Kuthamanga kwamitsempha

Kuthamanga kwamitsempha kwamitsempha (NCV) ndiyeso kuti muwone momwe zizindikilo zamagetsi zimadutsira muminyewa. Kuyesaku kumachitika limodzi ndi electromyography (EMG) kuti muwone minofu ya zolakwika.

Zomata zomata zotchedwa maelekitirodi apamwamba zimayikidwa pakhungu pamitsempha m'malo osiyanasiyana. Chigawo chilichonse chimapereka mphamvu yamagetsi yofatsa. Izi zimalimbikitsa mitsempha.

Zotsatira zamagetsi zamagetsi zam'mimba zimalembedwa ndi maelekitirodi ena. Mtunda pakati pa maelekitirodi ndi nthawi yomwe zimatengera kuti zikoka zamagetsi ziziyenda pakati pamaelekitirodi amagwiritsidwa ntchito poyesa kuthamanga kwa zizindikiritso zamitsempha.

EMG ndikulemba kuchokera ku singano zoyikidwa m'minyewa. Izi nthawi zambiri zimachitika nthawi imodzimodzi ndi mayeso awa.

Muyenera kukhala ndi kutentha thupi. Kukhala wozizira kwambiri kapena wotentha kwambiri kumasintha mayendedwe amitsempha ndipo kumatha kupereka zotsatira zabodza.

Uzani dokotala wanu ngati muli ndi defibrillator ya mtima kapena pacemaker. Njira zapadera ziyenera kutengedwa musanayesedwe ngati muli ndi imodzi mwazida izi.

Osavala mafuta odzola, zotchinga dzuwa, mafuta onunkhira, kapena zonunkhiritsa thupi lanu patsiku la mayeso.

Mphamvu imatha kumva ngati kugwedezeka kwamagetsi. Mutha kukhala osasangalala kutengera momwe chilimbikitso chilili. Musamve kupweteka kamodzi mayeso atatha.

Nthawi zambiri, kuyesa kwa mitsempha kumatsatiridwa ndi electromyography (EMG). Pachiyeso ichi, singano imayikidwa mu minofu ndipo mumauzidwa kuti mutenge minofuyo. Izi zitha kukhala zosasangalatsa poyesa. Mutha kukhala ndi zilonda zam'mimba kapena zipsyinjo mutatha kuyesa pamalo omwe singano idalowetsedwa.

Kuyesaku kumagwiritsidwa ntchito pofufuza kuwonongeka kwa mitsempha kapena kuwonongeka. Kuyesaku nthawi zina kumatha kugwiritsidwa ntchito poyesa matenda amitsempha kapena minofu, kuphatikiza:

• Myopathy
• Matenda a Lambert-Eaton
• Myasthenia gravis
• Matenda a Carpal
• Matenda a Tarsal
• Matenda a shuga
• Kufa kwa belu
• Matenda a Guillain-Barré
• Kusokonekera kwa ubongo Brachial

NCV imakhudzana ndi kukula kwa mitsempha ndi kuchuluka kwa myelination (kupezeka kwa chikhomo cha myelin pa axon) ya mitsempha. Makanda obadwa kumene ali ndi mfundo zomwe zili pafupifupi theka la akuluakulu. Makhalidwe achikulire nthawi zambiri amafikiridwa ndi zaka 3 kapena 4.

Chidziwitso: Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pama laboratories osiyanasiyana. Lankhulani ndi wothandizira zaumoyo wanu za tanthauzo la zotsatira zanu zoyeserera.

Nthawi zambiri, zotsatira zosazolowereka zimachitika chifukwa cha kuwonongeka kwa mitsempha kapena kuwonongeka, kuphatikiza:

• Axonopathy (kuwonongeka kwa gawo lalitali lamitsempha yamitsempha)
• Kukhazikitsa kolowera (chikoka chimatsekedwa kwinakwake munjira yamitsempha)
• Demyelination (kuwonongeka ndi kutayika kwa mafuta otsekemera ozungulira khungu lamitsempha)

Kuwonongeka kwa mitsempha kapena chiwonongeko chitha kukhala chifukwa cha zinthu zosiyanasiyana, kuphatikiza:

• Matenda osokoneza bongo
• Matenda a shuga
• Zotsatira zaminyewa za uremia (kuchokera kulephera kwa impso)
• Kuvulala koopsa pamtsempha
• Matenda a Guillain-Barré
• Diphtheria
• Matenda a Carpal
• Kusokonekera kwa ubongo Brachial
• Matenda a Charcot-Marie-Tooth (cholowa)
• Matenda opatsirana opweteka kwambiri
• Kulephera kwa mitsempha yodziwika bwino
• Kusokonezeka kwapakati pakatikati
• Kulephera kugwira ntchito kwazimayi
• Friedreich ataxia
• General paresis
• Mononeuritis multiplex (angapo mononeuropathies)
• Pulayimale amyloidosis
• Kulephera kwa mitsempha yayikulu
• Kusokonezeka kwa mitsempha ya sciatic
• Njira yachiwiri ya amyloidosis
• Sensorimotor polyneuropathy
• Matenda a mitsempha ya Tibial
• Kulephera kwa mitsempha ya Ulnar

Matenda ena am'mimba amtundu uliwonse amatha kuyambitsa zovuta zina. Kuwonongeka kwa msana wam'mimba ndi disk herniation (herniated nucleus pulposus) wokhala ndi mizu yolumikizana kungayambitsenso zotsatira zachilendo.

Kuyesa kwa NCV kumawonetsa momwe ulusi wamitsempha yopulumukira wabwino kwambiri. Chifukwa chake, nthawi zina zotsatira zake zimakhala zachilendo, ngakhale kuwonongeka kwa mitsempha.

NCV

• Kuyesa kwamitsempha kwamitsempha

Deluca GC, Griggs RC. Njira kwa wodwala matenda amitsempha. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 368.

Nuwer MR, Pouratian N. Kuwunika kwa ntchito ya neural: electromyography, conduction nerve, ndi kutulutsa kuthekera. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 247.