I rilru hriselna engtin nge a awm? - Mental Status Exam chungchang i zir dawn teh ang!

‘Mental Status Exam’ tih hi i hre ngai em? I doctor chuan pakhat atan a refer che a ni mai thei. Hei hi fiahna pawimawh tak a ni. Eng nge a nih leh engtin nge a tih tih hi han thlir ila, a awlsam zawngin.

A awlsam zawngin sawi ila, he Mental Status Exam hi eng nge ni?

Doctor-in natna a hmuh theih nan i taksa a enfiah ang maiin han ngaihtuah teh (taksa enfiahna), hei hi chutiang bawk chu a ni a, mahse hei hian i rilru hriselna leh hnathawh dan a en a ni Chu chu doctor-te chuan thil i zir thiam dan leh i chhehvel (mental capacity) i hriatthiam dan an teh tihna a ni. Hemiah hian doctor chuan a enfiah che a, zawhna a zawt che a ni. Hemi hmang hian i chungchang a hnuaia thilte hi an check thin:

• Hmel leh mizia tlangpui.
• Thiltih dan leh che vel.
• Thil hriat dan (Perceptions).
• Mood leh affect te.
• Thil hriatna (Cognition) te, ngaihvenna, hriatrengna, ngaihtuahna fim thiamna, leh thutlukna siam thiamna te.

Hei hi rilru lam doctor-te tih taksa enfiahna ang mai ni mah se, eng doctor pawhin he test hi an ti thei tak tak a ni. He Mental Status Exam hi rilru lam hriselna dinhmun hrang hrang (Schizophrenia emaw lungkhamna nei lo ang chi) leh thluak lam natna (Alzheimer's disease emaw Parkinson's disease ang chi) hriatchhuah leh enkawlna kawngah a pui hle.

He test hi engtik lai nge tih a nih?

A tlangpuiin, doctor hmu tura i kal hunah, emaw, enkawlna zawm tur i kal hunah emaw, doctor-te chuan he Mental Status Exam'' hi an ti mai thei a ni.A result hian eng test dang nge i mamawh tih leh eng ang enkawlna chi nge dik tih an hriatthiam theih nan a pui ang.

Mahse thil pakhat hriat reng tur chu he Mental Status Exam hi mi hrang hrangah a inang lo thei subjective assessment a ni . Chumi awmzia chu, mi pakhat tan pawh doctor hrang hrangin thutlukna hrang hrang an siam thei tihna a ni. Tin, doctor thiamna hian hei hi a nghawng bawk.

Doctor-te chuan he test hi an tih hian thil engemaw zat ngaihtuah an tum a, heng thilte hian i test performance a nghawng thei a ni:

• I nunphung.
• I pianpui tawng.
• I zirna level leh lehkha chhiar thiamna.
• Thil dang stressful tak tak, mut theih lohna, riltam, natna te.

Tin, doctor-te chuan he Mental Status Exam result-ah hian diagnosis an siam mai mai lo . Thil dang tam tak an ngaihtuah bawk. Entir nan:

• Tuna i damdawi lam dinhmun chipchiar tak.
• I rilru hriselna history hmasa kha.
• I medical history kal tawh kha.
• Ruihhlo hman dan chanchin.
• Khawtlang nunphung.
• Taksa enfiahna.
• Neurological exam a ni.
• Test result ang chi thisen test te.

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He test hian eng nge a huam?

Doctor-te chuan Mental Status Exam''-ah hian enfiahna leh zawhna zawh hi an hmang vek a ni.Hetiang hmang hian i rilru theihna kawng hrang hrang an test thin. Chungte chu chi hrang hrangah then theih a ni.

Doctor-in a enfiah dan

I doctor-in a en hian a rang thei ang bera a teh theih thil engemaw zat a awm. Chung zingah chuan:

• A lan dan: Doctor chuan i faina te, i hmel lan dan chu i kum tarlan nen a inmil em tih te, leh hliam emaw, hliam emaw hmuh theih a awm leh awm loh te a chhinchhiah ang.
• Thiltih dan: I stress nasat zia te, i thawhpui dan te, eng harsatna pawh i neih leh neih loh te, etc. te an en a, damdawi ina i awm chhan leh hetiang dinhmunah hian beisei angin i awm em tih te pawh an en bawk.
• Motor activity / movements: Rilru, neurodevelopmental, leh neurological condition thenkhatah chuan chetna pangngai lo a awm thei. Entirnan, hyperactivity, khur, tics, rigidity, leh Parkinsonism te hi a ni.
• Thusawi: Test chhung zawng hian doctor chuan i thusawi tam zia leh i thusawi i dahkhawm dan a chhinchhiah ang. I aw speed, rhythm, volume leh tone te pawh an en bawk ang. Thusawi lama harsatna i neih leh neih loh pawh an zirchiang thei a, chu chu thumal slurring of words (dysarthria) te hi a ni.
• Affect: Doctor chuan i nonverbal cues te chu a enfiah ang. Hlim, lungngai, lungngai, lungngai, lungkham, a nih loh leh phur tih ang chi thumal an hmang thei a ni. I emotional expressions chu i stated mood nen a inmil em tih pawh an en bawk ang.
• Ngaihtuahna kalpui dan: Doctor chuan i ngaihtuahnate a inrual dan a en ang. Ngaihtuahna pangngai chu direct leh tum nei tak niin an sawi. I ngaihtuahna kalphung a mumal lo a nih chuan i ngaihtuahna chu dinhmun bik takah a tang tlat mai thei. Thlalak pumpui i hmu lo mai thei. A nih loh leh mi ṭhenkhatin ngaihtuahna thlawhna'' an tih chu i tawng ve mai thei bawk.

Zawhna zawh tur che

Doctor-te chuan i rilru theihna kawng ṭhenkhat fiahna turin direct question an zawt ṭhin. Heng zawhnate hmang hian hetiang hian an ennawn thei ang:

• Mood: Doctor chuan i rilru put hmang a zawt a, i chhanna chu a chhinchhiah bawk.
• I ngaihtuah: I ngaihtuah (entir nan, thil chiang tak chungchanga i ngaihdanDoctor chuan i thusawi ngaithlain direct question a zawt ang che. A bîk takin, mahni intihhlum tumna te, mi dangte tualthah ngaihtuahna te, leh inbumna te an enfiah ang.
• I chhehvel khawvel i hmuh dan: Doctor chuan i chhehvela thil i hriat , hriat, hmuh, rim, khawih) te chu a zawt ang. Hei hi hallucination i neih leh neih loh en turin an zawt ber a ni.
• Insight: Hei hian i inhriatthiamna leh i chhehvel khawvela i hnathawh dan a kawk a ni . Doctor chuan hei hi i thusawi ngaithla a, zawhna zawtin a ennawn thin. I hriatna chu a ṭha, a dik, a tlêm, a rethei tiin an sawi ang. A hma aiin a chhe zual zel nge a tha zawk tih pawh an sawi bawk ang.
• Rorelna: Hei hian thu tlûkna ṭha i siam theihna a kâwk a ni. Doctor-te chuan thil engemaw takah i awm dan zawtin hei hi an teh thin. I history-ah pawh a innghat bawk — entirnan, i damdawi i ei hun taka i ei leh ei loh.

I hriatna (cognition) tehna

Mental Status Exam-a thil pawimawh tak chu hriatna lama theihna (cognition) tehna hi a ni. He cognition category hi section engemaw zatah then a ni leh a:

• Alertness: Hei hi i hriatna level i neih chu a ni. Entirnan, i harh a, i chhang let thei a, semi-consciousness (stupor)-ah emaw, coma-ah emaw i awm thei bawk.
• Orientation: Hei hian i dinhmun leh i chhehvel i hriatna a kawk a, doctor chuan i hming, i awmna hmun (khawpui, state telin), leh ni i hriat leh hriat loh a zawt thei che a ni.
• Ngaihtuahna leh ngaihtuahna seng: Doctor-te chuan an zawhnate i ngaihven ṭhatzia an en ang. I concentration direct-a test theihna tur hna thawk turin an ti thei bawk. Entîr nân, random letter list aṭanga letter bik i hriat apiangin i kut beng tûrin an ti thei che a ni.
• Hriatrengna: Doctor chuan hriatrengna chi hrang hrang a test thei. Chung zingah chuan immediate memory, recent memory, leh long-term memory te pawh a tel. Entîr nân, an thusawi chu sawi nawn leh tûrin an ti mai thei che a. Eng high school nge i kal tih leh khawiah nge i pian tih ang chi thilte pawh an zawt thei bawk.
• Abstract reasoning: Hei hian awmzia leh ngaihdan i hriatthiam theihna a teh a ni. Entîr nân, doctor chuan thil pahnih in inang, a nih loh leh thu inang pakhat sawifiah tûrin a ti thei che a ni.

He test result hian eng nge a sawi?

Exam zawhah doctor chuan an thil hmuh leh an zawhna i chhan dan chungchanga i notes te chu a enfiah ang. Tichuan, heng thil hmuhchhuah leh chhanna zawng zawng hi an la khawm a, harsatna bik a lantir em tih an zirchiang thei a ni.

Ngaihtuah teh, rilru lam emaw, nungchang lama hna pahnih pawh tihfel harsa i neih chuan Mild Cognitive Impairment emaw (Dementia) emaw ang chi diagnosis a ni thei.

Hallucination i nei tih i sawi chuan rilru lam natna, manic episode of bipolar disorder, schizophrenia ang chi, emaw, Parkinson’s disease ang chi neurological condition emaw a ni thei.

Heng test te hian doctor te chu neurological conditions lo awm dan enfiah turin a pui bawk.

Doctor-te chuan heng note te hi i medical record-ah an dah tel tlangpui.

Results a dik lo a nih chuan eng nge tih leh tur?

He Mental Status Exam result hi a dik lo a nih chuan i doctor chuan i medical leh mental health history hriat belh tumin zawhna tam zawk a zawt thei ang. Entîr nân, ni thum chhûng i mut ṭhat loh chuan, chu chuan i ngaihtuahna fimkhur leh ngaihtuahna mumal taka vawn reng harsa i tih chhan a hrilhfiah thei a ni.

I doctor chuan taksa dinhmun avanga i natna lanchhuahna a thlen em tih enfiah turin laboratory test a ti thei bawk. Heng test-ah hian:

• Thisen glucose test: Thisen sugar level sang (hyperglycemia) emaw hniam (hypoglycemia) emaw hian i rilru chakna a tichhe thei a ni.
• Thisen urea nitrogen (BUN) test: Uremia hian hahna leh rilru tibuaitu a thlen thei.
• Urinalysis: Urinary tract infection (UTI) hian rilru leh nungchang a tidanglam thei a.
• Thyroid hormone test: Hyperthyroidism hian lungkhamna a thlen thei a, hypothyroidism erawh chuan lungngaihna a thlen thei thung.

A then phei chuan test dang pawh an order thei a, chungte chu:

• Imaging test te chu (PET scan) emaw (Brain MRI) emaw a ni.
• Electroencephalogram (EEG) hmanga enfiah a ni.
• Cerebrospinal fluid thlirletna a ni.

I doctor chuan test result chu a hrilhfiah ang che, chutah chuan nang leh ani chuan eng nge i tih tur tih chu in rel dun ang.