Sɔntɛm yu dɔktɔ dɔn notis sɔntin we nɔ kɔmɔn na yu blɔd tɛst rizɔlt ɛn i dɔn tɛl yu fɔ mek dɛn tek yu bon mɛro bayɔpsi. Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu yɛri dis nem. "Udat nɔ go fred we dɛn se dɛn de tek wan pis bon?" yu kin de tink. Bɔt we yu dɔn no gud gud wan wetin na dis, wetin mek dɛn du am, ɛn aw dɛn de du am, yu go fil bɔku fridɔm. Lɛ wi tɔk bɔt dis simpul wan ɛn di we we yu go ɔndastand.
Fɔs, lɛ wi si, wetin na bon mɛro?
We wi se "bon marrow," sɔm pipul dɛn kin tink bɔt sɔntin na di bren. Bɔt nɔto so i bi. Fɔ tɔk am simpul wan, bon mכro na di sכft, spכnj tisu insay di big bon dεm na wi bכdi, lεk di hip bon fכ egzampl. Lɛk di sap we de insay tik trɔnk, dɛn kɔl di mɛro we de insay wi bon dɛn bon mɛro.
Dis pat pan di bon mɛrɔ na di men faktri we de mek blɔd na wi bɔdi . Ɔl di tri kayn blɔd sɛl dɛn we impɔtant fɔ wi bɔdi, na ya dɛn de mek am.
- Rεd bכdi sεl dεm: Dis na di sεl dεm we de kכri כksijεn frכm di lכng dεm to di כda pat dεm na di bכdi we wi de blo. Dɛn sɛl dɛn ya impɔtant fɔ mek wi gɛt trɛnk ɛn du wok dɛn fayn fayn wan.
- Wait blɔd sɛl: Lɛk di ami na wi kɔntri, dɛn sɛl ya de protɛkt wi frɔm sik dɛn bay we dɛn de fɛt di smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
- Plɛtlɛt: We yu kɔt smɔl ɛn bigin fɔ blɔd, dɛn pletlɛt ya kin stɔp di blɔd afta sɔm tɛm. Dɛn kin gɛda togɛda fɔ mek blɔd klɔt ɛn sial di wund.
So, wan ɔda pat de na di bon mɛro, we na di wata pat. dis likwid pat gεt di stεm sεl dεm, dat na di nyu bכdi sεl dεm we dεn fכm. Insay Bɔn Mɛro Bayɔpsi, dɛn kin tek di men pat pan di tisu, we tan lɛk spɔnj. Di tɛst we dɛn kin yuz fɔ tek da likwid pat de na in dɛn kɔl Bone Marrow Aspiration . Bɔku tɛm, yu dɔktɔ go du dɛn tu tɛst ya di sem tɛm.
Wetin mek dɔktɔ go tɛl yu fɔ du dis tɛst?
Imajin se, if yu tink se sɔntin nɔ rayt na motoka in injin, wetin mɛkanik kin du na fɔ opin di bɔnet ɛn chɛk di injin gud gud wan. Semweso, if blɔd ripɔt sho se sɔntin nɔ de apin to wi blɔd, di dɔktɔ nid fɔ go dip dip wan insay di blɔd faktri, dat na di bon mɛro, fɔ si wetin na di rial prɔblɛm.
Dɛn kin du dis tɛst mɔ fɔ tri rizin dɛn:
- Fɔ no ɔ kɔnfirm se yu gɛt sik: If yu blɔd tɛst sho se di rɛd blɔd sɛl, wayt blɔd sɛl, ɔ pletlɛt nɔ bɔku ɔ bɔku, dis tɛst kin ɛp fɔ no wetin mek yu gɛt am. Dis impɔtant fɔ no sɔm sik dɛn we gɛt fɔ du wit blɔd, kansa, ɛn fiva we dɛn nɔ ebul fɔ ɛksplen.
- Fɔ no di stej we kansa gɛt:We dɛn dɔn no se pɔsin gɛt kansa, dɛn kin no di stej we di kansa gɛt fɔ no aw fa i dɔn skata na in bɔdi. Dɛn kin yuz dis tɛst fɔ no if di kansa dɔn skata to di bon mɛrɔ.
- Fɔ si aw di bɔdi de du di tritmɛnt: Dɔktɔ dɛn kin yuz dis tɛst bak fɔ si if di tritmɛnt dɔn wok fayn ɛn if di bon mɛro dɔn bigin fɔ mek blɔd sɛl dɛn we gɛt wɛlbɔdi bak, mɔ pan pɔsin we de du tritmɛnt fɔ sik dɛn lɛk kansa.
Us sik dɛn kin no wit dis tɛst?
Bɔn mɛro tɛst kin no bɔku tin dɛn we di blɔd sɛl dɛn nɔ kin bɔku ɔ bɔku. I impɔtant bak fɔ no bɔt kansa we de afɛkt di blɔd ɔ bon mɛrɔ.
| Kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Anemia we nɔ gɛt bɛtɛ blɔd | Nɔ gɛt inɔf rɛd blɔd sɛl fɔ kɛr ɔksijɛn go ɔlsay na di bɔdi. |
| Aplastik anemia we dɛn kin gɛt | di bon mכro nכ kin ebul fכ prodyuz inof pan כl di tri kayn bכdi sεl dεm (rεd, wayt, εn pletlεt). |
| Lukopenia ɛn Lukosaytɔsis | Di wayt blɔd sɛl dɛn we de dɔŋ ɔ we de bɔku. |
| Trombosaytopenia ɛn Trombosaytosis | Di pletlɛt dɛn we dɛn kin gɛt kin go dɔŋ ɔ we kin bɔku. |
| Lukimiya | Wan kansa we de na di blɔd sɛl dɛn, mɔ di wayt blɔd sɛl dɛn. |
| Limfoma we dɛn kɔl Limfoma | Wan kansa we kin apin na di limfatik sistɛm. Dis kin afɛkt di blɔd sɛl dɛn bak. |
| Bɔku bɔku mayloma | Wan kansa we kin afɛkt di plasma sɛl dɛn, we na wan kayn wayt blɔd sɛl. |
| Sɛkɔndari kansa dɛn | Kansa we bigin ɔdasay, lɛk di bɔdi ɔ di lɔng, kin go na di bon mɛro. |
Aw yu fɔ pripia bifo di tɛst?
Dis nɔto big ɔpreshɔn, so nid nɔ de fɔ pripia tumɔs. Bɔt i impɔtant fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du.
- If dɛn gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks we yu de du di tɛst, dɛn kin aks yu fɔ fast (nɔ fɔ it ɔ drink) fɔ sɔm awa bifo di tɛst.
- If dɛn gi yu dis kayn mɛrɛsin, yu nɔ go ebul fɔ drayv afta di tɛst, so arenj fɔ mek pɔsin kɛr yu go na os bifo tɛm .
- Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ ɔltin bɔt yusɛf.
Mek shɔ se yu tɔk bɔt dɛn tin ya wit yu dɔktɔ:
* If yu gɛt wan sik we de mek yu blɔd de kɔmɔt (e.g. ɛmofilia) .
* Tɛl wi bɔt ɛni mɛrɛsin we yu de tek, mɔ if yu de tek tin dɛn we de mek yu blɔd tan (e.g., anticoagulants , aspirin).
* Bɔt ɛni vaytamɛn ɛn sɔpɔtmɛnt we yu de tek.
* Ɛni mɛrɛsin alɛji we yu go gɛt.
* Tɛl wi bak if yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ.
Wetin kin apin we dɛn de du di tɛst?
Dɛn kin du dis tɛst na ɔspitul ɔ klinik. Di wan ol tin we dɛn kin du kin tek lɛk 30 minit so . Yu kin no, bɔt di say we dɛn de tɛst dɔn numb (local anesthesia), so yu nɔ go fil bɔku pen.
Na di step dɛn we kin apin:
1. Fɔs, dɛn go put yu pan ɔspitul gɔn. Dɔn, dɛn go mek yu ledɔm na bed. כltεm, dεn kin du dis tεst na di bak pat pan di hip bon (`posterior iliac crest`), so dεn go tכn yu pan yu bεlε כ sayd εn mek yu ledɔm.
2. Neks, di dɔktɔ ɔ wan nɔs we dɛn dɔn tren go klin di say we dɛn fɔ chɛk gud gud wan wit wan antiseptik sɔlvushɔn. Dɔn , dɛn go yuz wan rili fayn nidul fɔ injɛkt wan tin we de mek pɔsin nɔ fil fayn ɔnda di skin te i rich di bon in fes.
3. Afta yu dɔn numb, di dɔktɔ go mek smɔl say na yu skin ɛn put spɛshal nidul insay di bon. Fɔs, dɛn kin tay sirinj ɛn pul smɔl pan di wata. Dɛn kɔl dis bon mɛro aspireshɔn .
4. Dɔn, dɛn kin put ɔda nidul we gɛt ol insay ɛn tek wan smɔl pat pan di spɔnj tisu we tan lɛk silinda. Dɛn kɔl dis kɔr bayɔpsi .
5. Afta dɛn dɔn tek di sampul, dɛn kin pul di nidul, dɛn kin prɛs am fɔ sɔm tɛm fɔ mek di blɔd nɔ kɔmɔt, ɛn dɛn kin put plasta ɔ bandej.
Dɛn kin sɛn di sampul we dɛn tek na di lab fɔ mek dɛn tɛst am.
Yu tink se dis kin rili at fɔ du dat?
Dis na di big kwɛstyɔn we de na ɔlman in maynd. Mek wi bi ɔnɛs. Bikɔs di skin kin swɛla, yu nɔ kin fil se dɛn kɔt di skin ɔ put di nidul insay di skin.
Bɔt we dɛn drɔ di wata pat (aspiration) wit di sirinj, yu kin fil shap pen fɔ sɔm sɛkɔn . כlso, we dεn tek di sכlid tisu pat (bayopsi), yu kin fil tayt כ pul difrεnt biכs di bon nכ kin sכm. Dis nɔto pen we pɔsin nɔ go ebul fɔ bia, bɔt i nɔ kin fil fayn.
If yu de wɔri bɔt pen, tɔk to yu dɔktɔ bifo yu du di tɛst. I kin gi yu mɛrɛsin fɔ ɛp yu fɔ rilaks ɛn ridyus di pen.
Wetin yu kin du afta di tɛst?
Yu kin go na os di sem de. If dɛn gi yu mɛrɛsin fɔ mek yu at kol, sɔmbɔdi fɔ drayv yu go na os. Fɔ fala dɛn step ya afta yu dɔn go na os.
- Sɔm pen kin de fɔ wan ɔ tu dez usay dɛn du di tɛst. Tek wan mɛrɛsin we de mek yu fil pen lɛk aw di dɔktɔ tɛl yu fɔ tek am.
- Nɔ du tin dɛn we de mek yu tranga lɛk fɔ du ɛksɛsayz ɛn fɔ es yu wet fɔ at le 24 awa .
- Kip di say we di wund de mek wata nɔ go insay fɔ 24 awa . Dis min se yu fɔ kɔba di say we yu de was.
Sayd ɛfɛkt (risks) ɛn ustɛm fɔ tɔk to yu dɔktɔ
Siriɔs kɔmplikeshɔn dɛn afta dis tɛst nɔ kin bɔku . Sɔntɛnde, blɔd kin kɔmɔt pasmak ɔ infekshɔn, bɔt bɔku tɛm dɛn kin ebul fɔ kɔntrol dɛn tin ya.
Bɔt if yu gɛt ɛni wan pan dɛn sayn ya, .Kɔl yu dɔktɔ wantɛm wantɛm .
| If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| 🩸 | Blɔd pasmak ɔ ɔda wata we kɔmɔt na di say we dɛn de tɛst am. |
| swɛlin_aykɔn | Swɛlin na di say we dɛn du di ɛgzam. |
| 🔴 we yu de yuz | Rɛdnɛs (espɛshali if i tan lɛk se di rɛdnɛs de skata). |
| 🌡️ | Fiva ɔ pen we de wɔs instead fɔ bɛtɛ . |
Wetin kin apin afta di ripɔt?
Wan dɔktɔ we de mɛn sik dɛn , we na dɔktɔ we spɛshal fɔ tɛst di tisu dɛn, kin chɛk yu bon mɛrɔ sɛmpul ɔnda maykroskɔp ɛn mek wan ripɔt.
Dɔn yu dɔktɔ go luk di ripɔt ɛn ɛksplen am to yu insay simpul wɔd dɛn. Di tin dɛn we go apin go sho wetin fɔ du nɛks. Dɛn kin kɔnfirm fɔ no if yu gɛt di sik, ɔda fɔ mek dɛn du mɔ tɛst, ɔr kin bigin fɔ trit yu ɔr chenj di tritmɛnt wae yu de tek naw.
Di tin we impɔtant pas ɔl na fɔ ɔndastand gud gud wan wetin di ripɔt se ɛn aw i kin afɛkt yu wɛlbɔdi bay we yu lisin to yu dɔktɔ. Nɔ shek fɔ aks ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Bone Marrow Biopsy na wan rili impɔtant ɛn kɔmɔn tɛst we dɛn kin yuz fɔ no if pɔsin gɛt blɔd ɛn bon mɛro sik.
- Na nɔmal tin fɔ mek yu fil fred we yu yɛri dis nem. Bɔt we yu dɔn lan bɔt aw i kin apin, di fred we de na yu at kin dɔn bɔku pan am.
- Dɛn kin du di tɛst wit wan tin we de mek yu nɔ fil fayn na di say we yu de, so no pen nɔ de we yu nɔ go ebul fɔ bia, bɔt yu kin fil sɔm kayn prɔblɛm.
- Di pɔtnɛshɛl fɔ siriɔs sayd ɛfɛkt frɔm dis tɛst rili smɔl.
- Tɔk wit yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, fred, ɔ tin we de mɔna yu bifo ɛn afta di tɛst. I go ebul fɔ ɛp yu.
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