Me ako tātou mō te Kaute MELD, e whakaatu ana i te hauora o tō ate.

Kei te pēhea koe? Tērā pea he raruraru hauora e pā ana ki te ate tōu, he raruraru rānei kei tētahi e mōhiotia ana e koe. I taua wā, kua kōrero pea tō tākuta mō tētahi mea e kiia nei ko te kaute `MELD`. Kua rongo pea koe i tēnei kupu i tētahi wāhi. Nā, he aha ēnei kaute `MELD`? He aha te pānga ki te hauora o tō tātou ate? Ka kōrerohia e tātou ēnei mea katoa i tēnei rā, i roto i tētahi huarahi e mārama ai koe. Kaua e manukanuka, ehara tēnei i te mea uaua rawa, ina mārama pai koe.

He aha te Kaute MELD?

Āe, me titiro tuatahi tātou ki te tikanga o tēnei kaute `MELD`. Ko te `MELD` he whakarāpopototanga mō ngā kupu Pākehā `Model for End-Stage Liver Disease`. Ki te whakarāpopoto, he rite tōna tikanga ki te ``Model for End-Stage Liver Disease``. He pūnaha kaute tēnei. He rite ki te hoatu māka i tētahi whakamātautau kura, engari e ine ana i te kino o tō mate ate. Ka āwhina hoki ki te whakatau i te tere o te hiahia ki te whakawhitinga ate i roto i ngā marama e toru e whai ake nei (90 rā).

Ka whakamahia e ngā pokapū whakawhitinga ate tēnei kaute `MELD` hei whakatau i te hunga e hiahia ana ki te whakawhitinga ate i te wā e taea ai. Ko te tikanga he mea kotahi noa iho tēnei, ā, ka tirohia anō hoki e rātou ētahi atu mea.

Tērā pea kei te whakaaro koe mēnā he rite tonu tēnei pūnaha tatau mō te katoa. Inaa, ko tēnei pūnaha tatau `MELD` ka whakamahia anake mō te hunga neke atu i te 12 tau te pakeke. Ahakoa mō ngā tamariki nohinohi, arā, ngā tamariki kei raro iho i te 12 tau te pakeke, he pūnaha tatau motuhake pēnei. Ko te ingoa o tēnei pūnaha ko te pūnaha tatau `PELD (Pediatric End-Stage Liver Disease)`. Nō reira, ko ngā whakawhitinga ate mō ngā tamariki nohinohi ka whakaritea kia rite ki taua kaute `PELD`.

Mā tēnei kaute `MELD` koe e homai he tau. Ko te tikanga, ka taea e tēnei tau te awhe mai i te 6 ki te 40. Ko te mea nui kia maumaharahia i konei, ko te teitei ake o tēnei kaute, ko te kaha ake o te mate ate, ko te ngoikore ake o te ate. Nō reira , ki te mea he teitei te kaute `MELD` o tētahi, he nui ake te tūponotanga kia noho rātou ki te `rārangi tatari mō te whakawhitinga toto`. Nā te mea, mō ēnei tāngata, heoi anō, he nui ake te `mōrearea o te mate`.

Me pēhea te tatau i te kaute MELD?

Nā, me titiro tātou ki te āhua o te tatau i tēnei kaute `MELD`, arā, te āhua o tōna hanga. Ka tatauhia e tō tākuta tēnei kaute `MELD` i runga i ngā hua o ētahi whakamātautau toto motuhake i tangohia mai i tō tauira toto. Heoi, ehara tēnei i te tatau ngāwari pērā i tō whakaaro. Haunga ngā hua o ngā whakamātautau toto, he maha atu anō ngā āhuatanga e pā ana ki tēnei.

Ngā mea matua e rapuhia ana e ngā whakamātautau toto

Kia tirohia ake ngā whakamātautau toto matua e whakamahia ana hei hanga i tēnei kaute `MELD` me ngā mea e rapuhia ana e rātou:

• INR (Ōwehenga Whakaōrite ā-Ao): Ka ine tēnei i tōKo te roa tēnei e hiahiatia ana kia totoka te toto. I te nuinga o te wā, ina kore te ate e mahi tika, kāore te ate e whakaputa i te nui o ngā mea hei āwhina i te totoka. Kātahi ka piki ake te wā e hiahiatia ana kia totoka te toto. Ko te tikanga ka piki ake te uara INR.
• Bilirubin katoa: He matū kōwhai te Bilirubin. Ka puta mai i te wā e pakaru ana ngā pūtau toto whero tawhito. Ka āwhina te ate ki te tango i tēnei bilirubin mai i te tinana mā te au. Nō reira, ki te kore te ate e mahi tika, ka kohia tēnei bilirubin ki roto i te toto, ā, ka piki ake te taumata o te bilirubin i roto i te toto. E whakaatu ana tēnei kāore te ate e mahi tika ana.
• Creatinine: Ka ine tēnei i te mahi a ngā whatukuhu . Tērā pea kei te whakaaro koe me pēhea te hononga o ngā whatukuhu ki te mate ate. Inaa, ina kaha rawa te mate ate, ka pā hoki ki te mahi a ngā whatukuhu. I ētahi wā ka tīmata hoki ngā whatukuhu ki te ngoikore. Koia te take ka tirohia ai ngā taumata creatinine.
• Te konutai toto: Ka ine tēnei i te nui o te konutai i roto i tō toto. Ka āwhina hoki ki te whakatau mēnā kei te mahi tika tō ate. Ko te iti o te konutai he tohu pea mō te ngoikore o te mahi a te ate.
• Te Taumata Pūmua: He pūmua motuhake te pūmua e hangaia ana e tō ate. Ko tētahi o ana mahi matua ko te pupuri i te nui o te wai i roto i te toto. Ki te kore e mahi tika te ate, ka heke te hanga pūmua. Kātahi ka heke te taumata pūmua i roto i te toto. He tohu anō tēnei mō te mahi a te ate.

He mea nui: Ko ngā hua o ēnei whakamātautau toto te mea e whakatau ana i te nuinga o te kaute MELD. Engari, ehara i te mea koinā anake.

Ngā mea hei whakaaroarohia hei tāpiri atu ki ngā whakamātautau toto

Koia te take he uaua te tatau i te kaute MELD. Haunga ngā whakamātautau toto, ka whakaarohia e tō rōpū hauora ētahi atu āhuatanga:

• Tō hītori hauora: Ko te tikanga tēnei ko te momo mate ate kei a koe, te roa o te wā kua pāngia koe, me te kaha o taua mate.
• Tō tau me tō ira tangata i te wā i whānau ai koe.
• Ētahi atu āhuatanga hauora kei a koe: Hei tauira, kei a koe ētahi atu āhuatanga pēnei i te mate huka, te mate ngakau rānei ka pā mai he raruraru i te wā o te whakawhitinga ate?
• Ngā āhuatanga pāpori me ngā āhuatanga o te noho: Ka whai whakaarohia hoki ēnei nā te mea ka pā ki te angitu o te whakawhitinga ate.

Nō reira, ka kite koe, ehara te kaute `MELD` i te hua whakamātautau toto noa iho, he nui atu i tērā.

Ka taea te tāpiri atu i ētahi atu tohu ki te kaute MELD?

I ētahi wā, me tere ake pea te whakawhitinga ate i tō kaute MELD. Ko te tikanga, kāore pea tō kaute MELD e whakaata i te kaha katoa o tō mate. I roto i ēnei āhuatanga, ka tono pea tō tākuta kia tāpirihia e koe ētahi atu tohu ('ngā tohu motuhake') ki tō kaute MELD.

Anei ētahi āhuatanga e āhei ai koe ki te whiwhi tohu tāpiri:

• Te ngoikore o te ate
• Matepukupuku ate - mō ētahi momo anake
• Te mate ate - He āhuatanga tēnei e heke ai te taumata hāora i roto i te toto nā te mate ate.
• Te toto toto tiketike portopulmonary - He āhuatanga tēnei e piki ai te toto toto i roto i ngā pukahukahu nā te mate ate.
• Mate ate polycystic - He mate onge tēnei, he mate ira.
• Cholangitis - he mate pūmau o ngā awaawa o te ate

Mā tō tīma hauora e whakatau mēnā me tāpiri atu ēnei kaute tāpiri ki tō kaute MELD. Nō reira, he pai ake te kōrero ki tō tākuta mō tō kaute MELD, ngā āhuatanga e pā ana ki tēnā, me tō āhua. Ka taea e rātou te whakamārama i ngā mea katoa ki a koe, me te whakautu i ō pātai katoa.

Kia pēhea te auau o te whakahōutanga o te kaute MELD?

Kāore tō kaute MELD e puta kotahi noa. Ka whakahoutia e tō tākuta tō kaute MELD mā te whakamātautau toto auau . Ko te auau o tō whakahoutanga ka whakawhirinaki ki tō kaute MELD whakamutunga.

Koinei te mea e tupu ana i te nuinga o te wā:

• Mena kei raro iho te kaute i te 10, kotahi pea te wā i te tau.
• Mena kei waenga i te 11-18 te kaute, me mahi kotahi i roto i ngā marama e toru.
• Mena kei waenga i te 19-24 te tohu, kotahi pea i te marama.
• Mena he 25, neke atu rānei te māka, kia kotahi te wā i te wiki.

Heoi, he aratohu whānui noa iho tēnei. Ko tō tākuta anake ka taea te whakatau i te auau o te whakahou i ō kaute. Tērā pea ka rerekē i runga i tō āhuatanga.

He aha te tikanga o tō kaute MELD?

Inaianei kei te whakaaro pea koe, "Āe, i kī mai te tākuta he tino teitei taku kaute MELD. Nā, he aha te tikanga o tēnā?" Ka taea e te kaute MELD te hoatu ki tō rōpū hauora he whakaaro mō ngā mea matua e rua:

1. He aha te mōrearea o te mate i roto i ngā marama e 3 e whai ake nei nā te mate ate ?

2. Kia pēhea te tere e hiahiatia ai he whakawhitinga ate .

Kāore e taea e tetahi te matapae i te roa o te oranga o te tangata. E mōhio ana tātou katoa ki tēnā. Engari mā tēnei kaute 'MELD' ka taea e ngā tākuta te hoatu he whakaaro whānui mō tō āhua. Kātahi ka whakamahia taua kaute hei āwhina i te whakatau ko tēhea koe e tika ana kia noho ki te rārangi tatari mō te whakawhitinga ate.

Engari kia mahara,Ehara i te mea ko te kaute `MELD` anake te mea e whakatau ana i te tere o te whakawhitinga ate. He maha atu anō ngā mea e pā ana ki tēnei, pērā i tō momo toto me te maha o ngā kaituku ate i tō rohe.

Āhea ahau me whakapā atu ki te tākuta?

Mena he pātai, he āwangawanga rānei āu mō tō kaute MELD, whakapā atu ki tō tākuta tonu. Waihoki, ki te mea he pātai āu mō ngā hua o tō whakamātautau toto, mō tō mahere maimoatanga ā muri ake nei rānei, kōrero atu ki tō tākuta mō tēnā.

Ko tō kaute MELD tētahi taputapu noa iho e whakamahia ana e tō tīma hauora hei whakatau i te tere o te whakawhitinga ate. He rite ki tētahi wāhanga o tētahi panga nui ake. Nō reira, kaua e whakaaro nui rawa, kaua hoki e mataku kia kōrero rā anō koe ki tō tākuta. Ka taea e rātou te whakamārama i ō hua ki a koe, me te hoatu hoki i tētahi whakaaro pai ki a koe mō ngā mea ka tumanakohia.

Hei whakamutunga, he aha ngā mea hei maumahara

Āe, kua maha ā tātou kōrero mō te kaute `MELD`. Hei whakamutunga, anei ngā mea tino nui hei maumahara māu:

• Ko te kaute `MELD` he tikanga e āwhina ana ki te aromatawai i te kaha o te mate ate me te hiahia wawe mō te whakawhitinga ate.
• Ka tatauhia tēnei kaute mā te whakaaro ki ngā hua o ētahi whakamātautau toto (ina koa ko te `INR`, `Bilirubin`, `Creatinine`, `Serum Sodium`, `Albumin`) me ētahi atu āhuatanga hauora.
• I te pikinga ake o te kaute, he tohu tēnei kei te kino te mate ate, ā, he nui ake te hiahia mō te whakawhitinga ate.
• He taputapu kotahi noa iho tēnei hei āwhina i ngā tākuta ki te whakatau kaupapa.
• Ahakoa he aha ō āwangawanga mō tō kaute MELD, mō te hauora rānei o te ate, kaua e wehi ki te kōrero tuwhera ki tō tākuta.

Kia tere tō ora!

Kaute MELD , mate ate, whakawhitinga ate, whakamātautau toto, bilirubin, creatinine, kaute hauora