Dɔgɔtɔrɔ minnu bɛ mɔgɔ kisi kɔrɔtɔko la: Jɔn ye joginda operelikɛla ye?

Kasaraw man di an si ye, tiɲɛ tɛ? Nka ni kasaara kɛra waati la, an ma miiri min na, dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw kulu dɔ bɛ yen minnu bɛ yen walasa k’an ka ɲɛnamaya kisi. an b' olu wele ko trauma surgeons . Nin barokun kɔnɔ, an bɛna kuma o dɔgɔtɔrɔw ye mɔgɔ minnu ye, u bɛ min kɛ, ani u nafa ka bon an ka ɲɛnamaya kɔnɔ cogo min na.

Jɔn ye Trauma Surgeon ye?

N’an y’a fɔ cogo nɔgɔman na, `(Trauma Surgeon)` ye dɔgɔtɔrɔ ye min bɛ se kosɛbɛ, min bɛ opereli kɔrɔtɔlen kɛ jogin juguw ni furakɛli kɔrɔtɔlenw na minnu bɛ se ka kɛ mɔgɔ ka ɲɛnamaya bila farati la. Miiri k’a filɛ, ni kasaaraba dɔ kɛra i la, ni i joginna kosɛbɛ, nin `(Trauma Surgeon)` in ye dɔgɔtɔrɔso jɛkulu ɲɛmɔgɔ ye min bɛ i ladon. Nin jɛkulu in bɛ se ka kɛ ``Critical Care`` yɔrɔ baarakɛlaw ye, opereli kɛrɛnkɛrɛnnen wɛrɛw, a ɲɔgɔnnaw.A fana ye u ka baara ye ka aw ka kɛnɛya lajɛ opereli kɔfɛ ani ka jɛ ka baara kɛ ni aw ka denbaya dɔgɔtɔrɔ ye (`Primary Care Physician`). Tuma dɔw la, o dɔgɔtɔrɔw bɛ wele fana ko ``Acute Care Surgeon`` walima ``Critical Care Surgeon``.

Nin dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw bɛ jogin ni bana kunbaba jumɛnw furakɛ?

Yala i b’a dɔn ko san o san, diɲɛ fan bɛɛ la, mɔgɔ miliyɔn caman bɛ jogin kasaaraw la, ka laban ka taa dɔgɔtɔrɔsow la minnu bɛ kɔrɔtɔko ɲɛnabɔ wa? O ko in tɛ danfara Bɔ Sri Lanka jamana na. Hali ni nin ``Trauma Surgeons`` ninnu dege ka jogin suguya caman furakɛ, bana damadɔ bɛ yen u bɛ minnu sɔrɔ ka caya ani ka u furakɛ:

Blunt Force Trauma (Blunt Force) ye fɛn ye min bɛ se ka kɛ

Olu ye joginw ye minnu bɛ kɛ ni fɛn dɔ ye i gosi kosɛbɛ (`Blunt Force Trauma`). Miiri fɛnw na i n’a fɔ mobili kasaara, binkanni ka bɔ sanfɛ, walima fɛn girinman dɔ binna i fari kan. O waatiw de la, opereli kɔrɔtɔlen ka kan ka kɛ tuma caman na. Sabula tiɲɛni min bɛ kɛ kɔnɔna na, o bɛ se ka juguya ka tɛmɛ a ɲɛda cogoya kan.

Trauma (Trauma) min bɛ don mɔgɔ kɔnɔ

Nin ye joginda ye min bɛ sɔrɔ fɛn nɔgɔlen dɔ fɛ min bɛ don fari la ka don fari la (`Penetrating Trauma`). Misali dɔw ye marifa joginni ye, ni muru joginni ye ni muru walima marifa nɔgɔlen wɛrɛ ye, walima ka boli ka don ni fɛn nɔgɔlen dɔ ye. O jogin suguw la, a nafa ka bon kosɛbɛ ka basi jɔ joona ani ka a lajɛ ni kɔnɔnafɛnw tiɲɛna.

Jeninida Joginw

O dɔgɔtɔrɔw bɛ jeninida jugumanw furakɛ minnu bɛ sɔrɔ tasuma, jisuma, ani watara fɛ (`jenini sumaya`). U bɛ jeninida fana furakɛ min bɛ sɔrɔ kemikɛlifɛnw fɛ (`kemikɛli jeninida`), fogonfogon tiɲɛni min bɛ sɔrɔ sisi baga fiyɛli fɛ, ani `nɛnɛba`, o ye fari ni farikolo yɔrɔw fagali ye nɛnɛ juguman fɛ.

Opereli kuntaalajan kɔrɔtɔlen ani ladonni gɛlɛnw

`(Trauma Surgeon)` caman ani mɔgɔ wɛrɛwU sen bɛ opereli kɔrɔtɔlenw fana na. Misali la, u bɛ se ka opereli kɛ bana dɔw la minnu bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la i n’a fɔ banakɔtaa datugulen. U bɛ se ka dɛmɛ fana ka bana jugumanw furakɛ minnu bɛ sɔrɔ ka aw to dɔgɔtɔrɔso la kaban, i n’a fɔ sepsis (banakisɛ jugumanba min bɛ sɔrɔ joli baga fɛ), ninakilidegun, walima farikolo yɔrɔw dɛsɛ.

O dɔgɔtɔrɔw bɛ furakɛli kɔrɔtɔlenw ni opereli jumɛnw kɛ ka caya?

Ni kasaara kɛra, ``Trauma Surgeon`` bɛ furakɛli ni opereli suguya caman kɛ minnu bɛ mɔgɔ kisi, a kelen na walima a ni dɔgɔtɔrɔ kɛrɛnkɛrɛnnen wɛrɛw ka jɛ. U dɔw ye ninnu ye:

• Furakɛcogo kɔrɔtɔlen : Nin wale in (`Fogonfogonlabana kɔrɔtɔlen`) bɛ se ka kɛ ni aw disi (fogonfogon lamini) falen don joli la walima ni fogonfogon barika banna (`Fogonfogonlabana`). O ye ka tigɛ fitini dɔ kɛ disi fari la ka ``Disi tuba`` don a kɔnɔ, o ye tubabu ye, joli walima fiɲɛ bɛ bɔ min fɛ.
• Kɔrɔtɔko barajuru tigɛcogo: Nin ye opereliba ye. A bɛ kɛ disi jogin jugumanw na, minnu bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la walima i n’a fɔ kɔrɔtɔko disi jogin wɛrɛw la. Disi bɛ da wuli ka farikolo yɔrɔ tiɲɛnenw dilan.
• Laparotomie kɔrɔtɔlen : O ye ka tigɛ jɔlen kɛ ka jigin i kɔnɔbara cɛmancɛ la (`Laparotomie kɔrɔtɔlen`). O bɛ se ka kɛ walasa ka kɔnɔbara jogin jugumanba furakɛ, ka kɔnɔna joli jɔ, walima ka kɛ kɔnɔbara basigilen kɔrɔtɔlen dɔ ye.
• Joli bɔli kojugu ani joginda kunbɛnni : Ni fari donna ka joli bɔ ka caya ka a sababu kɛ fɛnw ye i n’a fɔ marifa joginda, joginda min bɛ sɔgɔ ni nɛgɛ ye, walima fɛn min bɛ sɔgɔ, o dɔgɔtɔrɔw ka baara kunbaba dɔ ye ka joli bɔli kunbɛn, ka joginda saniya, ka a siri ni a mago bɛ a la
• Ɲɛgɛnɛsiraw ka jɛkafɔ : A ka ca a la, joginda operelikɛlaw bɛ baara kɛ ɲɔgɔn fɛ ni hakiliɲagamikɛlaw ye, kɛrɛnkɛrɛnnenya la ka kunkolo joginw furakɛ, i n’a fɔ joli-sira-funu-kɔnɔ-joginw ani kunsɛmɛ joginniw.

Mɔgɔ bɛ se ka kɛ Trauma Surgeon ye cogo di?

Ka kɛ dɔgɔtɔrɔ kɛrɛnkɛrɛnnen ye i n’a fɔ nin, o man nɔgɔn. O bɛ baara gɛlɛn caman de wajibiya, ka u yɛrɛ di, ani ka kalan kɛ waati jan kɔnɔ. Misali la, jamana min bɛ i n'a fɔ Ameriki, ka kɛ ``Trauma Surgeon'' ye, a ka c'a la, o bɛ san 13 fo san 15 ɲɔgɔn kalan. O dɔw ye ninnu ye:

• San naani dɔnniya jɔnjɔn diplomu.
• San naani dɔgɔtɔrɔso kalan (dɔgɔtɔrɔso kalan).
• San duuru sigiyɔrɔma porogaramu dɔ. O waati kɔnɔna na, u bɛ u ka kalan fanba sɔrɔ opereli bɛɛ lajɛlen na.
• O kɔfɛ, san kelen walima san fila kalan kɛrɛnkɛrɛnnen bɛ kɛ (`Fellowship Program`). O yɔrɔ de la i bɛ dɔnniya ni kalan sɔrɔ `Critical Care` ani `Trauma` la.
• Tuma dɔw la, o sigiyɔrɔma kalan waati in na, i ka kan fana ka furakɛli ɲinini kɛ san kelen fo san saba kɔnɔ.

O dɔrɔn tɛ, u ka kan ka tɛmɛ jamana min ɲɛsinnen bɛ furakɛli lase sɛgɛsɛgɛliw ma (i n’a fɔ `Amerika dɔgɔtɔrɔso lase sɛgɛsɛgɛli`). U ka kan fana ka opereli bɛɛ lajɛlen seere ni subspecialité seere sɔrɔ `Opereli Critical Care` la ka bɔ dɔgɔtɔrɔso kɛrɛnkɛrɛnnenw na (i n’a fɔ `Amerika opereli tɔn`).

Jogindaw operelikɛla dɔw fana bɛ kalan wɛrɛw sɔrɔ jamaba fagali furakɛli la , o kɔrɔ ye ko ni mɔgɔ caman jogin na ko kelen na (misali la, bɔnbu cili, balawu jugumanba, mobili kasaaraba).

Danfara jumɛn bɛ Opereli kuntigiba ni joginda operelikɛla cɛ?

Nin fana ye ɲininkali ye mɔgɔ caman bɛ min kɛ. `(Trauma Surgeon)` bɛɛ ye fɔlɔ ni fɔlɔ ye opereli bɛɛ lajɛlen ye. O kɔrɔ ye k’u ye kalan jɔnjɔn sɔrɔ opereli bɛɛ lajɛlen na. Nka danfaraba min bɛ u ni ɲɔgɔn cɛ , o ye ko `(Trauma Surgeon)` fana ye kalan kɛrɛnkɛrɛnnen sɔrɔ (`Fellowship`) ladonni gɛlɛnw ni bɔnɛko la, wa a ye `Surgical Critical Care Certification` sɔrɔ o la. O la, se kɛrɛnkɛrɛnnen b’u la ka jogin kɔrɔtɔlenw furakɛ, minnu bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la.

Danfara jumɛn bɛ joginda furakɛli yɔrɔ ni dɔgɔtɔrɔso basigilen cɛ?

`(Trauma Center)`, o kɔrɔ ye furakɛli kɛrɛnkɛrɛnnen ye min bɛ kɛ kɔrɔtɔko la, o ye yɔrɔ ye min ni dɔgɔtɔrɔso basigilen tɛ kelen ye dɔɔnin. A kunba ye ko `(Trauma Center)` dɔ bɛ ni dɔgɔtɔrɔso baarakɛlaw ye minnu kalanna kɛrɛnkɛrɛnnenya la, dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ bɛ yen `(Trauma Surgeon), min bɛ se ka wele sanga 24 kɔnɔ, tile 7 dɔgɔkun kɔnɔ. Ani fana, kasaara kɛra mɔgɔ min na, o mago bɛ fɛn o fɛn na, o bɛɛ bɛ o santiriw kɔnɔ, i n’a fɔ `minɛn kura`, joli banki yɔrɔw, opereli yɔrɔ kɔrɔtɔlenw, a ɲɔgɔnnaw Sri Lanka, kɛnɛyaso kɔrɔtɔlenw minnu bɛ dɔgɔtɔrɔsobaw la i n’a fɔ nin, olu fana bɛ baara kɛ sanfɛ kosɛbɛ.

Yala o dɔgɔtɔrɔw bɛ opereli kɛ joginda bɛɛ la wa? Yala u bɛ baara kɛ u kelen na wa?

Jogindaw operelikɛlaw ye dɔgɔtɔrɔso jɛkuluba dɔ yɔrɔ nafamaba ye.Tuma caman na, u bɛ baara kɛ ɲɔgɔn fɛ ni hakiliɲagamikɛlaw ni kolotugudaw operelikɛlaw ye, barisa kasaara jugumanba dɔ la, kunsɛmɛ, kɔkolo walima kolotugudaw bɛ se ka tiɲɛ. O cogo la, dɔgɔtɔrɔ kɛrɛnkɛrɛnnen minnu ɲɛsinnen don o ma, olu ka dɛmɛ nafa ka bon. U ni dɔgɔtɔrɔw, furakɛlikɛlaw ani kɛnɛyabaarakɛla wɛrɛw fana bɛ baara kɛ ɲɔgɔn fɛ kɔrɔtɔko yɔrɔ la walasa ka mɔgɔ minnu jogin kosɛbɛ, olu furakɛ. O kɔrɔ ye ko jɛkulu ka cɛsiri don.

A laban na, fɛn min nafa ka bon kosɛbɛ, an ka kan ka to an hakili la

An si t’a miiri ko an bɛna kasaara sɔrɔ walima ka mago ɲɛ furakɛli kɔrɔtɔlen na bana dɔ kosɔn min bɛ se ka an ka ɲɛnamaya bila farati la. Nka, k’a sɔrɔ a ma deli ka kɛ, mɔgɔ miliyɔn caman bɛ nin ko ninnu sɔrɔ san o san, o bɛ `Critical Care` kɔrɔtɔlen de wajibiya.

Nin waati suguw la, ɲɛnamaya ni saya kɛlɛ la, nin ``Trauma Surgeons'' ninnu de bɛ ɲɛfɛ ka kɛlɛ kɛ walasa ka mɔgɔ kisi.

U ye kalan kɛrɛnkɛrɛnnen sɔrɔ ani u ye ko kɛlen nafamaw sɔrɔ. U bɛ se ka bana suguya caman dɔn joona minnu bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la, ka furakɛli ni opereli wajibiyalenw kɛ. Ni aw walima aw dɔnbaga dɔ mago bɛ opereli kɔrɔtɔlen na don dɔ, aw ka joginda operelikɛla ni dɔgɔtɔrɔ wɛrɛw bɛna kɛ jɛkulu ye min bɛna aw ladon fo aw ka kɛnɛya. O de y’a to o dɔgɔtɔrɔw ka baara nafa ka bon tiɲɛ na. U bɛ i n’a fɔ an ka jamana ka cɛfarin minnu ma dɔnkili da.

` Kasaraw, Operelikɛlaw, Jogindaw operelikɛlaw, Kɔrɔtɔko furakɛli, Joginw, Opereliw, ɲɛnamaya lakanabagaw