පිළිකාව වෙනුවෙන් හෙළ වෙදකම

ms<sldj fy< fjolug wNsfhda.hlao@

ms<sldj hk ku weiQ muKskau fndfyda fokl=g ms<sl=,la iy ìhckl ye`.Sula we;s fõ' ful, jix.; frda.hla ;rug me;sr hk fï frda.h flfkl=f.ka ;j;a flkl=g fnda fkdjk frda.hls' tfy;a wo jk úg fuu frda.h je,`ÿKq whf.a m%udKh w;s úYd,h' fmr ld,fha fï frda.h úr,

frda.hla úh' w;S;fha fï frda.h nyq, fkdùu;a" ful, YS>% f,i j¾Okh ùu;a ms<sn`oj fydhd ne,Sfï§ meyeÈ,s jkafka fï ;;a;ajhg fya;=j ;dlaIKsl ÈhqKqj njhs'

ms<sld frda.h YS>% f,i j¾Okh ùug fya;=

1' wm .kakd wdydrmdk u.ska úI iys; lD;%Su rildrl" j¾K ldrl" lDñ kdYl wdÈh YÍr.; ùu'

2' weiqreï lrk ,o iy áka l< wdydrmdk Ndú;hg yqre ùu ksid tajd l,a ;nd .ekSug fhdok ridhksl øjHhka YÍr.; ùu'

3' r:jdyk yd hka;% WmlrKj,g Ndú; lrk bkaOk ±ùfuka jd;hg tl;= jk úI iys; ÿï YÍr.; ùu'

4' fndfyda ld,hla úlsrKYS,S lsrKj¾. YÍr.; ùu' tkï f,day mrudKq" Bhï mrudKq" .eud lsrK" x lsrK' cx.u ÿrl:k yd rEmjdyskS WmlrKdÈfhka ksl=;a jk lsrK j¾. iy wxY= ms<sld frda.ldrl ùu'

5' chemotherapy m%;sldr i`oyd fhdok lsrK j¾." ridhksl Tiq j¾." nelaàßhd kdYl m%n, Tiq j¾. wêlj .ekSu'

fïjdhska je<elS isàug fkdyels ;;a;ajhla wo Wod ù we;'

ms<sld frda. uQ,hka ìysùug by; frda.ldrlhka n,mdkafka flfiao@

ksfrda.S mqoa.,hl=f.a reêrh iq¿ jYfhka laIdruh ;;a;ajfha^Alkaline&meje;sh hq;=h' kuq;a by; frda.ldrlhka YÍr.; ùfuka reêrh wdï,sl ;;a;ajhg tkï" weisâ ;;a;ajhg m;a fjhs' tu ksid restroviruses kue;s YÍrfha iajdNdúl m%;sYla;s cklh ySk fjhs'

tfiau m%;sfoay yd m%;sfoayckl úlD;s;djkag m;a fjhs' fï ;;a;ajh ksoka.; frda. Ceonic Diseases fyj;a fnda fkdjk frda. f,i y`ÿkajhs'

wmf.a YÍrfha wiaÓ yd weg ñÿ¿ udxY kyr" iakdhq" bkaøshhka" frdau" p¾u wd§ fldgia ks¾udKh ù we;af;a tla;rd rgdjlg yev.eiqKq ishqï ffi, m%fldaá .Kkl tl;=fjks' fï ffi, ksrka;rfhka ì`§ ueÍ hk w;r ta fjkqjg w¨;ska ffi, ksmofjhs' fï l%shdj,sh md,kh lrkafka DNA wkq u.sks' by; frda.ldrlhka ksid DNA wkq fyj;a Deoxyribo Nuclear Acid weisâ cdkj, iajdNdúl úlD;s lrjhs' ^Gene Mutation& fufia isÿjk DNA úlD;sh ksid widudkH f,i ffi, j¾Okhla we;s ù YÍr bkaøshhkag ydks meñKùu ms<sld frda.h f,i ie,flhs' fuúg YÍrfha we;s fydafudak yd tkaihsu l%shdldÍ;ajh wvmK fjhs' ms<sld ffi,j,g tfrysj igka lsÍug YÍrfha iajdNdúl m%;sYla;slrK moaO;sh ±ä jEhula ±Íu ksid jid .%kaÓ bÈó YÍrh ;=< ±ä fõokdldÍ njla we;s fjhs' YÍrfha iuia; mßjD;a;Sh l%shdjka blaukska wvmK fjhs' fuh urKhg fya;= fjhs' fï ffi, úlD;s;djka we;s ùu zldisfkdaudz ^Carcinoma& kue;s m%;sfoayhka u.ska isÿ jk nj ngysr ffjoH úoHdfõ y`ÿkajhs'

ldisfkdaud m%;sfoay my; i`oyka f,i j¾. lr we;'

1' Sqïnos Sells ysialnf,a wiaÓ ndyslj, iy YÍrfha ndysr mg,lj, ms<sld'

2' Spheroidal Sells yDoh" fmKy¨" fud<h wlaudj wd§ bkaøsh mgl yd wiaÓj, ms<sld'

3' colomir Sells l=vd wka;% uywka;% .=oud¾. wdÈfhys ms<sld'

4' Anaplastic Sells mshhqre yd .¾NdI ms<sld' fï j¾.hg fndfyda úg f.dÿre jkafka wd¾;jh k;r jQ iy újdy fkdjQ ia;%Skah'

tfiau ndysr ms<sld iy wNHka;r ms<sld jYfhka fldgia follg j¾. lr we;' tkï ndysr m%;sldr f,i f.ä" jK" p¾uj, ;og iEfok .eá;s wdÈh .Kka .efka' w;S;fha isg fï ms<sld i`oyd foaYsh fjolfï m%;HlaI m%;sldr olajd we;'

wNHka;r ms<sld f,i ie,l=fKa YÍr bkaøshhka wdY%s;j ^yDoh" fmKy,a," wlaudj" fud<h" jl=.vq mshhqre& wdÈfha yg.kakd ms<sldh' fï ms<sld b;d W.% ;;a;ajhg m;aj we;af;a kùk ;dlaIKsl ÈhqKqfõ wksis n,mEï fya;=fjks'

ms<sldj, idudkH frda. ,laIK

ms<sld frda.fha idudkH ,laIKh jkafka tajd ygf.k iEfyk ld,hla hk ;=re frda.shdg ta .ek ±k .ekSug fkdyels ùuhs' fõokdj" bÈóu wd§ ,laIK my, jkafka frda.h W.% jQjdg miqjhs' tfy;a mQ¾j mÍlaId lsÍï wkqj frda.h je,`§ ;sfío keoao hk j. ±k.; yelsh'

fï frda.h je,`§fï uq,a wjia:dj,§ mQ¾j ,laIK lsysmhla we;s fõ' tkï msg fldkafoa fõokdj"  ikaêj, fõokdj" wdydr wreÑh" udkisl wiykh wdÈhhs' fnfyda úg tu frd.Ska úiska iy ffjoHjreka úiska m%;sldr lrkq ,nkafka by; lS frda. ,laIKj,g muKs' ms<sldj ms<sn`o fidhd n,kafka miqjh'

ms<sld i`oyd foaYsh Ñls;aid fhÈh hq;= wdldrh ±ka wms úuid n,uq'

foaYsh ffjoH úoHdfõ b.ekafjk YÍrfha i`oyka jk ish¨ bkaøshhka wdfmda" f;afcda" jdfhda" mGú yd wdldY hk mxp ;;a;ajhka tlaùfuka yd jd" ms;a" fiï hk ;%sfodaYhkaf.a l%shdfjka ks¾udKh ù we;s nj i`oyka fõ' fï wkqj l=vdu ffi, mjd ks¾udKh ù we;af;a mxp ;;a;ajhkaf.a tl;=fjka nj  wuq;=fjka lsj hq;= fkdfõ'

ffi,j, ;r,hg l¿^fiu& m%Odk ù we;s nj;a cdk j¾Kfoay iy WKqiqu msf;ys l%shdjla nj;a  jdhq ßla;l Yla;sh  yd l%shdldÍ;ajh  jd;fha iajNdjh nj;a ukdj meyeÈ,s fõ'

ffi,hla úlD;s ùu fyda wl%sh ùu fyda ;%sfodaI fldam ùu nj;a ms<sld frda.fha ksodkho ;%sfodaIu nj;a meyeÈ,sh' tksid ms<sld frda. i`oyd m%;sldr fhÈh hq;af;ao fï ;%sfodaIhka iukh lsÍu iy ima; Od;=ka h:d ;;a;ajhg m;a lsÍu i`oydh' tu Ñls;aid l%ufõoh fláfhka fufia ±laúh yelsh'

1' foaYsh Ñls;aidj,sfha uQ,sl wx.h jk úf¾pk" juk" yd jia;s hk fYdaOk l¾uhka m%:ufhka l< hq;=h' wdydr rgdfõ fjkialï we;s l< hq;= w;r" ks¾udxY wdydrhkag fhduq l< hq;=h' udkisl iqjh i`oyd wd.ñl lghq;=j,go fhduq l< hq;=h'

mss<sld frda.Ska i`oyd fmdÿ wdydrmdk lsysmhla fufiah'

ySká yd,a" fufkaß yd,a" nd¾,s" ñÈ hqI" jïngqq" je,a;síngq" uqvuyk" lrú," .eg;=U" r;=¿EKq" ksruq,a,sh" flfydU o¨" f;nq o¨" .egfmdf,dia" y;= j¾." f.dgqfld<" ñxÑfld<" j,awfkdaod" uvqo¨" ue,a,fld<" iqÿ¿Kq" u,afldÉÑ fld<" t¿lssß wd§ Ydl  iy wdydrmdk j¾. m%;sldrj, .=Kd;aul nj jeä lsÍugo fya;= fjhs' WoEik wdydr fõ, i`oyd fld<le`o b;d w.fkah'

2' ms<sld frda.Skaf.a wdydr Ô¾K tkaihsu ksmoùu  wvd< ùu ksid Tjqyq ±ä wdydr wreÑhlska fmf<;s' fï ksid ldhslj ÿn, ùu blauka fjhs' tksid w.aksh iu;=,s; ùu i`oydo m%;sldr fhÈh hq;=h'

3' ms<sld frda.shl=g m%;sldr lsÍfï§ frda.shd ta jk úg yDo frda." wêl reêr mSvkh" uOqfïyh fyda udkisl frda.dÈfhka fmf<k iy ta i`oyd ngysr ffjoH m%;sldr lrñka iqmqreÿ f,i  T!IO .ksñka isákafka kï tajd tf,iskau lrf.k hdug Wmfoia Èh hq;=h'

4' ms<sld frda. ldrlhka YÍr.; ùfuka reêrh wmsßisÿ ;;a;ajhg fyj;a wdï,sl ;a;ajhg tk nj wms by;ska i`oyka lf<uq' mqrd;kfha isg tk f.ä" jK" mss<sld Ñls;aidj,sfha jeo.;au wx.h jQfhao reêrh msßisÿ lsÍfï Ñls;aidjhs' fuu.ska YÍr.; jQ ms<sld frda. ldrlhka fndfyduhla YÍrfhka neyer l< yelsh'

5' ngysr ffjH l%ufha fuka ms<sld ffi, ueÍu i`oyd T!IO ,nd §ula foaYsh fy< fjolfï fkdue;s w;r" YÍrh ;=< iajdNdúl m%;sYla;sh we;s lrk yd ã'tka'ta úlD;s;d ke;s lrk ri T!IO ,nd §fuka" ;jÿrg;a úlD;s ffi, we;s ùu k;r ù ksfrda.S ffi, ksmoùug u`. ie,efihs' ^ri T!IO hkq r;a;rka"ߧ";U"hlv wd§ f,dayj, NIau ixfhda.fhka idok m%n, foaYsh T!IOhkah'&

6' ms<sld frda.Skaf.a YÍrfha jid .%kaÓ bÈóu ksid ±ä ldhsl fõokdjlska fm<Ssug isÿfjhs' tneúka

wNHka;r fYda:hka^bÈuqï& i`oyd jk m%;sldro wLKavj fhÈh hq;=h'

wef,dam;s ffjoH l%uh ^ngysr bx.%Sis ffjoH l%uh& f,dalhg ìysùug;a fmr isg wfma fjojre ms<sldj iqj l<y' tksid ms<sldj fy< fjolug wreuhlaa fkdfõ' óg jir 500lg;a fmr isg mej; tk zf.ä" jK" ms<sld Ñls;aid l%uhZ Bg idlaIs orhs'

fï nj zl=udr ;ka;%hZ yd zw¾l m%ldIZ hk fjo .%ka: mßYS,kh lsÍfuka ±k.; yelsh' miq ld,Skj wm rgg isÿ jQ bkaÈhdkq wdl%uK iu`. bkaÈhdfõ ìys jQ zwdhq¾fõo fjoluZ iu`. wmf.a fy< fjolu iïñY%Kh úh' tfy;a wog;a we;ï mdrïmßl fjÿka i;=j msßisÿ fy< fjolu iq/lsj mej;Su wm rgg uy;a jQ wìukls'

fcHd;sIfõ§" ri ffjoH m%ikak is,ajd

zfjo f.orZ

wxl 19" ñkqjïmsáh mdr" mdkÿr'