Ðɔkta siwo xɔa amewo ɖe agbe le nɔnɔme kpatawo me: Amekae nye Amekola si Kpɔa Nuveviwɔamewo Gbɔ?

Mía dometɔ aɖeke melɔ̃a afɔku o, alo? Gake ne afɔku aɖe dzɔ le ɣeyiɣi si míele mɔ kpɔm na o me la, ɖɔkta bibiwo ƒe ƒuƒoƒo aɖe li siwo le afima be yewoaɖe míaƒe agbe. Ame mawoe míeyɔna be amekola siwo wɔa nuvevi ame . Le nyati sia me la, míaƒo nu tso amesiwo ɖɔkta siawo nye, nu siwo wowɔna, kple ale si wole vevie na míaƒe agbe ŋu.

Amekae nye Amekola si Kpɔa Nuveviwɔamewo Gbɔ?

Kpuie ko la, `(Trauma Surgeon)` nye ɖɔkta bibi aɖe si wɔa amekoko kpata na abi sesẽwo kple atikewɔwɔ kpata siwo ate ŋu ade ame ƒe agbe afɔku me. Bu eŋu kpɔ, ne èdze afɔku gã aɖe eye nèxɔ abi vevie la, `(Trauma Surgeon)` siae nye atikewɔlawo ƒe ƒuƒoƒo si kpɔa dziwò la ƒe ŋgɔnɔla. Ƒuƒoƒo sia ateŋu anye ``Critical Care`` dɔwɔƒea ƒe dɔwɔlawo, amekoko ŋuti nunyala bubuwo, kple bubuawo.Enye woƒe agbanɔamedzi hã be woakpɔ wò hayahaya le amekoko megbe eye woawɔ ɖoɖo kple wò ƒomea ƒe ɖɔkta (`Primary Care Physician`). Ɣeaɖewoɣi la, wogayɔa ɖɔkta siawo be ``Acute Care Surgeon`` alo ``Critical Care Surgeon``.

Nukawoe nye abi kple dɔléle vevi siwo atikewɔla bibi siawo daa?

Ènya be ƒe sia ƒe la, ame miliɔn geɖe xɔa abi le xexeame godoo le afɔkuwo me eye wova nɔa kɔdzi ƒe dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔa? Nɔnɔme sia meto vovo kura le Sri Lanka o. Togbɔ be wona hehe ``Trauma Surgeons`` siawo be woada abi vovovowo hã la, nɔnɔme ʋee aɖewo li siwo wodoa goe wu eye wodaa wo:

Blunt Ŋusẽ ƒe Nuveviwɔame

Esiawo nye abi siwo dzɔna ne nane ƒo wò sesĩe (`Blunt Force Trauma`). Bu nuwo abe ʋufɔku, gege tso kɔkɔƒe, alo nu kpekpe aɖe si ge ɖe wò ŋutilã dzi ene ŋu kpɔ. Ɣeyiɣi siawo mee wòhiãna be woawɔ dɔ kpata zi geɖe. Elabena nusiwo gblẽ le eme ate ŋu alolo wu alesi wòdzena le gota.

Nuveviwɔame si Ge Ðe Ame Me

Esia nye abi si tso nane ɖaɖɛ si ge ɖe ŋutigbalẽa me eye wòge ɖe ŋutilã me (`Penetrating Trauma`) gbɔ. Kpɔɖeŋu aɖewoe nye abi si woda tu, abi si wotsɔ hɛ alo aʋawɔnu ɖaɖɛ bubu ƒoe, alo esi wotsɔ nane ɖaɖɛ ƒu du yi eme. Le abi mawo tɔgbe me la, ele vevie ŋutɔ be woatɔ te ʋu si le dodom kabakaba eye woalé ŋku ɖe eŋu be nu gblẽ le ŋutinuwo ŋu hã.

Dzobibi ƒe Nuveviwɔame

Ðɔkta siawo daa dzobibi sesẽ siwo dzo, tsi dzodzoe, kple dzoxɔxɔ (`thermal burns`) hena vɛ. Wodaa dzobibi si atikewo hena vɛ (`atikewo ƒe dzobibi`), lãkusi ƒe gbegblẽ si aɖi dzudzɔ gbɔgbɔ hena vɛ, kple `frostbite`, si nye ŋutigbalẽ kple lãkusi ƒe ku le vuvɔ si nu sẽ ta hã.

Amekoko Gbãtɔ Kpata Kple Dɔnɔdzikpɔkpɔ Vevie

Ame geɖewo `(Trauma Surgeon)` kple ame bubuwoWokpɔa gome le amekoko kpatawo hã me. Le kpɔɖeŋu me, woate ŋu awɔ dɔ na nɔnɔme siwo ate ŋu ade woƒe agbe afɔku me abe dɔgbo ƒe xexe ene. Woate ŋu akpe ɖe ŋuwò hã le dɔléle sesẽ siwo doa mo ɖa ne èle kɔdzi xoxo, abe sepsis (dɔlékui sesẽ aɖe si ʋu me aɖi hena vɛ), gbɔgbɔtsixetsixe, alo ŋutinuwo ƒe dɔmawɔmawɔ nyuie hã dada.

Dɔdamɔnu kple amekoko kpata kawoe ɖɔkta siawo wɔna zi geɖe wu?

Ne afɔku aɖe dzɔ la, ``Trauma Surgeon`` wɔa atikewɔwɔ kple amekoko vovovo siwo xɔa ame ɖe agbe, eya ɖeka alo le nuwɔwɔ aduadu kple eŋutinunyala bibi bubuwo me. Wo dometɔ aɖewoe nye:

• Emergency Thoracostomy: Woateŋu awɔ dɔ sia (`Emergency Thoracostomy`) ne wò akɔta ƒe do (si ƒo xlã lãkusiwo) yɔ fũ kple ʋu alo ne lãkusi aɖe mu kpata (`Lung Collapse`). Esia bia be woaɖe lã sue aɖe ɖe akɔta ƒe ŋutigbalẽ me eye woatsɔ ``Chest Tube``, si nye mɔ̃ aɖe, si me woɖea ʋu alo ya le la de eme.
• Akɔta ɖeɖe Kpata: Esia nye amekoko gã aɖe. Wowɔa esia na akɔta ƒe abi sesẽ siwo ate ŋu ade ame ƒe agbe afɔku me alo abe dɔdamɔnu kpata ene na akɔta ƒe abi bubuwo. Woʋua akɔta eye wodzraa ŋutinu siwo gblẽ la ɖo.
• Emergency Laparotomy: Esia bia be nàtso wò ƒodo titina le tsitrenu (`Emergency Laparotomy`). Woate ŋu awɔ esia atsɔ ada abi gã aɖe le ƒodo ŋu, atɔ te ʋu si dona le ƒodo me, alo abe akɔtaƒu ɖeɖe kpata ƒe akpa aɖe ene.
• Ʋu si le dodom fũu akpa kple abi dzi ɖuɖu: Ne nuwo ge ɖe ŋutigbalẽa me eye ʋu le dodom fũ le nuwo abe tudada, abi si woda tu, alo nu ɖaɖɛ aɖe ta la, ɖɔkta siawo ƒe dɔ veviwo dometɔ ɖekae nye be woaɖu ʋua dzi, akɔ abi la ŋu, eye woatɔe ne ehiã .
• Ahɔhɔ̃mekawo ƒe Dɔwɔwɔ Ðekae: Zi geɖe la, amekola siwo wɔa dɔ aduadu kple ahɔhɔ̃ŋutinunyala siwo wɔa dɔ aduadu kple ahɔhɔ̃mekawo, vevietɔ tsɔ daa abi siwo woxɔna le ta, abe ʋu ƒe sisi le ahɔhɔ̃a te kple ahɔhɔ̃ me abi siwo gblẽa nu le ame ŋu ene.

Aleke ame awɔ azu Nuveviwɔame ƒe Amekola?

Eŋutinunyala bibi nyenye abe esia ene mele bɔbɔe o. Ebia kutrikuku geɖe, ɖokuitsɔtsɔna, kple hehexɔxɔ ɣeyiɣi didi. Le kpɔɖeŋu me, le dukɔ abe Amerika ene me la, zi geɖe la, ``Trauma Surgeon'' zuzu xɔa abe ƒe 13 va ɖo 15 ƒe sukudede. Esia lɔ:

• Dzɔdzɔmeŋutinunya ƒe gɔmedzesukudede ƒe ene.
• Ƒe ene ƒe atikewɔsuku ƒe hehexɔxɔ (atikewɔwɔ ƒe ɖaseɖigbalẽ).
• Ƒe atɔ̃ ƒe ɖoɖo si wowɔna be woanɔ afima. Le ɣeyiɣi sia me la, woxɔa woƒe hehe akpa gãtɔ le amekoko na amewo katã me.
• Esia kplɔe ɖo kple ƒe ɖeka alo eve ƒe hehexɔxɔ ƒe ɖoɖo tɔxɛ (`Fellowship Program`). Afi siae nèkpɔa nunya kple hehe le le `Critical Care` kple `Trauma` me.
• Ɣeaɖewoɣi la, le hehexɔxɔ ƒe ɣeyiɣi sia me la, ele be nàƒo ɖokuiwò ɖe atikewɔwɔ ŋuti numekuku hã me ƒe ɖeka va ɖo etɔ̃.

Menye ema ɖeɖeko o, ele be woato dukɔ si ŋu nya ku ɖo ƒe atikewɔwɔ ƒe mɔɖegbalẽ dodokpɔwo me (abe `US Medical Licensing Examination` ene). Ele be woaxɔ amekoko ƒe ɖaseɖigbalẽ si le amewo katã si kple subspecialty ɖaseɖigbalẽ le `Surgical Critical Care` me hã tso atikewɔha tɔxɛwo gbɔ (abe `American Board of Surgery` ene).

Amekola aɖewo siwo wɔa nuvevi ame hã xɔa hehe bubuwo le ame gbogbo aɖewo ƒe afɔkuwo dada me , si fia be ne ame geɖe xɔ abi le nudzɔdzɔ ɖeka me (e.g., bɔmb wó, dzɔdzɔmefɔku sesẽ, ʋufɔku gã aɖe).

Vovototo kae le Amekola Gã kple Amekola si Kpɔa Nuveviwɔame Gbɔ dome?

Esia hã nye nya si ame geɖe biana. `(Trauma Surgeon)` ɖesiaɖe nye gbãtɔ kple vevitɔ la, amekola si wɔa dɔ le amewo katã dome. Ema fia be woxɔ hehe veviwo le amekoko na amewo katã me. Gake vovototo vevitɔ enye be `(Trauma Surgeon)` hã ​​xɔ hehe tɔxɛ (`Fellowship`) le beléle sesẽwo kple nuveviwɔame me, eye wòxɔ `Surgical Critical Care Certification` ɖe ema ta. Eyata ŋutete tɔxɛ aɖe le wo si be woada abi siwo woxɔ kpata, siwo ate ŋu ade woƒe agbe afɔku me.

Vovototo kae le nuveviwɔame ƒe dɔwɔƒe kple kɔdzi si wozãna edziedzi dome?

`(Trauma Center)`, si nye atikewɔƒe tɔxɛ aɖe na nɔnɔme kpatawo, nye teƒe si to vovo vie tso kɔdzi si wozãna edziedzi gbɔ. Nu vevitɔ enye be atikewɔla siwo wona hehee etɔxɛe le `(Trauma Center)` aɖe si, siwo dome `(Trauma Surgeon) bibi aɖe hã le, amesi woate ŋu ayɔ gaƒoƒo 24 gbesiagbe, ŋkeke 7 le kwasiɖa me. Azɔ hã, nusianu si ame si dze afɔku me hiã la le dɔwɔƒe siawo, abe `dɔwɔnu deŋgɔwo`, ʋudzraɖoƒewo, amekokoxɔ siwo me wowɔa dɔ kpata le, kple bubuawo Le Sri Lanka la, dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ le kɔdzi gãwo abe esia ene hã wɔa dɔ le ɖoƒe kɔkɔ ŋutɔ.

Ðe ɖɔkta siawo wɔa dɔ na abi ɖesiaɖea? Ðe woawo ɖeɖe wɔa dɔa?

Amekola siwo wɔa nuvevi ame nye atikewɔlawo ƒe ƒuƒoƒo gã aɖe ƒe akpa vevi aɖe.Zi geɖe la, wowɔa dɔ kplikplikpli kple ahɔhɔ̃ŋutinunyalawo kple ƒumeŋutinunyalawo, elabena ne afɔku gã aɖe dzɔ la, ahɔhɔ̃, akɔta, alo ƒuwo ate ŋu agblẽ. Le nɔnɔme mawo me la, eŋutinunyala bibi siwo ŋu nya ku ɖo ƒe kpekpeɖeŋu le vevie ŋutɔ. Wowɔa dɔ kple ɖɔktawo, dɔnɔdzikpɔlawo, kple lãmesẽdɔwɔla bubuwo hã le xɔ si me wowɔa dɔ kpata le me tsɔ daa dɔ na amesiwo xɔ abi vevie. Esia fia be enye ƒuƒoƒo ƒe agbagbadzedze.

Mlɔeba la, nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui

Mía dometɔ aɖeke mekpɔa mɔ be yeadze ŋgɔ afɔku alo ahiã be woawɔ atike na ye kpata le dɔléle aɖe si ate ŋu ade yeƒe agbe afɔku me ta o. Gake, le mɔ si womele mɔ kpɔm na o nu la, ame miliɔn geɖe kpɔa nusiawo ƒe sia ƒe, si hiã `Beléle Vevie` kpata.

Le ɣeyiɣi siawo tɔgbe me la, le agbe kple ku dome aʋawɔwɔ me la, ``Trauma Surgeons'' siawoe le ŋgɔgbe le avu wɔm be yewoaɖe amewo ƒe agbe.

Hehe tɔxɛ kple nuteƒekpɔkpɔ xɔasi le wo si. Woate ŋu ade dzesi nɔnɔme vovovo siwo ate ŋu ade ame ƒe agbe afɔku me kaba eye woawɔ atike kple amekoko si hiã. Ne wò alo ame aɖe si nènya hiã be woawɔ dɔ na wò kpata gbeɖeka la, wò amekola si naa nuveviwɔame, kpakple ɖɔkta bubuwo anye ƒuƒoƒo si akpɔ dziwò vaseɖe esime nàhaya. Esia tae ɖɔkta siawo ƒe subɔsubɔdɔwo xɔ asi ŋutɔŋutɔ ɖo. Wole abe míaƒe hadomegbenɔnɔ me kalẽtɔ siwo womedzi ha na o ene.

` Afɔkuwo, Amekolawo, Amekola siwo Kpɔa Nuveviwɔame Gbɔ, Atikewɔwɔ Kpata, Nuveviwɔame, Amekoko, Agbeɖelawo