I-Electromyography

I-Electromyography (EMG) isivivinyo esihlola impilo yemisipha nezinzwa ezilawula imisipha.

Umhlinzeki wezokunakekelwa kwezempilo ufaka i-electrode yenaliti ezacile kakhulu esikhunjeni iye emsipheni. I-electrode yenaliti ithatha umsebenzi kagesi onikezwa yimisipha yakho. Lo msebenzi uvela kumonitha oseduze futhi ungazwakala ngesipika.

Ngemuva kokubekwa kwama-electrode, ungacelwa ukuthi ukhonte imisipha. Isibonelo, ngokugoba ingalo yakho. Umsebenzi kagesi obonwe kuqapha uhlinzeka ngolwazi mayelana nekhono lemisipha yakho lokuphendula lapho izinzwa zemisipha yakho zivuselelwa.

Ukuhlolwa kwe-velocity velocity test kwenziwa njalo ngesikhathi sokuvakasha okufanayo ne-EMG. Ukuhlolwa kwejubane kwenziwa ukuze kubonakale ukuthi amasiginali kagesi ashesha kangakanani ngokusebenzisa inzwa.

Akukho ukulungiselela okukhethekile okudingeka njalo. Gwema ukusebenzisa noma yimaphi okhilimu noma ama-lotion ngosuku lokuhlolwa.

Ukushisa komzimba kungathinta imiphumela yalolu vivinyo. Uma kubanda kakhulu ngaphandle, ungatshelwa ukuthi ulinde egumbini elifudumele isikhashana ngaphambi kokuba kwenziwe ukuhlolwa.

Uma uthatha izinciphisi zegazi noma ama-anticoagulants, yazisa umhlinzeki owenza isivivinyo ngaphambi kokuba kwenziwe.

Ungase uzwe ubuhlungu noma ukungaphatheki kahle lapho kufakwa izinaliti. Kepha iningi labantu liyakwazi ukuqeda isivivinyo ngaphandle kwezinkinga.

Ngemuva kwalokho, umsipha ungazizwa uthambile noma ulimele izinsuku ezimbalwa.

I-EMG isetshenziswa kakhulu lapho umuntu enezimpawu zobuthakathaka, ubuhlungu, noma ukuzwa okungavamile.Kungasiza ukutshela umehluko phakathi kobuthakathaka bemisipha obubangelwa ukulimala kwenceku enamathiselwe kwimisipha, nobuthakathaka ngenxa yokuphazamiseka kohlelo lwemizwa, njengezifo zemisipha.

Ngokuvamile kunomsebenzi omncane kakhulu kagesi emisipheni ngenkathi uphumule. Ukufaka izinaliti kungadala umsebenzi othile kagesi, kepha uma izicubu sezithule phansi, kufanele kube nomsebenzi omncane kagesi otholakele.

Uma uguqula imisipha, umsebenzi uqala ukuvela. Njengoba uqinisa imisipha yakho, umsebenzi kagesi uyanda futhi iphethini iyabonakala. Le pateni isiza udokotela wakho ukuthi anqume ukuthi imisipha iyaphendula ngendlela efanele yini.

I-EMG ingathola izinkinga ngemisipha yakho ngesikhathi sokuphumula noma somsebenzi. Ukuphazamiseka noma izimo ezidala imiphumela engajwayelekile zifaka okulandelayo:

• I-Alcohol neuropathy (ukulimala kwezinzwa zokuphuza utshwala obuningi)
• I-Amyotrophic lateral sclerosis (ALS; isifo samangqamuzana emizwa ebuchosheni nasentanyeni yomgogodla elawula ukunyakaza kwemisipha)
• Ukungasebenzi kwemizwa ye-Axillary (ukulimala kwenzwa elawula ukunyakaza kwehlombe nokuzwa)
• I-Becker dystrophy yemisipha (ubuthakathaka bemisipha yemilenze nesikhumba)
• I-brachial plexopathy (inkinga ethinta isethi yezinzwa ezishiya intamo zingene engalweni)
• I-Carpal tunnel syndrome (inkinga ethinta imizwa yomphakathi esihlakaleni nasesandleni)
• I-Cubital tunnel syndrome (inkinga ethinta i-ulnar nerve endololwaneni)
• I-Cervical spondylosis (ubuhlungu bentamo obugqokwa kumadiski namathambo entamo)
• Ukungasebenzi kahle kwe-peroneal nerve (ukulimala kwe-nerve peroneal okuholela ekulahlekelweni kokuhamba noma ukuzwa onyaweni nasemlenzeni)
• I-Denervation (inciphise ukugqugquzela izinzwa kwemisipha)
• I-Dermatomyositis (isifo semisipha esibandakanya ukuvuvukala nokuqubuka kwesikhumba)
• I-distal median nerve dysfunction (inkinga ethinta imithambo ephakathi engalweni)
• I-Duchenne muscular dystrophy (isifo esizuzwe njengefa esibandakanya ubuthakathaka bemisipha)
• I-Facioscapulohumeral muscular dystrophy (Landouzy-Dejerine; isifo sobuthakathaka bemisipha nokulahleka kwezicubu zomzimba)
• Ukukhubazeka okujwayelekile kwesikhathi (ukuphazamiseka okubangela ukuba buthakathaka kwemisipha futhi kwesinye isikhathi kube sezingeni eliphansi kunejwayelekile le-potassium egazini)
• Ukungasebenzi kahle kwemizwa yabesifazane (ukulahleka kokuhamba noma ukuzwa ezingxenyeni zemilenze ngenxa yokulimala kwemizwa yabesifazane)
• I-Friedreich ataxia (isifo esizuzwe njengefa esithinta izindawo ebuchosheni nakumgogodla olawula ukuhlangana, ukunyakaza kwemisipha neminye imisebenzi)
• I-Guillain-Barré syndrome (ukuphazamiseka komzimba okuzenzakalelayo kwezinzwa okuholela ekubuthakathaka kwemisipha noma ukukhubazeka)
• I-Lambert-Eaton syndrome (ukuphazamiseka okuzenzakalelayo kwemizwa okubanga ubuthakathaka bemisipha)
• I-mononeuropathy eminingi (ukuphazamiseka kwesistimu yezinzwa okubandakanya ukulimala okungenani izindawo ezi-2 ezihlukene zezinzwa)
• I-Mononeuropathy (ukulimala kwenzwa eyodwa okuholela ekulahlekelweni kokuhamba, ukuzwa, noma omunye umsebenzi waleyo nerve)
• I-Myopathy (ukuncipha kwemisipha okubangelwa yizinkinga eziningi, kufaka phakathi i-muscular dystrophy)
• I-Myasthenia gravis (ukuphazamiseka komzimba okuzenzakalelayo kwezinzwa ezibangela ubuthakathaka bemisipha yokuzithandela)
• I-peripheral neuropathy (ukulimala kwezinzwa kude nobuchopho nentambo yomgogodla)
• I-Polymyositis (ubuthakathaka bemisipha, ukuvuvukala, isisa, nokulimala kwezicubu zemisipha yamathambo)
• Ukungasebenzi kahle kwe-radial nerve (ukulimala kwe-nerve radial okubangela ukulahleka kokunyakaza noma ukuzwa ngemuva kwengalo noma kwesandla)
• Ukukhubazeka kwemizwa ye-sciatic (ukulimala noma ukucindezela kwi-nerve ye-sciatic edala ubuthakathaka, ukuba ndikindiki, noma ukuncinza emlenzeni)
• I-Sensorimotor polyneuropathy (isimo esidala ukwehla kwekhono lokunyakaza noma lokuzizwa ngenxa yomonakalo wezinzwa)
• IShy-Drager syndrome (isifo sesistimu yezinzwa esibangela izimpawu zomzimba wonke)
• Ukukhubazeka ngezikhathi ezithile kwe-Thyrotoxic (ubuthakathaka bemisipha obuvela emazingeni aphezulu e-hormone yegilo)
• Ukungasebenzi kwemizwa ye-Tibial (ukulimala kwe-tibial nerve okubangela ukulahleka kokuhamba noma ukuzwa onyaweni)

Izingozi zalesi sivivinyo zifaka:

• Ukopha (okuncane)
• Ukutheleleka ezindaweni ze-electrode (ezingavamile)

EMG; I-Myogram; I-Electromyogram

• I-Electromyography

IChernecky CC, iBerger BJ. I-Electromyography (EMG) kanye nezifundo zokuqhuba izinzwa (i-electromyelogram) -i-diagnostic. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 468-469.

Katirji B. I-electromyography yomtholampilo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 35.