Kodi mwapemphedwa kuti mupimidwe ndi fupa la m'mafupa? Musadandaule, tiyeni tikambirane mfundo yaikulu!

Mwina dokotala wanu waona chinthu chachilendo mu zotsatira za mayeso anu a magazi ndipo wakuuzani kuti muyezedwe ndi fupa la mafupa. Ndizachilendo kumva mantha pang'ono komanso mantha mukamva dzina ili. "Ndani amene sangaope akanena kuti akutenga fupa?" mwina mukuganiza. Koma mukadziwa bwino lomwe kuti izi ndi chiyani, chifukwa chake zimachitika, komanso momwe zimachitikira, mudzamva mpumulo waukulu. Tiyeni tikambirane izi mosavuta komanso mwanjira yomwe mungamvetse.

Choyamba, tiyeni tiwone, kodi mafuta a m'mafupa ndi chiyani?

Tikamanena kuti "mafupa," anthu ena amaganiza za chinthu china muubongo. Koma si choncho. Mwachidule, mafupa ndi minofu yofewa, yooneka ngati siponji mkati mwa mafupa akuluakulu m'thupi lathu, monga fupa la m'chiuno mwachitsanzo. Monga madzi omwe ali mkati mwa thunthu la mtengo, mafuta omwe ali mkati mwa mafupa athu amatchedwa mafuta a m'fupa.

Gawo ili la mafuta a m'mafupa ndilo fakitale yaikulu yopanga magazi m'thupi lathu . Mitundu yonse itatu ya maselo amagazi omwe ndi ofunikira m'thupi lathu amapangidwa pano.

• Maselo ofiira a m'magazi: Awa ndi maselo omwe amanyamula mpweya kuchokera m'mapapo kupita ku thupi lonse tikamapuma. Maselo amenewa ndi ofunikira kuti tikhale ndi mphamvu komanso kuti tichite ntchito moyenera.
• Maselo oyera a m'magazi: Monga asilikali m'dziko lathu, maselo amenewa amatiteteza ku matenda polimbana ndi majeremusi ndi tizilombo toyambitsa matenda tomwe timalowa m'thupi.
• Ma platelets: Mukavulala pang'ono ndikuyamba kutuluka magazi, ma platelets amenewa amasiya kutuluka magazi pakapita nthawi. Amalumikizana kuti apange magazi oundana ndikutseka bala.

Kotero, pali gawo lina la mafuta a m'mafupa, lomwe ndi gawo lamadzi. Gawo lamadzi ili lili ndi maselo oyambira, omwe ndi maselo amagazi atsopano. Mu Bone Marrow Biopsy, gawo lalikulu la minofu limatengedwa, lomwe lili ngati siponji. Mayeso omwe amagwiritsidwa ntchito potenga gawo lamadzimadzilo amatchedwa Bone Marrow Aspiration . Nthawi zambiri, dokotala wanu amachita mayeso onse awiriwa nthawi imodzi.

N’chifukwa chiyani dokotala angalimbikitse mayeso amenewa?

Tangoganizirani, ngati mukukayikira kuti pali vuto ndi injini ya galimoto, chimene makanika amachita ndikutsegula boneti ndikuyang'ana injini bwino. Mofananamo, ngati lipoti la magazi likusonyeza kuti pali vuto ndi magazi athu, dokotala ayenera kupita mozama mu fakitale ya magazi, kutanthauza mafupa, kuti aone vuto lenileni.

Mayesowa amachitika makamaka pazifukwa zitatu:

• Kuzindikira matenda kapena kutsimikizira matenda: Ngati mayeso anu a magazi akuwonetsa kuchuluka kwa maselo ofiira a magazi, maselo oyera a magazi, kapena ma platelet komwe sikunachitike bwino kapena kwakukulu, mayesowa angathandize kudziwa chomwe chikuyambitsa matendawa. Izi ndizofunikira kwambiri pozindikira matenda ena okhudzana ndi magazi, khansa, ndi malungo osadziwika bwino.
• Dziwani siteji ya khansa:Munthu akapezeka ndi khansa, gawo la khansa limatsimikizika kuti adziwe momwe yafalikira m'thupi. Kuyesa kumeneku kumagwiritsidwa ntchito kudziwa ngati khansayo yafalikira mpaka m'mafupa.
• Kuti tiwone momwe thupi likuyankhira chithandizo: Madokotala amagwiritsanso ntchito mayesowa kuti aone ngati chithandizocho chayenda bwino komanso ngati mafuta a m'mafupa akuyamba kupanga maselo a magazi abwino, makamaka kwa munthu amene akulandira chithandizo cha matenda monga khansa.

Ndi matenda ati omwe angadziwike ndi mayesowa?

Kuyezetsa mafupa kumatha kuzindikira matenda ambiri omwe kuchuluka kwa maselo amagazi kumakhala kochepa kwambiri kapena kokwera kwambiri. Ndikofunikanso pozindikira khansa yomwe imakhudza magazi kapena mafupa.

Kodi muyenera kukonzekera bwanji musanayese mayeso?

Iyi si opaleshoni yaikulu, kotero palibe chifukwa chokonzekera kwambiri. Komabe, ndikofunikira kutsatira malangizo a dokotala wanu molondola.

• Ngati mwapatsidwa mankhwala ochepetsa ululu kuti akuthandizeni kupumula panthawi yoyezetsa, mungapemphedwe kuti musale kudya (osadya kapena kumwa) kwa maola angapo mayeso asanayambe.
• Ngati mwapatsidwa mankhwala otere, simungathe kuyendetsa galimoto mutatha kuyezetsa, choncho konzani kuti wina akutengereni kunyumba pasadakhale .
• Chofunika kwambiri ndi kuuza dokotala wanu zonse zokhudza inuyo.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Kuyezetsa kumeneku kungachitike kuchipatala kapena ku chipatala. Njira yonseyi imatenga pafupifupi mphindi 30. Muli ndi chikumbumtima, koma malo omwe akuyesedwawo ndi opanda mphamvu (local anesthesia), kotero simudzamva kupweteka kwambiri.

Nazi njira zomwe zimachitika nthawi zambiri:

1. Choyamba, mudzavekedwa diresi la kuchipatala. Kenako, mudzagonekedwa pabedi. Kawirikawiri, mayesowa amachitikira kumbuyo kwa fupa la m'chiuno (`posterior iliac crest`), kotero mudzatembenuzidwira m'mimba kapena m'mbali mwanu ndikugonekedwa pansi.

2. Kenako, dokotala kapena namwino wophunzitsidwa bwino adzayeretsa bwino malo omwe akufuna kuunikiridwa ndi mankhwala opha tizilombo toyambitsa matenda. Kenako , singano yopyapyala kwambiri idzagwiritsidwa ntchito kubaya mankhwala oletsa kumva kupweteka pansi pa khungu mpaka atafika pamwamba pa fupa.

3. Mukachita dzanzi, dokotala adzakudulani khungu pang'ono ndikuyika singano yapadera m'fupa. Choyamba, syringe imayikidwa ndipo madzi ochepa amachotsedwa. Izi zimatchedwa bone marrow aspiration .

4. Kenako, singano ina yokhala ndi dzenje mkati imayikidwamo ndipo chidutswa chaching'ono chozungulira cha minofu ya siponji chimatengedwa. Izi zimatchedwa core biopsy .

5. Pambuyo potenga chitsanzocho, singano imachotsedwa, kupanikizika kumayikidwa kwa kanthawi kuti magazi asiye kutuluka, ndipo pulasitala kapena bandeji imayikidwa.

Chitsanzo chotengedwa chimatumizidwa ku labu kuti chikayesedwe.

Kodi izi zimapwetekadi kwambiri?

Ili ndi funso lalikulu kwambiri lomwe aliyense ali nalo. Tiyeni tinene zoona. Chifukwa cha dzanzi, simukumva khungu likudulidwa kapena singano ikulowetsedwa pakhungu.

Komabe, pamene gawo lamadzimadzi (aspiration) likukokedwa ndi sirinji, mungamve kupweteka kwambiri kwa masekondi angapo . Komanso, pamene gawo lolimba la minofu (biopsy) likutengedwa, mungamve kupweteka kolimba kapena kukoka chifukwa fupa silingathe kutsekedwa. Uku si kupweteka kosapiririka, koma pali kupweteka.

Kodi mumatani mukamaliza mayeso?

Mukhoza kupita kunyumba tsiku lomwelo. Ngati mwapatsidwa mankhwala oti muchepetse nkhawa, winawake ayenera kukutengerani kunyumba. Tsatirani izi mukapita kunyumba.

• Pakhoza kukhala ululu kwa tsiku limodzi kapena awiri pamene mayesowo adachitika. Imwani mankhwala ochepetsa ululu monga momwe dokotala wanenera.
• Pewani kuchita zinthu zolimbitsa thupi monga kuchita masewera olimbitsa thupi komanso kunyamula zolemera kwa maola osachepera 24 .
• Sungani malo ovulalawo kuti asalowe madzi kwa maola 24. Izi zikutanthauza kuphimba malowo mukamasamba.

Zotsatirapo (zoopsa) ndi nthawi yoti mulankhule ndi dokotala wanu

Mavuto aakulu pambuyo poyezetsa magaziwa ndi osowa kwambiri . Nthawi zina pangakhale kutuluka magazi ambiri kapena matenda opatsirana, koma nthawi zambiri izi zimatha kuthetsedwa.

Komabe, ngati mukukumana ndi zizindikiro zotsatirazi,Imbani dokotala wanu nthawi yomweyo .

Kodi chimachitika n’chiyani pambuyo pa lipotilo?

Katswiri wa matenda , dokotala yemwe ndi katswiri wofufuza minofu, amafufuza chitsanzo cha mafuta anu a m'mafupa pogwiritsa ntchito maikulosikopu ndikukonza lipoti.

Dokotala wanu adzawunikanso lipotilo ndikukufotokozerani mwachidule. Zotsatira zake zidzatsimikizira zomwe mungachite kenako. Angatsimikizire kuti mwapezeka ndi matendawa, aitanitse mayeso ena, kapena ayambe kulandira chithandizo kapena kusintha chithandizo chomwe mukumwa panopa.