Wɔ mogya mu nhwehwɛmu pii a woyɛ bere a wudii kan nyinsɛn no mu no, ebia woahyia asɛmfua ‘Rh factor’. Nanso nnipa pii nni nea ɛyɛ ankasa ne nea enti a ɛho hia saa no ho adwene a emu da hɔ. Ɛho hia titiriw sɛ wobɛhu eyi sɛ wo mogya yɛ ' Rh negative ' a. Enti ɛnnɛ, momma yɛnka ho asɛm tiawa na emu nna hɔ, a yensuro anaa yɛn adwenem naayɛ biara.
Momma yenni kan nhwɛ, dɛn ne Rh Factor yi?
Sɛ yɛbɛka no tiawa a, Rh factor no yɛ protein titiriw bi a ebia ɛwɔ yɛn mogya mu nkwammoaa kɔkɔɔ no ani anaasɛ enni hɔ. Fa yɛn mogya mu nkwammoaa kɔkɔɔ no sɛ bɔɔl nketewa. Nnipa binom de saa protein yi abata wɔn bɔɔl ho. Afoforo nso nyɛ saa.
Sɛ wowɔ saa protein yi wɔ wo mogya mu a, na wowɔ Rh positive . Wiase nnipa dodoɔ no ara, bɛyɛ 85%, yɛ Rh positive. Sɛ wunni saa protein yi wɔ wo mogya mu a, ɛnde na wowɔ Rh negative . Eyi nyɛ yare anaa sintɔ. Ɛyɛ biribi a yenya fi yɛn awofo hɔ ara kwa.
Dɛn nti na sɔhwɛ yi ho hia wɔ nyinsɛn mu?
Sɛ wuhu sɛ woanyinsɛn a, nhwehwɛmu a edi kan a wo duruyɛfo bɛyɛ no mu biako ne Rh factor nhwehwɛmu. Eyi yɛ mogya mu nhwehwɛmu a wɔyɛ no daa ara kwa, enti ɛrempira wo anaa wo ba no. Nea ebefi sɔhwɛ yi mu aba na ɛbɛkyerɛ nea ɛsɛ sɛ wɔyɛ akyi.
Momma yɛnhwɛ saa pon yi na yɛnte eyi ase yiye.
| Nea efii wo sɔhwɛ amanneɛbɔ no mu bae | Dɛn na ɛba akyi? |
|---|---|
| Rh a ɛyɛ papa | Ɔhaw nni hɔ. Ɛho nhia sɛ woyɛ sɔhwɛ foforo biara wɔ eyi ho. Wunni biribiara a ɛsɛ sɛ wusuro. |
| Rh a ɛyɛ bɔne | Asiane ketewaa bi wɔ ha. Enti ebia wo duruyɛfo no bɛyɛ nhwehwɛmu foforo. Wɔfrɛ no ‘antibody screen’. Ɛhwɛ sɛ wo nipadua no ayɛ nnuru a ɛko tia mogya a Rh wɔ mu anaa. |
Ɔhaw a ɛba bere a ɛna a onni Rh wɔ akokoaa a ɔwɔ Rh (Rh Incompatibility) .
Nea ɛba ankasa ni. Sɛ wowɔ Rh negative, nanso wo kunu wɔ Rh positive a, hokwan wɔ hɔ sɛ akokoaa a wobɛwo no no bɛyɛ Rh positive. Eyi ne bere a yɛka tebea bi a wɔfrɛ no ‘Rh Incompatibility’ ho asɛm.
Sɛ yɛbɛka no tiawa a, sɛ ɛna a onni Rh wɔ akokoaa a ɔwɔ Rh wɔ n’awotwaa mu a, sɛ ɛna no ne akokoaa no mogya fra ɔkwan biara so a, ɛna no nipadua hu akokoaa no mogya mu nkwammoaa kɔkɔɔ no sɛ ‘ɔtamfo’. Afei efi ase yɛ antibodies de ko tia saa ‘ɔtamfo’ no. Eyi ne nea yɛfrɛ no ‘Rh sensitization’ .
Nanso nsuro wɔ ha. Mpɛn pii no, eyi rempira akokoaa a odi kan no kɛse. Efisɛ ɛda adi kɛse sɛ ɛna no ne akokoaa no mogya bɛfra bere a wɔrewo no. Ɛno kyerɛ sɛ nipadua mu nkwammoaa a ɛko tia nyarewa fi ase yɛ bere a wɔawo akokoaa no akyi.
Nanso, ɔhaw no sɔre wɔ nyinsɛn a edi hɔ no mu. Sɛ wo nipadua no nya saa nnuru a ɛko tia nyarewa yi wie a, ɛwɔ hɔ daa. Bere foforo a wobɛsoa akokoaa a ɔwɔ Rh wɔ wo yafunu mu no, saa nnuru a ɛko tia nyarewa a woadi kan anya no fi ase tow hyɛ akokoaa foforo no mogya mu nkwammoaa kɔkɔɔ a ɛwɔ awotwaa no mu no so. Eyi betumi ama akokoaa no anya tebea bi a wɔfrɛ no ‘Rh yare’ . Wɔ saa tebea yi mu no, akokoaa no mogya mu nkwammoaa kɔkɔɔ no sɛe ntɛmntɛm sen sɛnea nipadua no betumi ayɛ. Wɔsan frɛ eyi mogya a ɛtɔ kɔ mogya mu . Eyi betumi ayɛ asiane kɛse ama akokoaa no, na ebetumi de ne nkwa mpo ato asiane mu.
Hokwan ahorow bɛn na ɛwɔ hɔ sɛ ɛna no ne akokoaa no mogya betumi afra?
Eyi taa ba bere a wɔrewo, nanso ebetumi asi mmere foforo nso.
- Sɛ wɔreyɛ nhwehwɛmu te sɛ amniocentesis (sɔhwɛ a wɔde syringe fa awotwaa mu nsu a atwa akokoaa no ho ahyia wɔ awotwaa no mu no kakraa bi) anaasɛ chorionic villus sampling (CVS) (sɔhwɛ a wɔde fa awotwaa no fã ketewaa bi).
- Sɛ wote mogya a ɛba wo awotwaa mu bere a wonyinsɛn no a.
- Sɛ wunya akwanhyia anaa ɔhwe a emu yɛ den wɔ wo yafunu mu bere a wonyinsɛn a.
- Sɛ akokoaa no wɔ breech position , oduruyɛfo no bɔ mmɔden sɛ ɔbɛdan akokoaa no denam akokoaa no yafunu a ɔbɛkura mu no so.
- Sɛ nyinsɛn a wotu gu, nyinsɛn a ɛwɔ awotwaa no akyi , anaa nyinsɛn a woyi gu ba a.
Mma ɛnhaw wo, eyi ano aduru a etu mpɔn yiye wɔ hɔ!
Ebia sɛ wote saa nsɛm yi a, ehu ka wo. Nanso nokwarem no, biribiara nni hɔ a enti ɛsɛ sɛ yesuro. Efisɛ esiane sɛ aduruyɛ ho nyansahu renya nkɔso nti, mprempren eyi ano aduru a ɛyɛ mmerɛw yiye na etu mpɔn wɔ hɔ.
Sɛ wo duruyɛfoɔ hu sɛ wo nni Rh na wo ba no wɔ Rh a, ɔbɛma wo aduru a wɔfrɛ no Rh Immunoglobulin (RhIG) bɛyɛ adapɛn 28 wɔ wo nyinsɛn no akyi. Saa tuo yi siw wo nipadua no kwan koraa sɛ ɛbɛyɛ saa nnuru a ɛko tia nyarewa a ɛyɛ hu no.
Sɛ wɔwo akokoaa no akyi mpo a, sɛ akokoaa no mogya yɛ Rh a, wɔbɛma wo aduru foforo wɔ nnɔnhwerew 72 ntam. Sɛ wunyinsɛn bio a, ɛsɛ sɛ wofa saa aduru yi saa bere no nso. Eyi yɛ ɔkwan a ahobammɔ wom yiye na etu mpɔn yiye.
Sɛ wuhu nsensanee biara wɔ nyinsɛn mu, titiriw sɛ wunni Rh a, ka kyerɛ wo duruyɛfo ntɛm ara . Ɔbɛma wo RhIG dodow foforo sɛ ɛho hia a.
Na sɛ woanya nnuru a ɛko tia nyarewa dedaw nso ɛ?
Ɛntaa mma koraa, ebia esiane sɛ woannya RhIG vaccine no wɔ nyinsɛn bi a atwam mu nti, ebia wo nipadua no wɔ Rh antibodies dedaw. Sɛ ɛte saa a, RhIG vaccine no remmoa. Nanso mma ɛnhaw wo. Sɛ ɛte saa a, wo duruyɛfo bɛhwɛ wo ne wo ba no yiye. Nkokoaa binom hia sɛ wɔma wɔn mogya bere a wɔawo wɔn akyi. Ɛntaa mma koraa sɛ wɔde mogya bɛma bere a woda so ara wɔ awotwaa mu no.
Nkrasɛm a Wɔde Kɔ Fie
- Rh factor yɛ protein a ɛwɔ mogya mu nkwammoaa kɔkɔɔ no ani. Sɛ wunni bi a, woyɛ Rh negative. Eyi nyɛ yare.
- Sɛ wo nni Rh a, ɔhaw biako pɛ a ebetumi aba bere a wonyinsɛn mu ne sɛ wo ba no wɔ Rh.
- Rh immunoglobulin (RhIG) vaccine no yɛ ɔkwan a ahobammɔ wom na etu mpɔn yiye a wobɛfa so asiw wo nipadua no kwan sɛ ɛrennya nnuru a ɛko tia nyarewa a epira wo ba.
- Di wo duruyɛfo akwankyerɛ akyi bere nyinaa, kɔ ayaresabea ahorow a wɔahyɛ da ayɛ ho nhyehyɛe, na fa RhIG vaccine no bere a wɔkamfo kyerɛ no.
- Sɛ woyɛ ɛna a wonni Rh na wuhu sɛ mogya biara retu bere a wonyinsɛn a, frɛ wo duruyɛfo ntɛm ara .
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