Ndiani chiremba wepfungwa? Ngationei!

Pamwe wakambonzwa chiremba wako achiti unofanira kuona 'neurophysiologist'. Kana kuti pamwe wakambonzwa zita racho ukazvibvunza kuti, "Oh, chiremba werudzii iyeye?" Kutaura zvazviri, kunyange zvazvo zvinganzwika seshoko rakaomarara, vanhu ava vanoita basa rakakosha. Nhasi, ngatitaurei nezvekuti ndiani chaizvo nyanzvi yeneurophysiology uye kuti vanogona sei kubatsira hutano hwako.

Ndiani chiremba wepfungwa? Zvichitaurwa zviri nyore...

Muchidimbu, nyanzvi yezveuropi inyanzvi yehutano inyanzvi mukushanda kwetsinga dzako, kunyanya mashandiro adzo emagetsi. Izvi zvinoreva kuti vanoongorora kuti vaone kana uropi hwako, musana (tsinga dziri mukati memusana wako), nedzimwe tsinga dziri kushanda nemazvo. Vanogona kuita bvunzo dzakasiyana-siyana kuti vabatsire kuona zvirwere zvingave zvine chekuita netsinga.

Funga nezvazvo, muviri wedu wakaita semuchina wakaoma kunzwisisa. Nzvimbo yekudzora yemuchina uyu ihurongwa hwetsinga . Zvese zvaunofunga, zvese zvaunonzwa, zvese zvaunoita - kubva pakusimudza ruoko rwako kusvika pakurova kwemoyo wako - zvinodzorwa nehurongwa hwetsinga uhwu. Saka, nyanzvi yezveuropi inotibatsira kuona kana paine dambudziko nehurongwa uhwu uye kuti hunoshanda sei.

Musiyano uripo pakati penyanzvi yezveuropi nenyanzvi yezveuropi ndeupi?

Ichi chinhu chinovhiringidza vanhu vazhinji. Nyanzvi yezveuropi inyanzvi munyaya dzezveuropi .

Funga nezvazvo nenzira iyi, chiremba wetsinga chiremba ane ruzivo rwakakura muzvinhu zvese zvine chekuita netsinga dzako - chimiro chadzo chakajairika, mashandiro adzo, uye mamiriro ezvinhu adzo. Ndivo vanowanzoongorora nekurapa zvirwere zvetsinga.

Nyanzvi yezveuropi inyanzvi yezveuropi inyanzvi yezveuropi inyanzvi mu *basa* rehurongwa hwetsinga, ndiko kuti, mashandiro ahwo. Vanoita bvunzo dzakasiyana-siyana kuti vayere mashandiro iwayo uye vaongorore mhedzisiro yebvunzo.

Chinhu chinonyanya kukosha ndechekuti nyanzvi yezveuropi haiwanzokurudzira kurapwa kwezvirwere zveuropi. Izvi zvinoitwa nenyanzvi yezveuropi . Zvisinei, nyanzvi yezveuropi inogona kubatsira zvikuru pakutsvaga kuti chirwere chacho chii chaizvo, nemamwe mazwi, pakupa chirwere chacho chirwere chakarurama .

Chii chaizvo chinoitwa nenyanzvi yezveuropi?

Nyanzvi yezveuropi inonyanya kuongorora nekuongorora mamiriro ezvinhu anokanganisa mashandiro etsinga dzako. Vanonyanya kushandisa bvunzo dzakasiyana-siyana kunyora mashandiro emagetsi etsinga dzako.

Kune mhando mbiri dzenyanzvi dzezveuropi:

1. Vanachiremba veNeurophysiology vekuvhiya

2. Vanachiremba vezveuropi muzvipatara

Mabasa avo ese akasiyana zvishoma. Vamwe vanachiremba vepfungwa vanoshandawo vachitarisa zvakanyanya pakutsvaga ruzivo.

Vanachiremba veNeurophysiology vekuvhiya

Sezvinoratidzwa nezita racho, vanhu ava vari muchikwata chevanovhiya. Vanoshanda pamwe chete nevanachiremba vekuvhiya vakaita sevanachiremba vanonzwa kurwadziwa nekurwadziwa kwetsinga.

Panguva yekuvhiyiwa, nyanzvi iyi yezveuropi inoongorora uye inoongorora hurongwa hwetsinga dzako. Zvichienderana nerudzi rwekuvhiyiwa kuri kuitwa, kuongororwa uku kunogona kubatsira vanachiremba kuderedza njodzi yezvinetso zvakakomba zvakaita sekuoma mitezo, kurasikirwa nekunzwa, kana sitiroko. Izvi zvinonzi intraoperative neurophysiology monitoring (IONM) .

Mamwe maoparesheni anowanzoitwa nevanhu ava ndeaya:

• Kuvhiyiwa kwemusana.
• Dzimwe mhando dzekuvhiyiwa kweuropi.
• Kuvhiyiwa kwenzeve, mhuno, uye pahuro (nzira dzeENT).
• Kuvhiyiwa kwetsinga dzemumativi.
• Kuvhiyiwa kwetsinga dzeropa, zvakaita seCarotid Endarterectomies uye Thoracic-Abdominal Aortic Aneurysms (TAAA).

Aya ndiwo mamwe emasystem ekuongorora nekutarisa avanoshandisa panguva yekuvhiyiwa:

• `SSEP (Somatosensory Evoked Potentials)`: Izvi zvinosanganisira kupa simba diki remagetsi kutsinga yeropa iri muruoko rwako kana gumbo. Zvinozoongorora kuti uropi hwako, sisitimu yeropa, kana musana wako zvinopindura sei kwairi. Inowanzoshandiswa mukuvhiyiwa kwemusana, mamwe mavhiyiwa europi netsinga dzeropa.
• `TCeMEP (Transcranial Electrical Motor Evoked Potentials)`: Bvunzo iyi inosanganisira kushandisa simba remagetsi ku`Motor Cortex` yeuropi hwako uye kunyora kuti musana wako kana tsandanyama dziri mumakumbo ako dzinopindura sei kwairi. Izvi zvinowanzoshandiswawo mukuvhiyiwa kwemusana.
• "BSEP (Brainstem Auditory Evoked Potentials)":Izvi zvinosanganisira kuti uteerere ruzha, kazhinji "kudzvanya" kuburikidza nemaearphone, uye kutarisa kuti brainstem yako inopindura sei pairi. Izvi zvinobatsira kutarisa mashandiro ebrainstem uye kuchengetedza kunzwa panguva yekuvhiyiwa kubvisa bundu rakadai se acoustic neuromas uye bundu rebrainstem.
• EEG (Electroencephalogram): Iyi inorekodha mashandiro emagetsi europi. Inoshandiswa kudzivirira kukuvara kunokonzerwa nekushomeka kweropa rinoenda kuuropi (ischemia) panguva yekuvhiyiwa kwakadai seCarotid Endarterectomies uye Aneurysm clippings, uye kutarisa mashandiro uye "hutano" hwe cerebral cortex.

Vanachiremba vezveuropi vezvekurapa

Vanhu ava vanoshanda pamwe chete navanachiremba vetsinga nevanovhiya tsinga. Vanoongorora mashandiro etsinga dzako uye vanoongorora matambudziko etsinga netsinga dzetsinga. Zvichienderana nemamiriro ako ezvinhu, bvunzo idzi dzinogona kuitwa uri kunze kwechipatara kana uri muchipatara.

Heano mimwe yemiedzo inoshandiswa nevanoongorora tsinga dzemuviri:

• EMG (Electromyography): Izvi zvinoedza hutano uye mashandiro emhasuru dzemapfupa ako netsinga dzinodzidzora. Zvinogona kubatsira kuongorora zvirwere zvakasiyana-siyana, zvinosanganisira Peripheral Neuropathy, Carpal Tunnel Syndrome, Muscular Dystrophy, uye Amyotrophic Lateral Sclerosis (ALS).
• Chidzidzo Chekufambisa Nerve (NCS): Izvi zvinoongorora kuti tsinga dzako dziri kushanda zvakanaka sei. Zvinogona kuona kana tsinga dzemumativi dzakakuvara uye kuti dzapararira kusvika papi. Kazhinji, bvunzo dzeEMG neNCS dzinoitwa pamwe chete.
• EEG (Electroencephalogram): Izvi zvinosanganisira kubatanidza maelectrode madiki paganda remusoro wako uye kunyora mashandiro emagetsi kubva kuuropi. Inoshandiswa kuongorora zvirwere zvakaita sepfari uye zvimwe zvinhu zvisina kumira zvakanaka mutsinga dzemuuropi.
• Kuedzwa Kwekugona Kunzwa: Kuedzwa uku kunoyera mashandiro emagetsi muzvikamu zvakasiyana zveuropi hwako nemusana zvichienderana nekukurudzirwa. Izvi zvinogona kuratidza kuti masaini etsinga anoenda nekukurumidza uye zvakakwana sei kuuropi. Kune mhando dzakasiyana dzeizvi, dzakadai seBrainstem Auditory Evoked Response (BAER), Visual Evoked Potential (VEP), uye Somatosensory Evoked Potential (SEP).
• Chidzidzo Chekurara / Polysomnography:Izvi zvinoitwa nekugara uchinyora mashandiro anoita masisitimu akasiyana-siyana emuviri wako (akadai semwoyo, kufema, uye mashandiro ehuropi) paunenge wakarara. Izvi zvakakosha zvikuru pakuongorora matambudziko ekurara.

Nyanzvi yezveuropi inoenda kuchikoro chekurapa here?

Ehe, zvechokwadi! Nyanzvi yezveuropi chiremba. Vanoenda kuchikoro chekurapa kuti vawane ruzivo urwu.

Munhu anova sei nyanzvi yezveuropi?

Kuti uve chiremba wepfungwa dzepfungwa, munhu anofanira kupedzisa matanho aya ekudzidzisa nekudzidzisa:

• Unofanira kutanga wapedza makore mana ekudzidza usati watanga kudzidza zvekurapa kubva kukoreji kana kuyunivhesiti wowana Bachelor's Degree.
• Mushure meizvozvo, unofanira kudzidza kwemakore mana kuchikoro chekurapa uye kuwana dhigirii rekuti "Doctor of Medicine - MD" kana kuti "Doctor of Osteopathic Medicine - DO".
• Unofanira kupedzisa gore rimwe chete rekudzidzira basa rekurapa kwakajairika.
• Zvadaro, zvichienderana nechirongwa, unofanirwa kupedzisa kudzidza muchirongwa chepfungwa , chinogona kugara kwemakore mana.

Vamwe vanhu, mushure mekugara uku, vanoenderera mberi nezvirongwa zvekudyidzana kuti vawane ruzivo rwakadzama mune imwe nzvimbo ye neurophysiology. Semuenzaniso, vanogona kunyanya munzvimbo dzakadai sepfari, zvirwere zvetsinga dzemutsinga, uye matambudziko ekurara.

Saka, kana chiremba akafungidzira kuti une chirwere chetsinga, kana kuti wakatoonekwa kuti une chirwere ichi, chiremba wetsinga anogona kunge ari nhengo yechikwata chako chehutano. Ivo inyanzvi mubasa ravo, uye vane ruzivo rwakakura muongororo dzichangoburwa dzinogona kuongorora mashandiro etsinga dzako. Usambozeza kubvunza mibvunzo yechiremba wako wetsinga. Varipo kuti vakubatsire.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, ngatitarisei zvimwe zvezvinhu zvakakosha zvaunofanira kurangarira kubva pane zvatataura nezvazvo:

• Nyanzvi yezveuropi inyanzvi inodzidza mashandiro anoita hurongwa hwetsinga dzako, kusanganisira uropi hwako, musana, uye tsinga. Vanoita bvunzo dzakasiyana-siyana kuti vabatsire kuona zvirwere.
• Chiremba wetsinga ndiye anowanzo rapa, asi chiremba wetsinga anoita basa guru pakuongorora chirwere nemazvo.
• Vanhu ava vanoshandisa bvunzo dzakasiyana-siyana (semuenzaniso, `EEG`, `EMG`, `NCS`, `Evoked Potentials`) kudzivirira tsinga kubva mukukuvadzwa panguva yekuvhiyiwa uye kuongorora zvirwere zvetsinga.
• Kana chiremba akakuudza kuti uone chiremba wepfungwa, zvinoreva kuti vanoda kunyatsoongorora mashandiro anoita hurongwa hwako hwetsinga.Usatya, zvichakubatsira kuti uwane kurapwa kuri nani.
• Sununguka kubvunza chiremba wako chero mibvunzo yaunayo, ingave nezvebvunzo dzako kana mamiriro ako ezvinhu. Une kodzero yekuziva zvese zvakajeka.

Ndinovimba wava kunzwisisa zviri nani kuti chiremba wepfungwa ndiani uye zvavanoita. Kana uine mimwe mibvunzo, iva nechokwadi chekutaura nachiremba wako.

Neurophysiology , Neurophysiologist, Sisitimu yetsinga, Kuongororwa kwehuropi, Kuongororwa kweNeuro, EEG, EMG, Kuongororwa kwekuvhiyiwa