I natna lan chhuahna chhan hrang hrang a awm em? Doctor ten an hmuh theih dan tur (Differential Diagnosis) i zir ang u!

Khawsik emaw, khawsik emaw, natna dang emaw neia Doctor hnena i kal chuan, a chang chuan doctor chuan, "Hei hi i neih chu a ni," a ti nghal ngai lo a ni lawm ni? Mite chuan, "Heng symptoms a\ang hian he natna hi a ni thei a, chu natna pawh a ni thei. Tlem han en leh ila, test kan tih a ngai mai thei," tih ang chi an sawi pawh i hre tawh ngei ang. Chutiang chuan doctor-te’n eng dinhmun nge i neih tih chiang taka an hriat theihna tura an hman dan pawimawh tak kan sawi dawn a, natna engemaw zat, a lan chhuah dan inang lo tak takte zingah. Hei hi damdawi lama ``Differential Diagnosis'' an tih chu a ni. A awlsam zawngin, "differential diagnosis" ang mai a ni.

``Differential Diagnosis'' tih hi eng nge ni mai?

Symptom engemaw zat i nei niin han ngaihtuah teh. Entirnan, lu na na tak i nei a, chak lo takin i inhria. Tunah chuan heng symptoms nei natna pakhat aia tam a awm thei tawh ang. Common flu a ni thei a, a pawi zawk pawh a ni thei bawk.

Chuvangin, doctor-in a tih chu i symptoms a zirin i natna awm thei list siam hi a ni. Chu list chu ``Differential Diagnosis'' an ti a, hei hi police detective-in rinhlelh list a siam ang mai a ni. Hei hi i ``Final Diagnosis,'' ni lovin, chu hmun thlen theihna tura hmalakna pawimawh tak a ni. He list atang hian test i run a, zawhna dang i zawt a, a inzawm lote chu i paih chhuak a, chu chuan harsatna chu eng nge ni tih chiang takin i hre thei a ni.

Hetiang natna hi engtin nge doctor hian a hriat theih ang? (Diagnostic tih dan tur) .

Doctor chuan natna hi dik taka a hriat theih nan step engemaw zat a zawm thin. Hei hi scientific method ang mai a ni.

1. A hmasain i natna lan chhuah dan uluk takin kan zawt ang che.

Doctor hmu tura i kal hunah chuan zawhna a zawt tan ang che.

• "Eng nge i symptoms te?"
• "Hetiang symptoms te hi eng chen nge a awm tawh?"
• "He natna, he natna hi eng ang nge ni? A na em? A na lo em ni?"
• "Thil dang eng emaw chu mak ka ti em?"

Doctor chuan hetiang zawhna hmang hian i dinhmun chu a bulpui ber hriat tumin a bei mek a ni.

2. I natna hmasa leh hriselna lama i tih dan (`Medical History`) kan en ang.

A dawtah chuan doctor chuan i medical history kimchang a zawt ang .

• "Hetiang symptoms hi i nei tawh em?"
• "Heng mizia tipungtu emaw, tihhniam emaw thei thil (ei leh in, hnathawhna, boruak) i hmu tawh em?"
• "Tunlai hian i nunah inthlak danglamna lian tak emaw, nawrna emaw a awm em?"
• "Tunah hian eng damdawi, vitamin leh supplement nge i ei?"

He information hi a pawimawh hle a, a chhan chu symptom thenkhat chu damdawi i ei vang emaw, a hmaa i lo awm tawh vang emaw a ni thei.

3. Taksa enfiahna

Tichuan Doctor in a enfiah ang che. Hei hian a tlangpuiin iHei hian i thisen sang enfiah te, i heart rate enfiah te, leh stethoscope hmanga i lung ngaihthlak te a huam a ni. A châng chuan, i pum an palpate thei bawk a, i rilru an en thei bawk. Hei hian i doctor-in i taksaah thil danglam a awm leh awm loh a hriat theih nan a pui thei a ni.

4. Chutah chuan ``Differential Diagnosis'' list siam a ni.

I thu hriatte leh taksa enfiahnaa thil hmuhchhuahte a\angin i doctor chuan i natna lan chhuahna nena inmil thei dinhmun engemaw zat a hmuchhuak ang. He dinhmun awm thei list hi ``Differential Diagnosis'' an ti a.

5. Tichuan, a tul chuan test tam zawk neih a ni.

Tunah chuan, chu list-a natna zingah eng nge i neih tih finfiah nân, i doctor chuan test dang neih belh tûrin a ti thei ang. Heng test te hi i symptoms a zirin a danglam ang.

Entir nan:

• Laboratory test: Thisen test leh zun test ang chi thil.
• Imaging test: X-ray emaw ultrasound scan emaw ang chi.
• A châng chuan ``biopsy'' , chu chu tissue tlemte la a, enfiah tihna a ni thei bawk.

6. Test result leh symptoms te khaikhin nawn leh a ni.

Test result a lo luh hnuah doctor chuan uluk takin result, i symptoms leh i medical history te a zirchiang ang.

7. Diagnosis hnuhnung ber chu natna tak tak chu eng nge ni tih hrilhtu che a ni.

Heng zawng zawng i tih hnu leh thil dik tak uluk taka i ngaihtuah hnuah chauh doctor chuan i damdawi lam dinhmun tak tak chu eng nge a nih a hrilh ang che (`Final Diagnosis`) . Chumi hnuah chauh chuan a tul anga enkawl tan theih a ni.

Engtikah nge ``Differential Diagnosis'' hi tih a nih?

A awlsam zawngin, he ``Differential Diagnosis`` process hi i symptoms te hi natna pakhat aia tam a awm fo chuan a tul a ni . Entirnan, i rilru natna i neih hian ``Heart Attack`` vang a ni thei a, gastritis vang pawh a ni thei a, ``Muscle Strain`` vang pawh a ni thei bawk. Tichuan doctor chuan heng zawng zawng hi a ngaihtuah vek a. He rinhlelhna hi tihbo nan leh a chhan dik tak zawn nan test dang hman a ni.

Hetiang kalpui chhung hian eng nge i beisei tur?

Diagnosis hmain

Doctor i pan dawn chuan damdawi, vitamin leh supplement i ei zawng zawng list keng tel a pawimawh hle. A chhan chu damdawi thenkhat hian symptom thenkhat a thlen thei a ni. Doctor chuan i hriselna leh tun hmaa i natna te a zawt ang che. Rinawm taka chhan a pawimawh.

Diagnosis neih chhung hian

I doctor-in "Hei hi heng natnate hi a ni thei" tih ziak ``differential diagnoses'' list a pek che chuan i hlauthawng deuh mai thei. "Aw, heng natna zawng zawng hi ka nei em?" Mahse, chutiang chuan hlau suh.Chutiang natna zawng zawng chu i nei tihna a ni lo. Ringhlel list ang mai a ni. Doctor-in test a tih leh tur chu chu list atang chuan a pawimawh lote chu paih chhuakin pakhat chiah a rawn siam chhuak thin. "Process of elimination" a ni a, chu chu exclusion process a ni.

Diagnosis a nih hnuah

``Differential Diagnosis`` hi diagnosis kimchang tak a ni lo tih hriat reng a pawimawh. Doctor-in thutlukna hnuhnung ber a siam hmaa a hman ṭhin step pakhat chauh a ni. Natna khirh tak tak ṭhenkhatah chuan a chhan dik tak hriat nân hun engemaw chen a ngai thei a, sawi nghâl theih a ni lo thei bawk. Doctor chuan test dang neih belh turin thu a pe thei bawk. ``Final Diagnosis`` tih a nih hnuah doctor chuan i tana enkawlna tur dik tak a rawn rawt ang che.

``Differential Diagnosis'' ah hian hlauhawmna a awm em?

Dik tak chuan he process ``Differential Diagnosis`` an tih hi misdiagnosis chance tihtlem nan hman a ni. Doctor tum ber chu natna dik tak enkawl a ni a, hlauhawma dah che a ni lo. Hetianga natna awm thei list siam a, test neih hian natna lan chhuah dan chauh enkawl ai chuan, natna thlentu zawn chhuah leh enkawl theih a ni.

Mahse, he diagnostic process-a step eng emaw zat a tlakchham a nih chuan, emaw, thil dik tak chu uluk taka chhui a nih loh chuan thutlukna dik lo siam theihna chance tlemte chauh a awm. Mahse, test tul zawng zawng tihfel vek a nih a, he kalphung hi uluk taka zawm a nih chuan tihsual theihna chance a tlem hle.

Engtikah nge he ``Differential Diagnosis'' result hi ka hriat theih ang?

Eng chen nge hriat a ngai dawn tih chiang taka sawi a harsa khawp mai. Thil tam takah a innghat a, chu chu i natna lan chhuah dan leh natna rinhlelh a buaithlak dan te hi a ni. A chang chuan ni khat emaw ni hnih emaw chhungin hriat theih a ni ang. A châng chuan kar khat emaw kar hnih emaw a la ngai thei. A pawimawh ber chu he hun chhung hian doctor nena inbiak reng hi a ni. A bik takin i natna lan chhuahnaah danglamna a awm (a pung, a tlahniam, a lan chhuah thar) emaw, i damdawi lam history-a inthlak danglamna a awm a nih chuan (e.g., damdawi thar i tan, damdawi ina awm reng) emaw chu doctor hnenah hrilh nghal a pawimawh hle.

Engtik hunah nge doctor ka hmuh leh ang?

Doctor i hmuh a, diagnostic process-a a hnuaia thilte hi a thleng a nih chuan doctor pan leh a tha ang:

• I symptoms a na zual a nih chuan, a nih loh leh rang takin a bo a nih chuan.
• Symptom thar a lo lang a nih chuan.
• Damdawi inah hian chhan dang vangin i awm a nih chuan.
• Tuna i damdawi ei mek ah danglamna a awm chuan.

``Differential Diagnosis'' tih entirnan thenkhat han en ila.

Natna chi hrang hrang, symptom inang nei thei tam tak a awm a. I doctor chuan i natna lan chhuah dan a zirin a enfiah ang a, a enkawl ang. Entirna tlemte han thlir ila.

1. Pum Natna

Natna:Khawi emaw laiah pum chhunga tightness hriatna, twisting pain, chemte kah ang maia na tak tak, hengte hi a tam emaw a tlem emaw pawh a ni thei.

Natna awm thei (Differential Diagnosis): 1.1.

• Appendicitis natna a ni
• Gastritis natna (Gastritis) a ni
• Inflammatory Bowel Disease a awm thei
• Intestinal emaw Bowel Blockage emaw a awm thei
• Pancreatitis natna a ni

2. Khuh (`Khuh`) .

A lan chhuah dan: Kawchhunga hnim hring, emaw, khuh vawt, kawr na.

Natna awm thei (Differential Diagnosis): 1.1.

• Asthma natna a ni
• Bronchitis a ni
• Pneumonia natna (Pneumonia) a ni
• Acid reflux (a nih loh leh reflux) .
• Seasonal Allergy a awm thin

3. Chauhna

Symptoms: Chau tih hriat reng reng, chau lutuk, mut hnuah pawh chau tih hriat, chak lo anga inhria.

Natna awm thei (Differential Diagnosis): 1.1.

• Thisen tlakchhamna (Anaemia).
• Lungngaihna
• Mu thei lo
• Thyroid natna a ni

4. Lu na

A lan chhuah dan: Lu na, a chang chuan a na lo, a chang chuan na tak, lu na inthen ang mai, pawn lam thawm hriatna. Darkar emaw ni emaw chhung a daih thei.

Natna awm thei (Differential Diagnosis): (Hetah hian a chhan tam tak a awm thei a, entirnan) .

• Tension Lu na
• Migraine natna (Migraine) a awm
• Sinus Infection a awm thei
• Thisen sang (hypertension) avanga lu na .

Pawimawh: Heng entîrnate hi a kalphung hriat theihna tûr chauh a ni. Heng symptoms te hi i neih chuan doctor hnenah thurawn dil ngei ngei tur a ni.

Take-Home Thuchah hnuhnung ber

Chuvangin, ``Differential Diagnosis'' hi doctor-te'n natna chhan dik tak zawn nan an hman dan pawimawh tak, systematic tak a ni.

• ``Differential Diagnosis'' hi i diagnosis hnuhnung ber a ni lo. Natna awm thei list mai a ni.
• He list i hmuh hian hlau suh. Doctor hian i tanpui nan a bik takin a ti a ni.
• Natna dik tak hriat theih nan hun engemaw chen a ngai mai thei a, chuvangin dawhthei takin awm rawh.
• I doctor-in a tih test te chu tihsak la, a thupek chu zawm rawh.
• I natna lan chhuah dan a danglam chuan doctor hnenah hrilh nghal rawh.

Chutianga i doctor nena thawhhona i neih chuan i natna chhan dik tak chu i hmu thei ang a, enkawlna dik tak i dawng thuai ang a, i dam leh thei bawk ang.

`Diagnosis, Differential Diagnosis, Symptoms, Damdawi Test, Hriselna, Natna, Damdawi lam thurawn