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.
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 .
Engtin chiah nge he test hi i tih?
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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