Ngaba ugqirha wakho ukuxelele ukuba wenze uvavanyo lwe-EMG? Okanye ngaba une-nausea rhoqo kwimilenze yakho, uzive ubuthathaka kwimisipha yakho, kwaye ngamanye amaxesha uzive unesicaphucaphu? Ke olu luvavanyo olubaluleke kakhulu olunokunceda ekufumaneni unobangela weengxaki ezinjalo. Masithethe ngolu vavanyo lwe-EMG ngokulula.
Yintoni kanye kanye i-EMG (i-Electromyography)?
Ngamafutshane, i-EMG luvavanyo olukhethekileyo olujonga impilo kunye nokusebenza kwezihlunu zakho kunye nemithambo-luvo ezilawulayo. Yonke intshukumo esiyenzayo, ukususela ekuphakamiseni ingalo ukuya ekunqwaleni intloko, yenzeka ngenkqubo yonxibelelwano enzima kakhulu phakathi kwengqondo, umqolo, imithambo-luvo kunye nemisipha.
Khawuthelekelele, ingqondo yakho yiofisi enkulu. Ukusuka apho, ithumela isignali yombane 'yokuphakamisa isandla sakho'. Esi signali sihamba njengomyalezo wombane ngemithambo-luvo (njengentambo yombane) size sifikelele kwimisipha efanelekileyo (njengesixhobo sombane). Xa loo myalezo ufunyenwe, imisipha iyafinyela ize iphakamise isandla. Uvavanyo lwe-EMG lujonga naziphi na iimpazamo 'kwiintambo zombane', 'kwizixhobo zombane', okanye unxibelelwano phakathi kwezi zimbini.
Oogqirha badla ngokwenza olunye uvavanyo olubizwa ngokuba yiNerve Conduction Study (NCS) kunye novavanyo lwe-EMG. I-NCS ilinganisa isantya kunye namandla esignali yombane ehamba ngemithambo-luvo. I-EMG ilinganisa indlela imisipha esabela ngayo kuloo signali.
Zeziphi izifo ezinokufunyaniswa ngovavanyo lwe-EMG?
Olu vavanyo lunokunceda ekuxilongeni iimeko ezininzi zemithambo-luvo nezemisipha, lufumanise ubukhali bazo, kwaye lubone indawo echaphazelekileyo. Ngamanye amaxesha, lukwasetyenziselwa ukuqinisekisa ukuba awunayo imeko ethile.
Jonga itheyibhile engezantsi ukuze ufumane iindidi eziphambili zezifo ezinokunceda ekuxilongweni yi-EMG.
| Udidi lwezifo | Ingcaciso elula kunye nemizekelo |
|---|---|
| Iingxaki zemithambo-luvo | Ukonakala kwemithambo-luvo ephuma engqondweni nakwi-spinal cord. Imizekelo: i-peripheral neuropathy , i-carpal tunnel syndrome . |
| Iingxaki zengcambu yemithambo-luvo | Imithambo-luvo ecinezelekileyo. Imizekelo: i-cervical radiculopathy , i-sciatica . |
| Iingxaki zemisipha / i-Myopathies | Izifo ezichaphazela izihlunu ngokwazo, ngaphandle kokuchaphazela imithambo-luvo. Imizekelo: i-muscular dystrophy , i-polymyositis , i-dermatomyositis . |
| Iimeko ze-motor neuron | Izifo ezichaphazela iiseli zemithambo-luvo ebuchotsheni okanye emgogodleni ezilawula intshukumo. Imizekelo: I-Amyotrophic Lateral Sclerosis (ALS) , i-post-polio syndrome . |
| Iingxaki kunxibelelwano phakathi kwemithambo-luvo kunye nemisipha | Iimeko apho umyalezo ovela kwimithambo-luvo ungamkelwa kakuhle yimisipha. Umzekelo: Myasthenia Gravis . |
Kodwa khumbula, uvavanyo lwe-EMG aluyondlela yodwa yokuxilonga ezi meko. Ugqirha wakho uza kusebenzisa uvavanyo lwegazi, iiskeni, kwaye mhlawumbi ne-biopsy yemisipha.
Olu vavanyo lusebenza njani ngokwenene?
Ukuze sikuqonde oku, makhe sijonge kwakhona indlela ezisebenza ngayo izihlunu zethu. Izihlunu eziphilileyo azibonisi msebenzi wombane xa singashukumi (siphumle). Kodwa xa sizinciphisa kancinci ezo zihlunu, kwenzeka umsebenzi omncinci wombane. Xa sizinciphisa kakhulu, lo msebenzi wombane uyanda nangakumbi.
Ngexesha lovavanyo lwe-EMG, ugqirha okanye ingcali eqeqeshiweyo ifaka inaliti encinci kakhulu (ene-electrode enamathele kwincam) ngesikhumba sakho iye kwisihlunu esichaphazelekayo.
Enye yezinto abantu abaninzi abayoyikayo kukuba le naliti iya kubabangela ukubetha ngombane. Oko akuyi kwenzeka. Le naliti ifana nemakrofoni. "Imamela" nje umsebenzi wombane ngaphakathi kwimisipha ize iyirekhode.
Le naliti irekhoda idatha xa ungashukumisi umsipha, kwaye xa uwufinyeza kancinci kwaye ngokukhawuleza njengoko ugqirha wakho ekuxelele. Le datha ibonakala njengamaza kwiscreen sekhompyutha. Ngamanye amaxesha ezi mpawu zombane nazo ziviwa njengezandi. "Isandi" esivela kwimisipha esempilweni sahlukile "kwisandi" esivela kwimisipha enesifo. Ngokuhlalutya la maza nezandi, ugqirha ufikelela kwisigqibo malunga nemeko yemisipha kunye nemithambo-luvo yakho.
Ndingayilungiselela njani uvavanyo lwe-EMG?
Oku akudingi kulungiselela okuninzi, kodwa kulungile ukuqaphela ezi zinto zimbalwa.
- Hlala ucocekile: Hlamba kakuhle ngaphambi kovavanyo. Kodwa ungafaki naziphi na iikhrimu, iiloshini, iipowder, okanye iziqholo eluswini lwakho. Ezi zinto zinokuchaphazela ukuchaneka kovavanyo.
- Impahla: Nxiba impahla ekhululekileyo nekhululekileyo.
- Xelela ugqirha wakho ngamayeza akho: Ukuba uthatha i-anticoagulant, efana ne -warfarin , qiniseka ukuba uxelele ugqirha wakho. Eli yeza linokunyusa umngcipheko wokopha kancinci kwindawo ohlatywe kuyo inaliti. Nangona kunjalo, ungayeki ukulithatha ngaphandle kokubonisana nogqirha wakho kuqala.
- Ezinye izixhobo zonyango: Ukuba ufake i -pacemaker okanye esinye isixhobo sezonyango se-elektroniki, nceda usazise kwangaphambili.
- Ukutya Neziselo: Kwezinye iimeko, unokucetyiswa ukuba ungatshayi kwaye usele iziselo ezine-caffeine, ezifana nekofu neti, kangangeeyure ezimbini ukuya kwezintathu ngaphambi kovavanyo.
Kwenzeka ntoni ngexesha lovavanyo?
Ngokwesiqhelo, uvavanyo lwe-NCS lwenziwa ngaphambi kwe-EMG. Ngelo xesha, ii-electrodes, njengezitikha, zifakwa eluswini lwakho kwaye kuthunyelwa umbane omncinci kakhulu ukulinganisa impendulo yemithambo-luvo. Oku kunokuvakala ngathi kukukhwankqiswa okuncinci. Emva koko kwenziwa i-EMG. Oku kwenzeka ngexesha le-EMG:
1. Uza kucelwa ukuba uhlale esitulweni okanye ulale ebhedini.
2. Ugqirha ukhetha umsipha oza kuhlolwa aze awucoce loo ndawo.
3. Emva koko, kufakwa inaliti encinci kakhulu, ecociweyo, efakwe ulwelo kwimisipha. Ngokuqhelekileyo kuthatha umzuzu okanye emibini ukuvavanya umsipha omnye.
4. Usenokuziva iintlungu okanye ukungakhululeki kancinci xa kufakwa inaliti.
5. Emva koko, ugqirha uza kukuxelela ukuba uphumze izihlunu, uze uzithobe kancinci, uze uzithobe kancinci. Ngalo lonke ixesha, umatshini uza kurekhoda umsebenzi wombane wezihlunu.
6. Emva kokufumana idatha efunekayo kwisihlunu esinye, inaliti iyasuswa kwaye isihlunu esilandelayo sivavanywa ngendlela efanayo. Ngokuxhomekeke kwiimpawu zakho, kunokufuneka uvavanye izihlunu ezininzi.
Eminye imibuzo eqhelekileyo osenokuba uzibuza yona...
Ingaba olu vavanyo lubuhlungu kakhulu?
Kuqhelekile ukuba uzive iintlungu okanye ukungakhululeki xa inaliti ifakwa ngaphakathi emsipha. Nangona kunjalo, uninzi lwabantu lufumanisa ukuba le ntlungu iyanyamezeleka. Ukuba uva iintlungu ezinganyamezelekiyo, xelela umntu owenza uvavanyo.
Ingaba iza kuthatha ixesha elingakanani?
Ngokuxhomekeke kwinani lezihlunu kunye nemithambo-luvo evavanywayo, oku kungathatha imizuzu engama-60 ukuya kwengama-90 .
Kwenzeka ntoni emva kovavanyo?
Kusenokubakho ukuqaqamba kwimisipha apho iinaliti zifakwe khona iintsuku ezimbalwa emva kovavanyo. Oku kudla ngokunyamalala ngokupheleleyo kwiveki. Ungaphawula nokukrweleka apho iinaliti zifakwe khona.
Ngaba kukho naziphi na iingozi?
I-EMG luvavanyo olukhuselekileyo kakhulu . Iingxaki azixhaphakanga. Ukopha okuthile kunokwenzeka kwindawo efakwe inaliti, ingakumbi kubantu abathatha amayeza okunciphisa igazi. Umngcipheko wosulelo kwindawo efakelwe inaliti uphantsi kakhulu.
Ufanele uthethe nini nogqirha emva kovavanyo?
Ukuba ufumana naziphi na iimpawu ezingezantsi emva kovavanyo, yazisa ugqirha wakho.
| Uphawu ekufuneka luqwalaselwe | Inkcazo |
|---|---|
| Ukopha okungapheliyo | Ukuba ukopha akupheli kwindawo yokufaka inaliti. |
| Intlungu ebuhlungu | Ukuba ufumana iintlungu ezinganyamezelekiyo okanye ukuqina oko kungaphezu kokukrweleka okuqhelekileyo. |
| Iimpawu zosulelo | Ububomvu, ukudumba, ubushushu, okanye umkhuhlane kwindawo yokufaka inaliti. |
Ekugqibeleni malunga nengxelo yovavanyo...
Ingxelo yakho yovavanyo iya kufumaneka kwiiyure ezingama-24 ukuya kwezingama-48. Nangona kunjalo, kubalulekile ukuqonda oku:
Iziphumo zovavanyo lwe-EMG ziyinxalenye enye yephazili. Zodwa azinakubonelela ngoxilongo olupheleleyo. Ugqirha wakho uza kudibanisa ingxelo ye-EMG, iimpawu zakho, iziphumo zovavanyo lomzimba, kunye nezinye iziphumo zovavanyo (ezifana neeskeni kunye novavanyo lwegazi) ukuze kufumaneke uxilongo lokugqibela.
Umzekelo, ukuba kurhanelwa ukuba kukho umthambo ocinezelweyo, i-EMG inokubonelela ngolwazi malunga nomonakalo obangelwe kwimisipha kunye nomthambo ngenxa yokucinezelwa. Nangona kunjalo, ukuze "ubone" ngqo apho umthambo ucinezelwe khona kunye nokuba yintoni ebangela oko (umz., idiski ehluthwe yi-herniated), kufuneka into efana ne-MRI scan.
Ngoko ke, ukuba kufuneka wenze uvavanyo lwe-EMG, musa ukoyika. Luvavanyo oluxabisekileyo kakhulu oluya kunceda ugqirha wakho afumane unobangela wengxaki yakho aze acebe unyango olufanelekileyo. Ukuba unemibuzo malunga novavanyo, ungaze unqikaze ukubuza ugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-EMG luvavanyo olukhuselekileyo noluluncedo kakhulu olujonga impilo yemisipha kunye nemithambo-luvo yakho.
- Oku kunceda ekufumaneni unobangela weengxaki ezinje ngokuba ndindisholo kwamalungu omzimba, ubuthathaka bemisipha, kunye nentlungu.
- Nangona kukho ukungakhululeki okuthile ngenxa yokusebenzisa inaliti encinci ngexesha lovavanyo, kudla ngokunyamezeleka.
- Qiniseka ukuba uxelela ugqirha wakho malunga namayeza owasebenzisayo (ingakumbi amayeza okunciphisa igazi) kunye nazo naziphi na izixhobo onazo, ezifana ne-pacemakers, ngaphambi kovavanyo.
- Ingxelo ye-EMG linyathelo nje elinye kwinkqubo yokuxilonga. Ugqirha wakho uza kuqwalasela ezinye izinto ezininzi ukuze afikelele kwisigqibo sokugqibela.
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