Kan fate hi kan hmangaih em em vek a. An lakah hian khawsik tlemte pawh hi engtiang chiahin nge kan hlauh? Awle, doctor-in i fa hian cancer ang natna, tihdam harsa tak a nei tih min hrilh ta se han ngaihtuah teh... chu chu kan zingah tumahin kan hre duh lo. Mahse, nunah hian a châng chuan chutiang thil tak tak khirh tak, khauh tak takte chu kan hmachhawn a ngai ṭhin. Vawiin hian thupui kan sawi a, kan rilru siam harsa tak, mahse kan sawi tur a ni. Chu chu, engtin nge natna tihdam theih loh tuar naupang dam chhung zawng zawng chu hrehawm lo leh hahdam thei ang bera kan siam theih ang.
He thawnthu hi naupang tlangval Gabriela chanchin a ni. A dam chhung nipui hnuhnung ber chu tlangval naupang dang ang bawkin a hmang a. A ṭhiante nen an inhmukhawm a, camping-ah an kal a, skydiving ang chi thil tih hmangin a nu leh pate a ti hlauhawm hle. Tichuan, chumi kum tawp lamah chuan a nunna a la ta a ni.
Gabriela thihna chu mak a ti lo. Thlasik chhung zawng khan thihna a lo do tawh a ni. Kum 7 mi lek a nih laiin acute lymphocytic leukemia a vei tih hmuhchhuah a nih hnuah Gabriel hian kum 15 a tlin meuh chuan chemotherapy leh radiation therapy round hnih a nei tawh a, mahse chu zawng zawng chu cancer control nan a tawk lo. Thla engemaw zat hnuah cancer chu a lo let leh ta a.
A hnuhnung ber atan bone marrow transplant an ti bawk. Mahse chu chu a hlawhchham a, cancer chu a lo let leh chuan tihdamna famkim beiseina zawng zawng chu a bo ta vek a ni. Cancer vei naupang pali zinga pathum tihdam theihna hunlai, medical science hmasawn hun lai khan Gabriel-a doctor leh nu leh pate chuan thil tum pakhat, hrehawm tak, mahse inngaitlawm tak an nei a.
“Natna tihdam an tum lo a, thunun an tum a, nun tha ber a nunpui theih nan an pui a ni.” - Gabriela pa.
Mahse Gabriela chu tu pawhin an beisei aiin a dam rei zawk a, a hlim zawk bawk. Thla nga chhung zet chu jet-skiing a nei a, van atangin a zuang thla a, a ui nen an inkhel a. A tawpah chuan a taksa hriselna chak lo tak chuan fungal infection na tak chu a do thei lo.
Palliative Care tih hi eng nge ni?
Gabriel-a ang thilthleng hian khawvelin naupangte tana palliative care pawimawhzia a tilang a ni. A awlsam zawngin, palliative care chu natna hlauhawm tak nei mi pakhat hrehawm tawrhna leh hrehawmna tihziaawmna tur leh an nunphung tihchangtlunna tura enkawlna leh enkawlna pek a ni
Hei hi natna tihdam tumna lam a ni lo. Chu ai chuan natna avanga natna lan chhuah dan (natna, thawk harsa, riltam ang chi) thunun a, naupang chu rilru lama thlamuanna pek a, a hun la awm chu nuam leh hlim thei ang bera hmang tura tanpui a ni.
Thil pawimawh ber: Palliative care hi "beiseina bânsan" tihna a ni lo. Naupang dam chhung ni la awmte hlutna leh thlamuanna belhchhah chungchang a ni.
Engvangin nge hei hi sawi pawh a harsat em em?
Vawi tam tak chu doctor leh nu leh pate tan chuan palliative care chungchang ngaihtuah pawh a harsa thin . Hei hi a chhan ber chu "palliative care-a kal chuan insualna kan bansan tawh tihna a ni" tih rilru dik lo vang a ni.
Research atanga a lan dan chuan doctor-te chuan "he naupang hi tihdam theih a ni lo" tih hi nu leh pa te hma thla thum vel khan an hrechhuak ta a ni. Mahse chu chu nu leh pate hrilh chu a harsa hle a, chutiang tur chuan an inbuatsaih a harsa hle. A chhan chu mi tinin an thinlungah damdawi beiseina an nei vek a ni.
Tunah chuan cancer vei naupang 75% chu tihdam theih an ni. Chu chu hlawhtlinna ropui tak a ni. Chuvang chuan doctor-te chuan curative treatment lam an ngaihtuah vek a ni . Chuvangin, tihdam theih lohna hmunah chuan eng nge tih tur tih ngaihtuah a tlem zawk.
Mahse thudik tak chu, cancer vanga thi naupangte chuan an dam chhung thla hnuhnung berah hian natna nasa tak, thawk hahna , hah lutuk, leh rilru hahna te ang chi natna lan chhuahna nasa tak an tuar nasa hle a ni. Hengte hi palliative care hmangin a tam zawk chu control theih a ni.
Palliative care-ah hian eng nge tih tak tak?
Palliative care hi thil pakhat a ni lo. Thil chi hrang hrang tam tak inzawmkhawmna kawng zau tak a ni. Heta thil thleng hi naupang tan thlamuanna pek a ni a, taksa leh rilru lamah pawh thlamuanna a pe a ni.
| Enkawlna chi hrang hrang | Entirna leh sawifiahna |
|---|---|
| Natna control | Morphine emaw fentanyl ang chi natna tidamtu chak tak pek. Muscle leh joint na tan antidepressant dose tlem pek. |
| Symptom dang control dan | Thâwk harsat tan oxygen pek te, rilru hahna leh luak chhuak damdawi pek te, hahna nasa tak leh thisen tlakchhamna atana ei leh in lama thurawn pek te. |
| In lama enkawl | A châng chuan thisenah chemotherapy pek ai chuan in lama ei theih pill an pe ṭhin. Hengte hian cancer control nan a pui thei a, chutih rualin side effects a tihziaawm thei bawk. I in lama lo thleng service (hospice care) pawh a awm a, chu chuan thisen pek ang chi thilah a pui thei a ni. |
| Rilru lam atanga tanpuina | Naupang leh nu leh pate counselling pek. Test hrehawm tak tak neih laiin naupang ngaihtuahna tihbuai nan lehkhabu chhiar, hypnosis, emaw guided imagery ang chi technique hman. |
Nu leh pate tanpui
He hun hi naupang leh nu leh pa tan pawh a harsa hle. "I fa chu a dam thei lo" tih hi pawm a awlsam lo. Psychosocial worker-te chuan nu leh pate chu he thudik khirh tak hi pawm turin an pui thei a ni. Research pawhin nu leh pate chuan doctor chauh an biak aiin chutiang counselor an biak hian thil tak tak an hrethiam zawk tih a finfiah a ni.
Gabriel-a chanchinah chuan a kar hnih hnuhnung berah khan hospice nurse pakhat a nei a, a inah a lo kal a. A duh huna painkiller (Fentanyl) inject theihna tur hmanrua te tak te an pe a. In lamah thisen a pe hial a ni. Heng zawng zawng hian Gabriela chu a ni hnuhnung ber chu ama inah, hrehawm nei lovin, a chhungte nen hun hmang turin a phalsak a ni.
A tâwpah chuan Gabriela chu a chak lo zauh zauh a, chaw a ei tawh lo va, a hriatna a nei leh ta a ni. Hun lungchhiatthlak tak ni mah se, a pa chuan thihna hi "a awlsam, remna" tiin a sawi. Chawhnu khat chu sofa-a a thut lai chuan Gabriela chuan a pa kut chu a vuan a, chatuan atan a mit a chhing a.
Chumi zan chuan Gabriel-a unaunu chuan a unaupa chungchang chu mumang a nei a.
"Thih a awl em?" tiin a zawt a.
"Ni e, thawk ang maiin a awlsam," tiin a chhang a. "Ka kal leh thei hi a nuam khawp mai."
Take-Home Thuchah a ni
- Palliative care tih hian beiseina bânsan tihna a ni lo.Dam theih loh natna vei naupang nunphung tihchangtlun chungchang a ni.
- He enkawlna hian taksa lama harsatna , natna, thawk harsa, leh rilru hahna te a tihziaawm mai bakah naupang leh chhungte rilru lam hahdamna a pe bawk.
- Curative treatment bakah hian palliative care pawh pek theih a ni. Natna eng dinhmunah pawh a tangkai thei hle.
- I fain natna khirh tak a vei a nih chuan, chu mi chungchang chu i doctor nen zalen takin sawipui rawh. Hlau suh, palliative care chungchang zawt rawh. I fa tan leh nangmah tan pawh chakna ropui tak a ni ang.
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