Ingxabano yeRh phakathi koomama kunye nomntwana

Enye yeemvavanyo ezininzi zegazi ezifunekayo ukunikezela kumama ozayo kukuzimisela kweR Rh. Abantu abaninzi bayazi malunga nobukho bempikiswano yeRh, kodwa akubona wonke umntu oqonda into efihliweyo phantsi kweli binzana. Makhe sibone ukuba le meko ibhekise njani ngexesha lokukhulelwa, kwaye nokuba yingozi kangakanani kwaye ingazikhusela njani.

I-Rhesus-imfazwe phakathi koomama nomntwana - yintoni na?

Masiqale ngengqiqo yeR Rh. Le iprotheyini ekhethekileyo ebizwa ngokuthi "i-antigen", efumaneka kumanzi egazi abomvu amaseli. Uninzi lwabantu banalo, kwaye uhlalutyo luya kuba luhle. Kodwa i-15% yabantu ayinayo kwaye iRhesus ayibi, nto leyo eyenza ukuba kubekho impikiswano.

Ukuba umama wesikhathi esizayo unalo i-rhesus ene-minus sign, kwaye uyise, ngokuchaseneyo, unalo "udibaniso", kukho u-50% amathuba okuba ilifa leengcambu zikayise zomntwana ngumntwana. Kodwa ikhokelela ngokuthe ngqo kwi-Rhesus-impikiswano yongxowankulu yamaseli obomvu ebomfusane egazini lomama, xa, ngokwenene, le meko ibeka phambili ukuphuhlisa.

Kunokuba ukhulelwe ingozi ye-Rh?

Kubonakala ngathi ingxabano yeR Rh kwisimo sokukhulelwa ngoko. Ukufika kumama, igazi lomntwana ongakazalwa libonakaliswa ngumzimba wakhe njengento yangaphandle, ngenxa yesistim somzimba salo mfazi sinikela umqondiso kwiphuhliso lamagciwane. Ngenxa yeempembelelo zabo, ukubola kwe-erythrocytes yomntwana, okuphazamisa imiphumo engozi ye-Rh-conflict ngexesha lokukhulelwa:

• i-jaundice;
• Ukwandiswa kwesibindi, iintso kunye nentliziyo;
• i-thrombocytopenia;
• i-hypoxia yobusana;
• i-hemolytic anemia.

Izitho zangaphakathi ezandisiweyo zomntwana zingabonwa ngokulula zisebenzisa i-ultrasound evamile. Ukuba, ngeempawu zokuqala ze-Rh syndrome, ukunyanga ukukhulelwa akukwenziwanga, ukukhulelwa kunokuphela ngokudabukisayo kakhulu: umntwana uzalelwe isigulane (i-dropsy, syndrome sywell), okanye ifile.

Yingakho kubaluleke kakhulu ekukhuseleni ukukhusela i-Rhesus-mpikiswano phakathi koomama nomntwana kunye nexesha lokuphumeza ukukhusela, oku kulandelayo. Xa igazi le-fetus lingena egazini lomama (kwaye oku kuya kwenzeka ngokuphazamiseka kwembulunga kunye naluphi na ukuphuma kwamanzi), kuyimfuneko ukuba ngokukhawuleza lisebenzise kwi-immunoglobulin yakhe ye-intramuscularly, eya kuphazamisa ukuveliswa kwama-antibodies. Namhlanje, ukusetyenziswa kwesi sonyango kubangele ukuqaliswa kwesi siza ngenjongo yokukhusela kwiiveki ezingama-28 neye-34, kwaye emva kweeyure ezingama-72 emva kokuziswa.