ʻO ka hoʻāʻo Electroneuromyography: he aha ia, he aha ia a pehea e hana ai

Anter

• Pehea e hana ai i ka hoʻāʻo Electroneuromyography
• No ke aha ia
• He aha nā maʻi a ka hōʻoia e ʻike ai
• Pehea e hoʻomākaukau ai no ka hoʻokolokolo
• ʻO wai ka mea pono ʻole e hana
• Nā pilikia paha

ʻO ka Electroneuromyography (ENMG) kahi hōʻike e loiloi i ke alo o nā leona e hoʻopili i nā aʻa a me nā mākala, e like me ka hiki ke hana ʻia i nā maʻi e like me ka amyotrophic lateral sclerosis, diopic neuropathy, carpal tunnel syndrome a i ʻole ka maʻi guillain-barré, no ka laʻana, he mea nui e kōkua i ka hōʻoia ke kauka i ka hōʻailona a hoʻolālā i ka lāʻau maikaʻi loa.

Hiki i kēia hoʻāʻo ke hoʻopaʻa i ka conduction o kahi impulse uila i loko o ke aʻalolo a me ka loiloi i ka hana o ka mākala i kahi neʻe ʻana a, ʻo ka mea maʻamau, nā lālā lalo a luna paha, e loiloi ʻia.

Pehea e hana ai i ka hoʻāʻo Electroneuromyography

Hana ʻia ka hōʻike ma 2 mau ʻanuʻu:

• ʻO Electroneurography a i ʻole neuroconduction: hoʻonohonoho hoʻonohonoho ʻia nā mea ʻike liʻiliʻi i ka ʻili e nānā i kekahi mau mākala a i ʻole nā ​​ala nerve, a laila hana ʻia nā mea uila uila e hana i nā hana ma luna o kēlā mau ʻalolo a me nā mākala, i hopu ʻia e ka hāmeʻa. Hiki i kēia anuu ke hana i ka discomfort e like me nā kaha liʻiliʻi, akā e hali ʻia;
• Uila uila: hoʻokomo ʻia kahi electrode-like electrode i loko o ka ʻili a hiki i ka mākala, e nānā pono ai i ka hana. No kēia, noi ʻia ka mea maʻi e hana i kekahi neʻe ʻana ke ʻike ka uila i nā hōʻailona. I kēia wā, aia ka ʻehaʻeha i ka hoʻokomo ʻana o ka nila, a aia paha he ʻoluʻolu ʻole i ka wā o ka hoʻokolokolo ʻana, kahi hiki ke ʻoluʻolu. E aʻo hou aʻe e pili ana i ka electromyography.

Hana ʻia ka hōʻike electroneuromyography e ke kauka, a loaʻa i nā haukapila a i ʻole nā ​​keʻena lapaʻau kūikawā. Hana ʻia kēia hōʻike me ka uku ʻole e SUS a uhi ʻia e kekahi hoʻolālā olakino, a i ʻole hiki ke hana pilikino ʻia, no kahi kumukūʻai ma kahi o 300 reais, hiki ke loli, e like me kahi e hana ʻia ai.

No ke aha ia

Hoʻohana ʻia ka electroneuromyography e kuhikuhi i kekahi mau maʻi e pili ana i nā impulses nerve a i ʻole ka hana uila uila, i mea e hoʻolālā ai i kahi lapaʻau kūpono. I kekahi mau hihia, hiki ke hoʻohana pono ʻia no ka loiloi ʻana i ke ʻano o ka maʻi.

ʻAʻole ka electromyogram ka hōʻike maʻamau no ke kuhi ʻana i nā maʻi puʻupuʻu a me nā muscular, akā ua unuhi ʻia kāna hopena e like me ka mōʻaukala maʻi a me nā hopena hōʻike neurological.

He aha nā maʻi a ka hōʻoia e ʻike ai

Ke noi nei ka loiloi electroneuromyography i ka hana o nā aʻalolo a me nā mākala, i hiki ke hoʻololi ʻia i nā hanana e like me:

• ʻO Polyneuropathy, i kumu ʻia e ka maʻi ʻaʻai a i ʻole maʻi maʻi. E ʻike he aha ka neuropathy diabetic a pehea e mālama ai iā ia;
• ʻAtope Muscle holomua;
• Herniated disk aiʻole nā ​​radicalopathies ʻē aʻe, kahi e hōʻino ai i ke kuamoʻo o ka iwi.
• Carpal tunnel maʻi maʻi. E aʻo pehea e ʻike ai a mālama ai i kēia maʻi maʻi;
• Paralysis helehelena;
• Sclerosis lateral ʻo Amyotrophic. Hoʻomaopopo i ke ʻano o ka amyotrophic lateral sclerosis;
• Polio;
• Hoʻololi i ka ikaika a i ʻole ka ʻike hana ʻia e ka ʻeha a i ʻole ka pā ʻana;
• Nā maʻi maʻi mākala, e like me myopathies a i ʻole muscular dystrophies.

Me ka ʻike i loaʻa i ka wā o ka hoʻokolohua, e hiki i ke kauka ke hōʻoia i ke kuhi, hōʻike i nā ʻano maikaʻi loa o ka mālama ʻana a i ʻole i kekahi mau hihia, e nānā i ka paʻakikī a me ka ulu ʻana o ka maʻi.

Pehea e hoʻomākaukau ai no ka hoʻokolokolo

No ka hana ʻana i ka electroneuromyography, pono ia e hele i kahi pūnaewele e hānai maikaʻi ʻia a e komo i nā lole lōkahi a hemo maʻalahi paha, e like me nā palule a me nā pōkole. ʻAʻole pono e hoʻohana ʻia nā aila humuhū a i ʻole nā ​​kalima i nā hola he 24 ma mua o ka hoʻokolohua, no ka mea, hiki i kēia mau mea hoʻonaninani ke hoʻoikaika i nā uila i paʻa mau.

He mea nui e hoʻomaopopo i ke kauka inā ʻoe e hoʻohana i nā lāʻau, e like me kekahi, e like me anticoagulants, e hoʻopilikia a cont conticate paha i ka hoʻokolohua a inā he pacemaker kāu inā ʻeha ʻoe i nā maʻi koko, e like me hemophilia.

Hoʻohui ʻia, pono e hoʻomanaʻo ʻia hana mau ʻia ka electroneuromyography ma nā ʻaoʻao ʻelua (nā wāwae ʻelua a i ʻole nā ​​lima), no ka mea, he mea nui e hoʻohālikelike i nā hoʻololi i loaʻa ma waena o ka ʻaoʻao i hoʻopilikia ʻia a me ka ʻaoʻao olakino.

ʻAʻohe hopena mau ma hope o ka hōʻike, no laila hiki ke hoʻi i nā hana o kēlā me kēia lā maʻamau.

ʻO wai ka mea pono ʻole e hana

ʻAʻole pilikia ʻo Electroneuromyography i kahi olakino olakino, eia nō naʻe, ʻaelike ʻia ia no ka poʻe hoʻohana i nā mea hana puʻuwai puʻuwai a i ʻole e hoʻohana i nā lāʻau anticoagulant, e like me Warfarin, Marevan a me Rivaroxaban, no ka laʻana. I kēia mau hihia, pono ʻoe e hoʻomaopopo i ke kauka, nāna e loiloi i ka contraindication a i ʻole ke ʻano o ka lapaʻau e hiki ai ke hana.

Aia kekahi mau contra contications no ka hōʻike, ʻo ia hoʻi: ka launa ʻole ʻana o ka mea hoʻomanawanui e hana i ka hoʻokolohua, ka hōʻole ʻana o ka mea maʻi e hana i nā kaʻina hana a me ke alo o nā leona ma kahi e hoʻokō ʻia ai ka hoʻokolokolo.

Nā pilikia paha

Palekana ka hoʻāʻo electroneuromyography i ka hapanui o nā hihia, eia nō naʻe aia he mau hanana i kūpilikiʻi paha kā lākou hana, e like me:

• Mālama ʻia nā mea maʻi me nā anticoagulants;
• Nā maʻi o ke koko, e like me ka hemophilia a me nā maʻi platelet;
• Nā maʻi e hoʻonāwaliwali ai i ka ʻōnaehana pale, e like me ka maʻi ʻaʻai, ka maʻi ʻaʻai, a me nā maʻi autoimmune;
• ʻO ka poʻe i loaʻa kahi pacemaker;
• Hana ʻia nā leki maʻi i ka pūnaewele kahi e hoʻokō ʻia ai ka hōʻike.

No laila, he mea nui e hoʻomaopopo i ke kauka inā loaʻa iā ʻoe kekahi o nā ʻano i manaʻo ʻia he pōpilikia ia, me ka hoʻohana ʻana i nā lāʻau i hiki ai iā ʻoe ke hōʻemi i ka pilikia o nā pilikia.