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Hakim
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Hakim (@hakimethio) Amxar til segmentidagi kanali faol ishtirokchi. Hozirda hamjamiyat 60 755 obunachidan iborat bo'lib, Tibbiyot toifasida 235-o'rinni va Efiopiya mintaqasida 523-o'rinni egallagan.
📊 Auditoriya ko‘rsatkichlari va dinamika
невідомо sanasidan buyon loyiha tez o‘sib, 60 755 obunachiga ega bo‘ldi.
17 Iyun, 2026 dagi oxirgi ma’lumotlarga ko‘ra kanal barqaror faollikka ega. Oxirgi 30 kunda obunachilar soni 810 ga, so‘nggi 24 soatda esa 25 ga o‘zgardi va umumiy qamrov yuqori darajada qolmoqda.
- Tasdiqlash holati: Tasdiqlanmagan
- Jalb etish (ER): Auditoriya o‘rtacha 11.33% darajada jalb etiladi. Nashrdan keyingi dastlabki 24 soatda kontent odatda umumiy obunachilar sonining 8.32% ini tashkil etuvchi reaksiyalarni to‘playdi.
- Post qamrovi: Har bir post o‘rtacha 6 882 marta ko‘riladi; birinchi sutkada odatda 5 052 ta ko‘rish yig‘iladi.
- Reaksiyalar va o‘zaro ta’sir: Auditoriya faol: har bir postga o‘rtacha 43 ta reaksiya keladi.
- Tematik yo‘nalishlar: Kontent patient, ethiopia, disease, ነው።, medicine kabi asosiy mavzularga jamlangan.
📝 Tavsif va kontent siyosati
Muallif resursni shaxsiy fikrni ifoda etish maydoni sifatida ta’riflaydi:
“Ethiopian blend of Medicine, History and Humor.”
Yuqori yangilanish chastotasi (oxirgi ma’lumot 18 Iyun, 2026 da olingan) sababli kanal doimo dolzarb va katta qamrovli bo‘lib qoladi. Analitika auditoriya kontent bilan faol hamkorlik qilishini, uni Tibbiyot toifasidagi muhim ta’sir nuqtasiga aylantirishini ko‘rsatadi.
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| Sana | Obunachilarni jalb qilish | Esdaliklar | Kanallar | |
| 17 Iyun | +26 | |||
| 16 Iyun | +12 | |||
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| 14 Iyun | +59 | |||
| 13 Iyun | +40 | |||
| 12 Iyun | +31 | |||
| 11 Iyun | +61 | |||
| 10 Iyun | +103 | |||
| 09 Iyun | +69 | |||
| 08 Iyun | +14 | |||
| 07 Iyun | +4 | |||
| 06 Iyun | +21 | |||
| 05 Iyun | +35 | |||
| 04 Iyun | +96 | |||
| 03 Iyun | +61 | |||
| 02 Iyun | +22 | |||
| 01 Iyun | +5 |
Kanal postlari
በመጀመሪያ ደረጃ ት/ቤት አብረን የተማርን ጓደኛዬን በደረጃ አራት ካንሰር አገኘኋት! 😥
ነገሩ እንደ ቀላል ዘወትር በማደርገው የMedical Oncology ward Round የተፈጠረ ሲሆን መልኳን አይቼ እሷ መሆኗን ለማወቅ ጥቂት ሰከንዶች ብቻ ነበር የፈጁብኝ። የህክምና መዝገቡ ላይ የተቀመጠው የCT scan ውጤት እና የደም ምርመራ ሂደቱ ያሳየው መረጃ ፍፁም ያልጠበቅኩት እና እኔንም ያስደነገጠኝ ነበር።
በሰላሳዎቹ አጋማሽ የምትገኝ መልከመልካም እንስት ጠንከር ያለ የተዛመተ ካንሰር ይዟት መምጣቷ ብዙም ባይገርመኝም (Our epidemiology is so different) በልጅነት አብረን መማራችን እና በሽታው አከርካሪዋ ውስጥ ገብቶ ህብረ ሰረሰሯን መጉዳቱ ልቤን ዝቅ ያደረገው አጋጣሚ ነበር።
እንደ እኛ ሀገር ባሉ የካንሰር ምንነት እና ህክምናው አዲስ በሆነባቸው ሀገራት የሚገጥመን ትልቅ ችግር፦ የተማረውም ይሁን ያልተማረው በበሽታው የሚመጣበት ደረጃ በጣም ከፍ ያለ መሆኑ ነው። እንደውም ተምሮም የጤና ባለሞያ በሆነው ባይብስ?! አንዳንዴ እኔንም ጨምሮ hypocrite የሆንን ያክል የሚሰማኝ ነገር ቢኖር ተመርመሩ ታከሙ ብለን አስተምረን እኛም ያንኑ አለመተግበራችን ነው። እናም ለዛሬ እችን የናይጄሪያ ጥናት ጀባ አልኳቹ!!!
ዙሪያችንን የተንሰራፋውን የበሽታዎች ክምር ገፈታትረን ወንበራችን ላይ ተቀምጠን ስናበቃ፤ ታካሚያችንን እያከምን እኛን በፍፁም አይጠጋንም አይዘንም ብሎ መኮፈሱ ግን ፋይዳ ቢስ ግብዝነት ነው። It was a very sad incident and a wake up call too.
How mindful of their own health are healthcare professionals? perception and practice of personnel in a tertiary hospital in Nigeria - PMC
https://pmc.ncbi.nlm.nih.gov/articles/PMC8042810/
መርማሪዎችም እንመርመር!🙏
ዶ/ር ሚካኤል ሻውል ለማ
ቺፍ ክሊኒካል ኦንኮሎጂስት
ሐረማያ እና ጅጅጋ ዩኒቨርሲቲ
@HakimEthio
| 2 |  "ዝምተኛው ገዳይ" በሚል ስም የሚጠራው የደም ግፊት ከልብ ጤና ጋር ያለው ቀጥተኛ ግንኙነት ምንድን ነው?
ብዙዎቻችን "የደም ግፊት አለብኝ" የሚሉ ሰዎችን እንሰማለን፤ ነገር ግን በሽታው በልባችንና በጤናችን ላይ የሚያሰከተለውን ከባድ አደጋ በጥልቀት አንረዳውም። የደም ግፊት (Hypertension) አብዛኛውን ጊዜ ምንም አይነት ግልጽ ምልክት ሳያሳይ በውስጣችን ስለሚቆይ በህክምናው አለም "ዝምተኛው ገዳይ" (The Silent Killer) በሚል ስም ይታወቃል።
ዛሬ ይህ በሽታ በልባችን ላይ የሚያደርሰውን ቀጥተኛ ጉዳትና ልንወስዳቸው የሚገቡ ጥንቃቄዎችን በዝርዝር እናያለን
❇️ የደም ግፊት ምንድን ነው?
ልባችን በሰውነታችን ውስጥ ደም እንዲዘዋወር የሚያደርግ እንደ 'ፓምፕ' (Pump) የሚሰራ ጡንቻ ነው። ደም በደም ስሮቻችን ውስጥ ሲፈስ በግድግዳቸው ላይ የሚያሳድረው ግፊት "የደም ግፊት" ይባላል። ይህ ግፊት ከተገቢው በላይ በሚጨምርበት ጊዜ፣ ደም ስሮቻችን ይወጠራሉ፤ ልባችንም ደም ለመርጨት ከፍተኛ ጫና ውስጥ ይወድቃል።
❇️ ከፍተኛ የደም ግፊት ልብን እንዴት ይጎዳል?
✅ የልብ ጡንቻ መወፈር (Cardiac chamber hypertrophy)፦ ልባችን በተከታታይ በከፍተኛ ግፊት ደም ለመግፋት በሚታገልበት ጊዜ (ልክ ስፖርተኛ ሰው ክብደት ሲያነሳ ጡንቻው እንደሚወፍረው ሁሉ) የልብ ጡንቻዎች ይወፍራሉ። ይህ መወፈር መጀመሪያ ላይ ጠቃሚ ቢመስልም፣ ከጊዜ በኋላ ግን ልቡ እንዲደክም፣ እንዲጠነክርና በተገቢው ሁኔታ ደም መቀበልና መርጨት እንዳይችል ያደርገዋል። ይህ ወደ የልብ ድካም (Heart Failure) ይመራል።
✅ የደም ስሮች መጥበብና መጎዳት (Atherosclerosis)፦ ከፍተኛ ግፊት በደም ስሮች ውስጠኛ ግድግዳ ላይ ትናንሽ ስንጥቆችን ይፈጥራል። በእነዚህ ስንጥቆች ውስጥ ስብ (ኮሌስትሮል) በቀላሉ ይከማቻል። በዚህም ምክንያት ወደ ልብ ደም የሚያመላልሱት ስሮች እየጠበቡና እየጠነከሩ ይሄዳሉ።
✅ ለድንገተኛ የልብ ድካም (Heart Attack) ማጋለጥ፦ ወደ ልብ ጡንቻ ደም የሚወስዱት ስሮች በስብ ክምችት ምክንያት በከፍተኛ ሁኔታ ሲጠቡ ወይም ሙሉ በሙሉ ሲዘጉ፣ የልብ ጡንቻ ኦክስጅን ያጣል፤ ይህ ህይወትን ለአደጋ የሚያጋልጥ ድንገተኛ የልብ ድካም (Heart Attack) ያስከትላል።
❇️ የደም ግፊት ምልክቶች ምንድን ናቸው?
"ዝምተኛው ገዳይ" የተባለበት ምክንያት አብዛኛውን ጊዜ ምንም ምልክት ስለማያሳይ ነው። ነገር ግን ግፊቱ በጣም ከፍተኛ በሚሆንበት ጊዜ አንዳንድ ሰዎች ላይ የሚከተሉት ምልክቶች ሊታዩ ይችላሉ፦
👉ከባድ የራስ ምታት
👉የትንፋሽ ማጠር እና የልብ ፈጣን ምት
👉የእይታ መደብዘዝ , አይን መቅላት(ደም የያዘ አይን)
👉ድካም እና ማዞር
❇️ ራሳችንን እንዴት እንጠብቅ?
የደም ግፊትን መከላከልና መቆጣጠር ይቻላል!
እነዚህን ቀላል ልምዶች ያዘውትሩ፦
የጨው አጠቃቀምን መቀነስ፦ በምግብ ውስጥ ጨው መቀነስ የደም ግፊትን ወዲያውኑ ለማውረድ ይረዳል።
የአካል ብቃት እንቅስቃሴ፦ በቀን ለ30 ደቂቃ ያህል በፈጣን እርምጃ መጓዝ የደም ስሮችን ያዝናናል።
ውጥረትን (Stress) መቆጣጠር፦ በቂ እንቅልፍ ማግኘትና አእምሮን ማረጋጋት።
ክብደትን ማስተካከል፦ ጤናማ ክብደት ላይ መሆን በልብ ላይ የሚደርሰውን ጫና ይቀንሳል።
❇️ያስታውሱ፦
የደም ግፊት እንዳለብዎ ለማወቅ ብቸኛው መንገድ በጤና ተቋም በሚደረግ ምርመራ ብቻ ነው። ህመም እስኪሰማዎት አይጠብቁ! በዓመት አንድ ጊዜ ሙሉ የጤና ምርመራ በማድረግ እና የደም ግፊትዎን በመለካት የልብዎን ሰላም ያረጋግጡ።
📍ቦሌ የኢትዮጵያ አየር መንገድ ካርጐ ፊት ለፊት
📍 ብስራተ ገብርኤል አዶት ሲኒማ ገባ ብሎ
📱0952-34-34-34/9825
ማህበራዊ ገፆቻችንን ይቀላቀሉ
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@HakimEthio | 3 743 |
| 3 |  𝐄𝐱𝐩𝐚𝐧𝐝𝐞𝐝 𝐈𝐧-𝐇𝐨𝐮𝐬𝐞 𝐀𝐝𝐯𝐚𝐧𝐜𝐞𝐝 𝐋𝐚𝐛𝐨𝐫𝐚𝐭𝐨𝐫𝐲 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬
We are pleased to announce the expansion of our in-house laboratory services with a range of advanced diagnostic tests designed to support accurate diagnosis, patient monitoring, and evidence-based clinical decision-making.
🔸𝐄𝐧𝐝𝐨𝐜𝐫𝐢𝐧𝐨𝐥𝐨𝐠𝐲 & 𝐌𝐞𝐭𝐚𝐛𝐨𝐥𝐢𝐜 𝐃𝐢𝐬𝐨𝐫𝐝𝐞𝐫𝐬
✅Insulin Autoantibody (IAA)
✅Growth Hormone (GH)
✅Insulin Level
✅C-Peptide
✅Aldosterone
🔸𝐈𝐦𝐦𝐮𝐧𝐨𝐥𝐨𝐠𝐲 & 𝐀𝐮𝐭𝐨𝐢𝐦𝐦𝐮𝐧𝐞 𝐃𝐢𝐬𝐞𝐚𝐬𝐞𝐬
✅Serum IgG
✅Serum IgM
✅Serum IgE
✅Anti-Thyroglobulin (Anti-Tg)
✅TSH Receptor Antibodies (TRAb)
✅Anti-Thyroid Peroxidase (Anti-TPO)
✅Cardiolipin Antibody IgG & IgM
✅Beta-2 Glycoprotein Antibody IgG & IgM
✅Anti-Centromere IgG
🔸𝐈𝐧𝐟𝐞𝐜𝐭𝐢𝐨𝐮𝐬 𝐃𝐢𝐬𝐞𝐚𝐬𝐞𝐬 & 𝐈𝐧𝐟𝐥𝐚𝐦𝐦𝐚𝐭𝐨𝐫𝐲 𝐌𝐚𝐫𝐤𝐞𝐫𝐬
✅HAV IgM
✅Anti-Dengue Virus
✅Anti-HBs
✅Interleukin-6 (IL-6)
🔸𝐓𝐡𝐞𝐫𝐚𝐩𝐞𝐮𝐭𝐢𝐜 𝐃𝐫𝐮𝐠 𝐌𝐨𝐧𝐢𝐭𝐨𝐫𝐢𝐧𝐠
✅Tacrolimus
✅Cyclosporin
✅Digoxin
🔸𝐏𝐫𝐞𝐧𝐚𝐭𝐚𝐥 𝐒𝐜𝐫𝐞𝐞𝐧𝐢𝐧𝐠 & 𝐎𝐧𝐜𝐨𝐥𝐨𝐠𝐲
✅AFP Prenatal Screening
✅PAPP-A
✅Thyroglobulin
✅Beta-2 Microglobulin
These expanded testing capabilities strengthen our ability to support the diagnosis, monitoring, and management of endocrine disorders, autoimmune conditions, infectious diseases, transplant recipients, high-risk pregnancies, and oncologic patients.
𝐃𝐞𝐥𝐢𝐯𝐞𝐫𝐢𝐧𝐠 𝐜𝐨𝐦𝐩𝐫𝐞𝐡𝐞𝐧𝐬𝐢𝐯𝐞 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐭𝐢𝐜𝐬 𝐭𝐨 𝐬𝐮𝐩𝐩𝐨𝐫𝐭 𝐛𝐞𝐭𝐭𝐞𝐫 𝐜𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐝𝐞𝐜𝐢𝐬𝐢𝐨𝐧𝐬 𝐚𝐧𝐝 𝐢𝐦𝐩𝐫𝐨𝐯𝐞𝐝 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐨𝐮𝐭𝐜𝐨𝐦𝐞𝐬.
📞 For more information or to schedule an appointment:
Call 0935402078 or 9000
📍 Visit us: Road to Kolfe, Masalemiya Sefereselam
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🩺 𝐄𝐭𝐡𝐢𝐨-𝐓𝐞𝐛𝐢𝐛 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥
We always strive for your health!
@HakimEthio | 3 608 |
| 4 |  +2"It's unbelievable how much you don't know about life, even after living it." - Mickey Mantle
It has been almost a year. I began my work as a newly graduated paediatric surgeon at one of the peripheral hospitals. One day, a mother arrived with her two-month-old son.
Quietly, almost apologetically, she explained that her child had been passing stool through his urethra since birth. It was shocking—yet painfully real. The baby’s abdomen was grossly distended, a silent witness to weeks of obstruction.
Trying to understand, I asked her, “When did you first notice this abnormality?”
She replied calmly, “Since birth… on the third or fourth day.”
My next question came hesitantly: “Why did you wait this long?”
She looked down and said, “I thought it was not a disease that could be treated.”
That sentence stayed with me.
After a basic evaluation and careful counselling, we performed a colostomy as the initial step in management. It took time—much time—to help her understand what a colostomy meant and why it was necessary. Fear, uncertainty, and disbelief had to be addressed before surgery could even begin.
When planning definitive repair, I requested a distal colostogram to identify the fistula. The mother asked softly, “Is it free?”
I had no answer.
The investigation was unavailable locally. Travelling to Addis Ababa was unrealistic. The family had no money—not even for transport.
Guided only by clinical findings suggestive of an anorectal malformation with a rectourethral fistula, we proceeded with PSARP. By God’s grace, careful judgment, and teamwork, the surgery was completed successfully.
Today they came to our referral clinic, six months after colostomy closure, and the child is doing well. The mother smiles again. Faith was restored.
Yet since that day, I continue to wonder:
1. How can a child live obstructed for two months?
When knowledge is absent and poverty is overwhelming, unintentional cruelty can replace care.
2. How distant are our peripheral communities from medical awareness?
How many children suffer silently because families do not know that help exists?
3. What burden do health professionals carry when essential investigations are unavailable?
How often are we forced to choose between ideal care and possible care?
Dr. Tafese Gudissa: MD, Pediatric Surgeon
@HakimEthio | 4 334 |
| 5 |  +3"Whatever you do, do it well. Do it so well that when people see you do it, they will want to come back and see you do it again."
Maybe it is what Walt Disney once said but that is what patients tell us every day in our practice about Dr. Godana Jarso here at Dirre Godana Hospital.
In a current world dominated by short cuts, disguise, disingenuous self promotion, materialism, allure of instant gratifications, its is rare to find exceptional individuals like Dr. Godana Jarso who adhere to the all time proven life principles of life and its' conduct like; Humanity, Humility, empathy, hard work, professionalism, persiut of excellence, discipline, quality service, and true patroitism.
It is one thing to make it as person in life in this world and totally different to work and make a successful living working with fellow human beings who are in dispair becuase their own life and existance is at stakes and on the line becuase of something they have no control over.
It is one thing to go through life by default or may be tactically and totally different to be a true gentle man... to live a true life of sacrifice for others.
There are a lot of us who are trying so hard to be important and stay relevant, and there are people like Dr. Godana who are just that because they have stayed in tune with their true nature and it's principles', that their existance is so vital to others than it is to themselves, which is the ultmate goal, finding purpose and joy in living for others.
It takes true consciousness, great gift and being favoured by God to be a true human being and professional like Dr. Godana Jarso.
Sir you are a gift to a nation who is in a desparate need of selfless and principled individuals like you.
May God give you abundant health, strength, inner peace and contentment for your clear vision and exeptional leadership is going to do more great things for a nation who is in need of a lot.
God bless and congratulations to Dr. Godana Jarso Guto, MD, MSc, MPH-Epi, FRSPH (Associate Professor of Internal Medicine, Consultant Internist, and Endocrinologist), on the successful completion of his Endocrinology Subspecialty Fellowship at the MAX Institute of Medical Education, India
Adding to this milestone, his recent international recognitions as a Senior Fellow of the International Diabetes Federation and a Fellow of the Royal Society of Public Health (RSPH) further highlight his global impact and dedication to advancing health systems.
- Dr. Robera Amenu, MD, General surgeon.
@HakimEthio | 4 551 |
| 6 |  🔍 Forensic Case Spotlight: The Injection That Didn't Kill Her🔍
The Scenario:
A 28-year-old G2P1 at 36 weeks presented with mild abdominal pain and reduced fetal movements, no hypertension or bleeding. Admitted for observation, she arrested suddenly 6 hours later. Crash cesarean delivered a stillborn; she died within 30 minutes despite resuscitation.
The team presumed massive pulmonary or amniotic fluid embolism, so no autopsy was requested. But the family alleged a nurse's new injection killed her and accused the hospital of a cover-up. A criminal investigation followed, with police seizing remains, IV lines, and medication logs.
The Autopsy Findings:
External Examination: No signs of trauma or injection-site reaction.
Abdominal Cavity: Upon careful dissection of the retroperitoneum, the left adrenal gland was found to be markedly enlarged, nodular, and hemorrhagic; a solid, reddish-brown mass measuring 4.5 x 3 x 2.5 cm. On cut section, the mass showed a central area of fresh hemorrhage and necrosis.
Heart: The heart showed subendocardial hemorrhages, a sign of catecholamine-induced cardiac toxicity.
The Diagnosis – The Hidden Time Bomb:
Spontaneous Hemorrhage of a Previously Undiagnosed Pheochromocytoma, leading to a Catecholamine Crisis, Hypertensive Emergency, and Fatal Cardiac Arrest.
Why This Case Wowed the Obstetric and Forensic Team:
1) The Hidden Tumor: Rare adrenal tumor secreting adrenaline/noradrenaline. In pregnancy, silent until a surge, triggered by labor, contractions, or movement, causes fatal hypertension, arrhythmia, or cardiac arrest.
2) The Hemorrhage as the Final Event: Spontaneous hemorrhage released a massive catecholamine bolus. BP spiked lethally within minutes, causing acute heart failure and pulmonary edema, closely mimicking massive pulmonary or amniotic fluid embolism.
The Astonishing Part:
The team never suspected pheochromocytoma, no classic symptoms until it bled. The family's grief-fueled accusation nearly ruined innocent staff. The autopsy solved the mystery, cleared the innocent, and enabled genetic testing for surviving relatives.
💡 Takeaway: This young mother died not from a nurse's injection or a cover-up, but from a hidden adrenal tumor, a silent predator that struck during delivery. Her autopsy cleared the hospital, diagnosed a genetic risk for her family, changed clinical protocols, and reminded us that in forensic medicine, the truth is not always where we look first.
Further reading materials
1) Plu I, Sec I, Barrès D, Lecomte D. (2013). "Pregnancy, cesarean, and pheochromocytoma: a case report and literature review." Journal of Forensic Sciences, 58(4), 1075-1079.
2) Lenders JWM, Langton K, Langenhuijsen JF, Eisenhofer G. (2020). "Pheochromocytoma and pregnancy." Endocrinology and Metabolism Clinics of North America, 49(3), 553-568.
[Based on real case scenarios but have been redrafted, findings and specifics are changed for medico-legal reasons.]
Dr. Tesfaye G. Sadam, MD, MPH, Forensic medicine and toxicology specialist
@HakimEthio | 4 516 |
| 7 |  Professor Bereket Fantahun
The Managing Board of Saint Paul’s Hospital Millennium Medical College, at its regular meeting held today, June 16, 2026, has approved the promotion of Dr. Bereket Fantahun Yismaw to the rank of Full Professor.
Source: SPHMMC
@HakimEthio | 5 040 |
| 8 |  Professor Solomon Ali
The Managing Board of Saint Paul’s Hospital Millennium Medical College, at its regular meeting held today, June 16, 2026, has approved the promotion of Dr. Solomon Ali to the rank of Full Professor.
Source: SPHMMC
@HakimEthio | 4 752 |
| 9 | Today, major organizations including the North American Menopause Society, the International Menopause Society, the European Menopause and Andropause Society, the Endocrine Society, and the American College of Obstetricians and Gynecologists recognize that menopausal hormone therapy can be safe, effective, and life-changing for appropriately selected women. Current evidence consistently demonstrates that the most favorable benefit-risk profile is generally seen when treatment is initiated before age sixty or within ten years of menopause onset following appropriate medical evaluation. This concept, often called the “window of opportunity,” has become a cornerstone of modern menopause medicine.
Hormone therapy is not appropriate for every woman. Certain conditions, including active estrogen-sensitive cancers, unexplained vaginal bleeding, active thromboembolic disease, significant liver disease, and some cardiovascular conditions, may require alternative approaches or specialist assessment. Yet contrary to popular belief, many symptomatic women remain appropriate candidates for therapy when carefully evaluated.
At the same time, hormone replacement is not the entire answer. Replacing hormones may restore part of the biological buffer, but it does not automatically reverse insulin resistance, excess visceral fat, poor sleep, inadequate nutrition, chronic stress, declining muscle mass, or physical inactivity. The underlying metabolic burden must still be addressed.
The future of menopause care must therefore extend far beyond symptom control. It must include metabolic health, preservation of lean body mass, protection of bone density, cardiovascular risk reduction, cognitive health, sleep restoration, sexual health, genitourinary health, and overall quality of life. Menopause medicine is finally entering a new era, one that is increasingly evidence-based, individualized, and patient-centered. Old fears are being challenged, outdated misconceptions are being corrected, and women are finally beginning to receive the attention this important stage of life deserves.
Ladies, if you are struggling with fatigue, brain fog, anxiety, depression, insomnia, weight gain, loss of strength, declining libido, urinary symptoms, painful intercourse, or simply feeling unlike yourself, do not assume it is merely aging. Your body may be speaking a language that has gone unheard for far too long.
Menopause is not the end of health.
For many women, it is the beginning of finally understanding it.
References: The North American Menopause Society (NAMS) 2022 Hormone Therapy Position Statement; American College of Obstetricians and Gynecologists (ACOG) Practice Guidance on Menopausal Hormone Therapy; International Menopause Society Recommendations on Midlife Women’s Health; European Menopause and Andropause Society (EMAS) Clinical Guidelines; Endocrine Society Clinical Practice Guidelines; Rossouw JE et al. JAMA 2002; Manson JE et al. JAMA 2013; The Lancet Menopause Series; Santoro N et al. Endocrinology and Metabolism Clinics of North America.
Berry Dubiso, MD
Telegram: t.me/HakimEthio | 5 161 |
| 10 | Menopause Unmasked: Far Beyond Hot Flashes, Night Sweats, and Aging
One of the greatest misconceptions in women’s health is that menopause is the disease. It is not. Menopause is often the moment the disease becomes visible.
For many women, the process begins years before menopause itself. Symptoms frequently emerge during perimenopause, the long hormonal transition that may begin in the late thirties or forties and continue for several years. Because many women continue to have regular or semi-regular menstrual periods during this time, the diagnosis is often missed.
They are told that everything must be normal because they are still menstruating, yet ovarian hormone production may already be fluctuating significantly. As a result, countless women develop anxiety, depression, insomnia, brain fog, poor concentration, memory difficulties, fatigue, weight gain, increasing abdominal fat, loss of muscle mass, joint pain, low libido, urinary symptoms, painful intercourse, recurrent urinary tract infections, worsening insulin resistance, rising blood pressure, and a persistent feeling that something is wrong despite being reassured that their laboratory tests are normal.
Ironically, menopause itself is only one day. It is the day a woman reaches twelve consecutive months without a menstrual period. Everything before that day is perimenopause and everything after that day is postmenopause. Yet for many women, the greatest suffering occurs during perimenopause, precisely because it remains underrecognized by both patients and healthcare professionals.
The reason is simple. Estrogen and progesterone are not merely reproductive hormones. They are whole-body hormones. They influence metabolism, insulin sensitivity, cardiovascular health, brain function, neurotransmitter activity, sleep regulation, mood stability, muscle preservation, bone remodeling, sexual function, urinary tract health, and overall quality of life.
For decades these hormones act as a biological buffer against the cumulative stresses of modern living. Poor nutrition, chronic sleep deprivation, emotional stress, physical inactivity, excess body fat, insulin resistance, and environmental stressors can quietly accumulate beneath the surface while ovarian hormones continue to provide a degree of protection.
Then the buffer begins to weaken.
What many women experience is not menopause creating disease but menopause revealing vulnerabilities that may have been developing silently for years. Menopause is often blamed because it coincides with the appearance of symptoms, but in many cases it is simply exposing metabolic, hormonal, musculoskeletal, cardiovascular, and neurological problems that were never fully addressed.
Unfortunately, the public discussion surrounding menopause has been reduced largely to hot flashes and night sweats. While these symptoms are important, they represent only a small part of the story. Menopause affects the entire body. The decline in ovarian hormones influences cardiovascular risk, body composition, insulin sensitivity, bone density, muscle mass, cognition, mood, sleep quality, sexual health, and genitourinary health. This is why many women describe feeling as though they have become a different person despite no major change in their lifestyle.
Adding to the confusion was the widespread fear generated by the initial publication of the Women’s Health Initiative study in 2002. The headlines that followed created a lasting perception that hormone replacement therapy was inherently dangerous.
However, more than two decades of additional research have revealed a far more nuanced reality. We now understand that age matters, timing matters, formulation matters, route of administration matters, and individual risk factors matter. A healthy symptomatic woman in her early fifties is not the same as a woman beginning therapy decades after menopause with established cardiovascular disease. | 1 |
| 11 |  +3Matn yo'q... | 5 060 |
| 12 |  +4Pediatrics and Child Health graduates of Jimma University, 2026.
@HakimEthio | 5 709 |
| 13 |  +2መድሀኒት ሳትጠቀሚ በእርግዝና ጊዜ የሚከሰት የሆድ ድርቀት እና ኪንታሮት የምትከላከይበት እና የሚታከምበት 9 መንገዶች!
1⃣ በፋይበር የበለፀጉ ምግቦችን በመመገብ ነው። ጥናቶች እንደሚያሳዪት በቀን 20-35 ግራም ፋይበር ብትወስጂ ይመከራል። ይህንንም ከፍራፍሬ ፣ ከአትክልት እና ጥራጥሬ በማዘውተር ይገኛል።
2⃣ በየቀኑ በቂ ፈሳሽ በመውሰድ ሲሆን ፤ በቂ የምንለውም ከ2-3 ሊትር ወይም ከ8-12 ብርጭቆ ፈሳሽ ነው።
3⃣ በሳምንት ከ3-4 ቀን ቢያንስ ለ30 ደቂቃ አካላዊ እንቅስቃሴ (walk) ማድረግ።
4⃣ በየቀኑ ሽንት ቤት የምትገቢበትን ሰአት ማስተካከል። ለምሳሌ ምግብ ከተበላ በ15-30 ደቂቃ ውስጥ የአንጀት እንቅስቃሴ (motility) ይጨምራል ይህም Gastro-Colic reflex ይባላል።
5⃣ ሽንት ቤት በምትቀመጪ ጊዜ "Toilet Footstool" ወይም ሌላ እቃ በመጠቀም እግርሽን ከፍ ማድረግ። ይህም Ano-rectal angle ቀጥ እንዲል በማስቻል በቀላሉ እንድትፀዳጂ ያስችላል።
6⃣ የላሙ እና የታሸጉ (processed) ምግቦችን መቀነስ።
7⃣ ትኩስ ፈሳሾችን ማዘውተር ለምሳሌ ሞቅ ያለ የሎሚ እና prune ጁስ ፣ ሻይ በዝንጅብል ወይም Chamomile ፣ ትኩስ ሾርባ እና 1 ማንኪያ olive oil ጠዋት በባዶ ሆድ ይመከራል።
8⃣ Stress ወይም ጭንቀት ካለ መቀነስ። ጭንቀት በሚሮር ሰአት cortisol እና epinephrine መጠን ይጨምራል ይህ ደግሞ Gut-Brain axis ስርአትን በማወክ የአንጀት እንቅስቃሴን (motility) ይቀንሳል። እንደ መፍትሄ እንደ እምነት ፀሎት ማድረግ ፣ ሜዲቴሽን እና ዮጋ ማድረግ ይመከራል።
9⃣ Iron እና calcium እንደ ጎንዮሽ ጉዳት ሆድ ድርቀትን ሊያስከትሉ ይችላሉ በተለይ Ferrous sulphate እና Calcium carbonate መልክ ከሆኑ። ሆድ ድርቀት ካለ Heme-Iron እና Calcium citrate ተመራጭ ይሆናሉ።
References
1) Intervention for treating constipation in pregnancy; Cochrane review
2) American Gastroenterological Association; Clinical practice update on pregnancy related GI and liver disease
3) Bladder and bowel community; 8 remedies to relieve constipation
4) American pregnancy association; Relieving constipation during pregnancy
ዶ/ር አለልኝ ሙንጣዝ
የማህፀን እና ፅንስ ስፔሻሊስት
📞 0909056941
@HakimEthio | 6 262 |
| 14 |  +2Neurology graduates of the University of Gondar, 2026.
@HakimEthio | 6 217 |
| 15 |  +2Most students decide to pursue medicine without ever stepping inside a hospital as a learner.
They hear about healthcare careers from family, friends, social media, and society but they rarely get the opportunity to observe how healthcare actually works.
As a result, many students choose careers without fully understanding the realities, challenges, and opportunities within the health sector.
Today, ClinAddis and St. Peter Specialized Hospital signed a partnership agreement to help address that gap.
Through this collaboration, high school and early university students participating in the ClinAddis Summer Health Exposure Bootcamp will have the opportunity to:
• Gain structured exposure to hospital departments and healthcare environments
• Learn how healthcare systems function beyond the classroom
• Interact with healthcare professionals from different disciplines
• Develop a broader understanding of careers within the health sector
• Make more informed decisions about their future education and career pathways
This partnership is not simply about a hospital attachment.
It is about helping young people understand healthcare before committing years of their lives to a profession, while contributing to the development of a more informed and motivated future health workforce.
We are grateful to the leadership of St. Peter Specialized Hospital for believing in this vision and partnering with us to make it possible.
@HakimEthio | 7 234 |
| 16 |  +2ለ17 ዓመት የዘለቀው 'የሸሪት' ህመም መጨረሻ
አንዲት ሴት፣ በግራ በኩል ባለው የጀርባ ደረት አካባቢ ከተከሰተ የሄርፒስ ዞስተር (herpes zoster) ወይም በተለምዶ ሸሪት ከሚባለው ኢንፌክሽን በኋላ ፣ ለ17 ዓመታት የዘለቀ የጀርባ ደረት ህመም ትሰቃይ ነበር።
[የሕክምና ታሪኮች #31]
ምልክቶቹ ከተከሰቱበት ጊዜ አንስቶ፣ በየቀኑ በሚሰማት የማያቋርጥ የጀርባ ደረት አካባቢ የነርቭ ሕመም፣ በሂወቱዋ ላይ የደረሰው ተጽዕኖ ከፍተኛ ነበር።
ባለፉት ዓመታት የተለያዩ የሕክምና ዘዴዎችን ሞክራለች። ይሁን እንጂ እነዚህ መድኃኒቶች የጎንዮሽ ጉዳት ስላስከተሉ ወይም በቂ እፎይታ ስለማይሰጡ ውጤታማ አልነበሩም።
የሕመሙ ሁኔታ አስቸጋሪ በመሆኑ እና በተለመዱት ሕክምናዎች የተሻለ ውጤት ስላላገኘች፣ አማራጭ የሕክምና ዘዴ ለመጠቀም ወሰንኩ። በታመመው የቆዳ አካባቢ የሊዶኬይን መርፌ (intradermal lidocaine infiltration) የመስጠቱ አማራጭ በዝርዝር ተወያየንበት። ስለ ሕክምናው ሂደት ከተብራራለት በኋላ፣ ታካሚዋ ሕክምናውን ለመጀመር ተስማማች።
ሕክምናው በመጀመሪያዎቹ ሶስት ወራት በየወሩ የተሰጠ ሲሆን፣ የታካሚዋን የጤና መሻሻል መነሻ በማድረግ ክትትሉን ወደ ሶስት ወር እንዲራዘም ተደረገ። ይህ ስልት የሕመሙን መጠን በመቀነስ የታካሚዋን የዕለት ተዕለት እንቅስቃሴ ወደነበረበት እንዲመለስ አስችሏል።
ከአንድ ዓመት ክትትል በኋላ፣ የሕመም ስሜቱ በዘላቂነት በቁጥጥር ስር በመዋሉ፣ በስተመጨረሻም ታካሚዋ እፎይ አለች።
ቁልፍ መልእክት
PHN (ድህረ-ሺንግልስ የነርቭ ህመም) ወይም በተለምዶ ሸሪት ከሚባለው ኢንፌክሽን ካለፈ በኋላ ለወራት አልፎ ተርፎም ለዓመታት ሊቆይ የሚችል የነርቭ ህመም ነው።
በጠባሳው አካባቢ የሚሰጥ የሊዶኬይን (lidocaine) መርፌ፣ የተለመዱ የነርቭ ህመም መድሃኒቶች ውጤታማ ባልሆኑበት ወይም በታካሚዎች ላይ የጎንዮሽ ጉዳት በሚያስከትሉበት ጊዜ፣ ህመሙን በእጅጉ ለመቀነስ እና ረዘም ላለ ጊዜ እፎይታ ለመስጠት ሊረዳ ይችላል።
ይህ ቀላል ዘዴ የህመሙን መጠን በመቀነስ፣ የታካሚውን የኑሮ ጥራት ለማሻሻል እና የበለጠ ውስብስብ የሆኑ የህክምና ሂደቶችን ከመሞከር በፊት ጠቃሚ አማራጭ ሆኖ ሊያገለግል ይችላል።
Segenet Bizuneh
Internist, GI/Hepatology fellow
St. Paul's Hospital Millennium Medical College - SPHMMC
@HakimEthio | 7 352 |
| 17 |  +2We, Smile Train Afrique, are proud to celebrate our long-time partner Dr. Ataklitie Baraki on receiving the *Lifetime Achievement Award for Surgical Education and Surgical Practice 2026* from the Surgical Society of Ethiopia.
Over the last 36 years, Dr. Ataklitie has dedicated himself to serving patients, mentoring the next generation of surgeons, and strengthening surgical care systems across Ethiopia.
Through his partnership with Smile Train, he has helped make free, high-quality cleft care possible for more than 5,100 patients — opening doors to confidence, opportunity, and brighter futures.
A teacher, leader, and compassionate surgeon, his impact ripples far beyond the operating room through every student he trains and every life he helps transform.
This well-deserved recognition reflects a lifetime of dedication and the incredible difference one committed partner can make.
#SmileTrain #CleftCare #SurgicalExcellence #PowerOfASmile
@HakimEthio | 6 476 |
| 18 |  +3"ታላቁ አስመሳይ" - ሲስተሚክ ሉፐስ ኤራይቲማቶሰስ (SLE)
ሲስተሚክ ሉፐስ ኤራይቲማቶሰስ (SLE) የሰውነት በሽታ መከላከያ ሥርዓት ተሳስቶ የራሱን ጤናማ ሕዋሳት እና አካላት የሚያጠቃበት (Autoimmune) ሥር የሰደደ የሕመም ዓይነት ነው።
ሉፐስ "ታላቁ አስመሳይ" (The Great Imitator) በመባል ይታወቃል። ምክንያቱም ምልክቶቹ ከሌሎች በርካታ በሽታዎች ጋር ስለሚመሳሰሉና ከሰው ሰው ስለሚለያዩ በቀላሉ ለመለየት አስቸጋሪ ሊሆን ይችላል።
በሽታው በብዛት የሚያጠቃው የመውለጃ ዕድሜ ላይ የሚገኙ ሴቶችን ሲሆን፣ በሴቶች እና በወንዶች መካከል ያለው ጥሬ ጥምርታ 9 ለ 1 (9:1) ነው።
በሽታው እንዴት ይከሰታል? (Pathophysiology)
እንደ Harrison’s ገለጻ፣ የሉፐስ መነሻ በውል ባይታወቅም በጄኔቲክስ፣ በአካባቢያዊ ሁኔታዎች (ለምሳሌ ለፀሐይ ብርሃን መጋለጥ) እና በሆርሞን ለውጦች ምክንያት እንደሚከሰት ይታመናል።
Autoantibodies: የሰውነት በሽታ መከላከያ ሥርዓት Antinuclear Antibodies (ANA) የተባሉ ፀረ-ሰውነቶችን ያመነጫል። እነዚህ ፀረ-ሰውነቶች በሴል ውስጥ የሚገኘውን ኒውክሊየስ በማጥቃት በሰውነት ውስጥ ከፍተኛ መቆጣትን (Inflammation) ያስከትላሉ።
የሉፐስ ዋና ዋና ምልክቶች
ሉፐስ ማንኛውንም የሰውነት ክፍል ሊነካ ይችላል። ዋና ዋናዎቹ ምልክቶች የሚከተሉት ናቸው፦
የቆዳ ምልክቶች (Cutaneous)
Malar Rash: በሁለቱም ጉንጮች እና በአፍንጫ ላይ የሚወጣ የቢራቢሮ ቅርጽ ያለው ቀይ ሽፍታ።
Photosensitivity: ለፀሐይ ብርሃን ሲጋለጡ የሚወጣ ሽፍታ ወይም የሕመም ስሜት መጨመር።
የመገጣጠሚያ ሕመም (Musculoskeletal):
ከ90% በላይ ታካሚዎች ላይ የሚታይ ሲሆን፣ በተለይ ጠዋት ጠዋት የመገጣጠሚያ መገተር እና ሕመም ይታያል። Kelley’s እንደሚገልጸው፣ ይህ ሕመም እንደ ሩማቶይድ አርትራይተስ አጥንትን አይበላሽም (Non-erosive)።
የኩላሊት መቆጣት (Lupus Nephritis):
በጣም አስፈሪው የሉፐስ ክፍል ሲሆን፣ ኩላሊት ሥራውን በአግባቡ እንዳይሠራ ያደርጋል። ምልክቱም የሽንት መልክ መቀየር፣ የሽንት መብዛት ወይም ማነስ እና የእግር እብጠት ናቸው።
የልብና የሳንባ ችግሮች:
በልብ እና በሳንባ ዙሪያ ባሉ ስስ ሽፋን (Membranes) ላይ ፈሳሽ መከማቸት ወይም መቆጣት (Pleuritis/Pericarditis)።
የደም ችግሮች:
የደም ማነስ (Anemia)፣ የነጭ ደም ሴሎች ማነስ (Leukopenia) ወይም ፕሌትሌት ማነስ (Thrombocytopenia)።
የምርመራ ዘዴዎች (2019 ACR/EULAR Criteria)
የዓለም አቀፍ የሩማቶሎጂ ማኅበራት (ACR እና EULAR) ባወጡት አዲስ መመሪያ መሠረት፣ አንድ ሰው ሉፐስ አለበት ለማለት የሚከተሉት ቅደም ተከተሎች መሟላት አለባቸው፦
ቅድመ ሁኔታ (Entry Criterion): የ ANA የደም ምርመራ ውጤት Positive መሆን አለበት። ይህ ውጤት ኔጋቲቭ ከሆነ ሰውየው ሉፐስ የመያዝ ዕድሉ በጣም አነስተኛ ነው።
የነጥብ አሰጣጥ: ANA ፖዘቲቭ ከሆነ በኋላ፣ ታካሚው ያላቸው ምልክቶች ነጥብ ይሰጣቸዋል። ለምሳሌ፦
ትኩሳት (2 ነጥብ)
የቢራቢሮ ሽፍታ (6 ነጥብ)
የመገጣጠሚያ ሕመም (6 ነጥብ)
በሽንት ውስጥ ፕሮቲን መገኘት (4-10 ነጥብ)
ውጤት: አጠቃላይ ድምር ነጥቡ 10 እና ከዚያ በላይ ከሆነ ታካሚው SLE አለበት ተብሎ ይደመደማል።
የሕክምና አማራጮች
ሉፐስ ሙሉ በሙሉ ባይድንም፣ በመድኃኒቶች አማካኝነት ምልክቶቹን መቆጣጠር እና የሰውነት ክፍሎች እንዳይጎዱ ማድረግ ይቻላል።
የአኗኗር ዘይቤ:
ከፀሐይ ብርሃን መከላከል (Sunscreen እና ጃንጥላ መጠቀም)።
ሲጋራ አለማጨስ (ሲጋራ መድኃኒቶቹ እንዳይሠሩ ያደርጋል)።
የተመጣጠነ ምግብ እና መጠነኛ እንቅስቃሴ።
ማጠቃለያ
ሉፐስ ውስብስብ በሽታ ቢሆንም፣ በዘመናዊ ሕክምና እና በቅርብ ክትትል ታካሚዎች የተቃና ሕይወት መምራት ይችላሉ። ቁልፉ ነገር ምልክቶቹን ቀድሞ በመረዳት ወደ ሩማቶሎጂስት (Rheumatologist) መሄድ ነው።
ማሳሰቢያ: ይህ መረጃ ለትምህርታዊ ዓላማ ብቻ የቀረበ ነው። ማንኛውንም የሕክምና ውሳኔ ከመወሰንዎ በፊት ሐኪምዎን ያማክሩ።
References
1. European League Against Rheumatism. 2019 EULAR recommendations for SLE management. Ann Rheum Dis. 2019.
2. Harrison's Principles of Internal Medicine. 22nd ed. McGraw-Hill; 2022.
3. Kelley and Firestein's Textbook of Rheumatology. 11th ed. Elsevier; 2021.
4. UpToDate. Systemic lupus erythematosus: Treatment and management
ዶ/ር ሙሉጌታ ታምር መራ: የውስጥ ደዌ ስፔሻሊስት
@HakimEthio | 6 761 |
| 19 | DrBerry Health Consultancy
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| 20 | In this context, protein becomes particularly important.
Protein is not simply another source of calories. It is the primary structural nutrient of the human body. It supports muscle preservation, tissue repair, immune function, enzyme production, hormone production, and numerous other biological processes. Protein also tends to produce greater satiety than either fat or carbohydrate and has a higher thermic effect of feeding.
For this reason, many successful body-recomposition approaches emphasize protein density rather than simply whole-food status.
A person attempting to lose substantial body fat may obtain more benefit from low-fat Greek yogurt than full-fat Greek yogurt. They may benefit from combining whole eggs with egg whites rather than relying exclusively on whole eggs. They may benefit from cottage cheese rather than calorie-dense cheeses. They may benefit from lean fish, shrimp, chicken breast, or other lean protein sources rather than obtaining most of their calories from added fats.
The same principle applies to plant-based eating patterns. Tofu, tempeh, textured soy protein, seitan, and other protein-focused foods often provide considerably more protein relative to their calorie content than nuts and seeds. While nuts and seeds are nutritious foods, they are not particularly protein-dense when evaluated on a calories-per-gram-of-protein basis.
This distinction matters because body recomposition is ultimately an exercise in nutrient concentration. The objective is to deliver the maximum amount of protein, vitamins, minerals, and satiety while allowing stored body fat to supply a meaningful portion of daily energy requirements.
The conversation therefore becomes larger than carbohydrates versus fats.
It becomes a discussion about energy density, protein leverage, satiety, nutrient density, and metabolic goals.
A food can be healthy and still be easy to overconsume.
A food can be natural and still be highly energy dense.
A food can be nutrient rich and still be a poor choice for a specific objective when consumed in large amounts.
This is why whole-food status alone cannot be the final standard by which a dietary strategy is judged.
The most important question is not whether a food is whole, natural, keto, paleo, low-carb, plant-based, or ancestral.
The most important question is whether that food helps the patient achieve the metabolic goal in front of them.
For someone attempting to maintain weight, the answer may be yes.
For someone attempting to lose a large amount of body fat, reverse fatty liver disease, improve insulin sensitivity, and restore metabolic health, the answer may be different.
Context matters.
Goals matter.
Physiology matters.
And that is why whole foods, while important, are not the whole story.
References
1. Hall KD, Guo J. Obesity Energetics: Body Weight Regulation and the Effects of Diet Composition. Gastroenterology. 2017.
2. Rolls BJ. Dietary Energy Density and Weight Management. Nutrition Reviews. 2017.
3. Simpson SJ, Raubenheimer D. Obesity: The Protein Leverage Hypothesis. Obesity Reviews. 2005.
4. Weigle DS et al. A High-Protein Diet Induces Sustained Reductions in Appetite, Ad Libitum Caloric Intake, and Body Weight Despite Compensatory Changes in Diurnal Plasma Leptin and Ghrelin Concentrations. American Journal of Clinical Nutrition. 2005.
5. Leidy HJ et al. The Role of Protein in Weight Loss and Maintenance. American Journal of Clinical Nutrition. 2015.
6. Bray GA et al. Effect of Dietary Protein Content on Weight Gain, Energy Expenditure, and Body Composition During Overeating. JAMA. 2012.
7. Westerterp-Plantenga MS et al. Dietary Protein, Weight Loss, and Weight Maintenance. Annual Review of Nutrition. 2009.
8. Hall KD et al. Ultra-Processed Diets Cause Excess Calorie Intake and Weight Gain: An Inpatient Randomized Controlled Trial. Cell Metabolism. 2019.
9. Astrup A, Geiker NRW. Higher Protein Diets and Long-Term Weight Management. Nutrients. 2020.
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