He whakamātautau toto mo paturopi i roto i hapūtanga: rawa whakangungu, wetewaehere me tūtohutanga

Whakamahere mō te hapūtanga - he momeniti nui, me te mahu'inga e titau momo katoa o rangahau, i roto i te tikanga ki te whakaiti i te tūponotanga o pōauautanga i roto i te hapū, me te whanau. whakamātautau toto hoki paturopi i roto i te hapūtanga - ko te tikanga tātaritanga. I mua he nui haputanga ki te whakatau i te aroaro o paturopi ki kōpukupuku huaketo me ētahi atu rama-mate, ki te tautuhi i te rōpū toto me te take rH o te hoa faaipoipo. Ka whakatau i te hua i te hiahia mō ngā mehua e hāngai ana te tupu noa me te whanaketanga o te tamaiti.

Paturopi ki rama-mate

Tenei rōpū o mate ngā:

• kōpukupuku;
• cytomegalovirus;
• herpes mate;
• toxoplasmosis.

He rawa kino roto i te hapūtanga tamaiti enei mate. Belgium o te wahine i roto i te huatū tuatahi arata'i ki hē whanau, malformations me te materoto māhorahora. tūtohu tohunga whakamātautau toto mo paturopi i roto i te hapū i roto i te wiki tuatahi 12, a pai tonu i roto i te wā whakamahere.

Belgium ki herpes simplex taea meinga polyhydramnios, arumanga o hapūtanga, materoto, te whanaketanga o te mate intrauterine, prematurity. Ki te pangia tetahi wahine te mo te wa tuatahi, te mōrea e ka tupu i te mate pēpi tae 50%.

Ko tino mōrearea hoki te tamaiti i roto i te toru o nga huatū Belgium o toxoplasmosis. Ki te he mate i roto i te tuatahi, me te tuarua o nga whaea, te mōrea o te mate i roto i te tamaiti tae 25%, i roto i te toru o - ki te 90%. Belgium ki kōpukupuku i roto i te 4 marama tuatahi o te ora fetal arata'i ki te mate o te kukune, te whanaketanga o te tonotono microcephaly ranei, ahua topu- Gregg.

Cytomegalovirus he mate roro mōrearea te tamaiti, te whanaketanga o haaparuparu pararutiki, rongo abnormalities me analyzer ataata.

He whakamātautau toto mo paturopi i roto i te hapū i quantified tohu o immunoglobulins G me M. ko te paearu tātaritanga tino nui tenei.

tuhinga

I roto i whānau tamariki hua o te ako e taea e i roto i te puka o te kōwhiringa e whai ake nei:

1. i kitea IgG me IgM. tikanga o tēnei e kore i tutaki te whaea ki taua mate, e te tikanga e taea mate puta roto i te hapūtanga pēpi. E toutou Studies nga marama.
2. i kitea IgG me IgM. Ko te hua korero e pā ana ki te take tata o te contamination. Ko reira e tika ana ki te kawe i roto i te whakamātautau toto atu mo titers antibody i roto i te hapūtanga.
3. kitea IgG te, e kore te IgM kitea. Ko te kōwhiringa pai mo e rua whaea me te tamaiti tenei. Ta te-mate roa.
4. e kore te IgG kitea, kitea IgM. Taunakitanga o mate tata, me te titau atu ngā tukanga tātaritanga.

kua tikanga o nga hua kua kore kaiāwhina tākuta-taiwhanga, me te mātanga nei tuku te wahine ki te rangahau. I runga i nga tohu tautuhi kaupapa anō o te hapūtanga.

alloantibody

Tenei momo o te antibody puta ina whaea rH-pakanga, me te tamaiti. Rh take - antigen motuhake e taea kia i runga i erythrocytes tangata. Ki te vai te reira, na ka karanga te toto ko rH-pai, te ngaro - rH-kino.

Ki te kore e te wahine i te take rH, a kua riro te tamaiti i tana kainga i tona papa, e te whaea te tamaiti ko rH rite te tinana ke ka hua paturopi ki te pūtau toto whero o te tamaiti. I roto i te hapūtanga tuatahi, kei te timata tenei tukanga tika, a maha e kore uta e ngaahi nunu'a mamafa, engari faaite te reira iho atu fefeka i roto i te hapūtanga o muri. Ko te kupu whakawhanake Rhesus-pakanga.

Ko te whakautu tuatahi ki te tinana o te whaea faaite whakatupuranga o IgM. E ratou he taimaha rāpoi tiketike, me te, na reira, e kore e taea e tomo i roto i te arai placental. sensitization Tuarua e wahi i roto i te puka o te whakaputa i te nui nui o iti IgG taimaha rāpoi, e taea tomo ki roto ki te tinana o te kukune.

pakanga tātaritanga Rhesus

Tātaritanga o toto mo paturopi Rhesus i roto i te hapū he te āhuatanga e whai ake nei:

1. Ki te ko rH-tōraro nga hoa faaipoipo, e kore te mea e tika ana te tātaritanga ki te kawe i roto i.
2. Ki te he rH-kino te whaea, me te he toto rH-pai te papa, kia puta te faaotiraa o te titer o paturopi rH i te akiaki, puta noa hapūtanga (marama).
3. Awareness o nga titers antibody o mua ka whakatau i te aroaro o te sensitization.
4. e kore e mōrearea hoki te tamaiti IgM, me ta te aroaro o IgG te hiahia ki te whakamārama tohu titer me tonu aroturuki tata o te hapūtanga.

āhuatanga Risk me pōauautanga taea

I mōrearea nui mō te rH-pakanga ngā wahine ki te hītori o te materoto poapoa kitea i roto i te hapū te mutunga, huhu toto, materoto ritenga, te aroaro o fanauraa rerekē, me te hapū i te pūkano.

Ka rite ki te hua o te pakanga nui whakawhanake mate hemolytic o te hou, haere tahi nei i te pōauautanga e whai ake nei:

• whanau o te tamaiti mate;
• encephalopathy;
• hypertrophy o ate me te kōateate;
• kernicterus;
• takaware whanaketanga noa;
• iti hoki ate.

He āraihia i te whanaketanga o te rH-pakanga. I roto i te ngaro o te wahine Rhesus i roto i tona hapūtanga tuatahi whakahaere gamma globulin D-anti. kawea whakamātautau toto mo paturopi i roto i te hapū i roto i ia wāhanga whanau ngā, whakatau i te titer o tohu. e kore e Norm rapu werohia atu o te gamma globulin i reiti teitei, e faaterehia te reira i roto i te tauira motuhake nga wa maha.

paturopi rōpū

e mohio ana torutoru iwi e kore ai e te raruraru anake te rerekētanga ko te take rH, engari ano hoki nga rōpū rerekē o faaipoipo toto. Ko iti pukuriri ki te tamaiti i te rH incompatibility papā Rōpū. āraihia atu ki te ārai i te whanaketanga o te huru taua e kore e te tīariari.

he āki i roto i te wā e whai ake nei Analysis o paturopi rōpū toto i roto i te hapū:

• materoto;
• tuku pathological i roto i te hītori;
• whakawhanake abruption placental i roto i hapūtanga o mua me te whakatupuranga;
• huhu toto;
• hītori materoto.

paturopi antiphospholipid

Phospholipids i huaina ngako e hanga ake nga kiriuhi o ngā pūtau i roto i te tinana. Takitahi hua kore ratou iwi e taea, engari kahore ratou, rawa. Ko ēnei matū he rauemi hanganga, whai wāhi i roto i te toto upoo-, heke taiepa pūtau pakaru, tautoko te pūnaha io.

A, no te nga paturopi antiphospholipid i roto i te hapū i reira ko te whakangaromanga o ngako me te whanaketanga o te syndrome antiphospholipid. Ko asymptomatic syndrome Paraimere, kei te tere heke te tinana. Ko te tuarua, ko te atu, riri, me te he mahi wehe ki te whanaketanga o te Thrombosis. faarahi tenei te mōrea o te whakaeke ngakau, Embolism, patunga, pāpaka o oko nui.

Hoki nga wahine hapu whakawhanake ApS tahi e te mōrearea teitei:

• whakatahe;
• kahukahu;
• hypoxia fetal;
• kōhikohiko congenital;
• wehe taimi halá, o te ewe.

tātaritanga Āhuatanga

He whakamātautau toto mo paturopi i roto i hapūtanga, puritia wetemuna e te rata, whakaaro te wahine ārahi te whakahauanga i roto i te wā e whai ake nei:

• materoto ritenga;
• aroaro o mate o te pūnaha Cardiovascular;
• ānini tamau;
• thrombocytopenia;
• te aroaro o te mate tākihi ate ranei.

Toto haere te faaotiraa o paturopi ki tohu cardiolipin me phosphatidylserine. e kore he tino moni o paturopi te haamauraa tika o ApS. e te tākuta ki te pūkete te wherikotanga o nga tohu haumanu me raraunga hītori hauora. titer High tohu te hiahia mo te whakarite o āpiha antiplatelet (taero e relieves te tukanga o te Thrombosis).

Me pēhea te ki te tango i te whakamātautau toto mo paturopi i roto i hapūtanga

Ki i tika nga hua tātaritanga, he mea e tika ana ki te faaineine no te rauemi taiepa. 2-3 ra kanga inu kei roto kawhe, houra, raukikini, parai, î kai. Haere i te whakamātautau toto mo paturopi i roto i hapūtanga i runga i te puku kau.

Ki te taea, te mutu tango rongoā. Ki te kore e taea tenei, e te taiwhanga, he aha te tikanga e whakamahia. Tūāhuruiti me te wā i muri i kohakoha tinana nui he contraindications ki te whakahaere tātaritanga.

I muri i te fariiraa i te hua o te wetemuna kua he-rata mātai obstetrician nei he hapu. Aromatawai o tohu whakatau te hiahia mo te whakarite o te rangahau atu, me te ako. e kore e whakaaetia tetahi kāhore me whaiaro-tikanga o nga hua, no te mea ratou taea utu te ora o te whaea, me tona tamaiti e parauhia te.