Показания к исследованию:
- болезни двигательного нейрона
- плексо- и радикулопатии
- моно- и полинейропатии
- миастения и миастеноподобные заболевания
- миопатии, миодистрофии, миотонии и др.
Противопоказания к исследованию:
— абсолютных противопоказаний нет.
В НЦН используются следующие методики:
- Стимуляционная электронейромиография (ЭНГ) с оценкой
— параметров исследования моторных ответов и величин скорости распространения возбуждения по моторным волокнам,
— параметров исследования сенсорных ответов и величин скорости распространения возбуждения по сенсорным волокнам,
— параметров исследования поздних нейрографических ответов: F- и H-волн,
— параметров мигательного рефлекса,
— декремент-тест с оценкой надёжности нервно-мышечной передачи. - Игольчатая электромиография (иЭМГ) с исследованием функционального состояния мышц в покое и при произвольном напряжении.
По результатам комплексного ЭНМГ-исследования уточняется уровень поражения периферического нейро-моторного аппарата, определяется характер, выраженность и распространённость патологического процесса, а при исследовании в динамике – эффективность проводимой терапии.
ВНИМАНИЕ:
— при себе необходимо иметь направление от лечащего врача на ЭНМГ-исследование с обязательным указанием предварительного диагноза.
Электронейромиография (ЭНМГ) – это комплексный аппаратный метод исследования. Он используется для того, чтобы определить двигательную активность мышц во время сокращения и в состоянии покоя, а также выяснить, насколько быстро реагирует на внешние раздражители периферическая нервная система. Электронейромиографическое исследование помогает поставить правильный диагноз в случае различных заболеваний мышц и суставов верхних и нижних конечностей.
Неоспоримым преимуществом электронейромиографии (ее иногда еще называют электромиография) является точное определение очага возникновения и серьезности проблемы, а также возможность выявления признаков заболевания на самой ранней стадии, что гарантирует успех при его лечении. Существуют 3 способа проведения обследования на электронейромиографе: поверхностный, игольчатый и стимуляционный. Метод обследования, а также возможность его применения для конкретного пациента определяет врач в ходе беседы с больным. Электронейромиография конечностей (ЭНМГ) ребенку проводится по направлению невролога и редко назначается до достижения ребенком годовалого возраста.
Обследование проводится в кресле, где пациент принимает положение лежа или полусидя. Длительность электронейромиографии рук и ног колеблется от 30 до 60 минут в зависимости от того, какой вид ЭНМГ будет использоваться. Поверхностная электронейромиография абсолютно безболезненна, но при введении игольчатого электрода могут возникнуть небольшие болевые ощущения. Детям чаще всего проводится поверхностная ЭНМГ верхних и нижних конечностей. Это обследование, как правило, не назначают больным, которые страдают эпилепсией и психически расстройствами. Других строгих ограничений для применения этого метода нет, однако врача необходимо предупредить о беременности, а также наличии сосудисто-сердечных или инфекционных заболеваний.
Cтоимость электронейромиографии (энмг) в Москве составляет от 1200 до 5200 рублей. Средняя цена составляет 3010 рублей. Самые дешевые варианты здесь.
Где сделать электронейромиографию (ЭНМГ)?
На нашем портале собраны все клиники, где вы можете сделать электронейромиографию (ЭНМГ) в Москве. Выберите клинику, подходящую по цене и местоположению, и запишитесь на прием на нашем сайте или по телефону.
ЭНМГ – надежный метод диагностики неврологических заболеваний.
Многие неврологические заболевания сопровождаются нарушением проводимости нервных волокон и нервно-мышечной передачи.
Электронейромиография (ЭНМГ) – это один из видов диагностики неврологических нарушений, связанных с поражением периферических нервов и ЦНС. Скелетные мышцы сокращаются благодаря нервно-мышечной передаче – переходу импульса с нервного волокна на мышцу.
Импульс – это электрический ток ничтожно малой мощности. Тем не менее, его можно регистрировать с помощью высокочувствительной аппаратуры и по полученным данным судить о нервно-мышечной передаче для выявления заболеваний. В этом и заключается сущность ЭНМГ как метода диагностики.
Когда применяют ЭНМГ?
ЭНМГ используют для диагностики:
- полинейропатий;
- невритов;
- туннельных синдромов верхних и нижних конечностей;
- бокового амиотрофического склероза (БАС);
- миозита;
- миастении (прогрессирующей мышечной слабости);
- мышечных дистрофий;
- сирингомиелии (образования полостей в веществе спинного мозга);
- радикулопатий при пояснично-крестцовом радикулите.
Эти заболевания проявляются снижением объема движений, расстройствами координации, мышечными болями, нарушениями чувствительности и другими симптомами.
Противопоказания к ЭНМГ
Чтобы исследование не вызвало осложнений, пациента осматривают врачи для выявления противопоказаний.
Противопоказания для проведения электромиографии:
- наличие кардиостимуляторов;
- склонность к кровоточивости (при проведении игольчатой ЭНМГ);
- эписиндром, эпилепсия;
- любые острые состояния.
Сделайте ЭНМГ в клинике «Чудо Доктор»!
- комплексная диагностика;
- аппаратура — в ходе диагностики используются современные аппараты – электронейромиографы, или электромиографы с повышенной чувствительностью. Все регистрируемые данные подвергаются цифровой обработке.
- безопасность — мы используем одноразовые игольчатые электроды, вероятность инфицирования во время диагностики исключена.
Виды ЭНМГ
- Игольчатая — используются тонкие иглы, которые вводятся в исследуемую мышцу;
- Стимуляционная — исследование проводится после стимуляции мышечного сокращения с помощью слабого электрического тока.
У этих основных видов есть модификации. Выбор того или иного метода ЭНМГ зависит от показаний.
Весь сеанс ЭНМГ может потребовать от 30 минут до 1 часа.
Диагностическое заключение выдается почти сразу же после ЭНМГ. В течение нескольких часов после процедуры возможны неприятные мышечные ощущения.
Для качественной диагностики с помощью ЭНМГ — обратитесь к специалистам «Чудо Доктор»!
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