RhoGAM ibhii chaiyo yeRh- immune globulin. Ichi chirwere chirwere chinopiwa kuvakadzi vane Rh negative (ropa renyu ndiO negative, A negative, kana zvakadaro) vanoberekwa kana vane ruzivo rwekudzivirira pamuviri. RhoGAM haisi iye chete motokari yeRh- immune globulin pamusika, asi ndiyo yekutanga yakagadzirwa, uye izwi racho rakawanzoshandiswa kureva Rh-immune globulin zvakangofanana nevanhu vanoshandisa zita rokuti Kleenex kutarisa kune marudzi ose yezvimedu.
Rh- immune globulin inodzivirira muviri wemukadzi kubva pakugadzira zvirongwa zveHr factor muitiko apo ropa rechecheche rake riri Rh positive. Kana muviri wake unoita zvirwere izvi, zvinetso zvekusununguka munguva yemberi zvinogona kuitika. Kuzivikanwa mushure mekusununguka pamuviri hakushamisi asi vanachiremba vakawanda vanosarudza kupa chipfuro kuvakadzi vane Rh vasingateereri ropa remhando sekuchengetedza.
IRh- immune globulin ibhizimusi uye inotakura dambudziko rekuparadzira mavharusi eropa, asi mumagariro akawanda, zvikomborero zvinopfuura zvikwereti. Zvakaipa zvinokonzerwa neRoGAM hazvishamisi; zvisinei, vanachiremba vazhinji vacharamba vachichengeta vakadzi kuti vaone nezvemaminitsi makumi maviri mushure mejeri.
Mamwe Magwaro eRoGAM
RhoGAM inonziwo Rhig uye mazita emagetsi, akadai seMICRhoGam, WinRho-D uye BayRho-D.
Zviito zveRho (D) Immunoglobulin
Apo mudzimai weRh-asina kunaka anoberekera mwana ane Rh-ropa rakanaka kana kuti anokanganisa mwana ane Rh-positive ropa, rimwe ropa kubva kumwana rinogona kupinda mukati mehurongwa hwaamai panguva yekuberekwa.
Yeuka kuti kutaurirana, pakati pezvimwe zvinhu, ropa rekuita. Izvi zvinogona kukonzera amai kuti vape zvirwere zveRh-positive ropa. Muchiitiko chekudzivirira pamuviri, mwana anofanira kuva Rh positive, zvirwere zvemuviri mumuviri zvamai zvinogona kurwisa mwana zvichiita mumamiriro ezvinhu anonzi hemolytic chirwere chechecheche.
Hemolytic Disease yeMucheche
Hemolytic chirwere chechechecheche chinonziwo erythroblastosis fetalis. Vacheche vakaberekerwa nehutano ichi vanogona kuonekwa munyika dzakasiyana-siyana kubva pane zvakajairika kurwara zvakanyanya. Izvi zvinowanzopa sejericece , kana ruvara rweganda, maziso, nerurimi, izvo zvinoitika nekuda kwekuparara kwemasero matsvuku eropa uye kuunganidza kweproduct bilirubin. Hemolytic chirwere chechechecheche chinogona kukonzera cardiorespiratory nekumusungwa uye rufu rwechechechecheche.
Hemolytic chirwere chechechecheche inogona kuonekwa kana mumucheche kana mucheche achishandisa kuongororwa kweberereti. Kunyanya, kuitira kuti uongorore fetus, cordocentesis inofanira kuitwa. Cordocentesis chirwere chinoparadza umo ropa rinotorwa kubva mumbilical vein mumutsara wembilical unobatanidza kune placenta. Hemolytic chirwere chechechecheche chinowanikwa muvana vatsva vachishandisa kuongorora ropa.
Sarudzo Sources
Steele P. Zvirwere zveMucheche nevana. Mu: Laposata M. eds. Bhuku Rekurapa: Kurapa kwezvirwere muCliniki Laboratory . New York, NY: McGraw-Hill; 2014.