Kuyesa kwa Electroneuromyography: ndi chiyani, ndi chiyani komanso momwe zimachitikira

Zamkati
- Momwe mayeso a Electroneuromyography amachitikira
- Ndi chiyani
- Ndi matenda ati omwe mayeso amayesa
- Momwe mungakonzekerere mayeso
- Yemwe sayenera kuchita
- Zowopsa zomwe zingachitike
Electroneuromyography (ENMG) ndi mayeso omwe amayesa kupezeka kwa zotupa zomwe zimakhudza mitsempha ndi minofu, monga momwe zingachitikire ndi matenda monga amyotrophic lateral sclerosis, matenda ashuga, matenda a carpal kapena matenda a guillain-barré, mwachitsanzo, kukhala ofunikira kuthandiza dokotala atsimikizire kuti ali ndi vutoli ndikukonzekera chithandizo chabwino kwambiri.
Kuyesaku kumatha kujambula momwe mphamvu yamagetsi imakhalira mu mitsempha ndikuyesa momwe minofu imagwirira ntchito poyenda kwina ndipo, makamaka, miyendo yakumunsi kapena yakumtunda, monga miyendo kapena mikono, imayesedwa.
Momwe mayeso a Electroneuromyography amachitikira
Kuyesaku kumachitika m'njira ziwiri:
- Electroneurography kapena neuroconduction: masensa ang'onoang'ono amaikidwa pakhungu kuti aunike minofu kapena mitsempha, kenako zoyeserera zazing'ono zamagetsi zimapangidwa kuti zizigwira ntchito pamitsempha ndi minofu, yomwe imagwidwa ndi chipangizocho. Gawo ili limatha kubweretsa zovuta ngati zikwapu zazing'ono, koma zomwe zimapilira;
- Zojambulajambula: elekitirodi yoboola ngati singano imalowetsedwa pakhungu mpaka ikafika paminofu, kuti iwunikire mwachindunji zomwe zachitikazo. Pachifukwa ichi, wodwalayo amafunsidwa kuti azichita mayendedwe ena pomwe ma elekitirodi azindikira ma siginolo. Pakadali pano, pamakhala ululu wopweteka pakulowetsa singano, ndipo pakhoza kukhala zovuta polemba mayeso, zomwe ndizololera. Dziwani zambiri za electromyography.
Kuyeza kwa ma electroneuromyography kumachitika ndi dokotala, ndipo kumapezeka mzipatala kapena zipatala zapadera. Kuyesaku kumachitika kwaulere ndi SUS ndipo kumayendetsedwa ndi mapulani ena azaumoyo, kapena kutha kuchitidwa mwachinsinsi, pamtengo wozungulira 300 reais, womwe ungasinthe mosiyanasiyana, malingana ndi komwe umachitikira.
Ndi chiyani
Electroneuromyography imagwiritsidwa ntchito pozindikira matenda ena omwe amakhudzana ndi zikhumbo zamitsempha kapena zochitika zamagetsi zamagetsi, kuti akonzekere chithandizo choyenera. Nthawi zina, zitha kuthandizanso kuwunika matendawa.
Electromyogram siyomwe imayesa mayeso a matenda amitsempha ndi yaminyewa, komabe zotsatira zake zimamasuliridwa molingana ndi mbiri yazachipatala komanso zotsatira zamayeso amitsempha.
Ndi matenda ati omwe mayeso amayesa
Kuyezetsa magazi pamagetsi kumagwira ntchito kwa mitsempha ndi minofu, yomwe imatha kusintha ngati:
- Matenda opatsirana pogonana, chifukwa cha matenda ashuga kapena matenda otupa. Dziwani kuti matenda ashuga ndi matenda amtundu wanji komanso momwe angawathandizire;
- Kutsekeka kwa minofu wopita patsogolo;
- Dothi la Herniated kapena ma radiculopathies ena, omwe amawononga msana.
- Matenda a Carpal. Phunzirani momwe mungazindikire ndi kuthandizira matendawa;
- Kuuma ziwalo;
- Amyotrophic lateral sclerosis. Mvetsetsani kuti amyotrophic lateral sclerosis ndi chiyani;
- Poliyo;
- Sinthani mphamvu kapena chidwi chifukwa cha kupwetekedwa mtima kapena kumenyedwa;
- Matenda a minofu, monga myopathies kapena muscular dystrophies.
Ndi chidziwitso chomwe adapeza poyesa, adotolo athe kutsimikizira kuti ali ndi vutoli, akuwonetsa njira zabwino kwambiri zochiritsira kapena, nthawi zina, kuwunika kuuma kwa matendawa.
Momwe mungakonzekerere mayeso
Kuti muchite zamagetsi zamagetsi, ndikulimbikitsidwa kuti mupite kumalo oyeserera muli ndi chakudya chokwanira komanso kuvala zovala zosasunthika kapena zochotsedwa mosavuta, monga masiketi kapena zazifupi. Mafuta kapena mafuta onunkhira sayenera kugwiritsidwa ntchito m'maola 24 mayeso asanafike, chifukwa zodzoladzola izi zimatha kupangitsa ma elekitirodi kumamatira kwambiri.
Ndikofunika kudziwitsa adotolo ngati mukugwiritsa ntchito mankhwala, monga ena, monga ma anticoagulants, atha kusokoneza kapena kusokoneza mayesowo komanso ngati muli ndi pacemaker ngati mukudwala matenda amwazi, monga hemophilia.
Kuphatikiza apo, ziyenera kukumbukiridwa kuti ma electroneuromyography nthawi zambiri amachitika mbali zonse ziwiri (miyendo kapena mikono), chifukwa ndikofunikira kufananiza kusintha komwe kumapezeka pakati pa mbali yomwe yakhudzidwa ndi mbali yathanzi.
Palibe zotsatira zamuyaya pambuyo pa mayeso, chifukwa chake ndizotheka kubwerera kuzinthu zatsiku ndi tsiku bwinobwino.
Yemwe sayenera kuchita
Electroneuromyography siyimabweretsa mavuto aliwonse azaumoyo, komabe, imatsutsana ndi anthu omwe amagwiritsa ntchito mtima wopumira kapena omwe amagwiritsa ntchito mankhwala oletsa antagagant, monga Warfarin, Marevan kapena Rivaroxaban. Zikatero, muyenera kudziwitsa adotolo, omwe angawunikenso zotsutsana kapena mtundu wanji wa chithandizo.
Pali zotsutsana zenizeni pamayeso, monga: kusagwirizana kwa wodwalayo kuti athe kuyesa, kukana kwa wodwalayo kuchita ndondomekoyi komanso kupezeka kwa zilonda pamalo omwe kafukufukuyo angachitike.
Zowopsa zomwe zingachitike
Kuyesa kwa electroneuromyography kumakhala kotetezeka nthawi zambiri, komabe pakhoza kukhala zochitika zomwe njira zawo zitha kukhala pachiwopsezo, monga:
- Odwala omwe amathandizidwa ndi ma anticoagulants;
- Matenda a magazi, monga hemophilia ndi matenda a platelet;
- Matenda omwe amafooketsa chitetezo cha mthupi, monga Edzi, matenda ashuga, ndi matenda amthupi;
- Anthu omwe ali ndi pacemaker;
- Zilonda zopatsirana zomwe zimagwira ntchito pomwe mayeso angayesedwe.
Chifukwa chake, ndikofunikira kudziwitsa adotolo ngati muli ndi zina mwazomwe zimawoneka kuti ndizowopsa, kuphatikiza pakugwiritsa ntchito mankhwala kuti muchepetse zovuta.