Kana uri amai vane pamuviri, kana kuti uri kutotarisira mwana, pamwe wakanzwa nezvekuongororwa kweropa kwakawanda kunoitwa nachiremba wako pakuongororwa kwako kwekutanga. Chimwe chezvinhu zvinonyanya kukosha kuongorora Rh factor. Izvi zvingaita sekunge zvinokunetsa uye zvitsva kwauri. Asi usazvidya mwoyo , nhasi tichataura nezveRh factor uye kuti inokosha sei kwauri nemwana wako nenzira iri nyore uye inonzwisisika.
Chii chinonzi Rh factor? Ngatinzwisise zviri nyore!
Zvichitaurwa zviri nyore, Rh factor ipuroteni yakakosha iri pamusoro pemasero matsvuku eropa rako. Chinhu chaunogara nhaka kubva kuvabereki vako, sekureba kwako kana ruvara rweganda rako.
- Kana uine puroteni iyi mumasero matsvuku eropa rako, une Rh-positive .
- Kana usina puroteni iyi mumasero matsvuku eropa rako, unenge usina Rh-negative .
Funga nezvazvo, vanhu vazhinji pasi rose, vanenge 85 muzana (85%) vavo, vane Rh-positive . Saka kana uine Rh-positive, ndizvo zvinoitika.
Tose tinoziva nezvemarudzi eropa redu. Kune marudzi matatu makuru eropa: A, B, AB, uye O. Marudzi aya eropa anogona kunge ari "positive (+)" kana "negative (-)" zvichienderana neRh factor yako. Semuenzaniso, kana rudzi rweropa rako riri A uye Rh factor yako iri positive, rudzi rweropa rako rinenge riri "positive." Zvichingodaro:
- Chinhu Chisina Kunaka
- B Yakanaka
- B Negative
- O Zvakanaka
- O Kusava Nechokwadi
- AB Yakanaka
- AB Negative
Chinhu chakakosha ndechekuti Rh factor yako haikanganisi hutano hwako hwese kana kukonzera matambudziko. Inongova hunhu hweropa rako.
Sei Rh factor ichikosha panguva yekuzvitakura?
Kunyangwe Rh factor yako isina kukanganisa hupenyu hwako hwemazuva ese, unofanira kunetseka nezvazvo kana uine pamuviri, kunyanya kana usina Rh-negative .
Hezvino zvinoitika:
Fungidzira, uri amai vasina Rh (zvichireva kuti hauna puroteni chaiyo muropa rako). Zvisinei, kana mwana ari mudumbu aine Rh-positive (zvichireva kuti mwana ane puroteni iyoyo muropa rake, yaakagara nhaka kubva kuna baba), ipapo dambudziko diki rinogona kumuka. Tinoti kusawirirana kweRh .
Panguva ino, masoja emuviri aamai anogona kuona masero matsvuku eropa emwana ane Rh-positive se "atorwa." Sekunge masoja edu emuviri anorwisa utachiona pahunopinda mumuviri wedu, muviri waamai unotanga kugadzira masoja ekudzivirira chirwere anorwisa masero matsvuku eropa emwana. Maitiro aya anonzi Rh sensitization .
Asi musazvidya mwoyo! Mishonga yemazuva ano ine mishonga yakanaka yekudzivirira chirwere ichi.Chiremba wako achakupa jekiseni rinonzi ``immune globulin'' kuti dambudziko iri risaitike.
Ropa raamai neromwana rinogona kusanganiswa sei?
Kazhinji, ropa raamai neremwana ari mudumbu harisangani zvakananga panguva yekuzvitakura. Zvisinei, mune dzimwe nguva, ropa diki remwana rinogona kusanganiswa neropa raamai. Nyaya dzakadai dzinosanganisira:
- Panguva yekusununguka: Kunogona kuva kubereka nepanhengo yemukadzi kana kubviswa kwemwana nepamuviri.
- Mimwe miedzo yakakosha inoitwa panguva yekuzvitakura: semuenzaniso, miedzo yakaita se "amniocentesis" (kuongororwa kwemvura yeamniotic) kana "chorionic villus sampling - CVS" (kuongororwa kwechikamu cheplacenta).
- Kana ukasangana nekubuda ropa kubva muchibereko panguva yekuzvitakura.
- Kana paine tsaona yakakura kana kukuvara mudumbu.
- Kana paine dambudziko panguva yekuzvitakura, zvakaita sekunge kubuda kwepamuviri kana kuti pamuviri usina kuvharwa.
- Mushure mekuvhiyiwa kunonzi ``external cephalic version (ECV)'', iyo inoshandiswa kutendeudza mwana kana ari panzvimbo yekuberekesa.
Mwana ari panjodzi rini?
Kazhinji, mwana haasangani nematambudziko makuru panguva yekuzvitakura kwekutanga kwaamai vasina Rh. Chikonzero cheizvi ndechekuti ropa raamai rinowanzo sangana neropa remwana panguva yekuzvitakura. Saka, kunyangwe ma antibodies iwayo akatanga kuumbwa, mwana anenge atozvarwa panguva iyoyo. Zvisinei, chiremba wako achaedza Rh factor kunyangwe iri mimba yako yekutanga.
Dambudziko rinogona kumuka kana ukaita pamuviri kechipiri uye mwana wacho ari Rh-positive. Izvi zvinokonzerwa nekuti ungangove uchiri nema antibodies awakagadzira mushure mekubereka mwana wako wekutanga. Zvadaro, ma antibodies iwayo anogona kuyambuka placenta otanga kurwisa masero matsvuku eropa eRh-positive emwana wechipiri. Chirwere ichi chinonzi chirwere cheRh . Izvi zvinogona kuva nengozi zvikuru kumwana, zvichitoisa upenyu panjodzi .
Ndiani ari panjodzi yekusawirirana kweRh?
Njodzi iyi inoitika kana amai vasina Rh vaine mwana ane Rh-positive . Rh factor yemwana inotsanangurwa nemajini anogara nhaka kubva kuna amai nababa.
- Kana amai vasina Rh (-) uye baba vane Rh (+):
- Mwana anogonawo kuva neRh-positive (+) (saka pane njodzi yekusawirirana).
- Mwana anogonawo kunge asina Rh (-) (muchiitiko ichi hapana njodzi).
- Kana amai vasina Rh (-) uye baba vasina Rh (-):
- Mwana acharamba asina Rh (-). Saka hapana njodzi.
- Kana amai vane Rh-positive (+):
- Kunyangwe baba vaine Rh-positive (+) kana Rh-negative (-), mwana haazosangana nekusawirirana nekuda kweRh factor yaamai, nekuti muviri waamai hauburitse masoja ekudzivirira chirwere anorwisa puroteni iyoyo "yekunze".
Nzira yekuziva sei Rh factor? (Muedzo weRh factor)
Izvi zviri nyore kwazvo. Kana wava nepamuviri, unogona kuziva kuti Rh factor yako chii nekuongororwa kweropa (rudzi uye kuongororwa) pakutanga kwako kwekuzvitakura. Izvi zvakakosha zvikuru. Nekuti kana uri Rh-negative uye mwana ari Rh-positive, kusawirirana kweRh factor kwatataura nezvako kunogona kuitika.
Kusawirirana kweRh kunoonekwa uye kunorapwa sei?
Kana wava nepamuviri, chiremba wako wezvekubereka achatanga aongorora kuti aone kana usina Rh-negative.
- Kana uine Rh-positive: Hapana dambudziko. Hapana chimwe chekuita.
- Kana uri negative Rh uye antibodies dzako dziri negative: Chiremba wako achakupa jekiseni reRh immune globulin (rinonziwo RhoGAM®) . Izvi zvinopihwa kudzivirira kuumbwa kweantibodies idzodzo.
- Mushonga uyu unowanzopihwa kamwe chete , panosvika mavhiki makumi maviri nemasere ekuzvitakura.
- Imwe dose inopihwa mukati memaawa makumi manomwe nemaviri mushure mekuzvarwa kwemwana (chero kana mwana aine Rh-positive).
- Dzimwe nguva, kunyangwe pakutanga kwepamuviri (semuenzaniso, kana uchibuda ropa), kana chiremba achifunga kuti ropa rako neremwana wako zvinogona kunge zvakasanganiswa, mushonga uyu unogona kupihwa.
Mushonga uyu we`(RhoGAM®)` unoshanda sechidziviriro . Unodzivisa muviri wako kugadzira ma antibodies ane njodzi. Mushonga uyu unoshanda zvikuru mukurapa kusawirirana kweRh. Saka, kuona chirwere ichi pakutanga kwepamuviri ndiyo nzira yakanakisisa yekudzivirira matambudziko akakomba.
Zvisinei, kana wakatove nema antibodies eRh (antibody screen positive), mushonga weRhoGAM® hauzobatsiri. Kana zvakadaro, vanachiremba vachanyatsoongorora iwe nemwana wako panguva yese yekuzvitakura kwenyu. Zvichienderana nemamiriro emwana, vanachiremba vanogona kusarudza kusununguka mwana nekukurumidza.
Ndezvipi zvinetso zvinogona kuitika nekuda kwekusawirirana kweRh?
Kusawirirana kweRh hakukanganisi amai vane pamuviri . Zvisinei, kunogona kukanganisa mwana ari mudumbu. Chikuru chirwere chinonzi hemolytic anemia . Zvichitaurwa zviri nyore, masero matsvuku eropa emwana anoparadzwa nekukurumidza kupfuura anotsiviwa.
Migumisiro yacho inogona kubva padiki kusvika pakanyanya kuipa. Inosanganisira:
- Jaundice: Kutsvuka kweganda nemaziso.
- Kukundikana kwechiropa .
- Kukundikana kwemoyo .
- Kuzvara mwana akafa .
Zvisinei, kazhinji, vacheche vane matambudziko madiki echirwere cheRh havadi kurapwa kwakakosha . Vana vakadaro vanopora zvachose.
Muzviitiko zvakakomba, mwanaKuwedzerwa ropa kunogona kudiwa. Izvi zvinoreva kupa mwana ropa idzva. Vana vane chirwere chejaundice vanogona kuiswa pasi pechirongwa chekurapa nechiedza (phototherapy) kuderedza huwandu hwebilirubin, iyo inokonzera ruvara rweyero. Mwana anogonawo kuda kusununguka nekukurumidza kudzivirira anemia yakanyanya.
Mashoko akanaka ndeekuti mushure mekuwanikwa kwejekiseni reRh immune globulin, kuwanda kwechirwere cheRh kwaderera zvakanyanya.
Chii chinoitika kana ma antibodies apera?
Kana muviri waamai vane Rh-negative wakashaya ma antibodies, kurapwa nejekiseni re`(Rh immune globulin)` hakushande. Ndosaka tichiti zvakakosha kuziva Rh factor yako uye kuwana kurapwa nekukurumidza.
Kusawirirana kweRh kunogona kudzivirirwa here?
Sezvo Rh factor iri genetic factor, hatigone kusarudza rudzi rweRh ruchagamuchirwa nemwana wedu. Zvisinei, nzira yakanakisisa yekudzivirira dambudziko iri ndeyekuti amai vazive Rh factor yavo uye, kana zvichidikanwa, vagamuchire mushonga we`(RhoGAM®)` panguva chaiyo.
Izvi zvinokanganisa sei amai vane Rh-negative? (Chekupedzisira, zvaunofanira kuziva - Mharidzo Yekuenda Kumba)
Kana uri amai vane Rh-negative, zvakakosha zvikuru kuziva zvinhu izvi.
Usazvidya moyo! Kunyangwe kana usina Rh-negative, kana ukapihwa mushonga we `(RhIg)` mushure mekuona ropa reRh-positive pese paunogona (semuenzaniso, kusununguka, mimwe miedzo), unogona kuderedza zvakanyanya njodzi yekuti mwana wako awane chirwere cheRh. Yeuka, kusawirirana kweRh kunokanganisa hutano hwemwana wako, kwete hwako.
Nekuziva Rh factor yako pakutanga, chiremba wako anogona kukupa mushonga weRhIg panguva yakakodzera. Ndiyo nzira yakanakisisa yekuchengetedza mwana wako aine hutano.
Kuziva mamiriro ako eRh panguva yekuzvitakura (uye zviri nani pakutanga) kunogona kubatsira kudzivirira matambudziko. Nerombo rakanaka, chiremba wako anogona kuyedza ropa rako pakutanga kwekuzvitakura kwako kuti aone kana une Rh-positive kana Rh-negative. Kusawirirana kweRh kunongoitika chete kana uine Rh-negative uye mwana wako ane Rh-positive. Chiremba wako anogona kurapa izvi nekukupa jekiseni reRh immune globulin (RhIg).
Saka, musatya kana kunetseka zvisina kufanira. Chiremba wenyu achakutarisirai zvakanaka iwe nemwana wenyu, uye achakupai kurapwa kwose kwakakosha. Chinongodiwa chete kutevedzera mirairo yachiremba nemazvo uye kuenda kunoongororwa nguva nenguva. Ipapo muchava nemukana wakakura wekuva nemwana ane hutano!
Rh factor, Rhesus factor, pamuviri, rudzi rweropa, Rh negative, Rh positive, Rh kusawirirana, masoja ekudzivirira chirwere, RhoGAM, mwana











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