Dr Hassan Ali kaliil

18/07/2025

MAXOW YAHAY CUDURKA LAGA HELAY
MD DALKA MAREYNKANKA EE MR TRUMP ?

Chronic Venous Insufficiency (CVI) waa xaalad caafimaad oo joogto ah oo dhacda marka xididdada dhiigga ee lugaha (especially veins) aysan si fiican u shaqayn — taasoo keenaysa in dhiiggu dib ugu noqdo (reflux) ama uu si tartiib ah u socdo kor (direction-ka wadnaha). Waxaa sabab u ah valves-yada xididdada oo dhaawacma ama daciif noqda.

🩺 Sababaha ugu waaweyn ee CVI:

1. Dhiig istaag ku dhaca lugaha (venous stasis)

2. Valves-ka xididdada oo dhaawacma

3. Dhiig qarxaya xididdada hoos u socda (varicose veins)

4. Dhiigfuran h**ey u dhacay (deep vein thrombosis - DVT)

5. Dhicitaan badan, culays badan, ama xanuuno dhaxal ah

🔍 Calaamadaha CVI:

Lugaha oo barara (especially ankelka & canqowga)

Dhibic madow ah oo ka muuqda maqaarka (hyperpigmentation)

Lugaha oo dareema culays, xanuun ama gubasho

Maqaarka lugaha oo khafiifa ama qallala

Boogaha aan bogsoonin (venous ulcers) — gaar ahaan canqowga

Xidido aad u muuqda (varicose veins)

🧪 Baadhitaan lagu ogaado:

Doppler ultrasound – si loo eego socodka dhiigga

Venogram – sawir dhiigga xididdada (xaalado gaar ah)

💊 Daaweynta:

1. Compression stockings – kabaha cadaadiska leh

2. Dhaqdhaqaaq joogto ah – si dhiiggu u socdo

3. anti-inflammatory ama anticoagulants (haddii lagama maarmaan)

4. Daawaynta maqaarka – si looga hortago boogaha

5. Surgery ama endovenous ablation – haddii xaaladdu daran tahay

✅ Talooyin Caafimaad:

Ka fogow in aad si joogto ah u fariisato ama u istaagto muddo dheer

Culeyska iska dhimo (haddii jirto cayil)

Dhiig socodka kor u qaad – lugaha kor u qaad marka aad huruddo ama fadhiisato

13/07/2025

Maxaa ay guushan Chelsea la micno tahay?

Horyaalka Koobka Caalamiga ah ee Kooxaha (FIFA Club World Cup 2025): Chelsea waxay final‑ka ku garaacday Paris Saint‑Germain 3–0, waxayna noqotay kooxda ugu horreysa ee bilowgii cusub ee tartanka (2025) ku guuleysata .

Heersare caalami ah: Guusha waxay la micno tahay in Chelsea loogu arko kooxda ugu xooggan adduunka marka loo eego tartamada kooxaha, sida Champions League laakiin heer sare ah .

Astaanta FIFA World Champions badge oo shaar shiraac leh: Kooxda guuleysata waxay xaq u yeelaneysaa in ay astaan ka sii wataan shaatiyada, taas oo calaamadeynaysa guul caalami ah muddo afar sano ah .

Lacag dhan ilaa $110–125 milyan: Guushan waxay Chelsea u keentay abaal‑marin lacageed oo rikoodh ah—ayaa heshay ilaa $40 milyon oo maalin final‑ka ah lagu bixiyo, iyo ilaa $85 milyon oo guul-guur dheer ah kumanaan h**e ah, taas oo ka dhigaysa koobka lacagta ugu badan laga helo tartamada kooxaha .

Xoog dhaqaale iyo fursad suuqa kala iibsiga: Lacagtaas ayaa kooxda ka caawisay inay maalgeliso saxiixyada cusub xagaagan, taas oo sii xoojinaysa isbadalka ay Chelsea ku jirto $225 malyan qaarkoodna la geliyey suuqa xagaaga .

Dhammaystirka koobab yaryar: Chelsea waxay tahay kooxda keliya ee dhamaystirta hanashada shanta koob ee waaweyn ee UEFA (Champions League, Europa League, Conference League, Super Cup & Cup Winners’ Cup) iyo sidoo kale Club World Cup — taas oo calaamad u ah heerkeeda sare ee yurub iyo caalamka .

Marka la iskugu daro:

Guusha Club World Cup ee Chelsea waa in ay tahay tiir muhiim u ah sumcadda caalamiga ah ee kooxda, dhaqaale aad u badan oo ay ku maalgeliso mustaqbalka, iyo sharaf rasmi ah oo FIFA ah — dhammaan waxay muujinayaan in Chelsea aysan ahayn halkan oo kaliya inay ku guuleysato Champions League iyo koobabka kale ee Yurub, balse inay maanta ku jirto kooxda ugu sareysa caalamka.

13/07/2025

🔥 Qeybta H**e: Chelsea 3–0 PSG

Cole Palmer ayaa goolasha furo kadibna laba gool ka dhaliyay, kadib markii qeybta h**e laga joogay 22' iyo 30‑daqiiqo, taas oo Chelsea ka dhigeysay inay si buuxda u maamulaan kulanka .

Chelsea waxay ciyaartan ku bilowday cadaadis sare iyo qaab qaabisan, PSG-na wuu qasnaa qaybta h**e, iyada oo cadaadisku uu ahaa mid aad u sarreeya .

💡 Fikradahayaga

Qaabka Maresca ee high-press iyo xawaaraha Chelsea ayaa ahaa mid si weyn uga sii waxtar badan PSG, xitaa iyagoo PSG ku fiican lahaayeen kubad xakame iyo halis sare .

Celcelis ahaan PSG waxay qaab ciyaareed fiican u muujiyeen kulammada h**e, laakiin Chelsea si geesinimo leh ayaa ula qabsatay xilligii kulanka kooxda kale ay ka shalaaysay marka kubad la haysay .

🎯 Ujeedadaada Awoodda iyo Fursadaha

1. Ka faa’iidayso goolasha qeybta h**e — PSG waa inay dhakhso ku bilowdaa goolal ka hortag ah si loo ilaaliyo rajo ahaan.

2. Kor u qaad shucuurta kooxdaada — koox sida Chelsea oo leh jawi sare iyo kalsooni waxay noqon kartaa cadow adag xitaa PSG oo ah kooxda ugu awooda badan adduunka.

3. Xog–faa’iido loo leeyahay — Celcelis ahaan Chelsea wax walba waxay ku garaaceen kulankooda USA kulan kasta oo ay ciyaareen (marka laga reebo hal guuldarro dhalisay) .

4. PSG cabsi galin karo dekooda daciifka ah — PSG waxay lumisay kubbad badan (76) iyo qaar kale oo kubad qaadasho ah kulankooda, halka Chelsea aysan weligeed gool laga dhicin qeybta h**e 🍃 .
🧠 Talo soo jeedin guud ahaan:

Chelsea waxay muujisay awood iyo daacadnimo weyn — goolal qurux badan oo isdaba-joog ah waxay ka dhigeen kooxda mid si cad u maamuleysa.

PSG, inkastoo kooxda ugu sareysa, hadana waxaa ku qabatay qaab ciyaareedka xeeldheer ee Blues-ca oo si wanaagsan loola qabsaday heer kulka iyo cadaadiska

29/06/2025

Sawirkan wuxuu muujinayaa laba irbadood oo tusaale ahaan loo adeegsaday doorashada nolosha:

Irbadda bidix: “Xanuunka Anshaxa” – Waa yar, taasoo la micno ah iney dhib leedahay balse la maarayn karo.

Irbadda midig: “Xanuunka Qoomamada” – Aad u buuxda, taasoo muujinaysa in qoomamadu ay aad u dhaawac badan tahay isla markaana ay sii jirto waqti dheer.

🧠 Tusaale yar oo nolol dhab ah:
Anshax: Maalin walba waqti h**e toos oo hal saac wax baro. Ma fududa, balse si tartiib ah ayaad u kobcaysaa.

Qoomamo: Toddobaadyo aanad wax baran, ugu dambeyna imtixaanka waad ku dhacdaa. Qoomamadu waa mid culus oo ka xanuun badan dadaalka yar ee maalinlaha ah.

💡 Cashar: Dooro xanuunka yar ee anshaxa maanta, si aad uga fogaato xanuunka weyn ee qoomamada berri.

23/06/2025

Success doesn't come from what you do occasionally, it comes from what you do consistently

23/06/2025

Patent Ductus Arteriosus

Qeexid:
Patent Ductus Arteriosus (PDA) waa cillad wadnaha ah oo ilmaha ku timaadda marka xididka la yiraahdo ductus arteriosus uusan xirmayn ka dib dhalashada.
Ductus arteriosus waa xidid dabiici ah oo ku jira ilmaha uurka ku jira, kaasoo isku xira halbowlaha sanbabada (pulmonary artery) iyo halbowlaha weyn ee aorta, si dhiigga uusan u marin sanbabada.

Ka dib dhalashada, xididkaas waa inuu is xiraa maalmo gudahood. Haddii uusan xirmayn, waxaa la dhahaa PDA.

🔍 Sida uu u Shaqeeyo (Pathophysiology):

PDA wuxuu keenaa in dhiigga ka yimaada aorta (cadaadis sare leh) uu ku soo noqdo pulmonary artery (cadaadis hoose leh) → taasoo la dhaho "left-to-right shunt".

Tani waxay kordhisaa qulqulka dhiigga ee sanbabada, waxayna keentaa buuxdhaaf sanbabada iyo cadaadis xad-dhaaf ah oo ku dhaca wadnaha dhiniciisa bidix.

📋 Calaamadaha:

Haddii PDA-ga yar yahay, ilmaha calaamado kuma imaan karaan.

Haddii uu dhexdhexaad ama weyn yahay:

Neefsasho degdeg ah

Nuugid liidata (caanaha ama naaska)

Korriin xumo (failure to thrive)

Dhawaq joogto ah oo laga maqli karo laabta (murmur "machinery" ah)

Wadnadhakheyn xoog leh (bounding pulses)

Farqi weyn oo u dhexeeya cadaadiska sare iyo hoose ee dhiigga (wide pulse pressure)

🔬 Baadhitaan:

Echocardiography (Echo): Waxaa lagu xaqiijiyaa PDA, waxaana lagu cabbiraa baaxadda iyo socodka dhiigga.

Raajada laabta (Chest X-ray): Waxay muujin kartaa wadne weyn ama calaamado kororka dhiigga sanbabada.

ECG (Electrocardiogram): Waxay muujin kartaa waynaanta qaybaha wadnaha bidix (atrium/ventricle).

💊 Daaweyn:

Indomethacin ama Ibuprofen: Waxaa loo isticmaalaa ilmaha preterm-ka ah si xididka loo xiro.

Qalliinka ama xidhitaan catheter ah: Haddii daawadu shaqayn weydo ama PDA-gu uu weyn yahay.

Dabagal (Monitoring): PDA-yada yaryar oo aan calaamado lahayn waxaa laga yaabaa inay keligood xirmaan; waxaa kaliya lagu hago la socod.

🚼 Dhibaatooyinka Haddii Aan La Daawayn:

Wadne fashil (Heart failure)

Cadaadis sare oo sanbabada ah (Pulmonary hypertension)

Caabuq ku dhaca gudaha wadnaha (Infective endocarditis)

Eisenmenger syndrome: Tani waa dhibaato dambe oo halis ah, dhiiggu wuxuu u beddelaa jihada midig-to-bidix.

11/05/2025

Happy Mothers' Day!

04/01/2025

HMPV outbreak in China

Waa maxay fayraska HMPV ee lagu arkaya kor u kaca Shiinaha?
La helay 2001, HMPV waxaa iska leh qoyska Pneumoviridae, isku qoys ah sida fayraska syncytial neef-mareenka (RSV), sida laga soo xigtay Xarumaha Xakamaynta iyo Kahortagga Cudurrada ee Maraykanka (CDC). Waxay caadi ahaan keentaa infekshannada neef-mareenka ee sare iyo hoose, oo soo bandhiga calaamado la mid ah hargab ama hargab caadi ah.

HMPV waa fayras neef-mareenka oo sababa caabuqyada neef-mareenka sare iyo hoose. Waxay saamaysaa shakhsiyaadka da' kasta ah, oo leh carruurta yaryar, dadka da'da ah, iyo kuwa leh hab-dhiska difaaca ee daciifka ah ayaa ah kuwa ugu nugul, marka loo eego CDC.

Calaamadaha HMPV
Calaamadaha sida caadiga ah lala xiriiriyo HMPV, sida ay sheegtay CDC, waxaa ka mid ah: qufac iyo diif ama sanka oo xirma, qandho, cune xanuun, hiinraag ama neefta oo ku dhegta xaaladaha daran. Xaaladaha qaarkood, infekshanku wuxuu u gudbi karaa boronkiito, oof wareen ama neefta oo ka sii daraysa.

Sidee HMPV u fidaa?
HMPV waxay ku faaftaa dhibco ka yimaada qufaca ama hindhisada, xiriirka dhow sida taabashada ama gacan qaadka, sagxadaha wasakhaysan, oo ay ku xigto taabashada afka, sanka ama indhaha. Sida ku cad CDC, HMPV waxay leedahay qaab xilliyeed, wareegaya jiilaalka dambe iyo gu'ga ee gobollada dhexdhexaadka ah.

09/08/2024