Ngati muli ndi matenda aakulu a chiwindi, dokotala wanu mwina anakulankhulani za 'MELD score.' Kumva mawuwa kungakupangitseni mantha pang'ono komanso kuda nkhawa. "Kodi izi zikutanthauza chiyani? Kodi vuto langa ndi lalikulu?" Mutha kukhala ndi mafunso ambiri m'maganizo mwanu. Musadandaule. Lero, tikambirana za MELD score iyi ndi tanthauzo lake mosavuta momwe mungamvetsetsere.

Kodi chigoli cha MELD chimatanthauza chiyani?

Mwachidule, chiŵerengero cha MELD ndi chiŵerengero chomwe chimayesa kuopsa kwa matenda anu a chiwindi. Chiŵerengerochi chimawerengedwa pa sikelo ya 6 mpaka 40. Chiŵerengero chanu cha MELD chikakhala chachikulu, matenda anu a chiwindi amakhala oopsa kwambiri.

Njira yowerengera iyi imagwiritsidwa ntchito makamaka posankha komwe muyenera kuyikidwa pamndandanda woyembekezera woikidwa chiwindi. Izi zikutanthauza kuti, zimathandiza kumvetsetsa yemwe akufunikira chiwindi mwachangu kwambiri.

MELD imayimira 'Chitsanzo cha Matenda a Chiwindi Otsiriza'. Ndi njira ya masamu. Imagwiritsa ntchito zinthu zingapo, kuphatikizapo zotsatira za mayeso anu a magazi, zaka, ndi mbiri yachipatala, kuti ipange izi. Chiwerengero ichi cha MELD chimagwiritsidwa ntchito kwa anthu azaka zopitilira 12. Kwa ana osakwana nthawi imeneyo, madokotala amagwiritsa ntchito njira ina yotchedwa PELD (Matenda a Chiwindi Otsiriza a Ana).

Kodi chigoli cha MELD ichi chimawerengedwa bwanji?

Kuwerengera chiwerengero cha MELD ndi njira yovuta kwambiri. Kutengera zotsatira za mayeso angapo ofunikira a magazi omwe dokotala wanu angakupatseni. Tiyeni tiwone zomwe zili.

Kuwonjezera pa mayeso a magazi awa, dokotala wanu adzaganizira zinthu zina zingapo.

• Mbiri yanu ya matenda, kutanthauza matenda a chiwindi omwe muli nawo komanso momwe alili oopsa.
• Zaka zanu ndi jenda lanu pobadwa.
• Matenda ena omwe muli nawo, komanso ngati angayambitse mavuto.
• Moyo wanu ndi zinthu zina zomwe mumachita pa moyo wanu (monga kumwa mowa)

Mfundo zowonjezera zimawonjezedwa pazochitika zapadera

Nthawi zina, chigoli chanu cha MELD chokha sichingasonyeze bwino kuopsa kwa vuto lanu. Zikatero, dokotala wanu angapemphe kuti mfundo zina ziwonjezedwe pa chigoli chanu. Izi zimatchedwa 'mfundo zapadera'.

Izi ndi zochitika zomwe nthawi zambiri mungapeze mfundo zowonjezera:

• Kulephera kwa chiwindi mwachangu
• Khansa ya chiwindi
• Kuchepa kwa mpweya m'magazi chifukwa cha matenda a chiwindi (Hepatopulmonary syndrome)
• Kuthamanga kwa magazi m'mapapo chifukwa cha matenda a chiwindi (Portopulmonary hypertension)
• Matenda a chiwindi a Polycystic, matenda osowa kwambiri a majini
• Matenda a cholangitis osatha

Kodi chigoli cha MELD chingasinthe?

Inde, ndithudi.Chiwerengero cha MELD si chiwerengero chokhazikika. Chingasinthe kutengera matenda anu. Dokotala wanu adzasintha chiwerengero chanu cha MELD pobwereza mayeso anu a magazi nthawi ndi nthawi .

Kangati mumachita izi kutengera momwe matenda anu akusinthira mwachangu. Zigoli zanu zitha kukwera ngati matenda anu akuipiraipira. Zigoli zanu zitha kutsikanso ngati matenda anu akukulirakulira pang'ono ndi chithandizo.

Kodi mukumvetsa bwanji zomwe MELD score ikunena?

Madokotala amagwiritsa ntchito chiwerengero cha MELD kuti apeze lingaliro la zinthu ziwiri zazikulu.

1. Kodi chiopsezo cha kufa mkati mwa masiku 90 otsatira chifukwa cha matenda a chiwindi ndi chiyani?

2. Kodi muyenera kuikidwa chiwindi nthawi yanji?

Musadandaule za chiopsezo ichi. Ichi ndi chiwerengero cha anthu onse chochokera ku ziwerengero. Chingasiyane malinga ndi munthu aliyense.

Nthawi yomwe imatenga kuti mulandire chiwindi sikutanthauza kuti muli ndi MELD score yokha. Zimakhudzidwa ndi zinthu zina zambiri, monga mtundu wa magazi anu komanso ngati pali opereka chiwindi m'dera lanu.

Choncho, musaganizire mopitirira muyeso za MELD score yanu kapena kupanga zisankho zolakwika zokhudza tsogolo lanu. Chinthu chabwino kwambiri chomwe mungachite ndikulankhula momasuka ndi dokotala wanu za izi. Iye adzatha kukufotokozerani zotsatira zanu ndikukupatsani lingaliro lomveka bwino la momwe mulili komanso zomwe mungayembekezere mtsogolo.