Aia kekahi hakakā ma waena o kou ʻano koko a me ke koko o kāu pēpē? (Rh Incompatibility) E ʻike kākou i ke ʻano o ia mea!

Ke mākaukau ʻoe e lilo i makuahine, e noi aku kāu kauka a kahu hānai paha iā ʻoe e hana i nā hoʻokolohua like ʻole. ʻO kekahi o nā hoʻokolohua mua loa a koʻikoʻi loa, ʻo ia ka nānā ʻana i kou ʻano koko. ʻAʻole wale kēia e nānā i kou hui koko (e like me A, B, O, AB), akā, i kekahi mea ʻē aʻe, i kapa ʻia ʻo ' Rh factor '. No ke aha ʻoe e manaʻo ai he mea nui kēia? He aha kāu e ʻike ai? Hiki i kāu '(Rh factor)' ke hoʻopilikia i ke olakino o ka pēpē i loko o kou ʻōpū. No laila, he mea nui loa iā ʻoe a me kāu pēpē e maopopo e pili ana i kēia i ka wā mua o kou hāpai ʻana.

He aha ka Rh Factor? E hoʻomaopopo maʻalahi kākou.

ʻAe, e nānā kākou i kēia mea a kēia `(Rh factor)` a nā mea a pau e kamaʻilio nei. E noʻonoʻo ʻoe ua like nā hunaola koko ʻulaʻula i loko o ko kākou koko me nā pōpō liʻiliʻi. Loaʻa i kekahi poʻe kahi protein kūikawā, kahi ʻāpana liʻiliʻi, ma luna o ka ʻili o kēia mau hunaola koko ʻulaʻula. ʻO kēlā protein ka mea a mākou e kapa nei he `(Rh factor)`. ʻAʻole loaʻa i nā kānaka a pau kēia i loko o ko lākou koko. Akā, ʻo ka hapa nui o ka poʻe ma ka honua nei, aia kēia protein i loko o ko lākou mau hunaola koko ʻulaʻula.

• No laila, inā loaʻa i kekahi kēia protein Rh i loko o ko lākou koko , kapa mākou iā lākou he `(Rh-positive)` . Ua like ia me ka ʻōlelo ʻana 'ʻae, loaʻa'.
• Ma ka ʻaoʻao ʻē aʻe, inā ʻaʻohe o kēia protein Rh i loko o ke koko o kekahi, kapa mākou iā lākou he `(Rh-negative)` . Ua like ia me ka ʻōlelo ʻana 'ʻaʻole, ʻaʻole'.

I kēia manawa, ua maopopo iki mai iā ʻoe, ʻeā? Ma kāu hōʻike koko, ua helu ʻia ka hui koko me kahi hōʻailona + a i ʻole - e like me A+, B-, O+, a me kēia `(Rh factor)`. ʻO ia hoʻi, he ʻano koko A ko ke kanaka 'A maikaʻi' a he protein Rh nō ​​hoʻi, ʻoiai he ʻano koko B ko ke kanaka 'B maikaʻi ʻole' a ʻaʻohe ona protein Rh.

No laila he aha ka Rh Incompatibility?

I kēia manawa, ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ka `(Rh factor)`. No laila, e nānā kākou i ke ʻano o ka `(Rh Incompatibility)`. ʻOiai paha he huaʻōlelo huikau kēia, he maʻalahi loa ia. ʻO ka `(Rh Incompatibility)` kahi kūlana e hiki ke kū mai i ka wā ʻaʻole like ka `(Rh factor)` o ka makuahine a me ka makuakāne o ke pēpē, maikaʻi a maikaʻi ʻole paha, ʻo ia hoʻi, ʻokoʻa lāua kekahi i kekahi . Ma ke ʻano kūikawā, kamaʻilio nui mākou e pili ana i kēia i ka wā he `(Rh-negative)` ka makuahine a he `(Rh-positive)` ka makuakāne.

E lawe kākou i kahi laʻana a ʻike. A laila e ʻoi aku ka maopopo.

E noʻonoʻo i kēia hiʻohiʻona maʻalahi. Aia kekahi makuahine i kapa ʻia ʻo Nimali, nona ke ʻano koko he `(Rh-negative)` (ʻo ia hoʻi, ʻaʻohe ona protein i loko o kona koko). ʻO kāna kāne, e ʻōlelo kākou ʻo Kasun, nona ke ʻano koko he `(Rh-positive)` (aia kēlā protein i loko o kona koko).

I kēia manawa ke kali nei ʻo Nimali lāua ʻo Kasunu i kahi pēpē, nui ka manawa kūpono e hoʻoilina ai ke pēpē i ke ʻano `(Rh-positive)` mai ka makuakāne mai.ʻO ia hoʻi, hiki i ke koko o ka pēpē ke `(Rh-positive)`. E hoʻomanaʻo, ʻaʻole ia e hana mau ʻia, akā ʻoi aku ka nui o ka hiki ke hana ʻia. Ua ʻōlelo nui ʻia ma kahi o ka hapalua o nā pēpē i hānau ʻia i kahi makuahine `(Rh-negative)` a me kahi makuakāne `(Rh-positive)` e like paha me `(Rh-positive)`.

No laila, ʻo ka makuahine (Nimali) he `(Rh-negative)`, akā ʻo ka pēpē he `(Rh-positive)`. ʻO kēia ka manawa a mākou e kamaʻilio ai e pili ana i ka `(Rh Incompatibility)`. ʻO ia hoʻi, ʻokoʻa ka `(Rh factor)` o ka makuahine a me ka pēpē. Ua like ia me ʻelua mau kānaka e noho ana i ka hale hoʻokahi, akā makemake lāua i nā ʻano meaʻai like ʻole. Aia kahi ʻano kūlike ʻole iki.

No ke aha i maikaʻi ai ka pēpē mua? A laila pehea lā e kū mai ai ka pilikia?

Ke noʻonoʻo nei paha ʻoe, 'ʻAe, no ke aha lā ʻaʻole pilikia ka pēpē mua me ia ʻano kūlike ʻole?' He ʻoiaʻiʻo kēlā. ʻO ka hapa nui o ka manawa, ʻo kēia `(Rh Incompatibility)` he pilikia nui ia i ka wā hāpai mua o ka makuahine, ʻo ia hoʻi, ʻaʻole ia e hōʻeha i ka pēpē . ʻO ke kumu nui o ia mea, ʻoiai i ka wā hāpai, ua hoʻokaʻawale ʻia nā ʻōnaehana koko o ka makuahine a me ka pēpē. ʻOiai ke hoʻololi ʻia nā meaʻai ma o ka placenta, ʻaʻole komo nā hunaola koko ʻulaʻula o ka pēpē i loko o ka ʻōnaehana kahe koko o ka makuahine (ʻo ia hoʻi, ka ʻōnaehana koko o ka makuahine). Ua like ia me kahi pale pale.

Eia naʻe, i ka wā e hānau ai ke pēpē, ʻo ia hoʻi, i ka wā hānau keiki , nui ka manawa e hui iki ai ke koko o ka makuahine a me ke koko o ke pēpē. He mea maʻamau kēia. Inā komo ke koko `(Rh-positive)` o ke pēpē (inā he `(Rh-negative)` ka makuahine) i loko o ke kino o ka makuahine, ʻike ka ʻōnaehana pale o ka makuahine i ka protein Rh i loko o ke koko o ke pēpē he 'ʻē'. E like me ka wā e komo ai kahi germ a i ʻole kekahi mea e hoʻoulu ai i ka allergy i loko o ko kākou kino. A laila hoʻomaka ka ʻōnaehana pale o ka makuahine e hana i nā protein pale kūikawā i kapa ʻia ʻo `(antibodies)` e kūʻē i kēia protein Rh. Ua like kēia mau `(antibodies)` me nā koa i aʻo ʻia. Hana ʻia lākou e hoʻouka a luku i nā cell ʻē inā hoʻi mai lākou. Ke hana ʻia kēia mau `(antibodies)`, noho lākou i loko o ke kino o ka makuahine, a e hoʻāla ʻia inā hana hou ʻia kekahi mea e like me kēia.

He aha nā ala ʻē aʻe e hiki ai ke hana ʻia nā antibodies?

Aia kekahi mau ʻano ʻē aʻe e hiki ai i kēia mau " antibodies " ke ulu i loko o ke kino o kahi makuahine "(Rh-negative)", ʻaʻole wale i ka wā hānau keiki. He mea nui e makaʻala i kēia mau mea:

• Inā ua loaʻa iā ʻoe ke koko `(Rh-positive)` i loko o kahi ulia ma mua, ʻaʻole paha i nānā pono ʻia ʻoe no `(Rh factor)` i ia manawa.
• Inā ua loaʻa iā ʻoe kahi hāʻule mua , hiki i ke koko o ka fetal ke komo i ke kino o ka makuahine i ka wā o ka hāʻule ʻana.
• `(Hapai ʻōpū ectopic)`Inā ua loaʻa iā ʻoe kahi hāpai ectopic (kahi hāpai ma waho o ka ʻōpū). He kūlana weliweli loa kēia a hiki ke hana i ka hoʻokumu ʻia ʻana o nā antibodies.
• ʻO kekahi mau hoʻokolohua i hana ʻia i ka wā hāpai , e like me ka amniocentesis (kahi hoʻokolohua e wehe ai i kahi wai liʻiliʻi mai ka ʻeke amniotic o ka pēpē), hiki ke hana i kahi kahe koko liʻiliʻi.

He mea nui e hoʻomanaʻo i nā hihia e like me kēia, hiki i ke koko '(Rh-positive)' o ke pēpē (a i ʻole fetus) ke komo i loko o ke kino o ka makuahine a hana i nā '(antibodies)' e hana.

No laila, i ka manawa hea e pilikia ai ka pēpē? Pehea ke koʻikoʻi?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo nā Rh `(antibodies)` e ulu ana i loko o ke kino o ka makuahine e lilo wale i pilikia i ka wā o ka hāpai ʻana o ka makuahine i ka lua a i ʻole ma hope . ʻAʻole i hōʻeha ʻia ka pēpē mua, no ka mea, hoʻomaka nā `(antibodies)` e ulu me ka hānau ʻana.

E noʻonoʻo i kahi makuahine (ʻo ia hoʻi he `(Rh-negative)` a i kēia manawa he `(antibodies)` i loko o kona kino) e hāpai ana i kahi pēpē `(Rh-positive)` i loko o kona ʻōpū. A laila, ʻo kēlā mau `(antibodies)` Rh i hana mua ʻia i loko o ke kino o ka makuahine a e makaʻala ana, hiki iā lākou ke ʻike i nā protein Rh ma luna o ka ʻili o nā hunaola koko ʻulaʻula o ka pēpē he ``ʻenemi haole.'' E like me nā kiaʻi. A laila, hele kēia mau `(antibodies)` i ka placenta a komo i loko o ke koko o ka pēpē, a hoʻomaka e hoʻouka i nā hunaola koko ʻulaʻula hala ʻole o ka pēpē.

Hiki i kēia ke hoʻoulu i nā hunaola koko ʻulaʻula o ka pēpē e pehu, pahū, a luku ʻia. Kāhea mākou i kēia ʻano he "maʻi Hemolytic o ke keiki hānau hou" a i ʻole ka maʻi Rh wale nō. Hiki i kēia ke hōʻemi nui i ka nui o ke koko i loko o ke kino o ka pēpē (ʻoi aku ka nui o nā hunaola koko ʻulaʻula e lawe ana i ka oxygen). ʻO ke ʻano kēia e loaʻa i ka pēpē ka anemia . Hiki ke koʻikoʻi loa kēia.

• Hiki i kahi pēpē ke loaʻa i ka jaundice koʻikoʻi, ʻo ia hoʻi ka melemele o nā maka a me ka ʻili. Hoʻokumu ʻia kēia e kahi mea i hana ʻia i ka wā e haki ai nā hunaola koko ʻulaʻula.
• Hiki i kēia ke hoʻopilikia i ka puʻuwai, ke akepaʻa, a me ka spleen o ke pēpē. I kekahi mau hihia, hiki paha i ka puʻuwai ke hāʻule.
• I nā hihia koʻikoʻi loa, hiki i ke pēpē ke make i loko o ka ʻōpū.

No laila, ʻaʻole kēia he mea e lawe māmā ʻia. Akā, mai hopohopo, ua hoʻolālā ʻia nā lāʻau lapaʻau a mākou e kamaʻilio nei i kēia manawa e pale aku i kēia mau mea.

Pehea e mālama ʻia ai ka Rh Incompatibility? Pono anei mākou e makaʻu?

I kēia manawa, ke manaʻo nei paha ʻoe i kahi makaʻu iki ke lohe ʻoe e pili ana i kēia. Akā, ʻo ka nūhou maikaʻi , aia i kēia manawa nā lāʻau lapaʻau maikaʻi loa a kūpono hoʻi e hiki ke pale loa i nā pilikia weliweli e hiki mai ana ma muli o kēia kūlana i kapa ʻia ʻo `(Rh Incompatibility)`. No laila, ʻaʻohe kumu e makaʻu ai a hopohopo paha. ʻO ka mea nui loa, ʻo ia ke lawe i ka ʻōlelo aʻo lapaʻau i ka manawa kūpono a hana e like me kā lākou e ʻōlelo ai.

Lāʻau Palekana Rh Immune-Globulin: ʻO kēia kā mākou mea pale nui

Inā hoʻoholo nā kauka he pilikia ka makuahine hāpai i ka Rh incompatibility (ʻo ia hoʻi, inā he Rh-negative ka makuahine a he Rh-positive ka makuakāne, a inā ʻaʻole ʻike ʻia ka Rh factor o ka makuakāne), e hāʻawi lākou i ka makuahine i kahi injection kūikawā i kapa ʻia ʻo Rh immune -globulin. ʻO kēia ke koa o kēia moʻolelo. Hāʻawi pinepine ʻia kēia injection i ʻelua mau mahele, i ka manawa kūpono, i ka wā hāpai mua:

• ʻO ka maʻamau, hāʻawi ʻia ka lāʻau pale mua ma kahi o 28 mau pule o ka hāpai ʻana. ʻO kēia ka manawa e hoʻomaka ai ke koko o ka makuahine a me ke pēpē e hui iki.
• Hāʻawi ʻia ka lua o ka inikini i loko o 72 mau hola o ka hānau ʻana o ka pēpē. He mea nui loa kēia no ka mea ʻo ke koko ka mea e hui pū ʻia i ka wā hānau.

Hana kēia lāʻau pale `(Rh immune-globulin)` e like me ka lāʻau pale , akā me kahi ʻokoʻa iki. ʻO ka hana a kēia, ʻo ia ke pale loa i ke kino o ka makuahine mai ka hoʻomohala ʻana i kēlā mau `( antibodies )` weliweli Rh i ʻōlelo ʻia ma mua. Ua like ia me ke kūkulu ʻana i kahi pā pale ma mua o ka hiki ʻana mai o ka ʻenemi. Hiki i kēia ke pale aku i nā pilikia olakino e loaʻa paha i ka pēpē hānau hou, a inā ʻoe e kali ana i kahi keiki ʻē aʻe i ka wā e hiki mai ana, he pale maikaʻi loa kēia i ka wā hāpai.

E hoʻomanaʻo, inā loaʻa i kahi makuahine kahi hāʻule ʻana o ka ʻōpū, kahi amniocentesis , a i ʻole kekahi ʻano kahe koko ʻē aʻe i ka wā hāpai, e hāʻawi mau nā kauka iā ia i kahi mahele o kēia lāʻau pale Rh immune-globulin. Inā he wahi liʻiliʻi o ka pilikia o ka hoʻomohala ʻana i nā antibodies, e hoʻopau pū i kēlā.

He aha ka mea e hana ai inā ua hoʻokumu mua ʻia nā antibodies i loko o ke kino o ka makuahine?

E noʻonoʻo, i kekahi manawa, malia paha no ka mea ʻaʻole i hāʻawi ʻia kēia lāʻau pale i ka manawa kūpono i ka hāpai ʻana ma mua, a i ʻole no kekahi kumu ʻē aʻe, ʻike ke kauka ua loaʻa i kahi makuahine ka Rh `(antibodies)` i loko o kona kino. He aha kāu e hana ai? Mai hopohopo, aia kekahi lāʻau no kēlā. Inā hana ʻia kēlā, e nānā pono ʻia ka makuahine a me ka pēpē me ka nānā kūikawā i ka wā hāpai. ʻO ka mea nui e ʻike inā piʻi nui ka pae `(antibodies)` i loko o ke koko o ka makuahine a inā pili ia i ka pēpē. Hoʻohana ʻia nā scans kūikawā a me nā hoʻāʻo koko no kēia.

He mea kākaʻikahi loa, inā ua koʻikoʻi ka kūlike ʻole e hoʻoweliweli i ka pēpē, pono paha i ka pēpē ke loaʻa nā hoʻoili koko kūikawā. Ua kapa ʻia kēia he mau hoʻoili koko hoʻololi . Inā hana ʻia kēia ma mua o ka hānau ʻana o ka pēpē (i loko o ka ʻōpū), ua kapa ʻia ʻo ia he mau hoʻoili koko intrauterine fetal.) ʻAe, hiki ke hana ʻia ma hope o ka hānau ʻana. ʻO kēia "hoʻololi hoʻoili" e wehe i ke koko mai ke kino o ka pēpē i hōʻino ʻia e kēlā mau "antibodies" a hoʻololi iā ia me ke koko i loaʻa nā ʻulaʻula koko olakino, "Rh-negative". Hoʻopaʻa kēia i ka helu o nā ʻulaʻula koko o ka pēpē, a hoʻemi pū i ka pōʻino i ka pēpē mai nā "antibodies" o ka makuahine i loko o ke koko o ka pēpē.

Akā, ke haʻi hou nei au, ma muli o ka holomua kupaianaha o kēia lāʻau pale `(Rh immune-globulin)`, he kakaikahi loa nā hihia o `(exchange transfusions)` e hana ʻia nei i kēia mau lā. Ma Sri Lanka pū kekahi, ua hoʻohana pono ʻia kēia lāʻau pale, ma aneane kēlā me kēia haukapila, no laila hiki iā mākou ke hilinaʻi nui iā ia.

He aha hou aʻe kāu e ʻike ai e pili ana i kēia?

Inā manaʻo ʻoe ua hāpai ʻoe akā ʻaʻole ʻoe i ʻike i kāu kumu Rh, ʻo ka mea nui loa, ʻaʻole ia e hopohopo, akā e ʻike i kāu kauka ʻohana a i ʻole ke kauka hānau keiki i ka wā hikiwawe loa a hoʻomaka i ka mālama kūpono ma ka wā hāpai . E komo pū ana kēia me ka nānā ʻana i kou ʻano koko a me ka kumu Rh. ʻO kēia ka hana mua.

Inā ʻike ʻoe i ke kūlana i kapa ʻia ʻo `(Rh Incompatibility)` i ka wā mua a loaʻa iā ʻoe ka lāʻau lapaʻau e pono ai, ʻoiai ka lāʻau pale `(Rh immune-globulin)` i ka manawa kūpono , hiki iā ʻoe ke hoʻomākaukau e hoʻokipa i kāu pēpē i kēia ao me ke olakino, me ka makaʻu ʻole a me ke kānalua ʻole. No laila, ʻo ka ʻike ʻana i kēia a me ka hoʻomaopopo pono ʻana i ka ʻike e lilo ia i mea ikaika nui nou.

E kamaʻilio ākea me kāu kauka e pili ana i kēia. Mai makaʻu a kānalua paha e nīnau i kekahi mau nīnau a hopohopo paha āu e loaʻa ai. Mai noʻonoʻo i nā mea e like me, 'He mea kūpono anei kēia e nīnau ai?' a i ʻole 'He aha ka manaʻo o ke kauka?' Aia lākou ma laila e kōkua iā ʻoe a me kāu pēpē, e aʻo iā ʻoe. ʻO ka nui o nā nīnau āu e nīnau ai, ʻo ka nui o kou maopopo. He mea maikaʻi ia nou a me kāu pēpē.

No laila, eia nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai (Leka Lawe-Home):

ʻAʻole ia he mea e makaʻu ai i ka Rh incompatibility, hiki ke mālama ʻia a pale ʻia!

• E ʻike i kou ʻano koko a me ka Rh factor: He mea nui loa ia e ʻike i kēia ma mua o kou hāpai ʻana a i ʻole i ka hoʻomaka ʻana o kou hāpai ʻana. ʻO kēia ka hana mua.
• E makaʻala loa inā he `(Rh-negative)` ka makuahine a he `(Rh-positive)` ka makuakāne: ʻO kēia ka manawa e komo mai ai ka pilikia o `(Rh Incompatibility)`. E haʻi i kāu kauka e pili ana i kēia.
• E hilinaʻi i ka lāʻau pale `(Rh immune-globulin)`: ʻO kēia lāʻau pale ka mea nui loa e pale aku iā ʻoe a me kāu pēpē. E hōʻoia e loaʻa iā ia i ka wā e kuhikuhi ai kāu kauka.
• ʻOiai ʻaʻole i hoʻopilikia pinepine ʻia ka pēpē mua, hiki ke hoʻopilikia ʻia nā keiki ma hope: no laila pono e noʻonoʻo hou ʻia kēia me kēlā me kēia hāpai ʻana. ʻOiai inā ua loaʻa iā ʻoe ka lāʻau pale ma mua, pono ʻoe e loaʻa hou i kēia manawa.
• E haʻi i kāu kauka inā ua loaʻa iā ʻoe nā hāʻule mua, nā hāpai ectopic, a i ʻole ke kahe koko: He mea nui loa kēia ʻike i kāu kauka , no ka mea hiki i kēia mau mea ke hana i nā antibodies.
• E hahai pono i nā ʻōlelo a kāu kauka a i ka manawa kūpono: ʻO kēia ka mea nui loa. E kiʻi i nā hoʻokolohua a kāu kauka e haʻi aku ai iā ʻoe e hana, e kiʻi i nā lāʻau pale i ka wā e ʻōlelo ai lākou e hana, a e hoʻolohe i kā lākou ʻōlelo.
• Mai makaʻu e nīnau i nā nīnau: E kamaʻilio me kāu kauka e pili ana i nā mea āpau e noʻonoʻo ana ʻoe. ʻO ka ʻike nui aʻe āu e loaʻa ai, ʻo ka ʻoluʻolu hoʻi ʻoe.

No laila, ke lana nei koʻu manaʻo he mea pono loa kēia ʻike nou. ʻO kahi makuahine olakino a hauʻoli a me ka pēpē wale nō ka manaʻolana no kākou a pau! Nā manaʻolana maikaʻi loa iā ʻoe!

ʻO ka kūlike ʻole o Rh, hāpai keiki, kumu Rh, Rh immune-globulin, nā antibodies, olakino o ka pēpē, ʻano koko