Bone marora bhiopsy

A bone marrow biopsy ndiko kubviswa kwemongo kubva mukati mefupa. Bone mwongo ndiwo munyoro munyama mukati memapfupa ayo anobatsira kuumba masero eropa. Inowanikwa mune mhango chikamu chemapfupa mazhinji.

Bone marrow biopsy haina kufanana nechishuwo chemongo wemapfupa. Chishuwo chinobvisa hushoma hwemongo mumafuta fomu kuti uongororwe.

A bone marrow biopsy anogona kuitwa muhofisi yemutarisiri wehutano kana muchipatara.Muenzaniso unogona kutorwa kubva muchiuno kana pfupa repazamu. Dzimwe nguva, imwe nzvimbo inoshandiswa.

Marrow inobviswa mumatanho anotevera:

• Kana zvichidikanwa, unopihwa mushonga wekukubatsira kuzorora.
• Iye mupi anochenesa ganda uye jekiseni mushonga unovevesa munzvimbo nenzvimbo yepfupa.
• Tsono yebhiopsy inoiswa mupfupa. Pakati petsono inobviswa uye tsono yakakomberedzwa inoendeswa mukati mefupa. Izvi zvinotora sampuro diki, kana musimboti, wemongo wepfupa mukati metsono.
• Muenzaniso netsono zvinobviswa.
• Kumanikidza uyezve bhandeji rinoiswa paganda.

Chishuwo chemongo wemapfupa chinogona kuitwawo, kazhinji biopsy isati yatorwa. Mushure mekunge ganda ravezwa, tsono inopinzwa mubhonzo, uye sirinji inoshandiswa kubvisa mwongo wemapfupa. Kana izvi zvikaitwa, tsono yacho inobviswa yoiswa patsva. Kana, imwe tsono inogona kushandiswa kune iyo biopsy.

Udza mupi:

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

Iwe unozonzwa kubaya kwakapinza kana mushonga unovevesa ukajowa. Iyo biopsy tsono inogona zvakare kukonzera ipfupi, kazhinji isina kusimba, kurwadziwa. Sezvo mukati mefupa risingakwanise kuvezwa, bvunzo iyi inogona kukonzera kusagadzikana.

Kana chishuwo chemongo wemapfupa chikaitwa zvakare, iwe ungangonzwa kurwadziwa kupfupi, kwakapinza sezvo mwongo wemapfupa wabviswa

Wako mupi anogona kuraira bvunzo iyi kana iwe uine mhando dzisina kujairika kana nhamba dzvuku kana chena masero eropa kana maplatelet pane yakazara ropa kuverenga (CBC).

Iyi bvunzo inoshandiswa kuongorora leukemia, hutachiona, mamwe marudzi eanemia, uye kumwe kusawirirana kweropa. Inogona zvakare kushandiswa kubatsira kuona kana gomarara rapararira kana kupindura kurapwa.

Mhedzisiro mhedzisiro inoreva kuti mwongo wefupa une iyo chaiyo nhamba uye mhando dzeropa-inogadzira (hematopoietic) maseru, maseru emafuta, uye anobatanidza matishu.

Mhedzisiro isina kujairika inogona kunge yakakonzerwa negomarara repfupa (leukemia, lymphoma, multiple myeloma, kana mamwe kanzira).

Mhedzisiro yacho inogona kuona chinokonzera kushomeka kweropa (mashoma maseru matsvuku eropa), masero eropa asina kujairika, kana thrombocytopenia (mashoma maplatelet).

Mamiriro chaiwo angaitwe bvunzo iyi:

• Chirwere chepanyama chakazara muviri (chakaparadzirwa coccidioidomycosis)
• Kenza chena yesero reropa inonzi hairy cell leukemia
• Kenza yeiyo lymph tishu (Hodgkin kana isiri Hodgkin lymphoma)
• Bone mwongo haugadzi masero eropa akakwana (aplastic anemia)
• Kenza yeropa inonzi multiple myeloma
• Boka rematambudziko ayo asina kukwana masero eropa akagadzirwa (myelodysplastic syndrome; MDS)
• Turu rezvinyama bundu rinonzi neuroblastoma
• Bone marora chirwere chinotungamira mukuwedzera kusingaenzanisike mumasero eropa (polycythemia vera)
• Asina kujairika mapuroteni anovaka mumatumbu uye nhengo (amyloidosis)
• Bone marrow kusagadzikana umo mongo unotsiviwa ne fibrous scar tishu (myelofibrosis)
• Bhongo remongo rinoburitsa maplatelet akawandisa (thrombocythemia)
• Kenza yeropa chena yeropa inonzi Waldenström macroglobulinemia
• Kusanzwisisika anemia, thrombocytopenia (yakaderera platelet kuverenga) kana leukopenia (yakaderera WBC kuverenga)

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

Biopsy - pfupa mwongo

• Bone marora kushuvira
• Bone biopsy

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, stain 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.