Informed Consent tih hi eng nge ni? A awlsam zawngin sawi ila!

Damdawi in i kal hian, doctor-in damdawi a pek tan hma emaw, operation ang chi thil a tih hma emaw chuan, chipchiar takin a hrilhfiah che a, ‘Hei hi i ṭha em?’ tiin a zawt che a ni. Chu chu damdawi lamah ‘Informed Consent’ kan tih chu a ni. Hei hi tawngkam mai mai a ni lo, a pawimawh hle. Chu chu engvangin nge a nih a, eng venhimna nge a pek che tih i lo en ang u.

Informed Consent tih hi eng nge ni?

A awlsam zawngin sawi ila, informed consent chu i doctor emaw healthcare professional emaw nen in enkawlna emaw test emaw i neih tur chungchanga inbiakna mumal tak a ni. Hei hi dan leh damdawi lam ethics-in a phut a ni. Chutah chuan eng nge i enkawl dawn tih chiang taka hrilhfiah che a ni a, a hlawkna tur, a hlauhawmna tur te, i tih loh chuan eng nge a rah chhuah tur tih te, leh enkawlna dang a awm leh awm loh te chiang taka hrilhfiah che a ni

Tichuan, a chungchanga zawhna i neih apiang i zawt thei a, chipchiar zawkin i zawng thei a, a tawpah chuan engkim i lungawi a, i duh chuan ‘ni’ i ti thei chauh a ni. ‘Ni e’ i tih chuan chu chu remtihna an tih chu a ni.

Surgery tenau tak i neih a ngai ang tih han ngaihtuah teh. Doctor chuan, ‘Hetiang surgery hi i neih chuan i dinhmun chu a tha zawk hle ang a, mahse natna engemaw zat i nei thei a, ni engemaw zat damdawi inah i awm a ngai mai thei a, hliam te tak te i nei thei bawk’ a ti che a ni. ‘Hei hi neih loh ai chuan tih theih dang a awm em?’, ‘ Hei avang hian anesthesia ka pe dawn em ?’, ‘Hei hnua ka hnathawh dan pangngaia ka thawh theih nan eng chen nge hun a la ngai ang?’ tiin i zawt mai thei. Chutiang thil chu. Heng zawng zawng hi i sawiho zawh chuan i hrethiam kim ang a, i hlim ang.

Engvangin nge he informed consent hi a pawimawh em em?

Informed consent hian nangmah leh i enkawltu doctor chu a humhim vek a ni. Tin, enkawlna i tan hmain i mamawh zawng zawng i neih vek theih nan a enkawl bawk. This allows you to face treatment with more confidence , a hnua harsatna leh lungkhamna tul lo tak takte pawh a veng bawk. Ngaihtuah teh, damdawi engemaw zat an pe che a, chu chuan side effect a nei a, mahse a hmain an hrilh lo che a ni. Engtiang chiahin nge i lungawi lo ang a, i thinrim ang? Hei hian chutiang thil chu a veng thei a ni.

Thil dang chu, hei hian i hriselna enkawlnaah nasa taka tel theihna hun remchang a pe che a ni. Hei hi nangmah ngeiin thutlukna tha ber siam turin i tan a pui hle a ni. ‘Doctor-in a sawi apiang ka ti ang,’ tih mai ai chuan, ‘Eng thil nge thleng, engvangin nge hetiang hi tih a nih, hei hi eng nge a thatna leh a that lohna?’ tih hi hriat a tha zawk. Chu chu i dikna a ni.

Eng damdawi lam kalphung nge he hriatna neia remtihna hi a mamawh?

A tlangpuiin, test emaw, enkawlna emaw-ah hian hlauhawmna a awm chuan , hriatna neia remtihna i pek a ngai deuh ber ang. Hei hian taksa lama hlauhawmna chauh ni lovin, i privacy-a hlauhawmna pawh a huam tel bawk. I doctor chuan heng zawng zawng hi a hrilhfiah vek ang che, chuvangin i pawm leh pawm loh chu i rel thei ang.

Informed consent hi thil dang ang chi atan hian a ngai tlangpui a:

• Anesthesia pek hunah: Hei hian operation hmaa mut tir emaw, hmun engemaw zat numbing emaw tihna a ni.
• Biopsies tih hunah : Hei hian taksa atanga tissue te tak te lak a, enfiah tihna a ni.
• Thisen pek: Hei hi pawn lam atanga thisen pek a nih chuan a kawk a ni.
• Cancer enkawl lai hian : Entirnan, chemotherapy emaw radiation emaw pek a nih chuan.
• Nau neih laiin intervention thenkhatah: entirnan, forceps delivery hman lai emaw, episiotomy ( vagina -a cut te tak te) tih lai emaw.
• Clinical trial-a tel hunah: Hei hian damdawi thar emaw, enkawlna thar emaw zirchianna a kawk a ni.
• Genetic testing tih hunah.
• Taksaah damdawi hmanrua dah a nih chuan (medical implants): entirnan, pacemaker, emaw ruh graft-a metal plate dah a nih chuan.
• Surgery chi hrang hrang tih hunah, a te emaw, lian emaw pawh nise.
• Damdawi hlauhawm tak hmanga enkawl a nih chuan: Entirnan, opioid ang chi natna tidamtu chak tak pek a nih chuan.
• Instrument taksa chhunga dah hmanga test tih: Entirnan, endoscopy neih laiin.

Chu bâkah, i mimal medical record-te chu mi dang emaw, hmun dang emaw hnêna i transfer apiangin informed consent i la tûr a ni.

Engtin nge ka informed consent ka pek ang?

I informed consent pek hian i doctor emaw healthcare professional emaw hnenah, "Okay, hei hi ka ti duh a ni," i ti tihna a ni. An hrilhfiahna chu i hrethiam a, thutlukna siam turin i inpeih tihna a ni.

A chang chuan document sign tur i nei thin.I thei. A hlauhawmna te, a hlawkna te, leh duhthlan tur dangte i hrethiam tih a sawi tlangpui. Mahse, chu paper chu sign chuan i tih chhunzawm zel a ngai lo. Engtik lai pawhin i ngaihdan i thlak thei – i remtihna i pek hnuah emaw, enkawlna i tan hmain emaw, enkawl lai pawhin (he thil tih theih dan tur hi i doctor nen in sawiho tur a ni).

Signing hi formality mai a ni lo tih hre reng ang che. Thiam taka thutlukna i siam tihna a ni. Chuvangin, thil chiang lo emaw, chiang lo emaw a awm chuan zawh nawn leh hlau suh.

Informed consent chungchangah hian tuin nge heng dante hi siam?

Khawvel ram hrang hrangah hian he informed consent chungchangah hian dan leh kaihhruaina siamtu institution hrang hrang an awm a. Entirnan, United States-ah chuan sorkar agency leh medical association-te chuan he thil nena inzawm dan an buatsaih thin. Hei bakah hian ram tina ministry of health leh medical council ang chi institution te pawhin hei hi an ngaihtuah hle a ni.

Sri Lanka ramah hian Sri Lanka Medical Council (SLMC) ang institution kaltlangin doctor-te’n an zawm tur code of ethics a awm a. Informed consent lak a pawimawhzia pawh chiang takin a sawi bawk. A pawimawh ber chu damlo dikna humhalh leh damlo hnenah thutlukna dik siam theihna pek hi a ni. Chuvangin hei hi damdawi lam thu bulpui, khawvel hmun dangah pawh pawm theih a ni.

Enkawlna atan informed consent pek theih loh/a ngai lo special case a awm em?

Ni e, emergency thenkhatah chuan doctor-te’n full informed consent lakna kawng zawh lovin an enkawl che a ngai thin. Chutiang dinhmun thenkhat chu hetiang hi a ni:

• Enkawl vat i mamawh a, mahse i tawng thei lo va, i hrethiam thei lo a nih chuan: Accident-ah i awm a, nikhaw hre lovin damdawi inah hruai i ni tih han ngaihtuah teh. Doctor-te chuan i nunna chhanhim nan a tul anga enkawlna an tan ang che u, zawt lovin che. A chhan chu chutih laia thil pawimawh ber chu i nunna chhanhim hi a ni. Mahse, a theih chuan i chhungte nen an inbia ang a, a nih loh leh i hriatna i neih leh hnuah a chipchiar zawngin an hrilh ang che.
• Thutlukna siam theih loh khawpa i damloh chuan: Entirnan, coma-a i awm emaw, i damlo nasa emaw a nih chuan doctor-te chuan advance directive i neih leh neih loh an enfiah ang a, chu chu i hriatna hloh a nih chuan tute nge i tan thutlukna siam tur tih leh eng enkawlna nge i duh leh duh loh tih ziakna document a ni. A nih loh leh, dan anga thutlukna siam thei tur (i chhungte hnai tak ang chi) a awm leh awm loh an enfiah ang.
• Kum 18 hnuai lam kum tling lo i nih chuan:A tlangpuiin, i nu leh pate, dan anga enkawltu emaw, chutiang mi dang emaw chuan i tân hrisêlna chungchânga thu tlûkna an siamsak che a ni. Mahse, ram thenkhatah chuan dan chuan kum bituk aia sang thalai te chu thil engemaw takah (e.g., sexual health issues) ah mahni hriselna chungchanga thutlukna siam turin a phalsak a ni. Sri Lanka ramah chuan nu leh pa emaw, enkawltu emaw chuan kum 18 hnuai lam tan remtihna an pe tlangpui.

Tin, a châng chuan damlo pakhatin informed consent process an duh loh thu chiang taka a sawi chuan, doctor chuan chutiang chuan a kal thei a ni. Mahse chutiang chu a thleng tlem hle.

A tawp berah chuan hriat reng tur tlemte

Okay, chuvangin tunah chuan kan sawi thin kha i hrethiam tawh a, chu chu ``Informed Consent.`` tih a ni.`` Doctor-te hian test emaw, enkawlna emaw an pek hmain i phalna lak hmasak a pawimawh tih hre reng ang che. He process of informed consent hi i remtih chhan leh a pawimawh chhan hriatthiamna atan a awm a ni.

A châng chuan, i doctor-in damdawi lam thumal a hmante i hriatthiam loh avangin remtihna pek chungchangah i hlauthawng a, i buai thei bawk. A bîk takin emergency treatment i dawng a nih chuan ṭanpui theih lohvin i inhria a, chiang taka ngaihtuah harsa i ti thei bawk. Mahse, tanpui theih loh i ni lo. Informed consent process hian engkim hriatthiamna hun i mamawh a pe che a ni. I thutluknaah i rin tlat hma loh chuan zawhna engmah zawh emaw, thu belhchian dawl zawk dawng emaw hlau suh. I theih chuan inbiaknaah hian chhungkaw member emaw, thian emaw rintlak tak telh pawh a tha hle.

I hriselna chu i kutah a awm. Thu tlûkna dik siam la, zawhna zawt la, hrethiam rawh. I dikna a ni! Tin, i enkawlnaah hian thuneihna famkim i nei tih theihnghilh suh.

` Informed Consent, Damdawi Inenkawlna, Damlo dikna, Hriselna Enkawlna, Surgery, Damdawi Test te