Izilwa ku Ukukhulelwa: Yintoni yingozi RH-ungquzulwano kunye neqela ukungavumelani

Amaxesha amaninzi, amabhinqa kunye RH otitsatelny, ukhathazeka malunga beremennnosti lwabo yaye ndimele ndithi, yinyaniso leyo. RH into iproteni imi phezu kobuso erythrocytes. kuvela Ubunzima ukuba umama RH negative (Rh-), kwaye umntwana (H. +) - HIV, ilifa uyise. Anqabe ABO ukungavumelani senzeka kwinkqubo (ukungavumelani group). Emva contact ngegazi ezingekazalwa ibe buhlungu ezisegazini egazini sikanina wavelisa izilwa-buhlungu.

Antibodies e Pregnancy ukutshabalalisa iiseli ezibomvu ezingekazalwa, nto leyo ekhokelela emibi, ezifana nesifo hemolytic. iingxaki Associated ziquka: umsebenzi isibindi okungaqhelekanga, umsebenzi kwegazi, ukusilela intliziyo. Kulwelo Ingane ukuqokelela, ekhokelela nokudumba. Esi sifo uqala ukuphuhlisa kwangethuba njengoko kwiiveki 22 zokukhulelwa.

Kutheni Ingxabano yingozi Rhesus

Kufuneka kuqatshelwe ukuba ungquzulwano rhesus ayikho oyingozi kakhulu kwimeko kukhulelwa lokuqala. Ukuxutywa igazi likamama ngegazi umntwana kwenzeka emva kokuzalwa, kunye antibodies nokuba sele ukusekwa musa isongela usana.

Noko ke, ukuba umfazi ilindele umntwana wakhe wesibini, ii-antibodies ngexesha ukhulelwe kunokubangela ezimbi kakhulu, umntwana ndingafeli embilinini kuyo. Eyona ngozi oluphambili ilele ulwabiwo-mali enkulu into yibilirubin iziqhamo ukulwa izilwa-buhlungu, nto leyo enokuchaphazela kakubi amalungu angaphakathi, ikakhulu isibindi, udakada nobuchopho. Amaxesha amaninzi impixano rhesus kukhokelela ukuzalwa kwesisu okanye kwexesha.

Izilwa kwakheka ngexesha lokukhulelwa xa Umfazi RH ezimbi yaye indoda ithe RH HIV. Kulo mzekelo, RH ngaso linye ngo-75% yamatyala. Ukungavumelani kunokwenzeka ukuba umfazi yenziwe ukutofelwa igazi, yaye RH azithathelwa ngqalelo.

Uvavanyo igazi omzimba

Kwanaxa uceba ukukhulelwa wonke umfazi kufuneka bazi RH factor yakho RH ngumba kayise womntwana. Ukuba kukho amathuba okuba RH-impixano, kuya kufuneka ukuba benze uhlahlelo kwi izilwa ngexesha lokukhulelwa ngokuphindaphindiweyo. Ixesha lokuqala kufuneka enze le nkqubo kwi kwiveki 8 zokukhulelwa kunye koko zitshekishwe qho ukuba antibodies iiveki 30 - kanye ngenyanga, ukuya kwiiveki 36 - ngeveki.

Yi nemiphumo efanayo kakhulu kuzakuphuma ukungavumelani amaqela yegazi kamama nomntwana. kuvela iingxaki umfazi ukuba unalo iqela I igazi kunye neqela igazi ezingekazalwa II okanye III. Kulo mzekelo, nezakhi fetal ufake izilwa-group igazi koomama kunye eyabelwe. Group lezibulala ngexesha lokukhulelwa kukhokelela kuphuhliso sifo hemolytic kwaye akukho yingozi ngaphantsi kwe D-buhlungu ezisegazini.

Noko ke, uvavanyo igazi omzimba singachaza ukuba kukho isifo kuphela ukuba iye yavelisa kunye nezinye iindlela diagnostic. Okubaluleke kakhulu ke titer omzimba kunye notshintsho ekhulelwe. Ayanda titer omzimba, kokukhona kusenokwenzeka isiphumo esibi.

Izilwa ngexesha lokukhulelwa kufuneka bachongwe ngendlela efanelekileyo, kwaye ibhinqa sikarhulumente elimisiweyo uluhlu lwezitofu, eziqhutyelwa ukususela kwi-10 ukuya kowama-22, kunye 22 po24 no 32 ukuya ku-34 ngeveki. Xa iingxaki ukukhulelwa umfazi ufanele abe esibhedlele, phantsi kweliso logqirha.

Abasetyhini linembali kwesisu okanye wazalwa umntwana uphethwe sisifo hemolytic yilahleko, unyango yenziwa plasmapheresis, ejoliswe ekususeni egazini omzimba.

Ukuba isifo Palsy hemolytic ozinzisiweyo, akukho unikezelo ekuqaleni echanekileyo. Oku kubangelwa yinto yokuba isiphelo ixesha lokwenziwa izilwa noko ukunyuka. Xa ukhulelwe kakhulu isifo ezingekazalwa luyekisiwe. Kodwa kwiimeko ezininzi kungancitshiswa ukuya ngokwemigaqo eyamkelekileyo lonikezelo.