Electromyography (EMG) thiab Kev Ntsuas Kev Tshawb Nrhiav

Zoo Siab

• Dab tsi yog electromyography (EMG) thiab cov kev tshawb fawb ntawm lub paj hlwb?
• Lawv siv rau dab tsi?
• Vim li cas kuv thiaj li xav tau qhov kev kuaj mob EMG thiab ib qho kev soj ntsuam ntawm lub paj hlwb?
• Yuav muaj dab tsi tshwm sim thaum lub sij hawm kuaj EMG thiab cov kev sib tsom ntawm lub paj hlwb?
• Kuv puas yuav tau ua ib yam dab tsi los npaj rau cov kev sib tw no?
• Puas muaj kev pheej hmoo rau cov ntawv xeem?
• Cov txiaj ntsig li cas?
• Ua tim khawv

Dab tsi yog electromyography (EMG) thiab cov kev tshawb fawb ntawm lub paj hlwb?

Kev tshawb nrhiav electromyography (EMG) thiab cov kev soj ntsuam ntawm lub paj hlwb yog cov kev ntsuas uas ntsuas qhov ntsuas hluav taws xob ntawm cov leeg thiab cov leeg. Cov leeg xa tawm xa hluav taws xob mus ua kom koj cov leeg mob nyob hauv qee txoj kev. Raws li koj cov leeg mob, lawv muab cov phiajcim no, tom qab ntawd tuaj yeem ntsuas.

• Kev kuaj mob EMG saib cov cim hluav taws xob koj cov leeg ua thaum lawv so thiab thaum lawv siv.
• Kev soj ntsuam ntawm lub paj hlwb ntsuas sai thiab zoo npaum li cas ntawm lub cev qhov hluav taws xob cov cim taug kev hauv koj cov leeg.

Kev ntsuam xyuas EMG thiab cov kev tshawb fawb ntawm lub paj tau tuaj yeem tshawb pom ob qho tib si yog tias koj muaj kev cuam tshuam ntawm koj cov leeg, leeg, lossis ob qho tib si. Cov kev ntsuas no tuaj yeem ua nyias, tab sis lawv feem ntau ua tib lub sijhawm.

Lwm lub npe: kev tshawb nrhiav kab mob electrodiagnostic, kuaj EMG, electromyogram, NCS, kev sib cais ntawm lub paj hlwb, NCV

Lawv siv rau dab tsi?

Kev tshawb nrhiav EMG thiab cov hlab ntsha hauv lub paj hlwb tau siv los pab txhawm rau txheeb xyuas ntau yam ntawm cov leeg nqaij thiab lub siab. Qhov kev kuaj ntshav EMG pab nrhiav kom paub yog tias cov leeg puas tab tom ua raws li txoj cai ntawm lub paj hlwb. Kev tshawb nrhiav hauv leeg hauv tsev pab tshawb xyuas qhov chaw puas tsuaj lossis kab mob. Thaum EMG cov kev ntsuam xyuas thiab cov kev tshawb fawb ntawm lub paj tau ua ke ua ke, nws pab cov kws kho mob qhia yog tias koj cov tsos mob tshwm sim los ntawm cov leeg mob lossis cov teeb meem hlab ntsha.

Vim li cas kuv thiaj li xav tau qhov kev kuaj mob EMG thiab ib qho kev soj ntsuam ntawm lub paj hlwb?

Koj tuaj yeem xav tau cov kev sim no yog tias koj muaj cov tsos mob ntawm cov leeg nqaij lossis cov leeg tsis zoo. Cov tsos mob no suav nrog:

• Nqaij tsis muaj zog
• Tawv tes lossis loog ntawm caj npab, ceg, tes, taw, thiab / lossis ntsej muag
• Nqaij mob ua pob, pob txha, thiab / los yog ntswg
• Paralysis ntawm tej leeg nqaij

Yuav muaj dab tsi tshwm sim thaum lub sij hawm kuaj EMG thiab cov kev sib tsom ntawm lub paj hlwb?

Rau kev kuaj EMG:

• Koj yuav zaum lossis pw saum txaj lossis txaj.
• Koj tus kws kho mob yuav ntxuav cov tawv nqaij dua lub cev kev sim.
• Koj tus kws kho mob yuav muab rab koob tso rau hauv cov leeg. Tej zaum koj yuav hnov ​​mob me ntsis lossis tsis xis nyob thaum tso cov electrode.
• Lub tshuab yuav sau cia cov leeg ua haujlwm thaum koj cov leeg ua haujlwm so.
• Tom qab ntawd koj yuav raug hais kom nruj (cog lus) cov leeg khov kho maj mam thiab khov kho.
• Cov xaim hluav taws xob tuaj yeem txav mus sau cov haujlwm ua si hauv cov leeg sib txawv.
• Qhov hluav taws xob ua haujlwm raug kaw thiab pom ntawm daim vis dis aus. Cov kev ua yeeb yam raug tso tawm ua kab laim ntoom thiab kab xov tooj. Qhov haujlwm ntawd kuj tseem tuaj yeem sau cia thiab xa mus rau tus neeg hais lus nrov. Koj tuaj yeem hnov ​​cov suab nrov nrov thaum koj ua tiav koj cov leeg mob.

Rau txoj kev tshawb no lub paj hlwb:

• Koj yuav zaum lossis pw saum txaj lossis txaj.
• Koj tus kws kho mob yuav txuas ib lossis ntau qhov roj electrodes rau ib txoj hlab lossis cov hlab ntsha uas siv daim kab xev lossis muab tshuaj txhuam. Qhov hluav taws xob, hu ua stimulates electrodes, xa cov hluav taws xob me me.
• Koj tus kws kho mob yuav muab cov roj hluav taws xob sib txawv rau cov leeg lossis cov leeg tswj cov leeg. Cov ntawv hluav taws xob no yuav sau cov lus teb rau kev kho hluav taws xob los ntawm cov hlab ntsha.
• Koj tus kws kho mob yuav xa cov hluav taws xob me me los ntawm kev siv hluav taws xob los pab txhawb cov hlab ntsha xa cov teeb liab rau cov leeg.
• Qhov no tuaj yeem ua rau lub siab me me.
• Koj tus kws kho mob yuav sau lub sijhawm nws siv rau koj cov leeg ua hauj lwm teb rau cov phiajcim xaib.
• Qhov ceev ntawm qhov teb tau hu ua conduction tshaj tawm.

Yog tias koj muaj ob qho kev sim, qhov kev tshawb fawb ntawm lub paj hlwb yuav tau ua ua ntej.

Kuv puas yuav tau ua ib yam dab tsi los npaj rau cov kev sib tw no?

Qhia rau koj tus kws saib xyuas kev noj qab haus huv yog tias koj muaj lub zog zaws lossis lub plawv kom ua ntshav khov. Cov kauj ruam tshwj xeeb yuav xav tau ua ntej ntsuas yog tias koj muaj ib qho ntawm cov khoom siv no.

Hnav khaub ncaws xoob thiab xis nyob uas tso cai yooj yim rau qhov chaw sim lossis tuaj yeem tshem tawm tau yooj yim yog tias koj yuav tsum tau hloov mus rau hauv chav kho mob hnav tsho.

Nco ntsoov tias koj cov tawv nqaij huv. Tsis txhob siv tshuaj pleev, pleev tshuaj tsw qab rau ib hnub lossis ob zaug ua ntej qhov kev kuaj mob.

Puas muaj kev pheej hmoo rau cov ntawv xeem?

Koj yuav hnov ​​mob me ntsis los yog mob plab thaum kuaj EMG. Tej zaum koj yuav muaj kev xav zoo li teej tug, zoo li lub teeb hluav taws xob me me, thaum kawm sib txuas ntawm cov leeg.

Cov txiaj ntsig li cas?

Yog tias koj cov txiaj ntsig tsis zoo, nws tuaj yeem qhia ntau yam sib txawv. Nyob ntawm seb cov leeg twg lossis cov leeg puas cuam tshuam nrog, nws yuav yog ib qho hauv qab no:

• Tus mob carpal, ib qho mob uas cuam tshuam rau cov leeg hauv txhais tes thiab caj npab. Nws ib txwm tsis yog loj, tab sis tuaj yeem raug mob.
• Herniated disc, ib qho mob uas tshwm sim thaum ib feem ntawm koj tus nqaj qaum, hu ua disc, raug puas ntsoog. Qhov no tso siab rau tus txha nqaj qaum, ua rau mob thiab loog
• Guillain-Barré mob, kev kho mob autoimmune uas cuam tshuam rau cov hlab ntsha. Nws tuaj yeem ua rau loog, tingling, thiab tuag tes tuag taw. Cov neeg feem coob tau zoo rov qab los ntawm qhov tsis zoo tom qab kho
• Myasthenia gravis, qhov tsis tshua muaj teeb meem uas ua rau cov leeg tsis muaj zog thiab tsis muaj zog.
• Nqaij ua tej leeg, ib qho kab mob muaj keeb uas cuam tshuam loj heev rau cov leeg thiab ua haujlwm.
• Cov Tshuaj Tiv Thaiv Charcot-Marie-Tooth, kev tsis sib haum xeeb uas ua rau cov leeg puas, feem ntau caj npab thiab ceg.
• Amyotrophic lateral sclerosis (ALS) Ua rau, tseem hu ua Lou Gehrig's disease. Qhov no yog kev tawm zuj zus, thaum kawg ua rau neeg tuag taus, cuam tshuam uas tawm tsam cov hlab hlwb hauv koj lub hlwb thiab tus txha caj qaum. Nws cuam tshuam txhua cov leeg uas koj siv txav, hais lus, noj mov, thiab ua pa.

Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Ua tim khawv

1. Cleveland Clinic [Hauv Is Taws Nem]. Cleveland (OH): Cleveland Clinic; c2019. Electromyograms; [hais tawm 2019 Dec 17]; [txog 3 ntxaij]. Muaj los ntawm: https://my.clevelandclinic.org/health/articles/4825-electromyograms
2. Hinkle J, Cheever K. Brunner & Suddarth phau ntawv ntawm Kev Kuaj Xyuas thiab Kuaj Xyuas Ntsuas. 2nd Ed, Kindle. Philadelphia: Wolters Kluwer Kev Noj Qab Haus Huv, Lippincott Williams & Wilkins; c2014. Electromyography; p. 250–251.
3. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Amyotrophic lateral sclerosis: Cov tsos mob thiab ua rau; 2019 Aug 6 [qhia tawm 2019 Dec 17]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/amyotrophic-lateral-sclerosis/sym រោគសញ្ញា-causes/syc-20354022
4. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Kab Mob Charcot-Marie-Tooth: Cov tsos mob thiab ua rau; 2019 Jan 11 [qhia tawm 2019 Dec 17]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/charcot-marie-tooth-disease/sym រោគសញ្ញា-causes/syc-20350517
5. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Guillain-Barré syndrome: Cov tsos mob thiab tus ua; 2019 Kaum Hlis 24 [muab tawm 2019 Dec 17]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/guillain-barre-syndrome/sym រោគសញ្ញា-causes/syc-20362793
6. Merck Los Ntawm Cov Neeg Siv Khoom Siv [Internet]. Kenilworth (NJ): Merck & Co. Inc .; c2019. Cov Ntsiab Lus Ceev: Electromyography (EMG) thiab Kev Tshawb Fwm Kev Tshawb Fawb; [kho tshiab 2018 Sep; hais tawm 2019 Dec 17]; [txog 4 ntxaij]. Muaj los ntawm: https://www.merckmanuals.com/home/quick-facts-brain ,-spinal-cord ,-and-nerve-disorders/diagnosis-of-brain ,-spinal-cord ,-and-nerve-disorders / electromyography-emg-thiab-hlab-conduction-kev tshawb fawb
7. Lub koom haum National of Neurological Disorders thiab Stroke [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Daim Ntawv Qhia Cov Mob Muaj Zog Lub Cev Neuron; [kho tshiab 2019 Aug 13; hais tawm 2019 Dec 17]; [txog 3 ntxaij]. Muaj los ntawm: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Euthor/Fact-Sheets/Motor-Neuron-Diseases-Fact-Sheet
8. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2019. Electromyography: Txheej txheem cej luam; [hloov tshiab 2019 Dec 17; hais tawm 2019 Dec 17]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/electromyography
9. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2019. Lub paj hluav taws xob hauv siab: Txheej txheem cej luam; [hloov tshiab 2019 Dec 17; hais tawm 2019 Dec 17]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/nerve-con-- ceev
10. U Kev Noj Qab Haus Huv: Tsev Kawm Ntawv ntawm Utah [Internet]. Salt Lake City: University of Utah Kev Noj Qab Haus Huv; c2019. Koj Teem Tau Teem Tseg Rau Kev Tshawb Xyuas Kev Kawm Electrodiagnostic (NCS / EMG); [hais tawm 2019 Dec 17]; [txog 3 ntxaij]. Muaj los ntawm: https://healthcare.utah.edu/neurosciences/neurology/electrodiagnostic-study-ncs-emg.php
11. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2019. Kev Noj Qab Haus Huv Phau Ntawv Npe: Electromyography; [hais tawm 2019 Dec 17]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=p07656
12. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2019. Kev Noj Qab Haus Huv Phau Ntawv Tshaj Tawm: Kev Soj Ntsuam Kev Ntsuam Xyuas; [hais tawm 2019 Dec 17]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07657
13. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Electromyogram (EMG) thiab Kev Tshawb Fwm Txog Kev Nyab Xeeb: Yuav Ua Li Cas; [kho tshiab 2019 Mar 28; hais tawm 2019 Dec 17]; [txog 5 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/electromyogram-emg-and-nerve-conduction-studies/hw213852.html#hw213813
14. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Electromyogram (EMG) thiab Kev Tshawb Xyuas Kev Tshawb Fawb: Npaj Li Cas; [kho tshiab 2019 Mar 28; hais tawm 2019 Dec 17]; [txog 4 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/electromyogram-emg-and-nerve-conduction-studies/hw213852.html#hw213805
15. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Electromyogram (EMG) thiab Kev Tshawb Xyuas Kev Tshawb Fawb: Kev pheej hmoo; [kho tshiab 2019 Mar 28; hais tawm 2019 Dec 17]; [txog 7 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/electromyogram-emg-and-nerve-conduction-studies/hw213852.html#aa29838
16. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Electromyogram (EMG) thiab Kev Tshawb Xyuas Kev Tshawb Fawb: Kev Soj Ntsuam Txheej Txheem; [kho tshiab 2019 Mar 28; hais tawm 2019 Dec 17]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/electromyogram-emg-and-nerve-conduction-studies/hw213852.html
17. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Electromyogram (EMG) thiab Kev Tshawb Xyuas Kev Tshawb Fawb: Vim Li Cas Nws Ua; [kho tshiab 2019 Mar 28; hais tawm 2019 Dec 17]; [txog 3 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/electromyogram-emg-and-nerve-conduction-studies/hw213852.html#hw213794

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.