I naupan lai atang tawhin ṭhiante'n, "He tlangval hi rubber ball ang mai a ni a, a duh angin a ben thei" tia hrilh che i nei tawh em? Midang aiin i ke ruhte chu i ben leh thei zawk mai thei. A nih loh leh i khup i tihdik hian hnunglam hawiin i hria mai thei bawk. Hetiang chi hi ruh (joint)-a, chu chu ruh (joint)-a flexibility lutuk hi damdawi lama `joint hypermobility` kan tih chu a ni. Chuti a nih chuan hei hi natna a ni em? Hei hi a hlauhawm em? Hei hi engtin nge test theih ang tih i ngaihtuah mai thei. Chu chu vawiina kan sawi tum chu a ni.
Beighton Score hi eng nge ni?
A awlsam zawngin, Beighton Score hi test awlsam tak a ni a, i ruhte chu engtiang chiahin nge a flexible, a nih loh leh bendable tih tehna a ni. Machine lian tak, thisen lakna emaw, thil dang emaw hmanga test hlauhawm tak a ni lo. I doctor-in mimal taka a tih tur thil awlsam tak tak tlemte chauh a ni.
He test hian point 9 scale a hmang a. I score a san poh leh i joint te chu a flexible zawk thin. Exam grading ang mai a ni a, mahse score sang zawk hmuh chu thil tha a ni lo mai thei. Chumi chungchang chu nakinah kan sawi leh ang.
He test hian heng i joint te hi a ngaihtuah ber a ni:
- I kut pahnih kutpui bulpui
- Elbow pahnih a awm
- Khup pahnih
- Kut zungtang te tak te zinga middle joint te
- Spine (spine) 1.1.
Engvangin nge he baton test hi a pawimawh?
He test hi joint hypermobility syndrome , natna tlanglawn tak, mipui zahawm tak 3% vel, emaw mi za zinga pathum vel emaw hriat theihna tura tih a ni fo.
Mahse hetah hian hriatthiam tur pawimawh tak a awm. Flexible tak tak zawng zawng hian hetiang dinhmun hi an nei vek lo. Dancer leh gymnast ang chi te hian joint flexible tak tak an nei a. An training rah chhuah a ni. Mahse, a châng chuan, he insiamrem lutuk hi a hnuaia awm dinhmun dang chhinchhiahna a ni thei bawk.
A bik takin he natna hi hereditary connective tissue disorders (HCTD) nen a inzawm thei a ni. A awlsam zawngin sawi ila, connective tissue hi kan taksa peng leh tissue te inzawmkhawmtu leh puihna pe theitu ‘gum’ ang a ni. He connective tissue hi a chak loh chuan ruh (joint) te chu a ben nasa lutuk tan thin. Chung dinhmun thenkhat chu:
- Ehlers–Danlos natna (EDS) natna hi a awm lo.
- Marfan syndrome a ni
- Osteogenesis a famkim lo
Chuvangin, i ruh a flex lutuk a, ruh na leh ruh a hring fo a nih chuan doctor pan a, he thu hi sawipui a pawimawh hle.
Engtin nge he test hi i tih? I han en teh ang.
He test hi hmun hnih a awm a ni. A hmasa berah chuan i ruhte chu hmun thenkhatah an sawn a. A pahnihnaah chuan zawhna engemaw zat zawh che a ni. Heng zawng zawng hi i doctor-in a ti vek a ni. In lamah heng thilte hi nangmah ngeiin tih tum loh tur a ni.
| Maneuver a ni | Point pek dan tur |
|---|---|
| Part One: Taksa tihchak (A vaiin point 9) 1.1. | |
| I khup ben lovin hmalam pan a, i kutphah pahnih chu leiah a kimin i dah thei em? | A theih chuan point 1 . |
| I elbow chu normal straightness aiin i hyperextend thei ang em? | Elbow khatah point 1 (a vaiin point 2) . |
| I khup chu normal range of motion aiin i hyperextend thei ang em? | Khup khatah point 1 (a vaiin point 2) . |
| I kut zungtang te tak te chu degree 90 aia tam hnunglam i ben thei em? | Kut zungtang te tak te pakhatah point 1 (a vaiin point 2) . |
| I kutpui chu hnunglam hawiin i kut hmawr lamah i hnawih thei ang em? | Ke ruh lian pakhatah point 1 (a vaiin point 2) . |
| Part Two: I hun kal tawh chungchanga zawhna (Total 5 marks) . | |
| I khup ben lovin i kutphah pahnih chu leiah i dah thei tawh em? | "Ni e" tih hi point 1 a ni . |
| I kutpui chu i ben thei a, i kut hnuai lamah i hnawih thei tawh em? | "Ni e" tih hi point 1 a ni . |
| I naupan lai khan i taksa chu kawng hrang hrangin i ben a, i thiante chu mak i ti ngai em? (e.g., splits te kha i ti thei ang em?) | "Ni e" tih hi point 1 a ni . |
| Naupang emaw, puitling tleirawl emaw i nih laiin i kephah emaw, i khup emaw vawi khat aia tam i tikehsawm tawh em? | "Ni e" tih hi point 1 a ni . |
| "Double-jointed" tiin i in sawi dawn em ni? | "Ni e" tih hi point 1 a ni . |
Test neih chhung hian eng nge beisei tur?
Hei hi test awlsam tak, rang tak a ni. I doctor chuan thu turin, ding turin emaw, khumah mu turin a ti ang che. Tichuan i ruhte chu zawi zawiin a khawih ang a, a chunga kan sawi tak thiltih te hi a ti tir ang che.
Test pumpui hi minute tlemte chauh a ni. A pawimawh ber chu he procedure chhung hian natna i nei lovang . Chuvangin hlauh tur a awm lo.
Hei hian risk leh side effect a nei lo.
Hemi rah chhuah hi engtin nge i hriatthiam?
A result chu i hre nghal thei ang. Doctor chuan activities te chu i hnenah a ti ang a, score te chu a add up ang a, chutah chuan a hrilh nghal ang che.
Joint hypermobility syndrome hi a hnuaia mi ang hian rinhlelh a ni tlangpui.
- Chu physical activity scale-ah chuan score 4 emaw a aia tam emaw i neih a, thla 3 aia tam i ruh 4 emaw a aia tam emaw i na a nih chuan.
- A nih loh leh, hun kal tawh chungchanga zawhna 2 emaw a aia tam emaw ‘yes’ i chhan chuan .
Mahse hei hi i ngaihtuah reng tur a ni: Batten score sang tak i neih chuan a hmaa kan sawi tawh Ehlers–Danlos syndrome ang kha natna khirh tak i nei tihna a ni lo .
Batten score hi diagnosis neihna kawngah step khat chauh a ni. A ringawt pawh hian natna i neih leh neih loh 100% a hril thei lo. I doctor chuan thil dang tam tak, i natna lan chhuah dan leh chhungkaw chanchin te chu a ngaihtuah ang a, a tul chuan test dang neih belh turin a refer ang che.
Okay, ka score a sang hle mai. Tunah hian engtin nge ka tih ang?
I Batten score a sang a nih chuan hlauthawng suh. I tih hmasak ber chu i doctor nen inbiakna neih hmasak ber tur a ni. I tih leh tur chu a hrilhfiah ang che. Zawhna te pawh i zawt thei bawk ang:
- "Doctor, test ka tih belh a ngai em?"
- "He `joint hypermobility syndrome` natna hi engtin nge i enkawl?"
- "Ka ruh hriselna tihchangtlun nan leh tichak turin eng nge ka tih theih ang? Exercise ang chi thil hi a tha em?"
- "Hetiang dinhmun nen hian engtin nge nitin hna ka thawh ang?"
I doctor chuan i mamawh thurawn a pe ang che, chutah chuan physiotherapy atana referral pawh a tel thei ang.
Take-Home Thuchah a ni
- Beighton Score hi test awlsam tak, natna nei lo, i ruhkawrte inthlak danglam theihna tehna a ni.
- Score sang tak i neih chuan i ruhte chu a tlangpui aia flexible zawk tihna a ni. Hetiang dinhmun hi `joint hypermobility` an ti a.
- Flexible joint neih hi natna a ni ngai lo. Mi hrisel tak tak pawhin he natna hi an nei thei a ni.
- Score sang tak leh symptoms rei tak i ruh na leh ruh na fo thin i neih chuan doctor pan a pawimawh hle.
- He test hi diagnosis neih theihna tura zinkawng bul tanna chauh a ni. Natna khirh tak tak hriatchhuah nan a tawk lo. Chuvangin i result chu i doctor nen sawiho fo thin ang che.
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