Sewero Lofiira la Magazi Ofiira

Zamkati

• Kodi RBC antibody screen ndi chiyani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufunika pulogalamu yoteteza ma RBC?
• Kodi chimachitika ndi chiani pa RBC antibody screen?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndikufunika kudziwa pazowonjezera za RBC?
• Zolemba

Kodi RBC antibody screen ndi chiyani?

Screen ya antibody ya RBC (red cell) ndiyo kuyesa magazi komwe kumayang'ana ma antibodies omwe amayang'ana maselo ofiira. Ma antibodies a maselo ofiira amagazi atha kukuvulazani mukathiridwa magazi kapena, ngati muli ndi pakati, kwa mwana wanu. Chowonekera cha RBC antibody chitha kupeza ma antibodieswa asanayambitse mavuto azaumoyo.

Ma antibodies ndi mapuloteni opangidwa ndi thupi lanu kuti amenyane ndi zinthu zakunja monga mavairasi ndi mabakiteriya. Ma antibodies a magazi ofiira amatha kuwonekera m'magazi anu ngati mungapezeke ndi maselo ofiira ena osati anu. Izi zimachitika kawirikawiri atathiridwa magazi kapena atakhala ndi pakati, ngati magazi a mayi amakumana ndi magazi a mwana wosabadwa. Nthawi zina chitetezo cha mthupi chimagwira ngati maselo ofiirawa "achilendo" ndipo adzawaukira.

Mayina ena: chophimba cha antibody, mayeso a antiglobulin osalunjika, mayeso a globulin osalunjika, IAT, mayeso osalunjika a erythrocyte Ab

Amagwiritsidwa ntchito yanji?

Chithunzi cha RBC chimagwiritsidwa ntchito:

• Onani magazi anu musanathiridwe magazi. Kuyezetsa kumatha kuwonetsa ngati magazi anu amagwirizana ndi magazi aoperekayo. Ngati magazi anu sakugwirizana, chitetezo cha mthupi lanu chidzaukira magazi omwe mwathirayo ngati kuti ndi chinthu chachilendo. Izi zikhala zovulaza thanzi lanu.
• Fufuzani magazi anu panthawi yoyembekezera. Kuyesaku kungasonyeze ngati magazi a mayi amagwirizana ndi magazi a mwana wake wosabadwa. Mayi ndi mwana wake amatha kukhala ndi ma antigen osiyanasiyana pama cell ofiira amwaziwo. Ma antigen ndi zinthu zomwe zimatulutsa chitetezo chamthupi. Ma antigen ofiira amwazi amaphatikizapo anti Kell antigen ndi Rh antigen.
  • Ngati muli ndi antigen ya Rh, mumayesedwa kuti ndinu Rh. Ngati mulibe antigen ya Rh, mumayesedwa kuti ndinu Rh.
  • Ngati mulibe Rh ndipo mwana wanu wosabadwa ali ndi kachilombo ka Rh, thupi lanu lingayambe kupanga ma antibodies olimbana ndi magazi a mwana wanu. Vutoli limatchedwa kuti Rh kusagwirizana.
  • Ma antigen onse a Kell ndi kusagwirizana kwa Rh kumatha kupangitsa mayi kupanga ma antibodies motsutsana ndi magazi a mwana wake. Ma antibodies amatha kuwononga maselo ofiira amwana, ndikupangitsa kuchepa kwa magazi m'thupi. Koma mutha kulandira chithandizo chomwe chingakulepheretseni kupanga ma antibodies omwe angawononge mwana wanu.
• Fufuzani magazi a abambo a mwana wanu wosabadwa.
  • Ngati mulibe Rh negative, abambo a mwana wanu angayesedwe kuti adziwe mtundu wake wa Rh. Ngati ali ndi Rh, mwana wanu akhoza kukhala pachiwopsezo cha Rh yosagwirizana. Wothandizira zaumoyo wanu mwina ayesanso mayeso ena kuti awone ngati pali zosagwirizana kapena ayi.

Chifukwa chiyani ndikufunika pulogalamu yoteteza ma RBC?

Wothandizira zaumoyo wanu amatha kuyitanitsa chophimba cha RBC ngati mukuyenera kuthiridwa magazi, kapena ngati muli ndi pakati. Chowonera cha RBC nthawi zambiri chimachitidwa ali ndi pakati asanabadwe, ngati gawo loyeserera asanabadwe.

Kodi chimachitika ndi chiani pa RBC antibody screen?

Katswiri wa zamankhwala adzatenga magazi kuchokera mumtsinje uli m'manja mwanu, pogwiritsa ntchito singano yaying'ono. Singanoyo italowetsedwa, magazi ang'onoang'ono amatengedwa mu chubu choyesera. Mutha kumva kuluma pang'ono singano ikamalowa kapena kutuluka. Izi nthawi zambiri zimatenga mphindi zosakwana zisanu.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Simukusowa kukonzekera kulikonse kwa RBC.

Kodi pali zoopsa zilizonse pamayeso?

Pali chiopsezo chochepa kwambiri choyesedwa magazi. Mutha kukhala ndi ululu pang'ono kapena kuvulala pamalo pomwe singano idayikidwapo, koma zizindikiro zambiri zimatha msanga.

Kodi zotsatirazi zikutanthauza chiyani?

Ngati mukupatsidwa magazi: Chophimba cha RBC chiziwonetsa ngati magazi anu amagwirizana ndi magazi aoperekayo. Ngati sizigwirizana, wopereka wina adzafunika kupezeka.

Ngati muli ndi pakati: Chithunzi cha RBC chidzawonetsa ngati magazi anu ali ndi ma antigen omwe angamupweteke mwana wanu, kuphatikiza ngati mulibe Rh.

• Ngati muli ndi vuto la Rh, thupi lanu lingayambe kupanga ma antibodies olimbana ndi magazi a mwana wanu.
• Ma antibodies awa sakhala pachiwopsezo pa mimba yanu yoyamba, chifukwa mwanayo amabadwa asanakwane. Koma ma antibodies awa amatha kuvulaza mwana wanu wosabadwa m'mimba pambuyo pake.
• Kusagwirizana kwa Rh kumatha kuchiritsidwa ndi jakisoni yomwe imalepheretsa thupi lanu kupanga ma antibodies motsutsana ndi maselo ofiira a mwana wanu.
• Ngati muli ndi Rh, palibe chiopsezo cha Rh chosagwirizana.

Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndikufunika kudziwa pazowonjezera za RBC?

Kusagwirizana kwa Rh sikofala. Anthu ambiri amakhala ndi kachilombo ka Rh, kamene kamachititsa kuti magazi asamagwirizane ndipo saika thanzi pachiswe.

Zolemba

1. ACOG: American Congress of Obstetricians and Gynecologists [Intaneti]. Washington DC: American Congress of Obstetricians and Gynecologists; c2017. The Rh Factor: Momwe Zimakhudzira Mimba Yanu; 2013 Sep [yotchulidwa 2017 Sep 29]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.acog.org/Patients/FAQs/The-Rh-Factor-How-It-Can-Affect-Your-Pregnancy#what
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4. ClinLab Navigator [Intaneti]. Chipatala cha LabLavigator; c2017. Kuyesedwa kwa Prenatal Immunohematologic [yotchulidwa 2017 Sep 29]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: http://www.clinlabnavigator.com/prenatal-immunohematologic-testing.html
5. Chipatala cha CS Mott Children [Internet]. Ann Arbor (MI): A Regents a Yunivesite ya Michigan; c1995-2017. Mayeso a Coombs Antibody (Molunjika ndi Molunjika); 2016 Oct 14 [yotchulidwa 2017 Sep 29]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: http://www.mottchildren.org/health-library/hw44015
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10. Chipatala cha Mayo [Intaneti]. Mayo Foundation for Medical Education and Research; c1998–2017. Mayeso ndi Njira: kuyeza magazi kwa Rh factor; 2015 June 23 [yotchulidwa 2017 Sep 29]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: http://www.mayoclinic.org/tests-procedures/rh-factor/basics/definition/PRC-20013476?p=1
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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.