Ukuhanjiswa kwegazi kwi-Erythrocyte yovavanyo lokuzalwa komama

Uvavanyo lokusasazwa kwe-erythrocyte olungekazalwa lusetyenziselwa ukulinganisa inani leeseli ezibomvu zosana olungekazalwa kwigazi lomfazi okhulelweyo.

Isampulu yegazi iyafuneka.

Akukho lungiselelo lukhethekileyo luyimfuneko kolu vavanyo.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukukrala kancinci. Oku kuya kuhamba kungekudala.

Ukungahambelani kwe-Rh yimeko eyenzekayo xa uhlobo lwegazi lukanina liyi-Rh-negative (Rh-) kwaye uhlobo lwegazi lomntwana wakhe olungekazalwa lu-Rh-positive (Rh +). Ukuba umama nguRh +, okanye ukuba bobabini abazali bayiRh-, akukho sizathu sakhathazeka ngokungahambelani kweRh.

Ukuba igazi lomntwana liyi-Rh + kwaye lingena kwi-Rh yegazi lomama, umzimba wakhe uya kuvelisa ii-antibodies. Ezi antibodies zinokudlula zibuyele kwi-placenta kwaye zenzakalise iiseli ezibomvu zegazi lomntwana. Oku kunokubangela i-anemia ethambileyo ukuya kwiintsana ezingekazalwa.

Olu vavanyo luchaza ubungakanani begazi obuye batshintshiselwa phakathi kukamama nomntwana. Bonke abasetyhini abakhulelweyo be-Rh kufuneka balufumane olu vavanyo ukuba bayopha okanye basemngciphekweni wokopha ngexa lokukhulelwa.

Kwibhinqa eligazi lalo lingu-Rh lingahambelaniyo nosana lwalo, olu vavanyo lunceda ekufumaneni ukuba ingakanani i-Rh immune globulin (RhoGAM) ekufuneka iyifumene ukukhusela umzimba wayo ekuveliseni iiproteni ezingaqhelekanga ezihlasela usana olungekazalwa ekukhulelweni okuzayo.

Ngexabiso eliqhelekileyo, akukho okanye zimbalwa iiseli zomntwana ezisegazini likanina. Idosi esemgangathweni yeRhoGAM yanele kule meko.

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nogqirha wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Kwisiphumo esingaqhelekanga sovavanyo, igazi elivela kusana olungekazalwa luye luvuze kumjelo wegazi likanina. Okukhona iiseli zomntwana zininzi, kokukhona i-Rh globulin yamajoni omzimba kufuneka ifunyenwe ngumama.

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukuthatha igazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukopha kakhulu
• Ukugqobhoza okuninzi ukufumana imithambo
• Ukufa isiqaqa okanye ukuziva ungenantloko
• I-Hematoma (igazi eliqokelela phantsi kwesikhumba)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Ibala laseKleihauer-Betke; Ukuhamba kwecytometry - ukuhanjiswa kwe-erythrocyte yomntwana okhulelweyo; Ukungahambelani kwe-Rh-ukuhanjiswa kwe-erythrocyte

IChernecky CC, iBerger BJ. Ibala le-Betke-Kleihauer (ibala le-hemoglobin olungekazalwa, ibala laseKleihauer-Betke, KB) -ukuxilonga. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 193-194.

Ukupholisa uL, Downs T.I-Immunohematology. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 35.

Ukuhambisa KJ. Ukudityaniswa kweseli ebomvu. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 40.