Natna thi thei lo chungchang sawi ila - Nangmah chauh i ni lo.

Chutiang thupui sensitive tak sawi chu a chang chuan a harsa thei tih ka hria. Amaherawhchu, nunah thil tak tak thenkhat kan sawi dun a, kan hriat chian a ngai a ni. A chhan chu he hriatna hi keimahni leh kan hmangaihte tan a \angkai thei a ni. Chuvangin vawiinah hian `(Terminal Illness)`, a nih loh leh nun tawp hnaih tawh dinhmun hi han sawi ila.

Hei hi eng nge ni ``Terminal Illness'' hi? A awlsam zawngin i hrethiam ang u, kan hrethiam dawn em ni?

A awlsam zawngin sawi ila, ``Terminal Illness`` hi doctor-te chuan thihna thleng tura an sawi, tihdam theih loh natna a ni. Chumi awmzia chu i natna chu a let leh thei lo va, a dam kim thei lo tihna a ni. Phên dangin sawi ila, natna chu a reh lo vang.

A châng chuan heng natna chi hrang hrangte hi a zual thuai thei hle. A nih loh leh, natna thenkhat chu zawi zawiin a lo awm a, hun kal zelah zawi zawiin a lan chhuah dan a pung a, taksa a tichak lo bawk. Light bulb a off leh on ang maiin han ngaihtuah teh.

Natna thi thei lo i nei tih i hriat chuan khawvel chu i chungah a rawn tla thla ang maiin a lang thei. Hetiang hunah hian eng emotion nge i neih dawn tih chiang takin i sawi thei lo. I lungngai a, i thinrim a, i hlau a, a nih loh leh mak tak maiin i rilru a hahdam thei bawk. I rilru a buai emaw, i rilru a buai emaw, i hlim lo emaw pawh a ni thei. Chûng thil zawng zawng chu vawi khatah i hre vek mai thei. Eng pawh ni se, thil pangngai a ni tih i hriatthiam a ngai . Heng rilru put hmangte hi i hriatthiam theih nan hun engemaw chen a la ngai dawn a ni.

Hetiang natna vei emaw, enkawltu emaw i ni emaw, thihna chungchang sawi hi thil awlsam a ni lo. Mahse, i beisei tûr hriatna chuan nang leh i chhûngte chu chakna leh inbuatsaihna engemaw chen a pe thei a ni .

``Terminal Illnesses'' awm tam ber chu engte nge ni?

Dik tak chuan "Hengte hi `Terminal Illnesses an ni" tih list pek a harsa hle a, a chhan chu natna pakhat pawh hian mi hrang hrang a nghawng dan a inang lo. Natna thenkhat chu a tawp berah `Terminal` ni thei zawk an awm.

Entirna tlemte pe tur chuan:

• Cancer natna hmasawn tak
• Alzheimer natna a ni
• Lung natna na tak tak (Congestive Heart Failure) .
• Kidney Failure a awm
• Liver Failure a awm
• Cancer taksa pum puia darh tawh (Metastatic Cancer) .
• Multiple Sclerosis natna khirh tak tak, nervous system natna vei te
• Parkinson natna a ni

Mahse hre reng ang che, he list-a condition i neih vang mai mai hian ``Terminally Ill'' i ni tihna a ni lo. I dinhmun dik tak leh i dam rei zawng a nghawng dan tur hriat tumin i doctor nen inbiakna neih a tha ber.

``Terminal Illness'' leh ``Chronic Illness'' hi eng nge an danglamna?

Heng pahnih hi dam chhung zawnga dinhmun a ni. Mahse, `(Chronic Illness)` emaw, natna khirh tak emaw a niMi pakhat tan chuan natna (zunthlum, asthma, a nih loh leh autoimmune disorder thenkhat ang chi) tan chuan enkawlna hian chu natna chu a thunun thei a, nun pangngai a nei thei bawk.

Mahse, ``Terminal Illness'' nei mi pakhat enkawlna pek hian natna a tidam thei lo. I rilru hahna chu a ti tlem a, a theih ang anga i hlim theih nan an pui bawk. Mahse thihna an dang thei lo.

Natna hlauhawm tak nei chu eng chen nge a dam theih ang?

Hei hi mi hrang hrangah a inang lo tak zet a ni. Eng chen nge i dam theih ang tih chu thil engemaw takah a innghat a, chung zingah chuan i damdawi lam dinhmun, i taksa hriselna, leh i enkawlna te pawh a tel a ni.

I doctor chuan eng chen nge i neih tih chu chhut chhuah a tum ang. Mahse chiang taka sawi a har hle. Natna hlauhawm tak nei mite chu ni tam tak, kar tam tak, thla tam tak, a nih loh leh kum tam tak pawh an dam thei a ni. I doctor chuan he thu hi i hriat duh chauhvin a hrilh ang che. I hriat duh loh chuan i doctor hnenah hrilh theihna i nei a ni.

`(Terminal Illness)` a lan chhuah dan chu engte nge ni?

Natna i neih dan azirin symptoms a inang lo. Mahse, i nun tawp i hnaih chuan a hnuaia chhinchhiahna thenkhat hi i hmu thei ang:

• Buaina, hriatna hloh
• Thil awm lo hmuh emaw hriat emaw (Hallucinations) .
• Chaw emaw tui emaw ei harsa
• Chau
• Ei duhna hloh
• A tlangpui aia zun a tlem
• Thâwk a tawi
• Agitation tih a ni
• Zun emaw ek emaw control theih lohna (Urinary or Bowel Incontinence) .

Pawimawh: Symptom thar i neih chuan emaw, symptom awmsa a zual emaw chuan doctor hnenah hrilh nghal rawh. Heng symptoms te hi control thei damdawi leh enkawlna hrang hrang a awm.

`(Terminal Illness)` hi engtin nge i enkawl?

Heta enkawlna tum ber chu i tihdam ai chuan, i hlim thei ang bera siam leh nunphung tha ber neih hi a ni. I medical team chuan ``Palliative Care`` an tih chu an ngaihtuah ber ang. Hei hian a huam tel a ni:

• A theih ang anga i nunphung tihchangtlun rawh.
• I natna lan chhuah dan (natna leh thawk hahna ang chi) control.
• I rilru, rilru leh thlarau lam hriselna thlawp.

I palliative care team te hian legal planning-ah pawh an pui thei bawk. Entirnan, Living Wills, Advance Directives, leh Powers of Attorney ang chi thilte an zirtir thei che a ni.

Mahse, ``Palliative Care`` i dawn hian ``Terminal Illness'' i nei tihna a ni ngai lo.`` Doctor-te chuan natna khirh tak eng pawh i neih chuan eng stage-ah pawh ``Palliative Care`` an rawt thei a ni

Engtin nge `(Hospice Care)` service i mamawh hunah i hriat theih ang?

Natna thi thei lo tam tak chuan hospice care an dawng thei a ni . Hospice care hi enkawlna bik a ni a, thlamuanna leh natna enkawl dan tur ngaihtuah a ni. He enkawlna hi nangmah ngeiin i inah emaw, 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 dam rei zawng chu thla ruk emaw a aia tlem emaw a nih chuan , hospice care i tlin a ni.

Hospice care hi "tunah ngei hian" i tan a ngai tih dan a awm lo. Mahse, i doctor chuan i tan hun tha ber tur rel turin a pui thei che a ni.

Engtin nge ka in enkawl ang? (I damloh chuan)

Natna thi thei lo i nei tih i hriat chuan i rilruah thil sangkhat a tlan lut thei a ni. Lungngaihna, lungkhamna leh lungngaihna te hi thil pangngai a ni. Kawng tam takah lungngaih hi thil awmdan pangngai a ni bawk. Hetih lai hian mahni in enkawl hi a pawimawh zawk. I tanpui thei tur ngaihtuahna thenkhat chu hetiang hi a ni:

• I thil tak tak chu pawm rawh: Hetiang thuthang i hriat hian mangang tih hi thil pangngai tak a ni. A pum puia process theih nan hun rei tak a ngai a ni. I thi dawn tih pawm chu i lo ngaihtuah tawh hmalam hun chu bânsan tihna a ni. A awlsam lo. Mahse i dinhmun dik tak hriatthiamna leh zahawm taka pawm chuan tunlai hunah nung turin a pui ang che a , hun tinreng chu a tha thei ang bera hmang turin a pui ang che .
• ``Death Doula'' nena inbiakna neih hi ngaihtuah teh: Hengte hi healthcare professional an ni a, nang leh i hmangaih tak takte rilru leh rilru lama puihna pe thinte an ni. Tlawhnate an inrual thei a, dan anga paperwork-ah an pui thei a, ṭhian/ṭhian angin an che thei bawk.
• Biak tûr mi zawng rawh (i duh chuan chauh): I hmangaih takte nêna inbiakna chuan heng rilru natna khirh tak takte hi hmachhawn tûrin a ṭanpui thei che a ni. Tin, anmahni thlawp theihna hun a pe bawk. Tumah biak duhna i la neih loh chuan chu pawh chu a pawi lo. I duh hunah ti rawh. Chutih lai chuan, i rilru put hmang chanchin journal-a ziah emaw, therapist nena inbiakna emaw chuan i ngaihtuahnate chu a thliar hrang thei che a ni.
• I tih dan phung vawng reng rawh: I dam chuan i ni tin chu a hma ang bawkin ruahman rawh. I thiltih turte chu calendar-ah ziak rawh. I duhzawng thil tih chhunzawm zel tum ang che.
• Hlimna hi dah pawimawh ber rawh:`(Terminal Illness)` kan neih hian kan duh emaw duh lo emaw, tun dinhmunah hian kan awm a ngai a ni. Hei hi i hlawkna tur atan hawitir rawh. Hlimna thlen thei thil tenawm tak takah 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 la: Acupuncture, Reiki, yoga, massage, leh meditation te hi a \angkai hle thei a ni. Mahse, i tana ṭha lo enkawlna eng pawh i doctor zawt ngei ang che.

`(Terminal Illness)` vei hi engtin nge i enkawl? (Anmahni enkawltu i nih chuan)

I hmangaih tak pakhatin natna hlauhawm tak a nei tih i hriat hian, an bo hma pawha i hriat lungngaihna a awm a. Anticipatory grief kan ti a ni. Thihna chungchang ngaihtuah te, engtin nge a lo thlen dawn tih ngaihtuah te hi thil harsa tak a ni.

I hnaih ber i hloh hmasak ber a nih chuan i tih tur leh sawi tur i hre lo mai thei. Hetiang thil chungchangah hian lungkhamna neih hi thil pangngai tak a ni. Mahse, natna hlauhawm tak nei enkawl chu i ngaihtuah angin a buaithlak lo. Mi thi mekte hian kan duh zawng zawng ang tho - hmuh, hriat, hmangaih nia inhriat hi an duh vek a ni. I ṭanpui theih dân ṭhenkhat chu hetiang hi a ni:

• Ngaithlatu tha tak ni rawh: Sawi tur i nei lo a nih pawhin an tan hmun siamsak rawh. An rilru put hmang chu ngaithla la, inbiakna tur kawngkhar chu hawng reng rawh. Hei hi in pahnih tan chuan hun hlauhawm tak a ni. In tan awm rawh u.
• Hmuh Loh Rawh: An bula awm chu an tân thlamuanna nasa tak a ni thei a. Movie en dun rawh. Drive-ah hruai rawh. An album duh ber ngaithla rawh. Lehkhabu chhiarsak rawh. Activity hi a pawimawh lo, i awm tih hi a pawimawh zawk.
• I dîl hmain ṭanpui rawh: Mite nun tâwp hnaih tawhte chuan mi dangte chunga phurrit nih an duh loh avângin ṭanpuina dîl chu an hreh hle mai thei. Ṭanpui theih dân i hmuh theih chuan ti rawh. Thil tih tur tlan te, zanriah siam te, a nih loh leh thawmhnaw sawp ang chi thil a ni thei.
• Anmahni pawh tel ve rawh: I hmangaih tak chuan natna hlauhawm tak an neih vang mai maiin hlimnaah hian tel ve duh lo ang tih ring suh. Anni pawh sâwm la, thu tlûkna siam rawh se.
• Thudik leh inrintawkna pe rawh: An natna chungchâng chu chiang tak leh dik takin sawi rawh. An ``Terminal Diagnosis'' chungchangah hian rinawm takin sawi rawh. A thleng dawn lo ang maiin che suh. Chutih rual chuan beiseina i pe thei bawk. An nun tawp thlenga an duhthusam chu eng nge ni tih zawt la, chu ruahmannaah chuan telh bawk ang che. An tan i awm tih leh i kalsan dawn lo tih hriattir rawh.
• An ramri zah rawh:An duhzawng, an mamawh chu ngaithla rawh. I ṭanpui duh angin ni lovin, ṭanpuina an mamawh angin ṭanpui rawh .

``Terminal Diagnosis`` chu i nun chu a tidanglam nghal vek a ni. I hmangaih tak takte thlah a, hmalam hun atana ruahmanna bansan chu ngaihtuah a harsa hle. Ni thenkhat chu a dang aiin a tha zawk ang. I chau a nih chuan chawlh hahdam rawh. Symptom thar i neih chuan doctor hnenah hrilh theihnghilh suh. Diagnosis leh thihna inkarah hian nunna a awm. Chu ni chu i duh angin hmang la, i hmangaih mite nen hmang rawh.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

• ``Terminal Illness'' hi natna tihdam theih loh, thihna thlenga tawp a ni.
• Hetiang chanchin i dawn hian rilru natna chi hrang hrang i neih hi thil pangngai tak a ni. Nangmah chauh i ni lo.
• Enkawlna tum ber chu natna lan chhuah dan control leh thlamuanna leh nunphung tihchangtlun a ni. Hemi atan hian service hrang hrang ``Palliative Care`` leh ``Hospice Care`` tih te hi a pawimawh hle.
• Natna i vei a nih chuan mahni inenkawl a, i rilru hriselna ngaihtuah a pawimawh hle.
• Enkawltu i nih chuan damlo thusawi ngaihthlak a, hun hmanpui a, an mamawh zah a pawimawh hle.
• He zinkawngah hian doctor, nurse, counselor leh i hmangaih tak takte puihna zawng rawh.

` End-stage natna, palliative care, nun tawp, rilru lam puihna, chhungkaw tanpuina, damlo enkawlna, natna enkawl dan