Koj tus kws kho mob puas tau hais kom koj mus kuaj EMG? Los yog koj puas muaj mob tsis tu ncua hauv koj ob txhais ceg, xav tias koj cov leeg tsis muaj zog, thiab qee zaum xav tias xeev siab? Yog li qhov no yog ib qho kev kuaj tseem ceeb heev uas tuaj yeem pab nrhiav qhov ua rau muaj teeb meem zoo li no. Cia peb tham txog qhov kev kuaj EMG no hauv cov lus yooj yim.
EMG (Electromyography) yog dab tsi tiag?
Hais yooj yim xwb, EMG yog ib qho kev kuaj tshwj xeeb uas kuaj xyuas kev noj qab haus huv thiab kev ua haujlwm ntawm koj cov leeg thiab cov hlab ntsha uas tswj lawv. Txhua qhov kev txav uas peb ua, txij li tsa ib txhais caj npab mus txog rau kev co taub hau, tshwm sim los ntawm cov txheej txheem sib txuas lus nyuaj heev ntawm lub hlwb, cov hlab ntsha caj qaum, cov hlab ntsha, thiab cov leeg.
Xav txog seb, koj lub hlwb yog lub chaw ua haujlwm loj. Los ntawm qhov ntawd, nws xa ib lub teeb liab hluav taws xob los 'tsa koj txhais tes'. Lub teeb liab no mus zoo li cov lus hluav taws xob raws cov hlab ntsha (ib yam li cov xov hluav taws xob) thiab mus txog cov leeg nqaij (ib yam li cov khoom siv hluav taws xob). Thaum tau txais cov lus ntawd, cov leeg nqaij yuav sib zog thiab tsa tes. Kev xeem EMG xyuas seb puas muaj qhov tsis zoo ntawm 'cov xov hluav taws xob', 'cov khoom siv hluav taws xob', lossis kev sib txuas ntawm ob qho tib si.
Cov kws kho mob feem ntau ua lwm qhov kev kuaj hu ua Nerve Conduction Study (NCS) nrog rau kev kuaj EMG. NCS ntsuas qhov ceev thiab lub zog ntawm lub teeb liab hluav taws xob uas taug kev raws cov hlab ntsha. EMG ntsuas seb cov leeg teb li cas rau lub teeb liab ntawd.
Cov kab mob twg tuaj yeem kuaj pom los ntawm EMG?
Qhov kev kuaj no tuaj yeem pab kuaj mob ntau yam mob ntawm cov hlab ntsha thiab cov leeg, txiav txim siab seb lawv mob hnyav npaum li cas, thiab qhia meej tias qhov twg raug mob. Qee zaum, nws kuj siv los paub tseeb tias koj tsis muaj ib qho mob tshwj xeeb.
Saib lub rooj hauv qab no rau cov pawg kab mob tseem ceeb uas EMG tuaj yeem pab kuaj mob.
| Pawg kab mob | Cov lus piav qhia yooj yim thiab cov piv txwv |
|---|---|
| Cov teeb meem ntawm cov hlab ntsha peripheral | Kev puas tsuaj rau cov hlab ntsha uas tawm ntawm lub hlwb thiab cov hlab ntsha qaum. Piv txwv li: peripheral neuropathy , carpal tunnel syndrome . |
| Cov teeb meem ntawm cov hlab ntsha | Cov hlab ntsha raug nias. Piv txwv li: mob caj dab cervical radiculopathy , sciatica . |
| Cov kab mob ntawm cov leeg nqaij / Myopathies | Cov kab mob uas cuam tshuam rau cov leeg nqaij lawv tus kheej, yam tsis cuam tshuam rau cov hlab ntsha. Piv txwv li: muscular dystrophy , polymyositis , dermatomyositis . |
| Cov xwm txheej ntawm cov neuron motor | Cov kab mob uas cuam tshuam rau cov hlwb hauv lub hlwb lossis cov hlab ntsha hauv lub hlwb uas tswj kev txav mus los. Piv txwv li: Amyotrophic Lateral Sclerosis (ALS) , post-polio syndrome . |
| Teeb meem hauv kev sib txuas ntawm cov hlab ntsha thiab cov leeg | Cov mob uas cov leeg nqaij tsis tau txais cov lus los ntawm cov hlab ntsha kom zoo. Piv txwv li: Myasthenia Gravis . |
Tiam sis nco ntsoov tias, kev kuaj EMG tsis yog tib txoj kev los kuaj mob no. Koj tus kws kho mob kuj tseem yuav siv kev kuaj ntshav, kev luam theej duab, thiab tej zaum yuav siv cov nqaij los kuaj.
Qhov kev xeem no ua haujlwm li cas tiag?
Yuav kom nkag siab qhov no, cia peb rov qab los saib seb peb cov leeg nqaij ua haujlwm li cas. Cov leeg nqaij noj qab nyob zoo tsis qhia txog kev ua haujlwm hluav taws xob thaum peb tsis txav (thaum so). Tab sis thaum peb cov leeg nqaij ntawd nruj me ntsis, kev ua haujlwm hluav taws xob me me tshwm sim. Thaum peb nruj heev, qhov kev ua haujlwm hluav taws xob no nce ntxiv.
Thaum lub sijhawm kuaj EMG, tus kws kho mob lossis tus kws tshaj lij uas tau kawm tiav yuav ntxig ib rab koob nyias heev (nrog lub electrode txuas rau ntawm lub hau) hla koj daim tawv nqaij mus rau hauv cov leeg nqaij uas muaj lus nug.
Ib qho uas ntau tus neeg ntshai yog tias rab koob no yuav ua rau lawv raug hluav taws xob. Qhov ntawd yuav tsis tshwm sim. rab koob no zoo li lub microphone. Nws tsuas yog "mloog" cov hluav taws xob hauv cov leeg thiab kaw nws.
Cov koob no sau cov ntaub ntawv thaum koj tsis txav cov leeg, thiab thaum koj maj mam thiab sai sai raws li koj tus kws kho mob hais kom koj ua. Cov ntaub ntawv no tshwm sim ua nthwv dej ntawm lub vijtsam computer. Qee zaum cov teeb liab hluav taws xob no kuj hnov ua suab. "Lub suab" los ntawm cov leeg noj qab haus huv txawv ntawm "lub suab" los ntawm cov leeg mob. Los ntawm kev tshuaj xyuas cov nthwv dej thiab suab no, tus kws kho mob xaus lus txog qhov xwm txheej ntawm koj cov leeg thiab cov hlab ntsha.
Kuv yuav tsum npaj li cas rau kev kuaj EMG?
Qhov no tsis tas yuav npaj ntau, tab sis nws yog qhov zoo kom paub txog ob peb yam no.
- Ua kom huv si: Da dej kom huv si ua ntej qhov kev kuaj mob. Tab sis tsis txhob siv tshuaj pleev, tshuaj pleev, hmoov, lossis tshuaj tsw qab rau koj daim tawv nqaij. Cov no tuaj yeem cuam tshuam rau qhov tseeb ntawm qhov kev kuaj mob.
- Khaub Ncaws: Hnav khaub ncaws xis nyob thiab xoob.
- Qhia rau koj tus kws kho mob txog koj cov tshuaj: Yog tias koj noj tshuaj anticoagulant, xws li warfarin , nco ntsoov qhia rau koj tus kws kho mob. Cov tshuaj no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav me me ntawm qhov chaw txhaj tshuaj. Txawm li cas los xij, tsis txhob tsum noj nws yam tsis tau sab laj nrog koj tus kws kho mob ua ntej.
- Lwm cov khoom siv kho mob: Yog tias koj muaj lub tshuab pacemaker lossis lwm yam khoom siv kho mob hluav taws xob ntsia, thov qhia rau peb ua ntej.
- Khoom Noj thiab Haus: Qee zaum, koj yuav raug qhia kom tsis txhob haus luam yeeb thiab haus dej uas muaj caffeine, xws li kas fes thiab tshuaj yej, ob mus rau peb teev ua ntej qhov kev kuaj mob.
Muaj dab tsi tshwm sim thaum lub sijhawm xeem?
Feem ntau, kev kuaj NCS yuav ua ua ntej EMG. Lub sijhawm ntawd, cov electrodes, zoo li cov ntawv nplaum, yuav raug muab tso rau ntawm koj daim tawv nqaij thiab xa ib qho hluav taws xob me me mus ntsuas qhov teb ntawm cov hlab ntsha. Qhov no yuav zoo li kev poob siab me me. Tom qab ntawd EMG yuav ua tiav. Qhov no yog qhov tshwm sim thaum lub sijhawm EMG:
1. Koj yuav raug hais kom zaum saum lub rooj zaum lossis pw saum txaj.
2. Tus kws kho mob xaiv cov leeg nqaij uas yuav kuaj thiab ntxuav thaj chaw ntawd.
3. Tom qab ntawd, muab ib rab koob nyias nyias uas tau ntxuav kom huv si ntxig rau hauv daim tawv nqaij mus rau hauv cov leeg nqaij. Feem ntau nws yuav siv sijhawm li ib lossis ob feeb los kuaj ib cov leeg nqaij.
4. Thaum koj muab koob txhaj rau hauv koj lub qhov ntswg, koj yuav hnov mob me ntsis los yog tsis xis nyob.
5. Tom qab ntawd, tus kws kho mob yuav hais kom koj so cov leeg nqaij, ces maj mam zawm nws, thiab tom qab ntawd zawm nws me ntsis zog dua. Txhua zaus, lub tshuab yuav kaw cov hluav taws xob ntawm cov leeg nqaij.
6. Tom qab tau txais cov ntaub ntawv tsim nyog los ntawm ib qho leeg, lub koob raug tshem tawm thiab cov leeg tom ntej raug kuaj tib yam. Nyob ntawm koj cov tsos mob, koj yuav tsum tau kuaj ntau cov leeg.
Qee cov lus nug uas koj yuav xav paub txog...
Qhov kev xeem no puas mob heev?
Nws yog ib qho ib txwm muaj uas yuav hnov mob lossis tsis xis nyob thaum lub koob txhaj tshuaj raug ntxig rau hauv cov leeg nqaij. Txawm li cas los xij, feem ntau cov neeg pom tias qhov mob no tuaj yeem ua tau. Yog tias koj ntsib kev mob uas tsis tuaj yeem ua tau, qhia rau tus neeg ua qhov kev kuaj mob.
Yuav siv sijhawm ntev npaum li cas?
Nyob ntawm seb muaj pes tsawg cov leeg thiab cov hlab ntsha uas raug kuaj, feem ntau nws yuav siv sijhawm ntawm 60 thiab 90 feeb .
Tom qab kuaj tas lawm, yuav muaj dab tsi tshwm sim?
Tej zaum yuav muaj qee qhov mob hauv cov leeg nqaij qhov twg cov koob txhaj tau ntxig rau ob peb hnub tom qab kuaj. Qhov no feem ntau yuav ploj mus tag hauv ib lub lim tiam. Koj kuj tseem yuav pom qee qhov mob ntawm qhov twg cov koob txhaj tau ntxig.
Puas muaj tej yam txaus ntshai?
EMG yog ib qho kev kuaj mob uas muaj kev nyab xeeb heev . Tej yam teeb meem tsis tshua muaj. Tej zaum yuav muaj qee qhov los ntshav ntawm qhov chaw txhaj tshuaj, tshwj xeeb tshaj yog rau cov neeg uas noj cov tshuaj ua kom cov ntshav nyias. Kev pheej hmoo ntawm kev kis kab mob ntawm qhov chaw txhaj tshuaj yog tsawg heev.
Thaum twg koj yuav tsum nrog kws kho mob tham tom qab kuaj tas?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no tom qab kuaj, qhia rau koj tus kws kho mob.
| Qhov tshwj xeeb uas yuav tsum tau them sai sai rau | Kev piav qhia |
|---|---|
| Kev ntshav uas yuav tsis nres | Yog tias los ntshav tsis nres ntawm qhov chaw ntxig koob. |
| Mob hnyav heev | Yog koj mob lossis mob nqaij tawv uas tsis tuaj yeem ua tau ces qhov ntawd yog qhov mob ntau dua li qhov mob ib txwm muaj. |
| Cov cim qhia txog kev kis kab mob | Liab, o, sov so, lossis kub taub hau ntawm qhov chaw uas muab koob txhaj tshuaj. |
Thaum kawg txog daim ntawv qhia txog kev xeem...
Koj daim ntawv qhia txog kev kuaj mob feem ntau yuav muaj nyob rau hauv 24 txog 48 teev. Txawm li cas los xij, nws yog ib qho tseem ceeb kom nkag siab qhov no:
Cov txiaj ntsig ntawm kev kuaj EMG tsuas yog ib qho ntawm cov teeb meem xwb. Lawv ib leeg tsis tuaj yeem muab kev kuaj mob tag nrho. Koj tus kws kho mob yuav muab daim ntawv qhia EMG, koj cov tsos mob, cov ntaub ntawv kuaj lub cev, thiab lwm yam txiaj ntsig ntawm kev kuaj mob (xws li kev luam theej duab thiab kev kuaj ntshav) ua ke los ua kom tiav qhov kev kuaj mob zaum kawg.
Piv txwv li, yog tias xav tias muaj cov hlab ntsha raug nias, EMG tuaj yeem muab cov ntaub ntawv txog kev puas tsuaj rau cov leeg thiab cov hlab ntsha los ntawm kev nias. Txawm li cas los xij, kom "pom" qhov twg cov hlab ntsha raug nias thiab dab tsi ua rau nws (piv txwv li, lub disc herniated), ib yam dab tsi zoo li MRI scan yog qhov yuav tsum tau ua.
Yog li ntawd, yog tias koj yuav tsum tau kuaj EMG, tsis txhob ntshai nws. Nws yog ib qho kev kuaj mob muaj txiaj ntsig zoo uas yuav pab koj tus kws kho mob nrhiav qhov ua rau koj muaj teeb meem thiab npaj txoj kev kho mob zoo tshaj plaws. Yog tias koj muaj lus nug txog kev kuaj mob, tsis txhob yig nug koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- EMG yog ib qho kev kuaj mob uas muaj kev nyab xeeb thiab muaj txiaj ntsig zoo uas kuaj xyuas kev noj qab haus huv ntawm koj cov leeg thiab cov hlab ntsha.
- Qhov no pab nrhiav qhov ua rau muaj teeb meem xws li loog ntawm ob txhais ceg, cov leeg tsis muaj zog, thiab mob.
- Txawm hais tias muaj qee qhov tsis xis nyob vim yog siv rab koob nyias thaum lub sijhawm kuaj, nws feem ntau tuaj yeem ua siab ntev.
- Nco ntsoov qhia rau koj tus kws kho mob txog cov tshuaj uas koj noj (tshwj xeeb tshaj yog cov tshuaj uas ua rau cov ntshav nyias) thiab txhua yam khoom siv uas koj muaj, xws li lub tshuab ua pacemakers, ua ntej qhov kev kuaj mob.
- Daim ntawv qhia EMG tsuas yog ib kauj ruam hauv cov txheej txheem kuaj mob xwb. Koj tus kws kho mob yuav xav txog ntau yam ntxiv kom txog thaum kawg.
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