Momma yensua Coombs Sɔhwɛ no ho ade wɔ ɔkwan a ɛnyɛ den so.

Ɛtɔ mmere bi a, sɛ yɛn duruyɛfo kyerɛ yɛn mogya mu nhwehwɛmu a, yentumi nhu nea ɛyɛ yiye. Edin a ɛte saa no mu biako ne ‘Coombs sɔhwɛ’. Ɛbɛyɛ sɛ woate nhwehwɛmu yi ho asɛm, titiriw sɛ woanyinsɛn, wɔama wo mogya, anaa sɛ wo ba no wɔ tebea bi te sɛ jaundice a. Enti momma yɛnhwɛ nea sɔhwɛ yi hwehwɛ ankasa ne nea enti a ɛho hia, wɔ ɔkwan a ɛyɛ mmerɛw yiye so.

Sɛ yɛbɛka no tiawa a, dɛn ne Coombs Sɔhwɛ yi?

Yɛn nipadua wɔ ahobammɔ nhyehyɛe, te sɛ asraafo dɔm a wɔbɔ ɔman bi ho ban. Yɛfrɛ asraafo titiriw a wɔwɔ asraafo yi mu no sɛ nipadua mu nkwammoaa a ɛko tia nyarewa . Wɔn adwuma titiriw ne sɛ wɔbɛbɔ yɛn ho ban afi nyarewa ho denam atamfo te sɛ mmoawa, mmoawa, ne mmoawa a wɔfrɛ wɔn antigens , a wofi abɔnten ba nipadua no mu a wɔbɛko atia no so.

Nanso susuw ho hwɛ, sɛ ɛtɔ mmere bi a saa asraafo a wɔbɔ wɔn ho ban yi di mfomso na wofi ase tow hyɛ yɛn ankasa nkwammoaa a eye na wɔwɔ apɔwmuden so sen sɛ wobehu sɛ wɔyɛ ahɔho atamfo a, dɛn na ɛba? Ɛno ne ade a enye koraa. Coombs sɔhwɛ no titiriw hwɛ sɛ ebia nnuru bi wɔ yɛn mogya mu a ebetumi akɔtow ahyɛ mogya mu nkwammoaa kɔkɔɔ no so, anaasɛ ɛreto ahyɛ wɔn so dedaw anaa.

Coombs sɔhwɛ ahorow abien na ɛwɔ hɔ.

Yiw, Coombs sɔhwɛ yi ahorow atitiriw abien na ɛwɔ hɔ. Oduruyɛfo no bɛka akyerɛ wo sɛ yɛ saa abien yi mu biako. Momma yɛnhwɛ nsonsonoe a ɛda abien no ntam wɔ saa kwan yi so.

Dɛn nti na Coombs Sɔhwɛ no ho hia saa bere a wɔyem no?

Indirect Coombs Test a wɔyɛ no bere a wɔyem no hwɛ sɛ ɛna no mogya wɔ nnuru a ɛko tia Rh factor no anaa. Afei ma yɛnhwɛ nea saa Rh factor yi yɛ.

Fa no sɛ, yɛn mogya ahorow (A, B, AB, O) akyi no, ebia protein titiriw foforo, anaa ‘agyiraehyɛde’, wɔ mogya mu nkwammoaa kɔkɔɔ so. Wɔfrɛ eyi sɛ Rh factor .

• Sɛ saa agyiraehyɛde yi wɔ hɔ a, saa mogya no yɛ Rh-positive (e.g. O positive, A positive).
• Sɛ saa agyiraehyɛde yi nni hɔ a, saa mogya no yɛ Rh-negative (e.g. O negative, A negative).

Afei susuw eyi ho: Dɛn na ɛba sɛ ɛna no mogya yɛ Rh-negative (a ɛkyerɛ sɛ enni saa agyiraehyɛde titiriw no), nanso akokoaa a ɔwɔ awotwaa no mu no nya agya no mogya no fi agya no mu na ɔwɔ Rh-positive (a ɛkyerɛ sɛ akokoaa no mogya wɔ saa agyiraehyɛde no) a?

Nea ebetumi asi wɔ ha ne sɛ, sɛ akokoaa no mogya kakraa bi fra ɛna no mogya mu wɔ bere bi mu, te sɛ bere a ɔrewo a, ɛna no nipadua mu ahoɔden a ɛko tia nyarewa no hu ‘agyiraehyɛde’ a wɔfrɛ no Rh factor a ɛwɔ akokoaa no mogya mu no sɛ ɔtamfo a ɔyɛ ɔhɔho. Afei ɛna no nipadua fi ase yɛ nnuru a ɛko tia nyarewa de ko tia saa ɔtamfo no. Wɔfrɛ eyi Rh sensitization .

Mpɛn pii no, wɔ nyinsɛn a edi kan no mu no, nnuru a ɛko tia nyarewa yi gye bere tenten ansa na anyin, enti ɛnka akokoaa a odi kan no kɛse. Nanso, ɔhaw no ba wɔ nyinsɛn a edi hɔ no mu. Sɛ ɛna no soa akokoaa a ɔwɔ Rh bio a, nnuru a ɛko tia nyarewa a na wɔadi kan ayɛ no ayɛ krado wɔ ɛna no mogya mu, twa awotwaa no, na efi ase tow hyɛ akokoaa no mogya mu nkwammoaa kɔkɔɔ no so na wɔsɛe no.

Eyi betumi de akwahosan ho haw a emu yɛ den aba akokoaa no so, te sɛ mogya a ɛtɔ kɔ nipadua no mu ne akisikuru. Ɛno nti na ɛho hia kɛse sɛ wɔyɛ Coombs nhwehwɛmu yi wɔ nyinsɛn mu ntɛm de hu sɛ asiane a ɛte saa wɔ hɔ anaa, na sɛ ɛho hia a, wɔsa de siw ano.

So woyɛ sɔhwɛ yi nso ma nkokoaa a wɔawo wɔn foforo?

Aane. Ɛtɔ mmere bi a, sɛ akokoaa a wɔawo no foforo wɔ jaundice a emu yɛ den a, nnuruyɛfo betumi ayɛ Direct Coombs Test. Eyi yɛ nhwehwɛmu de hu sɛ ebia nnuru a ɛko tia nyarewa a ɛna no yɛ bere a ɔyem no akɔ akokoaa no nipadua mu, abata akokoaa no mogya mu nkwammoaa kɔkɔɔ ho, na asɛe no anaa.

So biribi wɔ hɔ a ɛsɛ sɛ meyɛ ansa na mayɛ sɔhwɛ no?

Dabi, biribi titiriw biara nni hɔ a ɛsɛ sɛ wusiesie wo ho ansa na woakɔ Coombs sɔhwɛ yi. Ɛho nhia sɛ wudi mmuada anaasɛ wugyae nnuru biara a wobɛnom.

Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa. Wɔde ade ketewaa bi hyɛ ntini bi a ɛwɔ wo nsa mu mu na wogye mogya. Wobɛte nka sɛ woabɔ wo akuturuku ketewaa bi kɛkɛ. Afei wɔde mogya no kɔ adwumayɛbea bi a wɔyɛ nhwehwɛmu. Mpɛn pii no, wonya nea efi mu ba no wɔ nnɔnhwerew 24 ntam.

Dɛn na sɔhwɛ ho amanneɛbɔ no kyerɛ?

Nea efi sɔhwɛ yi mu ba no betumi aba wɔ akwan titiriw abien so: Nea eye anaa Nea enye.

Sɛ wunya biribi pa a efi mu ba a, ɛkyerɛ dɛn?

• Sɛ wohwehwɛ sɛ wowɔ mogya ansa na wode mogya ama a: Eyi kyerɛ sɛ ɛsɛ sɛ wohwɛ yiye paa bere a wode mogya rema no, na paw mogya a ɛfata wo pɛpɛɛpɛ. Nnipa a wonya mogya mpɛn pii no tumi nya saa nnuru a ɛko tia nyarewa yi, enti ebetumi ayɛ den kakra sɛ wobenya mogya a ɛne no hyia.
• Sɛ woyɛ nhwehwɛmu hu sɛ wowɔ nyinsɛn a: Eyi kyerɛ sɛ wo nipadua no anya nnuru a ɛko tia akokoaa a ɔwɔ Rh no. Afei ɛho behia sɛ wohwehwɛ ayaresa de bɔ akokoaa no ho ban.
• Sɛ akokoaa bi amanneɛbɔ yɛ papa a: Ɛtaa kyerɛ sɛ akokoaa no anya mogya a ɛtɔ kɔ nipadua no mu anaa ne ho ayɛ no yaw. Oduruyɛfo no bɛhwɛ akokoaa no mu na wakamfo ayaresa a ɛho hia akyerɛ no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wunya mogya a ɛtɔ wo ho sɛnkyerɛnne te sɛ honam ani anaa w’ani a ɛyɛ kɔkɔɔ (jaundice) , ɔbrɛ ne mmerɛwyɛ a ɛtaa ba , adwenemhaw , anaa adwene a ɛyɛ basaa , kɔ wo duruyɛfo nkyɛn ntɛm ara . Ɔbɛhwehwɛ wo mu na sɛ ɛho hia a, wayɛ nhwehwɛmu afoforo, a Coombs sɔhwɛ ka ho, de ahu nea wo tebea no yɛ ne ayaresa a eye sen biara a wɔde bɛma.

Coombs sɔhwɛ no yɛ sɔhwɛ a ɛma wo duruyɛfo nya ɔhaw bi a ɛwɔ wo nipadua mu ho nsɛm bi kɛkɛ. Ɛnkyerɛ wo nea yare no yɛ ankasa. Enti, sɛ wunya aba pa a, ebia ebehia sɛ woyɛ nhwehwɛmu pii na ama woahu nea ɛde ba ankasa.