I hriselna tichhe thei heng khawtlang thilte hi i hria em? (Hriselna atana khawtlang nun tidanglamtu - SDOH)

Kan damloh chuan Doctor hmu turin kan kal vek a. Tichuan kan damlohna leh damdawi lam kan sawi leh thin. Mahse, i sum leh pai lama harsatna te, i chenna boruak te, leh zirna i dawnte hian i hriselna a nghawng nasat zia hi i ngaihtuah ngai em? Chu chu vawiinah hian damdawi lam ni lo thil kan sawi dawn a, mahse kan hriselnaah nghawng lian tak a nei a ni.

Heng social determinants of health (SDOH) te hi engte nge ni?

A awlsam zawngin, hriselna tichhe thei khawtlang nun (social determinants of health) chu i hriselna leh hriselna tichhe thei mimal, khawtlang leh boruak thilte hi a ni. Chung zingah chuan i sum lakluh te, i awmna hmun te, leh i venga thil awm dan te pawh a tel. Dik tak chuan hengte hi i nunah damdawi lam thil ni lo a ni thei. Heng thilte hi natna nena inzawm theih dan tur i hriat loh avangin doctor nen pawh i sawipui lo mai thei.

Mahse, zirchianna chuan heng social determinants of health (SDOH) te hi i hriselna nen chauh a inzawm lo va, a takin i hriselna a tichiang thei tih a tarlang . Chu chu natna thenkhat (risk kan ti thin) i vei theihna chance te, damdawi lam enkawlna i dawn te, nitin i rilru a hahdam dan te an nghawng tihna a ni.

Hetiang hian han ngaihtuah teh, sum lakluh nghet tak, health insurance i neih chuan ei tur tha tak tak lei a awlsam zawk a, health checkup neih fo thin ang che. Car i neih chuan engtiang chiahin nge doctor pan a, damdawi dawr atanga damdawi lak chu a awlsam ang?

Mahse, hlawh nei lova hnathawk, emaw, hmun hla tak, dawr tha leh bus pawh awm lohna hmuna cheng tan chuan thlai leh thei engemaw zat ei tur lei a, a hun taka doctor hmuh chu engtiang chiahin nge a harsat?

Social determinants of health (SDOH) entirnan engte nge ni?

Entirna thenkhat chu hetiang hi a ni:

• I sum lakluhna.
• I zirna level.
• I hnathawh leh a hlawkna - health insurance leh paid vacation ang chi te.
• I chhehvela thil awmte - ei tur tha tak tak hmuhna hmun, vantlang lirthei, leh naupang enkawlna hmun.
• I chhehvela himna i hriat dan.
• Damdawi lam hmunte hi eng chen nge an hlat?
• I thawk boruak leh i in tui dinhmun.
• Chhungte leh thiante nena in inzawmna.

Hengte hi entirnan tlemte chauh a ni. Heng SDOH te hi i awmna hmun, i hnathawhna hmun leh i inhmuhna hmun apiangah an awm vek a ni. Hriatthiam awlsam zawk nan zirchiangtute chuan chi hrang hrang pangaah an then a. U.S. Department of Health and Human Services chhinchhiah dan chuan heng category pangate hi:

1. Economic stability: Sum engzat nge i hlawh tih leh chu sum lakluh chu i chhungte hriselna leh mamawh dangte phuhruk nan a tawk em tih chungchanga buaina.

2. Zirna hman theihna leh quality: Zirna i dawn leh i zirlai mamawh (i thluak hnathawh dan nena inzawm te pawh tel) nena a inmil dan te.

3. A rilru a hah lutuk chuan a rilru a buai em em a.Healthcare access leh quality: Damdawi lam service i dawn leh i taksa leh rilru hriselna mamawh a phuhruk theih dan.

4. Veng leh built environment: I awmna hmun nena inzawm thil - i hriselna leh himna atana puitu facility ang chi thil.

5. Khawtlang leh khawtlang nun: Chhungte, thiante, hnathawhpui, leh khawtlang zinga mi dangte nena in inlaichinna.

Heng zawng zawng hi a inzawm tlat a, a inzawm tlat tih hriat reng a pawimawh. Entirnan, retheihna hian i nun kawng tinreng a nghawng a - i ei leh in atanga i chenna hmun thlengin i hmanraw nuam tak tak thlengin. Naupang tê tê i neih chuan naupang enkawlna man tlawm tak i neih loh chuan hnathawhna hmuna i luh theihna a nghawng thei a ni. Engtiang chiahin nge thil lei tur dawr thleng emaw, vantlang lirthei emaw, kawngpui sirah emaw awm lohna hmuna doctor hmuh chu a harsat?

Phên dangin sawi ila, heng hriselna tichhe thei khawtlang thilte hi a hranpaa awm lo - pakhat emaw pahnih emaw chu daltu ni mah se, chain-a link ang maiin i nun leh hriselna a nghawng thei a ni.

Chûng thilte chuan engtin nge a nghawng che? Rei vak lo hi han ngaihtuah teh ang.

Chuti a nih chuan, heng zawng zawng hian eng nge a hrilh che? Engtin nge eng SDOH nge i nun a nghawng tih i hriat theih ang? A hnuaia zawhnate hi han ngaihtuah teh. Chungte chu a hmaa kan sawi tawh angin SDOH category hrang hranga buatsaih a ni. Heng zawhna zawng zawng hi "yes" tiin i chhang thei tur a ni. "Ni lo" tih i chhanna zawhnate chu chhinchhiah rawh. Chûng thupui chu i ṭhian, counselor, a nih loh leh doctor nêna sawiho i duh mai thei thupui a ni.

1. Economic stability chungchang tlem han ngaihtuah ila?

• Ei leh in tur tha tak tak lei nan sum i nei tawk em?
• Damdawi lam rawngbawlna, doctor hmuh leh damdawi lak te chu i pe thei ang em?
• In luah man pekna tur emaw, in sakna tur emaw pawisa i nei em?
• Bill dang, electric leh tui ang chi te pekna tur sum i nei em?
• I fate enkawl dan man tlawm zawk i hmu thei em?
• I hna hi a nghetin i hria em?
• I hnathawhna hmun atanga health insurance i nei em?
• I hnathawhna hmunah hian paid leave a awm em?
• Hna nei lo i nih chuan hna hmuh theihna tur programme a awm em?
• Career guidance dawn theihna hun i nei em?

2. Zirna lama hmasawnna leh quality chungchangah eng nge i ngaihdan?

Chutiang a nih chuan i fain hun remchang (tunah leh hmalam hun) a neihte ngaihtuah hi a \angkai ber a, mahse nangmah ngei pawhin i zirna lama i tawnhriat tawh emaw, tuna i tawn tawh emaw pawh i ngaihtuah thei bawk.

• I fa hian sikul zirna tha tak a hmu thei ang em?
• I fain sikul a zawh lai chu i mitthla thei em?
• I fate mamawh bik (e.g. zirlai lama harsatna emaw, rilru lama harsatna nei emaw) puihna tur hmun a awm em?
• I fate university emaw vocational training school emaw kal tir tur hian i chhungte hian pawisa an nei em?
• I fa hian sikulah thiante nen inlaichinna tha tak a nei em?

3. Healthcare access leh quality hi engtin nge a awm?

• Health insurance i nei em?
• Damdawi atana insurance hran a awm em?
• Ha enkawlna tur insurance a awm em?
• Family doctor i pan fo thin i nei em?
• I doctor-in a hrilhfiah chu i hrethiam em?
• I doctor nen i rilru put hmang sawipui nuam i ti em?
• Hriselna nena inzawm thu hriatte i hmu thei em, i hrethiam thei em?
• I medical records i la thei ang em?
• Mipat hmeichhiatna hmanga kai theih natna (STI) leh cancer laka invenna screening i nei em?
• I natna enkawlna i mamawh ang i hmu thei em?
• Doctor hmuh dan tur i nei em?

4. I veng leh built environment chungchangah engtin nge i ngaih?

• Grocery store tha tak takah awlsam takin i thleng thei ang em?
• Bazar emaw, thei leh thlai thar lei theihna hmun dangah emaw kal chu i tan a awlsam em?
• Internet i nei em?
• I in chhungah hian him takin i inhria em?
• I chhehvelah hian him takin i inhria em?
• I awmna hmunah hian sidewalk a awm em?
• Cycle khalh theihna tur kawngpui hran a awm em?
• I tap tuiah hian fluoride a awm em? (I ha tan a tha khawp mai)
• I chenna in hi a man tlawm em? (Chu chu i sum lakluh atanga 30% aia tam a sen loh tihna a ni)
• I in chhungah hian lead ang chi thil tha lo tak tak a awm lo em?
• I kawngpui chu i mut theih nan a reh tawk em?
• Kea kal harsatna i neih chuan i awmna building hian chutiang tur chuan facility a nei em (e.g. ramp emaw elevator emaw)?

5. Khawtlang leh khawtlang inlaichinna hi engtin nge a awm?

• Chhungte leh/ emaw ṭhiante thlawptu leh fuihtu che i nei em?
• Biak in, kohhran, tlawmngai pawl, a nih loh leh tlang lawn pawl ang chi khawtlang pawlah i tel ve em?
• I lungngaih lai emaw, harsatna i tawh lai emawa biak tur i nei em?
• Damdawi ina i awm emaw, i surgery emaw atanga i dam leh lai hian i mamawh bulpuiah tanpuitu tur che an awm em?
• I fate emaw, i enkawltu dangte emaw enkawlna tur resources i nei em?
• I hnathawhna hmunah hian lawmawm i ti em?
• I chhehvelah hian lawmawm i ti em?
• Mahni chauh ni lovin midang nena inzawmna nei zawkin i inhria fo em?

Engvangin nge social determinants of health (SDOH) hi a pawimawh?

Heng SDOH chungchangte hi a pawimawh hle.A ti a, a chhan chu natna chi hrang hrang i vei theihna chu an tipung thei a, an ti tlem thei bawk. Chu chuan i dam chhung pawh a nghawng thei a ni. SDOH hian he thiltihtheihna hi an dawng a, a chhan chu i genes hnathawh dan leh nitin thutlukna i siam danah nghawng a nei a ni. He thu hi tlem han thûk deuhin han thlir ila.

SDOH leh i genes te

I genes hian natna i vei theihna a nghawng a ni. Entirnan, gene mutation (BRCA1 emaw BRCA2 genes inthlak danglamna ang chi) i inherit thei a, chu chuan cancer ang chi natna i neih theihna a tipung thei a ni. A nih loh leh, i chhungte’n thinlung natna an neih tawh avangin thinlung natna i vei tam zawk thei bawk.

Mahse inherited genetic mutations hi a sir khat chauh a ni. Tunah chuan ``epigenetics`` tih field-a zirchiangtute chuan i chhehvel hian i genes hnathawh dan a nghawng dan an hmuchhuak ta a ni. Naupan lai atanga i seilian dan atanga i thawk boruak quality thlengin gene thenkhat chu ``on`` emaw ``off`` emaw a nih theih dan kan hmu mek a ni.

Heng ``epigenetic'' inthlak danglamna te hi ``genetic mutations'' nen a inang lo - i ``DNA'' sequence chu a inang vek a ni. Mahse i genes te hian hna a thawk tha lo. Lamp chhungah hian light bulb awm mahse on tur tumah an awm lo ang mai a ni.

Genes a nih tur laia on emaw off emaw a nih chuan i taksaah inthlak danglamna tha lo chi hrang hrang a thlen thei a ni. Tumor growth hi entirnan pakhat a ni. Chumi awmzia chu, social determinants of health (SDOH), social relationships leh environmental toxins te hian i genes—i taksa peng hrang hrang, a danglam ngai lovang tih i ngaihtuah pawh a nghawng thei tihna a ni.

SDOH leh i thutlukna siamte

I genes bakah hian i duhthlanna hian natna i vei theihna a nghawng bawk. I rochun risk factors te chu i thlak thei lo. Mahse i hlauhawm tih hriat hian thutlukna thenkhat siam turin a pui thei che a ni - cancer screening neih te, ei leh in hrisel (Mediterranean Diet ang chi) hman te, emaw, i thisen sang enfiah fo te ang chi te. Heng thil tih hian natna thenkhat i vei theihna tur a ti tlem thei a, a nih loh leh enkawl hma leh dam theihna chance a tipung thei bawk.

Mahse, chu thu tlûkna chu nangmah chauhin i siam thei tak tak em? A tam zawkah chuan i ti thei lo. I kawngah hian harsatna a awm thei a, chu chu doctor hmuhna tur lirthei i neih loh emaw, ei tur tha tak tak lei nan sum i neih loh emaw ang chi hi a ni. A châng chuan duhthlanna neih mai mai hi a tawk lo.

A tha ber chu mi tinin an hriselna enkawl tura pui thei tur thil tha leh remchang tha tak tak an neih theih nan a ni. Kan la awm lo a, mahse hriselna tichhe thei khawtlang thilte hian engtin nge a nghawng che tih hriat hi chu thil tum thlenna kawng hmasa ber a ni. Doctor-te chuan SDOH-in engtin nge a nghawng che tih leh i tanpui theih dan tur chu screening hmanrua hrang hrang an hmang a.

Engtin nge doctor hian he SDOH hi a hriat theih ang?

SDOH screening tools chu doctor i hmuh hmaa i fill up thin survey emaw questionnaire emaw a ni. Entirnan, i chhungkaw doctor i hmuh hmain digital form i fill up thei ang. Form hian i nun kawng hrang hrang - i chenna in, in inlaichinna, leh ei leh in leh tui i hmuh theihna te a zawt a. Zawhnate chu he thuziak hmasa lama zawhnate nên a inang thei a ni. I doctor i hmuh hunah i chhânnate chu a sawipui thei che a ni.

I ngaihtuahnate chu i inhawng poh leh i doctor chuan a pui thei ang che. I harsatna chinfel dan tur a sawipui thei che a, khawtlang nunphung hrang hrangah a refer thei bawk che a ni. I nunah hian form-in a sawi loh thil a awm thei. Chutiang a nih chuan doctor i hmuh hunah sawi rawh. I doctor-in harsatna bik a neih chuan a puih theih loh chuan a ti theitu hnenah a refer thei ang che.

Heng dinhmunte hi a danglam thei em?

Hriselna tichhe thei khawtlang thilte hian i pian tirh atang khan a nghawng tan che a, i tar chhoh zel chuan i hriselna a siam chhunzawm zel bawk. Thil ṭhenkhat chu hun kal zelah a danglam thei a ni. Entirnan, hun engemaw chen chu sum lakluh nghet tak i nei a, chutah chuan i hna chu i hloh nghal mai thei. A nih loh leh bus kalna leh kawngpui sirah ṭha tak awmna hmun aṭangin motor tel lova him lo leh kal theih lohna hmunah i insawn thei bawk - pakhat lei theih loh pawh a ni mai thei. I hriselna atana ṭangkai ṭhin thilte chuan i hriselna a tichhe ṭan nghal thei a ni.

Mahse thil a kal leh thei bawk. Health insurance emaw, paid vacation emaw nei lovin kum tam tak i kal thei a, a pahnih pe thei hna i hmu nghal thei bawk - a tawpah chuan kawngpui reh takah i mut theihna tur inah i insawn thei ta a ni. Nun hi hmun danglam tak a ni a, i hriselna tichhe thei thilte hi i ngaihtuah angin a awm reng lo va, a danglam thei bawk.

Chumi awmzia chu tuna i hmachhawn tur harsatnate hi chatuan atan a awm a ngai lo tihna a ni. I hriselna atana pui thei tur resources i neih loh chuan doctor nen inbiakna nei la, khawtlang pawl - kohhran, biak in emaw, hlawkna nei lo pawl emaw ang chi - thurawn leh thlawpna pe thei tur, leh tanpui thei midangte nena inhmelhriattir thei che nen inzawm rawh.

In lama kan hruai duh thuchah chu eng nge ni?

Chuvangin, heng zawng zawng atanga kan hriatthiam tur pawimawh ber chu kan hriselna hi kan chenna khawtlang, sum leh pai leh boruak (SDOH) te hian nasa takin a nghawng a, chubakah damdawi te pawhin nasa takin a nghawng a ni

• A hmasa ber chu heng SDOH te hi eng nge an nih leh engtin nge min nghawng tih hriat hi a ni.
• Hetiang zawhna i neih chuan Doctor emaw, i rintlak emaw hnenah sawipui hlau suh.
• Vawi tam tak chu, heng dinhmunte hi thlak danglam theih dan leh tanpuina dawn theih dan a awm fo thin. Nangmah chauhin i tuar a ngai lo.
• Damdawi khawl \ha leh nunphung \ha neih hi nun hrisel neih nan a pawimawh hle.

Chuvangin, i hriselna i ngaihtuah hian heng khawtlang thilte pawh hi ngaihtuah la. Hrisel zawk leh hlim zawka awm turin a pui ang che!

` Hriselna, khawtlang thil, sum leh pai dinhmun nghet, zirna, hriselna, boruak, khawtlang inlaichinna