I-Rhesus into: ukuhambelana. I-Rhesus-impikiswano yokukhulelwa

Xa isibini sithatha isigqibo sokuba nosana, indoda kunye nomfazi bahlala benombuzo malunga nokuba igazi labo laseRhesus liyahambelana. Kwixesha elithile amayeza kunye nososayensi bahlanganyela ekufundeni kwezi zikhombisi. Eli nqaku liza kukuxelela malunga nokusetyenziswa kweRhesus. Uza kufumana ukuba zeziphi iimeko apho ungafanele uxhalabele malunga nokuba izifo zengqungquthela zenziwa kwiiseli zegazi. Kwakhona kubalulekile ukukhankanywa ukuba yiyiphi i-Rhesus-conflict conflict during pregnancy.

Iyintoni igazi legazi likaR?

Igazi leRhesus kukukho okanye ukungabikho kweprotheyini ethile kwi-membrane ye-erythrocyte. Kwiimeko ezininzi, zikhoyo. Kungenxa yoko malunga neepesenti ezingama-80 zoluntu zinemilinganiselo efanelekileyo yeRhesus. Phantse ama-15-20 ekhulwini abantu babe ngabanikazi begazi elibi. Oku akusiyo i-pathology. Inzululwazi kwiminyaka yakutshanje ithetha ngento yokuba aba bantu bayabaluleka.

I-Rhesus into: ukuhambelana

Kungekude ixesha elidlulileyo, kwaziwa ukuba elinye igazi lidibene kakuhle, kwaye akukho zintlobo zegazi. Ukubala ukuhambelana kweR Rh factor for conception okanye enye injongo, kubalulekile ukubhekisela kwietafile. Zinikezelwa kwingqalelo yakho kweli nqaku. Ngokuxhomekeke kwinto ofuna ukuyifumana, idatha yokuhambelana iyahluka. Makhe siqwalasele ukuba zeziphi iinkqubo ukuhambelana kweR Rh kubonakala, kwaye xa kungenjalo.

Umnikelo

I-Rhesus enxulumene neemeko kwimeko yomnikelo wokunikela ngegazi kuya kuba namaxesha alandelayo. Umntu onenani elihle (xa kukho okuthiwa iprotheni kwiiseli ezibomvu zegazi) unokunika izinto ezimbi kubantu ababi. Igazi elinjalo lidluliselwa kubo bonke abamkeliyo, kungakhathaliseki ukuba bane-rhesus.

I-Rhesus inkambiso yokuhambelana ayinikezeli kwimeko xa umnikeli ongalungileyo ehambisa loo nto kumntu ontle. Kule meko, ukulwa neengqungquthela ezinkulu kunokwenzeka. Kufanelekile ukukhumbula ukuba ngexesha lokumpontshelwa kwezinto eziyimfuneko kubalulekile ukuqwalasela ukuhambelana kweqela legazi kunye neRhesus. Yiyo kanye kanye neengcali ezinamava ezenza kwiindonga zamaziko ezonyango.

Ucwangciso lokukhulelwa

Kubaluleke kakhulu ukuhambelana kwe-Rh factor kubazali beza kusasa. Iingqabane ezininzi zikholelwa ngokuphosakeleyo ukuba amathuba okukhulelwa axhomekeke kula maxabiso. Ngoko, ngokusweleka kwexesha elingapheliyo kwe-genesis, indoda kunye nomfazi kuthiwa yiqela legazi kunye ne-Rh accessory. Oku kuphosakeleyo.

Akunandaba nokuba kukho iprotheni kwiiseli ze-erythrocyte zentsebenziswano yezesondo. Eli qiniso alithinteli ukuba kungenzeka ukuqala kokuchumisa. Nangona kunjalo, ngochumiso kunye nokusekwa kweqiniso lokukhulelwa, i-Rh factor (ukuhambelana nesalathisi sayo seyise nomama) inendima enkulu. Ezi zintsingiselo zithinta njani umntwana ozayo?

Ihambelana neR Rh

• Ukuba umntu akanalo iprotheni kwiiseli zamaseli egazi abomvu, ngoko ahlala kungengozi. Kule meko, ibhinqa linokuthi lihle okanye libi. Le nyaniso ayibalulekanga.
• Xa iR Rh ibonisa ukuba umfazi ulungile, igazi lomntu alinalo lukhulu. Ubaba wexesha elizayo umntwana unokufumana nayiphi na isalathisi sokuhlalutya.

Iimeko zokungqubana

Ukuhambelana neR Rh inkcazo yabazali kungaqhekeka kwimeko xa loo nto ibhinqa, kwaye loo mntu ulungile. Kule meko, indima ebalulekileyo idlalwe yilabo abanezibonakaliso eziza kubakho umntwana ozayo. Okwangoku, kukho uphando oluthile lwegazi lomama. Isiphumo sabo sinakho, ngokuchaneka kweepesenti ezingama-90, ukuseka igazi lomntwana. Kwakhona, ngexesha lokukhulelwa, abafazi abane- Rh factor negative bayacetyiswa ukuba bathathe ukuhlolwa kwegazi ukucacisa ubukho be-antibodies. Oku kunceda ukukhusela ingxabano kunye nexesha lokuphumeza ukukhusela.

I-Rhesus into: ukuxabana ekukhulelweni

Ngethuba lobunzima bomntwana, abaninzi abafazi bajamelana neengxaki ezahlukeneyo. Enye yazo kukungahambelani neqela legazi kunye neR Rh. Enyanisweni, akunandaba nokuba yeyiphi igazi (iqela) elizayo unina. Kubaluleke ngakumbi kubakho okanye ukungabikho kweprotheni kwiiseli ze-erythrocyte zowesifazane okhulelweyo.

Ukuba i-Rh yeyona nto ibhinqa, kwaye indoda (uyise wengane eyomso) iyakhawuleza, ke ingxabano ingahlakulela. Kodwa oku kuya kwenzeka kuphela xa umntwana efumana ipropati yegazi likayise.

Ingxaki ikhula njani?

Igalelo legazi lomntwana lichongiwe ekuqaleni kokukhulelwa. Phantse kwiiveki ezingama-12 umntwana ukhula ngokuzimela ngenxa yesenzo se progesterone. Kwisiqingatha sesibini sokukhulelwa kukho uxhulumano oluqhubekayo kunye nokutshintshiselana kwempahla phakathi komama kunye nosana oluzayo. Igazi lomfazi kunye nomntwana aluyibophelelane. Nangona kunjalo, ngokusebenzisa intambo, umntwana ufumana zonke izondlo kunye ne-oxygen. Unika izixhobo ezingadingekile kuye, kunye neeseli zegazi ezibomvu nazo zingabelwa. Ngako oko, iprotheni efunyenwe kwiiseli zegazi ingena kumzimba womama ozayo. Inkqubo yakhe yokujikeleza ingazi le nto kwaye iyayiqonda nje ngokuba ngumzimba oqhelekileyo.

Ngenxa yolu hlobo lwenkqubo, umzimba womfazi okhulelweyo uvelisa amanqindi. Zijoliswe ekubhubhiseni iprotheni engaziwayo kunye nokunciphisa isenzo sayo. Ekubeni uninzi lwezinto ezivela kumama ziza kumntwana ngokusuka kwintambo, i-antibodies efanayo iya kungena emzimbeni womntwana.

Yintoni eyongela i-Rh?

Ukuba ibhinqa ine-antibodies efanayo kwigazi layo, ngokukhawuleza bayakwazi ukuya kumntwana. Emva koko izinto ziqala ukutshabalalisa iprotheni engaziwayo kunye nokutshabalalisa iiseli ezibomvu zegazi zomntwana. Isiphumo sempembelelo enjalo sinokubangelwa zizifo ezininzi zesifo sokubeleka okanye iingxaki ze-intrauterine.

Ngokuqhelekileyo abantwana abaye bafumana impikiswano ye-Rh kunye nonina banesifo se-yellowing. Kufanelekile ukuthetha ukuba le nkcenkcesha iya kuba enye yezinto ezingenasisulu. Xa iiseli ezibomvu zegazi zidibanisa kwigazi lomntwana, i-bilirubin yenziwa. Nguye obangele ubumnandi besikhumba kunye neembrane ezinamaqabunga.

Emva kokuzalwa komntwana kunye ne-Rh-conflict, isibindi, izifo zentliziyo kunye neentlane zifumaneka rhoqo. I-Pathology iyakwazi ukulungiswa ngokulula ukulungiswa okanye kuba nzima kakhulu. Yonke into incike kwixesha lemiphumo echaphazelayo yamanqindi emzimbeni womntwana.

Kwiimeko ezinqabileyo, ukuxabana kwe-rhesus ngexesha lokukhulelwa kunokukhokelela ekuzalweni kwezingane ezifile okanye ekufeni komntwana.

Ziziphi iimpawu zeengxaki?

Ngaba ndingafunda ngandlela-thile malunga nokuphuhliswa kweRhesus ngexesha lokukhulelwa? Kwiimeko ezininzi, i-pathology ibonakaliswe ngumphumo wokuhlolwa kwegazi. Umama ngamnye wexesha elizayo, onomgangatho ongezantsi weRhesus, kufuneka ahlale esithatha izinto ezivela kwi-vein yokuxilongwa. Ukuba isiphumo sibonisa ubukho be-antibodies emzimbeni, oogqirha bathatha amanyathelo okujolise ekuphuculeni imeko yomntwana.

Kwakhona, kunokwenzeka ukukrokreza i-Rh syndrome ngexesha lokukhulelwa nge-ultrasound rhoqo. Ukuba ngethuba lokuxilongwa kwenzululwazi kufumanisa ubungakanani bezitho ezifana nesibindi kunye neengcongolo, ngoko, mhlawumbi, inkcenkcesha sele ikhulile ngamandla. Kwakhona, ukuxilongwa kunokubonisa ukuvuvukala komzimba wonke womntwana. Esi siphumo senzeke kwiimeko ezinzima kakhulu.

Ukulungiswa kwe-Rh-conflict ngexesha lokukhulelwa

Emva kokufunyanwa kwezilwanyana, kufuneka uhlolisise imeko yengane engakazalwa. Ngeendlela ezininzi iskimu yokonyango ixhomekeke kwixesha lokukhulelwa.

Ngoko, kumanyathelo okuqala (ukuya kwiiveki ezingama-32-34), ukusetyenziswa kwegazi lomfazi kusetyenziswa. Izinto eziphathekayo zenziwa emzimbeni ongaqulunqa ama-antibodies. Igazi layo elilimaza umntwana lisuswa kuphela kumzimba. Esi sicwangciso senziwa ngokuphindwe kanye ngeveki de kubekho ixesha lokunikezelwa.

Ekukhulelweni kwexesha elide, isigqibo sinokuthi senziwe malunga necandelo elikhawulezileyo lokulahla. Emva kokuzalwa, imeko yomntwana ilungiswe. Ngokuqhelekileyo, icebo lonyango luquka ukusetyenziswa kweyeza, i-physiotherapy, ukuchithwa kwezibane eziluhlaza kunye nokunye. Kwiimeko ezinzima kakhulu, usana olusana luyaxilongwa.

Ukuthintela ukulwa kwe-rhesus ekukhulelweni

Ngaba kunokwenzeka ukuba uthintele ngandlela-thile ukuphuhliswa kwezilwanyana? Ewe, ewe. Okwangoku, kukho isidakamizwa esilwa nama-antibodies.

Ukuba ukukhulelwa kukuqala, ngoko ke ukuphuhliswa kwe-Rh-conflict is minimal. Ngokuqhelekileyo, iiselom zegazi ezibomvu azixubeki. Nangona kunjalo, ngexesha lokuzalwa, ukubunjwa okungenakukupheka kwama-antibodies kwenzeka. Kungenxa yoko kuyimfuneko ukuzisa i-antidote kwisithuba seentsuku ezintathu emva kokuzalwa komntwana onomrhesus omile kumama ongekho. Esi siphumo siya kuphepha iingxaki ekukhulelweni okulandelayo.

Yintoni enokuyenza xa ixesha lilahlekile kwaye omnye uvakalelwa? Ngaba kunokwenzeka ukuba ngandlela-thile ukhusele umntwana wakho kwimpikiswano? Umama ozayo kulo mzekelo unconywa ukujonga rhoqo imeko yegazi ngokusebenzisa iimvavanyo eziqhelekileyo. Into e ngasentla ifakwe kumzimba womfazi okhulelwe ixesha elimalunga namaveki angama-28. Oku kukuvumela ukuba unyamezele umntwana ngaphambi komhla wokugqibela ngaphandle kokuvela kweengxaki.

Ukuqulunqa

Ngoku uyazi indlela itafile yokuhambelana namaqela egazi kunye neR Rh ibonakala. Ukuba awunayo iprotheyini efanayo kwiiseli zamaseli obomvu, ngoko kuyimfuneko ukuxelela ugqirha malunga nalokhu. Ngexesha lokukhulelwa, isimo sakho sempilo kunye nesisu siya kulawulwa. Oku kuya kuphepha ukuvela kwe-Rh-conflict okanye ngexesha elifanelekileyo lokukhusela. Impilo kuwe!