<!--[if !mso]> <style> v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} w\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);} </style> Normal 0 false unctuationKerning/> false false false oNotPromoteQF/> EN-US X-NONE SI-LK ontGrowAutofit/> ontVertAlignCellWithSp/> ontBreakConstrainedForcedTables/> ontVertAlignInTxbx/> MicrosoftInternetExplorer4 <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} </style> wo iudcfha we;s úYd, ffi!LH .eg¨jla f,i .eiag%hsàia frda.h ±lsh yelh. ñ;Hd u; .Kkdjla ksid fuu fi!LHh .eg¨j ;j;a f,vfrda. .Kkdjla fj; wmf.a cSú; fhduq lrñka isà. tla frda.S ;;ajhlg wm úiska .kakd fnfy; ;j;a frda. .Kkdjlg uq, nj wm okakjd kï ±kg we;s frda.h ordf.k isàu fyd| nj wms ;SrKh lrkafkuq. fuu ,smsh yryd wm Tng .eiag%hsàia j, kshu iajrEmh lshd fokakg hï ;rul W;aidyhla ork w;r, ñg jvd jeä lreKq ldrkd wka;¾cd,h mßyrKh lr Tng fidhd .; yels jkq we;. ta i|yd Tng fodrgqjla újr lr Èug muKla wm fuys§ W;aidy lrkafkuq

my; ùäfhdaj krTd wdydr cS¾K moaO;sh ;=, wdudYh we;=,; isÿjk l%shdj,sh .ek wjfndaOhla ,nd .kak. th fuu ,smsh fyd|ska wjfndaO lr .ekSug rel=,la jkq we;

.eiag%hsàia lshQ muKskau wm f.a isyshg kef.kafka wmf.a wdudYfha .Eia j¾Okh ù we;s njh. fï ksid ±ka iuyr f.j,a j, .Eia fm;s kïka y÷kajk fnfy;a j¾. ks;ru ;nd .kS.wdydr f.k wjika jQ miq Worfha fõokdjla tk nj;a tu fm;s .s, ±uQ miq tu fõokdj ke;sù hk nj;a Tjqka okS. fï ksid wdudYh we;=,; l=uk l%shdj,shla isÿ jqj;a fõokdj iukh lr .ekSfï wÈgk we;sj wod, fm;a;la fyda folla .s, ouhs. wod, fm;s u.ska isÿjk ydksh wm  fuu ,smsh wjidkhg fmr olajkafkuq. m%:ufhka fuu frda.h y÷kd .; hq;=h.

fuu frda.h yg .kafka wmf.a wdudYh wdY%s;jh. wdhq¾fõo ffjoH l%uhg wkqj fuu ;;ajh wï, ms;a; m%odyh f,i y÷kajhs. fuu w¾: ±laùu .Eia iu. ieif|kafka ke;s nj Tng fmfkkjd we;. wï, iy ms; w;r we;s iïnkaO;djh wms i,ld n,uq. wï, hkq PH w.h 7 g wvq øj fõ. fïjdg wms bx.%Sis niska weisâ hehs mjiuq. ms; hkq NdIañl ødjkhls. NIau hk PH w.h 7 g jeä øj fõ. fujeks ødjk folla tla jQ úg ñY%Kfha we;s idkaøkh wvq fõ. fï ksid wod, ridhksl ødjkh u.ska isÿ lsÍug we;s ld¾Hh b;du;a ÿ¾j, ;djhlg m;afõ. wmf.a wdudYh ;=,o fuu ;;ajh yg .kS. wdudYh ;=,§ fm%daàk cS¾Kh lrk w;r fjk;a fmdaIH mod¾: wUrd øj uÜgulg wdydr mßj¾:kh lrhs. wm úiska wdydrhg .kakd uia lene,a,la iïmQ¾Kfhka Èhlr yeÍug ;rï jk idkaø wdï,sl ;djhla wmf.a wdudYh ;=,we;. wdudYfha we;s hqI iaj,amhla f.k Tnf.a w;a, u; ;enqj fyd;a wf;a we;s wiaÓ olajd ms,siaiS hkq we;. kuq;a wdudY ì;aa;sfha we;s >K Yaf,aIau, mg,h fuu wï, j,ska Èh l, fkdyelsh. fï ksidu wmf.a wdydr cS¾Kh ksishdldrj isÿ lr .; yels ù we;. fkdtfiakï wdydr .kakd iEu úgu wêl fõokdjlska fmf,kakg isÿ jkq we;. ud fuu lreKq f.k yer ±la jQfha wdudYfha we;s hqI j, we;s idkaøkh lshd mEugh. wdudYhsl hqI j, idkaøkfha PH w.h 1.5 ;a 2 ;a w;r fõ. wmf.a wlaudfõ ksYamdokh lrk ms; NdIañl fõ. fuys idkaøkfh PH w.h 7 g jeäh. idudkHfhka 7.6 l muK w.hla .kS. wdudYfhka my,g meñfKk wjfYdaIKh i|yd iQodkï j we;s wdydr wdï,sl ;djfhka hqla; ksid ms; tla lsÍu u.ska tu wdydr NdIañl ;;ajhlg f.k ths. fï ksid wdudYfhka miq we;s wdydr ud¾.fha .uka lrk wdydr j, we;af;a NdIañl iajNdjhls. fkd tfiakï PH w.h 7 g jeäh. wm wdydr fkd.kakd fõ,djg wdudYfha wdï,sl ;djh wju ;;ajhl g m;afõ. fï wjia:dfõ§ l=vdka;%j, we;s ms; wdudYhg w;=¨ úh yelsh. iuyr úg fuu ms; wmf.a uqLh yryd msg;g meñKSfï yelshdjla o we;.

flfia fyda wï, ms;a; m%odyh ksid wdudYfha we;s wdï,sl ;djh wvq jQ nj ±ka Tng meyeÈ,s jkakg we;. kuq;a ngysr ffjoH úoHdjg wkqj .eiag%hsàia hkq wdudYfha wdï,sl ;djh jeä ùuls. fu;ku mriamrhla we;snj ±ka Tng jegysh hq;=h.

wm fuys§ f.k yer ±lajQfha wdudYfha we;s wdï,sl ;djh .ek iq¨ ye|skaúuls. wms ±ka fuu wdï,sl ;djh we;sjk wdldrh iy wod, jk fydafudk , wï, iy tkaaihsu .ek hï ±kqula ,nd .ksuq.

wmf.a kdihg wdydr j, iqj| ±fkk wjia:dfõ isgu wmf.a wdydr cSrK moaO;sh l%shd lrkakg mgka .kS. uqLfha we;s .%kaÓ j,ska tkaihsu ksl=;a lrhs. lgg fl, Wkkakg mgka .kS. wdydr olsk úg fuu ;;ajh ;j;a W.%fõ. wdydr uqLhg f.k imk úg wmf.a Worho B,`. mshjr i|yd iQodkï fõ. wfmf.a ,smshg mdol jQ frda.hg tla m%ODk fya;=jla jkafka fuu l%hdj,sh i|yd jk fydafudakhls. wm wdydr imk úg wmf.a wdudYh ;=, we;s .eiaà%ka ksmo jk ffi, Woaëmkh fõ. wm wdydr imd .s,Sfuka miq iq¨ fõ,djlska wdudYhg we;=¨ fõ. fufia tla/ia jk wdydr ksid wdudY ì;a;sh wefokakg mgka .kS. fï wjia:dfõ§ wdudY ì;a;sfha we;s .eiaá%ka ffi, u.ska .eiaà%ka kï fydfudakhla wdudY l=yrhg uqod yÍ. fuu fydafudakh wdudY ì;a;sfha we;s ;j;a ffi, úfYaIhla W;af;ackh lrhs. fuu ffi, Ö*a ffi, iy mrhsg¾ ffi, f,i y÷ka jk w;r fuu ffi, j,ska yhsfv%dlaf,daßla (HCL) wï,h iy fmmaisfkdacka tkaihsuh ksoyia lrhs. fuu HCL b;du;a idkaø wï,hls. ta iu.u fmmaisfkdacka keu;s wl%sh tkaihsuhla Y%djh lrhs. fuu wl%sh tkaihsuh yhsfv%dlaf,daßla wï,h iu. tla ù b;du;a ils%h fmmaiSka idohs. fmmaiSka u.ska wm wdydrhg .kakd fm%daàk cS¾Kh lrhs. my; we;s rEm igykska fuu l%shdj,sh meyeÈ,s lr .; yelsh.

my; we;s mska;+rh u.ska ±lafõkafka HCL wï,h iy fmmsisfkdacka tkaihsuh fjk fjku we;s úg fm%daàka cS¾Kh jk wdldrh iy folu tlg we;s úg fm%daàk cSrKh jk wdldrh;ah.

hï fyhlska wmf.a YÍrhg wm by; ±lajQ fmmaisfkdacka fyda HCL  ksmoúh fkdyels ù kï l=ula isÿ úh yelso? wod, fydafudakh iy wï,h ksmo jk ;=re .eiaà%ka ksmo ùug mgka .kS. ula ksido h;a ±kg wdudYhg meñK we;s wdydr cS¾Kh lsÍu i|yd wod, wï,h iy tkaihsuh wjYH jk ksidfjks. kuq;a isÿ jkafka wk¾:hls. wdudYfha we;s wdudYhsl hqYfhka jeä fldgila .eiaà%ka njg m;afõ. fuu .eiaà%ka j,g wmf.a wdudYh iy .,kd,h w;r we;s lmdgh weßh yelsh. fï ksid fï jk úg wdudYfha we;s wdudYhsl hqIh by,g tkakg mgka .kS. ±ka isÿ jkafka is;d .kakgj;a wmyiq l%shdj,shls. wdudYh ;=, wï,sl ;djhg Tfrd;a;= fok uÜguh wdudY ì;a;sh ks¾udKh ù ;snqko .,kd,h ;=, tfaia ke;. Wvg tk wdudYhsl hqYh .,kd,h ;=, uy;a fõokdjla we;s lrñka by,g wefoa. yßhg ;udf.a mmqj ysrùf.k tk njla ±fka. iuyre fuh yDo frda.hla nj is;kakg mgka .kS. idkaøkh wvq jqjo ;rula ÿrg fm%daàk cS¾Kh lsÍfï yelshdj we;s fuu wdudYhsl hqIh .

by; rEm igyk wmf.a  wdudYh iy wod, lmdg .ek hï ±kqula Tng ,nd fokakg we;ehs is;ñ.

.eiag%hsàia hkq wdudYfha jd;h msÍu ksid we;sjk ;;ajhla fkdjk nj ±ka Tng meyeÈ,s we;ehs is;ñ. fuu ;;ajhg fya;=j jkafka ÿ¾j, HCL ksYamdokh nj lsj hq;=h. HCL ksYamdokh lsÍu i|yd yhsv%cka iy laf,darhsâ wjYH fõ. yhsv%cka wm mdkh lrk c,fhka ,nd .; yelsh. kuq;a laf,darhsâ hkq wm .kakd wdydr j, nyq, uQ,øjHhla fkdfõ. laf,darhsâ wmg ,efnk m%Odk ud¾.h jkafka ¨Kq wdydr j,g tla lsÍuhs. ¨Kq hkq fidaähï laf,darhsâ fõ’ fuu.ska lf,darhsâ ,nd .; yelsh. Tn ¨Kq wvqfjka wdydrhg .kakd flfkl= kï we;sjk ;;ajh ±ka is;d .; yelshehs is;ñ. my; rEmh fï .ek ;j;a Tnj ±kqj;a lrkq we;.

¨Kq j,ska lf,darhsâ ,enqko Ö*a ffi, j,ska fmmaisfkdcka iy HCL ,nd .ekSug kï le,aishï ;sìh hq;=h. fï wdldrhg Tnf.a YÍrh hï lsis fmdaIK W!K;djhlska fmf,kafka kï frda. .kkdjla Tnj .s, .kq we;.

¨Kq lEu k;r lrk f,ig iuyr úg Tng Wmfoia ,eî ;sfnkakg m¨jk. ta wê reêr mSvKh ksid kï wmf.a fjí wvúfha reêr mSvKh .ek ,shd we;s ,smsh lshjd ±kqj;a jkak. wê reêr mSvKh hkq ;j;a tla fmdaIK W!K;djhl m%;sM,hls. wod, fmdaIH fldgia isrerg ,nd §u u.ska fuu ;;ajfhka wE;a úh yelsh.

.eiag%hsàia j,g Tn úiska ±kg .kakd fnfy;a .eko hula lSug ud yg is;sk. ±kg ngysr ffjoH úoHdjg wkqj fuu frda.hg fya;=j jkafka wdudYfha wêl wdï,sl ;djhhs. fï ksid .eiag%hsàia i|yd proton pump inhibitors keu;s ldKavhg wh;a Tiq ,nd fohs. fu u.ska isoq lrkafka wmf.a wdudY ì;a;sfha we;s wï, ksl=;alrk isÿre jid ±óuhs. ±ka Tnf.a .,kd,h ;=jd, lsÍug fyda ßoùug wï, fkdue;. ±ka Tnf.a fõokdjo fkdue;. kuq;a fï fya;=j ksid Tn úiska wdydrhg .kakd wdydr cS¾Kh ÿ¾j, fõ. ±ka Tnf.a isrerg fmdaIK fldgia Wrd .kafka flfiao? ;j;a frda. .kkdjla fï ksid yg.kS. tajdg ;j;a fnfy;a fndkakg isÿ jqjo Tng th ;j;a idudkH frda.S ;;ajhla muKs. cSú;h f,v frda. .Kkdjla iu. wjika lsÍu ±ka ±ka idudkH isß;la njg m;a ù we;. ;djld,sl iyk miqmi hkakg tmd. iaÓr úi÷ula lrd hkak. wmyd tlaù ;u cSú;h ch.kak. Tng hï frda.S ;;ajhhla we;akï wm Tnj jyrl wßh Ñ;a;dY%u úydria:dkfha mj;ajk wß is;=ï idhkh fj; fhduq lrkakg yelsh. ke;skï Tnf.a wdydr fõ, ilialr .kakd wdldrh .ek lshd Èh yelsh. my; we;s ÿrl:k wxlhlska wmyd tlaù f,v frda. .ek ±k .kak. ±kqj;a nj Tnj ksfrda.S ukila we;s lrhs. ±ka Tfí ldhsl frda.hg ksfrda.S ukiska hq;=j m%;sldr lrkak. Tnf.a frda. j,ska ishhg 80 lau udkisl nj Tn okakjdo? ±kqj;aj isàu ;=, Tn ksfrda.S jkq ksielh.

fï w;ru Tnf.a wjOdkh ;j;a jeo.;a ldrKhla fj; f.k hEug is;=fjñ. ta wm l=vd orefjl= f.a wdydr cSrK moaO;sh /jàu i|yd fok iQmamqj .ekh. iQmamqj lgg ÿka miq orejd ksod.kakjd úh yelsh. kuq;a iQmamqj WrK jdrhla jdrhla mdid wudYh wdydr n,dfmdfrd;a;=fjka isák nj Tn fkdokakjd úh yelsh. fuu ix{djka ksid wdudY ì;a;sfha we;s ffi, Woaëmkh jkakg mgka.kS. Tnf.a orejdg .eiag%hsàia we;sùu fï wkqj mgka .kakd nj Tn fkdokakjd úh yelsh. iajNdj O¾uhg úreoaOj Tn l%shd;aul jk iEu wjia:djl§u Tng Bg jkaÈ f.jkakg isÿjk nj is;g .kak. fuys§ Tn fkdj Tfí orejd Bg jkaÈ f.jhs. ±ka ±ka .

Tnf.a pqhska.ï iemSu;a ógu iudkh. Tn pqhka.ï tl imk iEu jdrhla mdidu Worh /jàug ,lafõ. pqhska.ï tlla úkdä ;syla muK iemQ miq Tnf.a Worfha hï fõokdjla we;s nj isysfhka hq;=j isák Tng ±l.; yelsh. jHdmdßlhka ksrka;rfhka ,dn ,eîfï taldhk n,dfmdfrd;a;=j we;sj fj<| fmd,g fhduq lrk ish¨ NdKav is;d fkdn,d mßyrKh lsÍfï jrog Tn Tngf.a cSú;fhka jkaÈ f.jk nj is;g .kafka kï Tng je,f|k f,v frda. .kkdjlska je,lsh yelsh. 

.eig%hsàia j,g ±ka Tn l, hq;= jkafka l=ulao? fõokdj iuKh lr .ekSuo? tfia;a ke;skï iaÓr úi÷ula lrd hEuo? m%:ufhka ;uka ;SrKhla .kak. fuu frda.h ;udgu iqj lr .; yelsh. isÿ l, hq;= jkafka wod, fmdaIK fldgia .ek ±kqj;a ùu iy tajd ksr;=rej isrerg ,nd §uhs. wmf.a fjí wvúfha Tng ,nd .; yels fmdaIHodhs wddyr .ek úia;r we;=,;a fldg we;. tfiau wm úiska wdkhkh lrk iy ,xldfõ ksmojk wdydruh Tiq j¾. lsysmhlao we;. tu wdydruh Tiq fuu fjí wvúh yryd wf,ú lsÍu wmf.a mrud¾:h fkdjqko Tng wm fj; ÿrl:k wu;=ula ,nd § úia;r ±k .; yelsh.

my; we;s ±kaùu u; la,sla lr fuu frda.h i|yd fy< Tiq lsysmhla .ek ±k .kak

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