Natna khirh tak i tuar em? Palliative Care chungchang hi han sawi ila!

Kan nunah engtik lai pawhin ngaihtuah phak loh khawpa harsa, natna khirh tak tak nen kan khawsa a ngai a ni lawm ni? Chutiang hunah chuan a natna chu taksa lamah chauh ni lovin, rilru pawhin nawrna nasa tak leh lungngaihna nasa tak a nei bawk. Hei hi nangmah chauh ni lo, nangmah, i chhungte enkawltu tan pawh harsatna lian tak a ni. Vawiin hian chutiang huna chakna, thlamuanna leh thlamuanna pe thei che special care service chungchang kan sawi dawn a ni.

‘Palliative Care’ tih hi eng nge ni?

A awlsam zawngin, palliative care hi natna khirh tak emaw, natna khirh tak nei te tan symptom relief, comfort, leh support pe thei enkawlna bik a ni . Nangmah chauh ni lovin, nangmah leh i natnain a tuar zawng zawng enkawltu te pawh a thlawp a ni. A tum ber chu i nunphung tihchangtlun hi a ni.

Mi tam tak chuan hei hi hospice care angin an ngai a, chu chu nun tawp lamah pek a ni. Mahse, a ni lo. Palliative care chu enkawlna i dawn tawh bakah i dawng tur additional support a ni. I duhthusam nena inmil, nangmah ngeiin i enkawlna tum bikte a ngaihtuah a ni. Hospice care ang lo takin, palliative care hian kum eng pawha mi, natna khirh tak eng stage-ah pawh a hlawkpui thei a ni.

'Palliative' tih thumal hi Latin tawng 'palliare' atanga lo chhuak a ni a, a awmzia chu "puan in khuh" tihna a ni. I natna avanga chhiatna laka humhimtu, thlamuanna leh himna dang pe theitu puan angin ngaihtuah rawh. Chu chu palliative care atanga i hmuh support chu a ni.

He palliative care hi tute nge mamawh?

Hei hi i kum, i prognosis, leh curative treatment i dawn leh dawn loh pawh thliar lovin a ni. He enkawlna hi engtik lai pawhin i dawng thei a ni.

Palliative care hi damdawi lam harsatna hrang hrang nei tan a awm a. Chung zinga ṭhenkhat chu:

• A rilru a buai em em a, a rilru a hah em em bawk a.
• Alzheimer natna a ni
• Ngawt
• COVID-19 dinhmunin nghawng na tak a neih
• Lung natna
• HIV leh AIDS vei te
• Kal natna
• Liver natna
• Lung natna chi hrang hrang COPD (Chronic Obstructive Pulmonary Disease) leh Emphysema te a ni
• Multiple Sclerosis (MS) natna a awm thei lo.
• Parkinson natna a ni
• Thai

Palliative care hmuh theih dan tur engte nge ni?

I awmna hmuna resources awm dan azirin hmun hrang hrangah palliative care i dawng thei mai thei:

• Clinic-ah: I chhungkaw doctor i hmuh ang bawkin, clinic-ah palliative care doctor i hmu thei bawk.
• Damdawi in pakhatah chuan:Damdawi ina i awm lai pawhin palliative care doctor-te chuan an rawn tlawh thei che a, i natna emaw, i natna lan chhuahna dang emaw tihziaawmna atan an pui thei che a ni.
• In lamah: Healthcare worker hnen atangin mi pakhatin tanpuina i dawng thei bawk a, nangmah ngeiin i in atang pawhin i dawng thei bawk.
• Assisted living facilities: Nursing home leh assisted living facility tam takah chuan health worker, palliative care pe thei an awm a.

He palliative care hi tuin nge pe?

Palliative care team-ah hian doctor leh specialist dangte an awm a, anni hian i natna lan chhuah dan tur an enkawl thei ang. Natna khirh tak nena lo awm, lungkhamna leh mawhphurhna belhchhahte hmachhawn tûrin an ṭanpui bawk che a ni.

I care team-ah hian:

• Doctor te
• Nurse te an ni
• Nurse practitioner te tan training bik nei te an ni
• Damdawi lam puitu te
• Social worker te an ni
• Thlarau lama thurawn petu/chaplain te, i sakhaw rin dan ang zela thlarau lam tanpuina pe thinte

Palliative care atanga tanpuina chu eng ang nge ni?

Palliative care hian kawng tam takah a pui a, chubakah i damdawi lam enkawlna pawh a pui bawk. Chûng zîngah chuan:

• Symptoms tihziaawmna
• Zirna leh thurawn pekna
• Khawtlang nun puihna
• Thlarau lam tanpuina

Symptoms tihziaawmna

Palliative care hian i taksa, rilru leh rilru lama i hriselna tichhe thei symptoms te chu a ti tha thei a ni. Palliative care team hian direct care an pe thei a, a nih loh leh nitin i dam theihna tura i hman theih dan tur an zirtir thei bawk.

Palliative care hian symptoms te chu a pui thei a, chungte chu:

• Hlauhthawnna
• Ek khal
• Lungngaihna
• Chau
• Chaw ei chakna hloh
• Luhai
• Taksaah natna emaw, nuam lo emaw
• Thâwk a tawi
• Rimtawng
• Mut harsatna

I palliative care team hian hetiang hian symptoms tihziaawmna kawngah an pui thei ang:

• Thâwk lakna exercise te
• Thil hriatna (cognitive exercise) te
• Exercise kaihhruaina
• Damdawi pek chhuah
• Relaxation exercise te pawh a awm
• Mut that dan tur tips

Enkawlna dang i mamawh chuan palliative care provider-te pawhin specialist-te hnenah an refer thei bawk.

Zirna leh Thurawn pekna

I palliative care team chuan a hnuaia mite hi an ti thei ang:

• I damdawi lam dinhmun chu nangmah ngeiin hrilhfiah rawh.
• Eng ang enkawlna nge i duh tih thutlukna siam turin a pui che a ni.
• Nakin lawkah i dinhmun hian engtin nge a nghawng ang che tih hrilh rawh.

I hriat chian poh leh i tana tha tur enkawlna chungchanga thutlukna i siam thei zawk a ni. He team hian i thil hlute, i thil tum leh i duhzawngte chu i doctor dangte hnena hrilh turin a pui bawk che a ni. Tichuan, i duh ang enkawlna i hmu thei ang.

Khawtlang nun puihna

Palliative care specialist-te chuan i natna hian i hnaih berte a nghawng thei tih an hria a, chuvangin nangmah chauh ni lovin, i chhehvela mite pawh an thlawp a ni.

I palliative care team chuan a hnuaia mite hi an ti thei ang:

• Support group leh khawtlang resources te nen inzawm rawh.
• I chhungte inbiakpawhna atan pui la, a nih loh leh chhungkaw counseling atan refer rawh.
• I ṭhiante leh chhungte chu i natna avanga an lungkhamna hmachhawn kawngah ṭanpui rawh.

Kan ṭhenawm, Uncle Nimal-a’n cancer a vei tih a hriat chuan a lungkham leh hrehawmzia hi han ngaihtuah teh. A chhungte pawh an lungngai hle. Doctor ten cancer an enkawl lai chuan Uncle Nimal chu palliative care an tan ta a. A natna enkawl turin an pui a, zanah mut tha turin an pui a, chaw ei pawh an pui bawk. Chu mai ni lovin, care team te chuan a hlauhthawnna leh lungkhamna te tihziaawmna turin an pui a, he hun harsa tak hmachhawn dan tur chungchang a chhungte nen an sawi dun theih nan an pui bawk. Ni reilote chhungin Uncle Nimal-a hmelah chuan nuihzatna a rawn lang a, a chhungte tan chuan a dam chho zel tih an hmuh chuan thlamuanna ropui tak a ni.

Thlarau lam tanpuina

I rinna leh duh dan azirin palliative care-ah hian thlarau lam enkawlna pawh a tel thei bawk. Puithiam member, sakhaw hruaitu, a nih loh leh thlarau lam thurawn petu dang nêna inkhâwm fo hian i natnain i nun a nghawng dân hrethiam tûrin a ṭanpui thei che a ni.

Engtikah nge palliative care hi tan tur?

Mi pakhatin palliative care a dawn hun tur bituk a awm lo. Mi tam tak chuan natna khirh tak an hmuh veleh palliative care an thlang nghal thin. Enkawlna i hmuh hma chuan nakin hun tûr ruahmanna siam tûrin a ṭanpui thei che a ni.

I doctor nen palliative care hi i tan a tha em tih sawipui rawh.

Eng chen nge palliative care pek theih ang?

Palliative care specialist chu a \angkai i tih phawt chuan i hmu thei ang. Pakhat i hmuh theih zat tur hi a bituk a awm lo.

Palliative care hian eng hlawkna nge a neih?

Palliative care hian i nun nghawng tha thei tur care chungchanga thutlukna tha siam turin a tichak che a ni. Healthcare nena inzawm outcome pawh a tichangtlung thei bawk. Research atanga a lan dan chuan palliative care hi:

• Damlo leh enkawltu lungawina tihchangtlun
• Nunphung tihchangtlun
• Lungkhamna leh lungngaihna a tlem zawk
• Dam rei zawk - a then phei chuan

Palliative care hian eng nge a that lohna emaw, ngaihdan dik lo emaw a neih?

Palliative care chhiatna lian ber chu mi tam takin a tum an hrethiam tawk lo a ni. Mi thenkhat chuan hetiang enkawlna hi tan an hreh hle a, a chhan chu an nun tawp dawn hnaih tawhte tan chauh a nih an rin vang a ni.

Mahse palliative care hian i thi dawn tihna erawh a ni lo. An nunphung tibuaitu natna khirh tak nei tan a ni.

Engtin nge palliative care ka hmuh theih ang?

Palliative care dawng tur chuan doctor hnen atanga referral i mamawh ang. A châng chuan, i doctor chuan a rawt mai thei. A nih loh chuan thupui rawn chhuah hlau suh. Palliative care chungchang hriat belh i duh thu sawi la, chutiang tur chuan i fit tha em tih zawt la, eng resources nge awm tih zawt bawk ang che.

Natna khirh tak nena nun hian i rilru, taksa, inlaichinna – leh i nun kawng dang tam tak a nghawng thei a ni. Heng thil phut te hi a nasa thei hle. Palliative care chu natna khirh tak nena lo awm phurrit tam tak tihtlem a ni. Nangmah emaw, i hmangaih tak emaw tana palliative care awm thei chungchang hriat belh i duh chuan i doctor nen inbia ang che. I nun chu a famkima nunpui tûra i mamawh thlamuanna leh ṭanpuina pe thei tûr thilte pawh i hmu thei bawk.

Hriat reng tur pawimawh ber (Take-Home Message) .

Natna khirh tak hmachhawn chu thil awlsam a ni lo tih kan hria. Mahse, nangmah chauh i ni lo. Palliative care hi extra resource a ni a, hei hian nang leh i chhungte chu he hun harsa tak paltlang tur hian a pui thei che a ni. I hrehawmna leh lungawi lohna a tiziaawm thei che a, rilru thlamuanna a pe thei che a, nun hlim zawk i neih theih nan a pui thei bawk che a ni.

Hei hi nun tawp lama hlan mai mai a ni lo tih hre reng ang che. I diagnosis tan tirh atang khan he service hi i dawng thei a ni. Chuvangin, nangmah emaw, i hriat mi emaw chuan hetiang ang tanpuina hi i mamawh nia i hriat chuan i doctor nen inbiakna neih hi hlau suh. Hei hian i nun chu tlem a hahdam zawk leh hrisel zawka siam turin a pui hle ang!

` Palliative Care, Palliative Care, Natna khirh tak, Natna rei tak, Nunphung tha, Symptom Relief, Pain Management