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Tiruu keenyaafi fayyaasaa

— January 2, 2021 710 comments

Tiruun keenya kutaa qaama keenyaa keessaa  laphee keenya gara mirgaa jalatti kan argamuufi hammaan hanga kubbaa miillaa kan gahudha.

Tiruun keenya kutaawwan qaama keenyaa keessaa akka warshaa qaama keenyaatti kan ilaalamuudha.

Nyaatni nuti nyaannuuf dhugaatii nuti dhugnu mar’ummaan keenya keessaa xuuxamuun gara tiruu keenyaa deema.

Hojiin tiruu keenyaa maalidha?

  • Nyaatawwan xuuxaman dhimbiibuufi qulqulleessuu
  • Keemikaalotaaf wantoota biroo nyaata,dhugaatiif karaa biroo gara qaama keenyaa seenuun miidhaa geessisan balleessuu keessatti qooda olaanaa fudhata
  • Pirootiniiwwan qaama keenyaaf barbaachisan kanneen wantoota xixiqqoo qaama Keenya keessa jiran dhiiga keessa geejjiban,kanneen itituu dhiigaa keessatti qooda fudhataniif kanneen biroollee oomishuu keessatti gahee olaanaa qaba

Wantootni Tiruu keenya miidhan maalfaadha?

  • Vaayirasiiwwan tiruu kanneen akka hepatayitas A.B,C, …faa
  • Alkoolii baay’inaan dhuguu
  • Ulfaatina qaamaa garmalee
  • Tamboo aarsuu
  • Dhugaatiwwan saamsamoo tahan kanneen soodaa baay’inaan of keessaa qaban kanneen akka kookaa kollaafi kkf baay’inaan fayyadamuu
  • Dhibeewwan uumaman ykn genetically dhufan
  • Sochii qaamaa gochuu dhiisuu
  • Qorichoota ogeessa fayyaa malee baay’inaan fudhachuufaadha

Kanaaf  fayyummaa tiruu keenyaa eeggachuuf maal  gochuu qabna?

  1. Dhukkuba vaayirasoota tiruun dhufan ofirraa ittisuu, kanas gochuu kan dandeenyu  qulqullina naannoof dhuunfaa eeguudhaan (Hepatitis A nurraa ittisa)
  2. walqunnaamtii saalaa daangaa fi of eeggannoo  hinqabne irraa fagaachuu (hepatitis B fi C ittisa),
  3. Mana yaalaa deemanii qoratamanii ilaalamanii talaallii fudhachuu (hepatitis B ittisa)
  4. Qorichoota ykn dawaa ajaja ogeessaa fayyaa malee sababa garaa garaaf  kennaman keessumaa kanneen miira dhukkubbiif  fudhataman yeroo hedduu fudhachuu irraa of qusachuu (Miidhaa tiruu “Drug induced hepatitis” waan nutti fiduuf)
  5. Alkoolii kamiyyuu dhuguu irraa fagaachuu (Dhukkuba tiruu “Alcholic liver disease” waan nutti fiduuf)
  6. Nyaata zayitaaf cooma hedduu of keessaa qabu nyaachuu dhiisuu fi sochii qaamaa sirriitti taasisuu (Ulfaatinni humnaa olii dhukkuba tiruu “Non Alcoholic Fatty Liver Disease” jedhamu waan nutti fiduuf)
  7. Qorichoota karaa  aadaan kennaman kan hangi isaanii (dose) hin beekamne irraa of qusachuu.

Dhukkuba vaayirasii tiruu

Tiruun keenya dhukkuboota garaa garaatiin hubamuu danda’a. Isaan keessaa tokko dhukkuba Tiruu vaayirasiiTiruutiin/ ‘Hepatitis Virus’ dhufudha.

Vaayirasiin Tiruu /Hepatitis Virus/ vaayirasoota gartuu/gosa garaagaraa ta’anii isaan irra jireessaan tiruu miidhaniidha. Vayirasiin kunniin ‘Hepatitis (A, B, C, D, fi E ) virus’ jedhamanii beekamu.

Vaayirasii  tiruu gosa ‘A’ /Hepatitis ‘A’ virus:

Gosti vaayirasii tiruu kun vaayirasii daddarbaa ta’an keessaa isa tokko kan  ta’eef  nama vaayirasii kanaan qabamerraa gara nama biraatti sababa hanqina qulqullinna nyaataa, bishaaniifi nama dhukkubsateen hariiroo walitti dhihoo ta’e qabaachuun darba.

Yeroo gabaabduuf tiruu keenya haalaan miidhuu danda’uyyuu rakkinna yeroo dheeraatiif tiruu keenya hin saaxilu.

Dhukkubni tiruu vaayirasii kanaan dhufu otoo hin yaalamin ofiifuu baduu/fayyuu danda’a. Qulqullinna nyaataaf dhugaatii keenyaa eguun. Bishaan qulqulluu fayyadamuun, carraa vaayirasii tiruu kanaan qabamuu gadi buusuu ykn hambisuun ni danda’ama.

Vaayirasii tiruu gosa ‘B’ /Hepatitis  ‘B’ virus:

Gosti  kun vaayirasii tiruu baay’ee hamaa ta’eefi miidhaa yeroo dheeraa fiduu danda’uudha. Vaayirasiin kun akka nu hin qabneef talaalliin fudhatamu jiraatuyyuu vaayirasii kanaan takka qabamnaan qaama namaa keessa hinbahu/badu.

• Vaayirasiin kun miidhaa/dhukkuba tiruu yeroo gabaabaa ji’a jahaa gadiif turu (Acute viral Hepatitis) ykn dhukkuba yeroo dheeraan booda namatti deebi’ufi nama irra turu (Chronic Viral Hepatitis) fiduu danda’a.

 Carraa vaayirasiin hepatitis B kun dhukkuba yeroo dheeraa fiduu ka murteessu umrii itti vaayirasichi qaama namaa seenee dha. Umrii kun Xiqqaa yoo ta’e carraan dhukkuba yeroo dheeraa/dheeraaf qabaachuu guddaa ta’a. Fakkeenyaaf daa’imman yeroo ciniinsuu ykn dahumsaa haadha irraa vaayirasiin kun itti daddarbe carraa dhukkuba yeroo dheeraa qabaachuu parsantii 90-95 qabu. Yoon nama guddaa ta’ee Vaayirasii Hepatitis B kanaan qabame carraan dhukkuba yeroo dheeraa (Chronic Viral Hepatitis) qabaachu parsantii 5-10 qofadha.

Vayirasiin Tiruu kun (Hepatitis B Virus) kun Tiruun keenya dalagaa ishee akka dadhabdu, Kaansarii tiruutiif akka saaxilamtu akkasumas garmalee madaa’uun tiruun keenya haphachaa deemuun ( ‘Cirrhosis’) akka haftu gochuu danda’a. Vaayirasiin kun nama isa qabu irraa gara nama biraa Wal qunnamtii saalaa daangaa hinqabne  gochuun, meeshaa qara qabu waliin fayyadamuun, dhiiga fi dhangala’oo biroo( isparmii fi kkf) nama vaayirasii kana qabu irraa bahan/jigan akkuma argan qaqqabu/tuttuquun, akkasumas yeroo dahumsaa haadha irraa gara da’imaa daddarba.

-Vaayirasii kanaan akka hin qabamneef ofirraa dhorkuuf :

 Wal qunnamtii saalaa daangaa hin qabne gochuu dhiisuu, waan qara qabu waliin fayyadamuu dhabuu, dhiiga fi dhangala’oo biroo kan qaama nama biraatii bahan/jigan akkuma argan qaqqabu/tuttuquu dhabuu, yeroo ulfaa qorannoo vaayirasii kanaaf qabaachuu ilaaluuf godhamu gochuun daa’ima keenyatti akka hin dabarre talaallii vayirasii kanaaf daa’ima keenya qopheessu/qophaa’uu.

Talaalliin namoota carraa vaayirasii kanaan qabamuu danda’aniif kennamu ni jira.

Vaayirasii  tiruu gosa ‘C’ /Hepatitis  ‘C’ virus

Akkuma Vaayirasii Hepatitis ‘B’ san dhukkuba tiruu yeroo gabaabduufi dhukkuba tiruu yeroo dheeraaf nama waliin turu  fiduu danda’a. Vaayirasiin Tiruu kun (Hepatitis C) yeroo dheeraaf mallattoo dhukkubaa otoo hin muldhisin qaama keessa turuun erga tiruun daran miidhamte booda mallattoo muldhisuu danda’a.

Namoota Vaayirasii kanaan qabaman keessaa parsantii 70-85 kan ta’an dhukkuba tiruu yeroo dheeraa nama waliin turuun qabamu danda’u. Qaamni keenya dhukkubni kun balaa yeroo dheeraa akka hin fidne yeroo hedduu ittisuu danda’uyyuu namoota tokko tokko irratti tiruun akka dadhabdu, Kaansarii tiruutiif akka saaxilamtu akkasumas godaanisoofte ( ‘Cirrhosis) akka haftu gochuu danda’a.

Karaan hedduun vayirasiin kun ittiin nama qabuufi daddarbu kan Vaayirasii Hepatitis B wal fakkaataa yoo ta’u wantoota/barteewwan kanniin  balleessuun/hambisuun vaayirasii kanaan akka hin qabamne nu gochuu mala. Vaayirasii Hepatitis ‘C’ kun qoricha farraa Vaayirasii (anti-viral medications) ji’oota hedduuf fudhatamuun akka dhiiga keenya keessatti hin mul’anne/badu gochuun ni danda’ama.Vaayirasii  inni kun talaallii hin qabu.

Vaayirasii  tiruu gosa ‘D’/Hepatitis  ‘D’virus:

Vaayirasiin kun dhukkuba fiduuf gargaarsa Vaayirasii hepatitis B kan barbaadu yoo ta’u Vaayirasii Hepatitis B waliin ykn tiiruu vaayirasii Hepatitis B’n dadhabde hubuun/qabuun miidhaa tiruu keenya irratti fida.

Yeroo hedduu vaayirasiin kun dhiiga keenya keessa ofuma isaatii baduu danda’uyyuu rakkinnoota yeroo dheeraa vaayirasiin Hepatitis B fidu fiduu danda’a. Karaan inni ittiin daddarbus kan Vaayirasii Hepatitis Btiin walfakkaataadha.

Vaayirasii  tiruu gosa ‘E’/Hepatitis ‘E’ virus:

Yeroo hedduu dhukkubni tiruu vaayirasii gosa kanaan dhufu turtii yeroo gabaabduu booda ofuma isaatii baduu kan danda’u ta’uyyuu darbee darbee tiruun keenya yeroo gabaabduu keessatti akka dadhabdu gochuu danda’a.

Inni kuni akkuma Hepatitis A Virus san dhukkuba tiruu yeroo dheeraa hin fidu. Haa ta’u malee haadhoolii ulfaafi namoota dandeettiin dhukkuba ittisuu isaanii gadaanaa ta’e irratti hammaachuu/dhukkubbiin itti cimuu ni danda’a.

Vaayirasiin kun nyaataaf bishaan qulqullina hin qabne, foon dheedhii horii vaayirasii kana qabu, akkasumas dhiiga nama vaayirasii kana qabuu fudhachuun daddarba.

Mallattooleen dhukkuba vaayirasii tiruu maal fa’a?

– Nama dadhabsiisuu

– Nama lolloojjessuu/ol nama tuquu fi haqqisiisuu

– Dhukkubbi garaafi garaan nama muruu kessattuu naannoo tiruun keenya argamtu irratti.

– Ho’ina qaamaa

– Fincaan bifa jijjiirrachuu

– Bakka buusaa qaamaa garaagaraa irratti dhukkubbiin namatti dhaga’amuu.

– Qaama nama hoossisuu.

– Gogaafii ijji keenya keelloo ta’uu

– Fedhiin nyaataa hir’achuu/ gadi bu’uu

– Garaafi miila nama dhiitessuu/fuffuursuu.

– Haala salphaan dhiiguu. Yoo dhiiges dhiigni haala salphaan dhaabachuu dhabuu.

Kanaaf tiruun keenya akka warshaa qaama keenyaatti waan nu tajaajiluuf ofeeggannoo haa goonu

 Fayyaa hindhabinaa!

Doktar Naafyaad Geetuu

Bariisaa Mudde 24 Bara 2013

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