I-Rhesus iyiprotheni etholakala ebusweni bamaseli abomvu egazi. Kukhona cishe ngo-85% wabakhileyo emhlabeni.
Impi yeRhesus ivela kanjani?
Isizathu esiyinhloko sokuthuthukiswa kwengxabano kaRhesus ukungahambisani kwalezi zici zegazi lomama nengane ezayo, isb. uma ingane inegazi elihle, futhi unina unegazi elibi. Ngesikhathi esifanayo, akukho rhesus-impikiswano emaqenjini egazi.
Indlela yokuthuthukiswa kwalesi simo ilandelayo. Ngesikhathi lapho igazi lomama ozayo lidlula ezitsheni ze-placenta kuya kumaseli abomvu e-fetus nama-Rh ayenamaprotheni, abonakala njengabafokazi. Ngenxa yalokho, isimiso somzimba samasosha omzimba senziwa ngowesifazane okhulelwe, okuhambisana nokukhiqizwa kwama-antibodies, oklanyelwe ukubhubhisa amaseli e-fetal egazi akufanelekile kumangqamuzana omama.
Ngenxa yokuthi amangqamuzana egazi abomvu abhekene nokubhujiswa ngezikhathi ezithile, i-spleen nesibindi, ngenxa yokwandisa ukukhiqizwa kwamangqamuzana egazi, ukwandisa usayizi.
Ngenxa yalokho, umzimba womntwana awukwazi ukubhekana nawo, kunesifo esiqinile se- oxygen, esingabangela ukufa.
Ngabe ukuphikisana kwe-rhesus kungenzeka nini?
Ukuze ugweme lesi simo, intombazane kufanele ikwazi uR Rh factor yomthandi wayo ngisho nangaphambi komshado. Ukuhlukumeza kwenzeka lapho umfazi engenawo amaprotheni, futhi umyeni wakhe - ukhona. Esimweni esinjalo, amacala angu-75% kukhona ukungafani.
Ngakho-ke, ukuvimbela ukuthuthukiswa kwe-Rh-impikiswano, itafula lalingenwe amathuba okuba ukwephulwa ngesikhathi sokukhulelwa.
Ziyini izimpawu zalokhu kwephulwa?
Izimpawu zomtholampilo zentuthuko ye-Rh-izingxabano ngesikhathi sokukhulelwa azikho, njll. owesifazane okhulelwe akakwazi ukucacisa ukwephula ngokwakhe. Yenza lokhu ngosizo lwe-ultrasound.
Ngakho, izimpawu zalokhu kwephulwa kungaba:
- ukuthuthukiswa kokukhukhumeza, okuhambisana nokuqoqwa kwamanzi emzimbeni;
- ukwandisa ngobukhulu bomzimba wesisu;
- i-Buddha (posture) (imilenze yengane ibhekene eceleni, ngenxa yokwanda okunamandla kwesisu);
- ukwanda kwesipere nesibindi se-fetus;
- i-edema nokuqina kwe-placenta.
Ingabe ukukhulelwa kungenzeka kunombhangqwana oyi-Rh-engahambisani?
Ungaphelelwa ithemba uma intombazane enegazi elingenayo i-Rh, futhi abakhethiweyo bakhe bahle. Njengomthetho, ukukhulelwa kokuqala kuvamile. Lokhu kuchazwa ukuthi umzimba wesifazane uhlangana kuqala negazi le-Rh, futhi ama-antibodies akhiqizwa kulokhu. Kulezo zimo, lapho kwakukhona amangqamuzana amaningi egazi ane-Rhesus protein emzimbeni womama, okuthiwa amangqamuzana enkumbulo ahlala egazini lakhe, okuholela ekuxabaneni kokukhulelwa kwesibili.
Ukuvimbela kanjani i-Rh-ingxabano?
Ukuqapha okukhethekile kubhalwa ekuvimbelweni kwempikiswano yeRh lapho ukukhulelwa sekuvele kwenzeka.
Ngakho, kuqala kokuhlola, ngabe le protheyini ikhona egazini likaMama. Uma engekho, ubaba ulandelwa inqubo efanayo. Uma iqukethe i-Rh, igazi lomama olindelekile lihlolisiswa ngokucophelela ngokuba khona kwama-antibodies. Ngesikhathi esifanayo, izinga lalezi zakhiwo egazini labesifazane abakhulelwe lihlale lihlolwe. Ngakho, ngaphambi kwamasonto angu-32 ukuhlaziywa kwenziwa kanye ngenyanga, futhi esikhathini samasonto angu 32-35 - izikhathi ezimbili ezinsukwini ezingu-30.
Ngemuva kokuzalwa kwengane, igazi lisuswa kuye, lapho i-rhesus inqunywa khona. Uma kulungile, bese kungakapheli izinsuku ezintathu umama unikezwa i-serum - immunoglobulin, okuvimbela ukuvela kwezingxabano ngesikhathi sokukhulelwa okulandelayo.
Iyini imiphumela ye-Rh-impikiswano?
Ngokuhamba kwesikhathi, ukuhlukunyezwa kwe-Rh, njengombuso, akunayo imiphumela emibi. Noma kunjalo, lokhu akukwenzeka njalo. Uma ukukhulelwa kwesisu kwenzeka, khona-ke ukuzwela (ukukhiqizwa kwama-antibody) kwenzeka kuphela kuma-3-4% amacala, uma i-medaborta - 5-6%, emva kokulethwa okuvamile - 15%. Ngesikhathi esifanayo, ingozi yokuqwashisa inyuke ngokuphazamiseka kwamapayipi kanye nesigaba sokudla.