È.gu flKav fmrf,hs kï Nhdklhs
flKav fmr<Su fkdfyd;a mdohl uia fmr<Su j¾;udkfha ñksid mSvdjg m;a lrk tla m%Odk wdndOhla f,i lr,shg ú;a we;' tfy;a th l=uk ldrKhla ksid we;s jkafka o hkak ksje/Èj oek .ekSu ld yg;a jeo.;a jkafka h' t ksidu ta i|yd n,mdk m%Odk;u n,mEï ljf¾ o@ hkak;a" tjeks ;;a;ajhla we;s jqfjd;a Bg tfrysj l%shd;aul jkafka flfia o@ hkak;a oek .ekSug wm fï ,smsfhka W;aidy .ksuq' mdKÿr uQ,sl frdayf,a ldhsl frda. ms<sn| úfYaI{ ffjoH Wmq,a Èidkdhl uy;d fï iïnkaOfhka woyia olajk ,§' ta wkqj fmkS hkafka oekqj;a Ndjh fukau wdndOhg ;=vqfok lreKq ms<sn| ukd wjfndaOh ;=<ska fõokdjg ,la ùu j<lajd.; yels njhs'
hï udxY fmaYshla ;u wkqoekqulska f;drj yÈisfha ixfldapkh ùu ;=<ska ta ;;a;ajh ál fõ,djla ;sîu ksid flKav fmr<Su we;s úh yelhs' fndfyda úg fujeks ;;a;aj olakg ,efnkafka mdofha by< fmaYsj, iy l,jdj, by<ska msgqmig jkakg h' tfiau Wrysia l=yrfha o fujeks ;;a;ajhka olakg ,efnhs' flfia fj;;a fujeks ;;a;aj fõokdjla iys;j we;sùu nyq,j olakg ,efnkakls' fujeks wdndO we;sùug n,mdk fya;= fohdldrhlg y÷kd.; yelshs' tys m<uq ldrKh jkafka fya;=jla iys; wdndOhka iy fya;= rys; wdndOhka h' ta wkqj fya;= iys; ;;a;ajfha § we;eï frda.S ;;a;aj fukau Ndú;d lrk T!IOj, n,mEula fï i|yd we;'
uq;%d jeämqr msglrk T!IOhla jk furosemide ksid iy HCT keue;s T!IO Ndú;fha § fujeks ;;a;aj we;súh yelshs' fndfyda úg weÿu frda.S ;;a;ajhg ,nd .kakd T!IO fya;=fjka o flKav fmr<Sfï ;;a;ajh olakg ,efí' tfiau fldf,iagfrda,a wvq lsÍu i|yd Ndú;d lrk T!IO iy metitepine T!IOh Ndú;fhka o fujeks ;;a;ajhla we;súh yelshs' flfia fj;;a fujeks T!IO Ndú;d lrk frda.sfhl=g wdndOh we;s jkafka kï ta nj ffjoHjrhdg mejeiSh hq;=hs' túg frda.shd mÍlaIdlr n,d wod< T!IO h fjkqjg fjk;a l%ufõohla wkq.ukh l< yelshs'
by; ;;a;ajhkag wu;rj wlaud frda. ;;a;ajhkaj,§ yd .¾NKS wjia:dj,§ o fujeks wdndO u;=ùfï bvlvla mj;S' tksid wdndê; mqoa.,hd iEu úgu wjfndaOfhka hq;=j ffjoH m%;sldr fj; fhduqùu jvd;a jeo.;a h' fï ldrKhkag wu;rj úfYaI fya;=jla fkdue;sj wdndOhg f.dÿrejk mqoa.,hka isà' Tjqka we;eï úg wêl f,i fjfyi uykais ù hï hï ld¾hhkaj, kshef,kakka úh yelshs' tfiau jHdhdï lsÍfï § ta i|yd YÍrh iQodkï lr fkdf.k jHdhdï lsÍu ;=<ska o wdndOh u;=ùfï bvlvla mj;S' wêl f,i úc,khg ,lajkakka yg o fï ;;a;ajh we;súh yelsh' ;j o wêl WKqiqu yd iS;, jeks foaY.=Ksl fya;= ksid fulS wdndOh olakg ,efnk wjia:d we;'
;j;a úfgl YÍrfha fidaähï" fmdgEishï" ue.akSishï ,jK W!k;djhl§ fuh olakg ,efí' tjeks ;;a;ajhla we;s jQ wjia:dj, ffjoH m%;sldr u.ska T!IO ,nd .ekSfuka ;;a;ajh uÕyeÍ hd yelshs' idudkHfhka mdofha flKavd fmr<Sul§ laIKslj .; yels mshjrla we;' tkï mdoh j<¨lr ykaÈfhka by<g tiùuh' tfiau uymg weÕs,a, ;u kslg foig keùfuka laIKslj ;;a;ajh uÕyeÍ hd yelshs' flfia fj;;a fï ;;a;ajh È.ska È.gu we;sjkafka kï ta ms<sn| mÍlaId l< hq;=hs' l=uk ldrKhla ksid fujeks wdndO u;=jkafka o hkak ksÍlaIKh lr m%;sldr lsÍfuka ;;a;ajh iqj lr .ekSfï yelshdjla o we;'
ÿñkao w¨;af.or
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