A Umongo wethambo yinkqubo esetyenziselwa ukuxilonga kunye nenqanaba leentlobo ezahlukeneyo ze-lymphoma, i-Chronic Lymphocytic Leukemia (CLL) kunye neminye imihlaza yegazi.
Ngubani ofuna i-biopsy yomongo wethambo?
I-Lymphoma kunye ne-CLL ziintlobo zomhlaza ochaphazela uhlobo lweseli emhlophe yegazi ebizwa ngokuba yi-lymphocyte. I-Lymphocytes yenziwa kumongo wakho wethambo, emva koko ungene kwinkqubo yakho ye-lymphatic. Ziiseli ezibalulekileyo zokhuselo lomzimba wakho ezikunceda ekulweni usulelo kwaye zikukhusele kwizifo.
I-Lymphoma ihlala iqala kwinkqubo yakho ye-lymphatic equka i-lymph nodes, amalungu e-lymphatic kunye nemikhumbi. Nangona kunjalo, kunqabile ukuba i-lymphoma okanye i-CLL iqale kumongo wakho wethambo. Ngokuqhelekileyo, iqala kwinkqubo yakho ye-lymphatic, kwaye njengoko iqhubela phambili ihambela umongo wakho wethambo. Emva kokuba i-lymphoma / i-CLL isemongo wakho wethambo, awukwazi ukwenza iiseli zegazi ezintsha ezinempilo njengesiqhelo.
Ukuba ugqirha ukrokrela ukuba unokuba ne-lymphoma okanye i-CLL, banokucebisa ukuba ube ne-biopsy yomongo. Iisampuli ezivela kwi-biopsy zingabonisa ukuba kukho nayiphi na i-lymphoma kumongo wakho wethambo. Iibiopsies zomongo wethambo zinokwenziwa ngugqirha oqeqeshwe ngokukodwa okanye ngunesi.
Unokufuna ngaphezulu kwe-biopsy yomongo omnye njengoko zingasetyenziselwa ukujonga ukuba isifo sakho sizinzile, ukuba usabela kunyango, okanye ukujonga ukuba i-lymphoma / CLL yakho ibuyele kwakhona emva kwexesha lokuxolelwa.
Akuyena wonke umntu one-lymphoma oya kufuna i-bone marrow biopsy nangona kunjalo. Ugqirha wakho uya kukwazi ukuthetha nawe malunga nokuba i-biopsy yomongo luhlobo olufanelekileyo lovavanyo kuwe.
Yintoni i-biopsy yomongo wethambo?
Umongo wethambo ufumaneka embindini wawo onke amathambo akho. Yindawo ejongeka njengepontshi ebomvu netyheli apho zonke iiseli zakho zegazi zenziwa khona.
A Umongo wethambo yinkqubo apho iisampulu zomongo wakho zithathwa kwaye zikhangelwe kwi-pathology. I-biopsy yomongo, idla ngokuthathwa kwithambo le-hip yakho, kodwa inokuthatyathwa kwamanye amathambo afana nethambo lakho lesifuba (i-sternum) kunye namathambo omlenze.
Xa une-biopsy yomongo, iindidi ezimbini ezahlukeneyo zeesampulu zidla ngokuthathwa. Ziquka:
- I-Bone marrow aspirate (BMA): olu vavanyo luthatha inani elincinci lolwelo olufumaneka kwisithuba somongo wethambo
- Umongo wethambo aspirate trephine (BMAT): olu vavanyo luthatha isampulu encinci yomongo wethambo
Xa iisampulu zakho zifika kwi-pathology, i-pathologist iya kuzijonga phantsi kwe-microscope ukubona ukuba zikhona na iiseli ze-lymphoma. Basenokwenza nolunye uvavanyo kwiisampulu ze-biopsy yomongo wakho ukuze babone ukuba kukho naluphi na utshintsho lwemfuzo olunokuba negalelo ekuphuhliseni i-lymphoma / CLL yakho, okanye oko kunokuchaphazela ukuba loluphi unyango oluya kusebenza kakuhle kuwe.
Kwenzeka ntoni ngaphambi kokuba ndifumane i-biopsy yomongo?
Ugqirha wakho uya kukuchazela ukuba kutheni becinga ukuba i-biopsy yomongo iyafuneka. Baya kukunika ulwazi malunga nenkqubo, into ekufuneka uyenzile phambi kwenkqubo kunye nendlela yokuzinyamekela emva kwenkqubo. Naziphi na iingozi kunye neenzuzo zenkqubo kufuneka zichazwe kuwe ngendlela oyiqondayo. Uyakunikwa nethuba lokubuza nayiphi na imibuzo onokuba unayo.
Imibuzo kaGqirha wakho ngaphambi kokuba usayine imvume yakho
Eminye imibuzo ongathanda ukuyibuza iquka:
- Ngaba ndingatya kwaye ndisele ngaphambi kokuba i-biopsy yomongo wethambo? Ukuba akunjalo kufuneka ndiyeke ukutya nokusela nini?
- Ingaba ndisengawathatha amayeza am phambi kokuba ndiqale inkqubo? (Thatha uluhlu lwawo onke amayeza akho, iivithamini kunye nezongezelelo kwidinga lakho ukwenza oku kube lula. Ukuba unesifo seswekile okanye kwi-blood thinners kubalulekile ukukhankanya oku kugqirha wakho).
- Ngaba ndingakwazi ukuziqhubela ukuya nokubuya eklinikhi ngomhla wokuhlolwa komongo wam?
- Ingaba inkqubo iya kuthatha ixesha elingakanani, kwaye ndiza kuba sesibhedlele okanye eklinikhi ixesha elingakanani ngomhla wokuhlolwa komongo wam?
- Uya kuqinisekisa njani ukuba ndikhululekile, okanye andiziva zintlungu ngexesha lenkqubo
- Ndingabuyela nini emsebenzini okanye esikolweni?
- Ngaba ndiza kufuna nabani na emva kwenkqubo?
- Yintoni enokuthi ithathelwe ukuthomalalisa iintlungu ukuba ndifumana iintlungu emva kwenkqubo?
imvume
Usuku lwe-biopsy yomongo wethambo
Ukuba akukabikho esibhedlele uya kunikwa ixesha lokuza kwiyunithi yosuku kwi-biopsy yomongo wakho.
Usenokunikwa igawuni ukuba uyitshintshe okanye unxibe ezakho iimpahla. Ukuba unxiba iimpahla zakho, qiniseka ukuba ugqirha uya kuba negumbi elaneleyo kufutshane ne-hip yakho ukwenza i-biopsy. Ihempe okanye iblawuzi enebhulukhwe okanye isiketi esixegayo sinokusebenza kakuhle.
Ungabi nanto yokutya okanye eselwayo ngaphandle kokuba ugqirha okanye unesi wakho uthe kulungile. Kuqhelekile ukuzila ukutya phambi kokuba wenze i-biopsy yomongo - ongenayo into yokutya okanye yokusela iiyure ezininzi ngaphambi kokuba wenze inkqubo. Ukuba awunayo i-sedation, unokukwazi ukutya nokusela. Ugqirha wakho okanye umongikazi uya kukwazisa ukuba lixesha elingakanani ekufuneka uyeke ukutya nokusela.
Kuqhelekile ukuba uvavanyo lwegazi phambi kokuba i-biopsy yomongo wethambo uqiniseke ukuba igazi lakho liyakwazi ukuvala ngokufanelekileyo emva kwenkqubo. Ezinye iimvavanyo zegazi nazo zinokuthathwa ukuba ziyafuneka.
Umongikazi wakho uya kukubuza imibuzo emininzi kwaye akwenzele uxinzelelo lwegazi, ajonge ukuphefumla kwakho, amanqanaba eoksijini kunye nesantya sentliziyo (ezi zibizwa ngokuba yi-observations okanye i-obs, kwaye ngamanye amaxesha zikwabizwa ngokuba ziimpawu ezibalulekileyo).
Umongikazi wakho uya kukubuza ukuba ugqibele nini ukutya kwaye unento eselwayo, kwaye ngawaphi amayeza owathathayo. Ukuba unesifo seswekile, nceda wazise umongikazi wakho ukuze akwazi ukujonga amanqanaba eswekile yegazi lakho.
Ngaphambi kwe-biopsy yomongo wakho wethambo
Uya kuba ne-anesthetic yasekhaya ngaphambi kokuba ube ne-biopsy yomongo wakho, eyinaliti eneyeza elibangela ukuba ube ndindisholo lendawo ukuze uzive kancinci ukuba kukho iintlungu. Isibonelelo ngasinye sahluke kancinane kwindlela abakulungiselela ngayo inkqubo, kodwa umongikazi okanye ugqirha wakho uya kukwazi ukukucacisela inkqubo. Baya kukwazisa malunga nawo nawaphi na amayeza onokuthi ube nawo ngexesha okanye ngaphambi kwe-biopsy yomongo wakho.
Ukuba unexhala okanye uziva iintlungu ngokulula, thetha nogqirha wakho okanye umongikazi malunga noku. Baza kukwazi ukwenza isicwangciso sokukunika iyeza lokukunceda ukhululeke kwaye ukhuseleke kangangoko.
Kwezinye iimeko, unokunikwa i-sedation phambi kwenkqubo yakho. I-sedation ikwenza ulale (kodwa ungabikho zingqondweni) kwaye kukunceda ukuba ungayikhumbuli inkqubo. Kodwa oku akufanelanga wonke umntu, kwaye awukwazi ukuqhuba okanye ukusebenzisa oomatshini, okanye wenze izigqibo ezibalulekileyo kwiiyure ezingama-24 (imini epheleleyo nobusuku) emva kwenkqubo ukuba une-sedation.
Ezinye iintlobo zamayeza onokuthi unikezwe ngaphambi okanye ngexesha lakho le-biopsy yomongo wakho ziquka:
- igesi kunye nomoya -Igesi kunye nomoya zinika isiqabu seentlungu ezithatha ixesha elifutshane oziphefumlelayo xa uwufuna.
- Amayeza emithanjeni – amayeza anikwe ukwenza ukuba ulale kodwa ungalali ngokupheleleyo.
- I-Penthrox inhaler – liyeza elisetyenziselwa ukunciphisa iintlungu. Uphefumlelwa kusetyenziswa i-inhaler ekhethekileyo. Izigulane zidla ngokuchacha emva koko ngokukhawuleza kolu hlobo lokuthomalalisa. Ngamanye amaxesha oku kwaziwa ngokuba “yimpempe eluhlaza”.
Kwenzeka ntoni kwi-biopsy yomongo wam?
Iibiopsies zomongo wethambo zihlala zithathwa kwi-pelvis yakho (ithambo le-hip). Uya kucelwa ukuba ulale ngecala kwaye uzisonge, amadolo akho atsalele esifubeni sakho. Ngezihlandlo ezinqabileyo isampuli inokuthathwa kwi-sternum (ithambo lebele). Ukuba kunjalo ubuya kulala ngomqolo. Kubalulekile ukukhululeka kwaye uqinisekise ukuba uyabaxelela abasebenzi ukuba awukhululekanga. Ugqirha okanye umongikazi uya kucoca indawo kwaye afake i-anesthetic yendawo kwindawo leyo.
I-bone marrow aspirate yenziwa kuqala. Ugqirha okanye umongikazi wakho uyakufaka inaliti ekhethekileyo ethanjeni nakwisithuba esiphakathi. Emva koko baya kukhupha isixa esincinci somongo wethambo. Unokuva intlungu emfutshane ebukhali xa isampuli izotywa. Oku kuthatha nje imizuzu embalwa.
Kwiimeko ezinqabileyo kakhulu isampuli yolwelo ayinakurhoxiswa. Ukuba oku kuyenzeka kuya kufuneka ukuba bayikhuphe inaliti, baphinde bazame kwenye indawo.
Ugqirha wakho okanye umongikazi uya kuthi emva koko athathe isampuli yethishu yomongo oqinileyo. Inaliti yenzelwe ngokukhethekileyo ukuthatha umbindi wethambo umongo, omalunga nomcinga wematshisi ububanzi.
Kwenzeka ntoni emva kwe-biopsy yomongo wam?
Kuya kufuneka uhlale phantsi ixesha elifutshane (malunga nemizuzu engama-30). Abasebenzi baya kujonga ukuqinisekisa ukuba akukho kopha. Uninzi lwabantu abafuna i-biopsy yomongo wethambo banenkqubo njengesigulane esingaphandle kwaye akufuneki bahlale esibhedlele ubusuku bonke.
Ukhathalelo olufumanayo emva kwe-biopsy yomongo wakho iya kuxhomekeka ekubeni unayo nayiphi na i-sedation okanye hayi. Ukuba ukhe wathomalalisa, abongikazi baya kubeka iliso kuxinzelelo lwegazi lakho kunye nokuphefumla rhoqo emva kwemizuzu eyi-15 ukuya kwengama-30 okwethutyana – rhoqo malunga neeyure ezi-2 emva kwenkqubo. Ukuba ubungenayo i-sedation, awuyi kufuna ukuba uxinzelelo lwakho lwegazi kunye nokuphefumla kujongwe ngokusondeleyo.
Ukuba ukhe wathomalalisa
Xa sele uphile ngokupheleleyo kuyo nayiphi na into yokuthomalalisa, kwaye abongikazi bakho baqinisekile ukuba inxeba lakho aliyi kuphuma igazi, uya kukwazi ukuya ekhaya. Nangona kunjalo, usenokufuna omnye umntu oza kuqhuba – jonga nonesi wakho malunga nokuba kukhuselekile nini ukuba uphinde uqhube – ukuba ubukhe wathomalalisa oku akunakubakho de kube lusuku olulandelayo.
Ngaba uza kuba neentlungu?
Emva kweeyure ezimbalwa, iyeza lokuthomalalisa lasekuhlaleni liya kuphelelwa kwaye usenokungakhululeki apho inaliti ifakwe khona. Unokuthatha isiqabu kwiintlungu ezifana ne-paracetamol (ekwabizwa ngokuba yi-panadol okanye i-panamax). I-Paracetamol idla ngokusebenza ngempumelelo ekulawuleni naziphi na iintlungu emva kwenkqubo yakho kodwa ukuba akunjalo, okanye ukuba awukwazi ukuthatha i-paracetamol nangasiphi na isizathu, nceda uthethe nonesi okanye ugqirha wakho malunga nezinye iindlela.
Iintlungu akufunekanga zibe qatha, ngoko ukuba kunjalo, nceda uqhagamshelane nogqirha wakho okanye umongikazi.
Uya kuba nesinxibo esincinci sokugquma indawo, gcina oku ubuncinane iiyure ezingama-24. Ungabuyela kwimisebenzi yakho yesiqhelo emva kokuba iintlungu zizinzile.
Yeyiphi imingcipheko nge-biopsies yomongo wamathambo?
I-biopsy yomongo idla ngokuba yinkqubo ekhuseleke kakhulu.
Ubuhlungu
Nangona uya kuba neyeza lendawo yokuthomalalisa, kuqhelekile ukuva iintlungu ngexesha lenkqubo. Oku kungenxa yokuba akwenzeki ukuba ndindisholo indawo engaphakathi emathanjeni akho, kodwa akufuneki uzive kwaye uqaqanjelwe kwinaliti ehamba eluswini lwakho. Ukuba ufumana iintlungu xa isampulu ithathwa, idla ngokuba yintlungu emfutshane ebukhali ehlala ngokukhawuleza.
Usenokuba emva kwenkqubo njengeyeza lokuthomalalisa indawo. Oku akufanele kube nzima kwaye kufuneka kulawulwe ngokulula ngeparacetamol. Jonga noogqirha bakho malunga nokuba yeyiphi isiqabu seentlungu onokusithatha xa ufuna njalo.
Umonakalo wemisipha
Umonakalo wemithambo-luvo unqabile kakhulu, kodwa ngamanye amaxesha umonakalo ongephi wemithambo-luvo unokwenzeka. Oku kunokubangela ubuthathaka kunye nokuba ndindisholo, kwaye kudla ngokuba yinto yethutyana. Ukuba unesithukuthezi okanye ubuthathaka emva kwe-biopsy yomongo ehlala ngaphezulu kweeveki ezimbalwa, xela kugqirha wakho.
Ukuhlamba
Unokuba nokopha apho inaliti yafakwa khona kwaye ukopha kancinci kuyeka njengesiqhelo. Nangona kunjalo, inokuqala ukopha kwakhona xa ugoduka. Le nayo idla ngokuba sisixa esincinci, kodwa ukuba uyayibona isopha kakhulu, bamba into ethile ngokuqinileyo kwindawo leyo. Ukuba une pack ebandayo cofa loo ndawo kwakhona njengoko ingqele inceda ukunqanda ukopha kwaye inokunceda naziphi na iintlungu ngokunjalo.
Kwiimeko ezinqabileyo ukopha kunokuba kubi kakhulu. Ukuba ukopha akupheli xa sele ufake uxinzelelo kuya kufuneka uqhagamshelane nogqirha wakho.
Sulelo
Usulelo yingxaki enqabileyo yenkqubo. Kufuneka uqhagamshelane noogqirha bakho ukuba unazo naziphi na iimpawu zosulelo ezifana;
- Umkhuhlane (ubushushu obungaphezulu kwama-38 degrees celcius)
- Ukwanda kweentlungu kwindawo yokutofa
- Ukudumba okanye ububomvu kwindawo yokutofa
- Nabuphi na ububovu okanye ukuvuza ngaphandle kwegazi kwisiza
Isampulu enganelanga
Ngamanye amaxesha inkqubo ayiphumeleli okanye isampuli ayiniki ukuxilongwa. Ukuba oku kuyenzeka unokufuna enye i-biopsy yomongo wethambo. Iqela lakho lonyango kufuneka likunike ulwazi oluthe kratya malunga nexesha lokufuna iingcebiso.
isishwankathelo
- Iinkqubo zomongo ziinkqubo ezikhuselekileyo eziqhelekileyo ezisetyenziselwa ukuxilonga okanye inqanaba le-lymphoma, i-CLL kunye nezinye ii-cancer zegazi.
- Ukuba nenkqubo kukhetho lwakho kwaye kuya kufuneka usayine ifomu yemvume ukuba ukhetha ukuba inkqubo yenziwe
- Nxiba impahla exengayo kwidinga lakho
- Ungatyi kwiiyure ezi-6 phambi kokuba uqalise inkqubo yakho – ngaphandle kokuba ugqirha okanye umongikazi ukuxelela ngenye indlela
- Yazisa iqela lezempilo ukuba unesifo seswekile xa ufika kwidinga lakho
- Jonga ugqirha wakho okanye umongikazi malunga namayeza onokuwathatha phambi kokuba inkqubo
- Thetha nogqirha wakho malunga neyona nto ingcono yokukhulula intlungu okanye amayeza okulwa nokukhathazeka onokuwafuna.
- Kufuneka ujonge ukuba sesibhedlele okanye ekliniki ukuya kuthi ga kwiiyure ezi-2 emva kokwenziwa komsebenzi wakho
- Xela nayiphi na inkxalabo kugqirha wakho.
