RH isici uma uhlela ukukhulelwa: Izibuyekezo

Ukukhulelwa - liyinkathi esimnandi ukuphila salowo nalowo muntu wesifazane. Long ezinyangeni eziyisishiyagalolunye, igqoka ingane kuyisikhathi eside elindelwe azizwa entsha, umuzwa ongavamile kakhulu.

Ngeshwa, manje ezimbalwa kakhulu abesifazane ngiziqhayise ukukhulelwa ngokuphelele elingenazinkinga. ukuvakashelwa njalo i Udokotela Wabesifazane, ukuhlolwa ngokuvamile ezinqunyiwe, enesisindo, ukuthatha noma yimuphi umuthi, kanye gqwa screening test - ngaphandle uphethwe kukhona ezidunjini ezomisiwe ezingavamile.

Kuyini RH isici

Omunye izimpikiswano ezibalulekile belungiselela lokukhulelwa futhi bephethe ingane iba umphumela RH-factor ku ukuhlela sokukhulelwa. Gxilani ngokukhethekile kumelwe zokwelapha le nkinga yilezo sabesifazane abangakaze ezahlukene RH isici esivela kubaba wengane ongakazalwa. Umqondo "RH isici" zingaqhubekela wezwa esibhedlela, kuyithelevishini. Ukusuka lapho, kuba emihle noma emibi siye impilo yethu akunandaba. RH isici akuphazamisi impilo yethu, umsebenzi zonke izitho ezibalulekile kanye nezinhlelo. Yiqiniso, noma ikuphi indoda yesimanje kumele yazi ukuthi RH wakhe, ngendlela efanayo njengoba uhlobo lwegazi. Lokhu kungase kudingeke for izehlakalo ezifana nokuhlinzwa esiphuthumayo noma ngokumpontshelwa igazi. Kodwa uma ucabanga ukuthi ukuthola inzalo, qiniseka ukwenza cwaningo kuyadingeka, ngoba ukwazi RH isici kubalulekile uma uhlela ingane. Futhi lokhu kusebenza kuzo zombili abazoba abazali.

umuntu ngamunye othwala omunye izinhlobo RH isici - noma kuhle noma kube kubi. Kwezokwelapha ngaphansi RH isici bona ukuba khona noma ukungabi amaprotheni phezu erythrocyte (amangqamuzana abomvu egazi, okuyinto zilethwa ezicutshini futhi izinhlaka oksijini).

RH isici uma uhlela ukukhulelwa

Yilowo nalowo owesifazane osuke ukhathazekile ngekusasa lempilo yesintu ingane, kufanele ngokushesha ngangokunokwenzeka ukwenza ucwaningo oludingekayo ukuze ukwazi izimfanelo igazi labo. Ziyakwazi incike inkambo zokukhulelwa, impilo yomntwana, futhi umama osemncane.

umama Ikusasa nobaba angase abe ezahlukene RH izici. Ngakho, uma kokubili kuba omuhle ke ingane uzothola okufanayo. Kungokufanayo kwenzakalani uma abazali RH ezimbi. Ngokuvamile azikho izinkinga kanye nezinkinga lapho RH-Isici umama nge value of "+", futhi uyise - okushiwo okuphambene. Kodwa endabeni yakhe, uma owesifazane "lucky" bazalwa RH emibi engapheli yabezindaba ubaba omuhle, amathuba eliphezulu kakhulu RH ukungqubuzana uthwele ingane. Limelela usongo isimo umbungu.

Imiphumela RH ukungqubuzana ngesikhathi sokukhulelwa

Lonke okushiwo inkinga wukuthi umzimba kanina RH-negative lapho kuzalwa i-fetus kulo kokuba isici okuphambene lapho kuxhunywana segazi sikanyoko futhi ingane ingase iqale ukuthuthukiswa esebenzayo omzimba ukuba antigen kwamangqamuzana egazi abomvu sombungu RH-HIV. Uma wazi RH yakho isici uma uhlela ukukhulelwa, kufanele isilungele isiphetho esinjalo. umzimba Owesifazane ebona egazi wengane obomvu njengoba into angaphandle. Amasosha Omzimba kungenzeka, ngaphansi kwezimo ezithile, ukungena ngamanani amakhulu ngokusebenzisa placenta futhi zibulale imvuthu. Imiphumela lwamasosha omzimba oluvame ukuchayeka embungwini kungenzeka kwegazi, ukudakwa, kanye kokunikezwa kwe-kwetinhlavu kanye ukusebenza izinhlelo ebaluleke kakhulu emzimbeni. umphumela okunjalo RH-factor uma uhlela ukukhulelwa kanye nengane esindayo yigama ezivamile yesifo hemolytic. Ezimweni eziningi, yenzeka cishe ngokushesha nje ngemva ukubukeka ingane ezweni, futhi kunzima kakhulu ukuyelapha. osanda kuzalwa kudinga ngezinye izikhathi ukwenza inqubo enjalo kuyinkimbinkimbi nokudluliselwa.

I nomthelela omubi we RH isici nokuhlela ingane: nendlela yokuzigwema ukuze zingasivimbi

Uma ngemva kokucabangisisa futhi enze izinto ngendlela elinganiselayo ukuze udaba olubucayi kangaka, njengoba belungiselela ukukhulelwa, ukuthi izinkinga eziningi zingagwenywa noma kunciphise amathuba nesenzakalo yabo ibe mincane. abesifazane abaningi kakhulu, kuphela uma ubhekene nesimo lapho babengakwazi azalele futhi walahlekelwa ke esikhathini esithile, safunda indlela yingozi le RH isici kungathinta uma uhlela okukhulelwa kanye nezinyanga zokuqala eziyisishiyagalolunye. Amathuba ukuthi kuzoba nenani labantu abanjalo incane, kodwa zisekhona. Uma ukholwa ukuthi izibalo, abanikazi RH negative bavela 15 kuya ku-20% abantu bakuleli batholakale kule planethi yethu. Ngakho-ke, ngesikhathi kulungiselelwa abe umama, qiniseka wazi RH yakho isici uma uhlela ukukhulelwa. Izibuyekezo abesifazane nale nkinga, futhi ukhulelwe takeaway ngokuphepha izingane enempilo ngempumelelo, kusikisela ukuthi ulwazi isimo sabo Rhesus ngeke zokugwema izinkinga ezingemnandi neze ngisho yisisu.

Kuthiwani uma RH engakhi?

Uma zanikela igazi wathola RH wakhe isici uma uhlela ukukhulelwa, ungaqiniseka ukuthi udokotela uyokwenza konke okusemandleni ukuqinisekisa ukuthi angase akwazi ukusithwala bese ubeletha owalandela eqinile. Uma uzithola yenethiwekhi igazi RH-negative, khona-ke ngempela ayifake akhawunti ekhethekile emtholampilo yabakhulelwe. Kulokhu, nje kudingeka ukulawula njalo futhi eqinile. Ngakho-ke, asikho isidingo ukugwema ucwaningo kanye nokuhlaziywa ukuthi inikeze wena udokotela, ngoba uyanikhathalela ngenhlalakahle yakho kanye nengane yakho. Musa engozini ingane futhi ayedabula zonke izinqubo ngendlela esifike ngesikhathi. Kuzodingeka ukuthi bajwayele ukuthatha igazi emthanjeni. Ngakho odokotela bayokwazi ukubona ukuthi kukhona egazini amasosha omzimba wakho ukuba antigen wengane, futhi uma kwazo, noma ngabe isibalo lukhula. Ngaphambi kokufinyelela eminyakeni ewu sokukhulelwa zamaviki 32, azihlole kumele kwenziwe njalo ngenyanga, kuze kuphele isikhathi 32 kuya 35 ngesonto - ngenyanga kabili, futhi kusukela emasontweni 35 futhi waze wabeletha - njalo ngesonto.

nobuchwepheshe besimanje lungangamela ngokucophelela isimo umbungu futhi bagcine ukuvela kungenzeka kanye nokuthuthukiswa isifo hemolytic. In an icala ngokwedlulele, uma kudingekile, mhlawumbe ngisho ukumpontshelwa igazi utero. Injongo eyinhloko yale nqubo kuyothuthuka inhlalakahle yengane. Kuyingozi kanjani ukuba ukubeletha singakafiki isikhathi noma kwephuze kakhulu kuye. Isikhathi elikhulu kungenziwa ngokuthi inkathi kusukela 35 kuya 37 ngesonto.

RH ezingezinhle ngesikhathi ukukhulelwa kuqala futhi okuphindaphindiwe

Kufanele kuqashelwe ukuthi umphumela RH-factor uma uhlela ingane ngesikhathi sokukhulelwa lokuqala engaqinile kanye aliholeli ukuthuthukiswa isifo hemolytic. Lokhu kungenxa yokuthi amasosha omzimba kamama lokuqala sihlangana nge erythrocyte ezinenzondo akanayo isikhathi yakha amasosha omzimba engalimaza ingane. Lakhicitwe, kodwa izinto eziningi ezincane kakhulu. Lena kungani abesifazane nge RH-negative kokuphazamiseka contraindicated ukukhulelwa kuqala, njengoba kungenzeka ukuthi lokhu kuncisha kwakhe ithuba lokwenza izingane eziphile kahle. Endabeni ukukhulelwa okuphindaphindiwe Izibikezelo okwalandela zimbi kakhulu. Ngo egazini likamama kakade luqukethe amasosha omzimba okuwela placenta futhi kungaba ukubulala ngisho yingane.

Izinyathelo okufanele zithathwe ukungqubuzana lapho Rhesus

Kunoma yikuphi, uma usufundile ngesikhathi sokukhulelwa ukuthi uma wena nomyeni wakho zihlukile RH izici, kufanele aqaphele ukuba alawule igazi zemidwebo. Udokotela ukuba khona sizohlola zonke izici ezithinta isimo bese zibeka izinyathelo ezanele. Manje ukuthuthukiswa RH ukungqubuzana ngokuvamile kungagwenywa ngokwethula umuthi wokugoma ekhethekile. Immunoglobulin iqondiswa ngokushesha ngemva kokuzalwa lokuqala noma anqamule ukukhulelwa kanye namasosha omzimba ekuvimbeni.

Isibikezelo yentuthuko kwabakhulelwe RH-negative

Ukukhulelwa kuqala ezimweni eziningi into ihamba kahle futhi iphela kahle. Uma ngokushesha ngemva kokuzalwa ngowokuqala ukwethula wokugoma olukhethekile, luzodluliselwa ukuxhumanisa amasosha omzimba komama kanye ukuvumela azalele wesibili ngaphandle kwezinkinga.