Hatiwanzopa pfungwa dzakawanda kune basa reropa rekudzivirira pamuviri. Vazhinji vedu hatinzwi rimwe shoko pamusoro pemadonhwe aya anopiwa mumavhiki ekutanga. Zvisinei, chimwe chezviedzo zvakaitwa neropa iri rudzi rweropa uye Rh factor kuongorora.
Mukuwedzera kune rimwe ropa (A, B, O, AB), Rh chikonzero chakanyorwa sechinhu chakanaka (chiripo) kana chakaipa (chiripo).
Vanhu vazhinji ndeye Rh positive. Ichi chinhu hachikuvadzi hutano hwako kunze kwepamuviri.
Mukadzi ari pangozi kana ane Rh factor uye mudzimai wake ane Rh factor. Uku kusanganiswa kunogona kubereka mwana anonzi Rh positive. Nepo zvirongwa zvemaamai nevana zvevana zvakaparadzana pane dzimwe nguva apo ropa kubva kumwana rinogona kupinda mumhuri yaamai. Izvi zvinogona kukonzera amai kuti vape zvirwere zvinopesana neR Rh factor, nokudaro vachibata Rh mucheche mwana semuviri mumuviri wake. Kana izvi zvikaitika amai vanonzi vanokurudzirwa.
Muviri weamai unokurudzirwa uchaita zvirwere. Izvi zvinopesana nemasikirwo achazozvidzivirira neR Rh yakanaka yemwana weropa, zvichiita kuti iparadze masero matsvuku eropa emucheche uye anemia ichakura. Muzviitiko zvakakomba, chirwere ichi chehemolytic chinogona kukonzera chirwere, kukuvara kwehupi, uye kunyange kufa.
Sensitization inogonawo kuitika panguva yekuwedzerwa ropa, kupera pamuviri , kubvisa pamuviri, ectopic pamuviri uye kunyange mune dzimwe nzira, sai amniocentesis .
Sezvo zvirwere zvisingaiti uye hazviwanzokonzera dambudziko pakutanga kwekutakura pamuviri, zvakakosha kuti zviongororwe zvakakwana uye kupa nhoroondo yakarurama yezvokurapa kune chiremba kana mukukuta.
Mashoko Akanaka
Hemolytic chirwere chinogona kudzivirirwa kuvakadzi vazhinji kana vasati vava kunzwisiswa. Rh immunoglobulin (RhIg) inogadzirwa neropa rakapiwa kuburikidza nemakisiro kubatsira R Rh asina amai kuburikidza "nekuderedza zvaakaita kune Rh rakanaka masero matsvuku.
Kugadzirisa kumishonga kunowanzova duku, kusanganisira kusuruvara panzvimbo yejojo uye pane dzimwe nguva hovha duku.
Sezvo nhamba shomanana yevakadzi vasina kudzivirirwa vangave vane matambudziko nekuguma kwepamuviri, vashandi vakawanda vanorayira kuti apiwe chirwere cheR RhIg (inozivikanwawo seRhogam) pamasvondo makumi maviri nemasere ekugadzirira, kudzivirira maitiro mashomanana ekukurudziro anouya pakupedzisira yekuzvitakura. Chirwere chimwe nechimwe cheRhIg chinopera anenge masvondo gumi nemaviri. Amai vachapiwawo RhIg mukati maawa makumi manomwe nemaviri ekuberekwa kana mwana ari Rh positive. Ropa rechecheche rinogona kutsanangurwa nyore nyore mushure mekuberekwa nemutsambo yeropa ropa.
Kana iwe wakapiwa Rhogam, iwewo uchapiwa kadhi yekuzivikanwa kuti utakure pamwe newe. Iri kadhi rinoratidza vatapi vako kana vashandi vezvoutano vanoda kukubata iwe wakapiwa Rhogam. Kana chiremba wako kana chiremba asina kukupa kadhi yeAdhi, iva nechokwadi chekubvunza pamusoro pekuchengetedzwa uku. Iwe uchazofanirawo kubvunza kuti inofanirwa kuratidzirwa nani, kana mabhuku ako ezvokurapa asingawanike nyore nyore.
RhIg inogonawo kupiwa mushure meAmniocentesis, kupererwa pamuviri, kubvisa pamuviri kana kubvisa shure kwechipiri (tubal ligation). Izvi ndezvekuti kune mukana muduku wekusvibiswa kweropa uye unogona kukurudzirwa kunyange mushure mekunge maitiro aya kana zviitiko.
Hazvisiwo ruzivo kuti kunyange kana pamuviri usina kuzadza nguva inogona kutungamirira kumudzimai achikurudzirwa.
Hemolytic Disease
Kune mazana mashanu ematambudziko ehemolytic ichaitika gore negore. Amai vane Rhe vanokurudzirwa vachabvunzurudzwa paanenge avata pamuviri kuti vaone kana mwana ane chirwere chehemolytic. Vamwe vana vane hemolytic zvirwere vachave nemimba isina kuoma uye vachaberekwa pamusana pemazuva ose. Vamwe vana vacharwadziwa zvikuru uye vanoda kuti kuberekwa kuitwe mberi. Kuwedzerwa ropa kunogona kupiwa zvose uye mushure mokuberekwa kwevana ava vakaoma zvikuru.
Kana uine mibvunzo pamusoro peR Rh chikonzero kana kuti iwe kana iwe uri muboka iri revakadzi, usazeza kubvunza chiremba wako kana muzukudzi nokuda kwemigumisiro yeropa rako.
Kunobva:
> American College yeVadzidzi uye Gynecologists. The Rh Factor uye Kuti Inogona Kuita Sei Kubata Kwako? Svondo 2013. Yakasvika musi waMarch 13, 2017.
Rh Disease. March weDhimes. July 2016. Yakasvika musi waMarch 13, 2017, pa http://www.marchofdimes.org/baby/rh-disease.aspx