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— August 17, 2019 605 comments

Faayidaafi miidhaa jimaan qabu ilaalchisee wantootni hedduun ni dubbatamu. Keessumaa gama dinagdeetiin, gama hojii uumuutiin, bakka xiqqoo irratti omisha gatii guddaa baasuufi kkf ilaalchisee namootni faayidaa jimaan qabu dubbatan ni jiru. Gama biraatiin waggoota lamaaf qoratnoon biyya Saawud Arabiyaa naannawa Asir jedhamutti namoota dhibee cawee (‘cancer’) sammuu, mormaafi afaan keessaa  irratti geggeeffameen jimaa qama’uun rakkoo hamaa akka qabu addeessa. Qoratnoon geggeeffame namoota jimaa qaaman garuu kan timboo hinxuuxne yoo ta’u hundumtisaanii afaan keessa bakka walfakkaatu dhukkuba caweetiin akka qabaman agarsiisa. Bakki miidhame kunis mangaagaa bakka itti jimaa baatanitti ture. Kanaaf qorattootni jimaa qaama’uufi caween afaanii walitti dhufeenya guddaa akka qabu ibsu. Akkasumas dhukkuba cawee afaniin namoota 36 mana yaalaa dhufan keessaa namootni 30 ta’an namoota jimaa qama’an akka ta’an agarsiisa. Darbees namootni dhibbantaa 22.4 ta’an afaan keessa bakka jimaan taa’u waan rigamuuf yeroo keessa akka dhukkuba caweetiif saaxilaman dubbatu.

Egaa kanneen jimaa qama’uu akka qoosaatti eegalan yoo jiraatanillee dhumnisaa salphaa hinta’u. Keessumatti yeroo ammaa manneetii jireenyaa dabalatee bakka itti jimaa daldalan, naannoon manneetii barnoota gara gabaa jimaatti jijjiiramaa deemuu, manneen jimaa itti qama’an (“manni barcaa”)  baay’achaa deemuun balaa guddaa ta’aa jira. Addumaan ammoo jimaa fayyadamuu keessatti dhibbaantaan 95 ol namoota umrii dargaggummaa keessa jiran akka ta’e argina. Kanaaf Itoophiyaa keessa baay’inni namoota umrii dargaggummaa keessa jiranii dhibbantaa 70 ol akka ta’aniifi bakkatti jimaa qama’an ooluu qofa utuu hinta’in sirboota egereesaanii miidhan danuuf itti saaxilaman, jimaa boodas  dhugaatii “cabsii”  dhuguun egereensaanii akka dimismisaa’u, yakka hedduufis akka saaxilaman taasisaa jira.

Addunyaa kanarra jimaan fayyaa nama irraan rakkoo hamaa akka geessisu yoo beekanillee kanneen jimaa qama’an namoota miliyoona 20 ol akka ta’e dubbatama. Inni kun biyya keenyatti yeroo dhiyoo kan eegalame miti.

Kan eegalame jaarraa 13fa dura akka ta’eefi Yamanii kan ga’e jaarraa 15fa keessa utuu buna qotuufi dhuguu hineegalin akka ta’uu qorannoowwan gara garaa ni mirkaneessu. Egaa waggoota 30 darban keessatti biyyoonni hedduun addumaan ammoo Ameerikaafi Awurooppaa akka qaqqabe argina. Biyyoota Ameerikaafi Awurooppaa keessattis baay’inaan kanneen jimaa fayyadaman namoota Afrikaa Bahaafi biyyoota Arabaarraa dhaqaniidha. Dhiibbaa jimaan fayyaa namaarraan ga’urraa kan ka’es Dhaabbatni Fayyaa Addunyaa baala sammuu namaa hadoochu ykn miidhaa geessisan keessatti ramada. Haa ta’u malee biyyootni tokko tokko akka seera qabeessaatti ilaalaa jiru. Fakkeenyaaf biyyootni akka Yaman, Somaaliyaaafi Itoophiyaa jimaa ilaalchisee akka Ameerikaafi Awurooppaatti ejjetnoo cimaa qabu jedhee hin yaadu.  

Haa ta’u malee jimaan waan Katinoon jedhamu kan of keessaa qabuufi baalota sammuu namaa adoochan kanneen akka kokeeyiniifi amphatamin (amphetamine and cocaine) wajjin akka wal fakkaatu qorattootni ni ibsu. Namootni hedduun baala kana kan fayyadaman sammuunsaanii akka dadammaqsuufi araada jimaa ba’uuf akka ta’e ni dubbatu. Rakkoon jimaa qama’uu kan biraan dhugaatiifi tamboo wajjin walitti dhiyoo kan jiru ta’uusaati. Keesumaa jimaan biyyoota Eeshiyaa, Awurooppaa, Afrikaafi Awustiraaliyaaf rakkoo cimaa ta’aa jira. Sababiinsaa biyyoota hedduu kan seenu bifa shaayiin, fakkeenyaaf shaayii Afrikaa; shaayii Arabaafi kkf jedhamaniiti. Yeroo ammaa immoo kana irrayyuu darbee bifa kiniiniin (rakefet, graba, mefeedirooniifi kkfn) qophaa’ee faca’uunsaa biyyoota hedduu bira ariitiin akka ga’u taasiseera. Kanaaf yeroo ammaa torbee tokko qofatti Keeniyaarraa gara Ingiliz kan seenu jimaa Poundii miliyoona lamatti shalagamu  akka ta’e ni dubbatama.

Wanti daran nama dhibu yoo jiraate utuu rakkoo qabaachuusaa beekanii namootni hedduun ammayyuu jimaa ni fayyadamu. Fakkeenyaaf, Yamanitti dhiirotni dhibbantaa 90 ol ta’an guyyaatti sa’aatii 3:00-4:00tti jimaa ni qaamu. Dubartootni dhibbantaa 50 ta’anis araada jimaatiin qabamuusaanii qoratnoonni ni addeessa. Dubartootni Yaman dhibbantaan 73 walitti fufiinsaan kan jimaa qama’an yoo ta’u, mucooliin umrii waggaa 12 gadii dhibbantaan 15-20 guyyaatti utuu hin qaamin hinoolan. Inni kun galiin maatii tokkoo dhibbantaa 50 akka jimaarratti ba’u; namootni yeroo dheeraa fudhatanii sababa qaamaniif hojiirratti miidhaa fiduu qofa utuu hintaane dinagdee biyyaarratti miidhaa guddaa qaqqabsiisuunsaa hinoolu.

Rakkoosaa hubatanii biyyootni akka Jarmanii, Ameerikaa, Kanaadaa, Faransaay, Neezarlaandiifaan hingalle dhorkaniiru. Keessumaa Ameerikaan wahiyyoo kaatinoonii jedhamuufi jimaa keessatti argamu baalota sammuu namaa hadoochan keessaa sadarkaa tokkoffaa herooyinii, maaskuliniifi kkf wajjin waan ramadduuf biyya gara biyyashii hingalchitu. Namoota galchanirrattis tarkaanfii cimaa fudhatti. Ingiliziis taanaan yeroof biyya addaa addaatii galus jimaa baalota sammuu hadoochan wajjin sadarkaa C jalatti ramaddi. Akka biyya ishee hingalleefis carraaqqii gochaa jirti. Yamaniin ala biyyootni Araabaa biroon akka seeraan alaatti ilaalu. Sababiinsaa:

  1.  Jimaan onnee miidha

Wahiyyoowwan jimaa keessatti argaman kanneen akka kaatinoonii rukuttaa onnee kan dabalaniifi dhiibbaa dhiigaa kan ol kaasan yoo ta’u, namootni jimaa qama’an baay’inaan dhiibbaa dhiigaan qabamuuf carraa guddaa qabu; maashaa onneesaaniirrattis dhiibbaa hamaa qaqqabsiisa.  Akkasumas namootni jimaa qaaman hidda dhiigaa onneetti deebisan irratti rakkoo guuddaa akka uumuu danda’u qoratnoon ni adeessa. Kanaaf jimaan akka onneen hojiisaa sirriitti hinhojjetne kan taasisu baala hamaa malee kan leellifamu miti.

2. Jeequmsaaf sababa ta’a

Biyyoonni akka Somaaliyaa meeshaa maleeyyiis ta’an loltootni jimaa qaaman keessatti rakkooleen jeequmsa wajjin walqabatan, dinagdeen biyyaa akka hinguddanne, ummatni akka hintasgabboofneef ga’ee guddaa qaba. Yamaniinittis waanuma walfakkaatu argina. Sababiinsaas bakki namootni jimaa qaaman oolan, wantootni isaan fayyadaman marti gara waan gaarii yaaduufi hojjechuu qofatti kan geessu utuu hinta’in boba’aa jeequmsa babal’isuun kan biyya tasgabbii dhorkuudha.

3. Jimaan balaa tiraafikiif nama   saaxila

Addunyaa kanarratti balaan tiraafikii waggaa tokkotti namoota miliyoona 1.2 fixa. Inni kun bara 2020tti gara miliyoona 2.4tti akka guddatuuudha kan tilmaamamu.  Itoophiyaanis kanuna keessa jirti. Sababiinsaas baay’inni balaa kana biyya guddataa jiranitti waan hanmaatuuf. Biyya keenyatti balaan konkolaataa dhibbantaa 81% ol rakkoo konkolaachiftootaan kan kan qaqqabuuf kanumarraa ka’eeti.

Konkolaachiftoonni balaa kana qaqqabsiisan tokko tokko ammoo jimaafi shiishaafaa fayyadamuunsaanii ifaadha. Kanaaf jimaan babal’ina balaa tiraafikii keessatti shoora olaanaa qaba jechuudha.

4. Dhukkuba addaa addaatiif nama saaxila 

Jimaan si’aayin namootaa kan dabalu, haasaa kan namatti buusu, miira namaa kan jijjiiru (‘mood change’), jeequmsaaf kan si’eessu, dhiibbaa dhiigaa kan ol kaasu, gammachuu hundee hin qabne kan fidu, miidhama sammuu, dadhabbii, rukuttaa onnee kan dabalu, hirriba dhabuu, dabaluu argansuufi ho’inni qaamaa dabaluu, dafqi baay’achuu, madaa’uu afaaniifi qoonqoo keessaa (‘oral and esophagus inflammation), gogiisa garaa, bowwuu hamaa, dhukkuba foon ilkaanii, dhukkuba tiruufi sombaa, cawee afaaniifi kkf nama saaxila.   

Walumaagaltti jimaan hojii kan nama hiiksisu, egeree dhalootaa, maatiifi biyyaa kan miidhu waan ta’eef namotni hundi kanarratti hojjechuun barbaachisaadha. Bu’aafi faayidaa har’aa irra qaarisiisnee dhaloota borii qopheessuun ga’ee qaama tokkoo qofa akka hintaane beekuun barbaachisaadha. Dhaloota fayyaa qabu, dhaloota araadarra walaba ta’e, dhaloota mul’ata qabu, dhaloota jijjiiramee warra kaan jijjiiru horachuu ni dandeenya. Kufaatii dhaloota keenyaa haasa’uu dhaabnee irratti hojjechuu eegaluu, dhaloota kaayyoo qabu horachuun daran barbaachisaadha.

Zarihun Gabree

Gaazexaa Bariisaa Hagayya 11/2011

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