Midang pawh i ngaihsak em? Tichuan he ‘Caregiver Burnout’ hi i hrechiang ang u!

I in chhungah damlo emaw, enkawlna bik mamawh emaw an awm em? I nu leh pa tar tawh emaw, i nupui/pasal natna khirh tak nei emaw, naupang mamawh bik nei emaw pawh a ni mai thei. Hetiang mi hi enkawl hi thil ropui tak a ni. Mahse, anmahni enkawl tura i thawhrim em em lai hian a chang chuan nangmah i theihnghilh thin em? Vawiin hian dinhmun inang lo tak lo awm thei chungchang kan sawi dawn a ni.

He ‘Caregiver’ hi tu nge ni? (Mi pakhat enkawltu) .

A awlsam zawngin, 'enkawltu', a nih loh leh Sinhala tawnga "" emaw "" emaw kan tih hi tanpuitu a ni mi dang taksa emaw rilru lamah emaw, an nitin mamawh phuhrukna tura puitu. Chu chu, hei hi mi pakhat, mahni hna thawk thei lo, hriselna tha lo vang emaw, natna vang emaw, accident vang emaw, damdawi lam thil vang emaw pawh ni thei, enkawltu a ni tihna a ni.

Ngaihtuah teh, mi ṭhenkhat chuan:

• Alzheimer natna emaw dementia emaw a awm thei
• Ngawt
• Natna rei tak nei
• Rilru hriselna dinhmun
• Multiple sclerosis natna a ni
• Parkinson natna a ni
• Stroke ang chi dinhmun
• Thluak hliam na tak tak

He list hi a kimchang lo hle a, mahse heng natna vei te hi enkawltu tanpuina mamawh an ni fo thin. Chu bakah, healthcare setting-a awmte, zirtirtu ang chi te pawhin he caregiver burnout an tih hi an tawng thei bawk.

‘Caregiver’ mawhphurhnate chu engte nge ni?

• Nitin hnathawhnaah tanpui, entirnan, inthiarna, inbual, incheina, leh sam hrual.
• Ei leh in tur buatsaih.
• Inchhung hna thawh.
• Damdawi enkawl dan chu a hun taka damdawi pek leh chhinchhiah reng hi a ni.
• Sum leh pai enkawlna lama tanpui.
• Transportation chu inher kualna thiltih a ni.
• I hriselna chungchangah fimkhur reng ang che.
• Doctor leh damdawi in ang chi institution te nena inbiakna leh an mamawh phuhrukna.

A awlsam zawngin sawi ila, enkawltu mawhphurhna ber chu an enkawltu himna leh hriselna enkawl hi a ni.

Chuti a nih chuan he ‘Caregiver Burnout’ hi eng nge ni?

Awle, tunah hian he ‘Caregiver Burnout’ hi eng nge a nih i en ang u. Hei hi vawiinah hian kan thupui ber a ni. ‘Caregiver Burnout’ tih hi mi dang hriselna leh himna atana i hun, tha leh zung zawng zawng i hlan a, taksa, rilru leh rilru lama hahna lo awm thei hi a ni.

Candle pakhat han mitthla teh. I light hian light a pe chhuak thin. Mahse, candle a kang chuan i chhawr leh thei tawh lo a ni lawm ni? Chu chu burnout tih awmzia chu a ni. I mamawh ṭanpuina i hmuh loh hunah emaw, nangmah aia mi dang i ngaihtuah hunah emaw, i tih theih aia tam i thawh hunah emaw a thleng thei. I hriselna leh hriselna hi i enkawltu ang bawkin a pawimawh tih hriat reng a pawimawh.

Hei hi engtiang chiahin nge a hluar?

Caregiver burnout hi a takah chuan a awm fo thin. Survey-ah chuan enkawltu 60% aia tam chuan hetiang burnout chi hi an nei tih hmuhchhuah a ni. Chumi awmzia chu hetiang thil hi i tawng a nih chuan nangmah chauh i ni lo tihna a ni.

‘Caregiver Burnout’ tih lanchhuahna chu engte nge ni?

‘Caregiver burnout’ chhinchhiahna hi rilru lam hriselna lama harsatna leh lungngaihna ang chi chhinchhiahna nen a inang fo thin . Heng zinga pakhat tal i neih leh neih loh en rawh:

• Chau lutuk, taksa leh rilru lama chau lutuk tih hriat reng reng.
• Zawi zawiin ṭhiante, chhungte leh hmangaih takte laka inhlat duhna.
• Tûn hmaa i hlim ṭhin thilte ngaihvenna hloh.
• Nun chungchangah beiseina nei lo leh tanpui theih loh anga inhriatna.
• Ei duhna a inthlak danglam. Either i ei lo tak tak emaw, i ei tur aia tam i ei emaw pawh nise. Hei hian taksa rihna a tipung thei a, a ti tlahniam thei bawk.
• Mut harsatna a awm. Mut theih loh tak tak emaw, i mut lai pawha hah lutuk emaw.
• Thil pakhat chauh ngaihtuah a harsa a, i hriatrengna a chhe zual ang maiin a lang.
• Tun hma aiin natna i nei tam zawk ang maia inhriatna. Khawsik leh flu i vei tam zawk.
• Thil tenawm tak avanga thinrim te, thinrim awlsam te, mi dangte nena inhnialna neih reng te.

Pawimawh tak: He phurrit hi i tuar thei lo anga i inhriat a, mi biak a ngai a, mahni inhliam i ngaihtuah a nih chuan tanpuina zawng nghal rawh. I awmna hmuna rilru lam hriselna puihna service, doctor rintlak, social worker, emaw rilru lam doctor emaw zawhfiah rawh. Tin, thinrimna, thinrimna emaw, i enkawltu tihchhiat tumna emaw i neih chuan hei pawh hi thil pawi tak a ni. I rintlak hnenah hrilh nghal rawh.

‘Caregiver Burnout’ i tawn hian engtin nge i awm?

Mi zawng zawng hian ‘burnout’ hi kan tawng vek lo. Mahse, ‘caregiver burnout’ i tawn hian hengte hi i tawng thei a ni:

• Hlauhna emaw, lungkhamna emaw: Ka chungah thil a lo kal dik loh chuan ka enkawltu tan harsatna a thlen ang tih hlauhna.
• Thinrimna emaw, lungngaihna emaw: Ka thawkrim em em chung pawhin ka enkawltu chuan ka tanpuina chu a pawm lo va, a ngaihlu lo tih hriatna.
• Hnialna: I enkawltu chu "chutiang chuan a chhe lo" tih i inhrilh.
• Thiam loh chantirna:Mahni tan hun tlem tal dah hran te, mahni hlimna tur ngaihtuah te, chu mi tanpui ngai lo tan chuan hun hman theih a ni ang tih ngaihtuah chu thil dik lo a ni.
• Negativity: A tir lamah chuan enkawlna hi tum tha tak neia tan ni mahse, tunah chuan i lu chungah chhum dum a innghat ang maiin a lang. I mawhphurhnate chu ngaihven leh tih duhna nei lovin i thawk a ni.
• Mahni chauh emaw, inhlat taka awm emaw: Min puitu tur ka nei lo va, tumah min pui duh lova, tanpuina dil hi chak lohna chhinchhiahna niin ka hria.

‘Burnout’ i neih lai hian heng rilru put hmang hi hriat hi thil pangngai tak a ni. Mahse a pawimawh ber chu heng rilru put hmangte hi nangmah emaw, i enkawltu emaw hnenah emaw a thlen loh nan i harsatna thlen thei thil engmah tih loh hi a ni. Heng rilru natnate hi i hriat veleh tanpuina dil nghal rawh.

Engvangin nge ‘Caregiver Burnout’ hi a lo awm?

‘Caregiver burnout’ a awm chhan ber chu midang enkawlna atana i hun, tha leh zung zawng zawng i hman hian i theihnghilh a, i inthlahdah thin. Heng harsatna zawng zawng hi mahni taksa leh rilru hriselna i ngaihtuah loh atang hian a intan thin.

Chu bâkah, chhan dang pawh a awm thei bawk:

• Role confusion: Mi pakhat enkawl tura mawhphurhna i neih thut chuan tu nge i nih hriat chu a buaithlak thei hle. Ngaihtuah teh, i nu i enkawl lai kha. A fa i ni a. Mahse tunah chuan a ‘enkawltu’ i ni ta. Buhbuai a awlsam khawp mai, a ni lawm ni? A châng chuan chhûngkaw member engemaw zât an in enkawl lai pawhin, tuin nge eng thila mawhphurtu tih a hriat chian loh chuan a buaithlâk thei a ni.
• Beiseina leh thil tak tak inkara inthlauhna: Kan ngaihsak avangin chu mi chu a hlim ang a, a dam thuai ang a, keini pawhin hlimna kan nei ang tih kan ngaihtuah a. Mahse a tak takah chuan a buaithlak zawk. Hei hi malsawmna ropui tak a ni a, mahse nawrna nasa tak a ni bawk. An pahnih inkara inthlauhna vawn reng chu a harsa hle.
• Thununna tlakchhamna: Sum leh pai lama harsatna avang te, thil tul i neih loh vang te, ruahmanna siam dan te, enkawl dan tur te, a nih loh leh inruahman dan tur dik tak i hriat loh vang te pawh hian engkim hi thunun theih loh ang maiin i inhria mai thei.
• Mawhphurhna tihpun: A châng chuan heng mawhphurhna zawng zawng hi i kawrfual chungah nghah ang maiin i inhria thei. He pressure hi midangte tanpui loh hunah emaw, i hnen atanga engkim beisei a nih hunah emaw a pung thin.
• ‘Burnout’ a lo thleng dawn tih hre lo: Mi tam takin hei hi a thlen hma loh chuan an hre lo. Hei hian i service pek quality pawh a nghawng thei bawk.

‘Caregiver Burnout’ vei tur hian tute nge hlauhawm ber?

Caregiver burnout hlauhawmna i nei sang thei a, chu chu:

• Midang enkawltu enkawltu i nih chuan.
• Midangte tanpuina hmun (e.g., sikul, damdawi in, clinic)-a hnathawk i nih chuan.
• I chau tih i hriat chuan chawlh hahdam pe la, tanpuitu an awm loh chuan.
• He hna hi keimah chauh hi dik taka thawk thei turah i ngai a nih chuan.

‘Caregiver Burnout’ a awm reng chuan eng nge thleng ang?

Caregiver burnout a awm reng chuan nang leh i enkawltu pawh a nghawng thei a ni.Hun rei tak enkawlna hian burnout hlauhawmna a tipung a, chubakah taksa leh rilru hriselna lama harsatna a thlen bawk. I medical checkup te pawh i tikhawtlai thei a, i enkawltu i enkawl a ngaih avangin natna khirh tak avanga i damdawi ei pawh i skip thei bawk. Rilru hriselna chhinchhiahna, lungngaihna emaw, lungkhamna emaw te chu enkawl loh a nih chuan nang leh i enkawltu pawhin nunphung a hniam zawk ang. A nasat chuan burnout avanga stress leh depression awm hi nunna atana hlauhawm tak a ni thei.

‘Caregiver Burnout’ i neih leh neih loh engtin nge i hriat theih ang? (Tehna)

Burnout i tawk nia i hriat chuan doctor emaw mental health counselor emaw nen inbiakna neih a tha ber. I rilru leh taksa hriselna an teh thei a ni. Hetih lai hian rinawm takin i rilru put hmang chu hrilh rawh. I rilru put hmang chu bottle-ah i dah tlat chuan an pui thei lo ang che.

‘Caregiver Burnout’ chungchangah hian eng nge tih theih ang? (Tihdamna)

‘Caregiver burnout’ tih hi solution pakhat chauh a awm lo. I dam leh hma loh chuan kawng hrang hrang tlemte i enchhin a ngai mai thei. Chûng thilte chuan a ṭanpui thei che a ni:

• Damdawi lam thurawn zawng rawh: Enkawltu i nih angin, i rilru hahna leh rilru lama phurrit i neih chu tuar harsa tak a ni thei. Chuvang chuan doctor, psychologist, social worker, emaw mental health counselor te nena inhmuhkhawm a, i rilru put hmang sawipui a pawimawh hle. I chhungte leh i thiante nen hian heng professional te hian he zinkawngah hian an pui thei bawk che a ni.
• Mahni inngaihsakna: Mi dang i enkawl lai hian mahni inngaihtuah chu mahni hmasialna a ni lo . Ha enkawltu hnena kal ang chi mimal thilte chu skip suh. Ei leh in inthlau tak ei la, mut tam rawh. Exercise hian i mood a ti tha thei hle. Ni tawp lamah chuan ngaihtuahna sengin emaw, yoga ang chi thil emaw hmangin i chawlh hahdam thei a ni.
• Ṭanpuina dîl: Ṭanpuina dîl hi thil awlsam a ni lo. A châng chuan ṭanpuina i dîl hma loh chuan miten ṭanpuina i mamawh tih an hre lo. Miin ṭanpui a dil chuan, "Ni e, lawmthu ka sawi tak meuh meuh a ni," tih hi hmang ṭhin ang che. Hna tam zawk i neih hunah, "Hei hi ka ti thei lo" tih hi hmang thiam rawh. Midang pawhin thil tenawm tak tak i tan an ti duh mai thei, i thil lei tur i laksak emaw, tlai lamah i ui i kalpui emaw ang chi te.
• I awmna hmuna resources zawng rawh: I khawtlang zingah hian i tanpui thei tur pawl leh rawngbawlna a awm thei. In-home care, puitling day care center, leh khawtlang chaw ei programme ang chi thilte chu en rawh. Hengte hi i doctor chuan a pui thei che a ni. Chutiang bawka thil tawn tawhte inzawmkhawmtu support group pawh i hmu thei bawk.

‘Respite Care’ tih hi eng nge ni?

‘Respite Care’ hi primary caregiver tan chuan hun eng emaw chen chawlhna mai a ni a, chu chu nangmah i ni. He chawlh hi darkar tlemte, ni engemaw zat, a nih loh leh kar tlemte pawh i ruahman thei. Hemi chhung hian i enkawltu chuan in lamah emaw, damdawi inah emaw, puitling day care center ang chi hmunah emaw enkawlna service a dawng thei a ni.

Hei hi i tan a hlu em em a ni. A chhan chu thawk tlem a pui ang che a, i mimal nun leh he mawhphurhna inkarah hian inthlauhna a siam ang. Khawtlang pawl tam tak chuan ``(Respite care)`` service an pe thin.

‘Caregiver Burnout’ atanga engtin nge kan dam leh theih ang? Eng chen nge a daih?

Caregiver burnout atanga dam leh tur chuan hun leh dawhtheihna a ngai a ni. Mi tinin kan tawn dan a inang lo va, chuvangin dam lehna hi a danglam a ni. I dam hma loh chuan thil tlemte i tih a ngai mai thei. Mi tam tak chuan group therapy emaw talk therapy emaw an tih lai hian self-care methods meditation leh respite care ang chi lam an hawi bawk tih an hmuchhuak. Chaw ei \ha, exercise leh chawlh hahdam hun hmuh chu a harsa thei hle. Mahse, tanpuina dil chu hlau suh. I awmna hmunah hian tanpuina i hmuh theihna hmun a awm a.

Burnout atanga dam leh theih nan eng chen nge hun a duh dawn tih hi a chiang lo. I rilru hahdam nân ni tam tak, kar tam tak, a nih loh leh thla tam tak pawh a la ngai thei. Enkawltu dinhmun zawng zawng hi a danglam vek a ni. Nangmah i ngaihtuah tam poh leh, tanpuina i dil a, i tan hun i siam tam poh leh he lungkhamna hi i tihziaawm thuai thei a ni. Burnout hi zan khat thil thuah a tha lo.

Caregiver Burnout hi a veng thei lo em ni?

Ni e, enkawltu burnout venna atana i tih theih tur a awm:

• I rintlak mi zawng rawh: I rilru put hmang leh i lungawi lohnate midang nena sawi dun theihna kawng tha tak a ni. Hei hi ṭhian, chhungte, rilru lam hriselna lama counselor , a nih loh leh social worker a ni thei. Cancer vei chhungte leh Alzheimer natna vei enkawltu ang chite tanpuitu pawl a awm bawk.
• Thiltum dik tak siam rawh: Hêng enkawl hna thawhnaah hian ṭanpuina i mamawh mai thei tih pawm rawh. A bik takin hei hi hnathawh leh chhungkaw mawhphurhna dangte nena inthlauhna siam i tum a nih chuan. Mawhphurhna zawng zawng chu nangmah ngeiin i thawk thei lo mai thei. Mi dangte chuan hna ṭhenkhatah an ṭanpui thei bawk. I hnathawh tur a tam lutuk chuan tanpuina dil rawh. Thil tih dân tûr siam la, i tâwp chin hre la, i dinhmun chungchângah rinawm takin awm rawh. ‘Burnout’ hlauhawmzia hre reng ang che.
• Hriat belh rawh: I enkawltu natna emaw, dinhmun emaw i hriat chian chuan i tan enkawlna pek a awlsam zawk ang. Natna chu a zual zel a, Parkinson natna emaw Alzheimer natna emaw ang chi a nih chuan, a tak takah chuan ngaihtuah rawh. In pawn lama nursing care emaw, care facility-a puihna emaw a mamawh hun a lo thleng thei tih pawm rawh.
• Nangmah pawh in enkawl ve rawh:Midang i enkawl dawnin nangmah ngeiin i mamawh chu ngaihtuah hmasa phawt ang che. Vanlawng chhunga thurawn ang mai a ni: "Midang i tanpui hmain i oxygen mask vuah hmasa phawt ang che." Darkar khat emaw darkar hnih emaw chauh pawh nise, nangmah tan hun hmang rawh. Mahni in enkawl hi thil luxury a ni lo tih hre reng ang che. Enkawltu tan chuan thil tul tak a ni.
• Ei \ha rawh: Midang i enkawl lai hian ni khata chaw vawi thum ei theihnghilh a awl hle. Chaw hrisel ei hian chakna a pe thei che a ni.
• I rilru put hmang pawm rawh: I mawhphurhna leh i enkawltu chungchangah thinrimna emaw, lungawi lohna emaw ang chi rilru put hmang tha lo neih hi thil pangngai a ni. Mi tha lo leh enkawltu tha loah a siam lo che. I rilru put hmang chu a tam lutuk a nih chuan ṭanpuina dîl rawh.

‘Caregiver Burnout’ atan khawi atanga tanpuina ka hmuh theih ang?

I rilru hah emaw, lungngaihna emaw i neih chuan doctor thurawn la nghal rawh. Stress leh depression hi enkawl theih a ni a, enkawltu burnout hian a tizual thei a ni.

Enkawlna kawnga tanpuina dawng tur chuan heng hmunte hi en la:

• Home health services: Heng pawlte hian home health aides leh nurse te an pe thin. Pawl thenkhat chuan hun rei lote chhunga chawlh hahdamna (respite care) an pe bawk.
• Puitling day care center: Heng hmunte hian kum 65 chunglamte chu inpawh tawnna, thil chi hrang hrang an tih theihna leh damdawi lam thil tul an dawng thei a ni.
• Nursing home emaw assisted living facilities: Heng institution te hian a chang chuan hun rei lote chhung chawlh hahdamna an pe bawk a, hei hi enkawltute tan chawlh hahdamna atan a ni.
• Private care aides: Hengte hi tunlai mamawh tehna leh enkawlna leh service hrang hrang inzawmkhawmtu professional an ni.
• Caregiver support services: Chûng zîngah chuan support group, caregiver-te recharge-a ṭanpuitu program te, chutiang dinhmun tawk mek mi dangte hmu tûr te, natna ṭhenkhat chungchâng zir belh tûr te, leh thil dang zawng tûra ṭanpuitu program te a tel a ni.
• Divisional Secretariat emaw Department of Social Services: I awmna hmuna puitling day care service, care support group, leh respite care ang chi service chungchang i hre thei ang.
• Ram pum huap pawl: Phone directory leh Internet hmanga cancer leh Parkinson natna ang chi natna nei te leh an enkawltute puitu ram pum huap pawl hrang hrang tualchhung branch zawng rawh. Chûngte chuan respite care, support group, leh resources chungchâng thu hriattîrna a pe thei a ni.

Doctor i hmuh chuan eng nge i zawh ang?

• Engtin nge he stress hi ka tihziaawm theih ang?
• Hetiang hosting dinhmunah hian engtin nge ka emotion leh beisei te hi ka enkawl tha zawk ang?
• Keimah ka inngaihtuah hian ka sualna tihziaawm theih dan a awm em?
• Khawtlang tana hmanraw emaw, enkawltute puitu pawl emaw i rawt thei ang em?
• Enkawltuten sum leh paia tanpuina an dawn theih dan a awm em?
• Ka thiante leh chhungte’n min pui thei lo a nih chuan tu nge enkawlna kawngah tanpuina ka dil ang?

‘Caregiver Burnout’ leh ‘Compassion Fatigue’ hi eng nge an danglamna?

‘Caregiver burnout’ leh ‘Compassion Fatigue’ te hian enkawltu a nghawng vek a ni.

‘Caregiver burnout’ tih hi midang enkawl hnua hahna thuk tak leh lungkhamna a ni.

‘Compassion fatigue’ tih hi enkawltuin an enkawltu rilru hahna leh rilru hahna (emotional stress) leh trauma a tawrh hi a ni. Chu chuan lainatna hloh (mi dang rilru put hmang leh dinhmun hriatthiamna) emaw, an enkawltu enkawlna tlahniam emaw a thlen thei a ni.

‘Compassion fatigue’ leh ‘caregiver burnout’ te hi a rualin a thleng thei a ni.

A tawp berah chuan (Take-Home Message) .

Mi dang ngaihsak hi thil lawmawm tak leh harsa tak a ni. Hetiang hunah hian i enkawltu chu i ngaihven kim vek a, nangmah ngei pawhin i rilru put hmang leh mimal mamawh chu dah bo mai mai a awlsam hle. Chuvang chuan 'caregiver burnout' an tih condition hi a awm fo thin. I rilru leh taksa hriselna a nghawng thei a, chubakah enkawlna tha ber i pek theihna pawh a nghawng thei bawk.

Enkawltu anga i tih theih pawimawh ber chu i tan hun siam hi a ni. Ṭanpuina dîl chu a harsa thei a, mahse, nangmah chauh i ni lo tih hre reng ang che. I tanpui thei tur resources a awm. I dam lai chuan i hmangaih tak chu i enkawl tha thei a ni.

` Caregiver Burnout, enkawltu hahna, rilru hahna, stress, depression, mahni invenna, support services, respite care