Yini i-erythroblastosis ye-fetus, izimbangela eziyinhloko nokuthi ungakugwema kanjani

-Delile

• Izimbangela ezingaba khona
• Ungayivimbela kanjani i-erythroblastosis yengane
• Ungayibona kanjani i-erythroblastosis ye-fetus
• Yelashwa kanjani ngemuva kokubeletha

I-Fetal erythroblastosis, eyaziwa nangokuthi isifo se-hemolytic sesifo esisanda kuzalwa noma isifo seRhesus, inguquko evame ukwenzeka enganeni yokukhulelwa kwesibili, lapho owesifazane okhulelwe enegazi elingelona elika-Rh futhi, ekukhulelweni kokuqala, enengane enegazi uhlobo oluhle lwe-Rh, ngaphandle kokwelashwa nge-immunoglobulin.

Kulezi zimo, umzimba kamama, ekukhulelweni kokuqala, ukhiqiza amasosha omzimba okuthi, ngesikhathi sokukhulelwa kwesibili, aqale ukulwa namaseli abomvu egazi lengane entsha, ewasusa kube sengathi ayigciwane. Uma lokhu kwenzeka, ingane ingazalwa ine-anemia enamandla, ukuvuvukala nesibindi esandisiwe, isibonelo.

Ukuvimbela lezi zingqinamba enganeni, owesifazane kufanele enze konke ukubonisana nokuhlolwa kokubeletha, ngoba kungenzeka ukukhomba ubungozi be-erythroblastosis, ukuqala ukwelashwa, okubandakanya umjovo onama-immunoglobulin ukuvimbela ukuvela kokugula enganeni . Funda kabanzi mayelana nokwelashwa ukuvimbela i-erythroblastosis yengane.

Izimbangela ezingaba khona

Izimo ezivame kakhulu zenzeka lapho umama, onegazi elingelona elika-Rh, eye wakhulelwa ngaphambilini lapho umntwana azalwa enegazi eline-Rh. Lokhu kungenzeka kuphela lapho igazi likababa line-Rh futhi, ngakho-ke uma umama engenayo i-Rh udokotela wababelethisi angayalela ukuhlolwa kwegazi kubaba ukuze ahlole ubungozi bokuthi i-erythroblastosis yenzeke.

Ngaphezu kwalokho, futhi yize kuyivelakancane kakhulu, lolu shintsho lungakhula futhi lapho owesifazane okhulelwe ethola ukumpontshelwa igazi i-Rh + nganoma yisiphi isikhathi empilweni yakhe ngaphambi kokuba akhulelwe. Ngakho-ke, kubalulekile ukuthi udokotela obelethisa wazi kahle wonke umlando wowesifazane okhulelwe.

Ungayivimbela kanjani i-erythroblastosis yengane

Ukwelashwa kokuvikela i-erythroblastosis ye-fetus kuqukethe umjovo we-anti-D immunoglobulin, engenziwa:

• Esontweni lama-28 lokukhulelwa: ikakhulukazi lapho ubaba eyi-Rh + noma lapho ingane yokuqala izalwa inegazi le-Rh + futhi umjovo ungazange wenziwe ngesikhathi sokukhulelwa kokuqala;
• Izinsuku 3 emva kokubeletha: kwenziwa ngemuva kokukhulelwa kokuqala lapho ingane izalwa inegazi le-Rh + futhi kusiza ukuvimbela ukwakheka kwama-antibody angalimaza ukukhulelwa okuzayo.

Uma kungekho mjovo onikezwayo futhi ingane isengozini enkulu yokuthola i-erythroblastosis ye-fetus, udokotela angazama futhi nokulindela usuku lokubeletha, lapho amaphaphu nenhliziyo yengane sezithuthuke kahle.

Ungayibona kanjani i-erythroblastosis ye-fetus

Izimpawu nezimpawu ze-erythroblastosis ye-fetus zingabonakala kuphela emva kokuzalwa futhi imvamisa kufaka phakathi i-anemia enamandla, isikhumba esiphuzi nokuvuvukala okujwayelekile enganeni.

Lapho ingalashwa kahle, ingane isengozini enkulu yokuphila, ikakhulukazi ngenxa yokushoda kwegazi okunzima okubangelwa yilesi sifo. Kodwa-ke, noma ngabe iyasinda, kungavela izinkinga ezinkulu, njengokukhubazeka kwengqondo nokulimala ezingxenyeni ezahlukahlukene zobuchopho.

Ngakho-ke, into ebaluleke kakhulu ukwazi ubungozi bengane ekhula i-erythroblastosis yengane ngisho nangesikhathi sokukhulelwa, okwenza konke ukubonisana ngaphambi kokubeletha ukukhomba ubungozi bese kuqala ukwelashwa okusiza ukuvikela lesi sifo.

Yelashwa kanjani ngemuva kokubeletha

Uma umama engakatholi ukwelashwa ngesikhathi sokukhulelwa futhi ingane izalwa ine-erythroblastosis, udokotela futhi angancoma olunye uhlobo lokwelashwa, oluqukethe ukufaka igazi lengane esikhundleni selinye i-Rh negative. Le nqubo ingaphindwa amasonto ambalwa, aze aqedwe wonke ama-antibody omama.

Ngemuva kwalesi sikhathi sokwelashwa, umntwana ugcina esikhundleni segazi elingenalo i-Rh ngegazi eline-Rh, kepha ngaleso sikhathi, ngeke ibe khona ingozi.