A châng chuan ṭhiante nêna kan tlan emaw, kan zuang emaw, cricket emaw football ang chi game kan khelh hian kan khup chu a buckle nghal mai ṭhin. "Clik" ri nena lo awm natna chu tuar theih loh a ni. Nang chungah pawh hetiang hian a thleng tawh em? Khup na nei doctor pan tura i kal chuan a test hrang hrang zinga pakhat chu Apley test hi a ni. A hming hi thil lian tak angin lang mah se, fiahna awlsam tak a ni. Eng nge a nih, engtin nge a tih a, eng nge a hriat chhuah theih tih i lo en ang u.
A awlsam zawngin, Appley Test hi eng nge ni?
Apley test hi doctor-in i khup a meniscus a chhe tawh nia an rinhlelh huna taksa test awlsam tak a ni. A chang chuan Apley grind test emaw Apley compression test emaw an ti bawk. Hming pathumte hian test inang a kawk vek a ni.
Hei hi in-office-a tih theih thil a ni. Chumi awmzia chu ni hranpaah i luh a ngai lo va, machine lian tak hnuaiah pawh dah i ngai lo tihna a ni. Examination table-ah i pum chungah i mu a, doctor chuan i ke hnuai lam chu zawi zawiin a rawn tikehsawm a. I hrehawmna emaw, lungawi lohna emaw i neih apiang chu ngun takin a ngaithla ang che.
Hei hi khup hliam nei doctor i hmuh huna doctor-in a test hmasak ber zinga mi a ni tlangpui. Mahse, hei chauh hian diagnosis chu a ti famkim lo. Vawi tam tak chu he test zawhah hian hliam i neih tih finfiah nan scan turin refer i ni ang.
Apley test a awm em?
Ni e, mahse test danglam tak a ni. Apley scratch test chungchang hi i hre tawh mai thei. A hming pawh inang mahse, a kekawrtea harsatna zawng turin tih a ni . Movement hman dan pawh a danglam vek. Chuvangin khup lama harsatna i neih chuan i kekawrte tan Apley scratch test pawh ngaihtuah a ngai lo.
Apley Test ang chi test dang a awm em?
Ni e, hetiang test dang engemaw zat chu khup chhunga chhiatna zawng tura hman a ni. McMurray test leh Thessaly test hi a bulpui ber pahnih a ni. An pathumte thil tum chu inang mah se, an tih dan, chu chu i awmna tur dinhmun leh doctor-in a chetna a inang lo. A danglamna chu eng nge ni tih i lo en ang u.
| Test neihna tur hming | I nih duh dan angin. | Doctor in eng nge a tih |
|---|---|---|
| Apley Test a ni | I pum chungah khumah mu rawh (prone) . | Khup chu degree 90-a ben la, ke hnuai lam chu a sir lamah her kual rawh. |
| McMurray Test a ni | Khumah chuan a thu a | I khup chu ben la, i ke chu i rotate laiin tizau rawh. |
| Thessaly Test neih a ni | Ding chungin | Ke pakhata ding a, khup tlem ben a, taksa chu a herh kual a. |
Heng test pathumte hi i tih vek hian doctor chuan i khup atanga "click" leh "click" ang chi ri lo chhuak chu a ngaithla ang a, i natna i hriat dan pawh uluk takin a zawt ang che.
Engtikah nge Apley Test ka mamawh?
Doctor chuan meniscus tear i neih nia an rin chuan he test hi a ti thei ber ang . Hei hi khup hliam tam ber pakhat a ni a, a bik takin infiammi zingah chuan a hliam tam ber pawl a ni.
He meniscus hi eng nge ni?
Ngaihtuah teh, i khup ruh chhungah, ke ruh (Femur) leh ke ruh (Tibia) inkarah hian C ang maia rubbery cartilage pahnih a awm a. Chu chu meniscus an tih chu a ni. A awlsam zawngin, car chhunga shock absorber ang mai a ni. A hna chu ruh pahnih inhnaih loh nan leh kan tlan leh kan zuang hian kan ruh (joint)-a pressure lo thleng chu a hip lut a ni.
He meniscus hi khup a inher nghal apiangin a chhe thei a ni. Sports inhliam vang ber a ni. Chumi piah lamah chuan tlu leh car accident ang chi thilah pawh a thleng thei bawk.
Meniscus tear natna lan chhuah dan tlangpui:
- When injured , i khup atanga "click" ri lo chhuak chu i hre thei emaw, i hre thei bawk .
- Khup chu nunna nei lo niin a lang , khup pawh ding lai chuan "bending" ang maiin a lang bawk.
- Khup na a awm .
- Khup a nghet lo .
- Vung .
- I khup chu a pangngaiin i ben thei dawn lo va, i tizau kim thei dawn lo bawk .
Hetiang symptom i neih chuan i doctor chuan Apley test a ti ang a, khup meniscus bakah khup ligament a chhiat leh chhiat loh a enfiah ang.
Engtin chiah nge Appley Test hi an tih thin?
He test neih dan tur hi a awlsam hle. Thil ngaihtuah tur i nei lo. Hetah hian step-by-step kalphung chu a awm:
1. Pakhatnaah chuan exam dawhkan chungah muhil turin an ti ang che.
2. Chumi hnuah chuan doctor chuan a khup chu i kawr hnung lamah a dah ang a, zawi zawiin a hmet thla ang. I ke chu ding reng la, che suh.
3. Tunah chuan i khup chu 90 degree -ah ben la, chu chu 'L' letter pianzia ang chiah a ni.
4. A dawtah chuan i ke hnuai lam chu man la, zawi zawiin han hrual la (distraction), ke chu a chhungah leh pawnah, a sir lehlamah rotate rawh .
5. Tichuan, ke chu han hrual lovin, ke hnuai lam chu chelh la , zawi zawiin hnuai lam (compression) hmet la, chutiang bawk chuan a sir lehlamah i her kual bawk ang.
Heng chetnate i tih lai hian doctor chuan, "Natna i nei em?", "I khup a tight em?", tiin a zawt fo ang che a, i khup atanga thawm lo chhuak pawh a ngaithla bawk ang.
A pawimawh ber chu doctor chuan i ke hrisel hliam lo chungah he test hi a ti hmasa fo ang a, chu chuan i normal range of motion a hriat theih nan. Chumi hnuah chauh chuan ke hliam chu test a ni ang.
Test zawhah eng nge thleng?
Apley test zawhah doctor chuan i khup chungchanga harsatna awm dan tur ngaihtuahna engemaw zat a nei ang. Mahse 100% a diagnosis hriat chian nan chuan scan turin an refer fo ang che .
Hei atan hian scan chi hrang hrang hman tlanglawn ber berte chu:
- MRI (Magnetic Resonance Imaging) Scan: Hei hi khup chhunga tissue nem tak tak, meniscus, cartilage, leh ligaments te hmuh theihna tha ber a ni.
- Ultrasound scan: Hei hian khup soft tissue te pawh a hmuh theih deuh bawk.
- X-ray: Hengte hian meniscus a lantir thei lo nain, khup ruh a tliak emaw, harsatna dang emaw a awm leh awm loh a enfiah thei a ni.
A then phei chuan khup arthroscopy hmangin khup chhiatna enfiah emaw, siamthat emaw theih a ni. Hei hian khup chhungah incision te tak te siam a, camera dah a huam a ni. Hei hi operation lian tak a ni lo tlangpui a, chu ni vek chuan in lamah i haw thei bawk.
Apley Test result hi eng risk nge a awm emaw, engtin nge kan chhiar ang?
He test hi neih hian hlauhawmna lian tham a awm lo . Test neih chhung hian hrehawmna emaw, natna tlem emaw i nei thei. Amaherawhchu, a natna chu tuar theih loh khawpa na a nih chuan lo kal loh a tha ber.
Results chungchang sawi ila, hei hi math problem ang chi number bik rawn chhuak test a ni lo. ‘Positive’ emaw ‘negative’ emaw tiin a thliar hrang a ni.
- Positive result: Test neih laiin natna i hriat chuan, a bik takin i ke (compression) i press down a, i rotate lai emaw, i khup chhunga "click" ri i hriat chuan chu chu 'positive' result a ni. Meniscus i chhe thei tihna a ni.
- Negative result: Natna leh lungawi lohna i neih loh chuan 'negative' result a ni. Mahse 100% inhliam a awm lo tihna erawh a ni lo. Buaina dang a awm thei bawk. Chuvang chuan scan a pawimawh.
Engtikah nge doctor ka hmuh ang emaw, ETU-ah ka kal ang?
Khup hliam i neih chuan eng nge i tih tur tih hriat a pawimawh hle.
| Nihna | Eng nge tih tur |
|---|---|
| Doctor hmu rawh. | |
| Ni engemaw zat hnuah a natna emaw a hring emaw a reh lo va zawi zawiin a pung chuan . | I chhungkaw doctor emaw, ruh lam doctor emaw hnenah a rang thei ang bera hmu rawh. |
| Emergency Treatment Unit (ETU) ah kal nghal rawh. | |
| Chungte chu hliam na tak a nihna chhinchhiahna a ni thei. Damdawi in hnai ber Emergency Department (ETU) ah tlai lovin kal rawh. |
Apley test hi test hlu tak a ni a, doctor chuan i khup chhunga thil thleng chu rang taka a hriat theih nan a pui thei a, a bik takin meniscus tear i rinhlelh chuan. Natna a thlen tur a ni lo nain, harsatna i neih chuan doctor hnenah hrilh hreh suh. I thu hriatte chu a natna dik tak hriat theihna tûra ṭanpuitu lian ber a ni ang.
Take-Home Thuchah a ni
- Apley test hi doctor-in khup-a meniscus a chhe tawh leh awm loh enfiahna atana a taksa test awlsam tak a ni.
- He test-ah hian i pum chungah i inher a, i khup i ben a, i ke chu i inher a ni.
- He test hian harsatna engemaw zat a thlen thei a, mahse a na lutuk tur a ni lo. Hetiang hian i inhriat chuan doctor hnenah hrilh nghal rawh.
- Hei hi examination hmasa ber chauh a ni. Hliam awmna hmun dik tak finfiah nan MRI ang chi scan an ti tlangpui.
- Khup natna nasa tak i neih emaw, i khup a zual chak lutuk emaw, i khup i che thei lo a nih chuan, tihkhawtlai lohvin doctor pan la, ETU-ah kal nghal rawh.
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