Yintoni i-erythroblastosis yomntwana, oonobangela abaphambili kunye nendlela yokuphepha

Umxholo

• Izizathu ezinokubangela
• Ungayikhusela njani i-erythroblastosis yemveku
• Ungayichonga njani i-erythroblastosis yomntwana
• Unyango lwenziwa njani emva kokubeleka

I-erythroblastosis ye-Fetal, ekwabizwa ngokuba sisifo se-hemolytic sosana olusandul 'ukuzalwa okanye isifo seRhesus, sisilungiso esidla ngokwenzeka kumntwana okhulelweyo okwesibini, xa umfazi okhulelweyo enegazi elibi le-Rh kwaye, ekukhulelweni kokuqala, umntwana onegazi Uhlobo oluhle lwe-Rh, ngaphandle kokunyangwa nge-immunoglobulin.

Kwezi meko, umzimba kamama, ekukhulelweni kokuqala, uvelisa amajoni omzimba athi, ngexesha lokukhulelwa kwesibini, aqale ukulwa neeseli ezibomvu zegazi losana olutsha, azisuse ngokungathi sisifo. Xa oku kusenzeka, umntwana unokuzalwa ene-anemia enzima, ukudumba kunye nokwanda kwesibindi, umzekelo.

Ukuthintela ezi ngxaki emntwaneni, umfazi kufuneka enze lonke uthethathethwano kunye neemviwo zaphambi kokubeleka, kuba kunokwenzeka ukuchonga umngcipheko we-erythroblastosis, ukuqala unyango, olubandakanya inaliti ene-immunoglobulins ukunqanda ukubonakala kokugula kusana . Funda ngakumbi malunga nonyango lokuthintela i-erythroblastosis.

Izizathu ezinokubangela

Iimeko eziqhelekileyo zihlala zenzeka xa umama, enegazi elibi le-Rh, wayekhulelwe kwangaphambili apho umntwana wazalwa enegazi le-Rh. Oku kunokwenzeka kuphela xa igazi likatata linguRh, kwaye ke ukuba umama akanalo i-Rh, ugqirha wezinto zokubeleka unokuyalela uvavanyo lwegazi kutata ukuze ahlole umngcipheko we-erythroblastosis.

Ukongeza, kwaye nangona kunqabile ngakumbi, olu tshintsho lunokuvela xa umfazi okhulelweyo efumana utofelo-gazi lwe-Rh + nangaliphi na ixesha ebomini bakhe ngaphambi kokuba akhulelwe. Ke ngoko, kubalulekile ukuba ugqirha obelekisayo uyazi kakuhle yonke imbali yomfazi okhulelweyo.

Ungayikhusela njani i-erythroblastosis yemveku

Unyango lokuthintela i-erythroblastosis engekazalwa ine-anti-D immunoglobulin, enokwenziwa:

• Kwiveki ye-28 yokukhulelwa: ngakumbi xa utata enguRh + okanye xa kuzalwa umntwana wokuqala enegazi le-Rh + kwaye inaliti ayenziwanga ngexesha lokukhulelwa kokuqala;
• Iintsuku ezi-3 emva kokuba unikezelo: kwenziwa emva kokukhulelwa kokuqala apho umntwana azalwe enegazi le-Rh + kwaye kunceda ukuthintela ukwenziwa kweentsholongwane ezinokonakalisa ukukhulelwa okuzayo.

Ukuba akukho naliti inikiweyo kwaye umntwana usemngciphekweni omkhulu wokukhula kwe-erythroblastosis, ugqirha unokuzama ukulindela umhla wokuhanjiswa, nje ukuba imiphunga kunye nentliziyo yomntwana ikhule kakuhle.

Ungayichonga njani i-erythroblastosis yomntwana

Iimpawu kunye neempawu ze-erythroblastosis engekazalwa inokubonwa kuphela emva kokuzalwa kwaye ihlala ibandakanya i-anemia ebukhali, ulusu olutyheli kunye nokudumba ngokubanzi kusana.

Xa enganyangwa ngokufanelekileyo, umntwana usengozini enkulu yobomi, ngakumbi ngenxa ye-anemia ebangelwa sesi sifo. Nangona kunjalo, nokuba iyasinda, kunokuvela iingxaki ezinzulu, njengokudodobala kwengqondo kunye nokwenzakala kwiindawo ezahlukeneyo zobuchopho.

Ke ngoko, eyona nto ibalulekileyo kukwazi umngcipheko wokuba usana lukhule erythroblastosis naxa ukhulelwe, ukwenza konke ukubonisana ngaphambi kokubeleka ukuze kuchongwe umngcipheko kwaye kuqale unyango olunceda ukukhusela esi sifo.

Unyango lwenziwa njani emva kokubeleka

Ukuba umama akakhange afumane unyango ngexa lokukhulelwa kwaye umntwana ezelwe ene-erythroblastosis, ugqirha unokucebisa nolunye uhlobo lonyango, olubandakanya ukufaka igazi lomntwana kwenye i-Rh negative. Le nkqubo inokuphindaphindwa kangangeeveki ezininzi, de kube kuphele zonke ii-antibodies zoomama.

Emva kweli xesha lonyango, usana luphela lutshintsha i-Rh enegazi eline-Rh, kodwa ngelo xesha, ngekhe kubekho mngcipheko.