Iyini i-bone marrow biopsy futhi yenziwa kanjani?

-Delile

• Yenzelwe ini
• Kwenziwa kanjani
• Izingozi nokunakekelwa ngemuva kokuhlolwa

I-Bone marrow biopsy ukuhlolwa okwenziwa ngenhloso yokuhlola izici zamangqamuzana omnkantsha wamathambo ngakho-ke kuvame ukusetshenziselwa ukusiza odokotela ukwenza ukuxilonga nokuqapha ukuvela kwezifo ezinjenge-lymphoma, i-myelodysplasias noma i-myeloma eminingi, kanye nokusesha izifo noma ukukhomba ukuthi ngabe kukhona ama-metastases avela kwezinye izinhlobo zamathumba kule ndawo.

I-bone marrow biopsy ikhonjiswa yi-hematologist noma i-oncologist futhi ijwayele ukwenziwa ukugcwalisa i-aspirate yomnkantsha wamathambo, obizwa nge-myelogram, ikakhulukazi lapho lokhu kuhlolwa kungakwazi ukunikeza imininingwane eyanele ngomnkantsha wesifo esifweni esithile.

I-bone marrow biopsy ingaba yinkinga, njengoba ukuhlolwa kwenziwa ngokuqoqa isampula lethambo le-pelvic futhi, ngakho-ke, kwenziwa ngaphansi kwe-anesthesia yendawo esiza ukunciphisa ukungakhululeki.

Yenzelwe ini

I-Bone marrow biopsy isivivinyo esibaluleke kakhulu, njengoba inikeza ulwazi ngobuningi nezici zamaseli akha umnkantsha. Ngale ndlela, ukuhlolwa kuzobheka ukuthi ngabe umgogodla awunalutho noma ugcwele ngokweqile, uma kukhona okufakwa ezintweni ezingadingekile, njenge-iron noma i-fibrosis, kanye nokubheka ubukhona bamanye amaseli angajwayelekile.

Ngakho-ke, i-bone marrow biopsy ingasetshenziswa ekuhloleni nasekuqapheni ezinye izifo, ezinjenge:

• Ama-lymphomas kaHodgkin nalawo angewona amaHodgkin;
• Isifo se-Myelodysplastic;
• Izifo ezingapheli ze-myeloproliferative;
• I-Myelofibrosis;
• I-myeloma eminingi namanye ama-gammopathies;
• Ukuhlonza umdlavuza we-metastases;
• I-aplastic anemia nezinye izimbangela zokuncipha kweselula yomgogodla kungacaciswa;
• I-thrombocythaemia ebalulekile;
• Ukucwaninga ngezimbangela zezinqubo ezithathelwanayo, njengesifo esingamahlalakhona se-granulomatous;

Ngaphezu kwalokho, i-bone marrow biopsy nayo ingenziwa ngenhloso yokuhlonza isigaba sezinhlobo ezithile zomdlavuza nokuqapha ukuvela kwalesi sifo.

Isikhathi esiningi, i-bone marrow biopsy yenziwa kanye ne-myelogram, eyenziwa ngokuqoqwa kwesampula segazi emnkantsheni futhi okuhlose ukuhlola izici zamaseli egazi akhiqizwa umnkantsha. Qonda ukuthi yini i-myelogram nokuthi yenziwa kanjani.

Kwenziwa kanjani

Inqubo ye-spinal biopsy ingenziwa ehhovisi likadokotela, embhedeni wasesibhedlela noma egumbini lokuhlinzwa, kuya ngesimo sempilo yesiguli. Kwenziwa ngaphansi kwe-anesthesia yendawo, noma kunjalo, kwezinye izimo ukuthambisa okuncane kungadingeka, ikakhulukazi ezinganeni noma ezigulini ezingakwazi ukusebenzisana nokuhlolwa.

Le nqubo ivame ukwenziwa ethanjeni le-pelvic, endaweni ebizwa nge-iliac crest, kepha ezinganeni ingenziwa kwi-tibia, ithambo lomlenze. Imvamisa, ukuhlolwa kwenziwa ngemuva kokuqoqwa kwe-aspirate yomnkantsha wamathambo, engaqoqwa endaweni efanayo.

Ngesikhathi sokuhlolwa, udokotela ufaka inaliti ejiyile, eyenzelwe ngokukhethekile lokhu kuhlolwa, ngesikhumba size sifinyelele engxenyeni yangaphakathi yethambo, lapho kuthathwa khona isampula locezu lwethambo olucishe lube ngu-2 cm. Ngemuva kwalokho, lesi sampuli sizobekwa kuma-slides e-laboratory kanye namashubhu futhi sizohlaziywa yi-hematologist noma i-pathologist.

Izingozi nokunakekelwa ngemuva kokuhlolwa

I-bone marrow biopsy inqubo ephephile futhi ayivamisile ukuletha izinkinga ezifana nokopha nokulimala esikhunjeni, kepha kujwayelekile ukuthi isiguli sizwe ubuhlungu ngesikhathi sokuhlolwa kuze kufike ezinsukwini ezi-1 ukuya kwezi-3 kamuva.

Isiguli singaqhubeka nemisebenzi ejwayelekile emizuzwini embalwa ngemuva kokuhlolwa, okungcono ukuthi aphumule ngosuku lokuhlolwa. Akunasidingo sokushintsha indlela odla ngayo noma ukusetshenziswa kwemithi, futhi ukugqoka lapho kutholakala khona inaliti kungasuswa phakathi kwamahora ayi-8 kuya kwayi-12 ngemuva kokuhlolwa.