Sɔntin de we nɔ rayt wit yu blɔd ripɔt, ɛn yu bin fil fɔ fred smɔl we di dɔktɔ se yu nid fɔ du ‘bon mɛrɔ tɛst’ fɔ no di rayt tin we mek yu blɔd? Pan ɔl we di wɔd dɛn "bon marrow" kin tan lɛk big ɔpreshɔn, dis nɔto sɔntin fɔ fred fɔ tru. Bɔku tɛm dɛn kin du dis fɔ no di rayt tin bɔt di sik dɛn we kin kam wit blɔd. So, lɛ wi tɔk bɔt dis simpul we tide, di we we go mek ɔl di dawt dɛn we de na yu maynd klia.
Fɔs, lɛ wi si, wetin na bon mɛro?
Fɔ tɔk am simpul wan, bon mɛro na sɔft, spɔnj tisu insay di big bon dɛn na wi bɔdi. I tan lɛk wi blɔd faktri. Na ya yu bɔdi de mek ɔl di tri kayn sɛl dɛn: rɛd blɔd sɛl (we de kɛr ɔksijɛn), wayt blɔd sɛl (we de protɛkt wi frɔm sik), ɛn pletlɛt (we de ɛp fɔ mek blɔd klɔt).
so if sכmtin we nכ nכmal de na di bכdi, dat na if dεn kayn sεl dεm ya dכn dכn, inkrεs, כ if abnכmal sεl dεm fכm, di bεst ples fכ fכn di kכz na fכ egzamin dis "faktri".
Wetin na di difrɛns bitwin aspireshɔn ɛn bayɔpsi?
Yu go mɔs dɔn yɛri dɛn tu wɔd ya. Dɛn tu tin ya na we dɛn fɔ tɛst bon mɛrɔ.
- Bone Marrow Aspiration : Dis involv fכ pul wan sכm sכm sכm pan di likwid pat pan di bon mכro yuz wan olo nidul.
- Bone Marrow Biopsy: Dis involv fɔ pul wan smɔl pat pan di dense, spɔnj tisu na di bon marrow.
Bɔku tɛm, dɔktɔ dɛn kin du dɛn tu tɛst ya di sem tɛm fɔ no di sikman in kɔndishɔn kɔmplit wan.
Wetin mek dɛn de aks yu fɔ tek dis tɛst?
Imajin se yu blɔd tɛst (Full Blood Count) sho se di rɛd sɛl dɛn, wayt sɛl dɛn, ɔ pletlɛt dɛn nɔ bɔku ɔ bɔku. Yu dɔktɔ kin tɛl yu fɔ du dis tɛst fɔ no di rayt tin we de mek yu gɛt am.
dis tεst de sho klia wan if di bon mכro hεlty εn i de mek di bכdi sεl dεm we i nid.
Di tebul dɔŋ ya de sho sɔm pan de sik dɛm wae dɛn kin no wit dis tɛst.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Anemia we nɔ gɛt bɛtɛ blɔd | Di nɔmba fɔ di rɛd blɔd sɛl dɛn na di bɔdi we de go dɔŋ. Dis na fɔ no if di kɔz na prɔblɛm wit di bon mɛro. |
| Lukimiya | Wan kayn blɔd kansa. Fɔ mek wayt blɔd sɛl dɛn we nɔ de wok pasmak. |
| Limfoma we dɛn kɔl Limfoma | Wan kansa we kin apin na di limfatik sistɛm. Fɔ si if i dɔn skata to di bon mɛro. |
| Maylodysplastik sindrom we gɛt di sik | di bon mכro nכ ebul fכ prodyuz hεlty bכdi sεl dεm. |
| Ɛmokromatosis we dɛn kɔl ɛmokromatosis | Ayɔn we pasmak na di bɔdi. |
| Kansa we de skata (Mɛtastasis) . | Fɔ chɛk if kansa frɔm ɔda say dɔn skata to di bon ɔ bon mɛro. |
apat frכm dat, dεn kin yus dis tεst fכ si aw di bon mכro de rεspכnd to tritmεnt dεm we dεn de trit kansa, εn fכ chεk di bכn mכro hεlth bifo εn afta sכmtin lεk bon mכro transplant.
Wetin kin apin bifo ɛn we dɛn de du di tɛst?
Bɔku tɛm, na dɔktɔ we de mɛn kansa, dɔktɔ we de mɛn blɔd, ɔ pɔsin we dɔn gɛt spɛshal trenin fɔ am kin du dis tɛst.
Bifo di tɛst
Bɔrku tɛm, yu kin it ɛn drink nɔrmal wan bifo di tɛst. Bɔt yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin ɛn vaytamɛn dɛn we yu de tek. If yu de tek blɔd thinner , dɛn kin aks yu fɔ stɔp fɔ tek am sɔm dez bifo di tɛst.
Na di tɛm we dɛn de du di tɛst
dis kin bi sכt prכsεs, lεk 10-20 minit.
1. di say we yu de: dεn kin tek di bon mכro sεmpl frכm yu pεlvik bon. Dat min se, frɔm wan say na yu bak, jɔs dɔŋ yu wes.
2. Pripia: Dɛn go put yu pan ɛgzam tebul, ilɛksɛf na yu bɛlɛ ɔ na yu sayd.
3. Numbness: Dis na di tin we impɔtant pas ɔl. So dat yu nɔ go fil ɛni pen, di dɔktɔ go injɛkt wan mɛrɛsin we de mek yu nɔ fil fayn na di say we dɛn put di nidul. So yu go jɔs fil smɔl prɛk. Sɔntɛnde, dɛn kin gi yu mɛrɛsin fɔ mek yu fil fayn smɔl. Dɔn, pan ɔl we yu de no, yu go rili rilaks.
4. Fɔ tek di sampul: Nεks, dεn kin put wan spεshal olo nidul tru di skin insay di hip bon. Dɔn dɛn kin tay sirinj na di nidul ɛn pul smɔl wata we de na di bon mɛro. Dis tɛm ya, yu kin fil lɛk se yu de pul smɔl, ɛn dis kin las fɔ sɔm sɛkɔn.
5. Fɔ dɔn: Afta dɛn dɔn tek di sampul, dɛn kin pul di nidul ɛn put klin bɛnd na di say we dɛn de.
Wetin fɔ ɛkspɛkt afta di tɛst
Yu kin go na os di sem de we dɛn de du di tɛst. Bɔt if dɛn bin gi yu mɛrɛsin fɔ mek yu fil fayn, yu go nid fɔ wet fɔ sɔm tɛm fɔ mek di tin dɛn we di mɛrɛsin go du to yu. Yu go mɔs nid pɔsin fɔ kɛr yu go na os.
I nɔmal fɔ fil sɔm pen na di say we dɛn pank fɔ sɔm dez afta di tɛst. Dis pen kin de wae yu de bɛn bifo ɔr tinap. I nɔmal bak fɔ mek di say we de rawnd di say we dɛn pank am tɔn blu, lɛk smɔl brus.
Yu fɔ kip di say we yu bandej klin ɛn dray fɔ at le 24 awa te yu dɔktɔ tɛl yu fɔ du dat.
Ɛni bad bad tin dɛn de we kin apin to am? Ɛn ustɛm a fɔ kɔl di dɔktɔ?
Dis na jɔs wan tɛst we rili sef , bɔt sɔm prɔblɛm dɛn de we kin apin we nɔ kin apin so ɔltɛm.
- Wan alɛji riakshɔn to di anestetik.
- Blɔd we de kɔmɔt pasmak frɔm di say we dɛn pank am.
- Sik we de prɛd.
Dɛn tin ya nɔ kin apin so ɔltɛm, bɔt if yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya afta yu dɔn du di tɛst, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| Fiva | Di bɔdi in tɛmpracha we de go ɔp. |
| Somtin we de oozing frɔm di say we dɛn pank | Dischaj ɔf pus ɔ ɔda wata. |
| Ebi ebi blɔd we de kɔmɔt | If di bandej wet ɛn blɔd. |
| Swel ɛn rɛd | If di swel ɛn rɛd we de rawnd di wund go bɔku. |
| I kin fil pen bad bad wan | If di pen de go ɔp ɛvride. |
כl di tεm, di rizulεt dεm fכ dis tεst nכto "positiv" כ "negative," we min "gud" כ "bad." Dɛn kin chɛk di sampul ɔnda maykroskɔp na lɛbɔraytri, ɛn dɛn kin gɛt ditayla ripɔt, we gɛt di kayn sɛl dɛn, dɛn saiz, shep, if ɛni sɛl de we nɔmal, ɛn if ɛni sayn de fɔ se i gɛt di sik. Frɔm da ripɔt de, yu dɔktɔ go ɛksplen di nɛks tin dɛn we yu fɔ du ɛn di tritmɛnt we yu nid.
Mɛsej we dɛn kin kɛr go na os
- Fɔ aspireshɔn na di bon mɛro nɔto big ɔpreshɔn. Na impɔtant tɛst fɔ no wetin mek pɔsin gɛt prɔblɛm wit blɔd.
- We yu du dis , di eria go mɔs swɛ so dat yu nɔ go fil ɛni pen. So nɔ fred.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek bifo di tɛst.
- I nɔmal fɔ gɛt sɔm pen ɛn brus fɔ sɔm dez afta di tɛst.
- If yu gɛt sɔm sayn dɛn lɛk fiva, blɔd we de kɔmɔt pasmak, ɔ we de swel , tɛl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ.
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