Fetal-yemadzimai erythrocyte kugovera ropa bvunzo

Iko fetal-maternal erythrocyte test test inoshandiswa kuyera huwandu hwemasero matsvuku eropa emwana asati aberekwa muropa remukadzi ane nhumbu.

Muenzaniso weropa unodiwa.

Hapana gadziriro yakasarudzika inodikanwa bvunzo iyi.

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Rh kusapindirana chiitiko chinoitika kana rudzi rwamai rweropa rwuri Rh-negative (Rh-) uye rudzi rweropa rwemwana wake asati aberekwa ndiRh-positive (Rh +). Kana amai vari Rh +, kana kana vaviri vabereki vari Rh-, hapana chikonzero chekushushikana nezveRh kusapindirana.

Kana ropa remucheche riri Rh + uye ropinda muropa raamai raRh, muviri wake unoburitsa masoja ekudzivirira chirwere. Aya ma antibodies anokwanisa kupfuura achidzoka nepaclacenta uye anokuvadza masero matsvuku eropa emwana ari kukura. Izvi zvinogona kukonzera kunyorovera kusvika kwakakomba kupererwa kweropa mumwana asati aberekwa.

Chiyero ichi chinotarisa huwandu hweropa rwakachinjaniswa pakati paamai nemucheche. Vese vakadzi vane nhumbu yeR Rh vanofanirwa kuwana bvunzo iyi kana vakabuda ropa kana njodzi yekubuda ropa panguva yepamuviri.

Mumukadzi ane ropa iri Rh risingapindirani nemucheche wake, bvunzo iyi inobatsira kuziva kuti Rh immune immune globulin (RhoGAM) yaanofanira kugamuchira sei kudzivirira muviri wake kubva mukugadzira zvisina kujairika mapuroteni anorwisa mwana asati aberekwa mune ramangwana nhumbu.

Mukukosha kwakasarudzika, hapana kana mashoma masero emwana ari muropa raamai. Iyo muyero muyero weRhoGAM wakakwana mune ino kesi.

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nachiremba wako nezve zvinorehwa nemimwe miedzo yako.

Mune mhedzisiro yemuedzo usingaenzaniswi, ropa kubva kumucheche asati aberekwa rave kubuda muropa raamai. Iko kuwanda kwemasero emucheche ariko, iyo inowedzera Rh immune globulin iyo amai vanofanira kugamuchira.

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Akawanda punctures ekutsvaga mutsinga
• Kufenda kana kunzwa kushaya musoro
• Hematoma (ropa rinoungana pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Kleihauer-Betke tsvina; Kuyerera cytometry - kugoverwa kwemwana-erythrocyte kwemwana; Rh kusapindirana - erythrocyte kugovera

Chernecky CC, Berger BJ. Betke-Kleihauer stain (fetal hemoglobin stain, Kleihauer-Betke stain, KB) - kuongororwa. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 193-194.

Kutonhora L, Downs T. Immunohematology. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chits. 35.

Moise KJ. Red sero alloimunization. Mune: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 8th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 40.