I-Electroneuromyography (ENMG) yamacandelo aphantsi: intengo, injongo kunye nesicelo. EMG?

Namhlanje siza kukuxelela ukuba yiyiphi i-ENMG yamagqabi aphezulu naphantsi. Ukongezelela, uya kufunda indlela inkqubo eyenziwa ngayo, xa ikwabiwe kwaye ingaba iindleko ezingakanani.

Ulwazi jikelele

I-Electroneuromyography yamacandelo angaphantsi (okanye ngaphezulu) yindlela yokuxilongwa apho imisebenzi yenkqubo ye- nervous system ilawulwa . Ukusebenzisa iimpembelelo zombane, iingcali zingakhawuleza zichonge indawo, ubungakanani kunye nesibango sokuphulwa komsebenzi wabo.

Yintoni eyabelwe yona?

I-ENMG yamaphepha angaphantsi yindlela echanekileyo yokuxilongwa komsebenzi. Iinjongo zayo eziphambili zi:

• Inkcazo yesihloko kunye nemeko yomonakalo, kunye nokusabalalisa kwenkqubo ngokwayo;
• Ukumiselwa kwezinga lokuphazamiseka emsebenzini okanye umonakalo kwinkqubo ye-neuromuscular;
• Ukuzimisela kwinqanaba lokubaluleka kwenkqubo ye-pathological process.

Kufuneka kwenziwe ntoni na?

I-Electroneuromyography yamacandelo angaphantsi (ixabiso le nkqubo lichazwe ngezantsi) lisetyenziswa ngokugqithiswa ngugqirha wokunyanga nokucacisa ukuxilongwa (izifo ezahlukeneyo zesistim se-peripheral system). Ukongezelela, le ndlela isetyenziselwa ukuchonga amaqhinga okunyanga okuqhubekayo, ukugxekwa kokuphuhliswa kwesi sifo.

Ngoko, i-ENMH yamaphepha angaphantsi kwenziwa kwiimeko ezilandelayo:

• Ukulimala okubuhlungu kwe-radial, ulnar, median, i-femoral, enkulu kunye ne-peroneal nerve, kunye nezinye izisombululo zenkqubo yomzila womntu;
• Nge-plexopathy (oko kukuthi, izilonda ze-plexuses zeentlanzi zamagatsha omqolo wangaphambili, apho iziphazamiso ezibucayi, i-trophic ne-motor zigcinwa khona);
• Nge-polyneuropathy yemvelaphi eyahlukileyo:

- kunye ne-post-diphtheria, i-postvaccinal polyneuropathy;

- ngokukhokela, i-chlorophosic polyneuropathy (i.e., isilonda se-motor nerv fibers);

- kunye ne-polyneuropathy, engabonakaliswa ngenxa yobungqina besifo se-somatic, oko kukuthi, isifo sikashukela, isifo sesibindi kunye nesifo se-kidney, kunye nanjalo.

- ngesifo sikashukela se-polyneuropathy ;

- kunye ne-polyneuropathy, eyavela ngokusuka kwimvelaphi ye-vasculitis okanye izifo zesistim zezicubu ezinxibelelwano.

• I-amyotrophy ye-Neural (izifo zikaCharcot-Marie-Toot) ;
• I-Tunneling neuropathy;
• I-Osteochondrosis yomgudu, ehambelana nobukho be-syndrome;
• Syringomyelia, oko kukuthi, isifo esingapheliyo kwinkqubo yesantya, ehambelana nokubonakala kwe-voids kwintambo yomgogodla.

Yintoni i-ENMG yeephelo eziphantsi?

Indlela yokuxilonga ichazwe iquka:

• Ukuhlolwa kwe-Hardware kwindlela yokusebenza kweefayili ezibukhali zenkqubo ye-périphron;
• Uviwo lwe-neurological;
• Ukuhlolwa kwe-Hardware kwindlela yokusebenza kweefayili zeemoto zenkqubo ye-périphher;
• Ukucaciswa kwinqanaba lomonakalo kwiisisu zomzimba kunye nobukhulu bokubandakanyeka kwabo kwinkqubo ye-pathological (eyenziwa ngoncedo lwe-electrode yenaliti);
• Uhlalutyo lwabo bonke ulwazi olufunyenweyo, kunye nokubhala umbono.

Emva kokuba i-ENMG yemigangatho engezantsi (okanye ngaphezulu), ingcali ibhala isigqibo, ebonisa isantya, indawo yokuhlala kunye nohlobo lwe-pathogenetic (ukuba kukho na) yesilonda se-system ye-peripheral system.

Enye indawo yesicelo

Kufuneka kuqatshelwa ngokukodwa ukuba impilo yezitho ezithile zangaphakathi ixhomekeke kwimeko yezinto ezizimeleyo zenkqubo ye-peripheral system. Kule nkalo, indlela eboniswe ngayo isetyenziswa ngokubanzi ukuxilonga i-urological, endocrinological nezinye izifo.

Uwuphi umehluko phakathi kwe-EMG ne-ENMG?

I-Electroneuromyography ifaka uphando lweemvakalelo eziqhutywe kunye nemibhobho yesibindi. Ngokuphathelele i-electromyography, oku kuphela uhlobo lokubhaliswa komsebenzi wombane, ovela ekunciphiseni kwezicubu zomzimba. Nangona ekusebenzeni, i-algorithm yanamhlanje yesifundo asiboneleli ukuphunyezwa kwe-EMG, ngaphandle kokufunda isantya sokwenza iimfudu kunye nemigudu ye-nerve. Yingakho, xa ugqirha oya kwiidanga libonisa isigulane ukuba senze i-electromyography, loo mva unokugcinwa ngokukhuselekileyo kwi-ENMG.

I-Electroneuromyography yeziphelo ezingezantsi: zenza njani?

Le nqubo iqhutyelwa kusetyenziswa i-device ekhethekileyo-i-myograph. Ubhalisa uhlobo lwezinto ezahlukileyo zezicubu ze-muscle kunye neqondo lokuqhuba i-nerve fibers. Ngenxa yoko, isigulane sifakwe kwisitya esikhethekileyo, emva koko iisenjini zibekwa kwiindawo ezithile zemilenze, emva koko zivavanye kwaye zithumele kwesikrini kwimiba ye-neuromuscular. Ngamanye amazwi, isixhobo esinjalo sinquma isimo semoto kunye neentsholongwane zemilenze, ezenza kube lula ukuxilongwa kunye nokukhethwa kwonyango oluyimfuneko.

Iintlobo zoviwo

I-Electroneuromyography yeengalo ezisezantsi, ixabiso elixhomekeke ngqo kwiindlela ezikhethiweyo zokuxilonga, ikwahlula kwiintlobo ezahlukeneyo ezintathu:

1. Efunekayo ENMG. Le nkqubo isekelwe ekufundeni umsebenzi osebenzayo wezicubu ze-muscle. Kuqhutyelwa ngoncedo lwee-electrode zeedal ekhethekileyo, ezifakwe ngqo kwiimisipha.
2. ENMG. Le ndlela ibonakalisa ukusebenza kakuhle kwendima yeentsholongwane kunye nemibhobho ye-nerve peripheral. Oku kwenziwa ngoncedo lwamandla ombane, aphezulu kwiindawo ezithile zomzimba kunye nesikhumba. Le ndlela yokuphanda ikuvumela ukuba ubhalise umsebenzi weethambo ezixubileyo kunye nokunciphisa kwazo.
3. Khuthaza i-ENMG. Le nkqubo iyafana nenkqubo yomhlaba. Nangona kunjalo, kudinga ukukhuthazwa ngokukodwa kwimizi yomnyoba ekude kude nakwii-electrodes zokurekhoda.

Ngoko ke, ukusetyenziswa kwazo zonke iindlela zintathu kuvumela ngokukhawuleza kwaye ukuvavanya ngokuqinisekileyo imeko ye-neuromuscular system. Ukongezelela, ezi ndlela zinceda ukuxilonga isigaba, ubungakanani kunye nenqanaba leprogram ye-pathological, kwakunye nokuchonga ukuphambuka okukhoyo.

Ubude benkqubo

I-Electroneuromyography inqunywe ngamagqirha ngabanye kwaye kuxhomekeke ekunikweni (ngokuqhelekileyo okungekho nto). Ngokomyinge, le nkqubo ihlala imizuzu engama-60. Kwiimeko ezininzi, iingcali zekliniki, apho i-ENMG eyenziwa khona, sebenzisa kuphela i-electrodes ezilahlayo zophando. Kule meko, isiphelo sinikezelwa kwisigulane ezandleni ngosuku lwenkqubo.

Iindleko ze-electroneuromyography

Kuninzi kangakanani inqubo efana ne-ENMG yemigangatho ephantsi? Ixabiso le sifundo lihluka ngoxhomekeke kwiziphi iintlobo ezisetyenziswayo:

• I-electroneuromyography ye-stimulation standard, kuquka inaliti - malunga ne-3000-3500 iRubles eRussia.
• Ukongezwa kwe-electroneuromyography (i-degree of complexity), kubandakanya inaliti - malunga ne-4000 ruble yaseRussia.
• I-Electroneuromyography yandise i-2 degree of complexity, kubandakanya inaliti - malunga nama-ruble aseRussia angama-5000.

Kufuneka kuqatshelwa ngokukodwa ukuba onke la maxabiso anemiqathango kwaye ingahluka ngokuphawulekayo kumaziko ahlukeneyo enyango.