Sebenzisa amanqaku e-METAVIR ukuze uqonde i-biopsy yakho yesibindi
Ngamanye amaxesha kubonakala ngathi sizungezwe zonke iintlobo zamanqaku. Umzekelo, ukuba uthengisa imoto okanye indlu, uya kuba nolwazi kakhulu ngamanqaku akho ekhredithi. Esikolweni esiphakeme okanye kwiikholeji, udla ngokugwetywa ngenye uhlobo lwamanqaku, i-GPA yakho. Ngokufanayo, ukuba unesifo esingapheliyo sesifo se-hepatitis C , unokufumana amanqaku: I-METAVIR score, ehlola impilo yesibindi sakho.
Yintoni i-METAVIR Score?
Umlinganiselo weMetavir, ukubeka nje, kukuvavanya ukujonga izinga le-fibrosis yesibindi sakho.
I-fover fibrosis, engakhokelela kwi- cirrhosis yesibindi , ibonakalisa uphawu lwesifo esingasasigxina sesibindi. Ngoko ke, oogqirha baya kufuna ukuvavanya ubukho kunye nesiteji se-fibrosis nasiphi na isigulane ngesifo esingasasigxina sesibindi, kubandakanya i-hepatitis C. Iimvavanyo zegazi zilinganiselwe ekuhloleni i-foster fibrosis, kwaye i-biopsy yesibindi yindlela efanelekileyo yokufumana ingqiqo kwimpilo yesibindi.
Amanqaku e-METAVIR anika imodeli yokutolika i-biopsy yesibindi. Xa le biopsy eyenziwa, oogqirha badinga indlela ethembekileyo yokulinganisa oko kubonwa phantsi kwe-microscope. Le nkqubo ibonisa amanani amabini aqinisekileyo:
- Omnye ukumela isantya sokuvuvukala
- Omnye ukumela umlinganiselo we fibrosis
Ithini i-METAVIR Score?
Amanqaku aseMetavir amanqanaba omlinganiselo we fibrosis kwisikali se-5 ukusuka kwi-0 ukuya kwe-4.
Umsebenzi, okuyiyo inani lokuvuvukala (ngokukodwa, ubungakanani bezilonda ezinobunzima), lubekwe kwizinga eli-4 ukusuka ku-A0 ukuya ku-A3.
Umlinganiselo weFibrosis:
F0 = akukho fibrosis
F1 = i-portros fibrosis ngaphandle kwe-septa
F2 = i-portros fibrosis eneepta ezimbalwa
F3 = ezininzi ze-septa ngaphandle kwe-cirrhosis
F4 = i-cirrhosis
Umvuzo womsebenzi:
A0 = akukho msebenzi
I-A1 = imisebenzi emnene
A2 = umsebenzi olinganayo
A3 = umsebenzi omkhulu
Kutheni iCandelo leMETAVIR liNcedo?
Amanqaku akho e-METAVIR ngenye yezinto ezininzi "izixhobo" ugqirha wakho angasebenzisa ukunceda unyango lwakho kunye nokubeka esweni inkqubela yakho. Ngamanye amaxesha amanqaku amabini okanye ngaphezulu aphakamisa ukuba unyango lufanele luqale. Oku akusoloko kunjalo kodwa nangona ukuba unyango lwabantu ngabanye lunokunconywa kubantu abanamanani aphantsi.
Njengoko uvavanyo oluninzi, inkqubo ye-METAVIR inamandla kunye nobuthathaka. Ezinye iinkqubo zokubakho zikhona, njengeklasi likaKnodell (elibizwa ngokuba yi-histologic activity index, okanye i-HAI). Nangona kunjalo, umlinganiselo we-METAVIR ulula ukuyisebenzisa kwaye uyathandwa kwiiklinikhi ezininzi.
Ezinye iindlela zokuvavanya i-fibrosis ezingadingi i-biopsy yesibindi ziyahlolwa kwiingcaphephe, kodwa ngeli xesha, i-biopsy yesibindi inika umlinganiselo omhle wezinga le-fibrosis ekhoyo.
Imilinganiselo yeMaphu yeMetavir
Ngelixa umlinganiselo weMetavir unokuba ngumlinganiselo onokuthatha ukufumana ukuba kwaye nini na unyango lwe-hepatitis C kufuneka uqaliswe, unemiqathango. Abantu abahlukeneyo abanomlinganiselo ofanayo weMetavir bangahluka kakhulu njengoko kuchazwe ngentla, kwaye unyango lufuna ukuba ngumntu ngamnye kunokuba lithembele kumanqaku yedwa ukukhetha unyango.
Umlinganiselo weMetavir uphelelwe umgangatho we-biopsy yesibindi. Iimpawu ze-biopsy ezincinci zingenakuvumela ukuba oogqirha bakwazi ukufumana ngokwaneleyo ummeli weqela. Kukho nobuninzi be-heterogenicity okanye ukuhluka kwe-inflammation kunye ne-fibrosis kwimimandla eyahlukeneyo yesibindi, kunye nomlinganiselo weMetavir uvela kwindawo enye kuphela. Ngaloo ndlela, amanqaku angasondeza okanye athathele ubuninzi bokuvutha okanye i-fibrosis.
ILizwi
Ngokuqhelekileyo, ukuqonda isigaba se-fibrosis kubalulekile ekukhombiseni izigqibo zonyango. Ngokomzekelo, umgangatho we-fibrosis ungabonisa ukuba kunokwenzeka ukuba uphendule unyango (amaxesha aphambili kakhulu aya kuba neempendulo ezimbi kunonyango).
Ukongeza, ukuba i-fibrosis iyaqhubeka ngokukhawuleza, kunokukhethwa ukulinda ngaphambi kokuqala unyango ngeyeza lolwabiwo. Ekugqibeleni, kusetyenziswa inkqubo ye-METAVIR, oogqirha banokufumana ingqiqo kunye nokwenza uqikelelo malunga nokuba i-cirrhosis iyakhula njani.
Kwinqanaba lehlabathi, ukuthelekisa amanqaku eMetavir kwimimandla eyahlukileyo kwihlabathi jikelele kuvumela abaphandi ukuba bahlole kangcono imbali yendalo ye-hepatitis C.
> Imithombo
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- > Kumar, Vinay, Abul K. Abbas, noJon C. Aster. IiRobbins kunye neCotran Pathologic Basis of Disease. Philadelphia: Elsevier-Saunders, 2015. Print.
- > Wilkins, T., Akhtar, M, no-E. Gititu. Uxilongo noLawulo lwe-Hepatitis C. WaseMerika ugqirha . 2015. 91 (12): 835-842.