Ese muganga wawe yakubwiye ko ugomba gupimwa EMG? Cyangwa se uhora urwaye ibinure mu maguru, ukumva ufite intege nke mu mitsi yawe, ndetse rimwe na rimwe ukumva ufite isesemi? Ubwo rero iki ni ikizamini cy'ingenzi cyane gishobora kugufasha kubona impamvu y'ibyo bibazo. Reka tuvuge kuri iki kizamini cya EMG mu magambo make.
EMG (Electromyography) ni iki mu by'ukuri?
Mu magambo make, EMG ni ikizamini cyihariye gisuzuma ubuzima n'imikorere y'imitsi yawe n'imitsi iyiyobora. Buri gikorwa cyose dukora, kuva ku kuzamura ukuboko kugeza ku gupfukamira umutwe, kibaho binyuze mu buryo bugoye cyane bwo gutumanaho hagati y'ubwonko, uruti rw'umugongo, imitsi n'imitsi.
Tekereza, ubwonko bwawe ni icyicaro gikuru. Kuva aho, bwohereza ikimenyetso cy'amashanyarazi kugira ngo 'uzamure ukuboko kwawe'. Iki kimenyetso kigenda nk'ubutumwa bw'amashanyarazi mu mitsi (nk'insinga y'amashanyarazi) kikagera ku mitsi ijyanye nayo (nk'igikoresho cy'amashanyarazi). Iyo ubwo butumwa bwakiriwe, imitsi irafungana ikazamura ukuboko. Ikizamini cya EMG gisuzuma niba hari amakosa ari mu 'insinga z'amashanyarazi', 'ibikoresho by'amashanyarazi', cyangwa isano iri hagati yabyo.
Abaganga bakunze gukora ikindi kizamini cyitwa Inyigo yo Gutwara Imitsi (NCS) hamwe n'ikizamini cya EMG. NCS ipima umuvuduko n'imbaraga by'ikimenyetso cy'amashanyarazi kigenda mu mitsi. EMG ipima uko imitsi yitabira icyo kimenyetso.
Ni izihe ndwara zishobora kumenyekana hakoreshejwe ibizamini bya EMG?
Iki kizamini gishobora gufasha gusuzuma indwara nyinshi z'imitsi n'imitsi, kumenya ubukana bwazo, no kumenya neza agace kafashwemo. Hari igihe gikoreshwa no kwemeza ko nta ndwara runaka ufite.
Reba imbonerahamwe iri hepfo kugira ngo ubone ibyiciro by'ingenzi by'indwara EMG ishobora gufasha mu gusuzuma.
| Icyiciro cy'indwara | Ibisobanuro byoroshye n'ingero |
|---|---|
| Ibibazo by'imitsi yo mu mpande | Kwangirika kw'imitsi isohoka mu bwonko no mu ruti rw'umugongo. Ingero: indwara y'imitsi yo mu mpande , indwara ya carpal tunnel syndrome . |
| Ibibazo by'imitsi | Imitsi igonze. Ingero: radiculopathy yo mu mura, sciatica . |
| Indwara z'imitsi / Myopathies | Indwara zigira ingaruka ku mitsi ubwayo, zitibagiwe n'imitsi. Urugero: indwara yo mu mitsi , polymyositis , dermatomyositis . |
| Ibibazo by'imitsi y'ubwonko | Indwara zigira ingaruka ku turemangingo tw’imitsi mu bwonko cyangwa uruti rw’umugongo tugenzura ingendo. Urugero: Amyotrophic Lateral Sclerosis (ALS) , post-polio syndrome . |
| Ibibazo mu isano iri hagati y'imitsi n'imitsi | Ingeso aho ubutumwa buva mu mitsi butakirwa neza n'imitsi. Urugero: Myasthenia Gravis . |
Ariko ibuka ko ibizamini bya EMG atari bwo buryo bwonyine bwo gusuzuma izi ndwara. Muganga wawe azakoresha kandi ibizamini by'amaraso, ibizamini byo gupima, ndetse wenda n'ibipimo by'imitsi.
Iki kizamini gikora gite koko?
Kugira ngo tubisobanukirwe neza, reka twongere turebe uko imitsi yacu ikora. Imitsi mizima nta gikorwa cy'amashanyarazi igaragaza iyo tutimuka (turuhutse). Ariko iyo tuyikomye gato, havuka igikorwa gito cy'amashanyarazi. Iyo tuyikomye cyane, iki gikorwa cy'amashanyarazi kirushaho kwiyongera.
Mu gihe cyo gupima EMG, umuganga cyangwa umutekinisiye wabihuguriwe ashyira urushinge ruto cyane (rufite electrode ifatanye ku mutwe) mu ruhu rwawe rujya mu mitsi ivugwa.
Kimwe mu bintu abantu benshi batinya ni uko uru rushinge ruzabatera amashanyarazi. Ibyo ntibizabaho. Uru rushinge rumeze nka mikoro. "Rwumva" gusa ibikorwa by'amashanyarazi biri mu mitsi hanyuma rukabifata amajwi.
Uru rushinge rwandika amakuru iyo utari kwimura imitsi, n'iyo uyikurura buhoro buhoro kandi vuba nk'uko muganga wawe abikubwiye. Aya makuru agaragara nk'imiraba kuri ecran ya mudasobwa. Hari igihe aya majwi y'amashanyarazi yumvikana nk'amajwi. "Amajwi" aturuka ku mitsi mizima atandukanye n'"amajwi" aturuka ku mitsi irwaye. Mu gusesengura aya majwi n'imitsi, muganga agera ku mwanzuro ku miterere y'imitsi yawe n'imitsi yawe.
Ni gute nakwitegura ikizamini cya EMG?
Ibi ntibisaba kwitegura cyane, ariko ni byiza kumenya ibi bintu bike.
- Komeza kugira isuku: Fata ubwiherero bwiza mbere yo kwipimisha. Ariko ntugashyire amavuta, amavuta yo kwisiga, ifu, cyangwa imibavu ku ruhu rwawe. Ibi bishobora kugira ingaruka ku buryo isuzuma rikora neza.
- Imyenda: Ambara imyenda ijyanye n'igihe kandi idafite ishingiro.
- Bwira muganga wawe ibijyanye n'imiti yawe: Niba ufata imiti igabanya amaraso, nka warfarin , menya neza ko wabibwiye muganga wawe. Uyu muti ushobora kongera ibyago byo kuva amaraso make aho watewe inshinge. Ariko, ntugahagarike kuwufata utabanje kugisha inama muganga wawe.
- Ibindi bikoresho by'ubuvuzi: Niba ufite pacemaker cyangwa ikindi gikoresho cy'ubuvuzi cya elegitoroniki, tubitumenyeshe mbere y'igihe.
- Ibiryo n'ibinyobwa: Hari igihe ushobora kugirwa inama yo kwirinda kunywa itabi no kunywa ibinyobwa birimo kafeyine, nka ikawa n'icyayi, mu masaha abiri cyangwa atatu mbere yo gupimwa.
Ni iki kibaho mu gihe cy'ikizamini?
Ubusanzwe, ikizamini cya NCS gikorwa mbere ya EMG. Muri icyo gihe, electrodes, nk'udupapuro, zishyirwa ku ruhu rwawe hanyuma umuriro muto cyane w'amashanyarazi woherezwa kugira ngo upime uko imitsi ikora. Ibi bishobora kumvikana nk'ihungabana rito. Hanyuma EMG irakorwa. Ibi nibyo bibaho mu gihe cya EMG:
1. Uzasabwa kwicara mu ntebe cyangwa kuryama ku buriri.
2. Muganga ahitamo imitsi igomba gusuzumwa hanyuma agasukura aho hantu.
3. Hanyuma, urushinge ruto cyane, rwakozweho imiti igabanya ubukana rushyirwa mu mitsi binyuze mu ruhu. Ubusanzwe bifata umunota umwe cyangwa ibiri kugira ngo umuntu apime umutsi umwe.
4. Ushobora kumva ububabare cyangwa kutamererwa neza igihe urushinge rushyizwemo.
5. Hanyuma, muganga azakubwira ko ugomba kuruhuka imitsi, hanyuma ukayigabanya buhoro buhoro, hanyuma ukayigabanya cyane. Igihe cyose, imashini izandika imikorere y'amashanyarazi y'imitsi.
6. Nyuma yo kubona amakuru akenewe mu mitsi imwe, urushinge rurakurwaho hanyuma indi mitsi ikazamurwa muri ubwo buryo. Bitewe n'ibimenyetso byawe, ushobora gukenera gupima imitsi myinshi.
Hari ibibazo bisanzwe ushobora kuba wibaza...
Ese iki kizamini cyarababaje cyane?
Ni ibisanzwe kumva ububabare cyangwa kutamererwa neza iyo urushinge rushyizwe mu mitsi. Ariko, abantu benshi basanga ubu bubabare bushobora kwihanganirwa. Niba ufite ububabare bukabije, bwira umuntu ugupima.
Bizatwara igihe kingana iki?
Ubusanzwe bishobora gufata iminota iri hagati ya 60 na 90 , bitewe n'umubare w'imitsi n'imitsi igeragezwa.
Bigenda bite nyuma y'ikizamini?
Hashobora kubaho ububabare mu mitsi aho inshinge zashyizwe mu minsi mike nyuma yo gupimwa. Ibi bikunze kurangira burundu mu cyumweru kimwe. Ushobora kandi kubona udusebe aho inshinge zashyizwe.
Hari ibyago ibyo ari byo byose?
EMG ni ikizamini cyizewe cyane . Ingorane ni gake cyane. Hari amaraso ashobora kuva aho bateye inshinge, cyane cyane ku bantu bafata imiti igabanya amaraso. Ingaruka zo kwandura aho bateye inshinge ni nke cyane.
Ni ryari ugomba kuvugana na muganga nyuma yo gupimwa?
Niba ubonye kimwe mu bimenyetso bikurikira nyuma yo gupimwa, menyesha muganga wawe.
| Ikintu cyo kwitaho | Ibisobanuro |
|---|---|
| Kuva amaraso bitazahagarara | Niba kuva amaraso bitahagaze aho urushinge rwashyizwe. |
| Ububabare bukabije | Niba ubabara cyane cyangwa ugakomera, ibyo biruta ibikomere bisanzwe. |
| Ibimenyetso by'ubwandu | Gutukura, kubyimba, ubushyuhe, cyangwa umuriro aho urushinge rwashyizwe. |
Amaherezo ku bijyanye na raporo y'ibizamini...
Raporo y'ibizamini byawe ikunze kuboneka mu masaha 24 kugeza kuri 48. Ariko, ni ngombwa gusobanukirwa ibi:
Ibisubizo bya EMG ni igice kimwe gusa cy'ikimenyetso. Ntabwo byonyine bishobora gutanga igisubizo cyuzuye. Muganga wawe azahuza raporo ya EMG, ibimenyetso byawe, ibyavuye mu isuzuma ry'umubiri, n'ibindi bisubizo by'ibizamini (nk'ibipimo byo gupima no gupima amaraso) kugira ngo hamenyekane indwara ya nyuma.
Urugero, iyo hakekwa ko hari umutsi upfutse, EMG ishobora gutanga amakuru yerekeye ibyangiritse byatewe n'imitsi n'imitsi bitewe no gupfutse. Ariko, kugira ngo "urebe" neza aho umutsi upfutse n'icyawuteye (urugero: disiki ya herniated), ikintu nk'isuzuma rya MRI kirakenewe.
Rero, niba ugomba gupimwa EMG, ntugatinye. Ni ikizamini cy'agaciro cyane kizafasha muganga wawe kubona impamvu nyayo y'ikibazo cyawe no gutegura uburyo bwiza bwo kuvura. Niba ufite ikibazo icyo ari cyo cyose kijyanye n'ikizamini, ntugatinye kubaza muganga wawe.
Ubutumwa bwo kujyana mu rugo
- EMG ni ikizamini cyizewe kandi cy'ingirakamaro gisuzuma ubuzima bw'imitsi n'imitsi yawe.
- Ibi bifasha kumenya impamvu nyamukuru y'ibibazo nko kugira ibinya mu maguru, intege nke z'imitsi, n'ububabare.
- Nubwo hari ububabare buterwa no gukoresha urushinge ruto mu gihe cyo gupima, akenshi birakwiye kwihanganirwa.
- Menya neza ko wabwiye muganga wawe imiti yose ufata (cyane cyane imiti igabanya amaraso) hamwe n'ibikoresho byose ufite, nka pacemakers, mbere yo gupimwa.
- Raporo ya EMG ni intambwe imwe gusa mu gikorwa cyo gusuzuma indwara. Muganga wawe azasuzuma ibindi bintu byinshi kugira ngo agere ku mwanzuro wa nyuma.
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