Yiziphi izici okufanele zicatshangelwe uma uhlela umndeni?
Ngisho nangaphambi kokungena emshadweni womthetho nensizwa, intombazane efuna ukuba nezingane kufanele ibuze kusengaphambili ukuthi yiliphi igazi ne-rhesus. Le parameter ibaluleke kakhulu kulabo besifazane abane-Rh factor negative.
Ukuze ingane ikhulelwe, ukuhambisana kwamaqembu egazi kuhlolwa ngetafula elikhethekile. Ichaza ngokuningiliziwe izinketho ezingenzeka.
Iyiphi ukungalingani okuyingozi kwamaqembu egazi ne-Rh factor?
Uma, ngaphambi kokuhlela ukukhulelwa, owesifazane akadluli ukuhlolwa kokuhambisana kwegazi, khona-ke kungenzeka ukuthi izinkinga ezivela ngesikhathi sokukhulelwa ziphakeme.
Kodwa-ke, kaningi, ngisho noma ukukhulelwa kwenzekile futhi kukhona ukungafani phakathi kwe-Rh factor, khona-ke ukwephulwa okunjengokungqubuzana kweRh-mpilo kuqala. Lokhu kubhekene nezinkinga ezifana ne-anemia, i-erythroblastosis, i-fetema edema, i- edematous syndrome yezingane ezisanda kuzalwa (okubili okuholela ekufeni kokubeletha).
Futhi, ngokuvamile kuvame ukungaboni ngaso sonke isikhathi i-Rh factor, kodwa futhi namaqembu egazi. Ukuze kuvimbele into enjalo, iqembu legazi kufanele lihlolwe futhi ukuhambisana, okwenziwa ngokusebenzisa itafula ngaphambi kokukhulelwa.
Ngakho-ke, yamukelwa ukuhlukanisa amaqembu egazi angu-4, ahluke phambi kwamaprotheni athile:
- 1 (okokuqala) "O" - ayikho amaprotheni akhethekile;
- 2 (wesibili) "A" - kukhona amaprotheni A;
- 3 (wesithathu) "B" - iqukethe amaprotheni B;
- 4 (wesine) "AB" - iqukethe kokubili amaprotheni ohlobo lweprotheyini A kanye noB.
Kuziphi izimo ukungahambisani kwegazi okungenzeka?
Njengoba kushiwo ngenhla, ukuze kutholakale ukuhambisana kwegazi lokukhulelwa kwengane, kwanele ukusebenzisa ithebula. Kungenxa yocingo lwayo ongayinquma uma kunokwenzeka ukuthi kwenzekani nge- Rh-impikiswano.
Ngakho-ke ngokusho kwetafula lokuhambisana ne-rhesus igazi, ngesikhathi sokukhulelwa ingxabano kungenzeka kumacala alandelayo:
Uma unina uneqembu elingu-1, i-Rhesus ayibi, khona-ke ingxabano ingenzeka ku:
- emaprotheni weqembu 2 (A);
- phezu kweprotheyini yeqembu 3 (B);
- kwi-pro pro Rh (positive).
Uma owesifazane eneqembu eline-rhesus engalungile, ingxabano ingabonakala ku:
- phezu kweprotheyini yeqembu 3 (B);
- kwiprotheni yeqembu 4 (B);
- kwi-pro pro Rh (positive).
Ngeqembu lesithathu ne-rhesus engafanele, ukusabela kwenzeka ngo:
- emaprotheni weqembu 2 (A);
- emaprotheni weqembu 4 (A);
- kwi-pro pro Rh (positive).
Kuyaphawuleka ukuthi uhlobo lwegazi olungakaze lubangele ukungqubuzana, njll. Kuhambisana ngokuphelele nanoma yiliphi iqembu legazi.
Ngakho-ke, ukuze ugweme imiphumela emibi ekuhleleni kokukhulelwa nokukhulelwa, odokotela basebenzisa itafula ukuze banqume ukuhambisana kwegazi, lapho kuzohluka khona okungafani okukhona, lapho kungase kube khona ukwephulwa.
Ukuze ugweme, umama olindelekile, ngisho nangesikhathi sokuhlela ukukhulelwa, kufanele aphendule ochwepheshe ukuze anqume uhlobo lwakhe lwegazi ne-Rh factor uma engazi lezi mingcele. Lolu hlobo locwaningo olulula luzosiza ukuvimbela ukwephulwa okuchazwe ngenhla esikhathini esizayo, futhi nokugwema izinkinga ezihlobene nokukhulelwa kwengane. Kufanele kuqaphele ukuthi ukwazi lezi zimingalo zegazi zendoda noma umlingani ozayo esikhathini esizayo kubalulekile.