Kodi n'zotheka kukhala ndi mimba pamene rhesus zoipa?

Mu moyo pali zochitika pamene mimba si chimwemwe koma chisoni. The zifukwa kungakhale ambiri, ndipo mkaziyo kawirikawiri anaganiza mimbayo. Chotero kulowelera mu thupi chiopsezo, ziribe kanthu momwe katswiri kapena katswiri imachitika.

Ndipo ngati mkazi ali ndi RH zoipa, ndi kuchotsa mimbayo kungachititse osabereka ina amenewa tsoka, monga kubadwa kwa mwana atafa kale. Komanso, iye ali ndi mimba patapita mimba wotsatira kumaonjezera ngozi ya Rhesus-nkhondo. Ndiye n'chifukwa mimba ndi oopsa ndi RH chinthu zoipa? Tiyeni tiyese kuzilingalira izo.

N'chifukwa chiyani kukhala RH-nkhondo?

Nembanemba wa maselo a mwazi (erythrocytes) lili RH Antigen. anthu oterowo magazi ali ndi HIV RH chinthu, ndi dziko lonse ambiri - 70-85%. Nthawi zina, palibe Antigen RH m'magazi, kotero amaona kuti negative.

Kuyambira masabata 7-8 ya hematopoiesis yoopsa aumbike. Ngati mkazi ali RH oipa, ndi mwana wosabadwayo - ndi zabwino, mtembo wa pakati akhoza kuzindikira izo monga thupi ena ndi kuyamba kukhazikitsa RH chitetezo yeniyeni. Ngati mimba choyamba, ndiye ndi ochepa kwambiri ndipo n'zotheka kuti magazi yoopsa umalowa mu mayi njira magazi, ndi kochepa. Mkazi Pankhaniyi umabala bwinobwino n'kubereka mwana wathanzi.

Koma mimba ndi zikamera kutchulidwa zina. Pa mimba lotsatira ndipo kulankhula mobwerezabwereza ndi antigens yachilendo nthawi yogwira kumasulidwa amapezeka antirhesus chitetezo yeniyeni. Izi zimachitika chifukwa chakuti maselo a kukumbukira m'thupi zimasunga zokhudza kukhudzana chachikulu cha mwazi wa mwana wosabadwayo ndi mayi.

Zizindikiro za Rhesus-nkhondo

Mayi woyembekezera mwina zindikirani chitukuko cha RH-nkhondo. Iwo anapezeka ndi mtima wa chitetezo yeniyeni m'magazi. The apamwamba ndende, ovuta kwambiri ndi ndondomeko matenda. Zipatso payokha komanso kuvutika kwambiri. Kupondelezedwa kwa mwana osabadwa mosavuta wapezeka ndi ultrasound. Zimenezi zingakhale:

• kutupa;
• Chinawonjezeka kukula kwa mtima;
• pachimake yoopsa hypoxia ;
• madzimadzi a mu ubongo, peritoneal M'mimbamo;
• thickening wa nsengwa ndi;
• Unyinji lalikulu la mwana wosabadwayo.

Ngati palibe kanthu kwa kupewa RH-nkhondo zowonetseredwa ndi matenda yoopsa adzatengedwa kudzetsa imfa yake.

Mimba ndi RH zoipa

Ngati mkazi ali RH zoipa, mungachite mimba kapena ayi? Ndithudi, izi si zofunika, koma ngati izo zitero, anaganiza kuti usokoneze mimba, ndiye muyenera kudziwa kuti iyenera kuchitika tsiku lomalizira mu masabata 7-9. Pambuyo kuti pali mapangidwe dongosolo hematopoietic, ndi chiopsezo zina za ukuwonjezeka chamoyo akuchikazi.

Zimachitika kuti kuchotsa mimba pamene RH zoipa waya ndi mankhwala. Chinthu chachikulu ndi ichi - musalole kukhala zina. mimba Medical ambiri ikuchitika pa siteji oyambirira mimba. Mwamsanga pambuyo pake, wodwalayo chikuyendetsedwera RH immunoglobulin, koma n'zotheka kuti padzakhala RH-nkhondo, Zatsala mimba wotsatira.

Lililonse mimba amagwirizana ndi chiopsezo osabereka, ngati unachitikira mkazi ndi zoipa Rhesus chinthu, kenako akhoza zonse padera, zikuoneka mwana ndi matenda hemolytic, komanso olumala zosiyanasiyana. oopsa kwambiri mimba mochedwa yaitali, yomwe ikuchitika opaleshoni. Kuchipala kwa uterine M'mimbamo wa linagwira amakhudza endometrium ndipo kumathandiza kutupa. M'tsogolo, mwina chopinga kwa ubwenzi wa mwana wosabadwayo ndi mimba yachibadwa.

mitundu ya mimba

Ngati mkazi ali oipa RH chinthu, tiyenera kukhala yonse ya mimba :

• Medical - kudzera mwa miyala yapadera, chifukwa cha mwana wosabadwayo ndi kuyamba zokha zofunkha. Magazi Pankhaniyi kumatenga nthawi yaitali, koma izi ankaona kuti otetezeka thanzi la mkazi.
• Mini mimba - Ndi njira sanali opaleshoni kuchotsa mimba ikuchitika ndi chipangizo wapadera, ndi kugwirira ntchito izo monga zotsukira kuyamwa.
• Opaleshoni - ankaona njira owopsa monga chiberekero anafukula mwachimbulimbuli. Zimenezi zingachititse kuti zikamera wa ambiri zosokonezeka.

zotsatira zotheka

Ngati mimba imachitidwa ndi zoipa rhesus, ndiye pali Katemera wa amayi apakati yoopsa erythrocytes. Izi kumawonjezera chitetezo kuchuluka antirhesus kuti kulowa m'magazi a mwana, imbaenda ku matenda aakulu a hematopoiesis ndi yimitsira ndondomeko wosabadwayo.

Zotsatira za mimba ndi RH oipa akhoza kukhala motere:

• aakulu magazi m'thupi;
• intrauterine yoopsa imfa ;
• kusokonezeka ziwalo mkati;
• hemolytic matenda;
• yoopsa hypoxia;
• padera, nthayo;
• encephalopathy.

Choncho, mimba ngati rhesus zoipa kuchita ndi choopsa kwambiri. Mwa zina, pa choipa mimba nthawi zambiri amapezeka khomo lachiberekero, endometrial kupatulira pamwamba wosanjikiza ungadzakhazikitsidwe perforation. Kumatikumbutsabe wa aziloŵerera ndi matenda m'thupi, kutupa, komanso kulephera kukhala mayi.

Komanso pambuyo mimba Wachisoni Rhesus ngati Vuto n'lakuti ngati insufficiency khomo lachiberekero, kumene kumakhudza ntchito yake obturator. Zimenezi zingachititse kuti padera mochedwa chifukwa chiberekero chimayamba kutsegula asanakalambe, sangathe kunyamula mwanayo kukula.

osabereka chiopsezo

Mimba pa RH zoipa ndi kangapo kumaonjezera ngozi ya osabereka ndipo alibe kanthu momwe izo zinalengedwa: opaleshoni kapena mankhwala. Kuopsa mu nkhani iyi ndiye amayamba kutulutsa antigens, chifukwa mimba wotsatira, iwo amakhala okonzeka 'kuthamangira kunkhondo. "

Kukhala ang'onoang'ono ndi zambiri m'manja, iwo amayambitsa nkhonya yamphamvu kwambiri pa erythrocytes yoopsa. Zimenezi zimabweretsa chitukuko cha kuvutika mu wosabadwa kapena kutaya mimba. Komanso, mimba kumaonjezera ngozi ya osabereka.

Kodi madokotala kuti?

Mimba ndi RH zoipa - nthawi zonse ndondomeko m'malo yowopsa, kaya kachitidwe kake unachitikira. Yoopsa ngakhale kubadwa yokumba mu chochitika mwana wosabadwa osauka ali RH positive. Popanda zotsatira mkaziyo zambiri sagwira ntchito. Madokotala ndikukhulupirira kuti RH zoipa ayenera kuonedwa ndi contraindication kwa mtundu uliwonse wa mimba ndipo anapanga okha mankhwala.

Pomaliza

Choncho, palibe mimba otetezedwa, koma ndi oopsa kwa kuchotsa mimbayo ngati mkaziyo ali oipa RH china. Pankhaniyi, thanzi akukamba zimamupweteka kwambiri, ndipo ngakhale zonse zimapita bwino, ndiye patapita kanthawi zotsatira za zimenezi udzamvedwa.