Bone marrow biopsy: How to conduct an investigation and analysis of the results

The bone marrow examination is an invasive test during which samples of bone marrow tissue are taken in the bones of the body to carefully examine it under the microscope. The bone marrow is responsible for the process of blood cell classification to different types. This substance contains fat cells, and it is found in most depth in the bone within the body. The tissue sample is usually taken by selecting selection with a needle (needle aspiration) or by pulling a piece of pelvic bone tissue through the needle. The bone marrow examination is mostly performed for various reasons if it is suspected of a defect in the blood cells, to diagnose this imbalance in the tissue. When is the examination performed? The main objectives of this investigation include the following: 1. Diagnosis of disorders in the production and distribution of blood cells, for example, after an abusive blood test that caused the suspicion that there is an improper process, such as leukemia, also called leukemia, serious anemia for unknown reasons and a decrease in platelets and others. 2. Suspect of the presence of metastases at cancer patients with an advanced stage and the presumption of the presence of metastases. The investigation is conducted to determine if the main crop has spread to the legs. In addition, the bone marrow test is performed to diagnose different infectious diseases, which can spread to the bones. 3. Cancer patients who receive treatment The bone marrow status is monitored to examine the extent of the response to treatment and monitor the extent of the disease of the disease (faded) or its yield. The needle that pulls out of the bone marrow is also performed for treatment, such as the transplantation of stem cells. Prepare for an uncomfortable bone marrow test and cause pain. For this, a topical narcotic substance must be injected into the sample. Class exposed to risk for people with heart disease and lungs informs the doctor before the test. In addition, it should be informed in the case of certain medications such as blood thinners. The patient may be expected to change the drug in the days before the examination. It is never recommended to perform a bone marrow test for people with blood clotting disorders and repeated bleeding. To perform this test, the patient’s approval must be obtained by signing a special approval form. If the exam is minor, there is a need for parents’ approval. Related diseases include related diseases of the following: leukemia, lukemia of different types (AML, CML, CLL, all). Anemia. Aplastic anemia. Lack of platetopenia. The right red (Vera polycythahemia). Multiple myeloma. Bacterial / viral infections, etc., metastases. How to perform the exam is only performed by the bone marrow by the doctor. The patient lies on his stomach to take the sample from the rear pelvis bone. Sometimes a soothing substance is given to reduce fear and pain that the patient can feel. The area is then anesthetized with local anesthesia by spraying narcotic dust into the skin around the environment. The needle tingling can hurt a little. If the area is damaging enough, the doctor can gently penetrate the needle and slowly even the leg. This process can take a few minutes, because bone tissue is relatively strong and hard and is not easy to penetrate. As the needle enters the bones in a circular motion, the patient can sometimes experience pressure in the same area. After the needle is placed in the bone, the doctor draws different cells with the needle or pulls a piece of tissue, then taking the needle gently and carefully, and then the area is inserted. After the investigation, the examiner often feels slight pain in the examination place. Pain Pain Stillers can be used to relieve pain, and the bandage should be left on the investigation for 24 hours and its hydration occurs. Sometimes bleeding can be stopped with another connection. Those suffering from blood clotting and bleeding situations should push the area at least 10 minutes. It is forbidden to remove the connection for fear of implementing pollutants in the investigation. When should the doctor be informed? The doctor should be informed immediately about any change that occurs after the test, such as: an unthinkable bleeding. Feel dizziness. Very sharp pain. shortness of breath. High temperature. General warnings A person feels minor pain in the position of inserting the needle. Pain relievers can be used to reduce the severity of this pain. Bleeding can also be stopped using a bandage and those suffering from blood clotting and bleeding cases, pressure on the area at least ten minutes. One of the rare complications that can occur in the bone marrow examination is the transfer of a bold silence from the bone marrow to the blood. The danger in such a stigma stems from the possibility that you may block small blood vessels, in the lungs, heart or in other important places. During pregnancy: The specialist must be informed whether there is a pregnancy or that the pregnancy will occur during the investigation. Breastfeeding: There are no special warnings. Children and babies should not take medication and food two hours before examining children. Elderly: There are no special warnings. Management: After the investigation, the patient should not drive by car and one of the family members or friends driving the car to transport it to the house as it has to rest 24 hours. Medicines that affect the result of the investigation. The specialist should be informed about all the medications you take, especially the products. The analysis of the results shows the results of the bone marrow examination after about a week – two weeks, in the form of a pathology report indicating the general image of tissues and cells, their number, shape and size, and whether there are other unusual or abnormal features. A healthy bone marrow tissue contains a certain amount of fat cells, connective tissue, iron and blood cells in the different stages of growth and there are no cancer cells and no evidence of pollution or infection. Not -Presian bone marrow texture can contain inexperience cells, for example: very large, without iron, etc. Cancer cells in the tissue can be of different types, for example: leukemia, lymphous cells or metastases of other crops.