The Orthopedic residents and senior staff of Jimma University Medical Center (JUMC) held a farewell dinner in honor of Dr. Tolosa Dibisa, former Head of the Orthopedic Department, as he departs to pursue an international fellowship program.

The event also served to warmly welcome Dr. Yohannes Shugie as the new Head of Department.

We extend our heartfelt gratitude to Dr. Tolosa for his years of dedicated service, leadership, and mentorship, and wish him success in his future endeavors.

At the same time, we are proud to welcome Dr. Yohannes, whose experience and vision are set to guide the department into its next chapter of growth and excellence.

@HakimEthio

የሽንት ቧንቧ ጫፍ ከተፈጥሮው ቦታ በታች መሆን | Ujummoo fincaanii caafii hin ga’iin hafe | Hypospadiasis
Amharic | Afaan Oromoo

"ዶ/ር ልጄ የተወለደው በተፈጥሮ ተገርዞ ነው። የማርያም ግርዛት አለው: የሽንት ቧንቧው ከተፈጥሮው ቦታ በታች ነው። ሲሸና ሽንቱ ልብሱን ይነካል። መፍትሄ አለው? መፍትሄው ምንድነው?” በስራ ቦታዬ በተደጋጋሚ የሚያጋጥመኝ ጥያቄ ነው።

ይህ ችግር ምንድን ነው?

ይህ ችግር በተፈጥሮ የሚከሰት እና በህክምና ቋንቋ 'ሃይፖስፓዳይስስ' በመባል ይታወቃል። በተለምዶ 'የማርያም ጊሪዛት' በመባል ይታወቃል:: የፊኛው ጫፍ ከብልቱ ጫፍ በታች ወደፊት ይገኛል ማለት ነው።

እንዴት ነው የምፈጠረው?

የፊኛው ጫፍ በተፈጥሮው በወንድ ብልት ጫፍ ላይ ይገኛል:: ፊኛው ይህንን ቅርጽ የሚይዘው ህጻኑ በማህፀን ውስጥ እያለ ነው:: ይህ የሚሆነው የሽንት ቱቦው እስከ ብልት ጫፍ ድረስ ካላደገ ነው::

ምልክቶቹ ምንድን ናቸው?

የፊኛ ጫፍ ከብልቱ ጫፍ በታች ሊሆን ይችላል፣ ብልቱ ወደ ታች መታጠፍ፣ ወደ ፊት ቀጥ ብሎ መሽናት አለመቻል፣ ሽንት በሚሸናበት ጊዜ ጨርቁን ሊነካ ይችላል፣ አልፎ አልፎም ብልቱ የወንድ ልጅ ላይመስል ይችላል።

ቤተሰቡ በልጁ ላይ እነዚህን ባህሪያት ካገኙ ምን ማድረግ አለባቸው? ልጁ መገረዝ የለበትም:: ምርመራ ለማድረግ ልጁን ወደ ሐኪም ይውሰዱት::

ሕክምና፡- ችግሩ በራሱ አይፈታም ስለዚህ የቀዶ ጥገና ያስፈልገዋል

ሃይፖስፓዲያን ለመጠገን ትክክለኛው ዕድሜ ስንት ነው? በተወለደበት ጊዜ ከታወቀ ከ6-12 ወራት ውስጥ ቀዶ ጥገናውን ማድረግ የተሻለ ነው:: በኋላ ላይ ከታወቀ ቀዶ ጥገናው ከታወቀ በኋላ ወዲያውኑ መደረግ አለበት::

ሕክምና ካልተደረገለት ምን ችግሮች ሊያስከትል ይችላል?

ü ሽንት ልብሶችን ያበላሻሉ እና የንጽህና ችግሮችን ያስከትላል

ü በሽንት ቧንቧ ኢንፌክሽን የመያዝ እድላቸው ከፍተኛ ነው

ü የስነ-ልቦና ተፅእኖ ያስከትላል

ü የፊኛ ጫፍ በጣም ከኋላ በሚወርድበት (proximal hypospadiasis) ላይ በሚገኙ ሕፃናት ላይ የመካንነት ችግርን ሊያስከትል ይችላል::

v ስለዚህ, ይህ ችግር ልምድ ባለው ባለሙያ በጊዜው መታከም አለበት::

“Doctor, mucaan koo uumamaan dhaqna qabatee dhalate. Karaan fincaansaa ittiin fincaa’u bakka uumamaa irraa gad siqee jira. Yeroo fincaan fincaa’u, fincaansaa kofoo/surree isaa tuttuqa. Falli isaa maali?” Kun gaaffii yeroo baay’ee lafa hojii kootti na quunnamuudha.

Rakkoon kun maali?

Rakkoon kun uumamaan kan uumamu yoo ta’u afaan medikaalaan ‘Hypospadiasis’ jedhamee beekama. Innis fiixeen ujummoo fincaanii fiixee qama saalaa gaditti gara fulduraatti gad bu’ee argamuu jechuudha.

Akkamiin uumama?

Fiixeen ujummoo fincaanii uumamaan fiixee qaama saalaa irratti argama. Ujummoon fincaanii kun bifa kana kan qabaatu osoo daa’imni garaa haadhasaa keessa jiruuti. Rakkoon kun kan uumamu yoo ujummoon fincaanii kun guddatee fiixee osoo hin gahiin hafeedha.

Mallattoon isaa maali?

Fiixeen ujummoo fincaanii fiixee qaama salaa gad ta’uu, gad jallachuu qaama saalaa, dhaabbatanii fulduratti fincaa’uu dadhabuu, yeroo fincaa’an fincaan huccuu tuttuquu fi darbee darbee qaamni saalaa kan ijoollee dhiiraa fakkaachuu dhabuu mala.

Maatiin daa’ima mallattoo akkanaa qabuu maal gochuu qabu? Daa’imicha daqna qabuu dhiisuu. Ogeessa yaalaa bira geessuun ilaalchisuu qabu.

Yaallisaa maali?

Yoom yaalamuu qaba? Daa’imni tokko akka dhalateen rakkoo kana qabaachuun isaa yoo beekame, umuriin isaa yeroo ji’a 6-12 gidduutti osoo yaala baqaqsanii yaaluu argatee ni filatama. Umirii sana booda warren jiran immoo akkuma rakkichi barameen osoo yaalamanii gaariidha.

Yoo hin yaalamne rakkoo akkamii geessisuu danda’a?

ü Fincaan huccuu waan xuquuf rakkoo qulqullina qaamaa ni fida

ü Carraan infekshinii ujummoo fincaaniin qabamuu isaanii ni dabala

ü Xinsammuun miidhamuu daa’immanii ni fida

ü Namoota fiixeen ujummoo fincaanii baay’ee gad bu’ee (proximal hypospadiasis) jiru irratti rakkoo dhala dhabuu fiduu danda’a.

Kanaaf rakkoon kun ogeessa muuxannoo qabuun yaala yeroo isaa eeggate argachuu qaba.

Dr. Tafese Gudissa
Pediatric surgeon/ የህጻናት ቀዶ ህክምና ስፔሻሊስት ሀኪም/ Ispeshaalistii baqaqsanii yaaluu daa’immanii.

📞 +251919399329

@HakimEthio

Today the new Orthopedic ward was inaugurated at Filtu General Hospital. The inauguration ceremony was attended by Hospital, Zonal and Woreda administrators.

This development underscores Filtu General Hospital ongoing efforts to expand infrastructure and provide accessible, high quality health care to Liben Zone community, Borena, Guji Zones of Oromia and South Kenya.

The ward is equipped with 40 beds and was built by the participation of Liben Zone community. Credit goes to Hospital CEO, Dr. Feisal Mowlid, Zonal, Woreda Administrators and the community at large.

Compiled by Eyob Mamuye, MPH

@HakimEthio