I kawr atanga i kekawr bul thleng leh i kut hnuai lam thlenga tingling sensation i nei tawh em? Computer hmaa rei tak hnathawh emaw, mut dik loh emaw, thil rit tak tak i chawi emaw hian he natna hi a zual mai thei. Mi tam takin he kawr natna hi thil pangngaiah ngai mah se, a chang chuan chhungril lama harsatna lian tak chhinchhiahna a ni thei bawk. Chuvangin, hetiang kawng na chhan tak tak hi zawn chhuah nan hian doctor-in a tih theih tur test awlsam tak mahse pawimawh tak a awm a ni. Vawiin hian 'Spurling Test ' chungchang kan sawi dawn a ni.
A awlsam zawngin sawi ila, Spurling Test hi eng nge ni?
Spurling test hi i doctor-in i kawng na chhan hriat nan kut hmanga taksa enfiahna a ni. Thisen test emaw scan emaw a ni lo. Kum 1944-a he test hmang hmasa bertu neurosurgeon Roy Spurling hming chawia sak a ni.
Concept awlsam takah a thawk a ni. I kawr chhunga vertebrae pakhat atanga nerve lo chhuak chu eng emaw chhan vanga pinched a ni ang tih han ngaihtuah teh. He test-ah hian doctor chuan i kawr chu nêm tak, controlled movement pe turin a bei a, chu chuan chu nerve chu a pinch a, i natna pangngai chu a lo let leh em tih a en thin Phên dangin sawi ila, hei hi symptoms provoke tura tih a ni. A awm chuan doctor chuan harsatna chu khawiah nge a awm tih chu a hre chiang thei ang.
Test a positive a nih chuan eng nge a awmzia?
Test zawh veleh result chu ‘Positive’ emaw ‘Negative’ emaw a ni thei.
Positive result tih awmzia chu doctor-in i kawr chu kawng bik a hawitir a, zawi zawia pressure a pek chuan i kut bula i hriat reng angin natna, tingling, emaw, i rilru hahna emaw i nei thin tihna a ni.
Hetiang result tha tak hian i kawr chhunga vertebrae pakhat atanga lo chhuak nerve root chu a compress tihna a ni fo thin. Damdawi lam hawi chuan he natna hi ‘Cervical Radiculopathy’ kan ti a ni.
Hetianga nerve a pinch theih chhan hi chhan hrang hrang a awm thei a:
- Herniated Disk : A dik tak chuan vertebrae pahnih inkar jelly ang chi cushion (disk) chu a bulge chhuak a, nerve pakhat a press a.
- Ruh inthlak danglamna: Kum upat ruala vertebrae (arthritis) inthlak danglamna hian ruh thar lo thang lianin nerve a tikhawlo thei a ni.
- Swelling emaw scar tissue emaw a awm chuan:Accident hnua swelling emaw scar tissue lo awm hian nerve a ti compress thei a ni.
- Severe muscle spasm : Kawr chhunga thau a tension lutuk avangin nerve pawh a pinch thei bawk.
I medical history leh symptom dangte ngaihtuah chuan doctor chuan he Spurling Test atanga result tha tak nen i natna chungchangah thutlukna tha tak a siam thei a ni.
Engtin nge doctor hian he test hi a tih?
Mi thenkhat chuan he test chungchang an hriat hian an hlau deuh mai thei. Mahse fimkhur tak leh thununna hnuaia tih a ni. Natna i hriat chuan test chu tihtawp nghal a ni ang.
Chutianga tih dan tlangpui chu hetiang hi a ni:
1. Step 1: Doctor chuan chair-ah a thut tir ang che a, i lu a dinglam lai chuan i lu chung lamah zawi zawiin pressure a pe ang che. Hei hi Basic Compression Test an ti a . Hetih lai hian natna emaw, hrehawmna emaw i neih loh chuan a dawt leh tur lamah i kal thei ang.
2. Step 2: Tunah chuan doctor chuan i kawr chu a natna awmna lam hawiin tlem a tilt ang . Entirnan, i kut dinglam atanga natna chu a tla thla a nih chuan i lu chu dinglamah tlem a tilt ang.
3. Step Pathumna: Hetiang dinhmunah hian lu chu a nghat a, puithiam chuan lu chunglam chu zawi zawiin a nawr leh a.
Hetiang pressure hi i hman hian, i hriat fo thin natna, tingling, emaw electrical sensation i hriat thin kha, i kekawr bul emaw, i kut emaw hnuai lam atanga i hriat chuan test chu ‘positive’ a ni. Chu chu i hriat veleh doctor chuan test chu a titawp ta a ni. Natna hriat loh chuan a rah chhuah chu ‘negative’ a ni.
Pawimawh tak: He test hi in lamah i enchhin ngai lo tur a ni a, mi dangin i tan tihsak tir ngai suh. Hei hi Doctor thiam tak chauhin tih tur a ni. Thil tih dik loh chuan i kawr a tichhe thei a ni.
Spurling Test tih loh chu eng test dang nge tih thin?
Spurling test hi nerve pinched hmuhchhuahna atana test chiang tak a ni. Chumi awmzia chu ‘positive’ a nih chuan pinched nerve a awm a rinawm ber tihna a ni. Mahse, test sensitive tak a ni lo. Chumi awmzia chu test chu ‘negative’ a nih vang mai mai chuan harsatna i nei lo tih hi 100% chiang takin sawi theih a ni lo tihna a ni. A natna chhan dang vang pawh a ni thei.
Chuvangin, doctor chuan taksa test dang eng emaw zat a ti thei bawk a, a thlalak kimchang a hmu thei bawk. Chutiang test dang thenkhat chu hetiang hi a ni.
| Test neihna tur hming | A awlsam zawnga tih dan leh ‘positive’ nih dan. |
|---|---|
| Shoulder Abduction (Relief) tih chhinchhiahna | I lu sir lama kut na tak chu chawi sang turin an ti ang che. Chutianga i tih chuan i natna a tlahniam chuan test chu ‘Positive’ a ni. |
| Neck Distraction Test a ni | Doctor chuan i lu chu i hmui hnuaiah leh i lu hnung lamah a chelh ang a, zawi zawiin a han hrual ang. Hetiang hunah hian i natna a tlahniam a nih chuan test chu ‘positive’ a ni. |
| L'hermitte-i chhinchhiahna a ni | I lu hnuai lam (i rilru lam hawia) i ben hian i ruhro emaw, i kut leh ke emaw-ah electric shock i neih chuan test chu ‘Positive’ a ni. |
| Hoffman-a chhinchhiahna | Doctor chuan i kut zungtang lai tak nail chu zawi zawiin a ‘snap’ ang. Index finger leh thumb chu a takin a ben chuan test chu ‘positive’ a ni. |
| Adson-a Test a ni | I lu chu na lam hawiin a inher ang a, i hmui chu a chawi sang ang a, thawk la turin an ti ang che. Hetih lai hian doctor chuan i kutphah atang hian i pulse a check ang. Pulse a tawp chuan test chu ‘Positive’ a ni. |
Heng test atanga thu hriatte lakkhawm a, a tul chuan MRI scan ang chi test dang neih belh tura refer che hian i doctor chuan i tana enkawlna tha ber a ruat ang.
Take-Home Thuchah a ni
- Spurling test hi doctor-in taksa test awlsam tak a ni a, nerve compression awm leh awm loh enfiahna a ni a, chu chuan natna a thlen a, chu chu kawr atanga kut hnuai lam atanga rawn chhuak a ni.
- ‘Positive’ test tih awmzia chu i kawr chhunga nerve pakhat chu a compress tih finfiahna nghet tak a awm tihna a ni.
- He test hi diagnosis-a a then pakhat chauh a ni. I doctor chuan he result hi i symptoms, medical history leh test dangte nen a ngaihtuah ang.
- He test hi eng vang pawhin in lamah tih tum suh. Damdawi thiam tak chauhin a tih tur a ni.
- I kawr, i kekawrte, i kut ah natna, i rilru a hah emaw, i rilru hahna emaw i neih chuan ngaihthah suh la, doctor hnenah thurawn leh enkawlna dik tak dil ngei ang che.
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