Mai hopohopo e pili ana i ka Rh Factor i ka wā hāpai! E ʻike pono kākou i ke ʻano o ia mea (Rh Factor)

Ma waena o nā hoʻāʻo koko he nui āu e loaʻa ai i kou wā hāpai mua, ua ʻike paha ʻoe i ka huaʻōlelo 'Rh factor'. Akā, ʻaʻole maopopo ka poʻe he nui i ke ʻano maoli o ia mea a me ke kumu he mea nui ia. He mea nui loa ia e ʻike i kēia inā ʻo kou ʻano koko he ' Rh maikaʻi ʻole '. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ia mea me ka maʻalahi a me ka maopopo, me ka makaʻu ʻole a me ke kānalua ʻole.

E nānā mua kākou, he aha kēia Rh Factor?

I ka ʻōlelo maʻalahi, ʻo ka Rh factor kahi protein kūikawā e kū nei paha ma luna o ko kākou mau hunaola koko ʻulaʻula a ʻaʻole paha. E noʻonoʻo i ko kākou mau hunaola koko ʻulaʻula e like me nā pōpō liʻiliʻi. Hoʻopili ʻia kēia protein i kekahi poʻe i ko lākou mau pōpō. ʻAʻole kekahi.

Inā loaʻa kēia protein i loko o kou koko, he Rh maikaʻi ʻoe. ʻO ka hapa nui o ka heluna kanaka o ka honua, ma kahi o 85%, he Rh maikaʻi. Inā ʻaʻohe ou protein i loko o kou koko, he Rh maikaʻi ʻole ʻoe. ʻAʻole kēia he maʻi a he kīnā paha. He mea ia a mākou e hoʻoilina ai mai ko mākou mau mākua mai.

No ke aha he mea nui kēia hoʻokolohua i ka wā hāpai?

Ke ʻike ʻoe ua hāpai ʻoe, ʻo kekahi o nā hoʻokolohua mua a kāu kauka e hana ai he hoʻokolohua Rh factor. He hoʻokolohua koko maʻamau wale nō kēia, no laila ʻaʻole ia e hōʻeha iā ʻoe a i kāu pēpē paha. ʻO nā hopena o kēia hoʻokolohua e hoʻoholo i ka mea e hana ai ma hope.

E nānā kākou i kēia papa e hoʻomaopopo pono ai i kēia.

ʻO ka pilikia e kū mai ana i ka wā e loaʻa ai i kahi makuahine Rh maikaʻi ʻole kahi pēpē Rh maikaʻi (Rh Incompatibility)

Eia ka mea e hana maoli nei. Inā ʻoe he Rh maikaʻi ʻole, akā he Rh maikaʻi kāu kāne, aia kahi manawa kūpono e lilo ka pēpē āu e loaʻa ai i Rh maikaʻi. ʻO kēia ka manawa a mākou e kamaʻilio ai e pili ana i kahi kūlana i kapa ʻia ʻo 'Rh Incompatibility'.

I ka ʻōlelo maʻalahi, ke loaʻa i kahi makuahine Rh maikaʻi ʻole kahi pēpē Rh maikaʻi i loko o kona ʻōpū, inā hui pū ke koko o ka makuahine a me ke koko o ke pēpē ma kekahi ʻano, ʻike ke kino o ka makuahine i nā hunaola koko ʻulaʻula o ke pēpē ma ke ʻano he 'ʻenemi'. A laila hoʻomaka ia e hana i nā antibodies e hakakā i kēlā 'ʻenemi'. ʻO kēia ka mea a mākou e kapa nei ʻo 'Rh sensitization' .

Akā, mai makaʻu ʻoe ma ʻaneʻi. ʻO ka maʻamau, ʻaʻole kēia e hōʻeha nui i ka pēpē mua. No ka mea, ʻo ke koko o ka makuahine a me ka pēpē ka mea e hui pū ai i ka wā hānau. ʻO ia hoʻi, hoʻomaka nā antibodies e hana ma hope o ka hānau ʻana o ka pēpē.

Akā, kū mai ka pilikia i ka wā hāpai aʻe. Ke hoʻomohala kou kino i kēia mau antibodies, aia mau lākou ma laila no ka wā pau ʻole. I ka manawa aʻe e hāpai ai ʻoe i kahi pēpē Rh maikaʻi i loko o kou ʻōpū, hoʻomaka kēlā mau antibodies i hoʻomohala mua ʻia e hoʻouka i nā hunaola koko ʻulaʻula o ka pēpē hou i loko o ka ʻōpū. Hiki i kēia ke kumu i ka pēpē e loaʻa i kahi maʻi i kapa ʻia ʻo 'maʻi Rh' . I kēia kūlana, ua luku ʻia nā hunaola koko ʻulaʻula o ka pēpē ma mua o ka hiki i ke kino ke hana iā lākou. Ua kapa ʻia hoʻi kēia he anemia hemolytic . Hiki i kēia ke lilo i mea weliweli loa no ka pēpē, a hiki ke hoʻoweliweli i ke ola.

He aha nā manawa kūpono e hui pū ai ke koko o ka makuahine a me ke koko o ke pēpē?

Hana pinepine kēia i ka wā hānau keiki, akā hiki ke hana ʻia i nā manawa ʻē aʻe.

• I ka wā e hana ai i nā hoʻokolohua e like me ka amniocentesis (kahi hoʻokolohua kahi e lawe ʻia ai kahi liʻiliʻi o ka wai amniotic e hoʻopuni ana i ka pēpē i loko o ka ʻōpū me kahi syringe) a i ʻole ka chorionic villus sampling (CVS) (kahi hoʻokolohua kahi e lawe ʻia ai kahi ʻāpana liʻiliʻi o ka placenta).
• Inā loaʻa iā ʻoe ke kahe koko ʻana o ka ʻōpū i ka wā hāpai.
• Inā loaʻa iā ʻoe kahi ulia a i ʻole kahi hahau nui i ka ʻōpū i ka wā hāpai.
• Ke noho ka pēpē i ke kūlana breech , hoʻāʻo ke kauka e hoʻohuli i ka pēpē ma ka paʻa ʻana i ka ʻōpū o ke pēpē.
• Inā loaʻa kahi hāʻule ʻana o ka ʻōpū, ka hāpai ʻana o ka ectopic , a i ʻole ka hoʻopau ʻana i ka ʻōpū.

Mai hopohopo, aia kahi hopena kūpono loa no kēia!

E makaʻu paha ʻoe ke lohe ʻoe i kēia mau mea. Akā, ʻaʻohe kumu maoli e makaʻu ai. No ka mea, me ka holomua o ka ʻepekema lapaʻau, aia i kēia manawa kahi hopena maʻalahi a kūpono hoʻi no kēia.

Inā hoʻoholo kāu kauka he Rh maikaʻi ʻole ʻoe a he Rh maikaʻi kāu pēpē, e hāʻawi ʻo ia iā ʻoe i kahi pana i kapa ʻia ʻo Rh Immunoglobulin (RhIG) ma kahi o 28 mau pule o kou hāpai ʻana. Mālama loa kēia pana i kou kino mai ka hana ʻana i kēlā mau antibodies weliweli.

ʻOiai ma hope o ka hānau ʻana o ka pēpē, inā he ʻano koko Rh maikaʻi ke ʻano o ke pēpē, e hāʻawi ʻia ʻoe i kahi pana hou i loko o 72 mau hola. Inā hāpai hou ʻoe, pono ʻoe e kiʻi i kēia pana i kēlā manawa pū kekahi. He ala palekana loa kēia a he hana pono loa hoʻi.

He aha inā ua loaʻa iā ʻoe nā antibodies?

He mea kākaʻikahi loa, malia paha no ka mea ʻaʻole ʻoe i loaʻa i ka lāʻau pale RhIG i ka wā hāpai mua, aia paha i kou kino nā antibodies Rh. Inā pēlā, ʻaʻole e kōkua ka lāʻau pale RhIG. Akā, mai hopohopo. Inā pēlā, e nānā pono ana kāu kauka iā ʻoe a me kāu pēpē. Pono kekahi mau pēpē i ka hoʻoili koko ma hope o ka hānau ʻana. He mea kākaʻikahi loa, hāʻawi ʻia ke koko i kou wā e noho ana i loko o ka ʻōpū.