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Hir’ina dhiigaa yeroo ulfaa (‘Anemia in Pregnancy’)

— January 25, 2020 2,484 comments

Hir’ina dhiigaa jechuun maal jechuu akka ta’eefi maal maalirraan akka nama qabuu danda’u akkasumas garaagarummaa dhiibbaa dhiigaafi hir’ina dhiigaa maal akka ta’e yeroo darbe bal’inaan kaasnee turre. Haa ta’u malee hir’ina dhiigaa fi ulfa ykn garaatti baachuu maaltu walitti fidaa? Dubartoonni ulfaa maaliif namoota kanneen biroo caalaatti dhibee hir’ina dhiigaaf saaxilamuu?

Mee maalummaa hir’ina dhiigaa walyaadachiisuun haa jalqabnu. Akkuma yeroo darbe ilaalle hir’ina dhiigaa jechuun, yoo dhiigni diimaan qaama keenya keessatti argamu haga barbaachisuu irraa gadi bu’u yokaan ammo dandeettiin oksiijiinii qaama keenyaaf barbaachisuu somba irraa fuudhee gara qaamaatti rabsuu isaa gadi bu’e jechuudha. Kanaaf, dhiigni qaama keessaa yaa’u seelii dhiigaa dimaa gadi bu’aa (haga barbaachisuu gadi) ykn dandeettiin oksiijiinii baachuu isaa hir’ataa osoo jiruu, yoo onnee irraa darbatamu ujummoo dhiigaa (artery) humnaa ol yoo dhiibe – namni kun hir’ina dhiigaas dhiibbaa dhiigaas qaba jechuudha.

Dubartoota ulfaa (garaatti baatan) namoota biroo irraan addatti maaltu hir’ina dhiigaaf saaxiluu malaa?

Dubartoonni ulfaa, namoota kanneen biroo caalaatti dhibee hir’ina dhiigan hubamu. Haaluma kanaan, dubartoota ulfaa keessaa harka dhibba keessaa %57 kan ta’an dhibee hir’ina dhiiga qabu. Keesuumaa biyyoota haalli jireenyaa hawaasdinagdee gadi bu’aa ta’eefi walga’iinsi kenniinsa tajaajila fayyaa gadi bu’aa ta’e akka biyya keenyaa kanatti hir’inni dhiigaa dubartoota ulfaa kun hedduu olka’aa kan ta’eedha. Dubartoota ulfaarratti dhibeen kun maaliif addatti baay’ata kan jedhuuf, sababoonni hedduun dubartoota ulfaa dhibee kanaaf saaxilan waan jiraniifi. Hunda isaanii tarreessuu yoo baanne sababoota kanneen keessaa hangafoonni:

  • Wayita ulfaa fedhiin ykn barbaachisummaan ayiranii (elementii dhiiga hojjechuuf gargaaru) hedduu kan dabaluudha. Kunis harmeen daa’ima garaatti baattu tokko ayiranii akkuma nama kamiiyyuu ofii ishiitiif qaama isheef fayyadamtuun alatti daa’ima gadameessa keessa jiruuf illee dabarsitee waan soortuufi. Keessumaa ammoo mucaan garaa keessaa lakkuu (altokkotti mucaa lama) yoo ta’e ayiraniin hedduun waan barbaachisuuf carraan hir’ina dhiigaa qabaachuu haadhaa daran olka’aadha.
  • Inni kan biraan ammoo akkuma beekamu da’umsa wajjin walqabatee dhangala’uu dhiigaati.   Dhangala’uun dhiigaa kunis, da’umsa dura, yeroo da’umsaafi da’umsa boodallee ta’uu mala. Dhangala’uun dhiigaa kun hir’ina dhiigaa hedduu cimaa ta’e fiduu isaarra darbee, yoo kan hedduu dhiige ta’e lubbuu harmee sanaallee dabarsuu mala. Kanaaf furmaata guddaa kan ta’u haadholii mara mana yaalaatti akka da’an taasisuudha.  
  • Akkasumas wayita ulfaa dhibeewwan hir’inaa dhiigaaf nama saaxilan keessaa infeekshinii dhukkuba busaati. Dhukkubni busaa namoota kanneen biroo caalaatti dubartoota ulfaa baay’inaan kan hubuufi miidhaa inni geessisus yoo ilaalle dubartoota ulfaa irratti kan cimuudha. Dhukkubni busaa keessumaa dubartoota ulfa jalqabaafi kan lammataa irratti miidhama nama kan biraa irraan ga’u caalatti irra geessisa. Hir’inni dhiigaa akkuma kaasuu yaalle dhibeewwan dhukkubi kun fidu keessaa isa tokko yoo ta’u, hir’ina guluukoosii qaama keessa fi rakkoo sombaaf carraan saaxilamuu haadha garaatti baattuu olka’aadha.
  • Raammoo hokkoon (hook worm) kan jedhamu ammoo mar’umaan namaa irratti maxxanuudhaan dhiiga qaama namaa keessaa xuuxuudhaan kan beekamuu fi dubartoota ulfaa dabalatee namoota addunyaa keenyaarraa hedduu irraan dhibee hir’ina dhiigaa kan geessisuudha. Rammoon kun salphaadhumatti qorannoo bobbaa irraan kan argamu yoo ta’u yaalli isaas qoricha salphaa ta’een kennamuu kan danda’uudha. Yoo kan hin yaalamne ta’e garuu dabaluu barbaachisummaa ayiranii qaamaa keessaa irratti dabalamuudhaan hir’ina dhiigaa hamaa geessisuu mala.
  • Akkuma armaan olitti kaasne harmeen garaatti baattu tokko qaamota lama waan soorachiiftuuf nyaata ga’aafi maadalamaa yoo soorachuu dhabde namoota biroo hedduu caalaa dhibeen keessumaa kan hir’ina dhiigaa irra ga’uu waan maluuf nyaata maadaalawaa sorachuun dirqama.  
  • Dabalataan harmeen tokko ammaa amma osoo boqonnaa gidduutti hinfudhatiin kan walirratti keessumaa wagga waggaan deessu ta’e dhibee hir’ina dhiigaa kanaaf salphaatti saaxilamti. Kanaaf maloota ittisa da’umsaa garagaraa fayyadamuun walirraa fageessanii da’uun fayyummaa harmeef daran barbaachisaadha.

Hir’inni dhiigaa kun erga mudatee booda mallattoolee akka: mataa dhukkubbii, gurra keessaa namatti iyyuu, lafti namaan maruu, dhamdhamni nyaata namatti jijjiiramuu, waa yaadachuu dadhabuu, dadhabbiigarmalee kan sababa biraan hinibsamne, afuurri cituu, harkiifi milli dilallaa’uufi dhiita’uu, dha’annaan onnee oduma taa’anii akka nama fiiguu namatti dhaa’amuufi kkfdha. Haa ta’u malee mallattoolee kana keessaa tokko tokko osoo dhuma hir’inni dhiigaa hin jiraatiin dubartoota ulfaa irratti, sababa dhibee kan biraas ta’u akkasumaan argamuu malu. Keessumaa mataa bowwoo (mataa dhukkubbiin) mallattoo olka’uu dhiibbaa dhiigaa yeroo ulfaa (pre-eclampsia) ta’uu mala. 

Hir’inni dhiigaa yeroo ulfaa dhibee kan biroo akkamiif harmee saaxiluu danda’aa?

Hir’inni dhiigaa wayita ulfaa kunis dhibeewwan haadharratti dhufan akka dhibee dadhabuu onnee, infekshinoota garaagaraafi garmalee dhiiguu da’umsaa boodaa kan haga lubbuu haadhaa dabarsuutti ga’aniif saaxiluu danda’a. Akkasumas daa’ima garaa keessaarratti dhibeewwan akka: ulfaatinni daa’imaa xiqqaachuu, da’umsiifi ciniinsuun yeroo malee dhufuufi kkf fiduudhaan dhibeewwan dabalataan dhufan biroo hedduuf daa’ima saaxiluu mala.

Harmeen ulfaa (garaatti baattu) akka dhibee hir’ina dhiigaa kanaan hinqabamneef maal gochuu qabu?

  • Akkuma beekamu baarbaachi qaamaa kan elementii seelii dhiiga diimaa hojjachuuf gargaaru ayiranii jedhamuu akkasumas vaayitaaminii 12fifooleetii hedduu waan dabaluuf dubartoota ulfaaf bifa qoricha liqimsamuun kennamuufii qaba. Kana argachuuf ammoo tajaajila hordoffii da’umsa duraa (Antenatal Care) qabaachuun hedduu barbaachisaadha.
  • Mallattoo dhukkubaa kan hir’ina dhiigaa kan busaafi kkf kamiyyuu yoo ofirratti argan dubartoonni ulfaa osoo guyyaan hordoffii isaanii hinga’iin yeroo kamiyyuu gara mana yaalaa deemuun yaalamuu qabu.
  • Nyaata haga danda’ametti nyaata madaalamaaa kan viitaaminootaafi elementoota dhiiga hojjachuuf barbaachisan of keessaa qaban armaan gadii torbanitti al lamafi isaa ol argachuu qabdi isaanis:
    • Vitaamin B12 kan ofkeessaa qaban: Foon diimaa, hanqaaquufi bu’aalee loonii akka aannanii;
    • Faaliik asidii (folic acid) kan ofkeessaa qaban: kuduraaleefi fuduraalee baala qaban akka salaaxaafi raafuu, cuunfaa burtukaanaa, ruuzii, paastaafi midhaan akka baaqelaa;
    • Ayranii (Fe) ga’aa kan ofkeessaa qaban: tiruu, qurxummii, dinnicha, atara, foon diimaa, atara haalaan soorachuudha.
  • Haati kamuu mana yaalaatti da’uu qabdi. Faayidaaleen mana yaalaatti da’uu kanneen biroon akkuma jirutti ta’ee, inni cimaan garuu dhiiguu yeroo da’umsaa ittisuudhaan lubbuu harmeefi kan daa’ima haaraa dhalatuu baraaruudha. Yoo dhiiguu kana ittisuun dadhabamellee yoo haati dhiigde dhiiga namoota garagaraa irraa arjoomame harmee dhiigde kanaaf kennuudhaan, akkasumas mala garagaraa fayyadamuudhaan harmeen dhiigde akka lubbuun hin dabarre taasisuun ni danda’ama. Kanaaf harmeen kamuu mana yaalaatti da’uu qabdi jenna!

Deessuun qananiidha!!

Horaa Bulaa

Fayyaan Faaya

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

Gaazexaa Bariisaa Amajji 16/2012

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