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Published  

Bone Marrow Biopsy

Dr. HelloDox Care #
HelloDox Care
Consult


Bone Marrow Aspiration and Biopsy

Overview
Bone marrow biopsy and bone marrow aspiration are procedures to collect and examine bone marrow — the spongy tissue inside some of your larger bones.

Bone marrow biopsy and aspiration can show whether your bone marrow is healthy and making normal amounts of blood cells. Doctors use these procedures to diagnose and monitor blood and marrow diseases, including some cancers, as well as fevers of unknown origin.

Bone marrow has a fluid portion and a more solid portion. In bone marrow biopsy, your doctor uses a needle to withdraw a sample of the solid portion. In bone marrow aspiration, a needle is used to withdraw a sample of the fluid portion.

Bone marrow biopsy and bone marrow aspiration are often done at the same time. Together, these procedures may be called a bone marrow exam.

Why it's done

Bone marrow biopsy and bone marrow aspiration offer detailed information about the condition of your bone marrow and blood cells.

Your doctor may order a bone marrow exam if blood tests are abnormal or don't provide enough information about a suspected problem.

Your doctor may perform a bone marrow exam to:

Diagnose a disease or condition involving the bone marrow or blood cells
Determine the stage or progression of a disease
Check iron levels and metabolism
Monitor treatment of a disease
Investigate a fever of unknown origin

Bone marrow biopsy and aspiration may be used for many conditions. These include:

Anemia
Blood cell conditions in which too few or too many of certain types of blood cells are produced, such as leukopenia, leukocytosis, thrombocytopenia, thrombocytosis, pancytopenia and polycythemia
Cancers of the blood or bone marrow, including leukemias, lymphomas and multiple myeloma
Cancers that have spread from another area, such as breast, into the bone marrow
Hemochromatosis
Fevers of unknown origin

A bone marrow biopsy and a bone marrow aspiration offer different, but complementary, information about your bone marrow cells. The two procedures are usually performed together.

Risks

Bone marrow exams are generally safe procedures. Complications are rare but can include:

Excessive bleeding, particularly in people with low numbers of a certain type of blood cell (platelets)
Infection, especially in people with weakened immune systems
Long-lasting discomfort at the biopsy site
Penetration of the breastbone (sternum) during sternal aspirations, which can cause heart or lung problems

How you prepare

Bone marrow exams are often performed on an outpatient basis. Special preparation usually isn't needed. However, you may want to:

Tell your doctor about medications and supplements you take. Certain medications and supplements may increase your risk of bleeding after a bone marrow biopsy and aspiration.
Tell your doctor if you're nervous about your procedure. Discuss your worries about the exam with your doctor. In some cases, your doctor may give you a sedative medication before your exam, in addition to a numbing agent (local anesthesia) at the site where the needle is inserted.

What you can expect

A bone marrow biopsy and aspiration can be done in a hospital, clinic or doctor's office.

The procedures are usually done by a doctor who specializes in blood disorders (hematologist) or cancer (oncologist).

The bone marrow exam typically takes about 10 minutes. Extra time is needed for preparation and post-procedure care, especially if you receive intravenous (IV) sedation. The total time for the procedure is about 30 minutes.
Before the procedure

Your blood pressure and heart rate will be checked, and you'll be given some form of anesthesia to keep you comfortable.

Most people need only local anesthesia, as bone marrow aspiration, in particular, can cause brief, but sharp, pain. You'll be fully awake during the procedure, but the aspiration and biopsy site will be numbed to reduce pain.

If you feel anxious about pain, you may be given an IV medication so that you're either completely or partially sedated during the bone marrow exam.

The area where the doctor will insert the biopsy needle is marked and cleaned. The bone marrow fluid (aspirate) and tissue sample (biopsy) are usually collected from the top ridge of the back of a hipbone (posterior iliac crest). Sometimes, the front of the hip may be used.

Bone marrow aspiration — but not biopsy — is occasionally collected from the breastbone or, in children under the age of 12 to 18 months, from the lower leg bone.

You'll be asked to lie on your abdomen or side, and your body will be draped with cloth so that only the exam site is showing.
Bone marrow aspiration

The bone marrow aspiration is usually done first. The doctor makes a small incision, then inserts a hollow needle through the bone and into the bone marrow.

Using a syringe attached to the needle, the doctor withdraws a sample of the liquid portion of the bone marrow. You may feel a brief sharp pain or stinging. The aspiration takes only a few minutes. Several samples may be taken.

The health care team checks the sample to make sure it's adequate. Rarely, fluid can't be withdrawn and the needle is moved for another attempt.
Bone marrow biopsy

Your doctor uses a larger needle to withdraw a sample of solid bone marrow tissue. The biopsy needle is specially designed to collect a core (cylindrical sample) of bone marrow.

After the procedure

Pressure will be applied to the area where the needle was inserted to stop the bleeding. Then a bandage will be placed on the site.

If you had local anesthesia, you'll be asked to lie on your back for 10 to 15 minutes and apply pressure to the biopsy site. You can then leave and go about your day, returning to normal activity as soon as you feel up to it.

If you had IV sedation, you'll be taken to a recovery area. Plan to have someone drive you home, and take it easy for 24 hours.

You may feel some tenderness for a week or more after your bone marrow exam. Ask your doctor about taking a pain reliever, such as acetaminophen (Tylenol, others).
Site care

Wear the bandage and keep it dry for 24 hours. Don't shower, bathe, swim or use a hot tub. After 24 hours you can get the aspiration and biopsy area wet.

Contact your doctor if you have:

Bleeding that soaks through the bandage or doesn't stop with direct pressure
A persistent fever
Worsening pain or discomfort
Swelling at the procedure site
Increasing redness or drainage at the procedure site

To help minimize bleeding and discomfort, avoid rigorous activity or exercise for a day or two.

Results

The bone marrow samples are sent to a laboratory for analysis. Your doctor generally gives you the results within a few days, but it may take longer.

At the lab, a hematologist or a specialist in analyzing biopsies (pathologist) will evaluate the samples to determine if your bone marrow is making enough healthy blood cells and to look for abnormal cells. The information can help your doctor:

Confirm or rule out a diagnosis
Determine how advanced a disease is
Evaluate whether treatment is working

Depending on your exam results, you may need follow-up tests.

Published  

Bone Marrow Biopsy

Dr. HelloDox Care #
HelloDox Care
Consult


Bone Marrow Aspiration and Biopsy

Overview
Bone marrow biopsy and bone marrow aspiration are procedures to collect and examine bone marrow — the spongy tissue inside some of your larger bones.

Bone marrow biopsy and aspiration can show whether your bone marrow is healthy and making normal amounts of blood cells. Doctors use these procedures to diagnose and monitor blood and marrow diseases, including some cancers, as well as fevers of unknown origin.

Bone marrow has a fluid portion and a more solid portion. In bone marrow biopsy, your doctor uses a needle to withdraw a sample of the solid portion. In bone marrow aspiration, a needle is used to withdraw a sample of the fluid portion.

Bone marrow biopsy and bone marrow aspiration are often done at the same time. Together, these procedures may be called a bone marrow exam.

Why it's done

Bone marrow biopsy and bone marrow aspiration offer detailed information about the condition of your bone marrow and blood cells.

Your doctor may order a bone marrow exam if blood tests are abnormal or don't provide enough information about a suspected problem.

Your doctor may perform a bone marrow exam to:

Diagnose a disease or condition involving the bone marrow or blood cells
Determine the stage or progression of a disease
Check iron levels and metabolism
Monitor treatment of a disease
Investigate a fever of unknown origin

Bone marrow biopsy and aspiration may be used for many conditions. These include:

Anemia
Blood cell conditions in which too few or too many of certain types of blood cells are produced, such as leukopenia, leukocytosis, thrombocytopenia, thrombocytosis, pancytopenia and polycythemia
Cancers of the blood or bone marrow, including leukemias, lymphomas and multiple myeloma
Cancers that have spread from another area, such as breast, into the bone marrow
Hemochromatosis
Fevers of unknown origin

A bone marrow biopsy and a bone marrow aspiration offer different, but complementary, information about your bone marrow cells. The two procedures are usually performed together.

Risks

Bone marrow exams are generally safe procedures. Complications are rare but can include:

Excessive bleeding, particularly in people with low numbers of a certain type of blood cell (platelets)
Infection, especially in people with weakened immune systems
Long-lasting discomfort at the biopsy site
Penetration of the breastbone (sternum) during sternal aspirations, which can cause heart or lung problems

How you prepare

Bone marrow exams are often performed on an outpatient basis. Special preparation usually isn't needed. However, you may want to:

Tell your doctor about medications and supplements you take. Certain medications and supplements may increase your risk of bleeding after a bone marrow biopsy and aspiration.
Tell your doctor if you're nervous about your procedure. Discuss your worries about the exam with your doctor. In some cases, your doctor may give you a sedative medication before your exam, in addition to a numbing agent (local anesthesia) at the site where the needle is inserted.

What you can expect

A bone marrow biopsy and aspiration can be done in a hospital, clinic or doctor's office.

The procedures are usually done by a doctor who specializes in blood disorders (hematologist) or cancer (oncologist).

The bone marrow exam typically takes about 10 minutes. Extra time is needed for preparation and post-procedure care, especially if you receive intravenous (IV) sedation. The total time for the procedure is about 30 minutes.
Before the procedure

Your blood pressure and heart rate will be checked, and you'll be given some form of anesthesia to keep you comfortable.

Most people need only local anesthesia, as bone marrow aspiration, in particular, can cause brief, but sharp, pain. You'll be fully awake during the procedure, but the aspiration and biopsy site will be numbed to reduce pain.

If you feel anxious about pain, you may be given an IV medication so that you're either completely or partially sedated during the bone marrow exam.

The area where the doctor will insert the biopsy needle is marked and cleaned. The bone marrow fluid (aspirate) and tissue sample (biopsy) are usually collected from the top ridge of the back of a hipbone (posterior iliac crest). Sometimes, the front of the hip may be used.

Bone marrow aspiration — but not biopsy — is occasionally collected from the breastbone or, in children under the age of 12 to 18 months, from the lower leg bone.

You'll be asked to lie on your abdomen or side, and your body will be draped with cloth so that only the exam site is showing.
Bone marrow aspiration

The bone marrow aspiration is usually done first. The doctor makes a small incision, then inserts a hollow needle through the bone and into the bone marrow.

Using a syringe attached to the needle, the doctor withdraws a sample of the liquid portion of the bone marrow. You may feel a brief sharp pain or stinging. The aspiration takes only a few minutes. Several samples may be taken.

The health care team checks the sample to make sure it's adequate. Rarely, fluid can't be withdrawn and the needle is moved for another attempt.
Bone marrow biopsy

Your doctor uses a larger needle to withdraw a sample of solid bone marrow tissue. The biopsy needle is specially designed to collect a core (cylindrical sample) of bone marrow.


After the procedure

Pressure will be applied to the area where the needle was inserted to stop the bleeding. Then a bandage will be placed on the site.

If you had local anesthesia, you'll be asked to lie on your back for 10 to 15 minutes and apply pressure to the biopsy site. You can then leave and go about your day, returning to normal activity as soon as you feel up to it.

If you had IV sedation, you'll be taken to a recovery area. Plan to have someone drive you home, and take it easy for 24 hours.

You may feel some tenderness for a week or more after your bone marrow exam. Ask your doctor about taking a pain reliever, such as acetaminophen (Tylenol, others).
Site care

Wear the bandage and keep it dry for 24 hours. Don't shower, bathe, swim or use a hot tub. After 24 hours you can get the aspiration and biopsy area wet.

Contact your doctor if you have:

Bleeding that soaks through the bandage or doesn't stop with direct pressure
A persistent fever
Worsening pain or discomfort
Swelling at the procedure site
Increasing redness or drainage at the procedure site

To help minimize bleeding and discomfort, avoid rigorous activity or exercise for a day or two.

Results

The bone marrow samples are sent to a laboratory for analysis. Your doctor generally gives you the results within a few days, but it may take longer.

At the lab, a hematologist or a specialist in analyzing biopsies (pathologist) will evaluate the samples to determine if your bone marrow is making enough healthy blood cells and to look for abnormal cells. The information can help your doctor:

Confirm or rule out a diagnosis
Determine how advanced a disease is
Evaluate whether treatment is working

Depending on your exam results, you may need follow-up tests.

Published  

बोन मॅरोव बायोप्सी

Dr. HelloDox Care #
HelloDox Care
Consult


आढावा
हाडे मज्जा बायोप्सी ही आपली काही मोठी आतडे ,स्पोन्सी टिश्यू आणि अस्थिमज्जाची आकांक्षा अस्थिमज्जा गोळा करणे आणि त्याचे परीक्षण करणे ही प्रक्रिया आहे.
हाडे मज्जा बायोप्सी आणि आकांक्षा आपल्या हाडांच्या मज्जा स्वस्थ आहे आणि सामान्यपणे रक्त पेशी बनवते हे दर्शवू शकते. रक्त आणि मज्जा रोगांचे निदान आणि परीक्षण करण्यासाठी डॉक्टरांनी या प्रक्रियेचा वापर केला आहे, तसेच काही कर्करोगांसह तसेच अज्ञात मूळच्या बुखारांचा समावेश आहे.

हाडांच्या मज्जामध्ये एक द्रव भाग आणि अधिक घन भाग असतो. हाड मॅरो बायोप्सीमध्ये, आपला डॉक्टर घन भागांचा नमुना काढण्यासाठी सुई वापरतो. अस्थिमज्जाच्या आस्थापनामध्ये द्रवपदार्थाचा नमुना काढण्यासाठी एक सुई वापरली जाते.

अस्थि मज्जा बायोप्सी आणि अस्थिमज्जाची आकांक्षा एकाच वेळी केली जाते. एकत्रितपणे, या प्रक्रियांना अस्थिमज्जा चाचणी म्हणू शकते.

ते का केले जाते?

हाड मॅरो बायोप्सी आणि अस्थिमज्जाची आकांक्षा आपल्या हाडांच्या मज्जा आणि रक्तपेशींच्या स्थितीबद्दल तपशीलवार माहिती देतात.

रक्त तपासणी असामान्य असल्यास किंवा संशयास्पद समस्येबद्दल पुरेशी माहिती पुरविल्यास आपला डॉक्टर अस्थिमज्जाची तपासणी करू शकते.

आपला डॉक्टर अस्थिमज्जाची तपासणी करू शकतोः

अस्थिमज्जा किंवा रक्त पेशींचा समावेश असलेल्या रोग किंवा स्थितीचे निदान करा
रोगाची स्थिती किंवा प्रगती निश्चित करा
लोह पातळी आणि चयापचय तपासा
रोगाचा उपचारांवर लक्ष ठेवा
अज्ञात उत्पत्तीचा ताप तपासा

अनेक परिस्थितींसाठी अस्थिमज्जा बायोप्सी आणि आकांक्षा वापरली जाऊ शकते. यात समाविष्ट:

अॅनिमिया
रक्तातील सेलची स्थिती ज्यामध्ये कमी प्रमाणात किंवा बहुतेक प्रकारच्या रक्त पेशी तयार होतात उदा. ल्युकोपेनिया, ल्युकोसाइटोसिस, थ्रोम्बोसाइटोपेनिया, थ्रोम्बोसाइटोसिस, पॅन्सीप्टोनेशिया आणि पॉलिसीथेमिया
रक्त किंवा अस्थिमज्जाचे कर्करोग, ल्यूकेमियास, लिम्फोमा आणि एकाधिक मायलोमासह
स्तन, अस्थि मज्जातंतूसारख्या दुसऱ्या भागात पसरलेले कर्करोग
हेमोक्रोमैटोसिस
अज्ञात उत्पत्तीचा ताप

अस्थि मज्जा बायोप्सी आणि अस्थिमज्जाची आकांक्षा आपल्या हड्डीच्या मज्जा पेशींबद्दल भिन्न परंतु पूरक असलेली माहिती देतात. दोन प्रक्रिया सहसा एकत्रित केल्या जातात.

धोके
हाड मॅरो परीक्षा सामान्यतः सुरक्षित प्रक्रिया असतात. जटिलता दुर्मिळ आहेत परंतु यात समाविष्ट असू शकते:

जास्त रक्तस्त्राव, विशेषत: कमी प्रमाणात एखाद्या विशिष्ट प्रकारच्या रक्त सेल (प्लेटलेट्स) असलेल्या लोकांमध्ये
संक्रमण, विशेषतः कमकुवत प्रतिकार शक्ती असलेल्या लोकांमध्ये
बायोप्सी साइटवर दीर्घ काळ टिकणारी अस्वस्थता
स्नार्नल ऍपिरेशन्स दरम्यान स्तनपानाचा प्रवेश (स्टर्नम), ज्यामुळे हृदय किंवा फुफ्फुसाची समस्या येऊ शकते

आपण कसे तयार व्हाल?

अस्थि मज्जा परीक्षा बहुतेक वेळा आउट पेशंट आधारावर केली जातात. विशेष तयारी आवश्यक नाही. तथापि, आपण हे करू शकता:

आपण घेत असलेल्या औषधे आणि पूरक गोष्टींबद्दल आपल्या डॉक्टरांना सांगा. काही औषधे आणि पूरक आहार हाडे मज्जा बायोप्सी आणि आकांक्षा नंतर रक्तस्त्राव होण्याचा धोका वाढवू शकतात.
आपण आपल्या प्रक्रियेबद्दल चिंताग्रस्त असल्यास आपल्या डॉक्टरांना सांगा. आपल्या डॉक्टरांबरोबरच्या परीक्षणाबद्दल आपली चिंता विचारा. काही प्रकरणांमध्ये, आपल्या डॉक्टरांसमोर आपल्या निवाच्या एजंट (स्थानिक ऍनेस्थेसिया) व्यतिरिक्त, जेथे सूई घातली जाते त्यासाठी आपल्याला वेदनाशामक औषध देऊ शकते.


आपण काय अपेक्षा करू शकता?

हॉस्पिटल, क्लिनिक किंवा डॉक्टरच्या कार्यालयात अस्थि मज्जा बायोप्सी होऊ शकते.

ही प्रक्रिया सामान्यत: डॉक्टरांद्वारे केली जाते जे रक्त विकार (हेमेटोलॉजिस्ट) किंवा कर्करोग (ऑन्कोलॉजिस्ट) मध्ये माहिर आहेत.

हाडे मज्जा परीक्षा साधारणपणे सुमारे 10 मिनिटे घेते. तयारी आणि पोस्ट-प्रक्रिया काळजी घेण्यासाठी अतिरिक्त वेळ आवश्यक आहे, विशेषत: जर आपणास अव्यवहार्य (IV) सांडपाणी प्राप्त झाली असेल तर. प्रक्रियेची एकूण वेळ सुमारे 30 मिनिटे आहे.

प्रक्रिया करण्यापूर्वी

आपले रक्तदाब आणि हृदयाचे दर तपासले जाईल आणि आपल्याला आरामदायक ठेवण्यासाठी आपल्याला ऍनेस्थेसियाचा एक प्रकार दिला जाईल.

बऱ्याच लोकांना फक्त स्थानिक ऍनेस्थेसियाची आवश्यकता असते कारण अस्थिमज्जाच्या आकांक्षा, विशेषत: संक्षिप्त, परंतु तीक्ष्ण, वेदना होऊ शकते. प्रक्रिया दरम्यान आपण पूर्णपणे जागृत राहाल, परंतु दुःख कमी करण्यासाठी आकांक्षा आणि बायोप्सी जागा निरुपयोगी होईल.

जर आपल्याला वेदनांबद्दल चिंता वाटत असेल तर आपल्याला चतुर्थ औषधे दिली जाऊ शकतात जेणेकरून आपण हाडांच्या मज्जा परीक्षा दरम्यान एकतर पूर्णतः किंवा आंशिकपणे निरुपयोगी असाल.

डॉक्टर जेथे बायोप्सी सुई टाकेल तेथे चिन्हांकित आणि साफ केले जाईल. हिपबोन (पोस्टरियरीअर इलियाक क्रिस्ट) च्या मागील बाजूस अस्थिमज्जा द्रव (एस्पिरेट) आणि ऊतकांचे नमुने (बायोप्सी) सहसा गोळा केले जातात. कधीकधी, हिप च्या पुढचा वापर केला जाऊ शकतो.

अस्थिमज्जाची आकांक्षा - परंतु बायोप्सी - कधीकधी स्तनातून किंवा 12 ते 18 महिन्याखालील मुलांच्या खालच्या पाय-हाडांमधून गोळा केली जाते.

आपल्याला आपल्या पोटावर किंवा बाजूस झोपायला सांगितले जाईल, आणि आपले शरीर कापडाने झाकले जाईल जेणेकरुन केवळ परीक्षा साइट दर्शविली जाईल.
अस्थिमज्जा आकांक्षा

अस्थि मज्जा आकांक्षा सामान्यतः प्रथम केली जाते. डॉक्टर एक लहान तुकडा बनवतात, नंतर हाडे आणि हाडांच्या मज्जामध्ये एक खोटी सुई घालते.

सुईला जोडलेल्या सिरिंजचा वापर करुन डॉक्टर हाडांच्या द्रव भागाचा नमुना काढून घेतो

आपल्याला थोडीशी तीव्र वेदना वाटत असेल. अस्थि मज्जा आकांक्षा मध्ये फक्त काही मिनिटे लागतात. बरेच नमुने घेतले जाऊ शकतात.

हेल्थ केअर टीम हे पुरेसे असल्याची खात्री करण्यासाठी नमुना तपासते. दुर्मिळपणे द्रव काढता येत नाही आणि दुसऱ्या प्रयत्नासाठी सुई हलविला जातो.

हाड मॅरो बायोप्सी
घन अस्थिमज्जाच्या ऊतकांचे नमुने काढण्यासाठी आपला डॉक्टर मोठा सुई वापरतो. बायोप्सी सुई विशेषतः अस्थिमज्जाचे कोर (बेलंडिकल नमुना) गोळा करण्यासाठी डिझाइन केलेली आहे.

प्रक्रिया केल्यानंतर

रक्तस्त्राव थांबविण्यासाठी सुई टाकण्यात आलेल्या क्षेत्राला दबाव लागू केला जाईल. मग साइटवर एक पट्टी ठेवली जाईल.

आपल्याकडे स्थानिक ऍनेस्थेसिया असल्यास, आपल्याला 10 ते 15 मिनिटांसाठी आपल्या पाठीवर झोपावे आणि बायोप्सी साइटवर दबाव लागू करावा. आपण नंतर त्यास सोडू आणि आपला दिवस सोडाल आणि सामान्य क्रियाकलापांवर परत येताच ते परत येईल.

जर तुम्हास चतुर्थांश हवे असेल तर आपल्याला पुनर्प्राप्ती क्षेत्राकडे नेले जाईल. कोणीतरी आपल्याला घरी चालविण्याची योजना करा आणि 24 तासांसाठी यास सोपा करा.

आपल्या हाडांच्या मज्जा परीक्षा झाल्यानंतर आपल्याला एक आठवडा किंवा त्यापेक्षा जास्त काळ काही प्रेम वाटू शकते. एसिटामिनोफेन (टायलेनॉल, इतर) सारख्या वेदना रिलीव्हरबद्दल आपल्या डॉक्टरांना विचारा.

जागेची काळजी

पट्टी बांधा आणि 24 तास ते कोरडे ठेवा. शॉवर, न्हाणे, पोहणे किंवा गरम टब वापरू नका. 24 तासांनंतर आपण आकांक्षा आणि बायोप्सी क्षेत्र ओले करू शकता.

आपल्या डॉक्टरांशी संपर्क साधा जर आपल्याला असल्यास:

रक्तस्त्राव जो पट्ट्यातून पडतो किंवा थेट दाबाने थांबत नाही
सतत ताप
वेदना किंवा अस्वस्थता
प्रक्रिया साइटवर सूज
प्रक्रिया साइटवर वाढत्या लाळणी किंवा ड्रेनेज

रक्तस्त्राव आणि अस्वस्थता कमी करण्यात मदत करण्यासाठी, कठोर क्रियाकलाप किंवा व्यायाम एक किंवा दोन दिवस टाळा.

परिणाम

अस्थिमज्जाचे नमुने विश्लेषणासाठी प्रयोगशाळेकडे पाठवले जातात. आपले डॉक्टर साधारणपणे काही दिवसात आपल्याला परिणाम देतात, परंतु यास अधिक वेळ लागू शकतो.

प्रयोगशाळेत, बायोप्सीज (पॅथॉलॉजिस्ट) चे विश्लेषण करणारे हेमेटोलॉजिस्ट किंवा तज्ञ या नमुन्यांचे मूल्यांकन करतील की हाडातील अस्थी पुरेशी निरोगी रक्त पेशी बनवत आहेत आणि असामान्य पेशी शोधत आहेत काय हे ठरविण्यासाठी नमुन्यांचे मूल्यांकन करेल. माहिती आपल्या डॉक्टरांना मदत करू शकते:

निदानची पुष्टी करा किंवा नकार द्या
रोग कसा वाढला आहे ते निश्चित करा
उपचार चालू आहे का ते मूल्यांकन करा

आपल्या परीक्षेच्या परिणामांवर अवलंबून, आपल्याला फॉलो-अप चाचण्यांची आवश्यकता असू शकते.

Dr. Sheetal Shetty
Dr. Sheetal Shetty
BHMS, Homeopath Psychologist, 5 yrs, Pune
Dr. Sagar Achyut
Dr. Sagar Achyut
BDS, Oral And Maxillofacial Surgeon Dental Surgeon, 11 yrs, Pune
Dr. Neha Dhakad
Dr. Neha Dhakad
BHMS, Homeopath Family Physician, 12 yrs, Pune
Dr. Sonawane Shivani
Dr. Sonawane Shivani
MS/MD - Ayurveda, Ayurveda Family Physician, 3 yrs, Pune
Dr. Surekha Borade
Dr. Surekha Borade
MS/MD - Ayurveda, Yoga and Ayurveda General Physician, 16 yrs, Raigad
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