Yintoni iBone Marrow Biopsy?

Umxholo

• Ngaba ufuna i-biopsy yomongo wethambo?
• Umngcipheko wethambo
• Uyilungiselela njani i-biopsy yomongo wethambo
• Ukulungiselela iintlungu
• Ugqirha wakho uza kuyenza njani i-bone marrow biopsy
• Kwenzeka ntoni emva komongo wethambo?
• Zithetha ntoni iziphumo zakho ze-biopsy?
• A:

Umnatha wethambo ungathatha malunga nemizuzu engama-60. Umongo wethambo sisicwili esisesiponji ngaphakathi kwamathambo akho. Likhaya kwimithambo yegazi kunye neeseli zeziqu ezinceda ukuvelisa:

• iiseli zegazi ezibomvu namhlophe
• iiplatelets
• amafutha
• intlala
• ithambo

Zimbini iintlobo zomongo: obomvu nomthubi. Umongo obomvu ufumaneka ikakhulu emathanjeni akho asicaba afana nesinqe sakho kunye nethambo lomqolo. Njengoko uneminyaka yobudala, uninzi lomongo wakho uba mthubi ngenxa yokwanda kweeseli ezinamafutha. Ugqirha wakho uya kukhupha umongo obomvu, uhlala uvela ngasemva kwethambo lakho le-hip. Kwaye isampulu iya kusetyenziselwa ukukhangela nakuphi na ukungaqheleki kweeseli zegazi.

Ilebhu yezifo efumana umongo wakho iya kujonga ukuba umongo wethambo lakho wenza iiseli zegazi ezisempilweni. Ukuba akunjalo, iziphumo ziya kubonisa unobangela, onokuba sisifo, isifo semongo, okanye umhlaza.

Funda ukuze ufunde kabanzi malunga ne-bone marrow biopsy kwaye kwenzeka ntoni ngexesha nasemva kwenkqubo.

Ngaba ufuna i-biopsy yomongo wethambo?

Ugqirha wakho unokuyalela umongo wethambo ukuba uvavanyo lwakho lwegazi lubonise amanqanaba eeplatelets, okanye iiseli ezimhlophe okanye ezibomvu zegazi ziphezulu kakhulu okanye ziphantsi kakhulu. I-biopsy iya kunceda ukumisela unobangela wokungaqhelekanga, okunokubandakanya:

• i-anemia, okanye ubalo lweeseli ezibomvu ezisezantsi
• izifo zomongo wethambo, ezinje nge-myelofibrosis okanye i-myelodysplastic syndrome
• iimeko zeseli yegazi, ezinje ngeleukopenia, thrombocytopenia, okanye i-polycythemia
• I-cancer yomongo wethambo okanye igazi, njenge-leukemia okanye i-lymphomas
• hemochromatosis, ukuphazamiseka kwemfuza apho intsimbi yakhela egazini
• usulelo okanye umkhuhlane ongaziwayo

Ezi meko zinokuchaphazela ukuveliswa kweeseli zegazi kunye namanqanaba eentlobo zeeseli zegazi.

Ugqirha wakho unokuyalela uvavanyo lomongo wethambo ukuze abone ukuba isifo siqhubele phambili kangakanani, ukumisela inqanaba lomhlaza, okanye ukujonga iziphumo zonyango.

Umngcipheko wethambo

Zonke iinkqubo zonyango zineendlela ezithile zomngcipheko, kodwa iingxaki kuvavanyo lomongo wethambo zinqabile kakhulu. ifumanise ukuba ngaphantsi kwe-1 yepesenti yovavanyo lomongo wethambo kukhokelele kwiziganeko ezimbi. Umngcipheko ophambili wale nkqubo kukuphuma kwegazi, okanye ukopha kakhulu.

Ezinye iingxaki ezixeliweyo zibandakanya:

• ukusabela komzimba kwi-anesthesia
• usulelo
• intlungu eqhubekayo apho kwenziwa khona i-biopsy

Thetha nogqirha wakho ngaphambi kwe-biopsy ukuba unempilo okanye uthatha amayeza, ngakumbi ukuba yonyusa umngcipheko wokopha.

Uyilungiselela njani i-biopsy yomongo wethambo

Ukuxoxa ngexhala lakho lelinye lamanyathelo okuqala okulungiselela umongo wethambo. Kuya kufuneka uxelele ugqirha wakho malunga noku kulandelayo:

• nawaphi na amayeza okanye izongezo ozithathayo
• Imbali yakho yezonyango, ngakumbi ukuba unembali yokuphazamiseka kokopha
• nakuphi na ukungezwani komzimba kunye neemvakalelo zetape, ianesthesia, okanye ezinye izinto
• ukuba ukhulelwe okanye ucinga ukuba unokuba njalo
• ukuba unexhala elongezelelekileyo malunga nokuba nenkqubo kwaye ufuna amayeza okukunceda uphumle

Ukuba nomntu oza nawe ngomhla wenkqubo ngumbono olungileyo. Ngokukodwa ukuba ufumana amayeza afana nokuthomalalisa ukukunceda uphumle, nangona oku kungaqhelekanga. Akufanele uqhube emva kokuba uwathathe njengoko la mayeza anokukwenza uzive usozela.

Landela yonke imiyalelo kagqirha ngaphambi kwenkqubo. Ugqirha wakho unokukucela ukuba uyeke ukuthatha amayeza athile kwangaphambili. Kodwa ungaze uyeke ukuthatha amayeza ngaphandle kokuba ugqirha uyakuyalela ukuba wenze njalo.

Ukufumana ukuphumla kobusuku obuhle kunye nokubonisa ngexesha, okanye kwangethuba, ekuqeshweni kwakho kunokukunceda uzive ungaphantsi kwexesha ngaphambi kokuba kwenziwe i-biopsy.

Ukulungiselela iintlungu

Ngokomndilili, iintlungu ezivela kwi-biopsy ziya kuhlala-kufutshane, zimyinge kwaye zingaphantsi kunokuba bekulindelwe. Olunye uphononongo lubonisa ukuba iintlungu zidityaniswe nexesha kunye nobunzima be-biopsy. Ubuhlungu buncitshiswa kakhulu xa ugqirha onamava ethatha ngaphantsi kwemizuzu eli-10 ukugqiba i-biopsy.

Enye into ebalulekileyo lixhala lakho. Abantu abanolwazi malunga nenkqubo yabo baxela iintlungu ezininzi rhoqo. Abantu baphinde baxele amanqanaba asezantsi entlungu kunye ne-biopsies elandelayo.

Ugqirha wakho uza kuyenza njani i-bone marrow biopsy

Unokwenza i-biopsy eyenziwa kwiofisi yakho yonyango, kwikliniki okanye esibhedlele. Ngokwesiqhelo ugqirha ogxile kukuphazamiseka kwegazi okanye umhlaza, njenge-hematologist okanye i-oncologist, uya kuyenza le nkqubo. Eyona biopsy ngokwayo ithatha malunga nemizuzu eli-10.

Phambi kokuba kwenziwe i-biopsy, uya kutshintshela kwisinxibo sasesibhedlele kwaye uzokujonga izinga lokubetha kwentliziyo yakho kunye noxinzelelo lwegazi. Ugqirha wakho uya kukuxelela ukuba uhlale ecaleni lakho okanye ulale ngesisu. Emva koko baya kufaka i-anesthetic yendawo esikhumbeni nakwithambo ukuze banciphise indawo apho i-biopsy iya kuthathwa khona. I-bone marrow biopsy idla ngokuthathwa kumqolo wesinqe sakho sangasemva okanye kwithambo lesifuba.

Unokuziva uqaqanjelwa ngokufutshane njengoko i-anesthetic ifakwa. Emva koko ugqirha wakho uya kwenza incision encinci ukuze inaliti engenanto idlule ngokulula kulusu lwakho.

Inaliti ingena emathanjeni ize iqokelele umongo wakho obomvu, kodwa awusondeli kumqolo wakho. Unokuziva ungonwabanga okanye ungonwabanga njengoko inaliti ingena kwithambo lakho.

Emva kwenkqubo, ugqirha wakho uya kubamba uxinzelelo kwindawo leyo ukuba ayeke nakuphi na ukuphuma kwegazi kwaye emva koko abophe ibhande. Nge-anesthesia yendawo, ungashiya ugqirha wakho emva kwemizuzu eyi-15.

Kwenzeka ntoni emva komongo wethambo?

Ungaziva iintlungu kancinci malunga neveki emva kwenkqubo kodwa uninzi lwabantu alunakukwenza oko. Ukukunceda ukulawula iintlungu, ugqirha wakho unokucebisa ukuba unciphise iintlungu ngaphezulu kwe-counter njenge-ibuprofen okanye i-acetaminophen. Kuya kufuneka ukhathalele inxeba lokusikwa, elibandakanya ukuligcina lomile kangangeeyure ezingama-24 emva kokuba kwenziwe i-biopsy.

Kuphephe ukwenza izinto ezinzima malunga nosuku olunye okanye ezimbini ukunqanda ukuvula inxeba lakho. Kwaye nxibelelana nogqirha wakho ngokukhawuleza ukuba unamava:

• ukopha kakhulu
• ukwanda kwentlungu
• ukudumba
• umjelo wamanzi
• ifiva

Ilebhu iya kuvavanya umongo wethambo ngeli xesha. Ukulinda iziphumo kunokuthatha iveki enye ukuya kwezintathu. Nje ukuba iziphumo zakho zingene, ugqirha wakho angatsalela umnxeba okanye acwangcise ixesha lokuqeshwa ukuze axoxe ngeziphumo.

Zithetha ntoni iziphumo zakho ze-biopsy?

Injongo ephambili ye-biopsy kukufumanisa ukuba umongo wakho wethambo usebenza ngokufanelekileyo, kwaye ukuba akunjalo ukufumanisa ukuba kutheni. Isampulu yakho iya kuvavanywa ngugqirha wezifo eziza kwenza iimvavanyo ezininzi ukunceda ukufumanisa unobangela wako nakuphi na ukungaqheleki.

Ukuba unalo uhlobo oluthile lomhlaza njenge-lymphoma, umongo wethambo wenziwa ukuze uncede ugqibe umhlaza ngokunquma ukuba ingaba umhlaza ukwimongo wethambo na.

Iziphumo ezingaqhelekanga zinokubangelwa ngumhlaza, usulelo, okanye esinye isifo somongo wethambo. Ugqirha wakho unokufuna uku-odola iimvavanyo ezingaphezulu ukuqinisekisa isifo. Kwaye baya kuxoxa ngeziphumo kunye nokhetho lonyango ukuba kukho imfuneko kwaye bacwangcise amanyathelo akho alandelayo ngexesha lokuqeshwa kokulandela.

A:

Uluvo lwe-biopsy yomongo wethambo kunokubangela unxunguphalo kodwa uninzi lwezigulana zixela ukuba oko bekungekho phantse kubi njengoko bebecinga. Intlungu incinci kwiimeko ezininzi. Ingakumbi ukuba yenziwe ngumboneleli onamava. Iyeza elisindayo elisetyenzisiweyo lifana kakhulu nento oyifumanayo kugqirha wamazinyo kwaye lisebenza ngokukuko ekuthomalaliseni ulusu nangaphandle kwethambo apho kukho ii-receptors zentlungu. Inokukunceda ukumamela umculo okanye ukurekhodwa okupholileyo ngexesha lenkqubo ukukuphazamisa kwaye kukuncede uphumle. Okukhona ukhululeka kokukhona kuya kuba lula kuwe kunye nonyango olusebenzisa inkqubo.