Injani impilo yesibindi sakho? Fumana ulwazi ngeChild-Pugh Score!

Ngamanye amaxesha xa oogqirha besixelela amagama amatsha okanye uvavanyo olutsha lwezonyango, siba novalo kancinci, akunjalo? Yinto eqhelekileyo leyo. Namhlanje siza kuthetha ngento osenokuba uyivile, okanye onokuthi uyive kwixesha elizayo. Ibizwa ngokuba yiChild-Pugh Score . Musa ukoyika xa usiva eli gama, kuba yindlela nje yokunceda oogqirha baqonde imeko yesibindi sakho. Masithethe ngayo ngokulula nangokucacileyo.

Ithini iChild-Pugh Score? Ngamafutshane...

Cinga nje xa uthatha imoto yakho uye kwiziko leenkonzo, ingcali ijonga izinto ezahlukeneyo ize ikuxelele ngemeko yemoto yakho. Inqaku le-Child-Pugh yindlela yokuvavanya ukuba isibindi sisebenza kakuhle kangakanani kumntu onesifo sesibindi esihlala ixesha elide , ingakumbi isifo sesibindi, imeko apho amafutha aqokelelana esibindini aze asenze sibe lukhuni.

Ngamafutshane, le nkqubo yokufumana amanqaku ivumela oogqirha ukuba baqonde oku kulandelayo:

• Isibindi sakho sisebenza kakuhle kangakanani?
• Ingaba kukho umngcipheko wokungasebenzi kakuhle kwesibindi? Amathuba angakanani oko?
• Loluphi uhlobo lonyango olulungele wena?

Oku kwenza enye into eyahlukileyo. Kunceda oogqirha kwihlabathi liphela ukuba bathethe ngemeko yesibindi sakho ngendlela efanayo. Ngamanye amaxesha ibizwa ngokuba yi-"Child-Turcotte-Pugh (CTP) calculator." Kodwa khumbula, nangona eli nqaku libalulekile, alixeli lonke ibali ngempilo yakho. Licandelo elinye nje.

Zeziphi izinto ezi-5 ezijongwayo apha?

Oogqirha bajonga izinto ezintlanu eziphambili ukuze benze amanqaku e-Child-Pugh. Nazi:

1. Inqanaba elipheleleyo le-bilirubin egazini: I-Bilirubin yikhompawundi emthubi efumaneka kwinyongo yomzimba wethu. Isetyenziselwa ukulinganisa ukuba isibindi sisebenza kakuhle na. Xa isanda, amehlo nolusu luba mthubi (njenge-jaundice).

2. Inqanaba le-albumin ye-serum: I-Albumin yiproteni eyenziwe sisibindi sakho. Inceda ukuhambisa izondlo emzimbeni wakho wonke. Xa isibindi sakho sibuthathaka, senza le proteni incinci.

3. Indlela igazi lakho elijika ngayo ngokukhawuleza (ixesha le-Prothrombin okanye i-INR): Isibindi sikwabandakanyeka kwindlela igazi lakho elijika ngayo ngokukhawuleza. Oku kungenxa yokuba ezinye zezinto ezifunekayo ukuze igazi lijiye zenziwa esibindini. Ukwanda kweli xesha kuthetha ukuba kuthatha ixesha elide ukuba igazi lijiye.

4. Ii-Ascites: Oku kubhekisa ekuqokeleleni okungaqhelekanga kolwelo ngaphakathi esiswini sakho (umgodi wesisu). Oku kunokwenzeka xa izifo zesibindi ezifana ne-cirrhosis zinzima.

5. Ingaba ukusebenza kwengqondo kuchatshazelwa sisifo sesibindi (i-Encephalopathy):Xa isibindi sonakele, ezinye zeetyhefu ekufuneka zisuswe emzimbeni zinokuqokelelana egazini. Ezi zinokuhamba ziye engqondweni zize zichaphazele ukusebenza kwengqondo. Oku kunokubangela utshintsho kwizinto ezifana nenkumbulo, ingqalelo, kunye nokuziphatha.

Nganye kwezi zinto zintlanu inikwa amanqaku ngokusekelwe kwiziphumo zovavanyo lwakho. Emva koko, zonke zongezwa kunye ukuze ufumane amanqaku apheleleyo. Ngoko ke, wahlulwe waba lunye lweentlobo ezintathu: u-A, u-B, okanye u-C.

Ndingazilungiselela njani amanqaku e-Child-Pugh?

Ukuze ubale eli nqaku le-Child-Pugh, kuya kufuneka wenze iimvavanyo ezininzi. Ezi zinokubandakanya uvavanyo lomzimba , uvavanyo lwegazi , kwaye mhlawumbi uvavanyo lwemifanekiso .

Ugqirha uza kukucela ukuba uthathe isampuli yegazi ukuze ahlole ezi zinto:

• Inqanaba leBilirubin: Njengoko bekutshiwo ngaphambili, le yindlela yokulinganisa ukusebenza kwesibindi.
• Inqanaba le-albumin: Yiproteni eveliswa sisibindi ethwala izondlo.
• Ixesha leProthrombin (PT) okanye i-INR: Isantya apho igazi liqhekeka khona.

Ugqirha wakho angenza i-ultrasound yesisu okanye i-CT scan ukujonga ukuba akukho manzi aqokelelene esiswini sakho (ii-ascites). I-Ascites kukuqokelelana kolwelo olongezelelweyo esiswini. I-Cirrhosis yeyona nto ibangela oku.

Uvavanyo lomzimba kunye/okanye uvavanyo lokuqonda lunokwenziwa ukujonga umonakalo wesibindi ochaphazela ingqondo (encephalopathy). Le meko inokwenzeka xa isibindi sonakele kwaye iityhefu ziqokelelana egazini.

Kubalulekile: Ukuze ufumane iziphumo ezichanekileyo kwezi mvavanyo, ungacelwa ukuba ungatyi okanye ungaseli iiyure ezimbalwa ngaphambi kovavanyo (ukuzila ukutya). Ngoko ke, buza ugqirha wakho ukuba zeziphi izinto ekufuneka uzenze.

Ezi mvavanyo azinakwenziwa ngosuku olunye okanye kwindawo enye. Kulungile. Emva kokuba ugqirha efumene iziphumo zazo zonke ezi mvavanyo, uzidibanisa zonke ukuze abale amanqaku akho e-Child-Pugh.

Ibalwa njani amanqaku e-Child-Pugh?

Kulula kakhulu. Oogqirha bajonga izinto ezintlanu ezikhankanyiweyo apha ngasentla ezinxulumene nempilo yesibindi sakho. Zonke ezo zinto zinganikwa amanqaku ayi-1, 2, okanye 3, kuxhomekeke kwimeko yakho. (Inqaku loku-1 lelona lincinci kakhulu, amanqaku esi-3 lelona linzima kakhulu).

Emva kokufumana amanqaku onke amahlanu, ugqirha uyawadibanisa onke. Ufumana amanqaku apheleleyo phakathi kwe-5 ne-15. Elo linqaku lakho le-Child-Pugh.

Nantsi itshathi ebonisa indlela amanqaku anikwa ngayo ngokusekelwe kwiziphumo zezo zinto zintlanu:

| Inqaku | Inqaku 1 | Inqaku 2 | Inqaku 3 |

| :- ...

| I-Bilirubin `(I-bilirubin iyonke)` (mg/dL) | < 2 | 2 - 3 | > 3 |

| Iserum albumin `(iSerum albumin)` (g/dL) | > 3.5 | 2.8 - 3.5 | < 2.8 |

| INR (ukujiya kwegazi) | < 1.7 | 1.7 - 2.3 | > 2.3 |

| Ii-Ascites | Akukho | Zincinci/Zilawulwa Kancinci | Ziphakathi/Zilawulwa Kakubi |

| I-Encephalopathy | Akukho | Ibanga 1-2 (Eliphantsi/Eliphakathi) | Ibanga 3-4 (Elinzima) |

Ngokuxhomekeke kwinani elipheleleyo lamanqaku owafumanayo, uza kwahlulwahlulwa ube ziindidi ezintathu eziphambili:

• Iklasi A: Isibindi sakho sisebenza ngendlela eqhelekileyo. Amanqaku akho apheleleyo aphakathi kwe-5 kunye ne-6.
• Udidi B: Kukho umonakalo ophakathi kwesibindi. Amanqaku akho apheleleyo aphakathi kwe-7 kunye ne-9.
• Udidi C: Ukonakala kwesibindi okukhulu okanye isifo esiqhubele phambili. Amanqaku akho aphakathi kwe-10 ne-15.

Makhe sibone umzekelo?

Khawuthelekelele ukuba iziphumo zovavanyo lomntu zilandelayo:

• I-Bilirubin - 3 mg/dL (amanqaku ama-2)
• I-Albumin - 2.9 g/dL (amanqaku ama-2)
• INR - 1 (inqaku eli-1)
• Ulwelo esiswini (Ascites) - kancinci (amanqaku ama-2)
• I-Encephalopathy - Hayi (inqaku eli-1)

Amanqaku alo mntu e-Child-Pugh angama-2 + 2 + 1 + 2 + 1 = 8 amanqaku . Oku kuthetha ukuba ukwiKlasi B.

Ithetha ukuthini i-Child-Pugh Score yakho?

Eli nqaku linika umfanekiso wesifo sakho sesibindi ngelo xesha. Lixelela ugqirha wakho indlela esebenza kakuhle ngayo isibindi sakho ngokusekelwe kwezi zinto zintlanu. Amanqaku e-Child-Pugh anceda ugqirha wakho:

• Yenza isicwangciso sakho sonyango: Oku kuya kukunceda ukuba uthathe isigqibo sokuba uza kunyangwa ngamayeza, utyando, okanye ukufakelwa isibindi , kwaye nokuba olo nyango luza kuphumelela na.
• Vavanya umngcipheko:Ukuba utyando, oku kuya kukunceda ubone ukuba luyingozi kangakanani kwaye luluncedo kangakanani kwimpilo yakho iyonke. Ukuba utyando luphumelele, lunokuxela kwangaphambili ukuba umgangatho wobomi bakho uza kuba njani emva kotyando.
• Qikelela ukusinda kwakho: Nangona uqikelelo lwexesha lokusinda luqikelelo nje oluqikelelweyo, ugqirha wakho angalusebenzisa olu qikelelo ukuqikelela ukuba ungaphila ixesha elingakanani, nokuba unonyango okanye awunalo, ngokusekelwe kumanqaku akho.

Khumbula, konke oku kugqitywa ngugqirha. Eli khadi lamanqaku lisisikhokelo kubo.

Ndifanele ndimbone nini ugqirha wam?

Ukuba unemibuzo malunga nenqaku lakho le-Child-Pugh okanye indlela elabalwa ngayo, qiniseka ukuba uthetha nogqirha wakho . Ukuba uneenkxalabo malunga neziphumo zovavanyo lwakho okanye ukuba kuza kwenzeka ntoni emva koko kwisicwangciso sakho sonyango, xelela ugqirha wakho ngaloo nto.

Ngoku unamanqaku akuxelela ngempilo yesibindi sakho. Ngoko ke wenza ntoni ngoku? Okokuqala, musa ukuhlala nje kula manqaku okanye iziphumo zovavanyo ngaphandle kokuthetha nogqirha wakho. Banokukuchazela iziphumo zakho kunye nentsingiselo yazo. Amanqaku akho e-Child-Pugh ayabanceda ukuba bagqibe ngesicwangciso sakho sonyango. Kodwa nawe uyinxalenye yeso sigqibo. Ngoko ke, thetha neqela lakho lezonyango malunga nokuba amanqaku akho athetha ukuthini kunye noko bakucebisayo. Ungakhathazeki, balapha ukukunceda.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Inqaku le-Child-Pugh sisixhobo esibalulekileyo sokulinganisa impilo yesibindi, kodwa alichazi yonke into.

• Oku kunokunika oogqirha umbono olungileyo ngempilo yesibindi sakho.
• Oku kunceda ekucwangciseni unyango kunye nokuvavanya iingozi.
• Musa ukukhathazeka ngamanqaku kuphela. Xoxa ngayo yonke into nogqirha wakho.
• Thatha inxaxheba ebonakalayo ekwenzeni izigqibo malunga nempilo yakho.

Isibindi sisitho esibaluleke kakhulu emzimbeni wethu. Luxanduva lwethu ukusikhusela. Ukuba unengxaki yesibindi, landela imiyalelo kagqirha wakho ngokuchanekileyo. Phila ubomi obusempilweni. Emva koko akuyi kufuneka ukhathazeke ngeempawu ezinjalo. Yonke into iya kulunga!

Amanqaku e - Child-Pugh, isibindi, isifo sesibindi, isifo sesibindi, i-bilirubin, i-albumin, umsebenzi wesibindi