Ukuba unesifo sesibindi esinzima, ugqirha wakho usenokuba uthethe nawe malunga 'nenqaku le-MELD.' Ukuva eli gama kunokukwenza uzive usoyika kwaye ukhathazekile. "Kuthetha ukuthini oku? Ingaba imeko yam imbi kakhulu?" Usenokuba nemibuzo emininzi engqondweni yakho. Ungakhathazeki. Namhlanje, siza kuthetha ngokuba yintoni eli nqaku le-MELD kunye nokuba lithetha ukuthini ngendlela elula kakhulu onokuyiqonda.
Ithetha ukuthini nje inqaku le-MELD?
Ngamafutshane, amanqaku e-MELD ngamanqaku alinganisa ukuba isifo sakho sesibindi sibi kangakanani. La manqaku abalwa kwisikali esiphakathi kwe-6 ukuya kwe-40. Okukhona amanqaku akho e-MELD ephezulu, kokukhona isifo sakho sesibindi siba sibi ngakumbi.
Le nkqubo yokufumana amanqaku isetyenziswa kakhulu ekuncedeni ekukhetheni apho kufuneka ubekwe khona kuluhlu lokulinda lwabantu abafakelwa isibindi. Oko kukuthi, inceda ukuqonda ukuba ngubani ofuna isibindi ngokukhawuleza.
I-MELD imele 'iModel for End-Stage Liver Disease'. Yindlela yezibalo. Isebenzisa izinto ezininzi, kuquka iziphumo zovavanyo lwegazi, ubudala, kunye nembali yezonyango, ukuze iyenze. Eli nqaku le-MELD lisetyenziselwa abantu abangaphezu kweminyaka eli-12 ubudala. Kubantwana abangaphantsi koko, oogqirha basebenzisa indlela eyahlukileyo ebizwa ngokuba yi-PELD (Pediatric End-Stage Liver Disease).
Ibalwa njani le MELD score?
Ukubala amanqaku e-MELD yinkqubo enzima kancinci. Isekelwe kwiziphumo zovavanyo lwegazi oluphambili oluza kukunikwa ngugqirha wakho. Makhe sijonge ukuba zeziphi.
| Uvavanyo lwegazi | Kalula nje, ilinganisa ntoni? |
|---|---|
| INR (Umlinganiselo Oqhelekileyo Wehlabathi) | Oku kulinganisa ixesha elithathayo ukuze igazi lakho lijiye. Ixesha elide lokujiya lidla ngokuthetha ukuba isibindi sakho asisebenzi kakuhle. |
| I-Bilirubin iyonke | Oku kulinganisa indlela inyongo eveliswa sisibindi ekhutshwa ngayo emzimbeni. Amanqanaba aphezulu e-bilirubin abonisa ukusebenza kakubi kwesibindi. |
| I-Creatinine | Oku kulinganisa ukusebenza kwezintso zakho. Usenokuzibuza ukuba kutheni izintso zihlolwa xa unesifo sesibindi. Isizathu kukuba xa isifo sesibindi siba sibi kakhulu, sinokuchaphazela nokusebenza kwezintso. |
| I-Serum Sodium | Ubungakanani besodium egazini lakho buyalinganiswa. Amanqanaba aphantsi esodium anokuba luphawu lokusebenza kakubi kwesibindi. |
| I-Albumin | Olu luhlobo lweprotheyini eyenziwa sisibindi. Lunceda ukugcina amanzi egazini. Inqanaba eliphantsi le-albumin likwaluphawu lokusebenza kakubi kwesibindi. |
Ukongeza kwezi mvavanyo zegazi, ugqirha wakho uza kuqwalasela ezinye izinto ezininzi.
- Imbali yakho yezonyango, oko kuthetha ukuba sisifo sesibindi osifumeneyo kwaye sibi kangakanani.
- Ubudala bakho kunye nesini sakho ekuzalweni.
- Ezinye izifo onazo, nokuba zingabangela iingxaki na.
- Indlela ophila ngayo kunye nezinto zentlalo (umzekelo, izinto ezinje ngokusela utywala)
Amanqaku ongezelelweyo ongezelelweyo kwiziganeko ezikhethekileyo
Ngamanye amaxesha, amanqaku akho e-MELD ewodwa asenokungabonisi ngokupheleleyo ubukhali bemeko yakho. Kwiimeko ezinjalo, ugqirha wakho angacela ukuba kongezwe amanqaku ongezelelweyo kumanqaku akho. La abizwa ngokuba 'ngamanqaku angaqhelekanga'.
Ezi zilandelayo ziimeko apho unokufumana khona amanqaku ongezelelweyo:
- Ukungasebenzi kakuhle kwesibindi
- Umhlaza wesibindi
- Amanqanaba aphantsi e-oksijini egazini ngenxa yesifo sesibindi (i-Hepatopulmonary syndrome)
- Uxinzelelo lwegazi oluphezulu emiphungeni ngenxa yesifo sesibindi (i-Portopulmonary hypertension)
- Isifo sesibindi sePolycystic, isifo esingaqhelekanga semfuza
- I-cholangitis engapheliyo
Kubaluleke kakhulu ukucela ugqirha wakho ukuba akuchazele ngokucacileyo ukuba zeziphi izinto ezisetyenzisiweyo ukubala amanqaku akho e-MELD.
Ngaba amanqaku e-MELD angatshintsha?
Ewe, ngokuqinisekileyo.Inqaku le-MELD alilonani elimiselweyo. Linokutshintsha ngokuxhomekeke kwimeko yakho. Ugqirha wakho uza kuhlaziya amanqaku akho e-MELD ngokuphinda uvavanyo lwakho lwegazi rhoqo .
Ukuba ukwenza kangaphi oku kuya kuxhomekeka ekubeni imeko yakho itshintsha ngokukhawuleza kangakanani. Amanqaku akho anokunyuka ukuba imeko yakho iya isiba mandundu. Amanqaku akho anokwehla ukuba imeko yakho iyaphucuka kancinci ngonyango.
Uyiqonda njani into ethethwa yi-MELD score?
Oogqirha basebenzisa amanqaku e-MELD ukuze bafumane umbono wezinto ezimbini eziphambili.
1. Ingakanani ingozi yokufa kwiintsuku ezingama-90 ezizayo ngenxa yesifo sesibindi?
2. Udinga ukufakelwa isibindi ngokukhawuleza kangakanani.
Ungakhathazeki ngale ngozi. Olu luqikelelo nje oluqhelekileyo olusekelwe kwizibalo. Lunokwahluka ukusuka kumntu nomntu.
| Amanqaku e-MELD | Umngcipheko wokufa zingadlulanga iintsuku ezingama-90 (umndilili) |
|---|---|
| Ngaphantsi kweminyaka eli-9 | 1.9% |
| 10 - 19 | 6.0% |
| 20 - 29 | 19.6% |
| 30 - 39 | 52.6% |
| Uneminyaka engama-40 nangaphezulu | 71.3% |
Eyona nto ibalulekileyo:Akukho mntu unokuqikelela ngokuchanekileyo ixesha lokuphila kwakho ngokujonga amanqaku akho e-MELD. Oku kunika ugqirha wakho umbono jikelele ngemeko yakho kwaye kumnceda ukuba agqibe ukuba ufuna ukufakelwa isibindi ngokukhawuleza kangakanani.
Ukuba kuthatha ixesha elingakanani ukufumana isibindi akumiselwanga kuphela ngamanqaku akho e-MELD. Kuchatshazelwa zezinye izinto ezininzi, njengohlobo lwegazi lakho kunye nokuba ngaba kukho na abanikeli besibindi kwindawo okuyo.
Ngoko ke, musa ukucinga kakhulu ngenqaku lakho le-MELD okanye wenze izigqibo ezingalunganga malunga nekamva lakho. Eyona nto ingcono onokuyenza kukuthetha ngokukhululekileyo ngayo nogqirha wakho. Uya kukwazi ukukuchazela iziphumo zakho aze akunike umbono ocacileyo ngemeko yakho kunye noko ungakulindela kwixesha elizayo.
Umyalezo Wokuya Ekhaya
- Amanqaku e-MELD yinkqubo yokufumana amanqaku elinganisa ukuba isifo sakho sesibindi sibi kangakanani. Okukhona amanqaku ephezulu, kokukhona imeko inokuba mandundu ngakumbi.
- Eli nqaku libalwa ngokusekelwe kuvavanyo lwakho lwegazi (njenge-INR, i-bilirubin, i-creatinine) kunye nezinye izinto ezininzi.
- Inqaku le-MELD alinazinzo. Linokutshintsha ngokuhamba kwexesha kuxhomekeke kwimeko yakho.
- Le nkqubo yokufumana amanqaku ikunceda kakhulu ukuba ufumane uluhlu lokulinda lokufakelwa isibindi.
- Musa ukukhathazeka kakhulu ngamanqaku akho e-MELD. Sisixhobo nje sokukunceda uqonde imeko yakho. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
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