No ke aha la ka mea e pono ai no ka 'RH immunoglobulin'?

I ke koko o ka RH-maikaʻi kanaka haawi aku i kekahi mau 'kumuʻiʻo i ua loaʻa i loko o ka ula koko keena. 15% o ka honua heluna i RH-io, oa. A. Of keia mea, i ole kumuʻiʻo. RH ololi mea he kanaka kāna moʻolelo ka ua ili mai iā ia, akā, ka mea,ʻaʻohe kanawai i kanaka ola.

IeAUPIIe, IAa IO, RH affiliation e opredelyaetya pu me ke koko i loko o ke keʻena hoʻokolohua.

He aha ka RH-kaua?

O kŰia o ka wawahi wahine me ka io RH koko. Ma hāpai keiki ma waena o kona makuwahine, a me ka fetus hiki i ke kaua, aka i ke keiki i ili RH-maikaʻi koko mai o ka makua kāne.

Maʻamau, ua loa e hui pu i ke koko o ka makuahine a me ka fetus, akā, he 'aʻe' ana o ke keiki, a hiki i eha ku fetal ulaula koko keena ma ke koko o ka wahine. I ka wā i kekahi "paepae lehulehu" makuahine o ka'ōnaehana paleʻea'ōnaehana hoʻomaka e hoʻomōhala aku i ka haole kumuʻiʻo (ka mea, o RH ma fetal ulaula koko aeee) no ka make ana o ka lāʻau lapaʻau kino, 'ole. E. Ka luku ana o fetal koko. Kēia hualoaʻa ma hemolytic mai o ke keiki. I kekahi manawa, e kue hiki e, no ka ikaika i ka mea, ua hewa ho okumu ana o ka ua'emi ko kahua.

Ke pahiki o ia ka kŰia mea,ʻaʻole no ka nui, ka mua hāpai keiki (ina ole abnormalities) IeAUPIIe, IAa IO welau paha, akā, kēlā hope hāpai keiki maoli i ka pilikia o ke kaua ma 10-15%.

Nā mea'aʻaʻa hiki ke hana pū ma hope o ka abortion, miscarriage, ectopic hāpai keiki,ʻoki kino Caesarean Pauku a me placental abruption. Hiki i sensitization hilinaʻi nui ma luna o ka helu ana o fetal ulaula koko aeee loaa i loko o ke kino o ka makuwahine o ka.

Pehea e pale aku Rhesus kaua?

Oiai ke ola kino o ka makuahine rhesus kaua mea i nā palapala, i loa kaumaha i ka hopena o hemolytic mai o ke keiki, no laila ia ka waiwai Noho i ka Kāohiʻana o kēia kŰia i loko o nā wāhine a me ke koko, io no ka RH ololi.

No laila, ua hoakaka Hapai na wahine a pau i ke koko ho'āʻo ala ma ka hāpai keiki, e hooholo i ka rhesus. A hou algorithm o nā hana hilinaʻi nui ma luna o ke kulana.

Nō kāu, ka mea mua hāpai keiki ua lede maʻamau. Ma ka mea a pau wā pono, e hooholo i ke kiʻekiʻe o ka antirhesus nā mea'aʻaʻa i loko o ke koko o na wahine. Up no 32 pule o ke koko, kulana kupono 1 manawa no ka malama, i ka 35 hebedoma - 2 manawa i ka mahina, a laila, - kela hebedoma. 'Oiai nā mea'aʻaʻa e ole e. Inā hanau RH maikaʻi pēpē, ka makuahine pono pono mai i ka lāʻau "RH immunoglobulin" i loko o ka mua 72 hola ma hope o ka hanau ana. Keia ana i mea e hiki ai e loaa na nā mea'aʻaʻa i ka RH ololi. Kēia mea e pono ai no ka malama ana, a me ka maʻamau papa o ka hope hāpai keiki.

Inā ua ka abortion, miscarriage, a placental abruption, keia mea i ka PAaIEN no ka mea, e komo "Antirezus immunoglobulin".

Kue o RH ma ka hāpai keiki mua i ke pili me ka mua maikaʻi koko transfused wahine i Rhesus io.

E hoomakaukau ai "RH immunoglobulin"? Pehea ke ano o

Ka waiwai inhibits ke kahua o nā mea'aʻaʻa ia RH ololi, a nolaila i ka helehelena o ka haemolysis o erythrocytes i loko o ka fetus.

More pinepine ma mua i ku i ke keiki i loko o ka makuwahine o ka koko holo ia lŘlŘ i hānau, no laila, i ka hoike o ka lekartsvennogo o ia hoʻi, "RH immunoglobulin" hōʻike i ka wahine koke ma hope o ka pēpē ka hānauʻia. Ua ana ua hoomaka lakou i no ke keiki, a me ke pale aku i ka ulu ana o hemolytic maʻi i loko o ka aʻe hāpai keiki. Ma ka manao ana o ke kahuna lapaau e pono ke hana i ka hoike ana o ka lāʻau, a ma 28 pule o ka hāpai keiki, ina he mea kekahi pilikia o hoʻohuihui na ke koko mau mua haawi.

Contraindications immunoglobulin RH sensitization ka wā 'akomi i (alo o nā mea'aʻaʻa i loko o ke koko i hapai RH), na keiki, a me nā wāhine a me RH-maikaʻi koko. Ka mea, e ole e lawelawe intravenously. Ka laʻau heluna hilinaʻi nui ma luna o ka nui o ke koko (oia hoi erythrocytes) trapped i loko o ke kino o ka makuwahine o ka.

RH immunoglobulin e leie aku i ka wahine me ke koko, io no ka RH ololi, i ka helu ana o na keiki i '‰.