RH into xa uceba ukukhulelwa: ncomo

Ukukhulelwa - ixesha engalibalekiyo kubomi bonke mfazi. iinyanga ezilithoba ubude, unxiba umntwana kudala-dala elindiwe kwaye uziva, imvakalelo entsha engaqhelekanga kakhulu.

Ngelishwa, okwangoku bambalwa kakhulu abasetyhini liyi ukukhulelwa ngokupheleleyo iingxaki ezininzi ebomini. Utyelelo Ukusoloko i obstetrician-ugqirha, iimvavanyo ngokuqhelekileyo emiselweyo, yalinganisela, yabagocagoca, ngokuthatha nawaphi na amayeza, kwakunye iimvavanyo zokuhlola ngamaxesha - ngaphandle uphethwe zezi mummies ezinqabileyo.

Yintoni RH factor

Enye imiba ebalulekileyo ukulungiselela ukukhawula ephethe usana iba nefuthe RH-factor kucwangciso lokukhulelwa. Nikelani ingqalelo ethile kufuneka baphathe le ngxaki ngabo abafazi abaye ezahlukeneyo RH into ukusuka uyise womntwana olungekazalwa. Le mbono "RH into" zingaqondwa weva esibhedlele, kwaye kumabonwakude. Ukusuka koko, yinto entle okanye embi ziye ngempilo yethu Akukhathaliseki thina. RH into asizichaphazeli empilweni yethu, umsebenzi onke amalungu abalulekileyo kunye neenkqubo. Kakade ke, umntu mihla kufuneka ukwazi oko RH wakhe, ngendlela efanayo uhlobo lwegazi. Oku kunokuba yimfuneko zokuqulela ezifana utyando engxamisekileyo okanye ukutofelwa igazi. Kodwa xa ucinga ukuba bafumane njani inzala, qiniseka ukuba ukwenza ngokuhlahlela kuyimfuneko, ngokuba ukwazi RH into kubalulekile xa becwangcisa umntwana. Kwaye oku kusebenza kuzo zombini abazoba abazali.

Umntu ngamnye inaso omnye yeendidi RH factor - nokuba intle okanye imbi. Xa amayeza phantsi RH factor abone ubukho okanye ukungabikho kwiproteni kumphezulu erythrocytes (iiseli ezibomvu zegazi, leyo kuziswa ancedisana nezigqeba oksijini).

RH into xa uceba ukukhulelwa

Wonke umfazi lowo ukhathazekile impilo elizayo lo mntwana, kufuneka ngokukhawuleza kangangoko ukwenza uphando kuyimfuneko ukwazi iimpawu igazi labo. Baxhomekeke kakhulu ngexesha lokukhulelwa, impilo yosana, kwaye ongumama oselula.

umama kunye notata ukuze izinto ezahlukeneyo RH. Ngoko ke, ukuba bobabini oko HIV, ngoko ke umntwana afumane enye. Efanayo kwenzeka ukuba abazali ezimbi RH. Kukholisa ukuba kubekho akukho iingxaki kwakunye nezigulo xa RH-ngumba unina ezixabisa "+", noyise - intsingiselo eyahlukileyo. Kodwa ukuba kunjalo, umfazi, ukuba "Lucky 'ukuba bazalwa RH kakubi uyise yena positive, nokwenzeka eliphezulu RH-ungquzulwano ngoxa ephethe umntwana. Iluphawu kusisisongelo imeko olungekazalwa.

Imiphumo RH-ungquzulwano ngexesha lokukhulelwa

yonke kakuhle eli ingxaki kukuba umzimba unina negative-RH xa kuzalwa umntwana kuso ukuba umba esahlukileyo xa ngokuqhagamshelana igazi kamama nomntwana baqalise uphuhliso kungenelela antibodies ezisegazini kwiiseli ezibomvu yemveku RH-HIV. Ukuba uyazi RH into yakho xa uceba ukukhulelwa, kufuneka ube ukulungele ukufumana iingxaki ezinjalo. ngumzimba bhinqa uyabubona iiseli igazi somntwana ebomvu nje into amazwe. Omzimba unakho, phantsi kwemiqathango ethile, ukuba babengenakungena, amanani amakhulu ngokusebenzisa ngumkhaya kwaye kuchaphazela kakubi imvuthuluka. Imiphumo sesichengeni lezibulala ekukhuleni kosana olungekazalwa isenokuba anaemia, ukunxila, kwakunye waphula nokusekwa kunye nokusebenza kwiindlela ezininzi ezibalulekileyo umzimba. Loo isiphumo RH-factor xa uceba ukukhulelwa kunye ngokuzala ligama eliqhelekileyo sifo hemolytic. Kwiimeko ezininzi, yenzeka phantse nangoko emva kokuvela komntwana ehlabathini, kwaye kunzima kakhulu ukuba ukunyanga. kuzalwa ifuna ngamanye amaxesha utyando oluntsonkothileyo ezifana igazi.

Impembelelo embi RH into okucwangcisa umntwana: ukuthintela indlela

Ukuba emva kokuhlolisisa kunye wokwazi ukujongana yobuzaza enjalo, njengoko kulungiselelwa ukukhulelwa, ukuba iingxaki ezininzi zinokuphetshwa okanye kwanciphisa zibenze kwazo ukuya ubuncinane. abafazi abaninzi kakhulu, kuphela xa sijamelene nemeko apho bengakwazi ukuthwala umntwana andabikho ngayo kwixesha elithile, safunda indlela ezonakalisayo i RH into zingachaphazela xa uceba ukukhulelwa kunye lonke kwiinyanga zokuqala ezilithoba. Amathuba ukuba uya kuba inani labantu enjalo encinane, kodwa isekhona. Ukuba uyakholwa iinkcukacha-manani, abanini ezimbi RH zivela-15 ukuya kuma-20% yabemi iplanethi yethu. Ngoko ke, ukulungiselela ukuba abe umama, qiniseka ukuba uyayazi RH into yakho xa uceba ukukhulelwa. Uhlaziya abafazi nale ngxaki, kwaye ngempumelelo kumitha ngokukhuselekileyo takeaway iintsana esempilweni, lubonisa ukuba ukwazi isimo sabo Rhesus siphephe iingxaki ezingemnandi kwaye kwezisu.

Kuthekani ukuba RH ezimbi?

Ukuba benikele igazi wafumana RH factor yakhe xa uceba ukukhulelwa, unokuqiniseka ukuba ugqirha uza kwenza konke okusemandleni ukuqinisekisa ukuba uyakwazi ukwenza uze uzale ezihlangwini olomeleleyo. Ukuba ufumanisa ngokwakho carrier igazi negative-RH, ngoko ngokuyimfuneko ufake kwi-akhawunti eyodwa kwikliniki kokubeleka. Kulo mzekelo, kufuneka nje ulawulo rhoqo kunye olungqongqo. Ngoko ke, akukho mfuneko ukuthintela uphando nohlalutyo ukuba yabele wena ugqirha, kuba unikhathalele malunga ntle yakho nosana lwakho. Musa engozini umntwana bemka kuzo zonke iinkqubo ngendlela ngexesha. Kuya kufuneka basoloko igazi emthanjeni. Ngoko oogqirha baya kuba nako ukulandela ingaba zikhona izilwa-egazini lakho ukuya iantigens umntwana, kwaye ukuba, ukuba ngaba kufunyenwe inani uyakhula. Phambi kokuba afikelele ebudaleni sokukhulelwa seeveki-32, azihlole kufuneka wenziwe qho ngenyanga, kwithuba elisusela kwi-32 ukuya ku-35 ngeveki - inyanga kabini, kwaye ukusuka kwiiveki 35 ukuya ukuzalwa - veki nganye.

nobuchwepheshe bezonyango Modern nga esweni ngenyameko imeko mbungu kwaye bagcine ukuvela kunokwenzeka kunye nophuhliso izifo hemolytic. Kwityala kakhulu, ukuba kuyimfuneko, mhlawumbi nkqu ukutofelwa igazi Esibelekweni. Eyona njongo iphambili yale nkqubo iza kuphucula kwintlalontle yomntwana. Yingozi ukuba unikezelo phambi kwexesha okanye kakhulu emva kwexesha kuye. Ixesha elilelona ekunokuthiwa ixesha ukususela 35 ukuya 37 ngeveki.

RH ezingalunganga kwi nokukhulelwa yokuqala wasiphinda

Kufuneka kuqatshelwe ukuba isiphumo RH-factor xa becwangcisa usana ngexesha lokukhulelwa yokuqala engenamandla kwaye oko kukhokelela kuphuhliso sifo hemolytic. Oku kungenxa yokuba amajoni omzimba unina kuqala ukuhlangana erythrocytes ngolunya akanaxesha ukwenza antibodies enokwenzakalisa usana. Bona zaveliswa, kodwa yona ibe ncinci kakhulu. Le nto amabhinqa ezimbi-RH uphazamiseko contraindicated esakhulelwe yokuqala, njengoko oku kuthintela yakhe ithuba ukwenza umntwana onempilo. Kwimeko abakhulelweyo ngokuphindaphindiweyo abane kamva zimbi kakhulu. Egazini sikanina sele iqulethe antibodies ahanjiswayo anqumla ngumkhaya kwaye babulale umbungu.

Amanyathelo ekufuneka athathwe ingxabano lapho rhesus

Kuyo nayiphi na imeko, ukuba baye bafunda ngexesha ukhulelwe ukuba wena kunye nomyeni wakho izinto ezahlukeneyo RH, kufuneka ukulawula ngenyameko picture igazi labo. Ugqirha nokuya iya kuvavanya yonke imiba echaphazela imeko uze umisele amanyathelo afanelekileyo. Ngoku ke uphuhliso RH-ingxabano ngokufuthi ingathintelwa ngokusungula isitofu okhethekileyo. Immunoglobulin ilawulwa ngoko nangoko emva kokuzalwa yokuqala okanye ukunqumamisa ukukhulelwa kunye nezibulala-buhlungu zovala.

Kuqikelelo lwemozulu yophuhliso ukukhulelwa negative-RH

Ukukhulelwa lokuqala kwiimeko ezininzi ihamba kakuhle kwaye iphela kakuhle. Ukuba ngoko nangoko emva kokuzalwa wokuqala ukwazisa isitofu sokugonya okhethekileyo, iya kudibanisa izilwa koomama kwaye uvumele kuzala umntwana wesibini ngaphandle iingxaki.