Leej twg yog tus kws kho mob hlwb? Cia peb nrhiav seb!

Tej zaum koj twb tau hnov ​​koj tus kws kho mob hais tias koj yuav tsum mus ntsib 'kws kho mob hlwb'. Los yog tej zaum koj twb tau hnov ​​lub npe thiab xav tias, "Auj, tus kws kho mob ntawd yog hom twg?" Qhov tseeb, txawm hais tias nws yuav zoo li lo lus nyuaj, cov neeg no ua lub luag haujlwm tseem ceeb heev. Hnub no, cia peb tham txog leej twg yog tus kws kho mob hlwb thiab lawv tuaj yeem pab koj txoj kev noj qab haus huv li cas.

Leej twg yog tus kws kho mob hlwb? Hais yooj yim xwb...

Hais yooj yim xwb, tus kws kho mob hlwb yog tus kws kho mob uas tshwj xeeb hauv kev ua haujlwm ntawm koj lub paj hlwb, tshwj xeeb tshaj yog nws cov haujlwm hluav taws xob. Qhov ntawd txhais tau tias lawv xyuas seb koj lub hlwb, cov hlab ntsha hauv koj lub pob txha caj qaum (cov hlab ntsha hauv koj lub pob txha caj qaum), thiab lwm cov hlab ntsha puas ua haujlwm zoo. Lawv tuaj yeem ua ntau yam kev kuaj mob los pab kuaj mob uas tej zaum yuav cuam tshuam nrog lub paj hlwb.

Xav txog nws, peb lub cev zoo li lub tshuab nyuaj heev. Lub hauv paus tswj hwm ntawm lub tshuab no yog lub paj hlwb . Txhua yam koj xav, txhua yam koj hnov, txhua yam koj ua - txij li waving koj txhais tes mus rau lub plawv dhia - yog tswj hwm los ntawm lub paj hlwb no. Yog li, tus kws kho mob hlwb pab peb pom tias puas muaj teeb meem nrog lub cev no thiab nws ua haujlwm li cas.

Qhov txawv ntawm tus kws kho mob hlwb thiab tus kws kho mob hlwb yog dab tsi?

Qhov no yog ib yam dab tsi uas ua rau ntau tus neeg tsis meej pem. Tus kws kho mob hlwb yog tus kws tshwj xeeb hauv kev kho mob hlwb .

Xav txog nws li no, tus kws kho mob hlwb yog tus kws kho mob uas tau kawm ntau yam txog txhua yam uas cuam tshuam rau koj lub paj hlwb - nws cov qauv ib txwm muaj, kev ua haujlwm, thiab cov mob uas cuam tshuam rau nws. Lawv yog cov uas feem ntau kuaj mob thiab kho cov kab mob hlwb.

Ib tug kws kho mob hlwb yog ib tug kws kho mob hlwb uas tshwj xeeb hauv *kev ua haujlwm* ntawm lub paj hlwb, uas yog, nws ua haujlwm li cas. Lawv ua ntau yam kev xeem los ntsuas qhov kev ua haujlwm ntawd thiab tshuaj xyuas cov txiaj ntsig ntawm kev xeem.

Qhov tseem ceeb tshaj plaws yog tias tus kws kho mob hlwb feem ntau tsis pom zoo kom kho cov kab mob hlwb. Qhov ntawd yog ua los ntawm tus kws kho mob hlwb . Txawm li cas los xij, tus kws kho mob hlwb tuaj yeem pab tau zoo heev hauv kev nrhiav seb tus kab mob yog dab tsi, hais lwm yam lus, hauv kev muab kev kuaj mob kom raug .

Tus kws kho mob hlwb ua dab tsi tiag?

Tus kws kho mob hlwb feem ntau kuaj mob thiab soj ntsuam cov mob uas cuam tshuam rau kev ua haujlwm ntawm koj lub paj hlwb. Lawv feem ntau siv ntau yam kev kuaj los sau cov haujlwm hluav taws xob ntawm koj lub paj hlwb.

Muaj ob hom kws kho mob neurophysiologists feem ntau:

1. Cov Kws Kho Mob Phais Mob Hlwb

2. Cov Kws Kho Mob Hlwb

Ob lub luag haujlwm sib txawv me ntsis. Qee tus kws kho mob hlwb kuj ua haujlwm ntau dua los ntawm kev tshawb fawb.

Cov Kws Kho Mob Phais Mob Hlwb

Raws li lub npe qhia, cov neeg no yog ib feem ntawm pab pawg phais. Lawv ua haujlwm ze heev nrog cov kws phais xws li cov kws kho mob anesthesiologists thiab cov kws phais hlwb.

Thaum lub sijhawm phais mob, tus kws kho mob hlwb no yuav tshuaj xyuas thiab saib xyuas koj lub paj hlwb. Nyob ntawm seb hom kev phais mob twg ua, qhov kev saib xyuas no tuaj yeem pab cov kws phais mob txo qhov kev pheej hmoo ntawm cov teeb meem loj xws li kev tuag tes tuag taw, kev hnov ​​​​​​lus tsis zoo, lossis mob stroke. Qhov no hu ua kev saib xyuas lub paj hlwb thaum phais mob (IONM) .

Qee qhov kev phais mob uas cov neeg no feem ntau koom nrog yog:

• Kev phais mob pob txha caj qaum.
• Qee hom kev phais hlwb.
• Qee qhov kev phais pob ntseg, qhov ntswg, thiab caj pas (ENT procedures).
• Kev phais mob ntawm cov hlab ntsha peripheral.
• Kev phais mob hlab ntsha, xws li Carotid Endarterectomies thiab Thoracic-Abdominal Aortic Aneurysms (TAAA).

Nov yog qee qhov kev kuaj thiab saib xyuas uas lawv siv thaum phais:

• `SSEP (Somatosensory Evoked Potentials)`: Qhov no suav nrog kev muab ib qho kev txhawb nqa hluav taws xob me me rau cov hlab ntsha hauv koj txhais caj npab lossis ceg. Tom qab ntawd nws ntsuas seb koj lub hlwb, lub paj hlwb, lossis tus txha caj qaum teb li cas rau nws. Nws feem ntau siv rau hauv kev phais mob txha caj qaum, qee qhov kev phais mob hlwb thiab cov hlab ntsha hauv koj txhais caj npab.
• `TCeMEP (Transcranial Electrical Motor Evoked Potentials): Qhov kev xeem no suav nrog kev siv hluav taws xob rau "Motor Cortex" ntawm koj lub hlwb thiab sau cia seb koj tus txha caj qaum lossis cov leeg ntawm koj txhais ceg teb li cas rau nws. Qhov no kuj siv rau hauv kev phais mob txha caj qaum.
• ``BSEP (Lub Hlwb Qog Taub Hau Uas Ua Rau Muaj Peev Xwm Mloog)'':Qhov no suav nrog kev kom koj mloog ib lub suab, feem ntau yog ib qho "nias" los ntawm lub mloog pob ntseg, thiab saib seb koj lub hlwb teb li cas rau nws. Qhov no pab saib xyuas kev ua haujlwm ntawm lub hlwb thiab khaws kev hnov ​​​​lus thaum lub sijhawm phais kom tshem tawm cov qog nqaij hlav xws li acoustic neuromas thiab cov qog nqaij hlav ntawm lub hlwb.
• EEG (Electroencephalogram): Qhov no sau cov haujlwm hluav taws xob ntawm lub hlwb. Nws yog siv los tiv thaiv kev puas tsuaj los ntawm kev txo cov ntshav mus rau lub hlwb (ischemia) thaum lub sijhawm phais xws li Carotid Endarterectomies thiab Aneurysm clippings, thiab los saib xyuas kev ua haujlwm thiab "kev noj qab haus huv" ntawm lub cerebral cortex.

Cov Kws Kho Mob Hlwb Hauv Lub Cev

Cov neeg no ua haujlwm nrog cov kws kho mob hlwb thiab cov kws phais hlwb. Lawv soj ntsuam qhov ua haujlwm ntawm koj lub paj hlwb thiab kuaj mob paj hlwb thiab cov leeg nqaij. Nyob ntawm koj tus mob, cov kev kuaj no yuav ua tau rau ntawm tus neeg mob sab nraud lossis thaum koj nyob hauv tsev kho mob.

Nov yog qee qhov kev ntsuam xyuas uas cov kws kho mob hlwb siv:

• EMG (Electromyography): Qhov no kuaj xyuas kev noj qab haus huv thiab kev ua haujlwm ntawm koj cov leeg pob txha thiab cov hlab ntsha uas tswj lawv. Nws tuaj yeem pab kuaj mob ntau yam kab mob, suav nrog Peripheral Neuropathy, Carpal Tunnel Syndrome, Muscular Dystrophy, thiab Amyotrophic Lateral Sclerosis (ALS).
• Kev Kawm Txog Kev Coj Mus Los Ntawm Lub Nerve Conduction Study (NCS): Qhov no kuaj seb koj cov hlab ntsha peripheral ua haujlwm zoo npaum li cas. Nws tuaj yeem txiav txim siab seb cov hlab ntsha peripheral puas tau raug puas tsuaj thiab nws tau kis mus deb npaum li cas. Feem ntau, ob qho kev xeem EMG thiab NCS raug ua ua ke.
• EEG (Electroencephalogram): Qhov no suav nrog kev txuas cov electrodes me me rau koj lub taub hau thiab kaw cov haujlwm hluav taws xob los ntawm lub cerebral cortex. Nws yog siv los kuaj mob xws li qaug dab peg thiab ntau yam kev tsis zoo hauv lub paj hlwb hauv nruab nrab.
• Kev Ntsuas Lub Peev Xwm Ua Rau Mob: Cov kev ntsuas no ntsuas qhov kev ua haujlwm hluav taws xob hauv ntau qhov ntawm koj lub hlwb thiab tus txha caj qaum teb rau qhov kev txhawb nqa. Qhov no tuaj yeem qhia tau tias cov cim ntawm cov hlab ntsha mus rau lub hlwb sai thiab tag nrho li cas. Muaj ntau hom ntawm cov no, xws li Brainstem Auditory Evoked Response (BAER), Visual Evoked Peev Xwm (VEP), thiab Somatosensory Evoked Peev Xwm (SEP).
• Kev Kawm Txog Kev Pw Tsaug Zog / Polysomnography:Qhov no ua tiav los ntawm kev sau cia tas li seb koj lub cev ntau yam kab ke (xws li lub plawv, kev ua pa, thiab lub hlwb ua haujlwm li cas) thaum koj pw tsaug zog. Qhov no tseem ceeb heev rau kev kuaj mob pw tsaug zog tsis taus.

Puas yog tus kws kho mob hlwb mus kawm ntawv kho mob?

Yog, muaj tseeb tiag! Tus kws kho mob hlwb yog ib tug kws kho mob. Lawv mus kawm ntawv kho mob kom tau txais qhov kev txawj ntse no.

Yuav ua li cas ib tug neeg thiaj li dhau los ua ib tug kws kho mob hlwb?

Yuav kom dhau los ua tus kws kho mob hlwb, ib tug yuav tsum ua tiav cov kauj ruam kev kawm thiab kev cob qhia no:

• Koj yuav tsum ua tiav plaub xyoos kev kawm ua ntej kev kho mob los ntawm tsev kawm qib siab lossis tsev kawm qib siab thiab tau txais daim Bachelor's Degree.
• Tom qab ntawd, koj yuav tsum kawm plaub xyoos hauv tsev kawm ntawv kho mob thiab khwv tau daim ntawv kawm tiav "Doctor of Medicine - MD" lossis "Doctor of Osteopathic Medicine - DO".
• Koj yuav tsum ua tiav ib xyoos kev xyaum ua haujlwm hauv kev kho mob dav dav.
• Tom qab ntawd, nyob ntawm seb qhov kev pab cuam yog dab tsi, koj yuav tsum ua tiav qhov kev nyob hauv ib qho kev pab cuam neurology , uas tuaj yeem kav ntev txog plaub xyoos.

Muaj ib txhia neeg, tom qab kawm tiav qib siab no, lawv mus kawm cov kev pab cuam sib raug zoo kom tau txais kev txawj ntse ntxiv hauv ib cheeb tsam tshwj xeeb ntawm kev kho mob hlwb. Piv txwv li, lawv tuaj yeem tshwj xeeb hauv cov cheeb tsam xws li qaug dab peg, cov kab mob ntawm cov leeg nqaij, thiab kev pw tsaug zog tsis taus.

Yog li ntawd, yog tias tus kws kho mob xav tias koj muaj mob hlwb, lossis yog tias koj twb tau kuaj pom tias muaj ib qho lawm, tus kws kho mob hlwb yuav yog ib tug tswv cuab ntawm koj pab neeg kho mob. Lawv yog cov kws tshaj lij hauv lawv txoj haujlwm, thiab lawv paub zoo txog cov kev kuaj mob tshiab uas tuaj yeem ntsuas kev ua haujlwm ntawm koj lub paj hlwb. Tsis txhob yig nug koj tus kws kho mob hlwb. Lawv nyob ntawd los pab koj.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li cia peb saib qee yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Ib tug kws kho mob hlwb yog ib tug kws tshwj xeeb uas kawm txog seb koj lub paj hlwb, uas suav nrog koj lub hlwb, tus txha caj qaum, thiab cov hlab ntsha, ua haujlwm li cas. Lawv ua ntau yam kev kuaj mob los pab kuaj mob.
• Feem ntau tus kws kho mob hlwb yog tus muab kev kho mob, tab sis tus kws kho mob hlwb ua lub luag haujlwm tseem ceeb hauv kev kuaj mob kom raug.
• Cov neeg no siv ntau yam kev kuaj mob tshwj xeeb (piv txwv li, `EEG`, `EMG`, `NCS`, `Evoked Potentials`) los tiv thaiv lub paj hlwb ntawm kev puas tsuaj thaum lub sijhawm phais thiab los kuaj mob cov kab mob paj hlwb.
• Yog tias tus kws kho mob hais kom koj mus ntsib kws kho mob hlwb, nws txhais tau tias lawv xav saib tob txog kev ua haujlwm ntawm koj lub paj hlwb.Tsis txhob ntshai, nws yuav pab koj tau txais kev kho mob zoo dua.
• Yog koj muaj lus nug dab tsi, thov nug koj tus kws kho mob, txawm yog txog koj qhov kev kuaj mob lossis koj tus mob. Koj muaj cai paub txhua yam kom meej.

Vam tias koj tam sim no nkag siab zoo dua txog tus kws kho mob hlwb thiab lawv ua haujlwm dab tsi. Yog tias koj muaj lus nug ntxiv, nco ntsoov nrog koj tus kws kho mob tham.

Kev Tshawb Fawb Txog Lub Cev , Kws Kho Mob Txog Lub Cev, Lub Cev Nervous, Kev Ntsuas Lub Hlwb, Kev Kuaj Mob Hlwb, EEG, EMG, Kev Saib Xyuas Kev Phais Mob