Yu dɔktɔ dɔn tɛl yu se yu gɛt liva sik, mɔ di sik we dɛn kɔl sirosis? Yu go dɔn yɛri sɔmbɔdi se sɔntin lɛk, "Yu Pikin-Pugh Skɔ na dis." Na nɔmal tin fɔ mek yu fil fred we yu yɛri dat. Wetin rili na di Child-Pugh Score? Wetin e se bɔt yu liva kɔndishɔn? Yu fɔ wɔri bɔt dis skɔring sistɛm? Tide, wi go tɔk bɔt ɔl dis insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na dis Child-Pugh Score?
Tink bɔt am lɛk ‘ripɔt kad’ we dɛn gi wi na skul fɔ mɛzhɔ wi prɔgrɛs, di Child-Pugh Score tan lɛk ‘ripɔt kad’ we de gi dɔktɔ dɛn wan aidia bɔt di wɛlbɔdi na yu liva. Dis nɔto mak we wan tɛst de gi. Na wan we fɔ skɔ we de chɛk bɔku tin dɛn na yu bɔdi, gi dɛn mak, dɔn i ad dɛn togɛda.
Tru dis skɔring sistɛm, di dɔktɔ kin ɔndastand klia wan:
- Aw yu liva de wok fayn fayn wan rayt naw?
- Wetin na di risk fɔ mek yu liva nɔ wok fayn?
- Wetin na di bɛst tritmɛnt fɔ yu? (Fɔ ɛgzampul, yu tink se mɛrɛsin naf, ɔ a fɔ tink bɔt sɔntin lɛk fɔ transplant liva?)
Dis skɔring sistɛm de mek dɔktɔ ɛnisay na di wɔl gɛt di sem, klia aidia bɔt yu liva in kɔndishɔn. Sɔntɛnde dɛn kin kɔl am di Child-Turcotte-Pugh skɔ.
Wetin na di 5 men tin dɛm we de sho dis mak?
Fɔ kɔl yu Child-Pugh Score, yu dɔktɔ go luk pan fayv men tin dɛn. Tri pan dɛn tin ya na tin dɛn we dɛn kin tɛst wit sɛmpul fɔ yu blɔd. Di ɔda tu na tin dɛn we dɛn kin fɛn tru ɛgzam pan dɛn bɔdi ɛn skan. Lɛ wi tek wan luk pan wetin dɛn bi.
1. Tכtal Bilirubin Lεvεl dεm na di Blכd: Bilirubin na yכlכ west prodakt we de kכmכt we wi rεd bכdi sεl dεm de brok dכn. Liva we gɛt wɛlbɔdi de pul dis na di bɔdi. We di liva dɔn pwɛl, i kin bigin fɔ gɛda na di blɔd. Dis na we di skin ɛn di yay dɛn kin tɔn yɔlɔ (jaundice) kin apin.
2. Sεrum Albumin Lεvεl: Albumin na wan rili imכtant protin we di liva de mek. I de ɛp fɔ mek wata kɔntinyu fɔ de na wi blɔd vesel dɛn. we di liva wik, di prodakshכn fכ dis protin de dכn.
3. Prothrombin Time ɔ INR: We wi wund sɔmsay, di blɔd kin stɔp bikɔs di blɔd kin klɔt. Bɔku pan di tin dɛn we de mek blɔd klɔt, na di liva de mek am. We di liva wik, dis kin slo. Dat min se di tɛm we i kin tek fɔ mek blɔd klɔt kin bɔku.
4. Fluid we de gɛda na di bɛlɛ (Ascites):we di liva nכ de wok fayn, spεshal wan we di albumin lεvεl dכn sכm, wata kin lik frכm di bכdi vεsul dεm εn i kin kכmכt na di bכdi. Dɛn kɔl dis ascites. Dis kin mek di bɛlɛ bulge fɔ go bifo ɛn i kin tan lɛk se i dɔn blo.
5. Ɛpatik Ɛnsɛfalopati: We di liva nɔ ebul fɔ pul di pɔyzin dɛn na di bɔdi fayn fayn wan, dɛn pɔyzin dɛn de kin gɛda na di blɔd ɛn travul go na di bren. Dis kin afɛkt tin dɛm lɛk mɛmori, bihayvya, ɛn kɔgnishɔn. Di sayn dɛm kin bi wae yu de slip, yu nɔr de taya, ɛn yu nɔr kin ebul fɔ pe atɛnshɔn.
Bay yu tɛst rizɔlt fɔ dɛn fayv tin ya, dɛn go gi yu wan mak we na 1, 2, ɔ 3 fɔ ɛni wan pan dɛn tin ya. If yu gɛt 1 mak na di bɛst tin, ɛn if yu gɛt 3, na di tin we bad pas ɔl.
| Chek pɔynt fɔ chɛk | Skɔ 1 (di bɛst kɔndishɔn) . | Skɔ 2 (mɔdaret kɔndishɔn) . | Skɔ 3 (di kɔndishɔn we siriɔs pas ɔl) . |
|---|---|---|---|
| Bilirubin (Tɔtal bilirubin) (mg/dL) . | I nɔ rich 2 | Bitwin 2 ɛn 3 | I pas 3 |
| Albumin na di sɛrum (g/dL) . | I pas 3.5 | Bitwin 2.8 ɛn 3.5 | I nɔ rich 2.8 |
| INR valyu | I nɔ rich 1.7 | Bitwin 1.7 ɛn 2.3 | Mɔ pas 2.3 |
| Fluid we de na di bɛlɛ (Ascites) . | Nɔ | Na smɔl tin de. | Bɔku tin de. |
| Ɛnsɛfalɔpati (we di bren nɔ de wok fayn) . | Nɔ | Gret 1-2 (mildly) . | Gret 3-4 (we rili bad) . |
Aw fɔ sɔt di sityueshɔn bay di tɔtal skɔ?
Naw ad ɔl di skɔ dɛn we yu gɛt fɔ di 5 poɛnt dɛn we wi dɔn tɔk bɔt. Dɔn yu go gɛt wan totɛl mak bitwin 5 ɛn 15. Bay dis mak, dɛn go put yu insay tri men kategori (Klas).
- Klas A (5-6 poɛnt): Dis min se yu liva stil de wok fayn . Pan ɔl we damej de, di liva kin ebul fɔ manej am ɛn wok na wan lɛvul we pɔsin kin gri wit.
- Klas B (skכ 7-9): Dis min se di liva fכnshכn de rεdכks sכmtεm . Sɔm damej de na di liva.
- Klas C (10-15 poɛnt): Dis min se di liva dɔn pwɛl bad bad wan ɛn i nɔ de wok fayn . Dis na di lɛvul we dɛn nid fɔ pe atɛnshɔn mɔ pan.
Dis skɔ ɛn klas nɔto di ɛnd fɔ yu layf. Dis na jɔs kɔmpas fɔ ɛp di dɔktɔ fɔ ɛp yu. So nɔ wɔri bɔt dɛn skɔ dɛn ya nɔmɔ.
Wetin mek dis skɔring sistɛm impɔtant to di dɔktɔ?
Yu Child-Pugh Score na rili valyu infɔmeshɔn fɔ yu dɔktɔ. I de ɛp am fɔ disayd fɔ du sɔm impɔtant tin dɛn.
- Pik di tritmɛnt we go fayn fɔ yu: Yu mak go sho if dɛn kin trit yu wit mɛrɛsin nɔmɔ, if yu nid ɔda spɛshal tritmɛnt, ɔ if yu fɔ tink bɔt fɔ transplant yu liva.
- Asɛs di risk fɔ ɔpreshɔn: If pɔsin we gɛt liva sik nid ɔpreshɔn fɔ ɔda rizin, dɛn mak ya kin ɛp fɔ no if di bɔdi go ebul fɔ du di ɔpreshɔn. Ɔpreshɔn fɔ pɔsin we de na Klas C kin gɛt prɔblɛm pas pɔsin we de na Klas A.
- Gɛt wan aidia bɔt di tumara bambay:Dis skɔ sistɛm kin gi yu wan rɔf aydia (prognosis) fɔ aw yu kɔndishɔn go go bifo ɛn yu chans fɔ liv, wit ɛn atɔl tritmɛnt. Bɔt mɛmba se dɛn tin ya na jɔs ɛstimat. If yu gɛt di rayt tritmɛnt ɛn chenj dɛn layf, dɛn tin ya kin chenj bɔku.
If yu ɛva no bɔt yu Child-Pugh Score, tɔk opin wan wit yu dɔktɔ bɔt wetin i min ɛn wetin fɔ du nɛks. Aks ɛni kwɛstyɔn we yu gɛt. E fayn fɔ bi aktif patisipan na yu tritmɛnt joyn.
Mɛsej we dɛn kin kɛr go na os
- Di Child-Pugh Score tan lɛk ‘ripɔt kad’ we de mɛzhɔ di wɛlbɔdi na yu liva. Na nɔto wan tɛst, bɔt na skɔring sistɛm we de bays pan 5 tin dɛn.
- dis kin bi bay tin dεm lεk bilirubin na di bכdi, albumin, blכd kכlכt rεt, wata na di bכdi, εn di ifekt pan di bren fכ wok.
- Dipen pan yu skɔ, dɛn go put yu insay Klas A, B, ɔ C. Klas A na di bɛst kɔndishɔn ɛn Klas C na di wɔs wan.
- Nɔ wɔri bɔt dɛn mak ya. Dɛn na jɔs gayd fɔ ɛp yu dɔktɔ fɔ gi yu di bɛst tritmɛnt.
- Ɔltɛm tɔk klia wan wit yu dɔktɔ bɔt yu sik dɛn, wetin dɛn min, ɛn wetin nɛks tin fɔ du.
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