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Dhukkuboota sombaafi iujummoo sombaa keenya miidhan

— March 7, 2021 385 comments

Dhukkuboonni baay’een sababa jarmootaafi haala qilleensa naannawa keenyaarraa kan ka’e somba keenyaafi ujummoo sombaa keenya miidhu. Mee dhibeewwan kanneen keessaa muraasasaanii haa ilaallu.

Dhibee daranyoo sombaa ykn TB

Dhibeen daranyoo sombaa dhibeewwan daddarboo keessaa tokkoofi baay’inaan karaa ujummoo qilleensaa namarraa namatti darbuudha.

Dhukkubni daranyoo sombaa kun dhukkuboota ‘HIV/AIDS’ ittaanuun biyya keenyaafi biyyoota guddachaa jiranitti bal’inaan kan argamuudha. Akka waldaan fayyaa addunyaa baasetti, bara baraan sababa dhukkuba kanaatiin namoonni du’an miiliyoona lama taha jedhama. Keessattuu namoonni dhibee vaayirasii ‘HIV’n qabaman akkuma laayyootti dhukkuba kanaan hubamu. namoota kanniin keessaa namoota biyyoota guddachaa jirantu harka caalan gabaasama.

Daranyoon sombaa kan namatti dhufu baakteriyoota akka

– Maayikrobaktireem tuberkuloosis

– Maayikrobaktireem boovis

– Maayikrobaktireem kapare

– Maayikrobaktireem afrikaanum

– Maaykirobaktireem maaykoriti jedhamuun dhufuudha.

Dhibeen kun baay’inaan namarraa namatti kan daddarbu karaa sirna hargansuu yoo tahu darbee darbees karaa aannan horii darbuu danda’a.

Dhukkubni daranyoo sombaa kun korniyaawwan lamaanuu akkasumas umurii kamuu miidhuu danda’a. Keessumaa sababoota adda addaatiin namoota dandeettiin dhukkuba ofirraa ittisuusaanii laafe (fkn nama dhukkuba ‘HIV’ dhukkubsatu) akka salphaatti hubuu danda’a.

Akkamiin namatti darba?

Namni dhukkuba daranyoo sombaatiin sombisaa hubame yoo

– Qufa’e

– Haxxiffateefi

– Dubbatu baakteriyaa kana gara qilleensaatti facaasa. Namni isa bira jiru ammoo baakteriyaa kana hafuura qilleensaa wajjin gara sombasaatti olfudhata.

Dhibeen daranyoo sombaa nama dhibee daranyoo sombaatiin qabamerraa gara nama fayyaatti, mana tokko keessa waliin jiraachuun, yeroo dheeraaf waliin turanii walitti hiiqanii haasahuun akkasumas namni dhibee kanaan qabame waliin walitti dhiyaannee yoo nutti qufa’e ykn haxxiffate baakteeriyaawwan kunniin gara ujummoo qilleensaa keenya keessa seenuun somba keenya hubu.

Daranyoon sombaa kutaa qaama keenyaa hedduu hubuu danda’a.

Kutaawwan qaama keenyaa daranyoo sombaatiin hubaman keessaa somba, lafee, sammuu/haguuggii sammu, baattuu somba keenyaa/pleura, Tiruu, kalee, mar’immaan, haguuggii mar’ummaanii, rajiijii, xan’achafaadha.

Mallattoowwan dhibee kanaa maali?

– Qufaa jiidha qabu torban lamaafi isaa ol

– Halkan halkan nama hurkisiisuu

– Ho’ina qaamaa

– Fedhiin nyaataa hir’achuu

– Ulfaatinni qaamaa hir’achuu

Dhukkuba daranyoo sombaa kana ofirraa ittisuuf maal gochuu qabna?

– Talaallii yeroo daa’imummaa kennamu fudhachuu

– Nama mallaattoo dhibee kanaa qabu ykn dhibee kanaan qabame qofaatti adda baasuu ykn haguuggii funyaaniifi afaanii fayyadamuu

– Nama dhibee kanaan qabamerraa adda of baasuu ykn nama sana mana yaalaa geessuu

– Kutaa tokko keessa, nama dhibee kanaan dhukkubsatu waliin jiraattu yoo tahe fodda mana keessanii sirriitti banuun qilleensi qulqulluun akka seenu gochuu.

Dhukkuba Asmii- (Bronchial Asthma)

Asmiin keessi ujummoolee qilleensaa akka dallananii dhiita’aniif dhiphatan, akkasumas dhangala’aa akka furrii (mucus) guutaman gochuun ujummoolee qillensaa gara gadii (gara Sombaa) jiran dhiphisuun hafuurri/qilleensi akka nama hanqatu ykn ukkaamsuu, nama qufaasisuufi akkasumas hafuura yoo fudhatan sagaleen dhaga’amu ykn akka xiichuu godha.

Asmiin namoota gariirratti mallattoolee sasalphoo mul’isa. Namoota muraasarratti immoo hedduu cinquu, itti hammachuufi itti deddebi’uun rakkisuu danda’a. Asmii guutummaatti yaalanii balleessuun rakkisaa ta’us, mallattooleen armaan oliitti eerre akka namatti hin hammaanneef to’achuun ykn yaaluun ni danda’ama.

Dhukkuba asmii kana maaltu fida?

Guutummaatti guutuutti jala sararanii sababa dhibee kanaa kana jechuun ulfaatuyyuu sababa uumaa (genetics)fi sababoota naannoo keenya tokko tokko irraa ta’uu mala.

Wantootni naannoo keenyarraa asmii namatti kaasan namaa namatti garaagara.

Haa ta’u malee yeroo hedduu wantoonni Asmii namatti kaasan:

– Awwaara /Dhukkee

– foolii ykn foolii balfa beeyladoota

– foolii baala mukken tokko tokko irraa harca’anii.

– Qilleensa Qabana’aa

– Qakkee/ Uttalloo

– Aara yeroo wantoonni tokko tokko gubatan aaru

– Sochii qaamaa (ispoortii hojjachuu)

– Qorichoota tokko tokko kan akka Aspiriini, ‘Ibupirofeen’fi gartuu beta-blockers jedhamuun beekaman fudhachuun

– Cinqiifi yaaddoo miiraa ol’aana ta’e

– Dhukkuba aasidiin garaachaa gara kokkee akka ol deebi’uu godhu (GERD) fa’a namoota Asmii qaban irratti mallatoo isaa namatti kaasuufi hammeessuu danda’u

Mallatooleen Asmii maal fa’adha?

Akkuma armaan oliitti jenne mallatooleen mul’atan turtii,hammeenyanis ta’e haalaan namaa namatti garaagara. Nama tokko tokko yerooma sochi qaamaa (ispoortii) qilleensa qabbanaa’aaf gogaa keessatti hojjetu qofa irratti muldhachuu danda’u.

Akkuma waliigalaatti mallatooleen Asmii:

– Hafuura nama kutuu, hafuurri nama hanqachuu ykn nama ukkaamsuu

– Qoma irratti namatti ulfaachuu ykn dhukkubbiin namatti dhaga’amuu

– Yeroo hafuura gadi baafatan sagaleen dhaga’amu ( xiichaa, sheengarsiisuu,)

– Qilleensi nama hanqachuu, qufaafi xiichaa irraa kan ka’e hirriba dhabuu

– Qufaaf xiichaan Utaalloon/Qakkeen yoo nama qabe namatti hammaachuu

Wantoota carraa Asmii horachuu keenya dabalan:

– Maatiin (abbaaf haati) ykn obboleessi keenya asmii qabaachuun

– Dhukkuboota Alarjii akka alrjii gogaafi funyaan nama ukkamsuu.

– Ulfaatina garmalee guddaa ta’e qabaachuu

– Tamboo, sigaaraafi kan biroo aarsuu

Namni Asmii qabu maal haa godhu?

– Wantootaafi haala dhukkubichaa itti hammeessan adda baafachuu.

– Mallattooleen armaan olitti jenne yoo itti hammaachaa dhufan hatattamaan gara mana yaalaa deemuun yaala barbaachisu argachuu.

– Qorichoota kennamaniifi fudhachaa turan haalaan sirriitti fudhachuu.

– Waa’ee dhukkubichaa irratti gaaffiif waan beekuun isaan barbaachisu ogeessa fayyaa isa wal’aanu gaafachuufi waliin mari’achuu.

Michii sombaa (‘PNEUMONIA’)

Michii sombaa jechuun maali

Michiin sombaa dhukkuba baay’inaan biyyoota guddachaa jiran irratti bal’inaan arrgamu keessaa isa tokkodha. Waggaa waggaan sababa michi sombaatiin namoota miliyoonau 1.5tu du’a.

dhukkubichi kun dhukkuba sombaa infeekshinii mayikiroorganizimoota adda addaatiin kan dhufu yoo ta’u, yeroodhaan yoo yaala argate dhukkuba fayyuu danda’udha.

Maaykiroorganizimoonni kunniiinis baakteeriyaafi vaayirasii kanniin keessaa hamma tokko kan dhukkuba kanaaf baay’ee nama saaxilan kan armaan gadiiti.

Kanneen baakteeriya kesssaa beekamoo tahan, ‘streptococcus pneumonia, heoaophiles influenzaafi S.aureus’ vaayirasii kessaa immoo, ‘parainfluenza, influenza, adenovirus’faadha.

Dhibee kanaaf maaltu nu saaxila

– Talaallii yeroo daa’imummaa kennamu fudhachuu dhabuu

– Faalama qilleensaa

– Hanqina vitamin D qabaachuu

– Umurii waggaa 5 gadii fi 50

– Dhukkuboota biroo kan dandeettii dhukkuba ofirraa loluu

– qaama keenyaa dadhabsiisan

– Tamboo xuuxuu

– Dhugaatii alkoolii baay’isuu

– Nama dhiheenya waldhaansa baqaqsanii hodhuun yaalame(major surgery)

– Hanqina nyaataa, keessumaa ijoollee irratti

– Walitti baay’atanii jiraachuu

Mallattoon isaa maali?

– Qufaa kan haqqee booraa, yeroo tokko tokko ammoo kan dhiiga makate tufsiisuu ,qufaa gogaas ta’uu danda’a.

– Ho’insi qaamaa dabaluu

– Dhukkubbii laphee( fuulduraan ykn fi dugda duubaan)

– Ariitiin hargansuu dabaluu

– Dha’annaan onnee dabaluu

– Qorra qorra namatti dhaga’amuu

– Dafqisiisuu(fuursuu)

– Fedhiin nyaataa gadi bu’uu

– Dadhabbii guddaan namatti dhaga’amuu.

Akkamiin yaalamna?

Namni dhukkuba kanaaf shakkame tokko qorannoo dhiigaafi raajii (X-ray) laphee qoratamuudhaan dhukkuba kana qabaachuun isaa mirkanaawa.

Erga mirkanaawee booda sadarkaasaarratti hundaa’uudhaan qoricha afaaniin fudhatamuun akkasumas mana yaalaa ciibsuunis yaalamuu mala.

Fayyaa hindhabinaa!

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Jireenya fayyaa qabeessa jiraachuu

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