Bone marora kushuvira

Bone mwongo ndiwo munyoro munyama mukati memapfupa ayo anobatsira kuumba masero eropa. Inowanikwa mune mhango chikamu chemapfupa mazhinji. Bone marrow aspiration ndiko kubviswa kweiyo shoma tinyama iyi mune yemvura fomu yekuongorora.

Bone marrow aspiration haina kufanana neiyo bone marrow biopsy. Biopsy inobvisa musimboti wemapfupa tishu kuti uongororwe.

Bone marrow aspiration inogona kuitwa muhofisi yemutarisiri wehutano kana muchipatara. Mongo wemapfupa unobviswa kubva muchiuno chako kana pfupa repazamu. Dzimwe nguva, rimwe pfupa rinosarudzwa.

Marrow inobviswa mumatanho anotevera:

• Kana zvichidikanwa, unopihwa mushonga wekukubatsira kuzorora.
• Iye mupi anochenesa ganda uye jekiseni mushonga unovevesa munzvimbo nenzvimbo yepfupa.
• Tsono yakakosha inoiswa mupfupa. Tsono ine chubhu yakasungirirwa pairi, izvo zvinogadzira kukwezva. Muenzaniso mudiki wemapfupa emongo wemvura inoyerera ichipinda muhubhu.
• Tsono inobviswa.
• Kumanikidza uyezve bhandeji rinoiswa paganda.

Iyo yemafupa emafuta inotumirwa murabhoritari uye inoongororwa pasi pe microscope.

Udza mupi:

• Kana iwe uri weergoria kune chero mishonga
• Kana iwe uri nepamuviri
• Kana uine matambudziko ekubuda ropa
• Ndeipi mishonga yauri kutora

Iwe unonzwa kunhuwa uye kushoma kwekutsva kwekunzwa kana mushonga unovevesa uchinge waiswa. Unogona kunzwa kumanikidzwa sezvo tsono inopinzwa mubhonzo, uye unopinza uye unowanzo kurwadza kunzwa kwekuyamwa sezvo mwongo unobviswa. Uku kunzwa kunotora kwemasekondi mashoma chete.

Chiremba wako anogona kuraira iyi bvunzo kana iwe uine zvisirizvo zvemhando kana nhamba dzvuku kana chena masero eropa kana maplatelet pane yakazara ropa kuverenga.

Uyu muedzo unoshandiswa kuongorora:

• Anemia (mamwe marudzi)
• Zvirwere
• Leukemia
• Mamwe makondombera eropa uye kusagadzikana

Zvinogona kubatsira kuona kana kanzira yapararira kana kupindura kurapwa.

Iyo pfupa remapfupa rinofanira kuve nenhamba yakakodzera uye mhando dze:

• Masero anogadzira ropa
• Zvinobatanidza matishu
• Masero emafuta

Mhedzisiro isina kujairika inogona kunge iri yekukonzereswa nekenza yemwongo, kusanganisira:

• Acute lymphocytic leukemia (ZVESE)
• Acute myelogenous leukemia (AML)
• Chirwere lymphocytic leukemia (CLL)
• Chisingaperi myelogenous leukemia (CML)

Mhedzisiro isina kujairika inogona zvakare kunge iri nekuda kwezvimwe zvikonzero, senge:

• Bone mwongo haugadzi masero eropa akakwana (aplastic anemia)
• Hutachiona kana hutachiona hutachiona hwakapararira mumuviri wese
• Kenza yeiyo lymph tishu (Hodgkin kana isiri Hodgkin lymphoma)
• Chirwere chekubuda ropa chinonzi idiopathic thrombocytopenic purpura (ITP)
• Kenza yeropa inonzi (multiple myeloma)
• Kushungurudzika umo mwongo wefupa unotsiviwa nechena tishu (myelofibrosis)
• Kukanganiswa uko kusina kukwana masero eropa ane hutano akagadzirwa (myelodysplastic syndrome; MDS)
• Huwandu husina kujairika hwemaplatelet, ayo anobatsira ropa kuvhara (primary thrombocytopenia)
• Kenza yeropa chena yeropa inonzi Waldenström macroglobulinemia

Panogona kunge paine kubuda ropa panzvimbo yekubaya. Njodzi dzakakomba, dzakadai sekubuda ropa zvakanyanya kana hutachiona, hazviwanzoitika.

Iliac crest pombi; Somba pombi; Leukemia - chishuwo chemongo wemapfupa; Aplastic anemia - pfupa remongo kushuvira; Myelodysplastic syndrome - pfupa remongo; Thrombocytopenia - chishuwo chemongo wemapfupa; Myelofibrosis - pfupa remongo chishuwo

• Bone marora kushuvira
• Sternum - maonero ekunze (anterior)

Bates I, Burthem J. Bone marora bhiopsy. Mune: Bain BJ, Bates I, Laffan MA, eds. Dacie naLewis Vanoshanda Hematology. 12th ed. Philadelphia, PA: Elsevier; 2017: chits. 7.

Chernecky CC, Berger BJ. Bone marrow aspiration ongororo - specimen (biopsy, bone marrow iron stain, iron stain, bone marrow). Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 241-244.

Vajpayee N, Graham SS, Bem S. Yekutanga kuongorora kweropa nemongo wemapfupa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chits.