I thisena Rh factor hian engtin nge naupai hi a nghawng? I zawng chhuak ang u!

Nu ni tur i nih chuan, emaw, naute i beisei tawh a nih chuan, i doctor-in i check-up hmasa berah thisen test tam tak a tih tur chu i hre tawh ngei ang. Chung zinga pawimawh ber pakhat chu Rh factor check hi a ni. Hei hi i tan chuan a buaithlak deuh a, thil thar a ni mai thei. Mahse lungngai suh , vawiin hian Rh factor hi eng nge a nih leh nang leh i naute tan a pawimawh dan chu awlsam leh hriatthiam awlsam takin kan sawi dawn a ni.

Rh factor chu eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, Rh factor hi i thisen sen (red blood cells) chunglama protein bik a ni. I nu leh pa hnen atanga i rochun thil a ni a, i san zawng emaw i vun rawng emaw ang bawkin.

• I thisen zam (red blood cells)-ah he protein hi i neih chuan Rh-positive i ni tihna a ni.
• I thisen zam (red blood cells)-ah he protein hi i neih loh chuan Rh-negative i ni tihna a ni.

Ngaihtuah teh, khawvela mi tam zawk, zaa 85 (85%) vel chu Rh-positive an ni . Chuvangin Rh-positive i nih chuan chu chu thil awmdan pangngai a ni.

Kan thisen chi hrang hrang kan hre vek. Thisen chi thum a awm a, chungte chu A, B, AB, leh O. Heng thisen chi hrang hrangte hi i Rh factor a zirin "positive (+)" emaw "negative (-)" emaw a ni. Entirnan, i thisen type chu A a nih a, i Rh factor chu positive a nih chuan i thisen type chu "A positive" a ni. Tin, chutiang chuan:

• A Negative a ni
• B Positive a ni
• B Negative a ni
• O Positive a ni
• O Negative a ni
• AB Positive a ni
• AB Negative a ni

A pawimawh ber chu i Rh factor hian i hriselna tlangpui a nghawng lo va, harsatna a thlen lo . I thisen ziarang mai a ni.

Naupai lai hian engvangin nge Rh factor hi a pawimawh?

I Rh factor hian i nun pangngaiah nghawng nei lo mah se, naupai i nih chuan hei hi i ngaihtuah tur a ni a, a bik takin Rh-negative i nih chuan .

Hetah hian thil thleng chu a awm:

Ngaihtuah teh, Rh-negative nu i ni (chu chu i thisenah chu protein bik i nei lo tihna a ni). Mahse, nausen pum chhunga naute chu Rh-positive a nih chuan (naute hian chu protein chu an thisenah a nei tihna a ni a, pa hnen atanga rochun a ni) chuan harsatna tenau tak a lo awm thei a ni. Hei hi Rh incompatibility kan ti a ni .

Hetih lai hian nu taksa chakna (immune system) chuan naute thisen Rh-positive red blood cells chu "ram dang" tiin a hre thei a ni. Kan taksaah natna hrik a luh veleh kan immune system-in a do let ang bawkin, nu taksa pawhin naute thisen sen (red blood cells) laka antibody a siam tan a. Hetiang kalphung hi Rh sensitization an ti a .

Mahse, lungngai suh! Tunlai damdawi hian he natna laka invenna atan hian enkawlna tha tak tak a nei a .I doctor chuan he harsatna hi a thlen loh nan ``immune globulin'' tih shot a pe ang che.

Engtin nge nu leh naute thisen hi a inpawlh theih ang?

A tlangpuiin naupai lai hian nu thisen leh nausen pum chhunga awm chu direct-in a inhmeh lo. Amaherawhchu, thil bik thenkhatah chuan naute thisen tlemte chauh hi nu thisen nen a inpawl thei a ni. Chutiang case-ah chuan:

• Nau neih lai: Vaginal delivery emaw cesarean section emaw pawh a ni thei.
• Naupai laiin test bik thenkhat: entirnan, ``amniocentesis`` (amniotic fluid enfiah) emaw ``chorionic villus sampling - CVS`` (placenta thenkhat enfiah) ang chi test te.
• Naupai laiin vaginal bleeding i neih chuan.
• Accident na tak emaw, pum chhunga hliam emaw a awm chuan.
• Naupai tirh lamah harsatna a awm a, nau pai emaw, naupai pawn lam emaw a nih chuan.
• ``External cephalic version (ECV)'' tih procedure hnuah, naute chu breech position-a a awm laiin a turn tir thin.

Engtikah nge naute chu hlauhawma a awm?

A tlangpuiin naute hian Rh-negative nu naupai hmasa berah harsatna lian tham a nei lo . A chhan chu nau neih lai hian nu thisen chu naute thisen nen a inhmeh tam ber vang a ni. Chuvangin, chu antibody te chu lo piang tan mahse, chutih hunah chuan naute chu a piang tawh ang. Mahse, i doctor chuan i naupai hmasak ber a nih pawhin Rh factor chu a test ang.

A vawi hnihna atana naupai leh naute pawh Rh-positive a nih chuan buaina a awm thei. Hei hi a chhan chu i naute hmasa ber i neih hnua i siam antibodies i la nei thei a ni. Tichuan, chu antibodies te chuan placenta chu an paltlang thei a, naute pahnihna Rh-positive red blood cells te chu an bei tan thei a ni. Hetiang dinhmun hi Rh natna an ti a . Hei hi naute tân a hlauhawm hle thei a, nunna atân pawh a hlauhawm thei .

Tute nge Rh incompatibility hlauhawma awm?

Hetiang hlauhawmna hi Rh-negative nuin Rh-positive naute a phurh hian a thleng thin . Naute Rh factor hi nu leh pa hnen atanga gene rochun atanga teh a ni.

• Nu chu Rh-negative (-) a nih a, a pa chu Rh-positive (+) a nih chuan:
• Naute pawh Rh-positive (+) a ni thei bawk (chuti a nih chuan incompatibility a awm thei).
• Naute chu Rh-negative (-) a ni thei bawk (chutiang a nih chuan risk a awm lo).
• Nu chu Rh-negative (-) a nih a, pa pawh Rh-negative (-) a nih chuan:
• Naute chu Rh-negative (-) a ni reng ang. Chuvangin risk a awm lo.
• Nu chu Rh-positive (+) a nih chuan:
• Pa chu Rh-positive (+) emaw Rh-negative (-) emaw pawh nise, naute hian nu Rh factor avang hian inrem lohna a tawk lovang, a chhan chu nu taksa hian chu "ram dang" protein laka antibody a siam lo a ni.

Rh factor hi engtin nge kan hriat ang? (Rh factor test) tih a ni.

Hei hi a awlsam hle. Naupai i nih chuan i Rh factor chu eng nge a nih tih chu i prenatal appointment hmasa berah thisen test awlsam tak (type leh screen) hmangin i hre thei ang. Hei hi a pawimawh hle. A chhan chu Rh-negative i nih a, naute chu Rh-positive a nih chuan chu Rh factor incompatibility kan sawi tawh kha a thleng thei a ni.

Engtin nge Rh incompatibility hi hmuhchhuah leh enkawl a nih?

I naupai hunah i obstetrician chuan Rh-negative i nih leh nih loh a enfiah hmasa ang.

• Rh-positive i nih chuan: Harsatna a awm lo. Thil dang tih tur a awm lo.
• Rh-negative i nih a, i antibody screen negative a nih chuan: I doctor chuan Rh immune globulin (RhoGAM® tia koh bawk) shot a pe ang che . Hei hi chutiang antibody siam chhuah loh nan pek a ni.
• He vaccine hi vawi khat pek thin a ni tlangpui , naupai kar 28-na vel a ni .
• Dose dang chu naute pian atanga darkar 72 chhungin pek a ni (naute chu Rh-positive a nih chauhvin).
• A châng chuan, naupai tirh lamah pawh (entir nân, thisen chhuak i neih chuan), doctor-in i thisen leh i naute thisen chu a inhmeh lo thei niin a ngai a nih chuan, he vaccine hi pek theih a ni.

He `(RhoGAM®)` vaccine hian venhimna shield angin hna a thawk a ni . I taksain chutiang antibody hlauhawm tak tak a siam chhuah chu a titawp a ni. He vaccine hian Rh incompatibility enkawlnaah a thawk tha hle . Chuvangin, naupai hmaa he natna hi hriatchhuah hi harsatna lian tham lo thleng tur venna tha ber a ni.

Mahse, Rh antibodies (antibody screen positive) i lo siam tawh a nih chuan RhoGAM® vaccine hian a pui dawn lo. Chutiang a nih chuan doctor-te chuan i naupai chhung zawngin nang leh i naute chu uluk takin an enkawl ang . Naute dinhmun azirin Doctor-te chuan naute hi a hmaa nau neih chu an rel thei a ni.

Rh incompatibility avang hian eng complication nge awm thei?

Rh incompatibility hian nu naupai chu a nghawng lo . Amaherawhchu pum chhunga nausen chu a nghawng thei a ni. A bulpui ber chu hemolytic anemia an tih hi a ni . A awlsam zawngin, naute thisen sen (red blood cells) chu thlak ai chuan a chhe rang zawk a ni.

A nghawng chu a na lo atanga a na lutuk thlengin a awm thei. Chung zingah chuan:

• Jaundice: Vun leh mit a sen.
• Liver a tha lo .
• Lung lam chak lohna .
• Nau piang thi tawh .

Mahse, a tam zawkah chuan Rh natnain nghawng na tak nei naute chu enkawlna bik an mamawh lo . Chutiang naute chu an dam chhuak vek a ni.

A nasat chuan nauteThisen pek a ngai mai thei. Hei hian naute thisen thar pek tihna a ni. Naute jaundice vei te chu special light therapy (phototherapy) hnuaiah dah theih a ni a, chu chuan bilirubin level a tihhniam thei a, chu chuan yellow color a siam thei a ni. Naute hi thisen tlakchhamna nasa tak a awm loh nan tlem a hma deuha nau neih a ngai thei bawk.

Thu lawmawm tak chu Rh immune globulin vaccine hmuhchhuah a nih hnuah Rh natna vei an tlahniam nasa hle.

Antibodies a tlakchham chuan eng nge thleng ang?

Rh-negative nu taksaah antibodies a tlakchham chuan `(Rh immune globulin)` vaccine hmanga enkawl hian hna a thawk lovang. Chuvangin i Rh factor hriat a, a rang thei ang bera enkawl a pawimawh kan ti.

Rh incompatibility hi ven theih a ni em?

Rh factor hi genetic factor a nih avangin kan naute hian Rh type a dawn tur chu kan thlang thei lo. Mahse, he harsatna laka inven dan tha ber chu nuin a Rh factor a hriat chian a, a tul chuan `(RhoGAM®)` vaccine chu a hun takah a dawng tur a ni.

Hei hian Rh-negative nu chu engtin nge a nghawng? (A tawp berah chuan i hriat tur - Take-Home Message)

Rh-negative nu i nih chuan heng thilte hi hriat chian a pawimawh hle.

Lungngai suh! Rh-negative i nih pawhin Rh-positive thisen i hmuh theih apiang (e.g., nau neih, test thenkhat) hnua `(RhIg)` vaccine i lak chuan i naute Rh natna vei theihna chu nasa takin i tihtlem thei a ni. Rh incompatibility hian i naute hriselna a nghawng a, i hriselna a nghawng lo tih hre reng ang che.

I Rh factor hi a tir atanga i hriat chian chuan i doctor chuan a hun takah RhIg vaccine chu a pe thei che a ni. Chu chu i naute hriselna atana tha ber a ni.

Naupai lai (leh a hma deuh pawh ni se) i Rh dinhmun hriat hian harsatna i neih loh nan a pui thei a ni. Vanneihthlak takin i doctor chuan i naupai tirh lamah i thisen a test thei a, Rh-positive nge Rh-negative i nih leh nih loh a hriat theih. Rh incompatibility hi Rh-negative i nih a, i naute Rh-positive a nih chauhvin harsatna a awm. Hei hi i doctor chuan Rh immune globulin (RhIg) shot a pe thei che a ni.

Chuvangin, a tul lovah hlauthawng leh lungkham suh. I doctor chuan nang leh i naute chu a enkawl tha ang a, a tul zawng zawng a pe ang che. I tih tur chu doctor thupek dik tak zawm a, checkup neih fo mai tur a ni. Tichuan naute hrisel tak neih theihna chance i nei sang zawk ang!

` Rh factor, Rhesus factor, naupai, thisen chi, Rh negative, Rh positive, Rh incompatibility, antibody, RhoGAM, naute