Tunah hian i fa hi kum 18 a ni tawh em? He damdawi lam enfiahna (Well-Child Visit: Kum 18) chungchang hi i zir chiang ang u!

Kum 18 hi nunah thil pawimawh tak a ni a, a ni lawm ni? Sikul nun chanve hnuhnung ber a ni a, zirna sang zawk emaw hna emaw dinna tur lungphum phum hun a ni mai thei. Chuvangin he kum ah hian naupang taksa leh rilru hriselna hi kan ngaihtuah bik a ngai a ni. Chuvang chuan kum 18-a medical examination (Well-Child Visit) neih hi a pawimawh hle a ni. Hemi hun chhung hian eng thil nge thleng, kan hriat tur eng nge ni?

He doctor appointment chhung hian eng nge thleng thin?

He tlawh chhung hian i fa enfiahtu doctor emaw nurse emaw chuan a hnuaia mite hi a ti ngei ang:

1. I fa rih zawng leh san zawng teh a, body mass index (BMI) chhut a, a chhiar dan te chu growth chart-ah plot a ni. Hei hian i fa chu a thang tha em tih hriat nan a pui che a ni.

2. Thisen sang endik a ni ang . Hearing test pawh tih theih a ni.

3. Depression symptoms a awm leh awm loh enfiah nan screening test neih a ni ang . Hetiang kum hian rilru lam hriselna enkawl hi a pawimawh hle. A chhan chu, exam leh hmalam hun tur ruahmannaah pressure tlem tal hriat hi thil pangngai ni mahse, depression-ah a kal zel em tih en a pawimawh.

4. Tichuan, doctor chuan nang leh i fate zawhna a zawt ang a, harsatna i neihte a sawipui ang a, a hnuaia mite hi thurawn a pe ang che.

Ei tur chungchang i sawi ang u!

Hetiang kum naupang naupang hian ni khatah chaw chi thum a ei tur a ni. Heng chaw ei turte hian protein tha lo (nga, vawk, artui, peas, leh bean ang chi), thei leh thlai chi 5 tal, buh chi (brown rice, brown rice, oats, leh barley ang chi), leh bawnghnute (or soy milk ang chi calcium dah tel) vawi 3 tal a tel tur a ni. Fast food thau, chi, sugar, leh sugary drinks tamna chu a theih ang anga tihtlem tur a ni. Ei leh in tha tak hi nun hrisel neihna atana lungphum tha tak a ni.

Engtin nge Mut chu a awm?

Hetiang kum naupang tê tê hian ni khatah darkar 7-9 vel mut ṭhat a mamawh a ni. Mut tam loh chuan i fate tan ngaihtuahna a tiharsa thei a, sikul hnathawh emaw, hnathawh emaw a tibuai thei bawk. Exam zir tura zankhuaa mut hi hun rei tak atan a tha lo. Mut hmaa rilru hahdam tak – lehkhabu chhiar ang chi – leh mut hma darkar khat tal smartphone leh computer ang chi electronic device dah bo hian mut a tichak thei a ni.

Exercise neihna hun siam

Kar khatah minute 150 tal taksa tihchakna tlem (brisk walking emaw cycle khalh ang chi) emaw, minute 75 tal chak taka tih emaw a ni.(Tlan, tui chawi, infiamna khelh ang chi) Thil tih tur chuan tum i siam a ngai a ni. Active life nun hi i taksa leh rilru hriselna atan a tha hle. Thiante nena infiamna khelh pawh hi a tha hle.

Hmasawnna leh Hmasawnna chu kum 18-ah a awm

Kum 18 a tlin chuan tleirawl hian natna lan chhuahna a lantir fo thin a, chungte chu:

• Mahni inhriatna leh hlutna an nei chhuak thin. An nihna (identity) an siam \hin.
• Mimal inlaichinna thuk tak hi peer group aiin ngaih pawimawh zawk a ni.
• An nu leh pate lakah zawi zawiin mahni inrintawkna an nei chho zel a , mahni thu tlûkna siam an tum ta a ni.
• Buaina chinfel nan abstract takin i ngaihtuah tan a, chu chu hmuh theih loh thil leh ngaihtuahna buaithlak tak takte i hrethiam thei tihna a ni.
• Nakin hun atana ruahmanna rei tak siam. Zirna sang zawk leh eizawnna ang chi thil ngaihtuah.

5. Taksa Exam

Chumi hnuah doctor chuan naute chu a enfiah ang. Vun an en ang a, thinlung leh lung lam an ngaithla ang. Hmeichhe naupang a nih chuan a tul chuan gynecologist hnenah an refer thei che a ni. Mipa naupang a nih chuan doctor chuan a testicles chu a enfiah ang a, lumps, hernias, emaw varicoceles emaw a awm leh awm loh a enfiah ang . Doctor chuan naute chu heng test te hi a hrilh lawk ang a, a rilru hah lohna tur zawngin a ti ngei ang.

6. Vaccine hman dan tur update

Vaccine hi update a ni. Natna khirh tak laka inven nan vaccine lak hi a pawimawh hle. Chuvang chuan a hun taka hmuh a pawimawh. Medical center hrang hrangah vaccine schedule hi a inang lo deuh thei a, chuvangin i doctor nen inbia la, chu chu hre rawh.

7. A tul chuan thisen test

A tul chuan doctor chuan test dang neih belh turin thu a pe thei bawk. Entirnan, thisen test emaw, test dang \ha tak tak emaw chu thisen tlakchhamna, cholesterol sang, TB, leh mipat hmeichhiatna hmanga kai theih natna (STD) te ang chi dinhmun enfiah nan tih theih a ni.

Heng thilte hi checkup leh tur thlengin kan enkawl tur em ni?

Okay, tunah chuan kan tih tur leh i fa naupang hriselna leh himna atana kan ngaihtuah tur thilte chu medical checkup lo awm tur (kum 19-ah pawh a ni mai thei) thlengin kan en ang.

Engtin nge i in enkawl ang? (Mahni Inenkawlna leh Mimal Hmasawnna lam ngaihtuah)

I fa naupangte chu heng thilte ti turin fuih la, thlawp rawh:

• Nakin hun atan ruahmanna siam rawh. Hei hian zirna sang zawk emaw, hna emaw pawh a huam thei. Nakin lawkah eng nge i tih duh, eng field nge i zawm duh tih ngaihtuah la. Chumi chungchang chu i fa hnenah sawipui rawh.
• I duhzawng leh i ngaihven zawngte chu zawm zel rawh. Art, music, infiamna, a nih loh leh khawtlang rawngbawlna programme pawh a ni thei. Chûngte chuan hlimna, hahdamna a thlen ang che a, thiamna thar i neih theih nân a ṭanpui ang che.
• School hnathawh ang bawkin hna i neih chuan mawhphurhna la rawh. I hna dik tak leh a hun taka thawh chuan nakin hun atan tih dan tha a siam ang.
• I rilru a buai a, ṭanpuina i mamawh hunah, chhûngte, hrisêlna lama mithiam, a nih loh leh puitling rintlak dang hnêna ṭanpuina dîl rawh. Chak lohna a ni lo, chakna a ni. Harsatna chu nangmah chauhin i hmachhawn a ngai lo.
• Stress hmachhawn dan hrisel tak tak zir rawh. Hei hi exercise hmanga tih theih a ni a, ngaihtuahna sengin, music ngaihthlak hmangin, a nih loh leh ṭhiante leh chhungte nena inbiakna hmangin a ti thei a ni. Tunlai hian hei hi a pawimawh zual hle a, exam te, hna thar te, hmalam hun atana nawrna te nen.
• Depression symptoms te hi hre reng ang che. Chûng zîngah chuan thinrimna, lungngaihna, i thil hlimawm tak takte ngaihvenna hloh, mut dân inthlâk danglam (mut tam lutuk emaw, mut loh emaw), ei duhna danglam, zirna lama hlawhtlinna ṭha lo, mahni inngaihtlâwmna, leh nun chungchânga beiseina nei lo anga inhriatna te a tel. A tul chuan professional tanpuina zawng rawh. Chumi chungchang chu i doctor nen sawiho rawh.
• I la nei lo a nih chuan puitling lam thiam doctor-ah inthlak rawh. Tunah chuan i fa chu naupang upa zawk a ni tawh a, chuvangin an healthcare mamawh chu a danglam thei a ni.
• Ni khatah vawi hnih i ha chu fluoride toothpaste hmangin silfai la, i ha inkarah floss hmang bawk ang che. Kum khatah vawi hnih ha enkawltu hnenah check-up neihpui thin ang che.

Hriselna chungchang hi theihnghilh suh! (Hriselna hmasa ber - Engtik lai pawhin!)

I fa naupangte hnenah pawh heng thilte hi an ngaihtuah ve tur a ni tih hrilhfiah rawh:

• Lirthei i chuan dawnin seat belt vuah fo ang che. Mahni himna tur a ni.
• Motor khalh laiin i phone hman emaw, text emaw hmang lo la. Hun rei lote chhunga ngaihtuahna tihbuai pawhin accident na tak a thlen thei a ni.
• Mipat hmeichhiatna hmanpui i nih chuan naupai duh loh leh mipat hmeichhiatna hmanga kai theih natna (STD) laka inven nan birth control leh condom dik takin hmang rawh . Hemi chungchang hi nang leh i fa hian zalen takin in sawi dun thei tur a ni.
• Inzawmna eng pawh, mipat hmeichhiatna lama tihduhdahna, zah lohna, emaw, mipat hmeichhiatna lama nawr luihna emaw chu kalsan rawh. Mahni hlimna leh himna hi a pawimawh ber. Inngaizawng i nih chuan an rintlak mi pakhat nena sawi dun turin fuih rawh.
• Pawn chhuah hma minute 15 tal SPF 30 (Sun Protection Factor 30) aia sang sunscreen hmang thin ang che.Dil. Kan ramah hian ni hi a khauh em em a, chuvangin i vun venhim a pawimawh. Darkar hnih danah hnawih leh thin ang che, a bik takin i thawmhnaw hak emaw, tui chhunga i awm emaw chuan hnawih leh thin ang che.
• Tanning bed hmang suh. Vun cancer vei theihna an tipung a ni.
• Meizial zu, vaping, zu in leh ruihhlo hman hi bansan vek rawh. Chûngte chuan taksa leh rilruah chhiatna nasa tak a thlen thei a ni. Tin, i tana pek loh damdawi emaw, mi dang ei tur emaw pawh hmang suh.
• Zu rui chungin lirthei khalh ngai suh. Tin, zu in tawh emaw, ruihhlo hmang tawh emaw khalh lirtheiah chuan chuang ngai suh. Chu ai chuan, driver rintlak (designated driver) nen ruahmanna siam lawk la, a nih loh leh in lam panna kawng him dang (taxi ang chi) hmang rawh.

Inchhunga silai dah loh hi a tha ber fo. I neih chuan unloaded, locked, leh naupangte hmuh theih lohna hmun him takah dah rawh. Ammunition chu a hranin dah tur a ni. Hei hian silai kah avanga accident vanduaithlak tak tak a thlen loh nan a pui thei a ni.

I nunphung chungchânga zawhna i neih chuan, ei tûr i neih ṭhat leh neih loh, chenna hmun him, a nih loh leh health insurance , chu chu i doctor hnênah sawipui rawh. Zak suh. I doctor chuan khawtlang resources-ah a refer thei che a, social worker tanpui theitu nen pawh a inzawm tir thei che a ni.

A tawp berah chuan hriat reng tur pawimawh ber (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian kum 18-a medical examination hi a pawimawh zia chu i hriat chian a ngai a ni.

He kum hi i fain puitling khawvel a luhchilh lai a ni. Chuvang chuan an taksa leh rilru hriselna famkim taka an vawn that theih nana tanpui hi kan mawhphurhna a ni.

Doctor nen zalen takin inbia la, zawhna emaw rinhlelhna emaw i neih chuan zawt rawh. I fate chu chutiang hun remchâng chu pe la, anmahni hrisêlna chungchânga thu tlûkna siam tûrin zirtîr la, mawhphurhna la rawh. Thalai hrisel, hlim leh mahni inrintawkna nei hi kan ram hmalam hun a ni. Chuvangin heng doctor appointment te hi skip suh. Engkim a kal tluang ngei kan beisei!

` Kum 18 chhung damdawi lam endikna, thalai hriselna inkaihhruaina, Well-Child Visit Sinhala, tleirawl hriselna, rilru hriselna lama thurawn, nunphung hrisel, nu leh pa lam thurawn