Kuongorora kwe ENMG - chii ichocho?

ENMG - chii ichocho? Ichi ndicho chirevo chekutsvaga kutsvakurudza kwehutachiona hwemuviri - electroneuromyography. Kuongororwa kweENG kunobvumira kutsvaga mamiriro emasumbu uye mutsara. Kuti tinzwisise chirevo chekuziva kwakadaro, tinotaura muchidimbu chimiro chematare ehurumende yenheyo.

Ndezvipi zvinokubvumira kuti uone ENMG?

Chii ichi - hurongwa hwevanhu hweutano? Idzi idzi mbiri huru, dzakabatana zvakashanda uye zvinyorwa, dhipatimendi - pakati nepakadzika. Aya ndiwo maitiro emutsipa, plexus uye nemitsipa pachayo. Iyo yekupedzisira inowanikwa mumatumbu ese uye nhengo dzomuviri. Nerve nzira dzinowanzobvumira kutumirwa kwemashoko akasiyana-siyana kubva mumasumbu, mapinduri uye vanoongorora. Zvimwe zvirwere uye matambudziko zvinokanganisa nzira yekutevera mafungiro asina kunaka - kune manzwiro evanhu vanokambaira, kunetseka kwechimiro, zvinetso nemarwadzo kana kutonhora kunzwisisika. Vamwe vanhu havana simba kana kuona kana kunzwa nekuda kwekukuvadza kune nhengo dzomukati. Mumatambudziko akaoma kwazvo, kuparadzwa kwekubatana pakati pemagetsi emidzi midzi uye mishonga kunotungamirira kumarara uye paresis. Chikonzero chekuputsa kwakadaro kunokubvumira kutevera ENMG. Electroneuromyography inotsvaga hutano hwehutano hwemitsipa nemisumbu vachishandisa majekiti anokosha. Nekubatsira kwayo, kukurudzirwa kwekuita kwehutachiona hwekutanga kunotanga kuitwa. Uye zvino electroneuromyograph inonyora kugadzirisa kwemuviri. Apo pavanodzidza hurumende ye cerebral cortex, vanoita zvinopesana: vanosimudzira zvinyorwa, zvinotarisa uye dzimwe nzvimbo nechisimba, uye inonyora CNS mhinduro.

ENMG - chii icho uye chinoita sei?

Kukurudzirwa electromyography kunonzi yekudzidza kwekukurumidza kwekuzvibata (mune mamwe mabhuku-NCS). Panguva yekuita kwayo zvakare kuita tsvakurudzo yeH-reflex uye F-wave. Iko kuongorora kunokosha kweiyi nzira yakakwirira muurourotrauma, neuropathies uye radiculopathies. Zvimwe zvakasiyana zve ENMG zvinogona kutumidzwa kuongorora kwehutano hwepiso uye kubwinya kweflex. Kana munhu akakuvara, zvakakosha kuti uite hutachiona nokukurumidza sezvinobvira - mumazuva maviri ekutanga. Izvi zvinotarisa kufungidzira kwechirwere, shandura mushonga. Kazhinji mushure memazuva gumi inopedzerwa kana kuora mwoyo kwemisimba yepiso yakagadzirwa . Kuongororwa kwekutapurirwa neuromuscular kunogona kudiwa ne myasthenic syndrome. Iyi inyanzvi yekudzidza mishonga inokonzera michina inokurudzirwa nemapulses ezvakasiyana-siyana. Kukurudzira myography hakugoneki kana kune magetsi emagetsi emuviri wemurwere (somuenzaniso, kururamisa mwoyo rhythm).

Inoda ENMG

Rudzi urwu rutsvakurudzo runoparadza. Simba rinopinza sendiro rinomiririrwa mumutsipa kuti ridzidze kushandiswa kwekucheneswa pamatambo ekutanga. Tsvina dzemasumbu dzinoongororwa pazororo uye pamwe nekuedzwa kwebasa. Nokushandiswa kwetsono ENMG senzira yekuongororwa, zvimwe zviratidzo zvinotarisirwa: kusava nechokwadi kwekuparadzwa kweeuronal. Iyo yeurologist ine rubatsiro naye ichakwanisa kuongorora zvinhu zvehupenyu hunoramba huchiita. Uyewo hukuru hwekudzidzisa hwemhando iyi inowanikwa mukudzidza kwemaotonia. Chimiro chemotokari (inosanganisira mazinga matatu - axonal, neuronal uye muscular) inoshandiswa semagumisiro ehutachiona. Kuongororwa kwakaoma kwechigadzirwa chemagetsi yemashupiti echisimba hachatsananguri chete rudzi, asiwo danho rekugadzirisa kushandiswa. Zvinokubvumira kuti uone hutano hwakakundwa.

Surface (pasi) ENMG

Iyo nzira haisi iyo inoparadza. Izvo zvinogona kuitika mumasumbu zvakabviswa kubva paganda kunze kwekushungurudza kuvimbika kwayo - izvi zvinosanganiswa nekurerukirwa kwakanaka kwechirudzi ichi cheE ENG. Chinyiko uye chii icho chaicho? Iwe unogona kutsvaga nhamba yakawanda kwazvo yemisumbu. Iyo nzira inokurudzirwa nokuda kwekufungidzirwa amyotrophic lateral sclerosis muitiko apo netare ENMG haigoneki. Izvi zvinogona kuenzaniswa, somuenzaniso, nehutachiona hunosuruvarisa, hudiki hwehuduku, kuwedzera ropa, zvirwere zvinotapurika zvinotapukira. Takatarisa nzira dzakasiyana-siyana dzekuongororwa dzinopesana uye dzinogona kubudiswa pamisungo yakasiyana-siyana uye mitsipa yemusoro nemagumo. Usati wadzidza, chiremba achaona zvinangwa uye zvinangwa zvekudzidza uye anoratidza nzira yakakodzera. ENMG inobatsira kuita zvakasiyana-siyana uye zvemashoko ekuongorora zviratidzo zvemaotonic syndromes, synaptic zvipembenene, neuropathies yemhando dzakasiyana-siyana (kusanganisira inotyisa, kupisa uye kugadziriswa kwemagetsi), syringomiaa, polyradiculoneuritis. Kudzidza mumagetsi kunobvumira kuongororisa zvinoitwa nehutano hwakagadzirirwa uye kufanotaura humwe nzira yehutano hwehutano.