MELD Score chungchang i zir dawn a, chu chuan i thin hriselna a hrilh che a ni.

I dam em? Liver nena inzawm hriselna lama harsatna i nei pawh a ni thei a, i hriat mi pakhatin a nei ve mai thei bawk. Chutih lai chuan i doctor chuan `MELD` score tih ang chi thil pakhat a sawi tawh mai thei. A nih loh leh he thumal hi khawi emaw laiah i hre tawh mai thei. Chuti a nih chuan, heng `MELD` score te hi engte nge ni? Engtin nge kan thin hriselna nen an inzawm? Heng zawng zawng hi vawiin hian awlsam takin kan sawi dawn a, in hriatthiam theih tur angin. Lungngai suh, hei hi thil buaithlak tak a ni lo, vawi khat i hriatthiam dan dik tak chuan.

MELD Score chu eng nge ni?

Okay, he `MELD` score hian eng nge a awmzia tih hi han en hmasa ila. `MELD` tih hi English tawng `Model for End-Stage Liver Disease` tih tawifelna a ni. A awlsam zawngin sawi ila, ``Model for End-Stage Liver Disease.`` tih ang chi tihna a ni.Hei hi a takah chuan scoring system a ni. School exam-a mark pek ang mai a ni a, mahse i liver condition a nasat zia a teh a ni. Thla thum (ni 90) chhunga liver transplant i mamawh thuai dawn tih hriat theih nan a pui bawk.

Liver transplant center-te chuan he `MELD` score hi an hmang a, tute nge liver transplant vat ngai tih an dah pawimawh ber a ni. Chu chu hei hi thil pakhat chauh a ni tihna a ni a, thil dang pawh an en ve bawk.

Tunah chuan he scoring system hi mi zawng zawng tan a inang em tih i ngaihtuah mai thei. Dik tak chuan he `MELD` scoring system hi kum 12 chunglam tan chauh hman a ni a, naupang naupang zawk, chu chu naupang kum 12 hnuai lam tan pawh hetiang scoring system hran a awm a ni. Chu chu `PELD (Pediatric End-Stage Liver Disease)` scoring system an ti a. Chuvangin, naupang tê tête liver transplant chu chu `PELD` score aṭang chuan dah pawimawh ber a ni.

He `MELD` score hian number a pe che a ni. He number hi a tlangpuiin 6 atanga 40 inkar a ni thei a, hetah hian hriat reng tur pawimawh tak chu he score a san poh leh thin natna a nasat poh leh thin a chak lo zawk thin. So , mi pakhatin `MELD` score sang tak a neih chuan `transplant waiting list`-ah a awm tam zawk. A chhan chu, chutiang mite tan chuan vanduaithlak takin `thihna hlauhawmna` a sang zawk a ni.

Engtin nge MELD score hi chhut a nih?

Tunah chuan he `MELD` score hi engtin nge an chhut a, chu chu engtin nge an siam tih hi han en ila. I doctor chuan he `MELD` score hi i thisen sample atanga thisen test bik engemaw zat result atanga chhut a ni. Mahse, hei hi i ngaihtuah angin chhut dan awlsam tak a ni lo. Thisen test result bakah hian hei hi tibuaitu thil dang engemaw zat a awm bawk.

Thisen test-na thil pawimawh ber berte

He `MELD` score siamna atana thisen test hman ber berte leh an thil zawn te hi ngun zawkin han thlir ila:

• INR (International Normalized Ratio): Hei hian iThisen a tlakbuak theih nan eng chen nge a rei tih a ni. A tlangpuiin liver hian hna a thawk tha lo a nih chuan thisen zam tura puitu thilte hi liver hian a siam chhuak tlem hle. Tichuan thisen a zam theih hun chhung chu a pung zel a ni. Chu chu INR value a sang tihna a ni.
• Total bilirubin: Bilirubin hi thil sen a ni a. Thisen sen hlui (red blood cells) a chhiat chuan a lo chhuak thin. Liver hian he bilirubin hi taksa atanga bile kaltlangin a paih chhuak thei a ni. Chuvangin, liver hian hna a thawk tha lo a nih chuan he bilirubin hi thisenah a pungkhawm a, thisenah bilirubin level a sang chho zel a ni. Hei hian thin (liver) a thawk tha lo tih a tilang a ni.
• Creatinine: Hei hian kal (kidney) hnathawh dan a teh a ni . Engtin nge kal hi thin natna nen a inzawm tih i ngaihtuah mai thei. Dik tak chuan thin natna a nasat chuan kal (kidney) hnathawh pawh a nghawng thei a ni. A chang chuan kal (kidney) pawh a tha lo tan thin. Chuvang chuan creatinine level an enfiah thin.
• Serum sodium: Hei hian i thisena sodium awm zat a teh a. I liver a thawk tha em tih hriat nan a pui thei bawk. Sodium level hniam hian liver hnathawh that lohna a tilang thei.
• Albumin Level: Albumin hi i liver siam protein bik a ni. A hnathawh ber pakhat chu thisena tui awm zat dik tak vawn reng hi a ni. Liver a thawk tha lo a nih chuan albumin siamchhuah a tlahniam thin. Tichuan thisena albumin level a tlahniam thei a ni. Hei hian liver hnathawh danah pawh thil engemaw a sawi bawk.

Pawimawh: Heng thisen test result hian MELD score tam zawk a hril a ni. Mahse, chu chu a ni lo.

Thisen test bakah ngaihtuah tur thil

Hei vang hian MELD score chhiar hi a buaithlak hle. Thisen test bakah hian i medical team chuan thil dang engemaw zat an ngaihtuah ang:

• I medical history: Hei hian eng ang liver natna nge i neih, eng chen nge i neih tawh, eng chen nge a nasat tih ang chi te a kawk a ni.
• I pian tirh atanga i kum leh i mipa leh hmeichhia.
• Hriselna lama harsatna dang i neih: Entirnan, zunthlum emaw, thinlung natna emaw ang chi natna dang i nei em, chu chuan liver transplant laiin harsatna a thlen thei em?
• Khawtlang leh nunphung: Hengte hi liver transplant hlawhtlinna a nghawng theih avangin ngaihtuah a ni bawk.

Chuvangin i hmu thei ang, `MELD` score hi thisen test result awlsam tak mai a ni lo va, chu aia tam a ni.

MELD score-ah hian point dang dah belh theih a ni em?

A châng chuan, i MELD score-in a tarlan aia hmaa liver transplant i mamawh thei bawk. Hei hian i MELD score hian i dinhmun nasat zia kimchang a lantir lo thei tihna a ni. Chutiang hunah chuan i doctor chuan i MELD score-ah point dang (`exception points`) dah belh turin a ngen thei ang.

Extra point dawng thei tur dinhmun thenkhat chu hetiang hi a ni:

• Acute liver a chak loh vang a ni
• Liver cancer - chi thenkhat tan chauh
• Hepatopulmonary syndrome - Hei hi thin natna avanga thisen a oxygen level a tlahniam thin a ni.
• Portopulmonary hypertension - Hei hi thin natna avanga lung chhunga thisen sang a sanna dinhmun a ni.
• Polycystic liver disease - Hei hi natna awm lo, genetic natna a ni.
• Cholangitis - bile duct-a natna lo awm leh thin

I medical team chuan heng additional score te hi i MELD score-ah i dah belh a ngai em tih chu an rel ang. Chuvangin, i MELD score chungchang te, a nghawngtu thil te, leh i dinhmun chungchang te doctor nen inbiakna neih a tha ber. Engkim an hrilhfiah thei che a, zawhna i neih apiang an chhang thei bawk.

MELD score hi engzat nge update thin?

I MELD score hi vawi khat chauh a thleng lo. I doctor chuan i MELD score chu thisen test pangngai hmangin a update ang . Engzat nge i update tih hi i MELD score hnuhnung ber ah a innghat.

Hei hi a thleng tlangpui a:

• Score 10 aia tlem a nih chuan kum khatah vawi khat vel a ni.
• Score hi 11-18 inkar a nih chuan thla 3 danah vawi khat vel a ni.
• Sign chu 19-24 inkar a nih chuan thla khatah vawi khat vel.
• Mark 25 aia tam a nih chuan kar khatah vawi khat ang chi.

Mahse, hei hi kaihhruaina tlangpui chauh a ni. I doctor chauh hian i score renew vawi engzat nge i mamawh tih chiang takin a hre thei ang. I dinhmun azirin a danglam thei.

I MELD score hian eng nge a awmzia?

Tunah chuan, "Awle, doctor chuan ka MELD score hi hetiang hian a sang tih a sawi a. Chuti a nih chuan chu chuan eng nge min hrilh tak tak?" MELD score hian i medical team te chu thil pawimawh pahnih ngaihtuahna a pe thei a ni:

1. Liver natna avanga thla 3 chhunga thih theihna chance chu engzat nge ni ?

2. Engtiang chiahin nge liver transplant i mamawh .

Mi pakhat chu eng chen nge a dam dawn tih chiang takin tumahin an sawi thei lo. Chu chu kan hre vek. Mahse he `MELD` score hian doctor te hnenah i dinhmun tlangpui a pe thei a ni. Tichuan, chu score chu liver transplant waiting list-a i awmna tur hmun hriat theih nân an hmang a ni.

Mahse, hre reng ang che, .`MELD` score chauh hian eng chen nge liver transplant i dawn dawn tih a hril lo. Hei hi thil dang tam takin a nghawng a, chu chu i thisen chi leh i awmna hmuna liver petu zat te hi a ni.

Engtikah nge doctor ka biak ang?

MELD score chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah zawh nghal rawh. Tin, i thisen test result emaw, nakin lawka i enkawl dan tur emaw chungchanga zawhna i neih chuan chu chu i doctor nen pawh sawipui rawh.

I MELD score hi i medical team-in engtiang chiahin nge liver transplant i mamawh tih an relna hmanrua pakhat chauh a ni. Puzzle lian zawk pakhat ang mai a ni. Chuvangin, i doctor i biak hma loh chuan thil ngaihtuah lutuk suh la, hlauthawng suh. I result chu an hrilhfiah thei che a, i beisei tur pawh an ngaihtuah tha thei bawk.

A tawp berah chuan eng nge hriat reng tur

Okay, chuvang chuan `MELD` score chungchang hi kan sawi nasa hle. A tawp berah chuan i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• `MELD` score hi liver natna nasat dan leh liver transplant hmanhmawhthlakna tehna atana puitu a ni.
• He score hi thisen test engemaw zat (a bik takin `INR`, `Bilirubin`, `Creatinine`, `Serum Sodium`, `Albumin`) leh damdawi lam thil dang result ngaihtuah atanga chhut a ni ber.
• Score a san chuan liver dinhmun a nasatzia leh liver transplant a ngai nasa zawk tih a tilang a ni.
• Hei hi doctor-te thutlukna siam tura ṭanpuitu hmanraw pakhat chauh a ni.
• I MELD score emaw, i liver hriselna emaw chungchanga i ngaihtuahna i neih apiang chu i doctor nen zalen taka sawipui hlau suh.

Dam leh thuai turin duhsakna kan hlan e!

` MELD score, thin natna, thin transplant, thisen test, bilirubin, creatinine, hriselna score