Aw di bɔdi? Sɔntɛm yu gɛt wɛlbɔdi prɔblɛm we gɛt fɔ du wit yu liva, ɔ sɔntɛm pɔsin we yu sabi gɛt am. Da tɛm de, yu dɔktɔ kin dɔn tɔk bɔt sɔntin we dɛn kɔl `MELD` skɔ. Ɔ yu go dɔn yɛri dis wɔd sɔmsay. So, wetin na dɛn `MELD` skɔ ya? Aw dɛn gɛt sɔntin fɔ du wit di wɛlbɔdi na wi liva? Wi go tɔk bɔt ɔl dis rili simpul wan tide, di we we yu go ɔndastand. Nɔ wɔri, dis nɔto tin we rili kɔmplikt, wans yu ɔndastand am fayn fayn wan.
Wetin na di MELD Skɔ?
Okay, lɛ wi fɔs luk wetin dis `MELD` skɔ min. `MELD` na abbrevieshɔn fɔ di Inglish wɔd dɛn `Model for End-Stage Liver Disease`. Fɔ tɔk am simpul wan, i min sɔntin lɛk ``Model for End-Stage Liver Disease.`` Dis na rili wan skɔring sistɛm. I tan lɛk fɔ gi mak pan skul ɛgzam, bɔt i de mɛzhɔ aw siriɔs yu liva kɔndishɔn. I kin ɛp bak fɔ no aw kwik yu go nid fɔ transplant yu liva insay di nɛks tri mɔnt (90 dez).
di liva transplant sεnta dεm de yuz dis `MELD` skכ fכ prayoritayz udat nid liva transplant kwik kwik wan. Dat min se dis na jɔs wan tin, dɛn kin luk ɔda tin dɛn bak.
Naw yu go de wɔnda if dis skɔring sistɛm na di sem fɔ ɔlman. Fɔ tru, dɛn kin yuz dis `MELD` skɔring sistɛm fɔ pipul dɛn nɔmɔ we dɔn pas 12. Fɔ ivin yɔŋ pikin dɛn, dat na pikin dɛn we nɔ rich 12 ia yet, wan sɛpret skɔring sistɛm de lɛk dis. Dɛn kɔl am di `PELD (Pediatric End-Stage Liver Disease)` skɔring sistɛm. So, di liva transplant fכ yכŋ pikin dεn de prayoritεt bays pan da `PELD` skכ de.
Dis `MELD` skɔ de gi yu wan nɔmba. Dis nɔmba kin ɔltɛm de frɔm 6 to 40. Di impɔtant tin fɔ mɛmba na ya na di mɔ dis mak, na di mɔ di liva sik kin tranga, na di mɔ di liva kin wik. So , if pɔsin gɛt ay `MELD` skɔ, i go mɔs bi se i de na di `transplant waiting list`. Bikɔs, fɔ dɛn kayn pipul ya, i sɔri fɔ no se, di `risk fɔ day` bɛtɛ.
Aw dɛn kin kɔl di MELD skɔ?
Naw lɛ wi luk aw dɛn kin kɔl dis `MELD` skɔ, dat na aw dɛn kin mek am. Yu dɔktɔ kin kɔl dis `MELD` skɔ bay di rizɔlt fɔ sɔm patikyula blɔd tɛst dɛm we dɛn tek frɔm yu blɔd sɛmpul. Bɔt dis nɔto simpul kɔlkyulɛshɔn lɛk aw yu go tink. Apat frɔm di tin dɛn we kin kɔmɔt frɔm di blɔd tɛst, bɔku ɔda tin dɛn de we kin afɛkt dis.
Men tin dɛn we blɔd tɛst kin luk fɔ
Lɛ wi tek wan klos luk pan di men blɔd tɛst dɛm we dɛn yuz fɔ mek dis `MELD` skɔ ɛn wetin dɛn de luk fɔ:
- INR (International Normalized Ratio): Dis de mɛzhɔ yuNa aw lɔng i kin tek fɔ mek di blɔd klot. jεnarali, we di liva nכ de wok fayn, di liva nכ de prodyuz inof pan di tin dεm we de εp di bכdi fכ kכlכt. Dɔn di tɛm we i kin tek fɔ mek di blɔd klɔt kin bɔku. Dat min se di INR valyu de go ɔp.
- Tɔtɔl bilirubin: Bilirubin na wan yɔlɔ tin. I kin kɔmɔt we di ol rɛd blɔd sɛl dɛn brok. di liva de εp fכ pul dis bilirubin kכmכt na di bכdi tru di bayl. So, if di liva nɔ de wok fayn, dis bilirubin kin gɛda na di blɔd, ɛn di bilirubin lɛvɛl na di blɔd kin go ɔp. Dis de sho se di liva nɔ de wok fayn.
- Kriatinin: Dis de sho aw di kidni dɛn de wok . Yu kin de wɔnda aw de kidni gɛt fɔ du wit liva sik. Infakt, we di liva sik kin tranga, i kin afɛkt di wok we di kidni dɛn de du bak. Sɔntɛnde, di kidni dɛnsɛf kin bigin fɔ wok. Na dat mek dɛn kin chɛk di kriaytinin lɛvɛl.
- Serum sodium: Dis de mek yu no di sodium we de na yu blɔd. I kin ɛp bak fɔ no if yu liva de wok fayn. di lכw sodium lεvεl kin sho se di liva nכ de wok fayn.
- Albumin Level: Albumin na spɛshal prɔtin we yu liva de mek. Wan pan di men wok we i de du na fɔ mek di wata kɔntinyu fɔ de na di blɔd. if di liva nכ de wok fayn, di albumin prodakshכn de dכn. Dɔn di albumin lɛvɛl na di blɔd kin go dɔŋ. Dis kin tɔk sɔntin bak bɔt aw di liva de wok.
Impɔtant: Di rizɔlt fɔ dɛn blɔd tɛst ya de sho bɔku pan di MELD skɔ. Bɔt, nɔto dat nɔmɔ.
Tin dɛn we yu fɔ tink bɔt apat frɔm blɔd tɛst
Dis na di rizin we mek fɔ kɔl di MELD skɔ na kɔmpleks. Apat frɔm di blɔd tɛst, yu mɛdikal tim go tink bɔt sɔm ɔda tin dɛn:
- Yu mɛdikal histri: Dis min tin dɛm lɛk us kayn liva sik yu gɛt, aw lɔng yu dɔn gɛt am, ɛn aw i tranga.
- Yu ej ɛn man ɔ uman we yu bɔn.
- Ɔda wɛl bɔdi prɔblɛm dɛn we yu gɛt: Fɔ ɛgzampul, yu gɛt ɔda tin dɛn lɛk dayabitis ɔ at sik we kin mek yu gɛt prɔblɛm dɛn we yu de transplant yu liva?
- Sɔshial ɛn layf stayl tin dɛm: Dɛn kin tink bɔt dɛn tin ya bak bikɔs dɛn kin afɛkt di sakrifays fɔ liva transplant.
So yu kin si, di `MELD` skɔ nɔto jɔs simpul blɔd tɛst rizɔlt, i bɔku pas dat.
Yu tink se dɛn kin ad ɔda poɛnt to di MELD skɔ?
Sɔntɛnde, yu kin nid fɔ transplant yu liva kwik pas aw yu MELD skɔ sho. Dis min se yu MELD skɔ nɔr kin sho aw yu sik rili siriɔs. If na so i bi, yu dɔktɔ kin aks fɔ mek yu ad ɔda poɛnt (`ɛksɛpshɔn poɛnt`) to yu MELD skɔ.
Na sɔm tin dɛn we go mek yu kwalifay fɔ gɛt ɛkstra poɛnt:
- Akyu liva we nɔ de wok fayn
- Liva kansa - na fɔ sɔm kayn dɛn nɔmɔ
- di εpatopulmonary syndrome - Dis na di kכndyushכn we di כksijεn lεvεl na di bכdi de dכn bikoz fכ di liva sik.
- Portopulmonary hypertension - Dis na kכndyushכn we di bכdi prεshכn na di lכng dεm de inkrεs bikoz fכ di liva sik.
- Polisistik liva sik - Dis na sik we nɔ kin apin so ɔltɛm, we kin kɔmɔt na di jɛnɛtiks.
- Cholangitis - na infεkshכn we de kam bak na di bayl dakt dεm
Yu mɛdikal tim go disayd if yu nid fɔ ad dɛn ɔda mak ya to yu MELD mak ɔ nɔ nid fɔ ad. So, i bɛtɛ fɔ tɔk to yu dɔktɔ bɔt yu MELD skɔ, di tin dɛn we de afɛkt am, ɛn yu kɔndishɔn. Dɛn kin ɛksplen ɔltin to yu ɛn ansa ɛni kwɛstyɔn we yu gɛt.
Aw ɔltɛm dɛn kin ɔpdet di MELD skɔ?
Yu MELD skɔ nɔ jɔs de apin wan tɛm. Yu dɔktɔ go ɔpdet yu MELD skɔ wit blɔd tɛst ɔltɛm . Aw ɔltɛm yu de ɔpdet am dipen pan yu las MELD skɔ.
Bɔku tɛm, na dis kin apin:
- If di mak nɔ rich 10, na lɛk wan tɛm insay di ia.
- If di skɔ de bitwin 11-18, den lɛk wan tɛm ɛvri 3 mɔnt.
- If di sayn de bitwin 19-24, lɛk wan tɛm insay di mɔnt.
- If di mak na 25 ɔ pas dat, lɛk wan tɛm insay di wik.
Bɔt dis na jɔs wan jenɛral gaydlayn. Na yu dɔktɔ nɔmɔ go ebul fɔ no ustɛm yu nid fɔ ridyus yu mak. I kin difrɛn difrɛn wan bay aw yu de si yu.
Wetin yu MELD skɔ min?
Naw yu go mɔs de tink se, "Okay, di dɔktɔ se mi MELD skɔ dis ay. So wetin dat rili tɛl mi?" Di MELD skɔ kin gi yu mɛdikal tim wan aidia bɔt tu men tin dɛn:
1. Wetin na yu risk fɔ day insay di nɛks 3 mɔnt bikɔs ɔf liva sik ?
2. Aw kwik yu nid fɔ transplant yu liva .
Nɔbɔdi nɔ go ebul fɔ tɔk klia wan aw lɔng pɔsin go liv. Wi ɔl no dat. Bɔt dis `MELD` skɔ kin gi dɔktɔ dɛn wan jenɛral aidia bɔt yu kɔndishɔn. Dɔn, dɛn kin yuz da mak de fɔ ɛp fɔ no usay yu fɔ de na di list we de wet fɔ di liva transplant.
Bɔt mɛmba se, .di `MELD` skכ nכto di כnli tin we de sho aw kwik yu go gεt liva transplant. Bɔku ɔda tin dɛn kin afɛkt dis, lɛk di kayn blɔd we yu gɛt ɛn di nɔmba fɔ di wan dɛn we de gi yu liva na yu eria.
Ustɛm a fɔ kɔntak di dɔktɔ?
If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt yu MELD skɔ, kɔntak yu dɔktɔ wantɛm wantɛm. Dɔn bak, if yu gɛt ɛni kwɛstyɔn bɔt yu blɔd tɛst rizɔlt ɔ yu tritmɛnt plan fɔ tumara bambay, tɔk to yu dɔktɔ bɔt dat bak.
Yu MELD skɔ na jɔs wan tul we yu mɛdikal tim de yuz fɔ disayd aw kwik yu nid fɔ gɛt liva transplant. I tan lɛk wan pat pan wan big pazl. So, nɔ tink tumɔs ɔ panik te yu tɔk to yu dɔktɔ. Dɛn kin ɛksplen yu rizɔlt to yu ɛn gi yu gud aidia bɔt wetin fɔ ɛkspɛkt.
Fɔ dɔn, wetin fɔ mɛmba
Okay, so wi don tok plenti abaut di `MELD` skor. Fɔ dɔn, na di impɔtant tin dɛn we yu fɔ mɛmba:
- di `MELD` skכ na wan mεtכd we de εp fכ ases aw di liva sik siriכs εn di nid fכ transplant liva kwik kwik wan.
- dis skכ dεn kin kכl am fכs bay we dεn tink bכt di risכlt dεm fכ sεvεra bכdi tεst dεm (spεshal wan `INR`, `Bilirubin`, `Creatinine`, `Serum Sodium`, `Albumin`) εn כda mεdikal fכktכr dεm.
- As di mak de go ɔp, i de sho se di liva kɔndishɔn siriɔs ɛn nid fɔ transplant liva mɔ.
- Dis na jɔs wan tin fɔ ɛp dɔktɔ dɛn fɔ disayd fɔ du sɔntin.
- Nɔ fred fɔ tɔk opin wan wit yu dɔktɔ bɔt ɛnitin we de mɔna yu bɔt yu MELD skɔ ɔr liva wɛlbɔdi.
Wi de wish yu fɔ wɛl kwik kwik wan!
` MELD skɔ, liva sik, liva transplant, blɔd tɛst, bilirubin, kriaytinin, wɛlbɔdi skɔ
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt