Gwiritsani ntchito mapepala a METAVIR kuti muzindikire chiopsezo cha chiwindi
Nthawi zina zimawoneka kuti tikuzunguliridwa ndi mitundu yonse. Mwachitsanzo, ngati mukugula galimoto kapena nyumba, mudzadziwe bwino ndi ngongole yanu ya ngongole. Kusukulu ya sekondale kapena koleji, nthawi zambiri mumaweruzidwa ndi mtundu wina wa mapepala, GPA yanu. Mofananamo, ngati muli ndi matenda a chiwindi a C , mukhoza kukhala ndi mapiritsi: Mapepala a METAVIR, omwe amawonetsa thanzi lanu.
Makhalidwe a METAVIR ndi chiyani?
Mapangidwe a Metavir, mwayikidwapo, ndi mayeso kuti mudziwe mlingo wa fibrosis wa chiwindi chanu.
Liver fibrosis, yomwe ingayambitse chiwindi cha chiwindi , ndi chizindikiro chodziwika cha matenda aakulu a chiwindi. Choncho, madokotala adzafuna kuwonetsa kukhalapo ndi gawo la fibrosis kwa odwala aliwonse omwe ali ndi matenda aakulu a chiwindi, kuphatikizapo hepatitis C. Kuyeza magazi sikungakwanitse kuyesa chiwindi cha fibrosi, ndipo chiwindi cha chiwindi ndi njira yabwino kwambiri yowunikira thanzi la chiwindi.
Mapepala a METAVIR amapereka chitsanzo chomasulira chiwindi cha chiwindi. Pamene biopsy ikuchitika, madokotala amafunika njira yodalirika yowerengera zomwe zikuwoneka pansi pa microscope. Ndondomekoyiyi imapereka manambala awiri oyenerera:
- Chimodzi choyimira digiri ya kutupa
- Chimodzi choimira chiwerengero cha fibrosis
Kodi Makhalidwe Anga A META Amaimira Chiyani?
Metavir amalembetsa mlingo wa fibrosis pa mlingo wa 5-kuchokera ku 0 mpaka 4.
Ntchitoyi, yomwe ndi kuchuluka kwa kutupa (makamaka, kukula kwa zilonda zam'mimba), imagwiritsidwa ntchito pamtunda wa 4-kuyambira A0 mpaka A3.
Mapiritsi a Fibrosis:
F0 = palibe fibrosis
F1 = portal fibrosis popanda septa
F2 = portal fibrosis ndi septa zochepa
F3 = septa zambiri popanda chiwindi
F4 = cirrhosis
Zotsatira:
A0 = palibe ntchito
A1 = ntchito yofatsa
A2 = ntchito yolimbitsa
A3 = ntchito yaikulu
Chifukwa chiyani METAVIR Mapepala Yothandiza?
Maphunziro anu a METAVIR ndi chimodzi mwa "zipangizo" zambiri zomwe dokotala angagwiritse ntchito pofuna kuthandizira kupeza chithandizo ndi kuyang'anira momwe mukuyendera. Nthawi zina ziwerengero ziwiri kapena zazikulu zimasonyeza kuti mankhwala ayenera kuyamba. Izi sizinali choncho ngakhale kuti chifukwa cha mankhwala omwe angapangidwe payekha angathandizidwenso anthu omwe ali ndi malipiro apansi.
Mofanana ndi machitidwe ambiri, dongosolo la METAVIR liri ndi mphamvu ndi zofooka zake. Machitidwe ena oponyera amapezeka, monga chiwerengero cha Knodell (chomwe chimatchedwanso histologic activity index, kapena HAI). Komabe, mapiritsi a METAVIR ndi osavuta kugwiritsa ntchito ndipo amapezeka m'matenda ambiri.
Njira zina zoganizira za fibrosis zomwe sizikufuna chiwindi cha chiwindi zimayesedwa mu maphunziro, koma pakalipano, chiwindi cha chiwindi chimapereka mlingo woyenera wa digrosis.
Zolephera za Metavir Score
Ngakhale mpikisano wa Metavir ukhoza kukhala chithandizo chothandiza kudziwa ngati chithandizo cha hepatitis C chiyenera kukhazikitsidwa ndi chiti, komanso chilepheretsedwe. Anthu osiyana omwe ali ndi mpikisano wa Metavir omwewo akhoza kukhala osiyana kwambiri monga tawatchula pamwambapa, ndipo chithandizo chiyenera kukhala payekha kusiyana ndi kudalira pamaphunziro okhawo kusankha zosamalidwa.
Mapiritsi a Metavir amakhalanso ochepa chifukwa cha chiwindi cha chiwindi. Zitsanzo zazing'ono zazing'ono sizingalole madokotala kudziwa bwinobwino mapikisano omwe akuimira onsewo. Pangakhalenso kutchuka kwapadera kapena kusinthasintha kwa kutupa ndi fibrosis m'madera osiyanasiyana a chiwindi, ndipo mpikisano wa Metavir umachokera kudera limodzi lokha. Mwanjira iyi, mphambuyo ingakhale yochepa kapena yochepetsetsa kuchuluka kwa kutupa kapena fibrosis.
Mawu Ochokera
Kawirikawiri, kumvetsa za siteji ya fibrosis n'kofunika kwambiri popereka chisankho chothandizira. Mwachitsanzo, msinkhu wa fibrosis ukhoza kusonyeza kuti angayambe kulandira chithandizo (mankhwala apamwamba kwambiri amakhala ndi chithandizo chosavuta kuchipatala).
Komanso, ngati fibrosis ikupita pang'onopang'ono, zingakhale bwino kuyembekezera musanayambe kumwa mankhwala opatsirana pogonana. Potsiriza, pogwiritsa ntchito njira ya METAVIR, madokotala amatha kuzindikira ndi kulingalira za nthawi yomwe chiwindi chimayambira.
Padziko lonse, poyerekeza ndi Ma Metavir m'madera osiyanasiyana padziko lonse amavomereza amafufuza bwino mbiri ya chilengedwe cha matenda a chiwindi.
> Zosowa
- > Fiel, M. Histological Scoring Systems kwa Matenda a Chiwindi. Kupititsa patsogolo . Kusinthidwa 01/30/15.
- > Kumar, Vinay, Abul K. Abbas, ndi Jon C. Aster. Mabala a Robbins ndi Cotran Pathologic Mavuto a Matenda. Philadelphia: Elsevier-Saunders, 2015. Print.
- > Wilkins, T., Akhtar, M., ndi E. Gititu. Kuzindikira ndi Kusamalira Chiwindi cha Chiwindi C. American Family Physician . 2015. 91 (12): 835-842.