Ngaba kunokwenzeka ukuba akhuphe isisu xa ezimbi rhesus?

Kubomi kukho iimeko xa ukukhulelwa ayikho uvuyo kodwa buhlungu. Izizathu oku kube inani elikhulu, yaye lo mfazi kudla isigqibo isisu. kuphazamiseka emzimbeni umngcipheko, enoba umsebenzi okanye ingcali yenziwe.

Ke ukuba umfazi a RH ezimbi, ukuba ukupheliswa ukhulelwe kunokubangela ubudlolo okanye kamva yintlekele enjalo, njengoko ukuzalwa komntwana eswelekile. Ukongeza, enesifo isisu emva kwandisa umngcipheko Rhesus kongquzulwano ukukhulelwa elandelayo. Ngoko kutheni isisu kuyingozi kunye ezimbi RH factor? Makhe sibone oko phandle.

Kutheni ukuphuhlisa RH-impixano?

Le inwebu kwiiseli (erythrocytes) iqulethe RH iantigens. Abantu abanjalo babe igazi RH into entle, kwaye ehlabathini lonke uninzi - 70-85%. Kwezinye iimeko, akukho iantigens RH egazini, ngoko kucingwa ukuba mibi.

Ukususela kwiiveki 7-8 of hematopoiesis ezingekazalwa yenziwe. Umfazi xa athe RH elibi, bese umbungu - yi HIV, umzimba umntu okhulelweyo bangaliboni njengequmrhu langaphandle kwaye baqalisa ukukhulisa izakhono antibodies RH ethile. Ukuba ukukhulelwa kuqala, ngoko inani labo lincinane kakhulu kwaye amathuba okuba igazi ezingekazalwa ungena channel egazini sikanina, kuba ezincinci. Umfazi kulo mzekelo uvelisa ngokukhuselekileyo kwaye azale umntwana onempilo.

Kodwa isisu ukuvela abuthethileyo zegazi. Xa ukukhulelwa elandelayo kunye zoqhagamshelwano ngokuphindaphindiweyo kunye nezakhi angaphandle phantse lonke release esebenzayo kwenzeka omzimba athile antirhesus. Oku kwenzeka ngenxa yokuba kwiiseli ze memory omzimba igcina iinkcukacha malunga qha iphambili igazi olungekazalwa kunye nonina.

Iimpawu ze Rhesus kongquzulwano

Umfazi okhulelweyo uqaphele uphuhliso RH-ungquzulwano. Oku axilonge kukuzimisela omzimba athile egazini. Ukuba uphakamile lo xi, olunzima kakhulu yinkqubo sifo. Iziqhamo ngokwayo nokuhlupheka kakhulu. Ukunyhashwa usana olungekazalwa lula ukubonwa ultrasound. Oku ingaba:

• ayanda;
• Ubukhulu eyandisiweyo intliziyo;
• etsolo hypoxia Palsy ;
• fluid ebuchotsheni, kwisisu peritoneal;
• ukuqina ngumkhaya;
• iinginginya olungekazalwa.

Ukuba akukho senzo kuthintelo lwe RH-ungquzulwano evakaliswe ukuphazamiseka foetal ziya kuthatyathwa ekhokelela ekufeni kwakhe.

Ukuqhomfa nge RH elibi

Umfazi xa athe RH ezingakhiyo, unako ukwenza i isisu okanye akunjalo? Kakade ke, oku enqwenelekayo; kodwa ke ukuba luthi lwenze, kwagqitywa ekubeni ukuphazamisa ukukhulelwa, ngoko ufanele wazi ukuba kufuneka yenziwe phambi kokuba umhla kwiiveki 7-9. Emva koko kukho ukuyilwa kwenkqubo hematopoietic, kunye nengozi yokuba zegazi na ukunyuka eziphilayo koomama.

Kuyenzeka ukuba isisu xa RH cingo ezingakhiyo ngenxa yezizathu zonyango. Eyona nto iphambili kule - musa ukuvumela ukuphuhlisa zegazi. isisu Medical jikelele yenziwa kwibakala zokuqala zokukhulelwa. Ngoko nangoko emva koko, isigulana ilawulwa RH immunoglobulin, kodwa kubonakala ukuba kuya kubakho RH-impixano, nangoku lihleli nokukhulelwa elandelayo.

Wonke isisu unxulunyaniswa umngcipheko nenzalo, ngokungathi wabamba bomfazi into embi Rhesus, ngoko kamva ahlale kwesisu, kungenzeka umntwana kunye nesifo hemolytic, kwakunye abakhubazeke ngeendlela ezahlukeneyo. izisu eziyingozi kakhulu emva kwexesha elide, oluqhutywa intsumpa. Kokuphalwa zesibeleko em- iqanda echaphazela endometrium kwaye inegalelo komtshiso oko. Kwixesha elizayo, lube umqobo ukuba kuthinjwe ndiseyimbumba kunye nokukhulelwa eqhelekileyo.

iintlobo isisu

Umfazi xa athe a negative RH into, oko kufuneka kwenziwe iintlobo isisu :

• Lwezonyango - ngokusebenzisa amacwecwe ezizodwa, ngenxa umbungu liqalisa ngokuzenzekelayo kuncothulwa. Ukopha kulo mzekelo ihlala ixesha elide, kodwa ke oku kuthathwa ukuba ikhuselekileyo impilo lomfazi.
• isisu Mini - yindlela non-zoqhaqho isisu, wenziwe isixhobo okhethekileyo, yaye ukusebenza kuyo ngathi isicoci cleaner.
• Surgery - ingqalelo indlela eyingozi kakhulu, njengoko isibeleko kokuphalwa ongayaziyo. Oku kungakhokelela ukuvela kukho inani elikhulu iingxaki.

engaba khona

Ukuba isisu lwenziwa ezimbi rhesus, ngoko kukho ekugonyweni yabafazi abakhulelweyo erythrocytes Palsy. Oku kwandisa omzimba imali antirhesus abangena egazini lo mntwana, nto leyo ekhokelela ukuba ukuphazamiseka okunzima hematopoiesis kunye ingcinezelo inkqubo mbungu.

Imiphumo isisu kunye RH ezimbi ngolu hlobo lulandelayo:

• igazi kakhulu,
• ukufa Palsy intrauterine ;
• ukuphazamiseka amalungu zangaphakathi;
• isifo hemolytic;
• hypoxia Palsy;
• kwesisu, ifile;
• Encephalopathy.

Ngoko ke, isisu ukuba engalunganga rhesus ukwenza kuyingozi kakhulu. Phakathi kwezinye izinto, ngexesha isisu kukwenzakala kaninzi kwenzeka wesibeleko, endometrial umaleko hedge eliphezulu abunjwe perforation. Ntlokoma yokungenelela ezinjalo ukuphazamiseka kwamadlala, nangokurhala, kwakunye nokungakwazi abe ngunina.

Kwakhona kuvela emva isisu okugwenxa Rhesus ezifana ingxaki njengoko insufficiency wesibeleko, nto leyo echaphazela umsebenzi obturator wayo. Oku kunokukhokelela kwesisu emva kwexesha kuba wesibeleko iqala ukuvula ngaphambi kwexesha, akakwazi kuthwala ubunzima umntwana ekhula.

engozini nenzalo

Isisu kwi RH elibi kuba amaxesha amaninzi kwandisa umngcipheko ubudlolo kwakunye Akukhathaliseki indlela ngayo Lakhutshwa: utyando okanye unyango. Ingozi kule meko eqala ukuvelisa ezisegazini, nto leyo ukukhulelwa elandelayo, bakulungele "sukela edabini."

Ukuba zibencinane kwaye ngakumbi mobile, bevakalise izithonga enamandla ngakumbi phezu erythrocytes Palsy. Oku kukhokelela kuphuhliso ezingaqhelekanga kwi olungekazalwa okanye isisu. Ngapha koko, isisu kwandisa umngcipheko ukungachumi.

Yintoni na oogqirha bathi?

Ukuqhomfa ne RH ezingalunganga - kusoloko nkqubo kunokuba yingozi, kungakhathaliseki ukuba indlela senziwe ngayo. Njengeyingozi nokuba nokuzalwa ngumntu xa kuthe ukuba olungekazalwa uye RH HIV. Ngaphandle nemiphumela umfazi ngokuqhelekileyo ayisebenzi. Oogqirha bakholelwa ukuba RH negative kufuneka ingqalelo a contraindication ngenxa naluphi na uhlobo isisu kwaye zenziwe kuphela ngenxa yezizathu zonyango.

isiphelo

Ngoko ke, akukho isisu ekhuselekileyo, kodwa kuyingozi ngokukhethekileyo ukupheliswa ukukhulelwa umfazi ukuba ngaba ezimbi RH into. Kulo mzekelo, impilo linikezela ngesibetho kakhulu, kwaye nokuba konke kubonwe kakuhle, ngoko emva kwexesha ziya wavakalelwa neziphumo zalo.