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— June 16, 2020 2,224 comments

Dhalli nmaa erga dhalatee ni guddata, ulfaatinaan, dheerinaan waantota hundaan dabalaa deema. Seelonni qaama namaa keessaa yeroo yerootti du’aa, dhalataa, jijjiiramaafi bakka walbuusaa deemu. Fakkeenyaaf seelonni dhiiga diimaa qaama namaa umuriinsaanii guyyaa 120 qofa.

Guyyoota kanneen booda seelonni dhiiga diimaa kun guutummaatti haaraadhaan bakka bu’aa deema jechuudha. Seelonni gogaa keenya uwwisanii jiranis akkasuma qunca’anii badaa haaraadhaan bakka bu’aa deemu. Haa ta’u malee seelonni qaama keenyaa yoo du’anii kan biraan bakka bu’an, haala walmadaalaa ta’eefi baay’inni garmalee hindaballe, garmalees hinhir’anneeni.

Dhukkubni kaansarii akaakuudhaan hedduu adda addaa ta’anillee akkaataan dhukkubichi ittieegalu walfakkaataadha. Sunis kaanszriin yoo nama qabatu, seelonni qaamaa yoo tokko du’ee tokko bakka bu’aa deemu haala walmadaalaadhaan dhiisee seelii haaraan uumamaa deemu to’annaa ol garmalee baay’ata.

Seelii lakkoofsaan hedduu to’annaa ala ta’etu uumamaa deema jechuudha. Seelonni uumaman kunniin ammoo akkuma akaakuu kaannsarii sanaatti adda addummaa qabu.

Fakkeenyaaf kaansarii dhiigaa kan jedhamu yoo seelonni dhiigaa to’annaa ala garmalee baay’ataniidha. Kaansariin harmaa akkasuma seelonni harmaa, kan gadameessaa seelonni gadaameessaa yoo to’annaa ala baay’ataniidha. Akkasuma qaamonni biroonis yoo seelonnisaanii garmalee baay’atan maqaasaaniin kaansariin sun moggaafamaa deema.

Kaansariin maalirraa ka’a?

Walumaagalatti ka’umsi kaansaroota sirriitti kan hinbeekamne ta’uu baatus, kanneen muraasa ta’aniif garuu haalonni dhukkuba kaansarii kanaaf sababa ta’an ni beekama. Fakkeenyaaf kaansarii ulaa gadameessaatiif (cervical cancer), vaayirasii human papilloma virus (HPV 16, HPV 18) tu nama saaxila. Akkasumas kaanseriin sombaa gara dhibbeentaa 90 (90%) sababa tamboo aarsuu dhufa, kaansriin tiruu ammoo sababa infekshinii vaayirasii hepatitis Bfi hepatitis C carraan nama qabuusaa baay’ee jiraata.

Wantoonni dhukkuba kaansariif nama saaxilan ykn carraan kaansariin qabamuu akka olka’u taasisan hedduutu bira ga’ame.

Fakkeenyaaf akka Ahaabbanni Fayyaa Addunyaa jedhutti lubbuu namaa waggaa waggaan sababa dhukkuba kaansariin darbu keessaa dhibbantaan 33.3 (33.3%), sababa amaloota dhala namaa lakkoofsaan shan ta’anii kan namatti dhufuudha jedha. Amaloonni shanan kunniinis:

  1. Ulfaatinni qaamaa garmalee dabaluu (high body mass index).
  2. Fuduraafi kuduraalee baay’isanii nyaachuun dhabuu (low fruits and vegetables intake).
  3. Sochii qaamaa taasisuu dhiisuu (lack of physical activity).  
  4. Tamboofi waantoota tamboo ofkeessaa qaban akka shiishaa aarsuu (smoking tobacco)fi
  5. Dhugaatii alkoolii dhuguun (alcohol use) dha.

Walumaagalatti waantoota kaansariif nama saaxilan lakkoofsaa hedduu kan ta’aniifi tarreessuuf kan hinmijanne ta’us, kanneen akka keemikalota tokko tokkoo (akka radon fi asbestos), xiyya (radiation) sababoota garagaraatiin namatti ba’u, tamboo, infeekshinoota adda addaafi kkf beeknee irraa of eeguun dirqama.

Keessumaa tamboo qofaadhumasaattillee yoo adda baafnee ilaallee namoota sababa dhukkuba kaansariin waggaa waggaatti du’an keessaa dhibbantaa 22 kan ta’aniif sababa ta’a. Akkasumas infekshinoonni akka ‘HPV’fi ‘Hepatitis Virus’ ammoo dhibbantaa 26 kan ta’aniif sababa ta’u. Kanneen lamaanirraallee yoo of eegne carraa kaansariin du’uu keenyaa hedduu gadi buufna jechuudha.

Dhiitaan hundumtuu kaanseriidhaa?

Yeroo tokko tokko qaama namaarratti dhiitaan bakka addaa addaatti ni ba’a. Namoonnis akkuma dhiitaa kana argaa deemaniin kansariitu na qabe sodaa jedhuun hedduu na’uufi shororkaa’uu malu. 

Haa ta’u malee dhiitaan waan qaama namaarratti ba’eef qofa kaansariidha jechuu miti. Dhiitaan tokko tokko akkuma kaansarii baay’achuu seelota irraa kan dhufu ta’us, qaama tokkorraa gara qaama biraatti hinfaca’u, lubbuus hingalaafatu. Fakkeenyaaf quufa mormaa ykn ucuba (goiter) sababa hir’ina elementii ayoodinii irraa dhufu, dhiita’uu mormaa fida.

Kun garuu kaansarii miti. Kanneen biroos akkasuma dhiitaa qaamaa ta’anii garuu ammoo dhukkuba kaansarii hintaane jiru. Haa ta’u malee akkuma dhiitaan kaansarii hintaane, ucuba mormaa (goiter) sababa hir’ina ayoodiniin dhufu mormarratti ba’u, kaansariin dhiitaadhuma ucuba mormaa kana fakkaatee ba’us ni jira. Kanaaf dhiitaan tokko kaansarii ta’uufi ta’uu dhiisuusaa kan sirriitti adda baafannu erga mana yaalaa deemnee qoratamnee booda.

Kaansariin akkamiin lubbuu galaafataa?

Kaansariin tarii osoo qaama tokkorraa gara qaama biraatti hindarbu miti ta’ee lubbuu galaafachuu hindanda’u ta’a. Fakkeenyaaf kaansariin harmaa osoo harmarraa gara qaama biraatti hindarbu ykn hinfaca’u ta’ee, harmuma qofa hubee, namni harma malee jiraachuu waan danda’uuf lubbuu hingalaafatu ture.

Haata’u malee kaansariin kan lubbuu galaafatu yeroo hedduu qaama miidhame sana qofa hubuun miti. Kaansariin akkuma namarra turaa deemeen, qaamarraa jalqabe irraa gara qaama biraatti ce’aa deema.

Qaamni ittifaca’us kan ollaa jiru, fakkeenyaaf kaansariin harmaa gara xannacha bobaa jalaa gama harma sanaan jiruutti ta’uu danda’a.

Akkasumas kaansariin qaama hube sanarraa qaama fagoo jirutti ce’uu danda’a. Akka fakkeenyaatti kaansariin gadameessa keessaa kan ‘choriocarcinoma’ jedhamu, gadameessarraa gara sammuutti faca’uu danda’a. Kaansarii sababa qaamarraa ka’ee caalaatti, sababa qaama ittifaca’ee lubbuu galaafachuu mala. Fakkeenyaaf kaansariin harmaa, harmarraa gara sombaatti faca’uudhaan, somba hubee akka namni qilleensa hinfudhanne taasisee lubbuu galaafachuu mala.

Kaansariin yaalamee fayyu jiraa? Kaansariin tokko kan biraarra wayyuu danda’aa?

Gaafa waa’ee kaansarii kaasnu jalqaba sammuu namaa keessa kan dhufu, wal’aansa dhabuusaafi osoo marartoo tokkollee hinagarsiisiin lubbuu galaafachuusaati. Kaansariin dhukkuba hamaa ta’ee osoo jiruu, hamaan tokko hamaa kan biraarra akka wayyuu malu garuu beekamaadha.

Kaansariiwwan tokko tokko erga namarratti mul’atanii booda yeroo gabaabduu qofa lubbuun nama jiraachisu. Fakkeenya kaansaroota dafanii nama ajjeesan kanneen akka kaansarii rajiijii (pancreatic head cancer), kaansarii sombaa (lung cancer)fi kaansarii mar’umaanii (colon cancer) fa’i.

Kaansaroonni tokko tokko ammoo erga namarrattii mul’atanii booda turtii waggoota dheeraa booda kan lubbuu galaafatan, dafanii hinajjeesn jjechuudha.

Yaala kaansarii wajjin walqabatee haga ammaatti qorichi ykn yaalli guutummaatti dhukkuba kaansarii fayyisu dhabamus, yoo xiqqaate garuu qorichoonni akka lubbuun namaa lafarra turu taasisan, akkasumas haga lubbuun turanitti jireeya jibbisiisaa ta’e hinjiraanne gochuuf nama gargaaran ni jiru.

Akkasumas kaanseroonni tokko tokko akka kaanserii xannacha liimfii (Hodgkin lymphoma) fi kanserii cidhaanii (testicular cancer), carraa yaalamanii yoo xiqqaate yeroo muraasaaf fayyuu (itti deebi’uu mala waan ta’eef) qabu. Yaalli kaansariif kennamu yeroo hedduu sadarkaa dhukkubni kaansarii sun irra jirurratti hundaa’uun wal adda ta’uu mala. Yaalliwwan dhukkuboota kaansariif kennaman walumaagalatti:

  • Qorichoota seelota garmalee baay’atan san ajjeesan (Chemotherapy)
  • Yaala muranii baasuu (surgery)
  • Xiyya cimaadhaan seelota kaansarii san ajjeesuu (radiation therapy) ta’uu malu. 

Kaansariiwwan tokko tokko garuu yaala kan ofii isaanii kan adda ta’e qabaachuu malu. Fakkeenyaaf kaansariin dhiigaa tokko tokko, sirna lafee kan seelota dhiigaa oomishu kan namni fayyaan gumaache fuudhanii qaama nama dhukkubsate sanaa keessa kaa’uudhaan (bone marrow transplant) yaaluun ni danda’ama.  

Kaansariin akka addunyaatti lubbuu hagam galaafata?

Akka addunyaatti walumaagalatti dhukkubni kaansarii lubbuu namaa galaafachuudhaan sadarkaa lammaffaarra kan jiru yoo ta’u, walumaagalatti waggaa takka qofa keessatti lubbuunamoota miliyoona 9.6 ol (9,600,000+) galaafata.

Dabalataan kan nama gaddisiisu ammoo namoota akka addunyaatti sababa dhukkuba kaansariin lubbuun darbu keessaa dhibbantaa 70 kan ta’u, biyyoota galii gad’aanaafi giddugaleessaa keessa jiraatan keessatti. Du’aatii namoota biyya guddataa jirtu keessaa kanaafis akka sababaaatti kan lafa taa’e:

  • Sababoota kaanseriif nama saaxilan tokko tokko akka vaayirasii human papilloma (HPV) fi vaayirasii tiruu gosa “B” fi “C” baay’inaan biyyoota guddataa jiran keessatti baay’ata.
  • Dhukkuba kaansarii kana kan ittiin adda baasanii beekan (yoo adda baasan malee yaaluun waan hindanda’amneef) biyyoota guddataa jiran keessa hinjiru, yoo jiraates bakka baay’ee murtoofte qofatti argama.
  • Yaalli dhukkuboota kaansarii hedduu biyyoota guddatan qofa keessatti kan argamuufi gatii qaalii kan namni biyyoota guddataa jiranii kaffaluu hindandeenye waan ta’eefi.

Lubbuu namaa qofa osoo hintaane dhukkubni kaansarii akka biyyaatti kasaaraa dinagdee guddaa qaqqabsiisa. Fakkeenyaaf, ALA bara 2010 akka Dhaabbanni Fayyaa Addunyaa gabaasetti, waggaa sana keessatti baasiin akka addunyaatti dhukkuba kaansarii qofarratti ba’e doolaara Ameerikaa tiriliyoona 1.16 ($ 1.16 trillion) kan ta’uudha. Kun ammoo biyyoota harka qal’eeyyii akka keenyaatiif sirriitti nuuf gala jedheen yaada.

Fayyaan Faaya. Doktar Gurmeessaa Hinkoosaatiin

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