I-RhoGAM I-Injection Equkethe Antibodies ku-Rh Factor Protein
Uma ungenayo i-Rh, odokotela abaningi bazokwazisa ukuthi uthola isibhamu seRhoGAM ngemuva kokuthola ukukhulelwa kwesisu, ukukhulelwa kwe-ectopic , noma ukulahlekelwa okunye kokukhulelwa. Ukuthola i-RhoGAM noma enye i-Rh immune globulin kudutshulwa kuyisixwayiso esimweni esibizwa ngokuthi i-Rh ukungalingani, okungathinta ukukhulelwa esikhathini esizayo futhi kubangele izifo ze-hemolytic ekusaneni.
Kanjani Ngokushesha Ngemva Kokuthatha Umshado Ngidinga i-RhoGAM Shot?
Uma ungenayo i- Rh negative , okusho ukuthi igazi lakho aliqukethe i-Rh factor protein, udokotela wakho uzotusa ukuthi uthole i-Rh immune globulin shot (njenge-RhoGAM) kungakapheli amahora angu-72 ekuqaleni kokuphuma kwegazi. Ngesihluthulelo unezimpikiswano ezincane zokuthuthukisa ama-antibodies (ukuzwa) ngokumelene ne-Rh-positive kusuka kulokhu kukhulelwa; Uma une-antibodies ejikelezayo ngokumelene ne-Rh factor, ungabhekana nezinkinga ekukhulelweni okuzayo. Uma kunikezwa ngemuva kwamahora angu-72 ngemuva kokuqala kokukhulelwa komzimba, isibhamu asikwazi ukwenza umehluko.
Uma sekusele izinsuku ezingaphezu kwezintathu kusukela ukukhulelwa komzimba wakho, ungakhathazeki. Izinkinga oye wazizwa ngokumelene ne-Rh factor ziphansi. Nakuba kungekho bufakazi obunamandla bokuthi isibhamu sidingeka ngokuphelele emva kokulahlekelwa kokukhulelwa kokuqala, ukudubula kuyingozi kakhulu, ngakho odokotela bayasikhuthaza ngemuva kokukhipha ukukhulelwa ngenxa yengozi ye-Rh yokuqwashisa.
Noma kunjalo, kuwumqondo omuhle ukuwuthola ngesikhathi sokunconywa uma ukhona, njengoba kwenza ukuthi ubungozi obuncane bokuthi ukwakhiwa kwe-Rh kubuye kube phansi. Kunobufakazi obuningi obunesidingo sokudutshulwa emva kokulahleka kokukhulelwa kamuva noma emva kokubeletha.
Uma ukhathazekile, ungacela udokotela wakho mayelana nokuhlolwa kwegazi ukuze uhlole ukuvuselelwa kwe-RH ukuze ukwazi ukubeka ingqondo yakho kalula.
Kuyini i-Rh Factor futhi Yithinta Kanjani Ukukhulelwa?
I-Rh isisindo samaprotheni abantu abaningi abathwala igazi labo. Abantu abangamaphesenti angama-85 banguRh-positive, kanti isimo se-Rh sinqunywa ngokusungulwa kwezakhi zofuzo.
Kulabo besifazane abangama-Rh abangenabo abasebenzisana no-Rh, ingane ingenani ngamaphesenti ama-50 amathuba okuba yi-Rh-positive (isimo se-Rh sinomthelela omkhulu wezakhi zofuzo). Abesifazane abanama-Rh nabesifazane abangamaRh nabangabalingani abangamaRh akudingeki bakhathazeke nge-RhoGAM isibhamu ngoba ukungalingani kwe-Rh akunakwenzeka. Ekukhulelweni kokuqala, ukwakhiwa kwe-Rh akuvamile ukuba yinkinga ngoba igazi lomama negazi lomntwana ngokuvamile alihlanganyeli ngqo kuze kube sekulethwa kwezidingo - kepha uma i-Rh-positive (njenge-baby) ingena egazini likaMama lingenalo i-Rh, i-immune yakhe uhlelo lungathuthukisa ama-antibodies nge-Rh factor. Uma lezi antibodies zifaka i-Rh-positive bloodstream, ama-antibodies angase aqale ukuhlasela igazi lezingane, okwenza i-jaundice noma izimpawu ezinzima uma kungashiywa ngaphandle kokulashwa.
Usizo lwe-RhoGam luni?
I-RhoGAM igcina kuqala igazi lewesifazane nge-antibodies ku-Rh factor protein, futhi lokhu kuvimbela isimiso somzimba wesifazane wesifazane ekudingeni ukudala ama-antibodies ku-Rh factor uma kwenzeka behlangana ne-Rh-positive.
Ukujova ama-antibodies kuphephile kunokuba kukhishwe isisindo, ngoba ama-anti-gciwane we-RhoGAM ekugcineni asula igazi lomama, okusho ukuthi uma igazi likaMama lixubene nengane esikhathini esizayo, isimiso sakhe somzimba samasosha omzimba sasingafundile ukwakha ama-antibodies ngokumelene ne-Rh factor futhi umntwana ngeke thola ama-anti-Rh antibodies. Uma igazi likamama likwaziswa ku-Rh factor, ukuzwela kungase kube unomphela futhi kuyingozi ukuletha ama-anti-Rh antibodies ezinganeni zakhe zesikhathi esizayo.
Njengengxenye yokuhlolwa kwegazi ngokunakekelwa kokubeletha okujwayelekile , odokotela abaningi bahlola uhlobo lwegazi lomfazi ukuze bahloniphe abesifazane abangenakuhambisana noRh.
Ekuqaleni, izincomo kwakufanele zinikeze izijovo kubesifazane ababelethile. Izincomo zashintsha ukuze zifake iRhoGAM idonsela amasonto angama-28 okukhulelwa. Nakuba kunezifundo ezimbalwa ezikhona ekusebenziseni i-Rh immune globulin ngezinkinga zokuhlukumezeka kokuqala, abadokotela abaningi bayabancoma ngenxa yengozi yokuthola ulwazi ngemuva kokuphazamiseka nomqondo wokuthi izinzuzo ezingase zibe ngaphezu kwenengozi encane. Kudutshulwa kudinga ukunikezwa cishe emahoreni angu-72 ekuqaliseni ukukhulelwa kwesisu ukuze kuphumelele.
Uma ungatholi i-RhoGAM shot, ungesabi - khumbula ukuthi ingozi yokuqwashisa ngemuva kokukhulelwa kwesisu kuyinto encane. Noma kunjalo, kufanele utshele udokotela wakho ngokukhathazeka kwakho. Udokotela wakho angalawula ukuhlolwa kwegazi ukuze ahlole isimo sakho sokususa iR Rh. Uma kwenzeka uhlakulele ama-anti-Rh anti-Rhine, kukhona ukwelashwa okungahambisani neRh kanti udokotela wakho uzokwazi ukugcina ukukhulelwa kwakho esikhathini esizayo eduze kwezinkinga zezinkinga ukuze angenele ngokushesha uma kudingeka.
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