Pamwe chiremba wako akaona chimwe chinhu chisingawanzoitika mumhedzisiro yekuongororwa kweropa rako uye akakuudza kuti uite biopsy yemapfupa. Zvakajairika kunzwa kutya uye kutya zvishoma paunonzwa zita iri. "Ndiani asingazotyi kana achiti ari kutora chidimbu chepfupa?" ungave uchifunga. Asi kana wangoziva kuti chii chaizvo, kuti zvinoitwa sei, uye kuti zvinoitwa sei, unonzwa zororo guru. Ngatitaurei nezvazvo zviri nyore uye nenzira yaunogona kunzwisisa.
Kutanga, ngationei, chii chinonzi bone morrow?
Patinoti "mupfupa," vamwe vanhu vanofunga nezvechimwe chinhu chiri muuropi. Asi handizvo zvazviri. Zvichitaurwa zviri nyore, mupfupa inhengo yakapfava, yakaita sesponge iri mukati memapfupa makuru mumuviri wedu, semuenzaniso pfupa rehudyu. Kufanana nemuto uri mukati mehunde yemuti, mupfupa uri mukati memapfupa edu unonzi mupfupa.
Chikamu ichi chemubofu ndicho chinhu chikuru chinogadzira ropa mumuviri wedu . Mhando dzose nhatu dzemasero eropa akakosha mumuviri wedu dzinogadzirwa pano.
- Masero matsvuku eropa: Aya ndiwo masero anotakura okisijeni kubva kumapapu kuenda kumuviri wese patinofema. Masero aya akakosha kuti tirambe tiine simba uye tiite mabasa nemazvo.
- Masero machena eropa: Kufanana neuto riri munyika medu, masero aya anotidzivirira kubva kuzvirwere nekurwisa utachiona nezvinhu zvinokonzera zvirwere zvinopinda mumuviri.
- Maplatelet: Kana wachekwa diki wotanga kubuda ropa, maplatelet aya anomisa kubuda ropa mushure mechinguva. Anobatana kuti aite ganda reropa uye avhare ronda.
Saka, kune chimwe chikamu chemupfupa wemapfupa, icho chikamu chemvura. Chikamu ichi chemvura chine masero eropa, kureva masero eropa achangoumbwa. MuBone Marrow Biopsy, chikamu chikuru chenyama chinotorwa, chakaita sechipanji. Bvunzo inoshandiswa kutora chikamu ichocho chemvura inonzi Bone Marrow Aspiration . Kazhinji, chiremba wako achaita bvunzo idzi dzese panguva imwe chete.
Sei chiremba angakurudzira bvunzo iyi?
Fungidzira, kana uchifungidzira kuti pane chakaipa neinjini yemotokari, zvinoitwa nemakanika kuvhura bhoneti woongorora injini zvakanaka. Saizvozvowo, kana mushumo weropa unoratidza kuti pane chakaipa neropa redu, chiremba anofanira kupinda mukati-kati mefekitori yeropa, kureva bone morrow, kuti aone kuti dambudziko chairo nderei.
Bvunzo iyi inonyanya kuitwa nezvikonzero zvitatu:
- Kuongorora kana kusimbisa chirwere: Kana bvunzo yeropa rako ikaratidza huwandu husina kujairika hwemasero matsvuku eropa, masero machena eropa, kana maplatelet, bvunzo iyi inogona kubatsira kuona chikonzero. Izvi zvakakosha pakuongorora zvimwe zvirwere zvine chekuita neropa, kenza, uye fivha dzisina kutsanangurwa.
- Kuziva danho rekenza:Kana munhu aonekwa kuti ane kenza, danho rekenza rinoonekwa kuti rapararira kusvika papi mumuviri. Kuongororwa uku kunoshandiswa kuona kana kenza yapararira kusvika mumwongo wemapfupa.
- Kuti vaone kuti muviri uri kupindura sei pakurapwa: Vanachiremba vanoshandisawo bvunzo iyi kuti vaone kana kurapwa kwacho kuri kubudirira uye kana mupfupa uri kutanga kugadzira masero eropa ane hutano zvakare, kunyanya kune munhu ari kurapwa zvirwere zvakaita sekenza.
Ndezvipi zvirwere zvinogona kuonekwa nebvunzo iyi?
Kuongororwa kwemapfupa kunogona kuona zvirwere zvakawanda apo huwandu hwemasero eropa huri pasi kana kuti hwakakwira zvisingawanzoitiki. Zvakakoshawo pakuongorora kenza inokanganisa ropa kana mapfupa.
| Mamiriro | Zvichitaurwa zviri nyore... |
|---|---|
| Kushaya ropa | Kushaikwa kwemasero matsvuku eropa akakwana ekutakura okisijeni mumuviri wese. |
| Kupererwa neropa kweropa muropa | Muromo wemapfupa haugone kugadzira marudzi ese matatu emasero eropa (matsvuku, machena, uye maplatelet). |
| Leukopenia uye Leukocytosis | Kuderera kana kuwedzera kwehuwandu hwemasero machena eropa. |
| Kuora kweropa uye thrombocytosis | Kuderera kana kuwedzera kwehuwandu hwemaplatelet. |
| Leukemia | Gomarara remasero eropa, kunyanya masero machena eropa. |
| Lymphoma | Kenza inowanikwa mu lymphatic system. Izvi zvinogona kukanganisawo masero eropa. |
| Multiple myeloma | Kenza inokanganisa masero eplasma, rudzi rwemasero machena eropa. |
| Kenza dzechipiri | Kenza yakatanga kune dzimwe nzvimbo, dzakadai sepazamu kana mapapu, inopararira kusvika mumwongo wemapfupa. |
Unofanira kugadzirira sei bvunzo isati yaitwa?
Uku hakusi kuvhiyiwa kukuru, saka hapana chikonzero chekugadzirira zvakanyanya. Zvisinei, zvakakosha kutevedzera mirairo yachiremba wako nemazvo.
- Kana ukapihwa mushonga wekunyaradza kuti ugare wakasununguka panguva yekuongororwa, unogona kukumbirwa kutsanya (kusadya kana kunwa) kwemaawa mashoma bvunzo isati yaitwa.
- Kana ukapihwa mushonga wakadaro, hauzokwanisi kutyaira mushure mekuongororwa, saka ronga kuti mumwe munhu akuendese kumba pachine nguva .
- Chinhu chinonyanya kukosha ndechekuudza chiremba wako zvese nezvako.
Iva nechokwadi chekukurukura zvinhu izvi nachiremba wako:
* Kana uine chirwere chekubuda ropa (semuenzaniso hemophilia) .
* Tiudzei nezvemishonga yamuri kutora, kunyanya kana muri kutora mishonga inobvisa ropa (semuenzaniso, mishonga inorwisa ropa , aspirin).
* Nezve chero mavhitamini nezvimwe zvinovaka muviri zvaunotora.
* Chero allergies yemishonga yaungave nayo.
* Tiudzeiwo kana muri nepamuviri kana kuti muri kuronga kubata pamuviri.
Chii chinoitika panguva yebvunzo?
Bvunzo iyi inogona kuitwa muchipatara kana kukiriniki. Maitiro ese anotora maminetsi angangoita makumi matatu . Unenge wava kuziva, asi nzvimbo iri kuongororwa haina simba (local anesthesia), saka hauzonzwi kurwadziwa kwakanyanya.
Heano matanho anowanzo itwa:
1. Kutanga, uchapfekedzwa gown rekuchipatara. Wobva waitwa kuti urare pamubhedha. Kazhinji, bvunzo iyi inoitirwa kumashure kwebhonzo rehudyu (`posterior iliac crest`), saka uchatendeudzirwa padumbu rako kana parutivi woitwa kuti urare pasi.
2. Zvadaro, chiremba kana mukoti akadzidziswa achachenesa nzvimbo yacho zvakanaka achishandisa mushonga unouraya utachiona. Zvadaro , tsono yakapfava ichashandiswa kubaya mushonga unobaya pasi peganda kusvika wasvika pamusoro pepfupa.
3. Kana wava nechiveve, chiremba achacheka ganda rako diki oisa tsono yakakosha mubhonzo. Kutanga, sirinji inonamirwa uye mvura shoma inobviswa. Izvi zvinonzi bone marrow aspiration .
4. Zvadaro, imwe tsono ine mukati mayo inopinzwa uye chidimbu chidiki chesimbi yakaita sesponji chinotorwa. Izvi zvinonzi core biopsy .
5. Mushure mekutora muenzaniso, tsono inobviswa, kumanikidzwa kunoiswa kwenguva yakati kuti ropa risabude, uye plaster kana bhandeji zvinoiswa.
Muenzaniso unotorwa unotumirwa kurabhoritari kuti unoongororwa.
Izvi zvinorwadza zvakanyanya here?
Uyu ndiwo mubvunzo mukuru uri mupfungwa dzemunhu wese. Ngatitaurei chokwadi. Nekuda kwechiveve, haunzwi ganda richichekwa kana tsono ichipinzwa muganda.
Zvisinei, kana chikamu chemvura (aspiration) chikadhonzwa nesirinji, unogona kunzwa kurwadziwa kwakanyanya kwemasekonzi mashoma . Uyewo, kana chikamu chenyama chakasimba (biopsy) chikatorwa, unogona kunzwa kusagadzikana kwakasimba kana kudhonzwa nekuti pfupa harigone kubatwa nechinhu. Uku hakusi kurwadziwa kusingatsungiririki, asi kune kusagadzikana.
Kana uchinetseka nezvekurwadziwa, taura nachiremba wako usati waongororwa. Anogona kukupa mishonga yekukubatsira kuzorora uye kuderedza marwadzo.
Unoitei mushure mekuongororwa?
Unogona kudzokera kumba zuva rimwe chete. Kana wakapihwa mushonga wekudzikamisa hasha, mumwe munhu anofanira kukuendesa kumba nemotokari. Tevedzera matanho aya kana wadzokera kumba.
- Panogona kuva nekurwadziwa kwezuva rimwe kana maviri apo bvunzo yakaitwa. Tora mushonga wekurwadziwa sezvakarairwa nachiremba.
- Dzivisa mabasa anorema akadai sekurovedza muviri uye kusimudza zvinorema kwemaawa makumi maviri nemana .
- Chengeta nzvimbo yeronda isingapindi mvura kwemaawa makumi maviri nemana . Izvi zvinoreva kufukidza nzvimbo yacho paunenge uchigeza.
Migumisiro (njodzi) uye nguva yekutaura nachiremba wako
Matambudziko akakomba mushure mekuongororwa uku haawanzoitiki . Dzimwe nguva panogona kubuda ropa rakawanda kana hutachiona, asi izvi zvinowanzo gadziriswa.
Zvisinei, kana ukaona chimwe chezviratidzo zvinotevera,Fonera chiremba wako nekukasika .
| Kana uine zviratidzo izvi, fonera chiremba wako nekukasika. | |
|---|---|
| 🩸 | Kubuda ropa rakawanda kana mamwe mvura kubva panzvimbo yekuongororwa. |
| chiratidzo_chakazvimba | Kuzvimba panzvimbo yaiongororwa. |
| 🔴 | Kutsvuka (kunyanya kana kutsvuka kwacho kuchiratidzika kunge kuri kupararira). |
| 🌡️ | Fivha kana kurwadziwa kunowedzera pane kudzikira . |
Chii chinoitika mushure memushumo?
Chiremba wezvirwere , chiremba ane hunyanzvi mukuongorora mapfupa, anoongorora sampuli yemapfupa ako pasi pemaikorosikopu uye anogadzirira mushumo.
Chiremba wako achaongorora mushumo wacho uye outsanangura zviri nyore. Mhedzisiro yacho ndiyo ichasarudza zvekuita zvinotevera. Vanogona kusimbisa kuongororwa kwechirwere, kuraira mimwe miedzo, kana kutanga kurapwa kana kuchinja marapirwo auri kutora parizvino.
Chinhu chinonyanya kukosha ndechekunzwisisa chaizvo zvinotaurwa nemushumo uye kuti zvinokanganisa sei hutano hwako nekuteerera chiremba wako. Usazeza kubvunza chero mibvunzo kana zvinokunetsa.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweBone Marrow Biopsy inzira inokosha uye yakajairika inoshandiswa kuongorora zvirwere zveropa nemapfupa.
- Zvakajairika kuti unzwe kutya paunonzwa zita iri. Asi kana wangoziva kuti zvinoitika sei, kutya kuri mumoyo mako kunonyangarika zvakanyanya.
- Bvunzo iyi inoitirwa nemushonga unobvisa zvinyadzi munzvimbo iyi, saka hapana marwadzo asingatsungiririki, asi unganzwa kusagadzikana.
- Mikana yekukonzera migumisiro yakaipa kubva muongororo iyi yakaderera zvikuru.
- Taura pachena nachiremba wako nezvemibvunzo, kutya, kana zvinokunetsa zvaungave nazvo usati waongororwa uye mushure mekuongororwa. Iye achakwanisa kukubatsira.
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