I-RhoGAM uhlobo oluthile lwe-Rh- immune globulin. Lesi sidakamizwa ngumjovo onikezwa abesifazane abakwa-Rh negative (igazi lakho lingu-O, u-A negative, noma njalo) ozala noma ozwa ukulahlekelwa kokukhulelwa. I-RhoGAM akuyona kuphela uhlobo lwe-Rh- immune globulin emakethe, kodwa yilo elaqala ukuthuthukiswa, futhi leli gama lalivame ukusetshenziswa ukubhekisela ku-Rh- immune globulin ngokufanayo nabantu basebenzisa igama elithi Kleenex ukuze babhekisele kuzo zonke izinhlobo kwezicubu.
I-Rh- immune globulin ivimbela umzimba wesifazane ukuba ungenzi ama-antibodies ku- Rh factor uma kwenzeka ukuthi uhlobo lwegazi lomntwana wakhe luyi-Rh enhle. Uma umzimba wakhe udala lezi zinqamuzana, izinkinga zokukhulelwa esikhathini esizayo zingase ziholele. Ukwehlisa isisu ngemuva kokuphuphuma kwesisu kungavamile kodwa odokotela abaningi bakhetha ukunikeza isibhamu kubesifazane abanezinhlobo zegazi ezingenayo igazi njengendlela yokuqapha.
I-Rh- immune globulin iyimikhiqizo yegazi futhi ithatha ingozi encane yokudlulisa ama-bloodborne virus, kodwa ezimweni eziningi, izinzuzo zidlula izingozi. Imiphumela emibi evela ku-RhoGAM ayinqamukile; Kodwa-ke, odokotela abaningi bazogcina abesifazane bebheka imizuzu engu-20 kulandela umjovo.
Eminye Imigomo ye-RhoGAM
I-RhoGAM ibizwa nangokuthi yi-RhIG namagama wegama, njenge-MICRhoGam, WinRho-D ne-BayRho-D.
Izenzo zikaRho (D) i-Immunoglobulin
Uma owesifazane ongenawo uR Rh ebeletha ingane enesiguli se-Rh noma ehlukumeza ingane enesifo se-Rh, igazi elithile kusuka emntwaneni lingangena ohlelweni lomama ngesikhathi sokubeletha.
Khumbula ukuthi ukulethwa kuwukuthi, phakathi kwezinye izinto, inqubo yegazi. Lokhu kutholakala kwegazi kungabangela umama ukuba akhe ama-antibodies egazini le-Rh. Endabeni yokukhulelwa esikhathini esizayo, ngabe umntwana kufanele abe Rh, ama-antibodies emzimbeni kamama angabe esehlasela ingane eholela esimweni esibizwa ngokuthi yi-hemolytic isifo somntwana osanda kuzalwa.
Izifo ze-Hemolytic of the Newborn
Isifo se-Hemolytic yengane esanda kuzalwa sibizwa nangokuthi i-erythroblastosis fetalis. Izinsana ezizalwe nalesi simo zingabonakala emazweni ahlukahlukene kusukela ekujwayelekile kuya ekuguleni okukhulu. Lesi simo sivame ukuveza njenge- jaundice , noma i-yellowing yesikhumba, amehlo nolimi, okwenzeka ngenxa yokwehla kwamaseli abomvu wegazi nokuqoqwa kweproduct bilirubin. I-Hemolytic isifo somntwana osanda kuzalwa singabangela nokuboshwa kwe-cardiorespiratory nokufa kwengane esanda kuzalwa.
Izifo ze-Hemolytic zengane ezitholakala zingatholakala kumntfwana noma emntwaneni esebenzisa ukuhlolwa kwelabhorethri. Ngokuqondile, ukuze uhlolisise i-fetus, i-cordocenteis kumele yenziwe. I-Cordocentesis iyimvivinyo engavamile lapho igazi lidonsa khona emgodleni wesibindi emgodleni ohlangene ohlangene ne-placenta. I-Hemolytic isifo somntwana osanda kuzalwa sitholwa ezinsana ezisebenzisa ukuhlolwa kwegazi.
Imithombo ekhethiwe
USteele P. Izifo Zengane Nengane. Ku: Laposata M. eds. Imithi yokwelapha: Ukutholakala kwezifo kuLabital Laboratory . ENew York, NY: McGraw-Hill; 2014.