Thu Zawnna (Post-a mi)

Monday, February 14, 2022

DAMLO HAMṬHATNA HOSPITALIN A PEKTE

CIVIL HOSPITAL, AIZAWL : MIZORAM
(ISO 9001 : 2008 Certified Hospital)

DAMLO HAMṬHATNA HOSPITALIN A PEKTE

(AVAILABLE HOSPITAL SERVICES)

  1. EMERGENCY ENKAWLNA - DARKAR 24
  2. NAUNEIHNA LEH ENKAWLNA - DARKAR 24 (MATERNITY)
  3. THISEN PEKNA LEH DAHKHAWLNA - DARKAR 24 (BLOOD BANK)
  4. DAMDAWI DAWR - DARKAR 24 (PHARMACY)
  5. AMBULANCE : NU NAUPAI LEH NAUPANG TAN - DARKAR 24
  6. X-RAY, ULTRASOUND, CT SCAN - DARKAR 24 (RADIOLOGY)
  7. INTENSIVE CARE - DARKAR 24
  8. BIKE AMBULANCE - DARKAR 24
  9. OPD - SPECIALIST HRANG HRANG (MULTI SPECIALTY OPD)
  10. DAMLOTE TAN KHUM LEH WARD HRANG HRANG (INDOOR WARD)
  11. THISEN TEST-NA LEH ENDIKNA HRANG HRANG (LABORATORY SERVICE)
  12. NAUPIANG HLIM ENKAWLNA BIK (NURSERY)
  13. INZAINA HMUNPUI (O.T. THEATRE)
  14. KUT-KE LEM SIAMNA (ARTIFICIAL/PROSTHESIS)
  15. RUH LEH THA NA ENKAWLNA (PHYSIOTHERAPY)
  16. KAL THUAHNA (DIALYSIS)
  17. HRI VENNA LEH HRI DANNA (VACCINATION)
  18. HA ENKAWLNA (DENTISTRY)
  19. NU LEH NAUPAI ENKAWLNA (FAMILY PLANNING)
  20. COUNSELLING - REMRUATPUINA HMUNPUI (COUNSELLING CENTRE)
  21. A BIKA THISEN TEST-NA (ICTC)
  22. AYURVEDA LEH HOMEOPATHIC ENKAWLNA (AYUSH)
  23. DAMLOTE CHAW LEH EI TUR (DIETARY SERVICE)
  24. BPL-TE A THLAWNA ENKAWLNA (FREE BPL)
  25. MAN CHAWIA CABIN LUAH THEIH (PAYING CABIN)
  26. A THLAWNA MIT PEKNA LEH DAHṬHATNA (EYE BANK)
  27. MITTHI RUANG ENDIKNA LEH DAHTHATNA (FORENSIC & MORTUARY)
  28. HEALTH CARE INSUARANCE HMAN THEIHNA
  29. DAMLO RECORD LEH CERTIFICATE SIAM LEH DAHTHATNA (MRD)
  30. ZUNTHLUM, THISEN SANG etc. NATNA ENKAWLNA HMUN (NCD CLINIC)


Medical Superintendent
Civil Hospital, Aizawl



Saturday, February 12, 2022

QUALITY ASSURANCE AIMS AND ABJECTIVES OF LABOUR ROOM

QUALITY ASSURANCE AIMS AND OBJECTIVES OF LABOUR ROOM 

  1. NUIN NAU A VEI LAIA, NU LEH NAUTE ULUK TAKA VIL.

  2. NAU HRIN LAI LEH NAU NEIH ZAWH HNUAH ENKAWLNA ṬHA PEK.

  3. NU NAU CHUNGA THIHNA LEH HARSATNA THLENG THEI TIHTLEM.

  4. NAUSEN THIHNA LEH HARSATNA AWM THEI TIHTLEM.

  5. NU LEH NAUSEN CHUNGA HARSATNA LO THLENG THEITE VEN A, A RANG LAMA HMUH CHHUAH A, ENKAWLNA ṬHA PEK.

  6. LABOUR ROOM CHHUNG LEH HMANRAW HMANTE THIANGHLIM TAKA VAWN.

  7. NU HNENAH NAU HNUTE PEK CHUNGCHANG SAWIPUI A, ZIRTIRNA PEK.

  8. NAUSEN PIANG HLIM HRI DANNA PEK.


1) TO MONITOR THE FOETAL AND MATERNAL CONDITION DURING LABOUR
2) TO PROVIDE QUALITY CARE DURING DELIVERY AND IMMEDIATE POST PARTUM PERIOD.
3) TO REDUCE MATERNAL MORBIDITY AND MORTALITY.
4) TO REDUCE NEWBORN MORBIDITY AND MORTALITY.
5) PREVENTION, EARLY DIAGNOSIS AND TREATMENT OF COMPLICATION OF MOTHER AND NEWBORN.
6) TO MAINTAIN STRICT ASEPTIC TECHNIQUE.
7) TO COUNCEL THE MOTHER ON BREASTFEEDING.
8) TO IMMUNIZED THE NEWBORN BABY.

 JANANI SURAKSHA JOJANA

    REDUCING MATERNAL AND INFANT MORTALITY BY PROMOTING INSTITUTIONAL DELIVERY AMONG PREGNANT WOMEN.


    NU LEH NAUSEN THIHNA TITLEM TURIN DAMDAWIINAH MI THIAM KUTAH NGEI NAU NEI ANG CHE.

JANANI SHISHU SURAKSHA KARYAKARAM

    IT IS AN INITIATIVE TO PROVIDE COMPLETELY FREE AND CASHLESS SERVICES TO PREGNANT WOMEN INCLUDING NORMAL DELIVERIES AND CAESAREAN OPERATIONS AND SICK NEW BORN (UPTO 30 DAYS AFTER BIRTH)


    NAU HRIN PANGNGAI NAU ZAI CHHUAH LEH NAU PIANGHLIM AṬANGA NI 30-A UPA CHEN HNENAH A THLAWNA INENKAWLNA PEK A NI.


 


Sanauawm Enkawlna (Kangaroo Care)

KANGAROO CARE

KANGAROO CARE

  • PROVIDE PRIVACY TO THE MOTHER 

  • REQUEST THE MOTHER TO SIT OR RECLINE COMFORTABLY

  • MOTHER’S CHEST SHOULD BE BARE

  • UNDRESS THE BABY GENTLY, EXCEPT FOR CAP, NAPPY AND SOCKS

  • PLACE THE BABY PRONE ON MOTHER’S CHEST, BETWEEN HER BREASTS IN AN UPRIGHT AND EXTENDED POSTURE, 

  • MAINTAIN SKIN TO SKIN CONTACT

KANGAROO CARE

  • TURN BABY’S HEAD TO ONE SIDE TO KEEP AIRWAY CLEAR
  • COVER THE BABY WITH MOTHER’S BLOUSE, ‘PALLU’ OR GOWN
  • WRAP THE BABY-MOTHER DUO WITH AN ADDED BLANKT OR SHAWL OR WARM THE ROOM WITH A HEATING DEVICE
  • BREASTFEED THE BABY FREQUENTLY
  • IF MOTHER IS NOT AVAILABLE, SKIN TO SKIN CONTACT MAY BE PROVIDED BY THE FATHER OR ANY OTHER ADULT
  • KANGAROO CARE SHOULD NOT BE GIVEN BY A PERSON WHO HAS ANY INFECTION

WHAT SHOULD YOU DO WHEN SKIN TO SKIN CONTACT IS NOT POSSIBLE?

  • KEEP THE ROOM WARM WITH A HOME HEATING DEVICE
  • CLOTHE THE BABY IN 1-2 LAYERS (SUMMER), 3-4 LAYERS (WINTER)
  • COVER THE HEAD, HANDS AND FEET OF THE BABY WITH CAP, GLOVES AND SOCKS RESPECTIVELY.
  • LET THE BABY AND MOTHER LIE TOGETHER ON SOFT, THICK BEDDING.
  • COVER THE BABY AND THE MOTHER WITH ADDITIONAL QUILT, BLANKET OR SHAWL IN COLD WEATHER



ADVICE ON DISCHARGE - BABY

ADVICE ON DISCHARGE - BABY

DANGER SIGNS:
(IF ANY OF THE FOLLOWING SIGNS ARE THERE - RETURN IMMEDIATELY)


  • BREAST FEEDING POORLY

  • DEVELOPS FEVER OR FEELS COLD TO TOUCH

  • FAST / DIFFICULT BREATHING

  • BLOOD IN STOOL

  • CORD STUMP RED, SWOLLEN OR DISCHARGE PRESENT

  • SKIN INFECTION (PUSTULES)

  • CONVULSIONS

  • DULL AND LETHARGIC

     



Insawizawi (Exercise) - Kea Kal

Insawizawi (exercise) hi hriselna atana thil pawimawh tak a ni.

Kea Kal Exercise

Tlema kum upa ve deuh tawh tan chuan kea kal hi insawizawina ṭha ber a ni ang.

Ni tin minit 15 aṭanga minit 30 vel kal a tawk ang.

Ruhchâng leh tihrawl tinreng tihchet pawh a pawimawh.

Kea kal ṭhatnate:

1. Lung a hrisel ang,
2. BP sang a tihniam ang,
3. Ruh a tlo ang.
4. Stress a tiziaawm a,
5. Mut a titui thei a,
6. Pian a tinalh thei.

Kal ṭhang vak lo tan, kal hun tihrei tawlh tawlh dan

Kar 1-na: minit 10, ni 4
Kar 2-na: minit 10, ni 4
Kar 3-na: minit 15, ni 5
Kar 4-na: minit 20, ni 5
Kar 5-na: minit 30, ni 5
Kar 6-na: minit 25, ni 6
Kar 7-na: minit 30, ni 5
Kar 8-na: minit 35, ni 5
 
Thu lakna: National Heart, Lung, and Blood Institute.
WebMD https://www.webmd.com/fitness-exercise/a-z/walking-workouts


COVID AṬANG HIAN I DAM CHIANG TAWH EM?

(Covid positive dam tawhte tan)

Dr. C. Lalchhandama
Pathologist,
Civil Hospital, Aizawl. 

Sawi ṭhaihna ni lovin, harsatna nei, mi thiam rãwn nachâng hre loten damna an chan theih nân a ni.


Mizoramah hian Covid-19 hripui len tirh aṭanga positive zawng zawng chu mi 2,00,000 lai kan tling dawn ta. Aizawl sipai lammualah pawh an leng tawh lo a nih chu. Tam tawh tak kan ni. Hmuh chhuah lem loh, dam zui ve ta mai eng zat tak awm ang maw? Heti zat positive kan awm tawh laiin vanneihthlak takin mi 180,000 chuang kan dam chhuak thung. Dama chhuakte hi kan dam chiang tak tak em? Nge ni a, kan negative ringawt? Taksa lamah harsatna kan la nei em? I neih loh chuan vannei tawpah lo inngai rawh, covid vei hnua taksa a khawih zui dan hi khawvel buaipui a ni leh ta tlat. "Covid test negative hnua kan taksa leh awm danah ngai kan la awh mai theih loh hi Covid hriina a ken tel a ni zawk thei em?" tih zawhna pawimawh tâk hi mi thiamte zinga inhnialna thar chu a lo ni leh ta zel a. Chutianga awmte chu "Post Covid Syndrome" emaw “Long Covid” tia koh an lo ni ta hial.

Covid virus hian kan taksa bung hrang hrang a khawih nasa em em a, a bikin kan lung (heart), chuap, kal, thin leh hriatna thazam lam te, kan taksa pum a khawih ti ila a sual awm lo ve. Ho te anga ngaih theih - sam tla leh rei tak chhung aw lâwi aṭangin lungphuchawl thleng a thlen thei a ni tih hmuh chhuah zel a ni.

Post Covid Symptoms lar zual te chu:

  1. Chauh ngawih ngawih
  2. Lungphu ri dup dup emaw lungphu rang
  3. Awm bâwr nâ
  4. Thaw kham lo
  5. Khuh reh thei lo
  6. Lu nâ
  7. Chèt vèl harsat
  8. Khũr der der
  9. Hrìatna hloh (memory loss)
  10. Ngaihtuạhna/rilru mang
  11. Hlạuhthãwnnaa khah
  12. Depression

Hèngte hi a lár zúal an ni. A mal té té chûan kan sawi sêng lo vang, mahsê, kan hrìat tũr leh hmâ kan lo làk vẽ theihna tũr ãwmte han sawi dâwn ila.

1. Lung (Heart) leh chùap lama harsatna: 

Covid hian kan lung leh chuap hi a khawih pawi berte zinga mi a ni. Test ṭha tak takte aṭang lo chuan a khawih pawi dan a hriat mai loh. Kan intihhliam palh a, kan taksa hliam lai dam tumin a lo tih sen ṭul a, a rawn tur deuh ut ut  ṭhin ang chiah hian kan lung leh chuap te hi he hri hian a hliam thei a ni. Chu bakah kan thisenzam, a bikin lung leh chuapa mi a khawih tela, hri hian thisen hrim hrim hi a ti chhah a, chuvangin hliam a lo awm phei chuan thisen khang a insiam hma bik ta em em mai a ni. Kan chuap leh lung chhungrila thisen zam, kan sam tiat lek lek te kha heng thi khang te hian ti phuiin chu chuan harsatna a thlen thin, kan fimkhur loh phei chuan lungphuchawl a thlen thei a ni.

Chuvangin, covid i negative hnua i lungphu nangmah tibuai khawpa a rik dup dup emaw, boruak kham khawp hmu lova i thaw a hah renga, i awm bawr a nat ṭhin chuan, doctor i râwn a ngai tihna a nih chu. Ṭhenkhatin a zia leh mai beiseiin kan lo tuar a, hnara boruak hip luh kham khawp ta lo chu, ka lam nen ṭang kawpin a zia deuh tiin kan lo awm vel mai mai thei. A bikin lung natna neisa, lung damdawi ei laiah te leh, asthma nei sa hovah hian a pawi thei hle. A pawi thui hmain doctor entir ngei ang che. I lo ṭha vek te a nih tak leh i awmdan nena inmil tawk, exercise ho te te lak a dampui theih pawh a ni thei. 

Chutih laiin ngai awh hma tum lutuk avanga exercise lo la ta vak vak kan awm thei. Kan lung leh chuap khawih chhiat a nih dan kan hre lo kan tih tawh kha, negative mah ila kan lunga tihrawl te kha an lo la dam chiang lo thei, kan ti na zual zawk anga a tawpah heart attack neih palh a hlauhawm. Chuvangin mi thiamte chuan covid negative hnu thla 2-3 chu exercise over taka lak a ṭha lo an lo ti rêng a. 

Ṭhenkhat chuan exercise ṭha taka lak chuan kan immunity a insiam ṭha leh vat turah kan ngai a ni thei.  Symptoms nei miah lo ṭha taka dam chhuakah chuan a dik maithei, mahse covid dam lehah chuan risk lak loh a pawi lo zawk. Hah lutuk lova exercise lak erawh a pawi lo ang.
 

2. Chau ngawih ngawih:

Covid dam lehte insawiselna langsar ber chu chauh ngawih ngawih hi a ni. Chau reng lo mahse hnathawh tui laia han nghilh dup te, chauh ngawih ngawih te an nei duh bik, a chhan lian ber pakhat chu thisen thlum (blood sugar) a hniam thut thut vang a ni deuh ber. Hetiang aia chau pawhin a awm theih, hna chu sawi loh inchhung dung han kal ringawt pawh ti hlei thei lo khawpin a chauh theih. 

Doctor inentir ngei ngei la, in lama blood sugar test-na i neih chuan test vat ṭhin ila, a lo hniam viau chuan glucose powder emaw thil thlum han ei khan a ziaawm thei. Chutiang kan nih lem loh a, hna kan thawk duh bawk si a nih chuan kan mamawh te banphak maia dah leh kan nunphung thlak ngai te thlak rih mai a ṭul thei. Tih luih viau chi a ni lem lo. Thla 3~6 thleng harsatna dang em em awm lem lovin chau ngawih ngawihin a awm reng theih a ni. Chutih rualin, hah lutuk lo tawka exercise lak reng erawh a pawimawh.

3. Rilru lam:

Covid veite kan en dan kan hre tlang vek. Tun dinhmunah chuan  kan inenkawl mek dan baka ṭha hi a la awm miau si lo hi a buaithlak lai chu a ni. Sual vang pawh ni lova chhungte laka in khung hran ngai ringawt pawh thil hrehawm a nih tawh laiin hmun hranah min la khung khawm a ngai zui a. Rilru no deuh tan phei chuan àt theihna tũr hial a tling a ni. Tuar thiam viau emaw kan tih te pawh mut hmunah chuan ngaihtuah loh tur tam tak an ngaihtuah ṭhin ngei ang. 

A ãwm lutuk tlat, hé hrì hìan thihna a thlen thei tlat a lawm!! Dam chhuak te hi an chhûngte leh an ṭhianten kan lo dawm thiam an ngai khawp mai. Doctor te chu rawn ngei tũr a nia, mahsê, a tawpah chuan an chenpuite leh ṭhianten nun pângngáia nung leh thuai tura kan lo puih an ngai tak zet, chuti lo chu hlauhthawnnaa khatin an awm ang a, depression neih mai an awlsam bik.

Sawi tur tam tak a la awm, mahse duh tawk phawt ila, hetiang lamah hian zirchianna a la kal zel a, vawiina kan sawi pawh naktuk lawkah a dik lo thei. Engpawh ni se, Covid negative tawh mah ila natna sawi vak dawna sawi tham si loh, mahse min ti buai em em tho si kan nei a nih chuan doctor rawn hi i hreh lo ang u. Mahni dinhmun inchian hi a hlu a ni. Hetiang harsatna hi, sawi tawh ang khân, thla 3 aṭanga thla 6 thleng te, a vanduai deuhah phei chuan kum tam tak thleng a awm thei dawn niin zirchianna ṭhenkhat chuan a tarlang a ni.

He thuziak hi Covid vei tawhte sawi ṭhaihna emaw tibeidawng tur lam hawia ziah a ni lo a, harsatna nei ru reng si, mi thiam rawn nachang hre lo an awm thei a. A hun taka doctor rawn chuan damna kan chang thei a ni tih thu kan inhrilh hriatna a ni e.

Wednesday, February 9, 2022

Naute Hnute Pek

Hnute pek - a tir te, hnute chauh pek leh pek dan dik

Hnute Pek

  • A pian aṭanga darkar 1 chhungin hnute pe rawh
  • A hnek chak hunah hnektir rawh
  • Lehlam a hnek kang hnuah a lehlam hnektir chauh rawh

Hnute Pek Dan Dik

Naute chuan hnute hmur a hmuam nghet chaih

  • A khabein hnute a si
  • A ka a ang zau
  • A hmui hnuai lam a pawrh chhuak
  • A hmur bul bial dum hi a chung lam a lang tam zawk

Hnute Pek Dan Dik Lo

  • Naute chuan hnute hmur a hmuam chang chang chauh

Hriat Tur

Thla 6 chhung chu hnute chauh pe la; kum 2 chhung chu la pe chhunzawm rawh.


 


















NAUTE HNUTE PEK DAWNA HRIAT TURTE

  1. NUIN  NAUTE  HNUTE  A  PEK  DAWNIN  A  KUT  FAI TAKIN A SIL TUR A NI. KUT SIL REMCHANG LO A NIH CHUAN HAND SANITIZER TALIN A SIL TUR A NI.

  2. NAUTE HNUTE PEK DAWNIN NU LEH NAUTE NUAM / HAHDAM TAKIN AN AWM TUR A NI. 

  3. MU CHUNG LEH ṬHU CHUNGIN REM TAKIN HNUTE A PEK THEIH.

  4. ṬHU  CHUNGA  PEK  DAWN  CHUAN  NU  REM  TAKA ṬHUIN  NAUTE  TAKSA  PAWHIN  NU  LAM  REM  TAKIN HAWI TUR A NI.  

  5. NAUTE NU DUL LEH NAUTE DUL A INSI TUR A NI.

  6. NU  HNUTE  HMURAH  CHAUH  HNEKTIR  LOVIN  A MAWK  DUM  CHINAH  NAUTE  TAKSAIN  NU  LAM  A HAWI  ANG  A.  A  HNEK  TUR  HNUTE  LAMAH  ZEL NAUTE MUTTIRIN NUAM TAKIN A PEK THEIH A NI.

    HRIAT TUR PAWIMAWHTE


    1. NU HNUTE HI NAUTE TAN CHAW ṬHA BER EMAW FAMKIM A NI. A TLUKPUI DANG PEK TUR A AWM LO. AWLSAM TAKA PEK NGHAL MAI THEIH A NI.
    2. NAUTE A PIAN VELEH A HMA THEI ANG BERIN HNUTE PEK TUR A NI.
    3. HNUTE ṬHA TAKA PEK HIAN NU LEH NAUTE INLAICHINNA A TINGHET.
    4. HNUTE TUI LO CHHUAK HMASA COLOSTRUM HI HNEKTIR NGEI NGEI TUR A NI. COLOSTRUM HI NAUSEN PIANG HLIM TAN CHAW ṬHA BER A NI. A TLUKPUI DANG A AWM LO A, NATNA LAKA NAUTE VENG HIMTU A NI.
    5. NAUTE THLA 6 TLIN HMA CHU NU HNUTE CHAUH PEK TUR A NI. A THEIH HRAM CHUAN KUM 2 THLENG TAL NU HNUTE HI PEK CHHUNZAWM TUR A NI.
     
     


     

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