I-Rhesus yiprotheyini efunyenwe phezu kweeseli ezibomvu zegazi. Kukho malunga nama-85% wabemi behlabathi.
Ingxabano yeRhesus ivela njani?
Isizathu esibalulekileyo sokuphuhliswa kwengxabano kaRhesus kukungalingani kwezi mpawu zegazi lomama kunye nomntwana ozayo, ukuba umntwana unesifo esihle, kwaye unina unalo igazi elibi. Ngelo xesha, akukho nto-mpi ye-rhesus kumaqela egazi.
Indlela yokuphuhliswa kwesi siqalo yile ndlela ilandelayo. Ngethuba apho igazi lomama ozayo lidlula kwiinqanawa zepentecenta kwiiseli ezibomvu ze-fetus kunye nama-Rh protini, zibonwa njengezinye. Ngenxa yoko, i-immune system yomzimba iqhutywe ngumfazi okhulelweyo, ohamba kunye nemveliso yamagciwane, ayenzelwe ukutshabalalisa iiseli zegazi ezingasetyenziselwa iiseli zomama.
Ngenxa yokuba iintsholongwane zegazi ezibomvu zonakaliswa ngamaxesha, i-spleen nesibindi, ngenxa yokunyusa ukuveliswa kweeseli zegazi, ukwandisa ubungakanani.
Ngenxa yoko, umzimba womntwana awunakukwazi ukujamelana nayo, kukho indlala enamandla ye- oxygen, engakhokelela ekufeni.
Uphi na ukuxabana kwe-rhesus?
Ukuze uphephe le meko, intombazana kufuneka ikwazi iR Rh inkcazo yomthandi wayo ngaphambi komtshato. Udlwengulo lwenzeka xa umfazi engenawo iprotheni ye-rhesus, kunye nomyeni wakhe - ukhona. Kwiimeko ezinjalo, kwi-75% yamatyala kukho ukungafani.
Ngako oko, ukukhusela ukuphuhliswa kwempambano ye-Rh, itafile yenziwe yile nzekayo yokwenzeka kwephulo ngexesha lokukhulelwa.
Ziziphi iimpawu zalo mthetho?
Iimpawu zekliniki zokuphuhliswa kwe-Rh-conflict ngexesha lokukhulelwa azikho, i. umfazi okhulelwe akakwazi ukucacisa ukuphulwa kwakhe. Yenza oku ngoncedo lwe-ultrasound.
Ngoko, iimpawu zoluphulo lunokuthi:
- ukuphuhliswa kobuqhophololo, obuhambelana nokuqokelela kwamanzi emzimbeni;
- ukwanda kobukhulu bomzimba wesisu;
- i-Buddha "posture (imilenze yentsana imiselwe eceleni, ngenxa yokwanda okomeleleyo kwesisu);
- ukwanda kwiteyile kunye nesibindi somntwana;
- i-edema kunye nobunzima be-placenta.
Ngaba ukukhulelwa kunokwenzeka kwiqabane elingahambelani neRh?
Musa ukuphelelwa lithemba ukuba intombazana enegazi elingenayo i-Rh, kunye nabakhethiweyo bakhe banomdla. Njengomthetho, ukukhulelwa kokuqala kuqhelekileyo. Oku kuchazwa yinyaniso yokuba umfazi wesibini udibana negazi eli-Rh, kunye neengqamlezo azivelwanga apha. Kuloo matyala, xa kwakukho ezininzi iiseli zegazi kunye neprosheni yeRhesus emzimbeni womama, okubizwa ngokuba yiiseli zeememori zihlala egazini lakhe, ezikhokelela ekuxabaneni kokukhulelwa kwesibili.
Uthintelo lwe-Rh-conflict?
Ingqwalasela ekhethekileyo ihlawulwa ekuthinteleni i-Rh-conflict xa ukhulelwe.
Ngoko, kuqala kokutshekisha, nokuba ngaba le protein ikhona kwigazi lomama. Ukuba akayikho, ngoko uyise ulawulwa yinkqubo efanayo. Ukuba iqulethe i-Rh, igazi likaMama olindelekileyo lihlolisiswe ngokukhawuleza ngenxa yobunzima bama-antibodies. Ngethuba elifanayo, izinga lala maxwebhu egazini lomfazi okhulelweyo lihlolwe rhoqo. Ngoko, phambi kweeveki ezingama-32 uhlalutyo lwenziwe kanye ngenyanga, kwaye kwixesha leeveki ezingama-32-35-ii-2 kwiintsuku ezingama-30.
Emva kokuba umntwana ezalwe, igazi lisuswa kuye, apho i-rhesus ichongiwe. Ukuba kulungile, emva kweentsuku ezi-3 umama unikezwa i-serum - immunoglobulin, ekhusela ukuvela kweengxabano ngexesha lokukhulelwa okulandelayo.
Yimiphi imiphumo ye-Rh-conflict?
Ekuhambeni kwexesha, ukuxhatshazwa kwe-Rh, njengomgaqo, akukho miphumo emibi. Nangona kunjalo, oku akusoloko kwenzeka. Ukuba ukutshatyalaliswa kwesisu kuvela, ngokokuqonda (ukuveliswa kwe-antibody) kwenzeka kuphela kuma-3-4% amacala, xa i-medaborta - 5-6%, emva kokuhanjiswa okuqhelekileyo-15%. Ngelo xesha, umngcipheko wokukhuthaza ukunyusa ukunyuka kwenyuka kunye nokuphazamiseka kwamaplaza kunye necesarean section.