Ngokusoloko singacingi kakhulu ngomsebenzi wegazi wokukhulelwa kwangaphambili. Uninzi lwethu akaliva elinye igama malunga nalawo manzi anikezelwa kwiiveki zakuqala. Nangona kunjalo, enye yeemvavanyo ezenziwe ngeligazi lihlobo lwamazi kunye ne-Rh factor factor.
Ukongeza kwinqanaba legazi (A, B, O, AB), iR Rh ibhaliwe njengento enhle (ekhoyo) okanye engekho (engekhoyo).
Uninzi lwabantu luyi-Rh enhle. Le nto ayichaphazeli impilo yakho ngaphandle kokukhulelwa.
Umfazi usemngciphekweni xa ene-Rh engathandekanga kwaye iqabane lakhe libe ne-Rh efanelekileyo. Olu dibana lunakho ukuvelisa umntwana onguRh positive. Nangona iifom zegazi kunye nomntwana wegazi zihlukeneyo kukho amaxesha apho igazi elivela kumntwana lingena kwinkqubo yomama. Oku kunokubangela ukuba unina enze ama-antibodies ngokubhekiselele kwi-Rh factor, ngaloo ndlela aphatha umntwana olungama-Rh njengomngcwaba emzimbeni wakhe. Ukuba oku kwenzekayo umama kuthiwa ukhuthazwe.
Umzimba womama okhuthazwayo uya kwenza ama-antibodies. Ezi ntsholongwane ziza kuhlasela igazi le-Rh enomntwana, elibangela ukuba liphule iiseli ezibomvu zegazi kunye ne-anemia ziya kukhula. Kwiimeko ezibuhlungu, esi sifo singabangela ukugula, ukulimala kwengqondo, kunye nokufa.
Ukwazisa kwakhona kuya kwenzeka ngexesha lokumpontshelwa igazi, ukukhulelwa kwesisu , ukukhulelwa kwesisu, ukukhulelwa kwe-ectopic kunye nakwiinkqubo ezithile, njenge- amniocentesis .
Ekubeni ama-antibodies awadluli kwaye ayifumanekanga ingxaki ekukhulelweni kokuqala, kubaluleke kakhulu ukuba uhlolwe kakuhle kwaye unikeze imbali yonyango echanekileyo kumgqirha okanye umbelethisi wakho.
Iindaba Ezilungileyo
Isifo se-Hemolytic sinokuthintelwa kubasetyhini abaninzi ukuba bengenakuqheliswa. I-Rh immunoglobulin (i-RhIg) yimveliso yegazi enikezwe nge-injection ukunceda umama ongenakunqanda uRh "ngokunciphisa indlela awasabela ngayo kwii-Rh ezibomvu zeseli ezibomvu.
Ukuphendula kumachiza ngokuqhelekileyo kuncinci, kubandakanywa ukhathazeka kwisayithi yokujola kwaye ngamanye amaxesha umkhuhlane omncinci.
Ekubeni inani elincinci labasetyhini abangaqinisekanga banokuba neengxaki ekupheleni kokukhulelwa, ezininzi iingcali zincoma ukuba zinike ijoyi ye-RhIg (eyaziwa nangokuthi yiRhogam) kwiiveki ezingama-28, ukukhusela iimeko ezincinci zokukhuthaza ezenzeka ekugqibeleni yokukhulelwa. Inqanaba ngalinye le-RhIg lihlala malunga neveki ezili-12. Umama uya kunikelwa i-RhIg ngaphakathi kweeyure ezingama-72 zokuzalwa ukuba umntwana ungumhle uRh. Uhlobo lwegazi lomntwana lungaqalwa lula emva kokuzalwa ngeesampula zegazi leetambo.
Ukuba unikwe iRhogam, uya kunikelwa ikhadi lokuchonga ukuba uqhube kunye nawe. Eli khadi libonisa ababoneleli bakho okanye nabani na abasebenzi bezonyango abafuna ukukuphatha ukuba unikezwe iRhogam. Ukuba ugqirha okanye umbelethisi akakunikeli ikhadi le-ID, qi niqiniseke ukuba ubuze malunga nalo mqathango wokhuseleko. Uya kufuneka kwakhona ukuba ubuze bani ukuba kufuneka kuboniswe bani, ukuba iirekhodi zakho zonyango azifumaneki lula.
I-RhIg inokunikwa kwakhona emva kwe-amniocentesis, ukukhulelwa kwesisu, ukukhupha isisu okanye ukutsalwa kwe-postpartum (tubal ligation). Oku kungenxa yokuba kukho ithuba elincinci lokungcoliswa kwegazi kunye nokwenza ukhuthazo nangona emva kwezi nkqubo okanye iziganeko.
Akukhona ulwazi oluqhelekileyo ukuba nangona ukukhulelwa kungagqibekanga ixesha elide kunokukhokelela ekubeni umfazi ukhuthazwe.
Izifo zeHemolytic
Kukho iziganeko ezi-5,000 zeesifo se-hemolytic eziza kwenzeka ngonyaka ngamnye. Unina onokuthi uR Rh ukhuthazwe uya kuhlolwa rhoqo xa ekhulelwe ukuqinisekisa ukuba umntwana unesifo se-hemolytic. Ezinye iintsana ezinesifo se-hemolytic ziya kuba nokukhulelwa okungazinzima kwaye zizalwe kwisiganeko esiqhelekileyo. Ezinye iintsana ziya kuba nzima kwaye zifuna ukuba kuzalwe ukuba kwenziwe ngaphambili. Ukunyelwa igazi kunokunikezelwa kokubili nangemva kokuzalwa kwezi ntsana ezichaphazelekayo.
Ukuba unemibuzo malunga neR Rh okanye nokuba awukho kweli qela labasetyhini, unganqikazi ukubuza ugqirha okanye umbelethisi wakho ngemiphumo yomsebenzi wakho wegazi.
Umthombo:
> Ikholeji yase-American College of Obstetricians and Gynecologists. I-Rh Factor kunye nendlela echaphazela ngayo ukukhulelwa kwakho. NgoSeptemba 2013. Kufinyeleleka kuMatshi 13, 2017.
IR Rh Disease. Matshi weDimes. NgoJulayi 2016. Kufumaneka kuMatshi 13, 2017, kwi-http: //www.marchofdimes.org/baby/rh-disease.aspx