Iqiniso lokuthi kukhona lesi sici noma cha, asithinti impilo yomuntu nganoma iyiphi indlela. Kuyini, kungani igazi labesifazane abakhulelwe lithatha i-Rh-yebo? Yebo, ngoba abalingani (abalingani) abanobuchopho obuhle, bangaba ne-Rh ehlukile. Isibonelo, kubaba wengane, i-Rh factor is positive, futhi umama ungu-Rh-negative. Futhi ingane ezayo ingathola i-rhesus kayise, futhi lokhu ngeke kuhambisane ne-rhesus yomama.
Ngesikhathi sokukhulelwa, amangqamuzana egazi abomvu we-fetus angangena egazini likaMama, ngoba umzimba lo antigen uzobe ungaphandle futhi uzoqala ukukhiqiza ama-antibodies. Futhi ngokungena kusuka kumama ukuya emntwaneni, bayobhubhisa i-erythrocyte yakhe. Lokhu kungabandakanya ukugula okungathí sina noma ukufa komntwana, kodwa hhayi njalo, ngokukhulelwa kokuqala kwama-antibodies hhayi kakhulu egazini lomama. Kodwa ngokukhulelwa okulandelayo, inani lama-antibodies liyokhula, futhi ngeke lithembele ukuthi ukulethwa kwaba noma ukukhulelwa kwaphazamiseka. Ngenxa yalokhu, futhi usongo olususwini luyakhula, ngakho-ke nge-Rhesus isisu esingalungile akusifisi. Abesifazane abakhulelwe kufanele bavakashele njalo ukubonisana kwabesifazane futhi bahlolwe ngamagciwane futhi uma kunesidingo sokwelashwa. Okokuqala, owesifazane uhlolwe ukuzwa - ukutholakala kwama-antibodies egazini. Iphuma ngokumpontshelwa igazi kwe-Rh factor egazini nge-rhesus engafanele, nokukhipha isisu, ukukhulelwa kwe-ectopic (amasonto angu-7-8), ukukhulelwa kwesisu, ukukhishwa kwe-chorion biopsy (embhedeni wesisu), ukuhlukunyezwa kowesifazane okhulelwe. Kungase kuvele futhi ngaphambi kokuzalwa, uma intombazane engama-Rhesus-negative ithola amangqamuzana egazi abomvu anama-Rh-positive factor. Odokotela bayazi ukuthi bangathatha kanjani izinyathelo ukuqinisekisa ukuthi abesifazane abanesimo esibi seRhesus banezingane ezinempilo. Kodwa konke okufanayo, nge-factor Rhesus engalungile, ukukhipha isisu kuyingozi kakhulu, ngakho-ke yisiphi isizathu, ake sizame ukuyihlola.
1. Uma owesifazane okhulelwe kanye noyise weR Rh bephethe izinto ezimbi, bakhathazekile, akudingekile, ingane izoba ne-rhesus engafanele yabazali bobabili, uRhesus - ngeke kube khona ukungqubuzana. Ukukhipha isisu kuzoba nenani elijwayelekile leengozi.
2. Uma owesifazane eneRhesus engalungile, futhi owesilisa omuhle, kulokhu umntanakho angathola ifa elihle le-Rh factor of the father. Khona-ke kuyoba khona impikiswano yaseRhesus - emzimbeni, abesifazane baqala ukuthuthukisa ama-antibodies, bangena egazini le-fetal nge-placenta lomama futhi "bahlasele" ama-erythrocytes, bezama ukuwabhubhisa. Ngenxa yalokho, ingane nomama bahlupheka. Ngenxa yokulahlekelwa ama-erythrocyte emfubeni, ukuthuthukiswa kokukhiqizwa kwe-erythrocyte kuqala, ngenxa yalokhu, ukwanda kwesibungu nesibindi. Ama-erythrocyte abhubha, futhi isifo se-oxygen siqala ebuchosheni. Njengamanje, odokotela bathole izindlela zokulwa nale nkinga. Owesifazane ophethe i-Rh factor enhle futhi ingane ene-Rh factor ehlonishwayo iyabonwa, ihlolwe futhi, uma kunesidingo, iphathwa ngendlela ekhethekile yokumisa impi ye-Rhesus. Ukugcina isikhundla "sokuthula" kuze kube sekupheleni kokukhulelwa. Kodwa ngesikhathi sokubeletha, kungaba khona ingozi yokuthola igazi le-fetal egazini likaMama. Uma kwenzeka leso simo, umzimba uzoqala ukukhiqiza ama-antigen. Kubalulekile ukugcina okokuqala izinyanga emva kokubeletha.
Negative Rh factor, ukukhipha isisu - ingozi yokungasebenzi.
I-Negative Rh factor, ukukhipha isisu - ingozi yokungabi nalutho kuleli cala kwandisa izikhathi eziningi. Akuxhomeki ukuthi iyiphi indlela yokukhipha isisu eyenziwa: ukuhlinzwa noma imithi, ukukhipha isisu ngeke kudlule ngaphandle kokulandelela. Futhi ingozi akukhona kuphela kulokhu, empini yokuqala ye-rhesus, emzimbeni owesifazane uqala ukuthuthukisa ama-antigens, amakhulu kunamanye amaseli, angasebenzi, angene ngaphakathi kwe-placenta ngobunzima. Ngenxa yalesi sizathu, ngesikhathi sokukhulelwa kokuqala kukhona usongo lokukhulelwa kwesisu, kaningi kunabesifazane abangenayo impikiswano ye-Rh. Isignali yamukelwa ngumzimba futhi ekukhulelweni okulandelayo, ngokushesha ukuthuthukiswa kwama-antigen okulungele "ukugijimela empini" kuzoqala. Kodwa bayobe balungele ukulwa futhi babe bancane kakhulu, behamba phambili futhi banamandla okwenza isitha esinamandla (amangqamuzana egazi abomvu we-fetus). Ngakho-ke, kukho konke ukulandela ukukhulelwa kwe-rhesus-ingxabano, ingozi yokukhulelwa kwesisu noma ukukhubazeka ekuthuthukiseni ukukhula komntwana kuyanda. Futhi kungakhathaliseki ukuthi umntwana wazalwa noma wakhipha isisu, izinga lesingozi liyanda. Ukukhulelwa noma ukukhipha isisu kuphakamisa ingozi ngo-10%. Futhi ngesikhathi esithile sokuqala kokukhulelwa kuyoba usongo ekuphileni komama futhi ngeke kube khona nhlobo ithuba lomphumela omuhle.
Izinyathelo zokuphepha nge-Rh factor negative.
Akuyona njalo owesifazane okhetha ukukhipha isinqumo. Kunezimo lapho ukugcinwa kokukhulelwa kuyoholela engozini noma engozini empilweni yowesifazane.
Ukuze uzivikele wena nomntwana wakho, owesifazane onama-Rhesus angalungile kudingeka azi: ingozi ephansi yokukhipha isisu iyoba yilapho idlula ngaphambi kweviki lesikhombisa lokukhulelwa. Ngoba umzimba uqala ukukhiqiza ama-antibodies, kusukela ngeyesikhombisa - isonto lesishiyagalombili kusukela ekukhulelwe.
Ngemuva kokukhipha isisu, kubalulekile ukuletha i-immunoglobulin ephikisayo, itholakala egazini legazi, futhi likwazi ukuvimba ukukhiqizwa kwama-antibodies. Le nqubo yenziwa ezinsukwini ezintathu kusukela ngosuku lokukhipha isisu. Kubaluleke kakhulu ukufeza le nqubo emva kokukhipha isisu kokukhulelwa kokuqala, ukuze kuncishiswe ingozi ekukhulelweni okulandelayo.
Azikho ukukhipha isisu okuphephile, akukho okuhle komama noma akukho okubi. Okuyingozi kakhulu ukukhipha isisu nge-Rhesus embi, kubangela ukulimala okukhulu empilweni, ngisho nokubekezela okuhle, imiphumela ingase ingakusizi ngokushesha.
Uma ngabe ukukhipha isisu okufanayo kungenakugwemeka, udinga ukusiza umzimba wakho ukuba ululame futhi wenze imiphumela encane.