I nu leh pa tar tawhte hrisêlna chu i ngaihtuah em? Geriatrician chu tu nge ni?

In lama i nu, i pa, i pi, a nih loh leh i pi ang maia upa tawh chu han ngaihtuah teh. Nitin an rilru hahna zawng zawng te, natna tinreng atana damdawi an ei tam tak te nen... engtin nge hriselna tha ber pek theih ang tih i ngaihtuah a ni ngei ang. Geriatrician chu specialist a ni a, hetiang hunah hian min pui thin. Vawiin hian tu nge an nih tih leh eng tanpuina nge an pek theih tih hi han sawi ila.

Geriatrician chu tu nge ni?

A awlsam zawngin sawi ila, geriatrician chu kum upa lam hriselna lama harsatna nei doctor a ni. Naupang enkawltu doctor chu naupang tê tê tan a nih ang bawkin, geriatrician pawh hi kum upa lam tan specialist a ni.

Heng doctor-te hian general medical degree an nei a, Family Medicine emaw Internal Medicine emaw-ah specialized training an nei bawk. Chumi hnuah chuan Geriatric Medicine-ah specialized training dang an dawng leh a, chu chuan kum upa lamte a bik taka nghawng thei natna, taksa inthlak danglamna leh rilru lam dinhmunte a ngaihtuah a ni.

Chuvangin, tar chhoh zel avanga taksaa inthlak danglamna khirh tak tak, a ruala natna chi hrang hrang awm leh damdawi chi hrang hrang hman dan te enkawl thiamna mak tak an nei a ni. Damdawi inah te, private clinic-ah te, nursing home ang chi hmunah te an thawk a ni.

Engtin nge geriatrician hian a puih theih che?

Geriatrician chuan nangmah emaw, i hmangaih tak emaw chu natna angin a en mai mai lo. Mi pum pui angin an en che a ni . Chu chu i taksa, rilru, rilru leh khawtlang mamawh zawng zawng an ngaihven vek tihna a ni. He thu hi enkawl dan tur ruahmanna siam nan an hmang thin.

I nu hian zunthlum, thisen sang, leh ruh natna damdawi chi hrang hrang a ei lai han mitthla teh. A châng chuan damdawi pakhat hian natna dang a thlen thei bawk. A nih loh leh, hriatrengna hloh a nei a ni thei bawk. Chutiang dinhmunah chuan geriatrician-in a tih theih ṭhenkhat chu a hnuaia mi hi a ni.

A pawimawh ber chu heng doctor-te hian i duhdan an zahsak a ni. Mi thenkhat chuan an chenna inah a rei thei ang bera awm an duh a. Mi dangte chuan an damdawi ei tlem an duh a. Heng zawng zawng hi an sawipui ang che a, i tana tha ber tur health plan siam turin an pui ang che.

‘Geriatric Care Team’ tih hi eng nge ni?

A chang chuan geriatrician pakhat chauhvin hna a thawk lo. Specialist team nen an thawk dun a ni. Hei hi ‘geriatric care team’ kan ti a ni. He team hian a tum ber chu tar pakhatin a mamawh service kimchang hmun khata pek a ni.

Geriatrician bakah hian he team-ah hian midang pawh an tel thei bawk. Entir nan:

• Dietitians: Kum nena inmil leh natna control thei tur diet siam rawh.
• Occupational Therapists: Nitin hna awlsam taka thawk turin an pui che.
• Physical Therapist: Kal harsatna leh ruh natna ang chi harsatna te chu exercise hmangin enkawl thin ang che.
• Psychiatrist leh Psychologist: Stress, depression, leh hriatrengna lama harsatna nei te tanpui thin.
• Social Worker-te chu: 1.1.Support service leh in sakna tur hmun mamawh zawng rawh.
• Thusawi leh hriatna lama mithiamte: Thusawi emaw, hriatna lama harsatna nei emaw enkawl.

Sri Lanka hmun tinah hetiang team tling hi hmuh a harsa mai thei. Mahse, i chhungkaw doctor chuan a tul angin specialist hrang hrang hnenah a refer thei che a ni.

Geriatrician hmuh tur kum tha ber chu engzat nge ni?

Mi tam zawk chuan kum 65 an tlin hnuah geriatrician an pan tlangpui a, a bik takin kum 75 hnuah, mahse, i hriselna dinhmun a zirin a ni.

Kum 65 chunglam zinga 50% aia tam chuan damdawi lam harsatna pathum emaw a aia tam emaw an nei a, chu chu enkawl emaw, enkawl reng emaw ngai a ni . Hetiang hunah hian:

• Damdawi i ei lai hian nghawng a nei em tih enfiah thin ang che.
• Operation pakhat, operation ang chi hlauhawmnain kum 70 mi leh kum 40 mi a nghawng dan tehfung siam rawh.
• Taksa bakah rilru lama harsatna lo thleng (hriatrengna hloh ang chi) te ngaihven rawh.

Heng zawng zawngah hian geriatrician thiamna hian a pui hle. Mahse, geriatrician i neih loh chuan i chhungkaw doctor (Primary Care Physician) nen pawh hemi chungchang hi sawipui a pawimawh hle bawk.

Ka hmangaih tak hian geriatrician tanpuina a mamawh em?

He thuziak hi i nu, i pa, a nih loh leh i chhûngte tar tawh dangte tân i chhiar a nih chuan, tar lam doctor ṭanpuina an mamawh theihna tûr dinhmun engemaw zât a awm a ni. Anmahni enkawltu ber chu nangmah i nih avangin inthlâk danglamna ṭhenkhat chu i hmu thuai mai thei.

I hmangaih takah hetiang thil hi i hmuh chuan i chhungkaw doctor nen inbia hmasa phawt ang che. Tichuan, a tul chuan geriatrician hnenah i refer thei bawk.