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.

Mahse, buaina chu naupai leh turah a lo chhuak thin. Tunah chuan nu taksa hian Rh positive thisen laka antibody a nei tawh a ni. Heng antibodies te hian placenta an paltlang thei a, naute lo awm tur taksaah an lut thei 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.

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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.

A awlsam zawngin, Anti-D vaccine hian nu taksaa Rh-positive red blood cells, nu pum chhunga nausen atanga nu taksaa lut thei zawng zawng chu nu immune system ‘a harh’ hmain a inactivate a, ‘a silfai’ vek a ni. Hei hian nuin antibody hlauhawm tak tak a neih loh nan a veng 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.

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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.

A pawimawh ber chu he thil chungchangah hian a tul lova hlauhna siam lovin damdawi lam thurawn dik tak zawm hi a ni.I doctor chuan i tan test tul zawng zawng a ti vek ang che, a tul hunah Anti-D vaccine a pe ang che a, nang leh i naute hi him taka awm turin a kaihruai ang che.