Neurophysiologist chu tu nge ni? I zawng chhuak ang u!

I doctor-in ‘neurophysiologist’ hmuh a ngai tih i hre tawh ngei ang. A nih loh leh a hming i hriatin, "Aw, chu chu eng ang doctor nge ni?" Dik tak chuan thumal buaithlak tak angin a ri thei a, mahse heng mite hian hmun pawimawh tak an chang a ni. Vawiin hian neurophysiologist hi tute nge ni tak tak tih leh i hriselna an puih theih dan tur kan sawi dawn nia.

Neurophysiologist chu tu nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, neuroscientist chu healthcare provider a ni a, i nervous system hnathawh dan, a bik takin a electrical activity lama tui tak a ni. Chumi awmzia chu i thluak, i ruhro (i ruhro chhunga nerve cord), leh nerve dangte chu a thawk tha em tih an enfiah tihna a ni. Nervous system nena inzawm thei dinhmun hriat theihna turin test hrang hrang an ti thei a ni.

Ngaihtuah teh, kan taksa hi machine complex tak ang mai a ni. He machine control center chu nervous system a ni . I ngaihtuahna zawng zawng, i hriat zawng zawng, i thil tih zawng zawng – i kut i vawrh atanga i thinlung na tak thlengin – he nervous system hian a thunun vek a ni. Chuvangin, neurophysiologist chuan he system-ah hian harsatna a awm em tih leh a hnathawh dan tur min hriat theih nan min pui thin.

Neurophysiologist leh neurologist te hi eng nge an danglamna?

Hei hi mi tam tak tibuaitu a ni. Neurophysiologist hi neurology lama mithiam tak a ni a .

Hetiang hian han ngaihtuah teh, neurologist chu doctor a ni a, i nervous system nena inzawm zawng zawng – a structure pangngai, a hnathawh dan, leh a nghawngtu dinhmun hrang hrangah training zau tak a nei a ni. Anni hi a tlangpuiin thluak lam natna hmuhchhuah leh enkawltu an ni.

Neurophysiologist chu neurologist a ni a, nervous system *function*, chu chu a hnathawh dan tur a ni. Chu hnathawh chu tehna atan test hrang hrang an ti a, test result an zirchiang bawk.

A pawimawh ber chu neurophysiologist hian neurological diseases enkawl dan tur a rawt lo tlangpui. Chu chu neurologist in a ti thin . Mahse, neurophysiologist chuan natna chu eng nge a nih chiah tih hriat nân a ṭangkai hle thei a, a danglamna chu, diagnosis dik tak a pe thei a ni .

Neurophysiologist hian eng nge a tih tak tak?

Neurophysiologist chuan i nervous system hnathawhna tichhe thei dinhmunte chu a enfiah a, a zir chiang ber a ni. Anni hian a bul berah chuan i nervous system electrical activity record nan test hrang hrang an hmang thin.

Neurophysiologist hi chi hnih an awm ber a, chungte chu:

1. Surgery hmanga Neurophysiologist te

2. Clinical Neurophysiologist te an ni a, an zingah hian mi 100 chuang an awm

An pahnih chanvo hi a inang lo deuh hlek a. Neurophysiologist thenkhat pawhin research lam hawi zawkin hna an thawk bawk.

Surgery hmanga Neurophysiologist te an ni

A hming ang bawkin heng mite hi surgical team-ah hian an tel ve a ni. Anesthesiologist leh neurosurgeon ang chi surgeon te nen an thawk dun nasa hle.

Surgery neih chhung hian he neurophysiologist hian i nervous system chu a enfiah a, a enkawl bawk. Surgery tih tur chi hrang hrang a zirin he monitoring hian surgeon-te chu paralysis, hriatna hloh, stroke ang chi harsatna lian tham tak takte tihziaawmna turin a pui thei a ni. Hei hi intraoperative neurophysiology monitoring (IONM) tih a ni.

Heng mite hian an tih fo thin surgery thenkhat chu:

• Spinal surgery neih a ni .
• Thluak surgery chi hrang hrang.
• Beng, hnar leh beng surgery (ENT procedure) thenkhat.
• Peripheral nerve hmanga operation tih a ni.
• Vascular surgery, Carotid Endarterectomies leh Thoracic-Abdominal Aortic Aneurysms (TAAA) te pawh a awm thei.

Hengte hi operation an neih chhunga an testing leh monitoring system an hman thenkhat chu an ni:

• `SSEP (Somatosensory Evoked Potentials)`: Hei hian i kut emaw ke emaw a peripheral nerve pakhatah electrical stimulus te tak te pek a huam a ni. Chumi hnuah chuan i thluak, nervous system, a nih loh leh i ruhroin a chhân lêt dân a teh a ni. Spinal surgery-ah te, thluak leh peripheral nerve surgery thenkhatah te hman a ni fo.
• `TCeMEP (Transcranial Electrical Motor Evoked Potentials)`: He test ah hian i thluak ``Motor Cortex`` ah electrical stimulation pek a ni a, i spinal cord emaw i taksa peng hrang hranga muscle ten an chhan dan record a ni. Hei hi ruhro surgery-ah pawh hman a ni tlangpui.
• ``BSEP (Brainstem Auditory atanga lo chhuak thei thil)'':Hei hian aw ngaihthlak tir che a huam a, a tlangpuiin earphone hmanga "click" a, i thluak stem-in a chhan dan en a huam a ni. Hei hian thluak hnathawh dan a enfiah a, surgery neih laiin hriatna a humhim a, acoustic neuromas leh thluak bul tumor te chu a paih chhuak thei a ni.
• EEG (Electroencephalogram): Hei hian thluaka electrical hnathawh dan (natural electrical activity) a record a. Carotid Endarterectomies leh Aneurysm clippings ang chi operation-a thluaka thisen pek tlem (ischemia) avanga chhiatna thleng venna atan te, cerebral cortex hnathawh leh "hriselna" enfiahna atan te hman a ni.

Clinical Neurophysiologist te pawh an awm a

Heng mite hian neurologist leh neurosurgeon te nen an thawk dun tha hle. I nervous system hnathawh dan an zirchiang a, nerve leh neuromuscular condition te an enfiah thin. I dinhmun a zirin heng test te hi outpatient basis emaw damdawi ina i awm lai emaw pawhin tih theih a ni.

Clinical neurophysiologist-te test hman ṭhenkhat chu hetiang hi a ni:

• EMG (Electromyography): Hei hian i ruh ruh leh a thununtu nerve te hriselna leh hnathawh dan a test thin. Natna hrang hrang hriatchhuahna kawngah a pui thei a, chung zingah chuan Peripheral Neuropathy, Carpal Tunnel Syndrome, Muscular Dystrophy, leh Amyotrophic Lateral Sclerosis (ALS) te pawh a tel.
• Nerve Conduction Study (NCS): Hei hian i peripheral nerve te hnathawh that dan a test thin. Peripheral nerve a chhiat leh chhiat loh leh eng chen nge a darh tih a hriat theih. Vawi tam tak chu EMG leh NCS test pahnih hi tih dun vek a ni.
• EEG (Electroencephalogram): Hei hian i lu vunah electrode te te dahin, cerebral cortex atanga electrical activity record a huam a ni. Central nervous system-a seizure leh thil danglam chi hrang hrang hriat theihna atan hman a ni.
• Evoked Potential Test: Heng test te hian i thluak leh i ruhro hmun hrang hranga electrical activity chu stimulus chhanna atan an teh thin. Hei hian nerve signal te chu thluaka a kal chak zia leh a famkim zia a tilang thei a ni. Hengte hi chi hrang hrang a awm a, chungte chu Brainstem Auditory Evoked Response (BAER), Visual Evoked Potential (VEP), leh Somatosensory Evoked Potential (SEP) te an ni.
• Mut chungchang zir chianna / Polysomnography:Hei hi i mut laiin i taksa system hrang hrang (thinlung, thawk leh thluak hnathawh ang chi) hnathawh dan record chhunzawm zel hmanga tih a ni. Hei hi mut harsatna hriatchhuahna atan a pawimawh hle.

Neurophysiologist hian medical school a kal em?

Ni e, a dik tak zet! Neurophysiologist chu doctor a ni. He thiamna hi nei turin medical school an kal thin.

Engtin nge mi pakhat chu neurophysiologist a nih theih ang?

Clinical neurophysiologist nih tur chuan heng zirna leh zirtirna step te hi tihfel a ngai a ni:

• College emaw university emaw atanga kum li chhung pre-medical education i zo hmasa tur a ni a, Bachelor’s Degree i zir hmasa tur a ni.
• Chumi hnuah chuan medical school-ah kum li chhung zir a ngai a, ``Doctor of Medicine - MD'' emaw ``Doctor of Osteopathic Medicine - DO'' degree emaw i hlawh a ngai a ni.
• General medicine lama kum khat chhung internship i zawh a ngai a ni.
• Tichuan, program a zirin, neurology program-ah residency i zo tur a ni , chu chu kum li thleng a daih thei a ni.

Mi thenkhat chuan he residency hnuah hian neurophysiology area bik pakhata thiamna thuk zawk neih tumin fellowship programme -ah an kal thin. Entirnan, epilepsy, neuromuscular diseases, leh mutna lama harsatna te ang chi hrang hrangah an specialise thei a ni.

Chuvangin, doctor-in neurological condition i neih a rinhlelh chuan, emaw, i nei tih hmuhchhuah tawh a nih chuan, neurologist chu i healthcare team member a ni thei. An field-a mithiam tak an ni a, i nervous system hnathawh dan tehna tur test thar ber berte pawh an hre chiang hle. I neurologist zawhna zawt hreh ngai suh. I tanpui turin an awm reng a ni.

Hriat reng tur pawimawh ber ber (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian thil pawimawh tak tak i hriat reng tur thenkhat han thlir ila:

• Neurophysiologist chu i thluak, i ruhro leh i nerve te pawh huam tel, i nervous system hnathawh dan zir chiangtu specialist a ni. Natna hriat theihna tura pui turin test hrang hrang an ti thin.
• Neurologist hi a tlangpuiin enkawlna petu a ni a, mahse neurophysiologist hian natna dik tak hriat theihna kawngah nasa takin a thawhhlawk a ni.
• Heng mite hian specialized test hrang hrang (e.g., `EEG`, `EMG`, `NCS`, `Evoked Potentials`) an hmang a, chu chu operation neih laiin nervous system chhiatna laka humhim nan leh clinically diagnose neurological diseases an ni.
• Doctorin neurophysiologist hmu turin a hrilh che a nih chuan i nervous system hnathawh dan ngun taka enfiah an duh tihna a ni.Hlau suh, enkawlna tha zawk i hmuh theih nan a pui ang che.
• Zawhna i neih apiang chu i doctor hnenah zawt la, i test chungchangah emaw, i dinhmun emaw pawh nise. Engkim chiang taka hriat theihna i nei.

Tunah chuan neurophysiologist hi tute nge an nih leh eng nge an tih tih hi in hriatthiam ka beisei. Zawhna dang i neih chuan i doctor nen inbia ngei ang che.

` Neurophysiology, Neurophysiologist, Nervous system, Thluak test, Neurodiagnosis, EEG, EMG, Surgical monitoring te a ni