Omusaayi gwo gulina Rh negative? Kino kimanye ng’oli lubuto (Rh Factor) .

Bw’oba ​​oli maama ali lubuto, oba omuntu asuubira omwana mu bbanga ttono, ekimu ku bisooka okukeberebwa omusawo wo by’agenda okulagira kwe kukebera omusaayi. Kino kijja kukebera ekika ky’omusaayi gwo n’ekintu ekirala ekikulu ennyo. Oyo ye nsonga yo eya Rh. Ekisanja kino oyinza okuba nga wali owuliddeko emabegako. Naye abantu bangi tebalina nnyo kirowoozo ku kye kitegeeza. Ddala ensonga ya Rh kye ki? Lwaki kikulu nnyo ng’oli lubuto? Teweeraliikiriranga, tujja kukyogerako mu ngeri ennyangu ennyo era mu ngeri entegeerekeka.

Mu ngeri ennyangu, ensonga ya Rh kye ki?

Okay, ka tukiteeke bwe tuti. Lowooza ku butoffaali obumyufu mu mubiri gwo ng’obupiira obutono ennyo obwetooloovu. Abantu abamu balina ekika kya puloteyina eky’enjawulo eyeekwata ku ngulu, oba ebweru w’obutoffaali buno obumyufu. Puloteeni eyo kye tuyita Rh factor , oba Rhesus factor, mu busawo.

Kino kintu ky’osikira. Ekyo kitegeeza nti okifuna ku maama wo ne kitaawo.

• Rh-positive: Bw’oba ​​olina protein ku ngulu w’obutoffaali bwo obumyufu, oba Rh-positive. Mu Lusinhala, kitegeeza Rh positive. Mu Sri Lanka n’ensi yonna, abantu abasinga obungi, kwe kugamba, nga 85 ku 100, balina Rh.
• Rh-negative: Bw’oba ​​tolina protein eno ku ngulu w’obutoffaali bwo obumyufu, oba Rh-negative. Ekyo kitegeeza nti oli Rh negative.

Ekika ky’omusaayi gwo kiyinza okuba A, B, AB oba O. Ensonga eno eya Rh ekwatagana n’ekika ky’omusaayi ekyo. Okugeza, singa ekika ky'omusaayi gwo kiba A ate ng'olina Rh-positive, ekika ky'omusaayi gwo okutwalira awamu kiba "A positive." Bwoba oli Rh-negative, kiba "A negative."

Lwaki ensonga ya Rh kikulu ng’oli lubuto? (Rh Obutakwatagana)

Bino bye bigenda mu maaso. Embeera eno ey’enjawulo tugiyita Rh incompatibility , ebaawo nga maama alina Rh-negative ate ng’omwana ali mu lubuto alina Rh-positive .

Kino ka twongere okwanguyiza. Lowooza ku mubiri gwo ng’ensi erimu eggye eddungi ery’okwekuuma. Okuva bwe kiri nti oli Rh-negative, ensi yo (omubiri) terina protein eyo eya Rh. Kati, singa omusaayi gw’omwana ali mu lubuto lwo gufuuka Rh-positive, ekyo kitegeeza nti omwana alina puloteyina eyo mu butoffaali bwe obumyufu.

Mu kiseera ky’olubuto, omusaayi gwa maama n’omwana ebiseera ebisinga tegutabula butereevu. Naye oluusi naddala ng’azaala, omusaayi gw’omwana omutono ennyo gusobola okuyingira mu musaayi gwa maama.

Kino bwe kibaawo, abaserikale ba maama (abaserikale b’omubiri) balaba puloteyina ya Rh mu musaayi gw’omwana ng’omulabe ow’ebweru, omulumbaganyi. Balowooza nti, "Kiki kino ekipya ekiyingidde mu mubiri gwaffe? Kino tekibeera mu mubiri gwaffe," ne batandika okukola ebyokulwanyisa eby'enjawulo okukirwanyisa. Eby'okulwanyisa bino tubiyita antibodies . Enkola eno eyitibwa Rh sensitization .

Embeera omusaayi gw’omwana mwe gusobola okutabula n’ogwa maama:

• Mu kiseera ky’okuzaala: Kino kye kisinga okubeerawo. Kiyinza okubaawo nga bazaala mu bukyala oba nga balongoosa.
• Okuvaamu omusaayi mu bukyala ng’oli lubuto.
• Obuvune oba akabenje ku lubuto.
• Ebizibu ebiva mu lubuto nga bukyali, gamba ng’okuvaamu olubuto oba olubuto olutali mu nnabaana.
• Mu kiseera ky’okukebera okw’enjawulo nga amniocentesis.
• Omwana bw’aba mu mbeera ya breech, omusawo agezaako okukyusa omwana mu ngalo ng’akola ECV.

Obulabe buno bukosa omwana asooka oba owookubiri?

Kino kikulu nnyo. Ebiseera ebisinga, omwana asooka alina Rh-positive owa maama Rh-negative talina buzibu bwonna bunene.

Ensonga eri nti, nga bwe twayogeddeko emabegako, omusaayi gw’omwana gwe gusinga okuyingira mu mubiri gwa maama ng’azaala. Olwo omubiri gwa maama we gutandikira okukola obuziyiza obwo, omwana aba yazaalibwa dda. Kale omwana asooka tajja kutuusibwako bulabe.

Naye, ekizibu ekituufu kitandikira mu kiseera ky’olubuto oluddako.

Kati omubiri gwa maama gutegeera puloteyina ya Rh ne gwetegekera okukola obutoffaali obuziyiza endwadde okubulwanyisa. Singa ositula omwana alina Rh-positive mu lubuto lwo omulundi ogwokubiri , antibodies ze wakola emabegako, nga olowooza nti, "Wano omulabe azzeemu!", zisala enseke ne zitandika okusaanyaawo obutoffaali obumyufu obw'omwana. Kiringa olutalo olutandise munda mu mwana.

Embeera eno eyitibwa obulwadde bwa Rh . Singa tebujjanjabwa, kiyinza okuba eky’obulabe ennyo eri omwana ali mu lubuto.

Kino okizuula otya? Obujjanjabi bwe buruwa?

Ekirungi okuzuula n’okujjanjaba embeera eno kyangu nnyo ennaku zino.

Okuzuula obulwadde

Kasita okizudde nti oli lubuto, omusawo ajja kulagira okukeberebwa omusaayi okuzuula ekika ky’omusaayi gwo ekituufu ne Rh factor.

• Bw’oba ​​olina Rh-positive , tewali buzibu. Teweetaaga kukola kintu kirala kyonna.
• Bw’oba ​​oli Rh-negative , okukeberebwa okulala kujja kukolebwa okulaba oba omubiri gwo gufunye obutoffaali obuziyiza obutoffaali bwa Rh.

Obujjanjabi: Eddagala erigema anti-D

Bw’oba ​​olina Rh-negative ate ng’omubiri gwo tegunnaba kukola antibodies, abasawo bajja kukuwa essasi eryangu ennyo naye nga likulu nnyo. Kino kitera okuyitibwa essasi lya Anti-D . Erinnya ly’obusawo ye Rh immune globulin (RhIg) .

Eddagala lino erigema liringa obubaka obw’obulimba eri abaserikale b’omubiri gwo. Kiyimiriza ddala omubiri gwo okukola obutoffaali obwo obw’obulabe. Kino kitegeeza nti omusaayi gw’omwana wo omutonotono ne bwe guyingira mu mubiri gwo, omubiri gwo tegujja kugutegeera ng’omulabe.

Eddagala lino erigema litera okuweebwa nga:

• Wiiki nga 28 ez’olubuto: Buli maama alina Rh-negative aweebwa eddagala limu mu kiseera kino ng’okwegendereza.
• Mu ssaawa 72 zokka ng’azaala: Omusaayi gw’omwana gukeberebwa era singa omwana aba Rh-positive, maama bamukuba empiso endala. Kino kikolebwa kukuuma mwana mu kiseera ky’olubuto oluddako.
• Mu mbeera endala: Omusawo ayinza n’okumuwa eddagala lino singa wabaawo okuvaamu omusaayi ng’oli lubuto, singa wabaawo akabenje mu lubuto, oba singa wabaawo okuvaamu olubuto.

Bizibu ki omwana by’ayinza okufuna singa tajjanjabwa?

Obutakwatagana bwa Rh tebukosa maama, naye singa tebujjanjabwa, buyinza okuleeta obuzibu obw’amaanyi eri omwana ali mu lubuto mu lubuto olw’okubiri oba oluddako.

Ekizibu ekikulu kwe kukendeera kw'omusaayi mu musaayi . Mu ngeri ennyangu, obutoffaali obumyufu obw’omwana busaanawo mangu okusinga bwe bukolebwa. Obutoffaali obumyufu bwe butambuza omukka gwa oxygen okwetoloola omubiri. Bwe zisaanawo, omwana asobola okufuna ebizibu eby’amaanyi.

• Jaundice: Obutoffaali obumyufu bwe bumenyeka, kivaamu ekintu ekya kyenvu ekiyitibwa bilirubin. Kino bwe kizimba, olususu n’amaaso g’omwana bifuuka bya kyenvu. Emiwendo egy’amaanyi nagyo giyinza okwonoona obwongo.
• Ekibumba n’omutima okulemererwa: Omutima n’ekibumba ky’omwana birina okukola ennyo okukyusa obutoffaali obumyufu obusaanawo. Kino kiyinza okuvaako ebitundu bino okugaziwa ne birema.
• Okuzaala nga mufu: Mu mbeera ezisinga okuba ez’amaanyi, omwana asobola okufiira mu lubuto olw’okukendeera kw’omusaayi n’omutima okulemererwa.

Naye teweeraliikiriranga. Olw’okukola eddagala erigema Anti-D, embeera ez’amaanyi bwe zityo tezitera kubaawo nnyo ennaku zino.