Puas muaj kev tsis sib haum xeeb ntawm koj cov ntshav hom thiab koj tus menyuam? (Rh Incompatibility) Cia peb nrhiav seb nws yog dab tsi!

Thaum koj npaj txhij los ua niam, koj tus kws kho mob lossis tus kws pab yug menyuam yuav hais kom koj ua ntau yam kev kuaj mob. Ib qho ntawm thawj qhov kev kuaj mob thiab tseem ceeb tshaj plaws yog xyuas koj hom ntshav. Qhov no tsis yog tsuas yog xyuas koj pawg ntshav (xws li A, B, O, AB), tab sis kuj tseem muaj lwm yam, hu ua ' Rh factor '. Vim li cas koj xav tias qhov no tseem ceeb ua luaj? Koj paub dab tsi? Koj '(Rh factor)' qee zaum tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm tus menyuam hauv koj lub tsev menyuam. Yog li ntawd, nws yog ib qho tseem ceeb heev rau koj thiab koj tus menyuam kom paub meej txog qhov no thaum ntxov ntawm koj cev xeeb tub.

Rh Factor yog dab tsi? Cia peb nkag siab yooj yim.

Zoo, tam sim no cia peb saib seb qhov '(Rh factor)' no txhua tus neeg tab tom tham txog dab tsi. Xav txog tias cov qe ntshav liab hauv peb cov ntshav zoo li cov pob me me. Ib txhia neeg muaj ib qho protein tshwj xeeb, ib qho me me, ntawm qhov chaw ntawm cov qe ntshav liab no. Cov protein ntawd yog qhov peb hu ua '(Rh factor)'. Tsis yog txhua tus neeg muaj qhov no hauv lawv cov ntshav. Tab sis feem ntau ntawm cov neeg hauv ntiaj teb muaj cov protein no hauv lawv cov qe ntshav liab.

• Yog li ntawd, yog tias ib tug neeg muaj cov protein Rh no hauv lawv cov ntshav , peb hu lawv tias '(Rh-positive)' . Zoo li hais tias 'yog, nws muaj'.
• Nyob rau sab tes tod, yog tias ib tug neeg tsis muaj cov protein Rh no hauv lawv cov ntshav, peb hu lawv tias '(Rh-negative)' . Zoo li hais tias 'tsis yog, tsis yog'.

Tam sim no koj muaj qhov meej meej ntxiv me ntsis, puas yog? Hauv koj daim ntawv qhia txog cov ntshav, pawg ntshav muaj cov cim + lossis - xws li A+, B-, O+, thiab qhov no '(Rh factor)'. Qhov ntawd txhais tau tias tus neeg 'A positive' muaj hom ntshav A thiab kuj muaj Rh protein, thaum tus neeg 'B negative' muaj hom ntshav B thiab tsis muaj Rh protein.

Yog li ntawd, Rh tsis sib xws yog dab tsi?

Tam sim no koj muaj lub tswv yim zoo txog `(Rh factor)`. Yog li cia peb saib seb `(Rh Incompatibility)` yog dab tsi. Txawm hais tias qhov no yuav zoo li lo lus tsis meej pem me ntsis, nws yeej yooj yim heev. `(Rh Incompatibility)` yog ib qho mob uas tuaj yeem tshwm sim thaum `(Rh factor)` ntawm niam thiab txiv ntawm tus menyuam tsis zoo ib yam, zoo lossis tsis zoo, uas yog, lawv txawv ntawm ib leeg . Tshwj xeeb, peb tham txog qhov no ntau dua thaum niam yog `(Rh-negative)` thiab txiv yog `(Rh-positive)`.

Cia peb muab piv txwv los saib. Ces nws yuav meej dua.

Xav txog qhov xwm txheej yooj yim no. Muaj ib leej niam hu ua Nimali, uas nws cov ntshav hom yog '(Rh-negative)' (txhais tau tias nws tsis muaj cov protein ntawd hauv nws cov ntshav). Nws tus txiv, cia peb hais tias Kasun, uas nws cov ntshav hom yog '(Rh-positive)' (cov protein ntawd muaj nyob hauv nws cov ntshav).

Tam sim no Nimali thiab Kasunu tab tom yuav muaj menyuam, muaj feem ntau uas tus menyuam yuav tau txais tus cwj pwm '(Rh-positive)' los ntawm leej txiv.Qhov ntawd txhais tau tias tus menyuam cov ntshav yuav yog '(Rh-positive)'. Nco ntsoov, nws tsis yog txhua zaus tshwm sim, tab sis nws yuav tshwm sim ntau dua. Feem ntau hais tias kwv yees li ib nrab ntawm cov menyuam mos uas yug los ntawm niam '(Rh-negative)' thiab txiv '(Rh-positive)' yuav yog '(Rh-positive)'.

Yog li, leej niam (Nimali) yog `(Rh-negative)`, tab sis tus menyuam yog `(Rh-positive)`. Qhov no yog thaum peb tham txog `(Rh Incompatibility)`. Ntawd yog, `(Rh factor)` ntawm leej niam thiab tus menyuam yog txawv. Nws zoo li ob tug neeg nyob hauv tib lub tsev, tab sis lawv ob leeg nyiam sib txawv hom zaub mov. Muaj qhov tsis sib xws me ntsis.

Vim li cas tus menyuam thawj zaug feem ntau tsis ua li cas? Ces qhov teeb meem no tshwm sim li cas?

Tej zaum koj yuav xav tias, 'Zoo, yog li ntawd vim li cas tus menyuam thawj zaug thiaj tsis muaj teeb meem nrog qhov tsis sib xws li no?' Qhov ntawd yog qhov tseeb. Feem ntau, qhov '(Rh Incompatibility)' no yog teeb meem loj thaum niam cev xeeb tub thawj zaug, txhais tau tias nws tsis ua rau tus menyuam raug mob . Qhov laj thawj tseem ceeb rau qhov ntawd yog tias thaum cev xeeb tub, cov ntshav ntawm niam thiab tus menyuam raug sib cais. Txawm hais tias cov khoom noj khoom haus tau sib pauv los ntawm lub placenta, tus menyuam cov qe ntshav liab tsis tshua nkag mus rau hauv niam lub cev ntshav (uas yog, niam lub cev ntshav). Nws zoo li ib daim thaiv kev tiv thaiv.

Txawm li cas los xij, thaum tus menyuam yug los, uas yog, thaum lub sijhawm yug menyuam , muaj feem ntau uas cov ntshav ntawm leej niam thiab tus menyuam yuav sib xyaw me ntsis. Qhov no yog qhov ib txwm muaj. Yog tias tus menyuam cov ntshav '(Rh-positive)' (yog tias leej niam yog '(Rh-negative)') nkag mus rau hauv niam lub cev, niam lub cev tiv thaiv kab mob paub txog cov protein Rh hauv tus menyuam cov ntshav ua 'txawv teb chaws'. Ib yam li thaum cov kab mob lossis ib yam dab tsi uas ua rau muaj kev ua xua nkag mus rau hauv peb lub cev. Tom qab ntawd niam lub cev tiv thaiv kab mob pib tsim cov protein tiv thaiv tshwj xeeb hu ua '(antibodies)' tawm tsam cov protein Rh no. Cov '(antibodies)' no zoo li cov tub rog tau kawm. Lawv raug tsim los tawm tsam thiab rhuav tshem cov hlwb txawv teb chaws yog tias lawv rov qab los. Thaum cov '(antibodies)' no tau tsim, lawv nyob hauv niam lub cev, thiab yuav raug ua haujlwm yog tias muaj qee yam zoo li no tshwm sim dua.

Muaj lwm txoj hauv kev twg uas cov tshuaj tiv thaiv kab mob tuaj yeem tsim tau?

Muaj lwm txoj hauv kev uas cov '( cov tshuaj tiv thaiv )' no tuaj yeem tsim tau hauv lub cev ntawm leej niam '(Rh-negative), tsis yog thaum yug menyuam xwb. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no thiab:

• Yog tias koj tau txais ntshav '(Rh-positive)' hauv qhov xwm txheej ua ntej, tej zaum koj tsis tau raug kuaj xyuas kom zoo rau '(Rh factor)' thaum lub sijhawm ntawd.
• Yog tias koj tau muaj kev rho menyuam yav dhau los , cov ntshav hauv plab tuaj yeem nkag mus rau hauv niam lub cev thaum lub sijhawm rho menyuam.
• `(Kev xeeb tub tsis muaj zog)`Yog tias koj tau muaj cev xeeb tub ectopic (kev xeeb tub sab nraum lub tsev menyuam). Qhov no kuj yog ib qho mob txaus ntshai heev thiab kuj tuaj yeem ua rau muaj cov tshuaj tiv thaiv kab mob.
• Qee qhov kev kuaj mob uas ua thaum cev xeeb tub , xws li amniocentesis (kev kuaj uas tshem tawm me ntsis kua dej ntawm tus menyuam lub hnab amniotic), kuj tuaj yeem ua rau muaj me ntsis los ntshav.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias thaum muaj xwm txheej zoo li no, cov ntshav ntawm tus menyuam (lossis tus menyuam hauv plab) '(Rh-positive)' tuaj yeem nkag mus rau hauv lub cev ntawm leej niam thiab ua rau '(antibodies)' tsim.

Yog li ntawd, thaum twg tus menyuam thiaj muaj kev pheej hmoo? Nws loj npaum li cas?

Raws li tau hais ua ntej lawm, cov Rh `(antibodies)` uas tsim nyob rau hauv leej niam lub cev tsuas yog ua teeb meem thaum lub sijhawm cev xeeb tub zaum ob lossis tom qab ntawd ntawm leej niam . Tus menyuam thawj zaug feem ntau tsis raug mob, vim tias cov `(antibodies)` pib tsim thaum yug menyuam.

Xav txog ib leej niam (uas yog "(Rh-negative)" thiab tam sim no muaj "(antibodies)" hauv nws lub cev) tab tom nqa ib tug menyuam "(Rh-positive)" hauv nws lub tsev menyuam. Tom qab ntawd, cov "(antibodies)" Rh uas tau tsim ua ntej hauv niam lub cev thiab tau ceeb toom tuaj yeem paub cov protein Rh ntawm qhov chaw ntawm cov qe ntshav liab ntawm tus menyuam ua "txawv teb chaws, yeeb ncuab." Zoo li cov neeg zov. Tom qab ntawd cov "(antibodies)" no hla lub placenta thiab nkag mus rau hauv cov ntshav ntawm tus menyuam, thiab pib tawm tsam tus menyuam cov qe ntshav liab dawb huv.

Qhov no ua rau cov qe ntshav liab ntawm tus menyuam mos o, tawg, thiab raug rhuav tshem. Peb hu qhov mob no ua "kab mob hemolytic ntawm tus menyuam mos" lossis tsuas yog kab mob Rh. Qhov no tuaj yeem txo cov ntshav hauv tus menyuam lub cev (tshwj xeeb tshaj yog tus lej ntawm cov qe ntshav liab uas nqa oxygen). Qhov no txhais tau tias tus menyuam yuav muaj kab mob anemia . Qhov no tuaj yeem ua rau mob hnyav heev.

• Ib tug me nyuam mos muaj peev xwm mob daj ntseg hnyav, uas yog qhov daj ntawm lub qhov muag thiab daim tawv nqaij. Qhov no yog tshwm sim los ntawm ib yam khoom uas tsim tawm thaum cov qe ntshav liab tawg.
• Qhov no tuaj yeem cuam tshuam rau lub plawv, siab, thiab tus po ntawm tus menyuam. Qee zaum, lub plawv yuav tsis ua haujlwm.
• Hauv cov xwm txheej hnyav heev, tus menyuam tuaj yeem tuag hauv plab.

Yog li qhov no tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim. Tab sis, tsis txhob txhawj, cov kev kho mob uas peb yuav tham txog tam sim no yog tsim los tiv thaiv cov no.

Yuav kho tus mob Rh Incompatibility li cas? Peb puas yuav tsum ntshai?

Tam sim no koj yuav ntshai me ntsis thaum koj hnov ​​txog qhov no. Tiam sis, qhov xov xwm zoo yog tias tam sim no muaj cov kev kho mob zoo heev thiab muaj txiaj ntsig uas tuaj yeem tiv thaiv tau tag nrho cov teeb meem txaus ntshai uas tuaj yeem tshwm sim vim yog tus mob no hu ua '(Rh Incompatibility)'. Yog li ntawd, tsis muaj laj thawj yuav tsum ntshai lossis txhawj xeeb tsis tsim nyog. Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob raws sijhawm thiab ua raws li lawv hais.

Tshuaj Tiv Thaiv Kab Mob Rh Immune-Globulin: Qhov no yog peb txoj kev tiv thaiv tseem ceeb

Yog cov kws kho mob txiav txim siab tias leej niam cev xeeb tub muaj feem yuav muaj Rh tsis sib haum (uas yog, yog tias leej niam yog Rh-negative thiab leej txiv yog Rh-positive, lossis yog tias leej txiv tsis paub Rh factor), lawv yuav muab tshuaj txhaj tshwj xeeb rau leej niam hu ua Rh immune -globulin. Nov yog tus phab ej ntawm zaj dab neeg no. Feem ntau cov tshuaj txhaj no muab ob zaug, thaum lub sijhawm zoo, thaum cev xeeb tub thawj zaug:

• Feem ntau, thawj koob tshuaj tiv thaiv kab mob no yuav txhaj rau thaum cev xeeb tub li ntawm 28 lub lim tiam. Qhov no yog lub sijhawm uas cov ntshav ntawm leej niam thiab tus menyuam feem ntau yuav pib sib xyaw me ntsis.
• Qhov koob tshuaj thib ob yuav tsum tau txhaj rau hauv 72 teev tom qab tus menyuam yug los. Qhov no tseem ceeb heev vim tias cov ntshav feem ntau yuav sib xyaw thaum lub sijhawm yug menyuam.

Cov tshuaj tiv thaiv kab mob "(Rh immune-globulin)" no ua haujlwm zoo li cov tshuaj tiv thaiv , tab sis nws txawv me ntsis. Qhov no ua rau lub cev ntawm leej niam tsis txhob tsim cov tshuaj Rh "( antibodies )" uas tau hais ua ntej. Nws zoo li tsim ib phab ntsa tiv thaiv ua ntej tus yeeb ncuab tuaj. Qhov no tuaj yeem tiv thaiv cov teeb meem kev noj qab haus huv uas tus menyuam mos yuav muaj, thiab yog tias koj tab tom yuav muaj menyuam ntxiv yav tom ntej, qhov no kuj yuav yog kev tiv thaiv zoo thaum cev xeeb tub.

Nco ntsoov tias, yog leej niam poob cev xeeb tub, kuaj amniocentesis , lossis lwm yam kev los ntshav thaum cev xeeb tub, cov kws kho mob yuav muab tshuaj tiv thaiv Rh immune-globulin rau nws. Yog tias muaj kev pheej hmoo me ntsis ntawm kev tsim cov tshuaj tiv thaiv kab mob, tshem tawm qhov ntawd thiab.

Yuav ua li cas yog tias cov tshuaj tiv thaiv kab mob twb tau tsim nyob rau hauv lub cev ntawm leej niam lawm?

Xav txog, qee zaum, tej zaum vim tias cov tshuaj tiv thaiv no tsis tau muab rau lub sijhawm zoo hauv cev xeeb tub dhau los, lossis rau lwm yam laj thawj, tus kws kho mob pom tias leej niam twb tau tsim Rh '(antibodies)' hauv nws lub cev. Koj ua li cas ces? Tsis txhob txhawj, muaj kev kho rau qhov ntawd thiab. Yog tias qhov ntawd tshwm sim, leej niam thiab tus menyuam raug saib xyuas ze heev thiab nrog kev saib xyuas tshwj xeeb thoob plaws lub cev xeeb tub. Qhov tseem ceeb yog saib seb qib '(antibodies)' hauv leej niam cov ntshav nce siab txaus ntshai thiab puas cuam tshuam rau tus menyuam. Kev ntsuas tshwj xeeb thiab kev kuaj ntshav siv rau qhov no.

Tsis tshua muaj, yog tias qhov tsis sib haum xeeb hnyav txaus kom ua rau tus menyuam muaj kev pheej hmoo, tus menyuam yuav tsum tau hloov ntshav tshwj xeeb. Cov no hu ua kev hloov ntshav . Yog tias qhov no ua tiav ua ntej tus menyuam yug los (hauv plab), nws hu ua kev hloov ntshav hauv plab.) Yog, nws ua tau tom qab yug los. Qhov "hloov ntshav" no tshem cov ntshav ntawm lub cev ntawm tus menyuam uas tau raug puas tsuaj los ntawm cov "antibodies" thiab hloov nws nrog cov ntshav uas muaj cov qe ntshav liab "Rh-negative". Qhov no ua rau tus menyuam cov qe ntshav liab ruaj khov, thiab tseem txo qhov kev puas tsuaj rau tus menyuam los ntawm leej niam cov "antibodies" uas twb muaj nyob hauv tus menyuam cov ntshav.

Tiam sis, kuv rov hais dua, vim yog qhov ua tau zoo kawg nkaus ntawm cov tshuaj tiv thaiv kab mob '(Rh immune-globulin)' no, muaj tsawg tus neeg mob '(hloov pauv ntshav)' uas tau ua niaj hnub no. Hauv Sri Lanka thiab, cov tshuaj tiv thaiv kab mob no siv tau zoo heev, yuav luag txhua lub tsev kho mob, yog li peb tuaj yeem muaj kev ntseeg siab rau nws.

Muaj dab tsi ntxiv uas tseem ceeb rau koj paub txog qhov no?

Yog koj xav tias koj cev xeeb tub tab sis koj tsis paub koj tus Rh factor, qhov tseem ceeb tshaj plaws yog tsis txhob ntshai, tab sis mus ntsib koj tus kws kho mob lossis kws kho mob poj niam sai li sai tau thiab pib saib xyuas kev xeeb tub kom zoo . Qhov no yuav suav nrog kev kuaj xyuas koj cov ntshav hom thiab Rh factor. Qhov no yog thawj kauj ruam.

Yog koj paub txog tus mob hu ua "(Rh Incompatibility)" thaum ntxov thiab tau txais kev kho mob tsim nyog, tshwj xeeb tshaj yog txhaj tshuaj tiv thaiv "(Rh immune-globulin)" raws sijhawm , koj tuaj yeem npaj tos txais koj tus menyuam rau hauv lub ntiaj teb no kom noj qab nyob zoo, tsis muaj kev ntshai lossis kev ua xyem xyav tsis tsim nyog. Yog li ntawd, kev paub txog qhov no thiab kev nkag siab cov ntaub ntawv kom raug yuav yog lub zog zoo rau koj.

Tham nrog koj tus kws kho mob txog qhov no. Tsis txhob ntshai lossis ua siab deb nug cov lus nug lossis kev txhawj xeeb uas koj muaj. Tsis txhob xav txog tej yam xws li, 'Qhov no puas yog qhov zoo uas yuav nug?' lossis 'Tus kws kho mob yuav xav li cas?' Lawv nyob ntawd los pab koj thiab koj tus menyuam, los qhia koj. Cov lus nug ntau npaum li cas koj nug, koj yuav nkag siab ntau npaum li ntawd. Nws zoo rau koj thiab koj tus menyuam.

Yog li, ntawm no yog tej yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog (Cov Lus Coj Mus Tsev):

Qhov tsis sib haum xeeb ntawm Rh tsis yog ib yam dab tsi uas yuav tsum ntshai, nws tuaj yeem tswj hwm thiab tiv thaiv tau!

• Paub koj cov hom ntshav thiab Rh factor: Nws yog ib qho tseem ceeb heev uas yuav tsum paub qhov no ua ntej koj cev xeeb tub lossis thaum ntxov ntawm koj cev xeeb tub. Qhov no yog thawj kauj ruam.
• Yuav tsum ceev faj tshwj xeeb yog tias leej niam yog "(Rh-negative)" thiab leej txiv yog "(Rh-positive): Qhov no yog thaum muaj kev pheej hmoo ntawm "(Rh Incompatibility)" los txog. Qhia rau koj tus kws kho mob txog qhov no.
• Ntseeg siab rau cov tshuaj tiv thaiv kab mob '(Rh immune-globulin)': Cov tshuaj tiv thaiv kab mob no yog qhov tseem ceeb tshaj plaws uas tiv thaiv koj thiab koj tus menyuam. Nco ntsoov txhaj tshuaj thaum koj tus kws kho mob sau ntawv kom txhaj.
• Txawm hais tias thawj tus menyuam feem ntau tsis raug cuam tshuam, cov menyuam tom qab tuaj yeem raug cuam tshuam: yog li qhov no yuav tsum tau coj los xav dua nrog txhua zaus cev xeeb tub. Txawm tias koj tau txhaj tshuaj tiv thaiv kab mob ua ntej lawm los xij, koj yuav tsum tau txhaj dua lub sijhawm no.
• Qhia rau koj tus kws kho mob yog tias koj tau muaj kev rho menyuam yav dhau los, cev xeeb tub ectopic, lossis kev hloov ntshav: Cov ntaub ntawv no tseem ceeb heev rau koj tus kws kho mob , vim tias cov no tuaj yeem ua rau muaj cov tshuaj tiv thaiv kab mob.
• Ua raws li koj tus kws kho mob cov lus qhia kom raug thiab raws sijhawm: Qhov no yog qhov tseem ceeb tshaj plaws. Mus kuaj mob uas koj tus kws kho mob hais kom koj ua, mus txhaj tshuaj tiv thaiv kab mob thaum lawv hais tias lawv yuav ua, thiab mloog lawv hais li cas.
• Tsis txhob ntshai nug cov lus nug: Tham nrog koj tus kws kho mob txog txhua yam uas koj xav txog. Koj paub ntau npaum li cas, koj yuav xis nyob dua.

Yog li ntawd, kuv vam tias cov ntaub ntawv no yuav muaj txiaj ntsig zoo rau koj. Ib leej niam thiab menyuam uas noj qab nyob zoo thiab zoo siab yog tib txoj kev cia siab rau peb txhua tus! Xav kom koj muaj kev zoo siab!

Kev tsis sib haum xeeb ntawm Rh, cev xeeb tub, Rh factor, Rh immune-globulin, cov tshuaj tiv thaiv kab mob, kev noj qab haus huv ntawm tus menyuam, hom ntshav