Usati wataura pamusoro peRh-conflict panguva yekubata pamuviri, unofanirwa kunzwisisa kuti Rh chii chii, uye mumamiriro ezvinhu akaita sei hondo iyi. Saka, Rh chikonzero chimwe chemazana emagetsi eropa, anowanikwa pamusoro pemasero matsvuku eropa (masero matsvuku eropa). Vanhu vazhinji vane maantigen (kana mapuroteni) aripo, asi dzimwe nguva haasi.
Kana munhu ane Rhesus chimwe chinhu pamusoro pemasero matsvuku eropa, zvino vanoti ivo Rh-positive, kana pasina, Rhesus-negative. Uye iwe haugoni kutaura kuti rhesus iri nani. Ivo vakangosiyana - ndizvo zvose.
Chimwe chinhu chakakosha Rh inenge panguva yekuzvitakura. Kana amai vane ramangwana ari Rh-negative, uye baba vomwana ndiye Rh-positive, kune ngozi yekuvandudza Rh-kupikisana pakati peamai nevana. Izvi zvinoreva kuti, kana mwana akazova neR Rh yakasiyana nevakadzi, izvi zvinogona kutungamirira kukurudzira amai uye fetus.
The Rh factor of the mother and child factors occurs in 75% of cases, if the parents of the child have different Rh factors. Zvechokwadi, iyi haisi chikonzero chokuramba kugadzira mhuri, nokuti panguva yekuzvitakura kwekutanga kusagadzikana hakusipo nguva dzose, uye nekutarisira kwakanaka kwekutambudzika nemimba yekudzivirira nayo kunogona kudziviswa mukudzivirira kwekupedzisira.
Apo paine rhesus kukakavara?
Kana iwe ukava nepamuviri kwekutanga, ipapo njodzi yekukudziridza Rh-kupikisana idiki, sezvo pasina maitiro anonzi Rh-miviri miviri mumuviri waamai. Munguva yepamuviri uye musangano wokutanga wemarhesus maviri, kwete ma antibodies akawanda anobudiswa. Asi kana erythrocyte yakawandisa ye fetus inopinda muropa raamai, ipapo mumuviri ine "zvakakwana masero" ekurasira zvirwere zvinopesana neResus factor mumatambudziko anotevera.
Izvo zvinowanzoitika mumamiriro ezvinhu aya zvinoenderana nei zvakaguma kuberekwa kwekutanga. Saka, kana:
- kwaiva nekuparara kwepamuviri - masero anopa ropa anoratidzwa muna 3-4% emhosva;
- kubvisa pamuviri kwekurapa kwakaitwa - dambudziko rekupesana rinowedzera kusvika pa5-6%;
- ectopic pregnancy yakaitika - mu1% yezviitiko;
- Mucheche yakaguma pakuberekwa kwakasununguka - ngozi ndeye 10-15%.
Mukuwedzera, njodzi yekukurudzirwa inowedzera mushure mekushaya chirwere chechiesarea uye kuputika kwepasitiki. Asi, pasinei nokuti izvi zvinogona kunge zvakadaro, vanaamai vose vane ngozi yeResus-Conflity vanoda kudzivirirwa nemigumisiro yakadaro sehemolytic chirwere chemucheche .
Rhesus inopesana nemigumisiro yaro
Kana amai vacho vane Rh-antibodies, uye Rh-positive, mwana wacho anoratidzira mwana wacho sechinhu chakasviba uye anorwisa ake erythrocytes. Muropa rake mukupindura, akawanda bilirubin anobudiswa, izvo zvinoderedza ganda rakatsvuka. Chinhu chinotyisa pane izvozvi ndechokuti bilirubin inogona kukuvadza ubongo hwemwana.
Uyezve, sezvo masero matsvuku eropa emuchetura akaparadzwa nemasikirwo emadzimai, chiropa chake uye chirwere chinokurumidza kukurumidza kugadzirwa kwemasero matsvuku eropa, asi ivo pachavo vanowedzerwa muhukuru. Uye zvakadaro havakwanise kurarama nekudzorerwa kwemasero matsvuku eropa akaparadzwa, uye kune simba rakasimba rekukisijeni ye fetus, sezvo masero matsvuku eropa asingabudisi okisijeni mune zvakakwana.
Mhedzisiro yakakomba yeRhesus-mhirizhonga isati yaro yekupedzisira - kukura kwe hydrocephalus, iyo inogona kutungamirira ku intrauterine kufa .
Kana uine ma antibodies muropa rako uye mazita avo akawedzera, unoda kurapwa mune imwe nzvimbo inokosha yeparinatal, iyo iwe nemwana muchapiwa nguva dzose. Kana iwe uchikwanisa "kubvisa" kutora pamuviri kusvika masvondo makumi matatu nemasere, iwe uchange uine chirongwa chinorongwa chekudya. Kana zvisina kudaro, mwana achapiwa kuwedzerwa ropa muUtero, kureva kuti, kuburikidza nedumbu remadzimai raamai kuenda kumbilical vein uye 20-50 meri ye erythrocyte mass ichadururirwa mairi.