A châng chuan chhan awm lovin i thawmhnaw a tam em, a nih loh leh hmun ṭhenkhatah chuan i thawmhnaw a tlêm deuh angin i inhria em? A nih loh leh thil tenawm tak tak, i ke ruh tliak emaw, luak chhuak emaw ang chi i nei em? A châng chuan heng natna lan chhuah chhan hi doctor tan hriat nghal a harsa thei hle. Chutiang hunah chuan kan taksaah (thaw leh thawk hah ang chi thil control tu part)-a kan hnathawhna nervous system-ah harsatna a awm em tih hriat nan test bik neih a rawt mai thei. Hei hi chutiang test pakhat QSART tih chu a ni.
A awlsam zawngin QSART chu eng nge ni?
QSART hi ‘Quantitative Sudomotor Axon Reflex Test’ tihna a ni. A hming hi a buaithlak viau mai thei a, mahse a takah chuan a awlsam khawp mai. A awlsam zawngin, i thawmhnaw control tu nerve te hnathawh that dan tehna test a ni. ‘Sweat test’ kan ti bawk.
Ngaihtuah teh, kan taksa lumna control nan thawmhnaw hi a pawimawh hle. He thawmhnaw hi kan nervous system peng bik pakhatin a thunun a ni. He test-ah hian i vun hmun tlemteah electrical stimulation tlemte tak tak kan hmang a, a chhanna atan i sweat glands-te’n thawmhnaw an siam chhuah zat kan teh thin. Chutianga thawmhnaw siam chhuah zat kan teh chuan, a kaihhnawih nerve-te hnathawh dan chu kan hre chiang thei a ni.
Eng dinhmunah nge doctor chuan he test hi a rawt ang?
He QSART test hian kan taksa hnathawh, kan hriat chian loh (entir nan, heart rate, blood pressure, sweating, digestion) control tu Autonomic Nervous System natna hriatchhuahna kawngah a pui hle a ni. Tin, peripheral neuropathies, taksa peng hrang hranga natna (numbness) te, leh natna thenkhat te nena inzawm te pawh a awm bawk.
I doctor chuan a hnuaia natna zinga pakhat i neih a rinhlelh chuan he test hi a rawt thei ang:
- Autonomic neuropathy: Kan taksa chhunga automatic functions control tu nerve te tihchhiat.
- Complex regional pain syndrome (CRPS): Kut emaw ke emaw natna nasa tak, rei tak awm thei, a tlangpuiin accident hnua natna.
- Diabetes-related neuropathy: Zunthlum avanga nerve tihchhiat.
- Multiple sclerosis: Thluak leh ruhro chhunga nerve tichhe thei natna a ni.
- Postural orthostatic tachycardia syndrome (POTS): Ding chunga lungphu a san dan pangngai lo.
- Sjögren-a natna hi:Immune system natna, taksaa tui siamtu glands (mittui, hmui) tichhe thei.
- Small fiber neuropathy: Vun leh taksa peng hrang hranga nerve fiber te te a chhiat avangin natna leh rilru hahna ang chi natna a awm thin.
He test atan hian engtin nge ka inbuatsaih ang?
QSART test hmain i doctor chuan a bia ang che a, engkim a hrilhfiah ang che. Test result dik tak neih theih nan zawm tur thupek bik thenkhat a pe bawk ang che. Heng thupekte hi dik taka zawm a pawimawh hle.
A tlangpuiin kan inbuatsaih dan tur chu a hnuaia table hi han en ila.
| Thupek | Thuziak leh Chhanna |
|---|---|
| Damdawi thenkhat | Test result tichhe thei damdawi thenkhat ni khat emaw ni hnih emaw chhung ei tawh loh turin an ti mai thei che a ni. I doctor chuan eng nge an nih chiang takin a hrilh ang che. Doctor zawt hmasa lovin damdawi engmah ei kha bansan ngai suh. |
| Zuk leh hmuam thil siam | Test hma darkar li tal meizuk leh zuk leh hmuam dang hman loh tur. Chungte chuan nervous system a nghawng thei a ni. |
| Thawmhnaw | Test ni hian thawmhnaw hlim lo leh nuam tak ha rawh. Test ni hian tight-fitting socks (compression stockings) ha suh. |
| Lotion leh cream te pawh a awm | Test zingah hian i kut leh keah lotion, cream leh oil engmah hnawih suh. Hengte hian test hmanrua te chu vun nena inzawm lo turin a tibuai thei a ni. |
| Ei leh in tur | Chumi atan chuan thupek bik thenkhat a awm a, chungte chu a hnuaiah hian a hranin kan sawi dawn a ni. |
Test hmaa ei leh in chungchanga hriat tur thilte
| Eng nge Tih Tur | Hun bituk |
|---|---|
| Zu awmna engmah in suh. | Test hma darkar 12 atang khan. |
| Caffeine (tea, coffee, chocolate, soft drink thenkhat) awmna engmah ei loh tur a ni. | Test hma darkar 8 atang khan. |
| Chaw ei tlem (e.g. buhfai tlem, chhangphut slice khat) ei rawh . | Test hma darkar 3 vel a ni . |
| Engmah (tui pawh) in loh tur. | Test hma darkar 3 atang khan. |
| Tui tam in la, hydrated takin awm rawh. | Test hma ni khatah . |
Test hmain eng damdawi nge tihtawp a ngai mai thei?
A pawimawh ber: I doctor-in a tih hma loh chuan damdawi engmah ei kha bansan suh. Damdawi thenkhat chuan i ei tawh loh chuan harsatna dang a thlen thei bawk. Chuvangin, i damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) chu i doctor hnenah hrilh rawh. Eng emaw i ei tawh loh a ngai em tih leh engtiang chiahin nge i ei loh vat tih a hrilh ang che.
A hnuaia tarlan te hi QSART result tichhe thei damdawi thenkhat an ni. I doctor chuan heng zinga ṭhenkhat hi test hma darkar 48 chhung ei tawh loh turin a ti thei che a ni.
- Natna tihdamna damdawi
- Antidepressant damdawi a ni
- Antihistamines (allergy natna damdawi) .
- Anti-inflammatory agents a ni
- Aspirin a ni
- Thisen sang damdawi
- Diuretics te pawh a awm
- Over-the-counter khawsik emaw khuh damdawi
Awle, tunah chuan test kan tih hian eng nge thleng tih kan en ang.
Test tih dan tur hriat lawk hian lungkhamna a tiziaawm thei a ni. A kalphung awlsam tak a ni.
1. Inbuatsaihna: A hmasa berin i pheikhawk leh socks phelh turin an ti ang che. Tichuan, exam dawhkanah thu turin emaw, mu turin emaw an ti ang che.
2. Skin cleansing: Examiner chuan i ke, ke, leh i kutphah vel vun chu uluk takin a tifai ang a, a vawt ang.
3. Electrode dah dan: A dawtah chuan plastic patch te tak te pali electrode an tih chu i vunah a inbun leh a. A tlangpuiin pathum chu i keah a inbun a, pakhat chu i kutphahah a inbun bawk.
4. Special solution hnawih: A dawtah chuan electrode awmna vunah `acetylcholine` an tih solution chu hnawih a ni. `acetylcholine` hi chemical (neurotransmitter) a ni a, kan taksaah hian a pianphungah a awm a, nerve inkarah thuchah a keng tel a ni. Hetah hian i thawmhnaw (sweat glands) tihchak nan hman a ni.
5. Test tan: Tunah chuan QSART machine chu a on tawh. Tichuan electrode kaltlangin electric current te tak te tak te tak te chu i vunah a thawn lut ta a ni. Hei hi current lian tak a nih loh avangin hlauh tur a awm lo.
6. Sweat measurement: He electric current leh `acetylcholine` solution hian i sweat glands te hian thawmhnaw a siam tan tir thin. Machine hian thawmhnaw siam chhuah zat a teh thin.
7. Tih leh: Officer chuan electrode te chu a la chhuak thei a, taksa peng dangah a dah leh thei a, chutiang chu a ti leh thei bawk.
He test hian eng chen nge a daih? A na em?
Test pumpui hi minute 45 atanga darkar khat vel a ni tlangpui .
Hei hi fiahna hrehawm tak a ni lo. Amaherawhchu, mi thenkhat chuan hrehawmna tlem an nei mai thei. Electric current tê tak tê chu vun aṭanga a kal chuan, a hrual hrual ang maiin, a hrual tê tê, a nih loh leh kang tê tê ang maiin, needle tê tê hrual ang maiin a awm thei a ni . Hei hi mi tin a inang lo. Mahse, tuar theih loh hrehawmna a ni lo. Natna nasa tak i neih chuan test titu hnenah hrilh nghal rawh.
Test zawhah eng nge thleng? Engtikah nge result a awm ang?
Test zawh hnuah officer chuan i vun atanga electrode te chu a la chhuak ang. Chumi hnuah chuan i socks leh pheikhawk i ha leh thei ang a, pangngai takin i nung thei tawh ang.
Electrode dahna hmun vun chu a sen deuh emaw, a rawng a danglam deuh emaw tih i hmu mai thei. Hei hi thil pangngai a ni a, darkar tlemte chhungin a bo vek ang.
Test atanga data hmuh chu he test atana refertu doctor hnenah thawn a ni ang. Ni engemaw zat hnuah result a awm hunah a rawn biak ang che.
QSART result hi engtin nge kan hriatthiam ang?
I doctor chuan result chu a zirchiang ang a, a awmzia a hrilhfiah ang che. Heng result te hi kan en hian thil pawimawh pathum ngaihtuah tur a awm a, chungte chu:
- Onset latency: Stimulus hnuah hian eng chen nge thawmhnaw a chhuah theih?
- Peak sweat production: Engtikah nge thawmhnaw siam chhuah tam ber?
- Total sweat volume: Test hun chhung zawng khan engzat nge thawmhnaw siam chhuah?
Heng result te hi ‘Normal’ emaw ‘Abnormal’ emaw pawh a ni thei.
Results pangngai chu eng nge ni?
A result chu ‘Normal’ (a chang chuan ‘negative result’ an tih) a nih chuan i thawmhnaw siam chhuah zat leh hun chhung chu i kum leh mipa leh hmeichhia inkara beisei zat chhungah a awm tihna a ni. Hei hian test hian thawmhnaw control tu nerve hnathawh danah harsatna lian tak a nei lo tihna a ni.
Abnormal / Positive result chu eng nge ni?
Results chu ‘Positive’ emaw abnormal emaw a nih chuan test value te chu beisei angin a danglam tihna a ni. Entirnan, thawk hah tan nan hun rei tak a ngai thei a, a nih loh leh thawmhnaw siam chhuah zat chu a tlem lutuk emaw, a tam lutuk emaw pawh a ni thei.
Hei hian thil engemaw takin i autonomic nervous system hnathawh a tibuai thei tih a tilang.
Heta hriatthiam tur pawimawh tak chu QSART test result ‘positive’ tih hian direct-in natna i nei tihna a ni lo. I autonomic nervous system-ah thil pakhat a thawk tha lo tihna a ni a, chhui chian belh a ngai tihna a ni. Doctor-in i dinhmun a hriat theih nan clue pawimawh tak chauh a ni. Chumi hnuah chuan test dang tih leh emaw, i tana ṭha tur enkawlna ṭan emaw chu a rel thei ang.
Take-Home Thuchah a ni
- QSART hi test him leh hrehawm lo tak a ni a, i thawmhnaw control tu nerve te hnathawh dan a teh thin.
- Results dik tak hmuh theih nan chuan test hmaa doctor-in ei leh in, damdawi leh thupek dang a pekte kha khauh taka zawm a pawimawh hle.
- Damdawi i ei zawng zawng chu i doctor hnenah hrilh rawh. Doctor thurawn tel lova damdawi engmah ei khap loh tur a ni.
- Test neih chhunga hrehawmna hriat chu a tlangpuiin tingling emaw mild burning sensation emaw a ni. Tuar theih loh hrehawmna a ni lo.
- Test result ‘positive’ (abnormal) a nih chuan diagnosis a ni lo. I doctor-in i dinhmun a chhui chian lehzual theihna tura puitu thu pawimawh tak mai a ni.
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