Kuyini i-Bone Marrow Biopsy?

-Delile

• Ngabe udinga i-biopsy yemongo wethambo?
• Izingozi ze-bone marrow biopsy
• Ungayilungiselela kanjani i-biopsy yomnkantsha
• Ukulungiselela ubuhlungu
• Udokotela wakho uzokwenza kanjani i-biopsy yomnkantsha
• Kwenzekani ngemuva kokuhlolwa komnkantsha wamathambo?
• Isho ukuthini imiphumela yakho ye-biopsy?
• A:

I-bone marrow biopsy ingathatha cishe imizuzu engama-60. Umnkantsha wamathambo yizicubu zesiponji ngaphakathi kwamathambo akho. Kuyikhaya lemithambo yegazi namaseli ama-stem asiza ukukhiqiza:

• amaseli egazi abomvu namhlophe
• amaplatelets
• amafutha
• uqwanga
• ithambo

Kunezinhlobo ezimbili zomnkantsha: obomvu nophuzi. Umnkantsha obomvu utholakala kakhulu emathanjeni akho ayizicaba afana nesinqe sakho nomgogodla. Njengoba ukhula, umnkantsha wakho uba phuzi ngenxa yokwanda kwamaseli amafutha. Udokotela wakho uzokhipha umnkantsha obomvu, imvamisa ngemuva kwethambo lakho le-hip. Futhi isampula izosetshenziselwa ukubheka noma yikuphi ukungajwayelekile kwamangqamuzana egazi.

Ilebhu ye-pathology ethola umnkantsha wakho izobheka ukubona ukuthi umnkantsha wakho uyawenza yini amaseli egazi anempilo. Uma kungenjalo, imiphumela izokhombisa imbangela, okungaba ukutheleleka, isifo somnkantsha, noma umdlavuza.

Funda ukuze ufunde kabanzi mayelana ne-bone marrow biopsy nokuthi kwenzekani ngesikhathi nangemva kwenqubo.

Ngabe udinga i-biopsy yemongo wethambo?

Udokotela wakho angalawula i-biopsy marrow biopsy uma ukuhlolwa kwegazi kwakho kukhombisa amazinga akho ama-platelets, noma amaseli egazi amhlophe noma abomvu aphezulu kakhulu noma aphansi kakhulu. I-biopsy izosiza ekutholeni imbangela yalokhu okungajwayelekile, okungafaka:

• i-anemia, noma isibalo samaseli abomvu aphansi
• izifo zomnkantsha, njenge-myelofibrosis noma i-myelodysplastic syndrome
• izimo zeseli legazi, njenge-leukopenia, i-thrombocytopenia, noma i-polycythemia
• umdlavuza womnkantsha noma wegazi, njenge-leukemia noma i-lymphomas
• i-hemochromatosis, ukuphazamiseka kofuzo lapho insimbi yakhela khona egazini
• ukutheleleka noma umkhuhlane wemvelaphi engaziwa

Lezi zimo zingathinta ukukhiqizwa kwamangqamuzana akho egazi namazinga ezinhlobo zakho zamaseli egazi.

Udokotela wakho angaphinde ayalele ukuhlolwa komnkantsha wamathambo ukuze abone ukuthi isifo sesiqhubekele kude kangakanani, ukuthola isigaba somdlavuza, noma ukuqapha imiphumela yokwelashwa.

Izingozi ze-bone marrow biopsy

Zonke izinqubo zokwelashwa zinezindlela ezithile zobungozi, kepha izinkinga ezivela ekuhlolweni komnkantsha zingavamile kakhulu. ithole ukuthi ukuhlolwa okungaphansi kwephesenti elilodwa lomongo wethambo kuholele emicimbini emibi. Ingcuphe enkulu yale nqubo ukopha, noma ukopha ngokweqile.

Ezinye izinkinga ezibikiwe zifaka:

• ukusabela okweqile ku-anesthesia
• ukutheleleka
• ubuhlungu obuqhubekayo lapho kwenziwa khona i-biopsy

Khuluma nodokotela wakho ngaphambi kwe-biopsy uma unesimo sempilo noma uthatha imishanguzo, ikakhulukazi uma yandisa ingozi yokuphuma kwegazi.

Ungayilungiselela kanjani i-biopsy yomnkantsha

Ukuxoxa ngokukhathazeka kwakho kungenye yezinyathelo zokuqala zokulungiselela ukuhlolwa komnkantsha wamathambo. Kufanele utshele udokotela wakho ngakho konke okulandelayo:

• noma imiphi imithi noma izithasiselo oziphuzayo
• umlando wakho wezokwelapha, ikakhulukazi uma unomlando wokuphazamiseka kokopha
• noma yikuphi ukungezwani komzimba noma ukuzwela kumateyipu, i-anesthesia, noma ezinye izinto
• uma ukhulelwe noma ucabanga ukuthi kungenzeka
• uma unokukhathazeka okwengeziwe ngokuba nenqubo futhi udinga imithi ezokusiza uphumule

Ukuba nomuntu oza nawe ngosuku lwenqubo kuwumqondo omuhle. Ikakhulukazi uma uthola imishanguzo efana nezidakamizwa zokukusiza uphumule, yize lokhu kungadingeki. Akufanele ushayele ngemuva kokuyiphuza njengoba le mithi ingakwenza uzizwe usozela.

Landela yonke imiyalelo kadokotela wakho ngaphambi kwenqubo. Udokotela wakho angakucela ukuthi uyeke ukuthatha imishanguzo ethile ngaphambi kwesikhathi. Kepha ungalokothi uyeke ukuthatha umuthi ngaphandle uma udokotela ekuyala ukuba wenze kanjalo.

Ukuthola ukuphumula okuhle ebusuku futhi ubonakale ngesikhathi, noma ngaphambi kwesikhathi, ekuqokweni kwakho kungakusiza futhi ukuthi uzizwe ungaphansi kwesikhashana ngaphambi kwe-biopsy.

Ukulungiselela ubuhlungu

Ngokwesilinganiso, ubuhlungu obuvela ku-biopsy bufanele bube bufushane, bujwayelekile, futhi bube ngaphansi kunokulindelekile. Ezinye izifundo zibonisa ukuthi ubuhlungu buxhunyaniswe nesikhathi nobunzima be-biopsy. Ubuhlungu buyancipha kakhulu lapho udokotela onolwazi ethatha ngaphansi kwemizuzu eyi-10 ukuqeda i-biopsy.

Esinye isici esibalulekile izinga lokukhathazeka kwakho. Abantu ababenolwazi ngenqubo yabo yokubika babhekana nobuhlungu obuningi kaningi. Abantu baphinde babike amazinga aphansi obuhlungu ngama-biopsies alandelayo.

Udokotela wakho uzokwenza kanjani i-biopsy yomnkantsha

Ungaba ne-biopsy eyenziwa ehhovisi likadokotela wakho, emtholampilo, noma esibhedlela. Imvamisa udokotela ogxile ekuphazamiseni igazi noma umdlavuza, njengo-hematologist noma i-oncologist, uzokwenza inqubo. I-biopsy uqobo uqobo ithatha cishe imizuzu eyi-10.

Ngaphambi kwe-biopsy, uzoshintsha ugqoke isibhedlela futhi uhlolwe isilinganiso senhliziyo yakho nomfutho wegazi. Udokotela wakho uzokutshela ukuthi uhlale ngohlangothi lwakho noma ulale ngesisu. Ngemuva kwalokho bazofaka i-anesthetic yendawo esikhunjeni nasethanjeni ukunqanda indawo lapho kuzothathwa khona i-biopsy. I-bone marrow biopsy ivame ukuthathwa esikhaleni sesinqe sakho sangemuva noma ethangeni lesifuba.

Ungazizwa ulunywa okwesikhashana njengoba kufakwa i-anesthetic. Ngemuva kwalokho udokotela wakho uzokwenza imbobo encane ukuze inaliti engenalutho idlule kalula esikhunjeni sakho.

Inaliti ingena ethanjeni bese iqoqa umnkantsha wakho obomvu, kodwa awusondeli emgogodleni wakho. Ungase uzwe ubuhlungu obuthuntu noma ukungaphatheki kahle njengoba inaliti ingena ethanjeni lakho.

Ngemuva kwenqubo, udokotela wakho uzobamba ingcindezi endaweni ukumisa noma yikuphi ukuphuma kwegazi bese ebopha imbobo. Nge-anesthesia yendawo, ungashiya ihhovisi likadokotela wakho cishe imizuzu eyi-15.

Kwenzekani ngemuva kokuhlolwa komnkantsha wamathambo?

Ungase uzwe ubuhlungu obuncane cishe isonto ngemuva kwenqubo kepha abantu abaningi ngeke. Ukusiza ukuphatha ubuhlungu, udokotela wakho angancoma ukudambisa izinhlungu ngaphezulu kwe-counter njenge-ibuprofen noma i-acetaminophen. Uzodinga futhi ukunakekela isilonda sokusikwa, okubandakanya ukusigcina somile amahora angama-24 ngemuva kwe-biopsy.

Gwema ukwenza imisebenzi enzima cishe usuku olulodwa noma ezimbili ukugwema ukuvula isilonda sakho. Futhi xhumana nodokotela wakho ngokushesha uma uhlangabezana:

• ukopha ngokweqile
• ukwanda kobuhlungu
• ukuvuvukala
• amanzi
• imfiva

Ilebhu lizohlola umnkantsha wakho ngalesi sikhathi. Ukulinda imiphumela kungathatha isonto elilodwa kuya kwamathathu. Uma imiphumela yakho ingene, udokotela wakho angabiza noma ahlele isikhathi sokuqokwa okulandelayo ukuze axoxe ngokutholakele.

Isho ukuthini imiphumela yakho ye-biopsy?

Inhloso eyinhloko ye-biopsy ukuthola ukuthi umnkantsha wakho usebenza kahle yini, nokuthi uma kungenjalo ukuthola ukuthi kungani. Isampula lakho lizohlolwa ngudokotela wezifo ozokwenza izivivinyo eziningana ukusiza ukuthola imbangela yokungajwayelekile.

Uma unohlobo oluthile lomdlavuza njenge-lymphoma, i-bone marrow biopsy yenziwa ukusiza ukufaka umdlavuza ngokunquma ukuthi umdlavuza usemnkantsheni wamathambo noma cha.

Imiphumela engajwayelekile ingabangelwa umdlavuza, ukutheleleka, noma esinye isifo somnkantsha. Udokotela wakho angadinga uku-oda ezinye izivivinyo ukuqinisekisa ukuxilongwa. Futhi bazoxoxa ngemiphumela nezinketho zokwelashwa uma kudingeka bese bahlela izinyathelo zakho ezilandelayo ngesikhathi sokuqokwa kokulandelela.

A:

Umqondo we-bone marrow biopsy ungadala ukukhathazeka kepha iziguli eziningi zibika ukuthi lokho bekungekubi kangako njengoba bezicabanga. Ubuhlungu buncane ezimweni eziningi. Ikakhulukazi uma kwenziwa ngumhlinzeki onolwazi. Umuthi oyindikimba osetshenzisiwe ufana nalokho okutholayo kudokotela wamazinyo futhi usebenza kahle kakhulu ekunikeni isikhumba nangaphandle kwethambo lapho kutholakala khona izinhlungu. Kungasiza ukulalela umculo noma okurekhodiwe okutholile ngenkathi kwenziwa inqubo ukukuphazamisa futhi kukusize uphumule. Lapho ukhululeka kakhudlwana kuba lula kuwe nakudokotela ukwenza inqubo kuqala.