Electromyography

Electromyography (EMG) waa baaritaan lagu hubinayo caafimaadka muruqyada iyo neerfaha xakameeya muruqyada.

Bixiyaha xanaanada caafimaadka ayaa maqaarka galiya muruqa muruq yar. Aaladda korontada ee irbadda ku taal ayaa soo qaadaysa waxqabadka korantada ee muruqyadaadu bixiyaan. Hawshani waxay ka muuqataa kormeeraha u dhow waxaana laga yaabaa in laga maqlo afhayeenka.

Ka dib meelaynta korantada, waxaa lagaa codsan karaa inaad muruq gasho. Tusaale ahaan, adiga oo gacantaada laabaya. Dhaqdhaqaaqa korantada ee lagu arko kormeeraha ayaa bixiya macluumaad ku saabsan awoodda murqahaaga ee ka jawaab celinta marka neerfaha muruqyadaada la kiciyo.

Tijaabada xawaaraha dareeraha dareeraha ayaa had iyo jeer la sameeyaa isla booqashada isla sida EMG. Tijaabada xawaaraha waxaa loo sameeyaa si loo arko sida ugu dhakhsaha badan calaamadaha korantadu ugu dhex wareegaan neerfaha.

Diyaargarow gaar ah badanaa lagama maarmaan ma aha. Iska ilaali inaad isticmaasho wax kareemo ama kareemo ah maalinta baaritaanka.

Heerkulka jirka ayaa saameyn ku yeelan kara natiijooyinka baaritaankaan. Haddii ay aad u qabow tahay banaanka, waxaa laguu sheegi karaa inaad qolka kuleylka ku sugto in yar ka hor inta aan baaritaanka la sameyn.

Haddii aad qaadanayso dhiig khafiifiyayaal ama daawooyinka xinjirowga lidka ku ah, u sheeg bixiyeha fulinaya baaritaanka ka hor inta aan la sameyn.

Waxaa laga yaabaa inaad dareento xoogaa xanuun ama raaxo la'aan ah markii cirbadaha la gelinayo. Laakiin dadka badankood waxay awoodaan inay dhammaystiraan imtixaanka dhib la'aan.

Intaas ka dib, muruqa ayaa laga yaabaa inuu dareemo jilicsan ama nabar dhowr maalmood.

EMG waxaa badanaa la isticmaalaa marka qofku leeyahay astaamo daciifnimo, xanuun, ama dareen aan caadi ahayn.Waxay kaa caawin kartaa inaad sheegto farqiga u dhexeeya daciifnimada muruqyada ee ay keento dhaawaca neerfaha ku xiran muruqa, iyo daciifnimada sababa ciladaha habdhiska dareemayaasha, sida cudurada muruqyada.

Waxaa jira waxqabad aad uyar oo koronto kujira muruq inta lagu nasto. Gelinta cirbadaha waxay sababi kartaa xoogaa dhaqdhaqaaq koronto ah, laakiin markii muruqyada ay aamusaan, waa in wax dhaqdhaqaaq koronto oo yar la ogaadaa.

Markaad murqaha rogto, dhaqdhaqaaqa ayaa bilaabmaya inuu muuqdo. Markaad murqahaaga sii kordhiso, dhaqdhaqaaqa korantadu wuu kordhayaa oo qaab ayaa la arki karaa. Qaabkani wuxuu ka caawinayaa dhakhtarkaaga inuu go'aamiyo haddii muruqu u jawaabayo sidii la rabay.

EMG wuxuu ogaan karaa dhibaatooyinka muruqyadaada inta lagu jiro nasashada ama dhaqdhaqaaqa. Cilladaha ama xaaladaha sababa natiijooyinka aan caadiga ahayn waxaa ka mid ah kuwan soo socda:

• Xanuunka neerfaha (waxyeelada neerfaha khamri badan)
• Amyotrophic lateral sclerosis (ALS; cudurka unugyada neerfaha ee maskaxda iyo laf-dhabarka oo xakameeya dhaqdhaqaaqa murqaha)
• Cilad-darrada neerfaha ee Axillary (waxyeelada neerfaha ee xakameysa dhaqdhaqaaqa garabka iyo dareenka)
• Becker dystrophy murqaha (daciifnimada muruqyada lugaha iyo miskaha)
• Cudurka 'Brachial plexopathy' (dhibaatada saameysa xirmooyinka neerfaha ee ka taga qoorta oo gala gacanta)
• Cudurka 'tunpal tunnel syndrome' (dhibaatada saameysa neerfaha dhexdhexaadka ah ee curcurka iyo gacanta)
• Cudurka tunnel syndrome (dhibaatada saameysa dareemaha ulnar ee xusulka)
• Spondylosis ilmo-galeenka (qoorta oo laga xiro saxannada iyo lafaha qoorta)
• Cilad-darrada neerfaha ee caadiga ah (waxyeellada dareemaha peroneal taasoo keenta luminta dhaqdhaqaaqa ama dareenka cagaha iyo lugta)
• Diidmada (kicinta neerfaha ee muruqa)
• Dermatomyositis (cudur muruq ah oo ku lug leh barar iyo maqaarka maqaarka)
• Cilad-darrada neerfaha ee dhexdhexaadka ah (dhibaatada saameysa dareemaha dhexdhexaadka ah ee gacanta)
• Duhenne murqaha dystrophy (cudur la iska dhaxlo oo ku lug leh daciifnimada murqaha)
• Facioscapulohumeral murqaha dystrophy (Landouzy-Dejerine; cudurka daciifnimada muruqyada iyo luminta unugyada muruqyada)
• Curyaannimo xilliyeedka qoyska (cilad keenta daciifnimada muruqyada iyo mararka qaarkood ka hooseysa heerka caadiga ah ee potassium ee dhiigga ku jirta)
• Cilad-darrada neerfaha ee jirka (luminta dhaqdhaqaaqa ama dareenka qaybo ka mid ah lugaha sababtoo ah dhaawaca dareemaha bawdada)
• Friedreich ataxia (cudur la iska dhaxlo oo saameeya meelaha maskaxda iyo xudunta lafdhabarta ee xakameynaya isuduwidda, dhaqdhaqaaqa muruqyada, iyo shaqooyinka kale)
• Cudurka 'Guillain-Barré Syndrome' (cillad otomaatig ah oo neerfaha oo keenta daciifnimo muruq ama curyaannimo)
• Lambert-Eaton syndrome (cillad otomaatig ah oo neerfaha sababa daciifnimo muruq)
• Multione monopuropathy (cillad habdhiska habdhiska dareenka oo ku lug leh ugu yaraan 2 aagagga neerfaha oo gooni ah)
• Mononeuropathy (waxyeelo hal dareema oo keenta luminta dhaqdhaqaaqa, dareenka, ama shaqada kale ee neerfahaas)
• Myopathy (murqaha oo xumaada oo ay sababaan dhowr xanuun, oo ay ku jiraan murqaha dystrophy)
• Myasthenia gravis (khalkhalka autoimmune ee neerfaha oo sababa daciifnimada muruqyada iskaa wax u qabso)
• Cudurka neuropathy ee durugsan (dhaawac dareemayaasha ka fog maskaxda iyo xudunta laf-dhabarka)
• Polymyositis (murqaha oo daciifa, barar, danqasho, iyo dhaawac unug ka soo gaara muruqyada muruqyada)
• Ciladda neerfaha ee shucaaca (waxyeelada dareemayaasha shucaaca ee keena luminta dhaqdhaqaaqa ama dareenka dhabarka gacanta ama gacanta)
• Cilad-darrada neerfaha (dhaawaca ama cadaadiska ku dhaca dareemaha nafsadda ee sababa daciifnimo, kabuubyo, ama lugta oo ku ruxrux)
• Sensorimotor polyneuropathy (xaalad sababa hoos u dhac ku yimaada awoodda dhaqaajinta ama dareemida dareemaha oo dhaawac ah)
• Shy-Drager syndrome (cudur ku dhaca habdhiska neerfaha ee keena astaamaha jirka oo dhan)
• Curyaannimo xilliyeedka loo yaqaan 'Thyrotoxic paralysis' (murqaha oo daciifa heerarka sare ee hoormoonka tayroodhka)
• Cilad-darida dareemayaasha Tibial (waxyeellada dareemayaasha tibia ee keena dhaqdhaqaaqa ama dareenka cagaha oo lumiya)

Khataraha baaritaankaan waxaa ka mid ah:

• Dhiigbax (ugu yaraan)
• Infekshinka ku dhaca goobaha koronto (dhif)

EMG; Myogram; Electromyogram

• Electromyography

Chernecky CC, Berger BJ. Electromyography (EMG) iyo daraasadaha neerfaha (electromyelogram) -diagnostic. Gudaha: Chernecky CC, Berger BJ, eds. Tijaabooyinka Shaybaarka iyo Nidaamyada Baadhista. 6aad ed. St Louis, MO: Elsevier Saunders; 2013: 468-469.

Katirji B. electromyography Clinical. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 35.