Yi amfani da layin METAVIR domin fahimtar jikin ku na hanta
Wani lokaci ana ganin muna kewaye da kowane nau'i. Alal misali, idan kuna sayen mota ko gidan, za ku zama sanannun bashin ku. A makarantar sakandare ko koleji, ana yin hukunci da ku ta wani nau'i, GPA naka. Hakazalika, idan kuna da ciwon hawan Cutar C , za ku iya samun mahimmanci: METAVIR score, wanda ke nazarin lafiyar hanta.
Mene ne METAVIR Score?
Kwayar Metavir, kawai sanya shi jarrabawa ne don ƙayyade yawan fibrosis na hanta.
Hannun fibrosis, wanda zai haifar da cirrhosis na hanta , alama ce ta alamar cutar ciwon hanta. Saboda haka, likitoci za su so su kimanta kasancewar da ciwon fibrosis a duk wani mai haƙuri da cutar ciwon hanta mai tsanani, ciki har da cutar kutsa Cutar jini. kiwon lafiya na hanta.
Sakamakon METAVIR ya samar da samfurin don fassara fasirin hanta. Lokacin da aka yi wannan halittu, likitoci sun buƙaci hanyar da za a dogara don tantance abin da aka gani a karkashin na'urar microscope. Wannan tsari mai ban mamaki ya ba da lambobi biyu masu daidaitawa:
- Daya don wakiltar mataki na ƙonewa
- Daya don wakiltar digirin fibrosis
Menene Ma'anar METAVIR yake nufi?
Matsayin Metavir ya sami digiri na fibrosis a kan sikelin 5-mita daga 0 zuwa 4.
Ayyukan, wanda shine adadin kumburi (musamman, ƙananan ciwon kwayoyin necro-inflammatory), an auna shi a kan sikelin 4 daga A0 zuwa A3.
Fibrosis ci:
F0 = babu fibrosis
F1 = Portal fibrosis ba tare da sita ba
F2 = Portal fibrosis tare da 'yan sita
F3 = yawancin sutta ba tare da cirrhosis ba
F4 = Cirrhosis
Kayan aiki:
A0 = babu aiki
A1 = aiki mai zurfi
A2 = matsakaicin aiki
A3 = aiki mai tsanani
Me yasa METAVIR Score Mai Amfani?
Sakamakon METAVIR shine ɗaya daga "kayan aikin" da yawa wanda likitanku zai iya amfani da su don taimakawa wajen ƙayyade lafiyarku kuma ku lura da ci gaba. Wani lokaci sau biyu ko mafi girma yana nuna cewa kamata ya fara magani. Wannan ba koyaushe bane kodayake saboda ana iya bada magani ga mutum daya tare da ƙananan ci gaba.
Kamar kwarewar mafi yawa, tsarin METAVIR yana da ƙarfi da rashin ƙarfi. Sauran sauran batutuwan suna samuwa, kamar su Knodell (wanda ake kira tarihin tarihin tarihi, ko HAI). Duk da haka, METAVIR score yana da sauƙi don amfani kuma yana shahara a ɗakin shan magani.
Wasu hanyoyi na kimantawa fibrosis wanda baya buƙatar hawan mai cutar hanta yana nazari ne a binciken, amma a halin yanzu, hanta biopsy yana bada mafi kyau ma'auni na kwatancin fibrosis.
Ƙayyadaddun Bayanin Metavir
Duk da yake Metavir score zai iya zama ma'auni mai auna don sanin idan kuma lokacin da aka fara fara maganin ciwon haifa C, yana da iyakancewa. Mutane daban-daban da wannan nau'in Metavir guda ɗaya na iya zama daban kamar yadda aka ambata a sama, kuma magani yana buƙatar zama mutum ɗaya maimakon ya dogara ga ci daya kawai don zaɓar jiyya.
Kayan ƙwayar Metavir yana iyakance ne ta hanyar ingancin hanta. Ƙananan samfurin biopsy bazai ƙyale likitoci su ƙayyade cikakken wakili na duka ba. Hakanan za'a iya samun magungunan ƙwayoyin cuta ko kuma canji na kumburi da fibrosis a yankuna daban-daban na hanta, tare da samun Metavir daga yanki daya. Ta wannan hanya, zabin zai iya zama mai daraja ko rashin sanin cikakken farashin ƙunar ko fibrosis.
Kalma Daga
Kullum, fahimtar mataki na fibrosis yana da mahimmanci ga yanke shawarar yanke shawara. Alal misali, matakin fibrosis na iya nuna yiwuwar amsawar magani (mafi yawan lokuta masu ci gaba da yawa suna da matsalar rashin lafiya).
Bugu da ƙari, idan fibrosis ya ci gaba da hankali, zai zama mafi alhẽri a jira kafin farawa da maganin maganin antiviral. A ƙarshe, ta yin amfani da tsarin METAVIR, likitoci zasu iya samun basira da yin kimantawa game da lokacin da cirrhosis zai iya ci gaba.
A fadin duniya, kwatanta nau'o'in Metavir a wurare daban-daban a duniya sun ba masu bincike damar nazarin tarihin halitta na hepatitis C.
> Sources
- > Fiel, M. Tsarin Hul] a da Tarihin Tarihin Bincike na Laifi. UpToDate . Updated 01/30/15.
- > Kumar, Vinay, Abul K. Abbas, da kuma Jon C. Aster. Robbins da Cotran Pathologic Basis na cuta. Philadelphia: Elsevier-Saunders, 2015. Print.
- > Wilkins, T., Akhtar, M., da kuma E. Gititu. Sanin asali da Gudanar da Hepatitis C. Aminiya na Yammacin Amirka . 2015. 91 (12): 835-842.