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Энмг верхних конечностей сделать в минске

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17 августа 2019

На базе терапевтического отделения консультативной поликлиники осуществляется:

Консультативный прием врачей-неврологов.

ЖАРИКОВА
Анжелика Валерьевна
Врач невролог,
высшей квалификационной категории
ЦУКАНОВ
Анатолий Николаевич
Врач невролог,
к.м.н., высшей квалификационной категории
ЗАЙЦЕВА
Елена Юрьевна
Врач невролог,
высшей квалификационной категории
КРИВОШЕЙ
Ольга Александровна
Врач невролог,
первой квалификационной категории
МАЛКОВ
Алексей Борисович
Врач невролог,
первой квалификационной категории
  • ЦУКАНОВА Светлана Анатольевна — врач невролог,высшей квалификационной категории

На приеме пациент получает консультацию специалистов, а так же возможно проведение нейрофизиологических методов обследования.

О нейрофизиологических методах.

На базе терапевтического отделения консультативной поликлиники организована доступная и полная нейрофизиологическая диагностика заболеваний нервной системы. Сегодня врачи-неврологи в кратчайшие сроки для диагностики неврологических заболеваний и выявления ранних осложнений выполняют электронейромиографию по всем основным методикам, в том числе игольчатую, а также вызванные потенциалы (слуховые, зрительные, когнитивные) и проводят ЭЭГ, ЭХОЭС.

ЭЭГ-электроэнцефалография

Метод исследования деятельности головного мозга животных и человека; основан на суммарной регистрации биоэлектрической активности отдельных зон, областей, долей мозга. ЭЭГ применяется в современной нейрофизиологии, а также в неврологии и психиатрии.

ЭЭГ Применима у больных с дебютом различных форм эпилепсий, а также для оценки эффективности проводимой антиконвульсивной терапии, определения критериев отмены антиконвульсантов, используется в диагностике мигрени с целью назначения адекватной терапии лечения мигрени и других форм первичной головной боли. Производится регистрация вызванных потенциалов нервной системы: когнитивных, слуховых, зрительных. Методика позволяет диагностировать демиелинизирующее поражение ЦНС, уточнить степень выраженности и характер когнитивных нарушений, что немаловажно в оценке выраженности функциональных нарушений у больных с заболеваниями нервной системы.

ЭНМГ- электронейромиография

Регистрация и анализ параметров вызванных биопотенциалов мышцы и нерва. В основе ЭНМГ лежит применение электрической стимуляции нерва с последующим анализом параметров, регистрируемых с иннервируемой мышцы или с самого нерва. Метод применим для исследования любого доступного периферического нерва. Однако в практике чаще исследуют срединный, локтевой, большеберцовый, малоберцовый, седалищный, лицевой, межреберные нервы. Возможность проведения стимуляционной и игольчатой миографии.

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Сенсорная методика ЭНМГ позволяет диагностировать доклинические стадии сенсорной формы диабетической полинейропатии, избирательное поражение сенсорных порций нервов верхних и нижних конечностей при моно и полиневропатиях, корешковых поражений

Стимуляционная ЭНМГ позволят выявить поражение периферических нервов при мононевропатиях, и множественных невропатиях, корешковых поражений.

Освоена и активно выполняется методика точного выявления места поражения нерва — метод пошагового инчинга. Производится декремент-тест, позволяющий диагностировать нарушение нервно-мышечной передачи (миастению).

Вызванные потенциалы.

Вызванными потенциалами называются биоэлектрические сигналы, которые появляются с постоянными временными интервалами после определенных внешних воздействий. Возможно проведение когнитивных, слуховых, зрительных вызванных потенциалов.

Эхоэнцефалоскопия ЭХО-ЭС

Эхоэнцефалоскопия ЭХО-ЭС широко используется как скрининговый метод при подозрении на опухоль головного мозга, субдуральнаю гематому и гидроцефалию. (ЭхоЭС, синоним — М -метод) — метод выявления внутричерепной патологии, основанной на эхолокации так называемых сагиттальных структур мозга, в норме занимающих срединное положение по отношению к височным костям черепа.

По назначению неврологов проводятся консультации смежных специалистов: кардиолога, нефролога, психотерапевта, эндокринолога, гематолога, хирурга, гастроэнтеролога, а также дообследование в условиях отделения лучевой диагностики (МРТ, КТ, рентген, денситометрия и т.д.) и функциональной диагностики (транскранеальная доплерография, УЗДГБЦА и т.д.).

Диагностика нарушений сна (полисомнография) и СИПАП терапия в ГУ «РНПЦ РМиЭЧ»

У Вас проблема храпа, нарушения и остановки дыхания во сне, повышение артериального давления ночью? Сон – храп – апноэ – ожирение – сонливость?! И Вы еще не обследовались? Сегодня Вам помогут с решением такой проблемы в нашем учреждении.

В ГУ "РНПЦ РМиЭЧ" организована работа кабинета сна для проведения полисомнографии(платные услуги), где работают подготовленные специалисты в области сомнологии.

Полисомнография — это метод регистрации различных функций организма в период ночного сна и он используется для выявления причины и оценки тяжести расстройств сна и он является золотым стандартом диагностики синдрома обструктивного апноэ сна (СОАС).

Для определения причины нарушений сна достаточно одного исследования, т.е. одной ночи.

Во время проведения исследования у пациента регистрируются:

  • Дыхание (воздушный поток).
  • Храп.
  • Насыщение гемоглобина артериальной крови кислородом.
  • Дыхательные движения грудной клетки и брюшной стенки.
  • Положение тела.
  • Электрокардиограмма.
  • Электроэнцефалограмма.
  • Электроокулограмма (движение глаз).
  • Электромиограмма (тонус подбородочных мышц).
  • Движения нижних конечностей.
  • Видеозапись сна.
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Полисомнография позволяет диагностировать расстройства сна, в том числе синдром апноэ во сне, который проявляется следующими симптомами:

  • храпом;
  • остановками дыхания во сне;
  • выраженной дневной сонливостью;
  • частыми пробуждениями;
  • артериальной гипертензией (преимущественно ночью и утром);
  • учащенным ночным мочеиспусканием (>2 раз за ночь);
  • затрудненным дыханием, одышкой в ночное время;
  • отрыжкой и изжогой в ночное время;
  • ночной потливостью;
  • разбитостью по утрам;
  • утренними головными болями;
  • снижением потенции;
  • депрессией, сниженным фоном настроения, снижением памяти.

СРАР-терапия является единственным надежным способом коррекции ночных дыхательных расстройств при:

  • синдроме обструктивного апноэ-гипопноэ сна;
  • при явлениях повышенного сопротивления дыхательных путей и ночной гипоксемии у больных с легочной патологией (бронхиальная астма, хронический обструктивный бронхит, муковисцидоз, альвеолиты и т.д.);
  • клинически значимых нарушениях дыхания по типу периодического дыхания Чейн-Стокса и синдромом центральных апноэ сна;
  • неврологических расстройствах (инсульты, миодистрофии, миопатии и т.д.);
  • сердечно-сосудистой патологии (инфаркт миокарда, сердечные аритмии и т.д.) приводящих к нарушению вентиляционно-перфузионных соотношений ;
  • метаболических расстройствах, приводящих к нарушению вентиляционно-перфузионных соотношений (сахарный диабет, тиреотоксикоз и т.д.);


Абсолютных противопоказаний к использованию СРАР-терапии НЕТ.

Для проведения полисомнографии в ГУ «РНПЦ РМиЭЧ» можно звонить в кабинет сна по телефонам:
(+375 232) 38 96 63 с 08.00 до 16.00 ежедневно (кроме вторника), вторник — с 12.00 до 18.00
или (+375 232) 38 95 92 — с 10.00 до 15.00 (ежедневно)

Стоимость услуг полисомнографии и метода подбора СИПАП-терапии можно узнать на сайте ГУ«РНПЦ РМиЭЧ» в разделе «Услуги» или по указанным телефонам.

С 2014года в работу отделения внедрен на платной основе новый, нелучевой метод диагностики сколиозов, нарушения осанки, деформации позвоночника и стоп на аппарате ДИЕРС-Форметрик с возможностью 3Д/4Д сканирования позвоночника — компьютерная оптическая топография и компьютерная вестибулография и плантография.

Компьютерная оптическая топография в ГУ «РНПЦ РМиЭЧ» — это метод диагностического измерения и анализа формы спины с помощью оптоэлектронных процессов, которые работают без лучевой нагрузки ионизирующим излучением.

Возможности метода:

  • Диагностика сколиоза и кифоза;
  • Определение тактики лечения при деформациях позвоночника;
  • Установка и коррекция укорочения длины нижних конечностей при перекосе таза;
  • Снижение использования рентгенобследований для контроля за лечением заболеваний позвоночника;
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Электронейромиография (ЭНМГ) один из самых высокоинформативных инструментальных методов исследования функции и анализа состояния периферической нервной системы.

В результате заболеваний или повреждений, возникающих на пути следования двигательных нервных импульсов, передаваемым по периферическим двигательным нервам к мышцам-исполнителям из головного и спинного мозга, у человека нарушается способность к совершению полноценных движений.

При помощи метода электронейромиографии на современном оборудовании экспертного класса квалифицированными специалистами, имеющими научный и практический стаж работы, проводятся исследования функционального состояния мышц и периферических нервов.

С использованием метода электронейромиографии проводится измерение скорости прохождения импульса по нервным волокнам. Также выявляется локализация повреждения периферических нервов и проводится оценка способности сокращательной функции мышц в ответ на раздражение электрическим импульсом.

Показаниями для проведения электронейромиографии могут быть:

  • сотрясения и ушибы головного и спинного мозга;
  • неврологические проявления при остеохондрозе различной локализации;
  • остаточные явления полирадикулоневритов, радикулоишемии, церебрального и спинального микроинсультов;
  • наследственная патология и др.

Объем и тип проводимых тестов назначается в зависимости от клинической ситуации и определяется врачом, проводящим исследование или направившим специалистом.

Функциональная диагностика (ЭКГ, тредмил-тест и др.)

Цены в Минске

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Если вы представитель медучреждения и хотите чтобы в данном разделе были ваши услуги, свяжитесь с нами по электронной почте info@online-diagnos.ru.

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