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Osoo hindhukkubsatin mana yaalaa deemanii of qorachiisuun dhukkuboota akkamii irraa nu baraaruu danda’aa?

— December 16, 2019 549 comments

Ilaalchi osoo hindhukkubsatin yaalamuu jedhu biyya keenya keessatti yeroo hedduu kan hinbaratamneedha. Namoonni yeroo hedduu kan of qorachiisan yoo haalonni garagaraa isaan dirqisiisan akka qacarrii hojiiwwan gargaraa, gara biyyoota biraa deemuufi kan kana fakkaatan yoo isaan mudatedha. Haa ta’u malee dhukkuboonni addunyaa kana irraa lubbuu namaa duguuguudhaan sadarka olaanaa qabatanii jiran kanneen akka dhiibbaa dhiigaa, dhukkuba sukkaaraa, istirookii, dhukkuba onnee baay’inaan osoo mallattoo hin argisiisin qaama namaa erga miidhanii booda kan mul’atan. Dhukkuboota akkasii kana kan ofirratti beekuu dandeenyuufi ofirraa ittisuu dandeenyu osoo hindhukkubsatin mana yaalaa yokaan kilinika dhuunfaa garagaraa deemnee of qorachiifne qofa.

Barteen yokaan amalli osoo hin dhukkubsatin dhukkuboota akkasii of qorachiisuu biyya keenya keessatti maal fakkaata kan jedhuuf deebii dhuunfaa keenyaa irraa kaanee ilaaluu dandeenya. Yeroo hedduu biyya keenya keessatti osoo hindhukkubsatin of qorachiisuu mitii, yoo mallattoon dhukkubaa namatti dhaga’ame illee ariitiidhaan dafanii mana yaalaa deemuun baratamaa miti. “Xiqqoo turtee na dhiifti” jedhanii obsuun waanuma baratamaadha. Rakkoon maallaqaa, manni yaalaa bakka barbaadanitti argamuu dhabuun, mana yaalaa deemaniis meeshaalee gargaraa mana yaalaa keessaa dhabuun akkuma jirutti ta’ee amma kan kaasuu barbaanne waa’ee mala fayyuummaa ofiif yaadanii mana yaalaa deemuuti. Kanaaf waanti godhamuu qabnu akkasi, mallattoon dhukkubaa yoo namatti dhaga’amu dafanii mana yaalaa deemuun dhukkubni osoo namatti hincimin yoo argame, lubbuu ofii baraaruuf akkasumas baasii garmalee dhukkubni kun namatti cimee nama baasisu irraa baraaramuuf hedduu nama gargaara.

 Dabalataan mallattoo dhukkuba  kamiyyuu osoo ofirratti hin argiin of qorachiisuun ammoo dhukkuboota lubbuu galaafatan hedduun argamanii akka yaalaman nama gargaara. Fakkeenyumaaf akka qorannoon tokko tokko ibsanitti biyya keenya keessatti namoonni ga’eessota ta’an haga dhibbeentaa 15% ta’an dhiibbaa dhiigaa qabu jedhamee yaadama. Kanneen keessaa kan dhiibbaa dhiigaa akka qaban beekamee qoricha fudhatan hedduu xiqqoodha. Kana malees warrumti dhiibbaa dhiigaa akka qaban baranii qoricha fudhatan illee dhiibbaa dhiigaa qabaachuun isaaniii kan baramu sababa dhukkuba biraaf mana yaalaa deemanii dhiibbaan dhiigaa isaanii achumaan safaramuudhaan malee, ofiin of qorachiisanii miti.

Akkasuma dhukkubni sukkaaraa hawaasa keessa haga dhibbeentaa 10% kan ta’u yoo ta’u, dhukkuba sukkaaraa kan ofirratti baru garuu namni erga dhukkubsatee mana yaalaa deemee booda. Kun ammoo erga dhukkubni sukkaaraa kalee, onnee, ijaafi qaamota biraa illee hedduu booda waan ta’eef faayidaan yaala isaa irraa argamu hedduu gadi bu’aadha. Akka saayinsiin fayyaa jedhutti ammoo akkuma kana dura kaafne namoonni haala armaan gadii keessatti argaman dhukkuba sukkaaraaf qoratamuu qabu: namoota ulfaatinni isaanii olka’aa ta’e ykn ‘BMI’ isaanii 25 kg/m2 ol ta’eefi kanneen sochii qaamaa kan hintasifne, fira dhiigaa dhiyoo (kan akka haadha, abbaa, obbolaa fi kan kana fakkaatan) yoo kan dhukkuba sukkaaraa qaban ta’e, dhukkuboota sirna onneefi hidda dhiigaa beekame kan qabu yookiin kan qabdu yoo ta’e, dhukkuba dhiibbaa dhiigaa akkasumas, dhukkuba garmalee olka’uu cooma ykn koolesteroolii (hypercholesterolemia) qaamaa kan qabu yookiin kan qabdu. Namoota umriin isaanii wagga 45 ga’e ammoo hunduu qoratamuu qabu, yoo bilisa ta’anis wagga sadi, sadiin itti deebi’anii ilaalamuu qabu.  Akkasumas dubartii yeroo ulfaa dhukkuba sukkaaraa yeroo ulfaan qabamtee turte, yoo xiqqaate wagga sadi sadiin qoratamuu qabdi.

Akkasuma illee dhukkuboota daddarboo ta’an keessumaa ammoo dhukkuba vaayirasii tiruu gosa ‘B’fi Vaayirasii tiruu gosa ‘C’ qoratamanii of beekuun faayidaa guddaa qaba. Vaayirasoonni kunniin biyya keenya keessatti argama baay’ee olaanaa ta’e kan qabaniifi keessumaa vaayirasiin tiruu gosa ‘B’ haga dhibbeentaa 8% ga’a jedhamee yaadama. Vaayirasiin kun HIV caalaatti qunnaamtii saalaan daddarba, walqunnaamtii saalaan alatti illee waltuttuqqaa mana keessaa yeroo dheeraan illee carraan darbuu isaa olka’aadha. Kanaaf yoo qoratamnee ofbeekne irraa kan hafe, vayirasii kanarraa bilisa jedhanii yaaduun baay’ee ulfaataadha.

Vaayirasoonni kun yoo osoo hinqoratamin qaama keessa yeroo dheeraaf turan, tiruu namaa dadhabsiisuun akkasumas Kaanserii tiruu nama qabsiisuun lubbuu namaa galafaatu. Namoonni hedduun akka vaayiresiin kun qaama isaanii keessa jiru kan baran erga tiruun isaanii miidhamee booda, kun ammoo tasuma ta’uu hin qabu. Yoo qoratamanii vaayirasiin tiruu qaama namaa keessatti aragame vaayirsii tiruu gosa ‘B’f qoricha fudhachuudhaan yeroo dheeraaf akka miidhaa namarraan hingeessifne gochuun ni danda’ama. Yoo kan vaayirasiin gosa ‘B’ kun kan nama keessa hinjirre ta’e ammoo talaallii isaa fudhachuudhaan sana booda akka namatti hindabarre dhorkuun ni danda’ama. Vayirasiin tiruu gosa ‘C’ ammoo yoo kan nama keessatti argamu ta’e yaalamanii guutummaa guutuutti fayyuun ni danda’ama. Haata’u garuu kana mara kan fayyadamaa ta’uu danda’an yoo qoratamanii of baran qofa.

Akkasumas namoonni umuriin isaanii wagga 18 ol ta’e dhiibbaa dhiigaa isaanii akka of qorachiisanii beekuu qaban ogeeyyiin fayyaa biyyoota gargaraa ni gorsu, dhiibbaa dhiigaa of qoratanii beekuun ammoo dhukkuboota dhiibbaa dhiigaa irraan dhufan mara akka hambisu kaasnee jirra.

Dhukkuba sukkaaraa, dhukkuba vaayirsii tiruu, dhukkuba vaayirasii HIV, dhukkuba dhiibbaa dhiigaa akka fakkeenyaatti haa kaafnu malee dhukkuboonni hedduun qoratamuu irraa faayidaa argannu hedduutu jira. Qorannooleen dhukkuboota armaan olitti ibsaman kanaaf godhaman baay’ee salphaafi bakka kamittuu argamuu kan danda’an akkasumas kaffaltiin isaanii hedduu xiqqaa kan ta’eedha. Kanaaf ergaan keenya, utuu qaamni keenya hinmiidhamin dhukkuboota irraa qoratamnee lubbuu keenyaaf gumaacha guddaa haa goonu kan jedhudha.

Horaa bulaa!

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

Gaazexaa Bariisaa Mudde 4/2012

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