Inā he makuahine hānau ʻoe, e noi paha kāu kauka iā ʻoe e hana i nā hoʻokolohua he nui. Ma waena o lākou, ua haʻi ʻia paha ʻoe e pili ana i kahi ' hoʻāʻo antibody '. ʻO ka lohe ʻana i kēia inoa e hoʻoweliweli iki iā ʻoe a hoihoi. Akā, mai makaʻu i kekahi mea. He hoʻāʻo koʻikoʻi loa kēia e pale aku iā ʻoe a me kāu pēpē i hānau ʻole ʻia. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i nā mea āpau, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.
No ke aha he mea nui kēia hoʻāʻo antibody iā ʻoe?
I ka ʻōlelo maʻalahi, he ʻano protein kūikawā nā antibodies e hana ana i kā mākou ʻōnaehana pale. Ua like lākou me ka ikaika pale o ko mākou kino ponoʻī. ʻO kā lākou hana ke pale aku iā mākou ma ke kaua ʻana i nā mea "ʻē", e like me nā germs e hoʻoulu ai i nā maʻi, e komo i loko o ko mākou kino.
Ke hāpai ʻoe, pale kāu ʻōnaehana pale i kāu pēpē. Akā i kekahi manawa hiki ke kū mai kahi pilikia liʻiliʻi. ʻO ia ka manawa ʻaʻole kūlike nā ʻano koko o kāu pēpē.
ʻO ka mea nui a maʻamau i kēia, ʻo ia ka hōʻailona '+' a i ʻole '-' i loko o ko mākou ʻano koko. Kāhea mākou i kēia ʻo ka Rh factor . ʻO ka hapa nui o ka poʻe ma Sri Lanka he ʻano koko Rh-positive ko lākou. ʻO ia hoʻi, he protein i kapa ʻia ʻo Rh i loko o ko lākou mau ʻulaʻula koko. Akā, he Rh-negative kekahi poʻe. ʻO ia hoʻi, ʻaʻohe o lākou protein i loko o ko lākou mau ʻulaʻula koko.
E noʻonoʻo i kēia ʻano: ʻo kou ʻano koko he Rh-negative. Akā inā he Rh-positive ke ʻano koko o ke pēpē i loko o kou ʻōpū (ʻoi aku ka nui o ka hiki ke hana inā he Rh-positive ka makuakāne o ke pēpē), a laila e ʻike kou kino i nā hunaola koko ʻulaʻula o ke pēpē he "haole" a hoʻomaka e hana i nā antibodies e hoʻouka iā lākou.
Hiki i kēia mau antibodies ke hele mai iā ʻoe a i kāu pēpē ma o ke kaula umbilical a luku i nā hunaola koko ʻulaʻula o ka pēpē. Hiki i kēia ke hana i ka anemia koʻikoʻi i loko o ka pēpē, kahi mea e hoʻoweliweli ai i ke ola. Hana ʻia kēia hoʻāʻo antibody e ʻike mua inā he pilikia ia.
Pehea e hana ʻia ai kēia hoʻāʻo?
He mea maʻalahi loa ia. Ke ʻike mua ʻoe ua hāpai ʻoe, malia paha i kāu kipa mua ʻana i ke keʻena lapaʻau, e nānā kāu kauka i kou ʻano koko.
- Inā he Rh-negative ʻoe, e noi ʻia ʻoe e hana i kēia hoʻāʻo antibody i loko o nā mahina 3 mua o ka hāpai ʻana.
- ʻOiai inā he Rh-positive ʻoe, hiki i kāu kauka ke noi iā ʻoe e hana i kēia hoʻokolohua i ka trimester mua no nā kumu ʻē aʻe.
E lawe wale ke keʻena hoʻokolohua i kahi hāpana koko liʻiliʻi mai kahi aʻa koko ma kou lima. ʻO ke kuiHiki paha iā ʻoe ke ʻeha iki i ka wā e loaʻa ai iā ʻoe ka inikini, a aia paha kekahi kahe koko a i ʻole e polū paha ka wahi. He mea maʻamau loa kēia, no laila mai hopohopo no ia mea.
A laila hoʻouna ʻia kēia hāpana koko i ka hale hana no kahi hoʻāʻo i kapa ʻia ʻo 'indirect Coombs test.' ʻO kēia ka mea e nānā ai inā he mau antibodies kou koko e kūʻē i nā hunaola koko ʻulaʻula.
He aha ka ʻōlelo a ka hōʻike?
Mai hopohopo ke ʻike ʻoe i ka hōʻike. E nānā wale kākou i kona manaʻo.
| Hopena | Ke ʻano a me ka mea e hana ai |
|---|---|
| Maikaʻi ʻole | He nūhou maikaʻi loa kēia! ʻO ia hoʻi, ʻaʻohe antibodies i loko o kou koko e hōʻino i ka pēpē.
|
| Maikaʻi | ʻO ke ʻano kēia ua loaʻa i kou koko nā antibodies. Inā pēlā, ʻaʻole e kōkua ka injection RhoGAM. Akā, mai hopohopo. E nānā pono kāu kauka iā ʻoe a me kāu pēpē. E nānā mau lākou i ke olakino o kāu pēpē a, inā pono, pono paha e hānau mua i kāu pēpē a hāʻawi paha iā ʻoe i kahi hoʻoili koko ma o ke kaula umbilical. |
ʻO ka mea nui loa, ʻoiai he aha ka hopena, aia ʻoe ma lalo o ka nānā ʻana a ke kauka. No laila, mai makaʻu pono ʻole a mālama paha i nā mea iā ʻoe iho. E kamaʻilio me kāu kauka e pili ana i nā nīnau āu e loaʻa ai.
Leka Lawe-Home
- He mea nui loa ia e ʻike i kou ʻano koko, ʻoiai ka Rh factor (+ a i ʻole -), i ka wā mua o ka hāpai ʻana.
- Inā he makuahine Rh-negative ʻoe, e hōʻoia e loaʻa i kahi hoʻāʻo antibody i ka manawa kūpono e like me ka ʻōlelo a kāu kauka.
- Inā ʻōlelo ʻia, he hana koʻikoʻi loa ka inikini RhoGAM e pale aku iā ʻoe, kāu pēpē, a me nā keiki e hiki mai ana. Mai hōʻalo iā ia.
- Inā he kānalua iki kou e pili ana i ka hōʻike hoʻāʻo, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea. E wehewehe ʻo ia i nā mea āpau iā ʻoe a hāʻawi iā ʻoe i ka mālama maikaʻi loa.
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