Dr.T.Lalzoliana

Damdawi zinga kan chawi lar ber pawl Antibiotics hi a hman dan kan la thiam tawk lovin, a tangkaina ang pawh a kan hmang lo leh a chakna bo thak khawp a kan hmang fo thin hi a pawi takzet a ni.
Image result for antibioticAntibiotics chu natna hrik that theitu Damdawi kan ti thei ang. Chutiang a lo nih si chuan damdawi tangkai leh pawimawh berte zing a mi kan ti lo thei lovang, to lah an to hlawm reng a. He damdawi tangkai leh man to si hi Mizo chang ni lo, hnam dangte pawhin an hmang sual fo a ni. Awmna satliah, hritlang hrawkna, zun-in leh khawsik satliah ten kan ei thla zen hi chu a dik lo tawp mai. (Doctor ten mi chawh miau chuan engtin nge ni ang, kan ram Doctor te hian an lek lam hle si a)
Ram changkangah chuan natna a chhan leh vang hriat leh hmuhchhuah anih hma chuan Antibiotics an pe ve mai mai ngai lo. Na chhawkna satliah (paracetamol) an pe phawt a, investigation tul apiang an ti a, chutah natna chiang tak an hmuh hnuah Antibiotics chu duh an chawhe chuah thin a ni. Antibiotics hi duh ang hun apiang leh duh chen chen ei mai chi a ni lo. Doctor ten ni khat a ei hun an tih leh ei tur zat an tih chu ei ngei ngei tur a ni. Entirnan- Ni khata vawi 3 ei chi te, vawi 4 ei chi te ni 7 chhunga ei tur kha ni 3 emaw chauh ei chuan damdawi khan a hnathawh tur ang a thawk thin lo.
Antibiotics mahni thu a ei mai mai hian tangkaina a nei lovin, awmzia a nei lo ang bawk hian mihring taksaah hnathawh a har tial tial bawk thin. I taksa in a mamawh kha a sang tial tial bawk ang. Tin, eng Antibiotics nge ? eng natna nge a thah bik tih kan hriat loh chuan ei vak vak hian awmzia a nei chuang lo, chumi awmzia chu natna a zirin ei tur bik a awm a nih chu. Tunah chuan thiamna a lo sang tial tial a, zun leh khak te pawh an “Culture” a, ti chuan I zun kawng leh hrawkna awm tirtu bik chauhvin a ngei antibiotics kha ei chuan dam theih mai a ni. Kan theih hram chuan damdawi dang reng reng pawh antibiotics tiamin Doctorte thu lo chuan ei mai mai loh tur a ni. Sum tak tak sen a dampui tak tak si lovin leh a chang phei chuan kan taksa in a tawrh phah thin hi a lo bo theih nan fimkhur I la, tichuan hriselna lamah hma kan sawn phah ngei ang.


CARDIOPULMONARY RESUSCITATION (CPR)
(Thawchham Leh Lungphu Chawl Thut Enkawl)
Dr. Vanlalsiama,MD (Aneast)
Thawchham Leh Lungphu Chawl Thut EnkawlBus a a chuan laiin mi pakhat chu a chau thut mai a, a tlu a, a thawk a chham a, a duk ta nghal vek mai a. A chuanna bus ah chuan nurse fel lehthiam tak mai a lo chuang ve hlauh mai a, a awmah a nem zawt zawt a, a ka in thawk a pe a,minute reilo te ah chuan a mar phu a rawn awm leh a, a rawn sen chhuak leh a, a thawk te pawh a rawn awm leh ta a, midang tanpuina in damdawiin ah an hruai ta a. He nurse fel takin a tih hi cardiopulmonary resuscitation (CPR) a ni a, khawvel hmun hrang hrang ah nitin hetiang a chauh thut leh lungphu chawlh thut hi a thleng thin a, CPR hmang hian nunna tam tak chhanchhuah an ni thin a ni.
‘Cardiopulmonary resuscitation’ tih hmasak ber a an sawi fo thin chu zawlnei Elija in hmeithai fa a tihdam kha a ni a. Elija kha hmeithai fa chungah khan vawithum a bawhkhup hnu ah a lo dam leh ta a nih kha (I Lalte 17:21). Hma sawn zel in vawiin ni thleng hian tihdan tha zawk dapin nikum 2010 thleng khan tihdan tur an la siam thar zel a, 2010 guideline-ah phei chuan a hma a tihdan hun rei tak lo pawm leh zawm tawh ABC (Airway, Breathing, Circulation) chu thlakin CAB (Chest compression, airway, breathing) an lo ti ta hial a ni. CPR hi doctor leh nurse, damdawi lama thawk zawng zawng leh police leh sipai te, leh tlawmngaia mi chhan chhuak thin te hian an hre tur a ni a, zau leh thiam zawka kan in zirtir hi a pawimawh hle a ni.
CPR tihdan hi awlsam thei ang berin sawi tum ta ila:
1. CALL FOR HELP- TANPUI TU KOH: Mi nikhawhre lova a tluk in emaw, a thawk lohin emaw, a lungphu a chawl emaw a nih chuan a hmasa ber in tanpuitu koh tur a ni a, kan velah midang min tanpui tu kan ko vat anga, damdawi lam thiam koh vat a tha hle a ni. Chumi hnu ah chauh damlo chu kan buaipui ang. Hei hi a chhan chu mahni maiin hetianga damlo na te hi enkawl an theih loh a ni. Tin, min tanpuitu tura kan sawm te khan midang zel an ko thei ang a, keimahni khan damlo buaipui chauh kan ngaihtuah thei bawk dawn a ni. Chuvangin mi nikhawhre lo, thawk la lo leh lungphu chawl kan hmuh in TANPUI TU KAN KO HMASABER TUR A NI.
2. CHEST COMPRESSION- AWM A NEM:Kan damlo bawihsawm chu kan mut zangthal tir anga, a awm lai tak ah kan nem nghal zawt zawt tur a ni. Awm a nem na tur lai hi hnute inkar ruh ah a ni a, minute 1 ah vawi 100 tal a tam, inches 2 a thuk nem tur a ni (Puitling ah).Awm a vawi 30 nem zel hnuah damlo hi thawk vawi 1 pek tur a ni ang. Awma nem hi a pawimawh em avangin chawlh loh tur a ni a, tihtur pawimawh dang tam taka wm mahse second 6 aia rei chawlh loh tur ani.
3. AIRWAY - THAWK KAWNG ENFIAH:Awm ah vawi 30 nem hnuah hian damlo thawk kawngte enfiah tur a ni. Damlo thenkhat chuan mahni a thawk an tum a, mahse an hrawk ah an lei emaw, thil dangin emaw a hnawh thin a, hetiang damlo te hi an khabe atangin an lu kawih dak tur a ni. Tin ka leh hrawkah hnawhtu a awm chuan lak chhuah sak te pawh a ngai thin bawk,
4. BREATHING - THAWK TIR: Awm ah vawi 30 nem zawh veleh hian damlo chu vawi 1 thawk tir zel tur a ni ang. Damlo chu a thawk miau loh avangin thawk hi a chhanchhuak tu te hian pek a ngai dawn a ni.
Thawk pek dan: Damlo lu kawih dak deuh tur a ni a, kut lehlam in a hnar hmeh ping a, kut lehlamin khabe ah dawm a, ka in thawk pek tur a ni. Rawmawl pan deuh chhanah thawkpek hi a him a, a tenawm loh phah bawk. Damlo ka a kan thawk loh hian a pawimawh ber chu damlo in thawk a dawng ngei tih hriat nan damlo awm a in sep kang ngei tur a ni ang.
CPR hi a pawimawh em em a, awlsam te a mi nuna chhan theihna a nih avangin thiam a tha hle. Hriat belh duh tan doctor te hnenah zawh theih reng a ni e.


THISEN CANCER
Dr. Dorris Lallawmzuali
Cancer zingah chuan thisen cancer hi tihbaiawm ber pawl a ni awm e. Kum 2000 chhung khan khawvel pumah mi 2,56,000 in an vei a, chung zing a mi, 2,09,000 te chuan an thihpui a ni1. Kum 2002 khan India ramah thisen cancer hi mi 1,20,603 velin an vei a. Mizoramah chuan thisen Cancerah pawh a rang chi kan tih (Acute Leukemia) bik hi mi 135 in 2005-2008 chhungin an vei a*, Mizo cancer vei zawng zawng zingah2.8% a ni.
Image result for leukemia

Engvanga hlauhawm viau nge ni?
Thisen cancer (leukemia) hi thling a thisen var (WBC, White Blood Cell) insiam diklo (Blast) vang a awm a ni. Heng ‘blast’ te hi an nih tur ang a an than puitlin theih loh avangin thlingah nasa takin a pung a, taksa mamawh thisen timur dang insiam thei lo leh hnathawk thei lovin an siam a, an rawn luahlan thin a ni.
Thisen cancer hlauhawm zual bikna chhan tlangpui han tarlang ila.
• Cancer, a intanna organ (taksa peng) zai thlak hlawk theih chi hi chu a zung nen a paih fai vek theih a nih loh pawhin, nasa takin a tai darh tur a veng a. Thisen cancer insiamna hi thling (bone marrow) a nih avangin cancer dang te, eg. hnute, pumpui, etc. te ang in a zai thlak hlawk ve theih loh a. Chemotherapy emaw bone marrow transplant emaw chauhvin enkawl theih a ni.
• Thling a chak tak a insiam a nih avangin, thling a insiam ve tho, RBC (Red Blood Cell- thisen ‘sen’), WBC (White Blood Cell- thisen var) leh Platelets (pem neih a thisen tikhaltu) te hi insiam thei lovin a nek chep a. Hengte hi taksa in a mamawh avangin damlo chu rang takin a chau nghal thin a ni.
• Cancer dang aiin inven a harsa. Cancer tam tak hi chu chin tha lo vangte in a awm duh bik a. Entirnan, zu leh meizial te hian pumpui, chawkawng, hrawk, chuap leh cancer dangte a thlen a. Hepatitis B leh C vei te’n thin (liver) cancer an nei duh bik a. Sex hman hma/uar lutuk avangte in chhul hmawr cancer te a insiam a. Thisen cancer hi x-ray leh radiation dang hmuh nasat lutuk avang te, chemical thenkhat eg. Benzene, cancer damdawi vang te a awm thin ni a rinhlelh nimahsela, a tam zawk hi chu kan timur insiam fuh lo (genetic defect) avanga lo awm a ni.
*4. Ruhna:* Thling hi ruh chhunga awm a ni a. Cancer Cell-te an lo pun tak vakah chuanruhna a siam thei a. Awm ruh (sternum) hi a na duh tlangpui bik.
*5.Thal bawk:* Cancer cell an tam viau chuan thal bawk a siam thei a. Thal bawk chhung a cancer cell an tam chuan damlo tan a tha lo hle a, a natna hi a chak zual tihna a ni duh hle.
*6.Thin lian, la tla (splenomegaly) leh awm chhung (mediastinum) ah te pawh cancer hlawm hian bawk a siam thei a. Hetiang a awm chuan cancer chu a chak zual duh bik hle a ni.
*7. Thluak lam buaina:* *Cancer cell te’n thluak lamah bu an khuar chuan dam lo chuan lu na, kaih leh chian loh ruaina te a nei thei. Hei pawh hi cancer chu a nasa hle tih hriatna pakhat a ni.
*8.Kum:* A tlangpuiin ALL hi kum 2 atanga kum 8 inkarah a tam ber.Kum 1 hnuailam leh kum 10 aia upateah hian a natna hi a chak lehzual bik a ni. Kum 30 leh 40 inkarah a tam leh bawk. AML hi chu puitlingah a awm deuh ber thung a, ALL ai pawh hian a rang zawk deuh thin.
Thisen cancer hriath theih dan te:
A chung a kan ziahte ang a i awm chuan doctor pan vat ang che. Doctor chuan uluk tak a a en hnuah che test chi hrang hrang tih tur a hrilh ang che.
Mizoram a test kan tih theih te tarlang phawt ila.
*1. Hemogram:* Hei hi thisen enna zing a kan hman uar ber leh tangkai ber pawl a ni. He test-ah hian thil chi hrang hrang en a ni.
*-Hemoglobin(Hb):* Hei hian taksa a RBC tam zawng a en a. Mipa hrisel pangai tak chuan Hb 13-18 gm% a nei thin. Hmeichhia erawh chuan 11-16 gm % a nei tlangpui. Thisen cancer vei Hb chu a hniam tlangpui a, a chang chuan 2 gm % chauh te pawh a ni thei.
*-TLC(Total Leukocyte Count):* Hei hi thisen var tam zawng sawina a ni ve thung a.Mi hrisel pangngai chuan 4000-11000 /cumm vel a nei a. Thisen cancer ah chuan TLC hi a sang em em a, 20,000-200,000/cumm te a ni thin.
TLC hi natna dang tam tak ah pawh a sang thei a - pun (infection) ah te, naupai te, exercise lak nasat te hian a tisang thei. Amaherawh chu, thisen cancer ang em em hian a sang ve ngai lo a ni.
Thisen cancer nei reng si hian TLC hi a normal emaw, 4000/cumm ai pawhin a tlem ve thei a. ‘Subleukemic’ leh ‘Aleukemic leukemia’ ti a vuah an ni. TLC normal emaw tlem emaw pawh nise, thlingah ‘blast’ kan tih te hi hmuh tur an awm a, thisen pawnlangah an rawn chhuak tlem mai zawk a ni. Hengah hi chuan peripheral smear kha Pathologist in uluk takin a en a ngai a, thling test pawh tih a ngai thin.
*-Platelet count:* Mihring pangaiah chuan 150,000-400,000/cumm a ni thin.
50,000/cumm aia a tam chuan intihnat loh/pem loh chuan amahin thi a chhuak lova. 10,000-50,000/cumm inkar vel a a hniam chuan intihnat kher loh pawhin thi a chhuak ngawt emaw taksa duk emaw a awm ngawt thei.
10,000/cumm aia a hniam phei chuan pum leh rilah te, zunkawngah te thi nasa takin a chhuak a, thihpui hial a hlauhawm em em a ni.
*-Peripheral smear:* He test-ah hi chuan thisen far khat kha glass phekah nawr pherh a ni a. Chumi chu chemical hman tur bik a sawngbawl a nih hnuah enlenna (microscope) hnuaiah zirchian a ni. A chunga kan sawi tak te khi chu khawl leh hmanraw danga en theih a ni a. He test hi chu uluk tak a mit ngei a en a ngai. He test-ah hian kan sawi tak zawng zawng khi mit ngei a finfiah a nih bakah, ‘blast’ awm zat kha chhiar a ni a. An zia atangin ALL nge, AML nge natna dang tih pawh zirchian thin a ni. TLC hniamah pawh ‘blast’ a awm theih tho avangin he test hi a pawimawh em em. TLC sangah pawh cancer nge infection satliah vanga sang ti chiang bertu a ni.
*2.Bone marrow examination:* Thling test hi thisen cancer zawng zawngah tihnghal a tul kher lo va, a chi (type) chian nan lehdamlovin treatment a lak hnuah a damdawi ngeih leh ngeih loh en nan te tih thin a ni. Hriauvin khelruh hnung lamah emaw, awmruhah emaw, naupangah chuan khup hnuaiah emaw thling hip chhuah thin a ni. A hlauhawm hmel aiin he test hi ‘a na lutuk lo..’ an ti tlangpui.
Mizoram a la tih ve theih rih loh te.
*3. Cytochemistry:* Hei hi chemical thenkhat hmanga thisen sawngbawlna a ni a, ALL leh AML hriatchian nan a tha hle. Aizawl Civil Hospital-ah pawh hetiang test hi tih ve theihna turin hmalak mek a ni.
*4. Immunophenotyping:* Hei hi thisen/thling khawl a enna a ni. He khawl hian eng thisen cancer ber nge tih a chian thei. Mizoramah he test hi kan la ti thei ve loh avangin, a tul dan a zirin phaiah thawn thin a ni.
A enkawl dan tlangpui:
*1. Chemotherapy:* Phase hrang hrang in enkawl thin a ni. ‘Induction phase’ an tih ah hian blast awm zawng zawng kha thah tum a ni a, cancer damdawi chi 3 vel hman a ni tlangpui. Thlinga blast an thah rem duak hnu hi chuan cell pangngai te a rawn insiam leh ta thin. Intensive phase ah hian damdawi chi 2 emaw chi 3 emaw in enkawl leh an ni a, cancer cell lo let leh tur kha lo venna a ni. ‘Maintenance phase’ ah hi chuan nitin emaw kar tin emaw damdawi pek an ni a. Kum 2-3 te hetiang hian enkawl zui an ni. Kum 3 aia rei cancer a rawn let loh chuan dam ang a ngaih an ni. Chemotherapy hian blast bakah cell pangngai a thah ve tho avangin dam lo chuan ‘side effect’ tam tak a nei thin a; khawsik, chauh ngawih ngawih, luak chhuak leh chaw ei tui lo, sam tlakawlh, etc. te hi a hnathawh lanna tlangpui a ni.
*2. Radiotherapy:* Hei hi khawl hmanga damlo hemna a ni. Mizoramah chuan Zemabawk, Aizawlah a khawl hi bun a ni. Thisen cancer bikah hi chuan hman a nih tho rual in chemotherapy aiin a tangkai lo zawk. Cancer thluak leh tilmu lam a tai darh vennan leh enkawl nan te, ‘bone marrow transplant’ tih hmaa blast tam thei ang ber thah nan te hman a ni tlangpui. Hei pawh hian side effect tam tak neiin, chauhna te, hemna lai vun na te, sam tla te a siam ve thei a ni.
*3. Bone marrow transplant* :Damlo chuchemotherapy emaw radiothe rapy a enkawl a nih hnu in, a taksa a blast atlem ber laiin midang (allogenic) emaw a ma (autologous) thling emawchu amahah dah a ni a. Chu thling, blast nei lo chuan thisen a cell chihrang hrang te rawn siam tur a beisei a ni. Bone marrow transplant hithil awlai lo tak a ni a, khawl tha mai bakah hmun thianghlim lutuk te angaih avangin Mizoramah tihtheih a la ni ve lo

C. Laldinmawii, Extension Educator
THISEN SANG ENKAWL DANThisen sang hi tunlai khawvelah chuan natna lar ber pawl a ni a, thil chi hrang hrang avangin thisen sang hi a neih theih a ni. Inthlahchhawnna atang te, kal lam natna atang te leh taksaa tuihnang (hormone) hnathawh a danglam te hian thisen sang a awm thei a ni. Thisen sang nei tan chuan rilru hahna leh min delh rittu thil kan neih te hian thisen a ti sang zual thei a. Thau lutuk te, chi ei hnem te, zu in te leh taksa sawi zawi that loh te hi thisen sang nei te hian an ngeih lo hle a ni. Thisen sang hi natna zawiawi tak mai a ni a, taksaah a lang chhuak mai lo va, mahse zawi zawiin taksa a tichhe telh telh thei a ni. Taksaah natna a lanchhuah tak tak erawh chuan thih mai theih khawpin harsatna a tawh theih thung a ni. Chuvangin inenkawl that a ngai hle a, tihdam theih a ni tawh lo va, mahse thisen sang tur kha damdawi te leh nunphung tihdanglam avang te in awmphung pangngaiah kan dah thei a ni. Thisen sang nei te chuan kal tha lo an nei duh hle a, kal hna thawk thei tawh lo mi tam tak an awm mek a ni. Thisen a san chuan thluaka thisen dawt kha a insawr zim thei a, a inhnawhping thut thei bawk. Hetiang a thlen tawh chuan thih thut theih a ni a, vanneih viau pawhin taksa bung hrang khawi emaw lai chu che thei lovin a awm phah thei a, a thente phei chu a zeng hlen thei a ni. Lung tha lo an nei thin bawk a, heart attack te an nei thut a, accident a awl hle a ni. 
Thisen sang damdawi tha tak tak te awm bawk mah se, B.P. sang thunun tur chuan ei leh in te uluk a ngai a, nunphung leh kan thil chin than tha lo te pawh paih ngam a ngai a ni. Blood Pressure (B.P.) hi mi thiam ten an sawi dan in 140/90 mm (140 hnuaiah 90) aia a san chuan inenkawl thuai tur a ni a. Kum 60 chung lamah chuan 160 hnuaiah 96 aia a san chuan inenkawl vat tur a ni. Kan blood pressure hi a nih dan tur tak chu 120 hnuaiah 80 a ni a, hei aia a san hret pawhin rei lo teah thisen sang avanga harsatna chi hrang hrang kan nei thei a ni. Amaherawhchu, inenkawl thuai chuan damdawi tel lo pawhin thisen sang tur kha a thunun theih a ni.

Thau lutuk hian kan taksaah thau chikhat, choles-terol a inkhawl teuh a, hei hian thisen sang leh lung lam thatlohna a thlen thei a. Kan rihna kan tih hniam a, exercise kan lak that chuan thisen sang pangngai nei tan chuan damdawi ei lo pawhin a awm theih a ni. Chi kan ei thinah hian thisen sang ina a huat em em sodium a tel a, he sodium hian thisen sang a tizual a, ei hnem phei chuan lungphu chawla thih theih a ni a, kal lam harsatna thlentu a ni thei bawk. Chi hian chaw ei a ti tui a, ni tina kan ei tel ziah \hin a nih avangin ei loh tawp chu thil harsa a ni. Mahse zawi zawi a ei tlem zel tum a tha a, tunah chuan dawr hrang hrangah te thisen sang ei tur bik chi te an zuar ve zel a, heng chi hi ei atan chuan a tha zawk hle a ni. Mizote hian chawhmehah chi kan telh a, chaw kan eiin kan chhawp tel bawk a, kan chi ei hi nikhatah pawh a tam hle thin. Thisen sang nei chuan chawhmeha telh hi duh tawk thei mai se a tha hle ang. A nihna takah chuan thisen sang nei hian nikhatah chi gram nga bak ei loh tur a ni a, chi hmer khat vel hi gram khat anga chhut a ni. Zu hi thisen sang nei ten an haw hle a. Zu in thin ten ngaihdan pakhat an neihah chuan zu hi thisen sang ti hniamtu niin an ngai a, eng emaw chen rilru a hahdam a, mahse B.P. chu nasa lehzualin a tih san phah thin.

Potassium tamna lam thil ei tam hian thisen sang a veng thei a. Thei lam chi leh coconut tuiah te hian potassium a tam a, a theih hram chuan ei hnem a tha. Hetih rual hian thisen sang nei zingah pawh kal tha lo tam tak an awm a, kal \ha lo ten potassium an huat avangin ei loh tur a ni thung. Potassium tamna kan ei hian chi kan taksa a tam lutuk tur kha a titlem ve thei a ni. Alu leh sanghaah te hian potassium a tam hle a, kal natna nei lo tan chuan a tha hle. Regular taka exercise lak hian thisen sang tur a veng a, taksa a hrisel phah bawk. Hetih rual hian nasa lutuka exercise lak, entir nan ritchawi te hi tih hauh loh tur a ni. Zing tlan, kal leh tui chen te hi a tha hle. Sa-ah hian cholesterol a tam hle a, sa ti sen kan tih ho bawng sa, vawk sa, kel saah te hian a tam zual a, sa kan ei a nih pawhin sangha leh arsa te hi thlan hram a \ha. Rim lutuk leh rit lutuka hnathawh hi B.P. sang nei ten an haw em em a, intihhlimna hun leh hahdamna hun te insiam hram a tha. Blood pressure hi a ngai rengin a awm mawh hle a, nikhat lekah pawh a danglam reng theih avangin a khat tawka B.P. check reng hi a pawimawh hle. Chutah a lo sang deuh a nih chuan inthlahdah vang te a ni thei a, uluk zawka inenkawl leh thuai tur a ni.

B.P. sang damdawi hi heng natna nei te tan chuan a that viau rualin kan ei a nih pawhin awmze neia ei hram tur a ni a. A san nasat avanga ei hnem ngawt lovin, kan sawi tak tih tur chi hrang hrangte kha kan zawm phawt chuan tlem tlem a kan ei zat kha tih hniam zawk a tha hle ang. Damdawi ei hnem hian side effect a neih theih avangin thlah ngawt chu a har deuh a nih pawhin dose tih hniam tum hram a tha. Keimahni duh-thlanna ngeiin, damdawi ei ngai lovin hrisel takin kan awm thei a ni tih hre thar leh theuh ila a tha ang.

Dr. C.Lalhrekima
Image result for suicide
A tan kawng dang a awm tawh lo. A nun chu a’n thlir kir thin a, zahna leh hrehawmna hlir ni maiin a hria a. A hun kal tawhah tangkaina a nei lo. Mi zah a hlawh lova, hlawh tur pawhin a nung hek lo. Mi ngaihsak a hlawh lova, ngaihsak phu pawh a ni lo reng a. Tuman an hmangaih lovin a inhria a, hmangaih tlak pawh a ni lo reng alawm. Tuna a tawrh phei hi chu a na em asin! A tân chuan khawvel hi hremhmun a ni berin a hria a, a tân nun ve reng nachhan tur a awm lo. Thi se a tân a hahdamthlak zawk ang a, mi dang tân a thawven thlakin a ring bawk. Mahse han thih ngawt mai chu…Aw, puitu tur han awm hlauh se, a harsatna hriatthiampuitu han awm teh hlauh se…Thihna lo hi kawng dang awm teh hlauh sela aw! 
Sawi tur a va la ngah em! Mahse tuman an ngaithla peih lovang. A harsatna hi an tân chuan a nep awm em mai. Miin nep ti dawn viau mahse a tân chuan tuar a har em asin! Mi chak lo, dawihzep, tuar zuau, harsatna su ngam loa tlanchhiat tumah an puh tho ang. Chutianga dem leh nuihsawh tur ringawt atan chuan tu hnenah mah a inpuang thei si lo. Chuti anih ahnu, kawng dang awm hek lo, a tân chuan thihna chu a chawlh hahdamna tur a ni. Chawlh hahdam a mamawh tawh em em si a.
Tichuan, hruihrual chu a la a, a puanhnuaiah a thukru a, kawmthlang huan chu a pan thla ta a…
Mahni inthah (suicide) chu mahni duh thu renga mahni nunna chhat tihna a ni a. Thil awmze nei lo lutuk, thil atthlak, tih loh tawp tur angin kan ngai fo a. Kan dem a, kan ngaisang lova. A titu chu mi nêp, mi dawihzep, harsatna hmachhawn ngam loah kan puh a. Mahni inthah chhan leh a tihdan pawh chi hrang hrang a awm. A titu tan erawh chuan an tuarna tihrehna tura kawng an hmuh chhun, awmze nei leh ruahmanna fel tak nena an tih a ni fo. Ruahman lawkna fel tak nena ti an awm laiin rilru so phut laia inngaihtuah nawn hman mang lova ti pawh an awm thei a, thih duh tak tak lem lo, mahse thi ta tho a awm theih bawk. Mahni inthat tam zawk hian nun chakna leh nun thlakhlelhna an la nei ve tho a, mahni kutzala thih mai lo deuh hi kawng dang awm se an ti ve a, han inthah mai chu an duhthlanna sang ber pawh a ni bik lo. Mahse an tawrh zawh bak phurritin a delh a, an zo ngang lo \hin a ni zawk.
Engvang nge?
Mahni intihhlum chhan sawi tur tam tak a awm a. Rilru lam zirtu hmasate chuan ‘mi dang laka thinrimna mahnia seng luta mahni inhuatna avanga thiltih’ ni berin an sawi a. Phuba lak nân te, thuneihna lantir nân te, mi dang hrem nân te, mahni inhrem nân te, tlanchhiat nân te, chhanchhuahna beisei avang te, pian nawn leh duh avang te, nun thar bul tan leh duh avangte a ni thei bawk a. Mamawh phuhruksak an nih loh avang te, beidawnna avang te, tanpui theih tawh loh nia inhriat avang te, nunna leh an hrehawm tawrh inbuk tawk lo lutuka hriat avangte, thil thlir zau theih tawk loh avangte leh hrehawmna a\anga tlanchhuahna duh avangte a ni fo a. Mangang vawrtawp entirna a ni fo.
Mahni intihhlum tum zawng zawng hi an hlawhtling vek kher lova, ‘Suicide attempts’ vawi 8-25 zela vawi khat hi a hlawhtling ang vela chhut a ni a. Tum tawh hlawhtling lo zinga zaa 10 vel chu a hnu kum 10 chhungin an hlawhtling leh tho ang vela chhut a ni a. Hlawhtling zinga 19-24% vel hi tun hma pawha lo tum tawh an ni reng a. Mahni intihlum zinga 45-70% lai hi rilru natna chikhat ‘mood disorders’ vang a ni a, rilru hlim lo (depression) zinga 15% vel hi mahni an intihlum thin. Hmeichhiain mahni intihhlum mai duhna rilru an pu ngun zawk a, mahse a taka titu chu mipa an tam zawk zel thung. Naupang aiin puitlingah a tam zawk a, rethei deuh leh hausa deuh zingah a thleng thei a, eng hnathawk zingah pawh a awm thei a, taksa hrisel lohna nasa tak nei zingah leh rilru lam natna nei zingah a sang duh bik.
WHO chuan kum tin mi maktaduai khat vel hi mahni intihlum thin angin a chhut a. America ramah chuan mahni intihlum hi kum tin mi 30,000 vel awma chawhrual a ni a. Thihna chhan lian pui pui zinga a pakuana a tling phak. Mizoramah chuan kum 1999 chhiarpuia a lan danin mi 100,000 thia pathum zel hi mahni intihlum anga chhut a ni a.
Invenna kawng
Thihna rau rauah ven lawk theih tak leh pumpelh theih tak, tanpuina dik leh hmachhawn dan dik a awm phei chuan ven hlawhtlin theih a nih miau avang hian a venna hi khawvel pawhin a buaipui a. Kum tin September ni 10 hi ‘World Suicide Prevention Day’ atan kum 2003 atang khan hman a ni ta nghe nghe a ni.
Mahni intihhlum venna kawng sawi tur tam tak a awm a. Hlawm lian deuhin sawi thuak phawt ila :
Hmanraw tihtlem : Mahni intihhlum theihna hmanrua hi tih tlem a ngai. Mahni intihhlum nan hian hmanraw hrang a tam khawp mai a. Ram leh hmun azirin hmanraw hman pawh a dangin hman uar bik pawh a hrang thei. Silai zalenna hmunah chuan silaia inkahhlum a tam a, tur lei mai tur a tamna hmunah chuan tur ei a lar viau bawk. Mahni inthihlum nana hmanraw hman theih hrang hrangte hi tihbo leh lak sawn vek a rem lo thei a, chemte leh hruizente hi chu in tinah a awm lo thei lo fo. Mahse mahni intihlum duh awmna bul atang erawh chuan lak bo leh hmuh mai theih loha siam a ngai si.
Ruihtheih thil hman loh : Ruihtheih thil hi mahni intihhlumna kawngah a inrawlh tel nasa hle a. Thinrim lai leh rilru puam laia ruihtheih thil hman kan uar hlauh hian kan rilru a tiso zual thei fo a, a chhe ber thlen a awlsam bik fo. Zu leh drugs tihrem / tihtlem bakah hmang lo tura inzirtir kan uar a tul a. Mahnia in-damdawi-chawhchawp hi kan sim a ngai. Rilru na leh rilru hah ten inhnem nan leh a chhawk nana hman kan tum thin hian lungngaihna a pawt sei thin. Rilru na hi harhfima tuar hian a dam hma ber zawk.
Rilru hriselna uar : Rilru lam natna chungchanga kan rilru put dan thlak a ngai. Mahni intihlum zinga a tam zawk hi rilru lama harsatna nei an ni fo a. Tanpuina dik an dawng hman lo tlangpui. A chhan tam tak zingah ‘mental illness’ kan ngaihdan dik lo vang a ni thui hle ang. Rilru lam natna nei te hi mi â kan tih tlat avang te, maksak leh danglam riaua kan hriat bik avang te, zahthlaka kan ngaih tlat avang te hian mamawh siin tanpuina an zawng ngam lo thei. Rilru lam natna kan lak thutak tawk loh avang te, enkawlna awm lo emaw, awmze nei loa kan hriat avangte leh dam tak tak thei loa kan ngaih avangte hian a mamawhin enkawlna dik an dawng lo fo bawk. Chuvang chuan nunna kan chan fote pawh niin a lang.
Chhan hrang hrang avanga taksa lam natna chi hrang hrang a awm thei ang chiah hian chhan hrang hrang avangin rilru natna hrang hrang a awm thei. Enkawlna pawh chi hrang hrang a awm a, awmzia a nei thui em em a ni. Mizote hian Pathian thu kan uar hle a. Pathian thu leh khawvel thiamna lak pawlh thiam hi a tul khawp mai. Sual nih inhriatna an neih avang maia Pathian thu hmanga ‘counselling’ duhtawk ringawt hi a tawk loh chang a awm ta fo mai. Counselling ringawtina rilru a thlaktir theih loh chin hrethiam kim mang si lovin kan duh tawkin kan chilh a, mihlim leh tawngtai mi kan ko a, an mamawh dik tak aiin an mamawh nia kan hriatin kan bei vak fo. Tawngtaina hian engkim tithei mahse Lal Isua ngei pawhin hmanraw hmanga damlo a tihdam kan hmu a, an dam leh dam loh pawh puithiamte entir leh kher tura a tir tho ang deuh khan damdawi lam puithiamte rawn tel hi a Pathian thu lohna a awm lo tih pawm a tha.Taksa lam natna a nih chuan daktawr kan rawn a, kan inentir a, kan tawngtai bawk a. A thawk kawp hi a fuh fo. Rilru lam buaina a awm hian ramhuaiah kan puh a, sualah kan puh a, taksa lam buaina a awm chuan sualah kan puh lova, ramhuai hnathawhah kan puh hek lo. Cancer ramhuai hnawhchhuah tum lova thluak buai ramhuai chauh hnawhchhuah kan tum bik hi a fair lo tlat.
Rilru hriselna uar leh hmasawn tum hi invenna tha tak a ni. Kan no lutuk te, kan zuau lutuk te, kan tih lam kan ti lutuk te hi kan inenfiah a ngai. Mi rilru hrisel chu a rilru puthmang a puitling (Emotionally matured) tur a ni. Chu chuan a tawk chauha rilru puthmang tihlan thiam te, insum a huna insum theihte, over lohte a huam. 
Thlarau nun dik neih : Thlarau lama piantharna dik kan neih hi invenna tha em em a ni. Miin Pathian pawhna nun dik tak a neih chuan engkimah Pathian nen an tang dun a, harsatna an tawh pawhin Pathian an dem ngawt lova, Pathian an rawn a, tawrh a ngaih pawhin lungawi takin a tuar thiam a. Piangthar chuan ngaihdam theihna a nei a, phuba lak a tum ngai lo. Mahni inthlum chhan langsar tak pakhat chu tu emaw laka phuba lakna rilru a ni fo si. Pathian thu kan lak fuh loh avanga harsatna kan tawh a tam hle. Mizote hian Pathian hi kan hre em em a, hei hian thui takin min veng sa. Thih chakna nei tam tak ka hmuh zingah tun thlenga an la intihhlum loh chhan an sawi zin ber chu, ‘Pathian an hlauh vang’ a ni fo. Pathian hriatna nun dik kan neih hi a pawimawh tak zet.
Inzirtir uar : Heti lam hawi inzirtirna kan uar a ngai. Mahse kan sawi tha ngam lova, kan \ih a, kan tim a, sawi chi-ah kan ngai lo fo. Nu leh pa te, zirtirtute, kohhran leh khawtlang hruaitute leh mi tin te hian mahni inthah chungchang hi kan zir ngun a, kan zir belh a, kan inzirtir zel a, a hmachhawn dan kan inhrilhriat zel hi invenna kawng pawimawh tak a ni si.
Lo hriat lawk dan a awm em? 
Mi thenkhat chuan, ‘Mahni inthah tum a hriatlawk theih loh’ an ti thin. Mahse a dik vek lo. Chik a, en a, ngaihven chuan ‘warning signs’ hmuh theih a awm fo thin. Heng a hnuaia mite hi lo chik ve teh. A then tal kan ven phah hlauh theih takin!
Thil thleng engemaw leh dinhmun inthlak laite hian mahni inthahna risk a sang zual duh viau a. Chhungkhat leh thian hnaite thihna emaw natna khirh tak neih te; nupa inthen, awm hran, innghirngho, chhungkaw buaina te; hriselna tlakhniam lai leh natna khirh tak neih te; hna, chenna, pawisa, nihna, mahni hlutna leh zahawmna hlohna dinhmun hrang hrangte; zu leh drugs hman sual te leh nun hlim lohna (Depression) neihte hian mahni inthah duhna dinhmunah mi a hruai lut thei a.
Mahni inthah duh hial rilru pute chu an rilru puthmangah leh an nunphungah danglamna hmuh tur a awm fo a. Taksa leh rilru na ngawih ngawih an nei thei a. Beidawnna, zahna, inthiam lohna, mahni inhuatna, mi tumahin hmangaih lo nia inhriatna, â dawna inhriatna, mi tihnat hlauhna, hlu lo leh \angkai loa inhriatna leh engmah tithei lo (powerless) a inhriatnain an khat a. An nun a hlim lo a, taksa leh rilru a chau a, thin a chhia a, ho teah an thin a rim phut thei. School leh hna lama an ‘performance’ a tlahniam thei a, mahniin an tal tam a, tun hmaa nuam tih thinte an tuipui tawh lo fo a, sex lama an phurna thlengin a tlahniam thin. Mahni inngaihsakna a tlahniam a, hmel a thur a, an pawr a, mut leh ei leh in dan a buai thei. 
Mahni inthah tumna lam hawi nunphung hmuh leh hriat theih a awm fo. Inthah tum chhin emaw, mahni intihnat lam hawi thil engpawh a awm thei a. Thih chakna leh mahni inthah mai duhna an sawi chhuak chawk a. Ngaihsamna leh engto nei loh riauna an nunah a lang thar thei a. Thurochhiah siam leh thil neih sem ral pawh an ching fo. Maksak leh hun vak loa mi ‘mangtha’ leh ngawt mai te, hla taka kal bo tura insawi te an ching thei a. ‘Ngaihsak leh buaipui ka ngai tawh lovang’ tih te, ‘Tho leh tawh lo tura mut hilh vang vang ka va’n chak em’ tih te, ‘Ka nun a hlim lo, ka beidawng em mai, ka peih tawh lo,’ tih te, ‘Mahni intihlum te hi Pathianin a hrem ang em?’ tih zawhna zawh te, ‘Thil tha lo deuh titurin ka thinlungah thu a rawn thleng tlet tlet mai’ tih te leh thihna leh a kaihnawih thil tuipui riaute a awm thei.
Engtia lo hmachhawn tur nge?
Mahni inthah tum thu sawi kan hria emaw, chutiang awm anga lang nungchang kan hmu emaw, min rawn pan chawttu an awm emaw a ni mai thei. Engtia hmalaka engtia lo hmachhawn tur nge ni ta ang le? A ven theih an ti tlat si a.
La thutak hle rawh

Mi thenkhat chuan, ‘Mahni inthah tumna sawi chhuak pung pungin an ti tak tak ngam ngai lo,’ an ti \hin. Mahni inthat zaa 75 te hian an thih hma engemaw hun lai khan an lo sawi chhuakin a hriat theihna tur thil engemaw an lo lantir daih tawh. Miin inthah mai a duh thu a sawi chuan ngaihsak hle ang che.
‘Mahni inthah tumte chu mi â an ni mai alawm’ tih ngawt chi a ni lo. Mahni inthat zinga zaa 10 chauh hi rilru buai, mi â han tih theihte an ni. A tam zawk chu mi pangngai, harsatna leh natna dangin a tlakbuak, nun phung dang pangngai tak an ni zawk.
“A harsatna chu a nep ê, han inthah chhan tlak em a ni hlei nem,” tih hi mahni inthatte inthah chhan han hriata mi tam tak kam chhuak a ni fo. I thlir dan kha mi dang thlir dan a ni vek kher lo tih hria ang che. A harsatna chu i ngaihdana a len leh tet lam a ni lo va, a khirh leh khirh loh lam a ni lo, a tuartu a tihnat leh tihhrehawm dan kha a pawimawh zawk fo.
Tanpuitu tur an au e
‘Mahni inthah tum tawh chu tihtawp theih an ni tak tak lo, han tikhawtlai mah ila, a tawpah an ti nge nge tho,’ tih an sawi hi thudik lo a ni chawk. Enganga thih chak leh thih duh pawh hian nun chakna chhe te tal chu an la nei vek. Chu vanga tun thlenga la dam an ni zawk. An tawrhna tihtawp nana thih daih an duh rualin nuam zawka dam erawh an la duh a, thih aia dam hlawkna leh dam chhan tur tha hriat an la mamawh a, tanpuitu an mamawh a, tanpuitu tur an auhna a ni e.
Chet thuai a ngai 
Mahni inthah tumte venna hi muangchan chi a ni lo. Hriat veleha chet chi a ni. Inngaihthah rei hian inchhirna a thlen thei. Mi tam takin tanpuina an zawng ngam lo tih hria la. I lo hauh hrep leh ‘mawl lutuk’ i lo tih emaw an hlau a ni thei a, an chanchin chu tlangthang vak dawna an hriat avang emaw, mi sual nih hlawh dawna an inhriat avang emaw tein an pan hreh thei che. An harsatna kha engemawti zawng tala i puih thuai thuai an mamawh si.
Lo ngaithla ringawt rawh 
An mamawh ber fo chu ngaithlatu a ni. An harsatna te, an rit phurh te, an tawrhna te han bun chhuah hawk hawk an mamawh a. ‘Sawi tur dik’ lo hriat a ngai lova, kawm thiam a pawimawh hek lo. I ngaihsak a, i duhsak a, \anpui i peih a ni tih kha i hmelah leh chetziaah a hmuh chuan a tân a tawk thei. Mahni inthah tumte fuih nan, “I va han nep em em ve, chutiang mai maite chu theihnghih daih rawh.. ngaihzawng dang neihsan daih la ni mai lawm..i va han sual zawk ve le. I piangthar nange.. hremhmunah i kal dawn asin” ti tein fuih an tum fo. Nep an intih sa avangtea thih duh an ni a, an theihnghilh theih loh avanga theihnghilh dan kawng an zawnna a ni a, sual an ntih avanga dam tlak lova inngaia Pathian pawh zah zo lo leh hremhmun pawh hlau thei tawh lo an ni sa fo asin! Thurawn a beisei ber lova, zilhtu leh tehtu a mamawh lo. Dawhthei tak, lainat tak leh a nihna anga pawmtu a mamawh ber fo. 
Zawt hreh suh 
“Inthah hial i duh mai elo?” tih hi kan inzawt ngam lo fo. Chutiang zawhna chuan ngaihdan thar a siamsak ang a, a tihphah zawk ang tih hlauh vang a ni thin. I zawh loh paw’n a hre sa vek. I zawh rawih hian i ngaihsak a, i ngai thutak a, a harsatna tak tak leh a rilru puthmang dik tak i hriatpui duh tih a tilang zawk a, a tân a hahdamthlak zawk. Mahse pui duh tak tak chuang si lova ‘in-kal-pelh-pah zawhna’ chi a ni lo thung. Tha tak leh tlang taka a inphawrh a nih chuan engtianga thuiin nge a rilru a siam tawh a, ruahmanna a siam tawh tih zawng zawng hriatpui tumin zawt zui ang che. (How, means, when) Tihdan tur ruahmanna leh hmanrua thlenga a nei fel vek tawh an nih phei chuan a hmanhmawhthlak hle tih hria ang che. A tul phei chuan police leh mi dang pawh rawih hreh loh tur. A thinrim mai thei. Thinrim pawh nise a nunna i chhan miau chuan i la lawm zawk ang a, amah pawh a lawm zawk ang.
Malin awmtir suh 
A bulah awm tlat ang che. A hmanraw neih tawh lak bo sak la, mahni intihnat theihna hmanraw dang pawh dah bo ang che. Thlahthlam suh aw. Khawvelah hian mal a inti sa em em a, a bulah tumah an awm peih lo tein a ring a. I awm peih a, i pui duh a, dam se i duh tih a hriat hi a tan a tha. Titipui tum reng la. Tawngtir reng rawh. A thinrimna so phut te, a rilru natna te chu a insawi thawl ang a, a dam huai thei.
Thuruk a awm thei lo 
Tawrhna leh zahna nasa lehzual a pumpelh duhna chuan, ‘Tumah hrilh suh’ a ti mai thei che a, mahse nun a la thlakhlelhna chuan a thil tum chu nang ngei pawh a hrilh ve thung zawk che a ni tih hrethiam la. A zahawmna a hloh phah lohna tur, mi puitling, amah tanpui theitu leh venpui theitu tur ‘tu emaw’ chu a phalna lain hrilh ngei ang che. Hetiang dinhmun hi a khirh a, mahni maia tuar leh hriatah chuan a rit lutuk thin. Rilru leh taksa a hah a, hun a hek a. Nangmah ngei pawh khan puitu i mamawh dawn asin. Tanpuitu tur zawng ang che. Intihmualphona ni lovin nunna chhan nan a ni tih hria ang che. Chumi avanga a sakechek nazawng hrilh tur tihna a ni lo thung.
Mi thiam an awm e 
I theih bak piah lamah a aia thui leh awmze nei zawka pui theitu an la awm ngei ang. Zawng ngei ang che u. An hreh a, an zak a, an duh lo fo thin. Zaidam tak, dawhthei taka nawr an tul fo. Engpawh nise heng zawng zawngah hian amah i duhsak a ni tih hre zel rawh se.
Damna kawng – mi tin mawhphurhna 
Mi tin hian engemaw laiin thih chakna kan nei ve chawk thin. Mahse mahni inthat tak hi chu mi tlemte an ni thung. Mahni inthah duh hial maite hian hunin a her liampui leh a thawi dam mai theih hrehawmna an tuar lailawk a ni chawk a, tanpuina dik leh tha an hmuh chuan nun nuam tak an hmang zui thei vek. Mi thenkhat erawh chu damdawi hmanga puih theih an ni bawk. Damna kawng tam tak a awm. Hetiang mite puih leh \anpuina an zawn theihna tur hian nang leh kei hian tihtur tam tak kan nei. Mihringte tawrhna tinep a, nun nuam zawk kan hman tlan theuh theih nan hian mawh kan phur vek asin.
Kan thian te, kan chhung te, kan thawhpui te, kan ngaihzawngte leh kan bula mi tupawh mai hi i inngaihsak thar teh ang u. Inchik ila, inngaihven ila, i in-care thar teh ang u. ‘Its his life / his problems, not mine,’ inti mai lovin, hlim taka rei zawk kan nunho theih nan i inhmangaih thar teh ang u hmiang maw le!
Kawmthlang huana thingzar remchangah chuan hrui chu a’n suih a. A hmawr leh lam invalh chu a nghawngah a’n awrh ta a. An in lam chu a’n thlir chho leh vang vang a.., aw, kawng dang a hre mawlh si lova le! Kir leh rual lah a ni tawh si lo. A thleng thui lutuk tawh. Hreh tak chung chuan a zuang thla ta a.
A chhungte tah hla chu ngaihthlak a va’n hrehawmin zir tur a va tam em! An lungngaih tahna mittui kara an thu chham zozaite chu a dam lai khan hre hman se chu a heti lo tur a nia le! An hmangaihzia te, a harsatna an lo hriatthiam pui loh avanga an inchhir zia te, an tana a pawimawhzia leh a hlutziate kha lo hrilh hre hman se chu aw… A dam lai khan lo ngaihsak tak tak hman se chu he thihna rapthlak leh mualpho thlak tak hian an inchhungah thla a zar lo tur a nih hi maw le! Mahse an lo inhrechiang lova, an lo inngaihsak tawn thiam lo va, an lo inhmangaih thiam lo a ni. Hmangaih chu an inhmangaih asin!
Chu thihna lungchhiatthlak tak avanga kal khawmte chu zirtur tam tak neiin, lungngai tak si, hma thar lak tum tak siin an haw ta thliai thliai a…
INTHAH I DUH MAW? LO NGAWI LAWK TEH...
A mak lo. I phur kha a rit em a, i zo lo a nih kha. Zak suh. I nep vang leh i chak loh bik vang a ni lo. Kan dem lo che. A tuartu kan ni ve lova, a natzia kan hriatthiampui mai lo che alawm. Hriatthiam che kan duh a, ngaihthlak che kan inpeih a, puih i ngaia i duh anih phawt chuan pui theitu che an awm asin.
Engmah sawi lo leh tumah hrilh lova i thih daihte chuan tuman kan hrethiam dawn hleinem che. I thih chhan kan inrinsiak ang a, ngaihtuahna tha lo pui pui kan nei ang a, mawi lo deuh deuhin kan hisap ang a. Demtu che an awm ang a, tuar ve atana i duh lohte khan rilru na takin an tuar dawn asin. I chhungte vangah an ngai ang a, thiam lohna nei miah lo chu kan hmu khaw lo zo ang a. A thenin i bialnu / bialpa vangah an ngai ang a, a then phei chuan sawn i thlak / sawn i pai emaw an ti ang a, ‘nau an titla a’ te an tizui mai thei che u asin. Chu, mak deuh deuhin, dik lo pui puiin, mawi lo deuh deuhin an sawi dawn che asin! A chhan tal hriat a va tha ve.
I phur a rit a, i tawrh hi a na a, i chau hle ang tih kan ring. I hah em a ni tiraw? Hahchawlh i duh a ni lawm ni? Hahchawlhna hrethiam tur chuan nun a ngai asin! I thih daihte chuan engtinnge hahdamna chu i hriatthiam theih si ang?
I rilru a na tiraw? Rilru hahdam i duh a ni lawm ni? Rilru na lova awm i duh a ni lawm ni? I thih daihte chuan engtinnge rilru hahdamna pawh chu i hriat ang?
I bialnu / bialpa kha i hmangaih a ni lawm ni? A duh tawh lo chein i hria a, dam chhan tur nei tawh lo maw? Dam chhan tur dang a va tam si ve, han ngaihtuah zau deuh teh! I hmangaihna chuan mahni hma a va sial awm ve?! Kan hmangaihte hlim taka an leng lai hmuhte hi hmangaihtu dik tan chuan hmuh a nuam asin! Chumi hmu thei tur chuan dam a ngai alawm.
Mamawhtu leh hmangaihtu che an awm lovin i hria em ni? Han thlir kual teh. Mi zawng zawng hian an hmangaih hauh lo che tih chu ka pawmpui che, a theih loh. Mahse nangmah mamawhtu leh hmangaihtu, i thih aia thih duh zawk hial tur, i thih aia i nuna lawm leh hlim em em tur an tam asin. I nu leh pa leh unau te, i thiante, i ngaihzawngte kha… Fa i nei tawh em? I fate tan khan khawvela an pa /nu neihchhun i ni asin, i va hlu si em! I thiha an lawm zawk i ring maw? Han zawt teh! Engahnge i zawh ngam loh? Thutawp siam hma hian thil hi chian kelh law law ila, a huaisen thlak alawm.
En teh,ni a lo chhuak a, thli fim a lo thaw a, vanah chhum a leng delh delh mai. A va mawi em. Khai a, ruah a lo sur ta, ni leh ruah an indona kara chhimbal zam kual nalh em em mai saw i hmu em? Dam man a va awm em!
Han thlir kual teh, hlimna tur a va tam em! I nuna thil pakhat a buai avang khan engkim a buai zo ta vek a ni hleinem. I rilru hahna thil chauh i ngaihtuah a nih kha. Mithiamte chuan, “Kan damchhung nunah hian 90% vel hi chu duhthusamin a kal a, 10% vel hi chu a buai ve thin,” an ti chauh asin. 10% lek chu i thihpui zawk ang maw? Hawh teh, 90% avang zawk chuan i dam dun zel zawk teh ang. Khawvela awm kan ni a, tlem azawng buaina han tawh hi chu a awm lo thei lo tih hi i pawm mai mai teh ang.
Nunna kha nangma inpek em ni? A petu pawh kha a zahawm alawm maw le. Han be phawt teh. Nunna a pek che kha tihtawp mai i duh tih han hrilh teh. A phalna la hmasa lote chuan maw le.. Kha, a ngawih reng kha. Engmah sawi lovin thil a hrilh teuh che a nih kha. I hrethiam lo maw? Lo kal teh, ka lo hrilhfiah ang che.
Lo ngawi lawk teh. Han nghak hrih lawk teh. Tuna tih vut vut nghal kher a ngai hleinem! Darkar 24 han nghak leh hram la, kar khat tal han nghak leh phawt teh. Thihna hi chu a tawpna a nih avangin a hmanhmawh thlak loh reng reng. Thil zawng zawnga beidawn hnu, kawng dang pakhatmah a awm tawh loh hnuah, nunna hian a tlin tawh ngang loh chuan kan thi tho tho. Chutih hunah chuan chelh tum teh mah ila, a ngaihna a awm chuang lo. Chumi hun chu hlim deuhin i nghak mai mai zawk ang aw!
Nangmah ang hi khawvelah tumah dang an awm lo a nia aw! Thil vang hi a hlu tih i hria em? I hlu teh mai a nia! Nangmah la mamawh ngawih ngawih hi an awm ngei ang. Tanpui duhtu che an awm asin. Zak lovin zawng la, pan rawh.

ASHTMA VEITE TAN

Dr. IsaacLallawmsanga

ASHTMA VEITE TAN HRIAT TUR PAWIMAWHNatna dam mawh leh buaithlak tak pakhat chu thaw hah (Asthma) hi a ni awm e. Naupang leh puitling pawh thliar hran lovin a vei tam tak chu Asthma benvawn veiin damdawi in an pan chuk chuk thin. A tir chuan hritlang awm na anga inhriain damlote’n doctor an pan fo thin a. Kawng kal lai te, infiam te, exercise lakte’n awm zawnah hnawhtu awm ang maiin thawk a harsa a, vawikhatnaah chuan a ngaimawhawm vak lo thei. Hna hahthlak lo leh in chhung sekrek khawih lai lehzela thaw-hah i neih fo chuan he natna hian i chuap a rawn luah ve tan a ni mai thei. Mahse doctor rawn chu rilruah a la tangkai lo i ti mai thei tho. A chhan pakhat chu hnam tlawmngai kan nih thin avang khan khawsik sang nen lova damdawi in luh chu harsa kan ti thin. Thla khat dawn a ral hnu chuan thawk harsa i tih mai bakah khuh khek khek nen, a chang phei chuan i awm chhung lama nangma thaw ri ngei pawh i hriat chang a awm ang. Hetih hunah meuh chuan doctor rawn chu tihmakmawh a ni ta.
I nat dan fiah felfai takin doctor hrilh la. I naupan laia thaw-hah i neih leh neih loh te, mei zial zu mi i
ni em? I taksain huat bik (Allergy) a nei em? Ei leh in emaw awmna hmun azira taksa huat bik leh huat loh te, a changin vun bawl emaw vual emaw i nei thin em? Nge sinus na i nei tawh thin? Hrilh theihnghilh hauh suh. Heng bakah hian i hnathawh leh thawhna hmunte doctor chuan a zawt hmaih palh mai thei che, doctor room i chhuahsan tawh pawhin va hrilh leh hram rawh. A pawi lo ve. I chanchin a hriat chian a ngaih bakah he doctor hi tun tum chauh hi i pan lo mai thei. Asthma hi tihdam nghal theih a ni si lo va. Damdawi huat bik i taksain a neih phei chuan doctor-in tihtur a lo pe vat ang che; heng hi theihnghilh suh. In lama inenkawlte tan damdawi ei hunbi leh ei tur doctor-in a sawi ang thlapa ei tur a ni a. Asthma hi thaw-hah ngawt a ni lo va; khuh nen, taksa zawi ngawih ngawih te, luhai leh a changin khawsik a awm thin bawk. Chu vangin damdawi hip chi bakah damdawi dang pawh i ei tel a ngai ang. Asthma damdawite hi chi hnihin a then hlawk theih a:

1. Chhawkna/reliever: Thaw-hah chhawk nan chuan a hip chi/inhalet hi kan hman lar ber a ni a. Hmun hla leh mahnia inenkawlte tan a pawimawh hle. Asthalin/Salbair inhaler-te hi kan hre theuh awm e. Zing thawhhlim emaw zan mut laia thaw-hah a chhuah thut chuan vawi hnih thum hipin a chhawk nghal mai a. Mah se a chhawkna chauh a nih avangin leh pek atan erawh a venpui lem lo. Chu vangin a ven lawkna hi a awm chuan a tangkai zawk mai thei.


2. Invenna/preventer: Hetah chuan a chunga damdawi bakah damdawi dang pakhat STEROID a tel a.
Steroid hian natna zualkai tur a ven bakah a lehpeka thaw-hah lo awm thut tur a veng thei bawk. Hun
rei tak hman erawh chu a tha lem lo thei. A hmangte pawhin hman zawh veleh kam thuah fai thin tur
a ni. Natna chi khat Oral Thrush an tih hi a awm theih avangin. Asthma chungchanga hriat tur pawimawh dangte :
1) Inhaler/hip chi: Hman-raw danglam tak inhaler hi duh duh dana hman ngawt tur a ni lo va, fai taka enkawl tur a ni. Kekawr ipteah emaw bag khaiah emaw daha kalna apiangah inven nan ken reng a tha a. Chutiang chuan ngaihngam takin i lengchhuak thei ang.
2) Lenchhuah dawn emaw insawizawi dawn emaw apiangin taksa tihlum/tuamlum hmasak phawt a, chhuah hma minute 15 velah vawi hnih damdawi kha hip tur. Hei hian Asthma lo chhuak thut tur lakah a veng ang che.
3) I hmuamna lai mounth-piece kha i hman dawn apiangin enfiah la, bawlh-hlawh a awm chuan tifai thin ang che.
4) I damdawi hmanlai kha a hming vawn tum la. A chhunga damdawi hmingte pawh 'by heart' tum ang che.
5) Inentir apiangin i damdawi hman lai bakah i lehkha hluite, X-ray leh thildang tangkai tura i hriatte pawh keng tel la.
6) Vawi engzat nge a natna a rawn chhuah thin, i damdawi hman laite i ngeih em tihte chiang taka doctor hrilh thei turin a hun bi neiin doctor rawn thin ang che.
7) Inhaler hman dan tur chiang taka hriat a tha. Awlsam taka hmeha hipluh mai a ni lo va. Damdawi dose dik taka a chhuah kim theih nan hmehna/nemna (cannister) kha hmeh hmain thawkchhuah vak phawt a, chumi hnua i thawkchhuah leh chiah tihin cannister kha hmeha damdawi chu thawk luh ruala hip luh vak tur a ni. Heti ang a i tih loh chuan a chhunga damdawi kha i hip lut kim thei lo vang.
8) Steroids telna inhaler hmangte tan kam thuah nghal zel tur a ni. Chuti lo chu, hun reiah ka chhung natna chi khat ‘Oral thrush’ i vei mai ang. Chu vangin, i damdawi hman lai kha a hming leh a chhunga damdawi awmte nen i chhinchhiah a ngai ang.
9) Damlo na zual, mahnia kal sawn thei lote tan hetiang hmanrua hi hman a remchang lo thei a. Hmanraw dang ‘Nebulizer machine’ hi a hman theih bawk. He hmanrua hi a to deuh nain in lama inenkawl nan a awlsam hle a ni.
10) Heng baka damdawi tangkai tak pakhat chu oxygen a ni. Hei pawh hi in lama inenkawlte tan pawh a bur (Cylinder) a lei tur a awm tho va. Thaw-hah a zual chang chuan vuah nghal theih a ni bawk.
11) Damlo mutna pindan chu fai taka vawna, boruak leh chhuahna (cross ventilation) tha tak a ni tur a ni.
12) Damlo mutna leh thawmhnaw hak laite pawh fai taka vawn tur a ni a. Thawm-hnaw leh mutbu a me (Dust)-te hian asthma a tizual thei.
13) Asthma hi damdawi thenkhat Aspirin ang chi ho leh chawhmeh huat (food allergy) thenkhatin a tihzual theih avangin.

THISEN CANCER
Dr. Dorris Lallawmzuali
Cancer zingah chuan thisen cancer hi tihbaiawm ber pawl a ni awm e. Kum 2000 chhung khan khawvel pumah mi 2,56,000 in an vei a, chung zing a mi, 2,09,000 te chuan an thihpui a ni1. Kum 2002 khan India ramah thisen cancer hi mi 1,20,603 velin an vei a. Mizoramah chuan thisen Cancerah pawh a rang chi kan tih (Acute Leukemia) bik hi mi 135 in 2005-2008 chhungin an vei a*, Mizo cancer vei zawng zawng zingah2.8% a ni.
Engvanga hlauhawm viau nge ni?
Thisen cancer (leukemia) hi thling a thisen var (WBC, White Blood Cell) insiam diklo (Blast) vang a awm a ni. Heng ‘blast’ te hi an nih tur ang a an than puitlin theih loh avangin thlingah nasa takin a pung a, taksa mamawh thisen timur dang insiam thei lo leh hnathawk thei lovin an siam a, an rawn luahlan thin a ni.
Thisen cancer hlauhawm zual bikna chhan tlangpui han tarlang ila.
• Cancer, a intanna organ (taksa peng) zai thlak hlawk theih chi hi chu a zung nen a paih fai vek theih a nih loh pawhin, nasa takin a tai darh tur a veng a. Thisen cancer insiamna hi thling (bone marrow) a nih avangin cancer dang te, eg. hnute, pumpui, etc. te ang in a zai thlak hlawk ve theih loh a. Chemotherapy emaw bone marrow transplant emaw chauhvin enkawl theih a ni.
• Thling a chak tak a insiam a nih avangin, thling a insiam ve tho, RBC (Red Blood Cell- thisen ‘sen’), WBC (White Blood Cell- thisen var) leh Platelets (pem neih a thisen tikhaltu) te hi insiam thei lovin a nek chep a. Hengte hi taksa in a mamawh avangin damlo chu rang takin a chau nghal thin a ni.
• Cancer dang aiin inven a harsa. Cancer tam tak hi chu chin tha lo vangte in a awm duh bik a. Entirnan, zu leh meizial te hian pumpui, chawkawng, hrawk, chuap leh cancer dangte a thlen a. Hepatitis B leh C vei te’n thin (liver) cancer an nei duh bik a. Sex hman hma/uar lutuk avangte in chhul hmawr cancer te a insiam a. Thisen cancer hi x-ray leh radiation dang hmuh nasat lutuk avang te, chemical thenkhat eg. Benzene, cancer damdawi vang te a awm thin ni a rinhlelh nimahsela, a tam zawk hi chu kan timur insiam fuh lo (genetic defect) avanga lo awm a ni.
Thisen cancer chi hrang hrang te
Thisen cancer hi chi hrang hrang a awm a. Mizoten a ‘a rang chi’ kan tih hi Acute Leukemia a ni. A muang chi leh rei tak dampui ve theih ho hi Chronic Leukemia, eg. Chronic Myelocytic leukemia (CML), Chronic Lymphocytic Leukemia (CLL), Chronic Myelomo-nocytic leukemia (CMML) leh a dangte a ni. A rang chi ho chanchin chauh hi kan thlir dawn a ni.
Acute Leukemia pawh hi chi hnih lian pui puiah then leh a ni a. Acute Lymphoblastic Leukemia (ALL) leh Acute Myeloblastic Leukemia (AML) te a ni. ALL hi chi 3 – (L1-L3) ah then leh a ni. AML hi chi 8, (M0-M7) ah then a ni. Thisen Cancerah hian eng chi chiah nge a nih hriatchian a tul em em chhan chu a enkawlna damdawi leh a natna kalhmang inan loh vang a ni.
Thisen cancer lanchhuah dan te:
Kan sawi tawh ang khan, thling hian thisen a timur (cell) chi hrang hrang a siam a. RBC kan tih hian thisenzamah oxygen leh taksa mamawh dangte tisa hmun hrang hrangah a keng kual a. WBC kan tih hian natna hri a do ve thung a ni. Platelets kan tih te hian pem leh thisen chhuahnaah te pungkhawmin, thi chhuak pur pur tur a tikhal vat thin a ni. Thisen cancer cell te hi thlingah, heng taksa mamawh cell te aia chak hian an pung a, cell pangai hnathawh pawimawh tak tak hi an tibuai ta thin a ni. Chuvangin thisen cancer natna rawn lanchhuah chhan chu taksa in a mamawh cell te a tlakchham vang a ni ber.
1. Chauh ngawih ngawih leh dawldanna: RBC an tlem avangin damlo chu a dang bel a. A hma a harhvang thin tak kha tha tho lo leh chau ngawih ngawih in a lo awm ta thin a ni. Thawhah te pawh a nei thei a ni.
2. Khawsik: Taksa a natna dotu WBC an tlem avangin hrileng an vei hma a. Blast tam lutuk hrim hrim pawhin khawsik a siam thei bawk. Damlo chu a chhan ber hriat lovin khawsik a nei deuh reng thei a ni.
3. Taksa a duk ringawt leh thi chhuak: Taksa peng hrang hrangah, intihnat lai hriat si lovin duk rei rui a awm thin. Hei hi platelets tlakchham vang a ni. A chang chuan, ha hni, hnar leh ek thi te an nei thei bawk. Chi thenkhat (AML M5) chuan hahni vung a siam thei a ni.
4. Ruhna: Thling hi ruh chhunga awm a ni a. Cancer Cell-te an lo pun tak vakah chuanruhna a siam thei a. Awm ruh (sternum) hi a na duh tlangpui bik.
5.Thal bawk: Cancer cell an tam viau chuan thal bawk a siam thei a. Thal bawk chhung a cancer cell an tam chuan damlo tan a tha lo hle a, a natna hi a chak zual tihna a ni duh hle.
6.Thin lian, la tla (splenomegaly) leh awm chhung (mediastinum) ah te pawh cancer hlawm hian bawk a siam thei a. Hetiang a awm chuan cancer chu a chak zual duh bik hle a ni.
7. Thluak lam buaina: Cancer cell te’n thluak lamah bu an khuar chuan dam lo chuan lu na, kaih leh chian loh ruaina te a nei thei. Hei pawh hi cancer chu a nasa hle tih hriatna pakhat a ni.
8.Kum: A tlangpuiin ALL hi kum 2 atanga kum 8 inkarah a tam ber.Kum 1 hnuailam leh kum 10 aia upateah hian a natna hi a chak lehzual bik a ni. Kum 30 leh 40 inkarah a tam leh bawk. AML hi chu puitlingah a awm deuh ber thung a, ALL ai pawh hian a rang zawk deuh thin.
Thisen cancer hriath theih dan te:
A chung a kan ziahte ang a i awm chuan doctor pan vat ang che. Doctor chuan uluk tak a a en hnuah che test chi hrang hrang tih tur a hrilh ang che.
Mizoram a test kan tih theih te tarlang phawt ila.
1. Hemogram: Hei hi thisen enna zing a kan hman uar ber leh tangkai ber pawl a ni. He test-ah hian thil chi hrang hrang en a ni.
-Hemoglobin(Hb): Hei hian taksa a RBC tam zawng a en a. Mipa hrisel pangai tak chuan Hb 13-18 gm% a nei thin. Hmeichhia erawh chuan 11-16 gm % a nei tlangpui. Thisen cancer vei Hb chu a hniam tlangpui a, a chang chuan 2 gm % chauh te pawh a ni thei.
-TLC(Total Leukocyte Count): Hei hi thisen var tam zawng sawina a ni ve thung a.Mi hrisel pangngai chuan 4000-11000 /cumm vel a nei a. Thisen cancer ah chuan TLC hi a sang em em a, 20,000-200,000/cumm te a ni thin.
TLC hi natna dang tam tak ah pawh a sang thei a - pun (infection) ah te, naupai te, exercise lak nasat te hian a tisang thei. Amaherawh chu, thisen cancer ang em em hian a sang ve ngai lo a ni.
Thisen cancer nei reng si hian TLC hi a normal emaw, 4000/cumm ai pawhin a tlem ve thei a. ‘Subleukemic’ leh ‘Aleukemic leukemia’ ti a vuah an ni. TLC normal emaw tlem emaw pawh nise, thlingah ‘blast’ kan tih te hi hmuh tur an awm a, thisen pawnlangah an rawn chhuak tlem mai zawk a ni. Hengah hi chuan peripheral smear kha Pathologist in uluk takin a en a ngai a, thling test pawh tih a ngai thin.
-Platelet count: Mihring pangaiah chuan 150,000-400,000/cumm a ni thin.
50,000/cumm aia a tam chuan intihnat loh/pem loh chuan amahin thi a chhuak lova. 10,000-50,000/cumm inkar vel a a hniam chuan intihnat kher loh pawhin thi a chhuak ngawt emaw taksa duk emaw a awm ngawt thei.
10,000/cumm aia a hniam phei chuan pum leh rilah te, zunkawngah te thi nasa takin a chhuak a, thihpui hial a hlauhawm em em a ni.
-Peripheral smear: He test-ah hi chuan thisen far khat kha glass phekah nawr pherh a ni a. Chumi chu chemical hman tur bik a sawngbawl a nih hnuah enlenna (microscope) hnuaiah zirchian a ni. A chunga kan sawi tak te khi chu khawl leh hmanraw danga en theih a ni a. He test hi chu uluk tak a mit ngei a en a ngai. He test-ah hian kan sawi tak zawng zawng khi mit ngei a finfiah a nih bakah, ‘blast’ awm zat kha chhiar a ni a. An zia atangin ALL nge, AML nge natna dang tih pawh zirchian thin a ni. TLC hniamah pawh ‘blast’ a awm theih tho avangin he test hi a pawimawh em em. TLC sangah pawh cancer nge infection satliah vanga sang ti chiang bertu a ni.
2.Bone marrow examination: Thling test hi thisen cancer zawng zawngah tihnghal a tul kher lo va, a chi (type) chian nan lehdamlovin treatment a lak hnuah a damdawi ngeih leh ngeih loh en nan te tih thin a ni. Hriauvin khelruh hnung lamah emaw, awmruhah emaw, naupangah chuan khup hnuaiah emaw thling hip chhuah thin a ni. A hlauhawm hmel aiin he test hi ‘a na lutuk lo..’ an ti tlangpui.
Mizoram a la tih ve theih rih loh te.
3. Cytochemistry: Hei hi chemical thenkhat hmanga thisen sawngbawlna a ni a, ALL leh AML hriatchian nan a tha hle. Aizawl Civil Hospital-ah pawh hetiang test hi tih ve theihna turin hmalak mek a ni.
4. Immunophenotyping: Hei hi thisen/thling khawl a enna a ni. He khawl hian eng thisen cancer ber nge tih a chian thei. Mizoramah he test hi kan la ti thei ve loh avangin, a tul dan a zirin phaiah thawn thin a ni.
A enkawl dan tlangpui:
1. Chemotherapy: Phase hrang hrang in enkawl thin a ni. ‘Induction phase’ an tih ah hian blast awm zawng zawng kha thah tum a ni a, cancer damdawi chi 3 vel hman a ni tlangpui. Thlinga blast an thah rem duak hnu hi chuan cell pangngai te a rawn insiam leh ta thin. Intensive phase ah hian damdawi chi 2 emaw chi 3 emaw in enkawl leh an ni a, cancer cell lo let leh tur kha lo venna a ni. ‘Maintenance phase’ ah hi chuan nitin emaw kar tin emaw damdawi pek an ni a. Kum 2-3 te hetiang hian enkawl zui an ni. Kum 3 aia rei cancer a rawn let loh chuan dam ang a ngaih an ni. Chemotherapy hian blast bakah cell pangngai a thah ve tho avangin dam lo chuan ‘side effect’ tam tak a nei thin a; khawsik, chauh ngawih ngawih, luak chhuak leh chaw ei tui lo, sam tlakawlh, etc. te hi a hnathawh lanna tlangpui a ni.
2. Radiotherapy: Hei hi khawl hmanga damlo hemna a ni. Mizoramah chuan Zemabawk, Aizawlah a khawl hi bun a ni. Thisen cancer bikah hi chuan hman a nih tho rual in chemotherapy aiin a tangkai lo zawk. Cancer thluak leh tilmu lam a tai darh vennan leh enkawl nan te, ‘bone marrow transplant’ tih hmaa blast tam thei ang ber thah nan te hman a ni tlangpui. Hei pawh hian side effect tam tak neiin, chauhna te, hemna lai vun na te, sam tla te a siam ve thei.
3. Bone marrow transplant:Damlo chu chemotherapy emaw radiothe rapy a enkawl a nih hnu in, a taksa a blast a tlem ber laiin midang (allogenic) emaw a ma (autologous) thling emaw chu amahah dah a ni a. Chu thling, blast nei lo chuan thisen a cell chi hrang hrang te rawn siam tur a beisei a ni. Bone marrow transplant hi thil awlai lo tak a ni a, khawl tha mai bakah hmun thianghlim lutuk te a ngaih avangin Mizoramah tihtheih a la ni ve lo.
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