Ukuhlolwa kwe-Electroneuromyography: kuyini, kwenzelwa ini nokuthi kwenziwa kanjani

-Delile

• Kwenziwa kanjani ukuhlolwa kwe-Electroneuromyography
• Yenzelwe ini
• Ukuhlolwa kuthola ziphi izifo
• Ungasilungiselela kanjani isivivinyo
• Ubani okungafanele akwenze
• Izingozi ezingaba khona

I-Electroneuromyography (ENMG) yisivivinyo esihlola ubukhona bezilonda ezithinta izinzwa nemisipha, njengoba kungenzeka kwizifo ezinjenge-amyotrophic lateral sclerosis, isifo sikashukela sesifo sikashukela, i-carpal tunnel syndrome noma isifo se-guillain-barré, isibonelo, kubalulekile ukusiza Udokotela uqinisekisa ukuxilongwa futhi ahlele ukwelashwa okungcono kakhulu.

Lokhu kuhlolwa kuyakwazi ukurekhoda ukuqhutshwa kwesikhuthazo sikagesi emsipheni nokuhlola ukusebenza kwesisipha ngesikhathi sokunyakaza okuthile futhi, imvamisa, izitho ezingezansi noma ezingaphezulu, ezinjengemilenze noma izingalo, ziyahlolwa.

Kwenziwa kanjani ukuhlolwa kwe-Electroneuromyography

Ukuhlolwa kwenziwa ngezinyathelo ezi-2:

• Electroneurography noma i-neuroconduction: izinzwa ezincane zibekwa ngobuchule esikhunjeni ukuze kuhlolwe imisipha ethile noma izindlela zemizwa, bese kwenziwa amandla kagesi amancane ukukhiqiza imisebenzi kulezo zinzwa nemisipha, ebanjwa yidivayisi. Lesi sinyathelo singadala ukungakhululeki okufana nokushaywa okuncane, kepha okubekezelelekayo;
• I-Electromyography: kufakwa i-electrode emise okwenaliti esikhunjeni ize ifinyelele emisipheni, ukuhlola umsebenzi ngqo. Ngalokhu, isiguli sicelwa ukuthi senze ukunyakaza okuthile ngenkathi i-electrode ithola amasiginali. Kulesi sigaba, kunobuhlungu obuhlabayo ngesikhathi sokufakwa kwenaliti, futhi kungahle kube nokungaphatheki kahle ngesikhathi sokuhlolwa, okubekezelelekayo. Funda kabanzi mayelana ne-electromyography.

Ukuhlolwa kwe-electroneuromyography kwenziwa ngudokotela, futhi kuyatholakala ezibhedlela noma emitholampilo ekhethekile. Lokhu kuhlolwa kwenziwa mahhala yi-SUS futhi kumbozwe ezinye izinhlelo zezempilo, noma kungenziwa ngasese, ngentengo engaba ngu-300 reais, engahlukahluka kakhulu, ngokusho kwendawo okwenziwa kuyo.

Yenzelwe ini

I-Electroneuromyography isetshenziselwa ukuxilonga izifo ezithile ezihlobene nemizwa yezinzwa noma umsebenzi wezicubu zikagesi, ukuze kuhlelwe ukwelashwa okufanele. Kwezinye izimo, kungasiza futhi ekuhloleni inkambo yalesi sifo.

I-electromyogram akusona isivivinyo esivamile sokutholakala kwezifo zemizwa nezemisipha, kepha umphumela wayo uhunyushwa ngokuya ngomlando wesiguli womtholampilo kanye nemiphumela yokuhlolwa kwemizwa.

Ukuhlolwa kuthola ziphi izifo

Ukuhlolwa kwe-electroneuromyography kutadisha ukusebenza kwezinzwa nemisipha, ezingashintshwa ezimweni ezinjengalezi:

• I-Polyneuropathy, kubangelwa isifo sikashukela noma isifo sokuvuvukala. Thola ukuthi iyini i-neuropathy yesifo sikashukela nokuthi iyelashwa kanjani;
• Ukuncipha kwemisipha okuqhubekayo;
• Idiski ye-Herniated noma amanye ama-radiculopathies, abangela ukulimala komgogodla.
• I-Carpal tunnel syndrome. Funda ukuthi ungasibona kanjani futhi uselaphe lesi sifo;
• Ukukhubazeka ebusweni;
• I-Amyotrophic lateral sclerosis. Qonda ukuthi iyini i-amyotrophic lateral sclerosis;
• Uvendle;
• Shintsha ngamandla noma ekuzweleni kubangelwa ukuhlukumezeka noma ukushaywa;
• Izifo zemisipha, njenge-myopathies noma i-dystrophies yemisipha.

Ngemininingwane etholwe ngesikhathi sokuhlolwa, udokotela uzokwazi ukuqinisekisa ukuxilongwa, akhombise izindlela zokwelashwa ezihamba phambili noma, kwezinye izimo, aqaphe ukuqina nokuvela kwalesi sifo.

Ungasilungiselela kanjani isivivinyo

Ukwenza i-electroneuromyography, kunconywa ukuthi uye endaweni yokuhlola uphakwe kahle futhi ugqoke izingubo ezikhululekile noma ezikhishwe kalula, njengeziketi noma izikhindi. Amafutha okuthambisa noma okhilimu akufanele kusetshenziswe emahoreni angama-24 ngaphambi kokuhlolwa, ngoba lezi zimonyo zingenza ama-electrode anamathele kakhudlwana.

Kubalulekile ukwazisa udokotela uma usebenzisa imishanguzo, njengoba eminye, njengama-anticoagulants, ingaphazamisa noma iphikise ukuhlolwa futhi uma une-pacemaker uma uhlushwa ukuphazamiseka kwegazi, njenge-hemophilia.

Ngaphezu kwalokho, kufanele kukhunjulwe ukuthi i-electroneuromyography ivame ukwenziwa ezinhlangothini zombili (yomibili imilenze noma izingalo), njengoba kubalulekile ukuqhathanisa izinguquko ezitholakala phakathi kohlangothi oluthintekile nohlangothi olunempilo.

Ayikho imiphumela ehlala njalo ngemuva kokuhlolwa, ngakho-ke kungenzeka ukuthi ubuyele emisebenzini yansuku zonke ngokujwayelekile.

Ubani okungafanele akwenze

I-Electroneuromyography ayibeki bungozi kwezempilo, noma kunjalo, iyaphikiswa kubantu abasebenzisa izinhliziyo ezinamandla noma abasebenzisa imishanguzo ye-anticoagulant, efana neWarfarin, Marevan noma iRivaroxaban powder, ngokwesibonelo. Kulezi zimo, kufanele wazise udokotela, ozohlola ukuphikiswa noma ukuthi yiluphi uhlobo lokwelashwa olungenziwa.

Kunokuphikisana okuphelele ekuhlolweni, okungukuthi: ukungabambisani kwesiguli ukwenza ukuhlolwa, ukwenqaba kwesiguli ukwenza inqubo nokuba khona kwezilonda endaweni lapho kuzokwenziwa khona uphenyo.

Izingozi ezingaba khona

Ukuhlolwa kwe-electroneuromyography kuphephile ezimweni eziningi, noma kunjalo kungahle kube nezimo lapho inqubo yazo ingaba sengcupheni, njenge:

• Iziguli ezelashwa ngama-anticoagulants;
• Ukuphazamiseka kwegazi, njenge-hemophilia ne-platelet disorders;
• Izifo ezenza buthakathaka amasosha omzimba, njengengculazi, isifo sikashukela kanye nezifo ezizimele;
• Abantu abane-pacemaker;
• Izilonda ezithathelwanayo ezisebenza lapho kuzokwenziwa khona ukuhlolwa.

Ngakho-ke, kubalulekile ukwazisa udokotela uma unanoma yiziphi izimo ezibhekwa njengengozi ngaphansi kwazo, ngaphezu kokusetshenziswa kwemithi ukuze wehlise ubungozi bezinkinga.