Rhesus-kurwisana mune pamuviri wechipiri

Muvanhu vakawanda pasi pose, masero matsvuku eropa ane Rh factor protein. Ropa rakadaro Rh rakanaka. Apo puroteni iyi isipo, ipapo ropa rinonzi Rh-negative. Izvi zvinowanikwa nhaka yezvekuberekwa uye hazvina simba pamutano wevanhu. Panguva yekuzvitakura kune ngozi yeRh-conflict. Inoita kudarika mumwana neRh-positive ropa, iyo yaakagara nhaka kubva kuna baba vake, asi amai vacho havana kunaka, uye zvakasiyana.

Kurapa kweRhesus Kurwisana mukuberekwa

Nekutyora uku, vanachiremba vanogona kubudirira kurwisana, asi zvakakosha kutsvaga rubatsiro rwechiremba panguva yakakodzera. Kazhinji, Rhesus kupikisana inowanikwa munguva yekudzivirira kwechipiri, kunyange kana yekutanga ichiguma mukubvisa pamuviri, kana kubvisa pamuviri. Kurapa kunogona kutungamirira kumatambudziko, kunyange kusvika pakuberekwa kusati kwasvika nguva uye kuberekwa. Asi migumisiro inotyisa yakadaro inogona kudziviswa, nekuda kwemazuva ano maitiro ekuongorora, pamwe chete nemishonga.

Kune vanamangwana vaine rhesus asina kunaka chiremba achakurudzira zvinotevera:

• nguva dzose maitiro anonzi antibody;
• panguva yemasvondo makumi maviri nemana, chirwere chakakosha che anti-rhesus immunoglobulin;
• dzoka jekiseni mushure mekuberekwa, rinofanira kuitwa mukati maawa 72, mumamiriro ezvinhu apo mwana ane ropa ane rhesus kunze kweamai.

Kana kuwedzerwa kwechirwere chechirwere (chirwere chekuongorora ropa) kunoonekwa, amai vanguva yemberi vachave ne ultrasound kuti vaongorore mamiriro emucheche. Chiremba anokwanisa kuraira kutumira kuchipatara. Dzimwe nguva kune chido chekutungamirira chidzidzo chemubilical cord ropa kana amniotic fluid. Aya maitiro anongororwa chete zvakajeka maererano nezviratidzo. Semuenzaniso, vanogona kutarisirwa kuvadzimai vane huwandu hwakareba hwezvirwisana muhondo yeRhesus, kana kuti vane kamuviri kechipiri, uye mwana akwegura akazvarwa ane chirwere chakanyanya chehemolytic.

Nzira inobatsira yekurapa chirwere inopa ropa kune fetus. Kugadzirisa kunoitwa muchipatara. Yakashandiswa kare uye dzimwe nzira. Ikoko huru 2 maitiro ekurapa Rh rhesus-kurwisana panguva yekuzvitakura yaiva plasmapheresis uye kugoverwa kweganda raamai vemucheche kumukadzi anouya. Parizvino, nzira idzi dzinowanzosarudzwa, sezvo vanachiremba vakawanda vanoona kuti hazvina maturo.

Kana iwe ukanyatsoteerera mazano echiremba, amai vakatarisira vachakwanisa kubvumira mwana ane utano. Mazano ekubudisira anosarudzwa nemudzimai wegynecologist, zvichienderana nemamiriro emumai pakuzvarwa.