Bone Marrow Biopsy chungchanga hriat duh zawng zawng!

I doctor-in bone marrow biopsy neih a ngai tih a hrilh che chuan i hlauthawng deuh mai thei a, i hriat duh pawh a ni thei, a dik em? Zawhna tam tak i nei mai thei, "Eng nge ni? Engvangin nge tih a nih? A pawi ang em?" Ngaihtuah buai suh, he thuziak ah hian i hriatthiam theih tur awlsam takin kan sawi vek ang.

Bone Marrow Biopsy tih hi eng nge ni?

A awlsam zawngin sawi ila, bone marrow biopsy hi i thisen leh ruhro nena inzawm natna hriat theihna atana test bik a ni. Kan taksaa thisen siamna hmunpui ber chu ruhro (bone marrow) a ni tih i hria em. Factory ang mai a ni. He test-ah hian i doctor chuan i ruh lian tak pakhat chhung atang hian he ruhro sample te tak te, a nih loh leh a then emaw a la chhuak thin. Tichuan, specialist doctor pakhat pathologist tia koh chuan he sample hi microscope hmangin a en a, eng natna pawh a awm tih a enfiah thin. He bone marrow biopsy hi natna tam tak, a bik takin thisen kaihhnawih natna leh cancer chi thenkhatte dik taka hriat theih nan a pawimawh hle.

Chuti a nih chuan, he ruhro hi eng nge ni?

Ngaihtuah teh, kan taksa ruh lian tak tak chhungah hian hmun ruak, tube chhung ang maia awm a ni. Chu hmun ruak chhungah chuan ``Bone Marrow`` an tih chu a awm a. A ṭhen hnih a awm a, chungte chu tissue nêm, spongy ang deuh leh tui lam a ni. He ruhro chhunga tissue part hi kan taksa tana thil pawimawh pathum siamtu a ni a, chungte chu:

• Red blood cells : Hei hi kan taksa pum puia oxygen phurtu cell te an ni. Kan thaw chhuah hian lung chhunga oxygen lut chu heng thisen sen (red blood cells) te hian taksa cell tinah a sem darh vek a ni.
• Thisen var : Kan taksa venhimna chakna ang bawkin heng thisen var te hian natna hrik leh natna hrik lakah min venghim a ni.
• Platelets: I hliam laia thisen chhuah i tihtawp dan i hria em? Chumi atan chuan heng platelet te hian an pui thin. Thisen kalna kawng a chhiat chuan an inzawm khawm a, thisen zam a siam a, thisen chhuahna chu a titawp .

Bone marrow-a liquid part-ah hian stem cells , chu chu cell puitling lo mahse thisen sen, thisen var, leh platelet lo ni thei cell a awm a ni. Tin, heng cell te lo thanglian tur hian vitamin mamawh te hi he liquid part ah hian siam chhuah a ni bawk. Tunah chuan bone marrow biopsy hmangin he tissue hmun hi a enfiah tih i hrethiam tawh mai thei. Mahse, test dang , bone marrow aspiration , tih a awm a, chu chuan chu liquid part chu a enfiah a ni. A tam zawkah chuan i doctor hian he aspiration hi biopsy neih rualin a ti ang.

Engtik laiin nge doctor chuan bone marrow biopsy neih a rawt?

Bone marrow biopsy hian doctor-te hnenah thu hlu tak tak a pe thei a ni. Chu thu chu hetiang hian an hmang a ni:

• Damdawi lam dinhmun tehna emaw, hriat chian emaw: Entirnan, thisen sample-a thisen cell awm zat inthlak danglamna (a hniam lutuk emaw, sang lutuk emaw) i hmuh chuan i doctor chuan biopsy neih a rawt thei ang. Hei hian thil tam tak hriatchhuahna kawngah a pui thei a, chung zingah chuan thisen kaihhnawih natna te, cancer te, sawifiah theih loh khawsik te, leh hri kai te pawh a tel.
• Cancer i vei chuan a stage chu ruat rawh: Cancer stage chu a darh zau zia leh a nasat dan a ni. Bone marrow biopsy hmangin cancer chu ruhroah a darh tawh em tih emaw, ruhroah cancer natna a lo thang lian em tih emaw a hriat theih.
• Enkawlna kal zel dan enfiah: A châng chuan, doctor-te pawhin he biopsy hi an ti bawk a, enkawlna hian engtiang chiahin nge a thawh ṭhat tih an en a ni. Entirnan, cancer enkawl mek mi pakhat chuan he test hi a hun hunah a tihsak thei a, a enkawl hnuah a ruhro hian thisen cell hrisel a siam chhuak em tih a enfiah thei a ni.

Thil dang pakhat chu he biopsy hi donor pakhat chu bone marrow transplant (allogeneic stem cell transplant ) nei tur tan chuan a inmil tha em tih hriat nan pawh hman a ni. A chang chuan thisen hrisel level hniam tak nei chuan mi dang atanga stem cell hrisel tak tak thlak a ngai thin. Chutiang a nih theih nan chuan a petu leh a dawngtu cell te chu a inmil tur a ni.

Bone marrow biopsy hmangin eng natna nge hriat theih?

He biopsy hi thisen cell tam lutuk emaw, tlem lutuk emaw thlentu dinhmun hriat nan an ti tlangpui. I thisen emaw ruhro emaw nghawng thei cancer hriat nan pawh hman a ni. Hei hi a thlen theihna tur condition thenkhat chu hetiang hi a ni:

• Anemia: Taksa pum puia oxygen phur thei tur thisen sen (red blood cells) tling tawk lo. " Anemia " kan ti bawk.
• Aplastic anemia: Ruhroin thisen sen, thisen var leh platelet a siam chhuah tlem theihna dinhmun a ni.
• Leukopenia leh leukocytosis: Thisen var zat hniam tak (leukopenia) emaw sang lutuk (leukocytosis) emaw a ni.
• Thrombocytopenia leh thrombocytosis: Platelet count hniam tak (thrombocytopenia) emaw sang lutuk (thrombocytosis) emaw a ni.
• Polycythemia vera: Hei hi thisen cancer hmuh tur awm lo tak a ni a, ruhro hian thisen sen tam lutuk a siam chhuak thin.
• Leukemia: Thisen cell cancer a ni. Thisen cell pangngai lo, a bik takin thisen var (white blood cells) a siam thei a ni.
• Lymphoma natna: 1.1.Lymphatic system-a cancer lo awm thin. Hei hian thisen var leh thisen sen zat pawh a tidanglam thei bawk.
• Multiple myeloma: Hei hi thisen cancer hmuh tur awm lo tak a ni bawk. Thisen var chi khat plasma cell a nghawng a ni.
• Secondary cancers: Taksa hmun dangah (e.g., hnute, lung) atanga tan a, hmun hnihna, ruhro (bone marrow)-a darh thei cancer.
• Myelofibrosis: Hetiang dinhmunah hian ruhro chu fibrous scar tissue-in a thlak a.
• Myelodysplastic syndrome: Hei hi ruhro (bone marrow disorder) a ni a, stem cells te chu a puitling tha tawk lo.

Tin, he biopsy hian chromosome dik lo leh vitamin tlakchhamna thenkhat hriatchhuahna kawngah pawh a pui thei bawk. Heng tlakchhamnate hian ruhro (bone marrow) hian thisen sen (red blood cell) pianzia danglam emaw, lian zawk emaw a siam thei a ni.

He biopsy hi tuin nge ti?

He bone marrow biopsy hi thisen kaihhnawih natna lama tui doctor (hematologist) emaw cancer lama tui doctor (oncologist) emaw chuan a ti tlangpui a ni.

Hemi atan hian engtin nge i inbuatsaih? Eng nge i tih ngai?

I doctor chuan test chungchang a hrilhfiah ang che a, inbuatsaih dan tur a hrilh ang che. Entirnan, test ni-a i mut theih nan sedative pek i nih chuan test hma zanah chaw nghei turin an ti mai thei. Chutiang chu a nih chuan, mi pakhatin in lama hruai tur che chu i ruahman a ngai ang. I doctor chuan i medical history kimchang leh tuna i damdawi ei mek zawng zawng a hriat a ngai ang. Chuvangin, hetiang hi hrilh ngei ang che:

• I thisen chu awlsam taka a inzawm lohna tur (hemophilia ang chi) i nei em?
• Damdawi (a bik takin anticoagulant emaw thisen tithianghlimtu emaw) i ei em?
• Vitamin emaw supplement emaw i ei em?
• Damdawi eng emaw zat allergy i nei em?

Tin, naupai i nih chuan Doctor hnenah i hriattir tur a ni. Heng zawng zawng hi hrilh lawk hian medical team chuan him tak leh nuam takin he test hi neihpui turin a pui thei che a ni.

Biopsy neih hunah eng nge beisei tur?

Bone marrow biopsy hi doctor office-ah emaw damdawi inah emaw tih theih a ni. Procedure zawng zawng hi minute 30 vel a ni.Test neih chhung hian i harh ang a, mahse i rilru hahdamna tur local anesthesia pek i ni ang. Test hma hian hospital gown an pe ang che. I chawlh hahdam theih nan sedative pek i ni thei bawk. Step hrang hrangte chu hetiang hian a kal tlangpui: 1. Biopsy an tihna hmun azirin i sir emaw, i pum emaw lam hawiin i inher ang. Bone marrow biopsies tam zawk hi i hip bone hnunglam (posterior iliac crest) ah tih thin a ni . 2. Tichuan, i doctor chuan a hmuna vun chu antiseptic hmangin a tifai ang a, ruh a thlen thlengin vun kaltlangin numbing medication a inject ang. 3. Incision te tak te an siam ang a, i ruh chhungah biopsy needle bik an dah ang. 4. Synedle-a syringe te tak te bun hmangin i ruhro ( a hmaa kan sawi tawh ang khan bone marrow aspiration ) atang hian tui tlemte a chhuak thin. 5. Tichuan, zungbun zungbun, tube ang maia zungbun chu dahin, ruhro chhunga spongy tissue te tak te chu lakchhuah a ni. Hei hi core biopsy an ti a . Hei hi a chhan chu needle atang hian tissue cylindrical "core" a chhuak a ni. 6. Sample awmna needle chu lakchhuah a ni a, vunah thisen chhuah tihtawp nan pressure pek a ni a, hliam chungah bandage dah a ni. Chumi hnuah doctor chuan sample chu lab-ah a thawn ta a ni. Chutah chuan natna chhinchhiahna a awm leh awm loh endik a ni.

Hei hian a ti na em?

Hei hi mi tam takin an zawh thin a ni. Dik tak chuan a nuam lo deuh thei. Bone marrow aspiration i tih hian, chu chu liquid part lak lai a ni a, sharp stabbing pain i nei thei . Core biopsy i tih hian, chu chu tissue part lak hun a ni a, hun engemaw chen chu natna dull, aching pain i nei thei . Vanduaithlak takin ruh chu a numb thei lo. Chuvangin, pressing, pushing, pulling ang chi thil i hre mai thei a, chu chu tlem a nuam lo deuh.

Mahse, lungngai suh. Natna chungchangah ngaihtuahna emaw zawhna emaw i neih chuan doctor nen inbia ang che. I rilru hahdam zawk nan damdawi an pe thei che a, chubakah biopsy an tihna hmun chu an numbing thei bawk.

Biopsy hnuah eng nge thleng?

Test neih ni vek hian in lamah i haw thei tlangpui. Mahse, sedative pek i nih chuan in lama hruai tur che i mamawh ang. Vawikhat i haw veleh i doctor thupek ang chiah kha i zawm tur a ni. Hetiang hi an sawi mai thei:

• Natna emaw, hrehawmna emaw i neih chuan doctor prescription tel lova damdawi dawr atanga i hmuh theih tur nonprescription pain reliever ei thin ang che.
• Darkar 24 tal exercise emaw hna rit tak tak thawh loh tur.
• Hliam awmna hmun chu darkar 24 tal vawt taka dah tur a ni.

Hei hian risk a nei em?

Dik tak chuan bone marrow biopsy atanga harsatna lo thleng hi a tlem hle.Mahse, a tlem berah chuan biopsy hmunah thisen chhuah tam lutuk emaw, natna hrik kai tam lutuk emaw a awm thei. A tlangpuiin, chu hmuna pressure pek chuan thisen chhuah chu a titawp ang. Infection a awm chuan i doctor chuan antibiotic cream hnawih turin a pe thei che a ni.

Eng nge a rah chhuah? Engtin nge min hrilh?

I ruhro sample chu microscope hmangin specialist pathologist an tih chuan a enfiah thin . I doctor-in a thil hmuhchhuah a hmuh chuan a sawipui ang che a, a hnua i tih tur a hrilh ang che. I result a zirin i doctor chuan i natna hmuhchhuah chu a nemnghet thei a, test tam zawk a order thei a, enkawlna a rawt thei bawk a, tuna i enkawlnaah pawh a thlak danglam thei bawk. A pawimawh ber chu i doctor hnenah i result hian eng nge a awmzia tih zawh hi a ni. Mi zawng zawng dinhmun a inang lo vek avangin i result awmzia dik tak hre turin i doctor chu a tha ber a ni.

Engtikah nge doctor i hmuh vat ang?

Test zawhah harsatna i neih chuan doctor pan nghal tur a ni. Chutiang chhinchhiahnate chu:

• Biopsy hmun atanga thisen chhuak tam lutuk emaw, tui chhuak tam lutuk emaw a awm chuan.
• Biopsy an tihna hmunah hian swelling a awm chuan.
• A hmun chu a sen (a bik takin a sen a darh chuan).
• I khawsik emaw i natna a zual emaw chuan .

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Thisen natna emaw, ruhro tichhe thei thil dang emaw chhinchhiahna i neih chuan ruhro biopsy neih hi thil awmze nei tak a ni. He test chungchangah hian zawhna chiang tak i neih emaw, biopsy neih chhunga sensation i ngaihtuah emaw a nih chuan i doctor nen inbia ang che. I rilru hahdam leh hahdam taka i awm theih nan painkiller an pe thei che a ni. Test step tin chu an hrilhfiah thei bawk che. Hei hian i biopsy i tih hunah hriatna leh inrintawkna nei zawk turin a pui ang che. I hriselna enkawl hi a pawimawh ber a, chuvangin damdawi lam thurawn zawng hi hlau suh.

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