Yala tuma dɔw la, i bɛ kirinni kɛ i bolow walima i senw na wa? Yala i bolokɔnincininw bɛ kɛ tuma dɔw la i n’a fɔ u bɛ ka sɔgɔsɔgɔ wa? Bi an bɛ kuma sɛgɛsɛgɛli kɛrɛnkɛrɛnnen dɔ kan, dɔgɔtɔrɔw bɛ min kɛ walasa k’a dɔn ni gɛlɛya dɔ bɛ i ka farikoloɲɛnajɛ la. O bɛ wele ko Nerve Conduction Study, walima NCS sɛgɛsɛgɛli surun na.
N’an y’a fɔ cogo nɔgɔman na, nin hakili-la-sɛgɛsɛgɛli (NCS) in ye mun ye?
Miiri an farikolo nɛrɛmugumaw la i n’a fɔ kuran fiyɛw. O nɛgɛw ye kuran taamaʃyɛnw ye minnu bɛ Bɔ kùnkolo la ka Taa an farikolo yɔrɔw la, k’an dusukunnataw Fɔ kùnkolo ye (funteni, nɛnɛ) ani k’an Cikan k’an farikolo yɔrɔw Lamaga an b’a fɛ cogo min na. NCS sɛgɛsɛgɛli ye sɛgɛsɛgɛli ye min bɛ o kuran filiw walima o nɛrɛmuguma ninnu baara cogo jateminɛ.
o bɛ aw ka farikolo yɔrɔw cogoya lajɛ kosɛbɛ . O kɔrɔ ye ko nɛrɛmuguma rezo min bɛ taa farikolo fan bɛɛ la ka bɔ sigida kunba kɔkan min bɛ wele ko kunsɛmɛ ni kɔkolo. O sɛgɛsɛgɛli in bɛ kuran taamasiɲɛ dɔ taama teliya cogo min na nɛrɛmuguma dɔ fɛ ani o taamasiɲɛ barika ka bon cogo min na.
An k’a lajɛ nin bɛ nɛrɛ sugu jumɛnw ɲini:
- Farikoloɲɛnajɛ: Ninnu ye farikoloɲɛnajɛw ye minnu bɛ an farikolo yɔrɔw mara ani k’an dɛmɛ ka lamaga. Misali la, n’i b’a fɛ ka i bolo kɔrɔta, o nɛrɛmuguw bɛ cikan ta ka bɔ i kunkolo la ka taa i bolokɔni fasaw la.
- Senfagabana: An bɛ fɛn minnu ye, i n’a fɔ magali, dimi, ani funteni, olu bɛ taa ni u ye kunsɛmɛ na. Ni aw magara fɛn funteniman dɔ la, o dusukunnataw bɛ teliya ka kunsɛmɛ ladɔnniya.
Aw ka dɔgɔtɔrɔ bɛna nin sɛgɛsɛgɛli in yamaruya ni bana taamasiɲɛw bɛ aw la i n’a fɔ aw bolokɔniw, aw bolokɔniw walima aw senkɔniw bɛ se ka kirin, walima ka u fanga dɔgɔya. A ka ca a la nin NCS sɛgɛsɛgɛli in bɛ kɛ ni sɛgɛsɛgɛli wɛrɛ ye min bɛ wele ko EMG (Electromyography) . An bɛna kuma o kan kɔfɛ.
Bana jumɛnw bɛ se ka dɔn NCS sɛgɛsɛgɛli fɛ?
Nin sɛgɛsɛgɛli in bɛ farikolojidɛsɛ ni nɛrɛmuguma degun dɔn kosɛbɛ. An k’a lajɛ nin bana ninnu ye mun ye ani fɛn minnu bɛ u sababu ye.
1. Ɲɛgɛnɛsiraw furakɛli
O bɛ sɔrɔ farikolo yɔrɔw tiɲɛni fɛ farikolo fan bɛɛ la. Kun caman bɛ se ka kɛ o la.
| Kun | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Jabɛti | Ni sukaro hakɛ cayara ka mɛn joli la, o bɛ se ka farikolo yɔrɔw tiɲɛ, o de kama bolow ni senw sɔgɔsɔgɔninjɛ ka teli ka kɛ sukarodunbanabagatɔw la. |
| Witamini dɛsɛ | Kɛrɛnkɛrɛnnenya la ni witamini minnu nafa ka bon farikolo la, i n’a fɔ witamini B12 ni B6, olu tɛ farikolo la, farikolojidɛsɛ bɛ se ka fanga dɔgɔya. |
| Gɛlɛya minnu bɛ sɔrɔ sɔgɔsɔgɔninjɛ la | Balanbaliya min bɛ sɔrɔ thyroïde hormones la, o fana bɛ se ka nɔ bila farikolojidɛsɛ baara la. |
| Dɔlɔmin kojugu | Dɔlɔ min kojugu waati jan kɔnɔ, o bɛ farikolojidɛsɛ tiɲɛ k’a ɲɛsin a yɛrɛ ma. |
| Banakisɛfagalanw ka cogoyaw | Tuma dɔw la, an farikolo yɛrɛ ka farikolo tangalanw bɛ daminɛ ka bin an yɛrɛ ka nɛrɛw kan. Misali la, banaw i n’a fɔ (Lupus), (Rheumatoïde Arthritis), (Guillain-Barré Syndrome) . |
| Banakisɛw | Banakisɛ dɔw (misali la sidabanakisɛ) ani banakisɛfagalanw fana bɛ se ka farikolojidɛsɛ tiɲɛ. |
| Fura dɔw | Nɛrɛmugu tiɲɛni bɛ se ka kɛ fura dɔw kɔlɔlɔ ye, kɛrɛnkɛrɛnnenya la kansɛri furakɛli ni chimiothérapie ye. |
2. Nɛrɛmuguma (Syndromes de compression de nerveux) (Syndromes de compression de nerveux).
O bɛ kɛ ni nɛrɛmuguma dɔ bɛ sɔgɔsɔgɔ kolo, farikolo walima farikolo yɔrɔ wɛrɛw cɛ farikolo yɔrɔ dɔ la.
I n’a fɔ ji boli bɛ dɔgɔya cogo min na ni mɔgɔ dɔ senna jibolisira kan, taamasiɲɛ minnu bɛ tɛmɛ nɛrɛmuguma dɔ fɛ, olu bɛ barika dɔgɔya ni a digilen don.
O misali dɔw filɛ nin ye:
- Carpal Tunnel Syndrome: Bana min ka teli ka kɛ mɔgɔw ye minnu bɛ baara kɛ ɔridinatɛri walima sɛbɛnnikɛlan na waati jan kɔnɔ. O bɛ sɔrɔ nɛrɛmuguma dɔ degun fɛ min bɛ tɛmɛ bolokɔni fɛ , o bɛ kɛ sababu ye ka bolokɔniden, bolokɔnincinin ani cɛmancɛ bolokɔniw sɔgɔsɔgɔ ani ka dimi bila mɔgɔ la.
- Sciatique : Bana min bɛ sɔrɔ farikolojidɛsɛba dɔ degun fɛ min bɛ bɔ kɔ la ka jigin sen na, o bɛ dimi jugumanba ni sɔgɔsɔgɔninjɛ lase mɔgɔ ma min bɛ bɔ sen na.
Danfara jumɛn bɛ NCS ni EMG sɛgɛsɛgɛliw cɛ?
A ka c’a la, o sɛgɛsɛgɛli fila bɛ kɛ ɲɔgɔn fɛ. Nka nin kɔrɔbɔli fila bɛ fɛn fila de lajɛ.
N’an y’a fɔ cogo nɔgɔman na, .
- NCS sɛgɛsɛgɛli bɛ ‘kurun’ bɛ woyo cogo min na ani a bɛ woyo teliya cogo min na ‘filɛri’ kan min bɛ wele ko nɛrɛ.
- EMG sɛgɛsɛgɛli bɛ a lajɛ farikolo min ni o nɛrɛmuguma sirilen don ɲɔgɔn na, o bɛ jaabi cogo min na sisan tɛmɛnen kɔfɛ, o kɔrɔ ye ko a bɛ sɔgɔsɔgɔ cogo min na.
Ni aw ye nin sɛgɛsɛgɛli fila bɛɛ kɛ ɲɔgɔn fɛ, aw ka dɔgɔtɔrɔ bɛ se k’a dɔn tigitigi ni aw ka bana taamasiɲɛw sababu bɔra farikolojidɛsɛ dɔ la walima ni farikolojidɛsɛ dɔ ye.
Ne ka kan ka n yɛrɛ labɛn nin kɔrɔbɔli in kama cogo di?
O tɛ labɛn caman wajibiya, nka aw ka o kow to aw hakili la.
- Aw bɛ aw ko ka ɲɛ sani aw ka na sɛgɛsɛgɛli la. A nafa ka bon ka to saniya la.
- Aw kana kiribi, tulu, mugu , walima tulu si kɛ aw senw na sɛgɛsɛgɛli don na. Ni aw ye ninnu to fari la, o bɛ se ka nɔ bila sɛgɛsɛgɛli kɛcogo ɲuman na.
- Aw ka na finiw don minnu bɛ mɔgɔ lafiya, minnu bɛ lafiya .
- Ni dusukun tantannikɛlan walima ɛntɛrinɛti minɛn wɛrɛ donna aw fari la, aw ka kan ka o fɔ aw ka dɔgɔtɔrɔ ye sani aw ka sɛgɛsɛgɛli kɛ.
Mun bɛ kɛ kɔrɔbɔli waati la? Yala fɛn dɔ bɛ yen min ka kan ka siran wa?
Mɔgɔ caman bɛ siran dɔɔnin nin kɔrɔbɔli in ɲɛ, bawo a bɛ tali kɛ ‘current’ dili la. Nka tiɲɛ na, kun t’a la ka siran.
Fɛn min bɛ kɛ senfɛ-senfɛ sɛgɛsɛgɛli senfɛ, o filɛ nin ye:
1. A bɛna kɛ sababu ye ka i sigi sigilan kan walima ka i da dilan kan.
2. O kɔfɛ, dɔgɔtɔrɔ walima fɛɛrɛtigi bɛna fɛn misɛnninw siri i fari la minnu bɛ i n’a fɔ stika, n’u bɛ wele ko elekitorode , nɛrɛmuguma minnu ka kan ka sɛgɛsɛgɛ, olu bɛ yɔrɔ min na.
3. O kɔfɛ, kuran sɔgɔli fitininba dɔ bɛ lase nɛrɛmuguma ma ka bɔ elekitorode kelen na.
4. Nin bɛ kɛ i n’a fɔ kuran fitini dɔ min bɛ ‘tiɲɛ’ tuma dɔw la n’an bɛ finiw don. Mɔgɔ dɔw b’a ye ko a bɛ kɛ sɔgɔsɔgɔninjɛ dɔɔni ye. O tɛ dimi ye.Yɛrɛyɛrɛ dɔɔnin kɛra a daminɛ na, nka a ma se segin kelen ma.
5. Ni o kuran taamasiɲɛ in bɛ taa nɛrɛmugu la, elekitorode wɛrɛw bɛ a taama teliya hakɛ jateminɛ.
6. O cogo la, kuran fitini dɔ bɛ di farikolo yɔrɔ caman ma, ka kunnafoniw lajɛ.
Nin wale bɛɛ bɛ se ka kɛ yɔrɔ o yɔrɔ la , k’a ta miniti 15 la ka se lɛri kelen ma, ka kɛɲɛ ni farikolojidɛsɛ hakɛ ye min bɛ sɛgɛsɛgɛ.
Nin ye sɛgɛsɛgɛli ye min tɛ mɔgɔ tɔɔrɔ pewu. Hali ni kuran wulilenw bɛ se ka kɛ ko u man di, u bɛ kɛ waati kunkurunnin dɔrɔn de kama. Mɔgɔ fanba bɛ se ka nin sɛgɛsɛgɛli in kɛ k’a sɔrɔ gɛlɛya foyi ma sɔrɔ.
Fɛn minnu ka kan ka dɔn sɛgɛsɛgɛli jaabiw kan (Raport) .
A ka ca a la, aw bɛ se ka aw ka jaabiw sɔrɔ sanga 24-48 kɔnɔ sɛgɛsɛgɛli kɛlen kɔfɛ.
Nka min nafa ka bon kosɛbɛ ka to an hakili la, o ye ko nin NCS ka kunnafoni in ye puzzle yɔrɔ kelen dɔrɔn de ye. Aw ka dɔgɔtɔrɔ tɛ desizɔn ta ka da nin kunnafoni in dɔrɔn kan. A bɛna aw ka bana taamasiɲɛw jateminɛ, aw ka furakɛli cogoya wɛrɛw, ani sɛgɛsɛgɛli wɛrɛw minnu bɛ se ka kɛ, olu jaabiw, walasa ka aw ka bana tigitigi dɔn ani ka aw ka furakɛli boloda.
O la, a nafa ka bon ka kuma i ka dɔgɔtɔrɔ fɛ o ko la, i kɛlen kɔ ka kunnafoni sɔrɔ, ka ɲɛfɔli sɔrɔ a fɛ.
Take-Home cikan
- NCS (Nerve Conduction Study) ye fɛɛrɛ ye min tɛ mɔgɔ tɔɔrɔ, min bɛ farikolo yɔrɔw nɛrɛmuguma baara sɛgɛsɛgɛ.
- Nin sɛgɛsɛgɛli in nafa ka bon kosɛbɛ walasa ka bana taamasiɲɛw sababu dɔn i n’a fɔ farikolojidɛsɛ, sɔgɔsɔgɔninjɛ, ani farikolo yɔrɔw fanga dɔgɔyali.
- Kuranko misɛnnin minnu bɛ di sɛgɛsɛgɛli senfɛ, olu tɛ dimi. U bɛ kɛ i n’a fɔ sɔgɔsɔgɔninjɛ walima sɔgɔsɔgɔninjɛ dɔɔni dɔrɔn.
- Dɔgɔtɔrɔ bɛna se ka sɛgɛsɛgɛli kɛ ni a ye nin sɛgɛsɛgɛli in jaabiw fara ɲɔgɔn kan ni aw ka bana taamasiɲɛw ni furakɛli kunnafoni wɛrɛw ye.
- Ni ɲininkali walima haminanko dɔ bɛ aw la nin sɛgɛsɛgɛli in kan, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o ko la kɛnɛ kan.

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