Hōʻike koko hoʻohele erythrocyte Fetal-maternal

Hoʻohana ʻia ka hoʻāʻo ʻana o ka erythrocyte fetal-maternal e ana i ka nui o nā hunaola ʻulaʻula o ka pēpē i hānau ʻole ʻia i ke koko o ka wahine hāpai.

Pono kahi laʻana koko.

ʻAʻole pono kahi hoʻomākaukau kūikawā no kēia hōʻike.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

ʻO Rh incompatibility kahi kūlana i kū i ka wā o ke ʻano o ke koko o ka makuahine ʻo Rh-maikaʻi (Rh-) a ʻo ke ʻano o ke koko o kāna pēpē i hānau ʻole ʻia ʻo Rh-positive (Rh +). Inā Rh + ka makuahine, a inā Rh- nā mākua ʻelua, ʻaʻohe kumu e hopohopo ai no ka pili ʻole o Rh.

Inā ʻo Rh + ke koko o ke pēpē a komo i loko o ke kahe o ke koko Rh, e hana ana kona kino i nā mea ʻino. Hiki i kēia mau antibodies ke hoʻi i waena o ka placenta a hōʻeha i nā hunaola ʻulaʻula o ke pēpē e ulu ana. Hiki i kēia ke kumu i ka anemia akahai i ka pēpē i hānau ʻole ʻia.

Hoʻoholo kēia hōʻike i ka nui o ke koko i hoʻololi ʻia ma waena o ka makuahine a me ka fetus. Pono nā wahine Rh-hāpai āpau e hōʻoia i kēia hōʻoia inā loaʻa lākou i ke kahe a i ʻole ka makaʻu o ke kahe i ka wā o ka hāpai ʻana.

I loko o ka wahine nona ke koko Rh kūpono ʻole me kāna pēpē, kōkua kēia hōʻike e ʻike i ka nui o Rh immune globulin (RhoGAM) e pono ai ke loaʻa iā ia e pale ai i kona kino mai ka hana ʻana i nā protein ponoʻī e hoʻouka i ka pēpē hānau ʻole i nā wā e hāpai ai.

I ka waiwai maʻamau, ʻaʻohe a liʻiliʻi paha o nā hunaola o ka pēpē i ke koko o ka makuahine. Ua lawa ka mahele lāʻau maʻamau o RhoGAM i kēia hihia.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

I kahi hopena hoʻokolohua ʻole, ke kahe nei ke koko mai ka pēpē i hānau ʻole ʻia i loko o ke kahena o ka makuahine. ʻO ka nui o nā hunaola o ka pēpē, ʻo ka nui o Rh immune globulin e pono ai ka makuahine.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Nā punctures he nui e ʻimi i nā uaua
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Kleihauer-Betke stain; Kahe cytometry - ka hāʻawi ʻana o ka erythrocyte fetal-maternal; Rh incompatibility - erythrocyte hoʻoili

Chernecky CC, Berger BJ. ʻO Betke-Kleihauer stain (fetal hemoglobin stain, Kleihauer-Betke stain, K-B) - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 193-194.

ʻO Cooling L, Downs T. Immunohematology. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 35.

Moise KJ. Alloimunization ʻula ʻula. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 40.