Chii chinonzi Maddrey Score uye Nei Zvine Basa?

Zvemukati

• Hunyoro vs. hwakakomba chidhakwa hepatitis
• Ndezvipi zvimwe zvikoro zvingashandiswa?
• Chikamu che MDF chinoverengerwa sei?
• Vanachiremba vanoshandisa sei iyo Maddrey mamaki?
• Kana yako MDF mamaki ari ezasi pane makumi matatu nemaviri
• Kana yako MDF mamaki akakwirira kupfuura makumi matatu nemaviri
• Outlook

Tsanangudzo

Chikamu cheMaddrey chinonziwo basa reMaddrey rekusarura, MDF, mDF, DFI kana DF chete. Icho chimwe chezvishandiso zvakawanda kana kuverenga izvo vanachiremba vangashandisa kuona danho rinotevera rekurapa zvichibva pakukundikana kwehutachiona hwehutachiona.

Doro hepatitis rudzi rwechiropa-chine hukama nechiropa chirwere. Zvinokonzerwa nokunwa doro rakawandisa. Kusvika pa35 muzana yevanonwa zvakanyanya vanokudziridza mamiriro aya. Inokonzera kuzvimba, vanga, mafuta mafuta, uye kuzvimba kwechiropa. Inowedzerawo njodzi yekenza yechiropa uye inouraya maseru echiropa. Inogona kuve yakapfava, ine mwero, kana yakaoma.

Iyo MDF mamaki inoonekwawo seyekufungidzira chishandiso nekuti inobatsira kuona kuti angave ani mukwikwidzi akanaka kuti agamuchire corticosteroid kurapwa. Iyo inofanotaura zvakare mukana wekupona mukati memwedzi unotevera kana mwedzi yakati wandei.

Hunyoro vs. hwakakomba chidhakwa hepatitis

Hunyoro hwechidhakwa hepatitis hunogona kugara kwemakore. Kusvikira pane imwe nhanho, iwe unogona kukwanisa kudzosera kukanganisa kuchiropa chako nekufamba kwenguva kana ukarega kunwa. Zvikasadaro, kukanganisa kwechiropa chako kucharamba kuchikura uye kuve kwechigarire.

Doro hepatitis inogona kukurumidza kuve yakaoma. Semuenzaniso, zvinogona kuitika mushure mekudhakwa. Inogona kutungamira kumatambudziko ekutyisidzira hupenyu. Zvinogona kutotungamira kurufu pasina manejimendi manejimendi. Chishandiso cheMaddrey chinobatsira chiremba wako nekukurumidza kuti aone kuomarara kwechiropa hepatitis.

Ndezvipi zvimwe zvikoro zvingashandiswa?

Iyo MDF mamaki inowanzo shandiswa yekushandisa maturu. Iyo modhi yekupedzisira-danho rechiropa chirwere (MELD) mamaki ndechimwe chinowanzo shandiswa chishandiso. Mimwe yemamwe mamaki masisitimu anosanganisira:

• Glasgow inodhakwa hepatitis mamaki (GAHS)
• Mwana-Turcotte-Pugh chikamu (CTP)
• Chikamu cheABIC
• Lille zvibodzwa

Chikamu che MDF chinoverengerwa sei?

Kuti uverenge iyo MDF mamaki, vanachiremba vanoshandisa yako prothrombin nguva. Icho chimwe cheyedzo inoyera kuti inotora nguva yakareba sei ropa rako kugwamba.

Iwo zvibodzwa zvakare anoshandisa yako serum bilirubin nhanho. Ndiyo huwandu hwe bilirubin iripo muropa rako. Bilirubin chinhu chinowanikwa mu bile. Bilirubin ndicho chinhu chinoumba apo chiropa chinoputsa masero matsvuku eropa. Mune munhu ane chirwere chechiropa, nhamba iyi inowanzo kuve yakakwira.

Vanhu vane MDF mamakisi asingasviki makumi matatu nemaviri vanowanzo fungidzirwa kuve vane hunyoro kusvika pakuenzanisa doro rehepatitis. Vanhu vane mamaki aya vanoonekwa sevanowana mukana wakaderera wekufa mumwedzi mishoma inotevera. Kazhinji, vangangoita makumi mapfumbamwe kusvika zana muzana muzana yevanhu vachiri kurarama mwedzi mitatu mushure mekuwana kuongororwa.

Vanhu vane MDF mamaki akaenzana kana anopfuura makumi matatu nemaviri vane doro rakakomba hepatitis. Vanhu vane zvibodzwa izvi vanoonekwa sevanemukana wakakura wekufa mumwedzi mishoma inotevera. Vanenge makumi mashanu nezvishanu kusvika makumi matanhatu muzana muzana yevanhu vane mamaki aya vachiri kurarama mwedzi mitatu mushure mekuongororwa. Hasha manejimendi uye zera diki rinogona kugadzirisa maonero.

Vanachiremba vanoshandisa sei iyo Maddrey mamaki?

Chiremba wako anowanzo sarudza chirongwa chekurapa zvichienderana neyako MDF mamaki uye zvimwe zvinhu. Vanogona kukurudzira kurapwa muchipatara kuitira kuti vakwanise kunyatsoongorora mamiriro ako. Panguva yekugara muchipatara, chiremba wako anowanzo:

• Nyatsoongorora rako rechiropa basa kuti uone kana iwo mazinga achivandudza.
• Rapa chero matambudziko ane hukama nechirwere chechiropa chine chekuita nedoro.
• Shandisa zvimwe zvekushandisa zvishandiso kana kuverenga yako MELD mamaki. Izvi zvinoshandisa yako bilirubin, creatinine, uye yepasi rose yakaenzana reshiyo (INR) mhedzisiro, iyo yakavakirwa pane yako prothrombin nguva. Inobatsira chiremba wako kuti awedzere kuongorora mamiriro ako. Chikamu cheMELD chegumi nesere zvichikwira chakabatana nehurombo maonero.
• Ita bvunzo dzekufungidzira senge ultrasound uye chiropa biopsy kana zvichidikanwa.
• Kutsigira iwe kuburikidza nekunwa doro, kana zvichidikanwa.
• Taura newe nezve kukosha kwekurega, kana kusanwa doro, kweupenyu hwako hwese. Hazvina njodzi kuti iwe unwe chero huwandu hwedoro kana uine doro rekuzvimba chiropa.
• Kutaurira iwe kunwa doro uye kushandisa zvinodhaka chirongwa, kana zvichidikanwa.
• Taura newe nezvenyaya yako yerutsigiro yekugara kure nedoro.

Kana yako MDF mamaki ari ezasi pane makumi matatu nemaviri

Chikamu che MDF chiri pasi pemakumi matatu nemaviri chinoreva kuti iwe unogona kunge uine hunyoro kusvika pakuenzanisa doro rehepatitis.

Kurapa kwehuremu kana hushoma hwechidhakwa hepatitis unosanganisira:

• rutsigiro rwehutano, nekuti kushaya chikafu zvinovaka muviri kunogona kuve kusangana kwechidhakwa hepatitis
• kurega zvachose doro
• padhuze inotsigira uye yekutevera-yekutarisira

Kana yako MDF mamaki akakwirira kupfuura makumi matatu nemaviri

Chikamu che MDF chakaenzana kana chakakura kudarika makumi matatu nemasere zvinoreva kuti ungangove wakanyanya kudhakwa hepatitis. Iwe unogona kunge uri mumiriri wekorticosteroid therapy kana pentoxifylline kurapwa.

Chiremba wako anozofunga nezvezvipingamupinyi zvinogona kuita kuti zvive zvisina njodzi kuti utore corticosteroids. Zvinhu zvinotevera zvinogona kuwedzera njodzi yako:

• Iwe wakura kupfuura zera makumi mashanu.
• Une chirwere cheshuga chisingadzoreki.
• Wakave nekukuvara kune itsvo dzako.
• Iwe une yakakwira mamirioni ebirirubin ayo asingadzikire nekukurumidza mushure mekunge wapinda muchipatara.
• Uchiri kunwa doro. Paunonyanya kunwa, inowedzera njodzi yako yekufa.
• Iwe une fivhiri, kumusoro kwepamuviri kubuda ropa, pancreatitis, kana chirwere cheitsvo. Chero cheizvi zvinogona kureva kuti haugone kutora zvakachengeteka corticosteroids.
• Iwe une zviratidzo zvehepatic encephalopathy, iyo inosanganisira kuvhiringidzika. Iyi ndiyo imwe yematambudziko akaipisisa echiropa hepatitis.

Kurapa kurudziro yeakanyanya kudhakwa hepatitis kunogona kusanganisira:

• Rutsigiro rwehutano pamwe nekudya mukati, kunonziwo kudya kwehubhu. Nutrients mune yemvura fomu inounza chikafu chaicho kudumbu kana dumbu ura nehubhu. Chikafu chevabereki chinopihwa netsinga. Zvinetso zvechidhakwa hepatitis zvinowanzo sarudza kuti ndeupi rudzi rwekutsigirwa kwehutano hwakanaka.
• Kurapa necorticosteroids senge prednisolone (Prelone, Predalone). Ungangoda kutora ichi chinwiwa kwenguva yakati rebei.
• Kurapa ne pentoxifylline (Pentoxil, Trental), inogona kunge iri sarudzo zvichienderana nemamiriro ako chaiwo.

Outlook

Chikamu cheMaddrey chishandiso chinoshandiswa nachiremba wako kubatsira kubatsira kuronga chirongwa chekudhakwa kwehepatitis. Izvi zvinobatsira chiremba wako kuti anzwisise kuti mamiriro ako akaoma sei. Chiremba wako anogona zvakare kukutarisa iwe kune mamwe matambudziko, senge kubuda kwematumbo kubuda ropa, pancreatitis, kana itsvo kutadza.

Pakutanga, manejimendi manejimendi anogona kusimudzira maonero evanhu vane mamiriro aya, kunyanya kana iwe uine doro rakakomba hepatitis.