ʻO wai ke kanaka loea i ka lolo? E ʻike kākou!

Ua lohe paha ʻoe i kāu kauka e ʻōlelo ana e pono ʻoe e ʻike i kahi 'neurophysiologist'. A i ʻole ua lohe paha ʻoe i ka inoa a noʻonoʻo, "Auē, he aha ke ʻano o ke kauka ?" ʻOiaʻiʻo, ʻoiai ke kani nei me he huaʻōlelo paʻakikī lā, he kuleana koʻikoʻi kēia poʻe. I kēia lā, e kamaʻilio kākou e pili ana i ka mea maoli he neurophysiologist a pehea e hiki ai iā lākou ke kōkua i kou olakino.

ʻO wai ke kanaka loea i ka lolo? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, he mea mālama ola kino ka neuroscientist e loea ana i ka hana o kāu ʻōnaehana nerve, ʻoiai kāna hana uila. ʻO ia hoʻi, nānā lākou e ʻike inā e hana pono ana kou lolo, ke kaula spinal (ke kaula nerve i loko o kou iwi kuamoʻo), a me nā aʻalolo ʻē aʻe. Hiki iā lākou ke hana i nā ʻano hoʻokolohua like ʻole e kōkua i ka ʻike ʻana i nā kūlana e pili ana paha i ka ʻōnaehana nerve.

E noʻonoʻo e pili ana i ia mea, ua like ko mākou kino me kahi mīkini paʻakikī loa. ʻO ke kikowaena hoʻomalu o kēia mīkini ʻo ia ka ʻōnaehana nerve . ʻO nā mea āpau āu e noʻonoʻo ai, nā mea āpau āu e manaʻo ai, nā mea āpau āu e hana ai - mai ka peahi ʻana i kou lima a hiki i ke kuʻi ʻana o kou puʻuwai - ua hoʻomalu ʻia e kēia ʻōnaehana nerve. No laila, kōkua kahi neurophysiologist iā mākou e ʻike inā he pilikia me kēia ʻōnaehana a pehea e hana ai.

He aha ka ʻokoʻa ma waena o kahi neurophysiologist a me kahi neurologist?

He mea kēia e huikau ai nā kānaka he nui. He loea ka neurophysiologist i ke kahua o ka neurology .

E noʻonoʻo i kēia ʻano, he kauka neurologist kahi i loaʻa ka hoʻomaʻamaʻa nui ʻana i nā mea āpau e pili ana i kāu ʻōnaehana nerve - kona ʻano maʻamau, ka hana, a me nā kūlana e hoʻopilikia ai iā ia. ʻO lākou ka poʻe e ʻike maʻamau a mālama i nā maʻi neurological.

He loea neurologist ka neurophysiologist nāna i loea i ka *hana* o ka ʻōnaehana nerve, ʻo ia hoʻi, pehea e hana ai. Hana lākou i nā hoʻokolohua like ʻole e ana i kēlā hana a kālailai i nā hopena o ka hoʻokolohua.

ʻO ka mea nui loa, ʻaʻole ʻōlelo pinepine kahi neurophysiologist i ka lāʻau lapaʻau no nā maʻi neurological. Hana ʻia kēlā e kahi neurologist . Eia nō naʻe, hiki i kahi neurophysiologist ke kōkua nui i ka ʻike ʻana i ke ʻano o ka maʻi, ʻo ia hoʻi, i ka hāʻawi ʻana i kahi hōʻailona pololei .

He aha ka hana a ke neurophysiologist maoli?

ʻO ke kumu nui, ʻo ka neurophysiologist ka mea nāna e ʻike a loiloi i nā kūlana e hoʻopilikia ai i ka hana o kāu ʻōnaehana nerve. Hoʻohana nui lākou i nā hoʻokolohua like ʻole e hoʻopaʻa i ka hana uila o kāu ʻōnaehana nerve.

ʻElua ʻano nui o nā neurophysiologists:

1. Nā Kauka Neurophysiologists ʻoki kino

2. Nā Neurophysiologists Lapaʻau

He ʻokoʻa iki nā kuleana o nā mea ʻelua. Hana pū kekahi poʻe neurophysiologists i ka noiʻi.

Nā Kauka Neurophysiologists ʻoki kino

E like me ka inoa e hōʻike nei, he ʻāpana kēia poʻe o ka hui ʻoki kino. Hana pū lākou me nā kauka ʻoki kino e like me nā anesthesiologists a me nā neurosurgeons.

I ka wā o ke ʻoki kino, nānā a nānā kēia neurophysiologist i kāu ʻōnaehana nerve. Ma muli o ke ʻano o ke ʻoki kino e hana ʻia nei, hiki i kēia nānā ʻana ke kōkua i nā kauka ʻoki kino e hōʻemi i ka pilikia o nā pilikia koʻikoʻi e like me ka maʻi lolo, ka nalowale o ka lohe, a i ʻole ka hahau ʻana. Ua kapa ʻia kēia ʻo ka nānā ʻana i ka neurophysiology intraoperative (IONM) .

ʻO kekahi o nā hana ʻoki kino a kēia poʻe e komo pinepine ai:

• ʻO ke ʻoki kino iwi kuamoʻo.
• Kekahi mau ʻano hana ʻoki lolo.
• Kekahi mau ʻoki pepeiao, ihu, a me ka ʻāʻī (nā kaʻina hana ENT).
• ʻO ke ʻoki kino ʻana o ke aʻalolo peripheral.
• ʻO nā ʻoki kino koko, e like me Carotid Endarterectomies a me Thoracic-Abdominal Aortic Aneurysms (TAAA).

Eia kekahi o nā ʻōnaehana hoʻāʻo a me ka nānā ʻana a lākou e hoʻohana ai i ka wā o ke ʻoki kino:

• `SSEP (Somatosensory Evoked Potentials)`: Pili kēia i ka hāʻawi ʻana i kahi mea hoʻoulu uila liʻiliʻi i kahi aʻalolo peripheral i kou lima a i ʻole kou wāwae. A laila ana ia i ke ʻano o ka pane ʻana o kou lolo, ʻōnaehana nerve, a i ʻole ke kaula spinal iā ia. Hoʻohana pinepine ʻia ia i nā ʻoki ʻana o ka spinal, kekahi mau ʻoki ʻana o ka lolo a me nā aʻalolo peripheral.
• `TCeMEP (Transcranial Electrical Motor Evoked Potentials)`: Pili kēia hoʻāʻo i ka hoʻopili ʻana i ka hoʻoulu uila i ka ``Motor Cortex`` o kou lolo a me ke kākau ʻana pehea e pane ai kou kaula iwi kuamoʻo a i ʻole nā ​​​​ʻiʻo i kou mau lālā iā ia. Hoʻohana pinepine ʻia kēia i nā ʻoki kino iwi kuamoʻo.
• ``BSEP (Nā Mana i Hoʻoulu ʻia e ka Loiloi o ka Lolo)`':ʻO kēia ke komo ʻana o kou hoʻolohe ʻana i kahi leo, ʻo ia hoʻi he "kaomi" ma o nā pepeiao pepeiao, a me ka nānā ʻana i ke ʻano o ka pane ʻana o kou lolo iā ia. Kōkua kēia i ka nānā ʻana i ka hana o ka lolo a mālama i ka lohe i ka wā o ke ʻoki ʻana e wehe i nā ʻōpū e like me nā neuromas acoustic a me nā ʻōpū o ka lolo.
• EEG (Electroencephalogram): Hoʻopaʻa kēia i ka hana uila kūlohelohe o ka lolo. Hoʻohana ʻia ia e pale i ka pōʻino i hana ʻia e ka emi ʻana o ke kahe koko i ka lolo (ischemia) i ka wā o nā ʻoki kino e like me Carotid Endarterectomies a me Aneurysm clippings, a e nānā i ka hana a me ke "olakino" o ka cerebral cortex.

Nā Neurophysiologists Lapaʻau

Hana pū kēia poʻe me nā neurologists a me nā neurosurgeons. Loiloi lākou i ka hana o kāu ʻōnaehana nerve a nānā i nā kūlana nerve a me neuromuscular. Ma muli o kou kūlana, hiki ke hana ʻia kēia mau hoʻokolohua ma ke ʻano outpatient a i ʻole ʻoe ma ka haukapila.

Eia kekahi o nā hoʻokolohua i hoʻohana ʻia e nā neurophysiologists lapaʻau:

• EMG (Electromyography): Hoʻāʻo kēia i ke olakino a me ka hana o kou mau ʻiʻo iwi a me nā aʻalolo e kāohi ana iā lākou. Hiki iā ia ke kōkua i ka ʻike ʻana i nā maʻi he nui, e like me Peripheral Neuropathy, Carpal Tunnel Syndrome, Muscular Dystrophy, a me Amyotrophic Lateral Sclerosis (ALS).
• Haʻawina Hoʻoili Aʻalolo (NCS): Hoʻāʻo kēia i ka maikaʻi o ka hana ʻana o kou mau aʻalolo peripheral. Hiki iā ia ke hoʻoholo inā ua hōʻino ʻia kahi aʻalolo peripheral a pehea ka mamao o kona laha ʻana. I ka manawa pinepine, hana pū ʻia nā hoʻokolohua EMG a me NCS.
• EEG (Electroencephalogram): Pili kēia i ka hoʻopili ʻana i nā electrodes liʻiliʻi i kou poʻo a me ka hoʻopaʻa ʻana i ka hana uila mai ka cerebral cortex. Hoʻohana ʻia ia e ʻike i nā kūlana e like me nā hopu ʻana a me nā ʻano ʻē aʻe i loko o ka ʻōnaehana nerve waena.
• Hoʻāʻo Mana Hoʻāla ʻia: Ke ana kēia mau hoʻāʻo i ka hana uila ma nā ʻāpana like ʻole o kou lolo a me ke kaula kuamoʻo i ka pane ʻana i kahi mea hoʻonāukiuki. Hiki i kēia ke hōʻike i ka wikiwiki a me ka holo piha ʻana o nā hōʻailona aʻalolo i ka lolo. Aia kekahi mau ʻano o kēia, e like me ka Brainstem Auditory Evoked Response (BAER), Visual Evoked Potential (VEP), a me Somatosensory Evoked Potential (SEP).
• Haʻawina Hiamoe / Polysomnography:Hana ʻia kēia ma ka hoʻopaʻa mau ʻana i ke ʻano o ka hana ʻana o nā ʻōnaehana like ʻole o kou kino (e like me ka puʻuwai, ka hanu ʻana, a me ka hana o ka lolo) i kou wā e hiamoe ana. He mea nui loa kēia no ka ʻike ʻana i nā maʻi hiamoe.

Hele anei kekahi neurophysiologist i ke kula lapaʻau?

ʻAe, ʻoiaʻiʻo nō! He kauka ke kanaka loea i ka lolo. Hele lākou i ke kula lapaʻau e loaʻa ai kēia ʻike loea.

Pehea e lilo ai kekahi i neurophysiologist?

I mea e lilo ai i neurophysiologist lapaʻau, pono e hoʻopau i kēia mau ʻanuʻu hoʻonaʻauao a me ke aʻo ʻana:

• Pono ʻoe e hoʻopau mua i kahi hoʻonaʻauao pre-medical ʻehā makahiki mai ke kulanui a i ʻole ke kulanui a loaʻa i ke kēkelē laepua.
• Ma hope o kēlā, pono ʻoe e aʻo no ʻehā mau makahiki ma ke kula lapaʻau a loaʻa iā ʻoe ke kēkelē "Kauka Lapaʻau - MD" a i ʻole "Kauka o Osteopathic Medicine - DO".
• Pono ʻoe e hoʻopau i kahi internship hoʻokahi makahiki ma ka lāʻau lapaʻau laulā.
• A laila, ma muli o ka papahana, pono ʻoe e hoʻopau i kahi noho ma kahi papahana neurology , hiki ke mau a hiki i ʻehā mau makahiki.

Ma hope o kēia noho ʻana, hele kekahi poʻe i nā papahana fellowship e loaʻa ai ka ʻike hohonu ma kahi kikoʻī o ka neurophysiology. No ka laʻana, hiki iā lākou ke loea i nā wahi e like me ka maʻi epilepsy, nā maʻi neuromuscular, a me nā maʻi hiamoe.

No laila, inā kānalua ke kauka he maʻi neurological kou, a inā ua ʻike mua ʻia ʻoe me kekahi, he lālā paha kahi neurologist o kāu hui mālama ola. He poʻe akamai lākou i kā lākou kahua, a ua ʻike maikaʻi lākou i nā hoʻokolohua hou loa e hiki ke loiloi i ka hana o kāu ʻōnaehana nerve. Mai kānalua e nīnau i kāu mau nīnau neurologist. Aia lākou ma laila e kōkua iā ʻoe.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e nānā kākou i kekahi o nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• He loea ka neurophysiologist nāna e aʻo pehea e hana ai kāu ʻōnaehana nerve, ʻo ia hoʻi kou lolo, ke kaula spinal, a me nā aʻalolo. Hana lākou i nā hoʻokolohua like ʻole e kōkua i ka ʻike ʻana i nā maʻi.
• ʻO ka neurologist ka mea nāna e hāʻawi i ka lāʻau lapaʻau, akā he mea nui ka hana a ka neurophysiologist i ka ʻike pololei ʻana i ka maʻi.
• Hoʻohana kēia poʻe i nā hoʻokolohua kūikawā like ʻole (e.g., `EEG`, `EMG`, `NCS`, `Evoked Potentials`) e pale i ka ʻōnaehana nerve mai ka hōʻino ʻia i ka wā o ke ʻoki ʻana a no ka ʻike lapaʻau ʻana i nā maʻi neurological.
• Inā haʻi aku ke kauka iā ʻoe e ʻike i kahi neurophysiologist, ʻo ia hoʻi makemake lākou e nānā hohonu i ka hana o kāu ʻōnaehana nerve.Mai makaʻu, e kōkua ia iā ʻoe e loaʻa ka lāʻau lapaʻau maikaʻi aʻe.
• E ʻoluʻolu e nīnau i kāu kauka i nā nīnau āu e loaʻa ai, inā paha e pili ana i kāu mau hoʻokolohua a i ʻole kou kūlana. Loaʻa iā ʻoe ke kuleana e ʻike maopopo i nā mea āpau.

Ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i kēia manawa i ka mea he neurophysiologist a me kā lākou hana. Inā he mau nīnau hou aku kāu, e kamaʻilio me kāu kauka.

ʻO Neurophysiology, Neurophysiologist, ʻŌnaehana nerve, Nā hoʻāʻo lolo, Neurodiagnosis, EEG, EMG, Nānā ʻoki kino