Dr shire

07/09/2023

Nephrology Pearls by prof : Mohamed Salem 🌸

🔹️Pearl 1;
The decision of when to initiate dialysis remains complex. Our approach is based upon the presence of end-stage kidney disease (ESKD)-related signs and symptoms, and the estimated glomerular filtration rate (eGFR), These factors must be considered together..

🔹️Prarl 2;
Most patients with eGFR ≥10 mL/min/1.73 m2 and symptoms attributed to impaired kidney function can be treated medically. Among patients who have persistent, disabling uremic symptoms despite a creatinine-based eGFR that is consistently ≥10 mL/min/1.73 m2, it is reasonable to obtain a more accurate estimate of GFR.

🔹️Pearl3;
For asymptomatic patients with eGFR >5 mL/min/1.73 m2, dialysis initiation based solely on eGFR criteria does not improve outcomes.

🔹️Pearl4;
– Most patients with eGFR ≥10 mL/min/1.73 m2 and symptoms attributed to impaired kidney function can be treated medically. Symptoms due to advanced kidney dysfunction are usually not disabling until the eGFR is

24/10/2022

Habeenimo wangsan asxaabta, cawa waxan ka hadli dona neural tube defect.

■waa maxay neural tube defect( NTD) ?

NTD waa xanuunno la soo koobay oo ku dhaca maskaxda iyo xangulada ilmaha inta uu uurka ku jiro ,sababta NTD loogu bixiyayna waxa weeye ilmuhu marka uu jiro 22-28 maalmod waxa samaysma tubo ay dareemayaasha iyo xangulada iyo maskaxduba kasii samaysmi doonnaan oo loo yaqaan "neural tube" oo ah tuunbadii daremayaasha, "defects" kuna waxa weeye khalkhal ku yimaada samaysankeeda amaba cilad ku timaada marka laysku darana waa cilada ku timaada tuunbada dareemayaasha .

Haddii tuu badaasi xagga hoose ka xidhmi waydo amaba inta lafdhabarta ku beegan waxa uu ilmuhu ku dhalanayaa (Spina bifida )

spina bifida oo ah ilmaha oo lafdhabarta kasoo baxdo xanguladu iyo neerfuhuba waxay u kala baxa nsaddex qaybood
●"spina bifida occulta: oo aannay soo baxayn neeerfuhu kalliya soo buurranayso timona kasoo baxayaan
● "meningocele: oo ah miday soo buurranayso dareerraha xanguladuna ku soo darsamayaa inta lafdhabarta kasoo baxaan balse aanay neerfuhu soo raacayn.
● myelomeningocele: oo ah mid ay kusoo darsamayaan neerfuhu waana nooca ugu xun.

Haddii ay tubadaasi ka xidhmi waydo xaga sarre waxay keentaa xanuunno kale oo NTD ka mid ah lana kala yidhaahdo (Encephalocele) sidoo kalena loo yaqaan (Cranium Bifidum)oo ah inay madaxa xaga danbe kiish ka samaysmo iyo (Anencephaly ) oo ah ilmaha oo ku dhasha maskaxda qaybta sarre oo maqan iyo lafta madaxaba .

■Sidee baa looga hortagi karaa ?

Waxa looga hortagi karaa iyadoo haweenayda uurka leh la siiyo Folate sidoo kalena loo yaqaan Folic acid oo ah vitamin B9 madaama oo aanay cuntada ku jirin la cuno si gaar ah ayay tahay inay u qaataan haweenka uurka leh.
Folic acid kaliya k**a hortagto xanuunada aan sheegay sidoo kalena xanuunada ay ku dhashaan caruurtu ee xagga wadnaha ahna waa ka hortagtaa sababtasaana loo siiyaa .

Haweenayda uurka lihi waa inay maalin walba qaadataa 0.4mg oo Folate ah ,kuwa halista ugu jira hoos u dhaca folic acid ee uu hayo xanuunka diabetes ka qaata dawooyinka lagu daweeyo suuxdimaha (Anticonvulsants )kuna waa inay maalin walbaa qaataan xadi ah 4mg .

Dr. FilsanHabeenimo wangsan asxaabta, cawa waxan ka hadli dona neural tube defect.

■waa maxay neural tube defect( NTD) ?

NTD waa xanuunno la soo koobay oo ku dhaca maskaxda iyo xangulada ilmaha inta uu uurka ku jiro ,sababta NTD loogu bixiyayna waxa weeye ilmuhu marka uu jiro 22-28 maalmod waxa samaysma tubo ay dareemayaasha iyo xangulada iyo maskaxduba kasii samaysmi doonnaan oo loo yaqaan "neural tube" oo ah tuunbadii daremayaasha, "defects" kuna waxa weeye khalkhal ku yimaada samaysankeeda amaba cilad ku timaada marka laysku darana waa cilada ku timaada tuunbada dareemayaasha .

Haddii tuu badaasi xagga hoose ka xidhmi waydo amaba inta lafdhabarta ku beegan waxa uu ilmuhu ku dhalanayaa (Spina bifida )

spina bifida oo ah ilmaha oo lafdhabarta kasoo baxdo xanguladu iyo neerfuhuba waxay u kala baxa nsaddex qaybood
●"spina bifida occulta: oo aannay soo baxayn neeerfuhu kalliya soo buurranayso timona kasoo baxayaan
● "meningocele: oo ah miday soo buurranayso dareerraha xanguladuna ku soo darsamayaa inta lafdhabarta kasoo baxaan balse aanay neerfuhu soo raacayn.
● myelomeningocele: oo ah mid ay kusoo darsamayaan neerfuhu waana nooca ugu xun.

Haddii ay tubadaasi ka xidhmi waydo xaga sarre waxay keentaa xanuunno kale oo NTD ka mid ah lana kala yidhaahdo (Encephalocele) sidoo kalena loo yaqaan (Cranium Bifidum)oo ah inay madaxa xaga danbe kiish ka samaysmo iyo (Anencephaly ) oo ah ilmaha oo ku dhasha maskaxda qaybta sarre oo maqan iyo lafta madaxaba .

■Sidee baa looga hortagi karaa ?

Waxa looga hortagi karaa iyadoo haweenayda uurka leh la siiyo Folate sidoo kalena loo yaqaan Folic acid oo ah vitamin B9 madaama oo aanay cuntada ku jirin la cuno si gaar ah ayay tahay inay u qaataan haweenka uurka leh.
Folic acid kaliya k**a hortagto xanuunada aan sheegay sidoo kalena xanuunada ay ku dhashaan caruurtu ee xagga wadnaha ahna waa ka hortagtaa sababtasaana loo siiyaa .

Haweenayda uurka lihi waa inay maalin walba qaadataa 0.4mg oo Folate ah ,kuwa halista ugu jira hoos u dhaca folic acid ee uu hayo xanuunka diabetes ka qaata dawooyinka lagu daweeyo suuxdimaha (Anticonvulsants )kuna waa inay maalin walbaa qaataan xadi ah 4mg .

Dr. Filsan

30/09/2022

Ciladan cunugaaga maku aragtay
Like
Following

28/09/2022

HEMORRHAGİC STROKE=Dhiig ku furma Maskaxda
Sawirka hoos ka muuqda waa bukaan dhiig kaga furmay maskaxda dhinaca bidix.
Bukaan kaan ayaa isbitaalka la imaaday ogaal la'aan iyo lugta iyo gacanta midig oo dhacsan.
Bukaan kaan oo ah nin dhalin yaro ah oo qaba xanuunka dhiig karka (Hypertension). Nasib xumo ma aheen mid is daryeela oo daawadisa joogta u qaata lana socda cabbirka dhiig-giisa. Dhiig karka ayaa ahaa sababta keentay inuu dhiig ku furmo maskaxdiisa.

Dhiig karka wuxu kamid yahay sababah ugu weyn ee keena in maskaxda dhiig ku furmo.
Haddi qof ehel kaaga ah ama asxbtada kamid ah la nool yahay xanuunka dhiig karka kula tali inuu daawadisa joogto uqaato lana socdo cabirka dhiigiisa, sido kale ku xirnaado dhaqtar kiisa.
DHİİG KARKU WAA DILAA QARSOON.

The figure you see belo below is a brain CT scan of a patient with left side cerebral hemorrhage. This is a young adult male patient admitted to the hospital because of sudden onset of loss of consciousness and rıght sıde weaknsss.
As per the brain CT, he has left side cerebral hemorrhage.
He was a known case of hypertension but unfortunately he had poor compliance with the medications. He was not taking his medication regularly and also was not measuring his blood pressure regularly.
Hypertension was the reason for his cerebral hemorrhage.
Hypertesion is one of the leading causes of cerebral bleeding.
HYPERTENSİON İS A SILENT KıLLER.

17/09/2022

17/09/2022

Nin somali ah oo daawooyinka dhacay geyn jirey Somalia oo markuu xajka tegey mucjiso la kulmay
Waryaa tanoo kale arkay
Ganacsatoy alle weyne ka baqa

16/09/2022

Sidee xanunka sokortu jirka u sameeysaa

10/09/2022

Xanuunka gaaska ( bog xanuun ) maxaa sabab halkan kaga bogo waxa sabab iyo sida laskaga daaweeyo

09/09/2022

Wax ka agow sokorta iyo waxa yaabaha sabab
Ka hortagu wuxu ka wangsan daaweeynta

06/09/2022

Maxaa keenaa dacarta
Halkan kaga bogo