Ntawm ntau qhov kev kuaj ntshav uas koj tau txais thaum koj cev xeeb tub thawj zaug, tej zaum koj yuav tau ntsib lo lus 'Rh factor'. Tab sis ntau tus neeg tsis muaj lub tswv yim meej txog nws yog dab tsi tiag tiag thiab vim li cas nws thiaj li tseem ceeb. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no yog tias koj hom ntshav yog ' Rh negative '. Yog li hnub no, cia peb tham txog nws yooj yim thiab meej, tsis muaj kev ntshai lossis kev ua xyem xyav.
Cia peb xub saib seb, qhov Rh Factor no yog dab tsi?
Hais yooj yim xwb, qhov Rh factor yog ib qho protein tshwj xeeb uas tej zaum yuav muaj lossis tsis muaj nyob rau ntawm qhov chaw ntawm peb cov qe ntshav liab. Xav txog peb cov qe ntshav liab zoo li cov pob me me. Ib txhia neeg muaj cov protein no lo rau lawv cov pob. Lwm tus tsis muaj.
Yog tias koj muaj cov protein no hauv koj cov ntshav, koj yog Rh positive . Feem ntau ntawm cov pej xeem hauv ntiaj teb, kwv yees li 85%, yog Rh positive. Yog tias koj tsis muaj cov protein no hauv koj cov ntshav, koj yog Rh negative . Qhov no tsis yog kab mob lossis qhov tsis zoo. Nws tsuas yog ib yam dab tsi uas peb tau txais los ntawm peb niam peb txiv.
Vim li cas qhov kev kuaj no thiaj tseem ceeb thaum cev xeeb tub?
Thaum koj paub tias koj cev xeeb tub, ib qho ntawm thawj qhov kev kuaj uas koj tus kws kho mob yuav ua yog kev kuaj Rh factor. Qhov no tsuas yog kev kuaj ntshav ib txwm muaj xwb, yog li nws yuav tsis ua rau koj lossis koj tus menyuam raug mob. Cov txiaj ntsig ntawm qhov kev kuaj no yuav txiav txim siab seb yuav ua li cas tom ntej.
Cia peb saib lub rooj no kom nkag siab qhov no kom meej.
| Cov txiaj ntsig ntawm koj daim ntawv qhia kev xeem | Yuav muaj dab tsi tshwm sim tom ntej? |
|---|---|
| Rh zoo | Tsis muaj teeb meem. Koj tsis tas yuav ua lwm yam kev sim ntxiv rau qhov no. Koj tsis tas yuav ntshai dab tsi li. |
| Rh tsis zoo | Muaj ib qho kev pheej hmoo me me ntawm no. Yog li koj tus kws kho mob yuav ua lwm qhov kev kuaj. Nws hu ua 'kev tshuaj ntsuam antibody.' Nws kuaj xyuas seb koj lub cev puas tau tsim cov tshuaj tiv thaiv tawm tsam cov ntshav Rh positive. |
Qhov teeb meem uas tshwm sim thaum leej niam Rh negative muaj tus menyuam Rh positive (Rh Incompatibility)
Nov yog qhov tseeb uas tshwm sim. Yog tias koj yog Rh negative, tab sis koj tus txiv yog Rh positive, muaj feem ntau uas tus menyuam uas koj yuav muaj yuav yog Rh positive. Nov yog thaum peb tham txog ib qho mob hu ua 'Rh Incompatibility'.
Hais yooj yim xwb, thaum ib leej niam uas muaj Rh negative muaj ib tug menyuam uas muaj Rh positive nyob hauv nws lub tsev menyuam, yog tias cov ntshav ntawm leej niam thiab tus menyuam sib xyaw ua ke, lub cev ntawm leej niam yuav paub tias cov qe ntshav liab ntawm tus menyuam yog 'yeeb ncuab'. Tom qab ntawd nws pib tsim cov tshuaj tua kab mob los tawm tsam 'yeeb ncuab' ntawd. Qhov no yog qhov peb hu ua 'Rh sensitization' .
Tiam sis tsis txhob ntshai ntawm no. Feem ntau, qhov no yuav tsis ua rau muaj kev phom sij ntau rau tus menyuam thawj zaug. Vim tias cov ntshav ntawm leej niam thiab tus menyuam feem ntau yuav sib xyaw thaum yug menyuam. Qhov ntawd txhais tau tias cov tshuaj tiv thaiv kab mob pib tsim tom qab tus menyuam yug los.
Tiam sis, qhov teeb meem tshwm sim thaum cev xeeb tub tom ntej. Thaum koj lub cev tau tsim cov tshuaj tiv thaiv no, lawv yuav nyob ntawd mus ib txhis. Lub sijhawm tom ntej uas koj nqa tus menyuam Rh zoo hauv koj lub tsev menyuam, cov tshuaj tiv thaiv uas tau tsim ua ntej yuav pib tawm tsam cov qe ntshav liab ntawm tus menyuam tshiab hauv lub tsev menyuam. Qhov no tuaj yeem ua rau tus menyuam muaj tus mob hu ua 'Rh kab mob' . Hauv qhov xwm txheej no, cov qe ntshav liab ntawm tus menyuam raug rhuav tshem sai dua li lub cev tuaj yeem ua rau lawv. Qhov no tseem hu ua hemolytic anemia . Qhov no tuaj yeem ua rau tus menyuam muaj kev phom sij heev, thiab tuaj yeem ua rau tuag taus.
Muaj feem ntau npaum li cas uas cov ntshav ntawm leej niam thiab tus menyuam yuav sib xyaw?
Qhov no feem ntau tshwm sim thaum yug menyuam, tab sis nws kuj tuaj yeem tshwm sim rau lwm lub sijhawm.
- Thaum ua qhov kev kuaj xws li amniocentesis (kev kuaj uas siv me ntsis ntawm cov kua amniotic nyob ib puag ncig tus menyuam hauv plab) lossis chorionic villus sampling (CVS) (kev kuaj uas siv ib daim me me ntawm lub placenta).
- Yog tias koj muaj kev los ntshav ntawm qhov chaw mos thaum cev xeeb tub.
- Yog koj muaj xwm txheej lossis raug mob hnyav rau lub plab thaum cev xeeb tub.
- Thaum tus me nyuam nyob rau hauv txoj hauj lwm breech , tus kws kho mob sim tig tus me nyuam los ntawm kev tuav tus me nyuam lub plab.
- Yog tias muaj kev rho menyuam, cev xeeb tub ectopic , lossis rho menyuam tshwm sim.
Tsis txhob txhawj, muaj ib qho kev daws teeb meem zoo heev rau qhov no!
Tej zaum koj yuav ntshai thaum koj hnov cov no. Tab sis yeej tsis muaj laj thawj yuav ntshai. Vim tias nrog kev nce qib ntawm kev kho mob, tam sim no muaj ib qho kev daws teeb meem yooj yim thiab zoo rau qhov no.
Yog koj tus kws kho mob txiav txim siab tias koj yog Rh negative thiab koj tus menyuam yog Rh positive, nws yuav muab koob tshuaj hu ua Rh Immunoglobulin (RhIG) rau koj li ntawm 28 lub lis piam ntawm koj cev xeeb tub. Koob tshuaj no tiv thaiv koj lub cev kom tsis txhob tsim cov tshuaj tua kab mob txaus ntshai no.
Txawm tias tom qab tus menyuam yug los lawm los xij, yog tias tus menyuam cov ntshav yog Rh positive, koj yuav tau txhaj tshuaj dua hauv 72 teev. Yog tias koj cev xeeb tub dua, koj yuav tsum tau txhaj tshuaj no thaum lub sijhawm ntawd thiab. Qhov no yog ib txoj kev nyab xeeb thiab zoo heev.
Yog tias koj muaj cov xim av thaum cev xeeb tub, tshwj xeeb tshaj yog tias koj yog Rh negative, qhia rau koj tus kws kho mob tam sim ntawd . Nws yuav muab lwm koob tshuaj RhIG rau koj yog tias tsim nyog.
Yog tias koj twb muaj cov tshuaj tiv thaiv kab mob lawm ces ua li cas?
Tsis tshua muaj, tej zaum vim koj tsis tau txhaj tshuaj tiv thaiv RhIG thaum cev xeeb tub dhau los, koj lub cev yuav twb muaj cov tshuaj tiv thaiv Rh lawm. Yog tias qhov ntawd yog qhov tseeb, tshuaj tiv thaiv RhIG yuav tsis pab. Tab sis tsis txhob txhawj. Yog tias qhov ntawd yog qhov tseeb, koj tus kws kho mob yuav saib xyuas koj thiab koj tus menyuam ze. Muaj ib txhia menyuam mos xav tau kev hloov ntshav tom qab yug los. Tsis tshua muaj, cov ntshav raug muab thaum koj tseem nyob hauv plab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Rh factor yog ib qho protein uas nyob rau saum npoo ntawm cov qe ntshav liab. Yog tias koj tsis muaj nws, koj yog Rh negative. Qhov no tsis yog ib yam kab mob.
- Yog tias koj yog Rh negative, qhov teeb meem tsuas yog thaum cev xeeb tub yog tias koj tus menyuam yog Rh positive.
- Tshuaj tiv thaiv kab mob Rh immunoglobulin (RhIG) yog ib txoj hauv kev nyab xeeb thiab zoo heev los tiv thaiv koj lub cev kom tsis txhob tsim cov tshuaj tiv thaiv kab mob uas ua rau koj tus menyuam raug mob.
- Ua raws li koj tus kws kho mob cov lus qhia, mus koom cov chaw kho mob uas tau teem sijhawm, thiab txhaj tshuaj tiv thaiv kab mob RhIG thaum pom zoo.
- Yog tias koj yog leej niam Rh negative thiab pom muaj ntshav thaum cev xeeb tub, hu rau koj tus kws kho mob tam sim ntawd .
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus