RH ololi ka wā hoʻolala i ka hāpai keiki: hōʻike manaʻo

Hāpai keiki - mea he Haliʻaaʻela ka manaʻoo mākou wā i loko o ke ola o kela wahine. Long eiwa mahina,ʻo ia i kekahi he lōʻihi-kakali kamaiki, a Kahalaopuna hou, loa hana aloha.

Eia naʻe, ma keia loa mau wahine e kaena i ka loa e hoopilikia mai ai-noa hāpai keiki. A eia i kipa i ka obstetrician-gynecologist, mau hoakaka e ho'āʻo ai, he pāʻumi, e lawe i kekahi ka lapaʻauʻia, e like me papa'āweʻaweʻa kemika loiloi ho'āʻo ma - me kekahiʻike, i pohihihi keia mummies.

He aha ka RH ololi

Kekahi o ka mea nui nīnūnē ma ka makaukau no ka i kō ai a me ka hali ana i kekahi kamaiki i ke kanawai o RH-ololi ma ka hāpai keiki hoʻolālā. Uku mau noonoo pono hana i kēia pilikia, he poe wahine, ka poe i okoa RH ololi, mai ka makua kāne o ka unborn keiki. hiki pinepine e lohe i ka manaʻo o "RH ololi" i loko o ka haukapila, a ma luna o kīwī. Mai ia, ia mea he maikaʻi paha io mākou i ai no ko makou ola kino, aole ia i mea. RH ololi aʻole e pili mai ma luna o mākou ola kino, i ka hana o nā mea a pau i ka nui nā loko, a nenoai. O ka holo ana, nele kekahi laekahi ke kanaka, e ike i ka mea a kona RH, ma ka like me ke koko type. Kēia i e pono ai no ia mau contingencies me ka manaʻoʻoki kino a me ke koko transfusions. Akā, i ka wa au e manao ana pehea e loaʻa iā ia kekahi keiki, eʻoiaʻiʻo e e i ka pono kālailai, no ka mea, e ike i ka RH ololi mea e pōʻino hoʻolalaʻo ka wā i ke keiki. A me keia pili i nā prospective makua.

Kēlā me kēia kanaka i ka lawe ana o kekahi o na ano o RH ololi - kekahi maikaʻi 'ole io. I lapaau ma lalo o RH ololi hoʻomaopopo i ke alo a kaawale o ke kumuʻiʻo ma luna o ka ili o erythrocytes (ʻulaʻula koko keena, a e haawi aku ai i na nā'aʻaʻa a me nā loko o ka oxygen).

RH ololi ka wā hoʻolala i ka hāpai keiki

Kela wahine i mea nui kou manaʻo e pili ana i ka wā e hiki mai ola o ke keiki, e like ka hikiwawe e loaa, e hana i ka pono noiʻi, e ike i ke ano o ko lākou koko. Ka mea, e pili kēia kalele iho ma luna o ka papa o ka hāpai keiki, i ka pēpē i ka ola kino, a he opiopio makuwahine.

Wā e hiki mai makuahine a me ka makua kāne e i okoa RH kumumea. No laila, ināʻo ia ka 'oluʻolu, alaila, e loaa i ke keiki i ka ia. ʻO ia ka hana ina na makua io RH. IeAUPIIe, IAa IO eiaʻaʻohe pilikia a me complications ka wā o ka RH-ololi o ka makuwahine a me ka waiwai o ka "+", a me kona makua kāne - ke ku pono manaʻo. Akā, i loko o ia hihia, ina he wahine ka "laki" e e hanau me RH io, a me ka makuakane ia mea 'oluʻolu, kiʻekiʻe loa likelihood o RH-kue ana e hali ana i ke keiki. Ua ho i ka hoʻoweliweli 'ana i keʻano o ka fetus.

I ka hopena o RH-kaua i hāpai keiki

Ka a pau o Mānoa, o ka pilikia o ia i ke kino o RH-io makuahine i ka hanau ana o ka fetus i loko o ka mea nona ka e ku pono ololi ia ka hoʻomaopopoʻana i ke koko o ka makuahine a me ke keiki i hoʻomakaʻeleu ulu ana o nā mea'aʻaʻa i antigens o ulaula koko keena o RH-maikaʻi fetus. Inā 'oe i kou RH ololi ka wā hoʻolala i ka hāpai keiki, oe e e makaukau no ia i eventuality. kino A wahine ka perceives ke keiki ka ulaula koko keena like me ka haole mea. Nā mea'aʻaʻa hiki, ma lalo o kekahi rula, e komo i loko nui loa ma ke keiki, a he kūlana maikaʻiʻole i nā hunahuna. Nā waiwai o ka lāʻau lapaʻau kino waiū ma ka fetus i e anaemia, intoxication, e like me 'aʻe' ana o ke kahua a me ka functioning o keʻano nui nenoai o ke kino. Oia ka hopena o RH-ololi wā hoʻolala hāpai keiki, a keiki-kona hanau ana o ka inoa, he pono ole o hemolytic maʻi. Ma ka hapanui o na hihia, ka mea e hoʻomōhala ana i aneane koke ma hope o ka helehelena o ke keiki i loko o ke ao nei, a me ka loa paʻakikī i ka pono. keiki pono kekahi manawa e like me ka huikau ina hana like transfusions.

Ka hopena maikaʻi 'ole o ka RH ololi i loko o ka hoʻolālā o ke keiki: pehea e pale aku

Inā ma hope o akahele ka noonoo, a me ka 'O ke kaulike kokoke no ia i ka' ikepili koʻikoʻi pukana, e like me ka wa hoomakaukau ia no ka hapai ana, ua nui na pilikia hiki ke käpae 'a hoemi i ka likelihood o kā lākou hanana a hiki i ka palena iki. Nui loa na wahine, wale ka wāʻalo me ke kulana home 'ole kahi a lakou i hiki ke lawe i ke keiki, a lilo ia i loko o ka ua i hala, ua aʻo e pili ana i ke ka wā hoʻolala hāpai keiki pehea detrimental ka RH ololi lakou aloha ia, a ma ka mea mua malamaʻeiwa. Ke likelihood i oe e ia i loko o ka helu ana o na kanaka mea liʻiliʻi, akā nō nei. Inā manaʻo 'oe i ka' ikepili helu, ka mea nona o ka hopena maikaʻi RH i mai 15 a hiki i 20% o ka heluna kanaka o ko mākou Honua. No laila, i loko o ko lakou hoomakaukau ana no ka lilo i ka makuahine, eʻoiaʻiʻoʻoe i ka kou RH ololi ka wā hoʻolala i ka hāpai keiki. Waikiki na wahine a me keia pilikia, a me ana i hapai maluhia takeaway ola keiki, paipai i ka ike o ko lākou Rhesus kūlana haʻahaʻa, e pakele loa kaʻawaʻawa loa complications a hiki miscarriage.

He aha ina RH io?

Inā ua hâʻawi wale 'oe i ke koko, a loaʻa i kona RH ololi ia hoʻolala i ka hāpai keiki, e hiki eʻoiaʻiʻo i ke kauka, e hana nā mea a pau i hiki e hōʻoia' ia oe e hiki ke lawe, a hanau i ka hope ikaika. Inā e loaʻa iāʻoe iho lawe RH-io ke koko, a lailaʻoe pono hoʻokomo i loko o ka kūikawā mooolelo ma ka antenatal? Aaieou. Ma keia hihia, e pono i ka ikaika a me ka ikaika e hooponopono. Nolaila, ia mea,ʻaʻole e pono ke pale aku i ka noiʻi a me ka Ikepili i waihona oe i ke kauka, no ka mea, manaʻo e pili ana i ka pono o kou a me kou bebe. Mai aa aku i kekahi keiki, a hele ma nā kaʻina hana a pau i loko o ka 'eleu kūpono. Oe, e loaʻa i ka pinepine lawe koko mai ka aa koko. No laila kauka e e hiki ke Hoʻokolo ina paha he mea i loko o kou nā mea'aʻaʻa i ka antigen o ke keiki i ke koko, a ina mea e, ina o ka helu e ulu ana. Mua a hiki i ka gestational makahiki o 32 pule, e like me ka Ka Ikepili E e lawe mai ma luna o ka malama kumu, no ka wā 32 a hiki i 35 i ka hebedoma - palua i ka mahina, a me ka hoʻomaka ana mai ka 35 pule, a mai a hiki i ka hanau - kela hebedoma.

'inikuaʻenehana Hoikehonua, ke akahele kanaka hoʻoponopono i ke ano o ka fetus, a no ka malama i ka hiki muli a me ka ulu ana o hemolytic maʻi. I ka lōʻihi hihia, ina e pono ai, o hiki mai a hiki i ka utero koko transfusions. O ka papa kuhikuhi hana o keia hana, e hoʻoikaika 'ana i ke keiki ka maikaʻiʻana. Mea e e premature paha Hawaiʻi moku haawi no ia ia. Na kaʻoi loa wā hiki ke kapa i ka wā mai ka 35 a hiki i 37 no ka hebedoma.

RH hopena maikaʻi ma mua, a puana pregnancies

It E e hoʻomaopopo i ke kanawai o RH-ololi hoʻolalaʻo ka wā he kamaiki i ka hāpai keiki mua,ʻaʻole ikaika, a aole i alakai i ke kūpono 'ana o hemolytic maʻi. O ke kumu ho i ka mea i ka makuwahine ka'ōnaehana paleʻea'ōnaehana mua akamai me kaʻenemi erythrocytes, a 'aʻole i manawa e lilo nā mea'aʻaʻa i hiki ke pilikia i ke keiki. Ka mea, i hua mai, akā, ma ka liʻiliʻi loa mea. 'O kēia ke kumu wahine me RH-io contraindicated haʻahaʻa o ka hāpai keiki mua, e like me keia i hoonele ia i ka manawa e e ke ola i ke keiki. Ma ka hihia o ka hai pregnancies, a mahope prognosis mea nui loa. Ma ke koko o ka makuahine ka mua kekahi nā mea'aʻaʻa i kela kapa o ke keiki, a hiki i pepehi i ka fetus.

Keia Manawa i E e ia ka wā rhesus kaua

Ma kekahi hihia, ina oe i aʻo i hāpai keiki ia oe a me kau kane i okoa RH kumumea, oe e akahele ka pāʻana i ko lākou koko kiʻi. Ka hele kauka e nānā i nā kumumea ka heluna o ka pilikia, a laila, i koi 'ia e pono ana. Ano pinepine hiki ke hooki ia e kekahi kūikawā laʻau koʻokoʻo i hoʻolaunaʻia ma ka hooulu ana o RH-kaua. Immunoglobulin ua lawelawe koke ma hope o ka hanau mua a me ka 'ōlelo i ka hāpai keiki, a ka paleʻana nā mea'aʻaʻa.

Ei o? Acaeoey o ka hāpai keiki i loko o RH-io

Ka mua hāpai keiki i loko o ka hapanui o na hihia ua hele pono a me ka welau a pono. Inā koke ma hope o ka hanau ana o ka mea mua, e alakaʻi mai i kekahi kūikawā laʻau koʻokoʻo, ka mea e kuhikihi ana i ka maternal nā mea'aʻaʻa a ae hānau mai i keiki lua me ka pilikia.