Jul 26, 2013    Views: 2843

<uhskag;a ms;a;dYfha .,a

Y%S chj¾Okmqr úYaj úoHd,fha

fcHIaG l:sldpd¾h ol=Kq fld<T

YslaIK frdayf,a úfYaI{ Y,H ffjoH

f;ack úf–r;ak

ms;a;dYfha yd ms;a; kd<j, wdndO hkqfjka y÷kajkafka fudkjdo@

wm f.a wdydr ÔrK moaO;sfha Wv fldgig wh;a bkao%shhka jk ms;a;dYh" ms; kd<" wlaudj yd w.akHdYh wdY%s;j we;sjk wdndO Bg wh;a fjkjd'

tu bkao%shhka ish,a, jHqyd;aulj yd l%shdldÍ;ajh w;ska tlsfkl yd ne£ mj;skjd' tu ksid tu bkao%shhka iïnkaOj we;s jk frda. ,laIK ‍fndfyda ÿrg iudkhs'

tfiau tu bkao%shj, we;sjk .egÆ wdudYfha we;s jk .egÆj,g ‍fndfyda ÿrg iudkhs'

tu frda. ,laIK fudkjdo@

Worfha Wv fldgfia nv msmSu" fõokdj" oeú,a, yd jukh jeks frda. ,laIK‍' fï ,laIK we;s úg ‍fndfyda úg wdudYfha .egÆ we;s njg ffjoHjre Wml,amkh lrkjd'‍

tjeks frda. ,laIK olajk fjk;a frda. fudkjdo@

.eiag%hsáia frda.h" fukau wdudYfha iy w.akHdYfha we;s jk .egÆ;a fï iudk frda. ,laIK m< lrkjd'

ms;a;dYfha we;s úh yels ixl+,;d fudkjdo@

m%Odk jYfhkau ms;a;dYfha .,a we;s ùu yd ms;a;dYfha ms<sld we;s ùu'

tjeks frda. ksiel jYfhkau y÷kd .; yelafla flfiao@

.eiag%hsáia frda.h i|yd m%;sldr ,nk frda.shl= ;uka ,nd .kakd T!IOj,ska .=Khla fkd,efí kï ffjoHjrhd úiska ie,ls,su;a úh hq;= lreKla jkafka tu frda.shdf.a ms;a;dYfha .,a we;a oehs y÷kd .ekSu i|yd iqÿiq w,ag%d ijqkaâ ialEka mÍlaIKhla lsÍughs' w,ag%d ijqkaâ mÍlaIKhla u.ska ms;a;dYfha .,a ksielju y÷kd .kak mq¿jka‍'

.,a fyda ms<sld we;s ùfï jeä wjodkula we;af;a ldgo@

jhi wjqreÿ y;<syg jeä wh‍g' tu jhia ldKavfha miqjk ldka;djkag o fuu frda.h we;s ùfï jeä m%jK;djla ;sfnkjd'

ms;a;dYfha .,a we;s ùug fya;= fudkjdo@

thg ksYaÑ; fya;=jla lsj fkdyelshs' tfy;a we;eï úg YÍrfha fldf,iagfrda,a jeä ùu‍ fuhg n,mdkak mq¿jka l=vd <uhskaf.a ms;a;dYfha .,a yefokafka keoao@

we;eï <hskaf.a kshñ; jhig fmr r;= reêrdkq úkdY ù hdu fyda ;e,iSñhd jeks frda. fya;=fjka ms;a;dYfha .,a we;s ùug mq¿jka tfukau ms;a;dYh wdY%s;j hïhï wdidok we;s ùu;a óg fya;= úh yelshs‍'

ms;a;dYfha .,a iq,N frda. ;;a;ajhla o@

Tõ‍' wfma rfÜ iuia; jeäys‍á ck;dj w;ßka 8]la fuu frda.hg f.dÿre ù is‍ákjd'

ms;a;dYfha .,a ;snQ muKskau by; yfrda. ,laIK my< jkjdo@

kE' ms;a;dYfha b;d l=vd .,la fyda .,a lSmhla ;snQ muKska frda. ,laIK my< jkafka kE'idudkHfhka fi‍kaá ógr tllg jvd f,dl= .,a ms;a;dYfha ì;a;sfha ;ekam;a ù ;s‍nqfKd;a ms;a;dYfha ms<sld we;s ùfï wjodkula ;s‍fnkjd'

ms;a;dYfhka bgq flfrk ldßh l=ulao @

wlaudfõ ksmofjk ms; jï iy ol=Kq ms;kd, Èf.a ú;a ms; kd,hg tl;= fõ'fuu ms; m%Odk ms; kd,h fyda w.akHdYfha kd,h yd iïnkaO ù .%yksfha fojeks fldgig újD; fõ'fï ms; .,d tk ud¾.fha m%Odk ms;kd,h me;a;lska iïnkaO jQ l=vd u,a,la jeks wjhjhls ms;a;dYh'

wlaudfõ yefok ms;kd,j, .uka lrk ms;j,ska jeämqr ms; .nvd flfrkafka ms;a;dYfhah' fïoh wêl wdydr fõ,la .ekSfï§ jeä mqr ms; ms;a;dYfhka ms; kd, Èf.a .%ykshg ksoyia lsÍuhs ms;a;dYfha ldßh'

wfma isrerg ms; wjYH jkafka wehs@

wdydr ÔrKh i|yd' úfYaIfhka u fïoh ÔrKh lsÍu i|yd'

fuu frda.h i|yd lrkq ,nk m%;sldr fudkjdo@

ms;a;dYfha .,a fya;=fjka frda.shd oeä fõokdjg m;a ù we;a kï m%;sÔjl T!IO tkak;a lr frda.h md,kh lsÍu fyda Y,H l¾uhla uÛska ms;a;dYh bj;a lsÍu'

ms;a;dYh bj;a lsÍu wdydr ÔrKhg ndOdjla jkafka keoao@

kE' ms;a;dYfhka flfrk m%Odk ld¾hh jeämqr ms; .nvd lsÍu' jeä mqr ms; .nvd jQ úg Wl=nj jeä ù ms;a;dYh ;=< we;s fkdfhl=;a ix>gl leá ù ms;a;dYfha .,a we;s fõ'

flfia jqj;a ms;a;dYh bj;a l< miq ms;a;dYh fkdue;sj wjYH ms; m%udKh .%yKsh lrd f.k hd yels mßÈ YÍrh yev .efyk ksid fïoh Èrùfï wmyiq;djla frda.shd ;=< we;s fkdfõ'

ms;a;dYfha .,a ieÿKq úg u;=jk frda. ,laIK fudkjdo@

fndfyduhla frda. ,laIK .eiag%hsáia frda. ,laIKj,g iudkh' lEfuka miq nv msmSu" Worfha Wv fldgfia we;s jk wmyiq;dj iy W.=rg tk .;sh' fïjd ms;a;dYfha .,a we;s ùfï uq,sl ,laIK f,i ie<fla‍'

bka wu;rj ms;a;dYh msysgd we;s Worfha ol=Kq me;af;a we;s jk fõokdj l%ufhka msg fldkao me;a;g .uka lrk wdldrhla oekSu'

frda. ,laIK my< jk uq,a wjêfha § idudkH fõokd kdYl îfuka fyda lsisjla ke;sjo fõokdj myj hhs' fïoh iys; wdydr fõ,la .;a úg fï fõokdjo b| ysg u;= fõ' l%ufhka fõokdj we;sjk jdr .Kk yd tys ;Sj%;dj jeä úh yelsh'

fuu .,a we;s ùfuys m%;sM,h l=ula o@

m%udKfhka l=vd .,la jqj;a l,la ms;a;dYfha /£ ;sîfuka tajd wdidokhg ,la ùfuka Worh ;=, m%ody ;;a;ajhla we;s fõ' ;Èka m%odyh jQ úg wêl WK " Worfha ol=Kq mi fõokdj" jukh jeks frda. ,laIK iu.Û frda.Ska oeäj .s,ka fõ'

fujeks frda.Ska g meh 24la ;=< Y,H l¾uhlska ms;a;dYh bj;a lsÍug fyda m%;sÔjl T!IO u.ska frda.h md,kh fldg miqj ms;a;dYh bj;a lsÍug isÿfõ'

ms;a;dYfha ms<sld i|yd ms;a;dYfha .,aj,ska we;s jk n,mEu ljf¾o@

fikaá ógr tllg jvd f,dl= .,a ms;a;dYh ;=< /£ ;sîfuka l,la .; jk úg tajd ms<sld njg m;a ùfï wjOdkula ;sfnkjd'

ksoiqkla f,i olajkafka kï jhiska wvq <uhl= f.a ms;a;dYfha b;du l=vd m%udKfha .,la ;sî th fkdi<ld yeßfhd;a ta <uhd jeäysáhl= njg m;a jk úg ta ., jgd wdidokh ùfuka ms;a;dYh m%odyh ùug;a"miq lf,l th ms<sldjla njg m;a ùug;a mqÆjka'

fuu frda. ;;a;ajh Acute Cholecystitis hkqfjka y÷kajkjd'

fuu frda. ;;a;ajfha úfYaI ,laIK fudkjdo@

;Èka m%odyh jq úg WK" Worfha ol=Kq mi fõokdj iy jukh'fuu frda.h wvq uÜ‍‍gñka lsysm j;djla yeÿKq úg ms;a;dYfha ì;a;sh >K ù ms;a;dYh wl%shldÍ ;;a;ajhg m;aúh yelshs' th Chronic Cholesystitis hkqfjka ye¢ka fõ'

fujeks frda.Ska f.a ;;a;ajh l=ulao@

Tjqka f.a ms;a;dYh o hï wjia:djl bj;a lsÍug isÿ fõ'

fuu .,a we;s jkafka ms;a;dYfha muKo@

kE' ms;a;dYfha f., fyda ms;a; kd,h yryd m%Odk ms; kd,hg fuu .,la we;=,a jqj fyd;a tu.ska ms; kd,h wjysr ùfuka wêl mSvkfhka hq;a ms; f,aj,g ñY% fõ' túg we;s jk frda. ;;a;ajh Obstructive Jaundice hkqfjka ye¢kafõ'

tu frda.h je<÷Kq úg isÿ jkafka l=ulao@

ms;a;dYfhka t<shg .,la ksl=;a ùfuka ms; kd, wjysr fõ' tfia wjysr jq ms; kd, ;=< úY îc we;sù wdidokh ùfuka ms; kd, ;=< úY îc me;sf¾'fuh Cholangitis hkqfjka ye¢kafõ'fuh b;du nrm;, frda. ;;a;ajhls'

tfiau ms;kd,h gwe;=,a jq .,la my;g .uka lr w.akHdYfha kd,h wjys‍r l< yelsh'

fuh w.akHdYhsl m%odyh fyj;a Acute Pancreatitis frda.h kï fõ'fuho nrm;, frda. ;;a;ajhls' fujeks ixl+,;d we;s jQ úg wksjd¾hfhkau ms;a;dYh bj;a lsÍug isÿ fõ'

fuh nrm;, ie;alulao@

w;S;fha § th Wor l=yrh újD; lr isÿ lrk ixlS¾K ie;alula' j¾;udkfha kùk ffjoH WmlrK yd l%ufõo weiq‍frka Worfha úYd, lemqulska f;drj fl‍á l,lska isÿ l< yels ie;alula'

fuu ie;alï ñf,ka wêlhs fkao@

oeka ,xldfõ iEu m%Odk frday,lu fuu mÍlaIK iy Y,H l¾u lsÍug wjYH myiqlï ;s‍fnkjd' tfyhska ´kEu whl=g tu.ska fuu ie;alï fkdñf,au lrjd .ekSug mqÆjka'

id.ßld Èidkdhl chisxy

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