EMG (Electromyography): Ngā Mea e Whakaatuhia ana e te Whakamātautau Io me te Uaua? me Ngā Mea Kāore e Taea

Take take

• He whakamātautau ā-tinana te EMG, ehara i te whakamātautau whakaahua. Ka inehia e te electromyography te mahi hiko; ka whakaatuhia te hanganga e te MRI, te ultrasound me te hihi-X.
• Kāore e tino tū takitahi te EMG. I roto i ngā mahi o ia rā, ka whakahaerehia ngā rangahau EMG me te whakahaere io i te wā kotahi, ā, ka whakamāramahia ngātahi.
• He mea nui te wa. Tērā pea ka roa pea ngā huringa i muri i te whara o te io whakapeka, i te radiculopathy rānei, i roto i ngā rā ki ngā wiki torutoru hei puta, nō reira he mea noa pea te rangahau wawe.
• He tauira ngā hua, ehara i te tautuhi mate. E whakaatu ana ngā kitenga EMG i ngā momo mate, ā, me pānui tahi me ō tohumate, te whakamātautau me ētahi atu whakamātautau e te tākuta nāna i tono te rangahau.
• He tūturu ngā rohe. Kāore e taea e te EMG te aromatawai i ngā muka io iti kāore i te whai myelin, i ngā ara o te pūnaha io matua, i te hanganga rānei e meinga ana te pēhanga o te io.

I te titiro

E mohiotia ano ko

• Whakamātautau EMG
• Tuhinga o mua
• Whakamātautau io / rangahau io (kupu noa mō te tūroro i Inia)
• Ko te whakamātautau EMG-NCV, NCV rānei (te tere o te kawe io), ko te rangahau hoa tēnei, e whakamahia ana hei tohutoro mō te wā katoa.
• EMG ngira (hei wehewehe i tēnei mai i te EMG mata e whakamahia ana i roto i te rangahau me te urupare koiora)
• Rangahau tātaritanga hiko (EDX)

He aha te EMG

Ka aromatawaihia e te Electromyography ngā tohu hiko e whakaputaina ana e ngā muka uaua. Ka whakanohoia he ngira hiko pai rawa atu ki roto i tētahi uaua kua tīpakohia. Ka mātaki te kaitirotiro i te ngohe hiko ina whakangāwari te uaua, ā, ina āta whakawhāitihia, kātahi ka kaha ake. Ko te ngohe ohorere i te wā okioki, me ngā panonitanga o te rahi, te āhua me te tauira whakauru o ngā tohu i te wā whakawhāiti, e tohu ana i tētahi raruraru tuku io (tauira neurogenic) i tētahi raruraru rānei i roto i te uaua tonu (tauira myopathic).

Ka whakamahia e ngā rangahau kawe io he irahiko mata iti me ngā pāorooro hiko poto i runga i te kiri hei ine i te tere me te kaha o ngā tohu e kawe ana i ngā io. Nā te mea e taupatupatu ana ngā tohu o ngā mate uaua me ngā mate io, he tautoko ngā whakamātautau e rua; he mea onge te whakamārama i te EMG ngira me te kore he raraunga kawe io.

He aha i mahia ai te EMG

• Hei wehe i te io i te uaua. Ka puta te ngoikore i te mate uaua, te pēhanga o te pakiaka io, te kino o te io ā-taha, te hononga io-uaua, te io-pūnaha rānei. Mā te EMG ēnei e āwhina ki te whakatau.
• Hei kimi i te wāhi e whara ai te io. Hei tauira, te wehewehe i te mate carpal tunnel syndrome i te ringaringa mai i te raruraru pakiaka io o te kaki, te tautuhi rānei i te taumata pakiaka e pāngia ana.
• Hei whakaahua i te neuropathy. Ahakoa te pānga o te tukanga ki te axon, ki te pūeru myelin rānei, ahakoa he ōrite, he papatahi rānei, me te kaha o tōna pānga.
• Hei aromatawai i te mate neuron motuka e whakapaetia ana pērā i te amyotrophic lateral sclerosis, he mea nui te kitenga i te whānui o te tango i te io puta noa i ngā rohe o te tinana.
• Hei aromatawai i te mate uaua mumura e whakapaetia ana hei āwhina i te whiriwhiri i te wāhi mō te kohi kiko uaua.
• Hei whai i te whakaoranga i muri i te whara o te io, te whara, te pokanga rānei, ina whakaatu pea ngā rangahau maha i te whakaora anō i te io.
• Hei ārahi i ngā tikanga pērā i te werohanga o te paitini botulinum i te dystonia, i te spasticity rānei.

Ko wai me whiwhi i tēnei whakamātautau

Ka tonoa ngā rangahau EMG me te whakahaere io ina kitea he raruraru io, he uaua rānei i roto i te hītori me te whakamātautau, ā, ka rerekē te whakahaere i te whakautu. Ko ngā āhuatanga noa ko:

• Te ngenge, te mākūkū, te wera rānei o ngā ringaringa, o ngā waewae rānei, inā koa ka whakaarohia te mate huka, te mate tairoi, te ngoikore o te huaora B12, te waipiro rānei
• Te mamae o te ringa me te ngau o te pō e tohu ana i te mate carpal tunnel, ina koa i mua i te whakaarohia o te pokanga
• Te mamae o te ringa, o te waewae rānei e horapa ana mai i te kaki, i te tuara raro rānei, ina kore e ōrite ngā kitenga whakaahua me ngā tohu
• He ngoikore haere tonu, he ngoikore rānei, he ngoikore uaua, he hinga waewae, he uaua rānei ki te whakatika i te tūru
• Te wiri o te uaua me te ngoikore, te ngenge rānei (he pai te wiri anake, me te kore he ngoikore)
• Te ngoikore haere, te kamo e takoto kau ana, te tirohanga takirua rānei, ka tāpirihia he whakamātautau hononga io motuhake pērā i te whakaohooho io auau.
• Te whara o te io i muri i te whara, te whati, te werohanga, te pokanga rānei, me aromatawai te whānuitanga o te kino me te tūmanako ka ora anō
• Te pikinga ake o ngā whākōkī uaua (CPK) me te ngoikore, te whakapae rānei mō te myopathy mumura

Ehara te EMG i te whakamātautau tirotiro. Kāore e whai hua mō te mamae tinana noa, te ngenge anake, hei tirotiro whānui rānei.

Ngā mea kāore e taea e te EMG te kite, te ārai rānei

• Kāore te EMG e whakaahua i tetahi mea. Kāore e taea e te electromyography te whakaatu i te hekenga o te kōpae, te whaiti o te awa tuaiwi, te pukupuku, te hanganga rānei o te uaua. E hiahiatia ana te MRI mō te hanganga o te tinana.
• Kāore te EMG e aromatawai tika i te roro, i te taurakira rānei. He mate whakaheke toto matua te sclerosis maha, ā, kāore e tātaritatia mā te EMG; ka whakamahia te MRI, ā, i ētahi wā, ka whakamahia ngā pūmanawa whakaoho. He hē ngā ihirangi tawhito e whakarārangi ana i te MS hei tātaritanga EMG.
• Kāore te EMG-NCS paerewa e whakamātautau i ngā muka io iti. Ka puta pea ngā waewae wera, ngā mamae rānei o te neuropathy muka iti i roto i tētahi rangahau noa. Tērā pea ka hiahiatia ētahi atu whakamātautau pēnei i te koiora kiri, te whakamātautau pūnaha io rānei.
• Tērā pea ka ngaro te riri o te pakiaka io o te tairongo anake. Ka tangohia he tauira EMG o ngā muka nekeneke; he mea noa pea te mamae o te radiculopathy, engari kāore he pānga o te nekeneke.
• Kāore pea i puta ngā kitenga tōmua. I muri i te whara nui o te axonal, ka puta noa ngā mahi rerekē ohorere i muri i ētahi rā, i ētahi wiki rānei, nō reira, tera pea he tinihanga te rangahau tōmua rawa.
• Ko ngā uaua me ngā io kua tangohia hei tauira ka aromatawaitia. He mea whai kiko te rangahau. Kāore he kōrero a te kawa iti mō ngā rohe kāore anō kia whakamatautauria.
• Kāore te EMG noa i te rite ki te "kāore he mate". Ko te tikanga o te kupu "Kāore i tautuhia" kāore he mea rerekē i kitea i roto i ngā uaua me ngā io i whakamatautauria i taua wā. Mēnā ka mau tonu, ka kino rānei ngā tohu ahakoa he hua noa, me hoki atu ki tō tākuta, kaua e whakaaro kua tangohia te raruraru.
• Kāore i te whakaaturia te take i te nuinga o te wā. Tērā pea ka whakaatuhia e te EMG he neuropathy axonal sensorimotor engari kāore e taea te kī mēnā he mate huka, he ngoikore o te B12, he rongoā, he mea kē atu rānei te take. Mā ngā whakamātautau toto me ngā aromatawai haumanu ka whakautua tēnā.

Ngā whakamātautau e pā ana engari he rerekē

Ko te whakamātautau e puta tuatahi mai ana, kei runga i te raruraru haumanu. Mō te hunga e whakapaetia ana ko te carpal tunnel syndrome, ko te whakamātautau hiko te taahiraa tuatahi e whai kiko ana. Mō te mamae tuara nui me te ngoikore o te waewae me te whakapaetia he pēhanga taura, he pehanga cauda equina rānei, ko te MRI tere te mea nui, ā, ehara te EMG i te whakamātautau tere. Mō te hunga e whakapaetia ana ko te myopathy mumura, ko ngā whakamātautau toto me te aromatawai haumanu te tikanga i mua i te EMG.

Me pehea te whakarite

He māmā noa te whakarite, engari he mea motuhake ngā tohutohu mō ia wae whakamātautau. Ko ngā tohutohu tuhituhi a tō wae whakamātautau te mea nui ake i ngā mea katoa ka pānuihia e koe i konei.

• Kai me inu noa iho ki te kore e kīia atu e tō wae. Kāore e hiahiatia te nohopuku i te nuinga o te wā.
• Kaua e whakamahi i ngā hinu, ngā kirīmi me ngā hinu whakamātao ki ngā peka me ngā waewae i te rā o te whakamātautau, nā te mea ka whakararuraru i te pa atu o te hikohiko. Ko te kiri ma, maroke te mea pai rawa atu.
• Mau kakahu taratara e āhei ai te urunga atu ki ngā ringaringa, ki ngā waewae, ki te wāhi rānei e hiahiatia ana. Tērā pea ka whakaratohia he kākahu.
• Mauria mai ā koutou tuhinga. He mea whai hua katoa ngā pūrongo EMG o mua, ngā kiriata MRI, ngā pūrongo huka toto me te HbA1c, me te rārangi rongoā o nāianei.
• Whakaahuahia ō tohumate kia tika. Ko ēhea ngā maihao, ngā maihao rānei, kia pēhea te roa, mēnā he kino rawa atu i te pō, mēnā kei te ngoikore. Mā tēnei ka whakatau ko ēhea ngā io me ngā uaua ka tirotirohia.
• Kōrero atu ki te tīma i mua i te wā ki te mea kei te tango koe i ngā rongoā whakaiti toto, i ngā rongoā antiplatelet rānei, he mate toto tōu, he pacemaker tōu, he defibrillator kua whakatōkia, he whakaoho roro hohonu rānei, he lymphoedema, he dialysis fistula rānei kei roto i te peka, he mate kiri, he patunga tuwhera rānei kei te taha o te wāhi whakamātautau.

Kaua e mutu, kaua e tīmata, kaua hoki e whakarerekē i tētahi rongoā kua tohua e koe māu ake. Mēnā ka pāngia te rangahau e tētahi rongoā pēnei i te rongoā ārai toto, i tētahi rongoā rānei e whakamahia ana mō te myasthenia, ka matapakihia tēnei e te wāhanga me tō kaiwhakatakoto rongoā, ā, mā te kaiwhakatakoto rongoā e whakatau.

Mena kei te tango koe i ngā rongoā whakaheke toto, kei te hiahia rānei koe ki te toto

Ka taea tonu te mahi i te ngira EMG i roto i te tini o te tangata e whakamahi ana i te anticoagulation, he iti ake te whakaurunga me te karo i ngā uaua hohonu. He whakatau tēnei nā te tākuta tirotiro i muri i te arotake i ō rongoā me ngā hua INR, i ngā hua pereti rānei. Kaua rawa e wareware ki te horopeta hei whakarite mō te whakamātautau.

Mena he taputapu whakatere manawa tōu, he taputapu whakaohooho ngakau ICD, he taputapu whakaohooho rānei kua whakatōkia

Kāore te ngira EMG i te raru nui. Me āta tiaki te whakaoho hiko i te wā e tirotirohia ana te ara iahiko, inā koa i te taha o te uma, i runga rānei i tētahi taputapu kua whakatōkia, i ōna taura rānei, me te taha o ngā ara iahiko uaua pokapū. Whakahuatia te taputapu kia taea ai te whakarerekē i te tikanga.

Mena he mate huka koe

Tangohia ō kai me ō rongoā o ia rā mēnā kāore he tohutohu kē, nā te mea kāore e hiahiatia he nohopuku mō te whakamātautau. Mena kei te tango koe i te insulin, i te sulfonylurea rānei, ā, tera pea ka whakaroa te kai i te wā i whakaritea ai, mauria he kai mā te tangata me tō mita huka toto.

Kawheine me ngā mea whakaohooho

Kāore te tohutohu noa kia kaua e inu kawhe mō ngā haora 24 e hiahiatia whānuitia mō te EMG-NCS noa, ā, kāore hoki e tautokona hei ture whānui. Ka tono ētahi waeine mō tēnei i mua i ngā tikanga motuhake. Whāia ngā tohutohu a tō waeine kaua e whai i tētahi ture whānui.

He aha te mea ka tupu i te wā o te whakamātautau

I te nuinga o te wā ka noho, ka takoto rānei koe i runga i te tūru i roto i te rūma mahana; ka whakarerekē te makariri o ngā peka i ngā uara o te tukunga o ngā io, nō reira me whakamahana tuatahi te kiri.

• Te ako i te ara iahiko o ngā io i te tuatahi, i te nuinga o ngā waeine. Ka tāpirihia ngā irahiko mata ki te kiri. Ka tukuna e tētahi whakaohooho iti he pāoro poto e rite ana ki te pāoro koi, ki te ru hiko ngawari rānei, ā, ka wiri te uaua. He haurua hēkona te roa o ia pāoro.
• Te werohanga ngira EMG i muri mai. Ka horoia te kiri, ā, ka whakaurua he ngira hiko ki roto i te uaua kua tīpakohia. Ka rongo koe i te ngau poto. Ka tonoa koe kia whakangāwari rawa, kātahi ka whakawhāiti mārire i te uaua, kātahi ka kaha ake. Ka taea te nekehia te ngira ki roto i te uaua hei whakamātautau i ngā wāhi rerekē, ā, he maha ngā uaua ka akohia.
• Whakamāoritanga ora. Ka puta ngā tohu ki runga i te mata, ā, ka rangona hei oro. Ka whakarerekē te tākuta tirotiro i te kawa ina puta mai ngā kitenga, koia te take i whakatauhia ai te maha o ngā uaua ka whakamatautauria i te wā o te rangahau, kaua i whakaritea i mua.
• Kāore he rongoā whakamoe. Ka noho mataara tonu koe, ka mahi tahi hoki i te roanga o te wā, nā te mea ko te whakawhāiti ā-tūao he wāhanga o te whakamātautau.

Kia pēhea te roa o te tukanga

• He rangahau arotahi mō ngā peka kotahi (hei tauira, te whakapae he mate carpal tunnel syndrome): he maha ngā wā e 20-40 meneti te roa.
• He EMG-NCS paerewa mō te neuropathy, te radiculopathy rānei: i te nuinga o te wā 30-60 meneti.
• Ngā rangahau whānui e kapi ana i ētahi peka, i ngā uaua paraspinal, i ngā uaua angaanga rānei, tae atu ki te whakaohooho auau: ka taea te roa atu i te haora.
• Te wā katoa i roto i te tari he roa ake i te whakamātautau tonu ina whakaurua te rēhitatanga, te whakaaetanga, te whakamahana kiri me te mātakitaki i muri i te whakamātautau.
• Pūrongo me te kōrero: Ka tātarihia e te tākuta tirotiro ngā āhua ngaru, ā, ka whakaritea he pūrongo whakamārama; he rerekē ngā wā tuku i waenga i ngā waeine, ā, ko te tikanga me pānui tahi te pūrongo me tō tākuta rongoā.

Ā muri iho, ka hoki tonu te nuinga o te tangata ki ngā mahi o ia rā, tae atu ki te taraiwa, nā te mea kāore he rongoā whakamoe e whakamahia ana. Ka roa pea te mamae ngawari, te maru iti rānei i ngā wāhi i werohia ai te ngira mō te rā, e rua rānei.

Te mārama ki tō pūrongo

He pūrongo whakaahua te pūrongo EMG-NCS. E whakarārangihia ana ngā io me ngā uaua i rangahauhia, ngā uara inehia ki ngā uara tohutoro o te taiwhanga, ā, ka mutu ki tētahi paraka whakamārama. He mea motuhake ngā uara tohutoro ki te taiwhanga me te tau, nō reira kaua e whakatauritea ngā tau mai i tētahi taiwhanga ki tētahi atu. Ko ngā tauira e whakaahuahia whānuitia ana ko:

• Te ako noa: ngā uara kawe io i roto i te awhe tohutoro o te taiwhanga, kāore he ngohe tūpono rerekē i te wā okioki, me te rahi me te whakaurunga noa o te waeine nekeneke i roto i ngā uaua i tangohia he tauira.
• Tauira neurogenic: te whakaiti i te whakaurunga o ngā pūtau me ngā waeine nekeneke nui, roa te roa, i ētahi wā he pūmanawa fibrillation, he ngaru koi pai rānei. E kī ana he pānga ki te io, ki te neuron nekeneke rānei; he maha ngā wā ka taea te whakatau tata i te roanga o te wā.
• Tauira myopathic: ngā waeine nekeneke iti, poto te roa, me te tīmatanga o te whakauru. E kī ana he tukanga taumata-uaua.
• Ngā āhuatanga o te tango-mielination: te puhoi nui o te tere o te kawe hiko, te roa o ngā whakaroa, te aukati i te kawe hiko, te marara rānei i te wā.
• Ngā āhuatanga o te axonal: ngā kaha urupare kua whakaitihia me ngā tere e mau tonu ana.
• Te rerekētanga o te arotahi: te whakaroa, te aukati rānei i te rohe kotahi, pērā i te ringaringa i te mate carpal tunnel syndrome, i te tuke rānei mō te io ulnar.

E whakaahua ana ēnei tapanga i te whanonga hiko, ehara i te ingoa o te mate. Ehara i te mea ko te "tauira neurogenic" anake te tikanga o te mate neurone motuka, ā, ehara te āhua rerekē ngāwari o te pūrongo i te ine i te nui o tō hauātanga. Nō te tākuta nāna i tono te rangahau te whakamaoritanga i roto i tō horopaki haumanu. He rerekē ngā hua i runga i ngā āhuatanga haumanu takitahi.

Ina he ngā hua ka taea te tinihanga

Ngā kitenga ka puta he āhua rerekē, he whakanui rawa rānei

• Nga peka makariri he puhoi te tukunga o te hiko, ā, ka taea te whai, te whakanui rānei i te puhoi mena kāore te pāmahana e whakahaeretia.
• Ngā āhuatanga hangarau pērā i te kore e pai te pā ki te hikohiko, te kiri maroke, hinuhinu rānei, te pupuhi, te momona, te pokanoa rānei ki te hiko, ka taea te whakapohehe i te kaha me te roa o te wā.
• Te whakangā koretake I te wā e werohia ai te ngira ki te EMG, ka puta he mahi ka nui rawa te pānui; mā te tiaki tūao nā te mamae ka whakawhāitihia hoki te aromatawai i te whakaurunga mai o te ngira.
• Te huringa e pā ana ki te reanga. Ko te whakahekenga ngawari o ngā urupare a ngā pūoko, inā koa i ngā waewae o ngā kaumātua, he kitenga noa pea i te koroheketanga kaua ki te mate.
• Ngā kitenga tūpono kāore he tohu, pērā i te puhoi ngawari o te io waenga i te ringaringa, kāore he tohu, kāore e tika ana hei whakaora i a rātou anō.
• EMG ngira tata nei ka piki ake te CPK toto mō te wā poto, ka whakapoauau pea i tētahi whakamātautau toto i muri tata mai.

Ngā kitenga e āhua noa ana, e kore rānei e tika ana

• Te whakamātautau wawe rawa i muri i te whara whakapeka o te io, i mua i te whanaketanga o ngā huringa o te tangohanga o te io.
• Te neuropathy muka iti, ko ēhea ngā tikanga paerewa kāore e aromatawaihia.
• Te radiculopathy pūmau te riri ngawari rānei o te pakiaka, engari kāore e ngaro te axon motuka.
• Kāore i tirohia ngā uaua tata, hohonu rānei, he āhuatanga rerekē rānei e noho ana ki tētahi rohe kāore anō kia whakamatautauria.
• Te maistenia taimaha, e hiahia ana ki te whakaohooho auau, ki te EMG muka-kotahi rānei, kaua ki te EMG ngira noa.
• Te myopathy pakupaku, te wāhi e kohia ai e te ngira ngā wāhanga o te uaua kāore i pāngia.
• Ngā āhuatanga rerekē e marino ana i te rā o te whakamātautau.

Ngā mōrearea me te haumaru

Ko te whakamātautau tātaritanga hiko he mea e manawanuihia ana i te nuinga o te wā, ā, he onge ngā raruraru nui. Kāore i te ōrite te mōrearea puta noa i ngā wāhanga rerekē o te rangahau.

Ngā rangahau mō te kawe io (whakaohooho mata)

Kāore he ngira e werohia ana ki roto i te uaua. He poto noa ngā kare ā-roto, ā, ka mutu ina mutu te whakaohooho. Tērā pea ka whero te kiri i ngā hikohiko, i te rīpene rānei. Me tino tupato ki te taha o ngā taputapu whakatere manawa, ngā taputapu whakangāwari ira, ngā taputapu whakaoho roro rānei kua whakauruhia, me ngā raina uaua pokapū, raina dialysis rānei; whakamōhiotia ēnei taputapu i mua i te tīmatanga.

EMG ngira

Ko ngā pānga e tumanakohia ana ko te mamae koi poto i te wā e werohia ana, me te mamae poto. Ko ētahi o ngā raruraru kāore i te tino kitea ko ngā marō iti, he haematoma ā-rohe rānei, inā koa i roto i ngā mea e tango ana i ngā rongoā anticoagulant; te mate kiri ā-rohe, he mea onge tēnei me ngā ngira kotahi te whakamahinga; me te whanoke poto, te ngoikore rānei, koia koe me kī atu mēnā kei te pāngia koe e te mate i te wā o te whakamātautau. He tino onge, ko te werohanga ngira tata ki te pakitara o te uma, ki te kehe rānei, he mōrearea pneumothorax, ā, ka whakamahia e ngā kaitirotiro mātau ngā tikanga motuhake hei whakaiti i tēnā. He tino onge te whara io tika mai i te ngira.

Te whakaihiihi nerve tukurua

Ka tāpirihia he whakaohooho auau, he mea e kore e tino whakamarie engari kāore e mau mai he mōrearea roa atu i roto i te mahi o ia rā.

He iti noa te whakaekenga o te ngira EMG, ehara i te mea kāore e whakaekenga, ā, he hē te tuhinga tawhito e whakaahua ana i tēnei mea he kore e whakaekenga. He rerekē ngā hua me te manawanui i runga i ngā āhuatanga haumanu takitahi.

Nga ahuatanga motuhake

Te wa hapu

Kāore he hihi ionizing, kāore hoki he rerekētanga e whakamahia ana i roto i ngā rangahau EMG me te whakahaere io. He mea noa te mate carpal tunnel me te meralgia paraesthetica i te wā e hapu ana, ā, ka taea te aromatawai. He iti noa ngā tikanga, ā, ka whakatikatikaina te tūnga kia pai ai te noho. Whakamōhio atu ki te tīma kei te hapu koe kia taea ai te whiriwhiri tika i ngā wāhi whakaohooho me ngā wāhi ngira.

tamariki

Ko ngā rangahau tamariki me whai kaitirotiro e mōhio ana ki ngā tamariki, me whai tikanga poto, me whai uara tohutoro e tika ana mō te tau, me te mātua hoki. Ka taea te whakamahi i te kirīmi whakamoe ā-rohe, i ētahi wā rānei, i te whakamoe, e ai ki te kaupapa here a te waeine. Mā te mahi tahi ka whakawhāiti i ngā mea ka taea e te tātaritanga whakawhāiti-ā-tinana te whakaatu i roto i ngā tamariki nohinohi.

Nga pakeke

He mea noa te whakaiti i ngā tauhohenga kare ā-roto o ngā waewae o raro i te kaumātuatanga, ā, kaua e nui rawa te whakamāramatanga hei mate. Mēnā he angiangi te kiri me ngā oko toto pakarukaru, ka nui ake te tūponotanga o te marutanga. He mea tika te tūnga pai me te tikanga poto ake.

Te mate huka me te hunga e rongoā ana ki te whakaheke huka

Ko te mate huka polyneuropathy tētahi o ngā take tino nui mō te tuku i te mate. Kāore e hiahiatia te nohopuku; me haere tonu ngā kai me ngā rongoā noa mēnā kāore i te kīia tētahi atu mea, ā, me mau mai he kai mātao mēnā kei te tango koe i te insulin, i te sulfonylurea rānei. Kia mahara ko te mamae o te mate huka neuropathy ka pā ki te muka iti, nō reira kāore te rangahau paerewa e whakakore i tēnei.

Te mate tākihi mau tonu me te dialysis

He mea noa te neuropathy uremia me te carpal tunnel syndrome i roto i te dialysis roa. Kaua e whakamahi i ngā irahiko, te whakaohooho me te werohanga ngira ki runga i te fistula arteriovenous, i te peka graft rānei, ā, me kī atu ki te tīma ko tēhea ringa e tiakina ana. Tērā pea ka nui ake te mōrearea o te toto nā te ngoikore o te platelet me te anticoagulation i te wā dialysis, nō reira he mea nui te whakarite i ngā rā dialysis.

Te ngoikore o te ngakau me ngā taputapu ngakau kua whakauruhia

Ka whakaitihia te kounga o te tohu e te pupuhi o ngā peka, ā, ka taea te whakarerekē i te kaha o te tohu. Tērā pea he mea whakararuraru te takoto papatahi, ā, ka taea te whakarite i te tūru. Whakatūria he taputapu whakatere manawa, he taputapu whakaroa manawa rānei kia whakarerekētia ai te whakaohooho tata ki te taputapu me ngā taura.

Lymphoedema, te peka rānei i muri i te tango i te mastectomy

Ko te wero ngira me te whakatakotoranga hiko ki te peka e pāngia ana ka karohia, ka whakaitihia rānei nā te mea kei pāngia e te mate me te pupuhi; whakamōhiotia te tīma i mua i te tīmatanga o te rangahau.

EMG i roto i te horopaki Inia

• Ngā kupu ā-rohe. Ko te nuinga o ngā tūroro i Inia ka tukuna kia whiwhi i te "EMG-NCV" me te "whakamātautau io" noa iho rānei. Ko te wāhanga NCV te rangahau kawe io; ko te wāhanga EMG te whakamātautau ngira o te uaua. He mea noa te tono "NCV anake" engari he maha ngā wā kāore i oti mō te ngoikore, te whakapae rānei he radiculopathy.
• Te neuropathy e pā ana ki te mate huka he take matua mō te tuku atu, i runga i te taumahatanga nui o te mate huka momo 2 i Inia. Ka whakamahia motuhaketia te tātaritanga hiko, nā te mea he maha ngā wā ka kitea he tātaritanga haumanu te neuropathy mate huka taurite tawhiti.
• Ngā neuropathies kai me te koretake: me whai whakaaro ki te korenga o te huaora B12, e kitea pinepine ana i roto i ngā kai huawhenua, me whai whakaaro tahi me ngā kitenga tātaritanga hiko.
• Ko te repera tonu te tino take o te mononeuropathy me te matotoru o ngā io i ētahi wāhi o Īnia, ā, ka taea te whakaputa i ngā tauira arotahi, arotahi maha rānei i roto i ngā rangahau tuku io.
• Te neuropathy e pā ana ki te tarukino me te paitini e tika ana kia arohia: te rongoā ārai-kohi (isoniazid), ētahi rongoā chemotherapy, me ngā hua otaota kāore i te whakahaeretia, AYUSH, ngā hua tāpiringa whare takaro rānei he konganuku taumaha, he ihirangi kāore anō kia tohua.
• Ngā tohutoro e pā ana ki te mahi me te whara He mea noa ēnei, arā, te whara o te plexus brachial i muri i ngā aituā rori, te whara o te io sciatic e pā ana ki te werohanga, me ngā mate neuropathies mauhere taumahatanga-repetitive.
• Kei te wātea. Kei ngā tāone nui me ngā hōhipera whakaako ngā taiwhanga tātaritanga hiko e kohikohi ana. Ko te kounga e whakawhirinaki ana ki te whakangungu a te kaiwhakahaere, te whakahaere pāmahana me ngā raraunga tohutoro motuhake ki te taiwhanga, nō reira mauria mai tō pūrongo taketake me ngā tānga ngaru mena kei te rapu koe i tētahi atu whakaaro.

Te utu me te inihua i Inia

He rerekē ngā utu mō te EMG-NCS i Inia i waenga i te kāwanatanga, te tari whakawhirinaki me ngā whare tūmataiti, me waenga i ngā tāone nui. Ka whakahuatia ngā utu i roto i te -, ā, ka whakawhirinaki ki te whānuitanga o te rangahau, kaua ki te utu pumau kotahi. Ko ngā mea e pā ana ki te utu ko:

• Te maha o ngā peka me ngā io i rangahauhiahe iti iho te utu mō te tirotiro waewae kotahi mō te mate carpal tunnel i te rangahau waewae whā
• Mena kei roto te ngira EMG ka mahia rānei ngā rangahau kawe io anake
• Ngā tikanga tāpiri pērā i te whakaohooho io auau, ngā ngaru-F, te whakaata kimo, te EMG muka-kotahi, te whakamātautau ā-roto rānei
• Whakapaungā irahiko ngira porowhita kotahi te whakamahinga
• Ko wai e mahi ana, e ripoata ana hoki te rangahau, me te mea kei roto he whakawhitinga kōrero
• tautuhinga: tūroro noho me te tūroro waho, rangahau taha moenga ICU, taumata tāone me te kāwai hōhipera
• Ngā rangahau tukurua, raupapa rānei mō te aroturuki i te whakaoranga

Mō te inihua: he maha ngā wā kāore ngā whakamātautau tātaritanga o waho e hipokina e ngā kaupapa here hauora paerewa i Inia mēnā kāore e hono ana ki tētahi whakaurunga, e hipokina ana rānei i raro i tētahi painga OPD motuhake. Ina mahia te EMG i te wā whakaurunga hōhipera, he wāhanga tonu o te pire tūroro noho, ā, kei raro i ngā tikanga kaupapa here, ngā wā tatari me ngā whakakorenga. Tirohia me te tēpu inihua o te hōhipera me tō kaiinihua i mua i te whakamātautau, me te tono kia tuhia he whakatau tata mō te kawa kua whakaritea.

Ngā pūrākau me ngā meka

Pātai auau

He rite tonu te whakamātautau EMG ki te whakamātautau NCV?

Kāo. Mā te whakamātautau tere o te kawe io ka whakamahia ngā irahiko mata me ngā pāorooro hiko iti hei ine i te tere me te kaha o te tohu io. Ka whakamahia e te EMG he ngira angiangi hei tuhi i ngā mahi hiko uaua. I Inia, ka mahia ngā mea e rua i te wā kotahi, ā, ka ripoatahia ngātahitia hei EMG-NCV, nā te mea ka whakautua e ia wāhanga o te pātai.

Ka taea e au te hoki ki te kāinga i muri mai me te taraiwa?

Ae te tikanga. Kāore he rongoā whakamoe, he rongoā whakangote rānei e whakamahia ana i roto i te EMG-NCS paerewa, nō reira kāore te mataara e pāngia. Ka pōuri, ka mamae rānei te mahunga o ētahi tāngata, ā, ka ngenge pea ētahi uaua o ngā peka. Ki te ngoikore koe, ka kore rānei e pai te āhua i muri i te rangahau, noho ki raro, whakamōhio atu ki ngā kaimahi, ā, whakaritea he waka rerekē.

He aha i whakarerekē tonu ai te tākuta i te uaua i whakamatautauria?

Ka whakamāramahia te EMG i roto i te ora. Ka hangaia e te tākuta tirotiro he whakapae ina puta mai ngā kitenga, ā, ka tīpakohia e ia ētahi atu uaua, io rānei hei whakaū, hei whakakore rānei i tētahi tauira. Koia te take kāore i te whakaritea te tikanga i mua, ā, he aha te take he nui ake te hiranga o tētahi kaitirotiro mātau i ngā taputapu e whakamahia ana.

He noa taku EMG engari kei te wiri tonu ōku ringa. He aha te mahi i muri mai?

Kāore te rangahau noa e ārai i te raruraru. Ko te neuropathy muka-iti, te whara wawe o te io, te riri o te pakiaka o te kaki me te kore e ngaro te nekehanga, me ngā io kāore anō kia whakamatautauria, ka puta pea ngā tohu me te pūrongo noa. Hoki atu ki tō tākuta. Tērā pea ka whakaarohia ngā whakamātautau toto, te whakaahua, te whakamātautau anō i muri i tētahi wā, ngā whakamātautau motuhake rānei.

Ka taea te mahi anō i te EMG, ā, kia pēhea te tere?

Āe. Ka whakamahia ngā rangahau anō hei aroturuki i te whakaoranga i muri i te whara o te io, hei rapu i ngā huringa i kitea wawe rawa i te tīmatanga, hei aroturuki rānei i tētahi mate e haere whakamua ana. Ko te wā ka whakawhirinaki ki te pātai haumanu, he maha ngā wiki i muri i te whara ohorere, he maha rānei ngā marama i muri i te huringa puhoi. Mā tō tākuta e whakatau.

He haumaru te EMG mēnā ka tangohia e au te aspirin, te clopidogrel, te warfarin rānei?

He maha tonu ngā wā ka taea te whakamahi i te ngira EMG, me te iti ake o ngā whakaurunga me te karo i ngā uaua hohonu, engari ko te whakatau kei runga i tō rongoā, te horopeta me ngā hua toto tata nei. Kōrerohia i mua i te wāhanga kia taea ai e te tākuta tirotiro te whakamahere me te hono atu ki tō kaiwhakatakoto tohu. Kaua e whakamutu i tētahi rongoā whakangawari toto kua tohua e koe.

Ka whakamahia anōtia ngā ngira?

Ko te tikanga paerewa he whakamahi i ngā irahiko ngira parakore kotahi te whakamahinga, ka whakatuwheratia ki mua i a koe ka maka atu i muri i te rangahau. Ko ngā irahiko mata e whakamahia ana mō te kawe io ka taea te maka atu, ka horoia rānei kia rite ki te tikanga. Ka taea e koe te pātai atu ki ngā kaimahi kia whakaū he aha te mea e whakamahia ana.

Ka taea e te EMG te whakamārama mai i te pūtake o taku neuropathy?

Kāore i te takitahi. Mā te electromyography me ngā rangahau kawe io e whakaahua te tauira, te tohatoha me te kaha o te hononga o te io, o te uaua rānei. Hei whakatau i te take, te mate huka, te ngoikore o te huaora B12, te mate tairoi, te rongoā, te mate tuku iho, te tukanga mumura rānei, me whai hītori, whakamātautau, whakamātautau toto, me ētahi whakamātautau ira, whakamātautau paturopi rānei.

He tohu rānei tēnei nā te mea he rerekē te EMG, me pokanga ahau?

Kāo. Ko te pūrongo EMG tētahi o ngā whakaurunga i roto i ētahi. Ko ngā whakataunga mō te pokanga mō ngā āhuatanga pēnei i te carpal tunnel syndrome, te nerve root compression rānei, ka whakawhirinaki ki te kaha o ngā tohu, te herenga mahi, te urupare.