Natna pakhatin engtin nge min nghawng tih hi i ngaihtuah ngai em, chu natna kan neih chhung chauh ni lovin, kan nun pum puiah hian? Natna leh chetsualna \henkhat chuan kan dam chhung a ti tawi thei a. Mi dangte chuan kan dam chhung zawng chu rualbanlote nen kan khawsa a ngai ta a ni. Chuvangin, heng thil avang hian kan nun hrisel kan hloh zat tehna kawng bik a awm a ni. Chu chu DALY kan tih chu a ni.
A awlsam zawngin DALY (Disability-Adjusted Life Year) tih hi eng nge ni?
A awlsam zawngin sawi ila, DALY (Disability-Adjusted Life Year) hi khawvel pum huapa tehfung pakhat a ni a, zirchiangtute leh hriselna policy siamtute chuan natna hrang hrangin mipui pakhata mi dam chhung leh nunphung a nghawng dan tehna atan an hmang a ni.
Hetiang hian han ngaihtuah teh: DALY chu natna, chak lohna emaw, a hun hmaa thihna emaw avanga nun hrisel famkim atanga nun hloh kum a ni. I natna nasat dan azirin heng kum tam tak nun hloh tawhte hi a inzawm khawm thei a ni.
Hetiang hmanrua hi ram emaw, bial emaw chhunga "natna phurrit" hriatthiamna atan hman a ni. Chu chu mithiamte chuan mite hriselna zawng zawng tichhe thei khawtlang, sum leh pai, boruak leh politics lam thilte an en thin tihna a ni. Hetiang method hi kum 1990 chho vela hman tan a ni.
Engtin nge heng DALY te hi chhut a nih?
DALY chhut nan hian thil pawimawh pahnih hman a ni.
1. Kum tam tak nunna hloh (YLLs) .
2. Rualbanlote nena an khawsak kum (YLDs) .
Hetiang a nih chuan YLL te hi a hun hmaa thihna avanga nunna hloh kumte a ni. YLD hi natna emaw, chak lohna emaw avanga kum hrisel hloh zat a ni.
Chuvangin DALY hi YLL leh YLD pahnih sum a ni.
DALY = YLL te + YLD te
Entirna hmangin i hrethiam ang u.
Naupang tê, kum 15 mi chu han mitthla teh. Natna khirh tak (e.g. diabetes , cancer) a neih loh chuan kum 80 vel a dam ang tih kan ring. Mahse, he naupang hi kum 15 mi lek a nih laiin accident-in a thi ang tih han ngaihtuah teh.
Tichuan a dam rei zawng (YLL) chu kum 80 - 15 = 65 a ni. Hetah hian rualbanlo a awm loh avangin YLD value chu 0 a ni.
Chuvangin a DALY value chu 65. Chumi awmzia chu kum 65 chhung nun hrisel a hloh tihna a ni.
Mahse hetah hian thil tha tak a awm. Natna i nei a nih pawhin Doctor hnen atanga enkawl dan mumal tak i hmuh a, i nunphung i thlak danglam a, i hriselna i siam that chuan he DALY value hi i tihtlem thei a, chu chu i dam chhung hrisel i tipung thei tihna a ni.
Eng natna leh harsatna nge DALY-te nghawng?
DALY chhiar hian natna chi hrang hrang, accident leh rualbanlote ngaihtuah a ni. A hnuaia tarlan te hi kan ramah pawh a awm fo thinte chu a ni.
| Natna/Condition Category hrang hrang | Entirnan |
|---|---|
| Natna hrik kai theih | HIV, measles, COVID-19, dengue, TB, leh meningitis ang chi hri kai te. |
| Nunphung kaihhnawih natna | Zunthlum, thinlung natna, cancer, cholesterol sang. |
| Accident leh hliam tuar te | Kawngpui chetsualna, tlu leh tharum thawhna avanga hliam tuar. |
| Rilru hriselna lama harsatna nei | Depression, Lungkhamna. |
| Thil awmdan dang | Nau piangsual, kum upat avanga natna (e.g. Alzheimer’s), ei leh in lama harsatna, hnungzang/ kawng na, hriatna emaw mitdel emaw. |
DALY leh QALY inthlauhna
DALY ang bawkin tehfung dang QALY (Quality-Adjusted Life Year) tih a awm bawk. Hei hian dam rei zawng leh nunphung a teh bawk. QALY chu hriselna famkim nena nun kum a ni.
Heng pahnih inthlauhna ber chu:
- DALY hian natna emaw thihna emaw avanga kum hloh zat a teh a ni.
- QALY a niEnkawlna emaw nunphung inthlak danglamna avanga nunphung tha zawk avanga kum hrisel i neih zat a teh a ni .
Engtin nge DALY score i tihsan theih ang?
Research atanga a lan dan chuan i dam rei theihna tur leh natna phurrit tihziaawmna tur thil engemaw zat i tih theih a ni. Chungte chu i doctor nen in sawiho thei a, i duh angin i ti thei bawk.
| Eng nge tih tur | Hrilhfiahna |
|---|---|
| Body mass index (BMI) tihhniam . | I san zawng atan taksa rihna hrisel tak vawng reng rawh. Hemi chungchangah hian doctor rawn la. |
| Meizial zuk bânsan | Meizial zuk bânsan emaw, tihtlem vek emaw hian natna tam tak lakah a veng thei a ni. |
| Zu in hman tawh loh | Zu in tlem emaw, tihtawp vek emaw hi hriselna atan a \angkai hle. |
| Taksa tihchak leh exercise lak | Nitin exercise la, kea kal, tlan, leh tui chawi te hian i thinlung leh taksa a ti hrisel thei a ni. |
| Ei leh in inthlau tak a ni | Thlai thar, thei, legumes, leh fibrous foods (brown rice, whole grains ang chi) tamna diet ei. |
Zirna pakhatah chuan hetiang nun hrisel hmangtute hian an nunah kum 2 tal nun hrisel an belhchhah tih hmuhchhuah a ni a, chutiang nun hmang lote nen khaikhin chuan.
Engvangin nge DALY tehfung hi a tangkai?
DALY data en hian health official leh doctor-te chuan ram pakhat chunga natna pakhatin a phurrit chu an hrethiam thei a ni. Chu thu hriat a\ang chuan natna dona kawngah te, mite zirtirna atan te, leh hriselna lama rawngbawlna tihchangtlun nan a tul angin hma an la thei a ni.
Entirnan, kan rama thalaite zingah zunthlum emaw, thinlung natna emaw a pung zel a nih chuan, DALY data hian an hmalam hun hrisel taka a nghawng dan tur a tarlang dawn a ni. Tichuan, chu dinhmun chu school level-a awareness programme hmangin kan thunun thei a, chu chu exercise la tura fuih ang chi a ni.
DALY method-ah hian tihkhawtlai a awm em?
Awle. DALY hian natna pakhatin a nghawng dan chu number khatah a teh a, a chang chuan a pum pui a rawn tarlang lo. A chhan chu natna leh buaina zawng zawng hi a inang vek lo.
Entirnan, hun rei lote chhunga asthma vei leh rilru natna khirh tak schizophrenia , dam chhung zawnga nun chu thil hrang hrang pahnih a ni.
Tin, mi pakhatin rualbanlo (e.g., kea kal theih lohna, tawng harsat) nei mah se, hriselna enkawlna tha, chhungkua leh khawtlang tanpuina, leh a nun awlsam zawkna tur hmanrua a neih chuan nun famkim leh hlim takin a nung thei bawk. DALY chhiar hunah heng social factors te hi ngaihtuah tel a ni lo mai thei.
Amaherawhchu, DALY hi ram pakhat hriselna dinhmun pum pui hriatthiamna zau tak neihna atana hmanraw pawimawh leh tangkai tak a ni.
Take-Home Thuchah a ni
- DALY hi natna, chak lohna emaw, thih hma emaw avanga kum hrisel i hloh zat tehna a ni.
- Hei hi a hun hmaa thihna avanga kum hloh (YLL) leh rualbanlote nena an khawsak kum (YLD) te chu belhkhawmin chhut a ni.
- Thil tam takin DALY hlutna a nghawng a, chu chu nunphung natna, hri kai, accident, leh rilru lam harsatna te hi a ni.
- Nun hrisel (ei leh in tha, exercise, leh zu leh zu in loh) i hman hian i dam chhung hrisel i tipung thei a ni.
- DALY data hi ram pakhat hriselna atana ruahmanna siam leh tihchangtlunna atan a pawimawh hle. Hriselna chungchanga zawhna i neih chuan i doctor nen inbia ang che.
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