I fa kum 13 mi Well-Child Visit: Hemi chungchang hi kan sawi dawn em?

Tunah hian i fa chu kum sawm leh pathum a ni tawh a ni lawm ni? An naupan lai ang kha a ni lo, tunah chuan naupang lian tak an ni tan ta. Hemi hun chhung hian an taksa chauh ni lovin an rilru pawh a danglam nasa hle. Chuvangin, he kum lama hriselna endik, ‘Well-Child Visit’ tia koh hi a pawimawh hle. Hemi hun chhung hian eng thil nge thleng tih i lo en ang u, engvangin nge a pawimawh em em?

Kum 13 chhung zet Well-Child Visit neih chhung hian eng nge thleng?

Awle, tunah chuan i fa kum sawm leh pathum mi chu doctor emaw nurse emaw hnena i hruai hian eng nge thleng tlangpui tih hi han en ila. Hei hi an hriselna chungchanga ‘service’ tih ang mai a ni a, engkim a tha em tih enfiah ang mai a ni. Thil ngaihtuah tur a awm lo, hei hi naupang thatna tur a ni.

Taksa than dan leh tehna - san zawng leh rih zawng en hi a pawimawh em?

Doctor emaw nurse emaw chuan a tih hmasak ber tur chu naupang rit leh san zawng teh a ni . ‘Aw, in lamah makeup ka ti thei,’ tih i ngaihtuah mai thei, mahse hei hi a pawimawh hle. A chhan chu, heng tehnate hmang hian ‘Body Mass Index’ (BMI) tih value an hmu dawn a ni. A awlsam zawngin, hei hi naupangin a san zawng nena inmil rit tak a neih leh neih loh leh a kum nena inmil rate-a a thang chak em tih enna a ni.

Tichuan, heng tehnate hi ‘Growth Chart’ -ah an ziak lut a ni. Heng record te hi a pawimawh hle. A chhan chu, naupang lo thanglian dan, a kum rualpui naupang dangte nena khaikhin chuan a awm dan chiang taka tilangtu an ni. Ngaihtuah teh, naupang thenkhat chu an thang chak hle a, thenkhat erawh chu an thang chak lo deuh thung. Heng zawng zawng hi he chart-ah hian kan hmu thei a ni. Harsatna a awm chuan hei hmang hian hriat hmasak theih a ni bawk.

Tin, naupang thisen sang tehna a ni bawk. Hei pawh hi test pawimawh tak a ni a, tunlai hian naupang tê tê pawh thisen sang vei an hlauhawm thei a ni. A chang chuan hriatna test pawh tih theih a ni. Heng thilte hi naupan lai a\angin hmuh chhuah ni mah se, he kum inthlak danglamnaah pawh hian enkawl chhunzawm zel a pawimawh hle.

A dawtah chuan medical examination kimchang tak!

A tehna a lak zawh chuan Doctor chuan uluk takin naupang chu a enfiah ang. Hei hi ‘physical exam’ an ti a ni. Hemi chhung hian eng nge check thin?

• Skin check: He kum hi vun a inthlak nasa hun lai a ni . Acne hi a tam zawk. Chuvangin, vun hi uluk takin a danglamna, bawlhhlawh, allergy, etc. a awm leh awm loh enfiah thin a ni.
• Thinlung leh lung ngaihthlak: Stethoscope hmang hian thinlung thawk dan leh thawk dan fimkhur taka ngaihthlak a ni. Hei hian thinlung emaw, lung emaw-ah thil danglam a awm leh awm loh hriat theih nan a pui thei a ni.
• Hnunglam enfiah: Naupang hnungzang hi a dinglam em, a nih loh leh a sir khatah a inher em, chu chu scoliosis (spine-a curve) tihna a ni?Hetiang condition hi kan zawng mek a ni. Hetiang kumah hian naupangte an lo thang chak em avangin heng thilte hi a chang chuan a lo chhuak thei a ni. A hmaa hriatchhuah a nih chuan enkawl a awlsam zawk hle.
• Puitling chhinchhiahna: I hriat angin he kum hi naupangte hian taksa leh rilru lamah pawh inthlak danglamna tam tak an paltlang hun a ni. Chuvangin, doctor chuan uluk takin ‘puberty’ chhinchhiahna , chu chu puitling chhinchhiahnate chu dik tak leh a hun takah a thleng em tih a en thin. Hei hi a pawimawh hle. Hetih lai hian , nu emaw pa emaw, enkawltu emaw tan naupang nen exam room-a awm chu a tha hle . Hei hian naupang chu tlem a chak zawk leh him zawkin a ti bawk. Amaherawhchu, naupangin unau dang a neih chuan pawnah, nghahna pindan chhungah tlem tal neih a tha zawk. Tichuan naupang pawhin zalenna leh mimal nun engemaw zat a nei thei bawk.

Vaccine update ka mamawh em? (Vaccine update mek)

Ni e, hei hi he check-up-a thil pawimawh tak dang a ni. ‘Vaccine’ tih awmzia chu vaccine tihna a ni . Heng vaccine te hian naupang (leh keini zawng zawng) te chu natna khirh tak tak, a chang chuan nunna atana hlauhawm tak tak lakah a veng thei a ni. Chuvangin, i fa kum 13 mi hian a hun taka a vaccine a lak hi a pawimawh hle.

Hetiang kum lama pek thin vaccine thenkhat a awm. Entirnan, HPV vaccine chungchang hi i hre tawh mai thei . Nakin lawkah serh cancer ang chi natna laka vengtu vaccine pawimawh tak a ni a, a bik takin hmeichhe naupang tan a ni. Tin, Tdap booster, measles, whooping cough, leh tetanus ang chi natna laka vengtu chu he hun lai hian pek theih a ni.

Doctor tin hian vaccine an pek dan tur, a nih loh leh ‘vaccine schedule’-ah hian danglamna tlemte an nei thei tih hre reng ang che. Chuvangin he kum ah hian eng vaccine nge pek tur tih leh engtikah nge pek tur tih i doctor hnenah zawt la. Tichuan ngaihtuahna chiang tak i nei thei ang.

Chhungril hlimna zawng – Rilru hriselna

Rilru hriselna hi taksa hriselna ang bawkin a pawimawh , a bik takin hetiang kum naupangte tan hian. Hemi hun chhung hian nawrna leh harsatna chi hrang hrang an hmachhawn thei a ni. School hnathawh, thiante nena buaina, an hmel lan dan ngaihtuah buai, hormone inthlak danglamna... heng zawng zawng hian an mood a nghawng thei a ni.

Chuvangin, doctor chuan rilru lam hriselna dinhmun chhinchhiahnate pawh a zawng ang a, chu chu depression . Hei hi naupang nena inbiakna leh a chang chuan zawhna zawh che hmanga tih a ni. Eng chhinchhiahna nge ni thei ang?

• Thinrim thuai, lungkham leh lungngaihna nei reng.
• Tûn hmaa i hlim ṭhin thilte ngaihvenna hloh. Entîr nân, infiam duhna hloh te, ṭhiante nêna inbiak te, a nih loh leh hobby-a inhmang te.
• Sikul hnathawh a tlahniam nghal vat a, lehkha zir duhna a hloh bawk.
• Mut leh ei leh in danah inthlak danglamna lian tak a awm(Mut tam emaw, vawi khata mut hloh emaw, ei tam emaw, ei duh loh emaw).
• In some extreme cases , mahni intihhlum chungchang sawi emaw, sawi tum emaw. Hetiang thil i hmuh chuan ngaihthah suh la, professional tanpuina zawng nghal rawh.

I fate zingah heng symptoms pakhat emaw pahnih emaw i hmuh chhunzawm chuan doctor nen zalen taka inbiakna neih a pawimawh hle. Tichuan, a ṭûl chuan i fa chu i ṭanpui thei a, kaihhruaina dik tak i pe thei bawk.

Test dang i nei em? (Test dang) 1.1.

Ni e, a châng chuan doctor chuan a duh chuan test dang a ti leh thei bawk. Hengte hi naupang tin tan tih a ni hauh lo va, mamawh leh naupang mimal risk factors a zirin tih a ni.

• Anemia: He natna hi kum eng pawhah a awm thei a, a bik takin hmeichhe naupangin puitlin a nih a, thlasik an neih tan chuan a awm thei. Mipa naupangah pawh a awm thei.
• ‘High Cholesterol’ tih hian thisenah thau a tipung tihna a ni: Tunlai ei leh in (fast food, processed food) leh nunphung inthlak danglamna nen hian hei hian naupang tê tê pawh a nghawng thei a ni. Chhungkaw zinga mi pakhatin a neih chuan a hlauhawmna a sang zawk.
• Tuberculosis (TB): Hei hi Sri Lanka ramah pawh tun thlengin natna a ni. Naupangin symptoms a neih chuan khuh chhunzawm zel leh a rihna tlahniam te chu hei pawh hi enfiah thin a ni.
• Sexually Transmitted Diseases (STDs): Hei hi thupui sensitive tak a ni a, mahse i fate tana tha ber tur a nih chuan test neih a pawimawh hle. A bik takin i fa chu mipat hmeichhiatna lama a inhmang a nih chuan (heti kum ah hian a rinawm loh hle nachungin, ngaihthah tur a ni lo). Hemi chungchangah hian doctor nen zalen taka inbiakna neih a pawimawh.

Heng test zawng zawng hi naupang hriselna thlalak kimchang tak hmuh theihna tura tih a ni. Harsatna a awm chuan hriat hmasak a pawimawh a, enkawl tan a pawimawh .

Nu leh pa angin eng nge i tih theih?

He health checkup hi naute tan pawh a pawimawh a, nangmah tan pawh a pawimawh hle. Chuvangin, nu leh pa i nih angin he thil atan hian i thawhhlawk hle bawk.

• I fa chu hriattir lawk rawh: I fa hnenah, "Naktuk hian doctor kan hmu dawn a ni. I san zawng, i rih zawng an enfiah ang a, i taksa pawh an enfiah ang. Thil ngaihtuah tur a awm lo. Zawh tur i neih chuan i zawt thei ang," tiin hrilh hmasa phawt ang che. Chutiang chuan chumi atan chuan rilru lamah an inbuatsaih thei a ni.
• Zawhna list siam rawh: I fate hriselna, hmasawnna, nungchang, ei leh in leh mut chungchangah zawhna i neih chuan doctor hnenah zawt rawh. Engmah i theihnghilh loh nan list i siam chuan a tha zawk. I ngaihtuah theih apiang i zawt thei a, ‘Ka fanu hi a ei tha lo,’ ‘Ka fapa hi zanah a mu tha lo a, a phone-ah a awm reng a ni’ tih ang chi te.
• I fa pawh zawhna zawt turin fuih rawh:Hetiang kum naupangte hian an taksa, an hriselna leh inthlak danglamna chungchangah zawhna an nei thei. Doctor hnenah an chanchin zawt turin zirtir rawh. "Doctor, tunlai hian ka chau hle a, engvangin nge chutiang chu?"
• Supportive rawh: Test neih chhung hian i fa bulah awm rawh. Hlauhna emaw, hlauthawng emaw an neih chuan an kianga awm che hi an tan chakna ropui tak a ni.
• Mimal chanchin ngaihtuah rawh: Doctor chuan i fate chu amah chauhvin biak a duh fo thei a, a bîk takin rilru lam hrisêlna leh mipat hmeichhiatna lam hrisêlna ang chi thupui pawimawh tak takte chungchângah. Chutiang hunah chuan i fa chu chu hun remchâng chu pe rawh. Chu chuan i fate chu zalen tak leh hlau lova an harsatnate a sawi theih phah ang.

Engvangin nge he kum 13 chhung check-up hi a pawimawh em em?

Ṭhenkhat chuan, ‘Kan fa hi a dam ṭha a, natna a awm lo, chuti a nih chuan engvangin nge he check-up hi?’ tiin an ngaihtuah mai thei. Mahse hei hi a pawimawh hle. A chhan i lo en ang u.

• A lan chhuah hmasak dan hriat theih a ni: Natna thenkhat, a tir lamah chuan natna lian tham tak tak lang lo an awm. Mahse hetiang test-ah hian hriat theih an ni. Tichuan , enkawl tan hma theih a ni a, natna a zual zel tur chu tihtawp theih a ni.
• Hriselna atana kaihhruaina: He kum hi naupangte’n an nun atana thil pawimawh tak tak an siam tan hun a ni. Doctor hnen atangin ei leh in, exercise, leh mut chungchangah te thurawn tha tak i dawng thei a ni. Tin, hei hi thil tha lo, zuk leh hmuam, ruihhlo, leh sex him lo atanga inthiarfihlim a pawimawhzia sawina hun tha tak a ni.
• Doctor nen inlaichinna tha tak siam rawh: I fa chu a lo puitlin chhoh zel chuan an hriselna chungchangah an inbiakna tur doctor rintlak tak neih a pawimawh hle. Hetiang check-up hian chu inzawmna chu a siam \ha \hin. Naupang pawhin, ‘Hey, harsatna ka neih chuan zawh tur ka nei’ tih hi a hrethiam bawk.
• Rilru hriselna tichaktu: Sawi tawh ang khan rilru hahna hi hetiang kum hian a lo thleng thei a ni. Hemi chungchang hi doctor nena sawi dun chu naupang leh nang tan pawh thlamuanna nasa tak a ni thei. A \ul chuan kaihhruaina \ha tak i dawng thei bawk.

A awlsam zawngin sawi ila, hei hi naupang hmalam hun hrisel leh hlim taka a awm theihna tura lungphum nghet tak phum ang a ni.

Chuvangin, in lama hruai tur hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, tunah hian kan sawi tawh atang khan i hriat reng tur thenkhat chu tawi te tein han thlir leh ila.

• Kum 13 chhung zet Well-Child Visit hi lo thlir ve suh. Hei hi naupang taksa leh rilru lama hmasawnna atan te, nakin lawka hriselna atan te a pawimawh hle.
• He test neih chhung hian a san zawng, a rih zawng, BMI, leh thisen sang te te a teh thin. Taksa enfiahna kimchang pawh tih a ni bawk.
• I doctor nen vaccine chungchang sawipui la, a hun takah la rawh.
• I fa rilru hriselna hi ngaihven reng ang che. Hrilhfiahna emaw, ngaihtuahna emaw i hmuh chuan i doctor hnenah hrilh rawh .
• A tul chuan, .Test hi anemia leh cholesterol ang chi thil te pawh tih theih a ni .
• As a parent , i chanvo pawh a lian hle. Hemi atan hian i fa buatsaih theihnghilh suh la, doctor hnenah zawhna zawt la, i fa chu thlawp rawh.
• He check-up hian natnate chu a hmain a hriat theih nan a pui che a, nunphung hrisel tak tak i neih theih nan leh i doctor nen inlaichinna tha leh rintlak tak siam turin a pui che a ni .

I fa hriselna hi i neih hlu ber a ni tih hre reng ang che. Hetiang test hmang hian chu hriselna chu i nemnghet lehzual thei a, i humhim thei bawk. Zawhna i neih chuan Doctor biak pawh hlau lo la, hreh suh.

` Naupang hriselna endik, Kum 13 chhung enfiah, Well-Child Visit, BMI, Vaccine pek, Rilru hriselna, Puberty