Nā kauka e hoʻopakele i nā ola i nā pilikia: ʻO wai ke Kauka Lapaʻau Trauma?

ʻAʻohe o kākou makemake i nā ulia pōpilikia, ʻeā? Akā inā loaʻa kahi ulia pōpilikia i kahi manawa i manaʻo ʻole ʻia, aia kahi hui o nā kauka loea e mālama i ko kākou ola. ʻO lākou ka poʻe a mākou e kapa aku nei he mau kauka ʻokiʻoki trauma . Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia mau kauka, kā lākou hana, a me ko lākou koʻikoʻi i ko kākou ola.

ʻO wai ke Kauka Lapaʻau Trauma?

I ka ʻōlelo maʻalahi, he `(Trauma Surgeon)` he kauka akamai loa e hana ana i ke ʻoki kino no nā ʻeha koʻikoʻi a me nā kūlana olakino pilikia e hiki ke hoʻoweliweli i ke ola. E noʻonoʻo, inā loaʻa iā ʻoe kahi ulia nui a ua ʻeha nui ʻoe, ʻo kēia `(Trauma Surgeon)` ke alakaʻi o ka hui lapaʻau e mālama iā ʻoe. Hiki i kēia hui ke komo pū me nā limahana o ka ʻāpana ``Critical Care``, nā loea ʻoki kino ʻē aʻe, a pēlā aku. ʻO kā lākou kuleana nō hoʻi ke nānā i kou hoʻōla ʻana ma hope o ke ʻoki kino a hoʻonohonoho pū me kāu kauka ʻohana (`Primary Care Physician`). I kekahi manawa ua kapa ʻia kēia mau kauka he ``Acute Care Surgeon`` a i ʻole ``Critical Care Surgeon``.

He aha nā ʻeha a me nā maʻi nui a kēia poʻe loea e mālama ai?

Ua ʻike anei ʻoe i kēlā me kēia makahiki, miliona mau kānaka a puni ka honua e ʻeha ana i nā ulia pōpilikia a hiki i nā keʻena pilikia o ka haukapila? ʻAʻole ʻokoʻa kēia kūlana ma Sri Lanka. ʻOiai ua hoʻomaʻamaʻa ʻia kēia mau "Luna Hana ʻEha" e mālama i nā ʻano ʻeha like ʻole, aia kekahi mau kūlana a lākou e hālāwai pinepine ai a mālama ai:

ʻO ka ʻeha ikaika ʻole

ʻO kēia nā ʻeha e kū mai ana ke paʻi ikaika kekahi mea iā ʻoe (`Blunt Force Trauma`). E noʻonoʻo i nā mea e like me kahi ulia kaʻa, ka hāʻule ʻana mai kahi kiʻekiʻe, a i ʻole kahi mea kaumaha e hāʻule ana ma luna o kou kino. ʻO kēia nā manawa e pono pinepine ai ke ʻoki kino ulia pōpilikia. No ka mea, ʻoi aku ka nui o ka pōʻino ma loko ma mua o ka mea i ʻike ʻia ma waho.

ʻO ka Trauma Komo

He ʻeha kēia i hana ʻia e kahi mea ʻoi e komo ana i ka ʻili a komo i loko o ke kino (`Penetrating Trauma`). ʻO nā laʻana e komo pū me kahi ʻeha pana pua, kahi ʻeha hou me ka pahi a i ʻole kekahi mea ʻoi ʻē aʻe, a i ʻole ka holo ʻana me kahi mea ʻoi. I loko o ia mau ʻeha, he mea nui loa e hoʻōki koke i ke kahe ʻana o ke koko a nānā i ka hōʻino ʻia o nā ʻōpū o loko.

Nā ʻeha kuni

Hoʻōla kēia mau kauka i nā kuni koʻikoʻi i hoʻokumu ʻia e ke ahi, nā wai wela, a me ka mahu ('thermal burns'). Hoʻōla pū lākou i nā kuni i hoʻokumu ʻia e nā kemika ('chemical burns'), ka hōʻino ʻana o ka māmā i hoʻokumu ʻia e ka hanu ʻana i nā uahi ʻawahia, a me ka 'frostbite', ʻo ia hoʻi ka make ʻana o ka ʻili a me nā ʻiʻo ma muli o ke anu nui.

ʻO ke ʻoki kino laulā ulia pōpilikia a me ka mālama koʻikoʻi

He nui nā `(Trauma Surgeon)` a me nā mea ʻē aʻeHoʻokomo pū lākou i nā ʻoki kino ulia pōpilikia. No ka laʻana, hiki iā lākou ke hana i ke ʻoki kino no nā kūlana hoʻoweliweli ola e like me ke ālai ʻana o ka ʻōpū. Hiki iā lākou ke kōkua i ka mālama ʻana i nā kūlana koʻikoʻi e ulu ana i kou wā ma ka haukapila, e like me ka sepsis (kahi maʻi koʻikoʻi i hoʻokumu ʻia e ka lāʻau make koko), ka hāʻule ʻana o ka hanu, a i ʻole ka hāʻule ʻana o nā ʻōpū.

He aha nā lāʻau lapaʻau ulia pōpilikia a me nā ʻoki kino maʻamau a kēia mau kauka e hana ai?

I ka wā e loaʻa ai kahi ulia, hana kekahi "Luna Hoʻōla ʻEha" i nā ʻano lapaʻau a me nā ʻoki kino e hoʻōla ai i ke ola, ma ke ʻano hoʻokahi a i ʻole ma ka laulima ʻana me nā loea ʻē aʻe. ʻO kekahi o lākou:

• ʻO ka Thoracostomy Pōpilikia: Hiki ke hana ʻia kēia kaʻina hana (ʻO ka Thoracostomy Pōpilikia) inā piha kou lua umauma (a puni nā māmā) i ke koko a i ʻole inā hiolo koke kahi māmā (ʻO ka Lung Collapse). Pili kēia i ka hana ʻana i kahi ʻoki liʻiliʻi ma ka ʻili o ka umauma a me ka hoʻokomo ʻana i kahi "Chest Tube", kahi ʻōmole, kahi e wehe ʻia ai ke koko a i ʻole ka ea.
• ʻO ka Thoracotomy Pōpilikia: He ʻoki kino nui kēia. Hana ʻia ia no nā ʻeha umauma koʻikoʻi e hoʻoweliweli ana i ke ola a i ʻole he kaʻina hana ulia pōpilikia no nā ʻeha umauma ʻē aʻe. Wehe ʻia ka umauma a hoʻoponopono ʻia nā ʻōpū i hōʻino ʻia.
• Laparotomy Pōpilikia: ʻO kēia ke ʻoki ʻana i waenakonu o kou ʻōpū ('Laparotomy Pōpilikia'). Hiki ke hana ʻia kēia no ka mālama ʻana i kahi ʻeha koʻikoʻi o ka ʻōpū, hoʻōki i ke kahe koko i loko, a i ʻole ma ke ʻano he ʻāpana o kahi appendectomy pōpilikia.
• Ke kahe nui ʻana o ke koko a me ka kaohi ʻana i nā ʻeha: Ke komo ka ʻili a kahe nui ke koko ma muli o nā mea e like me ka ʻeha pana pua, ka ʻeha hou, a i ʻole kahi mea ʻoi, ʻo kekahi o nā hana nui a kēia mau kauka ke kaohi i ke kahe ʻana o ke koko, hoʻomaʻemaʻe i ka ʻeha, a humuhumu iā ia inā pono .
• Hana like ʻana o ka Neurosurgery: Hana pinepine nā kauka ʻokiʻoki trauma me ka laulima ʻana me nā neurosurgeons, ʻoi aku hoʻi e mālama i nā ʻeha poʻo, e like me nā hematomas subdural a me nā ʻeha lolo traumatic.

Pehea e lilo ai kekahi i kahi Trauma Surgeon?

ʻAʻole maʻalahi ka lilo ʻana i loea e like me kēia. Pono ia i ka hana nui, ka hoʻolaʻa ʻana, a me ka lōʻihi o ka hoʻonaʻauao ʻana. No ka laʻana, ma kahi ʻāina e like me ʻAmelika, ʻo ka lilo ʻana i "Trauma Surgeon" maʻamau e lawe ma kahi o 13 a 15 mau makahiki o ka hoʻonaʻauao ʻana. ʻO kēia kekahi:

• He kekelē ʻepekema kumu ʻehā makahiki.
• He hoʻonaʻauao kula lapaʻau ʻehā makahiki (kekelē lapaʻau).
• He papahana noho ʻelima makahiki. I loko o kēia manawa, loaʻa iā lākou ka hapa nui o kā lākou hoʻomaʻamaʻa ʻana ma ke ʻoki kino laulā.
• Ma hope o kēia, ua hoʻomaka ʻia kahi papahana hoʻomaʻamaʻa kūikawā hoʻokahi a ʻelua paha makahiki (ʻo ia hoʻi ʻo "Fellowship Program"). Maanei ʻoe e loaʻa ai ka ʻike loea a me ke aʻo ʻana ma ka "Critical Care" a me ka "Trauma".
• I kekahi manawa, i loko o kēia wā hoʻomaʻamaʻa noho, pono ʻoe e komo i ka noiʻi lapaʻau no hoʻokahi a ʻekolu mau makahiki.

ʻAʻole wale ia, pono lākou e hala i nā hoʻokolohua laikini lapaʻau o ka ʻāina pili (e like me ka `US Medical Licensing Examination`). Pono nō hoʻi lākou e loaʻa i kahi palapala hōʻoia ʻoki kino laulā a me kahi palapala hōʻoia subspecialty ma `Surgical Critical Care` mai nā papa lapaʻau kūikawā (e like me ka `American Board of Surgery`).

Loaʻa i kekahi mau kauka ʻokiʻoki trauma ke aʻo hou ʻia i ka mālama ʻana i nā ulia pōpilikia nui , ʻo ia hoʻi, i ka wā e ʻeha ai ka poʻe he nui i kahi ulia hoʻokahi (e like me ka pahū ʻana o ka pōkā, kahi pōʻino kūlohelohe koʻikoʻi, kahi ulia kaʻa nui).

He aha ka ʻokoʻa ma waena o ke Kauka Lapaʻau Nui a me ke Kauka Lapaʻau ʻEha?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻO kēlā me kēia `(Trauma Surgeon)` he kauka lapaʻau laulā mua loa. ʻO ia hoʻi, ua loaʻa iā lākou ke aʻo kumu ma ke ʻoki kino laulā. Akā ʻo ka ʻokoʻa nui , ua loaʻa iā `(Trauma Surgeon)` ke aʻo kūikawā (`Fellowship`) ma ka mālama koʻikoʻi a me ka trauma, a ua loaʻa iā ia kahi `Surgical Critical Care Certification` no kēlā. No laila, loaʻa iā lākou kahi hiki kūikawā e mālama i nā ʻeha pilikia, e hoʻoweliweli ana i ke ola.

He aha ka ʻokoʻa ma waena o kahi kikowaena trauma a me kahi haukapila maʻamau?

ʻO kahi `(Trauma Center)`, ʻo ia hoʻi, kahi kikowaena lapaʻau kūikawā no nā pilikia, he wahi ia i ʻokoʻa iki mai kahi haukapila maʻamau. ʻO ka mea nui, ʻo kahi `(Trauma Center)` he limahana lapaʻau i aʻo kūikawā ʻia, me kahi loea `(Trauma Surgeon), hiki ke kāhea ʻia i nā hola 24 o ka lā, 7 mau lā o ka pule. Eia kekahi, loaʻa i kēia mau kikowaena nā mea āpau e pono ai ke kanaka i loaʻa i kahi ulia, e like me nā lako `hou loa`, nā hale waihona koko, nā lumi hana pilikia, a pēlā aku. Ma Sri Lanka, hana pū nā keʻena pilikia ma nā haukapila nui e like me kēia ma kahi pae kiʻekiʻe loa.

Ke hana nei kēia mau kauka i kēlā me kēia ʻeha? Ke hana hoʻokahi nei lākou?

He ʻāpana koʻikoʻi nā kauka ʻoki trauma o kahi hui lapaʻau nui.Hana pinepine lākou me nā kauka neurosurgeon a me nā kauka orthopedic, no ka mea, i loko o kahi ulia koʻikoʻi, hiki ke hōʻino ʻia ka lolo, ka iwi kuamoʻo, a i ʻole nā ​​iwi. I ia mau hihia, he mea nui ke kākoʻo o nā loea pili. Hana pū lākou me nā kauka, nā kahu maʻi, a me nā limahana olakino ʻē aʻe ma ka lumi pilikia e mālama i ka poʻe me nā ʻeha koʻikoʻi. ʻO ke ʻano kēia he hana hui.

ʻO ka mea hope loa, ʻo ka mea nui e hoʻomanaʻo

ʻAʻohe o mākou e manaʻo e kū i kahi ulia a i ʻole e pono ai ka mālama ulia pōpilikia no kahi maʻi e hoʻoweliweli ana i ke ola. Akā, me ka manaʻo ʻole ʻia, miliona mau kānaka e ʻike nei i kēia mau mea i kēlā me kēia makahiki, e koi ana i ka 'Mālama Koʻikoʻi' wikiwiki.

I nā manawa e like me kēia, i ke kaua ma waena o ke ola a me ka make, ʻo kēia mau "Trauma Surgeons" e kū nei ma nā laina mua e hakakā nei e hoʻopakele i nā ola.

Loaʻa iā lākou ke aʻo kūikawā a me ka ʻike waiwai nui. Hiki iā lākou ke ʻike koke i nā ʻano kūlana hoʻoweliweli ola like ʻole a hana i ka lāʻau lapaʻau a me ke ʻoki kino e pono ai. Inā ʻoe a i ʻole kekahi āu i ʻike ai e pono ai ke ʻoki kino ulia pōpilikia, ʻo kāu kauka ʻoki trauma, me nā kauka ʻē aʻe, ke kime e mālama iā ʻoe a hiki i kou hoʻōla ʻana. ʻO ia ke kumu he mea waiwai nui nā lawelawe a kēia mau kauka. Ua like lākou me nā koa i mele ʻole ʻia o ko kākou kaiāulu.

Nā ulia pōpilikia, nā kauka lapaʻau, nā kauka lapaʻau ʻeha, ka mālama ʻana i nā pilikia, nā ʻeha, nā ʻoki kino, nā kiaʻi ola