Chitetezo ku Pregnancy: Kodi oopsa RH-nkhondo ndi gulu zosagwirizana

Nthawi zambiri, akazi ndi RH otitsatelny, nkhawa beremennnosti awo ndipo ndinene, zoona. RH Chinthu ndi puloteni inali pamwamba pa erythrocytes. Mavuto ngati mayi RH zoipa (Rh-), ndi mwana (RH +) - zabwino tinalandira kuchokera kwa bambo ake. N'kukhala ABO zosagwirizana akufotokozera mu system (gulu zosagwirizana). Pambuyo kukhudzana ndi magazi yoopsa mu antigens magazi a mayi opangidwa chitetezo.

Chitetezo ku Pregnancy kuwononga maselo yoopsa ofiira, imbaenda kukumana ndi mavuto monga matenda hemolytic. mavuto Associated monga: nthenda chiwindi ntchito, ntchito ya m'thupi, mtima kulephera. Mu madzimadzi wosabadwa zingaunjikane, zikubweretsa edema. Matendawa amayamba kukhala m'ma masabata 22 a mimba.

N'chifukwa chiyani oopsa Rhesus nkhondo

Tikumbukenso kuti nkhondo rhesus si owopsa kwambiri choncho mimba woyamba. Kusanganikirana magazi akuchikazi ndi mwazi wa mwana kumachitika atabadwa, ndipo ngakhale kale anapanga chitetezo musati loopsa kwa mwana.

Komabe, ngati mkazi akuyembekezera mwana wake wachiwiri, ndi chitetezo pa mimba zingachititse pathologies kwambiri, imene mwana akhoza kufa m'mimba. Kuopsa waukulu lagona Kugawilidwa kwanthaka ndalama zambiri za zipatso mankhwala bilirubin kulimbana ndi chitetezo, zomwe zingathe kusokoneza ziwalo zake mkati, makamaka chiwindi, ndulu ndi ubongo. Nthawi zambiri nkhondo rhesus kumabweretsa kubadwa padera kapena msanga.

Chitetezo anapanga pa mimba pamene mkazi RH zoipa ndi mwamuna ali RH positive. Pankhaniyi, RH nkhondo akupezeka 75% ya milandu. Zosagwirizana angayambe ngati mayiyo anachira magazi, ndipo RH si n'komwe.

The magazi kuti chitetezo

Ngakhale pamene akukonzekera kukhala ndi pakati mkazi aliyense ayenera kudziwa wanu RH Chinthu ndi RH chinthu cha bambo wa mwanayo. Ngati pali imabwera RH-nkhondo, izo anafunika kuchita kusanthula pa chitetezo pa mimba mobwerezabwereza. Nthawi yoyamba muyenera kuchita njirayi pa sabata 8 mimba ndiyeno zonse zili chitetezo kwa masabata 30 - kamodzi pamwezi, kuti masabata 36 - mlungu uliwonse.

Ndi zotsatira chomwecho kwambiri chifukwa mu zosagwirizana a magulu magazi a mayi ndi mwana. Mavuto ngati mkazi ali ndi gulu Ine magazi ndi yoopsa magazi gulu II kapena III. Pankhaniyi, antigens yoopsa kulowa akuchikazi chitetezo gulu magazi ndi allocated. oteteza Gulu pa mimba patsogolo kwa chitukuko cha matenda hemolytic ndi chimodzimodzi oopsa kuposa D-antigens.

Komabe, atayezetsa kwa chitetezo kungasonyeze matenda kokha ngati zaonetseredwa molumikizana ndi njira zina matenda. Chofunika kwambiri ndi oteteza titer ndi kusintha mimba. The apamwamba a oteteza titer, m'pamenenso ndi zotsatira chowawa.

Chitetezo pa mimba mukuyenera kuzindikiritsidwa mu yake, ndi dona mu boma linasankha njira ya jakisoni, imene ikuchitikira 10 22, ndi 22 po24 32 kuti 34 pasabata. Pamene mavuto a mimba mkazi ayenera kukhala mu chipatala, kuyang'aniridwa ndi madokotala.

Akazi ndi mbiri ya padera kapena anabadwa mwana zowawa hemolytic matenda aakulu, mankhwala ikuchitika plasmapheresis, zomwe cholinga chake ndicho akuchotsa magazi a chitetezo.

Ngati yoopsa matenda hemolytic lidatsirizika, ndi lolondola oyambirira yobereka. Ichi ndi chifukwa chakuti mapeto a nthawi yobereka chitetezo thereto ukuwonjezeka. Mu aakulu mimba yoopsa matenda ndi kutsazikana. Koma nthawi zambiri zikhoza kuchepetsedwa ndi mawu zolandirika yobereka.