He reira taea ki te whai i te materoto ka negative Rhesus?

I roto i te ora i reira he āhuatanga ka kore te mea he hapūtanga koa engari pouri. kia waiho te take mo tenei te tau nui, a ka kua maha te wahine faaoti i runga i te materoto. Taua pokanoa i roto i te tinana ko te tūpono, noa'tu eaha te ngaio ranei tohunga whakahaere te.

A ki te mea tetahi wahine kua he rH tōraro, te whakamutunga o te hapūtanga e taea hua i roto i te pākoko muri i te ati taua ranei, rite te whanautanga o te tamaiti te wahine. I tua atu, kua ia he materoto i muri i faarahi te hapūtanga muri te mōrearea o Rhesus-pakanga. Na he aha te mea mōrearea ki te take kino rH materoto? Kia tamata o ki te feruri i te reira i roto i.

He aha te whakawhanake rH-pakanga?

Kei roto i te membrane o ngā pūtau toto (erythrocytes) rH antigen. Taua iwi i te toto he take rH pai, a te ao te nuinga - 70-85%. I roto i te tahi atu te wā, i reira he kahore antigen rH i te toto, na te whakaaro reira ki te kia tōraro.

Tīmata i 7-8 wiki o te hematopoiesis fetal i hanga te. Ki te rH tōraro te wahine, me te kukune - he pai, te tinana o te hapu kia kite i te reira rite te tinana ke ka timata ki te whanake tauwhāiti paturopi rH. Ki te hapū tuatahi, na ko te tino iti to ratou tokomaha, me te tūponotanga ka e whiwhi toto fetal ki hongere toto o te whaea, ko te iti. faaite te wahine i roto i tenei take humarie ka whanau ki te tamaiti hauora.

Ko te materoto Ko te putanga korerotia sensitization. I te hapū i muri, ka korerotia whakapā ki antigens ke tata tonu puta tuku kaha antirhesus paturopi motuhake. tupu tenei e tika ana ki te meka i te pūtau o te mahara ārai pupuru ana ngā mōhiohio e pā ana ki te whakapā tuatahi o te toto o te kukune me te whaea.

Tohu o Rhesus-pakanga

e kore ai te wahine e hapu kite i te whanaketanga o te rH-pakanga. Kei te pāngia te reira e te faaotiraa o paturopi motuhake i roto i te toto. Ko te teitei te kukū, te nui atu ko te tukanga mate. Fruit ano i te mamae nui hoki. Maumaui o te tamaiti e parauhia e ngāwari kitea e ultrasound. Ka taea e kia tenei:

• huamo;
• Te nui haere rahi o te ngakau;
• whakapeka hypoxia fetal ;
• inu i roto i te roro, kōhao peritoneal;
• thickening o te ewe;
• te o te kukune papatipu nui.

Ki te faaite kahore mahi mo te ārai o te rH-pakanga i disorders fetal ka tangohia ārahi ki tona matenga.

Materoto ki te rH tōraro

Ki te mea he wahine rH negative, e taea e koe te materoto ranei e kore? O te akoranga, e kore te mea e minaminatia tenei, engari ki te mahi i te reira, i whakaritea e te reira ki te aruaru i te hapūtanga, ka kia mohio koutou e me te meatanga ki te aroaro o te rā kati i roto i 7-9 wiki. I muri i taua i reira ko te hanganga o te pūnaha hematopoietic, me te mōrea o sensitization o te piki rauropi whaea.

tupu te reira i taua materoto ka rH waea kino, me te mo take hauora. Ko te mea matua ki tenei - e kore e tukua ki te whakawhanake sensitization. Kei te tikanga materoto Medical kawea atu i te wā wawe o te hapūtanga. Tonu muri, faaterehia te manawanui ko rH immunoglobulin, engari te tūponotanga e reira ka kia rH-pakanga, e noho tonu i roto i te hapū o muri.

e pā ana katoa materoto e ki te mōrea o te pākoko, me te mea pupuri e ia te wahine ki te take kino Rhesus, ka muri taea tonu materoto, he reira pea he tamaiti ki te mate hemolytic, me te ki ngā hauātanga. mâtutuhia wā-mutunga Tino kino, kawea nei i roto i hāparapara. Haro o te kōhao uterine o te ovum pānga te endometrium me whai wāhi ki te mumura. I roto i te heke mai, kia meinga ai he tutukitanga mo te tāpiritanga o te ira, me te hapū noa.

momo o te materoto

Ki te mea tetahi wahine he take kino rH, kia hanga ai momo o te materoto :

• Medical - e tikanga o papa motuhake, no te mea o te kukune tīmata noa haea atu. Toto i roto i tenei take pumau mo te wa roa, engari whakaaro tenei kei te ki hei te haumaru mō te hauora o te wahine.
• materoto Mini - he he tikanga kore-hāparapara o fakatōtamá, kawea atu e te pūrere motuhake, a ka mahi i te reira rite te kaihoroi mārua.
• Pokanga - whakaaro te tikanga tino kino, kia rite ki te kōpū waruhia matapo. Tenei e taea e arahi ki te putanga o te maha nui o pōauautanga.

te mau hopearaa taea

Ki te kawea te materoto e i roto i ki te kino Rhesus, na reira ko te kano o wahine hapu erythrocytes fetal. faarahi tenei nga paturopi nui antirhesus e tomo te bloodstream o te tamaiti, e tika ana ki te disorders nui o hematopoiesis me pehanga tukanga kukune.

pea te mau hopearaa o te materoto ki te rH kino e whai ake:

• anemia nui;
• mate fetal intrauterine ;
• tauwhatinga o te whekau;
• mate hemolytic;
• hypoxia fetal;
• materoto, kahukahu;
• encephalopathy.

Ko te kupu, Ko te tino kino materoto ki te mahi kino Rhesus. I roto i te tahi atu mea, i roto i materoto wharanga maha puta kia hanga e waha, endometrial kahu o runga hahore perforation. Tuhinga o taua wawaotanga he disorders hormonal, mumura, me te te ngoikore ki te riro i te whaea.

Hoki whakatika i muri i materoto Negative Rhesus taua pōauautanga rite iti hoki waha, e pā tona obturator mahi. Tenei e taea e arahi ki te mutunga o materoto no te haamata i te waha ki te whakatuwhera ka materoto, taea ki te mau i te taimaha o te tamaiti e tipu.

mōrea te pākoko

Materoto i te rH kino he e rave rahi taime e faarahi te mōrea o te pākoko, me te kore e mea faufaa e ara i whakaputaina ai: hāparapara hauora ranei. Te ati i roto i tenei take e e haamata ki te whakaputa i antigens, hua i roto i te hapū o muri, kua rite ratou ki te "rere ki te whawhai."

Hoko iti me te ake pūkoro, meinga ratou whiu atu kaha i runga i erythrocytes fetal. arata'i tenei ki te whanaketanga o abnormalities i roto i te kukune materoto ranei. Haunga, faarahi materoto te mōrea o te pākoko.

He aha ta te taote e mea?

Materoto ki rH kino - ko nga wa katoa te reira i te tukanga kaua meá, ahakoa o te tikanga i roto i nei i puritia ai. Whakaaro ara kino whanau tāwhaiwhai i roto i te hui e te kukune te whakawhanake kua rH pai. Te kore hopearaa mo te wahine e kore te tikanga e mahi. Doctors whakapono e kia kia whakaaro rH negative he contraindication mo ahua o te materoto tetahi, ka hanga anake mo take hauora.

mutunga

Ko te kupu, kahore he materoto haumaru, engari he reira rawa kino ki te mutunga o te hapūtanga, ki te he te wahine he take kino rH. I roto i tenei take, te homai e te hauora he patu nui, a tae noa ki te haere katoa te pai, ka muri te ia ka e ua te mau hopearaa o tenei.