Engtin nge doctor hian i natna a hriat chian? (Differential Diagnosis tih a ni) 1.1.

Ni engemaw zat chhung chu i pum natna nasa tak i nei tawh ang tih han ngaihtuah teh. Chuvangin doctor hmu turin i kal a. Doctor chuan zawhna a zawt che a, a enfiah che a, "Hmm... gastritis a ni thei a, appendicitis a ni thei bawk. Test engemaw zat han ti ila," a ti a. Doctor-te hian engvangin nge buaina chu eng nge ni tih chauh an sawi lo va, thil dik lo awm thei tlemte chauh an sawi tih i ngaihtuah ngai em? Chu chu damdawi lama differential diagnosis kan tih chu a ni. Ngaihtuah buai suh, thumal lian tak a ni a, mahse a awlsam hle. Vawiin hian sawi ila.

A awlsam zawngin, differential diagnosis chu eng nge ni?

Hei hi i diagnosis hnuhnung ber a ni lo. Detective tha tak han ngaihtuah teh. Thil sual tihna hmuna a kal chuan, "Hei hi a mawhphurtu a ni," a ti nghal ngai lo em ni? A tih hmasak ber chu thil sual ti ni thei nia a rinhlelh mite list siam a ni. Tichuan, evidence a khawlkhawm a, a in check a, chu list atang chuan mi pawimawh lote chu a paih chhuak a, a tawpah chuan a mawhphurtu tak tak chu a man ta a ni.

Doctor pawhin chutiang bawk chu a ti ve tho. Symptom thenkhat nen i rawn luh chuan doctor chuan chutiang symptom nena inmil natna awm thei list a rawn siam chhuak thin. Chu "natna awm thei list" chu (Differential Diagnosis) kan tih chu a ni. Hei hi diagnostic process-a hmalakna hmasa ber pawimawh tak a ni.

Natna dik tak hriat theih nân doctor chuan eng step nge a hman?

Doctor chuan natna chu eng nge ni tih chiang taka hriat tumin zinkawng mumal tak a nei a. Stairs thlawhna atanga chhuk ang mai a ni. Step khat pawh i skip thei lo.

1. I symptoms chungchang hi an zawt nasa hle che a: "Engtin nge i awm?", "He harsatna hi eng chen nge i lo neih tawh?", "Eng nge a natna chu? Hriselna a ni em? A nih loh leh thil pakhatin a nawr ang mai a ni em?", "Eng harsatna dang nge i neih?" I dinhmun kimchang taka hriat tumin zawhna: "Engtin nge i awm?", "Eng chen nge he harsatna hi i neih tawh?"

2. I damdawi lam chanchin zawt rawh: "Hetiang hi i chungah i lo thleng tawh em?", "Natna dang zunthlum emaw thisen sang emaw i nei em?", "I chhungkuaah hian heng natna hi tu emaw an nei em?", "Damdawi emaw vitamin emaw i ei em?" Heng zawng zawng hi a pawimawh a ni.

3. Taksa enfiahna: Hemiah hian i taksa an khawih ang a, i pum an palpate ang a, i rilru leh i lungte chu stethoscope hmangin an ngaithla ang a, i thisen sang an teh ang a, i temperature an check ang. Hengte hian doctor hnenah clues tam tak a pe ang.

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5. A tul chuan test tam zawk ziah a ni ang:Chu rinhlelh list atang chuan mawhphurtu dik tak chu zawn chhuah theih nan evidence tam zawk a ngai a ni. Chuvang chuan thisen test te, zun test te, scan te, X-ray te tih te hi a ni.

6. Test Results leh Symptoms thlirlet: Test result a lo luh veleh doctor chuan i symptoms nen a khaikhin ang. Tichuan, "Ni lo, hei hi a ni thei lo," tiin list-a natna thenkhat chu a ti bo thei a ni.

7. Coming to a Final Diagnosis: Heng zawng zawng tih zawh hnu hian a tawpah chuan doctor chuan chiang takin, "Ni e, he natna hi i nei a ni," a ti thei ta a ni. Chumi hnuah chauh chuan enkawlna dik tak chu a intan thei ang.

Engvangin nge hetiang list siam hi a tul? Thil dik lo a nih theih vang em ni?

A dik tak chuan, he method hi tihsual awm lohna turin hman a ni . Ngaihtuah teh, mi pakhat chu a rilru na tak nen a rawn lut a, doctor chuan, "Aw, hei hi gastritis a ni" tiin a ngaihtuah a, chu chu damdawi a pe a, mahse a takah chuan heart attack bul tanna a nih chuan engtin nge ni ang? Chu chu accident lian tak a ni thei a ni lawm ni?

Mahse doctor pakhatin Differential Diagnosis method a hman hian, "He rilru natna hi gastritis vang pawh a ni thei. Chutih rual chuan taksa ruh natna vang pawh a ni thei bawk. Mahse a hlauhawm ber chu heart attack a nih theihna chance tlemte a awm a ni," tiin a ngaihtuah thin. Tichuan, thil hlauhawm ber chu a theih leh theih loh finfiah nan a tul anga test (e.g., ECG) a ti thin. Heart attack a ni lo tih a chiang tawh chuan a chhan dang a en thei tawh ang. Hei hi i himna tur a ni.

Natna lan chhuah dan inang lo entirnan thenkhat

Hetiang kalphung hi a pawimawh zia hrethiam tur chuan a lan chhuah dan tlangpui thenkhat leh a thlen thei damdawi lam dinhmun hrang hrang te hi han thlir ila.

Tunah chuan symptom khata awm chhan hrang hrang engzat nge awm theih tih i hmu thei tawh ang, a dik em? Chuvangin doctor-in hetiang hian a ngaihtuah hi i himna atan a pawimawh zia i hmu thei ang.

Hetiang kawngah hian i lam atanga eng nge thleng tur?

He detective zinkawngah hian nangmah hi thuhretu ber i ni. Chuvangin, i tanpuina hi doctor tan chuan a hlu hle a ni .

• Engkim ah dik takin awm rawh: I rilru natna tenau ber pawh thup suh. A châng chuan, "hei hi a pawimawh tak tak lo" tia i ngaih thil chu doctor-in harsatna a hmuh theih nân clue lian tak a ni thei bawk.
• I damdawi ei tur list keng la: I damdawi ei zawng zawng (condition dang, vitamin, powder, Sinhala damdawi thlenga hman tur) te chu i doctor hnenah hrilh rawh. A châng chuan, i natna lan chhuah chhan chu damdawi dang i ei lai a ni thei bawk.
• Zawhna zawh hlau suh: "Doctor, hei hi eng ang natna nge ni thei ang?", "Eng ang test nge ka tih a ngai?", "Heng test atang hian eng nge ka beisei ang?" Zawt. I hriat chian poh leh i hlauhthawn loh phah ang.
• Ngawi reng rawh: Doctor-in, "He natna hi a ni thei, chu natna chu a ni thei," a tih hian hlau suh. Chutiang natna zawng zawng chu i nei tihna a ni lo tih hre reng ang che. Natna dik tak an hriat chian hmain thil awm thei zawng zawng an ngaihtuah vek tihna chauh a ni.

Engtikah nge Doctor i hmuh leh duh?

Diagnosis process chhung hian i dinhmun a danglamna a awm chuan doctor hriattir a pawimawh. A hnuaia thil awm danah hian doctor ko leh emaw, hmu leh emaw ngei ang che:

• I symptoms te chu a zual nghal emaw, a bo vek emaw a nih chuan.
• Symptom thar i neih chuan.
• Thil dang avanga damdawi ina dah a ngai a nih chuan.
• Tuna i damdawi ei mekte hi tihdanglam i mamawh a nih chuan (e.g. doctor dangin damdawi thar a pek chuan)

He information hian doctor chuan i natna a hriat theih nan a pui ang.