“Every death due to measles could be prevented with a simple vaccination that costs less than a dollar per child.”

1. DARYEELKA CAAFIMAADKA
HOOYADA IYO DHALAANKA
DOTT. Abuukar Nuur Xuseyn
Takhtarka Cudurrada Caruurta
“BUUGGA JADEECADA”
Talaalku waa xaq ay leeyihiin caruurta waana waajib saaran waalidiinta
“Every death due to measles could be prevented
with a simple vaccination that costs less than a dollar per child.”

2. JADEECO
Jadeecadu waxay ka mid tahay cudurrada Soomaalida ay ku tilmaami jirtay Lixda
Cuduro ee Dilaagaa ah, kuwaas oo ka jira Dalkeena Soomaaliya.
Somaliya waxa ay ka mid tahay dalalka saboolka ah oo aan gaarin isku filnaansho
dhaqaale ay ku daryeeli karto caafimaadka bulshada waxaana waddanka oo gabi
ahaan ka jirin siyaasad, barnaamijyo iyo stratejiyo lagu hormariyo laguna howl geli
lahaa caafimaadka bulshada guud ahaan gaar ahaana midda caruurta iyo hooyada
taasoo keentay in kumanaan caruur iyo hooyooyin aan la talaalin ay u geeriyodaan
ama ay u naafoobaan cudurka jadeecada iyo cudurada kale ee la midka ahi.
Jadeecada waa cudur ba'an oo si dhaqsi ah bulshada ugu faa'fo, waxaa keena fiirus oo
ka tirsan qoyska Paramixovirus nooca Morbillivirus.
Jadeecada meel kasta ee aduunka ayee ka dillaaci kartaa hase ahaatee wadamada
horay u hormaray waxay ku dadaaleen kuna gulaysteen in Cudurkaani ay ka
badbaadiyaan caruurta iyo dhamaan bulshada taasoo u suuro gelisay adeegsiga
balaaran ee Talaalka.
Daraasad la sameeyay sanadku markuu ahaa 1997 waxaa lagu soo bandhigay in
Jadeecada ay saamaysay 31 milyan qof oo 1milyan qof u geeriyootay, milyankaas
qofood ee u dhimatay Jadeecada kala bar (500.000) waxay ka soo jedeen Qaaradda
Afrika (Africa sub-saharan).
Daraasad kale ee WHO samaysay waxay qiyaastay sanadkii 2001 in 30-40 milyan
qof uu cudurka Jadeecada saameeyay, 750,000 ilaa 1 milyana ay u geeriyodeen.
Wadamada ay Jadeecadu ku badan tahay (Endemic area) waqti kasto ayuu ka dilaaci
kartaa siiba xilliyada dugsiyada ay furan yihiin.
Afartii sano Jadeecada marbay si balaaran u faaftaa (measles outbreak),oo ay si ba'an
u saameesaa caruurta.
Sanadkii hore 2014 cudurka Jadeecada si balaaran ayuu ugu faafay Soomaaliya
(measles outbreak):
FURUURUCA JADEECADA

3. Bayaanka ay si wadajir u soo saareen WHO iyo Unicef ayaa lagu qeexayaa culayska
uu leeyahay cudurka Jadeecada iyo dhibaatada uu caruurta u gaysan karo:
“ The infection rate - according to the latest figures - is four times higher than the average recorded
in the same period of 2013, while a vaccination campaign should be carried out urgently, to stop
thousands of preventable deaths, "they said UNICEF and WHO (World Organisation health) in a
joint statement."We have a very large number of Somali children malnourished," said the head of
UNICEF in Somalia Sikander Khan.”
"The malnourished children can get sick more easily and are more likely to die or remain disabled
for life, such as losing your sight, hearing or bringing damage to the brain, as a result of measles,"
said the head of WHO in Somalia, Ghulam Popal, stressing that the epidemic is "extremely
worrying", with 10% of infected children who are likely to die from complications.
In recent months, about half a million Somali children have been vaccinated, but are at least five
million in total - according to the UN - those in need of protection. In some areas of the country on
the Horn of Africa, particularly in the south and central regions, including areas where African
Union troops are battling Islamic fundamentalists Shebab - immunization rates are just 15%.
Less than a third of children under one year of age were vaccinated throughout the country in 2013.
450,000 children die each year (one child every minute) due to this disease in the African continent
so that measles causes more deaths among African children that HIV, Tuberculosis and Malaria.
Every death due to measles could be prevented with a simple vaccination that costs less than a
dollar per child.
Unicef, Red Cross, ONU, USA have created long-term campaign with the aim to vaccinate 200
million children at risk throughout Africa (This will prevent 1.2 million deaths).
450,000 children die each year (one child every minute) due to this disease in the African continent,
that measles causes more deaths among African children, that HIV, Tuberculosis and Malaria.
Every death due to measles could be prevented with a simple vaccination that costs less than a
dollar per child
UNICEF, the Red Cross, UN and US have created long-term campaign with the aim to vaccinate
200.milioni of children at risk throughout Africa.
(This will prevent 1.2 million deaths.)

4. Cudurrada faafa Jadeecadda waa midka ugu dhaqsiyaha badan ee bulshada ku faafa, ka mid ah
kuwooda ugu dhimashada badan iyo kuwooda ku reebo caruurta waxyeelada culus.
Bulshada waxay ku kala qaadaa ama isuugu gudbisaa cudurka Jadeecadda hawada, qofka
Jadeecadda qabto wuxuu firuska qofka kale ugu gudbiyaa goortuu hadlayaa, ama qoslaaya, ama
hindhisaya., ama qufucaya.
Sida lagu garto cudurka Jadeecadda waa mid aad u adag xilliyada hore goortuu firuska ku tarmaya
jirka gudahiisa oo aana jirin wax astaamo ah oo lala xiriirin karo, 12-14 maalmood ka dib ayaa la
tuhmi karaa cudurka Jadeecadda goortay soo ifbaxaan aastaama ugu horeeya kuwaaso ah:
1) Qandho
2) Indho xanuun iyo indho cun-cun
3) hergab
4) afka gudahiisa oo dhibo cad lagu arko (Koplik spots).
5) Dhuun xanuun
6) Qufac daran.
4-5 maalmood ka dib aya jirkoo idil furuurux ka soo baxaya, furuuruxan ayaa wehliyo cun-cun
xilligan ayaa la xaqiijin karaa in cudurka uu yahay Jadeeco.
Xilliga boogsashada ayaa soo hagaagaya maalinba maalinta ka dambayso caafimaadka bukaanka
haseyeeshee waa xilligani goortay soo ifbaxayaan dhibaatooyinka uu qofka ku reebi karo, siiba
caruurta da'dooda ka hoosayso 5 sano ayee soo gaartaa dhibaatooyinka culus.
Furuuruxa Jadeecada
Koplik spots

5. Way adag tahay in caruurta ilaa sanad jirka lagu arko Cudurka Jadeecada haddii Hooyada uurka ka
hor uu ku dhacay Jadeeco amaba laga talaalay.
Waxaan og nahay in Hooyada xilliga uurka ay u gudbiso cunuga unugyada ka hortagga cudurka
Jadeecada unugyadaasi oo ilaa muddo sanad ah ka difaacaya cunugga Jadeecada.
Haddana waxaa suuro gal ah in Jadeecada ee saameeso caruurta da'dooda aad u yar bil ilaa sanad.
Ilaa iyo iminka ayaa la xaqiijiyay in 4 caruur oo da'dooda ka hoosayso sanad ay Jadeecadu
haleeshay.
1) 1 Cunug oo 4 bilood jira
2) 2 Cunug oo 7 bilood jira
3) 1 Cunug oo 11 bilood jira
Dhacdadaani waxaa loo asbaabeeyay in:
a) In Hooyada aysan qaadan talaalka ka hortagga cudurka Jadeecada.
b) In Hooyada uusan ku dhicin cudurka Jadeecada.
c) In ay jirto nafaqa darro.
Haddii Hooyada ay qaado Cudurka Jadeecada xilliga uurka waxaa suuro gal ah in cunuga uu
dhicisoobo ama uu uurka ku dhinto.
Dhibaatooyinka la xiriira Cudurka Jadeecadda:
1) Dhaga xanuu ama fasaska dhagaha ama maqal la'aan.
2) Indha la'aan
3) Pneuumonia
4) Encephalitis waa dhibaatada ugu halista badan oo ka mas'uul noqon karto
naafo, qalal, maqal la'aan, arag la'aan iyo dhimasho.
Saadasha (Prognosis):
Saadaasha cudurka Jadeecadda maaha mid xun maaadaama waqtiyadii ugu
dambeeyay uu sare u kacay isticmaalka antibiotiga ka hortaga dhibaatooyinka la
xiriira fasasyada bacterialka.
Badi dhimashada waxay la xiriirta Encephalitis.
Saadashada ma wanaagsana dadka difaaca jirkooda hoos u dhacsanyahay (immuno-
deficiency) iyo caruurta nafaqa darrada haysato.

6. Daaweenta Cudurka Jadeecadda:
Ma jirto daawo u qaas ah Cudurka Jadeecadda.
Hase ahaatee waxaa laga maarmaan noqon karo isticmaalka antibiyootigo goortay
soo if baxaan dhibaatooyinka la xiriira Jadeecadda.
Fitamiin A qaadashadeeda ayaa la xaqiijiyay in ay u wanaagsantahay dadka ku dhaca
Cudurka Jadeecada qaasatan caruurta da'dooda ka hoosaysa 2 sano iyo kuwa nafaqa
darrada haysato.
Jadeecadu Daawo ma laha.
MACLUUMAADKA DHIMASHADA:
Wadamada reer galbeedka iyo kuwa hor'umarka ku dhaqaaqay ayaa aad ugu yar
faafidda cudurka jadeecada iyo dhimashada la xiriirto maadaama ay wadamadaani ay
si balaaran u adeegsadeen talaalka MMRka.
Wadamada Saboolka qaasatan kuwa Qaaradda Afrika dhimashada la xiriirta cudurka
Jadeecadda waxaa lagu qiyaasay 30% taasoo u sabab ah adeegsi la'aanta talaalka
MMRka ama adeegsiga talaalka MMRka uusan gaarsiisneen heerkii loo baahnaa.
Faafidda cudurka Jadeecadda ayaa maanta ah halista ugu weyn ee nolosha dadka,
gaar ahaan carruurta kuwooda nafaqa darrada haysata iyo caruurta ay ku yartahay
fitamiin A.
Waxaa la qiyaasay in cudurka Jadeecadda uu meesha afaraad kaga jiro 10ka sababood
ugu muhiimsan ee loo dhinto.
Midda kale Jadeecadda waxay ka mid tahay cudurrada indhala'aan ku ridda caruurta.

7. Talaalka MMR iyo Autismka:
Dhoowr jeer ayaan la kulmay waalidiin badan ee soomaaliyeed ka cabsi qaba in ay
caruurtooda ka talaalaan Cudurka Jadeecada ama gebi ahaanba diidan talaalaka
MMRka, iyagoo ka muuqatay wel-wel xoogan ee la xiriira dhibaatada uu lahaan karo
talaalka MMRka ama shakiga ay ka qabaan in uu Talaalkaasi mas'uul ka noqon karo
cudurka Autismka ama uu jiro wax xiriir ahi u dhaxeeyo MMR iyo Autismka.
Waxaan kaloo la kulmay waalidiin Soomaaliyeed leh caruur Autismka qaba oo
aaminsan in Talaalku MMRka uu u sabab yahay Autismka caruurtooda.
Run ahaantii wel-welka iyo cabsida ka muuqato waalidiinta Soomaaliyeed waa
dareen ay la wadaagaan walidiin kale ee wadama kale kasoo jeeda gaar aahaan
wadamada Reer Galbeedka.
Waa su'aal mar marwalba soo noq-noqoto una baahan in jawaab sax ah laga bixiyo oo
ay waalidiinta Soomaaliyeed ku qanci karaan inkastoo mar hore culumada saaniska
xaqiijiyeen in uusan jirin wax dhibaato uu leeyahay Talaalka MMRka uusana ka
mas'uul ahayn Autismka.
Wargayska caafimaad ee loo yaqaano Lancet ayaa lagu soo daabacay 1998 maqaal uu
qoray dhakhtar Ingiriis ah Andrew Wakefield isagoo ku doodayo in tallaalku MMRku
uu sabab u yahay cudurada xiidmaha ee la xiriira Kanner Sindrome (Autism
Spectrum Disorder). Maqaalka
Wakefield wuxuu dhaliyay dood cilmiyeed balaaran oo muddo dheer socotay ku
dhawaad 12 sano.
Wakefield dhab ahaantii doodiisa ma ahayn mid si rasmi ah u muujinaysay in talaalka
MMRka uu ka mas'uul yahay Kanner Sindrome haddana meelo badan ee doodiisa
mugdi ahayd ayuu ifi waayay.
Nasiibdarro Mr.Wakefield doodiisa aan sal cilmiyeed ku fadhin waxay sababtay in
hoos u dhac balaaran ku yimaada tirada adeegsiga talaalka ka hortagga cudurka
Jadeecada ee dalka Mareekanka, Ingiriiska iyo wadamo kale ee Europe, hoos u
dhacaa oo sabab u noqday kiisas farabadan oo dhibaatooyin xambaarsan oo ay ka mid
yihiin Encephalilitis iyo dhimasho. Guddiga anshaxa ee
General British Medical, ka dib markii baaritaan taxadir uu sameeyay, ayuu natiijo
culus ka soo saaray sida Wakefield uu u soo bandhigay baaritaan aan daacad ahayn
oo waxyeelo culus ugaysatay caruur badan qaarkoodna ku naf waayay.
Warbixinta Guddiga Sayniska waxay sii sheegtay in Wakefield uu hoos u dhac
balaaran u gaystay sumcadda Caafimaadka.
Wakefield naftiisa waxaa laga cayriyay Royal College ee Takhaatiirta oo aan mar
dambe u shaqayn Karin.

8. TALAALKA JADEECADA :
Ujeeedada laga leeyahay in caruurta laga talaalka cudurka Jadeecada waa:
1. In cunuga laga difaaco dhibaatooyinka culus uu wato cudurka Jadeecada, kuna
reebi karo.
2. In cunuga jirkiisu uu lahaadaa difaac joogta ah.
3. In la xakameeyo in Jadeecadu ay ku faafto bulshada.
Talaalka loogu talagalay ka hortagga cudurka Jadeecada waa talaal ka samaysan
fiiruska jadeecada oo nool laakin awoodiisa hoos loo dhigay, farsamadaan waxay
suro gelisay in difaaca jirka uu sare u kaco islamarkaana uu awood u yeesho
xakameenta cudurka.
Waxaa jira 3 nooc ee Talaalka Jadeecada:
a) Nooca Schwarz
b) Nooca Moraten
c) Nooca Edmonston-Zagreb.
Inkastoo Talaalka Jadeecada kaligii la adeegsan karo, haddana waxaa caadi ah in
in Cudurrada jadeecada, Qaamooqashiirka iyo Jadeeco Jarmalka hal mar laysla wada
qaato iyagoo loo adeegsanayo Talaalka MMR.
WAQTIGA TALAALKA:
Waa muhiim in caruurta laba jeer ma seddax jeer la Talaala:
1) Goorta cunugu uu da'diisu yahay (wareegtada 1aad) 12-15 bilood
2) Goorta cunuga uu da'diisu yahay (wareegtada 2aad) 4-6 sano
Jadwalkaan waa kan ay adeegsadaan wadama horay u hor'maray, kuwa saboolka ah
ama wadamada soo koraya marxaladaha jira owgeed ayuu jadwalka talaalka ugu
duwan yahay, wadamadaani waxay isticmaalaan jadwal ay ka soo shaqaysay WHO.
1) Wareegtada 1aad markuu cunuga jirsado 6 bilood.
2) Wareegtada 2aad markuu cunuga jirsadu 12-15 bilood.
3) Wareegtada 3aad markuu cunuga jirsado 4-6 sano.
4) Soo qabo oo talaal (Catch up) 4-6 ; 11-12 sano.

9. FIIRO GAAR:
Waxaa suuro gal ah in 5% caruurta la talaalay in jirkooda uusan jawaab ka bixin.
(No responder.)
TALAALKA DADKA WAAWEYN:
Dadka da'dooda ka sareesa 18 sano oo aan weligood qaadan Talaalka MMRka ama
uusan cudarka ku dhicin waa in ay mar qura istilaalan.
Dumarka ku jira xilliga Uurka waxaa talo ah oo wanaagsan in talaalka jadeecada ama
talaalkasto ka sameesan jeermi nool oo awoodiisa hoos loo dhigay in laga ilaaliyo
waayo waxaa suuro gal ah in uu dhibaateeyo cunuga uurka ku jiro.
DHAMAAD.