Cev xeeb tub thiab Rh Tsis Zoo? Vim Li Cas Koj Thiaj Li Yuav Tsum Tau RhoGAM Kev Txhaj Tshuaj

Zoo Siab

• Dab tsi yog Rh tau?
• Rh tsis sib xws
• Vim li cas RhoGAM tau siv
• Nws yuav siv li cas
• Cov kev mob tshwm sim los ntawm RhoGAM
• Kev phom sij ntawm RhoGAM txhaj tshuaj - thiab tsis tau txais nws
• Nqi thiab kev xaiv
• Cov nqa mus

Thaum koj cev xeeb tub, koj yuav kawm tias koj tus menyuam tsis yog hom - ntshav, uas yog.

Txhua tus neeg tau yug los muaj hom ntshav - O, A, B, lossis AB. Thiab lawv kuj tau yug los nrog ib qho Rhesus (Rh) yam, uas yog qhov zoo los sis qhov tsis zoo. Koj tau txais koj qhov keeb kwm Rh los ntawm koj niam koj txiv, ib yam li koj tau txais koj niam lub qhov muag daj thiab koj txiv lub pob txha siab.

Cev xeeb tub yog lub sijhawm ib zaug uas yuav muaj ib co ntshav phem (uas tau npaj tseg!) Ntawm koj thiab koj lub Rh.

Thaum koj muaj Rh tsis zoo thiab tus menyuam leej txiv lub cev yog Rh zoo, qee qhov kev phom sij muaj sia tuaj yeem yuav tshwm sim yog tias tus menyuam tau txais txiv muaj tus kabmob Rh lawm. Qhov no yog hu ua Rh incompatibility, lossis Rh mob.

Tab sis tsis txhob thawb khawm ceeb ua ntej tseem tsis tau. Thaum nws tseem ceeb heev uas yuav tsum tau kuaj kuaj tus kab mob no, Rh kev tsis sib xws yog qhov tsawg thiab tiv thaiv tau.

Txhawm rau daws teeb meem, koj tus kws kho mob tuaj yeem muab tshuaj tiv thaiv RhoGAM - cov qauv dav dav: Rho (D) tshuaj tiv thaiv kab mob globulin - thaum txog 28 lub hlis ntawm cev xeeb tub thiab thaum twg koj cov ntshav tuaj yeem sib xyaw nrog koj tus menyuam, zoo li thaum kuaj menyuam lossis yug menyuam.

Dab tsi yog Rh tau?

Rh factor yog protein ua lub ntsej muag ntshav liab. Yog tias koj muaj cov protein no, koj yuav pom Rh zoo. Yog tias koj tsis nyiam, koj tsis pom Rh. Tsuas yog 18 feem pua ​​ntawm cov pej xeem muaj Rh tsis zoo cov ntshav.

Thaum hais txog koj kev noj qab haus huv, nws tsis tseem ceeb dab tsi uas koj muaj - txawm tias koj yuav tsum tau ntxiv ntshav ntxiv, cov kws kho mob tuaj yeem xyuas kom koj tau txais Rh tsis muaj ntshav. Txawm li cas los xij, kev txhawj xeeb txog thaum cev xeeb tub (dab tsi tsis yog kev txhawj xeeb thaum cev xeeb tub?) thaum cov roj ntsha tsis zoo thiab ntshav muaj qhov sib xyaw.

Rh tsis sib xws

Rh incompatibility tshwm sim thaum tus poj niam Rh tsis xeeb tub xeeb menyuam nrog Rh tus txiv neej zoo. Raws li:

• Muaj 50 feem pua ​​uas koj tus menyuam yuav tau txais qhov tsis zoo Rh, uas txhais tau tias koj yuav tsum tau tshaj Rh. Txhua tus yog AOK, uas tsis tas kho mob.
• Kuj tseem muaj 50 feem pua ​​uas koj tus menyuam yuav tau txais lawv txiv cov txiaj ntsig ntawm Rh, thiab qhov ntawd yuav ua rau Rh tsis sib xyaw.

Kev txiav txim siab txog Rh incompatibility tuaj yeem ua tau yooj yim xws li kuaj ntshav los ntawm koj, thiab, qhov tseem ceeb, tus me nyuam txiv.

• Yog tias ob leeg niam txiv yog Rh tsis zoo, tus menyuam ib yam nkaus.
• Yog tias ob leeg niam txiv yog tus Rh, tus me nyuam yog Rh positive.
• Ib txoj kev kuaj ntshav feem ntau yog ua nyob rau ntawm thawj zaug koj mus kuaj menyuam hauv plab.

Thiab - tau siv rau cov koob rab koob - yog tias koj tsis pom Rh, koj tus kws kho mob kuj tseem yuav kuaj cov ntshav mus kuaj seb puas muaj tus kabmob Rh.

• Tshuaj tua kab mob yog cov protein ua rau koj lub cev tiv thaiv kab mob tawm tsam cov tshuaj txawv teb chaws rau koj lub cev (zoo li Rh positive blood).
• Yog tias koj muaj cov tshuaj tiv thaiv, nws txhais tau tias koj tau raug tso ntshav nrog Rh lawm - los ntawm kev xa tawm dhau los, piv txwv, rho menyuam, lossis tseem tau tso ntshav tsis sib xws.
• Koj tus me nyuam muaj feem yuav raug Rh thaum tsis sib xws yog lawv txiv yog Rh lawm.
• Tej zaum koj yuav xav tau qhov kev kuaj mob no ntau zaus nyob thoob plaws thaum cev xeeb tub los ntsuas koj theem ntawm cov tshuaj tiv thaiv (ntau dua ntawd, qhov koj cov menyuam muaj mob yuav hnyav dua).
• Yog tias koj muaj cov tshuaj tiv thaiv, RhoGAM yuav tsis pab koj tus menyuam. Tab sis tsis txhob freak. Cov kws kho mob tuaj yeem:
  • xaj kev tshuaj ntsuam, zoo ib yaam le ultrasound, tsom kwm koj tug miv nyuas kev nruam ntej
  • muab koj tus menyuam cov ntshav los tso rau ntawm txoj hlab ntaws, ua ntej koj tus menyuam mos yuav tawm los ntawm Comfort Inn uas yog koj lub tsev menyuam
  • hais qhia tus me nyuam thaum ntxov

Ntau yam ua kom nyob ntsiag to:

• Qee lub sij hawm koj tus menyuam lub Rh tsis sib xws tuaj yeem tsim cov teeb meem me uas tsis tas siv tshuaj kho.
• Thawj zaug cev xeeb tub tsis feem ntau cuam tshuam los ntawm Rh incompatibility. Qhov ntawd vim nws tuaj yeem siv sijhawm ntev dua 9 lub hlis rau tus niam Rh tsis zoo los ua cov tshuaj tiv thaiv uas tawm tsam Rh ntshav cov ntshav.

Vim li cas RhoGAM tau siv

Tus niam Rh tsis zoo (tsis yog nws tus me nyuam) yuav tau RhoGAM ntawm ntau cov ntsiab lus thoob plaws thaum cev xeeb tub thaum Rh yam tshwm sim ntawm leej txiv yog qhov zoo lossis tsis paub. Qhov no tiv thaiv nws los ntawm kev tsim cov tshuaj tiv thaiv rau Rh zoo ntshav - tshuaj tiv thaiv uas tuaj yeem rhuav nws cov ntshav cov ntshav.

RhoGAM ib txwm muab rau txhua lub sijhawm muaj qee leej niam cov ntshav sib xyaw nrog tus menyuam. Cov sijhawm no suav nrog:

• thaum lub sijhawm 26 mus rau 28 lub lim tiam ntawm kev xeeb tub, thaum lub tsev me nyuam tuaj yeem pib nyias thiab, txawm hais tias tsis zoo li, ntshav tuaj yeem hloov ntawm tus menyuam mus rau niam
• tom qab rho menyuam, yug menyuam, nchuav menyuam, lossis cev xeeb tub menyuam (cev xeeb tub uas nthuav tawm sab nraud lub tsev menyuam)
• nyob rau hauv 72 teev tom qab yug menyuam, suav kev phais menyuam, yog tias tus menyuam muaj Rh
• Tom qab ib qho kev kuaj tsis pom tus me nyuam lub hlwb, piv txwv, thaum:
  • amniocentesis, ib qho kev sim uas kuaj xyuas cov kua tshuaj amniotic kua rau kev loj hlob txawv txav
  • chorionic villus sampling (CVS), ib qho kev sim uas saib cov qauv ntawm cov nqaij mos rau cov teeb meem caj ces
• tom qab kev raug mob mus rau lub caij nruab nrab, uas yuav tshwm sim tom qab lub caij nplooj zeeg lossis tsheb sib tsoo
• kev siv dag zog rau tus me nyuam hauv plab - piv txwv li, thaum kws kho mob hloov ib tus menyuam hauv plab tau nyob hauv qhov chaw breech
• los ntshav hauv qhov chaw mos thaum cev xeeb tub

Nws yuav siv li cas

RhoGAM yog cov tshuaj noj tshuaj uas feem ntau muab los ntawm kev txhaj tshuaj rau hauv cov leeg nqaij - feem ntau hauv lub nraub qaum, yog li tsuas yog lwm qhov kev npau taws uas koj yuav nrog thaum cev xeeb tub. Nws kuj tseem tuaj yeem muab rau hauv qhov quav tshuaj.

Koj tus kws kho mob yuav txiav txim siab yog qhov tsim nyog rau koj. RhoGAM yog siv tau ntev txog 13 lub lis piam.

Cov kev mob tshwm sim los ntawm RhoGAM

RhoGAM yog ib qho tshuaj muaj kev nyab xeeb nrog 50 xyoo kev taug qab ntawm kev tiv thaiv menyuam yaus los ntawm tus kab mob Rh. Raws li cov tshuaj lub chaw tsim tshuaj, cov kev mob tshwm sim feem ntau tshwm sim qhov twg tau txhaj tshuaj thiab suav nrog:

• hardness
• o tuaj
• kev mob
• mob ib ce
• xoo pob liab vog lossis liab

Ib qhov tshwm sim tsawg dua yog kub cev me ntsis. Nws kuj tseem muaj peev xwm, txawm hais tias tsawg, los ntawm kev tsis haum.

Qhov txhaj tshuaj tiv thaiv tsuas yog muab rau koj xwb; koj tus me nyuam ntsib tsis muaj kev mob tshwm sim. RhoGAM tsis yog rau koj yog tias koj:

• twb tau txhaj tshuaj tiv thaiv Rh positive
• yog ua xua rau cov tshuaj immunoglobulin
• muaj hemolytic anemia
• tau txhaj tshuaj tiv thaiv tsis ntev los no (RhoGAM txo lawv cov txiaj ntsig)

Kev phom sij ntawm RhoGAM txhaj tshuaj - thiab tsis tau txais nws

Kab mob Rh tsis cuam tshuam rau koj txoj kev noj qab haus huv - tab sis yog tias koj tsis kam RhoGAM txhaj tshuaj, nws tuaj yeem cuam tshuam kev noj qab haus huv ntawm koj tus menyuam thiab cov kev xeeb tub yav tom ntej. Qhov tseeb tiag, 1 Rh tus poj niam cev tsis tab xeeb hauv 5 yuav paub qhov zoo tshaj plaws Rh yog tias nws tsis tau txais RhoGAM. Qhov ntawd txhais tau tias, tias nws tus menyuam tuaj yeem yug tau nrog ib lossis ntau yam hauv qab no:

• anemia, uas tsis muaj cov kab mob ntshav liab zoo
• lub plawv tsis ua hauj lwm
• mob hlwb
• daj ntseg, tawv nqaij daj daj rau daim tawv nqaij thiab qhov muag vim muaj lub siab ua haujlwm tsis zoo - tab sis nco ntsoov, daj ntseg yog sib luag rau cov menyuam mos.

Nqi thiab kev xaiv

Cov nqi thiab kev tuav pov hwm rau RhoGAM sib txawv. Tab sis tsis muaj kev tuav pov hwm, cia siab tias yuav siv li ob peb mus rau ntau pua las rau kev txhaj tshuaj (ouch - qhov no nws yuav mob hnyav dua li tuaj txog rab koob!). Tab sis feem ntau cov tuam txhab kev pov hwm yuav them tsawg kawg ntawm qee tus nqi.

Tham nrog koj tus kws kho mob txog seb puas yuav muaj cov tshuaj RhoGAM - Rho (D) tshuaj tiv thaiv kab mob globulin - lossis lwm hom tshuaj uas nrov dua cov nqi tshuaj.

Cov nqa mus

Kab mob Rh yog yam tsis tshua muaj tshwm sim thiab muaj kev tiv thaiv tau - muaj kev sib cav "kis tau qhov zoo tshaj plaws" nyob rau qhov kev txiav txim zoo ntawd. Paub koj cov ntshav, thiab, yog tias ua tau, ntawm koj tus khub. (Thiab yog tias nws yog ua ntej cev xeeb tub, txhua qhov zoo dua.)

Yog tias koj tsis pom Rh, tham nrog koj tus kws kho mob txog seb koj puas yuav tsum tau RhoGAM thiab thaum lub sijhawm zoo tshaj plaws kom tau txais.