Rh Kūlike ʻole

Anter

• He aha ka Rh incompatibility?
• Pehea ka hopena Rh i ka hāpai ʻana?
• He aha nā hōʻailona o Rh incompatibility?
• ʻO wai ka mea e makaʻu i ka pili ʻole o Rh?
• Pehea e ʻike ʻia ai ka launa ʻole o Rh?
• Pehea e mālama ʻia ai ʻo Rh incompatibility?
• Aia kekahi pilikia?
• Hiki iā Rh incompatibility ke pale ʻia?

He aha ka Rh incompatibility?

Ke hāpai ka wahine a me kāna pēpē i hānau ʻole ʻia i nā kumu protein Rhesus (Rh) ʻokoʻa, kapa ʻia ko lākou kūlana Rh incompatibility. Hana ʻia ia Rh-maikaʻi ʻole ka wahine a Rh-maikaʻi kāna pēpē. ʻO ka Rh kumu kahi protein kikoʻī i ʻike ʻia ma ka ʻili o kou mau ʻulaʻula.

E like me kāu ʻano koko, hoʻoili ʻoe i kāu Rh factor type mai kou mau mākua. Rh-maikaʻi ka hapa nui o ka poʻe, akā he hapa iki o ka poʻe Rh-maikaʻi ʻole. ʻO kēia ke kumu nele lākou i ka protein Rh.

Pehea ka hopena Rh i ka hāpai ʻana?

ʻO kahi hōʻailona maikaʻi a maikaʻi ʻole paha ma hope o kāu ʻano koko hōʻike i kāu helu Rh. ʻO kahi laʻana, "ʻano koko: AB +" i kākau ʻia paha ma kāu palapala olakino.

ʻAʻole pili pono kāu mea Rh i kou olakino. Eia nō naʻe, lilo ka mea Rh i mea nui i ka wā hāpai. Inā Rh-maikaʻi ʻole ka wahine a Rh-maikaʻi kāna pēpē, a laila e hoʻokokoke ke kino o ka wahine i ka protein Rh-maikaʻi ma ke ʻano he mea haole, inā hōʻike ʻia kāna pale pale.

ʻO kēia ke kumu inā keʻa aʻe nā hunaola koko mai kāu pēpē i kou kahe o ke koko, hiki ke hana ʻia i ka wā hāpai, hana, a me ka hānau ʻana, e hana ana kāu ʻōnaehana pale pale i nā mea pale kūʻē i nā hunaola ʻulaʻula o kāu pēpē.

ʻO nā Antibodies nā ʻāpana o ka ʻōnaehana pale o kou kino. Hoʻopau lākou i nā mea haole.

Inā loaʻa iā ʻoe kahi ʻano Rh-maikaʻi ʻole o ke koko, manaʻo ʻia ʻoe he "sensitized" i nā ʻano koko maikaʻi ke hana kou kino i kēia mau antibodies.

ʻO ke kumu o kēia e hoʻouna paha kou kino i kēia mau mea ʻino ma waena o ka placenta e hoʻouka aku i nā hunaola ʻulaʻula o kāu pēpē ʻO kāu placenta ka mea hoʻohui e hoʻopili iā ʻoe a me kāu pēpē.

He aha nā hōʻailona o Rh incompatibility?

Hiki i nā hōʻailona incompatibility Rh i kāu pēpē i hānau ʻia mai ke ʻano ʻoluʻolu a weliweli i ke ola. Ke hoʻouka aku kāu mau antibodies i nā hunaola ʻulaʻula o kāu pēpē, hiki ke loaʻa ka maʻi hemolytic. ʻO kēia ka mea i luku ʻia ai nā hunaola koko ʻula o kāu pēpē.

Ke luku ʻia nā hunaola ʻulaʻula olakino o kāu pēpē, e kūkulu ʻia ka bilirubin i loko o ko lākou kahe koko.

ʻO Bilirubin kahi kemika i hana ʻia mai ka haki ʻana o nā hunaola ʻulaʻula. ʻO ka nui o ka bilirubin he hōʻailona ia o ke akepaʻa, ke kuleana no ka hana ʻana i nā hunaola ʻelemakule, ke loaʻa nei ka pilikia.

Loaʻa paha i kāu pēpē kekahi a ʻoi paha o nā ʻōuli e hiki mai ana inā kiʻekiʻe ko lākou bilirubin pae ma hope o ka hānau ʻana.

• jaundice, he melemele o ka ʻili a keʻokeʻo o nā maka
• lethargy
• leo hoʻohaʻahaʻa haʻahaʻa

E emi kēia mau ʻōuli ma hope o ka pau ʻana o ka lapaʻau ʻana no ka Rh incompatibility.

ʻO wai ka mea e makaʻu i ka pili ʻole o Rh?

ʻO kēlā wahine kēia wahine Rh-maikaʻi ʻole a ke hānau keiki nei me kekahi mea Rh-maikaʻi a i ʻole me kahi kūlana Rh i ʻike ʻole ʻia e pilikia paha ʻo Rh incompatibility. Eia nō naʻe, hāʻawi ʻia i ka pākēneka haʻahaʻa o nā kānaka me ka ʻole-ʻino nā ʻano koko, ʻaʻole pinepine kēia.

Wahi a ka Stanford Blood Center, haki nui ka pākēneka o nā ʻano koko penei:

Lōʻihi ka manawa i ke kino e hoʻomohala i nā mea pale, no laila ʻaʻole pilikia nā keiki hānau mua. Eia nō naʻe, inā lilo ka makuahine i mea no ka hānau keiki ʻole a hāpai ʻole paha, e loli paha i kāna hanau mua ʻana e Rh incompatibility.

Hiki ke hōʻike ʻia kahi makuahine i ke koko Rh-maikaʻi i ka wā o kekahi mau hōʻike prenatal a i ʻole nā ​​kaʻina hana. ʻO kahi laʻana he amniocentesis. I kēia hoʻokolohua, hoʻohana kāu kauka i kahi nila no ka hemo ʻana i kekahi wai o ka ʻeke a puni kāu pēpē. Hiki ke hoʻāʻo i kēia wai no nā pilikia i ka hānau ʻōpū.

Pehea e ʻike ʻia ai ka launa ʻole o Rh?

E hana ʻia kahi hōʻoia koko e hoʻoholo i kāu kūlana Rh i kāu kipa mua mua me kāu kauka.

Inā Rh-maikaʻi ʻole ʻoe, e hoʻāʻo ʻia kāu hoa. Inā he Rh-maikaʻi ʻole kāu hoa, ʻaʻohe ou mea e hopohopo ai. Inā Rh-maikaʻi kāu hoa a ʻo Rh-maikaʻi ʻole ʻoe, e ʻimi ana kāu kauka no nā hōʻailona aʻe o Rh incompatibility.

ʻO kahi hōʻoia Coombs kūlike ʻole kahi hōʻailona o Rh incompatibility. Hoʻohana kēia hoʻokolohua i kahi laʻana koko e nānā i ke kū ʻana o nā mea ʻino e hoʻopau ana i ka cell i loko o ka plasma o kou koko.

ʻO nā pae kiʻekiʻe ma mua o ka maʻamau o ka bilirubin i ke koko o kāu pēpē kahi hōʻailona o ka pili ʻole o Rh. I loko o kahi pēpē wā piha ma lalo o 24 mau hola, ʻo nā pae o ka bilirubin ma lalo o 6.0 milligrams no kēlā me ka deciliter.

ʻO nā hōʻailona o ka luku ʻana o ke koko ʻulaʻula i ke koko o kāu pēpē e hōʻike paha i ka launa ʻole o Rh. Hiki ke hoʻoholo ʻia kēia e ke kinona a me ke ʻano o nā hunaola ʻulaʻula ke nānā ʻia ma lalo o kahi microscope.

Hiki i kāu kauka ke hoʻāʻo i ke koko o kāu pēpē no ke kū ʻana o nā mea ʻāpuna makuahine e wāwahi nei i nā hunaola ʻulaʻula.

Pehea e mālama ʻia ai ʻo Rh incompatibility?

Mālama ka lāʻau i ka pale ʻana i nā hopena o ka launa ʻole. I nā hihia maʻalahi, hiki ke mālama ʻia ka pēpē ma hope o ka hānau ʻana me:

• he moʻo o ke kuʻi koko
• wai hydrating
• electrolytes, nā mea e hoʻoponopono i ka metabolism
• phototherapy

Pili ka Phototherapy i ka mālama ʻana i kāu pēpē ma kahi kokoke i nā kukui uila e kōkua i ka hōʻemi ʻana i ka bilirubin i loko o kā lākou koko.

Hiki paha ke hana hou i kēia mau kaʻina hana a hiki i ka lawe ʻia ʻana o nā lāʻau ʻino Rh-maikaʻi a me ka bilirubin nui aʻe mai ke koko o kāu pēpē. Inā paha e pono e hana hou ia i ka nui o ke ʻano o kāu pēpē.

Inā hāpai ʻoe a hoʻoholo ke kauka ua hoʻomohala mua ʻoe i nā mea ʻāpala e kūʻē i kāu pēpē, e nānā pono ʻia kāu hāpai ʻana.

Hiki iā ʻoe ke pale i nā hopena o Rh incompatibility ma o ka loaʻa ʻana o kahi injection o Rh immune globulins (RhIg) i ka wā o kou trimester mua, i ka wā o ka hāpai ʻole ʻana, a i ʻole ke kahe ʻana o ke kahe i kou wā hāpai.

Aia nā huahana o ke koko i nā mea pale i ka mea Rh. Inā loaʻa i kāu pēpē ke koko Rh-maikaʻi, pono ʻoe e loaʻa ka lua o ka ʻoki ʻana i kekahi mau lā ma hope o kou hānau ʻana.

I nā hihia kākaʻikahi loa a koʻikoʻi hoʻi, hiki ke hana ʻia kahi ʻano o ke kahe ʻana o ke koko kūikawā ʻoiai kāu pēpē i loko o kou kōpū a ma hope paha o ka hānau ʻana.

Eia naʻe, ʻo ka holomua o nā pana RhIg i hana i kēia lapaʻau wale nō ma lalo o 1 pākēneka o nā hihia o Rh incompatibility i United States.

Maikaʻi ka nānā ākea i nā hihia akahai o Rh incompatibility.

Aia kekahi pilikia?

Nā hihia koʻikoʻi, kahi i pale ʻole ʻia ai nā hopena o Rh incompatibility, hiki ke hopena i nā pilikia koʻikoʻi. Pili pū paha kēia mau pilikia:

• pōʻino lolo i ka pēpē, i kapa ʻia ʻo kernicterus
• hoʻoulu wai a ʻōhū paha i ka pēpē
• ka pilikia me ka hana noʻonoʻo, ka neʻe, ka hoʻolohe, a me ka ʻōlelo
• ka hopu ʻana
• anemia
• puʻuwai puʻuwai

Hiki ke make ka pēpē. ʻAʻole pilikia iki ʻo Rh incompatibility i nā ʻāina me ka mālama olakino maikaʻi.

Hiki iā Rh incompatibility ke pale ʻia?

Hiki ke pale ʻia kēia ʻano. Inā manaʻo ʻoe he hāpai ʻoe a loaʻa i kahi ʻano koko Rh-maikaʻi ʻole, pono ʻoe e kamaʻilio me kāu kauka e hoʻoholo i ka hoʻolālā maikaʻi loa.

Inā Rh-maikaʻi ka makuakāne o kāu keiki a i ʻole ʻike ʻole ʻia kona ʻano koko, ʻo ka loaʻa ʻana o ka lāʻau pale me nā globulins immune e pale i nā hopena koʻikoʻi.