Hun rei tak chhung hnungzang natna i tuar tawh emaw, cricket i khelh laiin hliam i tuar a, tunah chuan i tlan thin angin i tlan thei tawh lo va, i zuang thei tawh lo ang tih han ngaihtuah teh. I chhungkuaa tar pakhatin stroke a nei a, kea kal emaw, thusawi emaw a harsat a ni mai thei. Hetiang hun lai hian mi tam tak chuan operation an mamawh emaw, an dam chhung zawng hetiang hian an tuar a ngai dawn emaw niin an ngai. Mahse, i dinhmun pangngaia awm leh thei tur leh nitin hnathawh tur operation tel lova i tih theihna tura pui theitu specialist i hre tawh em? Chu chu ‘Physiatrist’ kan tih chu a ni.
A awlsam zawngin, he Physiatrist hi tu nge ni?
Physiatrist chu i taksa chetna leh nitin hnathawhna tibuaitu natna leh hliam enkawl dan thiam tak a ni. A awlsam zawngin sawi ila, heng doctor-te hian taksa lama harsatna eng pawh, i hna thawk thei lo, chhungte enkawl thei lo, emaw, i thil duh zawng (entir nan, infiamna emaw, huan siam emaw) ti thei lo che chu an enkawl thei a ni.
Heng doctor te hian i ruh leh nervous system nena inzawm dinhmunte an ngaihtuah ber a ni . Mahse, mihring taksa pum pui chungchangah hian hriatna zau tak an nei a ni. Chuvang chuan, dinhmun pakhatin i taksa hnathawh leh nunphung a nghawng theih dan tur thlalak lian tak chu an hmu thei a ni.
He medical science hi hming dang pawh a awm bawk. Anni chu:
- Taksa lam damdawi leh insiamthatna (PM&R) .
- Taksa lam enkawlna
Chuvangin Physiatrist chu `PM&R doctor` leh `Rehabilitation doctor` an ti bawk. Heng zawng zawng hi specialist pakhat hming vek a ni.
A pawimawh ber chu heng doctor-te thil tum ber chu i natna lan chhuah dan control a, non-surgical treatment hmanga i nun awlsam zawk siam hi a ni.
Eng ang dinhmun nge physiatrist hian a puih?
Heng doctor-te hian kum tin, naupang tê tê aṭanga kum upa lam thlengin an enkawl a ni. Condition tam tak an enkawl a ni. A bulpui berte han thlir ila.
| Damlo category hrang hrang | Condition enkawl tawh (entirnan) 1.1. |
|---|---|
| Puitling tan chuan |
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| Naupang tan |
|
Hengte hi entirnan tlemte chauh a ni. A awlsam zawngin, heng doctor-te hian i kal theihna leh nitin nun tibuaitu natna khirh tak eng pawhah an pui thei a ni.
Engtin nge diagnosis hi siam a nih?
Physatrist hmuh tura i kal hian an tih hmasak ber chu i sawi tur chu ngun taka ngaihthlak hi a ni. I medical history te, i harsatna tawh dan te, i natna chu eng ang nge a nih tih te, engtikah nge a zual zel tih te zawhna tam tak an zawt ang che. Tichuan uluk takin an enfiah ang che.
Tin, a hnuaia test te hi tih theih a ni bawk a, chu chu a natna hriat chian nan a ni:
- Thisen test a ni
- X-ray hmanga tih a ni
- MRI Scan (Magnetic Resonance Imaging) hmanga tihchhuah a ni.
- Nerve kalpui dan zirchianna
- EMG test (Electromyography) - taksa peng hrang hrangte hnathawh dan enfiahna test a ni.
Heng doctor-te danglamna chu i natna chauh ni lovin, i nun leh i rilru a nghawng dan pawh an ngaihsak thuk hle a ni. Diagnosis an siam hian hetiang zawhnate hi an ngaihtuah bawk:
* "He natna hian engtin nge i nun a nghawng?"
* "I tana thil harsa ber berte chu eng nge ni?"
* "He natna avanga i tih theih loh thilte chu eng nge ni?"
* "Eng thil nge i tih leh theih i duh?"
* "Hetiang dinhmun hian engtin nge i rilru hriselna a nghawng?"
Heng zawng zawng hi an khawlkhawm hian i duh ang enkawlna tur ruahmanna tha ber an siam thin.
Eng enkawlna nge awm? Surgery tel lova damdawi!
Sawi tawh angin heng doctor-te thil tum ber chu non-surgical treatment a ni. I natna lan chhuah dan (natna, taksa ruh khauh, rilru hahna) control thei tur enkawlna an pe a, i taksa chu a dam leh theih nan a pui bawk. Natna khirh tak tam tak hi a dam kim thei lo. Mahse, an tum ber chu chutiang natnate nen chuan mahni inrintawkna leh hlim thei ang bera nunpui che hi a ni.
An enkawl dan thenkhat chu hetiang hi a ni:
| Enkawl dan tur | Entirnan |
|---|---|
| Injection te pawh a awm | Injection bik, steroid ang chi hi na hmun, ruh leh ruhroah te pek thin a ni. |
| Therapies hrang hrang | Physics therapy, occupational therapy, leh speech therapy ang chi enkawlna atana referral. |
| Thiltih dan bik | Natna tihziaawmna hmanrua TENS (transcutaneous electrical nerve stimulation) ang chi te. |
| Assistive devices leh damdawi te | Devices prosthetics, wheelchair, crutches, etc. Tin, natna leh symptom dangte damdawi pek te pawh a awm bawk. |
Physiatrist, Physical Therapist, leh Psychologist - Heng pathumte hi eng nge an danglamna?
Mi tam tak chuan heng hming pathumte hi an hriat hian an buai thin. Chûng mi pathumte chuan ṭanpui che mah se, an chanvo chu a inang lo. He danglamna hi chiang takin i hrethiam ang u.
Physiatrist leh Physical Therapist inthlauhna
Heng pahnih hian i chetna leh taksa hnathawh that nan an thawk dun a, mahse an training leh an thil tih erawh a danglam thung.
| Pawl then | Taksa lam doctor (damdawi thiam) . | Taksa lam enkawltu (physical Therapist) a ni |
|---|---|---|
| Zirna | Medical school atanga medical degree (MD) zir chhuak tawh , specialist physician . | Health professional, physical therapy (DPT) lama degree nei tawh a ni. |
| Diagnosis tih a ni | Natna hriatchhuah theihna a ni. Entirnan, khup chhungah osteoarthritis a awm leh awm loh hriat chian. | Medical diagnosis siam a ni lo. Mahse natna avanga chetna lama harsatna awm chu hriatchhuah a ni. Entirnan, khup ben harsatzia hriatchhuah. |
| Damdawi pek chhuah | Damdawi leh injection pek thiam. | Damdawi an pe thei lo. Exercise leh physical therapy dang an hmang thin. |
| A hnathawh dan | Damlo dinhmun endik a ni a, diagnosis siam a ni a, a tul chuan physical therapy refer a ni. | Doctor rawtna a\angin damlo tana \ha tur exercise leh enkawl dan tur ruahmanna siamin kalpui \hin a ni. |
Physiatrist leh Psychologist inthlauhna
Heng pahnih hi field hrang hrang pahnih a mithiam an ni.
- Physiatrist chuan i taksa tichhe thei dinhmun a enkawl a , a bik takin ruh leh nervous system nena inzawm te.
- Psychologist hian i rilru tichhe thei thil a enkawl thin . Chu chu rilru hriselna lam thil, stress leh depression ang chi tihna a ni.
Mahse, natna khirh tak nena kan nun hian i rilru hriselna a nghawng thei bawk. Chutiang hunah chuan physiatrist chuan psychologist hnenah a hruai thei che a, chu chuan rilru hahna lo awm thei chu a pui thei che a, chutih rualin i taksa natna chu a enkawl thei bawk.
Engtikah nge physiatrist i hmuh ang?
A hnuaia mi hi i tan a hman theih chuan, i doctor nen physiatrist hmuh chungchangah inbiakna neih a tha mai thei:
- Natna rei tak emaw, hliam emaw avanga nitin hnathawh tur i tih harsat chuan.
- Stroke atanga i dam leh a nih chuan .
- Operation hnua natna emaw che harsa emaw i neih chuan .
- Natna dang (e.g. cancer) enkawlna avanga hahna nasa tak emaw, natna emaw i neih chuan.
- Chhan hriat loh vanga i kal thin angin awlsam taka kal thei lo emaw, che thei lo emaw anga i inhriat chuan.
Take-Home Thuchah a ni
- Physatrist chu doctor, taksa chetna leh hnathawh dan nena inzawm harsatna, zai loha enkawl thiam a ni .
- An thil tum ber chu i natna tihziaawmna leh nitin hnathawh tur chu a theih ang anga mahni inrintawkna leh awlsam taka i thawh theih nan tanpui che hi a ni .
- A lan chhuah dan chauh an enkawl lo va, natna hian i nun pumpui leh rilru hriselna a nghawng dan pawh an ngaihtuah tel bawk.
- Physatrist chu taksa lam enkawltu a ni lo. Damdawi an diagnose thei a, damdawi an pe thei bawk.
- Hun rei tak chhung natna i neih emaw, kea kal harsatna emaw, accident atanga dam leh harsatna i neih chuan hetiang specialist chungchang hi i doctor zawt la.
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