Sebenzisa amaphuzu we-METAVIR ukuze uqonde i-biopsy yakho yesibindi
Ngezinye izikhathi kubonakala sengathi sizungezwe zonke izinhlobo zezikolo. Isibonelo, uma uthengisa imoto noma indlu, uzokwazi kahle isikolo sakho sekhredithi. Esikoleni esiphakeme noma ekolishi, uvame ukuhlulelwa olunye uhlobo lwamaphuzu, i-GPA yakho. Ngokufanayo, uma une- hepatitis C engapheli , ungase uphinde uthole amaphuzu: amaphuzu we-METAVIR, ahlola impilo yesibindi sakho.
Iyini Score METAVIR?
Isibalo seMetavir, ukubeka nje, kuyisivivinyo sokunquma izinga le-fibrosis yesibindi sakho.
I-liver fibrosis, engase iholele ekutheni i- cirrhosis yesibindi , isibonakaliso esibonakalisiwe sesifo esingapheli sesibindi. Ngakho-ke, odokotela bazofuna ukuhlola ukutholakala nesiteji se-fibrosis kunoma isiphi isineke ngesifo esingenasifo sesibindi, kuhlanganise nesifo sofuba esingenasifo esiyingqayizivele, kuhlanganise nesifo se-hepatitis C. Ukuhlolwa kwegazi akulinganiselwe amandla abo okuhlola i-fover fibrosis, futhi i-biopsy yesibindi iyindlela engcono kakhulu yokuthola ukuqonda impilo yesibindi.
I-score ye-METAVIR inikeza imodeli yokuhumusha i-biopsy yesibindi. Lapho le biopsy kwenziwa, odokotela badinga indlela ethembekile yokulinganisa okubonwayo ngaphansi kwe-microscope. Lolu hlelo lokufaka amagoli lunikeza izinombolo ezimbili eziqinisekisiwe:
- Omunye ukumelela izinga lokuvuvukala
- Omunye ukumelela izinga le-fibrosis
Ngabe Ithimba lami leMETAVIR lisho ukuthini?
Amanothi e-Metavir amanani okuba yi-fibrosis ngezinga eli-5 ukusuka ku-0 kuya ku-4.
Umsebenzi, okungukuthi ukuvuvukala (ngokuqondile, ukuqina kwezilonda ezishisayo), kufakwe esikalini esingaba ngu-4 ukusuka ku-A0 kuya ku-A3.
Isibalo se-Fibrosis:
F0 = akukho fibrosis
F1 = i-portros fibrosis ngaphandle kwe-septa
F2 = i-fibrosis ye-portal ene-septa embalwa
F3 = i-septa eminingi ngaphandle kwe-cirrhosis
F4 = i-cirrhosis
Umsebenzi womsebenzi:
A0 = akukho msebenzi
A1 = umsebenzi omnene
I-A2 = umsebenzi olinganisiwe
A3 = umsebenzi omkhulu
Kungani i-METAVIR Score ibalulekile?
Umklamo wakho we-METAVIR ungenye yamathuluzi amaningi "udokotela wakho angasebenzisa ukusiza ukunquma ukwelashwa kwakho nokuqapha intuthuko yakho. Ngezinye izikhathi amaphuzu amabili noma ngaphezulu akhombisa ukuthi ukwelashwa kufanele kuqale. Lokhu akuyona njalo indaba kodwa ngoba ukwelashwa ngokwezifiso kungabuye kunconywe kubantu abanamaphuzu aphansi.
Njengokuhlolwa okuningi, uhlelo lwe-METAVIR lunamandla kanye nobuthakathaka. Ezinye izinhlelo zokufaka amasheya ziyatholakala, njengesiqephu seN Knodell (esibizwa nangokuthi umlando wakhe womsebenzi we-histologic, noma i-HAI). Noma kunjalo, amaphuzu e-METAVIR alula ukusebenzisa futhi athandwa emitholampilo eminingi.
Ezinye izindlela zokuhlola i-fibrosis ezingadingi isibindi se-foops zihlolwa ngezifundo, kodwa ngesikhathi samanje, i-biopsy yesibindi inikeza isilinganiso esingcono kakhulu sezinga le-fibrosis ekhona.
Ukulinganiselwa kwekhasi leMetavir
Ngenkathi amaphuzu weMetavir angaba yisilinganiso esiwusizo sokunquma ukuthi noma ngabe ukwelashwa kwe-hepatitis C kufanele kuqaliswe kanjani, kunomkhawulo. Abantu abahlukene abanezinga elifanayo leMetavir bangase bahluke kakhulu njengoba kukhulunywe ngenhla, futhi ukwelashwa kudinga ukuba kube ngabanye kunokuba bathembele kumaphuzu yedwa ukukhetha ukwelashwa.
Isibalo seMetavir sinciphise izinga le-biopsy yesibindi. Izibonelo ze-biopsy ezincane zingase zingavumeli odokotela ukuba banqume ngokwanele amaphuzu abamele bonke. Kungase kube nokuphazamiseka okuphawulekayo noma ukuhluka kwesifo sokuvuvukala kanye ne-fibrosis ezindaweni ezihlukahlukene zesibindi, ngesilinganiso seMetavir esivela endaweni eyodwa kuphela. Ngale ndlela, amaphuzu angase agxilise noma agcise inani lokuvuvukala noma i-fibrosis ekhona.
Izwi elivela
Ngokuvamile, ukuqonda ngesigaba se-fibrosis kubalulekile ekuqondiseni izinqumo zokwelapha. Isibonelo, izinga le-fibrosis lingabonisa ukuthi kungenzeka kanjani ukubhekana nokwelashwa (amacala aphakeme kakhulu ngokuvamile azoba nempendulo embi kakhulu ekwelapheni).
Ngaphezu kwalokho, uma i-fibrosis iqhubeka kancane, kungase kube kuhle ukulinda ngaphambi kokuqala ukwelashwa nge-anti-virus. Okokugcina, ngokusebenzisa uhlelo lwe-METAVIR, odokotela bangathola ukuqonda futhi benze ukulinganisa mayelana nengabe i-cirrhosis ingaqala.
Ezingeni lonke, ukuqhathanisa izikolo zeMetavir ezindaweni ezihlukahlukene emhlabeni wonke kuvumela abacwaningi ukuba bahlole kangcono umlando wemvelo wesifo sofuba C.
> Imithombo
- > Fiel, M. Histological Scoring Systems Systems for Chronic Chronic Liver. UpToDate . Kubuyekezwe 01/30/15.
- > Kumar, Vinay, Abul K. Abbas, noJon C. Aster. I-Robbins ne-Cotran Pathologic Basic of Disease. I-Philadelphia: Elsevier-Saunders, 2015. Phrinta.
- > Wilkins, T., Akhtar, M., no E. Gititu. Ukuxilongwa nokuphathwa kwe-Hepatitis C. I-American Family Physician . 2015. 91 (12): 835-842.