Okudingeka Ukwazi Nge-Rh Negative Ekukhulelweni
-Delile
Wonke umuntu wesifazane okhulelwe onohlobo olungelona lwegazi kufanele athole umjovo we-immunoglobulin ngesikhathi sokukhulelwa noma ngemuva nje kokubeletha ukugwema izinkinga ezinganeni.
Lokhu kungenxa yokuthi lapho owesifazane ene-Rh negative futhi ethintana negazi le-Rh (kusuka enganeni ngesikhathi sokubeletha, ngokwesibonelo) umzimba wakhe uzosabela ngokukhiqiza amasosha omzimba alwa ne-RH enhle, igama layo ukuqaphela i-HR.
Ngokuvamile azikho izinkinga ngesikhathi sokukhulelwa kokuqala ngoba owesifazane uthintana negazi lengane kuphela ngesikhathi sokubeletha, kodwa kukhona amathuba okuba nengozi yemoto noma enye inqubo yokwelashwa ephuthumayo engahle ihlanganise igazi likanina nelomntwana , futhi uma kwenzeka, ingane ingabhekana nezinguquko ezinkulu.
Isixazululo sokugwema ukukhuthaza umama ku-Rh ngukuthi owesifazane athathe umjovo we-immunoglobulin ngesikhathi sokukhulelwa, ukuze umzimba wakhe ungakhi amasosha omzimba alwa ne-Rh.
Ngubani odinga ukuthatha i-immunoglobulin
Ukwelashwa ngomjovo we-immunoglobulin kuboniswa kubo bonke abesifazane abakhulelwe abanegazi elingelona elika-Rh ubaba wabo ane-RH positive, ngoba kunengozi yokuthi ingane izothola i-Rh factor kuyise futhi ibuye ibe ne-positive.
Asikho isidingo sokwelashwa lapho umama nobaba wengane bobabili bene-Rh negative ngoba ingane nayo ine-RH negative. Kodwa-ke, udokotela angakhetha ukwelapha bonke abesifazane abane-Rh negative, ngenxa yezizathu zokuphepha, ngoba ubaba wengane kungenzeka abe ngomunye.
Ungayithatha kanjani i-immunoglobulin
Ukwelashwa okuboniswa ngudokotela lapho owesifazane ene-Rh negative kuqukethe ukujova okungu-1 noma okungu-2 kwe-anti-D immunoglobulin, ngokulandela uhlelo olulandelayo:
- Ngesikhathi sokukhulelwa: Thatha umjovo owodwa kuphela we-anti-D immunoglobulin phakathi kwamasonto angama-28-30 wokukhulelwa, noma imijovo emi-2 emasontweni angama-28 kuya kwangama-34, ngokulandelana;
- Ngemuva kokubeletha:Uma ingane ine-Rh, umama kufanele abe nomjovo we-anti-D immunoglobulin zingakapheli izinsuku ezintathu ngemuva kokubeletha, uma umjovo ungazange wenziwe ngesikhathi sokukhulelwa.
Le ndlela yokwelashwa ikhonjiswa kubo bonke abesifazane abafisa ukuba nengane engaphezu kweyodwa futhi isinqumo sokungalutholi lolu hlobo lwezokwelapha kufanele kuxoxwe ngaso nodokotela.
Udokotela anganquma ukwenza umuthi ofanayo wokwelashwa ekukhulelweni ngakunye, ngoba ukugoma kuhlala isikhathi esifushane futhi akuqondile. Lapho ukwelashwa kungenziwa ingane ingazalwa ine-Reshus Disease, hlola imiphumela nokwelashwa kwalesi sifo.