{"id":21926,"date":"2023-04-18T21:47:46","date_gmt":"2023-04-18T14:47:46","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21926"},"modified":"2023-04-19T11:59:33","modified_gmt":"2023-04-19T04:59:33","slug":"thang-diem-meld-benh-nhan-co-thuc-su-can-ghep-gan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/thang-diem-meld-benh-nhan-co-thuc-su-can-ghep-gan\/","title":{"rendered":"Thang \u0111i\u1ec3m MELD – B\u1ec7nh nh\u00e2n c\u00f3 th\u1ef1c s\u1ef1 c\u1ea7n gh\u00e9p gan?"},"content":{"rendered":"

Thang \u0111i\u1ec3m MELD l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a Model for End-Stage Liver Disease, l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan. Thang \u0111i\u1ec3m MELD \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u01b0\u1edbc t\u00ednh t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 x\u00e1c \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m ph\u00f9 h\u1ee3p \u0111\u1ec3 th\u1ef1c hi\u1ec7n gh\u00e9p gan<\/a>.Thang \u0111i\u1ec3m MELD \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 thay th\u1ebf thang \u0111i\u1ec3m Child-Pugh, m\u1ed9t thang \u0111i\u1ec3m truy\u1ec1n th\u1ed1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u1ee7a gan.<\/strong><\/p>\n

\"MELD
Thang \u0111i\u1ec3m MELD \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m ph\u00f9 h\u1ee3p \u0111\u1ec3 th\u1ef1c hi\u1ec7n gh\u00e9p gan<\/figcaption><\/figure>\n

1. C\u00e1c y\u1ebfu t\u1ed1 \u0111\u00e1nh gi\u00e1 trong thang \u0111i\u1ec3m MELD<\/h2>\n

Thang \u0111i\u1ec3m MELD (Model for End-Stage Liver Disease) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng \u0111\u00e1nh gi\u00e1 s\u1ee9c kh\u1ecfe c\u1ee7a gan d\u1ef1a tr\u00ean c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft thanh nh\u01b0 bilirubin, INR v\u00e0 creatinine.<\/strong><\/p>\n

Thang \u0111i\u1ec3m MELD s\u1eed d\u1ee5ng ba ch\u1ec9 s\u1ed1 huy\u1ebft thanh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan, g\u1ed3m bilirubin huy\u1ebft thanh, th\u1eddi gian \u0111\u00f4ng m\u00e1u (INR) v\u00e0 creatinine huy\u1ebft thanh.<\/p>\n

    \n
  • 1. Bilirubin huy\u1ebft thanh: Bilirubin l\u00e0 m\u1ed9t ch\u1ea5t b\u1ea3o v\u1ec7 gan \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t khi c\u00e1c t\u1ebf b\u00e0o \u0111\u1ecf b\u1ecb ph\u00e1 h\u1ee7y trong c\u01a1 th\u1ec3. N\u1ed3ng \u0111\u1ed9 bilirubin t\u0103ng cao trong m\u00e1u c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh gan. Bilirubin huy\u1ebft thanh l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng gan, v\u00e0 n\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong thang \u0111i\u1ec3m MELD \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan.<\/li>\n
  • 2. Th\u1eddi gian \u0111\u00f4ng m\u00e1u (INR) : INR l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a International Normalized Ratio. \u0110\u00e2y l\u00e0 x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng, bi\u1ec3u th\u1ecb th\u1eddi gian \u0111\u00f4ng m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n.\u00a0 Th\u1eddi gian \u0111\u00f4ng m\u00e1u (INR) th\u1ec3 hi\u1ec7n kh\u1ea3 n\u0103ng m\u00e1u \u0111\u00f4ng trong c\u01a1 th\u1ec3. Khi gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng, gan c\u00f3 th\u1ec3 kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u, d\u1eabn \u0111\u1ebfn th\u1eddi gian \u0111\u00f4ng m\u00e1u (INR) k\u00e9o d\u00e0i. Th\u1eddi gian \u0111\u00f4ng m\u00e1u (INR) l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng gan v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong thang \u0111i\u1ec3m MELD.<\/li>\n
  • 3. Creatinine huy\u1ebft thanh: Creatinine l\u00e0 m\u1ed9t ch\u1ea5t \u0111\u01b0\u1ee3c t\u1ea1o ra khi c\u01a1 b\u1eafp ho\u1ea1t \u0111\u1ed9ng v\u00e0 \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng v\u00e0o m\u00e1u. N\u1ed3ng \u0111\u1ed9 creatinine t\u0103ng cao trong m\u00e1u c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a suy th\u1eadn ho\u1eb7c b\u1ec7nh gan. Creatinine huy\u1ebft thanh l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 gan, v\u00e0 n\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong thang \u0111i\u1ec3m MELD \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan.<\/li>\n<\/ul>\n

    C\u00e1c y\u1ebfu t\u1ed1 n\u00e0y \u0111\u1ec1u l\u00e0 c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft thanh quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn. Khi gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c suy gi\u1ea3m ch\u1ee9c n\u0103ng, n\u1ed3ng \u0111\u1ed9 bilirubin v\u00e0 th\u1eddi gian \u0111\u00f4ng m\u00e1u (INR) th\u01b0\u1eddng t\u0103ng, trong khi n\u1ed3ng \u0111\u1ed9 creatinine huy\u1ebft thanh c\u0169ng c\u00f3 th\u1ec3 t\u0103ng do suy th\u1eadn ho\u1eb7c b\u1ec7nh gan. Thang \u0111i\u1ec3m MELD s\u1eed d\u1ee5ng c\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan v\u00e0 gi\u00fap quy\u1ebft \u0111\u1ecbnh s\u1ef1 \u01b0u ti\u00ean trong vi\u1ec7c c\u1ea5p c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n.<\/p>\n

    2. C\u00e1ch t\u00ednh \u0111i\u1ec3m MELD<\/h2>\n

    \u0110\u1ec3 t\u00ednh \u0111i\u1ec3m MELD, c\u00e1c y\u1ebfu t\u1ed1 sau \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1:<\/p>\n

      \n
    • 1. Creatinine (Cr): \u0111o n\u1ed3ng \u0111\u1ed9 creatinine trong m\u00e1u, l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 c\u1ee7a ch\u1ee9c n\u0103ng th\u1eadn.<\/li>\n
    • 2. Bilirubin (Bili): \u0111o n\u1ed3ng \u0111\u1ed9 bilirubin trong m\u00e1u, l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 c\u1ee7a ch\u1ee9c n\u0103ng gan.<\/li>\n
    • 3. INR (International Normalized Ratio): \u0111o th\u1eddi gian \u0111\u00f4ng m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n, l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 c\u1ee7a ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u.<\/li>\n<\/ul>\n

      C\u00f4ng th\u1ee9c t\u00ednh \u0111i\u1ec3m MELD l\u00e0:<\/p>\n\n\n\n
      \u0110i\u1ec3m MELD = 10 * ((0.957 * ln(Creatinine)) + (0.378 * ln(Bilirubin)) + (1.12 * ln(INR))) + 6.43<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

      Trong \u0111\u00f3, ln l\u00e0 h\u00e0m logarit t\u1ef1 nhi\u00ean.<\/p>\n

      \u0110i\u1ec3m MELD c\u1ee7a b\u1ec7nh nh\u00e2n c\u00e0ng cao th\u00ec m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan c\u00e0ng cao. Theo \u0111\u00f3, c\u00e1c m\u1ee9c \u0111i\u1ec3m MELD \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 nh\u01b0 sau:<\/p>\n

      – \u0110i\u1ec3m MELD d\u01b0\u1edbi 10: t\u01b0\u01a1ng \u0111\u1ed1i an to\u00e0n, t\u1ef7 l\u1ec7 t\u1eed vong th\u1ea5p.
      \n– \u0110i\u1ec3m MELD t\u1eeb 10 \u0111\u1ebfn 19: trung b\u00ecnh nghi\u00eam tr\u1ecdng, t\u1ef7 l\u1ec7 t\u1eed vong cao h\u01a1n.
      \n– \u0110i\u1ec3m MELD t\u1eeb 20 \u0111\u1ebfn 29: nghi\u00eam tr\u1ecdng, t\u1ef7 l\u1ec7 t\u1eed vong cao.
      \n– \u0110i\u1ec3m MELD tr\u00ean 30: r\u1ea5t nghi\u00eam tr\u1ecdng, t\u1ef7 l\u1ec7 t\u1eed vong r\u1ea5t cao.<\/p>\n

      C\u00e1c \u0111i\u1ec3m s\u1ed1 n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh li\u1ec7u c\u00f3 c\u1ea7n th\u1ef1c hi\u1ec7n gh\u00e9p gan cho b\u1ec7nh nh\u00e2n hay kh\u00f4ng. B\u1ec7nh nh\u00e2n c\u00f3 \u0111i\u1ec3m MELD cao h\u01a1n c\u00f3 \u01b0u ti\u00ean h\u01a1n trong vi\u1ec7c ch\u1edd gh\u00e9p gan.<\/p>\n

      3. \u1ee8ng d\u1ee5ng c\u1ee7a thang \u0111i\u1ec3m MELD<\/h2>\n

      Thang \u0111i\u1ec3m MELD \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong l\u0129nh v\u1ef1c y h\u1ecdc \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan m\u1ea1n t\u00ednh v\u00e0 d\u1ef1 \u0111o\u00e1n t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng t\u00ecnh hu\u1ed1ng ph\u1ed5 bi\u1ebfn trong \u0111\u00f3 thang \u0111i\u1ec3m MELD \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng:<\/p>\n

        \n
      • \u0110\u00e1nh gi\u00e1 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan m\u1ea1n t\u00ednh v\u00e0 b\u1ec7nh gan giai \u0111o\u1ea1n cu\u1ed1i : Thang \u0111i\u1ec3m MELD \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan m\u1ea1n t\u00ednh v\u00e0 b\u1ec7nh gan giai \u0111o\u1ea1n cu\u1ed1i, quy\u1ebft \u0111\u1ecbnh li\u1ec7u c\u00f3 c\u1ea7n th\u1ef1c hi\u1ec7n gh\u00e9p gan cho b\u1ec7nh nh\u00e2n.<\/li>\n
      • \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c v\u00e0 quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt: Thang \u0111i\u1ec3m MELD c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh gan m\u1ea1n t\u00ednh v\u00e0 quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt cho b\u1ec7nh nh\u00e2n.<\/li>\n
      • Quy\u1ebft \u0111\u1ecbnh th\u1eddi gian ch\u1edd gh\u00e9p gan: Thang \u0111i\u1ec3m MELD c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh th\u1eddi gian ch\u1edd gh\u00e9p gan cho b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n c\u00f3 \u0111i\u1ec3m MELD cao h\u01a1n c\u00f3 \u01b0u ti\u00ean h\u01a1n trong vi\u1ec7c ch\u1edd gh\u00e9p gan.<\/li>\n
      • D\u1ef1 \u0111o\u00e1n t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n: Thang \u0111i\u1ec3m MELD \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan m\u1ea1n t\u00ednh ho\u1eb7c b\u1ec7nh gan giai \u0111o\u1ea1n cu\u1ed1i. B\u1ec7nh nh\u00e2n c\u00f3 \u0111i\u1ec3m MELD cao h\u01a1n c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao h\u01a1n.<\/li>\n<\/ul>\n
        \u0110i\u1ec3m s\u1ed1 MELD v\u00e0 t\u1ec9 l\u1ec7 t\u1eed vong<\/div>\n
        \n
        \n
        \n
        \n

         <\/p>\n

        \n
        \n\n\n\n\n\n\n\n\n\n\n\n
         <\/p>\n
        \n

        Thang \u0111i\u1ec3m MELD<\/p>\n<\/div>\n<\/th>\n

        		 <\/p>\n
        \n

        T\u1ef7 l\u1ec7 t\u1eed vong 3 th\u00e1ng*<\/p>\n<\/div>\n<\/th>\n<\/tr>\n<\/thead>\n

         <\/p>\n
        \n

        <<\/span>9<\/p>\n<\/div>\n<\/td>\n

        		 <\/p>\n
        \n

        1,9%<\/p>\n<\/div>\n<\/td>\n<\/tr>\n

         <\/p>\n
        \n

        10-19<\/p>\n<\/div>\n<\/td>\n

        		 <\/p>\n
        \n

        6,0%<\/p>\n<\/div>\n<\/td>\n<\/tr>\n

         <\/p>\n
        \n

        20-29<\/p>\n<\/div>\n<\/td>\n

        		 <\/p>\n
        \n

        19,6%<\/p>\n<\/div>\n<\/td>\n<\/tr>\n

         <\/p>\n
        \n

        30-39<\/p>\n<\/div>\n<\/td>\n

        		 <\/p>\n
        \n

        52,6%<\/p>\n<\/div>\n<\/td>\n<\/tr>\n

         <\/p>\n
        \n

        ><\/span>40<\/p>\n<\/div>\n<\/td>\n

        		 <\/p>\n
        \n

        71,3%<\/p>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n

         <\/p>\n
        \n

        * \u0110i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n ng\u01b0\u1eddi l\u1edbn ch\u1edd gh\u00e9p gan.<\/p>\n<\/div>\n<\/td>\n<\/tr>\n<\/tfoot>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

        4. Nh\u1eefng l\u01b0u \u00fd khi s\u1eed d\u1ee5ng thang \u0111i\u1ec3m MELD<\/h2>\n

        M\u00f4 h\u00ecnh b\u1ec7nh gan giai \u0111o\u1ea1n cu\u1ed1i, ho\u1eb7c\u00a0\u0111i\u1ec3m MELD<\/b>\u00a0\u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u01b0\u1edbc t\u00ednh m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh li\u00ean quan v\u00e0 kh\u1ea3 n\u0103ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang ch\u1edd gh\u00e9p gan.<\/p>\n

          \n
        • Tr\u1ebb d\u01b0\u1edbi 12\u00a0tu\u1ed5i c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 theo\u00a0\u0111i\u1ec3m PELD<\/b>.<\/li>\n
        • N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 t\u1eeb 2\u00a0l\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o tr\u1edf l\u00ean ho\u1eb7c 24\u00a0gi\u1edd th\u1ea9m t\u00e1ch m\u00e1u t\u0129nh m\u1ea1ch-t\u0129nh m\u1ea1ch li\u00ean t\u1ee5c (CVVHD) trong tu\u1ea7n tr\u01b0\u1edbc th\u1eddi \u0111i\u1ec3m t\u00ednh \u0111i\u1ec3m,\u00a0Creatinine<\/b>\u00a0s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t th\u00e0nh 4\u00a0mg\/dL, n\u1ed3ng \u0111\u1ed9 creatinine t\u1ed1i \u0111a \u0111\u01b0\u1ee3c ph\u00e9p \u0111\u01b0a v\u00e0o m\u00f4 h\u00ecnh.<\/li>\n
        • N\u1ebfu b\u1ec7nh nh\u00e2n t\u1eeb 12\u00a0\u0111\u1ebfn 17\u00a0tu\u1ed5i v\u00e0 b\u1ecb r\u1ed1i lo\u1ea1n chu tr\u00ecnh ur\u00ea, t\u0103ng axit h\u1eefu c\u01a1 m\u00e1u ho\u1eb7c u nguy\u00ean b\u00e0o gan,\u00a0\u0111i\u1ec3m MELD<\/b>\u00a0s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf m\u1ee9c 30.<\/li>\n
        • \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan, \u0111i\u1ec3m PELD\/MELD \u0111\u01b0\u1ee3c t\u0103ng l\u00ean theo thu\u1eadt to\u00e1n do UNOS (United Network for Organ Sharing, M\u1ea1ng l\u01b0\u1edbi Chia s\u1ebb N\u1ed9i t\u1ea1ng Hoa K\u1ef3) thi\u1ebft l\u1eadp.<\/li>\n<\/ul>\n

          Vai tr\u00f2 c\u1ee7a thang \u0111i\u1ec3m MELD trong d\u1ef1 \u0111o\u00e1n t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan m\u1ea1n t\u00ednh ho\u1eb7c b\u1ec7nh gan giai \u0111o\u1ea1n cu\u1ed1i r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c quy\u1ebft \u0111\u1ecbnh li\u1ec7u c\u00f3 c\u1ea7n th\u1ef1c hi\u1ec7n gh\u00e9p gan cho b\u1ec7nh nh\u00e2n hay kh\u00f4ng. Thang \u0111i\u1ec3m MELD gi\u00fap \u0111\u00e1nh gi\u00e1 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 d\u1ef1 \u0111o\u00e1n t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n, t\u1eeb \u0111\u00f3 gi\u00fap c\u00e1c b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh li\u1ec7u c\u00f3 c\u1ea7n th\u1ef1c hi\u1ec7n gh\u00e9p gan v\u00e0 \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3.<\/p>\n","protected":false},"excerpt":{"rendered":"

          Thang \u0111i\u1ec3m MELD l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a Model for End-Stage Liver Disease, l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh gan. Thang \u0111i\u1ec3m MELD \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u01b0\u1edbc t\u00ednh t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 x\u00e1c \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m ph\u00f9 h\u1ee3p \u0111\u1ec3 th\u1ef1c hi\u1ec7n gh\u00e9p gan.Thang \u0111i\u1ec3m MELD […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nThang \u0111i\u1ec3m MELD - B\u1ec7nh nh\u00e2n c\u00f3 th\u1ef1c s\u1ef1 c\u1ea7n gh\u00e9p gan?<\/title>\n<meta name=\"description\" content=\"Vai tr\u00f2 c\u1ee7a thang \u0111i\u1ec3m MELD trong d\u1ef1 \u0111o\u00e1n t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan m\u1ea1n t\u00ednh ho\u1eb7c b\u1ec7nh gan giai \u0111o\u1ea1n cu\u1ed1i r\u1ea5t quan tr\u1ecdng ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Thang \u0111i\u1ec3m MELD - 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