If yu gɛt siriɔs liva sik, yu dɔktɔ go dɔn tɔk to yu bɔt ‘MELD skɔ.’ We yu yɛri dis wɔd, dat kin mek yu fred smɔl ɛn wɔri. "Wetin dis min? Mi kondishon sirios?" Yu go gɛt bɔku kwɛstyɔn dɛn na yu maynd. Nɔ wɔri. Tide, wi go tɔk bɔt wetin na dis MELD skɔ ɛn wetin i min insay wan rili simpul we we yu go ɔndastand.
Wetin di MELD skɔ jɔs min?
Fɔ tɔk am simpul wan, di MELD skɔ na skɔ we de mɛzhɔ aw yu liva sik bad. Dɛn kin kɔl dis mak pan wan skel we de frɔm 6 to 40. Di mɔ yu MELD mak, na di mɔ yu liva sik kin tranga.
Dis skɔring sistɛm na in dɛn kin yuz mɔ fɔ ɛp fɔ disayd usay dɛn fɔ put yu na di liva transplant wet list. Dat min se i de ɛp fɔ ɔndastand udat nid liva kwik kwik wan.
MELD tinap fɔ ‘Mɔdel fɔ Ɛnd-Stej Liva Sik’. Na fɔmula we dɛn kin yuz fɔ du matematiks. I de yuz bɔku tin dɛn, lɛk yu blɔd tɛst rizɔlt, yu ej, ɛn yu mɛdikal istri fɔ mek am. Dɛn kin yuz dis MELD skɔ fɔ pipul dɛn we dɔn pas 12. Fɔ pikin dɛn we yɔŋ pas dat, dɔktɔ dɛn kin yuz difrɛn we we dɛn kɔl PELD (Pediatric End-Stage Liver Disease).
Aw dɛn kin kɔl dis MELD skɔ?
Fɔ kɔl di MELD skɔ na smɔl kɔmplikɛt prɔses. Na di rizɔlt fɔ sɔm impɔtant blɔd tɛst dɛm we yu dɔktɔ go gi yu. Lɛ wi tek wan luk pan wetin dɛn bi.
| Blɔd tɛst | Fɔ tɔk am simpul wan, wetin i de mɛzhɔ? |
|---|---|
| INR (Internashɔnal Nɔmal Rɛshɔn) . | Dis kin mɛzhɔ aw lɔng i tek fɔ mek yu blɔd klɔt. If yu liva de klot fɔ lɔng tɛm, dat kin min se yu liva nɔ de wok fayn. |
| Total Bilirubin we dɛn kɔl | dis de mכsu aw di bayl we di liva de mek de kכmכt fayn fayn wan na di bכdi. di bilirubin lεvεl we dεn εlevεt de sho se di liva nכ de wok fayn. |
| Kriatinin we dɛn kɔl | Dis kin mɛzhɔ aw yu kidni dɛn de wok. Yu kin wɔnda wetin mek dɛn kin chɛk yu kidni we yu gɛt liva sik. Di rizin na dat we di liva sik kin kam tranga, i kin afɛkt di kidni wok bak. |
| Sɛrum Sɔdiɔm | Dɛn kin mɛzhɔ di kayn sodium we de na yu blɔd. di lכw sodium lεvεl kin bi sayn bak fכ se di liva nכ de wok fayn. |
| Albumin we dɛn kɔl | Dis na wan kayn prɔtin we di liva de mek. I de ɛp fɔ mek wata kɔntinyu fɔ de na di blɔd. di lכw albumin lεvεl na sayn bak fכ se di liva nכ de wok fayn. |
Apat frɔm dɛn blɔd tɛst ya, yu dɔktɔ go tink bɔt sɔm ɔda tin dɛn.
- Yu mɛdikal histri, min us liva sik yu gɛt ɛn aw i bad.
- Yu ej ɛn man ɔ uman we yu bɔn.
- Ɔda sik dɛn we yu gɛt, ɛn if dɛn kin mek yu gɛt prɔblɛm.
- Yu layf ɛn aw yu de liv yu layf (fɔ ɛgzampul, tin dɛn lɛk fɔ drink rɔm) .
Dɛn kin ad ɛkstra pɔynt dɛn pan spɛshal tɛm dɛn
Sɔntɛnde, yu MELD skɔ nɔmɔ nɔ kin rili sho aw yu sik siriɔs. If na so i bi, yu dɔktɔ kin aks fɔ mek dɛn ad ɔda pɔynt dɛn to yu mak. Dɛn kɔl dɛn tin ya ‘ɛksɛpshɔn pɔynt dɛn’.
Dɛn tin ya na dɛn tin ya we yu kin gɛt ɛkstra poɛnt:
- Akyu liva we nɔ de wok fayn
- Kansa na di liva
- Lɔw ɔksijɛn lɛvɛl na di blɔd bikɔs ɔf di liva sik (Hepatopulmonary syndrome) .
- di bכdi prεshכn we de go כp na di lכng bikoz fכ di liva sik (Portopulmonary hypertension) .
- Polisistik liva sik, na wan sik we nɔ kin bɔku we pɔsin kin gɛt we i kam pan jɛnɛtiks
- Kɔlangitis we nɔ de mɛn
I rili impɔtant fɔ aks yu dɔktɔ fɔ ɛksplen klia wan wetin dɛn yuz fɔ kɔl yu MELD skɔ.
Yu tink se di MELD skɔ kin chenj?
Yɛs, fɔ tru.Di MELD skɔ nɔto fiks nɔmba. I kin chenj dipen pan yu kɔndishɔn. Yu dɔktɔ go ɔpdet yu MELD skɔ bay we i de ripit yu blɔd tɛst ɔltɛm .
Aw ɔltɛm yu kin du dis go dipen pan aw yu sik de chenj kwik kwik wan. Yu mak kin go ɔp if yu sik de wɔs. Yu skɔ kin go dɔŋ bak if yu sik de bɛtɛ smɔl wit tritmɛnt.
Aw yu ɔndastand wetin di MELD skɔ se?
Dɔktɔ dɛn kin yuz di MELD skɔ fɔ gɛt aidia bɔt tu men tin dɛn.
1. Wetin na di risk fɔ day insay di nɛks 90 dez bikɔs ɔf liva sik?
2. Aw kwik yu nid fɔ transplant yu liva.
Nɔ wɔri bɔt dis risk. Dis na jɔs wan jenɛral ɛstimat we dɛn bays pan statystik. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
| MELD Skɔ we dɛn kɔl | Risk fɔ day insay 90 dez (avɛrej) . |
|---|---|
| Ɔnda 9 ia | 1.9% . |
| 10 - 19. Di wan dɛn we de wok | 6.0% . |
| 20 - 29. Di wan dɛn we de wok | 19,6% . |
| 30 - 39. Di wan dɛn we de wok | 52,6% . |
| 40 ɔ pas dat | 71,3% . |
Di tin we impɔtant pas ɔl:Nɔbɔdi nɔ go ebul fɔ tɔk kɔrɛkt wan bɔt aw yu go liv yu layf frɔm yu MELD skɔ. I de jɔs gi yu dɔktɔ wan jenɛral aidia bɔt yu kɔndishɔn ɛn ɛp dɛn fɔ disayd aw kwik yu nid fɔ transplant yu liva.
Aw lɔŋ i tek fɔ mek yu gɛt liva nɔto bay yu MELD skɔ nɔmɔ. Bɔku ɔda tin dɛn kin afɛkt am, lɛk di kayn blɔd we yu gɛt ɛn if pipul dɛn de gi yu liva na yu eria.
So, nɔ tink tumɔs bɔt yu MELD skɔ ɔ pul rɔng kɔnklushɔn bɔt yu fiuja. Di bɛst tin fɔ du na fɔ tɔk opin wan bɔt am wit yu dɔktɔ. I go ebul fɔ ɛksplen yu rizɔlt to yu ɛn gi yu klia aidia bɔt yu sityueshɔn ɛn wetin fɔ ɛkspɛkt fɔ go bifo.
Mɛsej we dɛn kin kɛr go na os
- Di MELD skɔ na wan skɔring sistɛm we de mɛzhɔ aw yu liva sik bad bad wan. Di mɔ di mak, na di mɔ di kɔndishɔn kin siriɔs.
- Dɛn kin kɔl dis mak bay yu blɔd tɛst (lɛk INR, bilirubin, kriaytinin) ɛn sɔm ɔda tin dɛn.
- Di MELD skɔ nɔ fiks. E kin chenj as tɛm de go dipen pan yu kɔndishɔn.
- Dis skɔring sistɛm de ɛp yu mɔ fɔ gɛt prayoritɛd pan di liva transplant wet list.
- Nɔ wɔri tumɔs bɔt yu MELD skɔ. Na jɔs wan tul fɔ ɛp yu fɔ ɔndastand yu kɔndishɔn. Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
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