I thisen report-a thil danglam tak i hmuh a, doctor-in, "Ruh ruh hi han en ila?" "Aw, bone marrow aspiration i tihna em ni? A na lutuk ang em? Engvangin nge hetiang hi tih a nih?" i rilruah lo kal turin. Mahse, hlau suh. Vawiin hian he test Bone Marrow Aspiration tih hi awlsam takin kan sawi dawn a, chu chuan i rilru a zawhna zawng zawng a chhang vek ang.
A awlsam zawngin, Bone Marrow Aspiration chu eng nge ni?
A awlsam khawp mai. I ruh chhungah emaw, i ruh lian tak tak karah emaw, tissue nem, spongy ang maia awm leh tui a awm a. Hei hi bone marrow kan ti a . I taksa mamawh cell zawng zawng, thisen sen, thisen var, leh platelet te hi he ruhroah hian siam vek a ni. Chuvangin thisen siamna hmun ang mai a ni.
Bone Marrow Aspiration hi specialist (a tam zawkah chuan hematologist emaw oncologist emaw) chuan needle te tak te, hollow tak hmangin i bone marrow liquid part sample te tak te chu a la chhuak thin. He sample hi laboratory-ah microscope hmangin enfiah a ni a, thil dik lo awm leh awm loh enfiah a ni.
Hei hi operation lian tak a ni tak tak lo. I thisen lama harsatna thlentu dik tak hriat theihna tur diagnostic test pawimawh tak mai a ni.
Engvangin nge doctor hian he test hi ti turin a tih che?
A tlangpuiin, i thisen test result-ah sawifiah theih loha inthlak danglamna (Full Blood Count ang chi) a awm chuan, he test hi a chhan dik tak hriat nan tih a ni. A chhan hrang hrang a awm thei.
| Test neihna tura referral chhan ber | A sawifiahna awlsam tak |
|---|---|
| Thisen cancer i rinhlelh chuan | He test hi leukemia, lymphoma, myeloma ang chi natna hriat theihna atan a pawimawh hle. |
| Thisen lama harsatna dangte hriatchhuah | Anemia sawifiah theih loh, taksaa iron level sang, leh white blood cell emaw platelet count dik lo emaw sang emaw ang chi dinhmun zawng rawh. |
| Hri kai hriat loh | A chang chuan he test hian taksaa hun rei tak chhung khawsik emaw, natna hrik emaw awm chhan hriatchhuah nan a pui bawk. |
| Enkawlna avanga chhanna tehfung | Miin thisen cancer enkawlna a dawng tawh a nih chuan he test hi tih a ni bawk a, a enkawlna chu a hlawhtling em tih hriat theih a ni. |
Test hmain engtin nge ka inbuatsaih ang?
Hei hian inbuatsaihna tam tak a mamawh lo a, mahse thil tlemte hriat chian a pawimawh.
- I doctor hnenah inhawng takin awm rawh: I damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah hrilh rawh. Damdawi thenkhat, thisen tithianghlimtu ang chi, test hma ni engemaw zat ei khap turin an ti mai thei che.
- I hlau a nih chuan sawi zak suh: Mi tam tak chuan he test hi tlem an hlau emaw, an lungkham deuh emaw a ni. Chu chu thil pangngai a ni. Chutianga i hriat chuan i doctor hnenah hrilh rawh. Damdawi an pe thei che a, i rilru tih hahdam nan leh i rilru hahdamna tur a ni.
- Mi rawn hruai rawh: Sedation pek i nih chuan test zawhah lirthei khalh a tha lo. Chuvangin in lama lirthei khalhtu tur mi hruai tel a tha ber.
Test neih chhung hian eng nge thleng tak tak?
A kalphung zawng zawng hi minute 30-45 vel chauh a ni. Chumi ni vek chuan i haw thei bawk. Eng thil nge thleng tih hi step by step-in han thlir ila.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Inbuatsaihna | I thisen sang leh pulse a teh ang. Exam table-ah chuan i pum emaw, i sir emaw-ah pawh hmun nuam takah dah i ni ang. |
| 2. Numbness tih hi a ni | He sample hi hip ruh hnunglam atanga lak a ni tlangpui. Chuvang chuan chu lai hmuna vun chu uluk taka silfai a, local anesthetic inject a, a numb theih nan. Hetih lai hian, i zang chu rulhut-in a seh ang maiin, kang tlem i nei thei. |
| 3. Needle dah luh | Anesthesia an pek hnuah doctor chuan vunah hian incision te tak te a siam a, pelvic bone-ah hian special needle a dah a. Hei hi i hre lo ang a, a chhan chu a numb vang a ni. |
| 4. Sample lak dan | A dawtah chuan syringe chu needle-ah an dah a, ruhro atang hian tui tlemte an la chhuak a. Hetih lai hian second engemaw zat chhung chu i hip leh ke hnuaiah pulling emaw shooting pain i nei thei. Mi tam tak chuan hei hi test-a thil nuam lo ber niin an sawi. Mahse hun rei lote chhung chauh a daih. |
| 5. Thiam zawh | Sample lak zawhah chuan needle chu la chhuakin a hmun chu plaster emaw bandage emaw hmangin an khuh a ni. Chu chu a ni. |
Test zawhah eng nge ka hriat tur?
Test zawhah chuan rei vak lo chawl la, in lamah i haw thei tawh ang. Hengte hi rilruah vawng reng ang che.
- Bandage awmna hmun chu darkar 24 tal fai leh vawt taka dah tur a ni . Inbual laiin a hmun chu hnim suh. I medical team chuan bandage hi engtikah nge i lak chhuah dawn tih an hrilh ang che.
- Needle dahna hmunah ni engemaw zat chhung chu hliam leh natna tlem a awm hi thil pangngai a ni. I ben emaw, i che vel emaw hian natna tlem i nei thei.
- Chu hmunah chuan vunah hliam tenau a awm thei. Hei hian kar khat chhungin a mah chauhin a dam ang.
Hei hian risk a nei em?
Bone Marrow Aspiration hi a him hle a . Mahse, damdawi lam thil dang ang bawkin, hlauhawmna engemaw zat a awm a, chu chu a awm tlem hle. Chung zingah chuan:
- Numbing damdawi avanga allergic reaction a awm.
- Thisen chhuak.
- Kaichhawng.
Hengte hi a tlem hle. Amaherawhchu, a hnuaia symptoms te hi i neih chuan i doctor pan nghal tur a ni.
| Damdawi lam thurawn lak nghal tur | |
|---|---|
| Khawsik | Taksa lumna a san chuan infection chhinchhiahna a ni thei. |
| Puncture na hmun atanga thil leak chhuak | Pus ang chi tui dum emaw, sen emaw a chhuak a nih chuan. |
| Thisen chhuak nasa tak a chhuak | Bandage chu a hnim a, thisen a chhuak chhunzawm zel a nih chuan. |
| A hring leh a lumna | Puncture hmun chu khawih a nih chuan hmun dang aiin a hring a, a lum zawk tih a hriat chuan. |
Aspiration leh biopsy hi eng nge a danglamna?
"Bone Marrow Biopsy" tih pawh i hre tawh mai thei. An pahnih hian ruhro enfiahna hmanrua an ni. A danglamna chu a awlsam hle.
- Aspiration: Hei hian ruhro (bone marrow) a liquid portion chu lakchhuah a ni.
- Biopsy: Hei hian ruhro chhunga tissue thuk tak, spongy ang maia awm chu a then lak a ni.
Vawi tam tak chu doctor-te chuan heng test pahnih hi a rualin an ti thin a, a chhan chu chutiang chuan natna chungchang kimchang takin an hmu thei a ni.
Report a thlen theih nan eng chen nge hun a duh?
Sample lak zawh hnu hian test hrang hrang atan thawn a ni. Chuvangin report a thlen theih nan ni engemaw zat atanga kar tlemte thleng a la ngai thei a ni. Doctor-in test chi hrang hrang a dil danah a innghat a ni. Entir nan:
- Flow Cytometry hmanga tih a ni
- FISH (Fluorescence In Situ Hybridization) hmanga siam chhuah a ni.
- Karyotype test a ni
- Next-generation sequencing hmanga siam a ni
Heng hmingte hian hlau suh. Hengte hi i cell-a genetic change te, cancer cell awm dan leh a dangte chipchiar taka zir chianna atana hmanraw hmanlai tunlai hmanraw hman a ni. Report a lo luh veleh i doctor chuan a thusawi, a awmzia leh a hnua i tih tur chu chiang takin a hrilhfiah ang che.
Take-Home Thuchah a ni
- Bone Marrow Aspiration hi surgery lian tak hlauh tur a ni lo. Thisen lama harsatna awm chhan dik tak hriat chian nan test pawimawh tak leh him tak a ni.
- Test neih chhunga i natna leh i rilru hahna hi rei lo te chhung atan a ni. I medical team chuan a enkawl danah an pui ang che.
- I hlauhthawnna emaw, i ngaihtuahna emaw i neih apiang chu i doctor nen tlang taka sawiho chu i dikna a ni.
- He test result hi natna dik tak hriatchhuahna leh a enkawlna tha ber tanna atana hmalakna hmasa ber leh pawimawh ber a ni. Chuvangin hei hi a tha zawngin han en teh.
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