Mu bipimo byinshi by'amaraso ukorerwa utwite bwa mbere, ushobora kuba warahuye n'ijambo 'Rh factor'. Ariko abantu benshi ntibazi neza icyo ari cyo mu by'ukuri n'impamvu ari ingenzi cyane. Ni ngombwa cyane kubimenya niba ubwoko bw'amaraso yawe ari ' Rh negative '. None rero uyu munsi, reka tubiganireho mu buryo bworoshye kandi busobanutse, nta bwoba cyangwa gushidikanya.
Reka tubanze turebe, iyi Rh Factor ni iki?
Mu magambo make, Rh factor ni poroteyine idasanzwe ishobora kuba iri ku buso bw'uturemangingo dutukura tw'amaraso yacu cyangwa itaraboneka. Tekereza ko uturemangingo dutukura tw'amaraso yacu ari utuntu duto. Hari abantu bafite iyi poroteyine ifatanye n'uturemangingo twayo. Abandi ntibayifite.
Iyo ufite iyi poroteyine mu maraso yawe, uba ufite Rh positive . Abenshi mu batuye isi, hafi 85%, bafite Rh positive. Iyo udafite iyi poroteyine mu maraso yawe, uba ufite Rh positive . Iyi si indwara cyangwa inenge. Ni ikintu twarazwe n'ababyeyi bacu.
Kuki iki kizamini ari ingenzi mu gihe utwite?
Iyo umenye ko utwite, kimwe mu bizamini bya mbere muganga wawe azakora ni ikizamini cya Rh factor. Iki ni ikizamini cy’amaraso gisanzwe, bityo ntibizagukomeretsa cyangwa ngo bigire ingaruka mbi ku mwana wawe. Ibisubizo by’iki kizamini ni byo bizagena icyo ugomba gukora nyuma yaho.
Reka turebe iyi mbonerahamwe kugira ngo tubyumve neza.
| Ibisubizo by'ikizamini cyawe | Ni iki gikurikiraho? |
|---|---|
| ubwandu bwa Rh | Nta kibazo. Nta kindi gikenewe gukora ikizamini kuri iki kibazo. Nta cyo ugomba gutinya. |
| Ubwinshi bwa Rh mu mubiri | Hari ibyago bike hano. Bityo muganga wawe ashobora gukora ikindi kizamini. Byitwa 'isuzuma ry'umubiri urwanya indwara.' Bisuzuma niba umubiri wawe warakoze ubudahangarwa bw'umubiri burwanya amaraso ya Rh. |
Ikibazo kivuka iyo umubyeyi ufite Rh negative afite umwana ufite Rh positive (Rh Incompatibility)
Dore uko bibaho koko. Niba ufite Rh negative, ariko umugabo wawe akaba afite Rh positive, hari amahirwe ko umwana ugiye kubyara azaba afite Rh positive. Aha niho tuvuga ku ndwara yitwa 'Rh Incompatibility'.
Mu magambo make, iyo umubyeyi udafite Rh afite umwana ufite Rh mu nda ye, iyo amaraso ya nyina n'ay'umwana bivanze mu buryo ubwo aribwo bwose, umubiri wa nyina umenya uturemangingo dutukura tw'umwana nk' 'umwanzi'. Hanyuma utangira gukora uturemangingo two kurwanya uwo 'mwanzi'. Ibi ni byo twita 'gutera Rh sensitization' .
Ariko ntugatinye hano. Ubusanzwe, ibi ntibizagira ingaruka mbi cyane ku mwana wa mbere. Kuko amaraso ya nyina n'ay'umwana ashobora kuvanga cyane mu gihe cyo kubyara. Ibyo bivuze ko uturemangingo tw'umubiri dutangira kubaho nyuma yuko umwana avutse.
Ariko, ikibazo kivuka mu gihe cyo gutwita gikurikira. Iyo umubiri wawe umaze kugira izi antibodies, zibaho iteka ryose. Ubutaha iyo utwaye umwana ufite Rh positive mu nda yawe, izo antibodies zamaze gukurwaho zitangira kwibasira uturemangingo tw'amaraso dutukura tw'umwana mu nda. Ibi bishobora gutuma umwana agira indwara yitwa 'Rh disease' . Muri iki kibazo, uturemangingo tw'amaraso dutukura tw'umwana turangirika vuba kurusha uko umubiri ushobora kubikora. Ibi kandi byitwa hemolytic anemia . Ibi bishobora guteza akaga gakomeye ku mwana, ndetse bishobora no gushyira ubuzima mu kaga.
Ni amahirwe angahe ko amaraso y'umubyeyi n'ay'umwana ashobora kuvanga?
Ibi bikunze kubaho mu gihe cyo kubyara, ariko bishobora no kubaho mu bindi bihe.
- Mu gihe cyo gukora ibizamini nka amniocentesis (ikizamini aho amazi make ya amniotic akikije umwana uri mu nda afatwa hifashishijwe syringe) cyangwa chorionic villus sampling (CVS) (ikizamini aho agace gato k'ingobyi ifatwa).
- Niba ugize amaraso mu gitsina utwite.
- Niba ugize impanuka cyangwa ugakubitwa cyane mu nda mu gihe utwite.
- Iyo umwana ari mu kanwa , muganga afata inda y'umwana agerageza kumuhindukiza.
- Iyo inda ivuyemo, gutwita inda idafite intanga , cyangwa gukuramo inda.
Ntugahangayike, hari igisubizo cyiza cyane kuri ibi!
Ushobora kugira ubwoba iyo wumvise ibi bintu. Ariko nta mpamvu yo gutinya. Kuko bitewe n'iterambere rya siyansi y'ubuvuzi, ubu hari igisubizo cyoroshye kandi cy'ingirakamaro kuri ibi.
Muganga wawe nasanga ufite Rh negative kandi umwana wawe afite Rh positive, azaguha inshinge yitwa Rh Immunoglobulin (RhIG) mu byumweru 28 utwite. Iyi nshinge ibuza umubiri wawe gukora utwo tunyangingo tw’umubiri dufite akaga.
Ndetse na nyuma yo kuvuka k'umwana, niba amaraso ye afite ubwoko bwa Rh, uzahabwa urundi rukingo mu masaha 72. Niba wongeye gutwita, ugomba no kubona uru rukingo muri icyo gihe. Ubu buryo ni bwiza cyane kandi bufite akamaro.
Niba ubonye ibimenyetso mu gihe utwite, cyane cyane niba ufite Rh negative, bwira muganga wawe ako kanya . Azaguha indi dose ya RhIG nibiba ngombwa.
Bite se niba waramaze kugira antibodies?
Ni gake cyane, wenda kubera ko utahawe urukingo rwa RhIG mu gihe wari utwite mbere, umubiri wawe ushobora kuba usanzwe ufite uturemangingo twa Rh. Niba ari uko bimeze, urukingo rwa RhIG ntacyo ruzagufasha. Ariko ntugahangayike. Niba ari uko bimeze, muganga wawe azaba agukurikiranira hafi wowe n'umwana wawe. Hari abana bakeneye guterwa amaraso nyuma yo kuvuka. Ni gake cyane, amaraso atangwa ukiri mu nda.
Ubutumwa bwo kujyana mu rugo
- Rh factor ni poroteyine iri ku buso bw'uturemangingo dutukura tw'amaraso. Iyo udafite, uba uri Rh negative. Iyi si indwara.
- Niba ufite Rh negative, ikibazo cyonyine gishobora gutera mu gihe utwite ni uko umwana wawe afite Rh negative.
- Urukingo rwa Rh immunoglobulin (RhIG) ni uburyo bwizewe kandi bufite akamaro bwo kurinda umubiri wawe gukora ubudahangarwa bw’umubiri bushobora kwangiza umwana wawe.
- Buri gihe kurikiza amabwiriza ya muganga wawe, witabire amavuriro yagenwe, kandi ubone urukingo rwa RhIG igihe bibaye ngombwa.
- Niba uri umubyeyi udafite Rh kandi ukumva hari amaraso mu gihe utwite, hamagara muganga wawe ako kanya .
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