Engvangin nge bial thenkhatah te, chhungkaw thenkhatah te hian mi dang aiin an damlo tam zawk tih i ngaihtuah ngai em? Engvângin nge mi ṭhenkhat chu mi dangte aiin an tar chak zâwk, a nih loh leh natna khirh tak an neih? Hei hi an gene-a harsatna a awm vang mai em ni? A nih loh leh an nungchang vang nge? Dik tak chuan a chhan chu chu aia thuk zawk a ni. Vawiin hian he thupui pawimawh tak hi kan sawi dawn a ni.
Heng hriselna lama inthlauhnate hi engte nge ni?
A awlsam zawngin sawi ila, hriselna lama inthlauhna hi khawtlang zinga pawl hrang hrangte hriselna lama danglamna ven theih a ni. Entîr nân, natna ṭhenkhat chu sum leh pai lama harsatna neite zîngah a tam zâwk a, a ṭha zâwkte aiin. Tin, hnam thenkhat chuan midang aiin hriselna lama nghawng an nei chhe zawk bawk.
Hei hi tumah sualna a ni lo va, gene tha lo vang pawh a ni lo. Khawtlang leh sum leh pai lama thil chi hrang hrang, mi pakhat khawtlang nun (social identity) te, a chenna boruak te, leh remchang a neih te avanga lo awm a ni. Heng atanga lo chhuak health gap te hi health disparities kan tih hi a ni.
Hei hian engtin nge kan ram leh kan chhungkua a nghawng?
Heng hriselna inthlauhna te hian ram leh chhungkua tan sum tam tak a seng a ni. Chu chu engtin nge a thawh tih i en ang u.
- Thih Hmasa: Chhungkaw enkawltu pakhat, kum 55 mi lek a nih laiin thisen sang thunun theih loh vanga heart attack vanga thi chu han mitthla teh . Chu thihna chu ven theih a ni. Chu mi a thih chuan chhungkua leh ram tana a thawhhlawk leh hnathawh theihna chu a bo ta a ni.
- Hnathawh theihna hloh: Mi pakhatin kum 60 mi lek a nih laiin zunthlum thunun theih loh vanga stroke a neih chuan a hma angin a thawk tha thei dawn lo. Kum 5 emaw kum 10 emaw chhung pawh an thawk tha thei ang. Hei pawh hi hlohna lian tak a ni.
- Hriselna senso dang : Mi pakhatin a kal (kidney) a chhiat chuan a dam chhung zawng dialysis emaw, kal (kidney transplant) emaw a neih a ngai dawn a ni. Hei hian sum tam tak a seng a ni. Amaherawhchu, a hun takah damdawi dik tak an ei a, doctor dik tak hmuin, a thupek zawm ta se, he natna hi an veng thei a, kum 10-15 chhungin an sawn hla thei bawk. Enkawlna senso hi invenna senso aiin a sang zawk fo thin.
Biology leh society hi eng inzawmna nge ni?
Mi tam tak chuan Genes hi natna thlentu ber niin an ngai. Chumiah chuan thudik engemaw zat a awm laiin, thudik pum pui a ni lo. Hnam hrang hrangte hi scientifically precise biological formula a awm lo. Khawtlang nun siam chhuah thil a ni fo thin.
Mahse, genetic predisposition thenkhat a awm. Entirnan, engvangin nge thau lutuk zawng zawng hian zunthlum an vei loh ? A chhan chu mi thenkhatin zunthlum vei duhna genetic predisposition an nei thei a ni.
BRCA genes chungchang hi kan hre vek tawh a, hei hian hnute cancer vei theihna a tipung a ni. Mahse, zirchiangtute chuan Latin American indigenous hmeichhiate chauh hmuh theih hnute cancer laka vengtu gene an hmuchhuak tih pawh i hria em? Hei hian gene leh mi pakhat genetic background inkarah hian inzawmna khirh tak a awm tih a tilang a ni.
Environment hian kan genes a tihdanglam dan: Social Epigenomics a tawi zawngin
Hei hi a buaithlak deuh a, mahse concept pawimawh tak a ni. ``Social Epigenomics`` hi kan chhehvela thil awmte, a bik takin stress ang chi thilte hian kan genes hnathawh dan a nghawng dan zirchianna field of study a ni.
Hetiang hian han ngaihtuah teh. Naupangin a naupan laiin, a bik takin kum 5 a tlin hmaa lungkhamna, chhungkaw harsatna , tharum thawhna, leh tlakchhamna nasa tak a tawk a nih chuan, chu thil ṭha lote chuan an gene hnathawh danah " chhinchhiahna tlemte" a hnutchhiah thei a ni. He chhinchhiahna avang hian, kum 30 emaw, kum 40 emaw hnuah pawh ni thei, thinlung natna, thawhah, leh zunthlum ang chi natna an vei theihna chance a sang hle thei a ni.
Hei hian kan nunah kan thil tawn hmasa berte hian kan hmalam hun hriselna a hril thei tih a tilang a ni. In \ha lo, chaw \ha tlakchhamna, leh nu leh pate hmangaihna tlakchhamna ang chi thilte hian hun rei lote chhung leh hun rei tak chhungin nghawng a nei thei a ni.
Nungchang, lungkhamna leh natna te
Stress a san chuan mi ṭhenkhat chuan hmachhawn dan hrisel lo lam an pan ṭhin. Meizial zu te, zu in te, chaw hrisel lo ei te hi a tam ber zinga mi a ni. Research thenkhatah chuan thil ngaihnawm tak tak an hmuchhuak a.
Entîr nân, United States-a pâwl ṭhenkhat zir chiannaah chuan rilru hahna rei tak a lo awm chuan mi ṭhenkhat chu lungngaihna nei ai chuan nungchang ṭha lo tak tak an nei tam zâwk tih a târ lang. Mahse he pattern hi pawl dang tan chuan a danglam hle. Hei hian stress kan dawn dan pawh hi kan culture leh social background a zirin a danglam thei tih a tilang a ni.
| Thlentu | Insu |
|---|---|
| Chronic Stress a awm | Mi thenkhatah chuan lungngaihna emaw, lungkhamna emaw a thlen thei. |
| Coping Mechanism hrang hrangte | Mi thenkhat chuan lungkhamna hmachhawn turin meizuk leh zu ang chi thil hrisel lo lam an hawi thin. Hei hian natna dang tam tak a thlen a ni. |
| Cultural Influence a ni | Hnam thenkhatah chuan hmeichhiate hian meizuk/in an duh lo hle a, mahse culture dang nena an insiamrem hian he venhimna hi a bo thei a ni. |
Doctor leh damlote hian engvangin nge he thil hi an hriat chian a ngaih?
Hriselna tha ber pek tur chuan doctor chuan damlo natna chauh ni lovin, an khawtlang nunphung pawh a hriatthiam a pawimawh hle . Amaherawhchu, kan healthcare system a buai em em avang hian hemi atan hian hun remchang a awm loh chang a awm thin.
Doctor i nih angin damlo kum leh mipa leh hmeichhia, chubakah heng thilte hi ngaihtuah a tha hle:
- Zirna level: Damlo zirna level hriat hian natna leh damdawi i sawifiah dan chu a ti awlsam emaw, a ti buai thei emaw a ni. Zawhna "School engzat nge i kal?" chu damlo chu vau ni lovin, thil dik tak hrethiam zâwk tûra ṭanpui a ni zâwk.
- Socioeconomic status: Damlo sum leh pai dinhmun, hnathawhna leh chhungkaw dinhmun hriatthiamna zau tak neih hian enkawlna pekte nena an insiamrem theih dan hriatthiamna a pe a ni.
- Area of residence leh migration history: Damlo pianna, seilian leh tuna a awmna hmun hi a pawimawh thei hle. Chumi hmuna hriselna lama harsatna leh ei leh in dan bik a awm thei bawk.
Damlo i nih angin hetiang thu hi i doctor nen zalen takin sawiho rawh.Lungngai suh. Chu thu hriat chuan enkawlna ṭha ber pe tûrin a ṭanpui ang che.
Take-Home Thuchah a ni
- I hriselna hi gene leh biology chauh a ni lo. Khawtlang, sum leh pai dinhmun leh i chenna boruak hian i hriselnaah nghawng nasa tak a nei a ni.
- Khawtlang chhunga pawl hrang hrangte inkara hriselna lama inthlauhna ven theih loh hmuhchhuah chu "health disparities" an ti.
- Stress hian meizuk leh zu in ang chi nunphung hrisel lo lamah a hruai thei che a, chu chuan natna dang tam tak a thlen thei a ni.
- I doctor nen i nunphung, i zirna leh i khawtlang nun chungchang zalen taka inbiakna neih chuan i tana hriselna enkawlna tha ber leh remchang ber i hmuh theih nan a pui ang che.
- Chaw hrisel, chenna in tha, boruak him, leh zirna tha hi khawtlang hrisel dinna atana thil pawimawh tak a ni.
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