Jɔn ye Opereli Gɛnkulu ye? An ka kuma nin ko in kan cogo nɔgɔman na!

N’a sɔrɔ aw ye ‘Opereli Général’ dɔ ko mɛn. Walima n’a sɔrɔ i ye i somɔgɔw walima i teri dɔ kunbɛn. Jɔn ye tigitigi Operasɔn Général ye? A bɛ mun kɛ? U ni dɔgɔtɔrɔ tɔw tɛ kelen ye cogo di? An ka kuma nin bɛɛ kan sinhalakan nɔgɔman na, i bɛ se ka min faamuya.

Jɔn ye tigitigi Operasɔn Général ye?

N’an y’a fɔ cogo nɔgɔman na, opereli bɛɛ lajɛlen ye dɔgɔtɔrɔ ye ka fara operelikɛla fana kan. O kɔrɔ ye ko a bɛ se ka banaw sɛgɛsɛgɛ, k’u furakɛ, ka opereli kɛ ni a mago bɛ a la. Kɛrɛnkɛrɛnnenya la, o mɔgɔw tɛ dan farikolo yɔrɔ kelen dɔrɔn ma. I n’a fɔ an ka denbaya dɔgɔtɔrɔ, nka u bɛ se ka opereli fana kɛ.

Misali la, dɔgɔtɔrɔ dɔw ka baara kɛrɛnkɛrɛnnen don dusukun na (`Dusukun dɔgɔtɔrɔ`) walima hakili (`Dusukunnat`). Nka opereli bɛɛ lajɛlen dɔgɔtɔrɔ bɛ baara kɛ yɔrɔ la min ka bon kosɛbɛ. Misali la, u bɛ se ka aw kɔnɔbara yɔrɔw furakɛ (`kɔnɔbara yɔrɔw`), kuru minnu bɛ aw farikolo yɔrɔ wɛrɛw la, walima jogin caman minnu bɛ sɔrɔ kasaara fɛ siɲɛ kelen. Olu de jɔyɔrɔ ka bon banabagatɔ ladonni na sani opereli ka kɛ (`opereli ɲɛfɛ`), opereli waati (`opereli`), ani opereli kɔfɛ (`opereli kɔfɛ`). Tuma caman na, olu de bɛ baara kɛ ɲɔgɔn fɛ ni dɔgɔtɔrɔw ni dɔgɔtɔrɔ wɛrɛw ye.

Opereli bɛɛ lajɛlen ye opereli kɛrɛnkɛrɛnnen 14 dɔ ye minnu lakodɔnnen don Ameriki operelikɛlaw ka kolɛji fɛ.

Opereli bɛɛ lajɛlen dɔgɔtɔrɔ bɛ mun furakɛ?

N y'a fɔ ka tɛmɛ ko opereli bɛɛ lajɛlen bɛ i n'a fɔ "denbaya dɔgɔtɔrɔ min fana bɛ se ka opereli kɛ." O la, u bɛ bana suguya caman furakɛ. Wa, opereli ni taabolo suguya caman bɛ o furakɛli suguw la. Nka, ni operelikɛla bɛɛ lajɛlen y’a ye k’u dalen tɛ a yɛrɛ la pewu bana kɛrɛnkɛrɛnnen dɔ furakɛli la, siga t’a la k’u bɛna i bila dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ fɛ. O fana ye u ka baara ye.

Bana minnu ka teli ka furakɛ, olu ye jumɛnw ye?

Opereli bɛɛ lajɛlen bɛ to ka bana minnu furakɛ, olu dɔw filɛ nin ye:

• Jogin minnu bɛ mɔgɔ dusu tiɲɛ: Miiri k’a filɛ, u bɛ jogin juguw furakɛ minnu bɛ sɔrɔ kasaara walima binkanni fɛ k’u to taama sira kan.
• Farikoloɲɛnajɛ: Olu bɛ se ka kɛ bangekɔlɔsi fɛɛrɛw ye walima kuru minnu bɛ sɔrɔ kɔfɛ ɲɛnamaya kɔnɔ.
• Sinna kansɛri : Sinna kansɛri min bɛ se ka kɛ cɛw ni musow bɛɛ la, o bɛ furakɛ ni opereli ye.
• Bana minnu bɛ sɔrɔ GI sanfɛla la:O kɔrɔ ye banaw ye minnu bɛ tali kɛ an ka dumunikɛminɛnw, kɔnɔbara ani banakɔtaa fitini na. Misali la, ni fɛnw i n’a fɔ kɔnɔboli juguyara, a bɛ se ka kɛ aw ka kan ka endoskopi kɛ walima ka opereli yɛrɛ kɛ.
• Sugunɛbilenni : O ye biɲɛdimi, biɲɛdimi, kɔnɔboli ani sugunɛ ye. A ka ca a la, ɲɛgɛnɛsiralabanaw bɛ bɔ opereli fɛ opereli bɛɛ fɛ.
• Kɔnɔnatumuw ka banaw : Misali la, opereli bɛ kɛ ka kurukuruw furakɛ sɔgɔsɔgɔninjɛ walima surɔfiyen glandew la.
• Jolilabanaw: U bɛ u sen don joli siraw gɛlɛya dɔw fana na.
• Bana jugumanba ni bana jugumanba: Tuma dɔw la, u sen bɛ opereli la, banabagatɔ minnu bɛ dɔgɔtɔrɔsobaw la, olu mago bɛ minnu na, walima fɛn dɔw la minnu bɛ kɛ walasa ka banabagatɔw ka dimi dɔgɔya u ka ɲɛnamaya laban na.

I bɛ se ka kɛ Surgeon General ye cogo di?

Ka kɛ opereli bɛɛ lajɛlen dɔgɔtɔrɔ ye, o tɛ taama nɔgɔn ye. Fɔlɔ, u ka kan ka kɛ dɔgɔtɔrɔ ye. O kɔrɔ ye k'u ka kan ka san naani kalan dɔgɔtɔrɔso la, ka ``dɔgɔtɔrɔso diplomu`` sɔrɔ. O dɔrɔn de la, u bɛ degeliw daminɛ walasa ka kɛ operelikɛla ye.

Walasa k’o kɛ, u ka kan ka opereli sigiyɔrɔma porogaramu dɔ kɛ min bɛ kɛ san duuru ni kɔ . O kalan in bɛ Kɛ cogo la min bɛ Kɛ dɔɔnin dɔɔnin. O kɔrɔ ye ko ni u ye sàn kelen Kɛ ka ɲɛ dɔrɔn, u bɛ Se ka sàn nata Kɛ.

Hali n’u ye o kalan in ban, u ka kan ka tɛmɛn board examen fila kan hali bi walasa ka kɛ opereli bɛɛ lajɛlen dɔgɔtɔrɔ ye min ka lakɔliso sɛbɛn bɛ a bolo.

1. Fɔlɔ ye sɛgɛsɛgɛli ye min bɛ se ka kɛ . Nin ye kɔrɔbɔli sɛbɛnnen ye min kɔnɔ ɲininkali caman bɛ kɛ.

2. O tɛmɛnen kɔ dɔrɔn i bɛ se ka sigi ``sɛgɛsɛgɛli seereyali`` la . Nin ye da kɔnɔ sɛgɛsɛgɛli ye.

Nin sɛgɛsɛgɛli fila bɛɛ tɛmɛnen kɔ dɔrɔn, mɔgɔ bɛ dɔn ko "Certified General Surgeon". O la sa, miiri k’a filɛ o bɛ i yɛrɛdi ni baara gɛlɛnba de wajibiya!

Operelikɛla min bɛ baara kɛ ni fɛn bɛɛ ye, o bɛ mun de sɛgɛsɛgɛ?

Opereli bɛɛ lajɛlen dɔgɔtɔrɔ bɛ opereli bɛɛ lajɛlen yɔrɔ koloma kɔnɔntɔn dɔn kosɛbɛ a ka degeliw senfɛ. U ye:

• Kɔnɔbara basigilen : O bɛ tali kɛ an ka dumunikɛminɛnw yɔrɔ bɛɛ lajɛlen na.
• Kɔnɔbara ni kɔnɔbara yɔrɔw: Kɔnɔbara kɔnɔfɛnw, i n’a fɔ sugunɛ, sugunɛ, ani kɔnɔbara.
• Sin, fari ani farikolo yɔrɔ nɔgɔlenw: U bɛ fɛnw fana dɔn farikolo yɔrɔ la.
• Kungolo ni kɔ:U bɛ bana dɔw fana furakɛ minnu bɛ sɔrɔ o yɔrɔw la.
• Dusukun ni jolisiraw : Dɔnniya jɔnjɔnw dusukun ni joli siraw kan.
• Endocrine system (Endocrine system): Glande minnu bɛ ɔrimɔni dilan.
• Opereli kansɛri furakɛli : O kɔrɔ ye kansɛri furakɛli ye opereli fɛ.
• Joginw: O ye joginniw ye farikolo ni kolotugudaw la, kunkolo joginw ani bolo joginw.
• Ladonni gɛlɛnw ni opereli kɔrɔtɔlenw: Fɛn minnu bɛ i n’a fɔ opereli minnu bɛ mɔgɔ kisi, minnu ka kan ka kɛ joona.

U ka kalan senfɛ, u ka kan ka san naani ni tila kɛ san duuru o san duuru la ka baara kɛ ni banabagatɔw ye. Ani a dɔgɔyalenba la, san saba baara kɛra yɔrɔba 9 minnu kofɔra ka tɛmɛ. U tɛ se ka dege ka tɛmɛ kalo 12 kan opereli kɛrɛnkɛrɛnnen kelen na walima ka tɛmɛ kalo 6 kan furakɛli kɛrɛnkɛrɛnnen na min tɛ opereli ye. O kɔrɔ ye k’u ka kalan ka kan ka bonya kosɛbɛ.

Surgeon General bɛ mun kɛ?

Ni operelikɛla bɛɛ lajɛlen y’a ka kalan ban ka taa baara la, a bɛ to ka opereli ni furakɛli minnu kɛ, olu bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni a bɛ baara kɛ dɔgɔtɔrɔso min na, a kɛra duguba kɔnɔ wo, a kɛra yɔrɔ jan ye wo.

Miiri k’a filɛ, dɔgɔtɔrɔso belebele dɔ kɔnɔ, min labɛnna ka ɲɛ, opereli kɛrɛnkɛrɛnnen dɔw bɛ se ka kɛ yen minnu bɛ opereli kɛrɛnkɛrɛnnen dɔw kɛ. Misali la, dusukun operelikɛla bɛ se ka dusukun opereli kɛ, ani hakililabaarakɛla bɛ se ka farikolojidɛsɛ opereli kɛ. Nka, dɔgɔtɔrɔso min na, dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw tɛ yen o cogo la, a bɛ se ka kɛ ko operelikɛla bɛɛ ka kan ka o baara caman kɛ. O la, u jɔyɔrɔ nafa ka bon kosɛbɛ.

Opereli minnu ka teli ka kɛ, olu ye jumɛnw ye?

Aw bɛ se ka opereli suguya minnu makɔnɔ, opereli suguya minnu bɛ kɛ tuma bɛɛ, olu filɛ nin ye:

• Opereli min bɛ kɛ ka ɲɛgɛnɛsiralabanaw kɛlɛ (Nissen fundoplication): Opereli min bɛ kɛ walasa ka kɔnɔbara asidi bali ka woyo ka taa san fɛ dawolo la ka a sababu kɛ bana dɔw ye i n’a fɔ kɔnɔboli.
• Ɲɛgɛnɛsiraw bɔli (Appendix removal / Appendicectomy): Ni banakisɛ (appendicite) kɛra farikolo yɔrɔ fitinin dɔ la min bɛ wele ko appendix, opereli bɛ bɔ a la.
• Bariatric (weight loss) opereli : Opereli min bɛ kɛ walasa ka mɔgɔ minnu fasa kosɛbɛ, olu dɛmɛ u ka u farikolo girinya dɔgɔya.
• Sin opereli : Opereli bɛ kɛ sinji kuruw kan, i n’a fɔ sinji kansɛri.
• Opereli sɛgɛsɛgɛli (Laparotomie walima Laparoscopie): Ni bana dɔ ma se ka dɔn, farikolo bɛ da wuli walima ka kamera don a kɔnɔ walasa ka a kɔnɔna lajɛ.
• Gallbladder removal (Cholecystectomy): Galo bɔli ni gɛlɛyaw i n’a fɔ gallstones.
• Ɲɛgɛnɛsiraw dilancogo opereli:Kɔnɔbara basigilen dilancogo (banakɔtaa yɔrɔ dɔw bɔli ka tɛmɛ yɔrɔ barikama dɔ fɛ kɔnɔbara kogo la).
• Prostate removal (Prostatectomy): Opereli min bɛ kɛ cɛw la walasa ka bana dɔw furakɛ i n’a fɔ ɲɛgɛnɛsira kansɛri.
• Sugunɛ bɔli (Splenectomy): A bɛ se ka kɛ ko a ka kan ka sɔgɔsɔgɔninjɛ bɔ ka a sababu kɛ joli bana dɔw ni kasaara dɔw ye.
• Denso bɔli (Hysterectomy): Opereli min bɛ kɛ walasa ka bana dɔw furakɛ minnu bɛ tali kɛ denso la musow la.

Opereli kɛcogo ye jumɛnw ye?

Bi bi in na, opereli bɛɛ lajɛlen dɔgɔtɔrɔw degecogo bɛ baara kɛ ni fɛɛrɛ kuraw ye (`opereli fɛɛrɛ minnu bɛ dɛmɛ ni fɛɛrɛ ye`). O kɔrɔ ye ko sanni u ka baara kɛ ni tigɛda belebelebaw ye cogo kɔrɔ la, u bɛ tigɛli misɛnniw kɛ ani opereli minnu bɛ kɛ ni kamera dɛmɛni ye. Nin fɛɛrɛ ninnu bɛ banabagatɔ dusu tiɲɛ dɔɔni, wa u bɛ se fana k’a dɛmɛ ka kɛnɛya joona.

Fɛɛrɛ saba de bɛ yen kɛrɛnkɛrɛnnenya la:

1. Endoskopi (Endoscopie) (Endoscopie) .

2. Opereli min bɛ kɛ ni laparoskopi ye

3. Opereli min bɛ kɛ ni robot ye

Endoskopi ye mun ye?

Nin ye taabolo ye min bɛ mɔgɔ kabakoya kosɛbɛ. Endoskopi ye fɛɛrɛ ye min bɛ operelikɛla bila ka opereli misɛnniw kɛ i fari kɔnɔ k’a sɔrɔ a ma i fari walima i farikolo yɔrɔ tigɛ. Miiri k’a filɛ, u bɛ baara kɛ ni fɔlifɛn janw ni finmanw ye. Olu bɛ tɛmɛ tubabukan jan dɔ fɛ min bɛ se ka wuli, n’o bɛ wele ko endoskopu. O tubabukan in kun kelen na, videyo kamera fitinin dɔ be yen.

Nin `endoskopi` in bɛ tɛmɛ i dawolo fɛ (`sanfɛ endoskopi`) walima kɔkolo la (`kolonoscopie`). Ja minnu bɛ ye kamera fɛ, olu bɛ jira `ɛkran` kan. Dɔgɔtɔrɔ bɛ baara kɛ ni o minɛn misɛnninw ye walasa ka opereli kɛ k’a sɔrɔ a bɛ ekran filɛ.

N’an y’a fɔ cogo nɔgɔman na, nin ye sɛgɛsɛgɛli walima opereli misɛnnin ye min bɛ kɛ ni kamera don farikolo la k’a sɔrɔ i ma tigɛba si kɛ.

Fɛn minnu ka teli ka kɛ endoskopi fɛ olu ye:

• Polipu misɛnniw walima kurukuruw bɔli (polypectomie).
• Ka farikolo yɔrɔw ta walasa ka u sɛgɛsɛgɛ (biopsie).
• Farikolo sirilen dɔ tigɛcogo ni a labɔli (`myotomy`).

Laparoscopie opereli ye mun ye?

opereli min bɛ kɛ ni laparoskopi ye , o fana ye opereli fɛɛrɛ ye min tɛ fɛn caman kɛ . O la, operelikɛla bɛ don i kɔnɔbara yɔrɔw la ni "keyhole" tigɛ misɛnnin damadɔw ye, minnu bonya tɛ se santimɛtɛrɛ tilancɛ ma .

Tubabukan dɔ bɛ don kamera la min bɛ wele ko laparoscope (endoskopu sugu dɔ fana) bɛ don dingɛ kelen kɔnɔ ka kɔnɔna lajɛ. Ja minnu bɛ bɔ kamera la, olu bɛ jira ɛkran kan. O kɔfɛ, opereli minɛn janw ni finmanw bɛ don dingɛ wɛrɛw kɔnɔ ka opereli kɛ ka a sɔrɔ u bɛ ekran lajɛ. Nin fɛɛrɛ in bɛ a to banabagatɔ ka kɛnɛya joona ani ka joginda dɔɔni to a la.

Opereli minnu ka teli ka kɛ ni laparoscopie ye opereli bɛɛ lajɛlen fɛ, olu ye:

• Ɲɛgɛnɛsiraw bɔli ye opereli ye min bɛ kɛ ka ɲɛgɛnɛsiralabanaw furakɛ.
• Opereli kɛli galolabanaw la (Kɔlecystectomy).
• Kɔnɔbara basigilen opereli ye farikolojidɛsɛ opereli ye.

Robo opereli ye mun ye?

Roboti opereli ye opereli kɛcogo kɔrɔlen ye min bɛ kɛ ni laparoskopi ye. A bɛ baara kɛ ni laparoscope ni minɛn jan ni finmanw ye ka tɛmɛ kilisi misɛnninw fɛ. Danfara min bɛ u ni ɲɔgɔn cɛ o ye ko o minɛn ninnu bɛ Labɛn ni robo bolow ye.

Nka o kɔrɔ tɛ ko robo bɛna opereli kɛ a yɛrɛ ma. Operelikɛla bɛ robo bolo baara ka bɔ ɔridinatɛri konsolɛ dɔ la opereli yɔrɔ la. O bɛ kɛ sababu ye ka opereli kɛ minnu bɛ kɛ ka ɲɛ kosɛbɛ ani minnu ka nɔgɔn. Opereli kunbabaw bɛ se ka robo opereli dɔn u ka degeliw senfɛ tuma bɛɛ, walima u bɛ se ka degeliw wɛrɛw kɛ (fellowship).

Danfara jumɛn bɛ opereli bɛɛ lajɛlen ni dɔgɔtɔrɔ basigilen cɛ?

Nin ye ɲininkali ye mɔgɔ caman bɛ min kɛ. Operelikɛla bɛɛ ye dɔgɔtɔrɔ ye. Nka dɔgɔtɔrɔ bɛɛ tɛ operelikɛla ye. Operelikɛlaw ye mɔgɔw ye minnu ye dɔgɔtɔrɔw ye, o kɔfɛ, u bɛ kalan wɛrɛw sɔrɔ ani ka seereyaw sɔrɔ walasa ka opereli kɛ. N’an y’a fɔ cogo nɔgɔman na, opereli ye fɛɛrɛ ye min bɛ kɛ mɔgɔ farikolo kɔnɔna na, i n’a fɔ farikolo yɔrɔw, farikolo yɔrɔw ani kolotugudaw, walasa ka joginw walima banaw furakɛ.

Dɔgɔtɔrɔba (walima Dɔgɔtɔrɔso fɔlɔ - PCP) ye dɔgɔtɔrɔ ye min bɛ furakɛli bɛɛ kɛ, sanni ka kɛ dɔgɔtɔrɔso kɛrɛnkɛrɛnnen ye. A ka c’a la, u tɛ opereli kɛ.

Faan wɛrɛ fɛ, opereli bɛɛ kɛbaga ye dɔgɔtɔrɔ ye min y’a sugandi ka kɛ opereli kɛrɛnkɛrɛnnen ye. U tɛ dan opereli kɛrɛnkɛrɛnnen kelen dɔrɔn ma, nka u bɛ baara kɛ "opereli caman" yɔrɔba la.

A bɛ waati joli ta ka kɛ Surgeon General ye?

Miiri k’a filɛ, jamana min bɛ i n’a fɔ Ameriki, a bɛ san naani kɛ walasa ka baarakɛla ka diplomu sɔrɔ. O kɔfɛ, a bɛ san naani wɛrɛ ta walasa ka dɔgɔtɔrɔya diplomu sɔrɔ. O kɔfɛ, a bɛ san duuru kɛ walasa ka opereli sigiyɔrɔ sɔrɔ. O ye san 13 ye! Wa o kɔfɛ, waati bɛ ta walasa ka tɛmɛ o board examenw kan n ye minnu kofɔ ka tɛmɛ. O la, i ka kan ka kalan kɛ san 13 ni kɔ walasa ka kɛ opereli bɛɛjɛfanga ye. Yala o tɛ layiduba ye wa?

Danfara jumɛn bɛ Opereli kuntigiba ni denmisɛnw ka operelikɛla cɛ?

O fana ye hakilina nafama ye. Denmisɛnw ka operelikɛla bɛɛ ye opereli bɛɛ lajɛlen ye. Nka opereli bɛɛ lajɛlen tɛ denmisɛnw ka operelikɛla ye.

N’an y’a fɔ cogo nɔgɔman na, denmisɛnw ka operelikɛla ye mɔgɔ ye min ye dege kɛ i n’a fɔ opereli bɛɛ lajɛlen, o kɔfɛ, a ye kalan kɛrɛnkɛrɛnnen wɛrɛw sɔrɔ walasa ka denmisɛnw furakɛ. A bɛ i n’a fɔ denmisɛnw ka dɔgɔtɔrɔ, nka nin dɔgɔtɔrɔ in fana bɛ se ka opereli kɛ.

Opereli bɛɛ lajɛlen dɔgɔtɔrɔ bɛ i n’a fɔ dɔgɔtɔrɔ basigilen min fanga ka bon. O fanga ye se ye ka bana suguya caman furakɛ opereli yɔrɔ la.

A bɛ degeliw, dɔnniya ani seko caman de wajibiya walasa ka kɛ nin ɲɔgɔnna mɔgɔ ye. Nka o ye baara ye min bɛ mɔgɔ wasa kosɛbɛ. Sabula tile fila si tɛ kelen ye. Gɛlɛya kuraw bɛ yen tuma bɛɛ, ko kura minnu bɛ sɔrɔ.

A laban na, fɛn minnu ka kan ka to an hakili la (Take-Home Message) .

Okey, donc (o la) n hakili la sisan i ye hakilina ɲuman sɔrɔ operelikɛla jenerali dɔ kan.

• Opereli bɛɛ lajɛlen dɔgɔtɔrɔ ye dɔgɔtɔrɔ kɛrɛnkɛrɛnnen ye min dege ka opereli suguya caman kɛ. U tɛ dan farikolo yɔrɔ kelen dɔrɔn ma.
• U bɛ fɛn caman furakɛ, i n’a fɔ kɔnɔboli, kasaara, sinjiw, ani kirinni.
• U bɛ banabagatɔ ladon sani opereli ka kɛ, opereli kɛtuma na ani opereli kɔfɛ.
• U bɛ se ka opereli kɛ ni fɛɛrɛ kuraw ye i n’a fɔ `Endoscopy` ani `Laparoscopy`, ni tigɛli fitininw ye.
• Ka kɛ opereli bɛɛ kɛbaga ye, o bɛ kalan ni dege caman de wajibiya.
• Ni aw mago bɛ opereli la, aw ka dɔgɔtɔrɔ bɛ se ka aw bila opereli bɛɛ la. Aw kana aw hakili ɲagami, u bɛ yen ka aw dɛmɛ.

Ni ɲininkali wɛrɛw bɛ aw fɛ, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ. Aw ka to kɛnɛya la!

` Operelikɛla, Opereli kuntigiba, opereli, opereli, furakɛli, bana sɛgɛsɛgɛli, Opereli kuntigiba