I nunphung hian zunthlum a nghawng dan (Social Determinants of Health and Diabetes) .

Mi tam tak chuan Diabetes Mellitus hi kan ei leh in leh exercise kan tih leh exercise loh ang chi thilte chauh atanga lo chhuak natna a ni tih kan ngaihtuah a? Dik tak chuan chu thilte chu a pawimawh hle. Mahse vawiinah hian kan nitin nunah kan sawi vak vak loh lam thuk deuh deuh ka rawn sawi dawn a ni. I chenna boruak, i sum leh pai dinhmun, zirna leh facility i dawnte hian i hriselna a nghawng dan te, a bik takin zunthlum ang chi hun rei tak chhunga i dinhmun te hi i ngaihtuah ngai em? Hei hi vawiina kan sawi tum chu a ni.

Hriselna hi damdawi lam chauh a ni lo.

Doctor pakhatin "ni khatah darkar khat chhung ei leh in inthlau tak ei la, exercise la" a tih che hi han mitthla teh. Chu thurawn chu a dik hle. Mahse, chu thurâwn zawm tûrin mi zawng zawngin theihna leh insiamremna inang an nei em?

A awlsam zawngin sawi ila, kan hriselna hi kan damloh laia damdawi kan ei danin a hril lo. Thil tam takin a nghawng a, chu chu kan pianna hmun te, kan lo seilian na hmun te, hna kan thawh dan te, kan sum lakluh dan te, leh zirna kan dawn dan te pawh a ni. A châng chuan mi pakhatin hrisêlna lama service a dawn lai pawhin dik lohna leh ngaihsak lohna a tawk thei a ni. Entir nan:

• Doctor hian i sawi lan symptoms hi a ngaihsak vak lo niin a lang.
• I hriselna lama harsatnate chu thil tenawm anga ngaih loh nan.
• A dinhmun leh enkawl dan sawifiah mai mai lovin, tawng i hriatthiam theih nan.

Hetiang thil hian damlo thenkhat chu doctor leh healthcare system pumpui chungah lungngaihna leh rin lohna a thlen thei a ni. Hei hi dinhmun hlauhawm tak a ni a, a chhan chu chutih hunah chuan an natna enkawlna mumal zawng turin an infuih dawn lo.

Hriselna atana Social Determinants te chu engte nge ni?

World Health Organization (WHO) pawhin "social determinants of health" tih ngaihdan hi a pawm a ni. A awlsam zawngin, hei hian kan hrisêlna nghawng nghâl tak leh kan thunun theih loh khawtlâng, sum leh pai, leh taksa dinhmunte a kâwk a ni.

Heng thilte hi a hmasa berah chuan hriselna nena inzawm lo angin lang mah se, zirchianna chuan heng thilte hian kan nunphung leh natna vei theihna a nghawng nasat zia a finfiah tawh a ni. Heng thilte hi eng nge ni tih hi han thlir ila.

Heng thilte hi engtin nge zunthlum nen hian an inzawm?

Tunah chuan, "Okay, heng thilte hian hriselna a nghawng tlangpui a, mahse hei hian engtin nge zunthlum hi a nghawng?" Entirna awlsam tak hmangin i hrethiam ang u.

Khawpui chhunga chhungkaw lu ber, sum leh pai lama harsatna nei chu han mitthla teh. ‘Siripala’ ti ila. Siripala hian nilengin hna thawkin a chhungte a enkawl a. Zing dar 5-ah hna a thawk a, zan dar 8 velin a haw leh thin.

• Chaw: Nilengin hna thawkrim Siripala hian a hlawh tlemteah chuan thlai, thei leh sangha ang chi thil tha tak tak lei a harsat hle. Chu ai chuan kawngpui sira dawr a\angin awlsam leh man tlawm takin a lei thei zawk a ni.Chhangphut, sugar leh oil tamna ei tur (e.g. paratha, kottu, sweetened drinks) lam a hawi thin. Pum a khat a, mahse taksaah ei leh in a pe lo.
• Exercise: Nilengin a hnathawhna a hahthlak em avangin Siripala hian exercise neih nan hun leh chakna a nei lo. A awmna veng mipui tamna hmunah chuan kalna tur hmun him a awm lo.
• Stress: Sum leh pai lama harsatna avang leh a fate hmalam hun tur ngaihtuahin a lungkham reng a ni. He stress hian taksa hormone function a tidanglam a, zunthlum vei theihna a tipung lehzual a ni.
• Awareness leh medical services: Siripala hian zunthlum natna lan chhuah dan bulpui leh a pumpelh dan tur hriatna a nei vak lo. Ni khat chhung hna a kal loh chuan a hlawh a hloh avangin natna tenau vang pawhin doctor a pan ngai lo. Damdawi inah hian a natna lan chhuah dan a zual deuh chauhvin a kal thin. Tichuan a tlai lutuk mai thei.

Tunah hian i hrethiam em? Siripala hian zunthlum a vei theihna a sang chho zel hi a "tisual" vang a ni lo. A chenna khawtlang leh sum leh pai dinhmun hian nghawng a nei nghal vek a ni. Diabetes control chungchangah eng ang pawhin awareness siam ni mah se, chutiang thilte tihhlawhtlinna tur resources nei lo tan chuan a tangkai vak dawn lo.

Chuti a nih chuan engtin nge kan tih ang?

Hei hi mimal pakhatin amah chauha a chinfel theih tur harsatna a ni lo. Hei hian ram angin, policy siamtute level-ah solution a mamawh a ni. Mi zawng zawng tana hriselna tha tak siam te, mi zawng zawngin ei tur tha tak tak an hmuh theihna tur economy siam te, leh boruak him siam te hi an mawhphurhna a ni.

Mahse, mimal level-ah pawh kan tih theih tur a awm.

1. Awareness: A hmasa ber chu hetiang social factors hian kan hriselna a nghawng tih hriatthiam hi a ni.

2. I doctor nen inbia: Doctor i hmuh hian i natna chauh ni lovin, i nunah harsatna i tawh mekte pawh sawi rawh. "Doctor, hetiang zat chaw tha hi ka ei thei lo. Eng inthlak danglamna nge ka siam theih ang?" Chumi hnuah chuan i doctor chuan i tana tha tur leh i tih theih tur thurawn a pe thei ang che.

3. A theih ang anga inthlak danglamna tenau siam: Inthlak danglamna lian tak siam a harsat laiin, thil tenawm tak tak atang hian tan la rawh. Thil tenawm tak tak, ni khata sugar teaspoon khat tihtlem te, bus atanga stop khat hmaa chhuk leh tlem kal te, a theih phawt chuan in lama chaw siam te hian danglamna nasa tak a thlen thei a ni.

4. Khawtlang inrawlhna: Khawtlang pawl leh tualchhung hriselna lama thawktute nen in awmna hmuna hriselna lama harsatna awmte (e.g., bawlhhlawh harsatna, exercise neihna tur hmun awm lohna) chungchang sawipui rawh.