Ngaba uzive usoyika kancinci xa uqaphela into eyahlukileyo kwingxelo yakho yegazi waza ugqirha wathi, "Masijonge umongo?" Kuqhelekile ukuba imibuzo efana nale, "Owu, uthetha ukufunxwa komongo? Ngaba kuza kuba buhlungu kakhulu? Kutheni oku kusenziwa?" ifike engqondweni yakho. Kodwa ungoyiki konke konke. Namhlanje, siza kuthetha ngolu vavanyo olubizwa ngokuba yiBone Marrow Aspiration ngendlela elula kakhulu eya kuphendula yonke imibuzo onayo engqondweni.
Ngamafutshane, yintoni iBone Marrow Aspiration?
Kulula kakhulu. Ngaphakathi kwamathambo akho, okanye phakathi kwamathambo akho amakhulu, kukho izicubu ezithambileyo nezithambileyo kunye nolwelo. Lo mthombo wethambo siwubiza ngokuba yi -bone marrow . Zonke iiseli ezifunekayo emzimbeni wakho, iiseli ezibomvu zegazi, iiseli ezimhlophe zegazi, kunye neeplatelets, zenziwe kulo mthombo wethambo. Ngoko ke kufana nomzi-mveliso wegazi.
Ukufutha kweBone Marrow yinkqubo apho ingcali (edla ngokuba yingcali ye-hematologist okanye i-oncologist) isebenzisa inaliti encinci, engenanto ukususa isampuli encinci yenxalenye yolwelo yomongo wakho wethambo. Le sampuli emva koko ihlolwa phantsi kwe-microscope kwilebhu ukujonga naziphi na iingxaki.
Olu asilotyando lukhulu ngokwenene. Luvavanyo olubalulekileyo lokufumanisa ukuba yintoni kanye kanye ebangela ingxaki egazini lakho.
Kutheni ugqirha ekucela ukuba wenze olu vavanyo?
Ngokwesiqhelo, ukuba kukho utshintsho olungachazwanga kwiziphumo zovavanyo lwakho lwegazi (ezifana neFull Blood Count), olu vavanyo lwenziwa ukuze kufunyaniswe ukuba yintoni kanye kanye ebangela oku. Kunokubakho izizathu ezahlukeneyo.
| Izizathu eziphambili zokuthunyelwa kuvavanyo | Ingcaciso elula |
|---|---|
| Ukuba ukrokrela ukuba unesifo somhlaza wegazi | Olu vavanyo lubalulekile ekuxilongeni izifo ezifana ne-leukemia, i-lymphoma, okanye i-myeloma. |
| Chonga ezinye iingxaki zegazi | Fumana unobangela weemeko ezifana ne-anemia engachazwanga, ukunyuka kwamanqanaba esinyithi emzimbeni, kunye nokubalwa kweeseli ezimhlophe zegazi okanye iiplatelet eziphantsi okanye eziphezulu ngokungaqhelekanga. |
| Izifo ezingaziwayo | Ngamanye amaxesha olu vavanyo lukwanceda ekufumaneni unobangela womkhuhlane ohlala ixesha elide okanye usulelo emzimbeni. |
| Linganisa impendulo kunyango | Ukuba umntu sele efumana unyango lomhlaza wegazi, olu vavanyo lwenziwa ukuze kubonwe ukuba unyango luphumelele na. |
Ndingazilungiselela njani ngaphambi kovavanyo?
Oku akudingi kulungiselela okuninzi, kodwa kubalulekile ukuba uqaphele izinto ezimbalwa.
- Vula kugqirha wakho: Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu). Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile, anjenge-blood thinners, kwiintsuku ezimbalwa ngaphambi kovavanyo.
- Ukuba uyoyika, ungabi nazintloni zokuyithetha: Abantu abaninzi bayoyika okanye baxhalabile ngolu vavanyo. Yinto eqhelekileyo leyo. Ukuba uvakalelwa ngaloo ndlela, xelela ugqirha wakho. Banokukunika amayeza okukuthomalalisa nokukwenza uzive ukhululekile.
- Yiza nomntu: Ukuba unikwa i-sedation, akukhuthazwa ukuba uqhube emva kovavanyo. Ngoko ke kungcono ukuza nomntu oza kukuyisa ekhaya.
Kwenzeka ntoni kanye kanye ngexesha lovavanyo?
Yonke le nkqubo ithatha malunga nemizuzu engama-30-45 kuphela. Ungagoduka ngaloo mini inye. Masijonge inyathelo ngenyathelo ukuba kwenzeka ntoni.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela | Uxinzelelo lwegazi kunye nokubetha kwentliziyo yakho kuya kulinganiswa. Uza kubekwa kwindawo ekhululekileyo etafileni yovavanyo, nokuba sisisu sakho okanye ngecala lakho. |
| 2. Ukuba ndindisholo | Le sampuli idla ngokuthathwa ngasemva kwethambo lesinqe. Ke ngoko, ulusu olukuloo ndawo lucocwa kakuhle kwaye kufakwa i-anesthetic yendawo ukuze lungabi nantlungu. Ngeli xesha, ungaziva utshile kancinci, ngokungathi imbovane iluma ipenis yakho. |
| 3. Ukufaka inaliti | Emva kokuba kufakwe i-anesthesia, ugqirha wenza umngxuma omncinci eluswini aze afake inaliti ekhethekileyo kwithambo le-pelvic. Awuyi kuyiva le nto kuba ayisebenzi kakuhle. |
| 4. Ukuthatha isampuli | Okulandelayo, i-syringe incamathiselwa kwinaliti kwaye kutsalwe ulwelo oluncinci kumongo wethambo. Kule ndawo, ungaziva intlungu erhuqwayo okanye ethotywayo ezantsi esinqeni nasemlenzeni imizuzwana embalwa. Abantu abaninzi bathi le yeyona nxalenye ingathandekiyo yovavanyo. Kodwa ihlala ixesha elifutshane kuphela. |
| 5. Ukugqiba | Emva kokuba isampuli ithathiwe, inaliti iyasuswa kwaye indawo igqunywe ngeplasta okanye ngebhandishi. Yiyo leyo. |
Yintoni endifanele ndiyazi emva kovavanyo?
Emva kovavanyo, ungaphumla okwethutyana uze ugoduke. Gcina ezi zinto engqondweni.
- Gcina indawo yebhandishi icocekile kwaye yomile ubuncinane iiyure ezingama-24 . Musa ukumanzisa indawo xa uhlamba. Iqela lakho lezonyango liza kukuxelela ukuba ungayisusa nini ibhandishi.
- Kuqhelekile ukuba uzive unesilonda esincinci kunye nobuhlungu kangangeentsuku ezimbalwa apho inaliti ifakiwe khona. Usenokuziva uneentlungu ezincinci xa ugoba okanye uhambahamba.
- Kusenokubakho inxeba elincinci eluswini kuloo ndawo. Eli nxeba liza kuphola ngokwalo kwiveki nje enye.
Ngaba kukho naziphi na iingozi koku?
Ukufutha ngeBone Marrow yinkqubo ekhuselekileyo kakhulu . Nangona kunjalo, njengakweyiphi na inkqubo yezonyango, kukho iingozi ezithile ezinokwenzeka rhoqo. Ezi ziquka:
- Ukusabela kokunganyamezelani neyeza elibangela ukuba umntu angakwazi ukuzibamba.
- Ukopha.
- Usulelo.
Ezi aziqhelekanga kakhulu. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezilandelayo, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko.
| Ixesha lokufuna ingcebiso yezonyango ngokukhawuleza | |
|---|---|
| Ifiva | Ukuba ubushushu bomzimba buyanyuka, oko kusenokuba luphawu losulelo. |
| Into evuzayo kwindawo ebhoboziweyo | Ukuba kukho ulwelo olufana nobovu olumhlophe okanye olumthubi oluphumayo. |
| Ukopha kakhulu | Ukuba ibhandeji limanzi kwaye liqhubeka liphuma igazi. |
| Ukudumba kunye nokufudumala | Ukuba indawo ebhoboziweyo ivakala idumbile kwaye ishushu kunezinye iindawo xa ichukunyiswa. |
Yintoni umahluko phakathi kwe-aspiration kunye ne-biopsy?
Usenokuba ukhe weva nange "Bone Marrow Biopsy." Zombini ziindlela zokuvavanya umongo wethambo. Umahluko ulula kakhulu.
- Ukuphefumla: Oku kuquka ukususa inxalenye yolwelo yomongo wethambo.
- I-Biopsy: Oku kuquka ukuthatha iqhekeza lezicubu ezityebileyo nezithambileyo ezifumaneka kumongo wethambo.
Amaxesha amaninzi, oogqirha benza zombini ezi mvavanyo ngaxeshanye kuba ngaloo ndlela banokubona umfanekiso opheleleyo wesifo.
Kuthatha ixesha elingakanani ukuba ingxelo ifike?
Emva kokuba isampulu ithathiwe, ithunyelwa kwiimvavanyo ezahlukeneyo. Ngoko ke, kunokuthatha naphi na ukusuka kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa ukuba ingxelo ifike. Kuxhomekeke kwiintlobo zovavanyo ezicelwe ngugqirha. Umzekelo:
- I-Flow Cytometry
- IINTLANZI (Ukudibanisa iFluorescence kwiSitu)
- Uvavanyo lweKaryotype
- Ulandelelwano lwesizukulwana esilandelayo
Musa ukoyika ngala magama. La ngamacebo anamhlanje asetyenziswa ukufunda ngokweenkcukacha utshintsho lwemfuza kwiiseli zakho, uhlobo lweeseli zomhlaza, njl. Nje ukuba ingxelo ifike, ugqirha wakho uya kukuchazela ngokucacileyo ukuba ithini, ithetha ukuthini, kunye nento omawuyenze emva koko.
Umyalezo Wokuya Ekhaya
- Ukufutha ngeBone Marrow akulotyando olukhulu omele uloyike. Luvavanyo olubaluleke kakhulu nolukhuselekileyo lokufumana unobangela ochanekileyo weengxaki zegazi.
- Intlungu kunye nokungakhululeki okuvayo ngexesha lovavanyo kungokwexeshana. Iqela lakho lezonyango liza kukunceda ukuba ulawule oku.
- Lilungelo lakho ukuxoxa ngokukhululekileyo nogqirha wakho ngazo naziphi na izinto oza kuzisola okanye ezikuxhalabisayo.
- Iziphumo zolu vavanyo zezona nyathelo zokuqala nezibalulekileyo ekuxilongeni isifo ngokuchanekileyo nasekuqaliseni unyango olufanelekileyo lwaso. Ngoko ke jonga oku ngendlela eyakhayo.
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