Uvavanyo lwe-Electroneuromyography: yintoni, yenzelwe ntoni kwaye yenziwa njani

Umxholo

• Uvavanyo lwe-Electroneuromyography lwenziwa njani
• Yenzelwe ntoni
• Zeziphi izifo ezivavanywa luvavanyo
• Ungazilungiselela njani iimviwo
• Ngubani ongafanelekanga
• Imingcipheko enokwenzeka

I-Electroneuromyography (ENMG) luvavanyo oluvavanya ubukho bezilonda ezichaphazela imithambo-luvo kunye nezihlunu, njengoko kunokwenzeka kwizifo ezinje nge-amyotrophic lateral sclerosis, isifo seswekile, i-carpal tunnel syndrome okanye isifo se-guillain-barré, umzekelo, kubalulekile ukunceda Ugqirha uqinisekisa ukuxilongwa kwaye ucwangcise unyango olungcono.

Olu vavanyo luyakwazi ukurekhoda ukuqhuba kombane kwimpembelelo kunye nokuvavanya umsebenzi we-muscle ngexesha lokunyakaza okuthile kwaye, ngokubanzi, imilenze engezantsi okanye ephezulu, njengemilenze okanye iingalo, zivavanywa.

Uvavanyo lwe-Electroneuromyography lwenziwa njani

Uvavanyo lwenziwa ngamanyathelo ama-2:

• Electroneurography okanye neuroconductionIzixhobo ezincinci zibekwa eluswini ukuvavanya izihlunu ezithile okanye iindlela zemithambo-luvo, emva koko izinto ezincinci zombane zenziwe ukuvelisa imisebenzi kuloo mithambo-luvo kunye nezihlunu, ezibanjwa sisixhobo. Eli nyathelo linokubangela ukungonwabi okufana nemivumbo emincinci, kodwa yona iyanyamezeleka;
• Umbane wombane: I-electrode emilise inaliti ifakwe eluswini ide ifike kwimisipha, ukuvavanya ngokuthe ngqo umsebenzi. Ngale nto, isigulana siceliwe ukuba senze iintshukumo ngelixa i-electrode ibhaqa imiqondiso. Kule nqanaba, kukho iintlungu ezihlabayo ngexesha lokufakwa kwenaliti, kwaye kunokubakho ukungonwabi ngexesha loviwo, olunyamezelwayo. Funda ngakumbi malunga ne-electromyography.

Uvavanyo lwe-electroneuromyography lwenziwa ngugqirha, kwaye luyafumaneka kwizibhedlele okanye kwiiklinikhi ezizodwa. Olu vavanyo lwenziwa simahla yi-SUS kwaye lugutyungelwe zizicwangciso ezithile zezempilo, okanye lunokwenziwa ngasese, ngexabiso elijikeleze i-300 reais, enokuthi iguquguquke, ngokwendawo eyenziwa kuyo.

Yenzelwe ntoni

I-Electroneuromyography isetyenziselwa ukufumanisa izifo ezithile ezinxulumene neempembelelo zemithambo-luvo okanye umsetyenzana wombane, ukuze ucwangcise unyango olufanelekileyo. Ngamanye amaxesha kunokuba luncedo ekuvavanyeni ikhosi yesi sifo.

I-electromyogram ayisiwo uviwo oluqhelekileyo lokuchongwa kwezifo zemithambo-luvo kunye nemisipha, nangona kunjalo iziphumo zayo zitolikwa ngokwembali yesigulana kunye neziphumo zovavanyo lwe-neurological.

Zeziphi izifo ezivavanywa luvavanyo

Uvavanyo lwe-electroneuromyography luhlola ukusebenza kweethambo kunye nezihlunu, ezinokuthi zitshintshwe kwiimeko ezinje:

• Polyneuropathy, kubangelwa sisifo seswekile okanye isifo sokudumba. Fumanisa ukuba siyintoni isifo seswekile kunye nokuba usinyanga njani;
• Ukubetha kwezihlunu inkqubela;
• Idiski yeHerniated okanye ezinye i-radiculopathies, ezibangela ukonakala kwethambo lomqolo.
• Isifo seCarpal tunnel. Funda indlela yokuchonga nokunyanga esi sifo;
• Ukukhubazeka ebusweni;
• Amyotrophic lateral sclerosis. Qonda ukuba yintoni i-amyotrophic lateral sclerosis;
• Ipoliyo;
• Utshintsho kumandla okanye ubuntununtunu kubangelwa ukwenzakala okanye ukubethwa;
• Izifo zemisipha, ezinje nge-myopathies okanye i-muscular dystrophies.

Ngolwazi olufunyenwe ngexesha lovavanyo, ugqirha uya kuba nakho ukuqinisekisa ukuxilongwa, abonise ezona ndlela zilungileyo zonyango okanye, kwezinye iimeko, abeke esweni ubukhali kunye nokuvela kwesi sifo.

Ungazilungiselela njani iimviwo

Ukwenza i-electroneuromyography, kuyacetyiswa ukuba uye kwindawo yoviwo wondleke kakuhle kwaye unxibe iimpahla ezikhululekileyo okanye ezisuswe ngokulula, ezinje ngeziketi okanye iibhulukhwe ezimfutshane. Ukuthambisa ioyile okanye iikhrimu akufuneki zisetyenziswe kwiiyure ezingama-24 phambi koviwo, kuba ezi zithambiso zinokwenza i-electrode inamathele ngakumbi.

Kubalulekile ukwazisa ugqirha ukuba usebenzisa amayeza, njengoko ezinye, ezinje nge-anticoagulants, zinokuphazamisa okanye ziphikise uvavanyo kwaye ukuba une-pacemaker ukuba unengxaki yegazi, njenge-hemophilia.

Ukongeza, kufuneka kukhunjulwe ukuba i-electroneuromyography ihlala yenziwa kumacala omabini (yomibini imilenze okanye iingalo), njengoko kubalulekile ukuthelekisa utshintsho olufunyenwe phakathi kwecala elichaphazelekayo kunye necala elisempilweni.

Akukho ziphumo zisisigxina emva koviwo, ke kunokwenzeka ukubuyela kwimisebenzi yemihla ngemihla ngesiqhelo.

Ngubani ongafanelekanga

I-Electroneuromyography ayibeki mngcipheko kwezempilo, nangona kunjalo, iyaphikiswa kubantu abasebenzisa iintliziyo zentliziyo okanye abasebenzisa amayeza anticoagulant, anje ngeWarfarin, Marevan okanye iRivaroxaban powder, umzekelo. Kule meko, kuya kufuneka wazise ugqirha, ngubani oza kuvavanya ukuphikiswa okanye loluphi uhlobo lonyango olunokwenziwa.

Kukho ukungahambelani ngokupheleleyo kuvavanyo, oko kukuthi: ukungasebenzisani nesigulana ukwenza uvavanyo, ukwala kwesigulana ukwenza inkqubo kunye nobukho bezilonda kwindawo apho uphando beluza kwenziwa khona.

Imingcipheko enokwenzeka

Uvavanyo lwe-electroneuromyography lukhuselekile kwiimeko ezininzi, nangona kunjalo zinokubakho iimeko apho inkqubo inokuba semngciphekweni, njenge:

• Izigulana ezanyangwa ngeanticoagulants;
• Ukuphazamiseka kwegazi, njenge-hemophilia kunye nokuphazamiseka kweplatelet;
• Izifo ezenza buthathaka amajoni omzimba, anjengoGawulayo, isifo seswekile, kunye nezifo ezikhuselayo emzimbeni;
• Abantu abane pacemaker;
• Izilonda ezosulelayo ezisebenzayo kwindawo apho uvavanyo beluza kwenziwa khona.

Ke, kubalulekile ukuba wazise ugqirha ukuba unayo nayiphi na imiqathango phantsi kwayo ithathwa njengomngcipheko, ukongeza ekusebenziseni amayeza ukuze unciphise umngcipheko weengxaki.