Fa EMG (Electromyography) sɔhwɛ sua wo ntini ne wo ntini ho ade! So yɛbɛka eyi ho asɛm?

So ɛtɔ mmere bi a wo honam akwaa mu yɛ wo yaw? Anaasɛ wote mmerɛwyɛ anaa ɛyaw nka wɔ wo ntini mu? Ebia wo duruyɛfo aka EMG (Electromyography) nhwehwɛmu bi ho asɛm akyerɛ wo. Wowɔ nsɛmmisa pii fa nea saa EMG yi yɛ, nea enti a wɔyɛ, ne sɛnea wɔyɛ no ho, ɛnte saa? Mma ɛnhaw wo, ɛnnɛ yɛbɛka biribiara ho asɛm tiawa, wɔ ɔkwan a wobɛtumi ate aseɛ so.

Dɛn ne EMG (Electromyography)?

Sɛ yɛbɛka no tiawa a, EMG (Electromyography) yɛ sɔhwɛ titiriw a ɛhwɛ wo nnompe ntini akwahosan ne dwumadi – ntini a yɛde adwempa di so (te sɛ nea yɛde kankye yɛn nsa na yɛnantew) – ne ntini a ɛhwɛ saa ntini ahorow no so. Eyi yɛ nhwehwɛmu bi a wɔde electrodiagnostic yɛ .

Kankyee biara a yɛyɛ, te sɛ nan a yɛbɛma so anaa yɛn ti a yɛbɛwosow no fi nkitahodi a emu yɛ den a ɛda wo mfinimfini ntini (amemene ne akyi berɛmo) , ntini, ne ntini ahorow ntam. Nea ɛbɛyɛ na woanya kankyee no, wo motor nerves , ntini a ɛhwɛ kankyee so no de anyinam ahoɔden nsɛnkyerɛnne kɔ wo ntini mu. EMG sɔhwɛ betumi ahu ɔhaw ahorow a ɛwɔ saa ntini a ɛma nipadua no yɛ adwuma, ntini ahorow, anaa nkitahodi a ɛda abien no ntam yi mu.

Ntini ho animdefo taa yɛ EMG nhwehwɛmu de ka Ntini a Wɔde Fa Nneɛma Ho Nhwehwɛmu (NCS) ho . NCS susuw ahoɔhare ne dodow a anyinam ahoɔden nsɛnkyerɛnne a ɛnam ntini bi so no. EMG susuw sɛnea ntini no yɛ n’ade wɔ saa anyinam ahoɔden dwumadi no ho ne anyinam ahoɔden dwumadi dodow a ɛba bere a ntini bi twetwe no.

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ntini a ɛyɛ mmerɛw, wo ho yɛ wo yaw, anaasɛ wo ho yɛ wo yaw a, ebia wo duruyɛfo bɛkamfo EMG akyerɛ wo. Mpɛn pii no, eyi yɛ sɔhwɛ a wɔyɛ wɔ ayaresabea a wɔhwɛ ayarefo a wɔda abɔnten, nanso ɛtɔ mmere bi a wobetumi ayɛ bere a wowɔ ayaresabea no.

Dɛn na wobetumi ahu wɔ EMG sɔhwɛ mu?

EMG nhwehwɛmu betumi aboa ma woahu ɔhaw ahorow ne tebea horow pii a ɛka wo ntini ne wo ntini ahorow . Ebetumi nso akyerɛ sɛnea ɔhaw ahorow yi atrɛw ne baabi a ɛwɔ. Ɛtɔ da bi a, wɔde sɔhwɛ yi nso di dwuma de yi tebea pɔtee bi fi hɔ.

Tebea ahorow bi a EMG nhwehwɛmu betumi aboa ma wɔahu ni:

• Ɔhaw ahorow a ɛka ntini a ɛwɔ akyi no: Sɛ nhwɛso no , ntini a ɛhyɛ nipadua no mu te sɛ ntini a ɛwɔ akyi no mu yare ne carpal tunnel syndrome .
• Ɔhaw ahorow a ɛka ntini ntini a efi akyi berɛmo no mu: sɛ nhwɛso no, ntini a ɛyɛ mmerɛw, awotwaa mu ntini a ɛyɛ den , anaa sciatica .
• Ntini mu yare (myopathies): Nhwɛso ahorow bi ne ntini mu yare , polymyositis , ne dermatomyositis .
• Tebea horow a ɛka ntini a ɛma nipadua no yɛ adwuma wɔ amemene anaa akyi berɛmo mu no: sɛ nhwɛso no , amyotrophic lateral sclerosis (ALS) anaa post-polio syndrome .
• Tebea horow a ɛka abusuabɔ a ɛda ntini ne ntini ahorow ntam: sɛ nhwɛso no , myasthenia gravis .

Kae sɛ ɛnyɛ EMG nhwehwɛmu nkutoo ne ɔkwan a wɔfa so hu tebea horow yi. Nnuruyɛfo de mfoniniyɛ nhwehwɛmu nso di dwuma, te sɛ X-ray, CT scan, MRI scan, mogya mu nhwehwɛmu , ne ɛtɔ mmere bi a wɔde ntini mu nhwehwɛmu di dwuma.

Ɔkwan bɛn so na EMG sɔhwɛ no yɛ adwuma?

Sɛ yɛbɛte sɛnea EMG sɔhwɛ yɛ adwuma ase a, momma yenni kan nhwɛ sɛnea yɛn ntini ahorow no yɛ adwuma.

Wo ntini a ɛma wotumi yɛ adwuma no de anyinam ahoɔden nsɛnkyerɛnne kɔ wo ntini ahorow mu, na ɛkyerɛ wɔn nea ɛsɛ sɛ wɔyɛ. (Saa nsɛnkyerɛnne yi fi ase wɔ w’amemene mu, afei ɛfa w’akyi berɛmo mu, fa ntini a ɛma nipadua no yɛ adwuma mu, kɔ wo ntini ahorow mu.) Saa anyinam ahoɔden a ɛkanyan yi ma ntini no twetwe (ɛyɛ den). Sɛ ntini no twetwe a, anyinam ahoɔden dwumadi nso ba.

Mpɛn pii no, ntini bi a ɛregye n’ahome no nni anyinam ahoɔden dwumadi biara. Sɛ ntini no twetwe kakra a, anyinam ahoɔden dwumadi bi ba, na sɛ ɛtwetwe denneennen a, ɛkɔ soro kɛse mpo.

Wɔ EMG sɔhwɛ mu no, oduruyɛfo anaa mfiridwumayɛfo a wɔatete no de ade a ɛyɛ fɛ yiye (needle electrode) hyɛ wo ntini biako mu. Electrode a ɛwɔ saa ade yi so no kyerɛw anyinam ahoɔden dwumadi a ntini no yɛ. Afiri no mfa anyinam ahoɔden biara nkɔ wo nipadua mu. Ɛte sɛ afiri a wɔde kasa, ɛkyere kɛkɛ.

Nnwinnade a wɔde yɛ ade no kyerɛw anyinam ahoɔden dwumadi bere a wokura ntini no mu ne bere a woabɔ no. Wɔnam nhama so de saa ade yi bata kɔmputa ho. Afei oduruyɛfo no betumi ahu nea ɛrekɔ so bere a wo ntini no yɛ dinn ne bere a woretutu no wɔ screen so. Eyi pue sɛ asorɔkye wɔ screen no so. Ɛtɔ mmere bi nso a wubetumi ate anyinam ahoɔden dwumadi yi mu nnyigyei denam ɔdio a ɛma nneɛma yɛ kɛse so.

Afei oduruyɛfo no hwehwɛ akenkan ahorow yi mu hwɛ sɛ ɔhaw bi ho sɛnkyerɛnne bi wɔ hɔ anaa. Sɛ nhwɛso no, sɛ wo ntini biako sɛe a, ebetumi ada anyinam ahoɔden dwumadi a ɛnteɛ adi bere a ɛregye n’ahome no. Afei nso, sɛ ɛtwetwe a, anyinam ahoɔden dwumadi no betumi ada asorɔkye nhyehyɛe a ɛnteɛ adi.

Ɔkwan bɛn so na wosiesie wo ho ma EMG sɔhwɛ?

Ansa na wobɛyɛ EMG sɔhwɛ no, ɛsɛ sɛ woyɛ nea edidi so yi:

• Bra bɛguare, wo ho atew, na wohyɛ ntade a ɛyɛ fɛ na ɛnyɛ den.
• Mfa cream , aduru, anaa nnuhuam biara nhyɛ honam ani. Nnuru a wɔde yɛ aduru ne nnuru a wɔde hyɛ nipadua mu betumi aka sɛnea sɔhwɛ no bɛyɛ pɛpɛɛpɛ.
• Sɛ worenom nnuru a ekum mogya a ɛtwetwe mogya (te sɛ warfarin) a, hwɛ hu sɛ wobɛka akyerɛ oduruyɛfo a ɔreyɛ EMG nhwehwɛmu no. Ebia nnuru a ɛma mogya yɛ mmerɛw no bɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ obi wɔ EMG no akyi no ayɛ kɛse kakra. Nanso, nnyae sɛ wobɛnom a wo ne oduruyɛfo a ɔkyerɛw maa no no nkasa.
• Afei nso ka kyerɛ yɛn sɛ wode pacemaker anaa ɛlɛtrɔnik aduruyɛ mfiri foforo ahyɛ mu a.

Wɔ tebea horow bi mu no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ kwati sigaretnom anaa nsã a caffeine wom te sɛ kɔfe anaa tii nom nnɔnhwerew abien kosi abiɛsa ansa na wɔayɛ nhwehwɛmu no. Saa nneɛma yi betumi asiw sɔhwɛ no kwan.

Dɛn na ɛba bere a wɔreyɛ EMG sɔhwɛ no?

Ntini ho animdefo taa yɛ EMG nhwehwɛmu bere a wɔayɛ ntini a ɛkɔ nipadua no mu ho nhwehwɛmu (NCS) awie no. Wɔ NCS mu no, oduruyɛfo no de electrode (te sɛ sticker) gu wo honam ani. Afei, oduruyɛfo no de biribi a ɛte sɛ anyinam ahoɔden ketewaa bi gu ntini ahorow no so na ɔkyerɛw sɛnea wɔyɛ no. Mpɛn pii no, wɔsɔ ntini ahorow pii hwɛ wɔ saa kwan yi so.

Ɔkwan a wɔfa so yɛ EMG sɔhwɛ no betumi ayɛ soronko kakra, a egyina nea enti a wɔyɛ sɔhwɛ no ne ntini ne ntini a wɔresɔ ahwɛ no so. Nanso mpɛn pii no wubetumi ahwɛ biribi te sɛ eyi kwan:

• Wɔbɛka akyerɛ wo sɛ tena ase anaa da.
• Oduruyɛfo no paw ntini a ɔpɛ sɛ ɔhwehwɛ mu.
• Afei, wɔde needle electrodes a ɛyɛ fɛ yiye fa wo honam ani kɔ ntini no mu. Saa nnade yi tra ntini no mu bɛyɛ simma biako anaa abien. Ebia wobɛte nka sɛ wo ho nyɛ wo yaw kakra anaasɛ wobɛte yaw bere a wode nnade no ahyɛ mu no.
• Oduruyɛfo no bɛka akyerɛ wo sɛ ma ntini no dwo, afei fa di dwuma wɔ akwan bi so, te sɛ nsa anaa nan a wobɛma so anaa wobɛkotow.
• Afiri bi susuw anyinam ahoɔden dwumadi a ɛwɔ wo ntini a ɛyɛ adwuma no mu na ɛde kyerɛ wɔ screen so. Wɔayɛ no nso sɛnea ɛbɛyɛ a ɛbɛma nnyigyei bi aba.
• Sɛ wɔkyerɛw nsɛm a ɛdɔɔso fi ntini no mu wie a, woyi ade no fi hɔ.
• Wɔsɔ ntini a edi hɔ no hwɛ wɔ saa kwan yi so kosi sɛ wobewie sɔhwɛ no.

So EMG sɔhwɛ no yɛ yaw?

Ebia wobɛte ɛyaw anaa ahotɔ bi nka bere a wɔde ade no hyɛ honam ani ne ntini no mu no. NansoNnipa dodow no ara tumi twa sɔhwɛ yi a ɔhaw biara nni ho.

Wɔ sɔhwɛ no akyi no, ntini a wɔasɔ ahwɛ no betumi ayɛ yaw kakra nna kakraa bi.

Bere tenten ahe na EMG sɔhwɛ gye?

Saa sɔhwɛ yi taa gye simma 60 kosi 90 , a egyina ntini dodow a wo duruyɛfo pɛ sɛ ɔsɔ hwɛ so.

Dɛn na wubetumi ahwɛ kwan wɔ EMG sɔhwɛ akyi?

Ebia wo ntini bɛte yaw anaasɛ ayɛ den nna kakraa bi wɔ sɔhwɛ no akyi. Mpɛn pii no, saa ntini mu yaw yi nyɛ kɛse na ɛsɛ sɛ efi hɔ wɔ dapɛn biako mu. Ebia wubehu akuru nketenkete nso wɔ baabi a wɔde nnade no hyɛɛ mu no.

Asiane bɛn na ɛwɔ EMG sɔhwɛ mu?

Mpɛn pii no, EMG yɛ sɔhwɛ a ahobammɔ wom. Nsɛnnennen ntaa mma. Nnipa binom (titiriw wɔn a wɔnom nnuru a ɛma mogya tu ) betumi anya mogyatɔw kakra wɔ nhwehwɛmu no akyi.

Dɛn na nea efii EMG sɔhwɛ no mu bae no ka?

Ɛwom sɛ mfaso wɔ EMG nhwehwɛmu so kɛse de, nanso ɛntaa mma wɔn ankasa nhu yare no. W’aduruyɛfo kuw no de nea efi mu ba yi bɛka nea efi aduruyɛ mu nhwehwɛmu afoforo mu aba no ho de ahu sɛnea wɔahu yare no.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Mpɛn pii no, wubenya wo aba no wɔ nnɔnhwerew 24 kosi 48 mu bere a wɔawie sɔhwɛ no.

Bere bɛn na ɛsɛ sɛ meka me EMG ho asɛm kyerɛ me duruyɛfo?

Sɛ eyi ba a, frɛ wo duruyɛfo:

• Sɛ mogya a ɛretu no annyae a.
• Sɛ ɛyaw a emu yɛ den anaasɛ ɛyɛ den wɔ baabi a wɔde nnade no hyɛɛ mu no a.
• Sɛ sɛnkyerɛnne bi te sɛ kɔkɔɔ, ɔhyew, ɔfe, anaa atiridii , eyinom betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne.

So EMG da ntini a ɛyɛ pintinn adi?

EMG nhwehwɛmu betumi aboa ma wɔahu ntini a ayɛ mmerɛw ne ɔhaw ahorow a ɛfa ho. Nanso, EMG "nkyerɛ" ntini a wɔabɔ no pintinn. Mfonini a wɔde yɛ nhwehwɛmu te sɛ X-ray, CT scan, ne MRI scan betumi aboa ma wɔahu sɛnea wɔabɔ ntini bi ne nea ɛde ba (sɛ nhwɛso no, herniated disk ).

Nkrasɛm a Wɔde Kɔ Fie

Sɛ wowɔ ntini mu yare, ntini mu yare, anaa opira ho sɛnkyerɛnne a, EMG (Electromyography) nhwehwɛmu betumi aboa wo duruyɛfo ma wahu nea ɛrekɔ so no ho ade pii. Ebetumi nso aboa wo ma woayɛ ayaresa a wuhia no ho nhyehyɛe.

Sɛ wowɔ nsɛmmisa foforo bi fa sɔhwɛ yi ho a, nsuro sɛ wubebisa wo duruyɛfo. Ɔwɔ hɔ sɛ ɔbɛboa wo na wama wo ho adwo wo. Kae sɛ, wɔyɛ nhwehwɛmu ahorow yi sɛnea ɛbɛyɛ a wobɛte w’akwahosan ase yiye na ama woanya ayaresa a eye sen biara.

` EMG, Electromyography, Ntini mu nhwehwɛmu, Ntini mu nhwehwɛmu, Ntini mu nyarewa, Ntini mu nyarewa, Electrodiagnostics, Ntini mu ntini mu nhwehwɛmu, NCS