Hena ne Ntini mu Ntini Ho Ɔbenfo? Momma yɛnte ase kɛkɛ!

Ebia wontee oduruyɛfo bi a ɔhwɛ sɛ wo ntini ahorow a w’amemene, w’akyi berɛmo, ne ntini ahorow a ɛkɔ wo nipadua nyinaa mu ka ho no reyɛ adwuma yiye anaa. Te sɛ oduruyɛfo titiriw bi a ɔhwɛ sɛ wiring a ɛwɔ wo fie no reyɛ adwuma yiye, ɔwɔ short wɔ baabi, anaasɛ sɛ current no sua no, saa ara na oduruyɛfo yi nso hwɛ wo nipadua no "electrical system" no. Ɛnnɛ yɛreka saa ɔbenfo yi ho asɛm, Neurophysiologist.

Sɛ yɛbɛka no tiawa a, hena ne Neurophysiologist?

Ntini mu nipadua ho ɔbenfo yɛ oduruyɛfo titiriw a osua sɛnea yɛn ntini ahorow no yɛ adwuma, titiriw ne anyinam ahoɔden dwumadi , na ɔyɛ nhwehwɛmu na ohu nyarewa a ɛfa ho.

Susuw ho hwɛ, yɛn nipadua yɛ afiri a ɛyɛ den yiye. Afiri yi dan a wɔhwɛ so ne ntini a ɛma nipadua no yɛ adwuma no. Ɛne sɛ, amemene, akyi berɛmo, ne ntini a ɛde nsɛm kɔ nipadua no mu nyinaa. Biribiara a wususuw, wote nka, na woyɛ no, nhyehyɛe yi na edi so. Efi bere a woma wo nsa so kosi bere a wo koma bɔ no, ne nyinaa yɛ ne fã.

Enti sɛ ɔhaw bi wɔ nhyehyɛe yi mu, sɛ́ ɛyɛ ɔhaw a ɛfa nsɛm a ɛkɔ so anaasɛ anyinam ahoɔden nsɛnkyerɛnne ho haw a, ntini mu nipadua ho ɔbenfo bɛboa ma wɔahu.

Neurologist ne Neurophysiologist - Nsonsonoeɛ bɛn na ɛda saa mmienu yi ntam?

Saa din abien yi taa yɛ basaa wɔ wɔn ho wɔn ho ho. Wɔn baanu nyinaa yɛ nnuruyɛfo a wɔyɛ adwuma wɔ ntini mu. Nanso nsonsonoe kakra wɔ mu. Momma yɛmfa nhwɛso bi nte eyi ase.

Fa no sɛ ɔhaw bi wɔ kanea nhyehyɛe a ɛwɔ wo fie no mu. Ná wubedi kan ne anyinam ahoɔden ho nimdefo a ɔyɛ adwuma daa akasa. Obetumi ahwɛ ofie no nhama nhyehyɛe nyinaa, ahwɛ sɛ fuse no abɔ, switch no asɛe, bɔlɔb no ahyew, na wanya mfonini kɛse. Saa na Neurologist te. Ɔyɛ oduruyɛfo a ɔwɔ nimdeɛ kɛse wɔ ntini ahorow no afã biara, kyerɛ sɛ, sɛnea wɔahyehyɛ, ne dwumadi, ne nyarewa a ɛfa ho nyinaa ho. Ntini mu Oduruyɛfo bi kyerɛw wo nnuru na ɔyɛ w’ayaresa ho nhyehyɛe.

Afei fa no sɛ ɔhaw bi a emu yɛ den yiye bi wɔ hɔ a anyinam ahoɔden ho nimdefo no ntumi nhu. Voltage a ɛwɔ current no mu no so tew, ɛte sɛ nea leak ketewaa bi wɔ baabi. Afei ɔde obi a ɔde mita soronko di dwuma, a ɔyɛ mprempren nsu a ɛsen ho ɔbenfo ba. Saa na Neurophysiologist te. Ɔyɛ obi a onim sɛnea ntini ahorow no yɛ adwuma , titiriw ɔkwan a anyinam ahoɔden nsɛnkyerɛnne fa so tu kwan no. Nea ɔyɛ ne sɛ ɔyɛ nhwehwɛmu ahorow, hwehwɛ nea efi mu ba no mu, na ohu ɔhaw no ankasa wɔ ntini ahorow no dwumadi mu.

Dwuma atitiriw abien a ntini mu yare ho ɔbenfo di

Yebetumi akyekyɛ ntini mu nkwaadɔm ho animdefo mu akuw atitiriw abien, a egyina ɔkwan a wɔfa so yɛ adwuma so.

1. Wɔn a wɔyɛ adwuma wɔ oprehyɛn mu (Surgical Neurophysiologists) .

2. Wɔn a wohu nyarewa wɔ ayaresabea ahorow (Clinical Neurophysiologists) .

Momma yɛnhwɛ dwuma a nnipa yi mu biara di wɔ ɔkwan soronko so.

1. Dwuma a Ntini mu Ntini Ho Ɔbenfo Di wɔ Oprehyɛn Mu

Eyi yɛ beae a ɛho hia paa. Fa no sɛ wɔreyɛ obi oprehyɛn kɛse wɔ n’akyi berɛmo anaa n’amemene mu. Bere a nnuruyɛfo a wɔyɛ oprehyɛn reyɛ oprehyɛn no, ɛsɛ sɛ wɔhwɛ sɛ ntini asɛe anaa. Sɛ obi di mfomso ketewaa bi mpo a, obetumi abubu, n’aso anyɛ den, anaasɛ akisikuru.

Ɛno ne bere a ntini mu yare ho ɔbenfo bi bɛka kuw a wɔyɛ oprehyɛn no ho. Ɔde nnwinnade titiriw bi di dwuma de hwɛ sɛnea ɔyarefo no ntini mu anyinam ahoɔden yɛ adwuma wɔ oprehyɛn no nyinaa mu. Wɔfrɛ eyi Intraoperative Neurophysiology Monitoring (IONM) . Sɛ ntini bi ka kakra mpo a, ne anyinam ahoɔden nsɛnkyerɛnne sesa. Sɛ ntini mu yare ho ɔbenfo no hu saa nsakrae no ara pɛ a, ɔbɔ oduruyɛfo a ɔyɛ oprehyɛn no kɔkɔ. Afei oduruyɛfo a ɔyɛ oprehyɛn no betumi ayɛ nneɛma a ɛho hia ansa na nneɛma asɛe.

2. Neurophysiologist a ɔyɛ ayaresabea nhwehwɛmu

Oyi ne Neurophysiologist a yɛtaa hu no, nea yɛn duruyɛfo de yɛn kɔ no. Wɔwɔ ayaresabea anaa ayaresabea ahorow. Wɔyɛ nhwehwɛmu ahorow de hwɛ sɛnea ntini ahorow no yɛ adwuma. Egyina nea efi nhwehwɛmu ahorow yi mu ba so na wo Ntini Ho Ɔbenfo no behu tebea a wowɔ no pɛpɛɛpɛ.

Eyinom ne sɔhwɛ atitiriw a wɔyɛ no bi:

• EMG (Electromyography): Saa sɔhwɛ yi hwɛ sɛnea wo ntini ne ntini a ɛhwɛ so no akwahosan te. Sɛ wo nsa ho ayɛ wo yaw, wo ho ayɛ wo yaw, anaa woyɛ mmerɛw a, sɔhwɛ yi betumi aboa ma woahu sɛ ebia ɔhaw no wɔ ntini no ankasa mu anaasɛ ntini ahorow a ɛde ma no mu. Eyi ho hia ma tebea horow te sɛ Carpal Tunnel Syndrome (ntini a ɛyɛ pinched wɔ nsateaa mu) ne Peripheral Neuropathy (ntini a ɛsɛe wɔ nsa ne nan mu esiane tebea horow te sɛ asikreyare nti) a wobehu.

• NCS (Nerve Conduction Study): Eyi kyerɛ bere tenten a egye ansa na anyinam ahoɔden sɛnkyerɛnne bi afa ntini bi so ne ntɛmntɛm a etu kwan. Sɛ ntini bi sɛe a, ahoɔhare a saa sɛnkyerɛnne no fa so no so tew. Mpɛn pii no, wɔbom yɛ EMG ne NCS sɔhwɛ ahorow no nyinaa.

• EEG (Electroencephalogram): Ebia woate eyi ho asɛm. Nea ɛka eyi ho ne sɛ wɔde anyinam ahoɔden nketenkete bɛbata ti nhwi no ho na wɔakyerɛw anyinam ahoɔden dwumadi a ɛwɔ amemene no mu . Saa sɔhwɛ yi ho hia na ama wɔahu tebea horow te sɛ akisikuru na wɔahu baabi a ɛde ba wɔ amemene no mu.

• Evoked Potential Test: Eyi hwehwɛ sɛ wɔde biribi a ɛkanyan aniwa te sɛ hann anaa nnyigyei ma aso, na wosusuw anyinam ahoɔden dwumadi a ɛwɔ amemene ne akyi berɛmo mu de yɛ ho biribi. Ɛne sɛ, ɛkyerɛ sɛnea nea wode w’ani hu no du amemene no mu ntɛmntɛm, ne sɛnea nea wode w’aso te no du amemene no mu ntɛmntɛm.

• Dae ho adesua (Nna ho adesua / Polysomnography):Nnipa binom wɔ ɔhaw ahorow te sɛ ahurututu, nna a wɔda, ne ahurututu bere a wɔada. Nea ɛbɛyɛ na wɔahu nna mu haw ahorow yi no, wɔde ɔyarefo no kɔ ayaresabea na wɔhwɛ nipadua no dwumadi ahorow (amemene mu asorɔkye, ɔhome, ne koma bɔ) so anadwo biako. Neurophysiologist nso na ɔyɛ eyi.

Ɔkwan bɛn so na wobɛyɛ Neurophysiologist?

Eyi yɛ akwantu tenten paa na wɔahyira so. Ntini mu nipadua ho ɔbenfo yɛ oduruyɛfo. Enti, ɛsɛ sɛ wudi kan kyerɛw wo din wɔ aduruyɛ sukuu mu na wuwie aduruyɛ ho abodin krataa (MD/MBBS).

Enneɛ:

• Ɛsɛ sɛ wuwie afe biako adwumayɛ ho ntetee.
• Ɛno akyi no, ɛsɛ sɛ wokɔ mfe pii ntetee akyi (Residency/MD) na ama woanya nimdeɛ titiriw wɔ ntini ho nimdeɛ mu.
• Saa ntetee no akyi no, wubesua sɛnea ntini ahorow no yɛ adwuma ho ade kɔ akyiri na woanya ntetee wɔ adwuma titiriw bi a wɔfrɛ no Neurophysiology mu.

Eyi hwehwɛ bere, adesua, ne ahofama pii.

Enti sɛ wo duruyɛfo de wo kɔ nhwehwɛmu te sɛ EMG anaa EEG a, afei wunim sɛ worekɔ Neurophysiologist nkyɛn. Ɔyɛ obi a ɔbɛhwehwɛ wo ntini mu kɔ akyiri na waboa wo ma woahu wo tebea no pɛpɛɛpɛ sen biara. Enti nsuro, bisa saa oduruyɛfo no nsɛm anaa nsɛm biara a ɛhaw wo. Wɔwɔ hɔ sɛ wɔbɛboa wo.