Ngabe iziphi izidakamizwa ezibekiwe?
Okokuqala, kubalulekile ukusho ukuthi kunezinhlobo ezimbili zalesi sidakamizwa: i-immunoglobulin evamile yabantu ne-anti-D-immunoglobulin. Uhlobo lokuqala lusetshenziswa ezimweni lapho kukhona khona amathuba okutheleleka kowesifazane okhulelwe, ongathinta kakhulu ukuthuthukiswa kanye nempilo yengane engakazalwa. Ikwabiwa lapho:
- i-immunodeficiency ithi;
- izifo ezizimele;
- izifo ezinzima, amagciwane, izifo ezifungayo.
Ngokuvamile, abesifazane abakhulelwe banikezwa umjovo we-anti-D-immunoglobulin, uma kukhona ukuxabana kwe-rhesus. Khumbula, lokhu kuphulwa kwenzeka uma i-Rh factor ye-fetus nomama ihlukile, i.e. Umama ungu-Rh-negative, lo fetus unalo amaprotheni wegazi. Lesi simo sinokuphazanyiswa kwenqubo yokugaya, kudinga ukuqapha okuqhubekayo kokukhulelwa odokotela. Ubude benkambo ngabanye, belawulwa ukuhlaziywa kwezinga lama-antibodies egazini likaMama.
Ngaphezu kwalokho, lolu hlobo lwezidakamizwa lisetshenziselwa ukusongelwa kokukhulelwa kwesisu, ngemuva kokuphazamiseka kwe-ectopic pregnancy, amniocentesis (isampula se-amniotic fluid for research).
Iyini imiphumela yomjovo we-immunoglobulin ngesikhathi sokukhulelwa?
Odokotela baqaphela kahle umthamo wesidakamizwa, kanye nesilinganiso sokuphatha. Ngemva kokusebenzisa lesi sidakamizwa ngehora lokuqala, imiphumela emibi ingakhula ngesimo se-malaise, isizungu, ubuthakathaka, ukubola, ukwanda kancane kwezinga lokushisa. Ezimweni ezingavamile, kukhona ukwephulwa kokuphefumula - ukuphefumula, ukucabangela, ukuhlanza, ukukhwehlela owomile, ubuhlungu esiswini nesifuba, i-myalgia, amajoyina amnandi.