ʻIʻini iwi iwi

ʻO ka iwi iwi ka mea palupalu i loko o nā iwi e kōkua ai e hana i nā huna koko. Loaʻa ia i ka puha o ka hapa nui o nā iwi. ʻO ka ʻiʻo o ka iwi iwi ka hemo ʻana o kahi mea liʻiliʻi o kēia kiko i loko o ke ʻano wai no ka nānā ʻana.

ʻAʻole like ka ʻiʻo o ka iwi iwi me ka biopsy o ka iwi iwi. Lawe kahi biopsy i ke kumu o nā iwi iwi no ka nānā ʻana.

Hana ʻia paha ka ʻiʻini puʻupuʻu iwi i ke keʻena ʻoihana olakino a i ʻole kahi haukapila. Lawe ʻia ka iwi iwi mai kāu pelvic a i ʻole ka iwi o ka umauma. I kekahi manawa, koho ʻia kekahi iwi ʻē aʻe.

Lawe ʻia ka momona i kēia mau hana:

• Inā pono, hāʻawi ʻia ʻoe i ka lāʻau e kōkua ai iā ʻoe e hoʻomaha.
• Hoʻomaʻemaʻe ka mea hāʻawi i ka ʻili a injects i ka lāʻau numbing i loko o ka wahi a me ka ʻili o ka iwi.
• Hoʻokomo ʻia kahi nila kuikele i ka iwi. Aia ka kui kele i paipu pili iā ia, kahi e hana ai i ka omo. Kele kahi ʻōpana liʻiliʻi o ka wai o ka iwi iwi i loko o ka paipu.
• Wehe ʻia ka nila.
• Kaomi a laila hoʻopili ʻia kahi kaula i ka ʻili.

Hoʻouna ʻia ka wai momona o ka iwi i kahi keʻena hoʻokolohua a nānā ʻia ma lalo o kahi microscope.

E haʻi i ka mea hāʻawi:

• Inā maʻi ʻoe i kekahi lāʻau
• Inā hāpai ʻoe
• Inā loaʻa iā ʻoe nā pilikia kahe
• He aha nā lāʻau āu e lawe nei

E ʻike ʻoe i ka ʻū a me ka naʻau wela ke hoʻohana ʻia ka lāʻau numbing. Manaʻo paha ʻoe i ke kaomi ke hoʻokomo ʻia ka nila i loko o ka iwi, a me kahi ʻiʻo ʻeha a ʻehaʻeha hoʻi i ka wā e hemo ai ka momona. He mau kekona wale nō ka lōʻihi o kēia manaʻo.

E kauoha paha kāu kauka i kēia hoʻokolohua inā he ʻano ʻokoʻa a helu paha o nā hunaola ʻulaʻula a keʻokeʻo paha a i ʻole platelet i kahi helu piha o ke koko.

Hoʻohana ʻia kēia hōʻike e ʻike pono ai:

• Anemia (kekahi ʻano)
• Nā maʻi ʻino
• Leukemia
• Nā maʻi ʻaʻai koko ʻē aʻe a me nā maʻi

Hiki ke kōkua i ka hoʻoholo inā ua laha a ua pane paha nā maʻi maʻi i ka lāʻau.

Pono i ka iwi iwi ka helu kūpono a me nā ʻano o:

• Nā pūnaewele hana koko
• Nāʻaʻaʻa pili
• Nā pūnaewele momona

Nā hualoaʻa kūpono ʻole ma muli o nā maʻi ʻaʻai o ka iwi iwi, me:

• ʻIke leukemia lymphocytic (ALL)
• Huʻi myelogenous leukemia (AML)
• Leukemia lymphocytic mau (CLL)
• Leukemia myelogenous mau (CML)

Loaʻa paha nā hopena maʻamau ma muli o nā kumu ʻē aʻe, e like me:

• ʻAʻole hiki i ka iwi o ka iwi ke hana i nā huna koko (aplastic anemia)
• ʻO nā maʻi bacteria a fungal paha i hoʻolaha ʻia i loko o ke kino
• Ka maʻi ʻaʻai o ka lymphʻaʻaʻa (Hodgkin a non-Hodgkin lymphoma)
• ʻO kahi maʻi kahe i kapa ʻia idiopathic thrombocytopenic purpura (ITP)
• Kāhea ʻia ka maʻi ʻaʻai koko (myeloma maha)
• ʻO ka maʻi kahi e hoʻololi ʻia ai ka iwi iwi e kaʻiʻo makaʻu (myelofibrosis)
• ʻO ka maʻi kahi e lawa ʻole ai nā hunaola olakino maikaʻi (myelodysplastic Syndrome; MDS)
• Abnormally haʻahaʻa nui o nā platelet, ka mea e kōkua i ke koko e hoʻopili (thrombositopenia mua)
• Ua kapa ʻia ka maʻi ʻaʻai koko keʻokeʻo ʻo Waldenström macroglobulinemia

Loaʻa paha kekahi kahe ma ke kahua puncture. Kākaʻikahi loa nā pilikia ʻoi aku ka nui, e like me ke kahe ʻana o ke kahe a i ʻole ka maʻi.

Iliac crest tap; Piula kūwahi; Leukemia - ka iwi o ka iwi; Aplastic anemia - ka iwi o ka iwi; Myelodysplastic Syndrome - ka iwi o ka iwi; Thrombositopenia - ka iwi o ka iwi; Myelofibrosis - ka iwi o ka iwi

• ʻIʻini iwi iwi
• Sternum - ʻike i ka waho (mua)

ʻO Bates I, Burthem J. Bione ʻōiwi o ka iwi. I: Bain BJ, Bates I, Laffan MA, eds. ʻO Dacie lāua ʻo Lewis Hematology Pono. 12th ed. Piladelapia, PA: Elsevier; 2017: chap 7.

Chernecky CC, Berger BJ. ʻImi i ka ʻiʻo o ka iwi pūpū - specimen (biopsy, stain iron iron iron, stain iron, bone marrow). I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 241-244.

ʻO Vajpayee N, Graham SS, Bem S. Nānā maʻamau o ke koko a me ka iwi iwi. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 30.