Jɔn ye Neurophysiologist ye? An k’o dɔn!

N’a sɔrɔ aw y’a mɛn ko aw ka dɔgɔtɔrɔ y’a fɔ ko aw ka kan ka taa ‘sɔgɔsɔgɔninjɛ furakɛla’ fɛ. Walima n’a sɔrɔ i ye o tɔgɔ mɛn k’i yɛrɛ ɲininka ko: “O, o ye dɔgɔtɔrɔ sugu jumɛn ye?” Tiɲɛ na, hali n’a bɛ se ka kɛ i n’a fɔ daɲɛ gɛlɛn, o mɔgɔw jɔyɔrɔ ka bon kosɛbɛ. Bi, an ka kuma farikoloɲɛnajɛla ye jɔn ye tigitigi ani u bɛ se ka i ka kɛnɛya dɛmɛ cogo min na.

Jɔn ye Neurophysiologist ye? N'an y'a fɔ cogo nɔgɔman na...

N’an y’a fɔ cogo nɔgɔman na, hakililabaarakɛla ye kɛnɛyabaarakɛla ye min ka baara ɲɛsinnen bɛ i ka farikoloɲɛnajɛ baara ma, kɛrɛnkɛrɛnnenya la a kuran baara. O kɔrɔ ye k’u bɛ a lajɛ ni i kunkolo, kɔkolo (i kɔkolo kɔnɔ nɛrɛmuguma), ani nɛrɛmuguma wɛrɛw bɛ baara kɛ ka ɲɛ. U bɛ se ka sɛgɛsɛgɛli suguya caman kɛ walasa ka dɛmɛ don ka banaw sɛgɛsɛgɛ minnu bɛ se ka kɛ ni farikolojidɛsɛ ye.

Miiri k’a filɛ, an farikolo bɛ i n’a fɔ masin min ka gɛlɛn kosɛbɛ. nin masin in kunnafoni-falen-falen yɔrɔ ye farikolo-ɲɛnajɛ-yɔrɔ ye . I bɛ miiri fɛn o fɛn na, i bɛ fɛn o fɛn ye, i bɛ fɛn o fɛn kɛ – k’a ta i bolo kɔrɔta la ka taa a bila i dusukun tantanni na – o bɛ mara nin farikoloɲɛnajɛ in fɛ. O la, farikoloɲɛnajɛla dɔ b’an dɛmɛ k’a dɔn ni gɛlɛya bɛ nin sigida in na ani a bɛ baara kɛ cogo min na.

Danfara jumɛn bɛ farikolo-ɲɛnajɛ-dɔgɔtɔrɔ ni hakili-la-dɔgɔtɔrɔ cɛ?

Nin ye fɛn ye min bɛ mɔgɔ caman hakili ɲagami. hakililabaarakɛla ye hakiliɲagami dɔnbaga ye .

Aw ye miiri a la nin cogo la, hakililabaarakɛla ye dɔgɔtɔrɔ ye min ka kalan ka bon fɛn bɛɛ la min ɲɛsinnen bɛ aw ka farikoloɲɛnajɛw ma – a sigicogo ɲuman, a baarakɛcogo, ani a cogoya minnu bɛ a nɔ bila. A ka c’a la, olu de bɛ hakilibanaw sɛgɛsɛgɛ ani k’u furakɛ.

Neurophysiologist ye neurologist ye min ka baara ye nervous system *baara* ye, o kɔrɔ ye ko a bɛ baara kɛ cogo min na. U bɛ sɛgɛsɛgɛli suguya caman kɛ walasa k’o baara suman ani ka sɛgɛsɛgɛli jaabiw sɛgɛsɛgɛ.

Min nafa ka bon kosɛbɛ, o ye ko a ka ca a la, hakiliɲagami dɔgɔtɔrɔ tɛ hakiliɲagami banaw furakɛli fɔ. o bɛ kɛ hakililabaarakɛla dɔ fɛ . Nka, farikoloɲɛnajɛla bɛ se ka dɛmɛba lase bana in ye min ye tigitigi, o dɔnni na, n’o ye ka sɛgɛsɛgɛli tigitigi kɛ .

Senfagabana dɔnbaga bɛ mun kɛ tigitigi?

Farikoloɲɛnajɛla de bɛ fɔlɔ ka banaw sɛgɛsɛgɛ ani k’u jateminɛ minnu bɛ nɔ bila i ka farikoloɲɛnajɛ baara la. U bɛ baara kɛ fɔlɔ ni sɛgɛsɛgɛli suguya caman ye walasa ka i ka farikoloɲɛnajɛ kuran baara sɛbɛn.

Fɛnɲɛnɛmafagalanw suguya fla de bɛ yen kosɛbɛ:

1. Opereli kɛli ni hakiliɲagami dɔnbagaw ye

2. Kɛnɛyaso ka hakili-la-ko-dɔnbagaw

U fila bɛɛ jɔyɔrɔw tɛ kelen ye dɔɔnin. Senfagabana dɔnbaga dɔw fana bɛ baara kɛ ni ɲininiw ye kosɛbɛ.

Opereli kɛli Neurophysiologists (Sɔgɔsɔgɔninjɛ furakɛbagaw).

I n’a fɔ a tɔgɔ b’a jira cogo min na, o mɔgɔw bɛ opereli jɛkulu kɔnɔ. U ni operelikɛlaw bɛ baara kɛ ɲɔgɔn fɛ kosɛbɛ i n’a fɔ anestezikɛlaw ani hakililabaarakɛlaw.

Opereli waati, o hakililabaarakɛla in bɛ i ka farikoloɲɛnajɛw sɛgɛsɛgɛ ani k’u kɔlɔsi. Ka kɛɲɛ ni opereli suguya ye min bɛ kɛ, o kɔlɔsili bɛ se ka operelikɛlaw dɛmɛ ka dɔ bɔ gɛlɛya jugumanw na i n’a fɔ farikolojidɛsɛ, mɛnni tiɲɛni, walima kirinni. O bɛ wele ko intraoperative neurophysiologie monitoring (IONM) .

O mɔgɔw bɛ to ka opereli minnu kɛ, olu dɔw ye:

• Kɔkolo opereli .
• Sugunɛ opereli suguya dɔw.
• Tulo, nugu ani galaka opereli dɔw (ENT kɛcogo).
• Nɛrɛmuguma opereli.
• Jolilabanaw opereli, i n’a fɔ Carotid Endarterectomies ani Thoracic-Abdominal Aortic Aneurysm (TAAA).

U bɛ baara kɛ ni sɛgɛsɛgɛli ni kɔlɔsili fɛɛrɛ dɔw ye opereli senfɛ:

• `SSEP (Somatosensory Evoked Potentials)`: O ye ka kuran wulicogo fitinin dɔ di i bolokɔni walima i sen lamini na. O kɔfɛ, a bɛ i hakili, i farikolo yɔrɔ walima i kɔkolo bɛ jaabi cogo min na o jateminɛ. A ka teli ka kɛ kɔkolo opereli la, kunsɛmɛ ni farikolo lamini opereli dɔw la.
• `TCeMEP (Transcranial Electrical Motor Evoked Potentials)`: Nin sɛgɛsɛgɛli in bɛ kɛ ni kuran wulicogo ye i kunkolo ``Motor Cortex`` la ani ka i kɔkolo walima i farikolo yɔrɔw farikolow bɛ jaabi cogo min na o sɛbɛn. O fana ka teli ka kɛ kɔkolo opereli la.
• ``BSEP (Brainstem Auditory Evoked Potentials)'': Bamako, Mali.O ye k'a To i bɛ mankan dɔ Lamɛ, a ka c'a la, i bɛ "click" Kɛ tulolanɛgɛw fɛ, ani k'i hakili-la-yɔrɔ bɛ o jaabi cogo Kɔlɔsi. O bɛ dɛmɛ ka kunsɛmɛnasumaya baara kɔlɔsi ani ka mɛnni mara opereli waatiw la walasa ka kurukuruw bɔ i n’a fɔ mankanw ni kunsɛmɛnasumaya.
• EEG (Electroencephalogramme): O bɛ kunsɛmɛ ka kuran baarakɛcogo dafalen sɛbɛn. A bɛ kɛ ka tiɲɛni bali min bɛ sɔrɔ joli bɔli dɔgɔyali fɛ kunsɛmɛ na (ischemie) opereli senfɛ i n’a fɔ Carotid Endarterectomies ani Aneurysm clippings, ani ka kunsɛmɛnasumaya baara ni a “kɛnɛya” kɔlɔsi.

Kɛnɛyaso minnu bɛ wele ko Neurophysiologists

O mɔgɔw bɛ baara kɛ ɲɔgɔn fɛ ni hakililabaarakɛlaw ni hakililabaarakɛlaw ye. U bɛ i ka farikoloɲɛnajɛ kɛcogo jateminɛ ani ka farikolo ni farikolo yɔrɔw cogoyaw sɛgɛsɛgɛ. Ka kɛɲɛ ni aw ka bana ye, o sɛgɛsɛgɛliw bɛ se ka kɛ kɛnɛyaso kɔkan walima ka aw to dɔgɔtɔrɔso la.

Kɛnɛyaso hakililabaarakɛlaw bɛ sɛgɛsɛgɛli minnu kɛ, olu dɔw filɛ nin ye:

• EMG (Electromyography): O bɛ i kolotugudaw kɛnɛya ni u baaracogo sɛgɛsɛgɛ ani farikolojidɛsɛ minnu bɛ u mara. A bɛ se ka dɛmɛ don ka bana caman sɛgɛsɛgɛ, i n’a fɔ Periférique Neuropathie, Carpal Tunnel Syndrome, Muscular Dystrophie, ani Amyotrophic Lateral Sclerosis (ALS).
• Nɛrɛmuguma sɛgɛsɛgɛli (NCS): O bɛ a sɛgɛsɛgɛ i ka farikolo yɔrɔw bɛ baara kɛ cogo min na. A bɛ se k’a dɔn ni farikolo yɔrɔ dɔ tiɲɛna ani a jɛnsɛnna fo yɔrɔ min. Tuma caman na, EMG ni NCS sɛgɛsɛgɛli fila bɛɛ bɛ kɛ ɲɔgɔn fɛ.
• EEG (Electroencephalogramme): O ye ka elekitorode misɛnniw siri i kunsigi la ani ka kuran baara sɛbɛn ka bɔ kunsɛmɛ na. A bɛ kɛ ka bana dɔw sɛgɛsɛgɛ i n’a fɔ kirinni ani fɛn suguya caman minnu bɛ kɛ farikolo cɛmancɛ la.
• Evoked Potential Test: O sɛgɛsɛgɛliw bɛ kuran baara suman i kunkolo ni i kɔkolo yɔrɔw la minnu tɛ kelen ye ka kɛɲɛ ni fɛn dɔ ye min bɛ mɔgɔ bila ka wale kɛ. O bɛ se k’a jira cogo min na farikolojidɛsɛ taamasiɲɛw bɛ taa teliya la ani pewu ka taa hakili la. Olu suguya damadɔ bɛ yen, i n’a fɔ Brainstem Auditory Evoked Response (BAER), Visual Evoked Potential (VEP), ani Somatosensory Evoked Potential (SEP).
• Sunɔgɔ kalan / Polisomnografi:O bɛ kɛ ni aw farikolo ka sigida suguya caman (i n’a fɔ dusukun, ninakili ani kunsɛmɛ baara) bɛ baara kɛ cogo min na, aw bɛ to ka o sɛbɛn ni aw bɛ sunɔgɔ la. O nafa ka bon kosɛbɛ sunɔgɔbaliya sɛgɛsɛgɛli la.

Yala farikoloɲɛnajɛla dɔ bɛ taa dɔgɔtɔrɔso la wa?

Ɔwɔ, tiɲɛ yɛrɛ la! Neurophysiologist ye dɔgɔtɔrɔ ye. U bɛ taa dɔgɔtɔrɔso la walasa ka o dɔnniya in sɔrɔ.

Mɔgɔ bɛ se ka kɛ farikoloɲɛnajɛla ye cogo di?

Walasa ka kɛ kɛnɛyaso hakililabaarakɛla ye, mɔgɔ ka kan ka nin kalan ni degeliw kɛcogo ninnu dafa:

• I ka kan ka san naani kalan kɛ fɔlɔ ka kɔn furakɛli ɲɛ ka bɔ kolɛji walima inivɛrisite la ani ka Bakalawɔri diplomu sɔrɔ.
• O kɔfɛ, i ka kan ka san naani kalan dɔgɔtɔrɔso la , ka ``Dɔgɔtɔrɔso furakɛli - MD'' walima ``Dɔgɔtɔrɔso furakɛli - DO'' diplomu sɔrɔ.
• Aw ka kan ka san kelen stage kɛ furakɛli bɛɛ lajɛlen na.
• O kɔfɛ, ka kɛɲɛ ni porogaramu ye, i ka kan ka sigiyɔrɔma kalan kɛ hakiliɲagami porogaramu dɔ la , min bɛ se ka kɛ fo san naani.

Mɔgɔ dɔw, nin sigiyɔrɔ in kɔfɛ, u bɛ taa jɛɲɔgɔnya porogaramuw la walasa ka dɔnniya jugu sɔrɔ kosɛbɛ farikoloɲɛnajɛ yɔrɔ kɛrɛnkɛrɛnnen dɔ la. Misali la, u bɛ se ka kɛrɛnkɛrɛn yɔrɔw la i n’a fɔ sɔgɔsɔgɔninjɛ, farikolojidɛsɛ, ani sunɔgɔbaliya.

O la, ni dɔgɔtɔrɔ dɔ bɛ sigasiga ko hakiliɲagami bana dɔ b’i la, walima ni a sɔrɔla ko dɔ bɛ i la kaban, hakililabaarakɛla dɔ bɛ se ka kɛ i ka kɛnɛyabaarakɛlaw ka jɛkulu kɔnɔmɔgɔ dɔ ye. U ye u ka baara dɔnbagaw ye, wa u bɛ sɛgɛsɛgɛli labanw dɔn kosɛbɛ minnu bɛ se ka i ka farikoloɲɛnajɛ kɛcogo jateminɛ. Aw kana siga abada ka ɲininkaliw kɛ aw hakililabaarakɛla la. U bɛ yen walisa k’i dɛmɛ.

Fɛn minnu nafa ka bon kosɛbɛ an ka kan ka to an hakili la (Take-Home Message) .

O bɛ ɲɛ, o la sa, an ka kan ka fɛn nafama dɔw lajɛ minnu ka kan ka to i hakili la an ye kuma minnu kan:

• Hakilila-jɔ-dɔgɔtɔrɔ ye dɔgɔtɔrɔ kɛrɛnkɛrɛnnen ye min bɛ i ka farikolo-ɲɛnajɛ-minɛnw baara cogo sɛgɛsɛgɛ, n’o ye i ka hakili, i kɔkolo ani i ka nɛrɛmuguma ye. U bɛ sɛgɛsɛgɛli suguya caman kɛ walasa ka dɛmɛ don ka banaw sɛgɛsɛgɛ.
• A ka c’a la, hakililabaarakɛla de bɛ furakɛli kɛ, nka hakililabaarakɛla bɛ dɛmɛba don bana in sɛgɛsɛgɛli la ka ɲɛ.
• O mɔgɔw bɛ sɛgɛsɛgɛli kɛrɛnkɛrɛnnen suguya caman kɛ (misali la, `EEG`, `EMG`, `NCS`, `Evoked Potentials`) walasa ka farikolo yɔrɔw tanga tiɲɛni ma opereli senfɛ ani ka hakilibanaw sɛgɛsɛgɛ kɛnɛyaso la.
• Ni dɔgɔtɔrɔ y’a fɔ aw ye ko aw ka taa farikoloɲɛnajɛla dɔ fɛ, o kɔrɔ ye k’u b’a fɛ ka aw ka farikoloɲɛnajɛ kɛcogo lajɛ kosɛbɛ.Aw kana siran, o bɛna aw dɛmɛ ka furakɛli ɲuman sɔrɔ.
• Aw bɛ ɲininkali o ɲininkali kɛ aw la, aw kana siga ka dɔgɔtɔrɔ ɲininka, a kɛra aw ka sɛgɛsɛgɛliw ye wo, a kɛra aw ka bana ye wo. Jo b’i bolo ka fɛn bɛɛ dɔn ka jɛya.

N jigi b’a kan ko sisan aw ye faamuyali ɲuman sɔrɔ hakililabaarakɛla ye mɔgɔ minnu ye ani u bɛ min kɛ. Ni ɲininkali wɛrɛw bɛ aw fɛ, aw ye aw jija ka kuma aw ka dɔgɔtɔrɔ fɛ.

` Neurophysiologie, Neurophysiologist, Nervous system, Sugunɛ sɛgɛsɛgɛliw, Neurodiagnostic, EEG, EMG, Opereli kɔlɔsili