Waidyawaraya november 2014 online by Doctor Magazine

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20 ldKavh 2014 - fkdjeïn¾

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AD-MIRE Creative 2014

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Name, Address, Proffession, Mobile/TP Number f;dr;=re túh hq;= úoahq;a ,smskh bharata.gunathilaka@yahoo.com

wdisß frdayf,a yoj;g <ne|s wdorKSh i;aldrh''' Heart Health Check

 YrSrfha Wi yd nr mÍlaId lsÍu  oDIaÀ mÍlaIKh  iïmQ¾K reêr mÍlaIKh (FBC)  uQ;%d mQ¾K mÍlaIKh (UFR)  B'iS'cS' mÍlaIKh (ECG)  wlaud mÍlaIKh (SGOT)  wlaud mÍlaIKh (SGPT)  wlaud l%shdldß;aj mÍlaIKh (Alkaline Phosphates)  jl=.vq mÍlaIKh (Serum Creatinine)  yoj;a frda. wjodku iudf,dapkh lsÍu  tflda mÍlaIKh  jHdhdu B'iS'cS' mÍlaIKh (Stress ECG)  mmqfõ tlaia lsrK mÍlaIKh iy úlsrK úfYAI{ jd¾;dj

General Profile

 Lipid Profile (Cholesterol)  Total Protein (Liver Function)  Blood Urea (Kidney Function)  Fasting Blood Sugar  Uric Acid  Gamma GT (Liver Function) iïmQ¾K YÍr mÍlaIdjla isÿ flf¾' ish¿u jd¾;d ffjoHjrfhl= úiska iudf,dapkh lrKQ we;'  Tng yoj;a frda. mjq,a b;sydihla ;sfí kï fï mÍlaIK isÿ lsÍu ks¾foaY flf¾'  Tn ia:q, kï" oshjeähdj" wêrêr mSvkh fyda by< fldf,iagfrda,a uÜgula ;sfí kï ks¾foaY flf¾'  jHdhdu lsÍfïoS mmqfõ wudrej ;sfí kï ks¾foaY flf¾'

23" lsßuKav, udj; kdrdfyakamsg" fld<U 5 ÿrl:k 0114 524400

www.asirihospitals.com

Email: corporatehealthcheck@asiri.lk

Contents ffjoHjrhd fujr fm<.eiau

Breaking Health News

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62 Tfí iqjfi; i|ydu lemjqKQ je,a,j;a; frdah,a fydiamÜ s ,a

10 Cover Story

Èhjeähdj wjfndaOfhka ch.ksuq

20 oshjeähd frda.Skag isÿ lrk

64 oshjeähd iukhg oS.dhq

ksuOqrd - ;j;a úma,ùh oS.dhq ksuejqula

66 fN!;sl l%u u`.ska ksmojQ

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mÍlaIK

26 Èhjeähdj yd wdydr

96 fõokdjg blauka iqjh welaia Ths,a T!Iëh ixfhda.h

98 úl,dx. wk;=re j,luq'''

100 ,dxflah yoj;a ie;alï jxYdj,sfha" úYañ; kj fmr<shlg uq, mqrk wdisß Y,H frday,

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29 oshjeähd frda.Ska .; hq;='''

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33 oshjeähdjg m%;sldr msKsi

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38 fomd iqjhg n,mdk fomd iqjfi;

41 oshjeähd frda.h ksid

weia isúfha we;s jk fodaI

f.or jevg ieñhdf.ka ,efnk Woõj hym;a hq.Èúhlg mokulaæ

wdhq¾fõod;aul újrKhla'''

fmdfydi;a we,a*d ,xld vhfnála fydiamg s ,a

76 fnda fkdjk frda. i|yd wdydr rgdfõ n,mEu

82 kskafoka f.drjk tl ys;k 54 oshjeähdj;a fnda fkdfjk wfkl=;a frda.;a j<lajk osú meje;au''''

57 oshjeähdjg Ök lgq

m%;l s drfhka uy`.= m%;M s < /ila

oshjeähd frda.k S g a rkafoõ wdhq¾fõo T!IOd,fha oshjeähd mdkh osjHuh T!IOhls

f,i fldam jkafka wehs @

A ;u 116 f,dj úYsIG

úlsrK ;dlaIKh" oeka ;,j;=f.dv fyaudia frdayf,ka

44 oshjeähdj iïnkaO

51 w;skùk myiqlï j,ska

110 we;eï orejka ;on,

;rï idudkH fohla fkfuhsa

84 wdydrfha Tiq .=Kh iy

fmdaIK .=Kh w;=reoka lrjk" jeä ÈhqKq l< îc ;%ia;jdoh

90 lsß yd lsß wdydr

fldhs ljqre;a .;hq;= úosy fïlhs

94 lka lelal=u ks;r yefokjd

s dj 118 .eíf., ms<l y÷kd.kakd PAP mrSlI a Kh

s | 120 .¾NdIh my;aùu ms<n Tn ±k.; hq;= lreKq álla'''

123 ch.%dyS jirla imqrk

Floria Biotin mdßfNda.l s Tn iu. bosßhgu

S a 126 .=rej;a; j,õfõ .%k

y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula''' flaI uQ, ;r,h

kï Tn ie<ls,su;a úh hq;=hs

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Copyrights © HEALTH WATCH LANKA (PVT) LTD. 2014

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NOW!

;emE, iy weiqreug;a iu.ska odhl;aj .dia;=j jirlg remsh,a 2400'00 ih udihlg remsh,a 1200'00 Tn l< hq;af;a my; l+mkh mqrjd kshñ; uqo,;a iu. fkdmudj wm fj; tùuhs' wfma ,smskh- fy,a;afjdÉ ,xld iud.u" 132$4" úydrlef,a" osh;,dj hkakhs' uqo,a f.ùu Wmfoia - fplam;a j,ska f.ùu lrkafka kï fplam; fy,a;afjdÉ ,xld ^mqoa'& iud.u kug ,shd f¾LKh lr ;sìh hq;=hs' uqo,a weKjqï u.ska lrk f.ùï zzosh;,dj ;eme,a ld¾hd,hZZ f,i i`oyka l< hq;=hs' ´kEu ,xld nexl= YdLdjl 000 9324 332 .sKqï wxlh fj; uqo,a ;ekam;a lsÍfukao odhl;ajh ,nd.; yel' fuu l%uh fhdod .ekSfïoS uqo,a f.jk l=ú;dkaisfha msgm;la iu. fuu l+mkh fyda Tfí ku" ,smskh iy ÿrl;k wxlh i`oyka fjku ,smshla wmf.a wdh;khg túh hq;=h'

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Editorial l;= igyk

Editor's Note wjodkï wdydr''' p¾hd j,ska ñoS oshjeähd wjodkfukao ñfouq f,dal oshjeähdj oskh fkdjeïn¾ 14 oskg fhoS ;sfí' f,dal oshjeähdj oskh uq,skau m%ldYhg m;a lrjk ,oafoa 1991 j¾IfhaoS f,dal oshjeähd f*vf¾IKh yd f,dal fi!LH ixúOdkh úisks' ta jk úgo f,dalhg ;¾ckhla fjñka u;=j wd oshjeähd frda.Ska m%udKhg msysg ùu;a kj oshjeähdj frda.Ska ixLHdj wvq lsÍug W;aiql ùu;a fujka oskhla m%ldYhg m;a lsÍfï wNsu;d¾:h úh' fjfiiskau oshjeähd frda.h iïnkaOfhka f,dalh mqrd ck;dj oeKQj;a lrñka wjodkï iy.; wdydr yd p¾hd rgd j,ska ck;dj wE;a lsÍug tod fuod ;=r .;a W;aidyhka m%YxikSh jkafkah' oshjeähd frda.Skaf.a mßyrkh i|yd bkaishq,ska tkak; uq,skau fidhd .;af;a 1922 j¾IfhaoSh' ta f*%âßla nexáka yd pd¾,aia fniaÜ úisks' fkdjeïn¾ 14 f,dal oshjeähd oskh jYfhka wkqiaurKh flfrkafka pd,aia fniaÜ yd tlaj bkaishq,ska tkak; fidhd.;a f*%âßla nexákaf.a Wmka oskhhs' f,dalh mqrd ñ,shk 280 la fokd .s,.;a frda.h" wfma rfÜo ishhg 10-14la muK fokd .s,.;a frda.h oshjeähdj iïnkaOfhka wm ldg;a hï wjfndaOhla ;sìh hq;af;ah' fjfiiskau oshjeähdj we;=¿j wêl reêr mSvkh" fldf,iagfrda,a wdoS fjk;a frda. ;;a;ajo oshjeähdj yd ióm iïnkaO;djhla orK fyhska wm ieu fokdf.au wosgk úh hq;af;a fï ish,a,gu fya;=jk wjodkï iy.; wdydr isß;a" p¾hd idOl j,ska nd," ;reK" uy¿ fï iEu fokdu wdrlaId lr.ekSuhs' f,dal oshjeähdj oskfhaoS wmg osj yels" wm osj hq;= mKsúvh thhs' th .eUQßkau .%yKh lr .ksñka Tn wdhq wdfrda.H iïm;a;sh wdrlaId lr .ekSu wmf.a taldhk me;=uhs'

Ndr; .=K;s,l - úOdhl l¾;D bharata.gunathilaka@gmail.com

The Pioneer Health & Medical Journal 20 ldKavh 2014 - 11 l,dmh

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

11 jk l,dmh

f,dal l÷lr oskh

foieïn¾ 11 zzffjoHjrhdZZ yd z zm%Nj mßir kshuqjkaZZ iu.ska iS;, ymq;f,a lkao ;rKh lruq f,dal l÷lr oskh foieïn¾ 11 oskg fhoS ;sfí' cSú; iqrlaIs;;djh i|yd l÷ iajNdjO¾ufha wmQ¾j jQ ld¾hNdrhl fhfok nj;a l÷ f,dalfha ;sridr meje;au i|yd iod wdrlaId l< hq;= nj;a f,dal m%cdjg ta;a;= .ekaùug tlai;a cd;Skaf.a ixúOdkh úiska fuu oskh fhdodf.k ;sfí' Y%S ,xldfõ fuu l÷lr oskh mej;aùug mqfrda.dó jQ zm%Nj ixúOdkhZ yd tlaj Y%S ,xldfõ m%uqL fi!LH ffjoH i`.rdj -zffjoHjrhd i`.rdjZ fujr fuu ft;sydisl oskh wkqiaurKh lrKQ jia iS;, ymq;f,a l÷ mshiafiaoS úfYAI jevigyka /ila ixúOdkh lrhs' l÷ ;rKh .;g iúh fok" is; ksjk wmQ¾j jHdhduhla jk w;r fujka w;aoelSula iEu úgu fi!LHiïmkak meje;aula i|yd ksielfhkau bjy,a jkafkah' ,dxflah m%cdj w;r weúoSfuys''' l÷ ;rKfhys jeo.;alu wjOdrKh fldg tjka l%shdldrlï osß.ekaùug fuh wjia:djla lr.kafkah' f,dal l÷lr oskh ksñ;af;ka foieïn¾ 07 jk bre osk wm;a iu. iS;, ymq;f,a lkao ;rKh lrñka wmQ¾j ñysßhdjl w;aoelSula ,nkakg Tn;a leu;s kï jeä úia;r i|yd www.waidyawaraya.com wmf.a fjí wvúhg msúfikak' 0723484116 ÿrl:k wxlfhka m%Nd;ag l;d lsÍfukao jeä úia;r ,nd.; yelshs'

c.;a l÷lr oskh iurkak foieïn¾ 07 osk wm;a iu. tkak''' úfkdao jkak''' iqkaor w;aoelSula ú|.kak'''

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Breaking Health News ffjoHjrhd mqj;a úuiqu

Breaking

Health News weiamsßka oskm;d ,ndf.k ms<sld wjodkfukq;a ñfokak mq¿jka''' we;eï ms<sld j,ska ñoSu i|yd weiamsßka fm;a;la oskm;d .ekSu ufydamldÍ jk nj wOHhk 200 l muK m%;sM< iudf,dapkh lrñka ,kavka yS laùkaia fïß úYaj úoHd,fha m¾fhaIlhka msßila úiska wkdjrKh lr isà' jeä ÿrg;a oelafjk wkaoug jhi wjq' 50 blaujQjka osklg 50 mg ne.ska oskm;d weiamsßka ud;%djla .ekSfuka wka;%" wdudYh" w.akHdYh" fmKy¿" mshhqre yd mqriaÓ;s ms<sld we;sùfï wjodku ishhg 40 lska wvq lr.; yels nj m%ldY lrkafkah' oyil ksheoshla fhdod .ksñka isÿ lrK ,o ksÍlaIKhlg wkQj fï wdldrhg oYlhl ld,hla weiamsßka .ekSfuka wk;=rej B<`. oYlh ;=< frda.Ska 17 la urKfhka fírd.; yels nj;a Tjqkaf.ka 16 lau ms<sld j,ska ñfok nj;a tla wfhla yDohdndOhlska we;súh yels urKhlska ñfok nj;a mejiSh' weiamsßka .ekSfuka we;sjk wu;r wjodku .eko fï wOHhkfhaoS ie<ls<su;a jQ w;r fï wkQj by;

ksheosfha weiamsßka .ekSfï wjodkula f,i wNHka;r f,a .e,Sï j,ska fofofkl=f.a cSú; wjodkug ,la jk nj m%ldY lf<Ah' u;ameka yd ÿï mdkh lrk wh weiamsßka .ekSfuka fufia wu;r wjodkulg m;a ùfï bvlv jeäh' flfia fj;;a m%;sM<fha iuia:h .ek úuis<Su;a jk by; m¾fhaIlhka weiamsßka fkdlvjd .ekSfuka jeä cSú; ixLHdjla fírd .ekSug wjia:dj ysñ jk nj iajlSh m¾fhaIK jd¾;dfjka fmkajd fok ,oS' flaÜ l=ußhf.a ysf;a iduh ke;s l< Hyperemesis gravidarum'' le;ßka flaÜ ì%;dkHfha ú,shï l=ußhf.a m%shïìldj" flaïì%ca yS wdosmdojßh kej;;a .eíf.k isák nj;a fujro weh iajlSh m<uq ore ms<sis|.ekSfïoS

11 jk l,dmh

fukau Hyperemesis gravidarum kï frda.fhka n,j;a f,i mSvd ú|sk nj;a udOH j, m< ùu;a iu.u fï lshk Hyperemesis gravidarum ms<sn|j n,j;a l=yq,la we;s ù ;sfí' .eìKs Ndjhg m;a jk nyq;rhla ldka;djka WoEik Tlaldrfhka mSvd ú|S' we;efula WoEik fkdj ojfia lsysm úglu Tlaldrh" jukh wdoS ,laIK fmkakqï lr;s' kuq;a l,d;=rlska wfhla fuys oreKQ wdldrhlg m;a fjhs' md,kh l< fkdyels jukh ksid Tjqkag úc,khg m;a ùuo" Ketosis hkqfjka y÷kajk uq;%d j, iy f,a j, wdï,sl fldgia we;=¿ ùuo olakg ,efí' ta yereKQ úg jdä fjk úg" ysg.kak úg bßhõ fjkia lrk úg reêr mSvkh wvq ùulao we;s úh yel'

YÍr nr wvq ùulao fï ksid we;s úh yels neúka th l=ifyd;a orejdg n,mEula fkdùug ffjoHjreka j.n,d .kS' idudkHfhka .eí .ekSï oyilg 3-4 fofkla fï ;;a;ajhg m;a fj;s' jukh keje;aùug;a úc,kfhka we;s úh yels ixl+<;d u.yerùug;a fï .eìKS uõjreka wdfrda.HYd,d .; lr /l n,d.kS' flfia kuq;a fuhska l=ifyd;a l<,hg n,mEula we;s fkdfõ' Hyperemesis gravidarum fydafudak fjkia ùu;a iu.u we;sjk ;;a;ajhla f,i ffjoHjreka olaj;s' flfia fj;;a fuu ;;a;ajh we;sùug wdrhg hk fya;= o n,mdkq we;s nj we;eï ffjoHjrekaf.a u;hhs'

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Cinnamon m%;sTlaisldrl .=Kfhka wkNsNjkSh l=re÷

m%;sTlaisldrl .=Kfhka wkNsNjkSh l=re÷ reêr iSks wvq lrhs YÍrfha fïoh oykh lrhs l=re÷ fmros. jeishkaf.a iïm%odhsl T!Iëh YdLhls' tys úoHd;aul miqìu úuiq wjrjeisfhda wo fmros. jeishkao w;sl%uKh lrñka l=re÷ j,g f,d,a n|s;s' merKs f;ia;fïka;=fõ fukau Bcsma;=fõ bmerKs memsria f,aLK j,o osj Tiqjla jQ fï l=¿nvqj ms<sn|j i|ykaj ;sfí' Ökh" fldßhdj yd reishdj iajlSh iïm%odhsl ffjoH l¾u i|yd l=re÷ fhdod.kafkah' l=re÷ j, we;s ridhk!IO ms<sn|j ngysr rgj, flreKQ m¾fhaIK weiqf¾ jákd lreKq rdYshla wkdjrKh ù ;sfí'fuys we;s m%Odk il%Sh ridhk folls' Eugenol yd Cinnamaldehyde hkqfjks' ta yereKQ úg ;j;a jdIamYS,S ridhk lsysmhlau ;sfí'

ueos jhfiaoS we;sjk oshjeähdj (Type 2) frda.Skag reêr iSks md,kh lsÍug" YÍr nr wvq lr.ekSug fukau yoj; iqug l%shdldß;ajh i|ydo l=re÷ bjy,a jk nj wo ngysr m¾fhaIK j,ska idlaId;a jQ i;Hhls' fï yereKQ úg isrer jhia.; ùu md,kh lrk w;s m%n, m%;sTlaisldrlhla jYfhkao l=re÷ y÷kdf.k ;sfí' YÍrfha fïoh oykh lsÍu l=re÷ i;= ;j;a .=Kdx. hls'

;=reKQ fmKqu /l fohs jhig hk isrer mqk¾cSjkhg WmldÍ jk l=re÷ i;= ridhkh Polyphenol h' uqla; LKavl u.ska ffi,Sh uÜgfuka isrerg jk ydksh je<elaùug" tu.ska iod ;=reKQ nj iajNdjfhkau /loSug l=re÷ j,g mq¿jk' úoHd;aul f,dalh hul we;s m%;sTlaisldrl .=Kdx.h ;SrKh lrKQ ,nkafka ORAC fkdfyd;a (oxygen radical absorbance capacity) hkqfjka jQ w.hla wkqidrfhks'l=re÷ j, 267536 Trolox Equivalent (TE) mj;S' fï wm wkqo;a wdydrhl we;s m%n,;u m%;sTlaisldrl .=Kdx.hhs' l=re÷ j, Ethyl Cinnamate, Phenylpropanoids, Beta carotene yd Methylchavicol hk jákd T!Iëh ridhk wvx.=h' Y%S ,xldj - fï T!Iëh YdLfha flakaøSh j.d ìuhs' uE; ld,h isÿ lrk ,o m¾fhaIK j,oS l=re÷ i;= idOKSh Tiq .=Kh uekúka m;, jQ ksid fï l=re÷ idr ksIAmdok jeä jeäfhka jHdma; jk hq.hls fï' igyk wñ; úl%uwdrÉÑ

11 jk l,dmh

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

2014 fkdjeïn¾ oshjeähd udih ksñ;af;ks

Èhjeähdj wjfndaOfhka ch.ksuq

oeKqj;a Ndjfhka oshjeähdj fu,a, lr.kak oshjeähdj ms<sn|j oeKQj;a ùfuka Tng Tfí oshjeähdj frda.h md,kh lsÍug ksis wjfndaOhla ,efnKq we;' oshjeähdj ksid we;s úh yels nrm;, ixl+,;d j,ska bka Tng wdrlaId úh yelsh' fï oeKQu Tfí mjqf,a oshjeähdj ;sfnk {d;Skag ,nd fokak' oshjeähdj frda.fhka mSvd ú|sk ys;j;=kg ,nd fokak' th Tng l< yels Wiiau Wmldrhhs'

oshjeähdj hkq l=ulao @ Tfí reêrfha ;sfnk z.aÆfldaia uÜguZ''' thu zreêr iSks uÜguZ f,io lshhs' th ;sìh hq;= idudkH mrdihg jvd jeä w.hla .ekSu oshjeähdjhs' reêr.; .aÆfldaia hkq Tfí YÍrfha iSks .nvd ù ;sfnk m%Odk wdldrhhs' th Tfí YÍrfha m%Odk Yla;s uQ,dY%ho jkafkah'

fuu ,smsh Tfí mß.Klhg fyda Tfí cx.u ÿrl;khg nd.; lr .ekSu ioyd msúfikak wmf.a ks, fjí wvúhg'

11 jk l,dmh

YÍrhg uQ,sl jYfhka .aÆfldaia$iSks ,efnkafka Tn .kakd wdydr j,sks' ta yereKQ úg wlaudfjka yd fmaYs j,skao iq¿ iSks m%udKhla reêrhg tl;= fjhs' Yla;s wjYH;djhla we;s jQ úg m%fhdackhg .; yels jk fia YÍrfha ffi, fj; .aÆfldaia$iSks mßjykh lrkafka reêrh u.sks'

reêrfhka .aÆfldaia$iSks ffi, j,g hk yeá wm .kakd msIaG ckl wdydr cS¾Kh ù .a¨fldaia nj m;aùfuka miq wmf.a reêrhg Wrd .efka' wmg YrSr l%shdldrlï j,g wjYH Yla;sh ,efnkafka fï iSks j,sks' reêrfha we;s fuu iSks wmf.a isref¾ we;s iEu ffi,hla fj;u ,ndfohs' fuu isks reêrfha isg ffi,j,g we;=,a lsÍug uq,ska i|yka l< bkaishq,ska fydafudak wjYH fõ' fuu iSks wxY= ffi, ;=<g we;=¿ jkafka tys we;s fodrgqjlska kï" bkaishq,ska hkq tu fodrgqj újD; lsÍug wjYH h;=rhs' tu h;=r fkdue;s úg iSks ffi, ;=<g fkdhk w;r tys m%;sM<hla f,i reêrfha iSks uÜgu by< hhs' w.akHdYh msysgd we;af;a wdudYh;a lfYArej;a w;rh' th wdydr cS¾Kfhys jeo.;a jk cS¾Kl wjhjhls' tu.ska bkaishq,ska kï fydafudakhla f,a j,g uqod yßhs' YÍrfha ish¿u wjhj j,g .aÆfldaia /f.k hdu bkaishq,ska j, ld¾hhhs' fï wjYH;djh bgq lsÍug wjYH lrk bkaishq,ska ksmoùug we;eï

úg w.akHdYh fkdiu;a fjhs' bkaishq,ska wjYH m%udKhg uqod yeßh;a tajdhska wfmalaIs; .aÆfldaia mßjyk ld¾hh bgq lsÍug fkdiu;a jk wjia:do we;' fujka wjia:d j,oS Tfí reêrfha mj;sk .aÆfldaia m%udKh by< w.hla .kS' túg zmQ¾j oshjeähdjZ (Pre Diabetes) fyda zoshjeähdjZ (Diabetes) we;s mqoa.,fhl= f,i Tyq fyda weh y÷kajhs' reêrfha .aÆfldaia uÜgu os.ska os.gu jeäù l,la hk úg fndfyda fi!LH .eg¿ we;s ùfï wjodku we;s fõ'

mQ¾j oshjeähdj hkq l=ulao @ oshjeähdj frda.sfhl= f,i ye|skaùug ;rï by< .aÆfldaia uÜgula ke;s jQj;a idudkH mqoa.,fhl=f.a mj;sk .aÆfldaia uÜgug jeä reêr.; .aÆfldaia w.hla ;sfnk Woúh mQ¾j oshjeähdj iys; ldKAvhg wh;a jkafkah' fï Woúh fojk wdldrfha oshjeähdj (Type 2 Diabetes) frda.hg k;= ùfï wjodku by<h' YÍrfha nr wvq lr .ekSu" l%shdYS,S cSú;hla .; lsÍu hk lreKQ .ek ie<ls<su;a jQfjd;a fudjqkg fojk wdldrfha oshjeähdj we;sùu m%udo l< yel' ke;fyd;a oshjeähdj u`.yrjd .ekSugo bvla we;' oshjeähdj je<÷KQ úg yDoh frda." wxYNd.hg k;= ùfï wjodkuo jeäh' YrSr moaO;shgu n,mdk frda. hla ksid w;a md" reêrjdyskS" weia" jl=.vq''' fï wdoS iEu bkaøshhlgu

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

w.akHdYfha l%shdldß;ajh y÷kd.kak w.akHdYfha uQ,sl l%shdldß;ajhka folla fjhs' 1' cS¾Khg iydh ùu fm%daàk" ldfndayhsfâg yd fïo ì| fy<Su i|yd l=vd wka;% j,g tkaihsu ksoyia lrhs' 2' mßjD;a;Sh hdukh reêrhg tl;= jk .aÆfldaia uÜgu md,kh lrKQ jia bkaishq,ska yd .aÆle.ka fydafudak >%jh lrhs'

n,mEï lsrSug oshjeähdj iu;a jkafkah' tfy;a lsisu T!IOhla fkdf.k jQjo wej;=ï mej;=ï fjkilg Ndckh lr .ekSfuka we;eful=g fmr ksfrda.S;djhgu m;a ùugo bv we;' fï i|yd wjYH jkafka Tfí lemùuh'

oshjeähdfõ frda. ,laIK  m%Odku ,laIKh isrer flÜgq ùuhs - wdydr fyd|ska wkqNj l<o wiajdNdúl f,i YrSrh flÜgq fjkjd kï th Èhjeähdj we;s ùfï ,laIKhla ùugo mq¿jk'  wêl msmdidj  ks;ru uq;%d msg lsÍfï wjYH;djh

 l=i.skak wêlj oekSu  úvdnr .;sh - iq¿ jevla lsÍfuka jqj;a wêl uykaishla ±fka'  YÍrfha nr wvq ùu  iqj fkdjk ;=jd,hla mej;Su  úh<s yd lik iq¿ njla ifuys we;s ùu  mdo j,g boslgqjlska wkskakdla fia oekSu  mdo j,g fõokdjla ixfõokhla fkdoekSu  wefia fmkSu fnd| ùu  w;mh we`.s,s ysßjeàu

11 jk l,dmh

hï flfkl=g by;ska oelajQ lsisu frda. ,laIKhla my< fkdlrñkao oshjeähdj we;s úh yel'

oshjeähdj wdldr oek.ksuq oshjeähdj m%Odk wdldr  Type 1 oshjeähdj  Type 2 oshjeähdj  .¾NsKS oshjeähdj Type 1 oshjeähdj fuh orejkag je<f|k Type 1 oshjeähdj wdldrh ksid Juvenile Diabetes hkqfjkao y÷kajhs' flfia kuq;a we;eï jeäysáhkago Type 1 wdldrfha oshjeähdj we;súh yel' Type 1 oshjeähdj wdldrfhaoS w.akHdYh u.ska bkaishq,ska ksmojkafkau ke;' ke;fyd;a ksmojk bkaishq,ska m%udKh reêr iSks hdukhg m%udKj;a fkdfõ' fujeks frda.Skag bkaishq,ska tkak;a lsÍfuka reêr.; iSks m%udKh md,kh lsÍug yelsfõ' Type 1 oshjeähdj i|yd m%;sldr  bkaishq,ska tkak;a lsÍu  uqL u.ska .kakd T!IO  fi!LHiïmkak wdydr j,g yqre ùu  l%shdYS,S cSú;hla .; lsÍu  reêr mSvkh md,kh lsÍu  fldf,iagfrda,a md,kh lsÍu Type 2 oshjeähdj jeäysá úfhaoS we;sjk oshjeähdj f,i ye|skafjkafka fuhhs' iq,n

jYfhka ueos úfhaoS we;sjk ksid ta ku fhÿko orejkago ;reKhkago Type 2 oshjeähdj we;s úh yel' ia:q,;djfhka hqla; who l%shdYS,S fkdjk cSú; .; lrk who Type 2 wdldrfha oshjeähdjg k;= úh yel' Type 2 wdldrfha oshjeähdfõoS uq,skau we;s jkafka bkaishq,ska m%;sfrdaOhls' fuysoS fïoh" fmaYs iy wlaud ffi, .aÆfldaia YÍrfha úúO ffi, fj; .aÆfldaia mßjykh i|yd bkaishq,ska Wmfhda.S lr.ekSug m%;sfrdaë;djhla olajhs' fuys m%;sM<hla jYfhka .aÆfldaia mßjykh i|yd jeä bkaishq,ska m%udKhla wjYH fõ' fï wjYH;djh iïmQ¾K lsÍug jeämqr w.akHdYh u.ska bkaishq,ska m%udKhla ksmoùu wjYH flfrhs' uq,skau w.akHdYh fï jeämqr wjYH bkaishq,ska m%udKh iemhSug iu;a jk uq;a flfuka wjYH;djh jeä jk úg ta jeäjk wjYH;d imqrd ,Sug fkdyels jkq we;' úfYAIfhkau wdydrhla .ekSfuka miq úYd, bkaishq,ska m%udKhla wjYH jkafkah' Tfí w.akHdYhg ;jÿrg;a wjYH lrk bkaishq,ska m%udKh iemhSug fkdyels jk l,ayS Type 2 oshjeähdjg m%;sldr lsÍfï wjYH;djh mek k.S' b;d fyd| reêr iSks md,khlg ksjerÈ wdydr md,khla iy jHhdu wjYH fõ'

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

Type 2 oshjeähdj i|yd m%;sldr  oshjeähdj T!IO ,ndoSu  fi!LH iïmkak wdydr j,g yqre ùu  l%shdYS,S cSú;hla .; lsÍu  reêr mSvkh md,kh lsÍu  fldf,iagfrda,a md,kh lsÍu fkdlvjd idhkg meñKsu yd kshñ; ld, iSujla ;=<§ ixl+,;d we;sùfï bvlv i|yd mÍlaId lsÍu hk lreKQ Èhjeähd md,khla i|yd jeo.;a fõ'

.¾NsKS oshjeähdj .¾NsKS wjêh .; lrk ldka;djg we;s jk oshjeähdj fukñka ye|skafõ' w.akHdYh u.ska ksmojk bkaishq,ska j,g m%;sfrdaOhla olajk fydafudak /ila ksmojk wjêhls" .¾NsKS wjêh' .¾NsKS wjêfhaoS ksmofjk bkaishq,ska m%udKh m%udKj;a fkdjk l,ayS .¾NsKS oshjeähdj we;s fõ' iEu .eìKshlf.au wjika ld,fha ksmofjk bkaishq,ska j, m%;sfrdaOhla we;s fõ' .¾NsKS oshjeähdj ujf.a reêrfha .a,Qfldaia uÜgu jeäh'

wjidk m;sM<h jkafka jeä nrlska hq;a orefjl= ìys ùuhs

fuys m%;sM<hla jYfhka orejdf.a isrergo wu;r .a,Qfldaia idkaøKhla tl;= fjhs'

orejd jeä nrla ,nd.kafka wehs @ 1'ujf.a reêrh úiska wu;r .aÆfldaia l<,hg f.k hhs 2'fï wu;r .aÆfldaia hdukhg l<,h úiska jeämqr bkaishq,ska ksmojhs' 3'fï wu;r .aÆfldaia orejdf.a YÍrh ;=< .nvd jkafka orejd f.a YrSrh nr jeä lrñks'

11 jk l,dmh

ia:q, ldka;djka jeä jYfhka .¾NsKS oshjeähdjg k;= úh yel' tfiau .eìKS iufhaoS úYd, jYfhka YÍr nr jeä ùuo .¾NsKS oshjeähdjg w; jkk idOlhls' fndfyda úg ore m%iQ;sfhka miq fï whf.a oshjeähdj ;;a;ajh ke;s fjhs' tfy;a l,d;=rlska .¾NsKS oshjeähdjg k;= jQ ldka;djl miq ld,fhaoS Type 2 wdldrfha oshjeähdjg ,la ùfï wjodkulao mj;akd nj lsj hq;=h' Èhjeähdj ;sfnk ldka;djl .eí .ekSfï wNsfhda.h Èhjeähdj ;sfnk hqj;shla .eí .ekSulg iQodkï úh hq;af;a flfiao@ .eí .ekSug udi ;=klg fmr mgka f*da,sla wï,h ,nd .; hq;=hs' .eí .ekSfï ld, iSudfõÈ reêrfha iSks uÜgu m%Yia; uÜgul mj;ajd .; hq;=hs' th kshñ; uÜgug meñfKk ;=re iqÿiq Wm;a md,khla isÿl< hq;=hs' reêr.; iSks uÜgu by< w.hl ;sfnk wjia:djl .eí .;fyd;a orejdf.a widudkH;d we;súh yelshs' tajd kï yDofha fldÿ weg fmf<ys widudkH;d wdÈh fõ' oshjeähdfjka fmf<k ldka;djla .eí .ekSu ;yjqre jq miq jydu l< hq;= foa fudkjdo@ .eìks ld,h mqrdu reêrfha iSks uÜgu m%Yia; uÜgul mj;ajd .; hq;=hs' fï ld,fha§ wjYH jkafka kï bkaishq,ska m%;sldrho ,nd §u isÿ flf¾'

Bg wu;rj fï ld,fha§ orejdf.a j¾Okh wLKavj mÍlaId flfrhs' i;s 28 § iy i;s 32 § i;s 36 jeks ld,j,§ ialEka mÍlaIdjka u`.ska l<,h ksÍlaIKh l< hq;=h' ta iu.u orejdf.a jeãu" ujf.a nr" ujf.a reêr mSvkh" reêr.; iSks uÜguiy uq;%d o mÍlaId lr ne,Su isÿ flfrhs' fjk;a frda. fkdue;s nj ikd: lr .ekSug o wjYH fõ' wêreêr mSvkh" YÍrfha bÈuqu" mdo j, bÈuqu uq;%dj, fm%daàka j¾Okh ùu" l<, rEmh jgd we;s fldaIfhys wêl øj we;sùu" uq;% ud¾.fhys widok we;s ùu wdoS ixl+,;d we;s jkafkaoehs fjfiiska ie<ls<su;a úh hq;=h' fujeks frda. ;;a;ajhka iq,nj we;s fjkafka Èhjeähdj fkdue;s uõjrekag jvd Èhjeähdfjka fmf<kakd jq uõjrekagh' fuksid ksr;=rej fyd| reêr iSks md,khla we;s lr .ekSu wjYH fõ'

oshjeähdj frda.sfhl=f.a ffoksl meje;au oshjeähdj iïnkaOfhka Tfí ks;s ie<ls,a, fhduq l< hq;af;a wehs @ oshjeähdj ksid yDoh.; frda. wjodkula we;s fõ' ksfrda.S mqoa.,fhl= yoj;a frda. j,g ,la ùug we;s wjodku oshjeähdj we;s úg fo.=K jkafkah' wxYNd.h jeks frda. j,g ,la ùfï wjodkuo jeäh'

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

fï ksid Tfí reêr iSks uÜgu" wêreêr mSvkh yd fldf,iagfrda,a uÜgu ys;lr mrdihl mj;ajd .; hq;=h'

iEu ojiloSu oshjeähdj .ek ie<ls<su;a jkak YrSrfha reêr iSks uÜgu ys;lr w.hl mj;ajd .kq msKsi oskm;du Tn lreKQ ;=kla .ek fjfiia ie<ls,a,la oelaúh hq;=h' 1' ys;lr wdydr ie,eiaula mj;ajd .kak' 2' l%shdYS,Sj oji .; lrkak' 3' kshu lr we;s ms<sfj<g T!IO .kak

fuh uyd wiSre b,lalhla f,i neÆ ne,aug Tng isf;kjdo @ mqxÑ fjkialï lsysmhla Tiafia Tfí cSjk .uk iqir lrk ms<sfj,la ñi fuh lsisfia;a wiSre b,lalhla fkdfõ' ys;lr wdydr ie,eiaula mj;ajd .kak oshjeähdj ;sfhk flfkla th md,kh lr.kak uq,skau fhduq úh hq;af;a ksjeros wdydr j,g' oshjeähdj ;sfhk fldg wdydr YslaIKhla we;s lr.; hq;=hs' flfkla ys;kak mq¿jks" oshjeähdj lshkafk fudkj;a lkak fyd| ke;s f,vla lsh,' ta;a yß wjfndaOfhka hq;=j .kakjd kï" oshjeähdj frda.sfhl=g fudk ;rï úúOdx.SlrKhlska hqla;j wdydr .kak mq¿jkao @

11 jk l,dmh

wjuOqrla;h ,laIK Tn fldmuK lemùfuka reêrfha iSks uÜgu md,kh lsrSug W;aidy l<o" ;ju;a Tng wjuOqrla;h we;sùug bv we;'

oyäh oeóu

fmkSu fnd|ùu

fõokdldÍnj fi,fjkjdlafia oekSu

.efyk .;sh

ixldj

fõ.j;a yoj; .eiau

ysiroh

l=i.skak

wdydrfha m%Odk wx. ;=kla ;sfnkjd' fm%daàk fkdfyd;a YrSrfha udxY ckl Od;= ksIAmdokhg fhdod .kakd wdydr' YrSrh ;=< Yla;sh ;ekam;a lrk wdydr úfYAIh jk fïo wdydr iy tosfkod wfma isrer l%shd lrjkakg wjYH ldfndayhsfâ%Ü ldKAvfha wdydr' ta yereKQ úg YrSrhg úgñk" LKsc ,jK yd laIQø fmdaIl wjYH fjkjd'

l%shdYS,Sj oji .; lrkak

oshjeähdj ;sfhk úg YrSrhg jeä nrla megfjkak fyd| kE' yeu fmdaIK ix>glhlau .ekSu;a wjYHhs' ukd ;=<s;;djhlska fmdaIKh uekúka mj;ajd .ekSu ;uhs jeo.;a' fï .ek wms miqj iúia;rd;aulj l;dnyl ksr; fjkjd'

l%shdYS,Sj oji .; lsÍfï jdis

yeu flfklau l%shdYS,S cSú; .;lrk tl ;uhs fyd|''' ta;a oshjeähdj ;sfhk flfkl= wksjd¾hfhkau lïue,s fjkak fyd| kE' tfyu jqfKd;a th oshjeähdj md,kh lsÍug m%Yakhla fjkjd' fï ksid ojfia ld,h l%shdYS,Sj .; lsÍug hï ie,eiaula Tyqg" wehg ;sìh hq;=hs'

 ys;lr YÍr nrla mj;ajd .ekSug th WmldÍ fjhs'  .aÆfldaia uÜgu wvq lr ukd bkaishq,ska Wmfhda.S;djhla mj;ajd .ekSug fya;= fjhs'  yoj;g" fmKy¿ j, fi!LHhg fyd|hs'  jvd jeä Yla;shla Tng ,nd fohs'

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

fldhs ;rï jHdhdu lrkak ´kso @ b;d mqxÑ jevl ksr; jqK;a bka Tfí oshjeähdj md,khg bka uy;a Wmldrhla ,efnhs' f.or-fodr jev lsÍfïoS jQjo ,efnk m%;sM<h w;s uy;ah' kuq;a jvd;a jHdhdu iïmkak cSú;hlg fhduq úh yels kï th oshjeähdj md,khg ksiel iïudoula ,nd fohs' Èhjeähdj tlu ;;a;ajfha mj;sk frda. ;;a;ajhla fkdfõ' ld,h;a iu. Èhjeähdj jv jvd whym;a ;;a;ajhg m;afõ' tu ksid b;d hym;a cSjk rgdjla mj;ajd f.k hdu l< hq;= fõ' ta i|yd ±Kqj;a ùu;a Wmfoia ,nd .ekSu;a b;d jeo.;a fõ'

jHdhduh osklg wvq ;rfï meh nd.hla j;a''' osklg wvq ;rfï meh nd.hla j;a jHdhduhl fhoSfuka fï jdish Tng;a w;am;a lr.; yelshs' Tng tljr meh nd.hl jHdhduhl fhoSu ÿIalr kï ñks;a;= oyfha fldgia ;=klg th lvd.kak' <ud úfha oshjeähdfjka fmf<k jhi wjq' 1017 orejka osklg mehla jHdhduhg fjka lr.kak' mß>Kl l%Svd j, fhoSu" rEmjdyskS keröu jeks w,i nj osß.kajk l%shd j,ska fjfiiskau <ud oshjeähd frda.Ska bj;a úh hq;=h' ta fjkqjg l%shdYS,Sj .; lrk ld,h jeä lr .ekSfuka fi!LHiïmkak osú fmj;lg ukd msgqjy,la ,efí'

reêr iSks uÜgu md,kh fkdjk úg''' reêr iSks uÜgu md,kh fkdùfuka we;sjk flá ld,Sk ixl=,;d ^Short term complications&  reêr .a¨fldaia uÜgu jvd;a my, neiSu ^Hypoglycaemia&

11 jk l,dmh

fkdfyd;a wjuOqrla;h' Èhjeähdj i|yd m%;sldr f,i bkaishq,ska fyda .s,sk fm;s Ndú;d lrk whg iuyr wjia:d j,§ fuu ;;a;ajh we;súh yelsh'

wjuOqrla;h we;s ùug fya;=  úfYaIfhkau bkaishq,ska m%;sldrh ,nd.; hq;= ud;%djg jvd wêlj ,nd .ekSu'  muK blaujd fjfyi ùu fyda jHdhdu lsÍu'  wdydr fõ,a u. yeÍu'  kshñ; m%udKhg wdydr fkd.ekSu' isys ke;sùu jeks ;;a;ajhka we;sùu" úc,kh" úúO wdidokj,g f.dÿreùfï wjodku by< hEu isÿfõ'

reêr iSks uÜgu md,kh fkdùfuka we;sjk os.= ld,Sk ixl=,;d ^Long term complications& 1' fud<h flfryS we;sjk n,mEu - fud<fha reêrjdysks wdY%s; ixl=,;d yg .ekSfï wjodku jeähs' 2' wxYNd.h ^stroke& we;s ùfï wjodku' 3' yDo frda." yDohdndO we;sùfï wjodku Èhjeähdj we;s whg fuu wjodku isõ .=Khlska jeäh' reêrfha wêl iSks uÜgu u`.ska Ouks l=yr wjysr ùu;a" iakdhq ÿ¾j, ùfuka yDohdndOh u.ska we;sjk fõokdj

5' 6'

7' 8' 9'

fkd±kSu;a ksid fndfyda úg we;s jkafka ksy`v yDohdndOhls' fuh wjodku fnfyúka jeä lrk w;r kshñ; fõ,djg m%;sldr lsÍugo ndOdjls' wêl reêr mSvkh" reêrfha fldf,iagfrda,a uÜgu jeä ùu wdoS fya;= ksid Èhjeähd frda.Skag b;d blauKskau yDohdndO we;sùug wjodkula mj;S' wefia iqo u;=ùu - wefia mSvkh jeäùu ksid wkaONdjhg m;aùu' iakdhq moaO;sh - fomd ysß jeáu' ;=jd, jq úg ta ms<sn| ixfõÈ;djh wvqùu fya;=fjka wjidkfha mdo bj;a lsÍug mjd isÿùu' jl=.vq wl¾ukH ùu' ,sx.sl wdndO - mqreIhkaf.a,sx.sl wm%dKsl;ajh o;a yd úÿreuiaa frda.'

fuu ixl=,;d j,ska je<lsh yelafla flfiao@  kshñ; reêr iSks md,khla mj;ajd .ekSu'  reêr mSvk md,khla mj;ajd .eksu'  reêr.; fldf,iagfrda,a uÜgu uekúka md,kh lsÍu'  l%uj;a jHhdu iu`. il%Sh Èú fmfj;la .; lsÍu '  wdydr yd jHhdu - Wig iß,k nrla mj;ajd f.k hdu'

ffjoHjrhd

Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

oshjeähd frda.Skag isÿ lrk mÍlaIK oshjeähd frda.Skag ks;r ks;r yd úáka úg isÿ lrk mÍlaIK ms<sn|j úia;rhla fuys oelafõ' uQ,sl reêr mÍlaIK Random Blood Sugar mÍlaIKh Tn ffjoHjrfhl= yuqjg hk úg Tng oshjeähdj ;sfíoehs ffjoHjrhd iel lrk l,ayS ta fj,dfju reêr idïm,hla ,nd .; yelshs' idudkHfhka oshjeähdjg ks¾osIAG iïu; reêr mÍlaIKh FBS fkdfyd;a ksrdydr reêr mÍlaIKh jQj;a Tn ffjoHjrhd yuqjg hkafk Bg iQodkï fj,d fkdfjhsfk' ta;a o< woyila .kak Tn bkak wdldrfhkau ffjoHjrhd reêr mÍlaIKhla lf<d;a th Random Blood Sugar mÍlaIKh f,i y÷kajkjd' Tn ,ndf.k ;sfnk wdydr j¾.h" fldmuk fj,djla wdydr .ekSfuka miqj .;ù ;sfío wdoS lreKQ u; w.hka fjkia úh yelshs' ta;a o< jYfhka fuys w.h 180 ñ'.%E'$fv',S g jvd jeä kï ksrdydr reêr mrSlaIdjla l< hq;=hs' ksrdydr reêr mrSlaIdj Fasting blood sugar jpkfhka m%lg jk wdldrhgu fuysoS isÿ lrKqfha frda.shd meh 10-12 ld,hla ksrdydrj bkakg i,iajd reêr ksheoshla f.k tys we;s .aÆfldaia uÜgu mÍlaId lsÍuhs' fuysoS myiqj ;ld rd;%S wdydrfhka miq ksrdydrj isg miqod WoEik reêrh .ekSula isÿ flf¾'  fuysoS ,efnk w.h 70-100 milligrams per deciliter (mg/dL) kï b;d fyd|h'  100-125mg/dL w;r w.hla .ekSfuka .aÆfldaia hdukfha wiu;=<s;;djhla b`.s lrhs' fuh mQ¾j oshjeähd ;;a;ajh m%lg lrhs'  .aÆfldaia w.h 126 mg/dL fyda Bg jeä ùu oshjeähdj f,i i<ld m%;sldr lsÍug fya;= fjhs' oshjeähdj uQ;%d mÍlaIK - oeka t;rï Ndú;hla kE uq;%d j, iSks uÜgu jeäùu u; oshjeähd frda.h ms<sn|j wjfndaOhla ,eîu wudrehs' oshjeähdj úuiSfï uq;%d mÍlaIKh fodaI jeähs' Bg fya;=jla ;sfnkjd' jl=.vq j, .aÆfldaia ord.ekSfï uÜgula ;sfnkjd' Renal Threshold hkqfjka y÷kajk tu uÜgu bl=;a jqKdu ú;rhs uQ;%d j,g

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.aÆfldaia ldkaÿ fjkafk' we;eï whf.a fï ord .ekSfï uÜgu wvqhs' .¾NsKS wjêfhaoS fï Renal Threshold uÜgu wvqhs' jl=.vq frda.hla ;sfnk úg;a fï Renal Threshold uÜgu wvq úh yelshs' túg uq;%d j, iSks kE' ta;a Tyqf.a reêr iSks uÜgu by< w.hla .kak mq¿jks' uq;%d j,ska kshu iajNdjh fmkakqï lrkafk kE'

 ksfrda.S w.hl HbA1c mej;Su hkq HbA1c m%;sY;h 5 g jvd wvq ùuls'  HbA1c w.h 7% g jeä kï bka woyia flfrkafka miq.sh ld,h ;=< reêr iSks uÜgu t;rï fyd|ska md,kh ù fkdue;s njhs'

fï ksid oeka uq;%d iSks mÍlaIK fjkqjg .aÆfldógrfhka reêr iSks uÜgu ne,Sfuka Tng o< woyila ,nd.kak mq¿jks' .aÆfldógrfhka reêr iSks uÜgu uekSfïoS ms<s.;a ksrjoH .aÆfldógrhlska tu mÍlaIKh isÿlr .ekSu jf.au kshu lr we;s ms<sfj,g tu mÍlaIKh isÿ lsÍu;a jeo.;a'

wlaIs mÍlaIKh Dilated Eye Examination

Hemoglobin A1c mrSlaIKh fkdfyd;a HbA1c oshjeähd frda.Skaf.a miq.sh udi ;=kl ld,hla we;=<; reêr iSks uÜgu .ek fmrhSula lrk jákd reêr mrSlaIKhls HbA1c' Tfí reêrfha r;= reêrdKQ ;=< Tlaiscka fkdfyd;a wï,lr jdhqj mßjykh lrk ysfud.af,dìka mj;S' fï ffi, úhm;a jk úg flfuka ta ;=< .aÆfldaia wKq ;ekam;a fõ' fï l%shdj,sh Glycation kñka ye|skafjhs' reêrfha jeäfhka .aÆfldaaia mej;Su hkq Glycated hemoglobin jeä ùulah' th fuu mÍlaIKfhaoS HbA1c w.h jeä ùfuka m%lg fõ'

HbA1c mÍlaIKhla isÿ lsÍu i|yd mQ¾j ms<sfh< ùula wjYH fkdfõ'

Tn oshjeähd frda.sfhla kï l,ska l,g wlaIs mÍlaIKhla isÿ lsÍu wksjd¾hh' tu.ska oshjeähd wlaIs frda.h kï ;;a;ajh we;s ù wefia fmkSu ke;s fjkjdo hkak l,ah,a we;sj y÷kd.; yelsh' tfia fkdue;s jQjfyd;a weia j,g l,a .sh miq m%;sldr lsÍu myiq fkdfõ' fuysoS Tfí wlaIs ffjoHjrhd úiska weig hï ridhkhla oud wefia l¿ bx.sßhdj úia;drkh lsÍula uq,skau isÿ lr bka miqj wei mÍlaId lrKQ ,nhs' fufia mÍlaId lsÍfuka Tfí ffjoHjrhd Tng oshjeähd oDIAÀ

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

mdoj, reêr.ukd.ukh ÿ¾j, úh yelsh' mdofha ;=jd,hla isÿ jqfKd;a th iqj lsÍu myiq fkdfõ' ta wdikakhg reêr .ukd.ukh fkdue;s fjhs' ta ksid wdikak mgl ueÍ hhs' wjidkfha th k;r jkafka we`.s,a,la" iuyr úg mdofha fldgilau lmd bj;a lsÍfuks'

.aÆfldógrhlg iïnkaO mßjdr wxf.damdx.

wdndOfha uQ,sl ,laIK ;sfíoehs y÷kd.kakjd we;' fï wjia:dfõoS tu ;;a;ajh y÷kd.;fyd;a Tn fnfyúka jdikdjka;h' thg fhosh yels ms<shï ;sfí' hï fyhlska Tn;a fkdoekSu oshjeähd oDIAÀ wdndOh fudard Tfí fmKQu ke;sjk wjia:dfõoS Tn wlaIs ffjoHjrhd yuq jqfKd;a Tyqg Tn fjkqfjka lsÍug hula b;sß fkdjkq we;' oshjeähd oDIAÀ wdndOh wo jhi wjq' 65 bl=;a jQ mqoa.,hkaf.a wkaONdjhg m%Odk fya;=jls' fujka brKula Tng;a w;a fkdùug kï oshjeähd frda.sfhl= jk Tn jirlg jrlaj;a wlaIs mÍlaIKhlg ,la úh hq;=h' oshjeähdj mdo mÍlaIKh oshjeähd frda.Ska mdo uqyqK fia msßisÿj ;nd.; hq;= hhs lshukla ;sfí' oshjeähd frda.sfh=f.a iakdhq myiqfjka ÿ¾j, úh yelsh'

oshjeähd frda.sfhl= jYfhka Tn ffjoHjrhd uqK.efyk yeu wjia:djlu Tfí ffjoHjrhd Tfí mdo iqjfi; .eko úuis<su;a jkafka tfyhsks' oshjeähd frda.sfhl= iEu osfklu mdo iqjfi; ms<sn|j úuis<su;a úh hq;af;ah' yels muK msßisÿj mdo mj;ajd .; hq;af;ah' mdo wdmodj,g ,laúh yels wjia:d u. yerúh hq;af;ah' iu ì|Sï" ;=jd," wdidok j,ska wdrlaId úh hq;af;ah' ksh lemSfïoS w.gu fkdlmd iq¿ bvla mj;sk fia fldka ;=jd, fkdjk fia kshfmd;= lemsh hq;af;ah'

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mdo wdrlaIdjg jeäÿr Wmfoia  Tfí mdohg yßhgu iß,k mdjyka hqj,la m<|skak'  im;a;= me<|SfïoS je,sleg yd fjk;a ndOl øjH mdjyka ;=< fkdue;s njg iel yer.kak'  mdo ieuod inka .d fodajkh lr yels;dla msßisÿj ;nd. kak'  tajd iEu úgu úh<sj ;nd. kak' f;; ud;a;= lr.kak'  mdo j,g ier ridhk øjH .,ajkak tmd lr.eg yd fjk;a ;=jd,hla fjf;d;a ffjoHjrhd ,jdu fkdmudj m%;sldr ,nd.kak  ÿï mdkfhka j<lskak' jHdhdu j, fhfokak' bka mdo j,g hym;a reêr .ukd.ukhla ie,fia'  mdjyka ke;sj weúoSfuka j<lskak oshjeähdfjka fmf<kafkl= úiska lr.; hq;= mÍlaIK ,ehsia;=j  ksrdydr reêr mÍlaIdj (FBS) ks;r  uq;%d .aÆfldaia yd fm%daàka mÍlaIdj (UFR) - ks;r  .a,hsfldisf,agâ ysfud.af,dìka mÍlaIKh (Glycosylated hemoglobin test) - udi ;=klg jrla  iSrï fldf,iagfrda,a (Serum Cholesterol) - udi yhlg jrla  iSrï g%hs .a,sirhsâ (Serum Triglycerides) - udi yhlg jrla

 wlaIs mÍlaIKh (Rectal examination) -jirlg jrla  mdo mÍlaIdj uilg jrla jl=.vq j, l%shdldß;ajh uekSfï mÍlaIK  reêr hQßhd mÍlaIKh (Blood Urea) udi 3 lg jrla  iSrï l%sheákska mÍlaIKh (Serum Creatinine) udi 3 lg jrla  uq;%d we,aìhqñka mÍlaIKh (Albumine) udi 3 lg jrla yDoh l%shdldß;ajh uekSfï mÍlaIK  B'iS'cS' mÍlaIKh (ECG) jirlg jrla  mmqfõ tlaia f¾ mÍlaIKh (ECG) jirlg jrla ksfjfiaoSu reêr mrSlaIKhla isÿ lsrSu .aÆfldógrh Ndú;hg uQ,sl Wmfoia .aÆfldógrhla Tn ika;lfha ;nd .ekSfuka Tng ksfjfiaoS Tfí iSks uÜgu uek.; yel' kuq;a ksjeros w.hka ,nd .ekSug kï Tn Wiia ;dlaIKhlska hqla; Tng .e,fmk .aÆfldógrhla ñ,oS .; hq;=hs' Tng fï iïnkaOfhka Tfí ffjoHjrhdf. ka jeäÿr Wmfoia yd u.fmkaùula ,nd.; yel' ld¾hlaIu .aÆfldógrhl ;sìh hq;= ,laIK  fõ.j;aj mdGdxl ,ndoSu  l=vd reêr ksheoshlska mÍlaIKh lsÍfï yelshdj  .aÆfldógrfha m%udKh  mdGdxl uekúka ;srfha igyka ùu

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

mÍlaIKh isÿ lrk fj,dj" oskh igyka ùu (Data management)  mÍlaIK ;sr myiqfjka ñ,oS .ekSfï yelshdj  wvq msßjeh

Lipid Profile mÍlaIKh oshjeähd frda.sfhl= fldf,iagfrda,a uÜgu yd ,smsv iïnkaO w.hka ,en.ekSfï mÍlaIKh udi yhlg jrla isÿ l< hq;= mÍlaIKhla f,i ie<fla' fuysoS frda.shd meh 12-14 w;r ld,hla ksrdydrj isg ;u reêr ksheosh ffjoH ridhkd.drhlska ,nd.; hq;= fõ' mÍlaIKh isÿ lrk l%ufõoh yd ridhkd.drh wkQj my; oelafjk mrdihka iq¿ jYfhka fjkia úh yels nj i<lkak'

.aÆfldógrhlska reêr iSks mÍlaIKh isÿ lsÍfï mshjr  fyd|ska w;a fidaod.kak'  we`.s,a, fyda f,a .kakg wjYH ;ek we,afldfyd,a oshrhlska msßisÿ lr th fõf,kakg yßkak'  oS we;s iu isÿre lrk Wml%uh lancing device fhdodf.k we`.s,a, $f,a .kakd ia:dkh isÿre lr.kak'  f,a ì÷j iSrefjka strip tl u;g m;s; lr.kak  oS we;s Wmfoia m%ldrj tu tl .a¨fldógrhg m%fõY lr mdGdxlh .ekSu wrUkak  iq¿ fudfyd;lska Tfí reêr iSks mdGdxlh ;srh u; igyka fõ'

High Density Lipoprotein (HDL) “Good cholesterol” fuu w.h by< uÜgul ;nd .ekSug wm W;aiql úh hq;=h' th reêrjdyskS ksfrda.S nj lshdmdhs' Goal value: Greater than 40 mg/dL

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Low Density Lipoprotein (LDL) “Bad cholesterol” fuu w.h by< uÜgul ;nd .ekSug wm W;aiql úh hq;=h' by< w.hka ,eîu lsÍgl OukS o yDoh yd reêrjdyskS wjysr ùfï wjodku by< kxjhs LDL w.h my; fy<Su fldf,iagfrda,a uÜgu md,kh lrk T!IO j, uQ,sl lghq;a;ls' Goal values: yDoh yd reêr.; frda. wjodku we;s whg yd kue;s ixl+,;djfhka fmf<k whg fuu LDL w.h 70 mg/ dL g jvd wvq lr.; hq;=h' yDoh.;j wjodkï idOl /ila we;s wh fuu LDL w.h 100 mg/dL g jvd wvq lr.; hq;=h' lsÍgl frda. we;s ùfï wjodku wvq wh fuu LDL w.h 100 mg/dL g jvd wvq lr.; hq;=h' Triglycerides (TG) ia:q, whf.a yd oshjeähd frda.Skaf.a g%hs.a,sirhsv uÜgu by< hdfï keUqre;djhla mj;S' ir< iSks yd uoHidr mßfNdackfhaoSo fï by< hhs'by< w.hlg m;a ùu yDoh yd reêrjdyskS wdY%h lr.;a frda. j,g fya;=jls' Goal value: Less than 150 mg/dl Serum Creatinine mÍlaIKh fï i|yd reêrh ,nd .ekSug úfYAI ms<sfh, ùula wjYH fkdfõ' l%sheákska hkq l%sheáka j, wmøjHhls' uQ,sl jYfhka fmaYs j,g wjYH Yla;sh ,nd oSug l%sheáka Wmfhda.S fjhs'

Tfí jl=.vq fudk wdldrfhka l%shd;aul jkafkao hkak úuiSfï o¾Ylhla f,i l%sheáka fhdod .efka' fï l%sheáka iïmQ¾Kfhkau l%shd;aul jkafka jl=.vq yrydh' jl=.vq l%shdldß;ajh widudkH kï reêr.; l%sheákska j, by< hdula fmkakqï lrhs' ta yereKQ úg uQ;%d ud¾.h wjysr jQ úgo" YrSrh úc,khg ,la jQ úgo l%sheákska w.h jeäùula olakg ,efí' Creatinine idudkH w.h 0.7-1.3 mg/dl

Blood Urea mÍlaIKh fï i|yd reêrh ,nd .ekSug úfYAI ms<sfh, ùula wjYH fkdfõ' yDoh frda. " jl=.vq wdndO" uQ;%d ud¾.fha wjysr;d we;s úg widudkH w.hka ,efí' idudkH w.h 6-20 mg/dl w;r úh hq;=h'

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

Èhjeähdj yd wdydr md,kh Èhjeähd frda.Skaf.a fi!LH iïmkak csú;hlg wdydr md,kh b;d jeo.;a fõ'

wmf.a m%Odk wdydr fõ,a ixls¾K msIaGh wvx.= wdydr u;u mokï ùu m%Odk wNsfhda.hhs' ldfndayhsfâ%guh wdydr ^msIaGh yd iSks iys;& YÍrhg Yla;sh ,nd .ekSu i|yd jeo.;a fõ' m%Odk wdydr fõ,a yd flá wdydr fõ,a f,i m%Odk jYfhka ixls¾K msIaGuh wdydr oji m%rd l%udkql=,j úysÈ hk wldrhg ,nd.ekSu u.ska reêr .a¨fldaia uÜgu md,kh lsßu myiq fõ' ixls¾K ldfndayhsfâ%g ixlS¾K ldfndayhsfâ%g u.ska úgñka " Lksc ,jK" yd ;ka;=uh fldgia imhhs" fïjdfha we;s iSks reêrhg wjfYdaIKh jkafka b;d fiñks' ksjqâv fkdfyd;a l=reÜg iys; n;a" OdkH j¾." weg j¾." wdgd msá" l=rlalka" fldia" fo,a" uxf[dlald" foaYsh w,j¾." meiagd" b|swdmam" frdà" msÜgq" wdmam" iy ksjqvq iy,a msá j,ska ilia lr .kakd ,o wdydr j¾." wdydrhg .ekSu iqÿiq fõ' fld< meye;s t<j¿" m<d j¾." w¿;a m<;=re j, ;ka;= fyj;a fl|s nyq,j wvx.= fõ' fïjd Yßrh ;=< § blauKska cs¾Kh fkdjk ldfndayhsfâ%ghkah' tajd wdydrhg .ekSfuka wdydrfha wvx.= iSks reêrhg wjfYdaIKh ùu m%udo flf¾' f;,a iys; wdydr Ndú;h iSud lsÍu wdydrj,ska jeäu le,ß m%udKhla ,efnkafka fïoh yd f;,a iys; wdydr u.sks' f;,a iys; wdydr jeä jYfhka wdydrhg .ekSfuka ,efnk w;sßla; fïoh foay mgl ;=< ;ekam;a fõ' tu`.ska isref¾ nr jeäfõ' tfukau w;sßla; fïoh Ndú;fhka ksmojk fldf,iagfrda,a yd g%hs.a,sirhsv jeks reêr.; ,smsv m%udKho jeäjk w;r th yDo frda. i|yd fya;= fõ' reêr.; ,smsv m%udKh jeäjk úg Èhjeähdj md,kh lsÍug wmyiq fõ' Èhjeähd frda.Ska yDo frda. j,g f.dÿreùfï wjodku jeä neúka f;,a iys; wdydr Ndú;h yels;dla iSud l< hq;=h'

fuu ,smsh Tfí mß.Klhg fyda Tfí cx.u ÿrl;khg nd.; lr .ekSu ioyd msúfikak wmf.a ks, fjí wvúhg'

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YÍrhg wys;lr fldf,iagfrda,a jk LDL fldf,iagfrda,a y÷kd .kak' ix;Dma; fïoh - L D L fldf,iagfrda,a m%udK jeä lsÍug m%Odk jYfhkau n,mdkafka ix;Dma; fïo wï,hhs' fïjd nyq, jYfhkau wvx.= jkafka i;aj udxY fldgia j,h' iïmQ¾K fhdoh iys; lsß j,ska ie¥ wdydr jk uqojdmq lsß" ng¾" Öia" whsial%sï" *dï Ths,aj,o ix;Dma; fïoh wvx.=h' ix;Dma; fïo iys; fujeks wdydr Ndú;fhka j<lskak' wix;Dma; fïoh we;s wdydr wix;Dma; fïo iq¿ m%udKhka f.ka wdydrhg tl;= lr .ekSu iqÿiq fõ' wix;Dma; fïoh" T,sõ f;,a" iqßhldka; f;,a" fidahd f;,a" bß.= f;,a" ;,f;,a j, wvx.=h' w¨;a n,ud¿ j,o wvx.= fõ' ud¿j, fi!LHuh jYfhka jeo.;a jk Yßrhg wys;lr fkdjk wix;Dma; fïoh wvx.= jk neúka i;shlg fo;=ka j;djla ud¿ wkqNj l< hq;= njg ks¾foaY flf¾' wdydr msisfï§ ys;lr f;,a j¾. jqjo f;,a m%udK yels;dla iSud lsÍuo b;d jeo.;a fõ' t<j¿ jeä jYfhka yd m<;=re idudkH m%udKhla o wdydrhg .kak wdydr fõ, iu;=,s; ùug wjYH úgñka" LKsc ,jK yd ;ka;= m%udKh ,nd .ekSug kï Èklg wvqu jYfhka t<j¿ yd m<;=re fldgia 4 la j;a ojilg ,nd.; hq;=hs' úgñka yd Lksc ,jK m%;s Yla;slrK

m%oaO;sh Yla;su;a lrk w;r kSfrda.su;a weia yd ksfrda.S iula ,ndfoa' úgñka yd Lksc ,jK i|yd fyd|u f;aÍu jkafka t<j¿ yd m<;=re yels;dla wdydrhg .eksuhs' je<lsh hq;= wdydr my; i|yka wdydr j,ska yels ;rï je<lS isàh hq;=h' ish¿u meKsri wdydr j¾." iSks" ls;=,a yl=re" Wla yl=re" fmd,a meKsó meKs" isrmaj¾." rgb|s" fgd*s" flala" ri leú,s" ;,.=,s" uialÜ" meKs ri pqhska.ï" cEï j¾." ud¾Iafuf,daia" fc,s j¾." isis,a îu" meKs ri îu" meKs ri fhÿ m<;=re hqI" ;eô,s" .a¨fldaia" meKsri ìialÜ j¾." whsial%Sï" ákalsß" fud,agâ lsßmsá" ish¿u u;ameka mdka" nksia" msÜgq" frdà' biamkaÑ" cEïmdia" kQâ,aia iq,nj .; yels wdydr my; i|yka wdydr j¾. nyq, jYfhka .; yel'  ish¿u m<d j¾. - ^uql=Kqjekak" f.dgqfld<" ;ïm,d" ksú;s" lxl=ka" l;=reuqrex.d wdosh'&  msIaGh wvq t<j¿ j¾.-fndaxÑ" uElr,a" oU," jïngq" nKavlald" t<ngq" ;lald,s "f.dajd" ,Slaia" rdnq" fkdaflda,a" lrú," ;=T" mf;da," jegfld¿" msmsCoaCod" jÜglald" uqrex.d" r;=¿EKq" y;=" uqxweg" lõms" fidahd fndaxÑ" OdkH j¾.'

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

my; i|yka wdydr j¾. uOHia: m%udKhlska .; yelsh'  OdkH j¾.- ksõvq iys; n;a" iy,a msá bÈwdmam" l=rlalka msÜgq" ;,m hkdÈh'  w, j¾.- w¾;dm,a" n;," u[afCodlald" lssßw," bkak," lerÜ" bkak," okak,  msá iys; t<j¿ iy m<;=re-w¿ flfi,a" fldia iy fldia weg" fo,a'  udxY wdydr - l=l=,a uia" ì;a;r iqÿuoh" ud¿'  meKsri fkdfhÿ m<;=re hqIfodvï" je,a fodvï" foys j¾.'  m<;=re-mefmd,a" flfi,a" flduvq" ^uo jYfhka bÿKq& jvd iqÿiq fõ' flda,sl=Ügq flfi,a j, jeä iSks m%udKhla wka;¾.; fõ'

oshjeähdjg úfYAIfhka ks¾foaYs; foaYSh wdydr

wfma foaYSh wdydr fjfiiskau oshjeähdj" wêreêr mSvkh wdoS wdoS frda. u¾Okfhys,d w;sYhska jákdlula we;s wdydrh' wfma w;S; uq;=ka ñ;a;ka ld,fha isg wfma mrïmrdj, kSfrda.Slug fya;= jQ my; wdydr j,g yqre jkafka kï Tng jvd;a blauKska hym;a m%;sM< ,nd.; yel'

ue,a¨ï j¾. fldajlald fld<" f;nqfld< ue,aü" jÜglal fld<" lrú, o¿ i,doh" j,a fld;a;u,a,s fld< ue,aü" rKjrd fld< ue,aü" fldamamka fld< ue,aü" weU/,a,d o¿ i,doh" <d fldia o¿ ue,aü" lrmsxpd fld< ue,aü" l=mamfïKsh fld< ue,aü" je,afodvï fld< ue,aü" t<ngq fld< ue,aü" ;eïfíßh fld< ue,aü" l;=reuqrex.d fld< ue,aü" idrK fld< ue,aü T!Iëh jExck j¾. uqxweg jHxckh" wlalmdk fld<" wÜálald f.ä" flfi,anv jHxckh" lrú," ;s;a; ;síngq" fldaudßld" iqÿ¿Kq" ´¿ ng jHxckh OdkH j¾. ySká yd,a" r;= lel=¿ yd,a" l=rlalka" nvbß`.=" ;Kyd,a" W÷" nd¾,s T!Iëh mdk j¾. ksosl=ïnd ;ïnd j;=r îu" rKjrd u,a" neì, uq,a" bruqiq" fn,su,a" fld;a;u,a,s" fmd,am<d" fjksje,a.eg" fk,a,s" rils| oshjeähd frda.Skag ks;r wdrlaIdj imhk T!IO me<Eá yd .ia wÜálald" fldfydU" wr¿" nq¿" fk,a,s" rils|" l=Uqla" neì," ìxfldfydU" fjksje,a" foajodr" iqÿy÷ka" b`.sks" ly" udoï" fld;<ysUqgq" uianeoao" je,auog" f,d;aiqUq¿" fldajlal osh;,dj wdhq¾fõo uy frdayf,a ffjoH wkqr úfcafialr

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oshjeähd frda.Ska .; hq;=''' fkd.; hq;= wdydr .ek Tng wjfndaOhla ,nd fok Glycemic Index

oshjeähd frda.Skaf.a wdydr .ekSu ie,iqï lsÍug fhdod.kakd Glycemic Index (GI) kï l%uh iïnkaOfhka fï oskj, úYd, Woafhda.hla we;sj ;sfnk nj fmfka' fï .ek wjfndaOhla ,eîu fldhs ldg;a jeo.;a fõ' ukao" oshjeähdj ke;s jqK;a Glycemic Index (GI) w.h wvq wdydrhla .ekSu fjfiiskau Glycemic Index (GI) jeä wdydrhla .ekSug jvd Tfí iqj iïm; /l .ekSug bjy,a jk neúks' m%drïNl jYfhka úuiSfïoS Glycemic Index (GI) hkq .aÆfldaia fyda iqÿmdka j,g idfmalaIj ldfndayhsfâ%g idr wdydr reêrfha iSks uÜgu jeä lsÍu mdol lrf.k fm< .iajk mßudKhls' Tn ldfndayhsfâ%g iys; wdydrhla wkqNj lrk úg tys ;sfnk iSks .aÆfldaia njg ì| fy<kq ,efnhs' th wjik Yla;sh f,i YÍrfha ixÑ; fõ'

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

wm wdydr .kakd úg reêr.; .aÆfldaia uÜgu ks;ekskau jeä fjhs' hï wdydrhlg reêr.; .aÆfldaia uÜgu by< kexùug we;s yelshdfõ fõ.h Glycemic Responce kñka y÷kajkq ,efí' fï Glycemic Responce idOlh úúO idOl /ila u; fjkia fjhs' wm fl;rï wdydr m%udKhla .kakjdo@ tu wdydr fl;rï ld,hla YÍrh ;=< ì| fyf<kjdo @ tu wdydr l=uk wdldrhlg ms<sfh, lr ;sfío wdoS idOl mjd Bg n,mdhs' ksoiqkla f,i meiagd u| riakfhka msiQ úg ;sfnkjdg jvd jeä Glycemic Responce w.hla jeä fj,djla msiQ úg ,efnkafkah' m¾fhaIKd;aul o;a; j,g wkQj wvq Glycemic Index (GI) w.hla we;s wdydr f;dardf.k wkqNjfhka reêr uÜgu uekúka mj;ajd .; yels jk w;r 2 jk wdldrh jYfhka ye|skafjk oshjeähdj we;s ùfï bvlv fnfyúka wvq fõ'

11 jk l,dmh

Glycemic Index (GI<55) wvqfjka we;s wdydr fhdoh rys; lsß" fhda.Ü" fidahd mdk j¾." wem,a" uqoaorm,ï" fodvï" ´Ü" ksjqâv iys; wdydr" ´Üó,a" ^fifuka msisk ´Üia& ;ïnmq iy,a" u,aáiSâ fn%â" ;, wdoS OdkH ñY% lrk ,o mdka&" meiagd ^uDÿ&" oU, úfYaI ( Lentils/Kidney/Baked beanns, Chick peas, Green Gram) Glycemic Index (GI=56-69) uOHu m%udKfhka we;s wdydr flfi,a" wkakdis" w¿;a w¾;dm,a" friskaia" fmdmafldaka" iams,sgA mS^uE&" .%Ska mS ^fld< uE&" iqma" ÿUqreiy,a" ndiau;S iy,a" ;srs`.=OdkH" ;srs`.= mdka ^Whole wheat bread&" rhs mdka

Glycemic Index (GI=56-69) jeä w.hla .kakd wdydr oshflduvq" rgb|s" ;ïnd fmdä l< w¾;dm,a" fíla lrk ,o iqÿ w¾;dm,a" laIKsl n;a" fkaÉ hsia" whsia l%Sï" iqlafrdaia (Table Sugar) oskm;d wdydr fõ,g wvq Glycemic Index wdydr .ekSug Wmfoia  by< GI w.hla iys; wdydr fjkqjg wvq yd uOHu m%udK GI w.hla iys; wdydr f;dard.kakg W;aiql jkak'  úgñk" LKsc ,jK iy ;ka;= j,ska idr mßiudma; fmdaIKh .ek wdydr .ekSfïoS ie<ls<su;a jkak  uOHia; GI w.hla mj;ajd .ekSug by< GI w.hla we;s

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

wdydr wvq GI w.hla we;s wdydr yd l,jfï .kakg W;aiql jkak' ksoiqkla f,i mdka ^by< GI w.h& iu. fhdoh bj;a l< lsß ùÿrejla ^my< GI w.h& .ekSfïoS uOia: GI m%;sM<hla iys; wdydr fõ,la iïmQ¾K fõ' fldaka *af,alaia iu. ^by< GI w.h&" All Bean f;a yekaola iy ^my< GI w.h& iafg%dafnß ^my< GI w.h& iys; wdydrhla iqÿiqh'  ieliQ wdydr" msIAGh iys; wdydr iSud lrkak' fïjdfha ;ka;=uh mod¾: wvqh' wfkl=;a fmdaIl wvqh' ta uosjdg by< GI w.hlska hqla;h' wvq GI w.hlska hqla; OdkH wdydr fndaxÑ" oU, yd rks, wdydr j,ska ieliQ wdydr fyd|hs'  iQma yd i<do wdosh wdydr isß;g tl;= lr .kak'  OdkH" ´Ü" ksjqâfvka ye¥ mdka .ekSu iqÿ mdka j,g jvd fi!LH iïmkak fõ'  kejqï t<j¨ yd m<;=re wkqNjhg .kak'  t<j¨ iy m<;=re j, we;af;a wvq GI w.hls' fïjd iSks njg YÍrfha ì| fy<Sfï l%shdj,sfhaoS m;a ùug jeä ld,hla .; fõ'  wdydr msrñvhg wkQj osklg t<j¿ yd m<;=re jdr 5-10 w;r jdrhla .; hq;=h'  laIKsl iy,a fjkqjg ;ïndmq fyda ÿUqre yd,a fhdod.kak'  i<do j,g l%Sï .;sfhka hqla; v%iska fjkqjg úkdlsß fhdod .kak' th fïo wvq f;dard.ekSuls'

tfiau úkdlsß j, wdï,sl;djh u.ska cS¾Kl l%shdj,shg jeä ld,hla .kS' iuia;hla f,i fuh wdydrfha GI w.h wvq lsÍug bjy,a fõ'  wdydrfha GI w.h fkdie<l=jo" .kakd wdydr m%udKh jeä kï th reêr iSks uÜgu by< kexùug odhl jkafkah' wdydrhla .ekSug fmr;a wdydr .ekSfuka mehla fyda meh follg miq;a reêr iSks uÜgu uek .ekSfuka Tfí isrer tu l%shdj,sh hdukh lsÍug olajk mßph .ek Tngu wjfndaOhla ,nd.; yels jkq we;'  wdydr ie,iqï lsÍfïoS fmdaIKfõosfhl=f.a fyda oshjeähdj wOHdmk ks,Odßfhl=f.ka Wmfoia ,nd .kak' Glycemic Index hkq ksjeros wdydr ms<sfj;l tla wx.hla muKs' Tfí wdydr isß;g my; .=Kdx. tl;= lr.kak'  kshñ; ld, wka;rhka ;=< wdydr .kakg yqre fjkak'  iEu wdydr ldKAvhlau wdjrKh jk fia úúO;ajhlska hq;a wdydr fõ,la .kak'  meKs ri iy iSks j,ska yels;dla wE;a fjkak'  Tn wkQNj lrk f;,a m%udKho yels;dla wvq lrkak'  Tfí wdydr fõ,g ;ka;=uh wdydr jeäfhka tl;= lr.kak'  ¨Kq wvq lrkak' uOHidr yd lef*aka wvx.= mdk j¾. j,skao j<lskak'

11 jk l,dmh

oshjeähdjg m%;sldr msKsi fhdod.kakd T!IO bkaishq,ska tkak; oshjeähd frda.Skag bkaishq,ska ,ndoSu uq,skau isÿ flrefKa 1922 oSh' w.akHdYfhka Wlyd.;a il%Sh ridhkhla ;=reKq oshjeähd frda.sfhl=g ,ndoSfuka Tyqg ,enqKq iqjh fï bkaishq,ska oshjeähd frda.Skg ,ndoSfï uQ,drïNh iemhSh' th T!IOhla jYfhka uq,ajrg wefußldfõ m%fhdackhg .ekqfka 1939 oSh' wo f,dj mqrd ñ,shk ixLHd; oshjeähd frda.Ska fï bkaishq,ska oskm;d ,nd .ks;s' .j" iQlr yd kj ;dCIKh fhdod.;a recombinant DNA l%ufõoh weiqf¾ udkj bkaishq,skao wo Ndú;d fõ' uq,skau udkj bkaishq,ska ;dCIKsl jYfhka ksmojd Ndú;hg .kq ,enQfõ 1982 ;rï uE;loSh' oshjeähdfõ bkaishq,ska kslafIamKh lsÍu oskm;d wjYH jk wdldrhla we;s nj wm i|yka l<d Tng u;l we;s' Type 1 wdldrfha

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

oshjeähdj hkqfjka ye|skafjk fï wdldrfha oshjeähdj je<÷KQ flfkl=g oskm;du bkaishq,ska tkak;a ,ndosh hq;= jkafkah' Tjqkaf.a frda.hg fya;=j bkaishq,ska fkdue;sluu ñi wka fya;=jla fkdjk ksid tlu m%;sldrh bkaishq,ska msg;ska ,nd oSuhs' bkaishq,ska tkak; ,nd .ekSug ks¾foaYs; frda.Ska idudkHfhka osklg fojrla bkaishq,ska ,nd .ekSug Wmfoia ,nkafkah' l,d;=rlska wjia:djloS osklg 3-4 jrla bkaishq,ska ,nd .ekSugo ffjoHjreka ks¾foaY lr;s' bkaishq,ska j¾. lsysmhlau ;sfnkjd' .jhkaf.a w.akHdYfhka ,nd.kakd uQ,sl fydafudak T!Iëh ilia lr Beef derived Insulin ilia lrkjd' ta wdldrhgu W!rkaf.a w.akHdYfhka ,ndf.k ilia lrk bkaishq,ska Pork derived Insulin f,i Ndú;d fjkjd' m¾fhaIKd.dr j, Recombinant DNA ;dlaIKfhka ñksia bkaishq,ska j,g wkqrEmS bkaishq,ska ksmojkjd' ;rula ñf,ka by< fïjd Human Insulin f,i Ndú;d fjkjd' bkaishq,ska j¾.SlrKh m%Odk jYfhka Ndú; bkaishq,ska j¾. folls' Regular yd NPH hkqfjks' tkak;a lsÍfuka miq blauKska l%shdldß;ajh werfUk tfy;a os.= fõ,djla l%shdldß;ajh fkdmj;sk bkaishq,ska Regular ldKavhg wh;ah' NPH Human Insulin j, l%shdldß;ajh n, .ekaùug u| m%udohla isÿ fjhs' kuq;a tys l%shdldß;ajh os.= fõ,djla mj;S' Regular Insulin j, l%shdldß;ajh idudkHfhka ñks;a;= 30loS muK n,.ekafjhs' tys Wmßu l%shdldß;ajh

meh 1-3 w;r ld,hla mj;sk w;r tkak;a lr meh 6-8 lska l%shdldß;ajh wjika fõ'

NPH Insulin j, l%shdldß;ajh Bg fjkiah' th tkak;a lsÍfuka miq reêr.; iSks uÜgu my; neiSug meh folla muK .;fõ' tys Wmßu l%shdldß;ajh meh 4-12 w;r ld,hla mj;sk w;r bka miqjo th meh 18-26 w;r ld,hla olajd l%shdldÍj reêrfha iSks uÜgu md,kh lrhs' tu ksid fuu NPH Insulin hkq Intermediate duration of action iys; bkaishq,ska úfYaIhla f,i j¾.SlrKh flf¾' kj bkaishq,ska úfYaIhla iajNdúlj mj;akd bkaishq,ska" ridhkslj fjkia lsÍfuka ksIamdokh lrk ;j;a bkaishq,ska ldKavhla ;sfí' th Lispro f,i ye|skafõ' fuh b;d uE;loS y÷kajd ÿkakls' ^1996& Regular Insulin yd ii|k úg tys l%shdldß;ajh blauKska n, .ekafõ' meh 0'5 - 2'5 w;r ld,fhaoS Wmßu

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l%shdldß;ajh olajhs' fï .=Kdx.h ksid Lispro-ultra rapid acting insulin udos,shla f,i NSI.afõofha ie<fla' Regular Insulin tkak;a flfrkafka wdydr .ekSug meh 1$2-1 w;f¾ uq;a fuu udos,sfha blauka l%shdldß;ajh ksid Lispro wdydr .ekSug ñks;a;= 18 lg fmr tkak;a lr.; hq;= fõ' Aspart yd Glagrine hkqfjka ye|skafjkafkao udkj iïNjhla iys; bkaishq,skauh' tkak;a lsÍfuka miq tys l%shdldß;ajh n,.ekafjk ld,h blauka lrkq jia fïjdfha iq¿ ridhksl fjkialï isÿlr ksIamdokh lr ;sfí' Insulin aspert j, l%shdldß;ajh úkdä 20 loS n,.ekafjk w;r Regular human insulin j, l%shdldß;aj ld,hg jvd fuys l%shdldß;aj ld,h meh 3-5 lska muK wvqh' th meh 1-3 w;f¾oS Wmßu l%shdldß;ajhlg m;afjhs' Insulin glargine j, l%shdldß;ajh n,.ekaùug úkdä 70la muK .; fõ' kuq;a ojila mqrd mj;sk l%shdldß;ajhlska hqla;h' fuys we;s úfYaI;ajh jkafka tys l%shdldß;ajh fï ld,h ;=< lsisu wjia:djl Wmßu w.hlg (peak) fkdt<öuhs' bkaishq,ska meñfKk wdldr Vials, pre filled syringes yd cartridges f,i weiqreï wdldr ;=klska bkaishq,ska fj<|fmd<g meñfKa' mEkla jeks Wmdx.hla fhdod f.k bkaishq,ska tkak;a lsÍfïoS fhdod.kafka cartridges j, weiqrE bkaishq,skah' regular human insulin vial, cartridges yd pre-filled syringes hk wdldr ;=fkkau fïjd mj;S' .j yd iqlr iïNjhla iys; bkaishq,sk j,g jvd ful, Human

Recombihant, Lispro, Aspart, Glargine wdos bkaishq,sk fhdod .ekSug frda.Ska fukau ffjoHjrekao m%sh;djhla olajhs' bkaishq,ska .nvd lsÍu újD; fkdlrk ,o bkaishq,ska Ysl;rKhl ;eìh hq;=h' th fikaá%f.%â wxYl 2-8 fkdfyd;a *erkayhsÜ 36- 46 w;r Ys;k mrdihl mj;ajd.; hq;=h' bkaishq,sk lsis úfgl YS;lrKfha ñfok wxYfha ^Freezer& fkdoeñh hq;=h' fïjd wdf,dalfhka yd wu;r ;dmfhka wdrCId lr.; hq;=h' Ndú;h wdrïN lrk ,o bkaishq,ska ldur WIaK;aj ;;a;aj j,oS udihl ld,hla ;nd.; yel' l,a bl=;a jQ ^expiration date& bkaishq,sk m%;sldr msKsi fkd.; hq;=h' tkak; leãug fmr fi,ùu wjYH fkdfõ' bkaishq,ska fokafka ldgo@ Type II fukau Type I wdldrfha oshjeähd frda.Skago ffjoH Wmfoia wkqj kshu flf¾' T!IO iu. bkaishq,ska wka;¾l%shd we;eï T!IO bkaishq,ska yd l%shdlr wjodkï iy.; f,i reêr iSks m%udKh my; fy,Sug reêr iSks m%udKh my; fy,Sug ^Hypoglycemia& lghq;= lrhs' tajd kï MAO Inhibitors, betablockers (Propanolol) jeks Salicylates ^weiam%ska jeks& anabolic steroisd yd uOHidr ta w;r fjhs' fï T!IO ,nd .kakd úg by; m%;sl%shdj ie<ls,a,g .ksñka fokq ,nk bkaishq,ska ud;%dj wvq lsÍug ffjoHjreka lghq;= lrkq we;' t;rï nrm;, f,i fkdjqK;a bkaishq,ska yd m%;sl%shd lrñka hï muKlg jeäukla

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

jYfhka reêr.; iSks m%udKh my; fy,Sug lghq;= lrk T!IO j¾.o fõ' tetracycline, doxycycline, guanethidine jeks m%;scSjl we;eï uqL.; oshjeähd T!IO fukau jeks& m%;scSjl we;eï uqL.; oshjeähd T!IO fukau ACE inhibitors (captopril jeks& ta w;r fõ' bkaishq,ska j, l%shdldß;ajh wvq lrk T!IO lsysmhlao fjhs' fuys nrm;, Wmøj ke;;a .kakd bkaishq,ska j, ld¾hCIu;djh nrm;, f,i ySk lrkafkao hkak ms<sn|j ie<ls,su;a ùu jà' l%shdldß;ajh wvq lsÍug bjy,a jk T!IO w;r diltiazem niazin fldaáfldiafgfrdhsv ^fm%âksfidf,dka" Biag%cka yd Wm;a md,k fm;s& ;hsfrdlaiska (levothyroxine, isoniazid, epineprine, thiazied yd hydrocholorothiazies, Furosemide jeks m%;suq;%l fõ' .¾NKS iufhaoS bkaishq,ska .ekSu .¾NKS iufhaoS oshjeähdj md,kh lsÍug fyd|u l%uh bkaishq,ska ,nd oSuhs' oS¾> ld,Sk wOHhk ;ju;a imqrd fkdue;s ksid aspart, glargine wdosh fjkqjg regular human insulin ,nd foa' NPH, lente yd Ultralente bkaishq,skao .¾NKS ld,fhaoS ,ndosh yelsh' lsß fok uõjrekag bkaishq,ska Reguler Insulin uõlsß j,g ldkaÿ jk njg yªkdf.k we;' tu ksid fuu bkaishq,ska ,nd .ekSfïoS ujf.ao orejdf.ao reêr.; iSks uÜgu l,ska l,g mÍCId l< hq;=h'

w;=re Wmøj bkaishq,ska tkak;a ,nd oSfïoS jvd;au iq,nj we;súh yels Wmøjh kï reêrfha iSks uÜgu wvq ùfuka Hypoglycemia ;;a;ajh we;s ùuhs' fuys ix{d f,i oelaúh ,CIK lsysmhla fõ' mg,eú,s iy.; yeisÍu" Tlaldrh" l=i.skak" wêl fjfyilr nj" oyäh oeóu" ysiroh" uqLh wdY%s; oekSula fkdue;s ùu" fjõ,s,s iy.; Ndjh" fmaYs ÿn,;djh" fmkSu fnd|ùu" WIAK;ajh my; jeàu jeä jYfhka we;sjk wEkqï hdu wdoshhs' bkaishq,ska oskm;d úosk m%foaYh udre lrñka bkaishq,ska úo.kak bkaishq,ska tkak; úoskakg iqÿiq ia:dk /ila ;sfnkjd' Worh" fmlKsh wjg fyda l,jd j,g úoSu myiqhs' bkaishq,ska tkak; ,nd .ekSug ma,diaála isßkac Ndú;d l< yelshs' ;ek ;ek tkak;a lgq /f.k hdu Tng lrorhla kï bkaishq,ska mEk thg fyd| úl,amhla' fnfy;a weo .ekSfï m%Yakhla me fkdke.S yqrenqyqáj fï ld¾hh ksu lrkakg bkaishq,ska mEk iu;a' tkak; úoSfïoS oskm;d ia:dkh fjkia lrñka úoSu ;uhs ksjeros' tl ;ekgu yeu úgu úoafod;a t;ek f.ähla tkak mq¿jks' túg bkaishq,ska yßhg Wrd.kafkao kE' oshjeähdj frda.Ska .kakd uqL.; fnfy;a j¾. foj; wdldrfha os h jeähdj frda . S k a os k m;du fnfy;a .ks ; s ' os h jeähdj g .ka k d fnfy;a my; wdldrhg j¾.S l rKh fj;s '

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i,af*dks,ahQßhd jeä jYfhka bkaishq,ska ksmoùug WmldÍ fjhs' reêr.; iSks uÜgu wvq uÜgulg <`.dùfï bvla we;' wdydr .ekSug fmr fuu ldKAvfha T!IO .ekSu iqÿiqh' ì.=wkhsâia bkaishq,ska jvd;a Wmfhda.S lsÍug fya;= fjhs' reêr.; iSks uÜgu wvq uÜgulg <`.dùfï bvla fkdue;' wdydr .ekSfuka miq fuu ldKAvfha T!IO .ekSu iqÿiqh' wldfndia msIaGh iys; wdydr cS¾Kh fiñka isÿ lsÍu fuys ld¾hhhs' fï ksid wdydr .ekSfuka miq fõ.fhka reêr iSks jeäùu j<lS' fu.a,sákhsâia w.akHdYhg jeäfhka bkaishq,ska uqod yeÍug n, lrk T!IOhls' fnfy;a .;a blauKska l%shd lrk uq;a tys n,mEu jeä ld,hla mj;skafka ke;' ;hfid,sfkäfhdkaia wm .kakd wdydrj,ska yereKQ úg wfma fmaYs fïo ffi, wdosh wdY%h lr.;a bkaishq,ska j, l%shdldß;ajh jeä lrhs' YrSrfha reêr iSks uÜgu wvq lsÍug fya;= fjhs' fï tl tlla T!IO ldKAv j,ska flfrk ld¾hh oeka wm úuiuq' Tfí wjYH;djh wkQj ffjoHjrhdf.a ks¾foaYh u; fï T!IO j,ska tlla" lysmhla Tng ks¾foaY lrKQ we;' iq,n oshjeähd T!IOh fuÜf*dñka wh;a jk i,af*dks,ahQßhd ldKAvfha T!IO oshjeähd frda.Skaf.a iq,n T!IOh fuÜf*dñka wh;a jk i,af*dks,ahQßhd

ldKAvfha T!IO wdldr follska YÍrh u; l%shd lrhs' 1' w.akHdYfhka bkaishq,ska >%djh lsÍu jeä lrhs' 2' bkaishq,ska ms<s.ekSfï uOHia:dk fyj;a w.=,a j, fjkialï yd fodaI wef;d;a tajd ksjeros lr bkaishq,ska j, l%shdldß;ajh jeä lrhs' tys m%;sM<h jkafka reêrfha iSks uÜgu wvq ùuhs' ì.=wkhsâ ldKAvfha T!IO i,af*dks,ahQßhd ldKAvfha T!IO fukau ì.=wkhsâ ldKAvfha T!IOo oshjeähd frda.Skag m%;sldr msKsi iq,nj fhdod .efkA' ì.=wkhsâ ldKAvfhkao uQ,sl jYfhka oshjeähd frda.sfhl= úIfhys ld¾hhka folla bgq flf¾' 1' nvje,a j,ska .aÆfldaia Wrd.ekSu wvq lrhs' 2' bkaishq,ska j, l%shdldß;ajh jeä lrhs'

Wmfoiacd;sl úI f;dr;=re uOHia:dkfha m%Odks" ldhsl frda. yd ks¾Kd,fõo úfYAI{ ffjoH jreK .=K;s,l

ffjoHjrhd

Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

fomd iqjhg n,mdk fomd iqjfi; mdo iq/lSfuka osú iq/lSugo yels fõ jdysksl frda. úfYAI{ Vascular Surgeon ffjoH kd,l .=KjxY úisks

jd, .ek l;d lrk úg mdo j, we;sjk ;=jd, .ek fndfyda úg ffjoHjreka b;d ie<ls,af,ka l;d lr;s' mdo j, we;s jk ;=jd, flfryS we;s ìh wksh; ìhlao @ fï ,smsh lshjkak' thska Tng m%Yakhg ms<s;=re ,efnkq we;s'

mdo j, we;sjk ;=jd, we;af;kau wjfYAI ;=jd, j,g jvd fnfyúkau Nhdklh' oshjeähdj jeks''' tfia;a ke;skï kyr .eg .eiSu jeks wjodkï iy.; frda. b;sydihla orK úg we;eï úg ;=jd,h krla ù ll=, lemSug mjd isÿúh yel' we;eï úg cSú;fhka jkaos f.ùug mjd zzmdofha ;=jd,hZZ fya;= úh yelsh'

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fufia wjodkï iy.; úNjhla we;s mdo j, we;sjk ;=jd, j,g fya;= jkafka my; ldrKdjkah' iakdhq l%shdldß;ajh wvq ùu fuhg uQ,sl jYfhka fya;= jkafka oshjeähdjhs' oshjeähdj frda.h je<oS jir 10- 15 hk úg iakdhq ÿ¾j, ù tajd wl¾ukH ùug bv m%ia:djla ;sfnk w;r túg mdo j, oekSu''' ixfõoS;djh ke;s ù hhs' túg fmdf<dfõ r¨ ìu u; weúoao;a oefkkafka mq¨ka frdola u; weúoskjdla fiah' fuysoS we;sjk ydksh kï lgqjla" .,a leghla wekS ;=jd,hla isÿ jQj;a th ;ukag fkdoekSuhs' ;=jd,hla isÿjQj;a fï wdldrfhka th fkdoekSu b;d Nhdklh' fï ksid ;=jd,h md,kh lsÍu ÿIAlr ;rug úYd, tlla úh yelsh' th wdidokhg ,la ùfïo jeä bvla ;sfí' we;ï oshjeähd frda.sfhl=f.a je,s leghla wekqk;a th ;=jd,hla''' úYd, jkhla jk f;la j¾Okh ùugo yelshdj ;sfí' kyr .eg .eiSu fkdfyd;a wmiaÓ; Ysrd ;;a;ajh kyreg .eiSu wo ojfia ie<lsh hq;= msßila mSvd úosk frda.hls' fï frda.Ska jir 10-15 l os.= ld,hla frda.h;a iu. .; jk úg j<¨lr m%foaYfha l=KQ f,a tl;= ù ;ekam;a fjhs' túg ta wjg mSvkho by< hhs' fï ksid myiqfjka mdoj, ;=jd, we;s úh yelsh'

f,a kyr j, wjysr;djh uq,skau lS kyr .eg .eiSu''' tkï wmiaÓ; Ysrd ;;a;ajh we;s jkafka Ysrd uQ,sl lrf.kh' tkï .d;%d j, isg wmsßisÿ reêrh yoj; lrd f.khk jdyskS wdY%h lrf.kh' kuq;a fuysoS isÿjkafka yojf;a isg reêrh .d;%d j,g f.k hk OukS wdY%h lr.;a wjysr;djhls' OukS wjysr;djhla we;s jQ úg .d;%d j,g msßisÿ reêrh ke;s fjhs' ta;a iu.u mßjykh jk fmdaIl iy wï,lr jd;h ^Tlaiscka& ke;s fjhs' fuysoS isÿ jkafka l=ulao @ hï fyhlska mdofha ;=jd,hla we;s jQjd hhs is;uq' túg m%;scSjl T!IO .;a;;a f,a .,kfhys wjysr;djh ksid tajd mdoj,g ksishdldrj ,efnkafka ke;' mdofha ;=jd,h wdY%h lr.;a m%foaYfha mgl ÿ¾j, cSj Ndjhlska hqla; ksid ndysßka fnfy;a wdf,am l<;a thska t;rï m,la jkafkao ke;' wdidok fya;=fldg f.ko wiaÓ.; frda. ksidfjkao mdo j, ;=jd, we;s úh yel' Ouks we;=,; fldf,iagfrda,a ;ekam;a ùu ksido" wêreêr mSvkh ksido OukS fuhdldrfhka wjysr ùug bv ;sfí' fuys úia;r lrk ,o ljr fyda fya;=jla ksid mdo wdY%s;j ;=jd,hla we;s jQ ú.i l< hq;= jkafka Y,H ffjoHjrfhl= yg ;=jd,h fmkajd th iqj lr.kakg ms<shï fhoSuhs'

ffjoHjrhd

Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

m%;sldr fuhg fya;=j oshjeähdj kï oshjeähdj uekúka md,khg ,lalr.; hq;=hs' fuysoS mdo wdY%s; iakdhq wvmK ùug fya;=j Ñrd;a ld,hla ;siafia reêr iSks jeä w.hla f.k ;sîu ksidh' ke;fyd;a ta wjia:dfõ ;snqKq reêr iSks m%udKhu fkdfõ' frda.h md,kh lsÍug fï lreKQo is;ayS Odrkh lrf.k os.= ld, mßÉfPAohkayS os.gu oshjeähdj md,kh lrug mshjr .; hq;=hs' wmiaÓ; Ysrd ;;a;ajh fkdfyd;a kyr .eg .eiSuo nyq, jYfhka mdo wdY%s; ;=jd, we;s ùug fya;=jls' kyr .eg .eiSug ksis ms<shï fhoSu wiSre lreKla fkdfõ' uq,skau frda.h ksishdldrj yÿkd/; hq;=h' ta ioyd mdo ksÍlaIKh" Doppler Scanning' wdoS mÍlaIK lsysmhla fjhs' bkamiqj m%;sldr Tfí ffjoHjrhd úiska ie,iqï lrKq we;' uQ,sl wjia:dfõ fnfy;a m%;sM< f.k ÿkak;a l,a.; jQ miq Baloon Angioplasty fkdfyd;a wjysr jQ ia:dkh msïîfï l%shdj,sh" fjk;a ;eklska kyrhla ¨yqj;a lrf.k th wmiaÓ; jQ ia:dkhg msßoaoSu (Bypass) wdoS ie;alï isÿ lsÍfuka fuu ;;a;ajh u.yrjd .; yel' mdo iqjfi; Wfoid Tn l< hq;= foa mdo hq., .ek Tnf.a wjOdkh t;rï fhduq fkdjqK;a" mdo wmf.a fi!LH ;;a;ajh uekúka mj;ajd .ekSug fl;rï n,mdkjdo hkak Tng jgyd .kakg kï fujka

wjodkula Woa.; úh hq;=h' kuq;a túg ldßh t;rïu myiq fkdfõ' fï ksid mdo wk;=f¾ jefgk frda. ldrl j,ska ñoSug Tn bgd.; hq;=h' oshjeähdj" wmiaÓ; Ysrd fkdfyd;a kyr .eg .eiSu" fldf,iagfrda,a wdosfhka je<lsh hq;=h' ld,hla ;siafia ÿï mdkh lsÍu ksido .d;%d j, iakdhq l%shdldß;ajh wvmK jk ksid thskao ñoSu mdo iqjfi; flfrySo ;SrKd;aul idOlhls' yefokakg fmr frda.fhka j<lskakg fok ta Wmfoia iaj¾Kuh mshjr jkafkah' kuq;a iEu úgu ;;a;ajh tf,i fkdjkafkah' oshjeähd frda.Ska''' kyr .eg .eiSfuka mdo hï wjodkulg ,lajQ wh wdoSka wmg yuq fõ' Tjqkag osj hq;af;a Bg;a jvd m%fõYï iy.; Wmfoia ud,djls' fujka wjodkula we;s wh mdo ;nd .; hq;af;a lKakdähla fuks' b;d msßisÿj mdo ;nd/; hq;= w;r kshfmd;= w;r''' we.s,s lre yd uq¨ mdohu oskm;d uekúka mÍlaId l< hq;=h' iq¨fjka fyda ìì,la" ;=jd,hla jQj;a th ffjoHjrfhl=g fmkajd jydu m%;sldr ,nd.; hq;=h' kshfmd;= lemSu m%fõYfuka kshu ms<sfj<g l< hq;=h' ksfjfia isáh;a mdjyka hq.,la me<osh hq;=h' fï wdldrfhka mdo .ek ie<ls<su;a jkafka kï Tng Tnf.a mdo uekúka /l.ekSug ta bjy,a jkq we;'

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oshjeähd frda.h ksid weia isúfha we;s jk fodaI jirlg jrla weia mÍlaId lr.ekSfuka l,a fõ,d we;sj Tfí weia wdrlaId lr.; yel

oDIaÀ ú;dkh wfma idudkH jyf¾oS nyq;rhla l;d lrkafka zwefya isúhZ hkqfjks' fï wefya isúh ;=< we;sjk .eg¿ ksis fj,djg ms<shï fkdfhÿfjd;a th fl<jr jkafka wjdikdj;a f,i wei wkaO ùfuks' tfy;a Tn oeKqïj;a jqfKd;a" ksis fj,djg ksis ms<shï fhÿfjd;a Tng Tfí fk;a wdrrlaId lr .ekSfï wjia:djla ysñ fõ' fï ,smsfha mrud¾:h ta oeKqj;aNdjh Tng ,ndoSugh' ta Tiafia mK fuka jákd fofk;a fírd .ekSug Tng hï oeKQu w;aje<la ùuh'

leurdjg iu wefiys l%shdldrs;ajh oDIaÀ ú;dkh wefia msgqmig jkakg msysgd we;s b;du ishqï jQ wjhjhla' uelshq,d hkq tys ueo fldgihs' weyela ieu úgu iudk lrkafka leurdjgh' weye leurdjg iu jkafka kï wefya isúh fkdfyd;a oDIaÀ ú;dkh leurdfõ fiahdmg,h jeksh' jia;=jla foi wm fk;= fhduk úg tys m%;sìïnh oDIaÀ ú;dkh u; igyka jkafka h' ta m%;sìïnh Wvq hál=re lrjñks' fuf,i m;s; jk m%;sìïnh ix{d Tiafia fud<h fj; .uka lr rEmh ia:dms; lsÍfuka miq kshu ms<sfj,g há Wvql=re lr olskakg ie,eiaùfuka fï l%shdj,sh wjika fjhs' wefia isúh fkdfyd;a oDIAÀ ú;dkh flfryS n,mj;ajk frda. /ila ;sfí' tajd wm oek.; hq;=h' oshjeähd wlaIs wdndOh thska jvd;au iq,n frda. ;;a;ajh jkafka oshjeähd wlaIs wdndOh fkdfyd;a Diabetic Retinopathy kï frda.hhs' oshjeähdj je<+oSfuka YÍrh mqrdu reêr mßjykhg n,mEï we;s úh yelsh' weigo thska ñosh fkdyelaflah' weig reêrh f.k hkafka tla reêr jdyskshls' kej; reêrh wdmiq f.k hk reêrjdyskS we;af;ao tlla muKs' fï ljrla fyda wjysr ùu''' f,a imhk fyda wdmiq f,a f.k hk ljr fyda kd,hl wjysr ùula jQjfyd;a th Nhdkl M<úmdl we;s lrjkakls'

ffjoHjrhd

Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

vhfnála fráfkdm;s frda.fhaoS isÿjkafka wefia ishqï reêr kd, wjysr ùuhs' tys m%;sM<hla f,i weig .,k f,a m%udKh ie<lsh hq;= uÜgulska wvq jkafkah' tjka isÿùuloS YÍrh lsishï yev .eiSula isÿ fjhs' fuysoS isÿ jkafka ishqï úl,am reêr kd< w¨;ska ks¾udKh ùuhs' ta yereKq úg weig ydkslr jkakd jQ ridhkhla W;amdokh ùuo isÿ fjhs' fï ridhkh Vascular Endothelial Growth Factor hkqfjka yÿkajhs' msgq oelsh hq;= w¨;ska yefok reêr kd, fï l%shdj,sh ffjoHjreka olskafka weig hym;la f.k tk ;;a;ajhla jYfhka kï fkdfõ' f.dhï yefok l=Uqf¾u j,a me<Eáo yefokakd fia wefia fï wdldrfhka w¨;ska yefok reêr kd, wefia fmkSu iqir lsÍug Woõjla jkafka ke; w¨;ska ydkslr reêrjdyskS yeoSu yereKQ úg ;j;a we;s úh yels ydkslr isÿùula jkafka wei ;=< flos;suh ;;a;ajhla ks¾udKh ùuhs' fï

11 jk l,dmh

flos;s ishqï oDIaÀú;dkh u; uq,a w,a,d .ekSfuka miqj weoSug ,la úh yel' tfiau ;j;a isÿúh yelalla kï oDIaÀú;dkh yels,Suhs' fuysoS f,a oDIaÀú;dkfha .e,Sïo isÿ úh yels w;r ta wdldrhg isÿjk f,a .e,Sula b;d ydkslr úh yelsh' th wkaONdjfhka fl<jr úh yelalls' Diabetic Maculopathy oDIaÀú;dkh mdol lrf.k we;s úh yels fojk frda. ;;a;ajh kï tys ueo fldgfia we;s uelshq,d kï jvd;au jákd fldgi bosóug ,laùuhs' fuh" Diabetic Maculopathy f,i yÿkajhs' fï ;;aa;ajh f,vdg oefkkakg fmr wlaIs mÍlaIdjloS wlaIs ffjoHjrhdg yÿkd.; yelshs' oshjeähd frda.Ska iEu jirlgu wvq ;rfï tla j;djla j;a weia mÍlaId lr.; hq;af;a fufia wkaONdjhg Tn ,laúh yels wdndO j,ska Tn uqojd .ekSug tu ffjoH yuqj fya;= jk ksihs' oshjeähdj md,kh lsrSu jeo.;a fï ;;a;ajh we;sùfï wNsfhda.h yuqfõ iaj¾Kuh WmfoaYh jkafka ;ukaf.a oshjeähd ;;a;ajh md,kh lr .ekSuhs' ta yereKq úg ksis l,g isÿ lrk f,ai¾ m%;sldr j,skao frda.h md,kh lr.; yel' f,ai¾ m%;sldrh f,ai¾ m%;sldrfhaoS isÿlrkafka ydkshg m;a m¾hka; ia:dk f,ai¾ Odrd j,g ,lalr wl%Sh lrñka ueo

fldgi" tkï uelshq,dfjka muKla oDIAÀh mj;ajd .ekSug rel=,a oSuhs' fuysoS oDIAÀh fkdfyd;a fmkSu ,nd. ekSug bjy,a jk oDIaÀ flfIa;%h Visual Field iSudldÍ jk uq;a thska ;u oDIaÀ wjYH;d iïmdokh lr .ekSug frda.shdg wjia:djla ie,fia' kslafIamK ,ndoSu tu ld¾hh j;=r ke;sùu ksid l=Uqru f.dhï isgqùu W.yg jQ úg ,shoaol muKla j.d lsÍug wruqKska iu l< yelsh' w¨;a f,a kyr úkdY lsÍug kslafIamK ,ndoSuo isÿ lrKQ ,nhs' fuys we;s wjdish jkafka kej;;a f,a kyr miq ld,hloS we;s ùfï wjldYhhs' wjidk m%h;akh - Y,Hl¾u Y,Hl¾u u.skao ;;a;ajh ms<silr lsÍug fya;= jk wjia:d fõ' f,a .,d taula isÿ ù kï" ke;fyd;a" oDIaÀú;dkh .e,ù ;sfí kï ta jgd we;s fc,suh udOHh bj;a lr we,ùu ieflúka lsjfyd;a fuysoS isÿ flfrk ld¾hhhs' kuq;a fuh b;d iQlaIauj isÿ l< hq;= Y,Hl¾uhla jk w;r th ishhg ishhlu ksrjoH;djhlska l< hq;=h' iq¨ fyda jeroSulg fyda bvla ;eìh hq;= ke;' b;d iQlaIau wkaùlaI yd Y,Huh WmlrK fhdod.; hq;= jk w;r ;dlaIKfhka w.;eka .; tajd b;d ñf,ka wêlh' fï ksid fuu myiqlï kshudldrfhka we;s ia:dkhloS ukd mrspfhka hqla; ffjoHjreka wdrlaIdj weiqf¾ tu Y,Hl¾u isÿ lr.; hq;=fõ'

ffjoHjrhd

Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

oshjeähdj fkdfyd;a uOqfïyh .ek oekqj;a fjuq

oshjeähdj iïnkaO wdhq¾fõod;aul újrKhla''' uydpd¾h ffjoH ta' tia' wdßhjxY úisks

Tn;=udg mq¨jkao fï frda.h .ek flá ye|skaùula lrkak @ Tõ oshjeähdj" m%fïyh" fïyh wdoS kï j,ska fuh ye|skafjkjd' fuu frda.h .ek we;a; jYfhkau iuia; iudchu hï muKlg oekqj;a hehs uu is;kjd' Bg fya;=j ta ;rugu fuu frda.h oeka nyq,j mj;skjd' fuh fl;rï ÿrg me;sr we;s o lshkjd kï oeka jeäysá whg muKla fkdj mdie,a <uqka w;r;a fnfyúka oshjeähdj olskak ;sfhkjd' flfia fj;;a fuh wo fukau b;du;a wE; w;S;fhao tjlg iudcfha me;sr ;snQ nj wdhq¾fõo fmd;mf;ys i|yka lreKq wkqj fmkS hkjd' wdhq¾fõoh ,sÅ; iajrEmfhka m<fjkafka oekg wjqreÿ 3000 lg;a fmr isghs' ta .%ka:j, i|yka jk úia;r wkqj m%fïy frda.fha m%fNao úiaila .ek i|yka ù ;sfhkjd' ta frda. ish,a, l,a .;ùu yd ksis m%;sldr fkdfhoSu ksid wjidkfhaoS uOqfïyh njg m;a fjkjd' fï oshjeähdj lshk kfï f;areu wkqj woyia jkafka jeäfhka uq;%d my ùuhs uOqfïyh lshkafka' msgjk uQ;%d ñysß rie;s hk f;areuhs thska woyia jkafka' uq;%dj, meKs ri we;slrk iSks ;sîuhs' tfy;a Bg wod< ;j;a frda. ,laIK /ila ;sfhkjd' fuh furg muKla fkdfõ f,dj mqrdu jeäfjñka mj;sk frda.hla' óg jir 40lg muK fmr fuh nyq,j olskak ;snqfKa ngysr oshqKq rgj,hs' tfy;a oeka iuia; wdishdlrfh;a fõ.fhka jHdma; fjkjd' tkak tkaku ;;a;ajh oreKq njg yefrkjd'

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m%Yakh( Tn lsõjd tkak tkaku fuu frda.h me;sÍu jeäfjkjd lsh,d tfyu fjkak Tn olsk úoshg fya;= fudkjdo@ uu okak úêhg úúO fya;= idOl /ilau n,mdkjd' tfy;a lemS fmfkk fya;=jla ;uhs wfma ñksiqkaf.a iS>%fhka fjkia ùu' m%Yakh( tys wre;''' @ ta lsõfõ óg oYl .Kklg fmr wms cSj;a jQ úêhg fkdfõ oeka ñksiaiq cSj;a jkafka' wms idudkHfhka lDIsld¾ñl cSjk l%uhlg yev .eiqKq ñksiaiq' wms lh fjfyid jevlrk ck;djla' b;ska l%u l%ufhka wms lDIsl¾udka;fhka fjkia ù fjk;a fjk;a /lshdjka lrkak fm<öu;a iu`. lh fjfyi lsÍu fjkqjg uki" nqoaêh fjfyid lghq;= lrkak mgka .;a;d' fuys m%ÓM,h jkafka fmdÿfõ ñksid tla ;efkl b|f.k lrk / lshd - ta lshkafka ,smslre" fldïmshqg¾ Tmf¾g¾jre" úOdhl ;k;=re wdosh i|yd yqremqreÿ ùuhs' oeka iuia; wOHdmkh fhduq ù we;af;a tn÷ W.;=ka ìys lsÍughs' wms ldg;a wjYH tjeks / lshdjka lrkakhs' b;ska fuhska ñfokak f,ais keye' fufyu fjkfldg okafku ke;sj iuia; iudcfhau cSjk rgdj tfyu msáka fjkia fjkjd' m%Yakh( yß b;ska taflka fldfyduo fï oshjeähdj yefokafka @ fmdaIKSh wdydrmdk f.k lh fkdfjfyik úg wfma reêrfha iSks m%udKh jeä fjkjd' wms idudkHfhka n;a f.dvla lk cd;shla' fjk;a rgj, wh n;a lkafka álhs' n;a lshkafka msIaGh' msIaGh wjidkfha iSks njg yefrkjd' th f,a j,g tla fjkjd'

uykais ù jevlrkjd kï tu iSks msÉÖ hkjd' tl ;ek b|f.k ysáfhd;a f,a j, iSks /iafjk w;r th f,a j, idudkH iSks m%udKhg jvd jeä fjkjd' fuu iSks ojkak Wjukd lrk ms;a fldgia wef`.au we;s fjkjd' tfy;a tajd ys`.jqfjd;a tla/ia jQ iSks uQ;% iu`. msgfjkak mgka .kakjd' tajd c,h iu`. ksid uQ;%d iu`. msg fjkjd' t;fldg wmg fmakafka jeäfhka uQ;% msgfjk njhs' ta ksid ;uhs idudkH ckd;dj w;r oshjeähdj hk jpkh fhfokafka osh" jeäfhka hdu' m%Yakh( Tn Tfydu lsõjg wms ;=ka fõ,gu n;aldmq cd;shla b;ska fldfyduo tal krla fjkafka @ Tn lshkjd yß. kuq;a ta ldf, wh ;=ka fõ,gu n;a ms`.dkla ne.ska ld,d kslka ysáfha keye. le;af;" Woe,af, jev hyñka flrejd. oji uq¨,af,u ìu flgqj j.d flrejd' l=Uqre wiajeoaÿjdwef`.ka fyd|g oyäh msgflrejd' ta ú;rla fkdfõ" úfõlS ukilska ksúyekys,af,a cSj;a jqKd. wo n,kak" fudk;rï udkisl mSvdjkaf. kao ñksiaiq bkafka lsh,d fuh;a frda. hg fya;= fjkjd. m%Yakh( Tn oeka lshQ foaj,g wu;rj uu wy< ;sfhkafka kï jeäfhka iSks lEu ksid oshjeähdj we;sfjkjd lsh,hs. tafl we;a;la ;sfhkjdo@ Tõ. iSks lshkafk uOqr ri mod¾:hla. iSks lE ú.iu th osrjd f,a j,g we;=,a fjkak myiq fohla. b;ska muK blaujd .;a úg f,a j,o iSks jeä fjkjd. iSks u fjkak ´k keye" ;j;a foaj,a ;sfhkjd' ta lsõfõ yl=re" meKs" meKsri lEu" fgd*s" fpdla,Ü" whsial%Sï"

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

lejqï" flala" mqäka" jg,mamka" irej;a" l%Sïfidavd jeks îu j¾. wdosh. m%Yakh( wdhq¾fõofha;a Tfydu i|yka fjkjo@ wdhq¾fõofha fuh muKla fkdfõ óg;a tyd .sh lreKq lSmhlau olajd ;sfhkjd' WodyrKhla jYfhka frda.j,g fya;= ixlaIsma; jYfhka olajk udOj ksOdkh kï .%ka:fha oelafjk Yaf,dal mdGhla uu lshkakï fuhska lshfjkafka m%fïy fya;= .ekhs wiHdiqLx iajmakiqLx oêks .%dfuHdaoldkQm ri(mhxis kjdkakmdkx .=vffjlD;xp m%fïy fya;=( lMlDÉp i¾jñ( fuys wdiHdiqLx lshkafka iqjmyiq wiqkaj, os.=fõ,d ys|f.k ys|Su" iajmakiqLx lshkafka oyj, ksoSu m%Yakh( ug f;afrkafka keye b|f.k Wkakyu yd ksod.;a úg oshjeähdj we;sfjkafka fldfyduo lsh,d@ ta lreKq fï úoshg f;areï lrkak mq`Mjka. oshjeähdjg fya;= jkafka lEu muKlau fkdfõ. mqoa.,hdf.a úyrK;a Bg fya;=ldrl fjkjd. os.= fõ,djla iqjmyiq wiqkl bkak mqreÿfjkjd lshkafka thd YÍrh fjfyikafka keye lshk tl. iemg ld, kslka b|f.k bkak fldg wef`.ka oyäh msgfjkafka keye. ta jf.au reêrfha tla /iafjk iSks oeù hkafk;a keye. b;ska tal frda. ldrlhs. B,`.g oyj, ksod.ekSu. fuh;a tajf.auhs. fyd|g f;f,ka lsfrka ld,d iqjmyiq fuÜg odf.k oj,ag ksoshkjd. wdhq¾fõohg wkqj oyj,a

kskafoka wef`.a fiu jeä fjkjd. oshjeähdj;a fiï nyq, frda.hla. uu talhs lsõfj oekg jeäfofkla l:d lrk lreKqj,g tyd .sh lreKq wdhq¾fõofha lsh,d ;sfhkjd lsh,d. óg wu;rj by; lS Yaf,dalfha ;sfhkj zzkjdkakmdkxZZ lsh,d fuhska woyia jkafka w`M;a iyf,a n;a yd thska idod. kakd fjk;a wdydrmdk j¾. wdoshhs. w`M;a iy,a j, f;,a jeähs nr.;sh jeähs' tajd wdydrhg .;aúg wef.a l`M ^fiu& jeäfjkjd' b;ska tfyu ks;r ks;r .;aúg fiï nyq, ù oshjeähdjg u. mEfokjd. oeka f;afrkjd fkao wms fuh olsk yeá' m%Yakh( ug lshkak fï frda.h .ek fïid úYd, wjOdkhla f,dalfhau ffjoHjre úiska oS ;sfhkafka wehs lsh,d@ tal fyd| m%Yakhla. wms okak wdldrhg oshjeähd frda.h ksid iuia; YÍrfha ish`Mu bkaøshka mdfya mSvdjg m;a fjkjd. ta ú;rla fkdfõ" ta ksid úúO frda.dndO we;sùug bvlv ;sfhkjd. ta ksid ;uhs fï ;rï m%n, wjOdkhla fï frda.h fj; fhduqlr we;af;a. m%Yakh( ;j álla meyeos<s lrkak mq`Mjkao@ Tõ. thska ud woyia lf<a fukak fï lreKqhs. oshjeähdj ;sfhk flkdg yDo frda. wd>d;h ^mer,hsia& jeks oreKq frda. we;sfjkak ;sfhk bvlv jeähs. ta ú;rla fkdfõ jl=.vq ÿ¾j,úu yd l%shdydksh weia fkdfmkS hdu wdoS úúO wdndO we;sfjkjd. úúO iakdhq wdndO ta lsõfõ ysßh iqjfkdjk ;=jd, wdosh;a we;sfjkjd. wdhq¾fõofha i|yka ù we;s wdldrhg oshjeähdj tfyuke;skï uOqfïyh ksid YÍrfha

11 jk l,dmh

ima; Od;+kaf.ka wiaÓ Od;=j yer b;sß Od;= ish,a, fuu frda.h ksid ¥IKhg ,la fjkjd. t;fldg fndfyda mglhkaf.a frda. we;sfjkak mq`Mjka.

fï yer ;j;a lsjhq;= fohla ;uhs iyc m%fïyh ldgj;a ksÜgdjg iqjlrkak wmyiq nj wdhq¾fõofha meyeos<sj lshd ;sfhkjd.

m%Yakh( Tn lsõjd fï frda.fha úúO m%fNao ;sfhkjd lsh,d ta .ek meyeos,s lrkak mq`Mjkao@ Tõ wdhq¾fõohg wkqj fuu m%fïy frda.fha m%fNao 20la lsh,d ;sfhkjd ta m%fNao lr, ;sfhkafk jd; ms;a; l`M lshk fodaI j,g wkqjh's

m%Yakh( Tn T;ekoS lsõj iyc m%fïyh lshkafka fudloao@ Tõ. ujg yd mshdg fyda fokakf.ka flfkl=g fyda oshjeähdj je<|S ;sfhkjd kï we;eï úg orejkag;a fï frda.h je<|Sfï m%jK;djh jeähs. tfia uõmshkaf.a îcfodaI ksid orejkag we;s jQ úg thg lshkjd ziyc m%fïyhZ lsh,d. l=uk frda.hla jqjo iyc iajNdjhla orkafka kï iqjlsÍfï wmyiq;djh ;sfhkjduhs. iyc m%fïyh orejkag <ud fyda ;reK úfhaoSu u;=fjkjd fuh lK.dgqodhl ;;a;ajhla.

ta wkqj l`Mc ^fiï fodaI m%uqL& m%fïy frda. 10la' ms;fodaIfha m%uqL;djfhka m%fïy frda. 6la" iy jd; fodaIfhka m%fïy frda. 4la ;sfhkjd. fï w;ßka iqjlrkak wmyiqu m%fïy m%fNaoh ;ud jd;c m%fïy j¾.h' tajd widOH nj wfma uQ,sl .%ka:j, i|yka ù ;sfhkjd. iqj lrkak myiq frda. ;ud l`Mc fyj;a fiï fodaI m%uqL;djfhka we;sjk m%fïyfrda. oyh. fï tlsfkfla ,laIK ud fuys olajkak woyia lrkafka keye. fuhska .uHfjk lreK ;uhs" wdhq¾fõoh fï .ek fld;rï ;shqKq wjOdkhla oS ;snqKo lshk tl.

m%Yakh( Tn Tfydu lsõj;a uu oel, ;sfhkjd oshjeähdj ksÜgdjg iqjlrkjd lsh,d we;eï ffjoHjreka m%ldYlr, ;sfhkjd ta .ek Tng hula lsj yelso@ fuh fndfydu m%fõYfuka l:d l<hq;= fohla. wfma uQ,sl .%ka:j, i|yka lreKq wi;H fkdfjhs. tajd iDIsNdIs;hs' tajdg wms fnfyúka .re lrkjd. uu i|yka l< lreKq Bg wod<jhs ud m%ldY lf<aa. uf.a w;aoelSï wkqj kï ljqre fnfy;a ÿkak;a we;eï frda. iqj lrkak neye''' ta jdf.au iEu frda.hlau iqjlrkjd lsh,d ldgj;a lshkak;a neye. tfyu n,kfldg l,a.; jQ oshjeähdj jeks frda. j,g T!IO oS md,kh lrkjd úkd ksÜgdjgu iqj lsÍu W.yghs. thg fya;=j ;uhs ljqre T!IO ÿkak;a frda. shd iajlSh wdydr mdkdosh ksis mßos md,kh fkdlrkafka kï wdfh;a frda.h we;s fjkjduhs.

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

m%Yakh( Tn Th lshkak yokafka T!IO .;a;g frda.h iqjfjkafka keyehs lsh,o@ uu lshkafk fïlhs' hfula oshjeähdjg T!IO .kakjd' ta ksid oeka nhfjkak fohla keye lsh, ´k ´k úêhg lEu îu .kak .sfhd;a h<s;a mrK ;;a;ajhg fyda Bg;a jvd frda.h oreKq úh yels njhs' fláfhka lshkjd kï fí;a fm;a;g muKla j.lSu mjrkak neye frda.shd frda. ldrl fya;=j,ska je<lS isàug j.n,d .; hq;=hs' kQ.;a lug;a jvd fndfyda fofkla ;udf.a lgg yqre ù we;s wdydr mdkdosh tmßoafokau .ekSug .scq njla oelaùu ksid fudfyd;lg fyda frda. ;;a;ajh wu;l lr oud meKsri lEu wdosh lkjd'

fmdaIKSh wdydrmdk f.k lh fkdfjfyik úg wfma reêrfha iSks m%udKh jeä fjkjd' wms idudkHfhka n;a f.dvla lk cd;shla' fjk;a rgj, wh n;a lkafka álhs' n;a lshkafka msIaGh' msIaGh wjidkfha iSks njg yefrkjd' th f,a j,g tla fjkjd' uykais ù jevlrkjd kï tu iSks msÉÖ hkjd'

m%Yakh( oeka wm fuf;la foa l:d l<;a hful=g oshjeähdj we;sù we;ehs fyda ta .ek iel iys;j ys;kakj;a fudkjdf.a ,laIK ;snqfkd;ao lshk tl l:d lf<a keye ta .ek hula lshkak mq`Mjkao@ Tõ" fuysoS lsjhq;= lreKla ;uhs fuu frda.hg wod< frda. ,laIK u;=ùu tla tlaflkdg idfmalaIj ie<ls,a,g .; hq;a;la' flfkl=g meyeos<s ,laIK olskak mq`Mjka' ;j;a flfkl=g tfia fkdù fjk;a lreKla i|yd m%;sldr .kak f.dia reêr mÍlaId lrk úg ;uhs fy<sjkafka' tfyu jqj;a oshjeähdfõ m%n, yd m%uqL ,laIK f,i i<lkafka uQ;%d msgfjk jdr .Kk jeäùu" we`. flÜgqùu" ks;r msmdih" ksosu; .;sh" w;amd ysßh" we`. ßfok .;sh fyda ikaê ßoSu jeks ,laIK .; yelshs' merKs fmd;mf;a ;sfhkjd uq;%dl< ia:dkj,g l+ôjeks i;=ka weoShdu .ek;a' úfYaIfhka hfula wjOdkfhka isákafka kï rd;%shg uQ;%d msgfjk jdr .Kk jeäkï th frda.h yeoS we;s njg m%n, ix{djla ksid blaukg ffjoHjrfhla yuq ù fidaosishla lf<d;a jvd fyd|hs' m%Yakh( uu wy< ;sfhkjd oshjeähdj ;sfhk whf.a we`.s,s lmkjd ll=,a lmkjd lsh,d t;fldg tal;a oshjeähdfõ ,laIKhlao@ keye" tal oshjeähdfõ ,laIKhla fkdfõ yenehs tal oshjeähdj ksid we;sfjk Wmøjhla' m%Yakh( ug jegfykafka keye ;j meyeos<s lrkak mq`Mjkao@ Tõ frda.hl ,laIKhla iy frda.

11 jk l,dmh

fha Wmøjhla w;r fjkila ;sfhkjd' Wmøjhla lshkafka ta frda. fya;=j ksidu Wmka fjk;a frda. wjia:djla' frda. ,laIKh lshkafk ta frda.hgu ysñ frda. rEmhhs' oshjeähdj je<|S md,kh ksisf,i fkdlrk úg YÍrfha hï hï fldgia j,g reêr iemhqu wysñ ùu ksid fyda fjk;a ndysr wNs>d; ksid yg.kakd ierj f.ä wdosh fyda ;=jd< l,a.; ùu ksid mgl l=Kqùu fjkjd' we;eï wjia:djkaySoS yosisfhau tu l=Kq jQ mgl bj;a lrkak fjkjd' fï ;;a;ajh úfYaIfhka mdofha we`.s,sj, yg.ekSu jeähs' ta ksid ;uhs wr Tn lshQ mßos we`.s,s wdosh bj; alrkafka' kuq;a tal yeu úgu tfia úh hq;=u keye' T!IO fhdod md,kh l< yelsjk wjia:do ;sfhkjd' óg wu;rj we;sfjk Wmøj w;r wefia ldpfha iqo we;s ù weia fkdfmkS hkjd" jl=.vq wl%sh fjkjd' l,ska i|yka l<dla fuka wd>d;h tkï wxYNd.h wdoS Wmøj wdoS Wmøj we;s fjkjd' m%Yakh( wdhq¾fõohg wkqj yßhgu fï frda.h je<|S we;ehs iaÓr lr.kafka fldfyduo@ wdhq¾fõofha frda. úksYaph uQ,slju lrkafka frda. ,laIK u; /f|ñka ;uhs' tfy;a oeka oshqKq l%u ;sfhk ksid ta l%u wkq.ukh lsÍu fndfyda úg flfrkjd' ta w;r m%Odk mÍlaIKhla ;ud meh 12 la ksrdydrj isg reêrfha .aÆfldaia m%udKh uek ne,Su' ;j;a ir, l%uhla uQ;%'mÍlaIdjla lsÍu' tu`.ska uQ;% iu`. iSks msgfjhs kï th oek.kak ,efnkjd' kuq;a ksjeros úksYaphla i|yd fuh m%udKj;a uos'

m%Yakh( Tn fï i|yd m%;sldr lrkafka fldfyduo@ m%;sldr lsÍu ixlS¾K l%shdj,shla ta i|yd T!IO fhda. /ila wdhq¾fõofha olajd ;sfhkjd' tmuKlao fkdfõ" tysoS i<ldne,sh hq;= lreKq /ila .ek wdhq¾fõofha i|yka fjkjd' ta ish,a, fuys ,d úia;r lsÍug fï fudfydf;a iQodkï keye' tfy;a frda. ;;a;ajh md,kh yd thg m:H yd wm:H wdydr úyrK .ek hula lsj yelshs' ud thg uq,a;ek fokafka frda.h yefok tl j<lajd.ekSu ;uhs jeo.;a iy kqjKg yqre l%shdj. m%Yakh( fyd|hs fuh j<lajd .kafka fldfyduo@ j<lajd .ekSfïoS wkq.ukh l< hq;= l%shd ms<sfj<j,a lSmhla ;sfhkjd. wxl tl ;uhs wdydrmdk md,kh' fndfyduhlau frda. yg.kafka wfma wdydrmdk iy úyrKj, jroska' uf.a w;aoelSï wkqj cSú;h mj;ajd .ekSug wdydr .kakjd fjkqjg fndfyda wh lrkafka yqÿudkisl ix;¾mKh i|yd wdydrmdk .ekSuhs. iuyr wh fofofkl=g muK m%udKj;a wdydr m%udKhla ms`.dkg fnod .kakjd. th .ekSfuka miq fyd|gu jegfykjd we;s ord.kakg ;rï wmyiq njla' fuh m%udKh blaujd lEu .ekSula nj jgyd.; hq;=hs' wms ys;=jg fuh fyd|la lsh,d th frda.ldrl nj oek.; hq;=hs ta jf.auhs meKs rie;s wdydrmdk" msá nyq, wdydrmdk jeämqr lEu;a iqÿiq kE' m%Yakh( kshñ; m%udKh ;SrKh lrkafka fldfyduo@ fuh kej;;a mqoa.hdf.ka mqoa.,hdg fjkia fjkjd' tfia jqj;a idudkHfhka

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Cover Story Èhjeähdj wjfndaOfhka ch.ksuq

tla ia:dkhl b| jevlrk ksfrda.S flfkl=g n;aye|s folla t<j¿jla" m<dj¾.hla" ud¨ lE,a,la" m<;=re jYfhka flfi,a f.ähla wdoS jYfhka m%udKj;a kuq;a nrjev lrk whg n;a m%udKh jeä jqKdg jrola keye' oshjeähdj je<|S we;s wfhl=g kï n;a m%udKh wvqlr iqÿn;a fjkqjg r;= ksjqvq yd,a n;a" t<j¨ jeäfhka" ud¿ lE,a,la fyda ì;a;r f.ähla jYfhka .; hq;=hs' msIaGh wvqúh hq;=hs' wdhq¾fõofha oelafjk lreKq wkqj kï l=rlalka jeks OdkH fyd|hs''' w;rg lsß fldamamhla t<j¿ iqma tlla .ekSu jrola keye' f;a mdkh i|yd iSks rys;j lyg f;a tlla .ekSu yd iSks rys; ìialÜ 2-3 la .ekSu fyd|hs' óg wu;rj jHdhduh;a wjYHhs ksoyia ia:dkhl isrer ,sys,aj ;nd .ksñka weúoSu fyd|hs' m%Yakh( t<j¨ w;ßka jvd fyd| fudkjdo@ wdhq¾fõo u;h wkqj kï fuysoS ri ms<sn| ie<ls,su;a úh hq;=hs' oshjeähdj we;s whg m:H jkafka ;s;a; rihs' ta ksid lrú, jeks ;s;a; rie;s t<j¨ fyd|hs' w.=Kfld, jeks m<d j¾. fyd|hs' wu;rj jegfld`M" mf;da," oU," uqrex." fmdf<dia" fldys, o¿" flláh" flfi,auqj" t<ngq" wjr jeks oE ys;lrhs' tfy;a w,j¾. msá nyq, ksid wys;lrhs' m%Yakh( oshjeähd frda.shdg m<;=re fyd|o@ bÿKq m<;=re fldhsjf.a;a iSks wka;¾.;hs' ta ksid bÿKq m<;=re lEu ksid;a iSks jeäfjkjd' flfi,a jqj;a hï;ï bÿKq úg lEu jrola keye'

m%Yakh( idudkHfhka iSks md,kh i|yd .ïj, ckhd úúO w;a fnfy;a Ndú;d lrkjd fkao@ Tõ w;S;fha isgu ñksiqka w;r úúO wdydrmdk T!IO mjd Ndú;d jqKd' úfYaIfhka fld;,ysUqgq uq,a" f;nqfld," j,afld;a;u,a,s" fldajlal fld<" mvje,a" fldfydU fld< fldgd biau t<lsrg oshlr îu fldiamkd" fldia fld, wdoS foa Ndú;d lrkjd fïjd fjk fjku Ndú;d l< hq;=hs' tfy;a fïjd ;=<ska hï md,khla ;sfhkafka m%n, fkdjk oshjeähdfõoShs' frda.h oreKq kï fïjd m%udKj;a uos' túg ffjoH Wmfoia me;Su wjYHuhs' m%Yakh( úfYAIfhka fï frda.Ska is;g .; hq;= lrKla mjikak @ wdydrmdk iy úyrK fukau ;j;a jeo.;a lreKla ;uhs udkisl úfõlh''' wo ñksiqkag ke;af;;a taluhs' udkisl lror" cSjk m%Yak" /lshd ia:dkfha m%Yak" wd¾:sl m%Yak" f.j,aj, wUqieñ yd orejkaf.a m%Yak hkdoS ish,af,ka mSvd fjkúg ñksid fkdñksid fjkjd' fud<h hldf.a lïu, fjkjd' fukak fï udkisl mSvkh oekg bx.%Sis niska iafg%ia lshk foh we;s fjkjd' fuh;a fuu frda.hg fya;=ldrl fjkjd' tuksid fuu frda.Ska yels ;rï úfõlS ukilska isáh hq;=hs' fï i|yd ojfia iq`M fyda fõ,djla Ndjkdjl fhoSu O¾uhg weyqïlka oSu wdosh hym;a' thska ukig úYd, iykhla we;s ù .; ksfrda.S fjkjd'

Advertorial w;skùk myiqlï j,s11kajk fmdfydi;a l,dmh we,a*d ,xld vhfnála fydiamsg,a

w;skùk myiqlï j,ska fmdfydi;a we,a*d ,xld vhfnála fydiamsg,a oshjeähdj wo jk úg f,dalh mqrd m%Odk fi!LH .eg¨jla njg m;aù we;' wm rfÜo oshjeähdj osfkka osk W.%jk fi!LH .eg¨jla njg m;a fjñka ;sfí' fï ksidu iEu frday,lau mdfya oshjeähd idhk" tall mj;ajdf.k hkq ,nhs wm fï mjikafka oshjeähd frda.Ska i|yd fjka jQ úfYaI jQ fm!oa.,sl frday,la ms<sn|jhs' fuu frday, msysgd we;af;a fld<U" kqjr mdf¾" l<f.äfyak wxl 54E orK ia:dkfhah' iqj fijkl isis,i iu. oshjeähd frda.Ska i|yd wx. iïmQ¾K kùk myiqlï j,ska iukaú; fuu frdayf,a oshjeähd frda.Ska i|yd iy wksl=;a ish`Mu ldhsl frda. i|yd;a fiajdjka ish,a,u b;du;a ld¾hlaIuj ,ndfok nj frdayf,a wêm;s ffjoH isisr l=udr chiQßh uy;d ffjoHjrhd i`.rdjg mejiSh we,a*d ,xld vhfnála fydiamsg,a yS úfYAI fiajdjka

 O.P.D. fiajdj - 24 meh mqrdu l%shd;aul jk fuu ndysr m%;sldr tallh rcfha

ffjoHjrhd

Advertorial w;skùk myiqlï j,ska fmdfydi;a we,a*d ,xld vhfnála fydiamsg,a

iqÿiqlï ,;a ffjoHjreka hgf;a isÿ flf¾'

 I.C.U. myiqlï - úfYaI wjOdkh fhduql< hq;= frda.Skag mQ¾K myiqlï j,ska hq;= oeä i;aldr tallfha m%;sldr ,ndoSu

 fkajdisl myiqlï - jdhq iólrKh l< yd fkdl< ldur Tng leu;s wdldrfhka f;dard .ekSug myiqlï i,id we;

 ridhkd.dr myiqlï - f,a iy uq;%d mÍlaIdj ksjerosj ,ndoSu i|yd w;skùk ridhkd.drhla frday, i;=j we;' ld¾hlaIu yd läkï fiajdjla ,nd .ekSfï myiqj i,id we;'

 kùk;u X-Ray myiqlï - meyeos,s X-Ray lsrK PdhdrEm ,ndfok äcsg,a ;dlaIKh iys; WmlrK u`.ska ksjeros X-Ray msgm;a ,ndoSu

 E.C.G. myiqlï  jl=.vq Y=oaO lsÍfï myiqlï jl=.vq Y=oaO lsÍu i|yd kùk;u hka;% yd ta i|yd mqreÿ mqyqKq ld¾h uKav,hlska iukaú; vh,sisia tallh ^reêr ldkaÿ lrK tallh HAEMODIALTSIS &

 kùk mßmQ¾K Y,Hd.dr myiqlïw;skùk myiqlï hgf;a ´kEu wdldrfha Y,Hl¾uhla isÿlsÍug yels kùk hka;% j,ska msß Y,Hd.dr myiqlï

 oshjeähd frda.Skaf.a mdo iqrlSfï úfYaI{ fiajh

 cx.u ffjoHfiajd myiqlï 33-2295080 $ 033-2295081

 m%cd iqNidOk fiajdj - fuu fiajdj u`.ska oshjeähdfjka wdrlaId ùug Wmfoia oSu isÿ lrhs

 .s,ka r: fiajdj - Tn fld;ekl isáh;a ÿrl:kfhka l:dlr f.kajd .; yel

 Tiqi,a myiqlï -ffjoH Wmfoia wkqj ish¨u T!IO meh 24 mqrdu myiqfjka yd ksjerosj ,nd.ekSfï myiqlu

 tflda mÍlaIK myiqlï  w,ag%d ijqkaâ ialEka myiqlï oshjeähdj hkq ksoka.; frda.hla fukau w;=re wdndO /ila we;sùfï wjOdkh we;s frda.hla neúka fuu frda.Ska ieuúgu ish¨ mÍlaIK ksisf,i ksis l,g fõ,djg isÿ lr.; hq;=h' fuu frda.Ska fjkqfjkau wem lem ù isák we,a*d ,xld vhfnála frday, Tfí ksfrda.S nj ieuúgu m%d¾:kd lrhs' we,a*d ,xld oshjeähd frday, 54 B kqjrmdr" l<f.äfyak ÿrl:k ( 0332295080$ 2295081$ 2295040

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oshjeähdj frda.hg m%;l s dr i|ydu ia : dms ; flreKQ Y%S ,xldfõ m%:u frday, we,a*d ,xld vhfnála fydiamsg,a ^m%hsfjÜ& ,sñgâ  úYAjdijka;" m<mqreÿ ffjoH fiajdj  úYsIAG fyo yd iydhl ffjoH fiajd  ukd is;a .kakd mßirhl msysà iqñ;=re fkajdisl myiqlï

^AC myiqlï iys;hs'&  úYAjdiodhS ridhkd.dr fiajd  wx. iïmQ¾K Tiqi,  kùk Y,Hd.dr myiqlï

we,a*d ,xld vhfnála fydiamsg,a ^m%hsfjÜ& ,sñgâ 54 E" kqjr mdr l<f.äfyak ÿrl:k 033 2295080" 2295081" 2295040 E Mail: diabetichopital1@gmail.com

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Advertorial oshjeähdj;a fnda fkdfjk wfkl=;a frda.;a j<lajk osú meje;au''''

ksfrda.S cSú;hlg ksõ ,hs*a vhìà u.ska flfrk oeKQj;a lsrSuhs oshjeähdj;a fnda fkdfjk wfkl=;a frda.;a j<lajk osú meje;au'''' iajNdjO¾ufha wmQ¾j;u ks¾udKhla jQ ñksid u wo iajNdjO¾uhg mgyeksj ;u cSjk rgdj fjkia lr.ekSu ksid úúO frda.dndO j,g f.dÿre ù we;' ld¾h nyq,;ajh iu. wúfõlS jQ wm laIKsl wdydr-mdk j,g yqre ù isák w;r rildrl fh¥ m%KS; wdydrfõ,la iu. wmf.a YÍrh f,v lrk frda. mSvdosho ñ,oS .ksñka isáuq'

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oshjeähdj" wêreêr mSvkh iy fldf,iagfrda,a wo fnfyúka iq,nh' hka;ï ;dreKHh blaujd hdu;a iu.u wo ojfia fndfyda fokd fï frda. j,g k;= jk w;r fl;rï ixjdohg fï lreK ,la jQjo wjodku fkdi<ld yeÍula jkafkah' fuys m%;sM<h jkafka yDoh" jl=. vq" fud<h" fofk;a wdoS YÍrhg w;HjYHfhkau jeo.;a jk b÷rka wl¾uKH;ajhg m;a ùuhs' ks;r ks;r uq;%d msg lsÍfï wjYH;djh mek k.S kï" wêl msmdidj" ksosnr .;sh" wm%dKsl;ajh" f;fyÜgqj yd l=i.skak oefka kï YÍrh lDY jk njla fmfka kï úfYAIfhkau Tn reêr iSks mÍlaIdjla lr.; hq;=h' úfYAIfhka fouõmshka oshjeähd frda.fhka fmf<A kï Tn b;d fi!LHiïmkak cSú;hla .; l< hq;=h' oshjeähdfjka ñfokak''' my; Wmfoia ms<smoskak'''  reêrfha iSks uÜgu md,kh lr.kak'  reêr mSvkh hym;a mrdihl mj;ajd .kak'  reêr.; fldf,iagfrda,a uÜgu md,kh lr.kak'  ÿï mdkfhka j<lskak'  YdÍßl jHdhdu j, ks;s fhfokak' fï yereKQ úg Wig iß,k nrla mj;ajd .ekSu" fi!LHiïmkak wdydr j,g fhduq ùu l< hq;=h' mr¿ mdka" l=rlalka" m<d j¾." l=reÜg iys; OdkH fukau kejqï m<;=reo wdydrhg tla lr.; hq;=h'

oshjeähdj uekúka md,khg ,laj ;sfíoehs oek.ekSug my; mÍlaIK WmldÍ fjhs' RBS, FBS, HbA1c ;jo ffjoH Wmfoia u; jHdhdu lsrSu u.ska ia:q,;djh wvq ùu ksid oshjeähdj hï muKlg md,kh fõ' ksrjq,a ufkdaNdjhla yeuúgu mj;ajd .ekSugo Tn W;aiql úh hq;=h' mdo ms<sn|j ks;s úuis,a,;a iq¿ fyda ;=jd,hla j;a we;s fkdùug j. n,d .ekSu;a jeo.;a fõ' f;,a iys; wdydr" rildrl fh¥ wdydr j,ska je<lSuo jHdhdu imsß fi!LHiïmkak cSú;hla .; lsÍu ksid oshjeähdj we;=¿ ;j;a fndfyda fnda fkdjk frda. j,ska ñoSug Wmldrhla jkafkah'

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NATURAL HERBS

Acupressure oshjeähdjg Ök lgq m%;sldrfhka uy`.=11m%jk ;sM<l,dmh /ila

oshjeähdjg Ök lgq m%;sldrfhka uy`.= m%;sM< /ila l¿fndaú, Ök lgq ffjoH idhkfha ffjoH wOHlaI ffjoH m%idoa foaYm%sh úisks f,dal ck.ykfhka úYd, ixLHdjla oshjeähdj frda.hg k;= jk nj fmfka' bosß wkd.;fhaoS fï ixLHdj ;j;a jeäùu fkdje<elaúh yels jkq we;' oshjeähdj frda.Skag .e,fmk m%;sldr udos,s ms<sn|j úuiSfïoS iïm%odhsl ffjoH l%u j,g fjfiia ;ekla ysñ jkafkah' óg jir oyia .Kklg fmr Ökh" fldßhdäj wdoS rgj, ksß÷ka wkq.%y ,nñka iïNjh ,nd f,dj mqrdu jHdma; jQ''' wo ojfia ngysr f,dalfha mjd iïNdjkdjg md;% ù ;sfnk lgq Ñls;aidj oshjeähdj frda.Ska iqjm;a lsÍfuyso uyd¾> jQ úl,am fjolula nj lsj hq;=h' lgq Ñls;aidj úl,am ffjoH Odrdjla njg m;aj ;sfnkafka wm rgj,h'

Ökh" fldßhdj wdoS rgj, úl,am ffjoH Odrdj ngysr fjoluhs' Y;j¾Idêl ld,hla ;siafia wúÉÑkakj mej; f.k tk lgq Ñls;aidj Tjqkag wkQj kï m%Odk ffjoH Odrdjhs' fï wkQj tu ck;djf.a Ñr cSjkh msKsi lgqÑls;aidfjka ,efnkafka wkQmfïh jQ msgqjy,ls'

Y;j¾Idêl ld,hla ;siafia wúÉÑkakj mej; f.k tk lgq Ñls;aidj Ökh" fldßhdj wdoS rgj, m%Odk ffjoH Odrdjhs' fï wkQj tu ck;djf.a Ñr cSjkh msKsi lgqÑls;aidfjka ,efnkafka wkQmfïh jQ msgqjy,ls'

ffjoHjrhd

Acupressure oshjeähdjg Ök lgq m%;sldrfhka uy`.= m%;sM< /ila

frda.h uq,a wjia:dfõoS oshjeähd u¾Okh jvd myiqhs Ök iïm%odhsl ffjoH úYdrohka olajd we;s wdldrhg oshjeähd frda.sfhl=g ;u frda.h uq,a ld,fhaoSu lgq Ñls;aid l¾uh isÿ lsÍfuka myiqfjkq;a" blauKskq;a uev,sh yel' th md,kh lsÍula fkdj uq,sKqmqgd oeóulau jkq we;' uf.a idhksl w;aoelSï wkQjo ta lreK uekúka m%;HlaI jQjls' frda.S ,laIK my< jQ wjia:dfõu isÿ lrk lgq Ñls;aidfjka frda.h iïmQ¾Kfhkau msgq oelsh yelaflah' oshjeähd frda.shd úIfhys lgq Ñls;aidfõ b,lal oshjeähd frda.sfhl= Wfoid lgq Ñls;aidfõ wruqK jkqfha w.akHdYfha l%shdldß;ajh jvd fi!LHiïmkak lsÍuhs' thska bkaishq,ska fydafudakh jvd;a iqugj ixirKh ù tajd reêr.; iSks hdukfhys ksishdldrj l%shd;aul jkjd we;' tfiau isrer mqrd uekúka reêr ixirkhla we;s lsÍuhs' thska mdo wysñ ùu" weia j, fodaI wdosh u;=ùu je<elaùu wNsm%dhhs' lgqÑls;aidfõ uQ,O¾u wkQj oshjeähd frda.sfhl= b,lal lr isÿ lrk Ñls;aidfjka my; wruqKQ bgq jkjd we;'  reêr.; iSks uÜgu wvq lsÍu  w.akHdYhsl .aÆle.ka >%djh wvq lsÍu  jeä jYfhka wkqNjhg we;s leue;a; wvq lsÍu (polyphagia)" wêl msmdidj ke;s lsÍu ( polydipsia )" wêlj uQ;%d msgùu je<elaùu (polyuria)  pd,l kshqfrdak.; l%shdldß;ajh ukdj mj;ajd .ekSu

 reêr mßjykh ukdj mj;ajd .ekSu iy yD;a ufhdaldähu hy l%shdldß;ajh  mdoia: reêr.ukd.ukh iqir lsÍu  Endogenous beta-endorphin >%djh jeä lsÍu fï yereKQ úg oshjeähd frda.sfhl=f.a whym;g fya;=jk iuia; YdÍßl l%shdldß;ajh hym;a w;g f.k taug lgq Ñls;aidj WmldÍ jk nj lsj hq;=h' fuys oelafjkafka oshjeähd frda.sfhl= lgqÑls;aid uQ,O¾u hgf;a m%;sldr fldg Tyqf.a we;s jQ fjki wfOdarla; ;rx. Tiafia m%;sìïn.; l< mÍlaIKhls' fï frda.shdg tla m%;sldr jg folla isÿ lrk ,o w;r uq,a m%;sìïnfhka oelafjkafka m%;sldr lsÍug fmr frda.shdf.a wfOdarla; m%;sìïnhhs' fuys iqÿ meyefhka oelafjkafka Wmßu WIAK;ajhla oelajQ m%foaYhhs' r;=" ;eô,s" ly" fld<" ks,a yd wjidkfha l¿ l,dm ms<sfj,ska WIAK;ajh wvqjk wkql%uh fõ' fojk rEmfhka oelafjkafka m%;sldrfhka miqj m%;sìïnhhs' oshjeähd frda.Ska uq,a wjia:dfõu m%;sldrhg fhduq ùfuka jvd;a id¾:l m%;sM< w;am;a lr.kakd nj kej;;a isysm;a l< hq;=h' tfy;a frda.h l,a.; jQ miqj jQjo frda.fha wvq ùula iïm%odhsl Ök ffjoH l%u j,g wkQj <`.d lr .ekSu ÿIAlr fkdfõ' fuysoS fjfiiskau osh hq;= mKsúvh kï hï m%;sM<hla ,fod;a th iaÓr idr njh' tkï ,efnk hym;a m%;sM<h ksielju frda.shdf.a hym;g Ñrd;a ld,hla fya;= jk njhs'

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PdhdrEm ir; a fyÜáf.a

11 jk l,dmh

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m%idoa foaYm%sh

Ök lgq ffjoH m%;l s dr lrk yeá

l¿fndaú, Ök lgq ffjoH idhkh o is,ajd mdr" l¿fndaú, E Mail: vpdeshapriya@gmail.com www.kalubovilaacupuncture.com

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ffjoHjrhd

Advertorial oshjeähd frda.Skag rkafoõ wdhq¾fõo T!IOd,fha oshjeähd mdkh osjHuh T!IOhls

oshjeähd frda.Skag rkafoõ wdhq¾fõo T!IOd,fha oshjeähd mdkh osjHuh T!IOhls Tn wm ldf.a;a reêrfha hïlsis iSks m%udKhla wvx.= ù ;sfí' fuu .aÆfldaia m%udKh by< hdula isÿ jQ úg th oshjeähdj f,i ye|ska fõ' oshjeähdj fnda fkdjk frda. w;ßka m%Odk ;ekla .kakd frda.S ;;a;ajhls' we;eï úg oshjeähdjg fya;=j bkaishq,ska fydafudakh Y%djh ùu k;r ùula wvq ùula fyda YÍrh ;=, bkaishq,ska fydafudakh l%shdldß;ajfha ÿ¾j, ùula úh yelsh oshjeähdj ksis f,i md,kh lr fkd.;fyd;a yDoh jia;=j" reêr jdyskS" jl=. vq" fud<h" fofk;a" fomd jeks wjhj yd mgl j,g;a ixl+,;d we;s úh yelsh' we;eï úg th udrdka;sl ;;a;ajhlg m;aùug;a fya;=úh yelsh' oshjeähdj iqjl< fkdyels ksoka.; frda.hla jYfhka ye|skajqj;a wdhq¾fõo Ydl idr os.ska os.gu Ndú;fhka oshjeähdj md,kh lr iqjlr .ekSug yel' f.darïndj" lv.yfmd," rkafoõ wdhq¾fõo T!IOd,h iy ksIamdokd.drh mqrdK bisjrfhl=f.a T!IO jÜfgdarejlg wkqj ksIamdokh lr fnodyßk rkafoõ oshjeähd mdkh oshjeähd frda.Skag osjHuh T!IOhls' wr`M" nq¨" fk,a,s" rKjrd fmd;=" wÜálald fmd;=" udoïfmd;=" bruqiq" fld;,ysUqgq we;=`M .=Kd;aul foaYSh T!IO rdYshlska iukaú; wdhq¾fõo ksIamdokhls rkafoõ oshjeähd mdkh'

11 jk l,dmh

rkafoõ oshjeähd mdkh osklg fïi yeos 2 l ne.ska udi 2 fyda 3la w;r ld,hla fkdlvjd mdkh lsÍfuka oshjeähd frda.h iïmQ¾Kfhkau md,kh lr.; yel' rkafoõ oshjeähd mdkh mdúÉÑh wdrïN lrk Tn oshjeähd frda.Skag ks¾foaY lr we;s wdydr muKla mdúÉÑ lsÍug u;l ;nd .kak' w¾Yia frda.hg - w¾Yia rka iqjh rkafoõ wdhq¾fõo T!IOd,fha ksIamdos; rkafoõ w¾Yia rka iqjh mdkh lsÍfuka w¾Yia frda.fhka yg.kakd wdudY.; ;=jd," f.ä yg.ekSu" f,a msgùu" uQ,u md;aùu" nfâ oeú,a," iSoï" nv mqrjd oeóu" msmdih" uQ;%d wjmdg ùu" ly, u`. oeú,a, wdoS w¾Yia frda.fhka

yg.kakd frda.dndOhkag blauka iqjhla f.k fok mdkhls' rkafoõ wdhq¾fõo T!IOd,fha ksIamdokhka jk w;r rkafoõ w¾Yia ff;,h" rkafoõ w¾Yia l%Sï" rkafoõ w¾Yia m%fïy" pQ¾Kh iy ksfrda.su;a os.=jka flia l<Ula i|yd ksIamdos; ifi;aud flaY l,HdKs ff;,h Tng ,nd.; yels úYAjdiodhS rkafoõ ksIAmdokhka fõ' rkafoõ wdhq¾fõo T!IOd,h iy ksIamdokd.drh l=,shdmsáh mdr- lv.yfmd, fydfrdïndj ÿrl;k ( 037-2249862$ 077-2865105

Article Contibutors ffjoHjrhd i`.rdjg" wmf.a fjí wvúhg fi!LH ffjoH f;dr;=re ,sms iïmdokh i|yd jD;a;Sh uÜgfï ffjoH flfIA;%hg wod, iïm;a odhlhka yd ckudOHfõoSka wjYHj ;sfí' Tfí cSj o;a; bharata.gunathilaka@gmail.com úoahq;a ,smskhg tjkak' úuiSï 0773149084 ² ffjoH ,sms ² úfYAIdx. ² ld,Sk iqj mqj;a ² kj m¾fhaIK f;dr;=re ² kj ffjoH ;dlaIKh ² fjk;a úfYAIdx. Artist ldgqka iy .%e*sla ks¾udKfhys iu;a Ñ;% Ys,amsfhl=f.a" mß.Kl Ñ;% Ys,amsfhl=f.a fiajh wjYHj ;sfí' Tfí cSj o;a; bharata.gunathilaka@gmail.com úoahq;a ,smskhg tjkak' úuiSï 0773149084 Job Vacancies Marketing Executive zzffjoHjrhd i`.rdjZZ u.ska kqÿf¾oSu iïmdokh lrKq ,nk Directory of Doctor s i|yd fiajh lsÍug wf,úlrK m<mqreoaola we;s" wf,úlrK leue;a;la we;s whf.ka whÿïm;a le|jkq ,efí' Tfí m<df;a ffjoHjreka iïnkaëlrKh lr.ksñka wmf.a fjí wvúhg wjYH o;a; iemhSu uQ,sl ld¾hh fõ' wdl¾YKSh udisl wdodhula iy;sl flf¾' fï ms<sn|j Wkkaÿjla olajk ks¾udKYS,S mqoa.,hka fjf;d;a 0773149084 wxlfhka úuikak' Tfí cSj o;a; bharata.gunathilaka@gmail.com úoahq;a ,smskhg tjkak'

ffjoHjrhd

Advertorial Tfí iqjfi; i|ydu lemjqKQ je,a,j;a; frdah,a fydiamsÜ,a

Tfí iqjfi; i|ydu lemjqKQ je,a,j;a; frdah,a fydiamsÜ,a ISO-15189 m%ñ;s iy;slfhka msÿï ,o je,a,j;a; frdah,a fydiamsÜ,a mqoa.,sl frday," 1993 jif¾ isg ck;djf.a fi!LHiïmkakNdjh Wfoid ksr;=re wjOdkfhka iy j.lSfuka lghq;= lrk w.kqjr m%uqL frday,ls' uOHu mdx;sl ck;djf.a iqj wjYH;djhka uekúka jgydf.k Tjqkg oeßh yels ñ< .Kka hgf;a mßmQ¾K fiajdjla ie,iSu frdah,a fydiamsÜ,aia wruqKhs' úfYAI{ ffjoH fiajdj" fkajdisl frda.S myiqlï" yosis m%;sldr tallh" .s,ka r: fiajdj" 24 meh mqrdu újD; laIKsl weu;=ï ^011 2559 268& Tnf.a mßmQ¾K iqj wjYH;d imqrd,kq we;' meh 24 mqrdu l%shd;aul ffjoH ridhkd.dr fiajd" úlsrK wxYh" ialEka mÍlaIK" Y,H.dr" Tiqi,a''' tlS fulS ish¿ wxYhkaf.ka iukaú; je,a,j;a; frdah,a fydiamsÜ,aia Tfí úYAjdijka; fi!LH fiajd imhkakd jkafkah'

Care...

11 jk l,dmh /ljrKh Tn iqrlsk ffjoH mÍlaIK oeka je,a,j;af;a frdah,a fydiamsÜ,a fj;ska'''

Diabetic Health Screening

 ffjoH b;sydih úuiSu (Medical history examination)  YÍr ialkaO o¾Ylh (BMI)  oDIAÀ mÍlaIKh (Distant vision)  ksrdydr reêr iskS mÍlaIKh (FBS)  wdydrfhka miq reêr iskS mÍlaIKh (PPBS)  fldf,iagfrda,a mÍlaIKh (Lipid Profile)  Hb A1C mÍlaIKh  SGPT mÍlaIKh  jl=.vq mÍlaIKh (S. creatinine)  ;hsfrdhsâ .%ka:s mÍlaIKh (TSH)  laIqø we,aìhqñka uq;%d mÍlaIKh  iïmQ¾K uq;%d mÍlaIKh (UFR)  ECG mÍlaIKh  Worfha ialEka mÍlaIKh  wdydr ms<sn|j Wmfoia ,ndoSu

Rs. 7,000/-

ffjoH ks,Odßfhl= úiska ish¿u jd¾;d iudf,dapkhg ,la flf¾'

frdah,a fydiamsÜ,a bgq lrk fiajd iuyrla  24 meh l%shd;aul (OPD)  24 meh l%shd;aul Tiqi,  24 meh l%shd;aul ridhkd.drh  úfYaI{ ffjoHjreka yuqj (Channel Consultation)  B pek,ska fiajh (E Channeling)  kùk Y,Hd.drh  iQ;sld myiqlï  frda.S fkajdisl myiqlï  ICU ^oeä Wmia:dk fiajd&  tkafvdiafldms  ialEka mÍlaIK (USS)  CTG  fi!LH mÍlaIK (Medical Health Check up)  .s,ka r: fiajd  oka; iy uqL Y,Hl¾u  äcsg,a tlaia f¾ ;j;a fndfyda myiqlï'''

Royal Hospital (Pvt) Ltd # 62, W.A.Silva Mawatha, Wellawatta, Colombo - 06, Sri Lanka. Hot Line - 0094 - 11-2559268 General - 0094 - 112586581/2584212/259756 Fax : 0094 - 11-2597698 E-mail : manager@ royalhospitals.com

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Advertorial oshjeähd iukhg oS.dhq ksuOqrd ;j;a úma,ùh oS.dhq ksuejqula

oS.dhq ksuOqrd oshjeähd iukhg oS.dhq ksuOqrd ;j;a úma,ùh oS.dhq ksuejqula jir 4000 lg;a jvd merKs wdhq¾fõo Ydia;%Sh .%ka:j, uOqfïyh kñka ye|skajqkq frda. ;;a;ajh kQ;kfha oshjeähdj kñka ye|skafjk reêr iSks uÜgu wêl ùfï frda. ;;a;ajhu nj ksjeros f,i y÷kdf.k ;sfí' fuu ;;a;ajh wdydr cSrK moaO;sfha we;sjk W!K;djhla ksid yg.kakd frda.hla nj kQ;k ffjoH úoHdj u`.ska ksiel f,i ;yjqre lr we;' w.akHdYh kñka ye|skafjk bkaøsh ñksia isrer ;=< wdydr cS¾K l%shdj,SfhaoS b;d jeo.;a ld¾h Ndrhla isÿlrkq ,nhs' wdydr iu. isrerg we;=¨jk msIaGh yd iSks Yla;sh njg mßj¾;kh lr reêrh yryd isref¾ wvx.= ish¨ ffi, ;=<g ,ndoSu isÿ lrkq ,nkafka w.akHdYh úiska >%djh lrkq ,nk bkaishq,ska kñka ye|skafjk fydafudakhla u`.ska nj ms<s. efka' wdhq¾fõoh óg jir 4000lg muK fmr fuu frda. ;;a;ajhu uOqfïyh f,i y÷kd.kq ,enQfha l=uk úoHd;aul m¾fhaIK Tiafiao hkak wog;a meyeos,s fkdue;s kuq;a fuu frda. ;;a;ajh i|yd ks¾foaYs; wdhq¾fõo Ydlidr wvx.= úúO jÜfgdare wdkqNdjfhka reêrfha iSks uÜgu ksjeros ;;a;ajhg m;alr .; yels nj ksiel f,iu ikd: ù we;' wef,dam;sla fyj;a ngysr ffjoH úoHdj 19 yd 20 jk Y;j¾Ih jk uE; ld,fhaoS

oshjeähd frda.h i|yd T!IO ksIamdokh lsÍug fmr wdhq¾fõo ffjoH l¾uh id¾:l f,i mej;s bkaoshdj iy wfkl=;a ;odikak rgj, cSj;a jQ oshjeähd fyj;a uOqfïy frda.Ska yg jir oyia .Kkla ld,hla ;=, ms<sirK ù we;af;a fuu Ydl T!Iëh jÜfgdare nj wújdOfhka ms<s.; yels i;Hhls' fuu Ydl T!Iëh jÜfgdarej, wvx.= iajdNdúl ix>gl i;= w.akHdYfha fmdaIKh yd W;af;ackh lsÍfï .=Kh u`.ska isrerg wjYH bkaishq,ska >%djh isÿlr iSks oykh lr reêrh yd ffi, j,g Yla;sh ,eîu isÿlrkq ,nhs' oshjeähdj hkq iqj l< fkdyels ksoka.; frda.hla f,i ie<l=jo wdhq¾fõo Ydl idr ksrka;r Ndú;fhka oshjeähdj ksÜgdjgu iqj l< yels nj uE; ld,fhaoS bkaoshdfõ isÿl< idhksl m¾fhaIK u`.ska ikd: ù we;' iSudiys; oS.dhq wdhq¾fõosla wekaâ fndgeksl,a m%vlaÜia ^fm!oa'& iud.u úiska wdhq¾fõo Ydl T!Iëh iïu; idr Ndú;fhka bmerKs m%;HlaI jÜfgdarejlg wkql+, f,i Wiia m%ñ;sfhka ksIamdokh lr wdhq¾fõo fomd¾;fïka;=fjka ,shdmosxÑ lr fj<|m,g bosßm;a lr ;sfnk oS.dhq ksuOqrd T!IOh w.akHdYfha fmdaIKh u.ska oshjeähd iukh lsÍug iu;a jk w;r th Ndú;h u.ska reêrfha iSks uÜgu b;d myiqfjka l<uKdlrKh lr oshjeähd frda. ;;a;ajhg m;aùu id¾:l f,i j<lajd .; yel' ;jo oshjeähd frda. md,kh i|yd os.= ld,hla ridhksl T!IO Ndú;fhka isÿúh yels jl=.vq yd ms;a;dY jeks bkaøsh ydks j<lajd .ksñka Wm;skau ,o w.akHdYh os.= l,la m%fhdackhg .ksñka oshjeähdfjka f;dr iemj;a cSú;hla Wodlr .kakd f,i Tn ieu fj; i;=áka wdrdOkd lr isáuq'

11 jk l,dmh

ffjoHjrhd

Advertorial fN!;sl l%u u`.ska ksmojQ fmd,af;,a lSmúgla neoSug Ndú;h iqÿiqo@

Y%S chj¾Okmqr úYaj úoHd,fha fmd,su¾ ridhk wxYfha úY%du,;a uydpd¾h t,a' tï'fla' ;s,lr;ak úisks wdoS Y%S ,dxlslhka yd hqfrdamShhka mjd wdydr ms<sfh, lsÍu msKsi Ndú;d lrk ,oafoa msßisÿ fmd,af;,a nj;a msßisÿ fmd,af;,a Ndú;fhka Tjqkag lsisÿ fi!LH .eg`Mjlg uqyqK oSug isÿ fkdjQ nj;a wm fyd|ska oksuq' f,dj m;, ffjoH úfYaI{hl= jQ nDDia *hs*a úiska rÑ; The coconut oil miracle ^fmd,af;,a j, wvx.= f,v iqj lsÍfï m%d;syd¾h& kï fmdf;yso i|yka lr we;af;a f,dj wdydr ms<sfh, lsÍug Ndú;d lrkq ,nk fkdfhla f;,a j¾. w;ßka b;du wdrlaId iys; ñksia mßfNdackhg iqÿiq f;,a j¾.h fmd,af;,a njhs

fN!;sl l%u u`.ska ksmojQ fmd,af;,a lSmúgla neoSug Ndú;h iqÿiqo@

tfy;a 1980 oYlh ueo mgka f,dj m;, fidahd iy ;sß`.= f;,a imhk iud.ï úiska úYd, úhoula lr fmd,af;,a YÍr fi!LHhg wys;lr yDo frda. ldrlhla f,i yxjvq .ikq ,o w;r ta fya;=fjka hqfrdamSh rgj,a yd wefußldjo fmd,af;,a Ndú;h w;yer Bg wdfoaYl f,i weußldfõ ksYamdos; fidahd f;,a yd ;sß`.= f;,a Ndú;hg fhduq úh' jeros l%u j,g fmd,af;,a ksiaidrKh lsÍfuka wj.=K /ila ud óg fmro jd¾;d lrk ,o wdldrhg wkqj fmd,af;,a j,g fuu brKu w;a jQfha wksis flá l%u b;d

11 jk l,dmh

by< WIaK;ajhlg r;alr úh,d.;a yd jeä WIaK;ajfha ksiaidrKh lr ksmojd.;a nd, fmd,af;,a j, wvx.= fodaI ksid nj kej; u;la l< hq;=h' b;d jeä WIaK;aj j,g fmd,auo úh,SfïoS yd tajdfhka f;,a ksiaidrKfhaoS;a" ksiaidrKh l< wk.s fmd,af;,a jqj u, ne|s hlv ner,a ;=< wêl WIaK;ajhla udi .Kka .nvdlr fmd,af;,a j, wvx.= b;d T!IO .=Kfhka hq;a flá yd uOHu m%udKfha fu!, j,ska hq;a f,daßla wï,h jek g%hs.a,sirhsv flfryS wys;lr f,i n,mdhs' m%:ufhka fmdfrdlaihsâ ldKav tu fu!, u; ksmoùfuka yd tu f*frdlaihsv ldKav ;dmh wdf,dalh fya;=fjka leã uqla; LKavl njg m;a ùfuka fi!LHhg b;d ys;lr msßisÿ fmd,af;,a mjd YÍrhg wys;lr yDohdndO we;s lsÍug mjd bjy,a jk nyq wefrdaueál yhsfv%dldnka (PAH), YÍrhg wys;lr fmfrdlaihsâ yd ksoyia fïo wï, (FFA) njg mßj¾;kh jk nj;a wms wújdofhka ms<s.ksuq' tfy;a YÍrhg b;d ys;lr fmd,af;,a YÍr fi!LHhg wys;lr ;;a;ajhg m;a jkqfha fi!LHhg ys;lr fmd,af;,a ksmoùu i|yd Ndú;d lrkq ,nk flá l%u fya;=fjka yd msßisÿ fmd,af;,a wmßlaIdldÍj u<lv iys; hlv ner,a ;=< wêl WIaK;ajfha .nvd lsÍfuka nj oeka Tng jegfykjd we;'

wvq WIaK;ajfha ksiaidrKh lr.;a fmd,af;,a fi!LH iïmkakhs tfia fyhska wm óg fmr ,sms u.skao fmkajd oSug W;aidy lf<a wka wdydr øjH fukau fmd,af;,ao b;d mÍlaIdldÍj wvq WIaK;ajfha muKlau ksiaidrKh lr.; hq;= njhs' ;jo fuu fi!LHh ys;lrNdjh fmkaùug wo wm fj<|mf,a we;s fmd,af;,a j¾. wkq. ukh lrkq ,nk f;,aj, iqÿmdáka ;;a;ajh ;SrKh lsÍu lsisfia;a wkqu; l< fkdyelsh'

wm fj<|mf,a we;s fmd,af;,a j¾. wkq. ukh lrkq ,nk f;,aj, iqÿmdáka ;;a;ajh ;SrKh lsÍu lsisfia;a wkqu; l< fkdyelsh'

fmd,auo wêl WIaK;ajhl fldmamrd uvqj, úh,SfïoS fkduoj we;sjk PAH yd f*frdlaihsâ oekg nd, fmd,af;,a iqÿmdg lsÍu i|yd Ndú;d lrkq ,nk ridhk u.ska úrxckh lsÍfuka lsisfia;a bj;a fkdfõ' kuq;a b;d iqÿ núka hq;= RBD l< iqÿ fmd,af;,a j, by; i|yka úI j¾. j,g wu;rj úrxckh msKsi fhdod .kakd fldaiaála fidavd jeks úI ridhk wka;¾.; ùuo fkduoj isÿ fõ'

ffjoHjrhd

Advertorial fN!;sl l%u u`.ska ksmojQ fmd,af;,a lSmúgla neoSug Ndú;h iqÿiqo@

úoHd;aul m¾fhaIK Tiafia wkqo;a i;Hh wm úiska ridhk úoHd ix.ufha miq.sh jd¾Isl ieisjdrfhaoS m%isoaO lrk ,o úoHd;aul jd¾;dj i|yd mj;ajk ,o mÍlaIK ud,dfõoS fyd|ska fmkS.sh wfkla jeo.;a lreK kï fmfrdlaihsâ iys; nd, fmd,af;,a j,ska neoSula lrk wjia:dfõoS tu f;,a j, fi!LHhg wys;lr PAH yd FFA jeks úi øjH iEoSu iq,nj isÿ jk njhs' tfy;a f*frdlaihsâ rys; fN!;sl l%ufhka ms<sfh, lrk ,o fmd,af;,a j,ska neoSfïoS tu f;,a j,ska ksmofjk PAH yd FFA m%udKh idudkH fj<|fmdf,a we;s iqÿ fmd,af;,a j,ska tla jrla neoSfuka we;sjk tu úI øjH m%udKhg wvq njh' uÍkd wdh;kh u.ska fuu ksÍlaIKh ;u fj<| oekaùï j, wka;¾.; lsÍu ms<sn|j miq.sh oskj, mqj;am;a

j, m<lrk ,o úfrdaOh mokï úrys; nj udf.a ye`.Suhs' ud kej; wjOdrKh lrkqfha fN!;slj ksiaidrKh lrk ,o f*frdlaihsâ rys; fmd,af;,a j,ska neoSï lSmhla l<o tu f;,a kej; Ndú;hg iqÿiq jk njhs' tu ksid Tn iEu úgu f,an,h lshjd n,d ksIAmdok l%uh ms<sn|j ie<ls<su;aj f;dard.; hq;af;a tla jrla muKla fkdj lsysm jrla jQjo neoSu i|yd Ndú;d l< yels fN!;Shj msßmyÿ l< fmd,af;,a j¾.hla ñi" neoSu i|yd Ndú;d lrk m<uq wjia:dfõu úI ridhk W;amdokh jk YÍrhg wys;lr fmd,af;,a fkdfõ' tla j;djla neoSu i|yd fyda tjeks ksjeros l%u wkq. ukh lrñka fi!LHdrlaIs;j ksmojQ fmd,af;,a f;dard.ekSug nqoaêu;a mdßfNda.sl wm ie<ls<su;a úh hq;=h'

11 jk l,dmh

ffjoHjrhd

Peace & Harmony f.or jevg ieñhdf.ka ,efnk Woõj hym;a hq.Èúhlg mokulaæ

11 jk l,dmh

f.or jevg ieñhdf.ka ,efnk Woõj hym;a hq.Èúhlg mokulaæ ufkdaúoHd WmfoaYsld ueKsfla iqukfialr ieñhd uqo,a WmhoaoS ìß| ;u orejka iy f.a fÞr n,d lshd .ksñka ksjfia /£ isáfha óg oYl .Kklg by; w;S;fha§h' kuq;a wo iudcfha ldka;djka jeä fofkla /lshd lrñka mjqf,a wd¾Ólhgo rel=,la jkakSh' tA ldf, .DyKshla f,i ksjfia lghq;= n,df.k isá ldka;djla ;ukaf.a ld¾hhka j,§ ieñhdf.ka Woõ n,dfmdfrd;a;= jqfKa kE' kuq;a ìß| / lshdjl kshq;= fjk úg wef.a ld¾hNdrh;a fndfyda fihska jeä jqKd' tA wkqj ful, fndfyda ldka;djka ;ukaf.a ksjfia lghq;=j,g ieñhdf.kq;a hï iydhla" Wmldrhla n,dfmdfrd;a;= fjkjd' WmfoaYKhg meñKs ;=reKQ l=, l; ál l,lg Wv§ ud yuqjg tla ;reK ìß|la meñKshd' Wiia /lshdjl kshq;=j isá wehg ukd wOHdmksl miqìul=;a ;snqKd' kuq;a weh tA jk úg weh isáfha hï muKlg úYdo frda. ;;a;ajfhka' fï i|yd fya;= úuid n,kakg ug isÿjqKd' wef.a ieñhd;a weh jeksu Wiia /lshdjl kshq;= jQ wfhla' Tjqkag orejka fofofkl==;a isáhd' Wfoag orejka mdi,g wer,jd ìß|j;a wef.a ld¾hd,hg wer,ùfuka miqj ieñhd Tyqf.a fudag¾ r:fhka ld¾hd,hg .sh;a ijig fï ìß| ksjig wdfj nia r:fhka' Bg fya;=j ieñhd Èkm;du rd;%S wg" kjh ù ksjig meñŒuhs' yekaoEjg ksjig tk ìß| rd;%S lEu msi orejkaf.a lghq;= lr ieñhdg;a" orejkag;a" ieñhdf.a foudmshkag;a wdydr ms<s.kajd f.a fodr wiamia lr ksÞ.;af; rd;%S ueÈhfuhs' kej; mdkaor ;=kg wjÈj Wfoa lEu" oj,a lEu yd orejkag mdi,a f.k hkakg lEu ilia lsÍu" orejka mdi,a heùug iQÞkï lsÍu" ieñhdf.a jevlghq;= lsÍu hk ish,a,u;a wehg lrkakg isÿù ;snqKd' wef.a ieñhd tA mjqf,a tlu orejd' tA ksid Tyqf.a foudmshka isáfha;a Tjqka iu.hs' ieñhdf.a uj fï ldka;djf.a ksjfia jevj,g lsisu úÈhlska Woõ lr ;snqfKa kE' tA jf.au ieñhd wehg lsisÿ Woõjla lrkjdg tu uj leu;s fj,;a kE' wdydr .ekSfï§;a kekaoïudf.a kshuh jqfKa ksjfia msßñka fofokd

ffjoHjrhd

Peace & Harmony f.or jevg ieñhdf.ka ,efnk Woõj hym;a hq.Èúhlg mokulaæ

m<uqj lEu fïihg jdä ù wdydr .; hq;= njhs' bkamiq kekaoïud wdydr .;a w;r l=vd orejka lEu fïifha jdä ù wdydr .;af;a kE' fï ìß| yefudagu miqjhs wdydr .;af;a' tA jf.au m<;=re jeks w;=remi §ug kekaoïud kshu lr ;snqfKa;a msßñka fofokdg iy l=vd orejka fofokdg muKhs' Tjqka wdydrhg .;a miq b;sß jk tAjd miqÞg .ekSug wrka ;eîuhs tu ksjfia ms<sfj, jqfKa' fï ;reK ìß| kekaoïudf.a kshuhka bgq l<d ñi wehg lsis úgl;a tfrysj .sfha kE' ieñhd iu. fïjd l;dny lr úi|d .ekSug weh Wkkaÿ fkdjqfKa tl w;lg Tyq yd l;d lrkakg wjldYhla fkd;sîu iy tfia l;d l<;a Tyqg ;u ujg by<ska hdug yelshdjla fkd;sîu ksihs' fï ish¨u foaj,aj, wjidkh jqfKa weh Ôú;h tmd jk ;;a;ajhg meñK ;sîuhs' m;sKshlf.a fyd|u ñ;=rd ieñhd ñi''' újdyl ldka;djlg isák ióm;u mqoa.,hd jkafka wef.a ieñhdhs' tA wkqj ;uka wmyiqjg m;ajk yeu wjia:djl§u weh ieñhdf.a Wmldr iy wjOdkh n,dfmdfrd;a;= fjkjd' ;ukag yß yeáhg Woõ lf<a ke;;a ;uka iómfha Tyq .ejfiñka ÆKq f.ähla" mMd ñáhla Y=oaO lr ÿkak;a ìß|lg th úYd, i;=gla' tfiau th wehg f,dl= udkisl Yla;shlao fjkjd'

11 jk l,dmh

mjq,l ieñfhl=g jvd ìß|lg ;sfnk jev lghq;= úúOhs iy úYd,hs' tu jev lghq;= w;rg ieñhdf.a iy ;ukaf.a foudmshka .ek fidhd ne,Su" wi,ajdiSka yd mjqf,a ×;s ñ;%d§ka w;r wfkHdkH iïnkaO;d ;yjqre lr .ekSu mjd whs;shs'

ìß|f.a ksjfia lghq;=j,g ieñhka Wmldr fkdlrkakg n,mdk fya;= lsysmhla ;sfnkjd' • ìß| ish,a, ;ksju lr .ekSu • ieñhdf.a rdcldßfha iajNdjh wkqj fyda fjkhï fya;= u; ? fnda ù ksjig meñŒu • l=vd l, uj mq;=g yeufoau lr ÿkafka kï mq;= újdy jQ miq ìß|f.kao tf,iu wfmalaId lsÍu • uj mshdg ish¨u foaj,a lr fokq l=vd l, isgu olsk mq;= miqj ;u ìß|f.kao tf,i n,dfmdfrd;a;= ùu • ìß|g Woõ lrkq ±lSu ;u uj fkdßiaiSu • f.or lghq;= iy orejkaf.a lghq;= .eyekqkag wh;a jev f,i i,ld tAjd ;uka lsÍu msßñlug uÈ mqxÑlula f,i is;k udkh ±ka ldka;djkq;a Wiia wOHdmkh ,nk ksid jeäfofkla /lshd lghq;=j, kshef,kjd' wfkla w;g ne¨fjd;a biair mjqf,a wd¾Ólhg ;ksj Wrÿka msßñhdg ±ka ìß|f.ka úYd, iydhla ,eî ;sfnkjd' tjeks úYd, iydhla fok ìß|g fmr<d iydh §u ieñfhl=f.a j.lSu úh hq;=hs' kuq;a mjqf,a fï jf.a ;;a;ajhla ke;s fjk úg ojfia bjr lr.kakg neß ;rï jevlghq;= wêl ùu ksid ìß|g ldhsl yd udkisl jYfhka úYd, f;fyÜgqjla we;s fjkjd' tfiau jev jeälu ksid m%udKj;a kskaola ,eîfï wjldYh ke;s ù hkjd' fï ;;a;ajh È.ska È.gu mj;sk úg wehg ±ä udkisl wd;;shla we;sùu

ffjoHjrhd

Peace & Harmony f.or jevg ieñhdf.ka ,efnk Woõj hym;a hq.Èúhlg mokulaæ

j<lajkak nE' udkisl wd;;sh ksid ks;r ;ry hdu" fkdßiaiqu" l,lsÍu jeks iajNdjhka we;sfjkjd' fï jf.a ;;a;ajhla we;s jqKdu mjqf,a ks;r ks;r .egqïldÍ ;;a;ajhka we;sùu fkdje<elaúh yelshs'

fndfyda ldka;djka fuu .egqïldÍ ;;a;ajhka ;u orejkag ±k.kakg Rcqj bv ;nkafka ke;s jqK;a ujf.a fkdßiaiqï iy.; fmkqu" lgql joka wdÈh ksid mjqf,a .egqula we;s nj jgyd.kakjd' túg orejka isákafka;a fkdikaiqkalñka nfhka' th orejkaf.ao wOHdmk lghq;=j,g jf.au fm!reI j¾Okhg;a wys;lr f,i n,mdkjd' ÿr os. .sfhd;a mjq,a wjq,a fjkak mq¿jks fujeks ;;a;ajhka ÿr È. hdu tlaflda Èlalidohlska fl<jr úh yelshs' ke;skï udkisl frda.hlska fl<jr jkak mq¿jka' tA foflau wjidkh we;eï úg ishÈú kid .ekSula fjkak;a neß kE' fuys§ Èlalido jkafka fyda ishÈú kid .kafka f.or jev jeäùuo lsh,d flfkl= ;¾l lrkak mq¿jka'

we;a;gu isÿù ;sfnkafka jev jeäùu ksid we;sjk udkisl wd;;sh ÿrÈ. hduhs' mjqf,a wvqmdvq w. ysÕlï ´k flkl=g ys;kak mq¿jkaa' kuq;a wUqieñ fofokd w;r wfkHdkH iyfhda.h ;sfnkjd kï t;ek udkisl iykh mj;skjd' udkisl iykh ;shkjd kï m%Yakj, nr ;og ±fkkafk kE' ksfjfia jev lrk .DyKshg;a wd¾:sl úoHd;aul ñ,la ;sfhkjd mQ¾Kld,Skju /lshdjla fkdlrk ldka;djla jqj;a ksjfia lrk mQ¾Kld,Sk lghq;=j,g jákdlula ,eìh hq;=hs' rgl o< cd;sl ksIamdokh .Kkh lsÍfï§ .DyKshf.a ksjfia lghq;=j,g;a jákdlula Èh hq;= njg wd¾Ól úoHd{hka u; m<lr ;sfnkjd' fya;=j mjqf,a msßñhdj Ôj;a lrjkafka weh ksid' tA wkqj n,k úg /lshdjl=;a lrñka ksjfia lghq;=;a lrk ldka;djlf. ka rgg jk fiajh lshd ksu l< fkdyelshs' kuq;a fïjd .ek .Kkh lsÍula kE' wvqu ;rñka fï lghq;= ish,a, id¾:lj wehg lrf.k hdug ieñhdf.a iyfhda.h fyda ,eìh hq;=hs' tA ;=<ska wehg úYd, udkisl Yla;shla ,efnkjd' wdorh" wjOdkh iu. úYd,j ke;;a hï muKl iyfhda. hla ieñhdf.ka ,efnkjd kï ìß|g w;ajk udkisl Yla;sh w;s úYd,hs' thska wehg úYd, jev fldgila lr .ekSug ffO¾hhla ,efnkjd' ieñhka fuh f;areï .kakjd kï mjq,a Ôú;h fndfydu iqkaor w;a±lSula lr.kak tl ys;k ;rï wmyiq jkafka kE'

11 jk l,dmh

ffjoHjrhd

Nutrition fnda fkdjk frda. i|yd wdydr rgdfõ n,mEu

osúu. ikyk hy fmdaIKh - 1

fnda fkdjk frda. i|yd wdydr rgdfõ n,mEu Y%S ,xld jhU úYAj úoHd,fha jHjydßl fmdaIK wxYfha fla' t,a' ta' iñ; m%idoa úisks

wo ojfia fnda fkdjk frda. jeäysá jhig úYd, ;¾ckhla ù we;' fnda fkdjk frda. j,ska ñoSu uõl=i ;=< isg n,.ekaúh hq;= ie,eiauls' ta;a Tn ljr jhil .; l<;a Tng .; yels wdydr mQ¾fjdamdhka mj;sk nj fï ,smsh lsheùfuka Tngu mila lr.; yels jkq we;' Y%S ,xld jhU úYAj úoHd,fha jHjydßl fmdaIK wxYh bosßm;a lrk ,sms fmf<ys ;j;a msúiqula'''

uõl=i ;=< iajlSh cSú;h wdrïN lrk orejd jeäúhg m;a ù ñhfok f;la cSú;fha úúO wjia:d miq lrhs' jeäysá wjosfhaoS yd uy¿ wjêfhaoS úúO frda. we;s ù cSjk ;;a;ajfha .=Kd;aulNdjh ì|jeàu olskakg ,efí' fnda fkdjk frda. hkq ñksidf.a cSjk ;;a;ajfha .=Kd;aul Ndjh my< fy<kq ,nk m%Odk idOlhls' wêreêr mSvkh" ms<sld" we;eï wiaÓ frda." yDohdndO fnda fkdjk frda. iuyrla i|yd WodyrK fõ' fuu frda. we;sùug m%Odk jYfhkau cSjk rgdj yd wdydr mqreÿ n,mdkq we;' fï ksid cSjk rgdj yd wdydr mqreÿ hym;aj mj;ajdf.k hdu u.ska fndfyda fnda fkdjk frda. j,ska wdrCId úh yelsh' orejdf.a u;= ksfrda.S;djhg uõl=i fyd;a ld,fha isgu fmdaIKh n,mdkjd fuu frda. we;sùfï wjodku by< kxjk mdou ielfikafka .¾NKs iufha isguh' .¾NKs iuh hkq YÍrfha ish¿u wjhj yd moaO;ska úlikh jk wjêhhs' fï ksid fuu wjêfha ujf.a YÍrfha fmdaIK ;;a;ajh orejdf.a wjhj yd moaO;Ska úlikhg oeäf,i n,mEï lrhs' orejdf.a ish¨u fmdaIK

11 jk l,dmh

jegfld¨" nKAvlald" fndaxÑ" îÜrEÜ" lerÜ" fldys, fld< iy o¿" f.dajd fld< wdosh oskm;d wdydrhg tlalr .kakd t<j¿h' osklg fuu t<j¿ m%udKj;a mßos wdydrhg tla lr .ekSuo fnda fkdjk frda. j,ska ñoSfï ud¾.hls' ula ksido h;a" fuu t<j¿ j,ska wm YÍrhg úYd, jYfhka úgñka" LKsc ,jK wdosh ,ndfok w;r fkdfhl=;a ffcj l%shdldÍ ixfhda.o ,nd oSu isÿ lrhs'

ffjoHjrhd

Nutrition fnda fkdjk frda. i|yd wdydr rgdfõ n,mEu

wjYH;d imqrd .kafka ujf.a YrSrfhka orejdg ,efnk fmdaIl u; ùu óg fya;=jhs' fï ksid ujf.a l=ifha isg orejdg wjYH mßos fmdaIl iemhSu w;HjYH fõ' hï fyhlska fuu ld,h ;=< m%udKj;a fmdaIK ix>gl fkd,eîu ksid orejdf.a wjhj yd moaO;s úlikfha hï hï ixl+,;d we;súh yelsh' tfukau fuf,i wju fmdaIKh iys; mßirhl úlikh jk orejdf.a wjhj yd moaO;ska tu mßirhgu wdfõKsl ù iEoSu isÿfõ' fuf,i wvq fmdaIK ;;a;ajhlg yev.eiqKQ wjhj yd moaO;ska miqld,Skj ,efnk by< ;;a;ajhkag Tfrd;a;= fkdoSfï wjodkula mj;S' fï ksid fndfyda úg reêr ixirK moaO;sh wdY%s; fnda fkdjk frda. wdosh we;sùfï wjodkula mj;S' wêreêr mSvkh" yDohdndO" wd>d;h jeks frda. wdrïN ùu isÿjkafka .¾NKs wjêfha isgu úh yelsh' fï ksid .¾NKs ujf.a fmdaIKh ksis whqßka mj;ajdf.k hdu b;du jeo.;a fõ' jefvñka mj;sk NDKfha iy ujf.a YÍrfha jeäjk wjYH;djhka imqrd,k mßos fmdaIHodhs wdydr .¾NKs ujg ,ndosh hq;=h' óg wu;rj ÿïmdkh" u;ameka Ndú;h wdos úúO jeros cSjk mqreÿ j,ska je<lS isáh hq;=h' oskm;d Tfí wdydr fõ, .ek uekúka ie<ls<su;a jkak ;jÿrg;a fuu frda. we;sùfï wjodku my; fy,Sug oskm;d

wdydr rgdjkaf.a hymeje;au b;du;a jeo.;a fjhs' fuysoS wêreêr mSvkh iukh lsÍu i|yd wêl ¨KQ iys; wdydr .ekSfuka je<lsh hq;=h' wêl ¨KQ iys; wdydrie,a Y%s ,xldfõ fndfyda ia:dk j, nyq,j olakg ,efí' fïjdfha mj;sk fndfyda wdydr j, m%ñ;sh ms<sn|j iel mj;S' wo ckm%sh fndfyda wdydr ie<lSfïoS wdydr j, wvx.= fmdaIK ix>gl j, wêl f,i fïoh yd ir, iSks fukau ¨KQ nyq,j mj;S' tfukau fuu wdydr ieliSfïoS ksIAmdolhd úiska fhdod .kafka ;sß`.= msá jk w;r tajd b;du;a fyd|ska mdysk ,o ;sßÕ= j,ska ksujd we;' fï ksid fïjdfha wka;¾.; ;ka;= m%udKho b;du;a wêlh' ckm%sh wdydr '''fyd| ke;su wdydr by; i|yka l< wdldrfha lEu i|yd WodyrK f,ig frda,aia" meáia" ud¿mdka" fmaiaá%" msÜid jeks wdydr oelaúh yelsh' fuu wdydr j, wêl f,i Yla;sh .nvd ù mj;S' fï ksid ksrka;rfhkau fujeks wdydr .kakd mqoa.,fhl=f.a YÍrfha jeäukla Yla;sh w;sßla;hla f,i b;sß fõ' fuf,i b;sß jk Yla;sh fukau ridhksl l%shdj,shla yryd fïoh f,i YÍrh ;=< ;ekam;a ùfï keUQre;djhla mj;S' tf,i YÍrfha wêl f,i fïoh ;ekam;a ùu ksid YÍrfha nr jeäjk w;r fuu.ska ;rndre nj yd ia:Q,;djh we;s lrhs' iudcfha flá wdydr f,i fndfyda úg yªkajkafka fuu wdydrh' fïjdfha mj;sk wys;lr fïo wï,

11 jk l,dmh

m%;sY;ho wfkl=;a fndfyda wdydr j,g jvd by<h'

flá wdydr .ekSu md,kh lsÍu ksfrda.S cSú;hlg b;du;a jeo.;a fõ' úfYAIfhkau oshjeähdj" yDo frda." úúO ixirK moaO;sh wdY%s; frda. i|yd fuu wys;lr wdydr rgdj n,mdkq we;' ;jo we;eï ms<sld i|yd we;s wjodkuo jeä lrhs'

ksjfiaoS msi .; yels fyd|u wdydrh ksjfiaoS wdydr msi .kakd úg iun, wdydrhla ilia lr .ekSu w;HjYH fjhs' fuysoS ldfndayhsfâ%Ü wvx.= wdydrhla m%Odk wdydrh f,i ,nd .ekSu idudkHfhka Y%s ,xldfõ ms<sfj,hs' n;a" mdka" úúO w, j¾." OdkH fï w;r ckm%sh wdydr jkafkah' ldfndayhsfâ%Ü wvx.= wdydr m%Njhla f;dard .kakd úg ie<ls,su;a úh hq;= lreKQ .Kkdjla mj;S' ldfndayhsfâ%Ü j, iajNdjh ;ka;= yd fjk;a ffcj l%shdldÍ ixfhda. j, meje;auhs' fuysoS nyq,j mj;sk ldfndayhsfâ%Ü j, iajNdjh jeo.;a jkafka reêrhg iSks ksoyia lsÍfï iS>%;djh ms<sn|j wjfndaO lr .ekSuhs' ir, iSks fyda myiqfjka cS¾Kh ù blauKska reêr .aÆfldaia uÜgu by< kxjk wdydr ksrka;rfhka .ekSu fhda.H fkdfõ' fyd|ska mdysk ,o iy,a yd fjk;a OdkH ;sßÕ= msá j,ska idok ,o fndfyda wdydr fujeks ldfndayhsfâ%Ü m%Njhka i|yd WodyrK fõ' ;jo ;ka;= fjk;a ffcj l%shdldÍ ixfhda. nyq,j wvx.= jk ldfndayhsfâ%g m%Njhka u.ska fndfyda fnda fkdjk frda. j,ska wdrCId ùug iydh jkq we;' ms<sld ;;a;ajhkag we;s flfrk /ljrKh fï i|yd fyd|u WodyrKhla f,i oelaúh yelsh'

ffjoHjrhd

idudkH ksfrda.s mqoa.,hl= osklg ldfndayhsfâ%g wvx.= wdydr fldamam 6-11 la muK wdydrhg .; hq;=h' flfia fj;;a ia:Q,;djh" .¾NKs Ndjh wdos we;eï wjia:djka j,oS fuys b;d iq¨ m%udKhkaf.ka fjkia ùula mj;S'

jYfhka úgñka" LKsc ,jK wdosh ,ndfok w;r fkdfhl=;a ffcj l%shdldÍ ixfhda.o ,nd oSu isÿ lrhs' YrSrhg /ljrKh i,ik ffcj l%shdldÍ ixfhda. ffcj l%shdldÍ ixfhda. hkq fmdaIl ix>glhka fkdjk tfy;a YÍrfha hymeje;aug ys;lr ridhksl ixfhda. úfYAIhs' fuu ixfhda. ñksia YÍrfha mj;sk l%shdldÍ Tlaisldrl m%udKh my; fy<Sula isÿ lrhs' Tlaisldrl hkq YÍrfha mj;sk fïoh yd úúO ffi,Sh øjH iuÕ fõ.j;aj m%;sl%shd lr m%;sM, we;s lrkakd jQ ridhkslhla fõ' fuu Tlaisldrl j, l%shdldß;ajh my; fy<Su u.ska ms<sld iEoSu" kyr wjysr ùu wju lsÍug" wlaIs ldpfha iqo u;=ùu jeks wys;lr ;;a;ajhla yd fnda fkdjk frda. j,ska ñoSug uÕ mdohs'

.=K imsß t<j¿ jegfld¨" nKAvlald" fndaxÑ" îÜrEÜ" lerÜ" fldys, fld< iy o¿" f.dajd fld< wdosh oskm;d wdydrhg tlalr .kakd t<j¿h' osklg fuu t<j¿ m%udKj;a mßos wdydrhg tla lr .ekSuo fnda fkdjk frda. j,ska ñoSfï ud¾.hls' ula ksido h;a" fuu t<j¿ j,ska wm YÍrhg úYd,

tfukau fïjd i;= úfYAIs; yelshdjka f,ig reêr .aÆfldaia uÜgu iudfhdackhg odhl ùu" YrSrfha mj;sk fldf,iagfrda,a m%udKh my; fy<Sugo odhl ùu oelaúh yelsh' óg wu;rj we;eï laIqø cSú l%shdldß;ajhka wju lsÍug yd fjk;a fndfyda ldrKd i|yd odhl ùu isÿfõ' by; i|yka l< ish¨u lreKQ wkqj fïjd u.ska fnda fkdjk frda. iukh ùula isÿfõ'

^u;= iïnkaOhs'&

ksis wdorh - ksis /ljrKh - ksis fmdaIKh

11 jk l,dmh

wfmau rfÜ kejqï f.dúìï j,ska ,nd.;a by<u ;;a;ajfha nv bßÕ= iy fidahd iu. kejqï t<lsß j,ska ksmojk ,o lsß msá j,ska ri .kajd we;' f*da,sla wï,h yd iajdNdúl ;ka;= j,ska mßmQ¾K w;r wys;lr fïo wï, j,ska f;dr" iajdNdúl fidahd f;,a j,skao fmdfydi;a fú' ñksia isrer ;=< ksmojkq fkd,nk tfy;a" isrerg w;HjYH fïo wï, j,ska iukaú; fõ'

nqoaêh

ksis ;;a;aj mßËdfjka yd m<mqreÿ fmdaIKfõoSkaf.a wëËKfhka mdßfNda.sl Tn w;g m;ajk ksisfmdaI fofõ,lska my; ffoksl fmdaIK wjYH;d iemsf¾'

iskala

iu`. w;HjYH fmdaIH mod¾:

la iu`.

úgñka A

orejkaf.a wiaÓ j¾Okh lrñka fmkSu yd m%;sYla;SlrKh kxjhs'

45]

úgñka D

orejkaf.a ukd wiaÓ ialkaOhg wjYH le,aishï yd fmdiamria wjfYdaIKhg w;HjYH fõ'

45]

le,aishï

orejkaf.a o;a" wiaÓ yd udxY fmaIs iúu;aj jvñka iakdhq moaO;sfha ukd l%shdldrS;ajh we;s lrhs'

45]

hlv

kSrla;shg f.dÿre ùu j<lajd jeãug iún,h imhñka orejka wOHdmkfhaoS yd l%SvdfõoS ch.%dylhska lrhs'

45]

iskala

mßjD;a;Sh l%shdjkag wjYH tkaihsu 70 lg wêl .Kkla ksmoùu i|yd odhl jk w;r orejkaf.a m%;sYla;SlrKh jvjd j¾Okhg wkqn, fohs'

45]

fm%daàka

j¾Ol fmdaIl ix>glhla ksid orejkaf.a isref¾ ish¿u bkaøshka yd udxY fmaISka ks¾udKh lsrSug odhl fjhs'

75]

Supplementary percentage as against Recommended Daily Allowance for 4-6 years age catego category ateg per err serving. se serv (Serving (Servi Serv size ze e – 60g) 60 6 Source ource urce – MRII 2007 200

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Alert kskafoka f.drjk tl ys;k ;rï idudkH fohla fkfuhs

kskafoka f.drjk tl ys;k ;rï idudkH fohla fkfuhs W.=r" lk" kdih ms<sn| úfYaI{ ffjoH tA' î' lsßok

kskafoka f.rùu ´kEu jhia ldKavhl flfkl= ;=< ia;%S mqreI fNaohla ke;sju mj;sk fohla' fuh <uhskag jvd jeäysáhka ;=< iq,n w;r thskq;a ldka;djkag jvd msßñkaf.a jeäh' fufia ´kEu flfkl= ;=< mj;sk ksidu wm ys;kafk kskafoka f.drjk tl idudkH fohla lsh,hs' kuq;a f.rùu yeu úgu idudkH fohla jkafka kE' kskafoka f.rùu j¾. ;=klg fnÞ olajkak mq¿jk' idudkH f.rùï fuhska f.drjk mqoa.,hdg;a mjqf,a whg;a lsisÿ m%Yakhla we;s jkafka kE' fï ;;a;ajh Simple Snoring kñka y÷kajkjd' wka whg ndOd jk fia f.rùfï j¾.fha§ f.drjk mqoa.,hdg m%Yakhla kE' kuq;a tA ;eke;a;d iu. ksÞ .kakd whg fyda wdikakfha isák whg th úYd, lrorhla' fujeks ;;a;ajhla mj;skafka ieñhdg kï tu ìß|g th .eg¨jla lrorhla fjkjd' fï j¾.h y÷kajkafka Social disturbing Snoring f,iskqhs' f.rùfï§ yqiau ysrùu 03 - obstructive sleep apenea kñka ffjoH úoHdfõ y÷kajk fï ;;a;ajfha§ isÿjkafk f.drjk wjia:dfõ§ kdifhka fyda láka yqiau .ekSu iy yqiau msg lsÍu k;r ùuhs' fï ksid isÿjk wys;lr ;;a;ajhka lsysmhlau ;sfnkjd' isrerg we;=¿jk Tlaiscka m%udKh wvq ùu isref¾ fkdfhl=;a bkaøshhkays we;sjk ixl+,;d fï w;ßka m%Odkhs'

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fud<h" yDoh jia;=j m%uqL ;j;a fndfyda bkaøshhkays yg.; yels fuu ixl+,;d fya;=fjka Èhjeähd frda.h mjd flfkl=g yg .ekSfï yelshdj ;sfnkjd' óg wu;rj wêl reêr mSvkh" udkisl wd;;sh fï w;r fjkjd' fï ;;a;ajfhka fmf<k whg fiau kskafoa§ wkqkag lrorhla jk fia f.drjk whg;a f.rùfï§ idudkH kskao ,efnkafka kE' tksid iqj kskaolska miqj isrerg iy ukig ±fkk kejqï nj fï whg ±fkkafk kE' tA jf.au Èjd ld,hg ;on, ksÈu;la ±fkkjd' by; ±lajQ fofjks iy ;=kafjks hk j¾. folgu ffjoH m%;sldr ,nd§u wjYHhs' fï frda.h yefok l=vd <uhskaf.ka 80]la 90]lgu Bg n,mdk m%Odk fya;=j ks;r fiï f.ä yg .ekSuhs' jeäysá whg kï úfYaIfhka n,mdkafka ;rndrelu''' óg wu;rj Yajik ud¾.fha by< fldgfia we;s jk wdndO iy tys jHqyd;aul fjkialï ksid;a fï ;;a;ajhka we;s úh yelshs' f.rùfï§ tu mqoa.,hdg lrorhla ke;;a <Õ isák whg lrorhla ùu iy f.rùfï§ yqiau ysrùu hk ;;a;ajhka j,§ ffjoH m%;sldr .; hq;= nj by; i|yka l<d' fuys§ úfYaIfhka lsj hq;a;la ;sfnkjd' fufia f.drjkafka jeäysá msßñ whl= kï Tyq ffjoHjrhd fj; hd hq;af;a Tyqf.a ìß| iu.hs' l=vd orefjl= kï uj iu. hd hq;=hs' fï wdldrhg tA mqoa.,hd iu. ksÞ .kakd whl= meñKs h hq ; a f ;a ffjoHjrhdg frda . s h d ms<sn| fndfyda lreKq úuid

±k .ekSug wjYH ksihs' fuf,i frda.shd iy frda.shdg ióm;u whl= iu. l;dny lr úia;r ,ndf.k kskao ms<sn|j;a Yajik ud¾.fha by< fldgfia jHqyd;aul fjkialï ;sfío hkak ms<sn|j;a mÍlaId lr ne,sh hq;=hs' fï i|yd úúO ffjoH mÍlaIK isÿ lrkq ,nk w;r we;eï wjia:dj,§ frda.shd jdÜgqfõ k;r lr m%;sldr ,nd fokakgo isÿ úh yelshs' f.rùug m%;sldr frda.fha iajNdjh wkqj m%;sldr l%u úúOhs' frda.shd ;=< we;s ù ;sfnk ixl+,;dj,g m%;sldr lsÍug wu;rj nr jeä jeäysáhl=f.a kï isref¾ nr wvq lr .ekSug Wmfoia §u isÿfjkjd' fujeks frda.sfhl=f.a isref¾ nr jeä kï th wvq lr .ekSu w;HjYH jkafka frda.h iqj ùu i|yd tho jeo.;a jk ksihs' óg wu;rj Y,H m%;sldr ^operations& iy Y,H fkdjk wksl=;a m%;sldr o frda.fha iajNdjhg wkqj ffjoHjrhd úiska ;SrKh lrkq ,nkjd' frda.h jvd;a W;aikak ;;a;ajfha mj;skafka kï hka;%hla wdOdrfhka ^c-pap machine& yqiau .ekSug i,iajkakg isÿ úh yelshs' túg rd;%S kskafoa§ fuh iúlr Wfoag .e<úh hq;=hs' tfia ke;akï ie;alula lr h:d ;;a;ajhg m;a lsÍug isÿfjkjd' fï wdldrhg m%;sldr lsÍfuka miq kskafoka f.rùu iïnkaO tu frda. ;;a;ajhka iqjm;a lr .; yelshs’ fï wkqj Tn jgyd .; hq;af;a kskafoka f.rùu yeu úgu idudkH fohla f,i is;d fkd;ld yeßh hq;= ;;a;ajhla fkdjk njhs'

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Controversy wdydrfha Tiq .=Kh iy fmdaIK .=Kh w;=reoka lrjk" jeä ÈhqKq l< îc ;%ia;jdoh

wm lkfndk ji úi wdydrfha Tiq .=Kh iy fmdaIK .=Kh w;=reoka lrjk" jeä ÈhqKq l< îc ;%ia;jdoh tla w;lska wmg wefikafka jeä jeäfhka t<j¿" m<;=re j¾. j,ska Tfí msÕdk msfrk ;rug fi!LH iïmkakj jeä ld,hla cSj;a úh yels njg lshk l;dh' tfy;a yß; úma,jfhka miq f,dalh u; mgjk ,o ngysr wêrdcHjd§ lDIsl¾udka;fha wdkqNdjfhka wm wo wkqNj lrkq ,nk j.d l< wdydr fNda. w;s nyq;rhla wmf.a uq;=ka ñ;a;ka wkqNj l<''' fldákau wm ±kg oYlhl follg fmr wkqNj l< fmdaIKSh iy T!Iëh .=Kfhka hq;= tajd fkdjk nj fy<s fjñka mj;S'

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rEm fmÜáfha fmkajk kùlrKh jQ lEuîu j<|k" lrj, fydoafoka Ñlka rih m;k wm fndfyda fofkl=g fkdoefkk" fkdfmfkk fia wdydr wkqNjfha w;s uQ,sl ffcj úoHd;aul WjuKdj jk zfmdaIKh yd frda. ksjdrK .=KhZ wdydrfhka w;=reoka flfrñka mj;sk nj ixfõ.fhka hq;=j wjOdrKh l< hq;=j we;' fjf<|du m%uqL lr .;a ngysr lDIs úoHdjg wkqj wdydr hkq yqÿ jeä jk ck.ykfha wdudYhka msrùu i|yd muKlau wruqKq lrk øjH nj fmfkhs' tfy;a nqÿ oyñka iy úÿyqre foaYSh ffjoH úoHdjlska fmdaIKh jqKq wmf.a ixialD;shg wkqj" wdydr wkqNjh hkq l=i.sks ksùu muKla fkdj''' flfkl=f.a wdhqIfha" iemfha" j¾Kfha" n,fha iy m%{dfjys muKla fkdj" wkd.; j¾.hdf.a ireNdjh fkdfyd;a ;sridr meje;auo ;yjqre flfrkakla fjhs' ta wkqj wfma me/kakka úiska wdydrhla úia;r lsrSfï§ th wyj,a frda.hg fyd|hs''' wyj,a frda.hg w.=Khs''' jdf;g" ms;g" fiug fyd|hs' Y=l%" Od;=" n, jvhs''' wdÈ f,i úia;r lr ;sfnk nj fmfka' ñßia" weUq,a" ¨Kq" iunr ;síngq fydoafoka - ovuifhka lEjhs''' iqreia ..d mj;sk fiï" leis uqiq úisfïyh wßiia - ÿre fjhs''' yria w;g nKaäh fíÍu o ykaÈ msreï bÈuqï - .=K fjhs

iria lshd .=Kfjhs fï yeu f,v ;o nv.skakg w;aÿgqjhs l=rlalka ;,m wkqNj lsÍfuka fiï frda." w¾iia" m%fïy wdÈ frda. iukh flrk nj lúhg k.d we;af;a tfiah'

wcSú uyfmdf<djl icSú cSjhla flfia mj;So@ fidnd oyu wkqj" Ydl j,g fkl wdl%uKhkag uqyqK §ug isÿ jQ úg" igka lsÍug j;a" m<d hdug j;a tajdg fkdyel' ish meje;au i|yd nelaàßhd" lDóka iy whym;a ld,.=Ksl ;;a;ajhkaf.ka wdrlaId ùug iu;a m%n, Ydl ridhksl wKql j,ska t<j¿ ikakoaO úh hq;=h' fuu wKql w;r w.kd T!Iëh wKql j¾.fhdao fj;s' tajd úgñka j¾." Lksc ,jK iy lD;s%u ñ, wêl ngysr T!IO o blaujd id¾:l f,i l%shd lrk nj oek y÷kd.;a i;Hhhs' Ydlhl fmdaIKSh iy T!Iëh .=Kh .=Kd;aulj iy m%udKd;aulj ixYaf,aIKh ùu flfryS tu fNda.h fyda Ydlh j¾Okh jk mßirh" tu Ydlfha m%fõKsl .=Kdx." mdxY= ;;a;ajh"

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Controversy wdydrfha Tiq .=Kh iy fmdaIK .=Kh w;=reoka lrjk" jeä ÈhqKq l< îc ;%ia;jdoh

mdxY= laIqø fmdaIl fukau wka;¾ ffcùh l%shdldrlïo tl fia jeo.;a fjhs kQ;k ;dlaIKsl j.d lghq;= iy ;Sj% lDIsld¾ñl l%ufõohka ksidfjka j.d ìï j, isÿ flfrk wêl mdxY=Ldokh ksidfjka ^fuu úkdYh fldf;la±hs lshkjd kï" Bkshd yß; úma,jh weröfuka miq .; jqKq oYl y;r ;=<§ uyfmdf<dfjka iQrd ±uqKq icSú mdxY= ia:rh fylaghdr ì,shk 2 la muK jk w;r" th wefußld tlai;a ckmoh;a fulaisfldaj;a ;rï jk N+ñ m%udKhla nj;a lshfõ& tla w;lg mfia iajNdúl .=Khka iy mdxY= fmdaIl fldgia w;=reoyka flfrñka mj;sk w;r" wfkla w;g mdxY+ laI%ø cSùkao" ufyalaI cSùkao ^.evú¨ka jeks& j| flfrñka mj;S' ±kgu;a f,dj j.d ìï j,ska ishhg 30 la muK ksire iy u< ìï njg m;aj ;sfnkjd' fujeks u< N+ñhl fNda. j, Wiia m%fõKsl .=Khka wysñ l< îc j.d lsÍfuka .kq ,nk wiajekafkys .=Kd;aul w.h nrm;, f,i ydkshg m;aj we;s njg fy<s ù ;sfnkjd' f.äh f,dl= jqKdg .=Kh uy`.== ke; jeä ÈhqKq l< m%fNao" iS.% j¾Okhla w;a m;a lr .ekSu" ld,.=Ksl úm¾hdihka j,g id¾:lj uqyqK §u" jeä wiajekakla ,eîu" úYd, M, yg .ekSu" m<sfndaOlhska yg m%;sfrdaë ùu jeks jdis iy.; ,laIK fmkakqï l<o" tajdfha iS.% j¾Okhg iumd; jk f,i" Ydl ridhKslhka" úgñka j¾. iy fm%daàka ixiaf,aIKh lr .ekSug;a" we;eï w;HjYH laIqø

fmdaIl fldgia mfika wjfYdaIKh lr .ekSug;a fuu fNda. Wmkaf.hs wiu;=ka jk nj wOHhk j,ska fy<s ù ;sfí' Tfí mshd tl, tla fodvï f.ählska ,nd .;a úgñka ta iy iS m%udKh ,nd .ekSug ±ka Tn fodvï f.ä wgla wkqNj l< hq;=hs' tfukau" Tfí orejdg wkd.;fha§ fodvï f.ä 16 la wjeis jkq we;shs' cdk ;dlaIKh iy kmqxYl îc ;%ia;jdoh fouqyqka ;dlaIKh iy cdk bxcsfkare ;dlaIKh yryd jeä ÈhqKq flfrk kj m%fNao j, fmagkaÜ whs;sh tajd fidhd .;a iud.ï i;= fjhs' ^cdk bxcsfkare úoHdj úiska úúO i;a;aj yd fnda. j¾. j,g Wreu fkdjQ .;s ,laIK msgia;r fnda.j,ska yd i;a;aj fldgiaj,ska we;=¨ lr kj m%fNao cks; lsÍu isÿ lrhs'& wfkla w;g nyqcd;sl iud.ï úiska ;uka ksmojk îc j,g g¾ñfkg¾ ;dlaIKh we;=¨ lrñka tu fnda. j, B<. mrïmrdj wysñ fldg we;s w;r" tu m%fNao j.d lrk f.dúhd ;u iud.fukau wod, îc ñ, § .ekSug fkdfyd;a" ;u iud.u u; i|ygu hefmk jyf<l= njg m;a lr we;' WodyrKhla f,i jeä ÈhqKq l< .ia,nq f.ä j, îc yg fkd.ekSu fyda yg .efkk îc j| îc ùu;a" ire îc iud.fuka ñ, § .ekSu i|yd îc lsf,da tllg remsh,a ,laIhl muK úhoula ±Íug f.dúhdg isÿ ùu .; yel' uq,§ uy;a n,dfmdfrd;a;= o,ajdf.k

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isá fuu cdk fjkia l< wdydr ;dlaIKh" fï jk úg ìh ckl frda. ckkh lrk wkd.;hla lrd ukqj. ;,a¨ lrñka mj;sk njg m%n, iel ixld we;s flfrñka mj;skjd' Marie-Monique Robin keu;s .fõYKd;aul iskudlre úiska ks¾udKh l< “The World According to Monsanto” keu;s jd¾;d Ñ;%máfhka kQ;k îc iud.ï úiska rgj, úoHd{hskag" foaYmd,k{hskag" ckudOHfõ§kag lrkq ,nk w,a,ia §ï" ìhg m;a lrùï" /jàï" u¾Okhka hkdÈh yryd lrkq ,nk zwd¾Ól >d;l l%shdoduhZ tlS w;a±lSïj,g ienúkau uqyqK ÿka mqoa.,hska úiskau fy<s lrkq ,nk f;dr;=re weiqßka fudkjg meyeÈ<s lrhs' (http://www.youtube.com/ watch?v=N6_DbVdVo-k) idïm%odhsl fNda. j, wdYap¾hu;a frda. ksjdrK .=Kh `le,sf*dakshd úiaj úoHd,fha fmdaIK úoHd uydpd¾hjrfhl= jk Alyson Mitchell, PhD úiska isÿ lr we;s is;a .kakd iq¨ m¾fhaIKhla flf¾ wmf.a wjOdkh fhduq lrkq jà' lDIs ridhksl øjH Ndú; fkdlr idïm%odhsl j.d l%u j,g wkql+,j j.d l< jeä ÈhqKq fkdl< merKs ;lald,s m%fNao j, ms<sld kdYl .=Kh we;=¨ Tiq .=K rdishla i|yd fya;= jk —,hsfldmSka˜ we;=¨ Ydl ridhkslhka ishhg 30 lska muK jeä nj fy<s ù ;sfnkjd' furg iïm%odhsl ;lald,s j¾. jk f.drl

;lald,s" rg ngq wdosh fï wkQj fudk ;rï fmdaIHckl úh yelso@ fmare rfÜ iajfoaYslhska úiska wkqNj l< merKs w¾;dm,a úfYaI i;=j" j;auka jeä ÈhqKq l< w¾;dm,a m%fNao j,g jvd Anthocyanins keu;s ms<sld kdYl Ydl ridhkslhka 28 .=Khlska ;sfnk njh' j,a wem,a o¾Yhla ms<sn| lr we;s fidhd ne,Sulg wkqj" tajd kQ;k wem,a j,g jvd 100 .=Khlska ms<sld" yDo frda." Èhjeähd kdYl Ydl ridhkslhkaf.ka fmdfydi;a nj ;yjqre ù ;sfnkjd' wefußldjg hqfrdamd cd;Ska meñKs uq,a hq.fha§ tys isá iajfoaYslhska jQ r;= bkaÈhkajreka úiska iq,nj wkqNj l< nv bßÕ= m%fNao lsysmhla úh' tajd ;o r;=" ks,a" oï" l¿" ÿUqre meyehkaf.ka úÑ;%j;a úh' ^fuu merKs bßÕ= m%fNao wo jk úg weußldfõ úis;=re ksIamdok i|yd Ndú; lrk w;r" wfma rfÜo fujeks nv bß.= m%fNao ;snqKq nj me/kakka mejiqj;a" fï jk úg tajd w;=reoyka ù we;& fuu ;o meye;s" úúO j¾Khkaf.ka hq;= bßÕ= m%fNao j, fmr lS wekaf;dihkska iy îgd lefrdáka wm wo wkqNj lrkq ,nk jeä ÈhqKq l< bßÕ= j, fuka 60 .=Khlska iq,nj wka;¾.; jk nj y÷kdf.k f.k ;sfnkjd' wekaf;dihkska iy îgd lefrdáka fmkSu iy m%;sYla;slrK moaO;sh jeä ÈhqKq lsÍug iy ms<sld kdYlhla f,i jeo.;a jkjd'

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Controversy wdydrfha Tiq .=Kh iy fmdaIK .=Kh w;=reoka lrjk" jeä ÈhqKq l< îc ;%ia;jdoh

;s;a;" lig rie;s fNda. fjkqjg ñysß rie;s wdydr fNda. wdfoaY ùu wm l=vd l< wkqNj l< t<j¿ j¾. fuka fkdj ±ka ldf,a j.d flfrk t<j¿ j, ;s;a; iy lyg rih ;=rka lr fyda wju lr ;sfnkq olskakg ms<sjk' ilia l< fmdf<dia jeks wdydr mjd fjf<|fmd<g bÈßm;a lsÍfïÈ tajdfha lyg bj;a lsÍug ridhksl øjH Ndú; lrkakg lshd fok lDIsl¾udka;hla o wmg ;sfí' ta wkqj ;s;a; rihla fkdue;s lrú< m%fNao o" r¿" weg f,dl=" meKs rifhka wvq" úÑ;%j;a nv bßÕ= fjkqjg ,d meye;s" yqrenqyqá" w;sYhskau rij;a bßÕ= hkdÈh jeä ÈhqKq l< îc ;dlaIKh yryd meñK ;sfí' tfy;a fmr lS Ydl ridhKslhka iq,n iïm%odhsl fNda. fndfydauhla" ks;ru tajdg wdfõKsl lig" ;s;a; rifhka hqla;h' kuq;a jeä ÈhqKq l< kj m%fNao j, iq,n ,laIKhla jkafka" tajdfha wdydruh ;ka;= wvq ùu iy msIaGh" ir, iSks iy f;,a j¾. j,ska fmdfydi;a ùuhs' fuh wmf.a ri bkaøshhka mskùug fya;= jqj;a" YÍrfha wfkl=;a jeo.;a bkaøshhka wdrlaId lr fokakgkï ;U fodhs;=jl fufyhla bgq fkdlrk nj b÷rdu mejish hq;=j we;' jvd Nhdkl ldrKh jkafka wdydr i;= Èú /l fok .=Kh ySk jk ;rug tajdfha wys;lr .=Kdx.hka tkï" iSks m%udKhka jeä lsÍu" ;ka;= wvq lsÍu wdÈh ksidfjka tu wdydr Èú

kik frda.dndO j,g fya;= fjñka mej;Suhs' weg;a Wkaf.a''' fmdfydr;a Wkaf.a''' f,v wmgh''' fnfy;=;a Wkaf.auh''' f,dalfha m%Odk;u lDIs ridhk øjH ksIamdolhska yh fokd" f,dj m%uqL;u îc fjf<kaokao fjhs' rcrg jl=.vq frda.fha m%Odk j. W;a;rlrefjla hehs lshkq ,nk .a,hsfmdfiaÜ j,a kdYlh f,dj wxl tfla îc ksIamdolfhl= jk weußldkq fudkaiekafgda iud.fï ksIamdokhls' ±ka furg îc fjf<odu iïmQ¾Kfhkau mdfya úcd;sl îc iud.ï úiska .s<f.k isák w;r" m<sfndaOkdYl iy ridhksl fmdfydr iu. iycSù meje;aula îc iud.ï iu. ;sfnk nj meyeÈ,s fjhs' wfkla w;g we;eï f,dj m%uqL;u T!IO iud.ï f,dj m%uqL;u jeä ÈhqKq l< îc iy lDIsridhksl øjHhka ksIamdolhkao ùfuka fulS iycSù meje;afï kreu iajrEmh wmg meyeÈ<s fjhs' idïm%odhsl fNda. j.dj foig wdmiq yefruq mdrïmßlj mßKduh fjñka" iqfmdaIKh fjñka" fjk;a rgj,a j,ska iy cd;Skaf.ka ,o fyd| wdydr j¾." fNda. j¾." wdydruh mqreÿ'' wmg .e,fmk wdldrhg Wlyd .ksñka fmdaIKh jqKq ta úYsIag wdydr fõf,ys Wreuh wmf.a me/ kafkda i;= úh' hg;a úcs;jd§ka iy f.da,ShlrKh úiska Y%S ,dxlslhskaf.a .uk wdmiq yrjd we;' Tjqka wfma úYsIag wdydr mßfNdack rgdj fukau Wiia fmdaIKSh wdydr j¾.o

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furgáka w;=reoyka lf<Ah' furg Wiia îc j¾." cdk iïm;o iu.u fld,a, ld .;a Tjqka wm fudav wkqldrljd§ ksjgqka njg m;a lr" iqÿ mdka msá" iqÿiSks" lsßmsá" wem,a" ñÈ" ákaud¿" flda,dîu" óÜfnda,a" fidfiacia" iSßh,a hkq iqmsß wdydr hehs ys;k u;k iqm¾ ud¾lÜ mdßfNda.slhska msßila njg m;a lrjk ,oS' ysre" i÷" ;drld" uy fmdf<dj" .ia je,a" ó ueiaikaf.a myi fkd,o iajNdúl;ajh uq,sKqmqgd ±uQ wdydr rgdjla jix.;hlaj ñksid .s,f.k me;sr hñka ;sfí' fuh ffokslj W.%fjñka mj;sk ySkaiSrefõ wmj urKh lrd f.k hk" uy Nhdkl frda.dndO /ilg uQ,slu fya;=jlaj we;s nj lK.dgqfjka jqj lsj hq;=j we;' iajNdúl iïm%odhsl wdydr j, jákdlu;a" .=K uysuh;a" tajdg ksis iqrlaIs; byqï msyqï l%u ms<sn|j;a kQ;k mrmqr lsisjla okafka ke;' flala" mqäka" m%hsâ rhsia ms<sfh, lrk yeá lshd fok''' w,fld< jExckh" fldiaweg l¿fmd,a jExckh" wdku" kshU,dj" y;aud¿j lshd fkdfok wOHdmk l%uhlao wmg Wreu fldg we;' wfkla w;g iïm%odhsl fNda. iy bfí jejqKq wdydr fNda. iqrlaIs; lr fkd.;a ksidfjka iy jeä ÈhqKq l< cdk fjkia l< fouqyqka l< fNda. j¾. muKla j.d lsÍu ksidfjka tajdfha cdk iïm;o msßyS .sfhah'

ñksiqka nyq;rhla È<s÷ka jqjo Tjqka fmdaIKh lsÍu i|yd uy fmdf<dj i;= yelshdj b;d iqúYd,h' ta yelshdjka y÷kd .ekSu;a" tajd .ek ñksiqkag lshd § ñksiqka iú n, .ekaùu;a wo ojfia m%uqL ld¾hNdrhla ù we;' idïm%odhsl fNda. j¾.j,g ukqIH j¾.hdf.a fi!LH yd fmdaIKh fjkqfjka l< yels ld¾h Ndrho w;s úYd,h' tajd y÷kdf.k" tajdfha jeo.;alu ksis f,i wOHhkh fldg" tajdfha Ndú; jQ l%u Ys,am wog .e<fmk mßÈ .<md wkd.; ;sridr meje;aula we;s jk fia ixj¾Okhg WÑ; mßÈ fhdod .kakd wdldrh wm jy jyd fidhd ne,sh hq;=j we;' tfia fkdlf<d;a" g%elagf¾ hlv .cfika l=xp kdofhka we,¨k jDlaI foaj;djqka ìu jeà mK .ik fõokdnr y~g wixfõ§ wmf.a ysia" jElkao lvd ìï lgq lïìfhka fnod fírk ìfï ysi .id oukd lvqjg lemS lajka|hka njg m;a jk Èkh jeä wE;l fkdjkq we;'

^uQ,dY% - idïm%odhsl wdydr - isß,a lreKdr;ak" zzwdydr yd fmdaIKh ms<sn| iudc udkj úoHdjZZ - wdpd¾h ta' ta' chka; chisß& .euqKq id,sh fmf¾rd uyck fi!LH mÍlaIl - we,a, ^nKavdrfj,&

ffjoHjrhd

Dairy lsß yd lsß wdydr fldhs ljqre;a .;hq;= úosy fïlhs

lsß yd lsß wdydr fldhs ljqre;a .;hq;= úosy fïlhs lsß yd lsß wdydr .ek Tn o; hq;= lreKQ lsß ish¨u jhia ldKAv j,g wh;a jQjka i|yd iqÿiq jQ ldfndayhsfâ%g ^,elafgdaia&" fïo" fm%daàk" úgñka yd LKsc ,jK wvx.= iïmQ¾K wdydrhls' udi 6 g wvq orejka i|yd uõlsß wksjd¾h jk w;r wfkl=;a lsß yd lsß ksIAmdok fuu jhia ldKAvh i|yd iqÿiq fkdfõ' <uqka yd fh!jk wjosfha miqjk wh i|yd lsß yd lsß ksIAmdok wdydrhg .ekSu jeo.;a jk w;r Tjqkaf.a o;a yd wiaÓ j¾Okh i|yd lsß ksIamdok w;HjYH fõ' fuu iqúfYAIS wjosfha isÿjk iS>% YÍr j¾Okh Wfoid w;HjYH fmdaIl jk le,aishï yd fmdiamria lsßj, iq,nj mj;akd w;r" meKsîu fjkqjg lsß îu i|yd fhduq lsÍu b;d jeo.;a fõ'

11 jk l,dmh

lsßj, wvx.= fmdaIl úgñk lsßj, ie<lsh hq;= m%udKhla B ixlS¾Khg wh;a úgñka wvx.= fõ' úfYAIfhka lsrsj, wvx.= î 12 úgñkh iakdhq moaO;sfha ksis l%shdldß;ajhg fukau r;= reêrdKQ ksIAmdokhgo jeo.;a fõ' iïmQ¾K fhdoh iys; lsß" úgñka A j,ska fmdfydi;a jk w;r fïoh rys; fyda wvqfïo lsß j, úgñka A wka;¾.;h b;d w,amh' fïo rys; fyda wvq fïo lssßj, zfïofha oshjk úgñkaZ wka;¾.;h' b;d wvq jqj;a kej; tl;= lsÍu fyda n,lrKh ;=<ska fuu úgñka kej; wdydrhg tl;= l< yelsh' LKsc ,jK le,aishï yd fmdiamria nyq, wdydrhla jk lsß" wiaÓ iy o;a j¾Okhg jeo.;a fõ' lsß j, wvx.= le,aishï YÍrhg myiqfjka wjfYdaIKh fõ' tfukau iïmQ¾K fhdoh iys; lsßj, wka;¾.; le,aishï m%udKh tl iudkh' cSú;fha miq ld,fhaoS je<|sh yels Tiaáfhdafmdfrdaisia keue;s wiaÓ ;=kS ùfï frda.h j<lajd .ekSu i|yd oskm;d lsß fyda lsß wdydr mßfNdackhg .ekSu fhda.Hh' fïoh osklg wjYH Yla;s m%udKfhka ie<lsh hq;= m%udKhla ,ndoSu i|yd lsß j, wvx.= fïoh odhl fjhs' iïmQ¾K fhdoh iys; lsß j, ix;Dma; fïoh nyq,h' tfy;a fïo

rys; lsßj, fïoh iïmQ¾Kfhkau bj;a lr we;s w;r wvq fïo iys; lsßj, fïoh yß wvlg;a jvd wvqfjka wvx.= fõ' fïo rys; lsß jeäysáhkag wên/;s orejkag yd reêrjdysks wjysr;d frda. we;s whg jvd fhda.H fõ' thg fya;=j jkafka lsßj, we;s fïoh reêrjdysks j, ;ekam;a ùuhs' fïoh wvqlsß j, wvx.= Yla;s m%udKh" w;HjYH fïo wï, yd fïofha oshjk úgñka j¾. wvq neúka lsßmsá ks¾foaY lrk wjia:d j,oS wjqreÿ folg wvq orejka i|yd fïoh rys; lsß Ndú;h iqÿiq fkdfõ' iSks lsßj, wvx.= iSks zz,elafgdaiaZZ f,i kï lrhs' lsßj, wvx.= ,elafgdaia tosfkod Ndú;hg .efkk iqÿ yd ÿUQre iSks fuka o;a osrdhdu flfryS t;rï n,mEula we;s fkdlrhs'

fïo rys; lsß jeäysáhkag wên/;s orejkag yd reêrjdysks wjysr;d frda. we;s whg jvd fhda.H fõ lsß wdydr uqojmq lsß uqojmq lsß yd fhda.Ü Y%S ,xldfõ nyq,j Ndú;d lrk lsß wdydr fõ' fhda.Ü yd uqojmq lsß ksIAmdokfhaoS lsß meiùulg ,la lrhs' tu.ska tys

ffjoHjrhd

Dairy lsß yd lsß wdydr fldhs ljqre;a .;hq;= úosy fïlhs

úgñka B ixhq;sh by< hhs' uqojmq lsß yd fhda.Ü j, we;s by< fm%daàka ixhq;sh tys we;s le,aishï YÍrhg by<h' tneúka t<lsß j,ska idok ,o uqojmq lsß j,g jvd ó lsß j,ska idok ,o uqojmq lsß fyd|ska >k fõ' fhda.Ü fhda.Ü ksIAmdokhg fhdod .kakd nelaàßhdjka ñksidg fi!LHuh ys;lr m%;s,dN ,ndfohs' iuyr fhda.Ü j¾. ksIAmdokfhaoS ys;lr nelaàßhd ^fm%danfhdaálaia& j¾. tl;= lrhs' th wdydr cS¾K moaO;sfha ksis l%shdldß;ajhg Woõ lrhs' Öia" lsß fukau fmdaIK .=Kfhka wkQk wdydrhls' tfy;a Öia j, ix;Dma; fïoh iy tl;= lrk ,o ¨KQ by< uÜgul mj;S' tu ksid iïmQ¾K fhdoh wvx.= Öia wdydr .ekSfïoS ie<ls,su;a jkak' Tiaáfhdafmdfrdaisia oS¾> ld,hl isg wiaÓ ;=kSùu iy wiaÓ >K;ajh wvqùu ksid wiaÓ ì|S hdfï ;;a;ajh Tiaáfhdafmdfrdaisia kñka yªkajhs' l=vd l< isg lsß yd lsß wdydr oskm;d wdydrhg tl;= lr .ekSu u.ska fuu ;;a;ajh j<lajd .ekSug yelsh' ,elafgdaia wid;añl;djh lsß úYd, m%udKhla ^lsß ñ,s ,Sg¾ 50 fyda Bg jeä m%udKhla& tljr mdkh lsÍu ksid mdpkh" nv msmqu jeks Worfha wid;añl;djhka iuyr mqoa.,hskag we;s úh yelsh' fuh ,elafgdaia wid;añl;djh

f,i yªkajhs' tjeks mqoa.,hska lsß Ndú;fhaoS th iaj,am m%udKhla ^ùÿre 1$4 ne.ska uq,ska f,i m%udKh l%u l%ufhka jeä l< hq;=h' uqojmq lsß yd fhda.Ü j, wvx.= ,elafgdaia meiùfïoS ,elaála wï,h njg m;a fõ' tu ksid ,lafgdaia wid;añl;dj we;s whg fujeks wdydr jvd iqÿiqh' wdydr fõ,lska miq lsß iaj,am m%udKhla lsÍu fyda fhda.Ü fyda uqojmq lsß wdydrhg .ekSu u.ska fuu ;;a;ajh md,kh lr.; yelsh' ;jo lsßj, wvx.= fm%daàk i|yd wid;añl;dj olajk whg fidahd lsß fhda.H fõ' wm úiska osklg mßfNdackh l< hq;= lsß m%udK - kejqï lsß mSßis fldamam$úÿre 1la ñ,s ,Sg¾ 200 - uqoj¨ lsß mSßis fldamam 1 ^ñ,s,Sg¾ 100& fyda fhda.Ü 1 - msá lsß fïi ye|s 2 la fhdod idok ,o lsß úÿre 1la by; i|yka lsß fyda lsß wdydr j,ska 1la fyda 2la oskm;d .ekSu ´kEu wfhl=g iqÿiq fõ' tfy;a <uqka" fhdjqka úfha miqjkakka" .¾NKS yd lsß fok uõjreka le,aishï wjYH;djh by< neúka lsß fyda lsß wdydr folla oskm;d .ekSu iqÿiq fõ' fïo rys; lsß jeäysáhkag wên/;s orejkag yd reêrjdysks wjysr;d frda. we;s whg jvd fhda.H fõ'

11 jk l,dmh

ffjoHjrhd

Ear Infection lka lelal=u ks;r yefokjd kï Tn ie<ls,su;a úh hq;=hs

lka lelal=u nyq,j olskak ,efnkafk l=vd orejka w;rhs' ì<s÷ orejkag lka lelal=u we;s jqfKd;a th lshd .kakg neßlu ksid fõokdjla" wmyiqjla fmkajñka y~kak mq¿jka' fufia fya;=jla fidhd .; fkdyelsj l=vd orejl= È.ska È.gu y~kjd kï orejdf.a lfka wudrejla ;sfí±hs fidhd ne,Sug ffjoHjrhl= fj; f.k hdu jeo.;a'

lka lelal=u ks;r yefokjd kï Tn ie<ls,su;a úh hq;=hs W.=r lk yd kdih ms<sn| úfYaI{ ffjoH tA' î' lsß|k bjid ord .kak wmyiq fõokd lelal=ï w;rg lka lelal=u;a whs;shs' fï lka lelal=u lfka we;s jk iq¿ wmyiq ;;a;ajhl isg bjid bkak neß ;on, fõokdj olajdu me;sÍ hkak mq¿jka'

lka lelal=u we;s jk fya;= 1' lfkysu we;s jk m%Yakhla ksid fï ;;a;ajh fndfyda úgu we;s jkafka msg; lfkys fyda ueo lfkys we;sjk m%Yakhla fya;=fjkqhs' tl fya;=jla ;uhs wm l,d÷re jYfhka y÷kajk bá' fïjd ;sfnkafka lkaj, wdrlaIdjgh' tys wef,k iq¿ iajNdjhla we;s ksid ¥ú,s jeks ishqï foaj,a jf.au úIîc wd§ fkdfhl=;a wd.ka;=l foaj,aj,g lka we;=<g hdug fkdyelsj bá mg,fhys wef,kjd' fï bá lka ye¢ wdÈfhka bj;a lsÍu wjYH kE' tAjd bfíu msg;g meñfKkjd' iuyrekaf.a bfí msg;g fkdmeñŒu ksid ysr fjkak mq¿jka' túg lka lelal=u yg .kakjd' ks;r lka Y=oaO lrk whf. bá ;o ùu jeähs' bfí we;sjk fya;= w;rg úúO wid;añl;d;a i<lkak mq¿jka' ks;r lka msßisÿ lsÍu iy lka leiSu ksid wid;añl;d yg .ekSfï yelshdj jeäfõ'

11 jk l,dmh

tfiau lfka wn weghla ;rï l=vd ierj f.ähla we;s jqK;a túg;a lkaj, ;o lelal=ula we;s fjkjd' wd.ka;=l øjH lfka /£ ;sîu;a lka lelal=ug fya;=jla' l=vd weg j¾. jf.au lsks;=,a,ka jeks i;=ka lk ;=< isàu ksid wêl lelal=ula yg .; yelshs' ms<sld yd ms<sld fkdjk f.ä j¾.o wid;añl;d we;s ùug fya;=fjkjd' ueo lfka wid;añl;d l=vd <uhska w;r nyq,hs' fiï frda. we;s orefjl=g idudkH fiïm%;sYHdjlska miq fuh yg .kak mq¿jka' ueo lfka mSvkh md,kh lrkafka bhqiafÜúhka kñka y÷kajk kd,hhs' fuu kd,fha l%shdldß;ajh yßyeá isÿ fkdjk úg;a lka lelal=u we;s fjkjd' fiï frda. yd fiïm%;sYHdj we;s úg l=vd orejka ;=< lka lelal=u we;s jkafka fndfyda úgu fï fya;=j ksihs' tA jf.au .=jka .ukaj,§" iS;, foaY.=Khl§ lka lelal=u yg .ekSug;a th fya;=jla' bhqiafÜúhka kd,h ksis f,i l%shdldÍ fkdùu ueo lfka wdidok we;s ùug;a n,mdkjd' 2' fjk;a fõokdjla ksid lka lelal=u yg .ekSu ^Referred Pain& uq,ska lS ;;a;ajh we;s fjkafka lfkau fodaIhla ksihs' fuys§ isÿjkafka tys m%;súreoaO me;a;' tkï fjk;a ;ekl ;sfnk m%Yakhla ksid lka lelal=u yg .ekSuhs' lkg iïnkaO iakdhqj YÍrfha fjk;a ia:dkj,g;a iïnkaO

jkak mq¿jka' tys§ lkg m%Yakhla we;s jkafka kE' tA m%Yakh ;sfhkafka lfka fkdjk ksihs' fyd|u ksoiqk ;uhs o;a lelal=u ;sfnk wjia:djl tA me;af;a ;sfnk lfka;a lelal=u we;s ùu" W.=f¾ fiï f.ä ;sfnk úg;a lka lelal=u we;s fjkjd' tA jf.au kdifha yd W.=f¾ we;sjk wid;añl;d jf.au ms<sld iy ms<sld fkdjk f.ä ksid;a lka lelal=u yg .; yelshs' “i¾ðl,a iafmdkaäf,daisia” frda.fha§ o fn,af,a we;s jk lelal=u lfka;a yg .kakjd' 3' iakdhqj, fodaI ksid we;sjk lelal=u fuys§ lka lelal=u we;s jkafka lkg wdikakfha ;sfnk úúO iakdhq u.skqhs' Èhjeähd frda.h" y¾mSia fidiag¾ frda.h we;s whg fufia lka lelal=u yg .ekSfï yelshdj ;sfnkjd' frda.h uekúka y÷kd .ekSu jeo.;a''' lka lelal=u we;súg iúia;rd;aul f;dr;=re ffjoHjrhd úiska ,nd .; hq;=hs' lka mÍlaId lsÍug wu;rj fuys§ W.=r" uqL l=yrh mjd mÍlaId lsÍug isÿ fjkjd' iuyr úg tlaiaf¾ mÍlaIKhla wjYH úh yelshs' frda.h kshu wdldrfhka ks¾Kh lsÍfuka miq m%;sldr tA wkqjhs ;SrKh jkafka' hï fyhlska lka fnrh isÿre ù we;akï lka weiSu wvqfjkjd' túg T!IO m%;sldr uq,§ ,nd fok w;r fuh l,lg Wv§ isÿjQ isÿre ùula kï ie;alulska fndfyda úg h:d ;;a;ajhg m;a l< yelshs'

ffjoHjrhd

Advertorial fõokdjg blauka iqjh welaia Ths,a T!Iëh ixfhda.h

fõokdjg blauka iqjh

welaia Ths,a T!Iëh ixfhda.h w;S;fha isg ish¨ fõokdjkag CIKsl iykhla f,i Ndú; lrk ,oafoa fkdfhl=;a fm;s j¾. iy wdf,amk j¾. fõ' kuq;a oekg fidhdf.k we;s lreK kï fuu fm;s j¾. iy wdf,amk u.ska w;=re wdndO we;sjk njhs' fuhg Èh yels fyd|u ms<shu kï msg;ska .,ajk wdf,amk j¾.hka iy T!Iëh ixfhda. hla jk welaia Ths,a ixfhda. hhs' fuh w;=re wdndO rys; T!Iëh ixfhda.hls' jir 70 lg jeä b;sydihla we;s welaia Ths,a isx.mamQrefõ ksIamdÈ; T!Iëh ixfhda.hls' ±kg Y%S ,xldfõ o fuh m%p,s; fjñka mj;sk w;r" fuh y÷kajd§ we;af;a ysiroh" fiïm%;sYHdj"

CIKsl iykh" fkdwef,kiq¿ .;sh" ´kEu wjia:djlg WÑ; f,i Ndú;h" Ndú;h i|yd c,h fyda fjk;a úl,am l%u wjYH fkdùu" b;d kejqï yd m%ikak iqj|lska hqla; ùu" myiqfjka f.k hd yels wdldrhg ksIamdokh lr ;sîu" f,dl= l=vd ldyg;a fuh wjYH ´kEu fj,djl Ndú; l< yels ùu" woaú;Sh iqrCIs; weiqreu ksid wmf;a fkdhdu'

11 jk l,dmh

weÕm; fõokdj" Worfha fõokdj" uiams~q fõokdj" ykaÈm;a reodj i|yd läkï iykhla jYfhks' fuu welaia Ths,a ìxÿ folla fyda lsysmhla msg;ska wdf,am lsÍu u.ska CIKsl iqjh yd iykh b;d úYajdijka; f,i" w;aú¢h yel' welaia Ths,a úfYAI;d CIKsl iykh" fkdwef,kiq¿ .;sh" ´kEu wjia:djlg WÑ; f,i Ndú;h" Ndú;h i|yd c,h fyda fjk;a úl,am l%u wjYH fkdùu" b;d kejqï yd m%ikak iqj|lska hqla; ùu" myiqfjka f.k hd yels wdldrhg ksIamdokh lr ;sîu" f,dl= l=vd ldyg;a fuh wjYH ´kEu fj,djl Ndú; l< yels ùu" woaú;Sh iqrCIs; weiqreu ksid wmf;a fkdhdu' b;du;a myiq ñ,g ´kEu fjf<|i,lska yd isxy fyda,aäka.aia wdh;kfhka fuh ñ,§ .; yelsh' 3ml re' 70$- jk w;r" 5ml$10ml$28ml$56ml jYfhkao ,nd.; yel' YS% ,xldj ;=< m%Odk tl, wf,ú ksfhdað; wdh;kh f,i lghq;= lrk isxy fyda,aäka.aia fm!oa.,sl iud.u foysj, msysgd we;' fuu wdh;khg iïnkaO fjk;a wkqnoaO wdh;khka lsisjla fkdue;' tneúka wkqlrKj,g fkd/jfgk f,i isxy fyda,aäka.aia fm!oa.,sl iud.u wmf.a mdßfNda.sl ck;djf. ka b,a,d isáhss' welaia Ths,a ñ,§ .ekSfï§" ksIamdÈ; rg isx.mamQrej

f,i i|yka ±hs fyd¢ka fidhd n,d ñ,§ .kafka kï jHdc wkqlrKj,ska wdrCId úh yelsh' fuu welaia Ths,a ixfhda.h §m jHdma; lsÍu i|yd wm úiska m%cdi;aldr isÿ lrñka isák w;r" iEu j¾Ihlu fïjd jHdma; lrñka isáhs' fuu m%cd i;aldrhka lsisÿ wh lsÍulska f;drj isÿ lrhs' wmf.a m%cd i;aldrhka iuyrla  isßmd iufha isßmd u¿j kuÈk ne;su;=kaf.a iykh i|yd lghq;= lsÍu'  ñyska;f,a iufha tu ia:dkh kuÈk ne;su;=kaf.a iykh i|yd lghq;= lsÍu'  ;ka;sßuf,a o tu úydrh kuÈk ne;su;=kaf.a iykh i|yd lghq;= lsÍu'  is;=,amõj rc uyd úydrfha ie±yej;a ne;su;=kaf.a iykh i|yd lghq;= lsÍu' fuu ish¨ fiajdjka iñnkaOfhka lsishï fhdackd we;akï jeä úia;r i|yd isxy fyda,aäka.aia fm!oa.,sl iud.u" fkd' 05" chka;s mdr" foysj, hk ,smskfhka fyda 0112 714789" 0112 737286" 0773 952622 hk ÿrl:k wxlj,ska úuiSï l< yelsh'

ffjoHjrhd

Injury Prevention úl,dx. wk;=re j,luq'''

úl,dx. wk;=re j,luq''' Preventable Orthopedic Injuries

Wmfoia úl,dx. úfYaI{ ffjoH Wodhs o is,ajd úl,dx. wdmodjla we;sjkafka hïlsis jeàulg tfyu;a ke;akï wk;=rlg md;% jQ úg muKlehs is;kafkda wh;a jkafka nyq;rfha ldKavhgh' fï jerÈ is;sú,a,ls' wmg is;du;d lrk ls%hdldrlï j,ska úl,dx. Wmøj we;sùu j<lajd.; yelsh' we;af;kau Tn úl,dx. wdmod we;s fkdùug j.n,d .kakd wfhla kï Tn l< hq;af;a o tjka wk;=re mQ¾jfhka u j<lajd .ekSug mshjr .ekSuhs' Tng j<lajd.;yels iq,n úl,dx. wk;=re 4 la .ek i|ykls fï' oKysia nkaOks bÍu ACL Tears oKsia ikaêh iE§ we;af;a nkaOks y;rl iy ixfhda.fhks' thska m%Odk nkaOkshla jkafka Anterior Cruciate Ligament kï nkaOkshhs' oKsfia iunr;djh uekúka mj;ajd.ekSug fï iqúfYaIS nkaOksfhka ,efnk iïudou iq¿mgq fkdfõ' tfiau oKsfia jvd;a Wmøjhg m;ajkafka o fulS nkaOksh wdYs%; l,dmhuhs'

11 jk l,dmh

wdmodjg m;a ACL ms<silr lsÍug Y,Hl¾uhla wjYHh' ta yereKq úg udi .Kkl mqkre;a:dmk ls%hdj,shla o wjYHh' u<, lS%vlhka" fjfiiskau ldka;d u<, l%Säldjka fuu ACL Tear kï oKsia wdYs%; nkaOks bÍfuka je<lSug mshjr .; hq;= h'

fldkafoa weú,s,a, Back Strain fldkafoa là fmfoi weú,s,a, ´kEu flfkl= j;djla folla fyda uqyqK fok .eg¿jls' we;af;kau fldkafoa wudre j,ska fmf<k ish oyia ixLHd; ñksiqka ÿ,n fkdfõ' nr tiùfï ksjerÈ l%ufõohlg wkq.; ùu ;=<ska fndfyda fokdg fï weú,s,a, - fldkafoa wudrej j<lajd.; yel' È.=l,a w,a,d isák ;Sj%.; frda.hla f,i úldYh jQj;a fndfyda fldkafoa wudre fujka jerÈ nr tiùuls' ke;fyd;a jerÈ bßhõjls' Wl=,a ikaêh ì£u Hip Fracuture Wl=,a ikaêh wdY%h lr.;a wiaÓ ;=kS ùu" tys wiaÓ ialkaOh ySk jQ úg Wl=,a wegh wjikaê fõ' ke;fyd;a

W!¾OjdiaÓh f., m%foaYh ì£ hhs' fuu È.=ld,Skj ú|jk úl,dx. .eg¿jg fndfyda úg uqyqKmdkafka Tiaáfhdafmdafrdaishdjg k;= jQ whhs' Wl=,a ikaê wdYs%; .eg¿ j,ska ñ§ug kï fuu Tiaáfhdafmdafrdaishd ,laIK y÷kdf.k ;;a;ajh u¾Okh lr.ekSug mshjr .; hq;=h' wej;=ï mej;=ï j,§ m%fõiu fmroeß lr .; hq;= h' jhi wjq 65 blaujQ wfma fcHIaG ck.ykh wia:s ì|Sï .ek úfYaI Wkkaÿjla oelaúh hq;= h' Wear & Tear Arthritis ikaê m%odyh jvd;a u iq,n wd;rhsáia wdldrh y÷kajkafka Osteoarthritis hkqfjks' thu Wear & Tear Arthritis f,io y÷kaj;s' fuu frda.h yqfola tla fya;=jla muKla mokï lrf.k we;s jkakla fkdfõ' ta fjkqjg fya;= iuqodhla uq,a lrf.k Osteoarthritis ;;a;ajh j¾Okh fõ' jhia.; ùu" m%fõKsh jeks wmg md,kh fkdl<els idOl fukau nr jeäùu" ls%hdldÍ fkdjk ^w,i& Ôú;hla .; lsÍu wdÈh wmg md,kh l< yels idOl o ;sfí' Osteoarthritis frda.fha uq,a jljdkq j,§ ta ;;a;ajh jeä j¾Okh ùu j<lajd .ekSfï mshjr .; yelsh' tiùu Bunions uymgwe`.s,af,a we;=¿ me;a;g jkakg we;sjk tiùula (Bump) ksid we;sjk fõokdldÍ ;;a;ajhla Bunion f,i ye¢kafõ' fïjdo we;sjk uq,a wjia:dfõ§ ksis m%;sl¾u fh§fuka j<lajd.; yelsh'

ffjoHjrhd

100 ffjoHjrhd

Technology ,dxflah yoj;a ie;alï jxYdj,sfha" úYañ; kj fmr<shlg uq, mqrk wdisß Y,H frday,

fuu ,smsh Tn fj; bosßm;a lrkafka wdisß ridhkd.dr fiajdj u.sks

Minimally Invasive Coronary Surgery ,dxflah yoj;a ie;alï jxYdj,sfha" úYañ; kj fmr<shlg uq, mqrk wdisß Y,H frday, wd

isß frday,a iuqyhg wh;a wdisß Y,H frday, kùk;u iqjfiajd ;dlaIKhka Ndú;hg .ksñka jvd;a úYsIaG fiajdjla ;j mdßfNda.slhskag iemhSug iu;aj isákjd'

w;s kùk ±ä i;a l dr ta l lhka " yÈis m% ; s l dr fia j djka " kùk Wmdx. hka f .ka iukaú; jq Y,Hd.dr myiqlï" MRI iy CT ialEka myiqlï wd§ fiajdjka .Kkdjlau mdßfNda.slhskag wdisß Y,H frdayf,ka ,nd fohs' Mics ;dlaIKh hgf;a nhsmdia yoj;a ie;alu' Minimally invasive coronary surgery fï jk úg wdisß Y,H frday, idïm%odhsl f,i isÿlrk yoj;a ie;alï l%ufõoh mßj¾;khlg ,la lrñka kj wdrl wdrlaIs; ;dlaIKsl l%ufõohla nhsmdia yoj;a ie;alï i|yd y÷kajd §ug iu;a j isà' Mice ^minimally inasive coronary surgery& f,i kï lr we;s fuu ;dlaIK l%ufõoh hgf;a yoj;a ie;alu l=vd lemqula wdOdrfhka isÿ lrhs'

11 jk l,dmh

wjodku wvqhs" blauKska iqjh ,eìh yelshs fuu yoj;a ie;alu u.ska frda.shdg we;s jk wjodku idudkH ie;alug jvd fndfyda fihska wvqhs' Y,Hl¾uh fya;=fjka we;sjk ;=jd,h fnfyúka l=vd ùu ksid b;d flá ld,hlska ;ukaf.a tÈfkod idudkH csú;hg meñKsh yelshs' tfukau ie;alfuka wk;=rej ;=jd,h wdY%s;j fjk;a úIîc wdidokh ùula fyda reêr jykhla we;s ùug we;s bvlv w;sYhska iSudiys; fõ' wdisß Y,H frday, úiska Y%s ,xldfõ Y,H ffjoH lafIa;%hg uq,ajrg y÷kajd ÿka fuu MICS ;dlaIKh Ndú;d lrñka fï jk úg ie;alï .Kkdjla isÿlr we;' oekgu;a ie;alï /il id¾:l;ajh wm i;=hs tu ie;alï ish,a, w;sYhska id¾:lj we;s nj wdisß frdayf,a yoj;a ie;alï i|yd úfYaI{ Y,H ffjoH úfõla .=ma;d uy;d mjid isáhs' ±kg fuu ;dlaIKh hgf;a yoj;a ie;alï isÿlsßug osjhsfka yelshdj we;af;a wdisß Y,H frday,g muKls' fuu ie;alu i|yd lemqu w`.,a 2;a w`.,a 3la w;r m%udKhls' idudkH nhsmdia yoj;a ie;aluloS w`.,a 8;a 10;a w;r lemqula fhoSu ixixokd;aulj úuikak' fuys we;s m%Odk jdishla jkafka mmqfõ ueo msysá wiaÓfhys lemqula isÿ fkdlsÍuhs' reêr kd, wjysr ù we;s ia:dk lsysmhl wjysr;d u`. yrjd .; yels ùuhs' idudkH nhsmdia ie;alul§ frda.shd i;s yhl ld,hla úfõl .; hq;=h' kuq;a fuu ie;alfuka miqj úfõlSj .; l< hq;=j we;af;a Èk y;rla muKs'

"Mics ie;alï l%ufõoh idudkH nhsmdia yoj;a ie;alug jvd cSú; wjodkfuka wvq" m%lD;su;a ;;a;ajhg meñKSug wju ld,hla .;jk ie;alï l%ufõohla f,i y÷kajd fokak mq¿jka' fuu Y,Hl¾uhg isÿlrk lemqu idudkH nhsmdia ie;alulg jvd b;du iq¿ lemqula" úfYaIfhkau Èhjeähd frda.Skag fuys§ we;s lrk lemqu .ek ìh fjkakg wjYH keye' fuu le<, l=vd ùu ksid ldka;djka jeä m%udKhla fuu ie;alug keUqre fjkjd'" -ffjoH úfõla .=ma;d oeka wjodku wvqu yoj;a ie;alï l%ufõohla wdisß Y,H frdayf,a''' yoj;a ie;alï j, kj udkhka'''

iïm%odhslj fhdok lemqu

MICS ;dlaIKhg wkQj fhdok lemqu

fmky¿ hka;%hlg iïnkaO lsÍu wjYH kE tfukau yoj;a ie;alu isÿjk wjia:dfõÈ idudkH nhsmdia ie;alul§ frda.shdf.a yoj; iy fmky¿ hka;%hlg iïnkaO lrk kuq;a fuu Mics l%ufõofhys § ie;alu isÿjkafka yojf;a l%shdldß;ajh tf,iu mj;sk w;r;=f¾Èh'

101 ffjoHjrhd

102 ffjoHjrhd

Technology ,dxflah yoj;a ie;alï jxYdj,sfha" úYañ; kj fmr<shlg uq, mqrk wdisß Y,H frday,

Mics l%ufõoh f,dalfha uq,a jrg fhdod.kq ,enqfõ 2013 uehs udifhaÈSh' fuu ie;alï i|yd úfYaI mqyqKqjla ,nd we;s yoj;a ie;alï ms<sn|j úfYaI{ Y,H ffjoH úfõla .=ma;d fï jk úg id¾:lj ie;alï 11la Mics l%ufõoh hgf;a isÿ lr we;' bkaÈhdkq frday,a úiska isÿ lsÍug ue<s lula ±lajq YÍrfha nr lsf,da.%Eï 130 lg jeä frda.sfhl=go fuu Mics l%ufõoh hgf;a yoj;a ie;alula id¾:lj isÿ lr tu frda.shd iqjm;a lsÍug Y,H ffjoH úfõla .=ma;d iu;a úh'

zzbÈßfha § wmf.a wNsm%dh jkafka Mics ie;alï l%ufõoh Ndú;d lrk f,dj úYsIaG;u frday,la njg wdisß Y,H frday, m;a lsÍuhs'ZZ -wdisß Y,H frdayf,a ffjoH wOHCI ffjoH rejka fiakd;s,l fhdok lemqu wjuhs

úiska isÿ lrk ,§' Y,Hl¾uhg ,lajq frda.shdf.a reêr kd, lsysmhl we;s jq ixlS¾K frda.S ;;a;ajhla fuhg fya;=úh' bkaÈhdfõ m%uqL úfYAI{ Y,H ffjoH fmf<a frday,aj, úfõla .=ma;d mjd Mics l%ufõoh fhdod.ksñka tljr reêr kd,sld foll we;s wjysr;djhkag iïnkaO nhsmdia ie;alï isÿ lsÍfï miqnEï olakg ,efí' flfia fj;;a fujka mq¿,a mrdihl yoj;a ixl+,;d iys; yoj;a frda.Ska wdrlaIs;j Mics l%ufõoh weiqf¾ iqjm;a lrk ol=Kq wdishdfõ úYsIaG;u frday, wdisß Y,H frday, nj ffjoH úfõla .=ma;d fmkajd ÿkafkah' Mics ie;alï l%ufõohg wjYH kj ffjoH WmlrK wdkhkh lr we;af;a wefußld tlai;a ckmofhka iy hqfrdamSh rgj,ska' Mics ie;alï l%ufõoh Ndú;d lrk ol=Kq wdishdfõ úYsIaG;u Y,H frday, njg m;a ùug wdisß Y,H frday,g wjldY ,efnkjd' jir 15 lg wêl ld,hla yoj;a frda. ms<sn| Y,H ffjoHjrfhl= f,i fiajh lrk Y,H ffjoH úfõla .=ma;d fï jk úg yoj;a ie;alï 8000 lg wêl ixLHdjla fufyhjd ;sfnkjd'

úi,a jmißhl mqfrda.dñhd fjñka''' Mics l%ufõoh Ndú;d lrñka 2014 jif¾ iema;eïn¾ udifha§ b;d úr, ie;alula Y,H ffjoH úfõla .=ma;d

igyk wkqrdOd È,sks b,kafldaka

11 jk l,dmh

103 ffjoHjrhd

104 ffjoHjrhd

Cosmetic and aesthetic surgery rEm,djkH ie;alï .ek Tn ±kqj;a úhhq;= lreKq álla æ

Cosmetic and aesthetic surgery ffjoHjßhlf.a jákd cSú;h ke;sjqfKA uQ,sl lreKQ .ek fkdi<ld yeß ksihs

11 jk l,dmh

rEm,djkH ie;alï .ek Tn ±kqj;a úhhq;= lreKq álla æ ma,diaála Y,H ffjoH i;sYa úfÊudkak rEm,djkH ie;alula lsÍug f.dia m%;sÔjl tkak;la úI ùfuka fld<U ßÊfõ wd¾hd <ud frdayf,a fjoHjßhla miq.shÞ ñh .shd' fï iu.u rEm,djkH ie;alï ú;rla fkdfjhs rEm,djkHfõoh ms<sn|j;a wfma ldka;djka ;=< fmdä miqnEula w;s ù ;sfnkjd' fï ksidfjkau fï ffjoH yuqj ldf,daÑ; tlla f,i wm y`.skjd' fudkjo fï rEm,djkH ie;alï lshkafk@ rEm,djkH ie;alï wh;a jkafk ma,diaála ie;alï .Khghs' ma,diaála ie;alï fldgia folla ;sfnkjd' tlla m%;sixialrK ie;alï' wfkl rEm,djkH ie;alï' rEm,djkH ie;alï ffjoH úoHdfõ§ y÷kajkafk Cosmetic and aesthetic surgery jYfhkqhs' fuh fi!kao¾hd;aul ie;alï jYfhkao y÷kajkjd' rEm,djkH ie;alï j¾. folla ;sfnkjd 1' Wm;skau we;sjk wvqmdvq ilia lsÍu ^WÞ( mshhqre muKg jvd úYd, kï th wvqlsÍu iy muKg jvd l=vd kï th ilia lsÍu&

2' jhig hk úg isref¾ ifï we;sjk fjkialï h:d ;;a;ajhg m;alsÍu ^WÞ( lïuq,a t,a,d jeàu" lïuq,a hg .s,Su" fn,af,a my;g t,af,k f,dl= /,a,la ;sîu" kslg háka iu t,a,d jeàu wdÈh& ´kEu flfkla jhig hkak leu;s kE' fïl ldka;djka ;=< úfYaIhs' fï ksid jhig we;s jk ndysr fmkqfï we;sjk fjkialï ke;s lr.kak mq¿jka kï tAlg ´kEu ldka;djla leu;s fõú' tA ksid ;uhs uqo,a yo,a we;s iuyr wh rEm,djkH ie;alïj,g fhduq jkafka' ks¾úkaok úfYaI{ ffjoHjrhl=f.a fiajh ,nd.ekSu jeo.;a rEm,djkH ie;alï lshkafk b;du;au ishqï ie;alï úfYaIhla' fï iuyr ie;alï lrkafk tA m%foaYfha muKla ks¾úkaokh ^local anaesthesia& lr,hs' ;j;a iuyr ie;alï lrkafk frda.shd iïmQ¾Kfhkau isys ke;s lr,hs' ^general anaesthesia& wod< m%foaYh muKla ks¾úkaokh l<;a ie;alug jeä fj,djla .; jkafka kï frda.shdf.a wdrlaIdj ;ld ks ¾ úka o k úfYa I { ffjoHjrhl= f .a o iydh ,nd .kakjd' ks¾úkaok ffjoHjrhd fuys§ frda.shdg kskao hdu i|yd;a T!IO ,nd§ ie;alu wjika jk;=reu frda.shdj ksÍlaIKh lsÍu isÿ lrkjd'

105 ffjoHjrhd

106 ffjoHjrhd

Cosmetic and aesthetic surgery rEm,djkH ie;alï .ek Tn ±kqj;a úhhq;= lreKq álla æ

hï flfkl=g wjYH jQ m,shgu rEm,djkH ie;alï isÿlsÍu ma,diaála Y,H ffjoHjreka úiska tljru isÿ lrkafka kE' ie;alug fmr frda.shdj fmr iQÞkula lsÍu wjYHhs' fuys§ frda.shd ks¾úkaokhg ,lalsÍug iqÿiqo@ fujeks ie;alulg frda.shd iqÿiqo hk lreKq úfYaIfhka fidhd n,kjd' ie;alug frda.shd iqoqiqo hkak ;SrKh lsrSu i|yd frda.shdf.a frda.

b;sydih ms<sn|j úfYaIfhka i,ld nef,kjd' frda.shdg oshjeähdj" wêl reêr mSvkh" weÿu jeks frda. mj;skjdo@ tjeks frda. we;akï .kq ,nk T!IO fudkjdo@ jeks oE fidhd n,k w;r fjk;a l=uk frda.hlg m%;sldr .;a;;a tA m%;sldr w;r;=f¾ frda.shdg ie;alu lsÍu iqÿiqo keoao hkak .ek úuiSula lrkjd' tA jf.au tA we;eï T!IO fjkia l< yels kï tho lrkq ,nkjd'

ie;alug wjYH myiqlï ;sfnkjdo@ frda.shdf.a Ôú; wdrlaIdj ms<sn|j ie,ls,su;a fjkjdo@ frda.Skaf.a wdrlaIdj i|yd jk wka;¾cd;sl l%ufõo wkq.ukh lrkjdo hk lreKq .ek Tn l,a we;sj fidhd ne,sh hq;=hs'

11 jk l,dmh

uq,skau ks;s úuis,a,''' bkamiq ie;alug we;s bvlv fidhd ne,Su frda.shdf.a ifï ;=jd, le<e,a ;sfí kï tAjd;a mÍlaId lrkjd' tfia lrkafka le<e,a ye§fï m%jK;djhla ;sfío hkak fidhd n,kakghs' fya;=j fuh rEm,djkH ie;alula ksihs' óg wu;rj úúO reêr mÍlaIK" B'iS'Ô' mÍlaIK jf.au wjYH kï ;j;a mÍlaIK isÿlr fidhd n,kafka frda.shdg fuu ie;alu lsÍug iqqÿiqo keoao hkak ;jÿrg;a ksÍlaIKh lr ne,Sughs' fjk;a frda. ;sfí kï tAjd;a m%;sldr u.ska md,kh lrkjd' fï wdldrhg mÍlaIK isÿlr fi!LH ;;a;ajh tmuKgu i;=gqÞhl ke;akï ie;alu fkdlr ys¢k f,i frda.shdg wjjdo flfrkjd' fudlo @ wjÞkug jvd iQÞku fyd|hs lshkjfka' tA wkqj n,k úg rEm,djkH ie;alï uqo,a ;snqKq muKskau yeu fokdgu lsÍu kqiqÿiq nj Tng jegyS hkq we;' kqiqÿiq wh rEm,djkH ie;alïj,g fhduqùu hkq wkjYH wjÞkula cSú;hg .ekSula' rEm,djkH ie;alï isÿ lsÍug hdfï§ muKla fkdj ´kEu ie;alul§ jqj;a frda.shl=g wid;añl;djhka yg .ekSfï neßlula kE' m%;sÔjl T!IO jf.au ks¾úkaokh lsÍug mdúÉÑ lrk fnfy;a" úIîckdYl Èhr" ma,diag¾ wdÈh mjd we;eï úg wid;aañl jk wh bkakjd' fuh tu m%foaYhg muKla n,mdk iq¿

wid;añl;djhl isg uq¿ isrergu n,mdk lïmkhla ^Anophylaxis shock& olajdu jqj;a úh yelshs' ie;alu isÿlrk ia:dkh ms<sn|j Tn uq,ska wjfndaOh ,nd.; hq;af;a tA ksihs' ie;alug wjYH myiqlï ;sfnkjdo@ frda.shdf.a Ôú; wdrlaIdj ms<sn|j ie,ls,su;a fjkjdo@ frda.Skaf.a wdrlaIdj i|yd jk wka;¾cd;sl l%ufõo wkq.ukh lrkjdo hk lreKq .ek Tn l,a we;sj fidhd ne,sh hq;=hs' tfia ie;alug wjYH WmlrK ;sfnkjdo@ ks¾úkaok úfYaI{ ffjoHjrhl=f.a iydh ,nd .kakjdo@ ie;alu ksid úúO ixl+,;d we;s jqfKd;a tAjdg wjYH laIKsl m%;sldr ,nd§u i|yd myiqlï ;sfnkjdo@ ±ä i;aldr tAllhla ;sfnkjdo@ reêr mÍlaIK tu ia:dkfhkau lr.; yelso@ Tlaiscka iy lD;%su Yajikh ,ndoSu i|yd wjYH myiqlï" ie;alu wjidkh f;la ksÍlaIKh lsÍu i|yd wjYH jk fudksgßka isiagï" mqyqKq ffjoHjreka yd mqyqKq ld¾h uKav,hla hk fï ish,af,kau wx. iïmQ¾K ke;akï fujeks ie;alulg fkdhd isáh hq;=hs' tfiau frda.shdf.a ryiHNdjh /lSu;a rEm,djkH ie;alul§ úfYaIfhkau jeo.;a fjkjd' fï wkqj rEm,djkH ie;alula isÿlr .ekSu wdjdg .shdg fkdl< hq;a;la nj ±ka Tng jegfykq we;s'

fuu ,smsh .ek Tfí woyia yd .eg¿ wm fj; fhduq lrkak'

107 ffjoHjrhd

108 ffjoHjrhd

Seasonal Flu fï ojiaj, me;sr hk WK .ek fkdi,ld bkak tmd'''

fï ojiaj, me;sr hk WK .ek fkdi,ld bkak tmd''' ldhsl frda. úfYaI{ ffjoH Wmq,a o is,ajd

fï ojiaj, f.dvla fofkl=g WK' l,ska l,g WK frda.h wfma iudch mqrd me;sr hkjd' idudkHfhka th wjqreoaolg lsysm j;djla muK isÿjkakla' fï ojiaj, ;j;a WK /,a,la wm fidhd tAug mgka wrka' WK lshkafka frda.hla fkdfjhs' th frda. ,laIKhla muKhs' WK we;s jkafka wfma YÍrh ;=<g úIîchla fyda úIîchl úIla we;=¿ jqKduhs' úIîc hkq mshú weig fkdfmfkk b;du;a l=vd wxY=jla' th ¥ú,s wxY=jlg;a jvd b;du;a l=vdhs' fuh YÍrhg we;=¿ jkafka wfma yqiau ud¾.h fyj;a Yajik ud¾.fhka' tu frda.fhka fmf<k flfkla msg lrk leiaila lsúiqula u.ska fldaá ixLHd; úIîc m%udKhla jd;hg tl;= fjkjd' wmg WK yefokafka fufyuhs wmg tu frda.h yokak kï fuu úIîcj,ska tlu tlla YÍrhg we;=¿ jqKdu we;s' fldhs;rï myiqo@ wfma YÍrh ;=< úIîchg tfrys igkla ke;akï úIîch YÍrh mqrd hld kgkakg mgka .kafka leu;s leu;s úÈyghs' ±ka fuu úIîc jd;hg tl;= ù ;j ;j;a fldaá ixLHd; úIîc m%udKhla ks¾udKh lr wjidkhs' bka iuyr úIîc Tfí isreßka leiai" fidgq iy fiu úÈyg jd;hg tl;=j ;j ;j;a ñksiqka fidhd hkjd' fï ;;a;ajh md,kh lrkakg YÍrh ork jEhfï tl fldgila ;uhs WK je<£u' jeäu n,mEu ;sfhkafka l=vd orejkag" jhia.; whg iy frda.Skagh WK fldfydu;a Èk lsysmhlska nei hkjd' wm Wkkaÿ úh hq;af;a fuu úIîch md,kh lsÍugh' fuh

11 jk l,dmh

ffjrih kue;s úIîchlska me;sr hk WKla' fuys jeäu n,mEu ;sfhkafka l=vd orejkag" jhia.; whg iy frda.Skaghs' tA whg fï ffjrihg Tfrd;a;= §u wiSre ksid ;on, YdÍßl fõokdj WK jeks ,laIK yg.; yelshs'

fvx.= iy fuu ffjria WK w;r we;s m%Odk fjki jkafka ffjria WKg fiïm%;sYHdj" leiai" fiu" fidgq .e,Su iy WK mj;sk w;r fvx.= frda.hg WK yer by; olajd we;s wka lsisjla fkd;sîuhs' hï fyhlska tjeks whl=g fuu ffjri WK mj;soa§ nelaàßhdjlao YÍrhg we;=¿ jqjfyd;a th ;j;a Nhdklhs' yßhgu lsõfjd;a tla wfhla lemQ mdrla Èf.a ;j;a flfkla we;=¿ jqKd jf.a fohla' nelaàßhdkq iïNjhla iys; WK fufyuhs nelaàßhd we;=¿ùfï§ fiu ly mdg fjkak mq¿jka' tfiau fiu >klï fjkjd' hï fyhlska fï ;;a;ajh fkdi<ld ys£u ;=< Yajik ud¾.fha m;=,gu nelaàßhdjka we;=¿ jqfKd;a kshqfudakshdj je<f|kak;a yelshdj ;sfnkjd' fuys§;a m%;sldr lsÍu w;miq lf<d;a kshqfudakshdj oreKq ù urKdikak ;;a;ajhg frda.shd m;aúh yelshs'

tjeks wjia:djlÈ mj;sk ,laIK f,i lymdg fiuj,g u,lv meyehla tl;=ùu fyda f,a meyeh uqiq ùu" mmqfõ tla me;a;l muKla wkskakdla n÷ fõokdjla we;sùu wdoshhs' fuys§ mj;sk WK kï bfí nyskafka kE' tlaia-f¾ mÍlaIKhla u.ska fuh myiqfjka fidhd.; yelshs' lEu wreÑh iy jukh ksid isref¾ we;s c,h wvqùfuka msgjk uq;%d m%udKh wvqfjkjd' frda.shd úc,khg m;aj we;s nj jgyd .ekSug th fyd| idlaIshla' fï ;;a;ajhka È.gu mej;=fKd;a f,a .uk ÿ¾j, ù jl=.vq o wl¾uKH úh yelshs' flfia jqj;a fï lSfõ leiai fiïm%;sYHdj iu. ;sfnk ffjria WK" fkdi,ld yeÍu ;=<ska we;súh yels ;;a;ajhla ñila fmdÿfõ yefudagu úh yels fohla fkdfjhs' fvx.= WfKka fjkia jk yeá idudkHfhka fujeks ffjria WK frda. hl mj;sk wksl=;a m%Odk ,laIK jkafka ysiroh" f;fyÜgqj" weÕm; fõokdj" oyäh ±óu wdÈhhs' fuys ,laIK t;rï oreKq tAjd fkdfjhs' kuq;a Èk ;=klg jvd WK È.ska È.gu mj;skjd kï ffjoH m%;sldr .; hq;=hs' fï Èkj, fvx.= frda.h;a nyq,j mj;skjd' kuq;a fvx.= iy fuu ffjria WK w;r we;s m%Odk fjki jkafka ffjria WKg fiïm%;sYHdj" leiai" fiu" fidgq .e,Su iy WK mj;sk w;r fvx.= frda.hg WK yer by; olajd we;s wka lsisjla fkd;sîuhs' fvx.=j,g jvd blauKska fï frda.h m%;sldr u.ska iqjlr .kak;a mq¿jka'

fuu ,smsh wka;¾cd,h Tiafia lshjkak msúfikak wmf.a ks, fjí wvúhg

109 ffjoHjrhd

110 ffjoHjrhd

Behavior we;eï orejka ;on, f,i fldam jkafka wehs @

we;eï orejka ;on, f,i fldam jkafka wehs @ <ud frda. úfYaI{ ffjoH wð;a wurisxy l=vd orejkag ;ry hdu foudmshkag ;sfnk f,dl= .eg¨jls' fï orejkaf.a fldamh .ek uõmshka oeK.; hq;= úia;rhls' —biair kï fï <uhd fufyu kE' oka f,dl= fjkak f,dl= fjkak ;ry hkj;a jeähs˜ ujqmshka tfia ;u l=vd orejd ms<sn|j ueisú,s ke.Sfuka k;r fkdù we;eï úg ffjoHjreka fj; mjd /f.k hkafka orejdg udkisl wdndOhla ksid fufia jkafka±hs iel we;s lrf.kh'

11 jk l,dmh

fldam .ekafjk Tfí orejd md,kh lrk yeá''' orejkag ;ry hk ld,h idudkHfhka jhi wjqreÿ tlyudrla muK jk ;=re l=vd orejl=g ;ry hk úg th msg;g fmfkkafka ke;' wjqreÿ tlyudr miq jQ miq orejd ;ukag ;ry hk úg th m%ldY lrkakg mgka .kS' jhi wjqreÿ 3-4 muK jk úg fï ;;a;ajh jvd;a jeäfhka fmfkkq we;'

l=vd orejkaf.a udkisl j¾Okfhysu fldgils' jhi wjqreÿ tlyudrla muK jk úg l=vd orejkag wfkla whf.a wjOdkh fhduq lr .ekSug wjYH fõ' hula b,aÆ úg th ;udg fkdfokafka kï orejd fldamhg m;ajk w;r bkamiq wjOdkh fhduq lr .ekSu i|yd by; lS wdldrfha l=ula fyda fohla lrkq we;' orejka ;ry m%ldY lrk wfkl" orejd l%ufhka yeá jefv;au l=vdu l=vd orefjl= ;ukag ld,fha§ fuka ;ry .sh nj jhi wjqreÿ fkdj orejdg m%ldY lrk úê ;uka olsk ;sfí' tlyudr miq jQ úúO foaj,a wä orefjl=g fyd¢ka jpk wjYHfõ' fmdf<dfõ l;d lsÍug fkdyelsh' túg tfia ;ukag .eiSu"w;g wjYH yiqjk orejd b;d wmyiqfjka ;ukaf.a foh b,aÆ foa úis NdIdfjka hula lshoa§ th úg fkd§ lsÍu iy jeäysáhkag fkdf;afrk isáfhd;a fmdf<dfõ úg;a orejdg ;ry hhs' orejdg wêl .eiSu" f,i ;ry hkq foudmshkag we;' iy ksjfia wksl=;a whg w;ska jhi wjqreÿ tlyudr myr §u iy yemSu" miq jQ orefjl=g fyd¢ka uy yçka lE.eiSu fï jpk l;d lsÍug fkdyelsh' w;ßka iq,nj olsh yels tAjdh' túg orejd b;d wmyiqfjka ;ukaf.a NdIdfjka hula lshoa§ orejd fï whqßka fldam .kakd úg th jeäysáhkag fkdf;afrk úg;a l,ska fyd|g isá orejd ±ka fufia orejdg ;ry hhs' uq,§ kï lrkafka ks;r fldam jkafka wehs@ hk .eg¨j ;ukag wjYH fohla fkd,enqKq úg foudmshka ;=< u;=fõ' ieneúkau yeéuh' fï jhig tkúg orejd fuh udkisl wdndOhla fkdfõ' fuh yeéu fjkqjg fndfyda úgu ;uka

111 ffjoHjrhd

112 ffjoHjrhd

Behavior we;eï orejka ;on, f,i fldam jkafka wehs @

;=< we;sjk fldamh tA whqßkau m%ldY lr ys¢kq we;' fufia l=vd orejdg ;ry hk fya;= lsysmhla ms<sn|j wms ±ka úuid n,uq' úúO foa w;ayÞ ne,Sug we;s leue;a; jhi wjqreÿ tl yudr blau jQ orefjl=g w¨;a w¨;a foaj,a lrkakg w;ayÞ n,kakg wjYH;djh we;sfõ' ;ukaf.a uj .sks fmÜáh f.k .sks l+rla .id .skaor o,ajkq olsk orejdgo .sksl+rla .eiSfï wdYdj we;sfõ' bkamiq orejd ujf.ka .sks fmÜáh b,a,d isákq we;' —wfmda wfmda fïl kï Thdg fokak nE˜ hehs uj lS úg orejd fldam fjhs' bkamiq ;u fldamh m%ldY lsÍug l=ula fyda fohla lrkq we;' uj msysfhka mdka lmkq ÿgq úg orejdg;a tf,i mdka lemSug wjYH fjhs' kuq;a uj msysh fkd§ ys¢k úg orejd fldamfhka úúO oE lrkakg fm<fUkq we;' wkqlrKh lsÍfï wdYdj jeäysáhka lrk foa wkqlrKh lsÍug l=vd orejka b;d leu;sh' by; ±lajQ .sksfmÜáfha iy msysfha WodyrK fol;a óg iudkh' tA yereKq úg ;u mshd fldamhg m;a jQ úg nvq fmd<fõ .ikafka kï orejdo th lrkq we;' ;ukaf.a uj iy mshd lrk foaj,a wkqlrKh lsÍug l==vd orefjda úfYaIfhka fm<fU;s'

11 jk l,dmh

orejd wkjYH f,i wdrlaId lrkakg hdu ksoiqkla f,i l=vd orejka je,s iu. fi,a,ï lsÍug leu;sh' th je<elaùu hkq orejd wkjYH f,i wdrlaId lsÍug hduls' orejdg fuf,i ;uka leu;s fohla lrkakg tmd lshk úg orejdg ;ry hhs' orejdg hula lrkakg tmd lshkafka kï th orejdg jeäysáhka wkdrlaIs; lrk foa fohla úh wkqlrKh lsÍug l=vd hq;=h' tfia orejka b;d leu;sh' by; ke;sj yeufoagu ±lajQ .sksfmÜáfha iy msysfha tmd WodyrK fol;a óg iudkh' tA lshkakg yereKq úg ;u mshd fldamhg hdfuka m;a jQ úg nvq fmd<fõ orejd fldamhg .ikafka kï orejdo th m;aj lrkq we;' lE.iñka l,n, lrkq we;' wkjYH f,i kS;sÍ;s mekùu wrl lrkak tmd' fïl lrkak tmd''' wd§ jYfhka yeufoagu kS;s mkjk úg;a orejdg ;ry hhs' orejd msysh b,a,d lror lrkafka kï thska w; lefmk nj orejdg tA;a;= hk wdldrhg mjid th w,a,kakg tmd hehs kS;shla ±ófï jrola ke;' orejd j;=r lrduh wer j;=r w,a,k úg thgo wkjYH wdldrhg kS;s mekùu iqÿiq fkdfõ' —gema tl álla werf.k ysáhg lula kE''' yeu ;siafiu wßkak tmd' f.dvla fj,d werf.k bkak;a tmd' Thdf.a w;afol fidao, gema tl jy, Þkak˜ hkqfjka tys§ orejdg ,sys,a kS;shla mekùu iqÿiqfõ' j;=r w; .Euo orejdf.a

113 ffjoHjrhd

114 ffjoHjrhd

Behavior we;eï orejka ;on, f,i fldam jkafka wehs @

udkisl j¾Okhg wjYHh' tksid Bg hï m%udKhlska bv Èh hq;=h' fndfyda fj,djg foudmshka orejdg mkjk kS;sÍ;sj, ms<sfj,la ke;' ksoiqkla f,i iuyr wjia:dj,§ orejdg j;=r we,a,Sug bv § ;j;a iuyr úg —j;=r w,a,kak tmd <ufhda˜ lshñka th j<ld,hs' uq,§ j;=r w,a,kakg bvÿka úg orejd is;kafka j;=r we,a,Sfï jrola ke;s njh' miqj thg tmd lshk úg orejd fldam fjhs' tksid idOdrK iSudjla ;=< orejkag hï hï foa lrkakg bv i,id Èh hq;=fõ' foudmshkaf.a ld¾h nyq, nj foudmshkag fndfyda jev ;sfnk nj we;a;h' tksid orejkag lEu leùu" kEùu''' jeks foa lrk úg th b;d blauKska wjika lsÍu ujqjrekaf.a wNs,dIhhs' kuq;a orejdg tn÷ yÈiaishla ke;' ujf.a jev .ek orejdg jegySulao fkdue;' tksid ;ukag leu;s f,i fyñkaa fyñka tu ld¾hhka lsÍug orejd leu;s fõ' túg fldamhg m;a jk uj orejdg ier lrkq we;' fï ksid orejdg ;ry hhs' tA ke;;a uj blauKska" blauKska tu ld¾hhka lsÍug hdfïoSo orejd th m%;slafIam lrkq we;' fun÷ wjia:dj,§o orejd fldamhg m;afõ' l=vd orefjl=g ;ryla we;sjQ úg thg fya;=j fidhd ne,sh hq;=h' th by; lS mßÈ foudmshkaf.a me;aaf;ka jQ wvqmdvqjla kï tAjd u.yrjd .ekSu foudmshkaf.a hq;=luhs'

orejd fldam ù l,n, lrkafka ;udg wjYH foa bgq lr .ekSu i|yd wjOdkh fhduq lrjd .kakgh' iuyr l=vd orejka idohla jeks msßila /iaj isák wjia:djl§ mjd fuf,i fldamhg m;aj l,n, lrkqq we;' tjeks wjia:djl§ orejdg myr §u fkdl< hq;=fõ' túg isÿ jkafka m%Yakh ;j;a W.% w;g yeÍuh' tA wkqj uq,skau orejd Tijdf.k t;ekska msg;g /f.k hkak' túg msßilf.a wjOdkh orejd fj; fhduqùu u.yef¾' —ux lE.eyqjg jevla kE" f.dvla wh ux Èyd n,kafk kE˜ hkak orejd jgyd .kq we;’ ó<Õg orejd fufia lE.id l,n, lrñka b,a,d isákafka l=ulao hkak jgyd .kak' th orejdg wk;=rla úh yels wkaofï fohla kï f;afrk jhfia orefjl=g th myÞ Èh yelsh' tjeks fohla jgyd .ekSug fkdyels l=vd orefjl=g kï tA fjkqjg úl,am fohla ,nd § orejd iekish yels±hs n,kak' orejd b,a,k foa .ek l;d lsÍfuka je<lS orejdf.a wjOdkh fjk;lg yerùug W;aidy orkak' orejdf.a l,ne.Eksh jeä kï ìu fmrf<ñka ;udg jqjukd fohu b,a,d isákjd kï —Thdg wms tAl fokafk kE" Thd leu;s kï ìu fmrf<kak˜ hkqfjka mjid orejd .ek wjOdkh fkdolajk whqßka ys¢kak''' túg orejd u| fõ,djlska ;ukaf.a yeisÍï fjkia lr.kq we;'

11 jk l,dmh

115 ffjoHjrhd

116 ffjoHjrhd

Advertorial f,dj úYsIAG;u úlsrK ;dlaIKh" oeka ;,j;=f.dv fyaudia frdayf,ka

f,dj úYsIAG;u úlsrK ;dlaIKh" oeka ;,j;=f.dv fyaudia frdayf,ka wdrlaIdldÍhs'''' úYAjdijka;hs'''' ;,j;=f.dv fyaudia frday, ish mßmQ¾K úlsrKfõ§ myiqlï iu`.ska ish fiajdjka yS .=Kd;aul nj ;jÿrg;a by< kxjhs' fyaudia frday,a cd,hg tla jQ ;=kajeks yd kj;u frday, jk ;,j;=f.dv fyaudia frday, zzúfYaI{ /ljrKh Tn iómhgZZ hk wruqK fmr±ßj úlsrKfõ§ fiajd iemhqï wxYh fj;ska iqúfYaIs fiajdjka /ila i,id §ug ierfihs' Tjqkagu iSud jQ kùk WmlrK iy myiqlï iu`. ish mdßfNda.slhska fj; .=Kd;aul núka by< úlsrKfõ§ fiajdjka idudkH .dia;= hgf;a ie,iSug ;,j;=f.dv fyaudia frday, lghq;= ixúOdkh lr ;sfí' úlsrKfõoh" frda. úksYaphg fukau frda. i`oyd m%;sl¾u fh§ug Ndú;d lrkq ,nk ;dlaIKsl l%ufõohls' úfYaIfhkau isrer wNHka;rfha mj;sk frda. yd widudkH;djhka y÷kd.ekSu i`oyd fuu úlsrKfõoh ;=<ska yelshdj mj;S' ;dlaIKfha ÈhqKqj;a iu`.ska ksrka;rfhka úlsrKfõoh yryd isÿlrk m%;sl¾u o ixj¾Okh jk w;r th iuia: fi!LH fiajdj ;=< fmr<shla we;s lsÍug iu;aj

11 jk l,dmh

;sfí' úlsrKfõoh Ndú;d lrñka isÿlrk tlaia-f¾" tï wd¾ whs ^MRI& iy iS à ^CT& mÍlaIK yryd ,nd .kakd o¾Yk yd o;a; u`.ska frda. ksjerÈj úksYaph lsÍug;a" blauka iqjh ,nd .ekSu i`oyd m%;sl¾u fh§fï yelshdj;a mj;S'

zz wmf.a úlsrKfõ§ fiajd iemhqï tallh wmgu wdfõKsl jQ kùk Wmdx. j,ska iukaú; jQjls' tu tallh i`oyd wkqhqla;lr isák úlsrKfõ§ka o frda.Ska fjkqfjka úYsIag fiajdjla iemhSu i`oyd ukd f,i mqyqKqj ,enQjka fõ' tu tallh yryd .=Kd;aul fiajdjla iemhSug úYd, wfhdackhla isÿlsÍug isÿj we;s kuq;a tys msßjeh frda.Ska fj; megùu wmf.a wruqK fkdfõ' wmf.a tlu wruqK ù ;sfnkafka frda.Skag kùk ;dlaIKh yryd ,ndÈh yels Wmßu m%;s,N w;alr §uhsZZ -ffjoH pñ,d wdßhkkao idudkHdêldÍ" fyaudia frday," ;,j;=f.dv ;,j;=f.dv fyaudia frdayf,a ia:dms;j mj;sk úlsrKfõ§ fiajd iemhqï tallh kùk äðg,a tlaia-f¾ yd tï

wd¾ whs ^MRI& ialEka hka;% j,ska iukaú;h' fï jk úg frday, u`.ska i,id fok iS à ialEka ^CT scan& iy tï wd¾ whs ialEka ^MRI scan& mÍlaIK o iúia;rd;aul iy b;d meyeÈ<s oiqka ,nd .ekSfï myiqlï j,ska iukaú; w;r 2D iy 4D ;dlaIKh hgf;a Worfha iy fY%daKsh wjg m%foaYfha wNHka;r wjhj jvd;a fyd`Èka ksÍlaIKhl< yels w,ag%d ijqkaâ ialEka Ûltra Sound Scan& mÍlaIdj iy YÍrfha mshhqre wdYs%; mgl ksÍlaIKh lrñka ms<sld wjodku l,a;shd ±k .ekSfï yelshdj mj;sk uefuda.%Eï ^Mammogram& mÍlaIK myiqlï we;=¿ fiajdjka /ila ;,j;=f.dv fyaudia frday, fj;ska i,id § ;sfí' fuu ish¨ fiajdjka úlsrKfõoh ms<snò úfYaI{ ±kqñka msß ffjoHjrfhl=f.a wëlaIKh hgf;a ukd f,i mqyqKqj ,enQ iqÿiqlï,dNS úlsrKYss,amSka úiska ls%hd;aul lrkq ,nhs' fyaudia frday,a cd,fha f;jeks frday, f,iska ;,j;=f.dv fyaudia frday, 2013 jif¾ cqks udifha § újD; lrk ,§' weoka 60la iu`.ska Bgu wdfõKsl kùk;u myiqlï j,ska iukaú; fuu frday, yryd jirlg frda.Ska 150"000la iòyd ffjoH fiajdjka yd fi!LH myiqlï ie,iSfï yelshdj mj;S' fyaudia frday,a cd,h YS% ,xldfõ m%uqL fm< iuQy jHdmdrhla jk fyaudia iuQy jHdmdrhg wh;a jkakls' fyaudia iuQy jHdmdrh furg ck;djg mdßfNda.sl NdKav" fi!LH fiajd" m%jdykh" úfõlh yd n,Yla;s W;amdokh hk lafIa;% 05 hgf;a fiajdjka imhkq ,nhs'

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Advertorial .eíf., ms<sldj y÷kd.kakd PAP mrSlaIKh

fuu ,smsh Tn fj; f.k tkafka fld<U 3" v¾vkaia frdayf,a ldreKsl wkq.%yfhks

.eíf., ms<sldj y÷kd.kakd PAP mrSlaIKh v¾vkaia frdayf,a fkajdisl m%ij yd kdß úfYAI{ ffjoH rúks úfcaùr úisks

ljr ia:dkhl msysgsho ms<sldjla wm is;a ;=< ìhla Wmojhs' iajhx md,khla rys;" fõ.fhka jefvk ffi, ms<sldjlg uq, mqrhs' wdrïNl ia:dkfhka wE;g f.dia oaú;Shsl ms<sld ,laIK my< lsÍu ksid ms<sldj we;s lrk wjodku jeä fjhs' ie<lsh hq;= uÜgulska me;sr f.dia wjidkfhaoS frda.h y÷kd.kakg ,eîu uy;a wjdikdjls' ms<sldjg w;jkk fya;= .eí f., ms<sld ldka;djkag je<f|k iq,n ms<sldjls' wvq jhiska ,sx.sl iïnkaO;d wdrïN lsÍu" ÿï mdkh wjodkï iy.; idOl fõ' Human Papilloma Virus (HPV) ffjrih ksido .eíf., ms<sld we;s úh yels nj wkdjrKh ù ;sfí' we;eful=g wjodkï idOlhla fkdue;sj jQjo .eí f., ms<sldjla we;s úh yelsh' frda. ,laIK fufyuhs .eíf., ms<sldj wdrïNfhaoS lsisÿ frda. ,laIKhla m%lg lrkafka ke;' fY%daKs fmfofia fõokdjla" wl%uj;aj we;sjk

reêr jykh iy ,sx.sl tl;= ùfuka miqj we;s jk reêr jykh ms<sldfõ ,laIKhla ùugo bv we;' PAP mÍlaIKh idudkH ksfrda.S ffi, .eíf., ms<sldjla njg m;aùug jir lsysmhla .; fõ' ms<sldj we;sjQ miq fidhd .ekSfïoS m%;sldr jvd wiSre uq;a fï uQ,sl wjia:dfõ m%;sldr lsÍfïoS b;d fyd|ska ms<sldj u¾Okh l< yel' fuu ms<sldj uQ,sl wjia:dfõoSu''' tkï ksfrda.S ffi,j, uQ,sl fjkialï isÿjk wjia:dfõoSu frda.h y÷kd .ekSfï ld¾hlaIu mÍlaIKhla we;' PAP mÍlaIKh f,i y÷kajkafka tu jákd mÍlaIKhhs' fuu mÍlaIKh isÿ lsÍfuka flfkl=g uq,a wjia:dfõoSu .eíf., ms<sldjla fõ kï th y÷kdf.k m%;sldr lsÍfï wjia:dj ysñ fõ' l< hq;= ms<sfj, mema mÍlaIKh iEu jir ;=klgu jrla lsÍu iqÿiqh' wjodkï iy.; iOl n,.ekaù we;s ldka;djkg fuu ld,h ffjoH ks¾foaY u; flá úh yel' iq¿ wmyiq;djhla ñi mgl fldgia iQrd .ekSfïoS ie<lsh hq;= wmyiq;djhla" fõokdjla we;s fkdfõ' mÍlaIKhg ldka;djka meñKsh hq;af;a Tima reêrh msgfjk osk u. yrjñks' iQrd.;a mgl fldgia mÍlaId lrkafka ridhkd.drfhaoSh' osk lsysmhl wejEfuka Tng m%;sM<h ,nd.; yel' .eíf., ms<sld mÍlaIKh wdrlaIdfõ mÍlaIKhla ksid th ksielfhkau Tfí cSú;fha iqrlaIs;;djh fjkqfjka isÿ lrk mÍlaIKhla nj Tn wjfndaO lr.; hq;=h'

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Utero Vaginal Colapse .¾NdIh my;aùu ms<sn| Tn ±k.; hq;= lreKq álla'''

.¾NdIh my;aùu ms<sn| Tn ±k.; hq;= lreKq álla''' m%ij yd kdßfõo úfYaI{ ffjoH iqrx. fyÜám;srK .¾NdIh my;a ùu ^Utero Vaginal Colapse& ldka;djka ;=< iq,nj mj;sk ;;a;ajhla' ishhg 90] lg;a jvd fï ;;a;ajh we;s jkafka wd¾;jyrKfhka miqj jeäysá ldka;djkaghs' jeä wjÞkula mj;skafka orejka ìys l< ldka;djkag''' wd¾;jyrKfhka miq" tkï Tima pl%h k;r ùfuka miqj ldka;djkaf.a Biag%cka fydafudakh b;du wvqfjkjd' fï fya;=j u; udxY fmaYs laISK ùu isÿfjkjd' fuf,i wd¾;jyrKfhka miq fydafudak fjkialï isÿùu ^m%Odk jYfhka Biag%cka fydafudakh b;d wvq uÜgulg hEu& iy .¾NdIh Tijd ;nd f.k ys£ug WmldÍ jk udxY fmaYs ldka;djka úhm;a jk úg ÿ¾j, ùu hk fï lreKq ;uhs .¾NdIh my;a ùug fndfyda úgu fya;= jkafka''' wjodku jeä fï whg''' idudkH wkaoug ore m%iQ;sh isÿl< uõjrekg .¾NdIh my;a ùfï wjÞku jeähs' tA jf.au orejka lsysm fofkla ìysl< uõjrekag;a fï iïnkaOfhka wjÞkula mj;skjd'

11 jk l,dmh

tfia jQ muKskau wjÞku ;sfnk yeu ldka;djlgu .¾NdIh my;a ùfï ;;a;ajh we;s jkafk;a kE' tA ksid ;uhs fuh ishhg 90]la muK ldka;djkag we;s úh yels ;;a;ajhla nj by; i|yka lf<a' ore m%iQ;Ska isÿùfï§ úúO ixl+,;d we;s jQ uõjrekaf.a;a miqld,Skj .¾NdIh my;a ùfï ;;a;ajh we;s jkak mq¿jka' fuys§ ixl+,;d hkqfjka ±lajQfha m%iQ;sfha§ w~q Ndú;d lsÍu" jel=ï m%ijh" nr jeä orejka ìysùu wdÈhhs' fï yereKq úg weÿu frda.h jeks fiï frda. ksis f,i md,kh fkdlsÍu ksid È.= ld,Skj leiai mj;sk ldka;djkaf.a;a .¾NdIh my;a jkakg mq¿jka' tl È.g È.= l,la lysk úg Worh ;=< mSvkh jeä fjkjd' túg Worfha udxY fmaYs ÿ¾j, ia:dkj,ska Worh ;=< ;sfnk foaj,a msg;g meñKsh yelshs' fhdaks ud¾.fhka l=vd f.ähla wdldrhg msg;g tkafka tA úÈyghs'

tfiau b;d l,d;=rlska iuyrekaf.a Wm;skau fY%daksh wjg udxY fmaYs ÿ¾j, fjkak mq¿jka' túg;a .¾NdIh my;a ùu isÿfjkjd'

.¾NdIh md;a jk úg lsúiqï hk úg" lysk úg uq;%d iaj,amhla msgùu uq,a ld,fha§ ±lsh yelshs' lysk úg fukau fndfyda fj,djla isgf.k isák úg;a ;guk úg;a fhdaks ud¾.h yryd f.ähla fuka msg;g tkq ±kSu" ,sx.slj tl;= ùu wmyiq ùu wdosh miqld,Skj flfuka we;s úh yelshs'

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Utero Vaginal Colapse .¾NdIh my;aùu ms<sn| Tn ±k.; hq;= lreKq álla'''

ldhsl jHqyh fufyuhs .¾NdIh bÈßfhka ;sfnkafk uq;%dYh" .¾NdIhg msgqmiska wfOdaud¾. msysgd ;sfnkjd' .¾NdIh my;a jk úg tA iu.u wfOda ud¾.fha fldgilao fhdaks ud¾.h ;=<g fkrd tkjd' th yßhg ne¨ula jf.a' th mÍlaId lrk ffjoHjrfhl=g myiqfjka fidhd .kak mq¿jka' .¾NdIh my;a ùu ksid frda.shdg we;sjk .eg¨ lsúiqï hk úg" lysk úg uq;%d iaj,amhla msgùu uq,a ld,fha§ ±lsh yelshs' tfiau lsúiqï hk úg" lysk úg fukau fndfyda fj,djla isgf.k isák úg;a ;guk úg;a fhdaks ud¾.h yryd f.ähla fuka msg;g tkq ±kSu" ,sx.slj tl;= ùu wmyiq ùu" msgfldkafoa iy ;=káfha lelal=u" fhdaks ud¾.h ;=<ska l=vd fldgila msg;g meñK ;sîu ksid uq;%d iy u<my lsÍu wmyiq ùu fuys§ miqj we;s jk .eg¨ f,i ±laúh yelshs' frda.shdf.a ;sfnkafka iq¿ my;a ùulao" ke;akï fhdaks ud¾.h yryd fldgila msg;g meñK ;sfío hkak fuys§ fidhd n,d tA wkqj m%;sldr kshu l< hq;= fjkjd' fuhska ;sfnk wmyiq;d;a" frda.shd ie;alula lsÍug iqÿiq jhil miqjkafkao hkak;a m%ij yd kdßfõo úfYaI{ ffjoHjrfhl= fj; .sh úg§ fidhd nef,kjd' .¾NdIh my;a ùu i|yd we;s m%;sl¾u uq,a ld,fhaoS jHdhdu w;ayod n,kak frda. ;;a;ajh mj;skafka uq,au ld,fha kï Bg wÞ< jHdhdu ^Pelvic Floor Exercises& isÿ l< hq;=hs' fuu.ska .¾NdIh wjg udxY fmaYs fuu ,smsh .ek Tfí woyia yd .eg¿ wm fj; fhduq lrkak'

iúu;a fjkjd' kuq;a fuh uq,au ld,fha§ ñi miqj frda. ;;a;ajh j¾Okh ù fhdaks ud¾.fhka f.ähla fuka msg;g meñKs miq lsÍfuka m%;sM,hla ,nkak wmyiqhs' fhdaks ud¾.h yryd j<,a,la fojk l%uh .¾NdIh biaiS isák mßÈ fhdaks ud¾.h yryd j<,a,la ^Ring Pessary& ±óuhs' ie;alula lsÍug wlue;s whg;a" ie;alula lsÍug fkdyels jhia.; whg;a fï l%uh Ndú;d lrkjd' kuq;a fuh 100]la id¾:l kE' j<,a, udi ;=fkka ;=kg fyda yfhka yhg ffjoHjrhd ,jd udre lrjd .; hq;=hs' tl È.g j<,a, ;sfhkakg yeßfhd;a th uiaj, we,Su ksid msg;g .ekSu wmyiq fjkjd' wjika m%;sl¾uh Y,Hl¾uh wjika m%;sl¾uh ie;alula u.ska .¾NdIh bj;a lsÍuhs' fuh fhdaks ud¾.h yryd lrk ie;alula ^Vaginal hysterectomy and repair& ' .¾NdIh my;a ùu isÿjkafka orejka ,enQ ldka;djkag nj by; i|yka l<d' orejka ìys fkdl< ldka;djkag fï ;;a;ajh l,d;=rlska we;s úh yelshs' tjeks whg fuh yg .kafka Wm;skau Worfha udxY fmaYs ÿ¾j, kï fyda ld,hla È.ska È.gu leiai mej;Sfï m%;sM,hla f,ihs' flfia jqj;a fuh m%ij yd kdßfõo ffjoHjrhl= fj;ska iqj l<yels frda. ;;a;ajhls'

Advertorial Floria Biotin ch.%dyS jirla imqr11 k jk l,dmh mdßfNda.sl Tn iu. bosßhgu

ch.%dyS jirla imqrk Floria Biotin mdßfNda.sl Tn iu. bosßhgu Tn Tfí isrerg fld;rï ndysr i;aldr isÿ lrkq ,enQj;a Tfí isref¾ wNHka;rhg w;HdjYH fmdaIK fldgia fkd,efnkafka kï Tfí iqkaor;ajh msßyS hkq we;' ksfrda.S osÿ,k flia l<Ula" Yla;su;a kshfm<la fukau meyem;a iula Tn i;=fõ kï Tng iqkaor pu;aldr rE imqjlg ysñlï lSfï Nd.Hh ks;e;skau Wodjkq ksielh. iEu hqj;shlf.au isyskho fuh jkafkah.

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Advertorial ch.%dyS jirla imqrk Floria Biotin mdßfNda.sl Tn iu. bosßhgu

ld¾h nyq, cSjk rgdjl fldgialrejka jQ wmg" wmf.a YÍrhg wjYHjkakd jQ kshñ; fmdaIK fldgia kshñ; m%udKfhka wmg ,nd.ekSug fkdyels ùu yuq fõ we;s tlu úi÷u jkafka u,aá úgñka fmdaIK i;aldrh nj fufia jirla imqrk fudfydf;a mdßfNda.sl Tn wmg ;yjqre lroS we;' idOdrK ñ< iu. Ndú;hg myiq ^osklg tl ne.ska& ksidu úYd, jYfhka msg m<d;aj, cSj;ajk Tn wm ksIamdokh flrys ;enQ wp, úYajdih ksid fujeks iq¿ld,hla ;=,oS úYd, msßilf.a w;rg kduh f.k hdug yelsùu .ek wms wjxlju i;=gq jkafkuq' fj<|fmdf<a we;s fujeks w;sf¾l fmdaIK i;aldrhka w;=ßka fi!LH wud;HdxYfha ks¾foaYs; ;;a;ajfhka Wiia ksIamdokhla f,i Floria Biotin yS fjki jgyd.;a Tn ieu fjkqfjka j¾Ihla imsfrK fï fudfydf;a Tn yeufokgu N=la;s ú|sh yels m%fhdackj;a iy lD;.=KfõoS úh hq;= nj wm wdh;kfha ye`.Su úh.

tuksid Tn m<uq ui i|yd wjYH u,aá úgñka fmdaIK i;aldrh fkdñf,a ,ndoSug ;SrKh l< nj ud¾laia fj,akia mqoa.,sl wdh;kfha idudkHdêldÍ ^oekaùï mßmd,k& fIÍka iaf;aïnq uy;añh m%ldYlr isà. jir 8l ld, mßÉfPaohla mqrd ud¾la fj,akia mqoa.,sl wdh;kh T!IO f.kajd fnodyßk wdh;khla f,i mdßfNda.slhkaf.a wjYH;d y÷kdf.k fj<|fmd,g úYsIaG ksIamdok y÷kajd ÿkafka mdßfNda.sl Tfí iqrlaIs;Ndjho ;yjqre lrñks. oekg jirlg fmr y÷kajdÿka Floria Biotin u,aáúgñka fmdaIK w;sf¾l i;aldrh fujka iq¨ ld, jljdkqjla ;=< mdßfNda.slhskaf.a yoj;g ióm fjñka os.= .ukla hEug ;enQ úYajdihg wmg uy`.= rel=,la jQ nj i|yka l< hq;=j we;. fi!LH wud;HdxYfha ks¾foaYhkag wkqj wkjYH úgñka j¾. neyer fldg w;HjYH ish¨u úgñka kshu ud;%dj wvx.= lr bkaoshdfõ ksYamdokh lrjd Y%S ,xldjg wdkhkh lr fj<|m,g ksl=;a lrk Floria Biotin Y%S ,xldfõ jeä msßilf.a wiSñ; úYajdih oskdf.k we;s Floria Biotin Tfí isrerg fhda.H;u fmdaIK w;sf¾l i;aldrh f,i fmruqfKa we;. Tn;a m%Odk wdydr fõ,g miq tla fm;a;la ne.ska mdúÉÑlr fjki jgyd .kak. Floria Biotin u,aá úgñka Tng os.= .uklg f.fkhs wdisß'

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

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

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

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fï fya;=fjkau wfma rfÜ ,laI ixLHd; msßila uqyqK md isgk wNd.H iïmkak frda.s ;;a;ajhlg iaÓridr úiªï fidhd .sh bisjrfhl= nª ñksfil= fidhd hdughs wmf.a fï W;aidyh' rfÜ iqm;, kula we;s iS' ta' ch;s,l Tyqf.a uq;a;dh' yslalvqfõ Y%s iqux., ysñmdKka uq;a;df.a udud flfkls' fmardfoKsh úYAjúoHd,fha mqia;ld,h ;=< ngysr ffjoH úoHdj ms<sn| ,shejqKQ fmd;a mßYS,kh lrk w;r;=r ;u j,õfõ mrïmrd .Kkla ;siafia wdrCId lrkakg ;ekam;a lr ;snQ mqia;lo Tyq uekúka mßYS,kh lrñka oeä wêIAGdkfhka ;u b,lalh fj; mshk.kakg úh' Tyq iaÒr jYfhkau wfma rgg lS¾;shla f.akjd' úYAj úoHd, wOHdmkho l%ufhka w;miq l< Tyq fõ.fhka ;u mÍCIK fcHda;sIHo Wmfhda.S lr .ksñka oshqKQ l<ehs wm iuÕ mjid isáfha' tu mÍCIK j,go Ndckh jQfha Tyquh' w;s úYd, uqo,la jeh lsÍug isÿ jQ wjia:d j, hï hï miq.dó isÿùï isÿjqKo ffojfha ydialulska fuka 2005 jif¾ f,d;/hs oskqï weoSfï ,xldfõ m%:u fldaám;shd ùfï Nd.Hho ;u mjq,g Wreu ùu ksid b;du;a id¾:l f,i Tyqg ;u b,lal lrd <Õd jkakg yels úh' Tyqf.a fidhd .ekSu wkqju fïoh iy ms; jeäjqjfyd;a flaI kd,sld isÿre jeiS hk neúka flia j,g iemfhk reêrh k;r ù ;Ügh

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

127 ffjoHjrhd

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

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

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

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