Ngati ndinu mayi woyembekezera, dokotala wanu mwina angakufunseni kuti muchite mayeso ambiri. Pakati pawo, mwina munauzidwapo za ' mayeso a antibody '. Kumva dzinali kungakupangitseni mantha komanso kufuna kudziwa zambiri. Koma musaope chilichonse. Iyi ndi mayeso ofunikira kwambiri kuti akutetezeni inu ndi mwana wanu wosabadwa. Lero, tikambirana chilichonse mosavuta, ngati kuti tikulankhula ndi mnzanu.
Nchifukwa chiyani mayeso a antibody awa ndi ofunikira kwa inu?
Mwachidule, ma antibodies ndi mtundu wapadera wa mapuloteni omwe amapanga chitetezo chathu chamthupi. Ali ngati mphamvu yodzitetezera ya thupi lathu. Ntchito yawo ndi kutiteteza polimbana ndi zinthu "zachilendo", monga majeremusi omwe amayambitsa matenda, omwe amalowa m'thupi lathu.
Mukakhala ndi pakati, chitetezo chanu cha mthupi chimateteza mwana wanu. Koma nthawi zina vuto laling'ono lingabuke. Pamenepo ndi pamene mitundu ya magazi anu ndi ya mwana wanu sizikugwirizana.
Chinthu chachikulu komanso chofala kwambiri pankhaniyi ndi chizindikiro cha '+' kapena '-' mu mtundu wa magazi athu. Timachitcha ichi kuti Rh factor . Anthu ambiri ku Sri Lanka ali ndi mtundu wa magazi wa Rh-positive. Izi zikutanthauza kuti ali ndi puloteni yotchedwa Rh mu maselo awo ofiira a magazi. Koma anthu ena ali ndi Rh-negative. Izi zikutanthauza kuti alibe puloteni iyi mu maselo awo ofiira a magazi.
Taganizirani izi motere: gulu la magazi anu ndi la Rh-negative. Koma ngati gulu la magazi la mwana m'mimba mwanu ndi la Rh-positive (zomwe zimachitika kawirikawiri ngati bambo a mwanayo ali ndi Rh-positive), ndiye kuti thupi lanu lidzazindikira maselo ofiira a magazi a mwana ngati "achilendo" ndikuyamba kupanga ma antibodies kuti awaukire.
Ma antibodies amenewa amatha kuchoka kwa inu kupita kwa mwana wanu kudzera mu umbilical cord ndikuwononga maselo ofiira a magazi a mwana. Izi zingayambitse kuchepa kwa magazi m'thupi mwa mwana, zomwe zingakhale zoopsa kwa moyo. Kuyesa kwa ma antibodies kumeneku kumachitika kuti mudziwe pasadakhale ngati pali chiopsezo chotere.
Kodi mayesowa amachitika bwanji?
Ndi zophweka kwambiri. Mukangodziwa kuti muli ndi pakati, mwina paulendo wanu woyamba kuchipatala, dokotala wanu adzafufuza mtundu wa magazi anu.
- Ngati muli ndi Rh-negative , mudzapemphedwa kuti muyesedwe mayeso a antibody awa mkati mwa miyezi itatu yoyambirira ya mimba.
- Ngakhale mutakhala ndi Rh-positive , dokotala wanu angakufunseni kuti muchite mayesowa mu trimester yoyamba pazifukwa zina.
Labu imangotenga chitsanzo cha magazi pang'ono kuchokera mumtsempha womwe uli m'dzanja lanu.Mungamve kupweteka pang'ono mukalandira jakisoni, ndipo mwina kutuluka magazi kapena malowo akhoza kukhala abuluu. Izi ndi zachilendo, choncho musadandaule nazo.
Kenako chitsanzo cha magazichi chimatumizidwa ku labu kuti akayesedwe kotchedwa 'indirect Coombs test.' Ichi ndi chomwe chimayang'ana ngati magazi anu ali ndi ma antibodies motsutsana ndi maselo ofiira a magazi.
Kodi lipotilo likuti chiyani?
Musachite mantha mukaona lipotilo. Tiyeni tingoyang'ana tanthauzo lake.
| Zotsatira | Tanthauzo ndi choti muchite |
|---|---|
| Zoyipa | Iyi ndi nkhani yabwino kwambiri! Zikutanthauza kuti palibe ma antibodies m'magazi mwanu omwe ali oopsa kwa mwana.
|
| Zabwino | Izi zikutanthauza kuti magazi anu ali kale ndi ma antibodies. Ngati zili choncho, jakisoni wa RhoGAM sungathandize. Koma musadandaule. Dokotala wanu adzakuyang'anirani inu ndi mwana wanu mosamala kwambiri. Adzayang'ana thanzi la mwana wanu nthawi zonse ndipo, ngati pakufunika, angafunike kubereka mwana wanu msanga kapena kukupatsani magazi kudzera mu umbilical cord. |
Chofunika kwambiri ndichakuti kaya zotsatira zake zikhale zotani, muli pansi pa utsogoleri wa dokotala. Choncho musachite mantha mosafunikira kapena kusunga zinthu kwa inu nokha. Lankhulani ndi dokotala wanu za mafunso aliwonse omwe mungakhale nawo.
Uthenga Wopita Nawo Kunyumba
- Ndikofunikira kwambiri kudziwa mtundu wa magazi anu, makamaka Rh factor (+ kapena -), kumayambiriro kwa mimba.
- Ngati ndinu mayi wopanda Rh, onetsetsani kuti mwapita kukayezetsa ma antibodies panthawi yoyenera monga momwe dokotala wanu wanenera.
- Ngati akulimbikitsidwa, jakisoni wa RhoGAM ndi sitepe yofunika kwambiri yotetezera inu, mwana wanu, ndi ana aliwonse amtsogolo. Musaiphonye.
- Ngati muli ndi kukayikira pang'ono za lipoti la mayeso, musaope kulankhula ndi dokotala wanu za nkhaniyi. Iye adzakufotokozerani zonse ndikukupatsani chithandizo chabwino kwambiri.
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