1 / 15

BONE MARROW ASPIRATION (Aspirasi sumsum tulang)

BONE MARROW ASPIRATION (Aspirasi sumsum tulang). Sumsum tulang. Tempat hemopoiesis (sumsum merah tulang) Sumsum merah ditemukan terutama pada : - tulang pipih : tulang pinggul, tulang dada, tengkorak, tulang rusuk tulang punggung, tulang belikat.

habib
Télécharger la présentation

BONE MARROW ASPIRATION (Aspirasi sumsum tulang)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. BONE MARROW ASPIRATION (Aspirasi sumsum tulang)

  2. Sumsum tulang • Tempat hemopoiesis (sumsum merah tulang) • Sumsum merah ditemukan terutama pada : - tulang pipih : tulang pinggul, tulang dada, tengkorak, tulang rusuk tulang punggung, tulang belikat. - tulang panjang : ujung tulang humerus dan femur

  3. Aspirasi sumsum tulang • Digunakan untuk menentukan komposisi, selularitas dan maturasi sel-sel hemopoietik di sumsum tulang. • Harus dilakukan dengan teknik aseptik

  4. LOKASI • Dewasa: • Spina iliaca posterior superior • Spina iliaca anterior superior • Sternum • Prosesus spinosus vertebra lumbalis • Anak: • spina iliaca posterior superior • spina iliaca anterior superior • Tidak boleh di sternum • anak dibawah usia 1 tahun aspirasi dilakukan pada os tibia

  5. Follow up terapi lekemia Anemia kroniktak tahusebabnya Anemia hipokrom mikrositik Thalassemia (-) 11 13 12 Hb N Lekosit N Trombosit  1 Anak-anak Hb  Exopthalmus (+) 10 Indikasi BMA Hb N Lekosit  Trombosit  2 Hb , Total protein  Rasio Album/Glob terbalik 9 Hb  Lekosit  Trombosit  (Pansitopenia) 3 Fraktura patologis Osteolitik (+) 8 Hb  Lekosit  Trombosit  4 Hb N Normoblas (++) Bone pain (+) 7 Hb  Lekosit  (Netropenia) Trombosit N Hb  Lekosit N Trombosit  5 6

  6. Indikasi BMA Mengetahui penyebaran penyakit * penyakit infeksi : TBC, infeksi jamur sarkoidosis, mononukleus infeksiosa * keganasan : sarkoma, limfoma, neuroblastoma

  7. PERALATAN BMA

  8. PERALATAN BMA

  9. SUSUNAN GELAS OBJEK

  10. Seri eritroid Seri eritroid Pronormoblas Normoblas basofilik Normoblas asidofilik Normoblas polikromatofilik Dr. Budiman, Sp.PK(K) - FKUB-RSSA Malang

  11. A • SISTEM MYELOSITIK • Myeloblast • Promyelocyte • Basophilic Myelocyte • Basophilic Metamyelocyte • Basophilic Band • Basophilic Segmented • NeutrophilicMyelocyte • NeutrophilicMetamyelocyte • Neutrophilic Band • Neutrophilic Segmented • EosinophilicMyelocyte • EosinophilicMetamyelocyte • Eosinophilic Band • EosinophilicSegmanted B C G K D L H E I M J F N

  12. Seri Mieloid Mieloblas Promielosit Netrofil Stab Metamielosit Mielosit Netrofil segmen

  13. Netrofil Stab Basofil Eosinofil Monosit Limfosit Netrofil Segmen dr. Budiman, SpPK (K) - FKUB / RSSA Malang

  14. Video BMA

More Related