Rh-kū'ē'ē ma waena o ka makuahine a me ke keiki hānai

ʻO kekahi o nā ho'āʻo koko e pono e hāʻawiʻia i kahi makuahine e hiki mai anaʻo ia ka hoʻoholoʻana i ka helu Rh. He nui ka poʻe iʻike e pili ana i ke ola o Rh-conflict, akā,ʻaʻole i maopopo i nā mea a pau ka mea i hunaʻia ma lalo o kēia hua'ōlelo. Eʻike kākou i keʻano o kēia kūlana i ka wā o ka hānauʻana, a me keʻano o ka weliweli a me ka hikiʻole keʻaeʻia.

Rhesus-ke kū'ē'ē ma waena o ka makuahine a me ke keiki - he aha ia?

E hoʻomaka me ka manaʻo o ka helu Rh. He kinamele kūikawā kēia i kapaʻia "antigen", aia ma luna o ka mahele o ke koko o ke koko. ʻO ka hapa nui o nā kānaka i loaʻa ia, a laila e kūpono ana ka hōʻailona. Akā, he 15% o nā kānaka i loaʻaʻole aʻo Rhesus ka meaʻole,ʻo ia ka mea e hiki ai ke paio.

Inā loaʻa ka makuahine i ka wā e hiki mai ana me kahi hōʻailona liʻiliʻi, aʻo ka makua kāne, ma keʻano heʻoi aku ka "plus", he 50% ka pono o ka hoʻoilina o nā genes o ka makua kāne e ka pēpē. Akā, alakaʻi pololei i ka Rhesus-ke kauaʻo kaʻaiʻana i nā pūpū kokoʻulaʻula o ka'ōpū i loko o ke koko o ka makuahine, i ka wā e hoʻomaka ai kēia pilikia weliweli e hoʻomaka.

Ma mua o ka hāpaiʻana,ʻo Rh-conflict ka pilikia?

Ua like ia me kahi paio o ka hana Rh ma ka'ōpū. ʻO ka loaʻaʻana i ka makuahine,ʻo ke koko o ke keiki i hānauʻoleʻia eʻikeʻia e kona kino e like me keʻano o ka haole,ʻo ia ka hopena o ka'ōlohelohe o kēia wahine e hōʻailona ai i ka uluʻana o nā meaʻeʻe. Ma muli o ka hopena o ka hopena o ka hopena o ka erythrocytes o ka pēpē, e hoʻonāukiuki i nā hopena maikaʻi o ka Rh-conflict i ka wā o ka hāpaiʻana:

• kauā;
• ka hoʻonuiʻana o ke ake, nā puʻupaʻa a me ka naʻau;
• alloimmune thrombocytopenia;
• hypoxia fetal;
• anemia hemolytic.

Hiki keʻike maʻalahiʻia nā'ōpū i loko o ka'ōpū i ka hoʻohanaʻana i ke kaniʻana o nā kiʻi. Inā, me nā hōʻailona mua o ka maʻi Rh, ʻaʻole i hanaʻia ka'ōpū hāpai, hiki i ke kōpū ke hoʻohoha nui loa: ua hānauʻia ke keiki he mea maʻi (palakō, swelling syndrome), a ua make paha.

ʻO ia ke kumu nui o ka hāpaiʻana i ka paleʻana i ka Rhesus-ke kū'ē ma waena o ka makuahine a me ke keiki a me ka manawa e hana ai i kāna ākea,ʻo ia hoʻi kēia. Ke komo ke koko o ka'ōpū i ke koko o ka makuahine (a hiki mai kēia i ka hāʻuleʻana o ka placental a me kekahi mau hanuʻana'ē aʻe), pono ia e hoʻoponopono koke i kāna immunoglobulin intramuscular, kahi e hihia ai i ka hanaʻana o nā mea pale. I kēia lā,ʻo kaʻoihana maʻamau maʻamau ka hoʻokomoʻiaʻana o kēia lāʻau lapaʻau no nā hana pale i nā hebedoma 28 a me 34, a laila i loko o 72 mau hola ma hope o ka hoʻounaʻana.