Abasawo abataasa obulamu mu mbeera ez’amangu: Omusawo alongoosa obuvune y’ani?

Tewali n’omu ku ffe ayagala bubenje, nedda? Naye singa akabenje kagwawo mu kiseera kye tutasuubira, waliwo ekibinja ky’abasawo abakugu ababeerawo okutaasa obulamu bwaffe. Abo be tuyita abalongoosa abafunye obuvune . Mu kitundu kino tugenda kwogera ku basawo bano be baani, bye bakola, n’engeri gye bali abakulu mu bulamu bwaffe.

Omusawo alongoosa obuvune y’ani?

Mu ngeri ennyangu, `(Trauma Surgeon)` musawo alina obukugu obw'amaanyi alongoosa mu bwangu ku buvune obw'amaanyi n'embeera z'obujjanjabi ez'amangu eziyinza okuteeka obulamu mu matigga. Teebereza, singa ofuna akabenje akanene n'ofuna ebisago eby'amaanyi, ono `(Trauma Surgeon)` ye mukulembeze wa ttiimu y'abasawo ekulabirira. Ttiimu eno eyinza okubeeramu abakozi b'ekitongole kya ``Critical Care``, abakugu abalala mu kulongoosa, n'ebirala Era buvunaanyizibwa bwabwe okukebera engeri gy'owona oluvannyuma lw'okulongoosebwa n'okukwatagana n'omusawo wo ow'amaka (`Primary Care Physician`). Oluusi abasawo bano era bayitibwa ``Acute Care Surgeon`` oba ``Critical Care Surgeon``.

Buvune n’endwadde ki enkulu abakugu bano ze bajjanjaba?

Obadde okimanyi nti buli mwaka, obukadde n’obukadde bw’abantu okwetoloola ensi yonna bafuna ebisago mu bubenje ne bamaliriza nga bali mu bitongole by’eddwaliro eby’amangu? Embeera eno tewali njawulo mu Sri Lanka. Wadde nga bano ``Trauma Surgeons`` batendekeddwa okujjanjaba obuvune obw'enjawulo, waliwo embeera ntono ze basinga okusanga n'okujjanjaba:

Blunt Force Okulumwa ennyo

Buno buvune obubaawo ng’ekintu kikubye nnyo (`Blunt Force Trauma`). Lowooza ku bintu gamba ng’akabenje k’emmotoka, okugwa okuva waggulu, oba ekintu ekizito ekigudde ku mubiri gwo. Bino bye biseera ebitera okwetaagisa okulongoosebwa mu bwangu. Kubanga okwonooneka munda kuyinza okuba okw’amaanyi okusinga bwe kulabika ebweru.

Obuvune obuyingira mu mubiri

Buno buvune obuva ku kintu ekisongovu okuyingira mu lususu ne kiyingira mu mubiri (`Penetrating Trauma`). Eby’okulabirako mulimu ekiwundu ky’amasasi, ekiwundu ekifumitiddwa n’akambe oba ekyokulwanyisa ekirala ekisongovu, oba okudduka n’ekintu ekisongovu. Mu buvune obw’engeri eno, kikulu nnyo okuyimiriza omusaayi amangu n’okukebera oba ebitundu by’omunda byonooneddwa.

Obuvune Okwokya

Abasawo bano bajjanjaba okwokya okw’amaanyi okuva ku muliro, amazzi agookya, n’omukka (`thermal burns`). Era zijjanjaba okwokya okuva ku ddagala (`chemical burns`), okwonooneka kw'amawuggwe okuva mu kussa omukka ogw'obutwa, ne `frostbite`, nga kino kwe kufa kw'olususu n'ebitundu by'omubiri olw'ennyonta ennyo.

Okulongoosa okw’amangu okwa bulijjo n’okulabirira abantu abakulu

Bangi `(Trauma Surgeon)` n'abalalaEra beenyigira mu kulongoosa mu bwangu. Okugeza basobola okulongoosa embeera eziyinza okutta obulamu ng’ekyenda okuzibikira. Era zisobola okuyamba okujjanjaba embeera ez’amaanyi ezibeerawo ng’oli dda mu ddwaaliro, gamba nga sepsis (obulwadde obw’amaanyi obuva ku butwa mu musaayi), okulemererwa okussa oba okulemererwa kw’ebitundu by’omubiri.

Bujjanjabi ki obw’amangu n’okulongoosa abasawo bano bye basinga okukola?

Singa wabaawo akabenje, ``Omusawo alongoosa obuvune`` akola obujjanjabi n'okulongoosa eby'enjawulo ebitaasa obulamu, oba yekka oba ng'akolagana n'abakugu abalala. Ebimu ku byo mulimu:

• Emergency Thoracostomy: Enkola eno (`Emergency Thoracostomy`) eyinza okukolebwa singa ekituli kyo mu kifuba (okwetooloola amawuggwe) kijjudde omusaayi oba singa amawuggwe gagwa mu bwangu (`Lung Collapse`). Kino kizingiramu okusala akatundu akatono mu lususu lw’ekifuba n’oyingizaamu ``Chest Tube``, ttanka, mwe bayita okuggyibwamu omusaayi oba empewo.
• Emergency Thoracotomy: Kuno kulongoosa kwa maanyi. Kikolebwa ku buvune obw’amaanyi, obuyinza okutta omuntu mu kifuba oba ng’enkola ey’amangu ku buvune obulala mu kifuba. Ekifuba kiggulwawo era ebitundu ebyonooneddwa ne biddabirizibwa.
• Emergency Laparotomy: Kino kizingiramu okusala ekitundu ekyesimbye wakati mu lubuto lwo (`Emergency Laparotomy`). Kino kiyinza okukolebwa okujjanjaba obuvune obw’amaanyi mu lubuto, okukomya okuvaamu omusaayi munda oba ng’ekimu ku bitundu by’okuggyamu olubuto mu bwangu.
• Okuvaamu omusaayi omungi n’okufuga ebiwundu: Olususu bwe luyingira ne luvaamu omusaayi mungi olw’ebintu ng’ekiwundu ky’amasasi, ekiwundu ekifumitiddwa, oba ekintu ekisongovu, omu ku mirimu emikulu abasawo bano gye bakola kwe kufuga omusaayi, okuyonja ekiwundu, n’okukitunga bwe kiba kyetaagisa .
• Enkolagana mu kulongoosa obusimu: Abasawo abalongoosa obuvune batera okukola nga bakolagana n’abasawo abalongoosa obusimu naddala okujjanjaba obuvune ku mutwe, gamba nga subdural hematomas n’obuvune ku bwongo obuva ku buvune.

Omuntu afuuka atya Omusawo alongoosa obuvune?

Okufuuka omukugu nga ono si kyangu. Kyetaagisa okukola ennyo, okwewaayo, n’okusomesebwa okumala ebbanga eddene. Okugeza, mu nsi nga America, okufuuka ``Trauma Surgeon'' ebiseera ebisinga kitwala emyaka nga 13 ku 15 egy'okusoma. Kuno kw’ogatta:

• Diguli ya ssaayansi eya basic ey’emyaka ena.
• Obuyigirize bw’essomero ly’obusawo obw’emyaka ena (diguli y’obusawo).
• Enteekateeka y’okubeera mu nsi ey’emyaka etaano. Mu kiseera kino, bafuna okutendekebwa kwabwe okusinga mu kulongoosa okwa bulijjo.
• Kino kigobererwa enteekateeka y’okutendekebwa ey’enjawulo ey’omwaka gumu oba ebiri (`Fellowship Program`). Wano w’ofunira obukugu n’okutendekebwa mu `Critical Care` ne `Trauma`.
• Oluusi, mu kiseera kino eky’okutendekebwa mu butuuze, era olina okwenyigira mu kunoonyereza ku by’obusawo okumala omwaka gumu oba esatu.

Tekikoma awo, balina okuyita ebigezo bya layisinsi z’abasawo eby’eggwanga erikwatibwako (nga `US Medical Licensing Examination`). Era balina okufuna satifikeeti y’okulongoosa okwa bulijjo ne satifikeeti ey’ekikugu mu `Surgical Critical Care` okuva mu bukiiko bw’abasawo obw’enjawulo (nga `American Board of Surgery`).

Abasawo abamu abalongoosa obuvune nabo bafuna okutendekebwa okw’enjawulo mu kujjanjaba ebizibu by’okufiirwa abantu abangi , kwe kugamba, abantu bangi bwe balumizibwa mu mbeera emu (e.g., okubwatuka kwa bbomu, akatyabaga ak’amaanyi ak’obutonde, akabenje k’emmotoka akanene).

Njawulo ki eriwo wakati w’omusawo alongoosa abantu bonna n’omusawo alongoosa obuvune?

Kino nakyo kibuuzo abantu bangi kye babuuza. Buli `(Trauma Surgeon)` okusookera ddala musawo alongoosa abantu bonna. Ekyo kitegeeza nti bafunye okutendekebwa okusookerwako mu kulongoosa okwa bulijjo. Naye enjawulo enkulu eri nti `(Trauma Surgeon)` naye afunye okutendekebwa okw'enjawulo (`Fellowship`) mu kulabirira abalwadde abayi n'okulumwa, era afunye `Surgical Critical Care Certification` olw'ekyo. N’olwekyo, balina obusobozi obw’enjawulo obw’okujjanjaba obuvune obw’amangu, obuyinza okutta omuntu.

Njawulo ki eriwo wakati w’ekifo awajjanjabirwa abafunye obuvune n’eddwaliro erya bulijjo?

`(Trauma Center)`, kwe kugamba, ekifo eky'enjawulo eky'obujjanjabi eri embeera ez'amangu, kifo kya njawulo katono ku ddwaaliro erya bulijjo. Ekikulu kiri nti `(Trauma Center)` erina abakozi b'abasawo abatendeke mu ngeri ey'enjawulo, omuli n'omukugu `(Trauma Surgeon), asobola okuyitibwa ku ssaawa 24 buli lunaku, ennaku 7 mu wiiki. Era, ebifo bino birina buli kimu omuntu afunye akabenje kye yeetaaga, gamba ng’ebyuma eby’omulembe`, ebifo eby’okutereka omusaayi, ebisenge omulongoosebwa mu bwangu, n’ebirala Mu Sri Lanka, ebitongole eby’amangu mu malwaliro amanene nga gano nabyo bikola ku mutindo gwa waggulu nnyo.

Abasawo bano balongoosa buli kiwundu? Bakola bokka?

Abasawo abalongoosa abafunye obuvune kitundu kikulu nnyo mu ttiimu ennene ey’abasawo.Batera okukolagana obulungi n’abasawo abalongoosa obusimu n’abalongoosa amagumba, kubanga mu kabenje ak’amaanyi, obwongo, omugongo oba amagumba bisobola okwonooneka. Mu mbeera ng’ezo, obuwagizi bw’abakugu abakwatibwako bwetaagisa nnyo. Era bakolagana n’abasawo, ba nurse, n’abakozi abalala mu by’obulamu mu kisenge eky’amangu okujjanjaba abantu abafunye ebisago eby’amaanyi. Kino kitegeeza nti kaweefube wa ttiimu.

N’ekisembayo, ekintu ekisinga obukulu ky’olina okujjukira

Tewali n’omu ku ffe asuubira kwolekagana na kabenje oba okwetaaga obujjanjabi obw’amangu olw’obulwadde obuyinza okutta omuntu. Naye, mu ngeri etasuubirwa, obukadde n’obukadde bw’abantu bafuna ebintu bino buli mwaka, nga kyetaagisa `Critical Care` ey’amangu.

Mu biseera nga bino, mu lutalo wakati w'obulamu n'okufa, bano ``Trauma Surgeons'' be bali ku mwanjo nga balwana okutaasa obulamu.

Balina okutendekebwa okw’enjawulo era balina obumanyirivu obw’omuwendo. Basobola okuzuula amangu embeera ez’enjawulo eziyinza okutta obulamu ne bakola obujjanjabi n’okulongoosa ebyetaagisa. Singa ggwe oba omuntu gw’omanyi yeetaaga okulongoosebwa mu bwangu, omusawo wo alongoosa obuvune, wamu n’abasawo abalala, be bajja okuba ttiimu ejja okukulabirira okutuusa lw’onoodda engulu. Eno y’ensonga lwaki obuweereza bw’abasawo bano ddala bwa muwendo nnyo. Balinga abazira abatayimbibwa mu kibiina kyaffe.

` Obubenje, Abalongoosa, Abalongoosa abafunye obuvune, Obujjanjabi obw'amangu, Obuvune, Okulongoosa, Abakuumi b'obulamu