Maama Rh Negative, taata Rh Positive? Waliwo ekikosa omwana? (Rh Obutakwatagana)

Buli maama ne taata bawulira essanyu ery'ekitalo bwe bakizuula nti basuubira omwana . Naye mu kiseera kye kimu, okutya okutono nakyo kijja mu birowoozo, si bwe kiri? Ebibuuzo nga ‘Omwana anaaba mulamu bulungi?’, ‘Buli kimu kinaaba bulungi?’. zidduka mu birowoozo byo. Naddala singa omusaayi gwo guba ‘Negative’ ate ogwa balo nga guli ‘Positive’, oyinza okuba nga wali owuliddeko ekintu ekiyitibwa ‘Rh incompatibility’. Okuwulira bino kiyinza okukuleetera okutya katono. Naye teweeraliikiriranga n’akatono. Ka twogere ku buli kimu mu ngeri ennyangu era mu ngeri entegeerekeka leero.

Ensonga eno eya Rh kye ki?

Okay, ka tusooke tulabe ensonga eno eya Rh kye ki. Kyangu nnyo. Ye puloteyina ey’enjawulo ku ngulu w’obutoffaali bwaffe obumyufu.

• Singa obutoffaali bwo obumyufu buba ne puloteyina eno, ekika ky’omusaayi gwo kiba Rh Positive (+) . Okufaananako n’abantu abasinga obungi mu Sri Lanka, ekika ky’omusaayi gw’abantu abasinga obungi mu nsi yonna kiri Rh Positive.
• Bw’oba ​​tolina puloteyina eno mu butoffaali bwo obumyufu, ekika ky’omusaayi gwo kiba Rh negative (-) .

Obuzibu busobola okuvaawo singa maama aba Rh Negative ate omwana nga Rh Positive . Singa maama aba Rh Positive, tewali buzibu bwonna awatali kufaayo ku musaayi gw’omwana. Mu ngeri y’emu, singa maama n’omwana bombi baba ba Rh Negative, nayo tewali buzibu. Embeera eno tekola bulabe ku bulamu bwa maama. Ekikolwa kino kiri ku mwana.

Obutakwatagana buleeta butya ekizibu?

Kino kyangu nnyo okutegeera. Mu budde obwabulijjo, ng’oli lubuto, omusaayi gwa maama n’omwana tegutabula. Zikuumibwa nga zaawuddwamu enseke.

Kyokka mu kiseera ky’okuzaala naddala ng’enkwaso zaawukana, akatundu akatono ku musaayi gw’omwana gusobola okuyingira mu musaayi gwa maama. Teebereza kino: maama ye Rh Negative. Ekyo kitegeeza nti talina puloteyina ya Rh mu mubiri gwe. Omwana azaalibwa Rh Positive. Ekyo kitegeeza nti omwana alina ekirungo kya Rh mu musaayi gwe.

Kati, omusaayi ogumu ogw’omwana ogulina Rh bwe guyingira mu mubiri gwa maama, abaserikale b’omubiri ba maama balaba puloteyina eno eya Rh ng’omulumbaganyi omugwira, ow’akabi. Nga akawuka akaleeta endwadde. Olwo omubiri gwa maama ne gutandika okukola abajaasi ab’enjawulo, abayitibwa `antibodies`, okulwanyisa ‘omulumbaganyi’ ono.

Okuva bwe kiri nti kitwala akaseera obuziyiza buno okukula, omwana asooka ebiseera ebisinga tatuusibwako bulabe kubanga enkola eno etandika ng’amaze okuzaalibwa.

Singa omwana owookubiri aba Rh Positive, obuziyiza buno obuva mu mubiri gwa maama bulumba obutoffaali obumyufu obw’omwana ne butandika okubusaanyawo. Embeera eno tugiyita `Obulwadde bwa Hemolytic Disease of the Newborn`.

Biki ebiyinza okukosebwa omwana?

Olw’okuba obusimu obuziyiza endwadde bwa maama busaanyawo obutoffaali obumyufu obw’omwana, omwana asobola okufuna ebizibu eby’enjawulo mu bulamu.

• Okukendeera kw’omusaayi : Omusaayi gw’omwana gukendeera olw’obutoffaali obumyufu okusaanawo.
• Jaundice: Olususu n’amaaso g’omwana bifuuka bya kyenvu olw’ekintu ekiyitibwa bilirubin ekifuluma mu butoffaali obumyufu obusaanawo.
• Embeera ez’amaanyi: Mu mbeera ezisinga okuba ez’amaanyi, ebitundu by’omwana, gamba ng’omutima n’ekibumba, biyinza okwonooneka, era omwana ayinza n’okufiira mu lubuto.

Kino kitiisa okuwulira. Naye ekirungi nti embeera eno esobola okuziyizibwa obulungi ennyo.

Ekigonjoola: Eddagala erigema anti-D (RhoGAM).

Olw’okukulaakulana kwa ssaayansi w’obusawo, kati waliwo eky’okugonjoola ekikola ennyo ku kizibu kino eky’obutakwatagana bwa Rh. Oyo ye Anti-D immunoglobulin.Eddagala lino limanyiddwa nnyo n’erinnya lya ‘RhoGAM`.

Eddagala lino erigema liweebwa okusinziira ku nteekateeka entongole.

1. Wiiki nga 28 ez’olubuto: Kumpi bamaama bonna abatalina Rh baweebwa eddagala erigema Anti-D mu kiseera kino. Kino kikolebwa okwewala omukisa omutono ennyo ogw’omusaayi okutabula mu ngeri emu ng’oli lubuto.

2. Mu ssaawa 72 okuva lwe yazaala: Singa ekika ky’omusaayi gw’omwana eyaakazaalibwa kikakasibwa nti kirimu Rh Positive, maama ajja kuweebwa empiso endala eya Anti-D.

3. Mu mbeera endala: Eddagala lino likakatako oluvannyuma lw’ekintu kyonna omusaayi gw’omwana we guyinza okuyingira mu mubiri gwa maama, gamba ng’okuggyamu olubuto, okufuna olubuto mu nseke, okuggyamu embuto, oba okuzaala.

Obuziyiza obuli mu ddagala lino erigema tebusala nnabaana era tebukola bulabe ku mwana. N’olwekyo, tekirina bulabe nnyo.

Ebintu ebirala ebitonotono by’olina okukuuma mu birowoozo

Omusaayi gw’omwana guzuulibwa gutya?

Bw’oba ​​oli Rh Negative, omwana wo mazima ddala ajja kusikira obuzaale bwa Rh Negative okuva gy’oli. Oba omwana Rh Positive oba Negative kisinziira ku buzaale obusikira okuva ku taata.

• Singa taata aba Homozygous Positive (ekitegeeza nti yafuna obuzaale bwa Rh Positive okuva mu bazadde be bombi), omwana naye ajja kufuna obuzaale obulungi okuva gy’ali. Nolwekyo , omwana ajja kuba 100% Rh Positive.
• Singa taata aba Heterozygous Positive (ekitegeeza nti alina obuzaale bumu obulungi n’obuzaale bumu obubi), omwana alina emikisa 50% okufuna obuzaale obulungi ate emikisa 50% okufuna obuzaale obubi. Kino kitegeeza nti omwana alina emikisa gya 50% okubeera Rh Positive.

Okuva ensonga zino ez’obuzaale bwe zizibuwalira katono, osobola okwogera n’omusawo wo okwongera okunnyonnyola kino.

Endowooza enkyamu n’amazima

Abantu abamu bayinza okutya eddagala erigema Anti-D kubanga likolebwa mu musaayi. Naye zino zikolebwa oluvannyuma lw’okuzirongoosa obulungi ne zikakasibwa nti tezirina bulabe. Ate era, oyinza okuwulira emboozi nga, "Mukwano gwange yazaala abalongo babiri abalamu aba Rh Positive nga tamira Anti-D." Yee, kiyinza okubaawo emirundi mingi nnyo. Naye kiringa okutwala akabi akateetaagisa, ng’okubuuka mu kkubo nga tonoonya kalippagano k’ebidduka akajja.