Amasosha Omzimba e Ukukhulelwa: Yini kuyingozi RH ukungqubuzana neqembu ukungavumelani

Ngokuvamile, abesifazane kanye RH otitsatelny, exinwe beremennnosti yabo futhi mangisho, kufanele. RH isici iprotheni esisogwini ebusweni erythrocyte. kuphakama izinkinga uma unina RH ezimbi (Rh-), kanye nengane (RH +) - omuhle ngofuzo uyise. Lingandile ABO ukungavumelani eba ohlelweni (iqembu ukungavumelani). Ngemva ngokuthinta igazi fetus aba yigazi antigen kamama ekhiqizwa amasosha omzimba.

Amasosha Omzimba e Ukukhulelwa ukubhubhisa fetus abomvu egazi, okuholela imiphumela engemihle, ezifana nesifo hemolytic. izinkinga Associated zihlanganisa: normal isibindi umsebenzi, umsebenzi isimiso sokujikeleza kwegazi, ukuhluleka kwenhliziyo. Esikhathini uketshezi i-fetus iyakwazi buthelela, okuholela edema. Lesi sifo ucala kutfutfukisa ekuseni njengoba amasonto 22 okukhulelwa.

Kungani kuyingozi Rhesus ukungqubuzana

Kufanele kuqashelwe ukuthi ukungqubuzana Rhesus akuyona kuyingozi kakhulu uma bekhulelwe kuqala. Ukuxuba igazi likamama lingahlangani ngegazi ingane senzeka ngemva kokuzalwa, kanye namasosha omzimba ngisho kwakhiwa kakade musa ziyingozi usana.

Nokho, uma owesifazane balindele ingane yakhe yesibili, amasosha omzimba ngesikhathi sokukhulelwa kungabangela ukukhubazeka pathologies sina, kusukela lapho umntwana ungafa esibelethweni. Ingozi main itholakala ukwabiwa esiningi isithelo izidakamizwa bilirubin ukulwa amasosha omzimba, okungase zibulale izitho zayo zangaphakathi, ikakhulukazi isibindi, ubende kanye nobuchopho. Ngokuvamile ukungqubuzana Rhesus kuholela lokuzalwa yisisu noma besebancane.

Amasosha Omzimba akhiwa ngesikhathi sokukhulelwa lapho yowesifazane RH engemihle futhi indoda has a RH omuhle. Kulokhu, RH bengaboni ngaso linye e-75% amacala. Ukungavumelani zingenzeka uma owesifazane senziwa ngimpontshelwe igazi, futhi RH kungukuthi kunakwe.

Ukuhlolwa kwegazi amasotsha omzimba

Ngisho nalapho uhlela ukukhulelwa yilowo nalowo wesifazane kufanele wazi RH yakho isici futhi RH Isici ubaba wengane. Uma kukhona amathuba RH ukungqubuzana, bekuyoba kudingeka wenze ukuhlaziywa amasosha omzimba ngesikhathi sokukhulelwa ngokuphindaphindiwe. Okokuqala udinga ukwenza le nqubo ku- 8 isonto yokukhulelwa bese njalo kuhlolelwe amasosha amasonto 30 - kanye ngenyanga, amasonto 36 - masonto onke.

Ngu nemiphumela efanayo sina kuphumele i ukungavumelani zamaqembu egazi zikamama nomntwana. kuphakama izinkinga uma owesifazane has iqembu mina igazi ne-fetus ube igazi iqembu II noma III. Kulokhu, antigen fetus faka komama lwegazi amasosha omzimba futhi abelwe. Iqembu omzimba ngesikhathi sokukhulelwa phambili ekuthuthukiseni isifo hemolytic futhi akukho ngaphansi kuyingozi ukwedlula D-antigen.

Nokho, ukuhlolwa igazi amasotsha omzimba zingase zibonise ukuthi isifo kuphela uma siye kwaveza ngokuhlanganyela nezinye izindlela zokuxilonga. Lokubaluleke kakhulu iyona titer omzimba futhi ushintsho ekukhulelweni. Ayanda titer omzimba, kulapho cishe umphumela ezingezinhle.

Amasosha Omzimba ngesikhathi sokukhulelwa kuzomele zikhonjwe ngendlela esifike ngesikhathi, futhi lona wesifazane esimweni esimisiwe inkambo imijovo, aphethwe kusuka 10 kuya 22, 22 po24 no-32 kuya ku-34 ngesonto. Lapho kuvela izinkinga zokukhulelwa owesifazane kufanele ibe esibhedlela, ngaphansi kokuqondisa odokotela.

Abesifazane abanomlando yisisu noma azalelwa ingane wahlupheka hemolytic izifo ezinzima, ukwelashwa wenziwa plasmapheresis, okuhloswe ngalo ukukhipha igazi kwamasosha omzimba.

Uma fetus isifo hemolytic kwaqinisekiswa, ilungile ukulethwa ekuseni. Lokhu kungenxa yokuthi ekupheleni inkathi ukulethwa omzimba nalokho kwanda. Ngo nesifo esinzima fetus sokukhulelwa inqanyulwa. Kodwa ezimweni eziningi zingancishiswa imigomo eyamukelekayo kwezidingo.