Zomwe Muyenera Kudziwa Zokhudza Rh Zosavomerezeka Mimba
Zamkati
Mayi aliyense woyembekezera yemwe alibe magazi amayenera kulandira jakisoni wa immunoglobulin panthawi yapakati kapena atangobereka kumene kuti apewe zovuta m'mwana.
Izi ndichifukwa choti mayi akakhala kuti alibe Rh ndipo amakumana ndi magazi a Rh (kuchokera kwa mwana pakubereka, mwachitsanzo) thupi lake limachita ndikupanga ma antibodies motsutsana ndi RH, dzina lake ndikudziwitsa HR.
Nthawi zambiri pamakhala zovuta pathupi loyamba chifukwa mayi amakumana ndi magazi a mwanayo panthawi yobereka, koma pali kuthekera kochita ngozi yagalimoto kapena njira zina zachipatala zomwe zitha kuyika magazi a mayiwo komanso za mwanayo , ndipo zikatero, mwanayo akhoza kusintha kwambiri.
Njira yothetsera kupewa kulimbikitsa mayi kupita ku Rh ndikuti mayi atenge jakisoni wa immunoglobulin panthawi yapakati, kuti thupi lake lisapangitse ma anti-Rh positive antibodies.
Ndani akufunika kutenga immunoglobulin
Chithandizo cha jakisoni wa immunoglobulin chimawonetsedwa kwa amayi onse apakati omwe ali ndi magazi a Rh omwe abambo awo ali ndi RH, popeza pali chiopsezo kuti mwanayo adzalandira cholowa cha Rh kuchokera kwa abambo ndikukhalanso ndi chiyembekezo.
Palibe chifukwa chothandizira ngati mayi ndi bambo a mwanayo ali ndi Rh negative chifukwa mwanayo alinso ndi RH. Komabe, adotolo angasankhe kuchiza azimayi onse omwe ali ndi Rh negative, pazifukwa zachitetezo, chifukwa bambo wa mwanayo atha kukhala winanso.
Momwe mungatengere immunoglobulin
Chithandizo chomwe dokotala akuwonetsa pamene mayi ali ndi Rh negative chimakhala ndi kutenga 1 kapena 2 jakisoni wa anti-D immunoglobulin, kutsatira ndandanda izi:
- Pakati pa mimba: Tengani jakisoni 1 yekha wa anti-D immunoglobulin pakati pa masabata 28-30 atatenga bere, kapena jakisoni 2 pamasabata 28 ndi 34 motsatana;
- Pambuyo pobereka:Ngati mwanayo ali ndi kachilombo ka Rh, mayiyo ayenera kulandira jakisoni wa anti-D immunoglobulin m'masiku atatu atabereka, ngati jekeseniyo sinachitike panthawi yapakati.
Chithandizochi chikuwonetsedwa kwa azimayi onse omwe akufuna kukhala ndi mwana wopitilira 1 ndipo lingaliro loti asalandire mankhwalawa liyenera kukambirana ndi adotolo.
Dokotala atha kusankha kuti azigwiritsa ntchito njira yofananira yamankhwala nthawi iliyonse yomwe ali ndi pakati, chifukwa katemerayu amatenga kwakanthawi ndipo samatsimikizika. Ngati mankhwala sanachitike mwana akhoza kubadwa ndi matenda a Reshus, onani zotsatira zake ndi chithandizo cha matendawa.