Biopsy iwi ʻōiwi

ʻO kahi biopsy iwi pū kekahi ka hemo ʻana o ka momona mai loko o ka 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.

ʻAʻole like ka biopsy ʻōiwi iwi me ka ʻiʻini o ka iwi iwi. Lawe kahi ʻiʻini i kahi liʻiliʻi o ka momona o ka wai i ke ʻano wai no ka nānā ʻana.

Hiki ke hana ʻia kahi biopsy pūpū iwi i ke keʻena ʻoihana olakino a i ʻole kahi haukapila.Lawe ʻia paha ka laʻana mai ka pelvic a i ʻole ka iwi umauma. I kekahi manawa, hoʻohana ʻia kahi ʻāpana 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 biopsy i loko o ka iwi. Wehe ʻia ke kikowaena o ka nila a hoʻoneʻe ʻia ka nila kuakea i loko o ka iwi. Hoʻopaʻa kēia i kahi laʻana, a i ʻole kumu o ka iwi iwi i loko o ka nila.
• Lawe ʻia ka laʻana a me ka nila.
• Kaomi a laila hoʻopili ʻia kahi kaula i ka ʻili.

Hiki ke hana ʻia kekahi ʻiʻo ʻōiwi pū, ma mua o ka lawe ʻia ʻana o ka biopsy. Ma hope o ka ihu ʻana o ka ʻili, hoʻokomo ʻia ka nila i loko o ka iwi, a hoʻohana ʻia ka ʻakehe e hemo i ka iwi iwi wai. Inā pau kēia, e hemo ana ka nila. A i ʻole, hoʻohana ʻia paha kekahi nila no ka biopsy.

E haʻi i ka mea hāʻawi:

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

E huhū ʻoe i ka wā e hoʻopili ʻia ai ka lāʻau numbing. ʻO ke nila biopsy paha ke kumu i kahi pōkole, maʻamau i ka ʻeha. Ma muli o ka hiki ʻole ke helu i loko o ka iwi, hiki i kēia hoʻokolohua ke hoʻonāukiuki.

Inā hana ʻia kahi makemake o ka iwi iwi, ʻike paha ʻoe i kahi pōkole, ʻehaʻeha loa ke lawe ʻia ka wai momona o ka iwi.

E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo 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 (CBC).

Hoʻohana ʻia kēia hōʻike e hōʻike ai i ka leukemia, nā maʻi, kekahi ʻano anemia, a me nā maʻi koko ʻē aʻe. Hoʻohana ʻia paha ia e kōkua e hoʻoholo inā ua pālahalaha kahi maʻi ʻaʻai a pane paha i ka lāʻau.

ʻO kahi hopena maʻamau ke kumu o ka iwi o ka iwi i ka helu kūpono a me nā ʻano o nā aʻa koko e hana ana (hematopoietic), nā huna momona, a me nā mea hoʻopili.

ʻO nā hopena kūpono ʻole ma muli o nā maʻi ʻōiwi o ka iwi iwi (leukemia, lymphoma, myeloma maha, a i ʻole nā ​​maʻi ʻino ʻē aʻe).

Kuhi paha nā hopena i ke kumu o ka anemia (ʻoi loa nā ʻulaʻula o ke koko), nā hunaola keokeo ʻino ʻole, a i ʻole thrombositopenia (he nui nā platelet).

Nā kūlana kikoʻī e hana ʻia ai ka hōʻike:

• ʻO kahi maʻi fungal ākea ākea (dissemined coccidioidomycosis)
• ʻO kahi maʻi ʻaʻa koko keʻokeʻo i kapa ʻia ʻo leukemia huluhulu
• Ka maʻi ʻaʻai o ka lymphʻaʻaʻa (Hodgkin a non-Hodgkin lymphoma)
• ʻAʻole hiki i ka iwi o ka iwi ke hana i nā huna koko (aplastic anemia)
• Ua kāhea ʻia ka maʻi ʻaʻai koko he myeloma maha
• Pūʻulu o nā maʻi kahi i lawa ʻole ai nā hunaola olakino e hana ʻia (myelodysplastic Syndrome; MDS)
• ʻO kahi tumo pūnana nerve i kapa ʻia ʻo neuroblastoma
• ʻO ka maʻi iwi iwi e alakaʻi ai i kahi hoʻonui maʻamau o nā hunaola koko (polycythemia vera)
• ʻO ka protein protein buildup i nāʻaʻaʻa a me nā ʻokena (amyloidosis)
• ʻO ka maʻi pūpū iwi kahi e pani ʻia ka momona e ka fibrous scar tissue (myelofibrosis)
• Hoʻopuka ka iwi iwi i nā platelet (thrombocythemia) he nui loa
• Ua kapa ʻia ka maʻi ʻaʻai koko keʻokeʻo ʻo Waldenström macroglobulinemia
• ʻO ka anemia i wehewehe ʻole ʻia, thrombositopenia (helu platelet haʻahaʻa) a i ʻole leukopenia (helu WBC haʻahaʻa)

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.

Biopsy - ʻōiwi iwi

• ʻIʻini iwi iwi
• Biopsy iwi

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 hoʻokolohua aspiration iwi-biimen (biopsy, poke hao hao iwi, hao hao, iwi iwi). 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.