Doctor hmu tura i kal hian PMHNP i tawng tawh mai thei. A nih loh leh mi pakhatin he hming hi a sawi i hre tawh mai thei. PMHNP hi tu nge ni tak tak? An chanvo chu eng nge ni? Hei hi doctor nen a danglam em? I rilruah heng ang zawhna tam tak hi i nei mai thei. Ngaihtuah buai suh, vawiin hian heng zawng zawng hi awlsam takin kan sawi dawn a ni.
He PMHNP hi tu nge ni?
A awlsam zawngin, PMHNP (Psychiatric Mental Health Nurse Practitioner) chu nurse practitioner a ni a, rilru lam hriselna lama service pe turin training bik a dawng a ni A dik tak chuan nursing degree sang tak nei, rilru lam hriselna lam thuk taka zir tawh an ni.
Puitling, naupang leh chhungkaw rilru lam harsatna nei te an pui thin. I ngaihtuahna, hlauhthawnna leh lungkhamnate chu an zir chiang thei a, an hmuchhuak thei a, an enkawl thei bawk. Substance use disorder nei te pawh an pui bawk. A pawimawh ber chu, i rilrua thil awm apiang chu him leh thuruk taka i sawi theihna tur boruak an siam a ni .
PMHNP hian eng nge a tih tak tak?
PMHNP pakhat chanvo hi a zau hle a. Rilru lam harsatna hrang hrang leh ruihhlo hmansualna lama harsatna nei te an pui thin. I chhungkaw doctor (Primary Care Doctor) angin ngaihtuah la, mahse hei hi rilru lam hriselna lama tui tak a ni.
A hnuaia tarlan te hi an enkawl rilru lam hriselna lama harsatna lian ber berte an ni.
| Rilru hriselna dinhmun enkawl |
|---|
| Lungkhamna (anxiety disorder) a awm |
| Lungngaihna |
| Bipolar disorder a ni |
| Ei leh in lama harsatna, entirnan, anorexia leh bulimia te |
| Ngaihtuahna leh thiltih duh loh (Obsessive-compulsive disorder - OCD) . |
| Attention-deficit/hyperactivity disorder (ADHD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a. |
| Panic disorder a ni |
| Dementia natna (dementia) a awm |
| Schizophrenia natna (Schizophrenia) natna a ni |
| Mihring nihna lama harsatna (personality disorders) a awm |
| Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk. |
An thil tih dan chiang zawka hrethiam tur chuan an hnathawh berte han thlir ila.
| PMHNP pakhat hnathawh ber berte | A sawifiahna awlsam tak |
|---|---|
| Diagnosis leh enkawl dan | I rilru lama harsatna chu eng nge ni chiah tih hriatchhuah a, chu mi nena inmil tur enkawlna ruahmanna siam. |
| Damdawi pek dan leh enkawl dan | A tul chuan damdawi an pe thin. Damdawi chu i tan a tha em tih leh a dose a dik em tih an enfiah chhunzawm zel a. |
| Psychotherapy leh Counselling te pawh a awm bawk | Psychotherapy, talk therapy leh cognitive behavioral therapy (CBT) te hian i rilru put hmang thlak danglam turin a pui thei che a ni. Hei hi nangmah chauhin emaw, pawl khatah emaw, chhungte nen emaw i ti thei a ni. |
| Zirna pek | I dinhmun chu nangmah leh i chhungte hnenah awlsam takin kan hrilhfiah ang a, chu chu nunpui dan tur kan zirtir ang che. |
| Doctor dangte nena thawhhona tha neih | Taksa natna dang i neih chuan a enkawltu doctor te nen kan inbia ang a, service tha ber pe turin kan thawk ang. |
| Damdawi lam thil tih dan bik (specialized medical procedure) tih | Tin, enkawlna hmasawn tak tak thenkhat, Transcranial Magnetic Stimulation (TMS) tih te pawh ti turin an zirtir bawk. |
PMHNP hian damdawi a pe thei ang em?
Hei hi thil pawimawh tak a ni. Khawthlang ram tam takah, United States ang bawkin, PMHNP hian anmahni chauha damdawi pek theihna dan anga thuneihna an nei a.
Mahse, Sri Lanka rama kan healthcare system-ah chuan thil awmdan chu a danglam deuh hlek a ni . Kan ramah hian PMHNP ang dinhmun hi a la intan chho zel a. Consultant Psychiatrist nen an thawk dun tlangpui a, a enkawlna leh kaihhruaina hnuaiah .
Chumi awmzia chu damdawi chungchanga thutlukna pawimawh tak takte chu specialist nena inrawnkhawmin an siam fo tihna a ni. Chuvangin PMHNP i hmuh chuan i enkawlna ruahmannaah hian member pawimawh tak an ni a, mahse mawhphurhna tawp ber chu specialist kutah a awm fo thin.
Psychiatrist leh PMHNP hi eng nge an danglamna?
An pahnih chanvo leh mawhphurhna hi a inang hle. An pahnih hian counseling an pe che a, a tul chuan damdawi an pe che a, i rilru hriselna an enkawl bawk. Mahse, heng pahnih hi professional an nih theihna tura zirna kawng chu a danglam vek a ni.
He danglamna hi a hnuaia table atang hian awlsam takin i hrethiam thei ang.
| Pawl then | Rilru lam doctor | PMHNP a ni |
|---|---|---|
| Zirna bulpui | Medical School atanga medical degree (MBBS) an zir chhuak thin a ni. Damdawi lam doctor an ni. | Nursing college atangin nursing degree an la a ni. Nurse an ni. |
| Specialist zirtirna pek a ni | Medical school i zir zawh hnuah kum engemaw zat chu psychiatry lama postgraduate training i dawng leh dawn a ni. | Nursing degree ka zir zawh hnu hian mental health nursing lamah master emaw advanced program emaw ka zir a. |
| Service hman theihna tur | Damdawi lam atanga natna hriatchhuah leh enkawl. | Nursing principle (Nursing Process) ang chuan damlo hriselna zawng zawng (holistic care) hi ngaihven zawk a ni. |
Mahse, heng pahnih hi i mental health team member pawimawh tak tak an ni . Enkawlna tha ber pek che tumin an thawk ho thin.
Take-Home Thuchah a ni
- PMHNP hi advanced practice nurse practitioner a ni a, rilru lam hriselna lama service pe turin special training a dawng a ni.
- Rilru natna te chu an hmuchhuak thei a, an enkawl thei a, counselling leh psychotherapy an pe thei bawk.
- Sri Lanka-ah chuan specialist psychiatrist enkawlna hnuaiah hna an thawk fo thin.
- Psychiatrist leh PMHNP te hi i mental health team-a mi pahnih, i tanpui tura thawk ho an ni.
- Nangmah emaw, i hmangaih tak emawin rilru lam harsatna i tawk a nih chuan tanpuina dil hlau suh. I doctor nen inbia la, a tul chuan PMHNP emaw psychiatrist emaw hnenah refer rawh.
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