He aha ka RH maʻi i hāpai keiki?

Ke uie kekahi hapanui hewahewa o kanaka (ka hola 85%), he maikaʻi ke koko pae. RH maikaʻi koko paipai i ka mea loaʻa i ke kumuʻiʻo ma luna o ka ili o ka ula koko keena. I kanaka me ka io i ke koko pae , keia kumuʻiʻo mea kahi e. E iho, keia mea 'aʻole i ho oweliweli i kekahi hoʻoweliweli' ana i ola. Akā, i hāpai keiki Rhesus kue ke'ākoʻakoʻa ina o ka makuwahine o ka koko pūʻulu mea io, a me ka bebe ua ili mai kona makuakane i ka maikaʻi. RH-kue hāpai keiki - mea i kekahi kāna hana i hiki i HEN, mai jaundice mai o ke keiki, a pau i loko o miscarriage ole stillbirth kokoke hoʻoponopono pilikia. I kēia lā, akā naʻe, pili lapaʻauʻia a me nā kūlana kanaka i hiki loa kń mau ka pilikia.

Kumu o RH-kue hāpai keiki hiki e:

- fetal koko komo i ka maikaʻi pūʻulu i loko o ke koko o ka makuwahine, a ua waiho ia ma ka hopena maikaʻi pae i hānau. Ua hiki aku i ka ikea ana o nā mea'aʻaʻa, a me maternal immunization o ka meaola i ka maikaʻi koko.

- ke koko komo i ka fetus maikaʻi pūʻulu koko pae io makuwahine me ka miscarriage, abortion, ectopic hāpai keiki, a hiki he kūlana maikaʻiʻole mahope pregnancies.

- he mea no hoi he liʻiliʻi wale i na nā mea'aʻaʻa i ikeia i kekahi prenatal ho'āʻo ma.

RH-kue hāpai keiki i kekahi symptoms:

- i ke alo o nā mea'aʻaʻa i loko o ke koko o ka wā e hiki mai makuwahine;

- fetal maʻi e alakai i ka anaemia, a malfunction o nā loko;

- jaundice, anaemia, lolo poino pili me ka hypoxia.

I mea e loa kń na ka pilikia pili me RH-oukou paio ana, ia mea e pono ai mua, e hoʻomaka e hoomakaukau ana no ka hāpai keiki, a hānau. Mua oe pono i ke koko ho'āʻo e loaʻa mai i hui ia no, e like me ke alo o ka RH ololi. Inā e loaʻa ia oe i ka io kokoʻano, e pono e ike ai i ko ka mea loaʻa nā mea'aʻaʻa i ka RH ololi. Ka Ikepili o ka pono, e hele i loko o ka twenty- ewalu pule o ka hāpai keiki, no ka mea, i loko o kēia manawa, hiki hoʻomaka e synthesize nā mea'aʻaʻa.

Inā kou koko e pili ana i ka hopena maikaʻi pūʻulu a me ka RH ololi ua ho'ā 'ia paha, a he mea i ka manawa kūpono i kou kamaiki i RH-maikaʻi koko, e pono e komo pū i ke kōkua o ka ka pahu kui RH immunoglobulin ma kahi o ka iwakalua-ewalu pule o kou hāpai keiki. 'Aʻole ma hope aku, he kanahiku-, elua no hora ma hope o ka hānau mea pono e hou-hana i ka pahu kui o ka immunoglobulin, ka wā i hōʻike' o kona koko me RH maikaʻi. Oe ë he mähele wale o kēia mau hua'ōlelo, a, ina he pono, paipai i kou kauka no ia.

Eia hou, e pono e hoomanao i keia immunoglobulin mau wale kekahi hāpai keiki, no ka mea, ua haawi mai i ka maluhia no 12-14 pule. Ma mahope pregnancies o RH-maikaʻi kamaiki e like Inc ia e hai.

O ina i ole ia akulla na nā mea'aʻaʻa, ka mea, ua nō e paʻa ana immunoglobulin ka pahu kui, no ka mea, o ka mea pono, e ole kā lākou hanana. Inā Rhesus-kue hāpai keiki nae, ua loaa, ia mea he hiki ia oe e pono e cordocentesis - he koko transfusion ma ka piko, e pale aku i ka pilikia o ka ulu anaemia. Eia hou, ke kahuna lapaau pono 'iʻo nō' oe e e hiki, e hōʻike i ka hāpai keiki i ka makahiki, ai ole ia, Pono, e hoʻoulu hana.

Kela a me keia wahine hoʻolala i ka hāpai keiki ë he mähele wale i ka hoʻokaulike o ka RH ololi ma ka hāpai keiki hilinaʻi nui ma luna o ke koko o ka makuahine, a me ka rhesus unborn keiki. Rhesus kue hāpai keiki hiki i ka hopena o kona kulana nui no nā makuwahine, a me ke keiki. No laila, ma ka mea e kapae i ka pāonioni o RH i hāpai keiki ole, e kń kona ka pilikia, ia mea pono i ka kekahi, a pau pono ka nānā 'ana a me ka koke lawe i ka koi' ia hana.