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Dhukkuba tiibii (‘tuberculsosi’)

— September 28, 2019 177 comments
  1. TB somba miidhame keessatti
  2. Somba dhibichaan qabame
  3. Baakteeriyaa TB

Kutaa 1fa

Dhukkubni tiibii maalii? lubbuu hagam galaafataa?

Dhukkunbi tiibii baakteeriyaa xixiqqoo ijaan hin mul’anne kan maayikoo bakteeriyaa tuuberkuloosis (‘mycobacteria tuberculosis’) jedhamaniin kan dhufu yoo ta’u, dhukkuboota baakteeriyootaan dhufanirraa kan adda taasisu, baakteeriyaan kun qaamota dhala namaa mara hubuusaati.

Yoo xiqqaate namoonni biiliyoona lama ta’an baakteeriyaa dhukkuba tiibii fidu kanaan qabamanii jiru. Haa ta’u malee baakteeriyaa kanaan qabamuu jechuun dhukkubni tiibii nama qabachuu jechuu miti. Yeroo hedduu qaamni keenya dhukkuba tiibii kana lolee mo’achuudhaan dhukkuba ta’ee akka mallattoo hin argisiisne taasisa. Kanaaf kan namoonni qaamni isaanii dhukkuba ofirraa loluu irratti dadhabaa ta’e akka dhukkubsattoota ‘HIV/AID’s, dhukkuboota kaansariifi qorichoota dandeettii dhukkuba loluu qaama namaa gadi buusan fudhatan dhukkuba kanaaf daran saxilamoo ta’an.

ALAtti bara 2003 keessa namoonni miiyoona 8.8 ta’an dhukkuba tiibii kanaan qabamanii namoonni miliyoona 1.4 ta’an ammoo lubbuun isaanii darbeera. Akkuma dhukkuboota infekshiniin daddarboo biroo dhukkubni tiibii kan baay’inaan galaafatu lubbuu namoota biyyoota guddataa jiraniiti. Biyyi keenya akka Dhaabbanni Fayyaa Addunyaa gabaasetti biyyoota Afrikaa dhukkubni tiibii itti heddummaatu keessaa 3fa irra kan jirtu yoo ta’u, kunis dhukkubichi hagam biyya keenya akka hubaa jiru ifatti kan mul’isuudha.

Dhukkubni akkamiin daddarbaa?

Akkaataan daddarba dhukkuba kanaa afuuraan namaa namatti kan darbu yoo ta’u, yoo namni tiibii qabu qufa’u cobni bishaanii xixiqqaan afaan nama kanaa keessaa gara qilleensaatti gadhiifamuun yoo namni fayyaan qilleensa fudhatu qilleensa waliin gara afaan nama fayyaatti seenuudhani. Namni dhukkuba tiibii sombaa alaa (fkn tiibii lafee, kan sammuu, kan mar’imaaniifi kkf) qabu dhukkuba kana gara nama biraatti hindabarsu.

Akkasumas namni dhukkuba tiibii sombaa qabu ammoo erga yaala jalqabee ji’a tokkoo booda (yoo tiibii qoricha waliin hin bariin ta’e) carraan nama biraatti dabarsuu isaa baay’ee gad aanaadha. Dhukkubni tiibii kun yeroo tokko tokko keessumaa daa’imman xixiqqoo aannan loonii osoo hindanfisiin yoo dhugan dhukkuba kana nama qabsiisuu mala. Dhukkuba tiibii yaalamanii fayyuus ta’e, ofirraa ittisuun ni danda’ama. Erga akkaataa daddarbiinsasaa beeknee ofirraa ittisuun hoo akkamitti?

Dhukkuba tiibii akkamiin ofirraa ittifna?

Naanawa keenya qilleensi salphaatti akka waljijjiiru taasisuu (akka hinukkaamamne taasisuu). Dhukkubni kun namaa namatti kan daddarbu yeroo hedduu bakka namni walitti baay,atuu fi bakka qilleensi seerana galee hinbane (ukkaamamaa) ta’etti. Kanaaf fakkeenya gaarii kan ta’u geejjiba deddeebisa ummataati.

Yeroo hedduu geejjiba ummataa keessatti namni walitti dhiiyaatee yeroo dheeraaf kan turuufi keessumaa foddaaleen konkolaataa yoo kan hin banamne ta’e, carraan afuurri namaa waljijjiiruufi cobni bishaanii afaan nama tiibii qabuu kana keessaa ba’e qilleensa keessa turuufi gara nama fayyaatti darbuu olka’aadha.

Yeroo hedduu gaafan geejjiba deddeebisa uummataa keessa taa’u “qilleensi na rukkutaa foddaa narraa cufi” jedhamu nan dhaga’a. keessumaa namoonni tokko tokko qilleensi alaa dhufu yoo dha’e homaa sin godhu, qilleensa somba nama biraa keessaa ba’u ofitti fudhachuun ammoo dhukkuba si qabsiisa jettee yoo itti himte illee gara siin loluutti deema.

Barsiifanni akkanaa keessumaa daa’imman xixiqqoo, namootaa umuriin baay’ee guddaa ta’an, namoota dhukkuba biraa akka ‘HIV’ dhukkubsatan carraan tiibiitiin qabamuusaanii olka’aa ta’e salphaadhumatti dhukkuba tiibiif dabarsanii kennuu jechuudha.

Aannan gaafa daa’immaniif kenninus ta’e pfii dhgnu seeraan danfisnee dhuguun dirqama. Mallattoo kamuu kan tiibii fakkaatu yoo ofirratti argan (keessumaa qufaa torban lamaa olii) gara mana yaalaa deemuun ofii fayyuurra darbee nama biraatti akka hindabarre taasisuunillee barbaachisaadha.

Namni dhukkuba tiibii akka qabu itti himame, akksumas namni qufaa torban lamaa olii qabu kan mana yaalaa deemee hinilaalamiin yoo qufa’u akka nama biraatti hindabarsineef afaansaa/shee kafanaan qabatee/ttee qufa’uun dirqamarraa eegamu ba’uu qaba/di. Namni dhukkuba tiibii qoricha waliin walbare qabu ammoo haaga yaalamee fayyutti yokaan ogeessa isa yaaluun akka maatiitti yokaan hawaasatti dabalamu itti himamutti manuma yaalaa turee bakka namoota akkasiif yaadamee qophaa’etti yaalamuun dirqama.

Dhukkubni tiibii qaamota keenya keessaa kam fa’i hubaa?

Dhukkubni tiibii kun akkuma armaan olitti ibsme qaama dhala namaa keessaa walumaa galatti kan inni hin hubne hinjiru jechuun ni danda’ama. Baay’inaan garuu qaama namaa keessaa: somba, xannachoota mar’imaan, sammuu, lafee, kalee, ujummoolee fincaanii fi golgaa onnee kan hubudha.

Dhukkuba tiibii kana walumaagalatti tiibii sombaafi tiibii sombaa alaa (xan’achoota mar’imaan, sammuu, lafee, kalee, ujummoolee fincaanii, golgaa onnee fikkf) jechuudhaan  bakka lamatti qoodnee ilaaluu dandeenya.

Tiibii sombaa: Qaama namaa keessaa sombi yeroo hedduu tiibiidhaan kan hubamu yoo ta’u haawaasa keessattis “dhukkuba tiibii” yoo jedhamu akka waan somba qofa qabatuutti kan ilaalamu kanaafi. Mallattooleen dhukkuba tiibii sombaa kun qufaasisuu (keessumaa qufaa torban lamaa olii), nyaata jibbisiisuu, ulfaatina qaamaa garmalee gadi buusuu, halkan halkan dafqa cimaa (haga kafana jiisutti) dafqisiisuu fa’i. Qufaan nama dhukkuba tiibii sombaa qabuu kun     yeroo baay’ee kan “hakkitta” qabu yoo ta’u, qabaachuu dhiisuus ni mala, akkasumas waanti yoo qufa’an nama keessaa waliin ba’u dhiigallee qabaachuu mala. Namoonni dandeettii dhukkuba ofirraa loluu isaanii gadi bu’aa ta’e akka dhukkubsattoota ‘HIV’fi daa’imman xixiqqoo qufa’uu hin dandeenye irratti mallattooleen baay’een osoo hinmul’atiin dhukkuba kanaan qabamuu malu.

Tiibii sombaa alaa: tiibiin sombaa alaa akkataa walduraa duuban yeroo hedduu: xannacoota liimfii, golgaa sombaa, sirna fincaanii (afuuffeefi ujummoolee fincaanii), lafeefi dhuka, golgaa sammuu, garaa fi golgaa onneeti.Isaan kun kanneen yeroo hedduu hubaman yoo ta’u dhukkubni tiibii qaama kamuu osoo hindhiisiin ija namaa illee qabachuu danda’a.

Mallattoon dhukkuba tiibii sombaa alaa qaama tiibiin hube irratti hundaa’a. Tiibiin xannachaa, keessumaa xannacha mormarratti yeroo heddduu kan argamu yoo ta’u, mallattoonsaa dhiita’uu xan’achoota naannoo mormaa irratti argamaniiti. Xannachoonni dhiita’an kun yeroo hedduu yo qaqqabnu kan hin dhukkubneefi kan hammaan guddataa deemanidha. Yoo namarra hin yaalamiin ture xannachi dhiita’e kun dho’ee gara alaattii dhangala’aa akka malaa gadi dhangalaasuu danda’a.

Tiibiin garaa yeroo hedduu dhiita’uu garaa kan suuta jedhee guddataa dhufu, dhukkubbii garaa kan walitti fufee dhukkubuufi ho’iinsa qaamaa argisiisa. Tiibiin sammuu mallattoo akka dhukkubbii mataa, mormi socho’uu diduu (yoo sochoosan waan dhukkubuuf), qaama ho’isuu, yoo hin yaalamiin ture of wallaalchisuu, qaama hurgufuufi kkf argisiisuu mala.

ittifufa

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