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He aha ka hui koko incompatibility?
"ʻAʻole wau ma mua o ka hānau ʻana o kaʻu keiki liʻiliʻi, ua nīnau wau iaʻu iho i ka nīnau no ke koko like ʻole ma waena ona a me aʻu. ʻO wau ʻo O +, kaʻu kāne A +, noʻu ʻaʻohe rhesus incompatibility, ʻaʻohe pilikia. Ua loaʻa iaʻu kahi hāpai kapuaʻi a me ka hānau keiki maikaʻi loa. Aka, ua lilo koke ka olioli i ka ehaeha. Ke nānā aku nei au i kaʻu pēpē, ʻike koke wau he waihoʻoluʻu kānalua kona. Ua haʻi mai lākou iaʻu he jaundice paha. Lawe lākou iā ia mai aʻu aku a hoʻokomo i loko o ka mea hoʻomaʻamaʻa māmā. Akā ʻaʻole i iho ka pae bilirubin a ʻaʻole lākou i ʻike i ke kumu. Ua hopohopo loa au.
ʻO ka hoʻomaopopo ʻole i ka mea e hana nei ka mea ʻino loa i nā mākua. Hiki iaʻu ke ʻike ʻaʻole kaʻu pēpē i kahi kūlana maʻamau, nāwaliwali ʻo ia, e like me ka anemia. Ua hoʻonoho lākou iā ia i ka neonatology a ua noho mau kaʻu Leo liʻiliʻi i ka mīkini ray. ʻAʻole hiki iaʻu ke noho pū me ia no kāna mau hola 48 mua. Ua lawe mai lakou ia ia i o'u nei e ai ai. Ua lawa ka ʻōlelo ʻana he haunaele ka hoʻomaka ʻana o ka hānai. Ma hope o kekahi manawa, Ua hoʻopau nā kauka i ke kamaʻilio e pili ana i ka like ʻole o nā hui koko. Ua haʻi mai lākou iaʻu e hiki mai ana kēia pilikia inā ʻo O ka makuahine, ʻo ka makua kāne A a i ʻole B, a ʻo ke keiki ʻo A a i ʻole B.
I ka manawa o ka hānau ʻana, ma ke ʻano maʻalahi, Ua hoʻopau koʻu mau antibodies i nā ʻāpana koko ʻulaʻula o kaʻu pēpē. I ko mākou ʻike pono ʻana i kāna mea, ua hōʻoluʻolu nui mākou. Ma hope o kekahi mau lā, ua hāʻule hope ka pae bilirubin a ʻoi aku ka maikaʻi o ka pale ʻana i ke kahe.
ʻOiai nā mea a pau, ua lōʻihi ka manawa o kaʻu keiki liʻiliʻi e hoʻōla mai kēia pilikia. He pēpē palupalu, ʻoi aku ka maʻi. Pono ʻoe e makaʻala loa no ka mea nawaliwali kona kino kino. ʻO nā mahina mua, ʻaʻohe mea i pūliki iā ia. Ua nānā pono ʻia kona ulu ʻana e ka pediatrician. I kēia lā ua maikaʻi kaʻu keiki. Ua hāpai hou au a ʻike wau aia ka manawa kūpono e loaʻa hou ai kaʻu keiki i kēia pilikia ma ka hānau ʻana. (ʻAʻole hiki ke ʻike ʻia i ka wā hāpai). Ua emi koʻu kaumaha no ka mea ke ʻōlelo nei au iaʻu iho ua ʻike mākou i kēia manawa. “
ʻO ke kukui ʻana e Dr Philippe Deruelle, obstetrician-gynecologist, Lille CHRU.
- He aha ka hui koko incompatibility?
Nui nā ʻano like ʻole o ke koko. ʻO ka rhesus incompatibility a mākou i ʻike maikaʻi ai a hōʻike ʻia e nā anomalies koʻikoʻi i utero, akā ʻo kaka like ʻole o nā pūʻulu koko i ka ʻōnaehana ABO ʻike mākou i ka hānau ʻana.
He 15 a 20% o ka hānau ʻana. ʻAʻole hiki ke hana kēia aia ka makuahine o ka hui O a ʻo ka pēpē ka hui A a i ʻole B. Ma hope o ka hānau ʻana, hui pū kekahi o ke koko o ka makuahine me ke koko o ka pēpē. Hiki i nā antibodies i loko o ke koko o ka makuahine ke hoʻopau i nā ʻāpana koko ʻulaʻula o ka pēpē. Ke alakaʻi nei kēia ʻano i ka hana ʻino ʻole o ka bilirubin e hōʻike ʻia ma ke ʻano he jaundice mua (jaundice) i ka hānau hou. ʻO ka hapa nui o nā ʻano jaundice e pili ana i ka like ʻole o nā hui koko he liʻiliʻi. Hoʻohana ʻia ka hoʻāʻo COOMBS e ʻike i kēia anomaly. Mai nā laʻana koko, hiki iā ia ke nānā inā pili nā antibodies o ka makuahine iā lākou iho i nā keʻena koko ʻulaʻula o ka pēpē e luku iā lākou.
- Hui koko incompatibility: lapaau
Pono e pale ʻia ka piʻi ʻana o ka bilirubin no ka mea hiki i ke kiʻekiʻe ke hoʻopōʻino i ke kino o ka pēpē. Hoʻonohonoho ʻia ka lāʻau Phototherapy. ʻO ke kumu o ka phototherapy ka wehe ʻana i ka ʻili o ke keiki hānau hou i kahi kukui polū e hoʻoheheʻe ai ka bilirubin a hiki iā ia ke hoʻopau iā ia i kāna mimi. Hiki ke hoʻokumu ʻia nā lāʻau paʻakikī inā ʻaʻole pane ka pēpē i ka phototherapy: ka hoʻololi ʻana i ka immunoglobulin i hoʻopaʻa ʻia i loko o ke koko a i ʻole ka hoʻololi ʻana i ka exsanguino. ʻO kēia ʻano hana hope loa ka hoʻololi ʻana i kahi hapa nui o ke koko o ke pēpē, ʻaʻole loa e hana ʻia.