udjke,a, .uf.a frday,

c%cd fi!LH ms<sn| úfYaI{ ffjoH
wdßhfiak hQ' .uf.a

fldkafoa lelal=u yeÿfk ke;s flfkla fidhd .ekSu wmyiqhs' ta ;rug fldkafo wudre wm w;r nyq,hs' fndfyda wh tÈfkod jevlgqhq;= j,ska neyer ù f,v ksjdvq .ekSug fya;=jk m%Odk;u frda.h kï fldkafo lelal=uhs'

fldkafo lelal=u Th ;rï nyq,j olakg ,efnkafka wehs@

wms mßKduh jqfKa ll=,a y;frka weúÈk i;=kaf.ka fka' ll=,a y;frka weúÈk fldg fld÷ weg fm<g jeä wmyiqjla keye' thg orkakg fjk nr iunrj .d;%d yryd fn§ hkjd' tfy;a m%Yakh we;s jqfKa ñksid ll=,a foflka isg.;a úghs' ysi" w;a md" Wri muKla fkdj Worfha nr;a ;kslr fld÷ weg fm<gu orkakg isÿ jqKd' ta ksidu fld÷ weg fmf<a fkdfhl=;a wdndO we;s fjkakg mgka .;a;d' ñksid b|f.k bkak úg;a" ksis bßhõfjka fkdisàu ksid;a fldkafo lelal=u we;s jqKd' óg wu;rj nrla Tijk úg fldkao fkdkud" ll=,a fol muKla kjd fkdbiaiSfï fya;=fjka o fldkafoa lelal=u yg.kakjd'

fld÷ weg fm< .ek hula lsõfjd;a'''@

lfYareld kñka y÷kajk o< jYfhka is,skavrdldr jQ weg len,s 33 la tl u; tl msysàfuka ieÿK kuHYS,S wjhjhls' fld÷ weg fm<" f.f,ys fld÷ weg 7la o" Wrysfiys 12 la o" là m%foaYfha 5la o jk w;r fYa%Ks m%foaYfha fld÷ weg 5la tlsfkl ydù ;%sldia:sho" wjidkfha j,s.fha wia:s len,s 4la ^fyda 5la& tl;=ùfuka wkq;%sldia;sh kï j,s.fha wjYsIaG jQ wjhjho jYfhka fld÷ weg fm< ilia ù ;sfnkjd'

fld÷ weg fmf<a lfYareld ^fld÷ weg& w;r" wka;¾ lfYareld ldáf,aÊ fyj;a Vertibral Disc kï ldáf,acfhka ;ekqKq fm;s jeks wjhjhka o olakg ,efnkjd' tuÛska fld÷ wegj, kuHYS,S nj we;s lrjhs' f.f,ys lfYareld ysi by<g my<g yd fome;a;g yerúh yels whqßka b;du;a kuHYS,S whqßka ieliS we;s w;r Wrfha yd là m%foaYfha lfYareldj,g t;rï keñh fkdyel' là m%foaYfha lfYareldj,g nr oeßh yels whqßka úYd,j yd Yla;su;aj msysgd we;' fld÷ weg fma<sfha ueo msysá kd,h Èf.a iqiqïkdj kï iakdhq rÊcqjla .uka lrhs' th fud<fha isg YÍrfha úúO bkao%shhka iy .d;%d lrd .uka lrk iakdhqj,ska iukaú; jk w;r fld÷ weg folla w;r we;s bvlska iakdhq t<shg ú;a bkao%shhka lrd .uka lrhs' óg wu;rj isrerg wjYH reêrfhka fldgila ksmoùuo fld÷ wegj, msysá weg ñÿ¿j,g mejfrk ;j;a ld¾hhls'

fld÷ weg fmf<a fõokdj yg .ekSug fya;=jk frda.dndO fudkjdo@

msg fldkao m%foaYfha we;s ´kEu mglhl ^Wod - lfYareldjka" wka;¾ lfYarel ldáf,ach" wia:s nkaOks" fmaYSka" iakdhq" wia:s& yg .kakd leãula ì£ula fyda wdidokhla ksid t;ek fõokdjla yg .; yel' óg wu;rj bka mek kef.k iakdhq j,g hï wdndOhla we;s jqjfyd;a fõokdj yg .kafka wdndOh we;s ;ek fkdj iakdhq iemhqu wjika jk ia:dkfha§h' iháld ^Scatuca& kue;s frda.S ;;a;ajh Bg tla WodyrKhls' ll=f,a ixfõÈ;djh imhk iháld kï iakdhqj ^Sciatic nerve& fld÷ weg fmf<a my; fldgfia§ f;rmqK úg oefkk fõokdj ll=,a msgqmi fldgfia úÆU olajd ÿjhs' fuys§ frda.h we;af;a fld÷ weg fmf<ys jqj;a fõokdj we;af;a ll=f,a iy úÆfòh' fujka fõokdjla bx.S‍%isfhka y÷kajkafka ^referred Pain& fhduq fõokd f,ih' ;j;a iuyr úg fld÷ weg fmf<a fõokdjg fya;=j isref¾ fjk;a ia:dkhl ^Wod - wdudYfha ;=jd," ms;a;dYfha wdidok iy .,a" jl=.vqj, wdidok iy .,a" uq;%d ud¾.fha wdidok iy .,a" .¾NdIfha frda.& yg.kakd frda.hls' ;j;a iuyr úg fldkafoa fõokdjg fya;=j ms<sldjla fyda ,shqflañhd jeks reêr.; frda.hla ùuog o mq¿jk'

fï wkqj n,k l, iuyr fldkao lelal=ï j,g kshu fya;=j fidhd .ekSug ffjoHjrekag mjd wmyiq fohls' flfia fj;;a fld÷ weg fmf<a lelal=ï j,ska 85]lg fya;=j lfYareldj, levqula" ì÷ula fyda wdidokhls' 10]lg fya;=j wka;¾ lfYarel ldáf,ac fm;a; iakdhq rÊcqj foig ,siaidhduh' th bx.S‍%isfhka y÷kajkafka Sip disc fyj;a PID ^Prolpsed Intevertebral Disc& hkqfjks' fuu ;;a;ajh fndfyda úg yg.kafka jerÈ l%uhg nr bis,Su ksidh' flfia fj;;a ;j;a i;=gqodhl wdrxÑhla lsj hq;=uh' tkï fldkafoa lelal=ï j,ska 90]lau úfYaIs; m%;sldrhla fkdl<;a uila we;=<; úfõlh .ekSfuka muKla bfígu iqj fjk njh'

tlafiaf¾ mska;+rhla .;a úg Th fldkafoa lelal=u we;s ùug fya;=j f,fyisfhkau fidhd.kak mq¿jka we;s fkao@

fudk msiaiqo@ tal jerÈ u;hla' idudkH tlaia - f¾ tlla u.ska fidhd.kak mq¿jka jkafka fld÷ weghl levqula fyda ì÷ula isÿ ù tys yevh fjkia ù we;a;ï fyda wegfha le,aishï ;ekam;a ù we;s wdldrh;a muKs' fld÷ weg fm<g iïnkaO uDÿ mglj, fyda fmaYSj, yg.kakd wdndO fyda iakdhq .; wdndO lsisjla tu.ska oel n,d.; fkdyelshs' iakdhq rÊcqj ;=< hï wdndOhla isÿ ù we;aoehs n,d.ekSug wjYH kï th ;=<g tlaia - f¾ mg,hg fmfkk vhs j¾.hla o úo ^ks¾úkaok ;;a;ajh hgf;a T mpr .ekSfuka frda. úksYaph l< yelsh' flfia fj;;a T mpr u.ska oel n,d.; yels fldkafoa wdndO m%udKh kï Tn ys;kjdg jvd b;du;a isudiys;hs'

ug l,la ;siafia mj;sk fldkafoa wudrejla ;sfhkjd' m%;sldr .;a;u wvqfjkj' wdfhu;a ál ojilska u;=fjkjd' fya;=j l=ula fjkak mq¿jka o@

fndfyda fldkafoa lelal=ï l,a mj;sk tajd ;uhs' fmaYSj,g we;sjk wdndO blauKska iqj jqK;a wia:s nkaOks yd wdidokhg ,la jQ ykaÈj,g iemfhk reêr iemhqu wvq ksid tajd iqj ùfï iS>%;djh;a wvqhs' flfia fj;;a l,a mj;sk fldkafo lelal=ï ;djld,slj wvq lsÍug T!IO we;;a Bg wu;rj nr wvq lr.ekSu" jHdhdu .ekSu yd ksis bßhõjg fldkao fl<ska ;ndf.k jdä ù iy >k ,E,a,la u; oeuq fuÜghl ksod .ekSu jeks foa lsÍu;a" nr Tijk úg fldkao fl<ska ;ndf.k oKysia kjd tajd tiùu;a l< hq;=hs'

uf. fldkafo lelal=u wdfõ tl mdrgu" Bg l<ska lsis wudrejla ;snqfKa keye' thg fya;=j l=ula úh yelso@

tljr yg.kakd wêl fldkafoa lelal=ug fya;= lsysmhla ;sfhkak mq¿jks' nrla jerÈ úÈyg Tijk úg fldkao weo ù hdu ksid we;s jQ wk;=rla fndfyda úg fjkak bv ;sfnkjd' fuh fmaYshlg" wia:shlg fyda wia:s nkaOkshlg tfyu;a ke;a;ï iakdhqjlg jQ wk;=rla úh yelshs' tfia;a ke;a;ï Osteoporosis fkdfyd;a wia:sj, le,aishï ke;am;a ùu wvq ù hdu ksid ÿ¾j, ù ;snQ wia:shla fyda ms<sldjla ksid ÿ¾j, jQ wia:shla iq¿ f;rmuqlska jqj;a tljr ì£ f.dia wêl fõokdjla we;s úh yelshs'

frda. b;sydih ksjerÈj wjfndaO lrf.k mÍlaId lsÍfuka frda. úksYaphlg tau wmyiq fjkafk keye'

fldkafo lelal=ula yg .;a úg ffjoHjrhl= yuqùug hd hq;af;a fudk wjia:djka ys§ o@

fldkafo yg.;a fõokdj fmaYSka ksid yg.;a tlla kï Èk 3lska muK myù hkjd' fõokdj Èk 3lg jvd mj;skafka kï úfYaIfhka u fldkafoa keóu" yerùu iu.Û fõokdj yg .kafka kï ta iakdhqjlg isÿ jQ wdndOhla ksid yg.;a tlla úh yel'

Tn lysk úg fyda lsúiqï hk úg fldkafoa fõokdj jeä jkafka kï wka;¾ lfYarel ldáf,achla iqiqïkdj foig fkrd hdu ksid we;s jQ ^Prolapsed Disc& ;;a;ajhla úh yelshs' wf;a fyda ll=f,a ysÍ jegqKq .;shla fldkafo lelal=u iu.Û oefkkafka kï th o by; lS ;;a;ajh ksid we;s úh yelshs' túg o ffjoHjrhd yuq ù m%;sldr ,nd .ekSuhs kqjKg yqre'

fldkafo fõokdj iuÛ Tnf.a uq;%d lsÍu iy u<my lsÍu o md,kh lr.; fkdyels ;;a;ajhla we;sjkafka kï th Tnf.a iqiqïkdjg wk;=rla isÿfjñka mj;sk nj mjik frda. ,laIKhls' bka iqjh ,eîug kï yÈis ie;alula lr.kakg isÿjkakg mq¿jk' fuh o fndfyda úg fld÷ weg fmf<a my< fldgfia wka;¾ lfYarel ldáf,ac fm;a;la msgqmig fkrd hdu ksid we;s jQ iqiqïkdfõ f;rmqula fya;=fldg f.k we;s jQjd úh yelsh'

uq;%d ud¾.fha wdidok iy jl=.vqj, frda.dndO ksid;a fldkafoa lelal=u we;s úh yel' fuys§ uq;%d oeú,a,la uq;%d iu.Û f,a hdu iy we.Û iS;, fldg WK .ekSuo fldkafoa fõokdjg wu;rj we;s úh yel' Worh u; w; ;enq úg yo .eiafï ßoauhg .eiafik f.ähla jeks fohla oefkkafka kï th yDofha isg reêrh isrer mqrd f.k hk ixia:dksl uyd Ouksfha yg.;a msïîula ^Aoric Aneurism& úh yel' fujekakka o yels blauKska ie;alulg Ndckh fkdl<fyd;a yÈisfhau th mqmqrd isrer ;=< f,a jykh ù ñhhdug mq¿jk'

ldka;djkag" msßñkag jvd fldkafo wudre yefokjd hehs lshkafka we;a;o@

Tõ' tal we;a;' Tjqkaf.a .¾NdIh yd äïnfldaI wdYs‍%; frda. ksid;a" ^.¾NdIfha úreoaO w;g yeÍ ;sîu Retroverted Uterus iy .¾NdIfha my;aùu jeks úfYaIfhkau wd¾;jh wdYs‍%;j;a" tkafvdfug%s´isia" Endometriosis kï frda.h ksid;a& .¾N” ld,fha§;a fldkafoa wudrej ldka;djkag jeämqr we;s jkakg mq¿jks' wd¾;jyrKhg miqj ldka;djkaf.a wegj, le,aishï >k;ajh wvqùu ksid;a ^Osteoporoisis& fldkafo wudre we;s fõ' rEufgdhsâ wd;rhsáia kue;s ykaÈm;a widokh;a nyq,j olakg ,efnkafka ldka;djkaghs' ta ksihs ldka;djka w;r fldkafo wudre jeämqr olakg ,efnkafka'

uf.a ÿjf.a jhi wjqreÿ 16hs' weh wä Wi im;a;= me<§ug yß leu;shs' l,la ;siafia wä Wv im;a;= oeófuka wehf.a msgfldkafoa lelal=u we;sfõúo@

Tõ' tfyu fjkak mq¿jks' wä Wi im;a;= me<£u ksid wef.ys iu;=,s;djh ì| jeà nr oeÍfï wlaIh ^Weight Bearing Axis& fjkia ù weÛ bÈßhg we§ hdfï fya;=fjka là m%foaYfha fõokdj;a" oK ysia wudrefjka yefokakg mq¿jks'

udkisl fya;=ka ksid;a fldkafo lelal=u we;s úh yelso@

Tõ' udkisl wjmSvkh ieÿKq fndfyda frda.Skag fldkafo lelal=u iy weÛm; fõokdj we;s úh yel' weudßldfõ l< m¾fhaIKhlg wkqj fmkS .sfha udkisl wjmSvkfhka fmf<k frda.Skaf.ka 50] la muK uq,skau m%ldY lf<a Tjqka weÛmf;a iy fldkafoa fõokdfjka fmf<k njhs' wêl udkisl msvdj ^Stress and Strains& iy ldkaidj ^Anxiety& ksido fldkafo lelal=u we;s úh yelshs'