Rhesus-rikici - wahala na ciki

Rhesus-rikici - wahala na ciki yana da wuya, amma abu ne mai ban mamaki. Idan kana da jini na Rh-negative, kana buƙatar bi duk shawarwarin likita don kare ɗanka.

Rhesus factor (D-antigen) wani furotin ne musamman wanda yake a kan jinin jinin jini (kwayoyin jinin jini - kwayoyin jini wanda ke kawo oxygen zuwa kyallen takarda). Mutane da wannan sinadarin sunadaran a kan kwayoyin jinin jini, da biyunsu, sune Rh-tabbatacce (game da 85% na mutane). Idan wannan furotin bai kasance ba, to jinin wannan mutumin Rh-negative (10-15% na yawan). Rhesus yana cikin tayin a farkon matakan ciki. A cikin kanta, nauyin Rh na mummunar ba zai kawo hatsari ga 'yan adam ba. Wannan shi ne daya daga cikin halaye na jiki. Hanyarsa, zai iya bayyana a yayin da take ciki na mahaifiyar Rh-negative a nan gaba.

Rukunin hadarin.

Ya haɗa da mummies tare da jinin Rh-korau, wanda mazajensu suna ɗaukar nauyin RH mai kyau. A wannan yanayin, yaransu zasu iya samun gwargwadon Rh-tabbatacce (wanda yafi karfi) daga mahaifinsa. Kuma a sa'an nan kuma za'a iya samun rhesus-rikici, ko rashin daidaituwa tsakanin jini tsakanin uwar da tayin. Tare da '' '' '' '' '' '' 'uwar' 'mummunan' 'uwar' yar rikici ba za ta taba tashi ba. A wasu lokuta, rikici ya faru idan mace, alal misali, irin jini, da jariri - II ko III. Duk da haka, rashin daidaituwa na ƙungiyar jini ba abu mai hadarin gaske ba kamar yadda take a cikin Rh factor.

Me yasa rikici?

Bari mu ga dalilin da yasa irin wannan rikitarwa na ciki kamar Rh-rikici? A lokacin daukar ciki, erythrocytes tare da Rh factor na "tayin zuciya" shiga cikin jini na "mummunan" uwar. Rawan jini mai kyau na jariri shine "kwayar halitta" ta mahaifa ta hanyar gina jiki (mai karfi antigen). Kuma jikin mahaifiyar ta fara samar da kwayoyin musamman - kwayoyin cutar zuwa Rh factor, wanda ke nufin cewa jikin jariri. Sun kasance marar lahani ga mata, amma suna halakar da jinin jinin ɗirin da ba a haifa ba.

Danger zuwa jariri!

Rushewa - hawan jini na erythrocytes yana haifar da ci gaba da nakasar cututtuka na tayin, wannan yana haifar da lalata kodan da kwakwalwa, anemia tasowa. Idan an kawar da kwayar jinin jini ta yau da kullum, hanta kuma suyi ƙoƙari su cika ɗakinsu kuma su kara girman. Babban alamun alamun cututtuka na tayin shine haɗuwa a hanta kuma yada a ciki, wanda aka ƙaddara ta duban dan tayi. Har ila yau, yawan ƙwayar amniotic da ƙananan ƙwararren alaƙa sune alamun cutar cututtuka na tayin. A wannan yanayin, an haifi jariri tare da lalata jini, wanda shine anemia. Bayan haihuwar uwar mahaifiyar a cikin jinin jaririn, suna ci gaba da yin tasiri. Yaron yana da anemia da jaundice. Akwai nau'o'i uku na asibiti marasa lafiya na jarirai:

Jaundice tsari shine mafi yawan asibiti. An haifi yaron a lokaci, tare da nauyin jiki na jiki, ba tare da ganowa na fata ba. Tuni a ranar 1 ko 2 na rayuwa akwai jaundice, wanda ke ci gaba da sauri. Yaren launin ruwan launi kuma yana da ruwan amniotic da man shafawa na asali. Akwai karuwa a cikin hanta kuma yadawa, akwai ƙananan kumburi na kyallen takarda.

Anmic tsari ne mafi muni, yana faruwa a cikin 10-15% na lokuta kuma ya bayyana ta pallor, rashin abinci mara kyau, rashin amfani, kara hanta da kuma tafasa, anemia, karuwa bilirubin karuwa.

Harshen maganin cututtukan jini shine mafi yawan mutane. Tare da rikicewar rikice-rikice na farko, zubar da ciki zai iya faruwa. Idan za a iya daukar ciki zuwa karshen, an haifi yaron tare da ciwon anemia mai tsanani, hypoxia, cuta ta jiki, rubutu na kyallen takarda da rashin lafiya na cardiopulmonary.

Ci gaba da cutar hemolytic ba a koyaushe ta ƙaddara ta ƙaddamar da kwayoyin isoimmune (daga kansa ba, da kansa) zuwa mahaifiyar. Matsayin balaga na jikin jariri yana da mahimmanci: cutar ta fi tsanani a cikin jarirai.

Kwayar cututtuka na jarirai da rashin daidaituwa bisa ga tsarin ABO ya samu sauki fiye da Rhesus-rikici. Amma tare da cututtuka na mahaifa a lokacin daukar ciki, haɓakawa a cikin iyakancewar iyakokin ƙwayar cuta zai iya faruwa sannan kuma samuwar cututtuka masu tsanani na cutar cututtuka na iya faruwa.

Na farko ciki yana da lafiya

Idan wani adadin "jini" mai kyau "jini" ya shiga jiki na mahaifiyar "mummunan", to sai kawai jikinta ya fara samar da kwayoyin cuta. Akwai fahimtar jiki na jiki, kamar "hangula". Kuma wannan "wulakanci" tare da kowane lokaci, wato, tare da kowane ciki, yana ƙaruwa. Saboda haka, a mafi yawan lokuta, ciki na farko tare da tayin "tabbatacce" ga mahaifiyar "mummunan" tana kusan ba tare da kuskure ba. Tare da kowane ciki na ciki, haɗarin tarin Rh-rikici ya karu sosai. Sabili da haka, yana da mahimmanci a bayyana wa mace "mummunan" sakamako akan zubar da ciki a lokacin daukar ciki na gaba. Suna kara yawan haɗarin Rhesus-rikici.

Mun bayar da bincike.

Ko da yake Rhesus rikici ne mai wahala na ciki, amma kamar yadda muka rigaya gano, kawai yaro ya wahala daga gare ta. Saboda haka, yin la'akari da mummunan wannan rikici akan yanayin mace mai ciki ba sa hankalta. Nan gaba mummy zai iya jin dadi, samun cike mai kyau da lafiyar lafiya. Masarufi suna da matukar muhimmanci a wannan yanayin. Lokacin da mace mai ciki ta yi rajista a asibitin mata, abinda farko ta aikata shi ne ƙayyade jini da Rh mallaki. Idan ya bayyana cewa mummunar makomar ita ce Rh-negative, sa'an nan an sanya ta bincike don kasancewar kwayoyin cuta. Idan ba'a samo rigakafi ba, to dole ne ya dauki wannan bincike kowace wata, don ganewa ta lokaci. Idan an gano magunguna, to, dole ne a gwada magunguna ga irin wannan mace mai ciki sau da yawa. A cewar su, likita ya ƙayyade maƙarƙashiya, wato, ƙaddamarwarsu a cikin jini, ya kuma lura ko akwai yiwuwar kara su da lokaci. Idan mai ci gaba ya ci gaba da ƙaruwa, mace mai ciki tana hana shi daga cutar tayi na tayin. Matar ta yi wa allurar rigakafi tare da antiresus-gamma-globulin da wasu magungunan da zasu taimaka wajen rage jigilar kwayoyin cuta.

Mama tana da madara mai yawa.

A baya an karanta cewa mace da ke da Rh rhesus a lokacin haihuwa ba zai iya yin jaririnta ba, saboda magungunan da ke dauke da ita a madarar nono kuma yana kara yanayin "jariri" mai kyau. Wannan ba daidai ba ne. Gaskiya ne, ba zai yiwu ba har tsawon makonni biyu da mace ta sami Rh-rikici kuma an haifi jariri tare da cututtukan cututtuka. Sauran iyaye mata, waɗanda ke da kwayar cutar a yayin da suke ciki, amma jaririn ya haife shi lafiya, zai iya ciyar da jariri tare da nono nono, amma da farko sun yi amfani da gamma globulin antiresus.

Tune a cikin mafi kyau.

A cewar kididdiga, kawai a cikin kashi 8 cikin 100 na lokuta, Mama mai Rh-negative ba zai iya samun jaririn Rh-positive. Kuma yawancin mahaifiyar Rh-mummunan suna haifar da haihuwar yara biyu da uku. Kuma kawai 0.9% na mata masu ciki ke haifar da matsalolin ciki - Rhesus-rikici. Don haka, kada ka fara daidaita kanka ga matsalolin, idan ka gano cewa kana da jini na Rh. Idan kun bi duk shawarwarin da likitanku suka bayar, kuyi gwaje-gwaje akan lokaci, to, haƙarin rikitarwa a cikin mahaifiyar Rhesus-korau da kuma jaririn Rh-positive ya rage.