Kan ramah hian hnungzang natna hi a awm fo thin. A châng chuan, i hahchawl tlêm chuan, i bawkkhup lo va, engmah i tih loh chuan a bo mai ṭhin. Mahse, a chang chuan, a na chu tuar theih loh khawpin a awm a, chutah chuan doctor kan pan a ngai thin. Chuvangin Doctor i pan hian i rilruah zawhna lian tak i nei a, ‘Aw, tunah hian X-ray la turin min hrilh dawn em ni? A nih loh leh MRI ka tih a ngai dawn em ni?’ a ti a. Mi tam tak chuan heng test te hi an hlau hle. He thuziak ah hian i hnungzang na chhan hriat nan doctor-in eng ang test nge a tih te, mi zawng zawngin heng test te hi an mamawh em tih te kan sawi dawn a ni.
Doctor-in a zawh hmasak ber tur che (i medical history) .
Doctor hmu tura i kal hian a tih hmasak ber chu damdawi a pe lo che a, test order a pe lo bawk. A be hmasa ber che a, zawhna tlemte a zawt che a, a tam thei ang ber thu hriat chhuah a tum bawk. I ngaihtuah mai thei, "Engvangin nge ka lu na ka neih lai hian ka khuh, ka khawsik leh ka pum na chungchang min zawt?" Mahse heng zawhna zawng zawng hi i hnungzang na chhan zawn nan a pawimawh hle.
Ngaihtuah teh, Doctor, hetiang thil hi zawh i ni mai thei:
- Engtin nge natna chu a lo intan? Thil rit tak i chawi chuan i hnungzang "snap" ang maiin i hria nghal em? A nih loh leh, a natna chu ni tin a zual zauh zauh em?
- Eng thilin nge natna chu a tizual/na tizual? Zan lama hmalam pan emaw, thut emaw, ding emaw, mut emaw hian engtin nge natna hi a awm? Engmah tih hian a natna a tizual em?
- Hetiang hrehawmna hi a lo thleng tawh em?
- Tun hnaiah natna dang i nei tawh em? Entirnan, khuh, khawsik, zun harsa, pum na , etc. A chang chuan hnungzang na hi taksa hmun dangah natna hrik a awm vang a ni thei.
- Hmeichhia i nih chuan serh atanga thisen chhuak, natna, emaw, tui chhuak danglam tak tak te pawh i hre thei bawk. Hei hi a chhan chu pelvic condition thenkhatah chuan hnungzang a na thei a ni.
A awlsam zawngin, heng chhânnate hian doctor chu i dinhmun hriat chian zâwk tûrin a ṭanpui ang. Chuvangin , engmah thup lova thudik sawi hi a pawimawh hle.
A dawtah chuan taksa enfiahna a ni.
Zawhna a zawh hnuah doctor in a enfiah ang che. Hei hi taksa enfiahna an ti a . Hetah hian a pawimawh ber chu i hnungzang atanga i ke thlenga kal nerve te chhiatna emaw compression emaw a awm leh awm loh enfiah hi a ni.
- Gait testing: I kekawrte chungah rei vak lo kal turin an ti ang che, chutah chuan i ke ruhte chungah kal turin an ti ang che. Hei hian i taksa ruh chakna leh nerve hnathawh dan tur ngaihtuahna a pe thei che a ni.
- Reflex testing: Doctor chuan i khup hnunglam leh i ke ruh chu rubber hammer hmangin a tap ang. Nerve te a thawk tha a nih chuan he hun lai hian i ke chu automatic in a jerk ang.
- Leg raise test: Khum chungah mu turin an ti ang che a, ke pakhat chu dinglam hawiin chawi sang turin an ti ang che. Doctor puihnain emaw, puihna tel lo emaw pawhin hetiang hi ti turin an ti thei che a ni. Hei hian a bik takin sciatic nerve, nerve lian tak, hnunglam atanga ke hnuai lam pan thin chu a enfiah thin.
- Sensation testing: Thil te tak te, pin emaw paper clip emaw hmangin i ke hmun hrang hrang khawih a, "Eng emaw i hre em?" Hei hian i kea sensation phurtu nerve-te chhiatna a awm leh awm loh hriat theih nan a pui thei a ni.
- Test dang: I doctor-in natna khirh tak a rinhlelh chuan i pum, i pelvis, emaw i rectum emaw pawh an enfiah thei bawk. Bladder leh bowel control hloh, a bik takin ruh hnuai lam nerve a chhiat chuan a chhan a ni thei. Heng test te hi natna khirh zawk a awm loh nan a ngai mai thei.
Mi zawng zawng hian X-ray emaw MRI emaw kan mamawh em? - Imaging test neih a ni
Hei hi mi tam zawkin an ngaihtuah ber chu a ni. I hnungzang hliam i neih chuan X-ray emaw MRI emaw lak a ngai em?
A chhanna chu, ni lo . Mi zawng zawng hian an hnungzang natna an neih tan tirh hian hetiang special testing hi an mamawh nghal vek lo. Dik tak chuan hnungzang na nei zinga 90% vel chu thla khat chhungin an dam leh thin. Chuvangin, warning sign bik (red flags) a awm loh chuan, kar hmasa 4-6 chhunga hetiang test hi tih hian awmzia a nei tlem hle.
Okay, chuvangin heng test te hi eng nge an nih a, eng dinhmunah nge an hman tih hi han en ila.
| Test neihna tur hming | Eng dinhmunah nge hman a nih? | Thil pawimawh hriat tur |
|---|---|---|
| X-ray pangngai tak a ni | Hei hi hnungzang natna tlangpui tan tirh lamah chuan a tangkai vak lo. Mahse, trauma i neih tawh emaw, kum 50 aia upa i nih tawh emaw, ruh tichhe thei natna i neih emaw, ruh natna (osteoporosis) ang chi emaw, steroid i ei rei tawh emaw a nih chuan X-ray lak a ngai mai thei. | X-ray-ah chuan ruh chauh a lang. Tissue nem tak tak, vertebrae emaw nerve emaw inkar disc te an lantir lo. |
| MRI Scan a ni | Hei hi test hmasawn tak leh man to tak a ni. General back pain tan chuan a tha lo. Mahse, natna khirh tak, operation ngai thei (entir nan, ruh natna, cancer, ruh tliak, emaw, Cauda Equina Syndrome ang chi emergency emaw) rinhlelhna a awm chuan tih a ni. Kar 12 aia rei a natna a awm reng chuan a chhan zawng turin ngaihtuah a ni fo. | MRI scan-ah pawh harsatna a awm bawk. Mi hrisel, hnungzang natna nei loah pawh MRI scan-ah chuan vertebrae inkarah bulging discs a awm thei. Hetiang thil hmuh hian hei hi natna thlentu a ni tih ngaihtuah a, a tul lo taka enkawlna a thlen thei a ni. Chuvang chuan MRI report chu Doctor hnenah entir a, nangmah ngeiin hrilhfiah tum ai chuan thurawn lak a pawimawh hle. |
| Myelogram leh CT scan hmanga tih a ni | Hei hi test a ni a, thil chiang tak takah chauh hman a ni a, a tam zawkah chuan operation ruahman hunah hman a ni. Chu chu ruhroah dye bik inject a, CT scan tih a ni. | MRI a lo chhuah tak avangin tunah chuan he test hmanna hi nasa takin a tlahniam ta a ni. |
"Red Flags" tih hi eng nge ni?
Doctor-te chuan "red flags" vaukhânna chhinchhiahna an ti a, hei hian damdawi lam dinhmun khirh tak a nihzia a tilang thei a ni. Heng symptoms te hi i neih chuan i doctor chuan imaging test atan a refer nghal thei che a ni.
- Tlu emaw, accident na tak emaw.
- Sawifiah loha taksa rihna tlahniam leh khawsik.
- Zun emaw, ek emaw control theih lohna (Hei hi emergency pawi tak a ni. Damdawi in Emergency Department (ETU) ah i kal nghal tur a ni).
- Zawi zawiin kea hriatna hloh emaw chak lohna emaw tihpun.
- Cancer vei tawhna nei tawh.
Nerve Test neih a ni
A châng chuan, a bîk takin a natna chu rei tak a awm reng chuan, nerve pakhat chu engzat nge a tihchhiat tih chiang taka hriat theih nân test dang neih leh a ni.
Electromyogram (EMG) tih a ni. He test-ah hian needle ang chi electrode te te te chu taksa ruh chhungah dahin, computer screen-ah electrical activity chu enfiah a ni. He test hi a hrehawm deuh thei. Mahse doctor chu nerve a chhiat leh chhiat leh buaina chu taksa ruh a awm leh awm loh a hriat theih nan a pui a, nerve chhiatna zau zawng tehna atan pawh a pui thei bawk.
Take-Home Thuchah a ni
- Back pain hi a tam hle a, a tam zawkah chuan chawlh hahdamna tha leh enkawlna awlsam tak hmangin kar tlemte chhungin a reh thei.
- I hnungzang natna i neih apiangin X-ray emaw MRI emaw i mamawh lo. A tul lo taka hengte hi hman hi sum khawhralna a ni thei a, a tul lo taka lungkhamna a thlen thei bawk.
- I doctor-in a tih hmasak ber tur chu i thusawi ngaithla a, a enfiah che hi a ni. Chu chu diagnosis-a step pawimawh ber a ni.
- I doctor thurawn chu ring rawh. Test a ngai a nih chuan a refer ngei ang che.
- "Red flag" symptoms, urinary/fecal control hloh, i ke chakna hloh nghal te i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.
- I ṭhian emaw, i chhungte emaw MRI report en mai mai pawhin chutiang dinhmun chu i nei ve tho ang tih ring suh. Mi tin dinhmun a inang lo. I test result chu doctor nen sawiho fo thin ang che.
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