Sɛ wo mogya yɛ Rh negative na wo ba a ɔhyɛ yafunu mu no mogya yɛ Rh positive, anaasɛ sɛ ɛsɛ sɛ wɔde mogya a ɛyɛ Rh positive ma wo da bi a, ebia wo duruyɛfoɔ bɛka aduru soronko bi ho asɛm akyerɛ wo, vaccine. Ɛno ne aduru a wɔde bɔ nkurɔfo ho ban a wɔfrɛ no RhO [D] Immune Globulin. Ɛwom sɛ edin no yɛ den kakra de, nanso eyi yɛ aduru a ɛho hia yiye. Momma yɛnka eyi ho asɛm nkɔ akyiri kakra , wɔ nsɛm a ɛnyɛ den mu, ɛnte saa?

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Dɛn ne RhO [D] Immune Globulin yi?

Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a wɔde bɔ nkurɔfo ho ban a nnuru titiriw bi a ɛko tia nyarewa wom. Wɔma saa nnuru a ɛko tia nyarewa yi yɛ adwuma tia antigen a wɔfrɛ no RhO [D] no. Fa no sɛ yɛn nipadua no ankasa ahobammɔ nhyehyɛe. Nanso nea ɛkɔ so wɔ ha ne sɛ nnuru a ɛko tia nyarewa a efi abɔnten de ma no mma yɛn nipadua no ntumi nyɛ nnuru bi a epira. Wɔtaa de eyi ma de bɔ nnipa a wonni Rh ho ban fi mogya mu nkwammoaa a Rh nnim ho nkate ho.

Bere bɛn na wohia saa vaccine yi?

Saa vaccine yi ho hia yiye wɔ tebea atitiriw pii mu.

1. Ɛna a onni Rh ne abofra a ɔwɔ Rh

Eyi ne ade a wɔtaa de saa nnuru a wɔde bɔ nkurɔfo ho ban yi di dwuma. Fa no sɛ, ɛna no mogya yɛ Rh negative. Ɛno kyerɛ sɛ ɛna no mogya mu nkwammoaa kɔkɔɔ no nni protein soronko Rh. Nanso akokoaa no mogya a ɛwɔ awotwaa mu no yɛ Rh positive. Ɛno kyerɛ sɛ akokoaa no mogya mu nkwammoaa kɔkɔɔ no wɔ saa Rh protein no ampa.

Bere a wɔrewo, nyinsɛn a wotu gu, anaa biribi foforo nti bere a wɔyem (sɛ nhwɛso no, bere a wɔreyɛ nhwehwɛmu te sɛ amniocentesis) no, akokoaa no mogya mu nkwammoaa a ɛwɔ Rh no bi betumi akɔ ɛna no mogya nhyehyɛe a Rh-negative wom no mu. Nea ɛba ne sɛ ɛna no nipadua hu saa akokoaa Rh-positive nkwammoaa yi sɛ "ahɔho" na efi ase yɛ antibodies (anti-RhD antibodies) tia wɔn. Wɔfrɛ eyi sɛ Rh sensitization.

Eyi ntaa nnya nkɛntɛnso kɛse wɔ akokoaa a odi kan a ɔwɔ Rh no so. Efisɛ bere a saa nnuru a ɛko tia nyarewa no bɛhyehyɛ no, wobetumi awo akokoaa no. Nanso, ɔhaw no da nyinsɛn a edi hɔ no mu. Sɛ ɛna no soa akokoaa foforo a ɔwɔ Rh a, saa antibodies a wɔadi kan ayɛ no twa awotwaa no mu na efi ase sɛe akokoaa foforo no mogya mu nkwammoaa kɔkɔɔ no. Eyi betumi ama mogya atɔ so, akisikuru, na wɔ tebea horow bi a emu yɛ den mu no, ebetumi ama akokoaa no awu mpo. Sɛnea ɛbɛyɛ na wɔasiw saa tebea a ɛyɛ hu no ano no, wɔma ɛnanom a wonni Rh no saa RhO [D] Immune Globulin vaccine yi wɔ nyinsɛn mu (bɛyɛ adapɛn 28) ne awo akyi (sɛ akokoaa no wɔ Rh a). Saa vaccine yi mma ɛna no nipadua no ntumi nyɛ saa antibodies a ɛyɛ hu no.

2. Ntini a ɛma mogya tu a ɛma mogya tu (ITP) .

Eyi yɛ tebea titiriw foforo. ITP yɛ, sɛ yɛbɛka no tiawa a, yare a ɛma mogya nkwammoaa (nkwaboaa a ɛboa ma mogya tu na ɛma mogya tu) a ɛwɔ yɛn mogya mu no so tew kwa. Wɔ saa tebea yi mu no, saa RhO [D] Immune Globulin vaccine yi boa ma mogya nkwammoaa dodow kɔ soro wɔ ayarefo binom a Rh wɔ (ITP) mu. Nanso, wɔmfa eyi mma ITP ɔyarefo biara, oduruyɛfo no na osi ho gyinae.

3. Sɛ wɔde mogya a Rh wɔ mu ma obi a onni Rh a

Wɔ nsɛm a ɛntaa nsi mu no, sɛ obi a onni Rh nya mogya a ɛyɛ Rh (e.g. wɔ akwanhyia mu, wɔ mfomso mu) a, saa onipa no nipadua betumi afi ase ayɛ nnuru a ɛko tia nkwammoaa a ɛwɔ Rh, sɛnea yɛadi kan aka no. Wɔde saa vaccine yi nso di dwuma de siw saa kwan no ano.

Wɔ nneɛma atitiriw yi akyi no, wobetumi de saa aduru yi adi dwuma wɔ aduruyɛ mu tebea afoforo bi mu nso. Sɛ wowɔ nsɛmmisa bi fa eyi ho a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanya saa vaccine yi?

Ansa na wɔbɛma wo saa RhO [D] Immune Globulin vaccine yi no, ɛho hia yiye sɛ wɔbɔ nnuruyɛfo kuw no amanneɛ wɔ nsɛm bi a ɛho hia a ɛfa w’akwahosan tebea ho. Efisɛ saa nsɛm no na ɛbɛkyerɛ sɛ saa aduru yi fata wo anaasɛ ɛnfata, ne sɛnea ɛsɛ sɛ wɔde ma. Nneɛma a edidi so yi ne nea ɛsɛ sɛ yɛka:

Sɛ wowɔ mogyatɔw (te sɛ hemophilia) a.
Sɛ aduruyɛ mu nhwehwɛmu ahorow akyerɛ sɛ wo nipadua mu nnuru a ɛko tia nyarewa a wɔfrɛ no immunoglobulin A (Immunoglobulin A anaa IgA) no sua a .
Sɛ wunni akyi berɛmo (sɛ nhwɛso no, sɛ wɔyɛɛ oprehyɛn yii a).
Sɛ woanya akisikuru pɛn wɔ nnipa nipadua mu tumi a ɛko tia nyarewa globulin , aduru foforo biara, aduan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho, sɛ ɛyɛ ketewaa mpo a, yɛsrɛ sɛ ka kyerɛ yɛn.
Sɛ mprempren woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
Sɛ woyɛ ɛna a ɔma nufu a .

Sɛ wɔka saa nsɛm yi yiye a, oduruyɛfo no betumi asa wo yare dwoodwoo.

Ɔkwan bɛn so na wɔde saa vaccine yi bɛma wo?

Wɔde saa aduru yi a wɔfrɛ no RhO [D] Immune Globulin ma sɛ aduru a wɔde twitwiw nipadua no mu. Wobetumi de ama sɛ intramuscular injection (sɛ nhwɛso no, wɔ abasa anaa akyi) anaasɛ tẽẽ kɔ ntini mu (intravenous injection) . Sɛnea wɔde ma no gyina wo tebea ne aduru no din so.

Ade a ɛho hia sen biara ne sɛ oduruyɛfo a wɔatete no nkutoo na ɔde saa aduru yi ma, wɔ ayaresabea anaa ayaresabea . Wɔremma wo kwan sɛ wode bɛkɔ fie na woakɔfa.

So wode eyi ma mmofra?

Sɛnea yɛaka wɔ asɛm yi mu no, mprempren wɔmpene so sɛ wɔmfa saa aduru yi nni dwuma wɔ mmofra mu, enti akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo mmofra oduruyɛfo kasa fa sɛ wode bedi dwuma wɔ abofra kumaa so.

Na sɛ menom nnuru pii nso ɛ? (Nneɛma a wɔde ma boro so) .

Sɛ wususuw anaa wususuw sɛ woanom saa aduru yi dodo a, frɛ beae a wosi awuduru so anaa ayaresabea dan a wɔhwɛ ntɛmpɛ a ɛbɛn wo no ntɛm ara na woanya afotu.

Eyi yɛ ma wo nkutoo!

Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nnkyerɛ obi foforo, sɛ mpo wɔn nso wɔ yare no ho sɛnkyerɛnne te sɛ wo a.

Sɛ mepa da a wɔahyɛ sɛ mɛma no vaccination no a, dɛn na mɛyɛ?

Ɛho hia paa sɛ wɔnom saa vaccine yi wɔ bere a wɔahyɛ mu, titiriw ma mmea a wɔyem. Sɛ wopa dodow bi a, mma wo ho nnyɛ wo hu na frɛ wo duruyɛfo anaa akwahosan ho ɔbenfo ntɛm ara. Wɔbɛkyerɛ wo nea ɛsɛ sɛ woyɛ akyi.

Nneɛma foforo bɛn na ebetumi ama wɔne saa vaccine yi adi nkitaho?

Nnuru bi betumi aka sɛnea saa RhO [D] Immune Globulin vaccine yi yɛ adwuma yiye. Eyi kyerɛ sɛ, sɛ wɔka abien yi bom a, ebia nkɛntɛnso a biako nya no so bɛtew, akɔ soro, anaasɛ ebia nsunsuanso bɔne bi bɛba.

Live virus vaccines: Eyi ne ade titiriw a ɛsɛ sɛ ɛhaw yɛn ho. Saa RhO [D] Immune Globulin yi betumi ne nnuru a wɔde bɔ nkurɔfo ho ban a mmoawa a wɔte ase te sɛ akisikuru, akisikuru, ne rubella wom adi nkitaho. Enti, bere a woanya saa RhO [D] vaccine yi akyi no, mpɛn pii no ɛnyɛ papa sɛ wobenya mmoawa a wɔte ase vaccines bɛyɛ asram 3. Sɛ ɛsɛ sɛ wo nsa ka vaccine a ɛte saa a, ka kyerɛ wo duruyɛfoɔ sɛ wo nsa aka saa RhO [D] vaccine yi.

Saa nsɛm a wɔahyehyɛ yi nka nkitahodi ahorow a ebetumi aba nyinaa ho. Enti, ɛho hia yiye sɛ wobɛka nnuru a worenom (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nhabannuru, vitamin, ne aduannuru) nyinaa kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo.

Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a wode saa vaccine yi redi dwuma no:

Nneɛma afoforo kakraa bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye wɔ saa vaccine yi ho.

Wɔde nnipa mogya na ɛyɛe

"Wɔde nnipa mogya mu plasma na ɛyɛ RhO [D] Immune Globulin vaccine yi . Enti, ɛwom sɛ ɛntaa nsi koraa , nanso ebia asiane bi wɔ nsusuwii mu sɛ ɛde ɔyare mmoawa bi (e.g. mmoawa) bɛfa eyi so. Nanso, mma ɛnhaw wo wɔ eyi ho. Efisɛ wɔyɛ mogya a wɔde ma ne mogya mu nneɛma a wɔde yɛ aduru yi no mu nhwehwɛmu a emu yɛ den yiye. Afei nso, wɔyɛ anammɔn ahorow wɔ bere a wɔreyɛ saa aduru yi manufacturing process a wɔde yi mmoawa na wɔmma wɔnyɛ adwuma Enti asiane a ɛwɔ hɔ sɛ wɔde nyarewa bɛkɔ nnipa mu no sua koraa."Nanso, yɛsrɛ sɛ wo ne wo duruyɛfo nsusuw eyi ho na woanya nsɛm pii, a asiane ne mfaso a ɛwɔ so ka ho."

Ntawntawdi a ɛne mmoawa a wɔte ase nnuru a wɔde bɔ nkurɔfo ho ban

Sɛnea yɛadi kan aka no, sɛ wɔayɛ nhyehyɛe sɛ wo nsa bɛka mmoawa a wɔte ase aduru (e.g., MMR vaccine) wɔ asram 3 a edi hɔ no mu wɔ saa RhO [D] Immune Globulin vaccine yi akyi a, hwɛ hu sɛ wobɛka akyerɛ w’akwahosan ho nimdefo. Eyi te saa efisɛ antibodies a ɛwɔ saa RhO [D] Immune Globulin yi mu no tumi ne mmoawa a ɛwɔ saa vaccine no mu no yɛ adwuma na esiw wo kwan sɛ wubenya ahobammɔ a edi mũ a wuhia afi vaccine no mu.

Dɛn ne nsunsuanso bɔne a ebetumi afi saa vaccine yi a wɔnom mu aba?

Te sɛ aduru biara no, saa RhO [D] Immune Globulin vaccine yi betumi de nsunsuanso bɔne aba nnipa binom so. Nanso, eyi to obiara. Ebia nnipa binom rennya ɔhaw biara koraa.

Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara:

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara, efisɛ ebetumi ayɛ aniberesɛm.

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi ho yɛ no yaw (allergic reactions):
Honam ani akisikuru ba, ɛte sɛ akisikuru, na ɛyɛ wo nipadua no nyinaa.
Nsonsonoe a ɛte sɛ akisikuru pue.
Anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon (eyi betumi ama ayɛ den sɛ ɔbɛhome).
Sɛ ɛyɛ den ma wo sɛ wobɛhome a , wo ho yɛ wo yaw, anaasɛ wote nka sɛ wo ho atɔ wo.
Sɛ wote nka sɛ wo koko yɛ wo yaw anaasɛ wo ho ayɛ wo den , anaasɛ wo koma te sɛ nea ɛrebɔ ntɛmntɛm a.
Sɛ w’ani anaa wo honam ani yɛ kɔkɔɔ (jaundice) anaa wo nsuo yɛ tuntum (eyinom betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe).
Tiyɛ a emu yɛ den mpofirim, ɔfe, kɔn a ɛyɛ den, hann a ɛyɛ mmerɛw (eyinom betumi ayɛ tebea bi te sɛ meningitis ho sɛnkyerɛnne, nanso ɛntaa nsi koraa).
Mogya mmoroso a ɛba fam, ɔtotɔ piti.

Nsunsuanso bɔne a mpɛn pii no enhia aduruyɛ, nanso ɛsɛ sɛ wɔbɔ wo duruyɛfo amanneɛ sɛ ɛkɔ so anaasɛ ɛhaw adwene a:

Mpɛn pii no, eyinom brɛ ase wɔ da koro anaa nnanu ntam, nanso sɛ ɛkɔ so anaasɛ ɛma wo ho yɛ wo yaw a, ka kyerɛ wo duruyɛfo .

Atiridii (ebia awɔw kakra).
Ɛyaw, kɔkɔɔ, ɔfe, anaasɛ ɛyɛ den wɔ baabi a wɔde aduru no guu no .
Tiyɛ (a ɛnyɛ den).
Nipadua mu yaw, ntini mu yaw .
Ɔbrɛ, ɔbrɛ a wɔte nka .

Saa nsɛm a wɔahyehyɛ yi nyɛ nea ebetumi afi mu aba nyinaa. Sɛ wuhu biribi a ɛyɛ soronko anaa foforo a, ntwentwɛn wo nan ase sɛ wobɛkɔ wo duruyɛfo nkyɛn. Wɔ United States no, wubetumi abɔ nea efi mu ba no ho amanneɛ akyerɛ FDA (Food and Drug Administration) wɔ 1-800-FDA-1088.

Mɛyɛ dɛn de aduru yi asie?

Eyi yɛ biribi a ɛnsɛ sɛ wohaw wo ho wɔ ho. Esiane sɛ wɔde RhO [D] Immune Globulin vaccine no ma wo wɔ ayaresabea anaa ayaresabea nti, enhia sɛ wode kɔ fie anaa wode sie. Wɔbɛma ayɛ hyew wɔ ɔhyew a ɛfata mu na nnuruyɛfo ahwɛ so dwoodwoo.

Nea etwa to no, nneɛma bi a ɛho hia a ɛsɛ sɛ yɛkae

Okay, enti mewɔ anidaso sɛ seesei woanya ntease pa wɔ RhO [D] Immune Globulin vaccine a yɛkaa ho asɛm no ho. Ɛwom sɛ eyi betumi ayɛ te sɛ asɛmti a ɛyɛ den de, nanso sɛ wote hia a ɛho hia ase pɛ a, ɛyɛ mmerɛw yiye. Momma yɛnsan nhwɛ nsɛntitiriw a ɛsɛ sɛ yɛkae:

Saa vaccine yi yɛ ahobanbɔ a ɛho hia paa, titiriw ma ɛnanom a wonni Rh a wɔrehwɛ akokoaa a ɔwɔ Rh kwan, de asiw nsɛnnennen a emu yɛ den ano wɔ daakye nyinsɛn mu.
Saa vaccine yi nso ho wɔ mfasoɔ ma tebea foforɔ te sɛ Idiopathic Thrombocytopenic Purpura (ITP) ne wɔ nsɛm a ɛfa mogya a wɔde ma a ɛne Rh a ɛne ne ho nhyia ho.
Hwɛ hu sɛ wobɛka aduruyɛ mu tebea foforo biara a wowɔ, nnuru a worenom nyinaa (a wɔakyerɛw ama wo, a wɔtɔn, aduru a wɔde di dwuma wɔ amanne kwan so, Ayurvedic, homeopathic), ne aduru biara a ebia wowɔ ansa na woabɔ wo ho ban akyerɛ wo duruyɛfo .
Ɛwom sɛ wɔde nnipa mogya mu nneɛma na ɛyɛ saa aduru yi de, nanso wɔayɛ ahobammɔ ho nhyehyɛe a ɛho hia nyinaa na ama asiane a ɛwɔ hɔ sɛ wɔde nyarewa bɛka obi no so atew. Enti mma wo ho nnyɛ wo hu a ɛho nhia. Nanso, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho na woahu pii.
Sɛ wunya nsunsuanso bɔne bi, titiriw nsunsuanso bɔne a anibere wom a yɛadi kan aka ho asɛm no biara a, hwehwɛ aduruyɛ mu afotu ntɛm ara a ntwentwɛn wo nan ase.
Esiane sɛ eyi yɛ aduru a wɔde ma wɔ ayaresabea anaa ayaresabea nti, ɛnsɛ sɛ wohaw wo ho sɛ wode besie wɔ fie.

Saa asɛm yi yɛ RhO [D] Immune Globulin vaccine no ho nsɛm tiawa kɛkɛ. Ɛnyɛ nsɛm no nyinaa na ɛwom. Sɛ wowɔ nsɛmmisa anaa nsɛm foforo biara a ɛhaw wo wɔ saa aduru yi ho a, yɛsrɛ wo ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo, nnuruyɛfo anaa akwahosan ho ɔyaresafo foforo. Nea ɛho hia sen biara ne sɛ wɔbɛbɔ w’akwahosan ho amanneɛ!