Damdawi chauh hi i hriselna tichhe theitu a ni em? (Hriselna atana khawtlang nun tidanglamtu) .

I hriselna, chu chu i natna hi virus, bacteria, ei leh in leh damdawi chauhvin a nghawng niin i ngai em? Dik tak chuan chu aia hla tak, kan nitin nunah pawh kan ngaihtuah ngai loh, kan hriselna nghawng nghal thei thil tam tak a awm. Vawiin hian chutiang thil, i hriselna tichiangtu mahse medical science-a tel lo thilte kan sawi dawn a ni.

Hriselna atana khawtlang nun tichhe thei thilte chu engte nge ni? (Hriselna chungchanga khawtlang nun tidanglamtu - SDOH)

A awlsam zawngin sawi ila, Social Determinants of Health (SDOH) hi mimal, khawtlang leh boruak lama thil awmte, i hriselna leh hriselna tichhe theitu a ni. Hengte hi i sum lakluh te, i awmna hmun te, chu hmuna thil awm dan te ang chi te a ni. Hengte hi i nunah thil awm, i doctor nena inbiakna neih duh loh, medical science nena inzawm lo anga lang thilte an ni.

Hna nghet tak, hlawh tha tak, in nuam tak, leh i damloh chuan i kalna tur damdawi in tha tak i nei tih han ngaihtuah teh. Chutiang mi chuan chaw tha tak a nei a, a hun takah damdawi a ei a, a tul chuan Doctor hmu tura kalna tur motor a nei tam zawk.

Tunah chuan mi dang ngaihtuah teh. Chu mi chuan hna nghet tak a nei lo va, nitin hlawh hmangin a khawsa a ni. In atanga khawpui leh damdawi in thlengin darkar hnih danah bus a lo kal thin. An khaw dawrah thlai leh thei pawh an lei thei lo. Hetiang mi tan hian a damloh hunah chaw tha tak tak ei a, a hun taka Doctor hmuh chu engtiang chiahin nge a harsat?

Research atanga a lan dan chuan heng social determinants of health (SDOH) te hi i hriselna nen chauh a inzawm lo va, a takin i hriselna a tichiang thei a ni . Chu chu, natna ṭhenkhat i vei theihna tur te, damdawi lam enkawlna chi hrang hrang i dawn theih dan te, leh ni tin i rilru a ṭhat leh ṭhat lohzia te an hre thei tihna a ni.

Heng khawtlang thilte hi chi hrang hrang 5-ah then theih a ni:

Hengte hi hrethiam zawk tur chuan chi pangaah then ila. He division hi US Department of Health and Human Services-in a ti a ni. Mahse heng thilte hi Sri Lanka-ah pawh kan tan chuan a inzawm ve ve a ni.

A pawimawh ber chu heng hmun pangate hi a inzawm tlat a ni. Pakhata buaina chuan a dang zawng zawng a nghawng vek a ni. Entirnan, retheihna (economic stability) hian ei tur tha lei te, veng tha taka awm te, i fate sikul tha tak pan tir te a tikhawlo thei a ni. Chutiang bawkin i awmna hmun (environment)-ah bus service a awm loh chuan hnathawhna hmun pan emaw, doctor (health care) hmuh emaw chu i tan a harsa thei hle. Heng daltu pakhat pawh hian i nun leh hriselna zawng zawng a nghawng thei a ni.

Heng thilte hian i nun a nghawng em? Rei vak lo hi han ngaihtuah teh ang.

Tunah chuan, "Hei hian engtin nge min nghawng?" Heng zawhnate hi inzawt rawh. Heng zawhnate chhanna hi "a ni" a nih chuan a ropui hle. Mahse, a chhanna chu "ni lo" tih zawhnate hi han ngaihtuah teh. Heng thilte hi i rintlak tak nen, emaw, i doctor nen emaw sawi dun a tha mai thei.

1. Economic dinhmun nghet tak

• Chaw tha (thlai, thei, sa, sangha) lei nan sum i nei tawk em?
• Doctor hmu tura kal a, natna pakhat damdawi lei tur pawisa i nei em?
• In luah man, electric bill, tui bill te chu a hun takah i pe thei em?
• I hna hi a him niin i hria em? Naktuk hian i hloh mai ang tih i hlau lo em ni?
• Paid leave i hmu em, sick leave i hmu em?

2. Zirna

(Heng zawhnate hi i fate ngaihtuah chungin chhang rawh. A nih loh leh i hun kal tawh kha ngaihtuah rawh.)

• I fa hian sikul zirna tha tak dawng turin hun remchang a nei em?
• Naupangin zirlai lama harsatna a neih chuan, sikulah emaw, hmun dangah emaw ṭanpui theihna tur resources a awm em?
• I fate zirna sang zawk (university emaw vocational training) pek theihna tur sum leh pai i nei em?

3. Hriselna lam enkawlna

• I damloh laia i hmuh fo thin doctor i rintlak i nei em?
• Doctor thusawi chu chiang takin i hrethiam thei em?
• Hlau lova i doctor zawhna zawt turin i zalen em?
• Mipat hmeichhiatna hmanga kai theih natna (STI) emaw cancer emaw venna atana screening neihna tur facility i nei em?
• Doctor hmuh theihna tur lirthei (bus, three-wheeler, mahni lirthei) i nei em?

4. Vengchhung leh built environment

• A bul hnaiah hian dawr emaw, kar tin bazar emaw a awm em, chutah chuan thlai leh thei tha tak tak lei theihna tur a awm em?
• In lamah leh i khuaah emaw khawpuiah emaw him takin i inhria em?
• I in chhunga tui lo lut chu a thianghlim tih i chiang em?
• I awmna hmunah hian kea kalna tur leh kawngpui sirah tha tak tak a awm em?
• Kawngpui thawm a ri nasa lutuk a, zanah mut hahdam theih loh khawpin a ri em?
• I in chhungah hian lead ang chi thil tha lo a awm lo tih i chiang em? (Paint hlui zawkah chuan lead a awm thei).

5. Khawtlang leh khawtlang nunphung

• Harsatna i neih hunah i rilru put hmang sawipui tur leh sawipui tur ṭhian ṭha emaw, chhungte ṭha emaw i nei em?
• Ṭhiante emaw, chhungte emaw, ṭanpuitu leh fuihtu che i nei em?
• I damloh lai hian chaw siam tura puitu tur, damdawi rawn ken tur che, etc. a awm em?
• I hnathawhna hmunah leh i ṭhenawmte zingah pawm leh duhsak hlawh i ni em?
• Mahni chauh ni lovin midang nena inzawmna nei zawkin i inhria fo em?

Engvangin nge heng khawtlang thilte hi a pawimawh em em?

Heng thil (SDOH) te hian natna chi hrang hrang i vei theihna a tipung emaw, a tihniam emaw theih avangin a pawimawh hle. I dam chhung pawh an nghawng thei a ni. Hei hi kawng pawimawh pahnihin a thleng a, chungte chu: kan genes hnathawh dan a nghawng a, nitin thutlukna kan siamte a nghawng a ni.

1. SDOH leh i genes te

Kan nu leh pate hnen atanga kan rochun genes hian natna kan vei theihna tur a nghawng a ni. Entirnan, mi pakhatin hnute cancer nena inzawm ``BRCA1`` emaw ``BRCA2`` emaw ang chi genetic mutation a rochun chuan chu mi chu cancer vei theihna a sang zawk a ni.

Mahse thawnthu hi chutiang chuan a tawp lo. Science field thar epigenetics an tih chuan kan chenna boruak, kan nunphung hian kan genes hnathawh dan a tidanglam tih a hmuchhuak ta a ni. A awlsam zawngin, naupan laia i seilian dan, i thawk chhuah boruak quality leh a dangte ang chi thilte hian gene thenkhat chu ‘on’ a ti thei a, thenkhat chu ‘off’ a ti thei bawk.

2. SDOH leh i thutlukna siamte

Genes bakah hian kan duhthlanna hian kan hriselna a nghawng bawk. Entîr nân, i chhûngte hian thinlung natna an nei tawh tih i hriat chuan, chaw thau tak tak i ei tlem thei a, exercise i tih tlem thei a, i thisen sang pawh i enfiah fo thei bawk. Heng duhthlannate hian natna a lo awm loh nan emaw, enkawl hmasak tur emaw a pui thei che a ni.

Mahse, chu thu tlûkna chu nangmah chauhin i siam thei tak tak em? A tam zawkah chuan i ti thei lo. Chu thutluknate tihhlawhtlinna kawngah chuan daltu i nei thei a ni. Doctor hmuhna tur lirthei neih loh, ei tur tha tak tak lei nana sum neih loh ang chi thil. Mahni chakna chauhin heng thilte hi i ti thei lo.

Hemi chungchang hi doctor hnena hrilh a pawimawhzia

Doctor hmu tura i kal hian a chang chuan form fill up turin an ti che a ni lawm ni? I in chhung chanchin kimchang, i ei leh in, i rilru hriselna, i hnathawh chungchang a zawt mai thei. Heng thilte hi engmah lovah an dil ngai lo. Khawtlang leh boruak lama harsatna i tawhte hrethiam turin an ngen a, chutiang chuan an puih theih zawk che a ni.

Heng thilte hi i doctor nen inhawng taka i sawipui poh leh a puih theihna a sang zawk ang. I harsatna chinfelna tur a pe thei che emaw, khawtlang thil dang, tanpui thei tur che a kawhhmuh thei che emaw pawh a ni thei.

Entirnan, stress i neih chuan hnathawhna hmuna harsatna i neih vang pawh a ni thei. Chu chu doctor chuan a hriat veleh damdawi a pek bakah hian counseling atan a refer thei che a ni.

Heng khawtlang thilte hian i pian ni atang khan i nun a nghawng nasa hle tih hre reng ang che. Mahse an inang reng reng lo. Vawiina economic harsatna i neih hi naktuk hian a bo mai thei. Tuna i chenna boruak hi naktuk hian a danglam mai thei. Chuvangin tuna i hmachhawn tur daltu te hi a awm reng lo.