Uila uila

ʻO ka Electromyography (EMG) kahi hōʻike e nānā i ke olakino o nā mākala a me nā aʻalolo e kaohi i nā mākala.

Hoʻokomo ka mea mālama ola i kahi electrode nila kuʻikuʻi lahilahi ma o ka ʻili i ka mākala. Hāpai ka uila i ka nila i ka hana uila i hāʻawi ʻia e kou mau mākala. Hōʻike ʻia kēia hana ma kahi kahu kokoke a e lohe ʻia paha ma o ka mea haʻi ʻōlelo.

Ma hope o ke kau ʻana o nā uila, noi ʻia ʻoe e ʻaelike i ka mākala. ʻO kahi laʻana, ma ke piʻo ʻana i kou lima. ʻO ka hana uila i ʻike ʻia ma ka nānā e hāʻawi i ka ʻike e pili ana i ka hiki i kou mākala ke pane ke hoʻonāukiuki ʻia nā ʻalolo i kou mau mākala.

Hoʻomaʻamaʻa pinepine ʻia kahi hōʻike wikiwiki conduction nerve i ka wā o ke kipa like me EMG. Hana ʻia ka hōʻike wikiwiki e ʻike i ka wikiwiki o ka neʻe ʻana o nā hōʻailona uila ma waena o ke aʻalolo.

ʻAʻole pono ka hoʻomākaukau kūikawā. Hōʻalo i ka hoʻohana ʻana i nā kalima a i ʻole nā ​​lotion i ka lā o ka hoʻāʻo.

Hiki i ka mahana o ke kino ke hoʻopili i nā hopena o kēia hōʻike. Inā anuanu loa i waho, ʻōlelo ʻia ʻoe e kali i kahi lumi mehana no kekahi manawa ma mua o ka hōʻike ʻana.

Inā ʻoe e lawe i nā mea lahilahi a i ʻole nā ​​anticoagulants, e hoʻomaopopo i ka mea lawelawe e hana nei i ka hoʻokolohua ma mua o ka pau ʻana.

ʻIke paha ʻoe i kahi ʻeha a ʻoluʻolu ʻole ke hoʻokomo ʻia nā nila. Akā hiki i ka hapa nui o ka poʻe ke hoʻopau i ka hoʻokolohua me ka ʻole o nā pilikia.

Ma hope, ʻoluʻolu a palu paha ka mākala no kekahi mau lā.

Hoʻohana pinepine ʻia ʻo EMG ke loaʻa i kekahi kanaka nā ʻōuli o ka nāwaliwali, ʻeha, a me nā ʻano ʻē.Hiki iā ia ke kōkua i ka haʻi ʻana i ka ʻokoʻa ma waena o ka nāwaliwali o nā mākala ma muli o ka ʻeha ʻana o ke aʻalolo i hoʻopili ʻia i kahi mākala, a me ka nāwaliwali ma muli o nā maʻi ʻōnaehana, e like me nā maʻi muscle.

Heʻuʻuku ka hana uila ma kahi mākala i ka wā hoʻomaha. Hoʻokomo i nā nila kuʻuna hiki ke hana i kekahi hana uila, akā i ka manawa e hoʻomaha ai nā mākala, pono e ʻike ʻia kahi hana uila liʻiliʻi.

Ke hoʻololi ʻoe i kahi mākala, hoʻomaka ka hana i ka hana. Ke kuʻikahi hou aku ʻoe i kou ʻiʻo, hoʻonui ka hana uila a ʻike ʻia kahi hiʻohiʻona. Kōkua kēia kumu i kāu kauka e hoʻoholo inā e pane ana ka ʻiʻo e like me ka mea e pono ai.

Hiki i kahi EMG ke ʻike i nā pilikia me kou mau mākala i ka wā hoʻomaha a hana paha. Nā maʻi a i ʻole nā ​​kumu e hopena i nā hopena maikaʻi ʻole e like me kēia:

• ʻO ka neuropathy ʻona (ʻinoʻino i nā aʻalolo mai ka inu ʻana i ka waiʻona nui)
• Amyotrophic lateral sclerosis (ALS; maʻi o nā aʻa aʻa i ka lolo a me ka iwi kuamoʻo e kaohi Muscle neʻe)
• ʻO ke kīnā ʻole o ke aʻalolo Axillary (ʻino o ke aʻalolo e kaohi ana i ka neʻe ʻana o ka poʻohiwi a me ka naʻau
• Becker muscular dystrophy (nāwaliwali o nā wāwae a me nā pelvis)
• ʻO ka plexopathy Brachial (ka pilikia e pili ana i ka ʻāʻī o nā aʻalolo e haʻalele i ka ʻāʻī a komo i ka lima)
• Carpal tunnel syndrome (pilikia e hoʻopili ana i ke aʻa waena ma ka pulima a me ka lima)
• Cubital tunnel syndrome (pilikia e pili ana i ke aʻalolo ulnar i ka kuʻe lima)
• ʻO ka Cerond spondylosis (ʻāʻī ʻāʻī mai ka lole ma nā diski a me nā iwi o ka ʻāʻī)
• ʻO ke kīnā ʻole o ke aʻalolo peroneal (hōʻino ʻia o ke aʻalolo peroneal e alakaʻi ana i ka nalo o ka neʻe a i ʻole ka sensation i ka wāwae a me ka wāwae)
• Ka hoʻohaʻahaʻa (hoʻoliʻiliʻi hoʻoliʻiliʻi nerve o kahi mākala)
• Dermatomyositis (maʻi maʻi e pili ana i ka mumū a me ka ʻāwīwī o ka ʻili)
• Distal median nerve disfungsi (pilikia e hoʻopili ana i ke aʻa waena ma ka lima)
• Duchenne muscular dystrophy (maʻi hoʻoilina e pili ana i ka nāwaliwali o nā mākala)
• Facioscapulohumeral muscular dystrophy (Landouzy-Dejerine; maʻi o ka nāwaliwali o nā mākala a me ka nalo ʻana o nā mākala)
• ʻO ka maʻi palapū familial (maʻi e hiki ai i ka nāwaliwali o nā mākala a i kekahi manawa ʻoi aku ka haʻahaʻa ma mua o ka pae maʻamau o ka potassium i ke koko)
• ʻO ke kīnā o ke aʻalolo wahine (ka nalowale o ka neʻe a i ʻole ka sensation i nā ʻāpana o nā wāwae ma muli o ka hōʻino ʻia o ke aʻa wahine.
• Friedreich ataxia (ka maʻi hoʻoilina e pili ana i nā wahi o ka lolo a me ka iwi kuamoʻo e kāohi ana i ka hoʻohuihui, ka neʻe ʻana o nā io, a me nā hana ʻē aʻe
• ʻO Guillain-Barré Syndrome (maʻi maʻi autoimmune o nā aʻalolo e hiki ai i ka nāwaliwali o nā mākala a i ʻole ka lōlō)
• Lambert-Eaton maʻi pale (autoimmune kāna hana o nā aʻalolo e kumu Muscle nawaliwali)
• ʻO ka mononeuropathy maha (kahi maʻi ʻōnaehana e pili ana i ka hōʻino ʻia ma kahi o 2 mau ʻāpana nerve ʻokoʻa)
• ʻO Mononeuropathy (ʻino i kahi nerve hoʻokahi e hopena ai i ka nalowale o ka neʻe, sensation, a i ʻole nā ​​hana ʻē aʻe o kēlā nerve)
• Myopathy (hoʻohaʻahaʻa nāʻiʻo i hoʻokumu ʻia e kekahi mau maʻi, e like me ka dystrophy muscular)
• Myasthenia gravis (maʻi autoimmune o nā aʻalolo e hoʻonāukiuki i nā mākala manawaleʻa)
• Peripheral neuropathy (hōʻino ʻia o nā aʻalolo mai ka lolo a me ka iwi kuamoʻo)
• Polymyositis (nāwaliwali o nā mākala, pehu, palupalu, a me nā ʻino o nā iwi iwi kino).
• ʻO ke kīnā ʻole nerve radial (ʻino o ke nerve radial e lilo ana i ka nalowale o ka neʻe a i ʻole sensation i ka hope o ka lima a lima paha)
• ʻO ke kīnā sciatic (ʻeha i a i ʻole kaomi ʻia ma ke aʻalolo sciatic e hoʻonā ai i ka nāwaliwali, numbness, a me ke kani ʻana i ka wāwae)
• Sensorimotor polyneuropathy (ke kumu e hoʻemi ai i ka hiki ke neʻe a manaʻo paha no ka ʻino o ke aʻalolo)
• ʻO Shy-Drager Syndrome (maʻi ʻōnaehana e hōʻeha i nā ʻōuli o ke kino)
• ʻO ka paralysis kau manawa Thyrotoxic (nāwaliwali o nā mākala mai nā kiʻekiʻe kiʻekiʻe o ka thyroid hormone)
• ʻO ke kīnā ʻole o Tibial nerve (ʻino o ka nerve tibial e lilo ana ka nalo o ka neʻe a i ʻole ka sensation i ka wāwae)

ʻO nā pōʻino o kēia hōʻike me:

• Kahe ʻana (minimal)
• ʻO ka maʻi ma nā pūnaewele uila (rare)

EMG; Myogram; Uila uila

• Uila uila

Chernecky CC, Berger BJ. Electromyography (EMG) a me nā nerve conduction haʻawina (electromyelogram) -diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 468-469.

Katirji B. ʻOihana uila. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 35.