Mi tam zawk chuan an dam chhungin vawi khat tal hnungzang natna an tawk tawh a ni. A châng chuan he natna hi hnungzang chauh a ni lo va, a hnute hnuai lam, ke hnuai lam emaw, ke hnuai lam emaw thlengin a radiate thei a, chu chuan rilru hahna emaw, rilru hahna emaw a thlen thei bawk. Hetiang hun laia doctor i hmuh hian test awlsam tak leh pawimawh tak tak a awm a, chu chu eng nge ni tih chiang taka hriat theih nan a ni. Vawiin hian Straight Leg Raise (SLR) Test chungchang kan sawi dawn a ni . Hei hi `Lasegue test` an ti \hin.
A awlsam zawngin sawi ila, Straight Leg Raise (SLR) Test hi eng nge ni?
I hnungzang atanga i ke thlenga kal nerve te chu electrical wire angin ngaihtuah rawh. Heng nerve fiber te hi i ruhro (spine) kaltlangin an kal a. A châng chuan i ruhroa herniated disc (`Lumbar disc herniation`) vang emaw, thil dang vang emaw hian heng nerve te hi a compress thei a ni. Chutah chuan natna chu i ke hnuaiah a kal tan a, a hmaa kan sawi tawh ang khan. Hetiang dinhmun hi `Sciatica` kan ti bawk.
Chuvangin, SLR test hi i doctor-in i natna hi nerve pinched emaw, i taksa ruh emaw, i ruh emaw mechanical problem avanga lo awm a nih leh nih loh hriat nan a hmang ang He test result hian i tan enkawlna tha ber a hril ang.
Doctor chuan he test hi a tih hmain zawhna tlem a zawt ang che. Entir nan:
- Engtikah nge cramps hi a lo intan?
- Eng chen nge a lo awm tawh?
- Eng ang nge a natna chu a hriat? (e.g., kang, hliam, tingling?)
- Natna chu a pung zel nge a tlahniam?
Heng zawhnate hi a rinawm leh chiang thei ang bera chhan a pawimawh hle . Hei hian doctor chuan i dinhmun a hrethiam zawk ang.
Engtin nge he test hi i tih?
Hei hi kalphung awlsam tak a ni. Engmah hrehawmna i nei lovang. Doctor chuan exam table-a i mut laiin hetiang hian a ti tlangpui ang.
1. A hmasa berin khumah hmai chhak taka mu turin an ti ang che.
2. Tichuan, i khup dik taka vawn rengin, doctor chuan zawi zawiin ke na tak chu a han chawi sang ang.
3. Hetianga i ke i han chawi chuan i doctor hnenah i natna pangngai (i hnungzang emaw i ke hnuai emawa natna) i hriat tanna hmun kha i hrilh leh tur a ni
4. A châng chuan, nerve-a harsatna tlem tal dah belh nân, doctor chuan i ke chu i sir lamah flex turin a ti thei che a, a nih loh leh i kawr chu hmalam pan turin a ti thei che a ni.
He main test bakah hian hetiang method dang engemaw zat a awm bawk.
| Test neihna tur hming | A tih dan chu a awlsam hle. |
|---|---|
| Crossed Straight Leg Raise Test a ni a, a khelh danah pawh a khel tha hle | Hemiah hian doctor chuan ke hrisel, natna nei lo chu a chawi sang a. Mahse, chu ke i han chawi sang chuan i ke dang na tak takah chuan natna i hriat chuan hei hi nerve compression a nihna finfiahna nghet tak a ni. |
| Seated Straight Leg Raise Test neih a ni | Khumah an thut tir ang che a, i khup chu degree 90-ah an ben ang a, chutah chuan khup pakhat chu an tidik ang. Hei pawh hian natna a thlen em tih an enfiah ang. |
| Prone Knee Bending Test (Reversed SLR) hmanga tih a ni. | I pum chungah dah i ni ang a, i khup chu hnunglam hawiin i kekawrte chu i hnute a khawih thlengin i inzawm khawm ang. I kawrfual na i neih chuan hei hian i hnungzang chunglam (`L2-L3 nerve roots`) a pinched nerve a tilang thei a ni. |
Test pakhat chu "Positive" leh "Negative" a nih chuan eng nge a awmzia?
Tunah chuan he test result hian eng nge a sawi tih i lo en ang u.
SLR test a positive a nih chuan...
"Positive" tih i hriat hian hlau suh. Damdawi lamah chuan symptom engemaw tak a awm tih finfiah a ni tihna a ni.
SLR test chu a positive a nih chuan:
- I ke chu degree 30 leh 70 inkar a i chawi sang chuan i natna pangngai (i hnungzang atanga i ke hnuai lam pan thin) chu a lo lang leh a nih chuan.
- A bik takin he natna hi khup atanga a radiate chuan pinched nerve chhinchhiahna chak tak a ni .
Pawimawh: I ke i chawi chhuah hian i ke hnunglam hamstring muscle-te chu a inhnukdawk tih hriat hi thil pangngai a ni. Hei hi test positive a nih chhan a ni lo. I hnungzang atanga i ke thlenga i natna ang kha i tawn tawh chuan a positive chauh a ni .
Positive result chuan i natna chhan chu nerve compression condition, sciatica, spinal stenosis, emaw disc herniation te a ni tihna a ni ber.
SLR test a negative a nih chuan...
"Negative" test tih awmzia chu i ke i chawi sang khan natna pangngai i tawng lo tihna a ni.
- Entirnan, i hnungzang na chauh i neih chuan, i ke hnuai lam natna radiate loh chuan he test hi negative a ni thei.
- Tin, ke chu degree 70 aia sang a nih hmaa natna a awm loh chuan chu pawh chu negative anga ngaih a ni bawk.
Negative result chuan natna engmah i nei lo tihna a ni lo. I natna hi nerve pinched avanga lo awm a nih a rinawm ber tihna a ni. I taksa ruh, i ruh natna emaw, thil dang emaw a na thei bawk. Chumi hnuah chuan i doctor chuan a chhan hriat tumin test dang nei turin a refer ang che.
Test positive a nih chuan eng nge i tih leh ang?
SLR test a positive a nih chuan, nerve compression rinhlelhna a awm tihna a ni a, hlau suh. Hemi atan hian enkawlna chi hrang hrang a awm a.
A pawimawh ber chu i doctor thupek dik taka zawm hi a ni .
A tlangpuiin doctor chuan hetiang hi a rawt thei a:
- Chawlh hahdam: Natna tipung thei thil (hma lam hawia inbeng, rit phurh ang chi) atanga rei lo te chhung inthiarfihlim turin an hrilh ang che.
- Physiotherapy: Hei hi a pawimawh hle. Physiotherapist chuan i hnungzang leh pum ruh tichak tur leh nerve-a pressure tihziaawmna tur exercise bik a zirtir ang che.
- Damdawi: I doctor chuan natna leh hliam tihziaawmna tur damdawi a pe ang.
- Spinal Injection: Mi thenkhat tan chuan a na lutuk chuan ruhroah special injection an pe thin.
- Surgery: Surgery hi mi tlemte tan chauh a ngai a, chu chu damdawi hmanga thunun theih loh natna nasa tak a awm a nih chuan, emaw, ril leh zunthlum tihdanglam ang chi natna lanchhuahna na tak a awm chuan a ni.
A tam zawkah chuan sciatica ang chi natna hi chawlh hahdamna tha, taksa enkawlna leh damdawi ei hian kar 6 vel chhungin a reh vek ang.
Take-Home Thuchah a ni
- Straight Leg Raise (SLR) Test hi test awlsam tak, natna nei lo, hnungzang natna thlentu nia nerve compression a awm leh awm loh enfiah a ni a, a bik takin ke hnuai lam atanga natna lo chhuak thin hi a ni.
- "Positive" test tih awmzia chu a natna tlangpui chu ke chawi sang a nih chuan a awm tihna a ni. Hei hian nerve pinched a nih thu a tilang.
- "Negative" test tih awmzia chu natna thlentu chu nerve compression ni lovin, thil dang vang a ni.
- Eng pawh ni se, hlauthawng suh la, i doctor nen inbia la, a thupek leh a enkawl dan dik tak zawm rawh.
- Mi tam tak chu physical therapy leh chawlh hahdam hmangin an dam thuai thei a ni.
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