I doctor-in metastatic breast cancer i nei tih a hrilh che chuan i rilru put hmang chu thumal hmanga sawi a harsa tih ka hria. Hei hi zinkawng harsa tak a ni. Mahse he zinkawngah hian nangmah chauh i ni lo. Vawiin hian nang leh i hmangaih tak takte chakna pe thei tur damdawi lam enkawlna chi khat bik kan sawi dawn a ni. " Palliative care" an ti a ni.
Palliative Care hi eng nge ni tak tak?
Mi tam tak chuan palliative care hi nun tawp lamah chauh pek thin thil niin an ngai. Mahse chu chu ngaihdan dik lo tak a ni. A awlsam zawngin, palliative care hi natna khirh tak avanga natna, i rilru hahna leh lungkhamna te thunun a, i nunphung tichangtlungtu enkawlna chi khat a ni.
Cancer enkawl mek i ni tih han ngaihtuah teh, indona lian tak ang mai a ni. He Palliative Care team hi he indona i beih lai hian i natna, hahna, rilru hahna, ei duh lohna, leh stress i tawh thinte i hmachhawn theih nan leh i chakna tur atan i hnena lo kal thin support group an ni.
A pawimawh ber chu i curative treatment te nen hian he palliative care hi i dawng thei bawk. Heng pahnih hi an kal dun hunah chuan i enkawlna hmachhawn turin chakna nasa tak i nei ang.
Palliative care hian eng hlawkna nge a neih?
Cancer i hmuhchhuah hmaa palliative care tan hian hlawkna tam tak a nei thei a ni.
- I hriselna a tipung: He team hian i taksa natna chauh ni lovin, i rilru hahna, khawtlang nun leh thlarau lam mamawh te pawh an ngaihtuah a ni. Hei hian cancer enkawlna kawngah nasa zawkin i hmachhawn thei ang.
- Stress management: Natna khirh tak nena kan nun hian rilru hahna, lungkhamna leh hlauhna te hi a awm fo thin. Palliative care team hian i rilru hriselna pawh an ngaihsak a, i mamawh counseling leh support an pe bawk.
- I chhungte tan pawh chakna ropui tak a ni: He hun harsa tak karah hian i chhungte leh nangmah enkawltute chu an buai hle. Palliative care hian an phurrit a tiziaawm bawk. An harsatnate a ngaithla thin. I chhungte an hahdam lai hian nang tan pawh thlamuanna ropui tak a ni a ni lawm ni?
- Nun rei zawng pawhsei theih a ni:Zirna pakhatah chuan palliative care dawngtu te chu standard care chauh dawngtu te aiin an dam rei zawk tih hmuhchhuah a ni. Hei hi a chhan chu natna leh side effects te control a nih chuan taksain natna do turin chakna a nei tam zawk a ni. I doctor chuan enkawlna dang, hormonal therapy, chemotherapy, leh targeted therapy te nen palliative care pein dam rei zawk turin a pui thei che a ni.
Palliative care chi hrang hrang a awm em?
Ni e, he enkawlna hi pek dan tlangpui pahnih a awm a, chu chu i mamawh dan azirin a ni.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| Oncologist hmanga tih dan | I cancer enkawltu i oncologist pawhin palliative care a pe bawk. Hetah hian i doctor leh i inlaichinna hi a nghet hle a ni. |
| Concurrent model a ni | I oncologist leh palliative care specialist te chuan team angin an enkawl ang che. Enkawlna tha ber pe turin an thawk ho ang. |
Engtin nge doctor-te hian he enkawlna hi an pek?
Hei hi mi pakhat hna a ni lo va, team effort a ni . I hosting team-ah hian:
- Oncologist a ni
- Palliative Care lama mithiam tak a ni
- I chhungkaw doctor (Primary Care Doctor) .
- Nurse te an ni
- Social Worker te an ni
- Sakhaw hruaitu i duh chuan.
Enkawlna an tan hmain he team hian nang leh i chhungte uluk takin an zirchiang ang.
1. Damlote endikna
Team hian an biak ang che a, i rinna an nei ang. I dinhmun, i natna lan chhuah dan, i taksa hnathawh dan (kea kal theihna, thusawi theihna, nitin hna thawh theihna), tuna i enkawlna te, leh nakin lawka harsatna awm thei te hriatthiamna tha tak an nei ang.
2. Chhungkaw endikna
I chhungte’n an enkawl theihna leh an ngaihsak duhna kan thlir a. An hriselna lama harsatna leh rilru lam harsatna te pawh kan en thin. A chhan chu nangmah enkawl tur chuan anni pawh an dam a ngai a ni.
Nang leh i chhungte leh medical team te tan inkhawm a, heng zawng zawng chungchang sawihona tur chhungkaw inkhawmpui neih hi a pawimawh hle.
I team leh chhungte nen i thil tum te, i hlauhthawnna te, leh i mamawh te chu zalen taka inbiakna neih a pawimawh. Eng thu nge mi dangte hnena i sawi duh leh eng nge i thup duh tih pawh i rel thei bawk.
Hun a kal zel a, i dinhmun a inthlak danglam chuan i enkawlna ruahmanna pawh a danglam thei a ni. A tirah chuan i tum ber chu dam rei zawk hi a ni mai thei. Mahse i natna a zual zel chuan i ngaih pawimawh ber chu nuam leh natna nei lo nih hi a ni mai thei. Hrilhfiahna apiangah team chuan an inbia ang che a, ruahmanna thar an siam ang.
Palliative Care leh Hospice Care hi eng nge an danglamna?
Mi tam tak chuan heng pahnih hi an ti buai hle. Mahse, an pahnih inkarah hian danglamna chiang tak a awm. He dawhkan hi han en teh.
| Enkawlna chi hrang hrang | A danglamna ber |
|---|---|
| Palliative Care hmanga enkawl a ni | Treatment chu engtik lai pawhin diagnosis hnuah tan theih a ni , curative treatments nen. A tum ber chu symptoms control leh quality of life tihchangtlun a ni. |
| Hospice-a enkawlna (Hospice Care) a ni | A tlangpuiin nun tawp lamah (e.g. dam theihna chance thla 6 aia tlem a nih chuan) leh curative treatment tihtawp a nih hunah pek thin a ni. Hetah hian damlo chu a rilru hahdam leh natna nei lo tura siam hi a ni. |
Khawiah nge palliative care service ka hmuh theih ang?
Heng service te hi Sri Lanka rama damdawi in thenkhat, clinic leh private institution thenkhatah te hman theih a ni.
Thil tha ber chu, hei hi i ngaihven a nih chuan, i oncologist emaw, i chhungkaw doctor emaw nen inbiakna neih hmasak hi a ni. I dinhmun atana hmun tha ber thlengin an refer thei che a ni. Doctor nen i mamawh chungchang zalen taka sawi chhuah hlau suh. I dikna a ni.
Take-Home Thuchah a ni
- Palliative care hi nun tawp lama pek mai mai a ni lo. Cancer enkawlna i neih chhunga i nun nuam zawk leh nunphung tihchangtlunna tura enkawlna pek a ni.
- He enkawlna hian nangmah chauh ni lovin, nangmah enkawltu i chhungte tan pawh rilru lama hahdamna nasa tak a thlen ang.
- He enkawlna hi cancer tihdamna atana enkawlna (chemotherapy ang chi) rualin pek theih a ni.
- Hei hi doctor, nurse leh social worker te team care a ni.
- Palliative care chungchang hriat belh i duh chuan i doctor hnenah zawh hreh suh.











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