Txhua tus niam thiab txiv zoo siab heev thaum lawv pom tias lawv tab tom yuav muaj menyuam . Tab sis tib lub sijhawm, kev ntshai me ntsis kuj los rau hauv koj lub siab, puas yog? Cov lus nug xws li 'Tus menyuam puas yuav noj qab nyob zoo?', 'Txhua yam puas yuav zoo?' tab tom khiav hauv koj lub siab. Tshwj xeeb tshaj yog tias koj hom ntshav yog 'Tsis zoo' thiab koj tus txiv hom ntshav yog 'Zoo', tej zaum koj yuav tau hnov txog qee yam hu ua 'Rh tsis sib xws'. Hnov qhov no yuav ua rau koj ntshai me ntsis. Tab sis tsis txhob txhawj kiag li. Cia peb tham txog txhua yam yooj yim thiab meej hnub no.
Tus yam ntxwv Rh yog dab tsi?
Zoo, ua ntej cia peb saib seb qhov Rh factor no yog dab tsi. Nws yooj yim heev. Nws yog ib qho protein tshwj xeeb nyob rau ntawm qhov chaw ntawm peb cov qe ntshav liab.
- Yog tias koj cov qe ntshav liab muaj cov protein no, koj hom ntshav yog Rh Positive (+) . Ib yam li cov neeg feem coob hauv Sri Lanka, hom ntshav ntawm feem coob ntawm lub ntiaj teb yog Rh Positive.
- Yog koj tsis muaj cov protein no hauv koj cov qe ntshav liab, koj hom ntshav yog Rh negative (-) .
Qhov teeb meem tsuas yog tshwm sim tau yog tias leej niam yog Rh Negative thiab tus menyuam yog Rh Positive . Yog tias leej niam yog Rh Positive, tsis muaj teeb meem txawm tias tus menyuam muaj hom ntshav dab tsi los xij. Ib yam li ntawd, yog tias leej niam thiab tus menyuam yog Rh Negative, tsis muaj teeb meem dab tsi. Qhov xwm txheej no tsis ua rau leej niam txoj kev noj qab haus huv puas tsuaj. Qhov cuam tshuam yog rau tus menyuam.
Kev tsis sib haum xeeb ua rau muaj teeb meem li cas?
Qhov no yooj yim to taub heev. Feem ntau, thaum cev xeeb tub, cov ntshav ntawm leej niam thiab tus menyuam tsis sib xyaw. Lawv raug cais los ntawm lub placenta.
Txawm li cas los xij, thaum lub sijhawm yug menyuam, tshwj xeeb tshaj yog thaum lub placenta sib cais, me ntsis ntawm cov ntshav ntawm tus menyuam tuaj yeem nkag mus rau hauv cov ntshav ntawm leej niam. Xav txog qhov no: leej niam yog Rh Negative. Qhov ntawd txhais tau tias nws tsis muaj Rh protein hauv nws lub cev. Tus menyuam yug los Rh Positive. Qhov ntawd txhais tau tias tus menyuam muaj Rh protein hauv nws cov ntshav.
Tam sim no, thaum qee tus menyuam cov ntshav Rh zoo nkag mus rau hauv niam lub cev, niam lub cev tiv thaiv kab mob pom cov protein Rh no ua tus neeg txawv teb chaws, tus neeg nkag teb chaws txaus ntshai. Zoo li tus kab mob uas ua rau muaj kab mob. Tom qab ntawd niam lub cev pib tsim cov tub rog tshwj xeeb, hu ua 'antibodies', los tawm tsam tus 'neeg nkag teb chaws' no.
Vim tias nws yuav siv sijhawm ntev rau cov tshuaj tiv thaiv no los tsim, thawj tus menyuam feem ntau tsis raug mob vim tias cov txheej txheem no pib tom qab nws yug los.
Txawm li cas los xij, qhov teeb meem tshwm sim hauv cev xeeb tub tom ntej. Lub cev ntawm leej niam tam sim no muaj cov tshuaj tiv thaiv kab mob tiv thaiv cov ntshav Rh zoo. Cov tshuaj tiv thaiv no tuaj yeem hla lub placenta thiab nkag mus rau hauv lub cev ntawm tus menyuam tom ntej.
Yog tus menyuam thib ob yog Rh Positive, cov tshuaj tiv thaiv kab mob no los ntawm lub cev ntawm leej niam yuav tawm tsam cov qe ntshav liab ntawm tus menyuam thiab pib rhuav tshem lawv. Peb hu qhov mob no tias 'Kab Mob Ntshav Ntawm Tus Menyuam Mos'.
| Hom ntshav ntawm niam | Hom ntshav ntawm tus menyuam | Kev cuam tshuam |
|---|---|---|
| Rh Zoo (+) | Rh Zoo los yog Rh Tsis Zoo | Tsis muaj teeb meem. |
| Rh Tsis Zoo (-) | Rh Tsis Zoo (-) | Tsis muaj teeb meem. |
| Rh Tsis Zoo (-) | Rh Zoo (+) | Tej zaum yuav muaj teeb meem tshwm sim (tshwj xeeb tshaj yog thaum cev xeeb tub zaum ob). |
Tej yam yuav ua rau tus menyuam mos muaj teeb meem dab tsi?
Vim tias leej niam cov tshuaj tiv thaiv kab mob ua rau cov qe ntshav liab ntawm tus menyuam puas tsuaj, tus menyuam tuaj yeem muaj ntau yam teeb meem kev noj qab haus huv.
- Kab mob ntshav tsis txaus (Anemia) : Cov ntshav ntawm tus menyuam mos txo qis vim yog kev puas tsuaj ntawm cov qe ntshav liab.
- Jaundice: Tus menyuam daim tawv nqaij thiab qhov muag tig daj vim yog ib yam khoom hu ua bilirubin, uas raug tso tawm los ntawm cov qe ntshav liab uas raug rhuav tshem.
- Cov mob hnyav: Hauv cov xwm txheej hnyav tshaj plaws, cov kabmob ntawm tus menyuam, xws li lub plawv thiab lub siab, yuav raug puas tsuaj, thiab tus menyuam yuav tuag hauv plab.
Qhov no ua rau kuv ntshai heev . Tiam sis qhov xov xwm zoo yog tias qhov teeb meem no yeej tiv thaiv tau zoo heev.
Kev daws teeb meem: Tshuaj tiv thaiv kab mob D (RhoGAM)
Nrog kev nce qib ntawm kev kho mob, tam sim no muaj ib qho kev daws teeb meem zoo heev rau qhov teeb meem Rh tsis sib xws no. Ntawd yog Anti-D immunoglobulin.Cov tshuaj tiv thaiv no feem ntau hu ua 'RhoGAM'.
Hais yooj yim xwb, cov tshuaj tiv thaiv kab mob Anti-D yuav ua rau cov qe ntshav liab Rh-positive uas tej zaum yuav nkag mus rau hauv niam lub cev los ntawm tus menyuam hauv plab ua ntej niam lub cev tiv thaiv kab mob 'sawv'. Qhov no tiv thaiv leej niam kom tsis txhob muaj cov tshuaj tiv thaiv kab mob txaus ntshai.
Cov tshuaj tiv thaiv kab mob no raug muab raws li lub sijhawm teem tseg.
1. Kwv yees li ntawm 28 lub lis piam ntawm cev xeeb tub: Yuav luag txhua tus niam uas muaj Rh negative tau txhaj tshuaj tiv thaiv kab mob Anti-D thaum lub sijhawm no. Qhov no yog kom tsis txhob muaj feem me me ntawm kev sib xyaw ntshav thaum cev xeeb tub.
2. Tsis pub dhau 72 teev tom qab yug me nyuam: Yog tias tus menyuam mos liab muaj hom ntshav Rh Positive, tus niam yuav tau txhaj tshuaj Anti-D dua.
3. Hauv lwm cov xwm txheej: Cov tshuaj tiv thaiv kab mob no yog qhov yuav tsum tau txhaj tom qab txhua qhov xwm txheej uas cov ntshav ntawm tus menyuam yuav nkag mus rau hauv niam lub cev, xws li kev rho menyuam, cev xeeb tub hauv plab, kev rho menyuam, lossis kev kuaj amniocentesis.
Cov tshuaj tiv thaiv kab mob hauv cov tshuaj tiv thaiv no tsis hla lub placenta thiab tsis ua rau tus menyuam raug mob. Yog li ntawd, nws muaj kev nyab xeeb heev.
Ob peb yam ntxiv uas yuav tsum nco ntsoov
Yuav txiav txim siab li cas txog hom ntshav ntawm tus menyuam?
Yog koj yog Rh Negative, koj tus menyuam yuav tau txais ib tug noob Rh Negative los ntawm koj. Seb tus menyuam puas yog Rh Positive lossis Negative nyob ntawm seb tus noob ntawd tau txais los ntawm leej txiv.
- Yog leej txiv yog Homozygous Positive (txhais tau tias nws tau txais cov noob Rh Positive los ntawm nws niam nws txiv ob leeg), tus menyuam kuj yuav tau txais cov noob zoo los ntawm nws. Yog li ntawd , tus menyuam yuav yog 100% Rh Positive.
- Yog leej txiv yog Heterozygous Positive (txhais tau tias nws muaj ib lub noob caj noob ces zoo thiab ib lub noob caj noob ces tsis zoo), tus menyuam muaj 50% feem pua ntawm kev tau txais ib lub noob caj noob ces zoo thiab 50% feem pua ntawm kev tau txais ib lub noob caj noob ces tsis zoo. Qhov no txhais tau tias tus menyuam muaj 50% feem pua ntawm kev yog Rh Positive.
Vim tias cov teeb meem caj ces no nyuaj me ntsis, koj tuaj yeem tham nrog koj tus kws kho mob kom piav qhia ntxiv txog qhov no.
Kev nkag siab yuam kev thiab qhov tseeb
Tej zaum ib txhia neeg yuav ntshai tshuaj tiv thaiv kab mob Anti-D vim nws yog ua los ntawm cov ntshav. Tab sis cov no yog tsim tom qab tau ntxuav kom huv si thiab ua pov thawj tias muaj kev nyab xeeb. Tsis tas li ntawd, koj yuav hnov zaj dab neeg zoo li, "Kuv tus phooj ywg muaj ob tug menyuam mos Rh Positive noj qab haus huv yam tsis tau noj Anti-D." Yog lawm, nws tuaj yeem tshwm sim tsawg heev. Tab sis nws zoo li kev pheej hmoo tsis tsim nyog, zoo li dhia mus rau hauv txoj kev yam tsis nrhiav tsheb khiav tuaj.
Qhov tseem ceeb tshaj plaws yog ua raws li cov lus qhia kho mob kom raug yam tsis muaj kev ntshai tsis tsim nyog txog qhov no.Koj tus kws kho mob yuav ua txhua yam kev kuaj mob uas tsim nyog rau koj, muab tshuaj tiv thaiv kab mob Anti-D rau koj thaum tsim nyog, thiab coj koj kom koj thiab koj tus menyuam muaj kev nyab xeeb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog tias koj cov ntshav hom yog Rh Negative thiab koj tus khub cov ntshav hom yog Rh Positive, nws yog ib qho tseem ceeb heev uas yuav tsum tau txais kev kho mob tshwj xeeb thaum cev xeeb tub.
- Feem ntau thawj zaug cev xeeb tub yeej muaj kev nyab xeeb. Tus menyuam Rh positive tom ntej uas cev xeeb tub yuav muaj feem ntau dua rau teeb meem.
- Qhov mob no tuaj yeem tiv thaiv tau zoo heev thiab muaj kev nyab xeeb nrog kev txhaj tshuaj tiv thaiv kab mob Anti-D (RhoGAM).
- Nws yog ib qho tseem ceeb heev uas yuav tsum tau txhaj tshuaj tiv thaiv kab mob no thaum koj cev xeeb tub tau 28 lub lis piam thiab tsis pub dhau 72 teev tom qab yug menyuam yog tias koj muaj tus menyuam Rh zoo.
- Tham nrog koj tus kws kho mob txog tej lus nug, kev ntshai, lossis kev tsis ntseeg uas koj muaj txog qhov no. Kev tau txais cov ntaub ntawv zoo yog txoj hauv kev zoo tshaj plaws los txo qhov kev ntshai tsis tsim nyog.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus