We yu dɔktɔ tɛl yu fɔ du bon mɛrɔ tɛst, yu kin fred smɔl, nɔto so? Na nɔmal tin fɔ tink se fɔ tɛst yu bon mɛrɔ go bi big tin we go mek yu fil pen. Bɔt fɔ tru, nɔto sɔntin we pɔsin fɔ fred. Na wan kɔmɔn tɛst wae kin ɛp fɔ no bɔrku sik. Lɛ wi tek wan luk pan wetin na dis tɛst, wetin mek dɛn kin du am, ɛn aw dɛn kin du am.
Wetin rili na dis bon mɛro ɛn dis tɛst?
Fɔs, lɛ wi luk wetin na bon mɛro. Tink bɔt am lɛk wan sɔft, spɔnj tisu insay di big bon dɛn na wi bɔdi (fɔ ɛgzampul, di hip bon). Na dat wi de kɔl bon mɛrɔ. Dis na di men faktri we de mek di rɛd blɔd sɛl dɛn, wayt blɔd sɛl dɛn, ɛn pletlɛt dɛn we rili impɔtant fɔ wi bɔdi. I tan lɛk faktri.
Naw, tu prosidur dεm de rili we dεn kin du tכgeda insay dis bon mכro tεst. tכgeda, wi kin kכl dεn tu prosidכs dεm ya "Bכn mכro εgzamεn."
1. Bone Marrow Aspiration : Fɔ tɔk am simpul wan, dis involv fɔ tek smɔl sampul pan di likwid pat pan yu bon mɛro yuz wan tin nidul.
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Dɛn kin tek dɛn tu sampul ya frɔm di bak pat pan yu hip bon. We yu dɔktɔ chɛk dɛn tu sɛmpul ya, i go ebul fɔ no if prɔblɛm de wit di we aw yu blɔd de mek.
Wetin mek dɛn de aks mi fɔ du dis tɛst?
Okay, naw yu go mɔs de wɔnda, "Wetin mek a go want fɔ du dis?" Bɔku rizin dɛn de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst. I dipen pan di sayn dɛm we yu gɛt ɛn di rizɔlt fɔ di blɔd tɛst dɛm we yu bin dɔn du trade.
| Rizin fɔ tɛst | Wan simpul ɛksplen |
|---|---|
| Fɔ no if yu gɛt blɔd ɔ bon mɛro sik | Fɛn ɔda tin dɛn we gɛt fɔ du wit kansa lɛk lukimiya, limfoma, ɔ ɛni prɔblɛm we de mek yu blɔd (e.g., aplastic anemia). |
| Fɔ no di stej we wan sik de | Si klia wan aw fa wan sik we dɛn dɔn ɔlrɛdi no dɔn skata to di bon mɛrɔ. |
| Fɔ no aw di tritmɛnt dɛn de wok fayn | Kɔnfɛm if di sik de bɛtɛ wit di mɛrɛsin we dɛn gi am ɛn if di bon mɛrɔ de wɛl. |
| Fɔ chɛk di ayɛn lɛvɛl na di bɔdi | Sɔntɛnde dis tɛst kin ɛp fɔ no di kɔrɛkt aidia bɔt di ayron lɛvɛl na di blɔd. |
| Fɔ stɔdi bɔt fiva we nɔ gɛt ɛni rizin fɔ du dat | Sɔntɛnde, fiva we nɔ de dɔn kin kɔmɔt frɔm bon mɛrɔ infekshɔn. Dis kin ɛp fɔ no bɔt dat. |
Aw a fɔ rɛdi fɔ dis tɛst?
Natin nɔr spɛshal fɔ rɛdi fɔ dis, bɔt sɔm impɔtant tin dɛn de we yu fɔ tɛl yu dɔktɔ.
- Mek shɔ se yu tɛl wi if yu gɛt ɛni alɛji. Fɔ ɛgzampul:
- Chlorhexidine, we na wan tin we de klin di wund dɛn.
- Lokal anestetik injɛkshɔn dɛn.
- Wan kayn rɔba we dɛn kɔl latɛks (dɛn kin mek sɔm glɔv dɛn wit dis).
- Fɔ adhesives lɛk plasta.
- Dɔn bak, if yu de tek tin dɛn we de mek yu blɔd tan (e.g. Aspirin, Clopidogrel, Warfarin), mek shɔ se yu tɛl yu dɔktɔ bifo tɛm. I go advays yu ɔmɔs dez bifo di tɛst yu fɔ stɔp fɔ tek dɛn mɛrɛsin dɛn de.
Wetin kin apin we dɛn de du di tɛst?
Okay, naw mek wi si wetin de apin durin dis prosidur. Nɔ wɔri, wi go ɛksplen ɛni step to yu. Dis kin tek lɛk 10-15 minit. Di wan ol tin we dɛn kin du kin tek lɛk 30 minit so.
1. Fɔs, dɛn go mek yu ledɔm na bed, ilɛksɛf na yu bɛlɛ ɔ na yu sayd.
2. Dɔn di dɔktɔ dɛn go chɛk yu blɔd prɛshɔn, at rit, ɛn tɛmpracha fɔ mek shɔ se ɔltin nɔmal.
3. Nεks, dεn kin klin di εria we dεn go put di nidul (biεn di hip bon) gud gud wan wit antiseptik sכlushכn.
4. Dɔn dɛn kin gi smɔl injɛkshɔn fɔ mek di say nɔ gɛt bɛtɛ trɛnk . Yu kin fil lɛk se yu de bɔn smɔl we dɛn gi yu dis. Dɔn di say go swɛt, lɛk we yu gɔm dɛn dɔn swɛ bifo dɛn pul yu tut.
5. Naw di aspireshɔn dɔn dɔn. Di dɔktɔ put wan tint nidul insay di bon. Yu go fil se dɛn de prɛs yu smɔl. Dɔn dɛn kin pul smɔl wata we de na di bon mɛro wit sirinj. Dis tɛm ya, yu kin fil smɔl pen ɔ yu kin fil fɔ pul yu leg dɔŋ fɔ sɔm sɛkɔn . Dis go go kwik kwik wan.
6. Di nɛks tin na di bayɔpsi . Dɛn kin yuz nidul we big smɔl fɔ dis. Dɛn kin put dis bak na di sem ples we dɛn bin de put bifo. Dis kin tek smɔl pat pan di tik pat pan di bon mɛro. Yu kin fil bak wan pinch dis tɛm.
7. We dɛn dɔn fɔ du di wok, dɛn kin put smɔl bandej na di say we dɛn put di nidul.
Dis pen kin las fɔ sɔm sɛkɔn dɛn nɔmɔ. So nɔ wɔri. Di dɔktɔ ɛn di nɔs dɛn de fɔ ɛp yu. Tek dip briz ɛn tray fɔ de kwayɛt.
Wetin kin apin afta di tɛst?
Afta di tɛst dɔn, dɛn go aks yu fɔ rɛst fɔ sɔm tɛm bifo yu go na os. Mek shɔ se yu tek kia ɔf dɛn tin ya afta yu dɔn go na os.
| Wetin yu go fil afta di tɛst | Wetin yu fɔ/nɔ fɔ du afta yu dɔn go na os |
|---|---|
| Wan filin fɔ diziz fɔ sɔm minit. | Wetin nɔ fɔ du: Nɔ tek mɛrɛsin lɛk aspirin fɔ 24 awa. Nɔ was fɔ at le 24 awa. Nɔ mek di wund wet. |
| Smɔl tin we de mek yu swɛt na di leg ɔ fut na di sayd usay dɛn put di nidul. | Wetin fɔ du:Lɛf di plasta pan di wund fɔ 24 awa. If di wund de blɔd, prɛs am dɔŋ wit klin klos. |
| Smɔl brus ɛn pen bin de fɔ sɔm dez usay dɛn put di nidul. | Wetin fɔ du: Aks yu dɔktɔ fɔ stat bak di blɔd tin dɛn we yu bin dɔn stɔp fɔ tek. |
Ustɛm a go gɛt di ripɔt? Wetin i se?
di bon mכro sεmpl we dεn tek frכm yu, dεn go sεnd am to lab fכ mek wan spεshal man we de du histopathology egzamin am. Dis go min fɔ yuz di tɛst we dɛn bin dɔn du trade lɛk fɔ kɔnt ɔl di blɔd (CBC) ɛn fɔ smɛl blɔd .
I kin tek sɔm dez ɔ ivin pas wan wik fɔ mek di ripɔt kam. We yu dɔn gɛt am, di dɔktɔ go ɛksplen to yu wetin de insay ɛn wetin fɔ du nɛks.
- Yu kin kɔnfɔm if yu gɛt sik ɔ yu nɔ gɛt am.
- If sik de, dɛn kin no aw i siriɔs (advans) i bi.
- Yu kin si aw di tritmɛnt kin wok fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Bone Marrow Examination na wan rili impɔtant tɛst fɔ no sik dɛn we gɛt fɔ du wit di blɔd ɛn bon marrow.
- De pen wae yu kin fil du dis na fɔ shɔt tɛm. Dat min se i kin jɔs las fɔ sɔm sɛkɔn dɛn. So nɔ fred we yu nɔ nid fɔ fred.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt ɛn ɛni mɛrɛsin we yu de tek fɔ mek yu blɔd tan bifo yu du di tɛst.
- Afta yu dɔn du di ɛgzam, fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ we i kam pan aw fɔ kip di wund klin ɛn tek mɛrɛsin.
- Fil fri fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt di tɛst ripɔt.
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