Hriselna lama i dinna hmasa ber: Primary Care Provider (PCP) chungchang zawng zawng!

‘Aw, keimah ngeiin doctor ka biak tur leh thurawn la tur nei ila, ka taksaah khawsik tlem emaw, natna tlem emaw nei mah ila, a va nuam ang em?’ tiin i ngaihtuah fo thin em? A nih loh leh, ‘Kum khatah vawi khat tal ka taksa pum pui enfiah a, a na zual hmaa enkawl dan awm ta se’? Chu chu primary care provider kan mamawh hun a ni a, chu chu primary care physician ( Primary Care Provider (PCP) chuan tanpuina a mamawh a ni. Vawiin hian he PCP hi tu nge a nih, a hnen atanga eng service nge i hmuh theih ang tih te, i tana tha tur i hmuh theih dan tur te kan sawi dawn nia.

Primary care provider (PCP) chu tute nge ni?

A awlsam zawngin, i primary care provider (PCP) chu i health care partner a ni a, chu chuan i hrisel reng theih nan a pui che a ni. I PCP hi i biak hmasak ber a ni a, hriselna lama harsatna i neih leh neih loh en hmasa ber a ni a, emergency ang chi tenau te pawh a tel. Kum tin i checkup na tur i pan thin kha a ni bawk .

Kum tam tak chhung chu doctor pakhat hnenah i kal tawh ang tih han ngaihtuah teh. I damdawi lam dinhmun chauh ni lovin, i ei leh in, i tih dan leh i chhungte hriselna a hre bawk. Chuvangin i tana enkawlna tur thlan chungchangah chuan i tana tha tur ang taka tih chu a tan a awlsam zawk. Hun a kal zel a, i PCP chuan a hre chiang zawk che a, i mamawh ang zela enkawlna pawh a siam rem thin.

PCP te hi doctor an ni fo thin. Hei hian accredited medical school atanga medical degree (MD emaw DO) an nei tihna a ni. Mahse, ram thenkhatah chuan trained nurse practitioner (Nurse Practitioners) leh physician assistant (Physician Assistants) te pawh primary care team-ah an thawk ve bawk. Sri Lanka ram pawnah chuan mi thenkhat chuan an PCP chu general practitioner (GP) tiin an ko thin. General Practitioner (GP) an ti bawk. He thumal GP hi kan ramah pawh hman a ni a, a dik em?

Engtin nge PCP hian a puih theih che?

I PCP hian hrisel taka awm turin a pui che a, i damloh chuan i dam thuai theih nan a pui bawk. A ṭanpui theih dân ṭhenkhat chu hetiang hi a ni:

• Kum tin i checkup turin kan inhmu leh ang: I hriselna chungchânga awm reng a pawimawh hle. Hrilhfiahna eng pawh i hmu hmasa thei.
• Hriselna lama harsatna i neih thut chuan hmuh che: I khawsik thut emaw, i pum na emaw i neih chuan , i tih hmasak ber tur chu PCP pan hi a ni.
• Mahni inhriat chian: Hei hi a pawimawh hle. I damdawi lam chanchin, i enkawlna duhzawngte, leh i mizia thlengin. Hei hian i duh ber service a pe thei a ni.
• I zawhnate chhanna: Infection, chronic conditions, emaw i damdawi ei chungchangah zawhna i neih chuan zalen takin zawt rawh.
• Natna laka invenna Ṭanpuina : Natna a thlen hnua damdawi ei ai chuan invenna a ṭha zawk, a dik em? Chumi kawngah pawh i PCP chuan a pui thei che a ni.
• Entîr nân, zu in bânsan i duh chuan , a fuih thei che a, a ṭanpui thei bawk che a ni.
• I ei leh in hi tlem tal thlak danglam a ngai mai thei a , ei leh in tha tak i hman thiam a ngai mai thei .
• A nih loh leh, i nunah lungkhamna awmte enkawl dan tur i sawi duh mai thei bawk. Heng zawng zawng hi i PCP hian a kaihruai thei che a ni.
• A hun taka vaccine lak: Flu shot, tetanus shot, leh shingles ang chi natna laka inven nan a hun taka vaccine i lak theih nan a enkawl ang.
• Screening test rawtna: Natna thenkhat chu a lan chhuah hmain hriat theih a ni. Entirnan, hnute cancer tan mammogram leh colon cancer tan colonoscopy te, heng test te hi kan zirtir ang che a, tihsak turin kan rawt ang che.
• Damdawi i mamawh tur rawtna: I dinhmun atana damdawi dik tak chu an ruat ang a, an pe ang che.
• Hun rei tak chhunga natna hrang hrang, zunthlum, thisen sang, emaw lungngaihna te enkawl tura tanpui che: Heng natna te hi i nunpui hian i PCP hian a enkawl theih nan leh nun tha zawk i neih theih nan a pui thei che a ni.
• Specialist dang hnena refer: I natna hian thiamna dang a mamawh a nih chuan, entirnan, heart doctor, lung doctor, orthopaedic surgeon, specialist hnenah refer i ni ang.

Ngaihtuah teh, doctor i hriat chian em em leh engkim i sawipui thei tur doctor neih hi a va hlu tak em!

Engtikah nge PCP ka hmuh ang?

A tha ber chu kum khatah vawi khat tal i PCP hmuin hriselna endikna kimchang neih hi a ni. Hei hi ni hriatreng tlak takah, i piancham ang chiah hian i schedule chuan kum tin tih tur hriat reng a awlsam zawk ang. A pawimawh ber chu i tih dan pangngaia tel ve tura siam hi a ni.

Chu bakah, i PCP chu hmu ngei ang che:

• Infection enkawl ngai symptom i neih chuan: entirnan, strep throat, whooping cough, emaw urinary tract infection emaw. In lama awm mai maiin enkawlna i dawng thei lo. Doctor i hmuh a ngai a ni.
• I taksa hmun dangah pawh natna thar, sawifiah theih loh i neih chuan: Natna tenau tak pawh ni se, a awm reng emaw, a na zual emaw a nih chuan i PCP hi hrilh ngei ang che.
• Damdawi ei hnua side effect i neih chuan: Damdawi thenkhat hian side effect tenau te a thlen thei. Mahse a tibuai che a nih chuan i PCP nen inbia ang che.
• I enkawl dan tur chungchanga zawhna i neih chuan: Damdawi pek i nih dan tur, eng nge tih tur i tih chungchangah emaw, rinhlelhna i neih chuan engkim zawt rawh.

PCP-te hian eng area-ah nge an specialise?

Primary care physician-te hian a tlangpuiin a hnuaia thil pakhatah hian specialized training an dawng thin:

• Chhungkaw Damdawi: Heng mite hi ‘chhungkaw doctor’ kan ti bawk. Nausen, naupang tê, naupang tê, puitling, tar, chu chu chhungkaw pakhata kum tin mi an enkawl avangin an danglam hle a ni. Chuvangin, nang, i fate, i nu leh pate, heng zawng zawng hi chhungkaw doctor pakhat hnenah i kal thei vek a ni. Tichuan chhungkaw pum hriselna chanchin a hre ta a ni.
• Internal Medicine: Heng Doctor te hi internist an ti bawk. Kum 18 chunglam an enkawl thin. Puitlingte natna khirh tak tak hriatchhuah leh enkawl danah training bik an nei a ni.
• Pediatrics: ‘Naupang enkawltu’ emaw naupang enkawltu (pediatrician) tiin kan hre vek. Nausen, naupang tê, naupang tê tê aṭanga mi zawng zawng hriselna lama harsatna, ṭhanlenna leh ṭhanlenna enkawltu an ni.

Chhungkaw doctor leh internist thenkhat chuan kum upa lam enkawlna tur specialized training dang an dawng leh thin . Anni hi geriatrician an ti a . Mi kum upat deuh deuha hriselna lama harsatna bik lo awm thinte chu an hrethiam hle.

Engtin nge i tana tha tur PCP i hmuh theih ang?

I tana fit tha tak leh i rintlak tur PCP zawn a pawimawh. Chutianga ṭanpui thei tur thil ṭhenkhat chu hetiang hi a ni:

• I insurance plan (i neih chuan): Health insurance i neih chuan eng PCP nge chu insurance company-in a cover a, i in hnaih ber tih zawng rawh. Hei hian i duhthlannate chu tlem a tihtlem phah thei a ni.
• Mi rintlak tak takte hnen atangin rawtna dil rawh: I thiante, i chhungte leh i thawhpui te hnenah an kalna PCP chungchang zawt rawh. Chu Doctor lakah chuan an lawm em, engvangin nge chu doctor chu an thlan?Doctor hnenah eng nge a duhzawng leh eng ang thil nge a tih that tih zawt rawh. Miin a thil tawn hi a hlu em em a ni.
• Internet-ah zawng rawh: I awmna hmuna damdawi in website-ah hian PCP-te chungchang thu a awm thei. A chang chuan doctor profile leh patient review te pawh i en thei bawk. (Sri Lanka ramah chuan review hi chutiang chuan a tam lo mai thei a, mahse hospital website-ah chuan a \angkai hle.)
• PCP office-ah ko rawh: PCP tlemte i rilruah i neih hnuah an office emaw, an hnathawhna damdawi in/clinic-ah emaw call rawh. I insurance an pawm em (i neih chuan) leh damlo thar an pawm em tih zawt rawh. Damlo thar i nih anga i hriat tur chu zawt rawh. A theih chuan office emaw clinic emaw tlawh la, boruak awm dan leh thawktute an fel em tih en rawh.

Inkhawm hmasa ber zawh hnua ngaihtuah tur thilte

PCP thar nen in inhmuh hnuah hun engemaw chen hmang la, inhmuhkhawmna tur ngaihtuah rawh. A tlangpuiin, heng thilte hi i hriat chuan, chu PCP chu i tan a fit tha hle a rinawm:

• I him leh nuam i ti em ?
• Zahawm i nei tih i hria em ?
• Zawhna zawh theihna hun pek i ni em ? Doctor chuan i thusawi chu a ngaithla em?
• I zawhnate chhânna chiang tak, hriatthiam tlâk leh ṭangkai tak i dawng em?

Thil dik lo anga lang, i rilru a hahdam loh chuan PCP thar bul tan hi thil dik lo a awm lo. I tana tha tur zawng turin beih tlemte a ngai mai thei - chu chu thil pangngai a ni. PCP appointment neih chhunga i rilru hahdam leh inrintawkna hian check-up i kal fo dan leh thil danglam tak a thlen chuan i doctor i hmuh thuai danah nghawng lian tak a nei dawn tih hre reng ang che. Chu chu i hriselnaah danglamna lian ber a thlen dawn a ni.

A tawp berah chuan hetiang hian hre reng ang che:

Tunah chuan primary care provider, aka nangmah ngeiin PCP neih a hlutna chu i hrethiam ta. Ngaihtuah teh, rang takin i rilru a na a, i ei thei lo. A nih loh leh, rang takin vun i nei a, chu chu a na zual sauh sauh a ni. A nih loh leh damdawi thar i ei tan a, i lu a buai hle bawk. I PCP nen hian hriselna lama harsatna i neih apiang i sawipui thei ang.

Damdawi a pe mai ni lovin, i chronic conditions enkawl dan tur a pui bawk ang che , a tul chuan specialist dangte hnenah a refer ang che a , a pawimawh ber chu, nangmah ngei pawhin i hriselna hriatthiamna tha zawk i neih theih nan a pui bawk ang che. Chuvangin, i rintlak PCP i neih loh chuan vawiin atang hian zawng tan rawh. I hriselna atana investment lian ber i tih theih tur a ni ang!

` Primary care provider, PCP, chhungkaw doctor, general practitioner, hriselna endik, natna laka invenna, damdawi lam thurawn