I-RhoGAM iyinqobo ethile yeRh- immune globulin. Esi sidakamizwa sisinxephezelo esinikwa kwabasetyhini abangenayo i-Rh negative (igazi lakho ngu-O alikhoyo, i-negative, okanye njalo) ozala okanye ovahleko lokukhulelwa. I-RhoGAM akuyona yedwa umqondiso weRh- immune globulin kwimarike, kodwa yayisungulwa kuqala, kwaye igama liye lasetyenziswa ngokuqhelekileyo ukubhekisela kwi-Rh-immune globulin efana nabantu basebenzisa igama elithi brand Kleenex ukubhekisela kuzo zonke iintlobo kwezicubu.
I-Rh- immune globulin inqanda umzimba wesifazane ukuba ungabonakali ii-antibodies kwi- Rh factor xa kwenzeka ukuba igazi lika-baby type nguRh positive. Ukuba umzimba wakhe uyayenza ezi zixhobo zokukhusela, ukukhulelwa kwexesha elizayo kunokubangela. Ukuqinisekiswa emva kokungahambi ngokungaqhelekanga kodwa uninzi lwabagqirha banqwenela ukunika isibalo kubasetyhini abaneenxalenye zegazi ezingekho phantsi kwegazi njengezilumkiso.
I-Rh-immune globulin yimveliso yegazi kwaye inomngcipheko omncinci wokuhambisa i-virusborne virus, kodwa kwiimeko ezininzi, iinzuzo zigqithise kakhulu ingozi. Imiphumo emibi ebonakalayo kwiRhoGG ayinqabile; Nangona kunjalo, oogqirha abaninzi baya kugcina abafazi ukuba baqwalasele malunga nemizuzu engama-20 emva kwejojo.
Ezinye Iimfuno zeRhoGAM
I-RhoGAM iphinde ibhekiswe njenge-Rhig kunye namagama e-brand, njenge-MICRhoGam, i-WinRho-D ne-BayRho-D.
Izenzo zeRho (D) i-Immunoglobulin
Xa owesifazane ongenawo u-Rh ebeletha umntwana ophethe i-Rh-positive okanye olahleka umntwana onegazi eli-Rh, elinye igazi ukusuka kumntwana lingangena kwinkqubo yomama ngexesha lokunikezelwa.
Khumbula ukuba ukuhanjiswa, phakathi kwezinye izinto, inkqubo yokugawula igazi. Ukuxhamla kwegazi kunokubangela ukuba unina enze ama-antibodies kwi-Rh-positive blood. Kwimeko yokukhulelwa kwangaphambili, ngaba umntwana kufuneka abe nguR Rh, ama-antibodies emzimbeni kamama angakwazi ukuhlasela umntwana osesikweni esibizwa ngokuba yi-hemolytic isifo sesana esandula.
Izifo zeHemolytic zeNtsana
Isifo se-Hemolytic yengane esandula kuzalwa sisithiwa i-erythroblastosis fetalis. Iintsana ezizalwe ngolu hlobo zingabonakala kumazwe ahlukeneyo ukusuka kwinto eqhelekileyo yokugula kakhulu. Le meko ibonisa ngokuqhelekileyo njenge- jaundice , okanye i-yellowing yolusu, amehlo kunye nolwimi, okwenzeka ngenxa yokuphulwa kweeseli ezibomvu zegazi kunye nokuqokelela kwe-bilirubin. Isifo se-Hemolytic yengane inokubangela ukuba kubanjwe i-cardiorespiratory arrest and death of the newborn baby.
Isifo se-Hemolytic yengane esandula kuzalwa sinokufumaneka kwi-fetus okanye kwintsana esebenzisa iimvavanyo zelabhoratri. Ngokukodwa, ukuze kuhlolwe i-fetus, i-cordocentesis kufuneka yenziwe. I-Cordocentesis iyimvavanyo engavumelekanga apho igazi lithathwa kwi-veillical vein in the strings line. Isifo se-Hemolytic yengane esandula kuzalwa sisifo kwiintsana ezisetyenziswayo usebenzisa ukuhlolwa kwegazi.
Imithombo ekhethiweyo
USteele P. Izifo zobuntwana nabantwana. Ku: Laposata M. eds. Iyeza leLebhu yeeLayibrari: Ukuchongwa kwezifo kwiLebhu yeLikliniki . New York, NY: McGraw-Hill; 2014.