Takatso ea moko oa masapo

Moko oa masapo ke lisele tse bonolo tse kahare ho masapo tse thusang ho theha lisele tsa mali. E fumanoa karolong e sekoti ea masapo a mangata. Takatso ea moko oa masapo ke ho tlosa lisele tse nyane ka sebopeho sa mokelikeli bakeng sa tlhahlobo.

Takatso ea moko oa masapo ha e tšoane le biopsy ea moko oa masapo. Biopsy e tlosa karolo ea masapo a masapo bakeng sa tlhahlobo.

Takatso ea moko oa masapo e ka etsoa ofising ea mofani oa tlhokomelo ea bophelo kapa sepetlele. Moko oa masapo o tlosoa lesapong la hao la noka kapa la letsoele. Ka linako tse ling, ho khethoa lesapo le leng.

Mokoallo o tlosoa ka mehato e latelang:

• Ha ho hlokahala, o fuoa moriana ho u thusa ho phutholoha.
• Mofani oa thepa o hloekisa letlalo mme o kenya moriana o thethefatsang sebakeng le bokaholimo ba masapo.
• Nale e khethehileng e kenngoa lesapo. Nale e na le phaephe e hoketsoeng ho eona, e leng se etsang hore e hule. Sampole e nyane ea mokelikeli oa moko oa masapo o phallela ka har'a tube.
• Nale e tlosoa.
• Khatello ebe ho sebelisoa bandage letlalong.

Mokelikeli oa moko oa masapo o romelloa laboratoring ebe o hlahlojoa ka microscope.

Bolella mofani oa litšebeletso:

• Haeba u alejiki ho meriana efe kapa efe
• Haeba u imme
• Haeba u na le mathata a ho tsoa mali
• U noa meriana efe

U tla utloa ho hlaba le ho chesa hanyane ha moriana o thethefatsang o sebelisoa. U kanna oa utloa khatello ha nale e kentsoe ka lesapong, le maikutlo a bohale mme hangata a bohloko ha moko o ntšoa. Boikutlo bona bo nka metsotsoana e seng mekae feela.

Ngaka ea hau e ka laela tlhahlobo ena haeba u na le mefuta e sa tloaelehang kapa linomoro tsa lisele tse khubelu kapa tse tšoeu tsa mali kapa liplatelete ka palo e felletseng ea mali.

Teko ena e sebelisetsoa ho fumana:

• Phokolo ea mali (mefuta e meng)
• Tšoaetso
• Lefuemia
• Mefuta e meng ea kankere ea mali le mathata

E ka thusa ho tseba hore na mofetše o hasane kapa o arabetse kalafo.

Moko oa masapo o lokela ho ba le palo le mefuta e nepahetseng ea:

• Lisele tse etsang mali
• Lisele tse kopaneng
• Lisele tsa mafura

Liphetho tse sa tloaelehang li ka bakoa ke mofetše oa lesapo, ho kenyelletsa:

• Lefuemia ea lymphocytic (ALL)
• Lefuemia e matla ea 'mele (AML)
• Lefuemia e sa foleng ea lymphocytic (CLL)
• Lefuemia e sa foleng ea myelogenous (CML)

Liphetho tse sa tloaelehang li kanna tsa ba ka lebaka la lisosa tse ling, joalo ka:

• Moko oa masapo ha o etse lisele tse lekaneng tsa mali (aplastic anemia)
• Matšoao a baktheria kapa a fungal a nametseng 'meleng oohle
• Kankere ea lisele tsa lymph (Hodgkin kapa non-Hodgkin lymphoma)
• Lefu la ho tsoa mali le bitsoang idiopathic thrombocytopenic purpura (ITP)
• Kankere ea mali e bitsoa (multiple myeloma)
• Ho hloka taolo moo moko oa masapo o nkeloang sebaka ke lisele tse bohale (myelofibrosis)
• Ho hloka taolo eo ho eona ho sa etsoang lisele tse phetseng hantle tsa mali (myelodysplastic syndrome; MDS)
• Liplatelete tse tlase ka mokhoa o sa tloaelehang, tse thusang mali ho koala (thrombocytopenia ea mantlha)
• Kankere e tšoeu ea lisele tsa mali e bitsoang Waldenström macroglobulinemia

Ho kanna ha tsoa mali sebakeng sa ho phunya. Likotsi tse mpe haholo, joalo ka ho tsoa mali haholo kapa tšoaetso, ha li fumanehe hangata.

Pompo ea Iliac crest; Tlanya ka hare; Kankere ea mali - takatso ea moko oa masapo; Aplastic anemia - takatso ea moko oa masapo; Lefu la Myelodysplastic - takatso ea moko oa masapo; Thrombocytopenia - takatso ea moko oa masapo; Myelofibrosis - takatso ea moko oa masapo

• Takatso ea moko oa masapo
• Sternum - pono ea kantle (ka pele)

Bates I, Burthem J. Lesapo la moko oa masapo. Ka: Bain BJ, Bates I, Laffan MA, eds. Dacie le Lewis e sebetsang Hematology. 12th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 7.

CC ea Chernecky, Berger BJ. Tlhatlhobo ea mokokotlo oa masapo - mohlala (biopsy, lesapo la moko oa masapo, letheba la tšepe, moko oa masapo). Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. St Louis, MO: Elsevier Saunders; 2013: 241-244.

Vajpayee N, Graham SS, Bem S. Tlhahlobo ea mantlha ea mali le moko oa masapo. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 30.