Kodi dokotala wanu wakuuzani kuti muyesedwe EMG? Kapena muli ndi dzanzi nthawi zonse m'miyendo yanu, minofu yanu imafooka, ndipo nthawi zina mumakhala ndi nseru? Ndiye iyi ndi mayeso ofunikira kwambiri omwe angathandize kupeza chomwe chimayambitsa mavuto otere. Tiyeni tikambirane za mayeso a EMG awa mwachidule.
Kodi EMG (Electromyography) kwenikweni ndi chiyani?
Mwachidule, EMG ndi mayeso apadera omwe amafufuza thanzi ndi ntchito ya minofu yanu komanso mitsempha yomwe imayilamulira. Kusuntha kulikonse komwe timachita, kuyambira kukweza dzanja mpaka kugwedeza mutu wathu, kumachitika kudzera mu njira yovuta kwambiri yolumikizirana pakati pa ubongo, msana, mitsempha, ndi minofu.
Tangoganizirani, ubongo wanu ndi likulu la chipatala. Kuchokera pamenepo, umatumiza chizindikiro chamagetsi kuti 'ukweze dzanja lako'. Chizindikirochi chimayenda ngati uthenga wamagetsi kudzera m'mitsempha (monga waya wamagetsi) ndikufikira minofu yoyenera (monga chipangizo chamagetsi). Uthengawo ukalandiridwa, minofuyo imakoka ndikukweza dzanja. Mayeso a EMG amafufuza zolakwika zilizonse mu 'mawaya amagetsi', 'zipangizo zamagetsi', kapena kulumikizana pakati pa ziwirizi.
Madokotala nthawi zambiri amachita mayeso ena otchedwa Nerve Conduction Study (NCS) pamodzi ndi mayeso a EMG. NCS imayesa liwiro ndi mphamvu ya chizindikiro chamagetsi chomwe chikuyenda m'mitsempha. EMG imayesa momwe minofu imayankhira chizindikirocho.
Ndi matenda ati omwe angadziwike poyesa EMG?
Kuyesaku kungathandize kuzindikira matenda ambiri a mitsempha ndi minofu, kudziwa kuopsa kwake, ndikupeza malo enieni omwe akhudzidwa. Nthawi zina, kumagwiritsidwanso ntchito kutsimikizira kuti mulibe vuto linalake.
Onani tebulo ili m'munsimu kuti mudziwe magulu akuluakulu a matenda omwe EMG ingathandize kuzindikira.
| Gulu la matenda | Kufotokozera kosavuta ndi zitsanzo |
|---|---|
| Mavuto a mitsempha ya m'mphepete mwa nyanja | Kuwonongeka kwa mitsempha yomwe imatuluka muubongo ndi msana. Zitsanzo: peripheral neuropathy , carpal tunnel syndrome . |
| Mavuto a mizu ya mitsempha | Mitsempha yopindika. Zitsanzo: radiculopathy ya m'khosi, sciatica . |
| Matenda a minofu / Myopathy | Matenda omwe amakhudza minofu yokha, popanda kukhudza mitsempha. Zitsanzo: muscular dystrophy , polymyositis , dermatomyositis . |
| Matenda a mitsempha ya m'mimba | Matenda omwe amakhudza maselo amitsempha muubongo kapena msana omwe amalamulira kayendedwe ka thupi. Zitsanzo: Amyotrophic Lateral Sclerosis (ALS) , post-polio syndrome . |
| Mavuto okhudzana ndi mitsempha ndi minofu | Zinthu zomwe uthenga wochokera ku mitsempha sulandiridwa bwino ndi minofu. Chitsanzo: Myasthenia Gravis . |
Koma kumbukirani kuti mayeso a EMG si njira yokhayo yodziwira matenda amenewa. Dokotala wanu adzagwiritsanso ntchito mayeso a magazi, ma scan, komanso mwina biopsy ya minofu.
Kodi mayesowa amagwira ntchito bwanji kwenikweni?
Kuti timvetse izi, tiyeni tionenso momwe minofu yathu imagwirira ntchito. Minofu yathanzi siisonyeza mphamvu zamagetsi pamene sitikuyenda (tikupumula). Koma tikamakoka minofuyo pang'ono, mphamvu zamagetsi zimakhala zochepa. Tikakoka mwamphamvu kwambiri, mphamvu zamagetsi izi zimawonjezeka kwambiri.
Pa nthawi yoyezetsa EMG, dokotala kapena katswiri wodziwa bwino ntchito amaika singano yopyapyala kwambiri (yokhala ndi electrode yolumikizidwa ku nsonga) kudzera pakhungu lanu kupita ku minofu yomwe ikukambidwa.
Chimodzi mwa zinthu zomwe anthu ambiri amaopa ndichakuti singano iyi iwagwetsa ndi magetsi. Zimenezo sizingachitike. Singano iyi ili ngati maikolofoni. Imangomvera "ntchito yamagetsi mkati mwa minofu ndikuijambula."
Singano iyi imalemba deta pamene simukusuntha minofu, komanso pamene mukuigwira pang'onopang'ono komanso mwachangu monga momwe dokotala wanu akukulangizirani. Deta iyi imawonekera ngati mafunde pa kompyuta. Nthawi zina zizindikiro zamagetsi izi zimamvekanso ngati mawu. "Phokoso" lochokera ku minofu yathanzi ndi losiyana ndi "phokoso" lochokera ku minofu yodwala. Pofufuza mafunde ndi mawu awa, dokotalayo amafika pamlingo wokhudza momwe minofu ndi mitsempha yanu ilili.
Kodi ndiyenera kukonzekera bwanji mayeso a EMG?
Izi sizikufuna kukonzekera kwambiri, koma ndi bwino kudziwa zinthu zochepa izi.
- Khalani aukhondo: Sambani bwino musanayesedwe. Koma musagwiritse ntchito mafuta odzola, mafuta odzola, ufa, kapena zonunkhira pakhungu lanu. Izi zingakhudze kulondola kwa mayesowo.
- Zovala: Valani zovala zomasuka komanso zomasuka.
- Uzani dokotala wanu za mankhwala anu: Ngati mukumwa mankhwala oletsa magazi kutuluka magazi, monga warfarin , onetsetsani kuti mwadziwitsa dokotala wanu. Mankhwalawa angapangitse kuti magazi azituluka pang'ono pamalo omwe mwabayira jakisoni. Komabe, musasiye kumwa popanda kufunsa dokotala wanu kaye.
- Zipangizo zina zachipatala: Ngati muli ndi pacemaker kapena chipangizo china chachipatala chamagetsi choyikidwa, chonde tidziwitseni pasadakhale.
- Chakudya ndi Zakumwa: Nthawi zina, mungalangizidwe kupewa kusuta fodya ndi kumwa zakumwa zokhala ndi caffeine, monga khofi ndi tiyi, kwa maola awiri kapena atatu musanayesedwe.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Kawirikawiri, mayeso a NCS amachitidwa EMG isanayambe. Panthawiyo, ma electrode, monga zomata, amaikidwa pakhungu lanu ndipo magetsi ochepa kwambiri amatumizidwa kuti ayesere momwe mitsempha imayankhira. Izi zingamveke ngati kugwedezeka pang'ono. Kenako EMG imachitika. Izi ndi zomwe zimachitika panthawi ya EMG:
1. Mudzapemphedwa kukhala pampando kapena kugona pabedi.
2. Dokotala amasankha minofu yoti ifufuzidwe ndikuyeretsa malowo.
3. Kenako, singano yopyapyala kwambiri, yoyeretsedwa imalowetsedwa kudzera pakhungu kupita ku minofu. Nthawi zambiri zimatenga mphindi imodzi kapena ziwiri kuyesa minofu imodzi.
4. Mungamve kupweteka pang'ono kapena kusasangalala singano ikalowetsedwa.
5. Kenako, dokotala adzakuuzani kuti mupumule minofu, kenako muikoke pang'onopang'ono, kenako muikoke mwamphamvu pang'ono. Nthawi iliyonse, makinawo adzalemba momwe minofuyo imagwirira ntchito.
6. Mukapeza deta yofunikira kuchokera ku minofu imodzi, singano imachotsedwa ndipo minofu yotsatira imayesedwa mwanjira yomweyo. Kutengera ndi zizindikiro zanu, mungafunike kuyesa minofu ingapo.
Mafunso ena omwe mungakhale mukudzifunsa kawirikawiri...
Kodi mayesowa amapweteka kwambiri?
Ndizachibadwa kumva ululu kapena kusasangalala pamene singano yalowetsedwa mkati mwa minofu. Komabe, anthu ambiri amaona kuti ululuwu ndi wovomerezeka. Ngati mukumva ululu wosapiririka, uzani munthu amene akuyesa.
Kodi zitenga nthawi yayitali bwanji?
Kutengera ndi kuchuluka kwa minofu ndi mitsempha yomwe ikuyesedwa, nthawi zambiri zimatenga pakati pa mphindi 60 ndi 90 .
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Pakhoza kukhala kupweteka m'minofu momwe munayikidwa singano kwa masiku angapo mutayesa. Izi nthawi zambiri zimatha kwathunthu mkati mwa sabata imodzi. Muthanso kuwona mabala ena pomwe munayikidwa singano.
Kodi pali zoopsa zilizonse?
EMG ndi mayeso otetezeka kwambiri . Mavuto ndi osowa. Kutuluka magazi kwina kungachitike pamalo obayira jakisoni, makamaka kwa anthu omwe amatenga mankhwala ochepetsa magazi. Chiwopsezo cha matenda pamalo obayira jakisoni ndi chochepa kwambiri.
Kodi muyenera kulankhula ndi dokotala liti mukamaliza kuyezetsa?
Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa mutamaliza mayeso, dziwitsani dokotala wanu.
| Mbali yofunika kuiganizira | Kufotokozera |
|---|---|
| Kutuluka magazi komwe sikungasiye | Ngati kutuluka magazi sikutha kuchokera pamalo obayira singano. |
| Ululu waukulu | Ngati mukumva kupweteka kosapiririka kapena kuuma, ndiye kuti mabala achilendo. |
| Zizindikiro za matenda | Kufiira, kutupa, kutentha, kapena malungo pamalo pomwe singano inalowetsedwa. |
Pomaliza za lipoti la mayeso...
Lipoti lanu la mayeso nthawi zambiri limapezeka mkati mwa maola 24 mpaka 48. Komabe, ndikofunikira kumvetsetsa izi:
Zotsatira za mayeso a EMG ndi gawo limodzi chabe la chiwembucho. Iwo okha sangapereke chidziwitso chokwanira. Dokotala wanu adzaphatikiza lipoti la EMG, zizindikiro zanu, zomwe mwapeza pofufuza thupi, ndi zotsatira zina za mayeso (monga kusanthula ndi kuyezetsa magazi) kuti apeze matenda omaliza.
Mwachitsanzo, ngati mukukayikira kuti pali mitsempha yopindika, EMG ingapereke chidziwitso chokhudza kuwonongeka komwe kumachitika ku minofu ndi mitsempha chifukwa cha kupindika. Komabe, kuti "muone" komwe mitsemphayo yapindika komanso chomwe chikuyambitsa (monga herniated disc), chinthu chonga MRI scan chikufunika.
Choncho, ngati mukuyenera kuyesedwa EMG, musachite mantha. Ndi mayeso ofunika kwambiri omwe angathandize dokotala wanu kupeza chomwe chimayambitsa vuto lanu ndikukonzekera chithandizo chabwino kwambiri. Ngati muli ndi mafunso okhudza mayesowa, musazengereze kufunsa dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- EMG ndi mayeso otetezeka komanso othandiza omwe amayesa thanzi la minofu ndi mitsempha yanu.
- Izi zimathandiza kupeza chomwe chimayambitsa mavuto monga dzanzi m'miyendo, kufooka kwa minofu, ndi ululu.
- Ngakhale kuti pali kusasangalala pang'ono chifukwa chogwiritsa ntchito singano yopyapyala panthawi yoyezetsa, nthawi zambiri kumakhala kovomerezeka.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala aliwonse omwe mukumwa (makamaka mankhwala ochepetsa magazi) ndi zida zilizonse zomwe muli nazo, monga makina oletsa kupweteka kwa mtima, musanayesedwe.
- Lipoti la EMG ndi gawo limodzi chabe la njira yodziwira matenda. Dokotala wanu adzaganizira zinthu zina zambiri kuti akwaniritse cholinga chake.
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