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ʻO ke ʻano o ke ʻano koko: he aha kāu e ʻike ai? Video
ʻO ka hoʻolālā kūpono o ka hāpai ʻana kekahi o nā hana nui e kū i nā makuahine a me nā mākua. Akā ʻo nā mākua mākaukau loa ʻaʻole paha i ʻike i ka weliweli e hoʻoweliweli nei i ka pēpē, i kumu ʻia e ko lākou launa ʻole i ka hui koko.
Manaʻo Hoʻohālikelike Mākua
I ka hapai ʻana, pili like ka pilina o nā hui makua i ka hoʻokumu ʻia o ke koko o ke keiki. Eia naʻe, ʻaʻohe mea hōʻoia e hoʻoilina ke keiki i ka plasma o ka makuakāne a i ʻole ka makuahine. ʻO kahi laʻana, no nā mākua me nā hui II a me III, ʻo ka hiki ke loaʻa i kahi keiki me kekahi hui he 25%.
Akā ʻo ke kuleana nui i ka manaʻo o ka launa ʻole ʻaʻole hoʻokani ʻia e ka hui koko, akā na ka Rh factor.
ʻO ka Rh factor (Rh) kahi antigen a i ʻole kahi protein kūikawā i loaʻa i ke koko o 85% o ko ka honua heluna kanaka. Loaʻa ia i ka membrane o nā hunaola ʻulaʻula - erythrocytes. ʻO ka poʻe i ʻaʻohe o kēia protein he maikaʻi ʻole ʻo Rh.
Inā loaʻa iā Rh + a i ʻole Rh paha nā mākua ʻelua, a laila ʻaʻohe kumu e hopohopo ai. Eia kekahi, mai hopohopo inā Rh-maikaʻi ke koko o kou makuahine a Rh-maikaʻi ʻole kou makuakāne.
Hiki ke loaʻa nā pilikia i ka wā hāpai inā hui ʻia ka Rh-positive plasma o ka pēpē me ke koko Rh-maikaʻi ʻole o ka makuahine. ʻO ka hopena i loaʻa i kēia hihia i kapa ʻia ʻo Rh-conflict. ʻIke ʻia i ka manawa ke hele ka antigen i loko o ke koko o ka pēpē a hele ʻole i ke koko o ka makuahine i loko o kona kino. I kēia hihia, kūpili ʻia - adhesion o Rh-maikaʻi a me Rh-maikaʻi erythrocytes. I mea e pale aku ai i kēia, hoʻomaka ke kino wahine e hana i nā antibodies kūikawā - immunoglobulins.
Hana ʻia nā Immunoglobulins i ka wā o Rh-conflict i ʻelua mau ʻano - IgM a me IgG. Hōʻike nā mea pale IgM i ka hui mua o nā "erythrocytes" kaua "a nui ka nui, ʻo ia ke kumu i komo ʻole ai lākou i ka placenta.
Ke hana hou ʻia kēia hopena, hoʻokuʻu ʻia nā immunoglobulins o ka papa IgG, a ma hope iho e hoʻokumu i ka incompatibility. I ka wā e hiki mai ana, kū ka hemolysis - ka luku ʻia o nā hunaola ʻulaʻula i ke koko o ka pēpē.
Nā hopena o ka maʻi hemolytic o ka fetus
I ke kaʻina o ka hemolysis, haki ka hemoglobin i nā mea ʻona e hoʻopili i ka ʻōnaehana waena, ka puʻuwai, ka ate, nā puʻupaʻa o ke keiki. Ma hope, anemia, dropsy, a me ka fetal edema e ulu. Hiki i kēia mau mea āpau ke hele pū me ka hypoxia - pololi o ka oxygen, acidosis - kahi hewa i ke kaulike acid-base a me nā pilikia ʻē aʻe. I ka hihia ʻoi loa, hiki ke make.
Nā kumu o ka hakakā Rh
ʻO ka likelihood o kahi Rh-hakakā i ka wā o ka hāpai mua he 10%. ʻO ka mālie ia e kahe ana, ʻo ka liʻiliʻi paha e komo ke koko o ke keiki i ka makuahine. Akā aia kekahi mau mea, ʻoiai i ka wā o ka hāpai mua, e hoʻonui i ka likelike o ka hakakā Rh.
Ma ke ʻano he rula, eia kēia:
- hāpai keiki ectopic
- hāpai keiki a hānau keiki ʻole
- hoʻokaʻawale a hoʻokaʻawale paha i ka placenta i ka wā hānau a i ʻole nā pilikia i ka wā hāpai
- nā ʻano hana hoʻāʻo invasive, no ka laʻana, nā hoʻokolokolo me ka hōʻino ʻana i ka pono o ka umbilical cord a i ʻole ka huki fetal
- ke koko
ʻO ka mea pōmaikaʻi, ʻo ke kiʻekiʻe o nā lāʻau i kēia manawa hiki ke hāpai i kahi pēpē olakino, ʻoiai inā ʻaʻohe Rh-kūpono nā mākua, he mea nui wale ia e ʻike e pili ana i ka manawa a lawe i nā ana e pono ai.
Hiki ke loaʻa kahi wehewehe o ka hoʻokaulike o nā hōʻailona zodiac i ka horoscope hoʻokaulike.