Kungenzeka yini ukukhipha isisu ngeR Rh engalungile?

Ezimweni, kunezimo lapho ukukhulelwa okuza akuyona injabulo, kodwa usizi. Izizathu zalokhu kungaba inombolo enkulu, futhi owesifazane uvame ukukhetha ukukhipha isisu. Ukuphazamiseka okunjalo emzimbeni kuyingozi, kungakhathaliseki ukuthi ingcweti ingaba yimuphi ochwepheshe.

Futhi lapho kwenzeka ukuthi owesifazane une- rhesus engalungile, ukuqedwa kokukhulelwa kungabangela ukungabi namuntu noma ukuhlupheka okunjengokuzalwa kwengane efile. Ngaphezu kwalokho, ngemuva kokukhipha isisu ngesikhathi sokukhulelwa okulandelayo kwandisa amathuba okulwa ne-rhesus. Ngakho kungani ukukhipha isisu kuyingozi nge-Rh factor? Ake sizame ukukhipha lokhu.

Kungani kuthuthukiswa i-Rhesus-conflict?

I-membrane yamaseli egazi (i-erythrocytes) iqukethe i-Rh-antigen. Kubantu abanjalo, igazi linesici esihle se-Rh, futhi kukhona iningi labo emhlabeni jikelele - 70-85%. Kulo lonke icala, ayikho i-Rhesus antigen egazini, ngakho-ke kubhekwa njengengozi.

Kusukela emavikini angu-7-8, umfanyana usungule i-hematopoiesis. Uma owesifazane ene-Rh engalungile nombungu omuhle, umzimba wesifazane okhulelwe ungawubona njengomzimba ohlukile futhi uqale ukukhiqiza izinhlobo ezithile ze-antibodies. Uma ukukhulelwa kungowokuqala, inani labo liyingcosana futhi amathuba okuthi igazi le-fetal lizofika egazini lomama lilinganiselwe. Owesifazane kulesi simo uvikela ngokuphepha futhi abelethe ingane enempilo.

Kodwa ngokukhipha isisu kukhona ukuzwakala okuzwakalayo komzimba. Ekukhulelweni okulandelayo nokuxhumana okuphindaphindiwe nama-antigens angaphandle, ukukhululwa okusebenzayo kwama-antibodies akhethekile cishe kwenzeka njalo. Lokhu kwenzeka ngoba amangqamuzana ememori ye-immune agcina ulwazi mayelana nokuxhumana okuyisisekelo kwegazi lomntwana wesisu nomama.

Izimpawu ze-Rh-impikiswano

Owesifazane okhulelwe angeke abone ukuthuthukiswa kwe-Rh-impikiswano. Kutholakala ngokuthola ama-antibodies ethize egazini. Ukuphakamisa ukuhlushwa kwabo, inqubo eyingozi kakhulu kuyoba yinkinga enkulu. I-fetus ngokwayo nayo ihlupheka kakhulu. Iziphambeko ezinganeni ezizayo zitholakala kalula e-US. Kungaba:

• Ukuvuvukala;
• Ukwanda kwenhliziyo okwandisiwe;
• I- hypoxia e-fetal ekhululekile ;
• Umkhuhlane ebuchosheni, emgodini wesisu;
• Ukuqina kwe-placenta;
• Umthamo omkhulu we-fetus.

Uma kungekho izinyathelo ezithathwa ukuvimbela ukuthuthukiswa kwe-Rh-izingxabano, izifo ezinzima ze-fetal ziholela ekufeni kwayo.

Ukukhipha isisu nge-Rhesus engalungile

Uma owesifazane engamaRh, ungenza isisu noma cha? Yiqiniso, lokhu akusifisi, kodwa uma kwenziwa isinqumo sokuqeda ukukhulelwa, kufanele udinga ukuthi kufanele kwenziwe ngaphambi kweviki lamaviki angu-7-9. Emva kwalokhu, ukwakheka kwesimiso se-hematopoietic kwenzeka, kanti ingozi yokugqugquzelwa komzimba womama yanda.

Kwenzeka ukuthi ukukhipha isisu noRhesus akubi futhi ngezizathu zezokwelapha. Into esemqoka kulokhu akuyikuvumela ukuthuthukisa ukukhuthaza. Ukukhipha isisu kuvame ukuqhutshwa ngaphambi kokukhulelwa. Ngokushesha ngemva kwalokhu, isiguli sinikezwa i- immunoglobulin ephikisanayo, kepha kungenzeka ukuthi ukulwa kwe-rhesus ngesikhathi sokukhulelwa okulandelayo kuzohlala.

Noma yikuphi ukukhipha isisu kuhlotshaniswa nobungozi bokungazalwa, futhi uma kuthathwa owesifazane onama-rhesus angalungile, khona-ke esikhathini esizayo, ukungahleleki kungenzeke, amathuba okuba nengane enezifo ze-hemolytic, kanti nokungafani okuhlukahlukene kuphezulu. Kuyingozi kakhulu ukukhipha isisu esikhathini esiphezulu, esenziwa ngokuhlinzwa. Ukusuka emgodini wesibindi weqanda lesisu kudala i-endometrium futhi kukhuthaza ukubukeka kwesibindi. Esikhathini esizayo, lokhu kungase kube yisithiyo ekunamathiselwe kombungu nasendleleni evamile yokukhulelwa.

Izinhlobo zokukhipha isisu

Uma owesifazane ene-Rh factor engafanele, lezi zinhlobo ezilandelayo zokukhipha isisu zingenziwa kuye:

• I-Medicamentous - eyenziwa ngosizo lwamaphilisi akhethekile, ngenxa yalokho okuyi-embryysi eqala ukuzulazula ngokuzenzekelayo. Ukukhipha igazi kulesi simo kuqhubeka isikhathi eside, kepha lokhu kubhekwa kubhekwe ephephile kunazo zonke empilweni yowesifazane.
• Ukukhipha isisu kuyiyona ndlela engeyona yokuhlinzwa yokukhipha ukukhulelwa, eyenziwa yi-apparatus ekhethekile, futhi isimiso sesenzo saso sifana nomhlanzi wokuhlanza.
• Ukuhlinzwa - kubhekwa njengendlela eyingozi kunazo zonke, ngoba isikhumba se-uterine sishaywa ngumpumputhe. Lokhu kungaholela enombolweni enkulu yezinkinga.

Imiphumela engenzeka

Uma ukukhipha isisu kwenziwa nge-Rh negative, khona-ke owesifazane okhulelwe uyagonywa ama-erythrocytes omntwana. Lokhu kuholela ekwandeni kwenani lama-antibodies an antiususive angene egazini lomntwana ongakazalwa, okuholela ekukhubazeni okunzima nokuvimbela i-hematopoiesis ye-embryo.

Imiphumela yokukhipha isisu ngeRhesus engafanele ingaba kanje:

• Isiqu esiqinile se-anemia;
• Ukufa kwe-fetus ekufubeni ;
• Ukuphazanyiswa kwezitho zangaphakathi;
• Isifo se-Hemolytic;
• I-Hypoxia ye-fetus;
• Ukushada, ukubeletha;
• Incephalopathy.

Ngakho, ukukhipha isisu nge-Rhesus negative kuyingozi kakhulu. Ngaphezu kwakho konke, ngesikhathi sokukhipha isisu, ngokuvamile kuphazamisa umlomo wesibeletho, ingqimba engenhla ye-endometrium inqanyuliwe, futhi i-perforation ingase ifake. Ama-echoes okungenelela okunjalo yizifo ezibangelwa i-hormonal, izinqubo zokuvuvukala, kanye nokungakwazi ukuba umama.

Futhi, ngemva kokukhipha isisu nge-rhesus engafanele, izinkinga ezifana nokuhluleka komlomo wesibeletho, ezithinta umsebenzi wokuvimbela. Lokhu kungaholela ekutheni isisu siphume isikhathi eside, ngoba isibeletho siqala ukuvula ngaphambi kwesikhathi, singakwazi ukulwa nesisindo esikhulayo somntwana.

Ingozi yokungabi nabantwana

Ukukhipha isisu nge-rhesus izikhathi eziningana kwandisa ingozi yokungabi nabantwana futhi akunandaba ukuthi yenziwa kanjani: ukuhlinzwa noma imithi. Ingozi kuleli cala ilandelwa ukuthi ama-antigens akhiwa, okuholela ekukhulelweni okulandelayo ukuthi balungele "ukugijimela empini."

Ukuba omakhalekhukhwini futhi ongajulile, bahlasela kakhulu amandla amangqamuzana egazi obomvu we-fetus. Lokhu kuholela ekwakhiweni kwe-pathologies ebusweni noma kokukhulelwa komzimba. Ngaphezu kwalokho, ukukhishwa isisu kukhulisa amathuba okungazalwa.

Odokotela bathi?

Ukukhipha isisu nge-Rh negative kuhlale kuyingozi, kungakhathaliseki ukuthi kwenziwa kanjani. Ngisho nokubeletha okufakelwayo kubhekwa njengengozi uma ingane ekhulayo ihamba kahle. Ngaphandle kwemiphumela yowesifazane, lokhu ngokuvamile akusebenzi. Odokotela bakholelwa ukuthi i-Rhesus engalungile kufanele ibhekwe njengophikisana nganoma yiliphi uhlobo lokukhipha isisu futhi lenzelwe izizathu zezokwelapha kuphela.

Isiphetho

Ngakho-ke, akukho ukukhipha isisu ephephile, kodwa kuyingozi kakhulu ukuqeda ukukhulelwa uma owesifazane ene Rh factor negative. Kulesi simo, impilo ilimaza kakhulu, futhi noma ngabe konke kuhamba kahle, emva kwalokho umphumela walokhu uzodabisa.