Mfundo yakuti pali chinthu ichi kapena ayi, sichikhudza moyo wa munthu mwanjira iliyonse. Kodi ndichifukwa chiyani magazi a amayi apakati amatenga kachilombo ka Rh? Inde, chifukwa okwatirana (ogonana) ali ndi thanzi labwino, akhoza kukhala ndi zinthu zosiyanasiyana za Rh. Mwachitsanzo, mwa bambo wa mwana, Rh ndi chinthu chabwino, ndipo amayi ndi Rh-negative. Ndipo mwana wam'tsogolo akhoza kulandira rhesus ya abambo ake, ndipo izi sizigwirizana ndi ma rhesus a amayi.
Pakati pa mimba, maselo ofiira a mwana wosabadwa amatha kulowa m'magazi a mayi, chifukwa thupi la antigen lidzakhala kunja ndipo lidzayamba kupanga ma antibodies. Ndipo atalowera kuchokera kwa mayi kufika pamimba, amawononga erythrocyte yake. Izi zingachititse matenda aakulu kapena kufa kwa mwana, koma nthawi zonse, ndi mimba yoyamba ya ma antibodies osati mwazi wa mayi. Koma pakapita mimba, chiwerengero cha ma antibodies chidzakula, ndipo sizidzadalira ngati kubereka kapena kutenga mimba kunasokonezedwa. Chifukwa chaichi, ndipo kuopseza mwanayo kumawonjezeka, kotero kuti ndi mimba yosavuta yochotsa mimba ndi yosafunika. Azimayi ayenera kupita kukaonana ndi amayi ndikukayezetsa kachilombo koyambitsa matendawa komanso ngati akufunikira kuchipatala. Choyamba, amai amafufuzidwa chifukwa cholimbikitsa - kupezeka kwa ma antibodies m'magazi. Zimatuluka ndi kuika magazi magazi omwe ali abwino m'magazi ali ndi nthenda yosasangalatsa, ndi kuchotsa mimba, ectopic pregnancy (masabata 7-8), kuperewera kwa amayi, kuperewera kwa mwana wamwamuna, pa chifuwa chachimuna. Ikhozanso kuonekera asanabadwe, ngati mtsikana wa Rhesus-ali ndi maselo ofiira a mayi omwe ali ndi kachilombo ka Rh. Madokotala amadziwa momwe angatengere ndondomeko kuti amayi omwe ali ndi kachirombo ka Rhesus ali ndi ana abwino. Koma chimodzimodzi, ndi chinthu cholakwika cha Rhesus, kuchotsa mimba ndi koopsa kwambiri, choncho ndi chifukwa chake, tiyeni tiyesere kuchilingalira.
1. Ngati mayi wapakati ndi abambo a mwana wa Rh ali ndi zovuta, ali ndi nkhawa, sikoyenera, mwanayo ali ndi vuto loipa la makolo onse awiri, Rhesus - sipadzakhala mkangano. Kuchotsa mimba kudzakhala ndi chiopsezo chachibadwa.
2. Ngati mayi ali ndi Rhesus yoipa, komanso mwamuna wabwino, pakadali pano mwanayo akhoza kukhala ndi kachilombo ka Rh. Pomwepo padzakhala mkangano wa Rhesus - mu thupi, akazi amayamba kupanga ma antibodies, amalowa m'magazi a fetus kudzera m'mimba ya amayi ndipo "amawombera" erythrocytes, kuyesa kuwawononga. Chifukwa chake, mwana ndi mayi amavutika. Chifukwa cha imfa ya erythrocytes m'mimba mwa mwana, chitukuko cha mtundu wa erythrocyte chimayamba, chifukwa cha izi, chiwindi ndi chiwindi chikuwonjezeka. Erythrocyte imatha, ndipo mpweya wa oxygen umayamba mu ubongo. Pakalipano, madokotala apeza njira zothetsera vutoli. Mzimayi yemwe ali ndi kachilombo ka HIV ndipo mwana yemwe ali ndi kachilombo ka HIV amawonedwa, akuyesedwa ndipo, ngati kuli koyenera, amachitidwa njira yapadera yothetsera nkhondo ya Rhesus. Kusunga malo "amtendere" mpaka kutha kwa mimba. Koma panthawi yobereka, pangakhale pangozi ya kutenga fetal magazi m'magazi a mayi. Ngati zinthu zoterezi zichitika, thupi liyamba kuyambitsa ma antigen. Ndikofunika kusunga kwa nthawi yoyamba miyezi yakubadwa.
Rh yoipa, kuchotsa mimba - chiopsezo cha kusabereka.
Rh yoipa, kuchotsa mimba - chiopsezo cha kusabereka pa nkhaniyi kumawonjezereka kangapo. Sichidalira njira imene kuchotsa mimba kumachitika: opaleshoni kapena mankhwala, kuchotsa mimba sikudzapitirira popanda tsatanetsatane. Ndipo pangozi siyiyi yokha, pamtunda woyamba wa rhesus, mu thupi mkaziyo amayamba kupanga maantijeni, iwo ndi aakulu kuposa maselo ena, omwe sagwira ntchito, amalowa mkati mwa placenta ali ndi mavuto. Pa chifukwa chimenechi, panthawi yomwe mayi ali ndi mimba yoyamba amakhala ndi vuto loperekera padera, nthawi zambiri kuposa amayi omwe alibe mpikisano wa Rh. Chizindikirocho chinalandiridwa ndi thupi ndipo pakapita mimba, nthawi yomweyo chitukuko cha antigen zomwe zatha "kuthamangira kunkhondo" chiyamba. Koma adzakhala okonzeka kumenyana ndikukhala ochepa kwambiri, omwe amatha kukhala ndi mphamvu zowononga adani (maselo ofiira a mwana wosabadwa). Choncho, pa mimba iliyonse yothandizira mimba, chiopsezo chotenga pathupi kapena kupweteka kwa ubongo kumawonjezeka. Ndipo mosasamala kanthu kuti mwanayo anabadwa kapena anachotsa mimba, mlingo wa chiopsezo ukuwonjezeka. Mimba iliyonse, kupititsa padera kapena kuchotsa mimba kumabweretsa chiopsezo cha 10%. Ndipo panthawi inayake panthawi yoyamba mimba padzakhala pangozi kwa mayiyo ndipo sipadzakhalanso mwayi wa zotsatira zabwino.
Njira zotetezera ndi Rh factor.
Si nthawi zonse mkazi amene amasankha kubwezera chigamulocho. Pali nthawi pamene kusungidwa kwa mimba kumabweretsa ngozi kapena kuopseza moyo wa mkazi.
Kuti muteteze nokha ndi mwana wamwamuna, mayi yemwe ali ndi Rhesus wosayenera ayenera kudziwa: vuto lochepa lochotsa mimba lidzakhala ngati lidutsa sabata lachisanu ndi chiwiri la mimba. Chifukwa thupi limayamba kupanga ma antibodies, kuyambira pachisanu ndi chiwiri - sabata lachisanu ndi chitatu kuchokera pachiberekero.
Pambuyo pochotsa mimba, m'pofunikira kufotokoza immunoglobulin antiresusive, imapezeka kuchokera ku magazi opereka, ndipo ikhoza kuletsa kupanga ma antibodies. Njirayi ikuchitika masiku atatu kuchokera tsiku lochotsa mimba. Ndikofunikira kwambiri kuchita izi pambuyo pochotsa mimba ya mimba yoyamba, pofuna kuchepetsa chiopsezo m'mimba yotsatira.
Palibe zochotsa mimba, palibe amayi abwino kapena opanda pake. Kuopsa kochotsa mimba ndi Rhesus yolakwika, kumayambitsa kuwononga kwakukulu kwa thanzi, ngakhale ndi kulekerera bwino, zotsatira sizikhoza kukudziwitsani mwamsanga.
Ngati kuchotsa mimba komweko sikungapeweke, muyenera kuthandizira thupi lanu kuti likhalenso ndi zotsatira zochepa.