Ngaihtuah teh, office-ah computer enin hna i thawk a. Vawikhatmah i kut atanga current rawn tlan ang maia hriatna mak tak i nei a, chubakah i kawr ah chuan natna tlem a awm bawk. Rei vak lo hnuah chuan i kut zungtangte chu a hring deuh tan ta. Hei hi ni khat emaw ni hnih emaw chhung a awh thei a, chutah chuan ni khat chu a lo lang leh ang. "Aw, pillow ka thlak vang pawh a ni mai thei" emaw, "Ka thawhrim lutuk vang pawh a ni mai thei" emaw i ti mai thei. Mahse heng symptoms te hi a awm reng a nih chuan a pangngai anga ngaihthah mai mai chu thil tha a ni lo. Hei hi i cervical spine-a nerve pinched vang pawh a ni thei. Chuvangin, vawiin hian taksa enfiahna awlsam tak, mahse pawimawh tak tak, hei hi a chhan dik tak hriat tumin i doctor-in a tih tur chungchang kan sawi dawn a ni.
Spurling Test hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Spurling test hi i doctor-in a kut chauh hmanga i kawr chhunga nerve pinched a awm leh awm loh a enfiah thin physical test a ni. Machine lian tak a ngai lo va, injection pawh i dawng lo. I exam nen room khatah tih a ni.
Damdawi lamah chuan he kawr chhunga nerve pinched avanga symptoms awmkhawm hi ‘Cervical Radiculopathy’ kan ti thin. A hming hi a buaithlak deuh a, mahse a awmzia erawh a awlsam hle. A awmzia chu a kawng area-a spinal cord atanga nerve root lo chhuak chu compress a ni tihna a ni.
Kan cervical spine hi ruh inzawmkhawm mai a ni lo. Heng cervical vertebrae pasarih atang hian nerve pawimawh tak tak a lo chhuak a, chu chuan kan thluak atanga kan kut, kan ke leh kan taksa chunglam thlenga thuchah a thlen a, chu chuan hriatna leh chetna thunun a ni. Heng nerve te lo chhuahna khur te te hi foramen an ti a. A châng chuan kum upat chhoh zel avang te, dinhmun ṭha lo vang te (a bik takin computer leh phone hman hunah), emaw, accident tenau vangin, vertebrae-a disc a bulge chhuak thei a, ruh spur te te a lo awm thei a, chu chuan nerve root chu a compress thei a ni. Hei hi nerve root a compress lai a ni.
Chuvangin, `Spurling test` hian a tih chu, doctor chuan uluk takin i kawr chu hmun khatah a sawn a, nerve chhuahna kawngkhar chu tlem a ti tawi zawk a ni. Tichuan, nerve tlem a compress tawh chu tlem a compress deuh a, natna leh rilru hahna ang chi symptoms i nei thin. Chutiang chuan doctor chuan hei hi i harsatna thlentu a ni em tih chu a hre chiang thei ang.
He test hi engtik lai nge tih a nih?
A hnuaia symptom pakhat emaw a aia tam emaw nen thla khat vel zet i kawng na i neih chuan i doctor chuan he test hi a ti duh mai thei. Heng symptoms te hi eng nge ni tak tak i lo en ang u.
| Symptom a ni | Chu chuan engtin nge i rilru a puttîr? |
|---|---|
| Na | Hei hi kawng natna pangngai mai a ni lo. Radiating pain a ni a, kawr atanga intan a, kekawrte kaltlangin a darh a, kut hnuai lam atanga kut zungtang thlengin a darh thin. Mi thenkhat tan chuan natna khirh tak, hliam na tak ang maiin a lang thei a, mi thenkhat tan chuan kang natna ang maiin a lang thei bawk . |
| Numbness emaw Tingling emaw a awm | I kut leh kut zungtang ah tingling sensation i nei thei a, tingling sensation i nei thei bawk. A châng chuan, i kut pêng ṭhenkhat chu i ta ni lo ang maiin, sensation i nei lo tak tak ang maiin a lang thei. Hei hian no ang chi thil chu uluk taka chelh a harsat phah thei a ni. |
| Chaklohna | I kut ruh-ah chakna tlakchhamna i nei thei. Entîr nân, thil rit tak i chawi lai te, kawngkhar i hawn lai te, a nih loh leh lehkha i ziah lai pawhin chak lo takin i inhria thei a. |
He test atan hian inbuatsaih lawk a ngai em?
A theih loh! Hemi atan hian inbuatsaih a ngai lo. A hma ni khata chaw nghei emaw, damdawi bik ei emaw a ngai lo. A awlsam khawp mai.
Mahse, thil tenawm tak tak i enkawl chuan nang leh doctor tan pawh a awlsam zawk ang.
- Thawmhnaw: Thawmhnaw hrual, kawr hmun zalen, kawr lian tak nei lo ha tur a tha ber. Entirnan, turtleneck sweater, emaw, a hnuai lam hnuai lam hawia ha saree emaw.
- Jewelry: Kawrfual rit tak tak leh bengbeh bun loh tur. Test an tibuai thei a ni.
- Lu khuhna: Lu khuhna i bun a nih chuan i phelh a ngai lo. Chumi ang chuan Doctor chuan examination a kalpui ang.
He `Spurling test` a tih hma hian doctor chuan i taksa enfiahna tlangpui a ti ang a, i damdawi lam dinhmun, damdawi i ei dan, leh a hmaa i accident tawhte a zawt ang che. Chuvangin i damdawi lam chanchin chiang taka sawifiah turin inpeih rawh.
He test hi tih loh tur a awm em?
Ni e, a dik ngei ang. Hei hi thil pawimawh tak a ni.
He test hi kawng na zawng zawng tan tih a ni lo. Damdawi lam harsatna dang i neih chuan doctor chuan he test hi a ti lo vang a, a hlauhawm theih avangin test dang `CT scan` emaw `MRI` emaw atan direct-in a refer ang che.
He test hi tih loh chhan lian ber ber thenkhat chu hetiang hi a ni:
- Cervical spine instability a awm chuan.
- Kawngkhar chhunga ruhro (spinal cord) pressure emaw chhiatna emaw a awm chuan (Cervical spondylotic myelopathy) .
- Tun hnaia i hnungzang emaw, i kawngah emaw hliam na tak i neih chuan.
- Rheumatoid arthritis ang chi ruh natna khirh tak tak i neih chuan .
- Taksa hmun danga cancer chu kawr ruh thlengin a darh (metastasized) nia rinhlelhna a awm chuan.
I doctor chuan heng zawng zawng hi a ngaihtuah ang a, test tih leh tih loh tur chu a rel ang. Chuvangin hlauh tur a awm lo.
Test i tih hian eng nge thleng tak tak?
Hei hian minute tlemte chauh a la ngai dawn a ni. Hlauhna leh lungkhamna chhan tur a awm lo. Doctor chuan a thil tih zawng zawng chu a hrilhfiah vek ang che.
Step 1: Posture siamrem dan tur
A hmasain doctor chuan chair-ah thu emaw, ding nghet emaw turin a ti ang che. I hnungzang dinglam hawi la, chawlh hahdam rawh.
Step 2: Kawngpui (Lateral Flexion) a ni
A dawtah chuan doctor chuan zawi zawiin i lu chung lamah a kut a dah ang a, i kawr chu a natna awmna lam hawiin zawi zawiin a ben ang. I beng chu i kekawr ipteah rawn hruai ang maiin. Hetih lai hian hrehawmna i nei em tih a zawt ang.
Step 3: Kawng Rotation leh Extension
Tichuan, chu lam hawia kawr chu ben reng chungin, tlem tal hnunglam hawi la, en rawh. Heng chetna zawng zawng hi uluk tak leh uluk taka tih a ni.
Step 4: Thrust zawi zawia (Axial Compression) .
A tawp berah chuan i kawng chu chutiang dinhmun bikah chuan doctor chuan i lu chunglam atang chuan hnuai lam panna (light pressure) tlemte tak, zawi te tak te a rawn hmang ang.
A pawimawh ber chu heng step i tih lai hian eng emaw i hriat chuan, a hmaa i natna emaw, i rilru hahna emaw ang chi te chu doctor hnenah i hrilh nghal tur a ni. Natna i neih chuan i kut chu chawi sang turin a hrilh mai thei che. Thil hrehawmna i neih chuan test chu a titawp nghal mai ang. Natna tizual thei tur thil i ti lo vang.
Engtin nge result a chhuah a, eng nge a awmzia?
He test result hi a rang thei ang bera hmuh theih a ni. Doctor chuan test zawh veleh a chipchiar zawngin a hrilh nghal ang che. Results hi chi hnih a awm a, chungte chu ‘Positive’ emaw ‘Negative’ emaw an ni.
| Nghawngchhuah | Chu chu eng nge a awmzia? |
|---|---|
| Dik | Natna emaw, a hmaa kan sawi tawh ang khan (pain radiating down the arm, numbness) i nei tih i sawi a. Hei hian i symptoms hi i kawr chhunga nerve pinched vang a nih a rinawm ber tihna a ni. I doctor chuan hei hi finfiah turin CT scan emaw MRI emaw a ti mai thei a, pinched nerve awmna leh a chhan dik tak chu a en mai thei. |
| Dik lo | Exam i neih chhung hian natna leh symptom bik i nei lo. Chu chu i kawr chhungah nerve pinched i neih a rinawm loh tihna a ni. Mahse, harsatna a awm lo tih erawh 100% in a chiang lo. I natna chhan dang (e.g., taksa ruh lama harsatna) a awm thei bawk. I doctor chuan chu chu hriat tumin test tam zawk tih a duh mai thei. |
Test positive a nih chuan eng nge i tih leh ang?
Test ‘positive’ a nih hi kan hlau tur a ni lo. A nihna takah chuan thil tha tak a ni. A chhan chu kan harsatna thlentu chu kan hmuchhuak tawh viau tihna a ni. A dawt leh tur chu enkawlna a ni.
Doctor-in MRI scan hmanga a natna a finfiah hnuah chuan enkawlna dik tak chu a tan ang. Enkawlna kawng hrang hrang a awm a:
- Damdawi: Nerve natna leh hliam tihziaawmna tur damdawi pek.
- Rest and Activity Modification: Kawr chunga pressure siamtu thiltih (phur rit phurh, hun rei tak chhung hnuai lam en reng) te chu hun engemaw chen tihtawp turin fuih rawh.
- Physical Therapy: Hei hi a pawimawh hle. Hetah hian thil tam tak zirtir i ni ang a, chu chu kawr ruh tichak tura exercise te, kawr dinhmun siam that dan te, nitin hnathawh laiin kawr chungah pressure dah loh dan te a ni.
- Inzai:A tam zawkah chuan hei hi a tul lo. A chunga enkawlnate hian a puih loh chuan, nerve compression a nasat em avangin i doctor chuan operation turin a refer thei che a ni.
Engtikah nge Doctor ka hmuh ang?
Kar engemaw zat chhung i kawng na i neih chuan, a na zual a nih chuan, a dam lo a nih chuan doctor pan ngei ngei tur a ni. Ngaihthah suh, a bik takin i kut ah natna, rilru hah, chak lohna i neih chuan.
Spurling test hi test awlsam tak, man tlawm tak a ni a, i doctor chuan i natna lan chhuah dan a hriat chian theih nan a pui a ni. Pain test a nih avangin a hlauhawm deuh thei. Mahse i doctor-in harsatna a neih chuan test chu an titawp nghal mai ang. Chuvangin ngaihtuahawm tur a awm lo.
Take-Home Thuchah a ni
- `Spurling test` hi doctor-in taksa test awlsam tak a ni a, a kawngah nerve pinched a awm leh awm loh a enfiah thin.
- He test hi i kawr atanga i kut thlenga natna radiate, i kut a bengchheng emaw, i kut chak lohna emaw ang chi symptoms i neih chuan tih theih a ni.
- Hei hian inbuatsaihna bik a ngai lo va, test pawh minute tlemte chauh a ni.
- Examination neih chhunga harsatna i neih chuan doctor hnena hrilh nghal a pawimawh hle.
- A result ‘positive’ a nih chuan natna thlentu an hmuchhuak tihna a ni. Chumi hnuah chuan permanent treatment-ah i kal thei ang.
- Kawng na leh a kaihhnawih natna a awm reng chuan ngaihthah suh la, doctor hmu ngei ang che.
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