Qhov zoo tshaj plaws Rh? Nws yog ib qho protein uas nyob rau ntawm cov qe ntshav (erythrocytes). Cov neeg uas muaj nws tam sim no yog cov muaj tus yam ntxwv zoo Rh ntsis. Cov neeg uas tsis muaj protein nyob hauv lawv cov ntshav yog Rh-negative. Nws tau qhia tias qhov tsis zoo Rh yog hauv 20% ntawm cov neeg.
Thaum muaj kev tsis haum xeeb ntawm leej niam thiab tus menyuam hauv Rhia, qhov kev ua rau lub cev tsis zoo yuav pib hauv lub cev ntawm tus pojniam cev xeeb tub.
Thiab tsis muaj kev txaus ntshai ntawm kev tsis haum xeeb hauv Rhaub tus niam thiab tus menyuam, yog tias leej niam thiab leej txiv yog Rh-tsis zoo lossis yog leej niam muaj tus Rhais zoo. Tsis tas li, yog hais tias tus me nyuam muaj noob caj noob ntawm ob leeg niam txiv tib lub sij hawm, ces tsis muaj Rhesus-tsis sib haum xeeb.
Qhov tsis tseem ceeb ntawm niam thiab tus me nyuam hauv Rh Factor zoo li cas?
Nyob rau hauv lub cev ntawm ib tug poj niam cev xeeb tub, raws li tau hais ua ntej, muaj Rhesus-tsis sib haum xeeb, vim li ntawd, hauv lub cev ntu cev, Rh tshuaj tiv thaiv - cov kua nruab nrog peculiar. Hauv qhov no, cov kws kho mob muab ib tug poj niam kuaj mob rhesus-sensitization.
Rhesus tshuaj tiv thaiv kuj tuaj yeem tshwm hauv lub cev ntawm ib tug poj niam tom qab rho me nyuam, tom qab tus poj niam ectopic, tom qab thawj hnub yug.
Txawm li cas los xij, feem ntau tus poj niam cev xeeb tub nyob hauv tus poj niam Rh-negative nyhav tsis muaj teeb meem. Yog tias qhov kev xeeb menyuam thawj zaug ua tsis zoo, qhov kev pheej hmoo ntawm kev mob Rh-sensitization thaum lub sijhawm cev xeeb tub yuav nce. Tsis tas li ntawd, qhov kev ntsuam xyuas no tsis yog ib qho mob rau tus poj niam lub cev txhua txoj kev. Tab sis, thaum nkag rau hauv plab hnyuv hauv lub plab, Rhesus cov tshuaj tua kab mob tuaj yeem ua kom nws cov erythrocytes, ua rau cov ntshav tsis muaj zog, cuam tshuam ntawm txoj kev loj hlob ntawm lub cev tseem ceeb thiab kabmob ntawm tus menyuam. Kev ua kom tiav ntawm lub fetus nrog Rh antibodies yog hu ua kab mob hauv tus kab mob hu ua hemolytic. Qhov teeb meem loj tshaj plaws ntawm qhov tsis meej xeeb leej niam thiab tus me nyuam nrog tus qauv yog qhov yug ntawm tus me nyuam uas tsis muaj peev xwm ua neej. Hauv cov kab mob me me, tus me nyuam yug nrog jaundice lossis ntshav tsis txaus.
Cov menyuam yaus uas muaj cov tsos mob ntawm tus mob hemolytic yuav tsum tau saib xyuas sai sai - kev tso ntshav.
Kom tsis txhob muaj qhov tsis zoo ntawm tus niam thiab tus me nyuam hauv Rh Fact, koj yuav tsum xub nrog tus poj niam sab laj, qhov twg koj yuav raug xa mus rau tag nrho cov kev ntsuam xyuas uas tsim nyog. Yog tias cov txiaj ntsim ntawm cov kev kuaj pom tau tias koj muaj qhov tsis zoo Rh yam, koj yuav raug muab tso rau hauv ib tus as khauj tshwj xeeb thiab nws yuav tsum kuaj xyuas seb puas muaj ntshav siab nyob hauv cov ntshav. Yog tias nrhiav tau cov tshuaj tiv thaiv kab mob, koj yuav raug muab tso rau ib qho chaw tshwj xeeb obstetric.
Tam sim no tus kab mob hemolytic ntawm lub fetus yog kuaj tau twb nyob rau hauv thaum ntxov ua sawv. Tus menyuam tau txais kev pab kom nws dim hauv niam lub cev thaum nws siv ntshav mus rau hauv lub cev. Siv ultrasound los ntawm phab ntsa nrig ntawm sab nrauv ntawm tus poj niam, lub fetus tau ntim hauv cov hlab ntsha mus rau hauv txoj hlab ntaws rau 50 ml ntawm cov qe ntshav dawb, kom tus me nyuam loj hlob kom txog thaum kawg ntawm cev xeeb tub.
Thaum tus poj niam tsis muaj Rhuam tus me nyuam muaj ib tug menyuam uas muaj qhov Rhais Zoo, qhov hnoos qav no yog txhaj thawj zaug hauv thawj ob peb teev. Nrog kev pab ntawm no siv tshuaj yaj yeeb nyob rau hauv leej niam lub cev, lub qhuav ntawm tshuaj tiv thaiv nres.