Kana uine chirwere chechiropa chakakomba, chiremba wako angangodaro akambotaura newe nezve 'MELD score.' Kunzwa izwi iri kunogona kuita kuti utye zvishoma uye uzvidye mwoyo. "Izvi zvinorevei? Dambudziko rangu rakakomba here?" Ungave uine mibvunzo yakawanda mupfungwa dzako. Usazvidya mwoyo. Nhasi, tichataura nezveizvi MELD score uye zvazvinoreva nenzira iri nyore yaunogona kunzwisisa.
Zvinorevei kuti MELD score?
Zvichitaurwa zviri nyore, chibodzwa cheMELD chibodzwa chinoyera kuti chirwere chechiropa chako chakanyanya sei. Chibodzwa ichi chinoverengerwa pachikero che6 kusvika 40. Chibodzwa chako cheMELD chakakwira, chirwere chako chechiropa chakanyanya kuoma.
Iyi nzira yekuyera zvibodzwa inonyanya kushandiswa kubatsira kusarudza kuti unofanira kuiswa papi pane runyorwa rwevanhu vanomirira kuiswa chiropa. Izvi zvinoreva kuti, zvinobatsira kunzwisisa kuti ndiani anoda chiropa nekukurumidza.
MELD inomirira 'Model for End-Stage Liver Disease'. Iyi fomura yemasvomhu. Inoshandisa zvinhu zvakasiyana-siyana, kusanganisira mhinduro dzeropa rako, zera, uye nhoroondo yekurapa, kuti iumbe. Iyi MELD score inoshandiswa kuvanhu vane makore anopfuura gumi nemaviri. Kune vana vari pasi peizvozvo, vanachiremba vanoshandisa nzira yakasiyana inonzi PELD (Pediatric End-Stage Liver Disease).
Chibodzwa ichi cheMELD chinoverengwa sei?
Kuverenga mamakisi eMELD inzira yakaoma. Izvi zvinoenderana nemhedzisiro yekuongororwa kweropa kwakawanda kwauchapihwa nachiremba wako. Ngationei kuti ndezvipi.
| Kuongororwa kweropa | Zvichitaurwa zviri nyore, zvinoyera chii? |
|---|---|
| INR (International Normalized Ratio) | Izvi zvinoyera kuti zvinotora nguva yakareba sei kuti ropa rako rigwambe. Nguva yakareba yekugwamba kweropa inowanzoreva kuti chiropa chako hachishande zvakanaka. |
| Bilirubin Yese | Izvi zvinoyera kuti bile rinogadzirwa nechiropa riri kuburitswa zvakanaka sei mumuviri. Kuwanda kwebilirubin kunoratidza kusashanda zvakanaka kwechiropa. |
| Creatinine | Izvi zvinoyera mashandiro eitsvo dzako. Ungashamisika kuti sei itsvo dzichiongororwa kana uine chirwere chechiropa. Chikonzero ndechekuti kana chirwere chechiropa chikanyanya, chinogonawo kukanganisa mashandiro eitsvo. |
| Sodium yeSerum | Huwandu hwesodium muropa rako hunoyerwa. Kushomeka kwesodium muropa kunogonawo kuva chiratidzo chekushanda zvakanaka kwechiropa. |
| Albumin | Urwu rudzi rwepuroteni inogadzirwa nechiropa. Inobatsira kuchengetedza mvura muropa. Kuderera kwehuwandu hwealbumin chiratidzowo chekushanda zvakanaka kwechiropa. |
Pamusoro pekuongororwa kweropa uku, chiremba wako achafunga nezvezvimwe zvinhu zvakati wandei.
- Nhoroondo yako yezvekurapa, zvichireva kuti chirwere chechiropa chaunacho chii uye kuti chakakomba sei.
- Zera rako uye murume kana mukadzi pakuzvarwa kwako.
- Zvimwe zvirwere zvaunazvo, uye kana zvichigona kukonzera matambudziko.
- Mararamiro ako nezvinhu zvemagariro evanhu (semuenzaniso, zvinhu zvakaita sekunwa doro)
Mamwe mapoinzi anowedzerwa pazviitiko zvakakosha
Dzimwe nguva, mamakisi ako eMELD chete angasaratidza zvizere kuoma kwechirwere chako. Muzviitiko zvakadaro, chiremba wako anogona kukumbira kuti mamwe mapoinzi awedzerwe pamapoinzi ako. Aya anonzi 'mapoinzi ekusiyana'.
Izvi zvinotevera ndizvo zviitiko zvaunogona kuwana mapoinzi ekuwedzera:
- Kukundikana kwechiropa zvakanyanya
- Kenza yechiropa
- Kuderera kweokisijeni muropa nekuda kwechirwere chechiropa (Hepatopulmonary syndrome)
- Kuwedzera kweropa mumapapu nekuda kwechirwere chechiropa (Portopulmonary hypertension)
- Chirwere chechiropa chinonzi Polycystic, chirwere chisingawanzoitiki chemajini
- Cholangitis isingaperi
Zvakakosha zvikuru kubvunza chiremba wako kuti atsanangure zvakajeka kuti ndezvipi zvinhu zvakashandiswa pakuverenga mamakisi ako eMELD.
Chibodzwa cheMELD chinogona kuchinja here?
Ehe, zvechokwadi.Chibodzwa cheMELD hachisi nhamba yakatarwa. Chinogona kuchinja zvichienderana nemamiriro ako ezvinhu. Chiremba wako achagadzirisa chibodzwa chako cheMELD nekudzokorora kuongororwa kweropa rako nguva nenguva .
Kuti unowanzoita izvi kangani zvinoenderana nekuti chirwere chako chiri kuchinja nekukurumidza sei. Chibodzwa chako chinogona kuwedzera kana chirwere chako chiri kuipa. Chibodzwa chako chinogonawo kudzikira kana chirwere chako chiri kuvandudzika zvishoma nekurapwa.
Unonzwisisa sei zvinotaurwa neMELD score?
Vanachiremba vanoshandisa MELD score kuti vawane pfungwa yezvinhu zviviri zvikuru.
1. Ndeipi njodzi yekufa mukati memazuva makumi mapfumbamwe anotevera nekuda kwechirwere chechiropa?
2. Kuti unofanira kuisirwa chiropa kwenguva yakareba sei.
Usazvidya moyo nezvenjodzi iyi. Uku kungori kufungidzira kwakajairika kwakavakirwa panhamba. Kunogona kusiyana kubva pamunhu nemunhu.
| Chibodzwa cheMELD | Njodzi yekufa mukati memazuva makumi mapfumbamwe (avhareji) |
|---|---|
| Vari pasi pemakore mapfumbamwe | 1.9% |
| 10 - 19 | 6.0% |
| 20 - 29 | 19.6% |
| 30 - 39 | 52.6% |
| Makore makumi mana kana kupfuura | 71.3% |
Chinhu chinonyanya kukosha:Hapana anogona kufanotaura zvakarurama tarisiro yehupenyu hwako kubva paMELD score yako. Izvi zvinongopa chiremba wako ruzivo rwakakwana nezvemamiriro ako ezvinhu uye zvinomubatsira kusarudza kuti unofanira kuisirwa chiropa kwenguva yakareba sei.
Kuti zvinotora nguva yakareba sei kuti upiwe chiropa hazvingotariswi chete neMELD score yako. Zvinokanganiswa nezvimwe zvinhu zvakawanda, zvakaita serudzi rweropa rako uye kana paine vanopa chiropa munharaunda yako.
Saka, usanyanya kufunga nezveMELD score yako kana kuwana mhedziso dzisiridzo nezveramangwana rako. Chinhu chakanakisa chekuita ndechekutaura pachena nezvazvo nachiremba wako. Iye achakwanisa kukutsanangurira zvawakawana uye kukupa pfungwa yakajeka yemamiriro ako ezvinhu uye zvaunotarisira mune ramangwana.
Mharidzo Yekuenda Nayo Kumba
- Chibodzwa cheMELD inzira yekuongorora huwandu hwechirwere chechiropa chako. Kana chibodzwa chako chakakwira, chirwere chacho chingave chakakomba zvikuru.
- Chiyero ichi chinoverengerwa zvichibva pakuongororwa kweropa rako (senge INR, bilirubin, creatinine) nezvimwe zvinhu zvakawanda.
- Chibodzwa cheMELD hachina kugadzikiswa. Chinogona kuchinja nekufamba kwenguva zvichienderana nemamiriro ako ezvinhu.
- Sisitimu iyi yekuongorora nhamba dzezvitupa inokubatsira kuti uwane pekutanga pane runyorwa rwevanhu vanomirira kuisirwa chiropa.
- Usanyanya kunetseka nezveMELD score yako. Ingori chishandiso chekukubatsira kunzwisisa chirwere chako. Taura pachena nachiremba wako nezvemibvunzo kana zvinokunetsa zvaungave nazvo.
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