Ensonga ya Rh mu musaayi gwo ekosa etya olubuto? Ka tuzuule!

Bw’oba ​​oli maama agenda okuzaala, oba ng’osuubira dda omwana, osanga owulidde ku kukebera omusaayi kungi omusawo kw’agenda okukukola ng’asooka okukeberebwa. Ekimu ku bikulu ku bino kwe kukebera ensonga ya Rh. Kino kiyinza okulabika ng’ekikusobera katono era nga kipya gy’oli. Naye teweeraliikiriranga , leero tugenda kwogera ku nsonga ya Rh kyeri n'engeri gy'ekulu gy'oli n'omwana wo mu ngeri ennyangu ennyo era etegeerekeka.

Ensonga ya Rh kye ki? Ka tukitegeere mu ngeri ennyangu!

Mu ngeri ennyangu, ensonga ya Rh puloteyina ey’enjawulo eri ku ngulu w’obutoffaali bwo obumyufu. Kintu ky’osikira okuva mu bazadde bo, ng’obuwanvu bwo oba langi y’olususu lwo.

• Bw’oba ​​olina puloteyina eno mu butoffaali bwo obumyufu, oba olina Rh-positive .
• Bw’oba ​​tolina puloteyina eno mu butoffaali bwo obumyufu, oba Rh-negative .

Lowooza ku kino, abantu abasinga obungi mu nsi, nga 85 ku buli 100 (85%) ku bo, balina Rh-positive . Kale bw’oba ​​olina Rh-positive, eyo y’embeera eya bulijjo.

Ffenna tumanyi ebika by’omusaayi gwaffe. Waliwo ebika by'omusaayi ebikulu bisatu: A, B, AB, ne O. Ebika by'omusaayi bino biba "positive (+)" oba "negative (-)" okusinziira ku Rh factor yo. Okugeza, singa ekika ky'omusaayi gwo kiba A ate nga Rh factor yo eri positive, ekika ky'omusaayi gwo kiba "A positive." N'ebirala:

• A Negative
• B Ekirungi
• B Negative
• O Ekirungi
• O Negative
• AB Kirungi
• AB Negative

Ekikulu kiri nti ensonga yo eya Rh tekosa bulamu bwo okutwalira awamu oba okuleeta obuzibu bwonna . Kiba kya ngeri yokka ey’omusaayi gwo.

Lwaki ensonga ya Rh kikulu ng’oli lubuto?

Wadde ng’ensonga yo eya Rh terina kye yeekosa ku bulamu bwo obwa bulijjo, kino olina okukyeraliikirira bw’oba ​​oli lubuto naddala ng’olina Rh-negative .

Bino bye bigenda mu maaso:

Teebereza, oli maama wa Rh-negative (ekitegeeza nti tolina protein eyo ey’enjawulo mu musaayi gwo). Wabula singa omwana ali mu lubuto aba Rh-positive (ekitegeeza nti omwana alina puloteyina eyo mu musaayi gwe, eyasikira okuva ku taata), olwo ekizibu ekitono kiyinza okuvaamu. Kino tukiyita obutakwatagana bwa Rh .

Mu kiseera kino, abaserikale b'omubiri aba maama bayinza okutegeera obutoffaali obumyufu obw'omwana obulina Rh nga "bugwira." Ng’abaserikale baffe ab’omubiri bwe balwanyisa obuwuka bwe buyingira mu mubiri gwaffe, n’omubiri gwa maama gutandika okukola obutoffaali obuziyiza obutoffaali obumyufu obw’omwana. Enkola eno eyitibwa Rh sensitization .

Naye teweeraliikiriranga! Eddagala ery’omulembe lirina obujjanjabi obulungi okuziyiza embeera eno.Omusawo wo ajja kukuwa essasi eriyitibwa ``immune globulin'' okukomya ekizibu kino okubaawo.

Omusaayi gwa maama n’omwana guyinza gutya okutabula?

Mu budde obwabulijjo omusaayi gwa maama n’omwana ali mu lubuto tebitabula butereevu ng’oli lubuto. Kyokka mu mbeera ezimu ez’enjawulo, omusaayi gw’omwana omutono ennyo gusobola okutabula n’omusaayi gwa maama. Emisango egyo mulimu:

• Mu kiseera ky’okuzaala: Kiyinza okuba ng’azaala mu bukyala oba okulongoosebwa.
• Ebimu ku bigezo eby’enjawulo ebikolebwa ng’oli lubuto: okugeza, okukebera nga ``amniocentesis`` (okukebera amazzi g’omu lubuto) oba ``chorionic villus sampling - CVS`` (okukebera ekitundu ky’enseke).
• Singa ofuna omusaayi mu bukyala ng’oli lubuto.
• Singa wabaawo akabenje ak’amaanyi oba obuvune ku lubuto.
• Singa wabaawo ekizibu mu lubuto nga bukyali, gamba ng’okuvaamu olubuto oba olubuto olw’ebweru w’olubuto.
• Oluvannyuma lw'enkola eyitibwa ``external cephalic version (ECV)'', ekozesebwa okukyusa omwana ng'ali mu mbeera ya breech.

Ddi omwana ali mu bulabe?

Ebiseera ebisinga, omwana tafuna buzibu bwa maanyi mu kiseera ky’olubuto olusooka olwa maama alina Rh-negative. Ensonga lwaki kino kiri bwe kityo, omusaayi gwa maama gwe gusinga okutabula n’omusaayi gw’omwana ng’azaala. Kale, ne bwe kiba nti obuziyiza obwo butandika okutondebwa, omwana ajja kuba amaze okuzaalibwa mu kiseera ekyo. Wabula omusawo ajja kukebera ekirungo kya Rh factor ne bwe kiba nga lwe lubuto lwo olusoose.

Obuzibu buno buyinza okuvaayo singa ofuna olubuto omulundi ogw’okubiri ate ng’omwana naye alina Rh-positive. Kino kiri bwe kityo kubanga oyinza okuba ng’okyalina obutoffaali obuziyiza endwadde bwe wakola ng’omaze okuzaala omwana wo eyasooka. Olwo, obuziyiza obwo busobola okusalako enseke ne butandika okulumba obutoffaali obumyufu obulina Rh obw’omwana owookubiri. Embeera eno eyitibwa obulwadde bwa Rh . Kino kiyinza okuba eky’akabi ennyo eri omwana, n’okutta obulamu bwe .

Ani ali mu bulabe bw’obutakwatagana bwa Rh?

Obulabe buno bubaawo nga maama alina Rh-negative asitudde omwana alina Rh . Ensonga ya Rh y’omwana esalibwawo obuzaale obusikira okuva ku maama ne taata.

• Singa maama aba Rh-negative (-) ate taata aba Rh-positive (+):
• Omwana era ayinza okuba nga alina Rh-positive (+) (olwo wabaawo akabi k’obutakwatagana).
• Omwana era ayinza okuba nga Rh-negative (-) (mu mbeera eyo tewali bulabe bwonna).
• Singa maama aba Rh-negative (-) ate nga ne taata naye Rh-negative (-):
• Omwana bulijjo ajja kuba Rh-negative (-). Kale tewali kabi konna.
• Singa maama aba Rh-positive (+): .
• Ka kibe nti taata alina Rh-positive (+) oba Rh-negative (-), omwana tajja kufuna butakwatagana bwonna olw'ensonga ya maama eya Rh, kubanga omubiri gwa maama tegukola buziyiza ku puloteyina eyo "ey'ebweru".

Omanya otya ensonga ya Rh? (Okukebera ensonga ya Rh) .

Kino kyangu nnyo. Bw’ofuna olubuto, osobola okumanya ensonga yo eya Rh ky’eri ng’okebera omusaayi mu ngeri ennyangu (ekika n’okukebera) ku ssaawa yo esooka nga tonnazaala. Kino kikulu nnyo. Kubanga bw’oba ​​oli Rh-negative ate ng’omwana alina Rh-positive, obutakwatagana obwo obwa Rh factor bwe twayogeddeko buyinza okubaawo.

Obutakwatagana bwa Rh buzuulibwa butya era ne bujjanjabibwa butya?

Bw’ofuna olubuto, omusawo w’okuzaala ajja kusooka kukebera oba tolina Rh-negative.

• Bw’oba ​​olina Rh-positive: Tewali buzibu. Tewali kirala kya kukola.
• Bw’oba ​​olina Rh-negative ate nga n’okukebera obutoffaali bwo obuziyiza endwadde tekuliimu: Omusawo wo ajja kukuwa essasi lya Rh immune globulin (era eyitibwa RhoGAM®) . Kino kiweebwa okuziyiza okutondebwa kw’obutoffaali obwo obuziyiza endwadde.
• Eddagala lino erigema litera okuweebwa omulundi gumu , around the 28th week of pregnancy.
• Dozi endala eweebwa mu ssaawa 72 okuva omwana lw’azaalibwa (ssinga omwana aba Rh-positive yokka).
• Oluusi, ne mu ntandikwa y’olubuto (okugeza, bw’oba ​​olina omusaayi), omusawo bw’alowooza nti omusaayi gwo n’ogw’omwana wo guyinza okutabulwa, eddagala lino liyinza okuweebwa.

Eddagala lino erya `(RhoGAM®)` likola nga ngabo ekuuma . Kiyimiriza omubiri gwo okukola obutoffaali obwo obw’obulabe. Eddagala lino erigema likola nnyo mu kujjanjaba obutakwatagana bwa Rh. N’olwekyo okuzuula embeera eno nga bukyali mu lubuto y’engeri esinga okutangira ebizibu eby’amaanyi.

Wabula bw’oba ​​omaze okukola obutoffaali obuziyiza endwadde bwa Rh (antibody screen positive), eddagala erigema RhoGAM® terijja kuyamba. Mu mbeera eyo, abasawo bajja kukulondoola nnyo n’omwana wo mu lubuto lwo lwonna. Okusinziira ku mbeera y’omwana, abasawo bayinza okusalawo okuzaala omwana nga bukyali.

Bizibu ki ebiyinza okubaawo olw’obutakwatagana bwa Rh?

Obutakwatagana bwa Rh tebukosa maama ali olubuto . Kyokka kiyinza okukosa omwana ali mu lubuto. Ekikulu y'embeera eyitibwa hemolytic anemia . Mu ngeri ennyangu, obutoffaali obumyufu obw’omwana busaanawo mangu okusinga bwe bukyusibwa.

Ebivaamu biyinza okuva ku bitono okutuuka ku bizibu ennyo. Mulimu:

• Jaundice: Olususu n’amaaso bifuuka bya kyenvu.
• Ekibumba okulemererwa .
• Omutima okulemererwa .
• Okuzaalibwa nga mufu .

Kyokka ebiseera ebisinga, abalongo abalina obuzibu obutono obw’obulwadde bwa Rh tebeetaaga bujjanjabi bwa njawulo . Abalongo ng’abo batereera ddala.

Mu mbeera enzibu, omwanaKiyinza okwetaagisa okuteekebwamu omusaayi. Kino kitegeeza okuwa omwana omusaayi omupya. Abalongo abalina obulwadde bwa jaundice bayinza okuteekebwa mu bujjanjabi obw’enjawulo obw’ekitangaala (phototherapy) okukendeeza ku muwendo gwa bilirubin ekivaako langi ya kyenvu. Omwana era ayinza okwetaaga okuzaala nga bukyali katono okutangira okukendeera kw’omusaayi okw’amaanyi.

Amawulire amalungi gali nti oluvannyuma lw’okuzuula eddagala eriweweeza ku bulwadde bwa Rh immune globulin, omuwendo gw’obulwadde bwa Rh gukendedde nnyo.

Kiki ekibaawo singa obutoffaali obuziyiza endwadde buggwaawo?

Singa omubiri gwa maama alina Rh-negative guba guweddemu obutoffaali obuziyiza endwadde, obujjanjabi n’eddagala eriweweeza ku bulwadde bwa `(Rh immune globulin)` tebujja kukola. Y’ensonga lwaki tugamba nti kikulu okumanya Rh factor yo n’ofuna obujjanjabi amangu ddala.

Obutakwatagana bwa Rh busobola okuziyizibwa?

Okuva ensonga ya Rh bweri ensonga y’obuzaale, tetusobola kulonda kika kya Rh omwana waffe ky’anaafuna. Wabula engeri esinga okuziyiza ekizibu kino kwe kuba nti maama amanyi ensonga ye eya Rh era bwe kiba kyetaagisa, afune eddagala erigema `(RhoGAM®)` mu kiseera ekituufu.

Kino kikwata kitya maama alina Rh-negative? (N'ekisembayo, by'olina okumanya - Obubaka bw'okutwala awaka)

Bw’oba ​​oli maama alina Rh-negative, kikulu nnyo okubeera nga omanyi ebintu bino.

Tofaayo! Ne bw’oba ​​nga tolina Rh-negative, singa ofuna eddagala erigema `(RhIg)` oluvannyuma lwa buli kiseera ekisoboka okukwatibwa omusaayi ogulina Rh (e.g., okuzaala, okukeberebwa okumu), osobola okukendeeza ennyo ku bulabe bw’omwana wo okufuna obulwadde bwa Rh. Jjukira nti obutakwatagana bwa Rh bukosa obulamu bw’omwana wo, so si bulamu bwo.

Bw’ozuula ensonga yo eya Rh nga bukyali, omusawo asobola okukuwa eddagala lya RhIg mu kiseera ekituufu. Eyo y’engeri esinga okukuuma omwana wo nga mulamu bulungi.

Okumanya embeera yo eya Rh ng’oli lubuto (era okusinga nga bukyali) kiyinza okuyamba okuziyiza ebizibu. Ekirungi omusawo asobola okukebera omusaayi gwo nga bukyali lubuto okuzuula oba olina Rh-positive oba Rh-negative. Obutakwatagana bwa Rh buzibu singa oba olina Rh-negative ate ng’omwana wo alina Rh-positive. Kino omusawo asobola okukijjanjaba ng’akuwa essasi lya Rh immune globulin (RhIg).

N’olwekyo, totya oba okweraliikirira mu ngeri eteetaagisa. Omusawo ajja kukulabirira bulungi n’omwana wo, era ajja kukuwa obujjanjabi bwonna obwetaagisa. Ky’olina okukola kwe kugoberera ddala ebiragiro by’omusawo n’ogenda okwekebejjebwa buli kiseera. Olwo ojja kuba n’emikisa mingi nnyo egy’okuzaala omwana omulamu obulungi!

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