I thisen chi leh i naute thisen inkarah hian inhnialna a awm em? (Rh Incompatibility) Eng nge a nih chiang takin i zawng chhuak ang u!

Nu nih i inpeih hunah i doctor emaw midwife emaw chuan test hrang hrang nei turin a ti ang che. Test hmasa ber leh pawimawh ber pakhat chu i thisen chi enfiah hi a ni. Hei hian i thisen group (A, B, O, AB ang chi) chauh a check lo va, thil dang, ' Rh factor ' an tih pawh a check bawk. Engvangin nge hei hi a pawimawh em em i tih? Eng nge i hriat? I `(Rh factor)` hian a chang chuan i pum chhunga naute hriselna a nghawng thei a ni. Chuvangin, nang leh i naute pawhin i naupai tirh lamah he thil hi chiang taka in hriat a pawimawh hle.

Rh Factor chu eng nge ni? A awlsam zawngin i hrethiam ang u.

Awle, tunah chuan he `(Rh factor)` hi mi zawng zawngin eng nge an sawi tih hi han en ila. Kan thisena thisen sen (red blood cells) te hi ball te tak te ang maiin han ngaihtuah teh. Mi thenkhat chuan heng thisen sen (red blood cells) chung lamah hian protein bik, particle te tak te an nei a. Chu protein chu `(Rh factor)` kan tih chu a ni. Mi zawng zawng hian thisenah hetiang hi an nei vek lo. Mahse khawvela mi tam zawk chuan he protein hi an thisen sen (red blood cells) ah an nei a.

• Chuvangin, mi pakhatin a thisenah he Rh protein hi a neih chuan `(Rh-positive)` kan ti thin. ‘Ni e, a ni’ tih ang mai a ni.
• A lehlamah chuan mi pakhatin a thisenah he Rh protein hi a neih loh chuan `(Rh-negative)` kan ti thin. 'Ni lo, ni lo' tih ang mai a ni.

Tunah chuan chiang deuh deuh i nei tawh a ni lawm ni? I thisen report-ah chuan thisen group chu A+, B-, O+ ang chi + emaw - emaw chhinchhiahna nen a inziak a, hei hi `(Rh factor)` hi a ni. Chumi awmzia chu ‘A positive’ chuan thisen chi A a nei a, Rh protein pawh a nei a, ‘B negative’ chuan thisen B a nei a, Rh protein a nei lo tihna a ni.

Chuti a nih chuan Rh Incompatibility chu eng nge ni?

Tunah chuan `(Rh factor)` chungchangah ngaihdan tha tak i nei ta. Chuvangin `(Rh Incompatibility)` chu eng nge a nih i en ang u. Hei hi thumal buaithlak deuh angin lang mahse, a takah chuan a awlsam khawp mai. `(Rh Incompatibility)` hi naute nu leh pa `(Rh factor)` a inang lo va, positive emaw negative emaw pawh nise, chu chu an inthlau tihna a ni A bik takin, nu `(Rh-negative)` leh pa chu `(Rh-positive)` a nih hian he thu hi kan sawi tam zawk.

Entirna lain han en ila. Tichuan a chiang lehzual ang.

He thil awlsam tak hi han mitthla teh. Nu pakhat Nimali a awm a, a thisen chi chu `(Rh-negative)` (chu protein chu a thisenah a nei lo tihna a ni). A pasal, Kasun ti ila, a thisen chi hrang hrang `(Rh-positive)` (chu protein chu a thisenah a awm).

Tunah chuan Nimali leh Kasunu te hian naute an beisei tawh a, naute hian pa hnen atanga `(Rh-positive)` trait a rochun theihna chance a sang hle.. Chumi awmzia chu naute thisen chu `(Rh-positive)` a ni thei tihna a ni. A thleng reng reng lo tih hre reng ang che, mahse a nih a rinawm zawk. A tlangpuiin nu `(Rh-negative)` leh pa `(Rh-positive)` atanga naute piang zinga a chanve vel chu `(Rh-positive)` an nih a rinawm thu an sawi.

Chuvangin, nu (Nimali) chu `(Rh-negative)` a ni a, naute erawh chu `(Rh-positive)` a ni. Hei hi `(Rh Incompatibility)` kan sawi hian a ni. Chu chu nu leh naute `(Rh factor)` a inang lo tihna a ni. In khata mi pahnih awm ang mai a ni a, mahse an pahnih hian ei tur chi hrang hrang an duh ve ve. Inrem lohna tlem a awm.

Engvangin nge naute hmasa ber chu a tha tlangpui? Tichuan engtin nge buaina a lo chhuah?

I ngaihtuah mai thei, ‘Awle, chuti a nih chuan engvangin nge naute hmasa ber hian hetiang inrem lohnaah hian harsatna a neih loh ang?’ tiin i ngaihtuah mai thei. Chu chu a dik a ni. A tam zawkah chuan he `(Rh Incompatibility)` hi nu naupai hmasak ber lai hian harsatna lian tak a ni a, naute a tichhe lo tihna a ni . Chumi chhan ber chu naupai lai hian nu leh naute thisen kal dan a inthen vang a ni. Nutrients chu placenta kaltlangin inthleng mahse, naute thisen sen (red blood cells ) chu nu thisen kalna kawngah (chu chu nu thisen kalna kawngah) a lut harsa hle. Protective barrier ang mai a ni.

Mahse, naute a pian hunah, chu chu nau neih laiin , nu leh naute thisen tlem a inhmeh theihna chance a sang hle. Hei hi thil pangngai a ni. Naute thisen `(Rh-positive)` (nu chu `(Rh-negative)` a nih chuan) nu taksaah a lut a nih chuan nu taksain naute thisena Rh protein awm chu 'ram dang' tiin a hre thei a ni. Kan taksaah hrik emaw, allergy thlentu thil emaw a luh ang bawkin. Tichuan nu immune system chuan he Rh protein laka invenna protein bik `(antibodies)` an tih chu a siam tan ta a ni. Heng `(antibodies)` te hi sipai trained ang mai an ni. Ramdang cell an lo kir leh chuan bei leh tichhia tura siam an ni. Heng `(antibodies)` te hi siam a nih veleh nu taksaah an awm reng a, hetiang thil hi a lo thleng leh a nih chuan an thawk chhuak leh ang.

Eng kawng dang nge antibody siam theih?

Nau neih lai chauh ni lovin, nu `(Rh-negative)` taksaah heng `( antibodies )` te hi a lo pian chhuah theih dan dang a awm bawk. Hengte pawh hi hriat a pawimawh:

• A hmaa accident-a `(Rh-positive)` thisen i dawng tawh a nih chuan , chutih lai chuan `(Rh factor)` tih chu uluk taka enfiah i ni lo mai thei.
• If you have had a previous miscarriage , nausen thisen pawh nau pai laiin nu taksaah a lut thei bawk.
• `(Ectopic naupai)`Ectopic pregnancy (uterus pawn lama naupai) i neih tawh chuan. Hei pawh hi dinhmun hlauhawm tak a ni a, antibody siamna a thlen thei bawk.
• Naupai laiin test thenkhat , amniocentesis (naute amniotic sac atanga tui tlemte lakchhuahna test) te pawh hian thisen tlemte a chhuah thei bawk.

Hetiang dinhmunah hian naute (or fetus) `(Rh-positive)` thisen chu nu taksaah lutin `(antibodies)` a siam thei tih hriat reng a pawimawh.

Chuti a nih chuan engtikah nge naute chu hlauhawmah a awm? Engtiang chiahin nge a serious?

Sawi tawh ang khan nu taksaa Rh `(antibodies)` lo awmte hi nu naupai vawi hnihna emaw, a hnua a naupai leh emaw lai chauhvin harsatna a lo ni ta a ni Nausen hmasa ber hi a tichhe lo tlangpui a, a chhan chu nau neih rualin `(antibodies)` te hi an lo thang lian tan a ni.

Nu pakhat (`(Rh-negative)` ni tawh, tunah chuan a taksaah `(antibodies)` nei tawh) chuan a pum chhungah naute `(Rh-positive)` a phur leh ta ang tih han ngaihtuah teh. Tichuan, chutiang Rh `(antibodies)` chu nu taksaa lo awm tawh leh alert-a awmte chuan naute thisen sen chunglama Rh proteins te chu ``ram dang, hmelma'' tiin an hre thei a ni.Sentry ang maiin. Tichuan heng `(antibodies)` te hian nausen thisenah an lut a, naute thisen sen sual nei lote chu an rawn bei tan ta a ni.

Hei hian naute thisen sen (red blood cells) a ti hring thei a, a puak darh thei a, a ti chhe thei bawk. Hetiang dinhmun hi ``Nausen piang tharte Hemolytic disease'' emaw Rh natna mai mai emaw kan ti thin. Hei hian naute taksaa thisen awm zat (a bik takin thisen sen (red blood cells) oxygen phurtu zat) chu nasa takin a tihtlem thei a ni. Hei hian naute hian thisen tlakchhamna (anemia) a nei dawn tihna a ni . Hei hi a pawi hle thei a ni.

• Naute chuan jaundice na tak a nei thei a, chu chu mit leh vun sen a ni. Hei hi thisen sen (red blood cells) a chhiat avanga thil siam chhuah avanga lo awm a ni.
• Hei hian naute thinlung, thin leh ril a nghawng thei a ni. A \henah chuan thinlung pawh a chhe thei bawk.
• A nasat em avangin nausen chu a pum chhungah pawh a thi thei a ni.

Chuvangin hei hi ngaihthah tur a ni lo. Mahse, lungngai suh, tuna kan sawi tur enkawlnate hi heng thilte laka invenna atana duan a ni.

Rh Incompatibility hi engtin nge enkawl a nih? Kan hlau tur em ni?

Tunah chuan he thu i hriat hian i hlau deuh mai thei. Mahse, thu lawmawm tak chu tunah hian he dinhmun `(Rh Incompatibility)` an tih avanga harsatna hlauhawm lo awm thei te hi a pumpelh vek thei tur enkawlna tha tak tak, tangkai tak tak a awm ta a ni . Chuvângin, ṭul lova hlauh leh lungkham chhan a awm lo. A pawimawh ber chu damdawi lam thurawn a hun taka lak a, an sawi ang anga tih hi a ni.

Rh Immune-Globulin Vaccine: Hei hi kan vengtu ber a ni

Doctor-te’n nu naupai chu Rh incompatibility hlauhawm takah a awm tih an rel a nih chuan (chu chu nu chu Rh-negative a nih a, a pa chu Rh-positive a nih chuan, a nih loh leh a pa Rh factor hriat loh a nih chuan), nu chu Rh immune -globulin an tih injection bik an pe ang. Hei hi he thawnthua pasaltha ber a ni. He injection hi a tlangpuiin dose hnih, a hun takah, naupai hmasa berah pek thin a ni:

• Vaccine hmasa ber hi naupai kar 28 velah pek thin a ni. Hei hi nu leh naute thisen hi tlem a inhmeh tan theih hun a ni.
• Injection vawi hnihna hi naute pian atanga darkar 72 chhungin pek thin a ni. Hei hi a pawimawh hle a, a chhan chu nau neih lai hian thisen hi a inhmeh tam ber a ni.

He `(Rh immune-globulin)` vaccine hian vaccine ang bawkin hna a thawk a , mahse danglamna tlem a nei thung. Hei hian a tih theih chu nu taksain a hmaa kan sawi tawh Rh `(antibodies)` ( antibodies ) hlauhawm tak takte chu a neih loh nan a veng vek a ni. Hmelma lo kal hmaa venhimna kulh siam ang mai a ni. Hei hian nausen piang tharin hriselna lama harsatna a neih theih tur chu a veng thei a, nakin lawkah fa dang i beisei a nih chuan hei pawh hi chu naupai chhung chuan venhimna ropui tak a ni bawk ang.

Nu pakhatin nau a pai laiin nau a pai a, amniocentesis , a nih loh leh thisen chhuah chi dang a neih chuan doctor-te chuan he Rh immune-globulin vaccine hi an pe fo ang tih hre reng ang che. Antibodies lo awm theihna chance tlemte a awm chuan chu pawh chu paih bo rawh.

Nu taksaah antibody a lo awm tawh a nih chuan engtin nge tih ang?

Ngaihtuah teh, a châng chuan, he vaccine hi naupai hmaa a hun takah pek a nih loh vang emaw, chhan dang vang emaw pawh ni se, doctor pakhatin nu pakhatin a taksaah Rh `(antibodies)` a lo nei tawh tih a hmuchhuak a ni. Chuti a nih chuan engtin nge i tih? Lungngai suh, chumi atan pawh chuan enkawlna a awm. Chutiang a nih chuan naupai chhung zawngin nu leh naute chu uluk tak leh ngaihven bik takin an enkawl thin . A bulpui ber chu nu thisena `(antibodies)` level hi hlauhawm takin a pung em tih leh naute a nghawng em tih en hi a ni. Chumi atan chuan special scan leh thisen test te hman a ni.

A tlem hle a, a inmil lohna chu naute hlauhawma dah thei khawpa na a nih chuan naute chu thisen bik pek a ngai mai thei. Chungte chu exchange transfusion an ti a . Hei hi naute pian hma (nu pum chhunga) tih a nih chuan intrauterine fetal transfusions an ti a.) Ni e, pian hnuah pawh tih theih a ni. He ``exchange transfusion`` hian naute taksa atanga thisen chu chu ``antibodies`` avanga tihchhiat chu a paih chhuak a, chu chu thisen hrisel, ``Rh-negative`` red blood cells nei thisen hmangin a thlak a ni. Hei hian naute thisen sen zat a ti nghet a, naute thisena awm tawh nu ``antibodies`` atanga naute chhiatna pawh a ti tlem bawk.

Mahse, ka sawi nawn leh a, he `(Rh immune-globulin)` vaccine hlawhtlinna mak tak avang hian tunlai hian `(exchange transfusions)` tih hi a tlem hle. Sri Lanka ramah pawh he vaccine hi hlawhtling takin hman a ni a, damdawi in zawng zawngah te pawh hman a ni a, chuvangin rinna nasa tak kan nei thei a ni.

Hemi chungchangah hian eng thil dang nge i hriat tur pawimawh?

Naupai nia i inhria a, mahse i Rh factor i hriat loh chuan a pawimawh ber chu hlauthawng lovin, i chhungkaw doctor emaw, obstetrician-gynecologist emaw hnenah a rang thei ang bera hmu la, nau neih hmaa enkawlna dik tak tan hmasa phawt a ni Hei hian i thisen chi leh Rh factor enfiah a huam ngei ang. Hei hi a hmasa ber a ni.

`(Rh Incompatibility)` an tih natna hi a hmaa i hriat chian a, a tul anga enkawlna, a bik takin `(Rh immune-globulin)` vaccine hi a hun taka i hmuh chuan , i naute chu hrisel takin he khawvelah hian lo hmuak turin i inbuatsaih thei a, a tul lova hlauhna leh rinhlelhna awm lovin. Chuvangin, hei hi hriat chian a, information dik taka hriatthiamna chu i tan chakna ropui tak a ni ang.

Hemi chungchang hi i doctor nen zalen takin sawipui rawh. Zawhna leh ngaihtuahna i neih apiang chu hlau leh hreh suh. ‘Hei hi zawh tur dik tak a ni em?’ tih ang chi hi ngaihtuah suh. emaw, ‘Doctor chuan engtin nge a ngaih ang?’ tih emaw a ni thei. Nang leh i naute tanpui turin, zirtirna pe turin an awm a ni. Zawhna i zawh tam poh leh i hrethiam zawk ang. Nang leh i naute tan a tha.

Chuvangin, kan sawi tawh (Take-Home Message) atanga i hriat reng tur thilte chu hetiang hi a ni:

Rh incompatibility hi hlauh tur a ni lo, enkawl theih leh ven theih a ni!

• I thisen chi hrang hrang leh Rh factor hriat chian: Naupai hma emaw, naupai hma emaw hian hei hi hriat a pawimawh hle. Hei hi a hmasa ber a ni.
• A bik takin nu chu `(Rh-negative)` leh pa chu `(Rh-positive) a nih chuan fimkhur hle ang che: Hei hi `(Rh Incompatibility)` hlauhawmna a lo luh hun a ni a, hei hi i doctor hnenah hrilh rawh.
• `(Rh immune-globulin)` vaccine hi ring rawh: He vaccine hi nang leh i naute venhimna atana pawimawh ber a ni. I doctor-in a pek hunah i dawng ngei ang.
• Naute hmasa ber chu a nghawng lo tlangpui nain, a hnu lama fate pawh a nghawng thei a ni: chuvangin hei hi naupai apiangin ngaihtuah thar a ngai a ni. Vaccine i lo la tawh a nih pawhin tun ṭumah hian i lak leh a ngai dawn a ni.
• I doctor hnenah nau i pai tawh a nih chuan, ectopic pregnancies, emaw thisen pek i nih chuan: He information hi i doctor tan a pawimawh hle a ni , hengte hian antibody a siam thei a ni.
• Doctor thupek dik tak leh a hun takah zawm rawh: Hei hi a pawimawh ber a ni. I doctor-in test a tih che chu la la, an tih hunah vaccine la la, an thusawi chu ngaithla rawh.
• Zawhna zawh hlau suh: I rilrua thil awm apiang chu i doctor nen sawipui rawh. I hriat chian poh leh i hlim zawk ang.

Chuvangin, he thu hi i tan a tangkai hle ka beisei. Nu leh naute hrisel, hlim tak chu kan zavaia tan beiseina awmchhun a ni! duhsakna sang ber kan hlan e!

` Rh inrem lohna, naupai, Rh factor, Rh immune-globulin, antibody, naute hriselna, thisen chi hrang hrang