Nitin hna thawk tur chuan harsatna i tawk em? Engtin nge Physiatrist hian a puih theih ang? (Physiatrist / Taksa lam damdawi leh Rehabilitation)

`Physiatrist` tih hi i hre tawh em? He hming hi i tan chuan a thar deuh pawh a ni mai thei. Mahse, kan nunah hun harsa thenkhatah, kan damlohna emaw, rualbanlo emaw kan nih em avangin kan nitin hna pawh mumal taka kan thawh theih loh lai hian, heng Doctor `Physiatrist` tia koh te hi min tanpuitu ropui tak an ni. A awlsam zawngin, heng specialist-te hi hnathawh theih lohna, chhungte enkawl, i duhzawng thil tih theih lohna natna leh hliamte enkawl danah an awm a ni.

He Physiatrist hi tu nge ni? He damdawi lam field hi eng nge Physiatry an tih?

Awle, he `Physiatrist` hi tu nge a nih i en hmasa phawt ang u. `Physiatrist` hi doctor a ni a , Physical Medicine and Rehabilitation (PM&R) lama tui tak a ni. Ni e, hei hi `PM&R` doctor, a nih loh leh `Rehabilitation doctor` an ti bawk. Heng mite hian i ruhro emaw, i nervous system emaw tichhe thei natna leh harsatna avanga i nitin nun kalpui danah harsatna i tawhte hneh theihna tura puih che hi an ngaih pawimawh ber a ni.

Ngaihtuah teh, kum tam tak chhung chu hnungzang na emaw, khup na emaw i nei tawh mai thei. A nih loh leh car accident i tawk a, infiamna i khelh laiin i kut emaw, i ke emaw i hliam a, khum ata pawh i tho thei lo va, i sam i hrual thei lo va, i ṭhu thei lo pawh a ni thei. Chutih hunah chuan `Physiatrist` chuan a pui thei che a ni.

A pawimawh ber chu heng doctor te hian i symptoms te chu non-surgical options hmanga enkawl an tum a, surgery hmang lovin, a theih ang anga tha leh mahni inrintawkna neia i hnathawh theihna tur state-ah an hruai kir leh che a ni.

Damdawi lama `Physiatry` an tih hian i nitin hnathawhna tichhe thei leh a chang chuan rualbanlohna thlen thei natna laka invenna, hriatchhuah dan leh enkawl dan tur a buaipui a ni.

Physiatrist hian eng nge a tih tak tak?

Physatrist hian i nun a inzawm theih dan hi ngun zawkin han thlir ila.

• Diagnosis and treatment: Heng mite hian i che thei lo, nitin hna i thawh theihna leh khawtlang nena inpawh theihna tibuaitu dinhmun an hmuchhuak a, an enkawl bawk. Entirnan, hei hian ``Activities of Daily Living (ADLs)'' tih harsatna te, kea kal, ei leh in, thusawi, inbual, leh incheina te a huam a ni.
• Team anga hnathawh: Physatrist hian amah chauhin hna a thawk lo. I chhungkaw doctor (Primary Care Provider) leh specialist dangte nen team angin i enkawlna an inrualrem thin.
• Kum tin enkawlna: Kum tin, nausen atanga tar thlengin Physiatrist hnen atangin enkawl theih a ni.
• Hun rei tak chhunga enkawlna:Hun rei tak chhung chu physiatrist nen in thawh dun a ngai mai thei a, a bik takin nangmah emaw, i chhungte zinga tu emaw hian natna khirh tak i neih chuan. Anni hian tanpuina kal zel an pe ang che.

Physatrist hian eng condition nge a enkawl?

`Physiatrist` hian damdawi lam natna chi hrang hrang a enkawl a. A bulpui berte han thlir ila.

Puitlingte nghawng thei dinhmun

Puitlingah chuan physiatrist chuan hetiang dinhmun hi a pui thei a ni:

• Kum upat dan azirin a inthlak danglam (e.g. ruh density tlahniam) .
• Cancer leh enkawlna avanga side effects te
• Chronic Obstructive Pulmonary Disease (COPD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.
• Natna rei tak a awm
• Lung lam natna avanga rehab ngai
• Hliam chi hrang hrang
• Ruh natna (e.g., ruh natna, bursitis) .
• Parkinson natna a ni
• Hriselna lama natna (e.g. Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS))
• Spinal Cord Hliam a awm
• Thai

Hengte hi entirnan tlemte chauh a ni. Chu bakah, taksa lam doctor-te chuan hun rei tak chhunga natna dang tam tak an enkawl bawk.

Naupangte nghawng thei dinhmun

Naupangteah chuan physiatrist hian a enkawl tam ber a, chungte chu:

• Acute flaccid myelitis natna a ni
• Amplified Musculoskeletal Pain Syndrome (AMPS) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Brachial plexus hliam a awm
• Cerebral Palsy natna a ni
• Regional Pain Syndrome buaithlak tak a ni
• Ehlers-Danlos natna a ni
• Muscular Dystrophy natna a ni
• Naupang stroke a awm
• A rilru a buai em em a, a rilru a hah em em bawk a. .
• Spina Bifida a awm
• Torticollis (Torticollis) tih hi a awm a.
• Thluak hliam natna (TBI) .

Engtin nge physiatrist hian diagnosis a siam?

Physiatrist i hmuh chuan i dinhmun dik taka hriat theih nan step engemaw zat a zawm ang.

• Taksa enfiahna: A hmasain taksa enfiahna uluk tak pek i ni ang. Neurological exam pawh pek i ni thei bawk.
• Medical history leh symptoms: I natna hmasa leh tuna i symptoms te zawhna i dawng ang.
• Specialized test: A tul chuan hetiang test hi tih theih a ni bawk:
• Thisen test a ni
• Electromyography (EMG) (muscle hnathawh dan en rawh) .
• MRI Scan `(Magnetic Resonance Imaging - MRI) hmanga tih a ni
• Nerve kalpui dan zirchianna (Nerve hnathawh dan en rawh) .
• X-ray hmanga tih a ni

Doctor chuan heng test zawng zawng hi a hrilhfiah vek ang che, result a luh hnuah pawh a sawipui ang che.

A pawimawh ber chu physiatrist chuan mi pum pui angin a hmu che a ni. Chumi awmzia chu i taksa chauh ni lovin, chu dinhmun chuan i rilru leh thlarau a nghawng dan pawh a ngaihtuah tihna a ni. Diagnosis a siam hian zawhnate pawh a ngaihtuah bawk:

• He dinhmun hian engtin nge i nun a nghawng?
• Eng ang movement emaw task nge harsa tak tak?
• Hetiang dinhmun avang hian eng nge i tih theih loh?
• Eng thil nge tih i duh ber?
• Hetiang dinhmun hian engtin nge i rilru hriselna a nghawng?

Heng zawng zawng hmang hian physiatrist chuan i tana tha ber tur treatment plan chu a ruat ang.

Physatrist hian eng enkawlna nge a pek?

Physiatrist te hi non-surgical treatment option tam ber an ni. Heng enkawlnate hian a tum ber chu symptoms control a, taksa a tihdam theih nan a pui a ni. Thil tam tak chu tihdam kim theih a nih loh avangin, physiatrist chuan a theih ang anga mahni inrintawkna neia hnathawh theihna tura pui turin hna a thawk a, midangte chungah innghahna tlem ber a ni. Heng enkawlnate hian a bul berah chuan natna, taksa chak lohna, taksa ruh nghet lo (spasticity), leh hriatna pangngai lo (numbness - paresthesia ang chi) te hi a buaipui ber a ni.

Entirna thenkhat chu hetiang hi a ni:

Injection chi hrang hrang

• Trigger point injection (muscle spasm natna nei tan) .
• Injection hmanga ruh natna tihziaawmna tur
• Epidural steroid injection (ESIs) ( hnungzang natna atan) .
• Botulinum toxin injection (e.g. taksa ruh natna tan) .

Therapies hrang hrang

• Taksa lam enkawlna
• Occupational therapy (nitin hnathawh awlsam zawka kalpui theihna tura puitu) .
• Thusawi hmanga enkawlna
• Hydrotherapy (tui hmanga exercise) 1.1.
• Osteopathic Manipulation hmanga enkawlna (OMT) hmanga enkawl a ni.

Damdawi lam thil tih dan bik (specialized medical procedures) a ni

• Functional Electrical Stimulation (FES) hmanga tihchak a ni.
• Transcutaneous Electrical Nerve Stimulation (TENS) hmanga tihchak a ni.
• Vertebroplasty leh Kyphoplasty (ruh ruh tliak tan) .
• Integrative damdawi hman dan tur

Nitin nunah tanpui thei thilte

• Prosthetics leh orthotics te hman a ni
• Assistive devices (e.g. wheelchair leh kea kal theihna) .
• I in leh hnathawhna hmun inthlak danglamna `(I chenna hmun inthlak danglamna)`
• Damdawi chi hrang hrang

Engtikah nge physiatrist i hmuh ang?

Heng dinhmunteah hian Physiatrist puihna i mamawh mai thei:

• Hun rei tak natna emaw, hliam emaw avanga natna i neih chuan, emaw, nitin hna i thawh laiin i taksa chet harsa i tih chuan.
• Stroke atanga i dam leh mek a nih chuan.
• Operation hnua natna i neih chuan, emaw, i taksa chet harsa i tih chuan.
• Damdawi lam thil dang enkawlna avanga hahna, natna, emaw, lungawi lohna nasa tak i neih chuan.
• Eng emaw chhan vanga i taksa chu a hma ang khan nuam leh awlsam takin i che thei lo a nih chuan.

Hetiang hunah hian i chhungkaw doctor nen in inbia thei a, physiatrist hmu turin refer i ni thei bawk.

Physiatrist leh Physical Therapist te hi eng nge an danglamna?

Hei hi mi tam takin an buaipui thin a ni. `physiatrist` leh `physical therapist` hi thil chi hrang hrang pahnih a ni. Mahse an pahnih hian thil tum inang an nei a, chu chu i nitin hnathawhnaah i hnathawh that leh nuam taka i thawh theih nan tanpui che a ni.

• Training: Physatrist chu medical school degree zo tawh, MD (Doctor of Medicine) emaw DO (Doctor of Osteopathy) emaw hlawh chhuak tawh doctor a ni. Physics therapist chuan physical therapy program a zo a, Doctor of Physical Therapy (DPT) degree a hlawh chhuak a ni.
• Chanvo:
• `Physiatrist` chuan natna a hmuchhuak thei a, damdawi a pe thei bawk.
• Physics therapist chuan a diagnose thei lo va, damdawi pawh a pe thei lo. Mahse, physical therapy diagnosis (PTD) emaw functional diagnosis (FD) emaw an siam thei a ni. Hei hian eng mobility problem nge i neih tih te, a nasat dan te, i nun a nghawng dan te, enkawlnain engtin nge a puih theih tih te an hrilh thei che tihna a ni.

A awlsam zawngin, i physiatrist chuan i dinhmun leh a chhan chu a hmuchhuak ang. Tichuan, i physical therapist chuan chu natnain i kal theihna leh i hnathawh dan a nghawng dan chu a hmuchhuak ang.

Entirnan, physiatrist chuan khup ruh natna (osteoarthritis of the knee) i nei tih a hmuchhuak thei che a ni. Chumi hnuah chuan physical therapist (PT) chuan a enfiah ang che a, i khup-ah hian range of motion i nei tlem hle tih a hre thei a, chu chuan hnathawhna hmunah emaw, in chhungah emaw pawh kal a harsat phah thei a ni.

Physatrist leh physical therapist te hi an thawk dun fo thin. Physiatrist chuan i dinhmun a enfiah ang a, physical therapy atana candidate tha tak i nih leh nih loh a hre ang a, physical therapist (PT) hnenah a refer ang che. Chuta tang chuan PT chuan i tan a tha tur treatment plan siam turin a thawkpui ang che. In pahnih hian in hriselna chungchang hi in sawi fo ang.

Psychologist leh Physiatrist hi eng nge an danglamna?

Hei hi mi tam tak tibuai thei thil dang a ni. Psychologist leh physiatrist hi professional hrang hrang pahnih an ni.

• Psychologist chu rilru lam hriselna lama mithiam, talk therapy (psychotherapy) hmanga rilru lam harsatna chi hrang hrang enkawltu a ni. Mite chu an nunah hun eng emaw chen leh hun rei tak chhûnga lungkhamna awm theite hmachhawn tûrin an ṭanpui bawk. Psychologist hian PhD a nei tlangpui.
• Physatrist chu i taksa dinhmun enkawltu doctor a ni a, a bik takin i taksa ruh leh ruh leh nervous system tichhe thei doctor a ni. Hengte hi natna leh i nitin nun tichhe thei symptom dangte thlen fo thin dinhmunte an ni.

Psychologist chuan hetiang taksa dinhmun hi a hmuchhuak thei lo va, a enkawl thei lo bawk. Mahse, chu natnain i nun a nghawng dân leh rilru lama i hmachhawn theih dân chungchâng sawipui tûrin an ṭanpui thei che a ni. Natna rei tak emaw, taksa natna dang emaw vei tam tak chuan an rilru hriselna vawng reng tura pui turin psychologist hmuh chu a \angkai hle niin an hria.

A tawp berah chuan i hriat reng tur thil (Take-Home Message) .

Ngaihtuah teh, diagnosis vawi khat pawh hian i nun pum pui a nghawng thei a ni. Tuiah lunghlu paih a, ripple siam ang mai a ni. Physiatrist te hian hei hi an hrethiam hle. I dinhmun buaithlakzia te, i kut, ke leh ruhro chauh ni lovin, i taksa pum pui, i ngaihtuahna, i rilru put hmang, i hmalam hun beiseina a nghawng dan te an hrethiam a ni.

Physiatrist i pan dawn a nih chuan i rilru put hmang leh enkawlna atanga i beisei tur chungchangah inhawng taka sawi turin inpeih rawh. Doctor chuan ngun takin a ngaithla ang che a, i thil tum leh mamawh a zirin enkawlna ruahmanna a siam ang.

Chuvângin, nangmah emaw, i hriat miin emaw, natna, chet harsa, a nih loh leh ni tin hna thawh harsat i neih chuan, taksa lam doctor pan chu ngaihtuah rawh. I nun kawng dik zawh lehna kawngah tanpuitu ropui tak an ni thei.

` Physiatrist, Rehabilitation Medicine, Taksa Damdawi leh Rehabilitation, PM&R, Taksa Therapy, Natna Enkawlna, Stroke Rehabilitation, Nervous System natna te