Hurdo la'aan

Hurdo la’aanta waa dhibaato hurdo la’aan, hurdo la’aan habeenkii oo dhan, ama goor hore oo subax ah.

Dhacdooyinka hurdo la’aanta ayaa laga yaabaa inay yimaadaan oo tagaan ama muddo dheer sii socdaan.

Tayada hurdadaadu waxay muhiim u tahay inta hurdo ee aad hesho.

Caadooyinka hurdo ee aan u baranay caruurnimadeenu waxay saameyn ku yeelan karaan dabeecadeena hurdo ahaan dadka waaweyn. Hurdo xumo ama qaab nololeedka oo sababi kara hurdo la’aan ama uga sii darto waxaa ka mid ah:

• Aadida sariirta waqti kala duwan habeen walba
• Nasashada maalinta
• Deegaanka hurdo xumo, sida buuqa badan ama iftiinka
• Waqti badan ku qaadashada sariirta adiga oo soo jeeda
• Habeenkii shaqada ama xilliyada habeenkii
• Jimicsi la’aan
• Isticmaalka telefishanka, kombiyuutarka, ama aaladda gacanta ee sariirta

Isticmaalka daawooyinka qaar iyo daroogooyinka ayaa sidoo kale saameyn ku yeelan kara hurdada, oo ay ka mid yihiin:

• Khamriga ama daroogooyinka kale
• Sigaar cabid badan
• Kafeyn aad u tiro badan maalintii oo dhan ama cabidda kafeega maalinta dambe
• La qabsiga noocyada dawooyinka hurdada qaarkood
• Qaar ka mid ah daawooyinka qabow iyo kaniiniyada cuntada
• Daawooyinka kale, dhirta, ama kaabisyada

Dhibaatooyinka jirka, bulshada, iyo caafimaadka maskaxda waxay saameyn ku yeelan karaan qaababka hurdada, oo ay ka mid yihiin:

• Cudurka laba-cirifoodka.
• Dareen murugo ama niyad jab. (Badanaa, hurdo la'aan waa astaamaha sababa dadka qaba niyad-jabka inay raadsadaan gargaar caafimaad.)
• Cadaadis iyo walaac, ha noqoto mid muddo-gaaban ah ama mid waqti dheer ah. Dadka qaarkiis, culeyska ka dhasha hurdo la’aanta ayaa xitaa ka dhigeysa mid sii adkeynaya in la seexdo.

Dhibaatooyinka caafimaad sidoo kale waxay u horseedi karaan dhibaatooyin xagga hurdada iyo hurdo la'aan ah:

• Uurka
• Xanuun jireed ama raaxo la'aan.
• Toosida habeenkii si aad u isticmaasho musqusha, oo ku badan ragga leh qanjirka 'prostate'
• Xilliga hurdada

Da 'ahaan, qaababka hurdada ayaa isbeddela. Dad badan ayaa u arka in gabowgu uu ku keeno iyaga waqti adag oo hurdo la, aan iyo in ay hurdada ka kacaan marar badan.

Cabashooyinka ama astaamaha ugu badan ee dadka hurdo la’aanta qaba waa:

• Dhibaato hurdo la'aan habeennada badankood
• Daal dareemid maalintii ama hurdo la'aan maalintii
• Ma dareemaysid cusbooneysiin markaad toosto
• Soo kicinta dhowr jeer inta lagu jiro hurdada

Dadka hurdo la’aantu hayso mararka qaarkood waxaa ku baaba’a fikirka ah inay helaan hurdo ku filan. Laakiin markasta oo ay isku dayaan in ay seexdaan, waxa sii bata jahawareerka iyo murugada, hurdadiina way sii adkaataa.

La'aan hurdo nasasho leh ayaa:

• Kaa dhigo mid daallan oo aan diirada saarin, sidaa darteed way adagtahay inaad qabato howlo maalmeed.
• Khatar geliso shilalka baabuurta. Haddii aad baabuur waddo oo aad hurdo dareento, dib u jiido oo naso.

Bixiyaha xanaanada caafimaadkaaga wuxuu sameyn doonaa baaritaan jireed wuxuuna wax kaa weydiin doonaa daawooyinkaaga hada, isticmaalka daroogada, iyo taariikhdaada caafimaad. Badanaa, kuwani waa hababka kaliya ee loo baahan yahay in lagu ogaado cudurka hurdo la’aanta.

Inaadan helin 8 saacadood oo hurdo ah habeen walba micnaheedu maahan in caafimaadkaaga uu qatar ku jiro. Dad kala duwan ayaa leh baahiyo hurdo oo kala duwan. Dadka qaarkiis waxay ku fiican yihiin 6 saacadood oo hurdo ah habeenkii. Kuwa kale waxay wax fiican qabtaan kaliya haddii ay seexdaan 10 ilaa 11 saacadood habeenkii.

Daaweyntu waxay badanaa ku bilaabataa iyadoo dib loo eegay wixii daawooyin ah ama dhibaatooyin caafimaad ah oo sababi kara ama ka sii dari kara hurdo la’aanta, sida:

• Qanjirada qanjirka 'prostate' oo la ballaariyay, taasoo ragga u horseedda inay soo kacaan habeenkii
• Xanuun ama raaxo daro ka timaadda murqaha, wadajirka, ama cilladaha neerfaha, sida arthritis iyo cudurka Parkinson
• Xaaladaha kale ee caafimaad, sida soo-celinta aashitada, xasaasiyadda, iyo dhibaatooyinka tayroodhka
• Cilladaha caafimaadka maskaxda, sida murugada iyo walwalka

Sidoo kale waa inaad ka fikirto qaab nololeedka iyo caadooyinka hurdada ee saamaynta ku yeelan kara hurdadaada. Tan waxaa lagu magacaabaa nadaafadda hurdada. Ku sameynta xoogaa isbedel ah caadooyinkaaga hurdada ayaa laga yaabaa inay hagaajiso ama xalliso hurdo la'aantaada.

Dadka qaar ayaa laga yaabaa inay u baahdaan daawooyin ka caawiya hurdada muddo gaaban. Laakiin mustaqbalka fog, isbedel lagu sameeyo qaab nololeedkaaga iyo caadooyinkaaga hurdada ayaa ah daaweynta ugu fiican ee dhibaatooyinka la soo darista iyo hurdada.

• Inta badan kaniisada miiska lagu gado (OTC) kaniiniyada hurdada waxaa kujira dawooyinka xasaasiyadda. Daawooyinkaan waxaa badanaa loo isticmaalaa in lagu daaweeyo xasaasiyadda. Jirkaaga si dhakhso leh ayuu ula qabsadaa iyaga.
• Daawooyinka hurdada ee loo yaqaan 'hypnotics' ayaa loo qori karaa bixiyahaaga si looga caawiyo yareynta waqtiga ay kugu qaadaneyso inaad hurudo. Kuwaani badankood waxay noqon karaan caado sameysmo.
• Daawooyinka loo isticmaalo in lagu daaweeyo walwalka ama diiqadda ayaa sidoo kale kaa caawin kara hurdada

Hababka kala duwan ee daaweynta hadalka, sida daaweynta dabeecadda garashada ee hurdo la'aanta (CBT-I), ayaa kaa caawin kara inaad xakameyso walwalka ama niyadjabka.

Dadka badankood waxay awoodaan inay seexdaan iyagoo ku celcelinaya nadaafad wanaagsan ee hurdo.

Wac adeeg bixiyahaaga haddii hurdo la'aantu ay dhibaato noqotay.

Ciladda hurdo la'aanta - hurdo la'aan; Arrimaha hurdada; Dhibaato hurdo la'aan; Nadaafadda hurdada - hurdo la’aan

Anderson KN. Hurdo la'aan iyo daaweynta dabeecadda garashada-sida loo qiimeeyo bukaankaaga iyo sababta ay u noqoneyso qayb caadi ah oo daryeelka ah. J Thorac Dis. 2018; 10 (Qalabka 1): S94-S102. PMID: 29445533 pubmed.ncbi.nlm.nih.gov/29445533/.

Chokroverty S, Avidan AY. Hurdo iyo cilado. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 102.

Vaughn BV, Basner RC. Cilladaha hurdada. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 377.