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Dhukkuba tiruu

— January 22, 2020 555 comments

Tiruun qaamota namni tokko jiraachuuf barbaadu keessaa kan hangafaa Tiruudha. Tiruun qaama tokkicha ta’ee garaa keessa gara fuulduraafi gama mirgaatti argama. Akkuma qaama namaa kamiyyuu tiruun wantoota gara garaan ni hubama, ni dhukkubsata yoo yaala ga’aa hinarganne ykn yaalamee dadhabame ammoo namni tiruu malee jiraachuu waan hindandeenyeef lubbuu galaafachuu mala. Haaluma kanaan waantoonni tiruu keenya miidhuu danda’an maal fa’i? Tiruun keenya yoo miidhame maal gochuu qabnaa? Tiruun yoo miidhamu mallattoo akkamii argisiisa kan jedhu armaan gaditti haa ilaallu.

Waantoonni tiruu keenya miidhan maal fa’ii?

  1. Alkoolii: Alkooliin wantoota dhalli namaa fayyadamuufi dhibee adda addaa hedduu namarraan gahan keessaa kan hangafa yoo ta’u, qaama namaa kamiyyuu caalaatti kan inni hubu immoo tiruudha. Dhugaatiin alkoolii kun miidhaa inni tiruu namarraan ga’u haguma baay’isanii dhuganiifi turtii yeroo hagamiif akka dhugan irratti hundaa’a. Dhiirotaaf guyyaa tokkotti dhugaatii lamaa ol (more than two drinks), dubartootaaf guyyaa tokkotti dhugaatii tokko ol (more than one drink) kan dhugan yoo ta’e kallattiidhaan tiruufi qaamota biroo irratti miidhaa geessisa.

Akkasumas jabinni dhugaatii dhugamuu sun illee miidhaa tiruu keenya irra ga’u akka murteessu beekuun barbaachisaadha. Fakkeenyaaf namni dhugaatii alkooliin isaa dadhabaa ta’e akka farsoo dhuguufi namni dhugaatii alkooliin isaa hedduu cimaa ta’e akka araqee dhugu walqixa hinhubamu. Namoonni alkoolii kanaan dura dhuganii hinbeekne alkoolii yoo dhugan (xiqqeesanii illee ta’u) faayidaa isaa irra miidhaan isaa waan caaluuf tasuma jalqabuu hinqaban. Kanneen duraan dhugan, yoo dhuguu dhaaban miidhaawwan duraan qaama isaaniirra ga’an irraa waan fooyya’aniif dhugaatii dhaabuun baay’ee jajjabeeffama.

  • Vaayirasoota tiruu: Vaayirasoonni tiruu baay’inaan shan  yoo ta’an, isaanis vaayirasii tiruu gosa “A”, vaayirasii tiruu gosa “B”, vaayirasii tiruu gosa “C”, vaayirasii tiruu gosa “D”fi vaayirasii tiruu gosa “E” jedhamuun beekamu. Vaayirasoota kana keessaa kan gosa A, D fi E jedhaman kun dhukkuba tiruu kan yeroo gabaabaa (acute hepatitis) qofa kan namatti fidan yoo ta’u, yeroo dheeraaf namarra turanii turtii keessa kan tiruu dadhabsiisaa deeman miti. Vaayiresiin tiruu gosa B fi C jedhaman ammoo faallaa isaan saniitiin yeroo dheeraa kan namarra turaniifi turtii keessa kan tiruu dadhabsiisaa deemanii lubbuu galaafataniidha.  Vaayirasonni kun lameen addumatti tiruu kan miidhaniifi keessumaa vaayirasiin tiruu gosa B jedhamu ammoo keessumaa biyyoota guddataa jiran kan akka biyya keenyaaf hedduu sodaachisaa ta’eefi hedduminaan argamuudha. Keesumaa nammoota mana yaalaa keessa hojjatan, ogeessota fayyaa dabalatee (dhangala’aa qaama dhukkubsataa keessaa ba’uuf saaxilamoo waan ta’aniif); namoota qunnaamtii saalaa namoota addaa addaa hedduu waliin raawwatan; dubartoota mana bunaa keessa hojjetaniifi walqunnaamtii saalaa dhiirota hedduu waliin raawwatan (commercial sex workers)fi kanneen biroo dhukkuba vaayirasii kanaaf hedduu saaxilamoodha.
  • Qorichoota mana yaalaan alatti kennaman: Qorichoonni mana yaalaa kennamanis ta’e mana yaalaan alatti kennaman tiruu keenya hedduu aka huban beekamaadha. Haa ta’uu garuu qorichoonni mana yaalaa irraa kennaman durumaan dursee namoonni qoricha kana kennanis ta’e oomishan waan beekaniif haala of eeggannoo qabuun kennu jedhamee amanama. Kanneen mana yaalaa alatti kennaman akka qorichoota aadaa tokko tokko akkasumas qorichoota osoo ogeessa yaalaa hin mariisisiin bitaman tokko tokko tiruu keenya irraan miidhaa hedduu geessisu. Kunis tiruun keenya qaama kanneen biroo miidhaa irraa eeguuf jecha qorichoota kana qaama keessaa dhabamsiisuuf yoo yaalutti ofii miidhama jechuudha. Keessumaa qorichoonni aadaa, hangi (dose) isaaniifi miidhaa (side effects) isaan geessisan osoo hinbeekamin waan kennamaniif miidhaan isaan tiruufi qaamota keenya biroo irraan geessisan hedduudha.
  • Dhukkuboota kanneen biroo: Dhukkuboonni hedduun kan asirratti kaasuuf baay’inni isaanii nama rakkisu tiruu huban ni jiru. Haa ta’u malee kanneen armaan olii jechuunis: alkoolii baay’inaan dhuguu, qorichoota adda addaafi vaayirasoota tiruu irratti xiyyeefachuun barbaachisaadha. Sababni tokkoffaan dhukkuba tiruu hedduminaan keessumaa biyya keenya keessatti fidan jarreen kanneen yoo ta’an, inni lammaffaanammoo dhukkuboota kana ofirraa ittisuun ni danda’ama, jechuunis qorichootaaf ofeeggannoo taasisuu, alkoolii baay’isanii dhuguu dhiisuufi karaalee vayiresiin kun ittiin daddarban irraa of eeggachuudha.

Dhukkubni tiruu yoo nama qabe mallattoolee akkamii argisiisuu malaa?

Dhukkubni tiruu sababa kamiinuu yoo dhufe mallaattoolee inni argisiisu dhuma irratti walfakkaataadha. Mallattoowwan kunis turtii yeroo dhukkuba tiruufi hagaafi sadarkaa miidhama tiruu irra ga’e irratti hundaa’uun addaa addummaa qabaachuu mala. Mallatoowwan dhukkuba kanaa keessaa:

  • Qaamni guutummaa guutuutti (keessumaa garaan) dhiita’uu: kunis suuta suutaan ji’ootaafi waggootaan dabalaa kan dhufu yoo ta’u, yeroo baay’ee mallattoon kun kan mul’atu erga tiruun hedduu miidhamee booda.
  • Halluun ijaa gara keellootti jijjiiramuu: halluun ijaa kan gara keellootti jijiiramu miidhama tiruu kan yeroo xiqqoo yokaan kan yeroo dheeraas kan argisiisuu malu yoo ta’u, keemikaala bilirubin jedhamu kan tiruudhaan dhabamuuf male qaama keessatti waan kuufamamuufidha.
  • Haalluun fincaanii bifa kooka kollaa fakkaachuu: halluun fincaaniis bifa dhugaatii kooka kollaa kan fakkaatu sababuma armaan olii kanaani.
  • Dadhabsiisuu, nyaata jibbisiisuu, balaqqamsiisuu, dhagna gubsiisuufi kanneen birooti.

Fayyaa Tiruu keenya eeguuf maal gochuu qabna?

  1. Alkoolii hanga danda’ametti tasumaa dhuguu dhiisuu, akkasumas yoo kan dhugnuufi dhuguu dhiisuuf fedhii hinqabaanne ammoo yeroo mara dhuguu dhiisuufi akkasumas xiqqeessanii dhuguun fayyaa tiruu keenyaaf gumaacha ol’aanaa gochuu.
  2. Namoota dhukkuba vaayirasii tiruu akkaqaban beekameefi mallattoo dhukkuba kanaa qaban (haga manayaalaa deemnee qoorachiifnutti), keessumaa vaayirasii gosa B yoo ta’e, harka duwwaa dhangala’aa qaama keessaa ba’u tuttuquu irraa of qusachuu qabna.
  3. Talaalliin hepatitis B virus fudhachuun hanga dhibbeentaa 90 umrii guutuudhukkubicha namarraa dhorkuu danda’a. Talaalliin kun keessumaa namoota mana yaalaa keessa hojjataniif namoota qunnaamtiisaalaa namoota hedduu waliin taasisaniif hedduu barbaachisaadha. Talaalliin kun namoota umuriin keenya sadarkaa daa’immanii ol ta’eef kilinikoota dhuunfaa hedduu keessatti argama. Daa’immaniif garuu akkuma sagantaa talaalliitti kennamaa jira.
  4. Yoo vaayirsiin tiruu nama keessatti argame mana yaalaa deemuun vaayirasii gosa C yaalamanii guutummaa guutuutti fayyuun ni danda’ama. Vaayirasii gosa B ammoo miidhaa tiruu keenya irraan akka hingeessisneefi vaayirasichi baay’inaan akka wal hinhorre qoricha taasisu fudhachuudhaan of fooyyessuun ni danda’ama.
  5. Yoo tarii osoo talaallii isaa hinfudhatin dhiiga nama vaayirasiin gosa B qabuu waliin walitti bu’an, qorichi sa’aatii 72 keessatti fudhachuu qaban (immunoglobulin) ni jira. Kanaaf erga mudatee booda atattamaan mana yaalaa deemuun dirqama.
  6. Qorichoota mana yaalaa  irraa fudhatan of eeggannoon akka ajajamanitti fudhachuu, qorichootaa mana yaalaatii alatti kennaman tasuma fudhachuu dhiisuu. Keessumaa kan duraan miidhaa tiruu qaban yoo ta’e, of eeggannaa guddaa taasisuu.
  7. Mallattoowwan miidhama tiruu argisiisan armaan olitti tarreeffaman yoo ofirratti argan hatattamaan mana yaalaa deemuun yaalamuudha.

                                Horaa Bulaa!

Doktar Gurmeessaa Hinkoosaa ogeessa fayyaa yoo ta’an, Koolleejjii Medikaalaa Hospitaala Qiddus Phaawuloosiitti baratan. Wayita ammaa
Yuniivarsiitii Arsiitti barsiisaa jiru.

Gaazexaa Bariisaa Amajji 9/2012

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