I-Rhesus-impikiswano ekukhulelwe - imiphumela yengane

Njengoba wazi, lolu hlobo lwesimo sokugula, njenge- Rh-impikiswano, eyenzeka ngesikhathi sokukhulelwa, ingaba nemiphumela emibi yengane. Kumele kuqashelwe ukuthi ukwephulwa okunjalo kubonakala kuphela uma umama enegazi elingenayo i-Rh, kanti uyise wengane unguRh-positive. Amathuba esimweni esinjalo sokuqala kwe-rhesus-impikiswano phakathi komama ne-fetus ingaba ngu-75%. Ake sihlolisise imiphumela emikhulu ye-Rh-impikiswano phakathi komama nomntwana, futhi sizokutshela lokho ingane engase ikhule kulokhu.

Kusho ukuthini incazelo ye "rhesus-conflict" emithi futhi kwenzekani kulokhu?

Ngokwezici zokuphila zokukhulelwa, phakathi nesikhathi esithile sokuthuthukiswa komntwana okubizwa ngokuthi yi-placental blood flow. Kungenxa yakhe futhi mhlawumbe ukungena kwamangqamuzana egazi abomvu kusuka kumntwana ozayo onomsebenzi omuhle we-Rh factor, umama ka-Rh. Ngenxa yalokho, emzimbeni wesifazane okhulelwe, ama-antibodies asetshenziselwa ukuthuthukiswa, okwenzelwe ukubhubhisa amaseli wegazi wengane, tk. ngoba umama bahlukile.

Ngenxa yalokho, le-fetus ikhulisa ukuhlushwa kwe-bilirubin, engayithinta kakhulu umsebenzi wakhe wobuchopho. Ngesikhathi esifanayo kukhona ukwanda kwesibindi nesiteji (hepatolienna syndrome), tk. lezi zitho ziqala ukusebenza nomthwalo omkhulu, uzama ukukhokhela ukungabi namangqamuzana egazi abomvu abhujiswe amasosha omzimba omama.

Yimiphi imiphumela yengane ye-Rhesus-impikiswano eyenzeka ngesikhathi sokukhulelwa?

Ngaloluhlobo lokuphulwa emzimbeni wengane, kunokwanda kwevolumu. Lokhu kuthinta umsebenzi cishe kuzo zonke izitho zayo nezinhlelo. Ezimweni eziningi, ngemuva kokuvela kwengane, izifo ezithinta umzimba ezivela emzimbeni ziqhubeka nokusebenza, okwenza kube nzima kakhulu isimo. Ngenxa yalokho, ukugula okufana nesifo se-hemolytic yengane esanda kuzalwa (HDN) siqala.

Ngokuphulwa okunjalo, i-edema enkulu yamathisana omntwana aqala. Lokhu kungase kwenzeke, okuthiwa i-sweat fluid emgodini wesisu, kanye nesigxobo esiseduze nenhliziyo namaphaphu. Ukwephulwa okunjalo kuyinto evame kakhulu emiphumeleni ye-Rh-impikiswano yempilo yengane ngemuva kokuzalwa kwakhe.

Kufanele kuqaphele ukuthi ngokuvamile ukuxabana kweRhesus kuphelela ngokuthi ingane ifa namanje ngaphakathi esibelethweni sikamama, isb. Ukukhulelwa kuphela ngokukhipha isisu ngesikhathi esifushane kakhulu.