Dr Rikas Malhardeen

Dr Rikas Malhardeen MBBS - MEDICAL OFFICER ANESTHESIA/ ICU - Base Hospital Mawanella. WORKS AT MEDISEVANA (PVT) HOSPITAL. He Placed in a National Level Athletic.
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and He is a Medical Doctor From Mawanella. MEMBER JM MEDIA EXECUTIVE BOARD
This page is maintaining by JM Printi

01/02/2026

The Nipah virus is spreading with a fatality rate up to 75%.

It has triggered urgent airport screenings across Asia as officials race to contain the pathogen.

A new outbreak of the highly lethal Nipah virus in India’s West Bengal state has put health officials across Asia on high alert.

The virus, which can kill up to 75% of those infected, has recently hospitalized five healthcare workers, forcing over 100 individuals into quarantine.

Classified by the World Health Organization as a priority disease alongside COVID-19, Nipah currently has no approved vaccine or specific medical treatment. Primarily transmitted through fruit bats and pigs, the virus can spread human-to-human, causing symptoms ranging from respiratory distress to fatal brain inflammation.

Neighboring nations are rapidly tightening border controls to prevent further spread. Thailand has launched mandatory screenings and health declarations at international airports in Bangkok and Phuket for arrivals from West Bengal. Similarly, Nepal has initiated health checks at Kathmandu airport and land crossings, while Taiwan is moving to classify Nipah as a "Category 5" disease—a designation reserved for major public health risks. As past outbreaks have shown the virus's potential for devastating impact, these measures aim to prevent a localized cluster from escalating into a regional crisis.

source: Ng, K. (2026). Nipah virus outbreak in India triggers Asia airport screenings. BBC News.

23/12/2025

An entirely new organ has been found behind your nose!

In a remarkable anatomical discovery, scientists have identified a previously unknown pair of salivary glands hidden deep behind the nose—marking the first addition to major human salivary glands in centuries.

Named the tubarial salivary glands, these structures are about 1.5 inches long and sit where the nasal cavity meets the upper throat.

Researchers in the Netherlands stumbled upon them in 2020 while using advanced imaging scans intended for prostate cancer detection. These scans are designed to highlight salivary tissue, and to their surprise, a distinct region lit up in an area long thought to contain no major glands. Follow-up scans of 100 individuals and dissections of two cadavers confirmed the glands' consistent presence.

Though small, these glands play a critical role in moistening the upper throat—particularly during swallowing, breathing, and speaking. But until now, they were completely unknown to medical science. That has real consequences: in head and neck cancer treatments, radiation often unintentionally damages salivary glands, leading to long-term side effects like difficulty swallowing or speaking. After reviewing over 700 cancer cases, researchers found that patients who received higher radiation doses in this newly discovered area experienced more complications. Now that the tubarial glands are recognized, radiation therapy protocols can be adjusted to avoid harming them—offering a straightforward way to improve patient outcomes.

Source: Valstar, M. H., et al. The tubarial salivary glands: a potential new organ at risk for radiotherapy. Radiotherapy and Oncology.

15/11/2025

H5N5 in HUMANS

Grays Harbor resident in Washington State, USA, who was hospitalized with influenza symptoms in early November, has been confirmed to have influenza A H5, a type of avian influenza.

According to the Washington State Department of Health (DOH), additional testing shows the virus to be H5N5, an avian influenza virus that has previously been reported in animals but never before in humans. The Centres for Disease Control and Prevention (CDC) and DOH currently consider the risk to the public from avian influenza to be low.

The person is an older adult with underlying health conditions and remains hospitalized. The affected person has a mixed backyard flock of domestic poultry at home that had exposure to wild birds. The domestic poultry or wild birds are the most likely source of virus exposure; however, a public health investigation is ongoing.

The Washington State Department of Health is working with the local health department and the Washington State Department of Agriculture to complete exposure and animal health investigations.

Public health disease experts have not identified any increased risk to the public.

About Avian Influenza

Avian influenza is a disease caused by influenza type A viruses, which naturally occur in wild aquatic birds around the world. These viruses can infect other bird species, and, occasionally mammals, and can be deadly to domestic birds such as chickens and turkeys. On rare occasions, avian influenza viruses can infect people and make them sick. Most cases have occurred in people who were exposed to sick or infected animals. Reported human cases of avian influenza in the United States have ranged from mild to severe, with one fatality.

The risk of avian influenza increases in the fall and winter because migratory birds can carry the virus and spread it to domestic animals, including commercial poultry farms and backyard flocks.

Transmission of avian influenza between humans is extremely rare and has never been documented in the United States. To ensure that human-to-human spread is not occurring, public health officials are contacting anyone who has been in close contact with the patient to monitor for symptoms and provide testing and treatment as needed.

Public Health Guidance

The Centers for Disease Control and Prevention (CDC) and DOH currently consider the risk to the public from avian influenza to be low. However, people who work with or have recreational contact with infected birds, cattle, or other potentially infected domestic or wild animals are at higher risk and should take precautions, including wearing personal protective equipment (PPE) such as gloves, masks, eye protection, and fluid-resistant coveralls or other outerwear.

People with backyard poultry should avoid contact with sick or dead birds. Veterinarians should report sick or dead domestic animals or livestock suspected of having avian influenza to WSDA. Avoid contact with sick or dead wildlife, and report sick or dead wild birds or other animals. Never handle or allow pets near dead birds or other wildlife.

Avoid eating raw or undercooked food products, such as unpasteurized (raw) milk or raw cheeses, and don’t feed these products to pets.

It is especially important that people who may have exposure to sick birds get a seasonal flu vaccine. While the seasonal flu vaccine will not prevent bird flu infection, it reduces the risk of becoming sick with both human and avian influenza viruses at the same time. Though unlikely, infection with both viruses could result in the emergence of an avian influenza virus that is more easily transmitted from person to person. Seasonal flu vaccine is recommended for everyone six months and older. (Washington DOH)
Newswire

---நீரிழிவு “குணமடையும்” நிலை (Diabetes Remission)உங்கள் அனைவரும் அறிந்தது போல, இன்று உலக நீரிழிவு தினம்!நீரிழிவு குறித்...
14/11/2025

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நீரிழிவு “குணமடையும்” நிலை (Diabetes Remission)

உங்கள் அனைவரும் அறிந்தது போல, இன்று உலக நீரிழிவு தினம்!

நீரிழிவு குறித்து பேசும் போது பெரும்பாலும் நாம் பேசுவது —
நீரிழிவு வராமல் தடுப்பது அல்லது நீரிழிவு ஏற்பட்ட பின் அதை கட்டுப்படுத்துவது பற்றியே.

ஆனால் இந்த உலக நீரிழிவு தினத்தை முன்னிட்டு நான் பேச விரும்புவது வேறு விஷயம் —
நீரிழிவு “குணமடையும் நிலை” (diabetes remission) பற்றி.

இதனால் நான் பொருள் கொள்ளுவது:
முழுமையாக என்றும் மீண்டும் வராத வகையில் குணமாகுவது அல்ல.
இங்கு கூறுவது — நீரிழிவு என கண்டறிந்த பின், மருந்துகள் எடுத்துக் கொண்ட ஒருவரின் HbA1c மதிப்பு 6.5% க்கும் குறைவாக, மூன்று மாதங்களுக்கு மருந்துகள் இல்லாமல் நிலைத்திருக்கக்கூடிய நிலையைப் பற்றி.

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RCT ஆராய்ச்சி – உலகம் கவனித்த முக்கிய கண்டுபிடிப்பு

இது பற்றி பேச நான் அடிப்படையாக எடுத்துக் கொள்வது Lancet இதழில் வெளியான,
2400 க்கும் மேற்பட்ட மேற்கோள்கள் பெற்ற,
Michael Ej Lean மற்றும் அவரது ஆராய்ச்சி குழுவின் சீர்மையாக்கப்பட்ட கட்டுப்படுத்தப்பட்ட ஆய்வு (RCT) ஆகும்.

Michael Ej Lean அவர்கள் என் மிக நெருங்கிய பேராசிரியர்களில் ஒருவரும், எனது MSc மேற்பார்வையாளரும் ஆவார்.

அவர் மற்றும் அவரது குழு எந்த மருந்தும் இல்லாமல் —
உணவுக் கட்டுப்பாட்டின் மூலம் மட்டும் நீரிழிவு குணமடையும் நிலையை ஏற்படுத்த முடியும் என்பதை உலகத்திற்கு விஞ்ஞான ஆதாரத்துடன் நிரூபித்துள்ளனர்.

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ஆய்வில் பங்கேற்றவர்கள்

கடந்த 6 ஆண்டுகளுக்குள் நீரிழிவு ஏற்பட்டவர்கள்

35 முதல் 65 வயது வரையிலானவர்கள்

அதிக எடை அல்லது肥胖மானவர்கள்

சராசரி எடை: 100 kg

இலக்கு: 1 ஆண்டு முடிவில் குறைந்தது 15 kg எடையை குறைப்பது

Intervention மற்றும் Control என இரண்டு பிரிவுகளிலும் 149 பேர் வீதம் சேர்க்கப்பட்டனர்.

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முதல் 3 மாதம் – முழு உணவுமாற்று (Total meal replacement)

3 முக்கிய உணவுகளுக்கும் meal replacement பயன்படுத்தப்பட்டது.
ஒவ்வொரு meal replacement–லும் சுமார் 200 kcal இருந்தது.
மொத்த தினசரி கலோரிகள் 825 – 853 kcal மட்டும்.

இது ஒரு 100 kg நபருக்கு தேவையான ~2500 kcal ஐ ஒப்பிடும்போது மிகக் குறைந்த அளவு.

இந்த meal replacement–இல் கூட

கார்போஹைட்ரேட்: 59%

மேலும் குறைக்கப்பட்ட கலோரிகளுடன் காய்கறிகள் மற்றும் பானங்கள் சேர்க்கப்பட்டன.

3–5 மாதங்களுக்குப் பிறகு வழக்கமான உணவு மீண்டும் தொடங்கப்பட்டது:

கார்போஹைட்ரேட் 50%

கொழுப்பு 25%

புரதம் 15%

அனைத்து உணவுக் கட்டுப்பாடுகளும் தகுதியான மருத்துவர்கள் மேற்பார்வையில் மட்டுமே நடத்தப்பட்டன.
உடற்பயிற்சியும் சேர்க்கப்பட்டது.

நாள் 1 முதல் — அனைத்து நீரிழிவு மருந்துகளும் நிறுத்தப்பட்டன.

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அதிர்ச்சி தரும் முடிவுகள்

Intervention group–இல்:

46% பேர் — 1 ஆண்டு முடிவில்

எந்த மருந்தும் இல்லாமல்

HbA1c < 6.5%

Diabetes remission நிலை

Control group–இல்:

remission நிலையை அடைந்தது 4% பேர் மட்டுமே.

15 kg இற்கும் அதிகம் எடை குறைத்தவர்கள்:

86% பேர் remission அடைந்தனர்.

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2 வருடமும் 5 வருடமும் பின்?

எடை குறைந்த பெரும்பாலானவர்கள்

2 ஆண்டுகள் கழித்தும்

5 ஆண்டுகள் கழித்தும்

remission நிலையில் தொடர்ந்திருந்தனர்.

Control group–இல் பெரும்பாலானவர்கள் நீரிழிவு மருந்துகளை மீண்டும் தொடங்க வேண்டியிருந்தது.

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இது நமக்கு என்ன சொல்கிறது?

சரியான மருத்துவ மேற்பார்வை, meal replacements,
பின்னர் சமநிலை உணவு மற்றும் ஒழுங்கையான உடற்பயிற்சி ஆகியவற்றின் மூலம் —

நீரிழிவை மருந்துகள் இன்றி கட்டுப்படுத்தவும்,
சிலருக்கு remission நிலையை அடைவதும் சாத்தியம்.

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**நீங்களும் அதிக எடை,肥胖ம் இருப்பவராகவும்,

சமீபத்தில் நீரிழிவு ஆரம்பித்தவராக இருந்தால் —**

மருத்துவர்களின் வழிகாட்டுதல் கீழ்
இந்த முறையை முயற்சிப்பது ஒரு பெரிய வாய்ப்பாகும்.
இது மருந்துகள் இல்லாமல் நீரிழிவை கட்டுப்படுத்தும்/குணமடையும் நிலையை பெறும் சாத்தியத்தை அதிகரிக்கும்.

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உங்களுக்கு இதை எளிய மொழியில் சுருக்கமாகவும் வேண்டும் என்றால் எனக்குத் தெரிவியுங்கள்.
Proff Ranil jayawardena
Tamil Dr Rikas

18/02/2025

ඔබේ ක්‍රීඩා කෞශල්‍යය ඉහළ නැංවීමට භාවිතා කළ හැකි ක්‍රීඩා අතිරේක ගැන දැනගනිමු. ( Ergogenic supplements)

ජාත්‍යන්තර ඔලිම්පික් කමිටුව මගින් අනුමත කර ඇති ක්‍රීඩා අතිරේක වර්ග 5ක් ඇත. මෙම ලිපියෙහි එම ක්‍රීඩා අතිරේක වල තතු, ඒවායේ වාසි අවාසි මෙන්ම භාවිතා කිරීමට සුදුසු ක්‍රීඩාවන් පිලිබද තොරතුරු සාරාංශ කර ඇත.

1. කැෆේන් (Caffeine)

කැෆේන් යනු කෝපි වල අන්තර්ගත මූලික රසායනික උත්තේජක සංඝටකයක් බව අප සියලු දෙනාම දන්නා කරුණකි. මෙම අතිරේකය ඕනෑම ජවන හා පිටිය ක්‍රීඩා ඉසව්වක් සදහා භාවිතා කල හැකි අතර එතුලින් ඇතිවන උත්තේජනය මගින් ක්‍රීඩා කාර්ය සාධනය වැඩි වේ. මෙහි බලපෑම කෙනෙකුගෙන් තවත් කෙනෙක්ට වෙනස් වේ. කෙනෙකුට වැඩි බලපෑමක් මෙන්ම යම් පුද්ගලයකුට ඉතා කුඩා හෝ කිසිදු බලපෑමක් ඇතිනොවීමද විය හැක. මෙය ක්‍රීඩකයන්ගේ කැෆේන් සදහා දේහයේ ඇති සංවේදීතාව
මත රදා පවතී.
කැෆේන් සංඝටකය ස්වාභාවිකව, තේ හා කෝපි මෙන්ම කෘතිමව, ශක්ති ජනක පාන (energy drink) වල අන්තර්ගතවේ. නමුත් ක්‍රීඩකයින් හට එම පානයන්හි අන්තර්ගත මාත්‍රාවන් ප්‍රමාණවත් නොවන නිසා ඔවුනට ආදේශක වශයෙන් බාහිරින් ලබා ගත යුතුවේ. සාමන්‍යයෙන් ක්‍රීඩකයකුට අවශ්‍ය කැෆේන් මාත්‍රාව 3 mg/kg ( 3 මිලිග්‍රෑම් ශරීර බර කිලෝග්‍රෑම් 1ට). එනම් 60-70 kg බරක් සහිත ක්‍රීඩකයෙකුට 200 mg පමණ කැෆේන් ප්‍රමාණයක් ලබා ගත යුතුවේ. මෙම ප්‍රමාණය කෝපි වැනි ස්වාභාවික පානයකින් ලබා ගැනීමට නොහැකි අතර කැප්සියුල ලෙස හෝ පෙති වශයෙන්, එසේත් නොමැතිනම් ජලයෙහි දියකර පානය කල හැකි පරිදි සාන්ද්‍රිත කැෆේන් කුඩු වශයෙන් වෙළෙඳපොළෙන් මිලදීගත හැක. මෙම කැෆේන් අතිරේකය ක්‍රීඩා ඉසව්වකට පැයකට පමණ පෙර භාවිතා කිරීමෙන් ක්‍රීඩා කර්‍ය සාධනය වැඩිකරගත හැකිවේ.
කැෆේන් අතිරේකය මගින් ඇතිවිය හැකි අතුරු ආබාධ වනුයේ ආහාර මාර්ගය ආශ්‍රිත ආසාදන එනම් ගැස්ට්‍රයිටිස් හෙවත් බඩ දැවිල්ල තත්වයන්ය. තවද සමහර ක්‍රීඩකයන්ගේ හෘද ස්පන්දන වේගය අසාමාන්‍ය ලෙස ඉහළයාම වැනි තත්වයන්ද කැෆේන් අතිරේක භාවිතය තුලින් ඇතිවිය හැක.
කැෆේන්හි බලපෑම තාවකාලික වන අතර එය ලබා ගැනීමෙන් යම් වෙලාවකට පසුව එහි බලපෑම අවසන් වේ. මෙහි ඇති තවත් අවාසියක් වනුයේ එමහින් ක්‍රීඩකයින්ගේ නින්දට ඇතිවන බලපෑමයි. සමහර ක්‍රීඩකයන් සවස් කාලයේ කැෆේන් අතිරේක භාවිත කිරීම හේතුවෙන් නින්දට ඇතිවන බාධාව නිසා ඔවුන්ගේ යථා තත්වයට පත්වීම ( Recovery) සහ ක්‍රියාකාරිත්වය අඩුවන බව සොයාගෙන ඇත.

2. ක්‍රියටීන් ( Creatine)

ක්‍රියටීන් රසායනික සංයෝගය ශරීරයේ මාංශ පේශි සහ වෙනත් පටක වර්ධනයට උපකාරී වේ. ක්‍රියටීන් අතිරේකය මගින් සිදුවනුයේ ක්‍රීඩකයින්ගේ මාංශ පේශිවල ශක්තිය වැඩි කිරීමයි. කෙටි දුර ධාවන ඉසව් වලදී මෙන්ම පනින ( දුර පැනීම, උස පැනීම, තුන් පිම්ම වැනි) හා විසිකරන ( යගුලිය, හෙල්ල විසිකිර්‍ර්ම වැනි) ඉසව් වල ක්‍රීඩකයින්ටද මෙම අතිරේකය ප්‍රයෝජනවත් වේ.

ක්‍රියටීන් රසායනික සංඝටකය ආහාර (හරක් මස් )මගින්ද ශරීරයට අවශෝෂණය කරගත හැකි වුවත් එය ක්‍රීඩාවේ කාර්‍ය සාධනය වැඩි වීමට ප්‍රමාණවත් නොවේ.
මෙය බොහොමයක් අයට දිනපතා 3-5 g අතර ලබාගැනීම ප්‍රමාණවත් වේ.

ක්‍රියටීන් අතිරේක වල අතුරු ආබාධ නොමැති තරම්ය. එමගින් නීරෝගී පුද්ගලයින්ගේ වකුගඩු වලට හානි වනවා යැයි මිත්‍යා මත පවතී. නමුත් ඒවා සාවද්‍ය මත වේ. සාමාන්‍යයෙන් ක්‍රියටීන් අතිරේකය භාවිතය නිර්දේශ කරනුයේ මාස 2-3ක් නොනවත්වා භාවිතා කොට යම් විවේක කාලයකට පසු නැවත භාවිතය ආරම්භ කරන ලෙසයි.

3. බීට ඇලනින් ( Beta-Alanine)

මෙය ශ්‍රී ලංකාවේ ඉතා දුලබව භාවිතා වන නමුත් ඉතා ප්‍රයෝජනවත් අතිරේක කාණ්ඩයයි. මෙය වැදගත් වනුයේ මැදි දුර ධාවකයන් (400-800m ) සදහාය. කෙටි දුර (400 m අඩු) හා දිගු දුර ( 3000 m ට වැඩි) ධාවකයන් හට මෙමගින් විශේෂ වාසියක් නොමැත.මෙහි විශේෂත්වය වනුයේ එය ලබා ගැනීමෙන් ක්ෂණික ප්‍රතිඵලයක් දැක ගැනීමට නොහැකි වීමයි. යම් කාලයක් පුරාවට ලබා ගැනීමෙන් ක්‍රීඩා කාර්‍ය සාධනයේ වැඩි වීමක් දැක ගත හැකිවේ.
බීටා ඇලනීන් මගින් සිදුවනුයේ ශරීරයේ අදික ආම්ලිකතාව ඇතිවීම අවම කිරීමයි. මෙහි නිර්දේශිත මාත්‍රාව වනුයේ දිනකට ග්‍රෑම් 4-6 බැගින් සති 10-12ත් ප්‍රමාණයකි.
මෙහි අතුරු ආබාධයක් ලෙස සමේ හිරිවැටෙන ස්වභාවය (Tingling sensation) ඇතිවිය හැක. එය ආහාර වේල් සමග භාවිත කිරීමෙන් අවම කරගත හැක.

4. බයි කාබනෙට් ( Bicarbonate)

බයි කබනේට් ( Bicarbonate) යනු කටවහරේ භාවිතා වන අප සියල්ල දන්නා ආප්ප සෝඩාය.

මෙමගින්ද මාංශ පේශිවල ලැක්ටික් අම්ලය මගින් ඇතිවන ආම්ලිකතාව තුලනය කරයි. මෙය බීටා ඇලනින් වලින් වෙනස් වනුයේ මෙය ලබාගැනීම නිර්දේශ කරනුයේ ක්‍රීඩා ඉසව්වට විනාඩි 60-90කට පමණ පෙර ය. මෙහි නිර්දේශිත මාත්‍රාව 0. 3 g/kg. එනම් බර 60-70 kg වන ක්‍රීඩකයකුට 20g පමණ ලබාගත යුත්වේ. මෙමගින්ද ආහාර මර්ගය හා සම්බන්ධ අතුරු ආබාධ සුලබව දක්නට ලැබේ. එබැවින් මෙය තරගයකට පෙරාතුව පුහුණු අවස්ථා වල භාවිතාකර එයට අනුගත වීම තුලින් සිදුවිය හැකි අපහසුතා වළක්වාගත හැක.

5. නයිට්‍රේට් ( බීට් රූට් ජූස්)

මෙම අතිරේකය වැදගත්වන්නේ දිගු දුර ධාවකයන් (800m ට වැඩි) සදහාය. මෙය අතිරේකයක් ලෙස ලබා ගන්නෙ නම් L- Arginine නම් අතිරේකය ලබාගත හැක. නැත්නම් බීට් රූට් 300g-500g ප්‍රමාණයක් මිරිකා යුෂ ලබා ගත හැක. මෙහිදීද ආහාර මර්ගය ආශ්‍රිත ආබාධ හා මුත්‍රා හා මළපහ තද පැහැවීම් සිදුවිය හැක. මෙය තරගයට පැය 2-2 1/2 පෙර ලබාගත යුතුය.

මෙම වර්ග වලට අමතරව ඇති අනෙකුත් අතිරේකලින් ක්‍රීඩකයන්ට විශේෂ වාසියක් ( ergogenic effects) ඇති බවට ජාත්‍යන්තර ඔලිම්පික් කමිටුව සදහන් කර නොමැත. Whey protein හා BCAA වැනි අතිරේක ergogenic අතිරේක ගනයට ඇතුලත් නොවේ. එම අතිරේක පිළිබද තොරතුරු සමග ඊළඟ ලිපියෙන් හමුවෙමු.

Prof.Ranil Jayawardena

18/02/2025

NEVER, NEVER, EVER CUT A CHILD'S WINGS...

1. "My hands are small, and that's why I spill the milk even when I don’t want to."

2. "My legs are short. Please wait for me and walk slower so I can keep up with you."

3. "Don't hit my hands when I touch something colorful—I just want to learn."

4. "Please look at me when I'm talking to you so I know you're listening."

5. "My feelings are still tender. Please don’t scold me all day. Let me make mistakes without making me feel stupid."

6. "Don't expect the bed I make or the drawing I paint to be perfect. Love me for trying my best."

7. "Remember, I’m a child, not a small adult. Sometimes I don’t understand what you’re saying."

8. "I love you so much. Please love me for who I am, not just for what I do."

9. "Don't reject me when you're upset with me. If I come to give you a kiss, it’s because I feel alone, abandoned, and afraid."

10. "When you yell at me, I get scared. Please explain what I’ve done wrong."

11. "Don’t be angry when the night falls, and the dark feels scary. When I wake up and call you, your hug is the only thing that gives me peace."

12. "When we go to the store, don't let go of my hand. I feel like I’ll get lost and you’ll never find me."

13. "I feel really sad when you argue. Sometimes I think it’s my fault, and my stomach tightens because I don’t know what to do."

14. "I often see you hugging and caressing my brother. Do you love him more than me? Maybe because he’s cuter or smarter? But what about me... am I not your child too?"

15. "You scolded me harshly when I broke my favorite toy, and even more when I cried about it. I was already sad—I didn’t do it on purpose. Now I’ve lost it forever."

16. "You got upset because I got dirty while playing. But the feeling of mud on my feet was so wonderful, and the afternoon was so lovely. I wish I knew how to wash my clothes by myself."

17. "Today, you weren’t feeling well, and I got really worried. I tried to cheer you up with my games and stories. What would I do if something happened to you?"

18. "I’m scared of hell, and I don’t even know what it is... but I think it must be as terrible as being without you."

19. "Even though I had fun staying with my uncles, I missed you so much the whole week. I wish parents never had vacations away from their children."

20. "I’m so lucky! Out of all the children in the world, you chose me."

As adults, we often forget what it was like to be a child—what hurt us, what scared us, what made us feel loved. Sometimes, children say these things out loud; other times, they only think them silently.

07/01/2025
මේ ලෝකෙ අහන්න අමාරුම කතා තිබුණෙ ICU එකේ දොරකඩ 😢කඳුළු පුරවගෙන බලාපොරොත්තු පොදි බැඳගෙන ඇරෙන වැහෙන දොර අස්සෙන් බලන් ඉන්න ඇස...
28/12/2024

මේ ලෝකෙ අහන්න අමාරුම කතා තිබුණෙ ICU එකේ දොරකඩ 😢

කඳුළු පුරවගෙන බලාපොරොත්තු පොදි බැඳගෙන ඇරෙන වැහෙන දොර අස්සෙන් බලන් ඉන්න ඇස්...
ඇත්තමයි මට ඒවා මහ ගොඩක් දැනෙනවා..
වෙලාවල් එනවා..
ඒ ඇස් ඉස්සරහා මගෙ ඇස් උස්සලා බලන්න බැරි තරම් අසරණ කමක්..

" මිස්.. මගෙ ලෙඩාට ඉක්මනට සනීප වෙයි නේද..?"

මැෂින් එකෙන් විතරක්ම හුස්ම ගන්න ලෙඩෙක් ගෙ හෙට දවස ගැන මොනවා කියන්නද..?

" අපි බලමුකො.. පුළුවන් හැමදේම කරනවා.."

ඒ වචනෙ අස්සෙ ඒ හදවත් වගේම අපේ හිතත් පිච්චෙනවා..

" එයා හුස්ම ගන්නෙ මේ මැෂින් එකෙන්.. අපිට දැම්මම මුකුත් කියන්න බෑ.. "

කඳු වගේ දරා ගන්න අම්මලගෙ ඇස්වලින් ..
සද්දන්නත පිරිමි තාත්තලගෙ ඇස් වලින් ,
ආදරේ පුරවා ගත්ත ආදර ඇස් වලින්..
සෙනහස පුරවා ගත්ත දරුවන්ගෙ ඇස්වලින්..
සහෝදරකම් පිරුන සහෝදර ඇස් වලින්

වැටෙන කඳුළු මඟාරින්න මාත් බිම බලා ගන්නවා..
මොකද නැත්නම් මටත් ඇඬෙනවා..

මාරයා එක්ක තමන් වෙනුවෙන් සටන් කරනවට වඩා හරි අමාරුයි..
අනුන් වෙනුවෙන් සටන් කරන එක..
ඒ සටනින් පරදින එක ඊටත් වඩා අමාරුයි..
දවස් ගාණක් බලා ගත්ත ලෙඩා ගියා කියලා දැනෙන එක දරා ගන්න එක ඊටත් වඩා අමාරුයි.

ඔය ඔක්කොටම වඩා අමාරුයි..
එළියෙ දොර ළඟ බලන් ඉන්න අයට ඒක කියන එක..

සත්තයි..
Icu එකේ දොර ළඟ කතා දරන්න හරි අමාරුයි...
ඒක නිසාම වෙන්න ඇති .
ඒ දොර වේගයෙන් ඇරිලා වැහිලා යන්නෙ..

අහින්සා පැහැසරණි

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