I taksa chu chak lo nia inhriain natna atanga dam leh harsa a ti em? 'Frailty' chungchang hi han sawi ila!

Khawsik lai pawha khum atanga tho chhuak tur khawpa chau lutuk ang maiin i inhriat ngai em? A nih loh leh, i thil tih thin kha tih theihna chakna i nei lo mai mai tihna em ni? Hei hi tar vang mai pawh a ni lo mai thei. Vawiin hian 'Frailty' tih condition kan sawi dawn a ni. Hei hi mi tam takin an hriat chian loh tak tak a ni a, mahse kan hriat vek a ngai a ni.

A awlsam zawngin ‘Frailty’ chu eng nge ni?

A awlsam zawngin sawi ila, chak lohna chu natna emaw, hliam emaw atanga i taksain a dam leh theihna hloh hi a ni. I taksa 'backup power' a tlahniam ang mai a ni . Thil tenawm tak tak pawhin nghawng lian tak a nei thei. I taksa chakna chauh a ni lo. I rilru hriselna, thluak hnathawh dan leh i chhelna zawng zawng hi a inrawlh vek a ni. Frailty hi zan khat thil thuah a thleng lo va, zawi zawiin, hmasawn zel dinhmun a ni. A châng chuan tihdanglam theih a ni a, mahse mi tin a inang lo.

I hriselna hi bank account angin ngaihtuah rawh. Kan thil tih zawng zawng – thawk atanga mut thlengin, inbual atanga ei thlengin – he account atang hian ‘paid’ a ni. Tin, kan damlo emaw, accident kan tawh emaw hian kan dam leh theih nan he account atang hian chakna kan mamawh a ni. I ‘health account’-ah sum, chu chu chakna i neih tam poh leh ‘frailty’ atanga i hlat zawk thin. Mahse he account hi a tawp a nih chuan, chu chu i taksain nitin hna pawh thawk thei tur khawpa chakna a neih loh chuan, chutih hunah chuan ‘frailty’ i lo ni ta a ni. ‘Overdraft’ chhunga luh ang mai a ni. Tichuan i taksa hian pawn lam atanga tanpuina a mamawh a ni.

Chuti a nih chuan ‘Frailty’ mizia chu eng nge ni?

‘Frailty’ i neih chuan heng symptoms zinga pakhat emaw a aia tam emaw i nei thei ang:

• Chau leh hah zawng zawnga inhriatna: hna tenau tak tak thawh hnu pawha chau tawh anga inhria, nilengin mutthilh theih loh.
• Muscle chak lohna leh chakna hloh: Hmanlaia i chawi theih thin thil rit phurh harsa tak angin a lang a, chair atanga tho pawh a harsa hle.
• Slow gait, kal harsa: Kal chakna a tlahniam a, a chang chuan limp a awm bawk.
• Balance hloh: Tlu emaw, tlu emaw fo thin.
• Urinary incontinence (incontinence) emaw bowel incontinence (incontinence) emaw chu i phur emaw, i nuih emaw chuan.
• Pawn chhuah leh ṭhiante emaw, chhungte emaw nena hun hman duh lohna (social withdrawal).
• Lungngaihna leh engmah ngaihsak lohna (‘Depression’) a awm thei.
• Nitin hna, ei leh in, inchei, leh mahni chauha inbual ang chi hna thawk turin midangte tanpuina mamawh.
• Tum loh taka taksa rihna tihtlem:Thla engemaw zat chhunga chhan hriat loha kilo tlemte i tihtlem chuan chu pawh chu chhinchhiahna a ni.

Engvangin nge he ‘Frailty’ hi a lo awm?

Frailty hi i taksain natna emaw, hliam emaw atanga dam leh theihna chakna a hloh hian a awm thin. Hei hi hun rei tak i lo neih tawh natna khirh tak tak te , damdawi thenkhat i ei te, ei leh in hrisel lo , leh taksa tihchak loh vang te a ni zauh zauh thei a ni.

Chu ‘health account’ thawnthu ka sawi tawh kha i hre reng em? Hriselna tha kan vawn theihna tura min puitu thilte chu chu account-a ‘deposit’ dah ang mai a ni. ‘Chak lohna’ venna kawngah an pui thin.

• I genes, chhungkaw medical history leh naupan lai atanga puitling thlenga i thanlen dan te. Hengte hi kan thunun harsa viau nain hriat a pawimawh hle.
• Taksa exercise dik tak tih.
• Chaw tha, chaw tha ei.
• Stress enkawl dan tur.

Tin, kan health account atanga chakna tichhe thei thil a awm bawk a, ‘withdrawals’ ang chi te pawh a awm bawk. Hengte hi ‘Frailty’ thlen thei thilte chu an ni:

• Hun rei lote chhunga natna, khawsik, khawsik, leh food poisoning te.
• Hliam tenau te, taksa ruh tliak leh strain leh stress fracture te.
• Hun rei tak chhunga natna leh accident na tak tak, hip fracture ang chi te.

Engtin nge natna khirh tak takte hian nghawng a neih?

Chronic conditions i neih tam poh leh chak lohna i nei tam zawk thin. Hetiang harsatna hian chak lohna a thlen thei a, a tizual thei bawk:

• Ruh lama harsatna: ‘Osteopenia’ emaw ‘Osteoporosis’ emaw ang chi, ruh a hring a, a chhe awlsam thin.
• Brain problems: Movement disorders , natna chi hrang hrang, dementia ang chi, hriatrengna leh ngaihtuahna tibuaitu.
• Thinlung leh thisen kalna kawng natna: Entirnan , thinlung natna.
• Immune system lama harsatna: Autoimmune natna Multiple Sclerosis leh Rheumatoid Arthritis te .
• Joint problems: thil chi hrang hrang arthritis , ruh thlak danglam, etc.
• Taksa metabolism leh weight/muscle mass inthlak danglamna: Thau lutuk, Thau tha lo, Muscle Wasting (Sarcopenia) emaw Diabetes Mellitus emaw.
• Internal organs natna chi hrang hrang, thin leh kal (kidney) te.
• Thluak lam natna: Asthma leh chronic obstructive pulmonary disease (COPD) ang chi natna .

Tute nge ‘chak lohna’ nei thei tura hlauhawm zawk?

Research atanga a lan dan chuan a hnuaia thilte hian chak lohna a thlen theihna a tipung a ni:

• Kum: Kum 65 chunglam mi 10 zinga pakhat velin chak lohna an nei thei. Hetiang zat hi kum 85 chunglam mi 4 zinga pakhatah a pung a, mahse kum chauh a ni lo, kum eng pawhah a thleng thei.
• Natna nasa tak emaw, hliam emaw: A natna a nasat poh leh chak lohna a awm theihna a sang zawk. Entirnan, sepsis (organs tichhe theitu) leh hip fracture te.
• Natna khirh tak emaw, hliam emaw enkawlna: Enkawlna thenkhat chuan i hriselna a tichhe thei a, mahse doctor-te chuan a thatna leh that lohna an ngaihtuah hnuah an rawt a ni. Entîr nân, cancer tâna operation, chemotherapy emaw radiation therapy emaw , emaw, taksa peng hrang hrang a chhiat huna taksa peng dang thlak (organ transplant surgery) te.
• Congenital conditions: Naupang thenkhat chu congenital heart diseases vangin chak lohna an nei thei . Heng pianpui natna te hian naupan lai hnuah pawh chak lohna a tipung thei a ni.
• Support network: I chak lohna i neih leh neih loh an hriat hunah doctor-te chuan chhungte, ṭhiante leh i hriatte ṭanpui thei tur i neih leh neih loh an en bawk ang. Hetianga ṭanpuina i neih loh hian chak lohna i neih theihna a tipung thei a, chu chuan ei leh in, damdawi ei, khawtlang thiltih leh exercise-a tel a harsat phah thei a ni.

‘Frailty’ vang hian eng harsatna nge thleng thei?

Frailty hian harsatna a thlen thei a, chungte chu:

• I immunity a ti hniam a ni. Chumi awmzia chu natna tharte chu awlsam zawkin a lo awm thei a, natna awm tawhte pawh dam nan hun rei tak a daih thei tihna a ni.
• Inhliam theihna a tipung a ni. Hliam tenau tak pawhin hliam lian tak a thlen thei a, a dam theih nan hun rei tak a daih thei bawk.
• Damdawi lam dinhmun dangte a ti na zual hle. A châng chuan natna tenau tak pawh hi dinhmun hlauhawm takah a chang thei a, nunna atana hlauhawm takah a chang thei bawk.
• I neih theih enkawlna tur a tihtlem. Mi chak lote chuan operation ṭhenkhat emaw, damdawi lam thil dang emaw chu him takin an nei thei lo mai thei.
• Rualbanlohna a thlen thei a ni.
• I zalenna i hloh ta a ni.Chak lohna neite chu mahni in lamah chauh an awm thei lo mai thei.
• Nun rei zawng a ti tawi. Hriselna lama harsatna a punkhawm a, a nasat chuan ‘chak lohna’ avang hian nunna atana hlauhawm a ni thei.

Engtin nge doctor-te chuan chak lohna an hriat theih?

Doctor-in chak lohna a hriat theih dan kawng hrang hrang a awm. A bulpui ber chu taksa enfiahna leh frailty scale hrang hrang emaw scoring system emaw hman a ni . Heng tehfungte hian i doctor chu chak lohna i nei em tih leh, a neih chuan engtiang chiahin nge a nasat tih a hriat theih nan a pui thei a ni.

Khawvel hmun hrang hrangah hetiang scale leh scoring system hi sawm chuang hman a ni. Pakhat chu a dang aiin a tha zawk tih ngaihdan tlangpui a awm lo. Mahse, heng system tam zawk hian thil pawimawh tak tak panga an nei a, chungte chu:

• Tum loh vanga taksa rihna tihtlem (kum kalta chhunga pound 10 emaw kilogram 4.5 emaw tal).
• Hand grip strength tlahniam ( i kum leh i taksa chi hrang hrang nena khaikhin chuan).
• Energy emaw stamina hloh, chau emaw chau emaw tih reng reng.
• Zawi zawia che emaw, kal chakna tlahniam emaw.
• Taksa tihchakna level tlahniam.

Mithiamte chuan ‘chak lohna’ i neih leh neih loh tehna atan taksa chakna tehna, i chelh chakna ang chi an hmang fo thin. Hei hi miten ‘chak lohna’ hi taksa chak lohna mai a ni tih an rin sual chhan ber pakhat a ni.

Heng scale te leh heng thilte an hman dan hi a inang lo hle. Scale ṭhenkhatah chuan thil dang, i rilru hnathawh dan, insum theih lohna, leh support network i neih leh neih loh te pawh a ngaihtuah tel bawk .

I mamawh dan azirin test dang pawh tih theih a ni. Entirnan, taksa ruh chak lohna enfiah nan Body Mass Index (BMI) tehna, emaw, tlu hlauhawmna tehna emaw . I doctor chuan test tih tur awm thei te chu a hrilh belh ang che.

Engtin nge chak lohna hi enkawl a nih?

Frailty hi enkawl theih a ni a, a chang chuan enkawlna leh puihna hmangin tihdanglam theih a ni bawk. Chutianga tih theihna atana hmanraw pawimawh thenkhat chu hetiang hi a ni:

• Frailty-Related Conditions enkawl dan: I damdawi lam natna dangte uluk taka enkawl hian i taksaa harsatna awm chu a tihziaawm thei a, i dam leh thei bawk.
• Physical therapy: Hei hian taksa chakna a tipung thei a, chhelna a tipung thei a, balance a tipung thei bawk.
• Specialized rehabilitation programs: Heng rehabilitation programme te hian mite chu chak lohna thlentu thil khirh tak tak atanga an dam leh theih nan a pui thin. Entirnan, pulmonary rehabilitation leh cardiac rehabilitation .
• Nutritional support: Nutritionist nena thawhhona hian vitamin leh mineral tlakchhamna a veng thei a, a nih loh leh taksa rihna nena inzawm thil (overweight/obesity) te, chak lohna hlauhawmna tipungtu te pawh a chinfel theih bawk.
• Taksa tihchakna programme: Hengte hi group activity a ni fo thin. Khawtlang leh taksa lama inhmang reng turin an pui che a ni. Hei hi i rilru hriselna leh i hriselna zawng zawng atan a tha hle.
• Khawtlang ṭanpuina: I chak lohna avângin in chhûng hna leh enkawlnaah ṭanpuina dang i mamawh mai thei. Khawtlang chhungah hian heng rawngbawlna pe thin pawl leh programme hrang hrang an awm a. Hei hi chak lohna i neih pawhin in lama awm theihna kawng khat a ni thei.
• Hun rei tak enkawlna: I chak lohna a nasat a, in lama i awm theih loh chuan assisted living emaw group home facilities emaw hi i tan a tha ber mai thei. I chak lohna a nasat zawk chuan nursing facility thiam tak (nursing home tia koh tlangpui) chu a tha ber mai thei. Nun tawp lama chak lohna nasa tak i neih chuan hospice-a enkawlna i mamawh mai thei .

I dinhmun leh mamawh bik a zirin enkawlna dang a awm thei bawk. I doctor chuan an chanchin a hrilh thei che a ni.

‘Frailty’ condition hi eng nge a hmalam hun?

Chak lohna thlirna chu a nasat dan leh a tihdanglam theih leh theih lohah a innghat a ni. Frailty hi tihdanglam theih a nih chuan outlook a tha. Chutiang a nih loh chuan, a dawt leh tur ṭha ber chu chak lohna zual zel chu thunun a, a nih loh leh a tlem berah chuan a zual zel loh nan tihtawp hi a ni. Frailty hi mi zawng zawng tan a danglam vek. Chuvangin i doctor chuan i dinhmun hi a sawifiah thei ber ang.

Chak lohna hi ven theih a ni em?

Frailty hi 100% velin a veng thei lo. Mahse, i vei theihna tur tihtlem dan tur a awm. Hei hian a theih ang anga hrisel taka awm leh chak lohna thlentu harsatnate enkawl emaw, pumpelh emaw a huam tlangpui. I tih theih tur step thenkhat chu hetiang hi a ni:

• Taksa chak takin awm reng rawh. Ni khatah minute 30 tal kea kal leh inchhung hna thawh ang chi thil.
• I taksa rihna hrisel tak, i duh ang taka vawn reng.
• Ei leh in tha lam ngaihtuah rawh. Greens, thlai, thei leh fiber tamna ei tur tam zawk ei thin ang che.
• A hun taka medical checkup (‘Preventive care and screenings’) neih thin.
• Natna laka inven nan kut sil dan tha zawm rawh .
• Lirthei a chuan laiin seat belt vuah leh lu hliam laka invenna hmanrua hman.
• In lama chetsualna, a bik takin tlu avanga chetsualna thleng tur venna. In chhunga hmun hnim hring tihbo leh zan lama êng awm theihna tura light dah te ang chi thil.

Chak lohna nen i khawsa tawh a nih chuan, heng step-te hian i dinhmun chu a thunun thei a, a tidanglam thei bawk. I nunphung, i mamawh, leh i duhzawng a zirin, chak lohna laka i tih theih dang a awm thei bawk. I primary care provider chuan hengte chungchangah hian kaihhruaina leh thurawn a pe thei che a ni.

In lama hruai tur thuchah pawimawh ber

Chak lohna hi taksa chak lohna mai a ni lo. I taksa hian nitin nunah harsatna a tawhte chu a tuar harsa tihna a ni. Frailty hi kum 65 chunglam zingah a tam ber a, mahse kum upat deuh deuhah chuan mi zawng zawngah a thleng vek kher lo. A venna tur emaw, tihkhawtlai emaw tura hmalakna hi a hma lutuk ngai lo. Tunah hian frailty i nei a nih chuan chatuan atan i nunpui a ngai tihna a ni lo. Supportive treatment leh medical care hian chak lohna tihdanglam emaw, a kal zel dan tur thunun emaw a pui thei a ni. Chu chu a theih loh lai pawhin a rei thei ang bera i nunphung chu vawng reng tura beih theih dan a awm. A pawimawh ber chu i doctor nen sawiho la, hlau leh mualpho lovin.

` Chak lohna, chak lohna, tar, chakna tlakchhamna, natna khirh tak, hriselna, hriselna, tar hriselna