He aha ka myelogram, he aha ia a pehea e hana ai?

Anter

• No ke aha ia
• Pehea e hana ai
• Nā pilikia paha

ʻO ka myelogram, ka mea i ʻike ʻia me ka ʻiʻini o ka iwi iwi, kahi hoʻāʻo e manaʻo ana e hōʻoia i ka hana ʻana o ka iwi iwi mai ka nānā ʻana i nā hunaola i hana ʻia. No laila, noi ʻia kēia hoʻokolohua e ke kauka ke hiki ke kānalua i nā maʻi e hoʻopilikia paha i kēia hana, e like me leukemia, lymphoma a myeloma paha, no ka laʻana.

Pono e hana i kēia hoʻokolohua me ka nila nui, hiki i ka ʻaoʻao o ka iwi kahi e waiho ai ka iwi iwi, a kaulana ʻia ʻo ka momona, no laila he mea pono e hana i kahi anesthesia localized e hoʻoliʻiliʻi i ka ʻeha a me ka hōʻoluʻolu ʻole i ka wā o ka kaʻina hana.

Ma hope o ka hōʻiliʻili ʻana i nā kumuwaiwai, e kālailai ka hematologist a i ʻole pathologist i ka hāpana koko, a ʻike i nā loli hiki, e like me ka hoʻoliʻiliʻi o ka hana ʻana o ke koko, ka hana ʻana o nā hunaola a i ʻole nā ​​maʻi maʻi maʻi.

No ke aha ia

Nonoi pinepine ʻia ka myelogram ma hope o ka hoʻololi ʻana i ka helu o ke koko, kahi e ʻike ʻia ai nā hunaola koko a i ʻole nā ​​helu nui o nā pūnaewele immature, ʻo kahi laʻana, e hōʻike ana i nā loli i ka iwi iwi. No laila, noi ʻia ka myelogram i mea e noiʻi ai i ke kumu o ka loli, a e hōʻike ʻia paha e ke kauka i nā ʻano aʻe.

• Ka hoʻokolokolo ʻana i ka anemia ʻaʻole i wehewehe ʻia, a i ʻole ka hoʻoliʻiliʻi o ka nui o nā aʻa koko keʻokeʻo a me nā platelet i hōʻike ʻole ʻia nā kumu i nā hōʻike mua;
• ʻImi o nā kumu no nā loli i ka hana a me ke ʻano i nā huna koko;
• ʻIke o ka maʻi ʻaʻai hematological, e like me leukemia a i ʻole myeloma maha, i waena o nā mea ʻē aʻe, a me ka nānā ʻana i ka evolution a i ʻole ka lapaʻau ʻana, ke hōʻoia ʻia ia.
• Kuhi ʻia ka metastasis o ka maʻi ʻaʻai koʻikoʻi i ka iwi iwi;
• Nānā i ka wela o ke kumu i ʻike ʻole ʻia, ʻoiai ma hope o nā hoʻāʻo ʻana
• Hoʻopiʻi ʻia ka iwi iwi i kuhi ʻia e nā mea e like me ka hao, i ka hihia o ka hemochromatosis, a i ʻole nā ​​maʻi, e like me ka leishmaniasis visceral.

No laila, he mea nui ka hopena o ka myelogram i ke kuhi o nā maʻi he nui, e ʻae ana i ka lapaʻau kūpono. I kekahi mau hihia, pono paha ka biopsy pūpū iwi, kahi loiloi paʻakikī a me ka hoʻolōʻihi manawa, no ka mea he mea pono e hemo i kahi ʻāpana o ka iwi, akā pinepine ka mea nui e hāʻawi i nā kikoʻī e pili ana i ka iwi iwi. E ʻike he aha ia a pehea e hana ʻia ai ka biopsy o ka iwi iwi.

Pehea e hana ai

ʻO kahi myelogram kahi hoʻokolohua e kuhikuhi ana i nā aʻa hohonu o ke kino, no ka mea hana pinepine ʻia kēia e ka mea hana maʻamau a i ʻole hematologist. ʻO ka mea maʻamau, ʻo nā iwi kahi e hana ʻia ai ka myelograms ka sternum, aia ma ka umauma, ka ʻiliac crest, ʻo ia ka iwi ma ka pelvic, a me ka tibia, iwi iwi, i hoʻonui ʻia i nā keiki, a ʻo kā lākou ʻanuʻu nā:

1. E hoʻomaʻemaʻe i ka wahi me nā mea kūpono e pale ai i ka hoʻohaumia, e like me povidine a i ʻole chlorhexidine;
2. Hana i ka anesthesia kūloko me kahi nila ma ka ʻili a ma waho o ka iwi;
3. E hana i ka puncture me kahi kui kuiki kūikawā, mānoanoa, e hou i ka iwi a hiki i ka iwi iwi;
4. E hoʻohui i kahi nūele i ka nila, e ʻiʻini a ʻohiʻohi i nā mea i makemake ʻia;
5. Wehe i ka nila a kāʻei i ka wahi me ka gauze e pale ai i ke kahe ʻana o ke kahe.

Ma hope o ka hōʻiliʻili ʻana i nā mea, pono e hoʻokō i ke kālailai a me ka wehewehe ʻana o ka hopena, i hiki ke hana ʻia e ka paheʻe, na ke kauka ponoʻī, a me nā mīkini i loea i ke kālailai ʻana i nā hunaola koko.

Nā pilikia paha

ʻO ka maʻamau, he hana wikiwiki ka myelogram me nā pilikia laha ʻole, akā naʻe, hiki ke ʻike ʻia i ka ʻeha a i ʻole ka hōʻoluʻolu ʻole ma ka pūnaewele puncture, a me ke kahe ʻana o ka hematoma a i ʻole ka maʻi. Pono paha ka hōʻiliʻili o nā mea, i kekahi mau hanana, ma muli o ka lawa ʻole a lawa ʻole paha o kahi laʻana no ka loiloi.