Liver natna khirh tak i neih chuan i doctor chuan ‘MELD score’ chungchang a sawipui che a ni mai thei. He thu i hriat hian tlem chuan hlauhna leh lungkhamna a siam thei che a ni. "Hei hi eng nge a awmzia? Ka dinhmun hi a pawi em?" I rilruah zawhna tam tak i nei mai thei. Lungngai suh. Vawiin hian he MELD score hi eng nge a nih leh a awmzia chu awlsam takin i hriatthiam theih turin kan sawi dawn a ni.
MELD score hian eng nge a awmzia mai?
A awlsam zawngin MELD score hi i liver natna a nasat dan tehna score a ni. He score hi scale 6 atanga 40 thlenga chhut a ni a , MELD score a san poh leh i thin natna a na zual thin.
He scoring system hi liver transplant waiting list-a khawiah nge dah tur tih hriatna atana hman a ni ber. Chu chu tuin nge liver mamawh rang ber tih hriatthiamna a pe tihna a ni.
MELD hi ‘Model for End-Stage Liver Disease’ tihna a ni. Mathematics formula a ni. A siam nan hian thil engemaw zat a hmang a, chung zingah chuan i thisen test result, kum, leh medical history te pawh a tel a ni. He MELD score hi kum 12 chunglam tan hman a ni a, chu aia naupang naupang tan chuan doctor-te chuan hmanraw dang PELD (Pediatric End-Stage Liver Disease) an hmang thin.
He MELD score hi engtin nge chhut a nih?
MELD score chhiar hi a buaithlak deuh a ni. I doctor-in a pek tur thisen test pawimawh engemaw zat result atanga siam a ni. Eng nge an nih i han thlir teh ang.
| Thisen test a ni | A awlsam zawngin, eng nge a teh? |
|---|---|
| INR (International Normalized Ratio) a ni a, a chhuahna tur hmun tur chu a inang lo hle. | Hei hian i thisen a inzawm hun chhung a teh a ni. Clotting time rei zawk chuan i liver a thawk tha lo tihna a ni tlangpui. |
| Bilirubin zawng zawng | Hei hian liver atanga bile siam chhuah chu taksa atanga a chhuah that dan a teh a ni. Bilirubin level sang hian liver hnathawh tha lo a tilang a ni. |
| Creatinine a ni | Hei hian i kal (kidney) hnathawh dan a teh a ni. Liver natna i neih hian engvangin nge kal (kidney) hi an enfiah thin tih i ngaihtuah mai thei. A chhan chu thin natna a nasat chuan kal (kidney) hnathawh pawh a nghawng thei a ni. |
| Serum Sodium hmanga siam a ni | I thisena sodium awm zat tehna a ni. Sodium level hniam hi liver hnathawh that lohna chhinchhiahna a ni thei bawk. |
| Albumin a ni | Hei hi thin (liver) siam protein chi khat a ni. Thisenah tui awm reng turin a pui thin. Albumin level hniam pawh hi liver function tha lo tihna a ni bawk. |
Heng thisen test bakah hian i doctor chuan thil dang engemaw zat a ngaihtuah ang.
- I medical history, eng liver natna nge i neih leh a nasat zia tihna a ni.
- I pian tirh atanga i kum leh i mipa leh hmeichhia.
- Natna dang i neih te, leh harsatna a thlen thei em tih te.
- I nunphung leh khawtlang nun (entir nan, zu in ang chi thil) .
Hun bik ah extra point dah belh a ni
A châng chuan, i MELD score chauh hian i dinhmun nasatzia a târ lang kim lo thei bawk. Chutiang hunah chuan i doctor chuan i score-ah point dang dah belh turin a ngen thei a ni. Chungte chu ‘exception points’ an ti a.
A hnuaia dinhmunte hi extra point i hmuh theihna tlangpui chu a ni:
- Acute liver a chak loh vang a ni
- Liver cancer a ni
- Liver natna (Hepatopulmonary syndrome) avanga thisen oxygen level tlahniam .
- Liver natna (Portopulmonary hypertension) avanga lungah thisen sang a sang .
- Polycystic liver disease, genetic natna hmuh tur awm lo tak a ni
- Cholangitis natna rei tak a awm
I MELD score chhut nan eng factor nge hman a nih tih chiang taka sawi turin doctor zawh a pawimawh hle.
MELD score hi a danglam thei ang em?
Ni e, a dik ngei ang.MELD score hi number ruat sa a ni lo. I dinhmun a zirin a danglam thei. I doctor chuan i MELD score chu a hun takah i thisen test nawn lehin a update ang .
Chutianga i tih fo chu i dinhmun a inthlak chak danah a innghat ang. I dinhmun a chhe zual zel chuan i score a sang thei. I dinhmun chu enkawlna nen a ṭhat deuh chuan i score pawh a tlahniam thei bawk.
MELD score hian engtin nge a sawi i hriatthiam?
Doctor-te chuan MELD score hmangin thil pawimawh pahnih ngaihtuahna an nei thin.
1. Liver natna avanga ni 90 lo awm tur chhunga thihna hlauhawmna chu eng nge ni?
2. Engtiang chiahin nge liver transplant i mamawh.
He risk hi ngaihtuah buai suh. Hei hi statistics atanga chhut chhuah tlangpui mai a ni. Mi tin a inang lo thei.
| MELD Score a ni | Ni 90 chhunga thihna hlauhawm (average) . |
|---|---|
| Kum 9 hnuai lam | 1.9% a ni. |
| 10 - 19 inkar a ni | 6.0% a ni. |
| 20 - 29 inkar a ni | 19.6% a ni. |
| 30 - 39 inkar a ni | 52.6% a ni. |
| 40 aia upa lam a ni | 71.3% a ni. |
A pawimawh ber chu:I MELD score atang hian i dam rei zawng chu tumahin dik takin an sawi thei lo. I doctor hnenah i dinhmun tlangpui a pe a, eng chen nge liver transplant i mamawh tih an rel theih nan a pui bawk.
Liver i dawn hun chhung hi i MELD score chauh hian a hril lo. Thil dang tam takin a nghawng a, chu chu i thisen chi leh i awmna hmuna liver donor an awm leh awm loh te hi a ni.
Chuvangin, i MELD score hi ngaihtuah lutuk suh la, i hmalam hun chungchangah thutlukna dik lo siam suh. A tha ber chu i doctor nen zalen taka sawi dun hi a ni. I result chu a hrilhfiah thei ang che a, i dinhmun leh hmalam pan tura i beisei tur chu chiang takin a hriattir thei ang che.
Take-Home Thuchah a ni
- MELD score hi scoring system a ni a, i liver natna a nasat dan tehna a ni. Score a san poh leh a dinhmun a nasat zawk thei.
- He score hi i thisen test (INR, bilirubin, creatinine ang chi) leh thil dang engemaw zat atanga chhut a ni.
- MELD score hi fix a ni lo. I dinhmun a zirin hun kal zelah a danglam thei.
- He scoring system hian liver transplant waiting list-ah priority i neih theih nan a pui ber a ni.
- I MELD score chungchangah hian lungngai lutuk suh. I dinhmun hriatthiamna hmanrua mai a ni. Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
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