Rh Incompatibility

Zoo Siab

• Dab tsi yog Rh incompatibility?
• Rh yam rau xeeb tub yog licas?
• Cov tsos mob ntawm Rh incompatibility yog dab tsi?
• Leej twg yuav muaj feem raug tus mob Rh incompatibility?
• Yuav kuaj li cas thiaj paub hais tias Rh incompatibility?
• Yuav kho tus mob incompatibility Rh li cas?
• Puas muaj lwm cov nyom?
• Puas tuaj yeem tiv thaiv Rh incompatibility?

Dab tsi yog Rh incompatibility?

Thaum tus poj niam thiab nws tus me nyuam hauv plab nqa cov nqaij Rhesus (Rh) protein txawv, lawv tus mob hu ua Rh incompatibility. Nws tshwm sim thaum tus poj niam yog Rh-tsis zoo thiab nws tus menyuam yog Rh-positive. Qhov txheeb ze Rh yog ib qho protein tshwj xeeb nyob rau ntawm koj cov ntshav liab.

Zoo li koj hom ntshav, koj tau txais hom Rh Rh los ntawm koj niam koj txiv. Cov neeg feem coob yog Rh-zoo, tab sis feem tsawg ntawm cov neeg yog Rh-tsis zoo. Qhov no txhais tau tias lawv tsis muaj Rh protein.

Rh yam rau xeeb tub yog licas?

Qhov cim qhia txog qhov tsis zoo lossis tsis zoo tom qab koj cov ntshav tau qhia koj tus Rh Rh. Piv txwv li, "hom ntshav: AB +" tej zaum yuav raug sau rau hauv koj cov ntaub ntawv kho mob.

Koj lub keeb (Rh) tsis ncaj ncaj rau koj li kev noj qab haus huv. Txawm li cas los xij, Rh yam yuav tseem ceeb thaum cev xeeb tub. Yog tias tus poj niam muaj tus mob Rh-negative thiab nws tus menyuam muaj Rh-positive, tus poj niam lub cev yuav mus cuag cov Rh-positive protein ua cov khoom txawv teb chaws, yog tias nws lub cev tiv thaiv kab mob kis rau nws.

Qhov no txhais tau hais tias yog cov qe ntshav los ntawm koj tus menyuam hla koj cov ntshav, uas tuaj yeem tshwm sim thaum cev xeeb tub, mob plab thiab yug menyuam, koj lub cev tiv thaiv kab mob yuav tsim cov tshuaj tiv thaiv tawm tsam koj cov ntshav liab.

Antibodies yog qee yam ntawm koj lub cev tiv thaiv kab mob. Lawv rhuav tshem cov tshuaj txawv teb chaws.

Yog tias koj muaj hom ntshav Rh-negative, koj yuav tau txiav txim siab "yoog" rau cov ntshav zoo thaum koj lub cev tsim cov tshuaj tiv thaiv.

Qhov no txhais tau tias koj lub cev yuav xa cov tshuaj mus hla lub cev tiv thaiv tus menyuam cov ntshav liab. Koj qhov nqaij yog qhov khoom hauv nruab nrog uas txuas koj thiab koj tus menyuam.

Cov tsos mob ntawm Rh incompatibility yog dab tsi?

Cov tsos mob Rh incompatibility hauv koj tus menyuam tseem tsis tau yug los yuav muaj ntau txog rau qhov txaus ntshai txog txoj sia. Thaum koj cov tshuaj tiv thaiv tawm tsam koj tus menyuam cov ntshav liab, ntshav mob hemolytic yuav tshwm sim. Qhov no txhais tau tias koj tus menyuam cov ntshav liab raug puas tsuaj.

Thaum koj tus menyuam cov ntshav liab noj qab nyob zoo raug rhuav tshem, bilirubin yuav tsim nyob rau hauv lawv cov hlab ntshav.

Bilirubin yog ib yam tshuaj uas tsim los ntawm kev rhuav tshem cov ntshav liab. Ntau dhau bilirubin yog qhov qhia tias lub siab, uas yog lub luag haujlwm rau kev tsim cov roj ntsha qub, muaj teeb meem.

Koj tus menyuam yuav muaj ib lossis ntau ntawm cov tsos mob hauv qab no yog tias lawv qib bilirubin siab tom qab yug:

• daj ua daj, ua plaub ntais ntawm daim tawv thiab ntsiab muag dawb
• nkees
• cov leeg tsis muaj leeg

Cov tsos mob no yuav mob zuj zus tom qab ua tiav rau kev kho tus mob Rh.

Leej twg yuav muaj feem raug tus mob Rh incompatibility?

Cov poj niam twg uas yog Rh-tsis zoo thiab muaj menyuam yaus nrog tus neeg uas yog Rh-positive lossis nrog tsis paub Rh yog muaj feem yuav raug Rh thaum tsis sib xws. Txawm li cas los xij, muab qhov feem pua ​​tsawg ntawm cov neeg uas mob rH-tsis zoo ntshav, qhov no tsis tshwm sim ntau zaus.

Raws li Stanford ntshav Center, feem pua ​​ntawm cov ntshav sib tsoo tawg tsawg dua li hauv qab no:

Nws siv sijhawm rau lub cev los tsim cov tshuaj tiv thaiv, yog li ntawd cov menyuam thawj zaug feem ntau tsis muaj kev cuam tshuam. Txawm li cas los xij, yog hais tias leej niam poob siab vim tias nchuav menyuam los yog rho menyuam, nws thawj zaug yug tseem yuav cuam tshuam los ntawm Rh incompatibility.

Ib leej niam tuaj yeem tso tawm cov ntshav hauv Rh-positive thaum lub sijhawm kuaj ntshav lossis txheej txheem. Ib qho piv txwv yog amniocentesis. Hauv qhov kev ntsuas no, koj tus kws kho mob siv rab koob tshem tawm qee qhov kua dej ntawm lub hnab nyob puag ncig koj tus menyuam. Cov kua dej no tuaj yeem kuaj rau cov teeb meem hauv kev loj hlob ntawm tus me nyuam hauv plab.

Yuav kuaj li cas thiaj paub hais tias Rh incompatibility?

Kev kuaj ntshav los txiav txim koj tus mob Rh yuav tshwm sim thaum koj thawj zaug mus ntsib menyuam hauv plab nrog koj tus kws kho mob.

Yog tias koj muaj Rh-negative, koj tus khub kuj tseem yuav raug sim. Yog tias koj tus khub kuj yog Rh-negative, koj tsis tas yuav muaj dab tsi txhawj txog. Yog tias koj tus khub yog Rh-positive thiab koj tsis yog Rh-tsis zoo, koj tus kws kho mob yuav xyuas cov cim hauv qab no ntawm Rh tsis sib xws.

Qhov kuaj pom kev tsis zoo Coombs yog qhov qhia ntawm Rh tsis sib xws. Txoj kev kuaj no yuav siv ib cov ntshav los kuaj saib puas muaj cov qe ntshav ua puas tsuaj nyob rau hauv ntshav ntawm koj cov ntshav.

Cov qib bilirubin ntau dua-qib ib txwm hauv koj cov menyuam mos cov ntshav yog cov cim ntawm Rh tsis sib xws. Hauv ib tus menyuam puv sijhawm uas muaj hnub nyoog qis dua 24 teev, theem ntawm bilirubin yuav tsum tsawg dua 6.0 milligrams ntawm deciliter.

Cov tsos mob ntawm kev tso ntshav liab hauv koj tus menyuam cov ntshav yuav qhia tias Rh tsis sib haum. Qhov no tuaj yeem txiav txim siab los ntawm cov duab thiab cov qauv hauv cov qe ntshav liab thaum kuaj hauv lub tshuab tsom.

Koj tus kws kho mob tuaj yeem kuaj koj cov menyuam cov ntshav vim muaj cov tshuaj tiv thaiv leej niam uas rhuav cov ntshav liab.

Yuav kho tus mob incompatibility Rh li cas?

Kev kho mob tsom rau kev tiv thaiv kev tiv thaiv cov kev cuam tshuam ntawm kev tsis sib xws. Muaj qee zaus me, tuaj yeem kho tom qab yug los nrog:

• ua ntshav pub dawb
• hydrating kua
• electrolytes, uas yog cov hauv paus uas tswj cov metabolism
• kev kho duab

Txoj kev pab yees yuav tsum ua kom koj tus menyuam nyob ze cov teeb fluorescent kom pab txo tus bilirubin hauv lawv cov ntshav.

Cov txheej txheem no yuav rov qab ua dua kom txog thaum tiv thaiv kabmob Rh-negative thiab tshuaj bilirubin ntau dhau los ntawm koj tus menyuam cov ntshav. Txawm tias yuav tsum rov ua dua nyob ntawm koj tus menyuam mob heev npaum li cas.

Yog tias koj xeeb tub thiab koj tus kws kho mob txiav txim siab tias koj tau tsim cov tshuaj tua kab mob rau koj tus menyuam, koj lub cev xeeb tub yuav raug saib xyuas zoo.

Koj tuaj yeem tiv thaiv kev cuam tshuam ntawm Rh incompatibility los ntawm kev txhaj tshuaj ntawm Rh tiv thaiv kab mob globulins (RhIg) thaum koj thawj peb lub hlis, thaum nchuav menyuam, lossis thaum los ntshav thaum lub sijhawm koj cev xeeb tub.

Qhov khoom noj ntshav no muaj cov tshuaj tiv thaiv kabmob rau tus kabmob Rh. Yog tias koj tus menyuam muaj mob Rh-positive, koj yuav tsum txhaj ob zaug tom qab koj yug menyuam tas.

Tsawg tsawg zaus thiab mob hnyav, yuav tau txhaj ib cov ntshav tshwj xeeb ntau ntxiv thaum koj tus menyuam nyob hauv koj lub tsev menyuam lossis tomqab yug menyuam tag.

Txawm li cas los xij, qhov kev vam meej ntawm RhIg txhaj tshuaj tau ua txoj kev kho no tsuas yog tsim nyog hauv tsawg dua 1 feem pua ​​ntawm cov neeg uas muaj kev tsis sib haum ntawm Rh hauv Tebchaws Meskas.

Qhov kev xam pom dav dav yog qhov zoo ntawm kev tsis sib haum ntawm Rh tsis sib xws.

Puas muaj lwm cov nyom?

Cov mob hnyav, uas muaj qhov cuam tshuam ntawm Rh incompatibility tsis tiv thaiv, tuaj yeem ua rau muaj kev mob nyhav heev. Cov teeb meem no suav nrog:

• lub hlwb ua puas rau tus menyuam, uas yog lub npe hu ua kernicterus
• kua buildup lossis o rau hauv tus menyuam
• muaj teeb meem ntawm lub hlwb ua haujlwm, txav mus los, hnov ​​lus, thiab hais lus
• qaug dab peg
• anemia
• lub plawv tsis ua hauj lwm

Kev tuag ntawm tus menyuam kuj tseem tuaj yeem tshwm sim. Rh tsis sib xws tsis tshua muaj teeb meem hauv cov tebchaws uas muaj kev saib xyuas mob zoo, txawm li cas los xij.

Puas tuaj yeem tiv thaiv Rh incompatibility?

Tus mob no yog tiv thaiv tau. Yog koj xav tias koj cev xeeb tub thiab muaj hom ntshav Rh-tsis zoo, koj yuav tsum tham nrog koj tus kws kho mob txhawm rau txiav txim siab txog qhov phiaj xwm zoo tshaj plaws.

Yog tias leej txiv ntawm koj tus menyuam yog Rh-positive lossis nws cov ntshav hom tsis paub, tau txais kev kho mob tiv thaiv nrog kev tiv thaiv kab mob globulins yuav tiv thaiv kev mob loj.