Inyaniso yokuba kukho le nto okanye akunjalo, ayichaphazeli impilo yempilo nangayiphi na indlela. Yintoni na, kutheni igazi labafazi abakhulelweyo bathatha iRh-mali? Ewe, kuba abafazi (abalingani) bephilile ngokupheleleyo, banokwenza iiRa ezahlukeneyo. Ngokomzekelo, kwisebe lomntwana, iR Rh ishukumisayo, kwaye umama ngu-Rh-negative. Kwaye umntwana ozayo unokufumana ilifa likayise, kwaye oku kuya kuhambelana ne-rhesus yomama.
Ngexesha lokukhulelwa, amangqamuzana egazi obomvu womntwana angaphinda angene egazini likaMama, kuba umzimba le antigen uya kuba semzini kwaye uza kuqala ukuvelisa izifo. Emva kokungena kumama ukuya kumntwana, baya kutshabalalisa i-erythrocytes. Oku kunokubandakanya ukugula okubi okanye ukufa komntwana, kodwa kungekhona rhoqo, ngokukhulelwa kokuqala kwamagciwane okungekho kakhulu kwigazi lomama. Kodwa ngokukhulelwa okulandelayo, inani le-antibodies liyakhula, kwaye ayiyi kuxhomekeka ekubeni ngaba ukuhanjiswa kwaba okanye ukukhulelwa kwaphazamiseka. Ngenxa yoko, kwaye usongelo kumntwana luyanda, ukwenzela ukuba nge-Rhesus isisu esingathandekiyo. Abafazi abakhulelweyo mabahambe rhoqo batyelele ukubonisana kwabasetyhini kwaye bavavanywe ngamagciwane kwaye ukuba kukho imfuneko yokunyangwa. Okokuqala, ibhinqa ihlolwe ukukhuthaza - ubukho be-antibodies egazini. Ikhupha ngokumpontshelwa igazi kwi-Rh echaphazelekayo kwigazi nge-rhesus engafanelekiyo, ngokukhupha isisu, ukukhulelwa kwe-ectopic (iiveki ezi-7-8), ukukhulelwa kwesisu, i-chorion biopsy (kwi-membrane ye-fetal), inzondo kumfazi okhulelwe. Inokuthi ibonakale ngaphambi kokuzalwa, ukuba intombazana yeRhesus-negative ifumane amangqamuzana egazi abomvu enomama ene-Rh-positive factor. Oogqirha bazi indlela yokuthatha amanyathelo ukuqinisekisa ukuba abafazi abanesimo esibi seRhesus banezingane eziphilileyo. Kodwa konke okufanayo, nge-negative Rhesus factor, ukukhipha isisu kuyingozi kakhulu, ngoko yintoni isizathu, masizame ukuyifumanisa.
1. Ukuba umfazi okhulelweyo kunye noyise weR Rh banemibandela engafanelekanga, banenkxalabo, akuyimfuneko, umntwana uya kuba ne-rhesus engafanelekileyo yabazali bobabini, uRhesus - ayiyi kuba neyantlukwano. Ukukhipha isisu kuya kuba nezinga eliqhelekileyo lomngcipheko.
2. Ukuba ibhinqa ineRhesus engalunganga, kunye nendoda enhle, kulo mzekelo umntwana angalidla ilifa elihle likaRa. Emva koko kuya kuba ne-Rhesus impikiswano - emzimbeni, abasetyhini baqala ukuphuhlisa i-antibodies, bangena kwigazi le-fetal ngephaya lomama kwaye "bahlasele" i-erythrocyte, bezama ukuyitshabalalisa. Ngenxa yoko, bobabini nomama bahlupheka. Ngenxa yokulahleka kwe-erythrocytes kumntwana, ukuveliswa kwemveliso ye-erythrocyte iqala, ngenxa yoko, ukwanda kwebhere kunye nesibindi. I-Erythrocytes iyaphela, kwaye i-oksijini yindlala iqala kwingqondo. Okwangoku, oogqirha baye bafumana iindlela zokulwa nale ngxaki. Ibhinqa ene-Rh ne-negative factor kwaye i-Rh ebonakalayo ibonakalayo, ihlolwe kwaye, xa kuyimfuneko, iphathwa ngendlela ekhethekileyo yokumisa i-Rhesus-conflict. Ukugcina isikhundla "soxolo" de kube sekupheleni kokukhulelwa. Kodwa ngexesha lokubeletha, kunokuba nomngcipheko wokufumana igazi le-fetal kwigazi lomama. Ukuba imeko enjalo iyenzeka, umzimba uya kuqala ukuvelisa ama-antigen. Kubalulekile ukugcina okokuqala kwiinyanga emva kokubeletha.
I-Rh Negative factor, ukukhipha isisu - umngcipheko wokungabikho.
I-Rh Negative factor, ukukhipha isisu - umngcipheko wokungabikho kwimeko apha kwandisa amaxesha amaninzi. Akuxhomekeke kwindlela yokukhipha isisu eyenziwa ngayo: ukugqithisa okanye umuthi, ukukhupha izisu akuyi kudlula ngaphandle. Kwaye ingozi ayikho kuphela kule nto yokuqala, kwimfazwe yokuqala, emzimbeni umfazi uqala ukuhlakulela ama-antigens, zikhulu kunezinye iiseli, zingasebenzi, zingene kwi-placenta ngobunzima. Ngenxa yoko, ngexesha lokukhulelwa kokuqala kukho isongelo sokukhulelwa kwesisu, ngokuphindaphindiweyo kunabesifazana ngaphandle kwempambano ye-Rh. Isibonakaliso samkelwa ngumzimba kunye nokukhulelwa okulandelayo, ngokukhawuleza ukuphuhliswa kwama-antigen okulungele "ukukhawuleza ekulweni" kuya kuqala. Kodwa baya kuba balungele ukulwa kwaye bancinci kakhulu, baninzi bahamba kwaye banako ukuphazamisa kakhulu intshaba (amangqamuzana ebomvu egazi lomntwana). Ngaloo ndlela, kukho konke ukukhulelwa kwe-rhesus-ukukhulelwa, umngcipheko wokutshatyalaliswa komzimba okanye ukukhubazeka kwintuthuko yomntwana kukhula. Yaye nokuba kungakhathaliseki ukuba umntwana wazalwa okanye wakhupha isisu, inqanaba lomngcipheko landa. Ukukhulelwa, ukukhulelwa kwesisu okanye ukukhipha isisu kuphakamisa umngcipheko nge-10%. Kwaye ngexesha elithile ekuqaleni kokukhulelwa kuya kuba yingozi kwimeko yomama kwaye akuyi kubakho nathuba lokuba nesiphumo esihle.
Amanyathelo okukhusela nge-Rh factor negative.
Akusoloko umfazi okhetha ukukrazula isigqibo. Kukho imeko xa ukugcinwa kokukhulelwa kuya kubakho ingozi okanye isongelo ebomini bhinqa.
Ukuzikhusela wena kunye nomntwana, intombazana eneRhesus engafanele ifuna ukwazi: umngcipheko omncinci wokukhupha isisu iya kuba iyadlula ngaphambi kweveki yesixhenxe yokukhulelwa. Ngenxa yokuba umzimba uqala ukuvelisa izifo zamanzi, ukususela ngomhla we sixhenxe - iveki yesibhozo ukusuka ekukhulelwe.
Emva kokukhipha isisu, kuyimfuneko ukuzisa i-immunoglobulin ephikisayo, ifumaneka kwigazi lomnikeli, kwaye iyakwazi ukuyeka ukuveliswa kwee-antibodies. Le nqubo yenziwa phakathi kweentsuku ezintathu ukusuka ngomhla wokukhipha isisu. Kubaluleke kakhulu ukufeza le nkqubo emva kokukhipha isisu sokukhulelwa kokuqala, ukwenzela ukunciphisa umngcipheko wokukhulelwa okulandelayo.
Akukho zikhupha izisu ezikhuselekileyo, akukho mntwana okhulelweyo okanye akukho nto. Ingozi ngokukodwa kukukhipha isisu ngeRhesus engalunganga, kubangela umonakalo omkhulu kwimpilo, nangona ukunyamezela kakuhle, iziphumo ezingenakukwenza ukuba uzibone ngokukhawuleza.
Ukuba konke ukukhipha isisu kungenakugwema, kufuneka uncede umzimba wakho uphinde uphinde wenze imiphumo encinci.