Nā mea e pono ai ʻoe e ʻike e pili ana i ka lāʻau pale lāʻau RhO [D] Antibody (RhO [D] Immune Globulin)!

Inā he ʻano koko ʻole kou ʻano koko a he ʻano koko maikaʻi ʻole ke ʻano koko o kāu pēpē i hānau ʻole ʻia, a i ʻole inā pono ʻoe e loaʻa i kahi hoʻoili koko maikaʻi ʻole, e haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi lāʻau lapaʻau kūikawā, he lāʻau pale. ʻO ia ka lāʻau pale i kapa ʻia ʻo 'RhO [D] Immune Globulin'. ʻOiai he paʻakikī iki ka inoa, he lāʻau lapaʻau koʻikoʻi loa kēia. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku , ma nā ʻōlelo maʻalahi, ʻeā?

He aha kēia RhO [D] Immune Globulin?

I ka ʻōlelo maʻalahi, he lāʻau pale kēia nona kahi ʻano antibody kūikawā. Hana ʻia kēia mau antibodies e hana kūʻē i ka antigen i kapa ʻia ʻo RhO [D]. E noʻonoʻo e like me ka ʻōnaehana pale ponoʻī o ko mākou kino. Akā ʻo ka mea e hana nei ma ʻaneʻi, ʻo nā antibodies i hāʻawi ʻia mai waho e pale i ko mākou kino mai ka hana ʻana i kekahi mau antibodies ʻino. Hāʻawi pinepine ʻia kēia e pale i ka poʻe Rh maikaʻi ʻole mai ka hoʻopili ʻana i nā hunaola koko Rh maikaʻi.

Āhea e pono ai kēia lāʻau pale?

He mea nui loa kēia lāʻau pale ma kekahi mau kūlana nui.

1. He makuahine Rh maikaʻi ʻole a he keiki Rh maikaʻi

ʻO kēia ka hoʻohana maʻamau o kēia lāʻau pale. E noʻonoʻo, ʻo ke ʻano koko o ka makuahine he 'Rh' maikaʻi ʻole. ʻO ia hoʻi, ʻaʻole i loaʻa i nā hunaola koko ʻulaʻula o ka makuahine ka protein kūikawā ʻo 'Rh'. Akā, ʻo ke ʻano koko o ka pēpē i loko o ka ʻōpū he 'Rh' maikaʻi. ʻO ia hoʻi, loaʻa i nā hunaola koko ʻulaʻula o ka pēpē kēlā protein 'Rh'.

I ka wā hānau keiki, ka hāʻule ʻana o ka hāpai keiki, a i ʻole no kekahi kumu ʻē aʻe i ka wā hāpai (no ka laʻana, i ka wā o kahi hoʻāʻo e like me ka amniocentesis), hiki i kekahi o nā hunaola koko Rh-positive o ka pēpē ke komo i loko o ka ʻōnaehana koko Rh-negative o ka makuahine. ʻO ka mea e hana ʻia, ʻike ke kino o ka makuahine i nā hunaola Rh-positive o kēia pēpē he "haole" a hoʻomaka e hana i nā antibodies (anti-RhD antibodies) e kūʻē iā lākou. Ua kapa ʻia kēia ʻo Rh sensitization.

ʻAʻole pinepine kēia i ka hopena nui i ka pēpē 'Rh' maikaʻi mua. No ka mea, i ka manawa e hoʻokumu ʻia ai kēlā mau antibodies, hiki ke hānau ʻia ke pēpē. Eia naʻe, aia ka pilikia i ka hāpai ʻana aʻe. Inā hāpai ka makuahine i kahi pēpē 'Rh' maikaʻi ʻē aʻe, hele kēlā mau antibodies i hana mua ʻia ma waena o ka placenta a hoʻomaka e luku i nā hunaola koko ʻulaʻula o ke pēpē hou. Hiki i kēia ke hana i ka anemia, jaundice, a i kekahi mau hihia koʻikoʻi, a hiki i ka make ʻana o ka pēpē. No ka pale ʻana i kēlā kūlana weliweli, hāʻawi ʻia nā makuahine 'Rh' maikaʻi ʻole i kēia lāʻau pale 'RhO [D] Immune Globulin' i ka wā hāpai (ma kahi o 28 mau pule) a ma hope o ka hānau ʻana (inā he 'Rh' maikaʻi' ke pēpē). Hoʻōki kēia lāʻau pale i ke kino o ka makuahine mai ka hana ʻana i kēlā mau antibodies weliweli.

2. ʻO ka Idiopathic Thrombocytopenic Purpura (ITP)

ʻO kēia kekahi kūlana kūikawā ʻē aʻe. ʻO ka 'ITP', ma ka ʻōlelo maʻalahi, he maʻi kahi e emi ai nā platelets (nā cell e kōkua ana i ke kāohi ʻana i ke kahe koko a me ke kāpili ʻana i ke koko) i loko o ko kākou koko me ke kumu ʻole. I kēia hihia, kōkua kēia lāʻau pale `RhO [D] Immune Globulin` i ka hoʻonui ʻana i ka helu platelet i kekahi mau maʻi `Rh` maikaʻi `(ITP)`. Eia naʻe, ʻaʻole hāʻawi ʻia kēia i kēlā me kēia maʻi `ITP`, hoʻoholo ʻia e ke kauka.

3. Inā hāʻawi ʻia kahi hoʻoili koko Rh maikaʻi i kahi kanaka Rh maikaʻi ʻole

I nā hihia kakaikahi, inā loaʻa i kahi kanaka `Rh` maikaʻi ʻole ke koko `Rh` maikaʻi (e.g. ma kahi ulia, ma ke kuhihewa), e hoʻomaka paha ke kino o kēlā kanaka e hana i nā antibodies e kūʻē i nā cell `Rh` maikaʻi, e like me ka mea i ʻōlelo ʻia ma mua. Hoʻohana ʻia kēia lāʻau pale e pale aku i kēlā.

Ma waho aʻe o kēia mau kumu nui, hiki ke hoʻohana ʻia kēia lāʻau pale i kekahi mau kūlana olakino ʻē aʻe. Inā he mau nīnau kāu e pili ana i kēia, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.

He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka loaʻa ʻana o kēia lāʻau pale?

Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau pale `RhO [D] Immune Globulin` iā ʻoe, he mea nui loa ia e hoʻomaopopo ʻia ka hui lapaʻau i kekahi mau ʻike koʻikoʻi e pili ana i kou kūlana olakino. No ka mea, ʻo kēlā ʻike e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a pehea e hāʻawi ʻia ai. Eia nā mea e pono e ʻōlelo ʻia:

• Inā he mau maʻi kahe koko kou (e like me ka hemophilia).
• Inā ua hōʻoia nā hoʻokolohua lapaʻau he haʻahaʻa nā pae o ka antibody immunoglobulin A (Immunoglobulin A a i ʻole IgA) i kou kino.
• Inā ʻaʻohe ou spleen (no ka laʻana, inā ua wehe ʻia ma ke ʻoki ʻana).
• Inā ua loaʻa iā ʻoe kahi hopena alerika i ka human immune globulin , kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā ​​​​mea hoʻomalu, ʻoiai inā he mea liʻiliʻi ia, e ʻoluʻolu e haʻi mai iā mākou.
• Inā ʻoe e hāpai ana i kēia manawa a i ʻole e hoʻāʻo nei e hāpai .
• Inā he makuahine hānai waiū ʻoe .

Ke ʻōlelo pololei ʻia kēia mau mea, hiki i ke kauka ke mālama iā ʻoe me ka palekana.

Pehea e hāʻawi ʻia ai kēia lāʻau pale iā ʻoe?

ʻO kēia lāʻau lapaʻau, i kapa ʻia ʻo 'RhO [D] Immune Globulin', ua hāʻawi ʻia ma ke ʻano he inikini. Hiki ke hāʻawi ʻia ma ke ʻano he 'inikini intramuscular' (no ka laʻana, i loko o ka lima a i ʻole ka puʻupuʻu) a i ʻole pololei i loko o kahi aʻa (inikini intravenous) . ʻO ke ʻano o ka hāʻawi ʻana ma muli o kou kūlana a me ka inoa inoa o ka lāʻau lapaʻau.

ʻO ka mea nui loa, ʻo ia ka hāʻawi wale ʻia ʻana o kēia lāʻau pale e kekahi loea lapaʻau i aʻo ʻia, ma ka haukapila a i ʻole ke keʻena lapaʻau . ʻAʻole ʻoe e ʻae ʻia e lawe i ka home a loaʻa.

Ke hāʻawi nei ʻoe i kēia i nā keiki?

E like me ka mea i ʻōlelo ʻia ma kēia ʻatikala, ʻaʻole i ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki, no laila pono ʻoe e kamaʻilio me kāu pediatrician e pili ana i ka hoʻohana ʻana iā ia ma kahi keiki ʻōpio.

He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdosage)

Inā manaʻo ʻoe a kānalua paha ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make kokoke loa a i ʻole ka lumi pilikia o ka haukapila no ka ʻōlelo aʻo.

No ʻoe wale nō kēia!

Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.

He aha kaʻu e hana ai inā e hala wau i ka lā i hoʻonohonoho ʻia no ka lāʻau pale?

He mea nui loa ka lawe ʻana i kēia lāʻau pale i ka manawa kūpono, ʻoiai no nā wahine hāpai. Inā poina ʻoe i kahi lāʻau, mai hopohopo a kāhea koke aku i kāu kauka a i ʻole ke kauka olakino. E haʻi aku lākou iā ʻoe i ka mea e hana ai ma hope.

He aha nā mea ʻē aʻe e hiki ai ke hana i ka launa pū ʻana me kēia lāʻau pale?

Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka pono o kēia lāʻau pale `RhO [D] Immune Globulin`. ʻO ke ʻano kēia, ke lawe pū ʻia kēia mau mea ʻelua, hiki ke hoʻemi ʻia ka hopena o kekahi, hoʻonui ʻia, a i ʻole he mau hopena ʻaoʻao paha.

• Nā lāʻau pale maʻi ola: ʻO kēia ka mea nui e hopohopo ai. Hiki i kēia `RhO [D] Immune Globulin` ke launa pū me nā lāʻau pale i loaʻa nā maʻi ola e like me ka measles, mumps, a me ka rubella. No laila, ma hope o ka loaʻa ʻana o kēia lāʻau pale `RhO [D]`, ʻaʻole kūpono ke loaʻa nā lāʻau pale maʻi ola no kahi o 3 mau mahina. Inā e loaʻa ana iā ʻoe kēlā lāʻau pale, e haʻi i kāu kauka ua loaʻa iā ʻoe kēia lāʻau pale `RhO [D]`.

ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā pilina āpau. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai.

Nā mea āu e makaʻala nui ai i ka wā e hoʻohana ai i kēia lāʻau pale:

Aia kekahi mau mea ʻē aʻe e pono ʻoe e makaʻala e pili ana i kēia lāʻau pale.

Hana ʻia mai ke koko kanaka

"Ua hana ʻia kēia lāʻau pale `RhO [D] Immune Globulin` mai ka plasma koko kanaka . No laila, ʻoiai he mea kakaikahi loa , aia paha kahi pilikia o ka hoʻoili ʻana i kekahi mau maʻi (e like me nā virus) ma o kēia. Eia naʻe, mai hopohopo e pili ana i kēia. No ka mea, ua hoʻokau ʻia nā mea hāʻawi koko a me nā ʻāpana koko i hoʻohana ʻia e hana i kēia lāʻau lapaʻau i nā hoʻāʻo koʻikoʻi loa. Eia kekahi, lawe ʻia nā ʻanuʻu like ʻole i ka wā o ke kaʻina hana e wehe a hoʻopau i nā virus. No laila, haʻahaʻa loa ka pilikia o ka hoʻoili ʻana i nā maʻi.""Eia naʻe, e ʻoluʻolu e kūkākūkā i kēia me kāu kauka no nā kikoʻī hou aku, me nā pilikia a me nā pono."

Ke kū'ē nei me nā lāʻau pale ola

E like me ka mea i ʻōlelo ʻia ma mua, inā ua hoʻonohonoho ʻia ʻoe e loaʻa i kahi lāʻau pale ola (e laʻa, ka lāʻau pale MMR) i loko o nā mahina 3 e hiki mai ana ma hope o ka loaʻa ʻana o kēia lāʻau pale `RhO [D] Immune Globulin`, e hōʻoia e haʻi i kāu kauka. ʻO kēia no ka mea hiki i nā antibodies i loko o kēia `RhO [D] Immune Globulin` ke hana me nā virus i loko o kēlā lāʻau pale a pale iā ʻoe mai ka loaʻa ʻana o ka palekana piha āu e pono ai mai ka lāʻau pale.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i kēia lāʻau pale?

E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau pale `RhO [D] Immune Globulin` ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole kēia e hana i nā kānaka āpau. ʻAʻole paha e loaʻa i kekahi poʻe nā hopena ʻaoʻao.

Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka:

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​he mea nui e ʻimi koke i ke kōkua lapaʻau, no ka mea, hiki iā lākou ke koʻikoʻi.

• Nā hōʻailona o nā maʻi ʻaleka `(nā hopena alerika)`:
• Puka mai nā ʻōhū ʻili, e like me ka eczema, a me ka maneʻo ma ke kino holoʻokoʻa.
• E ʻike ʻia nā kiko e like me ka hives.
• Ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu (hiki ke pilikia ka hanu ʻana).
• Inā pilikia ʻoe i ka hanu ʻana , ka hanu ʻana, a i ʻole ka manaʻo ua pio ka hanu.
• Inā ʻoe e ʻeha ana i ka umauma a i ʻole ka ʻūmiʻi , a inā paha e like me ka wikiwiki o ka paʻi ʻana o kou puʻuwai.
• Inā melemele kou mau maka a ʻili paha (jaundice) a ʻeleʻele paha kou mimi (he mau hōʻailona paha kēia o ka hōʻino ʻia o ke akepaʻa).
• ʻEha poʻo nui koke, luaʻi, ʻāʻī ʻoʻoleʻa, ʻike i ka mālamalama (hiki i kēia ke lilo i mau hōʻailona o kahi maʻi e like me ka meningitis, akā he mea kakaikahi loa ia).
• Ke koko haʻahaʻa, ka nawaliwali.

Nā hopena ʻaoʻao ʻaʻole pono ka lāʻau lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:

ʻO ka maʻamau, e emi ana kēia i loko o hoʻokahi a ʻelua paha lā, akā inā hoʻomau lākou a hōʻeha paha iā ʻoe, e haʻi i kāu kauka .

• Kuni (me ke anu iki paha).
• ʻEha, ʻulaʻula, pehu, a paʻakikī paha ma kahi i inikini ʻia .
• ʻEha poʻo (ʻoluʻolu).
• ʻEha kino, ʻeha ʻiʻo .
• Manaʻo luhi, luhi .

ʻAʻole kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe a mea hou paha, mai kānalua e nīnau i kāu kauka. Ma ʻAmelika Hui Pū ʻIa, hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma 1-800-FDA-1088.

Pehea e mālama ai i kēia lāʻau lapaʻau?

He mea kēia ʻaʻole pono ʻoe e hopohopo. No ka mea, ua hāʻawi ʻia ka lāʻau pale `RhO [D] Immune Globulin` iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau, ʻaʻole pono ʻoe e lawe i ka home a mālama paha. E mālama ʻia ia ma ka mahana kūpono a mālama pono ʻia e nā limahana lapaʻau.

ʻO ka mea hope loa, kekahi mau mea nui e hoʻomanaʻo

ʻAe, ke lana nei koʻu manaʻo ua maopopo iā ʻoe i kēia manawa ka lāʻau pale `RhO [D] Immune Globulin` a mākou i kamaʻilio ai. ʻOiai paha he kumuhana paʻakikī kēia, he mea maʻalahi loa ia ke maopopo iā ʻoe kona koʻikoʻi. E nānā hou kākou i nā kumu nui e pono ai kākou e hoʻomanaʻo:

• He mea palekana koʻikoʻi kēia lāʻau pale, ʻoiai no nā makuahine 'Rh' maikaʻi ʻole e manaʻo ana i kahi pēpē 'Rh' maikaʻi, i mea e pale ai i nā pilikia koʻikoʻi i nā hāpai ʻana e hiki mai ana.
• He mea pono nō hoʻi kēia lāʻau pale no nā kūlana ʻē aʻe e like me ka 'Idiopathic Thrombocytopenic Purpura (ITP)' a i nā hihia o nā hoʻoili koko 'Rh' kūlike ʻole.
• E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia, ma luna o ke kūʻai aku, kuʻuna, Ayurvedic, homeopathic), a me nā maʻi allergies āu e loaʻa ai ma mua o ka loaʻa ʻana o ka lāʻau pale .
• ʻOiai ua hana ʻia kēia lāʻau pale mai nā ʻāpana koko kanaka, ua lawe ʻia nā hana palekana āpau e hōʻemi i ka pilikia o ka hoʻoili ʻana i nā maʻi. No laila, mai makaʻu pono ʻole. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia a ʻike hou aku.
• Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, ʻoiai kekahi o nā hopena ʻaoʻao koʻikoʻi a mākou i kūkākūkā ai ma mua, e ʻimi koke i ke kōkua lapaʻau me ka hoʻokaʻulua ʻole.
• ʻOiai he lāʻau lapaʻau kēia i hāʻawi ʻia ma ka haukapila a i ʻole ke keʻena lapaʻau, ʻaʻole pono ʻoe e hopohopo e pili ana i ka mālama ʻana iā ia ma ka home.

He hōʻuluʻulu manaʻo wale nō kēia ʻatikala no ka lāʻau pale `RhO [D] Immune Globulin`. ʻAʻole i loko nā ʻike āpau. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau, mai kānalua e nīnau i kāu kauka, kauka lāʻau a i ʻole kekahi mea mālama ola kino ʻē aʻe. ʻO ka mea nui loa, ʻo ia ka ʻike e pili ana i kou olakino!

ʻO RhO [D] Immune Globulin, lāʻau pale Anti-D, Rh maikaʻi ʻole, Rh maikaʻi, hāpai keiki, hoʻoili koko, ITP