaIK j,oS wef.a ol=KQ mshhqf¾o ms<sld ffi, we;s nj wkdjrKh ùu ksid uq,ska fidhd.;a jï mshjqf¾ Y,Hl¾uhla isÿlr th bj;a lrkjd fjkqjg ol=Kq mshhqr iïmQ¾Kfhkau bj;a lr ;sfí' fï ms<sn|j i;s wka; bx.%Sis mqj;am;l oelajQ lreKQ oelaùulska wjOdrKh l< i;Hhla kï fï rfÜ ffjoHjrekg w;a jeroSï kï isÿ jkafkau ke;' ljr oreKQ >kfha brKulg frda.shdg uqyqK mEug isÿ jQj;a th lsis f,ilska ffjoHjrekaf.a jrola ksidfjka kï fkdfõ' jrola kï ffjoHjreka fyda ffjoH ld¾h uKav,fhka lsisod isÿ fkdjkafkauh' fldákau fï rfÜ ffjoHuh fkdi<ld yeÍï" w;miqùï fkdjkafkauh' jD;a;Sh ioaNdjfhka jeroSï ms<s.kakd wefußldfõ wdo¾Yh Y%S ,xldfõ ;;a;ajh fufia jQj;a fndfyda rgj, ffjoHuh w;miqùï fï wdldrfhka woaN+;ckl f,i hg hkafka ke;' ksoiqkla f,i 92
jeros mshhqr bj;a lsÍu ksid ldka;djlg ;u mshhqre folu wysñ fõ
.;fyd;a wefußld tlai;a ckmofha ffjoHuh w;miqùï fya;=fjka jirlg 210"000 fokd ñh hk njg ixLHdf,aLK ;yjqre lr ;sfí' fï ;;a;ajh fl;rï wefußldfõoS ixLdf,aLK.;o h;a ta rfÜ urK isÿùfï f;jk fya;=j f,i ffjoHuh w;miqùï jd¾;d jkafkah' uq,au fya;=j jYfhka yDo frda.o" fojk fya;=j jYfhka ms<sldo bosßhg meñK we;s w;r ffjoHuh w;miqùï ksid isÿjk urK wefußldfõ iuia; urK j,ska f;jk ;ek .kakd nj trg ixLHd f,aLK j,skau ikd: ù ;sfí' wm rfÜoS jD;a;sh m%d.=KHh .ek fl;rï lE .eiqj;a jD;a;Sh iodpdrfha nrm;, m%Yakhla ;sfnk nj fï wkQj ms<s.kakg isÿfõ' ksmqK;djfhka woaù;sh wfma .relghq;= ffjoHjreka fï .ek;a wjOdkh fhduq lf<d;a @ wfma rfÜ ffjoHjreka oeKQfuka" ksmqK;djfhka f,dj wka ljr rgl ffjoHjreka iu. jqj ;r`. lrkakg ;rï iu;ah' Tjqkaf.a jD;a;Sh m%d.=KHh ms<sn|j wxY= ud;% fyda wvqmdvqjla ljr f,ilska fmkajkako @ wfma rfÜ ffjoHjreka wrNhd iudcfha we;af;a f.!rj iïm%hqla; Nla;shls' ta Tjqkaf.ka bgq jk fiajh ms<sn|j ck;dj ksjerosj ;lafiare lr isák ksidh' tfy;a wka;¾ iudc iïnkaO;d wNsuqj ffjoHjreka miq.sh ld,h ;=< iajlSh wd;aud¾:ldñ;ajh Tijd ;eîfï keUqrejla m%lg lrñka isà' th idlaId;a lrk ;odikak isoaëkao rdYshls' iajlSh jD;a;Sh m%d.=KHhg uqjd ù w;miqùï ms<sfkd.ekSfukao m%lg jkafka fï ÿ¾.=Khuh' ukqIHhka jYfhka wm iEu fokdgu jeroSï isÿ jkafkah' th ffjoHjrekago idOdrKh' ffjoHjrekag jk jeroSuloS úkaos;hdg b;d Nhdkl ffofjdam.; brKï j,g uqyqK mEug isÿjk njo ienEh' fï ikao¾NfhaoS fï j.ùï" j.lSï flfrySo iajlSh jD;a;ShNdjh m%lg lsÍfï ioaNdú;djlg W;=ï ffjoHjreka fhduq jkafka kï th Tjqkaf.a wNssudkhg ;j;a w.hla tl;= ùulau ñi Tjqka Tjqkagu lr.kakd wjevla fkdfõ' YdLH wurfialr úisks
ffjoHjrhd - udisl ffjoH iÕrdj
l=reKE., § wvqu ñ,.kka hgf;a ridhkd.dr mÍlaIK ''' jhU m<df;a tlu iuQmldr frday," l=reKe., iuQmldr frday,a ridhkd.drfhaoS''' • ECHO Scaning tflda mÍlaIKh u.ska yojf;a iajrEmh" ta ;=< reêrh .uka lrk wdldrh fukau lmdg l%shdldß;ajh wdoS fndfyda úia;r oek.; yel' • LFT fmKy¿ l%shdldß;aj mÍlaIKh • Full Blood Check up mQ¾K YÍr mÍlaIKh • Chest X Ray mÍlaIKh • ECG mÍlaIK • Liver Function Test wlaudfõ l%shdldß;aj mÍlaIKh • Serum Creatinine jl=.vq l%shdldß;aj mÍlaIKh • Serum Blood Urea jl=.vq l%shdldß;aj mÍlaIKh • Lipid Profile fldf,iagfrda,a mÍlaIKh • Fasting Blood Sugar oshjeähdj je<|S ;sfíoehs oek.kakd" th md,kh ù we;soehs oek.kakd mÍlaIKh úfYAI{ ffjoHjrfhl=f.a wëlaIKh hgf;a rdcH yd fm!oa.,sl fiajfha kshq;= whg úfYAI meflachka pek,a lsÍu i|yd úuikak'''0372056765" 2056552" 2054070" 2054071"2222464" 2221638 iuQmldr frday, 303" fld<U mdr l=reKE., ÿrl:k 0372232242" 5670206" 2056760 2056215 *laia 037 2232242 E Mail: kch.hospital@gmail.com
2016 fmnrjdß l<dmh
93
PHARMACOPIA
reêrh ;=kS lrk osú iq/ls Tiqjls Warfarin
reêrh ;=kS lrk osú iq/ls Tiqjls
Warfarin ó.uqj osia;%sla uy frdayf,a T!IOfõoS ;sirx.S w;=fldar, úisks reêrh wfma cSj oyrhs' reêrh leá .eiSu hkq wfma cSú;h iqrlsk wdrlaIl hdka;%Khls' kuq;a reêr leá iEoSu frda.S ;;a;ajhla fyda cSú;hg ;¾ckhla jk wjia:do ;sfí' tu wjia:dfõoS wfma msysgg tk iqñ;=re T!IOh Warfarin kï fõ' Warfarin hkq l=ulao @ reêrh leá .eiSu je<elaùu i|yd ,ndfok T!IOhls' (Anticoagulant)
reêrh leá .eiSu Warfarin u.ska j<lajkafka flfiao @ fuh Vitamin K u; r|d mj;sk reêr leá ldrl idOl (Vitamin K dependent clotting factor s) jk factor V11 yd V11 u.ska reêrh leá .eiSu j<lajhs' Warfarin T!IOh Ndú;d lrk wjia:d fudkjdo @ • Ysrd ;=< reêr leá .eiSu je<elaùug (Thrombosis) • tla jrla reêr leá iEÿKQ wfhl= fj; (Secondary Prophylaxis) kej; th isÿùu je<elaùug • lD;%Su yDo lmdg (Artificial Heart Valve) fh¥ frda.Ska i|yd Warfarin Ndú;hg fmr yd Warfarin ud;%dj ;SrKh lsÍfïoS ffjoHjrhd úiska ie<ls<su;a úh hq;= lreKQ fudkjdo @ pt INR kï reêr mÍlaIKh isÿ lsÍug ffjoHjrhd Tng ks¾foaY lrKQ we;' fuys w.h wkQj Tng kshu l< hq;= T!IO ud;%dj ;SrKh lrk w;r Tn T!IO ,nd.kakd w;r;=roSo
94
ffjoHjrhd - udisl ffjoH iÕrdj
fuu mÍlaIKh ffjoH Wmfoia u; isÿ l< hq;=h' ta wkQj .e,fmk T!IO ud;%dj ;SrKh lsÍug ffjoHjrhdg iydh úh hq;=h' fuu T!IO ,nd.; yels wdldr fudkjdo @ fuh fm;s f,i 1mg, 3 mg yd 5 mg m%udK j,ska ,nd.; yel' ffjoHjrhd ;SrKh lrk T!IO ud;%dj ,nd.; hq;= fm;s wdldrh ;SrKh lsÍug T!IOfõoshdf.a iydh ,nd.kak' fm;s Ndú;fhka wod, ud;%dj ,nd.ekSug myiq l%uh meyeos,sj wid oek.kak' wjfndaO lr.kak' túg isÿjk jeroSï yd w;miqùï wju lr.; yelsh' tfiau ksjerosj fm;a; ;eîfuka ;SrKh l< fkdyels m%udK ^fm;af;ka 1$4" 1$3& leãug W;aidy lsÍu fyda ta wdldrfhka ud;%dj .Kkh lrk ud;%dj isrerg fkd,eîu fyda jeä ud;%djla isrerg ,eîu ksid ydks isÿúh yelsh' fuu T!IOh ,ndosh hq;= ksjeros fõ,dj l=ulao @ osklg tla j;djla f,i yjia ld,fha ,nd.; hq;=h' th yji 5-6 ld,fha .ekSu iqÿiqh' fuu T!IO ud;%dj wu;l jQjfyd;a .;yels l%shdud¾. fudkjdo @ fuh wu;l lsÍu lsis úfgl fkdl< hq;=h' fj,dj fjkia lsÍuo isÿ fkdl< hq;=h' oskfha tlu fj,djl ksjeros T!IO ud;%dj ,nd.; hq;=h' Warfarin ,nd.kakd frda.sfhl= ie<ls<Su;a úh hq;= lreKQ fudkjdo @ • Tn fjk;a frda.hlg T!IO ,nd.kakd úg ffjoHjrhdg Tn Warfarin ,nd.kakd nj oeKQj;a lrkak' • Tn Warfarin ,nd.kakd nj i|yka ldâm; iEu úgu Tn ika;lfha ;nd.kak' thska yosis wk;=rloS reêrh leá fkd.eiSfuka we;sjk urK wju lr.; yel' • wdhqO iu. jev lsÍu" wk;=reodhl ld¾hhkayS ksr; ùu yeuúgu wju lr.kak' tfia jev lrk úg ;=jd, we;sùu je<elaùug wdrlaIl mshjr wkq.ukh lrkak' 2016 fmnrjdß l<dmh
• Tn hï Y,Hl¾uhlg" oka; m%;sldr j,g fhduqùug fmr Warfarin .kakd nj ffjoHjrhd oeKQj;a lrkak' • tu m%;sldr j,g fmr Warfarin k;r l< hq;= wdldrh ms<sn|j ksjeros ffjoH Wmfoia ,nd.kak' m%;sldr j,ska miq Warfarin kej; wdrïN l< hq;= wdldrh ms<sn|j ksjerosj oeKQj;a fjkak' Tn orefjl= n,dfmdfrd;a;= jk Warfarin ,nd.kakd frda.sfhl= kï úfYAIfhka ie<ls<su;a úh hq;= lreKQ fudkjdo @ .eìKShl úiska uq,a udi ;=k we;=<; fkd.; hq;= T!IOhls Warfarin' tneúka Tn ore iïm;la wfmalaId lrkafka kï ta iïnkaOfhka uq,ska ffjoHjrhd yuqù ta iïnkaOfhka Wmfoia ,nd.; hq;=h'
95
OPINION
wkdrlaIs; .íid ksid ñ,sk jk cSú; iqrlaIs; lsÍfï wo ojfia iudc j.lSu
jir 133la merKs .íid kS;sh wog Tìk fia ixfYdaOkh l, hq;=hs
jYfhka ixj¾Okh fjñka foudmsh osßh yd /ljrKh hgf;a jefvkafkls'
wkdrlaIs; .íid ksid ñ,sk jk cSú; iqrlaIs; lsÍfï wo ojfia iudc j.lSu
orefjl= w;aoelSï wvq fkdmsmqKq u,a lel=,la jeksh' tjka oeßúhl wmpdrhlg yiqj .eí.ekSula isÿùu wehf.a cSú;h iïmQ¾Kfhkau Wvq hál=re ùuls'
weô,smsáh osia;%sla uy frdayf,a úfYAI{ wêlrK ffjoH ks,OdÍ l=udrisß uyfika úisks
ukqIH;ajfha mßmQ¾K;ajhg yqfolau ñksidf.a <ud ld,h wdprKhka yd iïñY%s; jgdmsgdj fnfyúka n,mdhs' tfiau rgl ixj¾Okfha osYdK;sho <ud mrmqf¾ Wkak;sh yd iu.dó fjhs' tfy;a j;auka Y%S ,xldfõ <ud mrmqf¾ wdrlaIdj fnfyúka wkdrlaIs; m%.uKhlg ,laj we;s neõ fmfka' tysoS" <uhska meyer.ekSï" wmpdrhg ,laùï" .eí .ekSï" >d;kh lsÍï oskm;d udOH Tiafia fukau wm w;aoelSï Tiafiao ksrka;rfhka wjOdkhg fhduq fõ' l=vd orejka <ud uõjreka njg m;a ùfï fÄojdplh fuysoS uf.a ffjoHuh w;aoelSï Tiafia fndfyda wjia:d j, ud ii, lrjk isÿùula jkafka 11" 12 yd 13 wdoS jhiaj, jQ l=vd orejka <ud uõjreka njg m;a ùuhs' th fm!oa.,slj tu orejdg muKla fkdj rgla" iudchla f,i f,i w;aolsk Nhdkl wkd.;hl fmrksñ;sh' ñksid uQ,sl wjê lsysmhla .; lrk w;r Tyqf.a fyda wehf.a mQ¾K cSú;fha moku ke;akï wä;d,u <ud wjêhhs' th cSú;hl uQ,sl wjêhhs' orefjl= hkq iudkqfhdackhg ,lafjñka wOHdmkh ,nk" ldhsl udkisl 96
<ud uõjreka .¾NsKSNdjfhaoS uqyqKmdk cSj úoHd;aul .eg¿ idudkHfhka orefjl= ìys lrKQfha cSú; w;aoelSï ,o jeäúfhys ldka;djls' tfy;a orefjl=f.a isrer yd bkaøsh orefjl= ìys lsÍug ;rï jeã ke;' oeßhlg th lsisÿ whqrlska ord.; yels ;;a;ajhla fkdfõ' weh YdÍßlj fukau udkisljo ÿ¾j, ;;a;ajhl isà' i;H jYfhkau tu orejkag ;uka j;a n,d.ekSug fkdyels ;;a;ajhl ;j;a orefjl= ìyslr yodjvd .ekSu wreuhls' orejd ìys lsÍuu ord.; fkdyels fõokdjls'
ffjoHjrhd - udisl ffjoH iÕrdj
uf.a oS¾>ld,Sk w;aoelSï wkQj fndfyda úg wmpdrhg yd ¥IKhg ,laùug fya;=jk m%Odk lreKQ lsysmhls' os<sªlu" wkdrlaIs; mjq,a mßirh" kQ.;alu" uj úfoaY.; ùu" mosxÑh ks;r ks;r fjkia lsÍu" orejka ÿrl:kh yd wka;¾cd,h mdjÉÑ lsÍu ta w;ßka uQ,sl fõ'
2016 fmnrjdß l<dmh
<ore urK wkqmd;hg we;s n,mEu fujka orejka .¾NsKS ujla .; hq;= T!IO wdosh ,nd.ekSu yd Bg wod, Wmfoia ms<smeoSu fndfyda úg olakg fkd,efí' tuksid Wmosk orejka fndfyda úg wvq Wm;a nr iys; orejka fukau frda.S orejkao úh yel' tu orejka flfryS <ud uõjreka olajk wjOdkho b;d wvq 97
OPINION
wkdrlaIs; .íid ksid ñ,sk jk cSú; iqrlaIs; lsÍfï wo ojfia iudc j.lSu
uÜgul mj;S' fï ksid <ore urK wkqmd;ho by< hd yel' tfukau tfia ìysjk orejka wkdrlaIs; mßirh ;=< wmpdrhg ,laùug we;s bvlv jeäh' .Kka n,d we;s wdldrhg tjka ishhg 22la muK wmpdrhg ,laùu iy .eí .ekSu isÿfõ' tfiau tu orejka fiiq orejka yd ii|k úg m%pKav" idmrdë f,i lghq;= lsÍug fm<öu ishhg 13l muK m%;sY;hls' ta wkQj rgla yd iudchla f,i fuu ;;a;ajh b;du wys;lrh' nrm;, iudc .eg¿jla weh mdie,a hñka iu jhfia orejka iu. fi,a,ï lrñka iudc.; úh hq;= wjêhl tlajru wiajdNdúl f,i .eìKshla njg m;aj ;sfí' orefjl= wmpdrhlg" ¥IKhlg ,la jQjo wehg mdie,a f.dia idudkH f,i oeßhlf.a w;aoelSï ,nñka foudmsh" jeäysá whf.a osß .ekaùï" Wmldr iy iyfhda.h we;sj cSú;h f.dvk.d.; yel' ud fj; bosßm;a lrk ,o tjka orejka rdYshla tf,iska cSú;h f.dvk.df.k we;' tfy;a .eí.;a orejka iod;kslj wirKj isà' wleue;af;ka uq;a .; hq;= ;SrKhla thg fyd|u úi÷u f,i ud olskafka fujka .eí .ekSuloS uQ,sl wjia:dfõoSu tu l<,h oeßhf. ka bj;a lsÍuhs' thska by; lS úIu ;;a;ajhka j<lajd .ekSug wjldY ,efí' ta ;=<ska mj;sk ;;a;ajhg jvd hym;a miqìula Wod l< yel' ta i|yd <ud wdrlaIdj iïnkaO whf.a yd wjeis n,OdÍkaf.a wjOdkh fhduq úh hq;= nj uf.a woyihs' hg;a úcs; hq.fha kS;sh wog;a tf,iu oekg fuys,d mj;skafka 1883 muK iïmdos; bx.%Sis hq.h ;=< mej;S kS;shs' th ld,dkqrEmj fjkia fkdùu ;=< by; lS .eg¿ u;=j ;sfnk w;r ta ;=<ska fndfydauhla orejka muKla fkdj Tjqka wh;a mjq,u ÿlaÅ; ;;a;ajhg m;afõ'
98
ta i|yd ud fhdackd lrk tlu úi÷u fuh fkdfõ' <ud wmpdr j<lajd.ekSug mshjr rdYshla .; hq;=j we;' uQ,slju Bg wod, fya;= úu¾YKh lr tajdg ms<shï fhoSu yd ta wjia:djka j<lajd .ekSug mq¿,a jev ms<sfj,la osh;a l< hq;=h' <uhska yd <ud wdrlaIdj fjkqfjka wfma rfÜ wud;HxYhla we;=¿j wdh;k rdYshla msysgqjd we;' tu wdh;k w;r wka;¾ iïnkaO;djh mq¿,a úh hq;= w;r ta wkQj tu n,OdÍka l%shd;aul úh hq;=h' orejka wmpdrhg yd ¥IKhg ,laùug fya;= uf.a oS¾>ld,Sk w;aoelSï wkQj fndfyda úg wmpdrhg yd ¥IKhg ,laùug fya;=jk m%Odk lreKQ lsysmhls' os<sªlu" wkdrlaIs; mjq,a mßirh" kQ.;alu" uj úfoaY.; ùu" mosxÑh ks;r ks;r fjkia lsÍu" orejka ÿrl:kh yd wka;¾cd,h mdjÉÑ lsÍu ta w;ßka uQ,sl fõ' fuysoS fouõmshka yd orejka mq¿,a f,i oeKQj;a lsÍug jevigyka l%shd;aul ffjoHjrhd - udisl ffjoH iÕrdj
lsÍug wod, n,OdÍkaf.a wjOdkh fhduq úh hq;=j we;' tysoS ks,OdÍka f.hska f.g" .ñka .ug hñka .%dóh yd meie,a uÜgñka iïuka;%K" jevuq¿ mj;ajñka ksrka;rfhka udOH Tiafiao fï oeKQj;a lsÍï isÿl< yel' mdie,a yryd ,sx.sl wOHdmkh ,ndoSu iy iEu mdie,lgu udkisl WmfoaYljrfhl= m;a lsÍu b;d jeo.;a fõ' Bg wu;rj úfYaIfhka uj úfoaY.; ùuloS wehg isák orejka .ek i<ld kS;s iïmdokh flfrySo wjOdkh fhduq l< hq;= jkafkah' fuf,i mQ¾j Wml%u Ndú;d lrk w;r;=r oekg .¾NsKS ù we;s l=vd oeßhkaf.a yd Wmosk orejkaf.a oS¾>ld,Sk M<úmdl i<ld n,ñka ta i|yd h,a mek .sh kS;s ixfYdaOkh úh hq;= nj uf.a woyihs'
.íid iïnkaOfhka wfma rfÜ kS;sfmd; il%Sh jQfha 1883 j¾IfhaoSh' tod hg;aúcs;hlaj wfma rg mej;S hq.fha y÷kajd ÿka .íid kS;sfha lsisÿ fjkia ùula fï jk;=re isÿù fkdue;' ta wkQj Y%S ,xldfõ mj;akd kS;shg wkQj .íid lsÍu i<ld n,kafka .en orK ld,h ;=<oS ujf.a cSú;hg ;¾ckhla isÿùu muKs'
2016 fmnrjdß l<dmh
fodf<dia yeúßos .eìKshlf.a l;dj uf.a tla w;aoelSula f.kyer olajkafka kï fï jif¾ fmnrjdß udifhaoS ud fj; fmd,Sish úiska wjq' 12l oeßúhla muqKqjk ,oS' wehg okakd y÷kk flfkl= úiska ,sx.sl w;jrhla lrk ,o njg iel lrk ,oS' weh mÍlaIKhg ,la lrñka isÿ lrk ,o w,ag%d ijqkaâ (Ultra Sound) mÍlaIKhg wkQj weh i;s 14l .eìKshla nj ;yjqre flßKs' weh ;on, úYdo ,laIK m%lg l<dh' fï wkQj uu weh fjkqfjka úfYAI{ Wmfoia ,nd. ekSu i|yd ufkda frda. ffjoHjreka fofofkl=o" m%ijfõoS ffjoHjreka fofofkl=o fhoùug ;SrKh lf<ñ' wef.a .¾NsKSNdjh iïnkaOfhka ffjoHjrekaf.ka ,nd.; hq;= ksÍlaIK fukau wef.a udkisl iajNdjho wef.a bosß wkd.;h fjkqfjka ;SrK .ekSfïoS n,mEula jkafkah'
99
OPINION
wkdrlaIs; .íid ksid ñ,sk jk cSú; iqrlaIs; lsÍfï wo ojfia iudc j.lSu
ffjoH úfYAI{hkaf.a ks¾foaY fuysoS weh mÍlaId l< tla m%ijfõoS ffjoHjrfhl= wehf.a .¾NsKS;djh bosßhg mj;ajd.ekSfï ndOdjla fkdue;s fyhska .en bosßhg mj;ajd.ekSu iqÿiq hhs ks¾foaY lf<ah' wef.a udkisl ;;a;ajh hym;a kï wef.a ore. en bosßhg mj;ajd.; hq;= nj wfkla m%ijfõoS ffjoHjrhdf.a u;h úh'
lsÍu ksid oeßhka yd ldka;djka .eí .kakd wjia:d /ila ud ksÍlaIKh lr ;sfí' fï ,smsh ,shñka isák ud fj; ;j;a 15 yeúßos oeßhla muqKQjk ,oS' fï ,smsh m< fjkakg fmrd;=j ;j;a fujka wjdikdjka; isoaêka lsysmhlg ud idlaIs lrefjl= jkq we;aoehs fkdoksñ @
ufkda ffjoHjreka fofokdf.au ksÍlaIK j,g wkQj weh ;on, úYdo frda.fhka fm¿Kq nj;a wef.a osú f;dr lr.ekSfï wNs,dYhla weh flfryS mj;sk nj;a i|yka lf<Ah' oekg .íidjla lrkafka ujf.a cSú;hg we;sjk ;¾ckh i<ld muKhs .íid iïnkaOfhka wfma rfÜ kS;sfmd; il%Sh jQfha 1883 j¾IfhaoS nj;a tod hg;aúcs;hlaj wfma rg mej;S hq.fha y÷kajd ÿka .íid kS;sfha lsisÿ fjkia ùula fï jk;=re isÿù fkdue;s nj;a by; i|yka lf<ñ' ta wkQj Y%S ,xldfõ mj;akd kS;shg wkQj .íid lsÍu i<ld n,kafka .en orK ld,h ;=<oS ujf.a cSú;hg ;¾ckhla isÿùu muKs' fï wkQj .íid lsÍug wjldY we;af;a ujf.a cSú;h .,jd .ekSu fjkqfjka muKls' úkaos;hd ;j ;j;a wirK jk yeá ufkda ffjoHjrekaf.ka ,o iy;sl wkQj fï oeßh úIfhys .íidjla isÿlsÍfï yelshdjla we;aoehs Widúfhka úuikq ,eîñ' kuq;a Widúh ;SrKh lf<A th ffjoHjrekaf.a ksÍlaIK wkQju isÿ úh hq;a;la njhs' fï wdldrfhkau kS;sm;s;=ukaf. kao Wmfoia úuik ,ÿj ,enqKQ ms<s;=ro thu úh' fï wkQj fï oeßhf.a .¾NsKSNdjh k;r lsÍug wjldY i,ik m%;smdokhla wm i,id.ekSug wiu;a ùuq' ta" wef.a nrm;, f,i Ldokh ù ;snQ udkisl iajNdjh yuqfõ wef.a wkd.;h ljr wúksYaÑ;;djhlg hd o hk ufkda ffjoHjrekaf.a ksÍlaIKo mj;soaoSh' ta wkQj wehf.a cSú;h ´kEu fudfyd;l wk;=rg ,laùug bv we;' fuh" uf.a jD;a;Sh cSú;h ;=<oS ud w;aÿgq tla wjdikdjka; isÿùuls' n,y;aldrfhka ¥IKh 100
w÷frka w÷rg jefgk wehf.a wkd.;h ;j;a mfilska neÆ úg w;jrhg m;a jkafka <ud úfhaoSh' tfy;a kvqj wik úg weh jeäysáfhls' fujka wmrdO hï ixlS¾K iajNdjhla .kakd ksid Widú j, kvq úNd. ùug hï ld,hla .;fõ' pQos;hd kvq úNd.h wjidkfha o`vqjï ,eìh yel' kuq;a wmrdOh Tmamq lr.kakg fkd,enqfKd;a pQos;hd ksoyia fjhs' úfgl pQos;hd" mshd" wlaldf.a ieñhd wdoS jQ <`.u {d;sfhla jQ úg úi÷ula fkdue;s ;;a;ajhlg m;afõ' ta wkQj úm;g m;a ldka;djf.a uq¿ cSú;hu úm;g m;aù wjidkh'
ffjoHjrhd - udisl ffjoH iÕrdj
weh ;d;a;d flfkl= ke;s orefjl= rlaId l< hq;=h' úkaos;hka uq;a iudch fudjqka flfryS ldreKsl jkafka ke;' w;jrhg m;a ldka;djl iïnkaOfhka fukau Wmosk orejd iïnkaOfhkao iudch olajk wdl,am lK.dgqodhlh' ldka;djo" orejdo fndfyda úg ;ukaf.au mjqf,ka fldka lrKQ ,nhs' weh wOHdmkh ,nñka isá ;eke;a;shla kï wef.a wOHdmk lghq;= uq¿uKskau wjq,a fõ' ldka;djg ;ksj cSj;a jkakg isÿfõ' fï ksid mdrg jefgk wjia:do wjidkfha ,sx.sl Y%ñlfhl= njg m;ajk wjia:do iïnkaO WodyrK wm iudcfhau fldf;l=;a jkafkah' fï wdldrfhka kej; kej;;a cSú; ld,hgu wirK jk wehg isÿjk ydksh imqrd ;lafiare lsÍfï l%ufõohlao ke;' fudjqkg kS;sfha msysg ,eìh hq;= jkafka;a" mj;akd kS;sh fjkia úh hq;= jkafka;a fï ksidh' wkdrlaIs; .íidjkayS ìysiqKQ nj úi÷ula f,i wkdrlaIs; .íidjla isÿ lf<d;a thska we;sjk ixl+,;d cSú; ld,hgu n,mdhs' fujka isoaêhlg uqyqK mEfïoS fndfyda fouõmshkag isÿjkafka wkdrlaIs; .íidjlg ;u orejd fhduq lsÍugh' kS;sfhka jdrKh lr ;snqK;a Tjqkaf.a f;aÍu jkafka wkdrlaIs; .íid ia:dkh' fïjd m%d:ñl f,i l%shd;aul jk kqmqyqKQ ñksiqkaf.ka iukaú;jk w;r yosishloS wjYH jk uQ,sl cSú;dOdrl myiqlulskqÿ úhqla;h' tr`vq keá" nhsisl,a iafmdala fhdod we`. f,duq oeye. kajk wdldrfha wkdrlaIs; .íid isÿ lrk ia:dk .ek udOH u.ska wkdjrKh ù ;sfí' fïjdfha m%;sM< f,i fimaáiSñhd (septiceamis) wêl reêr jykhka" iodld,sl wdmdê; ;;a;ajhg m;aùu" iodld,sl jkaOHdNdjhg m;aùu yd urKho wfmalaId l< hq;= fõ' uE;loS ;%Sù,rhla ;=<oS .íidjla isÿ lr we;s jQ Septiceamia ksid ñh.sh ldka;djlf.a urK mÍlaIKhla isÿ lrkakg ug isÿ úh' ujlf.a l=i ;=< jefvk .¾Nhla iajdëkj cSj;a lrùug ;rï yelshdjla ,eîug fmr bj;aùu .íidjla f,i wre;a oelaúh yel' fuh iajdNdúlj fyda bfíu fyda lD;%Suj isÿùugo bv ;sfí' 2016 fmnrjdß l<dmh
iEu j¾Ihlu ñ,shk 35l .íidjka iEu j¾Ihlu ñ,shk 35la .íidjka f,dalh mqrd isÿfjhs' fuhska wvlg;a jvd isÿ õkfka kS;s úfrdaëjh' ta ms<sn|j mßphla fkdue;s wh úiska yd ta i|yd ys;lr fkdjk mßirhka ;=<h' wfma rfÜ osklg .íidjka oyila @ ks, jYfhka oelaùug ixLHdf,aLK ke;;a wfma rfÜo osklg .íidjka oyila muK isÿ flfrk nj y÷kdf.k ;sfí' wfma rfÜ isÿjk ud;D urK j,ska ishhg yhlg fya;=j fï .íidjka ksid we;sjk ixl+,;djhkah' frday,aj,g we;=<;a jk ldka;djkaf.ka ishhg 7-16lf.a fya;=j wkdrlaIs; .íidjkah' fuysoS u;la l< hq;= ;j;a lreKla jkafka <ud uõjrekaf.a l<, bj;a lsÍu fukau úlD;s l<, bj;a lsÍuo óg iu.dój i<ld ne,sh hq;= jQjla njhs' ;dlaIKsl Ys,am l%u mD:q,j Ndú;d lrk hq.hl kQmka orejd ;on, úlikd;aul ÿ¾j,;d j,g 101
OPINION
wkdrlaIs; .íid ksid ñ,sk jk cSú; iqrlaIs; lsÍfï wo ojfia iudc j.lSu
,laùu" tkï l=fia isáhoSu orejd ;=< we;sjk l<,Sh fodaI yªkd.ekSfï yelshdj ;sfí' th úoHdfõ uysufhka wm ,o Nd.Hhls' tfy;a tlS kùk úoHd;aul YlH;djka wm m%fhdackj;a wdldrfhka Wmfhda.S lr.kafka ke;' fujeks .eí .ekSula isÿjQ úg ta ish,af,ys fõokdj" wNsfhda. úm;g m;a ldka;dj úiskau Wiq,d.; hq;= ùu wjdikdjka; ;;a;ajhls' fuysoS u;la l< hq;= ;j;a lreKla jkafka wdrlaIs;j l<,h bj;a lsÍug fhduqùug wehg wjldYhla ;snqKd kï fï fõokdjka iq¿ l,lgh' wka whg isÿjk úg flia mef,k ;¾l bosßm;a lrñka y`v k.k lsisfjl= ;ukaf.a Nd¾hdjka" oshKshka úlD;s ore .enla l=i ;=< ord .kakjdg leu;s ke;' tksid fï m%Yakh foi idkqlïms;j ne,sh hq;= jkafkah'
orefjl= w;aoelSï wvq fkdmsmqKq u,a lel=,la jeksh' tjka oeßúhl wmpdrhlg yiqj .eí.ekSula isÿùu wehf.a cSú;h iïmQ¾Kfhkau Wvq hál=re ùuls'
wfma rfÜ ldka;djka uqyqKmdk brKu kuq;a wfma rfÜ fujka wjdikdjlg uqyqK mE úg we;af;a úl,am folls' kS;s úfrdaë b;d wjodkï iy.; .íidjlg uqyqK mEu fyda m%ijh olajd ore.en Wiq,d. ekSuhs' tfy;a fjk;a fndfyda rgj,a fujka ;;a;ajhkaysoS orejd iïmQ¾Kfhka l=i ;=< jefvkakg fmr" orejd Wm; ,nkakg fmr fuu l<, bj;a lsÍug wjika lsÍug ks;HdKql+, myiqlï i,id ;sfí' WodyrK f,i wfma wi,ajeis bkaoshdfõ iy uyd ì%;dkHfha mj;akd .íid kS;s iïnkaOfhka l%shd lrkafka tf,isks' ta wkQj my; wjia:d hgf;a bkaoshdfõ ,shdmosxÑ iqÿiqlï ,enQ .íidjla isÿ lsÍug wjldY ie,fia' bkaoshdfõ mj;akd .íid kS;sfha idOKSh ,laIK .¾NsKS;djh i;s fod<ylg wvq kï ffjoHjrfhl=g ;u úYAjdifha muKska my; fldkafoais imqrk l, .íidjla i|yd ffk;sl m%;smdok
102
ffjoHjrhd - udisl ffjoH iÕrdj
ie,fikafkah' 1' .¾NKS;djh bosßhg f.k hdu ksid ujf.a ldhsl" udkisl fi!LHhg ;on, wdmodjla isÿ jkafka kï" 2' Wmoskakg isák orejd ;on, ldhsl fyda udkisl wx.úl,;djhlg ,laùfï ie<lsh hq;= wjodkula mj;skafka kï" 3' n,y;aldrfhka ,sx.sl w;jrhla isÿ lsÍfï m%;sM<hla f,i .eí .ekSu 4' wUqieñhka úiska Wm;a j<lajd.ekSu msKsi fhdod.;a m%;sikaê Wml%uhl wid¾:l ùulska .eí .ekSula isÿjQ úg wod, .¾NsKshf.a .¾NsKS;djh i;s 12g jeä iy 20g wvq kï by; ;SrKh .ekSug ffjoHjreka fofofkl= wjYH fõ' ì%;dkHfha mj;akd .íid kS;sfha idOKSh ,laIK 1' .¾NsKS;djh i;s 24 blaujd ;sìh hq;= w;r.¾NsKS;djh oeÍfuka ujg" wef.a cSj;ajk orejkag yd wef.a mjq,g we;sjk ydksh .¾NsKS;djh wjika lsÍfuka wehg we;sjk ldhsl udkisl ydkshg jeä úh hq;=h' 2' .¾NsKS ldka;djf.a ldhsl" udkisl fi!LHhg ;on, ydkshla we;sùu j<lajkQ msKSi ore.en .íid l< yel' 3' .¾NsKS;djh ksid Wmoskakg isák orejdg Tyq fyda weh wdndê; ;;a;ajhg m;a lrjk ldhsl udkisl frda.hlska uqojd .ekSug orejd .íid l< yel'
fuysoS u;la l< hq;= ;j;a lreKla jkafka wdrlaIs;j l<,h bj;a lsÍug fhduqùug wehg wjldYhla ;snqKd kï fï fõokdjka iq¿ l,lgh' wka whg isÿjk úg flia mef,k ;¾l bosßm;a lrñka y`v k.k lsisfjl= ;ukaf.a Nd¾hdjka" oshKshka úlD;s ore .enla l=i ;=< ord .kakjdg leu;s ke;' 2016 fmnrjdß l<dmh
ta wkQj ffjoHjrfhla jYfhka fukau fm!oa.,slj;a ud tl`. fkdjk nj meyeos,sj lsj hq;=h' tfy;a iqúfYAIS ;;a;ajhka jk cSú;h ms<sn|j yirla fkdue;s l=vd uõjrekaf.a l<, yd úlD;s l<, bj;a lsÍu ud by;ska oelajQ lreKQ wkQj b;d jeo.;a nj fhdackd lrñ' Y%S ,xldj jeks nyq ixialD;sl" nyq wd.ñl rgl .íid kS;s ixfYdaOkhg ,la lsÍu ne?reï ld¾hhla nj i;Hhls' tfy;a by; i|yka lreKQ wkQj i;Hh yd h:d¾;h yuqfõ mqoa.,dkqnoaOj yd iudcnoaOj jvd;a hym; i,ik yd ÿlaÅ;Ndjh wju lsÍu i|yd mq¿,a ixjdohlg t<ôh hq;= w;r ta i|yd oekgu;a m%udo nj uf.a ye`.Suhs' tfiau fuh ixjdohkag muKla iSud fkdù b;d blauKska m%dfhda.sl l%shdj,shlg fmr<sh hq;= jkafkah' ta i|yd kS;s iïmdolhka" ffjoHjreka" wd.ñl kdhlhka yd n,OdÍka tlaj l%shd;aul úh hq;= w;r th úYd, msßilf.a l÷,g ksudjlao wjidkfha rgg jákd wdfhdackhlao jkq we;' 103
FAMILY
újdyh kSri fjk fya;=
lido nekaog miafia thd ±ka fjkia fj,d lsh,d ysf;kjdkï fï ,smsh lshjkak újdyh kSri fjk fya;= úfYaI{ ufkda ffjoH reó rEnka fofkla újdy jkafka ñh hk ;=re hym;a mjq,a Ôú;hla .; lrñka oreu,af,da yÞ jvdf.k i;=áka Ôj;a fjkak' kuq;a fjkia mqoa.,hka fofofkla tlg Ôj;a ùu;a f,ais myiq fohla fkdfjhs'
fo
mßKdufhkau wm yeÈ,d ;sfhkafka rxpq jYfhka ys¢ñka fjka fjkaj Ôj;a jkakghs' mjq,la jYfhka fofofkla tlg Ôj;a ùu werUqfKa jir mkaishhla" oyila ;rï uE; w;S;fha§' tksid wm ;=< ;sfnk .e<mSïj,g jvd fkd.e<mSï jeähs'
rx ri fia ysá ;df,a - fydiai <`.ska ueiai .sh;a fldam .kak ldf,a''' újdy ùug fmr fmïj;=kaj isák iufhaoS yeuúgu W;aidy lrkafka wksldj i;=gq lr,d i;=gla ,nkakhs' tA jf.au yuqfj,d fjkajQ miq kej; yuqjk ;=re tA l,ska yuqùfï rinr u;lhka isf;a ;ndf.k Ôj;a fjkjd' th isys lrñka i;=gq fjkjd' kej; yuqfjk n,dfmdfrd;a;=jl=;a ;sfnkjd' tA úÈyg i;=g jßka jr we;sjk úg tys wuq;= rij;a njla 104
mj;skjd' kuq;a tlg Ôj;a ùfï§ tA rih ySkù hkjd' tA l,ska jßka jr ±kqKq i;=g ke;sj hk ksihs' Bg wu;rj mjq,a Ôú;h ;=< mj;sk wd¾Ól nr" ore ±ßhkaf.a j.lSï hk fïjdo wu;r nrla f,i ysi u;g megfjkjd' uq,§ wfkldj i;=gq lr i;=gq jQ fofokd wUq-ieñhka f,i tlg Ôj;a ùfï§ W;aidy lrkafka wksldj i;=gq lsÍug jvd ;ukaf.a whs;sjdislï Èkd .kakhs'
fome;a;l pß; iajNdj wkdjrKh fõ tA jf.au újdyhg l,ska ´fku flfkla ;ukaf.a fmïj;dg fyda fmïj;shg fmkajkafka ;ukaf.a fyd| muKhs' ;ukaf.a iajNdúlj mj;sk ÿ¾j,;d Tjqka iÕjdf.k bkafka wfkld ;ukaj m%;slafIam lrhs lshk nhg' kuq;a tlg Ôj;a jk úg fï ÿ¾j,;d u;=ùu j<lajkak nE' túg l,ska ±lmq flkd
ffjoHjrhd - udisl ffjoH iÕrdj
fkfuhs fmfkkafka' tA fjkqjg ÿ¾j,;d iys; wfhla olakg ,efnkjd' fhdað; újdyhl§ Tjqfkdjqka .ek lsisÿ wjfndaOhlska f;drj újdy fjkak isÿfjkjd' tjeks wjia:djl§ újdyh i|yd iqÿiqlï f,i i,lkafka ndysr idOl muKhs'
fkd.e<mSu" woyia yqjudrejla fkdue;s ùu jeks oEh' fïjd;a tl;= jQ úg wUq-ieñ fofokd ;=<u bjiSfï .=Kh ke;sù hkjd' .eyekshla msßñhdf.ka /ljrKhla n,dfmdfrd;a;= fjkjd' tA jf.au ks;r ;uka iu. .ejiSu" woyia yqjudrej jeks foa;a .eyekshlg wjYHhs'
mjq,la jYfhka fofofkla tlg Ôj;a ùu werUqfKa jir mkaishhla" oyila ;rï uE; w;S;fha§' tksid wm ;=< ;sfnk .e<mSïj,g jvd fkd.e<mSï jeähs'
flfia jqK;a by; lS mßÈ újdyfhka miqj iajNdúlj mj;sk ÿ¾j,;d biau;= jk úg —fuhd n¢kak l,ska ysgmq flkd fkfuhs" fjk flfkla˜ lsh,d l,lsÍula ysf;a we;s fjkjd' tA l,lsÍu Wv .egqï we;s jkakg ;sfnk yelshdj jeähs'
.eyeksh msßñhdf.ka wfmalaId lrk foa iy msßñhd .eyekshf.ka wfmalaId lrk foa fuhgu wEf|k ;j;a foaj,a kï tlsfkld flfryS we;sjk ielh" woyia 2016 fmnrjdß l<dmh
105
FAMILY
újdyh kSri fjk fya;=
msßñka ;u ìß|f.ka wfmalaId lrkafka wdorfhka l;d lsÍu" ,d,s;Hh jeks foaj¨hs' ñg wu;rj fofokd" fofokd fj;ska ,sx.sl ;Dma;sh wfmalaId lrkjd'
fm!reI;aj wdndO oslalido j,g ;j;a fya;=jla
ix;Dma;sh fkdue;s l< we;sjk w;Dma;slr iajNdjh oslalidohg mdr lshkjd fï lshk foaj,a tla md¾Yjhlska wfkla md¾Yjhg yßyeá ysñ fkdjk úg wdorh wvqùu iy mjq,a Ôú;h ms<sn| l,lsÍu we;súh yelshs' fujeks ;;a;ajhla Woa.; jQ úg isÿjkafka fofokd i;=áka Ôj;a ùu fjkqjg tla wfhl= wfkldj md,kh lrf.k isàug fjr ±Íuhs' tA wkqj ieñhd ìß|j md,kh lrkq jf.au ìß| ieñhdjo md,kh l< yelshs' msßñhd" .eyekshlj md,kh lsßfï§ wehg udkislj jf.au ldhslj;a ysßyer lsÍug fm,fUkq we;s' .eyekshg fndfyda úg msßñkag ldhsl ysßyer lsÍu wmyiq jqK;a weh ieñhdj md,kh lrñka Tyqg udkislj fndfyda ysßyer lrkakg mq¿jka' Èlalidoh olajd ÿrÈ. hkafka fndfydaúgu fujeks fya;=kqhs' Èlalidoh olajd fkd.sfhd;a tA ixialD;sl fya;=' orejka jeks lreKq u; bjid isàu ksihs' kuq;a .egqï W.% jk úg th Èlalidoh olajd hdug fndfyda bvlvla mj;skjd'
wkshï in|;d ksid foord hk újdy cSú;hg uq, fujeks ;;a;ajhla Wv tlg Ôj;a jk úg wkshï in|;d yg.ekSfï wjÞkul=;a ;sfnkjd' mjq,a Ôú;h ;=< fkdue;s udkisl iykhla thska wfmalaId l<;a wkshï in|;d ksid È.ska È.gu wiykfhka" wúYajdifhka is;a mSvdfjka l,a.; lrkakg isÿùu j<lajkak nE' wkshï in|;d ksid újdyhka fndfydaúgu Èlalido u.ska fl,jr úh yelshs'
106
iq¿ fya;= u; Èlalidohg fhduq jk wh;a bkakjd' fujeks foa isÿjkafka fofokdgu fyda tla wfhl=g ;sfnk fm!reI;aj wdndO ksihs' blaukska we;slr .;a fm%au iïnkaOhla u; flá l,la ;=<§u újdy jk wh fufia iq¿ lreKlska mjd Èlalido ùug yelshdj jeähs' Tjqfkdjqka .ek wjfndaOhla Tjqkg wvqhs' kEoEhkaf.a" foudmshkaf.a ±ä n,mEï u; Èlalido jk wh;a isákjd' Bg wu;rj Èlalido ùug n,mdk ;j;a fya;= f,i fofokdf.ka tla whl=g udkisl frda. hla ;sîu" ,sx.sl wdndOhla ;sîu o fya;= úh yelshs'
ffjoHjrhd - udisl ffjoH iÕrdj
rdcH Tiqi,a cd,h fld<U 01 63" i¾ ndfrdaka ch;s,l udj;" fld<U 01 ÿ'w$ *e'w 011-2328046 fld<U 07 255" O¾umd, udj; fld<U 07 ÿ'w 011 2672293 *e'w 011 2694716 fld<U 04 85" .d¨ mdr" fld<U 04 ÿ'w$ *e' w 011-2587128 011-2559531 kqf.af.dv 151" tia ã tia chisxy udj;" kqf.af.dv ÿ'w$ *e'w 011 2856641 kqjr 14ta" ,ud.dr udj;" kqjr ÿ'w$ *e'w 081 2225175 ñkqjkaf.dv merKs hQ iS f.dvke.s,a, fld<U mdr" ñkqjkaf.dv ÿ'w$ *e'w 011 2295120 .d,a, 61 ta" jlaje,a, mdr" .d,a, ÿ'w$ *e'w 091 2234726 mdkÿr 159" tï'mS'iS'tia f.dvke.s,a, .d¨ mdr" mdkÿr ÿ'w$ *e'w 038 2234767 r;akmqr 32" kkaod t,a,dj, udj; r;akmqr ÿ'w$ *e'w 045 2223014 wúiaidfõ,a, 40" niakej;=ïm, wúiaidfõ,a, ÿ'w$ *e'w 036 2222501 nÿ,a, iS'ví'B f.dvke.s,a, nKavdrfj, udj;" nÿ,a, ÿ'w$ *e'w 055 2229837
ud;r pdrsldrduh wk.drsl O¾umd, udj; ud;r ÿ'w$ *e'w 041 2231871
ms,shkao, Tiqi, ,xld i'f;d'i fkd'01" fydrK mdr ñßiaj;a;" ms,shkao, ÿ'w$ *e'w 011 3045511
wïmdr mkai, ykaosh ã'tia fiakdkdhl ùoSh wïmdr ÿ'w$ *e'w 063 2223088
r;au,dk Tiqi, fu.d i'f;d'i f.d¨uvu ykaosh .d¨mdr" r;au,dk ÿ'w$ *e'w 011 3043789
l=reKE., 28" ùr;=x. f.dvke.s,a, fn!oaOdf,dal udj; l=reKE., ÿ'w$ *e'w 037 2230840
rd.u 61$ta" uyndf.a udj; rd.u ÿ'w$ *e'w 011 2955219
yïnkaf;dg 3" ne/la ùosh" yïnkaf;dg ÿ'w$ *e'w 047 2222163
hdmkh 149ta" fla'fla'tia udj; hdmkh ÿ'w $ *e'w 021 2219262
wkqrdOmqr 98" nexl= fmfoi wkqrdOmqr ÿ'w$ *e'w 025 2222181
fmdf<dkakrej frday, ykaosh" lÿrefj, mdr" fmdf<dkakrej ÿ'w$ *e'w 027 2225465
uyr.u 71$tA" w,aúia *a,did" mrK udj;" uyr.u ÿ'w$ *e'w 011 2745640
;x.,a, b|sfmdl=Kf.dv udj; ;x.,a, ÿ'w 047 2241221 ÿ'w$ *e'w 011 2779414
Y%S chj¾Okmqr Y%S chj¾Okmqr uQ,sl frday," chj¾Okmqr ;,m;amsáh" kqf.af.dv ÿ'w$ *e'w 011 2779414 lrdmsáh 132" m<uq mgqu`. ms<sld frday, udj; udbáfm" lrdmsáh ÿ'w$ *e'w 091 2226947 ó.uqj 134" uyfrday, bosrsmsg fld<U mdr" ó.uqj ÿ'w$ *e'w 031 2228599 osh;,dj kj niakej;=ïm< m%Odk ùosh" osh;,dj ÿ'w$ *e'w 057 2227190
nKavdr.u frday,a fmfoi fydrK mdr" nKavdr.u ÿ'w $ *e'w 038 2288671 fnd/,a, <ud frday,a mrsY%h fnd/,a, ÿ'w $ *e'w 011 2697660 weô,smsáh 102" fl<ska ùosh" m,af,.u"weô,smsáh ÿ'w $ *e'w 047-2261177 fldgqj ÿïßhfmd< mßY%h ÿïßhfmd<" fldgqj ÿ'w $ *e'w 011-2336926
ISO iy;sl
,;a rdcH T!IO kS;s.; ixia:dfõ ;;a;aj ridhkd.drfha ;;a;aj mÍlaIdjkag ,la jk Wiia ;;a;ajfha" wdrlaIdldß" m%;HlaI T!IO SPC kñkau b,a,kak'
Y%S ,xld rdcH T!IO kS;s.; ixia:dj" 75" YS%u;a ndfrdka ch;s,l udj;" fld<U 01' ÿ'l' fmnrjdß 011- 2320356-9 2016 l<dmh*elaia' 011-2447118
107
Pedicure
fomdj,g iqkaor;ajh iy isrerg myiqjla f.k fok - fmälshq
fomdj,g iqkaor;ajh iy isrerg myiqjla f.k fok - fmälshq fomd iqkaorj meje;Su isrerg ukd w,xldrhla f.k fokakls' fomd w,xlrKhg wksjd¾hfhkau kshfmd;=j, fmkquo wh;a fõ' fufia fomd iy fomdj, ksh w,xlrKh fmälshq ^Pedicure& f,i rEm,djkHfha§ y÷kajhs' 108
ffjoHjrhd - udisl ffjoH iÕrdj
lsÍfï øjHhla iy mdjykaj,g weÕs,s fmälshq tlla úIîckdYl ìxÿ ;o ù kshfmd;= wi, lrkafka wehs@ fol;=kla tl;= ßÿï fokakg mgka fomd i|yd lrkak' fomdj, Wv .kq we;' kshfmd;= fmälshq tlla u.ska m;=,a iïmQ¾Kfhka È.g ;sfnk úg hám;=,a Wvm;=,a jeiS hk mßÈ fuu l=ula fyda r¿ fohl we;=¿ fomdj, j;=r Ndckfha fomd kshfmd;a; .egqfKd;a my< fldgig;a" úkdä myla muK kshfmd;a; .e,ù kshfmd;=j,g;a oudf.k isákak' t;ek ;=jd, ùfï idudkH msßisÿ wjÞkula ;sfí' lsÍulg tyd .sh fomdj, kshfmd;= .eUqre msßisÿ lsÍula >klñka jeä isÿfõ' fomdj, ksid fomdj, kshfmd;= lemSu" kshfmd;= ksh yev lsÍu" i|ydu ksh jgd we;s udihlg jrla muK we;s lshqál,a ;,a¨ r¿ lsÍu iy fmälshq tlla lsÍu b;du;a fka,a jeä fldgia iqÿiq fõ' ú¨U me,S fomd lmd bj;a ;Èka úh<S we;s wh uilg lsÍu" úh<s fojrla muK fmälshq tlla iu mshqñla la,sm¾ iafgdaka lsÍu M,Þhlh' tlla tllska fyda Ndú;d *qÜ *hs,a l< tllska w;=,a,d hq;=h' bj;a lsÍu hk fïjd óg we;=<;a kshfmd;= lemQ fõ' fuys§ uq,skau miq fka,a*hs,a mshqñla iafgdaka tflys bkamiq fomd tllska kshfmd;= .Eu fyda fka,a *hs,a tflys msg;g f.k kshfmd;= l< hq;= w;r bkamiqq r¿ me;af;ka w;=,a,d lmkak' fuys§ lshqál,a mqI¾ tllska bkamiq uDÿ me;af;ka kshfmd;= iugu lshqál,a msgqmig we;s,a,sh hq;=h' we,S isák wdldrhg ;,a¨ lrkak' fkdlemsh hq;= w;r tys§ lshqál,a l%Sï fmälshq tlla lrk È.g ;sîuo fkdúh tlla fyda ,slaúâ ksjerÈ l%uh hq;=h' iugu we,S tlla kshfmd;= jfÜg uq,skau *qÜiamd isák ;rï flá .,ajd .ekSfuka ^Footspa& tllg jkfia lemqfjd;a lshqál,a msgqmig u| WKqiqï j;=r Tn fomd jefik ;,a¨ lsÍu myiqfõ' oud thg fndä mdjyka me<¢úg tu kshfmd;= jfÜ jeù f,daIka jeks msßisÿ 2016 fmnrjdß l<dmh
109
Pedicure
we;s wkjYH lshqál,a lmd bj;a lsÍuo fï iu.u lrkak' bkamiq ú¨fò ;sfnk úh<s >klï iu mshqñla iafgdaka tflka fyda *qÜ *hs,a tflka .dkak' túg tA >klñka hq;= uereKq iu bj;a ù hhs' ú¨U me,S iu lgq fuka b;d r¿jg we;akï fï i|ydu we;s f¾irhla Ndú;fhka m%fõYfuka th lmd ±ñh hq;=h' fujeks foaj,a u.ska ;=jd, ùug yelshdjla ;sfnk ksid fmälshq tlla lr .ekSfï§ m<mqreÿ whl= fj;skau isÿlr .ekSug j. n,d .kak' tfiau fï f¾i¾j,g Ndú;d lrk íf,aâ ;, yeu
110
fomdj,g iqkaor;ajh iy isrerg myiqjla f.k fok - fmälshq
úgu tla jrla Ndú;d l< miq th bj;a lr B<Õg fjk;a fiajd,dNshl= i|yd w¨;a tlla fhdÞ .; hq;=h' bkamiq fomd ial%í lsÍu B<Õ mshjrhs' ial%í lsÍfuka miq *qÜ l%Sï tlla .,ajd uidÊ lsÍu isÿ l< hq;=h' ó<Õg fomd fidaÞ msioud kshfmd;=j,g fka,a fmd,sIa .,ajkafka kï uq,skau weÕs,s w;rg fgda fimf¾g¾ ^Toe separator& oukak' tA weÕs,sj, ksh wdf,amk je§u je<elaùu msKsih' ó<Õg fíiafldaÜ tlla .,ajd wjYH ksh j¾Kh B<Õg .,ajd wjika jYfhka
fgdma fldaÜ tlla wdf,am l< hq;=fõ'
udihlg jrla muK fmälshq tlla lsÍu b;du;a iqÿiq fõ' ú¨U me,S fomd ;Èka úh<S we;s wh uilg fojrla muK fmälshq tlla lsÍu M,Þhlh' fmälshq u.ska fomd iy kshfmd;= iqkaor ùug wu;rj fuys§ isÿ flfrk há m;=,a iïndykh wdÈh ksid uq¨ isrergu b;d myiqjla iqjhla ±fkkq we;' há m;=,a me¨Kq wh rd;%shg fomd fidaÞ l%ela l%Sï fyda jeia,ska jeks ialska fm%dfglaIka l%Sï tlla .,ajd fïia folla m<|jd ksÞ .; hq;=h' rEm,djKH Wmfoia weiqrsKs ffjoHjrhd - udisl ffjoH iÕrdj
GATE CONTROL THEORY IN MEDICINE
wk;=rla isÿ jQ úg tu wjia:dfõ fõokdjla fkdoefkkafka wehs@
wk;=rla isÿ jQ úg tu wjia:dfõ fõokdjla fkdoefkkafka wehs@ fí w;g we,afmfk;a;la wekqfKd;a" hám;=, ùÿre lgqjla jeks fohlska ;=jd, jqfKd;a" t<j¿ lemSfï§ msyshg we`.s,a, hka;ug lemS .sfhd;a ta wjia:dfõ§ wêl fõokdjla oefkkq we;'
T
2016 fmnrjdß l<dmh
tjeks w;aoelSïj,g tÈfkod Ôú;fha§ Tn fldf;l=;a uqyqK § ;sfnkakg mq¿jk' kuq;a Tng ;on, wk;=rlg uqyK fokakg isÿ jqfKd;a ta wjia:dfõ§ wk;=r isÿjQ ia:dkfhka lsisÿ fõokdjla fkdoefkkakg mq¿jk' ksoiqkla f,i miq.sh Èfkl ÿïßhg yiq ùu ksid tla;rd ;reKshlf.a w;la ueKslalgqj m%foaYfhka iïmQ¾Kfhka fjka ù .sfhah' kuq;a ta fudfydf;a ;udg lsisÿ fõokdjla fkdoekqKq nj weh mjid ;sìKs' iq¿ ;=jd,hla we;s jQ úg ta fudfydf;a ;on, fõokdjla oefkkakg;a oreKq wk;=rl§ fõokdjla fkdoefkkakg;a fya;=j l=ulao@ fï ryi uq,skau wkdjrKh lrk ,oafoa lefkaähdkq cd;sl frdk,aâ fu,aiela iy meá%la fâúâ fjda,a kï m¾fhaIlhka fofokl= úisks' Tjqka fuu 111
GATE CONTROL THEORY IN MEDICINE
kHdh y÷kajd § ;snqfKa f.aÜgq md<l kHdh ^Gate control theory& f,isks' fuh isÿjkafka uOH iakdhq moaO;sh yrydh' ;jÿrg;a fuh meyeÈ,s lr .ekSu i|yd wms WodyrKhla .ksuq' Tfí oEi ;o wdf,dalhla fj; t,a, jk wjia:djl jydu weia jid. kakg Tn fm<fUkafka flfiao@ weiaj, isg ixfõol kshqfrdak yryd oeä wdf,dalhla weia fj; t,a, jk njg mKsúvh uOH iakdhq moaO;sh yryd fud<hg .uka lrhs' fuh wdfõ.h kñka úoHdfjys ye¢kafjhs' túg fud<fhka zjydu weia jid .; hq;=hsZ hkqfjka mKsúvhla ksl=;a flfrk w;r th uOH iakdhq moaO;sh yryd pd,l iakdhq fj; ,efí' weia fol jid .ekSu isÿ lrkafka pd,l iakdhq u.sks' fuh fld;rï laIKslj isÿjkakla o lsjfyd;a fï l%shdj,shg .; jkafka ;;amrfhka oioyfika tlla ;rï ld,hls' 112
wk;=rla isÿ jQ úg tu wjia:dfõ fõokdjla fkdoefkkafka wehs@
Tng ;on, wk;=rlg uqyK fokakg isÿ jqfKd;a ta wjia:dfõ§ wk;=r isÿjQ ia:dkfhka lsisÿ fõokdjla fkdoefkkakg mq¿jk' ksoiqkla f,i miq.sh Èfkl ÿïßhg yiq ùu ksid tla;rd ;reKshlf.a w;la ueKslalgqj m%foaYfhka iïmQ¾Kfhka fjka ù .sfhah' kuq;a ta fudfydf;a ;udg lsisÿ fõokdjla fkdoekqKq nj weh mjid ;sìKs'
tfia kï oreKq wk;=rla isÿjQ úg fõokdj fkdoefkkafka wehs@ fuys§ isÿjkafka fõokdj we;s lrk f.aÜgq jid oud fõokdj we;s fkdlrk f.aÜgq muKla újr ùuh' f.aÜgq md,l kHdh f,i fuh kï lr ;sfnkafka tksidh' kuq;a uo fj,djlg miq wmg tu wk;=r isÿjQ ia:dkfha l%ufhka fõokdj oefkkakg mgka .kS' kuq;a ta fõokdjo hám;=f,a lgqjla wekqKq úg oefkk fõokdj ;rï ;on, fkdjkq we;' tfia jqjo f.aÜgq md,l kHdh ms<sn|j miqld,Skj úúO u; m< l< iakdhq ffjoH úoHd{hka fuys mj;sk fkdmeyeÈ,s wjia:d lsysmhla ms<sn|j olajd we;' kuq;a fï olajdu tu fkdmeyeÈ,s wjia:djka ms<sn|j úoHd;aul jYfhka meyeÈ,s lsÍula lrkakg ffjoH m¾fhaIlhka wiu;a ù ;sfí' wka;¾cd,h weiqßKs
ffjoHjrhd - udisl ffjoH iÕrdj
2016 fmnrjdß l<dmh
113
ADVERTORIAL
,xld fydiamsÜ,ayS oyiafjks k< orejd fï jif¾ Wmoskjd'''
,xld fydiamsÜ,ayS oyiafjks k< orejd fï jif¾ Wmoskjd''' í,diagq,djlska ^osk 5 l l<,hlska& .eí .ekaùfuys,d i|yd mqfrda.dñhd njg m;afõ id¾:l f,i orejka 830 lg jeä m%udKhla ìyslrñka kj .eí.ekSï 142 la i|yd mQ¾j m%ij idhk iemhSfuka furg by<u id¾:l;ajhla fmkajd we;s ,xld fydiamsÜ,aia idM,H;d uOHia:dkh úiska í,diagq,djla ^osk 05 l<,hla& ;ekam;a lsrSu u.ska m<uq .eí.ekSu isÿlr we;ehs ksfõokh lr ;sfí' ,xld fydiamsÜ,aia yS" ffjoH fiajd wOHlaI" ffjoH úu,a lr|f.dv uy;d i|yka lrkafka orefjl= ms<sn| n,dfmdfrd;a;=fjka fuu uOHia:dkhg meñfKk iEu fofkl=f.au wfmalaIdjka" ;dlaIKfha Wiia nj;a idM,H;d uOHia:dkfha lemùu;a ;=<ska h:d¾;hla njg m;alsrSug frday, Wmrsu W;aidy .kakd njhs' .¾NdIh ;=< Blastocyst ;ekam;a lsrSula jk;=re l<,h ixj¾Okh jk whqre
mj;sk idudkHh l%ufõoh jkafka l<, osk ;=kla olajd ffi, 6-8 woshrla olajd j¾Okh lsrSuhs' îfc!Ilhla ^Incubator& ;=< l<,h osk 5 la olajd j¾Okh lsrSfuka miqj .¾NdIfha ;ekam;a lsrSu u.ska ujg .eí .ekSu i|yd jeä wjia:djla Wodfõ' ixfiapkfhka miqj osk ;=kla we;=<; l<,h ffi, 2 l isg 8 la olajd j¾Okh fõ' fuh isÿjkafka mef,damSh kd, ;=<hs' wk;=rej" l<,h í,diagq,dj olajd j¾Okh jk w;r bkamiqj fuu l<,h .¾NdIh ;=< bosrs osk 2 ;=<oS j¾Okh ù í,diagq,dj njg m;aù frdamKh fõ' fï ksid" í,diagq,djla ;ekam;a lsrSfuka .¾NdIfha l<,h frdamKh ùfï iajNdúl l%ufõohu isÿfõ' fuu iqúfYaIS wjia:dj ms<sn|j m%ij yd kdrsfõo úfYaI{ ffjoH ksfYakaø lreKdr;ak uy;d
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ffjoHjrhd - udisl ffjoH iÕrdj
fufia woyia oelaùh' Zth osk 5 l Blastocyst ;ekam;a lsrSula jqK;a" by< l=i,;djhkaf.ka msrsmqka wmf.a úfYaI{ lKavdhu uQ,sl woshf¾oS iylrejka fofokdu b;du;a fyd|ska iqmrSlaIdjg Ndckh lrkjd' ieñhdf.a Y=l%dKqj, ip, idM,H;d o¾Ylh .Kkh lrk w;ru ìrs|f.a .¾NdI wdY%s; .eg¨ fidhd. ekSu i|yd fhdaks ud¾.fhka isÿlrk ialEka mrSlaIK fyda ;%sudk oDYH ialEka mrSlaIKhka wm isÿlrkjdZ
,xld fydiamsÜ,aia ys" idhksl l<,fõoS ffjoH uodr /<mkdj uy;d
osk 3 j¾Okh jQ l<, ;ekam;a lsrSu u.ska .eí .ekSula isÿ fkdjQ frda.Skag í,diagq,djla ^osk 5 l l<,hla& ;ekam;a lsrSu u.ska .eí.ekSfï jeä iïNdú;djhla Wodlr .; yelshs' b;srs í,diagq,d l<, wêYS;
2016 fmnrjdß l<dmh
lr kej; .eí .ekSu i|yd jir myla ;nd.; yelshs' tfukau" osk 3 la YS; l< l<,h osk 2 la mqrd îfc!Ilhla ;=< í,diagq,dj olajd j¾Okh lr ;ekam;a l< yelshs' b;du;a id¾:l f,i m<uq jrg ,xld fydiamsÜ,aia úiska isÿl< í,diagq,djla iy ;ekam;a lsrSu ms<sn|j woyia olajñka idhksl l<,fõoS ffjoH uodr /<mkdj uy;d i|yka lf<a" f,dalfha fyd|u idM,H;d uOHia:dk úiska Ndú;d lrk ;dlaIKh fuu frdayf,a idM,H;d uOHia:dkh úiska Ndú;d lrk njhs' í,diagq,djla ;ekam;a lsrSu u.ska wmf.a id¾:l;aj wkqmd;h 50] la olajd jeälr .; yelshsZ hkqfjka Tyq jeäÿrg;a i|yka lf<ah' cd;Hka;r uÜgfï fi!LH fiajdj foaYSh ikakduhlska ,xld fydiamsÜ,aia úiska ish 1000 jk IVF ore Wm; 2016 Tlaf;daïn¾ udifhaoS n,dfmdfrd;a;= fõ' wlalr 7 muK úêu;aj ilia l< iqkaor N+ñhl msysá we|ka 270 lska iukaú; ,xld fydiamsÜ,aia yS" j¾. wä m%udKh 350"000 lg wêl fõ' cd;Hka;r ms<s.ekSug ^JCIA& md;% ù ;sfnk fuu frday, f,dalfha fï jkúg ;sfnk fyd|u fi!LH myiqlï imhkafkl= f,io fndfyda we.hSï j,g ,laj we;' w;s kùk ;dlaIKh Ndú;d lrñka by< fi!LH fiajdjla ,ndfok fuu frday, ;=< ukdj mqyqKqj ,;a m<mqreÿ ld¾h uKav,hla fiajfha fh§ isà' ,xld fydiamsÜ,aia wiuiu jQ fiajd /il ,xld fydiamsÜ,aia úiska yÈis ffjoH m%;sldr iy fiajd wjYH frda.Ska fjkqfjka wjYHu yÈis m%;sldr" ridhkd.dr iy mÍlaIK fiajd" T!IO ie,a fiajh iy wksl=;a m%Odk fiajd meh úisy;r mqrdu ,nd§u lemS fmfka' úfYaI yDo uOHia:dkhlska" idM,H;d idhkhlska" jl=. vq uOHia:dkhlska" wdid;añl;d idhkhlska" mrudKq ffjoH uOHia:dkhlska" rEm,djkH idhkhlska frday, iukaú; jk w;r frdayf,a Y,H uOHia:dkh u.ska Neuro, ENT, Eye, Gastrointestinal, Orthopaedic, Urology iy Reconstructive Y,H l¾u we;=¿ Y,H l¾u isÿlrhs' 115
HAPPY BABY LEARNING CENTRE
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m%ij yd kdßfõo úfYaI{ ffjoH wd¾ tka Ô rdcmlaI úisks
ìks uõjreka fndfyda úg wdydr mdk j¾. .kafka f;dard fírd f.kh' iuyr wdydr j¾. m%;slafIam lrkafka tAjd flfryS reÑhla ke;slu ksidh' ;j;a iuyr wdydr j¾. .ekSug jeäysáfhda bv fkdfo;s' tA tu.ska l=fia isák orejdg ydks fõ hehs Tjqka úYajdi lrk ksidh' wms tjeks újdod;aul wdydr j¾. lsysmhl we;s ys;lr wys;lr Ndjh ms<sn|j úuid n,uq'
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ffjoHjrhd - udisl ffjoH iÕrdj
.ia,nq t;rï iqÿiq kE .ia,nq fyj;a mefmd,aj, mefmaka ^Papain& kue;s tkaihsuhla wvx.h' fïjd nyq,j .eìks ujlf.a YÍr.; jQ úg Biag%cka fm%dfciagfrdaka uÜgu wvq ùfï yelshdjla mj;S' ñka l=fia isák l<,hg n,mEula we;sùug mq¿jk' kuq;a fï mefmaka wvx.= jkafka wuq iy ndf.g bÿKq .ia,nq j,h' tfia jqjo fyd¢ka bÿKq .ia,nq jqj;a jeämqr .ekSu t;rï iqÿiq ke;'
uq,a udi ;=fkaoS wkakdis .ekSfuka ydks isÿúh yelshs wkakdisj, wvx.= fm%diag.a,ekaäka ^Prostaglandin& kï ixfhda.h ksid .eìks ujf.a .¾NdIfha ixfldapk we;s ùfï wjldYh we;' fïjdo iq,nj mj;skafka wuq iy ndf.g bÿKq wkakdisj, ksid .eìks iufha § úfYaIfhka uq,a ;=ka
2016 fmnrjdß l<dmh
udih ;=< wkakdis wuqfjka fiau msi jHxckhla f,i .ekSfuka mjd je<lSu iqÿiqh' fïjd iïnkaOfhka ;jÿrg;a úoHd;aul m¾fhaIK isÿ fjñka mj;S'
n, ud¿ lEfuka wdid;añl;d msg oeñh yelshs n, ud¿ we;=¨ l¿ meye;s ud¿j, ysiagñka ^Histamin& ixfhda.h wêlj wvx.=h' fïjd ksid .eìks uj ;=< wid;añl frda. ;;a;aj we;s úh yelsh' isrer leiSu" weÕ ±ú,a," m¿ ±óu" isref¾ WIaK .;sh" ysi lelal=u jeks wmyiq;d ñka m%Odk fjhs' tneúka .eìks uõjrekg iqÿiq iqÿ meye;s ud¿h'
biaika - ll=¿jka wkqNjfhka we;súh yels ;;a;aj fïjdfhys widudkH fm%daàk j¾. mj;shs' tA fm%daàk ksid wid;añl;d ^Allergy& we;s ùug bvlvla we;' tA wkqj nv nqre,a ù hdu fyj;a mdpk ;;a;ajh" yqiau .ekSu wmyiq ùu jeks ;;a;ajhka o we;s ùug mq¿jk' .eìks ujlg fujeks ;;a;ajhka we;s ùu ys;lr fkdfõ' tksid .eìks iuh wjika jk ;=re fiau ì,s|dg uõlsß fok iufha;a fun÷ wdydr j,ska je<lS isák ;rug fhda.Hh' fujeks wdydr .eìks ujla .;a miq tys we;s widudkH fm%daàk j¾. l=fia ys¢k orejdf.a isrerg we;=¿ ùu fya;=fjka orejd ìys jQ miq miqld,Skj fya;=jla ke;sju orejdg wid;añl;d yg .; yels nj o wkdjrKh ù we;' tksid fun÷ wd.ka;=l fm%daàk j¾. iys; wdydr .eìks ujlg iqÿiq fkdfõ'
fÞvï ;eô,s jeks mdk j¾. iS;, wdydr f,i wfma me/kakka fukau wdhq¾fõo yd foaYSh fjolfï o y÷kajk fun÷ wdydr ksid we;eï .eìks uõjrekag fiu jeä ùu;a" tksidu yqiau .ekSfï wmyiq;d jqj we;s 117
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je<lsh hq;=h' f;,a wdydr" f;ïmrdÿ l< neomq wdydr jeä jYfhka wkqNjh iqÿiq fkdfõ' t<j¿ m<;=re fndcqkam;g tlalr.; hq;=h' oji mqrd ksis fmdaIKhla ,nd .ekSug yeu úgu weh W;aiql úh hq;=h'
w¾;dm,a fkdjk fjk;a w, j¾. .kafka m%fõYfuka lsß w, wd§ jQ úúO w, j¾. iuyreka ;=< wid;añl;d we;s lrhs' tjeks whg fun÷ w, j¾. .eìks iufha§ iqÿiq ke;'
iuia; wdydr mKsúvh .eìKs iufha weh wdydr .; hq;af;a keK kqjKsks' wkqNjfhka ljr fyda kmqrla jk njg w;aoelSï ,efnkafka kï tjka wdydr j,ska je<lsh hq;=h' u<noaOhg fya;= jk wdydr j,ska je<lsh hq;=h' fjfiiskau j¾Kl" l,a;nd .ekSfï øjH wka;¾.; wdydr j,ska imqrd 118
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ffjoHjrhd - udisl ffjoH iÕrdj
2016 fmnrjdß l<dmh
119
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Y%S ,xldfõ m%:u j;djg jd; m;a;=j wdhq¾fõo ksIamdokhla f,i fj<|fmd<g'''
Y%S ,xldfõ m%:u j;djg jd; m;a;=j wdhq¾fõo ksIamdokhla f,i fj<|fmd<g''' zzjd; m;a;=jZZ w;s iS>% wf,úhla ;nñka ck;d ckdorh oskd.;af;a fï ksihs
jl jd; m;a;=j kñka m%:u j;djg Y%S ,xldfõ fj<|fmd<g T!Iëh m;a;=jla ksIamdokh lr fnodyßk cSjl y¾n,a m%vlaÜ m%hsfjÜ ,sñgâ wdh;kfha iNdm;s mdrïmßl wdhq¾fõo ffjoHdpd¾h iuka; pkaøm%sh uy;d yuqùug wm miq.shod ta uy;df.a wdh;kh fj; meñKshd' fï tysoS Tyq yd l< idlÉPdfjka wm ,nd.;a jákd f;dr;=re iuqÉPhl m%;Hdjf,dalkhhs'
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m<uqfjkau Tn;=ukaf.a f.!rjkSh fjo mrïmrdj .ek hula mjikak @ wfma fjo mrïmrdj ;uhs fldial|j, fjo mrïmrdj' mdrïmßl ffjoHdpd¾h cS ohdkkao 120
mshfiak fjo uy;a;h ;uhs uf.a msh;=ud' ud fï jákd fjo mrïmrdfõ yhjk idudcslhdhs' fldial|j, fjo mrïmrdj l=uk wdldrfha frda.Ska iqjm;a lsÍfuys,d m%isoaêhla oskd ;sfnkjdo @ ish¿u jd; frda. iqjm;a lsÍfuys,d wm fjo mrïmrdj oialï olajd ;sfnkjd' fï mdrïmßl Wreuh bosßhg f.k hñka ful, ikaê frda. iqj lsÍfuys,d wm ls;=f.di me;sr mj;skjd' ikaê frda. iqjm;a lsÍfuys,d Tfí wdh;kh iqúfYAISj ksIAmdokh lrk ksmehqï fudkjdo @ cSjl y¾n,a m%vlaÜ kñka wm zzcSjl jd; f;,ZZ" zzcSjl jd;df,amhZZ kñka jákd ksIamdok folla wm fj<|fmd<g ksl=;a lr ;sfnkjd' we;af;kau fï nj mjikak uu b;d i;=gqhs" wo osjhsfka b;du;au úYajdiodhl" m%;sM<odhl ffjoHjrhd - udisl ffjoH iÕrdj
ksIAmdokhla f,i fï ksIAmdok ck;dj w;r b;d fõ.fhka m%p,s; ù ;sfnkjd' th we;af;kau wfma T!IO j, .=Kd;aulNdjh flfryS ;enQ ck;d úYajdihla' zzcSjl jd; f;,ZZiy zzcSjl jd;df,amhZZ fu;rï ckm%sh;ajhla rfÜ w;am;a lr .ks;aoS Tn zzjd; m;a;=jZZ kñka ;j;a ksIAmdokhla fj<|fmd<g ksl=;a lrkjd''' @ we;af;kau Tõ' mdrïmßl ffjoH l%ufhaoS fnfy;a m;a;=jg ;sfnkafka oS¾> b;sydihla' idudkH lg jyfr;a ;sfhkjd" zz´lg m;a;=jla nekao kï weß, hhsZZ' lsh,' wfma bmerKs ck;dj w;r fnfy;a m;a;=j w;sYhskau ckm%shhs' th ykaosm;a wdY%s; wdmod j,oS tajd úYAñ; f,i iqj lrkjd' ta .ek ck;dj fyd|skau okakjd' fnfy;a m;a;=j m%;HlaIhs' ta;a wo ojfia wm uqyqKmdk .eg¿j ;uhs" fï m;a;=j
2016 fmnrjdß l<dmh
kshudldrfhka ilia lsÍug fkdyels ùu' kshu T!IO wdkqmdk fydhd.kak neß jqfKd;a fnfy; wid¾:lhs' wo m%ñ;sfhka hqla; kshu T!IO jeä fofkl=g fydhd.kak wudrehs' kshñ; nrg tajd wdkqmdk lr.kak ;sfnk oekSu;a w,amhs' fï ksid m%dfhda.slj fï fnfy;a m;a;=jla ilia lr.ekSu jeä fofkl=g úYd, wNsfhda.hla' cSjl jd; m;a;=j fï wNsfhda. chf.k ;sfnkjdo @ fldial|j, fjo mrïmrdj mdrïmßlj ikaê frda. iqj lsÍu i|yd Ndú;d l< w;aÿgq m%;HlaI T!IOhla jQ fuu m;a;=j fnfy;a j¾. 106la fhdod úfYAIfhka w;sYh .=Kd;aulj ksIAmdokh lrKQ ,nkjd' fï fnfy;a j¾. jir .Kkdjla jqK;a krla fkdù Ndú;d l< yels ùu úfYaIhla' fuu T!IO fnda;,fhys we;s T!IO hï m%udKhla f.k Bg iudk ì;a;r iqÿuo m%udKhla iy fldaudßld uo iu. l%Sï moug fyd|ska ñY% lr wod, ia:dkfha wdf,am lrkak'ñY% l< m%udKh b;sß jQjfyd;a YS;lrKfha ;nd kej; mdúÉÑ l< yelshs' fuu jd; m;a;=j Ndú;hg .ekSfuka iaÓr iqjh ,nd.; yels ikaê frda. fudkjdo @ jd; m;a;=j Ndú;hg .ekSfuka fld÷weg fm<" fn,a," j<¨lr" oKysi" Wl=,aweg ikaêh" ueKslalgq ikaosh" je<ñg" Wria ikaêh wdoS ikaê w;r ldáf,ach wvqùu" ldáf,ach >kùu fyda f.ùhdu ksid we;sjk fõokdjg iaÓr iqjh wfma cSjl jd; m;a;=j Ndú;d lsÍfuka ,nd.; yel' cSjl jd; m;a;=j wdf,amfhka ikaê w;r ldáf,ach j¾Okh fõ' fldial|j, fjo mrïmrdfõ cSjl wdhq¾fõo T!IO ksIAmdokd.drh msysgd we;af;a hlal," fldial|j," wxl 117$3 orK ia:dkfhah' ÿrl:kh 0714882979$0712271526
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ldka;djka cSú;fha ie|E iufha uqyqK mE hq;= wd¾;jNdjh
rfcdaksjD;a;s ldka;djka cSú;fha ie|E iufha uqyqK mE hq;= wd¾;jNdjh wjqreÿ 40ka miafia fmdaIKh .ek úfYaIfhkau ldka;djka ie<ls<su;a úh hq;=hs ffjoH wkqrdêld chiqkaor lÓldpdßKS ia;%S frda. yd fl!udrND;H wOHhkdxYh .ïmy úl%udrdÉÑ wdhq¾fõo úÿy, le<Ksh úYAj úoHd,h
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ldka;djlg ;u Ôú; ld,h ;=<§ m%ckk iuh fyj;a orejka ìys lsÍfï yelshdj we;s ld,h wjika ùfï ,laIKh f,i wd¾;jh k;rùu fyj;a wd¾;jNdjh y÷kajkak mq¨jka' wd¾;jNdjh isÿjk ld,h idudkHfhka wd¾;jNdjh fyj;a wd¾;jh isÿjk ld, iSudj jhi wjqreÿ 45-55 w;r fõ' fufia jqjo we;eï ldka;djkaf.a fuu ld,iSudj jhi wjqreÿ 40la fyda wjqreÿ 60la wdikakfha ùugo bv ;sfnkjd' wd¾;jh k;r ùug mdrïmßl n,mEula fukau foaY.=Ksl n,mEulao we;s nj meyeÈ,sj olakg ,efnk lreKla' WKqiqï foaY.=Khla mj;sk rgj, ldka;djkaf.a wd¾;jNdjh isÿjk jhi wjqreÿ 40 olajd wvqùug bv we;' YS; foaY.=Kh mj;sk rgj, ldka;djkaf.a wd¾;jNdjh isÿjk jhi wjqreÿ 60 olajd muK jeä ùug bv ;sfí'
ffjoHjrhd - udisl ffjoH iÕrdj
uQ, .%ka: j, i|yka rfcdaksjD;a;sh wd¾;jNdjh wdhq¾fõo uQ, .%ka:j, rfcdaksjD;a;s f,i w¾: olajd ;sfí' jhi wjqreÿ 50 muK jk úg YÍrh jDoaO ;;a;ajhg m;ajk njo" rfcdaksjD;a;sh tu ld,fha isÿjk njo uQ, .%ka: /il i|yka jk ldrKhla' fuu jhia ldKavfhaoS fjfiiska YÍrfha Od;= ÿ¾j,;ajhg m;ajk w;r fodaI úlD;s jk njo tneúka wd¾;jNdjh isÿjk njo jeäÿrg;a i|yka fõ'
jhi wjqreÿ 50 muK jk úg YÍrh jDoaO ;;a;ajhg m;ajk njo" rfcdaksjD;a;sh tu ld,fha isÿjk njo uQ, .%ka: /il i|yka jk ldrKhla'
2016 fmnrjdß l<dmh
wd¾;jdNdjfha .;s fidnd idudkHfhka wd¾;jNdjh isÿjk úg lsisu frda. ,laIKhla we;s fkdjk w;r fmdÿfõ we;sjk idudkH ,laIK lSmhla ;sfnkjd' tajd ixlaIsma;fhka fufia i|yka l< yelshs' wd¾;jNdjh isÿjk ld,fha§ reêrfha Biag%cka fydafudak uÜgu wvqfõ' fuf,i Biag%cka uÜgu wvqùu;a iu. FSH yd LH fydafudak uÜgu ;djld,sj by< w.hla .kS' fuu fydafudak wiu;=<s;Ndjh ksid my; fjkialï YÍrfhka we;s úh yel' wd¾;jdNdjh;a iu.u YÍrfha we;sjk fjkialï • uqyqK yd kslg r;ameyeùu • kdä jeàfï fõ.h jeäùu • YÍrfha nr jeäùu • ks;r we;sjk ysiroh • kskao fkdhdu • udkisl jHdl=, nj • wêlj fldamhg m;aùu • oyäh oeóu jeãùu iy oyäh ÿ.|j;a ùu • YÍrfha WKqiqï nj yd oeú,a, • YÍrfha frdau j¾Okh wvqùu • flá ld,Sk u;lh ÿ¾j, ùu fydafudakuh fjkialï we;s fjkjd fuhg wu;rj ;hsfrdlaiska mßjD;a;sh wvqùu ksid T3 iy T4 fydafudak uÜgu wvqjk w;r T.S.H w.h by< hhs' fuu fydafudak úIu;djh ksido frda. ,laIK fndfydauhlau we;s fjkjd' tfukau reêr ma,diaudfõ iy uq;%dj, le,aishï m%udKh jeäùug bv we;s neúka miqld,Skj
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ldka;djka cSú;fha ie|E iufha uqyqK mE hq;= wd¾;jNdjh
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ndysr ,laIK j, t;rï fjkila m%lg jkafka keye fuf,i YÍr wNHka;rfha úúO ,laIKhla we;s jqjo ndysrj o¾Ykh jkafka bka w;f,diaila muKs' fuf,i we;sjk fndfyda ,laIK ld,h;a iu. l%ufhka wvqjk kuq;a" wd¾;jNdjh isÿjQ yd ta wdY%s; jhia iSudjka j, ldka;djka yg we;súh yels frda. ;;a;ajhka lsysmhla ;sfnkjd'
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rfÜ iqm;, kula we;s iS' ta' ch;s,l Tyqf.a uq;a;dh' yslalvqfõ Y%s iqux., ysñmdKka uq;a;df.a udud flfkls' fmardfoKsh úYAjúoHd,fha mqia;ld,h ;=< ngysr ffjoH úoHdj ms<sn| ,shejqKQ fmd;a mßYS,kh lrk w;r;=r ;u j,õfõ mrïmrd .Kkla ;siafia wdrCId lrkakg ;ekam;a lr ;snQ mqia;lo Tyq uekúka mßYS,kh lrñka oeä wêIAGdkfhka ;u b,lalh fj; mshk. kakg úh' Tyq iaÒr jYfhkau wfma rgg lS¾;shla f.akjd' úYAj úoHd, wOHdmkho l%ufhka w;miq l< Tyq fõ.fhka ;u mÍCIK fcHda;sIHo Wmfhda.S lr .ksñka oshqKQ l<ehs wm iuÕ mjid isáfha' tu mÍCIK j,go Ndckh jQfha Tyquh' w;s úYd, uqo,la jeh lsÍug isÿ jQ wjia:d j, hï hï miq.dó isÿùï isÿjqKo ffojfha ydialulska fuka 2005 jif¾ f,d;/hs oskqï 2016 fmnrjdß l<dmh
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