I-bone marrow biopsy

I-bone marrow biopsy ukususwa komnkantsha ngaphakathi kwethambo. Umnkantsha wamathambo izicubu ezithambile ezingaphakathi kwamathambo ezisiza ukwakha amangqamuzana egazi. Itholakala engxenyeni engenalutho yamathambo amaningi.

I-bone marrow biopsy ayifani nesifiso somnkantsha wethambo. I-aspiration isusa inani elincane lomnkantsha ngendlela ewuketshezi ukuze ihlolwe.

I-bone marrow biopsy ingenziwa ehhovisi lomhlinzeki wezempilo noma esibhedlela.Isampula ingathathwa ethanjeni le-pelvic noma lebele. Kwesinye isikhathi, kusetshenziswa enye indawo.

Umongo ususwa ngezinyathelo ezilandelayo:

• Uma kudingeka, unikezwa umuthi ozokusiza uphumule.
• Umhlinzeki uhlanza isikhumba bese ejova umuthi oyindikimba endaweni nangaphezulu kwethambo.
• Inaliti ye-biopsy ifakwa ethanjeni. Isikhungo senaliti siyasuswa bese inaliti egobile ifakwa ngokujulile ithambo. Lokhu kubamba isampula elincane, noma umnyombo, womnkantsha wethambo ngaphakathi kwenaliti.
• Isampula nenaliti kuyasuswa.
• Ingcindezi bese kufakwa ibhandishi esikhunjeni.

Ukufiswa komnkantsha wethambo nakho kungenziwa, imvamisa ngaphambi kokuba kuthathwe i-biopsy. Ngemuva kokuba isikhumba sesindikindiki, inaliti ifakwa ethanjeni, bese kusetshenziswa isipontsho ukukhipha umnkantsha ketshezi. Uma lokhu kwenziwa, inaliti izosuswa ibekwe kabusha. Noma, enye inaliti ingasetshenziselwa i-biopsy.

Tshela umhlinzeki:

• Uma uxabana nanoma imiphi imithi
• Imiphi imithi oyiphuzayo
• Uma unezinkinga zokopha
• Uma ukhulelwe

Uzozwa ukuluma okubukhali lapho umjovo ondikizayo ufakwa. Inaliti ye-biopsy nayo ingadala ubuhlungu obufushane, obuvamise ukuba buthuntu. Njengoba ingaphakathi lethambo lingenakubalwa, lokhu kuhlolwa kungadala ukungakhululeki okuthile.

Uma ukufiswa komnkantsha wenziwa futhi, ungahle uzwe ubuhlungu obufushane, obubukhali njengoba kukhishwa uketshezi lomnkantsha.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unezinhlobo ezingavamile noma izinombolo zamaseli abomvu noma amhlophe egazi noma ama-platelets ku-count ephelele yegazi (CBC).

Lokhu kuhlolwa kusetshenziselwa ukuxilonga i-leukemia, izifo, ezinye izinhlobo ze-anemia, nokunye ukuphazamiseka kwegazi. Ingasetshenziselwa ukusiza ukuthola ukuthi umdlavuza usakaze noma usabele ekwelashweni.

Umphumela ojwayelekile usho ukuthi umnkantsha uqukethe inani elifanele nezinhlobo zamaseli akha igazi (hematopoietic) amaseli, amaseli anonile, nezicubu ezixhumanayo.

Imiphumela engavamile ingahle ibangelwe umdlavuza womnkantsha wamathambo (i-leukemia, i-lymphoma, i-myeloma eminingi, noma eminye imidlavuza).

Imiphumela ingathola imbangela yokushoda kwegazi (ambalwa kakhulu amangqamuzana abomvu egazi), amaseli egazi amhlophe angajwayelekile, noma i-thrombocytopenia (amaplatelets ambalwa kakhulu).

Izimo ezithile lapho ukuhlolwa kungenziwa khona:

• Ukutheleleka komzimba okubanzi komzimba (kusatshalaliswa i-coccidioidomycosis)
• Umdlavuza omhlophe weseli elibizwa nge-hairy cell leukemia
• Umdlavuza wezicubu zomzimba (i-Hodgkin noma i-non-Hodgkin lymphoma)
• Umnkantsha wethambo awenzi amaseli wegazi anele (i-aplastic anemia)
• Umdlavuza wegazi obizwa nge-multiple myeloma
• Iqembu lezinkinga lapho kwenziwa khona amaseli egazi anempilo anele (i-myelodysplastic syndrome; i-MDS)
• Isimila sezicubu zomzimba esibizwa nge-neuroblastoma
• Isifo somnkantsha we-Bone esiholela ekwandeni okungavamile kumaseli egazi (i-polycythemia vera)
• Amaprotheni angajwayelekile ezakhiweni nasezithweni (amyloidosis)
• Ukuphazamiseka komnkantsha wamathambo lapho umnkantsha uthathelwa indawo yizicubu ezibomvu (i-myelofibrosis)
• Umnkantsha wethambo ukhiqiza amaplatelets amaningi kakhulu (i-thrombocythemia)
• Umdlavuza wamangqamuzana amhlophe wegazi obizwa ngeWaldenström macroglobulinemia
• I-anemia engachazeki, i-thrombocytopenia (inani eliphansi leplatelet) noma i-leukopenia (inani eliphansi le-WBC)

Kungaba nokopha endaweni yokubhoboza. Izingozi ezinkulu kakhulu, njengokuphuma kwegazi okunzima noma ukutheleleka, akuvamile kakhulu.

I-Biopsy - umnkantsha

• Ukufiswa komnkantsha wethambo
• I-biopsy yamathambo

IBates I, uBurthem J. Bone umnkantsha we-biopsy. Ku: Bain BJ, Bates I, Laffan MA, eds. UDacie noLewis I-Hematology Esebenzayo. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: isahluko 7.

IChernecky CC, iBerger BJ. Ukuhlaziywa komnkantsha we-Bone marrow-specimen (i-biopsy, umongo wethambo wensimbi, ibala lensimbi, umnkantsha wethambo). Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 241-244.

I-Vajpayee N, Graham SS, Bem S. Ukuhlolwa okuyisisekelo kwegazi nomnkantsha. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 30.