Ukhulelwe futhi une-Rh Negative? Kungani Ungadinga Ukujova Kwe-RhoGAM

-Delile

• Yini i-Rh factor?
• Ukungahambelani kwe-Rh
• Kungani kusetshenziswa iRhoGAM
• Iphathwa kanjani
• Imiphumela emibi ejwayelekile yeRhoGAM
• Izingozi zokudutshulwa kweRhoGAM - nokungazitholi
• Izindleko nezinketho
• Ukuthatha

Lapho ukhulelwe, ungafunda ukuthi ingane yakho ayilona uhlobo lwakho - uhlobo lwegazi, okungukuthi.

Wonke umuntu uzalwa enohlobo lwegazi - O, A, B, noma AB. Futhi bazalwa benesici seRhesus (Rh), esihle noma esibi. Uzuze i-Rh factor yakho kubazali bakho, njengoba nje uzuze ifa lomama wakho onsundu namathambo kababa wakho wezihlathi eziphakeme.

Ukukhulelwa yisikhathi kuphela lapho kungahle kube khona igazi elibi (i-pun ehloselwe!) Phakathi kwakho ne-Rh factor yakho.

Uma uyi-Rh negative futhi ubaba wengane engu-Rh enempilo, kungavela ezinye izinkinga ezisongela impilo uma ingane izuza i-Rh factor enhle kababa. Lokhu kubizwa ngokuthi ukungahambelani kwe-Rh, noma isifo se-Rh.

Kepha ungacindezeli inkinobho yokwethuka okwamanje. Yize kubalulekile ukuthi kuhlolwe lesi sifo, ukungahambelani kwe-Rh akuvamile futhi kuyavikeleka.

Ukuqeda izinkinga, udokotela wakho angakunika i-RhoGAM - ejwayelekile: Rho (D) immune globulin - cishe emasontweni angama-28 okukhulelwa futhi noma nini lapho igazi lakho lingase lihlangane nelomntanakho, njengalapho kuhlolwa noma kubeletha.

Yini i-Rh factor?

I-Rh factor yiprotheni ehlala kumaseli abomvu egazi. Uma unale protein, une-Rh positive. Uma ungakwenzi, uyi-Rh negative. Abantu abangamaphesenti angu-18 kuphela abanohlobo lwegazi olungelona olwe-Rh.

Uma kukhulunywa ngempilo yakho, akunandaba ngempela ukuthi unani - ngisho noma ungake udinge ukumpontshelwa igazi, odokotela bangaqiniseka kalula ukuthi uthola igazi elingelona elika-Rh. Kodwa-ke, ukukhathazeka kuvela ngesikhathi sokukhulelwa (ini akuyona ukukhathazeka ngesikhathi sokukhulelwa?) lapho igazi elibi nelilungile likwazi ukuxubeka.

Ukungahambelani kwe-Rh

Ukungahambelani kwe-Rh kwenzeka lapho owesifazane ongenayo i-Rh ekhulelwa umntwana onendoda ene-Rh. Ngokuya nge:

• Kunamathuba angamaphesenti angama-50 okuthi ingane yakho izuze ifa le-Rh factor yakho engalungile, okusho ukuthi nobabili niyahambisana neRh. Konke kuyi-AOK, ngaphandle kokwelapha okudingekayo.
• Kukhona nethuba elingamaphesenti angama-50 lokuthi ingane yakho izuze ifa le-Rh factor kababa wayo, futhi lokho kuphumela ekungahambelani kwe-Rh.

Ukunquma ukungahambelani kwe-Rh kungaba lula njengokuthatha amasampula egazi kuwe, futhi, empeleni, ubaba wengane.

• Uma bobabili abazali bengenayo i-Rh, ingane nayo.
• Uma bobabili abazali bene-Rh, umntwana une-Rh.
• Ukuhlolwa kwegazi kuvame ukwenziwa kokunye ukuvakashelwa kokuqala kokubeletha.

Futhi - zijwayeze lezozinti zenaliti - uma uyi-Rh negative, udokotela wakho uzokwenza nokuhlolwa kwegazi lokuhlola ama-antibodies e-Rh.

• Ama-antibody amaprotheni amasosha akho omzimba awenzayo ukulwa nezinto ezingaphandle komzimba wakho (njengegazi eline-Rh).
• Uma unamasosha omzimba, kusho ukuthi usuvele uchayekile egazini eline-Rh - kusuka ekudilivweni kwangaphambilini, ngokwesibonelo, ukukhipha isisu, noma ngisho nokumpontshelwa igazi okungafani.
• Ingane yakho isengozini yokungahambelani kwe-Rh uma ubaba wayo ene-Rh.
• Ungadinga lokhu kuhlolwa kokuhlola izikhathi eziningana phakathi nokukhulelwa ukukala izinga lakho lama-antibodies (uma ephakeme, izinkinga zomntwana wakho zingaba zimbi kakhulu).
• Uma unamasosha omzimba, iRhoGAM ngeke isize ingane yakho. Kodwa ungadangali. Odokotela banga:
  • oda ukuhlolwa kokuhlolwa, njenge-ultrasound, ukuqapha ukukhula kwengane yakho
  • Nikeza ingane yakho ukumpontshelwa igazi ngentambo, ngaphambi kokuba ingane yakho iphume eComfort Inn okuyisibeletho sakho
  • phakamisa ukulethwa ngaphambi kwesikhathi

Izizathu eziningi zokuhlala uzolile:

• Kwesinye isikhathi ukungahambelani kwe-Rh yengane yakho kungaveza kuphela ubunzima obuncane obungadingi ukwelashwa.
• Ukukhulelwa kokuqala akuvamile ukuthinteka ukungahambisani kwe-Rh. Lokho kungenxa yokuthi kungathatha isikhathi esingaphezu kwezinyanga eziyi-9 ngomama ongenalo i-Rh ukwenza amasosha omzimba alwa negazi eline-Rh.

Kungani kusetshenziswa iRhoGAM

Umama we-Rh negative (hhayi ingane yakhe) uzothola i-RhoGAM ngamaphoyinti amaningana phakathi nokukhulelwa lapho i-Rh factor kababa ilungile noma ingaziwa. Lokhu kumvimbela ekwenzeni amasosha omzimba egazini eline-Rh elihle - amasosha omzimba angabhubhisa amangqamuzana egazi engane yakhe.

I-RhoGAM inikezwa njalo lapho kunethuba lokuthi igazi likamama lihlangane nelengane. Lezi zikhathi zifaka:

• emasontweni angama-26 kuya kwangu-28 okukhulelwa, lapho i-placenta ingaqala ukuncipha futhi, yize kungenzeki, igazi lingadlulela lisuka enganeni liye kumama
• ngemuva kokukhipha isisu, ukuzala ingane ifile, ukukhulelwa kwesisu, noma ukukhulelwa kwe-ectopic (ukukhulelwa okuvela ngaphandle kwesibeletho)
• kungakapheli amahora angama-72 ebelethile, kubandakanya nokulethwa ngokuhlinzwa, uma ingane ine-Rh
• ngemuva kwanoma yikuphi ukuhlolwa kokuhlasela kwamaseli engane, ngokwesibonelo, ngesikhathi:
  • i-amniocentesis, isivivinyo esihlola uketshezi lwe-amniotic ekuthuthukiseni okungahambi kahle
  • i-chorionic villus sampling (i-CVS), isivivinyo esibheka amasampula wezicubu ezinkingeni zofuzo
• ngemuva kokuhlukumezeka phakathi nendawo, okungenzeka ngemuva kokuwa noma kwengozi yemoto
• noma ikuphi ukukhohlisa embungwini - ngokwesibonelo, lapho udokotela eguqula umntwana ongakazalwa ehlala endaweni ebusayo
• ukopha esithweni sangasese ngesikhathi sokukhulelwa

Iphathwa kanjani

I-RhoGAM ngumuthi kadokotela ovame ukunikezwa ngomjovo emsipheni - imvamisa ngemuva, ngakho-ke okunye ukuhlambalaza ozobhekana nakho ngenkathi ukhulelwe. Inganikezwa futhi ngemithambo yegazi.

Udokotela wakho uzonquma ukuthi iyiphi idosi efanelekile kuwe. I-RhoGAM isebenza cishe amasonto ayi-13.

Imiphumela emibi ejwayelekile yeRhoGAM

I-RhoGAM isidakamizwa esiphephile esinerekhodi leminyaka engama-50 lokuvikela izingane ezifweni ze-Rh. Ngokusho komkhiqizi wesidakamizwa, imiphumela emibi kakhulu evame ukwenzeka lapho kudutshulwa khona futhi ifaka:

• ubulukhuni
• ukuvuvukala
• ubuhlungu
• izinhlungu
• ukuqubuka noma ubomvu

Umphumela wecala ojwayelekile kancane umkhuhlane omncane. Kungenzeka futhi, nakuba kuncane kakhulu, ukuthi ube nokungezwani komzimba.

Isibhamu usinikwa kuphela; ingane yakho ayihlangabezani nemiphumela engemihle. I-RhoGAM akuyona eyakho uma:

• isivele inama-antibodies e-Rh
• ayizwani ne-immunoglobulin
• une-hemolytic anemia
• ngibe nemithi yokugoma muva nje (iRhoGAM inciphisa ukusebenza kwayo)

Izingozi zokudutshulwa kweRhoGAM - nokungazitholi

Isifo se-Rh asiyithinti impilo yakho - kepha uma wenqaba isibhamu seRhoGAM, singathinta impilo yengane yakho kanye naleyo yokukhulelwa esikhathini esizayo. Empeleni, Owesifazane okhulelwe ongu-1 Rh kwezingu-5 uzozwela ku-Rh positive factor uma engayitholi i-RhoGAM. Lokho kusho ukuthi, ingane yakhe ingazalwa inalezi zinto noma eziningi ezilandelayo:

• i-anemia, ukuntuleka kwamaseli abomvu abomvu anempilo
• ukuhluleka kwenhliziyo
• ukulimala kwengqondo
• i-jaundice, i-tinge ephuzi esikhunjeni nasemehlweni ngenxa yesibindi esisebenza ngendlela engafanele - kodwa qaphela, i-jaundice ivame kakhulu ezinganeni ezisanda kuzalwa

Izindleko nezinketho

Amanani nokutholakala komshuwalense weRhoGAM kuyahluka. Kepha ngaphandle komshwalense, lindela ukuchitha umbhangqwana uye kumakhulu ambalwa wamadola ngomjovo (ouch - lokho kubuhlungu kakhulu kunengcosana yenaliti!). Kepha izinkampani eziningi zomshuwalense zizokhokha okungenani ezinye izindleko.

Khuluma nodokotela wakho mayelana nokuthi ngabe uhlobo olujwayelekile lwe-RhoGAM - Rho (D) immune globulin - noma umkhiqizo ohlukile womuthi ubiza kakhulu.

Ukuthatha

Isifo se-Rh asijwayelekile futhi siyasigwema - ngokungangabazeki ukuthi "yisimo esikahle kakhulu" ngalowo mqondo. Lazi uhlobo lwegazi lakho, futhi, uma kungenzeka, olweqabane lakho. (Futhi uma kungaphambi kokukhulelwa, konke kungcono.)

Uma uyi-Rh negative, khuluma nodokotela wakho mayelana nokuthi uzoyidinga yini i-RhoGAM nokuthi yisiphi isikhathi esihle sokuyithola.