Kodi nthawi zina mumamva kupweteka m'manja kapena m'mapazi mwanu? Kodi nthawi zina zala zanu zimamva ngati zikuyamba kuchita dzanzi? Lero tikulankhula za mayeso apadera omwe madokotala amagwiritsa ntchito kuti adziwe ngati pali vuto ndi dongosolo lanu la mitsempha. Izi zimatchedwa Kafukufuku Woyendetsa Mitsempha, kapena mayeso a NCS mwachidule.
Mwachidule, kodi mayeso a mitsempha (NCS) amenewa ndi otani?
Taganizirani za mitsempha m'thupi mwathu ngati mawaya amagetsi. Mawaya awa ndi komwe zizindikiro zamagetsi zochokera muubongo zimapita ku ziwalo zathu, kuuza ubongo zomwe timamva (zotentha, zozizira) ndikutilangiza kuti tisunthire ziwalo zathu momwe tikufunira. Mayeso a NCS ndi mayeso omwe amayesa momwe mawaya amagetsi awa, kapena mitsempha, ikugwirira ntchito.
Izi makamaka zimayang'ana momwe mitsempha yanu ya m'mphepete mwa thupi ilili. Izi zikutanthauza kuti, netiweki ya mitsempha yomwe imafalikira m'thupi lonse kunja kwa dongosolo lalikulu lotchedwa ubongo ndi msana. Kuyesaku kumayesa momwe chizindikiro chamagetsi chimayendera mwachangu pa mitsempha komanso mphamvu ya chizindikirocho.
Tiyeni tiwone mtundu wa mitsempha yomwe ikufuna:
- Mitsempha Yoyendetsa Magalimoto: Iyi ndi mitsempha yomwe imalamulira minofu yathu ndi kutithandiza kuyenda. Mwachitsanzo, mukafuna kukweza mkono wanu, mitsempha iyi imanyamula uthenga wochokera ku ubongo wanu kupita ku minofu ya mkono wanu.
- Mitsempha Yomvera: Mitsempha iyi imanyamula zinthu zomwe timamva, monga kukhudza, kupweteka, ndi kutentha, kupita nazo ku ubongo. Ngati mukhudza chinthu chotentha, mitsempha iyi yomvera imadziwitsa ubongo mwachangu.
Dokotala wanu adzalamula mayesowa ngati muli ndi zizindikiro monga dzanzi, kumva kuwawa, kapena kufooka m'manja mwanu, m'manja, kapena m'mapazi anu. Mayeso a NCS nthawi zambiri amachitidwa limodzi ndi mayeso ena otchedwa EMG (Electromyography) . Tidzakambirana za izi mtsogolo.
Ndi matenda ati omwe angadziwike ndi mayeso a NCS?
Kuyezetsa kumeneku kumazindikira makamaka kuwonongeka kwa mitsempha ndi kupsinjika kwa mitsempha. Tiyeni tiwone matenda awa ndi chiyani komanso zomwe zimayambitsa.
1. Matenda a Mitsempha ya M'mphepete mwa Mphepete ...
Izi zimachitika chifukwa cha kuwonongeka kwa mitsempha ya m'thupi lonse. Pakhoza kukhala zifukwa zambiri zomwe zimapangitsa izi.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Matenda a shuga | Kuchuluka kwa shuga m'magazi kwa nthawi yayitali kumatha kuwononga mitsempha, ndichifukwa chake dzanzi m'manja ndi m'mapazi ndizofala kwa odwala matenda ashuga. |
| Kusowa kwa mavitamini | Makamaka pamene thupi likusowa mavitamini ofunikira m'thupi la mitsempha, monga vitamini B12 ndi B6, mitsempha imatha kufooka. |
| Mavuto a chithokomiro | Kusalingana kwa mahomoni a chithokomiro kungakhudzenso ntchito ya mitsempha. |
| Kugwiritsa ntchito mowa mopitirira muyeso | Kumwa mowa mopitirira muyeso kwa nthawi yayitali kumawononga mitsempha mwachindunji. |
| Matenda a chitetezo chamthupi | Nthawi zina chitetezo cha mthupi lathu chimayamba kuukira mitsempha yathu. Mwachitsanzo, matenda monga (Lupus), (Rheumatoid Arthritis), (Guillain-Barré Syndrome) . |
| Matenda | Mavairasi ena (monga HIV) ndi matenda a bakiteriya amathanso kuwononga mitsempha. |
| Mankhwala ena | Kuwonongeka kwa mitsempha kungakhale zotsatirapo zina za mankhwala ena, makamaka chemotherapy ya khansa. |
2. Matenda a Kupsinjika kwa Mitsempha
Izi zimachitika pamene mitsempha yapanikizidwa pakati pa fupa, minofu, kapena minofu ina kwinakwake m'thupi.
Monga momwe madzi amachepera munthu akamaponda chitoliro cha madzi, zizindikiro zomwe zimadutsa mumtsempha zimakhala zofooka zikamapanikizika.
Nazi zitsanzo za izi:
- Matenda a Carpal Tunnel: Matenda omwe nthawi zambiri amakhudza anthu omwe amagwira ntchito pa kompyuta kapena kulemba mawu kwa nthawi yayitali. Izi zimachitika chifukwa cha kupsinjika kwa mitsempha yomwe imadutsa m'dzanja , zomwe zimapangitsa kuti dzanzi ndi kupweteka pa chala chachikulu, chala cham'manja, ndi chala chapakati.
- Sciatica: Matenda omwe amayamba chifukwa cha kupsinjika kwa mitsempha yayikulu yomwe imayenda kuchokera kumbuyo kupita pansi pa mwendo, zomwe zimayambitsa kupweteka kwambiri ndi dzanzi lomwe limatuluka pansi pa mwendo.
Kodi pali kusiyana kotani pakati pa mayeso a NCS ndi EMG?
Nthawi zambiri, mayeso awiriwa amachitikira pamodzi. Koma mayeso awiriwa amayang'ana zinthu ziwiri.
Mwachidule,
- Mayeso a NCS amaona momwe 'magetsi' amayendera bwino komanso mwachangu momwe 'waya' umayendera kudzera mu 'waya' wotchedwa nerve.
- Mayeso a EMG amaona momwe minofu yolumikizidwa ndi mitsemphayo imayankhira pambuyo poti mphamvu yamagetsi yadutsa, kutanthauza momwe imagwirira ntchito bwino.
Pochita mayeso onsewa pamodzi, dokotala wanu akhoza kudziwa ngati zizindikiro zanu zimayambitsidwa ndi vuto la mitsempha kapena vuto la minofu.
Kodi ndiyenera kukonzekera bwanji mayesowa?
Izi sizikufuna kukonzekera kwambiri, koma kumbukirani zinthu izi.
- Sambani bwino musanapite kukayezetsa. Ndikofunikira kukhala aukhondo.
- Musamapake mafuta odzola, mafuta odzola, ufa , kapena mafuta aliwonse pa miyendo yanu patsiku loyesa. Kusiya izi pakhungu kungakhudze kulondola kwa mayesowo.
- Bwerani mutavala zovala zomasuka komanso zomasuka .
- Ngati muli ndi pacemaker kapena chipangizo china chamagetsi chomwe chaikidwa m'thupi lanu, muyenera kuuza dokotala wanu musanayesedwe.
Kodi chimachitika ndi chiyani panthawi ya mayeso? Kodi pali chilichonse choopa?
Anthu ambiri amaopa pang'ono mayesowa, chifukwa amatanthauza kupereka 'magetsi'. Koma palibe chifukwa choopera.
Izi ndi zomwe zimachitika pang'onopang'ono panthawi ya mayeso:
1. Mudzakakamizidwa kukhala pampando kapena kugona pabedi.
2. Kenako, dokotala kapena katswiri adzalumikiza zinthu zazing'ono zonga zomata zotchedwa ma electrode pamwamba pa khungu lanu, komwe kuli mitsempha yoti muyesedwe.
3. Kenako, kugunda kwamagetsi pang'ono komanso kofatsa kumaperekedwa ku mitsempha kuchokera ku elekitirodi imodzi.
4. Izi zimamveka ngati magetsi ang'onoang'ono omwe nthawi zina 'amatikhudza' tikavala zovala. Anthu ena amamva ngati kutikhudza pang'ono. Izi sizipweteka.Poyamba panali kugwedezeka pang'ono, koma kunatenga nthawi yosakwana sekondi imodzi.
5. Pamene chizindikiro chamagetsi ichi chikuyenda motsatira mitsempha, ma electrode ena amayesa liwiro lomwe chikuyenda.
6. Mwanjira imeneyi, kugunda kwamagetsi pang'ono kumaperekedwa kumadera angapo a mitsempha ndipo deta imasonkhanitsidwa.
Ntchito yonseyi ingatenge mphindi 15 mpaka ola limodzi, kutengera kuchuluka kwa mitsempha yomwe ikuyesedwa.
Iyi ndi njira yotetezeka kwambiri. Ngakhale kuti ma impulses amagetsi angamveke osasangalatsa, ndi a nthawi yochepa chabe. Anthu ambiri amatha kuchita mayesowa popanda vuto lililonse.
Zinthu zoti mudziwe zokhudza zotsatira za mayeso (Lipoti)
Nthawi zambiri mumatha kupeza lipoti la zotsatira zanu mkati mwa maola 24-48 mutatenga mayeso.
Koma chofunika kwambiri kukumbukira ndichakuti lipoti la NCS ili ndi gawo limodzi lokha la funsoli. Dokotala wanu sapanga chisankho kutengera lipotili lokha. Iye adzaganizira zizindikiro zanu, matenda ena anu, ndi zotsatira za mayeso ena aliwonse omwe anachitika, kuti adziwe momwe mulili komanso kukonzekera chithandizo chanu.
Choncho, ndikofunikira kulankhula ndi dokotala wanu za vutoli mutalandira lipotilo ndikupeza kufotokozera kuchokera kwa iye.
Uthenga Wopita Nawo Kunyumba
- NCS (Nerve Conduction Study) ndi njira yotetezeka yomwe imayesa momwe mitsempha ya m'miyendo yanu imagwirira ntchito.
- Kuyesa kumeneku n'kofunika kwambiri kuti tipeze chomwe chimayambitsa zizindikiro monga dzanzi, kumva kuwawa, komanso kufooka kwa miyendo.
- Mafunde ang'onoang'ono amagetsi omwe amaperekedwa panthawi yoyezetsa si opweteka. Amangomva ngati kugwedezeka pang'ono kapena kugwedezeka.
- Dokotala adzazindikira matendawa mwa kuphatikiza zotsatira za mayesowa ndi zizindikiro zanu ndi zina zachipatala.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mayesowa, lankhulani ndi dokotala wanu za izi momasuka.
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