TAXANAHA CAAFIMAADKA (9) ♧ Maqanaanshaha caadada♧.

        TAXANAHA CAAFIMAADKA (9)

       ♧ Maqanaanshaha caadada♧

 ♤Amenorrhea waa maqnaanshaha caadada, badanaa waxaa lagu qeexaa inay maqan tahay mid ama in ka badan oo caadada ah.

 ■Amenorrhea Primary waxaa loola jeedaa maqnaanshaha caadada qof aan mudo ku dhicin da'da 15 sano. Sababaha ugu badan ee sababa amenorrhea waxay la xiriiraan heerarka hoormoonka, in kastoo dhibaatooyinka anatomical ay sidoo kale sababi karaan.

 ■Amenorrhea Secondary waxaa loola jeedaa maqnaanshaha seddex ama in ka badan oo xiriir ah oo isku xigta qof horey u lahaa caadooyin horay u soo maray.  Uurku waa sababta ugu badan ee sababa amenorrhea, in kastoo dhibaatooyinka hormoonnada sidoo kale ay sababi karaan amenorrhea labaad.

 ●Daaweynta amenorrhea waxay kuxirantahay sababta keentay.

         ■ Astaamaha

 Iyada oo ku xiran sababta keenta amenorrhea, waxaad la kulmi kartaa calaamado ama astaamo kale oo ay weheliyaan maqnaanshaha muddooyinka, sida:

• Dheecaanka ibta caano.

• Timo lumis.

• Madax xanuun.

 •Aragtida ayaa isbadalaysa.

 •Timaha wajiga oo siyaado ah.

 •Xanuun miskaha.

 •Finanka.

    ■ Goorta la arko dhakhtar

 La tasho dhakhtarkaaga haddii aad seegtay ugu yaraan seddex caadadood oo isku xigta, ama haddii aadan waligaa helin caadada oo aad tahay 15 ama ka weyn.

     ■ Sababaha

 Amenorrhea waxay ku dhici kartaa sababo kala duwan.  Qaarkood waa caadi, halka kuwa kalena laga yaabo inay saameyn dhinaca daawada ah ama calaamadda dhibaato caafimaad.

 ■Amenorrhea dabiiciga ah.

 Inta lagu jiro noloshaada caadiga ah, waxaad la kulmi kartaa amenorrhea sababo dabiici ah, sida:

 •Uurka.

• Naas nuujinta.

•Caaddo-dayska.

    ■ Ka hortaga uurka

 Dadka qaarkiis ee qaata kaniiniyada ka hortagga uurka (ka hortagga uurka ee afka) waxaa laga yaabaa inaysan yeelan caadooyin.  Xitaa ka dib marka la joojiyo kaniiniyada ka hortagga uurka, waxay qaadan kartaa waqti ka hor ugxaanta caadiga ah iyo caadada oo soo noqota.  Ka-hortagga uur-qaadista ee la duray ama la beeray sidoo kale waxay sababi karaan amenorrhea, sida qaar ka mid ah aaladaha aaladda uur-ku-jirta.

 

 ■ Daawooyinka

 Daawooyinka qaarkood waxay sababi karaan caadada inay joogsato, oo ay ku jiraan noocyo ka mid ah:

 •Daaweynta maskaxda.

 •Dawaynta kansarka.

•Dawooyinka lidka ku ah diiqadda.

•Dawooyinka cadaadiska dhiigga.

 •Daawooyinka xasaasiyadda.

 

  ■ Arimaha nolosha

 Mararka qaar arrimo nololeed ayaa gacan ka geysta amenorrhea, tusaale ahaan:

 ● Miisaanka jirka oo hooseeya.  Miisaanka jirka ee aadka u hooseeya - oo ku saabsan 10% miisaanka caadiga ah - wuxuu carqaladeeyaa hawlo badan oo hormoonno ah oo jidhka ku jira, taas oo keeni karta inay joojiso ugxanta.  Haweenka qaba cunno xumida, sida anorexia ama bulimia, badiyaa waxay joojiyaan caadada sababtoo ah isbadaladaan hormoonada aan caadiga aheyn.

 ● Jimicsi xad dhaaf ah.  Haweenka ka qeybqaata nashaadaadka ubaahan tababarka adag, sida baleedka, waxaa laga yaabaa in wareegyada caadadoodu hakad gasho.  Dhowr arrimood ayaa isku daraa si ay gacan uga geystaan ​​luminta xilliyada cayaaraha, oo ay ku jiraan dufanka jirka oo hooseeya, culeyska iyo kharashka tamarta sare.

 ● Cadaadis.  Cadaadiska maskaxdu wuxuu si ku meel gaar ah u beddeli karaa shaqada hypothalamus - aag maskaxdaada ka mid ah oo xukuma hormoonnada nidaamiya wareegga caadadaada.  Cudurka iyo caadadu waxay u joogsan karaan natiijadaas.  Xilliga caadada ee caadadu caadi ahaan waxay dib u bilowdaa ka dib marka walaacaagu yaraado.

 ●Isku dheelitir la'aanta hormoonka.

 ●Noocyo badan oo dhibaatooyin caafimaad ah waxay sababi karaan isu dheelitir la'aanta hormoonnada, oo ay ka mid yihiin:

♧ Cudurka 'Polycystic ovary syndrome' (PCOS).  PCOS wuxuu sababa heerar sare oo joogto ah oo hormoonno ah, halkii uu ka ahaan lahaa heerarka isbed beddelka ee lagu arko wareegga caadada ee caadiga ah.

 ♧Ciladda qanjirka 'thyroid'.  Qanjirka 'thyroid' qanjirka 'xad-dhaafka ah' (hyperthyroidism) ama qanjirka 'thyroid' oo aan firfircooneyn (hypothyroidism) wuxuu sababi karaa cilladaha caadada, oo ay ku jiraan amenorrhea.

 ♧Burooyinka pituitary.  Buro aan caadi ahayn (aan fiicnayn) oo ku jirta qanjirka 'pituitary gland' ayaa faragalin ku sameyn kara nidaamka hormoonka ee caadada.

♧ Caadayska oo deg deg noqda.  Menopause caadi ahaan waxay bilaabataa qiyaastii da'da 50. Laakiin, dumarka qaarkood, ugxaanta  ee ukunta ayaa yaraata kahor da'da 40 jir caadaduna way joogsataa.

   ■ Dhibaatooyinka dhismaha

 ♧Dhibaatooyinka xubnaha galmada lafteedu sidoo kale waxay sababi karaan amenorrhea.  Tusaalooyinka waxaa ka mid ah:

 •Nabarro kaadi mareenka ah.  Cudurka 'Asherman's syndrome', waa xaalad unugyada nabarradu ay ku soo baxaan gudaha ilma-galeenka, marmarka qaarkood waxay dhici karaan ka dib marka la kala-jaro oo la daweeyo (D&C), qalliinka  ama daaweynta qallalka ilma-galeenka.  Nabar ku dhaca xubinta taranka ilmuhu waxay ka hortagtaa dhisidda caadiga ah iyo daadinta dahaarka minka.

♧ La'aanta xubnaha taranka.  Mararka qaar dhibaatooyinku waxay soo baxaan inta lagu jiro koritaanka uur-jiifka taasoo keenta in la waayo qaybo ka mid ah nidaamka taranka, sida ilmo-galeenka, afka ilmo-galeenka ama xubinta taranka haweenka.  Sababtoo ah nidaamka taranka si buuxda uma uusan horumarin, wareegyada caadada suurta gal ma ahan nolosha dambe.

 ♧Cillad xumo qaabdhismeedka xubinta taranka haweenka.  Xannibaadda xubinta taranka dumarka waxay ka hortagi kartaa dhiigbaxa caadada ee muuqda.  Xuub ama darbi ayaa laga yaabaa inuu kujiro xubinta taranka ee xiraya qulqulka dhiigga ee kasoo baxa ilmo galeenka iyo makaanka afkiisa.

   ♧Waxyaabaha halista ah

 Waxyaabaha kor u qaadi kara halista cudurka amenorrhea waxaa ka mid ah:

 ●Taariikhda qoyska.  Haddii dumarka kale ee qoyskaaga ay la kulmeen amenorrhea, waxaa laga yaabaa inaad ka dhaxashay u janjeera dhibaatada.

 ●Cunno xumida.  Haddii aad qabtid cilad cunno, sida anorexia ama bulimia, waxaad halis sare ugu jirtaa inaad ku dhacdo amenorrhea.

 ●Tababarka ciyaaraha fudud.  Tababbarka jimicsiga adag wuxuu kordhin karaa halista amenorrhea.

 ●Taariikhda hababka daaweynta dumarka qaarkood.  Haddii aad leedahay D&C, gaar ahaan la xiriirta uurka, ama nidaam loo yaqaan habka loo yaqaan 'loop electrodiathermy excision procedure (LEEP)', halista aad ugu jirtid amenorrhea way ka badan tahay.

     ■ Dhibaatooyinka

 Sababaha keena amenorrhea sidoo kale waxay sababi karaan dhibaatooyin kale.  Kuwaas waxaa ka mid ah:

 ●Dhalmo la'aan iyo dhibaatooyinka uurka.  Haddii aadan ugxan sameyn oo aadan yeelan caadada caadada, ma uur qaadi kartid.  Marka dheelitir la'aanta hoormoonka ay sabab u tahay amenorrhea, tani waxay sidoo kale keeni kartaa dhicin ama dhibaatooyin kale oo uur leh.

● Culeys maskaxeed.  La'aanta muddooyinka ay asaagaaga yeelanayaan waxay noqon kartaa mid walaac leh, gaar ahaan dhallinyarada u gudbaya qaangaarnimada.

 ●Lafaha iyo cudurada wadnaha.  Labadan dhibaato waxaa sababi kara la'aanta estrogen ku filan.  Cudurka lafa-beelka waa daciifinta lafaha.  Cudurka wadnaha iyo xididdada dhiigga waxaa ka mid ah wadne qabad iyo dhibaatooyin ku dhaca xididdada dhiigga iyo muruqa wadnaha.

 ● Xanuun miskaha.  Haddii cillad jir ahaaneed ay keenayso amenorrhea, waxay sidoo kale xanuun ku keeni kartaa aagga miskaha.

♡ W/Q: Abdikadir M. Abdullahi 

TAXANAHA CAAFIMAADKA (8). MADAX XANUUNKA GOGOSHA LA QAADO.

     TAXANAHA CAAFIMAADKA (8)

     

     MADAX XANUUNKA GOGOSHA LA QAADO.

     CILMI BAARIS!!

 Madax xanuunka galmada waxaa keena galmada - gaar ahaan kacsiga.  Waxaad dareemi kartaa xannuun caajis ah oo ka jira madaxaaga iyo qoortaaga oo kor u kaca marka xiisaha galmada uu kordho.  Ama, badanaa, waxaad la kulmi kartaa madax xanuun lama filaan ah, daran kahor ama inta lagu jiro kacsiga.

 Badanaa madax xanuunka galmada ma ahan wax laga walwalo.  Laakiin qaar ayaa calaamad u noqon kara wax culus, sida dhibaatooyinka xididdada dhiigga siiya maskaxdaada.

 

      Astaamaha

 Waxaa jira laba nooc oo madax xanuun galmo ah:

 ● Xanuun caajis ah oo ka jira madaxa iyo qoorta oo sii xoogeysanaya sida xiisaha galmada u kordho.

 ● Madax xanuun lama filaan ah, daran, oo ku dhaca wax yar ka hor ama xilligii kacsiga.

 ● Dadka qaarkiis, labada nooc ee madax xanuun waa la isku daraa.

 ● Badi madax-xanuunnada galmada waxay socdaan ugu yaraan dhowr daqiiqo.  Kuwa kale ayaa laga yaabaa inay raagaan saacado ama xitaa laba ilaa saddex maalmood.

 ● Dad badan oo qaba madax xanuun galmo ayaa iyaga kala kulmi doona kooxo dhowr bilood gudahood, ka dibna waxay aadi karaan sanad ama ka badan iyagoo aan lahayn wax madax xanuun galmo ah.  Ilaa kalabar dhammaan dadka qaba madax-xanuun galmo waxay la kulmaan muddada lix bilood ah.  Dadka qaar ayaa laga yaabaa inay yeeshaan hal weerar oo keliya inta ay nool yihiin.

     Goorta la arko dhakhtar.

 Madax xanuunka galmada badanaa ma aha wax walaac keena.  Laakiin la tasho dhakhtarkaaga isla markiiba haddii aad isku aragto madax xanuun inta lagu jiro dhaqdhaqaaqa galmada - gaar ahaan haddii ay ku bilaabato si kadis ah ama ay tahay madax-xanuunki ugu horreeyay ee noocan ah.

   Sababaha

 ● Nooc kasta oo hawlo galmo ah oo u horseedaya kacsiga ayaa kicin kara madax xanuun galmo.

 ● Bilaabis-bilow iyo gaabis-dhismo madax-xanuun waxay noqon kartaa cilado madax-xanuun aasaasi ah oo aan lala xiriirin xaalad kasta oo salka ku haysa.  Madax xanuunka galmada ee si lama filaan ah u yimaada waxay u badan tahay in lala xiriiriyo:

● Ballaarin ama xumbo ku haysa darbiga halbowlaha madaxaaga dhexdiisa (aneurysm intracranial)

 ● Xidhiidh aan caadi ahayn oo u dhexeeya xididdada  dhiigga iyo xididdada maskaxda (cillad arteriovenous) oo dhiig ku daadata meel dareeraha ka buuxo laf-dhabarka maskaxda iyo hareeraheeda.

 ● Dhiig ku qulqulaya darbiga halbowlaha keena maskaxda (kala-baxa).

● Faalig.

 ● Cudurka halbowlayaasha wadnaha.

 ● Isticmaalka daawooyinka qaar, sida kaniiniyada ka hortagga uurka.

● Caabuq ka yimaada infekshannada qaarkood.

 ● Madax xanuun galmo oo la xidhiidha miyir beelid, matag, qoor adag, calaamadaha kale ee neerfaha iyo xanuun daran oo soconaya in ka badan 24 saacadood waxay u badan tahay inay sabab u yihiin sababo jira.

    Waxyaabaha halista ah.

 Madax xanuunka galmada ayaa saameyn ku yeelan kara qof walba.  Laakiin arrimaha halista ugu jira madax-xanuunkan waxaa ka mid ah:

■ Ahaanshaha lab.  Ragga ayaa u nugul galmada madax xanuun.

■ Taariikhda dhanjafka.  U nuglaanta madax xanuunka dhanjafku waxay kordhisaa halistaada madax xanuun galmo.

    Ka Hortagga.

 Mararka qaarkood madax xanuunka galmada waxaa looga hortagi karaa iyadoo la joojiyo howlaha galmada ka hor inta aan la sameynin kacsiga.  Qaadashada door firfircoon inta lagu guda jiro galmada sidoo kale way caawin kartaa.

W/Q: Abdikadir M. Abdullahi 

TAXANAHA CAAFIMAADKA (6) KANSARKA NAASAHA.

TAXANAHA CAAFIMAADKA (6)

      KANSARKA NAASAHA.

 

 Kansarka naasuhu waa kansar ku dhaca unugyada naasaha.

 Ka dib kansarka maqaarka, kansarka naasaha ayaa ah kansarka ugu badan ee laga helo dumarka Maraykanka.  Kansarka naasuhu wuxuu ku dhici karaa ragga iyo dumarkaba, laakiin aad buu ugu badan yahay dumarka.

 Taageero muhiim ah oo loogu talagalay wacyigelinta kansarka naasaha iyo maalgelinta cilmi-baarista ayaa gacan ka geysatey abuuritaanka horumar ku saabsan ogaanshaha iyo daaweynta kansarka naasaha.  Heerarka badbaadada kansarka naasaha ayaa kordhay, tirada dhimashada ee la xiriirta cudurkan si isdaba joog ah ayey u sii yaraaneysaa, inta badan waxaa u sabab ah arrimo ay ka mid yihiin ogaanshaha hore, qaab cusub oo shaqsi ahaaneed ee daaweynta iyo faham fiican oo cudurka ah.

      Noocyada

 1.Angiosarcoma

 2. Kansarka wadnaha ee ku yaal meesha (DCIS)

 3. Kansarka naasaha ee caabuqa

 4. Kansarka qanjirada 'lobular carcinoma'

 5. Kansarka wadnaha ee 'situ' carcinoma in situ (LCIS)

 6. Kansarka naasaha ragga

 7. Cudurka Paget ee naaska

 8. Kansarka naasaha oo soo noqnoqda

     Astaamaha

 Isbedelada Ibta Naasaha fureysa sanduuqa wada hadalka

 Calaamadaha iyo astaamaha kansarka naasaha waxaa ka mid noqon kara:

 1. Barar naas ama dhumuc ah oo dareemeysa inay ka duwan tahay unugyada ku xeeran

2. Isbeddel cabbirka, qaabka ama muuqaalka naaska

 4. Isbedelada maqaarka ee naaska, sida yaraynta

5.  Ibta cusub ee la rogay

 6. Fiiqidda, xoqidda, xoqidda ama xoqidda aagga midabka leh ee maqaarka ku xeeran ibta (areola) ama maqaarka naaska

 7. Guduudasho ama maqaarka oo ku dhegta naaskaaga, sida maqaarka liinta

    Goorta la arko dhakhtar

 Haddii aad ka hesho buruq ama isbeddel kale oo ku dhaca naaskaaga - xitaa haddii raajada mammograam dhowaan ay caadi ahayd - ballan ka qabso dhakhtarkaaga si dhakhso loogu qiimeeyo.

 Isdiiwaangeli bilaash oo hel ugu dambaynta daaweynta kansarka naasaha, daryeelka iyo maaraynta.

 Macluumaadka ugu dambeeya ee kansarka naasaha ee cusub ee la ogaado Macluumaadka ugu dambeeyay ee kansarka naasaha soo noqnoqda Macluumaadka daaweynta takhasuska leh ee halista sare ee kansarka naasaha.

    Sababaha

 Dhakhaatiirtu way ogyihiin in kansarka naasuhu yimaaddo marka unugyada naasaha qaarkood ay bilaabaan inay u koraan si aan caadi ahayn.  Unugyadan waxay u kala qaybsamaan si ka dhakhso badan unugyada caafimaadka qabta waxayna sii wadaan inay isku urursadaan, iyagoo samaynaya buruq ama cuf.  Unugyadu waxay ku faafi karaan (metastasize) naaskaaga illaa qanjiradaada ama qaybaha kale ee jirkaaga.

 Kansarka naasaha badanaa wuxuu ku bilaabmaa unugyo ku jira marinnada soosaara caanaha (invasive ductal carcinoma).  Kansarka naasuhu sidoo kale wuxuu ka bilaabmi karaa unugyada qanjirada ee loo yaqaan lobules (invasive lobular carcinoma) ama unugyo kale ama unug ku jira naaska dhexdiisa.

 Baarayaasha waxay ogaadeen hormoonada, qaab nololeedka iyo arrimaha deegaanka ee kordhin kara halista kansarka naasaha.  Laakiin ma cadda sababta dadka qaar ee aan lahayn wax khatar ah ay ugu dhacaan kansarka, laakiin dadka kale ee leh khataraha halista waligood ma yeelaan.  Waxay u egtahay in kansarka naasaha uu sababo isdhexgalka adag ee qurxinta hidaha iyo deegaankaaga.

 Dhaxalka kansarka naasaha

 Dhakhaatiirtu waxay qiyaaseen in qiyaastii 5 ilaa 10 boqolkiiba kansarka naasaha ay ku xiran yihiin isbedelada hidda-wadaha ee loo soo maro jiilal qoys.

 Qaar ka mid ah hiddo-wadayaasha is-beddelay ee isbeddelay ee kordhin kara suurtagalnimada kansarka naasaha ayaa la aqoonsaday.  Kuwa ugu caansan waa hiddo-wadaha kansarka naasaha 1 (BRCA1) iyo hiddo-wadaha kansarka naasaha 2 (BRCA2), oo labaduba si weyn u kordhiya halista kansarka naasaha iyo ugxansidaha.

 Haddii aad leedahay taariikh qoys oo adag oo kansarka naasaha ah ama kansarro kale, dhakhtarkaagu wuxuu kugula talin karaa baaritaanka dhiigga si looga caawiyo aqoonsiga isbeddellada gaarka ah ee BRCA ama hiddo-wadaha kale ee loo sii marayo qoyskaaga.

 Tixgeli inaad weydiisato dhakhtarkaaga inuu kuu gudbiyo lataliye hidde, oo dib u eegi kara taariikhda caafimaadka qoyskaaga.  Lataliyaha hidaha ayaa sidoo kale kala hadli kara faa'iidooyinka, halista iyo xaddidaadaha baaritaanka hidaha si uu kaaga caawiyo go'aan wadaagga.

 Waxyaabaha halista ah

 Cudurka halista kansarka naasaha ayaa ah wax kasta oo ka dhigaya inay u badan tahay inaad ku dhacdo kansarka naasaha.  Laakiin haysashada hal ama xitaa dhowr arrimood oo halista kansarka naasaha macnaheedu maahan inaad ku dhici doonto kansarka naasaha.  Dumar badan oo ku dhacda kansarka naasaha ma laha sababo halista ah oo aan ka ahayn inay haween noqdaan.

 Waxyaabaha la xiriira halista sii kordheysa ee kansarka naasaha waxaa ka mid ah:

 Dheddig ahaansho.  Haweenka aad ayey uga dhowdahay ragga inuu ku dhaco kansarka naasaha.

 Da'da sii kordheysa  Halista aad ugu jirto kansarka naasaha ayaa sii kordheysa markii aad gabowdo.

 Taariikh shaqsiyeed xaaladaha naasaha.  Haddii lagaa qaaday biopsiga naaska oo laga helay kansarka lobular in situ (LCIS) ama atypical hyperplasia ee naaska, waxaad leedahay halista sii kordheysa ee kansarka naasaha.

 Taariikh shaqsiyeed kansarka naasaha.  Haddii aad ku jirtay kansarka naasaha hal naas, waxaad leedahay halista sii kordheysa ee kansarka ku dhaca naaska kale.

 Taariikh qoys oo ku saabsan kansarka naasaha.  Haddii hooyadaa, walaashaa ama gabadhaada laga helay kansarka naasaha, gaar ahaan markay da 'yar yihiin, halista kansarka naasaha ayaa sii kordheysa.  Hase yeeshe, inta badan dadka laga helay kansarka naasaha ma leh taariikh qoys oo cudurka ah.

 Hiddo-wadeyaal la dhaxlay oo kordhiya halista kansarka.  Isbedelada hiddo-wadaha qaarkood ee kordhiya halista kansarka naasaha waalidiinta ayaa u gudbin kara carruurta.  Isbedelada hiddo-wadaha ee ugu caansan ayaa loo yaqaan BRCA1 iyo BRCA2.  Hiddo-wadahaani wuxuu si weyn u kordhin karaa halista kansarka naasaha iyo kansarrada kale, laakiin kama dhigayaan kansarka lama huraan.

 Soo-gaadhista shucaaca.  Haddii lagaa daweeyay shucaaca laabtaada sida cunug ama dhalinyaro qaangaar ah, halista kansarka naasaha ayaa sii kordheysa.

 Cayilka  Cayilnaanta cayilku waxay kordhisaa halista kansarka naasaha.

 Ka bilaabo caadadaada da 'yar.  Bilaabida caadadaada kahor da'da 12 sano waxay kordhisaa halista kansarka naasaha.

 Bilowga caadada da'da weyn.  Haddii aad caadada ku bilaabatay da 'weyn, waxaad u badan tahay inaad ku dhacdo kansarka naasaha.

 Inaad haysato ilmahaaga koowaad da'da weyn.  Haweenka dhasha cunugooda koowaad kadib markay gaaraan 30 sano waxaa laga yaabaa inay yeeshaan halista sii kordheysa ee kansarka naasaha.

 Isagoon waligaa uur yeelan.  Haweenka aan waligood uur yeelan waxay halis weyn uga jiraan kansarka naasaha marka loo eego dumarka uurka yeeshay hal ama in ka badan.

 Daaweynta hoormoonka dhalmada kadib.  Haweenka qaata daawooyinka ku daweynta hoormoonka ee isku dara estrogen iyo progesterone si loo daweeyo astaamaha iyo astaamaha menopause-ka waxay leeyihiin halista sii kordheysa ee kansarka naasaha.  Khatarta kansarka naasaha ayaa yaraata markay dumarku joojiyaan qaadashada daawooyinkan.

 Cabitaanka khamriga.  Cabitaanka aalkoladu waxay kordhisaa halista kansarka naasaha.

     Ka Hortagga

 Yaraynta halista kansarka naasaha dumarka leh halista celceliska

 -Iskareer imtixaan Fure sanduuqa wada hadalka pop-up

 Isbeddello ku yimaada nolol maalmeedkaaga ayaa kaa caawin kara yareynta halista kansarka naasaha.  Isku day:

 Weydii dhakhtarkaaga baaritaanka kansarka naasaha.  Kala hadal dhakhtarkaaga goorta la bilaabayo baaritaanka iyo baaritaanka kansarka naasaha, sida baaritaanka naasaha iyo mammogram.

 Kala hadal dhakhtarkaaga waxtarrada iyo halista baaritaanka.  Wadajir, waxaad go'aansan kartaan xeeladaha baaritaanka kansarka naasaha ee adiga kugu habboon.

 Baro naasahaaga adoo u maraya is-baarista naasaha si aad ugu baraarujiso naasaha.  Dumarku waxay dooran karaan inay bartaan naasahooda iyagoo mararka qaarkood baaraya naasahooda inta lagu guda jiro baaritaanka naasaha ee baraarujinta naasaha.  Haddii uu jiro isbeddel cusub, buurbuur ama calaamado kale oo aan caadi ahayn oo ku jira naasahaaga, si dhakhso leh ula hadal dhakhtarkaaga.

 Ka warqabka naasuhu kama hortagi karo kansarka naasaha, laakiin waxay kaa caawin kartaa inaad si fiican u fahamto isbeddelada caadiga ah ee naasahaaga ku dhaca oo aad ku gartaan astaamaha iyo astaamaha aan caadiga ahayn.

 Ku cab khamriga si dhexdhexaad ah, haddii ay dhan tahay.  Xaddid cabbitaanka khamriga ee aan ka badnayn hal cabitaan maalintii, haddii aad doorato inaad cabto.

 Jimicsi samee maalmaha ugu badan ee usbuuca.  Ujeeddo ugu yaraan 30 daqiiqo oo jimicsi ah maalmaha badankood ee usbuuca.  Haddii aadan beryahan firfircooneyn, weydii dhakhtarkaaga inuu fiicanyahay oo aayar u bilow.

 Xaddid daaweynta hoormoonka dhalmada kadib.  Isku-darka daaweynta hoormoonka ayaa kordhin kara halista kansarka naasaha.  Kala hadal dhakhtarkaaga waxtarka iyo halista daaweynta hoormoonka.

 Haweenka qaarkood waxay la kulmaan calaamado iyo astaamo dhib badan inta lagu gudajiro caadada, haweenkanna, halista sii kordheysa ee kansarka naasaha waa la aqbali karaa si looga yareeyo calaamadaha iyo astaamaha menopause.

 Si loo yareeyo halista kansarka naasaha, isticmaal qiyaasta ugu hooseysa ee daaweynta hoormoonka ee suurtogalka ah waqtiga ugu yar.

 Joogto miisaan caafimaad leh.  Haddii miisaankaagu caafimaad yahay, ka shaqee sidii aad u ilaalin lahayd culeyskaas.  Haddii aad u baahan tahay inaad lumiso miisaanka, weydii dhakhtarkaaga xeelado caafimaad oo aad tan ku dhammayn karto.  Iska yaree tirada kaloriinta aad cunayso maalin kasta oo si tartiib ah u kordhisa xaddiga jimicsiga.

 Dooro cunto caafimaad leh.  Haweenka cuna cuntada Mediterranean-ka ee lagu daro saliida saytuunka ah ee bikrada ah iyo lowska isku dhafan waxay yeelan karaan halista kansarka naasaha.  Cuntada badda Mediterranean-ka waxay inta badan diiradda saartaa cunnooyinka dhirta ku saleysan, sida miraha iyo khudradda, miraha dhan, digirta, iyo lowska.  Dadka raaca cuntada Mediterranean waxay doortaan dufanka caafimaadka qaba, sida saliidda saytuunka, subagga iyo kalluunka halkii ay ka dooran lahaayeen hilibka cas.

 Yaraynta halista kansarka naasaha dumarka halista sare leh

 Haddii dhakhtarkaagu uu qiimeeyay taariikhda qoyskaaga oo uu go'aamiyay inaad leedahay arrimo kale, sida xaalad naas oo saadaal ah, taas oo kordhinaysa halista kansarka naasaha, waxaad kala hadli kartaa xulashooyinka si loo yareeyo khatartaada, sida:

 Daawooyinka kahortaga (chemoprevention).  Daawooyinka ka hortagga estrogen-ka, sida xulashada qaabeeyeyaasha estrogen-ka ee xaddidan iyo kuwa ka hortagga aromatase, waxay yareeyaan halista kansarka naasaha ee haweenka leh halista sare ee cudurka.

 Daawooyinkani waxay leeyihiin halista waxyeellooyin, sidaa darteed dhakhaatiirtu waxay dawooyinkan u hayaan haweenka halista aad ugu sarreeya ee kansarka naasaha.  Kala hadal faa'iidooyinka iyo halista dhakhtarkaaga.

 Qalliinka ka hortagga ah.  Haweenka halista aad ugu weyn ee kansarka naasaha waxay dooran karaan in naasaha caafimaadkooda qalliin looga saaro (prophylactic mastectomy).  Waxay sidoo kale dooran karaan in laga saaro ugxansidahooda caafimaad qaba (prophylactic oophorectomy) si loo yareeyo halista kansarka naasaha iyo kansarka ugxan sidaha.

W/Q: Abdikadir M. Abdullahi 

TAXANAHA CAAFIMAADKA (4). DHIIG KAR.

              TAXANAHA CAAFIMAADKA (4)

              DHIIG KAR

 Cadaadiska dhiig karka (hypertension) waa xaalad caadi ah oo  in dhiiga muddada dheer ee dhiigga ee kahortaga darbiyada xididdadoodu ay aad u sarreeyaan oo aakhirka sababi kara dhibaatooyin caafimaad, sida cudur wadne.

 Cadaadiska dhiigga waxaa lagu ogaadaa xaddiga dhiiga wadnahaaga bamgareeyo iyo xaddiga u adkaysiga socodka dhiigga ee xididdada dhiiggaaga.  Markasta oo dhiig badan oo wadnahaagu bamgareeyo iyo xididdada dhiigga oo yaraada, ayaa sare u qaadaya cadaadiska dhiiggaaga.  Akhrinta cadaadiska dhiigga waxaa lagu bixiyaa milimitir meerkuri ah (mm Hg).  Waxay leedahay laba lambar.

 Lambarka ugu sarreeya (cadaadiska dhiigga).  Lambarka koowaad, ama sare, wuxuu cabiraa cadaadiska xididdada dhiigga marka wadnuhu garaaco.

 Lambarka hoose (cadaadiska diastolic).  Lambarka labaad, ama ka hooseeya wuxuu cabiraa cadaadiska halbowlayaashaaga inta udhaxeysa garaaca.

 Waxaad yeelan kartaa dhiig kar sare sanado adiga oo aan lahayn wax calaamado ah.  Cadaadiska dhiig karka ee aan la xakamayn wuxuu kordhiyaa halista ah dhibaatooyinka caafimaad ee halista ah, oo ay ku jiraan wadno qabad iyo istaroog.  Nasiib wanaagse, dhiig karka si fudud ayaa loo ogaan karaa.  Markaad ogaato inaad leedahay dhiig kar, waxaad la shaqeyn kartaa dhakhtarkaaga si aad u xakameyso.

 

 Astaamaha

 Inta badan dadka qaba dhiig karka ma laha calaamado iyo astaamo, xitaa haddii aqrinta cadaadiska dhiigga ay gaaraan heerar sare oo khatar badan.

 Dad yar oo qaba dhiig kar ayaa laga yaabaa inay yeeshaan madax xanuun, neefta oo ku qabata ama sanka oo dhiig ka yimaado, laakiin astaamahan  ayaa si gaar ah u qeexnayn oo badiyaa ma dhacaan ilaa dhiig karka uu ka gaaro heer daran ama naf-gooya ah

 Goormee Dhakhtar La Arki Karaa?

 Waxaad u badan tahay in lagaa qaado cadaadiska dhiiggaaga oo qayb ka ah ballanta dhakhtarka caadiga ah.

 Weydiiso dhakhtarkaaga akhrinta cadaadiska dhiigga ugu yaraan labadii sanoba mar oo ka bilaabanaya da'da 18. Haddii aad tahay 40 jir ama ka weyn, ama aad tahay 18 illaa 39 oo aad khatar sare ugu jirto dhiig karka, weydii dhakhtarkaaga dhiig kar  akhriska sanad walba.

 Cadaadiska dhiigga guud ahaan waa in laga hubiyaa labada gacmood si loo ogaado haddii uu jiro farqi.  Waa muhiim inaad isticmaasho kab cabbirka gacanta ku habboon.

 Dhakhtarkaaga ayaa u badan inuu kugula taliyo aqrinta badan ee soo noqnoqota haddii mar hore lagaa helay dhiig kar ama aad leedahay waxyaabo kale oo qatar u ah cudurada wadnaha.  Carruurta da'doodu tahay 3 ama ka weyn caadi ahaan waxaa lagu cabiraa cadaadiska dhiigga oo qayb ka ah baaritaanadooda sanadlaha ah.

 Haddii aadan si joogto ah u arkin dhakhtarkaaga, waxaa laga yaabaa inaad awood u yeelato in lagaa qaado baaritaanka cadaadiska dhiigga oo bilaash ah carwooyinka khayraadka caafimaadka ama meelaha kale ee bulshadaada ah.  Waxa kale oo aad ka heli kartaa mashiinno dukaamada qaarkood oo cabbiraya cadaadiska dhiiggaaga oo bilaash ah.

 Mashiinnada cadaadiska dhiigga dadweynaha, sida kuwa laga helo farmasiyada, ayaa laga yaabaa inay bixiyaan macluumaad waxtar leh oo ku saabsan dhiig karkaaga, laakiin waxay yeelan karaan xoogaa xaddidan.  Saxsanaanta mashiinadan waxay kuxirantahay dhowr arimood, sida cabirka  saxda ah iyo isticmaalka saxda ah ee mishiinada.  Weydiiso dhakhtarkaaga talo ku saabsan isticmaalka mashiinnada dhiig karka dadweynaha.

 Sababaha

 Waxaa jira laba nooc oo ah dhiig kar.

 Dhiig karka aasaasiga ah (lagama maarmaanka ah)

 Dadka qaangaarka ah badankood, ma jiraan wax la garan karo oo keena dhiig karka.  Nooca dhiig karka, oo loo yaqaan dhiig-karka aasaasiga ah (lagama-maarmaanka ah), wuxuu u muuqdaa inuu si tartiib tartiib ah u soo kobcayo sannado badan.

 Dhiig karka sare

 Dadka qaar waxay qabaan dhiig kar sare oo ka dhashay xaalad jirta.  Nooca dhiig karka, oo loo yaqaan hypertension Secondary, wuxuu u muuqdaa inuu si lama filaan ah u soo muuqdo wuxuuna keenaa cadaadis dhiig oo ka sarreeya kan dhiig-baxa koowaad.  Xaaladaha kala duwan iyo daawooyinka waxay u horseedi karaan dhiig-kar sare, oo ay ka mid yihiin:

 1. Hurdo la'aanta hurdada

 2. Cudurka kilyaha

 3. Burooyinka qanjidhada adrenal

 4. Dhibaatooyinka qanjirka 'thyroid'

 5. Cilladaha qaarkood ee aad ku dhalatay (congenital) xididdada dhiigga.

 6. Daawooyinka qaarkood, sida kaniiniyada ka hortagga uurka, daaweynta qabowga, dawooyinka suuxdinta, dawooyinka xanuunka joojiya ee lagaa iibsado iyo daawooyinka dhakhtar qoray

 7. Daroogooyinka sharci darrada ah, sida kookaha iyo amfetamines

 8. Daawooyin iyo waxyaabo dheeri ah oo kor u qaadi kara cadaadiska dhiiggaaga

 Welwelka: Sababta keenta dhiig karka?

 

 Dhiig karka wuxuu leeyahay qodobo badan oo qatar ah, oo ay ka mid yihiin:

 1. Da'da.  Halista dhiig karka ayaa sii kordheysa markii aad gabowdo.  Ilaa da'da 64, dhiig karka ayaa ku badan ragga.  Haweenka waxay u badan tahay inuu ku dhaco dhiig karka markay gaaraan da'da 65.

 2. Jinsiyada.  Dhiig karka wuxuu si gaar ah ugu badan yahay dadka hidaha Afrika, badanaa wuxuu ku dhacaa da 'ka sii horreeya sida uu ku sameeyo dadka cadaanka ah.  Dhibaatooyinka halista ah, sida istaroogga, wadnaha oo istaaga iyo kalyaha oo aan shaqeyn, sidoo kale waxay ku badan yihiin dadka leh hidaha Afrika.

 3. Taariikhda qoyska.  Dhiig karka waxa uu ku dhacaa qoysaska.

 4. Miisaan culus ama cayillan.  Inta badan ee aad miisaameyso, dhiig badan ayaad u baahan tahay inaad ku siiso oksijiin iyo nafaqooyinka unugyadaada.  Markasta oo xaddiga dhiiggu ku dhufto marinnada dhiiggaaga ay kordhaan, ayaa sidoo kale waxaa kordhaya cadaadiska darbiyada xididkaaga.

 5. Dhaqdhaqaaq la'aan.  Dadka aan firfircooneyn waxay u muuqdaan inay leeyihiin heerar garaaca wadnaha oo sareeya.  Markuu sare u kaco heerka garaaca wadnahaaga, ayaa adkaanaya wadnahaagu inuu ku shaqeeyo foosto kasta isla markaana uu sii xoogeysto xoogga xididdada dhiigga.  Dhaqdhaqaaqa jirka oo yaraada ayaa sidoo kale kordhiya halista miisaanka culus.

 6. Isticmaalka tubaakada.  Ma aha oo kaliya sigaar cabista ama calalinta tubaakada isla markiiba waxay kor u qaadeysaa cadaadiska dhiiggaaga si ku meelgaar ah, laakiin kiimikooyinka ku jira tubaakada waxay dhaawici karaan dahaadhka darbiyada xididkaaga.  Tani waxay sababi kartaa xididdada dhiiggaaga inay yaraadaan oo ay kordhiyaan halista cudurka wadnaha.  Sigaar cabista sigaarka waxay kaloo kordhin kartaa halista cudurka wadnahaaga.

 7. Milix aad u badan (sodium) oo ku jira cuntadaada.  Soodhiyam aad u badan oo ku jirta cuntadaada waxay u sababi kartaa jirkaaga inuu xajiyo dheecaanka, taasoo kordhinaysa cadaadiska dhiigga.

 8. Kali yaroo ku jirta cuntadaada.  Kaliumperium wuxuu ka caawiyaa isu dheellitirka xaddiga soodhiyamka ee unugyadaada.  Isku dheelitirka saxda ah ee potassium ayaa muhiim u ah caafimaadka wadnaha oo wanaagsan.  Haddii aadan ka helin macdanta ku filan ee cuntadaada ah, ama aad lumiso potassium aad u badan sababtoo ah fuuqbax ama xaalado kale oo caafimaad, soodhiyamku wuxuu ku kici karaa dhiiggaaga.

9.  Cabitaanka khamriga badan.  Waqti ka dib, cabbista badan waxay dhaawici kartaa wadnahaaga.  Inaad yeelato wax kabadan hal cabitaan maalintii dumarka iyo in kabadan laba cabitaan maalintii ragga ayaa saameyn ku yeelan kara cadaadiska dhiiggaaga.

 10. Haddii aad khamri cabto, ku cab si dhexdhexaad ah.  Dadka qaangaarka ah ee caafimaadka qaba, taas macnaheedu waa ilaa hal cabitaan maalintii dumarka iyo laba cabitaan maalintii ragga.  Hal cabitaan wuxuu u dhigmaa 12 wiqiyadood oo biir ah, 5 wiqiyadood oo khamri ah ama 1.5 wiqiyadood oo ah khamri 80-caddeyn ah.

 11. Cadaadis.  Heerarka sare ee culeyska fekerka waxay u horseedi karaan koror ku meel gaar ah ee cadaadiska dhiigga.  Caadooyinka la xiriira culeyska fekerka sida in badan oo la cuno, isticmaalka tubaakada ama aalkolo la cabo waxay u horseedi kartaa cadaadis dhiig oo kordha.

 12. Xaaladaha qaarkood ee dabadheeraada.  Xaaladaha qaarkood ee dabadheeraad ah ayaa sidoo kale kordhin kara halista dhiig karka, oo ay ku jiraan cudurrada kalyaha, kaadi macaan iyo hurdo la'aan.

 Mararka qaar uurku wuxuu ka qayb qaataa dhiig karka sidoo kale.

 In kasta oo dhiig karku badanaa ku badan yahay dadka waaweyn, haddana carruurtu khatar ayey ku jiri karaan, sidoo kale.  Carruurta qaarkood, dhiig karka waxaa sababa dhibaatooyinka kelyaha ama wadnaha.  Laakiin tirada sii kordheysa ee carruurta, caadooyinka hab-nololeedka liita - sida cunno aan caafimaad qabin iyo jimicsi la’aan - waxay gacan ka geystaan ​​dhiig karka.

 Dhibaatooyinka

 Cadaadiska xad dhaafka ah ee darbiyada halbowlahaaga ee uu sababo dhiig karka wuxuu dhaawici karaa xididdada dhiiggaaga iyo sidoo kale xubnahaaga.  Dhiig karkaagu marba marka ka sii dambeeya oo uu sii dheeraado inta aan la xakamaynin ayaa dhaawaca uu sii weynaan doonaa.

 Dhiig karka aan la xakamayn wuxuu u horseedi karaa dhibaatooyin ay ka mid yihiin:

 1. Wadne qabad ama istaroog.  Cadaadiska dhiig karka wuxuu sababi karaa adkaansho iyo dhumucda xididada dhiigga (atherosclerosis), taasoo u horseedi karta wadno qabad, istaroog ama dhibaatooyin kale.

 2. Nafaqada  Cadaadiska dhiigga oo kordha wuxuu sababi karaa xididdada dhiigga ee daciifa oo weynaada, sameysma xidid dhiig ah.  Haddii aneurysm dillaaco, waxay noqon kartaa mid nafta halis galisa.

 3. Wadne istaag.  Si dhiig looga dul qaado cadaadiska sare ee marinnadaada, wadnuhu waa inuu si adag u shaqeeyaa.  Tani waxay keentaa in darbiyada qolka bamgareynta wadnuhu ay adkaadaan (bidix ventricular hypertrophy).  Ugu dambeyntiina, muruqa qaro weyn ayaa laga yaabaa inuu ku adkaado inuu ku shubo dhiig ku filan si uu u daboolo baahida jirkaaga, taasoo u horseedi karta wadnaha oo istaaga.

4.  Wiiqmay oo yaraaday xididdada dhiigga ee kilyahaaga.  Tani waxay ka hortagi kartaa xubnahaan inay si caadi ah u shaqeeyaan.

 5. Xididdada dhiigga oo isku dhagan, cidhiidhi ah ama jeexan indhaha.  Tani waxay sababi kartaa lumis araga.

 6. Cudurka dheef-shiid kiimikaadka.  Cudurkaan cillad-daruuriga ah waa koox ka mid ah ciladaha ku dhaca dheef-shiid kiimikaadka jirkaaga, oo ay ku jiraan cabirka dhexda oo kordha, triglycerides-ka sareeya, kolestaroolka (HDL) cufnaanta sare leh (kolestaroolka "wanaagsan"), dhiig karka sarreeya iyo heerarka insulin-ta oo sarreeya.  Xaaladahan ayaa kaa dhigaya inaad u badan tahay inaad ku dhacdo sonkorow, wadne xanuun iyo istaroog.

 7. Dhibaato xagga xusuusta ama fahamka ah.  Cadaadiska dhiig karka ee aan la xakamayn wuxuu sidoo kale saameyn ku yeelan karaa awoodaada inaad ka fikirto, wax xasuusato oo aad waxbarto.  Dhibaato xagga xusuusta ah ama fahamka fikradaha ayaa ku badan dadka qaba dhiig karka.

 8. Asaasaqa  Xididdada dhiigga ee cidhiidhiga ah ama xidhan ayaa xaddidi kara socodka dhiigga ee maskaxda, taasoo horseedaya nooc ka mid ah waallida (vascular dementia).  Istaroog istaaga socodka dhiigga ee maskaxda sidoo kale wuxuu sababi karaa waallida xididdada dhiigga.

W/Q: Abdikadir M. Abdullahi 

TAXANAHA CAAFIMAADKA (2). Dhabar Xanuun.

 

 Dhabar xanuunka waa sababaha ugu badan ee dadku u aadaan dhakhtarka ama shaqada uga maqnaadaan, waana sababta ugu weyn ee naafonimada adduunka oo dhan.

 Nasiib wanaag, waxaad qaadi kartaa tallaabooyin aad kaga hortageyso ama aad ku yareynayso inta badan dhacdooyinka xanuunka dhabarka.  Haddii ka hortaggu guuldareysto, daaweynta guriga ee fudud iyo makaanikada jirka ee saxda ah badanaa waxay bogsiinayaan dhabarkaaga toddobaadyo yar gudahood waxayna sii wadi doonaan inay shaqeeyaan.  Qalliin si dhif ah ayaa loogu baahan yahay in lagu daaweeyo xanuunka dhabarka.

 

      Astaamaha

 Xanuunka dhabarku wuxuu u dhexeeyaa murqo xanuun ilaa xabad, gubasho ama dareemid mindi.  Intaas waxaa sii dheer, xanuunka ayaa laga yaabaa inuu u soo baxo lugtaada ama wuxuu uga sii darayaa laabashada, qallooca, qaadista, istaaga ama socodka.

 Goorme dhakhtar la aadi karaa?

 Xanuunka dhabarka badankiisa si tartiib tartiib ah ayuu ugu fiicnaadaa daaweynta guriga iyo is-daryeelidda, badanaa toddobaadyo gudahood.  La xiriir dhakhtarkaaga haddii dhabar xanuunkaagu:

 1. Ku adkeysanaya dhowr toddobaad

 2. Aad u daran oo uusan ku fiicnayn nasashada

 3. Wuxuu ku fidaa hal ama labada lugood, qaasatan hadii xanuunku ka hooseeyo jilibka

 4. Wuxuu keenaa daciifnimo, kabuubyo ama cuncun hal ama labada lugood

 5. Waxaa weheliya miisaan lumis aan la faahfaahin

 6. Marar dhif ah, xanuunka dhabarku wuxuu tilmaami karaa dhibaato caafimaad oo daran.  Raadi daryeel degdeg ah haddii dhabar xanuunkaagu:

7. Wuxuu keenaa dhibaatooyin cusub oo saxaro ama kaadi haysta

8. Waxaa weheliya qandho

 9. Waxay raacdaa dhicid, dhabarka u garaac ama dhaawac kale

 

   Sababaha

 Xanuunka dhabarka oo hooseeya oo ay sababaan xumaanshaha laf-dhabarka iyo dhaawaca.

 Xanuunka dhabarka ayaa badanaa soo baxa sabab la'aan oo dhakhtarkaagu ku aqoonsan karo baaritaan ama daraasad sawir leh.  Xaaladaha badanaa lala xiriiriyo xanuunka dhabarka waxaa ka mid ah:

 1. Murqo ama murqo xanuun.  Qaadista culus  ama dhaqdhaqaaq naxdin leh oo kadis ah ayaa culeys saari kara murqaha dhabarka iyo isgoysyada lafdhabarta.  Haddii aad ku jirtid xaalad jireed oo liidata, culeys joogto ah oo dhabarkaaga ku haya wuxuu sababi karaa murqo xanuun.

 Bulging ama diskiga dillaacay.  Cajaladuhu waxay u dhaqmaan sida barkin udhaxeysa lafaha (vertebrae) ee lafdhabartaada.  Qalabka jilicsan ee ku dhex jira diskugu wuu soo bixi karaa ama dillaaci karaa oo ku riixi karaa neerfaha.  Si kastaba ha noqotee, waxaad yeelan kartaa barar ama dillaac disk aan lahayn dhabar xanuun.  Cudurka 'Disk disease' waxaa badanaa lagu arkaa dhacdo ahaan marka aad yeelato raajo laf-dhabarka sababo kale awgood.

 Arthritis.  Cudurka 'Osteoarthritis' wuxuu saameyn ku yeelan karaa dhabarka hoose.  Xaaladaha qaarkood, arthritis-ka laf-dhabarka wuxuu u horseedi karaa cidhiidhi ah booska ku wareegsan laf-dhabarka, xaalad loo yaqaan 'stenosis spinal'.

 Cudurka Osteoporosis.  Laf-dhabartaada  ayaa horumarin karta jabka xanuun leh haddii lafahaagu noqdaan kuwa jilicsan oo jajaban.

 

 Sababta xanuunka dhabarka u hooseeya?

 Waxyaabaha halista ah

 Qof kastaa wuu horumarin karaa xanuunka dhabarka, xitaa carruurta iyo dhalinyarada.  Arrimahan ayaa laga yaabaa inay kugu ridaan khatar weyn oo ah inuu kugu dhaco xanuunka dhabarka:

 Da'da.  Xanuunka dhabarka ayaa aad ugu badan markaad weynaato, wuxuu bilaabmaa qiyaastii 30 ama 40 jir.

 Jimicsi la’aan.  Muruqyo daciif ah, oo aan dhabarkaaga iyo caloosha la isticmaalin ayaa laga yaabaa inay u horseedaan xanuun dhabarka ah.

 Miisaanka xad-dhaafka ah.  Miisaanka jidhka ee xad-dhaafka ahi wuxuu culeys dheeri ah saarayaa dhabarkaaga.

 Cudurada.  Noocyada arthritis-ka iyo kansarka qaarkood ayaa gacan ka geysan kara xanuunka dhabarka.

 Qaadista aan habboonayn.  Isticmaalka dhabarkaaga halkii aad ka isticmaali lahayd lugahaaga waxay kuu horseedi kartaa dhabar xanuun.

 Xaaladaha cilmu-nafsiga.  Dadka u nugul niyad-jabka iyo walaaca waxay umuuqdaan inay leeyihiin halista ugu weyn ee xanuunka dhabarka.

 Sigaar cabid:  Sigaar cabayaashu waxay kordhiyeen heerarka xanuunka dhabarka.  Tani way dhici kartaa sababtoo ah sigaarcabku wuxuu keenaa qufac badan, taas oo u horseedi karta saxannada herniated.  Sigaar cabiddu waxay kaloo yareyn kartaa socodka dhiigga ee lafdhabarta waxayna kordhisaa halista lafa-beelka.

    Ka Hortagga

 Waxaa laga yaabaa inaad ka fogaato xanuunka dhabarka ama aad ka hortagto soo noqoshadiisa adoo hagaajinaya xaaladaada jireed iyo barashada iyo ku celcelinta makaanikada jirka ee saxda ah.

 Si  dhabarkaaga u ahaado mid caafimaad qaba oo xoog leh:

 Jimicsi.  Hawlaha jimicsiga ee saamaynta yar-yar - kuwa aan culeyska saarin ama aan dhabarkaaga u murgin - waxay kordhin karaan xoog iyo adkaysi dhabarkaaga ah waxayna u oggolaan karaan muruqyadaadu inay si fiican u shaqeeyaan.  Socodka iyo dabaasha ayaa ah xulasho wanaagsan.  Kala hadal dhakhtarkaaga howlaha aad isku dayi karto.

 Dhis murqaha iyo dabacsanaanta.  Jimicsiga muruqyada caloosha iyo dhabarka, kuwaas oo xoojiya xuduntaada, waxay caawiyaan xaaladda murqahaas si ay u wada shaqeeyaan sida maqaarka dabiiciga ah ee dhabarkaaga.

 Joogto miisaan caafimaad leh.  Miisaan culus ayaa muruqyada dhabarka.  Haddii aad cayillan tahay, hoos u dhigidda ayaa ka hortagi karta xanuunka dhabarka.

 Sigaar joojinta  Sigaar cabiddu waxay kordhisaa halista xanuunka dhabarka oo hooseeya.  Khatartu waxay ku sii kordheysaa tirada sigaarka maalin kasta la cabo, sidaas darteed joojinta waa inay gacan ka geysataa yareynta halistaas.

 Ka fogow dhaq-dhaqaaqa qalloocinaya ama dhabarka miijinaya.  Si habboon u isticmaal jirkaaga:

 Caqli istaag.  Ha liicin  Joogtee meel miskaha oo dhexdhexaad ah.  Haddii ay tahay inaad istaagto muddo dheer, dhig hal cag sagxad cag yar si aad wax uga qaaddo culeyska dhabarkaaga hoose.  Cagaha kale.  Joogitaanka wanaagsan wuxuu yareyn karaa culeyska murqaha dhabarka.

 Caqli fadhiiso:  Xullo kursi leh dhabarka hoose ee garabka, kuraasta gacanta iyo salka wareegga.  Barkin ama tuwaal duuban oo aad ku dhigto dhabarkaaga yar ayaa ilaalin kara qalooca caadiga ah.  Jilbahaaga iyo miskahaaga heer ka dhig.  Badal booskaaga, ugu yaraan nus saac kasta.

 Sare u qaad caqli  Iska ilaali qaadista culus, hadday suurogal tahay, laakiin haddii ay tahay inaad wax culus qaaddo, lugahaaga u daa inay shaqada qabtaan.  Dhabarkaaga toos u hay - maroojin - oo jilbaha u laabo oo keliya.  Ku hay culeyska jirkaaga.  Raadi lammaane kor u qaadaya haddii sheygu culus yahay ama xun yahay.

W/Q: Abdikadir M. Abdullahi 

How To Treat Liver Fibrosis.

 

How To Treat Liver Fibrosis. 

Your liver is a staggering organ—it can develop back from barely anything. Yet, on the off chance that it's harmed time after time, it can prompt a condition called fibrosis. The uplifting news is you can stop the harm before it deteriorates. 

Question 1 of 6: 

Treat Liver Fibrosis Step 1 

Fibrosis is scar tissue that structures on your liver. 

Your liver truly is an astounding organ. It's ready to mend and fix itself from a wide range of harm. It can even recover. Just 30% of your liver can regrow to its unique size.But at times when it mends itself, scar tissue can shape, which can influence how your liver capacities. The scar tissue that structures on your liver is called fibrosis. 

Liquor misuse, viral hepatitis, and non-alcholic greasy liver can cause fibrosis. 

Scar tissue forms into fibrosis when your liver is more than once or constantly harmed. In spite of the fact that your liver can fix itself and make new sound cells when it's harmed, on the off chance that it gets harmed again and again, the fixes can bring about scar tissue. There are a couple of possible reasons for fibrosis, however the scar tissue doesn't shape because of a liver condition. 

Fibrosis can prompt serious scarring called cirrhosis. 

On the off chance that fibrosis is far reaching and extreme, the scar tissue can frame groups of scar tissue all through your liver called cirrhosis. Cirrhosis can annihilate your liver's interior construction and influence its capacity to capacity and fix itself from additional harm. Cirrhosis can prompt genuine clinical issues and can be conceivably dangerous. 

Question 2 of 6: 

Causes 

Treat Liver Fibrosis Step 4 

Long periods of liquor misuse can prompt fibrosis. 

Your liver channels your blood to eliminate foreign substances and poisons. At whatever point you drink liquor, your liver channels it out. In the event that you constantly misuse liquor, which means hit the bottle hard over a time of years, it can harm your liver and cause scar tissue to shape. Hard-core boozing is portrayed as having more than 4-5 beverages in a 2-hour time frame. Whenever left untreated, the scar tissue can spread all through your liver and transform into cirrhosis. 

Persistent viral hepatitis can likewise cause fibrosis. 

Hepatitis B, C, and D are provocative liver conditions brought about by a viral disease. On the off chance that you have a persistent type of hepatitis, where your liver is regularly aroused, it can cause harm that can prompt fibrosis. 

Nonalcoholic greasy liver sickness (NAFL) can in some cases cause fibrosis. 

NAFL normally happens in fat individuals, individuals who have diabetes (or prediabetes), or individuals who have undeniable degrees of fats and cholesterol in their blood. In the event that there's a lot of fat on your liver, it can cause irritation that can form into fibrosis. 

A development of hefty metals can likewise harm your liver. 

Hemochromatosis is a condition that causes an iron over-burden in your liver. Wilson infection makes copper aggregate in your liver. On the off chance that you have a significant degree of substantial metals in your liver, it can harm it and cause the scarring that prompts fibrosis. 

In some cases, the reason isn't known. 

It very well might be baffling, yet now and again you will not have the option to figure out what's harming your liver and causing the fibrosis.You might have an acquired hereditary issue that you didn't think about or take drugs that cause harm to your liver, like methotrexate or isoniazid. In all actuality, you may never know precisely what's causing your cirrhosis. 

Question 3 of 6: 

Treat Liver Fibrosis Step 9 

Fibrosis itself doesn't bring about any manifestations. 

You could have indications because of a hidden sickness or confusion that is additionally causing your fibrosis. However, the scar tissue on your liver will not reason any perceptible side effects. 

On the off chance that the harm gets too extreme, your fibrosis can transform into cirrhosis. 

Side effects of cirrhosis incorporate weakness, loss of hunger, and irritated, yellow skin. You can likewise have liquid amass in your mid-region and have arachnid like veins on your skin. In genuine cases, you can encounter disarray, tiredness, and slurred discourse. 

Question 4 of 6: 

Treat Liver Fibrosis Step 11 

Your primary care physician will arrange blood tests to check your liver capacity. 

The easiest, least obtrusive test is a blood test. Your PCP will draw blood from you and run of arrangement of tests that check for indications of unfortunate liver capacity. A blood test might be all your PCP needs to affirm a fibrosis conclusion. 

Some non-obtrusive imaging tests might have the option to recognize fibrosis. 

Luckily, with the present current science, your primary care physician can investigate your liver utilizing non-intrusive imaging like a ultrasound, electronic tomography (CT check), or attractive reverberation imaging (MRI). These tests can typically affirm whether you have fibrosis, however they will be unable to decide how broad the harm is. 

You may have to have a liver biopsy to affirm fibrosis. 

On the off chance that your primary care physician isn't happy with blood and imaging tests, they may decide to take a biopsy. The strategy includes your primary care physician utilizing a needle to take a little example of tissue from your liver. They would then be able to test the example to discover precisely how broad the harm is. 

Question 5 of 6: 

Treatment 

Treat Liver Fibrosis Step 14 

Halting the reason for the fibrosis is the way to treatment. 

There aren't actually some other medicines for fibrosis. When your PCP sorts out what's causing the harm, you can quit utilizing or doing whatever it is that is harming your liver. 

Antiviral medications can treat persistent viral hepatitis. 

On the off chance that you have persistent hepatitis B, C, or D, there are drugs that can treat and dispose of the infection. Your PCP will actually want to run tests to affirm precisely which one you have. At that point, you can take antivirals that will fix the contamination and stop the irritation of your liver. 

Quit utilizing any medications or liquor causing the fibrosis. 

In the event that liquor is the reason for your liver harm, quit drinking when you can to forestall further harm. A few medications and meds can likewise cause fibrosis. On the off chance that that is the situation, quit taking them. Your PCP can help you discover elective drugs that will not harm your liver. 

Medications can eliminate hefty metals on the off chance that they're causing harm. 

In the event that you have a condition, for example, hemochromatosis or Wilson illness you may require medications to assist your body with disposing of them. When the weighty metals are out of your framework, they will not reason any further harm to your liver. 

Shedding pounds and controlling glucose levels can treat NAFL. 

Nonalcoholic greasy liver can be controlled and surprisingly switched by dealing with the reasons for the condition. In case you're stout or have a lot fat and cholesterol in your blood, you can shed pounds through sound eating regimen and exercise to help decrease the measure of fat on your liver. In case you're diabetic, dealing with your glucose levels can forestall harm to your liver. 

Question 6 of 6: 

Forecast 

Picture named Treat Liver Fibrosis Step 19 

Your liver can fix itself in the event that you can forestall further harm. 

Your liver is a very strong organ. It can recuperate itself strikingly well. Furthermore, if your fibrosis hasn't advanced to all out cirrhosis, in the event that you can forestall further harm, your liver might have the option to completely mend inside a couple of years, contingent upon how broad the scarring is. 

Dealing with your side effects is the principle treatment for cirrhosis. 

In the event that your fibrosis advances to cirrhosis, the objectives of treatment are to moderate the spread of scar tissue and treat any side effects you experience. In cutting edge instances of cirrhosis, a liver transfer might be the solitary treatment choice. The sooner you can begin treatment for cirrhosis, the better you'll have the option to oversee it.

5 Easy Ways to Eat More Vegetables Every Day.

5 Easy Ways to Eat More Vegetables Every Day. 

A large portion of us don't get enough vegetables despite the fact that we know they're really sound. Here's the means by which you can eat more, as per a dietitian, without investing a ton of energy in the kitchen. 

AbdikadirM. Abdullahi 

April 26, 2021

Facebook page: Abdikadir M. Abdullahi 

Since having my subsequent child, I've battled to figure out how to prepare and cook sound choices for our family. As a rule we're eating something fast. A few evenings it's takeout. A few evenings it's pasta. Also, a few evenings we're fortunate to oversee cheddar and wafers for supper. While I know exploring infant life is only a short season, I've been putting forth a greater amount of an attempt to eat vegetables (and natural products) to help keep us sound. 

Related: This is What a Day's Worth of Fruits and Vegetables Looks Like 

Regardless of whether you're really occupied or simply need to support your produce consumption, there are a few systems I've executed to help get that going. Veggies should be pretty much as simple as could be expected. That implies they don't all should be neighborhood, natural and new (if that is really critical to you, take the plunge, yet it's excessive). Getting vegetables in your eating routine is a higher priority than zeroing in on eating "consummately" and that implies depending on comfort here and there. I know I'm in good company to require quick suppers that additionally incorporate vegetables, so ideally these tips can help you as well. 

cherry tomato pasta shot overhead in blue dishes with the beet logo 

1. Take out cleaving 

This will not work for each vegetable, yet many come all set. Think child carrots, cut mushrooms, cherry tomatoes and infant spinach. Regardless of whether you're getting them for a fast tidbit or tossing them into dishes, similar to 20-Minute Cherry Tomato and Garlic Pasta or Spinach-Mushroom Frittata, your vegetables don't need prep, saving you time in the kitchen. Other pre-slashed vegetables, similar to cauliflower, butternut squash and broccoli, cut down on cleaving however regularly cost a premium. 

2. Decide on frozen and canned 

On the off chance that you need accommodation without paying extra, pick frozen and canned vegetables. Regardless of what you may have heard, frozen and canned vegetables are similarly pretty much as nutritious as new vegetables. Frozen vegetables are picked at top readiness and glimmer frozen. Canned vegetables frequently have added sodium, which might be a worry for you, however numerous organizations are offering low-sodium assortments. Frozen and canned vegetables are extraordinary in light of the fact that they keep going quite a while, they're cheap, they require basically no planning and work in an assortment of dishes. My number one frozen alternatives are peas, corn and broccoli. Canned champs in our home incorporate tomatoes and artichoke hearts. Having these close by make it simpler to add a few nutrients, minerals and fiber to any feast. (Here are our main 5 canned veggies, positioned.) 

3. Nibble more intelligent 

In spite of my earnest attempts, a few suppers snacks actually need vegetables. That is OK. On days when time is especially close—my significant other is burning the midnight oil, I have a truly bustling work day, school is shut—I attempt to ensure I incorporate a few vegetables for snacks. I will in general nibble on nuts and organic product, yogurt and granola, an energy bar or cheddar and saltines. I need to deliberately remind myself to pick vegetables. Cucumber or chime pepper cuts with hummus, carrots and peanut butter (don't thump it until you attempt it) or a cup of vegetable soup all make yummy bites and help me support my veggie admission for the afternoon. 

4. Use your lethargic cooker 

At the point when I think moderate cooker, I will in general think goliath hunks of meat stewing until they're delicate. In any case, as of late, I've been exploiting our lethargic cooker to put more veg-forward meals on the table. While nights are insane with two little youngsters, I frequently have a pocket of time prior in the day to cleave a few vegetables and toss them in my lethargic cooker. These Slow-Cooker Southwest Quinoa Bowls incorporate peppers, onions, tomatoes and corn—in addition to they're tasty! These simple vegan moderate cooker plans have been giving me bunches of motivation to get my veggies in consistently. (In case you're a greater amount of an Instant Pot fan, these sound vegan plans can help motivate you.) 

5. Utilize locally acquired sauces 

Vegetables should be delectable with the goal for you to eat them. At this moment, I don't have the opportunity to prepare innovative marinades, dressings and sauces—I'm depending on locally acquired choices. Regardless of whether that is a plate of mixed greens unit that accompanies yummy garnishes and dressing (here are 10 top choices from Trader Joe's), depending on pesto to light up simmered vegetables or utilizing pan fried food sauces for simple suppers.