Liteko tsa Bone Marrow

Litaba

• Liteko tsa moko oa masapo ke eng?
• Li sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea moko oa masapo?
• Ho etsahalang nakong ea tlhahlobo ea moko oa masapo?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Litšupiso

Liteko tsa moko oa masapo ke eng?

Moko oa masapo ke lisele tse bonolo tse kang seponche tse fumanoang bohareng ba masapo a mangata. Moko oa masapo o etsa mefuta e fapaneng ea lisele tsa mali. Tsena li kenyelletsa:

• Lisele tse khubelu tsa mali (tseo hape li bitsoang li-erythrocyte), tse tsamaisang oksijene ho tloha matšoafong a hao ho ea sele e ngoe le e ngoe ea 'mele oa hau
• Lisele tse tšoeu tsa mali (tseo hape li bitsoang leukocyte), tse u thusang ho loants'a mafu
• Liplatelete, tse thusang ho koala mali.

Liteko tsa moko oa masapo li hlahloba ho bona hore na moko oa hau o sebetsa ka nepo le ho etsa lisele tse tloaelehileng tsa mali. Liteko li ka thusa ho hlahloba le ho lekola mathata a fapaneng a moko oa masapo, mathata a mali le mefuta e meng ea mofets'e. Hona le mefuta e 'meli ea liteko tsa moko oa masapo:

• Takatso ea moko oa masapo, e tlosang mokelikeli o monyane oa moko oa masapo
• Lesapo la moko oa masapo, le tlosang lesela le lenyenyane la moko oa masapo

Takatso ea moko oa masapo le liteko tsa moko oa masapo hangata li etsoa ka nako e le ngoe.

Mabitso a mang: tlhahlobo ea moko oa masapo

Li sebelisetsoa eng?

Liteko tsa moko oa masapo li sebelisoa ho:

• Fumana sesosa sa mathata ka lisele tse khubelu tsa mali, mali a masoeu kapa liplatelete
• Hlahloba le ho lekola mathata a mali, joalo ka khaello ea mali, polycythemia vera, le thrombocytopenia
• Hlahloba mathata a moko oa masapo
• Hlahloba le ho lekola mefuta e meng ea mofetše, ho kenyeletsoa leukemia, myeloma le lymphoma
• Hlahloba tšoaetso e kanna ea qala kapa ea hasana ho fihla mokong oa masapo

Hobaneng ha ke hloka tlhahlobo ea moko oa masapo?

Mofani oa hao oa tlhokomelo ea bophelo a ka laela takatso ea moko oa masapo le biopsy ea masapo haeba liteko tse ling tsa mali li bonts'a litekanyo tsa lisele tse khubelu tsa mali, lisele tse tšoeu tsa mali kapa liplatelete tse sa tloaelehang. Lisele tsena tse ngata haholo kapa tse fokolang haholo li ka bolela hore o na le bothata ba bongaka, joalo ka mofetše o qalang maling kapa mokong oa masapo. Haeba u alafshoa mofuta o mong oa mofets'e, liteko tsena li ka fumana hore na mofetše o nametse mokong oa masapo.

Ho etsahalang nakong ea tlhahlobo ea moko oa masapo?

Takatso ea moko oa masapo le liteko tsa moko oa masapo hangata li fanoa ka nako e le 'ngoe. Ngaka kapa mofani e mong oa tlhokomelo ea bophelo o tla etsa liteko. Pele ho liteko, mofani oa thepa a ka u kopa hore u apare moaparo oa sepetlele. Mofani oa thepa o tla hlahloba khatello ea mali, lebelo la pelo le mocheso. U ka fuoa setlhare se kokobetsang, moriana o tla u thusa ho phomola. Nakong ea tlhahlobo:

• U tla robala ka lehlakore kapa ka mpeng, ho latela hore na ke lesapo lefe le tla sebelisoa ho etsa liteko. Boholo ba liteko tsa moko oa masapo li nkuoa masapong a noka.
• 'Mele oa hau o tla koaheloa ka lesela, hoo ho bonts'ang feela sebaka se haufi le sebaka sa liteko.
• Sebaka sena se tla hloekisoa ka sethibela-mafu.
• U tla fumana ente ea tharollo ea bohlasoa. E ka hlaba.
• Hang ha sebaka se felloa ke matla, mofani oa tlhokomelo ea bophelo o tla nka sampole. U tla hloka ho bua leshano u khutsitse nakong ea liteko.
  • Bakeng sa takatso ea moko oa masapo, e atisang ho etsoa pele, mofani oa tlhokomelo ea bophelo o tla kenya nale ka lesapo ebe o ntša mokelikeli oa masapo le lisele. U ka utloa bohloko bo hlabang empa bo khuts'oane ha nale e kentsoe.
  • Bakeng sa biopsy ea moko oa masapo, mofani oa tlhokomelo ea bophelo o tla sebelisa sesebelisoa se ikhethileng se kenang masapong ho ntša sampole ea lisele tsa moko oa masapo. U kanna oa utloa khatello sebakeng seo ha sampole e ntse e nkuoa.
• Ho nka metsotso e 10 ho etsa liteko ka bobeli.
• Kamora 'tlhahlobo, mofani oa tlhokomelo ea bophelo o tla koahela sebaka sena ka bandage.
• Rera hore motho e mong au khannele hae, hobane u ka fuoa setulo sa botona pele ho liteko, se ka etsang hore u otsele.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

O tla kopuoa ho saena foromo e fanang ka tumello ea ho etsa liteko tsa moko oa masapo. Etsa bonnete ba hore o botsa mofani oa hau lipotso leha e le life tseo u nang le tsona mabapi le ts'ebetso ena.

Na ho na le likotsi tsa tlhahlobo?

Batho ba bangata ba ikutloa ba sa phutholoha kamora ho ts'oaroa ha moko oa masapo le tlhahlobo ea 'mele oa masapo. Kamora 'tlhahlobo, u ka ikutloa u le manganga kapa u le bohloko setsing sa ente. Hangata sena sea fela ka matsatsi a 'maloa. Mofani oa hao oa tlhokomelo ea bophelo a ka khothaletsa kapa a fana ka moriana oa bohloko oa ho thusa. Matšoao a tebileng ha a fumanehe hangata, empa a ka kenyelletsa:

• Bohloko bo sa feleng kapa ho se utloise bohloko ho potoloha sebaka sa ente
• Bofubelu, ho ruruha, kapa ho tsoa mali a mangata setšeng
• Feberu

Haeba u na le a mang a matšoao ana, letsetsa mofani oa tlhokomelo ea bophelo ba hau.

Liphetho li bolelang?

Ho ka nka matsatsi a 'maloa kapa libeke tse' maloa ho fumana sephetho sa tlhahlobo ea 'moko oa masapo. Liphetho li ka bonts'a hore na o na le lefu la moko oa masapo, lefu la mali kapa mofetše. Haeba u alafshoa ke mofetše, liphetho li ka bonts'a:

• Hore na kalafo ea hau ea sebetsa
• Lefu la hao le tsoetse pele hakae

Haeba sephetho sa hau se sa tloaeleha, mofani oa tlhokomelo ea bophelo ba hau o kanna a laela liteko tse ling kapa a bua ka likhetho tsa kalafo. Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Litšupiso

1. Mokhatlo oa Amerika oa Hematology [Marang-rang]. Washington DC: Mokhatlo oa Amerika oa Hematology; c2017. Hematology Glossary [e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.hematology.org/Patients/Basics/Glossary.aspx
2. Hinkle J, Cheever K. Brunner & Suddarth's Handbook ea Liteko tsa Laboraro le Tlhatlhobo. 2nd Ed, mosa. Philadelphia: Wolters Kluwer Bophelo, Lippincott Williams & Wilkins; c2014. Ho lakatsa ha masapo le masapo; 99-100 leq.
3. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2017. Bone Marrow Aspiration le Biopsy: Teko [e ntlafalitsoeng 2015 Oct 1; e qotsitsoeng ka 2017 Oct 4]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://labtestsonline.org/understanding/analytes/bone-marrow/tab/test
4. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2017. Bone Marrow Aspiration le Biopsy: Sample Sample [e ntlafalitsoeng ka 2015 Oct 1; e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://labtestsonline.org/understanding/analytes/bone-marrow/tab/sample
5. Leukemia & Lymphoma Society [Marang-rang]. Rye Brook (NY): Leukemia & Lymphoma Society; c2015. Liteko tsa Bone Marrow [e boletsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.lls.org/managing-your-cancer/lab-and-imaging-tests/bone-marrow-tests
6. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2017. Liteko le Mekhoa: Tlhahiso ea mongo oa masapo le takatso: Likotsi; 2014 Nov 27 [e qotsitsoeng ka 2017 Oct 4]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: http://www.mayoclinic.org/tests-procedures/bone-marrow-biopsy/basics/risks/prc-20020282
7. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2017. Liteko le Mekhoa: Tlhahiso ea mongo oa masapo le litabatabelo: Liphetho; 2014 Nov 27 [e qotsitsoeng ka 2017 Oct 4]; [tse ka bang li-skrini tse 7]. E fumaneha ho tsoa ho: http://www.mayoclinic.org/tests-procedures/bone-marrow-biopsy/basics/results/prc-20020282
8. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2017. Liteko le Mekhoa: Tlhahiso ea mongo oa masapo le litabatabelo: Seo u ka se lebellang; 2014 Nov 27 [e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 6]. E fumaneha ho tsoa ho: http://www.mayoclinic.org/tests-procedures/bone-marrow-biopsy/basics/what-you-can-expect/prc-20020282
9. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2017. Liteko le Mekhoa: Phofu ea mongo oa masapo le takatso: Hobaneng ha e etsoa; 2014 Nov 27 [e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.mayoclinic.org/tests-procedures/bone-marrow-biopsy/basics/why-its-done/prc-20020282
10. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co., Inc .; c2017. Tlhahlobo ea Bone Marrow [e qotsitsoeng 2017 Oct 4]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.merckmanuals.com/home/blood-disorders/symptoms-and-diagnosis-of-blood-disorders/bone-marrow-examination
11. Mokhatlo oa Naha oa Kankere [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. NCI Dictionary of Terms of Cancer: masapo aspiration le biopsy [e qotsitsoeng 2017 Oct 4]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cancer.gov/publications/dictionaries/cancer-terms?cdrid=669655
12. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Bone Marrow [e ntlafalitsoeng 2016 Dec 9; e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health/health-topics/topics/bmt
13. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2017. Health Encyclopedia: Bone Marrow Biopsy [e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid;=P07679
14. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2017. Tlhahisoleseling ea Bophelo: Bone Marrow Aspiration le Biopsy: Kamoo e Utloang [e ntlafalitsoe ka la 2017 Mots'eanong 3; e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 6]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/biopsy-bone-marrow/hw200221.html#hw200246
15. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2017. Tlhahisoleseling ea Bophelo: Bone Marrow Aspiration le Biopsy: Kamoo e Etsoang ka teng [e ntlafalitsoeng 2017 Mots'eanong oa 3; e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/biopsy-bone-marrow/hw200221.html#hw200245
16. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2017. Tlhahisoleseling ea Bophelo: Bone Marrow Aspiration le Biopsy: Likotsi [e ntlafalitsoeng 2017 Mots'eanong 3; e qotsitsoeng ka 2017 Oct 4]; [tse ka bang li-skrini tse 7]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/biopsy-bone%20marrow/hw200221.html#hw200247
17. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2017. Tlhahisoleseling ea Bophelo: Bone Marrow Aspiration le Biopsy: Kakaretso ea Teko [e ntlafalitsoeng 2017 Mots'eanong 3; e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/biopsy-bone-marrow/hw200221.html
18. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2017. Tlhahisoleseling ea Bophelo: Bone Marrow Aspiration le Biopsy: Hobaneng ha e etsoa [e ntlafalitsoe ka la 2017 Mots'eanong 3; e qotsitsoeng ka 2017 Oct 4]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bone-marrow-aspiration-and-biopsy/hw200221.html

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.