Gwajin kasusuwa

Kwayar halittar kasusuwa shine cire bargo daga cikin kashi. Kashin kashin nama shine laushi mai laushi a cikin kasusuwa wanda ke taimakawa samar da kwayoyin jini. Ana samo shi a cikin ɓangaren rami na yawancin ƙasusuwa.

Kwayar halittar kasusuwa ba daidai take da burin kashin kashi ba. Buri yana cire ƙananan ƙwaƙƙwalar ɓargo a cikin ruwa don bincika.

Ana iya yin maganin ƙashin ƙashi a ofishin mai ba da kiwon lafiya ko a asibiti. Ana iya ɗaukar samfurin daga ƙashin ƙugu ko ƙashin mama. Wani lokaci, ana amfani da wani yanki.

An cire kumburi a cikin matakai masu zuwa:

• Idan ana buƙata, an ba ku magani don taimaka muku shakatawa.
• Mai bayarwa yana tsabtace fata kuma yayi allurar magani mai sanya numfashi a cikin yankin da farfajiyar ƙashin.
• An saka allurar biopsy a cikin kashi. An cire tsakiyar allurar kuma an zurfafa allurar da ta huhu zuwa cikin ƙashi. Wannan yana ɗaukar ƙaramin samfurin, ko mahimmin, na ɓargo a cikin allurar.
• An cire samfurin da allura.
• Matsi sannan sai a sanya bandeji akan fata.

Hakanan ana iya yin burin ƙashin ƙashi, yawanci kafin a ɗauke biopsy. Bayan an kirga fatar, sai a saka allurar a cikin kashin, sannan a yi amfani da sirinji don cire kashin kashin mai ruwa. Idan anyi haka, za a cire allurar kuma a sake sanya ta. Ko kuma, ana iya amfani da wani allura don nazarin halittu.

Faɗa wa mai ba da sabis:

• Idan kana rashin lafiyan kowane magani
• Waɗanne magunguna kuke sha
• Idan kuna da matsalar zubar jini
• Idan kana da juna biyu

Za ku ji zafi mai kaifi lokacin da aka yi allurar maganin numfashi. Allurar biopsy na iya haifar da taƙaitaccen, yawanci mara ban sha'awa, zafi. Tunda cikin cikin ƙashin baya iya kamuwa, wannan gwajin na iya haifar da rashin jin daɗi.

Idan har ila yau burin fata na ƙashi, zaku iya jin taƙaitaccen, zafi mai zafi yayin da aka cire ruwan ƙashi.

Mai ba da sabis ɗinku na iya yin odar wannan gwajin idan kuna da nau'ikan nau'ikan cuta ko lambobin ja ko fari na ƙwayoyin jini ko platelets a kan cikakken ƙidayar jini (CBC).

Ana amfani da wannan gwajin don tantance cutar sankarar jini, cututtuka, wasu nau'ikan cutar rashin jini, da sauran rikicewar jini. Hakanan za'a iya amfani dashi don taimakawa tantance idan ciwon daji ya bazu ko amsawa ga magani.

Sakamakon sakamako na yau da kullun yana nufin ƙashin ƙashi ya ƙunshi adadi mai kyau da nau'ikan ƙwayoyin halitta (hematopoietic), ƙwayoyin mai, da kayan haɗi.

Sakamakon da ba na al'ada ba na iya kasancewa ne saboda cututtukan daji na kasusuwa (cutar sankarar bargo, lymphoma, myeloma mai yawa, ko wasu cututtukan daji).

Sakamakon na iya gano dalilin karancin jini (ƙananan ƙwayoyin jan jini), ƙananan ƙwayoyin farin jini, ko thrombocytopenia (platelets kaɗan).

Ayyadaddun yanayi waɗanda za'a iya yin gwajin:

• Cutar cututtukan fungal a cikin jiki (yada coccidioidomycosis)
• Cutar kanjamau mai farin jini wanda ake kira da cutar sankarar bargo
• Ciwon daji na lymph nama (Hodgkin ko non-Hodgkin lymphoma)
• Kashin kashin baya yin isasshen ƙwayoyin jini (anemi anemi)
• Ciwon kansa da ake kira myeloma mai yawa
• Ofungiyar rikice-rikice wanda ba'a isa isasshen ƙwayoyin jini mai lafiya ba (myelodysplastic syndrome; MDS)
• Ciwan jijiya wanda ake kira neuroblastoma
• Ciwon ɓarna da kasada wanda ke haifar da hauhawar ƙwayar cuta cikin ƙwayoyin jini (polycythemia vera)
• Rashin gina jiki mara kyau a cikin kyallen takarda da gabobi (amyloidosis)
• Ciwon ɓarke ​​na kashin ciki wanda aka maye gurbin ɓarin da tabon nama (myelofibrosis)
• Kashin kashin baya yana samar da platelet da yawa (thrombocythemia)
• Farin ciwon sankara na jini wanda ake kira Waldenström macroglobulinemia
• Karancin jini, thrombocytopenia (low platelet count) ko leukopenia (low WBC count)

Za a iya samun ɗan jini a wurin hujin. Risksarin haɗari masu tsanani, kamar su zub da jini mai tsanani ko kamuwa da cuta, ba kasafai suke faruwa ba.

Biopsy - kashin baya

• Burin kasusuwa
• Gwajin kasusuwa

Bates I, Burthem J. Kashin kasusuwa biopsy. A cikin: Bain BJ, Bates I, Laffan MA, eds. Dacie da Lewis Nazarin Hematology. 12th ed. Philadelphia, PA: Elsevier; 2017: babi na 7.

Chernecky CC, Berger BJ. Binciken fata na kasusuwa-samfurin (nazarin halittu, tabon ƙarfe da baƙin ƙarfe, tabon ƙarfe, ƙashin kashin). A cikin: Chernecky CC, Berger BJ, eds. Gwajin Laboratory da hanyoyin bincike. Na 6 ed. St Louis, MO: Elsevier Saunders; 2013: 241-244.

Vajpayee N, Graham SS, Bem S. Binciken asali na jini da ƙashi. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 30.