Aw yu liva wɛlbɔdi de? Fɛn ɔut wit di Child-Pugh Skɔ!

Sɔntɛnde we dɔktɔ dɛn tɛl wi nyu wɔd dɛn ɔ nyu mɛrɛsin tɛst dɛn, wi kin fred smɔl, nɔto so? Dat na nɔmal tin. Tide wi go tɔk bɔt sɔntin we yu go dɔn yɛri bɔt, ɔ yu go yɛri bɔt tumara bambay. Dɛn kɔl am di Child-Pugh Score . Nɔ fred we yu yɛri dis nem, bikɔs na jɔs we fɔ ɛp dɔktɔ dɛn fɔ ɔndastand di kɔndishɔn na yu liva. Lɛ wi tɔk bɔt am simpul wan ɛn klia wan.

Wetin na di Child-Pugh Skɔ? Fɔ tɔk am simpul wan...

Tink bɔt am lɛk we yu kɛr yu motoka go na savis sɛnta, di tɛknishian kin chɛk difrɛn tin dɛn ɛn tɛl yu bɔt aw yu motoka de. Di Child-Pugh skɔ na wan we fɔ no aw di liva de wok fayn pan pɔsin we gɛt lɔng tɛm liva sik , mɔ di sirosis, we na wan sik we fat de bɔku na di liva ɛn mek i at.

Fɔ tɔk am simpul wan, dis we aw pipul dɛn kin skɔ kin mek dɔktɔ dɛn ɔndastand dɛn tin ya:

• Aw yu liva de wok fayn fayn wan?
• Risk de fɔ mek yu liva nɔ wok fayn? Aw i go bi se i go bi?
• Us kayn tritmɛnt go fayn fɔ yu?

Dis de du ɔda tin. I kin ɛp dɔktɔ dɛn ɔlsay na di wɔl fɔ tɔk bɔt yu liva kɔndishɔn di sem we. Sɔntɛnde dɛn kin kɔl am ``Child-Turcotte-Pugh (CTP) calculator.'' Bɔt mɛmba se, pan ɔl we dis skɔ impɔtant, i nɔ de tɛl di ɔl stori bɔt yu wɛlbɔdi. Na jɔs wan pat.

Us 5 tin dɛn de luk pan dis?

Dɔktɔ dɛn kin luk pan fayv men tin dɛn fɔ mek di Child-Pugh skɔ. Dɛn tin ya na:

1. Tכtal bilirubin lεvεl na di bכdi: Bilirubin na yכlכ kכmpawnd we de insay wi bכdi in bayl. Dɛn kin yuz am fɔ no if di liva de wok fayn. We i de bɔku, di yay ɛn di skin kin tɔn yɔlɔ (lɛk janda).

2. di sεrum albumin lεvεl: Albumin na wan protin we yu liva de mek. I de ɛp fɔ transpɔt nyutriɛnt dɛn ɔlsay na yu bɔdi. We yu liva wik, i de mek smɔl pan dis prɔtin.

3. Aw yu blɔd kin klɔt kwik (Prothrombin time ɔ INR): Di liva kin involv bak pan aw yu blɔd kin klɔt kwik. Dis na bikɔs sɔm pan di tin dɛn we dɛn nid fɔ mek blɔd klɔt, dɛn kin mek am na di liva. We dis tɛm bɔku, dat min se i kin tek lɔng tɛm fɔ mek di blɔd klɔt.

4. Ascites: dis de tכk bכt di abnכmal akyumyuleshכn fכ wata insay yu bכdi (abdominal cavity). Dis kin apin we di liva sik lɛk sirosis kin tranga.

5. Na di bren wok de afɛkt bay liva sik (Encephalopathy):We di liva dɔn pwɛl, sɔm pan di pɔyzin dɛn we dɛn fɔ pul na di bɔdi kin gɛda na di blɔd. Dɛn tin ya kin travul go na di bren ɛn afɛkt di we aw di bren de wok. Dis kin mek tin chenj pan tin dɛm lɛk mɛmori, atɛnshɔn, ɛn bihayvya.

Dɛn kin gi ɛni wan pan dɛn fayv tin ya wan mak bay yu tɛst rizɔlt. Dɔn, dɛn kin ad dɛn ɔl togɛda fɔ mek dɛn gɛt wan tɔtal mak. Fɔ du dat, dɛn put yu insay wan pan tri grup dɛn: A, B, ɔ C.

Aw a fɔ pripia fɔ wan Child-Pugh Score?

Fɔ kɔl dis Child-Pugh skɔ, yu go nid fɔ du sɔm tɛst dɛn. Dɛn tin ya kin bi fɔ chɛk yu bɔdi , fɔ tɛst blɔd , ɛn sɔntɛm fɔ tɛst yu pikchɔ dɛn.

Di dɔktɔ go aks yu fɔ tek blɔd fɔ chɛk fɔ dɛn tin ya:

• bilirubin lεvεl: As wi bin dכn tכk, dis na mεzhɔ fכ di liva fכ wok.
• di albumin lεvεl: Na protin we di liva de mek we de transpכt di nyutriεnt dεm.
• di prothrombin tεm (PT) כ INR: Di spid we di bכdi de kכlכt.

Yu dɔktɔ kin du ɔltrasɔund na yu bɛlɛ ɔ CT skan fɔ chɛk fɔ si if wata dɔn bɔku na yu bɛlɛ (ascites). Asita na di we aw ɛkstra wata kin gɛda na di bɛlɛ. Sirosis na di men tin we kin mek dis sik.

Dɛn kin du fyzikal ɛgzam ɛn/ɔ kɔgnitiv ɛgzam fɔ chɛk fɔ si if di liva dɔn pwɛl we de afɛkt di bren (ɛnsɛfalopati). Dis sik kin apin we di liva dɔn pwɛl ɛn pɔyzin kin gɛda na di blɔd.

Impɔtant: Fɔ gɛt di kɔrɛkt rizɔlt frɔm dɛn tɛst ya, dɛn kin aks yu fɔ avɔyd fɔ it ɔ drink fɔ sɔm awa bifo di tɛst (fastin). So, aks yu dɔktɔ di rayt tin we yu nid fɔ pripia.

Dɛn nɔ kin du dɛn tɛst ya di sem de ɔ na di sem ples. Dat na okay. Afta di dɔktɔ dɔn gɛt di rizɔlt fɔ ɔl dɛn tɛst ya, dɛn kin ad dɛn ɔl fɔ kɔl yu Child-Pugh mak.

Aw dɛn kin kɔl di Child-Pugh skɔ?

I rili simpul. Dɔktɔ dɛn kin luk pan di fayv tin dɛn we wi dɔn tɔk bɔt we gɛt fɔ du wit yu liva wɛlbɔdi. Dɛn kin gi ɛni wan pan dɛn tin dɛn de wan mak we na 1, 2, ɔ 3, i go dipen pan yu kɔndishɔn. (Skɔ 1 na di wan we nɔ tu siriɔs, skɔ 3 na di wan we nɔ bad pas ɔl).

Afta we di dɔktɔ dɔn skor ɔl di fayv tin dɛn, i kin ad dɛn ɔl. Yu get totɛl skɔ bitwin 5 ɛn 15. Dat na yu Child-Pugh skɔ.

Na dis na wan chɔt we de sho aw dɛn gi di mak dɛn bay di rizɔlt fɔ dɛn fayv tin dɛn de:

| Faktɔr | Skɔ 1 | Skɔ 2 | Skɔ 3 |

| / :--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ :---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| Bilirubin `(Tɔtal bilirubin)` (mg/dL) | < 2 | 2 - 3 | > 3 |

| Sεrum albumin `(Sεrum albumin)` (g/dL) | > 3.5 na di 3.5 | 2.8 - 3.5 | < 2.8 |

| INR (blɔd we de klot) | < 1.7 na di 1.7 | 1.7 - 2.3 | > 2.3 na di 2.3 |

| Asayt we gɛt di sik | Nɔn nɔ de | Smɔl/Kɔntrol | Modaret/Pɔr Kɔntrol |

| Ɛnsɛfalɔpati | Nɔn nɔ de | Gret 1-2 (Mild/Mɔdaret) | Gret 3-4 (Siv) |

Dipen pan di totɛl mak we yu gɛt, dɛn go put yu insay tri men kategori:

• Klas A: Yu liva de wok nɔmal wan. Yu totɛl mak de bitwin 5 ɛn 6.
• Klas B: Na mɔdaret liva damej de. Yu totɛl mak de bitwin 7 ɛn 9.
• Klas C: Siriv liva damej ɔ advans sik. Yu mak de bitwin 10 ɛn 15.

Lɛ wi si wan ɛgzampul?

Imajin se sɔmbɔdi in tɛst rizɔlt tan lɛk dis:

• Bilirubin - 3 mg/dL (2 poɛnt) .
• Albumin - 2,9 g/dL (2 poɛnt) .
• INR - 1 (1 poɛnt) .
• Fluid na di bɛlɛ (Ascites) - smɔl (2 poɛnt) .
• Ɛnsɛfalɔpati - Nɔ (1 pɔynt) .

Dis pɔsin in Child-Pugh skɔ na 2 + 2 + 1 + 2 + 1 = 8 poɛnt . Dis min se i de na Klas B.

Wetin yu Child-Pugh Score min?

Dis skɔ de gi yu snɛpsho fɔ yu liva sik da tɛm de. I de tɛl yu dɔktɔ aw yu liva de wok fayn bay we i de fala dɛn fayv tin ya. Di Child-Pugh skɔ de ɛp yu dɔktɔ:

• Mek yu tritmɛnt plan: Dis go ɛp yu fɔ disayd if dɛn go trit yu wit mɛrɛsin, ɔpreshɔn, ɔ transplant liva , ɛn if dɛn tritmɛnt dɛn de go wok fayn.
• Asɛs di risk:If dɛn de du ɔpreshɔn pan yu, dis go ɛp yu fɔ no aw i de mek yu gɛt prɔblɛm ɛn i go bɛnifit yu ɔl yu wɛlbɔdi. If di ɔpreshɔn nɔ wok fayn, i kin tɔk bak bɔt aw yu go liv yu layf afta di ɔpreshɔn.
• Ɛstimat aw yu go liv: Pan ɔl we di prɛdikshɔn fɔ di tɛm we yu go liv na jɔs rɔf ɛstimat, yu dɔktɔ kin yuz dis fɔ no aw lɔng yu go liv, wit tritmɛnt ɔ atɔl, bay di mak we yu gɛt.

Mɛmba se na di dɔktɔ disayd ɔl dis. Dis skɔ kad na jɔs gayd fɔ dɛn.

Ustɛm a fɔ go to mi dɔktɔ?

If yu gɛt ɛni kwɛstyɔn bɔt yu Child-Pugh skɔ ɔ aw dɛn kɔl am, mek shɔ se yu tɔk to yu dɔktɔ . If yu gɛt ɛnitin fɔ wɔri bɔt yu tɛst rizɔlt ɔ wetin go apin nɛks na yu tritmɛnt plan, tɛl yu dɔktɔ bɔt dat bak.

Naw yu gɛt wan mak we de tɛl yu bɔt yu liva wɛlbɔdi. So wetin yu de du naw? Fɔs, nɔ jɔs tink bɔt dɛn mak ya ɔ di tɛst rizɔlt dɛn we yu nɔ tɔk to yu dɔktɔ. Dɛn kin ɛksplen yu rizɔlt to yu ɛn wetin dɛn min. Yu Child-Pugh skɔ de ɛp dɛn fɔ disayd bɔt yu tritmɛnt plan. Bɔt yu bak na pat pan da disayd de. So, tɔk to yu mɛdikal tim bɔt wetin yu mak min ɛn wetin dɛn kin rɛkɔmɛnd. Nɔ wɔri, dɛn de ya fɔ ɛp.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Di Child-Pugh Score na impɔtant tin fɔ mɛzhɔ di liva wɛlbɔdi, bɔt i nɔ de tɛl di wan ol stori.

• Dis kin gi dɔktɔ dɛn gud aidia bɔt di wɛlbɔdi na yu liva.
• Dis kin ɛp fɔ plan tritmɛnt ɛn asɛs di risk dɛm.
• Nɔ wɔri bɔt di skɔ dɛn nɔmɔ. Tɔk bɔt ɔltin wit yu dɔktɔ.
• Tek wan aktif rol fɔ disayd bɔt yu wɛlbɔdi.

Di liva na wan ɔgan we rili impɔtant na wi bɔdi. Na wi wok fɔ protɛkt am. If yu gɛt prɔblɛm wit yu liva, fala wetin yu dɔktɔ tɛl yu fɔ du. Liv layf we gɛt wɛlbɔdi. Dɔn yu nɔ go nid fɔ wɔri bɔt dɛn kayn sayn ya. Ɔltin go fayn!

` Child-Pugh skכ, liva, sirosis, liva sik, bilirubin, albumin, liva fכnshכn