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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
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DEHIATTAKANDIYA
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HEALTH EDUCATION UNIT BASEHOSPITAL ,...
HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA
R.M.T.A.S.Attanayake .
Health eduction Nursing officer,
Health Educat...
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Wakugadu amaruwa 01 11-2012

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Wakugadu amaruwa 01 11-2012

  1. 1. HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  2. 2. wmfrdayf,ys jl=.vqidhkfha ,shdmÈxùwe;s fiajd,dNSka ixLHdj j¾Ih wmfrdayf,ys jl=.vqidhkfha,shdmÈxùwe;s fiajd,dNSka ixLHdj 2009 271 2010 439 2011 231 2012 232HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  3. 3. l,qle f,a loss rdm qr l=vd .u l=vd ., lksÉ Ñs., l=vd iS.s ßh lcqq j;a; lek= ¨fj, ,sys Ksh d.u .;am ÷r uqj meá flafj, uSj; amq r ueo. u u.,a ouk uqÿ ka.u u,af oks h ueo. ïms áh uqr e;.ia msá h uqÈ kalv j, uqj.ï uk udjk dfj, udjk d.u kslj;, kao kd.i a;,dj kqjr. , kdu, a.u kd.i ajej kjue o.u kj.y we, mqi ai,ú kak my,. u msy sájej m¨f oks h my, hlal =f¾ mr.i ajej m,af ,a.u ms Uqr; a;Ej mrK .u my, we, af,aj ej rkaf y,.u r;au, al÷r rs§ we, rkafl ;a.u r;au, alKa äh reyq Kq. u rKúr e.u iuk,; eka k i,am sá.u i÷ka mqr isß mqr fiare msá h iQß h fmd l=K i|.,;e kak ;=jd r., W;a; .mq r W,a m;aj ej jEnv .u jsch mqr jrd msá h ùSr, kao jeõ. u fjfyr ., we, af,aj ej n|kd ., nsys ßfid frdõ j nUrj dk nlaó foks h pka ok.u ouf kaje j ouq kakr ej osh úoa od.u foys w;a; lKaä h fod,l kao ouf kafj, .,at,s sh yqx. ud,. u fykd ks., ol= K fyks ks., W;= r by,h ll=f ¾ by,. u ixLHdj 1114 9 6 6 1 121118 8 4 10 3 2 15 5 18 9 11 6 2 1032 6 7 16 9 3 3 9 4 6 9 8 6 4 2 4 1 4121 5 8 7 2 3 151815 7 1412 5 7 10 8 171811 9 5 4 9 17101318 5 6 6 8 1 19 1 5 12 8 6 5 3 0 5 10 15 20 25 30 35 40 45 foysw;a;lKaäh m%foaYfha ld,Skjl=.vq wlrKshjHdma;ù we;s wdldrh HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  4. 4. u`.fmkaùu ldhsl frda.úfYaI{ ffjoH iqksial fmdkakïfmreu' uQ,sl frday, " foysw;a;lKaäh" HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  5. 5. jl=.vq j,msysàu HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  6. 6. HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  7. 7. wmj ksfrda.Sj ;eîug jl=.vqj,ska bgqlrk l%shdjka lSmhla reêrhmsßisÿ lsÍu' le,aishï yd úgeñka ã mßjD;a;shhdukh lsÍu ' r;= ffi,ksIamdokh W;af;ackh lsÍu' reêrmSvkh md,kh yd úoahq;a Ya,;l md,kh' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  8. 8. reêrfha wdï,sl NdIañl ;djh md,kh lsÍu' isref¾ c,m%udKhm%Yia; uÜgul mj;ajdf.k hdu' isref¾ fmdiamria mrsjD;a;sh hdukh' wdoS fufyhka /ila bgqlrKq ,nhs' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  9. 9. jl=.vqj, l%shdj HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  10. 10. jl=.vq wlrKsh jl=.vq wlrKsh RENAL FAILURE ;Sj% ACUTE ksoka.; CHRONIC HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  11. 11. tljr we;sjkjl=.vqwlrKsh we;súhyels fya;= • jl=.vqj,g ,efnkreêrm%udKh tljru úYd, f,iwvqùu – jukh – mdpkh – .kakd Èhrm%udKh wêl f,i wvqùu – WK – wêuq;%l T!IO Ndú;h' – yDoh ÿ¾j,ùu ^yDowlrKsh& – wlaufú iuyr frda. ;;a;aj' – f,a j,g úIîc f.dia l%shd;aul ùu' jeks fya;= ksid úyel' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  12. 12. tfukau jl=.vq ;=,u we;sjk iuyr ;;a;aj ksido we;súh yel' –jl=.vqj, we;=f,awe;sjk m%ody;;a;aj – jl=.vqmglj,gtlajru reêrh fkd,eîhdu (ischemia) – ji úYj¾. ksid'úfYaIfhka i¾m úI HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  13. 13. –mqriaÓ; .%ka:sh úYd,ùu' –mqriaÓ; .%ka:sfhafyda.eí f.f,yswe;sjk ms,sld ' –uQ;%ud¾.h iïmQ¾Kfhkau wjysrúhyelsfjk;a ;;a;aj' –uQ;%dYh iïmQ¾Kfhka ysiafkdùu' jeks jl=.vqj,g miqj we;sjk;;a;aj ksido jl=.vqtljr wl%shúh yel' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  14. 14. ACUTE VERSUS CHRONIC • Acute – ysá.ukatljr we;sfõ' – tljru uQ;%dksmoùuwekysà – idudkHfhkablaukaksism%Óldr,enqjfyd;a ksÜGdjgiqjl, yel – jl=.vqfõ fldgia úkdYjqjokej; iEfohs' • Chronic – fkdkej;Sl%ufhkaÈf.kaÈ.gu jl=.vq wl%shfõ' – úkdYjQjl=.vq fldgia kej;fkdiEfohs' – jl=.vqfõ l%shdldÍfldgiajQ jDlaldkqúkdYfõ' -jl=.vq iïmQ¾Kfhkau mdfyaúkdYjk;=re ±fKk wudrejla fkd±fkhs' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  15. 15. ysá.ukawe;sjkjl=.vqwlrKsfha§ m%Odk jYfhka • uQ;%d myùu ke;sjujdf.a fõ' • YÍrh bÈfuhs' úfYaIfhka YÍrfha my, fldgia • Tlaldrhyd jukh" • iys;;a;ajfhafjkialï" • yqiau .ekSfïwmyiqj" • YÍrh leiSu"jeks ,laIKwe;sfõ' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  16. 16. ;Sj% jl=.vq wlrKshg fya;=jQ ldrkdj fidhd th bj;alsÍu;a " we;sùwe;s ;;a;aj j,g l,g fõ,djg ksism%Óldr ,nd§fuka " tljr we;sjk jl=.vq wudrej ksÜGdjg iqjl, yel' ;;a;ajh blauKska y÷kdf.kksis m%Óldr fkd,enqj fyd;a" m%ÓM,hlk.dgq odhl tlla úh yelsh' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  17. 17. CHRONIC KIDNEY DISEASE ld,Sk jl=.vq wlrKsh  ld,hla ;siafia osf.kaos.gu kej;ielish fkdyelsf,i jl=.vq úkdYùuhs'  cSú;h mj;ajdf.k hdu i|yd w;HdjYH jl=.vq u`.ska isÿjk fiajdjo l%ufhka wvmKfõ'  frda. ,laIK fmkajk wjia:dj jkúg jl=.vq iïmQ¾Kfhkau mdfyaúkdYù wjikah' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  18. 18. ld,Skjl=.vq wlrKsfhaoSwe;sjk$ we;súhyels frda. ,laIKyd rEm  uq;%d mylrkúgwêlf,ifmK we;sùu'  uq,a wjia:dfõoSuQ;%d mylrkjdr.Kk jeäùu'tkïrd;%s ld,fhaoS mjdkskafoka msìoS lsysmúglauQ;%d my;sÍug hdug isÿùu'  úia;rl,fkdyelsf,iosf.ka os.gu mj;skwe`.g uykais.;sh yd we`.mf;afõokdj'  msg fldkafoafõokdj'  w,i.;sh'  ksosu; .;sh'  osf.ka os.g mj;skwdydr wrEÑh' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  19. 19. ld,Sk jl=.vq wlrKsh we;sùug fya;=jk lreKq fudkjdo@ HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  20. 20. • ld,Skjl=.vq wlrKsh f,dalfhafukau ,xldfõo iEu m%foaYhlu wvq jeä jYfhka olakg,efí' • tfukau ld,Skjl=.vq wlrKshgfya;=jk ±kg ksYaÑ;ju y÷kdf.k we;s idOl o rdYsfhls' • kuq;a wm Ôj;ajkfoysw;a;lKaähm%foaYfhame;sr mj;akd ld,Skjl=.vq frda.hje,£we;snyq;rhla fokd tjeks fidhdf.k we;s idOdlj,g ksrdjrKhjQnjla fkdfmfkhs' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  21. 21. ,xldfõjl=.vq frda.Ska nyq, m%foaY HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  22. 22. ±kgflÍwe;s wOHkj,g wkqj fuu m%foaYfha yd wdY%S; m%foaYj, me;sr mj;akdjl=.vq wudrejg fya;=jkjd we;ehs iel lrk ldrkd lSmhls' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  23. 23.  j.lSfukaf;drj wkdrlaIs;f,i m<sfndaOkdYlNdú;h' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  24. 24. m<sfndaOkdYlyd fmfydrj,we;ehsie,flkwdiksla " leâñhïyd riosh isref¾;ekam;aùu ksid' úfYaIfhkat,suyfkajevlrkwjia:dj,m%udKj;a ;rï c,hmdkh fkdlsßu' îugyd bùïmsysï lghq;=j,g .kakdc,fhajQwêl lsjq,a.;sh' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  25. 25. fuum%foaYfhawe;s îug .kakd c,fha yd c,dY wdYs%;wdydrj, we;ehs ie,flk Bhï"leâñhï";Ujeks nerf,dayj, wêl idkaøKh' fuu m%foaYfha we;s îug .kakdc,fha wêljwe;s *f,darhsâ yd bùï msysï lghq;= j,g .kakdnd, ye,s-j,xj, we;s ner f,day j¾. iu`.idokúI ixfhda.' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  26. 26. • uQ;%dwdidokyd uQ;%d.,a • wêl ÿï mdkh' wêl úI u;ameka mdkh' • ffjoH WmfoaYfhka f;drj osf.kaos.g iuyr fõokd kdYl .ekSu' • ffjoH WmfoaYfhka yd ksÍlaIKfhkaf;drj iuyr T!IOj¾. Èf.kaÈ.g .ekSu' • l=vdl, we;sjk ^f;,al+ôlEfukawe;sjk ierjìì,s& ;=jd, j,g blaukaksjerosm%;sldr fkdlsÍu' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  27. 27. ld,Sk jl=.vq wlrKsh gn,mdk ksYaÑ; jYfhkau fidhdf.k we;sfya;= • ksisf,i md,kh fkdl, oshjeähdj' • ksisf,imd,kh fkdl, wOhd;;sh^fmI¾tl& • jDlalsldj, we;sjk m%odyhka' • jl=.vqj,g úIîc we;=,aùmeiùu' 'nerf,day j¾. m%udKh blaujd YÍr.;ùu' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  28. 28. • l=vd<uqkaf.a uQ;%du¾.fhaWm;skau we;sù;sìh yels fjkialï ksid uQ;%dwdmiaig .uka lsÍfï ;;a;ajh' • i¾moIaGk ^úfYaIfhka fmdf<dka l=,fha& • ;Sj%jl=.vqwlrKshg ksism%Óldr fkd,eîu' • ÿï mdkh yd úI u;amekamdkh' • wdrhg tk iuyr .;s,laIK • Polycystic kidney disease • HIV nephropathy HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  29. 29. • fuysi|ykaiuyr fya;=;ju;a m¾fhaIK uÜgfï mj;sklreKqh' • foysw;a;lKaähm%foaYfhawe;sld,Sk jl=.vq wlrKshg by; i|ykafya;=fyda$iu`. fuf;la kshudldrfhka y÷kd fkd.;a úúOdldr fya;= multiple causes n,mdk nj fmkShhs' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  30. 30.  YrSrhleiSu  YÍrh iqÿue,sùu'  w;mh ysßjeàu yd ykaos m;alelal=u'  u< noaOh'  weiaj,skaln l÷¿ .e,Su'  kskaofkdhdu'  yqiau .ekSfïwudrej'  iu úh,s "f.dfrdaiqyd likiq¿ùu'  bosóu '  j,smamqj' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  31. 31. HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  32. 32. fuu mÍlaIK wm frdayf,ys § fkdñ,fhau lrjd.;ye;s w;r" remsh,a 500 lg jvd wvq uqo,lg fm!oa.,ssssssl wxYfhkao lrjd .; yelsh' reêrhuia;= l%sheákSka i|y;a uQ;%d iïmQ¾K jd¾:dj;a i|y;a mÍlaIdlrKq,nhs HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  33. 33. wjia:dj uQ;%dksmoùfïfõ.h GFR* mL/min/1.73m2 isÿj we;sydksfha ;ru Description 1 90 gjeä ydksùu weröfïuq,awjia:dj úhyel 2 60 ;a 89 w;r jl=.vqj, l%shdj uojYfhka wvqùwe;' 3 30 ;a 59 w;r jl=.vqj, l%shdj uOHu jYfhka wvqù we;' 4 15 ;a 29 ;a w;r jl=.vqj, l%shdj oreKqf,i wvqùwe;' 5 15 g jvd wvq jl=.vq l%shdldß;ajh iïmQ¾Kfhkau mdfya úkdYù we;' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  34. 34. kuq;a m%Óldr m;d frday,gmeñfKkld,Sk jl=.vq wlrKshiys;fiajd ,dNSSkaf.kanyq;rh meñK we;af;afrda.fhawjidku wjia:dfõ§ùu wm ks;r olsklk.dgq odhlu w;a±lSuh' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  35. 35. HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  36. 36. ld,Sk jl=.vq wlrKshiys; flfkl=/ln,d.ekSu  jl=.vqj, b;srsù we;sm%udKh ;jÿrg úkdYùu je,elaùu yd l,aoeóu'  we;sùwe;s yd we;súh yels wmyiq;d wju lsÍug frda. ,laIKj,gm%ÓldrlsÍu'  úkdYjQ jl=.vq kej; ;snQ ;;a;ajhg m;al,fkdyel' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  37. 37.  iïmQ¾KfhkaúkdYjQjl=.vqi|yd oekg we;s tlumÓldrhksfrda.s .e,fmk jl=.vqjlanoaO lsÍuh'  tf;la reêrhfia§u' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  38. 38. lrKq ,nk m%;sldr yd m;a;shï ùïj, wruqK cSj;aj isák ld,h;=, we;súh yels .eg¨wju lsÍuh' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  39. 39. HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  40. 40. ld,Skjl=.vqwlrKshiys;flfkl=YdÍßljYfhka/ln,d.ekSu •wOHd;;sh •kSrla;sh •ukaofmdaIKh •wiaÓÈÍu •mßjD;a;shweisfvdaishdj •YÍrh;=,c,hyd ,Kq tl;=ùu' ffjoHm%Óldr yd±Kqj;alsÍï j,ska W;aiy lrKqfha fïál bgqlsÍuhs' fï i|yd HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  41. 41. CRF MANAGEMENT: • reêrmSvKh m%iia:w.hl mj;ajdf.khdu • Èhjeähdjwe;skï md,kh lsÍu • wdydrfhajeämqr we;s fmdiamriaYÍhg Wrd.ekSu j,lajk T!IO ,nd§u' • wu;rle,aishï ,nd§u' • f,a iE§ugWjuKdlrkwuqøjH,nd§u' • weisfvdaishdjmd,kh lsÍugwjYHT!IO ,nd§u' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  42. 42. • wdydrhg .kakd ¨Kq m%udKhfyd|gu wvqlsÍu' • kshu .dkg wdydrhg udxYckl Od;= tlalr .ekSu' • fmdiamria wvqfjka wvx.=wdydr wdydrhg tlalr .ekSu' • ÿïîu keje;aùug • iqÿiq m%udKhg YÍrh fjfyilsÍu' • tßf;%dafmdhsàka fydafudakh ,nd§u' • reêrhfia§u' • jl=.vqjlanoaOlsÍu' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  43. 43. HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  44. 44. wld,fhajl=.vqfrda.Sùu j,lajd .ekSu i|yd  ÿï mdkhkj;ajkak'  <udúfhka miqj ;udf.a jl=.vqj, ;;a;ajh ms<sn|j jir follgjrlamÍlaId lrjd.kak'  <udúfhka miqj oshjeähdj" wêreêrmSvkh we;soehsjirlgjrlaj;a mÍlaId lrjd.kak'  hï fjkila y÷kd.;fyd;a ,efnkffjoHWmfoiamßos l%shdlrkak' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  45. 45. Tng oshjeähdj fyda wêreêrmSvkh we;skï"tu frda. ;;a;aj" ffjoHWmfoiamßos fyd|ska md,khlr.kak' l=vd<uqkaf.a w;mhj,we;sjk ierj ìì,sj,gblauka m%:sldr ,nd.kak' i¾m "nUr yd fonroIaGk we;sfkdjkakg .;yels mshjr .kak' uq;%d wdidok we;sjqjfyd;a ta i|yd iqÿiqlï we;s ffjoH jrfhlaf.ka m%Óldr .kak' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  46. 46.  ,sxc,hîugyd bùï msysï lghq;=j,gyels;rï fkdf.k isàug W;aiy lrkak' uyje,s wef,a c,hta i|yd mdúÉÑ lrkak'  bùï msiSï lghq;=i|yd f,day NdckmdúÉÑ fkdlr "ta i|yd ueá j,ka mdúÉÑlrkak'  úfYaIfhka t,suyfka vevlrkúgm%udKj;a;rï îug iqÿiq c,h mdkh lrkak' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  47. 47.  lsjq,a c,hmdkhlsÍfuka yd bùï msiSï lghq;=j,g mdúÉÑlsÍfukaj,lskak'  lDIsridhk øjH Ndú;hyels;rï wvqlrkak'  lDIsridhk øjH Ndú;fhaoSks¾foaYs; wdrlaIs; Wmfoia;rfhams<smoskak  ffjoHWmfoaYfhka f;drj T!IO .ekSfuka j,lskak' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  48. 48.  /|s we;sc,fhka,nd.kakd wdydr j¾. Ndú;hyels;rï wvqlrkak  iuyr fõokdkdYl T!IOosf.ka os.g .ekSfuka j,lskak'  rd;%Sld,fha kskafoka msìoS lsysmúgla uQ;%d lsÍug hdug isÿjkafka kï jdydu ffjoHjrfhlauqK.eiS wjYHmÍlaIk lrjd.kak' HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  49. 49. u`.fmkaùu ldhsl frda.úfYaI{ ffjoH iqksial fmdkakïfmreu' uQ,sl frday, " foysw;a;lKaäh" HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  50. 50. HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA
  51. 51. HEALTH EDUCATION UNIT BASEHOSPITAL , DEHIATTAKANDIYA R.M.T.A.S.Attanayake . Health eduction Nursing officer, Health Education Unit. , Base hospital, Dehiattakandiya,

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