Hei hi thupui sawi harsa leh sensitive tak a ni tih ka hria. Mahse kan nunah engtik lai pawhin kan hmachhawn thei tur thil kan buaipui vek a, chu chu keimahni tan emaw, kan hmangaih tak tan emaw pawh a ni thei. Chu chu natna hlauhawm tak a ni. Hei hi hriat chian hi heng ang hunah hian chakna ropui tak a ni thei. Chuvangin he thu hi tlang takin leh hriatthiam theih takin i sawi ang u.
He natna hlauhawm tak hi eng nge ni?
A awlsam zawngin sawi ila, natna thi thei lo chu damdawi engmah hmanga tihdam kim theih loh, thihnaah a tawp ngei ngei tur a ni. Chumi awmzia chu i natna chu tihdanglam theih a ni lo va, tihdam theih a ni lo tihna a ni.
Hetiang natna chi hi a na thuai thei a, a nih loh leh hun kal zelah a lo thang zauh zauh thei a, zawi zawiin a lan chhuah dan a tizual thei bawk.
Natna thi thei lo i nei tih i hriat chuan khawvel chu i chungah a rawn tla thla ang maiin a lang thei. Hetiang thuthang hi hmachhawn dan dik leh dik lo a awm lo. I lungngai a, i thinrim a, i hlau a, i rilru a hahdam thei bawk. Engmah i hre reng thei lo khawpa ruak pawh i inhriat mai thei. Chûng rilru natna zawng zawng chu vawi khatah i hre vek mai thei. Engtiang pawhin i hriat chuan chu chu thil pangngai a ni.
Hetiang natna vei emaw, enkawltu emaw i ni emaw, thihna chungchang sawi hi thil awlsam a ni lo. Mahse, beisei tur hriatna chuan he zinkawng harsa tak hi i zawh theih nan a pui thei che a ni.
Natna thi thei lo awm tam berte chu engte nge ni?
Heng natna hlauhawm tak takte hi kimchang taka pek a harsa hle. A chhan chu natna inang chu mi pakhat tan chuan thihna thlentu a ni thei a, mi dang tan chuan thihna thlen thei a ni lo. Mahse, natna tlemte, hun kal zelah thihna thlen thei zawk an awm.
| Damdawi lam dinhmun | Thuhmahruai tawi te |
|---|---|
| Cancer natna zual (Cancer hmasawn / Metastatic cancer) . | Cancer hian taksa peng dang a darh tawh a, thunun theih loh khawpa a thlen tawh chuan. |
| Alzheimer natna a ni | Natna, thluak cell te tichhe zauh zauh, hriatrengna leh rilru hnathawh dangte tichhe thei natna. |
| Congestive heart failure a awm thin | Thinlung a chak lo zauh zauh a, taksaah thisen a pump tling thei lo. |
| Kidney tha lo a awm | Kidney hian taksa atanga bawlhhlawh filter theihna a hloh a, hna a thawk tawh lo. |
| Liver a tha lo | Liver hnathawh chu a tawp vek tawh mai a, chu chuan a hna a thawk thei lo. |
| Multiple sclerosis natna a ni | Nervous system natna, thluak leh ruhro tichhe thei. |
| Parkinson natna a ni | Taksa chetna tichhe thei nervous system natna zual zel. |
Mahse hei hi hre reng ang che: He list-a natna pakhat i neih vang mai mai hian thihna a thlen tihna a ni lo. I dinhmun kimchang leh i nun a nghawng dan tur kimchang hriat tumin i doctor nen inbia tur a ni.
Natna thi thei lo leh natna khirh tak hi eng nge an danglamna?
Heng thumal pahnih hi a chang chuan a buaithlak thei a, a chhan chu dam chhung natna sawina atana hman a nih ve ve vang a ni. Mahse, an pahnih inkarah hian danglamna lian tak a awm.
- Chronic illness: Natna khirh tak chu zunthlum, asthma, autoimmune disorders ang chi natna a ni. Heng natna vei te hian an dinhmun chu enkawlna hmanga control leh enkawl hmangin nun pangngai an hmang thei a ni.
- Terminal illness: Hetah hian enkawlna hian a pui thei che a niThlamuanna pekna tur chauh a ni. Chu chu natna lan chhuah dân thunun, natna tihziaawmna, leh hahdamna pêk tihna a ni. Mahse, chu enkawlnate chuan thihna lakah a chhanchhuak dawn lo che.
Hetiang natna vei hi eng chen nge a dam theih ang?
Hei hi mi tam takin zawhna an zawh thin a ni a, mahse chhan harsa ber zinga mi a ni bawk. Dik tak chuan hei hi chhanna pakhat mah a awm lo. Mi tin a inang lo hle. I dam rei zawng chu thil engemaw zatah a innghat a ni. Entir nan:
- Eng natna nge i neih?
- I taksa hriselna engtin nge a awm?
- Eng enkawlna nge i dawn?
I doctor chuan eng chen nge i dam dawn tih chu a theihtawp chhuahin a chhut ang. Mahse tumahin chiang takin an sawi thei lo. Heng natna vei te hi ni tam tak, kar tam tak, thla tam tak, kum tam tak pawh an dam thei a ni. I doctor chuan he thu hi i hriat duh chauhvin a hrilh ang che.
Nun tawp lamah eng symptoms nge lo awm thei?
I dinhmun azirin natna lan chhuah dan inang lo mah se, nun tawp i hnaih ruala i hmuh theih tur chhinchhiahna tlanglawn thenkhat a awm.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Rilru tibuai | Hun, hmun, mite ngaihtuahna tihbuai. |
| Thil hmuh theih loh (Hallucinations) te | Thil awm tak tak lo hmuh emaw hriat emaw. |
| Chaw ei harsat | Chaw emaw in tur emaw ei harsa. |
| Chau | Eng ang pawhin chawlh la mah la, a awm reng thei hahna nasa tak. |
| Chaw ei chakna hloh | Chaw ei chakna hloh. |
| Thâwk a tawi | I thawk hah ang maia inhriatna. |
| Agitation tih a ni | Chhan awm lova lungkham leh dawhthei lo taka awm. |
| Urinary emaw bowel incontinence emaw a awm thei | Hriat loha zun emaw, bawlhhlawh emaw pass. |
Symptom thar i neih emaw, a awm tawh chu a na zual emaw chuan i healthcare team hnenah hrilh a pawimawh . Heng symptoms te hi i hmuh hian hlauthawng suh. Damdawi leh enkawlna hrang hrang a awm a, chu chuan a thunun thei a, hahdamna a pe thei bawk.
Natna thi thei lote chu engtin nge enkawl an nih?
Heta enkawlna tum ber chu natna tihdam aiin, damlo chu a nuam thei ang bera leh natna nei lo tura siam a ni. Medical team hian palliative care concept hi an ngaih pawimawh ber a ni . A awlsam zawngin hei hi ‘comfort care’ kan ti thei ang. Hemi nena inzawm thil tumte chu:
- I nunphung tihchangtlun.
- I natna lan chhuah dan (natna leh thawk hahna ang chi) te uluk taka enkawl.
- I rilru, rilru leh thlarau lam hriselna thlawp.
He palliative care team hian i dan anga ruahmanna (living will, power of attorney, etc.)-ah pawh a pui thei bawk.
Engtin nge hospice care zawn hun tur i hriat?
Natna hlauhawm tak nei tam tak chuan hospice care an dawng thei a ni . Hei hi damlo thlamuanna lam hawia enkawlna chi khat a ni. He enkawlna hi nangmah ngeiin i inah emaw, specialized hospice center-ah emaw, nursing home-ah emaw, damdawi inah emaw pek theih a ni. Hospice team chuan i tana tha ber tur chu khawiah nge a tha ber tih ngaihtuah turin an pui thei che a ni. A tlangpuiin, i doctor chuan thla ruk emaw a aia rei emaw dam tur i nei nia a ngaih chuan hospice care i dawng thei a ni.
Hemi ni atang hian hospice care hi tan tur a ni tih dan a awm lo. Mahse, i doctor chuan transition hun tha ber tur ngaihtuah turin a pui thei che a ni.
Hetiang natna hi i neih chuan engtin nge i in enkawl ang?
Hetiang diagnosis i dawn hian i lu-ah ngaihtuahna sangkhat a tlan kual hi thil pangngai a ni. Lungkhamna leh lungngaihna pawh a awm fo. Hetih lai hian mahni inenkawl hi a pawimawh zawk. Chûng thilte chuan a ṭanpui thei che a ni mai thei:
- A tak tak chu pawm tum rawh: He thuthang hi a mak hle. A pum puia a hip lut theih nan hun a ngai dawn a ni. I thih dawn tih pawm chu i duhthusam hmalam hun i bânsan tihna a ni. A awlsam lo. Mahse, thil awmdan dik tak hriatthiam leh zah hian tunlai hunah nung turin a pui ang che a, hun tinreng chu a tha thei ang bera hmang turin a pui ang che.
- Biak tûr mi zawng rawh: I hmangaih takte nêna inbiakna chuan heng rilru natna khirh tak takte hmachhawn tûrin a ṭanpui thei che a ni. Tin, anmahni thlawp theihna hun a pe bawk. Tunah hian tumah biak i duh loh chuan a pawi lo. A hun a lo thlen hunah i hre mai ang. Chutih lai chuan journaling emaw, counselor nena inbiakna emaw hian i ngaihtuahnate chu a inrualrem thei ang.
- A theih chuan i tih dan pangngai chu vawng reng ang che: Taksa lama i chak chuan i ni chu a hma ang bawkin ruahman la. I duhzawng thil tih chhunzawm zel tum ang che.
- Hlimna thlentu thilte chu dah pawimawh ber rawh: He natna hian tunlai hunah hian a nawr lui che a ni. Chu chu i hlawkna turin hmang rawh. Hlimna leh thlamuanna thlen thei thilah inhmang rawh. Tea lum in te, lehkhabu duh ber chhiar te, huana sava hla ngaihthlak te ang maia awlsam a ni thei.
- Complementary therapies hmang rawh: Acupuncture, reiki, yoga, massage, leh meditation ang chi thilte hian hahdamna nasa tak a pe thei che a ni. Mahse hetiang thil hi i tan hmain i doctor hnenah eng method nge i tana tha lo tih zawt hmasa phawt ang che.
I hmangaih tak chuan natna hlauhawm tak a neih chuan engtin nge i ṭanpui theih?
Anticipatory grief hi hriatna hrehawm tak a ni. Thihna, engtin nge a lo thlen ang, engtikah nge a lo thlen ang tih ngaihtuah hi phurrit rit tak a ni.
Hetiang thil i hmachhawn hmasak ber a nih chuan i tih tur leh sawi tur i hre lo mai thei. Lungngaih hi thil pangngai a ni. Mahse hetiang mi enkawl hi i ngaihtuah angin a buaithlak lo. Mi thi mekte hian kan mamawh zawng zawng ang chiah - ngaithlatu, hrethiam leh hmangaihtu an mamawh a ni. I ṭanpui theih dân ṭhenkhat chu hetiang hi a ni:
- Ngaithlatu tha tak ni rawh: Sawi tur i hre lo a nih pawhin, chu mi chu thusawi theihna hun pe rawh. An rilru put hmang chu ngaithla rawh. Hei hi in pahnih tan chuan hun hlauhawm tak a ni. In thlawp tawn tawn rawh.
- An hnênah hun hmang rawh: Chuta awm mai mai chuan an tân thlamuanna nasa tak a ni. Movie en dun rawh. Drive tawi tak la rawh. An hla duh berte ngaithla rawh. Lehkhabu chhiar rawh. I thil tih hi a pawimawh lo, an bula i awm hi a pawimawh zawk.
- Ṭanpuina i mamawh nia i hriat chuan i dîl hma chu nghak suh: An nun tâwp hnaih tawhte chuan mi dangte chunga phurrit nih an duh loh avângin ṭanpuina dîl an hreh mai thei. Ṭanpui theih dân i hmuh theih chuan ti rawh. Store-a kal te, zanriah siam te, a nih loh leh thawmhnaw sawp ang chi thil a ni thei.
- Engkimah telh ve rawh: An damloh avangin engmah lo kal an duh lo ang tih ring suh. Anni pawh sâwm la, thu tlûkna siam rawh se.
- Thil awm dân chungchâng dik tak sawi chungin, anmahni chauhvin i kalsan lo vang tih tichiang rawh: Natna chungchâng chu awlsam tak leh dik takin sawi rawh. Thil thleng lo ang maiin che suh. Chutih rual chuan beiseina pe bawk ang che. An duhthusam hnuhnung ber chu eng nge ni tih zawt la, chu ruahmannaah chuan telh bawk ang che. An hnenah i awm a, i beidawng ngai lovang tih hre rawh.
- An duhzawng leh mamawh zah rawh: An duh leh mamawh chu ngaithla rawh. I tanpui duh dan ni lovin, tanpuina an mamawh danah tanpui rawh.
Hetiang diagnosis i dawn hian nun hi a danglam nghal vek a ni. Hmangaihte thlah a, hmalam hun atana ruahmanna bansan mai mai hi ngaihtuah a har. Ni thenkhat chu a tha a, ni thenkhat chu a chhe bawk. I mamawh hunah chawlh hahdam rawh. Symptom thar i neih chuan doctor hnenah hrilh theihnghilh suh. Mahse, diagnosis leh thihna inkarah hian ‘nunna’ tih hi a awm tih hre reng ang che. Chu nun chu, i duh ang anga nunpui tur, i hmangaih mite nen.
Take-Home Thuchah a ni
- Natna thi thei lo (terminal illness) chu tihdam kim theih loh, thihna thlenga tawp a ni.
- Enkawlna tum ber chu natna tihdam a ni lo va, a natna lan chhuah dan enkawl a, damlo tan thlamuanna sang ber leh nunphung tha tak pek a ni. Chumi atan chuan palliative care hi a pawimawh hle.
- Hetiang chanchin kan dawn hian lungngaihna, thinrimna, hlauhna ang chi rilru natna chi hrang hrang kan tawn hi thil pangngai tak a ni.
- Damlo leh an enkawltute tan pawh rilru leh taksa lama puihna a pawimawh hle. Nangmah chauh i ni lo tih hre reng ang che.
- Hemi chungchangah hian nangmah emaw, i hmangaih tak emaw hian ngaihtuahna i neih chuan, kaihhruaina tha ber tur i doctor nen inbiakna neih a pawimawh hle.











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