I-RhoGAM Ngaba i-Injection equkethe ii-Antibodies kwi-Rh Factor Protein
Ukuba unge-R-negative, oogqirha abaninzi baya kucebisa ukuba ufumana i- RhoGAM shot emva kokuba ufumene isisu, ukukhulelwa kwe-ectopic , okanye ukulahleka kokukhulelwa. Ukufumana iRhogam okanye enye i-Rh immune globulin ipopu malunga nesimo esibizwa ngokuthi i-Rh engalinganiyo, esinokuchaphazela ukukhulelwa kwangaphambili kwaye kubangele isifo se-hemolytic kwintsana.
Ngaba Kungekudala Emva Kokugqithisa Ngaba Ndiyayifuna I-RhoGAM Shot?
Ukuba ngu- Rh negative , kuthetha ukuba igazi lakho aliqukethe iprotein ye-Rh, ugqirha wakho uya kuncomeka ukuba ufumane i-Rh immune globulin (njenge-RhoGAM) ngaphakathi kweeyure ezingama-72 ekuqaleni kokuphuma kwegazi. Ngeempulelo unemiba engaphantsi ekuphuhliseni ama-antibodies (ulwaphulo-mthetho) ngokubhekiselele kwi-Rh-positive blood from this pregnancy; ukuba unayo i-antibodies ejikelezayo ngokubhekiselele kwi-Rh factor, unokujamelana neengxaki ekukhulelwe kwangaphambili. Ukuba kunikwe emva kweeyure ezingama-72 emva kokuqala kokusweleka, ukudubula akunakwenzeka ukwenza umehluko.
Ukuba sele isengaphezu kweentsuku ezintathu ukusuka ekuphumuleni kwakho, ke, ungakhathazeki. Iingxaki oye waziva ngazo malunga neR Rh ziphantsi. Nangona kungekho bubungqina obuqinileyo bokuthi ibhotshi iyimfuneko ngokupheleleyo emva kokulahlekelwa kokukhulelwa kokuqala, i-shot shot iyingozi kakhulu, ngoko ke oogqirha bayincoma emva kokukhulelwa kwegazi ngenxa yengozi ye-Rh yokukhuthaza.
Sekunjalo, yinto efanelekileyo ukuyifumana kwisithuba esinconywayo xa unako, njengoko kwenza ukuba umngcipheko we-Rh ungabalulekanga. Kukho ubungqina obuninzi kwiimfesane ezifunekayo emva kokulahlekelwa emva koko emva kokuzala.
Ukuba unenkxalabo, unokubuza ugqirha wakho malunga nokuhlolwa kwegazi ukujonga i-RH ukukhuthaza ukuze ubeke ingqondo yakho ngokukhululeka.
Iyini i-Rh Factor kwaye iyakuthinta njani ukukhulelwa?
I-Rh iyinxalenye yeprotheni apho ininzi yabantu ithwala igazi labo. Ama-85 pesenti yabemi iRh-positive, kwaye isimo se-Rh sisigxina.
Kuyabasetyhini abangenayo i-Rh abanamaqabane a-Rh, umntwana usenokuba ngamathuba engama-50 e-Rh-positive (isimo se-Rh sinomdla ophezulu). Abasetyhini abane-Rh-positive kunye nabasetyhini abane-Rh-negative nabalingani bama-Rh akudingeki bakhathazeke ngeeholide zeRhoGAM kuba ukungahambisani kwama-Rh akunakwenzeka. Ekukhulelweni kokuqala, ukukhutshwa kwe-Rh akunqabile ingxaki kuba igazi likaMama kunye negazi lika-baby ngokuqhelekileyo alinxibelelwano ngokukhawuleza kude kube nokunikezelwa-kodwa ukuba igazi le-Rh (njenge-baby) lingena egazini likaMr Inkqubo inokuphuhlisa izixhobo zokulwa kunye neR Rh. Ukuba ezi zilwanyana ziza kufaka i-Rh-positive bloodstream, i-antibodies ingaqala ukuhlasela igazi legazi, kubangela i-jaundice okanye iimpawu ezinzima xa zingashiywanga.
I-RhoGam Inceda njani?
I-RhoGAM isisigxina ngegazi lomfazi kunye nama-antibodies kwi-protein ye-Rh, kwaye oku kukuthintela umzimba wesigxina wesifazane ekufuneni ukudala ii-antibodies kwi-Rh factor xa kwenzeka ukuhlangabezana negazi le-Rh.
Ukujova i-antibodies ikhuselekile kunokukhusela ukuphazamiseka, kuba ii-antibodies ze-RhoGAM zigqityile igazi likaMama, oko kuthetha ukuba ukuba igazi likaMama lixutyaniswe nexesha elizayo, isimiso sakhe sokuzivikela singakhange sifunde ukudala ii-antibodies malunga neR Rh kwaye fumana amanqindi a-anti-Rh. Ukuba igazi likaMama likwazisa kwi-Rh factor, ukukhuthazwa kungasigxina kwaye kunobungozi bokunikezela iintsholongwane ze-anti-Rh kwiintsana zakhe zangomso.
Njengengxenye yokuhlolwa kwegazi ngokunyamekela kokunakekelwa kwangaphambi kokubeleka , oogqirha abaninzi bajonga uhlobo lwegazi lomfazi ukwenzela ukuba bachonge abafazi abangenakuhambelana ne-Rh.
Ekuqaleni, iziphakamiso kwakufuneka zinike ii-injection kubasetyhini abaye bazala. Iingcebiso zatshintshela ukuba zibandakanye iRhogam ibetha iiveki ezingama-28 zokukhulelwa. Nangona zifundo ezimbalwa zikhona ekusebenziseni i-Rh immune globulin kwiingxaki zokuqala ezi-trimester , oogqirha abaninzi bayabancoma ngenxa yengozi yokukhuphaza emva kokuphazamiseka kwengqondo kunye neengcamango zokuba iingeniso ezinokuthi zingaphezu kweengozi encinane. Udonga kufuneka linikezwe malunga neeyure ezingama-72 zokuqala kokusweleka komzimba ukuze kusebenze.
Ukuba awufumananga i-RhoGAM shot, ungakhathazeki - khumbula ukuba umngcipheko wokukhuthaza ukukhulelwa kwesisu ngokuncinci. Nangona kunjalo, kufuneka uxelele ugqirha wakho malunga nenkxalabo yakho. Ugqirha wakho unokuyalela ukuhlolwa kwegazi ukujonga isimo sakho se-Rh senitization. Kwimeko apho uphuhliso lwe-antibodies anti-Rh, unyango lwe-Rh aluhambisani kwaye ugqirha uya kukwazi ukugcina ukukhulelwa kwakho kwexesha elizayo malunga nemiqondiso yeengxaki ukuze ungenelele kwangaphambili xa kufuneka.
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