I doctor hian engtin nge i liver dinhmun a teh? Child-Pugh Score chungchang hi i zir chiang ang u

I doctor chuan liver condition, a bik takin cirrhosis i nei tih a hrilh che em? Mi pakhatin, "I Child-Pugh Score hi hei hi a ni," tih ang chi a sawi i hre tawh mai thei. Chu thu i hriat chuan hlauhna i neih chu thil pangngai a ni. Child-Pugh Score hi eng nge ni tak tak? I liver dinhmun chungchangah eng nge a sawi? He scoring system hi i ngaihtuah tur em ni? Vawiin hian heng zawng zawng hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

A awlsam zawngin, he Child-Pugh Score hi eng nge ni?

Kan hmasawnna tehna atana sikul-a min pek ‘report card’ ang maiin han ngaihtuah teh, Child-Pugh Score hi doctor-te hnena i liver hriselna chungchanga hriatna pe thei ‘report card’ ang mai a ni. Hei hi test pakhata score pek a ni lo. I taksa peng hrang hrang enfiah a, score pek a, chu chu a belhkhawmna scoring system a ni.

He scoring system hmang hian doctor chuan chiang takin a hrethiam thei a ni:

• Tunah hian i liver hian engtiang chiahin nge hna a thawh?
• Liver failure hlauhawmna chu eng nge ni?
• I tan eng enkawlna tha ber nge ni ang? (Entirnan, damdawi hi a tawk em, a nih loh leh liver transplant ang chi thil hi ka ngaihtuah tur em ni?)

He scoring system hian khawvel hmun hrang hranga doctor pawhin i liver dinhmun chu a inang, chiang takin a hre thei a ni. A chang chuan Child-Turcotte-Pugh score an ti bawk.

He score tichiangtu ber 5 te chu engte nge ni?

I Child-Pugh Score chhiar tur chuan i doctor chuan thil pawimawh panga a en ang. Chung zinga pathum chu i thisen sample hmanga test thin thil a ni. A dang pahnih chu taksa enfiahna leh scan hmanga hmuh theih thil a ni. Eng nge an nih i han thlir teh ang.

1. Thisen a Bilirubin Level zawng zawng: Bilirubin hi bawlhhlawh sen (yellow waste product) a ni a, kan thisen sen (red blood cells) a chhiat chuan a lo piang chhuak thin. Thin hrisel chuan hei hi taksa atangin a paih chhuak thin. Liver a chhiat chuan thisenah a pungkhawm tan thin. Hei hi vun leh mit a sen (jaundice) a lo awm hian a ni.

2. Serum Albumin Level: Albumin hi thin (liver) atanga siam protein pawimawh tak a ni. Kan thisen kalna kawngah tui awm reng turin a pui thin. Liver a chak loh chuan he protein siamchhuah hi a tlahniam a ni.

3. Prothrombin Time emaw INR: Khawi emaw laiah hliam kan neih chuan thisen a zam avangin thisen a reh thin. Thisen zam chhuahna atana mamawh clotting factors tam zawk hi liver siam a ni. Liver a chak loh chuan he process hi a slow thin. Chumi awmzia chu thisen zam (clot) hun chhung a pung tihna a ni.

4. Pum chhunga tui awmkhawm (Ascites):Liver a thawk tha lo a, a bik takin albumin level a hniam chuan thisen kalna atang hian tui a luang chhuak thei a, pum chhungah a awm khawm thei a ni. Hei hi ascites an ti a. Hei hian pum chu hmalam pan a, a puak ang maiin a awm thin.

5. Hepatic Encephalopathy: Liver-in taksa atanga toxins tha taka a paih chhuah theih loh chuan chu toxins chu thisenah a pungkhawm a, thluak lamah a kal a. Hei hian hriatrengna, nungchang, leh hriatna ang chi thilte a nghawng thei a ni. A lan chhuah dan chu mutthilh, rilru hah, leh ngaihtuahna seng harsa te a ni thei.

Heng factor pangate i test result a\angin factor tinah score 1, 2, emaw 3 emaw pek i ni ang. Score 1 chu dinhmun tha ber a ni a, score 3 chu dinhmun chhe ber a ni.

Engtin nge thil awmdan chu total score hmanga thliar hran ang?

Tunah chuan a chunga kan sawi tak point 5 atanga i score zawng zawng kha add up rawh. Tichuan total score 5 leh 15 inkar i hmu ang a, he score atang hian main category pathum (Classes) ah i then ang.

• Class A (5-6 points): Hei hian i liver a la thawk tha tihna a ni . Chhiatna awm mahse, liver hian a enkawl thei a, pawm theih level-ah a thawk thei bawk.
• Class B (score 7-9): Hei hian liver function a tlahniam tawk tihna a ni . Liver-ah hian chhiatna engemaw zat a awm.
• Class C (10-15 points): Hei hian a awmzia chu liver a chhe nasa hle a, a hnathawh pawh a tha lo hle tihna a ni . Hei hi ngaihven ngai ber level chu a ni.

Engvangin nge he scoring system hi doctor tan a pawimawh?

I Child-Pugh Score hi i doctor tan chuan information hlu tak a ni. Thutlukna pawimawh engemaw zat siam turin a pui a ni.

• I tana tha tur enkawlna thlang rawh: I score hian damdawi chauh hmanga enkawl theih i nih leh nih loh, specialized treatment dang i mamawh leh mamawh loh, a nih loh leh liver transplant ngaihtuah tur nge tih a hril ang.
• Operation hlauhawmna tehfung: Liver natna nei mi pakhatin chhan dang avanga operation a mamawh chuan heng score te hian taksain surgery a tuar theih leh theih loh hriat nan a pui thin. Class C-a mi tan chuan Class A-a mi tan surgery hi a hlauhawm zawk.
• Nakin hun tur ngaihtuahna nei rawh:He score system hian i dinhmun a kal zel dan tur leh i damchhuah theihna tur, enkawlna awm leh awm loh, rough idea (prognosis) a pe thei che a ni. Mahse, hengte hi estimate mai a ni tih hre reng ang che. Enkawlna dik leh nunphung thlak danglam chuan heng dinhmunte hi a danglam nasa thei hle.

I Child-Pugh Score chungchang i hriatchhuah chuan i doctor nen a awmzia leh a hnua i tih tur chungchang chu zalen takin sawipui rawh. Zawhna i neih chuan zawt rawh. I enkawlna kawngah hian active participant nih a pawimawh.