Electromyography

Electromyography (EMG) ke teko e lekolang bophelo bo botle ba mesifa le methapo e laolang mesifa.

Mofani oa tlhokomelo ea bophelo o kenya eleketrode ea nale e tšesaane haholo ka letlalo ho kena mosifa. Eleketrode ea nale e nka tšebetso ea motlakase e fanoang ke mesifa ea hau. Ketsahalo ena e hlaha ho leihlo le haufi mme e ka utluoa ka sebui.

Kamora ho beoa li-electrode, o ka kopuoa ho ts'oara mesifa. Ka mohlala, ka ho koba letsoho la hao. Mosebetsi oa motlakase o bonoang ho leihlo o fana ka leseli mabapi le bokhoni ba mesifa ea hau ba ho arabela ha methapo ea mesifa ea hau e tsosoa.

Teko ea velocity ea methapo ea kutlo e lula e etsoa nakong ea ketelo e ts'oanang le EMG. Teko ea lebelo e etsoa ho bona hore na matšoao a motlakase a feta kapele joang methapong.

Ha ho litokisetso tse khethehileng hangata tse hlokahalang. Qoba ho sebelisa litlolo kapa litlolo ka letsatsi la tlhahlobo.

Mocheso oa 'mele o ka ama litholoana tsa tlhahlobo ena. Haeba ho bata haholo ka ntle, u ka bolelloa hore u eme ka kamoreng e mofuthu nakoana pele tlhahlobo e etsoa.

Haeba u nka li-thinner tsa mali kapa li-anticoagulants, tsebisa mofani oa hau ea etsang tlhahlobo pele e etsoa.

U ka utloa bohloko kapa ho se phuthulohe ha linalete li kentsoe. Empa batho ba bangata ba khona ho phethela tlhahlobo ntle le mathata.

Ka mor'a moo, mesifa e ka 'na ea ikutloa e le bonolo kapa e sithabetse matsatsi a' maloa.

EMG e sebelisoa hangata ha motho a e-na le matšoao a bofokoli, bohloko kapa maikutlo a sa tloaelehang.E ka thusa ho tseba phapang lipakeng tsa bofokoli ba mesifa bo bakoang ke ho lemala ha methapo e amanang le mosifa, le bofokoli ka lebaka la mathata a tsamaiso ea methapo, joalo ka maloetse a mesifa.

Hangata ho na le ts'ebetso e nyane haholo ea motlakase mesifa ha e phomotse. Ho kenya linalete ho ka baka tšebetso ea motlakase, empa hang ha mesifa e khutsitse, ho lokela hore ho be le ts'ebetso e nyane ea motlakase e fumanoeng.

Ha o kokobetsa mesifa, ts'ebetso e qala ho hlaha. Ha o ntse o honyetsa mesifa ea hau haholoanyane, ts'ebetso ea motlakase ea eketseha mme paterone e ka bonoa. Mokhoa ona o thusa ngaka ea hau ho fumana hore na mesifa e arabela ka moo e lokelang.

EMG e khona ho bona mathata ka mesifa ea hau nakong ea phomolo kapa ts'ebetso. Mathata kapa maemo a bakang liphetho tse sa tloaelehang a kenyelletsa tse latelang:

• Joala neuropathy (tšenyo ea methapo ea ho noa joala haholo)
• Amyotrophic lateral sclerosis (ALS; lefu la lisele tsa methapo bokong le lesapo la mokokotlo le laolang ho sisinyeha ha mesifa)
• Ho se sebetse ha methapo ea methapo (tšenyo ea methapo e laolang ho sisinyeha ha mahetla le maikutlo)
• Becker muscular dystrophy (bofokoli ba mesifa ea maoto le sefuba)
• Brachial plexopathy (bothata bo amang methapo e tlohang molaleng ebe e kena letsohong)
• Carpal tunnel syndrome (bothata bo amang methapo e bohareng letsohong le letsohong)
• Cubital tunnel syndrome (bothata bo amang methapo ea ulnar setsoeng)
• Cervical spondylosis (bohloko ba molala ho tloha ho li-disk le masapo a molala)
• Ho se sebetse ha methapo e tloaelehileng ea methapo ea pelo (tšenyo ea methapo ea pelo e lebisang ho tahlehelo ea motsamao kapa kutlo maotong le leotong)
• Ho senyeha (ho fokotsa tšusumetso ea methapo ea mesifa)
• Dermatomyositis (lefu la mesifa le amanang le ho ruruha le lekhopho la letlalo)
• Ho se sebetse ha methapo ea methapo e bohareng (bothata bo amang methapo ea methapo letsohong)
• Duchenne muscular dystrophy (lefu le futsitsoeng le amanang le bofokoli ba mesifa)
• Facioscapulohumeral muscular dystrophy (Landouzy-Dejerine; lefu la bofokoli ba mesifa le tahlehelo ea lisele tsa mesifa)
• Tloaeleho ea ho holofala nako le nako (lefu le bakang bofokoli ba mesifa 'me ka linako tse ling potasiamo e tlase ho feta e tloaelehileng maling)
• Ho se sebetse ha methapo ea basali (tahlehelo ea motsamao kapa maikutlo likarolong tsa maoto ka lebaka la tšenyo ea methapo ea basali)
• Friedreich ataxia (lefu le futsitsoeng le amang likarolo tsa boko le lesapo la mokokotlo le laolang tšebelisano, motsamao oa mesifa le mesebetsi e meng)
• Guillain-Barré syndrome (boloetse bo ikemetseng ba methapo bo lebisang bofokoling ba mesifa kapa ho holofala)
• Lambert-Eaton syndrome (ho itšireletsa mafung ha methapo e bakang bofokoli ba mesifa)
• Multiple mononeuropathy (lefu la tsamaiso ea methapo le amanang le tšenyo ea bonyane libaka tse 2 tse arohaneng tsa methapo)
• Mononeuropathy (tšenyo ea methapo e le 'ngoe e hlahisang tahlehelo ea motsamao, maikutlo, kapa ts'ebetso e' ngoe ea methapo eo)
• Myopathy (ho senyeha ha mesifa ho bakoang ke mathata a mangata, ho kenyeletsoa le ho senyeha ha mesifa)
• Myasthenia gravis (boloetse bo ikemetseng ba methapo e bakang bofokoli ba mesifa ea boithatelo)
• Pheripheral neuropathy (tšenyo ea methapo e hole le boko le lesapo la mokokotlo)
• Polymyositis (bofokoli ba mesifa, ho ruruha, bonolo le ho senyeha ha mesifa ea mesifa)
• Ho se sebetse ha methapo ea methapo (tšenyo ea methapo ea maqhubu e bakang tahlehelo ea motsamao kapa maikutlo mokokotlong oa letsoho kapa letsoho)
• Ho se sebetse ha methapo ea methapo (ho lemala kapa ho hatelloa ke methapo ea methapo e bakang bofokoli, ho felloa ke matla, kapa ho tsikinyetsa leoto)
• Sensorimotor polyneuropathy (boemo bo bakang ho fokotseha ha bokhoni ba ho sisinyeha kapa ho ikutloa ka lebaka la tšenyo ea methapo)
• Shy-Drager syndrome (lefu la methapo le bakang matšoao a 'mele)
• Ho shoeloa ke litho ka nako e telele (ho fokola ha mesifa ho tsoa maemong a phahameng a hormone ea qoqotho)
• Ho se sebetse ha methapo ea methapo (tšenyo ea methapo ea tibial e bakang tahlehelo ea motsamao kapa kutlo maotong)

Likotsi tsa tlhahlobo ena li kenyelletsa:

• Ho tsoa mali (hanyane)
• Tšoaetso libakeng tsa eleketrode (ka seoelo)

EMG; Mekete; Electromyogram

• Electromyography

CC ea Chernecky, Berger BJ. Electromyography (EMG) le lithuto tsa ho khanna methapo (electromyelogram) -diagnostic. Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. St Louis, MO: Elsevier Saunders; 2013: 468-469.

Katirji B. Clinical electromyography. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 35.