Menya ibijyanye n'imitsi n'imitsi yawe ukoresheje ikizamini cya EMG (Electromyography)! Ese twavuga kuri ibi?

Ese rimwe na rimwe ujya ugira ibinya mu maguru yawe? Cyangwa wumva ufite intege nke cyangwa ububabare mu mitsi yawe? Ahari muganga wawe yakubwiye ibyerekeye ikizamini cya EMG (Electromyography) . Ufite ibibazo byinshi ku bijyanye n'icyo iyi EMG ari cyo, impamvu ikorwa, n'uko ikorwa, sibyo? Ntugahangayike, uyu munsi turaganira kuri byose mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

EMG (Electromyography) ni iki?

Mu magambo make, EMG (Electromyography) ni ikizamini cyihariye gisuzuma ubuzima n'imikorere y'imitsi yawe y'amagufwa - imitsi tugenzura tubyitondeye (nk'iyo dukoresha mu kwimura amaboko no kugenda) - hamwe n'imitsi igenzura iyo mitsi. Ubu ni ubwoko bw'ikizamini cyo gusuzuma indwara hakoreshejwe amashanyarazi .

Ingendo zose dukora, nko guterura ukuguru cyangwa kunyeganyeza umutwe, ni ingaruka z'itumanaho rigoye hagati y'imitsi yo hagati (ubwonko n'umugongo) , imitsi, n'imitsi. Kugira ngo habeho ingendo, imitsi yo mu mitsi yawe, imitsi igenzura ingendo, yohereza ibimenyetso by'amashanyarazi ku mitsi yawe. Ikizamini cya EMG gishobora kumenya ibibazo by'iyi mitsi yo mu mitsi, imitsi, cyangwa itumanaho riri hagati yayo.

Abaganga b'indwara zo mu bwonko bakunze gukora ikizamini cya EMG hamwe n'inyigo yo kuyobora imitsi (NCS) . NCS ipima umuvuduko n'ingano y'ibimenyetso by'amashanyarazi bigenda mu mitsi. EMG ipima uburyo imitsi yitabira icyo gikorwa cy'amashanyarazi n'ingano y'ibikorwa by'amashanyarazi bikorwa iyo imitsi ikora.

Niba ufite ibimenyetso nko kugira intege nke mu mitsi, kugira ibinure cyangwa kuribwa mu nda, muganga wawe ashobora kukugira inama yo gupimwa EMG. Iki gipimo gikunze gukorwa mu bitaro, ariko rimwe na rimwe gishobora gukorwa uri mu bitaro.

Ni iki gishobora kuboneka mu ikizamini cya EMG?

Ikizamini cya EMG gishobora gufasha gusuzuma indwara zitandukanye n'indwara zigira ingaruka ku mitsi n'imitsi yawe. Gishobora kandi kumenya uburyo izi ndwara zakwirakwiriye n'aho ziherereye. Hari igihe iki kizamini gikoreshwa no mu gusuzuma indwara runaka.

Dore ubwoko bumwe na bumwe bw'indwara ibizamini bya EMG bishobora gufasha mu gusuzuma:

• Ibibazo bigira ingaruka ku mitsi yo mu gice cy'imbere: Urugero , indwara zo gukanda imitsi nka peripheral neuropathy na carpal tunnel syndrome .
• Ibibazo bigira ingaruka ku mizi y'imitsi isohoka mu ruti rw'umugongo: urugero, imitsi ipfutse, radiculopathy yo mu mura , cyangwa sciatica .
• Indwara z'imitsi (myopathies): Ingero zirimo muscular dystrophy , polymyositis , na dermatomyositis .
• Ibintu bigira ingaruka ku mitsi ikora mu bwonko cyangwa mu mugongo: urugero , amyotrophic lateral sclerosis (ALS) cyangwa post-polio syndrome .
• Ibintu bigira ingaruka ku isano iri hagati y'imitsi n'imitsi: urugero , myasthenia gravis .

Wibuke ko ibizamini bya EMG atari bwo buryo bwonyine bwo gusuzuma izi ndwara. Abaganga bakoresha kandi ibizamini byo gufata amashusho, nka X-rays, CT scans, MRI scans, ibizamini by'amaraso , ndetse rimwe na rimwe n'ibipimo by'imitsi.

Ikizamini cya EMG gikora gite?

Kugira ngo dusobanukirwe uburyo ibizamini bya EMG bikora, reka tubanze turebe uburyo imitsi yacu ikora.

Uturemangingo tw’imitsi yawe twohereza ibimenyetso by’amashanyarazi ku mitsi yawe, tukayibwira icyo gukora. (Ibi bimenyetso bitangirira mu bwonko bwawe, hanyuma bikagenda mu ruti rw’umugongo, binyuze muri uturemangingo tw’imitsi, bikagera ku mitsi yawe.) Uku gukangura amashanyarazi bituma imitsi ikomera (ikomeza gukaza). Iyo imitsi ikora, amashanyarazi nayo arakorwa.

Ubusanzwe, imitsi iyo iruhutse nta bikorwa by'amashanyarazi igira. Iyo imitsi icitse gato, habaho ibikorwa by'amashanyarazi, kandi iyo icitse cyane, irushaho kwiyongera.

Mu isuzuma rya EMG, umuganga cyangwa umutekinisiye wabihuguriwe ashyira urushinge rwiza cyane (electrode y'urushinge) muri imwe mu mitsi yawe. Electrode iri kuri uru rushinge yandika imikorere y'amashanyarazi y'imitsi. Urushinge ntirwohereza amashanyarazi ku mubiri wawe. Ni nk'indangururamajwi, irandika gusa.

Electrode y'urushinge ifata imikorere y'amashanyarazi iyo ufashe imitsi ihagaze n'igihe uyifashe. Uru rushinge ruhujwe na mudasobwa binyuze kuri insinga. Hanyuma muganga ashobora kureba kuri ecran ibiba iyo imitsi yawe ihagaze n'igihe uyijyana. Ibi bigaragara nk'amabara kuri ecran. Hari igihe ushobora no kumva amajwi y'iyi mikorere y'amashanyarazi ukoresheje amplifier y'amajwi.

Hanyuma muganga asesengura ibi bipimo kugira ngo arebe niba hari ibimenyetso by'ikibazo. Urugero, iyo imwe mu mitsi yawe yangiritse, ishobora kugaragaza imikorere idasanzwe y'amashanyarazi iyo iruhutse. Nanone, iyo icitse, imikorere y'amashanyarazi ishobora kugaragaza imiterere idasanzwe y'imiraba.

Ni gute wakwitegura ikizamini cya EMG?

Mbere yo gukora ikizamini cya EMG, ugomba gukora ibi bikurikira:

• Uzaze wiyuhagiye, usukuye, kandi wambaye imyenda ijyanye n'igihe.
• Ntugashyire amavuta , amavuta yo kwisiga cyangwa imibavu ku ruhu. Amavuta yo kwisiga ashobora kugira ingaruka ku buryo ikizamini gikozwe neza.
• Niba ufata imiti igabanya amaraso (nka warfarin), menya neza ko wabwiye muganga uri gukora ikizamini cya EMG. Imiti igabanya amaraso ishobora kongera gato ibyago byo kuva amaraso nyuma ya EMG. Ariko, ntugahagarike kuyifata utabanje kuvugana na muganga wayigundikiye.
• Tubwire kandi niba ufite pacemaker cyangwa ikindi gikoresho cy’ikoranabuhanga cyo kwa muganga cyashyizweho.

Hari igihe muganga wawe ashobora kukubwira kwirinda kunywa itabi cyangwa kunywa ibinyobwa birimo kafeyine , nka ikawa cyangwa icyayi, amasaha abiri cyangwa atatu mbere yo gupimwa. Ibi bintu bishobora kubangamira ikizamini.

Ni iki kibaho mu gihe cyo gupima EMG?

Abaganga b'indwara z'imitsi bakunze gukora ikizamini cya EMG nyuma yo gukora inyigo yo kuyobora imitsi (NCS). Muri NCS, muganga ashyira electrodes (nk'udupapuro tw'icyuma) ku ruhu rwawe. Hanyuma, muganga ashyira ikintu gisa n'aho ari amashanyarazi ku mitsi maze akandika uko yakiriye. Akenshi, imitsi myinshi igeragezwa muri ubu buryo.

Uburyo ikizamini cya EMG gikorwa bushobora gutandukana gato, bitewe n'impamvu y'ikizamini n'imitsi n'imitsi bigeragezwa. Ariko muri rusange ushobora kwitega ikintu nk'iki:

• Uzabwirwa kwicara cyangwa kuryama.
• Muganga ahitamo imitsi ashaka gusuzuma.
• Hanyuma, electrode nziza cyane z'urushinge zishyirwa mu ruhu rwawe mu mitsi. Izi nshinge ziguma mu mitsi mu gihe cy'umunota umwe cyangwa ibiri. Ushobora kumva umerewe nabi cyangwa ububabare igihe urushinge rushyizwemo.
• Muganga azakubwira ko ugomba kuruhuka imitsi, hanyuma ukayikoresha mu buryo bumwe na bumwe, nko guterura cyangwa kunama ukuboko cyangwa ukuguru.
• Imashini ipima imikorere y'amashanyarazi y'imitsi yawe ikora ikayerekana kuri ecran. Yagenewe kandi gutanga ijwi.
• Nyuma y'uko amakuru ahagije amaze kwandikwa mu mitsi, urushinge rurakurwaho.
• Imitsi ikurikira igeragezwa muri ubu buryo kugeza igihe ikizamini kirangiye.

Ese ikizamini cya EMG kirababaza?

Ushobora kumva ububabare cyangwa kutamererwa neza iyo urushinge rwinjijwe mu ruhu no mu mitsi. ArikoAbantu benshi bashobora gutsinda iki kizamini nta kibazo.

Nyuma y'ikizamini, imitsi yapimwe ishobora kubabara gato mu minsi mike.

Ikizamini cya EMG kimara igihe kingana iki?

Iki kizamini gisanzwe kimara iminota 60 kugeza kuri 90 , bitewe n'ingano y'imitsi muganga wawe ashaka gupima.

Ni iki wakwitega nyuma yo gupimwa EMG?

Imitsi yawe ishobora kumva ibabara cyangwa igakomera mu minsi mike nyuma yo gupimwa. Ubu bubabare bw'imitsi akenshi ntibuba bukomeye kandi bugomba kugenda mu cyumweru kimwe. Ushobora kandi kubona udusebe duto aho inshinge zashyizwe.

Ni izihe ngaruka zishobora guterwa no gupimwa EMG?

Muri rusange, EMG ni ikizamini cyizewe. Ingorane ni nke cyane. Hari abantu bamwe (cyane cyane abafata imiti igabanya amaraso ) bashobora kuva amaraso nyuma yo gupimwa.

Ibisubizo by'ikizamini cya EMG bivuga iki?

Nubwo ibizamini bya EMG ari ingirakamaro cyane, akenshi ntabwo bitanga isuzuma ubwabyo. Itsinda ry'abaganga rizahuza ibi bisubizo n'ibisubizo by'ibindi bizamini by'ubuvuzi kugira ngo hamenyekane isuzuma.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Ubusanzwe uzabona ibisubizo byawe mu masaha 24 kugeza kuri 48 nyuma y'uko ikizamini kirangiye.

Ni ryari nkwiye kumenyesha muganga wanjye ibijyanye na EMG yanjye?

Hamagara muganga wawe niba ibi bibaye:

• Niba kuva amaraso bidahagaze.
• Iyo hari ububabare bukabije cyangwa ubukana aho inshinge zashyizwe.
• Iyo hari ibimenyetso nko gutukura, ubushyuhe, kubyimba, cyangwa umuriro , ibi bishobora kuba ibimenyetso by'ubwandu.

Ese EMG igaragaza umutsi ucucitse?

Ikizamini cya EMG gishobora gufasha gusuzuma umutsi ubangamiwe n'ibindi bibazo bifitanye isano. Ariko, EMG ntabwo "yerekana" umutsi ubangamiwe. Ibipimo byo gufata amashusho nka X-rays, CT scans, na MRI scans bishobora gufasha kumenya uburyo umutsi ubangamiwe n'icyabiteye (urugero, discus herniated ).

Ubutumwa bwo kujyana mu rugo

Niba ufite ibimenyetso by'indwara y'imitsi, indwara y'imitsi, cyangwa imvune, ikizamini cya EMG (Electromyography) gishobora gufasha muganga wawe kumenya byinshi ku biri kuba. Bishobora kandi kugufasha gutegura ubuvuzi ukeneye.

Niba ufite ibindi bibazo kuri iki kizamini, ntutinye kubaza muganga wawe. Arahari kugira ngo agufashe kandi akuruhure. Wibuke ko ibi bizamini bikorwa kugira ngo usobanukirwe neza ubuzima bwawe kandi biguhe ubuvuzi bwiza.

EMG , Electromyography, Isuzuma ry'imitsi, Isuzuma ry'imitsi, Indwara z'imitsi, Indwara z'imitsi, Isuzuma ry'amashanyarazi, Inyigo yo kuyobora imitsi, NCS