Yu dɔn ɛva twist yu ni we yu de ple kriket ɔ nɛtbɔl? Ɔ yu dɔn slip ɛn fɔdɔm na os ɛn wund yu ni bad bad wan dat i nɔ kin izi fɔ yu fɔ bɛn ɛn stret am? Sɔntɛnde lɛk dis, yu kin fil pen, swel, ɛn fil se yu ni tayt. We yu go to dɔktɔ na di tɛm lɛk dis, i go du wan simpul tɛst we dɛn kɔl di Tɛsali tɛst fɔ no di rayt tin we nɔ fayn wit yu ni. Lɛ wi tɔk bɔt dis ditayli tide.
Fɔ tɔk am simpul wan, wetin na dis Tɛsali Tɛst?
Di Thessaly test na wan rili simpul fyzikal tɛst we dɔktɔ dɛn kin yuz fɔ chɛk fɔ si if di meniscus, we na wan pat pan di katilej na yu ni, dɔn rɔtin ɔ i dɔn brok. Yu kin du am na yu dɔktɔ in ɔfis (wan in-ɔfis fyzikal ɛgzam). I nɔ nid ɛni fayn fayn mashin ɔ spɛshal ikwipmɛnt.
Insay dis tɛst, dɛn kin aks yu fɔ tinap pan wan leg, bɛn yu ni smɔl, ɛn twist yu bɔdi frɔm wan say to di ɔda say. Di dɔktɔ de ol yu fɔ mek yu nɔ fɔdɔm. Di dɔktɔ kin tek tɛm chɛk fɔ si if yu ni de at, fil stif, ɔ mek ‘klik’ sawnd we yu de twist.
Bɔku tɛm, we yu go to dɔktɔ we gɛt pen na in ni, dɛn kin du di Tɛsaly tɛst as fɔs tɛst. Bɔt dis nɔmɔ nɔ de kɔmplit di diagnosis. Bɔku tɛm yu go nid fɔ gɛt sɔntin lɛk ``X-ray`` ɔ ``MRI`` skan fɔ kɔnfɔm di aidia.
Ustɛm a nid fɔ tek dis tɛst?
Dɛn kin du dis tɛst if yu dɔktɔ sɔprayz se yu gɛt mɛniskus we dɔn rɔtin na yu ni. Dis sik we dɛn kɔl meniscus tear, kin rili kɔmɔn, mɔ pan atlet dɛn.
Naw yu go de wɔnda wetin na dis mɛnisk . Tink bɔt wi ni jɔyn. pan tap am na di thigh bon `(femur)`, εn כnda di shin bon `(tibia)` de. fכ mek dεn tu bon dεm ya nכ kכlכp, dat na lεk `shכk abzכba` na motoka, wi kin kכl di mεniskכs wan pat pan di kכtilaj we lεk rכba we de na di midul bitwin dεn tu bon dεm ya. Di men wok we i de du na fɔ tek di shɔk we wi kin gɛt we wi de rɔn, jomp, ɛn waka ɛn protɛkt di jɔyn.
If di ni twist kwik kwik wan wantɛm wantɛm, i fɔdɔm, ɔ dɛn prɛs am pasmak, lɛk we i de spɔt, dis mɛnisk kin te ɔ brok.
| Di kɔmɔn simptom dɛm fɔ mek di meniscus tear | |
|---|---|
| Fɔ yɛri wan sawnd wantɛm wantɛm | ‘klik’ ɔ ‘pop’ sawnd de yɛri na di ni we di injuri apin. |
| Instability | Fɔ fil lɛk se yu nɔ gɛt kɔntrol pan yu ni, lɛk se yu ni dɛn de ‘lip’ we yu tinap ɛn yu de kam fɔdɔm na grɔn. |
| Pen ɛn swɛlin | Big pen ɛn swel na di ni. |
| Di knee stiffness | Di nɔ ebul fɔ ful-ɔp fɔ bɛn ɔ ɛkstɛnd di ni. di filin we di kכn de ``lכk'' na sכm tεm. |
If yu gɛt dɛn sik ya, yu dɔktɔ go du wan Tɛsaly tɛst. dis kin gi yu wan aidia if nכto כnli di mεniskכs de damej, bכt di ligament כ כda tisu dεm na di kכn.
Impɔtant: Pɔsin we gɛt mɛniskus we dɔn pwɛl kin gɛt mɔ risk fɔ gɛt ɔstiɔ-arayt, we na wan sik we de na in ni, tumara bambay. So, i rili impɔtant fɔ gɛt di rayt tritmɛnt kwik kwik wan.
Aw ɛksaktɔli yu kin du dis tɛst?
Dis tɛst rili simpul. Na di step dɛn fɔ du am. Imajin se yu de bifo di dɔktɔ.
1. Aw fɔ tinap: Fɔs, dɛn go tɛl yu fɔ tinap wit wan leg. Yu fɔ kip di ɔda leg ɔp smɔl.
2. Dɔktɔ in sɔpɔt: Yu nɔ gɛt natin fɔ fred. Di dɔktɔ go ol yu an ɔ yu wes fɔ sɔpɔt yu so dat yu nɔ go fɔdɔm.
3. Knee Bending: Neks, dem go aks yu fo bend di knee of yu standing leg smol. Dɛn kin du di tɛst bay we dɛn bɛn am smɔl, lɛk 5 digri. Dɔn, dɛn kin du di tɛst bak bay we dɛn bɛn am smɔl, lɛk 20 digri.
4. Bodi rotation: Naw na di pat we impɔtant pas ɔl. We di dɔktɔ de ol yu, i go tɛl yu fɔ rɔta yu tinap leg insay ɛn kɔmɔt lɛk tri tɛm so. Dat min se, yu fɔ rɔta yu hip dɛn smɔl smɔl frɔm wan say to di ɔda say.
We yu de du dis, di dɔktɔ go aks yu , "I de at?", "I fil lɛk se i dɔn stɔp?", "Yu yɛri pɔp sawnd?"I go fil yu ni bak ɛn chɛk if yu fil ɛnitin we nɔ kɔmɔn ɔ yu de mek nɔys. I rili impɔtant fɔ tɔk di rayt we aw yu de fil.
Bɔku tɛm, bifo dɛn chɛk di leg we wund, dɛn kin du dis tɛst bak pan di leg we nɔ wund . Dis na fɔ ɛp yu fɔ yus to di tɛst ɛn fɔ gi di dɔktɔ wan aidia bɔt aw yu wɛlbɔdi ni de muv.
Wetin na di difrɛns bitwin di Tɛsali Tɛst ɛn di Makmɔri Tɛst?
Wan ɔda pɔpul tɛst we dɛn kin du we dɛn tink se di meniscus tear na di ni na di McMurray tɛst. Pan ɔl we di rizin fɔ dɛn tu tin ya na di sem, smɔl difrɛns de pan di we aw dɛn de du dɛn.
| Di kwaliti we pɔsin gɛt | Tɛst fɔ Tɛsali | McMurray Test we dɛn kɔl |
|---|---|---|
| Di pɔsin in pozishɔn | Stand pan wan leg. | I de ledɔm na bed (we i es in an dɛn ɔp) . |
| Udat de du di muv? | Di pɔsin we sik kin rɔta in bɔdi insɛf . | Di dɔktɔ kin bɛn, rɔta, ɛn muv di pɔsin in ni. |
| Aw fɔ chɛk | i de tεst di prεshכn pan di mεnisk we di bכdi de bia wet. | dεn de muv di kכn frכm difrεn angul dεm fכ chεk fכ chenj dεm na di mεniskכs. |
I nɔ mata uswan pan dɛn tu tɛst ya we dɛn du, di gol na fɔ no wetin mek yu ni de pen. So mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni prɔblɛm ɔ pen we yu fil.
Wetin kin apin afta di tɛst?
Di Thessaly test na di fɔs step nɔmɔ na di tritmɛnt prɔses. Dipen pan di rizɔlt, bɔku tɛm yu dɔktɔ go tɛl yu fɔ du bɔku skan fɔ mek yu si klia wan insay yu ni.
Dɛn tin ya kin no kɔrɛkt wan aw di bon dɛn, di katilej, ɛn di ligamɛnt dɛn na di ni dɔn pwɛl. Di tɛst dɛn we dɛn kin du mɔ na:
- X-ray: Chɛk fɔ si if yu bon dɔn pwɛl.
- Magnetic Resonance Imaging (MRI): Dis na di bεst we fכ si damej pan sכft tisu dεm lεk di mεnisk εn di ligament dεm.
- Ultrasound scan: Dɛn kin yuz dis bak pan sɔm kes dɛm.
Sɔntɛnde, dɛn kin nid fɔ du atrɔskɔpi na di ni fɔ no di sik ɔ fɔ mek di pat dɛn we dɔn pwɛl. Dis min se yu fɔ kɔt wan rili smɔl say na di ni ɛn put kamɛra tru am. Dis nɔr kin bi big ɔpreshɔn ɛn na ɔutpatient prosidur usay yu kin go na os di sem de.
Risk de wit dis? Ɛn wetin di tin dɛn we dɛn dɔn fɛn sho?
No big big risk nɔ de fɔ mek dɛn du di Tɛsaly tɛst. Yu kin fil sɔm pen ɔr nɔr fil fayn we yu de du di tɛst, bɔt ivin if di meniscus dɔn rɔtin, i nɔ fɔ bi tin we yu nɔ go ebul fɔ bia.
Di rizulyt fɔ dis tɛst nɔ de kam insay nɔmba lɛk di ansa to mats prɔblɛm. Bifo dat, i de gi sɔntin lɛk ‘yes’ ɔ ‘nɔ’ ansa.
- Pozitiv (+): If yu fil pen, stiff, ɔ yu de pop sawnd we yu de du di tɛst, na ‘positiv’ rizɔlt. Dis min se chans de fɔ mek yu mɛniskɔs pwɛl.
- Negativ (-): If yu nɔ fil ɛni diskɔmfɔt ɔ pen, na ‘negativ’ rizɔlt.
Bɔt mɛmba se sɔm stɔdi dɛn dɔn sho se pan ɔl we di Tɛsaly tɛst kɔrɛkt pas ɔda tɛst dɛn, i nɔ pafɛkt 100%. Dis min se ivin if di rizulyt nɔ fayn, ɔda prɔblɛm kin stil de na di ni, ɔ smɔl kray wata kin kɔmɔt na di meniscus . Na dat mek dɛn kin du MRI skan afta dis.
Ustɛm a fɔ go to dɔktɔ kwik kwik wan?
If yu ni pen ɔ swɛlin nɔ go dɔn afta sɔm dez ɛn i de wɔs, go mɔs go to yu dɔktɔ .
Bɔt if yu gɛt ɛni wan pan dɛn sik ya, go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm:
- If pen de we pɔsin nɔ go ebul fɔ bia .
- If di swel de go ɔp kwik kwik wan .
- If di kɔlɔ chenj, lɛk we di ni tɔn blu ɔ pepul .
- If yu nɔ ebul fɔ muv yu ni atɔl, hay if yu nɔ ebul fɔ fold am lɛk aw yu kin fold am nɔmal wan.
Mɛsej we dɛn kin kɛr go na os
- Di Thessaly test na simpul, penless fyzikal egzamin we dɛn kin du we dɛn sɔspɛkt se meniscus tear na di ni.
- Dis min se yu fɔ tinap wit wan leg, bɛn yu ni dɛn smɔl, ɛn rɔta yu bɔdi frɔm wan say to di ɔda say.
- Dis tɛst na di fɔs tin nɔmɔ we dɛn kin du fɔ no if pɔsin gɛt di sik. Yu go mɔs nid fɔ gɛt sɔntin lɛk MRI skan.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni pen, tayt, ɔ diskɔmfɔt we yu fil we yu de du di tɛst.
- If yu gɛt bad bad pen, swel, ɔ yu nɔ ebul fɔ muv yu ni afta yu dɔn wund yu ni, go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
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