Antibodies a Pregnancy: Mene ne m RH-rikici da kungiyar incompatibility

Sau da yawa, mata da RH otitsatelny, damu game da beremennnosti kuma dole ne in ce, gaskiya da haka. RH factor ne mai gina jiki located a farfajiya na erythrocytes. Matsalolin bayyana idan uwar shi ne RH korau (Rh-), da kuma yaro (RH +) - tabbatacce, gada daga ubansa. Rarer Abo incompatibility tasowa a cikin tsarin (kungiyar incompatibility). Bayan lamba tare da fetal jini a cikin uwa tasa ta jini antigens samar antibodies.

Antibodies a Pregnancy hallaka fetal ja da maikacin jini, wadda take kaiwa zuwa mummunan sakamakon, kamar hemolytic cuta. Associated matsalolin sun hada da: mahaukaci hanta aiki, aikin da jijiyoyi, da zuciya rashin cin nasara. A tayin ruwa za su tara, abu don edema. Haka kuma cutar ta fara wajen samar da farkon a matsayin 22 makonni na ciki.

Me ne m Rhesus rikici

Ya kamata a lura cewa rhesus rikici ne ba matukar hatsari a akwati na farko ciki. Da hadawa da masu juna biyu jini da jinin wani yaro daukan wuri bayan haihuwa, har ma da riga kafa antibodies ba barazana ga jariri.

Duk da haka, idan wata mace da ake yi tsammani ta biyu baby, da antibodies a lokacin daukar ciki zai iya sa tsanani pathologies, daga abin da yaro zai iya mutuwa a cikin mahaifa. Babban hadari da yake a cikin kasafi na yawa daga cikin abu bilirubin 'ya'yan to, ku yaki antibodies, wanda zai iya adversely shafi ta ciki gabobin, yafi da hanta, saifa, da kwakwalwa. Sau da yawa rhesus rikici take kaiwa zuwa ashara ko wanda bai kai haihuwa.

Antibodies aka kafa a lokacin daukar ciki lokacin da wata mace ne RH korau kuma mutum yana da kyau RH. A wannan yanayin, RH rikici ya auku a 75% na lokuta. Incompatibility iya faruwa idan matar da aka yi a jini, da kuma RH ba su ɗauke shi zuwa lissafi.

A jini gwajin for antibodies

Ko a lokacin da wani shirin daukar ciki kowace mace ya kamata ka sani your RH factor da RH factor na uban yarinyar. Idan akwai wani alama na RH-rikici, shi zai bukatar a yi bincike a kan antibodies a lokacin daukar ciki akai-akai. A karo na farko kana bukatar ka yi wannan hanya a kan 8 mako na ciki sa'an nan a kai a kai bari na antibodies zuwa 30 makonni - da zarar wata daya, up to 36 makonni - mako-mako.

By guda tsanani sakamakon sakamakon wani incompatibility na jini kungiyoyin na uwa da yaro. Matsalolin bayyana idan mace yana da na jini kungiyar da kuma fetal jini kungiyar II ko III. A wannan yanayin, fetal antigens shigar da masu juna biyu jini kungiyar antibodies da kasaftawa. Group antibody a lokacin daukar ciki gubar ga ci gaban hemolytic cutar da babu kasa hatsari fiye D-antigens.

Duk da haka, wani jini gwajin for antibodies iya nuna wata cuta kawai idan an samar a tare da tare da sauran bincike hanyoyin. Na bayar da muhimmanci ne antibody titer da canji a ciki. A mafi girma da antibody titer, da mafi kusantar da wani m sakamako.

Antibodies a lokacin daukar ciki ya kamata a gane a dace hanya, da kuma baiwar a jihar nada wani hanya na injections, wanda aka gudanar daga 10 zuwa 22, tare da 22 po24 da kuma 32 ga 34 na mako daya. Lokacin da rikitarwa ciki a mace ya zama a wani asibiti, a karkashin kulawa na likitoci.

Mata tare da wani tarihi na rashin ko aka haife baby sha wahala hemolytic cuta a cikin tsanani, da magani ne da za'ayi plasmapheresis, wanda aka nufin cire daga jinin antibodies.

Idan fetal hemolytic cutar da aka tabbatar, daidai ne farkon bayarwa. Wannan shi ne saboda gaskiyar cewa ƙarshen lokaci na isar da antibodies cikinta ƙaruwa. A tsanani fetal cutar ciki da aka kare. Amma a mafi yawan lokuta shi za a iya rage zuwa m sharuddan ceto.