Ungave usina kumbonzwa nezvenyanzvi inoongorora kana sisitimu yako yetsinga, inosanganisira uropi hwako, musana, uye network yetsinga dzinofamba mumuviri wako wese, dziri kushanda nemazvo. Kungofanana nenyanzvi inoongorora kana waya mumba mako dziri kushanda nemazvo, dzisina nzvimbo yakakwana, kana kuti kana magetsi ari mashoma, chiremba uyu anoongororawo "sisitimu yemagetsi" yemuviri wako. Nhasi tiri kutaura nezvenyanzvi iyi, Neurophysiologist.
Zvichitaurwa zviri nyore, ndiani chiremba wepfungwa?
Nyanzvi yezveuropi inyanzvi inodzidza mashandiro etsinga dzedu, kunyanya mashandiro adzo emagetsi , uye inoita bvunzo nekuongorora zvirwere zvine chekuita nadzo.
Funga nezvazvo, muviri wedu muchina wakaoma kunzwisisa. Imba yekudzora yemuchina uyu isystem yetsinga. Kureva, uropi, musana, uye tsinga dzinotakura ruzivo mumuviri wese. Zvese zvaunofunga, zvaunonzwa, uye zvaunoita zvinodzorwa nesystem iyi. Kubva panguva yaunosimudza ruoko rwako kusvika panguva iyo moyo wako unorova, zvese chikamu chayo.
Saka kana paine dambudziko nehurongwa uhwu, kungava dambudziko nekufamba kwemashoko kana dambudziko remagetsi, nyanzvi yezveuropi ichabatsira kuriwana.
Nyanzvi yezvepfungwa nenyanzvi yezveuropi - Musiyano uripo pakati pezviviri izvi ndeupi?
Mazita maviri aya anowanzo vhiringidzwa. Ose ari maviri vanachiremba vanoshanda netsinga. Asi pane musiyano mudiki. Ngatinzwisisei izvi nemuenzaniso.
Fungidzira kuti pane dambudziko nehurongwa hwemwenje mumba mako. Ungatanga wataura nenyanzvi yemagetsi yenguva dzose. Anogona kutarisa hurongwa hwese hwemagetsi mumba, kuona kana fuse yakafuridzwa, switch yacho isina kunaka, girobhu ratsva, uye kuwana mufananidzo mukuru. Ndizvo zvakaita Nyanzvi yeNeurologist . Iye chiremba ane ruzivo rwakakura rwese rwehurongwa hwetsinga, ndiko kuti, chimiro chahwo, mashandiro ahwo, uye zvirwere zvese zvine chekuita nahwo. Nyanzvi yeNeurologist inokunyorera mishonga yako uye inoronga kurapwa kwako.
Zvino fungidzira kuti pane dambudziko rakaomarara risingawanikwe nenyanzvi yemagetsi. Kuderera kwesimba remagetsi, zvinoita sekunge pane kakudonhedza mvura pane imwe nzvimbo. Ipapo anouya nemumwe munhu anoshandisa mita dzakakosha, nyanzvi mukufamba kwesimba remagetsi. Ndizvo zvakaita Neurophysiologist . Inyanzvi mukushanda kwetsinga, kunyanya mukufamba kwezviratidzo zvemagetsi. Chaanoita ndechekuita bvunzo dzakasiyana-siyana, kuongorora mhedzisiro, uye kuona kuti dambudziko riri papi mukushanda kwetsinga.
Zvichitaurwa zviri nyore, Chiremba weMagumbo (Neurologist) ndiye anoongorora uye anorapa zvirwere. Chiremba weMagumbo (Neurophysiologist) anoita bvunzo dzakakosha uye anopa ruzivo rwakakosha runodiwa pakuongororwa ikoko. Asi kazhinji havanyoreri kurapwa.
Mabasa maviri makuru enyanzvi yezveuropi
Tinogona kupatsanura vanachiremba vepfungwa muzvikamu zviviri zvikuru, zvichienderana nemashandiro avanoita.
1. Avo vanoshanda mukuvhiya (Surgical Neurophysiologists)
2. Avo vanoongorora zvirwere mumakiriniki (Clinical Neurophysiologists)
Ngatitarisei basa remumwe nemumwe wevanhu ava zvakasiyana.
1. Basa reNyanzvi yeNeurophysiology mukuvhiyiwa
Iyi inyaya inokosha zvikuru. Fungidzira kuti mumwe munhu ari kuvhiyiwa musana kana uropi zvakanyanya. Paanenge achivhiyiwa, vanachiremba vanofanira kutarisa tsinga kuti vaone kana paine kukuvara kwetsinga. Kana paine chikanganiso chidiki, munhu anogona kuoma mitezo, kurasikirwa nekunzwa, kana kuva nesitiroko.
Ndipo panobatana chiremba wepfungwa nemuviri wemurwere. Anoshandisa michina yakakosha kuti aongorore mashandiro emagetsi etsinga dzemurwere panguva yese yekuvhiyiwa. Izvi zvinonzi Intraoperative Neurophysiology Monitoring (IONM) . Kana tsinga ikakanganiswa zvishoma, zviratidzo zvayo zvemagetsi zvinochinja. Kana chiremba wetsinga akaona shanduko iyoyo, anozivisa chiremba. Chiremba anogona kutora matanho anodiwa asati akuvadzwa.
| Rudzi rwekuvhiyiwa | Basa renyanzvi yezveuropi |
|---|---|
| Kuvhiyiwa kwemusana | Kutarisa kukuvara kwemusana netsinga dzinobva mauri. Kubatsira kudzivirira kurasikirwa nemakumbo nemaoko. |
| Kuvhiyiwa kwehuropi | Kuona kana zvikamu zvakakosha zveuropi, semuenzaniso, zvikamu zvine chekuita nekutaura, kuona, uye kufamba, zvakakuvadzwa. |
| Kuvhiyiwa kwenzeve, mhuno, uye pahuro (nzira dzeENT) | Kudzivirira kurasikirwa nekunzwa nekuda kwekukuvara kwetsinga dzekunzwa, kunyanya panguva yekuvhiyiwa kwenzeve. |
| Kuvhiyiwa kwetsinga dzeropa | Kutarisa mashandiro europi kudzivirira kukuvara kunokonzerwa nekudzikira kweropa rinoenda kuuropi (ischemia). |
2. Nyanzvi yezveuropi inoongorora zvirwere
Uyu ndiye chiremba weNeurophysiologist watinowanzoona, uyo chiremba wedu anotitumira kwaari. Vari muzvipatara kana kumakiriniki. Vanoita bvunzo dzakasiyana-siyana kuti vaone mashandiro etsinga dzemuviri. Chiremba weNeurology achaona kuti une chirwere chipi chaizvo.
Aya ndiwo mamwe emiedzo mikuru yavanoita:
- EMG (Electromyography): Bvunzo iyi inotarisa hutano hwemhasuru dzako netsinga dzinodzidzora. Kana uine kusanzwa, kukwenya, kana kushaya simba muruoko rwako, bvunzo iyi inogona kubatsira kuona kana dambudziko riri mumhasuru pachayo kana mutsinga dzinopa rubatsiro. Izvi zvakakosha pakuongorora zvirwere zvakaita seCarpal Tunnel Syndrome (tsinga dzakapwanyika muruoko) uye Peripheral Neuropathy (kukuvara kwetsinga dziri mumaoko nemakumbo nekuda kwezvirwere zvakaita sechirwere cheshuga).
- NCS (Nerve Conduction Study): Izvi zvinoyera kuti zvinotora nguva yakareba sei kuti chiratidzo chemagetsi chifambe netsinga uye kuti chinofamba nekukurumidza sei. Kana tsinga ikakuvara, kumhanya kwechiratidzo ichocho kunoderera. Kazhinji, bvunzo dzeEMG neNCS dzinoitwa pamwe chete.
- EEG (Electroencephalogram): Ungave wakambonzwa nezveizvi. Izvi zvinosanganisira kubatanidza maelectrode madiki paganda remusoro uye kunyora mashandiro emagetsi europi . Bvunzo iyi inokosha pakuongorora zvirwere zvakaita sepfari uye kuona kuti muuropi mune chikonzero chipi.
- Kuedzwa Kwekugona Kuonekwa: Izvi zvinosanganisira kupa simba, senge chiedza kumaziso kana ruzha munzeve, uye kuyera mashandiro emagetsi muuropi nemumusana zvichienderana nazvo. Kureva kuti, inoyera kuti zvaunoona nemaziso zvinosvika sei kuuropi nekukurumidza, uye kuti zvaunonzwa nenzeve zvinosvika sei kuuropi nekukurumidza.
- Kudzidza nezvekurara (kudzidza nezvekurara / Polysomnography):Vamwe vanhu vane matambudziko akadai sekushaya hope, kufamba-famba muhope, uye kugona kurara. Kuti vaongorore matambudziko aya ekurara, murwere anoendeswa kuchipatara uye mabasa akasiyana-siyana emuviri (mafungu europi, kufema, uye kurova kwemoyo) anotariswa husiku hwese. Izvi zvinoitwawo naNeurophysiologist.
Ungava sei Neurophysiologist?
Rwendo urwu rurefu uye rwakazvipira. Nyanzvi yezveuropi chiremba. Saka, unofanira kutanga wanyoresa kuchikoro chekurapa wopedza dhigirii rezvekurapa (MD/MBBS).
Zvadaro:
- Unofanira kupedzisa internship yegore rimwe chete.
- Mushure meizvozvo, unofanirwa kudzidzira kwemakore akati wandei (Residency/MD) kuti uwane ruzivo rwehunyanzvi mu neurology.
- Mushure mekudzidziswa ikoko, muchadzidza mashandiro etsinga dzemuviri zvakadzama uye muchadzidziswa mune imwe subspecialty inonzi Neurophysiology.
Izvi zvinoda nguva yakawanda, kudzidza, uye kuzvipira.
Saka kana chiremba wako akakutumira kuti unoongororwa seEMG kana EEG, ikozvino wava kuziva kuti uchaenda kunoona Neurophysiologist. Iye munhu achaongorora tsinga dzako zvakadzama uye achakubatsira kuti uwane chirwere chako chakanyatsojeka. Saka usatya, bvunza chiremba iyeye chero mibvunzo kana zvinokunetsa. Varipo kuti vakubatsire.
Mharidzo Yekuenda Nayo Kumba
- Nyanzvi yezveuropi chiremba anonyanya kugadzirisa mashandiro emagetsi etsinga dzedu (uropi, tsinga).
- Chiremba wetsinga anorapa zvirwere zvetsinga, nepo nyanzvi yetsinga ichibatsira kuongorora zvirwere izvozvo kuburikidza nemiedzo yakakosha (yakadai seEMG, EEG).
- Pakuvhiyiwa kukuru (musana, uropi), rubatsiro rwenyanzvi yezveuropi rwakakosha kuti tsinga dzisakuvadzwe.
- Kana ukatumirwa kunoongororwa zvakaita seEMG, NCS, kana EEG, uchaongororwa naNeurophysiologist. Usatya kubvunza chiremba wako nezvazvo.
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