ប្រការគួរយល់ដឹងអំពីការមុតម្ជុល

ឆ្លេីយតបនិងសំនួរជាច្រេីនរបស់និសិត្សពេទ្យ បន្ទាប់ពីមុតដៃនិងម្ជុល តេីគួរធ្វេីយ៉ាងណា (depend on medical students questions and want to know about proper way to manage them self after needle injuries)***

គ្រប់និសិត្ស រឺ គ្រូពេទ្យទាំងអស់គួរយល់ដឹង អំពីការមុតម្ជុលដេាយចៃដន្យពេលកំពុងបំពេញការងារនៅមន្ទីពេទ្យ (Warning to all medical students and doctors who accidentally injured needle injection and Post Exposure Prophylaxis-PEP)

-កុំស្លន់ស្លេា ហេីយកុំច្របាច់កន្លែងមុត
-លាងជាមួយនិងសាប៊ូ និង ទឹកដែលហូរភ្លាមៗ
-យល់ដឹងពីម្ជុលដែលមុត ឧ: ម្ជុលដែលប្រហេាងមានអាត្រាឆ្លងខ្ពស់ជាងម្ជុលដែលអត់ប្រហេាងខាងក្នុង
-យល់ដឹងពីរយះពេល បេីមុតភ្លាមៗអត្រាឆ្លងខ្ពស់ ជាងម្ជុលទុកចេាលយូ (ពីព្រេាះ មេរេាគអេដស៌អាចងាប់ក្នុងរយះពេលខ្លី ពេលចេញមកក្រៅ)
-ពេលមុតភ្លាមៗត្រូវដឹង ពីសមិត្មុកម្ម របស់អ្នកមុត(ពេទ្យ) និង អ្នកជំងឺ (រលាកថ្លេីម បេ សេ និងអេដស៌ ជាដេីម) ឧទាហរណ៏ អ្នកដែលត្រូវមុត(ពេទ្យ)តែមានអង់ទីគ័ររលាកថ្លេីមបេហេីយដូចនេះគ្មានការព្រួយបារម្មឡេីយពីការឆ្លងមេរេាគរលាកថ្លេីមបេឡេីយ)
-ពិគ្រេាះព្រឹក្សា ជាមួយគ្រូពេទ្យ ផ្នែកជំងឺកាមរេាគ រឺ ជំងឺឆ្លង ដេីម្បីលេបថ្នាំទប់សា្កត់រាលដាលភ្មាមៗក្រេាម72ម៉េាងដែលមានប្រសិទ្ធភាពខ្ពស់ បេីពន្យាយូ ការឆ្លងមេរេាគក៏កាន់តែខ្ពស់ (សូមពិនិត្យមេីលគេាលការណ៌និង ថ្នាំនៅខាងក្រេាមក្នុងរូបភាព)
-ឆែកសុខភាពខ្លួនឯងអេាយបានញឹកញាប់ អាចរៀងរាល់៣-៦ខែម្តង លេីជំងឺ អេដស៌ និងរលាកថ្លេីម បេ សេ (អស្រ័យលេីអាត្រាប្រឈមខ្ពស់រឺទាប)
-ចាក់វ៉ាក់សាំងការពារ ជាពិសេស រលាកថ្លេីមបេ
***ហាមយកម្ជុលដែកចាក់រួចហេីយ ទៅស៊កនឹងគំរបដែលដៃម្ខាងទៀតកាន់
***បន្ទាប់ពីចាក់ថ្នាំហេីយ ត្រូវយកម្ជុលទុកក្នុងធុងសុវត្ថិភាព
***ត្រូវធ្វេីការអេាយម៉្មត់ចត់និងប្រុងប្រយ័ត្នជានិច្ច
---------------
-Don't panic and don't squeezing the injured site
-Washing with soap and raining water immediately
-Understanding about the types of injection example: Needle which has the hold is high chance to transmit the disease
-Understanding about the duration, prolong time of needle injured is less chance to transmit
-Understanding between the background blood test of the donor/victim and patients example: patients have HIV, HBV, HCV, and the Victims has antibody of HBV so no need to worry about infection of Hepatitis B virus.
-Consultant with Sexual Transmitted Disease (STD) or Infectious disease Doctors within 72hours for Post Exposure Prophylaxis (PEP) and high chance infection is delay PEP (Guideline is in the pictures below)
-Health Check Up every3-6 months for HIV, HBV, HCV test (depend on high risk or low risk)
-Vaccination especially for Hepatitis B virus Vaccine
***Avoidance putting the needle with others hand carry the cover
***Put the syringe and needle into the safety box
***Be careful with all procedures and works all the time

សូមអភ័យទេាសផង លេីភាសារបច្ចេកទេស រឺ មានប្រការខុសឆ្គងណាមួយ (Sorry for all mistakes)

Reference: WHO PEP 2014 and March 2014 Supplement to WHO guideline
http://www.who.int/hiv/topics/prophylaxis/en/

Thanks for like and share to your friends :)

Good luck to all my students, friends and medical students/doctors for our Cambodian People (We need to help the patients but at least protect yourself-យេីងត្រូវជួយអ្នកជំងឺហេីយក៏ត្រូវការពារខ្លួនឯងផងដែរ)

Cancer Treatment Types

Chemotherapy (Chemo)

This strong medication keeps cancer from spreading, makes it grow slower, or even kills cancer cells. It can cause side effects because it kills cells in your body that grow quickly, including those in your blood, mouth, digestive system, and hair follicles. There are over 100 types of chemo drugs. Your doctor will choose the one that’s best for your type of cancer. You may take it as a pill or capsule, rub it into your skin as a cream, or get it as an injection or IV at home or in the hospital.

External Beam Radiation

This treatment attacks cancer cells with high-energy particles (proton or particle therapy) or waves (X-rays). It kills or damages cells in one specific area instead of throughout your whole body. The most common type comes from a machine outside your body. It’s called external-beam radiation.

Internal Radiation

You’ll probably hear your doctor call it brachytherapy. They’ll put radioactive implants about the size of a grain of rice inside your body where the tumor is. The radiation kills the cancer cells. This treatment makes you radioactive for a while, so you may have to avoid other people until it’s finished.

Open Surgery

Treating cancer with surgery works best if you have a solid tumor in one area. It often can’t treat cancer that has spread or cancer that’s in your blood, like leukemia. The surgeon makes a cut in your skin with a scalpel or other sharp tool and removes as much of the tumor as possible. They may also take out lymph nodes and other tissues for testing. This is called open surgery.

Minimally Invasive Surgery

The goal for this procedure is the same as open surgery: to remove tumors, and also tissues and lymph nodes if needed. Instead of one large cut, the surgeon makes several small ones. They put a tube with a tiny camera into one cut to see inside your body, and tools into the others. This is called laparoscopic surgery. It usually has a shorter recovery time than open surgery.

Other Surgeries

Cryosurgery uses very cold nitrogen or argon gas to freeze off abnormal tissue. It can treat some early skin cancers, retinoblastoma, and precancerous spots on your skin or cervix.

Photodynamic therapy is a laparoscopic surgery that puts drugs near tumors. Light activates the medicine, and it kills cancer cells.\

Laser surgery uses strong beams of light to cut into your skin. It’s good for very tiny areas. Lasers can also sometimes shrink tumors.

Stem Cell Transplant

These are cells in your blood and bone marrow that haven’t matured into their final form. The doctor uses them to replace cells in your bone marrow that other treatments kill. That means you can get higher doses of those therapies. Sometimes, stem cells can find and kill cancer cells. You get stem cell transplants through a catheter, much like a blood transfusion.

Precision Medicine

This new field, also called personalized medicine, uses your genetic makeup and other things to find out the best treatment for your cancer. In the “one-size-fits-all” model, your doctor chooses the option that works best on most cancers like yours. Precision medicine helps take some of the guesswork out of the selection process. It isn’t used widely yet for all forms of the disease. Many people who get it are part of clinical trials.

Targeted Therapies

These are usually paired with other treatments. They’re strong medicine, like chemotherapy, but instead of killing all fast-growing cells, they home in on the parts of cancer cells that make them different from other cells. Targeted drugs do things like stop blood vessels from growing around cancer cells or turn off signals that tell cancer cells to grow. They can also tell your immune system to destroy them or change their proteins so they die.

Hormone Therapy

Also called endocrine therapy, it targets cancers that use hormones to grow. There are two kinds: those that stop you from making hormones, and those that keep hormones from working the way they should. You can either take them as pills or get them through a shot. Sometimes you may do surgery to remove an organ that makes hormones, like ovaries or testicles. Doctors use hormone therapy with other methods to shrink tumors before surgery or treatment, or to kill cancer cells that have spread to other parts of your body. It can also lower the chances that your cancer will return.

Gene Therapy

This treatment uses a special carrier, usually a virus, to put RNA or DNA into your living cells. Your doctor will either remove some of your cells and put the genetic materials into them in a lab or give you the carrier directly. The changed cells then either kill cancer cells, slow their growth, or help healthy cells fight cancer better. Doctors don’t use this method widely yet, but several types of gene therapies are available for certain diseases.

Immunotherapy

This type of biological therapy, or biotherapy, uses your immune system to fight the cancer. It either boosts your immune system or marks cancer cells so your immune system can find and destroy them more easily. You get it by mouth as a pill, into a vein as an IV, by rubbing a cream into your skin, or through a catheter directly into your bladder.

Types of Immunotherapy

Immune checkpoint inhibitors are drugs that take the brakes off your immune system to help it find and attack cancer cells.

Cancer vaccines start an immune response against cancer cells so your body can better attack them. They can also prevent certain cancers.

Monoclonal antibodies are drugs made in a lab to work like your natural antibodies. They mark cancer cells as the ones your immune system should attack. They can also help chemotherapy and radiation go directly to cancer cells.

Adoptive Cell Transfer (ACT)

This is another type of immunotherapy, but it also involves gene therapy. Doctors take immune cells from your blood and add genes to change them so they can better spot and kill cancer cells. Then they grow lots of these cells in a lab and put them back into your body. So far, the only kind of ACT approved by the FDA is called CAR T-cell therapy.

‘Good’ Habits to Give Up for Type 2 Diabetes

You know managing type 2 diabetes isn't just about taking medicine. So you've been trying to make better food and lifestyle choices. But figuring out what's healthy and what isn't can be confusing.

Take these habits. They may seem like they're good for you, but they could actually be sabotaging your efforts.

1. Buying 'sugar-free' foods

The supermarket is full of things that appear to be diabetes-friendly because they don't have added sugar. But many have sugar substitutes that contain carbs. That means they could send your blood sugar levels soaring.

Before you put something in your cart, check the nutrition facts to see how many grams of carbs are in each serving and how much sugar is added. Knowing how many total carbs per serving are in foods helps you manage your blood sugar levels.

2. Swapping meals for meal replacement bars

Losing weight can help, and meal replacement bars may seem like an easy way to slim down.

Many meal replacement products are aimed at athletes. So they can be high in calories. Others contain ingredients like sugar alcohols (sorbitol and mannitol, for example), which can cause stomach trouble.

Occasionally, munching on a bar for breakfast when you're pressed for time is OK as long as you pay attention to the nutrition info. But it's smarter to stick with real meals or calorie-restricted bars that are complete meals and nutritionally balanced .

3. Loading up on vitamins and supplements

A diet with lots of fruits and vegetables should give you all the nutrients you need. A multivitamin may help fill in the gaps, but it still can't match the real thing -- food.

Some people take supplements like cinnamon or chromium to try to keep their blood sugar levels stable. It's unclear whether these work. If you choose to try them -- or any supplement -- tell your doctor. He can make sure it's safe for you and won't interact with any medication you're taking.

4. Drinking juice

Natural doesn't always equal healthy. One cup of apple juice, for example, has 25 grams of sugar and just 0.5 grams of fiber.

An apple, on the other hand, has less sugar (19 grams) and more fiber (4.5 grams). It will satisfy you longer and help stabilize your blood sugar. What's more, a study found that drinking juice every day can make it more likely to get diabetes. But regularly eating whole fruit can make it less likely.

5. Downing diet soda

It may be calorie-free, carbohydrate-free, and sugar-free, but you can still overdo it. One study found that overweight people who rely on diet soda end up taking in more calories from food. Why? Diet-drink lovers may think they're "saving" calories on drinks and can afford to splurge on food. Artificial sweeteners also confuse your body because they taste sweet but don't provide calories.

Good behavior, you will be free from diabetes.

What You Can Do to Prevent Cancer and Why It Works

Ditch the Smokes

Every puff of tobacco is packed with 250 harmful chemicals. Nearly 70 of them cause cancer. And it's more than just lung cancer. Cigarettes are linked to 12 other kinds, including stomach, bladder, kidney, mouth, and throat. The sooner you stop, the better. Ask your doctor for advice on quit-smoking methods.

Get Vaccinated

When it comes to vaccines, think beyond your annual flu shot. Some can protect against cancer, too. Certain HPV vaccines prevent cancers of the cervix, vulva, vagina, and anus. The time to get vaccinated is between ages 9 and 26. The hepatitis B vaccine wards off the virus that causes liver cancer. It's part of the childhood vaccination schedule.

Practice Safer Sex

Sexually transmitted diseases (STDs) aren't your only worry during unprotected sex. Some of these infections also increase your odds of having cancer. About 70% of cervical cancers start with human papillomavirus (HPV) types 16 and 18. Some types of hepatitis can cause liver cancer. To stay safe, use a latex condom every time you have sex.

Eat More Broccoli

Fruits and veggies pack an anti-cancer punch because they're high in nutrients and fiber, and low in fat. Try broccoli, Brussels sprouts, cabbage, kale, watercress, or other cruciferous vegetables. They protect against DNA damage that can turn cells cancerous. Or eat colorful berries. Studies show they have cancer-fighting chemicals that ward off damage to cells.

Go Easy on Alcohol

Tip back too many martinis each day, and your odds of cancer go up. Alcohol is linked to cancers of the mouth, breast, liver, esophagus, and others. The more you drink, the higher your risk. If you drink, do it in moderation. Women should stick to one drink a day, men up to two.

Trim a Few Pounds

Extra weight around your middle could add up to a greater chance of having cancer, especially of the breast, colon, uterus, pancreas, esophagus, and gallbladder. Researchers say one reason may be that fat cells release substances that encourage cancer cells to grow.

 Cut Back on Hot Dogs

Think twice before you throw some on the grill. Studies show that processed meats, like hot dogs, bacon, and sausage, have chemicals called nitrites and nitrates that may be linked to cancer. And research suggests too much red meat like steak and burgers could be a long-term risk for colorectal cancer. Choose safer alternatives for your backyard cookout, like chicken breast or fish.

Get Off the Couch

Do you spend too much time lounging around? Cancer prevention is one more reason to get moving. Exercise fights obesity and lowers levels of hormones like estrogen and insulin, which have been linked to cancer. Aim for 30 minutes of aerobic exercise -- the kind that gets your heart pumping -- on most days of the week.

Avoid Toxic Chemicals

Chemicals called carcinogens damage DNA in your cells and raise your chance of having cancer if you touch, eat, or breathe them in. Asbestos, radon, and benzene are a few that some people come into contact with at work or home. Chemicals in weedkillers, plastics, and some home products may also be risky. You can't avoid every chemical, but know which ones are in products you use and switch to safer options if you can.

Know Your Family History

You inherited more than your mother's eyes or your father's grin. They may also have shared their chances for having diseases like cancer. Some genes that parents pass down to their kids have flaws. They don't repair damaged DNA the way they should, which lets cells turn into cancer. Learn about your family's medical history and ask your doctor if a genetic test is a good idea for you.

Stay Up to Date With Screenings

Screening tests catch cancer early -- sometimes even before it starts. A colonoscopy often finds polyps in the colon and rectum before they turn into cancer. The Pap test locates pre-cancerous and cancerous cells in a woman's cervix. Mammograms and low-dose computed tomography (LDCT) look for early breast and lung cancers. Ask your doctor when to start getting these tests, and how often you need them.

Take Meds if You Need Them

Some drugs lower your odds of getting certain cancers. Tamoxifen (Nolvadex, Soltamox) and raloxifene (Evista) can reduce breast cancer risk but may have serious side effects. Aspirin may protect against colorectal and prostate cancers. Be wary, though, of supplements that promise to keep you cancer-free. Many haven't been proven, and some have side effects.

Put on Sunscreen

Baking in the sun might give you a healthy-looking glow, but under the surface, UV rays cause skin damage that could lead to cancer. Because you can burn in just 15 minutes, rub on sunscreen before you go outside. Pick a broad-spectrum product with an SPF of 30 or higher. Reapply whenever you sweat or swim. And when you're out in the sun, wear a wide-brimmed hat and wraparound sunglasses.

Be Cautious About Hormone Therapy

It can ease menopause symptoms like hot flashes and fatigue, and protect your bones. But hormone therapy may raise your chances of breast cancer and make cancer harder to detect. Ask your doctor about your risks before you try this treatment.

BenHyatt

Food Poisoning: What to Know

Getting sick from eating food that has germs, viruses, or parasites is more common than you might think. Most get better on their own without medical treatment.

You may have symptoms like nausea, vomiting, and diarrhea within hours of eating. But sometimes the symptoms can take days or more than a week to show up. That can make it hard to know if it's food poisoning or something else. The delay also makes it tricky to trace the illness back to the specific food or drink.

The same food can affect people differently. Some may feel unwell after just a few bites. Others can eat a lot and have no reaction at all.

How Do You Get Sick?

Food poisoning can be caused by bacteria, viruses, or parasites. They can exist in foods at any stage, such as when they're growing, packaged, shipped, stored, or cooked.

Certain foods are more likely to harbor harmful agents. These include raw eggs, unpasteurized milk and juice, soft cheeses, and raw or undercooked meat or seafood. Fresh produce is another risk. Foods made in bulk are problematic, too. A single bad egg could affect the whole batch of omelets in a buffet. You could make trouble for yourself by not washing the cutting board or your hands as you prepare different foods.

Your chances of getting food poisoning are higher in the summer. In 90-degree heat, food can start to spoil within an hour. At a picnic or during a camping trip, you are more likely to eat undercook grilled meats or to handle raw meat without access to soap and water. Bacteria can grow quickly inside tepid coolers. So if you're picnicking on a hot day, put leftovers back in with fresh ice.

Common Causes

In 4 out of 5 cases of food poisoning, you never find out exactly what caused it. That's OK because you most likely will get better on your own. But in cases where the culprit is found, it's usually one of the following:

• Norovirus, often called stomach flu, is behind more than half of the foodborne illnesses in the U.S. where the cause is known. Norovirus can sicken you not only through eating contaminated foods, but also through touching doorknobs and other surfaces or having contact with an infected person. You should wipe down the kitchen if someone in your house has it. It typically takes 12-48 hours before you feel sick. Your symptoms may last 1-3 days. 
• Salmonella is the name of a group of bacteria. They grow in undercooked eggs and meat. But you can also get salmonella from unpasteurized milk or cheese. Some fruits and vegetables, such as melons or sprouts, can also cause it. Symptoms start within 1-3 days and can last up to a week.
• Clostridium perfringens are bacteria that are more likely to show up when foods are prepared in bulk, such as in cafeterias or nursing homes or for catered events. Cooking kills the bacteria but not its spores. So food left warming can grow new germs. You can get it from beef, chicken, or gravy. You may have cramps and diarrhea but no other symptoms. You get sick within 6-24 hours and are usually feeling better in a couple of days.
• Campylobacter comes from undercooked poultry, unpasteurized milk, and sometimes water. It may take 2-5 days to develop symptoms you can notice. But you should feel better in another 2-10 days. You can't pass it to anyone. But if it's serious, you might have bloody diarrhea.

More Serious Causes

Some bacteria cause fewer cases of food poisoning but can make you very sick. They can even cause death.

They include:

• E. coli. This is the name of a type of bacteria found in the intestines of animals. You can get this from undercooked ground beef, unpasteurized milk, sprouts, or any food or liquid that has had contact with animal feces or sewage. Some strains are harmless. Others can make you very sick.
• Listeria is an unusual bacterium that can grow in cold temperatures such as in the refrigerator. It's found in smoked fish, raw (unpasteurized) cheeses, ice cream, pates, hot dogs, and deli meats. Pregnant women and others with weakened immune systems, can feel sick from milder infections from listeria within a day. Other people with a more serious listeria infection called listeriosis may not show symptoms for a week or even a couple of months. In addition to diarrhea and vomiting, listeria can cause unusual symptoms, including weakness, confusion, and a stiff neck. It can also be deadly. If you have a stiff neck with a fever, you may need antibiotics.

BenHyatt

Snakebites: What You Need to Know

Rare, But Serious
Snakebites aren’t very common in the Cambodia, even for people who spend a lot of time outdoors. And most snakes in Cambodia are venomous, meaning you don’t get poison from them if they do bite. You’re much more likely to get struck by lightning than die from one. Still, it’s best to avoid them and to treat any bite as a medical emergency.

 Treatment: First Aid If you’ve been bitten by a snake, get medical help right away. To help someone with a snakebite:
 -Take off all jewelry and tight clothing to avoid problems with swelling.
-Keep the area of the bite below the heart to keep venom from spreading.
-Keep the person as still as possible to keep venom from spreading.
-Cover the bite loosely with a clean, dry bandage.
-Help the person stay calm to prevent shock.




 What Not to Do
 When treating a snakebite:
 -Don’t try to pick up or kill the snake. Even dead snakes have been known to bite.
-Don’t tightly wrap the bite area. Use only a loose bandage.
-Don’t cut across the area of the bite or try to suck the venom out.
-Don’t drink alcohol or anything with caffeine. They make your body take in the venom faster.
-Don’t use any ointments, chemicals, heat, cold, or ice.
-Don’t take aspirin. it can make bleeding worse.

Treatment: Antivenom This is the only way to treat venomous snakebites. It’s best to get antivenom within 4 hours of the bite, but it can still help if you get it within 24 hours. You get it through an IV  the medicine goes into a vein through a needle. It drips in slowly to make sure you don’t have a reaction.

Why Snakes Bite Usually, they only attack when it’s dinnertime or when they need to defend themselves. They’re typically more interested in getting away from people than attacking them. The danger is when the snake is startled or threatened. Venomous snakes can control how much venom they give you. Sometimes, they bite but don’t put out any venom at all.

 How to Prevent Snakebites You can do things to try to avoid them:
 -Wear shoes outside.
 -Don’t camp near swamps, streams, or other places snakes live.
 -Don’t stick your hands into places you can’t see, like in between rocks.
 -If you see a snake, slowly back away.
 -Keep the grass around your house cut low.
 -Never try to catch or pick up a snake.
 -Keep piles of wood, rocks, or other debris away from your house  snakes, and the animals they eat, can hide there.












BenHyatt

គួរយល់ដឹងពីការកាត់បន្ថយស្រ្តេសនៅកន្លែងធ្វើការ

 វិធីគ្រប់គ្រង​​​ស្ត្រេស នៅកន្លែងធ្វើការ

ខាងក្រោមនេះ គឺជាវិធីសាស្ត្រ​​​មួយចំនួន ដើម្បីជួយ​​​លោកអ្នក អាចគ្រប់គ្រង​​​អារម្មណ៍ធុញថប់ (ស្ត្រេស) របស់ខ្លួន នៅពេលជួយ​​​បញ្ហាស្មុគស្មាញ នៅកន្លែងធ្វើការ។

១. ចេះគ្រប់គ្រង​​​​​​ពេលវេលា

ប្រសិនបើការងាររបស់អ្នក ផ្តល់ឲ្យអ្នកនូវពេលវេលាដ៏សែនអាក្រក់ នោះវាប្រហែលជាដល់ពេល ដែលអ្នក ត្រូវស្វែងរកជម្រើសថ្មីទៀត ដោយសារតែ អ្នកអាចជំនួសការងាររបស់អ្នក ជាមួយនឹងអ្វីទៀត ផ្សេង ប៉ុន្តែ អ្នកនឹងមិនអាចជំនួស នូវសន្តិភាពក្នុងចិត្តរបស់អ្នកបាននោះទេ។

២. ផ្លាស់ប្តូរការងារ

ប្រសិនបើការងាររបស់អ្នក ផ្តល់ឲ្យអ្នកនូវពេលវេលាដ៏សែនអាក្រក់ នោះវាប្រហែលជាដល់ពេល ដែលអ្នក ត្រូវស្វែងរកជម្រើសថ្មីទៀត ដោយសារតែ អ្នកអាចជំនួសការងាររបស់អ្នក ជាមួយនឹងអ្វីទៀត ផ្សេង ប៉ុន្តែ អ្នកនឹងមិនអាចជំនួស នូវសន្តិភាពក្នុងចិត្តរបស់អ្នកបាននោះទេ។

៣. ធ្វើការហាត់ប្រាណ

ទៅក្លឹបហាត់ប្រាណ ឬ ហាត់ក្បាច់យូហ្គា ឬ ធ្វើការហាត់ប្រាណបែបរាំកំសាន្ត ។ ការហាត់ប្រាណ គឺអាចជួយបញ្ចេញនូវ សារជាតិគីមីពីធម្មជាតិ ដែលត្រូវបានគេហៅថា អង់ដូហ្វីន ដែលវាជាអរម៉ូនម្យ៉ាង នឹងជួយអ្នក ធ្វើឲ្យមានអារម្មណ៍ល្អបាន។ ធ្វើការអនុវត្តន៍ លំហាត់ប្រាណនៃការដកដង្ហើម ឲ្យបាន ទៀងទាត់ តាមដែលពួកវានឹងជួយ ធ្វើឲ្យអ្នកកាន់តែមានអារម្មណ៍ស្ងប់សុខ និង ស្រស់ថ្លា។

៤. ញញឹមឲ្យបានច្រើន

កាលបើអ្នកកាន់តែញញឹម នោះអ្នកនឹងកាន់តែមានអាម្មណ៍ថា ស្រស់ស្រាយជាងមុន តែចូរប្រាកដថា វាចេញពីក្នុងចិត្តរបស់អ្នក។ ស្នាមញញឹម បំពេញឲ្យអ្នកនូវ ស្ថានភាពអារម្មណ៍ជាវិជ្ជមាន និង អាច កាត់បន្ថយស្ត្រេស នៅពេលដែលអ្នកចង់បំបាត់វា ។

៥. ស្វែងយល់នូវអ្វីដែលថ្មីៗ

នៅពេលដែលអ្នកនៅក្មេង តើអ្នកមានធ្លាប់ចង់រៀនលេងហ្គីតា ប៉ុន្តែអ្នកមិនអាចសម្រេចវាបានមែនទេ ? គ្មានបញ្ហានោះទេ អ្នកអាចចាប់ផ្តើមបំណងប្រាថ្នានេះ ជាថ្មីម្តងទៀត ដោយការចាប់ផ្តើម ចូលរៀនក្នុង ថ្នាក់តន្ត្រីនៅក្នុងពេលនេះ ។ ការភ្ជាប់ខ្លួន ទៅនឹងសកម្មភាពកំសាន្តអ្វីមួយ គឺអាចជួយអ្នក បំបាត់នូវ ស្ត្រេសចេញពីក្នុងចិត្ត របស់អ្នកបាន។ វានឹងជួយឲ្យអ្នក ដកដង្ហើមចេញចូលដោយខ្យល់បរិសុទ្ធ និង ធ្វើឲ្យអ្នកមានអារម្មណ៍ស្រស់ស្រាយនៅនឹងកន្លែងធ្វើការបាន។

៦. រៀនធ្វើការបន្ធូរអារម្មណ៍

ជារឿយៗ នៅពេលដែលអ្នកសាកសមនឹងធ្វើការសម្រាក អ្នកបែរជាមិនបានទទួលនូវការសម្រាកមួយ ពិតប្រាកដទៅវិញ។ ជាលទ្ធផល អ្នកហាក់នឹង ចំណាយពេលឥតប្រយោជន៍ ក្នុងការសម្រាកបែបនេះ ។ នៅពេលដែលអ្នក មិនបានទទួលនូវអារម្មណ៍ធូរស្រាល និង មានថាមពលជាថ្មី នោះអ្នកនឹង មានអារម្មណ៍ ថាអ្នកមានស្ត្រេសកាន់តែខ្លាំងឡើងៗ ពីមួយថ្ងៃ ទៅ មួយថ្ងៃ។ ដូច្នេះ អ្វីដែលអ្នកត្រូវធ្វើ នៅពេលត្រលប់ទៅផ្ទះវិញនោះគឺ អ្នកត្រូវតែសម្រាកនៅពេល ដែលពេលវេលាគឺសាកសមសម្រាប់អ្នក។ ត្រូវគេងឲ្យបានគ្រប់គ្រាន់ និង ទៀងពេល។ រៀនបន្ធូរអារម្មណ៍ដោយការ ជជែកកំសាន្តជាមួយ នឹងសមាជិកគ្រូសារ ឬ ស្តាប់តន្ត្រីលំហែអារម្មណ៍ជាដើម។


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