I-Rh-impikiswano phakathi komama ne-fetus

Esinye sezivivinyo eziningi zegazi okudingeka ukuba zinikeze kumama wesikhathi esizayo ukuzimisela kweR Rh factor. Abantu abaningi bayazi ukuthi kukhona i-Rh-impikiswano, kodwa akubona wonke umuntu oqonda ukuthi yini efihlekile ngaphansi kwaleli gama. Ake sibone ukuthi lesi simo sithini ngesikhathi sokukhulelwa, futhi nokuthi kuyingozi nokuthi singagwemeka kanjani.

I-Rhesus-impikiswano phakathi komama nengane - kuyini?

Ake siqale ngomqondo we-Rh factor. Lona amaprotheni akhethekile okuthiwa "i-antigen", esezulwini kwamangqamuzana egazi abomvu. Iningi labantu abaningi linalo, futhi ukuhlaziywa kuzoba kuhle. Kodwa abantu abangu-15% abanalo futhi i-Rhesus ayinayo, okwenza kube khona ukungqubuzana.

Uma umama wesikhathi esizayo ene-rhesus enesibonakaliso esincane, futhi ubaba, ngokuphambene nalokho, une-"plus", kunamathuba angu-50% wefa lezakhi zofuzo zomntwana ngengane. Kodwa iholela ngqo kwi-Rhesus-impikiswano ukufakwa kwamaseli abomvu we-fetus egazini lomama, lapho, empeleni, lesi simo esiyingozi siqala ukuthuthukisa.

Kunokuba kukhulelwe kuyingozi ingxabano ye-Rh?

Kubonakala sengathi kukhona ukungqubuzana kwe-Rh factor ekukhulelweni ngakho. Ukufika kumama, igazi lomntwana ongakazalwa libonakala ngomzimba wakhe njengento yangaphandle, ngenxa yalokho amasosha omzimba alo wesifazane anika isignali ekuthuthukiseni ama-antibodies. Ngenxa yemiphumela yabo, ukubola kwe-erythrocytes yomntwana, okubangela imiphumela eyingozi ye-Rh-izingxabano ngesikhathi sokukhulelwa:

• i-jaundice;
• Ukwandiswa kwesibindi, izinso nenhliziyo;
• I-alloimmune thrombocytopenia;
• hypoxia yesisu;
• i-hemolytic anemia.

Izitho zangaphakathi ezikhulisiwe ze-fetus zingabonakala kalula zisebenzisa i-ultrasound evamile. Uma, ngezimpawu zokuqala ze-Rh syndrome, ukwelashwa kokukhulelwa akukwenziwe, ukukhulelwa kungaqeda ukudabukisayo kakhulu: ingane izalwa isiguli (i-dropsy, i-influenza syndrome), noma ifile.

Yingakho kubaluleke kakhulu ekukhulelweni ukuvimbela ukuxabana kukaRhesus phakathi komama nengane futhi ngesikhathi sokufeza ukuvimbela, okulandelayo. Uma igazi le-fetus lingena egazini likaMama (futhi lokhu kungenzeka nge ukuphazamiseka kwamapayipi kanye nokunye ukuphaphaza), kubalulekile ukuthi ngokushesha uphathe imithi ye-immunoglobulin, okuyinto ezophazamisa ukukhiqizwa kwama-antibodies. Namuhla, ukwelashwa okuvame kakhulu ukwethulwa kwalesi sidakamizwa ngezinhloso zokuvimbela emavikini angu-28 no-34, bese kungakapheli amahora angu-72 emva kokubeletha.