8/12/2019 Good Health No 497

1/28

8/12/2019 Good Health No 497

2/28

23-7-2014

(Breaking of the bad news)

2 GENERAL HEALTH

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ZGef

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23-7-2014 3

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a'guf wmcif rk d ;rk d ;

17 vt&G ,f &S d NyD jzpf wJ h wDqmatAif qk dolav;[m arG;uwnf ;u ES macgif ;ayguf ryg0if vmcJ hygbl ;/ 'D vk dtjzpf rsKd ;[mtvGef&S m;yg;vS NyD ; aq;0g;rS wf wrf ;rS m ta,muf 40 om&S d w,f vk d Y od&ygw,f/ ES macgif ;ayguf rygvmwJ htwG uf teH Y vH k ;0cH vk d Y r&Ekdifayr,f h acsmif ;qk d;Ek difNyD ; ES macsEk dif w,f vk d Y od&ygw,f/ wjcm;uav;awG vkd vnf ; ajy;vT m;aqmh upm;Ek dif w,f vk d Yqk d ygw,f/ ES macgif ;aygufeJ Y teHYcHtmH k r&S d wmukd Arhinia a&m*gvk d Y ac:ygw,f/ arG ;&mygArhinia eJ Y uif qm a&m*gykd ;0ifa&muf wm 'grS r[k wf xdck duf'Pf &m&wmaMumif h ES macgif ;qH k ;I H ;oGm;wJ hArhinia a&m*gqkd NyD ; ES pf rsKd ;&S dygw,f/

ol Y uk d uk d ,f 0efaqmifpOf tywf 20 twGif ; rsufES myH koP mef yH krSef r[k wf rSef ; odcJ h w,f vk d Y ol Y rdcif u qk d ygw,f/ 3DeJ Y Scan k d uf Munf h&mrS usef wmawG tm;vH k ;yH k rSef jzpfaewJ htwG uf ud k ,f 0efuk d rzsufcsbJ arG ;zG m;cJ h w,f vk d Y qk d ygw,f/ ol Y rS mES macgif;rygwmtjyif ES vH k ;rSm taygufao;wpfayguf ygwmeJ Y rsuf pdtjrif jyemawG &S dcJ h w,f vkd Y od&ygw,f/ 11 ywf

t&G,frSm b,fbuf rsufpdwdrfukd cG JpdwfukorIjyKvkyfcJhNyD;ayr,f h aemufqufwGJqkd ;usKd;awG 0ifa&muf NyD ; tjrifuG,f oG m;w,f vkd Y od&ygw,f/ ol&J U ES macgif ;twG uf ESmacgif ;yH k pHtwk jyKvk yf NyD ; ES macgif ;aygufae&mrS m cJ G pd wf wyfqif ay;r,f vk d Y od&ygw,f/ tJ'DESmacgif ;wkud k ol touf BuD ;vmwmeJ YtrQ ES pfES pf wpf Budrf topfvJvS ,f ay;&r,f vk d Y qk d ygw,f/

a'guf wmcif rk d ;rk d;

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om;tdrftom;vHk; rjzpf atmif b,fvdk umuG,frvZGefcd kifOD; (aq;0g;wuod kvf )

Q

A

om;td rftom;vH k;[m touf 30eJ Y 50 Mum; trsKd ;orD ; 20-80 &mcd kifEIef ;rS m jzpf wwf ygw,f/ om;td rftom;vHk; jzpfEdkifajcudk avQmhcsEdkifzdkY atmuf ygenf ;vrf ;awG ud k od xm;oif h

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,stm;jzif h oH k ;q yd k rsm;w,f vd k Y qd k yg w,f/(2) avh usif hcef ;ud k yH k rSef vk yfaqmif yg avh vmrIawGt& trsKd ;orD ;wpfOD ;[m avhusif hcef;yH k rSef vk yf w,f qd k &if om;td rftom;vH k; jzpfEd kifajc r&S d bl ;vd k Y od&ygw,f/(3) ud k ,f 0efaqmif? uav;arG ;jcif;aMumif h om;td rftom;vH k ; rjzpfap&ef umuG ,f Ed kif ud k ,f 0efaqmif NyD ; uav;arG ;wm

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om;vH k ; jzpfEd kifajcu ES pfq- oH k;q yd k rsm;apygw,f/ 'gaMumif h oif hcE m ud k,ftrsKd ;tpm;eJ Y t&yftarmif ;ay:tajccHNyD; udk,ftav;csdefudk xdef;csKyfoif h ygw,f/ oif hcE mud k ,f tT ef ;

udef ; (BMI) u 18 'or 5 eJ Y 25

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wmaMumif h om;td rftom;vH k ; jzpfEd kif wJ h tE&m,f udk ydk rdk jrifh wufapw,f vd kY od&ygw,f/ q,f vf rGefig;? ruf u&,f ig;eJ Y wl emig;wdk Y vd k ig;ud k pm;wmaMumifh om;td rftom;vH k ;aMumif h wpfoQL;a&mif

&rf ;rI ud k avsmh usapygw,f/

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ay;Ed kif w,f vd k Y avh vmrIawGt& od& ygw,f/(8) om;td rftom;vH k ;jzpf vQif ay:wwf aom vu Pmrsm;ud k odem;vnf yg om;tdrftom;vHk; jzpfwJhtcemusif wm? &moD vm&if aoG ;qif ;rsm;

wm? aoG ;qif ;rsm;wJ htwG uf aoG ;tm;enf;wm? qD ;td wfeJ Y tpma[mif ;td rf tay: zdtm;oufa&mufwmeJY 0rAd k ufa&mif&rf ;wmwd k Y jzpf wwf ygw,f/'D vu PmawG cH pm;&&if om;td rf tom;vH k ; jzpfaeNyDvm;qd kwm odEd kif zd kY om;zG m;rD ;,yftxl ;uk q&m0efeJ Y awG Y

qH k aqG ;aEG ;oif hygw,f/ Mu,f pif

HIV yd k ; &S d wmaMumif h pd wf "mwfusrd ygw,f q&m/ b,f vdkaexd kif oif h ygovJ q&m/

ud k wd k ;? vuf yH wef ;/ pdwf"mwfusp&mrvdkygbl;/ avhvmprf;oyfrIawGt& aq; rSefrSef aomufr,fqdk&if yHkrSefvlYoufwrf;eD;yg; aeEdkifNyDqdkwmudk awGU&ygw,f/

apmapm aq;aomuf r,f qd k&if pd k ;&d rf p&m r&S d ygbl ;/ 'gayrJ h ART aq;aomuf H k wif ru wjcm;enf ;awG jzpf wJh ul ;pufa&m*gawG r0ifatmif umuG ,f wm?tm[m&jynf hatmif pm;wm? pd wf"mwf uswJ htcg? b0rS m tqif rajywJ htcgES pfod rf haqG ;aEG ;rI(Counselling) ud k cH ,l wmwd k Y ud k vkyfaqmifay;&ygr,f/

a'guf wmOD ;atmif pef ; (aq;ynm? txl ;uk q&m0ef BuD ;)

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wmaMumifh OD;aESmuftwGif ;&S d aoG;aMumawG rmausmapNyD ; OD ;aES muf&J U

vkyfief;aqmifwm vk yfaqmifrIawG avsmhenf ;usqif ;apygw,f/(3) aq;vdyfaomuf jcif ; aq;vdyfaomufwmaMumifh

OD ;aES muf usKH Uwmud k jzpfapNyD ; t,f vf Zk dif ;rm;a&m*gud k jzpf yGm;apygw,f/(4) avxk npf nrf ;jcif ; OD ;aES muf u cE mud k ,f rS m atmuf qD *sif toH k ;jyKrI trsm;qH k ;ae&myg/ S LoGif;vkd ufwJ h avu npfnrf;aeNyD ;atmufqD*sifyg0ifrI enf;ygu OD;aESmuf&JU vkyfaqmifEkdifpGrf;&nfudk

usqif ;apygw,f/

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wif ;eJY wjcm;tm[m&"mwfawG pkyf ,lrIudk aESmihf,SufwmaMumifh tm [m&csKdUwJhapNyD ; OD;aESmuf zG HUNzdK;rI ud k xd cdk ufapygw,f/(6) td yfysuf rsm;jcif ; OD;aESmufusef;rmapzkdYtwGuf tem;,ltdyfpufzkdY vdktyfygw,f/tdyf ysufrsm;wm Mum&SnfvmyguOD ;aESmufqJvfawG aoqHk ;rIukd rsm;

apNyD; OD;aESufvkyfief;rsm;udk xd cd k uf vmapyg w,f/(7) aeraumif ;jzpfcsdef tvk yf vk yf jcif ; zsm;emcsdef? aeraumif ;jzpfcsdef rS mtvk yf yif yif yef ;yef ;vk yf wm? pmusuf

rS wf wmawG vk yfaqmif wmu OD ;aES mufqJ vfawG ud k ysuf pD ;apNyD; OD ;aES muf&J U

vk yfaqmifEk dif pG rf ;&nf ud k usqif ;apyg w,f /

tat;rd zsm;emjcif ;awG u &moDtul ;tajymif;eJ Y rd k ;wGif ;umvawG rS m

tjzpf rsm;Muygw,f/ zsm;emjcif ;jzpfcsdef rS m oif h ud k ouf aomif houf omjzpfapNyD ; aexd kifaumif ;apr,f h enf ;vrf ;awG&S d ygw,f/ cE mud k ,f wGifckcHtm;pepf ud kaumif;apNyD; a&m*gydk;awGudk wdkuf xk wfay;Ed kif r,f h tif wDatmufqD ;'if h yg0if wJ h tm;aq;awG ud k Bud Kwif jznf hpG ufaomufoH k ;xm;vd k Y&ayr,f h wjcm;enf;vrf ;awG vnf ;&S d ygao;w,f /ig;BuD;rS&&Sdaom tqD 'grSr[kwf AD wmrif'D

FCLO vd k Yac:wJ h ig;BuD ;qD rS m cE mud k ,f &J U ckcHtm;ud kaumif ;apEd kif wJ h tm

[mawG yg0if ygw,f/ cE mud k ,f u pG rf ;tif awG vd ktyfaecsdef rS m trSef wu,fjznfhwif;ay;EdkifwJh tm[m&wpfrsKd;vnf ;jzpf ygw,f/ ig;BuD ;uae&&S d wJ h tqD rS m tdk rD*go&D ;? AD wmrifateJY'DawG yg0if ygw,f AD wmrif'D jznf h pG ufaq;awG ud k vnf ; rS D0Jvdk&ygw,f/ oif h uADwmrif'D jznfhpGufaq; wpfaeY wpfvHk; rSD0Jaeolqdk&ifawmhFCLOaomufzdkY rvdkawmhygbl;/ wpfrsKd;wnf;ud k rS D0J vd k Y &ygw,f/AD wmrif pD

AD wmrif pD rS m obm0"mwf wd k ;qef Y usif ypnf ;awG

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em;?ES macgi f ;?vnf acsmi f ;t xl ; ukq&m0ef \ aq;avmu t awG Ut BuHK em;t mH kaMuma&mi f apaomAk dif ;&yf pf ykd;rsm;

a' guf wm0i f ;xkduf Munf em;? ES macgi f ;?v nf acsmi f ;

t x l;ukq&m0ef

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w,f / em;tmH kaMumawG zsufqD;ypf

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w,f qk dayr,f h od yfawmh pd wfylp&m

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jzpfvmw,fqkd&ifawmh pdwfyl&yg

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jzpf wmuawmh oH k ;&uftwGif ; uk wmeJ Y aysmuf ygw,f/

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jzpf wwf vJqk dawmh tmH kcHqJvfawG a&mifwm? tmHkaMumawG a&mifwaMumif h yg/

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w,f /

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(1) qD;oGm;&mwGi f ajymi f ;vJrI&Sd jci f ;

ausmufuyfa&m*g&JU tpOD ;qHk ;vu PmtaeeJ Y qD;oGm;wJh yrmPeJ Y tBud rfta&twG uf ajymif ;vJwmud k awG U&wwf ygw,f/ qD ;oG m;wJ h yrmPenf ;oG m;wm? rsm;vmwmawG jzpfEk dif ygw,f / tBud rfta&twG uftaeeJ Y nyd kif ;rS m rMumcP qD ;xoG m;&wmrsKd ;vnf; jzpf wwfygw,f/ qD;ta&mif ajymif ;vJ rI &S d? r&S deJ Y qD ;oGm;zk d Y a&td rf xJ ra&mufcif rS myJ qD ;xG ufoG m;wm

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w,f/

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ausmuf uyf a&m*g&S daMumi f ; od &SdEkdif aomt csuf12csuf

6 GENERAL HEALTH

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4 GENERAL HEALTH 23-7-20148

0rf ;csKyfaom jyemudk tjrefqH k;ajz&Sif ;ay;Ed kifrnf h enf;rsm;

a&S mif&Sm;oif Uaomx&efhpfzuf ygonfU tpmig;rsKd;

x&ef Y pf zuf(Trans Fat) u usef ;rma&;twGuf tE&m,f&Sdygw,f/usef ; rma&;twG uf raumif;ayr,f h

x&ef Y pf zufawG ud k tpm;tpmawG xJ xnf h oGif ;toHk ;jyKMuwJ h taMumif ;&if;u x&efYpfzuf[m tpm;tpmawG&JU t&omudk aumif;rGefapNyD;tpm;tpmawG&JU oufwrf;udk MumMumcHapwmaMumifhjzpfygw,f/x&efYpfzufu ESvHk;usef ;rma&;twGuf raumif;apwJ htjyif jynf h0qDawGvdkyJ aoG;wGif; raumif;wJh udkvufpxa&mtqifh udkvnf ; jrifh wufapygw,f/ 'ghtjyif ES vH k ;a&m*grjzpfatmif umuG ,f ay;wJ h aoG ;wGif ;aumif;wJ h ud k vuf pxa&mtqif h ud k

avsmh usapygw,f/qDaMumfpmtm;vHk;pm;aomufqd kifawGeJ Y a'ocHqd kif

awG u qDeJ YaMumf xm;wJhtpmawG rSmtm[m& wef zd k ; b,favmufygovJ qdkwm cef YrSef; wGufcsuf zdkY yd kcufygw,fvd kY tar&d uef tm[m&qdkif&mtzG J Utpnf ;&J U ajyma&;qd kcGif h&S dol *D&ef ud k vd kif u qd k ygw,f/ ]]qDeJ Y aMumf xm;wJ h tpm;tpmawG u [if ;oD ;[if ;&G uf qDeJY aMumfwmygvdkY ajym&ifawmif Hydrogenated Oil jzpfaeEdkifwmaMumif h yg}}vd k Y ol u quf vuf &Sif ;jy

ygw,f/ 'gaMumif h x&ef Y pf zuf ygyg? rygyg qDaMumfpmawG ud k wwfEd kiforQavQmh pm;zd k Y vd ktyfaeygw,f/

udwfrkefY rsm;x&efY pfzu f(Trans Fat) uif;wJ h

udwfrkefYudk oif &SmawGUr,fqdk&if awmif xnf hoGif ;jyKvk yfxm;wJ h yg0if ypnf;awGxJrSmShortening qdkwJh pum;vH k ;ud k awG U&ygvd rf h r,f / 'gqd k&if x&efYpfzuf(Trans Fat) tenf;i,f

yg0ifaew,f vdk Y qd k vd k ygw,f/

tmvl;acsmif;aMum f [if ;oD;[if ;&GufqD xJ [d k uf'd k

*sif aygif ;xnf h vd k uf wmud k x&ef Y pf zuf (Trans Fat) vd k Y ac:ygw,f/ pm;aomufqk diftrsm;pk u Hydrogenated Oil eJ YaMumfavSmfwmudk a&SmifvmMuygNyD/txl ;ojzif h rufa':e,f (McDonald's) ?bm*guif;(Burger King) pwJhqdkifBuD;awGu tmvl;acsmif;aMumf &mrSm x&efYpfzufyg0ifrI twdkif;twmudk ododomom avQmhvmMu

NyD jzpf ygw,f/ wcsKd Yqd kifawG u tmvl ;acsmif ;aMumfawGrSmawmh x&efY pf zuf(Trans Fat) oHk;*&rfcGJ yg0ifae

ygw,f/

MuufaMumf pm;aomufqd kifawG u a&mif ;cs wJ h MuufaMumf rS m x&ef Y pf zuf wpf *&rfavmuf yg0ifaewwfygw,f/ 'gaMumifh MuufaMumfudk aeYpOf rpm;oif hovd k wwfEd kiforQ avQmh NyD ; pm;oif h ygw,f/

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ZGef

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"mwf ud k &&S d wmaMumif h tl vI yf&S m;rI ud k aumif ;rGefapygw,f/ r*eDqD ,rf u

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8/12/2019 Good Health No 497

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7GENERAL HEALTH23-7-2014

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17

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AMRI/FORTIS Hospital (tdE d,) , Myanmar Vertex Co.,Ltd.tcef; 1308? ykvJuGef'k d(pD )aqmif? urmat;bk&m;vrf;/ zkef; 09 73093659/Apollo Gleneagles Hospital(448 B )? yxrxyf? odrfjzLvrf;? r*FvmawmifGef Y/ zkef;-296446? 09-5065871/Global Hospital India (Zar & Zar Co., Ltd.)53? q&mpHvrf;? A[ef;/ zkef;-01 555817? 555812/Indraprastha Apollo Hospitals, Delhi; Apollo Hospital GroupKeen Cie Health Care Services

ykvJuGef'k d? C-(G-1)01/02/11 ? ur mat;bk&m;vrf;?A[ef;/ zkef;-01-557448Ext: 899rD'efwmaq;H kBuD;(Medanta Referral Centre)zkef; - +95 94320037? + 95 1535918? +95 173146727Emerald Lotus Co., Ltd, Kiazen Health Care Services, India6? a0Z,E mvrf;? 6&yfuGuf? awmifOuvmy/ zkef; 09 50 17182? 09 31 260038

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(372), Bogyoke Aung San Road, Pabedan Township, Yangon. Tel:256 355, Ext; 3206

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0dz0wDaq;k HBuD; 214? yxrxyf(,m)? a0Z,Emvrf;rBuD;? ouFef;uRef;/09-73165045? 09-73138153/a0hXmeDaq;HkBuD;(Zaw Maung Medical Services)a'gufwme,fvDcifoef;at; -166 at? prf;acsmif;vrf;? tcef;(3)at?'kwd,xyf ? ajreDukef; City Mart teD;/ zkef; - 09 421081127? 01-527930Sukumbit Hospital (befaumuf ) - ?trSwf 110? tcef; 31? oH k;vT m? 8 rk dif jynfvrf;? r&rf;ukef;/ zkef; - 09 420081097? 09 254181636/

pifumylEk difiH&S d aq;k Hrsm;*Refa[mhuif; pifumyltjynfjynfqk dif&maq;H kESihf wefawmufpif;aq;H kBuD;jrefrmjynfH k;cG J - MiraHealthIHBC yxrxyf? tcef; (201)? 365^367? Ak dvfatmifausmfvrf;? ausmufwHwm;/zkef; - 392919? 09 5044101? Email:appt.myanmar@imc.jhmi.edu,ttsh.mirahealth@gmail.compifumyltrsKd;om;aq;k HBuD;(NUH ) jrefrmjynfk H;cG J (Mascots Healthcare) 36 bD? raemf[&Dvrf;? '*H k/ zkef; - 218369? 09 731 66601? 09 431 99995155? 73vrf;? 33vrf;ESih f 34vrf;Mum;? csrf;at;omZH/ zkef; (02) 73118?23334Mount Elizabeth ESif h Glenea gles aq;k H?Parkway Group HeathcareHot Line : &efukef 09430 66666? rE av; - 09430 66667Parkway Cancer Centre (Sigapore)

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23-7-201418 CHILD HEALTH

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9GENERAL HEALTH23-7-2014

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