So wo mogya no yɛ Rh negative? Hwɛ eyi yiye bere a woanyinsɛn (Rh Factor) .

Sɛ woyɛ ɛna a onyinsɛn, anaa obi a ɔrehwɛ akokoaa kwan nnansa yi ara a, nhwehwɛmu a edi kan a wo duruyɛfo bɛhyɛ sɛ wobɛyɛ no mu biako ne mogya mu nhwehwɛmu. Eyi bɛhwɛ wo mogya ne biribi foforo a ɛho hia paa. Ɛno ne wo Rh factor no. Ebia woate saa asɛmfua yi pɛn. Nanso nnipa pii nni nea ɛkyerɛ ho adwene pii. Dɛn ankasa ne Rh factor no? Dɛn nti na ɛho hia saa wɔ nyinsɛn mu? Mma ɛnhaw wo, yɛbɛka ho asɛm tiawa na emu ada hɔ.

Sɛ yɛbɛka no tiawa a, dɛn ne Rh factor no?

Okay, momma yɛmfa no saa kwan yi so. Fa mogya mu nkwammoaa kɔkɔɔ a ɛwɔ wo nipadua mu no sɛ bɔɔl nketewa paa a ɛyɛ kurukuruwa. Nnipa binom wɔ protein soronko bi a ɛbata mogya mu nkwammoaa kɔkɔɔ yi ani, anaa akyi. Saa protein no ne nea yɛfrɛ no Rh factor , anaa Rhesus factor, wɔ nnuruyɛ mu.

Eyi yɛ biribi a wunya fi awo mu. Ɛno kyerɛ sɛ wunya fi wo maame ne wo papa hɔ.

• Rh-positive: Sɛ wowɔ protein no wɔ wo mogya mu nkwammoaa kɔkɔɔ no ani a, na wowɔ Rh-positive. Wɔ Sinhala kasa mu no, ɛkyerɛ Rh positive. Wɔ Sri Lanka ne wiase nyinaa no, nnipa dodow no ara, kyerɛ sɛ, bɛyɛ 100 biara mu 85, wɔ Rh.
• Rh-negative: Sɛ wunni saa protein yi wɔ wo mogya mu nkwammoaa kɔkɔɔ no ani a, na woyɛ Rh-negative. Ɛno kyerɛ sɛ woyɛ Rh negative.

Wo mogya betumi ayɛ A, B, AB, anaa O. Saa Rh factor yi ne saa mogya no wɔ abusuabɔ. Sɛ nhwɛso no, sɛ wo mogya yɛ A na wowɔ Rh-positive a, wo mogya nyinaa yɛ "A positive." Sɛ woyɛ Rh-negative a, ɛyɛ "A negative."

Dɛn nti na Rh factor no ho hia wɔ nyinsɛn mu? (Rh Nkitahodi) .

Nea ɛba ni. Yɛfrɛ tebea titiriw yi Rh incompatibility , a ɛba bere a ɛna no nni Rh-negative na akokoaa a ɔwɔ awotwaa no mu no wɔ Rh-positive nkutoo.

Momma yɛmma eyi nyɛ mmerɛw nkɔ akyiri. Fa wo nipadua no sɛ ɔman a ɛwɔ asraafo dɔm pa a wɔde bɔ wɔn ho ban. Esiane sɛ woyɛ Rh-negative nti, wo man (nipadua) nni saa Rh protein no. Afei, sɛ akokoaa a ɔwɔ wo yafunu mu no mogya dan Rh-positive a, ɛno kyerɛ sɛ akokoaa no wɔ saa protein no wɔ ne mogya mu nkwammoaa kɔkɔɔ no mu.

Wɔ nyinsɛn mu no, ɛna no ne akokoaa no mogya ntaa nfra tẽẽ. Nanso ɛtɔ mmere bi a, titiriw bere a wɔrewo no, akokoaa no mogya kakraa bi pɛ na ebetumi akɔ ɛna no mogya mu.

Sɛ eyi ba a, ɛna no ahobammɔ (nkwammoaa a ɛko tia nyarewa) hu Rh protein a ɛwɔ akokoaa no mogya mu no sɛ ɔtamfo a ofi abɔnten, ɔtowhyɛfo. Wosusuw sɛ, "Dɛn ne ade foforo a aba yɛn nipadua mu yi? Eyi nyɛ yɛn nipadua dea," na wofi ase yɛ akode soronko de ko tia. Yɛfrɛ saa akode yi sɛ nnuru a ɛko tia nyarewa . Wɔfrɛ saa adeyɛ yi Rh sensitization .

Tebea horow a akokoaa no mogya betumi afra ɛna no de:

• Bere a wɔrewo: Eyi ne tebea a ɛtaa ba. Ebetumi asi bere a wɔrewo awotwaa mu anaasɛ wɔreyɛ oprehyɛn no.
• Mogya a ɛba ɔbea no awotwaa mu bere a wɔyem no.
• Opira anaa akwanhyia a ɛba yafunu mu.
• Nsɛnnennen a ɛba wɔ nyinsɛn a edi kan mu, te sɛ nyinsɛn a wotu gu anaa nyinsɛn a ɛwɔ awotwaa no akyi.
• Wɔ sɔhwɛ titiriw te sɛ amniocentesis mu.
• Sɛ akokoaa no wɔ breech gyinabea a, oduruyɛfo no bɔ mmɔden sɛ ɔde ne nsa bɛdan akokoaa no bere a wɔreyɛ ECV no.

So asiane yi ka akokoaa a odi kan no anaa akokoaa a ɔto so abien no?

Eyi ho hia paa. Mpɛn pii no, ɛna a onni Rh akokoaa a odi kan a ɔwɔ Rh no nni ɔhaw kɛse biara.

Nea enti a ɛte saa ne sɛ, sɛnea yɛadi kan aka ho asɛm no, ɛda adi kɛse sɛ akokoaa no mogya bɛkɔ ɛna no nipadua mu bere a ɔrewo no. Afei, bere a ɛna no nipadua no fi ase yɛ saa nnuru a ɛko tia nyarewa no, na wɔawo akokoaa no dedaw. Enti akokoaa a odi kan no rempira.

Nanso, ɔhaw ankasa no fi ase wɔ nyinsɛn a edi hɔ no mu.

Seesei ɛna no nipadua hu Rh protein no na esiesie ne ho sɛ ɛbɛyɛ nnuru a ɛko tia nyarewa a ɛbɛko atia. Sɛ wosoa akokoaa a ɔwɔ Rh wɔ wo yafunu mu ne mprenu so a , nnuru a ɛko tia nyarewa a woadi kan ayɛ, a wususuw sɛ, "Ɔtamfo no reba bio!", twa awotwaa no mu na efi ase sɛe akokoaa no mogya mu nkwammoaa kɔkɔɔ no. Ɛte sɛ nea ɔko bi afi ase wɔ akokoaa no mu.

Wɔfrɛ saa tebea yi Rh yare . Sɛ wɔansa a, ebetumi ayɛ asiane kɛse ama akokoaa a ɔwɔ awotwaa mu no.

Wobɛyɛ dɛn ahu eyi? Dɛn ne ayaresa ahorow no?

Nea eye ne sɛ, tebea yi a wobehu na wɔasa no yɛ mmerɛw yiye nnansa yi.

Nhwehwɛmu a wɔyɛe

Sɛ wuhu sɛ woanyinsɛn ara pɛ a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu na ama woahu wo mogya pɔtee ne Rh factor.

• Sɛ wowɔ Rh-positive , ɔhaw biara nni ho. Ɛho nhia sɛ woyɛ biribi foforo biara.
• Sɛ woyɛ Rh-negative , wɔbɛyɛ nhwehwɛmu foforo de ahwɛ sɛ wo nipadua no anya nnuru a ɛko tia Rh protein no anaa.

Ayaresa: Nnuru a wɔde ko tia D

Sɛ wo nni Rh-negative na wo nipadua no nnya nyɛɛ antibodies a, nnuruyɛfo bɛma wo aduru a ɛnyɛ den koraa nanso ɛho hia yiye. Wɔtaa frɛ eyi sɛ Anti-D shot . Aduruyɛ mu din ne Rh immune globulin (RhIg) .

Saa vaccine yi te sɛ atoro nkrasɛm ma wo nipadua mu ahoɔden a ɛko tia nyarewa no. Ɛma wo nipadua no ntumi nyɛ saa nnuru a ɛko tia nyarewa a ɛyɛ hu no koraa. Eyi kyerɛ sɛ sɛ wo ba no mogya kakra kɔ wo nipadua mu mpo a, wo nipadua no renhu sɛ ɔyɛ ɔtamfo.

Wɔtaa de saa vaccine yi ma bere a:

• Bɛyɛ adapɛn 28 wɔ nyinsɛn mu: Wɔma ɛna biara a onni Rh aduru biako saa bere yi sɛ ahwɛyiye.
• Wɔ awo akyi nnɔnhwerew 72 mu: Wɔhwehwɛ akokoaa no mogya mu na sɛ akokoaa no wɔ Rh nkutoo a, wɔma ɛna no aduru foforo. Eyi yɛ nea wɔde bɛbɔ akokoaa no ho ban wɔ nyinsɛn a edi hɔ no mu.
• Wɔ tebea afoforo mu: Oduruyɛfo no nso betumi ama saa vaccine yi sɛ mogya tu wɔ nyinsɛn mu, sɛ yafunu mu akwanhyia bi, anaa sɛ nyinsɛn gu a.

Sɛ wɔansa akokoaa no yare a, ɔhaw bɛn na obetumi anya?

Rh a ɛne ne ho nhyia no nka ɛna no, nanso sɛ wɔansa a, ebetumi de ɔhaw kɛse aba akokoaa a ɔwɔ awotwaa mu no so wɔ nyinsɛn a ɛto so abien anaa nea edi hɔ no mu.

Ɔhaw titiriw no ne mogya a ɛtɔ kɔ nipadua mu a ɛma mogya tu . Sɛ yɛbɛka no tiawa a, akokoaa no mogya mu nkwammoaa kɔkɔɔ no sɛe ntɛmntɛm sen sɛnea wɔyɛ no. Mogya mu nkwammoaa kɔkɔɔ ne nea ɛde mframa pa di akɔneaba wɔ nipadua no mu. Sɛ wɔsɛe a, akokoaa no betumi anya ɔhaw ahorow a emu yɛ den.

• Jaundice: Sɛ mogya mu nkwammoaa kɔkɔɔ sɛe a, ade kɔkɔɔ bi a wɔfrɛ no bilirubin ba. Sɛ eyi dɔɔso a, akokoaa no were ne n’aniwa dan kɔla. Sɛ obi dɔɔso a, ebetumi asɛe amemene no nso.
• Mmɛn ne Koma a Ɛnyɛ Yiye: Ɛsɛ sɛ akokoaa no koma ne ne mmerɛbo yɛ adwumaden paa na ama wɔde mogya mu nkwammoaa kɔkɔɔ a asɛe no asi ananmu. Eyi betumi ama saa akwaa ahorow yi ayɛ kɛse na adi nkogu.
• Awo a wawu: Wɔ tebea horow a emu yɛ den paa mu no, akokoaa no betumi awu wɔ awotwaa mu esiane mogya a ɛtɔ ne komayare nti.

Nanso mma ɛnhaw wo. Esiane sɛ wɔayɛ Anti-D vaccine no nti, tebea horow a emu yɛ den yi ho yɛ na koraa nnansa yi.