Jɔn ye Neurophysiologist ye? An k’a faamu cogo nɔgɔman na!

N’a sɔrɔ aw ma dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ ka kuma mɛn min bɛ a lajɛ ni aw ka farikolojidɛsɛ, n’o ye aw ka hakili, aw kɔkolo ani aw farikolo bɛɛ lajɛlen ka rezo ye, o bɛ baara kɛ ka ɲɛ. I n’a fɔ dɔgɔtɔrɔ kɛrɛnkɛrɛnnen min bɛ a lajɛ ni i ka so kɔnɔ filiw bɛ baara kɛ ka ɲɛ, ni surunya bɛ yɔrɔ dɔ la, walima ni kuran ka dɔgɔn, nin dɔgɔtɔrɔ in fana bɛ i farikolo "kuran sitɛmu" lajɛ. Bi an bɛ kuma nin dɔgɔtɔrɔ kɛrɛnkɛrɛnnen in kan, n’o ye Neurophysiologist ye.

N’an y’a fɔ cogo nɔgɔman na, jɔn ye Neurophysiologist ye?

Hakilila-jɔ-dɔgɔtɔrɔ ye dɔgɔtɔrɔ kɛrɛnkɛrɛnnen ye min bɛ an ka farikoloɲɛnajɛ baara sɛgɛsɛgɛ, kɛrɛnkɛrɛnnenya la a kuran baara , ani ka sɛgɛsɛgɛliw kɛ ani ka banaw sɛgɛsɛgɛ minnu bɛ tali kɛ ɲɔgɔn na.

Miiri k’a filɛ, an farikolo ye masin ye min ka gɛlɛn kosɛbɛ. O masin in ka kunnafoni-falen-yɔrɔ ye farikolo-ɲɛnajɛ-yɔrɔ ye. O kɔrɔ ye ko kunsɛmɛ, kɔkolo, ani nɛrɛ minnu bɛ kunnafoniw ta farikolo fan bɛɛ la. I bɛ miiri fɛn o fɛn na, i bɛ min dusukunnataw sɔrɔ, ani i bɛ fɛn o fɛn kɛ, o bɛɛ bɛ mara nin sigida in fɛ. K’a ta i bolo kɔrɔta waati la fo ka se i dusukun tantanni ma, o bɛɛ ye a yɔrɔ dɔ ye.

O la ni gɛlɛya dɔ bɛ nin sigida in na, a kɛra kunnafoniw taabolo gɛlɛya ye wo, walima kuran taamasiɲɛw gɛlɛya ye wo, farikoloɲɛnajɛla dɔ bɛna dɛmɛ k’o sɔrɔ.

Hakilila-dɔgɔtɔrɔ ni hakili-la-dɔgɔtɔrɔ - Danfara jumɛn bɛ nin fila ni ɲɔgɔn cɛ?

O tɔgɔ fla ninnu ka teli ka ɲagami ɲɔgɔn na. U fila bɛɛ ye dɔgɔtɔrɔw ye minnu bɛ baara kɛ farikoloɲɛnajɛw kan. Nka danfara dɔɔnin bɛ o ni ɲɔgɔn cɛ. An k’o faamu ni misali ye.

Miiri k’a filɛ, gɛlɛya dɔ bɛ i ka so kɔnɔ yeelenbɔlan na. I tun bɛna kuma fɔlɔ ni kuran baarakɛla basigilen dɔ ye. A bɛ se ka so ka wiring system bɛɛ lajɛ, k’a lajɛ ni fiyɛli fiyɛra, ni switch tiɲɛna, ni anpulu jeni, ka ja belebele sɔrɔ. O de ye Neurologist ye. Dɔgɔtɔrɔ don min ka dɔnniya ka bon farikolo yɔrɔ bɛɛ la, n’o ye a jɔcogo, a baaracogo, ani bana minnu bɛɛ bɛ tali kɛ a la. Hakilila-dɔgɔtɔrɔ dɔ bɛ aw ka furaw sɛbɛn ani ka aw ka furakɛli boloda.

Sisan, i k’a miiri ko gɛlɛya dɔ bɛ yen min ka gɛlɛn kosɛbɛ, kurantigi tɛ se ka min sɔrɔ. Kuran in ka tension bɛ Dɔgɔya, a bɛ i n’a fɔ bɔgɔdaga fitinin dɔ bɛ yɔrɔ dɔ la. O kɔfɛ, a bɛ na ni mɔgɔ ye min bɛ baara kɛ ni mɛtɛrɛ kɛrɛnkɛrɛnnenw ye, o ye sisan jibɔ dɔnbaga ye. O de ye Neurophysiologist ye. Ale ye farikolo-ɲɛnajɛ-yɔrɔw baara dɔnbaga ye, kɛrɛnkɛrɛnnenya la kuran taamasiɲɛw taamacogo la. A bɛ min Kɛ, o ye ka sɛgɛsɛgɛli suguya caman Kɛ, k'a jaabiw Sɛgɛsɛgɛ, k'a Dɔn tigitigi gɛlɛya min bɛ nɛrɛmugu baara la.

Sɔgɔsɔgɔninjɛla jɔyɔrɔba fila

An bɛ se ka hakililabaarakɛlaw tila tila kuluba fila ye, ka kɛɲɛ n’u ka baara kɛcogo ye.

1. Minnu bɛ baara kɛ opereli la (Surgical Neurophysiologists) .

2. Minnu bɛ banaw sɛgɛsɛgɛ dɔgɔtɔrɔsow la (Clinical Neurophysiologists) .

An ka o mɔgɔw kelen-kelen bɛɛ jɔyɔrɔ lajɛ u danma.

1. Neurophysiologist jɔyɔrɔ opereli la

Nin ye yɔrɔ ye min nafa ka bon kosɛbɛ. Miiri k’a filɛ, mɔgɔ dɔ bɛ ka opereli belebele dɔ kɛ a kɔkolo walima a kunkolo la. Ni opereli bɛ kɛ, operelikɛlaw ka kan ka kɔlɔsili kɛ ni farikolo yɔrɔw tiɲɛna. Ni hali fili fitinin dɔ kɛra, a tigi bɛ se ka kɛ farilajidɛsɛ ye, ka mɛnni tiɲɛ, walima ka kirinni sɔrɔ.

O waati de la, farikoloɲɛnajɛla dɔ bɛ fara opereli jɛkulu kan. A bɛ baara kɛ ni minɛn kɛrɛnkɛrɛnnenw ye walasa ka banabagatɔ ka farikoloɲɛnajɛ kuran baara kɔlɔsi opereli bɛɛ kɔnɔ. O bɛ wele ko Intraoperative Neurophysiology Monitoring (IONM) . Ni hali nɛrɛ dɔ tiɲɛna dɔɔni, a kuran taamasiɲɛw bɛ Changé. Ni hakiliɲagami dɔgɔtɔrɔ y’o fɛn yeli ye dɔrɔn, a bɛ operelikɛla lasɔmi. O kɔfɛ, operelikɛla bɛ se ka fɛɛrɛ wajibiyalenw tigɛ sani tiɲɛni ka kɛ.

2. Neurophysiologist min bɛ kɛnɛyaso sɛgɛsɛgɛliw kɛ

Nin ye Neurophysiologist ye an bɛ deli ka min ye, an ka dɔgɔtɔrɔ bɛ an bila ka taa min fɛ. U bɛ dɔgɔtɔrɔsow la walima dɔgɔtɔrɔsow la. U bɛ sɛgɛsɛgɛli suguya caman kɛ walasa ka farikolo yɔrɔw baaracogo lajɛ. A sinsinnen bɛ nin sɛgɛsɛgɛli ninnu jaabiw kan, aw ka hakililabaarakɛla bɛna a dɔn tigitigi bana min bɛ aw la.

U bɛ sɛgɛsɛgɛliba minnu kɛ, olu dɔw ye ninnu ye:

• EMG (Electromyography): Nin sɛgɛsɛgɛli in bɛ aw farikolo yɔrɔw kɛnɛya lajɛ ani farikolo minnu bɛ u mara. Ni aw bolokɔni bɛ kirin, ni a bɛ kirin, walima ni a fanga dɔgɔyara, nin sɛgɛsɛgɛli in bɛ se ka dɛmɛ don ka a dɔn ni gɛlɛya bɛ farikolo yɛrɛ de la walima ni a bɛ farikolojidɛsɛ furakɛ. O nafa ka bon banaw sɛgɛsɛgɛli la i n’a fɔ Carpal Tunnel Syndrome (bolokɔni nɛrɛmuguma) ani Peripheral Neuropathy (bolokɔniw ni senw nɛrɛmuguma tiɲɛni ka a sababu kɛ banaw ye i n’a fɔ sukarodunbana).

• NCS (Nerve Conduction Study): O bɛ waati hakɛ jateminɛ walasa kuran taamasiɲɛ bɛ taa nɛrɛmuguma dɔ fɛ ani a bɛ taa teliya hakɛ min na. Ni nɛrɛ dɔ tiɲɛna, o taamasiɲɛ bɛ taa teliya min na, o bɛ dɔgɔya. Tuma caman na, EMG ni NCS sɛgɛsɛgɛli fila bɛɛ bɛ kɛ ɲɔgɔn fɛ.

• EEG (Electroencephalogramme): N’a sɔrɔ aw ye nin ko in mɛn. o ye ka elekitorode misɛnninw nɔrɔ kunsigi la ani ka kunsɛmɛ kuran baara sɛbɛn . Nin sɛgɛsɛgɛli in nafa ka bon walasa ka bana dɔw sɛgɛsɛgɛ i n’a fɔ kunfilanitu ani ka a dɔn a sababu bɛ yɔrɔ min na hakili la.

• Evoked Potential Test: O ye ka fɛn dɔ di min bɛ mɔgɔ bila ka fɛn dɔ kɛ, i n’a fɔ yeelen bɛ ɲɛw la walima ka mankan di tulo ma, ani ka kuran baara suman kunsɛmɛ ni kɔkolo la o jaabi la. O kɔrɔ ye ko i bɛ fɛn min ye ni i ɲɛ ye, o bɛ se teliya cogo min na, ani i bɛ min mɛn ni i tulo ye, o bɛ se kunkolo ma joona cogo min na, a bɛ o suman.

• Sunɔgɔ kalan (Sunɔgɔ kalan / Polisomnografi):Gɛlɛya dɔw bɛ mɔgɔ dɔw la i n’a fɔ sɔgɔsɔgɔninjɛ, sunɔgɔ taama, ani sɔgɔsɔgɔninjɛ sunɔgɔ waati. Walasa ka nin sunɔgɔbaliya ninnu dɔn, banabagatɔ bɛ don dɔgɔtɔrɔso la, ka farikolo baara suguya caman kɔlɔsi (kunsɛmɛnasumaya, ninakili, ani dusukun tantanni) su kelen kɔnɔ. O fana bɛ Kɛ ni hakili-la-ko-dɔnbaga dɔ ye.

Cogo di ka kɛ Neurophysiologist ye?

Nin ye taama janba ye, wa a y’a yɛrɛ di. Neurophysiologist ye dɔgɔtɔrɔ ye. O la, i ka kan ka i tɔgɔ sɛbɛn fɔlɔ furakɛli kalanso la ani ka dɔgɔtɔrɔya diplomu (MD/MBBS) sɔrɔ.

O de kosɔn:

• I ka kan ka san kelen stage kɛ.
• O kɔfɛ, i ka kan ka san damadɔ kalan kɛ diplomu kɔfɛ (Residency/MD) walasa ka dɔnniya kɛrɛnkɛrɛnnen sɔrɔ hakiliɲagami la.
• O degeliw kɔfɛ, i bɛna farikoloɲɛnajɛ baaracogo sɛgɛsɛgɛ ka ɲɛ ani ka kalan sɔrɔ baara kɛrɛnkɛrɛnnen dɔ la min bɛ wele ko Neurophysiology.

O bɛ waati caman de wajibiya, ka kalan kɛ, ani ka a yɛrɛ di.

O la ni aw ka dɔgɔtɔrɔ y’aw bila ka taa sɛgɛsɛgɛli kɛ i n’a fɔ EMG walima EEG, sisan aw b’a dɔn ko aw bɛ taa Neurophysiologist fɛ. Ale ye mɔgɔ ye min bɛna aw farikolo yɔrɔw sɛgɛsɛgɛ ka ɲɛ ani ka aw dɛmɛ ka aw ka bana sɛgɛsɛgɛli tigitigi kɛ. O la, aw kana siran, aw bɛ ɲininkali walima haminanko minnu bɛ aw la, aw bɛ o dɔgɔtɔrɔ ɲininka. U bɛ yen walisa k’i dɛmɛ.