Ono Surgeon General y’ani? Kino ka tukitegeere mu ngeri ennyangu!

Mpozzi bakugambye "okusisinkana omusawo alongoosa" ng'olina olubuto oluluma oba ekizimba awalala ku mubiri gwo. Ekyo bw’owulira, owulira ng’otya katono n’okutya, nedda? Bwe tuwulira ekigambo ‘omusawo omulongoosa’, ebintu ng’ekifo awalongoosebwa n’okulongoosa okunene bijja mu birowoozo. Kale, ani omusawo omulongoosa ddala oba ‘General Surgeon’? Akola kulongoosa kwokka? Ka twogere ku kino okumalawo okutya n’okubuusabuusa okwetoolodde kino.

Ono General Surgeon y’ani?

Mu ngeri ennyangu, General Surgeon ye musawo eyatendekebwa mu ngeri ey’enjawulo okulongoosa. Bayinza okugeraageranyizibwa ku musawo w’amaka era asobola okulongoosa. Asobola okuzuula embeera yo okuva ku ntandikwa, n’asalawo ku bujjanjabi obwetaagisa, n’okulongoosebwa bwe kiba kyetaagisa.

Ekisinga obukulu nti omusawo alongoosa abeera naawe si mu kiseera ky’okulongoosebwa kyokka.

• Okulabirira nga tonnalongoosebwa: Ajja kukukebera, akole ebigezo ebyetaagisa, era akutegeke okulongoosebwa.
• Mu kiseera ky’okulongoosebwa (Operative care): Okulongoosa kukolebwa mu ngeri ey’obukuumi ennyo era mu ngeri ennungi.
• Obulabirizi oluvannyuma lw’okulongoosebwa: Ajja kulondoola obulamu bwo era akuwe amagezi n’eddagala eryetaagisa ng’omaze okulongoosebwa okutuusa lw’onoodda engulu.

Mbeera ki ezitera okubeerawo abasawo abalongoosa ze bajjanjaba?

Omusawo alongoosa takoma ku kitundu kimu kya mubiri. Zijjanjaba embeera ez’enjawulo. Ka tulabe ebimu ku bisinga okubeerawo.

Naye jjukira nti singa omusawo alongoosa alaba embeera enzibu ennyo ng’emuzibuwalira okujjanjaba, kirabika ajja kukusindika ew’omusawo omulala alina obukugu okugijjanjaba. Kino kijja kulaba ng’ofuna obujjanjabi obusinga obulungi.

Okusoma okufuuka omusawo alongoosa kitwala bbanga ki?

Luno si lugendo lwangu nga bw’oyinza okulowooza. Omusawo alongoosa y’omuntu alina okutendekebwa okw’omutindo ogwa waggulu n’okwewaayo.

1. Okusooka olina okufuuka omusawo: Ebiseera ebisinga olina okusoma mu ssomero ly’obusawo okumala emyaka 5-6 n’ofuna diguli ya MBBS.

2. Olwo okutendekebwa mu kulongoosa: Oluvannyuma lw’ekyo, balina okukola pulogulaamu y’okubeera mu kulongoosa okumala emyaka egisukka mu 5. Mu kiseera kino, bakolera wansi w’abasawo abalina obumanyirivu mu kulongoosa era bafuna obumanyirivu mu kulongoosa enkumi n’enkumi ez’enjawulo.

3. Balina okuyita ebigezo eby’enjawulo: Oluvannyuma lw’okutendekebwa kuno, baba n’ebisaanyizo okukola ng’omusawo alongoosa oluvannyuma lw’okuyita ebigezo ebiwerako ebikakali ennyo mu buwandiike n’eby’omu kamwa.

Kale osobola okulaba omusawo alongoosa akujjanjaba bw’amanyi era alina obumanyirivu.

Bukodyo ki obupya obw’okulongoosa ensangi zino?

Bwe tulowooza ku ‘okulongoosa’, tulowooza ku kintu ekizingiramu okutema ekinene mu mubiri, naye nga tekinologiya wa leero, embeera eyo ekyuse nnyo. Kati, abasawo abalongoosa bakozesa enkola ez’omulembe ezikola obulabe obutono ku mubiri nga bwe kisoboka (minimally invasive).

1. Enkola ya endoscopy

Kino kwe kukebera oba okulongoosebwa okutonotono okuzingiramu okuyingiza ekyuma ekigonvu ennyo, ekigonvu nga kiriko kkamera eyungiddwa mu kifo ekiggule eky’obutonde mu mubiri (okugeza, okuyita mu kamwa oba mu nseke), nga tosala lususu.

• Eyo eyingizibwa mu kamwa eyitibwa Upper GI Endoscopy. Kino kiyinza okwekenneenya ebitundu ng’omumwa gwa nnabaana n’olubuto.
• Colonoscopy nkola ekolebwa nga bayita mu nseke. Kino kisobozesa ekyenda ekinene okwekebejjebwa.
• Enkola eno esobola okuggyawo obukulu obutono (polyps) mu kyenda ekinene n’okutwala obutundu obutonotono (biopsies) okukeberebwa.

2. Okulongoosa mu ngeri ya laparoscopic

Kino abantu bangi kye bayita ‘okulongoosa ekituli ky’ebisumuluzo’ oba ‘okulongoosa layisi.’ Wabula tewali masasi ga layisi gakozesebwa mu nkola eno.

Ekibaawo wano kiri nti mu kifo ky’okusala olubuto olunene, ebituli ebitono ennyo (nga sentimita emu) bye bikolebwa, kkamera (laparoscope) eyingizibwa mu kinnya ekimu, ebikozesebwa mu kulongoosa ne biyingizibwa mu bituli ebirala, era okulongoosa kukolebwa nga balaba screen ya ttivvi.

Ebirungi ebiri mu nkola eno:

• Tewali bitundu binene ebisala oba enkovu.
• Obulumi buba butono.
• Muwonye mangu era oddeyo mangu awaka.
• Obulabe bw’okukwatibwa obulwadde buno butono.

Ensangi zino, okulongoosa kungi, gamba ng’okusala appendectomy ne cholecystectomy, kukolebwa nga bakozesa enkola eno.

3. Okulongoosa mu ngeri ya Robotic

Eno y’enkulaakulana endala mu kulongoosa mu ngeri ya laparoscopic. Wano, ebikozesebwa mu kulongoosa tebikwatibwa butereevu musawo alongoosa. Okulongoosa kuno kukolebwa nga bakozesa emikono gya roboti omusawo gy’afuga ng’asinziira ku kompyuta. Kino kisobozesa n’okulongoosa okusinga obuzibu era okuzibu okukolebwa mu ngeri entuufu ennyo.

Njawulo ki eriwo wakati w’omusawo ow’enjawulo n’omusawo alongoosa?

Kino kibuuzo abantu bangi kye balina. Eky’okuddamu kyangu nnyo.

Kwe kugamba, omusawo alongoosa ye musawo eyamaliriza diguli ya MBBS era ng’afunye okutendekebwa n’ebisaanyizo eby’enjawulo ng’oggyeeko okulongoosa. Nga omusawo wo ow’amaka owa bulijjo (General Practitioner - GP) ajjanjaba endwadde n’eddagala, omusawo alongoosa alina obusobozi n’okutendekebwa okujjanjaba endwadde si na ddagala lyokka, wabula n’okuyita mu kulongoosa bwe kiba kyetaagisa.