A koko hoao no nā mea'aʻaʻa i hāpai keiki: oi aʻo, omńkalakala, a koi

Hoʻolala no ka hāpai keiki - nui, aʻano nui ka manawa e pono ai kela ano keia ano o ka ana, i mea e emi i ka pilikia o complications i hāpai keiki, a hānau. Koko e ho'āʻo ai no nā mea'aʻaʻa ma ka hāpai keiki - mea he PalekanaEND_LINK iaoia. Ma mua o ka hapai ana mea nui e hooholo i ke alo o nā mea'aʻaʻa e rubella mea hoʻomaʻi a me nā lama i-nā mea palahēhē, e hoakaka i ke koko pae a me RH ololi o ka noho male. Nā hualoaʻa e hooholo i ka pono no ka ana nona ma ka maʻamau ulu a me ka ulu ana o ke keiki.

Nā mea'aʻaʻa i kukui-nā mea palahēhē

Kēia pūʻulu o nā maʻi mai nā ':

• rubella;
• cytomegalovirus;
• herpes maʻiʻaʻai;
• toxoplasmosis.

Mau nā mea palahēhē i ka oi aku pilikia ma gestation bebe. Maʻiʻaʻai ana o ka wahine i loko o ka trimester mua hele aku ai i hanau mā, malformations a me ka noho'na makaainana i ulu abortion. Poe akamai i paipai aku ke koko e ho'āʻo ai i nā mea'aʻaʻa ma ka hāpai keiki i ka mua 12 pule, a me ka maikaʻi nō i loko o ka hoʻolālā au.

Maʻiʻaʻai me ka herpes simplex hiki i polyhydramnios, haʻahaʻa o ka hāpai keiki, miscarriage, ulu o intrauterine maʻiʻaʻai, prematurity. Inā he wahine ua iho mailoko o ia no ka manawa mua, no ka pilikia i ka maʻiʻaʻai e hiki mai kamaiki ihoiho 50%.

Maʻiʻaʻai o ka toxoplasmosis mea pilikia loa no ke kamaiki i loko o ke kolu o ka trimester. Inā ka makuahine ka maʻi i loko o ka mua a me ka lua, o ka pilikia o ka maʻi i loko o ka keiki kīnā 25%, i loko o ke kolu - ia 90%. Maʻiʻaʻai me rubella ka 4 mahina o fetal ola mua iloko o hiki aku ai i ka make ana o ka fetus, i ke kūpono 'ana o ka nunui a microcephaly,ʻikea ka mea me triad Gregg.

Cytomegalovirus He mea lolo poho i ke keiki, me ka hooulu ana o cerebral lolo, lohe abnormalities a me ka pilikia makapō mea kālailai.

A koko hoao no nā mea'aʻaʻa ma ka hāpai keiki i quantified nā hoailona o immunoglobulins G a me M. kēia mea i ka mea nui PalekanaEND_LINK ana hoʻohālike.

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Ma ka hanau keiki hualoaʻa o ka hoʻopaʻa 'ana i hiki ia ia ma ke ano o ke kēia mau koho:

1. IgG a IgM i 'akomi i. Kēia 'o ia hoʻi i ka mea, ua ole hui i ka makuahine a me na nā mea palahēhē, a' o ia hoʻi i ka maʻiʻaʻai ke hana ana i gestation bebe. Haʻawina i hai kela mahina.
2. IgG a IgM i loaʻa. Ka hopena olelo e pili ana i ka hala koke hihia o ka mea hoʻohaumia. He mea pono e lawe mai i ka hou koko hoao ana no ka lāʻau lapaʻau kino titers i hāpai keiki.
3. IgG ua ia akulla, IgM ua ole 'akomi i. He He maikaʻi hōʻoia no nā makuwahine, a me ke keiki. Wahi ka lōʻihi-maʻiʻaʻai.
4. IgG ua ole ia akulla, IgM akomi i. Hoike ana i nā maʻiʻaʻai a me ka pono hou PalekanaEND_LINK kaʻina hana.

Hoomaopopo ana o na hualoaʻa i ua ole kauka-keʻena hoʻokolohua Hope, a me ka hoʻomalu i haawiia i ka wahine ana i ke anamanaʻo. Ma muli o nā nā hoailona i ho'ākāka 'hou ia noaia o ka hāpai keiki.

alloantibody

Kēiaʻano o ka lāʻau lapaʻau kino ia lŘlŘ ia RH-e kue ana makuahine a me ke keiki. RH ololi - 'ilepili antigen hiki ia ma luna o kanaka erythrocytes. Inā ia nei, no laila, ua kapaʻia i ke koko RH-oluʻolu, i ka wa e kaawale aku - RH-io.

Inā he wahine 'aʻole ole i ka RH ololi, a me ke keiki i loaa i kona aina hooili mai kona makuakane, i ka makuwahine i ke kamaiki o RH like me ka haole kino, a produces nā mea'aʻaʻa ku ei ka ula koko keena o ke keiki. I ka hāpai keiki mua, i kēia kaʻina ua pono e hoomaka ana, a me ka pinepine aole i entail hopena mea, akā, e hoike mai ai ia ia iho, oi pākīkē i ka hope gestation. Pela i ulu Rhesus-kaua.

Ke iniiaiie muli o ke kino o ka makuwahine o ka hoike mai ai ia hanauna o IgM. Ka mea, i ke kiʻekiʻe hakakino kaumaha, a, nolaila, hiki ole komo iloko ma ka placental ke'ākeʻakeʻa mai. Secondary sensitization i wahi i loko o ka palapala o ka hoʻomakaʻia i ka nui nui o ka haʻahaʻa hakakino kaumaha IgG, i hiki komo i loko o ke kino o ka fetus.

ʻike, Rhesus kue

Ka Ikepili o ke koko no ka rhesus nā mea'aʻaʻa ma ka hāpai keiki i ka kēia mau hiʻona:

1. Inā ka noho male i RH-io, i kaʻike, mea,ʻaʻole e pono ke lawe mai.
2. Inā ka makuahine o RH-io, a me ka makua kāne o RH-maikaʻi koko, me ka manao paa o ka titer o RH nā mea'aʻaʻa e mākaukau kaua i loko o nāʻano ma hāpai keiki (malama).
3. Kaʻike o ka mua lāʻau lapaʻau kino titers e ho oholo i ka alo o ka sensitization.
4. IgM mea e pilikia ai ke kamaiki, a me ke alo o IgG nei i ka pono e möakäka hou nā hoailona titer a me ke ana kokoke loa ka mālamaʻana o ka hāpai keiki.

'Ākena kumumea a hiki complications

At kiʻekiʻe kamepiula no RH-kue nā wāhine i ka mōʻaukala o ka poloʻai abortion mālama i loko o ka hopena o hāpai keiki, i ke koko transfusions, a kohu pono miscarriage, i ke alo o'āno'ē hanau a me ectopic hāpai keiki.

E like me ka hopena o ka loa kaua e hoʻomōhala ana i hemolytic maʻi o ke keiki, i ua pu ma ke kēia complications:

• hanau ana o ke keiki make;
• encephalopathy;
• hypertrophy o ke ake, a spleen;
• kernicterus;
• maʻamau developmental kali hou aku;
• hepatic insufficiency.

Aia i kāohi ana i loko o ka ulu ana o RH-kaua. I ka wa e kaawale aku o Rhesus wahine i loko o kona mua hāpai keiki lawelawe Anati-D gamma globulin. Koko e ho'āʻo ai no nā mea'aʻaʻa ma ka hāpai keiki ua lawe mai ma kēlā me ka mea i hahai ana ka mea mamuli o kekahi Episode hanau ana, i maopopo ai i ka titer o nā hoailona. Kūmau 'aʻole i koi hou ka pahu kui o ka gamma globulin i kiekie ae holo' awelika, ka mea, ua lawelawe ia ma kekahi mau 'kumu mau manawa.

Group nā mea'aʻaʻa

ike mau kanaka i ka pilikia i ole ia ka mea wale likeʻole o ka RH ololi, akā, i ka kekahi mau hui o ke koko noho male. Group kue Ua emiʻano pākīkē i ke keiki ma mua o RH incompatibility. Kāohi ana, e pale aku i ka hooulu ana o ia i ke ano hakuʻole.

Ka Ikepili o ke koko pae nā mea'aʻaʻa i hāpai keiki mea OAXA i loko o ka kēia hihia.

• miscarriage;
• pathological haawi ma ka mōʻaukala;
• ulu placental abruption ma mua pregnancies a me hanau;
• koko transfusion;
• abortion mōʻaukala.

antiphospholipid nā mea'aʻaʻa

Phospholipids kapaʻia kona kaikea a mea e i na membranes o aeee i loko o ke kino. Kū kaʻawale paka lākou mau kanaka e hiki ole, akā, me ka ia, no hoi. Kēia mau waiwai mea he mall mea, komo i loko o ke koko clotting, hoemiia poino aeea paia, kākoʻo i ka'emi ko kahua.

I ka wā o ka antiphospholipid nā mea'aʻaʻa ma ka hāpai keiki, he mea i ka lukuia ana o ke kaikea a me ka hooulu ana o antiphospholipid maʻi pale. Helu maʻi pale Ua asymptomatic, i ke kino ua hikiwawe loa hoemiia. Ke kula kiʻekiʻe Ua oiʻano pākīkē a me ka mea fraught me ka hooulu ana o ka thrombosis. Kēia maoli i ka pilikia o ka naau kaua, embolism, hahau ana, lesions o ka nui o na moku.

No ka mea, hapai wahine hoʻomōhala APS ua pu ma ke kamepiula kiʻekiʻe:

• miscarriages;
• stillbirth;
• Fetal hypoxia;
• congenital anomalies;
• premature poe o ke keiki.

lapaʻau 'Hiʻona

A koko hoao no nā mea'aʻaʻa i hāpai keiki, ua paʻa omńkalakala ma ke kahuna lapaau, no ka wahine alakai ua noʻonoʻo OAXA i loko o ka kēia hihia.

• a kohu pono miscarriage;
• imua o ka maʻi o ka mea'ōnaehana mānowai koko oihana;
• ikaika aku headache;
• thrombocytopenia;
• i ke alo o kaʻaʻa puʻuwai a hepatic maʻi.

Koko kekahi, i ka paa ana o nā mea'aʻaʻa e cardiolipin nā hoailona a me phosphatidylserine. Nui dala o nā mea'aʻaʻa mea,ʻaʻole he pono hōʻoiaʻiʻo o APS. Ke kauka i loko no o ka'ōlinolino o ka lapaʻau na hoailona a me ka 'inikua mōʻaukalaʻikepili. High titer Hōʻike i ka pono no ka hookohu o ka antiplatelet konohiki (ai 'i relieves na keʻano o ka hanaʻana o ka thrombosis).

Pehea e lawe i kekahi koko hoao no nā mea'aʻaʻa i hāpai keiki

I ka lapaʻau 'ana i nā hualoaʻa he pololei, ka mea i pono, e hoomakaukau ai no ka pa mea. 2-3 lā e haʻalele i kea i loaʻa ka caffeine, soda, spicy, palai, pickled ai. Kekahi, i kekahi koko hoao no nā mea'aʻaʻa i hāpai keiki ma luna o ka nele'ōpū.

Inā hiki, e lawe ana ka lapaʻauʻia hooki. Inā keia mea i hiki, hai aku i ke Keʻena, ka mea i hoʻohana. Hyperthermia a me ka wā ma hope o nui physical exertion e contraindications e hoʻomaka lapaʻau 'ana.

Ma hope o ka loaa ana i ka hopena o ka ho omńkalakala i Ua i obstetrician-gynecologist i mea hapai. Ka auhau o nā hoailona e hoʻoholo i ka pono no ka hookohu ana i nā noiʻi a me ka hooponopono. Kekahi unprofessional a me ka hoʻoponopono '-hoakaka o nā hualoaʻa ua ole ae, no ka mea, ka mea hiki ke loaʻa i ke ola ana o ka makuwahine, a me kona unborn pēpē.