Erythroblastosis Fetalis

Zoo Siab

• Cov tsos mob ntawm erythroblastosis fetalis zoo li cas?
• Dab tsi ua rau mob erythroblastosis fetalis?
• Rh tsis sib xws
• ABO tsis sib xws
• Yuav kuaj li cas thiaj paub tau erythroblastosis fetalis?
• Kev kuaj mob zaus
• Rh tsis sib xws
• ABO tsis sib xws
• Yuav kho tus mob erythroblastosis fetalis li cas?
• Qhov tshwm sim mus sij hawm ntev rau tus mob erythroblastosis fetalis yog dab tsi?
• Puas tuaj yeem tiv thaiv tus mob erythroblastosis fetalis?

Erythroblastosis fetalis yog dab tsi?

qe ntshav liab Cov ntshav ntshav (WBCs)

Cov tsos mob ntawm erythroblastosis fetalis zoo li cas?

Cov menyuam mos uas tau hnov ​​tus mob erythroblastosis fetalis cov tsos mob yuav tshwm sim o, daj, lossis daj ntseg tom qab yug los. Tus kws kho mob yuav pom tias tus menyuam muaj lub siab loj dua qhov lub cev lossis lub qe menyuam khiav ua haujlwm. Kuaj ntshav kuj tseem tuaj yeem ua pov thawj pom tau tias tus menyuam muaj ntshav lossis tsis muaj ntshav RBC. Cov menyuam mos yuav tuaj yeem paub tus mob hu ua hydrops fetalis, uas cov kua pib tawm zuj zus mus rau cov chaw uas cov kua tsis ntws tawm. Qhov no suav nrog qhov chaw hauv:

• plab
• plawv
• ntsws

Cov tsos mob no tuaj yeem tsim kev phom sij vim tias cov kua dej ntxiv tso rau lub siab thiab cuam tshuam nws lub peev xwm.

Dab tsi ua rau mob erythroblastosis fetalis?

Muaj ob qho laj thawj ntawm erythroblastosis fetalis: Rh tsis sib xws thiab ABO tsis sib xws. Ob qho laj thawj muaj feem xyuam nrog hom ntshav. Muaj plaub hom ntshav:

• A
• B
• AB
• O

Ntxiv rau, cov ntshav tuaj yeem yog Rh tsis zoo lossis Rh tsis zoo. Piv txwv li, yog tias koj yog hom A thiab Rh zoo, koj muaj A antigens thiab Rh factor antigens ntawm koj lub RBCs. Antigens yog yam uas ua kom muaj kev tiv thaiv hauv koj lub cev. Yog tias koj muaj AB tsis zoo ntshav, ces koj muaj ob qho A thiab B antigens tsis muaj Rh yam antigen.

Rh tsis sib xws

Rh kev tsis sib xws tshwm sim thaum Rh-negative niam yog impregnated los ntawm leej txiv Rh-zoo. Qhov tshwm sim tuaj yeem yog tus menyuam yaus Rh-positive. Hauv cov xwm txheej zoo li no, koj tus menyuam yaus tus kabmob Rh antigens yuav pom tau tias yog neeg tuaj txawv tebchaws, txoj hauv kev lossis cov kab mob. Koj cov ntshav tawm tsam tus menyuam lub cev yog ib qho kev tiv thaiv uas tuaj yeem cuam tshuam tus menyuam. Yog tias koj cev xeeb tub nrog koj thawj tus menyuam, Rh kev tsis sib xws yuav tsis muaj kev txhawj xeeb ntau. Txawm li cas los xij, thaum yug tus menyuam hauv Rh-positive, koj lub cev yuav tsim cov tshuaj tiv thaiv kev tiv thaiv tus kabmob Rh. Cov tshuaj tiv thaiv no yuav tua cov qe ntshav yog tias koj cev xeeb tub nrog lwm tus menyuam yaus Rh-positive.

ABO tsis sib xws

Lwm hom ntshav tsis sib xws uas tuaj yeem ua rau leej niam tiv thaiv tsis taus cov menyuam cov qe ntshav yog ABO tsis sib xws. Qhov no tshwm sim thaum leej niam cov ntshav hom A, B, lossis O tsis haum rau tus menyuam. Tus mob no yuav luag tsis tshua muaj teeb meem lossis hawv rau tus menyuam ntau dua li Rh kev tsis sib xws. Txawm li cas los xij, cov menyuam yaus tuaj yeem nqa tau cov tshuaj antigens tsawg uas tuaj yeem ua rau lawv muaj kev pheej hmoo rau erythroblastosis fetalis. Cov antigens suav nrog:

• Xob
• Duffy
• Kiab
• Loojceeb
• Diego
• Xg
• P
• Xws li Ee
• Cc
• MNSs

Yuav kuaj li cas thiaj paub tau erythroblastosis fetalis?

Txhawm rau kuaj mob erythroblastosis fetalis, tus kws kho mob yuav xaj kuaj ntshav niaj zaus thaum koj mus kuaj cev xeeb tub thawj zaug. Lawv yuav kuaj koj cov ntshav hom. Qhov kev sim no kuj tseem yuav pab lawv txiav txim siab seb koj puas muaj tus kabmob anti-Rh hauv koj cov ntshav los ntawm kev xeeb tub yav dhau los. Kev kuaj ntshav hom mob ntawm cov menyuam mos no tsis tshua raug kuaj. Nws yog ib qho nyuaj rau kev kuaj seb tus menyuam cov ntshav hom twg thiab ua li no tuaj yeem ua rau muaj kev pheej hmoo mob ntxiv.

Kev kuaj mob zaus

Yog tias kev ntsuam xyuas thawj zaug pom tias koj tus menyuam yuav muaj feem yuav ua mob erythroblastosis fetalis, koj cov ntshav yuav raug tshuaj saib mus ntxiv rau lub sijhawm koj cev xeeb tub - kwv yees li ntawm ob mus rau plaub asthiv. Yog tias koj qib tshuaj tiv thaiv pib sawv, kws kho mob yuav hais kom ntsuam xyuas me nyuam hauv lub hlwb cov ntshav khiav ua ke, uas tsis cuam tshuam rau tus menyuam. Erythroblastosis fetalis xav tias tsam tus menyuam cov ntshav ntws cuam tshuam.

Rh tsis sib xws

Yog tias koj muaj Rh-negative cov ntshav, leej txiv cov ntshav yuav raug kuaj.Yog tias leej txiv cov ntshav yog Rh tsis zoo, tsis tas yuav kuaj ntxiv lawm. Txawm li cas los xij, yog tias leej txiv cov ntshav hom yog Rh positive lossis lawv cov ntshav tsis tau paub, koj cov ntshav yuav rov kuaj dua ntawm 18 txog 20 lub lim tiam ntawm cev xeeb tub, thiab ntxiv rau thaum 26 txog 27 lub lis piam. Koj tseem yuav tau txais kev kho mob los tiv thaiv tus mob erythroblastosis.

ABO tsis sib xws

Yog tias koj tus menyuam mob taub hau tom qab yug los, tab sis Rh kev sib xyaw tsis yog kev txhawj xeeb, tus menyuam yuav ntsib teeb meem vim ABO tsis sib xws. Qhov tsis sib xws ntawm ABO tshwm sim feem ntau thaum ib leej niam uas muaj hom ntshav O muab yug rau tus menyuam uas muaj hom A, B, lossis AB ntshav. Vim tias cov ntshav O yuav tsim muaj ob hom tshuaj tiv thaiv A thiab B, niam cov ntshav tuaj yeem tua tus menyuam. Txawm li cas los xij, cov tsos mob no feem ntau mob hnyav dua li ntawm Rh kev tsis sib xws. ABO kev tsis sib xws tuaj yeem raug kuaj pom los ntawm kev kuaj ntshav hu ua Coombs test. Kev ntsuam xyuas no, nrog rau kev sim ntsuas seb tus menyuam cov ntshav hom dab tsi, ua tiav tom qab yug tus menyuam. Nws tuaj yeem qhia tau tias vim li cas tus menyuam thiaj li hnov ​​tawv nqaij lossis mob ntuav. Cov kev kuaj no feem ntau ua rau txhua tus menyuam yaus uas nws niam muaj hom ntshav O.

Yuav kho tus mob erythroblastosis fetalis li cas?

Yog hais tias tus menyuam mos tau mob erythroblastosis fetalis hauv niam plab, tuaj yeem tso ntshav rau cov ntshav kom txo qis. Thaum tus menyuam lub ntsws thiab lub siab lub ntsws txaus txaus txog kev yug menyuam, kws kho mob yuav pom zoo kom yug menyuam ntxov. Tom qab yug menyuam tas, yuav tsum tau txhaj ntshav ntxiv. Tso cov kua nruab rau tus minyuam mos haus dej tuaj yeem txhim kho ntshav siab. Tus menyuam tseem yuav xav tau kev pab ua pa ib ntus los ntawm lub tshuab ua pa lossis tshuab ua pa.

Qhov tshwm sim mus sij hawm ntev rau tus mob erythroblastosis fetalis yog dab tsi?

Cov menyuam mos liab uas yug los ntawm erythroblastosis fetalis yuav tsum tau soj ntsuam tsawg kawg yog peb mus rau plaub hlis rau qhov tshwm sim ntawm ntshav liab. Lawv yuav tau txhaj ntxiv ntshav ntxiv. Txawm li cas los xij, yog tias kev saib xyuas ua ntej zoo thiab kev saib xyuas tom qab yug menyuam, erythroblastosis fetalis yuav tsum tiv thaiv thiab tus menyuam yuav tsis muaj teeb meem mus ntev.

Puas tuaj yeem tiv thaiv tus mob erythroblastosis fetalis?

Qhov kev tiv thaiv kab mob hu ua RhoGAM, lossis Rh immunoglobulin, tuaj yeem txo qhov kev tiv thaiv leej niam ua rau lawv tus menyuam cov qe ntshav Rh-positive. Qhov no tau muab rau ua ib qho kev txhaj tshuaj nyob ib ncig ntawm 28 lub lim tiam ntawm cev xeeb tub. Qhov tshuaj tiv thaiv tau muab siv tsawg kawg yog 72 teev tom qab yug yog tias tus menyuam muaj Rh. Qhov no txwv tsis pub muaj kev phiv tshuaj rau leej niam yog tias ib qho ntawm tus me nyuam lub cev tseem nyob hauv niam plab.