A châng chuan, kan infiam lai te, kan tlan lai te, stairs kan chhoh lai te, a nih loh leh kan kal dân pangngaia kan kal lai te pawh hian kan khup natna nasa tak kan nei thut mai thei. A châng chuan, ‘click’ thawm pawh kan hre mai thei. Chuvangin, he khup natna thlentu hi i khup hmun ‘meniscus’ an tih chhiatna a ni thei. Vawiin hian doctor-in he natna hi dik taka a hriat theihna tura a hman test awlsam tak, hmanraw bik engmah awm lovin kan sawi dawn a ni.
He McMurray test hi eng nge ni?
A awlsam zawngin sawi ila, McMurray test hi doctor-in i khup chhunga meniscus chu a chhe tawh em, a chhe tawh em, a chhiat em tih enfiahna atana a tih thin physical test bik a ni. Doctor office-a tih theih thil a ni. Ni hran emaw, machine lian emaw a ngai lo.
He test neih chhung hian doctor chuan i ke leh khup chu kawng hrang hrangin a ben ang a, a tikehsawm ang. Chutianga a tih lai chuan natna eng emaw i hriat leh hriat loh te, i khupin click ri a siam leh chhuah loh te, a tlakbuak ang maia a hriat leh hriat loh te chu ngun takin a ngaihven ang.
A tlangpuiin khup natna nei doctor pan i kal chuan McMurray test hi initial test angin an ti thin. Amaherawhchu, he test ringawt hi natna hriat chian nan a tawk lo. He test atanga information kan hmuh hmang hian doctor chuan a tul chuan scan ang chi thil tihsak turin a rawt thei bawk.
Engtikah nge McMurray test ka mamawh ang?
Doctor in i `(Meniscus)` a chhiat a rinhlelh chuan he test hi a ti ang. He `(Meniscus)` hi kan khup ruh chhunga rubbery cartilage chi khat a ni. A dik zawka sawi chuan kan thigh bone (`(Femur)`) leh shin bone (`(Tibia)`) inkarah `shock absorber' ang mai a ni. Hei hian kan tlan leh kan zuang hian kan ruh (joint) chu a venghim a ni.
Cricket i khelh laiin i khup i tikehsawm a, rang takin a sir khatah i hawi ta ang tih han ngaihtuah teh. A nih loh leh i tlu ta a ni. Hetianga rang tak, na taka che hian meniscus chu a tikehsawm thei a ni.
Meniscus tear natna lan chhuah dan tlangpui thenkhat a awm. Eng nge an nih i han thlir teh ang.
| Symptom a ni | Hrilhfiahna |
|---|---|
| ‘click’ emaw ‘pop’ emaw ri hriat | Hliam lai khan khup chhung atanga popping sound hriat emaw hriat emaw. |
| Khup a nghet lo | I khup chu ding emaw, kal lai emawa thunun theih loha ‘bending’ emaw ‘jumping’ emaw ang maia inhriatna. |
| Natna leh hliam | Khup natna leh hliam nasat zual, a bik takin khup ben leh rotate hian. |
| Khup a nghet lo | I khup chu a tlakbuak ang maia inhria, a ben kim thei lo emaw, a dinglam thei lo emaw. |
Heng symptoms te hi i neih chuan doctor i hmuh hunah McMurray test an tihsak theihna chance a awm.
Engtin nge he McMurray test hi tih a nih?
Hei hi thil awlsam tak tak tlemte hmanga tih theih a ni. Harsatna i nei lovang.
1. A hmasa berin khumah mut tir i ni ang. Hahdam takin i mu a ngai ang a, i kut chu chunglam hawiin i mu ang.
2. A dawtah chuan doctor chuan i khup chu 90 degree thlengin a ben ang a, chu chu chair-a i thut laiin i khup a tih ang bawkin.
3. Tunah chuan i khup ben chu chhung lam (hip lam hawiin) leh pawn lam (hip atanga hla takah) a rotate ang.
4. A tawp berah chuan zawi zawiin i ke a phar leh a.
Hetianga i ke i sawn lai hian doctor chuan i khup ruh chungah a kut a dah ang. Meniscus a chhiat chuan heng chetna hmang hian ‘click’ emaw, khup a tightness emaw a nei ang. Natna i neih leh neih loh a zawt bawk ang che. I rilru put hmang dik tak sawi a pawimawh hle.
He test ah hian i meniscus ah hian pressure tlem i pe a, a dik lo a awm em tih i en thin. Lungngai suh, hei hian i khup a tichhe leh tawh dawn lo.
Test zawhah eng nge thleng?
McMurray test hi khup enkawlna kawnga hmalakna hmasa ber chauh a ni. He test neih chhung hian doctor chuan thil danglam tak a hriat emaw, a hriat emaw chuan a hnua i tih tur a hrilh ang che.
Vawi tam tak chu, i natna hriat chian nan test eng emaw zat i neih belh a ngai dawn a ni.
- X-ray test: Ruh a chhiat leh chhiat loh enfiah thin ang che.
- MRI scan (Magnetic Resonance Imaging) hmanga enfiah a nih chuan:Hei hi meniscus leh ligaments ang chi soft tissue chhiatna chiang taka hmuh theihna kawng tha ber a ni.
- Ultrasound hmanga scan a ni.
A châng chuan, khup chhûnga chhiatna awmte en emaw, siam ṭhat emaw nân surgery tenau , khup arthroscopy an tih chu tih theih a ni. Hei hian khup chhungah camera te tak te dah a huam a ni. Hei hi kalphung awlsam tak a ni a, a tlangpuiin ni khatah in lam pan theih a ni.
Engtikah nge Doctor ka hmuh ang?
Khup na emaw, hliam emaw ang chi thil hi ni engemaw zat hnuah a awm reng a, a na zual a nih chuan doctor pan ngei ngei tur a ni.
Amaherawhchu, a hnuaia symptom na tak tak te hi i neih chuan damdawi in Emergency Department (ETU) ah pan nghal mai tur a ni.
- Tuar theih loh khawpa hrehawmna.
- A hring chhuak chak hle.
- Khup rawng a danglam (blue, purple).
- Khup chu a che thei lo emaw, a pangngai anga che thei lo emaw.
Take-Home Thuchah a ni
- McMurray test hi doctor-in khup-a meniscus hliam nia rinhlelh a nih chuan taksa enfiahna awlsam tak a ni.
- Hemi atan hian hmanraw bik a ngai lo. Doctor hnenah i ke a sawn laia i hriat (natna, ‘click’ ri) dik tak i hrilh a pawimawh.
- Hei hi test him tak a ni a, mahse diagnosis hmasa ber chauh a ni.
- Examination-ah hian meniscus hliam a awm tih a hriat chuan test dang, MRI scan ang chi chu a dik tih finfiah a ngai dawn a ni.
- Khup na tak, khup na tak, i khup che thei lo i neih chuan emergency room (ETU)-ah rei vak lovah kal thin ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh