Doctor hmu tura i kal hian a chang chuan hming pakhat hnu pakhatin i hre thin a ni lawm ni? ‘Chhungkaw Doctor’, ‘Specialist’, a chang chuan ‘Internist’... Internalist chu tu nge ni tak tak? Mi thenkhat chuan hei hian ‘Intern’ doctor, chu chu training lai doctor a kawk niin an ngai. Mahse chu chu ngaihdan dik lo tak a ni. Internist chu doctor thiam tak, Internal Medicine lama hriatna bik nei a ni. Vawiin hian he specialist doctor Internist tia koh chungchang hi i zir belh leh ang u.
He Internist hi tu nge ni?
A awlsam zawngin Internist chu puitling enkawlna lama tui tak doctor a ni. Anni hi a bik takin taksa chhungril leh taksa peng hrang hrang, thinlung, lung, kal, leh thin (liver) te an ni. Mahse an hriatna chu chutiang taksa peng hrang hrangah chauh a innghat lo. Hriselna lama harsatna eng pawh, vun natna atanga zunthlum thlengin an enkawl thei a, venhimna an pe thei bawk.
A pawimawh ber chu Internist hian puitling chauh a enkawl thin . Chu chu a tlangpuiin kum 18 chunglamte an ni a, zai an ti lo.
Damlote hian an internist nen hian hun rei tak chhung inzawmna an nei fo thin. Doctor pakhat hnuaiah hian natna hrang hrang an enkawl theih avangin kan chhungkaw doctor (Primary Care Doctor) angin an che thin. Taksa system zawng zawngte thawhhona thuk tak an nei a, chu chuan thil inzawmkhawmte chu hriatchhuah leh enkawl thiamna mak tak a siam a ni.
Internist leh Family Physician te hi eng nge an danglamna?
Chhungkaw doctor thlan i duh hunah chuan internist nge chhungkaw doctor thlan tur tih i ngaihtuah mai thei. An pahnih inthlauhna lian ber chu an enkawl damlote kum a ni.
An pahnih hian natna chi hrang hrang an enkawl a, invenna tur enkawlna an pe bawk. Mahse, Internist hian puitling hriselna chungchangah hriatna thuk tak a nei a ni. Chhungkaw Damdawi thiam chuan naupang leh puitling chungchangah pawh hriatna zau tak a nei a.
| Point of comparison a ni | Internist a ni | Chhungkaw Damdawi lam thiam |
|---|---|---|
| Kum bithliah enkawl a ni | Puitling tan chauh (a tlangpuiin kum 18+ mi) | Naupang leh puitling telin kum zawng zawng |
| Hriatna awm dan | Puitling natna chungchangah hian hriatna thuk tak, mithiam tak a nei. | Kum zawng zawng tana inzawm hriatna hrang hrang a awm a. |
| Damdawi in enkawl a ni | Damdawi ina awm damlo enkawl duhna a sang zawk. | Vawi tam tak chu damdawi ina awm damlote chu specialist hnenah an refer thin. |
Internist hian eng area-ah nge a specialise theih ang?
Internist chu general practitioner an ni thei a, a nih loh leh field pakhatah specialise-ah an kal thei bawk. Specialist an nih chuan chu specialty hmingin kan ko thin. Mahse, heng mi zawng zawng hi internist hna thawkin an inzir hmasa ber tih hre reng ang che.
Entirnan, cardiologist chu internist, thinlung lama specialised training nei a ni.
| Specialty a ni | A awlsam zawngin... |
|---|---|
| Cardiology lam a ni | Lung natna leh thisen kalna kaihhnawih natna |
| Endocrinology lam hawi a ni | Hormone kaihhnawih natna, zunthlum leh thyroid te |
| Gastroenterology lam a ni | Digestive system natna hrang hrang, pum, intestines, leh liver te |
| Nephrology lam a ni | Kal natna |
| Oncology lam a ni | Ngawt |
| Pulmonology lam a ni | Lung leh thawkna lam natna (e.g. asthma) . |
| Rheumatology lam a ni | Ruh, ruh leh ruh nena inzawm natna (e.g. arthritis) . |
| Neurology lam a ni | Thluak leh nervous system natna te |
Engtikah nge internist i hmuh ang?
Chhan hrang hrang avangin internist tanpuina i mamawh mai thei.
Natna rei tak enkawlna
Diabetes, High Blood Pressure, Heart Disease, Arthritis ang chi natna khirh tak i nei ang tih han ngaihtuah teh. Heng natna khirh tak takte hi a na zual lova control leh enkawl hi Internist a pawimawh hle.
Preventive care atan
"A tha ber chu natna a thlen hmaa ven hi a ni." Hemi kawngah hian internist chuan a pui ang che.
- Kum tin checkup neih thin a ni
- Vaccine pek dan tur
- Thisen leh zun test a ni
- Cancer screening neih dan tur rawtna
Natna enkawl dan tur
Internist chuan i natna eng pawh i neih chhan zawng turin a pui thei che a ni. Muscle strain ang maia thil awlsam tak a ni thei a, a pawi zawk pawh a ni thei bawk. A chhan an hmuchhuak thei a, i mamawh enkawlna an pe thei bawk.
Hriselna lama harsatna dang eng pawh
Dik tak chuan, puitlingin hriselna lama harsatna a neih apiang sawipui tur chuan internist hi a tha ber a ni. I harsatna chu an enkawl thei a ni. An field pawn lam thil a nih chuan specialist tling ber hnenah pawh an refer thei bawk che .
Internist hnena i kal hian eng nge thleng?
Internist i tlawh hian hengte hi i zawm tlangpui thin:
1. Basic examination: I vital signs (thisen sang, pulse, leh temperature) te chu enfiah a ni ang.
2. Thu hriat tur: I damdawi lam chanchin, damdawi i ei mek leh i natna lan chhuah dan chipchiar takin i sawi ang. Hetah hian engmah thup lovin thudik sawi a pawimawh hle .
3. Taksa endikna: Doctor chuan i thinlung leh i lungte chu stethoscope hmangin a ngaithla ang a, i beng, i beng, i mit leh i vun te a enfiah ang.
4. Test tura referral: A tul chuan thisen test, zun test, emaw scan ang chi thilte refer a ni.
5. Enkawl dan tur ruahmanna: Heng zawng zawng hi i ngaihtuah hnuah i damdawi lam dinhmun chu hriatchhuah a ni ang a, enkawlna tur ruahmanna felfai tak siamsak a ni ang.
A pawimawh ber chu, Doctor-in a sawi chu i hrethiam lo a nih chuan zawh nawn hlau suh. I hriselna chungchang chiang taka sawi chu i dikna a ni.
Specialist dang hnen atanga enkawlna i dawng a nih chuan internist pawhin anmahni pakhat zel chu a bia a, i enkawlna chu a coordinate thei bawk. Hei hian damdawi inhnialna ang chi harsatna a awm loh nan a pui thei a ni.
Take-Home Thuchah a ni
- Internist chu taksa peng hrang hranga specialist, puitling enkawltu doctor a ni. ‘Intern’ Doctor nen hian inthlau suh ang che.
- I primary care doctor angin an thawk thei bawk. Natna khirh tak tak, zunthlum leh thisen sang te enkawlna kawngah an pawimawh hle.
- Internist leh Family Physician inthlauhna ber chu Internist hian puitling chauh a enkawl a ni.
- Hriselna lama harsatna awm apiang sawipui turin internist i hmu thei a, thurawn pawh i la thei bawk. A tul chuan specialist dik tak hnenah an refer ang che.
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