Hakim

ሄፓታይተስ ቢ ቫይረስ መች ነው መታከም ያለበት? ❌ የተሳሳተ ግንዛቤ (Myth): "ሄፓታይተስ ቢ ከተገኘ ወዲያውኑ መድሀኒት መጀመር አለበት?" ✅ እውነታ (Fact): የሄፓታይተስ ቢ በሽታ (Chronic Hepatitis B) ያለበት ሰው ሁሉ ወዲያውኑ መድሀኒት መጀመር ላይኖርበት ይችላል። መድሀኒት መጀመር የሚወሰነው ቫይረሱ በጉበት ላይ ባለው ጉዳት፣በታካሚው ተጓዳኝ ህመሞች እና ሌሎች የሕክምና ምርመራዎችን በማጣመር ነው። 🩺 ሐኪምዎ የሚገመግማቸው ዋና ነገሮች ✅ የቫይረሱ መጠን (HBV DNA / Viral Load) ✅ የጉበት ኢንዛይሞች (ALT) ✅ HBeAg ሁኔታ ✅ በጉበት ላይ ጠባሳ (Fibrosis) ወይም ሲሮሲስ (Cirrhosis) መኖሩ ✅ ዕድሜ፣ የቤተሰብ ታሪክ እና ሌሎች ተያያዥ የጤና ሁኔታዎች 💊 ሄፓታይተስ ቢ ሕክምና የሚጀመርባቸው ዋና ሁኔታዎች • በጉበት ላይ ጉዳት መኖሩ በደም ምርመራዎች ሲታይ • ሲሮሲስ (Cirrhosis) ሲኖር ወይም ጠባሳ (fibrosis)ሲኖር • ሌሎች ህሞች (Comorbidities)ሲኖሩ ፣በሽታን የመከላከል አቅምን የሚቀንስ ሕክምና ከመጀመራቸው በፊት። ⏳ በሌላ በኩል፣ አንዳንድ ታካሚዎች መድሀኒት ሳይጀምሩ በየጊዜው በምርመራ እና በክትትል ብቻ ሊቀጥሉ ይችላሉ። 🧠 አስታውሱ: ሄፓታይተስ ቢ መኖሩ ብቻ መድሀኒት መጀመር ማለት አይደለም። ትክክለኛው ውሳኔ የሚሰጠው በሐኪም ግምገማ፣ በላብራቶሪ ምርመራዎች እና በጉበት ጤና ሁኔታ መሠረት ነው። #MythVsFact #HepatitisB #HBV #LiverHealth #HealthEducation #EvidenceBasedMedicine #Hakim #Ethiopia 📚 ምንጮች - Guidelines for the Prevention, Care and Treatment of Persons with Chronic Hepatitis B Infection. - (AASLD). Practice Guidance on Prevention, Diagnosis, and Treatment of Chronic Hepatitis B. - (EASL). Clinical Practice Guidelines on the Management of Hepatitis B Virus Infection. Dr. Ermias Nigusie Balcha: MD, Internist SPHMMC @HakimEthio

A Journey of Modern Cardiology: One Patient, Multiple Milestones Every patient has a story, and today I was reminded how far cardiovascular medicine has evolved. During my outpatient clinic, I met a 77-year-old gentleman with type 2 diabetes mellitus and hypertension who continues to enjoy a good quality of life despite a complex cardiovascular history. His remarkable journey includes: A. 2002 (GC) : Successful PCI with 2 coronary stents (Proximal LAD and Obtuse Marginal artery). B. 2009: Repeat PCI with 3 additional stents (Proximal RCA, Left Main Coronary Artery and PDA). C. Later: Implantation of a dual-chamber permanent pacemaker for rhythm management. D. 2023: Catheter-based Left Atrial Appendage (LAA) closure to reduce stroke risk Today, he remains clinically stable, independent in his daily activities, and enjoys a good quality of life with a left ventricular ejection fraction of approximately 45%. This case beautifully illustrates the revolution of modern cardiology. What once required major surgery or offered limited options can now often be managed through advanced catheter-based interventions, contemporary devices, and evidence-based medical therapy. As a Cardiology Fellow, cases like this continue to inspire me. They reinforce my passion for modern cardiovascular medicine and timely intervention, and long-term follow-up can have on our patients' lives. His case reminds us that cardiovascular care is not defined by a single procedure. With timely diagnosis, appropriate interventions, optimal medical therapy, and regular follow-up, patients can continue to live active and meaningful lives even after multiple complex cardiac procedures. ይህ ታካሚ አንድ ትልቅ መልእክት ያስተምረናል ፤ የልብ ሕክምና በአንድ ሂደት አያበቃም። በጊዜው የተደረገ ምርመራ፣ ተገቢ ጣልቃ ገብነት፣ ዘመናዊ መሣሪያዎች፣ ትክክለኛ መድሀኒት እና ቀጣይ ክትትል ሲጣመሩ ብዙ ታካሚዎች ለብዙ ዓመታት ጤናማና ንቁ ሕይወት መኖር ይችላሉ። እያንዳንዱ ስቴንት (STENT) አንድ ታሪክ አለው ፤ እያንዳንዱ መሣሪያ ተስፋን ይሰጣል ፤ እያንዳንዱ ታካሚ ደግሞ የዘመናዊ ሕክምና ሕያው ማስረጃ Dr. Kibur Tarkie, Internist Interventional Cardiologist FELLOW SPARSH Hospital, Bengaluru, India @HakimEthio

𝗝𝗨𝗦𝗧𝗜𝗖𝗘 𝗙𝗢𝗥 𝗗𝗥. 𝗞𝗛𝗔𝗧 𝗞𝗨𝗘𝗧 𝗗𝗨𝗣 Dr. Khat Kuet Dup was arrested yesterday at Nyinenyang Primary Hospital while he was on duty, serving patients and working to save lives. Dr. Khat Kuet Dup is a graduate of Jigjiga University’s College of Medicine, Class of 2026. He graduated with high honors and was recognized for his outstanding academic achievements. Following his graduation, Dr. Khat was offered a position at Jigjiga General Hospital by the Somali Regional State. However, he chose to return to Gambella to serve his own community, where his medical expertise and service are greatly needed. A young medical professional who dedicated himself to serving his people does not deserve to be humiliated or treated unjustly. Healthcare workers must be protected and respected for the essential services they provide to our communities. If there is an ssue against Dr. Khat, it should be handled through a fair and transparent legal process, not through violence or humiliation. We call for his immediate release, respect for his fundamental rights, and due process under the law. Any allegations against him should be addressed through a fair, transparent, and lawful process. Justice for Dr. Khat Kuet Dup. @HakimEthio

WHEN FAMILY DECISIONS INFLUENCE CLINICAL OUTCOMES One of the most difficult aspects of critical care medicine is recognizing that clinical outcomes are not always determined solely by disease severity. At times, they are profoundly influenced by decisions made outside the scope of medical intervention. Throughout my professional experience, I have witnessed numerous critically ill patients whose survival depended on timely admission to the Intensive Care Unit (ICU). I have also witnessed multidisciplinary teams—including intensivists, emergency physicians, anesthetists, critical care nurses, and allied health professionals—spend hours counseling families, carefully explaining the patient's condition, prognosis, and the clinical rationale for ICU admission. Despite these efforts, some families decline. Such decisions are rarely made out of indifference. More often, they arise from fear, misinformation, cultural beliefs, previous experiences, or the misconception that ICU admission signifies that death is inevitable. In reality, the ICU represents the highest level of hospital-based care. It is designed to provide continuous physiological monitoring, advanced organ support, and immediate intervention for patients with life-threatening but potentially reversible conditions. Mechanical ventilation, vasopressor therapy, renal replacement therapy, invasive monitoring, and coordinated multidisciplinary care are not symbols of hopelessness—they are evidence-based interventions intended to preserve life and optimize recovery. A recommendation for ICU admission is never made lightly. It reflects a comprehensive clinical assessment indicating that the patient requires a level of monitoring and therapeutic support that cannot be safely delivered in a general ward. Family-centered decision-making remains a cornerstone of ethical medical practice. However, informed decisions require accurate understanding. Questions should always be encouraged, concerns should always be addressed, and dialogue should always remain compassionate. Yet decisions with life-altering consequences should be guided by evidence, clinical expertise, and a shared commitment to achieving the best possible outcome for the patient. Trust between families and healthcare professionals is one of the most powerful therapeutic partnerships in medicine. In moments of critical illness, that trust may become the difference between recovery and irreversible loss. Critical care is not where hope ends. It is where medicine brings its greatest resources together to give hope its strongest chance. Dr. Nasri Abdinur Abdulahi JIGJIGA PRIMARY HOSPITAL @HakimEthio

Message of condolences ​It is with heavy hearts and profound grief that we share the news of the passing of Dr. Esubalew Abebe Jifar. ​A dedicated Orthopedic Surgeon, Dr. Esubalew devoted his life to serving others— from his training at Jimma University and Black Lion Hospital, to his fellowship in India, and his tireless service at Eka Kotebe General Hospital. He touched countless lives with his skill, kindness, and unwavering humility. ​We extend our deepest condolences and prayers to his family, friends, and loved ones. His legacy of healing and compassion will never be forgotten. His memorial service will be at Jimma where he was born. ​May his soul rest in eternal peace. @HakimEthio

Dr. Zerubabel Tegegne from the University of Gondar participated on the 5th west China international conference on women and child health in Chengdu and has been recognized for his work in helping relieve the pain of countless children diagnosed with intussusception through the use of ultrasound-guided saline reduction. In recognition of his contributions, he has also been nominated as a delegate to the University of Gondar to collaborate with West China Hospital of Sichuan University under the framework of the China–Africa hospital  Alliance Working Group, on precision  imaging to improve women’s and children’s health. @HakimEthio

49 ዓመቷ ነው... ባለትዳር እና የሁለት ቆንጅዬ ልጆች እናት:: በቤቷም በሥራ ቦታዋም የተወደደች እና የተመሰገነች... ጊዜውን በውል ባታስታውሰውም... የወር አበባዋ መምጫ ጊዜው ከቅርብ ጊዜ ወዲህ መዛባት ጀመሯል ... አንድ ወር ይመጣል፣ ቀጣዩ ወር ይቀራል... [ፔሪ-ሜኖፖዝ (Peri-Menopause) እና የአእምሮ ጤና] ከለሩም ላይ ለውጥ ማስተዋል ከጀመረች ቆይታለች... ድንገት ፍም እሳት የተደፋባት ይመስል ባንድ ጊዜ ከፍተኛ የሆነ ሙቀት ይሰማታል (hot flash).. በጣም ያልባታል... እንደው በላብ ትጠመቃለች ቢባል ማጋነን አይሆንም... ከእንቅልፉአ ድንገት ባንና ትነሳለች... ልቧ በፍጥነት ሲመታ ይታወቃታል... ቀስ በቀስ ባህሪዋም እየተቀየረ መጣ ... አለወትሮዋ: ትንሽ ነገር በቶሎ ያበሳጫታል። በባሏ ... በጉአደኞቿ.... በሥራ ባልደረቦቿ... በልጆቿ... በሁሉም ትበሳጫለች:: አሁንም አሁንም ሆድ ይብሳታል... በር ዘግታ ብቻዋን ታለቅሳለች:: ትንሽ እረጋ ስትልና ወደ ራሷ ስትመለስ..." ምን እየሆንኩ ነው?" ትላለች ... ለነገሮች የነበራት ትኩረት ቀንሷል .. የማስታወስ ችሎታዋም ጭምር :: መገጣጠሚያዎቿን ያማታል.. በፊት የነበራት: የወሲብ ፍላጎት ቀንሷል:: ሴክስን እንደበፊቱ enjoy አታደርገውም:: ግንኙነት ስታደርግ ህመም እንጂ ደስታ የላትም ... ባሏ በፍፁም አልተረዳትም። "ባህሪሽ ተቀይሯል።" እንደበፊቱ አይደለሽም ይላታል.. እሱ ሳይላት በፊትም: እሷ ራሷን መውቀስ ከጀመረች ቆይታለች... አንድ ቀን tiktok ላይ scroll ስታደርግ ስለ Menopause በአእምሮ ሐኪም የተሰራ ቪዲዮ በስልኩአ ስክሪን ብቅ አለ... የአይምሮ ሐኪሟ ሴቶች እድሜያቸው ወደ Menopause ሲደርስ ስለሚታዩ አካላዊ እአ ስነ ልቦናዊ ለውጦች: የምትጠቅሳቸው ምልክቶች: ሁሉም በሚባል መልኩ: ሰሞኑን እያለፈች ካለችበት ሁኔታ ጋር በደንብ ይመሳሰላል:: በስተመጨረሻ የአይምሮ ሀኪም ማማከር እንዳለባት ገባት እና ኡፍፍፍ... ብላ በረጅሙ ተነፈሰች:: አሁን ቢያንስ የችግሩን መንስኤ አውቃዋለች:: እያለፈችበት ያለው ነገር... ይህ ሁሉ የስሜት: የባህሪ እና አካላዊ ለውጥ... በፔሪ-ሜኖፖዝ ምክንያት የሚከሰት የሆርሞን ለውጥ መሆኑን ተረዳች። Common ከሆኑ የPeri-Menopause ምልክቶች ውስጥ: ድብርት ፣ ጭንቀት፣ የስሜት መለዋወጥ፣ በቀላሉ መበሳጨት ፣ የእንቅልፍ መዛባት፣ ድንገተኛ የሆነ የሙቀት ስሜት (hot flashes)፣ የመርሳት ችግር እና ሌሎች አካላዊ ለውጦች ይገኙበታል። ተገቢውን የህክምና ክትትል ጀመረች... ከጥቂት ወራት በኋላ እንቅልፏ ተሻሻለ፣ ድብርቱም ቀነሰ...ሳቋም ተመለሰ... አንድ ቀን ልጇ እቅፍ አድርጎ "... አሁን ያቺ የቀድሞዋ እናቴ ተመልሳለች...።" አላት። አይኖቿ በእንባ ተሞልተው..ፈገግ አለች። ፔሪ-ሜኖፖዝና(Peri-Menopause) እና ሜኖፖዝ (Menopause) በሴቶች ሕይወት ውስጥ ያለ ተፈጥሯዊ ሂደት ነው። በአእምሮ፣ በስሜት እና በሰውነት ላይ የሚያሳድረው ተፅዕኖ ደግሞ ከሰው ሰው ሊለያይ ይችላል። በራስሽ ወይም በሌላ ሴት ላይ እነዚህን ምልክቶች ካስተዋልሽ ፣ ተገቢውን ሕክምና ብታደርጊ ጠቃሚ ነው። For further reading 1. Living well through the menopause by Myra Hunter 2. The definitive guide to the perimenopause & menopause by Dr. Louise Newson ዶ/ር ሰላም ሙሉጌታ: የአይምሮ ስፔሻሊስት ሀኪም 📞 +251920831148 https://youtube.com/@drselammulugetaethiopianps1501?si=IwdBY0f_GbOmTeGv https://www.tiktok.com/@dr.selampsychiatrist?_r=1&_t=ZS-98F8nzPbggq https://www.facebook.com/share/1HKKGgrBWs/ @HakimEthio

We are glad to announce that we have undergone our first laparoscopic appendectomy in Hawassa University comprehensive specialized hospital, and within a week we were able to perform the second one as well. This marks the beginning of transition from open surgery, which is more invasive surgery, towards minimally invasive laparascopic surgeries. This is a testament to our dedication for better care for our patients. In addition to the commencement of emergency laparoscopic services we have also been performing routine elective laparoscopic cholecystectomies. Operating team members - Dr. Mengistu, General Surgeon - Dr. Delelegn, Year 4 GSR - Dr. Leul, Year 3 GSR - Dr. Hayle, Year 2 GSR - Mastewal, senior anesthetist - Sr Tsion, scrub nurse [Consent taken from the patient for use of history and intraop pictures] @HakimEthio

The Narrative of Ethiopian Medicine Needs an Upgrade ​There is a pervasive, singular narrative that defines the medical profession in Ethiopia today, one heavily focused on the systemic hurdles, resource limitations, and professional burnout. While these challenges are real and documented extensively across our media, they tell only half the story. ​If we continue to view our field solely through the lens of frustration, we risk missing the unprecedented opportunities unfolding right before us. ​As someone practicing on the front lines and actively building within the private sector, I see a different, more dynamic reality. ​The challenges are well known. We don’t need more commentary on the problems; we need more energy invested in the solutions. ​It is time to balance the discourse. To my fellow doctors and specialists: let’s share the stories of progress, the reality of what we are building, and the profound privilege of doing this work. The future of medicine in Ethiopia will be built by those of us who decide to look past the obstacles and focus on the impact. Dr. Hezkeyas Mekonnen: Neurologist Adama Hospital Medical College @HakimEthio

እኔ ኳስ ብዙ አላውቅም፡፡ “ብዙ አላውቅም” ሳይሆን ምንም አላውቅም። በአለም ዋንጫ ፍጻሜ ጨዋታ ላይ ኮሜንታተሩ በርካታ ጊዜ 'ኩኩሬላ' የተባለ ተጨዋችን ስም ሲጠራ እየሰማሁት ነው፡፡ በእረፍት ሰዓት እነናኒ ስለዚህ የስፔን ብሄራዊ ቡድን ተጨዋች ታሪክ ነገሩኝና እነሱ ኳስ እያዩ እኔ ስለርሱ አንዳንድ መረጃዎችን ሰርች ማድረግ ጀመርኩ፡፡ ኩኩሬላ ከባለቤቱ ክላውዲያ ሮድሪገዝ ጋር አማዞን ፕራይም ላይ ቀርቦ የሰጠው ኢንተርቪው ነው ቀልቤን የገዛው። እንባ ተናንቆት ፣ ብዙ የመናገር አቅም አጥቶ ሳየው የምር አሳዘነኝ። የሪያል ማድሪድ ክለብ 55 ሚሊዮን ዩሮ ለዝውውር ያቀረበለት ይህ የቼልሲ ተከላካይ ማርክ ኩኩሬላ በድርድሩ ያቀረበው የጠየቀው ከኳስ ጋር ምንም ግንኙነት የሌለው ቅድመሁኔታ ነው ብዙዎች “ጀግና አባት” ብለው እንዲያደንቁት ምክንያት የሆነው። የ4 ዓመት አድሜ ያለው የኩኩሬላ የበኩር ልጅ ማቲዎ ከኦቲዝም ጋር የሚኖር ልጅ ነው። "ማንኛውም ክለብ እኔን የሚፈልግ ከሆነ፣ መጀመሪያ የማደርገው ነገር ለልጄ የሚሆኑ ትምህርት ቤቶች ወይም የቴራፒ ማዕከላት መኖራቸውን ማረጋገጥ ነው” የሚለው ኩኩሬላ የገንዘብ ጥቅማጥቅሞችን ፣ የስታዲየም መሰረተ ልማቶችን ወይም የውል ዘመንን ከመመልከቱ በፊት፣ ዋናው ቅድመ ሁኔታው አዲሱ የማድሪድ ከተማ ኦቲዝም ላለበት ማቲዮ ለተባለው ልጁ አስፈላጊውን ድጋፍ ማድረግ መቻሉን ማረጋገጥ እንደነበር ሲናገር እንባ እየተናነቀው ነው። ለኩኩሬላ ዝና እና ገንዘብ ከዚህ የበኩር ልጁ ደህንነት በላይ አያሳስበውም። የሱን የእግር ኳስ ህይወት የሚወስነው የሚደራደርበት ገንዘብ እና የሚቀርብለት ጥቅማጥቅም ሳይሆን ለልጁ ምቹ የሆነ አገልግሎት የሚሰጥበት ስፍራ ማግኘት መቻሉ ነው። "ለልጄ የሚስማሙ ትምህርት ቤቶችን ወይም የሕክምና ማዕከላትን ማግኘት ወደማልችልበት ወደ የትኛውም ክለብ አልሄድም" ሲል በግልጽ የተናገረው ኩኩሬላ እጅግ በጣም የደነቀኝን አንድ ነገርም ተናግሯል። “ልጄ የሚያሳየው ማንኛውም ትንሽ የእድገት ለውጥ ወይም የሚያስመዘግበው ስኬት፣ ከማንኛውምየእግር ኳስ ዋንጫ በላይ ለኔ ትልቅ ትርጉም አለው” ነበር ያለው። የኩኩሬላ ልጅ እስካሁን መናገር አይችልም። ይህ ልጅ አሁን ባለበት እድሜ ከኦቲዝም ጋር አንደሚኖር የተረጋገጠ ቢሆንም በቂ ድጋፍ ካገኘ ግን ህይወቱ ሊለወጥ የሚችልበት እድል ሰፊ ነው። አባት እና እናት የትኛውም የህይወት ፈተና እና እድል ከልጃቸው ማቲዮ ደህንነት አይበልጥባቸውም። የነሱ የሁልጊዜም ምኞት ማቲዮ እንደወንድምና እህቶቹ ሆኖ ማየት ነው። ለዚህ ደግሞ የሚከፈለውን ዋጋ ሁሉ ለመክፈል ዝግጁ ናቸው። ለዚህ ነው በስነልቡናም፣ በኑሮም እጅግ ከሚፈትነውና ወደማንም ቤት ቢገባ ከምንም ነገር በላይ ‘ቅድሚያ’ ከሚሆነው ኦቲዝም ጋር የሚኖር ልጅ የሚያሳድጉ ወላጆች ሁሉ ‘ጀግኖች ናቸው’ የሚባለው። I salute you #MarkCucurela 🙏 Melaku Berhanu @HakimEthio

Dear Dr. Dereje Gulilat, on the occasion of your retirement, I would like to express my deepest gratitude for your extraordinary service, unwavering dedication, and invaluable mentorship. You have not only transformed the lives of countless patients through your exceptional surgical skill, but you have also shaped generations of surgeons through your wisdom, patience, and commitment to teaching. I am truly honored to have been your student and mentee. The knowledge, discipline, and values you instilled in me will continue to guide me throughout my career. Your legacy extends far beyond the operating room. It lives on in every patient cared for by the surgeons you trained and inspired. Your leadership, humility, and compassion have set a standard that we will continue to uphold. As you begin this new chapter, I wish you and your family good health, happiness, and a fulfilling retirement. Thank you for your remarkable contribution to cardiothoracic surgery and for the lasting impact you have had on my life and the lives of so many others. Congratulations on a well-earned retirement. May God bless you with many years of peace, joy, and good health. With sincere gratitude and deepest respect, Dr. Samuel Tesfaye General and Cardiothoracic Surgeon Cardiothoracic Unit Head Jimma University @HakimEthio

Key Red Flags Red flags, or alarm symptoms, are critical, evidence-based indicators used in clinical practice to identify potentially life-threatening or severe underlying diseases that necessitate urgent investigation. 22 Red flags are included in the book with their potential serious causes 1. Back pain Red flags (TUNA FISH Mnemonic): · Trauma · Unexplained weight loss · Neurologic signs/symptoms · Age >50 · Fever · Intravenous drug use (IVDU) · Steroid use · History of cancer (Prostate, Renal, Breast, Lung) Potential serious causes: · Malignancy (spinal metastasis) · Infection (osteomyelitis/discitis) · Fracture (vertebral) · Cauda equina syndrome 2. Unexplained anemia Red flags: · Systemic symptoms like weight loss · Evidence of blood in the stool · Rapid progression (a sudden drop in hemoglobin levels) · Refractory to treatment · New-onset anemia in adults over 55 years old Potential serious causes: · Malignancy (Gastrointestinal, hematology) · Chronic diseases like kidney disease · Gastrointestinal Bleeding   3. Syncope Cardiac red flags: · Exertional syncope · No prodrome · Associated symptoms like chest pain · Family history of sudden death · Abnormal ECG Potential serious causes: · Arrhythmias (Ventricular tachycardia, Brugada syndrome, or long QT syndrome) · Structural heart disease (hypertrophic cardiomyopathy, coronary artery anomalies, or aortic stenosis).   My book LIFELINE is available on Amazon and locally in Ethiopia Amazon: https://www.amazon.com/dp/9999346324 Contact Dr. Ephrem Basazinew at +251913301867 for copies in Ethiopia @HakimEthio

ስለ ድንገተኛ የወንድ የዘር ከረጢት ህመም ማወቅ ያለብን ነገር ብዙ ሰዎች የወንድ የዘር ከረጢት (Scrotum) ላይ የሚከሰትን ህመም ቀላል ችግር አድርገው ይወስዳሉ። ነገር ግን አንዳንድ የዘር ፍሬ ህመሞች አስቸኳይ ህክምና ካልተደረገላቸው የዘር ፍሬውን እስከ ማጣት ያደርሳሉ። 1. የዘር ፍሬ መጠምዘዝ (Testicular Torsion) ይህ የሚከሰተው የዘር ፍሬውን የሚመግበው የደም ሥር ሲጠመዘዝ ነው። በዚህ ጊዜ የደም ፍሰት ይቋረጣል፣ የዘር ፍሬውም ኦክስጅን አያገኝም። ምልክቶች - በድንገት የሚጀምር እጅግ ከባድ ህመም - የዘር ከረጢት እብጠት - ማቅለሽለሽ ወይም ማስታወክ - አንደኛው የዘር ፍሬ ወደ ላይ መውጣት ለምን አስቸኳይ ነው? የደም ፍሰት ከ6 ሰዓት በላይ ከተቋረጠ የዘር ፍሬው ሊሞት ይችላል። ስለዚህ በቤት ውስጥ መቆየት ወይም ባህላዊ ሕክምና መፈለግ አይገባም። ወዲያውኑ ወደ ሆስፒታል መሄድ ያስፈልጋል። 2. የዘር ፍሬና የዘር ቱቦ ኢንፌክሽን (Acute Epididymo-orchitis) ይህ በባክቴሪያ ወይም በግብረ ሥጋ ግንኙነት የሚተላለፉ በሽታዎች ምክንያት የሚፈጠር እብጠት ነው። ምልክቶች - ህመም ቀስ በቀስ ይጀምራል - ትኩሳት - ሲሸና ህመም - ከሽንት ቱቦ ፈሳሽ መውጣት - የዘር ከረጢት መቅላትና ማበጥ ሕክምና በአብዛኛው በአንቲባዮቲክ፣ በህመም ማስታገሻ፣ በእረፍት እና የዘር ከረጢቱን ከፍ በማድረግ ይታከማል። 3. ወደ ላይ የሚወጣና የሚመለስ የዘር ፍሬ(Retractile Testis) ይህ በተለይ በሕፃናት ላይ የሚታይ መደበኛ ሁኔታ ሊሆን ይችላል። የዘር ፍሬው አንዳንድ ጊዜ ወደ ላይ ይወጣል፣ ነገር ግን በቀላሉ ወደ ዘር ከረጢቱ ይመለሳል። ባህሪያቱ - ብዙውን ጊዜ ህመም የለውም - እብጠት የለም - አብዛኛውን ጊዜ ቀዶ ህክምና አያስፈልግም - በሐኪም ክትትል መቆየት ይበቃል መቼ ወደ ሆስፒታል መሄድ አለብዎት? ከሚከተሉት አንዱ ካለ፦ - በድንገት የጀመረ ከባድ የዘር ፍሬ ህመም - የዘር ከረጢት እብጠት - የዘር ፍሬ ወደ ላይ መውጣት - ማቅለሽለሽ ወይም ማስታወክ ከህመሙ ጋር - ትኩሳት እና የሽንት ህመም ወዲያውኑ ወደ ቅርብ ጤና ተቋም ይሂዱ። ዋናው መልእክት በድንገት የጀመረ የዘር ፍሬ ህመም "እስኪያረጋግጥ ድረስ Testicular torsion ነው" ብለን መገመት አለብን። ፈጣን ህክምና የዘር ፍሬን፣ የመውለድ ችሎታን እና የወደፊት ጤናን ሊያድን ይችላል። References 1. Campbell-Walsh-Wein AJ, Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 13th ed. Elsevier; 2025. 2. Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 22nd ed. Elsevier; 2024. 3. Holcomb GW III, Murphy JP, St. Peter SD, eds. Holcomb and Ashcraft's Pediatric Surgery. 7th ed. Elsevier; 2020. 4. Brunicardi FC, Andersen DK, Billiar TR, et al., eds. Schwartz's Principles of Surgery. 11th ed. McGraw-Hill Education; 2022. 5. Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 21st ed. Elsevier; 2022. ጤና መብት ነው፤ የማወቅ ባህል ደግሞ ሕይወት ያድናል። ዶ/ር ሲንቦና አራርሳ (MD) በጅማ ዩኒቨርሲቲ የጠቅላላ ቀዶ ሕክምና ረዳት ፕሮፌሰር 📞 ስልክ: +251 942622912 @HakimEthio

Vacancy announcement | Research Assistant in Urology. We’re looking for motivated candidates with experience in data collection and data analysis.  Applications are open until August 5, 2026. Please attach your CV and cover letter to the emails posted @HakimEthio

This is a picture of Firomsa Terefa Tufa, MSc in Clinical Midwifery while working in the operation room at Bule Hora University Teaching Hospital. He is seen exposed to blood and the challenges of surgery, yet remains committed to his mission of saving lives and providing compassionate care. @HakimEthio

🦴Expert Orthopedic Subspecialty Care at Yanet Trauma & Surgical Specialized Center-Hawassa 💁‍♂ Our experienced orthopedic subspecialists provide comprehensive diagnosis, advanced treatment, and personalized care for patients of all ages. 🩺 Comprehensive Bone & Joint Evaluation 🦿 Joint Replacement Surgery (Hip & Knee) 🔍 Arthroscopic (Keyhole) Surgery ⚽ Sports Injury Diagnosis & Treatment 🚑 Fracture & Trauma Management 🦴 Spine Disorder Evaluation & Treatment ✋ Hand & Wrist Surgery 🦶 Foot & Ankle Care 💪 Bone, Joint & Muscle Pain Management 🩹 Tendon & Ligament Injury Treatment 👨‍⚕️ Personalized Rehabilitation & Follow-up Care 👶👵 Orthopedic Care for All Age Groups 🚶 Restoring Mobility & Improving Quality of Life 🦴 በያኔት የድንገተኛ አደጋዎች እና ቀዶ ህክምና ማዕከል፡ ሀዋሳ በአጥንት፣ በመገጣጠሚያ፣ በጡንቻ ወይም በጀርባ ህመም እየተሰቃዩ ነው? የረጅም ጊዜ ልምድ ባካበቱ  የአጥንት እና ተያያዥ ችግሮችን በዘርፉ ልዩ ስፔሻሊስቶቻችን ትክክለኛ ምርመራ፣ ዘመናዊ ህክምና እና ሙሉ እንክብካቤ ያገኛሉ፡፡ የምንሰጣቸው አገልግሎቶች፦ ✅ የመገጣጠሚያ መተካት (Joint Replacement) ✅ የዳሌ ንቅለ ተከላ (Hip Replacement) ✅ አርትሮስኮፒ (Arthroscopy) ✅ የስፖርት ጉዳት ህክምና ✅ የአጥንት ስብራትና ድንገተኛ ጉዳት ህክምና ✅ የጀርባ ችግሮች ህክምና ✅ የእጅና የእግር ችግሮች ✅ የአጥንትና የመገጣጠሚያ ህመም ሕክምና 📍 በያኔት የድንገተኛ አደጋዎች እና ቀዶ ህክምና ማዕከል፡ ሀዋሳ 📞 09 37 55 78 78 ☎️ 9403 ያኔት ሆስፒታሎች –ለጤናዎ ዘብ ቆመናል! #ያኔት_ሆስፒታሎች #ኦርቶፔዲክስ #የአጥንት_ህክምና #ጤና #ኢትዮጵያየመገጣጠሚያመተካት (Joint Replacement)       ያኔት ሆስፒታሎች ሀዋሳ | አዲስአበባ | ጎንደር | ጋምቤላ Facebook:- https://www.facebook.com/yanet.specializedmedicalcenter Tiktok: https://www.tiktok.com/@yanethospitals?_r=1&_t=ZS-988TdtknPWv ይወዳጁን @HakimEthio

Dr. Girum W. Gebreal, an ophthalmologist & glaucoma subspecialist has received the 2026 Pan African Glaucoma Association (PAGA) Mentorship Award. @HakimEthio

𝐃𝐄𝐗𝐀 𝐒𝐜𝐚𝐧: 𝐊𝐧𝐨𝐰 𝐘𝐨𝐮𝐫 𝐁𝐨𝐧𝐞 𝐇𝐞𝐚𝐥𝐭𝐡 A 𝐃𝐄𝐗𝐀 (𝐃𝐮𝐚𝐥-𝐄𝐧𝐞𝐫𝐠𝐲 𝐗-𝐫𝐚𝐲 𝐀𝐛𝐬𝐨𝐫𝐩𝐭𝐢𝐨𝐦𝐞𝐭𝐫𝐲) 𝐬𝐜𝐚𝐧 is the 𝐠𝐨𝐥𝐝-𝐬𝐭𝐚𝐧𝐝𝐚𝐫𝐝 test for measuring bone mineral density, enabling 𝐞𝐚𝐫𝐥𝐲 𝐝𝐞𝐭𝐞𝐜𝐭𝐢𝐨𝐧 𝐨𝐟 𝐨𝐬𝐭𝐞𝐨𝐩𝐨𝐫𝐨𝐬𝐢𝐬 𝐚𝐧𝐝 𝐨𝐬𝐭𝐞𝐨𝐩𝐞𝐧𝐢𝐚, often before symptoms or fractures occur. The test is highly accurate and reliable, quick, non-invasive, and uses low radiation, making it safe for routine screening and follow-up. 𝐃𝐄𝐗𝐀 𝐒𝐜𝐚𝐧 is ideal for: ✅ Postmenopausal women  ✅ Elderly individuals ✅ Patients with chronic diseases such as diabetes, chronic kidney disease, thyroid disorders, and inflammatory conditions ✅ Individuals requiring accurate body composition analysis, including body fat percentage, lean muscle mass, and visceral fat assessment ✅ Individuals on long-term steroid therapy ✅ Patients with a history of low-impact fractures ✅ People with a family history of osteoporosis or hip fractures ✅ Underweight individuals or those with poor nutrition, including low calcium or vitamin D deficiency ✅ Smokers and individuals with excessive alcohol consumption 𝐃𝐄𝐗𝐀 𝐒𝐜𝐚𝐧 is available at 𝐄𝐭𝐡𝐢𝐨 𝐓𝐄𝐁𝐈𝐁 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥, providing trusted results and expert evaluation to support early prevention and treatment. 📞For more information and to schedule an appointment, call +251933745555 or call our toll-free number 9000. 📍Our address is located on the road leading to Kolfe, Masalemiya Sefereselam. 📱Telegram  📱Tiktok  📱Facebook    📱Instagram  📱Youtube         𝐄𝐭𝐡𝐢𝐨-𝐓𝐄𝐁𝐈𝐁 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥        We strive for your health!! @HakimEthio

Behind every heartbeat we restore is a family given another chance to hope. we had the privilege of completing our 5th Free Open-Heart Surgery Mission in Debre Birhan. Following our missions to Jigjiga, Jimma, Hawassa, and Werabe, Debre Birhan has become the fifth community where we have been able to bring advanced cardiac care directly to those who need it most. We are deeply grateful and proud to share that every procedure performed during this mission was successful, and each patient is now safely on the path to recovery. For these individuals, this was far more than a medical procedure,it was the gift of a second chance at life. Watching anxious faces transform into smiles of relief, witnessing families embrace with tears of joy, and seeing hope return where fear once existed are moments that words can scarcely describe. These are the moments that remind us why we do what we do. We are deeply grateful to our entire team. Your expertise, compassion, and tireless dedication transformed hope into healing. Thank you for your unwavering commitment. We also extend our heartfelt appreciation to the entire team at Debre Birhan University Hakim Gizaw Hospital and to the people of Debre Birhan. Thank you for your warm hospitality, collaboration, and support throughout this mission. For many families in Ethiopia, accessing this level of specialized care can feel completely out of reach. Yet knowing that so many patients across our country are still waiting only strengthens our determination to keep going. We believe that quality healthcare should never be a privilege determined by geography or financial circumstances; it should be accessible to everyone. We remain deeply committed to expanding these life-saving missions, restoring not only hearts but hope. Tazma A Sign of a Healthy Heart 🫀 Facebook | instagram | TikTok | Telegram For More Information contact Tazma Medical and Surgical Specialized Center ☎️ Phone: 0954886225 / 9893 📍 Location: Gotera Condominium, Addis Ababa #Tazma #5thfreeopenheartsurgerymission #DebreBirhan #ChangingLives #HealthcareMiracles @HakimEthio

👉መጋኛ መቶኝ ነዉ! - መቼም በአካባቢያችን መጋኛ መታኝ ተብለን ብዙ ጊዜ ሰምተን ይሆናል : በአንድ በኩል የሚከሰት የፊት መዞር/መድከም በተለምዶ "መጋኛ መታኝ" በሳይንሱ ደሞ facial nerve palsy በመባል ይታወቃል:: -ከ70% በላይ የሚሆነዉ ምክንያቱ ሳይታወቅ ይከሰታል : ይሄም idiopathic facial nerve palsy/Bells palsy ተብሎ ይጠራል:: 👉 idiopathic facial nerve palsy/bells palsy ምንድን ነዉ? እንዴትስ ይከሰታል? -Bells palsy ማለት በተለያዩ ምክንያቶች የሚከሰት የነርቭ (facial nerve) መድከም ሲሆን በአንድ በኩል አይን እንዳይከደን እንዲሁም አፍን ጎትቶ ሊያዞር ይችላል:: -የሚከሰቱበት ምክንያቶች:- ብዙዎቹ መንስኤቸዉ ባይታወቅም -ኢንፌክሽን ሲሆን በቫይረስ ወይም በባክቴሪያ ሊከሰት ይቻላል:: (HSV-1, EBV, VZV, Mumps, Lyme) 👉ይሄ ህመም ፆታ አይለይም: በእድሜም ህፃናትንም አዋቂንም ያጠቃል:: 👉ከሌሎች ተመሳሳይ ህመሞች ልክ እንደስትሮክ (stroke) ካሉ እንዴት መለየት እንችላለን? -ድንገተኛ መንስኤ (sudden onset) አለዉ -በአንድ በኩል በግራ ወይም በቀኝ ብቻ (unilateral involvement) ይኖረዋል -የእግር ወይም እጅ መስነፍ አይኖርም -ሽፍታ: ሙቀት: ሳል (systemic signs) የመሳሰሉትን አንጠብቅም:: 👉ለምርመራ ሀኪሙ መሰረታዊ የሆኑ የላቦራቶሪ ምርመራዎች ሊያዝ ይችላል: እንዳስፈላጊነቱ የCT/MRI ምርመራዎች ሊያስፈልግ ይችላል:: 👉ህክምናዉ ለመክደን አስቸጋሪ የሆነዉን ዓይን በሚንከባከቡ የዓይን ጠብታዎች: እንዲሁም በመኝታ ጊዜ ዓይንን መሸፈንን ጨምሮ ጥቂት ቀናት የሚወሰዱ መድሃኒቶች ሊታዘዙልን ይችላሉ:: 👉ህክምናዉ በጊዜ ሆስፒታል መሄድን ይፈልጋል:: ባህላዊ ወይም ሀይማኖታዊ መፍትሄን ፍለጋ መዘግዬት የህክምናዉን ዉጤታማነት ይቀንሳል:: 👉ፀበል ወይም ፀሎትን ከህክምናዉ ጎን ለጎን ማድረግ ይቻላል:: 👉ከህክምና በኃላ የሚኖረዉ ለዉጥ ህመሙ ሲከሰት ባለዉ ቅርጽ እና በብዙ ምክንያቶች የሚወሰን ሆኖ አብዛኛዉን ጊዜ በተለይ ደሞ ልጆች ሲሆኑ ሙሉ በሙሉ በሚል ደረጃ የማገገም እድላቸዉ ከፍ ያለ ነዉ:: ዶ/ር ሀብታሙ ስሜነህ - የህፃናት ህክምና ስፔሻሊስት Dr Habtamu Semeneh - pediatrician Disclaimer: This post is for teaching, not for treatment ለማህበረሰባችን እዉቅና ለመፍጠር ብቻ የተዘጋጀ @HakimEthio