Phakathi kokuhlolwa kwegazi okuningi okutholayo lapho uqala ukukhulelwa, kungenzeka ukuthi uhlangane negama elithi 'Rh factor'. Kodwa abantu abaningi abanalo ulwazi olucacile lokuthi kuyini ngempela nokuthi kungani kubaluleke kangaka. Kubaluleke kakhulu ukuqaphela lokhu uma uhlobo lwegazi lakho 'lune -Rh negative '. Ngakho-ke namuhla, ake sixoxe ngakho kalula nangokucacile, ngaphandle kokwesaba noma ukungabaza.
Ake siqale sibone, iyini le Rh Factor?
Kalula nje, i-Rh factor iyiprotheni ekhethekile engaba khona noma ingabi khona ebusweni bamaseli ethu abomvu egazi. Cabanga ngamaseli ethu abomvu egazi njengamabhola amancane. Abanye abantu banale phrotheni enamathele emabhola abo. Abanye abanayo.
Uma unale phrotheni egazini lakho, une -Rh positive . Iningi labantu emhlabeni, cishe u-85%, line-Rh positive. Uma ungenayo le phrotheni egazini lakho, une -Rh positive . Lokhu akusona isifo noma isici. Kumane kuyinto esiyizuza njengefa kubazali bethu.
Kungani lokhu kuhlolwa kubalulekile ngesikhathi sokukhulelwa?
Uma uthola ukuthi ukhulelwe, olunye lokuhlolwa kokuqala udokotela wakho azolwenza ukuhlolwa kwe-Rh factor. Lokhu ukuhlolwa kwegazi okuvamile nje, ngakho ngeke kulimaze wena noma ingane yakho. Imiphumela yalolu vivinyo izonquma ukuthi yini okufanele uyenze ngokulandelayo.
Ake sibheke leli thebula ukuze sikuqonde kahle lokhu.
| Umphumela wombiko wakho wokuhlolwa | Kwenzekani ngokulandelayo? |
|---|---|
| I-Rh enhle | Akunankinga. Akudingeki wenze olunye uhlolo mayelana nalokhu. Akukho okufanele ukwesabe. |
| I-Rh negative | Kukhona ingozi encane lapha. Ngakho udokotela wakho angase enze olunye uhlolo. Lubizwa ngokuthi 'isikrini se-antibody.' Luhlola ukuthi umzimba wakho uwenze yini ama-antibodies ngokumelene negazi le-Rh positive. |
Inkinga ephakamayo lapho umama one-Rh negative enengane ene-Rh positive (Ukungahambisani kwe-Rh)
Nakhu okwenzekayo ngempela. Uma ungenayo i-Rh, kodwa umyeni wakho ene-Rh positive, kungenzeka ukuthi ingane ozoyithola izoba ne-Rh positive. Yilapho sikhuluma ngesimo esibizwa ngokuthi 'Ukungahambisani ne-Rh'.
Kalula nje, uma umama ongenayo i-Rh enengane ene-Rh positive esibelethweni sakhe, uma igazi likamama nelomntwana lihlangana nganoma iyiphi indlela, umzimba kamama uyaqaphela amangqamuzana egazi abomvu engane 'njengesitha'. Bese uqala ukwenza ama-antibodies okulwa naleso 'sitha'. Yilokhu esikubiza ngokuthi 'ukuzwela i-Rh' .
Kodwa ungesabi lapha. Ngokuvamile, lokhu ngeke kubangele umonakalo omkhulu enganeni yokuqala. Ngoba igazi likamama nelomntwana cishe lihlangana kakhulu ngesikhathi sokubeletha. Lokho kusho ukuthi ama-antibodies aqala ukwakheka ngemva kokuzalwa kwengane.
Kodwa, inkinga iphakama ngesikhathi sokukhulelwa okulandelayo. Uma umzimba wakho usuwakhile la ma-antibodies, ahlala ekhona unomphela. Ngesikhathi esilandelayo lapho uthwala umntwana one-Rh positive esibelethweni sakho, lawo ma-antibodies akhiwe ngaphambilini aqala ukuhlasela amangqamuzana egazi abomvu engane entsha esibelethweni. Lokhu kungabangela ingane ukuba ibe nesimo esibizwa ngokuthi 'isifo se-Rh' . Kulesi simo, amangqamuzana egazi abomvu engane abhujiswa ngokushesha kunokuba umzimba ungawenza. Lokhu kubizwa nangokuthi i-hemolytic anemia . Lokhu kungaba yingozi kakhulu enganeni, futhi kungaba yingozi ngisho nokuphila.
Angakanani amathuba okuthi igazi likamama nelomntwana lingaxubana?
Lokhu kuvame ukwenzeka ngesikhathi sokubeletha, kodwa kungenzeka nangezinye izikhathi.
- Uma kwenziwa izivivinyo ezifana ne -amniocentesis (ukuhlolwa lapho kuthathwa khona inani elincane loketshezi lwe-amniotic oluzungeze umntwana esibelethweni) noma i-chorionic villus sampling (CVS) (ukuhlolwa lapho kuthathwa khona ingxenye encane ye-placenta).
- Uma uzwa ukopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa.
- Uma ubhekene nengozi noma ushayeke kakhulu esiswini ngesikhathi sokukhulelwa.
- Uma ingane isesimweni sokukhwehlela , udokotela ubamba isisu somntwana bese ezama ukumphendula.
- Uma kwenzeka ukuphuphuma kwesisu, ukukhulelwa okungaphandle kwesisu , noma ukukhipha isisu.
Ungakhathazeki, kukhona ikhambi elisebenza kahle kakhulu kulokhu!
Ungase wesabe uma uzwa lezi zinto. Kodwa asikho ngempela isizathu sokwesaba. Ngoba ngokuthuthuka kwesayensi yezokwelapha, manje sekukhona ikhambi elilula kakhulu neliphumelelayo kulokhu.
Uma udokotela wakho ethola ukuthi une-Rh negative kanti ingane yakho ine-Rh positive, uzokunikeza umjovo obizwa ngokuthi i-Rh Immunoglobulin (RhIG) cishe emavikini angu-28 okukhulelwa kwakho. Lo mjovo uvimbela ngokuphelele umzimba wakho ekwenzeni lawo ma-antibodies ayingozi.
Ngisho nangemva kokuzalwa komntwana, uma uhlobo lwegazi lomntwana lune-Rh positive, uzonikezwa omunye umjovo zingakapheli amahora angu-72. Uma ukhulelwa futhi, kufanele uthole lo mjovo ngaleso sikhathi. Lena indlela ephephile kakhulu futhi ephumelela kakhulu.
Uma uhlangabezana nanoma yikuphi ukucasuka ngesikhathi sokukhulelwa, ikakhulukazi uma ungenayo i-Rh, tshela udokotela wakho ngokushesha . Uzokunika omunye umthamo we-RhIG uma kudingeka.
Kuthiwani uma usuvele usungule ama-antibodies?
Akuvamile kakhulu, mhlawumbe ngenxa yokuthi awuzange uthole umuthi wokugomela i-RhIG ekukhulelweni kwangaphambilini, umzimba wakho ungase ube nama-antibodies e-Rh kakade. Uma kunjalo, umuthi wokugomela i-RhIG ngeke usize. Kodwa ungakhathazeki. Uma kunjalo, udokotela wakho uzobe ekuqapha wena nengane yakho eduze. Ezinye izingane zidinga ukumpontshelwa igazi ngemva kokuzalwa. Akuvamile kakhulu, igazi linikezwa usesesibelethweni.
Umlayezo Wokuya Nawe Ekhaya
- I-Rh factor iyiprotheni ebusweni bamaseli abomvu egazi. Uma ungenayo, u-Rh negative. Lesi akusona isifo.
- Uma une-Rh negative, okuwukuphela kwenkinga okungenzeka ngesikhathi sokukhulelwa ukuthi ingane yakho ine-Rh positive.
- Umuthi wokugomela i-Rh immunoglobulin (RhIG) uyindlela ephephile kakhulu futhi ephumelelayo yokuvimbela umzimba wakho ekukhiqizeni ama-antibodies ayingozi enganeni yakho.
- Landela njalo imiyalelo kadokotela wakho, yiya emitholampilo ehleliwe, bese uthola umuthi wokugomela i-RhIG uma kunconywa.
- Uma ungumama ongenayo i-Rh futhi ubona noma yikuphi ukopha ngesikhathi sokukhulelwa, shayela udokotela wakho ngokushesha .
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