Natna chi hrang hrang i nei em? Heng comorbidities te hi han sawi ila!

A châng chuan natna pakhat chauh vangin doctor kan pan ṭhin. Mahse doctor chuan, "Natna dang thisen sang, zunthlum, cholesterol te ang chi i nei em?" Engvangin nge chutiang chu i zawh? Natna pakhat nena natna dang pakhat emaw, a aia tam emaw neih hian i enkawlna chu direct-in a nghawng avangin. Damdawi lamah chuan natna dang pakhat bakah natna dang awm hi comorbidities kan tih hi a ni. He thu hi i hriat hian hlau suh, a hriatthiamna hian i hriselna chungchanga thutlukna siamna kawngah a pui hle ang che.

Comorbidities hi eng nge ni tak tak?

A awlsam zawngin, ‘Comorbidity’ chu i primary diagnosis bakah hian medical condition dang pakhat emaw a aia tam emaw a ruala awm hi a ni .

Hei hi hrethiam tur chuan entirnan han la ila. Tlem i thau lutuk, chu chu thau lutuk i nei tihna a ni. Tunah chuan doctor i pan chuan nitin tlem tal kea kal la, exercise la turin a ti che a. Mahse, khup natna, chu chu ruh natna (osteoarthritis) i neih chuan engtin nge ni ang? Chuti a nih chuan kea kal chu i tan a harsa hle a ni lawm ni? Natna pawh a zual thei bawk.

Tunah chuan doctor chuan he khup harsatna hi a hriat chuan kea kal turin a hrilh che ai chuan khup tana phurrit ni lo thil, water aerobics ang chi ti turin a hrilh mai mai ang che. Hetah hian i harsatna ber chu ‘thau lutuk’ ni mahse, i enkawl dan nghawngtu khup harsatna chu ‘Comorbidity’ a ni.

Entirna dang chu thisen sang, a nih loh leh hypertension hi a ni. Natna dang, lung natna leh lung natna nei tam tak pawhin thisen sang an nei thei bawk. Chuvangin i doctor-in i thisen sang damdawi a pek che chuan i natna dang i ei tur damdawi nena inmil lo leh side effect tlem zawk nei damdawi a thlang ang.

‘Main disease’ leh ‘secondary disease’ hi eng nge an danglamna?

Hei hi a buaithlak deuhin a lang thei a, mahse a takah chuan a awlsam khawp mai. ‘Primary diagnosis’ hi chutih laia kan enkawl dan azirin a danglam thei.

Kal natna rei tak, thisen sang, leh type 2 diabetes i nei niin han ngaihtuah teh.

• Nephrologist i hmuh chuan i natna ber chu kal natna a ni. Thisen sang leh zunthlum hi additional condition, a nih loh leh `comorbidities` ah a ngai a ni.I kal a enkawl lai hian condition dang pahnih pawh a enkawl nasa hle bawk.
• Mahse, zunthlum enkawl tura doctor (Endocrinologist) i pan chuan i natna ber chu zunthlum a ni tih a hmu ang. Tichuan kal natna leh thisen sang chu `comorbidities` a lo ni ta a ni.

I hrethiam em? ‘Natna ber’ chu specialist leh chutih laia kan enkawl lai dinhmun a zirin a danglam thei.

Natna tam tak neih hian engtin nge hriselna a nghawng?

Natna khirh tak tak tam tak neih hian kawng hrang hrangin a nghawng thei che a ni.

• Taksa leh rilru lama harsatna: Natna tam tak neih dun hian natna pakhat chauh neih aiin rilru hahna, lungawi lohna leh taksa leh rilruah nghawng a nei tam zawk thei a ni.
• Enkawl dan a buaithlak: Hei hi a pawimawh ber a ni. Natna pakhat tana damdawi pek chu natna dang tan a tha lo a nih chuan han ngaihtuah teh? A nih loh leh natna pahnih tan damdawi pahnih pek khawm hian harsatna a thlen a nih chuan? Chuvangin, damdawi i ei apiang chu doctor hnenah hriattir a pawimawh hle.
• Specialist tam tak mamawh: Specialist tam tak hmuh a ngai mai thei. Entirnan, rilru lam doctor, nephrologist, leh zunthlum lam doctor. Treatment plan tha ber pe turin team anga thawk vek a pawimawh.
• Hospitalizations: Zirna hrang hrangah chuan comorbidities tam tak nei chuan damdawi inah rei zawk a awm thei a, harsatna a thlen theihna a sang thei bawk.

Comorbidities awm tam ber chu engte nge ni?

Damdawi lam harsatna thenkhat chuan natna dang a thlen tam zawk. Chutiang natna nei zawng zawngte pawhin heng natna dangte hi an nei ve vek dawn tihna a ni lo va, mahse hriat chian a pawimawh hle.

A châng chuan heng natnate hi an lo awm dun a, a chhan chu risk factor inang an neih vang a ni. Entirnan, thisen sang leh zunthlum te hian thinlung natna leh kal natna a tipung vek a ni. Mahse a châng chuan chutiang inzawmna chiang tak awm lovin natnate chu an awm dun thei a ni.

Chuti a nih chuan he thil hi engtin nge ka tih ang?

Heng thumal (`Comorbidity`, `Multimorbidity`) hi i tan chuan harsa i tih chuan ngaihtuah lutuk suh. A pawimawh ber chu heng thute hi zir chian loh hi a ni.

Doctor i hmuh apiang hnenah natna dang i neih leh i damdawi ei tur te hrilh la. Ayurvedic damdawi, vitamin emaw, supplement dang emaw i ei mai thei. Heng zawng zawng hi i doctor hnenah hrilh rawh. Engmah thup suh. Chumi hnuah chauh chuan i doctor chuan enkawlna ruahmanna him ber leh tha ber a pe thei ang che .

I hriselna chungchanga thutlukna siamnaah hian active takin tel ve rawh. Zawhna zawt la, rinhlelhna i neih apiang tichiang rawh. I dikna leh i mawhphurhna a ni.