Kum upat deuha hrisel taka awm tura tanpui che: Geriatrician chu tu nge ni?

Tar hi kan zavaia tan chuan thil awmze nei tak a ni. Kan upat deuh deuh hian kan taksa leh rilru hian inthlak danglamna chi hrang hrang a tawk a, natna thar a lo chhuak thei bawk. Chuti a nih chuan, hetiang hunah hian kan upate hrisêlna lama harsatna ngaihtuahtu doctor neih chu engtiang chiahin nge a ṭhat ang? Chu chu vawiinah hian specialist kan sawi dawn a ni , ‘Geriatrician’ .

Geriatrician chu tu nge ni tak tak?

A awlsam zawngin sawi ila, Geriatrician chu kum upa lam, chu chu kan nu te, kan pa te, kan pi leh pu te, leh a dangte hriselna chungchanga training bik nei doctor a ni. A chang chuan ‘Geriatric Medicine Doctors’ an ti bawk. Kan kum upat deuh deuha lo awm thin natna chi hrang hrang an hmuchhuak a, an enkawl bawk. Tin, i tana tha ber tur enkawlna ruahmanna ruahman turin an pui bawk che a, chu chu i mimal mamawh, i duh leh duh loh te sawiin. Chu chu a ropui lo maw?

Heng geriatrician te hi doctor, general physician (`Internal Medicine`) emaw chhungkaw doctor (`Family Medicine`) anga basic training nei tawh, chutah chuan geriatric medicine (`Geriatric Medicine`) lama specialized training dang dawng tawh te an ni. Hospital ``Center for Geriatric Medicine``-ah hna an thawk thei a, private medical center-ah pawh an thawk thei bawk. Ṭhenkhat chuan puitling kum upa zawkte nen ``long-term care facilities`` emaw ``rehabilitation facilities`` emaw-ah an thawk bawk. Pawl dang ``Gerontologists`` tih pawh an awm a, anni hian puitling kum upa zawkte hriselna tur hna an thawk bawk a, mahse geriatrician chu doctor a ni bawk. A danglamna chu i hrethiam em?

Engtin nge geriatrician hian a puih theih che?

Geriatrician chuan mi pum pui angin a hmu che a . Chumi awmzia chu i taksa, rilru, hriatna leh khawtlang mamawh a ngaihtuah tihna a ni. Heng thu zawng zawng hi enkawlna leh thurawn pe turin a hmang vek a ni. Geriatrician-in i tana a tih theih ṭhenkhat chu hetiang hi a ni:

• Natna hriatchhuah dan: Damdawi lam harsatna hrang hrang i neihte chiang takin kan hmu chhuak thin.
• Damdawi leh enkawlna dang pek: Damdawi mamawh, vitamin leh enkawlna \ha dang pek.
• Damdawi ei hian side effect a nei em tih enfiah thin ang che: I damdawi ei hian side effect a nei em tih enfiah fo thin ang che. A awm chuan prescription pawh thlak theih a ni.
• Enkawlna \ha leh \ha lo sawi: Surgery ang chi enkawlna lian tak tak i tih hian a \hatna, a \ha lo leh a hlauhawmna chiang takin i hriattir ang.
• Healthcare provider dangte nena thawhhona: I mamawh specialist service, entirnan, cancer specialist emaw, neurologist emaw i hmuh theih nan kan ruahman ang che.
• Nitin hnathawh chungchang sawiho: Nitin hnathawh theih dan tur kan sawiho ang a, a tul chuan nunphung thlak danglam dan tur kan hrilh ang che. Entîr nân, mahni chauha motor khalh a him tawh lo emaw, mahni chauha in lama awm a hlauhawm emaw a nih chuan, chungte chu kan sawiho ang a, a ṭûl anga hma i lak theih nân kan ṭanpui ang che.
• Advance Directive Planning: Hei hi thupui sensitive tak a ni a, mahse a pawimawh hle. A châng chuan nakin lawkah kan hrisêlna chungchângah thu tlûkna kan siam thei lo mai thei. Chutiang dinhmunah chuan nang leh i chhungte chu i enkawl dan tur i duh dan tur ruahmanna siam lawk turin kan kaihruai thei a , i duh dan ang zelin.

Geriatrician-te chuan mi zawng zawng hi an inang vek lo tih an hria. Mi dangin nangmah ang natna ve ve ve mah la, an duhzawng enkawl dan leh nunphung chu nangmah nen chuan a danglam hle mai thei tih han ngaihtuah teh. Thenkhat tan chuan an zalenna hi thil dang zawng aiin a pawimawh zawk. Mi dangte chuan nitin darkar 24 chhung ṭanpuitu tur mi awmpui an duh zawk. Ṭhenkhat chuan an damdawi ei tlem an tum a, a theih ang anga zai loh an tum bawk. Mi dangte chuan enkawlna awm thei zawng zawng chu enchhin an duh a ni.

"Geriatrician chuan a bia ang che a, i duh ber leh chu thil tumte chu engtin nge i thlen theih tih hriatthiamna kawngah a pui ang che

‘Geriatric Care Team’ tih hi eng nge ni?

Hei pawh hi a pawimawh hle. ‘Geriatric Care Team’ chu kum upa lam enkawltu, kum upa lam enkawltu leh hriselna lama thawktu dangte awmna team a ni. I mamawh an teh a, i taksa leh rilru tichhe thei hriselna dinhmun eng pawh an enkawl bawk.

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

• Dietitians: I ei leh in chungchanga thurawn pe thintute.
• Nurse Practitioner: Doctor puitu hmanga enkawlna pe thinte.
• Occupational Therapists: Mite nitin hna awlsam zawka thawk thei tura puitu.
• Pharmacist: Damdawi i ei leh a inzawmna chungchanga thurawn pe thintute.
• Physical Therapists: Taksa exercise, ruh leh taksa peng hrang hranga harsatna awmte enkawltute.
• Physician Assistants: Damdawi thiamte enkawlna hnuaia damlo enkawltute.
• Psychiatrist leh Psychologist-te chuan:Rilru lama harsatna neite tan thurawn leh enkawlna pe thinte.
• Social Worker: Khawtlang leh sum leh pai lama harsatna awm thei tura puitu leh mamawh tur thila kaihruaitute.
• Thusawi leh hriatna lama mithiamte: Thusawi emaw, hriatna lama harsatna nei emawa tanpui thinte.

Dik tak chuan mi zawng zawng hian awlsam takin geriatrician emaw, chutiang care team emaw chu an hmu thei lo. I awmna hmun, i health insurance plan, etc. a zirin a danglam a, chutiang hunah chuan i chhungkaw doctor (`Primary Care Provider`), tar enkawlna lama training bik nei te nen in thawk dun thei ang.

Kum engzat nge geriatrician i hmuh ang?

Mi tam zawk chuan kum 65 hnuah geriatrician an pan tan a, a bik takin kum 75 hnuah.Mahse chu chu i hriselna chanchin leh mamawh dan azirin a danglam thei. Tunah hian Center for Geriatric Medicine (CGM) thenkhat chuan kum 50 hnuai lam mite rawngbawlna an nei tan ta a ni. Hei hi a hma deuhin a lang mai thei. Ni e, ka hrethiam, 50 hi mi thenkhat tan chuan a la naupang hle. Mahse, tar hmaa lo awm hriselna lama harsatna lo awmte hmachhawn hian i risk factors te control theihna tur leh chronic condition tam tak venhimna kawngah a pui thei che a ni.

Hei hi han ngaihtuah teh: Kum 65 leh a chunglam zinga 50% aia tam chuan damdawi lam dinhmun pathum tal an nei a, chu chu enkawl emaw enkawl emaw ngai a ni. Damdawi lam natna pakhat aia tam i neih chuan i damdawi lam enkawlna chu a buaithlak deuh deuh thin. Chutah chuan geriatrician puihna chu a tangkai hle.

Entirnan, natna hrang hrang atana damdawi tam tak i ei a nih chuan, geriatrician chuan damdawi te chu inzawmna hlauhawm tak awm lovin hman a him tih a enfiah thei ang. Chutiang bawkin operation ang chi enkawlna an neih hian a thatna leh that lohna an teh thin. A chhan chu kum 70-a operation neih theihna chu kum 40-a operation neih aiin a sang zawk thei a ni.

Dik tak chuan internal medicine doctor leh chhungkaw doctor-te pawhin hetiang tanpuina hi nasa takin an pe bawk. Geriatrician i zawt a nih pawhin i chhungkaw doctor nen inlaichinna neih chhunzawm zel a pawimawh. Mahse, geriatrician-te chuan i enkawlnaah hriatna leh thiamna dang an belhchhah a ni. Puitling kum upa lam, a bîk takin damdawi lama harsatna khirh tak neite enkawl tûra a bîk taka zirtîr an ni. Hei hian taksa natna bakah rilru lam harsatna te pawh a huam tel a ni. Chuvangin, heng dinhmunte hi an hmuh tam em avangin, i dinhmun eng pawh ni se, tanpui turin an inpeih reng a ni.

Ka hmangaih tak hian geriatrician a hmu tur em ni?

I hmangaih tak, nu, pa, pi, a nih loh leh i pi te chu hetiang dinhmunah hian a awm a nih chuan, geriatrician hnen atanga thurawn lak hi a \angkai hle thei ang:

• Damdawi lam harsatna hrang hrang neia nun
• Damdawi tam tak a ruala i ei a nih chuan.
• Hriatrengna lama harsatna i neih chuan, hriatrengna hloh emaw, theihnghilh emaw ang chi.
• Appointment leh treatment juggling harsa tak a tawk a nih chuan,
• Damdawi ina awm tawh emaw, damdawi ina awm atanga dam leh mek emaw i nih chuan. (Damdawi ina awm emaw, damdawi ina awm atanga dam leh emaw)

An enkawltu ber i nih chuan, mi dangte hriat loh theih loh inthlâk danglamna tê tê i hmu thei a ni. I hmangaih tak pawhin a hre lo mai thei. Chutiang hunah chuan geriatrician hmu tura rawtna siam chu i mawhphurhna a ni thei. I hmangaih tak chu kawng tinreng atangin an thlir thei a, an rilru hriselna leh khawtlang nun thatna pawh an en thei a, an mamawh phuhruk thei tur ruahmanna an siam thei bawk.

Engtin nge ka bulah hian geriatrician ka hmuh theih ang?

Sri Lanka ramah chuan geriatrician specialty hi a la hluar vak lo. Mahse, hemi chungchang hi i chhungkaw doctor hnenah i zawt thei ang. Mi tling tak a recommend thei mai thei. Sawrkar damdawi in lianah emaw, mimal damdawi inah emaw, kum upa lam tan bik clinic a awm thei bawk. Chutiang hmun atang pawhin thu hriat tur i hmu thei bawk. A châng chuan chutiang specialist doctor-te chanchin chu online-ah pawh hmuh theih a ni bawk.

Take-Home Thuchah a ni

Okay, chuti a nih chuan, kan sawi tawh thil pawimawh tak tak thenkhat kha i hriat reng chu i tan a tha dawn lo em ni?

• Geriatrician chu kum upa lam hriselna lama tui tak doctor a ni. I taksa leh rilru lama i mamawh zawng zawng an enkawl vek a ni.
• Natna tam tak i nei a, damdawi i ei tam a, hriatrengna lama harsatna i neih chuan , geriatrician ṭanpuina chu a hlu hle.
• Kum 50 an tlin hnuah pawh medical checkup (`annual checkups`) neih fo a pawimawh hle a, hei hian natna tam tak a hmaa hriatchhuah leh control theihna a pui thei a ni.
• Geriatrician hmuh harsa tak pawh ni se, tar hriselna ngaihtuahtu chhungkaw doctor nen inzawmna nei reng ang che.
• Kan tar chhoh zêl chuan kan hrisêlna inthlâk danglamna chu kan hrethiam kim lo mai thei. Geriatrician te hi tar chakna avanga inthlak danglamna hrethiamtu specialist an ni. Hrisel leh hlim taka awm turin an pui thei che a ni.

Chuvangin, nangmah emaw i hmangaih tu emaw chu a upa chho zel a nih chuan geriatrician rawngbawlna ngaihtuah a tha hle. Mi zawng zawng hian nun hrisel, hlim taka nun kan phu a ni lawm ni?

` Geriatrics, geriatrician, puitling hriselna, kum upa lam enkawlna, natna khirh tak, damdawi lam thurawn, hriselna enkawlna