Vim li cas Cov Pob Txha Cuam Tshuam tuaj yeem hla ntawm Sternum?

Cov pob txha pob txha aspiration yog qhov muaj txiaj ntsig zoo rau kev kuaj mob hematologic, tshwj xeeb tshaj yog leukemia. Ntau hom kab mob tuaj yeem kuaj tau los ntawm kev kuaj mob pob txha. Nws kuj tseem pab tau rau kev kuaj mob ntawm qee yam kab mob parasitic thiab kab mob.

Tsis tas li ntawd, rau lub sijhawm ntev ua npaws, daim siab, tus po, lymph node o tuaj yeem ua tau rau kev kuaj mob pob txha pob txha kom paub meej meej. Iliac crest puncture, sternum puncture, tibia puncture thiab spinous txheej txheem puncture tuaj yeem siv rau pob txha pob txha. Vim osteoporosis nyob rau hauv lub iliac crest, nyias cortex thiab ntau pob txha pob txha kua, puncture kuj muaj kev nyab xeeb thiab yooj yim. Cov pob txha pob txha aspiration tsis pom zoo nyob rau hauv cov neeg mob hemophilia, mob hnyav los ntshav, thiab kab mob ntawm daim tawv nqaij hauv zos. Sternum thiab spinous txheej txheem puncture kuj tseem siv tau rau cov menyuam yaus uas tuaj yeem koom tes.

Ntau tus neeg xav tias pob txha pob txha yog qhov txaus ntshai, tab sis kev daws teeb meem yooj yim. Ua ntej, xaiv qhov chaw puncture, txhaj me me ntawm cov tshuaj loog hauv zos, thiab tshem tawm cov pob txha pob txha me me nrog rab koob pob txha. Tag nrho cov txheej txheem ntawm kev tho pob txha los ntawm tus kws kho mob tshwj xeeb yuav siv sijhawm ob peb feeb xwb.

Tom qab cov pob txha tau muab rho tawm, tus me nyuam tuaj yeem sawv thiab txav mus tom qab nias qhov chaw sib tsoo kom tsis txhob los ntshav. Tej zaum yuav muaj cov kua qaub hauv zos thaum lub sij hawm rho tawm cov pob txha pob txha, uas tuaj yeem zam tau los ntawm cov menyuam yaus. Tsis muaj kev puas tsuaj rau menyuam yaus kev noj qab haus huv, thiab yuav tsis ua rau muaj kev puas tsuaj mus ntev. Vim tias cov pob txha pob txha yog cov ntaub so ntswg uas muaj zog heev ntawm tib neeg lub cev, thiab cov pob txha pob txha rho tawm tsawg heev, yog li tsis tas yuav txhawj xeeb txog kev puas tsuaj rau "qhov tseem ceeb", thiab tsis tas yuav ntxiv cov tshuaj ntxiv.

Vim li cas koj thiaj xav tau kev kuaj mob pob txha?

Cov pob txha pob txha biopsy, los yog cov pob txha pob txha biopsy, siv ib rab koob tshwj xeeb coj ib qho me me cylindrical ntawm cov pob txha pob txha txog 0.5 mus rau 1 centimeter ntev rau kev kuaj kab mob. Txoj kev ua haujlwm yog qhov pib zoo ib yam li cov pob txha pob txha biopsy. Cov khoom muab rho tawm tswj cov pob txha pob txha ua tiav cov qauv, uas tuaj yeem ua rau qhov tsis txaus ntawm cov pob txha pob txha. Nws muaj qhov zoo hauv qab no:

1) Tswj cov qauv ntawm cov ntaub so ntswg hematopoietic, uas yog yooj yim los txiav txim qhov feem ntawm liab pulp thiab adipose ntaub so ntswg;

2) Kev nkag siab ntau dua ntawm cov qib ntawm cov pob txha pob txha hyperplasia, nucleated cell ceev thiab nws qhov layout;

3) Lub dilution ntawm sinusoidal ntshav yuav zam tau;

4) Nws tuaj yeem pab kuaj mob myelofibrosis, plaub hau cell leukemia, pob txha pob txha necrosis, thiab pob txha pob txha steatosis, thiab tuaj yeem qhia txog kev hloov pauv ntawm myelodysplastic syndrome rau mob myelogenous leukemia. Nws tuaj yeem sib txawv "qhuav extraction". Yog li ntawd, cov pob txha pob txha biopsy tsis tuaj yeem nkag siab txog qhov muaj pes tsawg leeg ntawm cov pob txha pob txha thiab kev faib tawm ntawm cov hlwb qub, tab sis kuj saib xyuas cov cell morphology, uas yooj yim rau kev kuaj mob pathological, thiab muab lub hauv paus tseem ceeb rau kev kuaj mob rau cov kab mob nyuaj. xws li aplastic anemia, myelodysplastic syndrome, pob txha pob txha aspiration qhuav extraction thiab lwm yam.

Bone marrow aspiration thiab pob txha pob txha biopsy muaj lawv tus kheej zoo thiab qhov tsis zoo. Lawv yog ob qho tseem ceeb ntawm kev txheeb xyuas cov kab mob hematological uas tsis tuaj yeem hloov los ntawm ib leeg. Bone marrow biopsy kuj yog ib qho yooj yim heev, rau cov neeg laus tuaj yeem koom tes nrog cov menyuam yaus tuaj yeem nqa tau yooj yim dua, rau cov menyuam mos thiab menyuam yaus muaj qee yam teeb meem. Cov txheej txheem biopsy tej zaum yuav ntev me ntsis ntev dua li cov pob txha pob txha aspiration, thiab tej zaum yuav muaj kev ntxhov siab thaum lub sij hawm muab biopsy. Tom qab qhov puncture, tus neeg mob tau kho nrog lub siab bandage thiab hemostasis