Cricket emaw netball emaw i khelh laiin i khup i twist ngai em? A nih loh leh in lamah i tlu a, i tlu a, i khup na lutukin i ben leh dinglam harsa i ti em? Hetiang hunah hian i khup a na a, a hring a, i khup a khauh tih i nei thei bawk. Hetiang hun lai hian doctor i pan chuan i khup natna dik tak hriat tumin Thessaly test tih test awlsam tak a ti ang. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.
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A awlsam zawngin, he Thessaly Test hi eng nge ni?
Thessaly test hi taksa test awlsam tak a ni a, doctor-te chuan i khup chhunga cartilage chi khat, meniscus-a tear emaw rupture emaw an enfiah thin. I doctor office-ah (in-office physical exam) tih theih a ni. Machine mawi tak tak leh hmanraw bik a mamawh lo.
He test-ah hian ke pakhata ding turin an ti che a, i khup chu tlem han ben la, i taksa chu a sir lehlamah twist turin an ti che a ni. Doctor chuan i tlu loh nan a chelh che a. Doctor chuan uluk takin i khup a na em tih a enfiah thin a, i khup a na em tih emaw, i twist laiin ‘click’ ri a siam em tih emaw a enfiah thin.
A tlangpuiin khup na nei doctor i hmuh chuan Thessaly test hi preliminary test angin an ti thin. Mahse, hei chauh hian diagnosis chu a ti famkim lo. Ngaihtuahna chu nemnghet turin X-ray emaw MRI scan ang chi thil i neih a ngai fo ang.
Engtikah nge he test hi ka tih a ngaih?
He test hi i doctor-in i khup a meniscus a tihchhiat a rinhlelh chuan tih thin a ni. Hetiang dinhmun, meniscus tear an tih hi a tam hle a, a bik takin infiammi zingah a awm fo.
Tunah chuan he meniscus hi eng nge a nih i ngaihtuah mai thei . Kan khup ruh hi han ngaihtuah teh. A chungah chuan thigh bone (femur) a awm a, a hnuaiah chuan shin bone (tibia) a awm bawk. Heng ruh pahnih hi an inhnaih loh nan, chu chu car chhunga shock absorber ang maiin, meniscus hi rubber ang chi cartilage chi khat, heng ruh pahnih inkar lai takah hian kan ti a. A hna ber chu kan tlan, kan zuang leh kan kal hian shock lo awm thin chu a hip lut a, kan ruh (joint) venhim hi a ni.
Khup chu a inher nghal vat a, a tlu nghal a, a nih loh leh infiamna lai ang chi pressure nasa lutuk a awm chuan he meniscus hi a chhe thei a, a chhe thei bawk.
| Meniscus tear natna lan chhuah dan tlangpui | |
|---|---|
| A ri nghal zat hriat | Hliam a awm chuan khup chhungah ‘click’ emaw ‘pop’ emaw ri a ri a. |
| Instability a awm lo | I khup chungah thunun thei lo ang maia inhriatna, i ding lai leh leia i tlu dawn laia i khup ‘a zuang’ ang maia inhriatna. |
| Natna leh hliam | Khup natna nasa tak leh hliam na tak. |
| Khup a nghet lo | Khup pum pui ben emaw, tihzauh emaw theih lohna. Engtik lai pawhin khup chu lock'' a nih thu hriatna. |
Heng symptoms te hi i neih chuan i doctor chuan Thessaly test a ti ang. Hei hian meniscus chauh ni lovin, khup chhunga ligament emaw tissue dang emaw a tichhia em tih hriat theihna a pe thei che a ni.
Pawimawh: Meniscus chhia chuan nakin lawkah osteoarthritis, khup natna a vei theihna a sang hle. Chuvangin inenkawlna mumal tak neih hmasak a pawimawh hle .
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He test hi a awlsam hle . A tih dan tur step hrang hrangte chu hetiang hi a ni. Doctor hmaah i awm ang tih han ngaihtuah teh.
1. Ding dan: A hmasa berin ke khata ding tura tih i ni ang. Ke dang chu tlem han chawi sangin i dah tur a ni.
2. Doctor puihna: Hlauh tur i nei lo. Doctor chuan i tlu loh nan i kut emaw, i kawr emaw chu a thlawp ang che.
3. Knee Bending: A dawtah chuan i ke ding khup chu tlem tal ben turin an ti ang che. Test hi a ben tlem a, degree 5 vel a ni. Tichuan, test chu a ben deuh a, degree 20 velin an ti leh a.
4. Taksa rotation: Tunah hi a pawimawh ber a ni. Doctor in a chelh lai hian i ke ding chu vawi thum vel rotate in leh out turin a hrilh ang che. Chu chu zawi zawiin i hips chu a sir lehlamah rotate tihna a ni.
Chutianga i tih lai chuan doctor chuan , "A na em?", "A tang ang maiin i hria em?", "Popping sound i hre em?"I khup pawh a hre bawk ang a, thil danglam tak i hriat emaw, thawm i siam emaw a enfiah ang. I rilru put hmang dik tak sawi a pawimawh hle .
A tlangpuiin, ke hliam enfiah hmain, he test hi ke hliam lo chungah pawh tih a ni . Hei hi test i thiam theih nan leh doctor hnenah i khup hrisel tak kal dan tur ngaihtuahna a pek theih nan a ni.
Thessaly Test leh McMurray Test hi eng nge an danglamna?
Khup-a meniscus tear nia rinhlelh a nih huna test lar dang tih chu McMurray test a ni. Test pahnih tum chu inang mahse, an tih danah hian danglamna tlem a awm.
| Mihring ziarang | Thessaly Test neih a ni | McMurray Test a ni |
|---|---|---|
| Damlo dinhmun | Ke pakhata ding chungin. | Khumah a mu a (a kut phar chungin) . |
| Tuin nge moving hi ti? | Damlo chuan a taksa chu amah ngeiin a rotate thin . | Doctor chuan a ben a, a rotate a, damlo khup chu a ti che a. |
| Check dan tur | Taksain rit a phurh laiin meniscus-a pressure a test thin. | Khup chu angle hrang hrangah an sawn a, meniscus-a inthlak danglamna a awm leh awm loh enfiah a ni. |
Heng test pahnih zingah hian eng test pawh ti se, i khup na chhan zawn chhuah tum ber a ni. Chuvangin i rilru hahna emaw, natna emaw i neih apiang chu i doctor hnenah hrilh ngei ang che.
Test zawhah eng nge thleng?
Thessaly test hi enkawl dan hmasa ber chauh a ni. Results a zirin i doctor chuan i khup chhung lam chiang zawka en theih nan scan engemaw zat neih a rawt fo thin.
Chungte chuan khup ruh, cartilage leh ligament-te chhiatna chu dik takin a teh thei a ni. Test tih tam ber chu:
- X-ray: Ruh a chhiat leh chhiat loh enfiah thin ang che.
- Magnetic Resonance Imaging (MRI): Hei hi meniscus leh ligaments ang chi soft tissue te chhiatna hmuh theihna tha ber a ni.
- Ultrasound scan: Hei hi a then phei chuan hman a ni bawk.
A châng chuan, a natna hriat theih nân emaw, a hmun chhia siam ṭhat nân emaw khup arthroscopy neih a ngai thei bawk. Hei hian khup chhungah incision te tak te tak siam a, chuta tang chuan camera dah a ni. Hei hi a tlangpuiin surgery lian tak a ni lo va, outpatient procedure a ni a, chu ni vek chuan in lamah i haw thei bawk.
Hei hi risk a awm em? Tin, result hian eng nge a sawi?
Thessaly test neih hian hlauhawmna lian tham a awm lo . Test neih chhung hian natna emaw, hrehawmna emaw i nei thei a, mahse meniscus chu a chhe tawh a nih pawhin tuar theih loh tur a ni lo.
He test result hi math problem chhanna angin number-ah a rawn lut lo. Chu ai chuan ‘ni’ emaw, ‘ni lo’ emaw ang chi thil a pe zawk a ni.
- Positive (+): Test neih laiin natna, stiffness, popping sound i neih chuan ‘positive’ result a ni. Hei hian i meniscus a chhiat theihna chance a sang tihna a ni.
- Negative (-): I rilru hahna leh hrehawmna i neih loh chuan ‘negative’ result a ni.
Mahse hre reng ang che, zirchianna thenkhatah chuan Thessaly test hi test dang aiin a dik zawk laiin, 100% a famkim lo tih a lang. Chumi awmzia chu a result chu negative pawh ni se, khup-ah harsatna dang a la awm thei tihna a ni a, a nih loh leh meniscus-ah chuan mittui tla tlem a awm thei bawk . Chuvang chuan hemi hnu hian MRI scan hi tih a ni deuh ber.
Engtikah nge doctor ka hmuh vat ang?
I khup natna emaw, i hliam emaw chu ni engemaw zat hnuah a reh lo va, a zual zel a nih chuan i doctor hmu ngei ang .
Mahse, a hnuaia symptoms te hi i neih chuan damdawi in Emergency Treatment Unit (ETU) ah kal nghal rawh:
- Natna tuar theih loh a awm chuan .
- A hring chu a pung chak hle a nih chuan .
- A rawng inthlak danglamna a awm a nih chuan, chu chu khup chu blue emaw purple emaw a nih ang chi hi a ni .
- I khup i che thei lo tak tak a nih chuan, hay i tih dan pangngai angin i fold thei lo a nih chuan.
Take-Home Thuchah a ni
- Thessaly test hi khup-a meniscus tear nia rinhlelh a nih chuan taksa enfiahna awlsam tak, natna nei lo tak a ni.
- Hei hian ke pakhata ding a, i khup tlem a ben a, i taksa chu a sir lehlamah i herh kual a ni.
- He test hi diagnosis hmasa ber chauh a ni. MRI scan ang chi thil i neih a ngai mai thei.
- Test neih chhunga i natna, i tight leh i rilru hahna eng pawh doctor hnenah hrilh a pawimawh hle .
- Khup hliam hnua i khup natna nasa tak, a hring emaw, i che thei lo emaw i neih chuan damdawi in Emergency Department (ETU)-ah kal nghal rawh.
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