Don haka, kuna da shirin yin ciki. "Kuma a nan ne rhesus-rikici? "- ka tambayi. Mata, a matsayin mai mulkin, koyi game da shi a lokacin daukar ciki. A cikin shawarwarin mata, sunyi gwaji mai kyau, gano ƙungiyar da Rh-accessory kafin. Wannan binciken yana da muhimmanci don ware ko hana yiwuwar tasowa tsari, wanda ake magana a cikin littattafai na likita kamar Rh-conflict.
85% na mutanen da ke cikin kwayoyin jini mai yaduwar jini - erythrocytes sun ƙunshi antigen furotin, an kira shi Rh factor. A cikin waɗannan 85% Rh, bi da bi, yana da kyau. Sauran kashi 15 cikin dari na sunadarai a cikin kwayoyin jinin sun rasa, kuma, ƙayyade jikinsu na jini, mai aikin nazarin gwagwarmaya zai sanya rhesus tare da ragu.
Rhesus-rikici da aka sani yana tasowa a karo na "plus" da "musa" a cikin tsarin tsarin jiki. Alal misali, lokacin da mutum da "jini mai kyau" ya zuba mummunan. Ko kuma lokacin da wata mace da ke da alamar da ke ɗauke da tayin, a cikin jini wanda akwai nauyin Rh. Abin sani kawai a cikin ilimin lissafi, da kuma ƙananan jawo hankalin, a cikin ilimin haɓakaccen abu yana da bambanci. Wannan lamarin yana tasowa.
Da zarar a cikin jinin irin wannan mai ciki sami jinin jinin tayin na tayin da ke cikin Rh, kwayoyin kwayoyin halitta sun gane su kamar yadda suke kai hare-haren kungiyoyin waje. Jiki yana bada ƙararrawa kuma yana fara inganta rayayyun kwayoyin karewa. Sakamakon haka, tsarin rigakafin mahaifiyar ta rusa yaduwar jinin dan jariri, wanda ya ƙunshi rhesus wanda ba a san shi ba. An kunna gabobin jikin hematopoietic na tayin kuma don sake cigaba da adadin kwayoyin jinin jini, sun fara samar da su tare da karfi mai karfi. Wannan ya hada da karuwa a matakin abu mai suna bilirubin. Tare da wucewarsa, ƙwaƙwalwar jariri na gaba zai iya sha wahala. Hanta da kuma yaduwa, aiki a yanayin yanayin karuwa, a ƙarshe, ba zai iya jurewa ba ... Fetus babu oxygen. A wasu lokuta masu wahala, bazai tsira.
Kuma bayan haihuwar, waɗannan yara suna haifar da cututtuka daga cikin jariri. Sakamakon ganewar asali yana da rauni, amma ana iya kauce masa idan an dauki matakan tsaro a lokaci. Da farko ya zama dole tare da dubawa a koda yaushe a gwani.
Yawancin lokaci, yin rajista a cikin shawarwarin mata, kowace mace mai ciki tana da hanyoyi guda biyu a cikin ɗakin magani don sanin nau'in jini da kuma Rh factor. Biyu, saboda bincike na biyu ya wuce mahaifin yaron. Wannan zai taimaka wajen hango hasashen yiwuwar bambancin ciki. Idan iyaye biyu suna da wannan rhesus (ko da ko mai kyau ko korau), babu matsala.
A halin da ake ciki inda mijin yana da mummunar rhesus da matarsa tabbatacce ne, akwai yiwuwar (75%) na raya Rh-rikici. Yana faruwa a lokacin da jaririn ya gaji aikin Rh na mahaifinsa.
Duk da haka, ba wajibi ne a fahimci iyayen mahaifa da yawa a matsayin hukunci tare da yanke hukuncin "rashin haihuwa" ba. Ya ba da cewa daukar ciki na yanzu shine na farko (babu wani zubar da ciki da rashin hasara), chances irin waɗannan ba su da kyau. Domin a lokacin da aka fara ciki, ana haifar da kwayoyin cuta a ƙananan yawa kuma basu shafar tayin.
Yarda da samar da kwayoyin cutar za su iya jinin wani yaro a nan gaba wanda ya fada cikin tsarin tsabtace mahaifiyar ta hanyar lalacewa ko lalacewa. Irin wannan tsari ya faru a lokacin haihuwa, rashin zubar da ciki da zubar da ciki.
Saboda haka, a cikin jinin mace wadda ta riga ta sami kwanciyar hankali ta rhesus-rikici, akwai wasu "ƙwayoyin ƙwaƙwalwar". A lokacin ciki na gaba, sunyi karuwan jini na yaduwar Rh-tabbatacce tare da ƙara yawan samar da cututtukan cututtuka.
Wannan shine dalilin da ya sa iyaye mata masu zuwa da suka shiga cikin haɗari sun kasance suna karkashin kulawar wani masanin ilimin likitancin mutum. A lokacin dukan ciki, dole ne ka dauki wani bincike na musamman da ke tabbatar da kasancewar kwayar cutar a cikin jini. Zuwa makonni 32 - sau ɗaya a wata, a cikin wani lokaci na gaba - mako-mako. Idan sakamakon ya kasance mummunan kuma yarinyar tasowa ta al'ada, a makonni 28 ana yin mace a matsayin immunoglobulin antissibility. Wannan ƙaddara ne mai mahimmanci, ƙwayar miyagun ƙwarewa yana ɗaure mahaifiyar "erythrocytes" mai kyau zuwa ga tayin. Ya sanya su marasa ganuwa ga tsarinta na rigakafi.
Sakamakon gwajin gwaji mai kyau tare da babban mai ɗaukar magungunan rigakafi mai nunawa shine alamar gaggawar samun mace mai ciki.
A cikin dandalin na tsakiya, masu sana'a za su lura da yawan kwayoyin cuta. Kuma duban dan tayi a cikin jariri zai ba da damar lura da canje-canje kaɗan a cikin gabobin ciki na yaro.
Yawancin lokaci a karkashin irin wannan kulawa mai yiwuwa daukar ciki zai iya kawo zuwa ranar da ake so. Mataki na gaba shine sashen cearean.
A rana ta uku bayan haihuwar jariri tare da wani sakamako na RH mai kyau, an nuna mace ga gudanar da wani immunoglobulin antiresusive. Zai yi taka rawa a cikin ciki na gaba, ya hana ci gaban Rh-rikici.
Idan farkon ciki ya kasance maras kyau, kuma bayan haihuwarka aka ba ku magani mai kyau, mai yiwuwa ma haihuwar na biyu ba zai haifar da matsala mai tsanani ba. Halin yiwuwar bunkasa Rh-rikici ne kawai 10-15%.
A kowane hali, babu rikici ga ciki. Hakanan, halin da ake ciki zai buƙaci kula da masu kula da kwararru da hankali da kuma yadda za a aiwatar da shawarwarin su. Kamar yadda ka gani, shirye-shirye da Rhesus rikici ba su dace ba.