An ka dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔn min bɛna aw ye sani opereli ka kɛ - anestezikɛla.

Yala i delila ka i labɛn opereli walima sɛgɛsɛgɛliba dɔ kama wa? Yala i hakili b’a la tuma min na, ka fara operelikɛla kan, dɔgɔtɔrɔ kɛrɛnkɛrɛnnen wɛrɛ nana i lajɛ wa? O dɔgɔtɔrɔ ye anestezikɛla ye. Bi, an ka kuma nin anestezikɛla in ye mɔgɔ min ye, a bɛ min kɛ, ani a nafa ka bon cogo min na aw ka dususalo ni aw ka lafiya la.

Jɔn ye Anestezikɛla ye?

N’an y’a fɔ cogo nɔgɔman na, anestezikɛla ye dɔgɔtɔrɔ ye min b’i ladon anestezi, dimi madali ani furakɛli gɛlɛnw yɔrɔ la sani opereli ka kɛ, opereli kɛtuma na, ani opereli kɔfɛ walima furakɛli dimiman wɛrɛw. Miiri k’a filɛ a nafa ka bon an bolo cogo min na an kana dimi sɔrɔ opereli senfɛ. Nin dɔgɔtɔrɔ kɛrɛnkɛrɛnnen in bɛ o de kɛ tigitigi, lafiya la.

Anestezi ye mun ye?

Anestezi ye furakɛli ye min bɛ aw bali ka dimi sɔrɔ opereli walima furakɛli fɛɛrɛ wɛrɛw senfɛ. Anestezi dɔgɔtɔrɔw ni kɛnɛyabaarakɛla wɛrɛw bɛ fura minnu ta walasa ka o dimi dabila, olu bɛ wele ko anestezi.

Sisan, a filɛ, nin anestezi fɛɛrɛw bɛ baara kɛ cogoya wɛrɛw la.

• Anestezi fura dɔw bɛ i farikolo yɔrɔ kɛrɛnkɛrɛnnen dɔ dɔrɔn de sɔgɔsɔgɔ. Aw bɛ a miiri i n’a fɔ aw bɛ fura min di sani aw ka ɲin bɔ.
• Fura wɛrɛ dɔw bɛ i hakili bila sunɔgɔ la waati dɔ kɔnɔ, o kɔ, i hakili bɛ bɔ pewu. O bɛ kɛ kɛrɛnkɛrɛnnenya la operelibaw waatiw la, i n’a fɔ minnu bɛ kɛ kunkolo, disi walima kɔnɔbara la.

Ni fɛn fitinin dɔ bɛ aw la, i n’a fɔ ɲinw falen, misali la, dɔgɔtɔrɔ min b’o kɛ, o bɛna sigida lafiyalan di aw ma , o kɔrɔ ye fura ye min bɛ o yɔrɔ dɔrɔn de sɔgɔsɔgɔ.

Yala anestezikɛla fana ye dɔgɔtɔrɔ ye wa?

Ɔwɔ, tiɲɛ yɛrɛ la! Anestezikɛla ye dɔgɔtɔrɔ ye min ye dɔgɔtɔrɔya diplomu sɔrɔ, i n’a fɔ aw ka operelikɛla walima aw ka denbaya dɔgɔtɔrɔ. U ye dɔgɔtɔrɔya sɔrɔ furakɛli la (`MD - Dɔgɔtɔrɔso min bɛ furakɛli la` walima `DO - Dɔgɔtɔrɔ min bɛ kolo furakɛli la`). Wa, n’i y’u ka lakɔlikalan, u ka inivɛrisite diplomu, ani u ka sigiyɔrɔ jateminɛ dɔgɔtɔrɔso kalan kɔfɛ, u bɛ dege san 12 ni san 14 cɛ. Donc, o tɛ ko fitinin ye, tiɲɛ tɛ?

Anestezikɛla bɛ mun kɛ tigitigi?

I n’a fɔ aw ka denbaya dɔgɔtɔrɔ, anestezikɛla ka baara ye ka aw ka kɛnɛya fan bɛɛ ladon. Misali la, u bɛna aw ka tansiyɔn, sukarodunbana, sɔgɔsɔgɔninjɛ, ani dusukunnakow kɔlɔsi opereli senfɛ, ka sɔrɔ ka anestezi fana kɛ walasa aw kana dimi foyi sɔrɔ.

Anestezikɛlaw fana bɛ dɛmɛ don ka aw lakana, u kɛtɔ ka aw farikolo yɔrɔw datugu ani k’u lakana ka aw to aw hakili la, walasa ka tiɲɛni bali.

Anestezikɛlaw ka baara nafamaba dɔw bɛ opereli ɲɛ sani opereli ka kɛ, opereli kɛtuma na ani opereli kɔfɛ :

Sani opereli ka kɛ

• Aw bɛ aw ka kɛnɛya cogoya ni sɛgɛsɛgɛli jaabiw sɛgɛsɛgɛ ka ɲɛ.
• Aw bɛ a dɔn aw farikolo bɛ bɛn opereli ma cogo min na aw bɛna opereli min kɛ.
• Ka a latigɛ anestezi fɛɛrɛ jumɛn ka fisa aw ma.

Opereli kɛtuma na

• Aw ka taamasiɲɛ nafamaw – i n’a fɔ dusukun tantanni, tansiyɔn, ani ninakili – bɛna kɔlɔsi tuma bɛɛ opereli senfɛ.
• Aw ka furakɛli cogoya kɔrɔw ɲɛnabɔli.
• Jimafɛnw, joli furaw ani fura minnu ka kan ka kɛ aw farikolo la walasa a ka baara kɛ (misali la, dusukun, fogonfogon, sugunɛ).
• U bɛ se ka baara kɛ u kelen na, walima ni anestezi ladonni jɛkulu ye min kɔnɔ, sɔgɔsɔgɔninjɛ furakɛlikɛlaw walima anestezikɛlaw minnu bɛ dege.

Opereli kɔfɛ

• Opereli kɔfɛ, aw ka kan ka aw janto aw ka kɛnɛya la fo ka se aw ka kɛnɛya dɔɔni dɔɔni anestezi nɔw na.
• A ka ca a la, anestezikɛla de bɛ a latigɛ ni i kɛnɛyara pewu anestezi nɔw na ani ni i labɛnnen don ka taa so walima ka taa dɔgɔtɔrɔso wɛrɛ la.

Baara nafama wɛrɛw

Anestezikɛlaw fana bɛ u ladon minnu bɛ opereli misɛnniw kɛ walima minnu mago tɛ u hakili la pewu (`Anesthésie générale`). Misali la, fɛn minnu bɛ i n’a fɔ epidurali minnu bɛ di denbaw ma minnu bɛna den bange walasa ka dimi dɔgɔya .

U bɛ dɛmɛ fana don banabagatɔw ladonni na minnu bɛ Ladonniba la (ICU) operelibaw kɔfɛ. U ni dɔgɔtɔrɔso dimi furakɛli jɛkulu fana bɛ baara kɛ ɲɔgɔn fɛ walima biro kɔnɔ walasa ka dimi jugumanba bɛ mɔgɔ minnu na, olu dɛmɛ, a kɛra kasaara ye wo, a kɛra kɔdimi basigilen ye wo.

Yala mɔgɔ wɛrɛw bɛ anestezi jɛkulu kɔnɔ wa?

Ɔwɔ, mɔgɔ wɛrɛw bɛ se ka kɛ anestezi jɛkulu kɔnɔ ka fara anestezikɛla kan. An k’a lajɛ u ye mɔgɔ minnu ye.

• Certified Registered Nurse Anesthetist (CRNA): Nin ye infirɛri sɛbɛnnen ye min ye infirɛri anestezi kalan bolodalen dɔ kɛ min lakodɔnnen don. U ye dɔgɔtɔrɔso baarakɛlaw ye (dɔgɔtɔrɔw tɛ) minnu ye kalanba sɔrɔ anestezi furakɛli la. Tuma caman na, CRNA bɛ baara kɛ anestezikɛla dɔ ka kɔlɔsili kɔnɔ. I n’a fɔ dɔgɔtɔrɔso baarakɛla dɔ bɛna i ladon cogo min na i ka operelikɛla walima i ka denbaya dɔgɔtɔrɔ ka ɲɛmɔgɔya kɔrɔ.
• Anesthesiologist Assistant Certified (CAA): Nin ye ladonnikɛla ye min bɛ cɛmancɛ la, min bɛ baara kɛ i n’a fɔ CRNA. Nka, sanni u ka diplomu sɔrɔ infirmiɛri la, u bɛ dɔnniya sɔrɔ, i n’a fɔ pre-med diplomu.
• Dɔgɔtɔrɔ Anestezikɛla : An kumana dɔgɔtɔrɔ min kan ka tɛmɛ, o ye nin ye, min ye kalan kɛrɛnkɛrɛnnen kɛ anestezi la dɔgɔtɔrɔso kalan kɔfɛ. U bɛ san naani dege anestezi basigilen na. Ka fara o kan, u bɛ se ka san kelen walima san fila wɛrɛ kɛ kalan kɛrɛnkɛrɛnnenw na, yɔrɔ dɔw la i n’a fɔ Denmisɛnw ka kɛnɛya, Dusukun, Jiginni, Ladonni gɛlɛnw, walima Dimi furakɛli.

Opereli ni fɛɛrɛ jumɛnw bɛ kɛ tuma caman na, minnu ka kan ka kɛ ni anestezikɛla ye?

Opereli ni furakɛli kɛcogo caman bɛ anestezi suguya dɔw de wajibiya ani anestezikɛla dɔ ka dɔnniya. Anestezikɛla bɛ anestezi suguya minnu kɛ, olu ye:

• Anestezi Générale - O kɔrɔ ye ko a bɛ mɔgɔ hakili bɔ pewu.
• Lafiya - O kɔrɔ ye ka i bila sunɔgɔ nɔgɔman na.
• Anestezi régional - O kɔrɔ ye ka farikolo yɔrɔba dɔ sɔgɔsɔgɔ.

Ni aw mago bɛ sigida lafiyalan dɔrɔn na fɛn fitinin dɔ kama, dɔgɔtɔrɔ min bɛ o kɛ, o bɛna o di aw ma.

Opereli caman minnu bɛ kɛ ni anestezi caman ye:

• Kungolo walima kɔ opereli
• Dusukun opereli
• Fogonfogon opereli
• Opereli kɛcogo minnu bɛ kɛ i kɔnɔbara la

Sigidala anestezi – o kɔrɔ ye ko kɔkolo anestezi, epidural anestezi, walima mara la anestezi bloki – o bɛ kɛ opereli bɛɛ la:

• Kɔnɔnatumu walima gɛnɛgɛnɛ opereli
• Bolo walima senna opereli

IV Sedation – O kɔrɔ ye ka fura di aw ma walasa ka aw lafiya ani ka aw to aw ɲɛ na hakɛ caman na (o bɛ se ka kɛ sigida la anestezi ye walima a tɛ se ka kɛ) – Taabolo minnu ka teli ka kɛ:

• Ɲɛgɛnɛsiraw kɔnɔna sɛgɛsɛgɛli (bronchoscopie) .
• Banakɔtaa kɔnɔna sɛgɛsɛgɛli (`Colonoscopy`) .
• Sugunɛ kɔnɔna sɛgɛsɛgɛli (`Cystoscopy`) .
• Denw ka opereli
• Kolo karilen misɛnninw dilancogo
• Fari opereli misɛnninw
• Opereli min bɛ kɛ ni plastiki ye walima min bɛ kɛ ka fɛnw jɔ kokura
• Dumunikɛminɛn sanfɛla sɛgɛsɛgɛli (Upper endoscopy) .

Anestezikɛlaw fana de bɛ epidurali kɛ walasa ka dimi kunbɛn jiginni waati ani anestezi kɛ sezarɛni (C-section) kama .

Aw ka kan ka mun makɔnɔ ni aw taara anestezikɛla dɔ fɛ?

Aw bɛna ɲɔgɔn sɔrɔ ni aw ka anestezi dɔgɔtɔrɔ ye tile damadɔ walima dɔgɔkun damadɔ sani aw ka opereli ka kɛ. O waati la, a bɛna a lajɛ ni aw bɛ se opereli ma.

Ɲininkali minnu ka kan ka kɛ i la

U b’i ɲininka fɛnw na i n’a fɔ:

• Aw ka kɛnɛya bɛɛ lajɛlen bɛ cogo di ?
• Yala kɛnɛyako kɛrɛnkɛrɛnnen dɔw bɛ yen minnu tun bɛ yen ka kɔrɔ , misali la, dusukunnabana, sukarodunbana, walima sɔgɔsɔgɔninjɛ wa?
• Aw bɛ fura suguya minnu ta (dɔgɔtɔrɔ ye fura minnu sɛbɛn, fura minnu tɛ sɔrɔ dɔgɔtɔrɔso la, ani fura wɛrɛw).
• Aw ka faritanabana ye mun ye?
• Ni aw walima aw ka denbaya kɔnɔmɔgɔ dɔ ye gɛlɛya dɔw sɔrɔ anestezi la ka tɛmɛ. O nafa ka bon kosɛbɛ. Kɛrɛnkɛrɛnnenya la, a nafa ka bon ka a fɔ dɔgɔtɔrɔ ye ni a gɛlɛyara aw ma ka kunun ka bɔ anestezi la ka tɛmɛ, ni aw tun bɛ fiɲɛbɔlan na ka tɛmɛ aw tun bɛ miiri min na, ni aw ye farigan sɔrɔ anestezi la, walima ni aw ye kɔnɔboli ni fɔɔnɔ juguman sɔrɔ opereli kɔfɛ.

Farikolo-sɛgɛsɛgɛliw kɛra

U bɛna nin fɛn ninnu lajɛ i ko la:

• Fiɲɛbɔyɔrɔ – O kɔrɔ ye i ɲinw, i dawolo, i kɔ, ani i nugulayɔrɔw.
• Ale.
• Fogonfogon.
• Pulse (`Pulse` / `Dusukun tantanni`).

U bɛna aw ka joli sɛgɛsɛgɛliw, X-ray, ultrasounds, ani EKG (électrocardiogramme) kunnafoniw fana lajɛ walasa ka a dɔn ko aw labɛnnen don kosɛbɛ aw ka opereli kama.

Nin bɛɛ lajɛlen kɔfɛ, u bɛna anestezi bolodacogo ɲuman latigɛ aw ye – a kɛra anesteziba ye, a kɛra anestezi ye min bɛ kɛ sigida la, a kɛra anestezi ye kɔkolo la, walima a kɛra ninnu faralen ye ɲɔgɔn kan. Aw kana siran ka ɲininkaliw kɛ aw ka anestezikɛla la. U bɛ min laadi ani i bɛ se ka min makɔnɔ, i k’o ɲɛfɔ.

Mɔgɔ bɛ kɛ anestezikɛla ye cogo di?

Walasa ka kɛ anestezikɛla ye, mɔgɔ ka kan ka nin ko ninnu bɛɛ kɛ:

• San naani kalan ka kɔn furakɛli ɲɛ inivɛrisite dɔ la ani baarakɛla ka diplomu.
• San naani furakɛli kalanso kalan (`Dɔgɔtɔrɔso kalan`) ani dɔgɔtɔrɔya diplomu (`MD` walima `DO`).
• San naani kalan kɛrɛnkɛrɛnnen kalan kɔfɛ (`Residency`) anestezi porogaramu dɔ la.
• Ka fara o kan, n’i b’a fɛ, i bɛ se fana ka san kelen walima san fila wɛrɛ sɔrɔ kɛrɛnkɛrɛnnenya la kalan na (`Fellowship kalan`) . O kɔrɔ ye ko baara kɛrɛnkɛrɛnnen dɔ la i n’a fɔ dusukunnabana, hakiliɲagami, denmisɛnw, bangekɔlɔsi ni musoya, furakɛli gɛlɛnw, walima dimi madali.

Nin kalan in kɔfɛ, anestezi dɔgɔtɔrɔ fanba bɛ kɛ Ameriki anestezi tɔnba (ABA) ka tɔn ka seere sɔrɔlenw ye, u kɛtɔ ka sɛbɛnni ni da la sɛgɛsɛgɛli kɛ.

I n’a fɔ dɔgɔtɔrɔso baarakɛla tɔw bɛɛ, anestezikɛlaw ka kan ka taa lajɛbaw ni kalanw na u ka baara bɛɛ kɔnɔ walasa ka to ka kunnafoni sɔrɔ yiriwali ni fɛɛrɛ kuraw kan u ka baara la. Dɔw fana bɛ ɲininiw kɛ walasa ka fɛɛrɛ kuraw ni fɛɛrɛ ɲumanw sɔrɔ anestezi lasecogo la.

Kɛrɛnkɛrɛnnenya la, anestezi furakɛli siratigɛ la, kɛrɛnkɛrɛnnenya la jumɛnw bɛ yen?

Kɛrɛnkɛrɛnnenya la, anestezi furakɛli siratigɛ la, kɛrɛnkɛrɛnnenya la, olu dɔw ye:

• Dimi madali
• Dusukun tantanni furakɛli
• Denmisɛnw ka anestezi
• Neuro-anestezi (banakisɛfagalanw) bɛ kɛ
• Anestezi min bɛ kɛ bangekɔlɔsi fɛɛrɛw la
• Ladonni gɛlɛn / Ladonni gɛlɛn
• Sigidala anestezi / Dimi jugumanba furakɛli
• Hospice ani furakɛli kuntaalajan

A laban na, fɛn minnu ka kan ka to an hakili la

Ka opereli kɛ walima ka furakɛliba dɔ kɛ, o bɛ se ka kɛ fɛn ye min bɛ mɔgɔ degun dɔɔni. Nka aw hakili to a la ko aw ka anestezi dɔgɔtɔrɔ bɛ ni dɔnniya ni seko kɛrɛnkɛrɛnnenw ye walasa ka aw tanga aw ka opereli waati. U bɛna anestezi fɛɛrɛ dɔ labɛn min dabɔra aw kama kɛrɛnkɛrɛnnenya la.

Aw kana siran ka aw ka anestezi dɔgɔtɔrɔ ɲininka. U bɛ yen walasa k’aw dɛmɛ ka aw yɛrɛ lafiya ani ka aw jigi da aw ka opereli kan. Aw ka lakana nafa ka bon kosɛbɛ u bolo.

O la, siɲɛ wɛrɛ ni i walima i dɔnbaga dɔ ka kan ka opereli kɛ, sisan i bɛ anestezikɛla jɔyɔrɔ dɔn, ɔnhɔn? N jigi b’a kan ko o bɛna i hakili lafiya.

` Anestezikɛla, anestezi, opereli, opereli, anestezi, dimi mada, Anestezikɛla