Engvangin nge kan khawtlang nunah hian mi thenkhatin mi thenkhat aiin hun rei tak chhung, natna khirh tak tak, zunthlum, thisen sang, thinlung natna, Asthma, leh cancer te an vei tam zawk tih i ngaihtuah ngai em? Ṭhenkhat chuan hei hi an genes, rochun thil pakhat vang niin an ngai mai thei. Mahse chu chu thudik a ni lo. Hei hi kan chenna khawtlang inthlauhna vang a ni ber a, chu thupui thuk tak, mahse pawimawh tak chu vawiinah kan sawi a ni.
Chumi chhan chu natna a ni lo va, kan khawtlang nun (social system) a ni zawk.
A awlsam zawngin sawi ila, mihring hriselna hi a nunphung chauh ni lovin, thil dang tam takin a nghawng a, chu chu a chenna boruak, a sum leh pai dinhmun, a zirna, leh khawtlang atanga tanpuina a dawn te hi a ni. Damdawi lamah chuan hei hi "Social Determinants of Health" kan ti thin.
Mithiamte chuan mi pawl pakhatin natna khirh tak tak an neih tam zawk chuan a chhan (biological reason) hmuh theihna tur finfiahna a awm lo tih an sawi. Chu chu, "chawhnu intlansiaknaa telte hian zunthlum an vei tam zawk" tih hi genetically-in kan sawi thei lo tihna a ni. Mahse, an dinhmun kan en chuan chu natna kalphung chu chiang takin kan hmu a ni.
"Hei hi thil vanduaithlak tak maiah ngai suh. Historic, political, leh social event thenkhat avang hian khawtlang thenkhat chuan hmun rethei takah awm theihna hun remchang an hloh a, zirna tha, hriselna enkawlna tha, hna tha tak tak hmuh theihna hun remchang an hloh a ni," tiin mithiamte chuan an tarlang.
Khawpui slum-a cheng, emaw, khaw hla tak emaw, huan hmun emawa cheng emaw kha han ngaihtuah teh. An harsatna tawhte chu Colombo-a cheng mi pakhatin a hmachhawn dan nen a danglam hle 7. He danglamna hi hriselna dinhmun danglamna thlentu a ni.
| Hriselna tichhe thei khawtlang thil | I hriselna a nghawng dan |
|---|---|
| Economic dinhmun (retheihna) 1.1. | Chaw ei tur tha tak lei nana sum neih loh te, damdawi lei nana sum neih loh te, doctor rawn pan tur te. |
| Zirna neih theihna | Hriselna lama inhriatthiamna mumal neih loh te, natna lan chhuah dan hriat chian loh leh enkawl vat loh te, hna tha tak hmuh theih lohna te, sum lakluh a tlahniam a ni. |
| In leh boruak chenna | Boruak bawlhhlawh te, tui bawlhhlawh te, factory bula awm te hian thawkna lam natna leh natna dang a thlen theihna a tipung a ni. |
| Hriselna lama rawngbawlna hmuh theihna | Damdawi in leh clinic atanga hlat zawng te, inkalpawhna lama harsatna te, leh damdawi in pan tura hna atanga ni khat chawlh la thei lo te. |
| Khawtlang nun puihna leh stress | Social isolation leh economic lama harsatna avanga stress na tak chuan thisen sang leh zunthlum ang chi natna a thlen thei a ni. |
Retheihna leh natna khirh tak inzawmna
Retheihna hi sum neih loh vang mai a ni lo. I dam chhung leh hriselna tidanglamtu lian tak a ni. Sum lakluh tlem zawkte hian hriselna lama harsatna an neih tam chhan hi chhan hrang hrang a awm a:
- Malnutrition: Mite chuan thlai thar, thei leh ei tur tha tak tak lei tur sum an neih loh avangin an riltam tihreh nan awlsam taka hmuh theih starchy leh oily foods nutritional value hniam tak tak an pan thin.
- Toxins nena inzawmna: Economic lama harsatna nei te hian thil tha lo tak tak, in hluiah lead-based paint leh factory atanga meikhu rimchhia te an tawk nasa zawk.
- Rilru lama harsatna nasa tak: Naktuk chaw ei tur, naupangte mamawh leh leiba phurrit ngaihtuah reng avanga rilru hahna lo awm hian taksa hormone a tidanglam thei a, natna tam tak tan kawng a hawng thei a ni.
Chu bâkah, eizawnna kawnga harsatna tawk mek tan chuan hmun hla tak clinic-a kal a harsa a, hna a hloh a, bus man atan sum a seng a ngai bawk. Hei hian miten an natna a la naupan laiin doctor hmuh loh leh damdawi an lak loh phah a ni. A tawp berah chuan natna a nasat chuan Emergency Treatment Unit (ETU)-ah an kal a ngai a ni. Tichuan natna chu enkawl harsa a ni a, a man a to a, i medical history hre chiangtu doctor-in a pek theih ang mimal ngaihsakna chu an hmu lo.
Kan boruak hian kan hriselna a nghawng dan
Traffic meikhu leh factory meikhu avanga boruak bawlhhlawh awmna hmuna chengte chu thawkna lam natna vei an hlauhawm zawk a ni. Kawngpui buai tak chunga cheng mi pakhat han mitthla teh. Chu mi chuan nilengin boruak bawlhhlawh a thawk chhuak thin.
Chutiang boruak bawlhhlawh rei tak a awm chuan natna , asthma, chronic obstructive pulmonary disease (COPD), leh lung cancer te chu a vei theihna a tipung a ni.
"Natna khirh tak thlen theihna leh a rah chhuah tur tichiangtu thilte hi mimal thunun theih loh a ni tih kan hriatthiam a ngai a ni. In dinhmun, hnathawh dan, boruak chungchang - hengte hi khawtlang nunah inang tlang taka sem a ni lo.
‘Ei tha la, exercise la’ - he thurawn hian mi zawng zawng tan hna a thawk em?
Hriselna tihhmasawn programme a\angin thurawn kan hre fo \hin a, chu chu "chaw \ha ei rawh," "nitin exercise la," "stress tihziaawm rawh," leh "muthilh tawk rawh" tih te hi a ni. Heng tips te hi a pawimawh hle. Mahse zawhna awm chu, heng thilte hi mi zawng zawngin kan ti thei ang em?
Nilenga hnathawh hnua chau taka lo haw mipa hnenah, "Exercise" tih hi engtiang chiahin nge a practical? Chhungkaw pakhat eizawnna tur zawnga harsatna tawk mek hnenah, "Salmon leh thei ei rawh" tih hi engtiang chiahin nge a tak tak ang?
Mite chu he thurâwn pêk an nih hian, chûng thilte chu an tih theih loh avângin an inthiam lo mai thei. Mahse buaina tak tak chu chu mi chu a rilru hah emaw, fimkhur lo emaw a ni lo. Chutiang thil chu an tih theih loh khawpa an nun tichhe thei khawtlang leh sum leh pai lama thil lian zawk a awm vang a ni.
A lehlamah chuan, retheihna avanga khawtlang inthliarna leh hnawhchhuahna avanga rilru hahna nasa tak chuan direct-in zunthlum, thisen sang, leh rilru lam natna ang chi dinhmun a thlen a ni.
Chuvangin he inbiakna hi kan thlak danglam a ngai a ni. "Engvangin nge heng mite hi an damloh em em?", tih ai chuan zawhna kan zawh tur chu, "Hetiang dinhmun lo thleng tur leh awm reng theihna tura kan social system leh healthcare system-ah hian eng thil nge dik lo awm?".. tih hi a ni.
Take-Home Thuchah a ni
- Natna khirh tak takte hi biological cause-in nasa takin a nghawng a, chubakah i chenna khawtlang leh sum leh pai dinhmun pawhin a nghawng nasa hle.
- I sum lakluh, zirna level leh i awmna hmun hian i hriselnaah nghawng a nei nghal vek a ni.
- Miin nun hrisel taka nun a harsat chuan chu mi chu mawhpuh ai chuan a thlentu khawtlang nunphung (social system)-a harsatna awmte hi sawi ila.
- Zunthlum emaw thisen sang emaw ang chi natna khirh tak i neih chuan eng ang pawhin nuam lo mah se, a hun taka doctor hmuh leh clinic-a kal a pawimawh hle. A dinhmun a zual hma chu nghak suh.
- Mi zawng zawng tana hriselna inthlauhna pek chungchangah khawtlang anga kan sawiho vek a pawimawh hle.
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