Yeroo ammaa kana sababaafi akkaataa haala jireenyaa irraan kan ka’e dhibeewwan daddarboo hintaane babal’achaa jiru. Dhibeewwan daddarboo hintaane keessaa cirrachi kaleefi cirrachi hadhooftuus kan eeramanidha.
Dhibeewwan kunniin sababoota garaagaraa irraan kanka’e kan namatti dhufanidha. Yeroo baay’ee darbee darbee hawaasa keenya biratti kan baratame cirracha yeroo jennu cirrachuma naannoo keenyatti beeknutu karaa bishaanii ykn nyaata nyaannuu nu keessa seene jechuun yaadu. Garuu wanti jiru akkas miti. Sababoonni cirracha kaleefi hadhooftuuf nu saaxilan hedduudha. Sababoota kanneen tokko tokkoon gara boodaatti kan waliin ilaallu ta’a.
Cirracha baattuu hadhooftuu
Baattuun hadhooftuu qaamota bullaa’insa nyaataaf gargaaran keessaa tokko yoo tahu kan argamus garaa keenya gara mirgaatiin Tiruu jalatti. Hadhooftuun/ baattuun hadhooftuu hammiifi bocni ishii Abukaadoo xiqqaa kan ga’u ta’ee dhangala’aa bullaa’iinsa lippiidii (coomaa, dhadhaa, buuphaa fa’aaf) tajaajilu kan tiruun oomishite erga bishaan keessaa dhimbiibdee tottolchitee booda gara mar’ummaan xiqqaa ujummoo hadhooftuutiin dabarsiti.
Cirrachi qaama kana keessati uumamu hammaan gumaa xaafii kan gahuu kaase hanga kubbaa teenisii gahuu danda’a. Cirrachi kunis lakkofsaan gumaa tokko ykn gumaa hedduu ta’uu danda’a. Cirrachi baattuu hadhooftuu keessatti uumamu akaakuu lama qaba. Isaanis:
A. Cirracha Koolestirooli: Inni kun yeroo hedduu halluu boora kan qabu yoo ta’u cirracha akaakuu lammataa caalaa kan yeroo hedduu argamudha. Akkuma maqaan isaa addeessu cirrachi kun Koolestirool baay’inaan qaba.
B. Cirracha Piigimantii: kun ammoo halluu gurraacha cilee ykn xiqqoo daalachaayu kan qabu yoo ta’u innis piigimantii biliruubin jedhamu irraa uumama.
Cirracha hadhooftuuf maaltu nama saaxila?
Wantoota cirracha Hadhooftuutiif nama saaxilan keessaa:
- Nyaata Koolestirool hedduu qabu kan akka coomaa fayyadamuu.
- Fuduraaf kuduraa adda addaa fayyadamuu dhabuu. Dhiira irra dubara irratti heddumaata.
- Dhukkuba Sukkaaraa qabaachuu
- Furdinaa qaamaa gar malee guddaa ta’e qabaachuu. Yeroo kaan caalaa yeroo ulfaa ni heddumaata.
- Dhukkuba dhiigaa tokko tokko qabaachuun wantoota cirracha hadhooftuutiif nama saaxilan keessaa ijoo kan ta’anidha.
Mallattoolee dhukkuba Cirracha Hadhooftuu
Yeroo hedduu cirrachi hadhooftuu mallattoo dhukkuba kan hin agarsifne yoo ta’u; namoota tokko tokko irratti carrachi/ cirrachoonni baattuu hadhooftuu keessa jiran ujummoo hadhooftuu daddabarsitu kessatti cuqqaalamuu danda’u.
Yeroo kana: Garaa keenya gara harka mirgaa ykn laphee irratti dhukkubbiin namatti dhaga’amuu. Dhukkubbiin kunis sa’aa muraasaaf ture kan badu ta’uu isaafi yeroo biraas dhukkubbiin akkasii namatti deebi’ee dhaga’amuu. Darbees dabalataan yeroo dhukkubbiin kun nama dhukkubu kana ceekuu gara mirgaa dugda keenya gara gubbaa jechuun lafee ceekuu lamaan jidduutti Dhukkubbiin namatti dhaga’ama.
Nama lolloojjessuu ykn haqqisiisuu. Nyaata zayitiin itti baay’ate yoo nyaannu dhukkubbiin armaan oliti ibsamee jiraachuu ykn erga nyaanne booda miirri akkasii namatti dhagahamuu.
Amma dura cirracha hadhooftuu qabaachuu keenya beeknee: Dhukkubbii garaa kenyaa kan gara gubbaa kan gara mirgaatti dhukkubbiin hamaan yoo nutti dhagahame, Ho’inni qaamaa keessanii yoo dabale akkasumas dadhabbiin dhukkubbii kana wajjiin yoo jiraate, Akkasumas iji keenya ykn gogaan keenya yoo booraa ta’e hatattamaan gara mana yaalaa deemuun barbaachisaadha.
Cirracha hadhooftuu yoo qabaanne maal haa goonu?
Dhukkubbii/mallattoolee armaan oliitti eeraman yoo of irratti agarre mana yaalaa deemnee qorannoo adda addaa kan doktorri keenya nuuf ajaje (kan akka altiraasaawuundii fa’a gochuu) Cirrachi hadhooftuu tasa dhukkuba biraa ilaaluuf jiraachuun isaa beekame kan dhukkubbii/ mallatoo dhukkuba sanaa hinqabne yaala hatattamaas ta’e ykn guutummaan gutuutti yaala kan hinbarbaannedha. Haa ta’u malee namoota dhukkuba sukkaaraa qaban akkasumas kan dooktoriin otoo dhukkubni hinjiraatin yaalamuu qaba jedhe qofatu yaalama jechuudha.
Yaalli cirracha hadhooftuu dhukkuba qabuuf taasifamu baqaqsanii muranii baasuu baattuu hadhooftu (Cholecystectomy) ta’uu mala. Qorichoonni yeroo dheeraaf fudhatamanii Ji’oota/Waggotta hedduu booda cirracha sana bulbulan ni jiru. Garuu Qorichoonni kunniin bulbuluu dhabuu danda’u, kanaaf yaalli bu’a qabeessa ta’e kan Oppereeshiinin ykn wal’aansa baqassanii hodhuutiin baafamu sana jechudha.
Cirracha kalee Sababa jijjiirama haala jireenyaa( life style modification) irraan kan ka’e, yeroo amma kana cirrachi kalee addunyaa keenyaarratti baay’ee babal’achaa jira. Cirrachi kalees hammaan guddachaa yoo deeme, karaa itti xuraa’aa kaleen keenya dhimbiibdee/calaltee gara alaatti dhabamsiistu cufuun dadhabbii kaleef nu saaxiluu danda’a.
Wantootni cirracha kaleef nu saaxilan maalfaadha?
- Bishaan hamma barbaachisu ykn gahaa ta’e dhuguu dhiisuu. Qaamni keenya harki caalu bishaani. Namni tokko guyyaatti, yoo xiqqaate bishaan bircuqqoo 8 dhuguu qaba. Bishaan baay’inaan yoo dhugnu, wantootni xuraa’aa qaama keenya keessa jiran akka salphaatti karaa kalee keenyaa akka dhabamsiifaman godha. Kanaaf namni tokko bishaan gahaa hintaane ni dhuga yoo ta’e, wantootnii xuraa’aa qaama keenya keessa jiran walitti qabamuun gara cirracha kaletti guddatu. Namoonni baayyeen yommuu bishaan dheebotan qofa dhugu. Kun garuu sirrii miti.
- Nyaata pirootinii baay’ee olka’aa of keessa qabu kanneen akka nyaata fooniifi bu’aa beeyladaa ta’an baay’inaan ykn yeroo hedduu soorachuun.
- Soogidda baay’inaan fayyadamuu, soogiddi nuti nyaannu elementii soodiyeemii jedhamu baayinan waan ofkeessaa qabuuf, soogidda hammaan heddumaate soorachuun gaarii miti.
- Wantoota mi’aawaa (refined sugar) ta’an kanneen akka lallaafaafi dhugaatiiwwan saamsaman baay’inaan fayyadamuun
- Nyaata elementii oksaaleetii baay’inaan ofkeessaa qabu kanneen akka: lowizii, chokoleetii, kaakowaa, ispinachiifi ‘black pipe’ jedhaman hedduminaan ykn yeroo hedduu soorachuun.
- Cuunfaa appilii baay’inaan fayyadamuun
- Dhugaatiiwwan kollaa baay’inaan fayyadamuunfi kkf
Mallattoowwan dhukkuba cirracha kalee
Cirrachi kalee mallattoo dhukkubaa osoo hinagarsiisin yeroo dheeraaf turuu ni danda’a; Mallattooleen inni agarsiisus yeroo baay’ee hamma cirracha sanaarratti hundaa’a. Innis yoo xiqqaa ta’e bakka bakkatti waan sosocho’uuf; dhukkubbiifi mallattoolee biroo agarsiisuu danda’a.
Maallattoolee namni cirracha kalee qabu agarsiisu keessaa baay’een:
- Naannoo walakkaa mudhii keenyaa hanga naannoo qaama saalaa keenyaatti, dhukkuba asi gadi keessa deemee nama dhukkubu.
- Fincaan dafee dafee nama fincaansisuu
- Nama haqqisiisuuf ol nama tuquu
- Fincaan dhiigaan wal makaa ta’e fincaa’uu
- Nama dafqisiisuu ykn hurkisiisuu fa’a.
Furmaanni maali?
Mallatoolee armaan olii yoo of irratti argitan tarii rakkoo biraas ta’uu danda’a. Kanaaf yerootti mana yaalaa deemuun qorannoo barbaachisaa gochuun cirracha kalee qabaachuufi qabaachuu dhabuu adda baafadhaa. Cirrachi kalee hammaan guddaa(>0.5cm) yoo ta’e yaala baqaqsanii hodhuun baasuun ni danda’ama. YKN ammoo meeshaa annisaa naannoo sanatti gadi lakkisu gargaramuun cirrachi akka caccabee/hurraa’ee fincaan wajjiin bahuu akka danda’u gochuuniis yaalin kennamu jira. Yaaliin kun ‘Lithotripsy’ jedhama.
Meeshaan addaa karaa ujummoo fincaaniin galu fayyadamuun cirracha caccabsuu haalli itti baasanis jira. Qorannoo altiraasawundiitiin ykn siitii-iskaaniitin hammi Cirracha kalee baay’ee xiqqoo(<0.5cm) ta’uun yoo barame kun fincaanii wajjin ba’uu danda’a. Kanaaf akka nu gargaaruu bishaan baay’isanii dhuguun qofti ga’aa ta’uu danda’a.
Yeroo kanatti qorichoonni kennamanis jiraachuu danda’u. Isaanis: Qorichoota Dhukkubbii hir’isuuf olaanis kennamuu danda’u. Tarii namootni baay’een Cirracha kalee qabaachuu dandeenya garuu yeroon yoo ilaalamne cirrachi kalee hammaan xixiqqaa tahan bishaan baay’inaan dhuguun karaa fincaanii bahu. Namootni mallattoowwan armaan olii qabdan mana yaalaa deemuun qorannoo fincaanii, qorannoo dhiigaa fayyaa kalee, qorannoo raajiif altiraasaawundii gochuu qabu.
Fayyaa hindhabinaa!
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