I-Rhesus-impikiswano ekukhulelweni kwesibili

Kubantu abaningi emhlabeni wonke, amangqamuzana egazi abomvu aneprotheyini ye-Rh factor. Igazi elinjalo linguR Rh. Uma le phrotheni engekho, igazi libizwa ngokuthi i-Rh-negative. Lesi sici sithathwe njengefa ngokwezakhi zofuzo futhi asinomthelela empilweni yomuntu. Ngesikhathi sokukhulelwa kukhona ingozi ye-Rh-impikiswano. Ukwenza ukwephulwa kwengane enegazi le-Rh, elalizuze uyise, kodwa umama akabi, futhi ngokufanayo.

Ukwelashwa kwe-Rhesus Conflict in Ukukhulelwa

Ngalokhu kuphulwa, odokotela bayakwazi ukulwa ngempumelelo, kodwa kubalulekile ukufuna usizo lwezokwelapha ngesikhathi esifanele. Ngokujwayelekile, ukuphikisana kweRhesus kutholakala ngesikhathi sokukhulelwa kwesibili, noma ngabe okokuqala kuphelile ekukhipheni isisu, noma ukukhipha isisu. Ukukhubazeka kungaholela ezinkingeni, ngisho nasekuzalweni ngaphambi kwegama kanye nokubeletha. Kodwa imiphumela emibi kangaka ingagwenywa, ngenxa yezindlela zesimanje zokuxilongwa, kanye nokwelapha.

Kumama ozayo abane-rhesus engalungile udokotela uzakutusa izinqubo ezilandelayo:

• ukuhlolwa kwama-antibody njalo;
• ngesikhathi semasonto angu-28, umjovo okhethekile we-anti-rhesus immunoglobulin;
• phinda umjovo ngemuva kokubeletha, kufanele kwenziwe emahoreni angu-72, esimweni lapho umntwana enegazi nge-rhesus ngaphandle komama.

Uma ukwanda kwe-antibody titer (uhlobo lokuhlolwa kwegazi) kutholakala, umama ozayo uzoba ne-ultrasound ukuhlola isimo se-fetus. Udokotela angakwazi ukumisela ukuthunyelwa esibhedlela. Ngezinye izikhathi kunesidingo sokuqhuba isifundo se-umbilical cord igazi noma i-amniotic fluid. Lezi zinqubo zinqunywe kuphela ngokwemibandela. Isibonelo, zingasetshenziswa kubesifazane abanesisindo esiphakeme sama-antibodies enkingeni yeRhesus, noma uma bekhulelwe okwesibili, kanti umntwana osekhulile wazalwa enesifo esibi se- hemolytic.

Indlela ephumelelayo yokwelapha ukukhubazeka i-transfusion yegazi emntwaneni. Ukuxhaphazwa kwenziwa esibhedlela. Izindlela ezisetshenziswe ngaphambilini kanye nezinye izindlela. Izinyathelo ezimbili eziyinhloko zokwelapha i-Rh rhesus-impikiswano ngesikhathi sokukhulelwa zaziyi-plasmapheresis nokufakelwa kabusha kwesikhumba somama wengane kumama ozayo. Njengamanje, lezi zindlela azijwayele ukushiwo, njengoba odokotela abaningi bebheka ukuthi akusebenzi.

Uma ulalela ngokucophelela iseluleko sikadokotela, umama olindelekile uzokwazi ukubekezelela ingane enempilo. Amacebo okulethwa akhethwe ngumjozi wezifo zezinzwa, kuye ngokuthi isimo somama ekubelethweni.