Chii chinonzi Bone Marrow Biopsy? Chinangwa, Maitiro & Mhedzisiro

Bone marrow biopsy inzira yekurapa uko chiremba wako anobvisa sampuli diki yenyama yebone marrow kuti aongorore pasi pemicroscope. Nyama iyi inogara mukati memapfupa ako uye inogadzira masero ako ese eropa, kusanganisira masero matsvuku eropa, masero machena eropa, uye maplatelet. Fungidzira sekutarisa pedyo nefekitari yemasero eropa emuviri wako kuti unzwisise kuti iri kushanda sei.

Chii chinonzi bone marrow biopsy?

Bone marrow biopsy inosanganisira kutora chidimbu chidiki chenyama inonzi spongy iri mukati memapfupa ako, kazhinji kubva kubhonzo rako rechiuno. Bone marrow yako yakaita sefekitari yakabatikana inogara ichigadzira masero matsva eropa kuti atsive ekare mumuviri wako wese. Kana vanachiremba vachida kunzwisisa kuti nei kuverenga kweropa rako kungave kusina kujairika kana kuongorora mamiriro akati wandei, vanoongorora nyama iyi zvakananga.

Maitiro acho anowanzo tora maminitsi makumi matatu uye anoitwa sekushanya kwevarwere vekunze. Ucharara padivi rako apo chiremba wako anoshandisa tsono yakakosha kuti abvise sampuli diki kubva kumashure ebhonzo rako repelvic. Vanhu vazhinji vanotsanangura kusagadzikana sekumanikidzwa kupfupi asi kwakanyanya, kufanana nekubaiwa jekiseni asi richigara masekonzi mashoma.

Nei bone marrow biopsy ichiitwa?

Chiremba wako angakurudzira bone marrow biopsy kana bvunzo dzeropa dzichiratidza mhedzisiro isina kujairika inoda kumwe kuongororwa. Chikonzero chakajairika ndechokubatsira kuongorora zvirwere zveropa, kenza inokanganisa masero eropa, kana kuongorora kuti kurapwa kwakasiyana kunoshanda sei.

Heano zvikonzero zvikuru nei vanachiremba vachiita bvunzo iyi, uye kuziva nei kunogona kukubatsira kuti unzwe wakagadzirira:

• Kuwongorora kenza yeropa yakaita se leukemia, lymphoma, kana multiple myeloma
• Kutsvaga anemia isingatsanangurwi kana kuwanda kwemasero eropa akaderera
• Kutarisa zvirwere zvingakanganisa mupengo wemapfupa
• Kutarisa kufambira mberi kwekurapa kwezvirwere zveropa
• Kuongorora kana kenza yapararira kumupengo wemapfupa
• Kuwongorora zvirwere zvisingawanzoitiki zvemuviri wemapfupa zvakaita se myelofibrosis

Dzimwe nguva vanachiremba vanoshandisawo bvunzo iyi kuti vaongorore fivha isingazivikanwi kwainobva kana maitiro ekubuda ropa asingawanzoitiki. Iyo biopsy inovapa ruzivo rwakadzama rwusingapiwe nemiedzo yeropa yega.

Ndeipi nzira yekutora biopsy yemupengo wemapfupa?

Maitiro ekuita biopsy yemupengo wemapfupa anoitika muhofisi yachiremba wako kana kiriniki yekunze, uye iwe uchakwanisa kuenda kumba zuva rimwe chetero. Chikwata chako chekuchengetedza hutano chichakutungamira kuburikidza nechinhu chimwe nechimwe kuti uve nechokwadi chekuti unonzwa wakasununguka uye wakaziviswa mukati memaitiro acho.

Hezvino zvaunogona kutarisira panguva yemaitiro, nhanho nhanho:

1. Ucharara padivi rako kana dumbu patafura yekuongorora
2. Chiremba wako achachenesa ganda pamusoro pemapfupa ako echiuno neantiseptic
3. Anesthetic yemuno inojekeswa kuti inyanye nzvimbo yacho zvachose
4. Tsono isina chinhu inoiswa kuburikidza neganda rako mumapfupa
5. Mvura yemupengo wemapfupa inotanga kuburitswa (aspiration)
6. Chidimbu chidiki chemapfupa chine marrow chinobviswa (biopsy)
7. Kumanikidzwa kunoshandiswa kumisa chero kubuda ropa
8. Bhandeji rinoiswa pamusoro penzvimbo yacho

Kutora sampuli chaiko kunotora maminitsi mashoma chete, kunyangwe iwe unogona kunzwa kumanikidzwa kana tsono yapinda mumapfupa. Vanhu vazhinji vanowana kutarisira kusagadzikana kupfuura maitiro acho pachayo.

Maitiro ekugadzirira biopsy yako yemupengo wemapfupa?

Kugadzirira biopsy yako yemupengo wemapfupa kwakananga, uye chikwata chako chekuchengetedza hutano chichakupa mirairo chaiyo zvichienderana nenhoroondo yako yekurapa. Chinangwa ndechekuona kuti unonzwa wakasununguka sezvinobvira uye kuti maitiro acho anoenda zvakanaka.

Chiremba wako anogona kukukumbira kuti uite gadziriro idzi mumazuva anotungamira ku biopsy yako:

• Regedza kutora mishonga inotetesa ropa yakaita se aspirin kana warfarin kana wadzidziswa
• Zivisa chiremba wako nezve mishonga yese uye zvinowedzerwa zvaunotora
• Idya chikafu chakareruka usati waita maitiro aya kunze kwekunge wadzidziswa neimwe nzira
• Gadzirira mumwe munhu kuti akutyairire kumba mushure meizvozvo
• Pfeka mbatya dzakanaka, dzakasununguka
• Uya ne runyorwa rwemishonga yako iripo

Haufaniri kutsanya kunze kwekunge chiremba wako achikukumbira zvakananga. Vamwe vanhu vanoona zvichibatsira kuuya nemahedhifoni kana kubvunza kana vachikwanisa kuteerera mimhanzi panguva yekuita maitiro aya kuti avabatsire kuzorora.

Maitiro ekuverenga mhedzisiro ye biopsy yako yemuzongoza?

Mhedzisiro ye biopsy yako yemuzongoza ichadzoka mumavhiki anenge rimwe kusvika maviri, sezvo nyama ichida nguva yekugadziriswa uye kuongororwa zvakanyatsonaka ne pathologist. Mushumo uyu uchasanganisira ruzivo rwakadzama nezve chimiro chemuzongoza wako, mhando dzemasero, uye chero zvinhu zvisina kujairika.

Mhedzisiro yakajairika inowanzo ratidza muzongoza une hutano une musanganiswa wakanaka wemasero eropa ari kukura. Chiremba wako achatsanangura zvinoreva zvawanikwa kune mamiriro ako chaiwo, asi kazhinji, mhedzisiro yakajairika inoratidza kuti muzongoza wako uri kugadzira masero eropa nemazvo uye haaratidzi zviratidzo zvekenza kana mamwe mamiriro akakomba.

Mhedzisiro isina kujairika inogona kuratidza mamiriro akati wandei akasiyana, uye chiremba wako achakufambisa kuburikidza nezvavakawana:

• Mashoma kana akawanda emhando dzemasero
• Kuvapo kwemasero asina kujairika kana ane kenza
• Zviratidzo zvehutachiona kana kuzvimba
• Kukuvadzwa kana fibrosis mumuzongoza
• Uchapupu hwekusajairika kwemajini mumasero
• Kupinda kwemasero ekenza kubva kune dzimwe nhengo dzemuviri

Rangarira kuti mhedzisiro isina kujairika hairevi nguva dzose chimwe chinhu chakakomba. Dzimwe nguva dzinongosimbisa zvaitarisirwa nachiremba wako kare uye dzinobatsira kutungamira chirongwa chakarurama chekurapa kwako.

Ndezvipi zvinhu zvinokonzera njodzi yemhedzisiro isina kujairika yebone marrow biopsy?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuva nemhedzisiro isina kujairika yebone marrow biopsy, kunyangwe kuva nezvinhu izvi zvinokonzera njodzi hakuvimbisi kuti uchava nematambudziko. Kunzwisisa izvi kunogona kukubatsira iwe nachiremba wako kuti uite zvisarudzo zvine ruzivo nezvehutano hwako.

Zera ndechimwe chezvinhu zvakakosha, sezvo basa re bone marrow richichinja zvakasikwa nekufamba kwenguva. Vanhu vane makore anopfuura 60 vane mukana mukuru wekuva nezvirwere zveropa, kunyangwe mamiriro aya achigona kuitika pazera ripi zvaro. Nhoroondo yemhuri inewo basa, kunyanya kune zvimwe zvirwere zveropa zve genetic.

Zvimwe zvinhu zvinokonzera njodzi zvinogona kukanganisa hutano hwako hwe bone marrow zvinosanganisira:

• Chemotherapy yapfuura kana kurapwa nemwaranzi
• Kusangana nemakemikari akaita se benzene
• Kusvuta zvigadzirwa zvefodya
• Zvimwe zvirwere zve genetic
• Zvirwere zve autoimmune
• Zvirwere zvisingaperi
• Mishonga yakati wandei inotorwa kwenguva refu

Zvimwe zvinhu zvakatipoteredza uye sarudzo dzehupenyu zvinogonawo kukanganisa hutano hwe bone marrow, kunyangwe vanhu vazhinji vane zvinhu zvinokonzera njodzi vasina kumbobvira vava nematambudziko. Chiremba wako anofunga nezvezvinhu izvi zvese paanotsanangura mhedzisiro yako.

Ndezvipi zvingaitika zvekukanganisa kwe bone marrow biopsy?

Bone marrow biopsy inowanzo chengeteka, asi semaitiro ese ekurapa, inotakura njodzi diki. Matambudziko akakomba haawanzoitiki, achiitika mune isingasviki 1% yezvaitwa, asi kuziva zvekutarisa kunogona kukubatsira kuti unzwe wakagadzirira.

Mhedzisiro yakajairika ndeyekureruka uye yenguva pfupi, kusanganisira kurwadziwa panzvimbo yebiopsy kwemazuva mashoma. Unogonawo kuona mamwe mabvudzi kana kubuda ropa kudiki kwakaiswa tsono, izvo zvakajairika uye zvinofanirwa kugadzirisa mukati mevhiki.

Hezvino zvingaitika zvinofanira kuzivikanwa, kunyange zvazvo zvizhinji zvisingawanzoitiki:

• Kutapukirwa panzvimbo yekuongorora
• Kubuda ropa kwakanyanya
• Kurwadziwa kwenguva refu kana kusagadzikana
• Kuita allergic kumishonga yekurwadziwa
• Kukuvadza zvivakwa zviri pedyo (zvisingawanzoitiki zvakanyanya)
• Kupererwa simba panguva kana mushure mekuongororwa

Vashandi vehutano vachakutarisa mushure mekuongororwa uye vachakupa mirairo yakajeka yekuchengeta nzvimbo yekuongorora. Vanhu vazhinji vanodzokera kuzviitiko zvavo zvenguva dzose mukati mezuva rimwe kana maviri.

Ndingatarisana riini nachiremba mushure mekuongororwa kwemuzongoza wemapfupa?

Unofanira kubata chiremba wako kana ukaona zviratidzo zvinonetesa mushure mekuongororwa kwemuzongoza wemapfupa. Kunyange zvazvo vanhu vazhinji vachipora vasina matambudziko, zvakakosha kuziva kuti ungatsvaga rini rubatsiro rwekurapa.

Fonera chiremba wako nekukasira kana ukaona zviratidzo zveutachiona kana zvimwe zvinetso:

• Fivha inodarika 101°F (38.3°C)
• Kurwadziwa kunowedzera kusingavandudzwi nemishonga yekurwadziwa inotengeswa pasina mushonga
• Kubuda ropa kwakanyanya kana kubuda kubva panzvimbo yekuongorora
• Kutsvuka, kudziya, kana kuzvimba munzvimbo yakatenderedza
• Pus kana kubuda kunonhuwa
• Kuramba uine mwoyo unonetseka kana kurutsa

Unofanirawo kubata kana uine mibvunzo pamusoro pemigumisiro yako kana uchida kujekeswa pamusoro pechirongwa chako chekurapa. Vashandi vehutano vanoda kuti unzwe uchiziviswa uye uchigadzikana mukati meiyi nzira.

Mibvunzo inowanzo bvunzwa pamusoro pekuongororwa kwemuzongoza wemapfupa

Q.1 Ko kuongororwa kwemuzongoza wemapfupa kwakanaka here pakuongorora leukemia?

Hongu, kuongororwa kwemuzongoza wemapfupa ndechimwe chezviedzo zvakakosha pakuongorora leukemia. Zvinobvumira vanachiremba kuti vaone masero echokwadi ekenza mumuzongoza wako wemapfupa uye vatsanangure rudzi rweleukemia yaungave uine. Zviedzo zveropa zvinogona kuratidza leukemia, asi biopsy inosimbisa kuongororwa uye inobatsira chiremba wako kuronga nzira yakanakisisa yekurapa.

Biopsy inoratidzawo kuti huwandu hwei hweuropi hwako hune maseru ekenza, izvo zvinobatsira kuziva danho uye kuoma kwechirwere. Ruzivo urwu rwakakosha pakusarudza kurapwa kwakakodzera uye kufanotaura kuti ungaita sei kurapwa.

Mubvunzo 2. Ko biopsy yeuropi inorwadza kupfuura mamwe maitiro here?

Vanhu vazhinji vanotsanangura biopsy yeuropi seisinganzwisisike asi inogona kutsungirirwa, yakafanana nemamwe maitiro madiki sekubaiwa kana kubviswa ropa. Anesthetic yemuno inonamisa ganda uye tishu yepamusoro, saka hauzonzwe kurwadziwa kwakanyanya panguva yakawanda yekuita.

Munguva iyo tsono inopinda mumapfupa inogona kukonzera kumanikidzwa kwenguva pfupi, kwakanyanya kunogara kwemasekonzi mashoma. Varwere vazhinji vanoti kutarisira kwacho kwakaipa kupfuura maitiro chaiwo, uye kusagadzikana kunogoneka nemishonga yekurwadziwa inopiwa nachiremba wako.

Mubvunzo 3. Ko mhedzisiro ye biopsy yeuropi yakarurama sei?

Mhedzisiro ye biopsy yeuropi yakarurama zvikuru kana ichiitwa uye ichidudzirwa nenyanzvi dzehutano dzine ruzivo. Muedzo unotarisa zvakananga tishu yeuropi yako, uchipa ruzivo rwechokwadi pamusoro pemhando dzeseru, chimiro, uye chero zvisina kujairika zviripo.

Zvisinei, semumwe muedzo wekurapa, pane mukana muduku wemigumisiro yenhema nekuda kwezvinhu zvehunyanzvi kana sampling kubva kunzvimbo isingamiriri uropi hwose. Chiremba wako anofunga nezvemhedzisiro ye biopsy yako pamwe chete nemimwe miedzo uye zviratidzo zvako kuti aite kuongororwa kwakanyatsojeka.

Mubvunzo 4. Ndingaita maekisesa mushure me biopsy yeuropi here?

Unofanira kudzivisa maekisesa akasimba kwemaawa makumi maviri nemana mushure me biopsy yako yeuropi kuti ubvumire nzvimbo ye biopsy kupora zvakanaka. Mabasa akareruka sekufamba anowanzoita zvakanaka, asi dzivisa kusimudza zvinhu zvinorema, kumhanya, kana mabasa anogona kuisa kumanikidzwa panzvimbo ye biopsy.

Chiremba wako achakupa zvirambidzo zvakajeka zvekuita zvinhu zvichienderana nemamiriro ako ezvinhu, asi vanhu vazhinji vanogona kudzokera kune maekisesaizi avo akajairika mukati memazuva mashoma. Teerera muviri wako uye zvishoma nezvishoma wedzera chiitiko sezvaunonzwa wakasununguka.

Mubvunzo 5. Chii chinoitika kana biopsy yangu yemuzongoza ichiratidza kenza?

Kana biopsy yako yemuzongoza ikaratidza kenza, chiremba wako achashanda newe kuti vagadzire chirongwa chekurapa chakakwana chakagadzirirwa kuongororwa kwako kwakajeka. Rudzi rwekenza, nhanho yayo, uye hutano hwako hwese zvichapesvedzera sarudzo dzako dzekurapa.

Chikwata chako chekuchengetedza hutano chichatsanangura kuongororwa kwako zvakajeka, kukurukura sarudzo dzekurapa, uye kukubatanidza nenyanzvi dzinotarisa rudzi rwako rwekenza. Rangarira kuti kenza zhinji dzeropa dzinorapika zvakanyanya, kunyanya kana dzabatwa kare, uye sarudzo dzekurapa dzinoenderera mberi nekugadzirwa nekufambira mberi mukutsvagisa kwekurapa.