Uma unesifo sesibindi esibi kakhulu, udokotela wakho kungenzeka ukuthi ukhulume nawe 'nge-MELD score.' Ukuzwa leli gama kungakwenza uzizwe wesaba futhi ukhathazekile kancane. "Kusho ukuthini lokhu? Ingabe isimo sami sibi kakhulu?" Ungase ube nemibuzo eminingi engqondweni yakho. Ungakhathazeki. Namuhla, sizoxoxa ngokuthi iyini le-MELD score nokuthi isho ukuthini ngendlela elula kakhulu ongayiqonda.
Kusho ukuthini nje ukuthi amaphuzu e-MELD asho ukuthini?
Kalula nje, i-MELD score iyi-score elinganisa ukuthi isifo sakho sesibindi sibi kangakanani. Le score ibalwa esikalini esisukela ku-6 kuya ku-40. Uma i-MELD score yakho iphakeme, kulapho isifo sakho sesibindi siba sibi kakhulu khona.
Lolu hlelo lokufaka amamaki lusetshenziswa kakhulu ukusiza ekunqumeni ukuthi kufanele ubekwe kuphi ohlwini lokulinda lokufakelwa isibindi. Okusho ukuthi, kusiza ukuqonda ukuthi ubani odinga isibindi ngokushesha.
I-MELD imele 'Imodeli Yesifo Sesibindi Esisesigabeni Sokuphela'. Kuyifomula yezibalo. Isebenzisa izici eziningana, okuhlanganisa imiphumela yokuhlolwa kwegazi lakho, ubudala, kanye nomlando wezokwelapha, ukuze idale. Leli phuzu le-MELD lisetshenziselwa abantu abangaphezu kweminyaka eyi-12. Ezinganeni ezingaphansi kwalokho, odokotela basebenzisa indlela ehlukile ebizwa ngokuthi i-PELD (Isifo Sesibindi Esisesigabeni Sokuphela Kwabantwana).
Ibalwa kanjani le score ye-MELD?
Ukubala amaphuzu e-MELD kuyinqubo eyinkimbinkimbi kancane. Kusekelwe emiphumeleni yokuhlolwa kwegazi okuningana okubalulekile udokotela wakho azokunikeza kona. Ake sibheke ukuthi kuyini.
| Ukuhlolwa kwegazi | Kalula nje, ilinganisani? |
|---|---|
| INR (Isilinganiso Esijwayelekile Samazwe Ngamazwe) | Lokhu kulinganisa ukuthi kuthatha isikhathi esingakanani ukuthi igazi lakho lijiye. Isikhathi eside sokujiya kwegazi sivame ukusho ukuthi isibindi sakho asisebenzi kahle. |
| I-Bilirubin ephelele | Lokhu kulinganisa ukuthi i-bile ekhiqizwa yisibindi ikhishwa kahle kangakanani emzimbeni. Amazinga aphezulu e-bilirubin abonisa ukusebenza kabi kwesibindi. |
| I-Creatinine | Lokhu kulinganisa ukusebenza kwezinso zakho. Ungase uzibuze ukuthi kungani izinso zihlolwa uma unesifo sesibindi. Isizathu siwukuthi uma isifo sesibindi siba sibi kakhulu, singathinta nokusebenza kwezinso. |
| I-Serum Sodium | Inani le-sodium egazini lakho liyalinganiswa. Amazinga aphansi e-sodium angaba uphawu lokusebenza kabi kwesibindi. |
| I-Albumin | Lolu uhlobo lweprotheni elakhiwa yisibindi. Lusiza ukugcina amanzi egazini. Izinga eliphansi le-albumin nalo liwuphawu lokusebenza kabi kwesibindi. |
Ngaphezu kwalokhu kuhlolwa kwegazi, udokotela wakho uzocabangela ezinye izici eziningana.
- Umlando wakho wezokwelapha, okusho ukuthi yisiphi isifo sesibindi onaso nokuthi sibi kangakanani.
- Ubudala bakho kanye nobulili bakho ngesikhathi sokuzalwa.
- Ezinye izifo onazo, nokuthi zingadala yini izinkinga.
- Indlela yakho yokuphila kanye nezici zenhlalo (isibonelo, izinto ezinjengokuphuza utshwala)
Amaphuzu engeziwe angeziwe ngezikhathi ezikhethekile
Ngezinye izikhathi, amaphuzu akho e-MELD kuphela angase angabonisi ngokugcwele ubucayi besimo sakho. Ezimweni ezinjalo, udokotela wakho angacela ukuthi kufakwe amaphuzu engeziwe kumaphuzu akho. Lawa abizwa ngokuthi 'amaphuzu ahlukile'.
Lezi yizimo lapho ungathola khona amaphuzu engeziwe:
- Ukwehluleka kwesibindi okukhulu
- Umdlavuza wesibindi
- Amazinga aphansi e-oxygen egazini ngenxa yesifo sesibindi (i-Hepatopulmonary syndrome)
- Ukwanda komfutho wegazi emaphashini ngenxa yesifo sesibindi (i-Portopulmonary hypertension)
- Isifo sesibindi se-Polycystic, isifo esingavamile sofuzo
- I-cholangitis engapheli
Kubaluleke kakhulu ukucela udokotela wakho ukuthi akuchazele ngokucacile ukuthi yiziphi izici ezisetshenzisiwe ukubala isikolo sakho se-MELD.
Ingabe amaphuzu e-MELD angashintsha?
Yebo, nakanjani.Isilinganiso se-MELD asiyona inombolo eqondile. Singashintsha kuye ngesimo sakho. Udokotela wakho uzobuyekeza isilinganiso sakho se-MELD ngokuphinda ukuhlolwa kwegazi lakho ngezikhathi ezithile.
Ukuthi ukwenza kangaki lokhu kuzoncika ekutheni isimo sakho sishintsha ngokushesha kangakanani. Isikolo sakho singase sikhuphuke uma isimo sakho siba sibi kakhulu. Isikolo sakho singase sinciphe uma isimo sakho sithuthuka kancane ngokwelashwa.
Ukuqonda kanjani okushiwo yi-MELD score?
Odokotela basebenzisa amaphuzu e-MELD ukuthola umbono wezinto ezimbili eziyinhloko.
1. Iyini ingozi yokufa zingakapheli izinsuku ezingu-90 ngenxa yesifo sesibindi?
2. Udinga ukufakelwa isibindi ngokushesha kangakanani.
Ungakhathazeki ngale ngozi. Lokhu kumane kuyisilinganiso esijwayelekile esisekelwe ezibalweni. Kungahluka kumuntu nomuntu.
| Isikolo se-MELD | Ingozi yokufa zingakapheli izinsuku ezingama-90 (isilinganiso) |
|---|---|
| Ngaphansi kweminyaka engu-9 | 1.9% |
| 10 - 19 | 6.0% |
| 20 - 29 | 19.6% |
| 30 - 39 | 52.6% |
| Abaneminyaka engu-40 noma ngaphezulu | 71.3% |
Into ebaluleke kakhulu:Akekho ongabikezela ngokunembile isikhathi sakho sokuphila kusukela kumaphuzu akho e-MELD. Lokhu kunikeza udokotela wakho umbono ojwayelekile ngesimo sakho futhi kumsize anqume ukuthi udinga ukufakelwa isibindi ngokushesha kangakanani.
Ukuthi kuthatha isikhathi esingakanani ukuthola isibindi akunqunywa kuphela yi-MELD score yakho. Kuthonywa ezinye izici eziningi, njengohlobo lwegazi lakho nokuthi ngabe bakhona yini abanikeli besibindi endaweni yakini.
Ngakho-ke, ungacabangi kakhulu ngesikolo sakho se-MELD noma ufinyelele iziphetho ezingalungile ngekusasa lakho. Into engcono kakhulu ongayenza ukukhuluma ngakho ngokukhululekile nodokotela wakho. Uzokwazi ukukuchazela imiphumela yakho futhi akunike umbono ocacile ngesimo sakho nokuthi yini ongayilindela esikhathini esizayo.
Umlayezo Wokuya Nawe Ekhaya
- I-MELD score iyisistimu yokulinganisa elinganisa ukuthi isifo sakho sesibindi sibi kangakanani. Uma amaphuzu ephezulu, isimo singaba sibi kakhulu.
- Leli phuzu libalwa ngokusekelwe ekuhlolweni kwegazi lakho (njenge-INR, i-bilirubin, i-creatinine) kanye nezinye izici eziningana.
- Isilinganiso se-MELD asizinzile. Singashintsha ngokuhamba kwesikhathi kuye ngesimo sakho.
- Lolu hlelo lokufaka amaphuzu lusiza kakhulu ukuthi uthole okubalulekile ohlwini lokulinda lokufakelwa isibindi.
- Ungakhathazeki kakhulu ngesikolo sakho se-MELD. Kuyithuluzi nje lokukusiza uqonde isimo sakho. Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment