MELD (2016) shkalasi bo’yicha jigar sirrozi bilan og’rigan bemorlarning ahvoli og’irligini baholash

Ma'lumotlarni kiriting

So'ngi 7 kun ichida 2 martadan
kam bo'lmagan dializ _

Kreatinin, mkmol/l
Biliribin, mkmol/l
XNN [МНО]
(Xalqaro Normallashtirilgan Nisbat)
Natriy, mmol/l
Glyukoza miqdori 6.67 mmol/l dan yuqori bo'lganda giperglikemiya darajasiga qarab natriy miqdorini moslashtirish kerak.

Ushbu hisoblagich haqida

MELD shkalasi bo’yicha jigar sirrozi bilan og’rigan bemorlarning ahvoli og’irligini baholash

Formula

Baholash quyidagi parametrlarga muvofiq amalga oshiriladi:

MELD shkalasi (asl) MELD (i) = (0.957 * ln (plazmadagi kreatinin, mg / dl * 88.41) + 0.378 * ln (plazmadagi bilirubin, mg / dl * 117.1042) + 1.120 * ln (XNN) + 0.643) * 10 (agar oxirgi 7 kun ichida gemodializ kamida ikki marta o’tkazilsa, kreatinin 4,0 mg / dl)

Natriy uchun MELD shkalasi (2016) = MELD (asl) + 1.32 * (137-natriy) – [0.033 * MELD (asl) * (137-plazmadagi natriy)]

1 – kreatininning konversiya koeffitsienti mg / dL dan mmol / L gacha

2 – bilirubinning konversiya koeffitsienti mg / dL dan mmol / L gacha

1 mg / dL dan kam qiymatlar (<88.4 mkmol / L kreatinin va <17.104 mkmol / L bilirubin) 1 jarohati bilan olinadi.

So’nggi 7 kun ichida kamida ikkita gemodializ seansini o’tkazishda kreatinin darajasi 4 mg / dL (353,6 mkmol / L) ga teng olinadi.

 

Natija

MELD shkalasi bo’yicha ballar soni va 3 oy ichida o’lim:

40 va undan ortiq – o’lim darajasi 71,3%
30-39 – 52,6% o’lim
20-29 – 19,6% o’lim
10-19 – 6,0% o’lim
<9 – 1,9% o’lim

Qo’shimcha ma’lumot

2016 yil yanvar oyida MELD shkalasi o’zgartirildi. Hozirgi vaqtda u qon zardobidagi natriy miqdorini ham o’z ichiga oladi. OPTN tadqiqotiga qarang.

One thought on “MELD (2016) shkalasi bo’yicha jigar sirrozi bilan og’rigan bemorlarning ahvoli og’irligini baholash”

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