Mhlawumbi ugqirha wakho uqaphele into engaqhelekanga kwiziphumo zovavanyo lwakho lwegazi waza wakuyalela ukuba wenze i-bone marrow biopsy. Kuqhelekile ukuba uzive usoyika kancinci kwaye unexhala xa usiva eli gama. "Ngubani ongengoyiki xa esithi bathatha iqhekeza lethambo?" usenokuba ucinga. Kodwa wakuba uyazi kakuhle ukuba yintoni le, kutheni yenziwe, kwaye yenziwa njani, uya kuziva ukhululekile kakhulu. Masithethe ngale nto ngokulula nangendlela onokuyiqonda.
Okokuqala, masibone, yintoni umongo wethambo?
Xa sithi "umongo wamathambo," abanye abantu bacinga ngento ethile engqondweni. Kodwa akunjalo. Ngamafutshane, umongo wamathambo sisicwili esithambileyo nesithambileyo ngaphakathi kwamathambo amakhulu emzimbeni wethu, njengethambo lesinqe umzekelo. Njengencindi engaphakathi kwesiqu somthi, umongo ongaphakathi kwamathambo ethu ubizwa ngokuba ngumongo wamathambo.
Eli candelo lomongo wethambo lelona candelo liphambili elivelisa igazi emizimbeni yethu . Zonke iintlobo ezintathu zeeseli zegazi ezibalulekileyo emizimbeni yethu ziveliswa apha.
- Iiseli ezibomvu zegazi: Ezi ziiseli ezithwala ioksijini esuka emiphungeni ukuya emzimbeni wonke xa siphefumla. Ezi seli zibalulekile kuthi ukuze sihlale sinamandla kwaye senze imisebenzi ngokufanelekileyo.
- Iiseli zegazi ezimhlophe: Njengomkhosi kwilizwe lethu, ezi seli zisikhusela kwizifo ngokulwa neentsholongwane kunye nezinto eziphilayo ezibangela izifo ezingena emzimbeni.
- Iiplatelets: Xa unenxeba elincinci uze uqale ukopha, ezi platelets ziyayeka ukopha emva kwexesha elithile. Ziyahlangana ukuze zenze ihlwili legazi kwaye zivale inxeba.
Ngoko ke, kukho enye inxalenye yomongo wethambo, eyinxalenye yolwelo. Le nxalenye yolwelo iqulethe iiseli ze-stem, oko kukuthi, iiseli zegazi ezisandula ukwenziwa. Kwi-Bone Marrow Biopsy, kuthathwa inxalenye ephambili yethishu, efana nesiponji. Uvavanyo olusetyenziswa ukuthatha loo nxalenye yolwelo lubizwa ngokuba yiBone Marrow Aspiration . Ngokwesiqhelo, ugqirha wakho uya kwenza zombini ezi vavanyo ngaxeshanye.
Kutheni ugqirha angacebisa olu vavanyo?
Khawuthelekelele, ukuba ukrokrela ukuba kukho into engalunganga ngenjini yesithuthi, into eyenziwa ngumkhandi kukuvula ibhonethi aze ayihlole kakuhle injini. Ngendlela efanayo, ukuba ingxelo yegazi ibonisa ukuba kukho into engalunganga ngegazi lethu, ugqirha kufuneka angene nzulu kwifektri yegazi, oko kukuthi, umongo wethambo, ukuze abone ukuba yintoni ingxaki yokwenyani.
Olu vavanyo lwenziwa ikakhulu ngezizathu ezithathu:
- Ukuchonga okanye ukuqinisekisa isifo: Ukuba uvavanyo lwakho lwegazi lubonisa inani eliphantsi okanye eliphezulu kakhulu leeseli ezibomvu zegazi, iiseli ezimhlophe zegazi, okanye iiplatelets, olu vavanyo lunokunceda ekufumaneni unobangela. Oku kubalulekile ekufumaneni izifo ezithile ezinxulumene negazi, umhlaza, kunye nemfiva engachazwanga.
- Chonga inqanaba lomhlaza:Xa umntu efunyenwe enomhlaza, inqanaba lomhlaza liyamiselwa ukuze kuchongwe ukuba usasazeke kangakanani emzimbeni. Olu vavanyo lwenziwa ukuze kuchongwe ukuba umhlaza usasazeke na ukuya kumongo wethambo.
- Ukubona indlela umzimba osabela ngayo kunyango: Oogqirha basebenzisa olu vavanyo ukubona ukuba unyango luphumelele na kwaye ukuba umongo uqala ukuvelisa iiseli zegazi ezisempilweni kwakhona, ingakumbi kumntu ofumana unyango lwezifo ezifana nomhlaza.
Zeziphi izifo ezinokufunyaniswa ngolu vavanyo?
Uvavanyo lwe-bone marrow lunokufumanisa iimeko ezininzi apho inani leeseli zegazi liphantsi okanye liphezulu ngokungaqhelekanga. Kwakhona kubalulekile ekuxilongeni umhlaza ochaphazela igazi okanye i-bone marrow.
| Imeko | Kalula nje... |
|---|---|
| I-anemia | Ukunqongophala kweeseli ezibomvu zegazi ezaneleyo zokuthwala ioksijini emzimbeni wonke. |
| I-anemia ye-Aplastic | Umongo awukwazi ukuvelisa ngokwaneleyo zonke iintlobo ezintathu zeeseli zegazi (ezibomvu, ezimhlophe, kunye neeplatelets). |
| I-Leukopenia kunye ne -Leukocytosis | Ukwehla okanye ukwanda kwenani leeseli ezimhlophe zegazi. |
| I-Thrombocytopenia kunye ne -Thrombocytosis | Ukwehla okanye ukwanda kwenani leeplatelet. |
| I-Leukemia | Umhlaza weeseli zegazi, ingakumbi iiseli ezimhlophe zegazi. |
| I-Lymphoma | Umhlaza owenzeka kwinkqubo ye-lymphatic. Oku kunokuchaphazela neeseli zegazi. |
| I-myeloma eninzi | Umhlaza ochaphazela iiseli zeplasma, uhlobo lweeseli ezimhlophe zegazi. |
| Umhlaza wesibini | Umhlaza oqale kwenye indawo, njengebele okanye imiphunga, usasazeka uye kumongo wethambo. |
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Olu asilotyando olukhulu, ngoko ke akukho mfuneko yokulungiselela kakhulu. Nangona kunjalo, kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
- Ukuba unikwa iyeza lokuthomalalisa ukukunceda uphumle ngexesha lovavanyo, ungacelwa ukuba uzile ukutya (ungatyi okanye usele) iiyure ezimbalwa ngaphambi kovavanyo.
- Ukuba unikwe amayeza anjalo, awuyi kukwazi ukuqhuba emva kovavanyo, ngoko ke lungiselela ukuba umntu akuse ekhaya kwangethuba .
- Eyona nto ibalulekileyo kukuxelela ugqirha wakho yonke into ngawe.
Qiniseka ukuba uxoxa ngezi zinto nogqirha wakho:
* Ukuba unesifo sokopha (umz. i-hemophilia) .
* Sixelele ngayo nayiphi na imithi oyithathayo, ingakumbi ukuba uthatha amayeza okunciphisa igazi (umz., amayeza okunciphisa igazi , i-aspirin).
* Malunga nazo naziphi na iivithamini kunye nezongezo ozithathayo.
* Naluphi na uhlobo lwe-allergies onokuba unalo ngamayeza.
* Sixelele nokuba ukhulelwe okanye uceba ukukhulelwa.
Kwenzeka ntoni ngexesha lovavanyo?
Olu vavanyo lungenziwa esibhedlele okanye ekliniki. Lonke olu vavanyo luthatha malunga nemizuzu engama-30 . Usezingqondweni, kodwa indawo evavanywayo ayisebenzi kakuhle (i-local anesthesia), ngoko awuyi kuva iintlungu ezininzi.
Nazi iindlela ezenzeka rhoqo:
1. Okokuqala, uza kunxitywa ilokhwe yesibhedlele. Emva koko, uza kulaliswa ebhedini. Ngokwesiqhelo, olu vavanyo lwenziwa ngasemva kwethambo lesinqe (`i-posterior iliac crest`), ngoko ke uza kujikeleziswa esiswini okanye ecaleni uze ulaliswe phantsi.
2. Emva koko, ugqirha okanye umongikazi oqeqeshiweyo uza kucoca kakuhle indawo eza kuhlolwa ngesisombululo sokubulala iintsholongwane. Emva koko , kuya kusetyenziswa inaliti ethambileyo ukufaka into ethintela ulusu phantsi kolusu ide ifikelele kumphezulu wethambo.
3. Emva kokuba uphelelwe ngamandla, ugqirha uza kwenza ulusu oluncinci aze afake inaliti ekhethekileyo ethanjeni. Okokuqala, kufakwa isirinji kwaye kukhutshwe ulwelo oluncinci. Oku kubizwa ngokuba yi-bone marrow aspiration .
4. Emva koko, kufakwa enye inaliti enesithuba ngaphakathi kwaye kuthathwa isiqwenga esincinci, esisilinda sethishu enjengesiponji. Oku kubizwa ngokuba yi-core biopsy .
5. Emva kokuthatha isampuli, inaliti iyasuswa, uxinzelelo lufakwa okwethutyana ukuze kumiswe ukopha, kwaye kufakwa iplasta okanye ibhandishi.
Isampulu ethathiweyo ithunyelwa kwilebhu ukuze ivavanywe.
Ingaba oku kuyabuhlungu kakhulu?
Lo ngumbuzo omkhulu engqondweni yomntu wonke. Masibe nenyani. Ngenxa yokuba ndindisholo, awuziva ulusu lunqunyulwa okanye inaliti ifakwa eluswini.
Nangona kunjalo, xa inxalenye engamanzi (i-aspiration) itsalwa ngesirinji, ungaziva intlungu ebukhali imizuzwana embalwa . Kwakhona, xa kuthathwa inxalenye yezicubu eziqinileyo (i-biopsy), ungaziva ubuhlungu obuqinileyo okanye obutsalwayo kuba ithambo alinakunyanzelwa. Le ayisiyontlungu inganyamezelekiyo, kodwa kukho ubuhlungu.
Ukuba ukhathazekile ziintlungu, thetha nogqirha wakho ngaphambi kovavanyo. Angakunika amayeza okukunceda uphumle kwaye unciphise iintlungu.
Wenza ntoni emva kovavanyo?
Ungagoduka ngaloo mini inye. Ukuba unikwe amayeza okukuthomalalisa, umntu makakuqhubele ekhaya. Landela la manyathelo emva kokuba ugodukile.
- Kunokubakho iintlungu ezithile usuku okanye ezimbini apho uvavanyo lwenziwe khona. Sela i-painkiller njengoko ugqirha ekuyalele.
- Ziphephe izinto ezifuna amandla ezifana nokuzilolonga nokuphakamisa iintsimbi ubuncinane iiyure ezingama-24 .
- Gcina indawo yenxeba ingangeni manzi iiyure ezingama-24 . Oku kuthetha ukugquma indawo xa uhlamba.
Iziphumo ebezingalindelekanga (iingozi) kunye nexesha lokuthetha nogqirha wakho
Iingxaki ezinzima emva kolu vavanyo azixhaphakanga . Ngamanye amaxesha kunokubakho ukopha kakhulu okanye usulelo, kodwa ezi ngxaki zihlala zilawuleka.
Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo,Fowunela ugqirha wakho ngoko nangoko .
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza. | |
|---|---|
| 🩸 | Ukopha kakhulu okanye olunye ulwelo oluvela kwindawo yovavanyo. |
| uphawu_oluvuvukileyo | Ukudumba kwindawo yovavanyo. |
| 🔴 | Ububomvu (ingakumbi ukuba ububomvu bubonakala busasazeka). |
| 🌡️ | Umkhuhlane okanye iintlungu eziya ziba mandundu endaweni yokuncipha . |
Kwenzeka ntoni emva kwengxelo?
Ingcali yezifo , ugqirha ogxile ekuvavanyweni kwezicubu, uhlola isampuli yomongo wakho wethambo phantsi kwemakroskopu aze alungiselele ingxelo.
Ugqirha wakho uza kuyijonga le ngxelo aze akuchazele ngayo ngokulula. Iziphumo ziya kugqiba ukuba uza kwenza ntoni emva koko. Banokuqinisekisa ukuba kukho isifo, bacele ezinye iimvavanyo, okanye baqale unyango okanye batshintshe unyango olusebenzisayo ngoku.
Eyona nto ibalulekileyo kukuqonda kakuhle oko kuthethwa yingxelo kunye nendlela echaphazela ngayo impilo yakho ngokumamela ugqirha wakho. Musa ukuthandabuza ukubuza nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Umyalezo Wokuya Ekhaya
- I-Bone Marrow Biopsy luvavanyo olubaluleke kakhulu noluqhelekileyo olusetyenziselwa ukuxilonga izifo zegazi kunye nomongo wethambo.
- Kuqhelekile ukuba noloyiko xa usiva eli gama. Kodwa wakuba ufunde ngendlela eyenzeka ngayo, uloyiko olusentliziyweni yakho luyaphela.
- Uvavanyo lwenziwa ngesixhobo sokudambisa iintlungu kwindawo leyo, ngoko ke akukho ntlungu inganyamezelekiyo, kodwa ungaziva ungakhululekanga.
- Amathuba okuba neziphumo ebezingalindelekanga ezinobungozi kolu vavanyo aphantsi kakhulu.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo, uloyiko, okanye iinkxalabo onokuba nazo ngaphambi nasemva kovavanyo. Uya kukwazi ukukunceda.
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