I nervous system-ah harsatna a awm em? He neurological exam chungchang hi i zir dawn teh ang!

A chang chuan i taksaah thil dik lo a awm niin i hria em, chu chu nervous system nena inzawm thil a ni mai thei? Chutiang hunah chuan doctor-te tih thin special test a awm a, chu chu neurological exam kan ti a ni. Hei hi fiahna pawimawh tak a ni. Hemi chungchang hi vawiin hian chipchiar tak leh awlsam takin sawi ila, okay?

Neurological exam hi eng nge ni tak tak?

A awlsam zawngin sawi ila, neurological exam hi taksa enfiahna bik a ni a, chu chuan i thluak, i ruhro (i ruhro chhunga nerve cord) leh nerve dangte hnathawh that dan enfiahna a ni. Hei hi kan doctor te tan chuan i nervous system hnathawh dan dik tak hriatthiamna tha ber a ni. He exam hian eng test dang nge i neih tur tih an rel theih nan a pui thei a ni.

Kan nervous system hi a buaithlak hle tih hre reng ang che. Chuvangin a chang chuan he test hi tihfel nan hian hun rei tak a ngai thei. Hei hian doctor-in zawhna a zawh che leh taksa a enfiahna hmun pahnih a huam vek a ni.

Neurological condition i neih tawh chuan he neurological test hian doctor-te pawhin i enkawlna a hlawkzia a hriat theih nan a pui thei bawk.

Chuti a nih chuan, he neurological test hian eng chiah nge a zawn?

Hei hian i nervous system lam hawi thil hrang hrang a ngaihtuah ber a ni. Hengte hi a tlangpuiin thil check thinte chu a ni:

• I rilru dinhmun (Cognition) leh tawng thiamna: Hei hian i ngaihtuah thiamna, i hriatrengna chu engtin nge a awm, leh i tawng chiang em tih ang chi te a kawk a ni.
• Lu leh Hmaia Cranial Nerves hnathawh dan: Heng nerve te hi kan hmel lan dan, kan hmuh dan, kan hriat dan leh kan rim hriatna control tu nerve te an ni.
• Taksa chakna, inremna, leh taksa peng hrang hrang: I kut leh ke i chawi sang thei em, thil engemaw i ti chhunzawm thei em, i taksa ruhte chu a nghet em, a hlim em?
• Reflexes: Automatic response, i khup chu hammer te tak te hmanga i vuak hian khup i tiharh ang mai a ni.
• Taksa hmun hrang hranga hriatna: Thil khawih, tickle, leh vibration ang chi te hian engtin nge an awm tih kan en thin.
• Kal leh Hmasawnna.
• Spine a ni.
• Level of consciousness: Hei hi lu hliam na tak (Traumatic Brain Injury) a awm chuan a pawimawh hle.

He neurological test hi tute nge mamawh?

Nervous system disorder i neih thu hriat theihna symptom i neih chuan he test hi i tan a tangkai hle thei a ni. Entir nan:

• Thil hriatna hloh leh coma case te.
• Ngaihtuahna tlahniam: buaina, hriatrengna hloh, nungchang inthlak danglamna.
• Blurred or double vision, hriatna hloh, rim hriatna hloh.
• Thusawi harsatna: Thusawi thiam lo (Dysarthria) emaw, thu hriat reng theih lohna (Aphasia) emaw.
• Balance hloh emaw, movement inrem thei lo emaw.
• Luak chhuak thei.
• Lu na (a bik takin lu na reng reng emaw, lu na na tak emaw).
• Muscle chak lohna.
• Ke ruh leh ke ruh (limbs) emaw, tingling emaw.
• Seizures emaw fits emaw a awm thei.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan a, thurawn lak a tha ber.

Engtin nge he neurological test hian min puih ang?

He test hi i symptoms te hi nervous system ngeia harsatna vang nge damdawi dang avanga lo awm tih hriat nan a ni ber. A dik tak chuan hei hi test belh zelna tur lungphum bulpui ber a ni.

Neurological examination hmanga hriat theih tur neurological condition thenkhat chu hetiang hi a ni:

• Infection: Entirnan, meningitis emaw encephalitis emaw.
• Movement disorders: Parkinson natna ang chi natna.
• Nerve cell tihchhiat zauh zauh natna: Alzheimer natna emaw, dementia natna dang emaw.
• Nerve leh taksa ruh nena inzawm natna: `(Amyotrophic Lateral Sclerosis - ALS)` ang chi te .
• Stroke ang chi dinhmun.
• `(Multiple Sclerosis)` leh a ang chi natna te a awm bawk.
• Thluak hliam na tak (TBI) a awm.
• Epilepsy leh seizure -a kaihhnawih natna.
• Lu na kaihhnawih natna: `(Migraine)` leh `(Cluster Headaches)` ang chi te.

He test hi a pawimawh zia i hmu a ni.

He neurological test hi tuin nge ti?

He test hi neurologist emaw, certified nurse practitioner emaw, physician assistant emaw ten an ti tlangpui thin. Heng specialist te hian thluak, nerve leh spinal cord natna te chu an hmuchhuak a, an enkawl bawk. Neurologist thenkhat chuan thil bik, movement disorder, epilepsy, a nih loh leh pediatric neurological disorders-ah te thiamna dang an nei belh bawk.

Engtin nge he neurological test atan hian ka inbuatsaih ang?

Hei hian inbuatsaihna tam tak a mamawh tak tak lo. Thawmhnaw hlim lo leh nuam tak hak a tha ber a, a chang chuan i kut leh ke i ben a, i hrual a ngai dawn a ni .

Thil dang pakhat chu, i natna lan chhuah dan te, a lo intan tirh atanga a awm dan te, i natna dangte leh i damdawi ei dan te chipchiar takin lehkha pakhatah ziak chhuah hi a \angkai hle. Hetiang hian doctor-in zawhna a zawh hunah engmah i theihnghilh lovang. He information hian test dik taka i tih theih nan a pui ang che.

Engtin nge neurological examination hi an tih thin?

I doctor-in a tih hmasak ber tur chu a biak che a ni. I natna lan chhuah dan te, eng chen nge a awm tawh tih te, leh nitin hnathawh dan a nghawng dan te a zawt ang che. Damdawi lam harsatna dang i neih theih zawng zawng pawh hriat a tum bawk ang. He inbiakna zawh hian taksa enfiahna chu a intan ang.

He taksa enfiahna hian i nervous system hmun khat emaw, a aia tam emaw a enfiah thei a ni. Eng nge an nih i en ang u.

1. Rilru dinhmun enfiah (Cognition) .

Hei hian i ngaihtuahna thiamna, hriatrengna leh i rilru dinhmun chungchâng thu pawimawh tak a pe thei a ni. Doctor chuan hetiang thil hi tih turin a ti thei che a, a hrilh thei bawk che a ni:

• Ni, hun leh hmun chungchanga zawhna zawh.
• Aw ring taka chhiar turin an ti che a.
• I rilru put hmang sawi turin an ti che a ni.
• Thu tlemte an sawi a, sawi nawn leh turin an ngen che a ni.

2. Lu leh hmai nerve enfiah (Cranial Nerves) .

Heng nerve te hian kan thluak chu taksa chunglam nena inbiakpawhna atan a pui thin. He test hian thluak hmun bikah harsatna a awm tih a hmuchhuak thei a ni. Hei hian hetiang hi a huam thei a ni:

• I hmai, mit leh lei che vel te chu enfiah a ni.
• Zirlai leh mit hmuh dan enfiah thin a ni.
• Hriatna leh rim hriatna test a ni.

3. Movement, coordination, leh balance te enfiah

Heng test-te hian i thluak hian i chetna tur, hmun khata awm theihna tur leh hna awlsam tak tak thawk thei tur ruhte nena a inbiak dan a en a ni. Chutiang thil ti turin hrilh theih a ni:

• Mit khap a, an kut zungtang (index finger) hmanga an hnar khawih turin an ti a ni.
• An kut leh ke chu tihchet an tum thin.
• Fine motor skills te hi test a ni a, i hming ziah ang chi hi a ni.
• Line dik taka kal emaw, an kekawrte emaw, ke ruh emaw hmanga ke tlemte kal turin an ti a ni.

4. Reflexes te enfiah

Doctor chuan i taksain stimuli thenkhat a automatic response a test ang. Heng test te hian i thluak leh taksa inkara nerve te inbiakpawhna tha tak an neih dan a tarlang a ni. Hei hian hetiang thil hi a ti thei a ni:

• I kephah chu tickle ang maiin a tichak thin.
• I khup emaw, i tendon dang emaw chu rubber mallet hmangin an tap ang a, i kut leh ke chu a che em tih an en ang.
• Monk-te chuan pum vun chu an hnawih a, pum ruh a khauh em tih an en thin.

5. Sensory test neih a ni

He test hian i natna, i temperature leh thil dang i hriat theihna a teh a ni. Thil a ti thei a, chungte chu:

• I mit khap la, an ke ruhte chu chawi sang leh hniam turin hrilh rawh.
• I vunah thil lum emaw, vawt emaw dah.
• A vun chu cotton chi khatin a hnawih a, a hre thei em tih a zawt a.
• Taksa hmun hrang hrang chu needle emaw vibrating tuning fork emaw hmangin an khawih thin.

6. Hriatthiamna Level enfiah

I hriatna famkim i neih loh chuan hetiang test hian i thluak hnathawh dan a zirchiang ang. Hei hian Glasgow Coma Scale ang chi scale hmangin thupek awlsam tak tak (e.g., kut phar, mit meng, thusawi) i zawm theih leh theih loh a en ang.

7. Autonomic Nervous System testing neih a ni

I autonomic nervous system hian thawk leh thisen sang ang chi hna pawimawh tak takte a control a ni. He test-naah hian hetiang hian i ti thei ang:

• I bowel leh bladder control chungchang ka zawt a.
• I thisen sang chu hmun hrang hrangah teh a ni.
• A tul chuan test dang pawh tih a ni ang.

Engtiang chiahin nge he test result hi ka hriat theih ang?

A tlangpuiin, i neurologist chuan test a tih zawh veleh result chu a hrilhfiah ang che . Chu chu a tha ber a ni.

Test dang neih belh ka ngai dawn em ni?

Test result chu normal range chhungah a awm loh chuan, harsatna a awm thei tihna a ni a, i doctor chuan test dang a ti leh thei a, chhui chian belh zel turin a ti thei bawk. Chûng zîngah chuan:

• Thisen test: Thil dang, vitamin tlakchhamna te enfiah thin ang che.
• Imaging zirchianna: `(MRI)` emaw `(CT scan)` emaw ang chi.
• Thluak electric hnathawh dan test (`Electroencephalogram - EEG`).
• Nerve leh muscle test (`Electromyogram - EMG`) leh nerve conduction zirchianna (`Nerve Conduction Studies`) te a ni.
• Lumbar puncture a awm.

Heng additional test te hian diagnosis dik tak a nemnghet a ni.

Chuvangin, take-home message hnuhnung ber chu:

Neurological exam hi i nervous system hnathawh dan pakhat emaw a aia tam emaw tehna test pawimawh tak a ni. Hei hian i thluak, nerve leh spinal cord natna te chu a nemnghet thei a, a paih chhuak thei bawk.

A châng chuan natna hriat chian nân test dang neih belh a ngai thei bawk. Tin, neurological condition avanga enkawlna i dawng tawh a nih chuan, heng neurological test-te hian doctor-te chu chu enkawlna chuan a thawh that dan enfiah turin a pui bawk.

Chuvangin, nervous system nena inzawm symptoms i neih chuan doctor hmu a, sawipui hlau suh. He test hian nasa takin a pui thei che a ni.

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