Electroencephalogram (EEG): Zvinogona Kuratidzwa Uye Zvisingagone Kuratidzwa neBreak Wave Test

Key tora kutora

• EEG inoyera mashandiro, kwete chimiro. Hairatidzi bundu, kubuda ropa kana sitiroko, iro ndiro basa reMRI kana CT.
• Kuongororwa kweEEG kwakajairika hakurevi kuti hapana pfari. Kurekodha kamwe chete pakati pechirwere kunowanzo itika kune vanhu vane pfari zvechokwadi.
• Kuongororwa kweEEG kusingawanzoitiki chete hakuoneki kuti munhu ane pfari. Pfari chirwere chinoonekwa pakiriniki; EEG inotsigira izvi.
• Bvunzo iyi haipindi muropa uye haishandisi mwaranzi. Kusagadzikana kunowanzo ngova gel yemusoro, paste kana kutsamwa kweganda zvishoma.
• Maprotocol akasiyana pakati pemayuniti. Mirayiridzo yekugeza bvudzi, yekusarara, mishonga, uye yekugeza bvudzi inosiyana; mirairo yakanyorwa yechikoro chako ndiyo inonyanya kukosha.

Pakuona

Uyewo anozivikanwa se

• Kuongororwa kweEEG
• Kuedzwa kwemafungu europi
• "Dimag ka EEG" / "bvunzo yeuropi" (inowanzoshandiswa muzvipatara zveIndia)
• EEG yenguva dzose, EEG yekumuka nekurara, EEG yekusarara, EEG yevhidhiyo, EEG yekurara (idzi idzidzo dzakasiyana, ona pazasi)
• Hazvina kufanana neECG/EKG ("kuyedzwa kwemoyo"), iyo inorekodha moyo

Chii chinonzi EEG

MaNeuron anotaurirana achishandisa masaini emagetsi. Kushanda kwakazara kwema "cortical neuron" akawanda kunoita kuti pave nekuchinja kudiki kwemagetsi kunogona kuonekwa paganda remusoro. Munguva yeEEG, ma "electrodes" madiki esimbi anonamirwa paganda remusoro ne "conductive gel", "paste" kana "cap". Masaini anowedzerwa uye anoonekwa se "continuous waveforms".

Chiremba anoshuma anotarisa rhythm yekumashure, symmetry yayo uye reactivity, mhinduro yekuvhura nekuvhara maziso, maitiro ekurara kana hope dzawanikwa, uye kana paine kubuda kwe epileptiform (spikes, sharp waves, spike-wave complexes) zviripo. Frequency bands, delta, theta, alpha, beta uye gamma, mazita anotsanangura anoshandiswa muongororo iyoyo. Hazvisi zviratidzo zvehutano hwehuropi, uye hapana bhendi rimwe chete rinokuudza kana munhu akangwara, ane stress kana kuti akanaka.

Chikonzero nei EEG yakaitwa

• Zvinofungidzirwa kuti zvine pfari: kutsvaga kusarongeka kwechirwere chepfari uye kubatsira kupatsanura mhando yepfari uye chirwere chepfari.
• Kupatsanura uye sarudzo yekurapa: Kusiyanisa chirwere chepfungwa chakajairwa kubva kune chepfungwa chinokanganisa kusarudzwa kwemishonga.
• Kuchinja kwekuziva kana kuvhiringidzika: kuona chirwere chepfungwa, uye kuona pfari dzisingakonzere kupfari kana kuti pfari dzisingakonzere kupfari muvarwere vari muICU.
• Zviitiko zvisingatsanangurike zvinogara zvichiitika: kubatsira kuparadzanisa pfari dzechikwekwe kubva kusyncope, pfari dzinoshanda (dissociative), parasomnias kana mafambiro asina kunaka, zvinowanzo pindurwa zvakanaka nevhidhiyo EEG inoratidza chiitiko.
• Kufungidzirwa kuti chirwere chepfungwa chinonzi encephalitis, kusanganisira herpes simplex encephalitis, uko mamwe maitiro anogona kutsigira.
• Matambudziko okurara, senzira imwe chete mukati me polysomnography yakazara kwete seEEG yakazvimirira.
• Pre-kuvhiya kuongorora muchirwere chepfari chisingarapike nemishonga, uko vhidhiyo yeEEG yakareba inobatsira kuziva nzvimbo yekutanga kwepfari.
• Kuongororwa kwerufu rwehuropi, chete sebvunzo yekuwedzera mune mamwe maitiro chaiwo; kusarudzwa kwacho kunoitwa nekiriniki uye kwakatsanangurwa zviri pamutemo.

Ndiani anofanira kuongororwa uku?

• Chero ani zvake akambova nepfari kekutanga asina kukurudzirwa, sezvakarayirwa nachiremba wepfungwa.
• Vanhu vane mavanga erima anodzokororwa, vane mavanga ekutarisa, vanongoerekana vaita manyawi kana kuti vanongoerekana vatadza kupindura.
• Vana vanofungidzirwa kuti havapo vane pfari, marwadzo evacheche, kana kudzokera shure kwezviitiko zvinofungidzirwa kuti vane pfari.
• Varwere vane pfari inozivikanwa kuti inochinja maitiro avo epfari kana kuti vari kutarisirwa kurega mishonga.
• Varwere vari muICU vane coma isinganzwisisike kana kuti pfungwa dzavo dzichichinja-chinja.
• Vanhu vari kuongororwa kuti vavhiyiwe pfari here.

Kuongororwa kweEEG hakusi kuongororwa kwehutano hwese. Hazvibatsiri pakurwadziwa nemusoro chete, kushamisika chete, kuyeuka chete, kana sekuongorora nguva dzose, uye kuongororwa kweEEG kwakajairika mumamiriro ezvinhu akadaro hakupi chivimbo chikuru nezvechinhu chero chipi zvacho chaicho.

Izvo EEG isingakwanise kuona kana kusabvisa

• Hazvigone kubvisa pfari. Chikamu chikuru chevanhu vane pfari vane EEG yenguva dzose. Kudzokorora marekodhi, zvidzidzo zvekusarara zvakanaka kana vhidhiyo EEG kwenguva refu zvinowedzera mukana wekuona zvirwere zvisina kunaka, asi kunyangwe EEG dzakajairwa dzinodzokororwa hadzibvisi kuongororwa kwechirwere.
• Hazvigone kusimbisa pfari yoga. Mamwe maitiro asina kujeka kana kuti "asina kuganhurirwa", uye mamwe maitiro asina njodzi, anoitika kuvanhu vasina kumbobvira vabatwa nepfari. Kuverenga zvakanyanya maitiro akadaro ndicho chikonzero chinozivikanwa chekuti vanhu vanonzi vane pfari zvisirizvo.
• Hazviratidzi chimiro chehuropi. Mamota, sitiroko, kubuda ropa, tuberculomas, neurocysticercosis uye cortical malformations zvinoda MRI kana CT. Kuongororwa kweEEG kwakajairika hazvirevi kuti kuongorora uropi kuchave kwakajairika, uye zvinopesana.
• Inonyanya kuona pamusoro. Chiitiko chinoitika mukati-kati meuropi, muzvikamu zvepakati penguva, kana munzvimbo diki chingasasvike pamaelectrode emusoro.
• Hazviongorore chirwere chepfungwa, ADHD, autism, matambudziko ekudzidza kana chirwere chepfungwa. EEG haina basa rakasimbiswa sebvunzo yekuongorora zvirwere izvi, uye kutaura kuti kuongororwa kwemafungu europi kunogona kuzviongorora hakutsigirwi.
• Hazviongorore moyo. Kufenda kunokonzerwa nekushaya simba kwemoyo kunoda kuongororwa kwemoyo, kwete EEG.
• Hazviyere kuyerera kweropa kana kuendeswa kweokisijeni.
• Kuwana kusina kunaka hakuna kufanana nekusabatanidzwa. "Hapana kubuda kwechirwere chepfari kwakaonekwa" kunotsanangura nguva yakanyorwa chete. Kana zviratidzo zvikaramba zvichiitika pasinei nezvakataurwa, dzokera kuna chiremba wako pane kufunga kuti dambudziko rapera.

Bvunzo dzakabatana asi dzakasiyana

Kuti bvunzo ipi inotanga kuoneka inobva pane zvayakaratidzwa. Kana munhu akabatwa nepfari, EEG neMRI zvinowanzo rongwa. Kana munhu akadzimwa nedikita, kuda kurutsa uye kupora nekukurumidza akamira, kuongororwa kwemoyo nemuviri zvinowanzo tanga. Kana munhu achingonzwa ngonono kana arara masikati, polysomnography ndiyo ongororo yakakodzera, kwete EEG yenguva dzose.

Maitiro ekugadzirira

Kugadzirira kunoshanda uye kwakasiyana pakati pezvipatara nemarabhoritari eEEG. Mirayiridzo yakanyorwa yaunopihwa nechikamu chako ndiyo inonyanya kukosha kupfuura chero zano rakajairika.

• Mvere: Geza bvudzi husiku hwapfuura kana mangwanani ebvunzo uye usashandise mafuta, gel, serum, wax kana hair spray, sezvo izvi zvichimisa maelectrode kunamira. Mazhinji emayuniti ekuIndia haakumbiri mafuta ekokonati kana mamwe mafuta ebvudzi.
• Zvinokurudzira: mayuniti mazhinji anokukumbira kuti usashandise kofi, tii, cola, zvinwiwa zvinopa simba uye nicotine kwemaawa akati wandei chidzidzo chisati chaitwa. Hwindo chairo rinoiswa neyuniti.
• Kurara: Zvimwe zvidzidzo zvinoitwa nemaune kuti munhu asarara; zvimwe zvinoda kurara zvakanaka usiku hwese. Tevedzera chete zvakumbirwa neyuniti yako, sezvo mirairo miviri yacho yakasiyana.
• Mishonga: Ramba uchitora mishonga yese yawakanyorerwa, kusanganisira mishonga yekudzivirira pfari, kunze kwekunge chiremba wepfungwa akaraira EEG akuudza zvakasiyana nekunyora. Usambofa wakarega kana kuderedza mushonga wekudzivirira pfari wega, kurega mushonga kunogona kukonzera pfari, kusanganisira status epilepticus. Uya nerunyorwa rwemishonga yese iripo, kusanganisira AYUSH, mishonga yemishonga uye inotengeswa kunze kwechitoro chemishonga.
• Zvokudya: Kutsanya hakuwanzodiwi, uye kusadya chikafu kunogona kuchinja marekodhi. Bvunza chikwata chako kana usina chokwadi.
• Uyai: tsananguro yezviitiko zvako, zviri nani nevhidhiyo yefoni yakatorwa nenhengo yemhuri, pamwe nemishumo yekare yeEEG neMRI. Mavhidhiyo ezviitiko anowanzo dzidzisa zvakawanda kupfuura EEG pachayo.
• Kuperekedza Uya nehama yako kana uchigara uchirwara nepfari, uchishaya hope, kana mwana ari kuongororwa. Usazviendese kuEEG yekurara.

Children

Kuongororwa kweEEG kwevana kunogona kurongwa panguva yekurara. Kudyisa, nguva yekurara uye kana paine kunyaradza kunoshandiswa zvinosarudzwa nechikwata chevana vane tsinga dzemuviri. Uya nechitoyi chaunofarira kana gumbeze, uye mbatya dzevacheche.

Kuberekwa

Kuongororwa kweEEG hakushandisi mwaranzi uye kunoitwa panguva yekuzvitakura kana zvataurwa nekiriniki. Maitiro ekusarara zvakanaka uye ekufema zvakanyanya anogona kuchinjwa, uye mishonga yekudzivirira pfari haifanirwe kuchinjwa pasina kurairwa nachiremba.

Chirwere cheshuga chiri pakurapwa kuderedza shuga yeropa

Kana paine chinjo yenguva yekutsanya kana yekudya, udza chiremba kuti unotora insulin kana mimwe mishonga inoderedza shuga usati waenda kunoongororwa, kuitira kuti nguva nematanho ekushandisa zvirongwe nemupi wako wemishonga. Kuderera kweshuga muropa kunogona kuchinja EEG uye kukonzera zviratidzo.

Vakuru, mwoyo kusashanda zvakanaka uye CKD yakakwira

Kurara pasi kwenguva yakareba kunogona kushungurudza kana uchitadza kufema, uye zvidzidzo zvenguva refu zvingada kugadziriswa kwenzvimbo. Varwere vane mvura shoma havafanirwe kuwedzera huwandu hwemvura inonwiwa panguva yekuedzwa vasina kubvunza chiremba ari kurapa. Udza chiremba nezvezvipingamupinyi zvekufamba, kushandiswa kweokisijeni kana hurongwa hwe dialysis.

Mamiriro eganda remusoro uye magadzirirwo ebvudzi

Maronda akavhurika, eczema yakanyanya, kuvhiyiwa kwemusoro munguva pfupi yapfuura, kurukwa kwakakora, kuwedzerwa, kusukwa kana kuti dreadlocks zvinogona kuderedza kuiswa kweelectrode. Zivisa murwere pachine nguva kuitira kuti arongwe imwe nzira.

Chii chinoitika panguva yeEEG

• Kuyera nekuisa chiratidzo: Nyanzvi yetekinoroji inoyera musoro wako uye inomaka nzvimbo dze electrode uchishandisa 10-20 system.
• Kushandiswa kweElectrode: ganda remusoro rinocheneswa zvishoma uye maelectrode anogadziriswa negel kana paste, kana kuti chivharo chinoiswa. Izvi zvinogona kunzwa zvichitonhorera uye zvichikwenya zvishoma asi hazvisi kucheka kana kuboora.
• Kurejera: Unorara kana kugara wakanyarara wakavhara maziso kwenguva yakawanda yekudzidza, uchivhura nekuvhara maziso kana uchida.
• Maitiro ekugadzirisa: Kufema zvakanyanya (kufema zvakadzika) uye kufema zvine simba (chiedza chinopenya) zvinowanzo shandiswa kuratidza kusakwana. Izvi zvinoitwa nenzira yekusarudza uye dzimwe nguva zvinogona kukonzera pfari, iyo iri chikamu chebvunzo chinozivikanwa, uye vashandi vakagadzirira izvozvo. Udza vashandi kana uine chirwere che photosensitivity, chirwere chekufema chakakomba, sitiroko yazvino kana chirwere che sickle cell usati washandisa mwenje unofema zvakanyanya kana unopenya.
• Kurekodha kurara: unogona kukurudzirwa kurara, sezvo kubuda kweropa kuchiwanzoonekwa muhope nekurara.
• Pashure: maelectrode anobviswa uye gel kana paste yasara inobviswa. Vhudzi rinogona kunzwa serakanamira uye rinowanzoda kugezwa kumba. Vanhu vazhinji vanotangazve kuita mabasa avo enguva dzose ipapo ipapo.

Iyo nzira inotora nguva yakareba sei

• EEG yenguva dzose: kazhinji inotora maminetsi angangoita makumi maviri kusvika makumi mana ekurekodha, uye maminetsi angangoita gumi nemashanu kusvika makumi matatu ekuwedzera ekushandisa nekubvisa maerekitirodhi.
• Kumuka-kurara kana EEG yekusarara: kazhinji awa imwe kusvika maviri, dzimwe nguva yakareba kana hope dzichinonoka kuuya.
• EEG yekufamba netsoka: kazhinji maawa makumi maviri nemana kusvika kumazuva akati wandei, nemidziyo inopfekwa kumba.
• Vhidhiyo yeEEG muchipatara: kazhinji mazuva akati wandei ekubvumidzwa kupinda muchipatara, zvichienderera mberi kusvika zviitiko zvakakwana kana nguva yakakwana yekurara nekumuka yanyorwa.

Nguva yekushuma inosiyana pakati pemayuniti, sezvo EEG ichifanira kuverengwa nachiremba akadzidziswa uye kududzirwa zvichienderana neruzivo rwako rwekiriniki. Bvunza yuniti kuti uchagamuchira riini uye sei.

Kunzwisisa mushumo wako weEEG

Mushumo weEEG unowanzo tsanangura mamiriro ekurekodha, chiitiko chemashure, kusawirirana chero kupi zvako kana kunonoka, kana hope dzakawanikwa, mhinduro yekuitwa kwemaitiro ekushanda, uye kana kubuda kwe epileptiform kwakaonekwa. Unopera nekududzirwa.

• "EEG Yakajairika": mamiriro acho aienderana nezera uye hapana kubuda ropa zvisina kujairika kwakanyorwa panguva iyoyo. EEG yaive yakanaka, hazvina hazvo kuti wakaratidzwa kuti hauna pfari.
• Kubuda kweEpileptiform (spikes, sharp waves, spike-wave): kutsigira kuongororwa kwechirwere chepfari uye kubatsira kuchiisa muzvikamu, asi chinofanira kukodzera mufananidzo wekiriniki.
• Kunonoka kwefocus: zvinoratidza kukanganiswa kwebasa munzvimbo imwe chete. Hazvina kutsanangurwa zvakananga uye zvinogona kuteverwa nepfari, ronda remuviri, kana mhedzisiro yemushonga. Kazhinji zvinokurudzira mifananidzo kwete kuongororwa kwega.
• Kunonoka kwakajairika: inowanzo ratidza encephalopathy inokonzerwa nemetabolic metabolic, hutachiona, chepfu kana zvinodhaka, kana hope panguva yekurekodha. Hazvisi chiyero chehungwaru kana "kukuvara kweuropi" mupfungwa chero ipi zvayo.
• "Muganho", "kusarongeka kudiki kusina kujeka", "mhando isina kunaka": Mashoko aya anowanzo tsanangurwa zvakanyanya nevarwere. Mazhinji emaitiro akadaro haana kukosha kwekurapa. Bvunza chiremba wetsinga kuti chii chinochinja, kana paine chimwe chinhu.
• Kubatwa nemagetsi: pfari yakanyorwa, kana paine kana pasina zviratidzo zvinoonekwa.

EEG haimbozviongorori yoga. Mhedzisiro inofanira kutsanangurwa zvichienderana nemamiriro ezvinhu ekurapa nachiremba akakumbira bvunzo, uye mhedzisiro inosiyana zvichienderana nemamiriro ezvinhu ekurapa ega ega.

Kana mhedzisiro yeEEG inogona kutsausa

Kunyepa kuti pane zvisina kujairika (nhema dzakanaka)

• Kushanda kwetsandanyama, kutsenga, kumedza, kufamba kwemaziso kana maziso, kudikitira uye chinhu chinonzi "pop" zvinogona kutevedzera kusarongeka.
• Kukanganiswa kwemagetsi, nharembozha nemidziyo iri pedyo zvinogadzira zvinhu zvemagetsi.
• Dzimwe nguva mhando dzisina kunaka dzechirwere ichi dzinotorwa zvisirizvo se epileptiform.
• Kurara kwenguva pfupi kwakajairika kunogona kuverengerwa zvakanyanya.
• Kunyora pasina ruzivo rwezvekurapa kunowedzera njodzi yekuongororwa chirwere zvakanyanya, izvo zvinogona kutungamira kumakore asina kufanira emishonga yekudzivirira pfari uye kurambidzwa kutyaira kana basa kunodzivisika.

Kunyepa kuti zvinhu zvakajairika (nhema dzisina kunaka)

• Marekodhi mapfupi asingatore hope anowanzo shaya kubuda ropa.
• Pfari isingawanzoitiki inogona kuva nenguva refu isina kubuda ropa.
• Majenareta akadzika kana madiki anogona kusabuda mumusoro.
• Mishonga yekudzivirira pfari, mishonga yekunyaradza uye benzodiazepines inogona kudzikamisa kubuda kweropa.
• Kusashanda zvakanaka kwemaelectrode kubva mumafuta ebvudzi, zvigadzirwa zvekugadzira kana ganda remusoro rine ziya zvinoderedza chiratidzo.
• Murwere ane hope dzakanyanya kana kuti asingazorori, kana mwana asingade kugadzikana, anongowana chidzidzo chidiki.

Kutungamira kwekukanganisa nemishonga uye physiology

• Mishonga yekunyaradza, doro uye mishonga yekunyaradza marwadzo: inononotsa mamiriro ekunze uye inogona kufukidza kubuda kwemvura.
• Caffeine uye kungwarira: kuderedza hope, zvichideredza mukana wekubata zvinhu zvinobuda mudumbu zvine chekuita nekurara.
• Kushaya shuga yakakwana mumuviri, kushaya mvura yakawanda, uraemia, kutadza kwechiropa, kushaya mvura yakawanda, fivha: zvinokonzera kunonoka kunogona kunzi kunokonzerwa nechirwere chepfungwa chikuru.
• Kubatwa nepfari munguva pfupi yapfuura: zvinogona kukonzera kunonoka kwenguva pfupi mushure mekuita zvinhu izvo zvinogadzirisa dambudziko.

Njodzi nekuchengetedzeka

EEG yemusoro wemusoro nguva dzose

Kuongororwa kweEEG kwemusoro wemusoro nguva dzose hakupindi vanhu, hakushandisi mwaranzi uye hakupfuuri magetsi mumusoro. Matambudziko anowanzoitika ndemadiki: kumanikidzwa kana kukwenya panguva yekuisa electrode, bvudzi rinonamira mushure mezvo, uye dzimwe nguva ganda rinotsamwiswa zvishoma kana kugunzva gel, paste kana namira. Kashoma, ganda rinokwenya zvishoma rinoitika kana ganda remusoro ragadzirwa.

Maitiro ekugadzirisa

Kufefetera kwakanyanya kunogona kukonzera kukwenya, kupenya kwemusoro uye kurwadziwa kwemaoko, izvo zvinogara zvakanaka kana kufema kwakajairika kwatangazve. Kukurudzirwa kwemanzwiro kunogona kukonzera pfari muvanhu vane pfari. Muvanhu vane pfari, chero nzira ipi zvayo inogona kukonzera pfari; dzimwe nguva iyi ndiyo mhedzisiro yekuongorora uye inotarisirwa nevashandi vakadzidziswa.

EEG yekusarara zvakanaka

Kurambidzwa kurara kunogona kukonzera pfari uye kukonzera hope masikati. Ronga zvekufambisa pane kutyaira.

Kutarisa EEG kwenguva refu muvhidhiyo

Nekuti mishonga inogona kuderedzwa kana munhu achitarisirwa kuti aone zviitiko, pane njodzi yakakura yekubatwa nepfari, kusanganisira mapoka evanhu, kukuvara panguva yekubatwa nepfari, kana kuti pfari. Ndosaka kuongororwa kwakadaro kuchiitwa semurwere ari muchipatara achiongororwa nguva dzose. Kuputsika kweganda pasi pemaelectrode enguva refu kunogonawo kuitika.

Kuraramisa vana

Kana mushonga wekunyaradza unoshandiswa, une njodzi dzawo dzine chekuita nekufema uye nzira dzekufema, uye unongopihwa chete kana vashandi vakadzidziswa kuutarisa.

Intracranial EEG

Kuisa ma electrode anokuvadza chirwere ichi inzira yekuvhiya tsinga ine njodzi dzinosanganisira kubuda ropa, hutachiona uye kushomeka kwetsinga. Inoitwa chete muzvirongwa zvekuvhiya pfari zvine hunyanzvi mushure mekupiwa mazano akadzama. Marongerwo enjodzi akasiyana zvakanyanya mumhando idzi dzeEEG uye haagone kutsanangurwa nechirevo chimwe chete chekuchengetedza.

Mamiriro ezvinhu anokosha

Kuberekwa

EEG yakachengeteka panyaya yemwaranzi nekuti hapana inoshandiswa, uye inoitwa panguva yekuzvitakura kana zvataurwa. Sarudzo dzemishonga yekudzivirira pfari panguva yekuzvitakura dzakagadzirwa zvakananga uye dzinofanira kusanganisira chiremba wetsinga nechiremba wezvekubereka. Usachinje madosi wega.

Vana nevacheche

Kududzirwa kweEEG yevana kunoenderana zvakanyanya nezera, sezvo mamiriro ezvinhu akajairwa achichinja nekukura. EEG yevana vanozvarwa iongororo yakasiyana nenyanzvi. Mamwe masyndromes evana vane maitiro eEEG, ndosaka EEG inowanzo dzidzisa vana kupfuura vakuru.

Vakuru vakuru

Kunonoka kunogona kuratidza mishonga, hope kana chirwere chemuviri pane chirwere chepfungwa chikuru. EEG haisi bvunzo yekuona dementia, kunyange zvazvo inogona kubatsira kana paine fungidziro yekuti munhu ane chirwere chepfari kana encephalopathy.

Vanhu vane chirwere cheshuga vari kurapwa nekuderedza shuga yeropa

Glucose muropa haifanirwe kuregwa ichidonha nekuda kwekuongororwa. Kana zvikakumbirwa kuti munhu asarara zvakanaka kana kuti nguva yekudya ichichinjwa, rongai izvi nechiremba.

Chirwere cheitsvo chisingaperi uye kutadza kwemoyo

Kukanganiswa kweUraemia nekusashanda zvakanaka kwemuviri kunokonzera kunonoka kusingatsananguriki kunogona kunzwisiswa zvisizvo. Kurekodha kwenguva refu wakarara kunogona kuoma kana uchinzwa kufema zvisina kunaka. Usambofa wakawedzera huwandu hwemvura inonwiwa panguva yekuedzwa kana uri padanho remvura shoma.

Varwere veICU nevaya vakabatwa nemoyo mushure mekusungwa

Kuongororwa kweEEG kunoitwa panguva imwe chete kunoshandiswa kuona pfari dzisingatapuki uye kubatsira pakufanotaura kana mwoyo wamira. Mishonga inonyaradza, kudzora tembiricha uye kutadza kushanda kwenhengo dzemuviri zvese zvinokanganisa kunyorwa kwechirwere, saka zvakawanikwa zvinotsanangurwa nokungwarira uye zvakatevedzana kwete kubva pane imwe chete.

Maimplants nemidziyo

Zvinogadzira mwoyo, zvinosimudzira uropi zvakadzika uye zvinosimudzira tsinga dzemudumbu hazvidziviriri EEG, kunyangwe zvingangounza chinhu chakashandiswa. Udza nyanzvi yezvemichina nezvechero mudziyo wakaiswa. Kana MRI yakarongwawo, kuongororwa kwekuchengetedzwa kweMRI kwechishandiso kunodiwa zvakasiyana.

EEG mumamiriro ezvinhu eIndia

• Zvikonzero zvinowanzoonekwa zvechirwere chepfari munharaunda ndizvo zvinonyanya kukonzera pfari. MuIndia, neurocysticercosis ne tuberculoma ndizvo zvikonzero zvikuru zve focal seizures. EEG haigone kuratidza chero chimwe chazvo; MRI kana CT yeuropi inodiwa. EEG yakajairika ine focal seizure itsva haifanirwe kumisa mifananidzo.
• Kuvhiringidzika kwemashoko kunowanzoitika. Varwere vanowanzosvika vachikumbira "kuongororwa kweuropi" kana kusanganisa EEG neECG ("kuongorora moyo"), EMG/NCV (kuongorora tsinga netsandanyama) uye MRI. Simbisai pane gwaro rechiremba kuti ndeipi bvunzo yakarairwa.
• Mafuta ebvudzi idambudziko rinoshanda. Mafuta ekokonati nemamwe mafuta ebvudzi, pamwe chete nezvigadzirwa zvinorema zvekugadzira bvudzi, zvinowanzo deredza kubatana kweelectrode uye zvinogona kumanikidza kuti udzokorore kudzidza. Enda nebvudzi rakachena, rakaoma, risina chigadzirwa kunze kwekunge waudzwa zvimwe.
• Kusarura uye kusaziva chokwadi. Pfari ichiri kukonzera rusarura munharaunda mune dzimwe nzvimbo dzeIndia, uye vamwe vanhu vanopihwa mishonga isina humbowo hwekuti "brain wave" kana kuti "neuro-scan". Pasi peDrugs and Magic Remedies (Objectionable Advertisements) Act 1954, kushambadzira kunoti mishonga yepfari haitenderwi. Sarudzo dzekurapa ndedzechiremba wetsinga kana chiremba ane hunyanzvi.
• Kuwana mishonga uye kuramba uchiitora. Kukanganiswa kwemishonga yekudzivirira pfari ndicho chikonzero chinowanzoita kuti pave nepfari. Ronga kuzadza mishonga usati waenda kuzororo uye mitambo, uye taura nechiremba pane kurega kurapwa.
• EEG isina hope uye kufamba. Kufamba kwenguva refu pazuva rekudzidza usina hope kunowedzera njodzi yekubatwa nepfari kana tsaona muchitima. Ronga kuti mumwe munhu akuperekedze.
• Kuwanikwa kwezvinhu kunosiyana. Kuongororwa kweEEG yenguva dzose kunowanikwa zvakanyanya; vhidhiyo EEG yakareba, EEG yekufamba netsoka uye kuongororwa kwekuvhiyiwa kwepfari kunowanikwa munzvimbo dzakakura, kazhinji zvichida kutumirwa kune mumwe munhu.

Mutengo neinishuwarenzi muIndia

Mitengo inosiyana zvikuru pakati pezvipatara zvehurumende, zvipatara zvetrust, nzvimbo dzekuongororwa dzakazvimiririra uye zvipatara zvemakambani, uye pakati pemaguta. Pane kutaura nhamba, zvinobatsira kuziva kuti chii chinokonzeresa mutengo. Gara uchibvunza fungidziro yakanyorwa usati wabhuka.

• Rudzi rweEEG: Chidzidzo chenguva dzose chemaminitsi makumi maviri kusvika makumi mana chinodhura zvishoma pane vhidhiyo yeEEG inopedza vanhu vasina hope, yekufamba kana yemazuva akawanda vari muchipatara.
• Nguva uye nzira: kurekodha kwenguva refu uye maerekitirodhi emagetsi ane density yakakwira anodhura zvakanyanya.
• Chikamu chevhidhiyo nechikamu chevarwere vari muchipatara: Vhidhiyo yeEEG yakareba inosanganisira kutakura varwere pamubhedha, kuyamwisa uye kutarisa nguva dzose.
• Rutsigiro rwekunyaradza kana rweanesthesia muvana vadiki zvinowedzera mutengo.
• Dzinoshuma: Nyanzvi yezvetsinga kana pfari, uye nyanzvi yezvekukurumidzira kana kuti mushure memaawa ekushanda, vanogona kubhadhariswa mari zvakasiyana.
• Guta nechikamu: Nzvimbo dzepachivande dzemumaguta makuru dzinowanzo kudhura kupfuura nzvimbo dzemumaguta madiki kana dzeveruzhinji.
• Kusunga: EEG inowanzo kuve chikamu chepakeji ine MRI uropi neropa panguva yekuongorora pfari.

Inishuwarenzi: kuongororwa kwevarwere vasiri muchipatara kazhinji hakufukidzwi neinishuwarenzi yehutano inotsiva kunze kwekunge paine rubatsiro rweOPD. Kana EEG ikaitwa panguva yekubvumidzwa, semuenzaniso vhidhiyo yekurapa muchipatara EEG kana kuongororwa kwemamiriro epfari, inowanzoonekwa sechikamu chekukumbira kugara muchipatara, zvichienderana nemitemo yemutemo, nguva yekumirira uye zvikamu zvechirwere zviripo. Wana mvumo yekutanga kana zvichidikanwa uye chengeta mushonga, mishumo nemabhiri. Zvirongwa zvehurumende uye zvirongwa zvehutano zvehurumende zvine mitengo yazvo yakanyorwa uye nzira dzekutumira varwere.

Ngano nezvokwadi

Mibvunzo inowanzobvunzwa

EEG inorwadza here?

Kuongororwa kweEEG hakurwadzi. Maelectrode anoiswa pamusoro peganda remusoro nejeli kana paste, uye hapana chinobaya ganda. Unganzwa kukwenya kudiki panguva yekugadzirira ganda remusoro, kutonhora kubva pajeli, uye kumanikidzwa kubva pachivharo. Bvudzi rinonzwa richinamira mushure mezvo uye rinowanzo da kugezwa kumba.

EEG inogona kuona dambudziko remwoyo here?

Kwete. EEG inorekodha mashandiro europi, kwete rhythm yemoyo. Mazhinji maEEG setup anosanganisira imwe ECG channel yekuona chinhu chinoratidza kurova kwemoyo, asi izvozvo hazvisi kuongororwa kwemoyo. Kana kufenda kungave kuri kukonzerwa nemoyo, ECG, Holter monitoring kana echocardiogram ndiyo ongororo yakakodzera.

Ndinofanira kutsanya ndisati ndaita EEG here?

Kutsanya hazviwanzodiwi, uye kusvetuka kudya kunogona kuchinja marekodhi uye kukonzera zviratidzo, kunyanya kuvanhu vanotora insulin kana mimwe mishonga inoderedza shuga yeropa. Mamwe mayuniti anokumbira kuti caffeine nenicotine zvisanwe kwemaawa mashoma. Tevedzera mirairo yakanyorwa kubva kuyuniti iri kuita bvunzo yako.

Ko EEG imwe chete ichakwana here?

Dzimwe nguva, asi kwete nguva dzose. Kana EEG yekutanga yakajairika iri yakajairika uye pfari dzichiri kufungidzirwa, chiremba wetsinga anogona kukumbira kurekodhwa kwekushaiwa hope, kudzokorora kudzidza, kana vhidhiyo EEG yakareba. Rekodhwa imwe neimwe inowedzera mukana wekubata zviitiko zvisina kujairika, kunyangwe pasina huwandu hwezvidzidzo zvakajairika hunobvisa zvachose pfari.

EEG inogona kukonzera kubatwa nechirwere here?

Dzimwe nguva, hongu. Kufema zvakanyanya, mwenje inopenya uye kusarara nemaune zvinogona kukonzera pfari, uye muvhidhiyo yakareba EEG iyi dzimwe nguva ndiyo chinangwa. Vashandi vakadzidziswa vanokutarisa nguva yese uye vanogadzirisa chero pfari inoitika. Udza timu nguva isati yasvika kana uchiziva kuti mwenje inopenya inokukanganisa.

Ndinofanira kugeza bvudzi rangu ndisati ndaitwa EEG here?

Ehe, kunze kwekunge zvataurwa zvakasiyana. Bvudzi rakachena, rakaoma risina mafuta, gel, serum, wax kana spray rinobvumira maelectrodes kuti abatane zvakanaka. Bvudzi rakazorwa mafuta ndicho chikonzero chinowanzoita kuti bvudzi rinyorerwe zvisina kunaka uye ridzokororwe. Mabhurugwa, ma extensions uye ma weave angada kusunungurwa, saka zivisai jira racho pachine nguva.

Ko EEG yakasiyana sei neMRI brain?

Miedzo miviri iyi inopindura mibvunzo yakasiyana uye inowanzo rongwa pamwe chete. EEG inorekodha mashandiro emagetsi nekufamba kwenguva uye inogona kuratidza mashandiro epfari. MRI inoratidza chimiro cheuropi uye inogona kuratidza mavanga, bundu, infarcts, tuberculomas kana malformations. Hapana imwe inotsiva imwe, uye mhedzisiro yakajairika mune imwe haifanotaura imwe.

Vana vanogona kuongororwa EEG zvakachengeteka here?

Ehe, EEG inoshandiswa zvakanyanya muvana uye haibatanidzi mwaranzi. Zvinyorwa zvinowanzo verengerwa panguva yekurara, uye kududzirwa kunoenderana nezera nekuti maitiro akajairwa anochinja sezvo uropi huchikura. Kunyaradza kunoshandiswa chete kana zvichidikanwa, nekutarisa kwakakodzera. Uya nezvinhu zvinonyaradza uye tsananguro kana vhidhiyo yezviitiko.

Mushumo wangu unoti "kusarongeka kudiki kusina kunyanya kutaurwa". Ndinofanira kunetseka here?

Hazvisi hazvo zvega. Mazwi akadaro anowanzo ratidza hope, zvinhu zvakagadzirwa kana kuti chimwe chinhu chisina kuipa, uye haawanzo shandura chinhu nezvekurapa. Hazvisi zvekuongororwa kwechirwere. Enda nemushumo kuna chiremba akaraira bvunzo wobvunza chiremba.