Rh rashin daidaituwa

Rashin daidaituwa na Rh wani yanayi ne da ke tasowa yayin da mace mai ciki ke da jinin Rh-negative kuma jaririn da ke mahaifarta yana da jinin Rh-tabbatacce.

A lokacin daukar ciki, jajayen jini daga jaririn da ba a haifa ba na iya hayewa cikin jinin uwa ta wurin mahaifa.

Idan mahaifiya bata da Rh-negative, garkuwar jikin ta tana kula da kwayoyin Rh-tabbatacce kamar baƙon abu ne. Jikin uwa yana yin rigakafi akan ƙwayoyin jinin tayi. Wadannan kwayoyin cutar na iya hayewa ta cikin mahaifa zuwa ga jariri mai tasowa. Suna lalata jaririn jinin jini.

Lokacin da aka lalata jajayen kwayoyin, suna yin bilirubin. Wannan yana sa jariri zama rawaya (jaundiced). Matsayin bilirubin a cikin jinin jariri na iya zama daga mai sauƙi zuwa mai haɗari.

Ba a taɓa shafar jarirai ɗan fari sai dai idan mahaifiya ta taɓa ɓatar da ciki ko zubar da ciki. Wannan zai wayar da kan garkuwarta. Wannan saboda yakan dauki lokaci kafin mahaifiya ta sami kwayoyin cutar. Duk yaran da ta haifa daga baya wadanda suma suke da Rh-tabbatacce na iya shafar.

Rashin daidaituwa na Rh yana tasowa ne kawai lokacin da mahaifiyarsa ta kasance Rh-korau kuma jariri yana Rh-tabbatacce. Wannan matsala ta zama ba gama gari ba a wuraren da ke ba da kyakkyawar kulawa ga haihuwa. Wannan saboda ana amfani da globulins na rigakafi na musamman waɗanda ake kira RhoGAM a kai a kai.

Rashin daidaituwa na Rh na iya haifar da bayyanar cututtuka jere daga mai sauƙin zuwa mai saurin mutuwa. A cikin mafi sauƙin tsari, rashin daidaituwa na Rh yana haifar da lalata jajayen ƙwayoyin jini. Babu wasu tasirin.

Bayan haihuwa, jariri na iya samun:

• Rawaya fata da fararen idanu (jaundice)
• Muscleananan ƙwayar tsoka (hypotonia) da rashin ƙarfi

Kafin haihuwa, mahaifiya na iya samun ƙarin ruwan amniotic a kusa da jaririyar da ba ta haifa ba (polyhydramnios).

Za a iya samun:

• Kyakkyawan sakamakon gwajin Coombs
• Matakan Bilirubin fiye da-na al'ada a cikin jinin igiyar jariri
• Alamomin lalata jinin jini a cikin jinin jariri

Za'a iya hana rashin daidaito na Rh tare da amfani da RhoGAM. Sabili da haka, rigakafin ya kasance mafi kyawun magani. Maganin jariri wanda ya riga ya kamu ya dogara da tsananin yanayin.

Jarirai masu saurin rashin daidaituwa na Rh za'a iya bi da su ta hanyar amfani da fototherapy ta amfani da hasken bilirubin. Hakanan ana iya amfani da kwayar cutar ta rigakafin globulin. Ga jarirai da abin ya shafa, ana iya musayar ƙarin jini. Wannan don rage matakan bilirubin a cikin jini.

Ana tsammanin cikakken dawowa don rashin daidaituwa na Rh.

Matsaloli na iya haɗawa da:

• Lalacewar kwakwalwa saboda yawan bilirubin (kernicterus)
• Girman ruwa da kumburi a cikin jariri (hydrops fetalis)
• Matsaloli tare da aikin tunani, motsi, ji, magana, da kamuwa

Kira mai ba da lafiyar ku idan kuna tunani ko kun san cewa kuna da ciki kuma har yanzu ba ku ga mai ba da sabis ba.

Rh rashin daidaituwa kusan kusan za'a iya hana shi. Yakamata uwaye mata masu bin Rh su kasance masu bin su sosai yayin daukar ciki.

Ana amfani da keɓaɓɓiyar rigakafin globulins, waɗanda ake kira RhoGAM, yanzu don hana rashin dacewar RH ga iyaye mata waɗanda suke Rh-negative.

Idan mahaifin jaririn yana da Rh-tabbatacce ko kuma ba a san nau'in jininsa ba, sai a yiwa uwa allurar RhoGAM a lokacin da yake watanni uku na biyu. Idan jaririn yana da Rh-tabbatacce, za a yiwa mahaifiya allura ta biyu cikin ’yan kwanaki bayan haihuwa.

Wadannan allurai suna hana ci gaban kwayoyi akan jinin Rh-tabbatacce. Koyaya, mata masu jinin Rh-negative dole ne suyi allura:

• Yayin kowane ciki
• Bayan zubewar ciki ko zubar da ciki
• Bayan gwaje-gwajen haihuwa kamar amniocentesis da chorionic villus biopsy
• Bayan rauni a ciki yayin daukar ciki

Rh ya haifar da cututtukan hemolytic na jariri; Erythroblastosis tayi

• Sabon jaundice - fitarwa

• Erythroblastosis fetalis - hotunan hoto
• Jaundiced jariri
• Antibodies
• Canjin musanya - jerin
• Rh rashin daidaito - jerin

Kaplan M, Wong RJ, Sibley E, Stevenson DK. Yonatal jaundice da cututtukan hanta. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 10 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 100.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Rikicin jini. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 124.

Moise KJ. Red cell allurar rigakafi. A cikin: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obetetrics: Ciki da Ciki. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 34.