Ngeke sivame ukucabanga okuningi emsebenzini wegazi wokukhulelwa kokuqala. Abaningi bethu akakaze bezwe elinye igama ngalawo amaconsi anikezwa emavikini okuqala. Kodwa-ke, olunye lwezivivinyo ezenziwe ngaleligazi lihlobo lwegazi kanye nokuhlolwa kwe-Rh factor.
Ngaphezu kweqembu legazi (A, B, O, AB), i-Rh factor ibhalwe njengento enhle (okwamanje) noma engekho (engekho).
Iningi labantu lingamaR Rh. Lesi sici asithinti impilo yakho ngaphandle kokukhulelwa.
Owesifazane usemngciphekweni uma ene-Rh factor futhi umlingani wakhe une-Rh factor enhle. Le nhlanganisela ingaveza ingane enhle i-Rh. Ngenkathi izinhlelo zegazi zikamama nezingane zihlukanisiwe kunezikhathi lapho igazi elivela emntwaneni lingena ohlelweni lomama. Lokhu kungenza umama akwazi ukudala ama-antibodies ngokumelene neR Rh factor, ngaleyo ndlela aphathe ingane enhle i-Rh njengomuntu oyisidumbu emzimbeni wakhe. Uma lokhu kwenzeka, umama kuthiwa ukhuthazwe.
Umzimba womama ozwelayo uzokwenza ama-antibodies. Lezi zinselo zomzimba zizohlasela igazi le-Rh enomntwana, okwenze ukuthi liphule amangqamuzana egazi abomvu ne-anemia azokhula. Ezimweni ezimbi, lesi sifo se-hemolytic singabangela ukugula, ukulimala kwengqondo, ngisho nokufa.
Ukwehliswa kwemvelo kungase kwenzeke ngesikhathi sokumpompela igazi, ukukhulelwa kwesisu , ukukhipha isisu, ukukhulelwa kwe-ectopic ngisho nangenkambiso ethile, njenge- amniocentesis .
Njengoba amantombazane engaqedi futhi engaqabangi ukudala inkinga ekukhulelweni kokuqala, kubaluleke kakhulu ukuba uhlolwe kahle futhi unikeze umlando wezokwelapha olunembile kumdokotela noma umbelethisi wakho.
Izindaba Ezinhle
Izifo ze-Hemolytic zingavinjelwa abesifazane abaningi uma bengakazweli. I-Rh immunoglobulin (i-RhIg) ngumkhiqizo wegazi owenziwe nge-injection ukusiza umama we-Rh ongathandeki ngokuthi "anciphise ukuphendula kwakhe kuma-Rh abomvu amangqamuzana abomvu.
Ukuphendukela kumuthi ngokuvamile kuncane, kufaka hlangana nesifo esiqhingini somjovo futhi ngezinye izikhathi umkhuhlane omncane.
Njengoba inamba encane yabesifazane abangenakuqinisekiswa ingase ibe nezinkinga ekupheleni kokukhulelwa, odokotela abaningi batusa ukuthi banikezwe umjovo we-RhIg (owaziwa nangokuthi yi-Rhogam) emasontweni angu-28 ukukhulelwa, ukuvimbela amacala ambalwa okuzwa okwenzeka ekugcineni yokukhulelwa. Umthamo ngamunye we-RhIg uhlala cishe amasonto angu-12. Umama uzophinde anikezwe i-RhIg zingakapheli amahora angu-72 ekubelethweni uma ingane inguRh positive. Uhlobo lwegazi lomntwana lungaqondiswa kalula ngemva kokuzalwa ngamasampula egazi lezintambo.
Uma unikezwa i-Rhogam, uzophinde unikezwe ikhadi lokuzisiza ukuze uhambisane nawe. Leli khadi libonisa abahlinzeki bakho noma noma yiziphi izisebenzi zezokwelapha ezidinga ukuphatha ukuthi unikezwe i-Rhogam. Uma udokotela noma umbelethisi wakho engakunikeli ikhadi le-ID, qiniseka ukuthi ubuze ngalesi sivikelo sokuphepha. Uzodinga futhi ukubuza ukuthi kufanele kuboniswe bani, uma amarekhodi akho ezokwelapha engatholakali kalula.
I-RhIg ingabuye inikezwe ngemuva kwe-amniocentesis, ukukhulelwa kwesisu, ukukhipha isisu noma inzalo ye-postpartum (tubal ligation). Lokhu kungenxa yokuthi kunethuba elincane lokungcola kwegazi kanye nokwenza ukuzwela ngisho nangemva kwalokhu kulandelwa noma ukuvela.
Akuyona ulwazi olujwayelekile ukuthi ngisho noma ukukhulelwa kungagcwaliseki isikhathi kungasenza owesifazane akhuthazwe.
Izifo zeHemolytic
Kunezinkinga ezingaba ngu-5 000 zezifo ze-hemolytic ezizokwenzeka unyaka ngamunye. Umama owakhuthazwa yiRh uzohlolwa ngesikhathi sonke sokukhulelwa ukuze abone ukuthi umntwana unesifo se-hemolytic. Ezinye izingane ezinesifo se-hemolytic zizoba nokukhulelwa okulula futhi zizalwe ngesikhathi sokubeletha okujwayelekile. Ezinye izingane zizohlupheka kakhulu futhi zidinga ukuthi kuzalwe kwenziwe ekuqaleni. Ukumpontshelwa igazi kunganikezwa kokubili nangemva kokubeletha kwalezi zinsana ezikhuthele kakhulu.
Uma unemibuzo mayelana ne-Rh factor noma ngabe awukho kuleli qembu labesifazane, ungangabazi ukubuza udokotela noma umbelethisi wakho ngemiphumela yomsebenzi wegazi lakho.
Umthombo:
> I-American College yezidakamizwa namaGynecologists. I-Rh Factor nokuthi ingawuthinta kanjani ukukhulelwa kwakho. Septemba 2013. Kufinyelelwe ngo-Mashi 13, 2017.
Isifo se-Rh. March we-Dimes. Julayi 2016. Kufinyelelwe ngo-Mashi 13, 2017, ku-http: //www.marchofdimes.org/baby/rh-disease.aspx