Phakathi kovavanyo lwegazi oluninzi olufumanayo xa uqala ukukhulelwa, kusenokwenzeka ukuba ufumene igama elithi 'Rh factor'. Kodwa abantu abaninzi abanalo ulwazi olucacileyo lokuba yintoni kanye kanye nokuba kutheni ibaluleke kangaka. Kubaluleke kakhulu ukuqaphela oku ukuba uhlobo lwegazi lakho 'lune -Rh negative '. Ngoko ke namhlanje, masithethe ngayo ngokulula nangokucacileyo, ngaphandle koloyiko okanye amathandabuzo.
Masiqale sibone, yintoni le Rh Factor?
Ngamafutshane, i-Rh factor yiproteni ekhethekileyo enokuba ikhona okanye ingabikho kumphezulu weeseli zethu ezibomvu zegazi. Cinga ngeeseli zethu ezibomvu zegazi njengeebhola ezincinci. Abanye abantu banale proteni inamathele kwiibhola zabo. Abanye abanayo.
Ukuba unayo le protein egazini lakho, u- Rh positive . Uninzi lwabemi behlabathi, malunga nama-85%, lune-Rh positive. Ukuba awunayo le protein egazini lakho, u- Rh positive . Oku akusisifo okanye isiphene. Yinto nje esiyizuz’ ilifa kubazali bethu.
Kutheni olu vavanyo lubalulekile ngexesha lokukhulelwa?
Xa ufumanisa ukuba ukhulelwe, olunye lovavanyo lokuqala oluza kwenziwa ngugqirha wakho luvavanyo lwe-Rh factor. Olu luvavanyo lwegazi oluqhelekileyo, ngoko ke aluyi kukwenzakalisa wena okanye umntwana wakho. Iziphumo zolu vavanyo ziya kugqiba ukuba uza kwenza ntoni emva koko.
Masijonge le theyibhile ukuze sikuqonde kakuhle oku.
| Isiphumo sengxelo yakho yovavanyo | Kuza kwenzeka ntoni emva koko? |
|---|---|
| i-Rh positive | Akukho ngxaki. Akufuneki uphinde wenze olunye uvavanyo kule nkalo. Akukho nto unokoyika. |
| I-Rh negative | Kukho umngcipheko omncinci apha. Ngoko ke ugqirha wakho angenza olunye uvavanyo. Lubizwa ngokuba 'sisikrini se-antibody.' Lujonga ukuba umzimba wakho uzenze na ii-antibodies ezichasene negazi le-Rh positive. |
Ingxaki ephakamayo xa umama one-Rh negative enomntwana one-Rh positive (Ukungalingani kwe-Rh)
Nantsi into eyenzekayo ngokwenene. Ukuba une-Rh negative, kodwa umyeni wakho ene-Rh positive, kukho ithuba lokuba umntwana oza kumzala abe ne-Rh positive. Kulapho sithetha khona ngemeko ebizwa ngokuba yi-'Rh Incompatibility'.
Ngamafutshane, xa umama ongenayo i-Rh enomntwana one-Rh positive esibelekweni sakhe, ukuba igazi likamama nelomntwana liyaxubana nangayiphi na indlela, umzimba kamama uyazazi iiseli zegazi ezibomvu zomntwana 'njengotshaba'. Emva koko uqala ukwenza ii-antibodies zokulwa nolo 'tshaba'. Oku sikubiza ngokuba yi-'Rh sensitization' .
Kodwa ungoyiki apha. Ngokwesiqhelo, oku akuyi kubangela umonakalo omkhulu kumntwana wokuqala. Kuba igazi likamama nelomntwana lidla ngokuxubana ngexesha lokubeleka. Oko kuthetha ukuba ii-antibodies ziqala ukwakheka emva kokuba umntwana ezelwe.
Kodwa, ingxaki ivela ngexesha lokukhulelwa okulandelayo. Nje ukuba umzimba wakho uvelise la ma-antibodies, ahlala ekho ngonaphakade. Ngexesha elizayo xa uthwala umntwana one-Rh positive esibelekweni sakho, loo ma-antibodies asele ephuhlisiwe aqala ukuhlasela iiseli zegazi ezibomvu zomntwana omtsha esibelekweni. Oku kunokubangela ukuba umntwana abe nesifo esibizwa ngokuba yi -'Rh disease' . Kule meko, iiseli zegazi ezibomvu zomntwana zitshatyalaliswa ngokukhawuleza kunokuba umzimba unokuzenza. Oku kukwabizwa ngokuba yi-hemolytic anemia . Oku kunokuba yingozi kakhulu kumntwana, kwaye kunokuba yingozi nakubomi bakhe.
Ngawaphi amathuba okuba igazi likamama nelomntwana lixubane?
Oku kwenzeka rhoqo ngexesha lokubeleka, kodwa kusenokwenzeka nangamanye amaxesha.
- Xa kusenziwa uvavanyo olufana ne -amniocentesis (uvavanyo apho kuthathwa khona ulwelo oluncinci lwe-amniotic olujikeleze umntwana esibelekweni) okanye i-chorionic villus sampling (CVS) (uvavanyo apho kuthathwa khona iqhekeza elincinci le-placenta).
- Ukuba ufumana ukopha kwilungu lobufazi ngexesha lokukhulelwa.
- Ukuba ufumene ingozi okanye isisu esibuhlungu ngexesha lokukhulelwa.
- Xa umntwana ekwimeko yokurhoxa , ugqirha ubamba isisu somntwana aze azame ukumjikisa umntwana.
- Ukuba isisu siphumile, ukukhulelwa okungaphandle kwesisu , okanye ukukhupha isisu kwenzeka.
Ungakhathazeki, kukho isisombululo esisebenzayo kakhulu koku!
Usenokoyika xa usiva ezi zinto. Kodwa akukho sizathu sokoyika. Kuba ngokuhambela phambili kwesayensi yezonyango, ngoku kukho isisombululo esilula nesisebenzayo koku.
Ukuba ugqirha wakho ufumanisa ukuba une-Rh negative kwaye umntwana wakho une-Rh positive, uza kukunika inaliti ebizwa ngokuba yi-Rh Immunoglobulin (RhIG) malunga neeveki ezingama-28 zokukhulelwa kwakho. Le naliti ithintela ngokupheleleyo umzimba wakho ekwenzeni ezo antibodies ziyingozi.
Nokuba umntwana ezelwe, ukuba uhlobo lwegazi lomntwana lune-Rh positive, uza kunikwa olunye ugonyo zingadlulanga iiyure ezingama-72. Ukuba ukhulelwa kwakhona, kufuneka ufumane olu gonyo ngelo xesha. Le yindlela ekhuselekileyo nesebenzayo kakhulu.
Ukuba ufumana naluphi na uphawu ngexesha lokukhulelwa, ingakumbi ukuba une-Rh negative, xelela ugqirha wakho ngoko nangoko . Uza kukunika elinye idosi ye-RhIG ukuba kuyimfuneko.
Kuthekani ukuba sele uphuhlisile ii-antibodies?
Kunqabile kakhulu, mhlawumbi ngenxa yokuba awuzange ufumane ugonyo lwe-RhIG kukukhulelwa kwangaphambili, umzimba wakho usenokuba sele une-Rh antibodies. Ukuba kunjalo, ugonyo lwe-RhIG aluyi kunceda. Kodwa ungakhathazeki. Ukuba kunjalo, ugqirha wakho uza kukujonga ngokusondeleyo wena nomntwana wakho. Ezinye iintsana zifuna utofelo-gazi emva kokuzalwa. Kunqabile kakhulu, igazi linikwa ngelixa usesesibelekweni.
Umyalezo Wokuya Ekhaya
- I-Rh factor yiproteni ekwindawo ephezu kweeseli ezibomvu zegazi. Ukuba awunayo, unesifo se-Rh. Esi asisisifo.
- Ukuba une-Rh negative, ingxaki ekuphela kwayo enokubakho ngexesha lokukhulelwa kukuba umntwana wakho une-Rh positive.
- Isitofu sokugonya se -Rh immunoglobulin (RhIG) yindlela ekhuselekileyo nesebenzayo yokuthintela umzimba wakho ekuveliseni ii-antibodies eziyingozi kumntwana wakho.
- Landela imiyalelo kagqirha wakho rhoqo, yiya kwiikliniki ezicwangcisiweyo, kwaye ufumane ugonyo lwe-RhIG xa kucetyiswa.
- Ukuba ungumama ongenayo i-Rh kwaye uqaphela ukopha ngexesha lokukhulelwa, fowunela ugqirha wakho ngokukhawuleza .
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