Kodi Rh factor m'magazi mwanu imakhudza bwanji mimba? Tiyeni tipeze yankho!

Ngati ndinu mayi woyembekezera, kapena ngati mukuyembekezera kale mwana, mwina mwamvapo za mayeso ambiri a magazi omwe dokotala wanu adzachita pa nthawi yanu yoyamba yoyezetsa. Chimodzi mwa zofunika kwambiri ndi kuyezetsa Rh factor. Izi zingawoneke ngati zosokoneza pang'ono komanso zatsopano kwa inu. Koma musadandaule , lero tikambirana za Rh factor ndi momwe ilili yofunika kwa inu ndi mwana wanu m'njira yosavuta komanso yomveka bwino.

Kodi Rh factor ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, Rh factor ndi puloteni yapadera yomwe ili pamwamba pa maselo ofiira a magazi. Ndi chinthu chomwe mumalandira kuchokera kwa makolo anu, monga kutalika kapena mtundu wa khungu lanu.

• Ngati muli ndi puloteni iyi m'maselo anu ofiira a magazi, ndiye kuti muli ndi Rh-positive .
• Ngati mulibe puloteni iyi m'maselo ofiira a magazi anu, ndiye kuti muli ndi Rh-negative .

Taganizirani izi, anthu ambiri padziko lonse lapansi, pafupifupi 85 peresenti (85%), ali ndi kachilombo ka Rh . Choncho ngati muli ndi kachilombo ka Rh, ndiye kuti zinthu zimachitika nthawi zonse.

Tonsefe timadziwa za mitundu yathu ya magazi. Pali mitundu itatu ikuluikulu ya magazi: A, B, AB, ndi O. Mitundu iyi ya magazi ndi "yabwino (+)" kapena "yoipa (-)" kutengera Rh factor yanu. Mwachitsanzo, ngati mtundu wa magazi anu ndi A ndipo Rh factor yanu ndi yabwino, mtundu wa magazi anu ndi "yabwino." Ndi zina zotero:

• Choyipa
• B Yabwino
• B Yoipa
• Zabwino
• O Zoyipa
• AB Yabwino
• AB Negative

Chofunika kwambiri ndichakuti Rh factor yanu isakhudze thanzi lanu lonse kapena kuyambitsa mavuto aliwonse . Ndi khalidwe la magazi anu.

Chifukwa chiyani Rh factor ndi yofunika kwambiri panthawi ya mimba?

Ngakhale kuti Rh factor yanu siikhudza moyo wanu wamba, muyenera kuda nkhawa ndi izi ngati muli ndi pakati, makamaka ngati muli ndi Rh-negative .

Izi ndi zomwe zimachitika:

Tangoganizirani, ndinu mayi wopanda Rh (kutanthauza kuti mulibe puloteni yapadera m'magazi mwanu). Komabe, ngati mwana m'mimba ali ndi Rh-positive (kutanthauza kuti mwanayo ali ndi puloteniyo m'magazi mwawo, yochokera kwa bambo), ndiye kuti vuto laling'ono lingabuke. Timatcha izi kuti Rh-compatibility .

Pa nthawiyi, chitetezo cha mthupi cha mayi chikhoza kuzindikira maselo ofiira a mwana omwe ali ndi Rh-positive ngati "achilendo." Monga momwe chitetezo chathu cha mthupi chimalimbana ndi kachilombo kamene kamalowa m'thupi mwathu, thupi la mayi limayamba kupanga ma antibodies motsutsana ndi maselo ofiira a mwana. Njira imeneyi imatchedwa Rh sensitization .

Koma musadandaule! Mankhwala amakono ali ndi mankhwala abwino oletsa vutoli.Dokotala wanu adzakupatsani jakisoni wotchedwa ``immune globulin'' kuti vutoli lisachitike.

Kodi magazi a mayi ndi a mwana angasakanikirane bwanji?

Kawirikawiri, magazi a mayi ndi mwana m'mimba sasakanikirana mwachindunji panthawi ya mimba. Komabe, nthawi zina zapadera, magazi ochepa kwambiri a mwana amatha kusakanikirana ndi magazi a mayi. Milandu yotereyi ikuphatikizapo:

• Pa nthawi yobereka: Kungakhale kubereka m'njira ya m'mimba kapena opaleshoni.
• Mayeso ena apadera omwe amachitidwa panthawi ya mimba: mwachitsanzo, mayeso monga ``amniocentesis`` (kuyesa madzi amniotic) kapena ``chorionic villus sampling - CVS`` (kuyesa gawo la placenta).
• Ngati mukumva magazi m'mimba mwanu mukakhala ndi pakati.
• Ngati pali ngozi yaikulu kapena kuvulala m'mimba.
• Ngati pakhala vuto lalikulu kumayambiriro kwa mimba, monga kutaya mimba kapena mimba yotuluka m'mimba.
• Pambuyo pa opaleshoni yotchedwa ``external cephalic version (ECV)'', yomwe imagwiritsidwa ntchito kutembenuza mwana ali m'malo otsekereza mimba.

Kodi mwana ali pachiwopsezo liti?

Kawirikawiri, mwana sakhala ndi mavuto aakulu panthawi yoyamba ya mimba ya mayi wopanda Rh. Chifukwa chake n'chakuti magazi a mayi nthawi zambiri amasakanikirana ndi magazi a mwana panthawi yobereka. Choncho, ngakhale ma antibodies amenewo atayamba kupangidwa, mwanayo adzakhala atabadwa kale panthawiyo. Komabe, dokotala wanu adzayesa Rh factor ngakhale itakhala mimba yanu yoyamba.

Vutoli lingabuke ngati mutatenga mimba kachiwiri ndipo mwana nayenso ali ndi Rh-positive. Izi zili choncho chifukwa mungakhalebe ndi ma antibodies omwe mudapanga mutabereka mwana wanu woyamba. Kenako, ma antibodies amenewo amatha kudutsa mu placenta ndikuyamba kuukira maselo ofiira a magazi a Rh-positive a mwana wachiwiri. Matendawa amatchedwa matenda a Rh . Izi zitha kukhala zoopsa kwambiri kwa mwana, ngakhale kupha moyo wake .

Ndani ali pachiwopsezo cha kusagwirizana kwa Rh?

Chiwopsezochi chimachitika pamene mayi wopanda Rh ali ndi mwana wokhala ndi Rh . Rh factor ya mwana imatsimikiziridwa ndi majini omwe amalandira kuchokera kwa mayi ndi bambo.

• Ngati mayi ali ndi Rh-negative (-) ndipo bambo ali ndi Rh-positive (+):
• Mwanayo akhozanso kukhala ndi Rh-positive (+) (ndiye kuti pali chiopsezo cha kusagwirizana).
• Mwanayo akhozanso kukhala ndi Rh-negative (-) (pamenepa palibe chiopsezo).
• Ngati mayi ali ndi Rh-negative (-) ndipo bambo nayenso ali ndi Rh-negative (-):
• Mwanayo nthawi zonse amakhala wopanda Rh (-). Choncho palibe chiopsezo.
• Ngati mayi ali ndi Rh-positive (+):
• Kaya bambo ali ndi Rh-positive (+) kapena Rh-negative (-), mwanayo sadzakumana ndi kusagwirizana kulikonse chifukwa cha Rh factor ya mayi, chifukwa thupi la mayi silipanga ma antibodies motsutsana ndi puloteni "yachilendo" imeneyo.

Kodi mungadziwe bwanji Rh factor? (Chiyeso cha Rh factor)

Izi n'zosavuta. Mukatenga mimba, mutha kudziwa chomwe Rh factor yanu ili poyesa magazi mosavuta (mtundu ndi kuyezetsa) pa nthawi yoyamba yoyembekezera. Izi ndizofunikira kwambiri. Chifukwa ngati muli ndi Rh-negative ndipo mwana ali ndi Rh-positive, kusagwirizana kwa Rh factor komwe tidakambiranaku kungachitike.

Kodi kusagwirizana kwa Rh kumazindikiritsidwa ndi kuchiritsidwa bwanji?

Mukatenga mimba, dokotala wanu wa za mimba adzayamba wafufuza ngati muli ndi Rh-negative.

• Ngati muli ndi Rh-positive: Palibe vuto. Palibe china choti muchite.
• Ngati muli ndi Rh-negative ndipo mayeso anu a antibody ali negative: Dokotala wanu adzakupatsani jakisoni wa Rh immune globulin (yomwe imatchedwanso RhoGAM®) . Izi zimaperekedwa kuti mupewe kupangika kwa ma antibodies amenewo.
• Katemerayu nthawi zambiri amaperekedwa kamodzi , pafupifupi sabata la 28 la mimba.
• Mlingo wina umaperekedwa mkati mwa maola 72 kuchokera pamene mwana wabadwa (pokhapokha ngati mwanayo ali ndi Rh-positive).
• Nthawi zina, ngakhale kumayambiriro kwa mimba (mwachitsanzo, ngati mukutuluka magazi), ngati dokotala akuganiza kuti magazi anu ndi a mwana wanu akhoza kusakanikirana, katemerayu angapatsidwe.

Katemera wa `(RhoGAM®)` uyu amagwira ntchito ngati chishango choteteza . Amaletsa thupi lanu kupanga ma antibodies oopsa. Katemerayu ndi wothandiza kwambiri pochiza kusagwirizana kwa Rh. Chifukwa chake, kuzindikira vutoli kumayambiriro kwa mimba ndiyo njira yabwino kwambiri yopewera mavuto akuluakulu.

Komabe, ngati mwakhala kale ndi ma antibodies a Rh (antibody screen positive), katemera wa RhoGAM® sangakuthandizeni. Zikatero, madokotala adzakuyang'anirani mosamala inu ndi mwana wanu panthawi yonse yomwe muli ndi pakati. Kutengera ndi momwe mwana alili, madokotala angasankhe kubereka mwana msanga.

Kodi ndi mavuto otani omwe angachitike chifukwa cha kusagwirizana kwa Rh?

Kusagwirizana kwa Rh sikukhudza mayi wapakati . Komabe, kungakhudze mwana m'mimba. Vuto lalikulu ndi matenda otchedwa hemolytic anemia . Mwachidule, maselo ofiira a magazi a mwana amawonongeka mwachangu kuposa momwe amalowetsedwa m'malo mwake.

Zotsatira zake zimatha kuyambira pa zofatsa mpaka zazikulu kwambiri. Zikuphatikizapo:

• Jaundice: Kuoneka kwachikasu pakhungu ndi maso.
• Kulephera kwa chiwindi .
• Kulephera kwa mtima .
• Kubereka mwana wakufa .

Komabe, nthawi zambiri, makanda omwe ali ndi zotsatira zochepa za matenda a Rh safunikira chithandizo chapadera . Makanda otere amachira kwathunthu.

Pa milandu yovuta kwambiri, mwana amapatsidwaKuikidwa magazi kungafunike. Izi zikutanthauza kupatsa mwana magazi atsopano. Ana omwe ali ndi matenda a jaundice angapatsidwe chithandizo chapadera cha kuwala (phototherapy) kuti achepetse kuchuluka kwa bilirubin, komwe kumayambitsa mtundu wachikasu. Mwanayo angafunikenso kubereka msanga kuti apewe kuchepa kwa magazi m'thupi.

Nkhani yabwino ndi yakuti pambuyo poti katemera wa Rh immune globulin wapezeka, kuchuluka kwa matenda a Rh kwachepa kwambiri.

Kodi chimachitika ndi chiyani ngati ma antibodies atha?

Ngati thupi la mayi wopanda Rh latha ma antibodies, chithandizo cha katemera wa `(Rh immune globulin)` sichigwira ntchito. Ndicho chifukwa chake timati ndikofunikira kudziwa Rh factor yanu ndikupeza chithandizo mwachangu.

Kodi kusagwirizana kwa Rh kungapewedwe?

Popeza Rh factor ndi chibadwa, sitingasankhe mtundu wa Rh womwe mwana wathu adzalandire. Komabe, njira yabwino yopewera vutoli ndi yakuti mayi adziwe Rh factor yake ndipo, ngati pakufunika, alandire katemera wa `(RhoGAM®)` panthawi yoyenera.

Kodi izi zimakhudza bwanji mayi yemwe ali ndi Rh-negative? (Pomaliza, zomwe muyenera kudziwa - Uthenga Wopita Nawo Kunyumba)

Ngati ndinu mayi wopanda Rh, ndikofunikira kwambiri kudziwa zinthu izi.

Musadandaule! Ngakhale mutakhala kuti mulibe Rh-negative, ngati mutalandira katemera wa `(RhIg)` mutatha kumwa magazi a Rh-positive nthawi iliyonse (monga kubereka, kuyezetsa kwina), mutha kuchepetsa kwambiri chiopsezo cha mwana wanu kudwala Rh. Kumbukirani, kusagwirizana kwa Rh kumakhudza thanzi la mwana wanu, osati lanu.

Dokotala wanu akazindikira msanga vuto lanu la Rh factor, angakupatseni katemera wa RhIg panthawi yoyenera. Imeneyi ndiyo njira yabwino kwambiri yosungira mwana wanu wathanzi.

Kudziwa momwe mulili ndi Rh panthawi ya mimba (ndipo makamaka koyambirira) kungathandize kupewa mavuto. Mwamwayi, dokotala wanu akhoza kuyesa magazi anu koyambirira kwa mimba yanu kuti adziwe ngati muli ndi Rh-positive kapena Rh-negative. Kusagwirizana kwa Rh ndi vuto lokha ngati muli ndi Rh-negative ndipo mwana wanu ali ndi Rh-positive. Dokotala wanu akhoza kuchiza izi pokupatsani jakisoni wa Rh immune globulin (RhIg).

Choncho, musachite mantha kapena kuda nkhawa mosafunikira. Dokotala wanu adzakusamalirani bwino inu ndi mwana wanu, ndipo adzakupatsani chithandizo chonse chofunikira. Chomwe muyenera kuchita ndikutsata malangizo a dokotala molondola ndikupita kukayezetsa nthawi zonse. Mukatero mudzakhala ndi mwayi waukulu wokhala ndi mwana wathanzi!

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