Kukho into engalunganga ngengxelo yakho yegazi, kwaye ngaba uzive usoyika kancinci xa ugqirha esithi kufuneka wenze 'uvavanyo lwe-bone marrow' ukuze ufumane unobangela ochanekileyo? Nangona amagama athi "bone marrow" esenokuvakala ngathi lutyando olukhulu, oku akuyonto yokoyika. Oku kudla ngokwenziwa ukuze kufunyanwe ulwazi oluchanekileyo malunga nezifo ezinxulumene negazi. Ngoko ke, masithethe ngale nto ngendlela elula namhlanje, ngendlela eya kususa onke amathandabuzo engqondweni yakho.
Okokuqala, masibone, yintoni umongo wethambo?
Ngamafutshane, umongo wethambo sisicwili esithambileyo nesithambileyo ngaphakathi kwamathambo amakhulu omzimba wethu. Kufana nomzi-mveliso wethu wegazi. Kulapha apho umzimba wakho uvelisa zonke iintlobo ezintathu zeeseli: iiseli ezibomvu zegazi (ezithwala ioksijini), iiseli ezimhlophe zegazi (ezisikhusela kwizifo), kunye neeplatelets (ezinceda ukujiya kwegazi).
Ngoko ke ukuba kukho into engaqhelekanga egazini, oko kukuthi, ukuba ezi ntlobo zeeseli ziyancipha, ziyanda, okanye ukuba iiseli ezingaqhelekanga zenzeka, indawo efanelekileyo yokufumana unobangela kukuhlola le "fektri".
Yintoni umahluko phakathi kwe-aspiration kunye ne-biopsy?
Mhlawumbi ukhe waweva omabini la magama. Omabini la magama ziindlela zokuvavanya umongo wethambo.
- Ukufunxwa kweBone Marrow: Oku kuquka ukususa isampuli encinci yenxalenye yolwelo yomongo wethambo kusetyenziswa inaliti engenanto.
- I-Bone Marrow Biopsy: Oku kuquka ukususa iqhekeza elincinci lezicubu ezixineneyo nezithambileyo kumongo wethambo.
Amaxesha amaninzi, oogqirha benza zombini ezi mvavanyo ngaxeshanye ukuze bafumane umfanekiso opheleleyo wemeko yesigulana.
Kutheni ucelwa ukuba ubhale olu vavanyo?
Khawuthelekelele ukuba uvavanyo lwakho lwegazi (iFull Blood Count) lubonisa inani eliphantsi okanye eliphezulu kakhulu leeseli ezibomvu, iiseli ezimhlophe, okanye iiplatelets. Ugqirha wakho unokucebisa olu vavanyo ukuze afumanise ukuba yintoni kanye kanye ebangela oku.
Olu vavanyo lubonisa ngokucacileyo ukuba umongo wethambo usempilweni kwaye uvelisa ubungakanani obufunekayo beeseli zegazi.
Le theyibhile ingezantsi idwelisa ezinye zeemeko ezinokufunyaniswa ngolu vavanyo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| I-anemia | Ukuncipha kwenani leeseli ezibomvu zegazi emzimbeni. Oku kwenzelwa ukufumanisa ukuba ingaba imbangela yingxaki kumongo wethambo. |
| I-Leukemia | Uhlobo lomhlaza wegazi. Ukuveliswa ngokugqithisileyo kweeseli ezimhlophe zegazi ezingaqhelekanga. |
| I-Lymphoma | Umhlaza owenzeka kwinkqubo ye-lymphatic. Ukujonga ukuba usasazeke na kumongo wethambo. |
| Isifo seMyelodysplastic | Ukungakwazi komongo wethambo ukuvelisa iiseli zegazi ezisempilweni. |
| I-Hemochromatosis | Isinyithi esigqithisileyo emzimbeni. |
| Ukusasazeka komhlaza (iMetastasis) | Ukujonga ukuba umhlaza ovela kwenye indawo usasazeke na waya emathanjeni okanye kumongo wethambo. |
Ukongeza, olu vavanyo lusetyenziselwa ukubona indlela umongo wethambo osabela ngayo kunyango ngexesha lonyango lomhlaza, kunye nokujonga impilo yomongo wethambo ngaphambi nasemva kwento efana nokufakelwa umongo wethambo.
Kwenzeka ntoni ngaphambi nangexesha lovavanyo?
Olu vavanyo ludla ngokwenziwa yingcali yomhlaza, ingcali yegazi, okanye umntu ofumene uqeqesho olukhethekileyo kulo.
Ngaphambi kovavanyo
Kwiimeko ezininzi, ungatya uze usele ngendlela eqhelekileyo ngaphambi kovavanyo. Nangona kunjalo, kufuneka uxelele ugqirha wakho malunga nawo onke amayeza kunye neevithamini ozithathayo. Ukuba uthatha amayeza okunciphisa igazi, ungacelwa ukuba uyeke ukuwathatha kwiintsuku ezimbalwa ngaphambi kovavanyo.
Ngexesha lovavanyo
Oku kudla ngokuba yinkqubo emfutshane, malunga nemizuzu eli-10-20.
1. Indawo: Isampuli yomongo wethambo idla ngokuthathwa kwithambo lakho le-pelvic. Oko kukuthi, kwindawo emqolo wakho, ngaphantsi nje kwesinqe sakho.
2. Ukulungiselela: Uza kubekwa etafileni yokuhlolwa, nokuba ulele ngesisu okanye ngecala.
3. Ukuba ndindisholo: Le yeyona nto ibalulekileyo. Ukuze ungeva ntlungu, ugqirha uza kufaka iyeza elibangela ukuba ndindisholo kwindawo apho inaliti ifakwe khona. Ngoko ke uza kuva nje ukuhlatywa kancinci. Ngamanye amaxesha, unganikwa i-sedation ukuze uphumle kancinci. Emva koko, nangona uphaphile engqondweni, uza kukhululeka kakhulu.
4. Ukuthatha isampuli: Okulandelayo, kufakwa inaliti ekhethekileyo engenanto ngesikhumba iye kwithambo lesinqe. Emva koko inaliti incamathiselwa kwinaliti kwaye kukhutshwe ulwelo oluncinci lomongo wethambo. Kule ndawo, ungaziva utsalwa kancinci, olunokuhlala imizuzwana embalwa.
5. Ukugqitywa: Emva kokuba isampulu ithathiwe, inaliti iyasuswa kwaye kufakwa ibhandishi ecocekileyo kwindawo leyo.
Yintoni onokuyilindela emva kovavanyo
Ungagoduka ngosuku olunye novavanyo. Nangona kunjalo, ukuba unikwe i-sedation, kuya kufuneka ulinde ixesha elithile ukuze imiphumo yamayeza iphele. Ngokuqinisekileyo uya kufuna umntu wokukusa ekhaya.
Kuqhelekile ukuba uzive iintlungu kwindawo ebhoboziweyo kangangeentsuku ezimbalwa emva kovavanyo. Ezi ntlungu zinokuvakala xa ugoba phambili okanye umile. Kuqhelekile nokuba indawo ejikeleze indawo ebhoboziweyo ijike ibe luhlaza okwesibhakabhaka, njengenxeba elincinci.
Ufanele ugcine indawo yebhandishi icocekile kwaye yomile ubuncinane iiyure ezingama-24 de ugqirha wakho akuxelele ukuba wenze njalo.
Ngaba kukho iziphumo ebezingalindelekanga? Kwaye ndifanele ndimtsalele umnxeba nini ugqirha?
Olu vavanyo luhlala lukhuselekile kakhulu , kodwa kukho iingozi ezithile ezinokwenzeka rhoqo.
- Ukusabela kokunganyamezelani neziyobisi ezibangela intlungu.
- Ukopha kakhulu kwindawo ebhoboziweyo.
- Usulelo.
Ezi aziqhelekanga kakhulu, kodwa ukuba unezinye zeempawu ezingezantsi emva kovavanyo, kufuneka ufowunele ugqirha wakho ngoko nangoko.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| Ifiva | Ubushushu bomzimba obunyukileyo. |
| Into ephuma kwindawo yokubhoboza | Ukukhupha ubofu okanye olunye ulwelo. |
| Ukopha kakhulu | Ukuba ibhandeji limanzi kwaye liphuma igazi. |
| Ukudumba kunye nokubomvu | Ukuba ukudumba kunye nokubomvu okujikeleze inxeba kuyanda. |
| Intlungu ebuhlungu | Ukuba intlungu iyanda imihla ngemihla. |
Ekugqibeleni, iziphumo zolu vavanyo azikho "zintle" okanye "zimbi," oko kuthetha ukuba "zilungile" okanye "zimbi." Isampulu ihlolwa phantsi kwemakroskopu kwilebhu, kwaye kufunyenwe ingxelo eneenkcukacha, kuquka iintlobo zeeseli, ubungakanani bazo, imilo yazo, nokuba kukho naziphi na iiseli ezingaqhelekanga, kunye nokuba kukho naziphi na iimpawu zosulelo. Ngokusekelwe kuloo ngxelo, ugqirha wakho uya kuchaza amanyathelo alandelayo kunye nonyango olufunekayo.
Umyalezo Wokuya Ekhaya
- Ukufunxwa komongo asilotyando lukhulu. Luvavanyo olubalulekileyo lokufumanisa unobangela weengxaki zegazi.
- Xa usenza oku , loo ndawo ngokuqinisekileyo iya kuba ndindisholo ukuze ungabi nantlungu. Ngoko ke ungoyiki.
- Xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo ngaphambi kovavanyo.
- Kuqhelekile ukuba nentlungu kunye nokudumba kangangeentsuku ezimbalwa emva kovavanyo.
- Ukuba uneempawu ezinje ngomkhuhlane, ukopha kakhulu, okanye ukudumba , yazisa ugqirha wakho ngoko nangoko.
- Ukuba uneminye imibuzo malunga noku, ungathandabuzi ukubuza ugqirha wakho.
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