Electroneuromyography bvunzo: chii icho, chii chaicho uye kuti zvinoitwa sei

Zvemukati

• Maitiro eElectroneuromyography bvunzo inoitwa
• Chii ichochi
• Muedzo unoonekwa nezvirwere zvipi
• Maitiro ekugadzirira bvunzo
• Ndiani asingafanire kuita
• Njodzi dzinogona kuitika

Electroneuromyography (ENMG) bvunzo inoongorora kuvepo kwemaronda anokanganisa tsinga nemhasuru, sezvazvinogona kuitika muzvirwere zvakaita seamyotrophic lateral sclerosis, chirwere cheshuga neuropathy, carpal tunnel syndrome kana chirwere cheguillain-barré, semuenzaniso, kuve kwakakosha kubatsira chiremba simbisa kuongororwa uye ronga kurapwa kwakanyanya.

Muedzo uyu unokwanisa kurekodha kuitisa kwesimba remagetsi mune tsinga uye kuongorora zvinoitwa nemhasuru panguva yekumwe kufamba uye, kazhinji, makumbo ezasi kana epamusoro, senge makumbo kana maoko, anoongororwa.

Maitiro eElectroneuromyography bvunzo inoitwa

Bvunzo dzinoitwa mumatanho maviri:

• Electroneurography kana neuroconduction: ma sensors madiki akaiswa zvine hungwaru paganda kuti aongorore dzimwe mhasuru kana nzira dzetsinga, uyezve zvidiki zvemagetsi zvinogadzirwa kuti zvibudise zviitiko pane izvo tsinga nemhasuru, zvinotorwa nechishandiso. Iyi nhanho inogona kukonzeresa kusagadzikana kwakafanana nekurova kudiki, asi izvo zvinotsungirira;
• Electromyography: electrode yakaita serin'i inoiswa mukati meganda kudzamara yasvika mhasuru, kunyatsoongorora chiitiko. Kune izvi, murwere anokumbirwa kuita kumwe kufamba apo iyo electrode ichiona iwo masaini. Padanho rino, kune kurwadziwa kunorwadza panguva yekuisirwa tsono, uye panogona kuve nekusagadzikana panguva yekuongorora, izvo zvinotsungirira. Dzidza zvakawanda nezve electromyography.

Iyo electroneuromyography bvunzo inoitwa nachiremba, uye inowanikwa muzvipatara kana akasarudzika makiriniki. Bvunzo iyi inoitwa mahara neSUS uye yakafukidzwa nemamwe marongero ehutano, kana inogona kuitirwa vega, pamutengo wepakati mazana matatu reais, iyo inogona kusiyanisa, zvichienderana nenzvimbo kwainoitirwa.

Chii ichochi

Electroneuromyography inoshandiswa kuongorora zvimwe zvirwere zvine chekuita nematsinga kana masimba emagetsi, kuitira kuronga kurapwa kwakakodzera. Mune zvimwe zviitiko, zvinogona zvakare kubatsira kuongorora nzira yechirwere.

Iyo electromyogram haisi iyo bvunzo yakatarwa yekuongororwa kwezvirwere uye zvetsandanyama, zvisinei mhedzisiro yacho inodudzirwa zvinoenderana nerevarwere nhoroondo yekiriniki uye mhedzisiro yekuongororwa kwetsinga.

Muedzo unoonekwa nezvirwere zvipi

Iyo electroneuromyography bvunzo inoongorora mashandiro etsinga uye mhasuru, izvo zvinogona kuchinjwa mumamiriro ezvinhu senge:

• Polyneuropathy, inokonzerwa nechirwere cheshuga kana chirwere chinoputika. Tsvaga kuti chirwere cheshuga neuropathy chii uye marapirwo acho;
• Tsvina atrophy kufambira mberi;
• Herniated disc kana mamwe maRadiculopathies, ayo anokanganisa musana tsinga kukuvara.
• Carpal tunnel chirwere. Dzidza maitiro ekuziva uye kubata iyi syndrome;
• Kuora mitezo kumeso;
• Amyotrophic lateral sclerosis. Nzwisisa chinonzi amyotrophic lateral sclerosis;
• Poriyo;
• Chinja musimba kana kunzwisisika inokonzerwa nekushungurudzika kana kurohwa;
• Tsandanyama zvirwere, senge myopathies kana muscular dystrophies.

Neruzivo rwakawanikwa panguva yekuongorora, chiremba achakwanisa kusimbisa kuongororwa, kuratidza nzira dzakanakisa dzekurapa kana, mune dzimwe nguva, kuongorora kukomba uye kushanduka kwechirwere.

Maitiro ekugadzirira bvunzo

Kuti uite electroneuromyography, zvinokurudzirwa kuenda kunzvimbo yekubvunzira wakanyatsodyiswa uye kupfeka mbatya dzakasununguka kana dzinobviswa zviri nyore, senge masiketi kana zvikabudura. Mafuta ekunyorovesa kana mafuta haafanire kushandiswa mumaawa makumi maviri nemana bvunzo isati yaitwa, sezvo zvipodaidzo izvi zvichigona kuita kuti ma electrode anetse zvakanyanya.

Izvo zvakakosha kuzivisa chiremba kana iwe ukashandisa mishonga, sevamwe, semaanticoagulants, inogona kupindira kana kupesana nekuyedza uye kana iwe uine pacemaker kana uchirwara nedambudziko reropa, senge hemophilia.

Uye zvakare, zvinofanirwa kuyeukwa kuti electroneuromyography inowanzoitwa pamativi ese maviri (makumbo ese kana maoko), sezvo zvichikosha kuenzanisa shanduko dzinowanikwa pakati peiyo yakakanganiswa nedivi rine hutano.

Iko hakuna kwekusingaperi mhedzisiro mushure bvunzo, saka zvinokwanisika kudzokera kune zvezuva nezuva zviitiko zvakajairika.

Ndiani asingafanire kuita

Electroneuromyography haina kuunza chero njodzi dzehutano, zvisinei, zvinopesana kune vanhu vanoshandisa moyo pacemaker kana vanoshandisa mishonga yeanticoagulant, yakadai saWarfarin, Marevan kana Rivaroxaban, semuenzaniso. Muzviitiko izvi, iwe unofanirwa kuzivisa chiremba, uyo anoongorora iyo contraindication kana rudzii rwekurapa kunogona kuitwa.

Pane zvimwe zvinopesana zvachose nemubvunzo, zvinoti: kusabatira pamwe kwemurwere kuti aite bvunzo, kuramba kwemurwere kuita maitiro uye kuvepo kwezvironda munzvimbo ichaferefetwa.

Njodzi dzinogona kuitika

Iyo electroneuromyography bvunzo yakachengeteka mune dzakawanda kesi, zvisinei panogona kuve nemamiriro ezvinhu ayo maitiro angave ari panjodzi, senge:

• Varwere vari kurapwa neanticoagulants;
• Kusagadzikana kweropa, senge hemophilia uye platelet kusagadzikana;
• Zvirwere zvinoderedza immune system, seAIDS, chirwere cheshuga, uye autoimmune zvirwere;
• Vanhu vane pacemaker;
• Zvirwere zvinotapukira zvinoshanda panzvimbo iyo bvunzo yaizoitwa.

Nekudaro, zvakakosha kuzivisa chiremba kana iwe uine chero mamiriro ezvinhu ari pasi payo anoonekwa sengozi, pamusoro pekushandisa mishonga kuitira kuti uderedze njodzi yezvinetso.