Lu na i nei fo em? A nih loh leh, i kal laiin i balance hloh emaw, i balance hloh emaw ang maiin i inhria nghal em? Chung thil awm chhan hriat tumin Doctor-in test bik a nei a. Vawiin hian he special test hi kan taksa control room ang maia thawk, nervous system-a tih thin hi kan sawi dawn a, chu chu neurological exam tihna a ni. He hming i hriat hian hlau suh, a awlsam hle mai.
A awlsam zawngin, neurological exam chu eng nge ni?
A awlsam zawngin, hei hi doctor-in i thluak, i ruhro leh i nerve-te a thawh that dan enfiahna atana a tih thin taksa enfiahna a ni. Car engine check ang maiin Doctor hian i taksa control system a check mek a ni. Hei hi i nervous system-ah harsatna a awm leh awm loh hriatna tha ber a ni.
He test atanga thu hriatte hian i doctor chu eng test (scan ang chi) nge i tih leh tur tih a hriat theih nan a pui ang. Heng test te hi i symptoms neih dan azirin a danglam thei. Chuvângin, i ṭhianpa test ang kha i ti thei lo mai thei. A chang chuan he test hian hun rei tak a daih thei a, a chhan chu kan nervous system hi system complex tak a nih vang a ni.
Nervous system condition avanga enkawlna i dawng tawh a nih chuan i doctor chuan he test hi a ti fo ang a, enkawlna chu a thawk tha em tih a enfiah ang.
He test hi tuin nge tih ngai?
A hnuaia chhinchhiahna tlanglawn pakhat emaw a aia tam emaw i neih chuan i doctor chuan neurological exam neihpui turin a rawt thei che a ni. Eng nge an nih i han thlir teh ang.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Lu na fo thin | Lu na na tak, awm reng, lu na pangngai nen a danglam. |
| Luak chhuak leh kal harsa | Room chu a inher ang maia inhriatna, kal laiin balance hloh, leh luak chhuak ang maia inhriatna. |
| Ke leh ke ruh chhunga rilru hahna emaw, hriatna hloh emaw | Kut, ke emaw, hmai hmun thenkhata tingling sensation hriat emaw, chu part chu nunna nei lo anga hriat emaw. |
| Vision a danglam thin | Sudden blurred vision, double vision, mit pahnih lam hawi thei lo. |
| Hriatrengna leh nungchang a inthlak danglam thin | Hriatrengna hloh, rilru hahdam lohna, buaina, sawifiah theih loh khawpa nungchang inthlak danglamna. |
| Thusawi harsa | Thumal slurring, thumal inzawmkhawm thiam lohna (Dysarthria emaw Aphasia emaw), thusawi hriatthiam theih lohna. |
| Kaih | Thil hriatna hloh nghal leh taksa khur emaw, chetna danglam tak tak emaw a awm. |
| Thil hriat loh (unconscious states) te | Thil hriat lohna thuk tak, coma ang chi. |
Hetiang symptom i neih vang mai mai hian natna khirh tak i nei tihna a ni lo. Mahse hetiang thil hi ngaihthah erawh a tha lo. Doctor hmu a, a chhan zawn chhuah hi a finthlak khawp mai.
Doctor hian examination neih chhungin eng nge a tih?
Okay, tunah chuan he test-ah hian eng nge thleng tih kan en ang. A then hrang hrang a awm a. Doctor, i symptoms a zirin heng part thenkhat emaw, a zawng zawng emaw hi i ti thei ang.
A hmasain doctor chuan zawhna tlem a zawt ang che. I symptoms te, engtik atanga lo intan nge i nih tih te, i rilru put hmang te, natna dang i neih te, damdawi i ei dan te zawhna tam tak an zawt ang che. Tichuan, taksa enfiahna chu a intan ang.
| Inspection section neih a ni | Thil tih tura tih leh test i neihte |
|---|---|
| Rilru dinhmun/Hriatthiamna (Cognition). | Hei hi i hriatrengna, i ngaihtuahna leh i ngaihvenna enfiahna atan a ni. Doctor chuan i ni, i hun leh i awmna hmun chungchang zawhna a zawt ang che. Thu tlemte sawi nawn leh turin a ti ang che. Calculation awlsam tak siam turin a ti ang che. |
| Cranial Nerves te a awm | Kan thluak atanga kan hmai, mit leh beng thlenga kal nghal nerve 12 a awm a. Chûngte chu a thawk ṭha em tih hriat nân doctor chuan i mit chu hma leh hnung lamah hrual tûrin a ti ang che a, i hmai chu hrual tûrin a ti ang che a, i lei chu hrual chhuak tûrin a ti ang che a, thil engemaw en tûrin a ti ang che. Flashlight a eng ang a, i mit ring dum chuan a reaction chu a en ang. |
| Hmasawnna, Inthlauhna & Inremna | Hetah hian thluak hian taksa peng hrang hrangte nen inbiakpawhna tha tak a neih theih leh theih loh an test thin a ni. I mit khap la, i kut zungtang hmanga i hnar khawih turin an ti che a. I kut leh ke an tiharh tir che a ni. Line dik takah kal turin an ti che a, i kekawrte chungah kal turin an ti che a ni. |
| Reflexes (Reflexes) te | Hei hi i lo hmu tawh ngei ang. Doctor chuan rubber mallet te tak te a la a, i khup, i elbow emaw hmun dangah emaw a tap a. Tichuan i taksa peng hrang hrangte chu a takin a che tih a en reng a. Hei hian nerve message te chu a kal chak zia leh a tha em em tih a tilang chiang hle. |
| Sensory Exam neih a ni | Hei hi khawih, natna, leh lumna ang chi thil i hriat theih leh theih loh enfiahna hmun a ni. I mit khap turin an ti ang che a, i vunah cotton chi khat i hriat theih leh theih loh an zawt ang che. Natna i hriat theih leh theih loh en turin needle te tak te hmangin an hliam thei che a ni. I vunah thil lum emaw, vawt emaw i hriat theih leh theih loh an test ang. |
| Autonomic Nervous System hmanga thil tih a ni | Hei hian kan thunun theih loh thilte a thunun a ni. Chu chu thawk, heart rate, leh thisen sang ang chi thil tihna a ni. Doctor chuan bowel leh bladder control chungchangah zawhna a zawt thei che a ni. I dinhmun i thlak danglam rualin i thisen sang a teh thei bawk. |
Engtin nge i hriat loh leh i check ang?
Mi tu emaw chu a lu hliam hnua a hriat loh chuan, accident ang chiah hian, doctor-te chuan chu mi thluak hnathawh dan tehna atan hmanraw bik an hmang thin. A hming chu Glasgow Coma Scale (GCS) tih a ni. A en a:
- I mit i meng em?
- I sawi em?
- Sawi ang zelin i ke leh ke i sawn thin em?
Heng chhannate hi score-in thluak chhiatna a thlen nasat dan tur ngaihtuahna a awm a ni.
He test hmang hian eng natna nge hriatchhuah theih?
He test hi natna hriat theihna tura zinkawng hmasa ber leh pawimawh ber a ni. Chuta tang chuan information a hmuh hmang hian doctor chuan damdawi lam dinhmun engemaw tak a ringhlel thei a ni.
- Stroke: Thluaka thisen kal a tawp emaw, thluaka thisen kalna kawng a puak emaw a lo awm thin.
- Infection: Thluak leh ruhro (spinal cord) tichhe thei natna hrik, meningitis emaw encephalitis emaw ang chi.
- Movement Disorders: Taksa chetna tichhe thei natna, Parkinson natna ang chi.
- Neurodegenerative Disorders: Natna, hriatrengna leh thluak hnathawh that lohna, Alzheimer natna ang chi.
- Epilepsy leh Seizure Disorders: Thluaka electrical activity dik lo avanga fit a ni.
- Multiple Sclerosis: Nerve chhehvela venhimna khuhna chhiat avanga natna lo awm.
- Lu natna: Lu natna nasa tak, migraine ang chi.
- Traumatic Brain Injury: Accident avanga lu tihchhiatna.
Test hmain engtin nge ka inbuatsaih ang?
Hei hian inbuatsaihna tam tak a mamawh lo va, mahse heng thil tih hian nang leh doctor tan thil a awlsam phah hle ang.
1. Thawmhnaw: Doctor-in i ke leh ke a sawn a ngai dawn avangin thawmhnaw nuam tak, loose-fitting ha la.
2. Thu hriat tur ziak rawh: I natna lan chhuah dan chu lehkha te tak teah ziak rawh.
- Engtik lai khan nge symptoms hi a lo intan?
- Engtin nge a awm? (e.g., kang? tingling?)
- Engtikah nge a pung?
- Chumi chungchânga thil tih chuan a tlem phah ang em?
3. Damdawi chipchiar zawk:Damdawi i hman zawng zawng (natna dang damdawi te pawh tel) chungchang chipchiar takin la rawh.
4. Report hlui: Test report hmasa i neih chuan rawn keng la.
Hetianga i inbuatsaih hunah chuan engmah i theihnghilh lovang. Doctor tan pawh i thlalak chiang taka hmuh a awlsam zawk bawk.
Test zawhah eng nge thleng?
A tlangpuiin, examination zawh veleh doctor chuan a ngaihdan leh a thil hmuhchhuahte a sawipui ang che.
Test result a pangngai lo a, chu chu harsatna awm nia rinhlelhna a awm tihna a nih chuan doctor chuan a chhan finfiah belh turin test dang a ti ang. Chutiang test-ah chuan:
- Thisen Test: A chhan dang, vitamin tlakchhamna te enfiah thin ang che.
- Imaging Studies: Hengte hian thluak emaw, ruhro emaw thlalak chiang tak a la thei. Entirnan , MRI (Magnetic Resonance Imaging) emaw CT (Computed Tomography) scan emaw hmangin .
- EEG (Electroencephalogram): Hei hian i thluak electrical activity a test thin. Hei hian seizures ang chi condition hriatchhuahna kawngah a pui hle.
- EMG (Electromyogram) leh Nerve Conduction Studies: Hengte hian i nerve leh muscle te hnathawh that dan a enfiah thin.
- Lumbar Puncture: Hei hian i ruhro atanga i ruhro (spinal cord) vel a tui sample lak a huam a ni. Hei hi meningitis ang chi natna hmuhchhuahna atan a pawimawh hle.
Heng test te hnuah chauh doctor chuan i damdawi lam dinhmun dik tak a hrilh ang che a, a tul anga enkawlna a tan ang.
Take-Home Thuchah a ni
- Neurological exam hi hlauh tur a ni lo. I nervous system hriselna enfiahna tur taksa enfiahna pangngai a ni.
- Lu na fo thin, luak chhuak, ke ruh natna, leh hriatrengna hloh te ang chi symptoms te hi ngaihthah suh. Chungte chu natna chhinchhiahna hmasa ber a ni thei.
- Checkup tura i kal dawnin i natna lan chhuah dan leh i damdawi ei dan chipchiar takin ziak rawh. Doctor tan chuan nasa takin a pui dawn a ni.
- He test ringawt pawh hian natna zawng zawng a hmuchhuak thei lo a, mahse dik taka hriat theihna tura zinkawng hmasa ber pawimawh ber a ni.
- Symptoms eng emaw zat rinhlelhna i neih chuan doctor pan ngei ngei tur a ni.
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