Fahmidda Nafsiyada iyo Shahaadooyinka loogu talagalay Qalitaanka Beerka
Isku-tallaalidda beerka ayaa mararka qaarkood ah ikhtiyaarka daaweynta ee dadka qaba xanuunka beerka ee ba'an ama raagay. Horumarinta beerka ku-tallaalidda beerka ayaa keentay heerar sare oo udhaxeya nolol-maalmeedka, iyada oo 58% dadka qaata ay ka badbaaday muddo 15 sano ah.
Beerka ku beerista beerka ayaa markii ugu horreysay lagu sameeyay dhamaadkii 1960-meeyadii, inkasta oo ay inta badan tijaabiyeen illaa bartamihii 1980-yadii markii ay jireen farsamooyin qalliin oo habboon iyo hab wanaagsan oo looga hortagi karo diidmada xubinta taranka.
Maanta, in ka badan 6,000 oo ah qalabka beerka ayaa la sameeyaa sanadkiiba.
Dhiirigelinta Sababaha Qalitaanka beerka
Sababtoo ah qalabka beerka ayaa qaali ah oo halis weyn u leh, dhakhaatiirta waxay ku talinayaan oo kaliya sidii munaasabada ugu dambaysa. Tani waxay caadi ahaan dhacdaa marka beerku uusan shaqeynin, iyo dhibaatooyinka ka imanaya beerka oo aan la sii wadi karin.
Sababaha ugu badan ee beerka ku-tallaalid waa:
- Cirrhosis-ka dhammaadka sabab kasta, oo ay ku jiraan cagaarshow B ama C, sirrool khamri ah, iyo cudur aan beerka lahayn oo dufan leh. Inkastoo cirrhosis lafteeda aysan ahayn calaamad u ah xubin jirka ka mid ah, calaamadaha xukunka (sida encephalopathy, dhiigbaxa dhiigga, ama ascii soo noqnoqda) waxay badanaa u adeegsan karaan dhiirigelin.
- Kansarroyinka beerka qaar ka mid ah, oo lagu magacaabo cholangiocarcinoma, hepatocellular carcinoma (HCC), xiniinyaha hepatocellular malignancies iyo hepatocellular adenomas.
- Fulminant la'aanta beerka oo ay ugu wacan tahay mid ka mid ah cagaarshow fayruska oo buuxa (A, B, D iyo marar dhif ah C), beer-la'aanta la xiriirta beerka, isdil-xinjirowga cagaarshow, cudurka Wilson ama sababaha kale.
- Cillad aan fiicnayn oo ka soo baxda xuubka xiidmaha, taasoo keentay cirrhosis biliary ah iyo cholangitis scleros.
U qalma Qalitaanka beerka
Ma ahan wax la yaab leh, dad badan ayaa u baahan in lagaga bedelo beerka marka laga reebo inay uur leedahay. Sidaa daraadeed, khabiirada caafimaadka ee caafimaadka ayaa soo saaray habka loogu talagalay dhibcaha loogu talagalay dhibcaha uur-ku-taagga beerka (MELD) , isticmaalka algorithm si loo qiimeeyo darnaanta cudurrada beerka joogtada ah iyo ka caawinta mudnaanta bukaan-socodka loogu tallaalay.
Qaababka kale ee lagu go'aamin karo ayaa loo isticmaali karaa, oo ay ku jiraan shuruudaha Milan , oo u qalma qof ku salaysan xajmiga iyo / ama tiro ka mid ah dhaawacyada beerka (ie, aan ka badnayn 5 sentimitir, ama aan ka badnayn saddex cudur oo u dhigma ama ka yar 3 sentimitir oo cabbir ah).
Inkasta oo tallaalka loo bedeli karo quseya xaalad halis ah ama xaalad joogto ah oo keeni karta cillad beerka aan joogtada ahayn iyo joogtada ah, waxaa badanaa jiri kara tiro baddan oo ah geeddi-socodka go'aan qaadashada.
Hay'adda Mareykanka ee masuulka ka ah shakhsiyaadka leh jaangooyooyinka la heli karo waa Iskuduwaha Qaramada Midoobay ee Sharciga (UNOS). Ururkan aan faa'iido doonka ahayn wuxuu ka shaqeeyaa qandaraaska Dawlada Federaalka si uu ula socdo una qoondeeyo hay'adaha.
Contraindications for transplantation Liver
Khatarta ka dhalata beerka ku-tallaalidda beerka waa kuwa sii kordhi kara suurtogalnimada dhimashada qofka qaata ama waxay u badan tahay in ay keenayso guuldarada ama diidmada beerka. Qaar ka mid ah qaar ka mid ah iskudhafka guud ee loogu talagalay isu tallaalidda:
- Khamriga hadda ama isticmaalka maandooriyaha
- Cudurka aadka u daran ama sambabada
- Kansarrada (kuma jiraan kansarrada beerka ee kansarka ama kansarka maqaarka aan ahayn melanoma)
- Ciladaha aadka u daran iyo tan dhalashada ee u horseedaya dhimasho hore
- Qaar ka mid ah cudurrada aan xakamayn ama cudurada halista ah
Waxaa sidoo kale jira tiro ka mid ah khilaafka khatarta ah , ee loogu yeero sababtoo ah waxay noqon karaan ama aysan ka hor imaan karin daaweynta iyadoo lagu saleynayo qiimeynta hal ama dhowr arrimood, oo ay ka mid yihiin:
- Da 'sare (oo ka weyn 65 sano)
- Kelyaha oo shaqo la'aan ah
- Cayilka Morbid
- Nafaqo darro xun
- HIV (inkastoo ay ka yar tahay arrin loogu talogalay bukaannada qaba fayraska xajinta ee joogtada ah)
- Dhiig-baxa sambabada daran
- Cudurrada dhimirka ee aan la xakamayn (ama aan la daaweyn)
Ilaha:
American Foundation Foundation. "Wax dheeraad ah oo ku saabsan ku deeqida xubnaha." New York, New York; updated January 15, 2015.
Duffy, J .; Vardanian, A .; Benjamin, E .; et al. "Cabbirrada Beerka Dheeriga ah ee loogu talagalay Kansarka Kansarka Cagaarshow waa in la fidiyaa." Annals of Qalliinka. Sebtembar 2007; 246 (3): 502-511.
Iruzubieta, P .; Crespo, J .; iyo Fabrega, E. "Mudada dheer ee ku-meel-gaadhka ah ee loogu talagalay beerka beerka ee loogu talagalay cudurka beerka beerka." Wargeyska World Gastroenterology. Diisambar 28, 2013; 19 (48): 9198-9208