Ingabe udokotela wakho ukutshelile ukuthi wenze ukuhlolwa kwe-EMG? Noma ingabe unezinzwa ezingapheli ezithweni zakho, umuzwa wobuthakathaka emisipheni yakho, futhi ngezinye izikhathi umuzwa wokucasuka? Khona-ke lokhu ukuhlolwa okubaluleke kakhulu okungasiza ekutholeni imbangela yezinkinga ezinjalo. Ake sixoxe ngalokhu kuhlolwa kwe-EMG ngamagama alula.
Iyini ngempela i-EMG (i-Electromyography)?
Kalula nje, i-EMG iyisivivinyo esikhethekile esihlola impilo kanye nokusebenza kwemisipha yakho kanye nemizwa eyilawulayo. Yonke intshukumo esiyenzayo, kusukela ekuphakamiseni ingalo kuya ekunqekuziseni ikhanda, kwenzeka ngenqubo yokuxhumana eyinkimbinkimbi kakhulu phakathi kobuchopho, umgogodla, imizwa, kanye nemisipha.
Cabanga nje, ubuchopho bakho buyihhovisi elikhulu. Ukusuka lapho, buthumela isignali kagesi ukuze 'buphakamise isandla sakho'. Lesi signali sihamba njengomyalezo kagesi ngemizwa (njengentambo kagesi) bese sifinyelela emisipheni efanele (njengedivayisi kagesi). Uma lowo myalezo umukelwa, imisipha iyafinyela futhi iphakamise isandla. Ukuhlolwa kwe-EMG kuhlola noma yimaphi amaphutha 'ezintanjeni zikagesi', 'kumadivayisi kagesi', noma ukuxhumana phakathi kwalokhu okubili.
Odokotela bavame ukwenza olunye uhlolo olubizwa ngokuthi i-Nerve Conduction Study (NCS) kanye nohlolo lwe-EMG. I-NCS ilinganisa ijubane namandla esignali kagesi ehamba nge-nerve. I-EMG ilinganisa ukuthi imisipha isabela kanjani kuleyo signali.
Yiziphi izifo ezingatholakala ngokuhlolwa kwe-EMG?
Lokhu kuhlolwa kungasiza ekuxilongeni izimo eziningi zemizwa nemisipha, kunqume ubukhali bazo, futhi kutholakale indawo ethintekile ngqo. Ngezinye izikhathi, kusetshenziselwa nokuqinisekisa ukuthi awunaso isimo esithile.
Bheka ithebula elingezansi ukuthola izigaba eziyinhloko zezifo i-EMG engasiza ekuxilongeni.
| Isigaba sesifo | Incazelo elula nezibonelo |
|---|---|
| Izinkinga zemizwa yangaphandle | Ukulimala kwemizwa ephuma ebuchosheni kanye nomgogodla. Izibonelo: i-peripheral neuropathy , i-carpal tunnel syndrome . |
| Izinkinga zezimpande zemizwa | Imizwa ecijile. Izibonelo: i-cervical radiculopathy , i-sciatica . |
| Izinkinga zemisipha / i-Myopathies | Izifo ezithinta imisipha ngokwayo, ngaphandle kokuthinta imizwa. Izibonelo: i-muscular dystrophy , i-polymyositis , i-dermatomyositis . |
| Izimo ze-motor neuron | Izifo ezithinta amangqamuzana ezinzwa ebuchosheni noma emgogodleni ezilawula ukunyakaza. Izibonelo: I-Amyotrophic Lateral Sclerosis (ALS) , i-post-polio syndrome . |
| Izinkinga ekuxhumaneni phakathi kwezinzwa nemisipha | Izimo lapho umyalezo ovela emsipheni ungamukelwa kahle yimisipha. Isibonelo: Myasthenia Gravis . |
Kodwa khumbula, ukuhlolwa kwe-EMG akuyona yodwa indlela yokuthola lezi zimo. Udokotela wakho uzosebenzisa nokuhlolwa kwegazi, ama-scan, kanye ne-biopsy yemisipha.
Lokhu kuhlolwa kusebenza kanjani ngempela?
Ukuze siqonde lokhu, ake sibheke futhi ukuthi imisipha yethu isebenza kanjani. Imisipha enempilo ayibonisi msebenzi kagesi uma singashukumi (siphumule). Kodwa uma siwufinyeza lowo musipha kancane, kwenzeka umsebenzi omncane kagesi. Uma siwufinyeza kakhulu, lo msebenzi kagesi uyanda kakhulu.
Ngesikhathi sokuhlolwa kwe-EMG, udokotela noma uchwepheshe oqeqeshiwe ufaka inalithi encane kakhulu (ene-electrode enamathiselwe esicongweni) ngesikhumba sakho iye emisipheni okukhulunywa ngayo.
Enye yezinto abantu abaningi abesabayo ukuthi le naliti izobashaya ngogesi. Lokho ngeke kwenzeke. Le naliti ifana nemakrofoni. Imane "ilalele" umsebenzi kagesi ngaphakathi kwemisipha bese iyiqopha.
Le naliti iqopha idatha uma ungawushukumisi umsipha, nalapho uwufinyeza kancane futhi ngokushesha njengoba udokotela wakho ekutshelile. Le datha ivela njengamagagasi esikrinini sekhompyutha. Ngezinye izikhathi lezi zimpawu zikagesi nazo zizwakala njengemisindo. "Umsindo" ovela emsipheni ophilile uhlukile "kumsindo" ovela emsipheni onesifo. Ngokuhlaziya la magagasi nemisindo, udokotela ufinyelela esiphethweni ngesimo semisipha yakho nemizwa.
Ngingalungiselela kanjani ukuhlolwa kwe-EMG?
Lokhu akudingi ukulungiselela okuningi, kodwa kuhle ukuqaphela lezi zinto ezimbalwa.
- Hlala uhlanzekile: Geza kahle ngaphambi kokuhlolwa. Kodwa ungafaki noma yimaphi ama-creams, ama-lotion, ama-powders, noma ama-perfume esikhumbeni sakho. Lokhu kungathinta ukunemba kokuhlolwa.
- Izingubo: Gqoka izingubo ezikhululekile nezikhululekile.
- Tshela udokotela wakho ngemithi yakho: Uma uthatha umuthi wokulwa nokuvuvukala kwegazi, njenge- warfarin , qiniseka ukuthi uyamtshela udokotela wakho. Lo muthi ungandisa ingozi yokopha okuncane endaweni yomjovo. Kodwa-ke, ungayeki ukuwuthatha ngaphandle kokubonisana nodokotela wakho kuqala.
- Amanye amadivayisi ezokwelapha: Uma une- pacemaker noma enye idivayisi yezokwelapha kagesi efakiwe, sicela usazise kusenesikhathi.
- Ukudla Neziphuzo: Kwezinye izimo, ungase welulekwe ukuthi ugweme ukubhema nokuphuza iziphuzo eziqukethe i-caffeine, njengekhofi netiye, amahora amabili kuya kwamathathu ngaphambi kokuhlolwa.
Kwenzekani ngesikhathi sokuhlolwa?
Ngokuvamile, ukuhlolwa kwe-NCS kwenziwa ngaphambi kwe-EMG. Ngaleso sikhathi, ama-electrode, njengezitika, afakwa esikhumbeni sakho bese kuthunyelwa ugesi omncane kakhulu ukukala impendulo yenzwa. Lokhu kungase kuzwakale njengokushaqeka okuncane. I-EMG ibe isiqedwa. Yilokhu okwenzekayo ngesikhathi se-EMG:
1. Uzocelwa ukuthi uhlale esihlalweni noma ulale embhedeni.
2. Udokotela ukhetha umsipha ozohlolwa bese ehlanza indawo.
3. Okulandelayo, kufakwa inaliti encane kakhulu, ehlanjululwe ngesikhumba iye emisipheni. Ngokuvamile kuthatha umzuzu noma emibili ukuhlola umsipha owodwa.
4. Ungase uzizwe ubuhlungu noma ukungakhululeki okuncane lapho inaliti ifakwa.
5. Udokotela uzokutshela ukuthi ukhulule imisipha, bese uyifinyeza kancane, bese uyifinyeza kancane. Isikhathi ngasinye, umshini uzoqopha umsebenzi kagesi wemisipha.
6. Ngemva kokuthola idatha edingekayo komunye umsipha, inaliti iyasuswa bese umsipha olandelayo uhlolwa ngendlela efanayo. Kuye ngezimpawu zakho, kungadingeka ukuthi uhlole imisipha eminingana.
Eminye imibuzo evamile ongase uzibuze yona...
Ingabe lokhu kuhlolwa kubuhlungu kakhulu?
Kuvamile ukuzwa ubuhlungu noma ukungakhululeki lapho inaliti ifakwa futhi ingaphakathi kwemisipha. Kodwa-ke, abantu abaningi bathola ukuthi lobu buhlungu bungabekezeleleka. Uma uzwa ubuhlungu obungabekezeleleki, tshela umuntu owenza isivivinyo.
Kuzothatha isikhathi esingakanani?
Ngokuvamile kungathatha imizuzu engama-60 kuya kwengama-90 , kuye ngokuthi imisipha nemizwa ihlolwe kangaki.
Kwenzekani ngemva kokuhlolwa?
Kungase kube nobuhlungu emisipheni lapho kwafakwa khona izinaliti izinsuku ezimbalwa ngemva kokuhlolwa. Lokhu kuvame ukuphela ngokuphelele phakathi nesonto. Ungase futhi uqaphele ukushaqeka lapho kwafakwa khona izinaliti.
Ingabe zikhona izingozi?
I-EMG iyisivivinyo esiphephile kakhulu . Izinkinga azivamile. Kungase kube nokopha okuthile endaweni yokujova, ikakhulukazi kubantu abathatha imithi yokunciphisa igazi. Ingozi yokutheleleka endaweni yokujova iphansi kakhulu.
Kufanele ukhulume nini nodokotela ngemva kokuhlolwa?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokuhlolwa, yazisa udokotela wakho.
| Isici okufanele usiqaphele | Incazelo |
|---|---|
| Ukopha okungeke kume | Uma ukopha kungapheli endaweni yokufaka inaliti. |
| Ubuhlungu obukhulu | Uma uzwa ubuhlungu obungabekezeleleki noma ukuqina, lokho kungaphezu kokushaywa okuvamile. |
| Izimpawu zokutheleleka | Ubomvu, ukuvuvukala, ukufudumala, noma umkhuhlane endaweni yokufaka inaliti. |
Ekugcineni mayelana nombiko wokuhlolwa...
Umbiko wakho wokuhlolwa uzovame ukutholakala zingakapheli amahora angama-24 kuya kwangu-48. Kodwa-ke, kubalulekile ukuqonda lokhu:
Imiphumela yokuhlolwa kwe-EMG iyingxenye eyodwa nje yephazili. Yona yodwa ayikwazi ukunikeza ukuxilongwa okuphelele. Udokotela wakho uzohlanganisa umbiko we-EMG, izimpawu zakho, okutholakele ekuhlolweni komzimba, kanye neminye imiphumela yokuhlolwa (njengokuskena nokuhlolwa kwegazi) ukuze kufinyelelwe ekuxilongweni kokugcina.
Isibonelo, uma kusolwa ukuthi kukhona inzwa ecindezelwe, i-EMG inganikeza ulwazi mayelana nomonakalo odalwe emisipheni nasemsipheni ngenxa yokucindezelwa. Kodwa-ke, ukuze "ubone" ukuthi inzwa icindezelwe kuphi nokuthi yini ebangela lokho (isib. idiski elihlungiwe), kudingeka into efana ne-MRI scan.
Ngakho-ke, uma kufanele wenze ukuhlolwa kwe-EMG, ungesabi. Kuwukuhlolwa okubaluleke kakhulu okuzosiza udokotela wakho ukuthola imbangela eqondile yenkinga yakho futhi ahlele ukwelashwa okungcono kakhulu. Uma unemibuzo mayelana nokuhlolwa, ungalokothi unqikaze ukubuza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-EMG iyisivivinyo esiphephile kakhulu nesiwusizo esihlola impilo yemisipha yakho kanye nezinzwa.
- Lokhu kusiza ekutholeni imbangela yezinkinga ezifana nokuba ndikindiki ezithweni, ubuthakathaka bemisipha, kanye nobuhlungu.
- Nakuba kukhona ukungakhululeki okuthile ngenxa yokusebenzisa inalithi encane ngesikhathi sokuhlolwa, ngokuvamile kuyabekezeleleka.
- Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi oyithathayo (ikakhulukazi imithi yokunciphisa igazi) kanye nanoma yimaphi amadivayisi onawo, njenge-pacemaker, ngaphambi kokuhlolwa.
- Umbiko we-EMG uyisinyathelo esisodwa nje enkambisweni yokuxilonga. Udokotela wakho uzocabangela ezinye izinto eziningi ukuze afinyelele esiphethweni sokugcina.
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