Mental Status Exam - Hei hi eng nge ni? Hlauh tur thil a ni em?

Doctor hmu tura i kal chuan i taksa an enfiah ang a, an bia ang che, a chang chuan i ‘rilru’ enfiah nan zawhna engemaw zat an zawt ang che, a dik em? A dik zawk chuan i rilru dinhmun. Mi thenkhat chuan hei hi a mak deuh mai thei. "Engvangin nge heng zawhnate hi min zawh? Ka â i ti em?" I ngaihtuah mai thei. Chu chu ‘Mental Status Exam’ kan tih chu a ni. Ngaihtuah buai suh, hei hi i ngaihtuah angin a pawi lo, a takah chuan a awm fo hle. Hei hian eng nge a awmzia tak tak a, engvangin nge a pawimawh tih i lo en ang u.

He Mental Status Exam hi eng nge ni?

A awlsam zawngin sawi ila, doctor-in taksa a enfiah ang bawkin i rilru leh thluak enfiahna a ni. I chhehvel khawvel i zir dan leh i hriatthiam dan tur rough idea neih hi a ni. Psychiatrist-te hman fo ni mahse, eng doctor pawhin he test hi an ti thei a ni.

He examination neih chhung hian doctor chuan i chungchang a hnuaia thilte hi a ngaihtuah ber ang:

• I hmel tlangpui leh thianghlimna
• I nungchang leh taksa che vel
• I chhehvel khawvel i hmuh dan leh i hriatthiam dan (Perceptions) .
• I mood leh emotion i sawi chhuah dan (Mood and affect) .
• I hriat theihna (Cognition) te. Chu chu ngaihvenna, hriatrengna, ngaihtuah thiamna, leh thutlukna siam thiamna ang chi thilte a kawk a ni.

He test hian rilru lam hriselna dinhmun ( schizophrenia emaw lungkhamna emaw ) bakah nervous system nena inzawm natna ( Alzheimer’s disease emaw Parkinson’s disease ang chi) te hriatchhuahna kawngah a pui hle a, chutiang dinhmunte chu hun kal zelah a danglam em tih enfiahna kawngah pawh a pui hle bawk.

Eng dinhmunah nge he test hi tih a nih?

A tlangpuiin, engtik lai pawhin doctor i hmuh hunah, emaw, follow-up appointment i neih laiin, i doctor chuan he test thenkhat hi a ti thei a ni. Thu an dawnte hian test dang i mamawh leh mamawh loh leh eng ang enkawlna nge i tan a tha ber tih an rel thei ang.

Tin, he test result tichhe thei thil dang engemaw zat a awm bawk. Doctor chuan heng zawng zawng hi a ngaihtuah vek ang.

• I nunphung: Hnam thenkhat chuan rilru natna an lantir dan a inang lo.
• I pianpui tawng: Ṭawng buaina avang hian chhan a harsa mai thei.
• I zirna level: I zirna level hian zawhna thenkhat chhanna a nghawng thei a ni.
• Pawn lam thil dang: Mut that lohna, riltam, leh natna ang chi thilte hian i ngaihtuahna leh hriatrengna a tichhe thei a ni.

Chuvangin, he test ringawt atang hian doctor chuan natna i nei tih a sawi chhuak ngai lovang. I hnen atanga thu dang tam tak a rawn khawlkhawm hmangin a ti ang. Hei hian a huam tel a ni:

• Tuna i damdawi lam dinhmun chipchiar takin.
• Tun hmaa rilru natna i neih tawhna chanchin.
• I natna dang (past medical history) chungchang chipchiar takin.
• Ruihhlo emaw zu emaw hman dan chipchiar.
• I khawtlang leh chhungkaw dinhmun.
• Taksa enfiahna tlangpui.
• Neurological exam a ni.
• Test report ang chi thisen test te.

Chuti a nih chuan, he test-ah hian doctor hian eng chiah nge a zawn?

He exam hi hmun hnih ah then theih a ni. Pakhat chu doctor-in a enkawl che avanga a hmuh tur information a ni. A dang chu zawhna zawh che avanga a hmuh tur information a ni.

Thil an enfiah thin

Doctor chuan room chhunga i luh tirh atang khan a lo en reng ang che. Hei hi detective hna angin ngai suh, hei hi i dinhmun chiang taka hriat theihna tur a ni.

Zawhna an zawh leh thil an check thin

Enfiahna bakah hian doctor chuan i rilru hnathawh dan hriat belh duh chuan direct question a zawt ang.

• Mood: "Engtin nge i awm?"
• I ngaihtuah: I rilruah eng nge awm tih a zawt a, a bik takin mahni intihhlum tumna (mahni intihhlum ngaihtuahna) , midang tihchhiat tumna, leh i rinna kalh zawnga i vawn tlat delusions te a zawt thin
• Perception: I hriatna panga (mit, beng, hnar, lei, vun) hmanga i thil hriat chungchang a zawt thin. Hei hian thil awm lo (hallucinations) i hriat leh hmuh loh a en ber a ni.
• Insight: Hei hian nangmah leh i nungchang leh khawtlang nunah i hnathawh dan chungchanga hriatthiamna i neih zat a teh a ni.
• Rorelna: 1.1.Thutlukna tha siam theihna i tehna a ni. Entirnan, "Kawngpuiah i kal laiin address ziak envelope i hmu a nih chuan engtin nge i tih ang?" I nungchang hmasa, i damdawi ei tur a tih ang anga i ei leh ei loh te pawh hian hei hi a nghawng thei bawk.

A bik takin i hriat theihna (Cognition) te chu test a ni.

Hei hi test-na atana thil pawimawh tak a ni. I thluak hnathawh dan chiang taka hriat theihna turin a pui che a ni.

• Alertness: Engtiang chiahin nge i conscious. Entirnan, i harh kim a, i chhang let thei emaw, stupor emaw coma emaw-ah emaw i awm emaw.
• Orientation: Hei hi "Tunge? Khawiah nge? Engtikah nge?" zawhnate a awm. Doctor chuan i hming, i awmna hmun (hospital, khawpui), leh i ni a zawt ang che.
• Ngaihtuahna leh ngaihtuahna seng: Hei hian thil pakhatah eng chen nge i rilru i pek theih tih a test a ni. Entirnan, 100 atanga 7 paih turin an ti thei che a, a nih loh leh hawrawp tlemte i hriat laiin ‘A’ hawrawp i hriat chuan kut beng turin an ti thei che a ni.
• Memory: Memory hmun hrang hrang a test thin.
• Hriat nawn leh nghal: Thumal pathum sawi leh sawi nawn nghal tura ngen a ni.
• Tun hnaia hriatrengna: Minute tlemte hnuah a hmaa i sawi thumal pathumte kha a lo lang leh ta.
• Hun rei tak chhunga hriatrengna: Thil hlui tak tak, i pianna hmun leh sikul i kalna hmun te a zawt che a ni.
• Abstract reasoning: Hei hian awmzia leh ngaihdan thup i hriatthiam theihna a test a ni. Entirnan, "Apple leh orange hi eng nge an danglamna?" A nih loh leh, "'Ginger hi chili pepper ang a ni,' tih tehkhin thu hi eng nge a awmzia?"

Results a dik lo a nih chuan eng nge thleng leh ang?

Doctor-in endik laiin thil pangngai lo a hmuh chuan natna i nei tih a sawi nghal lovang. A hmasain zawhna tam zawk a zawt ang che. Entîr nân, ngaihtuahna i ngaihtuah harsat a nih chuan, "Ni eng zât nge i mut ṭhat loh?" Hei hi mut theih lohna ang chi thil awlsam tak vang pawh a ni thei.

Tichuan, i natna lan chhuahna taksa lam thil a awm leh awm loh hriat tumin test thenkhat tih tir i ni thei bawk.

Thil engemaw takah chuan test buaithlak zawk a ngai thei bawk.

• Brain imaging test PET scan emaw thluak MRI emaw ang chi te .
• EEG (Electroencephalogram) test (thluak electric hnathawh dan tehna).
• Spinal fluid (cerebrospinal fluid) enfiah a ni.

Heng zawng zawng hnuah hian i doctor chuan test result chu a hrilhfiah ang che a, i tih tur chu nangmah nen a rel ang.