Ane Mimba uye Rh Negative? Nei Ungangoda RhoGAM Jekiseni

Zvemukati

• Chii chinonzi Rh factor?
• Rh kusapindirana
• Nei RhoGAM ichishandiswa
• Inoitiswa sei
• Zvakajairika mhedzisiro mhedzisiro yeRhoGAM
• Njodzi dzeiyo RhoGAM yakapfura - uye kwete kuiwana
• Mariro uye sarudzo
• Kutora

Paunenge uine nhumbu, unogona kudzidza kuti mwana wako haasi yako mhando - yeropa mhando, ndiko kuti.

Munhu wese anozvarwa aine mhando yeropa - O, A, B, kana AB. Uye ivo vanozvarwawo neRhesus (Rh) factor, iri yakanaka kana yakaipa. Iwe wakagara nhaka yako Rh chinhu kubva kuvabereki vako, sekungofanana iwe wakagara nhaka amai vako maziso ebrown uye baba vako vakakwira matama mapfupa.

Kubata pamuviri ndiyo nguva chete apo panogona kunge paine rimwe ropa rakaipa (pun rinotarisirwa!) Pakati pako neako Rh chinhu.

Paunenge uri Rh negative uye baba vemwana baba ndiRh, zvimwe zvinotyisidzira hupenyu zvinogona kumuka kana mwana akagara nhaka yakanaka yababa Rh factor. Izvi zvinonzi Rh kusapindirana, kana chirwere cheRh.

Asi usasundire bhatani rekuvhunduka izvozvi. Kunyangwe zvichikosha kuongororwa chirwere ichi, Rh kusapindirana isingawanzo uye inodzivirirwa.

Kugadzirisa matambudziko, chiremba wako anogona kukupa pfuti yeRhoGAM - generic: Rho (D) immune globulin - pamasvondo makumi maviri nemasere ekuzvitakura uye chero nguva ropa rako rikasangana neremwana wako, senge panguva yekuedzwa kwepabonde kana kuendesa.

Chii chinonzi Rh factor?

Rh factor ipuroteni inogara pamasero matsvuku eropa. Kana uine protein iyi, uri Rh positive. Kana ukasadaro, uri Rh negative. Chete 18 muzana yevagari vane Rh isina ropa yerudzi.

Kana zvasvika kune hutano hwako, hazvina basa kuti une chii - kunyangwe kana ukazoda kuwedzerwa ropa, vanachiremba vanogona kuve nechokwadi chekuti unogashira Rh isina ropa. Zvisinei, kunetseka kunouya panguva yekuzvitakura (chii haisi kunetseka panguva yekuzvitakura?) Kana ropa rakaipa uye rakanaka riine mukana wekusanganisa.

Rh kusapindirana

Rh kusapindirana kunoitika kana mukadzi weRH asina nhumbu achinge abata mwana ane murume ane hutachiwana hweRh. Zvinoenderana ne:

• Pane mukana we50 muzana mwana wako achagara nhaka yako yakaipa Rh factor, zvinoreva kuti mese muri Rh inowirirana. Zvese iAOK, pasina kurapwa kunodiwa.
• Kune zvakare 50 muzana mukana wekuti mwana wako agare nhaka yababa Rh yavo chinhu, uye izvo zvinoguma neRR kusapindirana.

Kusarudza kusapindirana kweRh kunogona kuve nyore sekutora masampula eropa kubva kwauri, uye, zvirinani, baba vemwana.

• Kana vaviri vabereki vari Rh negative, mwana ari zvakare.
• Kana vaviri vabereki vari Rh positive, mwana ari Rh positive.
• Kuongororwa ropa kunowanzoitwa pane imwe nguva yako yekutanga kuberekwa.

Uye - kujairira iwo matanda etsono - kana iwe uri Rh negative, chiremba wako achaitawo kuongororwa kweropa kuongorora maRB antibodies.

• Maantibodies mapuroteni anoita immune system yako kurwisa zvinhu zvisiri zvemuviri wako (seRh positive ropa).
• Kana iwe uine maantibhakitiriya, zvinoreva kuti iwe wakatoratidzwa kuR Rh yakanaka ropa - kubva mukubereka kwakapfuura, semuenzaniso, kubvisa nhumbu, kana kunyangwe kuisirwa ropa zvisina kukodzera.
• Mwana wako ari panjodzi yekusawirirana kweRh kana baba vavo vari Rh akanaka.
• Iwe ungangoda bvunzo yekuongorora iyi kakati wandei panguva yekuzvitakura kuti uone muyero wako wezvirwere (zvakakwirira zvavari, zvakanyanya kuomarara zvinetso zvemwana wako).
• Kana uine ma antibodies, RhoGAM haibatsire mwana wako. Asi usapenga. Vanachiremba vanogona:
  • kuraira bvunzo dzekuongorora, senge ultrasound, kuongorora kukura kwemwana wako
  • ipa mwana wako kuwedzerwa ropa kuburikidza nerukuvhute, mwana wako asati atarisa kubva kuComfort Inn iri dumbu rako
  • ratidza kutanga kutumira

Zvimwe zvikonzero zvekugara wakadzikama:

• Dzimwe nguva kusawirirana kweRh yemwana wako kunogona kuburitsa chete zvinyoro nyoro izvo zvisingade kurapwa.
• Kutanga kubata nhumbu hakuwanzo kukanganiswa neRh kusapindirana. Izvi zvinodaro nekuti zvinogona kutora nguva inopfuura mwedzi mipfumbamwe kuti amai vaRh vagadzire kuita maantibhakosi ayo anorwisa Rh ropa rakanaka.

Nei RhoGAM ichishandiswa

Amai Rh negative (kwete mwana wavo) vanogashira RhoGAM pamapoinzi akati wandei panguva yekuzvitakura kana Rh factor yababa iri yakanaka kana isingazivikanwe. Izvi zvinomutadzisa kugadzira antibodies kuRh positive ropa - antibodies anogona kuparadza masero eropa emwana wake.

RhoGAM inowanzo kupihwa chero paine mukana wekuti ropa ramai rikasangana neremwana. Nguva idzi dzinosanganisira:

• pamasvondo makumi maviri nemasere kusvika makumi maviri nemasere ekubata pamuviri, apo iyo placenta inogona kutanga kuonda uye, kunyangwe zvisingaite, ropa rinogona kubva kubva kumwana kuenda kuna amai
• mushure mekubvisa nhumbu, kubereka mwana akafa, kubva padumbu, kana ectopic nhumbu (nhumbu inoitika kunze kwechibereko)
• mukati maawa makumi maviri nemaviri ekuberekwa, kusanganisira kuendesa kwekusiya, kana mwana ari Rh akanaka
• mushure mekumwe kuyedzwa kusingaoneki kwemasero emwana, semuenzaniso, panguva:
  • amniocentesis, bvunzo inoongorora amniotic fluid yekuvandudza kusagadzikana
  • chorionic villus sampling (CVS), bvunzo inotarisa zvimisikidzo zvemuviri kumatambudziko egene
• mushure mekukuvadzwa kusvika pakati, izvo zvinogona kuitika mushure mekudonha kana tsaona yemotokari
• chero kubiridzira kune fetus - semuenzaniso, apo chiremba anotendeuka mwana asati aberekwa agara munzvimbo yemhepo
• kubuda ropa kwemukadzi panguva yekuzvitakura

Inoitiswa sei

RhoGAM mushonga wekunyorerwa unowanzopihwa jekiseni mumhasuru - kazhinji mumashure, saka kungori kumwe kutsamwa kwauchabata nako uchiri nepamuviri. Inogona zvakare kupihwa intravenously.

Chiremba wako achasarudza kuti ndeipi yakakodzera dosi iwe. RhoGAM inoshanda kwemasvondo gumi nematatu.

Zvakajairika mhedzisiro mhedzisiro yeRhoGAM

RhoGAM mushonga wakachengeteka une makore makumi mashanu enhoroondo yekuchengetedza vacheche kubva kuRh chirwere. Sekureva kwemugadziri wemushonga, zvinowanzoitika mhedzisiro zvinoitika panopihwa pfuti uye zvinosanganisira:

• kuoma
• kuzvimba
• kurwadziwa
• aches
• mapundu kana kutsvuka

Chinhu chisingawanzoitika pamhedzisiro fivha shoma. Izvo zvakare zvinokwanisika, kunyangwe kushomeka, kuve neacergic reaction.

Pfuti unongopihwa iwe; mwana wako haasangane nemhedzisiro. RhoGAM haisi yako kana iwe:

• atove nemaRh antibodies
• zvinopesana ne immunoglobulin
• vane hemolytic kupererwa neropa
• ave nemishonga yekudzivirira (munguva pfupi yapfuura (RhoGAM inoderedza kushanda kwayo)

Njodzi dzeiyo RhoGAM yakapfura - uye kwete kuiwana

Chirwere cheRh hachikanganise hutano hwako - asi kana ukaramba iyo RhoGAM kupfura, inogona kukanganisa hutano hwemwana wako uye neaya emimba anouya. Saizvozvo, 1 Rh asina mukadzi ane nhumbu mu5 anozove nehanya neiyo Rh yakanaka chinhu kana iye asingagamuchire RhoGAM. Izvi zvinoreva, kuti mwana wake anogona kuzvarwa aine chimwe kana zvimwe zvezvinhu zvinotevera:

• kupererwa neropa, kushomeka kwemasero matsvuku eropa
• kutadza kwemoyo
• kukuvara kwehuropi
• jaundice, yero yero kune ganda uye maziso nekuda kwechiropa chisina kushanda - asi ziva, jaundice yakajairika muvacheche.

Mariro uye sarudzo

Mitengo uye kufukidzwa kweinishuwarenzi yeRhoGAM zvinosiyana. Asi pasina inishuwarenzi, tarisira kushandisa vaviri kusvika mazana emazana emadhora pajekiseni (ouch - zvinorwadza kupfuura pini yetsono!). Asi mazhinji makambani einishuwarenzi anofukidza imwe yemitengo.

Taura nachiremba wako nezvekuti iyo generic vhezheni yeRhoGAM - Rho (D) immune globulin - kana imwe mhando yemushonga inodhura.

Kutora

Chirwere cheRh hachiwanzo uye chinodzivirirwa - zvine hungwaru chirwere che "yakanakisa-mamiriro" mupfungwa iyoyo. Ziva rako reropa, uye, kana zvichibvira, iro remumwe wako. (Uye kana isati yave nepamuviri, zvese zvirinani.)

Kana iwe uri Rh negative, taura nachiremba wako nezve kana iwe uchizoda RhoGAM uye kuti inguvai chaiyo nguva yekuiwana.