I-Electroneuromyography (ENMG) yamaphuzu aphansi: intengo, injongo kanye nesicelo. EMG?

Namuhla sizokutshela ukuthi yiyiphi i-ENMG yamaphethelo angenhla naphansi. Ngaphezu kwalokho, uzofunda indlela inqubo eyenziwa ngayo, uma inikezwa nokuthi kubaluleke kangakanani.

Ulwazi jikelele

I-Electroneuromyography yamaphethelo aphansi (noma ngaphezulu) yindlela yokuxilonga lapho imisebenzi yesistimu yezinzwa ze- peripheral ilawulwa khona . Ukusebenzisa izifiso zomgogodla, ochwepheshe banganquma ngokushesha indawo, ubukhulu kanye nesibindi sokuphulwa kokuziphatha kwabo.

Yini eyabelwe?

I-ENMG yamaphethelo aphansi yindlela eqinisekisiwe yokuhlola okusebenzayo. Izinjongo zayo eziyinhloko yizi:

• Incazelo yendaba kanye nemvelo yomonakalo, kanye nokwanda kwenqubo ngokwayo;
• Ukunqunywa izinga lokuphazanyiswa emsebenzini noma ukulimala ohlelweni lwe-neuromuscular;
• Ukunqunywa kwesilinganiso sokuqineka kwenqubo ye-pathological.

Kumaphi amacala okufanele aqhutshwe?

I-Electroneuromyography yemikhawulo engezansi (intengo yale nqubo ishiwo ngenzansi) ivame ukusetshenziswa ngumdokotela olaphayo ukubeka nokucacisa ukuxilongwa (izifo eziningi zesistimu yezinzwa zesisindo). Ngaphezu kwalokho, le ndlela isetshenziselwa ukucacisa amaqhinga okuthola ukwelapha okuqhubekayo, ukuchazwa kokuthuthukiswa kwesifo.

Ngakho-ke, i-ENMH yamaphethelo aphansi yenziwa kula macala alandelayo:

• Ukulimala okudabukisayo kwe-radial, ulnar, median, i-femoral, enkulu kanye ne-peroneal nererve, kanye nezinye izinzwa zesistimu yomuntu wesipiliyoni;
• Nge-plexopathy (okungukuthi, izilonda ze-plexuses ezesabekayo zamagatsha omgogodla wangaphambili, lapho kutholakala khona izifo ezibucayi, i-trophic ne-motor);
• Nge-polyneuropathy yemvelaphi ehlukile:

- nge-post-diphtheria, i-polyneuropathy ye-postvaccinal;

- ngokuhola, i-chlorophosic polyneuropathy (okungukuthi, isilonda sezintambo zamagciwane);

- nge-polyneuropathy, okungaba nesifo sikashukela, isibindi nesifo sezinso, kanye nomgudu wokugaya ukudla, njll;

- nge- polyneuropathy yesifo sikashukela ;

- nge-polyneuropathy, eyavela ngokumelene nesimo se-vasculitis noma izifo zesistimu zezicubu ezixhunyiwe.

• I-neural amyotrophy (Charcot-Marie-Toot isifo) ;
• Ukuxhumanisa i-neuropathy;
• I-Osteochondrosis yomgogodla, ehambisana nokutholakala kwe-radicular syndrome;
• I-Syringomiaa, okungukuthi, isifo esingelapheki sesimiso sezinzwa, esihambisana nokubonakala kwe-voids emthonjeni womgogodla.

Yini i-ENMG yamaphethelo aphansi ahlanganisa?

Indlela yokuxilongwa eyethulwa ifaka phakathi:

• Ukuhlolwa kwekhwalithi yekhwalithi yokusebenza kwezingcingo ezibucayi zesistimu yomzila;
• Ukuhlolwa kwe-neurological;
• Ukuhlolwa kwekhwalithi yokusebenza kwezingcingo zezimoto zesistimu yomzila;
• Ukucaciswa kwezinga lokulimala emzimbeni wesisindo kanye nokuzibandakanya kwabo enkundleni yezinkinga (okwenziwe ngosizo lwe-electrode intsalane);
• Ukuhlaziywa kwawo wonke ulwazi olutholiwe, kanye nokubhala umbono.

Ngemuva kwe-ENMG yamaphethelo aphansi (noma ngaphezulu), isazi sibhala isiphetho, sibonisa izinga, indawo, kanye nohlobo lwe-pathogenetic (uma likhona) lwesilonda sesistimu yezinzwa ze-nervous system.

Enye indawo yesicelo

Kumele kuqatshelwe ngokukhethekile ukuthi impilo yezitho ezithile zangaphakathi ixhomeke esimweni sezingxenye zomuntu siqu zesistimu ye-peripheral yezinzwa. Ngokuphathelene nalokhu, indlela eveziwe ivame ukusetshenziselwa ukuhlolisisa izifo ezingenangqondo, izifo ze-endocrinological nezinye izifo.

Uyini umehluko phakathi kwe-EMG ne-ENMG?

I-Electroneuromyography ihlanganisa uphenyo lwezimvo ezithathwe ngezintambo zesisindo. Ngokuqondene ne-electromyography, lokhu kungukuphela kokubhaliswa komsebenzi kagesi, okuvela ekunciphiseni kwezicubu zomzimba. Nakuba kusebenza, i-algorithm yesimanje yocwaningo olunjalo ayihlinzeki ngokuqaliswa kwe-EMG, ngaphandle kokutadisha ijubane lokufeza izintambo zomzimba. Yingakho, lapho udokotela oya khona ebonisa isiguli ukwenza i-electromyography, lokhu kungabhalwa ngokuphepha ku-ENMG.

I-Electroneuromyography yamaphezu aphansi: benzani?

Le nqubo yenziwa ngokusebenzisa idivayisi ekhethekile - i-myograph. Ubhalisa uhlobo lwezinhlangothi zomzimba we-muscle kanye nezinga lokuqhutshwa kwezintambo zezinzwa. Ngenxa yalokhu, isiguli sibekwe embhedeni okhethekile, bese kuthi izinzwa zibekwe kwezinye izingxenye zemilenze yakhe, kamuva zihlolisise futhi zithumele kwesikrini idatha emithonjeni ye-neuromuscular. Ngamanye amazwi, idivaysi enjalo inquma isimo sezimoto nezinzwa zemilenze, okuqhubekayo kuhlinzekwe ukuxilongwa nokukhetha ukwelashwa okudingekayo.

Izinhlobo zokuhlolwa

I-Electroneuromyography yamagatsha aphansi, intengo yayo ixhomeke ngqo endleleni ekhethiwe yokuxilongwa, ihlukaniswe yaba izinhlobo ezintathu ezihlukene:

1. I-ENMG edingekayo. Le nqubo isekelwe ekuhloleni umsebenzi osebenzayo wezicubu zomzimba. Iyenziwa ngosizo lwe-needle electrodes ekhethekile, ejojelwa ngqo emisipha.
2. I-ENMG engenasici. Le ndlela idalula ukusebenza kahle kokuhamba kwemizwa ye-nervous fibers nerve peripheral fibers. Lokhu kwenziwa ngosizo lwama-electrode angaphezulu, aphezulu kakhulu ezingxenyeni ezithile zomzimba nezikhumba. Le ndlela yokuphenya ikuvumela ukuba ubhalise umsebenzi wezicubu ze-muscle ngokunciphisa okungekho emthethweni.
3. Ukukhuthaza i-ENMG. Le nqubo ifana nenqubo yomhlaba. Kodwa-ke, kudinga ukugqugquzela ngesikhathi esisodwa kwezintambo zomzimba ezisemkhawulweni ode ukusuka kuma-electrodes okuqoshiwe.

Ngakho-ke, ukusetshenziswa kwazo zonke izindlela ezintathu kuvumela ngokushesha futhi ngokuthembeka ukuhlola isimo se-system ye-neuromuscular human. Ngaphezu kwalokho, lezi zindlela zisiza ukuxilonga isiteji, ubukhulu kanye nenqubo yenqubo yokugula, kanye nokunquma ukuphambuka okukhona.

Isikhathi senkambiso

I-Electroneuromyography inqunywe odokotela ngabanye futhi ixhomeke ekuxilongweni (ngokuvamile okungavumelani) okuxilongwa. Ngokwesilinganiso, le nqubo ihlala imizuzu engu-60. Ezimweni eziningi, ochwepheshe bekliniki, lapho i-ENMG eyenziwa khona, sebenzisa i-electrodes kuphela elahla ucwaningo. Kulesi simo, isiphetho sinikezwa isiguli ezandleni ngosuku lwenqubo.

Izindleko ze-electroneuromyography

Kungakanani inqubo efana ne-ENMG yamaphethelo aphansi? Intengo yalolu cwaningo iyahlukahluka kuye ngokuthi hlobo luni lwezinhlobo ezisetshenziswayo:

• Ukukhuthazwa kwe-electroneuromyography ejwayelekile, kufaka phakathi inaliti - cishe ama-ruble angu-3000-3500 aseRussia.
• I-electroneuromyography enwetshiwe (i-degree eyi-complexity), kufaka phakathi inaliti - cishe ama-ruble angu-4000 aseRussia.
• I-Electroneuromyography yanda izinga eliyinkimbinkimbi yesibili, kufaka phakathi inaliti - cishe ama-ruble angu-5000 aseRussia.

Kumele kuqatshelwe ngokukhethekile ukuthi zonke lezi zintengo zinemibandela futhi zingashintsha ngokuphawulekayo ezikhungweni zezokwelapha ezahlukene.