Udat na Nyurofisiɔlɔjis? Lɛ wi fɛn ɔndastand!

Yu go mɔs dɔn yɛri yu dɔktɔ se yu nid fɔ go to ‘nyurophysiologist’. Ɔ sɔntɛm yu dɔn yɛri di nem ɛn de wɔnda se, "O, us kayn dɔktɔ dat?" Fɔ tru, pan ɔl we i kin tan lɛk wɔd we kɔmplikt, dɛn pipul ya kin rili impɔtant. Tide, lɛ wi tɔk bɔt udat rili bi nyurophysiologist ɛn aw dɛn kin ɛp yu wɛlbɔdi.

Udat na Nyurofisiɔlɔjis? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, nyurosayɛns na pɔsin we de kia fɔ wɛlbɔdi biznɛs ɛn we spɛshal pan aw yu nervɔs sistɛm de wok, mɔ di ilɛktrik wok we i de du. Dat min se dɛn kin chɛk fɔ si if yu bren, yu spɛnal kɔd (di nɛv kɔd we de insay yu spayna), ɛn ɔda nɛv dɛn de wok fayn. Dɛn kin du difrɛn tɛst fɔ ɛp fɔ no di sik dɛn we kin gɛt fɔ du wit di nervɔs sistɛm.

Tink bɔt am, wi bɔdi tan lɛk mashin we rili kɔmpleks. Di kɔntrol sɛnta fɔ dis mashin na di nervɔs sistɛm . כltin we yu de tink, כltin we yu de fil, כltin we yu de du – frכm we yu de wεv yu an to di bit we yu at de bit – na dis nεv sεstem de kכntro am. So, nyurophysiologist de ɛp wi fɔ si if prɔblɛm de wit dis sistɛm ɛn aw i de wok.

Wetin na di difrɛns bitwin nyurofysiɔlɔjis ɛn nyurolɔjis?

Dis na sɔntin we kin mek bɔku pipul dɛn kɔnfyus. Nyurofysiɔlɔjis na spɛshal pɔsin we sabi bɔt nyurolɔji .

Tink bɔt am dis we, nyurolɔjis na dɔktɔ we gɛt bɔku trenin pan ɔltin we gɛt fɔ du wit yu nervɔs sistɛm – in nɔmal strɔkchɔ, wok, ɛn di kɔndishɔn dɛn we de afɛkt am. Na dɛn wan ya kin no ɛn trit nyurolɔjik sik dɛm.

Nyurofysiɔlɔjis na nyurolɔjis we spɛshal pan di *fɔnkshɔn* fɔ di nervɔs sistɛm, dat na aw i de wok. Dɛn kin du difrɛn tɛst dɛn fɔ mɛzhɔ da wok de ɛn analayz di tɛst rizɔlt.

Di tin we impɔtant pas ɔl na dat, nyurofysiɔlɔjis nɔ kin rɛkɔmɛnd fɔ trit di nyurolɔjik sik dɛn. Na wan dɔktɔ we de stɔdi bɔt nyurol kin du dat . Bɔt, wan dɔktɔ we de stɔdi bɔt nyurofisiɔlɔji kin rili ɛp fɔ no ustɛm di sik na, in ɔda wɔd dɛn, fɔ no di kɔrɛkt tin bɔt di sik .

Wetin rili pɔsin we de stɔdi bɔt nyurofisiɔlɔji kin du?

Nyurofysiɔlɔjis kin no ɛn asɛs di tin dɛn we kin afɛkt di we aw yu nervɔs sistɛm de wok. Dɛn kin yuz difrɛn tɛst dɛn mɔ fɔ rayt di ilɛktrik wok we yu nervɔs sistɛm de du.

Na tu kayn nyurofysiɔlɔjis dɛn de mɔ:

1. Sɔj Nyurofisiɔlɔjis dɛn

2. Klinik Nyurofisiɔlɔjis dɛn

Di wok we dɛn ɔl tu de du difrɛn smɔl. Sɔm nyurofysiɔlɔjis dɛn kin wok bak fɔ du mɔ risach.

Sɔj Nyurofisiɔlɔjis dɛn

As di nem sho, dɛn pipul ya na pat pan di ɔpreshɔn tim. Dɛn kin wok tranga wan wit dɔktɔ dɛn we de mɛn pipul dɛn lɛk anestezi ɛn nyurosɔjɔn dɛn.

We dɛn de du ɔpreshɔn, dis nyurofysiɔlɔjis kin chɛk ɛn wach yu nervɔs sistɛm. Dipen pan di kayn ɔpreshɔn we dɛn de du, dis monitarin kin ɛp di ɔpreshɔn dɔktɔ dɛn fɔ ridyus di risk fɔ gɛt siriɔs prɔblɛm dɛn lɛk paralayz, yɛri lɔs, ɔ strok. Dɛn kɔl dis intraɔpareshɔn nyurofysiɔlɔji monitarin (IONM) .

Sɔm pan di ɔpreshɔn dɛn we dɛn pipul ya kin du bɔku tɛm na:

• Ɔpreshɔn we dɛn kin du na di spayna .
• Sɔm kayn ɔpreshɔn dɛn na di bren.
• Sɔm ɔpreshɔn dɛn na yu yes, nos, ɛn trot (ENT prosidur).
• Ɔpreshɔn fɔ di periferik nɛv.
• Vaskul ɔpreshɔn, lɛk Carotid Endarterectomies ɛn Thoracic-Abdominal Aortic Aneurysms (TAAA).

Dis na sɔm pan di tɛst ɛn monitarin sistɛm dɛn we dɛn kin yuz we dɛn de du ɔpreshɔn:

• `SSEP (Somatosensory Evoked Potentials)`: dis involv fכ gi sכm ilektrikal stimulus to wan pεriferal nεv na yu an כ leg. Dɔn i de mɛzhɔ aw yu bren, yu nervɔs sistɛm, ɔ yu spɛnal kɔd de du am. Bɔrku tɛm dɛn kin yuse am fɔ ɔpreshɔn pan spɛshal ɔpreshɔn, sɔm ɔpreshɔn fɔ di bren ɛn periferik nɛv.
• `TCeMEP (Transcranial Electrical Motor Evoked Potentials)`: Dis tεst involv fכ aplay ilektrikal stimulashכn to di ``Motor Cortex`` na yu bren εn rεkכd aw yu spεnal kכd כ mכsul dεm na yu limb dεm de rεspכnd to am. Dɛn kin yuz dis bak we dɛn de du ɔpreshɔn pan di spɛnal.
• ``BSEP (Brenstem Ɔditɔri Evoked Pɔtɛnɛshɛl)'':Dis involv fɔ mek yu lisin to sawnd, bɔku tɛm na "klik" tru iafon, ɛn wach aw yu bren stem de ansa am. dis de εp fכ mכnitor di bren stεm fכnshכn εn kip di yεri we dεn de du כpεrayshכn fכ pul di tכmכro dεm lεk akostik nyuroma dεm εn di bren stεm tכmכro dεm.
• EEG (Electroencephalogram): Dis de rεkכd di nεchכral ilektrikal aktiviti fכ di bren. dεn kin yus am fכ mek dεn nכ damej we di bכdi we dεn rεdכks to di bren (ischemia) we dεn de du כpεrayshכn lεk Carotid Endarterectomies εn Aneurysm clippings, εn fכ mכnitor di fכnshכn εn "hεlth" fכ di sεribra kכtεks.

Klinik Nyurofisiɔlɔjis dɛn

Dɛn pipul ya kin wok klos wit nyurolɔjis ɛn nyurosɔjɔn dɛn. Dɛn kin ebul fɔ no aw yu nervɔs sistɛm de wok ɛn no aw yu nervɔs ɛn nyuromɔskul dɛn de wok. Dipen pan yu kɔndishɔn, dɛn kin du dɛn tɛst ya fɔ ɔtpeshɛnt ɔ we yu de na ɔspitul.

Na sɔm pan di tɛst dɛm we klinik nyurofysiɔlɔjis dɛn kin yuz:

• EMG (Electromyography): Dis de tɛst di wɛlbɔdi ɛn di wok we yu skel mɔsul dɛn ɛn di nɛv dɛn we de kɔntrol dɛn de du. I kin ɛp fɔ no bɔku sik dɛn, lɛk Pɛriferal Nyuropathy, Carpal Tunnel Syndrome, Muscular Dystrophy, ɛn Amyotrophic Lateral Sclerosis (ALS).
• Nεv Kכndukshכn Stɔdi (NCS): Dis de tεst aw yu pεrifεral nεv dεm de wok fayn fayn wan. I kin no if wan periferik nerve dɔn pwɛl ɛn aw fa i dɔn spre. Bɔku tɛm, dɛn kin du ɔl tu di EMG ɛn NCS tɛst dɛn togɛda.
• EEG (Electroencephalogram): Dis involv fכ ataya sכm sכm εlektrod dεm na yu skel εn rεkכd di ilektrikal aktiviti frכm di sεribra kכtεks. Dɛn kin yuse am fɔ no bɔt di sik dɛm lɛk we pɔsin kin gɛt sik ɛn difrɛn difrɛn tin dɛm we nɔ kin apin na di sɛntral nervɔs sistɛm.
• Evoked Potential Test: dεn tεst dεm ya de mכsu di ilektrikal aktiviti na difrεn pat dεm na yu bren εn spεnal kכd we de ansa to wan stimulus. Dis kin sho aw di nεv signal dεm kin travul kwik εn kכmplit to di bren. difrεn kayn dεm de, lεk di Brenstem כditory Evoked Response (BAER), Visual Evoked Potential (VEP), εn Somatosensory Evoked Potential (SEP).
• Stɔdi fɔ Slip / Polisomnografi:Dis kin bi bay we yu de kɔntinyu fɔ rayt aw di difrɛn tin dɛn we yu bɔdi de du (lɛk aw yu at, aw yu de blo, ɛn aw yu bren de wok) de wok we yu de slip. Dis na impɔtant tin fɔ no bɔt di prɔblɛm dɛn we kin apin we pɔsin de slip.

Yu tink se nyurophysiologist kin go na mɛdikal skul?

Yɛs, fɔ tru! Nyurofysiɔlɔjis na dɔktɔ. Dɛn kin go na mɛdikal skul fɔ gɛt dis ɛkspɛriɛns.

Aw pɔsin kin bi nyurophysiologist?

Fɔ bi klinik nyurofysiɔlɔjis, pɔsin fɔ dɔn dɛn edyukeshɔn ɛn trenin step ya:

• Yu fɔ dɔn fɔs fɔ 4 ia pri-mɛdikal ɛdyukeshɔn frɔm kɔleji ɔ yunivasiti ɛn gɛt Bachelor’s Degree.
• Afta dat, yu nid fɔ stɔdi fɔ 4 ia na mɛdikal skul ɛn gɛt ɔl tu ``Dɔkta fɔ Mɛdisin - MD'' ɔ ``Dɔkta fɔ Ɔstiopatik Mɛdisin - DO'' digri.
• Yu nid fɔ dɔn wan ia intanshɔp na jenɛral mɛdisin.
• Dɔn, dipen pan di program, yu fɔ dɔn wan rɛzidɛns na wan nyurolɔji program , we kin las fɔ 4 ia.

Sɔm pipul dɛm, afta dis rɛsidɛns, kin go na feloship program fɔ gɛt mɔ dip ɛkspɛriɛns pan wan patikyula eria pan nyurofisiɔlɔji. Fɔ ɛgzampul, dɛn kin spɛshal pan tin dɛn lɛk ɛpilepshi, nyuromɔsul sik, ɛn slip prɔblɛm.

So, if dɔktɔ sɔspɛkt se yu gɛt nyurolɔjik kɔndishɔn, ɔ if dɛn dɔn ɔlrɛdi no se yu gɛt wan, nyurolɔjis kin bi mɛmba na yu wɛlbɔdi tim. Dɛn sabi dɛn wok, ɛn dɛn sabi di laytst tɛst dɛn we go ebul fɔ no aw yu nervɔs sistɛm de wok. Nɔ ɛva shem fɔ aks yu nyurolɔjis kwɛstyɔn dɛn. Dɛn de de fɔ ɛp yu.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi luk sɔm pan di impɔtant tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Nyurofysiɔlɔjis na spɛshal pɔsin we de stɔdi aw yu nervɔs sistɛm, we inklud yu bren, spɛshal kɔd, ɛn nerv dɛn de wok. Dɛn kin du difrɛn tɛst dɛn fɔ ɛp fɔ no if pɔsin gɛt sik dɛn.
• Bɔku tɛm, na pɔsin we de mɛn nyuro kin gi tritmɛnt, bɔt dɔktɔ we de mɛn nyuro kin ɛp fɔ no di sik kɔrɛkt wan.
• dis pipul dεm de yuz difrεn spεshal tεst dεm (e.g., `EEG`, `EMG`, `NCS`, `Evoked Potentials`) fכ protεkt di nεv sεstem frכm damej we dεn de du כpεrayshכn εn fכ klinik wan fכ no di nyurolכjik sik dεm.
• If dɔktɔ tɛl yu fɔ go to nyurofysiɔlɔjis, dat min se dɛn want fɔ tek tɛm luk aw yu nervɔs sistɛm de wok.Nɔr frayd, e go ɛp yu fɔ gɛt bɛtɛ tritmɛnt.
• Fil fri fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt, ilɛksɛf na bɔt yu tɛst ɔ yu sik. Yu gɛt rayt fɔ no ɔltin klia wan.

a op se yu don geht beta andastan naw boht udat na nyurophysiologist en wetin dem de du. If yu gɛt ɛni ɔda kwɛstyɔn, mek shɔ se yu tɔk to yu dɔktɔ.

` Nyurofisioloji, Nyurofisiɔlɔjis, Nɛvɔ sistɛm, Bren tɛst, Nyurodaygnɔz, EEG, EMG, Ɔspitul monitarin