I doctor-in bone marrow test nei tura a tih che chuan i hlau deuh mai thei, a dik em? Bone marrow test hi thil lian tak, hrehawm tak a ni dawn tih ngaihtuah chu thil pangngai tak a ni. Mahse a takah chuan hlauh tur a ni lo. Natna tam tak hriatchhuahna atana pui thei test hman tlanglawn tak a ni. He test hi eng nge a nih, engvangin nge tih leh engtin nge a tih tih hi han thlir ila.
He ruhro leh he test hi eng nge ni tak tak?
A hmasain ruhro (bone marrow) chu eng nge a nih kan en ang u. Kan taksa ruh lian tak tak (entir nan, hip ruh) chhunga tissue nem tak, spongy ang maia awm angin ngaihtuah rawh. Chu chu bone marrow kan tih chu a ni. Hei hi kan taksa tana thil pawimawh tak tak , thisen sen, thisen var, leh platelet siamna factory lian ber a ni. Factory ang mai a ni.
Tunah chuan, a takah chuan he bone marrow test-ah hian procedure pahnih tih dun a awm a. Heng kalphung pahnih hi kan han belhkhawm chuan "Bone Marrow Examination" kan ti a.
1. Bone Marrow Aspiration : A awlsam zawngin sawi ila, hei hian i ruhro (bone marrow) a liquid part sample te tak te chu needle te tak te hmanga lak a huam a ni.
2. Bone Marrow Biopsy: Hetah hian ruhro (bone marrow) a solid, lump ang chi sample te tak te chu needle lian deuh hmangin lak a ni.
Heng sample pahnih hi i hip bone hnunglam atanga lak a ni tlangpui. Heng sample pahnih hi enfiah hian i doctor chuan i thisen siam danah harsatna a awm leh awm loh a hre thei ang.
Engvangin nge he test hi ti turin min tih?
Okay, tunah chuan, "Engvangin nge hetiang hi ka tih duh ang?" I doctor hian he test hi a order theih chhan hrang hrang a awm. I natna lan chhuah dan leh thisen test hmasa result-ah a innghat.
| Test neih chhan | A sawifiahna awlsam tak |
|---|---|
| Thisen emaw ruhro emaw natna hriat chian nan | Cancer natna, leukemia, lymphoma, emaw thisen siamna lama harsatna (e.g., aplastic anemia) emaw a awm leh awm loh chiang takin zawng rawh. |
| Natna pakhat dinhmun hriat chian nan | Natna hmuhchhuah tawh chu ruhroah eng chen nge a darh tih chiang takin en rawh. |
| Enkawlna hlawhtlinna tehna atan | Damdawi pek hmangin natna a ṭhat leh ṭhat loh leh ruhro a ṭhat leh ṭhat loh finfiah rawh. |
| Taksa chhunga iron level enfiah nan | A châng chuan he test hian thisenah iron awm zat dik tak hriat theihna a siam ṭhin. |
| A chhan hriat loh khawsik zir chian | A châng chuan ruhro (bone marrow infection) vangin khawsik chhunzawm zel a awm thei bawk. Hei hian chu chu diagnose turin a pui thei a ni. |
He test atan hian engtin nge ka inbuatsaih ang?
Hemi atana inbuatsaih tur bik a awm lo a, mahse doctor hnena i hrilh tur pawimawh tak tak tlemte a awm.
- Allergy i neih chuan min hrilh ngei ang. Entir nan:
- Chlorhexidine, hliam tifaitu a ni.
- Local anesthetic injection hmanga tihdam theih a ni.
- Rubber chi khat latex an tih (glove thenkhat chu hei atanga siam a ni).
- Plaster ang chi adhesives te tan.
- Tin, thisen tithianghlimtu (e.g. Aspirin, Clopidogrel, Warfarin) i ei a nih chuan i doctor hnenah hrilh hmasak phawt ang che. Test hma ni engzat nge chutiang damdawi te chu i ei loh tur tih a hrilh ang che.
Test neih chhung hian eng nge thleng?
Okay, tunah chuan he procedure chhung hian eng nge thleng tih kan en ang. Ngaihtuah buai suh, step tin kan hrilhfiah ang che. Hei hian minute 10-15 vel a awh tlangpui. A tih zawng zawng hi minute 30 vel a ni.
1. Pakhatnaah chuan khumah i mut tir ang che, i pumah emaw, i sir lamah emaw.
2. Tichuan medical staff te chuan i thisen sang, heart rate, leh temperature te chu engkim a normal em tih an enfiah ang.
3. A dawtah chuan needle dahna tur hmun (hip ruh hnunglam) chu antiseptic solution hmangin uluk takin silfai a ni.
4. Tichuan injection te tak te hmangin a hmun chu numb turin an pe a . Hei hi pek a nih hian kangmei chhuak tlem i nei thei. Tichuan, chu hmun chu a tingle ang a, ha lak chhuah hmaa i hmui a lo hring chhuak ang maiin.
5. Tunah chuan duhthusam chu a zo ta. Doctor chuan ruh chhungah hian needle te tak te a thun a. Pressure tlem i nei ang. Tichuan ruhro tui tlemte chu syringe hmangin an la chhuak leh thin. Hetih lai hian second engemaw zat chhung chu na tlem emaw, i ke hnuai lam panna emaw i nei thei a ni . Hei hi a bo thuai ang.
6. A dawt leh chu biopsy a ni . Chumi atan chuan needle lian deuh deuh hman a ni. Hei pawh hi a hma ang bawka dah luh a ni. Hei hian ruhro (bone marrow) a thuk ber atanga a tlem ber a la a ni. Hetih lai hian pinch i nei thei bawk.
7. Hnathawh zawh a nih chuan a zung dahna hmunah hian bandage te tak te an hnawih thin.
He natna hi second tlemte chauh a awm. Chuvangin lungngai suh. Doctor leh nurse te chu tanpui turin an awm reng a ni. Thâwk la la, thlamuang taka awm tum ang che.
Test zawhah eng nge thleng?
Test zawh hnu chuan in lama haw hmain rei vak lo chawl turin an ti ang che. In lama i haw hnuah heng thilte hi i ngaihtuah chiang hle ang.
| Test hnua i hriat theih dan tur | In haw hnua i tih tur/tih loh tur |
|---|---|
| Minute tlemte chhung chu luak chhuak ang maia awm. | Tih loh tur: Darkar 24 chhung chu aspirin ang damdawi ei loh tur. Darkar 24 tal inbual loh tur. Hliam chu hnim lo turin phal suh. |
| Needle dahna sir lama ke emaw ke emaw a tingling deuh. | Eng nge tih tur:Plaster chu hliam chungah darkar 24 chhung dah la. Hliam chu thisen a chhuak a nih chuan puan fai hmangin press down tur a ni. |
| Ni engemaw zat chhung chu needle dahna hmunah chuan hliam leh natna tlem a awm a. | Tih tur: I doctor hnenah thisen tithianghlimtu i ei tawh loh kha restart turin hrilh rawh . |
Engtikah nge report ka dawn ang? Eng nge a sawi?
I hnen atanga bone marrow sample lak chu lab-ah histopathology lama mithiamte enfiah turin an thawn ang. Hei hian test result hmasa ber, complete blood count (CBC) leh thisen smear te hman a huam ang .
Report a lo thlen theih nan ni engemaw zat emaw, kar khat aia rei emaw pawh a la ngai thei. I dawn veleh doctor chuan a chhunga thil awmte leh a hnua i tih tur chu a hrilhfiah ang che.
- Natna i neih leh neih loh i nemnghet thei.
- Natna a awm chuan engtiang chiahin nge a nasat (advanced) tih hriat theih a ni.
- I tan enkawlna a hlawhtlin zia i hmu thei.
Take-Home Thuchah a ni
- Bone Marrow Examination hi thisen leh bone marrow nena inzawm natna hriat chian nan test pawimawh tak a ni.
- Hemi chhunga i natna hi rei lo te chhung atan a ni. Chu chu second tlemte chauh a daih tihna a ni. Chuvangin a tul lovah hlau suh.
- Test hmain i doctor hnenah allergy i neih leh thisen tihthianghlimna damdawi i ei apiang kha hrilh hmasa phawt ang che .
- Enfiah zawhah doctor thupek dik takin zawm tur a ni a, a bik takin hliam thianghlim taka vawn dan leh damdawi ei chungchangah.
- Test report chungchanga zawhna i neih chuan i doctor hnenah zawt mai rawh.
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