I Achilles Tendon pawh i tikehsawm tawh em? Thompson Test chungchang hi i zir dawn teh ang!

A châng chuan, i inkhelh emaw, i tlan lai emaw hian i ke kephah aṭanga ‘click’ thawm i hre thei a, chu chu rang takin, na tak takin a rawn zui a ni. Tendon a puak ang mai a ni. Hetiang hunah hian doctor-te’n i tendon a chhe tawh em, a nih loh leh i Achilles tendon a chhe tawh em tih hriat nan test awlsam tak a awm a. Hei hi ‘Thompson test’ kan tih chu a ni. Hemi chungchang hi vawiinah hian chipchiar deuhin kan sawi dawn em ni?

Thompson test hi eng nge ni?

A awlsam zawngin Thompson test hi i doctor-in a chelh tlat che, machine lian tak tak awm lovin, i taksa a enfiahna test a ni. A bul berah chuan i Achilles tendon – i calf muscle – chu a chhe tawh em, a nih loh leh doctor-te sawi angin, a chhe tawh em tih a enfiah thin . Doctor-te chuan calf squeeze test an ti \hin a, a chhan chu i calf muscle chu zawi zawiin i squeeze a ngai a ni. A awlsam hmel hle mai, a dik em?

Engtikah nge doctor hian Thompson test hi a tih thin?

I doctor chuan i Achilles tendon a chhe tawh nia a rin chuan Thompson test an ti ang. Infiammi i nih angin han ngaihtuah teh, i tlan emaw, i zuang emaw lai chuan i ke hnung lamah popping ri i hre nghal a, chu chu natna nasa tak a lo zui ta a ni. A nih loh leh chu hmunah chuan a hring chhuak tih i hre mai thei bawk. Hei hi i doctor-in test a tih hmasak ber tur a ni.

A tha ber chu hei hi in-office test a ni. A hrana tlawh leh hmanraw man to tak tak a ngai lo. Basic exam-a tel ve angin tih theih a ni a, i symptoms i report veleh tih theih a ni. Mahse, he test zawhah hian i hliam tih finfiah nan imaging test dang, ultrasound emaw MRI (Magnetic Resonance Imaging) scan emaw i neih a ngai fo ang. Chumi chungchang chu nakinah kan sawi leh ang.

He test hi engtin nge kan tih ang? A awlsam khawp mai!

Hei hi i Achilles tendon dinhmun enfiahna atana test awlsam leh rang tak a ni. Doctor-in a tih dan chu hetiang hi a ni:

• Exam table-ah chuan prone position-ah dah i ni ang. I ke ruh leh ke chu dawhkan sir chungah a awm tur a ni. A châng chuan hei hi i khup 90 degree-a ben chungin tih a ni a, chu chuan bawnghnute ruhte a ti hahdam ang.
• Tichuan doctor chuan i calf muscle chu zawi zawiin mahse nghet takin a squeeze ang a, chu chu i ke hnuai lama muscle a ni.
• I squeeze dawnin doctor chuan uluk takin i kephah leh ke chu a hnuai lam hawiin a ben em tih a enfiah ang (plantarflexion), chu chu a che tlem em tih emaw, chunglam hawia a chhoh em tih emaw a enfiah ang.
• A tlangpuiin i Achilles tendon a hrisel chuan i kekawrte i hrual hian hnuai lam hawiin i ben tur a ni. Hei hi a chhan chu he tendon hian i calf muscle chu i heel bone (calcaneus) nen a thlunzawm vang a ni. Rubber band chu a sir lam hawia hrual ang mai a ni.
• Doctor pawhin i ke dang pawh chutiang bawk chuan a ti ve mai thei. Hliam nei lo ke kephah chu eng chen nge a kal tih an teh ang a, ke hliam nen an khaikhin ang. A danglamna chu a lang chiang hle ang.

Hemi atan hian eng emaw inbuatsaih a ngai em?

Aw ni lo! He `Thompson test` atana inbuatsaih nan hian thil danglam bik tih a ngai lo. A pawimawh ber chu i `Achilles tendon` i tikehsawm nia i inhriat chuan, a hmaa ka sawi tawh ang khan i keah `click` ri i hriat chuan emaw, natna nasa tak i neih chuan a rang thei ang bera doctor pan la tihna a ni. Tikhawtlai suh, i tih chuan i dinhmun a chhe zual thei a ni.

Test neih chhung hian engtin nge ka awm ang? A pawi dawn em ni?

He test chhung hian a theih ang anga chawlh hahdam tum ang che. I taksa ruh i tense chuan doctor tan a awmna dik tak hmuh a harsa thei a, a result pawh a dik lo thei bawk.

A tlangpuiin Thompson test hian i natna emaw, Achilles tendon tear symptom dang emaw a tipung lo. Doctor chuan i tendon a hrual hian a rilru a na deuh mai thei a, mahse natna lian tham a thlen a rinawm loh. Mahse, doctor-in i tendon a hrual lai hian harsatna danglam tak emaw, tuar theih loh khawpa natna emaw i neih chuan i doctor hnenah hrilh nghal rawh. An ngaithla ang che.

Thompson test hnuah eng nge thleng?

Okay, tunah chuan doctor chuan Thompson test chu a ti ta a. Doctor chuan Achilles tendon (chu chu positive test) i nei thei tih a ngaihtuah chuan chu chu a tawpna a ni lo. Imaging test dang pawh i tih a ngai mai thei. Hei hi test a ni a, hliam chu eng ang chiah nge a nih, eng chen nge a inthen tih, a chhe vek em, a chhe deuh chauh nge tih hriat chian nan thlalak a la thin.

Hei hi entirnan:

• Ultrasound test: Hei hian sound wave hmangin serh (cervix) thlalak a la thin.
• MRI (Magnetic Resonance Imaging) scan: Hei hian magnetic field leh radio wave hmangin thluak leh a chhehvel tissue te chipchiar takin thlalak a la thin. Hei hi ultrasound aiin a chipchiar zawk.

Eng result nge ka hmuh thin? Eng nge an sawi tum?

Thompson test result hi medical test dang i hmuh tawh ang kha a ni lo. Chu chu number dik tak leh range dik tak a pe lo tihna a ni. ‘Ni’ emaw ‘ni lo’ emaw, ‘dik’ emaw ‘dik lo’ emaw zawhna ang deuh a ni. Doctor chuan i Achilles tendon a chhe tawh em tih chauh a enfiah a ni.

• Positive result awmzia chu: Doctor-in tendon a squeeze laiin i kephah chu a hnuai lam hawiin a ben lo (plantarflexion a awm lo) a nih chuan i Achilles tendon a chhe a nih a rinawm ber tihna a ni.
• A rah chhuah chu negative (`Negative`) tihna a ni:Doctor-in tendon a hrual (plantarflexion present) laiin i kephah chu a hnuai lam hawia a inbeng tlangpui a nih chuan Achilles tendon chu a chhe lo tihna a ni a, a nih loh leh he test hmang chauh hian a nemnghet thei lo tihna a ni a, a then pawh a chhe thei bawk.

He test leh imaging test dangte result hian i doctor chu eng enkawlna nge i mamawh tih a rel thei ang. A tam zawkah chuan Achilles tendon a chhe vek chuan siamthat nan operation a ngai dawn a ni. A chang chuan surgery ai chuan cast emaw boot emaw hman theih a ni. Hemi chungchang hi i doctor nen inbiak a tha ber.

Engtik laiin nge doctor ka hmuh ngei ang?

Achilles tendon i chhe thei nia i ngaih chuan, emaw, heng symptoms te hi i neih chuan doctor pan nghal vat rawh.

• I ke ruh hnung lamah ‘click’ emaw ‘snap’ emaw ri i hriat chuan, a bik takin taksa tihchakna chak tak (e.g., tlan, zuang, badminton khelh) laiin.
• Vawikhatmah i kekawr hnung lamah natna na tak, tuar theih loh khawpin i hre ta a. Miin a kick che ang maiin a lang thei.
• Hliam hnua kal harsatna i neih chuan, i ke dah thei lo ang maia i inhriat chuan, a bik takin kekawr bul i ding thei lo a nih chuan.
• Ankle hnung lamah swelling leh bruising a awm chuan.

Heng symptoms te hi i neih chuan in lamah awm reng suh. "Amah chauhin a tha leh ang" tih ngaihtuah suh. I tih theih tha ber chu damdawi lam thurawn lak nghal hi a ni.

Achilles tendon a chhe tawh em tih enfiahna tur test dang a awm em?

Ni e, Thompson test hi doctor-te’n Achilles tendon rupture an hmuhchhuahna atana an hman thin taksa test lian ber ber zinga pakhat chauh a ni. A dangte chu:

• Matles Test: Hei hi Thompson test nen a inang hle. I pum chungah mu turin an ti ang che a, i ke chu khum sir lamah phar chhuakin emaw, i khup chu 90 degree thlenga ben turin emaw an ti ang che. A tlangpuiin i Achilles tendon a hrisel chuan i ke chu angle tlem a ni ang a, chu chu a hnuai lam hawiin a ben deuh ang (plantarflexion tlem) tihna a ni. Mahse, tendon a hrual chuan i ke chu flat emaw neutral position-ah emaw, dorsiflexed emaw-ah a awm ang.
• Achilles tendon palpation: Palpation tih hi doctor-in a kut zungtang hmanga thil a hriat a, a hrual (squeeze) hi a ni. Doctor chuan test dang nen hetiang hian a ti fo thin. Achilles tendon hi vun hnuaia hriat theih tur tendon lian tak, thuk tak a ni. Chuvangin a chhe vek emaw, a then emaw a nih chuan doctor chuan a chhe lai hmunah hian gap (or defect) a hre thei a ni.

Mahse, doctor-in eng physical test pawh ti se, a tawpah chuan hliam chu chiang taka hriat theih nan imaging test vawi khat tal (a tam zawkah chuan ultrasound emaw MRI emaw) an tih a ngai dawn tih hre reng ang che.

Achilles tendon chhe tawh nen kal chu a pawi em?

Mi tam tak chuan an kekawrte chu eng emaw chen chu an kal thei a, an Achilles tendon a chhe thei bawk. Amaherawhchu, hrehawm leh harsa tak a ni thei. I Achilles tendon-ah harsatna i nei nia i hriat chuan, i keah i kal thei emaw, i rit phur thei emaw pawh nise, doctor pan nghal rawh.

A chhan chu i ke ruh i hman a, i keah full weight i dah chuan hliam awm tawh (Achilles tendon rupture pawh tel) chu a na zual thei a ni. Tendon tlemte pawh a chhe vek thei.

Doctor-in i hliam a hriat theih hma chuan, kekawrte, kea kalna emaw, mobility aid dang emaw i neih chuan hman a tha ber. I ke chawlh hahdam hi a pawimawh hle.

Chuti a nih chuan, heng zawng zawng atang hian eng thil nge kan hriat reng tur? (In lama hruai tur thuchah)

Achilles tendon tearing hi hliam a ni fo a, a bik takin infiammi emaw, tlan emaw, zuang emaw ang chi chetna rang tak ti thin tan chuan a ni. A hlauhawm thei hle a, mahse a enkawl dan dik tak i hmuh chuan enkawl leh tihdam theih a ni.

Thompson test hi test awlsam, him leh hlawk tak a ni a, doctor-in he natna hi a screen theih nan a hmang thei a ni. Harsatna pakhat chu rang taka hriatchhuahna kawngah a pui thei a ni.

Mahse, he test ringawt hian engkim a hril thei lo. Tendon-a chhiatna engzat nge a awm tih chiang taka hriat theih nan test dang, ultrasound emaw MRI emaw i neih a ngai mai thei.

Achilles tendon tear hi a dam theih nan hun rei tak a ngai thei a, a harsa hle thei bawk (a bik takin physiotherapy-ah chuan). Tlan leh zuang i tan leh hunah Thompson test pawh i hre tawh lo mai thei. Mahse, he test awlsam tak hi i dam lehna kawnga hmalakna hmasa ber rang tak a ni.

Chuvangin, i ke hnunglam atanga ‘click’ ri lo chhuak i hriat a, na i hriat chuan Doctor hmuh theihnghilh suh. Tichuan, hetiang test hmang hian a tul anga enkawlna chu rang takin i tan thei ang. I dam thuai ang a, i hnathawhnaah i kir leh thei tawh ang!

` Heel spur, Thompson test, Achilles tendon rupture, ke ruh hliam, sports inhliam, kekawr na, calf squeeze test