Nā mea'aʻaʻa ma ka hāpai keiki: He aha ka pilikia RH-e kue ana a me ka pae incompatibility

Pinepine,, nui kou manaʻo e pili ana i kā lākou beremennnosti a au pono e olelo aku nei wahine me RH otitsatelny, pono pela. RH ololi o ke kumuʻiʻo aia ma luna o ka ili o erythrocytes. Pilikia e ala ina ka makuahine o RH io (Rh-), a me ke keiki (RH +) - 'oluʻolu, ili mai o kona makua kāne. Rarer ABO incompatibility e hoʻomōhala ana i loko o ka'ōnaehana (pae incompatibility). Ma hope o hui 'ana me ka fetal koko i loko o ka makuwahine o ka koko antigens i lawe nā mea'aʻaʻa.

Nā mea'aʻaʻa ma ka hāpai keiki luku fetalʻulaʻula koko keena, i hiki aku ai i ka io hopena, e like me hemolytic maʻi. Hui pu pilikia nā:'āno'ē akepaa hana, i ka hana o ka circulatory'ōnaehana, naʻau ole. Ma ka fetus loli ke loaa, e alakai i ka edema. Ka maʻi hoʻomaka e hoʻomōhala kakahiaka me 22 pule o ka hāpai keiki.

No ke aha la i noho pilikia Rhesus kue

It E e kaulana ia rhesus kue mea,ʻaʻole loa pilikia ma ka hihia o ka hāpai keiki mua. Ke hui pu iaʻi o maternal koko me ke koko o ke keiki i wahi ma hope o ka hānau, a hiki ua hanaʻia nā mea'aʻaʻa mai i oweliweli i ka hoʻoweliweli 'ana i ke keiki.

Eia naʻe, ina he wahine ka manao i kona lua pēpē, na nā mea'aʻaʻa i hāpai keiki hiki i pathologies mea, mai i ke keiki ke make i loko o ka opu. Ke kumu nui weliweli ke moe i loko o ka auaaeaiea o ka nui dala o ka waiwai bilirubin hua, e kaua aku i nā nā mea'aʻaʻa, i ke kūlana maikaʻiʻole kona na nā loko,ʻano nui ke ake, spleen a me ka lolo. Pinepine rhesus kue hiki aku ai i ka miscarriage a premature hanau.

Nā mea'aʻaʻa i hana i hāpai keiki i ka wa a ka wahine o RH io a me ke kanaka i ka maikaʻi RH. Ma keia hihia, RH kue ia lŘlŘ i loko o 75% o ka hihia. Incompatibility ke'ākoʻakoʻa inā i i ka wahine he koko transfusion, a i ole ia RH i ka mooolelo.

I ke koko hoao no nā mea'aʻaʻa

ʻO ka wā hoʻolala i ka hāpai keiki na wahine e ike i kou RH ololi a me RH ololi o ka makua kāne i ke keiki kāne. Inā he mea kekahi likelihood o RH-kue, ka mea e pono ai, e hana i ka Ka Ikepili ma luna o nā mea'aʻaʻa i hāpai keiki pinepine ae la oia. Ka manawa mua oe Pono e hana i kēia ina hana ma luna o 8 hebedoma o ka hāpai keiki , a laila, mau kulana kupono no nā mea'aʻaʻa i 30 hebedoma - koke i ka mahina, i ka 36 hebedoma - pule.

Ma ka mea hookahi no hopena mea kūpono i loko o ka incompatibility o ke koko pūʻulu o ka makuahine a me ke keiki. Pilikia e ala ina o ka wahine i ka mea aʻu i koko pae a me ka fetal koko pae II a III. Ma keia hihia, fetal antigens kāhuakomo i ka maternal koko pae nā mea'aʻaʻa a anao? Aou. Group lāʻau lapaʻau kino i hāpai keiki alakai i ke kūpono 'ana o ke hemolytic maʻi a me ka ole emi pilikia ma mua o D-antigens.

Eia naʻe, he koko hoao no nā mea'aʻaʻa e hōʻike i ka maʻi wale ina mea ua hua mai la i ka huipūʻana me nā PalekanaEND_LINK ki ina hana like. O ka nui o ka lāʻau lapaʻau kino titer, a me ka loli ma ka hāpai keiki. Ke kiekie o ka lāʻau lapaʻau kino titer, o ka nui paha he adverse hoʻokūkū.

Nā mea'aʻaʻa i hāpai keiki e e hōʻike 'ia ma ka' eleu kūpono, a me ka wahine i loko o ka moku'āina i kauoha mai ai i ka papa o injections, a i paa mai ka 10 a hiki i 22, a me 22 po24 a me ka 32 i ka 34 no ka hebedoma. I ka complications o ka hāpai keiki i kekahi wahine e e i loko o ka haukapila, ma lalo o ka hooponopono ana o kauka.

Women me ka mōʻaukala o miscarriages paha i hānau pēpē, waiho wale aku hemolytic maʻi i loko loa, lapaʻau ua lawe mai plasmapheresis, i ua pahuna i wehe mai i ke koko o nā mea'aʻaʻa.

Inā fetal hemolytic maʻi i hoopaaia, Ua pololei ka wanaʻao hānau. O ke kumu ho i ka mea i ka pau ana o ka wā o ka haawi ana o nā mea'aʻaʻa ana, piʻi pū. I loa fetal maʻi hāpai keiki ua 'ōlelo. Akā, ma ka hapanui o na hihia e hiki ke hoemi i ka pono imua hua'ōlelo o ka haawi.