Ɔl wetin yu want fɔ no bɔt Bone Marrow Biopsy!

We yu dɔktɔ tɛl yu se yu nid fɔ tek yu bon mɛro bayɔpsi, yu kin fred smɔl ɛn want fɔ no mɔ, nɔto so? Yu kin gɛt bɔku kwɛstyɔn dɛn lɛk, "Wetin na am? Wetin mek dɛn de du am? I go at?" Nɔ wɔri, insay dis atikul wi go tɔk bɔt ɔl dis na simpul we we yu go ɔndastand.

Wetin na Bɔn Mɛro Bayɔpsi?

Fɔ tɔk am simpul wan, bon mɛro bayɔpsi na spɛshal tɛst we dɛn kin du fɔ no if yu gɛt sik dɛn we gɛt fɔ du wit yu blɔd ɛn yu bon mɛro. Yu bin no se di bon mɛro na di men ples na wi bɔdi usay dɛn de mek blɔd. I tan lɛk faktri. Insay dis tɛst, yu dɔktɔ kin pul wan smɔl sɛmpul, ɔ pat pan dis bon mɛro insay wan pan yu big bon dɛn. Dɔn, wan spɛshal dɔktɔ we dɛn kɔl pathɔlɔjis kin luk dis sampul ɔnda maykroskɔp ɛn chɛk fɔ si if sayn dɛn de fɔ ɛni sik. Dis bon mɛro bayɔpsi impɔtant fɔ no bɔku sik dɛn kɔrɛkt wan, mɔ di sik dɛn we gɛt fɔ du wit blɔd ɛn sɔm kayn kansa.

So, wetin na dis bon marrow?

Imajin, insay di big bon dɛn na wi bɔdi, ɛmti ples de, lɛk di insay pat pan tiub. Insai dat ɛmti ples na wetin dɛn kɔl ``Bone Marrow``. I gɛt tu pat: wan pat we saf, we tan lɛk spɔnj, ɛn wan pat we gɛt wata. dis tisu pat na di bon mכro na in de mek tri tin dεm we implεnt fכ wi bכdi:

• Rɛd blɔd sɛl : Na dɛn sɛl ya de kɛr ɔksijɛn ɔlsay na wi bɔdi. We wi de blo, di ɔksijɛn we de go insay di lɔng dɛn de sheb to ɔl di sɛl dɛn na di bɔdi bay dɛn rɛd blɔd sɛl dɛn ya.
• Wait blɔd sɛl : Lɛk wi bɔdi in difens fɔs, dɛn wayt blɔd sɛl ya de protɛkt wi frɔm jem ɛn infɛkshɔn.
• Plɛtlɛt: Yu no aw yu kin stɔp fɔ blɔd we yu wund? Dɛn pletlɛt ya kin ɛp fɔ du dat. We blɔd vesel brok, dɛn kin gɛda togɛda fɔ mek wan klot ɛn stɔp di blɔd we de kɔmɔt .

di wata we de na di bon mכro gεt stεm sεl dεm , dat na sεl dεm we nכ machכ yet bכt kin bi rεd blכd sεl, wayt blכd sεl, εn pletlεt. כlso, di vaytam in dεm we dεn nid fכ divεlכpmεnt fכ dεn sεl dεm ya de prodyuz insay dis likwid pat. Naw yu go dɔn ɔndastand se we dɛn de du bon mɛro bayɔpsi de chɛk dis pat pan di tisu. Bɔt ɔda tɛst de we dɛn kɔl bon mɛrɔ aspireshɔn , we de chɛk da wata pat de. Bɔrku tɛm, yu dɔktɔ go du dis aspireshɔn di sem tɛm wit di bayɔpsi.

Us tɛm dɔktɔ kin se dɛn fɔ tek bon mɛro bayɔpsi?

Bɔn mɛro bayɔpsi kin gi dɔktɔ dɛn bɔku valyu tin dɛn. Dɛn kin yuz da infɔmeshɔn de fɔ:

• Fɔ no ɔ no if yu gɛt sik: Fɔ ɛgzampul, if yu si se yu blɔd sɛl nɔ de chenj (we tu smɔl ɔ tu bɔku), yu dɔktɔ kin tɛl yu fɔ tek bayɔpsi. Dis kin ɛp fɔ no difrɛn kayn sik, lɛk blɔd prɔblɛm, kansa, fiva we dɛn nɔ ebul fɔ ɛksplen, ɛn infɛkshɔn.
• If yu gɛt kansa, no di stej we i de: Di stej we kansa de na aw fa i dɔn skata ɛn aw i bad. We dɛn tek di bon mɛro bayɔpsi, i kin no if di kansa dɔn skata to di bon mɛro ɔ if wan kansa tɔŋ na di bon mɛro de gro.
• Wach aw di tritmɛnt de go bifo: Sɔntɛnde, dɔktɔ dɛn kin du dis bayɔpsi bak fɔ si aw di tritmɛnt de wok fayn. Fɔ ɛgzampul, pɔsin we de du tritmɛnt fɔ kansa kin mek dɛn du dis tɛst wan wan tɛm fɔ si if in bon mɛrɔ de mek wɛlbɔdi blɔd sɛl dɛn afta dɛn dɔn trit am.

כda tin na dat dεn kin yuz dis bayopsi bak fכ si if dכna na gud mach fכ pכsin we go gεt bon mכro transplant (allogeneic stem cell transplant ). Sɔntɛnde, pɔsin we nɔ gɛt bɛtɛ wɛlbɔdi blɔd sɛl dɛn nid fɔ gɛt wɛlbɔdi stem sɛl dɛn we dɛn transplant frɔm ɔda pɔsin. Fɔ mek dat apin, di sɛl dɛn we di pɔsin we gi di mɔni ɛn di pɔsin we gi am gɛt fɔ mach.

Us sik dɛn kin no wit bon mɛro bayɔpsi?

Dɛn kin du dis bayɔpsi fɔ no di sik dɛn we kin mek di blɔd sɛl dɛn bɔku ɔ smɔl. Dɛn kin yuz am bak fɔ no if yu gɛt kansa we de afɛkt yu blɔd ɔ yu bon mɛrɔ. Na sɔm pan de tin dɛm wae kin mek dis sik:

• Anemia: Na we yu nɔ gɛt bɛtɛ rɛd blɔd sɛl fɔ kɛr ɔksijɛn go ɔlsay na di bɔdi. Wi kin kɔl am bak “ anemia .”
• Aplastic anemia: Na sik we di bon mɛro nɔ ebul fɔ mek inof rɛd blɔd sɛl, wayt blɔd sɛl, ɛn pletlɛt.
• Lukopenia ɛn lukosayt: Na di wayt blɔd sɛl dɛn we rili smɔl (lukopenia) ɔ we rili ay (lukocytosis).
• trombosaytopenia εn trombosaytosis: Na di pletlet kכnt we rili lכw (trombosaytopenia) כ rili hכy (trombosaytosis).
• Polycythemia vera: Dis na wan blɔd kansa we nɔ kin apin so ɔltɛm we di bon mɛro kin mek tumɔs rɛd blɔd sɛl dɛn.
• Lukimia: Na kansa we de na di blɔd sɛl dɛn. I kin mek abnɔmal blɔd sɛl dɛn, mɔ di wayt blɔd sɛl dɛn, fɔm.
• Limfoma: .Kansa we de divεlכp na di limfatik sistεm. Dis kin mek bak di wayt ɛn rɛd blɔd sɛl dɛn nɔ de wok fayn.
• Multiple myeloma: Dis na bak blɔd kansa we nɔ kin apin so ɔltɛm. I kin afɛkt di plasma sɛl dɛn, we na wan kayn wayt blɔd sɛl.
• Sεkכnd kεnsar dεm: Kansa dεm we de stat כdasay na di bכdi (e.g., brεst, lכng) εn afta dat i de spre to sεkכn sayt, lεk di bon mכro.
• Maylofibrosis: insay dis kכndyushכn, di bon mכro de riples wit fayv ska tisu.
• Myelodysplastic syndrome: Dis na bon mכro dizayd we di stεm sεl dεm nכ de machכ fayn fayn wan.

apat frכm dat, dis bayopsi kin εp bak fכ no di kromozom abnכmaliti dεm εn sכm vaytamεn dεm we nכ de. Dɛn tin ya we nɔ de kin mek di bon mɛro mek rɛd blɔd sɛl dɛn we nɔ shep ɔ we big.

Udat de du dis bayɔpsi?

Dis bon mɛro bayɔpsi na dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit blɔd (hematologist) ɔ dɔktɔ we spɛshal pan kansa (oncologist) kin du am .

Aw yu kin rɛdi fɔ dis? Wetin yu nid fɔ du?

Yu dɔktɔ go ɛksplen to yu di tɛst ɛn gi yu instrɔkshɔn bɔt aw fɔ pripia. Fɔ ɛgzampul, if dɛn gi yu mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ slip di de we dɛn de du di tɛst, dɛn kin aks yu fɔ fast di nɛt bifo di tɛst. If na so i bi, yu go nid fɔ arenj fɔ mek sɔmbɔdi drayv yu go na os. Yu dɔktɔ go nid fɔ no yu kɔmplit mɛdikal istri ɛn ɛni mɛrɛsin we yu de tek naw. So, mek shɔ se yu tɛl dɛn bɔt:

• Yu gɛt wan sik we de mek yu blɔd nɔ de klɔt izi wan (lɛk ɛmofilia)?
• Yu de tek ɛni mɛrɛsin (especially anticoagulants ɔ blood thinners)?
• Yu kin tek ɛni vaytamɛn ɔ sɔpɔtmɛnt?
• Yu gɛt ɛni alɛji to ɛni mɛrɛsin?

Dɔn bak, if yu gɛt bɛlɛ, yu fɔ mek di dɔktɔ no. If yu tɛl dɛn ɔl dis bifo tɛm, di mɛdikal tim kin ɛp yu fɔ du dis tɛst sef ɛn fayn fayn wan.

Wetin fɔ ɛkspɛkt we dɛn de du bayɔpsi?

Dɛn kin du bon mɛrɔ bayɔpsi na dɔktɔ in ɔfis ɔ na ɔspitul. Di wan ol tin we dɛn kin du kin tek lɛk 30 minit so.Yu go wek we dɛn de du di tɛst, bɔt dɛn go gi yu lokal anestesia fɔ ɛp yu fɔ fil fayn. Bifo di tɛst, dɛn go gi yu ɔspitul gɔn. Dɛn kin gi yu bak wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks. di step dεm kin go lεk dis: 1. dipכnt pan usay dεn de du di bayopsi, dεn go tכn yu pan yu sayd כ bεlε. כl di bon mכro bayopsi dεm dεn kin du am na di bak pat pan yu hip bon (posterior iliac crest) . 2. Dɔn, yu dɔktɔ go klin di skin we de na di say wit antiseptik ɛn injɛkt wan mɛrɛsin we de mek pɔsin nɔ fil fayn tru di skin te i rich na di bon. 3. Dɛn go mek smɔl say we dɛn kɔt ɛn put spɛshal bayɔpsi nidul insay yu bon. 4. we yu yuz sכm sכm sirinj we dεn tay pan di nidul, dεn de pul sכm wata na yu bon mכro ( di bon mכro aspirashכn we wi bin tכk bכt). 5. Dɔn, dɛn kin put wan nidul we gɛt ol we tan lɛk tiub ɛn pul wan smɔl pat pan di spɔnj tisu we de na di bon mɛro. Dɛn kɔl dis kɔr bayɔpsi . dis na biכs dεn de pul wan silindrכl "kכr" fכ di tisu frכm di nidul. 6. Dɛn kin pul di nidul we gɛt di sampul, dɛn kin prɛs di skin fɔ mek di blɔd nɔ kɔmɔt, ɛn dɛn kin put bandej oba di wund. Dɔn di dɔktɔ kin sɛn di sampul to wan lɛb. Na de, dɛn kin tɛst am fɔ si if i gɛt sayn dɛn we de sho se pɔsin gɛt sik.

Yu tink se dis kin mek pɔsin fil bad?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Fɔ tɔk tru, i kin mek yu nɔ fil fayn smɔl. We yu du di bon mɛrɔ aspireshɔn, we na di tɛm we dɛn tek di wata pat, yu kin fil shap pen we yu de chuk yu . We yu du di kɔr bayɔpsi, we na di tɛm we dɛn tek di tisu pat, yu kin fil pen we nɔ de mek yu fil pen fɔ sɔm tɛm . Bɔt i sɔri fɔ no se di bon nɔ kin ebul fɔ stɔp. So, yu kin fil tin lɛk fɔ pres, push, pul, we nɔ kin izi fɔ yu smɔl.

Bɔt nɔ wɔri. If yu gɛt ɛnitin fɔ wɔri bɔt ɔr kwɛstyɔn bɔt de pen, tɔk to yu dɔktɔ. Dɛn kin gi yu mɛrɛsin fɔ ɛp yu fɔ fil fayn, pan ɔl we dɛn kin mek di say we dɛn de du di bayɔpsi nɔ gɛt bɛtɛ trɛnk.

Wetin kin apin afta dɛn dɔn du di bayɔpsi?

Bɔku tɛm, yu kin go na os di sem de we dɛn de du di tɛst. Bɔt if dɛn gi yu wan mɛrɛsin we de mek yu fil fayn, yu go nid pɔsin fɔ drayv yu go na os. We yu dɔn go na os, yu fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du. Dɛn kin tɔk tin dɛn lɛk:

• If yu gɛt ɛni pen ɔr nɔr fil fayn, tek wan mɛrɛsin wae nɔr gɛt prɛskrishɔn wae yu kin gɛt frɔm di famasi wae yu nɔr gɛt dɔktɔ in prɛskrishɔn.
• Nɔ du ɛksɛsayz ɔ du ebi ebi wok fɔ at le 24 awa.
• Kip di say we di wund de dray fɔ at le 24 awa.

Ɛni risk de we dis kin apin?

infakt, di komplikashכn dεm we kin kכmכt frכm bon mכro bayopsi n כ kin bכku.Bɔt nɔto ɔltɛm, blɔd kin kɔmɔt pasmak ɔ infɛkshɔn kin de na di say we dɛn tek di bayɔpsi. Bɔku tɛm, if yu prɛs di say we yu de, i go stɔp di blɔd. If infekshɔn kam, yu dɔktɔ kin gi yu wan antibayɔtik krim fɔ put am.

Wetin na di tin dɛn we kin apin? Wetin dɛn de tɛl wi?

Wan spɛshal pɔsin we dɛn kɔl pathɔlɔjis de chɛk yu bon mɛro sɛmpul ɔnda maykroskɔp . We yu dɔktɔ gɛt wetin i dɔn fɛn, i go tɔk bɔt am wit yu ɛn tɛl yu wetin fɔ du nɛks. Dipen pan yu rizɔlt, yu dɔktɔ kin kɔnfirm se yu gɛt di sik, ɔda fɔ mek dɛn du mɔ tɛst, ɔ tɛl yu fɔ gi yu tritmɛnt, ɔ chenj di tritmɛnt we yu de gi yu naw. Di tin we impɔtant pas ɔl na fɔ aks yu dɔktɔ wetin yu rizɔlt min fɔ yu. Bikɔs ɔlman in prɔblɛm difrɛn, yu dɔktɔ na di bɛst pɔsin fɔ no gud gud wan wetin yu rizɔlt min.

Ustɛm yu fɔ go to dɔktɔ kwik kwik wan?

If yu gɛt ɛni sayn fɔ kɔmplikeshɔn afta di tɛst, go to yu dɔktɔ wantɛm wantɛm. Dɛn kayn sayn ya na:

• If blɔd de kɔmɔt pasmak ɔ wata de kɔmɔt na di say we dɛn tek di bayɔpsi.
• If swɛlin de usay dɛn du di bayɔpsi.
• di eria de rεd (especially if di rεd de spre).
• If yu gɛt fiva ɔ di pen de wɔs .

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

If yu gɛt sayn fɔ blɔd sik ɔ ɔda tin we de afɛkt di bon mɛrɔ, i kɔmɔn fɔ mek dɛn tek yu bon mɛrɔ bayɔpsi. If yu gɛt ɛni patikyula kwɛstyɔn bɔt dis tɛst ɔ yu de wɔri bɔt di tin dɛn we yu kin fil we yu de du di bayɔpsi, tɔk to yu dɔktɔ. Dɛn kin gi yu mɛrɛsin fɔ mɛn yu pen fɔ ɛp yu fɔ fil fayn ɛn rilaks. Dɛn kin ɛksplen to yu bak ɛni step fɔ di tɛst. Dis go ɛp yu fɔ no mɔ ɛn gɛt kɔnfidɛns we yu de du yu bayɔpsi. Fɔ kia fɔ yu wɛlbɔdi na di tin we impɔtant pas ɔl, so nɔ fred fɔ go to dɔktɔ.

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