Chii chinonzi bone marrow biopsy uye zvinoitwa sei?

Zvemukati

• Chii ichochi
• Zvinoitwa sei
• Ngozi uye kutarisirwa mushure mekuongorora

Bone marrow biopsy kuongororwa kunoitwa nechinangwa chekuongorora maficha emaseru emongo uye nekudaro inowanzoshandiswa kubatsira vanachiremba kuti vaongorore uye vatarise shanduko yezvirwere zvakaita se lymphoma, myelodysplasias kana akawanda myeloma, pamwe nekutsvaga hutachiona kana kuona kana paine metastases kubva kune mamwe marudzi emamota kunzvimbo ino.

Bone marrow biopsy inoratidzirwa nehematologist kana oncologist uye inowanzoitwa kuzadzikisa bone marrow aspirate, inonzi myelogram, kunyanya kana bvunzo iyi isingakwanise kupa ruzivo rwakakwana nezve marora emapfupa mune chakapihwa chirwere.

Bone marrow biopsy inogona kunge isinganetsi, sezvo bvunzo ichiitwa nekunhonga muyenzaniso wepelvic bone uye, nekudaro, inoitwa pasi peanesthesia yemuno inobatsira kudzikisira kusagadzikana.

Chii ichochi

Bone marrow biopsy muyedzo wakakosha kwazvo, sezvo ichipa ruzivo nezve huwandu uye hunhu hwemasero anoumba mwongo wemapfupa. Nenzira iyi, bvunzo inozoona kana rwonzi rwepelinha rusina chinhu kana ruzere zvakanyanya, kana paine madhayivhu ezvinhu zvisina kukodzera, simbi kana fibrosis, pamwe nekutarisa kuvepo kwemamwe masero asina kujairika.

Nekudaro, bone marrow biopsy inogona kushandiswa mukutsvaga kana kuongorora zvimwe zvirwere, senge:

• Hodgkin's uye asiri-Hodgkin's lymphomas;
• Chirwere cheMyelodysplastic;
• Chisingaperi myeloproliferative zvirwere;
• Myelofibrosis;
• Multiple myeloma uye mamwe magammopathies;
• Kuzivikanwa kwekenza metastases;
• Aplastic anemia uye zvimwe zvikonzero zveakaderera musana tambo cellularity haina kujekeswa;
• Yakakosha thrombocythaemia;
• Tsvagurudzo muzvikonzero zvezvirwere zvinotapukira, senge chisingaperi granulomatous chirwere;

Uye zvakare, bone marrow biopsy inogona kuitwawo nechinangwa chekuona danho remamwe marudzi ekenza uye kuongorora shanduko yechirwere.

Kazhinji yenguva, bone marrow biopsy inoitwa pamwechete neiyo myelogram, inoitwa kubva kuunganidzwa kweropa sampu kubva mumongo wemapfupa uye inovavarira kuongorora maficha emasero eropa anogadzirwa nemongo. Nzwisisa kuti chii myelogram uye kuti inoitwa sei.

Zvinoitwa sei

Maitiro emusana emusana anogona kuitwa muhofisi yechiremba, mumubhedha muchipatara kana mukamuri yekuvhiya, zvinoenderana nemamiriro ehutano hwemurwere. Izvo zvinoitwa pasi peanesthesia yemuno, zvisinei, mune dzimwe nguva kunyorova kunogona kudikanwa, kunyanya muvana kana varwere vasingakwanise kubatana nemubvunzo.

Maitiro aya anowanzoitwa pamapfupa epilvic, munzvimbo inonzi iyoac crest, asi muvana inogona kuitwa pane tibia, gumbo gumbo. Kazhinji, bvunzo inoitwa iko chaiko mushure mekuunganidzwa kwepfupa remongo weaspirate, iyo inogona kuunganidzwa munzvimbo imwechete.

Munguva yekuongorora, chiremba anoisa tsono gobvu, yakanyanya kugadzirirwa bvunzo iyi, kuburikidza neganda kusvikira rasvika mukati memukati mefupa, kubva panotorwa chidimbu chechidimbu chefupa chinosvika 2 cm. Zvadaro, iyi sampuro ichaiswa mumalaboratory masiraidhi uye machubhu uye anozoongororwa nehematologist kana pathologist.

Ngozi uye kutarisirwa mushure mekuongorora

Bone marrow biopsy inzira yakachengeteka uye kashoma kuunza matambudziko senge kubuda ropa uye kupwanya paganda, asi zvakajairika kuti murwere anzwe kurwadziwa panguva yekuongorora uye kusvika mazuva 1 kusvika matatu gare gare.

Murwere anogona kutangazve zviitiko zvakajairwa maminetsi mashoma mushure mekuongorora, zvirinani kuti anofanira kuzorora pazuva rekuongorora. Iko hakuna kudikanwa kwekugadzirisa iyo dhayeti kana kushandiswa kwemishonga, uye kupfeka panzvimbo yetsono tsvimbo kunogona kubviswa pakati pe8 ne12 maawa mushure mekuongorora.