l%sfidghs,a weianeiafgdaia iqrlaIs;Ndfjka by< ùug fya;=
^2015$12$02 Èk úÿifrys ,f,dalfha oeka mdúÉÑ flfrk weianeiagia fi!LHhg wys;lr keoao@, uefhka m< jQ ,smshg ms<s;=re jYfhka furg weianeiagia l¾udka; wxYh ksfhdackh lrñka m%pdrl wdh;khla úiska úÿir fj; tjk ,o ,smshls&'weianeiafgdaia hkq fmdf<dfõ ksê wdldrfhka mj;sk wldnksl Lkscuh is,sflaÜ ^SiO4& ;ka;= ^*hsn¾& úfYaIhls'
weianeiafgdaia meyeÈ,s f,i ldKav follg fldgia l< yels w;r m<uq ldKavh ~ia¾fmkaghska~ fyda ~iqÿ~ l%siෛdghs,a weianeiafgdaia h' wfkla ldKavh weï*sfnda,aia yd fl%disfvd,hsÜ fyj;a ~ks,a yd ÿUqre~ weianeiafgdaia .Khg wh;a fõ' fï foj¾.h lsis úgl tl u ksêh ;=< fkd mj;shs'
wo f,dj jgd uq¿ukska u Ndú; jkafka ~ia¾fmkaghska~ fyj;a ~iqÿ~ l%sfidghs,a weianeiafgdaia jk w;r fmr meje;s je/È jegySu ì| ouñka ieu weianeiafgdaia j¾.hla u ñksia fi!LHhg wys;lr fkd jk nj úoHd{hka fidhdf.k we;' fuhg úoHd;aul fya;=j fï msgqfõ we;s fjk;a ,smshl olajd we;'
úisjeks ishjfia § wka;rdodhl ~ks,a yd ÿUqre~ weianeiafgdaia wdrlaIdjlska f;dr j ksIamdokfha § mq¿,a f,i Ndú; lsÍug;a" weianeiafgdaia fl¢ wdYajdi lsÍu u.ska úúO fi!LH .egÆ we;s jk njg úYajdi lsÍug;a ,la j we;s w;r" fï weianeiafgdaia j¾. f,dj jgd rgj,a úYd, ixLHdjl ;ykug ,la ù we;' tfy;a ~iqÿ~ l%sfidghs,a weianeiafgdaia tlai;a ckmoh" lekvdj" reishdj" Ökh" n%iS,h we;=¿ rgj,a 140lg jeä m%udKhl Ndú; fõ'
jir ye;a;Ejlg wêl ld,hla ;dhs,ka;h ~iqÿ~ l%fidghs,a weianeiafgdaia Ndú; l<;a ta ms<sno kej; i,ld ne,Sug Tjqka woyia lf<a weianeiafgdaia ms<snoj ks;r isÿ jk idlÉPdj, m%;sM,hla jYfhks' ishÆ úoHd;aul idOl i,ld ne¨ ;dhs,ka; n,OdÍka ;yjqre lf<a iqrlaIs; l%shdud¾. wkq.ukh lsÍfuka ~iqÿ~ l%sfidghs,a weianeiafgdaia Ndú;h ñksia fi!LHhg ydkshla we;s fkd lrk njhs'
2007 jif¾ § f,dal fi!LH ixúOdkh ^WHO& f,dal fi!LH iuq¿fõ ^WHA& woyi wkqj hñka weianeiafgdaia md,khg mshjr f.k we;' fuys mrud¾:h weianeiafgdaia ksid yg.kakd úúO frda. f,dfjka ;=rka lsÍu jk w;r" úúO weianeiafgdaia j¾. Ndú;h ms<sno úúO mshjr .ekSfuka meyeÈ,s jkafka we;eï weianeiafgdaia j¾. wys;lr fkd jk nj;a tu ksid tu wys;lr fkd jk weianeiafgdaia ;ykï lsÍu úiÿula fkd jk nj;a h'
cd;Hka;r lïlre ixúOdkh ^ILO& úiska 2010 § mj;ajk ,o iïfï,kfha § ishÆ weianeiafgdaia j¾. ;ykug ,la lsÍug fhdackdjla bÈßm;a úh' tfy;a 1986 § ILO úiska wdrlaIs; weianeiafgdaia Ndú;h ms<sno 162 iïuq;sh Wmfhda.S lr.ekSfuka rgj,a fndfyduhla md,khlska hq;= j ~iqÿ~ l%sfidghs,a weianeiagia Ndú; lsÍug wjir ,nd §u ;=<ska u l%sfidghs,a weianeiafgdaia iqÿiq nj ikd: lrhs'
2015 ðkSjd kqjr meje;s frdg¾vï iuq¿fõ § o l%sfidghs,a weianeiafgdaia Ndú;h ms<sno ;SrK /ila .kakd ,§' mQ¾j wkqoekqulska f;dr j l%sfidghs,a weianeiafgdaia m%jdykh l< yels nj h<s ;yjqre lsÍu ñka úfYaIs; fõ'
by; ioyka mßÈ wka;¾cd;sl ms<sld m¾fhaIK iïfï,kh ^International Association for Cancer Research& ~iqÿ~ l%sfidghs,a weianeiafgdaia Ndú;h ~Wmo%j iys;~ nj ioyka lr we;s kuq;a wk;=re we.hSula wkjYH nj m%ldY lr we;' Yajik wdndO ms<sno wefußlka ßúhqõ yd ld¾ñl ffjoH Ydia;%h ms<sno n%s;dkH ix.%yh hk m%ldYk úiska lrk ,o wOHhk lsysmhla u.ska tlai;a ckmofha yd tlai;a rdcOdksfha l%sfidghs,a weianeiafgdaia l¾udka;Yd,dj, wka;rdodhl ;;a;ajhla fkdue;s nj wkdjrKh lr we;'
foaYSh jYfhka i,ld n,k úg mdßfNda.slfhda ~iqÿ~ l%sfidghs,a iq¿ jYfhka wka;¾.; /,s isfuka;s ;yvq tys l,a mj;akd" myiq yd foaY.=Khg Tfrd;a;= §fï yelshdj ksid oYl .Kkdjla ;siafia Ndú; lr;s' foaYSh jYfhka ksIamdokh lrk ,o weianeiafgdaia ;yvq 70]la isfuka;s" 22]la c,h yd µhsn¾ 8]la jeks iq¿ m%udKhlska hqla; fõ' ~ks,a yd ÿUqre~ weianeiafgdaia lsisÿ ksIamdokhla ioyd foaYSh l¾udka;hl Ndú; fkd flfrhs' ;j o iqÿ~ l%sfidghs,a Ndú;fhka frda.S jQjka ms<sno f,aLk.; idOl wog;a lsisjla fkdue;'
ishÆ weianeiafgdaia j¾. yd ksIamdok ioyd ;ykula mekùug j¾;udk n,OdÍka woyia lr we;;a Y%S ,xldfõ ishÆ u l%sfidghs,a *hsn¾ isfuka;s ;yvq ksIamdolhka b;d iqrlaIs; ksIamdok l%shdj,shla iy m%jdykh" iú lsÍu yd Ndú;h" ksIamdokfha § wmo%jH m%;spl%SlrK fukau mÆÿ jQ ksIamdÈ; kej; m%;spl%SlrKh lsÍu o mßir ydkshlska f;dr j Wmßu M,odhs;djlska l%shd;aul lr we;' tfia u l%sfidghs,a *hsn¾ Ndú;h yd thg wod< fi!LH .egÆ we;s úh yels mßirhla l¾udka; Yd,djka ;=< fkdue;s nj tu wdh;k ,nd we;s c;Hka;r ;;a;aj iy;slhka u.ska ms<sìUq fõ'
by< >k;ajfhka hq;= isfuka;s ksIamdok ioyd wo Ndú; jk l%sfidghs,a weianeiafgdaiaj, we;s fi!LH n,mEï f;areï.ekSu
fï Lksc o%jH ms<snoj úI úoHdj mjikafka l=ula o@
uE; ld,Sk úIúoHd;aul wOHhk fmkajd fokafka"
¥ l%sfidghs,a weianeiafgdaiaj, b;d flá wdhq ld,hla we;s nj'
¥ fndfyda l,la wdYajdi lsÍu uÛska lsis u frda.ldrl ,laIKhla u;= fkd jk nj' ^WHO&
¥ ta wkqj l%sfidghs,a weianeiafgdaia fmkye,a, ;=< fyda ma¨rd l=yrh ;=< fyda frda.ldrl ,laIK u;= fkd lrhs'
¥ tmuKla fkd j l%sfidghs,a ;ka;= fmky,af,ka YS>%fhka bj;a jk w;r ma¨rd mDIaGh u; fyda ma¨rd l=yrh ;=< fyda olakg fkd ,efí'
¥ tfy;a weï*sfnda,a ;ka;= fmky,a,g we;=¿ jQ miq Èk 5la ;=< bÈuqula we;s lrk w;r ;=jd, o olakg ,efí'
¥ tu ;ka;=j,g ksrdjrKh ùfuka Èk 5lg miqj ;j;a Èk 28la .; ùfuka miq wka;rd,hSh ;ka;=u;dj ^Interstitial Fibrosis& fmkye,a, ;=< olakg yels fõ'
¥ tu weï*sfnda,a ;ka;= fmkye,a, ;=<ska bj;a fkd jk nj fmkS f.dia we;af;a úoHd;aul mÍlaIK ioyd fhdod.kakd óhka ;=< tu ;ka;= È.=ld,Skj mj;sk nj ksÍlaIKh lsÍu uÛska h'
¥ tu ;ka;=j,g ksrdjrKh ùfuka Èk 5lg miq i;s folla ;=< weï*sfnda,a ;ka;= •ma¨rd mDIaGh isÿre lrñka we;=¿ ùu olakg yels úh'
tfuka u fmkye,a, bÈóug ,la l< w;r ma¨rdfõ ;ka;=u;dj we;s lf<a h'
fjk;a úl,am ksIamdok wjYH o@
¥ c.;a fi!LH ixúOdkh u.ska l%sfidghs,a weianeiafgdaia ioyd úl,am hk uefhka ixúOdkh l< jevuq¿jl jd¾;djla u.ska mejfikafka tfia úl,am ksIamdok we.hSula ioyd úoHd;aul fya;= fkdue;s njhs'
¥ ;j o fjk;a ;ka;= ms<sno we;s iSñ; o;a; fmkajkafka l%sfidghs,aj,g jvd tjeks ;ka;= ie,ls,a,g ,la úh hq;= njhs'
ks.uk
uE;ld,Skj m%ldYhg m;a l< úoHd;aul idlaIs fmkajd fok •
¥ uq,a ^original& wOHhk
¥ jix.; frda. m¾fhaIK
¥ Yajik úIúoHd wOHhk
;<ska l%sfidghs,a" weï*sfnda,a weianeiafgdaiaj,g jvd iqrlaIs; nj fmkajd fohs'
¥ kshñ; md,s; ;;a;ajhka hgf;a l%sfidghs,a kQ;k iudcfha Ndú; jk wê >k;ajfhka hq;= iajrEmfhka Ndú;h
fmkye,s ms<sld fyda fufidf;,s´ud ;;a;ajhla fiajlhka ;=< fyda uyckhd ;=< fyda we;s fkd lrhs'
jy, fiú,s ;yvq iqrlaIs;hs lSug fya;=
l%sfidghs,a *hsn¾ fhdod ;ekQ jy< fiú,s lsÍfï ;yvq ñ,s,Sgrhg .a?ï 1la jeks wêl >k;ajhlska hqla; h' fïúfha ixhq;sh fufia h'
¥ isfuka;s 70]
¥ *hsn¾ 7]
¥ c,h 23]
*hsn¾ fhdod.kq ,nkafka ;yvqfõ wNHka;r ieleiau i|yd muKs' ^fldkal%SÜ oeófï § lïì fhdok wdldrhg&'
tneúka ieu úg u *hsn¾ isfuka;s iu. oeä j iïnkaO ù mj;sk w;r tajd mßirhg ksrdjrKh ùula lsis úgl;a isÿ fkd fõ'
uOHu mßir wêldßh iy WHO wdh;kh úiska ksIamdokd.dr ;=< jd;fha mj;sk ksoyia *hsn¾ m%udKh >k fikaáógrhg tla ;ka;=jla f,i ks¾foaY lr ;sfí' ksIamdokd.dr ;=< *hsn¾ m%udKh t;rï wvq kï Tfí ksji ;=< ksoyia jk *hsn¾ m%udKh fkd i,ld yeßh yels h'
l%sfidghs,a fl¢;s iy ñ:Hd úYajdi
weianeiafgdaia m%Odk ldKav fol YÍrhg tl yd iudkj fkd n,mdkafka tajdfha wKql uÜgfï jHqyuh fjkialï ksid h'
i¾fmkaghska ke; fyd;a iqÿ$l%sfidghs,a ldKavfha iqúfYaIS .=Kh jkafka wKqfõ mj;sk Mg ldKavh ieu úg u wKqfõ neyerg ksrdjrKh ù mej;Suhs'
tfy;a weï*sfnda,a ldKavfha Mg ldKavh mj;skafka wNHka;rh foig fhduq ù h'
iqÿ weianeiafgdaia ^l%sfidghs,a& YÍrhg we;=¿ jQ ú.i u foay ;r," ndysrhg fhduq ù we;s Mg ldKav iu. l%shd lr wKql jHqyh b;d iq¿ ld,hl § ne|jeàug ,la lr foayfhka bj;a lrhs'
tfy;a weï*sfnda,a ldKavh odu wdldrhka mej;Su yd Mg wKqj wNHka;rhg fhduq ù mej;Su fya;=fjka thg foay ;r, yd iïnkaO ùfï yelshdj ke;' tneúka fïjd foayfha ;ekam;a ù ydks isÿ lsÍfï wjodkula we;s l< yels h' 1970 oYlfha isg fïjd ;ykï lr we;af;a tneúks'
by; i|yka mßÈ l%sfidghs,a uÛska YÍrhg ydkslr ;;a;ajhla we;s ùu b;d u úr, nj wka;¾cd;sl m¾fhaIK m;%sld u.ska ;yjqre lr we;'
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