Haematopoiesis
HEMATOPOIESIS
- Hematopoiesis is formed elements of blood.
- It takes place in bone marrow.
- Liver & spleen are the main sites for blood cell formation.
3 main types of mature blood cells-
- RBC (erythrocytes)
- WBC (leucocytes)
- Platelets (thrombocytes)
BONE MARROW ASPIRATION-
2 methods-
- Aspiration- Salah bone marrow aspiration needle.
- Trephine biopsy- jamshidid trephine needle.
- Romanowsky technique used for staining & a stain for iron assess the reticuloendothelial stores of iron.
Most common site for bone marrow biopsy-
- Infants- tibia (anterior medial area)
- Adults & children- posterior iliac crest
- Obese- anterior superior iliac crest
Normal bone marrow counts (myelogram)
- Fat cells : erythroid ratio – 4: 1
- Fat : cell ratio- 1 : 1
Haemotopoietic stem cells (HSC)-
- HSC progenitors originate in bone marrow.
It have 2 types of progenitors-
- Lymphoid (immune system)- T, B, NK cells
- Non- lymphoid or myeloid (trilineage stem cells)- granulocytes- monocytes progenitors, erythroid progenitors, megakaryocytes progenitors.
- Pleuripotent HSC is CD34 cells.
Sites of Haemotopoeisis-
- Site of haemotopoiesis is seen on 19th day (3 weeks) in embryonic life.
- First cell formed is erythrocytes.
- 1 month till birth in liver.
Exam Important
- Haematopoiesis takes place in bone marrow.
- Liver & spleen are the main sites for blood cell formation.
2 methods-
- Aspiration- Salah bone marrow aspiration needle.
- Trephine biopsy- jamshidid trephine needle.
- Romanowsky technique used for staining & a stain for iron assess the reticuloendothelial stores of iron.
Most common site for bone marrow biopsy-
- Infants- tibia (anterior medial area)
- Adults & children- posterior iliac crest
- Obese- anterior superior iliac crest
– Normal bone marrow counts (myelogram)
- Fat cells : erythroid ratio – 4: 1
- Fat : cell ratio- 1 : 1
- Pleuripotent HSC is CD34 cells.
– Sites of Haemotopoeisis-
- Site of haemotopoiesis is seen on 19th day (3 weeks) in embryonic life.
- First cell formed is erythrocytes.
- 1 month till birth in liver.
- HSC progenitors originate in bone marrow.
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