Nu Rh Negative, pa Rh Positive? Naute chungah nghawng a nei em? (Rh Inrem lohna) .

Nu leh pa zawng zawng hian naute an beisei tih an hriat chuan hlimna mak tak mai an nei thin . Mahse, chutih rual chuan hlauhna tlemte pawh rilruah a lo lang ve tho a ni lawm ni? ‘Naute chu a hrisel ang em?’, ‘Engkim a tha ang em?’ tih ang chi zawhnate. i rilruah an tlan lut mek a ni. A bik takin i thisen chi hrang hrang ‘Negative’ a nih a, i pasal thisen chi hrang hrang ‘Positive’ a nih chuan ‘Rh incompatibility’ tih hi i hre tawh mai thei. He thu i hriat hian tlem a ti hlauthawng mai thei. Mahse, lungngai suh. Vawiin hian engkim hi awlsam leh chiang takin sawi ila.

Rh factor chu eng nge ni?

Okay, a hmasa berin he Rh factor hi eng nge a nih kan en ang. A awlsam khawp mai. Kan thisen sen (red blood cells) chunglama protein bik a ni.

• I thisen sen (red blood cells) hian he protein hi a neih chuan i thisen chi chu Rh Positive (+) a ni . Sri Lanka rama mi tam zawk ang bawkin khawvel mipui tam zawk thisen chi hi Rh Positive a ni.
• I thisen zam (red blood cells)-ah he protein hi i neih loh chuan i thisen chi chu Rh negative (-) a ni .

Buaina chu nu chu Rh Negative a nih a , naute chu Rh Positive a nih chauhvin a awm thei . Nu chu Rh Positive a nih chuan naute thisen chi hrang hrang thliar lovin harsatna a awm lo. Chutiang bawkin nu leh naute pahnih hi Rh Negative an nih chuan chutah pawh chuan harsatna a awm lo. Hetiang dinhmun hian nu hriselna a tichhe lo. A nghawng chu naute chungah a ni.

Engtin nge inrem lohna hian harsatna a thlen?

Hei hi hriatthiam a awlsam hle. A tlangpuiin naupai lai hian nu leh naute thisen a inpawlh lo. Nausen (placenta) hian a hranpaa dah an ni.

Amaherawhchu, nau neih lai, a bik takin nausen (placenta) a inthen lai hian nausen thisen tlemte chu nu thisenah a lut thei a ni. Hei hi han ngaihtuah teh: nu chu Rh Negative a ni. Chu chu a taksaah Rh protein a nei lo tihna a ni. Naute hi Rh Positive a piang a ni. Chumi awmzia chu naute hian a thisenah Rh protein a nei tihna a ni.

Tunah chuan naute thisen Rh positive thenkhat chu nu taksaah a luh chuan nu taksa chakna (immune system) chuan he Rh protein hi hnam dang, invader hlauhawm tak angin a hmu ta a ni. Natna thlentu virus ang maiin. Tichuan nu taksa chuan he ‘invader’ do tur hian sipai bik, `antibodies` an tih chu a siam tan ta a ni.

Heng antibody te hi an lo pian chhuah theih nan hun rei tak a mamawh avangin naute hmasa ber hi a tichhe lo tlangpui a , a chhan chu he thil hi a pian hnuah a intan thin a ni.

Naute pahnihna chu Rh Positive a nih chuan nu taksa atanga heng antibody te hian naute thisen sen (red blood cells) te chu an bei a, an tichhia tan thin. Hetiang dinhmun hi `Nau piang tharte Hemolytic Disease` kan ti a.

Naute chunga nghawng a neih theih dante chu engte nge ni?

Nu antibody hian naute thisen sen (red blood cells) a tihchhiat avangin naute hian hriselna lama harsatna chi hrang hrang a nei thei a ni.

• Anemia : Naute thisen volume a tlahniam a, hei hi thisen sen (red blood cells) tihchhiat vang a ni.
• Jaundice: Naute vun leh mit chu bilirubin an tih, thisen zam (red blood cell) chhe tawh atanga chhuak a nih avangin a sen a ni.
• Thil pawi tak tak: A nasat ber lai chuan naute taksa peng hrang hrang, thinlung leh thin te chu a chhe thei a, naute chu a pum chhungah pawh a thi thei a ni.

Hei hi hriat a hlauhawm hle . Mahse chanchin lawmawm tak chu he dinhmun hi hlawhtling taka ven theih a ni.

A chinfel dan: Anti-D (RhoGAM) vaccine

Medical science hmasawnna avang hian tunah chuan he Rh incompatibility problem hi chinfelna tha tak a awm ta a ni. Chu chu Anti-D immunoglobulin a ni.He vaccine hi brand name `RhoGAM` tia hriat lar a ni.

He vaccine hi schedule bik angin pek a ni.

1. Naupai kar 28 vel: Rh negative nu zawng zawng deuhthaw chu he hun lai hian Anti-D vaccine pek an ni. Hei hi naupai laiin eng emaw ti taka thisen inhmeh lohna chance tlemte tak tak awm loh nan a ni.

.

3. Thil dang dangah chuan: He vaccine hi naute thisen nu taksaa a luh theihna tur thil eng pawh, nau pai, tubal pregnancy, nau pai emaw, amniocentesis emaw hnuah tih ngei ngei tur a ni.

He vaccine-a antibody te hian nausen (placenta) a paltlang lo va, naute pawh a tichhe lo. Chuvangin a him em em a ni.

Thil tlemte ngaihtuah tur dang

Naute thisen chi hi engtin nge an hriat theih?

Rh Negative i nih chuan i naute hian i hnen atangin Rh Negative gene a rochun ngei ang. Naute chu Rh Positive nge Negative a nih leh nih loh chu pa hnen atanga gene rochun ah a innghat a ni.

• Pa chu Homozygous Positive (a nu leh pa pahnih hnen atanga Rh Positive genes a dawng tihna) a nih chuan naute pawhin a hnen atangin positive gene a dawng ve bawk ang. Chuvangin , naute chu 100% Rh Positive a ni ang.
• Pa chu Heterozygous Positive (positive gene pakhat leh negative gene pakhat a nei tihna a ni) a nih chuan naute hian positive gene a dawn theihna chance 50% a nei a, negative gene a dawn theihna chance 50% a nei bawk. Chumi awmzia chu naute hian Rh Positive a nih theihna chance 50% a nei tihna a ni.

Heng genetic issues te hi a buaithlak deuh avangin i doctor nen inbiain hei hi i sawifiah thei ang.

Ngaihdan dik lo leh thudik

Mi thenkhat chuan Anti-D vaccine hi thisen atanga siam a nih avangin an hlau mai thei. Mahse hengte hi uluk taka tihthianghlim a, a him tih finfiah hnua siam a ni. Tin, "Ka thianpa hian Anti-D ei lovin Rh Positive naute hrisel pahnih a nei a" tih ang chi thawnthu pawh i hre mai thei bawk. Ni e, a thleng tlem hle thei. Mahse, a tul lo taka risk lak ang mai a ni a, hmalam pan tur traffic zawng lovin kawngpuiah zuang lut ang mai a ni.