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Jumanne, 12 Novemba 2013

Je,Wajua sababu ya kuanguka,kuzimia na hata kufa baada ya kujisaidia?-Vasovagal Syncope

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Baadhi ya watu wamekuwa wakijiuliza ni kwa nini inatokea mara nyingi mtu akiwa uani, msalani, chooni au bafuni, punde tu anapomaliza kukojoa, ghafla huona kama mwanga mweusi na nyota na kisha kuanguka, akazimia au wengine kuaga dunia kabisa. Kwa lugha ya Kiingereza husema, 'micturition syncope' yaani kuzimia baada ya kukojoa.

Baadhi ya watu kwa kukosa majibu yenye ufafanuzi wa kitaalamu ili kuondoa tashwishi, wameangukia katika kuamini kuwa hali hii inahusiana moja kwa moja na ulozi/uchawi/ushirikina ama kupitiwa na jini/shetani. Kama ilivyo kwa ukatili dhidi ya

albino na mauaji ya vikongwe, ujinga wa kukosa maarifa sahihi kuhusu jambo husika huchangia sana katika kuwasukuma baadhi ya watu kuchukua hatua zenye madhara kwa walengwa.

Kwenye suala la kuanguka punde tu baada ya kwenda haja kubwa ama ndogo, kwa kufuatana na utaalamu wa kisayansi katika baiolojia, halii hii hutokana na mabadiliko ya fiziolojia kwenye shinikizo la damu na mishipa ya fahamu, kitaalamu ni "vasovagal syncope" ambayo husababisha mtu apate kizunguzungu cha ghafla, apoteze fahamu na/au kufariki kulinga na ukubwa wa mshituko alioupata na uwezo wa viungo vya ndani ya mwili kustahimili kishindo hicho.

Daktari mtaalamu katika kituo cha afya cha Mayo Clinic, anaeleza kwa ufasaha kidogo akijibu swali:-

OUESTION: Fainting during urination (micturition syncope): What causes it?

Last week, my husband fainted while urinating. His doctor said he might have micturition syncope. What causes this, and what can he do about it?

ANSWER from Phillip A. Low, M.D: Micturition (or post-micturition) syncope is fainting during or, more commonly, immediately after urination due to a severe drop in blood pressure. Micturition syncope is most common in older men and usually occurs at night after a deep sleep.

The exact cause of micturition syncope isn't fully understood. But it may be related to opening (vasodilation) of the blood vessels that occurs when getting up and standing at the toilet or that occurs at the rapid emptying of a full bladder. This is thought to result in a sudden drop in blood pressure.

Other factors that may play a role in micturition syncope include:

Alcohol
Hunger
Fatigue
Dehydration
Medical conditions, such as a respiratory infection
Use of alpha blocker medicines to improve urination in men with prostate problems

Preventing micturition syncope

Micturition syncope is uncommon and should be evaluated by a doctor because it may indicate an underlying medical condition. Prevention of micturition syncope depends on recognizing the factors that contribute to micturition syncope and avoiding them. Some strategies you might suggest to your husband to avoid micturition syncope and possible resulting injury are:

Avoid excessive drinking of alcohol
Don't get out of bed suddenly — first, sit on the edge of the bed and move your legs, making sure you are not dizzy or lightheaded
Urinate sitting down
Ask your doctor whether any medications you're taking may be causing your condition

As much as possible, ensuring the floor from your bed to the bathroom is carpeted or padded is also a good strategy for avoiding injury from a potential fall.

Source: http://tanzanianewz.blogspot.com.com/4/post/2013/11/sababu-ya-kuanguka-kuzimia-na-hata-kufa-baada-ya-kujisaidia-vasovagal-syncope.html#ixzz2k3JL6zLG

DCI Manumba astaafu Polisi, Mungulu amrithi

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Dar es Salaam. Mkurugenzi wa Upelelezi wa Makosa ya Jinai (DCI), Robert Manumba amestaafu rasmi utumishi wa umma baada ya kufikia umri wa kustaafu kisheria wa miaka 60.

Manumba aliyeanza kulitumikia Jeshi la Polisi miaka ya 1970, nafasi yake itashikwa kwa muda na Mkuu wa Ufuatiliaji na Tathmini (CID), Kamishna Isaya Mungulu.

“Wakati utaratibu wa uteuzi wa Mkurugenzi wa Upelelezi ukiendelea, Kamishna Mungulu, atakaimu nafasi hiyo,” ilisema sehemu ya taarifa ya Polisi kwa vyombo vya habari iliyotolewa jana na Msemaji wake, Advera Senso.

Akizungumzia kustaafu huko, Inspekta Jenerali wa Polisi (IGP) Said Mwema, amemshukuru na kumpongeza Manumba kwa weledi na uaminifu mkubwa aliouonyesha wakati wote alipokuwa mtumishi wa Jeshi la Polisi.

Amemtaka aendelee kuwa msaada kwa jeshi hilo kwa kutoa ushirikiano wa namna yoyote ile unaoweza kusaidia kupunguza uhalifu nchini akisema usalama ni taaluma kama zilivyo nyingine.

Historia yake kikazi

Katika utumishi wake, DCI Manumba amelitumikia jeshi hilo katika nyadhifa mbalimbali zikiwamo katika Chumba cha Kupokea Mashtaka kati ya mwaka 1976 hadi 1977 na baadaye Mwendesha Mashtaka Wilaya ya Kibondo na Kasulu mkoani Kigoma kati ya 1977 na 1984.

Alikuwa Mkufunzi katika Chuo cha Polisi kilichopo Kurasini Dar es Salaam, kati ya mwaka 1984 na 1987 kabla ya kuteuliwa kuwa Mkuu wa Upelelezi Wilaya ya Kipolisi ya Magomeni na Kinondoni. Manumba baadaye aliteuliwa kuwa Naibu Mkuu wa Upelelezi wa Mkoa wa Dar es Salaam kuanzia 1987 hadi 1993.

Kati ya mwaka 1993 na 1995, alikuwa Mkuu wa Upelelezi wa Mkoa wa Arusha kabla ya kuteuliwa kushika wadhifa wa Mkufunzi Mkuu wa Chuo cha Polisi Moshi kati ya 1995 na 1996.

Aliteuliwa kuwa Mkuu wa Kitengo cha Kukabiliana na Uhalifu wa Kughushi Makao Makuu ya Upelelezi mwaka 1996 na 1997 na baadaye kuwa Mkuu wa Kitengo cha Usalama, Intelijensia na Kupambana na Biashara ya Dawa za Kulevya kwenye Makao Makuu ya Upelelezi kuanzia 1997 hadi 2001.

Mwaka 2001 hadi 2006 aliteuliwa kuwa Mkurugenzi Msaidizi wa Upelelezi wa Makosa ya Jinai na kuanzia mwaka 2006 hadi anastaafu, alikuwa Mkurugenzi wa idara hiyo.

Mapema Januari, jina la DCI Manumba lilitawala vyombo vya habari baada ya hali yake kuwa mbaya na kulazwa katika Chumba cha Wagonjwa Mahututi (ICU), Hospitali ya Aga Khan, Dar es Salaam

Magazetiya Leo Jumanne Tarehe 12/11/2013

Jumatatu, 11 Novemba 2013

Magazeti ya leo November 11 2013

TAKE PRESIDENT JAKAYA KIKWETE’S WORD AND GET ON WITH PENDING EAC MATTERS

KENYA - PRESIDENT JAKAYA KIKWETE OF TANZANIA HAS CLEARED THE AIR OVER HIS COUNTRY’S POSITION IN RELATION TO THE EAST AFRICAN COMMUNITY MEMBERSHIP.

President Jakaya Kikwete

It is now hoped that his colleagues Uhuru Kenyatta, Yoweri Museveni and Paul Kagame will do whatever is necessary to meet him halfway to ensure the regional block moves forward together.

Kikwete told Tanzanian MPs last week that his country will never quit the EAC.

The planned tripartite free trade area incorporating EAC with the Common Market for Eastern and Southern Africa (COMESA) and Southern African Development Community (SADC), makes the union between the East African leaders all the more important.

The fact that Tanzania ditched Comesa as a condition for joining SADC despite the presence of some other members states who are in both trade blocks, makes the negotiations hard enough without having to add unnecessary differences among EAC leaders.

Differences that could be easily overcome with a bit of give and take on all sides, as long as there is mutual good will. And there is no reason why there should not be.

To his credit, Kikwete has already set the ball rolling by outlining four of the eight issues the “coalition of the willing” has been dealing with, which his country has no quarrel with, because they do not fall under the EAC protocol.

These are the building of a standard gauge railway from Mombasa to Kigali and South Sudan; a pipeline from Mombasa to South Sudan and from Eldoret to Uganda and Rwanda; a petroleum refinery in Uganda; and production and distribution of electricity. Kikwete’s indications that these projects would be beneficial to his country were it to be included might be significant.

Perhaps, the other presidents should take him at his word, and invite his country to join in as long as it does not result in unreasonable delays.

Contentious issues

Tanzania said the other countries should not have unilaterally decided to deal with four issues before the respective regional ministers completed and handed in their reports.

These include use of national IDs as travel documents, a political federation, a single tourist visa and a single tourist territory.

It would be in everyone’s interest to get Tanzania on board on these issues, as long as it can lead to the setting down of a clear time-table and achievable deliverable.

The need to bring Tanzania back into the EAC fold would make it easier to woo and to integrate the Democratic Republic of Congo (DRC) into the East African fold before sitting down to negotiate with South Africa which is at long last realizing that it needs to go beyond its immediate neighbors to meet its growth targets.

Going into such negotiations without a unity of purpose would only serve to weaken the East African hand. It would also benefit South Africa, which many observers have long accused of having had a hand in the bolting of Tanzania from Comesa, as a way of attempting to build a trade wall against Kenya.

Be that as it may. Let cooler heads and somber minds prevail.

Source: in2eastafrica.net

Kikwete;Tanzania haitojitoa katika Jumuiya ya Afrika ya Mashariki.

Tanzania imesema hataitajitoa katika Jumuiya ya Afrika kama wengi walivyodhani na badala yake imedhamiria kuhakikisha Jumuiya hiyo inadumu na kustawi.

Akilihutubia bunge la Tanzania, mjini Dodoma, katikati mwa Tanzania, Rais wa nchi hiyo, Jakaya Kikwete amesema kwamba Tanzania haina mpango wala fikra za kujitoa katika Jumuiya ya Afrika Mashariki kwa kuwa ni nchi inayoamini katika umoja na maendeleo na imekuwa ikitumia gharama kubwa kuhakikisha jumuiya hiyo inaimarika.
        "Tanzania ni mwanachama mvumilivu, mtiifu na mwaminifu na tunatimiza wajibu wetu kwa jumuiya na kuhusika kikamilifu katika ujenzi wake." amesema Rais Kikwete.
Rais Kikwete ametumia muda mrefu katika hotuba hiyo kuchambua masuala mbalimbali ya msingi ya uhai wa jumuiya hiyo huku akisema ameshangazwa na nchi za Kenya, Uganda na Rwanda kuzitenga Tanzania na Burundi.
      Amesema kuna masuala ambayo hayazifungi nchi wanachama katika mkataba wa umoja wao, hivyo kuwa na uhuru wa ushirikiano na nchi ndani ya jumuiya na hata nje.
"Naomba kwanza niweke wazi jambo moja, kwamba nchi mbili wanachama au zaidi hazikatazwi kuwa na makubaliano ya ushirikiano katika kufanya mambo mbalimbali. Hata sisi Tanzania tunao ushirikiano wa namna hiyo na nchi zote wanachama wa Jumuiya ya Afrika Mashariki. Lakini, nchi wanachama zinatakiwa kufanya hivyo kwa yale mambo ambayo hayako kwenye shughuli za Jumuiya kwa maana kwamba hayamo katika Mkataba au Itifaki au hakuna uamuzi wa msingi uliofanywa na vikao au taasisi za Jumuiya kuyashughulikia. Pia, tunaweza kufanya hivyo kwa mambo ambayo yalishaamuliwa na Jumuiya yatekelezwe na ruhusa imetolewa kwa nchi yo yote iliyokuwa tayari kutekeleza ama peke yake au kwa kushirikiana na nchi nyingine".
              Hata hivyo Rais Kikwete amesema huenda mambo yanayoitenga Tanzania na nchi nyingine tatu za jumuiya ya Afrika Mashariki, ni msimamo wake kuhusu kuharakisha shirikisho, masuala ya ardhi, ajira, na uhamiaji.