Nkhondo ya Rhesus mu mimba yachiwiri

Anthu ambiri padziko lonse lapansi, maselo ofiira amagazi a Rh factor. Magazi amenewa ndi Rh positive. Pamene mapuloteni awa palibe, ndiye magazi amatchedwa Rh-negative. Mbali imeneyi imayambitsidwa ndi majini ndipo imakhudza thanzi laumunthu. Pakati pa mimba pali chiopsezo cha mpikisano wa Rh. Amayambitsa kuphwanya mwana yemwe ali ndi kachilombo ka Rh, komwe adatengera kwa atate wake, koma amayi ndi oipa, komanso mosiyana.

Kuchiza kwa Nkhanza za Rhesus mu Mimba

Ndi kuphwanya uku, madokotala amatha kulimbana, koma nkofunika kupeza thandizo lachipatala mnthawi yake. Kawirikawiri, mkangano wa Rhesus umapezeka pa nthawi ya mimba yachiwiri, ngakhale kuti yoyamba inathetsa mimba, kapena kuchotsa mimba. Mafupa angayambitse mavuto, ngakhale mpaka kubadwa isanakwane nthawi ndi nthawi yobereka. Koma zotsatira zowopsya zoterezi zikhoza kupewedwa, chifukwa cha njira zamakono zamaganizidwe, komanso chithandizo.

Kwa amayi amtsogolo omwe ali ndi nthenda yoipa adokotala adzalangiza njira zotsatirazi:

• mayesero ochizira nthawi zonse;
• pa nthawi ya masabata 28, jekeseni yapadera ya anti-rhesus immunoglobulin;
• Bwerezerani jekeseni mukatha kubereka, ziyenera kuchitika mkati mwa maola 72, pamene mwana ali ndi magazi ndi rhesus osati mayi.

Ngati kuwonjezeka kwa mtundu wa antibody (mtundu wa kuyesa magazi) kumapezeka, mayi wamtsogolo adzakhala ndi ultrasound kuti adziwe momwe mwanayo alili. Dokotala akhoza kulemba kutumiza kuchipatala. Nthawi zina pamakhala kufunika kokambirana za umbilical cord magazi kapena amniotic fluid. Njirazi zimaperekedwa mwachindunji malinga ndi zizindikiro. Mwachitsanzo, angaperekedwe kwa amayi omwe ali ndi chiopsezo chachikulu m'magazi a Rhesus, kapena ngati ali ndi mimba yachiwiri, ndipo mwana wamkuluyo amabadwa ndi matenda aakulu a hemolytic.

Njira yabwino yothandizira matenda ndi kuika magazi kwa mwana. Kuponderezedwa kumachitika kuchipatala. Anagwiritsidwa ntchito kale ndi njira zina. Njira zazikulu ziwiri zothandizira Rh rhesus-mgwirizano pa nthawi ya mimba anali plasmapheresis ndi kuikidwa kwa khungu la mayi wa mwanayo kwa mayi wamtsogolo. Pakalipano, njirazi sizinapangidwe kawirikawiri, monga madokotala ambiri amawawona kuti sagwira ntchito.

Ngati mumamvetsera mwatcheru malangizo a dokotala, amayi oyembekezera adzatha kulekerera mwana wathanzi. Njira zoperekera zosankhidwa zimasankhidwa ndi azimayi, malinga ndi momwe amayi amachitira pobereka.