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    BMA (Bone Marrow Aspiration)

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    Roisah Yunan Negari
    Bone marrow aspiration is used to determine the composition, cellularity, and maturity of hematopoietic cells in the bone marrow. It must be done using aseptic technique. Common sites for bone marrow aspiration in adults include the posterior superior iliac spine, anterior superior iliac spine, sternum, and lumbar spinous processes. In children under 1 year of age, aspiration is done on the tibia. Bone marrow aspiration is indicated to monitor therapy for conditions like leukemia, investigate anemia, pancytopenia, bone pain, and suspect myeloproliferative disorders or myeloma. It provides information about the spread of diseases.

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    BMA (Bone Marrow Aspiration)

    Uploaded by

    Roisah Yunan Negari
    39 views15 pages
    Bone marrow aspiration is used to determine the composition, cellularity, and maturity of hematopoietic cells in the bone marrow. It must be done using aseptic technique. Common sites for bone marrow aspiration in adults include the posterior superior iliac spine, anterior superior iliac spine, sternum, and lumbar spinous processes. In children under 1 year of age, aspiration is done on the tibia. Bone marrow aspiration is indicated to monitor therapy for conditions like leukemia, investigate anemia, pancytopenia, bone pain, and suspect myeloproliferative disorders or myeloma. It provides information about the spread of diseases.

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    Bone marrow aspiration is used to determine the composition, cellularity, and maturity of hematopoietic cells in the bone marrow. It must be done using aseptic technique. Common sites for bone marrow aspiration in adults include the posterior superior iliac spine, anterior superior iliac spine, sternum, and lumbar spinous processes. In children under 1 year of age, aspiration is done on the tibia. Bone marrow aspiration is indicated to monitor therapy for conditions like leukemia, investigate anemia, pancytopenia, bone pain, and suspect myeloproliferative disorders or myeloma. It provides information about the spread of diseases.

    Copyright:

    © All Rights Reserved
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    39 views15 pages

    BMA (Bone Marrow Aspiration)

    Uploaded by

    Roisah Yunan Negari
    Bone marrow aspiration is used to determine the composition, cellularity, and maturity of hematopoietic cells in the bone marrow. It must be done using aseptic technique. Common sites for bone marrow aspiration in adults include the posterior superior iliac spine, anterior superior iliac spine, sternum, and lumbar spinous processes. In children under 1 year of age, aspiration is done on the tibia. Bone marrow aspiration is indicated to monitor therapy for conditions like leukemia, investigate anemia, pancytopenia, bone pain, and suspect myeloproliferative disorders or myeloma. It provides information about the spread of diseases.

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    of 15

    BONE MARROW ASPIRATION

    (ASPIRASI SUMSUM TULANG)

    Diah Puspita RINI, dr., SpPK

    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

    Aspirasi sumsum tulang

    Digunakan untuk menentukan


    komposisi, selularitas dan maturasi selsel hemopoietik di sumsum tulang.
    Harus dilakukan dengan teknik aseptik

    LOKASI

    Dewasa:
    a.
    b.
    c.
    d.

    Spina iliaca posterior superior


    Spina iliaca anterior superior
    Sternum
    Prosesus spinosus vertebra lumbalis

    Anak:
    a.
    b.
    c.
    d.

    spina iliaca posterior superior


    spina iliaca anterior superior
    Tidak boleh di sternum
    anak dibawah usia 1 tahun aspirasi dilakukan
    pada os tibia

    13

    Follow up terapi
    lekemia

    Hb N
    Lekosit N
    Trombosit
    Hb N
    Lekosit
    Trombosit

    12

    Anemia kronik tak


    tahu sebabnya

    11
    Anemia hipokrom
    mikrositik
    Thalassemia (-)

    10
    Anak-anak
    Hb
    Exopthalmus (+)

    9
    Hb ,
    Total protein
    Rasio Album/Glob
    terbalik

    Indikasi
    BMA

    3
    Hb
    Lekosit
    Trombosit
    (Pansitopenia)

    Hb
    Lekosit
    Trombosit

    Fraktura patologis
    Osteolitik (+)
    Hb
    5
    Lekosit
    (Netropenia)
    Trombosit N

    Hb
    Lekosit N
    Trombosit

    Hb N
    Normoblas (++)
    Bone pain (+)

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

    PERALATAN BMA
    7

    PERALATAN BMA

    SUSUNAN GELAS OBJEK

    Seri
    eritroid
    Seri
    eritroid
    Pronormobla
    s

    Normoblas
    basofilik

    Normobla
    s
    asidofilik

    Normoblas
    polikromatofilik

    Dr. Budiman, Sp.PK(K) - FKUB-RSSA Malang

    13/7/2011
    11

    STEM MYELOSITIK
    B

    Myeloblast
    Promyelocyte
    Basophilic Myelocyte
    Basophilic Metamyelocyte
    Basophilic Band
    Basophilic Segmented
    Neutrophilic Myelocyte
    Neutrophilic Metamyelocyte
    Neutrophilic Band
    Neutrophilic Segmented
    Eosinophilic Myelocyte
    Eosinophilic Metamyelocyte
    Eosinophilic Band
    Eosinophilic Segmanted
    12

    Seri Mieloid
    Mielobla
    s

    Promielosit

    Netrofil
    Stab

    Metamielos
    it

    13

    Netrofil
    segmen

    Mielosi
    t

    Eosinofil

    Netrofil
    Segmen

    14

    Netrofil
    Stab

    Basofil

    Monosit

    Limfosit

    dr. Budiman, SpPK (K) - FKUB / RSSA Malang

    13/7/2011

    Video BMA

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