Adoption: Damdawi lam thil pawimawh I hriat tur | Nirogi Lanka chuan a rawn ti a

Adoption i ngaihtuah em, a nih loh leh a kalphung hriat duh mai mai pawh i ni mai thei? Eng pawh ni se, mawhphurhna thuk tak mawi leh pawimawh tak a ni. Mahse, he zinkawngah hian damdawi lam thil pawimawh tak a awm a, chu chu uluk taka i ngaihven tur a ni. A awlsam zawngin, fa neih hi khawtlang, rilru leh dan lama thil kalphung a ni a, chu chuan naupang chu an pianpui nu leh pate enkawl theih loh chu chhungkaw thara member nih theihna a ni a, chu chuan an phu tawk hmangaihna leh himna a pe a ni.

A adopt dan chi hrang hrang a awm. Entirnan, "open adoptions," nau piang nu leh pa nena inzawmna i neihna hmun leh "closed adoptions," information insem lohna hmun te a awm bawk. Naupang pakhat emaw, unau pawl emaw i adopt thei a; dik tak chuan, adoption pahnih hi a inang lo. Sri Lanka ramah chuan Department of Probation and Child Care Services kaltlangin emaw, court process kaltlangin emaw adoption i zawm tlangpui. Thil engemaw takah chuan naupang chu chhungkaw zau tak, "kinship adoption" tia hriat chuan a fa atan a la thei a ni.

adopt i tum a nih chuan, a kalpui chhung zawng hian specialist hrang hrang nen hna thawk dun ila, chung zingah chuan:

• Dan anga aiawh (adoption attorney ang chi) te.
• Tualchhung naupang enkawlna emaw, adoption agency (Sri Lanka-a Probation Department ang chi) te.
• Social worker te an ni.
• Naupang enkawltu doctor te.

Chûng zîngah chuan naupang enkawltu doctor-te chu thawhpui pawimawh tak an ni a, chu chuan chhûngkawte chu naupang enkawl mekte damdawi lam mamawh bikte chu an zawhfiah theih nân an ṭanpui a, an taksa, an ṭhanlenna leh an rilru lam hrisêlna chu an ngaihtuah a ni.

Engvângin nge fa enkawl tawhte hrisêlna chu a bîk takin i ngaihven ang?

I ngaihtuah mai thei, "Engvangin nge naupang adopted tan medical side hi i ngaih pawimawh?" Naupang zawng zawng hian hriselna lama harsatna an tawk thei a, mahse zirchianna thenkhatah chuan fa enkawltu naupangte hian an rualpuite nena khaikhin chuan taksa, hmasawnna leh rilru lam hriselna lama harsatna engemaw zat an nei tam zawk thei tih a tarlang.

Chûng hlauhawmte chu a tak tak a nih laiin, i fate chu an damdawi lam dinhmun thliar lovin, a ṭhanlen theih nân leh a ṭhanlen theih nân hmangaihna, thil neih, leh ṭanpuina i pêkte chuan a tichak thei a ni.

Engvangin nge naupang adopted thenkhat tan chuan hriselna lam thila hlauhawmna a sang zawk?

Hei hi chhan hrang hrang a awm a. Naupang ṭhenkhat chu an lo ṭhan chhoh laiin—na pumah emaw, an kum hmasa lamah emaw—enkawlna ṭha an dawng lo mai thei tih hi ngaihtuah teh, chu chu:

• Nau neih hma leh nau neih hnua hriselna enkawlna.
• Ei leh in dik tak ei.
• Taksa emaw rilru lama mamawh (developmental stimulation).
• Nau piang hma emaw, pian hnu emawa toxins emaw pathogens (eg, infectious diseases ) laka invenna.

Chu bâkah, naupang tam tak chuan an naupan laiin trauma an tawk thei a, chu chu Adverse Childhood Experiences (ACEs) tia hriat a ni. Hengte hi naupang rilru leh taksa hriselna hun rei tak chhunga nghawng thei thil lungchhiatthlak tak tak a ni. ACE entirnan:

• Taksa lam, rilru lam emaw, mipat hmeichhiatna lama tihduhdahna leh ngaihsak lohna.
• Chhungkaw emaw khawtlang emawa tharum thawhna tawk.
• In nei lo, hmun danga insawn fo emaw, in lama boruak muanawm lo emaw.
• Enkawltu inmil lo, enkawltu tam tak neih, emaw nu leh pa inthen emaw, inthen emaw.
• Thilsiam chhiatna karah nun.
• Chhungkaw member emaw, mi hnaih tak emaw thihna.
• Bullying hnuaia awm .

Research chuan heng traumatic experience hmasa berte hian thluak thanlennaah nghawng nghet tak a nei thei a, chuta chhuak chronic stress hian hun rei tak chhunga taksa hriselna pawh a nghawng thei tih a tarlang.

Naupang adopted te tan hriselna lama harsatna awm thei

Heng naupangte hian hriselna lama harsatna hrang hrang an tawh theih dan hi han thlir ila.

Taksa hriselna dinhmun

Foster care-a naupang 30% leh 80% inkar chuan taksa hriselna dinhmun pakhat tal an nei a, 33% vel chu hriselna lama harsatna rei tak neiin an khawsa a ni. Taksa hriselna lama harsatna tlangpui chu:

• Growth tlai leh ei leh in lama tlakchhamna .
• Asthma natna a ni .
• Thau lutuk .
• Mit hmuhna lama harsatna a awm.
• Hriatna lama harsatna nei.
• Neurological condition hrang hrangte chu .
• Mipat hmeichhiatna hmanga kai theih natna (STIs) .
• Chronic condition buaithlak tak tak.

Chubakah, a hmain ei leh in lama harsatna a awm a nih chuan i fa hian iron, calcium leh vitamin D a tlachham thei a, foster care-a naupang 20% ​​velin ha lam harsatna lian tak an nei tih hmuhchhuah a ni bawk.

Emotional harsatna a awm

Naupang chu an chhungkaw hmasa leh an awmna hmun hriat lar tak atanga inthen chu a lungchhiatthlak hle. Hei hi foster care-a awm naupang, enkawltu leh a chhehvela inthlak danglamna tawk fo tawhte tan chuan a dik hle. I fa chu i in chhûnga a inzawm khawm rualin, heng rilru lama harsatnate hriatthiam hi a pawimawh hle.

I fa chuan hetiang hian a pholang thei ang:

• Khawtlang nun atanga inhnukdawk emaw, inthiarfihlim emaw.
• Thinrimna nasa tak emaw, rilru natna emaw.
• Aggressive emaw defiant emaw thiltih.
• Thlamuan theih loh tap.
• Tun hmaa thiamna zir tawh (eg, mahni chaw pek emaw, tihfai emaw)-a regression.
• Mut harsatna a awm.
• Tun hmaa thil hlimawm tak takte ngaihvenna hloh.

Insiamremna chuan hun a mamawh laiin, naupang tam tak chuan a hmaa enkawltu te, ṭhiante, leh an in hriat tawhte an boral avângin an lungngai tih hre reng ang che. He inthlak danglamna hmang hian i fate i thlawp theih dan tur chu hre reng ang che. Dawhtheihna hi a pawimawh ber a ni. Mahse, heng rilru lama harsatnate hi a nasat emaw, a awm reng emaw a nih chuan, i naupang enkawltu emaw, rilru lam hrisêlna lama thurâwn petu emaw hnêna kaihhruaina dîl hreh suh .

Rilru hriselna dinhmun

Naupang tam tak, foster care-a awm tawhte chuan rilru lama harsatna nasa tak an tawk a, chu chuan rilru lam hriselna lama harsatna an tawh theihna a tipung a, chu chu:

• Lungkhamna (anxiety disorder) a awm.
• Ei leh in lama harsatna nei.
• Mood disorder, clinical depression leh mania ang chi te.
• Post-traumatic stress disorder (PTSD) avanga harsatna awm thei a ni.

Tin, foster care-a awm tawh ṭhalai te chu chutiang system-a awm lo an ṭhiante nena khaikhin chuan mahni intihhlum duhna leh ruihhlo hmansualna nei thei an ni.

Nungchang lama awmte

Foster care-a naupang 50% atanga 75% vel chuan nungchang emaw, khawtlang nun thiamna lama harsatna an tawk a, chu chuan professional medical support a mamawh a ni. A natna hmuhchhuah tam ber chu oppositional defiant disorder (ODD) leh conduct disorder te an ni.

Naupan laia trauma, thil ṭha lo tawn, leh chronic toxic stress te hi a hnuaia mi ang hian a lang fo thin:

• Emotion regulate harsat.
• Aggressive taka thil tih dan.
• Thiltih lutuk (hyperactivity) a awm.
• Ngaihven lohna.
• Impulsivity tih hi a ni.

Heng thilte hian naupang pakhatin nungchang lama harsatna a neih chhunzawm zel theihna chu nasa takin a tipung a ni.

Hmasawnna dinhmun

Naupang kum ruk hnuai lam foster care-a awm zinga 46% leh 60% inkar chuan hmasawnna lama harsatna eng emaw tak an tawk a ni. Chûng zîngah chuan:

• Thusawi a tlai.
• Fine motor delays (eg, kawr button emaw pencil man harsat).
• Gross motor delays (eg, tlan, zuang, ball man chungchangah harsatna).
• Zirna lama harsatna emaw, rilru lama harsatna nei emaw.
• Social-emotional dysregulation tih hi a ni.

Heng dinhmunte hi a lo pian tirh lai hian a lo lang fo thin a, nitin hnathawhna a nghawng thei a, a chang chuan naupang dam chhung zawngin a awm reng thei bawk.

Thusawi leh ṭawng hmasawnna tihkhawtlai hi a tam hle a, chungte chu:

• Auditory processing disorder (APD): Aw hrilhfiah harsa.
• Aphasia: Ṭawng hman emaw, hriatthiamna emaw lama harsatna.
• Childhood apraxia of speech: Thusawi nana mamawh taksa peng hrang hrangte nghawng thei motor planning harsatna.
• Dysarthria: Muscle chak lohna avanga tawng chak lohna, articulation chiang lo a awm thin.

Foster care-a naupangte zingah pawh attention-deficit/hyperactivity disorder (ADHD) hi neurodevelopmental condition hmuhchhuah fo a ni bawk.

International Adoption atana Damdawi lam ngaihtuah tur

International adoption i tum a nih chuan naupangte hian taksa hriselna lama harsatna leh an thanlenna lama harsatna an tawk nasa zawk thei tih hre reng ang che. Nausen a lo thlen veleh doctor-te’n an ngaihtuah ber chu natna hrik kai leh ei leh in lama harsatna hi a ni fo. International-a adopted naupang zawng zawng deuhthaw hian hmasawnna lama tlai vawi khat tal an tawk a, a chanve vel chuan khawvel pum huapa hmasawnna tlai an lantir a ni.

Ram dang atanga medical record lak chu thil harsa tak a ni thei a, documentation kimchang lo emaw, dik lo emaw a nih theih avangin. Ram tam takin immunization schedule hrang hrang an zawm avangin, heng record te hi i pediatrician nen enfiah a, vaccine pek loh a awm leh awm loh hriat a pawimawh hle. International adoption i ruahman a nih chuan naupang lo chhuahna ram nena inzawm hriselna mamawh bik leh hlauhawmna chungchangah specialist-te nen inrawn la, chutiang chuan i inbuatsaih thei ang.

Chhungkaw Hamthatna Ngaihtuah

I in chhunga member thar i lo lawm lai hian i chhungkaw awm tawh hriselna leh hriselna ngaihtuah rawh. I chhungte chu a ṭha zawnga an insiamrem theih nân i ṭanpui theih dân tûr chu adoption expert-te nên sawiho rawh. Unau inelna emaw, inhuatna emaw chhinchhiahna zawt la, i fate pakhat zel tan mimal hun i hlan ngei ngei tur a ni.

Chu bâkah, adoption process i kal zêl chuan, caregiver burnout —mi dangte hrisêlna leh himna atâna i chakna i hlan huna taksa, rilru leh rilru lama hahna lo awm chu i tawng thei bawk. I chhungte chu he inthlak danglamna kalpui tura pui turin, support group-a tel emaw, rilru lam hriselna counselor nena inbiakna emaw ngaihtuah rawh . I hmangaih tak takte chu ṭanpuina atân rinchhan hreh suh.

Naupang I Hriselna Chu Eng Nge I Hriat Tur?

I adopt hmain—a nih loh leh a hnu a rang thei ang bera—an enkawl hma chuan, damdawi lam chanchin tam thei ang ber khawl khawm tum ang che. I coordinate a ngai mai thei:

• I adoption agency emaw, foster care system emaw a ni.
• I adoption attorney a ni.
• Naupang piang nu leh pa emaw chhungte (a theih chuan).
• Hospital system leh naupang healthcare provider hmasa emaw, tuna a enkawl mek emaw te.
• Naupang sikul kal mek emaw, sikul kal tawh emaw.

Thu pawimawh tak tak i zawn tur chu:

• Tuna emaw, tun hma emawa taksa, rilru, hmasawnna, emaw nungchang lama dinhmun, damdawi ina dah leh surgery te pawh a tel.
• Birth record, naupai kum, nau piang rih zawng, san zawng, lu vel, leh naupai emaw nau neih laia harsatna awm apiang te.
• Growth charts (a rih zawng, a san zawng, a lu vel).
• Hmasawnna atana thil pawimawh tak takte documentation.
• Allergy hriat lar tak tak te.
• Tuna damdawi hman mekte.
• Immunization record te a awm bawk.
• Natna hrik kai theihna laka inhriatthiamna.
• Vision leh ha lam record te.
• Ei leh in lama harsatna emaw ei leh in lama harsatna nei tawhte chanchin.
• Damdawi lam exam result (eg, imaging test, thisen test).
• Taksa, mipat hmeichhiatna, emaw rilru lama tihduhdahna, emaw ngaihsak lohna chanchin eng pawh chungchanga report.
• School chanchin leh zirna lama hlawhtlinna.
• Relationship history, chutah chuan inzawmna pawimawh tak tak kal zel emaw, inzawmna pawimawh tak tak hloh emaw pawh a tel.
• Naupang biological relatives te medical history.
• Biological chhungkaw chhunga hereditary conditions te.

Nausen emaw naupang tê emaw i adopt a nih chuan an pian chanchin leh naupai chungchânga thu hriatte lak chu a hlawkpui hle a, chung zingah chuan:

• Nu thil hman, zu, zuk leh hmuam, marijuana, emaw opioid te.
• Naupai laiin damdawi prescription emaw over-the-counter emaw hman.
• Naupai laiin mipat hmeichhiatna hmanga kai theih natna (STI) emaw, natna dang kai theihna emaw a awm.
• Naupai lai, nau neih lai emaw, nau neih lai emawa harsatna awm thei.

Thil awmdan azirin heng thu hi thenkhat chauh i hmu thei a, a then phei chuan tlemte chauh i hmu thei bawk. Chhanna tam thei ang ber zawn chhuah tum fo ang che.

A tha ber chu naupangin i chhungte a zawm hmain he thu hi naupang enkawltu hnenah professional guidance atan hlan hmasa phawt ang che. I doctor chuan naupangin enkawlna a mamawh theih dan tur a hrilh thei che a, i beisei turte pawh a kaihruai thei bawk che a ni. I chhungkaw tana inthlak danglamna awlsam zawk nan specialist emaw community support service emaw hnenah referral an pe thei bawk. Naupang enkawl hmaa doctor i zawh theih loh chuan naupang chu a in a thlen veleh appointment siam rawh.

Adoption Process-ah hian Pediatrician-te hian eng nge an chanvo?

Naupang enkawltu doctor-te hian adoption process-ah hian hmun pawimawh tak, thlawptu an nei a ni. Anni hian i fate hriselna mamawh danglam bikte hriatchhuah nan an thawhpui a, chutih rualin adoption journey-a kal chhungkawte mamawh fo thin emotional support pawimawh tak an pe bawk.

Adoption leh foster care medicine hi pediatrics chhungah hian specialized, evolving field a ni. I social worker emaw primary physician emaw hnenah naupang enkawltu, adoption nena inzawm damdawi lam enkawlna lama tawnhriat bik nei hnenah referral i dil thei a ni.

I naupang enkawltu mawhphurhna pawimawh tak takte chu:

• I fate medical record leh history khawlkhawm leh hrilhfiahnaah tanpui.
• Damdawi lam endikna kimchang tak pek te, naupang enkawlna tha tak te, leh a tul anga enkawl zui zelna tur te pek.
• I fate hriselna mamawh ang zela enkawl chhunzawm zel, inrual taka enkawl.
• Damdawi lam thiam, naupang rilru lam thiam, naupang rilru lam doctor, a nih loh leh speech-language pathologist-te hnena referral siamsak.
• I fa leh i chhungte tanpui nan hun rei tak chhunga hmanraw hman tur rawtna siam.
• Adoption hnua adjustment harsatna awm thei chungchangah kaihhruaina pek.
• Chhungkaw chhunga inzawmna nghet, hrisel leh him tak siam theihna tur ruahmanna siam.
• I fate sikul tana Individualized Educational Program (IEP) emaw 504 Plan emaw atana documentation siamnaah tanpui, a tul chuan.

I Fate Medical Visit hmasa bera Beisei Tur

I fain i chhungte a zawm tawh chuan ni 30 chhungin hriselna endikna kimchang tak neih a tha. He evaluation hian hriselna lama harsatna hriat tawhte chu ngaihtuah tan theihna a siam a, a hmaa hriat loh harsatna awmte chu hriatchhuah theihna a siam bawk. Heng initial evaluation visit te hi standard well-child check-up aiin a chipchiar zawk tih a chiang hle.

Naupang damdawi lam chanchin a tam thei ang ber i naupang enkawltu hnenah pe rawh. I fa kum leh hriselna zawng zawng a zirin, i doctor chuan he assessment hi vawi khatah a ti thei a, emaw, evaluation kimchang tihfel nan appointment hrang hrang a rawt thei bawk.

Heng evaluation-te hian a tlangpuiin:

• Medical diagnosis awm tawhte finfiahna leh sawifiahna.
• Taksa enfiahna uluk tak.
• Neurological assessment neih a ni.
• Kum nena inmil screening, nausen piang thar screening panel, hriatna, mit, ha, leh nungchang emaw hmasawnna tehna te.
• Tun hmaa damdawi lama harsatna hmuhchhuah loh screening neih.
• Hmasawnna emaw, nungchang lama harsatna emaw awm thei chungchanga sawihona.
• I fate immunization dinhmun thlirletna.
• A tul angin healthcare provider dang leh specialist te hnena referral.

Testing neih a ni

An endik hmasak dan a\angin i naupang enkawltu chuan diagnostic test bik neih a rawt thei ang. Chûng zîngah chuan thisen test te, zun test te, a nih loh leh imaging study te pawh a tel thei a ni. I doctor chuan i fate immunity level finfiah nan emaw, vaccine pek ngaite an hriat chian theih nan emaw thisen hnathawh a ti thei bawk.

Rilru hriselna endikna

Mithiamte chuan foster care-a awm naupangte chu i in an zawm atanga ni 30 chhungin rilru lam hriselna endik tir turin an rawt a ni. A tha ber chu hei hi naupang rilru lam hriselna lama mithiam, trauma-informed care lama a bik taka training neiin a kalpui tur a ni.

Engtin Nge Adoption atan I Inbuatsaih?

Adoption process-ah hian inbuatsaihna zau tak leh step engemaw zat a awm a ni. Fa neih tura thutlukna i siam hmain, i chhûngkuaa naupang hruai luh a nihna tak tak chu hriatthiam a pawimawh hle a, a bîk takin hrisêlna leh ṭhatna ngaihtuah tûr chungchângah.

Hêng zawhna pawimawh tak takte hi inzawh tûrin ngaihtuah rawh:

• Adop lak tura i chêttîrtute chu engte nge ni? He dam chhung zawnga inpekna atan hian i inpeih tak zet em?
• Naupang tân hmangaihna, enkawltu, leh dinhmun nghet tak i siamsak thei ang em?
• Support service leh healthcare system tul tak tak i nei em?
• I fate hriselna leh hrisel lohna tur hmun hrang hrangah, sikul emaw, healthcare system-ah emaw sawipui turin i inpeih em?
• Nang leh i chhungte chuan i fate taksa, rilru leh hmasawnna mamawh bikte chu in hre duh em?
• I rinchhan theih tur ṭhian leh chhungte puihna system nghet tak i nei em?

Nunna thil dang ang bawkin, nakin hun tur i sawi thei lo va, chhungkaw member thar nen nun a inher chhuah dan tur pawh i hre thei lo. Mahse, beisei dik tak vawng reng a, a theih ang anga uluk taka inbuatsaih chuan, i inthlâk danglamna chu ṭha takin i enkawl thei a, i chhûngte tân hmun him leh ṭanpui thei tak i siam thei bawk.

Adoption hi a buaipuitu zawng zawng tan chuan zinkawng buaithlak tak, mimal leh rilru thuk tak a ni. Hemi kawngah hian thil pawimawh tak chu i chhungkaw member thar ber hriselna mamawh danglam bikte hriatpui leh inbuatsaih hi a ni. I fa naupang enkawltu doctor chu i adoption support team lungphum a ni tih hre reng la, i fate enkawlna tha ber pe turin an awm reng a ni—leh nangmah tan pawh.

Key Takeaways te pawh a awm

Naupang enkawl hi mawhphurhna ropui leh thuk tak a ni. I fa hriselna ngaih pawimawh hi he inpekna atana thil pawimawh tak a ni.

• Hriatthiamna nei reng rawh: Fa enkawl naupangte nghawng thei hriselna, rilru, nungchang, leh hmasawnna lam ngaihtuahna bikte chu zir rawh.
• Thu hriat tur khawl khawm: I fate damdawi lam leh chhungkaw chanchin chungchangah a tam thei ang ber thu hriat tur khawlkhawm rawh.
• Naupang enkawltu puihna hmang rawh: A tir atang rengin naupang enkawltu thiam, tawnhriat ngah tak nen inzawmna siam; i thurawn petu ropui berte zinga mi an ni ang.
• Dawhtheihna leh hmangaihna: I fate chu an awmna hmun leh chhungkaw thara insiamrem turin hun pe rawh. Dawhtheihna, hmangaihna leh hriatthiamna nen hruai rawh.
• Nangmah leh nangmah in enkawl rawh: He zinkawngah hian nangmah taksa leh rilru hriselna hi a pawimawh hle. I mamawh apiangin tanpuina zawng rawh.

I fate hmalam hun leh damna dinna lungphum chu hmangaihna, enkawlna leh thlawpna i pekte hi a ni tih hre reng ang che.

Nirogi Lanka: adoption, naupang hriselna, damdawi lam chanchin, naupang enkawlna, rilru hriselna, hmasawnna lam thil