Mena he mate ate kino tōu, kua kōrero pea tō tākuta ki a koe mō te 'kaute MELD.' Mēnā ka rongo koe i tēnei kupu, ka mataku pea koe, ka āwangawanga hoki. "He aha te tikanga o tēnei? He kino rawa rānei tōku āhua?" Tērā pea he maha ngā pātai kei roto i tō hinengaro. Kaua e manukanuka. I tēnei rā, ka kōrero tātou mō te tikanga o tēnei kaute MELD me tōna tikanga i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te tikanga o te kaute MELD?
He māmā noa iho, ko te kaute MELD he kaute e ine ana i te kaha o tō mate ate. Ka tatauhia tēnei kaute i runga i te tauine mai i te 6 ki te 40. Ko te teitei ake o tō kaute MELD, ko te kaha ake o tō mate ate.
Ko te nuinga o te wā, ka whakamahia tēnei pūnaha whakatauranga hei āwhina i te whakatau ko tēhea wāhi koe e tika ana kia whakanohoia ki te rārangi tatari mō te whakawhitinga ate. Arā, ka āwhina i te mārama ko wai e hiahia wawe ana ki te ate.
Ko te tikanga o te MELD ko 'Model for End-Stage Liver Disease'. He tātai pāngarau tēnei. He maha ngā āhuatanga e whakamahia ana hei hanga, tae atu ki ngā hua o tō whakamātautau toto, tō tau, me tō hītori hauora. Ka whakamahia tēnei kaute MELD mō te hunga neke atu i te 12 tau te pakeke. Mō ngā tamariki kei raro iho i taua tau, ka whakamahia e ngā tākuta tētahi tikanga rerekē e kiia nei ko te PELD (Pediatric End-Stage Liver Disease).
Me pēhea te tatau i tēnei kaute MELD?
He mahi uaua te tatau i te kaute MELD. Ka ahu mai i ngā hua o ētahi whakamātautau toto matua ka hoatu e tō tākuta ki a koe. Me titiro tātou ki ēnei.
| Whakamātautau toto | He whakarāpopototanga, he aha te mea e inehia ana? |
|---|---|
| INR (Ōwehenga Whakaōrite o te Ao) | Ka ine tēnei i te roa o te wā e totohu ai tō toto. Ki te roa ake te totohu, ko te tikanga kāore tō ate e mahi tika ana. |
| Bilirubin Katoa | Ka ine tēnei i te pai o te tukunga atu o te au i hangaia e te ate i te tinana. Ko te nui o ngā taumata bilirubin e tohu ana i te ngoikore o te mahi a te ate. |
| Creatinine | Mā tēnei ka ine i te mahi a ō whatukuhu. Tērā pea ka miharo koe he aha i tirohia ai ngā whatukuhu ina pāngia koe e te mate ate. Ko te take, ina kaha rawa te mate ate, ka pāngia hoki te mahi a te whatukuhu. |
| Konutai toto | Ka inehia te nui o te konutai i roto i ō toto. He tohu anō hoki te iti o te konutai mō te ngoikore o te mahi a te ate. |
| Pūmua | He momo pūmua tēnei i hangaia e te ate. Ka āwhina i te pupuri i te wai i roto i te toto. Ko te iti o te taumata albumin he tohu anō hoki nō te ngoikore o te mahi a te ate. |
Haunga ēnei whakamātautau toto, ka whakaarohia e tō tākuta ētahi atu āhuatanga.
- Tō hītori hauora, arā, te mate ate kei a koe, me tōna kaha.
- Tō tau me tō ira tangata i te wā i whānau ai koe.
- Ētahi atu mate kei a koe, me te mea ka pā mai he raruraru.
- Tō āhua noho me ngā āhuatanga pāpori (hei tauira, ngā mea pēnei i te inu waipiro)
Ngā tohu tāpiri i tāpirihia i ngā wā motuhake
I ētahi wā, kāore pea tō kaute MELD anake e whakaata katoa i te kaha o tō āhua. I roto i ēnei āhuatanga, ka tono pea tō tākuta kia tāpirihia ētahi atu tohu ki tō kaute. Ka kiia ēnei he 'tohu motuhake'.
Ko ngā āhuatanga e whai ake nei ka taea e koe te whiwhi tohu tāpiri:
- Te ngoikore o te ate
- Matepukupuku ate
- Te iti o te hāora i roto i te toto nā te mate ate (Hepatopulmonary syndrome)
- Te pikinga o te toto toto i roto i ngā pukahukahu nā te mate ate (Portopulmonary hypertension)
- Te mate ate polycystic, he mate ira onge
- Te mate korokoro mau tonu
He mea tino nui kia pātai atu koe ki tō tākuta kia whakamārama mai he aha ngā āhuatanga i whakamahia hei tatau i tō kaute MELD.
Ka taea te whakarerekē i te kaute MELD?
Āe, tino.Ehara te kaute MELD i te tau pumau. Ka taea te whakarerekē i runga i tō āhua. Ka whakahoutia e tō tākuta tō kaute MELD mā te whakahoki anō i ō whakamātautau toto i ngā wā auau.
Ko te auau o te mahi i tēnei ka whakawhirinaki ki te tere o te panoni o tō āhua. Tērā pea ka piki ake tō kaute mēnā kei te kino haere tō āhua. Tērā pea ka heke iho tō kaute mēnā kei te pai haere tō āhua i te wā e rongoatia ana.
Me pēhea koe e mārama ai ki te kōrero a te kaute MELD?
Ka whakamahia e ngā tākuta te kaute MELD hei mārama ki ngā mea matua e rua.
1. He aha te mōrearea o te mate i roto i ngā rā 90 e whai ake nei nā te mate ate?
2. Kia pēhea te tere e hiahiatia ai he whakawhitinga ate.
Kaua e manukanuka ki tēnei mōrearea. He whakatau tata whānui noa iho tēnei i runga i ngā tatauranga. Ka rerekē pea i ia tangata, i ia tangata.
| Kaute MELD | Te mōrearea o te mate i roto i ngā rā 90 (toharite) |
|---|---|
| I raro i te 9 tau | 1.9% |
| 10 - 19 | 6.0% |
| 20 - 29 | 19.6% |
| 30 - 39 | 52.6% |
| 40 tau neke atu rānei | 71.3% |
Ko te mea tino nui:Kāore e taea e tetahi te matapae tika i tō roanga o te ora mai i tō kaute MELD. Ka hoatu noa e ia he whakaaro whānui ki tō tākuta mō tō āhua, ā, ka āwhina i a ia ki te whakatau i te tere o te whakawhitinga ate.
Kāore te roa o te wā e whiwhi ai koe i te ate e whakatauhia ana e tō kaute MELD anake. He maha atu anō ngā mea e pāngia ana, pērā i tō momo toto me te mea kei tō rohe ngā kaituku ate.
Nō reira, kaua e whakaaro nui rawa ki tō kaute MELD, kaua hoki e whakatau he mō tō heke mai. Ko te mea pai ko te kōrero noa ki tō tākuta mō tēnei mea. Ka taea e ia te whakamārama i ō hua ki a koe, me te hoatu hoki i tētahi whakaaro mārama ki a koe mō tō āhuatanga me ngā mea ka tumanakohia i roto i ngā tau kei te heke mai.
Karere Tangohia ki te Kāinga
- He pūnaha whakatauranga te kaute MELD e ine ana i te kaha o tō mate ate. Ka teitei ake te kaute, ka nui ake te kino o te mate.
- Ka tatauhia tēnei kaute i runga i ō whakamātautau toto (pēnei i te INR, bilirubin, creatinine) me ētahi atu āhuatanga.
- Kāore te kaute MELD i te pumau. Ka taea te whakarerekē i roto i te wā i runga i tō āhua.
- Mā tēnei pūnaha tatau koe e āwhina kia whiwhi i te mana matua i roto i te rārangi tatari mō te whakawhitinga ate.
- Kaua e manukanuka rawa mō tō kaute MELD. He taputapu noa iho tēnei hei āwhina i a koe ki te mārama ki tō āhua. Kōrerohia mā te tuwhera ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.
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