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:male-doctor::skin-tone-2: HAPUSAN DARAH TEPI :female-doctor::skin-tone-2:…
:male-doctor::skin-tone-2: HAPUSAN DARAH TEPI :female-doctor::skin-tone-2:
:first_place_medal: PEMBUATAN
1 tetes darah+edta, :triangular_ruler: 30 derajat
:!!: Tebal-Tipis Lapisan Darah:
besarnya tetesan darah
cepatnya penggesekan gelas objek & gelas penghapus
:triangular_ruler: gelas penghapus & gelas obyek
:triangular_ruler: < 30 derajat
gerak pelan :point_right::skin-tone-3: hapusan tipis
:triangular_ruler: >30 derajat
gerak cepat :point_right::skin-tone-3: hapusan tebal
:explode: another attention
feather edge = distribusi leu tidak rata = tidak representatif :left_right_arrow: gerakan penghapusan terlalu :snail: :laughing: + gelas penghapus kotor
crenation (kerusakan)
:second_place_medal:PEWARNAAN/PENGECATAN
:lower_left_paintbrush:
ROMANOWSKY (wright stain)
Azure-B (basa) + Eosin-Y (asam)
Macam-macamnya
Wright, Leishman
Azure B-Eosin Y, Maygrunwald-Giemsa
Jenner, Jenner-Giemsa, Giemsa
:female-teacher::skin-tone-2: Prosedur
darah kering terfiksasi + wright stain :arrow_right: 2 mnt :arrow_right: lar. buffer phosphate :arrow_right: 20 mnt
:lower_left_paintbrush: rutin
hapusan darah tepi, sutul
Kriteria :lower_left_paintbrush: :check:
hapusan merah kecoklatan
warna eri salmon-pink
inti leu biru-ungu
granula eosinofil jingga
sitoplasma trombo purple-blue ke lilac, granula merah-ungu
Penyebab Deviasi warna :cry:
:red_circle: Merah
Buffer
cat +++
terpapar uap asam
terlalu asam, pH <6,4
Pengecatan kurang lama
hapusan terlalu tipis
kontaminasi chlorine air
cat lama (metanol dioksidasi :point_right::skin-tone-3: as. fumarat)
:large_blue_circle: Biru
Buffer
terlalu basa
cat kurang
hapusan
terlalu tebal
lama, prptein abnormal
antikoagulan heparin, leukositosis dgn blast
waktu pengecatan kurang, pencucian kurang, pengeringan terlalu singkat, air terlalu basa
:third_place_medal: PEMERIKSAAN
:!: PEMBESARAN KECIL 100X
Penaksiran jml Eri & Leu di counting area, penaksiran Diff Count Leu, morfologi sel abnormal
Penilaian Kualitas
endapan cat :no_entry: di hapusan darah
Lapisan darah harus tipis :point_right::skin-tone-3: eri & leu JELAS-TERPISAH
Eri & Leu tercat dgn baik
feather edge :no_entry:
:!: PEMBESARAN BESAR 1000X
LEU
Diff Count, kelainan morfologi
TROMBO
Penaksiran jumlah & morfologi
Sel-sel ABNORMAL secara keseluruhan
ERI
kelainan morfologis: 3S (size, shape, staining)
:spiral_note_pad: :pen: CATATAN
ERI
:red_circle: :large_orange_diamond: :check:
:large_blue_circle: :point_right::skin-tone-3: pH buffer alkalis/pencucian terlalu bersih
INTI LEU
:purple_heart: :check:
:large_blue_circle: :point_right::skin-tone-3: :alarm_clock: :lower_left_paintbrush: terlalu singkat
Alat
Gelas obyek & gelas penghapus
spuit, torniquet, botol EDTA
:microscope:
Bahan
Wright stain
Eosin (asam), methylen blue (basa), metanol (pelarut)
Lar. Buffer Phosphate (pH=6,4)
KH2PO4 6,63g, Na2HPO4 3,20g, Aquadest ad 1l
Kapas, alkohol 70%, m. imersi
:star:PRINSIP:star: setetes droplet darah, gelas obyek, dicat, diperiksa dgn :microscope: