Kua kī atu tō tākuta kia whakamātauria koe ki te EMG? Kāore rānei, kei te pāngia tonutia koe e te ngoikore o ō waewae, te ngoikore o ō uaua, me te whakapairuaki i ētahi wā? He whakamātautau tino nui tēnei hei āwhina i te kimi i te pūtake o ēnei raruraru. Me kōrero tātou mō tēnei whakamātautau EMG i roto i ngā kupu māmā noa iho.
He aha rawa te EMG (Electromyography)?
He whakarāpopototanga noa iho, he whakamātautau motuhake te EMG e tirotiro ana i te hauora me te mahi a ō uaua me ngā io e whakahaere ana i a rātou. Ko ia nekehanga e mahia ana e tātou, mai i te hiki i te ringa ki te pōkaikaha o te mahunga, ka puta mā roto i tētahi tukanga whakawhitiwhiti kōrero tino uaua i waenga i te roro, te taurakira, ngā io, me ngā uaua.
Whakaarohia, ko tō roro te tari matua. Mai i reira, ka tukuna he tohu hiko hei 'whakaara i tō ringa'. Ka haere tēnei tohu pērā i te karere hiko i roto i ngā io (pērā i te waea hiko) ka tae atu ki te uaua e tika ana (pērā i te taputapu hiko). Ina tae mai taua karere, ka kōpiri te uaua ka ara ake te ringa. Ka tirohia e te whakamātautau EMG ngā hapa o ngā 'waea hiko', ngā 'taputapu hiko', te hononga rānei i waenganui i ngā mea e rua.
He maha ngā wā ka whakahaerehia e ngā tākuta tētahi atu whakamātautau e kiia nei ko te Rangahau Whakahaere Nerve (NCS) me te whakamātautau EMG. Ka ine te NCS i te tere me te kaha o te tohu hiko e haere ana i te taha o te io. Ka ine te EMG i te urupare a te uaua ki taua tohu.
He aha ngā mate ka taea te kitea mā te whakamātautau EMG?
Ka āwhina tēnei whakamātautau ki te tautuhi i ngā mate maha o te io me te uaua, te whakatau i tōna kaha, me te tohu i te wāhi tika e pāngia ana. I ētahi wā, ka whakamahia hoki hei whakaū kāore he mate motuhake kei a koe.
Tirohia te ripanga i raro nei mō ngā momo mate matua ka taea e te EMG te āwhina ki te tautuhi.
| Kāwai mate | He whakamārama māmā me ngā tauira |
|---|---|
| Ngā raruraru io ā-pūnaha | Te kino ki ngā io e puta ana i te roro me te taurakira. Ngā tauira: te neuropathy peripheral , te carpal tunnel syndrome . |
| Ngā raruraru pakiaka io | Ngā io kua kōpikopiko. Ngā tauira: te radiculopathy o te kaki, te sciatica . |
| Ngā mate uaua / Ngā myopathies | Ngā mate e pā ana ki ngā uaua tonu, engari kāore e pā ki ngā io. Hei tauira: te mate pūkahukahu uaua , te polymyositis , te dermatomyositis . |
| Ngā āhuatanga o te neuron motuka | Ngā mate e pā ana ki ngā pūtau io i roto i te roro, i te taurakira rānei e whakahaere ana i te nekehanga. Ngā tauira: Amyotrophic Lateral Sclerosis (ALS) , te mate muri-polio . |
| Ngā raruraru i roto i te hononga i waenga i ngā io me ngā uaua | Ngā āhuatanga kāore e tae tika mai te karere mai i te io ki te uaua. Tauira: Myasthenia Gravis . |
Engari kia maumahara, ehara i te mea ko ngā whakamātautau EMG anake te huarahi hei tautuhi i ēnei mate. Ka whakamahia hoki e tō tākuta ngā whakamātautau toto, ngā matawai, me te tango pea i te koiora uaua.
He pēhea te mahi a tēnei whakamātautau?
Hei mārama ki tēnei, me titiro anō tātou ki te mahi a ō tātou uaua. Kāore he mahi hiko e whakaatuhia ana e te uaua hauora ina kore tātou e neke (e okioki ana). Engari ina paku whakawhāitihia taua uaua, ka puta he mahi hiko iti. Ina tino kaha te whakawhāiti, ka nui ake te pikinga o tēnei mahi hiko.
I te wā o te whakamātautau EMG, ka werohia e te tākuta, e te tohunga hangarau rānei he ngira angiangi rawa (me te hikohiko e piri ana ki te pito) mā roto i tō kiri ki roto i te uaua e pā ana.
Ko tētahi o ngā mea e wehingia ana e te tini tāngata ko te pānga o tēnei ngira ki a rātou he ru hiko. Kāore tēnā e tupu. He rite tēnei ngira ki te hopuoro. Ka "whakarongo" noa ki ngā mahi hiko i roto i te uaua, ā, ka hopukina.
Ka tuhia e tēnei ngira ngā raraunga ina kore koe e neke i te uaua, ā, ina puhoi, ina tere hoki te whakawhāiti i te uaua e ai ki tā tō tākuta. Ka puta ēnei raraunga hei ngaru i runga i te mata rorohiko. I ētahi wā ka rangona hoki ēnei tohu hiko hei oro. He rerekē te "oro" e puta mai ana i te uaua hauora i te "oro" e puta mai ana i te uaua mate. Mā te tātari i ēnei ngaru me ngā oro, ka tae te tākuta ki tētahi whakatau mō te āhua o ō uaua me ō io.
Me pēhea taku whakarite mō te whakamātautau EMG?
Kāore e nui te whakarite e hiahiatia ana mō tēnei, engari he mea pai kia mōhio koe ki ēnei mea ruarua nei.
- Kia ma: Me kaukau pai i mua i te whakamātautau. Engari kaua e pania he kirīmi, he hinu kiri, he paura, he hinu kakara rānei ki tō kiri. Ka pā pea ēnei ki te tika o te whakamātautau.
- Kākahu: Mauria he kākahu whakamarie, he kākahu koretake.
- Kōrerotia ki tō tākuta mō ō rongoā: Ki te mea kei te tango koe i tētahi rongoā ārai toto, pērā i te warfarin , kia mōhio koe ki te kōrero ki tō tākuta. Ka taea e tēnei rongoā te whakanui ake i te mōrearea o te toto iti i te wāhi i werohia ai. Heoi, kaua e mutu te tango me te kore e kōrero tuatahi ki tō tākuta.
- Ngā taputapu hauora kē atu: Mena kei a koe he taputapu whakatere manawa , he taputapu hauora hiko rānei kua tāutahia, tena koa whakamōhio mai ki a mātou i mua i te wā.
- Kai me te Inu: I ētahi wā, ka tohutohuhia pea koe kia kaua e momi hikareti me te inu i ngā inu kei roto te kawheine, pērā i te kawhe me te tī, mō ngā haora e rua ki te toru i mua i te whakamātautau.
He aha ngā mea ka tupu i te wā o te whakamātautau?
I te nuinga o te wā, ka mahia he whakamātautau NCS i mua i te EMG. I taua wā, ka whakatakotoria ngā irahiko, pērā i ngā tapanga whakapiri, ki tō kiri, ā, ka tukuna he iahiko iti hei ine i te urupare a te io. Tērā pea ka rite tēnei ki te ru iti. Kātahi ka mahia te EMG. Koinei te mea ka tupu i te wā o te EMG:
1. Ka tonoa koe kia noho ki runga i te tūru, kia takoto rānei ki runga i te moenga.
2. Ka tīpakohia e te tākuta te uaua hei tirotiro, ā, ka horoia te wāhi.
3. Muri iho, ka werohia he ngira tino angiangi, kua horoia mā roto i te kiri ki roto i te uaua. E rua, e rua rānei meneti te roa hei whakamātautau i tētahi uaua.
4. Tērā pea ka pāngia koe e te mamae, e te koretake rānei ina werohia te ngira.
5. Kātahi ka kī atu te tākuta kia whakangāwari koe i te uaua, kātahi ka āta whakapiko, kātahi ka kaha ake te whakapiko. I ia wā, ka tuhia e te mīhini te mahi hiko o te uaua.
6. I muri i te whiwhinga o ngā raraunga e tika ana mai i tētahi uaua, ka tangohia te ngira, ā, ka whakamātauria te uaua e whai ake nei i te ara kotahi. I runga i ō tohumate, me whakamātau pea koe i ētahi uaua.
Ko ētahi pātai noa ka pātai pea koe mō...
He tino mamae tēnei whakamātautau?
He mea noa te mamae, te kore rānei e pai ina werohia te ngira ki roto i te uaua. Heoi, he maha ngā tāngata e kite ana he mamae noa iho tēnei. Ki te mea kei te pāngia koe e te mamae e kore e taea te whakamanawanui, kōrero atu ki te tangata e whakamātautau ana.
Kia pēhea te roa?
I te nuinga o te wā ka roa i waenga i te 60 me te 90 meneti , i runga i te maha o ngā uaua me ngā io e whakamatautauria ana.
He aha te mea ka tupu i muri i te whakamātautau?
Tērā pea ka pāngia ngā uaua e te mamae i werohia ai ngā ngira mō ētahi rā i muri i te whakamātautau. I te nuinga o te wā ka memeha katoa tēnei i roto i te wiki. Tērā pea ka kite koe i ētahi marutanga i te wāhi i werohia ai ngā ngira.
He tūponotanga kei reira?
He whakamātautau tino haumaru te EMG. He onge ngā raruraru. Tērā pea ka puta he toto i te wāhi i werohia ai, inā koa mō te hunga e tango ana i ngā rongoā whakangawari toto. He tino iti te mōrearea o te mate i te wāhi i werohia ai.
Āhea koe me kōrero ki te tākuta i muri i te whakamātautau?
Mena ka pāngia koe e tētahi o ngā tohu i raro nei i muri i te whakamātautau, me whakamōhio atu ki tō tākuta.
| Āhuatanga hei aro atu | Whakaahuatanga |
|---|---|
| Te toto e kore e mutu | Ki te kore e mutu te toto mai i te wāhi i werohia ai te ngira. |
| Mamae nui | Ki te pāngia koe e te mamae e kore e taea te tohe, e te kōpiko rānei, he nui atu tēnā i te marō noa. |
| Ngā tohu o te mate | Te whero, te pupuhi, te mahana, te kirika rānei i te wāhi i werohia ai te ngira. |
Hei whakamutunga mō te pūrongo whakamātautau...
I te nuinga o te wā ka wātea mai tō pūrongo whakamātautau i roto i ngā haora 24 ki te 48. Heoi, he mea nui kia mārama koe ki tēnei:
Ko ngā hua o te whakamātautau EMG tētahi wāhanga noa iho o te panga. Kāore e taea e ēnei anake te whakarato i tētahi tātaritanga katoa. Ka whakakotahi tō tākuta i te pūrongo EMG, ō tohumate, ngā kitenga o te whakamātautau tinana, me ētahi atu hua whakamātautau (pēnei i ngā matawai me ngā whakamātautau toto) kia tae atu ai ki tētahi tātaritanga whakamutunga.
Hei tauira, ki te whakapaetia he io kua kopikopiko, ka taea e te EMG te whakarato i ngā mōhiohio e pā ana ki te kino i puta ki te uaua me te io nā te kopikopiko. Heoi, kia "kite" ai te wāhi e kopikopiko ana te io me te aha te take (hei tauira, he kōpae herniated), me whai i tētahi mea pēnei i te matawai MRI.
Nō reira, ki te mea me whai whakamātautau EMG koe, kaua e wehi. He whakamātautau tino whai hua tēnei hei āwhina i tō tākuta ki te kimi i te tino take o tō raruraru, me te whakamahere i te maimoatanga pai rawa atu. Ki te mea he pātai āu mō te whakamātautau, kaua e mangere ki te pātai atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- He whakamātautau tino haumaru, he whai hua hoki te EMG hei tirotiro i te hauora o ō uaua me ō io.
- Mā tēnei ka āwhina i te kimi i te pūtake o ngā raruraru pēnei i te ngoikore o ngā peka, te ngoikore o ngā uaua me te mamae.
- Ahakoa he āhua mamae te whakamahi i tētahi ngira angiangi i te wā o te whakamātautau, he pai tonu te nuinga o te wā.
- Kia tino kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto) me ngā taputapu katoa kei a koe, pērā i ngā taputapu whakatere, i mua i te whakamātautau.
- He taahiraa kotahi noa iho te pūrongo EMG i roto i te tukanga tātaritanga. Ka whakaarohia e tō tākuta ētahi atu āhuatanga maha hei whakatutuki i tētahi whakatau whakamutunga.
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