Me pēhea te ine a tō tākuta i te āhua o tō ate? Me ako tātou mō te Kaute Child-Pugh

Kua kōrerotia mai e tō tākuta he mate ate tōu, inā koa ko te cirrhosis? Tērā pea kua rongo koe i tētahi e kī ana, "Ko tō Kaute Child-Pugh tēnei." He mea noa te mataku ina rongo koe i tēnā. He aha rawa te Kaute Child-Pugh? He aha tāna e kī ana mō tō mate ate? Me āwangawanga koe mō tēnei pūnaha kaute? I tēnei rā, ka kōrerohia e tātou ēnei mea katoa i roto i tētahi huarahi tino māmā ka taea e koe te mārama.

He aha te tikanga o tēnei Kaute Child-Pugh?

Whakaarohia he 'kāri pūrongo' i homai ki a tātou i te kura hei ine i tō tātou ahunga whakamua, he rite te Kaute Child-Pugh ki te 'kāri pūrongo' e hoatu ana ki ngā tākuta he whakaaro mō te hauora o tō ate. Ehara tēnei i te kaute e hoatu ana e te whakamātautau kotahi. He pūnaha kaute e tirotiro ana i ētahi āhuatanga o tō tinana, ka tohaina he kaute ki a rātou, kātahi ka tāpirihia.

Mā tēnei pūnaha whakatauranga, ka mārama te tākuta ki:

• Kei te pēhea te pai o te mahi a tō ate i tēnei wā?
• He aha te mōrearea o te ngoikore o te ate?
• Ko tēhea te kōwhiringa maimoatanga pai rawa atu māu? (Hei tauira, he rawaka noa iho te rongoā, me whakaaro rānei ahau ki tētahi mea pēnei i te whakawhitinga ate?)

Mā tēnei pūnaha whakatauranga ka taea e te tākuta o te ao katoa te whiwhi i te whakaaro mārama, ōrite hoki mō te āhua o tō ate. I ētahi wā ka kiia ko te whakatauranga Child-Turcotte-Pugh.

He aha ngā āhuatanga matua e rima e whakatau ana i tēnei kaute?

Hei tatau i tō Kaute Child-Pugh, ka tirohia e tō tākuta ētahi āhuatanga matua e rima. E toru o ēnei he mea ka whakamatautauria mā te whakamahi i tētahi tauira o tō toto. Ko ētahi atu e rua he mea ka kitea mā te whakamātautau tinana me ngā matawai. Me titiro tātou ki ēnei āhuatanga.

1. Ngā Taumata Bilirubin Katoa i roto i te Toto: He para kōwhai te Bilirubin ka puta mai i te wā e pakaru ai ngā pūtau toto whero. Mā te ate hauora tēnei e tango mai i te tinana. Ina pakaru te ate, ka tīmata te kohikohi ki roto i te toto. Koinei te wā ka kōwhai te kiri me ngā kanohi (jaundice).

2. Te Taumata Purimini i roto i te toto: He pūmua tino nui te purimini e hangaia ana e te ate. Ka āwhina i te pupuri i ngā wai i roto i ō tātou oko toto. Ina ngoikore te ate, ka heke te hanga o tēnei pūmua.

3. Te Wā Prothrombin, te INR rānei: Ina whara tātou i tētahi wāhi, ka mutu te toto nā te mea ka piri te toto. Ko te nuinga o ngā matū whakapakeke toto e hiahiatia ana mō te whakapakeke toto ka hangaia e te ate. Ina ngoikore te ate, ka pōturi tēnei tukanga. Ko te tikanga ka piki ake te wā e piri ai te toto.

4. Te kohi wai i roto i te puku (Ascites):Ina kore te ate e mahi tika, inā koa he iti te taumata o te albumin, ka turuturu te wai mai i ngā oko toto ka kohia ki roto i te kōhao puku. Ka kiia tēnei ko te ascites. Ka pupuhi te puku ki mua, ka ahua pupuhi.

5. Te Mate Pūkahukahu Āte: Ina kore e taea e te ate te tango tika i ngā paitini mai i te tinana, ka kohia aua paitini ki roto i te toto ka haere ki te roro. Ka pā pea tēnei ki ngā mea pēnei i te mahara, te whanonga, me te hinengaro. Ko ngā tohu ka uru atu ki te hiamoe, te ngenge, me te uaua ki te arotahi.

I runga i ngā hua o tō whakamātautau mō ēnei āhuatanga e rima, ka whakawhiwhia koe ki te kaute 1, 2, 3 rānei mō ia āhuatanga. Ko te kaute 1 te āhuatanga pai rawa atu, ā, ko te kaute 3 te āhuatanga kino rawa atu.

Me pēhea te whakarite i te āhuatanga mā te kaute katoa?

Tāpirihia ngā kaute katoa i whiwhi koe mō ngā tohu e 5 kua whakahuatia ake nei. Kātahi ka whiwhi koe i te kaute katoa i waenga i te 5 me te 15. I runga i tēnei kaute, ka whakarōpūhia koe ki ngā wāhanga matua e toru (Akomanga).

• Akomanga A (5-6 ngā tohu): Ko te tikanga kei te pai tonu te mahi a tō ate . Ahakoa he kino, ka taea e te ate te whakahaere me te mahi i te taumata e whakaaetia ana.
• Akomanga B (kaute 7-9): Ko te tikanga tēnei kua paku heke te mahi a te ate . He iti noa te kino o te ate.
• Akomanga C (10-15 ngā tohu): Ko te tikanga tēnei kua tino pakaru te ate, ā, he tino ngoikore tana mahi . Koinei te taumata e hiahia ana kia aro nui atu.

He aha te hiranga o tēnei pūnaha whakatauranga ki te tākuta?

He tino whai hua ngā mōhiohio mō tō Kaute Child-Pugh mā tō tākuta. Ka āwhina i a ia ki te whakatau i ētahi whakatau matua.

• Kōwhiria te maimoatanga e tika ana māu: Mā tō kaute koe e whakatau mēnā ka taea te rongoā anake, mēnā me hiahia koe ki ētahi atu maimoatanga motuhake, mēnā rānei me whakaaro koe ki te whakawhitinga ate.
• Aromatawaihia te mōrearea o te pokanga: Mena he take kē atu te hiahia o te tangata he mate ate tōna, ka āwhina ēnei kaute ki te whakatau mena ka taea e te tinana te whakahaere i te pokanga. He mōrearea ake te pokanga mō te tangata o te Akomanga C i te tangata o te Akomanga A.
• Tikina he whakaaro mō te heke mai:Mā tēnei pūnaha kaute ka taea e koe te hoatu he whakaaro whānui (matapae) mō te ahunga whakamua o tō āhua me ō tupono ki te ora, ahakoa he maimoatanga, ahakoa kāore he maimoatanga. Engari kia maumahara, he whakatau tata noa iho ēnei. Mēnā he maimoatanga tika me ngā huringa āhua noho, ka nui ngā huringa ka taea e ēnei āhuatanga te huri.

Ki te kitea e koe tō Kaute Child-Pugh, kōrero noa ki tō tākuta mō tōna tikanga me te mahi e whai ake nei. Pātai atu ō pātai. He mea nui kia whai wāhi atu koe ki tō haerenga maimoatanga.