Kodi dokotala wanu amayesa bwanji momwe chiwindi chanu chilili? Tiyeni tiphunzire za Child-Pugh Score

Kodi dokotala wanu wakuuzani kuti muli ndi vuto la chiwindi, makamaka cirrhosis? Mwina munamvapo wina akunena kuti, "Chiwerengero Chanu cha Ana-Pugh ndi ichi." Ndizachibadwa kuchita mantha mukamva zimenezo. Kodi Chiwerengero cha Ana-Pugh ndi chiyani kwenikweni? Chimati chiyani za vuto lanu la chiwindi? Kodi muyenera kuda nkhawa ndi njira iyi yowerengera? Lero, tikambirana zonsezi m'njira yosavuta yomwe mungamvetse.

Mwachidule, kodi Child-Pugh Score iyi ndi chiyani?

Taganizirani ngati 'khadi la lipoti' lomwe timapatsidwa kusukulu kuti tiyese kupita patsogolo kwathu, Child-Pugh Score ili ngati 'khadi la lipoti' lomwe limapatsa madokotala lingaliro la thanzi la chiwindi chanu. Iyi si nambala yomwe imaperekedwa ndi mayeso amodzi. Ndi njira yowunikira yomwe imafufuza mbali zingapo za thupi lanu, kuzipatsa nambala, kenako nkuziphatikiza pamodzi.

Kudzera mu njira iyi yopezera zigoli, dokotala amatha kumvetsetsa bwino:

• Kodi chiwindi chanu chikugwira ntchito bwino bwanji pakali pano?
• Kodi chiopsezo cha kulephera kwa chiwindi ndi chiyani?
• Kodi njira yabwino kwambiri yothandizira ndi iti? (Mwachitsanzo, kodi mankhwala okwanira, kapena ndiyenera kuganizira chinthu monga kuyika chiwindi?)

Njira yowerengera iyi imalola dokotala kulikonse padziko lapansi kupeza lingaliro lofanana komanso lomveka bwino la momwe chiwindi chanu chilili. Nthawi zina imatchedwa chigoli cha Child-Turcotte-Pugh.

Kodi ndi zinthu ziti zazikulu 5 zomwe zimapangitsa kuti chiwerengerochi chikhale chonchi?

Kuti awerengere Child-Pugh Score yanu, dokotala wanu adzayang'ana zinthu zisanu zazikulu. Zitatu mwa izi ndi zinthu zomwe zimayesedwa ndi chitsanzo cha magazi anu. Zina ziwiri ndi zinthu zomwe zimapezeka kudzera mu mayeso akuthupi ndi ma scan. Tiyeni tiwone zomwe zili.

1. Milingo Yonse ya Bilirubin M'magazi: Bilirubin ndi zinyalala zachikasu zomwe zimapangidwa maselo ofiira amagazi athu akawonongeka. Chiwindi chathanzi chimachotsa izi m'thupi. Chiwindi chikawonongeka, chimayamba kusonkhana m'magazi. Apa ndi pamene khungu ndi maso zimakhala zachikasu (jaundice) zimachitika.

2. Kuchuluka kwa Albumin m'magazi: Albumin ndi puloteni yofunika kwambiri yopangidwa ndi chiwindi. Imathandiza kusunga madzi m'mitsempha yamagazi. Chiwindi chikakhala chofooka, kupanga puloteni iyi kumachepa.

3. Nthawi ya Prothrombin kapena INR: Tikavulala kwinakwake, kutuluka magazi kumasiya chifukwa magazi amaundana. Zinthu zambiri zomwe zimapangitsa kuti magazi aziundana zimapangidwa ndi chiwindi. Chiwindi chikafooka, izi zimachepa. Izi zikutanthauza kuti nthawi yomwe imatenga kuti magazi aziundana imawonjezeka.

4. Kuchulukana kwa madzi m'mimba (Ascites):Chiwindi chikapanda kugwira ntchito bwino, makamaka pamene kuchuluka kwa albumin kuli kochepa, madzi amatha kutuluka m'mitsempha yamagazi ndikuwunjikana m'mimba. Izi zimatchedwa ascites. Izi zimapangitsa kuti mimba itukumuke patsogolo ndikuoneka ngati yotupa.

5. Hepatic Encephalopathy: Pamene chiwindi sichingathe kuchotsa poizoni m'thupi moyenera, poizoniyo amasonkhana m'magazi ndikupita ku ubongo. Izi zingakhudze zinthu monga kukumbukira, khalidwe, ndi kuzindikira. Zizindikiro zake zingaphatikizepo kugona, kutopa, komanso kuvutika kuyang'ana kwambiri.

Kutengera zotsatira za mayeso anu pazinthu zisanu izi, mudzapatsidwa zigoli za 1, 2, kapena 3 pa chinthu chilichonse. Zigoli za 1 ndiye mkhalidwe wabwino kwambiri, ndipo zigoli za 3 ndiye mkhalidwe woipa kwambiri.

Kodi mungasankhire bwanji vutoli ndi zigoli zonse?

Tsopano onjezerani zigoli zonse zomwe mwapeza pa mfundo 5 zomwe zatchulidwa pamwambapa. Kenako mupeza zigoli zonse pakati pa 5 ndi 15. Kutengera ndi zigoli izi, mudzagawidwa m'magulu atatu akuluakulu (Magulu).

• Kalasi A (mfundo 5-6): Izi zikutanthauza kuti chiwindi chanu chikugwirabe ntchito bwino . Ngakhale kuti pali kuwonongeka, chiwindi chimatha kuchiyang'anira ndikugwira ntchito pamlingo woyenera.
• Kalasi B (chigoli 7-9): Izi zikutanthauza kuti ntchito ya chiwindi yachepa pang'ono . Pali kuwonongeka kwina kwa chiwindi.
• Kalasi C (mfundo 10-15): Izi zikutanthauza kuti chiwindi chawonongeka kwambiri ndipo ntchito yake ndi yoipa kwambiri . Uwu ndi mulingo womwe umafunika chisamaliro chachikulu.

N’chifukwa chiyani njira imeneyi yowerengera zotsatira za mayeso ndi yofunika kwa dokotala?

Chigoli chanu cha Child-Pugh ndi chidziwitso chofunikira kwambiri kwa dokotala wanu. Chimamuthandiza kupanga zisankho zingapo zofunika.

• Sankhani chithandizo choyenera kwa inu: Zigoli zanu zidzatsimikizira ngati mungathe kuchiritsidwa ndi mankhwala okha, ngati mukufuna chithandizo china chapadera, kapena ngati muyenera kuganizira zoika chiwindi.
• Unikani chiopsezo cha opaleshoni: Ngati munthu amene ali ndi matenda a chiwindi akufunika opaleshoni pazifukwa zina, ziwerengerozi zimathandiza kudziwa ngati thupi lingathe kuchita opaleshoniyo. Opaleshoni ya munthu amene ali mu Gulu C ndi yoopsa kuposa ya munthu amene ali mu Gulu A.
• Pezani lingaliro la tsogolo:Dongosolo la ziwerengeroli lingakupatseni lingaliro lomveka bwino la momwe matenda anu adzapitirire komanso mwayi wanu wopulumuka, ndi chithandizo kapena popanda chithandizo. Koma kumbukirani, izi ndi ziwerengero chabe. Ndi chithandizo choyenera komanso kusintha kwa moyo, zinthuzi zitha kusintha kwambiri.

Ngati mwadziwa zambiri za Child-Pugh Score yanu, lankhulani momasuka ndi dokotala wanu za tanthauzo lake komanso zomwe mungachite kenako. Funsani mafunso aliwonse omwe muli nawo. Ndikofunikira kukhala ndi gawo lochitapo kanthu paulendo wanu wochizira.