Waidyawaraya march 2016 by Doctor Magazine

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CONTENTS

Breaking Health News

oeka f,dalh mqrd me;sr hk isld ffjri frda.h

ffjoHjrhd fujr fm,.eiau

rej yev jev .kajk ma,diaála ie;alï

103 m%ckl fi!LHhh .eg¿ 100la

11 isld ffjri frda.h lshkafk fudllao @

105 wdydr .kakd úg l+,a j;=r îu wys;lrhs'''

m%;sldrh

18 os.disß m;d wdisß iqj;d

uOHia:dkfhka bosßm;a lrk fi!LH mKsúv

23 ;hsfrdhsâ .%kaÓfha iqjfi;

ysfiys l=vq fuka iu .e,fjkafka ysiafydßj,g muKlao@ 56

wkqrd.h iy wdorh" tkaßfla iy udkj cSj úoHdj

ECG tl lshk l;dj

flda,d îu ñksiqkag fldfy;au iqÿiq fkdfõ'''

32 wfmau jeros ðjk rgdj ksid

fmdaIH .=Kfhka by< zzuÍkd iafm%âZZ

39 jdyfka hk Tn fï jro

mqreIhkaf.a oreM< ySk ùug úoHdfõ msysg'''

26 Èjd iq/l=ï uOHia:dkj,g we;=¿ l< miq orejka jeämqr frda.S jkafka wehs@

30 Disposable paper cups j,ska

WKQiqï mdk lsisjla fndkak tmd

wmg jrosk yeá

lrkak tmd

40 .¾NKS jQ miq we;sjk

oskQIdf.a urK uxplfha isxÿ lshQ lS¾;s meial=j,a

u;ameka mdkh lsÍu yDoh jia;=jg n,mdkafka fldfyduo@

iqmsß wdydrhla - ì;a;r

v¾vkaia frday, ,xldfõ m%:u ,emriafldms ie;alu isÿ lrhs

jl=.vq frda.Ska i|yd fmdaIKh

iq¿ .eg¿

45 blauKska jefgk ;djld,sl o;a hhs i<ld lsß o;a j,g wvq ie<ls<s tmd'''

49 f,v /ilska Tnj wdrlaId lrk fmar f.äfha fmdaIH .=Kh .ek oek.kak

51 l=ßre fmïj;d iu. újdy jkakg ys; yÞ.kakg ufkda ffjoH Wmfoia me;+ ud,sld'''

107 fvx.= frda.hg ksmojQ

tkak; id¾:lhs uq,skau tkakf;a /ljrKh ,nkafka ms,smSkhhs'''

109 jeäysá ffjoHfõoh

115 tod fuod ;=r fy<hkaf.a iqjfi; ie,iQ ;sm,a lidh 120 reêrfha fldf,iagfrda,a wvqlsÍug wdhq¾fõo úoHd;aul m%fõYhla

124 Tfí YÍrfha fïoh oshlr isyska isrerla ,nd fok cd;Hka;rh oskQ fy< wdhq¾fõo Tiqj Wor uÜgq

125 .=rej;a; j,õfõ .%Ska

y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula'''

127 leiaig iajdNdúl

Ydlidr ksIamdokhla

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.

ffjoHjrhd - udisl ffjoH iÕrdj

waidyawaraya.lk

14 fvx.= frda.Skag mefmd,a hqI

2016 ud他;= l<dmh

EDITORIAL

l;= igyk

Editor's

Note

fvx.= frda.hg mefmd,a hqI m%;sldrh fvx.= frda.h fï jk úg wm uqyqKmdk úYd, fi!LH ;¾ckhla njg m;aù ;sfí' frda.h l<uKdlrKh lsÍfï kjH Wmdh ud¾. fya;=fjka fvx.= frda.h ksid we;sjk urK ixLHdfjys ie<lsh hq;= wvqjla olakg ,enqK;a fvx.= frda.h jHdma;sfhys kï lsisÿ wvqjla olakg fkd,efí' úfgl wvq fjñka" ;j;a úfgl jeä fjñka jd¾;d jk fï wdidos; frda.Ska ixLHdj lshd mdkafka fï ;¾ckhg ;ju;a wm wìuqj fkdie,S mj;akd i;Hhhs' fï miqìu ;=< miq.shod kj ksmehqï ms<sn|j ckdêm;s iïudk Wf<f,aoS úYsIAG;u ffjoH úoHd;aul fidhd.ekSug nqyquka ,enqfõ fvx.= frda.hg mefmd,a hqI Tiqjla jk nj m¾fhaIKd;aulj ;yjqre lr.;a úfYAI{ mjq,a fi!LH ffjoH ik;a fyÜáf.a uy;dh' 2008 j¾Ifha isg fvx.= frda.Ska i|yd fuu hqI fhdod.ekSu ms<sn|j m¾fhaIK meje;ajQ ffjoH fyÜáf.a miq.sh jir fol ;=< úoHd;aul miqìul msysgd fï iïnkaOfhka f;dr;=re tla /ia lsÍug fjfiiska lghq;= lf<Ah' l¿fndaú, YslaIK frdayf,aoS fvx.= frda.Ska fhdodf.k isÿ l< fï m¾fhaIKfhka fï nj idlaId;a lsÍug Tyq iu;a úh' mefmd,a hqI ksYAÑ; jYfhkau reêr mÜáld m%udKh by< kxjk nj;a fvx.= ffjrih úkdY lsÍug fï T!IOh ksYAÑ; jYfhkau fya;= jk nj;a m¾fhaIKfhka ;yjqre jQ w;r fvx.= frda.sfhl=f.a WK ;sfnk osk .Kk ishhg y;,sylska muK wvqjk nj;a ta yereKq úg fvx.= frda.sfhl= frday,a.;j isáh hq;= ld,ho ishhg 25lska wvqjk nj;a fuysoS fy<sorõ úh' mefmd,a hqI ngysr ffjoH m%;sldr yd ii|k l< tajdg in|;djhla we;s T!IOhla fkdfõ' th wfma .yfld< yd iïnkaO bmerKs jDlaIdhq¾fõohg jvd;a ióm fõ' ta flfia fj;;a ngysr ffjoHjrfhl= úiska fï iïnkaOfhka m¾fhaIK isÿ lrñka tys iM<;djh idlaId;a lsÍu w.h l< hq;a;ls' th tla w;lska iïm%odh mrhd Wvq.ï n,d msyskSula jk w;r flfia fj;;a bmerKs iïm%odhsl ffjoH l%u neyer fkdlr tajdo úoHd;aul udk j, we.hqï j,g ,laúh hq;= njg fuh losu ksoiqklao jkafkah' Ndr; .=K;s,l - úOdhl l¾;D editor@waidyawaraya.lk bharata.gunathilaka@gmail.com

The Pioneer Health & Medical Journal 22 ldKavh 2016 - 03 l,dmh

EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka MANAGING EDITOR Amitha Wickramarachchi FEATURE ASSOCIATES Dr. Sanath Senanayaka Dr. Chaminda Premathilaka Dr. Nalaka Ranasingha Chandrani Rathnayaka (Nursing Officer) R.A.D.T. Priyadarshani (MLT) Prasanna Dissanayaka (Occupational Therapist) Sahan Siriwardhana (Pharmacist) Dinesh Priyal Darshana (Radiologic Technologist) Shamal Indika (Nuclear Medical Technologist) Shamali Pathirage S.M.D. Senevirathne Anuradha Dilini Ilankoon CREATIVE PRODUCTION AD-MIRE Creative WEB ADMINISTRATOR Dumindu Dissanayake TYPE SETTING Chathurika Sandamali PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda. WAIDYAWARAYA is a intellectual property of Healthwatch Publications Viharakele, Diyatalawa. TEL: 057 22 29040 | FAX: 057 22 29040 E-MAIL: info@waidyawaraya.lk WEBSITE: www.waidyawaraya.lk HOTLINE: 077 3149084

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ffjoHjrhd - udisl ffjoH iÕrdj

BREAKING HEALTH NEWS

ffjoHjrhd mqj;a úuiqu

BREAKING

HEALTH NEWS w¿; Wmka orejd fjkqfjka mshdg;a jeä ksjdvq <udrlaIK wêldßh msUqrem;a ilihs orefjla bmoSfïoS m%iQ; orejdf.a ujg ksjdvq ysñlu ,efnhs' ta wkQj rcfha fiajfha fhfok ujlg kï udi y;rl wksjd¾h m%iQ; ksjdvq ,efnk w;r th udi 4" udi yh olajd jqj fldkafoais iys;j oS¾> lr .ekSfï wjia:dj ujg ysñ fõ' flfia kuq;a mjq,g w¿;ska orefjla tla ùfïoS mshdgo wjYH wjia:d j,oS ksjdvq .ekSfï wjYH kS;suh m%;smdok ie,iSug n,dfmdfrd;a;= jk nj cd;sl <udrlaIK wêldßfha iNdm;s kgdId ndf,akaø uy;añh m%ldY l<dh' oekg orefjla mjq,g tla ùfïoS mshdg osk ;=kl 2016 ud¾;= l<dmh

f,dj jhia.;u mqoa.,hd ñh hhs wjqreÿ 112la wdhq úkaokh l<d

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f,dj jhia.;u mqoa.,hd f,i .Skia fmdf;a ku i|yka jQ cmdkfha hiqgdrd fldhsfâ miq.shod cmdkfha kf.dahdyS wdfrda.HYd,djloS wNdjm%dma; úh' kshqfudakshdj frda. fhka mSvd ú|s fldhsfâf.a urKhg fya;=j f,i i|yka jkafka yoj; wl%Sh ùuhs' ñh hk úg Tyqf.a jhi wjqreÿ 112la jYfhka i|yka fõ' 1903 ud¾;= ui 13 iosk Wmka fldhsfâ jD;a;Sfhka we÷ï uikafkls' miq.sh cq,s udifhaoS wNdjm%dma; jQ Tyqg jvd uila jeä mqoa.,fhl= ñh hdfuka miq fldhsfâ f,dj jhia.;u mqoa.,hd jYfhka .Skia jd¾;d fmd;g tlaúh' 5

BREAKING HEALTH NEWS

´kEjg jvd jev fkdlsÍu;a úfkdaofhka isàu;a ;ukaf.a cSú;fha mqreÿ lr.;a ,laIK nj Tyq .ek úuiSfïoS Tyq lshd isàug mqreÿ ù isá fï jhia.;u iShd ienúkau úfkdaoldój cSú;h .; l< nj ióm {d;Ska i|yka lrhs' cmdk cd;slhka os.disß ú|sk cd;shla f,i m%lgh' ñ,shk 127la jk trg ck.ykfhka y;frka tllau jhi wjq' 65 blaujQjkah' Vital Statistics 2015 jif¾oS <ud wmpdr we;=¿j orejkag tfrysj isÿjk ysxikhka iïnkaOfhka ,enqKQ uq¿ meñKs<s ixLHdj 10"732

ffjoHjrhd mqj;a úuiqu

wud;H" ffjoH rdcs; fiakdr;ak ue;s;=ud úiska W;aijYS%fhka újD; lrk ,oS' fuu kj f.dvke.s,af,ys jdyk k;r lsrSfï myiqlï fukau mdrsfNda.slhdg jeä bv myiqlï we;s w;r rdcH Tiqif,ka Wiia ;;a;ajfha" wdrlaIdldrS" m%;HlaI SPC T!IO idOdrK ñ,lg ,nd .ekSug yel' T!IO ,nd .ekSu ms<sn| jeä úia;r l<ukdlre" rdcH Tiqi," lrdmsáh ÿrl:k 091-2226947 weu;Sfuka Tng ,nd .; yel'

jdyfka hk w;r;=f¾oS orefjla m%iQ;sh ,nk yeá oelafjk wdorKSh fudfyd;la orefjla ìys fjkak kï ujlg wju myiqlula j;a ;sfhkak ´ks' wvq .dfk je;sr bkak we|la j;a ´ksfk' ta;a m%iQ;shla tkafk l,ska lsh,;a fkdfjhsfk' ;dhsjdkfha ldka;djlg jdyfka .ukla hk w;f¾ ú,s reodj wdj' weh tahg uqyqK ÿka wdldrh oelafjk wmQre ùäfhdaj Tn;a fï QR Code tl la,sla lsÍfuka krUkak' ffjoHjrhd i`.rdj fujka wmQ¾j w;aoelSï Tfí fk;= udkhg f.k tkjd'''

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fo;=ka mdr lgq .ykafk ke;sj jka fIdÜ tflka bkafclaIka fokak oeka mq¿jka''' bkafclaIka .ykjg iuyreka yßu nhhs' úfYaIfhkau orejka' jeäysáhka jqK;a bkafclaIka tlg nh wh wm w;f¾u tugj;a bkakjd' fï bkafclaIka tl .yk tl wñysß w;aoelSula fjk Ndú;djlao ;sfnkjd' ta ;uhs kyrh yßhg mdo.kak fkdyels ùu' wfma we;euqkaf. kyr fmakafku kE'

tfyu jqKdu 2-3 fkfuhs 4-5 j;djla jqK;a lgqj .ykak isÿ fjkjd' th yßu fõokdldßhs' úfYAIfhkau uy; whg;a lSfudf;rms m%;sldr .kak whg;a fï kyr wyq fjkafk ke;s tl úYd, m%Yakhla' fï .eg¿jg kùk ;dlaIKh úi÷ula fidhdf.k ;sfnkjd' iu u; w,jk tla;rd úfYaIs; iaàlrhla ksmojd ;sfnkjd' thg háka Ysrd wmQrejg

fmfkkjd' yßhg lkakdählska jf.a' fï ksid oYuhla j;a tyd fuyd fkdù glaflgu Ysrdfjka reêrh u;= fjk úosyg kslafIamkh lrkak mq¿jka ksid wdfh fõokdjla tkak úosyla kE' l+,a tfla kyrh úo, f,a .kak mq¿jka' fï úYañ; WmlrKfha l%shdldß;ajh oeka Tngu n,d.kak mq¿jka' Tfí cx.u ÿrl:kfhka my; Link tlg iïnkaO fjkak'

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2016 ud¾;= l<dmh

ZIKA

Zika, kghso fv`.d'''

ZIKA, kghso fv`.d'''

fmroeß lr.;a frda.hg ,laùfï wjodkug ,la úh' uhsfl%dfi*,s kue;s frda.hg orejka md;% jk fya;= lsysmhls' refn,a,d jeks ffjria wdidokh" uoHidr yd u;aøjH j,g uõmshka weíneys ùu fukau ÿ¾j, fmdaIKh ksido fï uhsfl%dfi*,s frda.hg orejka md;% jk nj y÷kdf.k ;sfnkjd'

oeka f,dalh mqrd me;sr hk isld ffjri frda.h fï jk úg zisld ffjri frda. hZ fõ.fhkau me;sr hk rg f,i jd¾;d jkafka fldf,dïìhdjhs' fldf,dïìhdfõ ,laI y;la ck;djg fï ffjrih wdidokh ù ;sfnk nj oek.kakg ,eî ;sfnkjd' WKla j;a we;s fjkafk frda.h je<÷Kq mia fofkla .;af;d;a tla flfkl=g muKhs isld ffjri frda.h óg fmr t;rï ffjoHjrekaf.a wjOdkhg ,lajQ frda.hla fkdfõ' frda. ldrl ffjrih YÍr.;jQQ wh mia fofklaf.ka WKla fyda yg .kafka tla wfhl=g muKhs' weia r;=ùula" m¿ oeóula" ykaosm;a lelal=ula iu. we;sjk WK yereKq úg ie<lsh hq;= fjk;a Nhdkl frda. ;;a;ajhla fï ffjrih je<÷KQ whg we;s fkdjqKq ksid fuf;la fï .ek f,dalh jeäfhka wjOdkh fhduq lf<ao kE' n%iS,fha bmÿKq orejkaf.a fud<fha j¾Okh wvq jqKd' ysi l=vd jqKd''' tfy;a fï ;;a;ajh fjkia ù isld ffjri frda.h uq¿ f,dalfhau wjOdkh oskd.;af;a uE; ld,fhaoS n%iS,fha .¾NsKS ud;djkag Wmosk orejkaf.a ysi l=vd ùu;a" fud<fha j¾Okh ySk ùu;a orejka Wm; ,nkakg fmr fyda Wmka miq urKhg m;a ùfï isÿùï jeä ùu;a iu.h' n%iS,fha orejka 3800la muK miq.sh ld,fhaoS uhsfl%dfi*,s kue;s by; frda. ,laIK 8

;ju;a ysi l=vd jQ orejka Wmoskafk n%iS,fha ú;rhs@ fya;=j islduo@ m%Yakhla n%iS,fha fï wjdikdjg ,lajQ orejkaf.a reêr idïm, mÍlaId lsÍfïoS fï orejkag isld ffjrih YÍr.; ù ;sfnk nj fy<sorõ ù ;sfí' tfy;a ta b;d iq¿ m%udK j,sks' wfkla wjOdkhg ,lajQ ldrKh jkqfha n%iS,fha yereKq úg wfkl=;a isld ffjri frda.h jHdma; jQ rgj, orejka w;f¾ ysi l=vdj Wm; ,nk orejka ie<lsh hq;= uÜgulska jd¾;d fkdùuhs'

ffjoHjrhd - udisl ffjoH iÕrdj

isld ffjri frda.h óg fmr t;rï ffjoHjrekaf.a wjOdkhg ,lajQ frda.hla fkdfõ' frda. ldrl ffjrih YÍr.;jQQ wh mia fofklaf. ka WKla fyda yg .kafka tla wfhl=g muKhs'

2016 ud¾;= l<dmh

fï wkQj isld ffjrih ksYaÑ; jYfhkau uhsfl%dfi*,s ;;a;ajh l=i fyd;a orejkg we;s lrjk njg iaÓridr idlaIs yuqù ke;' tfy;a fï iïnkaOfhka úoHd;aul lreKq fy<sorõ lr .ekSug hï ld,hla .; jk ksid wefußldjo we;=¿j fndfyda rgj,a wdrlaIdfõ mshjrla f,i hï hï mshjr f.k ;sfí' .¾NsKS uõjreka nh fj,d''' fï wkQj isld ffjrih me;sr hk rgj, ixpdrh lsÍfuka j<lsk f,i wefußldj yd ;j;a rgj,a lsysmhla wk;=re y`.jd ;sfí' N+f.da,Sh jYfhka isld ffjrih wefußldjg wNsfhda. t,a, lsÍfï wjodku jeä nj;a fuysoS wjOdkhg .; hq;=hs' t,a ie,ajfodarh ta rfÜ ldka;djkag jir folla hk ;=re .¾NKSNdjhg m;a fkdjk f,i Wmfoia imhd ;sfí' isld ffjrih me;sr mj;sk m%foaY j, ixpdrfha fhÿKq wh ;u f,a mÍlaId lr.kakd f,i Wmfoia ÿkafka wefußldfõ frda. ksjdrK wdh;khhs'

ZIKA

Zika, kghso fv`.d'''

kuq;a fï lsisu Wmfoila ;ju;a ksl=;a fkdjQ msßilao isà' ta isld ffjrih wdidokh jqKQ .¾NsKS ldka;djkah' fï ldka;djkag ksYaÑ; wdrlaIl ffjoH Wmfoia ,ndoSug ;ju;a ffjoH úoHdj iu;a ù ke;' pQos; uÿrejd kï wfma rfg;a bkakjd isld ffjrih .ek uq,skau wikakg ,enqfKA W.kavdfjka' ta 1947oS' W.kavdfõ jk.;j jdih l< Íiia j÷rkaf.ka fuu ffjrih uq,skau y÷kd.ekqkd' fï ffjrih ksid ñksiqka frda.S jk njg uq,skau jd¾;d jqfKA 1952 oS' ffjrih f.k hkafka Bäia Bcsmaghs kï uÿrejd' ta uÿrejd ;uhs fvx.= frda.h m;=re jkafka' fvx.= yereKq úg ly WK" Ñl=ka.=kahd wdoS frda. /ila m;=rejkak fï Bäia Bcsmaghs uÿrejd iu;a' wfma rgo fï uÿrejd ksid fnfyúka neg lkjd' ta fvx.= frda.h we;s lsÍfuka' yeÿfKd;a wjodku jeä ldgo @ fvx.= ffjrifha wdldr y;rla y÷kdf.k ;sfnkjd' tla wdldrhlska fvx.= yeÿKQ flfkl=g fjk;a wdldrhl ffjrihlska fvx.= yeÿfKd;a we;sjk wjodku jeähs' ta jf.au ffjoHjreka úYajdi lrkjd" fï fvx.= ffjrifha tla wdldrhla je<÷Kq flfkl=g isld ffjrih je<÷fKd;a ;;a;ajh ;rula jHdl+, jSfï jeä bvla ;sfnk nj' wfma rfÜ úoaj;a woyia fldfydu jqK;a fï ,shk fudfyd; jk úg wfma rg fï ;¾ckhg ,la ù kE' jix.; frda. wxYfha m%Odk jix.; úoHd{ ffjoH mnd m,syjvk mjik wdldrhg isld ffjri frda.h cSú;hg ;¾ck we;s lrk frda.hla fkdfjhs' fï frda.h ksid .¾NsKS ldka;djkaf.a l=fiys jefvk orejkag n,mEula ;sfnkjdo hk m%Yakhg weh ms<s;=re fokafk fufyu' zz;ju ta .ek úoHd;aulj ;yjqre fj,d kE'ZZ ,;ska wefußldkq iy leßìhdkq rgj,a j,ska tk ixpdrlhkaf.ka fï isld ffjri frda.h wfma 10

rgg;a meñfKkak mq¿jka' tfyu kï meñfKk ixpdrlhka iïnkaOfhka hï wdfõlaIK jevms<sfj,la ;sfhkak mq¿jka' ta;a udkj ksfrdaOdhk fiajfha wOHlaI ffjoH md,s; lreKdr;ak fufyu lshkjd' zz;ju tfyu úfYAI wdrlaIK jevms<sfj,la .=jkaf;dgqmf<A l%shd;aul fjkafk kE' wms fi!LH wud;HxYfha jix.;fõo tallh iu. iyfhda.fhka lghq;= lrkjd' hï ud¾f.damfoaYKhla ,nd ÿkafkd;a wm ta wkQj lghq;= lrkjd'ZZ isld ffjrih .ek j¾;udk ;;a;ajh fï úosyghs' ta;a fyg ojfia fï iïnkaOfhka ljr fjkiaùula we;sfõ oehs oekau lshkak;a nE' l,lg fmr wysxil hhs is;= isld oeka fmr<s lrkakg mgkaf.kfodahS ksYAph jYfhka lshkakg m¾fhaIlhkag ;j;a ld,hla .; fjkq we;s' Ndr; .=K;s,l úisks

ffjoHjrhd - udisl ffjoH iÕrdj

ZIKA VIRUS Q & A

isld ffjri frda.h lshkafk fudllao @

Zika virus Q & A

isld ffjri frda.h lshkafk fudllao @

fuu ffjrih wdidos; uÿrejkaf.ka ;uhs fï frda.h je<f|kafka' wfma rfÜo isák BäiaBcsmaghs kï uÿre úfYAIfha ffjrih wdidos; uÿrejka imd lEfuka fï ffjrih wmg YÍr.; jkakg mq¿jka' isld ffjrih wdidos; uÿrejkaf.a lEug ,lajk iEu mia fofklaf. ka tlaflfkl=g isld ffjri frda.h we;s fjkak mq¿jka' fndfyda fofkl=g t;rï nrm;, frda. ,laIK we;s jkafka kE' ta ksidu fï jeä fofkla isld ffjrifha wdidokhg ,lajQ nj oek.kafka j;a kE'

2016 ud¾;= l<dmh

isld ffjri frda.fha frda. ,laIK fudkjdo @ • WK • isref¾ we;sjk m¿ • ykaosm;a wdY%s; fõokdj • weia r;=ùfï frda.h ^lkackalaájhsáia& uÿrejd lEfuka miq osk 2-7 ld,hloS frda. ,laIK u;= fjkak mq¿jka'

fnda fjkak mq¿jka' .¾NKS ujl frda. hg k;=ù isákjd kï wef.a orejdg;a isld ffjrih fnda fjkak mq¿jka' l=i ;=< isák úg fyda ore Wmf;aoS ujf.ka orejdg fï ffjrih fnda úh yels nj okakd lreKla jQj;a th isÿjk yeá ;ju;a ksYAÑ;j y÷kdf.k kE'

isld ffjrih fndaùu isÿ jkafka fldfyduo @ Bäia uÿrejd ;uhs fï ffjrih uQ,sl jYfhka m;=rejkafk' isld ffjrih ksid wdidokhg m;a flfkla Bäia uÿrefjla oIaG lf<d;a ta uÿrejd yryd ;j;a flfkl=g frda.h

fï ffjrih fndaùfï yelshdj we;af;a ldgo @ fï ffjrih oekg rgj,a fndfydauhl me;sr ;sfnkjd' fï rgj, ixpdrh lrk ´kEu flfkl=g isld ffjrih fndaùfï" jdylfhla ùfï bvlv ;sfnkjd'

ZIKA VIRUS Q & A

fï ffjri frda.fhka je<elSug .;hq;= mshjr fudkjdo @ fï frda.fhka je<elSug tkak;la kE' uÿre oIaGk j,ska je<lSu ;uhs lrkak ;sfhk fyd|u foa' Tn;a Tfí mjqf,a Woúh;a isld ffjrifhka je<lSug my; mshjr .; yelshs' • YÍrh iïmQ¾Kfhkau wdjrKh jk weªï w|skak' • ijia jk úg uÿrejkag m%fõY ùu wjysr jk fia fodr cfk,a jid ;nkak' • ksfji wNHka;rfha uÿrejkaf.ka wdrlaId ùug uÿre fldhs,a" fjk;a uÿre úl¾Yl fhdod .kak' rd;%S ld,fha fkÜ tlla hg ksod .kak' • wjg mßirh msßisÿj ;nd.kak' uÿrejka fnda úh yels ia:dk fidhd n,d mßirh fi!LHiïmkakj fjkia lrkak' isld ffjrih YÍr.; jQ miq lrk m%;sldr fudkjdo @ fï fjkqfjka úfYAIfhka ksmojQ 12

isld ffjri frda.h lshkafk fudllao @

tkak;a fyda T!IO fkdue;' frda.h je<÷KQ miq my; wdldrhg m%;sldr lrKQ ,efí'

wdidokhg ,laù m<uq i;sh ;=<oS reêr idïm,hla mÍlaId lsÍfuka frda.h ;yjqre lr.; yel'

• frda.shd úfõlfhka ;nkak'

isld ffjrih je<|Sfuka jrla frda.S jQ úg kej; kej;;a frda.h je<|Sfï bvlvla ;sfío @ jrla je<÷KQ miq fndfyda ÿrg kej;;a isld ffjrih ksid frda.S fkdùfï bvlvla mj;S'

• úc,kh we;s fkdùug m%udKj;a ;rï îu j¾. ,nd fokak' • WK md,khg acetaminophen T!IOh ,nd fokak' • weiamsßka fyda NSAID ldKAvfha T!IO ,nd fkdfokak' • Tn fjk;a frda.hlg lsishï T!IOhla ,nd.kafka kï isld ffjrihg m%;sldr ,nd .kakg hk Tn ta nj ffjoHjrhdg okajd isákak' frda.h y÷kd.kafka flfiao @ uQ,sl jYfhka frda.h me;sr mj;sk rgl ixpdrh lf<A kï by; úia;r lrk ,o frda. ,laIK lsysmhla fmkajhs kï reêr mÍlaIKhla isÿ flf¾' ta ffjri iïNjhla iys; fvx.=" Ñl=ka.=kahd wdoS frda. fkeue;s nj neyer lsÍugh' isld ffjrih reêr idïm,fhka y÷kd.ekSugh'

isld ffjrih .eìKshkag n,mdkafka fldfyduo @ .¾NKSka isld ffjrihg f.dÿre ùfuka Tjqkg Wmosk orejkaf.a ysi l=vd jk njg;a fud<fha fodaI we;sjk njg;a y÷kdf.k ;sfí' kuq;a fï iïnkaOfhka úoHd;aul f,dalh ;ju;a ksiel f;dr;=re ,ndoSug wiu;ah' n%iS,fha yer fjk;a rgj, orejkaf.a ysi l=vd fjñka orejkaf.a fud<fha j¾Okh ySk jk njg f;dr;=re ,eî ke;'

ffjoHjrhd - udisl ffjoH iÕrdj

2016 ud他;= l<dmh

CARICA PAPAYA FOR DENGUE FEVER

fvx.= frda.Skag mefmd,a hqI m%;sldrh fvx.= frda.Skaf.a blauka iqjhg mefmd,a hqI m%;sldrh fya;= fjkjd''' úfYAI{ ffjoH ik;a fyÜáf.a

fmd,a wfma rfÜ iq,n m<;=rls' fmdaIH .=Kfhka wkQk mefmd,a úoHd;aulj y÷kajkafka Carica papaya hkqfjks' mefmd,a .fiys yefok rij;a m<;=rg ñi tys fld< j,g fuf;la t;rï wjOdkhla fhduq jqfKa ke;' tfy;a wfmau ngysr úfYaI{ ffjoHjrfhl= fï mefmd,a .fia fld< wreue;s T!Iëh jákdlulska hqla; hhs uq,skau fmkajd ÿkafka 2008 j¾IfhaoSh'

frda.Ska fjkqfjka ixfõoS jQ ffjoHjrfhla uyr.u m%foaYfha úfYaI{ úfYAI{ ffjoHjrfhl= jQ fya kñka ik;a fyÜáf.ah' tu ;odikak ld,h wfma rfÜ ck;dj fvx.= uÿrejdf.ka uy;a fia neg lE jljdkqjla úh' m%foaYfha ck;dj úYd, jYfhka fï frda. hg ,lajkq Tyq m%dfhda.slju w;aÿgqfõh' l,a h,a fkdyer kshñ; m%;sldr fkd,eîu ksid we;eï frda.Ska ñheoSu Tyq m%lïmkhg ,la l< isÿùula úh' zzfï fjkqfjka fudlla yß lrkak we;akï'''ZZ Tyq is;kakg we;' mefmd,a hqIh fvx.= frda.hg fhdod .ekSu iïnkaOfhka Tyq wOHhkh lf<A ta iïnkaOfhka úúO uQ,dY% fhdodf.k isÿl< mq¿,a yeoEÍulska wk;=rejh'

fvx.= frda.Skag mefmd,a hqI m%;sldrh

Y%S chj¾Okmqr úYAj úoHd,hSh ffjoH mSGfha iyfhda.S;djfhka l¿fndaú, YslaIK frday,g meñfKk fvx.= frda.Ska i|yd fï hqI ,nd foñka úoHd;aul l%ufõohkag wkQj m¾fhaIKhla isÿ lrkq ,eîh' fuysoS fvx.= frda.Ska 43la mefmd,a hqI ,ndoSug fhdod. kakd ,o w;r md,l lKavdhu f,i ;j;a frda.Ska 43la fhdod.kq ,eîh'

mefmd,a hqI fhdodf.k m¾fhaIK isÿ flfrhs mefmd,a YdLh fj;'' fjfiiskau tys we;s lsisÿ m%fhdackhla fkd.kakd mefmd,a fld< flfryS Tyqf.a wjOdkh fhduq jQfha tys m%;sM<hla jYfhks' mefmd,a ffjoHjrhd - udisl ffjoH iÕrdj

fld<fhka hqI Wlyd .ekSu yqfola ir< l%shdj,shla uq;a ta ;=<ska wkfmalaIs; hym;a m%;sM< Wlyd.; yels nj Tyqf.a úÿyqre {dKhg m%;HlaI úh' frda.Ska fhdodf.k l< uQ,sl m¾fhaIK j,oS Tyq fndfyda id¾:l m%;sM< w;aÿgqfõh' fï iïnkaOfhka f,dalfha m<uqfjka isÿlrk ,o mÍlaIKh Sri Lanka Family Physician ffjoH i`.rdfõ 2008 l,dmfha m%ldYhg m;aúh' fï m¾fhaIKh fï úIh iïnkaOfhka kfjdaohla we;s l< w;r Bg miq fiiq rgj, úoHd;aul m¾fhaIK úiailg wdikak m%udKhla isÿ lsÍug fuh uq,aúh' tu iEu m¾fhaIKhlskau mefmd,a hqI j, we;s idOKSh .=Kdx. m%lg flßK'

ix.ufha Sri Lanka Clinical Trials Registry yS ,shdmosxÑh ,eîh' Y%S chj¾Okmqr úYAj úoHd,hSh ffjoH mSGfha iyfhda.S;djfhka l¿fndaú, YslaIK frday,g meñfKk fvx.= frda.Ska i|yd fï hqI ,nd foñka úoHd;aul l%ufõohkag wkQj m¾fhaIKhla isÿ lrkq ,eîh' fuysoS fvx.= frda.Ska 43la mefmd,a hqI ,ndoSug fhdod.kakd ,o w;r md,l lKavdhu f,i ;j;a frda.Ska 43la fhdod.kq ,eîh' Controlled trial on effect of Carica papaya leaf extract on patients with Dengue Fever kñka úoHd;aul l%ufõohkag wkQj fï m¾fhaIKh isÿ lrkq ,eîh' fuu m¾fhaIKfha f;dr;=re World Health Organization Clinical Trial Registry fjí wvúfhao wka;¾.;hs'

B<`. mshjr jQfha úoHd;aul jYfhka idlaId;a l<yels m¾fhaIKhla Tiafia fï y÷kajdoSu isÿ lsÍuhs' fï i|yd Tyq Y%S ,xld ffjoH 2016 ud¾;= l<dmh

CARICA PAPAYA FOR DENGUE FEVER

fvx.= frda.Skag mefmd,a hqI m%;sldrh

mefmd,a hqI j, T!Iëh .=K m¾fhaIKd;aulj ;yjqre fjhs fuu m¾fhaIKfhka yd ffjoH ik;a fyÜáf.a úiska isÿlrk ,o wjfYaI m¾fhaIK m%;sM< j,g wkQj wkdjrKh jQ lreKQ j, iïmsKavkhla fufiah' • mefmd,a hqI ,ndoSfuka fvx.= frda.Skaf.a reêr mÜáld m%udKh by< kexfjk nj' • YÍr.; fvx.= ffjri úkdY lsÍug fuu mefmd,a hqI WmldÍ jk nj' • reêr ;r,h msg;g jykh ùfï reêrjyk ;;a;ajh je<elaùug fuu mefmd,a hqI l%shd lrk nj' • fvx.= frda.Skaf.a WK mej;S osk .Kk ishhg 40lska muK wvq lsÍug fuu mefmd,a hqI m%;sldrh iu;a jk nj' • frday,a.;j .; lsÍug isÿjk ld,h ishhg 25lska muK wvqjk nj' bosßfhaoS fj<|fmd<g T!IO tkjd''' ffjoH fyÜáf.a uy;d fï hqI fhdodf.k fm;s" lr,a yd isrma mx;shla ksIamdokh lrñka ;j;a mshjrla bosßhg ;nd we;s uq;a fïjd fj<|fmd<g meñKSug ;j;a l,la .; jkq we;' flfia fj;;a ´kEu flfkl=g fï m%;sldrh i|yd mefmd,a hqI ms<sfh, lr.ekSug ffjoH fyÜáf.a Wmfoia fohs' fvx.= frda.Ska i|yd mefmd,a hqI ksjerosj ilid.kafka fufyuhs • fï i|yd jvd;a iqÿiq jkafka zfrâ f,aäZ kï mefmd,a j¾.fha m;%h' ;o r;= mdggyqre fï frâ f,aä j¾.fha mefmd,a .ia wfma rfÜ iEu m<d;lu jefõ' flfia kuq;a zfrâ f,aäZ j¾.fha mefmd,a ke;s jqj;a f.ä ksIamdokh jk ´keu mefmd,a .ilska fudarmq fld<hla Tng fï i|yd fhdod.; yel'

• hqI ,nd.ekSug f;dard.; hq;af;a ksfrda.S m;%hls' th .fia ueo m;%hla ùu jvd;a iqÿiqh' • fidaod.;a m;%h l=vd len,s j,g lmkak' • bkamiq jxf.ähl oud fldgkak' jvd;a iqÿiq .,a jxf.ähls' íf,kav¾ lrkak tmd' íf,kavrfhaoS hqI by< WIAK;aj j,g m;aùfuka tys we;s jákd tkaihsu úkdY ù hhs' • fï fldgk fld< j,g iSks .a?ï 25la muK fhdod flàu l< yel' fuhg j;=r iaj,amhlao tl;= lr ;,mhla jk fia fláh hq;=h' • bkamiqj ñks;a;= oyhla muK ksfid,aufka ;eìh hq;=h' • bkamiq w;ska ñßld hqI Ndckhlg ,nd.kak' fros lene,a,la wdOdr lrf.k ñßlSfuka T!Iëh .=Kh ySk fõ'

ffjoHjrhd - udisl ffjoH iÕrdj

ffjoH fyÜáf.a uy;d fï hqI fhdodf.k fm;s" lr,a yd isrma mx;shla ksIamdokh lrñka ;j;a mshjrla bosßhg ;nd we;s uq;a fïjd fj<|fmd<g meñKSug ;j;a l,la .; jkq we;'

,nd fok ud;%dj fufyuhs fufia ,nd.;a mefmd,a hqI orejkag fukau jeäysáhkago ,ndoSfuka fvx.= frda.fha blauka iqjhg uy;a msgqjy,la ,efí' orejkag f;a yekao;a folla w;r m%udKhla ojilg ;=ka j;djla oSug ks¾foaY flf¾' jeäysáhkag kï fïi ye|s fol ne.ska ojilg ;=ka jrla ,nd osh yel' 2016 ud¾;= l<dmh

idudkH WKlg jqK;a mefmd,a hqI .ekSfuka hym;la isÿ fjkjd fï oskj, fvx.= WK iq,nj ;sfí' fï wkQj WK yeÿKq m<uq oskfhaoSu NS-1 wekaáck mÍlaIKh isÿ lr fvx.= frda.h je<|S ;sfí kï m<uq oskfhaoSu fuu hqI mdkh lsÍfuka jvd;a fyd| m%;sM< ,nd.; yel' hï fyhlska je<|S we;af;a fvx.= frda.h fkdjQj;a fuu mefmd,a hqI .ekSfuka fjk;a ffjri ;;a;ajhla jQj;a th iukh lsÍfï yelshdjla Bg ;sfnk nj fy<sorõ ù ;sfí' fï nj wefußldfõ le,sf*dakshd úYaj úoHd,fha uydpd¾h kEï vex.a m%uqL m¾fhaIlhka msßila úiska isÿ lrk ,o m¾fhaIKhlskao ikd: ù ;sfí' mefmd,a hqI Ndú;d lrk frda.Ska u;lfha ;nd.; hq;= ;j;a jeo.;a lreKla jkafka hï fyhlska fuu mefmd,a hqI .ekSu wdrïN l< frda.sfhl= frda.h iïmQ¾Kfhkau wjika jk ;=re fkdlvjd .; hq;= njhs' mefmd,a hqI .;a;;a frday,a.; fjkak isÿ fjkjd''' fvx.= frda.h je<ªKQ frda.Ska fuu mefmd,a hqI m%;sldrh ,nd .ekSfuka iqjh blauka jk uq;a fï frda.Ska ksielfhkau ngysr m%;sldr j,g frday,a.;j fhduq úh hq;= nj ffjoH ik;a fyÜáf.a jeä ÿrg;a m%ldY lr isáhs' miq.sh jif¾ fyd|u ffjoH úoHd;aul fidhd.ekSu miq.shod kj ksmehqïlrejka i|yd jk ckdêm;s iïudk Wf<f,aoS ffjoH úoHdj i|yd jk fyd|u fidhd.ekSu i|yd jk iïudkh w;s.re ckdêm;s ffu;%Smd, isßfiak uy;d fj;ska ffjoH ik;a fyÜáf.a fj; msßkeuqfKA fï fvx.= frda.Ska i|yd jk mefmd,a hqI m%;sldrh fjkqfjks'

AVOID SUGAR TO PREVENT CANCER

os.disß m;d wdisß iqj;d uOHia:dkfhka bosßm;a lrk fi!LH mKsúv

fnda fkdjk frda. ful, wfma rfÜ jix.;hla fia me;sr hhs' wêreêr mSvkh" oshjeähdj" ms<sld" yoj;a frda. fï ish,a,lau wäm W;aidy lf<d;a we;s ùfï wjodku wju l< yel' fï iïnkaOfhka wmf.a mdGlhka oeKqj;a lrk iqúfYAIS ,sms fm<la fï l,dmfha isg wdrïN fõ' fï ,sms fm< Tn fj; bosßm;a lrkafka wdisß Y,H frdayf,a iqj;d uOHia:dkfha Wellness Centre ldreKsl wkq.%yfhks

os.disß m;d wdisß iqj;d uOHia:dkfhka bosßm;a lrk fi!LH mKsúv iSks jeämqr wkqNjfhka mshhqre ms<sld iq,n ùfï wjodkula Y%S ,xldfõ yd bkaoshdfõ ldka;djka w;f¾ mshhqre ms<sld iS>%fhka me;sr hhs iSks YÍrhg wjYHfhkau jqjuKd jk fmdaIlhls' YrSrhg wjYH laIKsl Yla;sh W;amdokhg iSks WmldÍ fõ' fm%daàk" ldfndayhsfâ%g wdoS fmdaIl j,g fujka yosis mßjD;a;Sh wjYH;d we;s jkafka ke;' fukhska n,k l< yqiau .kakg Tlaiscka wjYH fjkjd jf.au cSj;a jkakg wmg iSkso wjYH fõ' 18

iSks mshhqre ms<sld j,g w; jkk njg fy<sorõjla meKs ri jqK;a iSks muKg jvd <x lr .ekSu kï iqÿiq fkdfõ' mDlafgdaia kue;s iSks wdldrh wmf.a isref¾ ms<sld ffi, ksmoùug fya;= jk nj y÷kdf.k ;sfí' iSks iq,nj wdydrhg .ekSfuka jeä jeäfhka ms<sld we;s jk nj;a fjfiiskau ldka;djkaf.a mshhqre ms<sld we;sùug fï iSks w;sYhska n,mdk nj;a m¾fhaIlhka y÷kdf.k ;sfí' ,xldfõ yd bkaoshdfõ ldka;djka jeä jeäfhka mshhqre ms<sld j,g ,la fj,d miq.sh ld,h ;=< Y%S ,xldfõ yd bkaoshdfõ ldka;djka w;f¾ mshhqre ms<sld fnfyúka jd¾;d úh' fuh wm rgj, muKla fjfik ldka;djkg muKla n,mdk ,o wjodkulao fkdfõ' ,dxflah fukau bkaoshdkq iïNjhla iys; ldka;djka ngysr ffjoHjrhd - udisl ffjoH iÕrdj

rgj,oSo jeäfhka mshhqre ms<sld j,g k;=jk jd;djrKhla f.dv kef.ñka ;sìK' fï ksidfjkau" fï .ek fjfiiska fidhd oeK.ekSu msKsi ´iafÜ%,shdfõ ksõijq;afõ,aia m%dka;fha ,dxflah" Ndr;Sh ldka;djkaf.a fï mshhqre ms<sld wjodku ms<sn|j ;jÿrg;a lreKQ yeoEÍu msKsi úfYAI wOHhkhlao isÿ flreKq w;r th Pink Saree Project hkqfjka ye|skaúk' ta jk úg;a ,dflah yd bkaoshdkq iïNjhla iys; ldka;djka flfryS l%shd;aul jk fjfiia mshhqre ms<sld wjodkula ´iafÜ%,shdkq ffjoHjrekaf.a wjOdkhg ,la jqKq w;r ldka;djka wg fofklaf.ka tla wfhl=g ms<sld we;sùfï wjodku meK ke.S ;sìK' jHdmD;sh yryd fï ldka;djka iEu jir follgu jrla uefuda.%Eï mÍlaIKhg Ndckh lrk ,o w;r mshhqre ms<sld we;sùu uq,a wjia:dfõoSu y÷kdf.k Tjqkag l,a h,a we;sj m%;sldr ,ndoS cSú;h wjodkfuka .,jd .ekSu fuys wruqK úh'

wjodkug fya;=j iSkso we;=¿j ngysr mkakfha wdydr mshhqre ms<sldjo we;=¿j fïid m%udKhlska ms<sld ñksiqka w;f¾ me;sÍug ngysr mkakfha wdydr wdYla;fhka je<|. ekSu fya;= jk nj ngysr m¾fhaIlhkau oeka lshd mdhs' iSks" w¾;dm,a ne÷ï" f*%kaÉ *%hs ms<sld j,g w; jkk wdydr fõ' fïjd ksid ia:q,;djh we;s jk w;r thskao ms<sld we;s ùfï wu;r wjodkula meK k.S' iSks l=vd orejkag úYd, kmqrla lrkjd iSks ksid l=vd orejkag jk ydksh fnfyúka úkdYldÍh' l=vd ld,fhaoSu oshjeähdj je<f|k w;r kj fhdjqka úhg md ;noaoSu fldf,iagfrda,a we;sùug fï ksid bv ;sfí' ojia kjhla jeks ld,hlg iSks wvq lsÍfuka fï orejkaf.a reêr iSks" fldf,iagfrda,a wdosh ie<lsh hq;= m%udKhlska wvq jk nj m¾fhaIKhlska y÷kdf.k ;sfí'

2016 ud¾;= l<dmh

AVOID SUGAR TO PREVENT CANCER

os.disß m;d wdisß iqj;d uOHia:dkfhka bosßm;a lrk fi!LH mKsúv

úoaj;a m¾fhaIlhka ,nd fok mKsúvh ms<sld frda.Ska m%Odk jYfhka ñh hkafka wdrïNfhaoS yg.;a ms<sldfjka fkdfõ' tu ms<sldj me;sr f.dia fjk;a ;ekl we;sjk ms<sldjla fï nyq;rhla urK j,g fya;= fjhs' iq,n jYfhka iSks wkqNjh jvd;a m%d:ñl ms<sldfjka Tíng .sh jvd;a oreKq ms<sldo we;sùug tla fya;=jla nj m¾fhaIlhka y÷kdf.k ;sfí' f,dfrkafida fldfyka kï úoajf;l= úiska fufyhjQ óhka fhdod.;a m¾fhaIKhloS weia wrjk fidhd .ekSula lrKQ ,eìK' m%fõKsl jYfhka ms<sld j,g k;= ùfï wjodkula we;s ksfrda.Ska wêl iSks wdydrhg ,ndoSfïoS myiqfjka ms<sld j,g ksrdjrKh jk nj ta fidhd.ekSuhs' msá lEuo iSks njg m;a fjkjd' ta ksid jeämqr msá wdydr .ekSuo fyd| kE msIaGh ^fuh mßjD;a;SfhaoS iSks njg fmrf<hs'& m%Odk jYfhka nyq, wdydr .ekSfuka mshhqre ms<sld wjodku ishhg ;sylska by< kexfjk nj ;j;a mÍlaIKhlska wkdjrKh úh' fï wkQj iSks muKla fkdj msá lEuo iq,nj .ekSu wmg wys;lrh' fï wkQj iqlafrdaia" mDlafgdaia yd .aÆfldaia hk iSks j¾.o muK blaujd .kakd msIagho ms<sldjg w; jkk nj meyeos,sh' jvd Nhdkl iSks j¾.h - mDlafgdaia iEu iSks j¾.hlau ms<sld ffi, we;sùu W;af;ackh lrhs' kuq;a jvd;au Nhdkl mDlafgdaiah' ieliQ wdydr j, nyq, jYfhka we;af;a mDlafgdaiah' fj<|fmdf<A wf,ú jk îu j¾. j, we;af;a mDlafgdaiah' meKs rih idr flala" msÜid" fukau fndfyda ksñ wdydr j, we;af;ao mDlafgdaiah' m<;=re j,o mDlafgdaia we;' flfia fj;;a m<;=re j, we;s mDlafgdaia ksid ms<sld wjodkula we;s jkafka ke;' thg fya;=jla ;sfí' m<;=re j, we;s mDlafgdaia iSks ;ka;=uh fldgia" úúO fmdaIl yd m%;sTlaisldrl iu. ñY% ù ;sfí' th ydkslr hdka;%Khhka we;s fkdùug fya;=jls'

fldaka isrma fh¥ wdydr j,ska j<lskak' tys we;s iSks wdldrh fyd|u kE kfldaka isrma wdydr l¾udka;fhaoS meKs rildrlhla jYfhka fukau wdydr l,a;nd .kakd øjHhla jYfhkao fhdod .kshs' m%Ks; rihla wdydrhg ,nd fok .ukau fj<|fmdf<A oS¾> ld,hla wdydr krla fkdù ;nd .ekSugo fldaka isrma WmldÍ fjhs' fï ksid wdydr ksIAmdolhka iq,nj fldaka isrma ;u wdydr i|yd fhdod.kakd nj fmfka'

ffjoHjrhd - udisl ffjoH iÕrdj

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

waidyawaraya.lk

m¾fhaIlhka oeka oeka wkdjrKh lrf.k we;s wdldrhg fldaka isrma fh¥ wdydr wmf.a fi!LH iïmkakNdjhg f.k tkafka uy;a ;¾ckhls' th ia:q,;djhg fya;= fjhs' iaurKh fkdfyd;a u;l Yla;sh ySk lrhs' fïjdfha riosho hï wka;¾.;hla ;sfnk nj wkdjrKh ù ;sfí tfyhska orejka fï fldaka isrma fh¥ wdydr .ekSu iqÿiq ke;' th wêreêr mSvkh we;s lsÍug fya;= jk nj y÷kdf.k ;sfí' iSks iïnkaOfhka ks¾foaY fï úosyghs fï wkQj wm yels muK iSks mßfNdackfhka je<lsh hq;=h' f,dal fi!LH ixúOdkh ks¾foaY lr we;s wdldrhg wm ,nd .kakd iuia; le,ß Yla;sfhka iSks j,ska ,nd .kakd Yla;sh ishhg myg jvd wvq úh hq;=h' osklg mqoa.,fhl= ,nd.; hq;= Wmßu iSks m%udKh my; mßosh'

wvq iSks cSú;hlg yqre fjkak' wfma mKsúvh thhs idudkHfha wfma rfÜ ks;r fndk f;a fldamamhlg jrlg iSks ye|s y;rla muK tl;= lrhs' fuh w;sYhska jeä m%udKhls' iSks yels muK wvqfjka .ekSu fi!LHh wdrlaId lr .ekSfï n,.;= mshjrla nj fï wkQj Tng mila jkjd we;' jeäfhka f;a yd lyg f;a fndk úg w,a,g iSks álla oudf.k f;a fldamamh ri ú|Sfï .ïno isß; fï wkQj ;jÿrg;a j.d lr.; hq;= hym;a isß;la nj meyeos,s fõ'

msßñfhl= osklg ,nd .; hq;= Wmßu iSks m%udKh ye|s 9 ldka;djl osklg ,nd .; hq;= Wmßu iSks m%udKh ye|s 6 2016 ud¾;= l<dmh

Asiri Wellness Centre

wdisrs iqj;d uOHia:dkhg Tfí cSú; f.dvdla jákjd wm Tn wdorfhka /l n,d.kakjd Tfí isrer hka;%hla úosyg fudfyd;lg is;kak' we;af;kau ñksia isrer wmQ¾j f,i ie,iqï jQ ixlS¾K hka;%hla' th losu l%shdldß;ajhlska hqla;hs' tlsfklg fjkia bkaøsh" moaO;s .Kkdjla iqixfhda.fhka b;d úYsIAG f,i ñksia isrer ksueù ;sfnkjd' ks¾udKYS,S;ajh" ishqï {dKh ksid ñksid wmQ¾j cSúfhla' hka;% f.fjkjd" ld,hla hk úg ÿ¾j, fjkjd' ñksia isrer;a ta kshduhg hg;a' flfuka jhig hk úg YÍrfha wxf.damdx. ÿ¾j, fjkjd' iqug l%shdldß;ajhg ndOd meñfKkjd' hka;%hl mqxÑ fodaIhla l,a h,a we;sj y÷kd.;af;d;a th uekúka ms<silr lr.; yelshs' YÍr hka;%h;a tfyuhs' kshfmd;af;ka lvkak ;sfhk foa fmdfrdfjka lmkafk l=ugo @ YÍr hka;%h flfryS;a ksis wjOdkh" we,au" ne,au wjYHhs' tfyu ke;s jqfKd;a ñksia hka;%h úkdY fjkjd' hka;%hla wvmK jqfKd;a w¿;a hka;%hla ñ,oS .; yelshs' ta;a cSú;hla ta jf.ao @ ñksia cSú;hg wmuK jákdlula ;sfnkjd' yeu ñksia cSú;hla jgdu wdorKShhka" wêIAGdk" wfmalaId ;sfhkjd' ta ksid ñksia cSú; wmg iqúfYAIShs' hka;% iQ;%;a ñksia cSú;;a w;r we;s fjki talhs' wdisß Y,H frdayf,a iqj;d uOHia:dkfha wms fï jákd cSú; wdorfhka iqrlskjd' nd," ;reK" uy¿" ldka;d" msßñ fldhs ldf.;a cSú;h iqrlaIs; lr fokakg wm lemù isákjd' ta fjkqfjka wmg ukd f,i ixúOdkh jQ jevms<sfj<la" ksmqK ffjoHjreka we;=¿ olaI ld¾h uKav,hla bkakjd'

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Tfí cSú;h" Tfí mjqf,a idudcslhka wdorfhka /ln,d.kak" wmg mq¿jka' Tnf.a cSú;fha iqrlaIs;;djh Wfoid wmf.a /ljrKhg tkak' wm Tn ish¿ fokdf.au cSú; iqrlaIs;j wdrlaId lrkjd' wm Tng úYajdikShl;ajfhka m%ldY lrkjd' wdisß iqj;d uOHia:dkh Tn fjkqfjka ie,iqï lr we;s fi!LH meflac .ek oek.kak" fï ÿrl:k wxl" iq/lsj ;nd.kak'

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ffjoHjrhd - udisl ffjoH iÕrdj

HEALTH OF THE THYROID GLAND

;hsfrdhsâ .%kaÓfha iqjfi; ;hsfrdhsâ .%kaÓfha ms<sld j,g jeä jYfhka f.dÿre jkafka ;reK ldka;djka''' uyr.u ms<sldh;kfha úfYAI{ ffjoH hika; wdßhr;ak

;hsfrdhsâ .%kaÓfha iqjfi;

;hsfrdhsâ .%kaÓh ñksidf.a YÍrfha meje;aug wjYHfhkau jeo.;a jk ;hsfrdlaiska fydafudakh ksmojk ia:dkhhs' ;hsfrdhsâ .%kaÓh wdY%s;j we;sjk frda. yd ms<slduh ;;a;ajhka ms<sn|j wm úuiSula lruq' ;hsfrdhsâ .%kaÓh u.ska ksmojk fydafudakfha wvqùï fukau jeäùu ksido frda. we;s úh yelshs' ;hsfrdhsâ .%kaÓfhka ksmofjk fydafudakh m%udKj;aj ksmo fkdùu ñlaisãud fkdfyd;a yhsfmd ;hsfrdäiï hkqfjka ye|skafjkjd' ;hsfrdlaiska ksis mßos ksmoùula fkdjk l,ayS ;hsfrdhsâ .%kaÓh úYd, fjkjd' fn,af,a jdhq f.ä f,i y÷kajkafka fï ;;a;ajhghs' ;hsfrdhsâ .%kaÓfha ;hsfrdlaiska fydafudakh ksishdldrj ksmo fkdfjk yefudagu jdhq f.ä we;s jkafka;a kE' Tjqka flfrka oelsh

2016 ud¾;= l<dmh

HEALTH OF THE THYROID GLAND

yels frda. ,laIK lsysmhla u;= oelafjkjd' • we`. bosóu • oshjeähd frda.h u;=ùu • nqoaêh ySk ùu • is;Sfï Yla;sh wvqùu • YÍr WIAK;aj hduk yelshdj wvqùu • yDoh bosóu

;hsfrdlaiska ksis mßos ksmoùula fkdjk l,ayS ;hsfrdhsâ .%kaÓh úYd, fjkjd' fn,af,a jdhq f.ä f,i y÷kajkafka fï ;;a;ajhghs'

;hsfrdlaiska fydafudakh jeäfhka >%djh ùu ;hsfrdhsâ .%kaÓfha ;hsfrdlaiska fydafudakh wjYH m%udKhg jeäfhka 24

;hsfrdhsâ .%kaÓfha iqjfi;

ksmoùuo .eg¿ we;s l< yelshs' tysoS m%lg flfrk frda. ,laIK lsysmhla fufiahs' • YÍrh flÜgq ùu • lEu reÑh jeäùu • weia bosßhg fkrd tau • is;Sfï Yla;sh jeäùu • yDo iamkaokh jeäùu • wêl reêr mSvkh fn,af,a we;sjk jdhq f.ä ms<sld njg m;afjk wjia:d wvqhs jdhq f.ä ms<sldjka njg m;a jkafka kE' jdhq f.ä fkdjk ;hsfrdhsâ .%kaÓfha we;sjk wfkl=;a f.ä ms<sld njg m;a ùfï wjia:djka ;sfnkjd' ;hsfrdhsâ .%kaÓfha hï f.ähla we;s jQjfyd;a th jdhq f.ählehs i<ld m%;sldr fkdlr isàu wjodkï' th ms<sldjla kï thg m%;sldr lsÍug we;s wjia:dj fuhska u.yeÍ hkjd' ;hsfrdhsâ .%kaÓfha we;s úh yels ms<slduh ;;a;ajhka • mems,ß j¾.fha ms<sldjka ;hsfrdhsâ .%kaÓfha we;súh yelshs' fï ms<sld ;hsfrdhsâ .%kaÓfhka wdrïN ù fn,a, fomi olajd úysoS l=oaoá we;súh yelshs' • fï ms<sld j,g jeä jYfhka f.dÿre jkafka ajhi wjqreÿ 18" 20 yd 30 wdoS jhia ldKAv j, whhs' jeä jYfhkau ldka;djka fï ms<sld j,g f.dÿre jk nj fmfkkakg ;sfnkjd' uq,ska y÷kd.;af;d;a fï ms<sldj Y,Hl¾uhlska bj;a lr úlsrK m%;sldr ,nd osh yelshs' • f*d,slshq, ldisfkdaud - ;hsfrdhsâ .%kaÓfha we;súh yels ;j;a ms<sld j¾.hla' fï ms<sldj ;hsfrdhsâ .%kaÓfha yg.ekS fõ.fhka jefvkakg mgka .kakjd' fuh YÍrh mqrd me;sr f.dia reêrhg .uka lsÍfï yelshdj iys;hs' fï ms<sldj wiaÓ" fmKy¿ wdosh ffjoHjrhd - udisl ffjoH iÕrdj

;hsfrdhsâ .%kaÓfha hï f.ähla we;s jQjfyd;a th jdhq f.ählehs i<ld m%;sldr fkdlr isàu wjodkï' th ms<sldjla kï thg m%;sldr lsÍug we;s wjia:dj fuhska u.yeÍ hkjd'

wdl%uKh lsÍfï yelshdfjkao hqla;hs' Y,Hl¾uhla u.ska ms<sldj bj;a lr fï frda.Ska yg whäka m%;sldrh lrkjd' • ;hsfrdhsâ .%kaÓfha yg.kakd ;j;a ms<sld úfYAIhla jkafka fuähq,ß ldisfkdaudjhs' fuho ;hsfrdhsâ .%kaÓfha ygf.k fõ.fhka úfNaokh ùug mgka .kakjd' isrer mqrd fõ.fhka me;sr hdfï yelshdjo ;sfnkjd' whäka Wlyd .ekSfï yelshdj fï ms<sld j,g ;sfnkjd' • wekma,diaála ldisfkdaud ;hsfrdhsâ .%kaÓfha we;sjk ;j;a ms<sld úfYAIhla' fjfiiskau jhi wjqreÿ 60-70 úfhaoS fï ms<sldj olakg ,efnkjd' fï ms<sldj je<|SfïoS cSú;h /l.ekSu b;d wmyiq ldrKhla' lSfudf;rms m%;sldrh" úlsrK m%;sldrh iy whäka m%;sldrho fï frda.Ska Wfoid ie,iqï flfrkjd' 2016 ud¾;= l<dmh

;hsfrdhsâ .%kaÓfhka ;hsfrdlaiska fydafudakh ksishdldrj ksIamdokh lsÍug wm .kakd wdydr j, whäka n,mdkjd' wmf.a wdydr fõf,ys whäka m%udKj;aj fkd;snqfKd;a fuu .%kaÓfha l%shdldß;ajhg th n,mdkjd' wm mßfNdackh lrk ¨KQ j,g whäka ix>glh tl;= lr ;sfnkafka fuu uy`.= fmdaIKSh wjYH;djh ;Dma; lsÍughs' 25

CARING IN A DAY CARE

Èjd iq/l=ï uOHia:dkj,g we;=¿ l< miq orejka jeämqr frda.S jkafka wehs@

Èjd iq/l=ï uOHia:dkj,g we;=¿ l< miq orejka jeämqr frda.S jkafka wehs@ <ud frda. úfYaI{ ffjoH wð;a wurisxy ;ukaf.a l=vd orejd frda.S ùu ´kEu uõmsh hqj<lg uy;a is;a fõokdjla we;s lrjk lreKls' kuq;a ´kEu l=vd orejl= jirlg oy j;djla muK frda.Sùu idudkH ;;a;ajhla fõ' fï frda. w;rg fiïm%;sYHdj" WK" ffjria frda." nfâ wudre" wid;añl;d wd§ ish,a,u we;=,;ah' orejd ffjoHjrfhl= lrd /f.k hkak tA wkqj zyeu udihla .dfKu fï orejd f,v fjkjdfkaZ hkqfjka uõjreka k.k ueisú,a, ;=< wiajdNdúl ;;a;ajhla ke;' kuq;a orejdg ;o WKla jqjo Èk 2-3 lg jvd mj;skafka kï" orejd wdydr m%;slafIam lrkafka kï" ks;r ;on, ksÈu;lska miq jkafka kï" È.gu mj;sk jukh we;akï ffjoHjrhl=g fmkaùu w;HjYH fõ' frda.S ùfuka iajNdúl m%;sYla;slrK moaO;sh j¾Okh fjkjd tys§ fï yeu frda. ,laIKhlau tljr ;sìh hq;= ke;' tlla fyda fol ;=kla ;snqK;a ffjoHjrhl= yuqùu wjYH fõ' tfia ke;sj idudkHfhka orejd ks;r ks;r frda.Sùu .ek lKiai¨ úh hq;= fkdfõ' orejdf.a iajNdúl m%;sYla;slrK moaO;sh j¾Okh ùu i|yd 26

fuf,i frda.S ùuo wjYHh' tneúka l=vd orejka wkjYH f,i f,v frda.j,ska wdrlaId lsÍug W;aidy .; hq;= ke;' orejkaf.a w;a fia§u" orejdf.a lsß fnda;,h iy iQmamqj ;eïîu" W;=rk j;=ßka msÕdk fldamamh fia§u jeks oE fkdl< hq;= njla ñka woyia lrkafka ke;' fuhska wjOdrKh lrkafka iSudj blaujd wkjYH f,i orejka wdrlaId lsÍfï§ we;súh yels whym; ms<sn|jh' flfia jqjo ±ka mjq,a tAll l=vdh' fndfyda mjq,aj, isákafka wïud" ;d;a;d iy tla orejl= ke;akï fofofkl= muKs' fï ksid;a" orejkaj wêl f,i jeiafika mskafkka mjd wdrlaId lsÍu wdÈh ksid;a iuyr orejka wid;añl frda.j,g f.dÿreùu wvqúh yelsh' wfma Èjd iq/l=ï uOHia:dkj, <uqka jeähs kuq;a j¾;udkfha uõmsh fofokdu

ffjoHjrhd - udisl ffjoH iÕrdj

/lshdj, ksr; ùu iy ;ukaf.a l=vd orejka n,d lshd .ekSug fiaúldjla r|jd .kakg ;rï yelshdjla fkd;sîu jeks fya;= u; l=vd úfha isgu orejka Èjd iq/l=ï uOHia:dkj, /|ùu fndfyda úgu isÿ lrkq ,efí' fïjdfha isákafka iu jhfia orejkah' iu jhfia orejka w;r frda. fndaùfï yelshdj jeäh' ksjfia§ frda.j,ska fndfyda m%fõYï l< orejd Èjd iq/l=ï uOHia:dkhg we;=<;a l< miq tl jru frda.S jkafka fï ksidh' idudkHfhka ÈhqKq rgj, Èjd iq/l=ï uOHia:dkhl orejka r|jd .; yelafla iSñ; ixLHdjla muKs' ´iafÜ%,shdfõ kï tl Èjd iq/l=ï uOHia:dkhl orejka ;=ka fofkl=g jvd r|jd .ekSu ;ykïh' Èjd iq/l=ï uOHia:dkhl r|jd .kakd orejka m%udKh jeä jk úg tl orefjl= fyda frda.S úh yelsh' túg myiqfjkau tu frda.h wfkla orejkago je<f|kq we;'

2016 ud¾;= l<dmh

´kEu l=vd orejl= jirlg oy j;djla muK frda.Sùu idudkH ;;a;ajhla fõ' fï frda. w;rg fiïm%;sYHdj" WK" ffjria frda." nfâ wudre" wid;añl;d wd§ ish,a,u we;=,;ah'

CARING IN A DAY CARE

Èjd iq/l=ï uOHia:dkj,g we;=¿ l< miq orejka jeämqr frda.S jkafka wehs@

frda.hla je<f|kakg úIîchla YÍr.; úh hq;=h' tu úIîch YÍ.; ù frda.hg wÞ, frda. ,laIK m<ùug fmr w;rueo ld,hla ;sfí' fï w;rueo ld,h îfc!IK iuh ^incubation period& f,i y÷kajhs' bkamiq WÞ jkafka frda.h m%ldY jk wjia:dj fyj;a frda. ,laIK my, jk ld,hhs' f;jk wjia:dj kï frda. iqj jqK;a wfkla whg fnda jkakg yels ld, iSudjhs ^period of infectivity& Èjd iq/l=ï uOHia:dkj, r|jkafka Èjd ld,hg orejd n,d .ekSug flfkla fkdue;s mjq,aj, orejkah' tA wkqj frda.hla je<e£ th hdka;ug iqj jQ ú.iu Èjd iq/l=ï uOHia:dkfha orejd /|ùfuka isÿ jkafka th fndajk frda.hla kï wfkla orejkago je<£uh' tksid orejl= frda.S ù iïmQ¾Kfhkau iqj jQ miqj;a wvqu ;rñka ;j;a ojila fyda ksjfia r|jd ;nd .ekSu jeäysáhkaf.a j.lSuh' orejka w;r f,v frda. jeä jkakg tl fya;=jla jkafka fuf,i iïmQ¾Kfhkau iqj jk ;=re fkdisg Èjd iq/l=ï uOHia:dkj, /|ùu fyda fmr mdi,g heùuh' orefjl= wiKSm jQ úg iïmQ¾K iqjh ,nk f;la ksfjfia r|jd.kak orefjl= frda.S jQ miq jeo.;au ldßh fnfy;a §u hehs uõmsfhda is;;s' fnfy;a §u jeo.;a ld¾hhla nj ienEh' kuq;a fjolu ;rugu fyolu;a jeo.;ah' tA wkqj fnfy;a §ug wu;rj ;j l< hq;= foaj,a ;sfí' thska m%Odku ld¾hh orejdg úfõlh ,nd §uh' kuq;a ±ka foudmshkaf.a ld¾hnyq,;ajh ksid orejkg ksjfia ys| úfõl .ekSug wjia:dj ke;' Bg wu;rj fmr mdi,a hk orejka yg mjd ±ka úúO ;rÕj,g uqyqK §u we;=¿ ndysr ls%hdldrlï rdYshla we;s ksid <ore mdi,g Èkla folla fkdhd isàu;a mdvqjla 28

f,i uõmshka is;kq we;' tA wkqj frda. hla je<£ hdka;ug iqj jQ ú.iu orejd fmr mdi,g heùug Tjqka Wkkaÿ jkq we;' fufia orejdg frda. hla je<e£ iqj jQ miqj;a ksis úfõlhla ,nkakg wjia:dj fkd,eîu ksid isÿ jkafka frda.h iqj fkdù È.ska È.gu mej;Suh' ±ka iuyr jeäysáhka fmr mdi,aj,g orejka hjkafka orejdf.a jhi wjqreÿ fofla§ muK isguh' kuq;a wvqu ;rñka orejl=j jhi wjqreÿ ;=k miqjk ;=rej;a ksjfia r|jd .; hq;=h'

ffjoHjrhd - udisl ffjoH iÕrdj

rdcH Tiqi,a cd,h

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 wïmdr mkai, ykaosh ã'tia fiakdkdhl ùoSh wïmdr ÿ'w$ *e'w 063 2223088 l=reKE., 28" ùr;=x. f.dvke.s,a, fn!oaOdf,dal udj; l=reKE., ÿ'w$ *e'w 037 2230840 yïnkaf;dg 3" ne/la ùosh" yïnkaf;dg ÿ'w$ *e'w 047 2222163 wkqrdOmqr 98" nexl= fmfoi wkqrdOmqr ÿ'w$ *e'w 025 2222181 uyr.u 71$tA" w,aúia *a,did" mrK udj;" uyr.u ÿ'w$ *e'w 011 2745640 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

lrdmsáh Tiqi, 175" ysßUqr yria mdr" lrdmsáh 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 rd.u 61$ta" uyndf.a udj; rd.u ÿ'w$ *e'w 011 2955219 hdmkh 149ta" fla'fla'tia udj; hdmkh ÿ'w $ *e'w 021 2219262 fmdf<dkakrej frday, ykaosh" lÿrefj, mdr" fmdf<dkakrej ÿ'w$ *e'w 027 2225465 ;x.,a, b|sfmdl=Kf.dv udj; ;x.,a, ÿ'w 047 2241221 ÿ'w$ *e'w 011 2779414

AD-MIRE Creative

fld<U 01 63" i¾ ndfrdaka ch;s,l udj;" fld<U 01 ÿ'w$ *e'w 011-2328046

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' ud¾;= 011- 2320356-9 2016 l<dmh *elaia' 011-2447118

ALERT

Disposable paper cups j,ska WKQiqï mdk lsisjla fndkak tmd

Disposable paper cups j,ska WKQiqï mdk lsisjla fndkak tmd hd,a mß>Kl wdY%s; /lshdjl ksr; jk ;reKfhla' Tyq uE;l isg hï fi!LH .eg¿jlg uqyqK mEjd' ta ;uhs iEu rd;%shlu WordndOhla we;sùu' oskla" folla w;a fnfy;a l<;a yß .sfha kE' B<`. mshjr úosyg ohd,a ffjoHjrfhl= uqK .eyqKd' uQ,sl jgfha ÿka fnfy;a j,ska hï iykhla we;s jQj;a ksÜgdjg iqjhla ke;s ksid ffjoHjrekag ;jÿrg;a mÍlaIK lrkakg jqKd' fuysoS wmQre fidhe.ekSula isÿ jqKd'

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

http://goo.gl/NXv7Ie

ffjoHjrhd - udisl ffjoH iÕrdj

fï Disposable paper cups j, j;=r msg;g ldkaÿ fkdfjkak bá ;Ügqjla fldamamh mqrdu wdf,am lrkjd' WKQiqï hula fldamamhg oeïuyu fï bá ;Ügqfõ fldgila m%;sl%shd fj,d osh fjkjd' wm .kakd mdkh;a iu.ska th wdydr ud¾.fha ;ekam;a fjkjd'

ta ;uhs" ohd,af. Worfha ie<lsh hq;= bá m%udKhla ;sfnk nj''' ohd,af.a Worfha fï úosyg bá ;ekam;a jqfKA fldfyduo @ ffjoHjreka ohd,af.a wdydr isß;" lEu îu .ek ie<ls<u;a jqKd' w¿;a ;df,a kùlD; ld¾hd,hl fiajh lrk ohd,a f;a fndkafk f;a fuIska tllska yok f;a j,ska' ku.sh ikakduhl ksIAmdokhla jk tys tla me;a;l lsß f;a ;sfnkjd' wfkla me;af; lyg f;a' ;j;a mfilska jrla mdúÉÑ lr bj;,k Disposable paper cups ,iaiKg wiqrd ;sfnkjd' ohd,a ú;rla fkdfjhs" fï ld¾hd,fha fldhs ljqre;a is;e`.s mdk j¾.hla fndkafk fï Disposable paper cups j,ska' ohd,ag WordndOh we;s l< bá ;ekam;a jqfKA fï Disposable paper cups j,ska ;uhs' tal fjkafk fï úosyg' fï Disposable paper cups j, j;=r msg;g ldkaÿ fkdfjkak bá ;Ügqjla fldamamh mqrdu wdf,am lrkjd' WKQiqï hula fldamamhg oeïuyu fï bá ;Ügqfõ fldgila m%;sl%shd fj,d osh fjkjd' wm .kakd mdkh;a iu.ska th wdydr ud¾. fha ;ekam;a fjkjd' yeuodu j,ska f;a fndk úg yeuodu ál ál nfâ bá ;ekam;a fjkjd' ohd,ag;a jqfKA fïlhs' Disposable paper cups wo f,dalh mqrdu iq,nj Ndú;d fjkjd' fï ksidfjkau yeuodu fï Disposable paper cups mdúÉÑ lrk ;j;a fndfydauhla ohd,a jf.a fï Worfha bá ;ekam;a we;sùfï wjodkug ,la fj,d we;s' Tn;a fï Disposable paper cups j,ska WKQiqï mdk j¾. ,nd .kakjd kï fï wk;=re ye`.ùu ys;g .kak' ohd,a jf.au Tn;a kqÿf¾oSu l=fia bá ;ekam;a ùfuka WordndOhlg ,laùug bv we;s ksid jydu fï Disposable paper cups j,ska wE;a jkak'

2016 ud¾;= l<dmh

HEALTHY LIFE

wfmau jeros ðjk rgdj ksid wmg jrosk yeá ffjoH Ydka;s .=Kj¾Ok ffjoH wfhaId f,dl=nd,iqßh

• tl ;ekl È.=fõ,djla b|f.k isàu • wêl iSks Ndú;h • wêl ¨KQ Ndú;h • ia:q,;djh • isref¾ yevh

wfmau jeros ðjk rgdj ksid wmg jrosk yeá

fndfyda úg wmg frda. f.k tkafka wm úiskau lrk jerosh' jmqrk foa wiajekak fjkjd lshk lshuk isysm;a lrñka wm cSú;fha mqreÿ lr.kakd we;eï whym;a mqreÿ ksid blauKskau wmg frda. we;sfõ' úfYAIfhkau wêreêr mSvkh" oshjeähdj" yoj;a frda. yd ms<sld jeks frda. j,g fya;= jk jeros cSjk mqreÿ /ila iïnkaOfhka fï ,smsfhka úia;r flf¾'

ffjoHjrhd - udisl ffjoH iÕrdj

tl ;ekl È.=fõ,djla b|f.k isàfuka j<lskak fuh ÿïmdkhg;a jvd YÍr fi!LHhg wys;lr mqreoaola nj úoaj;a u;hhs' jir .Kkdjla l< m¾fhaIKj,ska fy<s ù ;sfnk wdldrhg úkdä mfyka fyda oyhlg jrla ke.sáñka iq¿ fyda p,khla isÿ fkdlr tl È.g jdäù isàu ksid fi!LH .eg¿ / ila meK k.S' fuhska udkisl fi!LHhgo uy;a n,mEula we;s fõ' yoj;g" reêr kd,j,g yd reêrfha iSks uÜgu uekúka mj;ajd .ekSug fï ksid úYd, ;¾ckhla fõ' yDo frda." wd>d;h" ms<sld" Èhjeähdj" mßjD;a;sh iskafv%dauh jeks fnda fkdjk frda. /ilg fï w,i bßhõj fya;= fõ'

tl ;ek È.= fõ,djla jdä ù isàu ia:q,;djhgo fya;= fõ' tl ;ek jdä ù isák ksid l=i.skak wvq fõ hhs is;Su jerÈh' m¾fhaIlhka mjik wdldrhg tl ;ek jdäù isàu ksid l=i.skak jeäfõ' 2016 ud¾;= l<dmh

fhl= jdäf.k isák úg udxY fmaYs kshudldrfhka yels<su È. yeÍu" iajNdúlj isÿjkafka ke;' th isref¾ hy ls%hdj,shg wys;lr f,i n,mdhs' ;jo g%hs.a,sirhsâ jeks wys;lr fïoh ixÑ; jeä jk w;r ys;lr fldf,iagfrda,a wvq fõ' flá fõ,djla fyda weúÈkak'

idudkHfhka ojilg meh yhla rEmjdysksh krTk wfhl=f.a wdhq ld,h jir mylska muK wvqfõ' b|f.k rEmjdysksh n,k ld,h wvqlsÍu fyda rEmjdysksh n,k úg isgf.k" bßhõj fjkia lr iq¿ jHdhduhla lsÍu" flá fõ,djla weú§u" ke;akï ke.sg úkdä 5 lg 10lg jrla j;a mqgqj jgd rjqula hdu jeks l%shdjka u.ska hï m%udKhlg fï wjodkfuka ñÈh yelshs' flfia kuq;a rEmjdysksh ne,Sug weíneys ùu fi!LH m%Yak /ilg fya;= jk ksid th w;sYhskau iSud l< hq;=h' ld¾hd,fha jev lrk úg wkq.ukh l< hq;= fi!LHiïmkak isß;a 1' jdä ù jev lrk wh jßka jr isgf.ko jev lrkak' 2' isß;la f,i c,h mdkh lrkak' l=vd fldamamhla c,h mdkh lsÍug ;nd .kak' 3' ÿrl:k weu;=ula wd úg weúÈñka l:d lrkak' 4' jßka jr w;mh È.=lr mqxÑ È.E§fï jHdhduhla lrkak' 5' wdydr .ekSu jev lrk fïifha isg fkd.k wdmk Yd,dfõ isg .ekSug yqrejkak' 6' rEmjdysksh krUñka wdydr fkd.kak'

wiqkaf.k isák iEu mehlg jrlau kyr j, wys;lr fïoh ;ekam;a ùfï is>%;dj ishhg ody;rlska by< hhs' 33

HEALTHY LIFE

wfmau jeros ðjk rgdj ksid wmg jrosk yeá

reêrfha isks uÜgu jeä jk yeá flfkl=g ojilg wjYH iSks ye¢ yhlg wvq m%udKhls' kuq;a lk fndk wdydrj,skao iSks isrerg ,efí' úúO wdydr Tiafia wm wdydrhg .kakd isks m%udKh Èklg ye¢ 16 ;a blaujd hk nj fmdaIKfõ§kaf.a woyihs' iSks wêl wdydr .ekSfuka wfma l=i.sks ;j ;j;a jeä lrhs' iSks j,ska reêrfha isks uÜgu by< f.dia Yla;sh jeä jqK;a th laIKslju my< nis' tu ksid laIKslj fjfyi oefkhs'

iSks j, ishhg mkyla .a¨fldaia iy ishhg mkyla *Dlafgdaia wvx.=hs' lsisÿ fmdaIK w.hla fuys ke;' iajNdúlj .kakd t<j¿" m<;=re yd OdkH j,ska ,efnk iSks isrerg m%udKj;a fõ' fï ksid iSks fhÿ wdydr-mdk j,ska wm yels;dla wE;a úh hq;=h'

iSks fhÿ wdydr j,ska j<lskak udm,a isrma" meKs"ud,iia" n%jqka Iq.¾" f.aõ isrma" yhs *Dlafgdaia" fldaka isrma" nd¾,s fuda,aÜ" flaka Iq.¾" fvlaiag%Eka" iqlafrdaia" fuda,afgdaia" fuda,afgdfvlaiaà%ka" t;s,a fuda,afgda,a" ,elafgdaia jeks wdldr lsysmhlau iSks j,g we;'

ffjoHjrhd - udisl ffjoH iÕrdj

fï w;ßka *Dlafgdaia jvd;a wys;lr iSks iajNdjhhs' iSks oeuq m<;=re îu mdkh iqÿiq fkdfõ' tajd isrerg wys;lrhs' ñ,s ,sg¾ 200 l fodvï hqI ùÿrejl iSks .%Eï 18'4 la wvx.=hs' fï m<;=re îuj, m<;=re j, wvx.= ;ka;= m%udKho ke;' iSks ksid isrerg we;sjk ydks 1' iSks ksid iu /,s jefghs' jhia.; fmkqula isrerg ,nd fohs' ms<sld wjodkuo jeä lrhs' 2' fud<fha ffi, blauKskau úhm;a fõ' 3' we,aIhsu¾ jeks wu;l ùu jeälrk frda. ;;a;aj we;s fjhs' fud<fha ffi, ñh hdu yg .kS' 4' wlaudfõ fïo ^*eà ,sj¾& ;;a;ajh we;s lrhs' 5' u;ameka yd iudkju iSks j,ska *Dlafgdaia j,ska& wlaudjg ydks fjhs' iSks ksid *eá ,Sj¾ we;sùfï fya;=j fuhhs'

2016 ud¾;= l<dmh

5' o;a blaukskau Èrdm;a fjhs' 6' Worfha jd;h msÍu isÿ fjhs' 7' reêrfha iSks uÜgu jeä ù Èhjeähdj we;s fõ' 8' udxY fmaYskaj, lelal=u we;s fõ' ¨Kq Ndú;h iSud lruq ¨K Èklg wjYH jkafka .Eï 6 lg jvd wvq m%udKhls' fuh o< jYfhka f;a yekaol m%udKhla jkafkah'

wm wdydr .ekSfï§ Èjg moug oefkkakg ¨Kq rih jeälrñka wdydr .ekSug m%reÿ ù isáuq' kuq;a fuf,i wêlj .kakd ¨Kq ryfiau frda. /ilg w; jkñka isák nj Tn fkdokakjd úh yelsh'

HEALTHY LIFE

wfmau jeros ðjk rgdj ksid wmg jrosk yeá

¨KQ ksid isrerg we;sjk fi!LHuh ydks 1' wêl reêr mSvkh we;s lrhs' 2' wiaÓ ;=kS lr Tiaáfhdafmdfrdaisia ;;a;ajhg u. mdohs' 3' ls<s jEfrk jhfia ¨KQ wys;lrhs' wd¾;jyrKhg f.dÿre jQ ldka;djkaf.a wiaÓ ;=kS ùu ¨Kq Ndú;h wvqlsÍfuka wju lr.; yelshs' fujeks wh le,aishï Ndú;h jeä lsÍu l< hq;=h' 4' ¨Kq jl=.vq wdndO j,g w; jkhs' ¨Kq wvq ùu jl=.vq j, .,a jeälrk fya;=jla jqK;a ¨Kq muK blaujd .;a úg tajd ì| fy<Su" jl=.vq j,g ÿIalr ld¾hhla fõ' tu ksid jl=.vq wdndO iE§fï wjodku ¨Kq jeämqr .;aúg by< hhs' 5'¨Kq jeämqr .ekSu ksid we÷u frda.h jeä jk nj y÷kdf.k we;' 6' Wor ms<sld iE§ug fya;=jla fõ' wefußldkq m¾fhaIlhka msßila fidhdf.k we;s wkaoug ¨Kq m%ody ;;a;ajhl£ fuka l%shdlrñka ffi, j¾Okh fõ.j;a lrhs' ñka isÿjkafka Worfha ;=jd, jeä ù ms<sld ffi, yg .ekSfï wjodku jeä lsÍuhs'

wem,a f.ähl wdldr isrerla we;s wh fnda fkdjk frda. j,g f.dÿre ùfï jeä yelshdjla we; 36

wêl f,i ¨Kq .;aúg isref¾ nr rd;a;,a ;=klska muK jeä fõ'

¨Kq isref¾ ;r, mßudj jeä lrhs' thska yoj;g" jl=.vq j,g wu;r mSvkhla t,a, fõ' reêr mSvkh by< hhs' fnda fkdjk frda. wjodkug isref¾ nr iy yevh hk folu n,mdhs' isref¾ nr ys;lr uÜgul mj;ajd .kak ia:q,;djh we;s úg fjfyi jeä lrhs' fud<fha l%shdldß;ajh wvq lrhs' tfukau fkdßiaiqï iy.; nj jeä lrhs' Yla;sh wvqfõ' hula .ek is;Su wiSre fõ' wd;;sh" úYdoh jeäfõ' jev lsÍfï yelshdj wvqfõ' kSfrda.Su;a Ôú;hlg Wig iß,k nrla mj;ajd .ekSu jeo.;a' wfma YÍrfha nr ;SrKh lrkafka ,nd .kakd wdydr m%udKh;a YÍrh Yla;sh oykh lrk wdldrh;a wkqjh' isref¾ nr" fmaYs"

ffjoHjrhd - udisl ffjoH iÕrdj

mgl" fïo mgl" wiaÓ u.ska ;SrKh fõ' isref¾ yevh ;SrKh jkafka fïo ;ekam;a jk ia:dkh wkqjhs' YÍr ialkaO o¾Ylh mokï lr.;a fmrhSï 1'YÍr ialkaO o¾Ylh 18'5 g wvq kï ukaofmdaIKfhka mSvd ú¢kjd' 2' 18'5 -24'9 kï Wig iß,k nrla ;sfí' 3' 25 ;a 30 ;a w;r kï Wig wkqj nr jeähs' 4' 30g jeä kï ia:q,;djfhka mSvd ú¢hs' jydu nr wvq lr.kak' Tfí isrer wem,a f.ähla jf.ao @ fmhd¾ia f.ähla jf.ao @ isref¾ yevh lshk kSfrda.S nfõ wkdjels isref¾ yevh Tfí fi!LHiïmkak nj lshdmdk o¾Ylhls' wem,a f.ähl yeve;s isrer iEuúgu frda. j,g w; jkk w;r Tn W;aiql úh hq;af;a th fmhd¾ia f.ähl yevh lrd f.k taugh' 2016 ud¾;= l<dmh

1'bfka jg m%udKh ukskak' fï i|yd Worh ieye,a¨jg we;s úg kdNsh yryd jg m%udKh ukskak' 2' Wl=f<a jg m%udKh ukskak' ;Ügï j, m<,u m%foaYh yryd fï uekSu l< hq;=hs' bfka jg m%udKh - Wl=f<a jg m%udKfhka fnod wkqmd;h ,nd .kak' wem,a yeve;s isrerla ysñ fï whghs fuu wkqmd;h msßñkaf.a 0'9g jeä kï -ldka;djkaf.a 0'8 g jeä kï wem,a yevh ksrEmkh fõ' msßñfhl=f.a bfKys ñkqu fi'ñ'102 g ^w`.,a 40g& ldka;djlf.a fi'ñ 88g ^w`.,a 35 g& wvq úh hq;=h'

wem,a f.ähl yevfha isrerla we;s úg Worh úYd, fõ' ;Ügï yd l<jd l=vd fõ' fï wh fnda fkdjk frda.j,g f.dÿre ùfï jeä bvla we;' fmhd¾ia f.ähl yevhla we;s úg Worh msgg fkrd fmfkkafka ke;' ta fjkqjg l,jd yd ;Ügï ;rula úYd, fõ' tu yevh fi!LHhg ydkshla ke;s fi!LHiïmkak YÍr yevhla f,i ie<fla' fi!LH wOHdmk ld¾hdxYfha mej;S jevuq¿jla weiqßka ilia flßK' igyk - wkqrdOd È,sks b,kafldaka

ffjoHjrhd - udisl ffjoH iÕrdj

wjodkug fmr iQodku

jdyfka hk Tn fï jro lrkak tmd fï lshkak hkafk <`.os flfkl=g jqKq Nhdkl w;aje/oaola .ek l;djla' fï w;aje/oafoka jdyk mojk" jdykj, .uka lrk yefudagu .; yels wdo¾Yhla ;sfhkjd' wms n,uq ta fudllao lsh,''' wfma ñ;%h .ukla hkak msg;a jqKd' ál ÿrla hk úg Tyq;a fkdoekSu hï fohla isÿjqKd' ta ;uhs msgqmi iSÜ tfla ìu ;snqKQ fï rEmfha fmfkk j;=r fnda;,h frda,a fj,d biairyg meñKSu' fld;eko fnda;,h k;r jqfKA' rEmh n,kak' fí%la meâ,a tfla' fï .ek wfma ñ;%hdg j.la kE' ;j;a ál fj,djlska bosßfhka g%la tlla wdj' ßhÿre ñ;%h fí%la .eyqj' fldfya joskako @ j;=r fnda;f,a ysr fj,dfk' biairyska wdmq g%;a ßhÿrdf. olaIlug msx isÿ

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,laIKhlao hkak meyeos,sj fjkalr y÷kd.ekSuhs' .¾NsKS ujõjrekag wjYH jákd Wmfoia /f.k fï udifha isg werfUk úfYAIdx.h

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.¾NKS jQ miq we;sjk iq¿ .eg¿ Minor Ailments in Pregnancy

l=ig orefjla wd miq weh uqyqKmdk YdÍßl fjkialï iuyrla ñyska;f,a rcrg úYAj úoHd,fha ffjoH mSGfha fcHaIAG lÓldpd¾h iy wkqrdOmqr YslaIK frdayf,a m%ij iy kdßfõo úfYAI{ ffjoH l=udr osidkdhl ,shhs MBBS, MD, MRCOG (UK)

.¾NKS jQ miqj isref¾ fjkialï rdYshla we;s fjkjd' fuhska iuyrla Tng wmyiq;djhla we;s lrkjd' tfia jQj;a .¾NKS;djh yd ie<lSfïoS fndfyda fjkialï .¾NKS ;;a;ajfhaoS idudkHhhs' tfy;a .eg¿j jkafka th .¾NKSNdjhg wdfõKsl idudkH ;;a;ajhlao tfia ke;fyd;a fjk;a frda. 40

wdydr cS¾Kh iy wdydr iïnkaOfhka mek k.sk .eg¿ .¾NKS iufhaoS wdydr cS¾K moaO;sh yd iïnkaO .eg¿ rdYshla mek k.skjd' Tlaldrh" jukh iy oreKQ jYfhka we;sjk juk ;;a;ajh Nausea, vomiting, hyperemesis gravidarum m<uq udi ;=fkaoS Tlaldrh we;sùu fukau jukh we;s ùu idudkH ;;a;ajhla' tfiau flfkl=g fï jukh md,kh l< fkdyels wdldrfhka we;s fjkjd' fuh ;uhs Hyperemesis gravidarum hkqfjka ye|skafjkafka' m%Odk jYfhka Tlaldrh yd jukh we;s jkafka WoEik wjos jQ wjia:dfõhs' fï ksid tu ;;a;ajh Morning Sickness f,io y÷kajkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

Tlaldrh fkdfyd;a jukh hkakg tau;a" jukh we;sùu;a fndfyda fokdg md,kh lr.kak mq¿jka' Bg úfYAIs; m%;sldrhla wjYH jkafka;a kE' we;eï wjia:d j,oS Bg .e,fmk fm;s j¾.hla ffjoH ks¾foaYhlska ,nd. kakg mq¿jka' tfy;a hyperemesis gravidarum lshkafka Tlaldrh" jukh blaujd .sh oreKq ;;a;ajhla' uQ,sl ,laIKh ;uhs wêlj jukh we;sùu' fudkj;a lkak nE' ta Tlafldu jukhg

2016 ud¾;= l<dmh

tkjd' ta jf.au lEu j,g ;sfhk m%sh;djh ke;af;kau ke;s fjkjd' iuyr úg lEu wkqNj lrkak ìhl=;a we;s fjkjd' wêl f,i jukh we;s ùu ksid úc,kh we;s fjkak;a mq¿jka' fï ksid YÍr wNHka;rfha;a wys;lr l%shdj,shla n,.ekafjkjd' YÍrhg wdydr m%udKj;aj fkd,eîu ksid fm%daàk ì|fy<Sulg ,la fjkjd' ta ksid Ketone Body hkqfjka ye|skafjk wdï,sl ixfhda. YÍrfha ksmofjkakg mgka .kakjd' fuh fjfiiskau oreKQ ;;a;ajhla' fï ksid oreKQ jukhla we;s fjkjd kï by; ,laIK ;sfnkjd kï weh jydu frday,a.; l< hq;=hs' lSfgdak foay we;s fkdùug fuysoS ffjoHjreka ms<shï fhdod uj wjodkfuka .,jd .kakjd' jukh hdfï iq¿ ;;a;aj wdydr jeä jdr .Kkla ál ál .ekSfuka wjYH úfgl jukh md,kh lrk fm;s .ekSfuka by; oreKQ ;;a;ajhg mßj¾;kh ùu j<lajd .; yelshs'

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.¾NKS jQ miq we;sjk iq¿ .eg¿

lEu wm%sh ùu iy we;eï wdydr j,g we;sjk oeä wdYdj Food Craving & Food Dislike we;eï úg .eìKs ud;djka we;eï wdydr j,g úfYAI m%sh;djhla olajkak mq¿jka' th w;sYh idudkHhhs' we;eï úg m<;=rlg" ke;akï jHxckhlg fï m%sh;djh we;s úh yelshs' ta jf.auhs iuyr wdydr j,g b;d wlue;a;la olajk wjia:d;a ;sfhkjd' m%sh lrk wdydr oSu jf.au wm%sh lrk wdydr j,ska Tjqka wE;a lsÍug {d;Ska lghq;= lrkjd'

fuhg iudk frda. ,laIK yDoh frda. j,oS;a we;s fjkjd' fï ksid .¾NsKS ujla jqK;a frda.fha fya;=j ksielfhka oek.; hq;=hs' fï ksid nfâ oeú,a,la we;s jQ úg th Tfí ffjoHjrhdg fmkaùug isÿ fjkjd'

hï wdydrhlska je<l=Kdg lula kE' fiiq wdydr j,ska wehg wjYH fmdaIKh ,nd oSug W;aiql úh hq;=hs' .¾NKS ùug fmr wdydrhg f.k .¾NKS jQ miq m%;slafIAm lrk wdydr kej;;a l=i ieye,a¨ jQ miq wdydrhg tl;= lr .ekSug fndfyda .¾NkS uõjreka W;aiql fjkjd'

nfâ oeú,a, we;s ùfuka je<lSug ffjoHjreka fok wk.s Wmfoila ;sfnkjd' ta ;uhs tljr wdydr úYd, m%udKhla .kakjd fjkqjg ál ál wdydr wjia:d lsysmhloSu ,nd .ekSu' tfiau fï ;;a;ajh we;s úg f;,a wêl wdydr j,skq;a je<lsh hq;=hs' fldams fndk tl;a fï oeú,a,g t;rï iqÿiq ke;s ksid .¾NKS ud;djka thskq;a j<lskjd fyd|hs'

we;eï wjia:d j,oS .eìKshka yg ;rula widudkH reÑhla we;s fjkjd' .,a" mia" w`.=re" ueá jeks wdydr fkdjk foa wdydrhg .kakg fm<fUkjd' fuh .¾Nhg ydks we;s l< yelshs' mKqjka we;s úh yelshs' uj frda.S fjkakg;a mq¿jka' fï ksid tjka wdydr fkdjk øjH j,g reÑhla we;s fjkjd kï jydu ffjoHjrfhl= yuqù Wmfoia ,nd.; hq;=hs' nv oeú,a, Heart Burn .¾NKS ld,fhaoS iuyr ud;djkag mmqfõ oeú,a," mmqfõ fõokdj we;s úh yelshs' fuh fndfyda úg we;s jkafka mshhqre fol ueoska' nv oeú,a, we;s ùug fya;=jla ;sfnkjd' wdudYfha ;sfnk wdydr cS¾Khg Woõ fjk wï,h .,kd,h osf.a Wvg .uka lsÍu ksid fujka nv oeú,s ;;a;ajhla we;s fjkjd' flfuka flfuka .¾NdIh úYd, jk úg Worh fj;ska wdudYh fj; l%ñl mSvkhla we;s lrkjd' túg fï wï, Wvq w;g .uka l< yelshs'

ksod.kakd úg ysi mmqjg jvd by< uÜgulska ;nd .ekSfuka wï,h by<g tau j<lskjd' tfy;a fï m%;sl¾u ish,a, wfmalaIs; iykh ,`.d fkdlrkafka kï ffjoH Wmfoia ,nd.; hq;= jkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

u<noaOh Constipation .¾NsKS iufhaoS we;sjk fydafudakuh fjkialï ksidu wdydr ud¾.fha wdydr .uka lsÍug fya;=jk l%udl=xpk p,k wvq fjkjd' fuh u<my lsÍfï isß; wvd, lrkjd' tfiau u<øjH oeä ke;fyd;a >k iajNdjhlg m;a lrkjd' fuhska wehg u<my lsÍu wiSre jkakg mq¿jka' oeä f,i >k jQ u< msg lsÍug ;e;a lsÍfïoS .=o újrh wjg ;=jd, jkakg mjd bv ;sfnkjd'

mdoj, uiams`vq fmr<Su Leg Cramp fuh fndfyda úg we;s jkafka weh úfõlSj bkakd úghs' .eìKs uj ksod isák úg uia ms`vq fmr<Sï iq,nj we;s fjkjd'

fï u<noaO ;;a;ajh j<lajd .ekSug .eìKs ud;dj jeä jeäfhka t<j¿ yd m<;=re ;u wdydr fõ,g tla lr.; hq;=hs' tfiau oskm;d jeämqr j;=r îfuka m%udKj;a ic,khla mj;ajd.; hq;=hs' weúoSu yd fï ld,hg .e,fmk jHdhdu j, fhosh hq;=hs' tfy;a fuu m%;sl¾u j,skao u<noaOh ;;a;ajh iukh fkdjkafka kï ffjoH m%;sldr ,eîu iqÿiqhs'

.¾NsKS ld,fhaoS uq;%d wdidok we;s ùfï bvlv jeähs' fïjdg kshñ; m%;sl¾u fhosh hq;=uhs' ta fkdi<ld isáfhd;a jDlalodyh wdoS ;;a;aj j,g wdidokh j¾Okh úh yelshs' orejd kshñ; l, jhia imsÍug fmr Wm; ,eîfï wjodkulao ;sfnkjd' fï ksid uq;%d lrk úg uq;%d ud¾.fhka fõokdjla we;s fjkjd kï uq;%d iu. f,a msg fjkjd kï jydu ffjoH m%;sldr ,nd.; hq;=hs'

2016 ud¾;= l<dmh

jukh jeä jYfhka we;sjk úg YÍrfha le,aishï yd fmdgEishï idkaøKh wvq fjkjd' tys m%;sM<hla ksido uiams`vq fmr<Sug bv ;sfnkjd' mdo j,g .e,fmk jHdhdu ,ndoSfuka fï ;;a;ajh fndfyda úg iukh lr.kak mq¿jka' ks;r ks;r uq;%d nr we;sùu Frequent Urination .¾NKS iufhaoS jl=.vq j,g tk reêr m%udKh ishhg mkylska muK jeä fjkjd' ;j;a ldrKhla''' fm%dfciagfrdaka fydafudak j, n,mEu ksid .¾NKS ld,fhaoS uq;%d ud¾.fha fmaYs j, jeämqr bys,a ùula isÿ fjkjd' fï ldrKd folu ksid .¾NKS ldka;djka ks;r ks;r uq;%d lrkakg hkjd'

ks;r ks;r uq;%d msgfjk ksid Bg ms<shula f,i fndk j;=r m%udKh wvq lsÍu .eìKS ujl lsisfia;au fkdl< hq;=hs' u;= iïnkaOhs

MRP Rs. 150/ Onwards

UTN Trading Company (PVT) Ltd. No, 520C, Colombo Road, Kaduwela. Tel . 011 2537633, 011 5731666 www.utntrade.com 44

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ORAL CARE FOR CHILDREN

blauKska jefgk ;djld,sl o;a hhs i<ld lsß o;a j,g wvq ie<ls<s tmd'''

blauKska jefgk ;djld,sl o;a hhs i<ld lsß o;a j,g wvq ie<ls<s tmd''' lsß leáhkaf.a lsß o;a wdrlaId lsÍug fouõmshkS" uq,a jkak''' woyia oelaùu -l=reKE., osia;%sla fi!LH fiajd wOHlaI ld¾hd,fha oka; Y,H ffjoH y¾I udrisxy 2016 ud¾;= l<dmh

ORAL CARE FOR CHILDREN

blauKska jefgk ;djld,sl o;a hhs i<ld lsß o;a j,g wvq ie<ls<s tmd'''

wm jeä fofkla o;a iïnkaOfhka fndfyda ldrKd .ek fkdokqïj;ah' fjfiiskau l=vd orejkaf.a o;a wdrlaId lsÍu iïnkaOfhka fï fkdoeKQj;aùï yß Nhdklh' wmg yß l,amkdj tk úg orejdf.a o;a j,g n,j;a ydkshla isÿ fj,dh' fï ,smsfha wruqK l=vd orejkaf.a o;a iïnkaOfhka Tn oek.; hq;= b;d jákd lreKQ /ila iïnkaOfhka Tnj oeKQïj;a lsßuh'

lsß leáhdf.a o;a uosk yeá uq,a ld,fha o;a ueosh hq;af;a msßisÿ c,h iu.sks' we`.s,a,g ouk nqreiqj o;a ueoSu wdrïN lsÍug fyd| wdumkakhls' bka miqj l=vd ysila we;s <ud o;a nqreiqjlska *f,darhsâ oka;df,am iaj,amhla ;jrd o;a ueoSu fhda. Hh' lv, weghl m%udKhg jeä fkdjk oka;df,amkhla fuysoS iEfya'

lsß o;a iEoSu wdrïN jkafka l=i ;=<oSuhs lsß o;a yg .ekSu orejd uõl=i .; lrk ld,fhaoSu wdrïN jk nj okafka lSfhka lS fokdo @ ienEj kï ore .eng udi 6-8 ;rï ld,fhaoS lsß o;a meñKSu wdrïN jk njhs' flfia jQj;a lel=¿ o;a hkqfjkao ye|skafjk fï lsß o;a lsß leáhdf.a uqfjys fudaÿ jkakg mgka .kafka orejdg udi 5-12 w;r ld,fhaoSh' wjqreÿ folla muK jk úg fndfyda úg lsß o;a uqLh ;=< iïmQ¾K fjhs' túg orejdf.a o;a .Kk úiails' uq,skau fndfyda fofkl=g tkafka há wekafoa bosßmig jkakg jQ o;ls'

lsß o;a tk ldf,a we;sjk wmyiq;d fï lsß o;a tk ld,hg lsßleáhka hï hï wmyiq;d j,g m;aùu iajdNdúlh' o;a tk ia:dkh r;ameye .ekaùu" fõokdldÍ ùu fukau we;eï úg jeä jdrhla u<my msgùu iy WKo we;s úh yel' orejdg m<uq o; wd wjia:dfõ isgu uõmshkag w¿;a j.lSula mejf¾' ta orejdf.a o;a /ln,d oSuh' m<uq o; wd miq ta;a iu.u orejdf.a o;a ueoSu isÿ l< hq;=h' orejdf.a o;a ueoSu orejd i;=áka isÿ lrk l%shdjla njg m;a l< yelafla Tfí Wmdh {dKh ;=<sKs' orejd i;=áka bkakd wjia:d j,oS ñi y`vjñka" orejdg johla fjñka o;a ueoSu lsisfia;a uõmshka fkdl< hq;=h' 46

fuysoS orejd oka;df,am .s,Sfuka j<lajd .ekSuo jeo.;a fõ' nqreiqjg oka;df,am oeóug fmr th fidaod j;=r bj;a ùug fmr th .id .ekSfuka orejdf.a lgg fl< Wkk m%udKh wvq lr.; yel' lfÜ we;s ish¿u o;a msßisÿ lsÍu jeo.;ah' o;a ueoSu wjidkfha o;a fnfy;a ish,a, bj;a jk ;=re lg fyd|ska fiaosh hq;=h' WoEik yd rd;%S kskaog fmr jYfhka ojilg fomdrla o;a ueoSu l< hq;=h'

ffjoHjrhd - udisl ffjoH iÕrdj

orejdg;a o;a ueo.kak fokak orejdg jhi wjq' y;rla muK jk úg nqreiqj w;ska w,a,d o;a ueoSug bv ie,ish hq;=h' tf;l=ÿ jQj;a Tfí orejdg jhi wjq' 8-10 muK jk ;=re orejdf.a o;a uekúka msßisÿ lsÍug wïudf.a" ;d;a;df.a iydh wjYH fõ' lsß o;a" iaÓr o;a ;rïu Yla;su;a fkdfõ' ta ksid tajd myiqfjka osrdm;a ùug ,la jk w;r tajd .e,ù hhs' oka; m;kh hkqfjka ye|skafjk fulS l%shdj,sfhka miqj orejdg ,efnkafka iaÓr o;ah'

lsß o;a m%fõYï lr.ekSu yßu jeo.;a lsß o;a blauKska .e,ù hk uq;a kshñ; ld,h t<U tajd .e,ù hk f;la m%fõYï lr.; hq;=h' wl,g o;a .e,ù hdfuka Tfí orejdg .eg¿ rdYshla we;s fõ' l=uk fyda fya;=jla u; lsß o;la krla ù fõokdldrS ;;a;ajhlg m;a jQj;a th wdrlaId lr oSug iu;a kùk m%;sldr l%u wo ;sfnkjd' lsß o;la wl,g .e,jqKq úg fomi we;s o;a ta foig ;,a¨ ùula isÿ fõ' wfkla yKqfõ we;s o; ta ysveig weoS ths' fï ksid ta ia:dkfha iaÓr o; u;=ùug ndOd meñfKa' fï lsß o;a uekúka /l.ekSug wiu;a ùu ksid we;eï orejkag fmdl=re o;a" k< o;a meñK uqLh wdY%s; .eg¿ rdYshla we;sjk nj Tn oek.; hq;=h'

lsß o;la orejdg wmuK iïm;la jkafka fufyuhs • Tfí orejdf.a lsß o;a ksid orejdg w;am;a jk m%fhdack • wdydrh ri n,ñka N=la;s ú|Sug yels fjhs • ukd fmdaIKhlg rel=,la fjhs' • uqyqfKA fmKQu /l fohs' 2016 ud¾;= l<dmh

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HEALTHY FOOD

f,v /ilska Tnj wdrlaId lrk fmar f.äfha fmdaIH .=Kh .ek oek.kak

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f,v /ilska Tnj wdrlaId lrk fmar f.äfha fmdaIH .=Kh .ek oek.kak r wfma jeä wjOdkhlg fhduq fjk m<;=rla fkdfjhs' wehs" b;ska ´ks ;ekl yefokjdfk''' fmdä ldf, b|, lkjfk''' msgráka f.ak wem,a" ños" fodvï jf.a m<;=re w;f¾ yßhg fmar w¿lald,a jf.a''' f;dare" fudare ueo yd,aueiafid jf.a'''' tfyu fkao @

fma

2016 ud¾;= l<dmh

oeka ta uq,anei.;a u;h fjkia lr.kak fj,dj weú;a' fmar w;sYh fmdaIHodhS m<;=rla ú;rla fkdfjhs" ;s;a; ke;s fnfy;a .nvdjla' ud tfyu lshkafk wehs @ fmar j, úgñka iS w;sYhska úYd, jYfhka ;sfhkjd' fodvï ;uhs iS úgñk j,g mrudo¾YS m<;=r' ta;a fodvï f.äfh jf.a mia .=Khl iS úgñk fmar f.ähl ;sfhkjd

HEALTHY FOOD

f,v /ilska Tnj wdrlaId lrk fmar f.äfha fmdaIH .=Kh .ek oek.kak

fmar lEfuka u<noaOh ÿre fjkjd' ia:q, whf.a YÍrh flÜgq lrkjd' wêreêr mSvkhg" oshjeähdj jf.a fnda fkdjk frda. j,ska je<lSug fmar fyd| w;a fnfy;la'

lsõfjd;a Tn úYAjdi lrk tll=;a kE' kuq;a we;a; talu ;uhs' ta" B yd fla úgñk;a fldm¾" uex.kSia jf.a LKsc mod¾:;a fmar j, w;sYhska ;sfnkjd'

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

fmar lEfuka u<noaOh ÿre fjkjd' ia:q, whf.a YÍrh flÜgq lrkjd' wêreêr mSvkhg" oshjeähdj jf.a fnda fkdjk frda. j,ska je<lSug fmar fyd| w;a fnfy;la'

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fmar fnfy;a u,a,la jf.a lsõfj fya;= we;sjhs' fmar j, ;sfhk m%;sTlaisldrl .=Kdx. ksid m%;sYla;slrK moaO;sh iúu;a fjkjd' wdka;%sl" p¾u" mshhqre" mqriaÓ;s wdoS ms<sld Tfnka ÿria lrkakg fï wdprKh fnfyúka WmldÍ fjkjd' oeka ldf, fmdaIKfõoSka .=K j¾Kkd lrk ;j;a ridhkhla ;uhs ,hsfldmska' mqriaÓ;s ms<sld" Tiaáfhdafmdfrdaisia" uelshq,¾ äfckf¾Ika kue;s wlaIs.; frda.h" p¾u frda. jf.au yoj;a frda. j,skq;a ñfokak ,hsfldfmka iu;a jk nj úoHd{hka m%ldY lrkjd' ,hsfldfmka j, uy`.= .=Kh i,id.kak Tjqka ks¾foaY lrkafk ;lald,s' yenehs ;lald,s f.ähl ;sfnk ,hsfldfmka m%udKh jf.a fo.=Khl ,hsfldfmka ÿmam;a fmar f.äfh ;sfnk nj m¾fhaIKd;aulj ikd: fj,d ;sfnkjd'

ifï meyeh oSma;su;a lrkak" iu /<sjeàu j<lajkakg fmar iu;a' fï ksid ldka;djka fmar lEfuka mdvqjla jkafk kE' Tjqkag ;u isrer w,xldr lr.kak fï ksid yelshdj ,efnkjd' YÍrh Yla;su;aj yd l%shdldÍj mj;ajd.; yels mqk¾cSjl wdydrhla jYfhkq;a fmar y÷kajkakg;a mq¿jks' fmar f.ähla lEfuka l=i.skak ÿre fjkjd ú;rla fkdfjhs thska YÍrhg uy;a Yla;shla ,efnkjd' b;ska" fï úosyg n,k úg fmar fudk ;rï úYajl¾u m<;=rlao @ tys .=Kh" fmdaIKh" wdrlaIdj jf.au ;j;a fndfyda idOKSh jákdlï /ilau .eí fj,d ;sfhkjd lsh, oeka Tn;a ms<s.kakjdo @ ffjoHjrhd - udisl ffjoH iÕrdj

MIND MATTER

l=ßre fmïj;d iu. újdy jkakg ys; yÞ.kakg ufkda ffjoH Wmfoia me;+ ud,sld'''

l=ßre fmïj;d iu. újdy jkakg ys; yÞ.kakg ufkda ffjoH Wmfoia me;+ ud,sld''' úfYaI{ ufkda ffjoHjrhl=f.a Wmfoia weiqrsks <s.;a iud.ul /lshdj l< ud,sld rEu;a ;reKshla' ud,sldf.a fmïj;d ÿñkao''' fï iïnkaOh we;s jqfKa mdi,a úfha§uh' kuq;a ud,sldf.a foudmshka fï iïnkaO;djhg uq,§ f.dvla úreoaO jqKd' Bg fya;=j Tyq;a weh;a kEkd uiaiskd ùuh' f,a {d;Ska w;r újdy ffjoHjreka mjd wkqu; fkdlrk nj ±k isáh;a ud,sldj;a" ÿñkaoj;a Tjqfkdjqkaf.ka fjka fjkak leu;s jqfKa kE' fï ksid wka;sfï foudmshkag Tjqkaf.a leue;a;g bv fokak isÿ jqKd'

2016 ud¾;= l<dmh

ÿñkaof.a ;snqKq f,dl=u jro b;d iq¿ fohlg mjd fldam ùu iy ud,sldj iel lsÍuhs' fï fya;=j ksid iq¿ lreKl§;a ÿñkao ud,sld iu. .egqï we;slr .;a;d' lsisu ;reKhl= iu. ud,sld ys;j;aj l;dny lrkjgj;a ÿñkao leu;s jqfKa kE' uq,§ Tyqf.a fï .;s bjiqj;a miqj ud,sldg ÿñkao lrorhla jqKd' ud,sld /lshdjg hjkak;a uq,§ ÿñkao leu;s jqfKa kE' kuq;a ud,sldf.a foudmshka jf.au ÿñkaof.a foudmshkao fndfyda fihska lreKq myÞ§fuka miq weh / lshdjg hjkak ÿñkao tlÕ jqKd' 51

MIND MATTER

l=ßre fmïj;d iu. újdy jkakg ys; yÞ.kakg ufkda ffjoH Wmfoia me;+ ud,sld'''

tA jqK;a Wfoag ud,sldj ld¾hd,hg tlalrf.k .sfha;a ijig wdmiq tlalrf.k wdfõ;a ÿñkaohs' ÿñkaof.a fï .;s iajNdjh;a jf.au ks;r Tyq ;ud iu. .egqï we;slr .ekSu ksid;a ud,sldg ÿñkaoj tmd fj,hs ;snqfKa' kuq;a fï iïnkaOh ×;Skag mjd ryila fkdjQ ksid wehg ÿñkao iu. újdy ùu m%;slafIam lrkak úÈhla ;snqfKa kE' tA jf.au ÿñkao;a ud,sldj w; yßkakg lsisfia;a iQÞkï ke;s nj ud,sld ±k isáhd' /lshd ia:dkfha ud,sldf.a hdno fïifha jev lf<a ks¾ud,a' ud,sldf.a iómu ñ;=rd jqfKa;a Tyqhs' kuq;a ud,sld ljÞj;a ks¾ud,a .ek ÿñkaog lsõfõ kE' tA ;udj iel lrhs lshk nhghs' fldfydu jqK;a ;udf.a yeu ÿla .ekú,a,lau ud,sld lsõfj ks¾ud,ag' tA fjk fudl=;a ksid fkfuhs is;g ieye,a¨jla wjYH jqKq ksihs' kuq;a ld,hla .; fjkfldg ud,sldf.a ysf;a ks¾ud,a .ek wdorhla we;s fjkak mgka .;a;d' ks¾ud,ag;a

fjk fmïj;shla ysáhd' kuq;a ks¾ud,af.a ysf;a;a ud,sld .ek we,aula we;s fj,d Tjqka fokakf.a ñ;% iïnkaOh fm%au iïnkaOhla olajd ÿr È. .shd' ud,sld ÿñkaog fkd±fkk mßÈ ks¾ud,a iu. Èjd ld,fha .uka ìuka .shd' ks¾ud,a ud,sld iu. yeisrefka;a lsisfia;au ;u fmïj;shg fkd±fkkakhs' ÿñkao iu. jir .Kkdjla mej;s iïnkaOhg jvd ks¾ud,a iu. .; l< flá ld,h ud,sldf.a is;g tla lf<a wuq;=u ñysrla' wehg ;snqKq f,dl=u ÿl ks¾ud,a iu. újdy ùug bvla fkd;snqKq tlhs' ks¾ud,ag;a Tyqf.a fmïj;sh w; yer oud ud,sld iu. tla ùug bvla ;snqfKa kE' fï w;r ks¾ud,af.a;a Tyqf.a fmïj;shf.a;a újdyhg Tjqkaf.a jeäysáhka úiska Èk ;Skaÿ lr .ekqKd' bkamiqj ks¾ud,ag ud,sldf.ka wE;a ùug jqjukd jqKd' Tyq ud,sld iu. l;dny lsÍu iSud l<d' weh ksjfia§ fok ÿrl:k weu;=ï lsisjlg Tyq m%;spdr ±lajQfha kE' fï ksid ud,sld ;=< we;sjqfKa Ôúf;a ke;s lr .kakg ;rï l,lsÍula' wehg Tyq iu. .; l< iqkaor w;S;h ks;r ks;ru isysm;a jqKd tA u;lh is;ska wE;a lrkakg neßj weh úkao fõokdj wiSñ;hs' ÿñkao iu. f.jk mjq,a Ôú;hla ms<sn|j wka;hgu l,lsß, isáfha' tjeks flfkl= iu. Ôú; ld,hu tl jy,la hg fldfydu .; lrkjo lsh, ysf;k fldg;a ud,sldg we;s jqfKa ms<sl=,la' kuq;a ks¾ud,a h<s;a ud,sld iu. fmr fia ióm iïnkaOlï we;s lr .kak iQÞkï jqfKa kE' ld¾hd,fha wksla yeu fokl=gu jf.a ud,sldg;a ks¾ud,af.a ux., W;aijh i|yd wdrdOkd ,enqKd' ;udf.a fmïj;d fjk;a ;reKshlf.a w;ska w,a,df.k ukd,hl= f,i ys|k wkaou ±lSfï Yla;shla ud,sldg ;snqfKa kE' Bg fmr Èú kid .kakg we;akï lshd;a wehg fkdfhlajr is;=Kd' wka;sfï neßu ;ek ud,sld ufkda ffjoHjrfhl=f.a msysg me;=fõ ks¾ud,aj wu;l lrkak;a ys; yÞ f.k ÿñkao iu. újdy jkakg;a wjYH udkisl Yla;sh we;s lr.kak mq¿jkao n,kakhs'

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DANDRUFF

ysfiys l=vq fuka iu .e,fjkafka ysiafydßj,g muKlao@

ysiafydß ;reK úhg t<öfuka miqj yg .kshs' iuyr T!IO j¾. ksid iy mdlskaika jeks frda. ;;a;ajhka ksido tljru ysiafydß yg .; yelsh'

ifï frda. úfYaI{ ffjoH iaj¾Kd Èidkdhl fiys l=vq fuka iu .e,ù hdu wm ys y÷kajkafka ysiafydß f,isks' kuq;a tf,i iqÿ meye;s l=vq f,i ysfiys iu .e,ù hdug tlu fya;=j ysiafydß fkdfõ' ysfiys yg .kakd È,Sr ^mqia&" oo" fmd;=lnr jeks frda.S ;;ajhka ksid fï wdldrhg l=vq fuka .e,ù hd yelsh' ì,s÷kago we;s fjkjd b;d l=vd ì,s÷kaf.ao ysfiys iu fmd;= jYfhka .e,ù hk ;;a;ajhla fndfyda ÿrg ±l .; yelsh' fuh cradle cap in infants f,i ye¢kafjhs' wm fï l;d lrkafka ysia fydß ms<sn|jh' Seborrheic Dermatitis kï laIqø Ôúhd tla tla YÍrh ;=< l%shdldÍ jk wdldrh wkqj yg .kakd fohla f,i ysiafydß y÷kajd §ug mq¿jk' ;=reKq úhg msúiSu;a iu.u yg .kakd ysia fydß iajNdjhg fya;=j Malassezia spicies kï mqia j¾.hhs' ysfiys iu l=vq jYfhka .e,ù hdug wu;rj fïjdo oelsh yelshs fï ;;a;ajh we;s jQ úg ±lsh yels ,laIK w;r ysfiys iu l=vq jYfhka .e,ù hdug wu;rj ysfiys ±ú,a," lik iq¿ iajNdjh" ysia ln, r;= meye .ekaùu" weysneu wi," 2016 ud¾;= l<dmh

kdih fomi iy kslg m%foaYfha l=vd ìì,s fyda fmd;= .e,ùu fukau msg iy mmqj m%foaYfha o tf,iska l=vq .e,ùu" tu m%foaY r;a meye ùu" leiSu jeks oE ±laúh yelsh' fulS ,laIK lsysmhla fyda ish,a, iu. ysfiys iu l=vq jYfhka .e,ù hdu ysia fydß h' jeämqr ysiafydß n,mj;ajk m%foaY ysia fydß yg .ekSug n,mdkafka laIqø Ôúhl= nj by; i|yka lf<uq' fï laIqø Ôùka Ôj;a jkafka wfma YÍrfha fïoh ksmojk .%kaÓ wdY%s;jh' fïoh ksmojk .%kaÓ msysgd we;af;a msg" mmqj" kslg" weys neu"

DANDRUFF

ysfiys l=vq fuka iu .e,fjkafka ysiafydßj,g muKlao@

kdih fomi" ysialn, jeks m%foaYj, ksid frda. ,laIK jeämqru ±lsh yelafla o tu m%foaY wdY%s;jh' kuq;a ysfia iu .e,ù hdug fya;=j oohla fyda fmd;=lnr jeks frda.hla kï by; lS ,laIK tf,iskau yg .kafka ke;' fï frda. ,laIK u; tu frda.h ysia fydßo keoao hkak y÷kd .ekSu wmyiq fkdfõ' idudkHfhka fïoh ksmojk .%kaÓj, l%shdldß;ajh wdrïN jkafka jhi wjqreÿ 15-16 § muKh' tkï kj fhdjqka jhfia§h' bkamiq jhi 60-70 la muK jk;=re tys l%shdldß;ajh mj;skq we;' ysiafydß ;reK úhg t<öfuka miqj yg .kafka fï fya;=j ksidh' fï yereKq úg iuyr T!IO j¾. ksid iy mdlskaika jeks frda. ;;a;ajhka ksido tljru ysiafydß yg .; yelsh' b;d oreKq wdldrhg ysia fydß mj;sk úg iy Bg T!IO u.ska 54

mjd iykhla ke;akï tÉ'whs'ù' wdidokh ù we;s±hs mÍlaIKhla lr .kakd f,i ffjoHjre Wmfoia fo;s' fya;=j tjeks whg o oreKq f,i ysiafydß yg .; yels neúks' oreKQ ysia fydß j,g iqÿiq fnfy;a ysiafydß i|yd u úfYaIfhka ksmo jQ Ieïmq j¾. ;sfí' tu.ska ysiafydß md,kh lr .ekSug yelshdj we;' ysiafydß wêl kï m%;sÔjl T!IO ffjoHjrhl= fj;ska kshu lrjd .; yelsh' kuq;a ysiafydß we;s lrjk laIqø Ôúhd wfma YÍrh ;=<u Ôj;a jk ksid tu laIqø Ôúhdf.a l%shdldß;ajh wkqj jßka jr ysiafydß yg .ekSu isÿúh yelsh' ffjoHjrhd - udisl ffjoH iÕrdj

2016 ud他;= l<dmh

SEX & LOVE

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wkqrd.h iy wdorh"

tkaßfla iy udkj cSj úoHdj fjkia ;df,a l;djla Ndr; .=K;s,l úisks iq.shod wfma rfÜ jeäfhkau l;dnyg ,lajQ isoaêhla jQfha ;reK mrmqf¾ ckdorh oskQ ,;ska wefursldkq .dhlfhl= jQ tkarsla b.af,aishia furg meje;ajQ Sex & Love m%idx.fhaoS isÿjQ isoaêka folls' ;reK ldka;djla ndOd mrhñka tkaßfla yuqjg meñKSu;a bkamiq weh iu. iqfldu, rx.khl fhfoñka wjidkfha .Dx.drd;aul ism.ekSul fhoSu tla isoaêhls' jvd;a ck;d wjOdkh oskd.;af;a ;reKshl úiska weh ye| isá ;kmgh tkaßfla fj; oud .eiSuhs' fï isoaêh uq,a lr.ksñka wfma ckdêm;s;=ud oelajQ m%;spdrhgo ta yd iudku m%isoaêhla f,da mqrd ,enqfKah'

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iycfhkau wd wjYH;djhla jQj;a Wvqlh jid .ekSu flfryS t;rï m%uqL;djhla we;s fkdlr.kakd ,oS' flfia fj;;a mßKdóh mshjr j,oS ldka;djf.a mshhqre m%o¾YKh ùu wYa,S,h hk ye`.Su ld,h;a iu.u we;s jQjd fiah' fï ksid Wvqlh" fjfiiskau mshhqre i`.jd .ekSfï W;aidyhl ldka;dj ksr; úh' fviaukaâ fudßia ÿgq ldka;d mshhqre ksrej;a jdkrhd ,shQ fviaukaâ fudßia ;kmgh iïnkaOfhka wmQre ldrKhla úoyd olajhs' ldka;dj mshhqre jid.kafka th i`.jd .ekSugh' tfy;a mshhqre jid .ekSug orK W;aidyh ;=<u mshhqre jeä jeäfhka m%lg ùulao isÿjk nj fviaukaâ fudßia lshhs' we;af;kau mshhqre jid .ekSfï m%d:ñl weªï wo fnfyúka fjkia fj,dh' tajd ks¾udKh ù we;af;a ldka;d mshhqre pu;aldrckl fj<| NdKavhla ffjoHjrhd - udisl ffjoH iÕrdj

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SEX & LOVE

wkqrd.h iy wdorh" tkaßfla iy udkj cSj úoHdj

mshhqre l=¿.ekaùfuka ,sx.sl;ajh wjos jkafka laISrmdhska w;=ßka ñksiqkag yd ;j;a i;a;aj ix;;ska lsysmhlg muKhs laIsrmdhS i;=ka ishhg 97lgu mshhqre ,sx.sl wdl¾IKh jvjk wjhjhla fkdfjhs'

jvjk wjhjhla fkdfjhs' tfyu kï wehs" ñksiqkag ú;rla mshhqre r;sh jvk bkaøshhla njg m;a jqfKA'

Tn okakjd fï ;kmqvqj W;af;ackh lsÍfuka ldka;djka ,sx.sl jYfhkao msìoSulg ,lajk nj' mshhqre W;af;ackhg ,la lsÍfïoS l=¿ .ekafjkafka;a fhdaksh W;af;ackhg ,lajQ úg l=¿ .ekafjk fud<fha l,dmhuhs' ,sx.sl iylrefjl= ;kmqvq msßuosoaoS" W;af;ackh lr;aoS;a Tlaisfgdiska fydafudakh jEiafikjd' th orejd yd uj w;r ne|Su jf.au m%n, ne|Sula iylre fjkqfjka we;s lsÍug iu;a nj bfudaß úYaj úoHd,fha uydpd¾h ,eÍ hx.a m%ldY lrkjd'

fïlg fya;= folla ;sfnkjd' ñksia wm ldhsl iïnkaO;d meje;aùfïo tla iylrefjl=g úYjdijka; fjkjd' tfia fkdù nyqNd¾hd" nyq mqreI fiajkh isÿ lsÍu jrola yd iodpdr úfrdaë ldrKhla jYfhkqhs wm i<lkafka' fï ksid wUqieñhka w;f¾ ;sridr ne|Sula ;sìh hq;=hs' wúÉÑkak wdorhla mej;sh hq;=hs' yßhg ujhs orejhs w;r ne|Su jf.hs' fï ksid uj;a orej;a w;f¾ ne|Su ;sr lrKQ msKsi iajNdjO¾uh fhdod.;a hdka;%Khu wUqieñhka flfryS;a j,x.= lsÍug iajNdjO¾uh iQlaIu ù ;sfnkjd' ta mshhqre udOHhla lr.ksñka'

ñksia wmg muKla iqúfYaIS jQ Wreuhla mshhqre l=¿.ekaùfuka ,sx.sl;ajh wjos jkafka laISrmdhska w;=ßka ñksiqkag yd ;j;a i;a;aj ix;;ska lsysmhlg muKhs laIsrmdhS i;=ka ishhg 97lgu mshhqre ,sx.sl wdl¾IKh

fojeks ldrKhl=;a ;sfnkjd' ta ;uhs" udkj ,sx.sl l%shdjka isÿjkafka uqyqKg uqyqK,d' tfy;a

ne|Sï Yla;su;a lrk mßKdóh Wmdhla .ek T;a;=jla orefjl=g wïu flfkla lsß fok úg wïuf. mshhqre ;=vq orejf. is`.s;s uqúka W;af;ackh fjkjd' th fud<h l=¿.ekaùug iu;a' Tlaisfgdiska fydafudakh >%djh jkafk tys m%;sM<hla úosyg' fï fydafudakh "love drug," hkqfjkq;a y÷kajkjd' talg fya;=j ;uhs" fï ksid wehg ;u orejd iïnkaOfhka wmuK jQ iafkayhla" wdorhla we;s ùu' thska we;sfjk ne|Su ;uhs wmßñ; jQ uõ-odrl ne|Su'

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fndfyda i;a;ajhkaf.a ,sx.sl bßhõ isÿjkafka tflla ;fjfll=f.a msgqmiska' ñksia wfma ,sx.sl bßhõ j,oS uqyqKg uqyqK ,d isÿlrk l%shdjka j,oS mshhqre j,g myiq m%fõYhla i,ikjd'

Tn okakjd fï ;kmqvqj W;af;ackh lsÍfuka ldka;djka ,sx.sl jYfhkao msìoSulg ,lajk nj' mshhqre W;af;ackhg ,la lsÍfïoS l=¿ .ekafjkafka;a fhdaksh W;af;ackhg ,lajQ úg l=¿ .ekafjk fud<fha l,dmhuhs'

2016 ud¾;= l<dmh

fud<fha wkqrd.h fï wdldrfhka iajNdjO¾uh ñksia ,sx.sl p¾hdjkaysoS ldka;d mshhqre j,g w;s úfYAI ia:dkhla i,id ;sfnkjd' we;af;kau mshhqre j,g we;s wdl¾YKh fud<fha ixúOdkh ùula' fud<fhka ;uhs mshhqre j,g fï jákdlu fokafk' thg úlikd;aul n,mEulao ;sfnkjd' fldfydug;a úYd,;u n,mEula l< yels ,sxf.akaøsh jYfhka i<lkafka;a fud<hufka' tfyukï fï mshhqre j,g we;s wdl¾IKh fud<fha weia nekaÿula' ta weia nekaÿu msgqmi wdorfha;a" udkj ne|Sï j,;a f,dl= l;djla ;sfnkjd' ta l;dj wysxilhs' wkQmfïhhs' cSj úoHd;aulg ne¨fjd;a fï yeu l%shdjlu wruqK fofofkl= w;f¾ ;sfhk ne|Su Yla;su;a lsÍu' tfyu n,k úg tkaßfla fiA ix.S; m%ix.hg oeuQ ku wmQrejg udkj úlikd;aul cSj l%shdldß;ajh yd mEfykjd' zzwkqrd.h iy wdorhZZ (Sex & Love) we;af;kau fï Ndj ñksia ix;;shg fldhs ;rï iómo @ 59

INTERPRETING ECG

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yojf;ys l%shdldrs;ajfhys fodaI y÷kd.kakg ECG mÍlaIKhlska ,efnkafka wkQmfïh fufyhla' yojf;ys úoahq;a l%shdldß;ajhg wkqrEmj ,nd.kakd fï o;a; j,ska frda.shdf.a yoj; l%shdldß;ajh úoyd olajkjd' ECG m%ia:drhlska oelafjk f;dr;=re iïnkaO ¨yq`vq igykla fï iu.ska bosßm;a flfrkjd' th ;u oeKQu jmißh oshqKQ lr.ekSug Wkkaÿjla olajk fi!LH flafIA;%fha fndfyda fofkl=g m%fhdackj;a jkq we;s' Sinus bradycardia: A regular but unusually slow heart beat (50 beats/minute or less at rest). Sinus bradycardia can be the result of many things including good physical fitness, medications, and some forms of heart block. "Sinus" refers to the sinus node, the heart's natural pacemaker which creates the normal regular heartbeat. "Bradycardia" means that the heart rate is slower than normal. Complete heart block, also known as Third-degree atrioventricular block (AV block) is a medical condition in which the impulse generated in the sinoatrial node (SA node) in the atrium of the heart does not propagate to the ventricles. Sinus tachycardia (also colloquially known as sinus tach or sinus tachy) is a sinus rhythm with an elevated rate of impulses, defined as a rate greater than 100 60

ECG tl lshk l;dj

beats/min (bpm) in an average adult. The normal resting heart rate in the average adult ranges from 60–100 beats/min. Supraventricular tachycardia (SVT) means that from time to time your heart beats very fast for a reason other than exercise, high fever, or stress. For most people who have SVT, the heart still works normally to pump blood through the body. Atrial fibrillation or AF, is the most common type of arrhythmia (ah-RITH-me-ah). An arrhythmia is a problem with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or with an irregular rhythm. Atrial flutter (AFL) is an abnormal heart rhythm that occurs in the atria of the heart. When it first occurs, it is usually associated with a fast heart rate or tachycardia (beats over 100 per minute), and falls into the category of supra-ventricular tachycardias. While this ffjoHjrhd - udisl ffjoH iÕrdj

rhythm occurs most often in individuals with cardiovascular disease (e.g. hypertension, coronary artery disease, and cardiomyopathy) and diabetes mellitus, it may occur spontaneously in people with otherwise normal hearts. It is typically not a stable rhythm, and frequently degenerates into atrial fibrillation (AF). However, it does rarely persist for months to years. Ventricular tachycardia (V-tach or VT) is a type of tachycardia, or a rapid heart beat that arises from improper electrical activity of the heart presenting as a rapid heart rhythm, that starts in the bottom chambers of the heart, called the ventricles. Ventricular fibrillation (V-fib or VF) is a condition in which there is uncoordinated contraction of the cardiac muscle of the ventricles in the heart, making them quiver rather than contract properly. Ventricular fibrillation is the most commonly identified arrhythmia in cardiac arrest patients.

2016 ud¾;= l<dmh

fuys oelafjk ;;a;aj y÷kd.kakg fuu rEmh mßYS,kh lrkak'

Ventricular asystole is indicative of cardiac arrest. It requires immediate attempts at resuscitation, with a poor prognosis at that. It is characterized by the absence of electrical activity for a length of time with intermittent ventricular complexes of abnormal configuration. Pulseless electrical activity or PEA (also known by the older term electromechanical dissociation) refers to a clinical diagnosis of cardiac arrest in which a heart rhythm is observed on the electrocardiogram that should be producing a pulse, but is not. 61

WHAT ARE THE DANGERS OF COKE?

flda,d îu ñksiqkag fldfy;au iqÿiq fkdfõ'''

What Are the Dangers of Coke?

flda,d îu ñksiqkag fldfy;au iqÿiq fkdfõ''' Tfí ckdorh oskQ fï mdkh Tn;a fkdoeku Tfí iqjfi; úkdY lrkafka fufyuhs

wo f,dalfha jeäfhkau osj. f,, fok kduh zzfyf,da'''ZZ hkakhs' ljr NdIdfjka l;d l<;a ÿrl:kfhka wm ;j;a flfkl=g w`v. ikafka zzfyf,da'''ZZ hkqfjks' zzfyf,da'''ZZ <`.g B<`.g lshefjk ckm%sh jpkh zzflda,d'''ZZ nj flfkla ,shd ;snqKdh' '''' flda,d îu wo ta ;rugu ckm%shh' úúO ikakdu kdu uq,g fh¥ flda,d j¾. oYl .Kkdjl isg ukqIhhkaf.a wdydr isß; uy;a wjodkulg ,la lrñka isà' fï ,smsh lsheùfuka flda,d îu mdkh lsÍfuka we;sjk w;suy;a fi!LHuh ;¾ckh .ek woyila Tngu .; yels jkq we;s' thska we;s lrjk f,duq oeye.kajk iq¿ ydksh .ek Tngu mila jkq we;s' flda,d îu j,;a negß weisâ j,;a wdï,sl;ajh tl jf.hs flda,d îu j, wdï,sl;ajh negß weisâ j, wdï,sl;djhg

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iudkh' uq¿;ekaf. hs j,x" uqÜá msßisÿ lsÍug wm úúO fYdaOl j¾. Ndú;d lruq' fï ´kEu fYdaOlhla fjkqjg flda,d îu álla fhdokak' tajd wmQrejg msßisÿ fjkjdg fukak leg''' ;=kajeks f,dalfha fndfyda rgj, flda,d îu fnda;,hla .ekSug hk úhou j;=r fnda;,hla .kakg hk úhoug jvd wvqh' fï fndfyda iud.ï mßir ys;ldó nj fmrjokla lr.kS' th yqfola m%pdrd;aul WmamerjeÜáhla muKs' fudjqkaf.a ksrej; fy<sorõ jk wmQre c,h ¥IKh lsÍfï w,l,xÑhlg wfma w.kqjr k, ud¾.fhka mdkSh c,h fndk ck;dj miq.shod uqyqK ÿkakd isysm;a lrkak' yDohdndO j,g wxYNd.hg w; jkk mdkh flda,d îu fkdfndk whg idfmalaIj ne,SfïoS flda,d îu fnda;,hla j;a osklg 2016 ud¾;= l<dmh

fndk mqoa.,hka w;r yDohdndO" wd>d;h we;s ùfï ishhg 48l by< wjodkula we;s fõ' Journal Respirology i`.rdj olajk m¾fhaIK jd¾;djlg wkQj flda,d îu fndk mqoa.,hka w;r fmKy¿ yd iajikh wdY%s; frda. fnfyúka jeäh' fï w;r weÿu yd Chronic obstructive pulmonary disease (COPD) hk frda.o fõ' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

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YÍrfha wiaÓ úkdY lrkjd flda,d îu j, we;s ldfndkSlD; øjHhka mshjr ;=klska wiaÓ úkdY lrhs' 1' fï ldfndkSlD; øjH wdudY wdia;rkhg wys;lr fia n,mdhs' 2' fï wdudY.; wmyiq;djh ms<silr lr.ekSug m%;swï,.; wdprkhla wjYH fõ' fï i|yd reêrh Tiafia wdudYhg le,aishï Wlyd .ekSula isÿfõ' 3' oeka reêrfha we;af;a wvq le,aishï m%udKhls' th iïmQ¾K lr .ekSug reêrhg wiaÓ j, we;s le,aishï Wmfhda.S lr .ekSug isÿfõ' hï fyhlska wiaÓ Tiafia fï wjYH;djh iïmQ¾K fkdjqKd kï wfma isref¾ fmaYs.; fukau fud<fha l%shdldß;ajhgo th n,mdkq we;' 63

WHAT ARE THE DANGERS OF COKE?

flda,d îu ñksiqkag fldfy;au iqÿiq fkdfõ'''

isoaêh fu;ekska wyjr jkafkao ke;' flda,d j, we;s Phosphoric acid u.ska oaú;Shsl jYfhkao isref¾ we;s le,aishï ixhq;sh ySk lrhs' fukhska n,k l< mqreoaola jYfhka flda,d îu j¾. .ekSfuka Tfí isref¾ le,aishï ixhq;sh uy;a wjodkulg ,la fjhs'

flda,d isref¾ wiaÓ ÿ¾j, lrk yeá Tfí issref¾ we;s iúu;a wiaÓ fuf<la lrhs' th wiaÓ.; iúh ÿ¾j, lrjk w;r ì|S hdug we;s m%jK;djh by< kxjhs' th isÿjkafka my; mshjr wdldrhgh' 1' ldfndkSlS; l%shdj,sh Tiafia wiaÓ j, Yla;sh ySk fõ' 2' fmdiamßla wï,ho wiaÓ.; le,aishï m%udKh ySk lrhs' 3' fï ySk jk le,aishï m%udKh kej; Wlyd .kafka j;=r" wm fndk lsß wdosfhks' tfy;a ;¾ckhg ,laùfuka miq kej; Wlyd.kakd uQ,øjHhla tys uq,a wdldrh ;rï Yla;su;a fkdjkafkah' .,kd,fha ms<sld oeka jeähs''' fya;= fidhuq óg oYl follg muK fmr .,kd,fha ms<sld frda.Ska t;rï jd¾;d jQfha ke;' tfy;a oeka ;;a;ajh fjkiah' wm fuhg fya;= fidhuq'

3' wdka;%sl wï, wka;%hg ydkslr fkdfõ' kuq;a W.=r tf,iska wdï,sl udOHhlg m%;spdr olajkafka ke;' W.=f¾ mgl fï wï, ksid wdmodjg m;a fjhs' ffi,Sh úlD;s;d n,.ekafjhs' fuh ms<sld we;sùug udOHhla imhhs' flda,d kï úYsIaG NdKAv msßisÿldrlh y÷kd.kak flda,d úYsIAG fYdaOlhls' WmlrK msßisÿ lsÍug flda,d îu j,g we;s yelshdj mqÿu iy.;h

1' ffi, j,g mßird;aul jYfhka we;sjk ;¾ck ms<sld j,g uQ,sl fya;=jls' weianeiafgdaia fl|s ksid fmKy¿ ms<sld we;sùu óg ksoiqkls' 2' flda,d îu j¾. mdkh ksid wdï,sl øjH W.=r osf.a by<g .uka lsÍu iq,nh' Tn ydkais ù isák úg fï ;;a;ajh jvd;a m%n,j we;s fjhs' flda,d j¾. tys we;s ier ridhko iu.ska fufia W.=r osf.a m%;sjykh ùfuka .,kd,h tys iajdNdúl l%shdldß;ajfhka Tíng .sh wd;;sl ;;ajhlg m;a fõ' 64

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Tfí o;aj, we;s oDV fldgi fia ie<flk tku,h osh lr yeÍug fï ;=< we;s fmdiamßla wï,h fyd|gu m%udKj;ah' yeuodu flda,d fndk whf.a o;a osrdm;a ùu w;sYhska fõ.j;a jkq we;' negß weisâ j, PH w.h 1hs' msßisÿ j;=f¾ PH w.h 7hs' we;eï flda,d j, PH w.h 2'5la ;rï wvq w.hla .kS' fï wkQj negß weisâ yd flda,d w;r we;af;a fl;rï iq¿ fjkilao @ ys;d n,kak'

flda,d j,ska .; yels fjk;a m%fhdack kï wmuKhs flda,d îu ukqIH mßfNdackhg iqÿiq fkdfõ' ta;a thska .; yels fjk;a m%fhdack /ila we;' ta .ek oek.ekSu Tngo m%fhdackj;a jkq we;' • Tfí we÷ï j, ;ejÍ we;s .%Sia bj;;a lsÍug flda,d ødjKh iu;ah' • u<lv myiqfjka bj;a fjhs' • ´kEu we÷ul ;ejÍ we;s f,a me,a,ï myiqfjka bj;a lrhs' • fudag¾ .rdc j, we;s fndfydauhla me,a,ï bj;a lrhs' • ms<siaiqKQ Ndck iqoaO lsrSug WmldÍ fjhs' • jdyk negß g¾ñk,aia iqoaO lsÍug iqÿiqh' • jdyk j, tkacska iqoaO lsÍugo wk.s fYdaOlhls' • ldis" fm!rdKsl jákdlula we;s NdKav fyd|ska msßisÿ lrhs • ghs,a .%jqÜ msßisÿ lrhs' • ysfia we,ù ;sfnk .ï wdosh bj;a lrhs' • fyhd vhs bj;a lrhs' • l<d, j, we;s me,a,ï bj;a lsÍug flda,d ìxÿ lsysmhla oud ial%í lsÍu m%udKj;ah' • f,day NdKav msßisÿ lrhs' • fgdhs,Ü j, fldfudâ b;d uekúka msßisÿ lrhs' fï ;rï ld¾hlaIu fYdaOlhla Tfí ishqï cS¾Kl moaO;sh ;=< ljr wdldrfha l%shdldß;ajhla fmkakqï l< yels oehs oeka Tng wkqudk lr.; fkdyelso @ flda,d isrer ;=< lrk flda,ï''' flda,d YÍr.; jQ miq th isrer ;=< l%shd lrkafka fufyuhs'

2016 ud¾;= l<dmh

WHAT ARE THE DANGERS OF COKE?

flda,d îu ñksiqkag fldfy;au iqÿiq fkdfõ'''

ñks;a;= 10lska miq flda,d j, we;s iSks YÍrhg laIKfhka Wrd.kS' ñks;a;= 20lska miq reêrfha bkaishq,ska m%udKh by< hhs' úkdä 40lska miq lefòka wjfYdaIKh fï jk úg isÿ ù yudrh' wefia lKksldj mq¿,a fjhs' reêr mSvkh by< kexfjhs' jeä iSks m%udKhla reêrhg uqod yefrhs' weäfkdiska m%;s.%dyl wjysr jula isÿjk ksid ksødYS,S nj;a we;s fjhs' úkdä 45lg miq fvdmñka kue;s fydafudakh >%djh fjhs' fuh hï wdldrhl m%S;sckl ye`.Sula cks; lrhs' fuh iu l< yelafla u;ameka .kakd whg oefkk m%y¾Yhgh' mehlg miq flda,d j, we;s fmdiamßla wï,h wdydr cS¾Kl moaO;sfha ;sfnk le,aishï" ue.akSishï yd ;=;a;kd.ï wdosh iu. nkaOk we;s lr.kS' le,aishï uq;%d j,g jeä jYfhka uqod yefrhs' mehla bl=;a ùfuka miq YÍrfha isÿjk foa jeäfhka uq;%d msg lsÍfï l%shdldß;ajhla YÍrfha n, .ekafjhs' wiaÓ.; uQ,øjH jk le,aishï" ue.akSishï yd ;=;a;kd.ï tajdhska bj;a fjhs' fidaähï uQ,øjHho laIh fjhs' flda,d fnda;,fha ;sfnk ish¿ ;r, fldgiao uq;%d iu. msg fjhs' flda,d îu j, wê wdï,sl;djh flda,d w;sYhska ckm%sh jkafka tys we;s wdYla;h we;s lrjk .=Kdx.hla ksidh' fldákau Bg weíneys jQfjda wmuK isá;s' fï flda,d j, we;s il%Sh ridhkh jk orthophosphoric acid m%jdykh lsÍfïoS úfYAIs; nyd¿ï ta i|yd fhdod .efka' ta tys we;s wêl wdï,sl;djh fya;=fjks' 66

wys;lr wdl,k yd wdfoaYl /ila flda,d îu ksIamdokfhaoS fhdod. kakd ;j;a wys;lr wdl,k yd wdfoaYl /ila ;sfí' tajdhska iuyrla fufiah' Aqua Carbonated, E150D, E952, E951, E338, E330, Aromas, E211. fïjd fl;rï ÿrg fi!LH iïmkako hkak ta ms<sn|j úuiSfuka Tngu m%;HlaI jkq we;' flda,d c.;a jHdma; l¾udka;hls' tys Ndú;dj wfma rfÜo mD:q,h' ñksia iqjfi; úIfhys fu;rï wk¾:ldÍ mdkhla fï ;rï ckm%sh ùuu fl;rï wjdikdjlao @ fjfiiskau flda,d W.=f,a jeäfhkau meg¨fKda wfma ;reK mrmqrhs' w;sYh wjodkïldÍ fi!LH wjodkula we;s fuu WmøjldÍ îfuka ck;dj wE;a lsÍug Tn;a yels muKska W;aiql jkak'

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2016 ud他;= l<dmh

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uÍkd wdh;kfhka cd;shgu fi!LHiïmkak wdydr fmdaIH .=Kfhka by< zzuÍkd iafm%âZZ .rska rih ,dxflah ck;djg wreuhla ud fkdfõ' ud.rska j, m%KS; rih iu.ska" fmdaIH .=Kfhka iïm%odhsl ud.rska wNsnjd hk kj;u ud.rska j¾.hla oeka ,dxflah fmdaIH .=Kh imsrs fj<|fmd< fj; msúi ;sfí' ud.ßka j, mj;sk fïo m%udKh ;j;a wvq lr YÍrhg fi!LHiïmkak njla tl;= lrk fï ud.ßka zzuÍkd iafm%âZh' zzuÍkd iafm%â ;ejÍug muKla fkdj" bjqï - msyqï i|yd;a flala iy wfkl=;a w;=remi iEoSu i|yd;a Ndú;d l< yel' idudkH Y%S ,dxlsl mdßfNda.slhd úYd, fj<| m%pdrKhka yryd W;al¾Ihg kxjk ,o m%isoaO fj<| kdu ñ,oS .ekSu flfryS jeä keUqrejla m%lg lrhs' tfy;a tu wdydr mdk fndfydauhla mdßfNdackfhka fi!LHhg buy;a ;¾ck we;s jk nj Tn okakjdo @ m%pdrKfha uq,djg /jfgñka fï wjodkï iy.; wdydr ñ,oS .ekSug mdßfNda.slhdg isÿjkq we;' fïjdhska fndfydauhlg wys;lr ridhk" j¾Kl" wdl,k yd ;j;a fndfyda foa ñY% lrk nj fndfyda fokd fkdokakd lreKls' zzuÍkd ,hsÜ - fïo ;ejereuZZ ,xldfõ m%:u j;djg fi!LHdrlaIs;j ksmojQ fmd,af;,a mßfNdackhg oeKQj;aNdjfhka ck;dj fhduq l< uÍkd wdh;kh ;j;a iqúfYaIS wdydr iïm%odhl wjodkï wx. y÷kdf.k tajd neyer lrñka w;s fi!LHiïmkak ksIamdokhla zzuÍkd 68

fmdaIH .=Kfhka by< zzuÍkd iafm%âZZ

,hsÜ - fïo ;ejereuZZ ikakdufhka 20104 oS fj<|fmd<g ksl=;a lr ;sfí' úgñka A, D yd E fmdaIH .=Kfhka imsß fuu zzuÍkd ,hsÜ fïo ;ejreuZZ .=Kj;a Tfu.d - 3 fïo wï,fhka iukaú; jk w;r fi!LHiïmkak cSú;hla i|yd ksielfhka ks¾foaY l< yels ksmehquls' fidaähï fnkafidtaÜ jeks YÍrhg wys;lr ridhk øjH lsisjla wvx.= ke;s iajdNdúl t<j¿ f;,a fhdod ksIamdokh l< rifhka .=K fhka imsß zzuÍkd ,hsÜZZ ÿjd orejkaf.a lEu fõ,g b;d w.kd fi!LHdrlaIs; ;ejreuls' zziafm%â nÜgdZZ 2016 jif¾ uÍkd mjq,g w¿f;kau tl;= jqKq ys;j;d zziafm%â nÜgdZZ uÍkd wdydr iefIa meleÜgqjhs' th .a?ï 18l m%udKfhka hq;a l=vd fmdaIH wdydr meleÜgqjls' myiqfjka ñ,oS .; yels" myiqfjka Ndú;d l< yels uÍkd iefIaZZ l=vd meleÜgqj ´kEu flfkl=g ñ,oS .; yels jk fia rems' 18l ñ,lg y÷kajd oS we;'

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ksIamdok y÷kajdoSulg tlajQ uÍkd wdh;kfha iNdm;s uxcq, kdrdhk uy;d

zzuÍkd ,hsÜZZ fndfyda uõjreka ;u orejka we;=¿j ish mjq,gu wdydr f;aÍfïoS fyd|u foa f;dard .ekSug yeuúgu ie<ls<su;a fjhs' zzuÍkd ,hsÜZZ Tnf.a wdydr fõ,g tla lsÍu u.ska jvd;a rij;a" .=Kj;a wk.s lEu fõ,la ;u orejkag ksr;=rej ,ndoSug yelsjkq we;' idudkHfhka ng¾ fyda fïo ;ejreï fhod ilia lsÍug n,dfmdfrd;a;= jk tAkEu lEu fõ,la i|yd oeka Tng zzuÍkd iafm%âZZ mdúÉÑ l< yel' fuu.ska ksjfia isgu ilia lrk wdydr fõ,g jeä rihla

2016 ud¾;= l<dmh

;j;a wNsudkkSh ksIamdok y÷kajdosuloS'''

,nd fok w;r YÍrhg w;HjYH fïoh imhñka fi!LHiïmkak l%shdYS,S cSú;hla mjqf,a ieugu .; lsÍug wjia:dj ie,fikq we;' fi!LHiïmkak Yla;su;a Y%S ,dxlsl cd;shlaZ fjkqfjka uÍkd wdh;kfha lemùu zzfi!LHiïmkak Yla;su;a Y%S ,dxlsl cd;shlaZZ hk oelau iu.ska f;,a yd fïo ldKavfha cd;Hka;r lS¾;sh oskQ ikakduhla njg m;aùu wruqKq lr.;a uÍkd fï jk úg;a ish mdßfNda.sl ck;djf.a úYajdih yd m%Yxidj by<skau oskd .ekSug iu;a ù ;sfí' Wiiau ;;a;ajfha wdydr fj<|fmd<g bosßm;a lsSfï iajlSh lemùu ksidu foaYSh fj<|fmdf<ys cd;Hka;r ;;a;ajfha mj;sk tlu fj<| kduh nhg m;aùug uÍkd ikakduh iu;a ù ;sfí' cd;sfha fyg oji fjkqfjka jvd;a fi!LHiïmkak" jvd;a úYajdikSh wdydr ksIamdokh lsÍfï uÍkd wNsm%dhg ;=;s meiiqï jYfhka zzia,sï n%Ekaâ tlai,kaiaZZ 2013 yd 2015 iïudk j,oS nqyquka ,nñka iïudkfhka mqo ,eîh'

ffjoHjrhd - udisl ffjoH iÕrdj

INFERTILITY

mqreIhkaf.a oreM< ySk ùug úoHdfõ msysg'''

fndfydauhla mqreI uQ,sl fodaI j,g ms<shï fhosh yelshs

mqreI u|ireNdjhg fya;= fudkjdo @ mqreI u|ireNdjhg lrk m%;sldr fudkjdo @ mqreIhkaf.a oreM< ySk ùug úoHdfõ msysg''' 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 |ireNdjfhka fmf<k iEu msßñka fofofkl=f.ka tlaflfkl=gu iïmQ¾Kfhka ksjeros lr.; yels frda. ;;a;ajhla mj;akd w;r tajd ksjeros lr.;a miq idudkHfhka iajdNdúlju ore iïm;a ,nd.; yelsjkq we;'

Y=l%dKq m%udKh" fõ.h yd .=Kd;aul ;;a;ajh wvq jk úg Od;= ;ekam;a lsÍfï l%u;a (IVI, IPI) b;d wvq jk úg IVF yd ICSI hk k< ore ;dlaIK l%u;a Ndú;hg tla lr.kq ,efí' ICSI ;dlaIKh hkq l=ulao @ fuu l%uh ksid u|ire mqreIhka ishhg 99'9 lgu orejka ,eîfï Nd.Hh ysñ ù ;sfí'

2016 ud¾;= l<dmh

b;du;a wvq Y=l%dKQ m%udKhla ;sfnk wjia:djloS jQj;a tla äïnhla f;dardf.k äïnfha ndysr mg,h isÿre lrñka thska Y=l%dKqj we;=,a lr ixfiapkh isÿ lsÍug yelshdj ;sfí' fï wkQj fndfydauhla msßñka yg u| ire;djh ;snqK;a idM,H;djh" tkï ore iïm;a ,eîfï yelshdj ,nd oSug wo fï ;dlaIKh iu;a ù ;sfí' mqreIhkaf.a u|ire;djhg fya;= • cdkuh jYfhka we;sjk" tkï Wmf;aoSu we;sjk m%fõKsl .eg¿jla ksid' • jDIKfldaI Worh ;=< msysàu • ,sx.dY%s; frda. je<|Su wdosfhka we;sjk ydks • jDIKfldaI weUÍu ksid

INFERTILITY

mqreIhkaf.a oreM< ySk ùug úoHdfõ msysg'''

• jDIKfldaI jgd we;s Ysrd wmiaÓ; (Varicose ) ùu • we;eï fnfy;a j¾." úfYAIfhkau ms<sld m%;sldr msKsi fhdod.kakd fnfy;a" lSfudf;rms m%;sldrh • úlsrK j,g ksrdjrKh ùu • ridhk øjH • Y=l%dKq fudapkfhaoS we;sjk .eg¿ • Y=l%dKq .uka lrk kd, ;=kS ùu • iqIqïkdj wdY%s; frda. • mqriaÓ;s .%kaÓ wdY%s; frda. • oshjeähdj wdoS frda. ksid iakdhq ydkshg m;a ùu • msáhqgß .%kaÓfha we;sjk f.ä ksid' • Y=l%dKq j,g úreoaOj m%;sfoay we;sùu' • Wor l=yrh wdY%s;j lrk Y,Hl¾u ksid • fkdokakd fya;=ka ksido u|ire;djh we;súh yel'

mqreI u|ire;djh msgq oelsh yels l%u • ÿïmdkfhka ñoSu • wêlj u;ameka mdkfhka ñoSu • ,sx.dY%s; YslaIKh ;=<ska ta r;s frda. j<lajd .ekSu • ieye,a¨ hg we÷ï w|skak' wêl WKqiqñka j<lskak • fmaYs j¾Okhg .kakd T!IO j,ska je<lSu' • /lshdfõoS fi!LH iïmkak;djh wdrlaId lr.kak' msßñkaf.a u|ire;djhg jhi n,mdkjdo @ ksfrda.S mqreIhka yg jhia.; jQjo ore iïm;a ,eìh yel' tfy;a jhi;a iu.u Woa.; jk ,sx.sl .eg¿" Y=l%dKq m%udKfha iy pd,l;djfha .eg¿" Y=l%dKq j, we;sjk m%fõKsl fjkialï orejka ,eîug ndOl fjhs' mqreIhka u|ireNdjh oeK.;a úg we;sjk .eg¿ mqreIhka u|ireNdjh ms<sn|j oek.ekSfuka

ffjoHjrhd - udisl ffjoH iÕrdj

Y=l%dKqjla ksuù we;af;a fufyuhs

ysi äïnh yd ne|Sug yd th midre lrf.k hdug WmldÍ fjhs ysfiys DNA øjH msysgd ;sfí

f., wka;hg jkakg we;s uhsfgdfldkaä%hdj p,khg wjYH Yla;sh imhhs

fndfyda fokd b;d l,n,hg m;afõ' iuyr úg th iel lsÍug W;aiql fjhs' ks;ru th ldka;djf.a .eg¿jla f,i ta;a;= .ekaùug W;aidy .kS' u|ire;djh ;sfnk úg ta .ek l,n,hg m;a fkdúh hq;=h' ffjoHjrhd iu. idlÉPd lr wjYH ms<shï fhoSfuka fï .eg¿fjka ñoSfï wk.s wjia:djla ,efnk fyhska ta i|yd .; hq;= mshjr flfryS Tnf.a m%uqL;djh fhduq úh hq;=h' u|ire;djh hkq l=ulao @ jirla mqrd wUq ieñ hqj,la ,sx.sl jYfhka tlaùfuka miqjo .¾NKS;djh fkd,eîu u|ire;djh jYfhka wre;a oelafõ' ldka;djf.a jhi wjq' 35g jeä kï jirla hk ;=re n,d isákafka ke;' udi yhla we;=<; .¾NKS;djh fkd,eî kï u|ire;djhla f,i i<ld m%;sldr wdrïN lrkafka blauka ùu jvd m%;sM<odhS jkafkah hk ixl,amfha msysgñks' .¾NKS;djhla we;s ùug imsßh hq;= wjYH;d .¾NKS;djhla we;s ùug mshjr lsysmhla iïmQ¾K úh hq;=h' • ldka;djf.a äïnfldaI hq.,fhka tla 2016 ud¾;= l<dmh

j,a.h p,khg WmldÍ fõ

fldaIhlska äïnhla uqod yeßh hq;=h' fuh zäïn fudapkhZ f,i ye|skafjhs' • fï uqodyereKq äïnh mef,damSh kd,h Tiafia .uka lr .¾NdIh foig m%úIaG úh hq;= fõ' • msßñhdf.a Y=l%dKq fï äïnh yd iïnkaO úh hq;=h' • ixfiaÑ; hqla;dkqj .¾NdIh ;=< wêfrdamkh úh hq;=h' wfma rfÜ u|ire;djh ixLHdf,aLK idudkHfhka wfma rfÜ hqj, w;r u|ire;djh ishhg 8-10 w;r mj;sk 73

INFERTILITY

mqreIhkaf.a oreM< ySk ùug úoHdfõ msysg'''

nj (Lass 1999) fy<sorõ fõ' fï orejka ,eîu iïnkaO .eg¿ fm< .efikafka fï wdldrhgh'

jDIKhla ñ,s ,Sg¾ 15-35l mßudjla orhs' mqreI m%ckl moaO;sh kshñ; mßos l%shd;aul ùug fuh wjYHfhkau idudkH l%shdldß;ajfhys mej;sh hq;=h'

Y=l%dKQ iïnkaO .eg¿ ishhg 35 mef,damSh kd, yd .¾NdI.; .eg¿ ishhg 35 äïn fudapkh iïnkaO .eg¿ ishhg 15 fya;=jla y÷kd.; fkdyels ishhg 10 f,dal fi!LH ixúOdk ixLHdf,aLK j,g wkQj f,dalh mqrd ñ,shk 80la wTq ieñhka u|ire;djfhka mSvd ú|sk nj jd¾;d fjhs' fuhskau th flmuk c.;a jHdma; .eg¿jlao hkak meyeos,s jkafkah'

uQ,sl jYfhka fuhska tlsfklg fjkia ld¾hhka folla isÿ fjhs' 1' Y=l%dKq ksIamdokh jkafka fuysoSh' 2' fgiagiagfrdka fydafudakh ksIAmdokhgo jDIKfldaI l%shd lrhs'

Y=l%dKqj y÷kd.kak mqreIfhl=g wkkH ;u j¾.hd fnda lsÍug WmldÍ jk ffi,h y÷kajkafka zY=l%dKqjZ hkqfjks' orefjla yefokakg kï Y=l%dKqjl ;sfnk m%fõKsl øjH äïnh hkqfjka wm y÷kajk ia;%S ckl ffi,h iïnkaO ùula isÿ úh hq;af;ah' Y=l%dKqjla hkq weig fkdfmfkk ffi,hls' th ñ,s óg¾ 0'05lg jeä fkdfõ' fuh fldgia ;=klska hq;a úfYAIs;j úfYAIKh jQ ffi,hla f,i ie<lsh yel' ysi" f., iy j,a.h hkqfjks' ysfiys kHIaÀh ia:dms;j ;sfnk w;r <`. <`.ska msysà j¾Kfoay 23lska (Genetic Material) Y=l%dKqj iukaú;h' äïnh iu. tl;= ùug iy wk;=rej äïnh mid lrf.k hdug yelshdjla ,efnk fia Y=l%dKqfõ ysi fldgi úfYaIKh ù ;sfí' ysi;a j,a.h;a iïnkaO lrkakd Y=l%dKqfõ f., fldgihs' j,a.fhys f., wka;hg jkakg uhsfgdfldkaä%hdj msysgd ;sfí' Y=l%dKqjg p,kh ùug wjYH Yla;sh imhkafka fï uhsfgdfldkaä%hdjhs' Y=l%dKqjg äïnh midre lrf.k hdug ;rï pd,l Yla;shla ,eîu iajNdjO¾ufha wmQ¾j wreuhls' jDIK j, l%shdldß;ajh YsIAKhg hdnoj jDIKfldaI hq.,fha we;s ì;a;rhl yeve;s .%kaÓhls' YÍrfhka msg;g jkakg msysghs' jeäysá msßñfhl=f.a 74

jDIK uQ,sl jYfhka úlikh jkafka Worfhah' Wm;g wdikakfha fyda Wm; isÿjQ wdikakfha fï jDIK" jDIKfldaIhg meñfKhs' fuu my;g jeà fjkaj msysàu Y=l%dKQ ksIAmdokhg wjYHh' fjfiiskau ta i|yd wjYH wvq WIAK;ajh ,efnkafka isrefrka msg;oSh' fï ksid idudkH YÍr WIaK;ajhg jvd fikaáf.%â wxYl folla muK my< WIAK;ajhla jDIK j,g ,efí'

ffjoHjrhd - udisl ffjoH iÕrdj

ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx. uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd. ekSug fï lafIA;%fha m<mqreÿ wfma jD;a;Sh iydh ,nd oSug wm b;d leue;af;ka isáuq' fydafudak u.ska jDIK md,kh lrkafka fldfyduo @ mqreIhkaf.a fydafudak iy Y=l%dKQ md,kh i|yd bjy,a jkafka fud<fha ;sfnk msáhqg¾ yd yhsfmd;e,uia hk .%kaÓ hq.,hhs' ¨ákhsiska fydafudakh (LH) yd f*d,sl,a iaáñhqf,aáka fydafudakh (FSH) fï wdldrfhka tu .%kaÓ j,ska md,kh jk jDIK l%shdldß;ajh flfryS iDcqju bjy,a jk fydafudak hq.,hls' msßñfhl= mßK;shg m;ajk jljdkqfõoS fï LH yd FSH fydafudak jeä jYfhka reêr Odrdjg tlafõ' fïjd jDIK j¾Okh yd mßK;shg bjy,a fjhs' mqreIhkaf.a m%uqL ,sx.sl fydafudakh jk fgiagiagfrdka fydafudakh ksmoùug n,.ekafjkafka jDIK j, ;sfnk f,hsä.a ffi,hs' fï ffi, j, mßK;shg fulS fgiagiagfrdka fydafudakh ke;sju neßh' 2016 ud¾;= l<dmh

wmg l;d lrkak' fukak wfma wxlh 077 3273 866 077 9728 799 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a;mdr mrK fldÜgdj mdr Wvyuq,a, kqf.af.dv wisßu;a ore Wm;lg n,mdk ffcùh lreKq /ila ,nk iu.ska ia;%S u|ire;djh iïnkaO f;dr;=re ,nk l,dmfhka n,dfmdfrd;a;= jkak

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

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

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

WISH Fertility & IVF Clinic

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

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oskQId fjkqfjka lS¾;s meial=j,a .ehQ .S;h krUkak https://goo.gl/3xigEq

.dhlhd - lS¾;s meial=j,a wef.a f,v n,kakg meñKSu' oskQId wukaodkkaohg m;a lrñka lS¾;s rij;a isÿ lsysmhlau .dhkd lf<A Tyqf.a risldúh fjkqfjkq Wmka iafkayfhka yoj; wNHka;rh bls ì|soaoS' ta fldfydu jqK;a oskQId fï yuqfjka wm%udK ixf;daIhg m;a jqKd' ;ud wdorh lrk ta fid÷re .dhlhd wef.a .s,ka ihkh bosßmsg isg .S .ehSu fl;rï kï wdYap¾hhlao @ ta ixf;daIh ord.;a is; m%y¾Ihg m;a fj;aoS wef.a ys;=jlaldÍ isrer ;jÿrg;a wehg jdre ke;s jqKd' ;j;a iq¿ fj,djlska miq wdorKSh oskQId fuf,dj yer .shd'

oskQId fjkqfjka lS¾;s meial=j,a .ehQ .S; Tng;a wikakg mq¿jka' ukqi;anfõ .eUqreu ;eka msßuosñka fï oelajQ l=¿Kqnr njg lS¾;s Tng wm yefudaf.u m%Kduh ysñ fjkjd'

miqjok fï isÿùfuka miq wmf.a wdorKSh .dhlhd lS¾;s ffjoHjrhd - udisl ffjoH iÕrdj

meial=j,a ;u lgy`v wjos lrkjd' zzug ta <uhf.a u< f.org hkak ys; yod.kak neß jqKdZZ fï isÿùu .ek ;u w;aoelSï bosßm;a lrkakg fï wdorKSh .dhlhd bosßm;a jqfKA ;ju;a isf;ys me;sr.;a ix;dmhlska hqla;jhs' fïl isoaO jqfKA ckjdß 15 fjksod' fï ojiaj, uu álla ld¾h nyq,hs' 31 fIda tl ksid' yeuodu f.or tkfldg ? oyh;a myq fjkjd' tod f.or wdju ug mSg¾ frdihsfrdA l;d l<d' zzwhsfh fldfyo bkafk''' oskQI ÿjg widOHhs' állg frday,g weú;a hkakZZ lsh,' uu lsõj uu wdj ú;rhs' oeka uykaishs' tkak álla wudrehs lsh,' f*daka tl lÜ lr, ;síng ug fufyu l,amkd jqKd' zzfudk ;rï ug wudre jqK;a fï b,a,Su wyl odkak fyd| kEZZ uu uf.a ;SrKh fjkia l<d' zzoekau hkak ´ks" f,vd n,kak'ZZ 2016 ud¾;= l<dmh

uu frday,g hkak msg;a fjkfldg ÿj;a hkak weyqj' uu ÿj;a tlalf.k hkak msg;ajqfKa fldhslg;a lsh, .sgd¾ tl;a wrf.k' oskQI oelalu ug f.dvla ÿl ys;=K' wehg jdre kE' l;d lrkak nE' fld÷rkj' fnfyúkau ÿ¾j,hs' wirKhs' orejf. kEfhd lsõj" zzÿfõ Thdf. wdiu .dhlh weú;a bkakj lsh, ta fj,dfj oskQI ud osyd mqÿu úosyg n,ka ysáh' uu weh fjkqfjka zl÷, b;ska iud fjhkaZZ lshk .S;h .dhkd l<d' ta .S;h lshk fj,dfj wE b;d wdidfjka th wid ysáh' oskQIf. uqyqfK bßhõ fjkia jqKd jf.a ug oeKk' Bg miafi uu weh fjkqfjka i|,;d''' zz.S;h;a .ehqj' uf.a ÿj ta .S;h ùäfhda lrkak b,a¨j;a talg uu bv ÿkafk kE' tal yßu ÿlanr wjia:djla' fïl ùäfhda lrkak ´ks fj,djla fkù lsh' ta;a fjk;a wh ùäfhda lrkjd ug úreoaO fjkak nE' isxÿ folu lsh, uu weh <`.g .shd' T¿j w;.d, zzikSm jqKdu wms fokaku tlg isxÿ lshuqZZ lsh, lsõj' thdg wudrehs' l;d lrkak nE' ta;a ;kkñka fufyu lsõj' "I like that song", "I want to sing" ta jpk ;uhs ug wjidfkg weh l;d lf<A' uu tod ? f.or weú;a' wef|a b|ka f.dvla we`vqj' wef|a b|ka ta <uh .ek f.dvla l,amkd l<d' mdkaor hdfu ug kskao .syska' Wfoa wjos fj,d f*daka tl Tka lrdu frdihsfrdf. fufica tlla ;snqK' zÿj ke;s jqKd'Z ta fj,dfj ug oeKqkq fõokdj lshd.kak neß ;rï' zzug ta <uhf.a u< f.org hkak ys; yod.kak neß jqKd' ug ta ksYAp, foayh n,kak Yla;shla kE' fï w;aoelSu uf.a cSú;fha ug ljrodj;a wu;l fkdfjk ixfõoS w;aoelSula'ZZ

TAGLINE

u;ameka mdkh lsÍu yDoh jia;j = g n,mdkafka fldfyduo@

u;ameka mdkh lsÍu yDoh jia;=jg n,mdkafka fldfyduo@ yDofrda. úfYaI{ ffjoH kdu,a úchisxy

|ysg u;ameka iaj,amhla mdkh l<dg" tfia;a ke;skï r;= jhska mdkh l< úg yoj;g fyd|hehs fndfyda fokl= úYajdi lrkjd' r;= jhska fyda wfkl=;a l=uk u;ameka j¾.hla fyda b;d iq¿ m%udKj,ska Èkm;d mdúÉÑ lsÍfuka reêrfha ys;lr HDL fldf,iagfrda,a idkaøKh hï m%udKhlska by< hk nj i;Hhla'

wêl f,i u;ameka mdkh lrk whf.a reêr mSvkh iy yDo iamkaok fõ.h by< hkjd' fï ksid yDohdndOhla we;s ùug ;sfnk m%jK;djh jeähs'

ffjoHjrhd - udisl ffjoH iÕrdj

u;ameka mdkh ksid yDofha muKla fkdj YÍrfha wfkl=;a bkaøshhka .Kkdjlg we;súh yels frda. ;;a;ajhka yd i,ld n,k úg yoj;g fyd| hehs lshd lsisjl= fyda u;ameka mdkh lsÍu wkqu; l< fkdyelshs'

kuq;a u;ameka mdkh ksid yDofha muKla fkdj YÍrfha wfkl=;a bkaøshhka .Kkdjlg we;súh yels frda. ;;a;ajhka yd i,ld n,k úg yoj;g fyd| hehs lshd lsisjl= fyda u;ameka mdkh lsÍu wkqu; l< fkdyelshs' Tng reêrfha HDL fldf,iagfrda,a idkaøKh jeälr .ekSug wjYH kï 2016 ud¾;= l<dmh

l< hq;= fyd|u foh jkafka Èkm;d jHdhduhl ksr; ùuhs'

wêl f,i u;ameka mdkh lrk whf.a reêr mSvkh iy yDo iamkaok fõ.h by< hkjd' fï ksid yDohdndOhla we;s ùug ;sfnk m%jK;djh jeähs' tfukau tf,i u;ameka mdkh lrk wh u;ameka iu. lEug .kakd lg.eiau jkqfha f;,a wêl wdydr jk neomq uia" ì;a;r" Tï,Ü" neomq lv," fidfiacia jeks oE ksid isref¾ nr jeä ùu;a" jl% wdldrfhka yoj;a frda.S ùug n,mdkjd' tfukau jeä jYfhka u;ameka .;a úg th yDo fmaYsfha l%shdldß;ajh ÿ¾j, lsÍug fya;=jla jkjd' tksid yDohg ld¾hCIu f,i reêrh fmdïm lsÍug fkdyels ùu;a yDoh jia;=j ÿ¾j, ùu;a isÿ fjkjd' tfiau wêl f,i u;ameka mdkh lrk whf.a yDo ßoaufha wl%ñl;d ksid we;s jk frda. o jeähs' fï ksid Tn u;ameka fndk wfhl= kï th iïmQ¾Kfhkau kj;d oeóu fyda yels;dla iSud lsÍu l< hq;=hs' Tn u;ameka mdkh fkdlrk whl= kï yoj;g fyd|la fõhehs is;d fyda fjk;a l=uk fya;=jla ksid fyda u;ameka mdkh lsÍu wrUkak tmd'

EGG

Why Are Eggs Good for You? An Egg-ceptional Superfood

iqmsß wdydrhla -

ì;a;r jeä fm%daàk m%udKhla Tfí wdydr fõ,g tl;= lr .ekSu Tfí wjYH;djhlao @ M<odhS fmdaIK isß;la fjkqfjka mqxÑ" mqxÑ fjkialï Tfí wdydr isßf;a we;s lr.ekSug Tn;a leu;so @ tfiakï tjka hym;a fjkilg" fi!LHiïmkak cSú;hlg WmldÍ jk rij;a" .=Kj;a wdydrhla y÷kajd fokakï'''

iqmsß wdydrhla - ì;a;r

jpkfha mßiudma; w¾:fhkau ì;a;r fyd| fm%daàk uQ,dY%hla' th Tfí fi!LH iïmkaknj idlaId;a lrkjd' fmaYs j¾Okh lr YÍr Yla;sh jeä lrkjd'

ta ;uhs" ì;a;r' jpkfha mßiudma; w¾:fhkau ì;a;r fyd| fm%daàk uQ,dY%hla' th Tfí fi!LH iïmkaknj idlaId;a lrkjd' fmaYs j¾Okh lr YÍr Yla;sh jeä lrkjd' tl ì;a;rhl Yla;sh ;sfhkafk le,ß 85la muKhs' tfy;a th uy`.= weuhsfkda wï,fhka mßmQ¾Khs' tfiau m%;sTlaisldrl" hlv ì;a;r j, hyñka wvx.=hs' we;efula ì;a;r j, lyuoh lkak wlue;shs' ta;a jákd fmdaIlhla jk flda,ska ;sfhk ksid ì;a;rfha lyuoh fïoh uekúka oykh lrkjd' fud<h W;af;ackh lrk wdydrhla f,i;a ì;a;r mrisÿhs' ta jf.au th fmdaIK .=Kfhkq;a wkQkhs' ì;a;r yoj;a frda. wjodku neyer lrkjd Tn oekgula okakjd" ì;a;r j, fldf,iagfrda,a ;sfnkjd' ì;a;rhl fldf,iagfrda,a ñ,s .a?ï 2112la muK wka;¾.;hs' fldf,iagfrda,a fohdldrhs' LDL reêr kd, u; ;ekam;a ù reêr Odjkh wjysr lrk ksid y÷kajkafka krl fldf,iagfrda,a lsh,' HDL wfkla m%fNAoh fï reêrjdyskS

ffjoHjrhd - udisl ffjoH iÕrdj

wjysr;d" fïo fldgia osh lr yßk ksid tajd fyd| fldf,iagfrda,a lshkjd' ta;a fï krl fldf,iagfrda,a j,;a l=vd LDL wxY= yd úYd, LDL wxY= lsh, m%udKh wkQj fojeoEreïj j¾.Slrkh fjkjd' fï l=vd wxY= ;uhs yojf;a reêr.uk wjysr lrkafk' fï wkQj LDL l=vd wxY= ;sfhk tl fyd| kE' LDL úYd, wxY= ;sfnkjd kï fyd|hs' ì;a;r j, ;sfhk LDLl=vd wxY= úYd, wxY= njg mßj¾;kh fjkjd' fï wkQj ì;a;r ksid hï ys;lr fldf,iagfrda,a hdka;%Khla n,.ekafjk nj oeka úoHd{hka y÷kdf.k ;sfnkjd' m%;sYla;slrK moaO;sh ì;a;r ksid iúu;a fjkjd' fif,kshï lshkafk m%;sYla;slrK moaO;sh ;sr lrk fmdaIlhla' th Tfí ;hsfrdhsâ fydafudak l%shdldß;ajh;a iqir lrkjd' ì;a;rhla lEju ffoksl fif,kshï wjYH;djfhka ishhg 22la imsfrkjd' fï ksid orejka jeä jeäfhka ì;a;r wkqNj lrk tl fyd|hs' fï ksid Tn ffjri" úúO wdidok ksid we;sjk f,v frda. j,ska wdrlaId fjkjd'

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

YÍrfha we;s rhsfnd*f,aúka Yla;s n,d.drhla' î úgñk ixlS¾Khla fia ie<flk rhsfnd*af,aúk j,ska wkQkhs' ojilg mqoa.,fhl=g wjYH rhsfnd*af,aúk j,ska ishhg 232lkau tl ì;a;rhlska ,efnkjd' rhsfnd*af,aúk wdydr Yla;sh njg mßj¾;kh lrñka YÍrhg cjh yd l%shdYS,s;ajh ,nd fokjd'

wfma YÍrfha meje;aug weuhsfkda wï, wdldr 20 la wjYHhs' ñka 11la bfíu YÍrfha ksmofjkjd' b;sß 9 wdydr j,ska ,nd.; hq;=hs' msáka .kak ´ks weuhsfkda wï, wdldr kuhu ì;a;r .ekSfuka iïmQ¾K fjkjd'

goo.gl/PNK2sd

2016 ud¾;= l<dmh

EGG

iqmsß wdydrhla - ì;a;r

flda,ska lshkafk ffi, mg,fha ;sfhk ridhkhla' fud<fha iakdhql l%shdldß;ajhg WmldÍ jk flda,ska ì;a;r j, ;sfhk ksid fud<hg wjYH lrk fyd|u wdydrhla f,i ì;a;r yªkdf.k ;sfnkjd'

iakdhq l%shdldß;ajh hym;a lrkjd ì;a;r j, î5 yd î 12 hk úgñka î ixlS¾Ko ;sfnkjd' fï fmdaIl wfma iakdhq moaO;sfha hy l%shdldß;ajhg w;sYhskau jeo.;a' î úgñka ixlS¾K wfma wlaudj" iu yd weia ksfrda.Sj ;nd.kakjd' fï ish¿ fmdaIl j,ska ì;a;r fmdfydi;a ksid tys jdish;a Tng ,efnkjd'

YÍrfha fïoh oykhg ì;a;r l%shd lrkjd YÍrfha fïoh oykh lsÍug ì;a;r iu;a' tfiau th mqoa.,hkaf.a bk jg m%udKh isyska lrkjd'

fmdâvla lEju iEfyk fj,djla hklï l=i.skak tkafk kE fm%daàk wdydr j, ;sfhk úfYAI;ajhla ;uhs wvq wdydr mßudjlska l=i msÍu' tfiau kej; wdudYh ysia fjkak;a ld,hla hkjd' fï iïnkaOfhka fmdaIKfõofha Satiety Index scale kñka o¾Ylhla ;sfnkjd' tys uq,a ;ekg tkafk ì;a;r' ì;a;r iys; wdydrfõ,la .ekSfuka Tng;a fï blauKska l=i msÍfï jdish ,nd.kak mq¿jka' 84

ì;a;r fud<hg fyd|u wdydrhla flda,ska lshkafk ffi, mg,fha ;sfhk ridhkhla' weisá,afld,ska lshk iakdhq iïfm%aYlh ixYaf,aYKh lrkak flda,ska wjYHhs' fï

ffjoHjrhd - udisl ffjoH iÕrdj

fud<fha iakdhql l%shdldß;ajhg WmldÍ jk flda,ska ì;a;r j, ;sfhk ksid fud<hg wjYH lrk fyd|u wdydrhla f,i ì;a;r yªkdf.k ;sfnkjd' fmdaIlhla jYfhka .kak flda,ska wvq jqKdu mqoa.,fhl=f.a m%cdKk yelshdjka ÿ¾j, jk nj;a iakdhql frda. we;sùfï wjodku by< hk nj;a m¾fhaIlhka y÷kdf.k ;sfnkjd' cSú;h iqrlsk ì;a;r wfma YÍrfha meje;aug weuhsfkda wï, wdldr 20 la wjYHhs' ñka 11la bfíu YÍrfha ksmofjkjd' b;sß 9 wdydr j,ska ,nd.; hq;=hs' hï fyhlska fï msáka .; hq;= weuhsfkda wï, wdldr 9 fkd,eî .shfyd;a wef`.a ÿ¾j,;djh" udxYfmaYs laIh ùu" úvdj" myiqfjka f,v frda. j,g k;=ùu jf.a .eg¿ u;= fjkak mq¿jka' iqN mKsúvh ;uhs" fï msáka .kak ´ks weuhsfkda wï, wdldr kuhu ì;a;r .ekSfuka iïmQ¾K fjkjd' ufkdaNdjh hym;a lsßug WmldÍ fjkjd by; msáka .; hq;= weuhsfkda wï, wdldr kjh wfma ufkdaNdj hym;a lsÍugo WmldÍ fjkjd' hï fyhlska ì;a;r .kafk ke;akï fjk;a fm%daàka m%Njhlska fyda fï weuhsfkda wï, wjYH;djh idlaId;a lr.; hq;=hs' wOHhk j,g wkQj ,hsiska w;sf¾l mod¾: .ekSfuka fï ;;a;ajh iukh lr.; yelshs' taa;a w;sf¾l mod¾: .ekSug jvd jeo.;a jkafka wdydr jYfhka fmdaIl .ekSu nj Tn;a uekúka okakd lreKla' ì;a;rfha lyuoh wmj wlaIs frda. j,ska wE;a lr ;nkjd Lutein yd zeaxanthin hk ridhk ì;a;r j, ;sfnkjd' wfma weia ksfrda.s lr.kak ta ridhk wjYHhs' yenehs' fï iqúfYAIS ridhkh ì;a;rfha ;sfhkafk lyuofha muKhs'

2016 ud¾;= l<dmh

;sñrh fkdfyd;a wefia iqo we;sùu yd uelshq,¾ äfckf¾Ika kue;s wlaIs frda. j,ska je<lSug by; ridhk msgqjy,a fjkjd' ì;a;r - úgñka ã uQ,dY%hla YÍrfha le,aishï wjfYdaIKhg úgñka ã wjYH fjkjd' fï úgñka ã iajdNdúl wdydr j, fidhd.ekSu W.yghs' ta;a o;a yd YÍrfha wiaÓ j¾Okhg wjYH úgñka ã ì;a;r j, hyñka ;sfnkjd' yDofha" mßjD;a;Sh l%shdj,sfha iy wka;% hy l%shdldß;ajfha w;HjYH idOlhla jk úgñka ã ì;a;rhlska ,nd .ekSug yelsùu we;af;kau wñ, m%;s,dNhla' fï úosyg ì;a;rhla wmg fi!LHuh m%;s,dN /ila w;am;a lr fokjd' ì;a;r iqmsß wdydrhla lshkafk ta ksiduhs'

MINIMAL ACCESS SURGERY

v¾vkaia frday, ,xldfõ m%:u ,emriafldms ie;alu isÿ lrhs

fõokdjla kE" lemqï flgqï kE" ixl+,;d wjuhs" blauKska f.or hkak;a mq¿jka''' v¾vkaia frday, ,xldfõ m%:u ,emriafldms udos,sfha iïmQ¾K .¾NdIh bj;a lsÍfï ie;alu isÿ lrhs

kdß yd m%ijfõo úfYAI{ ffjoH Oïñl is,ajd MD ^m%ij yd kdrs& MRCOG (UK) International Diploma in Gynaecological Laparascopy

lS¾;sOr ffjoHuh Ndú;djka ;=<ska úYsIaG frda.S i;aldrhla i,ik v¾vkaia frday, ,emriafldms ;dlaIKfhka lemqï flgqï fkdue;sj .¾NdIh bj;a lsÍfï ie;alula isÿ lrñka ,dxflah ffjoH flafIa;%h ;=< iqúfYAIS wjia:djla iksgqyka lr ;sfí' Worfha fhdok isÿre lsysmhla weiqf¾ YrSrdNHka;rh oSma; leurdjlska msßlaiñka wju Y,Huh fufyhqï weiqf¾ fuu ie;alu isÿ lsÍug mqfrda.dó jQfha kdß yd m%ijfõo úfYAI{ ffjoH Oïñl is,ajdh' 86

,emariafldms Y,Hl¾u ksid miq Y,H ixl+,;d we;sùu wju lr.kakg mq¿jka Y%S chj¾Okmqr úYAj úoHd,fha m%ij yd kdßfõo l:dldpd¾hjrfhl=o jk ffjoH Oïñl is,ajd fï iïnkaOfhka woyia oelajQfha fufiah' zzixlS¾K;djhlg ,laúh yelsj ;snQ Y,Hl¾uhla jvd;a frda.shdg myiqj okjk wdldrfhka isÿ lsÍug ,emriafldms Y,Hl¾u wjia:djla i,ikjd' fï yd ine|S ;dlaIKh b;d Wiia tlla jkjd fukau thg f,dj mqrd úYsIAG ms<s. ekSula ;sfnkjd' fjfiiskau kdßfõoSh ,emariafldms Y,Hl¾u u.ska ixl+,;d we;sùfï bvlv ishhg oYu tlla jeks wju w.hlg m;a lsÍug fï ksid wjia:dj ie,fikjd'ZZ ffjoHjrhd - udisl ffjoH iÕrdj

Durdans Hospital is equipped with state-ofthe art facilities, technologically advanced medical treatments and highly skilled Clinicians and nursing staff to ensure that patients receive the best care possible. Y,Hl¾uh b;d ksjerosj isÿ lrkak mq¿jka ,emriafldms Y,Hl¾u wju m%fõYhla iys;

2016 ud¾;= l<dmh

Y,Hl¾u “minimal access surgery” f,ihs ye|skafjkafka' Worh fPaokh lsÍula kE' Worfhka fhdok isÿre lsysmhla muKhs' fï isÿre Tiafia ùäfhda leurdjla jf.au ishqï Y,Huh WmlrK m%fõY lr Y,Hl¾uh b;d ksjerosj isÿ lrkak mq¿jka' m%fõY lrk leurdfjka wNHka;r bkaøshhkaf.a iqmeyeos,s úYd, m%;sìïn oSma;su;a wdf,dal Odrdjla uOHfha ,nd fokjd' iïm%odhslj lrk fPaokh lsÍï j,oS

olskjd yd iudkju" ke;akï Bg;a fyd|g YÍrdNHka;rh olakg ,eîu fuys úfYAI jdishla' frda.shdf. me;af;ka jdis /ila w;am;a fjkjd id¾j ks¾úkaokhla fuysoSo frda.shdg ,nd fokjd' fï ksid Y,Hl¾uh isÿ lrk w;f¾ frda.shdg oekSula fyda fõokdjla we;s jkafka kE' fmlKsh wi, fhdok ñ,s óg¾ 5-10 l muK mqxÑ lemqulska ;uhs Worh wNHka;rhg m%fõYh i,id .kafka'

MINIMAL ACCESS SURGERY

v¾vkaia frday, ,xldfõ m%:u ,emriafldms ie;alu isÿ lrhs

,emriafldamh m%fõY lrkafk' ,emriafldamh jvd;a mq¿,a w¾:fhka .;af;d;a Medical telescope f,i y÷kajkakg mq¿jka' Bg miafi fï lemqu Tiafia ldnka vfhdlaihsâ jdhqj we;=,a lrkjd' fï ksid wod, bkaøsh fjka fjka jYfhka yd ;rula mq¿,a wdldrhg oelsh yels ksid th kdÍfõoS ffjoHjrhdg uy;a myiqjla we;s lrkjd' fï l%ufõofhka m%fhdack / ila w;am;a fjkjd' frda.hla iel ys;=kyu ta .ek fidhd n,kak mq¿jka" mgl idïm, wdosh bj;a lr.kak mq¿jka' ta jf.auhs" fï fjfiiska isÿ lrk ,o Y,Hl¾ufhaos jf.au m%;sldr i,ikak;a mq¿jka'

blauKska frda.shd iqjm;a fjkjd v¾vkaia frdayf,a ffjoH fiajd wOHlaI fï ch.%yKh iïnkaOfhka fufyu lshkjd' zzv¾vkaia frdayf,a wm Ndú;d lrkafk ,emriafldms ;dlaIKfha w¿;au mrïmrdfõ WmlrK' wfma ffjoHjreka jf.au fiiq ld¾h uKav,h;a w;sYhskau ksmqK;d iïmkakhs' fï ldrKd ksid ,emriafldms ;dlaIKfha úYsIAG;u Ndú;djka wfmka t<s oelafjkjd' frda.shdg fuhska ,enk jdish fndfydau mq¿,a tlla' fõokdj wvqhs" reêrjyk wjuhs" ixl+,;d wjuhs" le<e,a we;s jkafk kE" frdayf,a .; lrkak fjk ld,h wvqhs" ta jf.au blauKska frda.shd iqjm;a fjkjd'ZZ 88

Durdans Hospital introduces cutting edge new treatments in OBGYN Featured

v¾vkaia frdayf,a fmruqKQ ;dlaIKh kdßfõoSh wxYfhka .;af;d;a v¾vkaia frday, fï yd ine|S Y,Hl¾u rdYshlau isÿ lrkjd' Cyst bj;a lsÍu" reconstruction, *hsfn%dhsâ bj;a lsÍu" tkafvdfuá%fhdaisia" .¾NdIh bj;a lsÍu we;=¿j äïnfldaI.; frda. /ila fï l%uhg wdjrKh fjkjd' ta yereKq úg nvje,aj, lrk Y,Hl¾u" wemkaäfilagñ wdoS Y,Hl¾u;a isÿ lrkak mq¿jka' v¾vkaia frdayf,a wfma ,emriafldms Y,Hd.drh kjH WmlrK /ilska iukaú;hs" ksmqK ld¾h uKav,hlska iukaú;hs' fï ksid wo ld,fha frda.Ska N=la;s ú|sk il, úO M< m%fhdack v¾vkaia frdayf,ka w;am;a lr.kak mq¿jka'

ffjoHjrhd - udisl ffjoH iÕrdj

2016 ud他;= l<dmh

NUTRITION FOR RENAL PATIENTS

jl=.vq frda.Ska i|yd fmdaIKh

jl=.vq frda.sfhl=f.a wdydr isß; ilia úh hq;= fï úosyghs B' ta' tï' ,laud,s fcHIaG fmdaIKfõoskS wdisß fikag%,a frday, fld<U Tnf.a jl=.vq j,ska isÿ flfrk ld¾hhka ljf¾o@ 1' YÍrfha ksrka;rfhka ksmofjk úI wmøjH ñY%s; reêrh fmrd uq;%d ksmoùu u.ska tu wmøjH isrefrka neyer,Su' 2' YÍrhg wkjYH f,i ndysßka we;=¿ jQ oshr iy úI øjH uq;%d u.ska neyer lsÍu' 3' YÍrhg wjYH fydafudak ksmoùu' nys>%djh fyj;a wkjYH wmøjH neyer lsÍfï l%shdj,sh i|yd Ndckh jk m%Odk ix>gl • c,h we;=¿ oshr • LKsc ,jK ^le,aishï" fmdiamria" fidaähï" fmdgEishï" laf,darhsâ& • úI wmøjH" ridhKsl øjH by; nys>%dù wmøjH j,ska nyq;rhla wm úiska mßfNdackh lrk wdydr mdk u.ska isrerg we;=¿ùu fyda ksmoùu isÿfõ' Bg wu;rj YÍrh ;=< tosfkod mßjD;a;Sh l%shdj,ska Tiafia ksmojk úIøjHh o fõ' Wodyrkhla jYfhka wm wdydrhg .kakd fm%daàka iys; wdydr ^lsß" ì;a;r" uia" ud¿ wdosh'''& osrùfuka iEfok hQßhd m%uqL wfkl=;a wmøjH c,fha osh ùfuka uq;%d ksmoùu isÿ flf¾' 90

ffjoHjrhd - udisl ffjoH iÕrdj

.;jk iEu ;;amrhla mdid fï wdldrhg YÍrfha úúO mßjD;a;Sh l%shdj,ska fya;=fjka m%;sM< jk úI wmøjH rdYshla ksfrda.S jl=.vq yryd ld¾hlaIuj isrefrka neyer flf¾' kuq;a hï fyhlska wmf.a jl=.vq j,g ydkshla isÿù tajdfha l%shdj,ska wvmK ùu fyda wl¾ukH ùulg ,la jQjfyd;a isref¾ nys>%dù l%shdj,sh weKysàug fyda wvd, ùug ms<sjk' oshjeähdj" wêreêr mSvkh jeks frda. ksis f,i md,kh fkdùfukao" jl=.vq j, .,a yg .ekSfï ;;a;aj jl=.vq wdidok fyda ld,dka;rhla ;siafia ,nd.kakd we;eï T!IO j, w;=re wdndOhla f,io jl=.vq frda. we;súh yel' jl=.vq frda.fhaoS frda. ,laIK m%lg lrkafka ie<lsh hq;= ydkshla jl=.vq j,g isÿjQ miqjh idudkHfhka hï frda. hla je<÷KQ úg my< 2016 ud¾;= l<dmh

jk úúO frda. ,laIK j,ska wmg ta frda.h l=ulao hkak iïnkaOfhka iel my< l< yel' tfia;a ke;akï ffjoHjrfhl= fj; f.dia tu frda. ,laIK j, wdOdrfhka frda. úksYAph l< yel' ksoiqkla f,i oshjeähd frda.fhaoS wêl msmdidj" ks;r we;sjk l=i.skak" ks;r uq;%d neyer,Sfï wjYH;djh oelaúh yel' wjdikdjlg jl=.vq frda.h je<|S jl=.vq j, idudkH l%shdj,Ska wvlska muK wvqjk f;la thg ,dlaIKsl frda. ,laIK m%lg fkdjkafkah' wdydr wreÑh" wêl f;fyÜgq .;sh" jukh fuysoS m%uqL frda. ,laIK fia ie<flK w;r fïjdo jl=.vq frda.h i|ydu wkkH jQ frda. ,laIKo fkdjkafkah' fjk;a frda. j,oSo óg iudk frda. ,laIK my< ùu idudkH iajNdjhhs' tfyhska jl=.vq frda. j,ska fndfydauhla tu frda.fha uq,a wjêfhau y÷kd.ekSu $ frda. úksYAphl fhoSu ;rula wiSre lreKls' os.= ld,Sk jl=.vq frda.hloS (Chronic Kidney Failure - CKD) isÿ jkafka ld,h;a iu. flfuka frda.h W;aikak ùuhs' fuysoS isÿjkafka wvmK $ wl¾ukH jQ jl=.vqj fyda jl=.vqfõ fldgila fya;=fjka ksfrda.Sj ;sfnk jl=.vq fldgi fyda ksfrda.S wfkla jl=.vqj fjfyi ù wmøjH bj;a lr,Sfï l%shdj,shg odhl ùuhs' fuys m%;sM,h jkafka ksfrda.S jl=.vqj fyda tys fldgila frda.S njg m;aj wjidkfha wl¾uKH;djhg m;a ùuhs' CKD fkdfyd;a os.=ld,Skj we;sjk jl=.vq frda.j, iajNdjh iy jl=.vq j,ska uQ;%d fmÍfï fõ.h wkQj j¾.SlrKh l< yel' fuhg mokï fldgf.k we;af;a Glomerular filtration rate - GFR fyj;a jDlalsl fmrK iS>%;djh hk ñKqï oKavhs' 91

NUTRITION FOR RENAL PATIENTS

frda. wjêh

GFR w.h

jl=.vq frda.Ska i|yd fmdaIKh

,laIKh

1 90g jeä frda.,laIK fkdue;s úh yels kuq;a iuyr úg iq¿ jYfhka 2 60-89 frda. ,laIK fmkaúh yel' 3 30-59 frda. ,laIK fmkaùug mgka.kS' 4 15-29 frda. ,laIK ;Sj% ùug mgka.kS' 5 14g wvq vh,hsia lsÍu fyda jl=.vqjla noaO lsÍu tlu úl,amh fõ' • CKD stage 111 fyj;a jl=.vq frda.fha ;=kajeks woshr olajd frda.h W;aikak jk ;=re fndfyda úg frda.shd ;u isref¾ wmøjH neyer lrk l%shdj,sh l<uKdlrKh lr.kS' tneúka uq,a wjêfha miqjk jl=. vq frda.sfhl=f.a reêrfha úI wmøjH tla/ia ùug we;s bv m%ia:d wjuh' • flfia fj;;a frda.h jvd;a W;aikak ù wjika woshr lsysmh lrd meñKs frda.Skag ;u isref¾ úI wmøjH tla /iaùu md,kh l< fkdyels w;r ,jK iy oshr iu;=<s;;djho mj;ajd .ekSu b;d wiSre fõ'

• l%ufhka miajk fyj;a (stage v) fyj;a wjika wjêfha isák frda.sfhl=g ish jl=.vq j,ska flfrk ld¾hdj,sh hka;% u.ska ^vh,sisia& isÿ lsÍu fyda jl=.vqjla noaO lsÍu hk úl,am l%u wkq. ukh lsÍug isÿfõ' (Renal Replacement Therapy) uE; ld,Skj isÿ lrk ,o idhksl m¾fhaIK j, m%;sM<j,g wkQj fndfyda CKD jl=.vq frda.Ska ukaofmdaIKfhka fmf<A' tfia ukaofmdaIKhg ,lajQ jl=.vq frda.sfhl=f.a wdhq wfmalaId ld,h idudkH jl=.vq frda.sfhl=g

ffjoHjrhd - udisl ffjoH iÕrdj

idfmalaIj wvq w.hla .kS' fukhska n,k l, jl=.vq frda.sfhl= ish fi!LH ;;a;ajh yd iudkju fmdaIKh ms<sn|jo ie<ls<su;a úh hq;af;ah' jl=.vq frda.Skaf.a fmdaIKh flfryS n,mdk m%Odk idOl 1' jl=.vqj, j;auka l%shdldÍ uÜgu $ jl=.vq frda. wjêh 2' jl=.vq frda.hg wu;rj je<|S we;s wfkl=;a frda. Wod' oshjeähdj" wêl reêr mSvkh" fldf,iagfrda,a 3' frda.shdf.a os.=ld,Sk wdydr mqreÿ Wod' ks¾udxYslNdjh" wkjYH f,i wdydr md,kh 4' reêrfha tla/ia ù we;s úI wmøjH m%udKh 5' YÍrfha oshr iu;=,s;;djh 6' j;auka fmdaIK uÜgu ^fmdaIK W!K;d we;s $ ke;s nj& 7' ,nk m%;sldrfha iajNdhjh ^vh,hsia lrkafkao wdosh& 8' fydafudak j, widudkH;d 2016 ud¾;= l<dmh

jl=.vq frda.sfhl= i|yd wdydr ks¾foaY lsÍu jl=.vq frda.sfhl= i|yd wdydr ks¾foaY lsÍfïoS by; i|yka ish¿u lreKQ ie<ls,a,g .;hq;= w;r frda.h ksid yg.; yels my; i|yka frda. ,laIK flfrySo wjOdkh fhduq l< hq;= fõ

• lEu wreÑh • jukh • wêl msmdih • rd;%sfha kskao fkdhdu • yqiau .ekSfï wmyiq;d • wêl f;fyÜgqj fmdÿfõ .;a l< wmf.a wdydrfha jeo.;a jk fmdaIl ix>gl jkqfha Yla;s m%udKh" ldfndayhsfâ%g" fïoh" fm%daàk" úgñk yd LKsc ,jKhs' óg wu;rj ;ka;= iy oshr m%udKho ie<lsh hq;= jkafkah' idudkH mqoa.,fhl=f.a fukau jl=.vq frda.sfhl=f.aoffoksl wdydrfhka by; ix>gl ish,a, Tyq fyda weh úiska oskm;d ksis m%udK j,ska ,nd.; hq;=h' fuysoS by; fmdaIl ix>gl ,nd.kakd m%Njh iy m%udK hkdosfha iq¿ fjkialï mej;sh yel' 1'Yla;sh $ le,ß Tnf.a YÍr fi!LHh tosfkod mj;ajdf.k hdug iy tosfkod jev lghq;= lsÍu i|yd Tn wdydr j,ska ,nd.kakd Yla;sh m%udKj;a úh hq;=h' mqoa.,hdf.ka mqoa.,hdg osklg wjYH Yla;s m%udKh my; lreKQ wkQj fjkia fõ'

• jhi • YÍrfha Wi iy nr • ia;%s$mqreINdjh • YÍrfha l%shdYS,S uÜgu • j;auka fmdaIK uÜgu • j;auka fi!LH uÜgu • Tnf.a ffoksl le,ß wjYH;djh wvq;a ke;sj" jeä;a ke;sj ksis mßos ,nd.ekSfuka Tfí nr ys;lr uÜgul mj;ajd .; yel' 93

NUTRITION FOR RENAL PATIENTS

jl=.vq frda.Ska i|yd fmdaIKh

• kuq;a YÍr nr ie<lsh hq;= f,i wvqù ;sfí kï th YÍr fi!LHhg yd fmdaIKhg whym;a f,i n,mdhs' tfiau foay nr wkjYH f,i jeäùuo Tnj fi!LH wjodkulg ,la lrhs' • wjodkula we;s fkdjk mßos Tnf.a ffoksl le,ß wjYH;djh wdydr j,ska imqrd.kakd wdldrh ms<sn|j Tnf.a fmdaIKfõoshdf.ka oeKqj;a fjkak' 2'ldfndayhsfâ%Ü $ msIaG ckl wdydr Tnf.a ffoksl le,ß wjYH;djfhka ishhg 5060l m%udKhla ldfndayhsfâ%Ü $ msIaGckl wdydr j,ska iukaú; úh hq;= fõ' WodyrK jYfhka" OdkH j¾. l=rlalka" n;a" ;sß`.=" fufkaß" nvbß`.= reêrfha fmdgEishï iy fmdiamria wêl;djhla we;s jQjfyd;a jl=.vq frda.S wh fuu OdkH msßmyÿ fldg ^ksjqâv bj;a lr& wkqNjhg .; hq;=h' lsß wdydr t<lsß" Öia" uqojmq lsß" fhda.Ü osklg fïjd fõ,a 1-2 w;r m%udKhla ,nd.; yel' udxY fnda. lv," ljqms" uqx weg" mßmamq wkqu; m%udKhla ,nd.; yel msá iys; t<j¿ n;," u[af{dlald" w, idudkHfhka m%Odk wdydr fõ,la jYfhka Ndú;d fkdfldg iSudiys; m%udKhla ,nd.kak' 3'fm%daàk wmg fm%daàk wdydr wjYH jkafka wehs @ • mgl j, ;eKQï tallhla f,i • tkaihsu iy fydafudak ksmoùug • m%;sYla;slrKhg wod, ix>gl ksmoùug • YÍrfha fkdfhl=;a wNHka;ßl ld¾hhka i|yd

• oskm;d YÍrfhka neyer jk fm%daàk m%udKh h,s isrerg ,nd.ekSug m%udKj;a fm%daàk m%udKhla wdydrfha wvx.= úh hq;=h' • fm%daàk osrùfuka iEfok M,hla jk hQßhd jl=.vq wvmK jQ frda.Skaf.a isrer ;=< tla/ia úh yel' tuksid mQ¾j vh,hsia wjêfha miqjk frda.Ska wvq fyda uOHia: m%udKj,ska fm%daàk wdydrhg tla lr.; hq;=fõ' • fï frda.Ska yg osklg wjYH fm%daàka m%udKh ;SrKh lsÍu Tyqf.a fyda wehf.a isref¾ nr iy jl=. vq frda.fha woshr hk lreKQ u; mokï fõ' idudkHfhka os.=ld,Sk jl=.vq frda.Skaf.a isref¾ nr wkQj my; mßos fm%daàk wjYH;djh ;SrKh flf¾' m<uq" fojk yd f;jk woshr - 0'75 .a?ï X YÍrfha nr ls'.a' mQ¾j vh,sisia ^isõjk yd miajk& - 0'6 .a?ï X YÍrfha nr ls'.a' vh,sisia woshr - 1'2 - 1'4 .a?ï X YÍrfha nr ls'.a'

ffjoHjrhd - udisl ffjoH iÕrdj

fm%daàk nyq, wdydr m%Odk jYfhka ldKAv follg j¾.SlrKh fõ' 1' i;a;ajuh fm%daàk uia" ud¿" lsß" ì;a;r fuu wdydr j, we;s fm%daàk j,ska isrerg w;HjYH ish¿u weuhsfkda wï, iemfha' tneúka fïjd ziïmQ¾k fm%daàk wdydrZ fyj;a zffcj w.h by< fm%daàk wdydrZ jYfhka ie<fla' 2' Ydluh fm%daàk udxY fnda." weg j¾." mßmamq" OdkH j¾. fuu Ydluh fm%daàk j,ska ñksidg w;HjYH weuhsfkda wï, ish,a,lau wjYH m%udK j,g fkd,efí' fïjdfha ffcùh w.ho i;a;ajuh fm%daàk j,g jvd wvqh' tkuq;a ksis f,i j¾. lsysmhla ixl,kh lr .ekSfuka fïjd iïmQ¾k fm%daàk fyj;a ish¿u w;HjYH weuhsfkda wï, imsß wdydrhla njg m;alr .; yel' ksoiqkla f,i udxY fnda.hla iy OdkH fnda.hla ^mßmamq iy n;a tla ksoiqkls'& ixl,kh fldg wdydrhg .ekSu' 2016 ud¾;= l<dmh

• jl=.vq frda.sfhl=f.a fm%daàk wjYH;djfhka ishhg 50la j;a ffcj w.h by< i;a;ajuh fm%daàk j,ska imqrd.ekSu kqjKg yqreh' tkuq;a ks¾udxYsl jl=.vq frda.Ska kï Ydluh fm%daàk mßfNdackh lsÍfïoS ksis mßos wdydr j¾. ixl,kh lr .ekSfuka Tjqkaf.a ffoksl fm%daàk wjYH;djh l<uKdlrkh lr.; yel' 3' f;,a iy fïoh f;,a iy fïoh hkq wk.s Yla;s m%Njhla jk w;r wdydrj, rih yd .=Kh jeä lsÍugo odhl fõ' fïjd Tnf.a wdydrhg tl;= jkafka fmd,alsß" ng¾ j¾." neÿï" ud.ßka" iïmQ¾K fhdoh iys; lsß wdydr" r;= uia yd wfkl=;a f;,a fhdod ieliQ wdydr j,sks' • ix;Dma; fïoh iys; wdydr ;rula iSud lsÍu iy wix;Dma; fïoh iys; wdydr j¾. oskm;d .ekSu ys;lrhs' Bg wu;rj g%dkaia fïoh iys; wdydr iSud lsÍuo ys;lrh' ix;Dma; fïoh fmd,af;,a" r;=uia" fmd,alsß" ng¾ wix;Dma; fïoh ;,f;,a" T,sõ f;,a" iQ¾hldka; fïoh" weg j¾." w,sfmar g%dkaia fïoh iuyr ud.ßka j¾." lsysm jrla Ndú;d lrk ,o f;,a j¾. 4' úgñka fm%daàk we;=¿j úúO wdydr j¾. iSudj blaujd md,kh lsÍfuka jl=.vq frda.Ska úúO W!K;d j,g ,laùfï wjodku jeäh' tfyhska fuu frda.Ska Wfoid úgñka w;sf¾l wjYH wjia:dj,oS ks¾foaY lrKQ ,efí' • fuu úgñka w;sf¾l ffjoH ks¾foaY j,g wkQl+,j Ndú;d l< hq;=h' ksoiqkla f,i wjika woshr j, isák jl=.vq frda.Ska i|yd úgñka A kue;s fïo ødjH úgñkh úIla f,i l%shd lsÍugo wjia:dj we;'

NUTRITION FOR RENAL PATIENTS

jl=.vq frda.Ska i|yd fmdaIKh

5' LKsc ,jK ¨KQ ¨KQ Tfí wdydrfha iSud l< hq;= fmdaIlhls' idudkHfhka fuh wêlj Tnf.a wdydrhg tla jkafka fïi ¨KQ ^fidaähï laf,darhsâ& u.sks' Bg wu;rj wdydr l,a ;nd.ekSug Ndú;d lrk ,jK j¾." fudfkd fidaähï .aÆgfïÜ wdosfhkao Tnf.a wdydrhg tlajk ¨KQ m%udKh jeä úh yel' ¨KQ wêl wdydr .ekSu ksid Tng oeä msmdih we;sjk w;r osklg wjYH lrk c,h m%udKho blaujd jeämqr c,h mdkh lsÍfï wjYH;djh we;sfõ' fï fya;=fjka reêr mSvkh jeäùu" YÍrfha bosuqï iajNdjhla we;sùu wdosh we;sfõ' ¨KQ wêl wdydr fïi ¨KQfidaia" wÉpdre" laIKsl wdydr ^fmdmafldaka" w,fm;s&" ¨KQ fhdod áka j, weisrE wdydr"¨KQ fhdod ilia lrk ,o uia" ud¿ j¾. ^óÜ fnda,a" yeï" fidfiacia& fmdgEishï fmdgEishï hkq fndfyda úg Tnf.a wdydrfha iSud l< hq;= ,jKhls' kuq;a l,d;=rlska Tnf.a reêr.; fmdgEishï m%udKh wvq w.hla .;fyd;a fuh iSud lsÍu wkjYH fõ' fmdgEishï reêrfha ;sìh hq;= idudkH w.hg jvd jeä jQjfyd;a yDofha l%shdldß;ajfha widudkH;d we;sùfïo wjodkula we;' fmdgEishï wêl wdydr m<;=re ^w,sfmar" flfi,a" fodvï' v%e.ka*DÜ& t<j¿ ^w¾;dm,a" m<d j¾." fldia" fo,a& ksjqâv iys; OdkH j¾. iy udxY fnda. ;eô,s j;=r" fmd,aj;=r" fmd,a fmdiamria fuho Tnf.a wdydrfha ;rula ÿrg iSud l< hq;= fmdaIlhls' fmdiamria wêl wdydr flda,d îu j¾." fldfldajd" weg j¾." ì;a;r lyuoh lsß wdydr 96

6 oshr Tng osklg .ekSu i|yd kshu lr we;s oshr mßudj ms<sn|j Tfí ffjoHjrhdf. ka wid oek.; hq;= jkafkah' thg fya;=j m%;sldrfha iajNdjh iy frda.S woshr u; osklg .; yels oshr mßudj fjkia ùuhs' fuh ñ,s ,Sgr 1500" 1000" 750" 500 wdoS w.hla .;yel' meh 24la we;=<; .kakd ish¿u oshr j¾. uekSu i|yd ñKqï fldamamhla Ndú;d lrkak' jl=.vq frda.Ska úiska by; i|yka lr we;s ish¿ fmdaIK lreKq ms<sn|j oeKQj;a ù isàu b;d jeo.;a fõ' tu.ska frda.h W;aikak ùu iy frda.h ksid we;súh yels wfkl=;a w;=re wdndO /ila md,kh lr.; yels fõ' Tnf.a fmdaIK .eg¿ wju lr .ekSu i|yd iqÿiqlï ,;a fmdaIKfõosfhl= yuqù jeäÿr úia;r ,nd.kak'

ffjoHjrhd - udisl ffjoH iÕrdj

2016 ud他;= l<dmh

KNOW PLASTIC SURGERY

rej yev jev .kajk ma,diaála ie;alï

rej yev jev .kajk ma,diaála ie;alï ma,diaála ie;alï .ek uQ,sl ye|skaùula úfYAI{ ma,diaála Y,H ffjoH i;sYA úfcaudkak ,diaála ie;alï- wo iq,nj l;dnyg ,lajk ud;Dldjla njg m;aù yudrh' ma,diaála ie;alï lSjdg fuysoS flfrk lghq;= .ek fndfyda fokdg we;af;a w,am jQ wjfndaOhls' fï ,smsfha wruqK ma,diaála ie;alï ms<sn|j uQ,sl lreKQ lsysmhla Tnf.a oeKQj;a ùug bosßm;a lsÍuhs'

ma,diaála ie;alï hkq l=ulao @ fuh;a ngysr ffjoH úoHdfõ tk Y,Hl¾u udos,shls' fuys wruqK jkafka isref¾ hï fldgil fyda wx.hl fmKqu fyda l%shdldß;ajh ksjeros lsÍula fyda m%;sixialrKh lsÍuls' Y%S ,xldj ;=< iq,nj olakg ,efnkqfha ma,diaála ie;alï rEm,djkH wjYH;d Wfoid Ndú;d lsÍu jQj;a fuys ;j;a mq¿,a Ndú;hka /ila we;' ma,diaála ie;alï Ndú;d jk wfkl=;a wjYH;d iuyrla • uqyqfKA yd ysialnf,a m%;sixialrK i|yd • oE;aj, ie;alï isÿ lsrSug • wkaùlaI fhdodf.k isÿ lrk ishqï ie;alï (Micro Surgery) • ms<siaiqKQ ia:dk j, fmKqu kej;;a fmr ;snQ ;;a;ajhg f.k tau i|yd lrk ie;alï (Burn surgery) 98

Y;j¾Idêl w;S;hl idvïnr Wreuhla we;s ma,diaála ie;alï Ndú;dj wo jk úg kQ;k ffjoH úoHdfõ oshqKQj;a iu.ska w;sYhska kùlrKhg ,laù tys oshqKQ wjia:d iksgqyka lrk nj lsj hq;af;ah'

ma,diaála ie;alï j, b;sydih ma,diaála hkq .%Sl jokls' kej; yev .ekaùu" weöu hk wre; fuhska ,en fohs' l%s mQ 300-2500 ;rï wE; b;sydifhao .%Sisfha ma,diaála ie;alï isÿ l< njg b;sydih foia fohs' fï ld,fha ì÷KQ kdihla ilia lsÍu

ffjoHjrhd - udisl ffjoH iÕrdj

ma,diaála ie;alï u.ska m%;sixialrK ldKAvh hgf;a isÿlrk Ndú;djka isõjeoEreï fõ' 1' wk;=re j,ska YÍrfha mgl ydks jQ úg tajd i|yd mgl noaO lsÍu 2' YrSrfha úrEmS ùï jQ úg tu ia:dk ieliSu 3' iakdhq wdndO j,oS lrk ueosy;aùï' ^Wod' fld÷weg fmf<A fyda ysialnf,a iakdhq.; wdmodjkag lrk ueosy;aùï& 4' oEf;a we`.s,s kej; noaO lsÍu

i|yd ma,diaála ie;alï hk jok fhdod.;a njo oelafõ' ma,diaála ie;alï w;S;fha bkaoshdfõo isÿ flreKQ njg lreKq wkdjrKh fõ' ls%' mQ' 800oS YÍrfha wjhj m%;sixialrKh i|yd ma,diaála ie;alï fhdod.;a njg lreKQ oelafõ' Y;j¾Idêl w;S;hl idvïnr Wreuhla we;s ma,diaála ie;alï Ndú;dj wo jk úg kQ;k ffjoH úoHdfõ oshqKQj;a iu.ska w;sYhska kùlrKhg ,laù tys oshqKQ wjia:d iksgqyka lrk nj lsj hq;af;ah'

2016 ud¾;= l<dmh

ms<sldjla ksid bkaøsh bj;a lsÍug isÿ jQ úg" ksoiqkla f,i mshhqre wdosh kej; m%;sixialrKh lsÍu' uqL l=yrfha we;sjk ms<sld j,oS uqLfha wiaÓfhka fldgila bj;a lsÍfuka miqjtu ia:dkh m%;sixialrKh lsÍug ma,diaála ie;alï fhdod .kS' W;am;a;sfhka we;sjk wx.úl,;d m%;sixialrKh lsÍu uqyqK yd w;a m%;sixialrKh lsÍu" 99

KNOW PLASTIC SURGERY

rej yev jev .kajk ma,diaála ie;alï

yialnf,a fjkialï" uqyqfKA úrEmS ùï" fof;d,a úrEmS ùï" iuñ;slNdjfha fodaI ilia lsÍï wdosh fï ldKAvhg wh;a fõ' w;a iïnkaOfhka isÿlrk ie;alï w;a iïnkaOfhka isÿlrk ie;alï fojeoEreïj j¾.SlrKh fõ' 1' W;am;a;sfhka isÿjk wx.úl,;d 2' we`.s,s tlsfklg we,S ;sîu" we`.s,s wvq fyda jeä ùu" w; fldg ùu wdosh ms<silr lsÍu'

jhig hdfïoS YÍrfha fkdfhl=;a wxY j, we;sjk ysßjeàï" iakdhq ÿ¾j,;d" reuefgdhsâ wd;rhsia jeks frda.Skag isÿ l< hq;= ie;alï isÿ lsÍu' wk;=re ksid udxYfmaYs lemSu wdosh isÿjQ úg ie;alï isÿ lsÍu

100

ma,diaála ie;alï i|yd fhduq ùfïoS tu ;eke;a;d ma,diaála ie;alï úIfhys m<mqreÿ ffjoHjrfhl=o hkak;a ie;alu lrk ia:dkh ffjoH myiqlï j,ska mßmQ¾K ffjoH ia:dkhlao hkak;a fidhd ne,sh hq;=uh'

ffjoHjrhd - udisl ffjoH iÕrdj

;j;a ma,diaála ie;alï iuyrla • ms<siaiqï frda.Skag lrk ie;alï • yosis m%;sldr frda.Skag lrk ie;alï • iu kej; ieliSfï ie;alï • úrEmS ùï fodaI bj;a lsÍug" le<,s bj;a lsÍug lrk ie;alï rEm,djKHuh ie;alï • uqyqK yd iïnkaO ie;alï (Facial cosmetic) • mshhqre yd iïnkaO ie;alï (Breast Surgery) l=vd mshhqre úYd, lsÍu" úYd, mshhqre l=vd lsÍu" mshhqrej, widudkH;d ieliSu wdosh fï hg;g .efka' YÍrfha fïo bj;a lsÍfï ie;alï Worh fnfyúka úYd, ùu" Worh t,a,d jeàu wdosh we;s ldka;djkg fuu fïoh bj;a lsÍfï ie;alï isÿ lrKQ ,efí' ma,diaála ie;alï ms<sn|j we;sjk .eg¿ ma,diaála ie;alï wdrlaIs;o @ tajd iqÿiq jkafka ldgo @ fujka .eg¿ ma,diaála ie;alï iïnkaOfhka we;sùu iajdNdúlh' fï .eg¿ j,g ms<s;=re iemhSu wmf.a hq;=lula jkafkah' ma,diaála ie;alï isÿ lrk úg ta i|yd YÍrfha fjk;a ia:dkhlska mgl ,nd.; hq;af;ah' ta i|yd ie<lsh hq;= ld,hla ñvx.= l< hq;= jkafkah' ie;alug Ndckh jk ;eke;a;d ukd fi!LHhlska hqla; ùuo wjYHfhka isÿúh hq;a;ls' ishhg ishhlau w;=re wdndO j,ska f;dr i¾jdrlaIs; ie;alula f,io fuh jrojd jgyd .; hq;= fkdfõ' wjfYAI Y,Hl¾u j,oS fukau fï ie;alï j,g Ndckh jk ;eke;a;dgo hï wjodkï we;sfõ'

whf.a fi!LH iïmkakNdjh ms<sn|j ffjoHjreka fidhd n,kafka iajlSh j.lSu uq,a ;efkys ;nñks' oshjeähdj" weÿu" yDo frda. ;sfnk flfkla kï ta frda. uekúka md,khlg ,la lrf.k Y,Hl¾uhg Ndckh ùu fuys,d uQ,sl wjYH;djhla jkafkah' wjidk jYfhka ma,diaála ie;alï i|yd fhduq ùfïoS tu ;eke;a;d ma,diaála ie;alï úIfhys m<mqreÿ ffjoHjrfhl=o hkak;a ie;alu lrk ia:dkh ffjoH myiqlï j,ska mßmQ¾K ffjoH ia:dkhlao hkak;a fidhd ne,sh hq;=uh' ukao" frda.shdf.a wdrlaIdj ishhg ishhlau ;yjqre lsÍug fï ldrKd fol w;sYhskau jeo.;a jk fyhsks'

wfhdaud lreKdj¾Ok úiska ilia lrk ,oS'

rEm,djKHuh ie;alï i|yd Ndckh jkafka frda.Ska fkdfõ' fï ksid ie;alug fmr fï

2016 ud¾;= l<dmh

101

102

ffjoHjrhd - udisl ffjoH iÕrdj

SEX Q & A

m%ckl fi!LHhh .eg¿ 100la

Q&A

m%ckl fi!LHhh

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

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

uf.a jDIKfldaI foflka tlla wfklg jvd l=vdh' fï ksid uf.a ,sx.sl lghq;= j,g ndOdjla fjhso @ miqld,fha orejka ,eîug fuh .eg¿jla fjhso @ jDIKfldaIj,ska tlla l=vd ùu u; Tn úuik wdldrfha .eg¿jla we;s jkafka ke;' kuq;a jDIKfldaI j,ska tla jDIKhla fkdmsysáfha kï ta .ek ffjoH Wmfoia ,nd.; hq;=h'

2016 ud¾;= l<dmh

jDIKfldaI j, bosuqula we;súh yels miqìu myod fokak' • ldrKd lsysmhla ksid jDIKfldaI bosóula isÿ úh yel' • wKavfldaI yd jDIK w;r jQ ;r,fha mSvkh jeäùu' • nrjd frda. wjia:dj' • y¾kshd jeks ;;a;aj we;sùu' • yosis wk;=rlg ,laùu' • f.dfkdaßhdj fya;= lrf.k fyda f.dfkdaßhdj fkdjk uq;%d m%odyfha w;=re wdndOhla f,i'

• l,d;=rlska wjia:djloS ms<sld ksido jDIKfldaIj, bosuqula we;sjk uq;a ;reKhka w;r ta wjia:d ÿ,nh' Bottom Line jDIKfldaI j, bosuqula we;s jQjfyd;a ffjoHjrfhl=f.ka m%;sldr .ekSu wjYHh' ffjoHjrfhl= yer wka ljfrl= j;a fujka ;;a;ajhlg ms<shï fhoSug iqÿiafida fkdfj;s'

103

SEX Q & A

nr bis,Su" nhsisl,a meoSu jeks l%shdjkayS ksr;ùfuka jDIKfldaI úYd, fjkjdo@ nr bis,Sfuka jDIK úYd, ùula isÿ fkdfõ' nr bis,Su ksid we;eï úg y¾kshd frda.h we;s ùug bvla we;' nhsisl,a mosk úg hg we÷ula ye| fkdisáfha kï hï wk;=rla isÿ jQjfyd;a lïmkh ksid úYd, úh yel'

msßñfhl=f.a Y=l%dKq ksIamdokh wdrïN jkafka ljr jhfia mgkao@ tu Y=l%dKq ksIamdokh wjika jkafka ljr jhfiao@ msßñ <ufhl=f.a Y=l%dKq ksIamdokh jhi wjq' 13-14 oS muK wdrïN ù uq¿ cSú; ld,h mqrdu mj;shs' tfy;a jhia.; ùu;a iu. Y=l%dKq m%udKfha iy tajdfha .=Kd;aul Ndjfha wvqùula isÿúh yel'

104

m%ckl fi!LHhh .eg¿ 100la

msßñkaf.a YÍrfhka isysfkka Y=l%dKq msgùu fkdfyd;a iajmak fudapkh ksid YÍrh flÜgq ùula isÿ úh yelso@ iajmak fudapkh YÍrhg wys;lro@ isysfkka Y=l%dKq msgùu fkdfyd;a iajmak fudapkh ksid YÍrh flÜgq ùula isÿ fkdfõ' iajmak fudapkh iajdNdúl ;;a;ajhls'tneúka bka YÍrhg lsisÿ n,mEula isÿ fkdfõ'

YsIAKfha fmriu miqmig fkdwefoa kï ,sx.sl ;Dma;sh wvq fõo @ fmr iu miqmig fkdhdfuka fõokdjla we;sùu ksid ;Dma;sh wvqùug bv ;sfí' fmr iu miqmig fkdwefoa kï ffjoH Wmfoia ,nd.ekSu wjYHhs'

YsIaKfha ifï l=re<E jeks ìì,s yg.ekSu frda.hlao@ iuyr úg frda.hla úh yel' fujeks wjia:djl ffjoH Wmfoia ,nd.ekSu wjYHhs'

laIKsl fudapkh isÿjkafka wehs @ ,sx.sl ixi¾.hg fmr fyda ixi¾.h wrUd fudfyd;lg miq Y=l%dKq fudapkh isÿùu laIKsl fudapkh f,i y÷kajhs' fndfyda úg udkisl fya;=ka ksid fuu ;;a;ajh we;sjk w;r we;eï úg ldhsl fya;= ksido fuh isÿúh yel' fï i|yd ffjoH Wmfoia ,nd.ekSu iqÿiqh'

YsIAKh fldg jQjfyd;a ,sx.sl ;Dma;sh ,eìh fkdyelso@ fuh jeros u;hls' iuyr ia;%S mqreI fomlaIhu fndfyda úg fuu u;h or;s' ixi¾.fhaoS ;Dma;sh ,eîug YsIAKfha m%udKh n,mdkafka ke;' ixi¾.fha fhfok bßhõj iqÿiq wdldrhg fjkia lr .ekSfuka Wmßu ;Dma;h s ,nd.; yel' ;j;a .eg¿ lsysmhlg ms<s;=re ,nk l,dmfhka'''

ffjoHjrhd - udisl ffjoH iÕrdj

GOOD HABITS

wdydr .kakd úg l+,a j;=r îu wys;lrhs'''

Why You Should Never Drink Water With Ice?

wdydr .kakd úg l+,a j;=r îu wys;lrhs''' we,a j;=r yd WKq j;=r iu. wdydr .ekSfuka fi!LHiïmkak jdis /ila ,efnkjd'

fï ojiaj, tkak tkaku wõj jeähs' WIAK;ajh jeähs' fï ksidu odyh;a jeähs' fufyu oskj, wdydr .kakd úg wä jeä fofkla l+,a j;=r ùÿrejla tlal wdydr .kak m%sh lrkjd' we;a;gu WIAK;ajh jeä ojil fï úosyg isis,a j;=r ùÿrejla mdkh lsÍfuka lshkak neß ;rï l+,a .;shla we`.g;a oefkkjd' ta;a fï úosyg l+,a j;=r fndk tl fyd| kE' thska wm;a fkdoekSu úYd, wys;lr l%shdoduhla isrer ;=< n,.ekafjkjd'

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

http://goo.gl/LnqWdC

2016 ud¾;= l<dmh

105

GOOD HABITS

whsia j;=r ìõju isrer ;=< fï foaj,a isoaO fjkjd' • l+,a j;=r tl ksid uq¿ cS¾Kl moaO;shu isis,a fjkjd' fuys m%;sM<hla úosyg reêrjdyskS yelsf,kjd' wdydr kshñ; mßos cS¾Kh lsÍug fuh ndOdjla fjkjd ú;rla fkdfjhs tys m%;sM<hla úosyg bka miqj isrer úc,khg ,la fjkjd' • YÍr wNHka;rfha WIaK;ajh hdukh lsÍug hï Yla;shla jeh fjkjd' úYd, jmißhla ork cS¾Kl moaO;sh wêYS;kh jQ úg th hdukh lrkak wu;r le,ß Yla;shla wjYH fjkjd' wdydr cS¾Kh fï ksid wffO¾h jk w;f¾ isrer jeä Yla;s mßj¾;khla b,a,d isákjd' • wdydr .ekSfïoS YS; j;=r mdkh lsÍfuka jeämqr fiï fidgq we;s fjkjd' m%;sYla;slrK 106

wdydr .kakd úg l+,a j;=r îu wys;lrhs'''

l+,a j;=r tl ksid uq¿ cS¾Kl moaO;shu isis,a fjkjd' fuys m%;sM<hla úosyg reêrjdyskS yelsf,kjd' wdydr kshñ; mßos cS¾Kh lsÍug fuh ndOdjla fjkjd ú;rla fkdfjhs tys m%;sM<hla úosyg bka miqj isrer úc,khg ,la fjkjd'

moaO;sfha l%shdldß;ajhgo fï;a iu.u ndOd we;sjk ksid fyïìßiaidj we;s ùfï bvlv jeä fjkjd' • l+,a j;=r fjkqjg l+,a flda,d j¾. .ekSfuka fï ;;a;ajh ;j;a W.% fjkjd' fï ksid fïoh mßjD;a;Sh wmyiq fjkjd' ridhk øjH j, we;s OQ,l isref¾ ;ekam;a fjkjd' Tfí isrer ia:q, lsÍug fï flda,d oskm;d mdkh fya;= fjkjd' fï ksid wdydr iu. Tn .; hq;af;a we,a uerE j;=rhs' WKq j;=r;a lula kE' we,a uereKq j;=r" WKQ j;=r mdkfhka Tng w;ajk jdis fïjdhs' • YÍrh Wmßuj ic,kh lrkjd' • WKq j;=rg cS¾Kl tkaihsu W;af;ackh jk ksid Wmßu wdydr cS¾Khla isÿ fjkjd' nvje,a j, l%shdldß;ajh jvd;a hym;a fjkjd' • reêrh uekúka fYdaOkh lrkjd' • jid moaO;sh" iu yd jl=.vq yryd YÍrfha úI fldgia bj;a lrkjd' fï ksid Tn;a wdydr .kakd úg wk¾:ldÍ l+,a j;=r .ekSfuka j<lskak' we,a j;=r fyda WKQiqï j;=r mdkh lsÍug yeu úgu lghq;= lrkak'

ffjoHjrhd - udisl ffjoH iÕrdj

DENGUE VACCINATION

fvx.= frda.hg ksmojQ tkak; id¾:lhs uq,k s u a tkakf;a /ljrKh ,nkafka ms,m s k S hhs'''

World's first dengue vaccine now available in Philippines

fvx.= frda.hg ksmojQ tkak; id¾:lhs uq,skau tkakf;a /ljrKh ,nkafka ms,smSkhhs'''

2016 ud¾;= l<dmh

f,dalfha m%:u jrg ksIamdokh lrk ,o fvx.= frda.h je<elaùfï tkak; Dengvaxia oeka ms,smSkfha Ndú;hg .efka' iefkda*s mdiap¾ iud.u jir 20la mqrd isÿ lrk ,o m¾fhaIK j,ska miq fï jelaiskh id¾:l f,i y÷kajd fok ,o w;r wdishdkq rgj,a mylo ,;ska wefußldkq rgj,a mylo fuys id¾:l;ajh msßlaik ,oS'

107

DENGUE VACCINATION

fvx.= frda.hg ksmojQ tkak; id¾:lhs uq,k s u a tkakf;a /ljrKh ,nkafka ms,m s k S hhs'''

fuu tkak; ms,smSkfhaoS m%:u jrg y÷kajd oSug fya;=j jQfha tkak;la Ndú;hg .ekSug fmr woshr ;=klska hqla; idhksl m¾fhaIK ish,a, iïmQ¾K lrk ,o m<uq rg ms,smSkh ùuhs' fï j¾IfhaoS ms,smSk orejka ,laI oyhlg tkak; ,nd fokjd fï j¾IfhaoS ñ,shkhla ms,smSkfha mdie,a orejkag fvx.= tkak; ,ndoSug kshñ; jk w;r ,nk j¾IfhaoS rg mqrd jHdma; fvx.= frda. hg tfrys tkak;la olajd Dengvaxia jHdma; lsÍug ms,smSk fi!LH n,OdÍka ie,iqï lr ;sfí' fuu tkak; ud;%d ;=klska iukaú; jk w;r th udi yhl ld, wka;rhla ;=<oS iïmQ¾K flfrkq we;' fvx.= ffjrifha wdldr y;ru i|yd fuu tkakf;ka wdrlaIdj ie,iSu úfYAI jdishls' óg by; fï tkak; iïnkaO m¾fhaIK woshr j,oS udi 25l ld,hla hk;=re tkak; ,nd.;a lsisÿ frda.sfhl=g nrm;, ixl+,;d jd¾;d 108

jQfha ke;' tkak; ,ndoSfuka miq fiiq tkak;a j,oS fuka iq¿ ixl+,;d we;súh yels w;r WK" ysiroh" fmaYs lelal=u" wef.a ÿ¾j,lu wdosh fuu tkak; .ekSfïoS we;euqkag olakg ,efí' rgj,a ishhlg wêl m%udKhl fvx.= ;¾ckh ;sfnkjd fvx.= frda.h miq.sh oYlh ;=< b;d nrm;, wdldrfhka f,dalh mqrd ysi Tijd isák nj f,dal fi!LH ixúOdkh m%ldY lrhs' oekg f,dalfha rgj,a ishhlg wêl m%udKhla fvx.= ;¾ckhg uqyqK md isà' ixLHd;aulj .;fyd;a ì,shk 3'9l ck;djla fvx.= ;¾ckh uqjúg cSj;a fjhs' f,dalh mqrd ñ,shk 390l ck;djla jd¾Islj fuu ffjri wdidokhg f.dÿre fj;s' ol=Kq wdishdkq l,dmfha /ljrKhg fï tkak; ,ndoSu ksIamdolhkaf.a wNsm%dhhs fvx.= frda.h i|yd wdrlaIdjla jYfhka tkak;la y÷kajd oSu Y%S ,xldj o we;=¿j rgj,a úYd, .Kkdjl wfmalaId cks; lrjk jákd isÿùula jkafkah' fuu tkak; wfma rfÜ frda.Skaf.a wdrlaIdjg we;s bvlv iïnkaOfhka jix.;fõo úfYaI{ ffjoH mnd m,syjvk uy;añh i|yka lf<A wfma rfÜ isÿ lrkq ,nk idhksl msßlaiqulska miqj ta ms<sn|j ;SrKhla .kakd njhs' flfia fj;;a Y%S ,xldfõ fukau bkaoshdfõo fjfiiskau fiiq ol=Kq wdishdkq l,dmSh rgj, ck;dj fjkqfjka fuu tkak; y÷kajdoSfï T!IO kshduk lghq;= oekgu;a n,.ekaù we;ehs iefkda*s mdiap¾ wdh;kh i|yka lrhs' ffjoHjrhd - udisl ffjoH iÕrdj

ELDERLY CARE MEDICINE

jeäysá ffjoHfõoh

wfma wdorKSh jeäysá mrïmrdfõ cSú; j, .=Kd;aul nj iqrlsk

jeäysá ffjoHfõoh jeäysá ffjoHfõoh úfYaI{ ffjoH pkaok Y%S lklr;ak

wm ish¿ fokdu m%d¾:kd lrkafka jeä wdhqI m%udKhla N=la;s ú|Sughs' jeä wdhq m%udKhla N=la;s ú|Su Tng hï fyhlska l,ska ie,iqï lsÍug yelshdjla ,enqfKa hhs is;kak' túg Tfí jeäysá jhfiaoS Tn frda.S jkakg wlue;sh' tla;ekaj yqfol,d jkakgo wlue;sh' f,vla ÿlla ke;sj fyd|ska w; mh yiqrejk il%Sh ie|E iuhla Tfí isyskh jkafkah' kuq;a Tn ;=<skau m%d¾:kd lrk fï o¾YSh jeäysáhd we;af;kau Tng m%dfhda.slj uqK .efiaúo @ f,v frda. ksid T;am, ùï" w;mh jdre ke;slï" wef.a mf;a úúO ÿn,;djhka" yqfol,dj" wiykh" ;j;a wf;darla ke;s ÿla ixld wo ojfia jeäysáhka fj,d.kakd .eg¿ fõ' jeäysá jhfia wfma isyskh kuq;a fï ish,a, wld uld jvd;a fyd| ie|E iuhla wfma jeäysáhkag ,nd fokakg iu;a ffjoHuh ueosy;aùula ;sfnkjd kï @ th jeäysáhkaf.a .=Kd;aul cSú;h fndfyda m%j¾Okh lrKQ we;' we;af;kau thska Tfíu wdorKShhkaf.a i;=g" mßmQ¾K nj <`.d lr fokq we;'

2016 ud¾;= l<dmh

tjka ffjoHuh ueosy;aùula ms<sn|j iïm%odhla ke;af;a wfma rfÜh' tfy;a ngysr rgj, fï uy¿ ck.ykh b;d wdorfhka /ln,d.kakd oshqKq ffjoHfõohla b;d mq¿,aj uq,aneif.k ;sfí' th y÷kajkafka jeäysá ffjoHfõoh fkdfyd;a Geriatric Medicine hkqfjks' zzuu" oeka jhig .syska'''ZZ o @ wfma ck;djf.a is;=ï me;=ï j, we;s iDKd;aul fjkila flfryS uq,skau wjOdkh fhduq l< hq;=h' jhi wjq' 50 bl=;a jQ úg wfma ñksiqka fndfyda fokd is;kafka zzuu" oeka jhig .syska'''ZZ hkqfjks' Tjqka uq,skau wl¾ukH lr.kafka ys;hs' idudkHfhka jhi wjq' 70-80 blaujd wo ñksiqka cSj;a jk mßirhla

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ELDERLY CARE MEDICINE

;=< fï jhia.;h hk ikakduh ,ndf.k ;j;a oYl folla" ;=kla wvq jeä jYfhka cSj;a jkakg isÿ jkafkah' kuq;a fndfyda rgj, ;;a;ajh th fkdfõ' jhi mkfya" yefÜ ck;dj fndfyda l%shdYS,Sj lghq;= lrk w;r Tjqka ta ld,fhaoS ysf;a iúh ÿ¾j, lr.kafka ke;' we;af;kau ngysr rgj, kï wjqreÿ 70" 80 jhia jk ;=re Tjqka jhil hhs is;kafka ke' jeäysáhka i|yd iqúfYAIS ffjoH YdLdjla wehs @ ys;kak" wmsg hï lsis frda.hla je<÷Kd lsh,''' fï frda.h ksid" tfyu;a wdidokh ksid fjk;a wjhjj,g;a hïlsis n,mEula we;s fjkjd' reêr mSvkh wvq fjkak mq¿jka" uq;%d md,kh ke;s fjkak mq¿jka" lkak fndkak

110

jeäysá ffjoHfõoh

neß fjkak mq¿jka" ;j;a fkdfhla fjkialï isref¾ we;s fjkak mq¿jka' fï frda.h we;s fjkafk ;reKfhl=g" Yla;s iïmkak flfkl=g kï frda.h iqj ùu;a iu.u fï wjfYAI fjkiaùï idudkH ;;a;ajhg m;a fjkjd' ta;a jhia.; jqKdu tal ta úosygu isÿ fjkafk kE' uq,a frda.h iqjm;a fjkjd' ta;a YÍr hka;%h w¿;a neßlï /ilg ,la fj,d'

ffjoHjrhd - udisl ffjoH iÕrdj

frda.h iqj fj;aoS frda.shd iqjm;a fkdjk jeäysá wjêh .ek wjfndaOhla ,nd.kak jhi wjqreÿ 40l flfkl=g frda.hla yeÿKu we;s fjk ;;a;ajhg jvd wjqreÿ 70l flfkl=g frda.hla je<|SfïoS uqyqK mdkak fjk ;;a;ajh fjkia' jhig hkfldg wfma YÍrfha ;sfhk fkl moaO;sj, l%shdldß;ajh ÿ¾j, fjkjd' túg tajdg f,vla we;s jqKdu we;sjk n,mEu jeähs' wdidok j,g Tfrd;a;= oSfï Yla;sh wvq fjkjd' we;eï jeäysáhkag udkisl fjkiaùï" isys úl,a ùï wdosh;a tkak bv ;sfhkjd' reêr mSvkh my; jeàu" YÍrfha ne,kaia tl ke;sùu jf.a m%Yak jqK;a fï jhig we;s fjkak mq¿jks' b;ska f,vla yeÿku jhia.; flfkl==g f,fâg m%;sldr l<du f,fâ iqj jqKd lshuqfld' ta;a f,vdg iqjhla kE' w¿;a m%Yak .Kkdjla w¿;ska we;s fj,d" wr l,ska lshmq ikSmh ke;s fj,d .syska'

f,fâg fnfy;la''' fokjdg jeä ueosy;aùula jeäysá fjolfïoS wm isÿ lrkjd fukak fï úosfya .eg¿jla wfma wdorKSh jeäysáhkag we;s jqKdu Tjqkag mßiudma; iqjhla ,nd fokak ;uhs fï jeäysá ffjoH úoHdj ueosy;a fjkafk' hïlsis wikSmhla jqKdu ta wikSmhg fok m%;sldr j,ska tydg .sh frda.shdf.a lvd jegqKQ cSú;h k.d isgqjkak lrk jEhula jeäysá ffjoH úoHdfõ wka;¾.;hs' jeäysáhdf.a cSú;fha .=Kd;aul nj jeä lsÍu fuys mßiudma; wNsu;d¾:h fjkjd' idudkHfhka jeäysáfhl=g f,vla yeÿKu wm lrkafk ta f,fâg wod, ffjoHjrfhlaf. ka fnfy;a .kakjd' yDo frda.hla kï yDo frda. ffjoHjrfhlaf.ka" ikaê wdY%s; .eg¿jla kï rla;fõo ffjoHjrfhlaf. ka''' oshjeähdjg ldhsl frda.

2016 ud¾;= l<dmh

111

ELDERLY CARE MEDICINE

ffjoHjrfhlaf.ka''' fï úosyg f,v lsysmhla ;snqfKd;a fnfy;a myf<djla úiaila .kakjd' ffjoHjre lsysm fofkla f,vdj n,d.kakjd' fï úosfya fj,djl fï ish¿ fokdf.au Wmfoia iudf,dapkh lsÍfï l%uhla wjYHhs' fnfy;a f.dvla fndkfldg w;=re wdndOo f.dvla tkak mq¿jka' ;j;a fkdfhl=;a neßlï" ÿ¾j,;d we;s fjkak mq¿jka' lrleú,a," ysfia nr .;sh" jefgkak hk tl'''' fï foaj,a úúOdldrfhka we;s fjkak mq¿jka' jeäysá ffjoHjrfhl=g fï wjia:dfõoS fï ish,a, iïnkaëlrkh lrñka frda.shd yels Wmßu iqjhlg m;a lrkak Tyq .kakd ;SrK WmldÍ fjkjd' mßiudma; we.hSula frda.shd fjkqfjka isÿ lrkjd jeäysá ffjoHfõofhaoS ffjoHjrhd úiska frda.sfhl= mshjr lsysmhla Tiafia frda.shd iudf,dapkh lrkjd' uq,skau Tyqg ;sfnk f,v frda. .ek' oshjeähdj" yDo frda." wêreêr mSvkh fï úosfya wikSm j,g Tyq oekgu;a fnfy;a .kakjd' tajd kshñ; mßos isÿfjk nj ffjoHjrhd oek.kakjd' wvqmdvqjla ;sfnkjd kï th ilia lr.kak u. fmkajkjd' Ñls;ailjrekaf.a iydh wjYH úg ,nd.kakjd we;eï fj,djg frda.Skag úúO YdÍrsl ÿn,;djhka ;sfhkak mq¿jka' wxYNdf. ;sfhkfldg YÍrfha me;a;la wl¾ukH fjkjd' wd;rhsáia" yDohdndO fï yeu tlloSu frda.shdg fmr l%shdldß;ajh kej; ,nd .ekSfï Wmldr wjYH fjkjd' fuysoS frda.shdg fN!;Ñls;ailjreka" jD;a;Sh Ñls;ailjreka wdoSkaf.a iyfhda.h i,id osh hq;=hs' iuyr fj,djg frda.shd ;ukaf. fi!LH ;;a;ajh ksidu udkislj lvd jeá, bkak mq¿jks' úúO ufkdaNdj ksid úYdoh" wd;;sh 112

jeäysá ffjoHfõoh

jf.a .eg¿ j,g ,la fj,d bkakjd kï thska ñfokak fok iyfhda.h;a frda.shdf.a iuia; iqjfi; flfryS w;sYhskau jeo.;a fjkjd' wfkla ldrKh ;uhs idudcSh jYfhka Tyqg ,nd fokak mq¿jka Wmldrh' Tyq f,v fjkak biair fyd| iudcYS,S flfkla kï Tyq oeka .; lrk cSú;fha th wvq jqKdu th;a Tyqg n,mdkjd' úfYAIfhka ;ukaf.u mjqf,ka ,efnk Woõj" wjfndaOd;aul iyfhda.h fuysoS jeo.;a'

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

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ffjoHjrhd - udisl ffjoH iÕrdj

frda.shd iïnkaOfhka mßiudma; we.hSula isÿ lrkjd fï úosyg frda.shdf.a wvq¨yq`vq jQ wjYH;djhka foi uekúka fidhdne,Su wfma m%drïNl mshjrla' th wm mßiudma; we.hSu (Comprehensive Assesment) f,i y÷kajkjd' ó<`.g jeäysáhkaf.a fi!LH ;;a;ajh ms<sn|j iudf,dapkfhaoS Tyqg we;s ÿn,;d iïnkaOfhka mQ¾K iudf,dapkhla isoaO fjkjd' lEu .kak wlue;shs kï fmdaIKfõosfhl= fj; fhduq lrkjd' oshjeähdj ksid mdo .eg¿ ;sfnkjd kï fkdmudj Bg ms<shï fhdokjd' udkislj wjmd;hla ;sfnkjd kï WmfoaYKhla" wjYH lrk ffjoH Wmfoia j,g fhduq lrkjd' fï wdldrfhka frda.shdf.a cSú;fha .=Kd;aul nj wdrlaId lsÍug iEu mshjrlau .kakjd' fuh frda.h uq¿uKskau mqoa.,hd iqjm;a lsÍu (Holistic Approach) f,i olajkak mq¿jka' fuh;a jDoaOfõoh fkdfyd;a jeäysá fjolfuys uQ,O¾uhla'

2016 ud¾;= l<dmh

wms m%fõYh fjkia''' me;s lsysmhlskau frda.shdg w;aje<la fjkjd wfkla ldrKh ;uhs jeäysáhkag m%;sldr lsÍfïoS úúO wxY j,ska hqla; m%;sldrfõohla ;uhs wkq.ukh lrkafk' fuysoS frda. j,g m%;sldr ie,fikjd' ÿn,lï YÍrfha ;sfnkjd kï" bkaøsh l%shdldß;ajh iSud fj,d ;sfnkjd kï Bg ms<shï fidhkjd' ufkdaNdj iqir lrkak ueosy;aùula fjkjd' mjqf,ka iudcfhka frda.shdf.a 113

ELDERLY CARE MEDICINE

jeäysá ffjoHfõoh

.=Kd;aul j¾Okhla we;s lrkak w;aje<la ,nd fokjd' fï úosyg iEu me;slvlau úuikjd' th Multi deciplinary Approach tlla f,i ;dlaIKslj oelafjkjd' oeka Tng ys;d.kak mq¿jks" fuh jeäysáhdf.a iuia; iqjfi; flfrySu b;d ie<ls,af,ka ixúOdkh jk ffjoHuh ueosy;aùula j.' jhig hkj lshkafk l=ulao @ ksYaÑ; jhila wrf.k t;kska tydg .shdu zzoeka jhihs'''ZZ lshk ldrKh fl;rï úoHd;aulo @ fï .ek;a ys;kak fjkj' flfkla wjq' 40oS;a jhig hkak mq¿jka' ;j;a flfkla wjqreÿ 65la fj,;a wr wjqreÿ y;,sfya mqoa.,hdg jvd ksfrda.S iïmkakj bkak mq¿jka' wfma yenE jhi;a cSj úoHd;aul jhi;a w;r fjkialï ;sfnkjd fï wkQj .; lrk ld,h Chronological Age lshkafk jhig hdu ms<sn|j ksjeros ks¾jpkhla fkdfõh lsh, meyeos,s fjkj' YÍrfha wjhj l%shdldß;ajh ÿ¾j, ùu mqoa.,hdf.ka mqoa.,hdg fjkia' fï wkQj jeäysáhka iïnkaO ffjoHjrfhla frda.sfhl=g m%;sldr lsÍfïoS Tyqf.a yenE jhig jvd cSj úoHd;aul jhia.;ùu mdol lrf. khs m%;sldr lrkafk' tfiau tu m%;sldrhg ud¾f.damfoaYK Wmfhda.S lr.kakjdg jvd mqoa., flakaøSh wjYH;djhka fmrgq lrf.khs m%;sldr" m%;sl¾u ie,iqï lrkafk' fï wkQj jeäysá fjolu ukdj ixúOdkh jqKQ fjolula lshk ldrKh meyeos,s fjkjd' tfiau th ie|E iufhaoS mqoa.,fhl=f.a cSú;fha .=Kd;aul nj uekúka mj;ajd .ekSug w;sYhska m%fhdackj;a jk nj;a meyeos,shs' jeäysáhkaf.a hym; fjkqfjka fï ffjoH l¾uh Wmfhda.S lr.kakd wdldrh ms<sn|j wm bosß l,dm j,ska idlÉPd lrkjd'

114

jeäysá frda. ms<sn| úfYAI{ ffjoH pkaok Y%S lklr;ak uykqjr O¾urdc úoHd,fha wdos YsIHfhl= jk pkaok Y%S lklr;ak fmardfoksh úYaj úoHd,hSh ffjoH mSGfhka uQ,sl Wmdêh ,enQfha 1998 j¾IfhaoSh' osjhsfka rcfha frday,a lsysmhlu fiajh l< ta uy;d 1998 j¾IfhaoS MD Wmdêh ysñ lr.;a w;r 2000 j¾IfhaoS MRCP (London) mYapd;a Wmdêh;a 2012 j¾IfhaoS FRCP (London) iqÿiqlu;a mYapd;a ffjoH wOHdmkh idud¾:fhka ,nd.;af;ah' Tyq jDoaOfõoh iïnkaOfhka m¾fhaIlfhl=" m%udKsl nqoaêuf;l= jk w;r fï iïnkaOfhka jk Master of Science (MsC) in Geriatric Medicine - Keele University, UK 2006 mYapd;a Wmdêh fukau" Diploma in Geriatric Medicine (London) 2005, Diploma in Geriatric Medicine (Glasgow) 200 iqÿiqlïo iïmQ¾K lf<Ah' uq,skau ldhsl frda. úfYAI{ ffjoHjrfhl= jYfhka fiajh l< ffjoH lklr;ak wk;=rej jeäysá fjolu fkdfyd;a jDoaOfõoh iïnkaO úfYAI{ ffjoHjrfhl= jYfhka jir kjhlg wêl ld,hla uyd ì%;dkHfha fiajh lf<ah' kej;;a ujqìug fiajhla isÿ lsÍfï wruqKska osjhskg meñKS ta uy;d iajlSh mßph ,;a jeäysá fjolu iïnkaO úfYAI{ ffjoHjrfhl= jYfhka j¾;udkfha fld<U 2 kjf,dal frdayf,a fiajh lrhs'

ffjoHjrhd - udisl ffjoH iÕrdj

wdhq¾fõoh

tod fuod ;=r fy<hkaf.a iqjfi; ie,iQ ;sm,a lidh

tod fuod ;=r fy<hkaf.a iqjfi; ie,iQ

;sm,a lidh ymq;f,a tia' tï' ã' fifkúr;ak úisks

ck;d ckdorh osKQ fjoeÿrd fndfydau biair ldf,l ,xldfj uqyqÿnv .ul fjoeÿfrla ysáhd' t;=ud mdrïmßlj mej; wd ish mrmqf¾ fjolug wkQj .fï ldg;a fjolï l< fndfydu olaIfhla' ld,hla hk úg Tyq .ek rfÜ rcacqrejkag;a wdrxÑ jqKd' rc;=ud fï fjoeÿrdf. olaIlu .ek meyeoS" ta .fï .ïuq,doEkshd yeáhg Tyqj m;a l<d' oeka Tyq .fï ysáh kslïu fjod fkdfjhs' fjo rd,ydñ flfkla' b;sx oeka fï .fï ñksiaiq todg;a jvd fjo rd,ydñg f.!rj l<d' f,vg" ÿlg jf.au ñksiaiq yeu m%Yakhlgu úi÷ï fydhdf.k .ïuq ? oj,a fkdn,d ks;ru fjo rd,ydñf. f.org hkak mqreÿ jqKd'

;sm,a lidh lshkafk wfma fy< fjolfï frda. /ilg fok uQ,sl fnfy;la' úfYAIfhkau reêrfha úúO fodaI" fldam we;sjqK fj,djg ;sm,a lidh oS reêrh msßisÿ lsÍu we;eï merKs fjo mrmqrj,a úiska wkq.ukh l< ms<sfj;la f,i ie<flkjd' f,vla ;snqK;a ke;;a we;eï .eñfhd b|ysg j;a ;sm,a lidh fndkak mqreÿ fj,d ysáhd'

fï fjo rd,ydñg ysáfh ,iaiK ¥jre fokafkl=hs tlu tl fudav mqf;l=hs ú;rhs' ksis jhig t<fUk úg ¥jre fokak újdy fj,d f.oßka .shd' f.or ysáh tlu mq;dg fjo rd,ydñ fldhs ;rï fjolu lsh, fokak W;aidy .;a;;a ta jefâ yß .sfha kE' Tyq fjolu bf.k .kak lsisu Wkkaÿjla 2016 ud¾;= l<dmh

115

wdhq¾fõoh

oelajQfha kE' ld,hla .;jk úg wIaG f,dal O¾uhg wkQj fï fjo rd,ydñ;a úhm;a fj,d ñh mrf,dj .shd' oeka fjo rd,ydñ ke;s ksid .eñfhd mrK mqreoaog yeu m%Yakhlgu fjo rd,ydñf. mq;d yuqjg weú;a Wmfoia .kak mqreÿ jqKd' .eñfhd fï fjo rd,ydñf. mq;dg lsõfj mqxÑ rd,ydñ lsh,hs' mshdf.a wejEfuka fjolu Wreu jQj;a ta f.!rjKSh riaidj .eg .y.;af;a fufyuhs ;j;a ál ld,hla .; jqKd' mqxÑ rd,ydñ;a wmamqÉp jf.au fjolï lrkak wdrïN l<;a Wkakeye fokak oekka ysáh tlu fnfy; z;sm,a lidhZ fok tl ú;rhs' ;sm,a lshkafk wr¿" nq¿" fk,a,s iuj f.k ys|sk lIdhlg' fï ;=ka j.h ysf;k ysf;k wkqmdk j,g kshu lsÍug ;uhs fï mqxÑ rd,ydñ mqreÿ fj,d ysáfh' okafk;a tÉprfk' ojilaod yosisfhau yjia fj,djl .fïu ysáh yefudau mqxÑ rd,ydñf. f.org /iafjkakg mgka .;a;' mqxÑ rd,ydñg;a fï fudkjo fjkak 116

tod fuod ;=r fy<hkaf.a iqjfi; ie,iQ ;sm,a lidh

hkafk lsh, ys;d.kak neß jqKd' ldrfKa úui, ne¿j' uq¿ .fïu we;af;d fjkqfjka tla .eñfhla wdmq ldrfKa lshkak bosßm;a jqKd' zzwfka nqÿ rd,ydñ''' wfma rg w,a,kak i;=re rglska keõ j.hla weú,a,d''' wmg Wka tlal hqoaO fldrkak wdjqo kE' ;sfhkafk f.j,aj, ;sfhk ukak le;s ál ú;rhs''' wfma .u fldfydu yß fír,d fokak'''ZZlsh, lsõj' ;sm,a lidfhka mrfoaYlaldrhka mekakQ yeá mqxÑ rd,ydñ;a fï l;dj wy, ;rula ìh jqK;a ta nj .ïuqkag fkdfmkakd iqmqreÿ .dïNSr úosyg fí;a iSÜgqj;l ;sm,a lidh ,sh, oS," zz WU, nh fkdù fukak fï fnfy; ? lEfuka miafi îm,a,d''' Th fydre /< fyg fjkfldg hhs'ZZ lsh, lshdms' .eñfhd;a .fïu bkak W.; fjÉÑ" m%N+jrh fjÉÑ''' mqxÑ rd,ydñ lsõj úosyg tod ? ;sm,a lidh î, ksod .;a;' tod Wfoa yefudagu nv hkak .;a;' ta ldf, .ïjeisfhd jeisls<s fjkqjg ,l ,Eia;s jqfKA uqyqÿ fjrf< wek nd .kakhs' b;ska yefudau ke.sÜg fjf,a b|, y;a wg ierhla ú;r uqyqÿ fj<g hkjd' YÍr lD;H fldrkak' fïl lsr, wefí weßh jf.a úkakeyshla ;uhs fj,d ;snqfK' Th w;fr wfma rg wdl%uKh lrkak wdmq i;=re rfÜ keõ j, isá hqo yuqod m%OdkSka Wfoa isg fjr<g tk fï rgjeishka osyd ie<ls,af,ka n,d ysáhd' hqo keõ .ek ydxlúishla j;a ke;sj mqreIfhd" ldka;dfjd" orefjd fï yefudau fjr<g weú;a md;a fjkj' ÿr wE; uqyqfo keõ j, bkak whg fï wdfh;a wdfh;a tkafk tlu .fï lÜáhla lsh, kskõjla kE' Wfoag jeisls,s hkak ú;rla fï ;rï fik.l tkj kï rg we;=f, fldhs ;rï ck ikaksmd;hla bkakj we;ao lsh, fï wh ys;kak mgka .;a;' fï wh nh ìrka; jqKd''' jydu keõ j,g wdmyq yrjf.k hkak úOdkh ksl=;a flreKd' keõ ál yrjf.k hkj oelmq .ïuq mqxÑ rd,ydñf. oeKQu .ek w;sYhskau i;=gg m;a jqKd'

ffjoHjrhd - udisl ffjoH iÕrdj

w;S; fy<hdf.a Wreuhla jQ ;sM,a lidh fï lsõfj mrK ck l;djla' z;sm,a lidhZ .ek' ta ;rugu isxy, .eñhkag ;sm,a lidh yqrehs' ;sm,a lidh lshkafk wfma fy< fjolfï frda. /ilg fok uQ,sl fnfy;la' úfYAIfhkau reêrfha úúO fodaI" fldam we;sjqK fj,djg ;sm,a lidh oS reêrh msßisÿ lsÍu we;eï merKs fjo mrmqrj,a úiska wkq.ukh l< ms<sfj;la f,i ie<flkjd' f,vla ;snqK;a ke;;a we;eï .eñfhd b|ysg j;a ;sm,a lidh fndkak mqreÿ fj,d ysáhd' ;sm,a lidhg jvd ;sm,a pQ¾Kh ieye,a¨ úf¾lhla' ;sM,a lidfha wdkqmdk fïjdhs merKs fjÿka tod frda.Skag kshu l< ;s%m,d fyj;a wr¿" nq¿" fk,a,s ixfhda.h frda. /ilg ms<shula jf.au frda. /ila j<lajd .ekSug m%n, uy Tiqjla f,i Ndú;d fjkjd' ld¾h nyq, kQ;k cSjk rgdj ;=< wmg wo .; lrkakg isÿj we;af;a wl%uj;a cSjk rgdjla' fj,djg jeä fofkl=g wdydrhla .kak kE' l=i.sKs jQ úg laIKsl ieliQ wdydrhla .kakd wm m%Odk wdydr fõ," tys .=Kj;a wdydr u. yßkjd' fï laIKsl wdydr j, jeäfhkau we;af;a ji úi' wï, ms;a; ;;a;ajhg jeä jYfhka fya;= jkafka;a fï fkdmsg fmr¿Kq wdydr rgdjhs' ksis fj,djg wdydr fkd.ekSu" wm;H wdydr .ekSu wï, ms;a;hg fya;= fjkjd' fï ksid ;j;a f,v frda. yefokjd' u<noaOh" nfâ oeú,a," nv mqrjd oeóu" l=i.sks fkdoekSu" wl%uj;a f,i u< neyer,Su" wdydr fkdosrùu" weUq,a rig W.=rg tau" fkdbjiqï .;sh" kskao fkdhdu" ksok úg w;=,a m;=,a j, we;sjk ody .;sh" rd;%S kskafoaoS oyäh oeóu" Worh uy;a ùu" lg .| .eiSu" ifuys meyeh ÿ¾jrK ùu" <m le<e,a u;= ùu jeks ixl+,;d /ila we;s úh yelshs' wdydr isß; fkdmsg fmr,Sfuka wmg we;sjk ndOd fuu ;;a;ajh os.ska os.gu mej;shfyd;a w¾iia frda. ;;a;ajh we;súh yelshs' .=o ud¾.fha wdidok" N.kaor" nvje,a my;aùï" wfOdauqLh wdY%s;j f.ä yg.ekSu" jukh" lrleú,a," osjd 2016 ud¾;= l<dmh

ld,fha we;sjk ksosu;" u<my iu. f,a iy iSoï hdu" reêrfha wdï,sl;ajh by< hdu ksid iuúrEmS ùu" yfï oo" fydß l=IaG wdosh we;sùu" w;a md fjõ¨u wdoS frda. /ila we;súh yel'

wfma wdydr cS¾Kl moaO;sh wl%uj;a jk úg ta .ek fkdi<ld yeÍu ksid we;sjk úm;a;sodhl ;;a;ajfhka myiqfjka ñoSug we;s jvd;a iqÿiq ms<sfj; jkqfha ksrka;r nys>%dùh lghq;= kshudldrfhka mj;ajd .ekSuh' ta i|yd wdhq¾fõofha tk ;sm,d pQ¾Kh Ndú;d lsÍu iqÿiqh'

fun÷ frda. /ilg uq,a jkqfha u<noaOh yd wdudYfha wï, ms;a; iajNdjh os.ska os.gu mej;Suhs' ffokslj isreßka neyer úh hq;= wmøjH ksis l,g neyer fkdjk úg tajdfha 117

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;sfnk wys;lr oE wka;% j, ;ekam;a fõ' túg wka;% j, wNHka;r mgl mSvdjg m;ajk w;r tosfkod isreßka neyer úh hq;= wmøjH os.ska os.gu isrer ;=< /|Su ksid we;sjk úI ;;a;ajhka reêr.; fõ' fuhska ;jÿrg;a wmøjH neyerùu wvd, fõ' Tn ks;ru lD;%Su rildrl fh¥ meKsîu" u;ameka mdkh lrk" wÉpdre" ¨KQfoys" biaika" oe,a,ka" f;,a" uia j¾." msá iys; wdydr wdosh wkqNj lrk flfkla kï fï ;;a;ajh jvd;a nrm;, úh yel'

tod fuod ;=r fy<hkaf.a iqjfi; ie,iQ ;sm,a lidh

fkdi<ld isáfhd;a lgql mSvd ,ndfok u<noaOh u<noaOh wdrïNfhaoS t;rï nrm;, fohla f,i fkdis;+jo tu ;;a;ajh os.ska os.gu fkdi<ld yeÍfuka we;sjk frda. ;;a;ajhka W.% jQ úg myiqfjka iqjl< fkdyelsh' l,la ;siafia fkdi<ld yßk ,o u<noaOh ksid miq lf,loS we;sjk w¾Yia frda.h b;d lgql w;aoelSï /ila f.k fokakla nj wuq;=fjka lsj hq;= ke;' w¾iia frda.h W;aikak jQ úg .=o u.ska f,a msgùu isÿjk w;r tu ;;a;ajho fkdi<ld yeßh úg rla;ySk;djh ksid iakdhq ÿ¾j, ùuo isÿúh yelshs' wfma wdydr cS¾Kl moaO;sh wl%uj;a jk úg ta .ek fkdi<ld yeÍu ksid we;sjk úm;a;sodhl ;;a;ajfhka myiqfjka ñoSug we;s jvd;a iqÿiq ms<sfj; jkqfha ksrka;r nys>%dùh lghq;= kshudldrfhka mj;ajd .ekSuh' ta i|yd wdhq¾fõofha tk ;sm,d pQ¾Kh Ndú;d lsÍu iqÿiqh' merKs ;sm,a lidh fjkqjg fï jk úg wdhq¾fõo ;%sm,d pQ¾Kh lemaishq," fm;s yd pQ¾K ^l=vq& jYfhka ñ,oS .; yelsh' .;hq;= ud;%dj fhfylska wkq.ukh l< hq;=''' ;%sm,d úúO ud;%djkaf.ka .ekSug ;sfí' ieye,a¨ úf¾l .=Khla ,eîug kï ;rul jeä ud;%djla u<noaOh i|yd .;hq;= jk w;r wdudYfha wêl wdï,sl;djh" nv msmqu" wdydr wreÑh jeks wjia:d i|yd uOHia; ud;%djla .ekSu iqÿiqh' fï yer ksfrda.slu" ;reKlu /l .ekSu i|yd w,am ud;%djlska ;sm,d oskm;d .; yel' wdhq¾fõo ffjoHjrfhl= fj;ska ,nd.kakd úg Tyq fok ffjoH WmfoaY uekúka ms<smeoSu l< hq;af;ah' ffjoH ks¾foaYhlska f;drj ;sM,d Ndú;d lrkafka kï ksIamdolhd oS we;s Wmfoia kshudldrfhka ms<smeosh hq;=h' fï flfia jQjo .¾NsKS wjia:dj,oS fukau w;Sidrh jeks frda. wjia:d j,oS ffjoH Wmfoia .; hq;=h' ;sM,d pQ¾Kh;a fyd|hs ;sM,d pQ¾Kh ksrka;rj Ndú;h u.ska wdydr cS¾K moaO;sh l%uj;a jkafkah' isref¾ ieye,a¨ nj we;s jkafkah' úhm;a ùfï l%shdj,sh fuhska fndfyda ÿrg md,kh lr.; yel' ;reKlu"

118

ffjoHjrhd - udisl ffjoH iÕrdj

ld¾h Y+r;ajh" Woafhda.h fkdkeiS mj;ajdf.k hdug WmldÍ fõ' ffokslj Tn .kakd wdydr j, mj;sk wys;lr úIøjH l%udKql+,j isrefrka neyer lsÍug ;sM,d pQ¾Kh WmldÍ fõ' w.aksh jvjd wdydrh i;= fmdaIK mod¾: isrerg Wrd. ekSu ld¾hlaIu jkafkah' wlaudfõ l%shdldß;ajh" weiaj, fmkSu" reêr ixirkh" ifï meyem;a nj" mxp bkaøshhkaf.a ;SlaIK nj we;s flf¾' fï yer fldf,iagfrda,a wêl ùu" wêl ;rndrej" uOqfïyh" ms<sld" ifï frda. wdosh ksid we;sjk Wmøj wvq lsÍug;a fï m%;sldrh bjy,a fõ'

wdhq¾fõofha ;sM, f,iska ye|skafjkqfha m<;=re ;%s;ajhls' wr¿ (Terminalia Chebula Retz)" nq¿ (Terminalia Bellirica Retz)" fk,a,s (Phyllanthus Embilica Linn) hkq tlsfklg fjkia ri yd .=K we;s ñksia isrerg b;du;a ys;lr m<;=reh' nq,;a úvg úl,amhla ks;ru nq,;a úg yemSug mqreÿj isá me/kafkda ;ukg nq,;a úá fidhd.; fkdyels jQ úg fk,a,s fyda úh<s wr¿ f.ä fyda ks;r lEug miqng fkdùh' nq,;aúg fuka fkdj wr¿ fyda fk,a,s ks;ru uqfõ oud imñka tys rih ú|sk úg úhm;a ùfï l%shdj,sh wju jk nj Tjqka oek isáhd fiah'

;sM,d pQ¾Kfha uy`.= .=K fukak ;sM,d pQ¾Kh ksrka;rfhka Ndú;fhka cSú; ld,h mqrd ú|ùug isÿjk wm%ikak frda. /ila l,a we;sj u.yrjd .; yel' Tn Tfí rEmh .ek Wkkaÿjla olajkafka kï m<uqj u<noaOh" wï, ms;a;h yd wêl ;rndrefjka ñoS .; hq;=h' ta i|yd myiq l%uhla jkafka ;sM,d pQ¾Kh mdúÉÑ lrñka wdydr cS¾Kl moaO;sh uekúka mj;ajd f.k hduhs' wdhq¾fõo Tiq Ndú;fhaoS fndfyda úg blauka fyda laIKsl m%;sM< wfmalaId l< fkdyel' wdhq¾fõo Tiq l%shd;aul ùug ld,hla .; fõ' tfy;a bka ,efnk iqjh ;sridrh' 2016 ud¾;= l<dmh

Tfí isref¾ ;reK nj /l.kakg" ia:q,;djfhka ñfokakg W;aiql jkafka kï ;sM,d pQ¾Kh mdúÉÑ lrñka m<uqj" Tfí isref¾ yd wdydr cS¾Kl moaO;sfha l%shdldß;ajh iqir lr.; hq;=h' túg isyska isrerla yd meyem;a iula fukau ksfrda.S cSú;hlao Tng wjik ksielfhkau Wreu jkafkah' 119

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reêrfha fldf,iagfrda,a wvqlsÍug wdhq¾fõo úoHd;aul m%fõYhla

reêrfha fldf,iagfrda,a wvqlsÍug

wfma bmerKs wdydr rgdfõ .=Kj;a wxf.damdx. kej;;a isysm;a lrñka fldf,iagfrda,a" yoj;a frda. j,ska ñoSug WmldÍ jk iqms<smka wdydr isßf;a idOKSh lreKQ ms<sn|j fuys úia;r jkafkah'

wdhq¾fõo úoHd;aul m%fõYhla yïnkaf;dg pu,a rdcmlaI wdhq¾fõo m¾fhaIK frdayf,a ffjoH ks,OdÍ ffjoH wkqr úfcafialr

fldf,iagfrda,a" wêl reêr mSvkh" yDoh frda. wo wm iudcfha fjfiiskau iq,nh' jeros iy.; wdydr" wd;;sh iy jHdhdu u|lu wdoS lreKQ /ila fya;=fjka fï wjodku fïid nrm;, f,i fi!LHhg n,mEï lr ;sfí' ish,a,gu uq, wmf.a wdydr rgdjh'

120

• ish¿u i;a;aj wdydr wvql< hq;=hs' i;a;aj wdydr kï uia$lsß$ì;a;r hk fï ;=ka j¾.hhs¡ • uia j¾. j,ska hym;a hehs lsj yelafla ud¿ muKhs¡ ljr j¾.fha ud¿ jqj;a lï ke;¡ l=vd ud¿ jk id,hd" yqre,a,d jeks ud¿ j¾. úfYaIfhkau .=Kodhl nj lsj hq;=uh' • uqyqÿ l,mq i;=ka jk biaika$fmdlsßiaika$ jeks uqyqÿ wdydr j¾. .=Kodhl fkdfõ¡ • l=l=¿ uia o .=Kfhka wvq kuqÿ ud¿ ;rï .=Kj;a fkdfõ¡ l=l=¿ uia j, jeämqru f;,a we;af;a iu

ffjoHjrhd - udisl ffjoH iÕrdj

fldgfiah¡ tneúka l=l=,a uia msiSug fmr iu bj;a lsÍu b;d jeo.;ah¡ • yrla uia fyda W!re uia fyda wkqNj lrkafka kï f;,a fldgia bj;alr msish hq;=h¡ tfy;a fï wdydr j¾. j,ska je<lS isàuhs jeäfhka iqÿiq jkafka¡ • lsß wdydr úúOdldr fõ¡ jvd;a fïo we;af;a ó lsfrysh¡ t< lsfrys fïoh wvq kuqÿ fïoh rys; t<lsß j¾. f;dard .ekSu uekú¡ • lsßj,ska ksmojkq ,nk uqojdmq lsß$fhda. Ü$flacq$ng¾ hkdosho fïoh w;ska fmdfydi;ah¡ fïoh rys; fyda fïoh wvq j¾. fj<|fmdf<a we;akï tajd wkqNj lsÍu uekú¡ • uqojdmq lsßj, jeäuk;a fïoh /|S we;af;a tys Wv kef.kd ;=kS mg,fhks¡ th bj;a lr lEu uekú¡ • ì;a;rj, fïoh wvx.= ù we;af;a ly uofhys h¡ iqÿ uoh fndfyda ÿrg fïofhka f;dr neúkq;a fm%daàka nyq,j we;s neúkq;a .=Kodhl fõ¡ • flacq ng¾ hkq w;ay, hq;= wdydrh¡ • f;,a j¾. Ndú;h wvq l< hq;=h¡ fïjdfha ix;Dma; fïoh we;s neúks¡ ix;Dma; fïo j¾. iS;f,aoS myiqfjka ñfoa' fï nyq wix;Dma; fïo j¾. iS;, WIaK;ajfhaoSo fkdñoS øj ;;a;ajfhau mj;S¡ nyq wix;Dma; fïo j¾. kï nvbß`.= f;,a" iQßhldka; f;,a" fidahd f;,a hk fïjdhs' • tal wix;Dma; hehs lshkq ,nk f;,a j¾.hlao fjhs¡ fï f;,a b;du .=Kodhl hehs m%n, u;hla mj;S¡ T,sõ f;,a fï .Khg whs;shs¡ tfy;a ,xldfõ fï f;, b;d ñ, wêlh¡ w,s.egfmar j,;a we;af;a talwix;Dma; fïoh hehs mjiñka iuyre tys .=K olaj;s¡ tfy;a i;shlg f.ählg follg jvd .ekSu iqÿiq fkdjkqfha wfkla fïo j¾.o tys wvx.= neúks¡

2016 ud¾;= l<dmh

• nyqwix;Dma; fïoh jqj;a tla jrla lelErE miq h<s h<s;a Ndú;d fkdl< hq;=h¡ lelErE úg we;sjk ridhksl fjkialï ksid tys .=Kd;aul nj wvq ù hk neúks¡ • t<j¿ f;,a fld,iagfrda,a wvx.= ke;- hkak i|ykaj ;snQ m<shg ta f;,a j¾. .=K jkafka ke;¡ fldf,iagfrda,a ke;;a fmd,af;,a" *dï f;,a jeks Ydl f;,a wkqNj l< úg ñksia wlaudfõoS ths fldgila fldf,iagfrda,a njg fmrf<hs'

l=l=¿ uia j, jeämqru f;,a we;af;a iu fldgfiah¡ tneúka l=l=,a uia msiSug fmr iu bj;a lsÍu b;d jeo.;ah¡

121 ffjoHjrhd - udisl ffjoH iÕrdj

wdhq¾fõoh

• fndfyda wdydrj, ie`.jqKq fïoh we;' WodyrK jYfhka mdka j, ie<lsh hq;= m%udKhla fïoh we;¡ nosk ,o lÜ,Üia$meáia$ frda,aia jeks leú,s j,o fïoh nyq,h' flala yd mqäka j¾. j, ì;a;ro" lsßo we;s neúka fïoh wêlh¡ • jExckhla msiQ miq tys we;s fïoh bj;a lsÍug WmfoaYkhla fufiah¡ jExckh ldur WIaK;ajhg isis,a jkakg bv yßkak¡ túg tys we;s fïoh Wvg mdù ths' oeka th isis,a lrkak¡ túg h<s r;a l< úg tys we;s fïoh fndfyda ÿrg wvqù we;ehs ie<lsh yelsh¡ • ish¨u m<;=re j¾. .=Kodhlh¡ fnfyúka m<;=re wkqNj lrk Woúhg yDohdndO wvqh¡ úfYaIfhka fmar jeks fl|s iys; m<;=re wkqNjfhka reêr fldf,diagfrda,a uÜgu my< nishs' 122 ud¾;= l<dmh 2016

reêrfha fldf,iagfrda,a wvqlsÍug wdhq¾fõo úoHd;aul m%fõYhla

wdkud¨ flfi,a wdosfhys fïoh wêlj we;¡ tfy;a wjfYdaIKh wvqh¡ tneúka osklg tlla muK .ekSu w.=K fkdfõ¡ • msh,s weg j¾.o ue,a¨ï fld< j¾.o .=Kodhlh¡ • wdydrfha ;ka;= ^fl|s& ;sîu b;d uekú¡ lfGdar ;ka;= ^tkï weig fmfkk ishqï fl|s ^fldyqwU$n;a ksjqvq$f.dajd$fldys, o`vq& nyq,j we;s úg u,my lsÍu myiq fjkjd muKla fkdj iQlaIu ;ka;= ^tkï weig fkdfmfkkd b;d ishqï fl|s mefmd,a flfi,a wdosh& nyq,j we;s l< reêr fldf,diagfrda,a o my< niS¡ nyq,ju iQlaIu ;ka;= we;af;a fld< meye;s mS weg j,;a ´Üia kï jQ OdkHfha;a jqjo fï rfÜ tajd ñ, wêl neúka ffoksl mßfNdackh i|yd ks¾foaY l< fkdyelsh¡ • lcq;a" rglcq;a reêrfha fldf,diagfrda,a jeäùu flfryS n,mdkq we;ehs ielhla mj;S¡ we;eï lcq j¾. ^Wod# fjda,a lcq" wdukaâ lcq& .=Kodhl jQ m,shg yeu lcq weg j¾.hlau tfia úh hq;= hehs Wml,amkh lsÍu jrols¡

ffjoHjrhd - udisl ffjoH iÕrdj

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