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Xa ukhulelwe, ukhuseleko lomntwana ongekazalwa yeyona nto iphambili kubazali. Wonke umzali ukhathazekile ngentlalo-ntle yomntwana wakhe. Ininzi imibuzo kunye namathandabuzo anokuvela ezingqondweni zabazali ngalo lonke ixesha.
Nangona abasebenzi bezempilo abakujonga xa ukhulelwe / bezama ukukhulelwa bakhona ukuze bacacise ukungathandabuzeki kwakho, kusenokubakho iintsuku apho iingcinga ezilula zinokuthi gqi engqondweni yakho zikukhathaze.
Omnye umbuzo onjalo uninzi lwabazali / abazama ukuba ngabazali bahlala bebuza oogqirha babo ngexesha lokujonga impilo rhoqo, kukuba ukuba iqela elifanayo legazi linokuchaphazela ukukhulelwa / amathuba okukhulelwa nangayiphi na indlela.
Kwakhona, ukuba uzama ukukhulelwa ixesha elide kwaye akukho ziphumo zihle, kusenokwenzeka ukuba ungabeka ityala kuwe nakwiqabane lakho elinamaqela egazi afanayo.
- Ukuqonda iQela eliQhelekileyo leGazi kunye neNkqubo yalo
- Ukuqonda amaqela egazi
- Ubudlelwane phakathi kweQela leGazi loMyeni kunye noMfazi
- Ukuhambelana kweRh
- Isisombululo ku-Rh Ukungahambelani
- Ukuthintela i-Erythroblastosis Fetalis
Ukuqonda iQela eliQhelekileyo leGazi kunye neNkqubo yalo
Ukuba indoda nomfazi baneqela elifanayo legazi, uphononongo oluninzi luveze ukuba kunokubakho imicimbi ethile yempilo nabantwana babo.
Iqela legazi emzimbeni liqhubekeka ngeendlela ezimbini. Kuqala ukuba yinkqubo yeABO- oku kubhekisa kumaqela egazi A, B, AB kunye no-O. Okwesibini ukuba yiRh factor (Rhesus factor). Oku kuqhubekeka kunamalungu amabini i-Rh + (intsholongwane) kunye no-Rh - (ongekhoyo). Iqela legazi lomntu limiselwa ngokujoyina inkqubo yeABO kunye neRh factor.
Ukuqonda amaqela egazi
Ukuba igazi lomntu omnye libonelelwe emzimbeni welinye iqela, kuqala i-antibody yenziwa ngokuphendula kwalo. Nangona kunjalo, ukuba iintlobo ezimbini ezahlukeneyo zegazi zidityanisiwe, ukuqunjelwa kwegazi kuyenzeka kwaye iiseli zinokwaphuka, oko kungakhokelela ekufeni komntu, njengoko iiseli zegazi ziqala ukwaphuka.
Oku kubhekiswa njengokungangqinelani kwe-ABO. Esi sizathu sokuba ukuba umntu une-Rh factor positive, uya kukwazi ukwamkela kuphela i-Rh enegazi. Kuyafana nokubanjwa kwe-Rh factor kunye nayo.
Ubudlelwane phakathi kweQela leGazi loMyeni kunye noMfazi
Ukukhulelwa ngaphandle kwengxaki, oku kulandelayo kuthathwa njengokukhuselekileyo. Iqela legazi lomfazi linokuba lihle okanye lingalunganga xa iqela legazi lomyeni lingenayo, kodwa ukuba iqela legazi lomyeni lilungile, kubalulekile ukuba umfazi abe neqela legazi elifanelekileyo.
Iingxaki ezinokwenzeka kwimeko yokuba indoda nomfazi baneqela elifanayo legazi.
• Xa iqela legazi lomyeni liqinisekile kwaye elomfazi alinalo, kuya kuthi ke kudaleke uhlobo olubizwa ngokuba yiLithal gene okanye uhlobo olufayo olutshabalalisa i-zygote. Oku kungakhokelela ekuswelekeni komntwana ongekazalwa.
• Xa iqela legazi lomyeni lilungile kwaye elomfazi alinalo, emva koko umbungu uya kuba liqela elilungileyo. Oku kunokubangela isithintelo se-placental okanye ukufuduswa kwemvelo ngexesha lokuhanjiswa
Ukuhambelana kweRh
Xa umama ene-Rh negative kwaye umntwana ozelweyo ene-Rh, emva koko kwenziwa i-H-antibody entsha emzimbeni kamama. Oku kuhlala kungabinangxaki ngexesha lokuzalwa komntwana wokuqala, nangona kunjalo, xa umama ebeleka umntwana wesibini, i-antibody eyenziwe emzimbeni ngexesha lokubeleka langaphambili kunokubangela ukophuka kwesithintelo se-embriyo.
Oku kunokubangela ukusweleka komntwana wesibini okanye kunokubakho ukopha okuninzi ngexesha lokuhanjiswa. Oku kubhekiswa kukungangqinelani kwe-Rh kwisigama sezonyango.
Isisombululo ku-Rh Ukungahambelani
Iingxaki ngenxa yokungahambelani kwe-Rh kunokuthintelwa ngokulula ukuba inaliti elula ye-Anti-D inikwe umama kwisithuba seeyure ezingama-72 zokuhanjiswa. Oku kuya kuqinisekisa ukuba iingxaki ezizayo ziya kuthintelwa. Le naliti kufuneka ilawulwe emva konikezelo ngalunye ngumama, kwaye ayisiyiyo eyokuqala kuphela. Kwakhona, le naliti kufuneka ilawulwe nokuba kukho ukukhupha isisu.
Ukuthintela i-Erythroblastosis Fetalis
I-Erythroblastosis Fetalis: Le yimeko eyenzekayo xa uhlobo lwegazi lomntwana lungahambelani nolonina. Iiseli ezimhlophe zegazi likanina zinokuqala ngokuhlasela iiseli ezibomvu zegazi losana, njengoko kuya kuthathwa njengomhlaseli welinye ilizwe.
Kule meko, unyango lweprophylactic lunikwa umama. Oku kubandakanya ukugonywa kukamama ozayo. Ugonyo nje lwee-anti-Rh agglutinins (Rhogam). Oku kufuneka kwenziwe ngokukhawuleza emva kokuziswa.
Oku kunceda ekuthinteleni ubuntununtunu kumama ongenayo i-Rh. Oku kwenziwa ngokunciphisa i-Rh agglutinins kanina. I-anti-D antibody inikwa nomama olindele ukuqala malunga ne-28 ukuya kwi-30 iiveki zokukhulelwa.
