I thisen Rh negative a ni em? Naupai lai hian hei hi hre reng ang che (Rh Factor) .

Nu naupai i nih chuan, emaw, nau nei thuai tur i nih chuan, i doctor-in a tih tur test hmasa ber pakhat chu thisen test hi a ni. Hei hian i thisen chi leh thil dang pawimawh tak a check ang. Chu chu i Rh factor a ni. He term hi i lo hre tawh mai thei. Mahse mi tam tak chuan a awmzia hi an hre vak lo. Rh factor hi eng nge ni tak tak? Naupai lai hian engvangin nge a pawimawh em em? Ngaihtuah buai suh, awlsam tak leh chiang takin kan sawi dawn a ni.

A awlsam zawngin, Rh factor chu eng nge ni?

Awle, hetiang hian han sawi ila. I taksaa thisen sen (red blood cells) te hi ball te tak te, round tak tak angin ngaihtuah rawh. Mi thenkhat chuan heng thisen sen (red blood cells) chunglam, a nih loh leh pawnah hian protein chi khat bik an nei a. Chu protein chu damdawi lama Rh factor , a nih loh leh Rhesus factor kan tih chu a ni.

Hei hi i rochun thil a ni. Chu chu i nu leh pa hnen atangin i hmu tihna a ni.

• Rh-positive: I thisen sen chunglam ah protein i neih chuan Rh-positive i ni tihna a ni. Sinhala tawngin Rh positive tihna a ni. Sri Lanka leh khawvel ram dangah chuan mi tam zawk, chu chu mi 100 zinga 85 vel chu Rh-positive an ni.
• Rh-negative: I thisen sen chung lamah he protein hi i neih loh chuan Rh-negative i ni tihna a ni. Chu chu Rh negative i ni tihna a ni.

I thisen chi hi A, B, AB, O. He Rh factor hi chu thisen chi nen a inzawm tlat a ni. Entirnan, i thisen chu A a nih a, Rh-positive i nih chuan i thisen zawng zawng chu "A positive" a ni. Rh-negative i nih chuan "A negative" a ni.

Naupai lai hian engvangin nge Rh factor hi a pawimawh? (Rh Inrem lohna) .

Hetah hian thil thleng chu a awm. He dinhmun bik hi Rh incompatibility kan ti a, chu chu nu chu Rh-negative a nih a, nausen pum chhunga naute chu Rh-positive a nih chauhvin a thleng thin.

Hei hi i ti awlsam lehzual ang u. I taksa hi defence army tha tak nei ram angin ngaihtuah rawh. Rh-negative i nih avangin i ram (taksa) hian chu Rh protein chu a nei lo. Tunah chuan i pum chhunga naute thisen chu Rh-positive a nih chuan chu protein chu a thisen sen (red blood cells)-ah a nei tihna a ni.

Naupai lai hian nu leh naute thisen hi direct-in a inhmeh lo tlangpui. Mahse a chang chuan, a bik takin nau neih lai hian naute thisen tlemte chauh hi nu thisenah a lut thei a ni.

Chutiang a lo thlen chuan nu invenna (immune system) te chuan naute thisena Rh protein chu pawn lam hmelma, invader angin an hmu thin. "He thil thar kan taksaa lo lut hi eng nge ni? Hei hi kan taksaah hian a tel lo," tiin an ngaihtuah a, chu chu do turin ralthuam bik an siam tan ta a ni. Heng ralthuamte hi antibodies kan ti a . Hetiang kalphung hi Rh sensitization an ti a .

Naute thisen leh nu thisen a inhmeh theihna tur dinhmun:

• Nau neih lai: Hei hi a tam ber a ni. Vaginal delivery emaw cesarean section emaw lai pawhin a thleng thei.
• Naupai laiin vaginal bleeding.
• Pum chhunga hliam emaw accident emaw a awm.
• Naupai tirh lama harsatna awm thei, nau pai emaw, naupai lo (ectopic pregnancy) ang chi te.
• Amniocentesis ang chi test bik neih laiin.
• Naute chu breech position-a a awm chuan ECV an tih laiin doctor chuan naute chu kut hmangin a herh tir thin.

He hlauhawmna hian naute hmasa ber emaw, naute pahnihna emaw a nghawng em?

Hei hi a pawimawh hle. A tlangpuiin Rh-negative nu naute Rh-positive hmasa ber hian harsatna lian tham a nei lo.

A chhan chu, a hmaa kan sawi tawh ang khan nausen thisen hi nau neih laiin nu taksaah a lut tam ber a ni. Tichuan, nu taksain chutiang antibody a siam tan meuh chuan naute chu a lo piang tawh a ni. Chuvangin naute hmasa ber chu a tichhe lovang.

Mahse, buaina tak tak chu naupai leh tur atang hian a intan thin.

Tunah chuan nu taksa chuan Rh protein chu a hre chiang a, chu chu do turin antibody siam turin a inbuatsaih ta a ni. I pum chhungah a vawi hnihna atan Rh-positive naute i phur a nih chuan , a hmaa i siam antibodies te, "Hetah hian hmelma a lo kal leh ta!" Naute chhungah indona a intan ang mai a ni.

Hetiang dinhmun hi Rh natna an ti a . Enkawl loh chuan a pum chhunga naute tan a hlauhawm hle thei a ni.

Engtin nge hei hi i diagnose? Enkawlnate chu engte nge ni?

Vanneihthlak takin tunlai hian he natna hi hriatchhuah leh enkawl hi a awlsam hle.

Diagnosis tih a ni

I naupai tih i hriat veleh i doctor chuan i thisen chi dik tak leh Rh factor hriat chian nan thisen test turin a ti ang.

• Rh-positive i nih chuan harsatna a awm lo. Thil dang tih a ngai lo.
• Rh-negative i nih chuan i taksain Rh protein laka antibody a siam em tih enfiah leh a ni ang.

Enkawl dan: Anti-D vaccine pek a ni

Rh-negative i nih a, i taksain antibodies a la siam chhuah loh chuan doctor-te chuan shot awlsam tak mahse pawimawh tak tak an pe ang che. Hei hi Anti-D shot an ti tlangpui. Damdawi lam hming chu Rh immune globulin (RhIg) a ni.

He vaccine hi i immune system tan thuchah dik lo ang mai a ni. I taksain chutiang antibody hlauhawm tak tak a siam chu a titawp vek a ni. Chumi awmzia chu i naute thisen tlem tal i taksaah lut mah se, i taksain hmelma angin a hre lovang tihna a ni.

He vaccine hi pek thin a ni tlangpui a:

• Naupai kar 28 vel: Rh-negative nu zawng zawng chu fimkhur nan he hun lai hian vaccine pakhat pek an ni.
• Nau neih atanga darkar 72 chhungin: Naute thisen endik a ni a, naute chu Rh-positive a nih chauhvin nu chu injection dang pek leh a ni. Hei hi naute naupai leh tur venhimna atan a ni.
• Thil dang dangah: Naupai laiin thisen a chhuak a nih chuan, pum accident a awm a, nau pai a awm chuan doctor chuan he vaccine hi a pe thei bawk.

Naute hian enkawl loh chuan eng harsatna nge a neih theih?

Rh incompatibility hian nu a nghawng lo va, mahse enkawl loh chuan nausen pum chhunga naute tan naupai vawi hnihna emaw, a hnua a naupai lai emaw hian harsatna lian tak a thlen thei a ni.

Buaina ber chu hemolytic anemia a ni . A awlsam zawngin sawi ila, naute thisen sen (red blood cells) chu a siam chhuah aiin a chhe rang zawk a ni. Thisen sen (red blood cells) te hi taksa peng hrang hranga oxygen phurtu an ni. An tihchhiat chuan naute hian harsatna lian tham tak a nei thei a ni.

• Jaundice: Thisen sen (red blood cells) a chhiat chuan thil sen (yellow substance) bilirubin an tih chu a lo chhuak thin. Hei hi a lo pung zel chuan naute vun leh mit chu a sen vek thin. Level sang chuan thluak a tichhe thei bawk.
• Liver leh Heart Failure: Naute thinlung leh thin (liver) hian thisen sen (red blood cells) a tihchhiat tawhte thlak turin nasa takin hna an thawh a ngai a ni. Hei hian heng taksa peng hrang hrangte hi a ti lian thei a, a tichhe thei bawk.
• Thi nau piang: Nausen na ber ah chuan naute chu thisen tlakchhamna leh thinlung tha lo vangin a pum chhungah a thi thei a ni.

Mahse, lungngai suh. Anti-D vaccine siam a nih tak avangin tunlai hian hetiang natna khirh tak hi a tlem hle.