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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.

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BONE MARROW ASPIRATION (Aspirasi sumsum tulang)

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  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

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