Wakugadu amaruwa 01 11-2012

HEALTH EDUCATION UNIT BASEHOSPITAL ,
DEHIATTAKANDIYA

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

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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
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foysw;a;lKaäh m%foaYfha ld,Skjl=.vq wlrKshjHdma;ù we;s wdldrh
DEHIATTAKANDIYA

u`.fmkaùu
ldhsl frda.úfYaI{
ffjoH iqksial fmdkakïfmreu'
uQ,sl frday, "
foysw;a;lKaäh"
DEHIATTAKANDIYA

jl=.vq j,msysàu
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

jl=.vqj, l%shdj
DEHIATTAKANDIYA

jl=.vq wlrKsh
jl=.vq
wlrKsh
RENAL
FAILURE
;Sj% ACUTE
ksoka.;
CHRONIC
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

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
DEHIATTAKANDIYA

–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'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

;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'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

ld,Sk jl=.vq wlrKsh we;sùug
fya;=jk
lreKq
fudkjdo@
DEHIATTAKANDIYA

• 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'
DEHIATTAKANDIYA

,xldfõjl=.vq
frda.Ska nyq,
m%foaY
DEHIATTAKANDIYA

±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'
DEHIATTAKANDIYA

 j.lSfukaf;drj
wkdrlaIs;f,i m<sfndaOkdYlNdú;h'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

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.'
DEHIATTAKANDIYA

• 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'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

• 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
DEHIATTAKANDIYA

• 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'
DEHIATTAKANDIYA

 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

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
DEHIATTAKANDIYA

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;'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

 iïmQ¾KfhkaúkdYjQjl=.vqi|yd oekg we;s tlumÓldrhksfrda.s
.e,fmk jl=.vqjlanoaO lsÍuh'
 tf;la reêrhfia§u'
DEHIATTAKANDIYA

lrKq ,nk m%;sldr yd m;a;shï ùïj,
wruqK cSj;aj isák ld,h;=, we;súh yels
.eg¨wju lsÍuh'
DEHIATTAKANDIYA

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
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

• 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'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

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'
DEHIATTAKANDIYA

 ,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'
DEHIATTAKANDIYA

 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'
DEHIATTAKANDIYA

 /|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'
DEHIATTAKANDIYA

DEHIATTAKANDIYA
R.M.T.A.S.Attanayake .
Health eduction Nursing officer,
Health Education Unit. ,
Base hospital,
Dehiattakandiya,

Wakugadu amaruwa 01 11-2012

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