Ciki da Rh Negative? Me yasa zaka Iya Bukatar allurar RhoGAM

Wadatacce

• Menene Rh factor?
• Rh rashin daidaituwa
• Me yasa ake amfani da RhoGAM
• Yadda ake gudanar dashi
• Sakamakon illa na yau da kullun na RhoGAM
• Hadarin RhoGAM sun harba - kuma basu samu ba
• Kudin kuɗi da zaɓuɓɓuka
• Takeaway

Lokacin da kake da ciki, zaka iya koya cewa jaririn ba nau'in ku bane - nau'in jini, wato.

Kowane mutum an haife shi da nau'in jini - O, A, B, ko AB. Kuma an haife su da mahimmancin Rhesus (Rh), wanda yake tabbatacce ko mara kyau. Kin gaji abinki na Rh ne daga iyayenki, kamar yadda kuka gaji kwayar idanuwan mamanku da kuma ƙasussuwa masu girma na mahaifinku.

Hawan ciki shine ainihin lokacin kawai lokacin da za'a sami mummunan jini (hukuncin da aka ƙaddara!) Tsakanin ku da Rh factor.

Lokacin da kake Rh korau kuma mahaifin mahaifin ya kasance Rh tabbatacce, wasu rikitarwa na barazanar rai na iya tashi idan jaririn ya gaji mahaifinsa tabbatacce Rh factor. Ana kiran wannan rashin daidaito na Rh, ko cutar Rh.

Amma kada ku tura maɓallin tsoro har yanzu. Duk da yake yana da mahimmanci a binciki cutar, rashin dacewar Rh ba safai ba ne kuma ana iya kiyaye shi.

Don daidaita matsalolin, likitanka na iya ba ka harbi na RhoGAM - generic: Rho (D) immunity globulin - a kusan makonni 28 na ciki kuma a duk lokacin da jininka zai iya haɗuwa da na jaririnka, kamar lokacin gwajin haihuwa ko bayarwa.

Menene Rh factor?

Rh factor shine furotin wanda yake zaune akan jinin ja. Idan kana da wannan furotin, to kana da Rh tabbatacce. Idan ba ka yi ba, kana Rh korau. Kusan kashi 18 cikin ɗari na yawan jama'a suna da nau'in jini mara kyau Rh.

Idan ya zo ga lafiyar ku, da gaske ba damuwa abin da kuke da shi - koda kuwa kuna buƙatar ƙarin jini, likitoci na iya tabbatar da sauƙi ku karɓi jinin Rh mara kyau. Koyaya, damuwa suna zuwa yayin ciki (menene ba lokacin damuwa yayin ciki?) Idan jini mai kyau da tabbatacce yana da damar cakudawa.

Rh rashin daidaituwa

Rashin daidaituwa na Rh yana faruwa yayin da mace mara kyau Rh ta ɗauki ciki da ɗa mai ƙarfin Rh. A cewar:

• Akwai damar 50 bisa ɗari jaririnku zai gaji rauninku na Rh factor, wanda ke nufin ku duka kun dace da Rh. Duk AOK ne, ba tare da magani da ake buƙata ba.
• Hakanan akwai damar kashi 50 cikin ɗari da jaririnku zai gaji mahaifinsu na Rh tabbatacce, kuma wannan yana haifar da rashin dacewar Rh.

Tabbatar da rashin daidaituwa na Rh na iya zama mai sauƙi kamar ɗaukar samfuran jini daga gare ku, kuma, mafi dacewa, mahaifin jariri.

• Idan iyayen biyu ba su da Rh marasa kyau, jaririn ma haka ne.
• Idan iyaye biyu suna da Rh tabbatacce, jaririn yana da Rh tabbatacce.
• Gwajin jini yawanci ana yin sa ne a ɗaya daga farkon ziyarar haihuwar ka.

Kuma - ka saba da waɗancan sandunan allura - idan bakada Rh negative, likitanka shima zaiyi gwajin jini don bincika rigakafin Rh.

• Antibodies sunadarai ne tsarin garkuwar jikinku yayi don yaƙar abubuwa da baƙon zuwa jikinku (kamar jinin Rh tabbatacce).
• Idan kana da kwayoyin cuta, yana nufin an riga an fallasa ka ga Rh tabbatacce jini - daga isarwar da aka yi a baya, alal misali, zubar da ciki, ko ma ƙarin ba da jini ba.
• Yarinyar ku na cikin haɗari na rashin daidaituwa na Rh idan mahaifin su Rh tabbatacce ne.
• Kuna iya buƙatar wannan gwajin gwajin sau da yawa a duk lokacin da kuke ciki don auna ƙimar ku na rigakafi (mafi girman su, mafi yawan matsalolin rikitarwa na jaririn na iya zama).
• Idan kuna da kwayoyin cuta, RhoGAM ba zai taimaki ɗanku ba. Amma kada ku firgita. Doctors na iya:
  • umarni gwaje-gwaje na gwaji, kamar duban dan tayi, don lura da ci gaban jaririn
  • ba wa jaririn jini ta cibiya, kafin jaririnka ya duba daga cikin Comfort Inn wato mahaifar ka
  • bayar da shawarar isar da wuri

Reasonsarin dalilai don kwanciyar hankali:

• Wasu lokuta rashin daidaito na Rh na jaririn na iya haifar da ƙananan rikitarwa waɗanda basa buƙatar magani.
• Rashin ciki na farko yawanci ba sa shafar rashin dacewar Rh. Wancan ne saboda yana iya ɗaukar fiye da watanni 9 don mama mara kyau ta Rh don yin ƙwayoyin cuta waɗanda ke yaƙi da Rh tabbatacce jini.

Me yasa ake amfani da RhoGAM

Mahaifiyar Rh mara kyau (ba jaririnta ba) za ta karɓi RhoGAM a wurare da yawa a duk lokacin ɗaukar ciki lokacin da abin Rh na mahaifin ya kasance tabbatacce ko ba a sani ba. Wannan yana hana ta yin ƙwayoyin cuta ga Rh tabbatacciyar jini - kwayar cutar da za ta iya lalata ƙwayoyin jinin ɗanta.

RhoGAM ana bashi koyaushe duk lokacin da akwai yiwuwar jinin mama ya haɗu da na jariri. Waɗannan lokutan sun haɗa da:

• a makonni 26 zuwa 28 na ciki, lokacin da mahaifa zata iya fara sirara kuma, kodayake ba lallai bane, jini na iya canzawa daga jariri zuwa uwa
• bayan zubar da ciki, haihuwa baƙuwa, ɓarna, ko ciki mai ciki (wani ciki da ke tasowa a wajen mahaifa)
• a cikin awanni 72 na haihuwa, gami da haihuwa, idan jaririn ya kasance tabbatacce Rh
• bayan kowane gwaji na cin zali na ƙwayoyin jariri, misali, yayin:
  • amniocentesis, gwajin da ke bincikar ruwan mahaifa don rashin ci gaban jiki
  • samfurin chorionic villus (CVS), gwajin da ke duban samfurin nama don matsalolin kwayar halitta
• bayan rauni zuwa tsakiyar, wanda zai iya faruwa bayan faɗuwa ko haɗarin mota
• duk wani magudi ga tayi - misali, lokacin da likita ya juya jaririn da ba a haifa ya zauna a matsayin mai iska ba
• zubar jini ta farji yayin daukar ciki

Yadda ake gudanar dashi

RhoGAM magani ne na likita da aka saba bayarwa ta hanyar allura a cikin tsoka - galibi a bayan fage, don haka kawai wani rashin mutuncin da za ku magance yayin ciki. Hakanan za'a iya ba shi intravenously.

Kwararka zai yanke shawarar abin da ya dace a gare ku. RhoGAM yana da tasiri har kusan makonni 13.

Sakamakon illa na yau da kullun na RhoGAM

RhoGAM magani ne mai aminci tare da tarihin shekaru 50 na kare jarirai daga cutar Rh. Dangane da masana'antun magungunan, yawancin illolin da ke faruwa suna faruwa inda aka harba kuma sun haɗa da:

• taurin kai
• kumburi
• zafi
• ciwo
• kurji ko ja

Effectarancin sakamako mafi mahimmanci shine ƙananan zazzabi. Hakanan yana yiwuwa, kodayake ba mai yuwuwa ba, don yin rashin lafiyan.

An harba muku kawai; jaririnku bai ci karo ba illa ba. RhoGAM ba naku bane idan kun:

• riga yana da Rh tabbatacce antibodies
• suna rashin lafiyan immunoglobulin
• da cutar rashin jini
• sun sami alurar riga kafi kwanan nan (RhoGAM yana rage tasirin su)

Hadarin RhoGAM sun harba - kuma basu samu ba

Rh cuta ba ta shafar lafiyar ku - amma idan kun ƙi harbin RhoGAM, zai iya yin tasiri ga lafiyar jaririn ku da na masu juna biyu nan gaba. A gaskiya, Mace mai ciki 1 Rh mai mummunan ciki a cikin 5 zata zama mai larura da sanadin Rh tabbatacce idan ba ta karɓi RhoGAM ba. Wannan yana nufin, cewa ana iya haihuwar jaririnta da ɗaya ko fiye da waɗannan abubuwa masu zuwa:

• karancin jini, rashin ingantattun kwayoyin jini
• rashin zuciya
• lalacewar kwakwalwa
• jaundice, launin rawaya mai zuwa launin fata da idanu saboda hanta mai aiki ba daidai ba - amma bayanin kula, jaundice ya zama gama gari ga jarirai

Kudin kuɗi da zaɓuɓɓuka

Farashi da inshorar RhoGAM sun banbanta. Amma ba tare da inshora ba, yi tsammani ku ciyar da ma'aurata zuwa dala ɗari da yawa ta allura (ouch - wannan ya fi ciwo zafi fiye da tsinin allurar!). Amma yawancin kamfanonin inshora zasu dauki nauyin wasu kudaden.

Yi magana da likitanka game da ko samfurin RhoGAM - Rho (D) na rigakafin globulin - ko wani nau'in magani na daban ya fi tasiri.

Takeaway

Rh cuta baƙon abu ne kuma mai hana shi - ana iya cewa cuta "mafi kyawun yanayin" a cikin wannan ma'anar. San nau'in jininka, kuma, idan zai yiwu, na abokin tarayya. (Kuma idan yana kafin ciki, duk mafi kyau.)

Idan kana Rh korau, yi magana da likitanka game da ko zaka buƙaci RhoGAM kuma lokacin da mafi kyawun lokaci shine samun shi.