NOVEMBER 2023 DOCTORPLUS.

LK The Premier Health Magazine in Sri Lanka

;Ügï yevh lshk iqj ryia FREE ISSUE

Diabetes Remission
Èhjeähdj wdmiaig
yerùug mq¿jka
wdfh l;d folla kE
ì;a;r lshkafk
iqmsß wdydrhla
fukak fya;=
WANNAKU
METHOD
.¾NKS iufha Èhjeähdj
uq;%d wdidokhg yß
yeá m%;sldr lrkafka
fufyuhs
CONTENTS
iajdNdúl meKs Diabetes myths
rildrlh debunked
iaàúhd 04 Èhjeähdj iïnkaO
ñ;Hd u; 26
k< ore ixfiapkfha
uQ,sl woshf¾ mÍlaIdj reêrfha iSks uÜgu
Intrauterine md,kh lsÍfuka
insemination fï ixl+,;d
.ek oek.ksuq 07 j,ska wE;a fjkak
mq¿jka 28
ys;=uf;a fnfy;a
ydmsla 33
orejkag tmd
th Tfí orejdf.a Gestational
cSú;h wk;=f¾ Diabetes Mellitus
fy<kjd 12 .¾NKS iufha
Èhjeähdj 34
<ore ixfõ§
ifï úfYaI{hd Blood Sugar
CETAPHIL BABY reêr iSks md,kh
ksIamdok oeka .ek Tng we;sjk
fjf<| fmdf,a 15 m%dfhda.sl .eg¿ 37

uf.a mq;df.a f,a Èhjeähdj kue;s

ms<sldj iqj lr, ksy~ udrhd
mq;dj cSj;a flrefj wdhq¾fõo
.,s.uqfõ iqu;smd, weiska olsuq''' 42
fjo uy;a;hd ;uhs
ffjoHjrhd iÕrdjg oek fkdoek ful,
ujla mejiQ mejiQ fndfyda fokd
l;djla 18 f.dÿre jk fnda
fkdjk frda.h
Diabetes Remission Èhjeähdj 44
Èhjeähdj wdmiaig
yerùug mq¿jka 22
iSks f,v Nhdkl
jHdhdu lrkakg frda. /ilg uq, 48
fmr ldhj¾Ok
uOHia:dkhlg hkakg Wannaku Method
fmr ffjoHjrfhla Èhjeähdjg
uqK .efikak lshkafka fnfy;a 49
fï ksihs 25
uq;%d wdidokhg yß
yeá m%;sldr lrkafka
fufyuhs 52
flfy,a bojkafk fnfy;a
.y,o@ 55
DIMO Healthcare iy
ZEISS tlaj ZEISS CT
LUCIA 621P Monofocal IOL
Y%S ,xldjg y÷kajd fohs 56
;Ügï yevh lshk iqj
ryia 58
yhs yS,aia 61
Dr. Yamuna Senadheera Consultant Physician
,sx.sl W;af;ack T!IO
Dr. Helaruwan Pasankumara Infertility and IVF
ys;=u;fha Ndú;h urK
jfrka;=jla 62 Dr. Prageeth Premadasa Consultant in Sexual
ukaofmdaIKh 65
fyd|g krlg folg
lguh 66
wdfh l;d folla kE
ì;a;r lshkafk iqmsß
wdydrhla 70
Lotion yd Cream j, fjki 73
f,v /ilska Tnj wdrlaId
lrk fmar f.äfha
fmdaIH .=Kh 74
urKfha uqjúgg wd yoj;a
frda.sfhl= .ek yDo Wria
ffjoHjrfhl=f.a w;a±lSï 76
Tn;a iqfLdamfNda.S cSú;hla
.; lrkjdo@ 79
The Premier Health Magazine in Sri Lanka
EDITORIAL DIRECTOR
Bharata Gunathilaka
077 314 9084
EDITOR-IN-CHIEF
Shyamalee Pathirage
FOUNDER EDITORIAL CONSULTANT
Late. K.M. Gunathilaka
MANAGING EDITOR/ MARKETING
Amitha Wickramarachchi
marketing@doctorplus.lk
077 815 0270
CREATIVE DIRECTOR/ WEB
Manjula Kumara Gamage
077 124 2408
FEATURE ASSOCIATES
Dr. Priya Sammani Rathnayake
physician. Clinical embryologist.
Medicine
Dr. Chaminda Mathota Consultant
Obstetrician & Gynaecologist
Dr. Kolitha Karunadasa. Plastic &
Reconstructive Surgeon
Nishani Lucas - Senior Lecturer, Consultant
Neonatologist
Dr Upul De Silva Consultant Physician
Dr Harold Gunatillake
Dr Janaka Wannaku Medical Officer
Dr. Shehan Silva Consultant Physician &
Geriatrician
Dr. Ravinie Wijeweera is a Consultant
Gynaecologist
Ayur Physician Dr. A A Sumathipala
Ayur Physician Dr. Sumanarathna
Amarathunga
Ayur Physician Dr. Danister L Perera
Dr. Udeni Liyanaarachchi. Former Ayurveda
Medical Officer
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 iajdNdúl meKs rildrlh
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DOCTORPLUS.LK

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05
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lsÍu;a iu.u fï jmißh
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frda.Skag fukau fi!LHuh .=Khla by< meKs rihla we;s ksid álla ±ïudu
fya;=ka u; wkqNjhg fyd|gu m%udKj;ah'
DOCTORPLUS.LK

.kakd iSks m%udK wvq

lrkakg Wmfoia ,o fldhs fï iïnkaOfhka Tng jeäÿrg;a úia;r ,nd .ekSug
ldg;a wk.s úl,amhls' Tfí ffjoHjrhd fyda fmdaIKfõÈhd yuq fjkak
SUNSHINE HEALTHCARE LANKA LTD
T: 0114702500
 07
FERTILITY
k< ore ixfiapkfha
uQ,sl woshf¾ mÍlaIdj
Intrauterine insemination
.ek oek.ksuq
Wish Fertility Hospital ys idhksl l<,fõo
úfYaI{ ffjoH fy<rejka mikal=udr
MBBS (Sri Lanka) MD (Gyn. & Obs.) Infertility
- China Pg.Dip. (Andrology)Monash,OUSL
Master of Clinical Embryology Monash,
Australia SLMC Reg. No. 20800

Intrauterine insemination IUI hkqfjka ye|skafjkafka orejka wysñ hqj, fj;

ore iïm;a ,ndoSfï wruqKska isÿlrk lD;%su .eí .ekaùï l%u w;f¾ jvd;au
DOCTORPLUS.LK

m%d:ñl l%uhhs' kjH ;dlaIKh fhdod .kakd ixfiapk l%shdj,shla jQj;a fuysoS
fiiq Wiia ixfiapk yd i<lk l< fuys uQ,sldx. ir<h' fndfyda úg ksire;d
m%;sldr wdrïNfhaoS fï l%uh w;ayod ne,Sula isÿ flf¾'
 Intrauterine insemination IUI y÷kajk úl,am kï fydafudak T!IO fkdue;sj
Donor insemination, Alternative insemination, or 1'iajdNdúl Tima pl%h
Artificial insemination. m%fhdackhg .ksñka
fydafudak T!IO iys;j
IUI l%uhg ore iïm;la 2.Clomiphene/IUI
äïn fudapkh lrk ld,fhaoS Y=l%dKq ffi, .¾NdIh 3.Follicle Stimulating
08

;=< ;ekam;a lsÍu fuysoS isÿfõ' fï wdldrfhka Hormone-FSH/IUI

.eí .ekSfï l%shdj,sh isÿ lsÍug fmr" äïnfldaIh 4. Follicle Stimulating
W;af;ackh lrk T!IO ,nd oSula isÿ flf¾' fuu Hormone with Human
FERTILITY

ixfiapkh i|yd Y=l%dKq tl;= lrkq ,nkafka Tfí Chorionic gonadotropin-

iylref.ka fyda mrs;Hd.YS,sfhl=f.ks' th Y=l%dKq FSH/HCG/IUI
j,ska ksfrda.S Y=l%dKq idkaøKh lrk —Y=l%dKq fia§u˜
kï l%shdj,shla yryd .uka lrhs' fydafudak T!IO fkdue;sj
iajdNdúl Tima pl%h
äïn fudapkh m%fhdackhg .ksñka
Tfí wdfõKsl ;;a;ajhka i<ld wdldr y;rlska äïn isoqlrk IUI m%;sl¾uh
fudapkh i|yd jvd;a iqÿiq wdldrhlska Tnj ms<sfh, wehg úêu;a Tima
lrhs' pl%hla ;sfí kï osk 12-
15 w;roS äïn fudapkh
isÿ fõ' tfiau iajdNdúlj
,sx.sl tlaùula l<
IUI hkq ir, yd wvq ;dlaI‚l fkdyels whgo fuh wk.s
ueÈy;aùulska fyì l%shd mámdáhla úl,amhls' Basal Body
jk w;r th fjk;a idM,H;d Temperature l%uhg
m%;sldr j,g jvd wvq úhoï l%uhla WIAK;ajh m%ia:dr.;
lrñka äïn fudapkh
jqj;a th .eí.ekSfï iïNdú;dj jk oskh fmrhSï l<
jeä lrhs' yel' tfia fkdue;s kï
fhdaks ud¾.fhka je.sfrk

cSjdKqyrs;
udOHhl we;s
Y=l%dKQ ksheosh
DOCTORPLUS.LK

.¾NdIhg Y=l%dKq kslafIamkh lsrSu

>%dj fyda Ovulation IUI ;dlaIKfha mshjr
Kit wkqidrfhkao äïn
fudapkh ksYAph lr.;
yels fõ' ta yereKQ úg äïn äïn fudapkh
j¾Okh .ek wehf.a wd¾;j
w,ag%d ijqkaâ mÍlaIK úuis<su;a pl%h wkqj
yd reêr mÍlaIKo

09
ùu fjkia fkjhs
fuu äïn fudapkh
ksYaph lr .ekSug
bjy,a fjhs'

FERTILITY
fydafudak T!IO iys;j
isÿlrk IUI m%;sl¾u
;uka úiskau myiqfjka
kslafIamKh lr.; Y=l%dKQ
.¾NdIfha
yels iu hgg úosk Y=l%dKQ
ksheosh ;ekam;a
tkak;a fuysoS fhdod.; lsÍu
yel' Worfha mfilska
fyda l,jd tkak;a
m%foaY f,i idudkHfhka
fhdod .kshs' fl;rï IUI m%;sldrfha id¾:l;ajh
ld,hla tkak;a ,nd tla wd¾;j pl%hla ;=<oS ishhg 16-20l id¾:l;ajhla
fokjdo hkak mqoa.,hd m%;sldrfhaoS w;am;a fõ' fuhg idfmalaIj IVF
wkqj fjkia fjhs' m%;sldrfha tla wd¾;j pl%hl id¾:l;ajh ishhg 30-
we;eï úg tkak;a j,g 40l mrdihl mj;sk njo wjfndaO lr .kak'
wu;rj fm;s jYfhkao
fydafudak T!IO ,nd IUI m%;sldrfha we;súh yels wkfmalaIs; m%;sM<
fohs' fuysoS m%Odk jYfhka orejka tla flfkla fjkqjg
ksjqka orejka yd nyq ore Wm;a we;s ùfï bvlv
IUI m%;sldrh ks¾foaY nyq,h' ksjqka orejka we;sùfï bvlv idudkH .eí
lrkafka ldgo@ .ekSuloS fuka ih .=Khls' tfiau fuysoS isÿ lrk
fya;=jla y÷kd.; iEu ore Wm;a mylska tllau nyq ore Wm;a f,i
fkdyels u|ire nj" y÷kdf.k ;sfn' fkdfïrE orejka yd wvqnr orejka
mqreI uQ,sl u|ire nj" we;s ùfïoS lshshï jeä yelshdjla we;'
widudkH Tima pl%hla
;sfnk Clomifene fm;s ixfiapkh i|yd Y=l%dKq ,nd .ekSu
j,g id¾:l;ajhla ixfiapkh lsÍug kshñ; oskfhaoS iylre úiska Y=l%dKQ
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fuhg fhdod .kakd
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lsÍulg ,la lrk kï fyda tajd .=Kd;aufhka ySk kï fyda fjk;a
.eg¿jla ksid mß;Hd.YS,sfhl=f.a Y=l%dKQ j,ska .eí
DOCTORPLUS.LK

w;r th wjidkfhaoS
ñ,shk mylg jeä .ekaùula lrk wjia:do fõ' ;uka okakd mß;Hd.
pd,l;djhla we;s YS,sfhl= fyda fkdokakd flfklaf.ka fuu Y=l%dKQ
Y=l%dKQ mej;sh hq;=h' ,nd.; yel'
 Y=l%dKq fiaoSu isÿ lrk wdldrh

j.d udOHh
Y=l%dKQ j, we;s we;=,a lr
ma,iaudj yd wfkl=;a îfc!IKh
flakqødmsidrkh
lsÍu
10

ffi, bj;a lsÍu

FERTILITY

pd,l;djfhka
Y=l%dKQ iys; fmdfydi;a Y=l%dKQ
udOHh Wvg mSkd ths

fufia ,nd .kakd Y=l%dKQ sperm washing hkqfjka ² fuys id¾:l;ajh Tfí
ye|skafjk l%shdj,shlg ,la lr Y=l% Od;= j, we;s jhi yd Tfí wdfõKsl
pd,l;djfhka ySk Y=l%dKQ yd Yaf,aIu, fldgia bj;a lr fi!LH ;;a;ajh u;
idkaø Y=l% ksheoshla ;ekam;a lsÍu i|yd ms<sfh, flf¾' r|d mj;S'
² IUI m%;sldrfhka miq
Y=l%dKQ YS;khg ,la lrñka u;= m%fhdackhg .ekSug iefklska Tfí idudkH
;ekam;a lsÍuo isÿfõ' túg tu Y=l%dKQ ,sx.dY%s;j lghq;= j, fhosh yel'
fndajk frda. yd m%fõKsl fodaI j,ska úhqla; njg jHdhdu lsÍu"
m¾fhaIK lr ;yjqre lr .ekSu isÿ ,sx.sl iyjdihg
ndOdjla ke;
IUI fkdl< yels wjia:d
² wjysr jQ fyda wdmodjg m;a mef,damSh kd, we;s úg fï jákd ;dlaIKh
² wd¾;j wNdjh weiqf¾ wUqieñhkaf.a
² mqreI uQ,sl ksire;djh' fuysoS mß;Hd.YS,sfhl=f.a ore iqr;,a isysk
Y=l% Od;= j,ska ixffiapkhla isÿ l< yel' ienE lrk osjhsfka
² tkafvdfuá%fhdaisia j, fïrE woshr m%uqL idM<H;d
² wef.a jhia.;Ndjh ^jhi wjq' 40 blauùu& wdh;khls' Tfí
ore iïm;a ,eîfï
ffjoHjrhd úiska Tfí .eíf., yryd ;=kS" kuHYS,S m%udoh iïnkaOfhka
k,hla Tfí .¾NdIh ;=<g ;,a¨ lrhs' l=vd isßkachla
we;sjk .eg¿ i|yd
Ndú;d lr k<h yryd Y=l%dKqj fl,skau Tfí .¾NdIhg
0779728799 yd
we;=¿ lrhs' .¾NŒNdjh isÿjkafka Y=l%dKqjla äïnhla
0773273866 hk wxl
iu. ixfiapkh ùu (Fertilization)yd tu ixfiaÑ;
äïnh .¾NdIfha wêfrdamkh (Implantation) fï i|yd wu;kak'
.; jkafka úkdä 5-10 l ld,hls' ks¾úkaokh lsÍula
wjYH fkdfõ' wmg l;d lrkak'
fukak wfma wxlh
The Gist 0777 910 910
² IUI hkq le;Sgrhla yryd ldka;djf.a .¾NdIhg
Y=l%dKq tkak;a lsÍfuka weh .eí .ekaùug isÿ lrk 077 1862 117
Y,Huh fkdjk l%shdj,shls' jvd ñ, wêl yd Wiia wmf.a ,smskh
idM,H;d m%;sldr lsÍug fmr fuu m%;sldrh isÿ Wish Fertility Hospital
DOCTORPLUS.LK

flf¾' No:30, Elhena Road,

² wfmalIa djka M, oeÍfï yelshdj ishhg 20-50 w;r fõ' Maharagama

Wish Fertility Hospital @wishfertilityhospital @wishfertility www.wishfertility.lk

Wish Fertility Hospital
No:30, Elhena Road, Maharagama

0777 910 910/ 077 1862 117

 ys;=uf;a orejkag fnfy;a ,nd ,nd§u b;du;a
j.lSfuka hqla;j isÿ l< hq;= fohla
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fnfy;a §md,a fmf¾rd uy;d u;la lr fokjd'

wo orejkag fnfy;a §fï§ isÿjk jerÈ

12

orejkag tmd Ndú;hka" wjNdú;djka iïnkaOfhka

úfYaI{ ffjoHjrekag ksrka;rfhka
ys;=uf;a fnfy;a orejkag tmd

meñ‚,s jd¾;d ,efnkjd' orejkaf.a

th Tfí Ôú;h iïnkaOfhka n,mj;ajk fï

wjNdú;djka ksid Tfí orejdf.a cSú;h
mjd wk;=f¾ jefgk nj Tn okakjdo@
orejdf.a cSú;h iuyr wïu,d" ;d;a;,d mrK
wk;=f¾ fy<kjd Priscription tlla wrf.k .sys,a,d
wikSm fjÉp orejdg mduisfhka
fnfy;a .kak wjia:d ;sfhkjd' th
uõmshkag" T!IOfõ§kag w;ay< hq;= b;d jerÈiy.; Ndú;djla'
fukau ffjoHjrekag;a jákd
we;eï T!IO È.=ld,Skj .kak lSju
mKsúvhla taj ys;=uf;a k;r lsÍfuka we;sjk
M,úmdl nrm;, fjkak;a mq¿jka
iuyr orejkag È.gu fnfy;a fokak
ßcafõ wd¾hd <ud
´ks fjk frda. ;;a;aj ;sfnkjd' tfyu
frdayf,a fcHaIAG <ud
frda. úfYAI{ ffjoH È.gu fokak ´ks fjk fnfy;a ál
§md,a fmf¾rd ld,hla §,d tal ys;=uf;a kj;ajk
uõmshkao wmsg yuq fjkjd'
DOCTORPLUS.LK
 ffjoHjrfhlaf.a ks¾foaYhla u; fnfy;la kshu l<dg miafi ta
Wmfoi ;=< orejdg T!IOh ,nd Èh hq;= ud;%dj ksjerÈj i|yka
úh hq;=hs' tfiau tu T!IOh ,nd Èh hq;= ld, iSudjl=;a ksYaÑ;ju
oelaúh hq;=hs'

13
tal fndfydu ksjerÈj
lshj,d ;uhs T!IOh

ys;=uf;a fnfy;a orejkag tmd

ksl=;a ksl=;a lrkakg
´ks' lsishï wdldrhlska
tu Priscription tl
lshjkakg fkdyels
;;a;ajhla ;sfhkjd kï
tu ffjoHjrhdg ÿrl:k
weu;=ula ,nd §,d tu
fnfy; ksYaÑ; jYfhkau
ljrlao oek .; hq;=hs'
tfyu ke;=j ljodj;a
j,smamqj Priscription tl yßhg
tfyu È.gu fnfy;a fokak ´ks frda.hla ;uhs lshfjkafka ke;akï
j,smamqj' j,smamqj we;s jqKdu tlmdru fnfy;a fok tl wkqudfkg fnfy;la ksl=;a
k;r lrkak krlhs' tfyu jqKdu ta orejdg kej;;a lrkakg tmd'
j;djla j,smamq ;;a;ajhla we;s fjkakg bv ;sfhkjd'
tfyu ieflag fnfy;a
rEueál WK ksl=;a lrmq wjia:d
yDoh frda.hla jk rEueál WK ;sfhk orejkag ksid isÿjqKq úYd,
i;s ;=klg j;djla fnkai;ska bkafclaIka tl yß wka;rdhka iïnkaOfhka
fmksis,ska geí,Ü tl yß fokak ´ks' fïl fkd§ bkak wmsg wmg w;aoelSï
fldg kej; j;djla yDohg n,mEï we;s fjkakg ;sfhkjd' fmksis,ska
bv ;sfhkjd' fïjd uõmshka ys;=u;fha k;r lsrSfuka fjkqjg fmksi,ñka ,nd
§¾>ld,Skj orejdg n,mEï we;s lrkakg mq¿jka' fokakg mq¿jka' fjki
wl=rhs" folhs' we;sjk
fï ksid orejl=g §¾>ld,Skj fnfy;la fok f,ig m%;sM,h b;d Nhdklhs'
ffjoHjrhd Wmfoia ,nd ÿkaku tajd idhkj,ska Priscription tfla wl=rla
,ndf.k ta Wmfoia ms<SmÈñka orejdg ,ndfokak' tfia fjkia jqK;a" tal;a yß
fkdlr Tfí orejd wikSm ;;a;ajhlg ,la Wkdu yß yeá f;areï wr.kag
lsisu fj,djl mduishg .sys,a,d Tng ysf;k fnfy; ´fk'
mduisfhka b,a,kak tmd' fudlo@ tfyu jqKdu orejdg
wjYH lrk kshu m%;sldrh ,efnka keye ú;rla fkfï" Èk ;=k y;rlg jeäfhka
orejdf.a Ôú;h;a lsishï wk;=rlg ,la jkakg bv WK ;sfhkjd kï reër
;sfhkjd' mÍlaIKhlg fhduq fjkak
fvx.= jf.au
yßhg lshjkak neß fnfy;a ;=Kavq j,g fnfy;a ksl=;a bka*a¨fjkaidj jf.a
lrkak tmd" fï mKsúvh T!IOfõ§kaghs frda.;a fï Èkj, iq,nj
T!IOfõ§kag;a ,nd Èh hq;= mKsúvhla ;sfnkjd' iEu olskakg ,efnkjd'
DOCTORPLUS.LK

úgu wms frda.Skag w;HjYH jk fnfy;a muKla ,nd Tfí orejdg ojia ;=k
fokakg ´ks' wkjYH wdldrfhka T!IO frda.Skag" y;rla WK ;shkjd kï
;ukaf. mdßfNda.slhskag ,nd§u lsisfia;a iqÿiq kE' ffjoHjrfhla fj;
ffjoHjrfhl=f.a Priscription tlla wrf.k wdjyu .sys,a,d fvx.= frda.
 ho@ fjk hï frda. kshñ; ld,dka;rhlg wkqj muKla merisgfuda,a Tfí
;;a;ajhlao lshk tl orejdg ,nd §fuka wdrlaIs;j orejd iqjh ,nkakg
mßlaId lrk n,k tl mq¿jka'
fyd|hs'
ffjoHjrekaf.ka lrk b,a,Sula" ksjerÈj lshúh yels
fudk frda.h ;snqKd jqK;a fia fnfy;a ;=Kavqj ,shkak
14

orejdg wjYH ud;%djg ffjoHjrekaf.ka ud b,a,d isákjd" lshjkak mq¿jka

muKla merisgfuda,a úÈhg meyeÈ,sj Priscription tl ,shkak' ta jf.au
T!IOh ,nd fokakg T!IOfõ§kaf.ka b,a,d isákjd ksielju T!IOh
´k' orejdg m%udKj;a ms<sn|j ;yjqrejla ke;akï lsisu wjia:djl fnfy;la
f,i Èhr j¾. ,nd wkqudfkg ksl=;a lrkakg tmd' ta T!IOh l=ulao@ hkak
§,d fyd| úfõlfhka ta fok ,o ffjoHjrhdf.ka úuid ksYaÑ;ju oekf.k
orejd ;sfhk tl fndfyda muKla tu T!IOh ksl=;a lrkak'
frda. ksjdrKhg fyd|
W;af;ackhla njg m;a ujqmshkag;a uu m‚úvhla fokakg leu;shs' lsisu
fjkjd' thska frda.h fj,djl ffjoHjrfhlaf.a ks¾foaYhla ke;sj Tfí
iqjm;a ùug myiqjla we;s ys;=uf;ag mduishg .sys,a,d lsisu fnfy;la .kakg tmd'
fjkjd'
ffjoHjrhd úiska Wmfoia fok ,ÿj kshñ; wdldrhg
merisgfuda,a wjNdú;h;a T!IO orejkag ,nd fkd§u ksid" uõmshkaf.a ys;=uf;ag
wk;=re f.k tkjd fnfy;a mduis j,ska ñ,§ .ekSu ksid frda.S ;;a;ajh
;j;a ldrKhla lsj W;aikak fj,d orejkq;a leáj wfma idhk j,g tk
hq;=hs fï merisgfuda,a uõmshka wmsg iq,nj yuq fjkjd
lshk fõokdkdYlh
´kjg jvd orejkag ,nd
fkdÈh hq;=hs' merisgfuda,a wmf.a Flip
wêud;%dfjka ,nd§fuka Book È.=j
Tiafia iÕrdj
wlaudjg ydks isÿ lsheùfï§
fjkak mq¿jka' tu ksid fuu f;dr;=re
ffjoHjreka úiska kshu Watch It
we;=,;a ùäfhdaj
lrkq ,nk wdldrhg Tng;a kerôh
yel'
kshñ; ud;%djg iy
DOCTORPLUS.LK
 mqxÑ meáhf.a
<ore ixfõ§ ifï mqxÑu foa fjkqfjka
jqK;a fjfyfik
úfYaI{hd Tjqka orejd
75 jirl §¾> b;sydihla fjkqfjka hula
f;dard .ksoa§ ish

15
we;s c¾uksfha ksIamdÈ; oyia jdrhlg;a
jvd l,amkdldÍ

CETAPHIL BABY
fjkafka ta ksihs' ta

CETAPHIL BABY l,amkdldÍ nfjka

we;a;gu wdrlaId
fjkafka fyg ojfia
ksIamdok oeka f,dalh Ndr.kak
bkak wfma fï mqxÑ

fjf<| fmdf,a megõ'

wïud ;d;a;d jqKq
hqj<lg ;ukaf.a
wdorfhka mqxÑ leoe,a,g lekaoka wd ;ukaf.a ore meáhd
mqxÑ meáhdf.a" mqxÑu" mqxÑ fohla jqk;a wïud" fjkqfjka <ore
;d;a;dg oefkkafka f.dvla f,dl= úÈhghs' tal ksIamdok f;dard
.ekSfï§ b;du;a
;uhs wïud ;d;a;dg fï f,dafla ;sfhk f,dl=u
ie<ls,su;a fjkak
j.lSu' Tjqka ta j.lSu mjr.kafka b;du;a ´fka ta ksihs'
wdorfhka'

DOCTORPLUS.LK

fuu ksIamdok j, we;s
iajNdúl wuq øjH u.ska
<ore iu u; we;s
úIîc úkdY lrñka
16
iu frda. j,ska wdrlaId
lrkjd' ta jf.au iu
CETAPHIL BABY
u;=msg we;s f;,a ;Ügqj
yd iu u; fjfik
ys;lr nelaàßhd j¾.
wdrlaId lrkjd'
w¨; Wmka <orejkaf.a u,a fm;a;la
;rï iqisksÿhs" ta jf.au ixfõ§hs ta
ksidu <orejkaf.a iu /l .ekSu
foudmshkag mejfrk f,dl= j.lSula'
ta j.lSu yßhdldrj bIag lr .ekSug
kï mqxÑ orejkag mdúÉÑ lrkak
.kakd l%Sï j¾." Ieïmq j¾." Ths,a
j¾. f;dard .ekSfï§ fndfyda fihska
ie<ls,su;a úh hq;=hs' fudlo wms
ndysßka fhdod.kakd wdf,amk l=vd
orejkaf.a iu wdY%s; hï hï ixl=,;d
we;sùug bv lv ;sfnkjd' ta jf.au
WIaKdêl rgla jk wfma rfÜ mj;sk
foaY.=‚l iajNdjh iu wdY%s; hï
ixl=,;d we;sùug n,mdkak mq¨jka'
ta ksidu wfma rfÜ mj;sk foaY.=‚l
iajNdjhg wkqj ksis ;;a;ajfha <ore
ksIamdok f;dard .ekSu Tng mejÍ we;s
wNsfhda.hla'
w;S;fha wfma foudmshka kï ì<s÷ka
msßisÿ lsÍu ioyd nyq,j f;dard .;af;a
jou,a" ly" fjksje,a .eg" fldfydU
jeks Ydlidr tl;= lr ;ïnd .;a
c,h fyda wdf,amk j¾.hs' j¾;udkfha
mj;sk Ôjk wr.,h wkqj foudmshka
fndfyda fia wúfõlS ksid fndfyda
wfhla fjf<| fmdf<ka ksIamdok ñ<§
DOCTORPLUS.LK
.kakjd'
<ore ksIamdok ñ<§ .kakd foudmshkag
Y%s,xldfõ lS¾;su;a wdh;khla jk
ikaIhska fyda,aäka.aia wdh;kh úiska
c¾uka rfÜ kj;u m%ñ;Skag wkql+,j
ksmojk <ore ksIamdok rdYshla
CETAPHIL BABY kñka oeka fjf<|
fmd<g yÿkajd§ ;sfnkjd'
fuu ksIamdok j, we;s iajNdúl wuq
øjH u.ska <ore iu u; we;s úIîc
úkdY lrñka iu frda. j,ska wdrlaId
lrkjd' ta jf.au iu u;=msg we;s f;,a
;Ügqj yd iu u; fjfik ys;lr
nelaàßhd j¾. wdrlaId lrkjd'
<orejdf.a ixfõ§ iu meh úisy;r
mqrdu wdrlaId lrkjd' ifï f;;ukh
tf,iu mj;ajdf.k hdug WmldÍ
fjkjd' iajNdúl úgñka E wvx.= ksid
<orejdf.a iu fmdaIKh lrkjd' kj
iqjÈka orejd ikijkjd'
Cetaphil baby ksIamdok Y%s,xldfõ
foaY.=‚l ;;a;ajhg Tfrd;a;= fok
wdldrfhka ksmojd ;sîu úfYaI;ajhla'
Cetaphil fíì l%Sï" fíì Ieïmq yd fíì
Ths,a oeka Èjhsk mqrd we;s wf<ú ie,a
u.ska ñ<§ .; yelshs
wmf.a Flip Book È.=j Tiafia iÕrdj lsheùfï§ fuu
f;dr;=re we;=,;a ùäfhdaj Tng;a kerôh yel'
fnodyeÍu
ikaIhska fyda,aäka.aia PLC
27$-4$1" fhda¾la wdflaâ mdr"
fhda¾la wdflaâ f.dvke.s,a,
fld<U 01'
ÿrl:kh 011 2339764
Daraz iy Lassana flora Tka,hska
fiajdj u.skao ñ<§ .; yel'
 Clinically Proven
HYPOALLERGENIC
RANGE OF PRODUCTS
18
wdhq¾fõoh

ms<sld kik úYajdrdu fy< fjolu flfkl=g wmg l;d

lf<d;a fï f;dr;=frys

uf.a mq;df.a f,a i;H wi;HNdjh mÍlaId

l< yelshs' Tn,dg
fï l;dj my<ska we;s
ms<sldj iqj lr, ùäfhdafjka wehf.a
lgyäkau wid .kak;a
mq;dj cSj;a flrefj wms wjia:dj Wod lr,d
;sfhkjd'

.,s.uqfõ iqu;smd, fï orejdg jhi udi

kufha§ muK wikSm
fjo uy;a;hd ;uhs fj,d" uyshx.Kfha
rcfha frday,g f.ksyska
;sfhkjd' tfyÈ orejd

ffjoHjrhd iÕrdjg mßlaId lr,d n,,"

reêr mÍlaIKhl=;a
lr, f,a ms<sldjla
ujla mejiQ mejiQ ;sfnk nj y÷kdf.k
;shkjd' orejd uyr.u
l;djla ms<sld frday,g /f.k
DOCTORPLUS.LK

hkak lsh, tfya ysá

ffjoHjreka Wmfoia §,'
weh wïmdr" mÈh;,dfõ mÈxÑ iqukdj;S uy;añh'
zzTõ we;a;" orejg f,a
wef.a ÿrl:k wxlh wm i;=j mj;skjd' wjYH
orejg lrkaÜ w,a,, fkd;snK q q tl ug fnfy;a lrkak f,dl=
m%fhdackhla jqKd' orejdg ie;alï lr, ;snf q K;a keye' f.dvla wh wms
.djg tkafka Y,Hl¾u" lSfud bkafclaIka ta ish,a,u miq lr, neßu
wjia:dfõ§' fndfydauhla fj,djg ta jf.a wjia:djlg m;a jqKdu
frda.h
s d f.dv odkak wudrehs' ys; yokak ú;rhs fjkafka' wmsg fï

19
orejd .;af;d;a fl,sku a wms .djg wdmq tl fnfy;a lrkak" iqj lrkak
f.dvla myiq jqKd'

wdhq¾fõoh
;sfhkafka' nv msïì,d" yßhg wdydr
.,s.uqj .kafk;a kE" ks;ru w~k tluhs"
wdhq¾fõo orejdg fkd±KQj;aju u<my msg
ixrlaIK
fjkjd' Tkak Th úÈyg ysá orefjla
iNdfõ
iNdm;s ;uhs iquKdj;S wïu iqu;smd, fjo
mdrïmßl uy;a;hd .djg wrf.k .sfha' ta
foaYSh ms<sld fj,dfõ iqu;smd, fjouy;a;hd fï
ffjoH ta ta orejd mßlaId lr," ffjoH jd¾;d;a
iqu;smd, ish,a, n,,d uQ,sl jfÜg" orejdg
udihla mdúÉÑ lrkak fnfy;a §,d
;sfhkjd'
ms<sldjla ;uhs ;sfhkafk' fï iqjm;a
lrkak wudre wdldrfha ms<sldjla' wïu
fï wïud orejd f.or wrf.k .syska
tal oeKQj;a fjkak ´ks'ZZ ffjoHjreka
fï lshmq fnfy;a fjouy;a;hd Wmfoia
mejiQjd'
ÿkakq ms<sfj,gu ,nd §,d ;sfhkjd'
i;s fol ;=kla hkfldg fyd| w;g
uf.a ys; lvdf.k jegqKd' ug orej
fjkialï lsysmhla orejdg we;s fj,d
ke;s fjkakhs hkafk' ffjoHjreka ug
;sfhkjd' fï fnfy;a ál wyjr jqKdu
orej k;r lrkak Wmfoia ÿkak;a wE;
B<Õ udfi;a wïud orej;a wrf.k
ÿIalr .ul bkak wmsg tfyu k;r
iqu;smd, fjouy;a;h yuqjg .shd'
fj,d fnfy;a lr.kak wudrehs' uu
tfyÈ" fjo uy;a;h kej;;a orejd
f.or weú;a fudllao lrkafk lsh,
mßlaId lr, ;j udfilg .kak
ÿflka l,amkd lr lr ysáhd' fï .ek
fnfy;a ál;a ,nd §, tajd bjr jqKdu
wfma .fï mkaif,a yduqÿrejkag;a
f,a mÍlaIKhl=;a lrka tkak lsh,d
ta fjkfldg wdrxÑ fj,d' mkaif,a
Wmfoia ,nd §,d ;sfhkjd'
yduqÿrefjda wehg lsh,d ;sfhkjd .,s.
uqfõ iqu;smd, fjo uy;a;hd .ek'
fojeks udifha§ orejd kej;;a
t;=ud fï úÈfya frda.Ska iqjm;a lrjk
;ksfhka wdydr .kak tl wdrïN l<d'
nj wy, ;sfhkj lsh,;a Wkakdkafi
fi,a,x lrkak mgka .;a;d" áflka
lsh,' fï wïug ta l;dfjka wdfh;a
ál wr mrK l%shdldrlï j,g orejd
n,dfmdfrd;a;=jla we;s jqKd' zzuu
fm<UqKd'
tfykka fjouy;a;hj yïnfjkakï
ydkaÿrejfkaZZ wïu lsõjd'
ta udfi udfi wjidfka ffjoH
mÍlaIKhl=;a lr, tu jd¾;djka
DOCTORPLUS.LK

iqukdj;S uy;añh mijodu .,s.

wrf.k fï wïud .,s.uqfõ iqu;smd,g
uqfõ" wrkaor iqu;smd, fjo uy;auhd
uy;a;hg kej;;a fmkakqjd' orejdf.
yuqfjkak .syska ;sfhkjd' ta fjk úg;a
f,a ms<sldj iqj w;g m;afjñka ;sfnk
orejd wudre ;;a;ajhl ;uhs b|,d
 nj ;uhs jd¾;dfõ
yeáhg igyka fj,d uu jir 45l muK ld,hl isg fï fjolu
;sfnkafka' bka tydg uu lrkjd' wms úYajdrdu fjo mrïmrdfõ'
;jÿrg;a orejdg fï fjo mrmqf¾ uu ;uhs fï fjolu ±ka
fnfy;a kshu lr, bÈßhg f.k hkafka' wfma uq;=ka ñ;af;da
ta m%;sldr mx;sh b;sß lr,d .sh ta jákd iïm%odhsl oekqu"
20

iïmQ¾K lr," wo oji fnfy;a jÜfgdare jf.au uf.a w;aoelSï

fjoaÈ fjoaÈ fï orejd tlal uqyq lr,d ;uhs uu T!IO ksmojkafka'
wdhq¾fõoh

iïmQ¾Kfhkau iqjm;aj
fnfy;a wkqmdk foiShla ú;r tl;=
bkakjd'
lr, uu n,.;= zzmdkSh ms<sld ff;,hZZ
oeka uu .,s.uqfõ ksIamdok lrkjd' fuh ms<sld ffi, yUd
iqu;smd, fjo uy;auhd f.dia tajd úkdY lsÍfï n,hlska hqla;hs'
fï orejd .ek lshk fuys m%;sTlaisldrl .=Kh by< uÜgul
l;dj Tng i|yka ;sfnkjd' ´kEu n,.;= ms<sld frda.hla iqj
lrkakï lsÍug mdkSh ms<sld ff;,hg mq¿jks'
we;af;kau lshkjd kï
uy;a;fhda" Th orej mdkSh ms<sld ff;,h
ux .djg toaÈ f,dl= j¾;udkfha ud úiska ksmojd we;s zzmdkSh
wudre ;;a;ajhlg ms<sld ff;,hZZ n,.;= T!IOh" ms<sld
m;a fj,d ;uhs ysáfha' frda.Ska iqjm;a lrk" ms<sld ffi, urK
Tyqg yeÈ,d ;snqfK f,a
n,.;= T!IOhls' ;eka ;eka j,g f.dia
ms,sldjla ;uhs' orejg
lrkaÜ w,a,, fkd;snqKq
j¾Okh jk ms<sldjg ksis ms<shï fkdfhdod"
tl ug fnfy;a lrkak th lmd fldgd ie;alï lr jQjo frda.h iqj
f,dl= m%fhdackhla lr .ekSug fkdyels ;;a;ajhg m;a ùug
jqKd' orejdg ie;alï fmr m<uqfjkau ud yuqjkak' Tng iïmQ¾K
lr, ;snqfK;a keye' iqjh ,nd§u uf.a wruqKhs'
f.dvla wh wms .djg
tkafka Y,Hl¾u" mdrïmßl fy< foaYSh ffjoH ta ta iqu;smd,
lSfud bkafclaIka ta iduúksiqre" .,s.uqj wdhq¾fõo ixrlaIK iNdfõ
ish,a,u miq lr, iNdm;s" i¾jdx. Ñls;ail" ,shdmÈxÑ wxlh 13297
neßu wjia:dfõ§' mdrïmßl foaYSh ms<sld ffjoH ia:dkh
fndfydauhla fj,djg ta fn,sfldgqj" wrkaor wgd, ^.,s.uqj-wúiaidfõ,a,
jf.a wjia:djlg m;a ud¾.h" fnda.ia ykaÈh&
jqKdu frda.shd f.dv
ÿrl;k 035 2289 635
odkak wudrehs' ys;
yokak ú;rhs fjkafka' 071 8889 635
wmsg fï orejd .;af;d;a 072 4282 140
fl,skau wms .djg wdmq wmf.a Flip
tl fnfy;a lrkak" iqj Book È.=j
lrkak f.dvla myiq Tiafia iÕrdj
lsheùfï§
jqKd' Th jf.a orefjda fuu f;dr;=re
DOCTORPLUS.LK

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Èhjeähdj wdmiaig yerùug mq¿jka

Diabetes Remission
Èhjeähdj wdmiaig
yerùug mq¿jka
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fld<U cd;sl frdayf,a wka;rdi¾.

frda. ms<sn| úfYaI{ ffjoH uydpd¾h
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Èhjeähdj yeÿK;a th Wmdhsl m%fõYhla Tiafia wdmiaig
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yerúh yelsh hk kjH u;h m%p,s; lsÍug fjfyik m%udKsl

úoajf;l= jYfhka ydpd¾h úoHdfcda;s m%idoa lgq,kao ye|skaúh
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.ekSug;a reêr iSks w.hka mdol lrf.k lghq;= l< hq;=hs'

23
ol=Kq wdishd;sl ck;dj lghq;= l< hq;=h' ldka;djla kï ;u bK jg m%udKh

Èhjeähdj wdmiaig yerùug mq¿jka

f,dj isák fiiq fikaáóg¾ 80 ^80cm& w.hg jvd wvq m%udKhl mj;ajd
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wm ks;ru W;aidy l< isÿl< m¾fhaIK u.ska y÷kd.kq ,enq wdldrhg fojeks
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mqoa.,hl=f.a bK jg
DOCTORPLUS.LK

m%udKh fikaáóg¾ 90
^90 cm& w.hg jvd mQ¾j Èhjeähdj wjia:dj Èhjeähdj frda.h myiqfjka md,khg
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24
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wêlj ;ekam;a ù we;s f;,a bj;a fõ' fuuÕska
kej; Tjqkf.a bkaishq,ska l%shdldß;ajh by<
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lsÍu ÿ¾j, ùuh' ^lipo toxicity& fuys§
îgd ffi,j, l%shdldß;ajh ÿ¾j,ùu
ksid .aÆfldaia ksmoùuo l%u l%ufhka jeä
fõ' fuu jeä jk .aÆfldaia ksid îgd
ffi, ;jÿrg;a l%shdldß;ajh ÿ¾j,ùug
mgka .kS' ^Glucose toxicity& fuf,i
b;d ÿ¾j, ;;a;ajhg m;ajk îgd ffi,
DOCTORPLUS.LK
l%shdldß;ajh iodld,sl ÿ¾j,;djhg m;a
fkdjk nj y÷kdf.k we;' tksid tu
îgd ffi, kej; il%sh ;;a;ajhg m;a
l< yels nj m¾fhaIK u.ska fidhdf.k
;sfí' ta wkqj Bg m%;sldr lsÍu u.ska
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 doctorpluslk doctorpluslk

jHdhdu

25
lrkakg fmr
ldhj¾Ok

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;reKhka w;f¾ yDohdndO iq,n ful, oeä jHdhdu
j, fhfokakg hk ;reKhka ;ukaf.a ldhsl
fhda.H;djh iïnkaOfhka msßlaiSula isÿ lf<d;a fï
jákd cSú; fírd.kakg mq¿jka

Source: Ghaziabad 19-year-old Youth Collapses, Dies Of

DOCTORPLUS.LK

Cardiac Arrest While Running On Treadmill

doctorplus.lk The Premier Health Magazine in Sri Lanka

26
DIABETES MYTHS DEBUNKED
DIABETES MYTHS
DEBUNKED
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Èhjeähdj yefokafka jeäfhka iSks
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lsis úfgl;a ksÜgdjg iqj l< fkdyels
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27
fndfyda frda.k
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DIABETES MYTHS DEBUNKED
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DOCTORPLUS.LK
Èhjeähd jix.;h kej;Sug kï frda.S
iy ksfrda.S ck;dj by; i|yka l<
ñ;Hd u; j,ska neyerù Èhjeähd frda.h
foi ksrjq,a ukiska ne,sh hq;f
= õ
28
Èhjeähdj f.fkk ixl+,;d

DIABETES COMPLICATIONS
Common diabetes health complications include heart disease,
chronic kidney disease, nerve damage, and other problems with feet,
oral health, vision, hearing, and mental health. Learn how to prevent or
delay these diabetes complications and how to improve overall health.

Èhjeähdj f.fkk ixl+,;d

reêrfha iSks uÜgu md,kh lsÍfuka
fï ixl+,;d j,ska wE;a fjkak mq¿jka
j;a;, fyaudia frdayf,a wdydr yd fmdaIKfõÈkS pxp,S ysudIsld
Bsc (Hons) in Food Science & Nutrition & RD

miq.sh oYl lsysmh ;=< Èhjeähd frda.Ska ixLHdj iy jHdma;sh l%ufhka

jeä fjñka jvd;a Nhdkl Wjÿrla njg Èhjeähdj m;a fjñka ;sìh§"
th j<lajd .ekSu flfryS wjOdkh fhduq lrñka fuu frda.h ms<sn|j
ck;dj oekqj;a lsÍu lrKq jia f,dal Èhjeähd Èkh iurKq ,efí'
Èhjeähd ;;a;ajh md,khg jvd;a M,odhs m%;sldrhla f,i j¾;udkfha
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Ndú; jk —bkaishq,ska˜ kQ;k f,dalhg f.k taug Wmldr l< Y%Su;a

f*ârsla nekaáka Wm; ieufrk fkdjeïn¾ 14 f,dal Èhjeähd Èkh
jYfhka f,dalh mqrdu wkqiaurkh flfrhs'
Èhjeähdj ieflúka m<uq j¾.fha Èhjeähd frda.Ska bkaishq,ska
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fya;=
iudcfha iq,n fojk
j¾.fha Èhjeähdj
bkaishq,ska i%djh ùu"

29
bkaishq,ska l%shdldß;ajh
fyda ta foflysu fodaI

Èhjeähdj f.fkk ixl+,;d

fya;=fjka" §¾>ld,Skj
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wdldr follska mj;sk m<uq wdldrfha Èhjeähdjg fjfiiskau fya;= jkafka bkaishq,ska
iaj,amhla ksmoùu fyda ksmoùula fldfy;au isÿ fkdùuh' tfy;a
fuu Èhjeähd frda. YÍrh bkaishq,skaj,g m%;sfrdaë ùu fyda YÍrhg m%udKj;a ;rï
fha jvd;a iq,n wdldrh bkaishq,ska ksmoùula isÿ fkdùfuka fojk wdldrfha Èhjeähdj we;s
jkafka fojeks j¾.fha fjhs' th jeäysáhka w;f¾ iq,n Èhjeähd wdldrhhs
Èhjeähdjhs' ^Type
11 Diabetes Mellitus& fukau g%hs.a,sirhsv by< uÜgul meje;Su" .¾NŒ
idudkHfhka jeäysáhka Èhjeähdfõ ^Gestational Diabetes& b;sydihla
;=< we;s jk" YÍrh ;sîu" Wm;a nr 4 KGla fyda Bg jeä n/;s orejl=
bkaishq,skaj,g m%;sfrdaë ìys lr ;sîu" wvq YdÍßl l%shdldrlï uÜgula
ùu (Insulin Resistance& meje;Su" yDo frda. fyda wd>d; ;;a;ajhkaf.a
fyda YÍrhg m%udKj;a b;sydihla meje;Su" udkisl wjmSvkh jeks
;rï bkaishq,ska ;;a;ajhkaf.ka fm<Su" fmd,sisiaála ´jß iskafv%daï
ksmoùula isÿ fkdùfuka ^PCOS& wd§ ;;a;ajhka iy Tfí f., fyda lsys,s jgd
fuu ;;a;ajh we;sjk w÷re" >k iula ;sîu ^Acanthosis nigricans&" wdÈh
w;r §¾>ld,Skj fuu fojeks j¾.fha Èhjeähdj we;s ùu i|yd n,mE
mj;ajd f.k hk yels wfkl=;a wjodkï idOl fõ'
je/È wdydr rgdjka
iy je/È p¾hd;aul m<uq j¾.fha Èhjeähdj
mqreÿ fukau hï ;rul m<uq j¾.fha Èhjeähdj" bkaishq,ska u; hefmk
mrïmrdfjka Wreu jk Èhjeähdj ^Insulin Dependent Diabetes Mellitus&
cdkuh n,mEulao fuu f,i y÷kajkq ,nhs' tys§ w.akHdYh úiska bkaishq,ska
wjdikdjka; ;;a;ajh iaj,amhla fyda ksmoùula isÿ fkdjk neúka YÍrh
i|yd fya;= fjhs' úiska wjfYdaIKh lr .kakd ish¨u .aÆfldaia Yla;sh
ksmoùu i|yd ffi, ;=<g ,nd fkdf.k reêrfha
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wêl nr fyda ;rndre
nj" jhi wjqreÿ 45 fï fya;=fjka m<uq j¾.fha Èhjeähd frda.Ska
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fyda Bg jeä ùu" wêl bkaishq,ska msg;ska ,nd .ekSu wksjd¾h fõ' flfia
reêr mSvkh fyda kuq;a fuu Èhjeähd ;;a;aj folu YÍrhg wys;lr
ys;lr fldf,iagfrda,a n,mEï rdYshla we;slrk neúka l=uk j¾.fha
^HDL& wvq uÜgul Èhjeähdjlska jqjo fmf<k mqoa.,hka" bkaishq,ska
 Èhjeähdj we;sùug n,mdk fya;=
30
wêl reêr
Èhjeähdj f.fkk ixl+,;d
mSvkh
ia:q,;djh
we;=¿ wfkl=;a ks¾foaYs; m%;sldr ^Oral
Hypoglycemic Drugs& iy iqÿiq wdydr
md,khla i|ydo m%fõY ùu Tjqkaf.a
Ôú; ld,h ;=< uqyqK§ug isÿúh yels
fi!LHuh .eg¨ wju lr .ekSu i|yd
w;sYh jeo.;a fõ'
Èhjeähdj wdY%s;j we;s jk ixl+,;d
ksis f,i md,kh fkdjQ Èhjeähdj
flá yd È.=ld,Sk ixl+,;d we;s lrhs'
uQ,slj Tn frda.h úksYaph lrk úg
my; oelafjk jvd;a nrm;< ixl+,;d
Tn ;=< fkdue;s jqjo" ld,h;a iuÕ
Tfí reêr .aÆfldaia uÜgu ksis f,i
md,kh lr fkd.ekSu ;=<ska l%ufhka
tajd u;= ù jvd;a krl w;g yeÍfï
yelshdjla mj;S' YÍrhg ksis f,i l%shd
lsÍug fkdyels f,i reêrfha .aÆfldaia
uÜgu b;d wvq fyda jeä w.hla .kakd
úg" fuu fláld,Sk ixl+,;d we;s
lrk w;r ta i|yd blaukska m%;sldr
,nd§u w;HjYH fõ'
fláld,Sk ixl+,;d
DOCTORPLUS.LK
yhsfmd.a,hsisñhd ;;a;ajh
^Hypoglycemia&" Èhjeähd
lSfgda weisfvdaisia ;;a;ajh
jerÈ l=iS;j Èú
wdydr f.ùu
jhiska jeä ÿïmdkh
ùu
^DiabeticKetoacidosis& iy
yhsm¾Tiafuda,¾ yhsm¾.a,hsiñla
;;a;ajh ^Hyperosmolar
Hyperglycemic State& wdÈh fuu
Èhjeähd frda.fha fláld,Sk
ixl+,;d fõ'
yhsfmd.a,isñhd ;;a;ajfha§
reêrfha .aÆfldaia uÜgu b;d wvq
w.hlg meñfKk w;r th 72mg/
dLg jvd wvq w.hla f,i oelafõ'
lSfgdweisfvdaisia ;;a;ajh
óg wu;rj YÍrh b;d wvq
bkaishq,ska m%udKhla iuÕ
ie,lsh hq;= ld,hla .; l<fyd;a
lSfgdweisfvdaisia ;;a;ajh we;súh
yelsh' tys§ fïoh ì| oeófuka
uqod yefrk lSfgdak" bkaishq,ska
wjYH;djlska f;drj Yla;sh
iemhSu i|yd Ndú; fjhs' flfia
fj;;a" fuu l%shdj,sh È.ska È.gu
isÿùfuka reêrfha lSfgdak uÜgu
by< f.dia" lSfgdweisfvdaisia
;;a;ajh we;s úh yels w;r"
tuÕska fldud ;;a;ajhla mjd we;s
úh yelsh'
 lSfgdweisfvdaishdj wjodkï ,laIK

31
Èhjeähdj f.fkk ixl+,;d
msmdih lSfgdak jeäfhka lg b;d úYd,
jd¾;d ùu jYfhka úh<Su

ks;r uq;%d reêr iSks w.hka

lrkakg hdu jeäùu

ld,h;a iuÕ ksis f,i md,kh fkdjQ ;;a;ajh y÷kd .ekSu yd

Èhjeähdj Tnf.a yDoh" reêr kd," weia" th id¾:l f,i md,kh
lr .ekSug fhduq ùfuka
jl=.vq iy iakdhq we;=¿ YÍrfha úúO ta wdY%s; È.=ld,Sk
wjhj iy moaO;Skag nrm;< ydks isÿ lrk ixl+,;do wju lr .;
w;ru we;eï úg Tfí Ôú;h mjd wysñ yels fõ'
lrkq ,efí'
Micro
vascularcomplications
yhsm¾Tiafuda,¾ yhsm¾.a,hsisñla ;;a;ajh fufia YÍrfha l=vd
fojeks j¾.fha Èhjeähdj we;s mqoa.,hka ;=< reêrjdysksj,g ydks
we;súh yels yhsm¾Tiafuda,¾ yhsm¾.a,hsisñla isÿ ùfuka laIqøjdysks
;;a;ajh ^Hyperosmolar Hyperglycemic State& ixl+,;d ^Micro
hkq b;d by< reêr .aÆfldaia uÜgula j¾Okh vascularcomplications&
jk ;;a;ajhls' fï ksid Tlaldrh" úc,kh" we;s lrk w;r" úYd,
jHdl+,;ajh" WK iy fldaud ;;a;ajhka we;s úh reêr kd,j,g ydks
yelsh' fuys§ Tfí reêr .aÆfldaia uÜgu 720mg/ ùfuka id¾j reêr
dL Bg jeä uÜgulg <Õdfõ' fuho b;d Nhdkl jdyskS ixl+,;d ^Macro
;;a;ajhla úh yels neúka" tjka wjia:djl§ vascular complications&
ffjoH Wmfoia ,nd .ekSu b;d jeo.;a fõ' we;s lrhs'

È.=ld,Sk ixl+,;d wefia iqo

jir .Kkdjla mqrd wêl .aÆfldaia m%udKhla iys; laIqøjdysks ixl+,;d
f,i wlaIs" jl=.vq iy
DOCTORPLUS.LK

reêrh" YÍrfha l=vd yd úYd, reêr kd< ;=<ska

ksrka;rfhka .uka lsÍu fufia Èhjeähdj wdY%s; iakdhq wdY%s; frda. we;s
È.=ld,Sk ixl+,;dj,g fya;= fõ' tneúka uq,a fõ' È.= ld,hla mqrd
wjêfha§u fuu Èhjeähd wjodku fyda Èhjeähd reêr .aÆfldaia uÜgu
 yDohdndO iy wd>d;
;;a;ajhka
óg wu;rj úYd,
reêrjdysks wdY%s; .eg¨
yuqfõ yDoh" fud<h
wd§ wjhj iy ta wdY%s;
32

moaO;Skago úYd,
n,mEï we;s lrk w;r"
Èhjeähdj f.fkk ixl+,;d

wjidkfha§ urKhg
mjd fya;=jk yDohdndO
md,kh fkdjQ Èhjeähdj ksid jl=.vq fujka n,mEulg ,la fjhs ;;a;ajhka iy wd>d;
;;a;ajhka we;s úh
md,khlska f;drj by< mrdihl meje;Su fufia yelsh'
reêrjdysks ydkshg m;a ùug;a" wefia iqo we;s
ùug;a fya;= úh yelsh' Èhjeähdfõ m%;sM,hla
f,i fufia we;s úh yels
fuu ldrKd folu Tfí fmkSu ke;s ùug fya;= úh ;;a;ajhka je<elaùu
yels neúka Tn Èhjeähd ;;a;ajfhka fmf<kafka i|yd" Tn Èhjeähd
kï" Tnf.a wlaIs iïnkaO .eg¨ j<lajd .ekSu frda.shl= kï reêr.;
i|yd reêr .aÆfldaia uÜgu kshñ; mrdih ;=< .aÆfldaia m%udKh
;nd .ekSug lghq;= lrk w;ru Tfí wlaIs fyd¢ka md,kh l<
fi!LHh ksÍlaIKh lsÍu i|yd wlaIs ffjoHjrhl= hq;=fiau" yDo fi!LH
iuÕ jd¾Isl weia mÍlaIdjlg fhduq ùu jvd;a hym;aj mj;ajd .ekSug
iqÿiq fõ' fya;=jk ÿï mdkfhka
je<lSu" reêr mSvkh
jl=.vq j,g we;sjk n,mEï md,kh lr ksis mrdih
ksis m%;sldr fj; ksis f,i m%úIaG fkdùfuka" ;=< mj;ajd .ekSu iy
md,kh fkdjQ fyda ÿ¾j, f,i md,kh jQ Èhjeähd reêr.; fldf,iagfrda,a
;;a;ajh jl=.vq wl¾uKH lsÍug fya;= fõ' uÜgu jd¾Islj mÍlaId
^Diabetic Nephropathy& ÿ¾j, jl=.vq hq.,hla lr tho md,kh lr
ysñ frda.Skag reêrh ksis f,i msßiqÿ lsÍug .ekSug wjYH jk
fkdyels neúka reêr ldkaÿ fmrKh ^Dialysis& wd§ T!IO" ksje/È wdydr
l%u ;=<ska YÍrfha ksmojk wmøjH neyer lrùug ms<sfj;a iy p¾hd;aul
isÿjk w;r wjidkfha § Ôú;h mj;ajdf.k hEu fjkialïo isÿlsÍu
i|yd jl=.vq noaO lsÍula ^Kidney transplant& jeo.;a fõ'
olajd fhduq ùugo isÿ úh yelsh'
fufia iS.%fhka jHdma;
Èhjeähd iakdhq wdndO jk fojeks j¾.fha
Èhjeähdj ksid we;sjk iakdhq wdndO" Èhjeähdj Èhjeähd frda.h
wdY%s; iakdhq frda. ^Diabetic neuropathy& f,i f,dj mqrd urK iy
ye¢kafõ' l=vd reêrjdysks Tfí iakdhq fmdaIKh wdndO i|yd m%Odk;u
lrhs' tneúka tu reêr kd,j,g ydks isÿùfuka" fya;=jla f,i y÷kdf.k
wjidkfha iakdhq j,go ydks isÿjkq we;' fufia we;s w;r fulS ish¨
DOCTORPLUS.LK

mdoj, iakdhq j,g ydks ùu iy mdoj, reêr ldrKd ;=<ska frda.Skaf.a

m%jdyh ÿ¾j, jk Èhjeähd frda.Skag" we;eï M,odhs;djh iy wdhq
wjia:dj, mdo lmd bj;a lsÍug isÿ fõ' wfmalaIdj ie,lsh hq;=
f,i wvq flfrhs
 doctorpluslk doctorpluslk

ydmsla

33
ydmsla
ydmsla f.orfodf¾ mdúÉÑhg .kakd yefudagu
jeo.;a jk wk;=re weÕùula' ydmsla j,ska úIîc
kYkgh lrk we;efula me,a,ï bj;a lsÍug
í,SÑka mjqv¾" úkdlsß fyda fílska fidavd jeks
hulao Bg tla lrkjd' ydmsla tlal Th fojkqj
lS fldhs foa ñY% l<;a laf,daßka jdhqj w;=reM,hla
f,i yefokak mq¿jka' th b;d wk;=reodhl
jdhqjla njg m;a fjkak mq¨jka' fuys m%;sM,hla
úosyg Tfí YÍrfha Tlaiscka jdhqj ixhq;sh b;d
wvqfj,d yqiau ysrjkak mq¿jka' fï w;aoelSug
uqyqK ÿka whg frday,a.; lr, YajikdOdrl
fkdfyd;a fjkaáf,ag¾ mjd iïnkaO lrkak isoaO
fjkjd' fï ksid ydmsla tlal fjk;a wdï,sl
úIîckdYl ñY% lr mdúÉÑ lrkak tmd
DOCTORPLUS.LK

doctorplus.lk The Premier Health Magazine in Sri Lanka

34
.¾NKS iufha Èhjeähdj
Gestational
Diabetes Mellitus
Gestational diabetes mellitus
(GDM) is a condition in which
a hormone made by the
placenta prevents the body
from using insulin effectively.
Glucose builds up in the blood
instead of being absorbed by
the cells. How it works...
.¾NKS iufha
Èhjeähdj
DOCTORPLUS.LK
m%ij yd kdßfõo úfYaI{
ffjoH pdñkao udf;dg
ldka;djla .¾NKS Ndjhg m;aùfuka
miq wehf.a reêrfha iSks uÜgu"
.a¨fldaia uÜgu by< hdu zz.¾NKS
iufha ÈhjeähdjZZ f,i y÷kajhs'
fuh jeäysá jhfia whg je<f​|k
Èhjeähd ;;a;ajhg jvd fjkia"
wjOdkh fhduq l< hq;= úfYaIs;
frda.S ;;a;ajhls' fuu Èhjeähd
;;a;ajh ore m%iQ;sfhka iq¿ ld,hlg
miq kej; m%lD;s ;;a;ajhg m;a jk
nj y÷kd.; yelsh'
jeä wjodkula we;af;a ldgo@
² .¾NKS iufha Èhjeähdj we;sùug
n,mj;ajk wjodkï ;;a;ajhla
f,i YÍrfha nr jeäùu ke;akï
ia:q,;djh ye¢kAúh yelshs'
² Tn óg l,ska orejka ìys l< ujla
kï Tjqkaf.a nr lsf,da .%Eï 4g jvd
jeä jQfha kï tys§o Tng .¾NKS
iufha Èhjeähdj je<§fï wjodku
jeä jkq we;'
² Tn óg fmr .¾NKS jQ wjia:dj,§
Èhjeähdj je<÷Kq ldka;djl
njg m;a jqKs kï tys§o Tn .¾NKS
iufha Èhjeähdj je<§fï wjodkug
,la jkq we;'
² Tfí mjqf,a uj .¾NKS iufha Èhjeähdj b;d fyd¢ka
mshd fyda ifydaor md,kh lsÍu jvd jeo.;a jkjd' fuys §
ifydaoßhla Èhjeähd Tn l< hq;= jkafka Tnf.a ffjoHjrhd
frda. ;;a;ajfhka ,nd fok ks¾foaY ksjerÈj wkq.ukh
fmf<kafka kï lsÍuhs'
tjeks wjia:djl§

35
Tng .¾NKS iufha
Èhjeähdj je<§fï

.¾NKS iufha Èhjeähdj

wjodku by< uÜgul
mj;S'

úfYaIfhkau ol=Kq
wdishd;sl rgj, Ôj;a
jk ish¨ ck;djg
.eìKs iufha oshjeähdj we;s ùfï
Èhjeähdj je<§fï
wjodkï idOl
wjodku f,dalfha
² ia:q,;djh
fiiq rgj, Ôj;a jk ² reêrfha HDL w.h wvq ùu
mqoa.,hkag jvd by< nj ² nyq fldaIaG frda.fhka fmf<k ldka;djka
isÿ lr we;s iólaIK ² g%hs .a,sirhsv jeäfhka jd¾;d jk
ldka;djka
j,skao ;yjqre ù
² YdÍßl l%shdldß;ajh wvqfjka mj;ajd
;sfnkjd' .kakd wh
² uõmshka Èhjeähd frda.fhka fm<Su
Tng .¾NKS iufha ² HbA1C w.h 5'7 blaujQ wh
² óg l,ska .¾NsKS Èhjeähdjg k;= ùu
Èhjeähdj je<£ ² OGTT widudkH w.hka jd¾;d ùu
we;aoehs oek .kafka
flfiao@
Tng .¾NKS iufha Tng .¾NKS iufha Èhjeähdj je<§fï wjodku
Èhjeähdj je<£ ;sfnkakg mq¿jka' tu ksid .eí f.k i;s 24 ;a 28;a
we;aoehs mÍlaId lr w;r ld,fha § kej;;a ;j;a reêr mÍlaIKhla isÿ
.ekSug l< hq;af;a lr .; hq;= jkjd' tu reêr mÍlaIKh .a¨fldaia
.eí f.k i;s 12la fgd,rkaia fgiaÜ ^OGTT& hkqfjka y÷kajkq ,nkjd'
blau .sh miq PPBS tu mÍlaIKh u.ska Tng .¾NKS iufha Èhjeähdj
reêr mÍlaIKhla je,£ we;aoehs ksjerÈj ;yjqre lr.; yels jkq
isÿ lr .ekSuhs' ta we;s'
i|yd m%Odk wdydr
fõ,lska meh follg .¾NKS iufha Èhjeähdj je<£ fuka we;sjk
muK miq fuu reêr ixl+,;d
mÍlaIKh isÿ l< hq;= Tn fuu frda.S ;;a;ajfhka fmf<kafka kï tys§ l=i
jkjd' fuu.ska .¾NKS ;=, jefvk orejdg fyda Tng lsishï wjodkula
iufha Èhjeähdj we;súh yelshs' kuq;a .¾NKS iufha Èhjeähdj je<£
je<£ we;aoehs l,a ;shd we;s fndfyda ldka;djka lsisÿ ixl+,;djhla we;s
y÷kd.; yels jk kuq;a fkdjQ b;du ksfrda.S orejka ìys lrk wjia:d olskak
fuh ishhg 100la id¾:l mq¿jka' tu ksid Tng .¾NKS iufha Èhjeähdj
DOCTORPLUS.LK

mÍlaIKhla fkdjk njo je<£ ;snqKo ta iïnkaOfhka wkjYH ìhla we;s

wm jgyd .; hq;= jkjd' lr .ekSu isÿ fkdl< hq;=hs' Tn l< hq;af;a Tnf.a
fuu reêr mÍlaIKfha ffjoHjrhd ,nd fok Wmfoia ksis f,i ms<sme§uhs'
m%;sM,h idudkHh jqjo
 Èhjeähdj .¾NKS iufha je,£fuka
we;súh yels wjodkï ;;a;ajhka
lsysmhla y÷kd.; yelshs'
m%iQ;sfha § jeä nr ore Wm;la
isÿùug bv we;s fyhska uj isfiaßhka
36
ie;alulg Ndckh lsÍug isÿùu fyda
w~q Ndú;h u.ska ore Wm; isÿ lsÍug
ùu ta w;r jkjd' tfukau b;du;a
.¾NKS iufha Èhjeähdj
l,d;=rlska orejdg wjodkï iy.;
;;ajhka we;sùug o .¾NKS iufha
Èhjeähdj n,md yelshs" tys § u< ore
Wm;la isÿ úh yels jkjd'
.¾NKS iufha Èhjeähdj md,kh
lrkafka flfiao@
.¾NKS iufha Èhjeähdj b;d fyd¢ka
md,kh lsÍu jvd jeo.;a jkjd' fuys §
Tn l< hq;= jkafka Tnf.a ffjoHjrhd
,nd fok ks¾foaY ksjerÈj wkq.ukh
lsÍuhs'
ksjerÈ wdydr mqreÿ we;s lr .ekSug
tys§ Tnf.a ffjoHjrhd m<uqj ks¾foaY
lrkq we;s' úfYaIfhkau .¾NkKS iufha
Èhjeähdj je<£ we;s ldka;djla iSks
wêl wdydr .ekSu fkdl< hq;= jkjd'
tfukau msá iys; wdydr ^WodyrK f,i
mdka nksia wd§ wdydr& wdydrhg .ekSu
t;rï iqÿiq jkafka keye' iuyrla
ldka;djkag fyd¢ka wdydr md,kh
lsÍfuka muKla fuu .¾NKS iufha
Èhjeähd ;;a;ajfhka ñ§ug yels
jkjd'
m%;sldr wjYH jqjfyd;a Tn .; hq;=
mshjr
kuq;a Tng hïlsis fya;=jla ksid m%;sldr
wjYH jqjfyd;a ta i|yd wdldr follska
m%;sldr l< yels jkjd' fnfy;a fm;s
wdOdrfhka reêr.; iSks uÜgu md,kh
lsÍu bka tla wjia:djla' tu.ska
reêr.; iSks uÜgu md,kh lsÍug
wfmdfydi;a jqjfyd;a bkaishq,ska kue;s
DOCTORPLUS.LK
fydafudakh kslafIamkh l< hq;= jkjd'
fuys§ reêr.; iSks uÜgu kshñ; f,i
md,kh lsÍu jvd jeo.;a jkjd' ta
i|yd we;eï wjia:dj, Èklg f;jrla
reêr.; iSks uÜgu mÍlaId l< hq;=
fjkjd' ta wkqj m%;sldr fjkia lsÍu isÿ
lrkq we;s'
wu;r mÍlaIK
m%;sldr j,g wu;rj orejdf.a
j¾Okh mÍlaId lsÍu i|yd wu;r
ialEka mÍlaIKo isÿ l< hq;= jkjd'
orejdf.a nr jeä jkjdo orejdg hï
ixl+,;djhla we;sù ;sfío hkak tu.ska
y÷kd.; yels jkjd '
ore m%iQ;sh ie,iqï lsÍu
.¾NKS iufha Èhjeähdj je<£ we;s
ldka;djlf.a ore m%iQ;sh ie,iqï
lsÍu ksfrda.S ldka;djlf.a ore m%iQ;sh
ie,iqï lsÍug jvd fjkia wdldrhlska
isÿ jkjd' .¾NKS iufha Èhjeähdj
je<£ we;s ldka;djlg .eí f.k i;s
38 ;a 40;a w;r ld,h ;=, m%iQ;sh isÿ
lsÍug wkqu; lrkq we;s' Èhjeähd
;;a;ajfha oreKqNdjh u; fuu ld,h
fjia lsÍug isÿjkq we;
.¾NsKSNdjh iïnkaOfhka fukau
kdß frda. yd ine|S fujka f;dr;=re
úYAjdijka;j yd ksjerÈj ffjoH
f;dr;=re ,nd .ekSug vog.lk fjí
wvúh fj; msúfikak'
m%ij yd kdßfõo úfYaI{ ffjoH
pdñkao udf;dg
MBBS (Colombo) MD Obstetrics &
Gynaecology (Colombo) MRCOG
(UK) DRCOG (UK) DOWH RCPI
(Ireland) MRCPI (Ireland)Fellowship
in laparoscopy Fellowship in IVF &
Assisted Reproductive Technologies
(India) Dip in Advanced Gynae
Endoscopy (Germany)
Visiting Consultant Obstetrician
& Gynaecologist at Sugabi Clinic
Ragama (0716 921 921) Asiri Central
Hospital - Colombo Ninewells
Hospital - Colombo Nawaloka
Hospital Colombo Hemas Hospital
- Wattala Nawaloka Hospital
- Negombo Leesons Hospital -
Ragama Melsta Hospital - Ragama
 37
LABORATORY TESTS EXPLAINED
General Questions
and Answers
Blood Sugar
Private Medical Laboratory WKqiqï foaY.=Kh
Association yS iNdm;s wdisß reêr iSks yeisÍug
ridhkd.dr fiajdfõ wOHlaI kS,a n,mdkjdo@
m%sh;a fcdaka WKqiqï foaY.=Ksl
;;a;ajhka reêr.;
iSks flfryS we;s lrk
lsishï n,mEula fõo@
reêr iSks md,kh .ek Tng WKqiqï foaY.=Ksl
;;a;ajhka reêr.; iSks
we;sjk m%dfhda.sl .eg¿ úp,kh ùu flfryS
n,mEula lrkafka ke;'
Èhjeähd frda.Ska reêr iSks md,kfhys ,nk kuq;a th Tfí ffoksl
m%dfhda.sl w;a±lSï weiqf¾ fï ,smsh ielfikq we;' mqreÿ j, fjkialï j,g
;=vq Èh yelsh' wvqfjka
Èhjeähd frda.Ska bÈßm;a lrk .eg¿ fujka wdydr .ekSu iy T!IO
m%Yakdj,shla ieliSug uq,a ù ;sfnk w;r ridhk fjfiia ;;a;ajhkag
jHdêfõo{hka yd ;j;a jD;a;Shfõ§ka tu .eg¿ .,md .ekSula isÿ
j,g imhk úi÷ï u; fuu ,sms fm< iïmdokh fkdùu" wvq l%shdYS,S nj
flf¾' fuys i|yka lreKQ frda.h iïnkaOfhka iy ±ä fjfyig m;aùu
fokq ,nk ms<smeÈug Woõjla msKsi jkafkah' tfiau hk lreKQ weiqf¾ reêr
DOCTORPLUS.LK

tajd Tng ,efnk ffjoH Wmfoia fjkqjg fhdod.; iSks j,g jl% n,mEula
yelallao fkdfõ' iEu úgu Tfí ffjoHjrhd yd kï we;s úh yel' wêl
Tng m%;sldr lrk jD;a;slhka lKavdhu iu. Tfí WKQiqu we;eï úg
iïnkaOh ;nd.kak' isref¾ úc,khg fya;=
 wfma is;=ï me;=ï fjkia lsÍug reêr iSks uÜgu fnfyúka
wvqùfuys fjfiia n,mEula we;' wvq reêr iSks uÜgu
iuÕ" ldxidj" wjOdkh wvq ùu" iDKd;aul is;sú<s we;sùu
fkdje<elaúh yelsh'
38
LABORATORY TESTS EXPLAINED

úh yel' msmdih we;sjk ;=<g meñKSug mgka reêr.; iSks mrdifhys

;=re n,d fkdisákak' f.k we;s w;r ta my< uÜgug wdmiq
iEu úgu c,h m%udKj;a fya;=fldg f.k uf.a hdugo fya;=jla úh
fia mdkh lrkak' ysre ffjoHjrhdg ud yel' tfiau fndfyda
rYañh YÍrhg wd;;shla fjkqfjka bkaishq,ska fofkla úhm;a ùu;a
f.k fok w;r .aÆfldaia ,nd §ug wjYHj we;' iu.ska Ôjk rgdj
uÜgu by< kexùug fï ;;a;ajh myokak' l<ukdlrKh l<
th jl% n,mEula we;s hq;=h hk idOlh
l< yel' fï ksid Tfí fndfyda ldrKd fuu fkdi,ld yßñka
jHdhdu ieishla fõ kï fjkig fya;= úh yel' ld,h;a iuÕ bkaishq,ska
tho oji wdrïNfha fyda tla idOlhla jkafka ksIamdokfha wvqùula
ijia ld,hg fhdod.kak' wm jhig hk úg w;aú¢;s' Tfí cdk
fydafudako Bg wkqhd;j ixÑ;h Tnj fuu
wêl ;dmh ógr fjkia ùuhs' ;j;a ud¾.hg f.k hd yel'
.a¨fldógrfha ;Sre iy fya;=jla kï" wms wfma úhm;a ùfï§ bkaishq,ska
Tn .kakd T!IO j,go" p¾hd rgdjkayS fndfyda l%shdldß;ajfhys
úfYaIfhka bkaishq,ska úg tlu wdldrhg ;jÿrg;a we;sjk
j,go lsishï n,mEula wkqNj lrk w;r" fï wvqmdvqj
isÿ l< yels nj u;l wmf.a wdydr .ekSu l<uKdlrKfhys,d
;nd .kak' jeä fkdlruq" kuq;a Tng w¿;ska n,.ekaúh
wms wmf.a l%shdldrlï yels mshjr rdYshls'
ldf,lg miafi uÜgu Bg iu.dój jeä k¾;kh" fhda. jHdhdu
wdfh;a iSks jeä fj,d@ fkdlruq' bkaishq,ska j, fh§u yd is;
fojk j¾.fha ksYaÑ;j mqreÿ lr.kakd iudê.; lsÍfï wNHdi
DOCTORPLUS.LK

Èhjeähdj id¾:lj ,o fj,djlg .ekSfuka j,g fhduq ùu tu

md,kh lsÍfuka jir îgd ffi, j,g wjYH ud¾.fha we;s wk.s
8lg miq" uf.a ksrdydr úfõlh ,nd Èh yel" wjia:djkah'
ixLHdj 200¬ mrdih iuyr úg th Tfí
 ;rï ;sìh hq;=h' wvq
reêr iSks uÜgu iuÕ"
ldxidj" wjOdkh wvq
ùu" iDKd;aul is;sú<s
we;sùu fkdje<elaúh
yelsh' isref¾ fydafudak

39
wiu;=,s;;djhla
isref¾ we;sùugo fuh

LABORATORY TESTS EXPLAINED

jeäÿrg;a fya;= fjhs' w.hkag meñfKk w;r
^jeäúh meñŒu;a th 120-140 olajd fõ'
iu.u ÿ¾j, Ôjk uõmshkaf.a Wmfoi
rgdj$wdydr rgdjka jkafka wdydrfhka
iuÕska fndfyda orejkao jeäjk iSks uÜgug
fï yd iudk ,laIK iß,k fia bkaishq,ska
fmkaùug mgka .kS'& ,ndÈh hq;= jk njhs'
fuys we;s jeo.;au tfia lsÍfuka miqj
foh kï fuu frda. mehl muK ld,hla
,laIK ksjerÈ lrkafka we;=,; kej;;a
iDKd;aul is;sú<s ksid;a flfiaoehs Tn oek orejdf.a iSks uÜgu
iSks md,kh .s,syS hkjd isàuhs' jvd fyd|hs" 50-70 w.hg meñfKa'
ug m<uq j¾.fha Tfí reêrfha iSks uÜgu .kakd wdydru" tys
Èhjeähdj we;s w;r by< kexùug meKsrie;s we;s msIAGh u;
uf.a reêrfha iSks wvq jQ hula iEu úgu Tn <Õ mokï jQ bkaishq,ska
úg uf.a is;Sfï l%shdj,sh ;nd .ekSfuka Tng tu ud;%djla ,nd§ug
fjkia jk njla ug ;;a;ajhg meñŒug fmr m%:ufhka orejdf.a
oefka' ug lkiai,q th j<lajd.; yel' iEu wvqjQ bkaishq,ska
iy.; iajNdjhlao úgu .aÆfldaia álla" iSks uÜgu flfryS uq,skau
oefka' uf.a iSks uÜgu álla ,Õ ;ndf.k tfia wjOdkh fhduq l< hq;=
kej; jeä jQ miq ug iSks uÜgu fnfyúka jk nj uf.a yeÕSuhs'
;jÿrg;a ta lkiai,a, wvq jk njg ±fkk fï ;;a;ajh ksjerÈj
oefkkafka ke;' wm wjia:dj,§ iefklska bka myod fokak'
ys;k-u;k ms<sfj,g yd wyqrla lfÜ od.kak'
Ñ;a;fõ.Sh iajNdjhkag Tn ys;k ms<sfj,
reêr.; iSks w.fhys orejkaf.a reêr iSks ksjerÈh' flfuka
lsishï iïnkaOhla md,kh .ek jeo.;a jefvk wjêhl isák
mj;So@ Wmfoila Tfí YsIHhd .kakd
wfma is;=ï me;=ï fjkia uu m%d:ñl mdi,a wdydr yd bkaishq,ska
lsÍug reêr iSks uÜgu fyÈhla fjñ' ug m<uq ,nd§u w;r iqug
fnfyúka wvqùfuys j¾.fha Èhjeähdj we;s in|;djhla mej;sh
fjfiia n,mEula we;' wjqreÿ 10 l YsIHfhla hq;= jkafkah' orejdf.a
YÍrhg bkaOk jkafka isà' Tyqf.a Èjd wdydrhg isref¾ ksh; ys;lr
wm .kakd wdydrhs' fmr reêr iSks w.hka reêr iSks w.hla
fud<h idudkH f,i 50-70 w;r mj;shs' Èjd mj;ajd .ekSug
DOCTORPLUS.LK

l%shd lsÍu i|yd wdydr wdydrh wkqNj lsÍfuka kï orejd .kakd

j,ska ,eî Yla;sh ñks;a;= 30 lg muK fm%daàk m%udKh yd
f,iska mßj¾;khj miqj Tyqf.a reêr fïofhao kv;a;= ùula
mj;akd iSks m%udKj;a .aÆfldaia kej; idudkH ;sìh hq;=h' Tyqf.a
 ffjoHjrhd fjk;a mej;sh
hq;= reêr iSsks w.hla .ek
ksYAÑ; Wmfoila ,nd§
fkdue;s kï iuia;hla
f,i idudkHfhka wdydr
.ekSug fmr 110 wdikakfha
40

reër iSks w.hla mej;Su

ys;lrh'
LABORATORY TESTS EXPLAINED

fuys§ wmf.a uQ,sl

mrud¾:h úh hq;af;a
DOCTORPLUS.LK
bkaishq,ska l<ukdlrKh
lsÍu wm ,ndfok
ldfndayhsfâ%g u; muKla Tfí jhig wkQj ;sìh hq;=
r|d fkdisg" fi!LH reêr mSvkh oek.kak'''
iïmkak mrdihla ;=< reêr mSvkh''' wm ldg;a yqre mqreÿ wdldrhg
orejdf.a .aÆfldaia uÜgï lsõfjd;a fm%I¾ tl" ys;lr mrdihl ;nd.ekSu
;nd .ekSfuka iuia;hla wfma fi!LH iïnkaOfhka úuik úg b;d w;HjYH
f,i bkaishq,ska wvq lsÍug ldrKhla' fm%I¾ tl jeä jqKdu th YÍrhg úYd,
W;aidy lsÍuh' ksoiqkla wjodkula tl;= lrkjd' fï ksid úfYaIfhkau
jYfhka" orejdf.a WoEik Tfí f,a .uka lrk kyr j, wdmodjka we;s fjkak
wdydrhg ì;a;r we;=<;a mq¿jka' jl=.vq wdosh wl¾ukH fjkak mq¿jka'
lsÍu jvd;a ia:dhS WoEik yDohdndO" yDo wlrKsh" wxYNd.h jf.a .eg¿
.aÆfldaia uÜgulg odhl rdYshla u;= fjkak mq¿jka' fï ksid flfkla wêreêr
úh yel' mSvkfhka fmf<k nj y÷kd.;a miq Tyq ks;sm;d
iqmÍlaIKhg ,la lrkak ffjoHjreka l%shd lrkjd'
orejd mdief,a§ úvdnr jhig wkQj reêr mSvkh ys;lr w.hl
yeisÍula olajhs kï iy ;sfnkjdo n,kak
bf.kSfuys wvq ld¾h
idOkhhla fmkajhs kï" jhi wju idudkH Wmßu
Tjqkaf.a ffjoHjrhd w.h w.h w.h
iuÕ m%;sldr .ek
kej;;a idlÉPd l< udi 1-12 75$50 90$60 100$75
yelsh' orejd iSks b;d
wjqreÿ 1-5 80$55 95$65 110$79
wvqùfuka yhsfmd.a,hsiSñhd
;;a;ajhg m;aùfuka wjqreÿ 6-13 90$60 105$70 115$80
j<lajd .ekSu Tfí uQ,sl wjqreÿ 14-19 105$73 117$77 120$81
j.lSula jkafkah' wjqreÿ 20-24 108$75 120$79 132$83
wjqreÿ 25$29 109$76 121$80 133$84
u;l ;nd .kak" orejdf.a wjqreÿ 30$34 110$77 122$81 134$85
hymeje;aug iydh ùu
wjqreÿ 35$39 111$78 123$82 135$86
iy Èhjeähdj yd
iïnkaO ixl+,;d j<lajd wjqreÿ 40$44 112$79 125$83 137$87
.ekSu i|yd fmdaIKh iy wjqreÿ 45$49 115$80 127$84 139$88
DOCTORPLUS.LK

bkaishq,ska l<ukdlrKfha wjqreÿ 50$54 116$81 129$85 142$89

iu;=,s;;djhla we;s lsÍu wjqreÿ 55$59 118$82 131$86 144$90
wjYHfhkau
wjqreÿ 60$64 121$83 134$87 147$91
l< hq;a;ls'
Centres & Labs Address Telephone E-Mail
Asiri Hospital No 181,Kirula Road, Narahenpita,Colombo 5 011 - 4523355/356/357 prlab@asiri.lk
The Central Hospital No 114,Norris Canal Road,Colombo 10 011 - 4665500 / 077-2092847 chllab@asiri.lk
Asiri Surgical No 21,Kirimandala Mawatha,Colombo 5 011 - 4524400 / 011-4524448 microlab@asiri.lk
Asiri Hospital Matara No 191 , Anagarika Dharmapala Mawatha 041 - 4390900 infoasirimatara@asiri.lk
Asiri Hospital - Galle No 10, Wakwella Road , Galle 091 - 4640625 labgalle@asiri.lk
Asiri Hospital - Kandy No 907, Peradeniya Road, Kandy 081 - 7850404 / 05 ahklab@asiri.lk
Kandy No 67/7, William Gopallawa Mawatha 081 - 7389022 kandylab@asiri.lk

41
Kalubowila No 5, S De S Jayasinghe Mawatha 011 - 7389701 / 704 kalubowilalab@asiri.lk
Negambo No 155, Colombo Road 031 - 7388010/011/ 012 nglab@asiri.lk
Ragama No 39 A, Kadawatha Road 011 - 7389753/754/755 ragamalab@asiri.lk
Kurunagala No 199 / 1, Colombo Road 037 - 7220110/111/112 kurunegalalab@asiri.lk
Jaffna No 546, Hospital Road 021 - 7389389 / 392/93 jaffnalab@asiri.lk
Batticaloa No 39/1, Central Road 065 - 7755400/401/402 batticaloalab@asiri.lk
Anuradhapura No 1, Bandaranayake Mawatha, Kada 50 025 - 7800850/53/54 anuradhapuralab@asiri.lk
Badulla No 18, Darmadootha Road, Badulla 055 - 7634020 badullalab@asiri.lk
Homagama No 20, Katuwana Road 011 - 7519583/585/586 homagamalab@asiri.lk
Kalutara No 21, Chamly Gunawardena Mawatha 034 - 7634005/010/009 Kalutharalab@asiri.lk
Gampaha No 06, Asoka Gardens, Colombo Road 033 - 7634139/ 148/323 gampahalab@asiri.lk
Matale No 91/A, Kandy Road 066 - 4501011/ 0667434001 matalelab@asiri.lk
Kalmunai No 303, Main Street 067 - 7388001/3 kalmunelab@asiri.lk
Akuressa No 56 , Matara Road 041 - 4937607 labakuressa@asiri.lk
Tangalle No 201 D, Matara Road 047 - 4937557 labtangalle@asiri.lk
Amabalangoda No 291, New Galle Road 091 - 4946449 labambalangoda@asiri.lk
Pelawatta No 730 B , Pannipitiya Road 011 - 7634035 pelawattalab@asiri.lk
Wellampitiya No 100,Kumaradasa Place 011 - 7519581 wellampitiyalab@asiri.lk
Kadawatha No 134 H, Jaya Mawatha 011 - 7617180 kadawathalab@asiri.lk
Wattala No 122, Negombo Road 011 - 7581598 wattalalab@asiri.lk
Gampaha No 144, Queen Mary’s Road 033 - 7500598 gampahacc@asiri.lk
Horana No 223 B ,Anguruwatota Road 034 - 7877200 horanalab@asiri.lk
Kiribathgoda No 140/A, Kandy Road,Dalugama 011 - 7782704 kiribathgoda.lab@asiri.lk
Kotahena No 01, Pickerings Road, Colombo 13 011 - 7782702 kotahena.lab@asiri.lk
Wellawatta No 37, Manning Place, Colombo 06 011 - 7782706 wellawatte.lab@asiri.lk
Awissawella No 29, Gemland, Kudagama Road 036 - 7637611 avissawella.lab@asiri.lk
Rathmalana No 421 G, Galle Road 011 - 7782708 ratmalana.lab@asiri.lk
Kaduwela No 475/1/D, Avissawella Road 011 - 7782710 kaduwela.lab@asiri.lk
Peradeniya No 116,Peradeniya Road 081 - 7634010 peradeniyalab@asiri.lk
Bogambara No 46,Keppitipola Road 081 - 7389011 / 13 bogambaralab@asiri.lk
Katugastota No 202/3,Katugastota Road 081 - 7634002 katugasthotalab@asiri.lk
Marawila 375/1,South Muhudu Katuwa 032 - 7634010 marawilalab@asiri.lk
Panadura No 159,Galle Road 038 - 7634011 panaduralab@asiri.lk
Anuradhapura No 280, Bank Place , Main Street 025 - 7596620 kadapanahalab@asiri.lk
Waththegama No 45,Mathale Road 081 - 7634008 wattegamalab@asiri.lk
Nawalapitiya No 119,Kothmale Road 054 - 7634012 nawalapitiyalab@asiri.lk
Dehiwala No 190 A,D.B.Jayathilake Mw (Hill Street) 011 - 7634096 dehiwalalab@asiri.lk
Kuliyapitiya No 95, Hettipola Road, 037 - 7634003 kuliyapitiyalab@asiri.lk
Malabe No 877, Athurugiriya Road 011 - 7654039 malabelab@asiri.lk
Bandarawela No 276,Badulla Road 057 - 7634008 bandarawelalab@asiri.lk
Ja-Ela No 67, Gamini Road 011 - 7634186 Jaelalab@asiri.lk
Embilipitiya No 29 / A, New Town Road 047 - 7634008 embilipitiyalab@asiri.lk
Kegalle No 325, Main Street 035 - 7634014 kegallelab@asiri.lk
Nugegoda No 491, Highlevel Road, Delkanda 011 - 7634098 nugegodalab@asiri.lk
Gampola No 36C, T.B.Panabokke Mawatha 081 - 7634013 gampolalab@asiri.lk
Maharagama No 152, Piliyandala Road 011 - 7634182 maharagamalab@asiri.lk
Akurana No 91E, Mathale Road 081 - 7634009 akuranalab@asiri.lk
Kottawa No 203/2 Horana Road 011 - 7634159 kottawalab@asiri.lk
Piliyandala No 148A, Horana Road 011 - 7634188 piliyandalalab@asiri.lk
Athurugiriya No 1/1 E, Borella Road 011 - 7634312 athurugiriyalab@asiri.lk
Nittambuwa No 584 , Kandy Road 033 - 7634004 nittambuwalab@asiri.lk
Badulla No 13C, Bandarawela Road 055 - 7634011 badullacc@asiri.lk
IDH No 34/4 D, Kollonnawa Rd, Gothatuwa NT 011 - 7634310 idhlab@asiri.lk
Pilimathalawa No 197/1,Daulagala Road 081 - 7634015 pilimathalawacc@asiri.lk
Mattakkuliya No 77, Mattakkuliya Church Rd, Colombo 15 011 - 7634314 mattakkuliyacc@asiri.lk
Moratuwa No 56/D,Galle Road 011 - 7634198 moratuwacc@asiri.lk
Beruwala City Arcade , No 201B, Galle Road 034 - 7634007 beruwalacc@asiri.lk
Pitakotte No 155 B, Pagoda Road 011 - 7634318 pitakottecc@asiri.lk
Makola No 96A/5,Makola Road,Makola South 011 - 7634226 makolacc@asiri.lk
Pannipitiya No 92, Borella Road, Depanama 011 - 7634217 pannipitiyacc@asiri.lk
Mawanella No 209, Colombo Road 035 - 7634000 mawanellacc@asiri.lk
Kandana No 41 A, Ganemulla Road 011 - 7634344 kandanacc@asiri.lk
Kolonnawa No 62 Kolonnawa Road 011 - 7709977 kolonnawacc@asiri.lk
Boralasgamuwa No 138/1 , Kesbewa Road 011- 7709975 boralasgamuwacc@asiri.lk
Embuldeniya No 325, Old Kottawa Road 011 -7634330 embuldeniyacc@asiri.lk
Dharga Town Dhargatown 034 - 7634015 dhargatowncc@asiri.lk
Wennappuwa No 29, Chilaw Road , Wennappuwa 032 - 7434044 wennappuwacc@asiri.lk
Kochchikade No 18 , Poruthota Road, Kochchikade 033 - 7434024 kochchikadecc@asiri.lk
Mattegoda No 102/177 , Mattegoda Watta , Mattegoda 011 - 7654344 mattegodacc@asiri.lk
Battaramulla No 56/3A Main Street, Battaramulla 011 - 7654346 battaramullacc@asiri.lk
DOCTORPLUS.LK

Jaffna No 232, Pallali Road , Thirunelveli 021 - 7637618 jaffnacc@asiri.lk

Kesbewa No 215/82B Bandaragama Road 011 - 7726077 Kesbewacc@asiri.lk
Maharagama II No 225 Highlevel Road Maharagama 011 - 7654301 maharagamaIIcc@asiri.lk
Karapitiya No 325, Maitipe 1st Lane , Karapitiya 077 - 7846160 labkarapitiya@asiri.lk
Thannekumbura No 124 , Thannekumbura , Kandy 081 - 7596623 thannekumburacc@asiri.lk
Ganemulla No 188D, Kirindiwita Road 033 -7501800 ganemullacc@asiri.lk
Kirillawala 574/1, Ranmuthugala , Kadawatha 011 - 7580800 kirillawalacc@asiri.lk
Thalawathugoda 773-779, Borella Road, Thalawathugoda 011 - 7580880 thalawathugodacc@asiri.lk
 Èhjeähdj
kue;s ksy~
42

udrhd
wdhq¾fõoh

wdhq¾fõo
weiska olsuq'''
ngysr ffjoH úoHdjg wkqj
Èhjeähdj j¾. follg fnod
olajhs' tkï" type 1 iy type
2 hkqfjka m%Odk jk w;r ñg
wu;rj .¾NKS ujqjrekaf.a
fydafudak wiu;=,s;;djh ksid
;djld,sj we;s jk Èhjeähd
;;a;ajhka yÿkajd § we;'
bkaishq,ska m%;sfrdaê;djh
kuq;a wdhq¾fõohg wkqj Èhjeähdj
wdhq¾fõohg wkqj" fiu ^l*d&" ;dmh
j¾. 20ls' ta wkqj jd;h ksid 4la ^ms;a;& iy úI iys; Yaf,aIau, Toxic
o" ms; fya;=fjka 6lao" lm ksid 10 mucous membrane ^wdu& w.akHdYfha
la o f,ihs' wjysr;d we;s lrk w;r bkaishq,ska
i%djh ùu k;r lrhs' th bkaishq,ska
Èhjeähdjg wfma YÍrfha m%;sfrdaOh f,i ye¢kafõ' th reêrfha
fyda uq;%d j, iSks uÜgu jeä lsÍug
;%sfodaI ^jd" ms;a" fiu& ;;a;ajfha
fya;= fõ'
wiu;=,s;;djh fya;= fõ'
fï wdldrhg reêrfha jeä jk iSks
ngysr ffjoH úoHdjg wkqj uÜgu ;kql lr .ekSu ioyd wfma
Èhjeähdj ioyd wúksYaÑ;" YÍrfha ffi, j, we;s c,h weo .ekSu
wkqudk lrk ,o lreKq fldf;la isÿ lrhs' isÿ úh hq;af;a ffi, j,g
fmdaIH mod¾: weo .ekSu ñi ffi,
mejiq kuq;a wdhq¾fõohg wkqj j, wvx.= oE weo .ekSu fkdfõ' kuq;a
we;af;a fï fya;= idOl muKhs' YÍrh flÜgq ùug ÿ¾j, lsÍug ;rï
tkï" mrïmrdjg wkqj" iSks yd n,mdk fï l%shdoduh ;=, wfma ffi,
lfndayhsfâÜ wêl wdydr .ekSu" j, c,h wêl f,i YÍrfhka msg ùu
isÿ fõ' Èhjeähdj hhs fï frda.h
DOCTORPLUS.LK

jHdhdu uÈlu" udkisl wd;sh iy

by;ska ioyka lrk ,o ;%sfodaI j,
wiu;=,s;;djh ^jd"ms;a" fiu& hk
fya;= idOl fõ'
yÿkajkakg fya;=jo Èh jeäfhka YÍrh
;=,ska msg lsÍfï yd YÍrh Èh ùu hdu
jeks ;;a;ajhla fuu frda.h ,laIK jQ
ksidfjks'
bkaishq,ska m%;sfrdaê;djhg wdydr tlsfkl Od;=ka fmdaIKh lrñka wkqms,sfj,ska
fya;=j f,i wdhq¾fõoh Od;=ka fj; .uka lrk w;r uil ld,hla ;=,
;=, ioyka lrkafka ukao i;ajk Od;=j fj; .uka lrhs' Èhjeähd frda.Ska
w.aksh" wduh iy udkisl jeä jQ iSks uÜgu ìo fy,Su ioyd wjYH bkaishq,ska
wd;;shhs' ukao w.aksh YÍrh ;=, wvq jk w;r ta ioyd fuu Od;=kaf.a
hkq fiu fldam ù ms; wvq wvx.= c,h weo .kafka tys wvx.= jk fmdaIH mod¾:

43
ùuhs' fuys§ ms; wvq ùu iu.skah' tys§ fuu Od;=ka ÿ¾j, ùu isÿ jk w;r
;=, wdydr Ô¾Kh ioyd ta ta Od;=kaf.a mßydksh ksid Bg wod, wfma YÍrfha
wjYH jk ms; wvq jk wjhj ÿ¾j, jk nj;a iuia; YÍrhu wvmK lrñka

wdhq¾fõoh
ksid wlaudj" ms;a;dYh yd fn,ySk jQ YÍrhla we;s lrhs' fï wdldrhg wfma
w.akHdYfha Y%djhka wvq YÍrfha ldhsl" udkisl yd ,sx.sl ÿn,;djh we;s
fõ' ta ksid wdydr Ô¾Kh lrhs'
ksis mßÈ isÿ fkdfõ' wduh
lshkafka wuq njhs' tkï Èhjeähdj keue;s ksyv udrhd mrouq
ksishdldrj fkdmeiqKq iSks yd lfndayhsg%Ü wju jYfhkao fm%daàka" w;HjYH
fyj;a Ô¾Kh fkdjQ yd ys; lr fïoh iy ;ka;= wvx.= wdydr nyq,
njhs' úI iys; Yaf,aIau, jYfhka ,nd .ekSu" ;%sfodaI ;;a;ajhka ioyd mxp
mg, Toxic mucous l¾u m%;sldr isÿ lsÍu" ;%sfodaI iunrj mj;ajd .ekSu"
membrane we;s lrhs' YÍrfha fiu ;;ajhka jeä fkdùug yd ms; j¾Okh
w.aksfha n,h wvq ùfuka lr .ekSu ioyd wdydr rgdj yd ðjk rgdj yqre lr
wdydr rih ksis wdldrj .ekSu" l=i.skak j¾Okh lr .ekSu ioyd wdhq¾fõoh
mßk; fkdùu fyj;a w¾O ioyka lrk ,o WKqiqï Tiq j¾. mdkh lsÍu' ^;%slgq-
jYfhka meiùu ksid wduh b.=re" ;smams,s" .ïñßia yd óg wu;rj ÿre j¾."
ks¾udKh fõ' udkisl ly" iqÿ ¿Kq" l=reÿ" lrdnq keá" tkid,a" lrmsxpd&"
wd;;sh .ek l;d lroa§ cortisol keue;s wd;;sl fydafudakh wvq lr .ksñka
udkisl wd;;sh ksid wfma udkisl wd;;sh wvq lr .ekSu ioyd wdhq¾fõofha
YÍrfha cortisol wd;;sl ks¾foaYs; Tiq ,nd .ekSu ^wYaj .kaO" ¨Kqú," wr¿"
fydafudakh jeä fõ' ta fk,a,s" rilso&" oyäh fyd¢ka msg jk jHdhdu j,
fya;=fjka YÍrh ;=, ksr; ùu' reêrfha iSks uÜgu md,kh lrk T!IO
bkaishq,ska ksIamdokh wvq ,nd .ekSu ^ngysr fyda whq¾fõo T!IO&
lrk w;r bkaishq,ska
m%;sfrdaê;djh jeä lrhs' w.akHdYfha îgd ffi, mqk¾Ôjkh lrk fmdaIK
fï ksid wfma reêrfha iSks w;sf¾l ,nd .ekSu ^fm%daàk" weuhsfkda wï, Tfï.d 3
uÜgu by, hdug udkisl jeks ys;lr fïo wï," úgñka iy Lksc j¾. we;=¿
wd;;sh m%Odk jYfhka fydafudak j¾Ol&
n,mEï lrhs'
igyk( pfudaÈ fk;au,S
ima; Od;= laIh ù ldhsl"
udkisl iy ,sx.sl SENARA LIFE SCEINCE
ÿn,;djh we;s lrhs 070724000/ 076724000/071624000
ri Od;=j ^Plasma&" rla;
Od;=j ^Blood&" udxY Od;=j SENARA LIFE SCEINCE
^ Muscle&" fïo Od;=j
^Fat&" wiaÓ Od;=j ^Bone&" wmf.a Flip
Book È.=j
uÊcd Od;=j ^Bone Tiafia iÕrdj
narrow& iy Y=l% Od;=j lsheùfï§
^Reproductive& fukak fuu f;dr;=re
DOCTORPLUS.LK

we;=,;a ùäfhdaj
fï lshk Od;=kaf.ka ;uhs Tng;a kerôh
Watch It
wfma YÍrh f.dv ke.s,d yel'
;sfhkafka' wms ,nd .kakd
44
wdhq¾fõoh

oek fkdoek ful,

miqld,Skj ms<sldj wjodku
jeä lrkak' fukak fulS
fkdlS frda. ish .dklg
fndfyda fokd f.dÿre uQ,îch jkafka Tng
we;sjk Èhjeähdj'

jk fnda fkdjk frda.h Èhjeähdj we;sùug n,mdk

fya;=

Èhjeähdj ² Tfí mjqf,a Èhjeähd

frda.Ska bkakj kï Tng;a
fï frda.h we;s ùfï
wjodkula ;sfhkjd
² Tn ;rndre isrerlg
uydpd¾h wdhq¾fõo ffjoH ysñlï lshk mqoa.,fhla
iqukr;ak wur;=x. kï Tng;a Èhjeähdj
DASC, BA pg PhD we;sùfï wjodkula
.ïmy úl%udrÉÑ wdhq¾fõo ;sfhkjd' ia:q,;djh
ffjoH úoHd,fha ysgmq úÿy,am;s Èhjeähdjg uQ,sl
idOlhla
² Tn iSks we;=¿ meKs ri
j¾. j,g .scq flfklao@
hjeähdj lshkafka fnda fkdjk j¾.fha frda.hla' tfia kï Tng;a
È wo ojfia wfma rfÜ b;d fõ.fhka j¾Okh jk Èhjeähdj we;s fjkak
frda.hla' jd¾;d j, i|yka fjk wdldrhg wfma mq¿jka
ck.ykfhka y;frka mx.=jlgu oeka Èhjeähdj ² Tn wêlj u;ameka mdkh
;sfhkjd' fï ;;a;ajh we;s fkdúh hq;= ;;a;ajhla f,ihs lrkjo@ ÿïîu isÿ
ffjoHjreka i,lkafk' fudlo@ Èhjeähdjg mq¿jka Tfí
DOCTORPLUS.LK

lrkjdo@ Tng;a thska

Ôú;h ke;s lrkak' tfyu;a ke;a;x Tfí w;la ll=,la Èhjeähd wjodku we;s
wysñ lrkak" YÍrfha wxYhla mK ke;s lr,d Tnj tla;eka fjkjd
lrkak' Tn j|Ndjhg m;a lrkak" reêrfha m%Yak we;s ² Tn ks;r ks;r ieliQ
lrkak" jl=.vq wl%Sh lrkak' yoj;a frda. we;s lrjkak' wdydr j¾." me‚ îu
 j¾. .kakjd kï Tng Èhjeähdj we;s
fjkak mq¿jka
² Tn ksrka;rfhka lKiai,af,ka bkakj
kï tal;a Èhjeähdjg ys; fya;=jla
² ielh" nh" l%shdYS,S nfjka f;dr ùu
fï úÈh ldrKd;a Èhjeähdjg bkaOk
imhkjd
Èhjeähd frda.sfhl= ksYaÑ;ju y÷kd .kakd
wdldrh
² WoEik ksrdydr reêr mÍlaIKfha iSks
uÜgu 126mg/dl fyda Bg jeä kï oyj,a
wdydrfhka miqj lrk reêr mÍlaIKfha
iSks uÜgu 140mg/dl fyda Bg jeä kï
² oyj,a wdydrfhka miq lrk reêr
mÍlaIKfha iSks uÜgu 140mg/dl fyda Bg
jeä kï
² .aÆfldaia ord .ekSfï mÍlaIKh (OGTT)
meh 2lg miq iSks uÜgu 200mg/dl fyda
Bg jeä kï
² ´kEu fj,djl reêrfha iSks uÜgu
mßlaId mÍlaId lsÍul§ (RBS mÍlaIKh&
iSks uÜgu 200mg/dl fyda Bg jeä kï tu
mqoa.,hdg Èhjeähd frda.h je<£ we;s
nj ikd: l< yel'
Èhjeähdj je<£ ;sfíoehs úfYaIfhka
mßlaId lr .; hq;= lKavdhï
² Èhjeähdj frda. ,laIK fmkajk kuq;a
frda. úksYaphla fkdl< mqoa.,hska
² yDoh" reêrjdyskS" jl=.vq yd wlaIs
wdndO j,ska fmf<k wh mÈhjeähdfjka
fmf<k whf.a mjqf,a f,a {d;Ska
² úY%dñl jhfia isák wh
² ia:q,Ndjfhka isák wh
² Èhjeähdj je<£ we;s whf.a mjqf,a <Õu
,Õu {d;Ska
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² wêl msmdih
² uq;%d jeämqr msg lsÍu
² YÍrfha nr wvq ù flÜgq ùu
² weÕm;g ks;ru uykais .;sh we;sùu
² ks;r ks;r flKavd fmr,Su
² fmkSfï ÿ¾j,;d
² w;a md fõokdj yd oeú,a,
² iqj fkdjk ;=jd, ;sîu
Èhjeähdj we;súfï hdka;%Kh
iSks YÍrhg wjYH" Yla;sh imhk øjHhla'
wm .kakd wdydr YÍrfha§ Ô¾Kh ù
.aÆfldaia f,i fuu iSks YÍrhg Wrd
.kakjd' bkamiq YÍrfha úúO wjhj yd
uiams`vq ffi,j, fmdaIKh i|yd tajd
wjfYdaIKh lr.kakjd' wdydr Èrùfuka
reêrhg we;=¿ jk iSks j,ska fldgila
wlaudfõ fïo ffi, j, j, u;=jg
mßfNdackh i|yd ;ekam;a fjkjd' fufia
reêrfha iSks ffi,j,g ks;ru Wrd.
45
ekSu ksid ksfrda.S flfkl=f.a reêrfha
iSks uÜgu ks;ru wvq w.hl mj;skjd'
ffi,j,g iSks Wrd.ekSu W;af;ackh
wdhq¾fõoh
lrkafka w.akHdYfhka ksmojk fm%daàkuh
fydafudakhla jk bkaishq,ska u.ska'
fufia ksmojk bkaishq,ska m%udKh wvqjla
we;sùu ksid fyda m%udKj;a f,i ksmojQj;a
úYd, YÍrhla we;s wfhl=g uÈùu ksid
fyda ksmojkq ,enQ bkaishq,ska widudkH f,i
l%shdldÍ;ajh wvqùu ksid fyda ffi, j,g
Wrd .ekSu wvq fjkjd' fï fya;=j ksid
wdydr j,ska Wrd .kakd iSks reêrfha tl;=
ù È.= ld,Skj reêrfha iSks uÜgu widudkH
f,i by< hkjd'
wdydr .;a úg ksfrda.s mqoa.,hl=f.a iSks
uÜgu ;rula by< .syska kej; my,g
tkjd' tfia jkafka ffi, j,g iSks Wrd.
ekSu fya;=fjka' kuq;a bkaishq,ska j,ska bgqjk
ld¾hh bgq fkdjk úg wdydr .ekSfuka
miqj;a" wdydr fkdf.k bkak úg;a hk
wjia:d fofla§u reêrfha iSks uÜgu by<
kexfjkjd' fuh ;uhs Èhjeähd ;;a;ajh
hkqfjka wm y÷kajkafka'
Èhjeähdj j¾.
m<uq j¾.fha Èhjeähdj
fuys§ frda.shdf.a YÍrfha bkaishq,ska
ksmoùula isoao fjkafka kE' orejka" ;reK
msrsia yd jeäysáhka fï ´kEu flfkl=g
m<uq j¾.fha Èhjeähdj we;s fjkak
mq¨jka' ta whg Èkm;d ndysßka bkaishq,ska
,nd fokjd'
fojk j¾.fha Èhjeähdj
fuys§ frda.shdf.a YÍrh bkaishq,ska flfryS
olajk m%;spdrh b;d wvq uÜgul mj;skjd'
frda.shdf.a YÍrfha kshñ; mßÈ bkaishq,ska
ksmojkafka fyda Ndú;hg .kafka kE' ´kEu
ldKavhl flkl=g fojk j¾.fha Èhjeähd
;;a;ajhla we;sfjkak mq¿jka' fndfyda
ÿrg jeäysá mqoa.,hka w;f¾ fï ;;a;ajh
DOCTORPLUS.LK
iq,nj oelsh yelshs'
.¾NKS iufha Èhjeähdj
fï ;;a;ajh .eì‚ Ndjfha§ we;s jk frda.S
 njla' fuys§ isÿjkafka jeoEufyka ksmofjk
we;eï fydafudak u.ska .¾NKhf.a
bkaishq,ska j, l%shdldß;ajhg ndOd
we;s lsÍuhs' fï ksid reêrfha .aÆfldaia
uÜgu ys;lr w.hl mj;ajd.ekSu i|yd
bkaishq,ska jeäfhka ,nd §ug wjYH fjkjd'
46
w.akHdYhg wjYH b,a¨u iemhsh fkdyels
jk ksid reêrfha .aÆfldaia idkaøKh by<
hkjd' fï ;;a;ajh ;uhs .¾NKS Èhjeähdj
wdhq¾fõoh
hkqfjka yªkajkafka' ore m%iQ;sfhka miq
fï ldka;djkaf.a reêr iSks uÜgu idudkH
w.hg m;a fjkjd'
Èhjeähdj fya;=fldg f.k we;sjk
ixl+,;d bkaøshj,g n, mj;ajk wdldrh
fud<h wxYNd.h wjodku we;s lrhs'
fud<fha urKhg fya;= fjhs
weia wkaONdjhg fya;= fjhs
o;a Èrd hdu isÿfjhs
yDoh yDohdndO we;s lrhs' urKhg fya;=
fjhs'
fmky¨ fmky¿ wdidokh fõ' kshqfudakshdj
we;sfjhs'
jl=.vq wl¾uKH fjhs
iu nyq, f,i wdidokhg ,lafõ'
uq;%d ud¾.h wdidok we;s lrhs
iakdhq mdo lmd bj;a lsÍu" ;=jd, iqj
fkdùu
m%;sYla;slrK moaO;sh ks;r wdidok we;s
lrhs' fnda fkdjk frda. we;s fõ' ms<sld
wjodku jeä fõ'
m%;sYla;slrK moaO;sh ks;r ks;r wdidok
we;s fjhs' fnda fkdjk frda. we;s fjhs'
ms<sld wjodku by< hhs'
reêrjdyskS fldf,iagfrda,a ;ekam;a ù
reêrjdyskS wjysr lrhs' wêl reêr
mSvkhg fya;= fjhs
wmf.a Flip Book È.=j Tiafia iÕrdj lsheùfï§ fuu
f;dr;=re we;=,;a ùäfhdaj Tng;a kerôh yel'
DOCTORPLUS.LK
Watch It
Èhjeähdj md,khg wdhq¾fõo m%;sldr
wdhq¾fõofha Èhjeähdj i|yd id¾:l
m%;sldr ;sfnkjd' wdhq¾fõo l%uh ;=<
Ndú;d lrk foish mkylg wêl Ydl
ixLHdjla reêrfha iSks uÜgu wvq lrk
nj úoHd;aul m¾fhaIK j,ska fy<sorõ
ù ;sfnkjd' fuu Ydl idr j,ska ksmojk
T!IO j¾. ksjerÈj ffjoH Wmfoia wkqj
Ndú;hg .ksñka wdydr mdk .ekSuo"
ksjerÈj úyrKhka mj;ajd .ekSfukao u;=j
;sfnk Èhjeähdj md,kh lr.; yelshs'
yenehs" fuys§ frda.shdg;a úYd, j.lSula
;sfnkjd' wm ,ndfok T!IO kshudldrhg
.ekSfuka" wdydrmdk ksis md,khlska hqla;j
wkqNj lsÍfuka frda.h fyd|ska md,khlg
,la lr.; yelshs' fï frda.hg f.dÿre jk
ishhg 75]lau ksjerÈ wdydr rgdj rgdjla
wkq.ukh fkdlsÍu fya;=fjka frda.h
W;aikak úh wirK Ndjhg m;afjkjd
l%sñrdc ksIamdok ms<sn|j Tnj oekqj;a
lsÍula
jir ye;a;Ejlg jeä ld,hl isg wfma
rfÜ wdhq¾fõo ksIamdokSh mqfrda.dóka
jYfhka lghq;= lrk lsßj;a;=vqfõ weï
ã ,sfõßia wur;=x. iy mq;%fhda iud.u
l%sñrdc fj<| kduh hgf;a T!IO j¾.
250 lg wêl m%udKhla fj<|fmd,g
ksl=;a lrkjd' tfiau wfma rfÜ úisr
isák foaYSh yd wdhq¾fõo ffjoHjrekag
wjYH T!IO f;d. jYfhka ,nd
fokjd' rgmqrd msysá isxy, fnfy;a nvq
lvj,ska Tng kshu m%ñ;shg ksIamdokh
lrk l%sñrdc T!IO ,nd .; yelshs'
wjYH kï iud.u wu;d weKjqï
lrkak'
l%sñrdc wdhq¾fõo ksIAmdok
i|yd úuiSï
uydpd¾h wdhq¾fõo ffjoH
iqukr;ak wur;=x.
DASC. BA Pg. PhD
weï ã ,sfõßia wur;=x.
iy mq;%fhda"
ndf,!IOd.drh" lsßj;a;=vqj
ÿrl:kh$*elaia 0112753889
Bfï,a krimiraja@sltnet.lk
ayurvedakrimiraja.com
48
iSks f,v Nhdkl
frda. /ilg uq,
fudkjo ta Nhdkl
f,v@ fukak úia;rh
fld<T cd;sl
frdayf,a
m%Odk fyo
ks,OdßkS
mqIamd ruHdks
fidhsid
fojk j¾.fha Èhjeähd
wjodku by< ouhs'''
wêl iSks iys; wdydr
ia:q,;djh yd bkaishq,ska
m%;sfrdaOhg fya;= úh yels
w;r fï idOl folu
fojk j¾.fha Èhjeähdj
we;sùug n,mEï lrhs'
YÍrfha nr by< ouhs'''
úfYaIfhka iSks iys; mdk
j¾." Tfí nr jeäùfï
wjodku jeä lrhs'
yDohdndO wjOdku by<
ouhs'''
tl;= l< iSks mßfNdackh
;rndrelu" wê reêr
mSvkh iy yDo frda.
wjodkï idOl jeä lrhs'
DOCTORPLUS.LK
wêl iSks iys; wdydr
yDo frda.j,ska ñh hdfï
wjodku iuÕ iïnkaO ù
we;'
uqyqfKa l=re,E we;s lrhs'''
wêl iSks iys; wdydr
u.ska wekav%cka >%djh n,
.ekaùu" f;,a ksIamdokh
yd m%odysl fjkialï jeä
l< yels w;r fï ish,af,au
m%;sM,hla jYfhka uqyqfKa
l=re,E we;sùfï wjodku
jeä lrhs'
ms<sld wjodku by<
kxjhs'''
iSks ia:q,;djh" bkaishq,ska
m%;sfrdaOh we;s l< yel"
fï ish,a, ms<sld i|yd
wjodkï idOl fõ'
udkisl mSvkh jeä lrhs'''
iSks u.ska ieliQ wdydr
udkisl wjmSvk wjodku
jeä lrhs' fõ.j;aj jhia
.;fõ''''
iSks iys; wdydr u.ska
ifï jhig hdu iy /<s
we;sùu fõ.j;a l< yelsh
wêl f,i iSks wdydrhg
.ekSfuka ffi,Sh jhig
hdu jeä lrhs'
wlaudfõ fïoh we;sùfï
wjodku jeä lrhs'''
wêl f,i iSks wdydrhg
.ekSfuka wlaudj ;=< wêl
fïoh iEfok NAFLD
;;a;ajhg fya;= úh yel'
jl=.vq frda. wjodku jeä
lrhs'''
reêrfha iSks uÜgu by<
uÜgul mej;Su ksid Tfí
jl=.vq j, we;s ishqï reêr
kd, j,g ydks l< yelsh'
fuh jl=.vq frda.hg f.dÿre
ùfï wjodku jeä lrhs'
oka; fi!LHhg wys;lr
f,i n,mdhs'''
wêl f,i iSks wdydrhg
.ekSfuka oka; l=yr we;s
úh yel' Tfí uqLfha we;s
nelaàßhd iSks j,ska fmdaIKh
jk w;r o;a LksclrKhg
fya;= jk wï, fldgia yd
w;=re ksIamdok ksl=;a lrhs'
rla;jd;h we;sùfï wjodku
jeä lrhs'''
rla;jd;h hkq ikaêj,
fõokdj we;s lrjk
;;a;j a hls' iSks u.ska reêrfha
hQßla wï, uÜgu by< kxjk
w;r rla;jd;h j¾Okh
ùfï fyda krl w;g yeÍfï
wjodku jeä lrhs'
ixcdkk mßydksh fõ.j;a
lrhs'''
wêl iSks iys; wdydr fõf,ys
u;lh ÿ¾j, ùug fya;=
úh yels w;r äfukaIh s dj
wjodku by< hhs'
fï id ydks f.k fok iSks wju
Ndú;hlg muKla yqre fjuq
^Wmqgd .ekSuls&
Wannaku Method md,kh lrk id¾:l mrïmrdjlg
kdhl;ajh ,nd fok ffjoHjrfhla'
Èhjeähdj yereKQ úg ia:q,;djh"
Èhjeähdjg wlaudfõ fïoh ;ekam;a ùu"
fldf,iagfrda,a ú;rla fkdfjhs
fnfy;a ldka;djkag we;s fjk nyq fldaIaG

49
äïnfldaI frda.h jqK;a iqjm;a
lr.kakg wdydr Wmfhda.S lr.;yels
fyd|g ld,d" fmdâvla

WANNAKU METHOD
wdldrh .ek Wmfoia fokjd' fujr
f,dal oshjeähd oskh fjkqfjka wm
jHdhdu;a lr,d" bosrsm;a lrk ,sms iuqÉPfhys ffjoH
nv wvq lr.kak cdkl jkakl= uy;audf.a jkakl=
fu;â tl iïnkaOfhkao lreKQ
f,v wvq lr.kak bÈßm;a fkdlf<d;a th uyd wvqjla
f,i yefÕkafka th fndfyda fofkl=g
Èhjeähdj ch .kakg msgqjy,la jQ
Dr. Janaka Wannaku
ksihs'
Medical Officer

Èhjeähdjg fyd| wdydr j¾.

ffjoH ckl jkakl= - fï rfÜ
iqm;, ffjoHjrfhla' Tyq Èhjeähd
md,kfhys,d mj;akd isoaOdka; lsishï
mßj¾;khlg ,la lrñka Èhjeähd
fudkjo@
tajd ;ud ì;a;r" fmd,a iïfnda,"
ólsß" ud¨" uia" ng¾" fmd,af;,a
fï wdydr j¾. msÕdfkka y;frka
;=klau olajd jeä lrkak' ta lshkafk

DOCTORPLUS.LK
 msÕdfkka ndf.lg;a jvd fï wdydr
j¾. j,ska fnod.kak ´k' fïjd ;ud
Èhjeähdjg fnfy;a' mq¨jka kï fï
wdydr j¾. ú;rla fnod .kak mq¨jka
kï jvd;a fyd|hs'
50
WANNAKU METHOD
fïl yhs fm%daàka vhÜ tlla fkfjhs'
yhs *eÜ vhÜ tlla' (Low carb, High
fat, adequate protein diet.) ta ksid
fmd,a iïfnda," ì;a;r iy ó lsß
j,g wfma fmdf;a f,dl=u f,dl= ;ekla
;sfhkjd' wksl ks¾udxY whg Th
;=k mdúÉÑ lr,d ú;rla f,fâ f.dv
od.kak Wk;a mq¨jka'
ù.kaia,d (Vegans).ek kï ug lshkak
;sfhkafk fidß lsh,d ;ud'
iuyre fï wdldrhg lEjdu
fldf,iagfrda,a ths lsh,d nh fjkjd'
kuq;a yDo frda.hla tkak ;sfhk
f,dl=u wjodku Èhjeähdj iy iSks
ñila LDL fkfjhs'
,smsâ fm%d*hs,a tfla
² TGL 100 g jvd wvq fj,d"
² HDL 60 g jvd jeäfhka ;sfha kï"
ke;skï TGL/HDL wkqmd;h folg
jvd wvqhs kï yDo frda. wjodku
f.dvla wvqhs'
² LDL iy TCH jeä Wkdg l,n,
fjkak fohla kE'
t;fldg Èhjeähdjg úi iys;
wdydr;a ;sfhkjdo@
Tõ' fukak tajd'
DOCTORPLUS.LK
² iSks
² meKsri'
² mdkamsá j,ska idomq wdydr
² lsß
² t,j¨ f;,a
² ud.ßka
² kka *eÜ lsß
Processed food lkaku tmd' fïjdg
Èhjeähdj yefokjd' yeÈ,d ;sfhkjd
kï f,fâ fyd|gu krla fjkjd'
n;a lkafk fufyuhs
n;a fyda msIaGh wvx.= wdydr msÕdfkka
1$4 lg wvq lrkak' Bg jvd msIaGh
iys; wdydr .kak tl wmg Tfrd;a;=
fokafk kE' Èhjeähdj lshkafka n;a
úi fj,d yefok f,vla' n;a ;ud
f,fâ yokafk' Tõ" n;a'
l=rlalka" r;= lel=¨" lv," ljqms" uqx
weg" ´Üia" mßmamq" kQâ,aia" meiagd"
wU" wkakdis" .ia,nq" flfi,a" flduvq"
wem,a" ñÈ" lerÜ" îÜ" jÜglald"
w¨flfi,a' Th Tlafldu Èhjeähdj
yokjd' yeÈ,d ;sfhkj kï jeä
fjkjd'
ta ksid msIaGh wvx.= wdydr j¾.
msÕdfkka mfyka mx.=jlg jvd fyu
fnod .kakjd fkfjhs' fld< mdg
t,j¨ j,;a ;sfhkafka msIaGhu ;ud'
kuq;a OdkH j¾. w, j¾. iy m,;=re
j¾. j,g jvd msIaGh wvq ksid tajd
fjkqjg mdúÉÑ lrkak mq¨jka' kuq;a
wr msÕdfkka 1$4 fldgi we;=,;
muKhs' tf,da¨ j, wms ys;k ;rï uyd
f,dl= .=Khla kE'
Watch It wannakumethod
 jkakl= fu;â - iqúfYAI;d
ieflúka
1' Èhjeähdj yefokak wêl iSks"
msá iy msIaGh wvx.= wdydr .ekSu
fya;= fjkjd' ta wdydr j¾. bj;a

51
lr,d ta fjkqjg fmd,a iïfnda,"
ì;a;r" ólsß" ud¨" uia lkak'
2' oji mqrd iefrka ief¾ fmdâv

fmdâv wdydr .ekSu' ta fjkqjg
ojfia meh wgla we;=,; f,dl=
wdydr fõ,a folla muKla .kak'
oj,a fod<y myq fjklï zzj;=r
ú;rla˜ î,d bkak' oj,ag fod<y
myqfj,d ojd,g lkak' ?g 6g
rd;%S wdydr fõ, lkak'
3' rd;%sfha m%udo ù kskaog hEu iqÿiq
kE' rd;%S oyhg fmr ksod .kak'
fï Wmfoia ms<smÈkak
² Wfoa wdydr fõ," fnâ à tl iy
ìialÜ" n%Eka l%el¾ l%Sï l%el¾
w;dßkak'
² oj,a fod<y fjklï j;=r ú;rla
î,d bkak' .eiag%hsáia .ek nh
fjkak tmd tal blaukskau ikSm
fjkjd fï l%uhg'
² wkï ukï ießka ief¾ lkak tmd'
m%Odk wdydr fõ,a fol muKhs'
² yenehs" ta fofõ,g nqßh W,afjkak
weo, wßkak' fmdâvla lkak tmd'
² 1$4 ¦ 3$4 wkqmd;hg ke;skï jf.a
1¦3 wkqmd;hg lkak'
² ´k ;rï lkak' ´k kï n;a iy
t,j¨ tl nd,aÈhhs' Ñlka nd,aÈ
folhs" fmd,a iïfnda, nd,aÈhhs fnod
.kak'
² biafi,a,d Ñlka nd,aÈ folhs fmd,a
iïfnda, nd,aÈhhs lkak'
² Bg miafi n;a iy ue,a¨ï nd,aÈh
lkak'
² n;a fjkqjg fld< tf,da¨jla odkak
mq¨jka kï ;j;a iSks wvq fjkjd'
WANNAKU METHOD
² i;shlg fomdrla úkdä úiai ne.ska
my; jHdhduh lrkak mq¨jka kï ;j;a
fyd|hs' tlaihsia fmdâvhs'
² jHdhdu l<du jeämqr iSks uia,i
a a wiaig
Wrdf.k iSks uÜgu md,kh jkjd'
jHdhdu
² Squats 7
² Pushups 7
² Lunges 7$7
² Bridges 7
² Rowing 7 or pull ups 7
úkdä úiaig mq¨jka ;rï rjqï .dkla
lrkak'
Èhjeähdj yefok fya;= bj;a lf,d;a'
Èhjeähdj myiqfjka mrdch lrkak
mq¨jka' fjkia úÈylg ys;kak .kak
Disclaimer
fuh Tnf.a idudkH oekqu Wfoid muKs'
ffjoH Wmfoia fkdfõ' iEu úgu iqÿiqlï ,;a
ffjoHjrhl=f.ka Wmfoia ,nd .kak'
No doctor patient relasionship is built here'
You are solely responsiblefor following this
instructions.
Dr. Janaka Wannaku
DOCTORPLUS.LK

Tkak Tfydu' meyeÈ,so@ Appointments - 0112281281

Online appointments -
² ?g y;g l,ska ld,d wyjr lrkak' Whatsapp - 0714485994
² ? oyhg l,sfhka ksod .kak'
 ffjoH
ridhkd.dr
úoHd{
rð;a
m%shxlr
.uf.a
52

l%u ÿ¾j, ùu jeks l%shd

URINARY TRACT INFECTION

ksid we;sjk uq;%d ud¾.fha

frda.S ;;a;ajhls' fï ksid
jeäysáhka fndfyda fofkla
fukau l=vd orejkao
oeä wmyiq;djhg m;a
fjhs' fuys§ uq,ska frda.g
uekúka y÷kd fkdf.k
m%;sldr .;fyd;a ;;a;ajh
W.%ù fuu úIîc wmf.a
YÍrfha reêr ixirK
Urinary tract infection moaO;shg we;=¿ fjhs'
tfia jqjfyd;a Ôú;h ,jd
UTIs are common infections that happen when wjodkulg m;afjhs'
bacteria, often from the skin or rectum, enter the
iqÿiqlï ,;a" wjir,;a
urethra, and infect the urinary tract.
ffjoHjrfhla u.ska
uQ,sl frda. ,laIK wkqj
uq;%d wdidokhg yß Urine Full Report , Urine
Culture mÍlaIK" wjir

yeá m%;sldr lrkafka ,;a" iqÿiqlï ,;a ffjoH

m¾fhaIKd.drhlska
isÿlrf.k taug Tng
fufyuhs fhdackd lrhs' tys§
isÿjkafka l=ulao@

uq;%d mÍlaIKhla ksjerÈj isÿ Urine Full Report

fuys§ ´kEu wjia:djl
lrk yeá msßisÿ fnda;,hlg ^50ml&
kshñ; fnfy; ksjerÈj f;dard uq;%d kso¾Ylhla
ridhkd.drhg ,nd §ug
.kakd yeá Tng isÿ fjhs'
ta fnfy; f,fâ lefvk ridhkd.drfha§ uq,skau
wdldrhg mdúÉÑ lrk yeá isÿjkqfha ndysrg fmfkk
j¾Kh" úksúo fmfkk
uq;%d wdidokhg .ka; fnfy;a ksid ojfika wudrej wvq iajNdjh igyka lrkq
DOCTORPLUS.LK

jqKd' ta ksid fnfy;a fndk tl keje;a;=jd ,eîuhs' miqj flakaødmidÍ

uq;%d wdidokh" wfma YÍrfha wdrlaIl hdka;%Kh n,fhka fuys fldgia fjka
;djld,slj ì| jeàu u.ska" úIîc j,g isrer lrkq ,nhs' tys§ fjka
ksrdjrkh ùu u.ska" c,h mdkh wvqùu" ikSmdrlaIl lr.kakd fldgia j,ska
² fm%daàk
² iSks m%udKh
² ì,sreìka
² lSfgdaka
² hqfrdì,sfkdacka
² iafmis*sla .%eúá jeks mÍlaIKo"
;jÿrg;a
² úIîc
² NlaIl ffi, m%udKh
² r;= reêrdKq m%udKh
² wmsÉpo ffi, m%udKh
² l%siag,a" ldiaÜ
² úIîc
² BiaÜ
;sfíoehs wjir,;a iqÿiqlï,;a ffjoH
m¾fhaIKd.dr úoHd{hka úiska isÿlrkq
,nhs'
úIîc" NlaIl ffi, m%udKh idudkH
m%udKh blaujd f.dia we;akï uq;%d
wdidokhla ms<sno uQ,sl ks.ukhlg
meñKsh yel'
Urine Culture mÍlaIKh ffjoH
m¾fhaIKd.dr úoHd{hka úiska isÿlrkq
,nhs' Urine Culture mÍlaIKfha§ m<uqj
wdidokh isÿlrk úIîc j¾.h y÷kd.
ekSu isÿlrhs' miqj tu úIîch úkdY
lsÍug wjYH m%;sÔjl ^Antibiotics&
ldKavh ks¾Kh lrhs' miqj tu úIîc
úkdY lsÍug wjYH Antibiotics ljf¾o
hkak m¾fhaIK .Kkdjlska miqj
ksYaÑ;j fidhd.kS'
Urine Culture i|yd f.oßka fnda;,hlg
f.kd uq;%d ,ndÈh yelso@
wm fuys§ uq;%d wdidokh isÿlrk úIîc
muKla y÷kd.ekSu isÿlrk ksid ndysr
úIîc j,ska f;dr uq;%d wjYH fjhs'
tfiakï fuu mÍlaIKhg uq;%d ,nd
.kafka flfiao@
wm uq;%d msglrk úg ifï we;s úIîco
uq;%d iu. tl;= fjhs' uq;%d tl;= lr
.kakd fnda;,h Ôjdkqyrkh l< tlla
fkdfõ kï fnda;,fha we;s úIîc" tl;=
lrk uq;%d iu. tl;= fjhs' uq;%d tl;=
lrk úg fnda;,h ifï ;ejrekfyd;a
uq;%d wdidokhloS we;sjk iq,n ,laIK
53
ks;r ks;r fY%daKsh
uq;%d lsrSfï wdY%s;j we;sjk
URINARY TRACT INFECTION
wjYH;djh fõokdjka
lgql .kaOhla uq;%d j, wªre
iys;j uq;%d j,dl=¿ meyeh
msgùu
uq;%d iu. uq;%d lsÍfï§
f,a msgùu we;sjk ±ú,a,
ifï mj;akd úIîc fnda;,fha .eà
uq;%d j,g tl;= fjhs'
tfiakï uq;%d ksjerÈj tl;= lrkafka
flfiao@
² m<uqj w;a fol fyd|ska inka
fhdod fidaod yßkak'
² inka Ndú;d fkdlr uq;%d m%foaYh
fyd|ska fidaod yßkak'
² msßisÿ áIQ tlla Ndú;fhka f;;
bj;a lr.kak'
² bkamiqj ffjoH m¾fhaIKd.rfhka
,ndÿka ÔjdkqyrKh l< fnda;,h
f.k fmd,s;ska ljrh mßiaiñka
bj;a lrkak' ^fuh m¨ÿ fkdù
;sìh hq;=h" lsis úfgl;a fuu
fnda;,h fia§u fkdl< hq;=h&
² uq;%d lsÍug mgka.kak'
² uq,a uq;%d ál msgjQ miq gema
tllska j;=r ,nd.kakd whqre
uq;%d fldgila laIKslj fnda;,h
újD; lr t;;= lr laIKslj
jikak'
DOCTORPLUS.LK
² w;a inka fhdod fydÈka
fidaod .kak' blauKska ffjoH
m¾fhaIKd.drhg ,nd fokak'
54
uq;%d mÍlaIKhl§ ridhkd.drfha§ uq,skau
URINARY TRACT INFECTION
isÿjkqfha ndysrg fmfkk j¾Kh" úksúo
fmfkk iajNdjh igyka lrkq ,eîuhs' miqj tys
wka;¾.;hka iònkaOfhka mÍlaIdjla isÿ flfrk
w;r úIîc" NlaIl ffi, m%udKh idudkH
m%udKh blaujd f.dia we;akï uq;%d wdidokhla
ms<sno uQ,sl ks.ukhlg meñKsh yel'
YÍrfhka uq;%d msgjQ miq b;d blauKska
mÍlaIKh wdrïN lrhs' tfia isÿlrkafka
úYîc m%udKh .Kkh l< hq;= ksidh'
idudkH mßirfha meh lsysmhlska úIîc
fo.=k fjhs'
ffjoH m¾fhaIKd.drh ;=< isÿjkafka
l=ulao@
fuu uq;%d iïu; m%udKhla ffjoH
m¾fhaIKd.drhl Ôjdkqyrkh l<
mßirhl ta.d¾ udOHhla u; j.d lsÍu
isÿlrhs' thg wjYH ish¨ ;;a;ajhka
,ndÿka miq meh 24l§ úIîc j.dj
.Kkh l< yel' tys§ ffjoH m¾fhaIKd.
dr úoHd{hka úiska úfYaI mÍlaIK
.Kkdjla isÿlsÍfuka miq úIîch y÷kd.
kq ,nhs' tfia úIîch y÷kd.;a miqj
tu úIîch úkdY lsÍug wjYH m%;scSjl
T!IO ms<snoj m¾fhaIKh wdrïN fjhs'
úfYaIs; ta.d¾ udOHhla u; úiqrjkq ,nk
úIîc wod, m%;scSjl T!IO iu. meh
24l ld,hla iïu; ;;a;aj hgf;a ;nhs'
iuyr úIîc tu m%;scSjl T!IO i|yd
m%;sfrdaOh idodf.k ;u kj mrïmrd
idoñka fkdkeiS isák w;r" ;j;a úIîc
wod, m%;scSjl T!IO yuqfõ úkdY fjhs'
iuyr úIîc m%;scSjl T!IO wêl idkaøk
yuqfõ muKla úkdY fjhs' meh 24lg
miq úfYaIs; mÍlaIK u.ska tu úIîc
úkdY lrk m%;scSjl T!IO f;dard.
DOCTORPLUS.LK
kq ,nhs' bkamiq úIîc úkdY jk iy
fkdjk m%;scSjl T!IO jd¾;djla u.ska
ffjoHjrhdg ,ndfohs' tu jd¾;dfõ we;s
úIîc úkdY jk m%;scSjl frda.shdg
,nd§u u.ska wdidok ;;a;ajh iqj fjhs'
Urine Culture mÍlaIKfha§ m<uqj wdidokh
isÿlrk úIîc j¾.h y÷kd.ekSu isÿlrhs' miqj
tu úIîch úkdY lsÍug wjYH m%;sÔjl ldKavh
ks¾Kh lrhs' miqj tu úIîc úkdY lsÍug
wjYH m%;scSjl T!IO ljf¾o hkak m¾fhaIK
.Kkdjlska miqj ksYaÑ;j fidhd.kS'
m%;scSjl T!IO ,nd§u Antibiotics
m¾fhaIKd.dr jd¾:djg wkqj m%;scSjl
T!IO idudkHfhka ^uncomplicated&
Èk 3lg fyda 5lg ,ndfoa' ixlS¾K
wjia:djkays§ ^pyelonephritis& th Èk 14
olajd §¾> flf¾' th Wfoag rd;%S fyda Woh
oj,a rd;%S f,i ,ndfoa'
Èklska follska iykhla ,efnkafka
wehs@
tla Èkla fyda folla frda.shd fuu
fnfy;a ,nd.;a úg úIîc wvmK
fjhs' fuhska frda.shdg iykhla ,efnk
kuq;a fuu ;;a;ajh ;djld,slhs'
fuu wjia:dfõ m%;scSjl T!IO .ekSu
w;a yeßhfyd;a isref¾ b;sß ù isák
úIîc fuu m%;scSjl T!IOj,g
m%;sfrdaOh idod .kS' tfia m%;sfrdaOh
idod.;a miq tu úIîc úkdY lsÍug
thg jvd m%n, m%;scSjl T!IOhla
kej;a fidhd .; hq;=h' th isrerg
ydkslr fukau úhoï wêl l%shdj,shls'
tuksid wod, m%;scSjl T!IO kshñ;
ud;%dj kshñ; ld,h uq¿,af,au
wksjd¾hfhkau ,nd.; hq;=h' tfia
,nd.;a miq muKla úIîc ish,a,
úkdY fjhs' kej; udi lSysmhlg
miq wdidokh kej; we;s jQfha kï
kej;;a Urine Culture mÍlaIKh l<
hq;=h' fï ish,a, isÿjkqfha ukd ;;a;aj
md,khla iys;j iy laIqøÔù úoHdj
ms<sno úfYaI{ ffjoHjrhl=f.a mQ¾K
wëlaIKh hgf;ah
 doctorpluslk doctorpluslk

flfy,a

55
bojkafk
fnfy;a

flfy,a bojkafk fnfy;a .y,o@

.y,o@

iajNdúl úÈyg b¢Kq flfi,a wejßhl uq, fldgi

fld< mdgg ;sfí' ridhksl øjH fhdod .ksñka
boùfï§ uq¿ wejßhu ly meyeh .kS' fnfy;a
.id bojQ m<;=re fjkqjg iajdNdúlj bÿKQ m<;=re
lEug .kak
DOCTORPLUS.LK

doctorplus.lk The Premier Health Magazine in Sri Lanka

56
DIMO HEALTHCARE

DIMO Healthcare wefia iqo bj;a lsÍfï

l%shdj,sfha§" ZEISS CT
LUCIA 621P Monofocal
iy ZEISS tlaj IOL uÕska wlaIs Y,H
ffjoHjreka yg ish
ZEISS CT LUCIA l¾;jH ld¾hlaIu f,i
isÿ lsÍug wjYH iydh
,nd fohs' Fully preloaded
621P Monofocal injector fyj;a wlaIs ldph
wvx.= bkafclagrh uÕska
IOL Y%S ,xldjg Y,Hl¾u l%shdmámdáh
myiq lrñka ixl+,;d
we;sùfï wjodku wvq lrhs'
y÷kajd fohs tfiau fuh ks¾udKh lr
we;af;a b;d myiqfjka wlaIs
Y%S ,xldfõ m%uqL fmf<a úúOdx.SlrKh jQ iuQy ldph flakaø.; lsÍfï iy
jHdmdrhla jk DIMO ys fi!LH fiajd wxYh lemaishq,¾ nE.h iuÕ
jk DIMO Healthcare" oDIaá úoHdj iy oDYH iDcq iïnkaO;d we;s lsÍfï
yelshdj ,nd foñks' fuu
bf,lafg%dksla hk lafIa;%hka hgf;a l%shd;aul jk
kj;u CT LUCIA 621P
f.da,Sh jYfhka lS¾;su;a jHdmdrhla jk ZEISS Monofocal IOL uÕska
iuÕ tlaj ZEISS CT LUCIA 621P Monofocal wlaIs ldpfha ia:djr;ajh
Intraocular Lens ^IOL& Y%S ,xldjg y÷kajd fok iy ksjerÈ ia:dk.; ùu
DOCTORPLUS.LK

,§' wefia iqo bj;a lsÍfï ie;alï l%shdj,shg iy;sl lrk w;r ta ;=<ska
kj wre;la tla lrñka bÈßm;a lr we;s fuu wefia iqo iys; frda.Skag
kfjda;amdokh frda.Ska i|yd jeäÈhqKq l< oDYH ukd úi÷ula ,nd fohs'
m%;sM, ,nd fohs'

ZEISS iuQy jHdmdrfha SAARC
l,dmSh m%OdkS úldia ilafiakd uy;d
y÷kajd§fï W;aijfha§ fufia ish
woyia oelaùh' ZEISS CT LUCIA 621P
Monofocal IOL Y%S ,xldjg y÷kajd §ug
yelsùu ms<sn|j wms fnfyúka i;=gg
m;afjkjd' fuu kj;u y÷kajd§u
wlaIs wdrlaIK ;dlaIKh ÈhqKq lsÍug
iy wefia iqo iys; frda.Skag hym;a
fmkSula ,nd §ug wm ork W;aidyfha
m%;sM,hla' fuys fmagkaÜ n,m;%,dNS ZO
Asphericity ixl,amh iy Ndú;hg
myiq yelshdj uÕska Y%S ,xldfõ
wlaIs Y,H ffjoHjrekag ish frda.Ska
i|yd iqúfYaIS oDIH m%;sM, ,nd §ug
yelsfjkq we;ehs wms úYajdi lrkjd'˜
DIMO ys úOdhl wOHlaI iy fi!LH
fiajd wxYh wëlaIKh lrk úð;a
mqIamfj, uy;d fufia ish woyia
oelaùh'˜ Y%S ,dxlslhkaf.a isysk yd
wNs,dIhka n,.kajñka ksfrda.su;a
cd;shla f.dvkeÕSug DIMO Healthcare
ksr;=reju lemù lghq;= lrkjd'
ZEISS CT LUCIA 621P Monofocal
IOL jeks kj ksmehqï Y%S ,xldjg
y÷kajd §ug f,dj m%lg oDIaá úoHdfõ
mqfrda.dñfhl= jk Carl Zeiss iuÕ
yjq,aldß;ajhlg t<öug ,eîu wmg
,enqKq Nd.Hhla' ZEISS ys Y%S ,xldfõ
57
DIMO HEALTHCARE
ksfhdað;hd jYfhka DIMO Healthcare"
Y%S ,xldjg m%:u jrg Wide Angle
Fundus Phototherapy iy Multi Spot
Green Laser therapeutic microscope
y÷kajd § ;sfnkjd'˜
ZEISS CT LUCIA 621P Monofocal IOL
hkq wlaIs úoHdjg tl;= jk iqúfYaIS
odhdohls' fuu CT LUCIA 621P
yg wefia iqo bj;a lsÍfï Y,Hl¾u
lafIa;%fha ienE fjkila we;s lsÍug
yelshdj ,efnkq we;'
óg wu;rj ZEISS úiska Y%S ,xldfõ
wlaIs ffjoHjreka i|yd Trifocal iy
Extended Depth of Focus ^EDOF&
jeks ;dlaI‚lj ÈhqKq IOL o bÈßfha§
y÷kajd fokq we;' wefia iqo bj;a lsÍfï
Y,Hl¾uh hkq f,dalfha nyq,ju isÿjk
Y,Hl¾uhla jk w;r ZEISS CT
LUCIA 621P Monofocal IOL y÷kajd§u
fuu l%shdj,sh jvd;a M,odhS iy
úYajdiodhl f,i isÿ lsÍug yelshdj
,nd fohs
ZEISS CT LUCIA 621P
Monofocal IOL ms<sn|j
DOCTORPLUS.LK
jeä úia;r oek .ekSug"
lreKdlr QR fla;h
ialEka lrkak'
58
HEALTHY BUTT

HEALTHY BUTT
The concept of the “ideal” butt has changed many
times during the last century. Through the years, ideal
butts alternated between big and round to flat, angular,
toned and round and to very curvy. Like the face and
skin, a woman’s rear goes through many shifts and
changes during life. Here’s a quick look at different butt
types and what they may indicate physically.

úYd, ;Ügï ;sfnkjd kï Tn ksfrda.shs"

tfiau th Tfí nqoaêu;a núka msßmqka njg
,laIKhla

;Ügï yevh lshk iqj ryia

ffjoH YdLH wurfialr

;Ügï m%foaYh yqfola iuia;hla jYfhka .;a l, YÍrfha

DOCTORPLUS.LK

t;rï jeo.eïula fkdfmkajk fldgila ;uhs' ta;a fï

;Ügï m%foaYh Tfí fi!LHh .ek hï b`.s ,ndoSfuys,d
iu;a nj jd¾;d ù ;sfnkjd'
 uy; ;Ügï ;sfnk whf.a nqoê a uÜgu by< mrdihla .kakd
nj tla;rd wOHhkhlska ikd: ù ;sfnkjd' tu ia:dk j,
;ekam;a jk fïoh iq,nj Tfï.d - fïo wï,fhka iukaú;
jk nj;a tu iqúfYaIS fïo wï,h fud<fha iqjfi;g ys;lr
fia n,mj;ajk nj;a fy<sorõj ;sfnkjd' tfiau fï uy;

59
;Ügï we;s ldka;djka È.disß .; lrk nj ydj¾â iriú
wOHhkhlska ikd: ù ;sfnkjd'

HEALTHY BUTT
;Ügï m%foaYh ksueù ;sfnkafka fmaYs
ldKAv ;=klska' tajd .aÆQgia fmaYs f,i
oelafjkjd' .aÆgia uelaisuia ;ud
mYapd;aNd.fha mßudj jeä lrk
fmaYsh' b`. wdikakfhka .aÆgia óähia
fmaYsho ta fmaYs fol w;f¾ .aÆgia
ñksuia fmaYsho msysgd ;sfnkjd'

YÍrfha fïoh ;ekam;a jk wdldrh

ie<l+ úg uQ,sl jYfhka fïoh ;ekam;a
jk wdldr folla ;sfnkjd' tlla
;uhs Worfha fïoh ;ekam;a ùu' th
fyd| kE' thska yDo frda. jf.a .eg¿
we;s fjkjd' wfkl wm fï lshk
;Ügï j, fïoh ;ekam;a ùu ksid
fi!LH wjodkula we;s fjkafka kE'
ldka;djkaf.a ,dlaIKsl fydafudakuh
l%shdldß;ajh ksid wef.a ;Ügï
wdY%s;j fïoh ;ekam;a ùu jeähs' ldka;djkaf.a Biag%ck fydafudak l%shdldß;ajh ksid
wef.a ;Ügï wdY%s;j fïoh ;ekam;a ùu jeähs'
thska ks;ekskau wehg /ljrKhla
tfy;a msßñkaf.a fïoh ;ekam;a jkafka Worh
ie,fikjd' wdY%s;jhs' Worh wdY%h lr.;a fïoh msßñkag
lsishï fi!LH wjodkula f.k t;a§ ldka;djkag
;j;a ldrKhla úYd, ;Ügï we;s ks;ekskau ;Ügï j, ;ekam;a jk fïoh ksid
wehg /ljrKhla ie,fikjd'
whf.a fldf,iagfrda,a w.hka fndfyda
úg ksfrda.S uÜgul ;sfnk nj;a
wkdjrKh fjkjd' tfiau fï whg iriúfha uydpd¾h fldkaiagkaáfkdaia
oshjeähdj yd yDo frda. we;s ùfï uefkdf,dfmdaf,dia m%uqL m¾fhaIlhka
wjodku wvqhs' lKavdhula m%ldY lr isákjd'

;Ügï j, fïoh ;ekam;a ùug yevh wkQj ;Ügï .ek lshk l;d
Tfu.d -3 fïo wï,h wjYHhs' fï fï whf.a bk wdY%s; fïoh ;rula
;Ügï wdY%s; fïoh ;ekam;a jk jeähs' .aÆgia fmaYs t;rï Yla;su;a
DOCTORPLUS.LK

whf.a fud<fha l%shdldß;ajh;a ùula t;rï olakg kE' .aÆgia

fyd| uÜgulska isÿ fjkjd' ta wh fmaYsj,g jHdhdu ,ndoSfuka fï whf.a
idudkHfhka nqoaê uÜgfuka iqúfYAI;d YÍrh jvd;a ksfrda.S lr.ekSug
fmkajkq oelsh yelshs' fï nj Tlaia*â wjia:djla ;sfnkjd'
 theory of 45.5 degrees
as the ideal curve of a
woman’s backside.

“This spinal structure

would have enabled
60

pregnant women
to balance their
HEALTHY BUTT

weight over the hips,”

says David Lewis,
psychologist and study
leader.

úúO;ajh ksrka;rfhkau wmQ¾j Okd;aul ukiarEm ujkjd' ;Ügï Although the focus of
j,g;a ta O¾u;djh fmdÿ fkdjkafkao@ the study was on the
curve of the spine, it’s
rjqï yevh clear that a degree can
fuh ksfrda.S yd fi!LHiïmkak yevhla fia appear higher, thanks
ie<flkjd' .aÆgia fmaYs j, by< ia:rfha talrdYS to larger buttocks.
jk fïoh u.ska fï yevh we;s lrkjd' fï whg Technically you could
wjYH kï yevh wvq lr.ekSug iq¿ jHdhdu also change your
iEfykjd' degree by arching
your back — but we’re
yoj; yevh having second thoughts
fuh ;uhs jvd;a w,xldrj;a ;Ügï wdldrh' jeä on this number: How
jYfhka fïoh my;g fjkakg talrdYS fjkjd' fï much would it change
yevhg ;Ügï ;sfnk úg l,jd wdY%s;jo fïoh by if women were asked
iq,nj ;ekam;a úh yelshs' ldka;djka jhig hk úg their opinion?
fï fïoh blauKska osh fjkjd'
V yeve;s ;Ügï
jhig hk úg fndfyda
ldka;djkaf.a ;Ügï
.kakd yevh fuhhs'
my;ska we;s fïoh
fjk;a wjhj lrd
mßjykh ùfuka fï
yevh ,efnkjd' fï
yevh flfia fj;;a
yoj; iqjfi; úIfhys
hï wjodkula we;s
Point to Ponder lrjk yevhla nj;a
Science says there’s an ideal, “attractive” jd¾;d fjkjd' fï ´kEu
butt curve yevhla orK ;Ügï
DOCTORPLUS.LK

Preference should never dictate your self-worth, jHdhdu u.ska iúu;a yd

so take this more as a fun fact. A study published kuHYS,S lr.; yels
by the University of Texas at Austin looked into the nj;a wm wu;l fkdl<
hq;=hs
 doctorpluslk doctorpluslk

yhs yS,aia

61
yhs yS,aia

lsf,da .a?ï 50la yhs yS,aia me<| fmdf<djg uqod

yßk n,h lsf,da .a?ï 2700l w,sfhla fmdf<dj u;
m;s; lrk mSvkhg;a jeäh
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62
DEATH DURING CONSENSUAL SEX

DEATH DURING
fld<U cd;sl
frdayf,ka fmkajk
fuu ;;a;ajh
CONSENSUAL SEX Èjhsk mqrdu isÿfjk
fÄojdplhl
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jd¾;d fjk fi!LH
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wfkla w;g wfma rfÜ m%ñ;sfhka f;dr ,sx.sl meyeÈ,s fjkjd' journal
W;af;ack fm;s .crdfug wf,ú flfrk nj BJU International 2019
j¾Ifha§ isÿ lrk ,o
fmfkkakg ;sfnkjd' fuf,i ñhf.dia we;af;a
wOHhkhlg wkQj jeä
DOCTORPLUS.LK

wjqreÿ 20-25 iy 30-45 w;r jhia ldKAv j, jYfhkau ,sx.sl

mqoa.,hka' fn,ySk;dkjfhka
fmf<k msßñka isákafka
 ,sx.sl W;af;ack we;s lsÍfï T!IO
fm;s jirl§ ñ,shk úiailg wêl
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wka;rdhlr T!IO md,l uKav,h

63
mjikjd' kshñ; ud;%djg jvd tu
T!IO Ndú;d lsÍfuka tys w;=re wdndO

DEATH DURING CONSENSUAL SEX

W;aikak ù mqoa.,fhl= ñhhdugo bv
we;s nj cd;sl wka;rdhlr T!IO
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ffjoH pór ks,x. m%ldY l<d'

wdishdfõ' kuq;a 2020 ,sx.sl W;af;ackh imhk T!IO

j¾Ifha Sex Med Rev fï ksidfjkafoda f,dalh mqrd ,sx.sl W;af;ackh imhk
c¾k,h úiska isÿ lrk T!IO Ndú;d lrk mqo. a ,hka ixLHdfõo jeä ùula
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ms<sfj,ska 48'6" 44'9" ;sfnkjd'
44'9" 42'2" 41'2" 40'8"
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kE'

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² ;rndrelu r;sfhaoS urKhg m;aùu óg fmr;a l,d;=rlska wjia:djloS olakg

² uoHidr mdúÉÑh ,enqKQ uq;a fïid urK ixLHdjla ldu iïfNda.fhaoS olskakg ,enqfKA
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64
DEATH DURING CONSENSUAL SEX
2019 j¾Ifha§ isÿ lrk ,o wOHhkhlg wkQj
jeä jYfhkau ,sx.sl fn,ySk;dkjfhka fmf<k
msßñka isákafka wdishdfõ' kuq;a 2020 j¾Ifha
Sex Med Rev c¾k,h úiska isÿ lrk ,o
wOHhkhl jd¾;d j,ska ±lafjk wdldrhg ,sx.sl
fn,ySk;djfhka fmf<k msßñkaf.a jeäùu f,dal
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DOCTORPLUS.LK
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 doctorpluslk doctorpluslk

ukaofmdaIKh

65
ukaofmdaIKh
ksis wdldrfhka fmdaIKh fkd,eîu ukaofmdaIKh
jYfhka oelaúh yelshs' fuu fmdaIKh wvqjSu
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ud¿ jf.a fmdaIKSh fldgia fkdue;s jqKdu th
ukaofmdaIKhg fya;= fjkjd' fldfydu;a wdydr
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fï ;;a;ajhg uqyqK fokjd' ta yereKQ jsg frda.S
;;a;ajhka ksido wdydr reÑh wvqjSu ksid orejka
ukaofmdaIKhg ,la fjkjd' jl=.vq frda.hl"
ms<sldjla we;s úg we;sjk ;;a;ajh óg ksoiqkla

Y%S ,xld fmdaIK ffjoH ix.ufha idudcsl úfYAI{

ffjoH ufkdacs .uf.a
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 HEALTHY LIFE
66

A diet rich
in fruits and
HEALTHY LIFE

vegetables
has been
scientifically
proven to provide
numerous health
benefits, such
as reducing your
risk of several
chronic diseases
and keeping your
body healthy.

fyd|g krlg
Y%S ,xldfõ jeäysáhkaf.ka ishhg
25' 2la wêl nr f,io" ishhg 9'
2la ia:q,;d wjÈfha f,io ishhg 26'

folg lguh 2la uOHia: ia:q,;djfhao miqjk nj

wdishd;slhkaf.a YÍr ialkaO ialkaO
o¾Ylhg wkqj meyeÈ,s fõ' tfukau
Y%S ,xldfõ ldka;djka iy ueÈ úfha
fyd| wdydr mqoa.,hka nyq, f,i ia:q,;djhg
f.dÿre jk nj ryila fkdfõ' tfukau
f;dardf.k wfma rfÜ wêl nr iy ia:q,;dj
we;sùug n,mdk m%Odk f,i kd.ßl
Ñrd;a ld,hla Ôjk rgdj iy by< wdodhï ;;a;ajo
fya;=fõ'
fhfyka cSj;a fjk
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yeá wjYH m%udKhg jvd jeä le,ß
m%udKhla mßfNdackh l< úg we;sjk
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wys;lr m%;sM,hls' YÍrh uÕska

wd¾ tka pdkl jeämqr le,ß m%udKh fïoh f,i
wdydr yd fmdaIKfõ§" ;ekam;a lrhs' óg wu;rj mqoa.,hl=
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 YÍr ialkaO o¾Ylh mdol lr.;a ia:q,;djh wre;a ±laùu
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uÕska u.ska wdydrhl Yla;s >k;ajh
wvq lrhs' tfukau ;ka;= u.ska wdydrfha
Yla;s >k;ajh wju lrk w;r fïo
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lrhs'
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n,mEula we;s lrhs' ia:q,;djh we;sùu
we;s ùu Èhjeähdj" lsÍgl yoj;a
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Yla;s ckl wdydr iy laI' l wdydr
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n,mdhs'
67
HEALTHY LIFE
ia:q,;djh flfryS m%fõKsfh;a
n,mEula ;sfhkjd
m%fõ' h hkq ia:q,;djh i|yd n,mdk
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wjodkï idOl jk wys;lr wdydr iy
wld¾hlaIu Ôjk rgdj jeks idOl
iu. we;s jk wka;¾ iïnkaO;d
bjy,a fõ' tfy;a fuu cdkuh n,mEï
ksYaM, lr ia:q,;d wjodku wju
lsÍug fi!LH iïmkak Ôjk l%uhlska
wjia:dj ie,fia'
kuq;a ksis mßos uõlsß ,nd§u u.ska
ujg we;sjk ia:q,;d wjodku wju
fjhs'
l<,fha j¾Okhg .¾NdIfha
ksYaÑ; n,mEula we;' wjodkï
wjêj,§ .¾NdIh ;=< l<,fha
j¾Ok l%shdj,sfha§ we;sjk iq¿ fyda
jßkajr we;sjk fjkiaùï <orejdf.a
wm%;sj¾;H fyda Ôú; ld,hgu n,mdk
ndOl we;s l< yel' ÿïmdkh" nr
wvqùu" .¾NKS ld,fha§ we;sjk
Èhjeähdj hk idOl l<,h fmdaIKh
yd fi!LH ;;a;ajh u; n,mdhs'
fï ksid jeäysá wjêfha§ we;sjk
DOCTORPLUS.LK
n,mEï ks¾Kh lsÍu yd mYapd;a m%ij
;;a;ajhka folu ie,ls,a,g .; hq;=h'
68
HEALTHY LIFE
me' îu iy m,;=re îu wêlj mdkh lsÍu"
úYd, wdydr m%udKhla tljr wdydrhg .ekSu
fukau m%fõ' l n,mEu" uOHidr Ndú;h" wdydr
wNsreÑh" ldhsl úoHd;aul idOl" wka;rdid¾.
idOl" udkisl wiu;=,s;;djh" jHdhdu rys;
Ôjk rgdj" wys;lr iudc iy wd¾Ól idOl
yd b;d wvq kskao hk idOl ia:q,;djh flfryS
n,mEula we;s lrhs'
fN!;sl l%shdldrlï jeä lsÍu" È.= fõ,djla wiqkaf.k rEmjdysksh
keröfï ld,h wvq lsÍu" iqj kskaola ,nd .ekSu" wd;;sh wvq
lsÍu" jHdhdu isß;la mj;ajd .ekSu wd§ idOl u.ska ia:q,;djh
j<lajd.; yelshs'
ksjerÈ wdydr isß; ia:Q,;djfhka
ñfokakg msgqjy,la
wys;lr wdydr mqreÿ f,i ia:q,;djh
i|yd n,mdk idOl jkafka laI' l
wdydr ^fílß wdydr j¾." kQâ,aia yd
meiagd wdÈh& r;= udxY ^yrla uia"
t¿ uia& wys;lr fïoh iy wêl iSks
iys; îu yd w;=remi j¾. hkq j¾.
fõ' OdkH" t<j¿ iy m,;=re iys;
wdydr YÍr nr md,khg iy ksoka.;
frda. je<elaùug WmldÍ fjhs' ndysr
isúh bj;a lrk ,o OdkH u.ska idok
,o wdydr jk iqÿ yd,a" iqÿ mdka"
meiagd" kQâ,aia yd ilik ,o WoEik
OdkH j¾. fukau w¾;dm,a iy me' îu
j, blaukska Ô¾Kh jk ldfndayhsfâ%Ü
wka;¾.; fõ' fujeks wdydr j,
by< .a,hsisñla o¾Ylhla we;' fuu
wdydr uÕska reêrfha iSks m%udKh iy
bkaishq,ska m%udKh by< kxjhs'
DOCTORPLUS.LK
fï wkQj fujeks wdydr u.ska b;d
blauKska l=i.sKs we;slr jeä wdydr
m%udKhla .ekSug fmd<Ujhs' ld,Skj
ÿïmdkh lrk iy wêl nr iys; .¾NKS
uõjrekag WmÈk orejka jeäúhg m;aùfï§
ia:q,;djhg m;a ùfï lsishï wjodkula ;sfí'
<oreúfha§ wêl f,i nr wvq ùu jeä uy¨
úfha§ ia:q,;djh we;sùfï wjodku jeä lrhs'
fuh YÍrh nr jeä lsÍug iy
Èhjeähdj" yoj;a frda. we;s ùfï
wjodkula we;s lrhs'
ys;lr fïoh wix;Dma; fïoh
YÍrhg ys;lr fïoh jkafka
wika;Dma; fïohhs' Ydl f;,a"
rglcq yd u;aiH wdydrj,
ix;Dma; fïoh hyñka wka;¾.;
fõ' wika;Dma; fïoh iys;
wdydr u.ska yoj;a frda. iy
Èhjeähdj je<£fï wjodku wvq
lrhs'
r;= uia wkqNjh wjodkï
r;= udxY iy lsß wdYs%; ksYamdok
j, ix;Dma; fïoh wêl neúka
tajd jeämqr wdydrhg tl;= lr
.ekSu fi!LH iïmkak fkdfõ'
ia:q,;djh j<lajd .ekSfï§
fi!LH iïmkak wdydr iy
mdk j¾. f;dard .ekSu w;sYh
jeo.;a fõ
70
NUTRITION

Why Are Eggs Good For You?

An Egg-ceptional Superfood

wdfh l;d folla kE

ì;a;r lshkafk iqmsß wdydrhla
fukak fya;=
ffjoH YdLH wurfialr

jeä fm%daàk m%udKhla idfmalaIj wvq úhoulska Tfí wdydr fõ,g tl;= lr
.ekSu Tfí wjYH;djhlao@ fi!LHiïmkak cSú;hlg WmldÍ jk rij;a" .=Kj;a
wdydrhla ì;a;r'

jpkfha mßiudma; w¾:fhkau ì;a;r fyd| fm%daàk uQ,dY%hla' th Tfí

fi!LHiïmkak nj idlaId;a lrkjd' fmaYs j¾Okh lr YÍr Yla;sh jeä lrkjd'

tl ì;a;rhl Yla;sh ;sfhkafk le,ß 85la muKhs' tfy;a th weuhsfkda

wï,fhka mßmQ¾Khs' tfiau m%;sTlaisldrl" hlv ì;a;r wvx.=hs' we;efula
DOCTORPLUS.LK

ì;a;r j, ly uoh lkak wlue;shs' ta;a jákd fmdaIlhla jk flda,ska ;sfhk

ksid ì;a;rfha lyuoh fïoh uekúka oykh lrkjd' fud<h W;af;ackh lrk
wdydrhla f,i;a ì;a;r mrisÿhs'
 wfma YÍrfha meje;aug weuhsfkda wï, wdldr 20la wjYHhs'
ñka 11la bfíu YÍrfha ksmofjkjd' b;sß 9 wdydr j,ska ,nd.;
hq;=hs' fï msáka .kak ´ks weuhsfkda wï, wdldr kuhu ì;a;r
.ekSfuka iïmQ¾K fjkjd'
ì;a;r yoj;a frda. wjodku neyer
lrkjd
Tn oekgula okakjd" ì;a;r j,
fldf,iagfrda,a ;sfnkjd' ì;a;rhl
fldf,iagfrda,a ñ,s .a?ï 2112la
muK wka;¾.;hs' fldf,iagfrda,a
fohdldrhs' LDL reêr kd, u;
;ekam;a ù reêr Odjkh wjysr
lrk ksid y÷kajkafka krl
fldf,iagfrda,a lsh,' HDL wfkla
m%fNAoh fï reêrjdyskS wjysr;d" fïo
fldgia osh lr yßk ksid tajd fyd|
fldf,iagfrda,a lshkjd' ta;a fï krl
fldf,iagfrda,a j,;a l=vd LDL wxY=
yd úYd, LDL wxY= lsh, m%udKh
wkQj fojeoEreïj j¾.Slrkh
fjkjd' fï l=vd wxY= ;uhs yojf;a
reêr.uk wjysr lrkafk' fï wkQj
LDL l=vd wxY= ;sfhk tl fyd|
kE' LDL úYd, wxY= ;sfnkjd kï
fyd|hs' ì;a;r j, ;sfhk LDL l=vd
wxY= úYd, wxY= njg mßj¾;kh
fjkjd' fï wkQj ì;a;r ksid hï
ys;lr fldf,iagfrda,a hdka;%Khla
n,.ekafjk nj oeka úoHd{hka
y÷kdf.k ;sfnkjd'
m%;sYla;slrK moaO;sh ì;a;r ksid
iúu;a fjkjd
fif,kshï lshkafk m%;sYla;slrK
moaO;sh ;sr lrk fmdaIlhla'
th Tfí ;hsfrdhsâ fydafudak
l%shdldß;ajh;a iqir lrkjd'
ì;a;rhla lEju ffoksl fif,kshï
wjYH;djfhka ishhg 22la imsfrkjd'
fï ksid orejka jeä jeäfhka ì;a;r
wkqNj lrk tl fyd|hs' fï ksid Tn
ffjri" úúO wdidok ksid we;sjk
f,v frda. j,ska wdrlaId fjkjd'
71
YÍrfha we;s rhsfnd*f,aúka Yla;s
NUTRITION
n,d.drhla
î úgñk ixlS¾Khla fia ie<flk
rhsfnd*af,aúk j,ska ì;a;r
wkQkhs' ojilg mqoa.,fhl=g
wjYH rhsfnd*af,aúk j,ska ishhg
232lau tl ì;a;rhlska ,efnkjd'
rhsfnd*af,aúk wdydr Yla;sh njg
mßj¾;kh lrñka YÍrhg cjh yd
l%shdYS,s;ajh ,nd fokjd'
iakdhq l%shdldß;ajh hym;a lrkjd
ì;a;r j, î5 yd î 12 hk úgñka î
ixlS¾Ko ;sfnkjd' fï fmdaIl wfma
iakdhq moaO;sfha hy l%shdldß;ajhg
w;sYhskau jeo.;a' î úgñka
ixlS¾K wfma wlaudj" iu yd weia
ksfrda.Sj ;nd.kakjd' fï ish¿
fmdaIl j,ska ì;a;r fmdfydi;a ksid
tys jdish;a Tng ,efnkjd'
fmdâvla lEj;a iEfyk fj,djla
hklï l=i.skak tkafk kE
fm%daàk wdydr j, ;sfhk
úfYAI;ajhla ;uhs wvq wdydr
mßudjlska l=i msÍu' tfiau kej;
wdudYh ysia fjkak;a ld,hla hkjd'
fï iïnkaOfhka fmdaIKfõofha
Satiety Index scale kñka
o¾Ylhla ;sfnkjd' tys uq,a ;ekg
tkafk ì;a;r' ì;a;r iys; wdydr
fõ,la .ekSfuka Tng;a fï blauKska
l=i msÍfï jdish ,nd.kak mq¿jka'
YÍrfha fïoh oykhg ì;a;r l%shd
lrkjd
DOCTORPLUS.LK
YÍrfha fïoh oykh lsÍug ì;a;r
iu;a' th mqoa.,hkaf.a bK jg
m%udKh isyska lrkjd'
 ufkdaNdjh hym;a lsßug WmldÍ
fjkjd
by; msáka .; hq;= weuhsfkda
wï, wdldr kjh wfma ufkdaNdj
hym;a lsÍugo WmldÍ fjkjd'
hï fyhlska ì;a;r fkd.;af;d;a
72

fjk;a fm%daàka m%Njhlska fyda

fï weuhsfkda wï, wjYH;djh
NUTRITION

idlaId;a lr.; hq;=hs' wOHhk

j,g wkQj ,hsiska w;sf¾l mod¾:
.ekSfuka fï ;;a;ajh iukh
lr.; yelshs' taa;a w;sf¾l mod¾:
ksiÕfhkau rij;a wdydrhla jk ì;a;r .ekSug jvd jeo.;a jkafka wdydr
iQmfõofha úúOdldrfhka jeäÿrg;a ri.kajd jYfhka fmdaIl .ekSu nj Tn;a
wdydrhg .ekSug wm mqreÿ ù isáuq uekúka okakd lreKla'
ì;a;r fud<hg fyd|u wdydrhla
ì;a;rfha lyuoh wmj wlaIs
flda,ska lshkafk ffi, mg,fha
frda. j,ska wE;a lr ;nkjd
;sfhk ridhkhla' weisá,afld,ska
Lutein yd eaxanthin hk ridhk
lshk iakdhq iïfm%aYlh
ì;a;r j, ;sfnkjd' wfma weia
ixYaf,aYKh lrkak flda,ska
ksfrda.s lr.kak ta ridhk
wjYHhs' fï fud<fha iakdhql
wjYHhs' yenehs' fï iqúfYAIS
l%shdldß;ajhg WmldÍ jk flda,ska
ridhkh ì;a;rfha ;sfhkafk
ì;a;r j, ;sfhk ksid fud<hg
lyuofha muKhs' ;sñrh fkdfyd;a
wjYH lrk úYsIAG wdydrhla
wefia iqo we;sùu yd uelshq,¾
f,i ì;a;r yªkdf.k ;sfnkjd'
äfckf¾Ika kue;s wlaIs frda.
fmdaIlhla jYfhka .kak flda,ska
j,ska je<lSug by; ridhk
wvq jqKdu mqoa.,fhl=f.a m%cdkk
msgqjy,a fjkjd'
yelshdjka ÿ¾j, jk nj;a iakdhql
frda. we;sùfï wjodku by< hk
ì;a;r - úgñka ã uQ,dY%hla
nj;a m¾fhaIlhka y÷kdf.k
YÍrfha le,aishï wjfYdaIKhg
;sfnkjd'
úgñka ã wjYH fjkjd' fï úgñka
ã iajdNdúl wdydr j, fidhd.
cSú;h iqrlsk ì;a;r
ekSu W.yghs' ta;a o;a yd YÍrfha
wfma YÍrfha meje;aug weuhsfkda
wiaÓ j¾Okhg wjYH úgñka
wï, wdldr 20la wjYHhs' ñka 11la
ã ì;a;r j, hyñka ;sfnkjd'
bfíu YÍrfha ksmofjkjd' b;sß
yDofha" mßjD;a;Sh l%shdj,sfha
9 wdydr j,ska ,nd.; hq;=hs' hï
iy wka;% hy l%shdldß;ajfha
fyhlska fï msáka .; hq;= weuhsfkda
w;HjYH idOlhla jk úgñka ã
wï, wdldr 9 fkd,eî .shfyd;a
ì;a;rhlska ,nd .ekSug yelsùu
wef`.a ÿ¾j,;djh" udxYfmaYs laIh
we;af;kau wñ, m%;s,dNhla'
ùu" úvdj" myiqfjka f,v frda.
j,g k;=ùu jf.a .eg¿ u;= fjkak
fï úosyg ì;a;rhla wmg
mq¿jka' iqN mKsúvh ;uhs" fï msáka
DOCTORPLUS.LK

fi!LHuh m%;s,dN /ila w;am;a

.kak ´ks weuhsfkda wï, wdldr
lr fokjd' ì;a;r iqmsß wdydrhla
kuhu ì;a;r .ekSfuka iïmQ¾K
lshkafk ta ksiduhs
fjkjd'
 doctorpluslk doctorpluslk

Lotion yd
Cream j,

73
fjki

LOTION yd CREAM j, fjki

Moisturising wdf,amk .kak .shdu taj j¾. folla ;sfhkjd' tlla Lotition' wfkl
l%Sï' fï foflau ;sfhkafk tllauo @ fjkila ;sfhkjdo@ fï .ek meyeos,s lsÍula
fokakï'

Lotion jqK;a l%Sï jqK;a Moisturizor j, wruqK tlhs' iu f;;aj ;nd.ekSu'

ic,kh' kuq;a fï ldrKh fï j¾. foflka bIaG fjkafk tlu ;Sj%;djfhka fkdfjhs'
Lotion jqK;a Cream jqK;a tlafld Water based ke;fyd;a c,Sh wdf,amk ^c,fha
osh fjk & fkdtfia kï f;,a iys; wdf,amk' ^f;,a j, oshjk& oil-based lsõfjd;a
tys bu,aIka tfla c,h iy f;,a ñY%Khla ;sfnkjd' water-based lshkafk c,hg
ff;,uh ñY%Khla tl;= jqKduhs' fndfydauhla Lotion yd Cream Water Based' ta;a
Oil Based fudhsiaprhsi¾ fj<|fmdf<a ke;sjdu fkdfjhs'

wm jdyk j,g tkacska Ths,a odkjfka' tys >klu ke;akï ÿia>%dù;sjh u; ;uhs
tkacska Ths,a j, ld,h ;SrKh fjkafk' ÿia>%Dù;djh jeähs lshkafk jeä ld,hla
mdúÉÑ lrkak mq¿jka' >klu jeähs'

fudhsiaprhsiska l%Sï j, >klu jeä' f,daIka j, f,daIka kï áhqí tlla ñßl, .kak
mq¿jka' tfyu ñßlkak neß ;rï >klu ksihs l%Sï we`.s,af,kau .kak ´ks úosyg
m<,a mshkla iys;j fj<|fmd<g tkafk' úh<s iu flfryS l%Sï j, wdrlaIdj jeähs'
jdykhl;a ÿia>%dù;djh jeä jqKdu mdúÉÑ lrk ld,h jeähsfk'

úoaj;=ka lshk úosyg iakdkh bjr jqKq .ukau fudhsiaprhsiska wdf,amkhla .e,aùfuka
ifuka f;;ukh jdIamùu u¾Okh fjkjd' flia j,ska jeiS ;sfnk ysi wdoS ia:dk
j,g jvd;a iqÿiq f,daIka' mdo j, je<ñfÜ jf.a ia:dk j,g;a f,daIka losuhs' l%Sï fï
ia:dk j,;a .Efï jrola kE' ta;a úh<s .;sh ;on, f,i ke;akï f,daIka ;uhs fyd|"
uqyqK jqK;a ;on, f,i úh<s Ndjhg m;a fj,d ke;akï f,daIka fyd|hs
DOCTORPLUS.LK

doctorplus.lk The Premier Health Magazine in Sri Lanka

 What Makes the Guava olskak ;sfhk ksidfoda
wmg fmar f.äh
so Nutritious? u.yeß,d' fldákau"
msgráka f.ak wem,a"
ños" fodvï jf.a m<;=re

f,v /ilska Tnj w;f¾ yßhg fmar

74

w¿lald,a jf.a''' f;dare"

fudare ueo yd,aueiafid
wdrlaId lrk jf.a'''' tfyu fkao@
NUTRITION

oeka ta uq,anei.;a u;h

fmar f.äfha fjkia lr.kak fj,dj
weú;a' fmar w;sYh

fmdaIH .=Kh .ek

fmdaIHodhS m<;=rla
ú;rla fkdfjhs" ;s;a;
ke;s fnfy;a .nvdjla'

oek.kak ud tfyu lshkafk wehs@

fmar j, úgñka iS
ffjoH id.r .=Krejka úl%ufialr úisks w;sYhska úYd, jYfhka
;sfhkjd' fodvï ;uhs
fmar wfma jeä wjOdkhlg fhduq fjk m<;=rla iS úgñk j,g mrudo¾YS
fkdfjhs' wehs" b;ska ´ks ;ekl yefokjdfk''' fmdä m<;=r' ta;a fodvï
ldf, b|, lkjfk''' tfyu yeu ;eku wvqjla ke;sj f.äfh jf.a mia .=Khl
DOCTORPLUS.LK
 fmar
fldf,iagfrda,a ke;

75
fidaähï ke;

;ka;= nyq, m<;=rls

NUTRITION
fïoh wjuh

úgñka ta" úgñka B" úgñka

iS fukau f*faf,ag wvx.=
fmdaIKSh m<;=rls

iS úgñka fmar f.ähl ;sfhkjd lsõfjd;a Tn úYAjdi lrk uy;a Yla;shla

tll=;a kE' kuq;a we;a; talu ;uhs' ta" B yd fla úgñk;a ,efnkjd'
fldm¾" uex.kSia jf.a LKsc mod¾:;a fmar j, w;sYhska
;sfnkjd' b;ska" fï
úosyg n,k
zzfmar" fnfy;a u,a,la jf.aZZ lsõfj fya;= we;sjhs' fmarj, úg fmar fudk
;sfhk m%;sTlaisldrl .=Kdx. ksid m%;sYla;slrK moaO;sh ;rï úYajl¾u
iúu;a fjkjd' wdka;%sl" p¾u" mshhqre" mqriaÓ;s wdoS ms<sld m<;=rlao @ tys
Tfnka ÿria lrkakg fï wdprKh fnfyúka WmldÍ fjkjd' .=Kh" fmdaIKh"
wdrlaIdj jf.au
oeka ldf, fmdaIKfõoSka .=K j¾Kkd lrk ;j;a ridhkhla ;j;a fndfyda
;uhs ,hsfldmska' mqriaÓ;s ms<sld" Tiaáfhdafmdfrdaisia" uelshq,¾ idOKSh jákdlï
äfckf¾Ika kue;s wlaIs.; frda.h" p¾u frda. jf.au yoj;a /ilau .eí fj,d
frda. j,skq;a ñfokak ,hsfldfmka iu;a jk nj úoHd{hka ;sfhkjd lsh, oeka
m%ldY lrkjd' ,hsfldfmka j, uy`.= .=Kh i,id.kak Tjqka Tn;a ms<s.kakjdo@
ks¾foaY lrkafk ;lald,s' yenehs ;lald,s f.ähl ;sfnk
,hsfldfmka m%udKh jf.a fo.=Khl ,hsfldfmka m%udKhla fmar lEfuka
ÿmam;a fmar f.äfh ;sfnk nj m¾fhaIKd;aulj ikd: fj,d u<noaOh ÿre
;sfnkjd' fjkjd' ia:q,
whf.a YÍrh
ifï meyeh oSma;su;a lrkak" iu /<sjeàu j<lajkakg fmar flÜgq lrkjd'
iu;a' fï ksid ldka;djka fmar lEfuka mdvqjla jkafk kE' wêreêr mSvkhg"
Tjqkag ;u isrer w,xldr lr.kak fï ksid yelshdj ,efnkjd' oshjeähdj jf.a
DOCTORPLUS.LK

fnda fkdjk frda.

YÍrh Yla;su;aj yd l%shdldÍj mj;ajd.; yels mqk¾cSjl j,ska je<lSug
wdydrhla jYfhkq;a fmar y÷kajkakg;a mq¿jks' fmar f.ähla fmar fyd| w;a
lEfuka l=i.skak ÿre fjkjd ú;rla fkdfjhs thska YÍrhg fnfy;la
76
HEART HEALTH

urKfha uqjúgg
fiajhg f.!rjhla
jYfhka fï l;dj wm
fujr l,dmfhys m<
wd yoj;a frda.sfhl= lrkafkuq'

.ek yDo Wria

fï fld<U cd;sl
frdayf,a yDo Wria
úfYAI{ ffjoH .dñkS
ffjoHjrfhl=f.a rKisxy ue;s;=uka
uqyqKQfmdf;ys ;enQ

w;a±lSï igykls' oyila

ndOdjka ueo" tla
w;lska lreKd ohd
tu ffjoH;=ukaf.au mrjY ukqi;aNdjh yd
jD;a;Sh j.lSu"
igykla f,iska lshjkak frda.shdf.a ;;a;ajh"
iudc u;jdohka" kS;sh
yd udOH w;fmùï
yDo Wria úfYAI{ ffjoH .dñkS rKisxy ish,a, uOHfha cSú;
fírd .kakg lrk
ixialdrl igyk lemùï iïnkaOfhka
je¥ ujg;a" wyig;a lsisod .eryqï j, wvqjla woyila .kakg
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ke;ehs l;djla mj;S' wo fi!LH jD;a;slhkgo fï úfYAI{ ffjoHjrhd

lshuk wod,h' .¾yd" wjuka ueo wlïms;j frda. ,shuk wmg lÈu
Ska iqjm;a lsÍfuys,d l%shd;aul jk wfma fi!LH wjia:djla imhhs'
Bfh uf.a jdÜgqjg
frda.Ska fhduq lrk Èkh' yji 5g
Senior Registrarf.ka yÈis weu;=ula'
40 úfha miqjk msßñ
frda.shl=g yd¾Ü wegEla tlla weú,a,d"
jï fldaIsldj mqmqr,d' reêr mSvkh
40-60;a w;r' ldähla fgïfmdkdfâ
(cardiac tomponade) lshk udrdka;sl
;;a;ajh' ks¾úkaokh lrk úg
frda.shdf.a yDoh kj;skak mq¨jka'
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zzfjk fudkjd lrkako@ yßhkafka kï
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uu läuqäfha msg;a jqKd' n;a;ruq,af,"
fldiaj;a; yxÈfhka ´fig g%emsla'
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fldfydu fydiamsg,a tlg .shdo okafka
kE@ fnkaia" ,Ekaâfrdaj¾ fkfjhs'
fydkavd fji,a 2014' ;du;a md.mqjdu
iSka .d,d hkjd' kuq;a úáka úg
ld¾ñl fodaI Poor fellow.
v%hsjre;a úY%du hkak bkafk jhi 63hs'
Tmf¾Ika lduf¾g hk fldg foayOdÍ
mqoa.,hl= Tmf¾Ika fïih u;'
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,n,d nekqï wyk ffjoHjreka lSm
fofkla frda.shdj ks¾úkaokh lrk
w;f¾ wms ,Eia;s jqKd ks¾úkaokh
77
HEART HEALTH
ke;sj yß mmqj újD; lrkak' yDoh
kej;=fkd;a yÈisfha j;a pemag¾
laf,daia'
fï w;r ;=r uu kS;suh lghq;=
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.kak Wmfoia ÿkakd' jefâ jerÿfKd;a
f,dafl ;sfhk mÜgu mÜg l=Kqyrem
wykak fjkafka ug'
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mÍlaIKh" yÈis ;;a;ajh yd
frda.shdf.a wia:djrNdjh ksid lf<a
kE lsh,d ,shkak lSjd' álla iefrka
lsõjd ßfmd¾Ü tl ke;akï Y,Hl¾uh
lrkafka kE lsh,d' ldäfhdaf,dð
Senior Registrar uf.;a tlal wukdm
jqkdo lsh,d ys;=Kd'
ug f,vd nhsmdia lrkak fjkafka
lsÍgl Ouks w;.d,d n,,d' tfyu;a
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uu lr,d ;sfhkjd msysfhka wek,d
wd frda.Skag' udOH Widúfhka lshkak
mq¨jka"
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uf.a fiajd ld,h ;=,
fujeks Y,Hl¾uhla l<
78

m%:u wjia:dj' Y%s ,xldfõ;a

m%:u Y,Hl¾uh'
HEART HEALTH

fï fldgk w;r;=f¾
f,vdf.a ;;a;ajh b;d
i;=gqodhl nj oek.kak
,enqKd'

fï fmdaiaÜ tl mqridrug
fkdfõ' ffjoHjrekag
fodaIdfrdamKh lrk
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fÉ;kdfjka frda.Skag
m%;sldr lrkak .sfhd;a tys
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j,g ,Eia;s fjkak;a ´kE' úY%du hkak Tkak fukak uu
fydo fÉ;kdfjka frda.shl=g m%;sldr fldg Widúfh j.
W;a;r n|skafka wehs@ ffjoHjreka jk wm iudc udOHj, fuu igyk ;enQ
.dkg jefgkafka wehs@ yDo Wria úfYAI{
ffjoHjrhd tu igyk
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w¨;ajeähd fldg" f,a leá;a;lska iïmq¾Kfhkau wjysr igyko fjfiiskau
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nhsmdia l<d' jï lsÍgl Ouks w;.d,d n,a,d tajdfha fkdlf<Ah'
wjysr;d ke;s njg ud ks.ukh l<d' Tyq Ôj;a jqfKd;a
fldfrdkß wekað´.%eï lr,d uf.a ks.ukfha i;H úfYaIfhka ffjoH Èuq;=
wi;H;dj n,d.kak mq¨jka' .=Kfiak ks¾úkaol
uy;d we;=¿ ish¨
yDoh jia;=fõ jï fldaIsldfõ fldgila reêr iemhSu fokdgu uf.a ia;+;sh'
wvd,ùu ksid ueÍ Èhù f.dia mßyDo wdjrKh ;=,g
reêrh jEiafiñka ;snqKd' tfia tl;= jk f,a leáj,ska This is not a one man
yDoh f;rmS th wl¾uKH ù frda.shd blauKska ñh hkak Show. Diagnosis: The
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lsh,d' yßhkak;a mq¨jka' jrÈkak;a mq¨jka' kvq kE' udOH temponade.
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Copied from the
ffjoHjrhl= wjYHu kE' l‚IaG ffjoHjrhl=g jqK;a
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wall of Dr. Gamini

fÊIaG Y,H ffjoHjrhdf.a Wmfoia u; lrkak mq¿jka' uu
Ranasinghe,
Traffic tfla ysr jqKd kï ug VIP ie<lSï kEfka' uu mdf¾È
Cardiothoracic
v%hj
s ¾' surgeon
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cSú;hla .;

Tn;a iqfLdamfNda.S cSú;hla .; lrkjdo@

lrkjdo@

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osúhlg Wreu lshkafkla
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iqfLdamfNda.S osúhlg Wreu lshkafkla
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,laIß fkdfjhs" fyd|g jd;dY%h ;sfhk mßirhl"
mjqf, wh tlal" yenE ñ;=rka tlal i;=áka bkak
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f,i óg oYl follg muK fmr wdrïN lrk ,o
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iqj Èúhla Wfoid Tng w;HjYH ffjoHh f;dr;=re

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wm yd iïnkaO ù lghq;= lrk Èjhsfka m%uqL úfYaI{ ffjoHhjreka" wdhq¾fõo

ffjoHhjreka" fyÈhka" fmdaIKfõ§ka" ridhkfõ§ka we;=¨ jD;a;Shfõ§ka úiska
bÈßm;a lrk lreKq Tn fj; ,nd §u fuys§ uQ,slj isÿ lrk w;r Tng we;s
ffjoH .eg¨j,g fkdñf,a) Wmfoia ,nd.ekSfï yelshdjlao we;'

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