So wotee ehu nka kakra bere a wuhuu biribi soronko wɔ wo mogya ho amanneɛbɔ mu na oduruyɛfo no kae sɛ, "Momma yɛnhwɛ nnompe mu ntini no?" Ɛyɛ ade a ɛfata yiye ma nsɛmmisa te sɛ, "Oh, wopɛ sɛ woka bone marrow aspiration? So ɛbɛyɛ yaw kɛse? Dɛn nti na wɔreyɛ eyi?" sɛ ɛbɛba w’adwene mu. Nanso mma wo ho nnsuro koraa. Ɛnnɛ, yɛbɛka sɔhwɛ yi a wɔfrɛ no Bone Marrow Aspiration ho asɛm wɔ ɔkwan a ɛnyɛ den koraa so a ɛbɛbua nsɛmmisa a ɛwɔ w’adwene mu nyinaa.
Sɛ yɛbɛka no tiawa a, dɛn ne Bone Marrow Aspiration?
Ɛyɛ mmerɛw yiye. Wɔ wo nnompe mu, anaasɛ yɛbɛka no yiye a, wo nnompe akɛse no mfinimfini no, ntini a ɛyɛ mmerɛw na ɛte sɛ spongy ne nsu bi wɔ hɔ. Yɛfrɛ eyi nnompe mu ntini . Nkwammoaa a wo nipadua hia nyinaa, mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa kɔkɔɔ, wɔ nnompe mu ntini yi mu. Enti ɛte sɛ mogya adwumayɛbea.
Bone Marrow Aspiration yɛ adeyɛ a oduruyɛfo titiriw (a mpɛn pii no ɔyɛ mogya ho ɔbenfo anaa kokoram ho ɔyaresafo) de ade a ɛyɛ tratraa a ɛyɛ tokuru di dwuma de yi wo nnompe mu ntini no fã a ɛyɛ nsu no fã ketewaa bi. Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ saa nhwɛsode yi mu wɔ aduruyɛdan mu hwɛ sɛ ebia biribiara a ɛnteɛ anaa.
Eyi nyɛ oprehyɛn kɛse ankasa. Ɛyɛ nhwehwɛmu a ɛho hia a wɔde hu yare a ɛbɛma woahu nea ɛde ɔhaw bi reba wo mogya so ankasa ara kwa.
Dɛn nti na oduruyɛfo no reka akyerɛ wo sɛ yɛ nhwehwɛmu yi?
Mpɛn pii no, sɛ nsakrae bi ba wɔ wo mogya mu nhwehwɛmu mu a wontumi nkyerɛkyerɛ mu (te sɛ Mogya a Wɔkan no Adi Nyinaa) a, wɔyɛ nhwehwɛmu yi de hu nea ɛde ba ankasa. Ebetumi aba sɛ nneɛma pii nti na ɛte saa.
| Ntease titiriw nti a wɔde kɔma wɔn sɛ wɔnkɔyɛ sɔhwɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Sɛ wususuw sɛ mogya mu kokoram a | Saa nhwehwɛmu yi ho hia na ama wɔahu tebea horow te sɛ mogya mu kokoram, mogya mu nkwammoaa a ɛma mogya tu, anaa myeloma. |
| Kyerɛ mogya mu nyarewa afoforo | Hwehwɛ nea ɛde tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu a wontumi nkyerɛkyerɛ mu, dade dodow a ɛkɔ soro wɔ nipadua no mu, ne mogya mu nkwammoaa fitaa anaa mogya mu nkwammoaa a ɛba fam anaasɛ ɛkɔ soro wɔ ɔkwan a ɛnteɛ so ba. |
| Nyarewa a wonhu | Ɛtɔ mmere bi a, sɔhwɛ yi nso boa ma wohu nea ɛde atiridii anaa ɔyare mmoawa a ɛkyɛ wɔ nipadua no mu ba. |
| Susuw sɛnea wɔyɛ wɔn ade wɔ ayaresa ho | Sɛ obi renya mogya mu kokoram ayaresa dedaw a, wɔyɛ nhwehwɛmu yi nso de hwɛ sɛ ayaresa no di yiye anaa. |
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ sɔhwɛ no?
Eyi nhia ahosiesie pii, nanso ɛho hia sɛ wohu nneɛma kakraa bi.
- Ka wo duruyɛfo no pen: Ka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo. Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi te sɛ nea ɛma mogya yɛ mmerɛw nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
- Sɛ ehu aka wo a, mma wofɛre sɛ wobɛka: Nnipa pii te nka sɛ ehu kakra anaasɛ wɔn ho yeraw wɔn wɔ sɔhwɛ yi ho. Ɛno yɛ ade a ɛfata. Sɛ wote nka saa a, ka kyerɛ wo duruyɛfo. Wobetumi ama wo nnuru a ɛbɛma wo ho adwo wo na ama w’adwene adwo.
- Fa obi ka wo ho bra: Sɛ wɔma wo nnuru a ɛma wo ho dwo a, ɛnsɛ sɛ woka kar bere a wɔayɛ sɔhwɛ no awie no. Enti ɛbɛyɛ papa sɛ wode obi bɛka wo ho bɛka wo kar akɔ fie.
Dɛn ankasa na ɛba bere a wɔreyɛ sɔhwɛ no?
Adeyɛ no nyinaa gye bɛyɛ simma 30-45 pɛ. Wubetumi akɔ fie da koro no ara. Momma yɛnhwɛ nea ɛba no anammɔn biara.
| Anamɔn a wɔfa so yɛ | Dɛn na ɛrekɔ so? |
|---|---|
| 1. Ahosiesie | Wɔbɛkyerɛ wo mogya mmoroso ne wo koma a ɛbɔ. Wɔde wo bɛto baabi a ɛhɔ yɛ fɛ wɔ sɔhwɛ pon no so, wɔ wo yafunu so anaa w’afã. |
| 2. Nnipa a wɔyɛ mmerɛw | Wɔtaa gye saa nhwɛsode yi fi asen dompe no akyi. Enti, wɔhohoro honam ani a ɛwɔ saa beae no ho yiye na wɔde aduru bi a ɛma obi dwensɔ a ɛwɔ baabi no gu mu ma ɛyɛ mmerɛw. Saa bere yi de, ebia wobɛte nka sɛ wo ho hyehye wo kakra, te sɛ nea ntɛtea bi reka wo barima. |
| 3. Nneɛma a wɔde hyɛ mu | Bere a wɔde aduru a wɔde kum nipadua no awie no, oduruyɛfo no twa honam ani fã ketewaa bi na ɔde ade titiriw bi hyɛ akyi dompe no mu. Worente eyi nka efisɛ ɛyɛ mmerɛw. |
| 4. Nhwɛsode no a wobɛfa | Afei, wɔde syringe bi bata ade no ho na wɔtwe nsu kakraa bi fi nnompe mu ntini no mu. Saa bere yi de, ebia wobɛte ɛyaw bi a ɛretwe anaa wobɛtow tuo akɔ w’asen ne wo nan ase sikɔne kakraa bi. Nnipa pii ka sɛ eyi ne sɔhwɛ no fã a ɛnyɛ dɛ sen biara. Nanso ɛtra hɔ bere tiaa bi pɛ. |
| 5. Nea wɔde wie | Sɛ wɔfa nhwɛsode no wie a, woyi ade no na wɔde plaster anaa aduru kata beae no so. Ɛno ne no. |
Dɛn na ɛsɛ sɛ mihu wɔ sɔhwɛ no akyi?
Sɔhwɛ no akyi no, wubetumi agye w’ahome kakra na woakɔ fie. Ma saa nneɛma yi ntra w’adwenem.
- Anyɛ yiye koraa no ma baabi a wɔde aduru a wɔde kyekyere wo ho no ho tew na ɛnyɛ nwunu nnɔnhwerew 24 . Mma baabi a ɛhɔ yɛ nwini bere a woreguare no. W’aduruyɛfo kuw no bɛtu wo fo bere a ɛsɛ sɛ woyi aduru a wɔde kyekyere aduru no.
- Ɛyɛ ade a ɛfata sɛ wobɛte akuru kakra nka na woayɛ no yaw nna kakraa bi wɔ baabi a wɔde ade no hyɛɛ mu no. Ebia wobɛte ɛyaw kakra bere a wokotow anaa worekɔ baabiara no.
- Ebia akuru ketewaa bi wɔ honam ani wɔ saa beae no. Eyi ankasa bɛsa wɔ dapɛn biako mu.
So asiane bi wɔ eyi mu?
Bone Marrow Aspiration yɛ adeyɛ a ahobammɔ wom yiye . Nanso, sɛnea ɛte wɔ aduruyɛ biara mu no, asiane ahorow bi wɔ hɔ a ɛntaa nsi koraa. Eyinom bi ne:
- Aduru a ɛma obi ho yɛ no yaw no ho adwenemhaw.
- Mogya a ɛretu.
- Nsaneɛ.
Eyinom ho yɛ na koraa. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, ɛsɛ sɛ wo ne wo duruyɛfo di nkitaho ntɛm ara.
| Bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara | |
|---|---|
| Huraeɛ | Sɛ nipadua mu hyew kɔ soro a, ebetumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne. |
| Biribi a ɛretu fi baabi a wɔatow no | Sɛ nsu fitaa anaa kɔkɔɔ bi a ɛte sɛ akisikuru repue a. |
| Mogya a ɛtɔ kɛse | Sɛ aduru a wɔde kyekyere aduru no ho yɛ nsu na ɛkɔ so mogya tu a. |
| Ɔhohoro ne ɔhyew a ɛba | Sɛ baabi a wɔatow no te nka sɛ ɛho ahonhon na ɛyɛ hyew sen mmeae afoforo bere a wɔde wɔn nsa aka no a. |
Nsonsonoe bɛn na ɛda aspiration ne biopsy ntam?
Ebia woate "Bone Marrow Biopsy" nso ho asɛm. Nneɛma abien no nyinaa yɛ akwan a wɔfa so hwehwɛ nnompe mu ntini mu. Nsonsonoe no yɛ mmerɛw koraa.
- Aspiration: Eyi hwehwɛ sɛ woyi nnompe mu ntini no fã a ɛyɛ nsu no fi hɔ.
- Biopsy: Eyi hwehwɛ sɛ wɔfa ntini a ɛyɛ den na ɛte sɛ spong a wohu wɔ nnompe mu ntini no mu no fã bi.
Mpɛn pii no, nnuruyɛfo yɛ nhwehwɛmu abien yi nyinaa bere koro mu efisɛ saa kwan no so no wobetumi anya yare no ho mfonini a edi mũ.
Bere tenten ahe na egye ansa na amanneɛbɔ no aba?
Sɛ wɔfa nhwɛsode no wie a, wɔde mena kɔyɛ sɔhwɛ ahorow. Enti, ebetumi adi nna kakraa bi kosi adapɛn kakraa bi ansa na amanneɛbɔ no aba. Egyina nhwehwɛmu ahorow a oduruyɛfo no bisa so. Nhwɛsoɔ:
- Flow Cytometry a Wɔde Hwɛ Nkwammoaa So
- FISH (Fluorescence In Situ Nneɛma a Wɔde Yɛ Adwuma) .
- Karyotype sɔhwɛ
- Awo ntoatoaso a edi hɔ a wɔyɛ no nnidiso nnidiso
Mma saa din ahorow yi nnsuro. Eyinom yɛ nnɛyi akwan a wɔfa so sua awosu mu nsakrae a ɛba wo nkwammoaa mu, sɛnea kokoram nkwammoaa te, ne nea ɛkeka ho ho ade kɔ akyiri. Sɛ amanneɛbɔ no ba wie a, wo duruyɛfo no bɛkyerɛkyerɛ nea ɛka, nea ɛkyerɛ , ne nea ɛsɛ sɛ woyɛ akyi no mu pefee.
Nkrasɛm a Wɔde Kɔ Fie
- Bone Marrow Aspiration nyɛ oprehyɛn kɛse a ɛsɛ sɛ wosuro. Ɛyɛ nhwehwɛmu a ɛho hia yiye na ahobammɔ wom a wɔde hwehwɛ nea ɛde mogya mu haw ahorow ba ankasa.
- Ɛyaw ne ahoyeraw a wote wɔ sɔhwɛ no mu no yɛ bere tiaa mu de. W’aduruyɛfo kuw no bɛboa wo ma woadi ho dwuma.
- Ɛyɛ wo hokwan sɛ wo ne wo duruyɛfo susuw ehu anaa dadwen biara a wowɔ ho pefee.
- Nea efi sɔhwɛ yi mu ba ne ade a edi kan ne nea ɛho hia sen biara a wɔde hu yare bi pɛpɛɛpɛ na wofi ase de sa yare a eye sen biara. Enti hwɛ eyi wɔ ɔkwan pa so.
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