No ke aha ka biopsy o ka iwi iwi a pehea e hana ai?

Anter

• No ke aha ia
• Pehea e hana ai
• Nā pilikia a mālama hoʻi ma hope o ka hōʻike

ʻO ka biopsy iwi ʻōiwi kahi hoʻokolokolo i hana ʻia me ka pahuhopu o ka loiloi ʻana i nā ʻano o nā puʻupuʻu iwi a no laila hoʻohana pinepine ʻia e kōkua i nā kauka e hana i nā diagnose a nānā i ka ulu ʻana o nā maʻi e like me ka lymphoma, myelodysplasias a i ʻole myeloma he nui, a me ka ʻimi ʻana i nā maʻi. aiʻole e ʻike inā he metastases mai nā ʻano tumole ʻē aʻe i kēia wahi.

Hōʻike ʻia ka biopsy o ka iwi iwi e ka hematologist a i ʻole oncologist a hana pinepine ʻia e hoʻokō i ka iwi iwi, i kapa ʻia he myelogram, keu hoʻi ke hōʻike ʻole ʻia kēia hōʻike e pili ana i ka iwi iwi i loko o kahi maʻi i hāʻawi ʻia.

Hiki ke hōʻoluʻolu ʻole ka biopsy iwi pūpū, ʻoiai ke hana ʻia ka hoʻāʻo e ka hōʻiliʻili ʻana i kahi hāpana o ka iwi pelvic a, no laila, hana ʻia ma lalo o ka anesthesia kūloko e kōkua ai e hōʻemi i ka hōʻoluʻolu ʻole.

No ke aha ia

ʻO ka biopsy iwi ʻōiwi kahi hōʻike nui loa, no ka mea hāʻawi ia i ka ʻike e pili ana i ka nui a me nā ʻano o nā hunaola e hana ana i ka iwi iwi. Ma kēia ala, e ʻike ai ka hōʻike inā hakahaka a piha ʻole paha ka iwi kuamoʻo, inā he waihona o nā mea kūpono ʻole, e like me ka hao a fibrosis paha, a me ka nānā ʻana i ke alo o nā hunaola ʻē aʻe ʻē aʻe.

No laila, hiki ke hoʻohana ʻia ka biopsy pūhaka iwi i ke kuhi a nānā ʻana paha i kekahi mau maʻi, e like me:

• ʻO Hodgkin's a me nā non-Hodgkin's lymphomas;
• Myelodysplastic maʻi;
• Nā maʻi myeloproliferative maʻi;
• Myelofibrosis;
• Myeloma maha a me nā gammopathies ʻē aʻe;
• Kaʻike o nā metastases maʻi ʻaʻai;
• ʻAplastic anemia a me nā kumu ʻē aʻe o ka hoʻēmi ʻana i ka cellularity cellularity ʻaʻole i wehewehe ʻia;
• Pono thrombocythaemia;
• ʻImi i nā kumu o nā hana infectious, e like me ka maʻi granulomatous mau;

Hoʻohui ʻia, hiki ke hana ʻia i kahi biopsy pūpū iwi me ka pahuhopu o ka ʻike ʻana i ke kahua o kekahi ʻano maʻi ʻaʻai a me ka nānā ʻana i ka ulu ʻana o ka maʻi.

ʻO ka hapanui o ka manawa, hana pū ʻia ka biopsy o ka iwi iwi me ka myelogram, i hana ʻia mai ka hōʻiliʻili ʻana o kahi hāpana koko mai ka iwi iwi a me ka manaʻo e loiloi i nā ʻano o nā hunaola i hana ʻia e ka momona. Hoʻomaopopo i ka myelogram a pehea e hana ai.

Pehea e hana ai

Hiki ke hana i ke kaʻina biopsy spinal i ke keʻena o ke kauka, i ka moena o ka haukapila a i ʻole i ka lumi lumi, e pili ana i ke kūlana olakino o ka mea maʻi. Hana ʻia ia ma lalo o ka anesthesia kūloko, akā naʻe, i kekahi mau manawa pono paha ka hoʻomaha sedation, keu hoʻi i nā keiki a me nā mea maʻi i hiki ʻole ke hana pū me ka hōʻike.

Hana pinepine ʻia kēia hana ma ka iwi pelvic, ma kahi i kapa ʻia ʻo ka iliac crest, akā i nā keiki hiki ke hana ʻia ma ka tibia, kahi iwi iwi. ʻO ka maʻamau, hana ʻia ka hōʻike ma hope pono o ka hōʻiliʻili ʻana o ka iwi ʻōiwi, i hiki ke hōʻiliʻili ʻia ma kahi like.

I ka wā o ka hoʻokolohua, hoʻokomo ke kauka i kahi nila nui, hoʻomohala kūikawā ʻia no kēia hōʻike, ma o ka ʻili a hiki i ka ʻaoʻao o ka iwi, kahi e lawe ʻia ai kahi mea ʻāpana o ka ʻāpana iwi ma kahi o 2 cm. A laila, e hoʻokau ʻia kēia hāpana i nā slide laboratory a me nā paipu a e nānā ʻia e ka hematologist a i ʻole ke pathologist.

Nā pilikia a mālama hoʻi ma hope o ka hōʻike

ʻO ka biopsy iwi ka iwi kahi hana palekana a ʻaʻole hiki iki ke lawe i nā pilikia e like me ke kahe ʻana o ke kahe a me ka ʻeha ma ka ʻili, akā he mea maʻamau ka ʻike ʻana o ka mea maʻi i ka ʻeha i ka wā o ka hoʻokolohua a hiki i 1 a 3 mau lā ma hope.

Hiki i ka mea hoʻomanawanui ke hoʻomau i nā hana maʻamau i mau minuke ma hope o ka hōʻike, ʻoi aku ka maikaʻi e hoʻomaha ʻo ia i ka lā o ka hoʻokolokolo. ʻAʻole pono e hoʻololi i ka papaʻai a i ʻole ka hoʻohana ʻana o nā lāʻau, a hiki ke hemo i ka ʻaukā ma kahi o ke koʻokoʻo nila ma waena o 8 a me 12 mau hola ma hope o ka hōʻike.