Zvese zvaunoda kuziva nezveBone Marrow Biopsy!

Kana chiremba wako akakuudza kuti unofanira kuongororwa bota remapfupa, ungangotya zvishoma uye uchida kuziva, handiti? Ungangove nemibvunzo yakawanda yakaita sekuti, "Chii ichi? Sei chiri kuitwa? Chicharwadza here?" Usazvidya moyo, munyaya ino tichataura nezvazvo nenzira iri nyore yaunogona kunzwisisa.

Chii chinonzi Bone Marrow Biopsy?

Zvichitaurwa zviri nyore, kuongorora mapfupa emapfupa (bone marrow biopsy) inzira yakakosha yekuongorora zvirwere zvine chekuita neropa rako nemapfupa emapfupa. Waizviziva here kuti mapfupa emapfupa ndiyo nzvimbo huru mumuviri wedu panoitwa ropa? Zvakafanana nefekitori. Mukuongorora uku, chiremba wako anobvisa sampuli diki, kana chikamu, chemapfupa aya kubva mukati meimwe yemapfupa ako makuru. Zvadaro, chiremba ane hunyanzvi anonzi pathologist anotarisa sampuli iyi pasi pemaikorosikopu uye otarisa zviratidzo zvechirwere chipi zvacho. Kuongorora mapfupa aya kwakakosha kuti aongorore zvirwere zvakawanda nemazvo, kunyanya zvirwere zvine chekuita neropa nemamwe marudzi ekenza.

Saka, chii chinonzi mupfupa uyu?

Fungidzira, mukati memapfupa makuru ari mumuviri wedu, mune nzvimbo isina chinhu, semukati mechubhu. Mukati menzvimbo isina chinhu iyoyo mune chinonzi "Bone Marrow". Ine zvikamu zviviri: chikamu chenyama yakapfava, ine sipo, uye chikamu chemvura. Chikamu ichi chenyama chiri mumongo wemapfupa ndicho chinoita zvinhu zvitatu zvakakosha mumuviri wedu:

• Masero matsvuku eropa : Aya ndiwo masero anotakura okisijeni mumiviri yedu yese. Patinofema, okisijeni inopinda mumapapu inoendeswa kumasero ese mumuviri nemasero matsvuku aya.
• Masero machena eropa : Kufanana nemasoja emuviri wedu, masero machena aya anotidzivirira kubva kuhutachiona nezvirwere.
• Maplatelet: Unoziva here kuti unomisa sei kubuda ropa kana wakuvara? Maplatelet aya anobatsira nazvo. Kana tsinga yeropa yatyoka, anobatana kuti aite clot uye amise kubuda ropa .

Chikamu chemvura chemubofu chine masero emuviri , kureva masero asati akura asi anogona kuva masero matsvuku eropa, masero machena eropa, uye maplatelet. Zvakare, mavhitamini anodiwa pakukura kwemasero aya anogadzirwa muchikamu ichi chemvura. Iye zvino ungangove uchiziva kuti biopsy yemubofu inoongorora chikamu ichi chenyama. Zvisinei, kune imwe bvunzo inonzi bone marrow aspiration , iyo inoongorora chikamu ichocho chemvura. Kazhinji, chiremba wako achaita izvi panguva imwe chete ne biopsy.

Chiremba anokurudzira kuongororwa kwemapfupa emubofu panguva ipi?

Kuongororwa kwemapfupa emudumbu kunogona kupa vanachiremba ruzivo rwakakosha. Vanoshandisa ruzivo irworwo ku:

• Kuongorora kana kuongorora chirwere: Semuenzaniso, kana ukaona shanduko isingawanzoitika muhuwandu hwemasero eropa muropa (angave akaderera zvakanyanya kana akakwira zvakanyanya), chiremba wako anogona kukurudzira kuti uongorore masero eropa. Izvi zvinogona kubatsira kuongorora zvinhu zvakawanda, kusanganisira zvirwere zvine chekuita neropa, kenza, fivha isina kutsanangurwa, uye hutachiona.
• Kana uine kenza, sarudza danho rayo: Danho rekenza rinoenderana nekuti yapararira kusvika papi uye kuti yakakura sei. Kuongororwa kwemapfupa emubonzo kunogona kuona kana kenza yapararira kusvika mubonzo kana kuti bundu rekenza mubonzo riri kukura.
• Tarisa kufambira mberi kwekurapwa: Dzimwe nguva, vanachiremba vanoitawo biopsy iyi kuti vaone kuti kurapwa kuri kushanda zvakanaka sei. Semuenzaniso, munhu ari kurapwa kenza anogona kuongororwa nguva nenguva kuti vaone kana muroro wemapfupa ake uri kugadzira masero eropa ane hutano mushure mekurapwa.

Chimwe chinhu ndechekuti biopsy iyi inoshandiswawo kuona kana munhu anopa ropa akakodzera munhu ari kuda kuisirwa maronda emapfupa (allogeneic stem cell transplant ). Dzimwe nguva, munhu ane masero eropa asina hutano akaderera anofanira kuisirwa masero eropa ane hutano kubva kune mumwe munhu. Kuti izvozvo zviitike, masero emupi neanogamuchira anofanira kuenzana.

Ndezvipi zvirwere zvinogona kuonekwa ne biopsy yemapfupa?

Kuongororwa uku kunowanzoitwa kuti kuonekwe zvirwere zvinokonzera masero eropa akawanda kana mashoma. Kunoshandiswawo kuongorora kenza inokanganisa ropa rako kana mupfupa. Heano mamwe ematambudziko anogona kukonzera izvi:

• Anemia: Kushaikwa kwemasero matsvuku eropa akakwana ekutakura okisijeni mumuviri wese. Tinozvidaidzawo kuti " anemia ."
• Aplastic anemia: Chirwere chekuti mupfupa haugone kugadzira masero matsvuku eropa, masero machena eropa, uye maplatelet akakwana.
• Leukopenia uye leukocytosis: Kuwanda kwemasero machena eropa kwakaderera zvakanyanya (leukopenia) kana kuti kwakakwira zvakanyanya (leukocytosis).
• Kuora kweropa neropa: Kuwanda kwemaplatelet muropa kwakaderera zvakanyanya (thrombocytopenia) kana kuti kwakakwira zvakanyanya (thrombocytosis).
• Polycythemia vera: Iyi ikenza yeropa isingawanzoitiki apo muroro wemapfupa unoburitsa masero matsvuku eropa akawandisa.
• Leukemia: Gomarara remasero eropa. Rinogona kukonzera masero eropa asina kujairika, kunyanya masero machena eropa, kuti aumbe.
• Lymphoma:Kenza inokura mu lymphatic system. Izvi zvinogonawo kukonzera kusakwana kwemasero machena nematsvuku eropa.
• Multiple myeloma: Iyi igomarara reropa risingawanzoitiki. Rinokanganisa masero eplasma, rudzi rwemasero machena eropa.
• Kenza dzechipiri: Kenza dzinotangira kune imwe nzvimbo mumuviri (semuenzaniso, mazamu, mapapu) dzozopararira kune imwe nzvimbo, senge mumongo wemapfupa.
• Myelofibrosis: Mumamiriro ezvinhu aya, mupfupa unotsiviwa nenyama ine mavanga ane fibrous.
• Myelodysplastic syndrome: Ichi chirwere chemubofu umo masero emuviri haakure zvakanaka.

Pamusoro pezvo, iyi biopsy inogonawo kubatsira kuona kusakwana kwema chromosome uye kushomeka kwemavhitamini. Kushomeka uku kunogona kukonzera kuti mupfupa ugadzire masero matsvuku eropa asina chimiro chisina kujairika kana kuti akakura.

Ndiani ari kuita biopsy iyi?

Kuongororwa kwemapfupa emubofu kunowanzoitwa nachiremba anonyanya kubata zvirwere zvine chekuita neropa (hematologist) kana chiremba anonyanya kubata kenza (oncologist) .

Unogadzirira sei izvi? Chii chaunofanira kuita?

Chiremba wako achakutsanangurira bvunzo uye achakupa mirairo yekuti ungagadzirira sei. Semuenzaniso, kana ukapihwa mushonga wekunyaradza kuti ukwanise kurara pazuva rekuongororwa, ungakumbirwa kutsanya husiku hwebvunzo isati yaitwa. Kana zvakadaro, uchafanirwa kuronga kuti mumwe munhu akuendese kumba nemotokari. Chiremba wako achada kuziva nhoroondo yako yese yezvekurapa uye chero mishonga yauri kutora parizvino. Saka, iva nechokwadi chekuvaudza nezve:

• Une chirwere chinotadzisa ropa rako kugayiwa nyore nyore here (senge hemophilia)?
• Uri kutora mishonga ipi zvayo (kunyanya mishonga inorwisa ropa kana kuti inodzikisa ropa) here?
• Unotora mavitamini kana zvimwe zvinovaka muviri here?
• Une allergies here nemishonga ipi zvayo?

Uyewo, kana uine pamuviri, unofanira kuzivisa chiremba. Nekuvaudza zvese izvi pachine nguva, timu yezvekurapa inogona kukubatsira kuti uedze bvunzo iyi zvakachengeteka uye zvakanaka.

Chii chaunotarisira paunenge uchiongororwa ne biopsy?

Kuongororwa kwemapfupa kunogona kuitwa muhofisi yachiremba kana muchipatara. Maitiro ese anotora maminetsi angangoita makumi matatu.Uchave wakamuka panguva yekuongororwa, asi uchapihwa mushonga wekuti usanyanya kurwara kuti unzwe wakasununguka. Usati waongororwa, uchapihwa gown rechipatara. Unogonawo kupihwa mushonga wekuti unzwe wakasununguka kuti uzorore. Matanho acho anowanzoitwa seizvi: 1. Zvichienderana nekuti biopsy iri kuitirwa kupi, uchadzoserwa parutivi rwako kana mudumbu. Kuongororwa kwemapfupa akawanda emapfupa kunoitwa kumashure kwepfupa rako rehudyu (posterior iliac crest) . 2. Zvadaro, chiremba wako achachenesa ganda riri munzvimbo yacho nemushonga wekuuraya utachiona uye obaya mushonga unouraya nepaganda kusvika rasvika papfupa. 3. Vachaita kucheka kudiki uye vanoisa tsono yakakosha yebiopsy mupfupa rako. 4. Vachishandisa sirinji diki yakabatana netsono, mvura shoma inobviswa mumapfupa ako ( bone marrow aspiration yatakambotaura nezvayo). 5. Zvadaro, tsono isina chinhu, yakaita sechubhu inopinzwa uye chidimbu chidiki chenyama ine siponji mumapfupa emapfupa chinobviswa. Izvi zvinonzi core biopsy . Izvi zvinokonzerwa nekuti "core" yenyama inobviswa mutsono. 6. Tsono ine muenzaniso inobviswa, kumanikidzwa kunoiswa paganda kuti ropa risabude, uye bhandeji rinoiswa pamusoro peronda. Chiremba anobva atumira muenzaniso kurabhoritari. Ikoko, unoongororwa zviratidzo zvechirwere.

Izvi zvinorwadza here?

Uyu mubvunzo unobvunzwa nevanhu vazhinji. Kutaura chokwadi, unogona kunge usina kugadzikana. Paunotora chikamu chemumafupa, chinova chikamu chemvura, unogona kunzwa kurwadziwa kwakapinza. Paunotora chikamu chemukati chemuviri, chinova chikamu chenyama, unogona kunzwa kurwadziwa kusingafadzi, kunorwadza kwenguva yakati . Zvinosuwisa kuti pfupa harigone kubatwa nechinhu chisina simba. Saka, unogona kunzwa zvinhu zvakaita sekudzvanya, kusundidzira, kudhonza, zvinova zvisingafadzi.

Asi musazvidya mwoyo. Kana muine zvinokunetsai kana mibvunzo nezvekurwadziwa, taurai nachiremba wenyu. Vanogona kukupai mishonga yekukubatsirai kuti munzwe makasununguka, pamusoro pekubvisa zvinyadzi panzvimbo iri kutorwa biopsy.

Chii chinoitika mushure mekuongororwa kweropa?

Unogona kuenda kumba zuva rimwe chete raunoongororwa. Zvisinei, kana ukapihwa mushonga wekunyaradza, unoda mumwe munhu kuti akuendese kumba nemotokari. Kana wangodzokera kumba, unofanira kutevedzera mirairo yachiremba wako nemazvo. Vanogona kutaura zvinhu zvakaita seizvi:

• Kana uine kurwadziwa kana kusagadzikana, tora mushonga wekuderedza marwadzo usingashandiswe nachiremba waunogona kuwana kuchitoro chemishonga usina kunyorerwa nachiremba.
• Dzivisa kurovedza muviri kana kuita basa rinorema kwemaawa makumi maviri nemana.
• Chengeta nzvimbo yeronda yakaoma kwemaawa makumi maviri nemana.

Pane njodzi here mune izvi?

Kutaura zvazviri, matambudziko anobva mukuongororwa kwemapfupa emubofu haawanzoitiki.Zvisinei, kashoma, kubuda ropa rakawanda kana hutachiona panzvimbo ye biopsy zvinogona kuitika. Kazhinji, kuisa simba panzvimbo iyi kunomisa kubuda ropa. Kana hutachiona hukaitika, chiremba wako anogona kukupa kirimu yemishonga inorwisa mabhakitiriya kuti uzore.

Migumisiro yacho ndeipi? Zvinotiudzei?

Muenzaniso wemapfupa ako unoongororwa uchishandisa maikorosikopu nenyanzvi inonzi pathologist . Kana chiremba wako awana zvaakawana, achakurukura newe uye achakuudza zvekuita zvinotevera. Zvichienderana nezvawawana, chiremba wako anogona kusimbisa chirwere, kuraira mimwe miedzo, kana kukurudzira kurapwa, kana kuita shanduko pakurapwa kwawava kuita. Chinhu chakakosha kubvunza chiremba wako kuti zvawawana zvinorevei kwauri. Nekuti mamiriro emunhu wese akasiyana, chiremba wako ndiye munhu akakodzera kuziva chaizvo zvinorehwa nemhedzisiro yako.

Unofanira kuona chiremba nekukurumidza rini?

Kana ukaona zviratidzo zvematambudziko mushure mekuongororwa, enda kuna chiremba wako nekukasika. Zviratidzo zvakadaro zvinosanganisira:

• Kana paine kubuda ropa rakawanda kana mvura iri kubuda panzvimbo ye biopsy.
• Kana paine kuzvimba panzvimbo yakatorwa biopsy.
• Nzvimbo yacho yakatsvuka (kunyanya kana kutsvuka kwacho kwakapararira).
• Kana ukaita fivha kana kuti kurwadziwa kukawedzera .

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kana uine zviratidzo zvechirwere cheropa kana chimwe chirwere chinokanganisa bone morrow, zvakajairika kuvhiyiwa bone morrow. Kana uine mibvunzo chaiyo nezvebvunzo iyi kana kuti uchinetseka nezvemanzwiro aripo panguva ye biopsy, taura nachiremba wako. Vanogona kukupa mishonga inoderedza marwadzo kuti ikubatsire kunzwa wakasununguka uye wakasununguka. Vanogonawo kukutsanangurira nhanho yega yega yebvunzo. Izvi zvichakubatsira kunzwa uine ruzivo rwakawanda uye uine chivimbo paunenge uchivhiyiwa. Kuchengetedza hutano hwako ndicho chinhu chakakosha, saka usatya kutsvaga mazano echiremba.

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