Dzimwe nguva kana chiremba wedu akatipa bvunzo yeropa, hatigone kuziva kuti chii. Rimwe remazita akadaro ndi 'Coombs test'. Unofanira kunge wakanzwa nezvebvunzo iyi, kunyanya kana uine pamuviri, wakaisirwa ropa, kana kana mwana wako aine chirwere chakadai sejaundice. Saka ngationei kuti bvunzo iyi inotsvagei chaizvo uye nei ichikosha, nenzira iri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Coombs Test iyi?
Muviri wedu une dziviriro, seuto rinodzivirira nyika. Isu tinoti masoja akakosha ari muuto iri ma antibodies . Basa ravo guru nderekutidzivirira kubva kuzvirwere nekurwisa vavengi, vakaita sehutachiona, mabhakitiriya, nemavhairasi, anonzi maantigen , anopinda mumuviri kubva kunze.
Asi fungidzira, chii chinoitika kana dzimwe nguva mauto aya ekuzvidzivirira akakanganisa otanga kurwisa masero edu akanaka, ane hutano pachinzvimbo chekuaona sevavengi vekune dzimwe nyika? Ndicho chinhu chakaipisisa. Kuongororwa kweCoombs kunoongorora kana paine ma antibodies muropa redu anogona kurwisa masero matsvuku eropa, kana kuti ari kutoarwisa.
Zvichitaurwa zviri nyore, bvunzo iyi inotarisa kana dziviriro yedu (antibodies) iri kurwisa masero edu matsvuku eropa.
Kune mhando mbiri dzeCoombs test.
Ehe, kune mhando mbiri huru dzebvunzo iyi yeCoombs. Chiremba achakuudza kuti uite imwe yeidzi mbiri. Ngatitarisei musiyano uripo pakati pezviviri nenzira iyi.
| Rudzi rweKuedza | Uri kutsvagei pane izvi? | Ndezvipi zviitiko zvinonyanya kushandiswa? |
|---|---|---|
| Bvunzo reCoombs rakananga (Kuedza kwakananga kweCoombs) | Izvi zvinotarisa zvakananga kana ma antibodies akabatana nekunze kwemasero matsvuku eropa, zvichireva kuti akabatana nawo. Kutaura chokwadi, zvakafanana nekutarisa kana kurwa kwatotanga . | Tsvaga zvirwere zvine chekuita neropa zvakaita se autoimmune hemolytic anemia, inova mamiriro ezvinhu apo muviri unoparadza masero matsvuku eropa. |
| Bvunzo reCoombs risina kunanga (Kuedza kweCoombs kusina kunanga) | Izvi zvinotarisa kana paine ma antibodies ari kuyerera zvakasununguka muropa rako (ropa) anogona kurwisa masero matsvuku eropa. Zvakafanana nekutarisa kana wagadzirira kurwa . |
|
Sei bvunzo yeCoombs ichikosha zvikuru panguva yekuzvitakura?
Kuongororwa kweIndirect Coombs, kunoitwa panguva yekuzvitakura, kunoongorora kana ropa raamai rine masoja ekudzivirira chirwere cheRh factor. Ngationei kuti Rh factor iyi chii.
Fungidzira, pamusoro pemarudzi edu eropa (A, B, AB, O), panogona kunge paine imwe puroteni yakakosha, kana kuti 'chiratidzo', pamasero matsvuku eropa. Izvi zvinonzi Rh factor .
- Kana chiratidzo ichi chiripo, rudzi rweropa irworwo rune Rh-positive (semuenzaniso O positive, A positive).
- Kana chiratidzo ichi chisipo, rudzi rweropa irworwo runenge ruri Rh-negative (semuenzaniso O negative, A negative).
Zvino funga nezveizvi: Chii chinoitika kana rudzi rweropa rwaamai rwuri rweRh-negative (zvichireva kuti haruna chiratidzo ichocho chakakosha), asi mwana ari mudumbu achigara nhaka rudzi rweropa rwababa uye ari Rh-positive (zvichireva kuti ropa remwana rine chiratidzo ichocho)?
Chinogona kuitika pano ndechekuti kana ropa diki remwana rikasangana neropa raamai pane imwe nguva, senge panguva yekusununguka, masoja emuviri aamai anoona 'chiratidzo' chinonzi Rh factor muropa remwana semuvengi wekune imwe nyika. Ipapo muviri waamai unotanga kugadzira masoja ekudzivirira chirwere kuti arwise muvengi iyeye. Izvi zvinonzi Rh sensitization .
Kazhinji, panguva yekuzvitakura kwekutanga, ma antibodies aya anotora nguva yakareba kuti akure, saka mwana wekutanga haanyanyi kukanganiswa. Zvisinei, dambudziko rinouya panguva yekuzvitakura kunotevera. Kana amai vakatakura mwana ane Rh-positive zvakare, ma antibodies akambogadzirwa anenge agadzirira muropa raamai, oyambuka placenta, otanga kurwisa nekuparadza masero matsvuku eropa remwana.
Izvi zvinogona kukonzera matambudziko makuru ehutano kumwana, akadai sekushaya ropa uye jaundice. Ndosaka zvichikosha zvikuru kuita bvunzo iyi yeCoombs pakutanga kwekuzvitakura kuti uone kana paine njodzi yakadaro uye, kana zvichidikanwa, kuirapa kudzivirira.
Munoitawo bvunzo iyi kuvana vacheche vachangoberekwa here?
Ehe. Dzimwe nguva, kana mwana achangoberekwa aine jaundice yakanyanya, vanachiremba vanogona kuita Direct Coombs Test. Iyi bvunzo yekuona kana ma antibodies akagadzirwa naamai panguva yekuzvitakura apinda mumuviri wemwana, akabatana nemasero matsvuku eropa remwana, ndokuaparadza.
Pane zvandinofanira kuita ndisati ndanyora bvunzo here?
Kwete. Hapana chakakosha chaunofanira kugadzirira usati waenda kunoongororwa kweCoombs. Haufanire kutsanya kana kurega kutora mishonga.
Iyi iongororo yeropa iri nyore kwazvo. Tsono diki inoiswa mutsinga iri muruoko rwako uye ropa rinotorwa. Uchanzwa kubaiwa kudiki chete. Sample yeropa inozotumirwa kurabhoritari kuti iongororwe. Mhedzisiro yacho inowanzo kuwanikwa mukati memaawa makumi maviri nemana.
Mushumo webvunzo unorevei?
Mhedzisiro yebvunzo iyi inogona kuuya nenzira mbiri huru: Yakanaka kana kuti Yakaipa.
| Mhedzisiro | Zvinorevei (Zvinoreva) |
|---|---|
| Zvakanaka (Zvakanaka / Zvisina Kunaka) | Izvi zvinoreva kuti mune ma antibodies muropa rako ari kurwisa kana kuti anogona kurwisa masero matsvuku eropa rako. Izvi zvinogona kunge zvine zvikonzero zvakawanda:
|
| Zvakaipa (Zvakaipa / Zvakajairika) | Aya ndiwo mashoko akanaka! Izvi zvinoreva kuti hapana ma antibodies akawanikwa anogona kubatana kana kurwisa masero matsvuku eropa rako. Izvi zvinoreva:
|
Zvinorevei kana ukawana mhinduro yakanaka?
- Kana ukaonekwa uine hutachiona usati wapa ropa: Izvi zvinoreva kuti unofanira kungwarira zvikuru paunopa ropa, uye kusarudza rudzi rweropa rwakakunakira chaizvo. Vanhu vanogamuchira ropa kakawanda vanogona kugadzira ma antibodies aya, saka zvinogona kuoma kuwana rudzi rweropa rwunoenderana narwo.
- Kana ukaonekwa uine hutachiona panguva yekuzvitakura: Izvi zvinoreva kuti muviri wako wagadzira masoja ekudzivirira chirwere cheRh-positive. Uchazofanira kutsvaga kurapwa kuti udzivirire mwana.
- Kana mushumo wemwana unoratidza kuti ane chirwere ichi: Zvinowanzo ratidza kuti mwana ane chirwere chekushaya ropa kana kuti jaundice. Chiremba achaongorora mwana uye okurudzira kurapwa kwakakodzera.
Ndinofanira kuona chiremba rini?
Kana ukaona zviratidzo zvekushaya ropa, zvakaita sekuita yero kweganda kana maziso (jaundice) , kuneta uye kushaya simba nguva nenguva , dzungu , kana kuvhiringidzika , enda kuna chiremba wako nekukasika . Iye achakuongorora uye, kana zvichidikanwa, oita mimwe miedzo, kusanganisira bvunzo yeCoombs, kuti aone kuti chirwere chako chii uye kurapwa kwakanakisa.
Yeuka, kana uine zviratidzo zvaunofunga kuti hazviwanzoitiki, chinhu chakanakisa chekuita ndechekutaura nachiremba wako nezvazvo.
Bvunzo yeCoombs ingori bvunzo inopa chiremba wako ruzivo nezvedambudziko riri mumuviri wako. Haikuudze kuti chirwere chacho chii chaizvo. Saka, kana ukawana mhinduro yakanaka, ungangoda kuita bvunzo dzakawanda kuti uzive kuti chii chiri kukonzera chirwere ichi.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweCoombs iongororo yeropa iri nyore iyo inoongorora masoja emuviri anorwisa masero edu matsvuku eropa.
- Kune mhando mbiri huru dzeizvi: Direct Coombs Test (inotarisa kana watove kurwisa) uye Indirect Coombs Test (inotarisa kana wagadzirira kurwisa).
- Kuongororwa uku kwakakosha zvikuru kuti paonekwe kana paine kusawirirana pakati pemhando dzeropa (Rh factor) dzaamai vane pamuviri nemwana wavo.
- Kana ukawana mhinduro yakanaka, panogona kunge paine zvikonzero zvakawanda zveizvi. Saka usavhunduke, ingotarisa zvakadzama uye chiremba wako achakwanisa kukubatsira.
- Gara uchitaura nachiremba wako nezve zvabuda muongororo yako wowana kunzwisisa kwakajeka.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment